Somalia: Health Cluster Monthly Bulletin, September 2017

Situation Report
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  • Since the beginning of 2017, more than 2.36 million Somalis have received primary and/or basic secondary health care services including 282,000 individuals in September

  • There have been no reported AWD deaths this month. The 650 AWD cases recorded in the month of September has is part of a sustained decline in the number of cases of cholera reported from across Somalia. In total. 77,783 suspected cases of cholera have been reported since the beginning of 2017 . Due to the reduction in new cases, the focus is currently on cholera preparedness in advance of the forthcoming October rains.

  • Over 1469 suspected measles cases were reported in September .The numbers of cases of measles remain at epidemic levels with more than 18,000 cases so far recorded from January to end of September. Although there has been a decline in recent months, the number of cases is 4 times as those reported in 2015 and 2016. A nationwide campaign to vaccinate all 4.2 million children in the country between the ages of 6 months and 10 years will begin in November/December 2017.

  • Across Somalia, health services are being delivered out of more than 800 primary health care facilities, in addition to nutrition and cholera treatment units and centres

Summary of Humanitarian Situation

Somalia is in its second year of widespread drought. Conditions in 2017 have continued to deteriorate following poor and below normal Gu rains. Overall 6.2 million people are now in need of life-saving and livelihoods support. 2017 has seen two major communicable disease outbreaks take place across Somalia – measles and cholera. For the period through to the end of September, more than 77,783 cases of cholera/AWD and 18,000 cases of measles have been reported. The drought has affected a population with pre-existing poor health status and in a country where the health system is largely challenged.
Furthermore prior to the onset of the current drought, , 42% of children under the age of 5 years were stunted whilst 13.2% were wasted. The under 5 mortality rate of 137/1000 as well as maternal mortality ratio of 732/100,000 live births are the highest in the region.
The Health Cluster is coordinating a humanitarian health response which involves more than 60 partners. The work of partners includes the strengthening of system-wide capacities to ensure an effective and predictable health response to the main causes of avoidable death, illness and disability.