FSNAU Bi-Monthly Nutrition Update, September-October, 2012 ...FSNAU Bi-Monthly Nutrition Update,...

FSNAUFSNAU Bi-Monthly Nutrition Update, September-October, 2012

Overview 1Bay and Bakool Regions 2Case Study: A family’s experience during the famine period 3Nutrition Situation in Gedo and Juba Regions 4Nutrition Situation in Shabelle Regions 4Nutrition Situation in Hiran Regions 5Nutrition Situation in Northeast Regions 6Nutrition Situation in Northwest Regions 7Capacity Building: Garowe Report Writing Training Workshop 8

September-October 2012Food Security and Nutrition

Analysis Unit - Somalia

FSNAU

Overview

The FSNAU is managed by FAO and funded by USAID/OFDA, the EC, SIDA and UNICEF

Bay where the numbers are elevated (12 cases reported in 1 week). Seasonal outbreaks of acute watery diarrhea and suspected cholera are likely to aggravate the currently precarious situation in the south, especially in Beletweyne District and Bay Region. Despite the improvements in food security indicators, the two of the three areas of concern based on the Gu 2012 seasonal analysis findings still show concern: • West Golis’ health facilities continue to show a high

proportion (>20%) but fluctuating trends of acutely malnourished children.

• In Nugal Valley, >10% of children visiting health facilities are malnourished (sustained since the Gu 2012).

In the Hawd of Northwest, health facility data indicates a low (<10%) proportion of acutely malnourished children in July-September 2012, a decrease from >15% in the Gu 2012.

Map 1: Somalia Estimated Nutrition SituationAugust, 2012 (Based on June-July, 2012 Surveys)

Map 2: Somalia Estimated Nutrition Situation(September-October 2012)

Nutrition situation improves in West Golis, Nugal Valley and Hawd Livelihood Zones of Northwest Regions but remains unchanged in the rest of the country

The normal to above normal rains received in September-October 2012 have resulted in slight improvements in food security in most parts of the country. There is increased availability of water and pasture which has contributed to milk availability, improved livestock body conditions, and income access following livestock demand at the time of the Hajj festivity. In farming areas, there is increased cultivation and related labor opportunities for the poor resulting in better access to income. Positive food security outcomes in most parts of the country are likely to translate to improved dietary intake and nutrition. This is consistent with the FSNAU post Gu 2012 food security projection.

Unfortunately in Beletweyne, the rains have resulted in floods in the riverine areas. “Following the floods in Beletweyne, the number of reported suspected cholera cases remained stable, with a cumulative daily reporting range of 17-22 cases from 4 MCHs in the district. Beletweyne remains an area of concern after the recent floods and WHO, UNICEF and health partners are closely monitoring trends”. (WHO Somalia Emergency Weekly Health Update , Oct 13-19, 2012). WHO further indicates outbreaks of suspected cholera across Somalia as stable for the season, except for

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FSNAU Bi-Monthly Nutrition Update, September-October, 2012

The nutrition situation in West Golis, and Nugal Valley livelihood zones is therefore likely to have improved to Critical, from Very Critical phase in the Gu 2012, based on the more favorable food security indicators. In the Hawd of Northwest, the situation is likely to have improved to Serious, from Critical. The nutrition situation in the north therefore, is likely Serious, except for West Golis/Guban and Nugal Valley livelihood zones which are likely to have improved to Critical from Very Critical. In the South, the situation is likely Critical – Very Critical, sustained from the Gu 2012. The Post Deyr 2012 nutrition surveys which are being undertaken in November-December 2012 will provide more concise estimates of the situation. (Maps 1and 2).

No. LiVELiHOOd ZONE (LZ)/POPuLAtiON GROuP PERiOd

1 Dusamareb IDPs Nov 20122 Hargeisa IDPs Nov 20123 Burao IDPs Nov 20124 Berbera IDPs Nov 20125 Bossaso IDPs Nov 20126 Qardho IDPs Nov 20127 Garowe IDPs Nov 20128 Galkayo/Margaga IDPs Nov 20129 Kismayo IDPs Nov 201210 Dolo IDPs Nov 201211 Galgadud Region Urban LZ Nov 201212 Sool Region Urban LZ Nov 201213 Sanaag Region Urban LZ Nov 201214 Bari Region Urban LZ Nov 201215 Nugal Region Urban LZ Nov 201216 Mudug Region Urban LZ Nov 201217 Awdal Region Uban LZ Nov 201218 Woq Galbeed Region Urban LZ Nov 201219 Togdheer Region Urban LZ Nov 201220 Mogadishu Urban LZ Dec 201221 Mogadishu IDPs Dec 201222 Cowpea Belt (Central) Dec 201223 Dobley IDPs Dec 201224 Agropastoral LZ (Togdheer & Northwest) Dec 201225 West Golis /GubanPastoral LZ Dec 2012

