Vision Strong communities enable to deal with the causes of suffering and respond to the needs of vulnerable people.

Mission To prevent and alleviate human suffering by working with communities, local authorities and other partners to provide basic and quality service to vulnerable people in accordance with Fundamental Principles of the Red Cross and Red Crescent Movement. Contents

Abbreviations 3 Somali Red Crescent Branches 4 Remarks from the SRCS President 5-6

SRCS Main programmes and Activities Integrated Health Care Programme (MCH/OPD)

MCH / OPD Clinics 7 Immunization 9 Nutrition 11 Safe Motherhood Services 12 Outbreaks and Health Emergencies 14 Health Education 14 Sanitation 14 HIV and AIDS 16 Female Genital Mutilation 16 Keysaney Hospital 16 Rehabilitation Services for Physically Disable People 18-26 Disaster Management - Response Activities 27-31

Restoring Family Links 31 Communication and Dissemination 32

Celebration of 150 Years of RCRC 32 Organizational Development 33-35

All-Inclusive (General Assembly) Meeting 34-35 Red Cross/ Red Crescent Movement Coordination Meetings 36 International Activities 39 Fundamental Principles 40 Annex 41-62

2 Annual Report 2013 | Somali Red Crescent Society Abbreviation

AIDS Acquired Immune Deficiency Syndrome ANC Antenatal care ARI Acute Respiratory Infections BBC British Broadcasting Corporation Berket Water reservoir BERT Branch Emergency Response Team CBHFA Community Based Health and First Aid CDWs Community Development Workers CRP Community Resilience Project DM Disaster Management EPI Expanded Programme on Immunization EU European Union FGM/C Female Genital Mutilation or Cutting FSNAU Food Security and Nutrition Assessment Unit GSW Gun Shot Wound HIV Human Immuno Deficiency Virus HADMA Humanitarian Agency for Disaster Management ICRC International Committee of the Red Cross IDP Internally Displaced People IEC Information, Education and Communication IFRC International Federation of Red Cross and Crescent Societies IHCP Integrated Health Care Programme IHL International Humanitarian Law IMAM Integrated Management of Acute Malnutrition ITNs Insecticide Treated Nets IYCF Infant and Young Child Feeding MCH Mother and Child Health NFIs Non Food Items NS National Society OD Organizational Development PMER Planning, Monitoring, Evaluation and Reporting PMTCT Prevention of Mother to Child Transmission PNC Postnatal care PNS Participating National Society RCMs Red Cross Messages RCRC Red Cross Red Crescent RFL Restoring Family Links RTI Respiratory Tract Infections TBAs Traditional Birth Attendants UNHCR United Nations High Commission for Refugees UNICEF United Nations Children’s Fund VCT Voluntary Counselling and Testing WatSan Water and Sanitation WFH Weight for Height WHO World Health Organization WFP World Food Programme WW Weapon Wounded

Annual Report 2013 | Somali Red Crescent Society 3 Somali Red Crescent Society Branches

NAME REGION Baidoa Baay Bardera Gedo Beletwein Hiran Berbera Sahel Borama Awdal Bosaso Bari Burao Togdheer Buale Middle Jubba Dusamareb Galgadud Erigavo Sanag Galkayo Mudug Garoe Nugal Hargeisa Galbeed Huddur Bakol Jowhar Middle Shabelle Kismayo Lower Jubba Lasanod Sool Merka Lower Shabelle Mogadishu Banadir

4 Annual Report 2013 | Somali Red Crescent Society Remarks from the Somali Red Crescent President

“Despite all odds and challenges in 2013, the Somali Red Crescent implemented its programmes and humanitarian assistance throughout the country in a highly complex environment, especially in the Southern regions”. Dr. Ahmed Mohamed Hassan SRCS President

Somalia vegetable seeds, agricultural machinery and tools, Somaliland date palm seedlings, support to cooperatives, livestock restocking/destocking and treatment, The Somalia Food Security and Nutrition Analysis support to veterinary clinics and pharmacies, Unit (FSNAU) April 24th bulletin shows an fishery projects, cash for work, vocational estimated 850,000 people are categorised under training and urban grants, etc. In addition, ICRC Crisis and Emergency Acute Food Insecurity (IPC has contingency resources (food and cash) for up phase 3 & 4) with high rates of acute malnutrition to 40,000 households that could be activated in affecting over 200,000 children. The latest FSNAU very short period. Early Warning Alert released on July7, identifies the main drivers of food insecurity as; Somaliland: Areas not at high risk of food insecurity, (a) Below normal April – June rains that except for people affected by conflicts, El Nino started late and ended early (most rainfall can create flash floods causing losses of livestock observation stations recorded less than and destruction of houses and infrastructure. 50% of normal rainfall). This will result SRCS is working with GRC, Norcross and CanRC in faster depletion of water sources and on resilience project supporting six communities. exacerbates water shortages especially in The current activities could be adjusted and the July – September dry season. integrate preparedness measures if needed. (b) Trader disruptions due to insecurity and Puntland: Coastal areas are at risk of floods and conflict have caused sharp cereal price other natural disasters (cyclone in November increases of 40 - 60 per cent since March 2013). and this is well above average. There are strong indications that an El Nino is (c) Shrinking humanitarian assistance and likely to develop towards the last quarter of access exacerbated by insecurity. 2014, in the context of Somalia, historically, El The July FSNAU Alert indicates the worst affected Nino has been associated with flooding and areas will be in IPC 3 (crisis) from August to flood related damages. Further deterioration in December and the areas include agro pastoral the food security situation is possible in riverine and conflict affected urban areas of Bakool, parts areas in Southern Somalia and in low lying areas of agro pastoral areas of Gedo and Middle Juba; across the country during the last quarter of 2014 agro pastoral, riverine and conflict affected urban if the El Nino projection and consequent flooding parts of Hiran and parts of Lower Shabelle region. materializes. To address food and economic insecurity, the During 2013, disease outbreaks and increased food ICRC during 2013 had a number of long and prices have further deteriorated the vulnerability medium term interventions in all affected regions of the Somali Communities. of Somalia: food and non-food items distributions The Somali Red Crescent Society witnessed together with SRCS, distribution of staple and

Annual Report 2013 | Somali Red Crescent Society 5 Remarks from the Somali Red Crescent President the shrinking of its humanitarian space in the Committee for their guidance and salute the Southern regions. In fact, it was a great challenge SRCS Staff and Volunteers for their hard work and for the Somali Red Crescent Society. A number dedication and for their humanitarian services of our MCH/Clinics were closed by Al-Shabaab to the vulnerable communities in Somalia/ during 2014. Somaliland. Scaled humanitarian assistance is required from now at least till December 2014 to mitigate the My appreciation also goes to our partners: imminent food security situation in Somalia. International Committee of the Red Cross (ICRC), International Federation of Red Cross and Red Despite all odds and challenges in 2013, the Somali Crescent Societies (IFRC), The Arab Red Crescent Red Crescent implemented its programmes and and Red Cross Organizations (ARCO), British Red humanitarian assistance throughout the country Cross, Canadian Red Cross, Danish Red Cross, in a highly complex environment, especially in the Finnish Red Cross, Icelandic Red Cross, Iranian Southern regions. Red Crescent, German Red Cross, Japanese Red The weekly RED CROSS and RED CRESCENT Cross, Norwegian Red Cross, Spanish Red Cross, Movement Coordination meeting established in Swedish Red Cross, Turkish Red Crescent, Red 2011 is still on-going, although it is now biweekly Crescent of the United Arab Emirates, Japanese The objective of the meeting remains the same. Government, UNICEF, WHO, WFP, EU and World Bank Once again, I use this opportunity to express my appreciation to members of the SRCS Executive Dr. Ahmed Mohamed Hassan SRCS President

6 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme MCH/OPD Clinics Despite the security challenges in South and Central Somalia, the integrated health care programme was successfully implemented focusing on preventive, promotive, curative and rehabilitative health services. The fifty eight health facilities and twenty three mobile clinics continued to provide comprehensive primary health care and nutrition to nearly one million people, majority (74%) being women and children. Women of child No of No of Target <1 year <5 year Pregnant Zone Total bearing clinics mobiles populations children children women age (15- 49 yrs)

South Central 26 8 34 396,000 15,840 79,200 15,840 87,120

Somaliland 12 9 21 260,700 10,428 52,140 10,428 57,354 Puntland 20 6 26 250,336 10,013 50,067 10,013 55,074 Total 58 23 81 907,036 36,281 181,407 36,281 199,548

Annual Report 2013 | Somali Red Crescent Society 7 SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme A total of 884,885 patients were treated in the clinics and major diseases being Acute Respiratory Infections (33%), Diarrhoea (7.4%), Anemia (11.6%), Skin infection (6.5%) and Intestinal parasite (6%). Notably, clinics in south central regions treated 301 cases from gunshot and mine explosions. 416,338 500,000

400,000 240,119 228,428

300,000

200,000

Total patients treated per zone Total 100,000

0 South Somaliland Puntland Central The five top diseases treated in SRCS clinics

Acute Resp. infection Acute Resp. infection

39% 22.6% Int. Parasites

6.5% Int. Parasites

Anemia 9% 6.3% 12% Anemia

5.8% 13% 4.8% Diarrhoea 10% Diarrhoea

STD’s STD’s The five top diseases reported by The five top diseases reported by Somaliland clinics Putland clinics

8 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Acute Resp. infection Immunization A total of 68,208 children were inoculated against Tuberculosis (TB), Measles, Diphtheria, Tetanus, Pertussis (whooping cough), Hepatitis B, Haemophilia’s influenza type B (Hib) and Poliomyelitis. In the areas controlled by the opposition groups, the vaccination 37.5% activities were very low. Similarly, 67,524 pregnant Int. Parasites

17.9%

Anemia 16.4%

8.3% Diarrhoea 7.2%

STD’s The five top diseases reported by South Central clinics and 46,746 non pregnant women were immunized and given Tetanus vaccines for the prevention of neonatal tetanus. The number of pregnant women immunized against tetanus almost doubled compared to last year. In relation to the target population of the IHCP, the vaccine coverage of under- one year children significantly improved during the year. The measles coverage is 87% while DPT3/Penta3 and Polio 3 are 91% and 93% respectively.

