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Food Security and Nutrition Analysis Unit Somalia

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Post Deyr 10/11 Food Security and Nutrition Analysis Unit Somalia Information for Better Livelihoods January 24th 2011 Integrated Nutrition Situation Analysis – PowerPoint PPT presentation

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Title: Food Security and Nutrition Analysis Unit Somalia


1
Food Security and Nutrition Analysis Unit Somalia
Post Deyr 10/11
Information for Better Livelihoods
January 24th 2011
Integrated Nutrition Situation Analysis Gedo
Region
2
Main Livelihood Groups
  • Livelihood Groups Main Sources of Food and
    Income
  • 2 Pastoral Livelihoods
  • Southern Inland- keep camel, sheep goat
  • Dawa keep cattle, camel shoat
  • Primary sources of income of poor sale of
    livestock livestock products
  • Primary sources of food of poor purchase and own
    production
  • Primary livelihood assets of poor camel, cattle
    and sheep/goat
  • 2 Agro-pastoral Livelihoods (Southern
    agro-pastoral and Bay agro-pastoral high
    potential)
  • Southern agro-pastoral are more pastoral than
    agriculturalists. Main sources of income sale of
    livestock livestock products, self-employment
    (fodder and bush products sales) main sources
    of food purchase and own production
  • Bay bakool agro-pastoral are more
    agriculturalists than pastoralists. Main sources
    of income sale of crops, livestock products and
    labour main sources of food own crop production
    and purchases.
  • Riverine Livelihood (Juba riverine pump
    irrigation) are agriculturalists. Main production
    onion, tobacco, citrus and fruits main sources
    of income sale of crops and labour main source
    of food purchase and own crop production.

