BRCiS & Caafimaad Plus; (2023) BRCiS & Caafimaad Plus: Nutrition and Mortality Monitoring in IDP Populations: Report on Round 3 - December 2022. BRCiS & Caafimaad Plus

Text NMS 2022 Phase 2 - Report 3 FINAL 27.01.2023.pdf - Published Version Access restricted to UCL open access staff Download (937kB)

Abstract

This is the third report from the 2022/2023 Nutrition and Mortality Motioning System project. This sentinel site data collection continues to provide near real-time data on the evolution of the crisis and the adequacy of the humanitarian response. While the upscaled response has contributed to avoiding famine, projected for the end of 2022, the current situation and near term outlook continue to be very serious. It has been possible to expand the number of IDP sites included in this data collection round due to additional support provided by the Caafimaad Plus consortium Between November 21st and December 11th, 2022, data was collected from 3,072 households in 25 IDP sites in Khada and Daynille in the Afgooye Corridor, Baidoa, Diinsor, and Galkayo. IDP had originated from villages in a variety of districts, mainly from Bay, Lower Shabelle, and Bakool. Seventy eight % of the residents in the camps interviewed in round 3 were from the Digil and Mirifle clan and 10% were from minority clans. The predominant household water source varied by location with public taps most frequent in Kahda and Galkayo, tankers in Baidoa and Daynille, and water vendors/donkey carts in Diinsor. There was increased use of wells and springs in Baidoa, presumably due to the effect of the Deyr rains. As in Round 2, inadequate drinking water continued to be the most marked in Diinsor. Defecation in the open field was reported by a substantial proportion of respondents in all areas except Kahda. The situation in Dayniile has deteriorated since round 2 with 70% now reporting open field defecation. The GAM by MUAC prevalence measured in 3 / 5 areas continued to exceed the threshold for IPC Phase 4/5 (Critical) Acute Malnutrition. However, in Dayniile there has been a sharp decrease since round 2 and this area is now classified as Serious-Critical rather than Critical-Extremely Critical. In Galkayo, a similar prevalence was observed. In all previously measured areas a decrease in acute malnutrition was observed, but the overall situation remains very serious. Malnutrition treatment coverage has decreased somewhat since round 2 with the exception of Baidoa. There have been some improvements in health record card possession and vaccination coverage. However, only 21% of children aged 0-59 mo. possessed a health record card and measles vaccination coverage only reached 62%. The two week period prevalence of suspected measles was similar to round 2. There remains an urgent need for further action to improve vaccination campaign. Vaccination with the oral cholera vaccine (OCV) had increased slightly and was reported by 46% of children aged 12-59 mo., and the overall two week period prevalence of acute watery diarrhoea had fallen to 10.6%. Overall, mortality has decreased since round 2 and the CDR was found to be below emergency levels. However, the U5DR remains elevated at emergency levels (2 deaths/10,000/day). Data from Nov/Dec 2022 indicates that IDP populations are still experiencing a serious nutrition and health crisis. Acute malnutrition in children is at critical levels, there is a continued threat from measles and AWD infections, and serious gaps remain in the provision of life saving interventions including WASH, health, and nutrition.

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