Somalia Pre-Famine Response Scale Up Plan presentation

1. UNICEF Somalia
Pre-Famine
Response Scale-up
01 Jan - 31 May 2017
13 June 2017
External Version

2. Situation
Situation in Numbers
Displacement trends
Response Funding Key Priorities
UNICEF and Partners
Access
Sector Response
Nutrition
WASH
Health
Overview

3. Situation
Situation in Numbers

4. More than half of the children in
Somalia are in need of urgent assistance
Sources: Drought – FEWSNET 10 May 2017 / GAM – Somalia Nutrition Cluster 30 April 2017
Approximately
4 million children
require critical services including:
Life-saving health services
Treatment for acute malnutrition
Access to safe water and sanitation
Child protection services

5. 4.5 million
people in
need of WASH assistance
(Jan 2017)
42,000
AWD/ Cholera Cases
Over 9,800 cases of
measles
(Jan – May 2017)
1.4 million
children under-5 estimated
to be acutely malnourished,
275,000 severely
malnourished in 2017
(Jan 2017)
Over 738,000
new IDPs
(Nov 2016 – May 2017)
In 2017 Somali children face triple threat of drought, disease and displacement

6. This is leading to rising protection risks and reducing access to education
Over half a million
school aged children
in need of assistance
(April 2017)
Average of 600
new GBV cases per month
(Avg Jan - Apr 2017)
Over 700
children recruited
(Oct 2016 - April 2017)

7. Situation
Displacement Trends

8. Internal Displacement
Half of all internal displacement
has been recorded towards
urban centres, including Baidoa
and Mogadishu
Source: Drought driven displacement, UNHCR PRMN and IOM DTM, November 30 2016 – 31 May 2017
50%

9. Internal displacement has doubled the
Substantial internal displacement
has also been recorded over
comparatively short distances
within the region of origin and to
border towns
Source: Drought driven displacement, UNHCR PRMN and IOM DTM, November 30 2016 - 30 April 2017
Internal Displacement
Source: Drought driven displacement, UNHCR PRMN and IOM DTM, November 30 2016 – 31 May 2017

10. Internal DisplacementInternal Displacement
Over 209,000 IDPs
have been displaced within
Somaliland and Puntland in 2017
Source: Drought driven displacement, UNHCR PRMN and IOM DTM, November 30 2016 – 31 May 2017
Bay
27%
Lower
Shabelle
20%
Sool
13%
Others
40%
IDP‐ Location of origin
Baidoa
33%
Mogadishu
32%
Others
35%
IDP‐ Location of arrival

11. With over 738,600 IDPs registered,
internal displacement has more than
doubled compared to displacement
during the famine in 2011
In contrast, cross border is much lower
than during the famine in 2011
Cross Border Displacement
High Internal Displacement
Lower Cross Border Movement
Source: Drought driven displacement, UNHCR PRMN and IOM DTM, November 30 2016 – 31 May 2017

12. Internal Displacement
Major internal population
movements are away from
drought affected areas

13. Response
• Nutrition
• WASH
• Health

15. UNICEF is on track to reach the end of year target for SAM treatment*
Source: Somalia Nutrition Cluster
Since January, UNICEF has treated 84,967 severely malnourished children,
with a recovery rate of 92.9%
Information 28 Feb - 31 May 2017
*Information based on the medium/most likely scenario
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
FEB MAR APR MAY JUN JUL AUG SEP OCT NOV
UNICEF Target
Children treated
Children in need of
SAM treatment
SAM caseload
by end of 2017:
275,000
UNICEF target
by end of 2017:
208,000

16. The number of nutrition centres
UNICEF supported has increased
by 87% since January 2017
Map Information 31 Jan – 30 Apr 2017
There were 435 nutrition facilities in Somalia on 31
January. This grew to 813 facilities by 30 April.
Significant scale up has been achieved countrywide,
including hard-to reach-locations in south and central
Somalia
435 544 658 813
14,932
18,778
23,283 23,158
0
10,000
20,000
30,000
400
600
800
31 Jan 28 Feb 31 Mar 30 Apr
Number of Centres Number of SAM Admission
Source: Somalia Nutrition Cluster

17. UNICEF-funded nutrition programmes represent the majority
of Cluster results to treat severe acute malnutrition in 2017
16,296 SAM cases treated
through other partners in the
Cluster
UNICEF is responsible
for treating 83.9% of
the SAM cases
84,967 SAM cases
treated through UNICEF
funded programmes
Source: Somalia Nutrition Cluster
83.9%
CLUSTER 16.1%
Number of children with SAM
treated through the Nutrition Cluster
Information 31 Jan – 30 May 2017

19. UNICEF has provided access to safe water to over 1.9 million people*
UNICEF Target:
2 Million people
• 1.5 Million temporary access to
water
• 0.5 Million permanent access to
water
*Out of 1.9 million, 1.54M temporary access to water and 349,000 permanent access to water
Information Jan 31 - 31 May 2017
Source: Somalia WASH Cluster
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Population reached with water

20. 647,000 people have been provided with means to practice good
hygiene and household water treatment
UNICEF Target:
1.5 million people
Information Jan 31 – 31 May 2017
Source: Somalia WASH Cluster
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
1,400,000
1,600,000
FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Number of people reached with good hygiene practices and household water treatment

21. Number of people provided with
temporary and sustained water access
have increased substantially since
Jan 2017..
17,510
Sustained access to
water
345,219
0
100,000
200,000
300,000
400,000
500,000
0
5,000
10,000
15,000
20,000
FEB
Temporary
Sustained Access
Temporary access
to water

