Yemen Nutrition Cluster Bulletin,#42014...
Transcript of Yemen Nutrition Cluster Bulletin,#42014...
JANUARY - MARCH,2014
Yemen Nutrition Cluster
Bulletin,#4/2014
The nutrition response plan in 2014 has
the following five objectives:
1. Improve equitable access to quali-
ty lifesaving therapeutic and reha-
bilitative nutrition interventions for
acute malnourished girls and boys
under five and Pregnant and Lac-
tating Women (PLW)
2. Improve institutional infrastructure,
system, and national human re-
source capacity of MOPHP, and
non-governmental organizations
to ensure effective, efficient and
coherent, decentralized nutrition
response
3. Prevent development of under
nutrition among girls, boys under
five and Pregnant and Lactating
Women (PLW) in priority gover-
norates
4. To ensure a predictable, coher-
ent, timely, and effective nutrition
response through establishing and
maintaining partnership among
nutrition actors in the country and
timely flow of updated nutrition
information
5. Enhance national and internation-
al efforts to address long term
nutrition concerns (such as chron-
ic malnutrition).
A comprehensive analysis of the
recent nutrition survey findings
across Yemen shows an estimated
1,060,000 girls and boys 6-59
months are acute malnourished in
2014. About 280,000 are severe
acute malnourished. These children
have heightened risk of death than
healthy children. If left untreated
acute malnutrition can have debilitat-
ing consequences such as impaired
physical growth and cognitive devel-
opment.
In addition to child undernutrition,
maternal malnutrition is a major
problem in Yemen. An estimated
760,000 pregnant and lactating
women continue to suffer from under
nutrition.
Critical and serious emergency level
acute malnutrition among children
under age of five is experienced in
most parts of the country. However
severity of acute malnutrition varies
across governorates in the country
with considerable proportion of Chil-
dren 6-59 months in governorate in
North and South West coastal areas
suffering most. Children in 107 dis-
tricts from Hodeida, Hajjah, Ray-
mah,Lahj, Al Jawf, Taize ,Abyan,
Aden and Sa’ada, governorates are
in critical emergency nutrition situa-
tion. Forty-six districts from Al Dhale,
Amran, some parts of Jahj and Al
Mahaweet governorates are catego-
rized in serious nutritional
emergency situation. The acute
malnourished children in critical
and serious regions represent
about 70% of the total caseload
in the country. It was also ob-
served that densely populated
districts in urban areas such as
Sana’a and Mukalla have very
high case load of acute mal-
nourished children although the
malnutrition levels are not either
in critical or serious category.
The nutrition cluster targeted
districts in critical and serious
category as well as districts
with very high case load (higher
than the average caseload per
district in critical areas) even
though malnutrition levels are in
‘poor’ category. In 2014 emer-
gency response cluster part-
ners aims to cover roughly 70
% of the population in need with
life-saving therapeutic nutrition
interventions and about 30%
with supplementary nutrition
interventions. In addition vulner-
able children 6-59 months,
pregnant and lactating women
in high priority districts are tar-
geted for preventive interven-
tions. The partners’ implemen-
tation capacity was taken into
consideration while setting
targets both for the life-saving
and preventive interventions.
Overview of Yemen Nutri�on Situa�on and 2014 Response Plan
Inside this issue:
Overview of Yemen Nutrition Needs in Yemen
1
Nutrition Need ,Targets and Funding in 2014
1
Nutrition Cluster: Anal-ysis of geographic prioritization 2014
2
Nutrition Cluster Re-sponse January—March 2014
2
CMAM program Con-sultative workshop and Way forward
3
Scale Up Nutrition (SUN) Movement Up-date
3
Nutrition cluster coordi-nation update
4
Upcoming Events 4
Key Contacts 4
Nutrition Needs ,Target and Funding in 2014
Requirement's & Funding
Figure1:NutritionNeedsandResponsePlanin2014
YEMEN NUTRITION CLUSTER JANUARY– MARCH, 2014. PAGE 2
997,804
Nutrition Cluster: Analysis of geographic prioritization January 2014
Governorate Name GAM
Ibb Eastern Highlands 7.6%
Ibb Western Highlands 8.6%
Abyan (Affected districts: Lawdar, Zunjubar and Khan-
far) 16.1%
Abyan (Non-affected dis-
tricts) 11.3%
Sanaa City 9.7%
Al Bayda 6.3%
Taiz Coastal 15.1%
Taiz Mountaines 9.4%
Hajjah Coastal 21.6%
Hajjah mountaines 9.3%
Hudeida 31.7%
Hadramout 9.9%
Dhamar Eastern 4.9%
Dhamar Western 9.2%
Shabwa 8.2%
Sana'a 7.4%
Aden Interior 21.0%
Aden Exterior 17.8%
Lahj coastal 23.0%
Lahej mountaines 14.3%
Mareb 6.4%
Al Mahweet LowLand 12.9%
Al Mahweet Highland 9.9%
Al Mahra 8.2%
Amran 10.2%
Ad Daleh 12.1%
Rayma 18.3%
NUTRITION CLUSTER RESPONSE (JANUARY – March 2014)
In the last three months nutrition cluster partners have reached 115,982 children Acutely Malnourished
through therapeutic and supplementary feeding programs (SFP). To prevent further deterioration of
nutritional status of children 6 - 24 months a total of 84,410 Children at risk and/or suffering from acute
malnutrition have received blanket supplementary feeding.
