SOMALIA NUTRITION CLUSTER

Minutes of the National Nutrition Cluster Meeting Monday, 19th January 2015, 10:10 am to 12:50 am MoH Meeting hall Afgooye Road, Wadajir Mogadishu,

1. Welcome and Introductions: The meeting chaired by Dr Abdirahman Hufane-MOH and Abdullahi Nur-Nutrition cluster, commenced with Holly Quran verses followed by round the table introduction of participants. Abdullahi brought to the partners’ attention that FSNAU post Deyr nutrition vetting would be done in the course of the meeting, he then introduced the agenda and called out for additional items but no suggestions were brought forth.

It was noted some of Mogadishu-based partners rarely attend the nutrition cluster coordination meetings. MoH and the cluster encouraged increased participation at all levels; both national and sub-national cluster meetings .Members were notified that organizations that rarely attended the monthly cluster meetings would be named and shamed.

2. Review and endorsement of the last cluster meeting minutes and follow up on the action points: The review of last meeting’s minutes of 1st December 2014 was done and approved as a correct record of issues discussed. Action points were also followed up accordingly; see the status on page 5 of the minutes.

3. Key Agency/Organization program highlights New Ways; Established a 3 months (January – March 2015) emergency OTP Program in Kurtunwarey and Buulo Mareer with the support of UNICEF. The organization informed members that the malnutrition situation in the surrounding districts - parts of Qoryooley and Barawe is getting worse due to lack nutrition programmes.

WCH: To stop SC activities in Wanlawayn district owing to lack of SC supply specifically F75 and F100w. This might adversely impact the earlier suffered community living around Wanlwayn and surrounding districts, the agency therefore appealed to UNICEF to renew its PCA

BPSC; to commence Community-based IYCF intervention in February (22 districts and nine regions) accompanied by a parallel community-based Mine Risk Education which is protection for the community around the areas where BPSC is going to implement IYCF activates. BPSC has withdrawn its IYCF intervention in Banadir to give way to ANPPCAN but will remain in other regions outside Banadir, In case of any expansion plans or new

Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel: +254-20-7628400

1 United Nations, Block Q, Nairobi, Kenya http://somalia.humanitarianresponse.info/clusters/nutrition Fax: +254-20-7623989 For more information, contact; Samson Desie-Nutrition Coordinator: [email protected] Page Page Abdullahi Nur Aden, Nutrition Cluster Coordination Assistant [email protected]

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interventions the agency will consult with cluster to to avoid overlaps and duplication of efforts.

Trocaire; planning to re-open the stabilization centre in district by late February 2015. The agency will also conduct Basic Nutrition Services Package (BSNP) for its nutrition staff.

FERO; Relief International supported project with FERO around the outskirt of has come to an end, hence FERO is conducting mobile health and nutrition interventions in the area .However, the agency is unable to sustain the activities beyond January unless the its contract with UNICEF is renewed. UNICEF was requested to finalize on the PCA soon to avoid service gaps in Omer Bere, Maguurto and other villages under Afgooye district.

QRC; Recently opened TSFP/OTP programmes in Badbaado IDP in of Mogadishu. The centre commenced operation admitting 24 SAM and 60 MAM cases. Health and nutrition related education sessions on the importance of the breastfeeding, hygiene and vaccination were routinely given to the mothers/caretakers.

Forum reflections;  It was noted that QRC TSFP programme overlapped with SORRDO’s in Dharkenley district.  QRC had publicly indicated that it bought Plumpy-nut/sup supplies from the market. This could encourage supply of large quantities of nutrition products in markets for sell.

Recommendations;  The nutrition cluster does not recommend procurement of nutrition supplies locally as it will encourage supply leakage to the market.  Since SORRDO is already implementing TSFP Program in Badbaado, Qadar Red Crescent should liaise with the cluster to find alternative area where the service is needed to avoid overlapping.  Government should control humanitarian products ferried into the market, especially the nutrition supplies.  WFP and UNICEF should monitor and control their partners over the supplies usage by any means deemed to be suitable.

