UNICEF Senegal Situation Report 23 July 2012 Highlights

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UNICEF Senegal Situation Report 23 July 2012 Highlights A national nutrition SMART survey completed to update the nutrition situation countrywide.

1 UNICEF Senegal Situation Report 23 July 2012 Highlights A national nutrition SMART survey completed to update the nutrition situation countrywide. The preliminary results are to be released by MoH on 25 th July A nutrition surveillance system is functioning in the two most affected regions, Diourbel and Matam, with weekly data being submitted at national level by MOH and partners (MSF and ACF). This is despite the strike of health workers. 200 health workers have been trained on the community based management of severe acute malnutrition in the regions of Diourbel and Matam. 250 health posts are managing severe acute malnutrition. Due to the strike, not all of the data is available. 1,573 severely malnourished children were admitted this month in the OTP (out patient therapeutic program). The scaling up of the emergency response plan is in progress with micro-planning ongoing from 23 to 31 July 2012 in the regions of Louga, Thies and Saint Louis. A MOU was signed with ACF for the funding of nutrition activities for the scale up of the crisis response in the regions of Louga, Thies and Saint Louis. Coordination at both national and regional levels with the involvement of all stakeholders for Nutrition, Health, WASH and Communication interventions and advocacy with other UN agencies held on monthly basis. An integrated approach has been adopted for the emergency response including Health Nutrition - C4D - WASH and Protection). 1

2 Humanitarian Needs Table 1: Estimated Affected Population Total 1 Male Female Total Affected Population 1,529, , ,674 Children Affected (Under 18) 2 772, , ,767 Children Under Five 254, , ,869 Children 6 to 23 months 101,600 51,652 49,948 Children Under Five with Severe Acute Malnutrition (SAM) Children Under Five with Moderately Acute Malnutrition (MAM) 20, ,168 9, ,000 50,800 40,200 Table 2: See table below for breakdown of numbers of SAM and MAM affected by district with Global Acute Malnutrition (GAM) rates REGION GAM rates ESTIMATED EXPECTED SAM ESTIMATED EXPECTED MAM THIES DIOURBEL St LOUIS LOUGA MATAM TAMBACOUNDA KOLDA KEDOUGOU Other regions 3,964 14,833 TOTAL 20, ,000 Continuing to support national capacity building for management of acute malnutrition (severe and moderate cases) in collaboration with WHO and WFP. Assisting the MOH in planning the scale-up plan for additional regions affected by the nutrition crisis (Louga, Thies, Saint Louis, Kolda, Tambacounda and Kedougou). UNICEF needs 3.93 million USD to cover the gap of its funding requirement for an efficient response to the nutrition crisis including the scaling up to other regions. Inter-Agency Collaboration The inter-agency meetings WFP-UNICEF- WHO are held on fortnightly basis to evaluate the progress of the implementation of the emergency response plan. As a result of an inter-agency advocacy, with UNICEF funding, the Government Cell for the Fight against Malnutrition has started to increase the coverage of the screening of severely malnourished children in Matam and Diourbel regions. 1 Source: UNICEF Humanitarian Action Update 06 th February Based on proportion of total population under 18. State of the World s Children Source: Expected SAM and MAM caseloads. OCHA Humanitarian Dashboard 20 th February 2012, SMART survey 2012, and WFP Senegal projection figures. 2

3 A national coordination meeting is active under the leadership of the Ministry of Women and Social Action designated by the prime minister. The meeting is held on fortnightly basis. At the regional level in Diourbel and Matam regions the coordination is also active under the leadership of the Regional Governor. All stakeholders are invited in these meetings at national and regional levels. Emergency integrated response (Nutrition/Health/WASH/Communication) REGIONS Table 3: Nutrition Achievements Targeted # of SAM Cases Achievement to date - Cumulative admissions of achievement MATAM DIOURBEL Remarks or reason of data retention Due to the strike, most of health posts did not provide data. But there is an improvement. Same as above. The advocacy is ongoing to overcome this situation. THIES 3686 No data No data The Strike of health workers. SAINT LOUIS 2009 No data No data LOUGA 1972 No data No data MOUs have been signed between UNICEF and NGOs to TAMBA support MOH in the response to KOLDA the nutrition crisis. KEDOUGOU 329 No data No data Other regions 3,964 No data No data TOTAL 20, health workers trained on the community based integrated management of acute malnutrition in Matam and Diourbel regions. To date 250 health posts are providing services for the management of acute malnutrition in 1,100 health posts of the country. The scale up is ongoing with the capacity building of health workers on the CIMAM (Community based Integrated Management of Acute Malnutrition) and the provision of nutrition supplies to the health facilities. The National Child Survival Days (Vitamin A and deworming) took place from 25 th to 30 th June 2012, with over 2.5 million of children covered countrywide. The consortium of NGO under the MOU signed with UNICEF for the child survival activities started the screening of severe cases and the referral to the health facilities. 3

4 A MOU has been signed with ACF (Action Contre la Faim Espagne) to support MoH in 3 regions of Louga, Thies and Saint Louis in the management of severe acute malnutrition in relation to the nutrition crisis. The Government has not yet released the data on the screening of the 2nd quarter April-May-June The expected number of MAM (Moderate Acute Malnutrition) is 100,000. CLM is the Technical Department of the Office of the Prime Minister dealing with the management of acute malnutrition at the community level. Table 4: Management of SAM at health facilities (July 2012) Cummulative# Children <5 Targeted # of Regions admitted and Recovered admissions Defaulters treated at the health posts Death # of Stabilization center (SC) and OTP* functional Matam SCs and 75 OTPs Diourbel Scs and 93 OTPs Thies 3686 No data Staint Louis 2009 No data Louga 1972 No data Tamba SC and 21 OTP Kolda NA NA NA Kedougou 329 Other Regions 3,964 No data Total 20, * OTP = Community Outpatient program (in Senegal it is called UREN) for management of severe acute malnutrition without complications. -Other regions did not provide data due to the strike. The advocacy is ongoing with MOH. WASH Table 5: WASH Achievements People with access Peoples provided with People with access to designed toilets. REGION to safe water hygiene kit Target # Target # Target # Diourbel Matam Thiès Louga Saint Louis Kolda Kedougou Tambacounda Total The CLTS coverage:111 villages (18 in Matam region,diourbel 3, Tambacounda 30, Kedougou 20 and Kolda 40). 4

5 Health The national immunization days planned were held from 25 th to 30 th June 20012, and over 2.5 millions of children were reached for the measles immunization, Vitamin A supplementation and de-worming. Education There are no children affected by the emergency nutrition crisis (no drop out of school). Communications for Development (C4D) Training of 33 radio broadcasting journalists, 38 nutrition focal points, and 103 community leaders, in Matam and Diourbel regions on the health good practices related to the prevention of malnutrition. Radio and TV broadcasting messages delivered on health good practices related to prevention of malnutrition in Matam and Diourbel Regions. Funding (as of 23 July 2012) Total needs for 2012 (HAU) Funds received Funding gap Funding gap For further information, please contact: Giovanna Barberis Mohamed Azzedine Salah Representative Deputy representative Tel: Tel: gbarberis@unicef.org masalah@unicef.org 5

Senegal Humanitarian Situation Report

Senegal Humanitarian Situation Report Highlights 4,015 children have been admitted to treatment in January and February, or 11% of the annual target. The national Infant and Young Child Feeding policy