Food Security and Nutrition Analysis Unit Somalia Post Gu’11 Food Security and Nutrition Analysis Unit Somalia Information for Better Livelihoods August 16th 2011 Integrated Nutrition Situation Analysis – Vetting Meeting Central Regions EUROPEAN COMMISSION Swiss Agency for Development and Cooperation SDC

Central Regions Livelihood Zones There are 4 livelihood zones in Central regions: 1. Hawd Pastoral LZ : Mainly involved in rearing of camel. Sheep and goats are of subsidiary. 2. Addun Pastoral LZ : Sheep rearing is most important. Goats and camel are subsidiary. 3. Cowpea Belt Agro- pastoral LZ involved in production & sale of cowpea 4. Coastal Deeh LZ: Sheep rearing and fishing CENTRAL: LIVELIHOOD ZONES

Outcome indicators Dhusamareb IDP, Summary of Findings Gu ‘10 Deyr’10/11, Gu’11 (N=198) Child Nutrition status GAM (WHZ<-2 or oedema) >34 .0 (Pr=0.90) SAM (WHZ<-3 or oedema) >6.2 (Pr=0.90) Oedema 0.0 MUAC (<12.5 cm or oedema) >21.3 (Pr.=0.90) MUAC (<11.5 cm or oedema) NO ASSESSMENT >1.3 (Pr.=0.90) Crude death Rate/10,000/day (90days) 1.85 (1.35-2.34) Under 5 death Rate/10,000/day (90days) 6.57 (4.89-8.26) HIS Nutrition Trends N/A TFPs/SFPs Admission trends OVERALL NUTRITION SITUATION Very Critical Child Morbidity, Immunization, IYCF Disease Oubreaks: Morbidity based on 2wk recall Morbidity –27.8 Immunization status/Vit. A - Children eating from <4 fdgps Children meeting min. feeding freq. Public Health Indicators; Gender Households (HH) accessing safe water HH accessing sanitation facilities Relation between GAM & child sex Relation between GAM & sex of hh head Food Security Phase Proportion of hh consuming <4 fd gps Overall Risk to Deterioration Uncertain

Outcome indicators Coastal Deeh Livelihood Zone (Central), Summary of Findings Gu’10 (N=199 ) Deyr’10/11 (N=648) Gu’11 (N=427) Child Nutrition status GAM (WHZ<-2 or oedema) >10.8 (Pr=0.90) N/A SAM (WHZ<-3 or oedema) >2.2 (Pr=0.90) Oedema 0.0 1.4 MUAC (<12.5 cm or oedema) 6.5 (2.9-10.1) 12.3 16.9 (12.8-21.8) MUAC (<11.5 cm or oedema) 2.5 (0.4-4.6) 3.0 5.4 (3.3-8.6) HIS Nutrition Trends <10% and stable High and increasing High proportion but decreasing Crude death Rate/10,000/day (90days) N/A N/A Under 5 death Rate/10,000/day (90days) OVERALL NUTRITION SITUATION Serious Critical Very Critical Child Morbidity, Immunization, IYCF Disease Oubreaks: Morbidity based on 2wk recall No outbreak Morbidity- 23.7 No Outbreak Measles and AWD outbreak Morbidity-27.6 Immunization status/Vit. A Meascles ;86.4 ;Vit A:94.5 Households (HH) accessing safe water Poor water and sanitation HH accessing sanitation facilities Relation between GAM & child sex Relation between GAM & sex of hh head Insignificant Food Security Phase Proportion of hh consuming <4 fd gps AFLC Poor diet, no milk available HE Overall Risk to Deterioration Stable Deteriorating Uncertain

Cowpea Central Livelihood Zone, Summary of Findings Outcome indicators Cowpea Central Livelihood Zone, Summary of Findings Gu’10 (N=550) Deyr’10 (N=467) Gu’11 ( N=755) Child Nutrition status GAM (WHZ<-2 or oedema) N/A SAM (WHZ<-3 or oedema) Oedema 1.2 MUAC (<12.5 cm or oedema) 11.3 14.3 12.5 (8.8-17.1) MUAC (<11.5 cm or oedema) 2..3 3.0 4.9 (3.3-7.3) HIS Nutrition Trends High and decreasing trend s High and Stable OVERALL NUTRITION SITUATION Critical Child Morbidity, Immunization, IYCF Disease Oubreaks: Morbidity based on 2wk recall No outbreak AWD Outbreak Morbidity- 13.6 Immunization status/Vit. A Public Health Indicators; Gender N=501 Households (HH) accessing safe water Poor water and sanitation HH accessing sanitation facilities Limited Relation between GAM & child sex Relation between GAM & sex of hh head Food Security Phase Proportion of hh consuming <4 fd gps HE/AFLC Low milk consumption Overall Risk to Deterioration Stable Deteriorating Potential to Deteriorate

Key Driving & Mitigating Factors Driving factors Poor access to milk and dietray diversity AWD/cholera outbreak in Galgadud and Mudug regions High morbidity in Coastal, Hawd and Addun Low access to safe water in Addun Low coverage of health programmes <80 in Coastal deeh Poor infrastructure in Coastal and Addun IDPS Poor shelters High morbidity in Dusamareb IDPs. Mitigating factors Active social support e.g. in-kind or cash CHD Good coverage (>75%) of health programmes (polio and Vit A and Measles vaccination in some livelihoods/IDPs

NE/Central Nutrition Team: End NE/Central Nutrition Team: Tom Oguta, Khalif Nouh, Abdikarim Ducale, Mohamed M. Hassan, Zainab Farah . .