Banadir Hospital; A suggestion was made on mapping out the nutrition services among the implementing agencies around the corridor, following health assessment by Somali Medical association in Mogadishu-Afgooye corridor IDPs. Because easily accessible IDPs along Afgooye corridor have been benefitting from these nutrition services. A small task force is to be created, comprising of; the nutrition cluster, the SNS Consortium, MOH – Nutrition Unit, SORRDO and other partners, with the assignment of reviewing , performing a nutrition service mapping and coming up with a way forward.

Action Points:

 CWW, ACF and SCI to conduct OTP service mapping in the corridor (together with the cluster and MoH nutrition unit) Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel: +254-20-7628400

2 United Nations, Block Q, Nairobi, Kenya http://somalia.humanitarianresponse.info/clusters/nutrition Fax: +254-20-7623989 For more information, contact; Samson Desie-Nutrition Coordinator: [email protected] Page Page Abdullahi Nur Aden, Nutrition Cluster Coordination Assistant [email protected]

SOMALIA NUTRITION CLUSTER

 SORRDO and SCI to conduct TSFP service mapping in the corridor (together with the cluster and MoH nutrition unit)  The Nutrition Cluster to liaise with WFP and UNICEF over the issue of supplies leakage into the market.

4. Post Deyr 2014 Nutrition Situation among IDPs in Somalia: Moalim and Abukar from FSNAU shared the Post Deyr 2014 nutrition survey results with cluster partners for vetting.

Key Highlights-Post Deyr 2014/15 • The overall level of acute malnutrition in Somalia has declined since Post Gu (6 months ago) but the current median rate in South Central region is still “critical” (≥ 15% GAM). • The number of acutely malnourished children across Somalia (prevalence) is estimated at 202 600 (UNDP-2005) which represents a 7 % decline from Post Gu 2014 (6 months ago). Of these 38 200 are severely malnourished which is a 13% decline since Gu 2014 and 31% decline since Deyr 2013/14 (one year ago). More than 80 % of these children are located in South Central region. • Nutrition situation remains Serious to Critical amongst IDPs which indicates a need to scale up and sustain ongoing interventions. This is also suggested by improvement in nutrition situation demonstrated by coordinated scaling up of interventions among the Mogadishu and , Kismayo IDPs where situation of humanitarian emergency existed in Gu 2014 • High levels of sustained acute malnutrition seen in most of the livelihoods in SC Somalia/IDPs suggest an urgent need for Nutrition Causal Analysis for humanitarian actors to identify and rank causes of undernutrition and plan more effective interventions to tackle persistent malnutrition in certain livelihoods. • Although mortality is low, the high levels of wasting , stunting, underweight and , maternal malnutrition recorded in areas where prevalence of acute malnutrition is high requires further strengthening and expanding implementation of comprehensive multi- sectoral interventions to address the nutritional situation of under 5 children • Current nutrition hotspots where malnutrition rates are Critical are the following: Bay Agro pastoral, N Pastoral, N Gedo Riverine, N Gedo Agropastoral, S Gedo Riverine, S Gedo Pastoral, and S Gedo Agropastoral, Beletweyne District, , Dolow IDPs, Baidoa IDPs, Bossasso IDPs, Garowe IDPs and Galkayo IDPs.

Comments/contributions Trocaire, an implementing agency in integrated health and nutrition program in Gedo, inquired why the nutrition situation has deteriorated in Dolow IDPs. FSNAU and the cluster suggested the following factors: -Low health service. -New IDP arrivals. -Dolow is a transit route for IDP where families split and some remain in Dolow while rest move to Ethiopia. -Lack of food assistance coupled with poor care practice by the caretakers. Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel: +254-20-7628400

3 United Nations, Block Q, Nairobi, Kenya http://somalia.humanitarianresponse.info/clusters/nutrition Fax: +254-20-7623989 For more information, contact; Samson Desie-Nutrition Coordinator: [email protected] Page Page Abdullahi Nur Aden, Nutrition Cluster Coordination Assistant [email protected]

