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Project ID:00075913Description:CHF Somalia NUTRITION/OCHA-NGO
Somalia Humanitarian Fund
Start Date *: 29 Jul 2010
End Date*: 15 Dec 2012
Country: Somalia Project Status: Financially Closed
  Participating Organization:   NGO/OCHA - NGO implementation/OCHA

CHF-DMA-0489-018 “Emergency Nutrition Response in South Mudug and Galgaduud region” – 336,857$           

The epicenter of the humanitarian crisis continues to be in Mudug, Galgadud and Hiran regions of south and central Somalia due to the ongoing drought and civil unrest, which has left 70% of the populations in those regions in Crisis. According to the FSNAU post Gu ’09 integrated food security phase classification analysis, the situation in Central regions had significantly deteriorated in severity since the Deyr ‘08/09, with the number of people in Humanitarian Emergency (HE) increasing by 20% in all livelihoods. An estimated 79% of the population of Galgadud and 51% of the population of Mudug were either in Acute Food and Livelihood Crisis (AFLC) or Humanitarian Emergency (HE), with 75% of the 440,000 people in crisis falling in HE. An estimated 385,000 of those in crisis were rural pastoralists and 55,000 were urban poor.

Emergency levels of acute malnutrition continue to be reported in Somalia with the highiest rate in Central Regions, with 1 in 5 children acutely malnourished of which 1 in 20 are severely malnourished.

An estimated 240.000 children under 5 years of age in Somalia are acutely malnourished, of which 63,000 are severely malnourished and more than two thirds of these children are located in south and central Somalia, the area's most affected by the current conflict. With 1 in 5 children also chronically malnourished, therefore unable to reach their development potential, long-term integrated responses combining nutritional rehabilitation with promotion of optimal infant and young child feeding practices and increasing access to safe water and health services, are the only way to address this Nutrition Crisis.

CISP proposes the establishment of 7 OTP and 7 SFP centers to be located in seven different villages in Galgadud and  Mudug region. One of the main criteria for establishing these centers, in addition to the high SAM rate reported, is our existing presence in the areas targeted. Additionally, CISP, in partnership with UNICEF, has been running a outpatient therapeutic feeding program in 7  locations in  Eldere and Harardere district since January 2009.  Thus, based on this and on the gaps in terms of nutrition activities in the considered area, the proposed 7 locations were considered for OTP and SFP  intervention.

Supplementary feeding activities will be carried out on a monthly basis, whereas OTP activities will be conducted on a weekly basis. Immunization will also be carried out as part of the services provided during supplementary feeding activity days.

CHF-DMA-0256-019”Selective Feeding and Nutrition Education Program, Mudug Region” -253,317$                                                     

According to the Food Security and Nutrition Analysis Unit (FSNAU) March 2010 Post Deyr Analysis, the overall nutrition situation in urban areas across Somalia have shown limited improvement, with a median Global Acute Malnutrition (GAM) rate of 16.7% and Severe Acute Malnutrition (SAM) rate of 5.0%. (The UN World Health Organization defines the nutrition emergency threshold at 15 percent GAM.) In the urban center of Galkayo, the rates are even higher than the median. Galkayo rates are classified as Very Critical, with GAM of 23.7% and SAM of 6.3%. IDPs continue to be a nutritionally vulnerable group, even in areas of relative peace and improved access; stunting is a specific concern among IDPs – 1 in 4 IDP children are reported not being able to reach their full developmental potential. Nutrition vulnerability, according to FSNAU, is likely to persist and potentially deteriorate unless a combination of emergency nutrition interventions and capacity strengthening of current and new nutrition stakeholders is undertaken.

RI’s rapid assessment in April 2010 revealed that while there are 13 IDP settlements around Galkayo, there are no OTPs serving the camps directly. To treat this vulnerable population, RI has applied to UNICEF to establish mobile OTP and a stabilization centre (SC) for inpatient therapeutic care. RI is also coordinating with the Somali Development and Relief Agency (SDRA), who is supporting SFP programmes in Galkayo. It should be noted that integrated humanitarian interventions have contributed to the improvement and mitigated further deterioration of the nutritional situation for populations accessed; however, SFP and additional OTP sites are required to service still-excluded populations and newly arriving displaced persons.

