Transcript Slide 1

Post Deyr ’10/11
Food Security and Nutrition
Analysis Unit Somalia
Information for Better Livelihoods
January 24th 2011
Integrated Nutrition Situation Analysis
Hiran
Lower Shabelle
Middle Shabelle
Banadir
Swiss Agency for
Development and
Cooperation SDC
EUROPEAN COMMISSION
Map: SE Livelihood Zones
Middle Shabelle Agropastoral Livelihood Zone, Summary of Findings
Outcome indicators
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
o
o
o
o
o
o
SAM (WHZ<-3 or oedema)
Oedema
MUAC (<12.5 cm or oedema)
MUAC (<11.5 cm or oedema)
Stunting (HAZ<-2)
HIS Nutrition Trends
o
TFPs/SFPs Admission trends
Crude death Rate/10,000/day (90days)
Under 5 death Rate/10,000/day
(90days)
OVERALL NUTRITION SITUATION
Deyr’09/10 (N=649)
Gu’10 (N=212)
Deyr ’10/11 (N=1650)
12.5(9.8-15.2)
>6.2% (Pr=0.9) but Adale 16.8%
3.5 (2.2-4.9)
0.5 (0.0-1.0)
8.5 (6.5-10.5)
> 1.7% (Pr=0.9); but Adale 2.4%
0.5%
7.1 (3.0 -11.2)
19.9(16.3-23.5)
Low (<10) & stable trend (Jul-Dec’09)
18.9 (12.1-25.6)
Low (<10) & stable trend (JanJun’10); lower than 09 trends
N/A
0.93 (0.62-1.38)
1.05 (0.47-2.33)
N/A
N/A
N/A
Serious
Alert but Critical for Adale
** deterioration
No outbreak
Morbidity – 43.3%
No outbreak
Morbidity – 33.7%
Outbreak –AWD, measles and
whooping cough in all the
livelihood
0.2
> 15% but poor quality data - R3)
> 3% but poor quality data - R3
High (>20%) & increasing trend
(July-Dec10); higher than 09
trends
Child Morbidity, Immunization, IYCF
o
o
Disease Oubreaks:
Morbidity based on 2wk recall
o
o
o
Immunization status/Vit. A
Measles: 38.2; Vit. A: 40.7
Children eating from <4 fdgps
Children meeting min. feeding freq.
Measles: 44.3; Vit. A: 40.7
Public Health Indicators; Gender
N=478
o
Households (HH) accessing safe 34.2
water
o
HH accessing sanitation facilities
26.0
N=116
32.8
o
o
o
Insignificant
Insignificant
HH accessing health facilities
47.7
Relation between GAM & child sex Insignificant
Relation between GAM & sex of hh Insignificant
head
Food Security Phase
Proportion of hh consuming <4 fd gps
Overall Risk to Deterioration
30.0
HE/AFLC
AFLC/BFI
HE/AFLC
POTENTIAL TO IMPROVE
STABLE
POTENTIAL TO DETERIORATE
HIS Malnutrition Trends in Shabelle Agropastoral MCHs 2009-2010
(Data Source: COSV/MSF-S)
Proportion of acutely malnourished children
50.0
45.0
40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0
Jan
Feb
Mar
Apr
May
2009
2 per. Mov. Avg. (2009)
Jun
Jul
Aug
Sep
Oct
2010
2 per. Mov. Avg. (2010)
Nov
Dec
Middle Shabelle Riverine Livelihood Zone, Summary of Findings
Outcome indicators
Deyr’09/10 (N=640)
Gu’10 (N=222)
Deyr ’10/11 (N=1650)
Child Nutrition status
o
o
o
GAM (WHZ<-2 or oedema)
SAM (WHZ<-3 or oedema)
Oedema
11.6 (7.7-15.4)
4.2 (2.7-5.8)
0.9 (0.0-1.9)
>8.2% (Pr=0.9)
> 0.6% (Pr=0.9)
0.5%
0.55.50.5
o
MUAC (<12.5 cm or oedema)
11.7 (8.3-15.1)
8.6 (4.5 -12.6)
> 15% (but poor quality data - R3
o
MUAC (<11.5 cm or oedema
o
Stunting (HAZ<-2)
19.9(16.3-23.5)
17.6 (11.7-25.5)
o
HIS Nutrition Trends
High (>15) but stable trend (JulDec’09)
N/A
0.61 (0.36-1.05)
0.79 (0.38-1.67)
Serious
High (>20%) & stable trend (JanJun’10); higher than 09 trends
N/A
N/A
N/A
Alert
o
TFPs/SFPs Admission trends
Crude death Rate/10,000/day (90days)
Under 5 death Rate/10,000/day (90days)
OVERALL NUTRITION SITUATION
Child Morbidity, Immunization, IYCF
> 3% (but poor quality data - R3
o
o
Disease Oubreaks:
Morbidity based on 2wk recall
No outbreak
Morbidity – 42.3%
Outbreak- AWD
Morbidity – 43.7%
o
o
Immunization status/Vit. A
Children eating from <4 fdgps
Measles: 54.7; Vit. A: 49.2
Measles: 57.2; Vit. A: 51.8
29.3
o
Children meeting min. feeding freq.
