SOMALIA NUTRITION CLUSTER – CONTINGENCY PLANNING AND RESPONSE PREPAREDNESS PLAN DDEVELOPED BY PARTNERS IN REGION

1. Executive Summary

Gedo is the second largest region in and currently part of State with an estimated population of 248241 1 people. It borders Orgaden in , North Eastern Province in Kenya and Somalia regions of , Bay, Jubbada () and Juba Hoose () further down East. The region consists of 7 districts namely: Belet Hawo, Baardhere, El-waq, Doolow, Garbahaarrey, and districts. There are two major rivers that run through the region, the Dawa and Juba Rivers. The runs along the border of Ethiopia into Somalia’s Gedo region while starts from Doloow, just north of , and through Buurdhuubo and Baardheere. The region comprises of three main rural livelihoods namely: pastoral, agro pastoral and riverine (Juba riverine pump irrigation). The majority of the population are however the pastoralists and agro-pastoralists. Northern Gedo forms the largest pastoral group in the region rearing mainly cattle, a few sheep, goats and while the South Gedo pastoral mainly keep camel besides few sheep and goats. The main crop grown in the agro-pastoral zone is sorghum. The economy of Gedo hugely depends on rearing livestock and farming in addition to inter-regional and international cross-border trade with Kenya and Ethiopia. According to the reports of the bi- annual FSNAU seasonal food security and nutrition analysis, North Gedo (Doloow, Luuq and Belet Xaawo districts) has been more severely affected by the food security crisis and has persistently faced emergencies since 2004. This has been attributed to climatic factors, in which poor rain performance / drought has contributed to reduced crop production and death of less drought resistant livestock, especially cattle and sheep. Consequently the nutrition situation in the region has also remained poor with most assessments conducted in the region since 1995 recording GAM rates of above the emergency threshold of 15% 2. The security and access situation in North Gedo particularly Luuq and Dollow has relatively improved for INGOs and UN bodies. The areas are controlled by the Somalia National Army forces backed by Ethiopian Forces. On the contrary South Gedo is more insecure due to continued clashes between the AMISON forces and Al-Shaabab as well as greater access for Al-shabaab in the rural areas of Garbahaarreey, Buur dhuubo and Baarhdere districts. Local NGOs have more access in these part and little or no access for INGOs and UN bodies.

The objective of the contingency plan is to ensure that Gedo humanitarian partners under the umbrella of the Nutrition cluster are well prepared to respond to an emergency and its potential humanitarian impact in a timely and effective manner. This will be achieved by putting in place strategies that will enable the nutrition partners to respond effectively to any emergency situation. The process of developing the document involved the inputs of nutrition cluster partners and included analysis of hazards and risks analysis, looking at the different scenarios as well as as estimating supplies and other resources involved. Harsh climate and conflict were the major hazards identified in Gedo region. The target beneficiaries are 19804 children under the age of 5 with lifesaving interventions. The plan has also outlined several strategies and activities that require to be done in order to effectively respond and these includes setting up and capacity building of an emergency response tea comprising of 21 staff with representation from all the 7 districts, updating of the 4W matrix, mapping of resources as well as setting up a surveillance system as well as thresholds for triggering response. A contingency planning group consisting of four members will take the lead in updating the contingency plan every 6 months to ensure that it reflects the context. All nutrition response activities will be managed and coordinated by the nutrition cluster and will also involve relevant government institutions as well as the UNOCHA which coordinates inter-agency meetings and assessments.

2. Hazard & Risk Analysis The two major hazards in Gedo region which pose a potential risk are harsh climate which ranges from drought to floods as well as conflict which is either clan related or the ongoing fighting between Al-shaabab and the Somalia National Army with support from AMISOM. The harsh climate has often led to loss of livelihoods due to destruction of crops or reduced crop production, death of livestock from hunger and/or diseases as well as displacement of people as a result of conflict to much safer places. The burden of IDPs in the region is huge owing to the already existing capacity and resource constrains in the region. According to January 2012 UNHCR report on IDPs the region was home to approximately 76510 IDPs with an estimated 16380 in Luuq, 30000 in Doolow and approximately 1800 in Belet Xaawo. An assessment report by the Shelter cluster in May 2013 indicated that Doolow IDPS were home to 20, 628 IDPs. The number of IDPs in Luuq has reportedly gone up with more people being displaced from Bardheere district and Bay and Bakool region as a result of the offensive by AMISOM targeting the Al-Shaabab. As a result there is a high probability of an increase in the number of food insecure household, increased morbidity rates especially diarrhea, ARTI, malaria and kalazaar 3 among others. Consequently malnutrition rates and child mortality rates are likely to go up in absence of adequate lifesaving health and nutrition services.