CHF-DMA-0489-020 “Capacity Building of Nutrition actors to implement emergency and life saving nutritional responses in South Somalia” -255,008$      

The Somalia 2010 CAP nutrition cluster response plan highlighted the need to build the capacity of Somalia based NGOs, mainly local NGOs to enable them carry out effective nutrition programming and responses. Based on this, DIAL as a Co-Chair in the Nutritional Cluster with consultation of other cluster partners felt the need to come up with a capacity building programme that will have as its main objective to enable the Cluster members and other stakeholders in the nutrition sector acquire the necessary skills in implementing and programming effective nutrition emergency responses in Somalia. Due to the immediate past drought coupled with the escalation in conflict in Somalia, the need for effective emergency and life saving nutritional programming became even acute as 1.3 million people were determined at one point to be in need of humanitarian assistance (FSNAU Post Deyr 2010 Report). During the past review (2010 CAP Mid-Year Review), the nutritional situation in Lower Juba, Bay and Lower Shabelle Regions were determined as acute and requiring intervention.                                                                                                                                   

As a result, DIAL in consultation with the Nutrition Cluster member organizations and specifically with 30  NGO's and nutrition actors operating in the 3 Regions came up with a 1-year capacity building project to be implemented by DIAL involving the training of 150 nutrition based staff from 30 NGO's,mainly local NGOs but also includes national staff of international NGOs (75 people) and another 75 trainees being drawn from other nutrition stakeholders such as Hospitals, MCHs,CBOs which provide critical nutritional interventions in the 3 regions. The designed training activities will reach 85% of all the nutrition actors working in the 3 Regions targeted.                                                                                                                                                                                                                                                                                                                                                                                  DIAL will organize 6 training workshops for the planned 150 nutrition staff (2 workshops per region being conducted) to provide the required skills and knowledge relevant for effective emergency nutrition programming design and implementation.                                                                                                                                                                         The workshops will offer to the trainees with a general understanding of programmes to manage acute malnutrition, the use and analysis of anthropometric readings in nutritional surveys and quick assessments to diagnose malnutrition. Others will include the management of Moderate Acute Malnutrition in Supplementary Feeding Centers, Uncomplicated Severe Acute Malnutrition in OTPs  and Complicated Acute Malnutrition in SC. 

CHF-DMA-0489-021 “Prevention and Treatment of Acute Malnutrition in Mogadishu through Community-based Therapeutic Care” – 395,897$

Mogadishu, Banadir Region, is considered a priority region of Somalia, due to acute humanitarian needs stemming from conflict, displacements, insecurity, human rights violations, and a very fragile political and economic situation.  This project is a community-based therapeutic care network of 8 MCHN sites located in 8 districts of Mogadishu city, with an OTP and SFP at each district site. In addition, having rehabilitated another 8 MCHN sites in the remaining districts of Mogadishu in early 2010, the project has the capacity to expand to 16 district sites, or shift amongst the sites, depending on needs, resources and population movement.  Presently, within the city itself, the large majority of the population are displaced (regardles of economic status).  In addition, considering the current conflict, the entire population of the city is living in a state of humanitarian emergency, while the figure is 55,000 formally.  In the first project year in 2009, Oxfam Novib worked with the implementing partner, SAACID, to initiate the first Mogadishu-based field nutrition cluster.  Since January the group - made up of nearly all the nutrition actors in Mogadishu - has met monthly, providing minutes to UN-OCHA and the IASC Nutrition Cluster.  Members of the Mogadishu-based nutrition cluster collaborate in referring cases to one another depending on programmes offered and geographic area, in addition to sharing information regarding population movement, and situation updates on nutrition, health and food security.

The humanitarian situation in Banadir Region is so terrible that FSNAU has not been able to conduct complete rapid urban nutrition assessments across the region, and the population is constantly changng due to displacement.  It has been therefore difficult to obtain reliable baseline data or determine project targets. However, Oxfam Novib's nutrition intervention in the last project year demonstrated that the situation and the need for upscaled nutrition intervention is even worse than expected. 


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If you have questions about this programme you may wish to contact the RC office in Somalia or the lead agency for the programme.

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