High (>15%) & stable trend JulyDec’10); consistent with 09 trends
** deterioration
Outbreak –AWD, measles and
whooping cough in all the
livelihoods
32.9
Public Health Indicators; Gender
N=434
N=120
o
Households (HH) accessing safe water
51.6
25.0
o
HH accessing sanitation facilities
31.7
70.0
o
o
o
HH accessing health facilities
Relation between GAM & child sex
Relation between GAM & sex of hh head
56.9
Insignificant
Insignificant
Insignificant
Insignificant
AFLC
CFI
HE/AFLC
POTENTIAL TO IMPROVE
STABLE
POTENTIAL TO DETERIORATE
Food Security Phase
Proportion of hh consuming <4 fd gps
Overall Risk to Deterioration
HIS Malnutrition Trends in Shabelle Riverine MCHs 2009-2010
(Data Source: COSV/MSF-S)
50.0
Proportion of acutely malnourished children
45.0
40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0
Jan
Feb
Mar
2009
Apr
2010
May
Jun
Jul
2 per. Mov. Avg. (2009)
Aug
Sep
Oct
2 per. Mov. Avg. (2010)
Nov
Dec
Afgoye IDPs, Summary of Findings
Outcome indicators
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
o
Mean WHZ
o
SAM (WHZ<-3 or oedema)
o
Oedema
o
MUAC (<12.5 cm or oedema)
o
Stunting (HAZ<-2)
o
HIS Nutrition Trends
Deyr’09/10 (N=734)
Gu’10 (N=639)
Deyr’10/11 (N=682)
15.1 (11.4 – 19.8)
-0.37
1.7 (1.0 – 3.0)
0.0%
7.2 (5.0 -9.4)
14.8 (104-20.7)
N/A
21.6 (18.2 -25.3)
-1.08 (±1.12)
3.2 (2.2 -4.6)
0.1
16.9 (12.4 _22.5)
11.4 (8.7 – 14.9)
N/A
N/A
0.99 (0.71 – 1.37)
1.40 (0.78 – 2.51)
Critical
N/A
0.62 (0.26 -1.46)
1.44 (1.03 -2.0)
Very Critical
No outbreak
Morbidity – 47.4%
Measles: 69.8; Vit. A: 70.8
No OutbreakMorbidity – 34.6%
Measles: 61.7; Vit A: 59.2
Outbreak of AWD and malaria
Morbidity – 43.8%
Measles: 75.5 Vit A: 73.3
N=403
98.3
15.5
36.6
N=383
83.2
86.2
32.8
N=397
96.0
o
HH accessing sanitation facilities
o
HH accessing health facilities
Women Nutrition Status
o
Proportion with MUAC<18.5 cm (non
pregnant and non lactating)
o
Proportion with MUAC<23.0 cm (pregnant +
lactating)
Gender: Relation between GAM & child sex
Relation between GAM & sex of hh head
99.0
48.8
99.7
-
98.7
-
Insignificant
Insignificant
Insignificant
Insignificant
Insignificant
Insignificant
Food Security Phase
Proportion of hh consuming <4 fd gps
OVERALL RISK TO DETERIORATION
HE
AFLC
10.1
UNCERTAIN
UNCERTAIN
o
TFPs/SFPs Admission trends
Crude death Rate/10,000/day (90days)
Under 5 death Rate/10,000/day (90days)
OVERALL NUTRITION SITUATION
Child Morbidity, Immunization, IYCF
o
Disease Oubreaks:
o
Morbidity based on 2wk recall
o
Immunization status/Vit. A
o
Children eating from <4 fdgps
o
Children meeting min. feeding freq.