table 1: Deyr 2012 NutRitiON SuRVEYS SCHEduLE November-december 2012

No. LiVELiHOOd ZONE (LZ)/POPuLAtiON GROuP PERiOd

26 Sool Plateau LZ (Northwest & Northeast) Dec 201227 Hawd Pastoral LZ (Northwest) Dec 201228 East Golis/Gebbi Pastoral LZ (Northwest) Dec 201229 East Golis/Kakaar Pastoral LZ (Northeast) Dec 2012

30 Nugal Valley Pastoral LZ (Northwest & Northeast) Dec 2012

31 Coastal Deeh LZ (Northeast) Dec 201232 Coastal Deeh LZ (Central) Dec 201233 Hawd Pastoral LZ (Central and Northeast) Dec 201234 Addun Pastoral LZ (Central and Northeast Dec 201235 Lower Shabelle riverine Dec 201236 Lower Shabelle Agropastoralists Dec 201237 Middle Shabelle Riverine Dec 201238 Middle Shabelle Agropastoralists Dec 201239 Hiran Region – Beletweyne District Dec 201240 Hiran Region – Mataban District Dec 201241 Juba Pastoralists Dec 201242 Juba Agropastoralists Dec 201243 Juba Riverine Dec 201244 North Gedo Pastoralists Dec 201245 North Gedo Riverine Dec 201246 North Gedo Agropastoral Dec 201247 Bakool Pastoralists Dec 2012

48 Bay Region Dec 2012

49 Baidoa IDPs Dec 2012

IDPs remain vulnerable due to their high dependence on humanitarian assistance, income from petty trade and casual labor opportunities that are closely linked with rural and urban livelihoods. Their nutrition situation therefore remains of concern, as in the Gu 2012.

FSNAU is currently undertaking the Deyr 2012 nutrition surveys in northern and central urban and IDP populations, findings of which will be disseminated in the FSNAU Nutrition Update, November - December scheduled for release in the coming week. The tentative schedule for nutrition surveys in the remaining Somali populations is provided in Table 1. Refer to Map 3 for Somalia livelihood zones.

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Figure 1: HiS Malnutrition trends in Bakool Agro-pastoral MCHs,Bakool – 2011—2012

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Figure 2: HiS Malnutrition trends in Bay Agro-pastoral MCHs 2011-2012

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Figure 3: Bakool AP OtP Admissions

The nutrition situation in Bakool pastoral and Bay agro-pastoral livelihood zones is in a sustained Very Critical phase since Deyr 2010/11, with elevated GAM rates of >20% recorded. However, malnutrition rates have declined from the extremely high levels (>45%) recorded in Gu 2011 at the height of the food security crisis in southern Somalia. No nutrition assessment has been conducted in the agro-pastoral livelihood of Bakool region due to lack of access, therefore there was insufficient data to estimate the overall nutrition situation in the livelihood zone. August and September 2012 data from the Bakool health facilities reflects a high (>45%) and fluctuating trend of acutely malnourished children (Figure 1).

The data from health facilities in Bay region up to July 2012 also show a high (>50%) and fluctuating trend of acutely malnourished children. The high morbidity (AWD/Cholera and measles) and limited humanitarian interventions in the area remain a major challenge, increasing the vulnerability of the population. According to the the World Health Organization’s Somalia Emergency Health Update, (October 13 - 19), data from 7 health facilities in Bay region reported 12 cases of suspected cholera. Bay region also has limited health facilities, and high morbidity levels that may have an impact on the nutrition status of the population (Figures 2 and 3).

