Coordination mechanism: Cluster
Year of activation: 2000
NCC: UNICEF P4, FT
Deputy: UNICEF NOC, FT
The subnational cluster has been activated in Tigray since the beginning of the year with P4 Cluster Coordinator, and P3 IMO. Under the subnational also additional cluster has been established which is led by P3.
Coordination arrangements: The Emergency Nutrition Coordination Unit (ENCU) of the NDRMC is supported by UNICEF. NDRMC chairs and UNICEF co-leads the ENCU/Nutrition Cluster) at Federal level. There are sub-national ENCU coordination staff in 6 Regions of Ethiopia including Tigray.
January to December 2021
In 2021 Ethiopia continued to face consequences of climate-induced shocks and intercommunal conflict and violence compounded by high food prices, inflation leading to increase in acute food insecurity. Hence, acute malnutrition as expected continued to increase and overall country wide from January to December 2021, SAM admissions were 18% higher than they were last year same period and 91% of the 2021 target. The observed admission in 2021 which was 518670 is the highest admission ever reported since the start of CMAM programme in the country.
Oromia region continued to bear the highest burden of acute malnutrition with two out of five severely malnourished children admitted from the region. The problem is more pronounced in four zones (East and West Hararghe, Arsi and West Arsi) where over half (55%) of the cases in the region being reported from. Somali region bears the second highest numbers (22%) of severely malnourished children and six out of ten admissions reported from 5 out of the 11 zones (Afder, Daawa, Fafan, Liban and Shaballe).
In Tigray, SAM admissions quadrupled to 37290 compared to previous years. In Amhara region where reporting rate declined due to inaccessibility and damage to health facilities, over 55K admissions has been reported. In Afar region, 24776 SAM admissions reported which is close to 5% of the total national admission in the year.
In summary, overall country wide, from Jan to May 2021:
The quality of the Community-based Management of Acute Malnutrition (CMAM) services continued to be strengthened through the gradual adoption of the revised national Acute Malnutrition guidelines (started to take place at local level end of 2019 / beginning of 2020). In 2021, the FMoH-led Technical Working Group (TWG) on CMAM continued to develop the necessary guidance to pilot the Family MUAC approach and initiated discussion on the prospect of adopting emergency protocols for the management of acute malnutrition at times of crisis, during exceptional circumstances where the health system collapsed and nutrition services delivered through mobile health and nutrition teams. The development of emergency guideline has been finalized and will be endorsed very soon.
The FMoH-led IYCF-E TWG has finalized and endorsed the national operational guide to intensify actions toward protecting, promoting and supporting adequate Maternal, Infant and Young Child Nutrition (MIYCN) at times of emergencies.
In 2021 the Emergency Nutrition Coordination Unit (ENCU/Nutrition Cluster) was supported by the Global Nutrition Cluster (GNC) with the deployment of their team leader to fill the vacant post of NCC and IM Specialist to strengthen IM function of the Tigray Nutrition Cluster. The Technical Alliance of the GNC also supported the Nutrition Information Working Group (NIWG) of the Nutrition Cluster to ensure good quality nutrition data are generated and more Nutrition Surveys undertaken including in complex emergencies where access is a constraint. The support provided focuses on Tigray crisis where there is a gap in prevalence estimate since the onset of the conflict.