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Somalia

BRCiS & Caafimaad Plus: Nutrition and Mortality Monitoring in IDP Populations: Report on Round 4 - February 2023 (Report issued: 07/03/2023)

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Executive Summary

This is the fourth report from the 2022/2023 Nutrition and Mortality Motioning System project. This sentinel site data collection continues to provide periodic data on the evolution of the crisis and the adequacy of the humanitarian response. While the upscaled response has contributed to avoiding famine, projected for the end of 2022, the current situation and near term outlook continue to be serious and unpredictable.

Between January 18th and February 11th, 2023, data was collected from 3,406 households in 29 IDP sites in Khada and Daynille in the Afgooye Corridor, Baidoa, Diinsor, Galkayo, and Kismayo.

The predominant household water source varied by location with public taps still the most frequent in Kahda and Galkayo, tankers in Baidoa and Daynille, and water vendors/donkey carts in Diinsor. The use of tankers has increased in both Baidoa and Dayniile, together with a decrease in the use of wells or springs in Baidoa, likely associated with the end of the Deyr rains.

Drinking water adequacy showed a decrease in all previously measured locations during Round 4. Inadequate drinking continued to be the marked in Dinsoor, where 32% of households reported drinking water was sometimes, often, or always inadequate, but there was also a concerning deterioration in the situation in Galkayo, Dayniile, and Baidoa. In Kismayo over 50% also reported problems with obtaining adequate drinking water. Defecation in the open field continued to reported by a substantial proportion of respondents in all areas although access to pit latrines had improved in all areas except Kahda.

Overall, the improving trend in nutritional status seen in round 3 continues. In all areas previously included in NMS data collection rounds the prevalence of GAM by MUAC now lies below the IPC Serious-Critical threshold of 15%. However, in both Dinsoor and Dayniile the situation remains Serious. Sites in Kismayo were included in for the first time and here the situation is Critical, with a prevalence of 17.5%. Overall, treatment coverage for MAM showed improvement while SAM treatment coverage remained similar. However, the target coverage of >90% has still not been achieved for MAM or SAM treatment in any of the sites.

There have been some improvements in health record card possession and vaccination coverage. However, only 43% of children aged 0-59 mo. possessed a health record card and measles vaccination coverage had only reached 64%. The two week period prevalence of suspected measles was similar to round 3. Improvement in vaccination coverage remains an urgent priority. Overall, mortality has continued to decrease since round 3 and both the CDR and U5DR were found to be below emergency levels.

In summary, data from round 4 indicates that IDP populations are still experiencing a serious nutrition and health crisis although conditions have, in general, continued to improve. Acute malnutrition in children remains at a serious level and is critical in Kismayo, there is a continued threat from measles and AWD infections, and gaps remain in the provision of life saving interventions including WASH, health, and nutrition.