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

2. 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

4. 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.

5. Geographic areas - Needs Based Priorities

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

7. 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

8. 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

9. 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

10. 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