Somalia Nutrition Cluster
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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, Somalia 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 BPSC has withdrawn its IYCF intervention in Banadir to give way to ANPPCAN but will remain in other regions outside Banadir, In case of any expansion plans or new Nutrition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] SOMALIA NUTRITION CLUSTER interventions the agency will consult with cluster to to avoid overlaps and duplication of efforts. Trocaire; planning to re-open the stabilization centre in Dolow 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 Afgooye district 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 Dharkenley district 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 Gedo Pastoral, N Gedo Riverine, N Gedo Agropastoral, S Gedo Riverine, S Gedo Pastoral, and S Gedo Agropastoral, Beletweyne District, Mataban 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 Bakool Regions), especially the qualified Somali professionals. This four year project is funded by DFID. Partners were encouraged to submit narrative reports