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Somalia

Somalia: Health Cluster Bulletin March 2024

Attachments

18.7M
POPULATION

6.6M
PEOPLE IN NEED

1.9M
IDPs

3.8M
PEOPLE TARGETED

122.4M US$
REQUESTED

KEY HIGHLIGHTS

  • Cholera and acute watery diarrhea persist in the country, with 6,605 cumulative cases and 72 cumulative deaths (CFR 1.1%) recorded across 28 districts as per the end March 2024.

  • Additional resources are needed to bolster the cholera response efforts, as health partners scale up response to cholera in collaboration with WASH cluster and the Federal Ministry of Health.

  • Federal ministry of health has received 1.4 million doses of oral cholera vaccines to intensify the response against the persistent cholera outbreak. These vaccines will be used to cover the population of 1 year and above in six hotspot districts: Bossaso, Qardo, Garowe, Mahaday, Buurhakaba, and Balcad.

  • Due to funding constraints, IOM will no longer be able to support seven fixed health facilities and 33 mobile clinics by the end of June 2024 across the country.

Situation Overview and Humanitarian Needs

The humanitarian situation in Somalia is complex and continues to affect millions of people through multiple displacements, climatic shocks, flash and riverine floods, and armed conflict. Despite facing funding shortages and access challenges, health cluster partners continue to address health needs within the country. In response to the cholera outbreak, health partners have intensified response activities, establishing cholera treatment centers and cholera treatment units in hotspot areas to provide case management. Additionally, health partners conduct risk communication initiatives, deploying community health workers to raise awareness in vulnerable regions. However, critical gaps persist in the response, including inadequate infrastructure at treatment centers, insufficient supplies, access hurdles, and funding deficits. As of epidemiological week 14, approximately 6,600 cases of cholera were reported resulting in 72 cumulative deaths (Case Fatality Rate 1.1%), with children under five accounting for 60 percent of the cases.

Humanitarian access remains a significant hurdle in Somalia, posing challenges for health partners striving to provide vital assistance to vulnerable communities, particularly in hard-to-reach areas. Armed groups often control or limit access to territories, depriving countless children of essential aid. This restriction can lead to delays or outright prevention of the delivery of lifesaving supplies. Despite these obstacles, humanitarian organizations are tirelessly exploring every avenue to reach those in need of critical humanitarian services.

Somalia Gu rainy season is expected to start in most part of the country in April 2024. As the end of the hot Jilal season is anticipated, there is a 50 per cent chance of an early onset (first week of April) of Gu rains in the west, southern and northern parts of Somalia including Puntland, Gedo, Lower Juba regions. According to the seasonal climate forecast issued by IGAD’s climate prediction and application centre (ICPAC) there is an approximately 60 per cent chance of above average rainfall, particularly in Bari, Nugaal, Sool, Sanaag and Awdal regions, Togdheer, and Mudug and Galgaduud regions (SWALIM, 2024).