Children immunized by age group and antigen per zone Somaliland South Central Puntland Total <1 Yrs >1 Yr <1 Yrs >1 Yr <1 Yrs >1 Yr <1 Yrs >1 Yr BCG 19130 15 11337 1307 9427 272 39,894 1,594 Polio 1 19643 9726 12844 11779 6123 805 38,610 22,310 Polio 2 20376 14116 7340 3584 5352 718 33,068 18,418 Polio 3 22697 17520 5867 5734 5303 896 33,867 24,150 DPT1/Penta1 23163 8663 11752 4351 5748 739 40,663 13,753 DPT2/Penta2 19751 4192 6865 2623 5090 691 31,706 7,506 DPT3/Penta3 22462 4796 5643 2215 5004 1011 33,109 8,022 Measles 18,565 23,818 7,428 9,622 5,576 3,199 31,569 36,639

Annual Report 2013 | Somali Red Crescent Society 9 SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Vaccine coverage per zone as per the estimated total population Measles Polio 3 DPT3/ DPT3/ Pente3 18 428 2 ,5 7, 5 6 6 Pente3 ,303 ,4 8 2 2 Somaliland South Central

Puntland 1 8

3

,

5 5

4

2

,

6

6

8

2

,

8

,

6

5 6

6

9 7 7

7

5 , DPT3/ 5 Pente3 Polio 3 Polio 3 Measles Measles

Polio 3 Measles DPT3/Pente3

Pregnant and non-pregnant women immunized against tetanus per zone Somaliland South Central Puntland Total PW WCBA PW WCBA PW WCBA PW WCBA TT1 10,820 10,196 6,454 293 3,880 1,464 21,154 11,953 TT2 10,324 8,298 4,266 200 3,195 1,448 17,785 9,946 TT3 8,357 5,578 3,066 186 2,312 1,049 13,735 6,813 TT4 5,204 3,833 1,952 111 1,701 696 8,857 4,640 TT5 3,077 2,691 1,519 112 1,397 591 5,993 3,394 Total 37,782 30,596 17,257 902 12,485 5,248 67,524 36,746

10 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Nutrition with Albendazole tablets for de-worming. A total of 435,671 children were nutritionally Under the Maternal and Child Health Nutrition assessed; 84,231 of them were moderately Programme with WFP, 87,944 children aged 6 malnourished (<-2>-3 Z score) and 30,468 were to 24 months and 99,549 pregnant and lactating severely malnourished (<-3 Z score or MUAC mothers benefited from the project in 2013. The <11cm) while 1,073 children had oedema. The aim of this project is to prevent malnutrition severely malnourished children and those with among under two-year children and pregnant and eodema with no medical complications were lactating mothers. admitted in the Outpatient Therapeutic Feeding Apart of the food based nutrition interventions, Programme (OTPs) for treatment. Similarly, the the clinics staff and volunteers in the community moderately malnourished children were enrolled conduct nutritional health education sessions in the target supplementary feeding programme to educate the community on the importance (TSFP) at the clinics. of exclusive and optimum breastfeeding, The cure rate of severely malnourished children appropriate complementary feeding and hygiene is 85% while defaulter and death rates 7% and promotion particularly during child feeding. A 0.2% which is less than the acceptable rates in total of 91,309 of individual counseling sessions the sphere standards. A total of 88,868 children were held for pregnant and lactating women. In were given Vitamin A supplementation for the 3,690 group and 1,540 promotion sessions held, prevention of Vitamin A deficiency and night 71,382 participants attended, 25% being male. blindness while 54,403 children were provided

Annual Report 2013 | Somali Red Crescent Society 11 SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Nutrition services at the health facilities and mobiles NUTRITIONAL SCREENING / South Somaliland Puntland Total SURVEILLANCE Central Number of children screened 125,804 237,994 71,873 435,671 Number of children referred to SFP 6,358 0 9,737 Number of children referred to OTP 2,821 23,515 1,044 2,369 Number of children referred to TFC/ SC 168 0 0 168 Zinc to 6-59 months 15,413 0 3,960 19,373 Vitamin A to 6-59 months 37,353 39,661 11,854 88,868 De-worming tablets to 6-59 months 21,313 24,584 8,506 54,403 NUTRITIONAL STATUS (MUAC OR W/H) Number of Normal children 116,625 143,285 59,989 319,899 Number of Moderately malnourished 6,358 68,136 9,737 84,231 Number of Severely Malnourished 2,774 25,587 2,107 30,468 Number of Children with Oedema 47 986 40 1073

Children admitted in the OTPs Total Transferred Admissions to other Zone (W/H<-3 Cured Death Defaulters Non-cured TFC or Z-Score, hospital MUAC<11cm) Somaliland 2,821 2,212 12 193 30 42 Puntland 1,044 780 3 67 1 35 South & Central 23,515 18,433 43 1,430 1,563 507 Total 27,380 21,425 58 1,690 1,594 584 Percentage 85% 0.2% 7% 6% 2.3%

Safe Motherhood Services A total of 164,597 pregnant mothers received antenatal services from midwives, out of which 81,710 visited the clinics more than once. The midwives at the clinics and the trained traditional birth attendants (TBAs) assisted 7,428 deliveries and 18,696 respectively while 684 mothers with complications were referred to the regional hospitals. Early initiation of breastfeeding (within the first hour after giving birth) provides benefits for infant and mother. The midwives provided counseling to 14,918 mothers who initiated early breastfeeding. It constitutes 57% of the delivered mothers which is higher than last year’s rate of 36%. A total of 96,066 mothers were given postnatal services by the clinics midwives. Vitamin A supplements were given to 19,956 mothers while iron with folic acid and multiple micronutrient supplements were provided to 19,579 mothers.

12 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme

1st Visit Antenatal

Re-Visit Antenatal

MCH Deliveries

Home

0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000 45,000

1st Visit Antenatal Re-Visit Antenatal MCH Deliveries Home South Central 39,170 17,325 654 7,515 Somaliland 17,541 31,626 3,838 4,822 Puntland 26,176 32,759 2,936 6,359

Annual Report 2013 | Somali Red Crescent Society 13 SRCS MAIN PROGRAMMES AND ACTIVITIES Health education Integrated Health Care Programme A total of 473,227 people directly benefited from the health education sessions, majority (62%) being women. The health education sessions focused on nutrition/IYCF, hygiene promotion, HIV and AIDS, FGM/C, outbreak of polio and the importance of immunization. Other important topics including introduction of new vaccine antigens (Pentavalent), antenatal and safe delivery in health facilities as well as Oral Rehydration Therapy (ORT) corner were discussed during the sessions.

Outbreaks and Health Emergencies Malaria outbreak was reported in Bosaso in January 2013 and the cases were confirmed by the use of Rapid Diagnostic Tests and Microscope. The species were Plasmodium Falciparum and few cases Plasmodium Vivax. The number of confirmed cases was 7361. The branch distributed 400 bed nets to approximately 200 families in both Babaq village and cyclone affected areas where malaria cases were reported. Similarly, Erigavo branch responded to diarrhea outbreak in Kalsheikh village of Elafweyn. Nearly, 18 persons were affected including three under-five children. One child died as a result of dehydration. Elafweyn health team and local Sanitation government of Elafweyne visited the site and managed to contain the situation. Two rounds of water chlorination activities were carried out in Garoe, Galkayo, Galdogob and The affected cases were treated and aqua tabs Bosaso IDPs camps. Similar activities were also were distributed for water purification. They have carried out in all the SRCS clinics in Puntland after carried health education sessions about causes of cyclone contaminated water sources. diarrhea and use of unsafe drinking water. The mobile clinics of Hargeisa and Erigavo The volunteers conducted hygiene and sanitation branches responded to measles outbreak in awareness in their communities to prevent Alleybaday, Erigavo and Elafweyn districts. All diseases and improve health. A total of 451 eligible under-five years children were immunized volunteers of both genders participated. against measles in the affected villages.

14 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme

# of # of jerry # of Household # of shallow # of water ORS Branch cans and volunteers reached in wells reservoirs distribution drums participated education messages Garoe 79 4992 4409 15920 150 13514 Bosaso 12 1093 12522 0 58 15648 Galkayo 0 1998 3528 0 95 16749 Total 91 8,083 20,459 15,920 303 45,911

Baidoa branch deployed 38 volunteers who worked and assisted in the three MCH/OPDs in the region and the general hospital. 12 branch emergency teams conducted cleanup campaign in the branch office premises in Baidoa. 45 volunteers led by 12 Branch Emergency Response Team conducted sanitation campaign in and outside Baidoa Branch Office Compound. 75 volunteers took part in social mobilization campaign on diarrhea prevention in the neighborhoods of Baidoa town.

Beletwein branch volunteers conducted sanitation activities including chlorination of water at water points and households, distribution of water treatment tablets, distribution of soap, garbage collection and community education on different topics depending on the needs identified in order to prevent potential disease threats. The volunteers visited food markets and gave health education and promotion sessions to food vendors.

The chlorination activities and sanitation promotion was accelerated and a total of 1,340,000 water treatment tablets and 6,250 bars of soap were distributed in three IDP camps, five shallow wells and six water points.

Annual Report 2013 | Somali Red Crescent Society 15 SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme SRCS branches marked the World AIDS Day and organized ceremonies attended by the local authorities and community members. On this occasion, speeches were delivered by important members of the community highlighting the danger of HIV/AIDS to the community and the importance of scaling up the awareness using different channels.

Female Genital Mutilation/ Cutting The SRCS clinics carried out different Female Genital Mutilation/Cutting activities during the year. 228 weekly awareness sessions were conducted and a total of 83,770 people directly benefited from these sessions. 48 debates were conducted in which 1440 youth members HIV and AIDS participated. 48 TBAs were trained on FGM, 162 Awareness rallies on HIV and AIDS were conducted volunteers were recruited for FGM eradication in clinics addressing HIV and AIDS basic facts, campaigns and 132 staff and volunteers were reduction of stigma and discriminations as well as trained on basic counseling skills. SRCS actively the importance of voluntary testing particularly participated in world FGM day which fell on 6th for pregnant mothers to prevent mother-to-child February. transmission. A total of 5,408 beneficiaries (3,946 female and Keysaney Hospital 1,462 males) were reached. The total number Keysaney hospital is a war wounded surgical of voluntary counseling and testing were 844 hospital in Mogadishu which provides surgical clients of different age group. One positive case operations and medical emergencies to the was in Aleybadey and referred to Hargeisa group people affected by the conflict. The hospital hospital for further investigation and treatment. treated a number of surgical emergency cases. Eyl clinic started PMTC program supported by A total of 2,700 patients were admitted to the UNICEF. A total of 772 pregnant mothers were hospital, 325 being patients with war related counseled and tested. injuries and assessed.

16 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme

The hospital provided practical training to local universities while five hospital staff were awarded with scholarships by the Plasma University, Somalia University, Salama University and Mogadishu University. The Mayor of Mogadishu visited the hospital on February 15 and discussed with the hospital management on issues concerning collection of garbage from the hospital. ICRC team visited the hospital in July 2013 the quality of medical services. They visited the hospital sections and interviewed patients and their relatives. Benadir University awarded certificate of honor to the hospital on March 14, 2013. Statistical data of the hospital 2013 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC a) GSW 10 14 16 17 15 17 34 24 17 31 26 16 b) Mine 0 0 0 0 0 0 0 0 0 0 0 0 c) Shell 5 2 11 3 12 4 21 5 14 2 2 7 d) Other Weapon 0 0 0 0 0 0 0 0 0 0 0 0 Total WW (a+b+c+d) 15 16 27 20 27 21 55 29 31 33 28 23

Weapon Wounded by Age & Gender Mine Injuries Children <15 Mine Injuries % of Mine % of Other Adults years Total (reported as Injuries WW 2013 Male Female Male Female Male) January 10 4 1 0 15 0 0.00 100.00 February 11 4 1 0 16 0 0.00 100.00 March 20 3 4 0 27 0 0.00 100.00 April 13 4 2 1 20 0 0.00 100.00 May 24 2 1 0 27 0 0.00 100.00 June 15 5 0 1 21 0 0.00 100.00 July 40 12 1 2 55 0 0.00 100.00 August 20 6 2 1 29 0 0.00 100.00 September 26 4 1 0 31 0 0.00 100.00 October 28 3 1 1 33 0 0.00 100.00 November 22 5 1 0 28 0 0.00 100.00 December 20 2 1 0 23 0 0.00 100.00 Total 249 54 16 6 325 0 0.00 100.00

Annual Report 2013 | Somali Red Crescent Society 17 SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Rehabilitation of Physically Disabled People The SRCS Orthopaedic Rehabilitation programme is one of the crucial health programmes managed by the society with the support of Norcross. The objective of the rehabilitation centres as part of the integrated health care programmes of the National Society is to make it possible and equally improve the lives of the physically disabled members of the society and also those who are injured in situations of conflicts so that they can take an active role in their daily lives. During the year, six new bench workers were recruited and given induction training. Monthly staff meetings on issues relating to staff performance, uniformity of all activities in the three Rehab Centres, Financial management and supervision were also emphasized throughout the year through strict supervision. Promotional materials were produced and messages developed and aired by local radio stations in Mogadishu, Hargeisa and Galkayo. The rehabilitation programme for the disabled people comprises of the three rehabilitation centers located respectively in Mogadishu, Hargeisa and Galkayo with workshops that fabricate prosthesis and orthotics appliances for the disabled people and physiotherapy departments that deliver physiotherapy treatments.