Access to milk is reportedly low in all livelihoods due to the low supply in the markets, as a result of most cattle calved during Hagaa with poor pasture. However, the situation is likely to improve due to the anticipated camel calving in coming months and milk yield improved due to increased water availability and pasture in areas where the Deyr’12 rains have started. Local cereal prices show an increasing trend due to the poor production in the Gu’12 season. Subsequently, with purchase of food currently reported to be the main means of accessing food, the nutrition situation is likely to be impacted negatively, and to remain Very Critical. Nutrition surveys are planned for second week of November 2012 among the Bakool pastoral and in December among Bay rural livelihood and Baidoa IDPs populations.

BAY ANd BAkOOL REGiONS

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CASE StudY

A Family’s Experience During the Famine Period in the Agro-pastoral village of Sarmaan, Huddur District

As narrated to FSNAU, November 2012

Huddur town is the headquarter for Bakool region in southern Somalia and is located 180 km northwest of Baidoa and 90 km from the Ethiopian border. It has two main livelihood zones, pastoral (camel, sheep/goat and cattle) and agro-pastoralists (crop farming and livestock rearing). The Bakool agro-pastoral livelihood was one of the livelihoods zones where the nutrition situation reached extremely critical levels (GAM>30%) in July 2011. The situation was linked to the cumulative effects of drought following very poor Deyr ’10/11 and Gu ’11 season rainfall performances, and the resultant negative impacts including poor or total failure of crop production, massive livestock deaths due to poor pasture, browse and water. The case study below exemplifies how some families lost their livelihood with the famine situation and their road to recovery.

Saido1, a 32 years old mother, stays with her husband Ali and five children, two of whom are below the age of five years, in Sarmaan village in the agro-pastoral livelihood zone of Huddur District. This family has a small farm from which in normal circumstances, they produce sufficient food for own consumption and sale. However, after consecutive seasons of drought, the Gu 2011 season culminated in a famine in the area, the family farm failed to produce food. Prior to the drought, the family had twenty three sheep and goats, and three camels. During the onset of the famine, they lost fourteen of the sheep and goats following complications associated with lack of water and pasture. “We had to sell the rest of the animals at a throw away price to meet our immediate basic food needs. If we had received relief food and livestock drugs earlier, perhaps we could have saved more animals,” says Saido. Her family was faced with major challenges, with no food from the farm, no income from the sale of the farm produce coupled with no income and milk form her livestock and high cereal prices. As the drought intensified, the family lost the remaining sheep and goats, accumulated huge debts and out-migrated to Huddur Town. Prior to the move, the family sold one of the camels, leaving the remaining two camels with a herder to move them to better grazing areas. During this period of hardship, Ahmed, one of her sons suffered from a respiratory tract infection, however the family was unable to raise enough money to have him treated in the health facility. Consequently, the family sought assistance from the Imam of the mosque, who organized some contributions from the Friday Salat prayers. The money raised facilitated both treatment for Ahmed, and purchase of food for the family for two days. In the meantime, Saida started work as a casual labourer which involved cleaning for the better off families in Huddur Town. Saida also released her nine year oldest daughter, Halima, to work as Jaria (house girl) servant, thereby contributing to the family income.

In October 2011 at the onset of the Deyr 2011 rains, Saida sold one of the remaining camels, and used the money to restock sheep and goats. By April 2012, income from the the family’s milk sales had enabled the family to repay all its debts. At this juncture, Ali resolved to return to Sarmaan village with his eldest and youngest daughters (Halima and Raliya) who are helping with shepherding the animals while he cultivates. Saida too plans on moving back to the village to rejoin her family, but is constrained by Ahmed’s illness, whooping cough, which he developed while in Huddur Town, but is undergoing relevant treatment at a public clinic.

“Our family is very happy now and is slowly recovering economically from the hardship of the famine,” says Saida. “We will be happy to rejoin the rest once Ahmed recovers from whooping cough”. She adds with hope.

The case study explains how the household in this agro-pastoral population coped with the drought situation, highlighting the family’s resilience and struggle to get back to their normal livelihood.

1 Not their real names

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JuBA REGiON

The Post Gu ‘12 integrated nutrition situation analysis of Juba region showed a sustained Very Critical nutrition situation in the agro-pastoral and riverine populations, and an improvement to Critical among the pastoral. Nutrition data from health facilities from January to July 2012 in the Juba pastoral indicated high numbers of acutely malnourished children (>20%) and a decreasing trend, while the agro-pastoral and riverine livelihoods also indicated high numbers (>20%) with a decreasing trend. Recent nutrition data from health facilities in the region for the months August and September 2012 indicate a declining trend of acutely malnourished children among the riverine and agro-pastoral populations (Figure 4). A fluctuating trend in the number of acutely malnourished children is observed among the riverine population (Figure 5), this is mainly attributed to displacements as a result of civil insecurity in the area, with people moving from the urban centres like Kismayo, to rural pastoral areas to avoid conflict.

