UNICEF-WFP Consultative Meeting, 23rd June 2014

UNICEF Nutrition Response to the South Sudan Crisis

Updates, Gaps and Scale-up Options

1. Nutrition Cluster Priority areas

2. Achievements and Gaps

3. Scale-up options

Outline

UNICEF Nutrition Response Overview

Coordination

Nutrition Information

Infant and Young Child FeedingCMAM

Micronutrients

Prioritization of the Nutrition Response

Achievements – SAM Service Availability

26 SC 268 OTP

0

200,000

400,000

600,000

176,283

420,000

596,283

33,793 42,76576,558

Targeted Reached

• Low acute malnutrition treatment coverage due to:• Service disruption in conflict affected areas• Response capacity issues

Achievements – Management of Acute Malnutrition (as of end May 2014)

LAKES

35,000

CENTRALEQUATORIA

40,000

EASTERNEQUATORIA

53,000

UPPERNILE

136,000WESTERNBAHR ELGHAZAL

18,000

UNITY

80,000NORTHERN

BAHR ELGHAZAL

107,000

JONGLEI

105,000

WARRAP

81,000

WESTERNEQUATORIA

20,000

100

km

SAM Target 25,964Reached 8,499Coverage 32%

SAM Target 41,169Reached 6,921Coverage 17%

SAM Target 14,453Reached 3,407Coverage 23%

SAM Target 20,013Reached 5,741Coverage 28%

SAM Target 31,728Reached 5,947Coverage 19%

SAM Target 74,684 Reached 3,728 Coverage 5%

Comparison of annual target, admissions Jan-May, and indirect coverage estimates

• Similar SAM coverage rates:• Conflict affected states (23%)• Other Warrap and NBEG (22.5%)

Achievements – IRRM Nutrition (as 21st June)

• 13 missions conducted so far

• Locations covered with MUAC screening:Akobo , Mayendit, Kodok, Pagak, Lankien, Haat, Pochalla, Old Fangak, Walgak, Jeich, Leer

• 30,254 children 6-59 months screened

• Main findings: Proxy SAM : 8.5% Proxy MAM: 20.2% PLW MUAC <18.5cm: 16.8%

Achievements – Nutrition Surveillance

MUAC <11.5cm 10.8%>11.5cm - < 12.5cm 24.5%

MUAC <11.5cm 3.7%>11.5cm - < 12.5cm 9.1%

MUAC <11.5cm 4.0%>11.5cm - < 12.5cm 8.0%

MUAC <11.5cm 4.5%>11.5cm - < 12.5cm 13.5%MUAC <11.5cm 1.9%

>11.5cm - < 12.5cm 27.3%

MUAC <11.5cm 28.8%>11.5cm - < 12.5cm 22.6%

MUAC <11.5cm 4.1%>11.5cm - < 12.5cm 6.6%

MUAC <11.5cm 0.4%>11.5cm - < 12.5cm 6.4%

MUAC <11.5cm 1.0%>11.5cm - < 12.5cm 21.0%

MUAC <11.5cm 9.6%>11.5cm - < 12.5cm 12.1%

MUAC <11.5cm 18.6%>11.5cm - < 12.5cm 30.4%

MUAC <11.5cm 10.1%>11.5cm - < 12.5cm 29.9%

Achievements - Pipeline

RUTF Re-quirement

Distributed to partners

In pipeline Stock with partners

Stock in UNICEF WHs

GAP

176,000

52,256 47,102

25,00013,540

43,101

21% of annual need in stock in the country when target is 30%

Achievements - Funding (as of 22nd June)

Targeted Received

43,700,000

13,864,866 CHF7%

CERF13%

United States50%

Japan3%

Spain2%

ECHO14%

UNICEF Na-

tional Com-

mittees5%

Denmark5%

Funding coverage: 32%

Frontline:24.2 m

Pipeline:19.5 m

Gaps in the Response • SAM/MAM:

– Limited geographic coverage and activity intensity– Inadequate programmatic coverage (service package)

• RRM:– Selected sites not always aligned with most at nutritionally at risk counties– Number of missions – Service continuity beyond the mission (number & composition of teams)

• NIS:– Few surveys conducted in the high priority counties

• Pipeline:– Limited in-country (UNICEF & partners) stock level

Bottlenecks• SAM/MAM:

– Insecurity & constraint logistic in conflict affected states– Constraint logistic in other high burden states– Harmonized approach for the SAM-MAM service package

• RRM:– Parameters for sites selection– Financial constraint– Human resources capacity

• NIS:– Absence of a concerted survey plan or level of influence on it

• Pipeline:– Reporting issues– Management capacities– Communication on pipeline management

Scale-up Options

PARTNERSHIP & ACCOUNTABILITY

• Revision of Partnership agreements to address the existing response gap• New partnership to expand response coverage (Health partners, RC)• Service integration with other sectors• Stronger monitoring on implementation capacity and response at national, states

level

ENHANCED FIELD PRESENCE• Strengthen programmatic support to partners and monitoring

Scale-up Options

SUPPLY MANAGEMENT• Capacity building• Communication

MOBILE TEAMS to complement existing resources• Increased number of RRM missions in areas of greatest nutritional needs• Review of mobile team composition• Increased number of mobile teams

Scale-up Options

TREATMENT PROTOCOLS ADJUSTED TO THE NEEDS• Standard protocol & expanded criteria protocol

NUTRITION INFORMATION SYSTEM• Comprehensive analysis of existing data from other sectors with nutrition

data• 20 nutrition surveys planned by end July• Integration of nutrition indicators (W/H) in the FSMS

Thank you