SOMALIA CONSOLIDATED APPEAL $121,855,709 for 67 projects Leo Matunga

Transcription

1 SOMALIA CONSOLIDATED APPEAL Nutrition Cluster lead agency Funds required Contact information UNITED NATIONS CHILDREN S FUND (UNICEF) $121,855,709 for 67 projects Leo Matunga (lmatunga@unicef.org) Over the next three years the Nutrition Cluster will engage with the community, humanitarian actors, and the government to ensure that nutrition services are provided to the most vulnerable boys, girls, men and women. The formation of a functional government in Mogadishu and the potential for enhanced security, especially in the south, should increase access for such interventions and ensure gaps are addressed. Over the past two years, the Nutrition Cluster has expanded its activities throughout the country. At present there are 27 SC, 971 OTP, 1112 TSFP, 431 BSFP sites, three wet feeding sites in transit to southern IDP locations - and two dry supplementary feeding sites in transit to southern IDP locations. In Somaliland and Puntland, 71 MCHN services are provided through health centres. In the next three years, through the availability and presence of current programmes, the Nutrition Cluster can respond effectively to most nutritional needs in the country. In the Nutrition Cluster will monitor the progress of programme implementation using SPHERE standards for treatment of acute malnutrition, including, cure rates, defaulter rates, death rates, non-respondents rates, amongst others. The cluster will also use the national IMAM guidelines/protocol and response plan indicators. 29 The 3W matrix (Who does What and Where) SC/OTP/TSFP database will be used monthly to track admissions and performance indicators by site. The FSNAU nutrition assessments will be conducted annually post Deyr and post-gu to establish the rates of occurrence of malnutrition among children 6-59 months. The assessments will inform the Nutrition Cluster which programmes in what regions need to scale up or down depending on the nutrition situation. In the event that nutrition assessments are not feasible, FSNAU, Nutrition Cluster and partners will conduct periodic rapid assessments. UNICEF, WFP and OCHA (for CHF) will use third party monitoring of partner projects in inaccessible areas to ensure that guidelines and protocols are respected. In 2013-, the Nutrition Cluster will use a variety of response strategies to best match the vulnerable populations being treated. The main beneficiaries will be boys and girls, 6-59 months, pregnant and lactating women. The Nutrition Cluster will focus on basic life-saving activities as well as community resilience-building activities. For curative services, the Nutrition Cluster will use mobile and fixed sites (SC/OTP/TSFP) for service provision. In pastoral communities, mobile nutrition services will be deployed along migratory routes to best serve the population. In the northern zones, preventative nutrition programmes will be provided ing children aged 6-23 months through health centres. IYCF promotion will be prioritized to build community and household resilience. The activities will focus on the establishment of mother to mother support groups, and training counsellors to support mothers on IYCF issues. 29 IMAM is an appropriate facility and community approach for the treatment and rehabilitation of severe and moderate acute malnutrition. 65

2 SOMALIA CONSOLIDATED APPEAL The Nutrition Cluster will continue to prioritize the south and zones of, IDPs across the country, coastal areas of the to north east zone, and Sool, Sanaag, Nugal valley, Hawd and Guban livelihoods zones. People in need and beneficiaries Category of people in need Children 6-59 months Estimated Average Number of people in need Beneficiaries Targeted Male Female Total Male Female Total 849,000 (805, ,500) Pregnant and lactating women -- Totals 849,000 (805, ,500) 849,000 (805, ,500) 246,500 (234, ,,000) 1,095,500 (1,039,500-1,148,500) 1, (1,611,000-1,779,000) 246,500 (234, ,,000) -- 1,944,500 (1,845,000- (2,038,000) 333,000 (315, ,500) 516,000 (489, ,000) 591,000 (560, ,500) Category of people in need Beneficiaries Targeted - Beneficiaries Targeted - Male Female Total Male Female Total Children 6-59 months 330,000 (316, ,500) Pregnant and lactating women -- Totals 330,000 (316, , ,000 (316, ,500) 96,500 (92, ,000) 426,500 (408, ,500) 660,000 (633, ,000) 96,500 (92, ,000)) ,500 (725, ,000) Explanation of number of beneficiaries ed 333,000 (315, ,500) 516,000 (489, ,000) 591,000 (560, ,500) The primary group for nutrition services is mainly children under the age of five, as well as pregnant and lactating women; the first groups to exhibit signs of malnutrition, with advanced age groups ed as funding allows. Cluster objectives and output s Strategic objective #1 Ensure equal and integrated life-saving assistance to malnourished children and people living in humanitarian emergency and crisis to reduce mortality and destitution. Cluster objective 1 To contribute to the of malnutrition related sickness and mortality among vulnerable boys, girls, pregnant and lactating women through systematic equal access to integrated curative and preventive food-based nutrition interventions. Output 1: Increased access to boys, girls, pregnant and lactating women for management of acute malnutrition (SC, OTP, TSFP) through static and seasonal mobile services % of acutely malnourished boys and girls admitted for treatment (154,800) (309,600) (399,600) (309,600) % of acutely malnourished pregnant and lactating women admitted for treatment (15,000) (30,000) (38,600) (30,000) 66

