RRM Update Nutrition Cluster Meeting, 03 October 2014 Jorunn - - PowerPoint PPT Presentation

Jorunn Smith, UNICEF consultant RRM (josmith@unicef.org, ph: 0955057332)

RRM Update Nutrition Cluster Meeting, 03 October 2014

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

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 2,616 new SAM cases

receiving treatment

• Overall % children found SAM by MUAC: 6.9%
• Overall % children found MAM by MUAC: 13.9%

PLW:

• 11,412 PLW screened ( in 13 out of 23 RRM nutrition locations)
• Overall PLW found at risk (MUAC<21 cm): 22.1%
• 13,706 PLW reached with IYCF messaging

Vit-A supplementation/deworming:

• 32,412 children reached with Vit-A supplementation
• 27,881 children reached with deworming treatment

MUAC screening results to date: Children 6-59 months

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0%

MUAC Screening results children 6-59 months

Proxy % SAM Proxy % MAM

MUAC Screening results to date PLW

23.1 4.2 40.9 13.4 27.9 31.6 7.9 15.9 25.7 3.9 6.4 3.1 13.2 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 Lankien Old Fangak Walgak Jeich Leer Koch Duk Gorwai Kaldak Kiech Kon Ngop Wathjaak Pathai

MUAC screening results: Pregnant and lactating Women

proxy % MUAC < 21.0 cm

Raga Aweil South Aweil North Aweil East Aweil West Aweil Centre Twic Gogrial West Gogrial East Tonj North Mayom

Rubkona Pariang Guit Koch Fangak Panyikang Canal Malakal Fashod a Manyo Renk Melut Maban Baliet Longochuck Maiwut Luakpiny/ Nasir Ulang Nyirol Ayod Leer Mayendit Tonj East Panyijiar Duk Uror Akobo Twic East Rumbek North Pochalla Pibor Bor South Kapoeta East Kapoeta North Kapoeta South Budi Ikotos Magwi Torit Lopa Terekak a Juba Kajo-Keji Morobo Yei Lainya Mundri East Mundri West Maridi Ibba Yambio Nzara Ezo Tambura Nagero Wulu Mvolo Yirol West Awerial Yirol East Rumbek East Rumbek Centre Cueibet Tonj South Jur River Wau

The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. 11.5cm - < 12.5cm 22.9% LEER MUAC <11.5cm 10.1% 11.5cm - < 12.5cm 22.9%

SOUTH SUDAN

The Crisis in The contribution

• f the RRM to

Nutrition Surveillance

RRM visits 23 March – 02 October 2014:

• 63,950 children

under 5 screened

• 2,678 children

admitted and treated for SAM

Indicative data on the nutritional situation. Data represent children 6-59 months screened during WFP General Distribution activities. JEICH MUAC <11.5cm 3.7% 11.5cm - < 12.5cm 9.1% POCHALLA MUAC <11.5cm 0.4% 11.5cm - < 12.5cm 6.4% AKOBO MUAC <11.5cm 10.8% 11.5cm - < 12.5cm 24.5% WALGAK MUAC <11.5cm 18.6% 11.5cm - < 12.5cm 30.4% LANKIEN MUAC <11.5cm 20.0% 11.5cm - < 12.5cm 10.7% PAGAK MUAC <11.5cm 4.0% 11.5cm - < 12.5cm 8.0% HAAT MUAC <11.5cm 1.0% 11.5cm - < 12.5cm 21.0% WAU SHILUK MUAC <11.5cm 4.4% 11.5cm - < 12.5cm 8.3% KOCH MUAC <11.5cm 5.2% 11.5cm - < 12.5cm 14.9% KODOK MUAC <11.5cm 4.5% 11.5cm - < 12.5cm 13.5% OLD FANGAK MUAC <11.5cm 4.1% 11.5cm - < 12.5cm 6.6% MAYENDIT MUAC <11.5cm 5.6% 11.5cm - < 12.5cm 26.2% NIHALDU MUAC <11.5cm 12.6% DUK MUAC <11.5cm 2.3% 11.5cm - < 12.5cm 7.9% GORWAI MUAC <11.5cm 4.0% 11.5cm - < 12.5cm 15.5% KALDAK MUAC <11.5cm 11.2% 11.5cm - < 12.5cm 16.6% NGOP MUAC <11.5cm 0.9% 11.5cm - < 12.5cm 6.3% KEICH KON MUAC <11.5cm 0.8% 11.5cm - < 12.5cm 2.7% PATHAI MUAC <11.5cm 1.0% 11.5cm - < 12.5cm 4.8% WHATJAAK MUAC <11.5cm 1.2% 11.5cm - < 12.5cm 7.9%