Public Health Indicators; Gender
o
Households (HH) accessing safe water
15.9 (11.7-20.2)
5.5 (2.7-8.2)
0.1 (0.0-0.4)
11.2 (8.0-14.3)
27.5(21.6-33.4)
High (>10) & stable(JulDec’09)
N/A
1.27 (0.79-2.04)
2.32 (1.32-4.06)
Critical
0.7 (N=135)
5.1 (N=253)
STABLE
Lower Shabelle Agropastoral Livelihood Zone, Summary of Findings
Outcome indicators
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
o
Mean WHZ
o
SAM (WHZ<-3 or oedema)
o
Oedema
o
MUAC (<12.5 cm or oedema)
o
o
o
MUAC (<11.5 cm or oedema
Stunting (HAZ<-2)
HIS Nutrition Trends
Deyr ‘09/10 (N=???)
Gu ’10 (N=2200)
Deyr ‘10/11 (N=2200)
0.1 (0.08 -1.02)
8.7 (8.3-9.1)
0.2
> 15% but poor quality data R3
> 3% but poor quality data - R3
Low (<10) & declining trend (JulDec’09)
High (>20%) & increasing trend
(July-Dec10); higher than 09
trends
o
TFPs/SFPs Admission trends
Crude death Rate/10,000/day (90days)
Under 5 death Rate/10,000/day (90days)
N/A
N/A
N/A
OVERALL NUTRITION SITUATION
Serious
** deterioration
Outbreak –AWD, measles and
whooping cough in all the
livelihood
Child Morbidity, Immunization, IYCF
o
o
Disease Oubreaks:
Morbidity based on 2wk recall
Outbreak – localized AWD
Morbidity –
o
Immunization status/Vit. A
Measles:
o
o
Children eating from <4 fdgps
Children meeting min. feeding freq.
Public Health Indicators; Gender
o
Households (HH) accessing safe
water
o
HH accessing sanitation facilities
o
o
o
HH accessing health 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
N=
-
Insignificant
Insignificant
BFI
BFI
STABLE
POTENTIAL TO
DETERIORATE
Outcome indicators
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
o
Mean WHZ
o
SAM (WHZ<-3 or oedema)
o
Oedema
o
MUAC (<12.5 cm or oedema)
o
MUAC (<11.5 cm or oedema
o
Stunting (HAZ<-2)
o
HIS Nutrition Trends
Lower Shabelle Riverine Livelihood Zone, Summary of Findings
Gu ‘10 (N=2200)
Deyr ‘10/11 (N=2200)
-
-
0.05 (0.04 -0.06)
9.4 (9.2-9.6)
High (>20%) & stable trend (Jan-Jun’10); higher than
09 trends
0.3
> 15% but poor quality data - R3
> 3% but poor quality data - R3
High (>15%) & stable trend JulyDec’10); consistent with 09 trends
o
TFPs/SFPs Admission trends
Crude death Rate/10,000/day (90days)
Under 5 death Rate/10,000/day (90days)
N/A
N/A
N/A
OVERALL NUTRITION SITUATION
Serious
** deterioration
Outbreak –AWD, measles and
whooping cough
Child Morbidity, Immunization, IYCF
o
o
Disease Oubreaks:
Morbidity based on 2wk recall
Outbreak –AWD, measles and whooping cough
Morbidity –
o
Immunization status/Vit. A
Measles:
Food Security Phase
Proportion of hh consuming <4 fd gps
Overall Risk to Deterioration
BFI
BFI
POTENTIAL TO IMPROVE
POTENTIAL TO DETERIORATE
Hiran Pastoral Livelihood Zone, Summary of Findings
Outcome indicators
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
o
SAM (WHZ<-3 or oedema)
o
Oedema
o
MUAC (<12.5 cm or oedema)
o
MUAC (<11.5 cm or Oedema)
o
Stunting (HAZ<-2)
o
HIS Nutrition Trends
o
TFPs/SFPs Admission trends
Deyr’09/10 (N=695)
21.2 (16.5-25.8)
5.3 (3.1-7.6)
0.1 (0.0-0.4)
5.1 (3.1-7.6)
Gu’10 (N=1100)
Deyr ’10/11 (N=1100)
-
-
0.0
15.4 (15.1-15.8)
3.7 (3.5 -3.9)
0
14.7
2.5
22.0(16.9-27.0)
High (>15) & stable trend (JulDec’09)
High (>10%) & stable trend (JanJun’10); lower than 09 trends
