Sudan

Coordination mechanism: Sector
Year of activation: 2008
NCC: UNICEF P4,FT
IMO:UNICEF NoB TA
Coordination arrangement:
UNICEF lead, FMOH co-lead 8 sub-national coordination hubs

Country Key Contacts

Isaack Manyama

Coordinator imanyama@unicef.org

Mohammed Abdelhafeez

Information Management Officer mabdelhafeez@unicef.org

Mayada Badawi

Coordination Support mbadawi@unicef.org

Mid-Year report 2022

January to June 2022

Humanitarian Needs Overview (HNO)

Despite humanitarian interventions, malnutrition in Sudan remains the number of Acute malnutrition children and PLW that need humanitarian assistance increased by 8.8% from 3.6 million in 2021 to 3.9 million in 2022. Out of the 3.9 million, over three million children are estimated to be suffering from acute malnutrition of which 618,950 and 2451,406 are diagnosed with severe acute Malnutrition  (SAM) and moderate acute malnutrition respectively . Moreover, approximately 905 000 pregnant and lactating women (PLW)  estimate be suffering  acute malnutrition in 2022. 15 out of the 18 states reported extremely high global acute malnutrition (GAM) rates in 2020 including high to very  levels of malnutrition in 125 localities representing over 63% of the entire country.

Drivers of malnutrition can be characterized as; (i) economical, such as income poverty and high food prices which contribute to inadequate food intake and dietary diversity at household level; (ii) displacement due to conflict or flood contributing to destruction of food commodities and disease outbreaks; (iii) COVID-19 pandemic leading to disruption in health and nutrition services; and (iv) prevailing inappropriate feeding practices due to cultural norms and illiteracy and (v) political instability. These have contributed to affect essential early childhood development and growth among vulnerable children.

Most vulnerable communities live in areas ranked as severity four and five in terms of malnutrition – sensitive indicators for food security, clean drinking water and low social protection coverage. According to the latest IPC report,  the number of food insecure increased by about 34 percent from 7.1  million people in 2021 to 9.8 million in 2022. Furthermore, micronutrient deficiencies are prevalent with only 7.6 percent of households use iodized salt (S3M II Survey). Scaling up maternal nutrition services remains a concern with approximately 905,00 PLW needed moderate acute malnutrition (MAM) management services to attain adequate diet. About 1.9 under-five care takes including PLWs need appropriate infant and young child nutrition (IYCF) counselling services

Standard Expanded Nutrition Survey (SENS) conducted among refugees in White Nile, East Darfur, South and West Kordofan indicate ‘critical’ rates of GAM (>15 percent) and SAM (>3 percent) among children between six to 59 months of age. Based on this assessments, it was estimated that 137,191 of under-fives and PLWs across Sudan needed humanitarian nutrition assistance of which 92% of were under-five children.  The survey also indicates high rates of anemia (>40 percent) among children and women (aged 15-49 years), as well as low Vitamin A supplementation coverage for refugees in all above mentioned refugee-hosting states.

;To mitigate and prevent morbidity and mortality associated  with malnutrition, the sector will focus on the immediate life-saving nutrition needs that include: Out-patient treatment and in-patient treatment of severe acute malnutrition, treatment of moderate acute malnourished under-fives and global acute malnutrition among PLWs) in prioritized localities.   Preventive nutrition needs are Infant and Young Child Feeding practices, emergency  supplementary feeding programme (e-BSFP) for under-fives and PLWs, within the crisis hit populations, Food based prevention of malnutrition (FBPM) for under 2 children and PLWs at the risk of developing acute malnutrition, provision of micronutrient powders to children under 5 years (Home Fortification) and salt iodization (USI;  treatment and prevention of anaemia, Vitamin A supplementation, capacity building of partners and system strengthening. Implementing multi-sectoral nutrition sensitive interventions (WASH, Health, Food Security, social protection education) ,. Strengthening evidence generation and analysis through implementing SMART surveys in prioritized localities, improved analysis of nutrition information and operational studies  to guide informed decision making and planning are critical. These needs have significant impact on physical, mental and wellbeing of children, pregnant and lactating women, and the community in general.