Mogadishu Rehabilitation Centre Number of Appliances Produced APPLIANCES Categories Orthoses Prostheses Repairs Male adult 88 192 259 Fem. adult 64 75 33 Male child 22 13 6 Fem. child 16 10 4 Total 226 232 178

18 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme

Orthoses Prostheses Male Adult Repairs

Orthoses

Prostheses

Female Adult Repairs Male Child Female Child

0 50 100 150 200 250 Causes of Disabilities Causes Total Cases Bullet/Shelling 170 Diseases 357 Accidents 58 Mines 15 Others 94

400

350

300

250

200 No. of Cases 150

100

50 0 Bullet/Shelling Disease Accident Mines Others

Annual Report 2013 | Somali Red Crescent Society 19 SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme

Physiotherapy Beneficiaries Beneficiaries by Gender & Age (New Totals Cases only) Adult Male 708 Female Adult 344 Male Child 564 Female Child 348 Total 1,964 Male Adult Female Adult Male Child Female Child

0 100 200 300 400 500 600 700 800

20 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Hargeisa Rehabilitation Centre Appliances Produced APPLIANCES Categories Orthoses Prostheses Repairs Male adult 124 134 135 Fem. adult 64 75 33 Male child 22 13 6 Fem. child 16 10 4 Total 226 232 178 Male Adult Female Adult Male Child Female Child

0 20 40 60 80 100 120 140 160 180 200

Annual Report 2013 | Somali Red Crescent Society 21 SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Causes of Disabilities Causes Total Cases Bullet/Shelling 45 Diseases 77 Accidents 72 Mines 16 Others 56

100

90

80

70

60

50

No. of Cases 40

30

20

10 0 Mine Bullet/Shelling Diseases Accidents Others (bites, burns etc)

22 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Physiotherapy Beneficiaries Beneficiaries by Gender and age (new Total cases only) Adult Male 461 Female Adult 308 Male Child 109 Female Child 103 Total 981 Male Adult Female Adult Male Child Female Child

0 50 100 150 200 250 300 350 400

Annual Report 2013 | Somali Red Crescent Society 23 SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme

Galkayo Rehabilitation Centre Appliances Produced APPLIANCES Categories Orthoses Prostheses Repairs Crutches pcs Adult Male 60 58 89 302 Female Adult 13 24 0 66 Male Child 55 0 0 0 Female Child 33 2 0 0 Total 161 84 89 368 Male Adult Orthoses Prostheses Repairs Adult Female Orthoses

Prostheses Male Adult Repairs Child Female

0 10 20 30 40 50 60 70 80 90

24 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Causes of Disabilities Causes Total Cases Mine 9 Bullet/Shelling 55 Diseases 45 Accidents 19 Others (bites, burns etc) 91 Total 219

90 80

70

60

50

No. of Cases 40

30

20

10 0 Bullet/Shelling Disease Accident Mines Others

Physiotherapy Beneficiaries Beneficiaries by Gender & Age (New Cases only) Totals Adult Male 708 Female Adult 344 Male Child 564 Female Child 348 Total 1964

Annual Report 2013 | Somali Red Crescent Society 25 SRCS MAIN PROGRAMMES AND ACTIVITIES Integrated Health Care Programme Male Adult Female Adult Male Child Female Child

0 10 20 30 40 50 60 70 80 90 100 No. of Cases

Harun’s Story Harun Abdirahman Mohamed is a six-year old child who was diagnosed with hydrocephalus, spinal bifida and clubfoot. The child was born in Bosaso town suffering from spinal bifida and his parents took him to Addis Ababa, Ethiopia for treatment. Harun was operated but after three months, he developed hydrocephalus. The child underwent a second operation with the same surgeons. Harun also acquired secondary clubfoot due to muscle imbalance; his mother had to support him to Hargeisa physiotherapy department which performed the correction through a series of casting and abduction brace. The whole treatment plan for Harun that enabled him to walk again with support, involved a series of intense activities such as castings and brace abduction, strengthening of lower limb muscles with sitting imbalance training and orthopedic support training. His Father is a businessman and the mother a housewife. They received information about existence of the rehabilitation center through the local media and Hargeisa General Hospital.

26 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Disaster Management Response Activities SRCS Marka Branch SRCS Baidoa Branch The Lower Shabelle region was affected by the The branch deployed 38 volunteers to four flooding from Shabelle River during May. The SRCS clinics in Kansahdere, Berdale, Baidoa and affected areas included Kurtunwaray town and Baidoa General Hospital to provide assistance three of its surrounding villages namely Ali- to the health workers. 45 volunteers conducted Hurdunshe, Yarey, Budabeeg and Idowgudow. A sanitation work at the two clinics of Isha and total of 3,800 hectares of crops were destroyed Howlwadag in Baidoa. and 750 households were displaced to safe areas such as Kurtunwaray town and Afgoy-jiido In June, the SRCS Baidoa branch conducted Quiz villages while 96 households became stranded Competition for the volunteers. The programme in the inundated villages. 24 volunteers and a was intended to motivate the volunteers during number of community members participated in the holy month of Ramadan. The quiz competition the response activities. is part of the branch plans to retain and motivate the volunteers. The successful teams were Flooding occurred in villages under Afgoye district awarded with prizes. in August. The floods destroyed 240 hectares of crops and displaced 820 households. The branch The branch volunteers distributed 910 boxes of deployed a team of volunteers to help evacuation supplementary plumpy nuts in Doynunay village of people affected by the floods. 25km south east of Baidoa and Awdinle village 30 km west of Baidoa in December. Inter-clan fighting occurred in some parts of the Lower Shabelle region especially at km-50 village SRCS Dusamareb Branch during the month of December. Two persons Dusamareb branch volunteers distributed food were killed and nine others were wounded. items consisting of rice, beans and oil items Nearly 1,245 people were displaced from their to approximately 3800 families in Dusamareb homes at km-50. The branch mobilized volunteer and Abudwaq towns. A total of 20 volunteers action teams and made a rapid assessment in the participated in this distribution in May this year. area. The branch also deployed 10 volunteers to the general hospital to deliver first aid services to Inter-clan fighting occurred in Gadone village the war wounded. of Dusamareb district in which five persons were killed and five others wounded in July. SRCS Jowhar Branch The wounded were taken to SRCS OPD in In response to the emergencies caused by the Dusamareb where the volunteers provided floods that affected Jowhar districts in May first aid and dressing services to the victims. In this year, the branch mobilized 40 volunteers September, the volunteers at the SRCS clinic in and conducted a rapid assessment to identify Abudwak gave first aid services to the people the needs for immediate response planning. who were wounded. Local armed militiamen and A response plan based on the findings of the government forces also clashed in Dusamareb assessment was developed in order to act in September. At least two persons were killed immediately to help the flood victims. The and two others wounded. 24 volunteers were flooding destroyed a large area of farmlands – deployed to assist the evacuation of the wounded about 1200 hectares mostly maize and beans. to the health clinic for treatment. Another clash A total of 3,320 families were displaced. On 3rd occurred in Gadone village, two persons were May 2013, SRCS Coordination Office in Mogadishu wounded. Five volunteers were involved in the dispatched a consignment of 250 tents and 45 evacuation activities. In November, fighting first aid kits to the branch. occurred in Bangelle village, which is 67 km north of Dusamareb. Seven persons were killed and a The branch equally distributed the tents and first number of others wounded. 12 SRCS volunteers aid kits to the effected people. Similarly, 5000 from Abudwak participated in the evacuation bars of soap were distributed to 3820 households exercise. while 100,000 chlorine tabs were given to 38,320 households.

Annual Report 2013 | Somali Red Crescent Society 27 SRCS MAIN PROGRAMMES AND ACTIVITIES Disaster Management A total of 1000 mosquito nets, 3000 empty jerry needs and fill the existing response gaps. The cans and 1000 ORS sachets were also distributed team visited 14 water sources including wells and to the victims. river water points in the four sections of the town. The branch distributed 25 tents to 25 families who Based on these findings, the branch distributed were affected as a result of a revenge attack by 50 cartons of soap to the patients in the diarrhea militiamen on Mayunkale village, east of Jowhar treatment center, 25 cartons in each center and district. A total of 25 houses were torched and all deployed volunteers in the treatment center to properties destroyed. help in the waste disposal and garbage collection. The branch volunteers carried out a hygiene SRCS Mogadishu Branch promotion and rescue work during the post flood evacuation. 40 volunteers were mobilized and participated in life-saving activities and raised public awareness about public health in response to the flash floods. Volunteers assisted in the new emergency clinic and also provided first aid and dressing services to 35 wounded persons. They distributed drinking water and seeds to the needy people.

The branch donated to Mogadishu Central Prison a non food items containing 13 cartons of detergent powder and soap in April. The items were collected from the volunteers with the intention to help the inmates. In March, the branch volunteers distributed 200 packages of non-food items to SRCS Beledwein Branch the war veterans in Martini hospital. These items were donated by the students of Somaliweyn In collaboration with the community and School in Mogadishu. The branch also distributed humanitarian organizations operating in the 458 cartons of canned fish to Martini hospital region, the branch collected rainfall and river water during the month of June. level information on weekly basis and shared the information with the potential community groups The branch volunteers distributed 120 heads of and other humanitarian organizations. sheep in six centres in Mogadishu on the occasion of Eid-ul-Adha. On March 24, 2013, a joint SRCS and ICRC team carried out an assessment to identify the priority

28 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Disaster Management SRCS Bardera Branch Garoe district. The branch volunteers distributed food items The branch established nursery farms in Garoe in El-wak town. Volunteers also carried out and Burtinle in consultation with local authorities, awareness activities in the region targeting ministry of agriculture, elders and farmers’ different community segments. Gedo region is committees. The materials donated include affected by the prolonged conflict and droughts hand tools such as pick axes, hoes, shovels in the country. and wheelbarrows. Training was given to four SRCS Kismayo branch groups in Garoe district particularly Jibagale, Shimbiraaley, Uun and Ligle farming areas and The branch mobilized its volunteers to help the two groups in Eyl district. The total number of victims of the conflict in the region. Two teams beneficiaries for the training was 60 farmers. of volunteers provided first aid services to the people affected by the conflict. The branch volunteers treated 80 war wounded persons from the opposing sides. The branch also provided first aid kits to the two sides involved in the conflict during the month of June. The branch conducted nutrition assessment in Kismayo in order to identify the rate of moderate, severe and acute malnutrition in the city. A total of 8,105 children were screened and 2158 malnourished cases were identified. During the year, a total of 6000 cartons of mosquito nets were distributed to poor expectant mothers in Kismayo town and Mugambo village. Branch volunteers participated in the distributions. From 21 to 25 December, branch volunteers distributed plump nuts to 10,800 households in Kismayo IDP camps. 20 volunteers in 4 teams were involved in the distribution. In the same month, volunteers distributed ORS to 78 households in Badhadhe town. SRCS Garoe Branch Garoe branch disaster risk reduction and community resilience programmes include distribution of seeds to farmers in the villages, livelihood programmes such as nursery farming for preparing seedling for replanting, small scale farms in Eyl, Garoe and Burtinle districts. Since the Fishing gear was distributed to 50 households start of the project, Garoe branch implemented of poor fishing community in the coastal district three shallow wells in Jibagale and Shimbirale of Eyl. Beneficiaries were selected jointly by the villages with the support of German Red Cross. community elders and SRCS. Similarly, the branch dug and constructed four The orphanage school water system installation shallow wells and rehabilitated three others and project was successfully completed in November. two water reservoirs in Garoe town, while it The elevated water tank was constructed, constructed two water reservoirs in Dangorayo pipeline connection laid down and the borehole district and three water reservoirs in Burtinle water pump and engine installed. and two water reservoirs in Baalley village under

Annual Report 2013 | Somali Red Crescent Society 29 SRCS MAIN PROGRAMMES AND ACTIVITIES Disaster Management In December, a pre-assessment mission jointly carried out by SRCS, German RC and British RC was conducted in Nugal and Bari regions of Puntland. The purpose of the mission was a follow up on the successful implementation of the Integrated Disaster Risk Management project implemented by SRCS and GRC. In November, a baseline survey was conducted in Garoe for Nugal, Galkayo and Bari regions. The main objectives of the base line survey were to find out the existing explosive and mine risks and hazards of the target communities, identify the most dangerous areas of the target communities and to find enough information for proper planning and implementation of the project. SRCS Galkayo Branch The branch distributed 50 units of fishing gear in 33 packages to the fishermen in the coastal town of Gara’ad in Mudug Region in May. The branch also distributed 100 hygiene kits in Harfo at GECPD girls’ college. During the year, the branch concluded a borehole drilling project in Laanmadow village. The borehole was intended to provide safe and clean drinking water to nomads and residents in those areas. Laanmadow, 70 km northwest of Galkayo, was one of the villages severely affected by successive and recurrent droughts in the region. The project was successfully completed in April. SRCS Bosaso Branch

As part of the drought response activities, the branch distributed food items consisting of 5000 kg of sugar, 6250 kg of rice, 6250 kg of flour, 1000 kg of spaghetti and 1170 liters of oil to five schools in the towns of Ufayn, Ufaynherta, Qardho, Iskushuban and Adisone in Bari region in March. A total of 729 school children benefited from the food distribution.

