Coordination mechanism: Cluster
Year of activation: 2000
NCC: UNICEF P4, FT
Deputy: UNICEF NOC, FT
IMO:UNICEF NOC, FT;
The subnational cluster has been activated since the beginning of the year with UNICEF nutrition specialist double hatting the coordination.
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
January to June 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 June 2021, SAM admissions were 25% higher than they were last year same period.
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 three zones (East and West Hararghe and West Arsi) where nearly half (47%) of the cases in the region being reported from. Somali region bears the second highest numbers (22%) of severely malnourished children and half of the cases are from four zones (Daawa, Fafan, Liban and Shaballe). In Amhara and SNNP Regions, South Wollo, Waghimra and South Gonder and Gedeo, Hadiya and Wolayita zones were the three zones respectively with the highest number of SAM cases admitted for treatment. In Tigray Region where the vast majority of the population lost their livelihood and have been cut form essential services sometimes for extend periods, SAM admissions were 160% high in May 2021 than there were in 2021 despite a 85% reduction in availability of nutrition services due to limited access.
The planning assumption was that acute malnutrition was expected to increase by 25% in 2021 due to multiple aggravating factors and socio-economic impact of the COVID-19 pandemic. The 2021 targets aim at reaching 503,799 children affected by severe acute malnutrition (SAM) to be admitted across the country, more than 1 million children aged 6-59 months affected by moderate acute malnutrition (MAM) benefiting from Targeted Supplementary Feeding Program and over 600,000 acutely malnourished pregant and lactating women (PLW) were projected to receive support.
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 FMoH-led IYCF-E TWG is close to finalize 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 IM Specialist to strengthen IM function of the Tigray Nutrition Cluster. The Technical Alliance of the GNC is currently supporting 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.