1. Executive summary
Dollo Ado district hosts Somali refugees in five refugee camps of Melkadida; Bokolmanyo, Melkadida, Kobe, Hilaweyn and Buramino. The first camp, Bokolmanyo was opened in Oct 2009 and followed Melkadida in 2010. In 2011, there was a major influx as a result of insecurity in Somalia, resulting in the establishment of Kobe, Hilaweyn, and Buramino camps in June 2011, August 2011 and November 2012 respectively. Refugees continue to arrive in small numbers since 2011. Currently, the total population is 217,494 with 21,010 under-five children as of 31 March 2018 (source: UNHCR ProGres).
A joint UNHCR, WFP, ARRA, IMC and Humedica Standardized Expanded Nutrition Survey (SENS) was carried out in the five Somali refugee’s camps in Melkadida/Dollo Ado refugee camps from 20th March to 24th April 2018, with the main objective to assess the general health and nutrition status of refugees, and formulate workable recommendations for appropriate nutritional and public health interventions.
Electronic questionnaires uploaded in the pre-installed Open Data Kit apps in smartphones were administered to heads of households and data quality checks were routinely performed at the end of each data collection day. Paper questionnaires were used for mortality data collection. Data analysis was done in ENA for SMART version of 9th July 2015 and Epi-info version 3.5.4 of 30th July 2012.
The prevalence of global acute malnutrition (GAM) in all refugee camps has remained above the UNHCR acceptable level (10.0%) while the trends are shows impressive improvements in the nutritional status over the past two years. The weighted prevalence of GAM reduced from 22.4% in 2016 to 14.1% in 2017, and 12.4% in 2018. Prevalence of severe acute malnutrition (SAM) also shows a reducing trend from 4.8% in 2016 to 2.7% in 2017, and 2.4% in 2018.
Anaemia prevalence has remained above 40% among children aged 6-59 months (prevalence of anaemia >40% indicates a high public health significance as per WHO classification). Weighted prevalence of anaemia has been and remains high; 46.6% in 2016, 44.9% in 2017 and 48.8% in 2018, which indicates increasing trend in 2018 a possibly worsening situation.