NutRitiON SituAtiON iN JuBA ANd GEdO REGiONS

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Figure 4: HiS Malnutrition trends in Juba Pastoral MCHs 2011-2012

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Figure 5: HiS Malnutrition trends in Juba Riverine MCHs 2011-2012

GEdO REGiON

The Post Gu ‘12 integrated nutrition situation analysis demonstrated a sustained Very Critical nutrition situation in the pastoral and agro-pastoral livelihoods in Northern Gedo region. No surveys were conducted in Southern Gedo region due to inaccessibility as a result of civil insecurity. Data from health facilities from January to July 2012 in the pastoral, agro-pastoral and riverine livelihood zones of Gedo region, indicated a high (>20%) and decreasing trend of acutely malnourished children. Current information from health facilities for August and September 2012 is being collected amidst access constraints, and will be released in the November-December 2012 Nutrition update.

According to post Gu 2012, the food security situation of Gedo region shows an improvement in most livelihoods except for the Gedo high potential and reverine liveihoods which are classified in Crisis. The improvement in the region’s food security situation was mainly attributed to better livestock sale prices, increased household purchasing power, improved terms of trade and increased milk production.

In the Hagaa season, water shortage is reported in the Southern inland pastoral along the boder of Kenya. However, Deyr rains improved the situation.The nutrition situation is likely Critical among the pastoral population. This is mainly attributed to the positive food security indicators amongst the pastoral population in addition to low morbidity. Whereas among the riverine and agro-pastoral livelihood populations, the nutrition situation is likely sustained as Very Critical.

The food security situation in Juba regions in Gu 2012 was classified as either Stressed in the southern inland pastoral (camel herders) population, or in Crisis the south east pastoral, southern agro-pastoral and Juba riverine livelihoods in both Lower and Middle Juba regions, currently the food security situation has remained stable. There are no outbreaks of diseases reported in the region. Therefore based on the current information from health facilities and the food security situation in Juba regions, the situation is likely to be Critical, remaining unchanged from the Gu ’12 season. The situation however still remains highly vulnerable due to the risk of increased seasonal morbidity and civil insecurity which may lead to displacements and the resultant negative impacts on the health and nutrition situation of the population.

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In the Gu ’12 season, no surveys were conducted in Shabelle regions due to lack of access. Due to the lack of sufficient data, FSNAU did not therefore classify the nutrition situation for the regions. Data from the health facilities showed a high (>30%) and stable trend of acutely malnourished children among the agro-pastoral population and a lower (>10%) and declining trend among the riverine population. Recent data collected from health facilities for the month of July to September 2012, indicate an increase in the number of acutely malnourished children, both the agro-pastoral and riverine populations, with a steep increase noted among the riverine population in the last two months (from 15% to 45%). The increase in the reported number of children in the health facilities is mainly linked to increased morbidity and displacements/movements due to insecurity in the area, (although health facility data should always be interpreted with caution as this data is biased to children visiting the facilities for treatment/growth monitoring or feeding services) whilst humanitarian interventions in the area remain limited mainly due to lack of access.

The food security situation in both Lower and Middle Shabelle regions in Gu 2012 showed improvement, with all areas classified in the Stress phase, except Adan Yabal and Adale districts of Middle Shabelle region that were classified in Crisis phase. The improvements are sustained in September-October 2012, and mainly attributed to positive food security indicators:-improved crop production in Middle Shabelle region and income opportunities for both agriculture labour and livestock sales, in addition to increased purchasing power of poor households and sustained low cereal prices. Currently the food security situation in the Shabelle regions remains stable with the positive impact of the previous season still manifesting in addition to good start of the Deyr 2012 season, leading to anticipated further improvements.

The nutrition situation in Shabelle regions is likely to be Critical based on the nutrition trends at health facilities which indicate an increase in the number of acutely malnourished children (Figures 6 and 7), with elevated morbidity levels (although within seasonal trends) and the current food security situation in the region. Shabelle regions remain vulnerable and close monitoring of the situation remains crucial.

