Horn of Africa Crisis situation report 11

Horn of Africa Crisis situation report 11


13 October 2011

Situation Overview


  • Estimated 180,000 people are in urgent need for humanitarian assistance, out of which 130 000 in need of food assistance; 5,392 severely malnourished; 17,181 moderately malnourished; and 77,000 people including 20,610 refugees are in need of safe drinking water. In addition, an estimated 12,000 families including pregnant women and under five children are in need of Long Lasting Impregnated Nets (LLIN). 700 Orphans and Vulnerable Children (OVCs) benefitting from UNICEF supported Conditional Cash Transfer programme to improve their livelihood.
  • Key challenges facing humanitarian response include lack of updated and reliable data due to weak information systems, few NGO implementing partners (both national and international), and low government capacity to rapidly assess and respond to the increasing needs of the affected populations.
  • Major programme results include, through UNICEF support, 70% malnourished children reached by treatment through MSF, ACF and Ministry of Health Centres; about 71% of affected people were reached by water trucking in highly affected areas and 700 Orphans and Vulnerable Children benefit from Conditional Cash Transfer to improve their livelihood.

Ethiopia Drought Situation

  • The food security situation in highland parts of Ethiopia continues to improve. According to the Famine Early Warning Systems Network (FEWSNET) food security update issued on 30 September, prospects for meher crops are generally good except for sorghum in the lowlands of Western Tigray and North-western Amhara. In lowland parts of Ethiopia including most of the Somali Region, South-eastern part of Oromiya, and North, North-eastern part of Afar, the drought situation continues.
  • In September, Acute Watery Diarrhea (AWD) outbreaks were reported from four zones in Oromiya and Somali regions (East and West Hararghe, Shinille and Korahe). Kebridahar woreda (Korahe zone) in the Somali Region reported the highest number of suspected cases, and up to late September the cases continued to increase. As of second week of October, the outbreak is under control with only three cases reported from 9-10 October.
  • A national measles campaign covering 134 drought-affected woredas in six regions targeting 6.9 million children 6 months to 15 years of age was launched in Somali region on 25 September. Phase one is an integrated campaign for measles and polio focused on highest risk districts bordering Somali Region. As of 10 October, 9 out of 18 phase one districts reported their final results: 312,889 children of a planned 343,364 (91%) were vaccinated against measles and 111,376 children under-five of a planned 119,644 (93%) were reached with OPV.
  • Emergency water trucking requirements increased steadily throughout the month of September, from just over 100 trucks at the beginning of the month to 131 by the end of the month.

Somali Refugee Situation

  • The number of Somali refugees arriving in Dollo Ado increased from 3,450 in August to 5,060 in September. During the first 11 days of October, the average number of daily arrivals increased to 400 with 724 arriving on 10 October and 704 on 11 October.
  • During the first week of October, a significant drop in child mortality rates in both Hiloweyn and Kobe camps were reported . The rates in both camps are now under 1 child death per 10,000 per day. This is a milestone achievement below the emergency threshold.
  • In early September UNICEF took part in an interagency education needs assessment in Dollo Ado camps. A total of 64,000 school-aged children were estimated to be in need of safe learning spaces. School start in the camps has been delayed (planned to start on 10 October). Registration is currently on-going. UNICEF has supported the training of teachers, set-up temporary learning spaces in the new camps of Kobe Heleweyn and delivered education supplies for 20,000 children.

Sudanese Refugee Situation

  • Since early September, more than 25,000 Sudanese refugees have crossed from Blue Nile into the Benishangul Gumuz Region of Ethiopia due to fighting in Sudan. Population figures are variable, as refugees are mobile and reportedly crossing back and forth across the border.


Drought Affected Areas

  • Over 10,000 people are estimated to be affected by dengue fever in Mandera, with six new cases in Nairobi and Wajir. The GoK and partners are aggressively working to control the outbreak through household-level surveillance and case management in Mandera, and surveillance and vector assessments underway in Isiolo, Eastleigh (Nairobi), Mandera, Wajir and Dadaab.
  • A malaria outbreak has occurred in Turkana, including the Kakuma Refugee Camp, and Pokot following weeks of flooding. In Kakuma Refugee Camp alone, the malaria caseload over the past six weeks since 01 September was 1,770 as compared to the entire 2011 caseload of only 2,052 cases. All health facilities in the drought-affected areas of Eastern, North Eastern and Rift Valley provinces are using prepositioned anti-malarial drugs supplied by the GoK and UNICEF.
  • The results of two nutrition surveys indicate that in Isiolo and Laikipia GAM and SAM levels are not significantly higher than those recorded a year ago. In addition, routine weekly surveillance data shows that SAM admissions for children under five are declining in some drought affected districts, including Mandera, Turkana and Marsabit with the peak in admissions occurring in July 2011.

Refugee Response

  • Measles-related deaths increased with five deaths and 113 cases reported during the last week of September. The reported number of cases is less than the previous week’s total of 175.
  • The cholera outbreak in the refugee camps has had its first locally transmitted case. All prior cases occurred among refugees who had arrived within the camp less than 72 hours before. Since early August when the outbreak began, seven cases and one death have been confirmed.
  • There were 115 consultations per clinician per day at Ifo Camp Hospital, the capacity of the hospital needs to be urgently increased to cater for a population of nearly 200,000.


  • Increased insecurity continues to curtail the delivery of humanitarian assistance. On 10 October, fighting broke out between the Al Shabaab and the TFG/AMISOM forces in Mogadishu.
  • The measles immunization campaigns have reached more than one million children since July, out of a targeted 2.9 million children to be reached by December 2012. With the current access restrictions, UNICEF predicts it will be very difficult to reach these remaining children.
  • The rains have started and are an added factor which will delay supply movement. Many displaced people in Mogadishu’s IDP camps are facing appalling living conditions after torrential rains which started during the week poured into parts of the country’s south, with reports on worsening hygiene/sanitation conditions and potential risks for disease outbreaks.
  • A total of 73,732 households received monthly blanket supplementary food rations benefitting approximately 442,392 people, including 88,478 children under five years of age, in Bay, Bakool, Hiran, Middle Juba and Lower Shabelle. In addition, 35,811 HHs (214,866 people) have been admitted into the wet feeding programme to date.