A total of 1312 OTP (Outpatient Therapeutic Program) and 588 SFP (Supplementary Feeding Pro-
gram) facilities has been operational in the last three months. About 71% of the OTPs and 86% of the
SFP are located in Critical and Serious nutritional emergency governorates where about 70% the case
load of acute malnutrition is concentrated. Overall the distribution of geographic coverage of acute
malnutrition treatment facilities (OTPs and SFPs) indicates a better geographic prioritization and target-
ing has been exercised in the 2014 nutrition response planning and implementation.
A better performance of treatment of severe acute malnutrition has been achieved in the first quarter of
the year. The cure rate in OTPs in the last three months has been 70% while defaulter rate was 28%.
Although the Cure rate and Defaulter are below the SPHERE minimum standard ( > 75% Cure rate
and <15% defaulter rate ),significant improvement as compared to same period last year has been
seen. The improvement in monitoring and supervision of health facilities and ongoing capacity building
of MOPHP health facility staff and community volunteers have contributed for the better performance
in case management in OTPs.
Shortage of funding for expanding and continued provision of nutrition services has been a major chal-
lenge in the first quarter. Only 10% of the total required funding has been secured by end of March
2014. In the months to come cluster partners continue to provide emergency nutrition services with available resources. The nutrition situation will be
monitored through follow up SMART nutrition surveys which will be conducted in high caseload governorates such as Hodeida, Taize, and Hajja. The
findings of the survey will be used to revise the expected caseload in the governorates.
Figure3:JA
NUARY–March
2013(OTP
Performance)
Figure4:JA
NUARY–March
2014(OTP
Performance)
Figure2:AnalysisofgeographicprioritizationJanuary2014
JANUARY –MARCH, 2013. PAGE 3
CMAM program Consultative workshop and Way forward
YEMEN NUTRITION CLUSTER JANUARY– MARCH, 2014. PAGE 3
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690,918
The humanitarian situation following the 2011 Arab spring uprising created an oppor-
tunity to unveil the magnitude and severity of malnutrition and need for urgent and ex-
tensive response in Yemen. Since 2011 the management of moderate and severe acute
malnutrition through a CMAM approach was scaled to magnificent level reaching about
30% of fixed health facilities in Yemen. Mobile facilities providing CMAM services
reached over 250 by end of 2013.
Through the collective efforts of nutrition partners by 2013 over 1350 CMAM sites (580
with SFP and OTP), as well as 28 SCs have been established. Over 4000 Community
volunteers, and about 2500 health workers were trained in components of CMAM. As a
result over half a million children under five with acute malnutrition have gotten treat-
ment services in the last two years.
Although scale up CMAM services has been a considerable stride made in ensuring
access to management of acute malnutrition services, the performance of therapeutic
and supplementary feeding programs has always fall short of the minimal acceptable
standards such as SPHERE. The overall recovery rate by end of 2013 was 62%, while
defaulter rate was 34%. To date generally speaking the CMAM program in Yemen hasn’t reached to expected level of effectiveness and coverage.
Hence all nutrition actors in the country should explore ways of meeting the needs of over a million children acute malnourished through effective
CMAM services.
CMAM program Consultative workshop was organised to review lesson learned in CMAM implementation in the last couple of years, and come up
with action plan that will improve effectiveness and coverage of the program. The workshop was conducted in Sana’a on 9th and 10th of February
2014.MOPHP Nutrition department, GOPHP Nutrition directors and Director Generals, and Nutrition cluster partners participated in the workshop.