High and increasing numbers
N/A
N/A
Low(<10%) and stable due to
closure of HF’s in June’10 –
therefore reduced numbers of
children
Crude death Rate/10,000/day (90days)
Under 5 death Rate/10,000/day (90days)
0.50 (0.27-0.95)
0.82 (0.40-0.67)
High and increasing numbers in
Mahas (upto 400) in Apr-Jun’10
N/A
N/A
OVERALL NUTRITION SITUATION
Very Critical
Likely Very Critical
Likely Critical
Outbreak –whooping cough in Mahas
(30 cases with 4 deaths) and
Mataban (40 cases) in Apr-Jun’10
Morbidity –
Measles: ------- VitA: ---------
Out breaks –whooping cough in
B/burti (Nov – Dec)
Child Morbidity, Immunization, IYCF
o
o
Disease Oubreaks:
Morbidity based on 2wk recall
No outbreak
Morbidity – 51.4%
RDT – 4.9%
o
o
o
Immunization status/Vit. A
Children eating from <4 fdgps
Children meeting min. feeding freq.
Measles: 32.7; Vit. A: 31.7
Public Health Indicators; Gender
N=403
o
Households (HH) accessing safe 20.0
water
o
HH accessing sanitation facilities
18.1
o
o
o
HH accessing health facilities
47.7
Relation between GAM & child sex
Insignificant
Relation between GAM & sex of hh Insignificant
head
Food Security Phase
Proportion of hh consuming <4 fd gps
Overall Risk to Deterioration
HE/AFLC
47.5
STABLE
N=
Insignificant
Insignificant
HE/AFLC
HE/AFLC
STABLE
POTENTIAL TO
HIS Malnutrition trends in Hiran Pastoral MCHs 2009-2010
(Data Source: SRCS)
Proportion of acutely malnourished children
50.0
45.0
40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0
Jan
Feb
2009
Mar
2010
Apr
May
Jun
Jul
2 per. Mov. Avg. (2009)
Aug
Sep
Oct
Nov
2 per. Mov. Avg. (2010)
Dec
Hiran Agropastoral Livelihood Zone, Summary of Findings
Outcome indicators
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
o
SAM (WHZ<-3 or oedema)
o
Oedema
o
MUAC (<12.5 cm or oedema)
o
MUAC (<11.5 cm or Oedema)
o
Stunting (HAZ<-2)
o
HIS Nutrition Trends
Deyr’09/10 (N=795)
23.4 (19.0-27.8)
7.4 (3.9-10.9)
0.0
5.4 (2.5-8.3)
Immunization status/Vit. A
Measles: 32.7; Vit. A: 31.7
Children eating from <4 fdgps
Children meeting min. feeding freq.
Public Health Indicators; Gender
N=478
o
Households (HH) accessing safe 18.3
water
o
HH accessing sanitation facilities
30.9
o
o
o
HH accessing health facilities
Relation between GAM & child sex
Insignificant
Relation between GAM & sex of hh Insignificant
head
Food Security Phase
Proportion of hh consuming <4 fd gps
Overall Risk to Deterioration
HE/AFLC
52.6
STABLE
Deyr ’10/11 (N=1100)
-
-
0.1
16.7 (16.4-17.0)
3.2 (3.0 -3.4)
21.7(17.1-26.4)
High (>15) & increasing trend (JulDec’09)
o
TFPs/SFPs Admission trends
High and increasing numbers of
admissions
Crude death Rate/10,000/day (90days)
0.54 (0.36-0.82)
Under 5 death Rate/10,000/day (90days) 0.84 (0.32-2.17)
OVERALL NUTRITION SITUATION
Very Critical
Child Morbidity, Immunization, IYCF
o
Disease Outbreaks:
No outbreak
o
Morbidity based on 2wk recall
Morbidity – 51.4%
RDT – 4.9%
o
o
o
Gu’10 (N=1100)
0.1
17.1
2.9
High (>10%) & stable trend (JanJun’10)
High and increasing numbers in the 3
districts (upto 1800) in Apr-Jun’10
N/A
N/A
Likely Very Critical
Outbreak –whooping cough in the
three districts (604 cases) in AprJun’10
Morbidity –
