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UNICEF-WFP Consultative Meeting, 23 rd June 2014

UNICEF Nutrition Response to the South Sudan Crisis Updates, Gaps and Scale-up Options. UNICEF-WFP Consultative Meeting, 23 rd June 2014. Outline . Nutrition Cluster Priority areas Achievements and Gaps Scale-up options. UNICEF Nutrition Response Overview.

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UNICEF-WFP Consultative Meeting, 23 rd June 2014

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  1. UNICEF Nutrition Response to the South Sudan Crisis Updates, Gaps and Scale-up Options UNICEF-WFP Consultative Meeting, 23rd June 2014

  2. Outline • Nutrition Cluster Priority areas • Achievements and Gaps • Scale-up options

  3. UNICEF Nutrition Response Overview

  4. Prioritization of the Nutrition Response

  5. Achievements – SAM Service Availability 268 OTP 26 SC

  6. Achievements – Management of Acute Malnutrition (as of end May 2014) • Low acute malnutrition treatment coverage due to: • Service disruption in conflict affected areas • Response capacity issues

  7. UPPER NILE 136,000 NORTHERN BAHR EL GHAZAL 107,000 UNITY 80,000 WESTERN BAHR EL GHAZAL 18,000 WARRAP 81,000 JONGLEI 105,000 LAKES 35,000 WESTERN EQUATORIA 20,000 EASTERN EQUATORIA 53,000 CENTRAL EQUATORIA 40,000 100 km Comparison of annual target, admissions Jan-May, and indirect coverage estimates SAM Target 14,453 Reached 3,407 Coverage 23% SAM Target 31,728 Reached 5,947 Coverage 19% SAM Target 25,964 Reached 8,499 Coverage 32% SAM Target 20,013 Reached 5,741 Coverage 28% SAM Target 41,169 Reached 6,921 Coverage 17% • Similar SAM coverage rates: • Conflict affected states (23%) • Other Warrap and NBEG (22.5%) SAM Target 74,684 Reached 3,728 Coverage 5%

  8. Achievements – IRRM Nutrition (as 21stJune) 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%

  9. Achievements – Nutrition Surveillance MUAC <11.5cm 4.5% >11.5cm - < 12.5cm 13.5% MUAC <11.5cm 4.1% >11.5cm - < 12.5cm 6.6% MUAC <11.5cm 1.9% >11.5cm - < 12.5cm 27.3% MUAC <11.5cm 1.0% >11.5cm - < 12.5cm 21.0% MUAC <11.5cm 10.1% >11.5cm - < 12.5cm 29.9% MUAC <11.5cm 3.7% >11.5cm - < 12.5cm 9.1% MUAC <11.5cm 9.6% >11.5cm - < 12.5cm 12.1% MUAC <11.5cm 4.0% >11.5cm - < 12.5cm 8.0% MUAC <11.5cm 18.6% >11.5cm - < 12.5cm 30.4% MUAC <11.5cm 10.8% >11.5cm - < 12.5cm 24.5% MUAC <11.5cm 28.8% >11.5cm - < 12.5cm 22.6% MUAC <11.5cm 0.4% >11.5cm - < 12.5cm 6.4%

  10. Achievements - Pipeline

  11. Achievements - Funding (as of 22nd June) Frontline: 24.2 m Pipeline: 19.5 m Funding coverage: 32%

  12. Gaps in the Response • SAM/MAM: • Limited geographic coverage and activity intensity • Inadequateprogrammatic 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

  13. 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

  14. Scale-up Options

  15. Scale-up Options

  16. Scale-up Options

  17. Thank you

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