The nutrition situation of Beletweyne and Mataban districts was classified as Critical according to the post Gu 2012 integrated nutrition situation analysis, however, due to lack of access, no surveys were done in the rest of the region. The GAM and SAM rates reported in July 2012 in Mataban district were 16.7% (13.2-20.8) and 4.2% (2.3-7.3) respectively, with crude and under five deaths of 0.99 (0.70-1.41) and 4.50 (3.02-6.64), indicating an extremely worrying health situation among the children in the district. The GAM and SAM rates reported in Beletweyne district were 16.6% (11.7-22.9) and 3.3 (1.7-6.3) with crude and under five death rates of 0.80 (0.53-1.22) and 2.32 (1.30-4.11). Both districts reported elevated (>50%) morbidity rates among children, and extremely low immunization (Measles) and vitamin A supplementation coverage (<20%), indicating an extremely worrying health situation in the districts. In early October 2012, heavy rains caused flooding in Beletweyne, resulting in displacements and an increased risks of outbreaks of diarrheal diseases. Currently the reported number of suspected cholera in Beletweyne remains stable with a cumulative daily reporting range of 17-22 cases from 4 MCHs in the district (WHO Somalia Weekly Heath Bulletin 13-19 October 2012). WHO, UNICEF and health partners are closely monitoring the health situation in Beletweyne.

The Gu 2012 food security situation in Hiran region generally indicated an improvement across all livelihoods compared to the Deyr 2011/2012. The pastoral and riverine populations of Hiran region were classified in the Stress phase (from Crisis) according to the post Gu 2012 integrated food security analysis, while the agro-pastoral population were classified in the Crisis phase (from Emergency). The improvement was attributed to the positive impacts of the Gu 2012 rainfall that resulted in improved water availability, cash crop productions resulting in improved access to household income.

The projected nutrition situation for Hiran region for September to December 2012 was Critical, however this may deteriorate to Very Critical in Beletweyne due to the recent floods reported in the area that will have had a negative impact on the already fragile health status of the population.

NutRitiON SituAtiON iN HiRAN REGiONSNutRitiON SituAtiON iN SHABELLE REGiONS

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Figure 6: HiS Malnutrition trends in Shabelle Agro-pasto-ral MCHs (2011-2012 )

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Figure 7: HiS Malnutrition trends in Shabelle Riverine MCHs 2011-2012

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Based on the surveys conducted in June-July 2012 and the health and feeding facilities’ information (January-June 2012), the nutrition situation improved in the populations of East Golis and Hawd livelihoods, from Critical in Deyr ‘11/12 to Serious and sustained a Serious phase in Sool, Addun and Coastal Deeh1. However, the situation deteriorated among the populations of Nugal valley to Very Critical from Critical in Deyr ‘11/12. The deterioration was linked to a measles outbreak and followed a seasonal fluctuating pattern - improving in Deyr and deteriorating in Gu over the last two years. Improved dietary diversity and increased intake of milk and meat products following the good Gu 2012 rainy season, and access to humanitarian support mitigated the situation and contributed to the improvements in the other livelihoods.

Projections of the nutrition situation in September-November 2012, based on the improving food security indicators, timely Deyr ’12 rains and seasonal trends in nutrition situation and morbidity, indicate a likely sustained Serious phase in all the rural livelihoods except for Nugal valley, which is likely to improve to Critical phase. Health facility information shows improving or stable trends in the proportion of malnourished children screened in the Hawd, East Golis, and Sool livelihood zones for the period July-September 2012. However, in the Coastal Deeh, Addun, and Nugal valley livelihood zones, the health facilities information show high and increasing or fluctuating proportion of malnourished children (Figure 8). Trends in health facility data, is sometimes dependent on the availability of health and feeding services at the individual facilities. For instance, qualitative information collected during the quarterly health facility revisits in October 2012 reported increased numbers which are intervention-related in Bandar beyla areas of Coastal Deeh where OTP centers have not been functional in the past three months. There were no outbreaks of any disease reported in the areas, and MoH morbidity reports are within seasonal levels.

