Transcript Post Deyr ’10/11 Integrated Nutrition Situation Analysis Bay &Bakool Regions January 24

Post Deyr ’10/11
Food Security and Nutrition
Analysis Unit Somalia
Information for Better Livelihoods
January 24th 2011
Integrated Nutrition Situation Analysis
Bay &Bakool Regions
Swiss Agency for
Development and
Cooperation SDC
EUROPEAN COMMISSION
Main Livelihood Groups
Bay Region:
2 Agropastoral Livelihoods (Bay Agropastoral
High Potential and, Bay-Bakool Agropastoral
Low Potential)
 Primary sources of income of poor: selfemployment, employment, sale of livestock &
livestock products and sale of crops.
 Primary sources of food of poor: own
production and food purchase
 Primary livelihood asset of poor: cattle,
sheep/goats
Main Livelihood Zones
Bakool Region:
1. Pastoral Livelihood (Southern Inland Pastoral)
 Primary income sources of poor: sale of livestock &
livestock products
 Primary food sources of poor: food purchase
 Primary livelihood assets of poor: camel,
sheep/goat and cattle
2. Agropastoral Livelihoods (Bay-Bakool Agropastoral Low
Potential and Bakool Agropastoral)
 Bay-Bakool Agropastoral: Main sources of income:
the combination of agricultural labour, selfemployment (firewood, charcoal and lime) and sale
of livestock & livestock products. Main sources of
food: own production (crop and livestock products)
and purchase.
 Bakool Agropastoral is predominantly pastoral. Main
sources of income: livestock and livestock product
sales, self-employment (bush products) and
agricultural labour. Main sources of food: purchase
and own production.
Bay Agro-pastoral Livelihood Zone, Summary of Findings
Outcome indicators
Deyr’09/10 (N=592)
Gu’10 (N=1430)
Deyr’ 10/ 11 (N=1769)
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
21.7(15.6-27.9)
NA
NA
o
o
o
o
6.9(3.4-10.4)
0.5(0.0-1.0)
4.8(2. 5-7.1)
NA
NA
NA
15.7%
3.5%
NA
NA
18.4%
4.4%
36.8(31.7-41.8)
High levels and decreasing trend
N/A
High levels (.>30) and stable trends (JanJun’10)
High numbers with increasing trends of SFP
admission
NA
NA
NA
High levels (.> 40) and increasing trends
(July-Nov’11)
High numbers with increasing trends of
SFP admission
NA
NA
Likely to be Very critical
Likely to be Very critical
NA
NA
o
o
SAM (WHZ<-3 or oedema)
Oedema
MUAC (<12.5 cm or oedema)
Severe MUAC (<11.5 cm or
oedema)
Stunting (HAZ<-2)
HIS Nutrition Trends
o
TFPs/SFPs Admission trends
High numbers with increasing trend of
SFP admissions
Crude death Rate/10,000/day (90days) 0.57 (0.33-0.99)
Under 5 death Rate/10,000/day
0.68 (0.17-2.60
(90days)
OVERALL NUTRITION SITUATION
Very critical
Child Morbidity, Immunization, IYCF
o
o
Disease Oubreaks:
Morbidity based on 2wk recall
No outbreak with seasonal norms
Morbidity =28.2
RDT positive=2.1
No outbreak
No outbreak
o
Immunization status/Vit. A
Vitamin A=37.7
Measles 35.3
NA
9.3
NA
NA
Children eating from <4 fdgps
Children meeting min. feeding
freq.