22. … With a fivefold increase in people
provided with access to safe water
since January 2017
Information 31 Jan – 31 May 2017
Source: Somalia WASH Cluster
Map information by 30 April 2017
17,510
192,500 192,500
349,502
345,219 940,673 1,241,566 1,546,166
0
400,000
800,000
1,200,000
1,600,000
2,000,000
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
FEB MAR APR MAY
Temporary
Sustained Access
Sustained access to
water
Temporary access
to water

23. Over 60% of the people now accessing temporary water through the
WASH Cluster are provided through programmes funded by UNICEF
Number of people reached
with temporary access
WASH interventions
Through the Cluster
(1 Jan - 31 May 2017)
1,546,166 people received
temporary access WASH
support through UNICEF
funded programmes
960,434 people
receive temp access
WASH support
through other Cluster
partners
Source: Somalia WASH Cluster
UNICEF targets 60% of the target population for temporary access and 56% of the
target population for sustained access to water.
Currently, it is responsible for 65% of the people reached with WASH services in 2017.
Number of people
reached with
sustained access
WASH interventions
through the Cluster
(1 Jan - 31 May 2017)
349,502 people
access WASH
support through
UNICEF funded
programmes
278,500 people
access WASH support
through other Cluster
partners
CLUSTER 40%
60%
CLUSTER 44%
56%

25. Over 42,000 AWD/cholera cases treated with UNICEF support
UNICEF has exceeded its
target to treat 27,500
cases and has now
reached 42,000
as of 31 May
UNICEF Target: 27,500
Number of AWD/cholera cases treated with UNICEF support
Information 28 Feb - 31 May 2017
Source: Somalia Health Cluster
‐
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

26. UNICEF AWD/cholera treatment facilities
have increased fivefold in 2017
Source: Somalia Health Cluster Information 31 Jan – 31 May 2017
3,003
4,104
11,311
12,760
13,636
0
30
60
90
120
150
0
3,000
6,000
9,000
12,000
15,000
Jan Feb Mar Apr May
Number of Centres Number of Cases
14
47
68
70
30

27. 75% of the Health Cluster’s cholera response is provided through
UNICEF-funded programmes
3 in 4 cholera
treatment centres
across the country are
supported by UNICEF
Other Cluster Partners
support a total of 25
AWD/Cholera treatment centres
70 AWD/Cholera treatment
centres supported
by UNICEF
Source: Somalia Health Cluster
75%
25%CLUSTER
Number of
AWD/cholera
treatment centres
created through the
WASH Cluster
(1 Jan - May 2017)
Total: 93

28. The AWD/cholera case fatality rate has decreased more than 30%
since the peak in February 2017
AWD/Cholera and Case Fatality Rate
Emergency
Threshold
(<1%)
Source: Somalia Health Cluster
Information 1 Jan - 28 May 2017
2.2
2.0
1.4
1.5
1.4
1.5
2.3
2.4 2.4 2.4
2.3 2.3
2.2 2.2
2.0
1.9 1.9
1.8
1.7 1.7
1.6
0.0
1.0
2.0
3.0
0
1,000
2,000
3,000
4,000
W 1 W 2 W 3 W 4 W 5 W 6 W 7 W 8 W 9 W 10 W 11 W 12 W 13 W 14 W 15 W 16 W 17 W18 W19 W20 W21
CFR (%)
Number of cases
Cases Cumulative CFR (%) Emergency Threshold <1%

29. Over 529,000 children have been
immunized against measles
UNICEF Target: 340,000
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
550,000
600,000
Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
Number of children immunized against measles
*Information 31 Jan - 15 May 2017Source: Somalia Health Cluster

30. Over 529,000 children have been
immunized against measles
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
550,000
600,000
Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec
Number of children immunized against measles
*Information 31 Jan - 15 May 2017
Source: Somalia Health Cluster
UNICEF Target: 340,000

31. Over 85,000 severely acutely malnourished children have
now received life-saving treatment
Over 1.9 million people now have access to safe water
Over 647,000 have now been provided with adequate means
to practice good hygiene and household water treatment
42,000 people have now been considered treated for AWD/cholera
Over 529,000 children have been immunized against
measles
Summary

32. Funding

33. Funding Status
$75.2
$79.4
$97.7
February
March
April
May
million
$2.9
million
66%
Funded
34%
Unfunded
54%
Funded
51%
Funded
2% Funded
HAC Funding
Requirement:
US$ 147.9 Million
Funds Available:
US$ 97.7 Million
Funding Gap:
US$ 50.1 Million
$50.1
million
* Information up to 31 May 2017
million
million

34. Key Priorities

35. Addressing
underlying
causes of poor
Sanitation and C4D
by:
Prioritizing
Protection Issues
including:
Investing in
Education
including:
Preparing for
Early Recovery
from the drought
through:
Priorities Going Forward
 Basic services system
strengthening
 Resilience building
within communities
 Expanded cash
programme and Social
Protection
 Focus on increasing
sanitation
 Shift to sustained
access to safe water
 Behaviour change
with a focus on
hygiene practices
 Community-based
protection services
 Family tracing and
reunification
 Psychosocial support
 Services for SGBV
survivors
 Monitoring of grave
violations
 Access to quality
education
 Protection framework
which improves
children’s well-being
 Children reached with
other basic services
(WASH/CP)

36. Thank You