SOMALI NUTRITION STRATEGY 2011 – 2013 - ReliefWeb

- Recognition of the multiple and overlapping causes of malnutrition that require a longer term,
inter-sectoral strategy and that reflect an understanding of the political, economic, social and
cultural factors that determine nutritional status
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- Recognition of the need to build local capacity and resources to respond and promote local
ownership
- Recognition of the context of the specific situation in Somalia where access is limited, using
existing services and structures as entry points for enhanced interventions.
- Recognition that the critical window of opportunity for reducing undernutrition and its
adverse effects is the period from pregnancy to 24 months of age (Lancet series on Maternal
and Child undernutrition). Interventions after 24 months are much less likely to improve
nutritional status and do not reverse earlier damage.
- Reflection of universally accepted best practice and evidence based interventions. The
Lancet series on Maternal and Child undernutrition provides evidence on interventions
that are proven effective in addressing malnutrition (see annex 4). Not all are feasible in
the challenging context of Somalia, requiring a less volatile environment, better access, a
stronger public health system, legislative framework and longer term funding. The strategy
prioritises what is proven effective with what is feasible and can be adapted to the Somali
context. It is also important to note that many of the interventions identified in this strategy
correspond to those acknowledged by the Copenhagen Consensus 2008 as the most cost
effective interventions for global development (see Annex 5)
- Recognition of the principle of ‘Do no harm’. Respecting this, implementation of strategy
should not exacerbate or worsen the situation.