• Djibouti is hosting approximately 26,300 refugees from Somalia, Yemen, Eritrea and Ethiopia, of which 21,100 reside in settlements. WFP provides assistance to all registered refugees and asylum seekers living in Ali Addeh, Holl Holl and Markazi camps in form of general distributions, nutrition support and a cash transfer component as part of the general distribution.
• In September 2018, WFP provided food assistance to over 58,600 people, including refugees, asylum seekers, and vulnerable local households in rural and urban areas. WFP provided food assistance to rural and urban food insecure households affected by drought in the form of general rations to meet their immediate food needs facilitating recovery from food insecurity. Nutrition interventions are also ongoing for the prevention, treatment of moderate acute malnutrition and for people living with HIV/AIDS and those on tuberculosis treatment.
• Prevention of malnutrition interventions are ongoing in the regions of Dikhil and Obock where malnutrition rates are highest − Global Acute Malnutrition (GAM) of 25 percent. The interventions are implemented, in collaboration with the Djiboutian Agency for Social Development (ADDS). In addition, WFP Djibouti is working on an action plan with the Ministry of Health to resume all health activities.
• The May 2018 Food Survey Monitoring System (FSMS) reports that more than half of the rural population are food insecure and have limited access to diversified foods. This is due to limited livelihood opportunities which would help reduce other negative coping activities, including, the sale of livestock and other assets as well as firewood and charcoal production. Based on these findings, households in rural areas remain in Crisis phase (IPC3). During the next quarter (October 2018 to January 2019), the situation is expected to improve due to seasonally higher sales of milk and livestock which will increase household incomes.