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

RRM Update Nutrition Cluster Meeting, 03 October 2014 Jorunn Smith, UNICEF consultant RRM (josmith@unicef.org, ph: 0955057332 )

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 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

MUAC Screening results to date PLW MUAC screening results: Pregnant and lactating Women 45.0 40.9 40.0 35.0 31.6 30.0 27.9 25.7 25.0 23.1 proxy % MUAC < 21.0 cm 20.0 15.9 15.0 13.4 13.2 10.0 7.9 6.4 4.2 3.9 5.0 3.1 0.0 Lankien Old Walgak Jeich Leer Koch Duk Gorwai Kaldak Kiech Kon Ngop Wathjaak Pathai Fangak

The contribution MAYENDIT KOCH WAU SHILUK KALDAK of the RRM to MUAC <11.5cm 5.6% MUAC <11.5cm 5.2% MUAC <11.5cm 4.4% MUAC <11.5cm 11.2% � 11.5cm - < 12.5cm 26.2% � 11.5cm - < 12.5cm 14.9% � 11.5cm - < 12.5cm 8.3% � 11.5cm - < 12.5cm 16.6% Nutrition Surveillance WHATJAAK OLD FANGAK KODOK NIHALDU The Crisis in MUAC <11.5cm 1.2% MUAC <11.5cm 4.5% MUAC <11.5cm 4.1% Manyo MUAC <11.5cm 12.6% � 11.5cm - < 12.5cm 7.9% � 11.5cm - < 12.5cm 6.6% � 11.5cm - < 12.5cm 13.5% SOUTH Renk KEICH KON DUK NGOP SUDAN MUAC <11.5cm 2.3% MUAC <11.5cm 0.9% MUAC <11.5cm 0.8% � 11.5cm - < 12.5cm 7.9% � 11.5cm - < 12.5cm 6.3% � 11.5cm - < 12.5cm 2.7% PATHAI Melut MUAC <11.5cm 1.0% � 11.5cm - < 12.5cm 4.8% Fashod Maban a Pariang GORWAI Malakal Panyikang Abiemnhom MUAC <11.5cm 4.0% Baliet � 11.5cm - < 12.5cm 15.5% Aweil North Rubkona Aweil East Longochuck Guit Mayom Twic Fangak Canal Aweil West HAAT Luakpiny/ MUAC <11.5cm 1.0% Aweil Maiwut Gogrial Nasir Koch Nyirol Ulang � 11.5cm - < 12.5cm 21.0% Raga South West Aweil Gogrial Ayod Tonj North Centre East Leer PAGAK Mayendit RRM visits 23 March MUAC <11.5cm 4.0% Tonj � 11.5cm - < 12.5cm 8.0% – 02 October 2014: Duk East Akobo Rumbek Uror Panyijiar North LANKIEN • 63,950 children Wau Jur Tonj River MUAC <11.5cm 20.0% under 5 screened Cueibet Rumbek Pochalla South Twic � 11.5cm - < 12.5cm 10.7% Centre East Yirol • 2,678 children Rumbek East WALGAK East admitted and MUAC <11.5cm 18.6% Bor Nagero Yirol Pibor West South � 11.5cm - < 12.5cm 30.4% treated for SAM Wulu Awerial Indicative data on the Mvolo AKOBO Tambura nutritional situation. Data MUAC <11.5cm 10.8% Terekak represent children 6-59 a � 11.5cm - < 12.5cm 24.5% Mundri months screened during Mundri Lopa Kapoeta Ibba East Kapoeta West POCHALLA WFP General Distribution Ezo North Maridi East MUAC <11.5cm 0.4% activities. Yambio � 11.5cm - < 12.5cm 6.4% Juba Nzara Kapoeta South JEICH Lainya Torit Budi MUAC <11.5cm 3.7% Yei Ikotos � 11.5cm - < 12.5cm 9.1% Kajo-Keji Magwi Morobo LEER MUAC <11.5cm 10.1% � 11.5cm - < 12.5cm 22.9% � 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.

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

Ongoing RRMs Date Location Nutrition team Preliminary Comments findings 29.09-06.10 Gum, Nasir, UNS UNICEF/UNKEA 626 ch screened Results from day 1 SAM: 12 (1.9%) only. Mobile OTP MAM: 34 (5.4%) 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 through Implementing Partners Date Location Nutrition team Preliminary Comments findings 25.09-02.10 Kamel, Canal, JLS Nile Hope TBC UNICEF RRM team (WorldVision capacity /IOM) constraints. Simultaneous OCHA led response… Team returning 02.10. 01.-17.10 Poktap and Ayueldit, JDF Not yet available UNICEF RRM team TBC Duk, capacity Jonglei constraints. Poktap: MUAC assessment => establishment of CMAM? Ayueldit: Screening + treatment. CMAM ongoing. 07.10 – Pieri, Tearfund Not yet available Low malnutrition Uror, rates found during

Up-coming RRMs Tentative Location Nutrition team Rationale Comments date 08.-18.10 Nhialdiu, UNICEF/? NCC priority area. No partner identified Rubkona, No nutrition services. MSF-CH approached, not Unity confirmed RRM in July 2014 indicated elevated SAM prevalence (SAM proxy 12%). MSF-CH unable to go in with E-team due to insecurity 10.-17.10 Nyangore, UNICEF/Goal IRNA indicates elevated malnutrition TBC. Ulang, levels. No nutrition services currently. UNICEF/Goal already Upper Nile participating in ongoing RRM Goal wants to re-establish nutrition in the area (Ulang) services & expand. 22.10-? Kaldak, UNICEF Follow-up from RRM done in August UNICEF to liaise with partner TBC Canal, indicating elevated malnutrition levels. Nile Hope on the ground. Jonglei Connected to recent RRM to Kamel.

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

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 954699145 Anita Khamisa Abdalla UNICEF Consultant - RRM akabdalla@unicef.org