By the end of the workshop an action plan was drawn which consist of key activities that should be carried out in the rest of the year to improve the
CMAM program effectiveness and coverage. Detailed Proceeding Report and Agreed action Plan is available on Yemen nutrition cluster website .
Yemen Scale Up Nutrition (SUN) Movement Update
1. Situation and causal analysis to better under-stand the dynamics of nutrition and malnutrition in Yemen
2. Response analysis reflecting on intervention strategies available for implementation in Yem-en to identify the most effective intervention approaches and thus investment priorities
3. Development of a national action/investment plan with associated budget. This plan will recog-nize the core priorities as well as complementary activities
It was anticipated that a budgeted action plan will
have been available at the end of March 2014 for
consideration in sectorial plans and budgets during
the new government planning cycle.
UN partners are working with MOPIC to establish a
program unit in MOPIC for Scaling up Nutrition in
Yemen, the unit will be responsible for a) overall coor-
dination at international, national and subnational
levels, b) resource mobilization and resource man-
agement and c) extensive monitoring and evaluations
of the programs including information management.
Nutrition cluster partners (national and International
NGOs,MOPHP and UN agencies) are actively partici-
pating in the SUN coordination forums to contribute
to efforts of the steering committee and technical
advisory group. Further information available on.
Www.scalingupnutrition.org/
Contact : Fakre Alam ([email protected]).,Iqbal
kabir ,[email protected]
Scaling Up Nutrition, or SUN, is a unique Movement founded on the principle that all people have a right to food and good nutrition. It unites people—from govern-ments, civil society, the United Nations, donors, businesses and researchers—in a collective effort to improve nutrition. Within the SUN Movement, national lead-ers are prioritising efforts to address mal-nutrition. Countries are putting the right policies in place, collaborating with part-ners to implement programmes with shared nutrition goals, and mobilising resources to effectively scale up nutrition, with a core focus on empowering women. With a shared understanding that many factors impact nutrition, each of us has a unique contribution to make. Together we are achieving what no one of us can do alone.
The Government of Yemen joined the SUN Movement in November 2012 and appointed the Minister of Planning and International Cooperation (MoPIC) as the SUN Focal Point. In April 2013, the Minis-try of Population & Public Health present-ed to the cabinet the situation of malnutri-tion in children and women in Yemen, following which the Prime Minister ad-vised key ministries to develop an inte-grated multi-sectoral response plan to combat the situation and establish a tech-nical consultation platform to support it; MOPIC has been assigned the responsi-bility of the convening and coordinating
the movement and its consultation platform.
The UK Department for International Devel-opment (DFID), acting as the SUN Donor Convener, coordinates donor agencies in country. UN Partners convene in support of the SUN movement, while civil society is also organizing itself behind the govern-ment’s plans and objectives. The business community is increasingly engaged in this collective effort to scale up nutrition. The SUN steering committee, established by decree from the Minister of MoPIC, con-vened its first meeting in July, chaired by the Vice Minister. The committee comprises of key Ministries such as Public Health and Population, Education, Agriculture, Fisheries, Water & Environment and Communication, UN organizations – UNICEF, WFP, WHO, UNDP and FAO, Donors – UK AID, USAID, WB, EU, Academia - University of Sana`a, Private Sector (representative of chamber of commerce) and Civil Society Organizations. The steering committee will convene regular meetings, while a smaller technical advisory group is more frequently convened by MoP-IC
Towards the development of this priority investment plan, and upon specific request from the Minister of MoPIC, the international SUN secretariat has mobilized technical expertise to help the Yemen steering com-mittee and technical advisory group in the following:
Figure 5: CMAM Workshop Feb 2014
UPCOMINGEVENTS
◊ SMARTNutritionSurveywillbeconduct-
edinTaizegovernorateinApril2014.
◊ HajjagovernorateSMARTNutritionSur-
veywillbecarriedoutfromMidMay
2014.
◊ IMCwillstartconductinganutritioncaus-
alanalysis(NCA)studyandMicronutrient
LandscapeanalysisinthemonthofMay
◊ WFPincollaborationwithMOPHPand
NutritionClusterwilltrain6ieldMonitors
inHodeidastartingfrommidMay.
◊ ACFincollaborationwithUNICEFand
MOPHPconductsSQUEACCoverageas-
sessmentinHodedida(inApril)andHaj-
jaagovernorates(inMay).