1 FSNAU Technical Series Report No. VI 47, Issued September 26, 2012. http://www.fsnau.org/products/technical-series.

The Post Gu ‘12 integrated nutrition analysis reported a mixed picture of either sustained or improved nutrition situation in the Central livelihood zones compared to the Post Deyr ’11/12. The situation improved from Critical to Serious among the Hawd pastoral livelihood population, but remains Serious in Addun livelihood zone since Deyr ’11/12. The improved or sustained nutrition situation in the Hawd and Addun pastoral livelihoods is linked to increased access to milk, dietary diversity, social support, and humanitarian programmes (health services, supplementary feeding, and WASH) in the region. In the Cowpea agro-pastoral and Coastal Deeh pastoral livelihoods of Central Somalia, the situation is classified likely Critical , from Critical and Very Critical phases in the Gu ’11.

Considering the Gu 2012 nutrition situation, improvements in food security indicators and a favorable rainfall forecast for the Deyr ’12 season, the nutrition situation is projected to remain in Critical phase among the populations of the Cowpea belt and Central Coastal Deeh livelihoods. Qualitative information indicates improved access to milk and dietary diversity. There are no disease outbreaks reported. Analysis of the data from health facilities in the agro-pastoral and Coastal Deeh of central areas shows high (>20%) and stable trend of acutely malnourished children since Gu ’12 assessments.

Nutrition surveys in IDP settlements in the Northeast (Bossaso, Garowe, Qardho, Galkayo) and Central (Dusamareb/Guriel) are ongoing. Other rural livelihood nutrition surveys are planned for November/December 2012 and will assess the magnitude and severity of the malnutrition situation.

NutRitiON SituAtiON iN NORtHEASt REGiONS OF SOMALiA

Morbidity has a close association with acute malnutrition, high morbidity levels make increase an individual’s risk to acute malnutrition. The situation will be closely monitored, nutrition surveys are planned in the region towards the end of November 2012.

FSNAU is scheduled to undertake surveys in Shabelle and Hiran regions in November-December 2012 to establish the current nutrition situation. The findings will be disseminated in the January 2013.

NutRitiON SituAtiON iN CENtRAL REGiONS OF SOMALiA

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Figure 8: HiS Malnutrition trends in Northeast Coastal deeh LHz (2011-2012)

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The Post Gu ‘12 integrated nutrition situation analysis showed either a stable or deteriorating trend in the nutrition situation in the Northwest livelihoods compared to the Deyr ‘11/12. The nutrition situation for the West Golis and Nugal Valley livelihoods deteriorated from Serious and Critical respectively in Deyr ‘11/12 to Very Critical in August 2012. In the Hawd livelihood zone, the situation deteriorated from Serious levels in Deyr ‘11/12 to Critical in August 2012 . This was mainly attributed to reduced household access to food, especially milk, in the Guban livelihood where livestock had out-migrated in search of water and pasture while those remaining in the area were weak and with low milk production, following below normal Gu’11 rainfall performance. In Nugal Valley and Hawd livelihoods, high morbidity, especially a measles outbreak in Burao and Ainabo districts was a key aggravating factor. On the other hand, the nutrition situation among the populations in the Sool Plateau, East Golis/Gebbi Valley and Agro-pastoral livelihoods remained stable at Serious levels since December 2011.

A review of the nutrition screening and health data (July-September 2012) as well as the contextual information indicate a stable nutrition situation in most livelihoods in Northwest as compared to the preceding three months. Nutrition data from the health facilities from all livelihoods indicate varied trends but generally show stable or fluctuating trends. Specifically, high (>10%) and stable trend of acutely malnourished children is reported in East Golis/Gebbi Valley, Hawd and Nugal Valley (Figure 10), low (<10%) and stable trend in Sool Plateau and Low (<10%) and decreasing trends in the Agro-pastoral. West Golis’ health facilities show the highest proportion of acutely malnourished children with high (>20%) and fluctuating trend recorded in the last three months (July-September 2012). (Figure 9 and 10).

Access to milk is reportedly below average in all livelihoods but the situation is likely to be reversed following the onset of Deyr ’12/13 rainfall that will improve pasture and water availability and thus improve livestock body condition and production. Enhanced humanitarian assistance especially in West Golis/Guban livelihood is a mitigating factor. Field reports indicate a persistent measles outbreak in Togdheer region, though the number of cases are declining as compared to three months ago. High morbidity is an aggravating factor to acute malnutrition. However, the on-going Child Health Days (CHD) initiative by UNICEF/MoH and other health partners throughout Somaliland is expected to mitigate the situation, especially the measles outbreak in Togdheer region. Overall, nutrition situation among the rural livelihoods in Northwest regions is stable since Gu ’12 assessments. Comprehensive nutrition assessments are scheduled for December 2012 to establish the situation.