Public Health Indicators; Gender
N=370
o
Households (HH) hosting IDPs
o
Households (HH) accessing safe 10.2
water
o
HH accessing sanitation facilities 15.0
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
o
o
NA
NA
NA
NA
BFI/AFLC
BFI
POTENTIAL TO DETERIORATE
POTENTIAL TO DETERIORATE
o
o
o
HH accessing health facilities
19.3
Relation between GAM & child Insignificant
sex
Insignificant
Relation between GAM & sex of
hh head
Food Security Phase
Proportion of hh consuming <4 fd gps
OVERALL RISK TO DETERIORATION
BFI/AFLC
X
POTENTIAL TO DETERIORATE
HIS Malnutrition trends in Bay Agropstoral MCHs 2009-2010,
Data Source: SRCS, DMO, GTZ
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
Number of New admissions, Bay SFP DMO in 2009-2010
Number of new admissions
600
500
400
300
200
100
0
Jan
Feb
2009
Mar
2010
Apr
May
Jun
July
2 per. Mov. Avg. (2009)
Aug
Sep
Oct
Nov
2 per. Mov. Avg. (2010)
Dec
OTP admissions in Bay Hospital 2009-2010
(Source:COOPI)
80
Number of new admissions
70
60
50
40
30
20
10
0
Jan
2009
2010
Feb
Mar
Apr
May
2 per. Mov. Avg. (2009)
Jun
July
Aug
Sep
2 per. Mov. Avg. (2009)
Oct
Nov
Dec
2 per. Mov. Avg. (2010)
Bakool Agropastoral Livelihood Zone, Summary of Findings
Outcome indicators
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
Deyr’09/10,
N=251
Gu’10, N=1100
Deyr’ 10/11, N=1100
21.7
4.9
NA
15.1
4,2
NA
o
o
o
o
SAM (WHZ<-3 or oedema)
Oedema
MUAC (<12.5 cm or oedema)
Severe MUAC (<11.5 cm or oedema)
13.5 % (Pr=90)
4.0 % (Pr= 0.90 )
0.2
8.1%5.7 (3.1-8.2)
NA
o
Stunting (HAZ<-2)
19.7(14.6-24.7)
NA
o
HIS Nutrition Trends
High (>20) & increasing trend (JulDec’09)
High level (>20%) and increasing trends
NA
High level (>50%) and increasing
trends
o
TFPs/SFPs Admission trends
High & increasing trend at OTP (AprMay)
NA
NA
NA
NA
NA
NA
NA
Likely to be Very Critical
Likely to be Very Critical
NA
NA
Whooping cough and measles in
Huddur Rabdure and Tieglow
37%
Crude death Rate/10,000/day (90days)
Under 5 death Rate/10,000/day (90days)
OVERALL NUTRITION SITUATION
Serious
Child Morbidity, Immunization, IYCF
o
o
Disease Oubreaks:
Morbidity based on 2wk recall
No outbreak
Morbidity – 46.3%
o
o
Immunization status/Vit. A
Children eating from <4 fdgps
Measles: 44.5; Vit. A: 40.4
X
Whooping cough outbreak in Huddur
Rabdure and Tieglow districts and measles
cases in Tieglow.
CHD conducted
NA
o
Children meeting min. feeding freq.
X
NA
Public Health Indicators; Gender
o
Households hosting IDPs
N=478
NA
N=116
NA
o
o
Households access safe water
HH accessing sanitation facilities
20.7
48.7
NA
NA
o
HH accessing health facilities
37.1
NA
o
o
Relation between GAM & child sex
Significant
Relation between GAM & sex of hh Insignificant
head
Food Security Phase
Proportion of hh consuming <4 fd gps
BFI/AFLC
9.2
NA
NA
16.7
3.6
NA
NA
NA
NA
NA
NA
NA
NA
BFI
AFLC
Number of new admissions
Number of New admissions in Bakool OTP GTZ 2010
1200
1000
800
600
400
200
0
Jan
Feb
Mar
Apr
2010
May
Jun
July
Aug
2 per. Mov. Avg. (2010)
Sep
Oct
Nov
Dec
HIS Malnutrition trends in Bakool Agro-pastoral MCHs GTZ Bakool – 20092010
70.0
60.0
50.0
40.0
30.0
20.0
10.0
0.0
Jan
Feb
2009
Mar
Apr
2010
May
Jun
Jul
Aug
2 per. Mov. Avg. (2009)
Sep
Oct
Nov
Dec
2 per. Mov. Avg. (2010)
0
No.of admission
No. in charge
Dec-10
Nov-10
Oct-10
Sep-10
Aug-10
Jul-10
