Jowhar Semi-Quantitative Evaluation of Access and Coverage (SQUEAC) - 22st December 2016 to 9th January 2017 - Final Report



Jowhar District is in Middle Shebelle Region, South Central Somalia and has an estimated population of 269,851 (UNDP, 2014). The area had no Internally Displaced Persons (IDPs) at the time of the assessment. Three livelihood zones in the district included pastoral, agro- pastoral and riverine with the majority of population being agro-pastoralists. Jowhar’s sources of food include both livestock and crop farming inclusive of maize, beans, rice, sorghum and sesame. According to FNAU 2016 Post Gu Report, Middle Shabelle, cereal harvest was estimated at 8 900 tonnes (5 800 tonnes of maize and 3 100 tonnes of sorghum). The report indicated SAM prevalence to be in alert phase for both Shabelle Agro pastoral (2.4%) and Shabelle Riverine (2.2%). There had been two organizations (ZamZam foundation and Intersos) offering Outpatient Therapeutic Program (OTP) services with the addition of one Stabilization Centre (SC) run by the latter Non-Governmental Organization. ZamZam foundation OTP program had no funds from beginning of 2016. Conversely, Intersos received their last funding in March 2016 although Ready to Use Therapeutic Food (RUTF) supply continued intermittently. All their mobile sites were thus closed as a result leaving only two fixed sites (Jameeco and Jowhar hospital OTP sites), of which one (Jameeco OTP site) was not operational at the time of the assessment. Targeted Supplementary Feeding Program (TSFP) sites are not available in Jowhar district hence the OTP sites manage the malnourished cases until they are out of moderate acute malnutrition as well. The assessment took place between 22nd December 2016 and 9th January 2017. Program data from both fixed OTP sites were used in the analysis of admission and discharge outcome trends. The single coverage estimate for Jowhar was 38% (32.9%-43.0%) 95% C.I which was below the sphere standard for rural program coverage (50%). The main barriers and boosters, as well as the recommendations that were realized through the assessment are summarized