3
Outcome indicators Gedo Pastoral livelihood Zone, Summary of Findings Gedo Pastoral livelihood Zone, Summary of Findings Gedo Pastoral livelihood Zone, Summary of Findings
Outcome indicators Deyr09/10, N595 Gu10, N196 Deyr10/11, N730
Child Nutrition status
GAM (WHZlt-2 or oedema) gt20 (pr90) gt16.3 (pr90) 26.4 (22.2-31.1)
Mean weight-for-height Z (WHZ) NA -1.071.17 -1.181.14
SAM (WHZlt-3 or oedema) 3.5 (2.2-5.5) gt3.7 (Pro.90) 4.4 (3.0-6.3)
Oedema 0 0.5 0
MUAC (lt12.5 cm or oedema) 11.4 (8.314.6) 10.2(5.4- 14.9) 10.8(7.3- 6.3)
MUAC (lt11.5 cm or oedema) 1.8(0.6-3.6) 2.0(0.0- 4.0) 1.6(0.9- 3.0)
HIS Nutrition Trends High levels (gt30) and decreasing trends (Jul-Dec09) High (gt30) and fluctuating trends (Jan-Jun10) High (gt30) and increasing trends (Sept-Dec.10
TFPs/OTPPs Admission trends High levels and increasing High levels and fluctuating High levels and increasing admission trends in the region
Crude death Rate/10,000/day (90days) 0.5 (0.29-1.01) NA 0.44 (0.23-0.83)
Under 5 death Rate/10,000/day (90days) 1.34 (0.60-2.98) NA 1.27 (0.53-3.04)
OVERALL NUTRITION SITUATION Likely Very Critical Critical Very Critical
Child Morbidity, Immunization, IYCF
Disease Outbreaks Morbidity based on 2wk recall Outbreak None Morbidity 45.9 Outbreak- suspected measles reported. Morbidity-51.5 RDT1.4 No out breaks- suspected measles reported 412 AWD cases reported in Nov.10 Morbidity40.8
Immunization status/Vit. A Measles 70.6 Vit. A 84.0 Measles 75.0 Vit. A 77.9 Measles 88.4 ,Vit A 86.0
Children eating from lt4 fdgps N/A 95.4 95.8
Children meeting min. feeding freq. N/A 7 27.9 23.4
Public Health Indicators Gender N501 N99 N390
Households (HH) accessing safe water 20.7 28.3 10.3
HH accessing sanitation facilities 48.7 12.1 17.7
HH accessing health facilities 37.1 NA N/A
Gender
Relation between GAM child sex Relation between GAM sex of hh head Insignificant Insignificant Insignificant Insignificant Insignificant Insignificant
Food Security Phase AFLC/BFI AFLC/BFI AFLC/BFI
Proportion of hh consuming lt4 fd gps N/A 49.4 31.0
Overall Risk to Deterioration POTENTIAL TO IMPROVE STABLE UNSTABLE
4
Reduced milk access
Weakened livestock body condition and low milk
production leave women and children with reduced
milk access
5
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6
Outcome indicators Gedo Riverine Livelihood Zone, Summary of Findings Gedo Riverine Livelihood Zone, Summary of Findings Gedo Riverine Livelihood Zone, Summary of Findings
Outcome indicators Deyr09/10, N196 GU10 N206 Deyr10/11 N617
Child Nutrition status
GAM (WHZlt-2 or oedema) gt16.5 (Pr.90), gt15.9 (pr90) 26.7 (21.5-32.8)
Mean weight-for-height Z (WHZ) -1.131.07 -1.201.21
SAM (WHZlt-3 or oedema) 4.2 (Pr.90) gt2.4 (Pro90) 6.0(4.1-8.6)
Oedema 0.1 0 0.3
MUAC (lt12.5 cm or oedema) 20.4 (13.1-26.7) 20.3 18.2(12.9.-23.5)
MUAC (lt11.5 cm or oedema) 6.6(3.0-10.3) 2.1(0.1-4.2) 2.4(0.7-4.1)
HIS Nutrition Trends High levels and decreasing trend High (gt15) decreasing trend (Jan-June10) High (gt20) and increasing trends
TFPs/SFPs Admission trends High and decreasing admission trends Low fluctuating admission trend at OTP High levels and increasing in the region
Crude death Rate/10,000/day (90days) N/A NA 0.22 (0.11-0.46)
Under 5 death Rate/10,000/day (90days) N/A NA 1.69 (0.78-3.61)
OVERALL NUTRITION SITUATION Critical Critical Very Critical
Child Morbidity, Immunization, IYCF
Disease Oubreaks Morbidity based on 2wk recall Outbreak -None Morbidity 41.8 No outbreak Morbidity 32.8 RDT1.4 (N1401) No Outbreak Suspected measles reported Morbidity39.8 412 AWD cases reported in Nov.10
Immunization status/Vit. A Vitamin A 82.8, Measles- 85.7 Measles 86.0 Vit. A 87.1 Measles 91.8 Vit. A 90.7
Children eating from lt4 fdgps N/A 73.1 N/A
Children meeting min. feeding freq. N/A 46.2 N/A
Public Health Indicators Gender N90 N86 N329
Households (HH) accessing safe water 30.0 20.7 0
HH accessing sanitation facilities 42.2 29.9 14.4
HH accessing health facilities 55.3 NA N/A
Relation between GAM child sex Relation between GAM sex of hh head Insignificant Insignificant Insignificant Insignificant Insignificant Insignificant
Food Security Phase Proportion of hh consuming lt4 fd gps AFLC/HE N/A BFI/AFLC 31 AFLC/BFI 35.1
Overall Risk to Deterioration POTENTIAL TO DETERIORATE STABLE UNSTABLE
7
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8
Displacement increases nutritional vulnerability
9
Outcome indicators Gedo AgroPastoral, Summary of Findings Gedo AgroPastoral, Summary of Findings Gedo AgroPastoral, Summary of Findings
Outcome indicators Deyr09/10, N198 Gu10, N198 Deyr10/11, N629
Child Nutrition status
GAM (WHZlt-2 or oedema) gt18.2 (pr.90), gt21.7(pr90) 25.3(21.5-29.5)
Mean weight-for-height Z (WHZ) -1.221.15 -1.141.35
SAM (WHZlt-3 or oedema) gt2.6 (pr.91) gt5.6 6.5 (4.6-9.2)
Oedema 0 1.0 0
MUAC (lt12.5 cm or oedema) 18.2 (12.5-23.9) 19.2(13.7-24.7) 16.1( 11.9-21.3)
MUAC (lt11.5 cm or oedema) 4.0 (1.2-7.0) 4.0 (0.6-7.5) 1.6 (0.9-2.9)
HIS Nutrition Trends High levels and stable (Jul-Dec09) High (gt15) fluctuating trend (Jan-June10 ) High (gt20) and increasing trends (Sept.- Dec.10)
TFPs/SFPs Admission trends High and stable ( July-Dec09) High fluctuating admission trend at OTP (Jan-June10 ) High levels and increasing in the region
Crude death Rate/10,000/day (90days) NA NA 0.34 (0.160.75)
Under 5 death Rate/10,000/day (90days) NA NA 0.85 (0.362.02)
OVERALL NUTRITION SITUATION Critical Very Critical Very Critical
Child Morbidity, Immunization, IYCF
Disease Oubreaks Morbidity based on 2wk recall Outbreak None Morbidity 27.3 No outbreak Morbidity 25.3 RDT1.4 Outbreak suspected measles reported 412 AWD cases reported in Nov.10 (1 death) Morbidity 40.5
Immunization status/Vit. A Vitamin A 58.1 Measles- 64.6 Measles 74.2 Vit. A 76.3 Measles88.4 ,Vit A86.2
Children eating from lt4 fdgps N/A 81.2 70.6
Children meeting min. feeding freq. N/A 40 21.3
Public Health Indicators Gender N97 N98 N341
Households (HH) accessing safe water 3.1 20.7 6.7
HH accessing sanitation facilities 19.6 26.8 47.7
HH accessing health facilities 12.9 NA N/A
Gender Relation between GAM child sex Relation btn GAM sex of hh head Insignificant Insignificant Insignificant Insignificant Insignificant Insignificant
Food Security Phase Proportion of hh consuming lt4 fd gps AFLC/HE N/A BFI/AFLC NA AFLC/HE 16.5 (5.1-27.8)
Overall Risk to Deterioration STABLE POTENTIAL TO IMPROVE UNSTABLE
10
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11
Driving factors
  • Mitigation factors
  • Rehabilitation of severely malnourished children
    through the OTP where accessible
  • Humanitarian interventions health provided
    where accessible
  • Improved immunization status due to CHD and
    polio campaign in the region
  • Sale of fodder among riverine communities
    providing households with income
  • Aggravating factors
  • Impact of the failed Deyr10/11 rains affecting
    crop and livestock production, increased cereal
    prices, subsequently limited milk access and poor
    diet quality
  • Poor dietary diversity where third of population
    consume three or fewer food groups, particularly
    among pastoral and riverine populations
  • Poor access to sanitation facilities and clean
    water in all livelihoods, exposing the population
    to water borne diseases
  • Limited access to health facilities among the
    rural people
  • High morbidity levels and poor health seeking
    behaviors including AWD and suspected measles
  • Poor infant and young child feeding practices in
    all livelihoods

12
Nutrition Situation Estimates - Gedo Regional
Maps
Nutrition Situation Estimates, January 2011
Nutrition Situation Estimates, August 2010
13
  • The End
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