RRM Update Nutrition Cluster Meeting, 03 October Jorunn Smith, UNICEF consultant RRM ph: )

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1 RRM Update Nutrition Cluster Meeting, 03 October 2014 Jorunn Smith, UNICEF consultant RRM ph: )

2 General WFP/UNICEF RRM achievements: Food assistance provided to more than 500,000 people Almost 64,000 children under 5 screened for malnutrition More than 2,600 severely acutely malnourished children treated 100,000 children vaccinated against measles and 83,000 against polio More than 62,000 people provided safe access to water and 23,000 reached with hygiene supplies. One-third of the more than 6,000 children in South Sudan who are identified as unaccompanied and separated have been found on the Rapid Response Missions. They are supported and registered for family reunification

3 Main RRM nutrition achievements to date: Locations covered: 23/25 RRM locations in Jonglei, Upper Nile and Unity state covered with nutrition specific interventions Children 6-59 months: 63,950 children screened (MUAC) 4,400 children SAM=> out of which 2,616newSAM cases receiving treatment Overall % children found SAM by MUAC: 6.9% Overall % children found MAM by MUAC: 13.9% PLW: 11,412PLW screened ( in 13 out of 23 RRM nutrition locations) Overall PLW found at risk (MUAC<21 cm): 22.1% 13,706PLW reached with IYCF messaging Vit-A supplementation/deworming: 32,412 children reached with Vit-A supplementation 27,881 children reached with deworming treatment

4 MUAC screening results to date: Children 6-59 months MUAC Screening results children 6-59 months 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% Proxy % SAM Proxy % MAM

5 MUAC Screening results to date PLW MUAC screening results: Pregnant and lactating Women proxy % MUAC < 21.0 cm Lankien Old Fangak Walgak Jeich Leer Koch Duk Gorwai Kaldak Kiech Kon Ngop Wathjaak Pathai

6 MAYENDIT MUAC <11.5cm 5.6% 11.5cm - < 12.5cm 26.2% RRM visits 23 March 02 October 2014: 63,950 children under 5 screened 2,678 children admitted and treated for SAM NIHALDU MUAC <11.5cm 12.6% Indicative data on the nutritional situation. Data represent children 6-59 months screened during WFP General Distribution activities. Raga KOCH MUAC <11.5cm 5.2% 11.5cm - < 12.5cm 14.9% Aweil North Aweil West Aweil Centre OLD FANGAK MUAC <11.5cm 4.1% 11.5cm - < 12.5cm 6.6% KEICH KON MUAC <11.5cm 0.8% 11.5cm - < 12.5cm 2.7% Aweil Wau Tambura Aweil South Nagero Ezo Twic Gogrial West Gogrial Jur River Nzara Tonj South Yambio WAU SHILUK MUAC <11.5cm 4.4% 11.5cm - < 12.5cm 8.3% Abiemnhom Tonj North Pariang Rubkona Mayom Guit Koch Leer Mayendit Tonj Rumbek North Cueibet Wulu Ibba Maridi KODOK MUAC <11.5cm 4.5% 11.5cm - < 12.5cm 13.5% DUK MUAC <11.5cm 2.3% 11.5cm - < 12.5cm 7.9% Rumbek Centre Rumbek Panyijiar Mvolo Mundri West Yei Fangak Yirol West Yirol Mundri Fashod a Malakal Panyikang Ayod Lainya Morobo Duk Canal Twic Awerial Terekak a Juba Kajo-Keji KALDAK MUAC <11.5cm 11.2% 11.5cm - < 12.5cm 16.6% Nyirol Uror Bor South Magwi Manyo Melut Baliet WHATJAAK MUAC <11.5cm 1.2% 11.5cm - < 12.5cm 7.9% Lopa Torit Renk NGOP MUAC <11.5cm 0.9% 11.5cm - < 12.5cm 6.3% Luakpiny/ Nasir Ulang Akobo Ikotos Maban Longochuck Pibor Kapoeta North Maiwut Pochalla Kapoeta South Budi Kapoeta The contribution of the RRM to Nutrition Surveillance The Crisis in SOUTH SUDAN PATHAI MUAC <11.5cm 1.0% 11.5cm - < 12.5cm 4.8% GORWAI MUAC <11.5cm 4.0% 11.5cm - < 12.5cm 15.5% HAAT MUAC <11.5cm 1.0% 11.5cm - < 12.5cm 21.0% PAGAK MUAC <11.5cm 4.0% 11.5cm - < 12.5cm 8.0% LANKIEN MUAC <11.5cm 20.0% 11.5cm - < 12.5cm 10.7% WALGAK MUAC <11.5cm 18.6% 11.5cm - < 12.5cm 30.4% AKOBO MUAC <11.5cm 10.8% 11.5cm - < 12.5cm 24.5% POCHALLA MUAC <11.5cm 0.4% 11.5cm - < 12.5cm 6.4% JEICH MUAC <11.5cm 3.7% 11.5cm - < 12.5cm 9.1% LEER MUAC <11.5cm 10.1% 11.5cm - < 12.5cm 22.9% The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations.

