Food Security and Nutrition Analysis Unit Somalia

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Food Security and Nutrition Analysis Unit Somalia
Post Deyr 10/11
Information for Better Livelihoods
January 24th 2011
Integrated Nutrition Situation Analysis Middle
and Lower Juba Regions
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Main Livelihood Groups Sources of Food and Income

• Livelihood Groups Main Sources of Food and
  Income
• 2 Pastoral Livelihoods
• Southeast- keep cattle sheep goat
• Southern Inland- keep camel, sheep goat
• Primary sources of income of poor sale of
  livestock livestock products
• Primary sources of food of poor purchase
• Primary livelihood asset of poor camel, cattle,
  sheep/goat

• 2 Agro-pastoral Livelihoods (Southern and Lower
  Juba Agro-pastoralists)
• Southern Agro-pastoral are more pastoral in the
  west than those in the east who are
  agriculturalists main sources of income sale
  of livestock livestock products,
  self-employment, employment, crop sales main
  source of food is purchase
• Lower Juba Agro-pastoral are more pastoralists
  than agriculturists main source of income
  sales of livestock products and wild food sales
  main source of food own production and
  purchases.
• Riverine (M. and L. Juba)
• Main source of income of poor Crop sales, wage
  labour, self-employment (collection of bush
  products)
• Main sources of food of poor Own production and
  market purchase