Measles: ------- VitA: ---------
High (>10%) & stable trend (July
-Dece’10)
N/A
N/A
Likely Very Critical
Outbreak –whooping cough in
the three districts in Nov Dec ‘10
N=
-
Insignificant
Insignificant
HE/AFLC
HE/AFLC
STABLE
POTENTIAL TO
DETERIORATE
HIS Malnutrition trends in Hiran Agropastoral MCHs 2009-2010
(Data Source: SRCS/IMC)
Proportion of acutely malnourished children
50.0
45.0
40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0
Jan
Feb
2009
Mar
2010
Apr
May
Jun
2 per. Mov. Avg. (2009)
Jul
Aug
Sep
Oct
2 per. Mov. Avg. (2010)
Nov
Dec
Hiran Riverine Livelihood Zone, Summary of Findings
Outcome indicators
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
o
SAM (WHZ<-3 or oedema)
o
Oedema
o
MUAC (<12.5 cm or oedema)
o
MUAC (<11.5 cm or Oedema)
o
Stunting (HAZ<-2)
o
HIS Nutrition Trends
o
TFPs/SFPs Admission trends
Crude death Rate/10,000/day (90days)
Under 5 death Rate/10,000/day
(90days)
OVERALL NUTRITION SITUATION
Deyr’09/10 (N=197)
>18.8 (pr =0.90)
>2.6 (pr =0.09)
0.5
10.1 (4.8-15.4
21.7(17.1-26.4)
High & stable trend (Jul-Dec’09)
Gu’10 (N=1760)
Deyr ’10/11 (N=1100)
-
-
0.4
18.5 (18.2-18.8)
4.6 (4.4-4.8)
0
17.7
3.5
High and increasing numbers of
admissions
N/A
N/A
High (>10%) but declining trends in
the last 3-4months trend (JanJun’10)
High and increasing numbers in the
3 districts (upto 1800) in Jan-Jun’10
N/A
N/A
Critical
Likely Very Critical
Likely Very Critical
No outbreak
Morbidity 60.9%
RDT –
Outbreak –whooping cough in
the B/Burti districts in Nov –Dec
‘10
Measles: 63.5; Vit. A: 63.4
Outbreak –whooping cough in the
three districts (604 cases) in AprJun’10
Morbidity –
Measles: ------- VitA: ---------
N=434
31.6
N=
-
43.5
-
High (>10%) but declining
trends in the last 3-4months
trend (July - Dece’10
N/A
N/A
Child Morbidity, Immunization, IYCF
o
o
Disease Oubreaks:
Morbidity based on 2wk recall
o
o
o
Immunization status/Vit. A
Children eating from <4 fdgps
Children meeting min. feeding
freq.
Public Health Indicators; Gender
o
Households (HH) accessing safe
water
o
HH accessing sanitation facilities
o
o
o
HH accessing health facilities
Relation between GAM & child sex Insignificant
Relation between GAM & sex of hh Insignificant
head
Food Security Phase
Proportion of hh consuming <4 fd gps
Overall Risk to Deterioration
HE/ AFLC
43.0
STABLE
Insignificant
Insignificant
HE
HE
STABLE
Potential to deteriorate
HIS Malnutrition trends in Hiran Riverine MCHs 2009-2010 (Data Source: SRCS/IMC)
Proportion of acutely malnourished children
50.0
45.0
40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0
Jan
Feb
2009
Mar
2010
Apr
May
Jun
Jul
2 per. Mov. Avg. (2009)
Aug
Sep
Oct
2 per. Mov. Avg. (2010)
Nov
Dec
Mogadishu/ Banadir Region, Summary of Findings
Outcome indicators
Deyr’09/10 (N=)
Gu’10 (N=660)
Deyr ’10/11 (N=1320)
-
-
-
Child Nutrition status
o
o
o
o
o
o
o
GAM (WHZ<-2 or oedema)
SAM (WHZ<-3 or oedema)
Oedema
MUAC (<12.5 cm or oedema)
MUAC (<11.5 cm or Oedema)
Stunting (HAZ<-2)
HIS Nutrition Trends
o
TFPs/SFPs Admission trends
Very high numbers (>20%) and stable in
at least 6 months period in three MCHs –
Medina, Harmar Janjab and Hamar
weyne (Source: HIS data, Jul –Dec’09).