The nutrition situation among IDPs, based on health facility and qualitative data, indicates a stable situation compared to the Gu 2012. However the on-going nutrition assessments among IDPs in Northwest will show the actual nutrition situation which will be reported in the sub-sequent updates in November 2012.

Capacity building training in Northwest: Data Analysis Workshop

FSNAU between 18th and 22nd October 2012, undertook an internal training workshop in Hargeisa on Data Analy-sis. The participants were mainly FSNAU nutrition field analysts from Somaliland and the previous nutrition in-tern attached to FAO office in Hargeisa. The objective of the training was to improve data analysis capacity for the field staff through practical data analysis sessions. The training covered data organization and management, data cleaning, data analysis including anthropometric data, non-anthropometric data and household data and preparation of results summary.

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Figure 9: Malnutrition trends in health facilities in in NW West Golis MCHs January 2011 - September ‘12 0.0

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Figure 10: Malnutrition trends Health Facilities in Nugal Valley MCHs - January 2011-September ‘12

NutRitiON SituAtiON iN NORtHWESt REGiONS - SOMALiLANd

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CAPACitY BuiLdiNG: GAROWE REPORt WRitiNG tRAiNiNG WORkSHOP

FSNAU between 22nd and 25th October, 2012, undertook an internal training workshop in Garowe on Report Writing Skills. Participants were mainly FSNAU nutrition field analysts from Puntland and Central Somalia, focal points and health coordinators from the Puntland Ministry of Health. The main objective was to enhance participants’ knowledge and skills on technical report writing, with emphasis on nutrition survey reports.

The training was organized into 6 sections/modules; each module covering several important aspects/themes: The organization of the report writing training modules are summarized in Table 2 below:

Section/module Themes/Contents

Introduction to report writing

1. Workshop objectives, Expectations and Learning Methods2. Why write reports?3. Who writes and to whom are reports written?4. When is a SMART survey report written? 5. Where is a sample SMART survey report generated6. What should be in a report?

Report Format & Structure

7. Why a standard format is important8. Layout/structure of a standard report9. The chapters and contents of a SMART survey report10. Conditions and aim for writing appropriate recommendations

Grammar and Report Writing

11. Review of the parts and types of speech in report writing12. Important punctuations used in report writing13. Types of tenses applicable in report writing14. Comparisons used in report writing15. Auxiliaries and their role in effective report writing

Reporting Style

16. General skills in report writing – tips and assumptions17. Fears and challenges in report writing18. Pre-writing strategies19. FAO writing style

Language in Report Writing

20. Use of Formal language21. The scholarly/technical voice22. Neutral (unbiased) language23. Sensitive language free of fallacies and other nuances

Common errors experienced in Report Writing

24. Confusing words25. Order of adjectives26. Use of inappropriate voice27. Wrong use pronouns and conjunctions28. Wrong use of prepositions and phrases

The participants provided positive feedback in learning the what, who, whom, when, and how questions concerning report writing and shared their field experience with others.

table 2: training Module

Physical Address: United Nations Somalia, Ngecha Road Campus. Postal address: PO Box 1230, Village Market, Nairobi, KenyaTelephone: +254-20-4000500. Fax: +254 20 4000555, General email: [email protected]

Comments and information related to nutrition: [email protected], Website: http://www.fsnau.org

FSNAU Food Security and Nutrition Quarterly Brief, November 2012FSNAU/FEWSNET Market Data Update, September 2012FSNAU/FEWSNET Climate Data Update, September 2012FSNAU Technical Series Report Nutrition Situation, September 2012FSNAU Technical Series Report, Post Gu October 2012

Other FSNAu Publications:

"/

ETHIOPIA

DJIBOUTIK

ENYA

Gulf of Aden

Indi

an O

cean

Hagar

Dangoroyo

MOGADISHU

BARI

BAY

MUDUG

SANAG

GEDO

SOOL

L. JUBA

HIIRAN

GALGADUD

NUGAL

BAKOOL

TOGDHEER

M. JUBA

W. GALBEED

AWDAL

L. SHABELLE

M. SHABELLE

BANADIR

Hobyo

Eyl

Afmadow

BurcoQardho

Ceerigaabo

Talex

Galkacyo

Luuq

Iskushuban

Ceel Bur

Bur Hakaba

Hargeysa

Dinsor

Bulo Barde

Xudun

Jariiban

Baardheere

Berbera

Baydhaba

Jilib

Burtinle

Sakow

Ceel Afweyne

Beled Weyne

Garowe

Kismayo

Zeylac

Caynabo

Qandala

Xudur

Dhusa Mareeb

Ceel Dheere

Cadale

Ceel Waq

Sablale

Laas Caanood

Bossaaso

Baki

Bu'aale

Calula

Cadaado

Garbaharey

Ceel Barde

Jowhar

Balcad

Wajid

Jalalaqsi

Badhadhe

Bandar BeylaOwdweyne

Tayeglow

Las Qoray/Badhan

Buuhoodle

Gebiley

Brava

Afgoye

Cabudwaaq

Sheikh

Wanle Weyne

Harardheere

Borama

Lughaye

Aden Yabal

Qoryoley

Beled Hawa

DoloRab-Dhuure

Jamaame

Qansax Dheere

Goldogob

MarkaKurtun Warrey

±0 40 80 120 160 20020

Kilometers

Livelihood zonesAddun Pastoral: Mixed sheep & goats, camel

Awdal border & coastal towns: Petty trading, fishing, salt mining

Central regions Agro-Pastoral: Cowpea, sheep & goats, camel, cattle

Coastal Deeh: Sheep

Dawo Pastoral: Shoats, cattle, camel

East Golis Pastoral: Frankinncense

Fishing

Gagaab Pastoral: Frankincense

Guban Pastoral: Sheep, goats & camel

Hawd Pastoral: Camel, sheep & goats

Hiran Agro-Pastoral

Hiran riverine: Sorghum, maize, cattle & shoats

Juba pump irrigation: Tobacco, onions, maize

Kakaar-Dharor Pastoral: Sheep, goats, camel

L. & M. Shabelle Agro-Pastoral Irrigated: Maize/Sorghum & cattle

L. & M. Shabelle Agro-Pastoral rain-fed: Maize,cowpeas, sesame & cattle

Lower Juba Agro-Pastoral: Maize & cattle

North-West Agro-Pastoral: Sorghum, cattle

North-West Valley Agro-Pastoral: Irrigated vegetables, shoats

Nugal Valley Pastoral: Sheep & camel

Potato zone & vegetables

Shabelle riverine: Maize, fruits & vegetables

Sool-Sanag Plateau Pastoral: Camel, sheep & goats

South-East Pastoral: Cattle, sheep & goats

Southern Agro-Pastoral: Camel, cattle, sorghum

Southern Juba riverine: Maize, sesame, fruits & vegetables

Southern coastal pastoral: Goats, cattle

Togdheer Agro-Pastoral: Sheep, goats & vegetables

Urban

West Golis Pastoral: Goats, camel, sheep

Bay-Bakool Agro-pastoral Low Potential

Bakool Agro-pastoral Low Potential

Bay Agro-pastoral High Potential

Southern Inland Pastoral: Camel, Sheep & Goats

SOMALIA: LIVELIHOOD ZONES

P.O. Box 1230 Village Market, Nairobi, Kenya Email: [email protected] tel: 254-20-4000000 fax:254-20-4000555 FSNAU is managed by FAOThe boundaries and names on these maps do not imply official endorsement or acceptance by the United Nations. The regional & District boundaries reflect those endorsed by the Government of the Republic of Somalia in 1986.

Food Security and Nutrition Analysis Unit - Somalia http://www.fsnau.org

Swiss Agency for Development and Cooperation SDC

Technical Partner Funding Agencies

Datum: WGS84, Data Source: FSAU, 2009, Admin. layers: UNDP, 1998

Map 3: Somalia Livelihood Zones

FSNAU Bi-Monthly Nutrition Update, September-October, 2012 ...FSNAU Bi-Monthly Nutrition Update,...

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Transcript of FSNAU Bi-Monthly Nutrition Update, September-October, 2012 ...FSNAU Bi-Monthly Nutrition Update,...