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 Kaldak and establish 2 more OTPs in Canal and Khorfulus (UNICEF Nutrition). Gorwai, Ayod, Jonglei Establishment of OTP (COSV) FU-visit done 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 Ulang to re-establish and strengthen CMAM (SC, OTP, TSFP). Supplies & personnel going in Pathai, Uror, Jonglei CMAM running. Low malnutrition rates –10 out of 41 cases under treatment by Tearfund who is running OTP/TSFP. Complications referred to Yuai (MSF-H) No specific FU beyond normal programming.

Date Location Nutrition team Preliminary findings Comments 29.09-06.10 Gum, Nasir, UNS UNICEF/UNKEA 626 ch screened SAM: 12 (1.9%) MAM: 34 (5.4%) Results from day 1

• nly. Mobile OTP

services to be established 02.-10.10 Pagil, Ayod, JLS UNICEF/UNKEA Not yet available Screening to start 03.10. Setting up CMAM (OTP,TSFP). 02.-10.10 Ulang, Ulang,UNS UNICEF/Goal Not yet available Screening to start 03.10. Re-establishing OTPs + expanding. Setting up SC, TSFP.

Ongoing RRMs

Date Location Nutrition team Preliminary findings Comments 25.09-02.10 Kamel, Canal, JLS Nile Hope (WorldVision /IOM) TBC UNICEF RRM team capacity constraints. Simultaneous OCHA led response… Team returning 02.10. 01.-17.10 TBC Poktap and Ayueldit, Duk, Jonglei JDF Not yet available UNICEF RRM team capacity constraints. Poktap: MUAC assessment => establishment of CMAM? Ayueldit: Screening + treatment. CMAM ongoing. 07.10 – Pieri, Uror, Tearfund Not yet available Low malnutrition rates found during

Ongoing RRMs through Implementing Partners

Tentative date

Location Nutrition team Rationale Comments 08.-18.10 Nhialdiu, Rubkona, Unity UNICEF/? NCC priority area. No nutrition services. RRM in July 2014 indicated elevated SAM prevalence (SAM proxy 12%). MSF-CH unable to go in with E-team due to insecurity No partner identified MSF-CH approached, not confirmed 10.-17.10 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) 22.10-? 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.

Up-coming RRMs

Tentative date

Location Nutrition team Rationale Comments 15.-23.10 TBC Gaie Raeng, Nasir, Upper Nile UNICEF/? No nutrition services. Follow-up to previous RRM in Kiech Kon (population access to GFD) ADRA/UNKEA? 15.-23.10 TBC Kadet, Guit, Unity UNICEF/? NCC priority area. No nutrition services. Restrictions: Security/access No partner identified: CARE has PCA in county. IRC intending to go in in county? 15-23.10 TBC Toic, Mayom, Unity UNICEF/? NCC priority area. No nutrition services. Restrictions: Security/access/population movement No partner identified: CARE & Mulhrany Intl have PCA in the county => no capacity

Up-coming RRMs (ctd)

Current UNICEF RRM nutrition team

Name Position Phone number Email Jorunn Smith UNICEF Consultant – RRM (Coordination) 955057332 josmith@unicef.org Kalpana Gajre UNICEF Consultant - RRM 955492067 kgajre@unicef.org Hari Vinathan UNICEF Consultant - RRM 955492068 hvinathan@unicef.org Kibrom Tesfaselassie UNICEF Nutrition Specialist - RRM 955070310 ktesfaselassie@unicef.org Anita Khamisa Abdalla UNICEF Consultant - RRM 954699145 akabdalla@unicef.org