SOMALIA NUTRITION CLUSTER

-Low immunization coverage in the Gedo region, where measles cases are routinely reported.  Key agencies and the cluster should come up with a better way of investigating the real contributors of the recurrent malnutrition in Somalia.Aden Mahdi- the representative of the SNS consortium member organizations (SCI, ACF, CWW and Oxfam Novib) urged participants to make plans of being involved in conducting nutrition causal analysis in some parts of Somalia (Hiran, Banadir, Bay and Regions), especially the qualified Somali professionals. This four year project is funded by DFID.  Partners were encouraged to submit narrative reports along with their monthly statistical reports so that people is at least aware of the nutrition situation and the factors contributing to malnutrition and the challenges existing in advance.  FSNAU should recommend future program sustainability following the nutrition situation improvement.

Action points Abdullahi to share Post Deyr 2014/2015 nutrition survey results presentations with the nutrition cluster members.

5. Nutrition Cluster Coordination team’s update:  Knowledge sharing session; The nutrition cluster came up with the initiative substituting Agency program highlights agenda item with Knowledge Sharing Session – which all partners will participate on rotational basis to share their experiences, lessons learnt, success stories. Partners were invited partners to book a slot for February 2015 nutrition cluster meeting. Banadir hospital volunteered and will prepare a presentation for the upcoming February Nutrition Cluster meeting.  Introductory Nutrition Cluster Partners Consultative Workshop; Abdullahi updated the partners on the Introductory Nutrition Cluster Partners Workshop held in Nairobi-Kenya on 12th to 13th of January 2015. It aimed on revitalizing the coordination mechanism and pave ways for upcoming years on a more systematic and integrated approach with in the spirit of mutual respect and mutual interest among all the cluster members, partners and observers. The workshop was attended by the Somali Government MoH official, the cluster partners/members and cluster lead agency management.

Action points The consultative workshop report, the presentations made and the key documents will be disseminated upon completion of the report.

6. MoH Update:  SUN Movement: Somalia became the 52nd country to join SUN movement in 2014. The aim of the movement is to improve nutrition services. Ministry of Health, Ministry of Agriculture, Ministry of Labour, Ministry of commerce and industrialization, civil societies and business community are included in the board to take part nutrition services improvement of the country.

Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel: +254-20-7628400

4 United Nations, Block Q, Nairobi, Kenya http://somalia.humanitarianresponse.info/clusters/nutrition Fax: +254-20-7623989 For more information, contact; Samson Desie-Nutrition Coordinator: [email protected] Page Page Abdullahi Nur Aden, Nutrition Cluster Coordination Assistant [email protected]

SOMALIA NUTRITION CLUSTER

 Dr Hufane reminded the partners to refill and resubmit the nutrition service mapping form that was disseminated earlier for some partners had filled the form inaccurately.

7. AOB:

Action Points from the 19th January 2015 meeting Action Points Focal agency/person Timeline Status CWW, ACF and SCI to conduct OTP service mapping in the SCI-Aden Mahdi 5th February Progressing corridor (together with the cluster and MoH nutrition unit) 2015

SORRDO and SCI to conduct TSFP service mapping in the SCI-Aden Mahdi and 5th February Progressing corridor (together with the cluster and MoH nutrition unit) SORRDO-Hashim 2015

The Nutrition Cluster to liaise with WFP and UNICEF over the Nutrition Cluster – 25th Jan 2015 Open supplies in the market Abdullahi/Samson

Share Post Deyr 2014/2015 nutrition survey results Nutrition Cluster-Abdullahi 25th Jan 2015 Done presentations with the nutrition cluster members. The consultative workshop report, the presentations made and Nutrition Cluster-Samson 21st Jan 2015 Done the key documents will be disseminated upon completion of the report. Partners to submit and resubmission by those wrongly filled the All partners 20th Jan 2015 Pending mapping form earlier shared Dr Hufane

Action Points from the 1st December 2014 meeting Action Points Focal agency/person Timeline Status Share Post Deyr 2014 nutrition situation presentation Abdullahi-Nutrition Cluster Immediately Done and presentation on nutrition update with the nutrition cluster members Work on the possibility of ensuring Health, WASH and Food Abdullahi-Nutrition Cluster January 2015 Progressing security Clusters attend the Nutrition Cluster meetings. Share the contact details for ACF, SORRDO and CWW with Abdullahi-Nutrition Cluster Immediately Done IOM for referrals purposes Bring OCHA’s attention to risk assessment complains by local Samson-Nutrition Cluster Immediately Done NGOs for it is thought to categorize local partners as having more risk than the international ones.

Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel: +254-20-7628400

5 United Nations, Block Q, Nairobi, Kenya http://somalia.humanitarianresponse.info/clusters/nutrition Fax: +254-20-7623989 For more information, contact; Samson Desie-Nutrition Coordinator: [email protected] Page Page Abdullahi Nur Aden, Nutrition Cluster Coordination Assistant [email protected]

SOMALIA NUTRITION CLUSTER

Participants List

Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel: +254-20-7628400

6 United Nations, Block Q, Nairobi, Kenya http://somalia.humanitarianresponse.info/clusters/nutrition Fax: +254-20-7623989 For more information, contact; Samson Desie-Nutrition Coordinator: [email protected] Page Page Abdullahi Nur Aden, Nutrition Cluster Coordination Assistant [email protected]

SOMALIA NUTRITION CLUSTER

Name Organization/Ministry Name Organization

Dr Abdirahman Hufane MoH Abdullahi Nur Aden Nutrition Cluster

Ibrahim Mohamed Nur MoH Hashim Aden Jelle SORRDO

Khadija Ali Gedi MoH Ayan Dahir Mohamed IOM

Sayid-omer Ahmed MoH Abukar Yusuf FSNAU

Mohamed Alas MoH Idhow Nour Abdi Muslim Aid UK

Abdi Nour Abdi MoH Mohamed Moalim Hussein FSNAU

Ibrahin Adan Ali New Ways Farhia Ali Abdi FERO

Dr Lul Mohamed Banadir Hospital Abdullahi Mohamed Ibrahim WFP

Shire Madobe Hassan APD Abdirehman Yusuf SRC

Sahra Mohamed Omar Intersos Ahmed Abdi Medair

Mohamed Yusuf Abdille Aid Vision Liban Abukar SAACID

Ubah Hassan Dhimbil QRC Issak Nur Adan SHADA

Rage Ismail Ali CAFDARO Aden Mohamed Ali CWW

Adan Mahdi SCI Abdi Yusuf Jimale Himilo F.

Dr Abdirashid Adan IRC Bishar Olad BPSC

Mohamed Ader Ibrahim WCH Ubah Ahmed SOYDA

Anas Mohamed Yusuf Mercy USA Naima Warsame ACF

Ahmed Sahal Somali Aid Nuh Sh. Ibrahim ACF

Muhidin Abdi Hussein SHARDO Abdullahi Nur Mohamed ACF

African Relief and Yahye Abdi Mohamud DEH Abdulkadir Mohamud Hassan Development

Aynale A. Warsame HDOS Mohamed SRDA

Aweys Mohamed SRDA Mohamed Mudhir Hassan JCC

Adan Yusuf Maalim SOYVGA Osman Mohamed Abdikarin MGV Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel: +254-20-7628400

7 United Nations, Block Q, Nairobi, Kenya http://somalia.humanitarianresponse.info/clusters/nutrition Fax: +254-20-7623989 For more information, contact; Samson Desie-Nutrition Coordinator: [email protected] Page Page Abdullahi Nur Aden, Nutrition Cluster Coordination Assistant [email protected]

SOMALIA NUTRITION CLUSTER

Alas Abukar Hassan Trocaire

Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel: +254-20-7628400

8 United Nations, Block Q, Nairobi, Kenya http://somalia.humanitarianresponse.info/clusters/nutrition Fax: +254-20-7623989 For more information, contact; Samson Desie-Nutrition Coordinator: [email protected] Page Page Abdullahi Nur Aden, Nutrition Cluster Coordination Assistant [email protected]