Nutrition Emergency Development Nexus for sustainable results 2016 | Somalia HNO DRAFT NUTRITION CLUSTER HRP 2016 Mogadishu HRP Consultation, 22 Oct 2015 @ MIA and SAG meeting 9 Nov 2016 @ CWW

Context and Key Issues Sustained Nutrition Crisis in Somalia Global Acute Malnutrition (WHZ<-3SD), Sep 2015 Sustained Nutrition Crisis in Somalia Coverage, Quality and Results Monitoring Reaching the most vulnerable, reversing the situation and transforming to development

What We do Works! Meet Sphere standards Our collective effort your support and commitment made a difference in saving lives of 100,000 every year but we need to do more There is progress in tackling acute malnutrition in Somalia though rate is slow in SC region U5DR shows that less children are dying from acute malnutrition than they did few years ago, but their quality of life remains poor.

Geographic areas - Needs Based Priorities

Geographic areas - Prevalence of GAM Among different Livelihood Zones in Somalia – W/H – Sep 2015

Cluster burden/Need = P + I Overall burden/Need GAM Prevalence Survey Season Old Population New Population % Difference Gu 2014 218,300 348,700 59.7% Deyr 2014/15 202,600 318,000 57.0% Gu 2015 214,700 307,750 43.0% GAM Incidence 349,280 557,920 324,160 508,800 343,520 492,400 43.3% Cluster burden/Need = P + I Old population = 558,220 New population = 800,150

Cluster Strategy UN, INGOs, NNGOs, Gov’t, Private Sector, and combination of INGO and NNGO Strictly as per the rationalization plan Integrated into health system Multisectoral linkage Community based service delivery mechanism Refocused approach – Active case finding and standardized monitoring and reporting Capacity Development Legislation and policy for Nutrition Strictly as per the rationalization plan Three sector specific criteria focused critically on quality, coverage, effectiveness and efficiency of projects used Full package emergency nutrition Actual coverage Multisectoral

Priority Activities Regular identification of acutely malnourished children and PLWs Therapeutic feeding support for treatment of acute malnutrition cases Micronutrient support for vulnerable groups ( PLW and U5 children ) e.g Vitamin A , zinc/ ORS , MMN Integrated nutrition, health, hygiene (NHHP) preventative and promotional support IYCF support (promotional and preventative) especially support to caregivers for feeding the sick child

Cross Cutting Issues Gender - nutritional crisis in Sudan characterized by a high prevalence of acute malnutrition with an increased risk of death among the affected population and, in particular, among vulnerable groups. On top of the differing nutritional requirements and different risks in relation to deterioration in their nutritional status that Women, girls, boys and men have; Particularly in Sudan socio-cultural factors related to gender have role in determining their access to food, supplements and supplementary services. Environment - Nutrition Projects involve generation of solid waste (Packaging/distribution/plastic bags), Construction/rehabilitation of health facilities and use of cooking fuel which may cause negative impact. HIV/AIDS - Critical linkages of HIV/AIDS and malnutrition where PLWHA needs special nutritional care and support mainly IYCF in HIV/AIDS context Gender, Environment and HIV/AIDS were considered in all the projects Gender – nutrition projects with gender-sensitive, participatory approach at all stages of the project cycle and that take into consideration the differing needs, priorities and capacities of both the female and male population are considered. Environment – actions to mitigate impact on environment were considered in all the projects which includes use of fuel efficient stoves, promotion of small family vegetable garden (grey water, key hole gardens, composting) and plant trees and Integrated solid waste management HIV/AIDS - projects to HIV/AIDS awareness creation and particular organizations working in HIV/AIDS demanded to create the proper linkage