30 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Disaster Management Bosaso branch and Puntland Disaster Management Agency (HADMA) distributed 200 sets of non-food items and 29 sets of fishing gear to the vulnerable households in Kartush village of Hafun district in March. A total of 229 families benefitted from the relief distribution. The branch constructed a water tank in Ufayn and also rehabilitated pipelines for the supply of water to the community in the area during the period between March and May. Following is a table showing distributions in Bosaso.

Kind of items distributed No of items Beneficiaries Hygiene kits 948 679 families 600 school girls Water filters 192 54 PLWAs Jerry cans 337 121 Girls in IDP camps Wheelbarrows 60 pcs Shovels 60 pcs Forks 60 pcs 155 IDPs in Bosaso Axes 60 pcs Gloves 60 pcs Mask tabs 60 pcs

The branch implemented construction project of a water reservoir (Berket) for the Gobanti nomadic communities in October. In response to the cyclone, the volunteers in the sub-branches assisted the affected people to save their lives, their livestock and fishing gears. The volunteers provided psychological support to the victims and carried out hygiene and sanitation awareness in Bandarbeyla, Hafun, Iskushuban, Aluula, Baargaal and Qandala districts. The branch staff and volunteers concluded a detailed assessment of the affected areas in the Region. SRCS Somaliland Branches The planned activities of the community resilience project (CRP) for Somaliland were completed successfully during the year. The first six months of the project were intended to pave the way for the planned main CRP actions (2013 to 2015). The outcomes of this phase included production of relevant project documents. In this second quarter, continued was the capacity building of the SRCS staff and the involved community branch volunteers. In the year 2013, a total of 291 staff members, volunteers and community representative participated in VCA ToT training, DRR/CCA training, National and Regional Livelihood TOT Training, National Baseline ToT Training and training on baseline survey process at the regional level. Community baseline survey exercises were conducted by SRCS staff and volunteers. Harmonization of baseline data, analysis, reporting and feedback was carried out followed by project proposal development including the formulation of project log frame, work plan, budget and Monitoring and Evaluation plan. A project inception workshop was also conducted for 30 participants from key stakeholders. Restoring Family Links (RFL) The communication and RFL zonal workshop was held in Mogadishu from 28th to 29th January 2013 in order to give the communication and tracing officers the opportunity to share experience and gain knowledge. On 1st July 2013, one day planning meeting was held in Borama. Officers from SRCS, ICRC Nairobi, Djibouti and Yemen participated in this meeting. During the year, a total of 21,594 RCMs were exchanged by families inside and outside Somalia. 8,911 BBC forms were aired on the BBC missing programme. A total of 188 cases were opened positively and 874 were closed negatively. Annual Report 2013 | Somali Red Crescent Society 31 SRCS MAIN PROGRAMMES AND ACTIVITIES Communication and Dissemination The SRCS Communication and dissemination activities continued at all SRCS branches throughout the year. 280 sessions were conducted reaching over 9191 beneficiaries. The target groups include youth, scholars, elders, medical personnel, students, religious people, authorities and the general public.

Celebration of 150 Years of RCRC On May 29th, a photo exhibition event marking the 150th Anniversary of the RCRC was jointly hosted by the Somali Red Crescent and the International Committee of Red Cross. A selection of photos depicting the humanitarian activities of the SRCS and ICRC were displayed at SRCS Coordination Office in Mogadishu.

The dissemination sessions covered topics including the History of the Movement, The event which was held in Mogadishu was Components, RC/RC Emblems, SRCS Activities, RC/ attended by the members from the Somali Red RC Fundamental principles, Birimageydo (Spared Crescent and the ICRC, Participating National from the Spear) and Comparison between IHL Societies in Mogadishu and other distinguished and Birimageydo. guests. All the SRCS branches marked the Red Cross The event was officiated by the SRCS President, and Red Crescent Day which fell on 8th May. Dr. Ahmed Mohamed Hassan and the ICRC Head The ceremony was held at SRCS branches. It of Somalia Delegation, Mr. Patrick Vial. was attended by government officials, INGOs, business groups and other invited guests.

32 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Organizational Development

The SRCS Executive Committee Meeting was held The meeting was opened by the SRCS President, in Hargeisa on 18th January 2013. The meeting Dr Ahmed M. Hassan, who welcomed the discussed the adoption of the SRCS Health proposed draft of the Finance and Administration Strategy 2013-2017 and the SRCS All-Inclusive Manual following the January 2013 workshop and Meeting. The meeting adopted the SRCS Health the follow-up meeting of the SRCS management Strategy 2013-2017 to be presented to the SRCS team held in Nairobi. Dr Ahmed noted that a All-Inclusive Meeting (General Assembly) for proposal to launch the first version of SRCS’ endorsement. The meeting also decided that the Accounting and Administration Manual would be SRCS All-Inclusive Meeting (General Assembly) be tabled at the SRCS All-Inclusive Meeting (General held in Hargeisa on 3rd to 4th June 2013. Assembly). SRCS financial management meeting was held Meeting of the technical team and Norcross in Hargeisa from 18-20 January. The meeting Finance Development consultant was held in discussed SRCS financial manual and financial Nairobi on 6-12 June. The meeting reviewed the management system. The second SRCS financial draft SRCS Financial Management manual and management meeting was held in Hargeisa in prepared the Finance Development log-frame March. The meeting focused on the dissemination and budget for 2013-2014. of the new SRCS financial manual and SRCS The Finance Management training of the Branch financial management system to the branches. Secretaries, Health Officers and Finance Clerk A finance development workshop was held from SRCS branches of Mogadishu, Baidoa, in Hargeisa on 5-7 April 2013. The meeting Kismayo, Beletwein and Dusamareb was held in was attended by Finance officers from the Mogadishu on 22-24 October 2013. SRCS branches of Hargeisa, Berbera, Galkayo, Mogadishu and Garoe.

Annual Report 2013 | Somali Red Crescent Society 33 SRCS MAIN PROGRAMMES AND ACTIVITIES Organizational Development All-Inclusive (General Assembly) Meeting

The SRCS All Inclusive Meeting (General Assembly) was held in Hargeisa from 3rd to 4th June 2013. The first day of the meeting was dedicated to governance issues and joint governance and management meeting was held in the second day. The SRCS President, Dr. Ahmed Mohamed Hassan, declared the meeting open and welcomed participants. He hoped for an active interchange of ideas. The president saluted the SRCS volunteers and staff for their dedication in delivering humanitarian assistance to the vulnerable people in the country.

34 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Organizational Development

The roll call was taken and a quorum reached. The president presented the agenda of the All-Inclusive (General Assembly) Meeting to the participants who adopted it. He gave the floor to the SRCS Coordinator in Mogadishu and the SRCS Coordinator in Hargeisa, Somaliland to provide a brief update on SRCS activities during the period between the two assemblies. The meeting adopted SRCS Health Strategy 2013-2017 and SRCS Finance Management Manual. It also endorsed the new SRCS Vice President and six new honorary members from the local corporate organizations to the SRCS Executive Committee. The representatives from the ICRC, IFRC, PNSs and Kenya Red Cross expressed their appreciation to the SRCS for its efforts in carrying out its humanitarian mission. The meeting was officially closed by the SRCS President.

Annual Report 2013 | Somali Red Crescent Society 35 SRCS MAIN PROGRAMMES AND ACTIVITIES Organizational Development Red Cross/ Red Crescent Movement Coordination Meetings

The Red Cross and Red Crescent Movement Coordination meeting established in 2011 was regulary held at the SRCS Coordination Office in Mogadishu. The meeting mainly focused on issues relating to the current security and political issues, the activities of the Societies and ICRC, main challenges and opportunities. The aim of the meeting is to exchange information and share ideas and to keep each other updated of the current humanitarian situations in the country. Training and Capacity building • 90 staff and volunteers were trained on emergency responses. • 60 participants from Galkayo, Garoe and Bosaso branches received Branch Emergency Response Training in their respective branches. Similarly, SRCS in partnership with German Red Cross conducted three ToT trainings in which 60 volunteers benefitted. The training focused on VCA, Early Warning System and basic emergency response

36 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES Organizational Development

• 30 participants from the 10 branches in South • 11 midwives participated in BEMOC training and Central regions received an Emergency and 12 health workers were trained on diseases Response Team Training in Mogadishu. surveillance and reporting. 14 head nurses and • Garoe branch conducted Branch Emergency officers were given CBHFA ToT training and Response Team (BERT) training in Dangorayo 40 nurses and officers received training on town for 18 staff and volunteers. The management, leadership and report writing participants were given sessions on better training. response to common hazards during • 62 health workers were trained on Home emergencies, the principles, rules and code of Based Care for chronically ill clients including conduct during disaster relief, public health, HIV, TB, etc and 15 clinic staff members were sphere standards, assessments as well as given basic laboratory training. 10 health organization and management of camps. workers received training on nutrition. • Galkayo Branch constructed and equipped the • Between March and September, Galkayo Burtinle sub-branch and handed over to the and Bosaso branches conducted Branch local authority and volunteer focal person in Emergency Response Team (BERT) training in May. The ceremony was participated by the Galkayo and Qardho respectively for 24 staff Mayor of Burtinle, members of District Council, members and volunteers. traditional elders (chiefs) and SCRS officials. • Bosaso branch conducted CBHFA Training • SRCS constructed a sub-branch office in Eyl for four clinics and Sub-branches in Bari during the year in order to enable the SRCS Region in August. The training was attended volunteers in the district to carry out their by 52 volunteers, 8 TBAs, 8 CHCs, 8 School regular activities. teachers and 4 clinic staff. The branch also • A training of trainers was given to 44 officers conducted 10-day training on malaria test and and clinic in-charges and 15 health workers awareness campaign in Bosaso villages and also received training on laboratory malaria IDP settlements in the month of September. microscopy. Eight health workers participated in EPI training and malaria case management training.

Annual Report 2013 | Somali Red Crescent Society 37 SRCS MAIN PROGRAMMES AND ACTIVITIES Organizational Development

Youth and Volunteers four branch secretaries and two coordination During the year, a total of 2,977 volunteers were staff received two-day refresher workshop on trained on first Aid, health education, DRR and volunteer management guidelines. early warning systems in all the SRCS branches. Youth departments in Berbera and Las-Anod In Somaliland, 23 youth project staff members were rehabilitated. 81 students graduated in were recruited. The project managers visited literacy and numeracy (57 female and 24 male) six branches to assess needs of the youth and and 78 youth volunteers (53 female and 25 male) volunteers. The youth department conducted graduated in computer courses. two kick off workshops for 26 persons from Different sport activities were organized at branches and 24 different departments in order branch level. Approximately 15 sports events were to finalize proposal and budget and produce plan organized by the youth departments in all the six of actions. branches in Somaliland. Youth discussion groups Three regional youth and volunteers coordinators on issues such as gender issues, drug abuse and were given office management training. 14 staff violence among youth took place in youth clubs. members including seven youth coordinators, 16 action teams were recruited at branch level.