3. Scenarios & Planning Assumptions Scenarios Floods Drought Conflict Planning assumption Worst case There will be There will be The conflict The community is floods in the severe drought between the Al- aware of the entire Gedo – reduction in Shaabab expected el nino and region the amount of persists and based and are taking affecting that rainfall in the becomes more precautionary will affect all next season intense and Al- measures the livelihood leading to a shaabab gains zones prolonged dry control in more The presence of AL- spell that areas leading to shaabab in an areas affects multiple an increase in affects access for livelihoods or displacements of both LNGOs and districts people and INGOs to provide reduced access humanitarian for humanitarian interventions actors

Likely There will be There will be The fighting The organizations ( Scenario floods in moderate between Al IPs) in the region some parts of drought Shaabab and have the capacity to the region affecting only Somalia National respond to the which will one livelihood Army allied to situation affect mainly zone or district AMISON will the riverine eventually stop livelihood and more towns zones will be liberated from Al-Shaabab control and communities will be able to return to their homes and access for humanitarian actors will improve 4. Objectives & Strategies The aim of Gedo contingency plan is to ensure that Gedo humanitarian partners under the umbrella of the Nutrition cluster are well prepared to respond to an emergency and its potential humanitarian impact in a timely and effective manner. These objective will be achieved by: • Setting up surveillance system • Mapping of Implementing partners, existing services and resources • Mobilization of additional resources required through the national nutrition cluster • Setting up and Capacity building of an emergency response team • Building the capacity of the implementing partners in order to improve the quality of nutrition live saving interventions

5. Overall Management & Coordination Arrangements

• Nutrition cluster partners will actively participate inter-agency contingency preparedness and response planning meeting coordinated by UNOCHA

• Nutrition partners under the leadership of the nutrition cluster and contingency group will take lead in planning and responding to nutrition needs in case of a disaster

• The Contingency planning group will periodically guide the review of the contingency plan for Gedo after every six months

• At all the levels of planning and responding relevant government officials including local authorities will be involved

Arrangement for appeals and funding. The partners through the nutrition cluster will map up the resources available (what is actually available and commitments from implementing partners) and the nutrition cluster will support in sourcing for the balance.

Information management arrangements Partners will be trained on the reporting during emergency and provided with standard reporting tools for emergency response. Data and a brief situation report (half a page) for affected area/ region will be collected and sent to Nutrition Cluster IM periodically (the reporting period to be agreed upon). The IM will be responsible for compiling and sharing the information with the nutrition cluster partners and other relevant bodies

Cross-cutting issues. Protection issues – In an emergency situation there is a power dynamic between the staff providing services and beneficiaries of the interventions. This can easily lead to abuse and exploitation of the beneficiaries by the NGO staff. In order to ensure that the beneficiaries are protected the measures below will be put in place to prevent such incidences: • Training of emergency response team on expected code of conduct • Include protection issues in the initial rapid assessment prior to the response • Provide beneficiaries with information on the services being provide, venue and days, their entitlement as well as the expected behavior of those providing services to them • Set up a complain response and feedback mechanism why beneficiaries can report • Set up and train the complaint response committee team on how to investigate a complain

6. Summary of Sector / Cluster Response Plans

Objectives Response actions Gap analysis Standard guiding response Develop an early Quarterly mass screening Lack of existing community based Triggers for activation of response warning system / surveillance system in place surveillance system Action plan for MUAC screening per zone Monthly review of nutrition data ( admission Lack of coordinated Mass trends ) during nutrition cluster meeting screening activities Standard indicators for reporting during monthly nutrition cluster meetings Setting admission thresholds that trigger response Mapping of IP and Frequently updating the Gedo nutrition 4W Partners providing inaccurate Nutrition rationalization plan existing services matrix information

Annual review of the rationalization plan Overlapping of sites in some areas while other areas are left out Identification of hot spots for setting up temporary sites in case of an emergency and for close monitoring Set up an emergency Partners to send in names and contacts of No exiting team in place Basic knowledge on IMAM response team from technical staff who can be called upon in case of active nutrition an emergency Training on initial rapid assessment and implementing Few number of technical nutrition nutrition in emergencies partners in the region Training of response team on Initial Rapid staff and therefore need for assessment continuous capacity building of Staff of nutrition implementing partner who are staff active participants in the Nutrition cluster Mapping of resource Develop a budget for the contingency plan There are few partners that have a Gedo Nutrition Contingency budget standby contingency budget Identification of available resources Delay in resource allocation and Mobilizing for resources required disbursement in the event of a disaster Stand by proposal document Prepositioning of supplies Refresher training / Training of staff on nutrition in emergency Proper selection of relevant Training manuals / guidelines capacity building – participants for the nutrition standard protocols, Refresher training of staff on IYCF/ IMAM trainings Standard protocols ICRC code of Availability of TOTs from the conduct, Refresher training of staff on humanitarian region Existing references e.g Sphere Humanitarian Humanitarian principles, ICRC code of conduct , SPHERE etc Charter and Minimum Standards in Disaster principles, protection Language barriers since most of Response issues etc the documents are in English Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGOs) in Disaster Relief

Review of Review of the plan every 4 months Commitment of cluster partners to Existing contingency plan contingency plan to the process fit the context

Preparedness Actions

Agreed priority preparedness actions What Responsible person/ Organization When Mapping of IP and existing nutrition services – Nutrition Primary partners 16 th September 2015 4W matrix Mapping of required and available resources Nutrition Cluster Chair with partners 16 th September 2015 Setting up of disaster response team Nutrition Co-chair with IPs End of September Training on nutrition in emergencies NCC TBD Preposition of supplies WV Mid-September Establishment of surveillance response and NC with the leadership of Nutrition contingency identification of triggers for response planning group End of November

Preparedness actions by sector.

