Puntland Nutrition Working Group

Puntland Nutrition Meeting (MOH conference hall, 9:00 AM, 14 - November, 2013)

1. Welcome and Introductions: The meeting commenced with recitation of verses from the Holy Quran followed by the opening remarking of Mr. Ali Dhouh, Director of Public Health, who welcomed the participants and hoped that the meeting will be fruitful and action points to respond the emergence will be shared with the president, emergency standing committee and all stakeholders for action. A round of introductions was done each participant stating his/her name and agency. A total of eighteen (18) participants from SCI, WVI, APD, ANPICAN, SRCS, WFP, UNICEF and MOH attended, Dr. Abdirahman (UNICEF explained the purpose of the meeting as to provide a coordination platform for nutrition partners to share up to date information on on-going and planned nutrition interventions across Puntland to prevent and treat malnutrition by finding out gaps and overlaps for streamlining.

2. Updates of the situation of recent emergency due to cyclone in the coastal areas of B/Bayla, Dangoronyo and Eyl A state of emergency has been declared by Government of Puntland due to the Tropical storm which hit the coastal regions of Nugal and Kar-kaar regions on 9-10th November, 2013 and damage caused damage. The cluster and sectors have been asked to coordinate, develop and present a response plan to support the most affected and vulnerable populations in the above mentioned two districts as a priority and at same time also look at the damage and needs of other districts and initiate relief activities in other regions too. According to the information provided by UNDP, health cluster and the Government sources,  Most affected districts are situated around a triangle along the coast line, Bandar.Bayla, Dangoronyo and Eyl districts the 3 corners of the triangle covering an area of 250sq.kms.  Mortality – 100 plus people (No breakdown of age given). Cause of Mortality is Hypothermia (body temperatures falling below normal)  Loss of 500,000 Livestock’s due to their exposure to hail storm and rain for 5 consecutive days.  Around 5,000 HHs are in need of immediate humanitarian assistance.  Both districts have nomadic populations especially Dangoronyo which incidentally has only one MCH, while Eyl has 5 MCH centres.  SRCS is in the process of implementing EPHS through the JHNP funds. While in 8 villages in Eyl district, World Vision International ( WVI) is implementing mobile OTPs for the management of acute malnutrition through its own funds

Nutrition Cluster Coordination Puntland, Garowe-Puntland Tel: +252-90794224/ http://somalia.humanitarianresponse.info/clusters/nutrition +252-90790639 For more information contact, Anisa Ali Mohamed: [email protected] ; or Abdirahman Aden: [email protected] Sub-national Nutrition Cluster Focal Points:

Puntland Nutrition Working Group

 WFP is supporting mobile TSFP services at 12 sites in each of these two districts and also has 2 social mobilisers at each site for follow-up, orientation and sensitization of the population through Kulmiye an WVI  In Bandar.Bayla, Save the Children is the implementing partner with support of UNICEF and WFP is establishing OTP, MCHN and TSFP fixed sites for prevention and management of acute malnutrition in position to provide emergency support as well  SRCS, WVI and Save have trained personal available for the implantation of NHHP package ( Nutrition, Health and Hygiene Promotion)

Puntland government established a task force comprising of key ministries, UN agencies, and NGOs, led by the Puntland Ministry of Interior, which continues to meet daily in Garowe. Alongside response activities, assessments are being done to determine any gaps are on-going. The health cluster through rapid assessment (MIRA) identified gaps in water, shelter, food, and NFIs around Dangoronyo while a joint UN and partners’ aerial assessment confirmed reports of major livestock losses. Based on the recommendation of this task force 14 distribution points have been already established in the 2 districts of Dangoronyo and Eyl. Besides the urgent need of NFI, Food and shelter as a result of this emergency situation there could also be a possible of diarrheal outbreak hence there is a need to distribute zinc ORS,

3. Nutrition Emergency Response and Preparedness plan to the situation:

 Government established taskforce (Risk committee) containing MoH, HADMA and MOPIC , number of coordination meetings were conducted,  Number of clusters including Health, WASH, Nutrition and shelter clusters are actively responding the situation at this moment, and emergency stock were organized,  Health team with health supplies send to the affected areas today, SCI contributed the operational cost (logistics and DSA for teams) for the health team  IFRC and ICRC distributed food in the affected districts of Eyl, Dangoronyo and Bandarbayla,  WFP distributed General food for current nutrition programs run by HADO (Bandarbayla), KDO (Dangoronyo) SRCS and World vision (Eyl) this week Sunday. GFD will be for one month in three districts (Beyla, Eyl and Dangoronyo)  UNICEF distributed Health and nutrition supplies including Zinc tab, ORS, and health kits, and NFI including hypothermal kits and plastic sheets through partners (WVI, SRCS, SCI and MOH) operating in the affected area,

