IPC ACUTE MALNUTRITION ANALYSIS YEMEN JANUARY 2020 – MARCH 2021 ACUTE MALNUTRITION HITS RECORD LEVELS IN YEMEN WITH A DEVASTATING TOLL ON CHILDREN Issued in February 2021 UNDER FIVE YEMEN Acute Malnutrition Situation January - JulyIPC ACUTE 2020 MALNUTRIITON ANALYSIS KEY FIGURES JANUARY - DECEMBER 2021 Current Analysis Period | January - July 2020 Number of Severe Acute Saudi Arabia Oman Malnutrition (SAM) cases 395,195 * 2,254,663 Sa’ada Lowland Sa’ada Highla nd Hadhramaut Valleys & Deser t Number of Moderate * Al Maharah Al Jawf ** ** ** Acute Malnutrition Am**ran Hajjah* *Lowland Number of cases of Hajjah Highlan d ** (MAM) cases 1,859, 468 Sana**’a City Marib* Rural Al M*ahwit* Highla nd Marib City children aged 0-59 Al Mahwit Lowland Sana’a Temp**erate Highland ** Sa*na*’a Dr y Highland Sana’a D**r y Highland Hadhramaut Coastal Al Hudaydah Lowla nd** months acutely Shabwa h ** * Raymah East Dhamar ** ** ** Red Sea West Dhama r Arabian Se a malnourished 1,155,653 ** Al Ba**yda Al Hudaydah HighlandWes**t Ibb East** Ibb ** Al D**hale’e Abyan H**ighland Cases of pregnant and Lahj Highland Taizz** City Taizz Highland ** Abyan** Lowland Socotra Taizz Lowland** ** IN NEED OF TREATMENT lactating women acutely ** Eritre a Lahj L**owland Aden Gulf of Aden Ethiopia ** malnourished Djibouti The boundaries and names shown and the designations used Map Symbol Map Boundaries by the United Nations. A1 paper size 1:1,750,000 1 - Acceptable Urban settlement classifcation International Boundary rs ne Governorate Boundary Data Sources: t 2 - Alert Various including FSLA, Cluster reports, FAO-FSTS market r IDPs/other settlements a Country Boundary monitoring data, mVAM and other reports. P IN NEED OF TREATMENT classifcation 3 - Serious Coast Line Creation Date: sis y Acute MalnutritionEvidence level: Situation August - Decemberl 2020YEMEN December 2020 4 - Critical a Acceptable n Contact Information: A AP KEY 5 - Extremely critical * IPC ACUTE MALNUTRIITON ANALYSIS Medium M ** Email : [email protected] High Pr IPC ojection Analysis Period | August - December 2020 *** Food Security Technical Secretariat (FSTS) en Areas with inadequate evidence Scarce evidence due to limited ¯ Dr. Khader Atroosh: Email : [email protected] em Areas not analysed or no humanitarian access 0 20 40 80 120 160 Dr.Abdulwahed Mukred: Y Overview Kilometers Email : [email protected] Saudi Arabia How Severe, How Many and When: Over 2.25 million cases of Oman Sa’ada L*owland children aged 0 to 59 months, and more than a million cases Sa’ada Highla nd Hadhramaut Valleys & Deser t * Al Maharah Al Jawf ** ** ** of pregnant and lactating women, are projected to suffer from ** Hajjah* *Lowland Amran Hajjah Highlan d ** ** Marib* Rural acute malnutrition in the course of 2021 in Yemen. Out of the 35 ** Sana’a City Al Mahwit Highla nd Marib City Al Mahwit Lowland Sana’a Temp**erate Highland ** Sa*na*’a Dr y Highland Sana’a D**r y Highland Hadhramaut Coastal zones included in the IPC Acute Malnutrition (IPC AMN) current Al Hudaydah Lowla nd** Shabwa h ** * Raymah East Dhamar ** ** ** Red Sea West Dhama r Arabian Se a analysis, two zones were classified in Critical (IPC AMN Phase ** Al Ba**yda Al Hudaydah HighlandWes**t Ibb East** Ibb ** Al D**hale’e Abyan H**ighland Taizz** City Lahj Highland 4), 26 in Serious (IPC AMN Phase 3) and the remaining seven Taizz Highland ** Abyan** Lowland Socotra Taizz Lowland** ** ** Eritre a Lahj L**owland Gulf of Aden zones in Alert (IPC AMN Phase 2) during the period of January Aden Ethiopia ** Djibouti – July 2020. The situation was projected to deteriorate further The boundaries and names shown and the designations used Map Symbol Map Boundaries by the United Nations. A1 paper size 1:1,750,000 1 - Acceptable Urban settlement classifcation International Boundary rs ne Governorate Boundary Data Sources: t 2 - Alert Various including FSLA, Cluster reports, FAO-FSTS market r IDPs/other settlements a Country Boundary monitoring data, mVAM and other reports. P 3 - Serious classifcation Coast Line Creation Date: sis y during the period of August – December 2020: the number l Evidence level: December 2020 4 - Critical a Acceptable n Contact Information: A AP KEY 5 - Extremely critical * Medium M ** Email : [email protected] YEMEN Projected Situation January - March 2021 IPC (North) High *** Food Security Technical Secretariat (FSTS) en Areas with inadequate evidence Scarce evidence due to limited ¯ Dr. Khader Atroosh: IPC ACUTE MALNUTRIITON ANALYSIS Email : [email protected] em of zones in IPC AMN Phase 4 was expected to increase to 13. Y Areas not analysed or no humanitarian access 0 20 40 80 120 160 Dr.Abdulwahed Mukred: Kilometers Email : [email protected] Projection Analysis Period | January - March 2021 An