-
-
High and increasing numbers of
admissions (in charge) in ACF
managed centers (Hodan and
Forlanini). Source: ACF,
Mogadishu – Nov’ 2009)
1,200 new admissions reported in
Mogadishu; high SAM (34%) and
MAM (19.5%) among the
screened children; increased
death rates among U5s
0.0
11.7 (6.7-16.6)
0.3 (0.0-0.7)
> 15% (29.2%; R3)
> 3% (12.0%; R3)
Very high (>20%) and
fluctuating trends in the last 6
months in Medina, Waberi,
Hamar weyne and hamar
Jabjab. Low levels (<5%) and
stable trends in Zam zam (JanJul’10).
High and increasing numbers
of admissions (in charge) in
ACF managed centers
(Hodan and Forlanini).
Source: Jul’ 2010)
Very high (>20%) and
fluctuating trends in the last 6
months in Medina, Waberi,
Hamar weyne and hamar
Jabjab. Low levels (<5%) and
stable trends in Zam zam
(July-Dec’10).
High and increasing numbers
of admissions (in charge) in
ACF managed centers
(Hodan and Forlanini).
Source: Jul – Dec ’ 2010)
Crude death Rate/10,000/day (90days)
Under 5 death Rate/10,000/day
(90days)
OVERALL NUTRITION SITUATION
Child Morbidity, Immunization, IYCF
o
Disease Oubreaks:
o
Morbidity based on 2wk recall
N/A
N/A
N/A
N/A
Likely Very Critical
Likely Critical
Likely Very Critical
No outbreak
No outbreak
Morbidity: 17.9% (12.9-22.9)
Out break AWD, cholera
o
o
o
Measles: ------- Vit A: ---------
Measles: 80.2%; VitA: 88.0%
Food Security Phase
Proportion of hh consuming <4 fd gps
HE/ AFLC
43.0
HE
HE
Overall Risk to Deterioration
UNCERTAIN
UNCERTAIN
UNCERTAIN
Immunization status/Vit. A
Children eating from <4 fdgps
Children meeting min. feeding
freq.
HIS Malnutrition Trends in Mogadishu MCHs 2009-2010
(Data Source: MSF-S)
50.0
40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
2009
2 per. Mov. Avg. (2009)
Banadir
2010
2 per. Mov. Avg. (2010)
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
0.0
Jan
Proportion of acutely malnourished children
45.0
HIS Malnutrition Trends in Merka MCHs 2009-2010
(Data Source: COSV)
50.0
40.0
35.0
30.0
25.0
20.0
15.0
10.0
5.0
Merka
2009
2010
2 per. Mov. Avg. (2009)
2 per. Mov. Avg. (2010)
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
0.0
Jan
Proportion of acutely malnourished children
45.0
TFC Admission Trends in Mogadishu Jan - Dec 2010
(Data Source: ACF)
1400
Number of children
1200
1000
800
600
400
200
0
Jan
Feb
Admissions
March
April
Incharge
May
June
July
2 per. Mov. Avg. (Admissions)
Aug
Sep
Oct
Nov
2 per. Mov. Avg. (Incharge)
Dec
OTP Admissions Trends in Hiran Region Jan-Dec 2010
(Data Source: SC-UK)
1200
Number of children
1000
800
600
400
200
0
Jan
Feb
March
Admissions
Apr
Incharge
May
Jun
Jul
Aug
2 per. Mov. Avg. (Admissions)
Sept
Oct
Nov
Dec
2 per. Mov. Avg. (Incharge)
Key Driving Factors
Aggravating factors
–
–
–
–
–
–
–
–
Civil Insecurity
– Shabelle and Hiran are the most affected; Mogadishu remains the epicentre.
Limited humanitarian space
- displacement associated with civil insecurity
Disease Outbreaks – AWD, cholera, malaria
Taxation
Limited access to health centres
Limited medical supply in the area
New IDPs
Outbreak of AWD, Measles and malaria in M. & L. Shabelle; and Whooping cough /AWD in Hiran
Mitigating Factors
–
–
–
Limited access to SF programs
Income from sale of fodder and some labour opportunities among the riverine
Social support
Nutrition Situation Estimates
Nutrition Situation Estimates, July 2010
Nutrition Situation Estimates, January 2011