Djibouti + 4 more

UNICEF Djibouti Humanitarian Situation Report, December 2017



• 3,811 of children under the age of 5 suffering from SAM were treated, the equivalent of 67% of the planned target.

• 1,546 additional people have access to adequate sanitation, the equivalent of 45% of its annual target.

• 4,000 cases of suspected Acute Watery Diarrhea treated with Oral Rehydration Salts

Situation Overview & Humanitarian Needs

Djibouti is a small multi-ethnic nation of some 965,600 inhabitants and approximately 27,771 refugees (representing 3.3% of the total population). One of the main drivers of humanitarian needs in Djibouti is the chronic drought which affects almost 200,000 people in 2017 including 20,000 children under five compare to 130,000 people affected by 2016. The impact of drought is aggravated by additional pressures on basic social services by asylum seekers (from Somalia, Eritrea,Ethiopia and recently Yemen) and migrants mostly from Ethiopia, Somalia and transiting through Djibouti to the Gulf Countries via Yemen. The prolonged drought contributes to high prevalence of acute malnutrition which also can maintain diarrheal diseases and others infectious diseases.

All refugees, migrants and host communities have very limited access to any form of livelihoods. As per the 2016 Integrated Food Security Phase Classification (IPC) report, some 200,000 people in the country mostly in rural areas were in urgent need of food aid. Furthermore, 27,771 refugees rely on external food assistance. Global acute malnutrition rates are still high at 17.8%, requiring critical lifesaving interventions. In addition, stunting is still at worrying levels across the country (29.7%) and exceeds the critical threshold of WHO (40%) in three regions (Obock: 45,9%; Dikhil: 44,2% and Tadjourah: 40,8%). Wasting levels in the camps are also a concern specifically in Markazi refugee camp where it reaches 17.6% while wasting rate are below 15% (WHO emergency threshold) in the Ali-Addeh and Holl-Holl refugee camp respectively 5.6% and 11.9%. In addition, access to basic potable drinking water is limited as it stands at 65% in rural area.