WORLD VISION SOMALIA DROUGHT RESPONSE SITUATION REPORT NO.4 10 FEB - 09 MARCH 2017 RESPONSE HIGHLIGHTS 3.3 M lack access to healthcare and WASH services KEY MESSAGES 3M • Despite encouraging donor contributions, with high levels of malnutrition and getting into a situation of acute lack of the Somalia humanitarian operational school age children out of school plan is less than 20% funded (UNOCHA, food, water and healthcare contrary to FTS, 7th March 2017). Approximately their expectations. US$825 million is required to reach 5.5 • There is an urgent need to scale up million Somalis facing possible famine support for health interventions in until June 2017. the South West State (SWS) especially • More than 6.2 million people or over 50% in districts that have been hard hit by of Somalia’s population remain in crisis outbreaks of Acute Watery Diarrhoea and facing possible famine if interventions (AWD). Only few agencies have funding do not match the scale of need between to support access to health care services. now and June 2017. • The time to act is now. Action at this stage • Drought has led to increased displacement has a high chance of saving over 300,000 363,000 of people in Somalia. In February 2017 children who are acutely malnourished as alone, UNHCR estimates that up to well as millions of people facing possible 121,000 people were displaced. starvation across the whole country. children acutely malnourished • In Baidoa town, the newly displaced people arriving in town are manifesting HUMANITARIAN SITUATION OVERVIEW Puntland: • Acute shortages of food and water were reported in Karkaar region of Puntland. Field reports indicate that the current interventions to provide starving families food and water were not sufficient to meet the escalating need. Other hardest hit areas included Bander Bayla, Iskushuban and Baargal. • 30 cases of AWD were reported in several villages in Bander Bayla district. The most 71,000 affected villages included Bixin, Kulule, Qoto, Dhuudo and Dherinbare. The cases were attributed to poor sanitation following acute water shortages. Similar cases were also children severely reported in several other villages including Camp Jowle in Garowe and Baq’Baq village malnourished in Dangoroyo district. • The situation in Jariban district continues to be critical with HADMA, the state-run disaster management agency, estimating that 10-30 per cent of livestock was lost in Jariban district during the reporting period. • Up to 990 destitute pastoralist families are in urgent need of food and water assistance in Garowe, Burtinle, Godobjiran and Eyl District. These families lost all their livestock to drought. 1 Somaliland • The drought situation in the eastern regions of Somaliland is getting worse by the day. Water, food and livestock feed remain key priorities. • utbreaks of measles and pneumonia have been reported in Togdheer region. The regional Ministry of Health (MoH) team confirmed the death of one child with measles in Qorulugud village in Buuhoodle district and the admission of more than 50 people in the local health facilities for medical care. Nonetheless, shortage of medicines in the health centers in this region is posing a significant challenge and slowing down the response actions. • World Vision field staff in Odweine report a significant deterioration of the drought situation in Odweyne areas with lack of water and food emerging as top drivers of increased morbidity and increasing levels of malnutrition. • The Regional coordinator of the MoH in Odweine confirmed that cases of severe malnutrition were increasing and in some cases made worse by AWD outbreaks in villages such as Bali sheikh, Cali faarax, Goroyo ood, Xidhxidh and Bali-cimi. Severe acute malnutrition cases were reportedly high in Gatiitaley, Galooley, Qaloocato, Bali Cigaal, Haro-sheikh, Habaas-wayne, Qocondhaale, Bali Elmi, Gudubi, Cali-faarax, Dabagoroyaale, Qol-Qol and Qudhac Ku-kudle areas. South West State and Jubaland • An outbreak of AWD has been reported in Luuq district during the first week of March 2017. The areas particularly affected are Elbon, Luuq IDP settlement and Bohol Garas. Five people mostly children have been reported to have succumbed to the disease before reaching the main hospital while 34 affected people are currently admitted in Luuq District Hospital managed by Trocaire International. According to the local authorities, the major challenge in responding to the outbreak is shortage of drug supplies as the number of people affected is much higher across the district due to the continued influx of IDPs. • New AWD infections were reported in Burcadoy and Wargaduude, Elgodow and Bisigle villages during the month. This were in addition to cases reported in Burhunley where World Vision provided treatment to those affected. • At Gofgduud burey which was among the villages worst affected by AWD in Baidoa, in the period 10 - 16 February there were 64 AWD cases in admission. No deaths were reported in comparison to the week before where there were 70 cases with two deaths. • At a nutrition planning meeting held by the nutrition cluster members in Baidoa, it emerged that there are districts such as Berdale, Dinsor and Qansadhere that are among the worst affected by the drought yet there are inadequate provisions for health and nutrition care services. • World Vision and partner DMO are working closely with the SWS drought response committee to ensure timely identification of new arrivals and that high energy biscuits are distributed to these households within 24 hours of arrival in Baidoa. WHAT WORLD VISION IS DOING Health and Nutrition • 636 severely malnourished children treated by the mobile health teams in Eyl, Godobjiran and Dangorayo districts. 