38 Annual Report 2013 | Somali Red Crescent Society SRCS MAIN PROGRAMMES AND ACTIVITIES International Events • SRCS Director of Organizational Development • The SRCS President, Dr. Ahmed Mohamed and Communication, Mr. Abdulkadir Ibrahim Hassan, SRCS Coordinator in Mogadishu, Haji “Afi”, participated in the Health Care in Mr. Mohamed Ahmed Mohamed and SRCS Danger and Safer Access Reference Group Director of Organizational Development and Meeting held in Geneva respectively on 24-29 Communication, Mr. Abdulkadir Ibrahim Haji March and on 12-15 May 2013. “Afi” participated in the Red Cross and Red • SRCS Director of Disaster Management, Mr. Statutory Meetings held in Sydney, Australia Ali Sheikh Ibrahim, attended the Fourth Global from 12-18 November 2013. Platform on Disaster Risk Reduction Meeting in Geneva, Switzerland on 20-25 May 2013. • SRCS President, Dr. Ahmed Mohamed Hassan, SRCS Director of OD and Communication, Mr Abdulkadir Ibrahim Haji “Afi” and SRCS Somaliland Deputy Health Coordinator, Mr Hassan Abdi Jama, attended the 7th Annual General Meeting of the NEPARC held in Nairobi

on 22-24 June 2013.

A BISH K A R C

U A R

S

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S RC S Support SRCS to assist the vulnerable people in the country

Annual Report 2013 | Somali Red Crescent Society 39 FUNDAMENTAL PRINCIPLES

The principle of the International Red Cross and Red Crescent Movement which guides the National Society7 includes the following: Humanity The International Red Cross and Red Crescent Movement, born of a desire to bring assistance without discrimination to the wounded on the battlefield, endeavours, in its international and national capacity, to prevent and alleviate human suffering wherever it may be found. Its purpose is to protect life and health and ensure respect for the human being. It promoted mutual understanding, friendship, cooperation and lasting peace amongest all people. Impartiality It makes no discrimination as to nationality, race, religious beliefs, class or political opinions. It endeavours to relieve the suffering of individuals, being guided solely by thier needs and to give priority to the most urgent cases of distress. Neutrality In order to continue enjoying the confidence of all, the Movement may not take sides in hostilities or engage at any time in controversies of a political, racial, religious or ideological nature. Independence The Movement is Independent. The national Societies while auxiliaries in the humanitarian services of their governments and subject to the laws of their respective countries, must always maintain their autonomy so that they are able at all time to act in accordance with the Voluntary Service It is a voluntary relief movement not prompted in any manner by desire for gain. Unity There can be only one Red Cross or Red Crescent Society in any one country. It must be open to all. It must carry on its humantarian work throughout its territory. University The International Red Cross and Red Crescent Movement, in which all societies have equal status and share equal responsibilities and duties in helping each other, is worldwide.

40 Annual Report 2013 | Somali Red Crescent Society ANNEX

Table 1: Patients attended by age and gender: Clinics in Somaliland Facility Name <5 Yrs Male <5Yrs >5Yrs Male >5Yrs Total Cases Female Female Referred Kenya 2552 2495 1134 2429 8610 Odweine 2129 1844 1216 3044 8233 Togdheer Mobile 3405 4087 3223 3247 13962 Boon 1119 1318 1418 2205 6060 Dilla 912 1187 2964 6320 11383 Awdal Mobile 1539 1669 2365 4942 10515 Adadley 501 540 1388 2976 5405 Alleybaday 452 481 1260 4295 6488 Hargeisa Mobile 1 4630 4053 4730 5829 19242 Hargeisa Mobile 2 4683 3961 5195 4936 18775 23 Eilafweine 2478 2077 997 2903 8455 Kulmiye 3666 3672 1131 5513 13982 Sanaag Mobile 1 2527 2857 3056 6674 15114 Sanaag Mobile2 2798 2591 3129 6201 14719 Daami 1332 1582 642 2606 6162 Yagori 684 824 1488 2134 5130 Sool Mobile 1 3139 3028 7737 6240 20144 Sool Mobile 2 2980 3082 7687 4669 18418 Sheikh 1634 1727 1186 2549 7096 9 Lasodawo 1125 1421 1217 2572 6335 12 Sahil Mobile 2087 1810 6286 5708 15891 Total 46,372 46,306 59,449 87,992 240,119 44

Annual Report 2013 | Somali Red Crescent Society 41 ANNEX Table 2: EPI Services: Somaliland Clinics Total 2 Hargeisa Mobile Togdheer Mobile Sanaag Mobile2 Sanaag Mobile 1 Sool Mobile 2 Sool Mobile 1 Hargeisa Mobile 1 Sahil Mobile Awdal Mobile Eilafweine Ainabo/Daami Kenya Boon Alleybaday Adadley Odweine Dila Kulmiye Yagori Lasadacawo Sheikh Clinic 19,130 2952 1441 1381 1216 <1yr 888 800 684 949 444 938 687 834 843 662 920 492 567 672 627 601 532 BCG >1yr 15 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19,643 3786 2754 1150 1107 <1yr 666 806 469 849 444 695 859 943 563 792 274 841 914 327 772 615 17 OPV1 9,726 3329 1072 >1yr 1312 366 266 402 653 356 397 285 423 237 139 102 128 64 37 77 81 0 0 20,376 4000 1065 1300 1756 <1yr 980 640 840 446 695 938 828 828 653 833 730 852 582 537 441 821 611 OPV2 14,116 2954 3210 1518 >1yr 698 448 599 503 393 376 239 782 233 851 361 182 155 175 271 84 63 21 22,697 3920 2667 1092 1140 1516 <1yr 1152 889 940 566 895 639 936 807 479 795 578 705 625 861 723 772 OPV3 17,520 2962 1099 3326 2282 1258 >1yr 988 498 358 395 507 437 247 335 819 651 187 170 201 312 411 77 23,163 DPT/Penta1 3876 1488 2776 1005 1018 1150 1128 <1yr 849 448 768 594 945 682 1115 563 933 785 582 872 814 772 8,663 3568 2774 >1yr 349 288 284 725 191 131 121 80 56 43 25 22 0 6 0 0 0 0 0 DPT2/Penta 2 19,751 3880 1065 1423 <1yr 808 1321 446 599 938 830 820 974 655 570 837 832 627 728 691 525 451 731 4,192 >1yr 358 305 937 295 236 324 297 146 722 147 115 99 40 82 33 31 17 0 0 8 0 DPT3/Penta3 22,462 2678 3975 1092 1140 1516 <1yr 1153 889 866 864 506 602 479 576 756 795 736 582 877 747 816 817 4,796 1129 >1yr 298 249 358 873 293 190 373 158 138 291 152 101 117 25 23 21 0 0 0 7 18,565 2795 1487 2257 1525 1018 <1yr 466 408 508 508 438 642 1115 385 765 637 745 770 374 524 527 671 Measles 23,818 4966 3656 2167 1724 1149 1314 >1yr 1521 988 464 926 454 756 795 320 293 432 262 233 551 771 76

42 Annual Report 2013 | Somali Red Crescent Society ANNEX Table 3: Pregnant and non pregnant women received TT vaccines: Somaliland clinics Yagori Laso Sheikh Sanaag Mobile 1 Sool Mobile 1 Hargeisa M1 Awdal Mobile Kulmiye Hargeisa M2 Sool Mobile 2 Sahil Mobile Odweine Clinic Dilla Boon Alleybaday Adadley Togdheer M Sanaag Mobile 2 Eilafweine TOTAL Kenya Daami 10,820 880 698 909 989 897 493 587 345 267 292 PW 575 533 575 352 275 732 187 147 714 315 58 TT1 WCBA 10,196 1492 609 600 440 485 634 286 479 246 593 672 169 190 773 134 421 241 551 371 711 99 10,324 880 608 484 484 1119 260 565 635 363 623 582 627 278 PW 189 552 410 275 341 125 712 212 TT2 WCBA 8,298 864 449 449 506 645 697 436 483 370 453 258 326 189 149 572 170 431 241 421 123 66 8,357 1961 440 386 390 445 356 393 397 295 397 236 392 254 274 PW 106 577 410 178 261 151 58 TT3 WCBA 5,578 405 299 294 248 574 329 293 270 198 527 273 273 327 227 103 201 312 132 161 45 87 5,204 967 209 200 263 238 329 270 PW 353 224 224 108 196 140 156 227 197 216 174 152 321 40 TT4 WCBA 3,833 208 208 294 345 320 160 198 377 150 214 177 312 177 191 119 112 90 50 54 25 52 3,077 304 274 PW 224 100 180 146 163 145 162 128 142 214 123 221 119 118 96 68 78 61 11 TT5 WCBA 2,691 240 305 433 168 104 183 107 142 142 155 119 115 66 84 59 95 50 79 20 24 1 37,782 4604 2280 1896 2758 2379 2073 1596 1967 1786 1070 2557 1647 2375 1243 1162 2011 1177 795 743 PW 732 931 Total 30,596 WCBA 2708 3565 1698 1058 1580 1993 1645 1403 1454 1367 1543 1793 1779 1616 840 1811 930 493 662 387 271

Annual Report 2013 | Somali Red Crescent Society 43 ANNEX Table 5: Children screened and given nutrition services: Somaliland clinics Table 4: Children screened and given nutrition services: Somaliland clinics Number of children referred to SFP Number of children screened ished malnour Moderately of Number De-worming tablets to 6-59 months VIT A to 6-59 months TFC/ SC to Number of children referred Number of to childrenOTP referred Number of Children with Oedema Number of Severely malnourished Number of Normal children Nutritional status (MUAC or W/H) Zinc to 6-59 months LANCE NUTRITIONAL SCREENING / SURVEIL - VEILLANCE NUTRITIONAL SCREENING/ SUR Number of children referred to TFC/ SC Number of children screened Number of Normal children Nutritional status (MUAC or W/H) Zinc to 6-59 months Number of Children with Oedema VIT A to 6-59 months Number of children referred to SFP Number of Severely malnourished Number of Moderately malnourished De-worming tablets to 6-59 months Number of children referred to OTP - - Sheikh 9049 3035 9601 2973 506 506 115 46 46 1 1 Mobile Awdal 16324 17152 4774 762 762 801 167 66 66 0 0 dawo Laso 3459 4250 1304 1244 1262 318 318 107 107 2 2 Mobile Sahil 4477 4016 1444 1387 402 320 320 137 137 - 0 4 Yago - 2289 2517 1193 561 159 118 118 110 110 ri 0 0 Hargeisa Mobile 11605 11533 3928 2892 3579 47 47 25 25 0 0 Kulmi - 5997 1592 2102 2517 548 245 245 201 201 ye 16 0 Mobil 7825 7825 1458 Dilla 2953 2253 Sool 3150 3162 109 109 410 527 527 116 104 621 101 101 0 0 0 0 4 1 Odweine bile 2 4973 5232 Sool 1183 Mo 4073 3563 282 691 168 1875 90 90 365 356 365 145 145 145 0 0 1 0 0 - Mobile1 Sanaag 4096 3509 504 730 302 302 281 281 171 Adad 0 4 3657 399 799 799 260 245 245 410 413 ley 0 0 - naag 3509 bile2 3292 mo - 607 825 Sa - 171 Alleyba - 49 49 17 17 0 1 4856 4253 1056 408 408 1011 day 194 194 156 719 1 Togd - 8580 3556 heer 4215 8121 330 330 415 124 124 0 5 Boon 1780 1536 190 377 187 187 314 57 57 0 0 Hargeisa Mobile 2 4449 5065 Ken - 1832 454 433 433 180 180 491 ya 8379 8295 2727 0 3 476 476 20 57 8 8 5 7 weine Eilaf - 4665 5352 1193 225 87 87 61 61 0 9 1 TOTAL 22409 65975 63233 12751 7267 1797 2118 882 870 22 9 4856 4493 Daa - 698 884 256 256 520 mi 44 44 0 1 TOTAL 48358 59829 14944 4240 4249 8562 8146 1499 1499 159 25