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Outcome indicators Middle and Lower Juba Pastoral, Summary of Findings Middle and Lower Juba Pastoral, Summary of Findings Middle and Lower Juba Pastoral, Summary of Findings
Outcome indicators Deyr09/10, N689 Gu10, N1125 Deyr10/11 N779
Child Nutrition status
GAM (WHZlt-2 or oedema) 23.5 (17.9-30.2) NA 30.7 (2 6.1-35.7)
WHZ mean NA NA 1.321.15
SAM (WHZlt-3 or oedema) gt2.5 (Pro.90) NA 7.8 (5.8-10.5)
Oedema 0.4 0.1 1.2 (0.1-2.3)
MUAC (lt12.5 cm or oedema) 12.6 (6.6-18.7) 9.0 12.7 (9.7-15.2)
MUAC (11.5 cm or oedema) NA 2.0 1.6 (0.7-3.3)
HIS Nutrition Trends High level stable trend (Jul-Dec09) Low (lt10) decreasing(Jan-Jun10) High (20) and fluctuating trend Oct-Dec10
TFPs/SFPs Admission trends High stable numbers of admission Low and stable trends at OTP (Apr-June10) )High and increasing number of admission (Oct-Dec10)
Crude death Rate/10,000/day (90days) 2.20 (1.71-2.81) NA NA
Under 5 death Rate/10,000/day (90days) 3.01 (2.19-4.14) NA NA
OVERALL NUTRITION SITUATION Very Critical Likely Serious Very Critical
Child Morbidity, Immunization, IYCF
Disease Oubreaks Morbidity based on 2wk recall Outbreak-425 AWD cases reported Dec09 Morbidity 57.7 AWD -827 cases reported in June10 NA AWD 616 cases reported in Nov10 Morbidity 21.8
Immunization status/Vit. A Measles 61.7 Vit. A 46.9 NA NA
Children eating from lt4 fdgps N/A NA NA
Children meeting min. feeding freq. N/A NA NA
Public Health Indicators Gender N395 NA NA
Households (HH) accessing safe water 5.1 NA NA
HH accessing sanitation facilities 2.8 NA NA
HH accessing health facilities N/A NA NA
Gender Relation between GAM child sex Relation between GAM sex of hh head Insignificant Insignificant NA NA
Food Security Phase BFI/AFLC BFI BFI/AFLC
Proportion of hh consuming lt4 fd gps N/A Increased milk access Decreased milk access
Overall Risk to Deterioration POTENTIAL TO IMPROVE STABLE UNSTABLE
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Outcome indicators Middle and Lower Juba Agropastoral, Summary of Findings Middle and Lower Juba Agropastoral, Summary of Findings Middle and Lower Juba Agropastoral, Summary of Findings
Outcome indicators Deyr09/10, N203 Gu10, N1167 Deyr10/11 N850
Child Nutrition status
GAM (WHZlt-2 or oedema) gt16.0 (Pro.90) NA 26.1 (21.9-30.9)
WHZ mean NA NA -1.221.12
SAM (WHZlt-3 or oedema) gt2.5 (Pro.90) NA 6.2(4.6-8.3)
Oedema 0 0.3 0.2 (0.1-0.6)
MUAC (lt12.5 cm or oedema) 17.3 (11.4-23.3) 10.6 12.8 (10.5-15.6)
MUAC (11.5 cm or oedema) NA 2.5 0.5 (0.1-1.5)
HIS Nutrition Trends High stable trend (Jul-Dec09) High (gt10) Stable trend (Jan-June10) High (gt20) and fluctuating trend (Oct-Dec10)
TFPs/SFPs Admission trends High and stable trend of admission High stable trend at OTP (Apr-May) High and stable admission trend (Oct-Dec10)
Crude death Rate/10,000/day (90days) N/A NA NA
Under 5 death Rate/10,000/day (90days) N/A NA NA
OVERALL NUTRITION SITUATION Critical Likely Critical Very Critical
Child Morbidity, Immunization, IYCF
Disease Oubreaks Morbidity based on 2wk recall Outbreak-425 AWD cases reported Dec09 Morbidity 567 AWD 827 cases in June10 Morbidity NA AWD 616 cases reported in Nov10, suspected measles cases reported Morbidity 22.6
Immunization status/Vit. A Measles 78.1 Vit. A 89.4 Measles NA Measles NA
Children eating from lt4 fdgps N/A NA NA
Children meeting min. feeding freq. N/A NA NA
Public Health Indicators Gender N101 NA NA
Households (HH) accessing safe water 16.2 NA NA
HH accessing sanitation facilities 40.0 NA NA
HH accessing health facilities N/A NA NA
Relation between GAM child sex Significant NA Insignificant
Relation between GAM sex of hh head Insignificant NA NA
Food Security Phase BFI/AFLC BFI AFLC
Proportion of hh consuming lt4 fd gps N/A Increased milk access Decreased milk access
Overall Risk to Deterioration POTENTIAL TO DETERIORATE STABLE UNSTABLE
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Outcome indicators Middle and Lower Juba Riverine, Summary of Findings Middle and Lower Juba Riverine, Summary of Findings Middle and Lower Juba Riverine, Summary of Findings
Outcome indicators Deyr09/10, N203 Gu10, N1312 Deyr10,/11 N785
Child Nutrition status
GAM (WHZlt-2 or oedema) gt12,2 (Pro.90) NA 29.7 (24.5-35.4)
WHZ mean NA NA -1.221.11
SAM (WHZlt-3 or oedema) gt4.6 (Pro.90) NA 6.4(4.6-8.8)
Oedema 1.0 0.8 2.5 (1.5-3.5)
MUAC (lt12.5 cm or oedema) 21.7 (15.1-28.2) 18.5 Kismayo IDP-15.5 21.3 (17.2-26.0) Kismayo IDPs 12.4
MUAC (lt11.5 cm or oedema) 5.5 Kismayo IDP- 3.2 3.6 Kismayo IDP 0.7
HIS Nutrition Trends High (gt15) and stable trend (Jul-Dec09) High (gt20) and fluctuating trend (Jan- June10) High (gt20) and fluctuating trend (Oct- Dec10)
TFPs/OTPs Admission trends High with increasing trend of admission High and increasing trend of admission (Jan-June10 ) High and fluctuating admission trend (Oct- Dec10)
Crude death Rate/10,000/day (90days) N/A
Under 5 death Rate/10,000/day (90days) N/A
OVERALL NUTRITION SITUATION Serious Likely Very Critical Very Critical
Child Morbidity, Immunization, IYCF
Disease Oubreaks Morbidity based on 2wk recall Outbreak-425 AWD cases reported Morbidity 57.1 AWD-827 cases /measles/Malaria Morbidity NA AWD 616 cases reported in Nov10 Suspected measles outbreak reported Morbidity 39.4
Immunization status/Vit. A Measles 80.3 Vit. A 70.4 NA NA
Children eating from lt4 fdgps N/A NA NA
Children meeting min. feeding freq. N/A NA NA
Public Health Indicators Gender N97 NA NA
Households (HH) accessing safe water 29.9 NA NA
HH accessing sanitation facilities 36.1 NA NA
HH accessing health facilities N/A NA NA
Gender Relation btn GAM child sex Relation btn GAM sex of hh head Insignificant Insignificant NA NA
Food Security Phase Proportion of hh consuming lt4 fd gps BFI N/A ALFC /HE Reduced food access due to flood and insecurity HE Reduced food access due to drought and insecurity
Overall Risk to Deterioration STABLE UNCERTAIN UNSTABLE
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Data Source WVI, SRCS, Muslim Aid
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A Malnourished Child (marasmus-kwashiokor) Juba
Pastoral LZ, Dec 2010
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Water Scarcity increases women labour and affects
child family feeding
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Driving Factors

• Aggravating factors
• Reducing food access due to impact of floods,
  drought and insecurity
• Reduced labour/income opportunity due to loss of
  farm labour and decreasing livestock prices
• Increased food prices and reduced term of trade
  (labour-maize)
• Negative impact of withdrawal of INGO providing
  health and nutrition services
• High morbidity (suspected measles, persistent
  AWD)
• Restricted immunization activity due to
  insecurity
• Poor child feeding practices
• Poor access to sanitation facilities and safe
  water
• Reduced milk access due to livestock outmigration
  and weakened body livestock condition and
  production avoidance of zakat
• Mitigating factors
• Increased charcoal burning for income (Short term
  benefits only)
• Social support from local community/Humanitarian
  (limited)
• Sale of fodder among the riverine communities for
  income

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Nutrition Situation Estimates - Juba Regional
Maps
Juba Regions Nutrition Situation Estimates,
January 2011
Juba Regions Nutrition Situation Estimates,
August 2010
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• The End