additional analysis of 22 zones in the north for which data is available shows that, during the period of January – March Saudi Arabia Oman 2021, seven zones will be in Serious (IPC AMN Phase 3) and the Sa’ada L*owland Sa’ada Highla nd remaining 15 zones will be in Critical (IPC AMN Phase 4). This Hadhramaut Valleys & Deser t * Al Maharah Al Jawf ** ** additional projection analysis was only possible for the north Hajjah* *Lowland Amran Hajjah Highlan d ** Sana**’a City Marib* Rural since, according to the IPC protocols, projections can only be Al M*ahwit* Highla nd Marib City Al Mahwit Lowland Sana’a Temp**erate Highland ** Sa*na*’a Dr y Highland Sana’a D**r y Highland Hadhramaut Coastal Al Hudaydah Lowla nd** carried out up to 12 months from data collection. Shabwa h * Raymah East Dhamar ** ** Red Sea West Dhama r Arabian Se a ** Al Ba**yda Wes**t Ibb East** Ibb Al Hudaydah Highland ** Where: Acute malnutrition is a major public health problem in ** Al Dhale’e Abyan Highland Taizz** City Lahj Highland Taizz Highland Abyan Lowland Socotra several parts of the country, with 80% of the zones in IPC AMN Taizz Lowland** Eritre a Lahj Lowland Aden Gulf of Aden Ethiopia Phase 3 or above during the analysis period of January – July Djibouti The boundaries and names shown and the designations used Map Symbol Map Boundaries by the United Nations. A1 paper size 1:1,750,000 1 - Acceptable Urban settlement classifcation International Boundary rs ne Governorate Boundary Data Sources: t 2020. With Critical levels of acute malnutrition, Taiz Lowland and r 2 - Alert Various including FSLA, Cluster reports, FAO-FSTS market IDPs/other settlements a Country Boundary monitoring data, mVAM and other reports. P 3 - Serious classifcation Key for the Map Coast Line Creation Date: sis y Evidence level: December 2020 l 4 - Critical a Acceptable n Contact Information: A AP KEY 5 - Extremely critical * Medium M ** Email : [email protected] Hajjah Lowland were in IPC AMN Phase 4 during the period of IPC High *** Food Security Technical Secretariat (FSTS) en Areas with inadequate evidence Scarce evidence due to limited ¯ Dr. Khader Atroosh: IPC Acute Malnutrition Phase Classificationem Email : [email protected] Areas not analysed or no humanitarian access 0 20 40 80 120 160 Dr.Abdulwahed Mukred: Y January to July 2020. While these two zones remained in IPC Kilometers Email : [email protected] 11 - -Acceptable Acceptable 55 - -Extremely Extremely critical critical MapMap Symbols Symbols EvidenceEvidence Level Level AMN Phase 4, the acute malnutrition situation was projected1 - Acceptable to 5 - Extremely critical Map Symbols Evidence Level AcceptableAcceptable PhasePhase classification classification UrbanAcceptableUrban settlement settlement ** Phase classification22 - -Alert Alert basedbasedUrban on on settlement MUAC MUAC * classificationclassification **** MediumMedium further deteriorate and the following 11 zones were 2projected - Alert Medium HighHigh based on MUAC AreasAreasclassification with with inadequate inadequate ** ****** 33 - -Serious Serious *** IDPs/otherHighIDPs/other settlements settlements ScarceScarce evidence evidence due due to move to IPC AMN Phase 4 during the period of January3 - Serious – Areas with inadequate evidenceevidence evidence IDPs/other settlements classificationScarceclassification evidence due toto limited limited or or no no 44 - -Critical Critical AreasAreasclassification not not analysed analysed to limited or no humanitarianhumanitarian access access March 2021: Abyan Lowland, Lahj lowland, Al Jawf, Al-Mahweet4 - Critical Areas not analysed humanitarian access Lowland, Hodeidah Highland, Hodeida Lowland, Marib Rural, Raymah, Sa’ada Highland, Sa’ada Lowland, Taiz Highland, and West Dhamar. Why: The major contributing factors to the acute malnutrition situation include: (1) High prevalence of communicable diseases (with 2 in 5 children suffering from diarrhoea in the north and 1 in 4 children affected by diarrhoea in the south, while about 60% of children in the north and 25% of children in the south are affected by malaria/fever); (2) Elevated levels of acute food insecurity (with all 22 zones projected to be in IPC Acute Food Insecurity Phase 3 or above in the north and 17 of the 19 zones projected to be in IPC Acute Food Insecurity Phase 3 or above in the south); (3) Poor Infant and Young Child Feeding practices (with only about 40% in the north and about 50% in the south meeting minimum dietary diversity requirements, while exclusive breastfeeding prevalence being less than 35% in the north and less than 25% in the south); (4) Poor access to nutrition and health services (limited access due to conflict in several zones and decline in access and utilization of health and