Puntland Nutrition Working Group

4. On-going health and Nutrition Activities in the affected districts:

A. Eyl District  Four MCH centers (Qarhis, Hasbahale; Dewed and Godob-Jiran) integrated with MCHN program (PLW and children under 2 years);  Twelve mobile sites with targeted supplementary feeding program for management of moderately acute malnutrition.  Eleven Outpatient Therapeutic Care Program (4 fixed and 8 mobile) for management of Severe Acute malnutrition.

B. Dangoronyo District  One MCH integrated MCHN (PLW and children under 2yrs) in Dangoronyo.  Twelve mobile sites with targeted supplementary feeding program for management of moderately acute malnutrition.  Food for work

C. Bandar Bayla District  B/ Bayla & Dhudo MCH centres  Two fixed OTPs and MCHNs integrated with B/Bayla and Dhudo MCH centres.  Food for work

5. Proposed Nutrition Activities to respond Malnutrition in the Emergency

Eyl District  Strength and monitor existing services;  Establish 2 mobile integrated emergency health and nutrition response teams for affected communities in Eyl district.  Provide general Food Distribution (GFD) for one months

Dangoronyo District  Strength and monitor existing services;  Establish 2 mobile integrated emergency health and nutrition response teams for affected communities in Dangoronyo district.  Provide general Food Distribution (GFD) for one month

Bandar Bayla District  Strength and monitor existing services;  Establish 14 OTP fixed sites .  Establish 14 MCHN fixed sites.  Provide general Food Distribution (GFD) for one month. Nutrition Cluster Coordination Puntland, Garowe-Puntland Tel: +252-90794224/ http://somalia.humanitarianresponse.info/clusters/nutrition +252-90790639 For more information contact, Anisa Ali Mohamed: [email protected] ; or Abdirahman Aden: [email protected] Sub-national Nutrition Cluster Focal Points:

Puntland Nutrition Working Group

Proposed Integrated Health/Nutrition Package for Mobile teams Interventions Main target group Numbers ( 71,000 total population of 2 districts) Measles vaccination 9 months – 59 months 12,247 (17.25%) bOPV 0 – 59 months 14,200 (20%) PENTA Children <1 2,840 (4%) Vitamin A 6-59 months 12,780 (18%) MUAC Screening 6 – 59 months 12,780 (18%) TT Women of childbearing age (15-49 yrs) BP 5 Biscuits PLW and 6-59 month 7,100 (10%) and 12,780 (18%) Multi-Micronutrient Tabs – Pregnant & lactating 7,100 (10%) MNT women Deworming 12-59 months 11,360 (16%) ORS, ZINC 6-59 months 12,780 (18%) Aqua Tabs 6-59 months 12,780 (18%) RUTF /OTP 6-59 months ( severely 383 ( 3% of the under 5 malnourished) population)

6. Any Other Business: There being no any other business the meeting came to a close.

Action Points: (current meeting) (Capture all action points from all the discussion, indicate the responsible agency and time line meant for each action point) Action Points Focal agency/person Timeline

Puntland Nutrition Working Group

List of the Participants

NO NAME ORG Email.com 1 Mako Abdi Mohamed MOH [email protected] 2 Mohamed Abdi Ali MOH [email protected] 3 Mowlid Mohamed Isse SCI Mowlid.isse@savethe children 4 Mohamed Mire Said SRCS [email protected] 5 Mohamed Ibrahim Gure MOH [email protected] 6 AbdIrahaman Aden Said WFP [email protected] 7 Su1ad Said Nasir APD APD/[email protected] 8 Fadumo Ahamed Hassan ANPPCAN [email protected] 9 Abdirizak Saalad Mohamed ANPPCAN Cc [email protected]

10 Abdirahaman Yusuf Muse UNICEF [email protected] 11 Mohamud Ali Abdille WVI [email protected] 12 Siraad Aden Mohamed SRCS [email protected] 13 Hibaaq Hamud Mohamed MOH [email protected] 14 Abyan Abdi Ahamed SCI [email protected] 15 Abdirahaman Aden Muse UINCEF [email protected]