Jun-10
May-10
Apr-10
Mar-10
Feb-10
Jan-10
Dec-09
Nov-09
Oct-09
Sep-09
Aug-09
Jul-09
Jun-09
May-09
Apr-09
Mar-09
Feb-09
Jan 09
Dec-08
Nov-08
Oct-08
Sep-08
Aug-08
Jul-08
Jun-08
May-08
Apr-08
Mar-08
Feb-08
Jan 08
Number
Admissions and In-charge, ACF Wajid CBTC, 2008-2010
880
800
720
640
560
480
400
320
240
160
80
Number of morbidity cases in Bakool Agro-pastoral GTZ Deyr’10/11
350
300
250
200
150
100
50
0
Jan
Feb
Mar
Malaria
Apr
May
Diarrhea
Jun
Jul
Aug
Resp- Infection
Sep
Oct
Intest Parasite
Nov
Dec
Bakool Pastoral Livelihood Zone, Summary of findings
Outcome indicators
Child Nutrition status
o
GAM (WHZ<-2 or oedema)
o
SAM (WHZ<-3 or oedema)
Deyr’09/10 (N=247)
Gu’10 (N=1100)
Deyr’ 10/11 (N= 1100)
29.2 (Pr=0.90)
NA
NA
4.7 (Pr= 0.90 )
NA
NA
o
Oedema
0.0 Acceptable
NA
NA
o
MUAC (<12.5 cm or oedema)
14.9 (35.6-46.5)
22.7
23.5
o
Severe MUAC (<11.5 cm or oedema)
NA
4.9
3.4
o
Stunting (HAZ<-2)
19.7(14.6-24.7)
NA
NA
o
HIS Nutrition Trends
High (>20) & increasing trend (Jul-Dec’09)
High( 20) and increasing trend
o
TFPs/SFPs Admission trends
High & increasing trend at OTP (Apr-May)
NA
NA
Crude death Rate/10,000/day (90days)
NA
NA
NA
Under 5 death Rate/10,000/day (90days)
NA
NA
NA
OVERALL NUTRITION SITUATION
Very Critical
Likely to be Very Critical
Likely to be Very Critical
Child Morbidity, Immunization, IYCF
o
Disease Oubreaks:
o
Morbidity based on 2wk recall
No outbreak
Morbidity – 46.3%
No outbreaks with seasonal norms
o
Immunization status/Vit. A
Measles: 44.5; Vit. A: 40.4
NA
o
Children eating from <4 fdgps
X
Poor dietary diversity
o
Children meeting min. feeding freq.
X
NA
NA
NA
Public Health Indicators; Gender
N=478
o
o
Households hosting IDPs
Households access safe water
NA
1.0
NA
NA
NA
NA
o
HH accessing sanitation facilities
13.5
NA
NA
o
HH accessing health facilities
NA
NA
o
o
Relation between GAM & child sex
insignificant
Relation between GAM & sex of hh Insignificant
head
NA
NA
NA
NA
AFLC/HE
HE
POTENTIAL TO DETERIORATE
POTENTIAL TO DETERIORATE
Food Security Phase
Proportion of hh consuming <4 fd gps
OVERALL RISK TO DETERIORATION
BFI/AFLC
9.2
POTENTIAL TO DETERIORATE
Nutrition
Key Driving Factors
Aggravating factors
• Low immunization and supplementation status
• Disease outbreak e.g. whooping cough and measles
• Lack of income opportunities for poor households
• Insecurity both Bay and Bakool especially Rabdhure and Elberde district
• Poor sanitation and clean water and sub-optimal infant feeding practices ,
• Morbidity levels: increased seasonal diseases, intestinal parasite, ARI, suspected
malaria and Diarrhoea WHO reported 64 cases of AWD in Baidoa hospital COOPI. In
October WHO reported 183 cases suspected measles 18 of them from Bay region
• SFP/OTP: the number of feeding centres reduced due to insecurity.
• Reduced humanitarian interventions in health, water, sanitation programs, income
generation activities, education and food aid programmes.
• Food insecurity due to poor Deyr rains.
Mitigating Factors
• Social support
• Income from charcoal burning in the Jubas (short term benefits)
• Access to health care service in Dinsor, Huddur and Rabdure in terms of SFP by GTZ;
and OTP from ACF
Nutrition Situation Estimates - Bay Bakool Regional Maps
Gu ‘10 Nutrition Situation
Deyr’10/11 Nutrition Situation
The End