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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
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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
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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 ( ) Under 5 death Rate/10,000/day (90days) 6.57 ( ) 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
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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 ( ) 12.3 16.9 ( ) MUAC (<11.5 cm or oedema) 2.5 ( ) 3.0 5.4 ( ) 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
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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 ( ) MUAC (<11.5 cm or oedema) 2..3 3.0 4.9 ( ) 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
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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
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NE/Central Nutrition Team:
End NE/Central Nutrition Team: Tom Oguta, Khalif Nouh, Abdikarim Ducale, Mohamed M. Hassan, Zainab Farah . .
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