3 SOMALIA CONSOLIDATED APPEAL % coverage of severely malnourished boys and girls in programmes for management of acute malnutrition 50% 55% 65% Output 2: Increased access to and utilization of preventive and curative nutrition services integrated in functional MCH clinics in North for vulnerable boys, girls, pregnant and lactating women % of functional MCH clinics incorporating preventive and curative food-based nutrition services into a comprehensive package of care 80% 80% 80% Output 3: Seasonal preventive nutrition responses are implemented timely in areas where the risk of peaks of acute malnutrition is high based on early warning indicators % of seasonal preventive nutrition interventions initiated in a timely manner against identified areas in need 50% % in number of boys, girls under 36 months screened and referred for nutrition treatment between and end line (enrolment and phasing out of seasonal intervention) Strategic objective #2 Contribute to improving the quality, reliability, responsiveness and accessibility of basic services and promote predictable safety-net programming, thereby meeting the humanitarian needs of vulnerable people and households, strengthening their resilience to shocks. Cluster objective 2 To improve women, boys and girl s access to evidence-based and feasible nutrition and nutrition related resilience activities, available through the Basic Nutrition Services Package (BNSP) interventions linking nutrition to Health, WASH, Food Security, Education and Child Protection programmes. 30 Output 1: Improved IYCF IYCF Coordination Committees finalize yearly micro planning as per the strategies N/A Yearly micro planning for IYCF is undertaken in each zone Yearly micro planning for IYCF is undertaken in each zone Yearly micro planning for IYCF is undertaken in each zone No. of women reached through IYCF support groups and interpersonal counsellings (IPCs) Set Increase 5% from Increase 15% from Increase 25% from 30 BNSP interventions essential components are management of acute malnutrition, micronutrient supplementation, immunizations, deworming, promotion and support for optimal IYCF, Promotion and support for optimal maternal nutrition and care, prevention and management of common illnesses (anemia, malaria, diarrhoea, pneumonia, and kalazar where appropriate etc.), fortification (home-based and food vehicles) and promotion of appropriate food fortification, monitoring and surveillance. 67

4 SOMALIA CONSOLIDATED APPEAL Output 2: Multiple micronutrient supplementation among vulnerable boys, girls, pregnant and lactating women improved No. of boys, girls under-two reached with multiple micronutrient supplements N/A 10,000 children 25,000 children 50,000 children % of pregnant and lactating women reached with multiple micronutrients or iron/folate supplements 70% of women 75% of women 85% of women 95% of women Output 3: Vitamin A supplementation among vulnerable boys, girls, pregnant and lactating women Improved through campaign and routine supplementation activities % of boys, girls reached with Vitamin A supplementation Output 4: De-worming coverage for boys, girls % of boys, girls de-wormed 90% boys, girls 90% boys, girls 90% boys, girls 90% boys, girls Output 5: Nutrition programme beneficiaries are linked to WASH, health, food security interventions for maximum impact % of nutrition projects in CAP with link to WASH, health and food security at objective and operational level 50% 55% 65% Output 6: Health, nutrition, hygiene promotion information, education and communication to beneficiaries improved No. partner staff trained in hygiene and nutrition promotion 50 staff trained 75 staff trained 75 staff trained 100 staff trained No. of CHWs/community-based worker trained in 5/8 essential components of the BNSP Set 5% of 15% of 25% of Cluster objective 2 To contribute to the availability of timely and quality community and health centre-based nutrition information, programme coverage and operational research (OR) into responses to the causes of malnutrition and related problems. 68

5 SOMALIA CONSOLIDATED APPEAL Output 1: Standard Nutrition surveys conducted twice a year across the country No. of post-gu and post-deyr surveys conducted Output 2: Coverage surveys conducted in programme areas No. of coverage surveys conducted Output 3: Cluster endorsed OR/M&E on underlying causes of malnutrition conducted Cluster endorsed operational research/m&e conducted as appropriate N/A N/A One IYCF KAP study is conducted One Micronutrient study is conducted Strategic objective #3 Invest in household and community resilience through increased access to durable solutions that address livelihood vulnerability, including displacement and climate change and result in a return to stable and sustainable livelihoods. Cluster objective 1 To strengthen the coordination and capacity of all nutrition partners including communities and line ministries to deliver quality and sustainable emergency nutrition services through a variety of approaches. Output 1: A three-year capacity development plan focusing on nutrition programme key thematic areas developed Capacity development plan established % of LNGOs, local and regional authorities whose work reflects their Community Engagement/Participation Strategy Draft Capacity Development plan developed Set One capacity development plan finalized and endorsed 5% of One capacity development plan evaluated and updated 15% of One capacity development plan evaluated and updated 25% of Output 2: Coordination at national and subnational levels enhanced No. of cluster coordination meetings at national level held Six in Nairobi, six in Mogadishu Nairobi, Mogadishu Nairobi, Mogadishu Nairobi, Mogadishu Total No. of cluster coordination meetings at subnational level held Six in six in 69

6 SOMALIA CONSOLIDATED APPEAL Total Puntland, six in 18 Puntland, 36 Puntland, 36 Puntland, in 36 Output 3: Community capacity to identify, screen, refer and manage malnutrition improved % of partners trained in the identification, screening and referral of malnourished z\children 50% 70% 80% Displaced mother and child in Dobley in southern near the Somali-Kenyan border. FAO/F. Nyakairu 70