Djibouti JAM Report 2013 – January 2014 United Nations United Nations World Food Programme High Commissioner for (WFP) Refugees (UNHCR) JOINT ASSESSMENT MISSION Ali Addeh and Holl Holl Camps, Djibouti 18 to 24th November 2013 LIST OF ACRONYMS AMDA Association of Medical Doctors of Asia APEF L’association pour la Protection et l’Epanoissement de la Famille BSFP Blanket Supplementary Feeding Programme DFJ Djibouti Franc EFSA Emergency Food Security Assessment EPI Extended Program on Immunization FAO Food and Agriculture Organization of United Nations FGD Focus Group Discussion FSMS Food Security Monitoring Syatem GAM Global Acute Malnutrition GoD Government of Djibouti HIV Human Immune Deficiency Virus IOM International Organization for Migration JAM Joint Assessment Mission LWF Lutheran World Federation MAM Moderate Acute Malnutrition MoH Ministry of Health NFI Non-Food Item NGO Non-Governmental Organisation NRC Norwegian Refugee Council ONARS Office National d’Assistance aux Réfugiés et Sinistrés PDM Post Distribution Monitoring PMCT Prevention of Mother to Child Transimission PRRO Protracted Relief and Recovery Operation PSN People with Special Needs PTA Parents Teachers' Association SAM Severe Acute Malnutrition SC Stabilisation Centre SFP Supplemental Feeding Programme SMC School Management Committee TB Tuberculosis THR Take Home Ration TLU Tropical Livestock Unit UNFD Union Nationale Des Femmes Djibouti UNHCR United Nations High Commissioner for Refugees UNICEF United Nations Children Funds VCT Voluntary Counselling and Testing WFP World Food Programme 1 TABLE OF CONTENTS LIST OF ACRONYMS .................................................................................................................................. 1 TABLE OF CONTENTS ............................................................................................................................... 2 Executive summary .................................................................................................................................... 5 Methodology ................................................................................................................................................ 8 Time-frame .......................................................................................................................................... 8 Team composition .............................................................................................................................. 8 Team structure .................................................................................................................................... 8 Process ................................................................................................................................................ 8 Part one: BASIC FACTS ........................................................................................................................... 10 Refugee numbers and demography .............................................................................................. 10 Policy context .................................................................................................................................... 11 Changing trends in the host community ....................................................................................... 11 Host population’s attitude towards the refugees ......................................................................... 11 PART TWO - Food security, Food assistance and markets ................................................................. 12 Food Security ........................................................................................................................................ 12 Food sources and use ..................................................................................................................... 12 Food habits and preferred food basket ......................................................................................... 13 Food consumption ............................................................................................................................ 14 Food expenditure ............................................................................................................................. 14 Food markets .................................................................................................................................... 15 Potential for cash/voucher .............................................................................................................. 16 Food assistance targeting, distribution and monitoring .................................................................. 16 Food ration ........................................................................................................................................ 16 Targeting arrangements .................................................................................................................. 16 Distribution arrangements ............................................................................................................... 17 Food basket .......................................................................................................................................... 17 Entitlement calculation ..................................................................................................................... 17 Claims of missing entitlements ....................................................................................................... 18 Coping mechanisms ........................................................................................................................ 19 PART THREE - Health, nutrition, ration composition and education .................................................. 19 General status of the refugees ........................................................................................................... 19 Nutritional status of refugees .............................................................................................................. 20 Household food access/nutrient intake ............................................................................................. 21 Selective and blanket feeding programmes ..................................................................................... 22 Health status ......................................................................................................................................... 23 Education ............................................................................................................................................... 23 PART FOUR - Water and Sanitation, Domestic Energy, Shelter .......................................................... 25 Water availability .................................................................................................................................. 25 Sanitation ............................................................................................................................................... 26 Domestic energy................................................................................................................................... 27 Housing and shelters ........................................................................................................................... 28 PART FIVE - Livelihoods and durable solutions ................................................................................... 29 Self-reliance opportunities .................................................................................................................. 29 2 Livelihoods activities ........................................................................................................................ 29 Labour opportunities ........................................................................................................................ 30 Access to credit ................................................................................................................................ 31 Vocational training ............................................................................................................................ 31 Own production ................................................................................................................................. 31 Remittances ...................................................................................................................................... 32 Food and self-reliance strategies ....................................................................................................... 33 Durable solutions .............................................................................................................................. 33 Voluntary Repatriation ..................................................................................................................... 33 UNHCR’s position ................................................................................................................................ 33 WFP’s position on voluntary repatriation ........................................................................................... 34 Resettlement ..................................................................................................................................... 34 Local integration ..............................................................................................................................