Sudan Humanitarian Needs Overview 2022 (December 2021) - Sudan 

Humanitarian Response Plan (HRP)

Over 47 nutrition sector partners are participating in implementing and scaling up curative and preventive nutrition responses to meet the needs mentioned above the HNO above. For Example, about 60 OTPs and  166 TSFP sites were opened during the first half of 2022 representing about  3.3% and 12.6% respectively from the 2021 levels respectively.  As result, a total of 101,577 children with SAM representing 31% of the annual target (320,865) were reached and treated for severe acute malnutrition in OTP and SC during the January to June 2022 period with May reporting rate at 77 percent for OTP. However, about 22% of the SAM with medical complications annual target (49,021) have been reached based on the reports received with 80% reporting rate for SCs. It is expected that the number of children that have been reached with SAM treatment services are likely to increase considerably once the pending reports for May and June as compiled.

Moreover, a total of 376, 477 representing over 37% of moderately malnourished children (MAM) annual target (1,017,000) were treated. The corresponding figure for acutely malnourished Pregnant and Lactating women (PLW) was 104,902, about 26% of the annual target (422,600). Meanwhile 113,683 under-two children and 75,794 PLW were reached with Food Based Prevention of Malnutrition intervention in  localities.   Moreover, 285,085 (about 29% of the annual target) of under-five caretakers were provided with Infant and Young Child Feeding Counselling.   Overall, the sector has reached 33%[1] of the annual sector target (About 1.8M)- the combined target for three indicators as part of the HRP monitoring coordinated by OCHA. The number of beneficiaries reached is expected to increase once more second quarter reports are received.

Meanwhile, the nutrition sector resumed coordinating SMART surveys in Sudan during which a total of 50 survey managers were trained the Global SMART technical. The sector had planned to conduct 22 SMART surveys, however, the mid June Seven had been conducted and the 5 are expected to be conducted after the rain season in October- December period. 

 

 

Sudan: Humanitarian Response Plan 2022 (January 2022) [EN/AR] - Sudan 

Current Challenges

The broader challenges include: Deteriorating macroeconomic situation has affected the operations of humanitarian interventions corresponding to a sizeable increase of project costs attributed to hyperinfl­ation and extreme devaluation of local currency. Increasing food prices, disruption of markets and livelihood activities negatively impact household purchasing capacity and eventually adversely impacting nutrition especially among the vulnerable groups.

Some of main sector challenges included: access and insecurity in some of the localities, Late reporting, and no real time of nutrition information to guide understanding of the evolving situation; Limited technical capacity among some of partners; Gaps in treatment and geographical coverage of nutrition services of SC/OTP/TSFP; Poor nutrition infrastructure in some of facilities-need rehabilitation; lack of incentives for staff/CHVs

Moreover, interrupted supplies availability in some of the localities and limited funding for the sector responses with only 11% of the requirement funded. A significant number of children and PLWs in need of life-saving nutrition interventions up to 42 % and 54% with respect to SAM and MAM were not targeted. Other main  challenges that the sector encountered in 2022 include the following: Limited funding to cope with increased needs associated with deteriorating nutrition situation associated with dry spell, increased inflation, collapse of the economy, worsening of social services etc;  Late funding for humanitarian activities;  Political instability and tribal conflict at some areas and states affecting continuity of nutrition services and for children enrolled in programme (some children and PLWs cannot finish treatment regimen for acute malnutrition); Inaccessibility due to geographical and insecurity and therefore preventing implementation of life-saving and preventive nutrition responses ;  Lead time of nutrition supplies imported from outside the country and limit capacity of local suppliers to deliver on time;  Customs and testing procedures related to nutrition clearance (lengthy; unclear in sometimes); . Late referrals of SAM with medical complications contributing to preventable loss of children’s lives; Health and nutrition workers strike affecting provision of nutrition services; Staff turnover in some of the nutrition sites e.g in some sites is high as 50% ;  Restriction funding transfer to the SMOH- affecting FMOH/SMOH to fulfill its roles.
 

Advocacy, Intersectoral Collaboration and Preparedness
Advocacy Survey
Country Advocacy Strategy developed No
Link to document  
Advocacy activities included in annual work plan Yes
Specific WG leading advocacy work established Yes
Preparedness
Contingency plan or ERP plan developed/updated Yes
Link to document  
Intersectoral Collaboration (ISC)
Intersectoral projects currently under implementation No
Clusters engaged
none

Key Figures

(million)

Funding

(million)
Number of SAM under-five children in need
(million)
Number of MAM under-five children in need
(million)
Number of children 6-59 months in need of Micronutrient Powder Supplementation
()
Number of children 6-59 months in need of Vitamin A Supplementation
()
Number of PLW counselled (one-on-one) on IYCF
()
Number of moderately acutely malnourished PLW in need
()
Number of PLW in need Of BSFP
()

Sector Partners

Total Partners

0
INGOs
0
NNGOs
0
UN agencies
0
Authorities
0
Donors

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