Fsnau-Post-Gu-2012-Technical-Report

Regional Analysis
66
These households largely rely on social support in the form
of food gifts, food on loan and cash gifts although these
support systems have reduced in the recent months due to
overstretching. Access to credit is also limited because most
poor households were unable to repay debts incurred in the
previous drought seasons.
Human Capital
In most rural livelihoods of the Central regions, social
services and infrastructure for health and education
are limited due to lack of teachers, nurses, medical
and education supplies. However, in the main towns of
Dhusamareb, Guricel, Abudwak, Adado and Galkacyo,
good health services (referral hospitals) run by international
and local organizations can be found. Primary schools are
operating in several villages and are supported mostly by
people in the diaspora who supply incentive payment for the
teachers as well as school supplies.
The integrated analysis of data from nutrition assessments
conducted in June 2012 among the populations of Hawd and
Addun Livelihood zones of Northeast (Nugal) and Central
(Mudug and Galgadud), and the health and feeding facilities’
information shows a sustained Serious phase in the Addun
and an improvement from Critical to Serious situation in
Hawd pastoral livelihood. The Hawd pastoral livelihood
assessment reported a GAM rate of 11.2 percent and a
SAM rate of 1.8 percent. The results show an improvement
compared to the December 2011 findings where GAM and
SAM rates of 18.6 percent and 5.5 percent were reported,
respectively, including five (0.9%) oedema cases. The
retrospective crude (CDR) and under-five death (U5DR)
rates of 0.38 and 0.50, respectively indicate Acceptable
levels according to UNICEF classification and indicate
no change from the respective rates (CDR and U5DR)
of 0.49 and 0.86 in Deyr 2011/12. The Cowpea (Central
Agropastoral) livelihood assessment reported a GAM rate
of 16 percent and a mean weight-for-height Z score of -1.01
(±1.60). The HIS data from health facilities in the Cowpea
Belt livelihood zone remain high (>20%) and show a stable
trend. There was no survey conducted on these populations
in Deyr 2011/12 and thus no data to compare seasonal
change. Integrated nutrition analysis from health facility
data and rapid assessment conducted a year earlier in July
2011, showed acute malnutrition (MUAC