238 of these children were treated through the out-patient care. WV also immunized children in Dangorayo district in Puntland during the same period. • WV provided health and nutrition services to 5,814 (2,297 males and 3,517 females) through the existing Maternal Child Health (MCH) facilities and health centres. The interventions covered several villages including Bali-gubadle, Salahley, Dhibiryaale, Bali- abane, Faraweyne, Dacar-bududhuq, Arabsiyo, Gabiley, Wajaale, Kalabaydh, Lughaya, Gar-gaara, Karruure, Garbo-dadar, Geerisa, Fadhi-hun, Ali-haydh, Baki and Ceel-lahelay in Somaliland. Some of the services provided included screening of children for malnutrition, treatment of malnourished children through the MCHs, Out-Patient Programmes (OTP) and Targeted Supplementary Feeding Programmes (TSFP). • Following reports received on 10th February 2017 of AWD in Burhunley, WV provided an assortment of emergency response supplies adequate to manage 200 severe cases with AYDO, the local partner, taking the risk of transporting the supplies from Baidoa to Burhinle by road. 143 patients received treatment with 33 reported deaths. • WV working with Wajid Health Committee (WHC), a local partner in Wajid replenished the AWD response supplies leading to successful treatment of all 11 AWD cases that were reported in Wajid during the week of February 10th. All the patients were treated and successfully discharged with no reported death. • Through the nutrition program implemented in partnership with DMO, WV provided blanket supplementary feeding to 3,600 children below the age of 36 months in Towfiq, Horsed, Howalwadag Darusalam, Idale 1, Wadajir 4, Bakarweyne, Alfurqan Kormari and Awlabarwaqo in the South West State. • At Gofgduud burey which was among the villages worst hit by AWD in Baidoa, WV provided medical supplies to the local MCH to enable response to the outbreak. • WV also continued with the TSFP screening with the aim of adjusting the targeted beneficiary caseloads. Two cycles of commodities were already available in Baidoa to address the increasing caseloads while discussions with WFP were ongoing to admit as many as 7,000 children in need. The expansion will include villages and transit way-stations on the outskirts of Baidoa such as Makuda, Haween, Qahira and Gofgaduu Burey. • Working with DMO, WV distributed a monthly ration of high energy biscuits to 3,600 households in Baidoa. Distribution began during the week of 10th February to new IDP arrivals. Initial distributions were done at Awalbarwaqo where there were 48 families from Garasweyne in Huddur and at Badbadio IDP camp where there were some other 68 families from Qansadhere. These kinds of distributions are expected to go on for three months. 2 • Through an SHF funded emergency nutrition program, WVI has set up two fixed treatment sites for management of severely malnourished children at Bulojadid and Wadajir MCH, with two mobile nutrition teams. The nutrition teams visit 10 different locations each week providing OTP case management. Due to the ongoing AWD outbreaks, these teams have been equipped with essential supplies to initiate AWD case management at the four MCH OTPs located at Isha, Bayahw, Towfiq and Darusalam. WASH 1.1M Somalis are Internally Displaced • A total of 2,331,000 litres of clean water was distributed to 12,602 drought affected Persons (IDPs) people in 19 villages in Jariban district of Puntland from 8th to 1st March 2017. The beneficiaries comprised of 6,423 males and 6,179 females. • World Vision distributed a total of 207,120 P&G sachets and 283 buckets, and 18,120 pieces of bar soap to 3,564 households from 11 villages in Baki and Gabiley districts. Hygiene and sanitation campaigns at both household and community levels were also conducted to promote proper hygiene practices. • Jointly with AYDO, WV lobbied for additional WASH supplies to chlorinate wells around Burhunley area. This activity is still going on and supplies came from the regional WASH hub after a protracted consultation process. The supplies have been used for chlorination and aqua tabs and water jerrycans distributed in Burhunley. • Plans are underway to factor in water trucking and distribution of aqua tabs and water 944,000 containers as well during the high energy biscuit distributions. children under five years face acute malnutrition in 2017 Food Assistance • 9,055 people received food vouchers through the Food for Peace (FFP) project in Zeylac and Lugahaya in Somaliland.