What Responsible person/ Organization When Community mobilization and sensitization Local authority leaders TBD Resource mobilization through advocacy NCC with support from partners Continuous

Continuous capacity building of staff NCC and IPs Continuous

7. Annexes

Response plan supplies and funding request template

Capacity Building Expenses for Response Team (Training on IYCF, SAM Movement and Supervision Background Major Supply requirement & MAM Management ) at Service delivery Level OTHE RUTF SF R U5 Expecte required Expected Required HEAL STATE LOCALITY/CAMP POPULATI d SAM (for 6 MAM (for 3 SENIOR TH ON Cases months) Cases month) HEALTH PROF Grand Cartons MT PROFESSIO ESSIO Response Drivers NALS NALS Cost Team DSA DSA Fuel Cost Total

Somalia Luuq 13275 664 2190 2655 6.05 2 3 750 2100 300 1200 4350 Somalia Burdhubo 4, 779 239 789 956 2.18 1 2 450 1260 300 1200 3210 Somalia Belet Haawo 11947 597 1971 2389 5.44 2 3 750 2100 300 1200 4350 Somalia Doolow 9027 451 1489 1805 4.11 2 2 600 1680 300 1200 3780 Somalia El-wak 4686 234 773 937 2.13 1 2 450 1260 300 120 0 3210 Somalia Garbahaarreey 10622 531 1753 2124 4.84 2 3 750 2100 300 1200 4350 Somalia Baardhere 24879 1244 4105 4976 11.33 2 4 900 2520 300 1200 4920 79 215 3961 13070 15843 36.07 11 20 4650 13020 2100 8400 28170

Emergency Nutrition response profile and capacity

Background Profile # and level of Supporting/ TOTAL Available Current LOCALITY/ U5 health implementing Missing STATE POPULAT facility and Interventio CAMP POPULATION professionals partners on the interventions ION type ns available ground 1 Hospital TSFP 1 OTP and TSFP and BSFP services in Bol MCH 16 senior staff , OTP Garus area 5 OTP site 20 auxiliary SC 1 OTP and TSFP 15 TSFP nurses site in Elbon sites Trocaire , Somalia Luuq 66375 13275 16 BSFP sites SRDA/WVI , EDRO 1 MCH RAAS TSFP 1 SC in the OTP sites 9 auxiliary staff GEWDO OTP district Somalia Burdhubo 23 895 4, 779 TSFP sites 14 Qualified OTP Nurse TSFP 17 Auxiliary SC 1 Hospital nurse MCHN 3OTP sites - 4 lab BSFP - 18 TSFP - 3 Nutrition sites staff TROCAIRE -9 BSFP sites - 1 Pharmacy -AMA -4 MCH tech. - HIRDA Somalia Belet Haawo 59737 11947 -1 SC -HDC I referral HC 2 Health Centre

1 MCH

Somalia Doolow 45135 9027 OTP -PHC 12 OTPs 3 A/nurse -HARD -SC 7-MCH -SRCS Somalia El-wak 23 429 4686 -GEWDO 1 hospital RAAS OTP 1 SC GEWDO SC services OTP Somalia Garbahaarreey 53110 10622 HIRDA OTP 1 SC HARD SC services Somalia Baardhere 124 397 24879 OTP TOTALS 396 078 79 215

I. Supplies Item designation Unit Quantity needed Quantity in stock Quantity to be available Plumpy nut Cartons Plumpy doz/ sup MT Vitamin A Tins Dewormers Tins

EPI ( measles) Vails Amoxyl syrup Bottles F75 Cartons F100 Cartons Cartons RESOMAL Zinc tabs

II. Immediate preparedness actions Actions to be carried immediately Responsible Timeframe Status (when latest to be done) Coordination Monthly Coordination meeting Nutri tion sub Cluster 3rd week of every chair month Inter - cluster coordination meeting UNOCHA Every last week of the month 1. Trainings & capacity building September 2015 Training nutrition in emergency Nutrition cluster

Supplies UNICEF /WFP August 2015 2. 3. 4. 5. 6. 7. 8. 9. Reporting, Monitoring and Evaluation of response Regional team October 2015 performance 10. Monthly nutrition updates All implementing By 5 th of every partners month 11. Routine Mass MUAC screenin g SRDA – Luuq August 2015, RAAS – Burdhubo November 2015 February 2016 12. Joint monitoring of activities UNOCHA October 13. Bi - annual review of contingency work plan Contingency review January 2016 group