7 Output latest RRMs: Location Output during RRM Follow-up/ comment Kaldak, Pigi, Jonglei OTP services established in Kaldak (Nile Hope) Follow up visit scheduled in October to ensure OTP services in Kaldakand establish 2 more OTPs in Canal and Khorfulus(UNICEF Nutrition). Gorwai, Ayod, Jonglei Establishmentof OTP (COSV) FU-visitdone in September together with COSV. Additional supplies provided. TSFP Complication still referred to Jeich need further FU. Wathjak, Ulang, Upper Nile Low malnutrition rates cases referred to Ulang(Goal) Ongoing RRM to Ulangto re-establishand strengthen CMAM (SC, OTP, TSFP). Supplies & personnel going in Pathai, Uror, Jonglei CMAM running. Low malnutrition rates 10out of 41 cases under treatment by Tearfundwho is running OTP/TSFP. Complications referred to Yuai (MSF-H) No specific FU beyond normal programming.

8 Ongoing RRMs Date Location Nutrition team Preliminary findings Gum, Nasir, UNS UNICEF/UNKEA 626 ch screened SAM: 12 (1.9%) MAM: 34 (5.4%) Comments Resultsfrom day 1 only. Mobile OTP services to be established Pagil, Ayod, JLS UNICEF/UNKEA Notyet available Screening tostart Setting up CMAM (OTP,TSFP) Ulang, Ulang,UNS UNICEF/Goal Notyet available Screening tostart Re-establishing OTPs + expanding. Setting up SC, TSFP.

9 Ongoing RRMs through Implementing Partners Date Location Nutrition team Preliminary findings Kamel, Canal, JLS Nile Hope (WorldVision /IOM) TBC Pieri, Uror, Poktap and Ayueldit, Duk, Jonglei TBC Comments UNICEF RRM team capacity constraints. Simultaneous OCHA led response Team returning JDF Not yet available UNICEF RRM team capacity constraints. Poktap:MUAC assessment => establishment of CMAM? Ayueldit: Screening + treatment. CMAM ongoing. Tearfund Not yet available Low malnutrition rates found during

10 Up-coming RRMs Tentative date Location Nutrition team Rationale Comments Nhialdiu, Rubkona, Unity UNICEF/? NCC priority area. No nutrition services. RRM in July 2014 indicatedelevated SAM prevalence (SAM proxy 12%). No partner identified MSF-CH approached,not confirmed MSF-CH unable to go in with E-team due to insecurity Nyangore, Ulang, Upper Nile UNICEF/Goal IRNA indicates elevated malnutrition levels. No nutrition services currently. Goal wants to re-establish nutrition services & expand. TBC. UNICEF/Goal already participating in ongoing RRM in the area(ulang) ? TBC Kaldak, Canal, Jonglei UNICEF Follow-up from RRM done in August indicating elevated malnutrition levels. Connected to recent RRM to Kamel. UNICEF to liaise with partner Nile Hope on the ground.

11 Up-coming RRMs (ctd) Tentative date Location Nutrition team Rationale Comments TBC Gaie Raeng, Nasir, Upper Nile UNICEF/? No nutrition services. Follow-up to previous RRM in Kiech Kon (population access to GFD) ADRA/UNKEA? TBC Kadet, Guit, Unity UNICEF/? NCC priority area. No nutrition services. Restrictions: Security/access Nopartner identified: CARE has PCA in county. IRC intending to go in in county? TBC Toic, Mayom, Unity UNICEF/? NCC priority area. No nutrition services. Restrictions: Security/access/population movement Nopartner identified: CARE & MulhranyIntl have PCA in the county => no capacity

12 Current UNICEF RRM nutrition team Name Position Phone number Jorunn Smith UNICEF Consultant RRM (Coordination) Kalpana Gajre UNICEF Consultant - RRM kgajre@unicef.org Hari Vinathan UNICEF Consultant - RRM hvinathan@unicef.org Kibrom Tesfaselassie UNICEF Nutrition Specialist - RRM ktesfaselassie@unicef.org Anita Khamisa Abdalla UNICEF Consultant - RRM akabdalla@unicef.org