1. Situation nutritionnelle dans la région
Groupe Régional Sécurité Alimentaire et Nutrition
07 avril 2016
Situation nutritionnelle dans la région

2. Prise en charge de la Malnutrition Aigue Sévère Résultats finaux Sahel 2015
OTP & IPF
2015
Nber HC with SAM treatment to date
Estimated SAM burden (harmonized methods)
Targeted SAM admissions (annual target caseload)
TOTAL SAM ADMISSIONS to date
% target to date
Burkina Faso
1,658
149,000
119,000
119,979
100.8%
Cameroon
675
77,627
67,380
66,231
98.3%
Chad
493
154,400
156,200
101.2%
Gambia 19
10,217
5,620
6,790
120.8%
Mauritania
557
33,757
28,694
19,869
69.2%
Mali
1,307
181,000
136,000
150,923
111.0%
Nigeria (11 states)
723
461,236
345,927
397,221
114.8%
Niger
922
368,114
357,463
97.1%
Senegal
1,379
68,647
54,918
39,147
71.3%
TOTAL
8408
1,503,998
1,280,053
1,313,823
102.6%
Estimation du « burden » MAS ?
Garenne et al. 2009; Isanaka et al. 2010; nouvelles publications 2016 ?
Nécessité d’ études spécifiques par pays / zones

3. Prise en charge de la MAS Tendances des admissions au Sahel (2010 – 2015)

4. WEST AND CENTRAL AFRICA REGION
Prise en charge de la MAS Afrique de l’Ouest et du Centre (20 pays)
NEW SAM ADMISSIONS
WEST AND CENTRAL AFRICA REGION
Sahel
Non-Sahel
2010
504,265
479,083
25,182
2011
797,010
594,713
202,297
2012
1,195,082
914,133
280,949
2013
1,396,335
1,112,869
283,466
2014
1,530,047
1,187,302
342,745
2015
1,770,297
1,313,823
456,474

5. Malnutrition aigue Severe - 2016
COUNTRIES
Estimated Burden of SAM in 2016 (children 6-59m)
Nutrition Cluster Targeted Caseload (children 6-59m)
BURKINA FASO
152,127
121,702
CAMEROON
71,433
64,255
CHAD
325,154
176,889
GAMBIA
10,437
6,251
MALI
179,929
134,947
MAURITANIA
27,123
21,376
NIGER
441,118
400,794
NIGERIA
612,809
480,377
SENEGAL
86,026
68,821
TOTAL SAHEL
1,906,156
1,475,411
Benin
44,300
6,645
CAR
38,999
29,249
Congo
21,777
6,533
Cote d'Ivoire na
DRC
2,469,243
300,000
Ghana
89,619
44,809
Guinea
81,296
44,624
Guinea Bissau
Liberia
39,884
21,274
Sierra Leone
30,529
24,424
Togo
28,904
11,562
TOTAL NON SAHEL
2,844,551
489,121
GRAND TOTAL
4,750,707
1,964,532

6. Programmatic Coverage
Prise en charge MAS – Q1 2016
SAHEL IMAM Follow Up
Last Update
6-Apr-16
COUNTRY
IPF # new admissions
OTP # new admissions
SAM NEW ADMISSIONS
ESTIMATED BURDEN MAS
Treatment Coverage
TARGETED CSL MAS
Programmatic Coverage
Burkina Faso
840
10,684
11,524
152,127 8%
121,072
10%
Cameroon -
71,433 0%
64,255
CAR
393
1,899
2,292
38,999 6%
29,250
Chad
128
7,000
7,128
325,154 2%
176,889 4%
Gambia
187
459
646
10,437
6,251
Mali
2,224
13,274
15,498
179,929 9%
134,947
11%
Mauritania 38
1,720
1,758
27,679
21,723
Niger
3,457
32,962
36,419
441,118
400,794
Nigeria
19,119
612,809 3%
480,377
Senegal
86,026
68,821
TOTAL
7,267
87,117
94,384
1,945,711 5%
1,504,379

7. Focus Nigeria +
Cameroon: (Nutrition Survey, October 2015, validated results – final report on finalization)
Worrying increase of GAM rate in Far North region (affected by Nigeria crisis). Increase in GAM rate in Adamaoua to be monitored even if below emergency threshold. Far north surpassing Emergency threshold for SAM

8. Focus Nigeria +
Chad: (National Nutrition survey Oct. – Nov – Preliminary results)
Clear emergency situation in all Eastern, Western and Northern Chad – Border with Soudan and regions around Lake Chad. Serious degradation since last year and last survey.
7 regions out of 20 surpassing emergency threshold for GAM and 12 regions out of 20 surpassing emergency threshold for SAM.

9. Prevalence of GAM in Children 6-59 months by Zone
Focus Nigeria
Prevalence of GAM in Children 6-59 months by Zone
- Moderate Acute Malnutrition (WHZ <-2 & >=-3, no oedema)
- Severe Acute Malnutrition (WHZ<-3 and/or oedema)

10. The proxy prevalence of GAM has decreased in most of the IDP camps in 2016 compared to last year similar time, however ,there is an increase in the prevalence in 3 IDP camps as well.
The drop in the proxy prevalence of GAM in GGC, Dalori and Bakasi is extremely high and this needs to be interpreted with caution.

11. The proxy SAM prevalence in all camps drops compared to similar period last year, except in Snda Kyarimi IDP camp where it remains similar. The drop in prevalence of SAM in Farm center, Dalori, GGC & Bakasi is extremely high and it needs to be interpreted with caution.

12. Admission by Year & LGA, Borno State
In 2014 the CMAM program was operational in 75 health facilities
In 2015 the program was scaled up to 5 new LGAs and a total of 114 HF, however, due to insecurity the program was closed in 5 LGAs and we lost 29 sites
In 2016 the program is continued in 14 LGAs while the 6 LGAs remains closed. There is a plan to expand the program in the state by April 2016.

13. Merci de votre attention
©UNICEF/CAR/2015/LeDu