WE’RE ON THE WEB! https://sites.google.com/site/yemennutritioncluster/
Key Contacts
Nutrition cluster coordination update
YEMEN NUTRITION CLUSTER JANUARY– MARCH, 2014. PAGE 4
National Field Level
Anteneh Gebremichael Nutrition Cluster Coordinator
E-mail: [email protected]
Phone:+967 712223047
Fax:+967 1 206092
Lenna Abdullah Head of Nutrition Department
E-mail: [email protected]
Phone:+967 770991735
Fax:+967 1 239211
Shabib Al Qobati Information Management Officer
E-mail: [email protected]
Phone:+967 777929456
Fax:+967 1 206092
Gamilah Hibatullah Aden Sub Cluster Coordinator
E-mail: [email protected]
Phone:+967 712223019
Rasha Al-Ardi Hodaydah Sub Cluster Coordinator
E-mail: [email protected]
Phone:+967 712223014
Nagiba Al-Mahdi Taizz Sub Cluster Coordinator
E-mail: [email protected]
Phone:+967 712223018
Senan Alajel Sa’ada Sub Cluster Coordinator
E-mail: [email protected]
Phone:+967 712223401
nutrition survey and SQUEAC coverage
assessments was finalized by end of Febru-
ary. A quarterly Assement plan with input
from all partners was shared so that Assess-
ments are well coordinated ,dipulication is
avoided and resources are used rationally.
• Participation in North task force – NC
was actively participating in OCHA led task
force focusing on coordinating lifesaving
activities in conflict affected areas of the
north ( Sa’ada, Parts of Hajja and Amran).
The task force is taked with closely monitor-
ing the situation, develop contingency and
response plan in the affected areas.
• CMAM Training Package launch – A
Yemen CMAM training package which was
developed by WFP,UNICEF and MOPHP in
consultation with national and international
NGOs was launched in March. The package
is available both in English and Arabic. The
whole training package is meant to be cov-
ered in 8 days session.
• Yemen CMAM Interim Guidelines fina-
lization – MOPHP designated technical expert reviewed and validated the Interim
CMAM guidelines for Yemen. The Interim
guidelines is awaiting the final endorsement
from MOPHP.
The nutrion cluster (NC) in Yemen constutes a
partnership of over thirty organizations including
ministry of health, national and international
NGOs, and UN agencies. Donor agencies also
take part in coordination forum. Through four
zonal hubs at Aden, Hodeida, Taize and Sa’ada,
governorate level coordination has been taking
place. The zonal hubs cover two or more neigh-
boring governorates.
In the last three months the following were
achieved
• Three coordination meetings at national
level conducted. Three in Hodei-
da,Hajja,Aden, and Taize.
• Introduction of New reporting format
and Database – MOPHP nutrition depart-
ment introduced a new comprehensive
reporting format for nutrition activities which
is deigned to capture data on
OTP,SFP,SC,IYCF, Micronutrient supple-
mentation and MUAC screening. Within the
same one sheet format CMAM supplies can
be monitored. A database was created by
NC information management officer inline
with the new reporting format. Nutrition clus-
ter conducted orientation workshops in Aden
and Hodeda coordination zones for reporting
officers of MOPHP and partners. Additional
orientation sessions were conducted in Sana’a
as per the request of individual partners.
• Rapid Nutrition Assessment (RNA) in Al
Dhale – following the escalation of conflict in Al Dhahle, the nutritional situation of vulnerable
children and pregnant and lactating women
was reported anecdotally that it might have
worsened. To verify the situation and to decide
whether there I need for immediate response, a
RNA was conducted from 18th -20 th March in
the affected districts of Al-Dhala’,Alhusein,
Alazareq and Gehaf. Findings were disseminat-
ed in Aden and Sana’a coordination meetings.
Subsequently a rapid response plan was devel-
oped by partners in Aden zone.
• SMART Nutrition Surveys in Hodeida – a
follow up SMART nutrition survey was conduct-
ed in Hodedia governorate to monitor if there
has been improvement in nutritional status of
children 6-59 months since last assessment in
December 2011. The survey was conducted
MOPHP and UNICEF in collaboration with NC
partners in the Hodeida. Data collection was
carried out from 22 nd March to 5th April. Pre-
liminary results will be shared in 2 weeks after
the completion of data collection.
• Assessment Plan for 2014 – In consultation
with Sub national clusters and MOPHP a nutri-
tion assessment plan encompassing SMART