44 Annual Report 2013 | Somali Red Crescent Society ANNEX Table 6: Infant and young child feeding counseling promotion services: Somaliland clinics Eilafweine Total Boon Daami Kenya Odweine Dilla Alleybaday Kulmiye Yagori Lasodawo Community Based Nutrition Sheikh Clinic Daami Adadley counseling individual (0 up to 6 months) sessions No. of 14136 9049 3035 9601 2973 1415 688 506 506 707 115 46 46 1 1 counseling (7 up to 24 individual months) sessions No. of 16445 3459 4250 2027 1304 1682 1244 1262 1277 318 318 107 107 2 2 counseling (pregnant individual women) sessions No. of 19709 2289 2657 1459 1358 2517 1193 561 159 118 110 118 110 0 0 Total no. of counseling individual sessions 50290 4050 5997 3829 5391 held 1592 2102 2517 548 245 245 201 201 16 0 sessions No. of group 7825 7825 1458 1092 held 109 109 410 527 527 116 67 28 72 0 0 attending females No. of 14604 4073 3563 1845 1875 1228 356 365 365 145 145 145 174 0 0 attending No. of males 4205 3657 399 799 799 260 245 245 410 413 261 127 26 0 0 Total no. of participant 18809 4856 4253 1056 2106 1355 408 408 1011 200 194 194 156 719 1 promotion sessions No. of 1780 1536 held 960 190 377 187 187 314 38 34 28 57 57 0 0 reached females No. of 16589 4449 5065 1300 2237 1832 869 454 433 433 180 180 491 0 3 reached No. of males 4665 4614 5352 1193 606 238 225 96 87 87 61 61 9 0 1 reached people no. of 21203 Total 4856 4493 2843 1538 698 884 965 256 256 520 44 44 0 1

Annual Report 2013 | Somali Red Crescent Society 45 ANNEX Table 7: Antenatal and Deliveries Services: Somaliland clinics al iiito o breastfeeding of (within 1 hr) initiation Early Vitamin A Iron Folate as treatment for anemia Haemoglobin level < 10 PNC visits POST NATAL CARE Number of Normal Deliveries DELIVERIES

Number of Deliveries Referred Out CDK Multiple Micronutrient Number of Complicated Deliveries Iron Folate as treatment for anemia Haemoglobin level < 10 Multiple Micronutrient ANTE NATAL CARE ANC 3rd + visit ANC 2nd visit ANC 1st visit Home Home MCH MCH

Sheikh 1076 509 200 467 289 299 570 320 183 182 153 172 20 24 14 5 2 2 Laso 1079 1026 288 749 344 374 285 724 422 135 371 161 93 27 19 8 4 4 Yagori 670 383 322 195 143 512 251 721 82 20 23 81 81 31 6 6 0

Kulmiye 2967 1046 1044 698 459 438 877 190 140 237 222 129 131 33 81 0 0

Dilla 1402 5013 1166 1753 2155 1225 1218 1331 289 614 29 24 10 18 31 0 3

Odweine 1677 638 682 270 243 357 322 150 130 281 24 53 71 17 6 0 4

Adadley 1206 1559 1167 986 443 629 350 545 633 561 83 67 0 0 0 0 0 1 Alleybaday 1999 1046 784 407 835 529 677 627 827 755 107 219 10 10 6 0 0 0 Boon 520 325 273 272 107 251 231 712 181 49 82 26 91 51 8 0 0 0

46 Annual Report 2013 | Somali Red Crescent Society ANNEX Table 8: Antenatal and Deliveries Services: Somaliland clinics ANC 3rd + visit Haemoglobin level < 10 Multiple Micronutrient ANC 2nd visit anemia Iron Folate as treatment for ANC 1st visit CDK breastfeeding (within 1 hr) Early initiation of Multiple Micronutrient ANTE NATAL CARE Number of Normal Deliveries DELIVERIES PNC visits POST NATAL CARE anemia Iron Folate as treatment for Haemoglobin level < 10

Deliveries Number of Complicated Vitamin A Out Number of Deliveries Referred Home Home MCH MCH

Daami 1090 1360 1348 1549 480 661 495 879 487 262 461 257 80 11 0 0 0 3 Eilafweine 1461 579 449 407 538 557 106 140 126 49 16 16 0 0 0 0 0 4 Mobile Awdal 1602 1744 1274 208 424 244 852 219 315 116 0 0 0 0 0 7 2 1 Mobile Sahil 2288 1045 1105 1120 1281 1513 903 348 425 115 115 36 14 11 0 0 0 3 Hargeisa Mobile 1 1955 242 390 647 724 822 401 817 718 821 64 36 39 42 0 0 0 4 Mobile 1 2270 1260 1042 Sool 1190 464 637 375 719 39 39 81 0 0 0 0 0 0 1 Mobile 2 1982 Sool 1457 509 402 382 382 927 918 35 35 0 0 0 0 0 0 3 3 Mobile 1 Sanaag 492 509 493 493 492 418 273 277 241 241 127 127 0 0 0 0 4 1 Mobile 2 Sanaag 380 430 505 543 295 195 107 107 511 66 55 55 0 0 0 0 0 0 Togdher 1485 390 565 138 265 392 575 753 522 94 20 21 0 0 0 0 0 1 Hargeisa Mobile 2 1,435 1,041 1,817 1,017 1023 800 524 417 910 235 417 91 11 0 0 0 3

Annual Report 2013 | Somali Red Crescent Society 47 ANNEX

Table 8: Antenatal and Deliveries Services: Somaliland clinics Under 5 years Over 5 years Clinic Total Females Males Females Males Iskushuban 720 694 2502 1412 5328 Ufayn 984 950 1641 1307 4882 Waciye 581 538 3143 1732 5994 Rako 769 824 1636 801 4030 Karkaar Mobile 4697 5452 2308 2596 15053 Bari Mobile 1717 6392 1752 4466 14327 Sinujiif 1233 1071 1333 1025 4662 Dangoroyo 1365 1052 3532 2684 8633 Qarxis 872 827 1933 1634 5266 EYL 918 948 1907 1300 5073 Godobjiiran 1651 1488 2214 1803 7156 Hasbahale 835 732 1312 1373 4252 Kalabaydh 533 658 1744 1058 3993 Jalam 616 721 2330 2006 5673 Nugaal Mobile 1 2055 1841 6239 4813 14948 Nugaal Mobile 2 2221 1841 3600 2668 10330 Harfo 986 904 2604 1927 6421 Bacadweyn 1449 1397 2051 1035 5932 Balibusle 1283 1414 3396 2745 8838 Jariiban 1408 1309 2078 1559 6354 Galkacyo town 5587 7173 23555 1239 37554 Goldogob 6504 4958 3978 2914 18354 Wisil 576 514 1897 1549 4536 Halaboqad 1114 790 1574 849 4327 Mudug Mobile1 1152 1260 4087 2814 9313 Mudug Mobile2 1054 1173 2900 2072 7199 Total 42880 46921 87246 51381 228428

48 Annual Report 2013 | Somali Red Crescent Society ANNEX Table 10: Children immunized: Puntland clinics and mobile teams Nugaal M1 Galkayo South Iskushuban Jalam Badweyn Harfo Rako Nugaal M2 Godob jiran Eyl Galdogob Bali Busle Bari Mobile Karkar Mob Waciye Hasbahale Ufeyn Mudug Mobile2 Jeriban Sin ujif Qarxis Kalabaydh Wisil Clinic Dangoroyo Halaboqad Total Mudug Mobile 1 9427 1034 1296 <1yr 659 396 504 296 462 376 387 724 186 189 160 253 356 144 163 103 139 152 771 231 271 80 95 0 BCG >1yr 256 272 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 2 6123 <1yr 384 349 338 370 256 250 168 357 257 727 651 187 162 120 219 175 125 312 161 141 117 90 62 74 71 0 OPV1 >1yr 805 220 161 66 88 44 26 20 47 73 23 14 12 11 0 0 0 0 0 0 0 0 0 0 0 0 0 5352 <1yr 659 288 299 264 559 220 196 109 225 138 195 195 319 103 143 261 153 317 191 110 86 93 70 82 77 0 OPV2 >1yr 194 128 718 66 40 44 38 45 26 62 37 21 0 8 0 0 0 0 0 9 0 0 0 0 0 0 0 5303 <1yr 569 360 326 328 106 188 552 199 164 194 327 103 176 219 201 137 137 217 311 96 99 111 65 59 59 0 OPV3 >1yr 896 238 137 123 68 40 50 38 28 62 24 57 14 17 0 0 0 0 0 0 0 0 0 0 0 0 0 DPT/Penta1 5748 <1yr 600 364 200 383 256 236 259 329 262 168 169 357 144 223 671 162 120 125 172 117 121 90 84 62 74 0 >1yr 739 161 181 66 88 44 20 47 73 21 12 11 8 0 0 0 0 0 0 0 0 0 0 0 0 0 7 DPT2/Penta 2 5090 <1yr 230 473 297 199 109 196 189 144 225 613 138 138 187 261 210 315 317 212 110 119 86 93 70 82 77 0 >1yr 164 691 103 128 40 44 38 45 33 37 25 21 6 0 0 0 0 0 0 0 0 0 0 0 0 0 7 DPT3/Penta3 5004 <1yr 474 343 326 302 106 188 552 199 184 148 184 237 252 103 154 187 137 213 211 99 111 111 65 59 59 0 >1yr 1011 196 146 157 123 123 40 54 45 62 28 21 12 0 0 0 0 0 0 0 0 0 0 0 0 0 4 Measles 5576 <1yr 406 489 436 344 264 204 720 262 292 166 106 148 273 158 185 187 153 152 132 98 84 59 95 87 76 0 3199 >1yr 248 424 632 108 186 235 144 158 185 130 134 123 127 122 83 85 42 23 10 0 0 0 0 0 0 0

Annual Report 2013 | Somali Red Crescent Society 49 ANNEX Table 11: Pregnant and non-pregnant received TT vaccines: Puntland clinics mobile teams Halaboqad Nugaal M2 Wisil Iskushuban Galdogob Galkayo South Rako Ufeyn Waciye Karkar Mobile Nugaal M1 Mudug Mobile 1 Total Mudug Mobile 2 Badweyn Bari Mobile Jalam Kalabaydh Dangoroyo Jeriban Harfo Bali Busle Sinujiif Qarxis EYL Hasbahale Godob jiran Locations 3880 264 256 236 267 267 324 PW 169 104 194 225 139 163 145 102 155 181 117 80 44 45 97 92 47 92 75 0 TT1 WCBA 1464 256 114 114 68 90 84 44 58 56 63 30 38 45 67 20 47 24 42 35 37 73 27 22 8 0 2 3195 287 PW 166 149 149 148 257 103 145 142 315 212 116 101 101 115 117 86 46 85 54 78 74 53 25 71 0 TT2 WCBA 1448 150 215 80 60 89 49 64 94 59 65 59 30 58 30 62 26 20 47 29 33 37 52 14 15 11 0 2312 350 PW 109 139 183 145 128 125 68 60 90 90 58 95 83 76 79 29 47 92 53 37 77 91 8 0 0 TT3 WCBA 1049 103 120 49 39 30 26 92 47 42 35 35 73 52 52 61 61 51 17 21 9 9 0 9 4 5 7 1701 PW 325 122 68 86 69 68 99 46 44 58 85 36 38 70 45 78 82 29 29 74 24 24 77 18 0 7 TT4 WCBA 696 60 56 50 43 28 47 29 35 37 73 16 91 10 19 41 15 17 9 0 0 8 0 4 4 3 1 1397 PW 165 281 60 69 68 49 83 67 78 28 29 47 24 52 72 22 16 61 61 19 13 17 0 9 0 7 TT5 WCBA 591 64 59 36 36 30 43 29 37 52 52 22 10 10 19 19 15 13 6 0 8 5 3 7 7 7 2 12485 1595 636 360 405 346 439 206 426 559 502 347 720 297 542 425 228 PW 910 537 327 772 516 391 381 147 471 0 Total WCBA 5248 306 200 209 208 284 329 734 320 276 220 228 184 232 158 301 281 129 157 95 39 83 70 57 77 71 0

