UNICEF-WFP Consultative Meeting, 23 rd June 2014 UNICEF Nutrition Response to the South Sudan Crisis...
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Transcript of UNICEF-WFP Consultative Meeting, 23 rd June 2014 UNICEF Nutrition Response to the South Sudan Crisis...
UNICEF-WFP Consultative Meeting, 23rd June 2014
UNICEF Nutrition Response to the South Sudan Crisis
Updates, Gaps and Scale-up Options
UNICEF Nutrition Response Overview
Coordination
Nutrition Information
Infant and Young Child FeedingCMAM
Micronutrients
0
200,000
400,000
600,000
176,283
420,000
596,283
33,793 42,76576,558
Targeted Reached
• Low acute malnutrition treatment coverage due to:• Service disruption in conflict affected areas• Response capacity issues
Achievements – Management of Acute Malnutrition (as of end May 2014)
LAKES
35,000
CENTRALEQUATORIA
40,000
EASTERNEQUATORIA
53,000
UPPERNILE
136,000WESTERNBAHR ELGHAZAL
18,000
UNITY
80,000NORTHERN
BAHR ELGHAZAL
107,000
JONGLEI
105,000
WARRAP
81,000
WESTERNEQUATORIA
20,000
100
km
SAM Target 25,964Reached 8,499Coverage 32%
SAM Target 41,169Reached 6,921Coverage 17%
SAM Target 14,453Reached 3,407Coverage 23%
SAM Target 20,013Reached 5,741Coverage 28%
SAM Target 31,728Reached 5,947Coverage 19%
SAM Target 74,684 Reached 3,728 Coverage 5%
Comparison of annual target, admissions Jan-May, and indirect coverage estimates
• Similar SAM coverage rates:• Conflict affected states (23%)• Other Warrap and NBEG (22.5%)
Achievements – IRRM Nutrition (as 21st June)
• 13 missions conducted so far
• Locations covered with MUAC screening:Akobo , Mayendit, Kodok, Pagak, Lankien, Haat, Pochalla, Old Fangak, Walgak, Jeich, Leer
• 30,254 children 6-59 months screened
• Main findings: Proxy SAM : 8.5% Proxy MAM: 20.2% PLW MUAC <18.5cm: 16.8%
Achievements – Nutrition Surveillance
MUAC <11.5cm 10.8%>11.5cm - < 12.5cm 24.5%
MUAC <11.5cm 3.7%>11.5cm - < 12.5cm 9.1%
MUAC <11.5cm 4.0%>11.5cm - < 12.5cm 8.0%
MUAC <11.5cm 4.5%>11.5cm - < 12.5cm 13.5%MUAC <11.5cm 1.9%
>11.5cm - < 12.5cm 27.3%
MUAC <11.5cm 28.8%>11.5cm - < 12.5cm 22.6%
MUAC <11.5cm 4.1%>11.5cm - < 12.5cm 6.6%
MUAC <11.5cm 0.4%>11.5cm - < 12.5cm 6.4%
MUAC <11.5cm 1.0%>11.5cm - < 12.5cm 21.0%
MUAC <11.5cm 9.6%>11.5cm - < 12.5cm 12.1%
MUAC <11.5cm 18.6%>11.5cm - < 12.5cm 30.4%
MUAC <11.5cm 10.1%>11.5cm - < 12.5cm 29.9%
Achievements - Pipeline
RUTF Re-quirement
Distributed to partners
In pipeline Stock with partners
Stock in UNICEF WHs
GAP
176,000
52,256 47,102
25,00013,540
43,101
21% of annual need in stock in the country when target is 30%
Achievements - Funding (as of 22nd June)
Targeted Received
43,700,000
13,864,866 CHF7%
CERF13%
United States50%
Japan3%
Spain2%
ECHO14%
UNICEF Na-
tional Com-
mittees5%
Denmark5%
Funding coverage: 32%
Frontline:24.2 m
Pipeline:19.5 m
Gaps in the Response • SAM/MAM:
– Limited geographic coverage and activity intensity– Inadequate programmatic coverage (service package)
• RRM:– Selected sites not always aligned with most at nutritionally at risk counties– Number of missions – Service continuity beyond the mission (number & composition of teams)
• NIS:– Few surveys conducted in the high priority counties
• Pipeline:– Limited in-country (UNICEF & partners) stock level
Bottlenecks• SAM/MAM:
– Insecurity & constraint logistic in conflict affected states– Constraint logistic in other high burden states– Harmonized approach for the SAM-MAM service package
• RRM:– Parameters for sites selection– Financial constraint– Human resources capacity
• NIS:– Absence of a concerted survey plan or level of influence on it
• Pipeline:– Reporting issues– Management capacities– Communication on pipeline management
Scale-up Options
PARTNERSHIP & ACCOUNTABILITY
• Revision of Partnership agreements to address the existing response gap• New partnership to expand response coverage (Health partners, RC)• Service integration with other sectors• Stronger monitoring on implementation capacity and response at national, states
level
ENHANCED FIELD PRESENCE• Strengthen programmatic support to partners and monitoring
Scale-up Options
SUPPLY MANAGEMENT• Capacity building• Communication
MOBILE TEAMS to complement existing resources• Increased number of RRM missions in areas of greatest nutritional needs• Review of mobile team composition• Increased number of mobile teams
Scale-up Options
TREATMENT PROTOCOLS ADJUSTED TO THE NEEDS• Standard protocol & expanded criteria protocol
NUTRITION INFORMATION SYSTEM• Comprehensive analysis of existing data from other sectors with nutrition
data• 20 nutrition surveys planned by end July• Integration of nutrition indicators (W/H) in the FSMS