BACKGROUND
o Global Malnutrition Initiative
According to a Food Security and Nutrition Analysis Unit - Somalia (FSNAU) report, an estimated 1.7 million children aged 6–59 months are expected to suffer from acute malnutrition and be in urgent need of nutrition services from January- December 2024. The total number of Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) cases are estimated at 430,000 and 1.23 million respectively. 64% of the acute malnutrition burden is concentrated in South Somalia. The project’s operational area included Beledweyne district, which was affected by torrential rains and flooding. These severe weather conditions negatively impacted on the routine operations of the project areas. However, drawing on its experience with floods, Save the Children International (SCI) was able to manage the situation. This included relocating to a mobile outreach approach to reach the displaced people in the affected areas. In Marodijeex there was drought and food insecurity that caused a humanitarian crisis. The Somalia Humanitarian Response Plan (HRP) 2024 highlights the dire situation with 6.9 million people requiring aid, exacerbated by recent floods from El Niño affecting 2.4 million and leading to an Acute Watery Diarrhoea (AWD)/Cholera outbreak. Women and girls are disproportionately affected due to their domestic roles and limited access to Sexual and Reproductive Health (SRH) and Gender-Based Violence (GBV) services, contributing to high maternal and infant mortality rates. Anticipating the upcoming Gu floods, forecasted to be above-average impact, the Somalia humanitarian community was urged to strengthen readiness and Anticipatory Action. The government declared a state of emergency, seeking international assistance, and initiatives like positioning boats were underway to aid transportation of essential supplies, particularly prioritizing the safety of women and girls.
The Malnutrition Initiative program aims to improve the nutritional status of children under 5 in Hiran regions (Beledweyne and Mataban) and Marodijeex regions (Gabiley and Farewayne) of Somalia and Somaliland, which goes beyond the emergency treatment phase of provision of treatment to acutely malnourished individuals. It combines emergency aid provision with innovation and evidence based longer-term development goals to address some of the underlying causes of malnutrition. It builds on lessons and outcomes of the Nutrition Causal Analysis (NCA) to
build on longer term initiatives to address some of the underlying causes of malnutrition by linking and integrating with other long-term projects running in the target areas and other regions. The project supported the procurement of medical and non-medical items to improve the health and well-being of children under five years old. This was done through the iCCM (Integrated Community Case Management) supplies program. The nutrition supplies were contributed by the World Food Programme (WFP) and the United Nations Children's Fund (UNICEF) through a GIK (Gifts-in-Kind) supplies agreement, involving Program Documents (PDs) and Field Level Agreement (FLA).
Save the Children partnered with the ministries of health in Somaliland and Hirshabelle in the implementation of GMI project particularly the iCCM plus implementation in 37 sites in Somaliland and 5 sites in Beletweyn district. Some of the services includes community engagement, capacity building of community-level female health workers, district-level supervisors and distribution of Ready to Use Therapeutic Food (RUTF) and medical treatment for children under five years with simplified IMAM protocol. The prototype in Hiran was successfully completed in May 2024 and the plan to scale up to other areas through full scale research is currently being discussed with the support of Save the Children UK.
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