50 Annual Report 2013 | Somali Red Crescent Society ANNEX Table 12: Children screened and given nutrition services: Puntland clinics mobile teams Clinic Galdogob Jeriban Mudug Mobile 1 Wisil Dangoroyo Galkayo South Badweyn Harfo Bali Busle Hasbahale Godob Eyl Mudug Mobile2 Halaboqad Kalabaydh Qarxis Sin ujiif Jalam Nugaal M1 Iskushuban Nugaal M2 Mobile Karkar Waciye Total Mobile Bosasso Ufayn Rako Odema 40 15 6 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 4 0 3 1 1 1 1 malnutrition Severe 2107 186 148 104 104 277 144 139 102 117 60 46 80 63 59 70 79 29 78 82 29 32 32 18 14 8 7 malnutrition Moderate 2079 9737 1081 1018 486 990 490 993 543 297 234 224 188 148 156 178 124 69 44 76 70 82 42 55 18 51 1 Normal 59989 6386 2667 2487 2882 1800 2249 1086 7832 2927 1883 1050 1838 2018 1209 3772 1302 2120 1164 1401 1491 2215 1813 2117 2112 997 1171 Total screened 71873 8748 2090 2376 4901 4019 2073 9103 3552 2109 3752 2233 1756 1303 1567 2322 1543 2519 1238 2129 2412 1891 1235 2715 1523 1631 1133 Vitamin 11854 2084 1186 966 488 630 369 807 439 288 356 583 365 823 276 778 425 164 381 191 86 40 87 34 A 0 8 0 3960 Zinc 206 289 228 202 601 186 148 325 237 104 223 156 158 136 129 122 211 40 39 39 62 29 32 22 15 21 De-worming 8506 2124 884 386 260 269 434 248 264 563 442 203 205 555 410 183 103 126 261 219 155 115 56 10 31 0 0

Annual Report 2013 | Somali Red Crescent Society 51 ANNEX Table 13: Antenatal and Services: Puntland clinics mobile teams Mudug Mobile 1 Balibusle Waciye Rako Nugal M2 Kalabaydh Hasbahale Godob jiran Eyl/Badey Dangoroyo Mudug Mobile 2 Halaboqad Wisil Galdogob Jeriban Bari Mobile Iskushuban Qarxis Badweyn Harfo Ufayn Galkayo MCH Karkar mobile Sinujiif Total Nugal M1 Jalam 1st visit 26,176 2438 7822 1943 1383 ANC 1421 1421 666 1119 607 862 624 385 750 707 779 234 220 335 325 233 391 178 132 312 177 712 2nd visit 14178 2387 1056 2016 ANC 500 805 368 398 483 826 298 947 428 738 203 202 202 100 198 337 491 148 195 361 126 174 191 3rd+ visit 18581 1308 1403 ANC 6172 680 486 604 496 494 500 463 789 626 620 445 330 778 108 196 352 572 527 128 124 271 37 72 Treatment Iron+Folic for ANC 18,867 3565 1268 1382 1023 1375 698 840 636 693 346 788 463 438 784 344 474 556 530 293 254 335 533 722 136 318 73 Micronutrient Supplements Multiple 11,454 2345 1045 1355 566 349 266 244 230 729 207 622 108 337 491 917 187 187 261 142 122 181 151 151 211 19 31 Referral ANC 144 42 23 10 10 13 21 0 0 0 0 0 0 0 0 4 4 4 2 2 2 2 2

1 1 1 consultation for ANC Women 73,565 14858 13345 11327 11216 8726 3529 1876 2081 2352 1263 2421 HIV 571 0 0 0 0 0 0 0 0 0 0 0 0 0 0

52 Annual Report 2013 | Somali Red Crescent Society ANNEX Table 14: Postnatal Services: Puntland clinics and mobile Teams Mobile2 Ufayn Mobile1 Total Rako Iskushuban Jalam Sin ujiif Mobile bari Waciye Bali Busle Jeriban Mobile Karkar Harfo Badweyn Godob jiran Kalabaydh Hasbahale Eyl/Badey Dangoroyo Mobiile 2 Mobile one Galdogob Qarxis Halaboqad Galkayo South Wisil consultation 21140 2206 7016 1256 PNC 1125 950 396 638 485 463 642 240 492 248 536 378 263 726 627 702 342 229 233 327 222 179 219 Given VIT A 5416 449 389 209 487 338 250 374 224 198 377 140 372 156 105 102 741 110 141 76 47 24 33 37 37 0 0 MMN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

treatment for Iron folic 9807 1592 PNC 2213 1154 670 209 434 434 426 345 203 547 242 183 178 143 102 128 142 111 59 92 42 42 16 81 19 MCH 2836 545 779 106 242 185 158 119 48 48 38 28 82 35 35 57 73 77 41 41 71 12 11 #of normal 0 2 2 1 delivery Home 6177 496 639 642 204 583 383 334 238 180 189 253 235 140 159 193 145 177 271 122 119 117 211 63 23 10 51 MCH 100 30 18 10 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 Complicated 7 7 2 1 1 1 delivery Home 182 36 26 24 53 17 0 0 0 0 0 0 0 0 0 0 0 6 4 3 3 2 2 2 2 1 1 Referral 133 42 23 12 12 0 0 0 0 9 0 0 0 8 4 4 4 3 2 2 2 2

1 1 1 1 Breastfeeding Initiation 7658 300 443 829 637 263 362 283 293 423 220 228 189 164 140 275 752 225 522 222 138 107 311 171 93 47 21

Annual Report 2013 | Somali Red Crescent Society 53 ANNEX Table 15: Infant and young child feeding counseling promotion services: Puntland clinics New Mobile Old Mobile clinic Jalam Iskushuban Kalabeydh Harfo Balibusle Jariban Ufeyn Sunajif Godobjiran Rako Galdogob Bacadwayn Waciye Clinic Total Wisil Halaboqad Galkacyo Dangorayo Qarxis X/bahale Eyl counseling individual (0 up to 6 months) sessions No. of 10699 5220 1033 498 746 367 302 282 727 179 123 123 132 122 115 121 98 89 84 95 78 74 91 10412 counseling (7 up to 24 individual months) sessions No. of 1168 1618 1316 1116 789 268 180 140 237 501 167 541 145 341 210 531 133 317 215 215 151 113 19908 counseling (pregnant individual women) sessions No. of 11190 1495 1477 490 796 576 302 239 747 229 190 198 148 158 318 178 182 214 147 142 321 171 41019 Total no. of counseling individual sessions 13233 3409 1645 4128 1359 held 7132 1777 1145 488 663 458 620 470 478 350 554 734 477 427 414 541 517 2598 sessions No. of group held 286 477 622 715 68 20 20 26 24 24 35 75 32 25 19 10 19 17 21 21 21 21 20185 attending females No. of 4034 6763 2655 3618 403 265 432 198 361 145 129 201 321 212 60 64 44 50 85 63 51 31 7934 attending No. of males 1388 3217 2212 295 138 123 99 59 93 67 28 37 10 18 91 18 10 6 6 5 7 7 28119 Total no. of participant 9980 4043 6246 3913 460 494 444 439 339 332 103 182 291 157 271 66 38 54 82 55 57 73 580 promotion sessions No. of held 116 141 58 50 38 28 35 32 51 31 0 0 0 0 0 0 0 0 0 0 0 0 1898 reached females No. of 422 180 140 130 147 351 153 132 122 121 0 0 0 0 0 0 0 0 0 0 0 0 1353 reached No. of males 274 107 214 142 137 112 89 93 93 92 0 0 0 0 0 0 0 0 0 0 0 0 3251 of people Total no. reached 696 290 565 254 252 322 222 214 215 221 0 0 0 0 0 0 0 0 0 0 0 0

54 Annual Report 2013 | Somali Red Crescent Society ANNEX

Table 16: Cases treated: Clinics in South and Central Under 5 years Over 5 years Clinic Total Females Males Females Males Afgoi 3006 3200 4862 1665 12733 Balcad 2282 2211 9180 3268 16941 Biyoley 3605 3764 12506 8538 28413 Garasweyne 764 707 2866 4845 9182 Berdale 2085 1894 6168 2325 12472 Hul-Wadaag 1671 1454 2663 1400 7188 Isha 531 677 2562 1443 5213 Qansaxdhere 2584 2668 6844 2407 14503 Abudwak 1245 1400 4198 2557 9400 Adado 1419 1431 5249 3466 11565 Dusamareb 1867 1850 6873 2731 13321 Elbur 1237 1416 4704 3037 10394 Galinsor 1104 1218 3532 2727 8581 Bardere 2514 2513 5311 2302 12640 Elwak 1936 1847 5548 2979 12310 Faafadhuun 1845 1765 5816 2038 11464 Badadhe 1921 2329 2512 1729 8491 Bulo Haji 1047 1178 2193 1895 6313 Farjano 5201 5303 6600 1709 18813 Kudha 1335 1575 2120 1475 6505 Mugambo 2458 2770 4714 2570 12512 Banada 2226 2091 5002 2149 11468 Gududei 2230 1970 4725 2320 11245 Jilib 1775 2497 4804 3573 12649 Sakaw 2059 2338 3855 2516 10768 Beletwein West 2868 3149 7756 2935 16708 MHT3 Banada 1603 1663 6028 2169 11463 MHT1 Sakaw 1047 1235 3909 2576 8767 MHT2 Sakaw 1515 1327 5958 2884 11684 MHT1 Bardera 2059 2064 5785 2507 12415 MHT2 Bardera 1774 2036 5871 2837 12518 MHT1 Biyoley 3372 3296 9700 7032 23400 MHT1 Farjano 3998 4034 2673 633 11338 MHT2 Farjano 5181 4940 2563 277 12961 Total 73364 75810 175650 91514 416338

Annual Report 2013 | Somali Red Crescent Society 55 ANNEX Table 17: Children and women immunized: Clinics in South Central Measles DPT III DPT II Polio II Polio I day) Polio 0 (birth BCG Tetanus IV Tetanus V Polio III tetanus) pertussis- (diphteria- DPT I Tetanus I Tetanus II Tetanus III <1yr 683 467 293 293 767 100 PW 831 817 187 175 175 10 51 31 Abudwak WCBA 2544 1039 1106 >1yr 184 184 331 331 118 0 0 0 0 0 4 <1yr 270 PW 165 195 197 197 197 197 197 197 197 197 197 67 35 Adado WCBA >1yr 368 368 368 368 368 368 368 368 368 0 0 0 0 0 1403 1536 1787 1787 <1yr 898 1221 859 634 479 278 922 618 PW 193 79 Afgoi WCBA 2452 >1yr 498 503 553 614 614 510 0 0 0 0 0 0 0 Badhadhe <1yr PW 50 63 67 28 33 19 12 0 0 0 0 8 9 1 WCBA >1yr 90 76 22 11 0 0 0 0 0 0 0 0 4 2 <1yr 480 464 360 396 678 458 364 403 305 354 816 PW 772 341 3 Balcad WCBA 1387 <1yr 406 376 242 322 821 421 50 0 0 0 0 0 0 1073 1107 >1yr 966 628 437 PW 441 421 66 65 43 34 35 0 0 Bardera 4 334 10 6 0 10 0 0 0 0 261 171 WCBA 0 0 <1yr 156 387 391 73 0 592 151 293 161 205 156 188 PW 191 224 >1yr Baledweyn 69 102 109 42 0 185 238 30 22 24 113 944 WCBA 10 18 <1yr 1230 1339 1339 1151 32 1340 1015 187 13 65 1228 1151 PW 226 226 >1yr Berdale 0 0 0 29 0 0 71 51 24 31 0 29 WCBA 84 59 <1yr

56 Annual Report 2013 | Somali Red Crescent Society ANNEX

Table 18: Children and women immunized: Clinics in South and Central

Dusamareb Elwak Fafahdhuun Farjanno Galinsoor Gedo MHTs Completed EPI: <1yr >1yr <1yr >1yr <1yr >1yr <1yr <1yr <1yr >1yr <1yr Measles 609 1167 311 307 260 134 575 541 256 446 130 125 BCG 877 158 365 0 550 0 796 86 533 70 0 0 Polio 0 (birth day) 2 0 2 0 0 0 92 96 0 0 0 0 Polio I 864 2587 405 238 598 377 1144 193 409 1126 0 0 Polio II 401 266 240 80 609 227 434 120 265 365 0 0 Polio III 246 126 102 115 450 127 319 82 138 178 0 0 DPT I (diphteria- 864 1009 282 0 419 0 896 122 409 488 0 0 pertussis-tetanus) DPT II 401 266 220 0 430 0 434 116 265 365 0 0 DPT III 246 126 102 0 459 0 319 82 138 178 0 0

PW WCBA PW WCBA PW WCBA PW WCBA PW WCBA PW WCBA Tetanus I 695 0 79 0 201 0 527 0 219 0 33 0 Tetanus II 253 0 62 0 68 0 332 0 151 0 23 0 Tetanus III 132 0 21 0 34 0 220 0 79 0 28 0 Tetanus IV 81 0 17 0 17 0 141 0 54 0 14 0 Tetanus V 57 0 7 0 22 0 120 0 28 0 22 0

Annual Report 2013 | Somali Red Crescent Society 57 ANNEX

Table 19: Children and women immunized: Clinics in South and Central

Hawlwadag Isha Kismayo MHTs Kudha Qasaxdhere Completed EPI: <1yr >1yr <1yr >1yr <1yr >1yr <1yr <1yr <1yr >1yr Measles 224 197 293 293 904 1008 64 116 197 142 BCG 553 0 745 21 494 241 0 0 432 0 Polio 0 (birth day) 10 0 45 10 69 0 0 0 6 0 Polio I 571 2186 1245 130 702 386 22 40 462 118 Polio II 391 18 392 98 420 211 40 43 356 71 Polio III 342 1152 506 175 207 132 23 39 276 11 DPT I (diphteria-pertussis-tetanus) 581 41 730 59 630 281 5 5 468 0 DPT II 396 15 392 45 423 184 7 4 365 0 DPT III 342 0 503 175 207 107 5 2 291 0

PW WCBA PW WCBA PW WCBA PW WCBA PW WCBA Tetanus I 191 0 383 0 710 44 31 13 179 140 Tetanus II 233 0 308 0 389 23 6 10 108 86 Tetanus III 181 0 382 0 183 15 3 5 59 85 Tetanus IV 109 0 314 0 95 0 2 2 54 54 Tetanus V 171 0 176 0 37 0 2 2 55 64

58 Annual Report 2013 | Somali Red Crescent Society ANNEX

Table 20: Children provided with nutrition services: Clinics in South and Central Oedema Severe Moderate Normal Total Afgoi 361 782 1980 5537 8660 Balcad 12 513 1058 1507 3090 Biyoley 26 1864 6490 9268 17648 Garasweyne 15 992 2240 3685 6932 Berdale 22 106 1884 2054 4066 Hul-Wadaag 2 725 2241 3286 6254 Isha 1 1131 3375 4746 9253 Qansaxdhere 9 758 2757 7132 10656 Abudwak 1 444 1435 2688 4568 Adado 1 472 1525 2745 4743 Dusamareb 1 520 1892 3350 5763 Elbur 1 178 1317 2391 3887 Galinsor 5 850 1804 2774 5433 Bardere 81 5980 2813 8337 17211 Elwak 20 1322 1175 3459 5976 Faafadhuun 11 268 768 2808 3855 Badadhe 1 241 1687 5042 6971 Bulo Haji 0 50 394 1819 2263 Farjano 25 1329 4670 10889 16913 Kudha 4 167 1129 2463 3763 Mugambo 29 263 1528 4241 6061 Banada 15 406 1658 3098 5177 Gududei 97 435 1455 2631 4618 Jilib 74 537 1489 2419 4519 Sakaw 57 595 2771 3346 6769 Beletwein West 9 81 341 4951 5382 MHT3 Banada 9 579 2621 3978 7187 MHT1 Sakaw 30 512 1420 3601 5563 MHT2 Sakaw 29 454 2218 4165 6866 MHT1 Bardera 0 0 0 0 0 MHT2 Bardera 0 0 0 0 0 MHT1 Biyoley 17 1607 5198 8654 15476 MHT1 Farjano 15 688 2057 6899 9659 MHT2 Farjano 6 738 2746 9322 12812 Total 986 25,587 68,136 14,3285 237,994

Annual Report 2013 | Somali Red Crescent Society 59 ANNEX

Table 21: Children provided with nutrition services: Clinics in South and Central

Vitamin A Number of cases Folic acid Mebendazole distribution with iron deficiency distribution distribution <5 Years 3757 874 0 2454 Abudwak Pregnant women 0 722 0 1020 Postpartum 0 243 0 0 <5 Years 1365 940 0 0 Adado Pregnant 70 622 0 1393 Pospart. 38 233 0 0 <5 Years 4181 182 0 314 Afgoi Pregnant 9 975 0 23 Pospart. 165 49 0 0 <5 Years 448 0 0 99 Badhadhe Pregnant 0 0 0 36 Pospart. 205 0 0 0 <5 Years 1608 0 0 1120 Bakool MHTs Pregnant 0 643 0 0 Pospart. 0 469 0 0 <5 Years 1596 447 447 399 Balcad Pregnant 0 1239 1549 185 Pospart. 274 187 220 0 <5 Years 301 28 0 864 Banada Pregnant 142 0 0 0 Pospart. 0 0 0 0 <5 Years 894 44 22 0 Bardera Pregnant 0 846 914 74 Pospart. 0 203 237 0 <5 Years 868 4 0 1109 Baledweyn Pregnant 0 928 935 97 Pospart. 883 353 234 0 <5 Years 325 0 0 133 Berdale Pregnant 99 0 0 31 Pospart. 223 0 0 0 <5 Years 1873 201 0 1329 Biyoley Pregnant 0 585 0 0 Pospart. 0 412 0 0 <5 Years 169 0 0 336 Bulohaji Pregnant 0 0 0 8 Pospart. 126 0 0 0 <5 Years 4535 843 0 3165 Dusamareb Pregnant 33 718 100 1218 Pospart. 33 202 13 0 <5 Years 1072 785 0 0 Elbur Pregnant 0 553 0 782 Pospart. 0 188 0 0 <5 Years 775 0 0 95 Elwak Pregnant 104 611 766 403 Pospart. 59 297 117 0

60 Annual Report 2013 | Somali Red Crescent Society ANNEX

Vitamin A Number of cases Folic acid Mebendazole distribution with iron deficiency distribution distribution <5 Years 437 0 0 0 Fafahdhuun Pregnant 0 1405 1526 Pospart. 0 346 346 0 <5 Years 1157 11 0 886 Farjanno Pregnant 0 20 17 112 Pospart. 256 18 0 0 <5 Years 1274 833 0 0 Galinsoor Pregnant 66 474 0 625 Pospart. 30 155 0 0 <5 Years 973 14 2 753 Garasweyne Pregnant 0 268 0 16 Pospart. 2 327 0 0 <5 Years 0 0 0 0 Gedo MHTs Pregnant 0 0 0 0 Pospart. 0 0 0 0 <5 Years 420 46 0 915 Gududei Pregnant 39 0 0 0 Pospart. 59 0 0 0 <5 Years 2653 15 0 196 Hawlwadag Pregnant 0 0 0 186 Pospart. 29 0 0 0 <5 Years 850 2 2 330 Isha Pregnant 0 0 0 31 Pospart. 58 0 0 0 <5 Years 389 30 0 1092 Jilib Pregnant 0 0 0 0 Pospart. 0 0 0 0 <5 Years 1403 0 0 2847 Kismayo MHTs Pregnant 0 0 0 298 Pospart. 897 0 0 0 <5 Years 599 0 0 452 Kudha Pregnant 63 0 0 33 Pospart. 206 0 0 0 <5 Years 541 20 253 701 Mugambo Pregnant 0 0 37 167 Pospart. 387 0 57 0 <5 Years 4306 15 36 1732 Qasaxdheere Pregnant 0 59 483 319 Pospart. 428 43 315 0 <5 Years 542 41 0 2149 Sakaw MHTs Pregnant 0 0 0 0 Pospart. 0 0 0 0 <5 Years 350 0 0 1114 Sakaw Pregnant 80 0 0 0 Pospart. 0 0 0 0

Annual Report 2013 | Somali Red Crescent Society 61 ANNEX

Table 22: Safe motherhood services: Clinics in South and Central ANC 1st ANC PNC 1st PNC Deliveries Total

Visit Re-visits Visit Re-Visits MCH HOME Deliveries Afgoi 3469 1184 370 0 2 665 667 Balcad 2505 437 570 39 0 895 895 Biyoley 1259 441 7402 397 2 505 507 Garasweyne 343 189 926 273 0 151 151 Berdale 1487 44 2141 51 32 235 267 Hul-Wadaag 982 163 1142 6 82 120 202 Isha 1646 1191 771 565 110 277 387 Qansaxdhere 860 1012 3741 179 86 123 209 Abudwak 1171 349 342 127 17 335 352 Adado 1151 442 451 180 2 416 418 Dusamareb 1530 500 401 71 7 336 343 Elbur 1105 389 288 116 2 303 305 Galinsor 771 264 235 93 0 239 239 Bardere 1270 541 614 356 68 222 290 Elwak 1950 472 382 184 23 278 301 Faafadhuun 2017 484 462 345 0 222 222 Badadhe 339 479 599 213 0 88 88 Bulo Haji 198 474 731 254 6 96 102 Farjano 1301 1726 1252 411 17 228 245 Kudha 275 371 593 210 0 78 78 Mugambo 477 868 887 600 0 196 196 Banada 682 351 1590 632 28 75 103 Gududei 464 424 1292 642 18 107 125 Jilib 1034 190 1755 320 97 151 248 Sakaw 543 364 1200 507 21 132 153 Beletwein West 2043 303 734 109 3 241 244 MHT3 Banada 590 250 2850 662 11 120 131 MHT1 Sakaw 620 415 1285 823 13 106 119 MHT2 Sakaw 818 499 1654 653 0 110 110 MHT1 Bardera 2044 366 414 219 0 4 4 MHT2 Bardera 2125 544 406 181 0 0 0 MHT1 Biyoley 1254 334 6838 295 0 281 281 MHT1 Farjano 415 665 771 301 0 105 105 MHT2 Farjano 432 600 835 402 7 75 82 Total 39,170 17,325 45,924 10,416 654 7,515 8,169

62 Annual Report 2013 | Somali Red Crescent Society