SOMALI NUTRITION STRATEGY 2011 – 2013 - ReliefWeb

4.8 Nutrition activities delivered through the health sector
Nutrition interventions are delivered through the 3 levels of the health system – health posts, MCH
Clinics and hospitals. Coverage and quality is currently limited due to overall weaknesses of the
public health system.
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A key intervention of the UNICEF/WHO Accelerated Young Child Survival initiative is the bi annual
Child Health Days. These population based campaign days aim to provide at least 80 per cent
of under-fives and over 60 per cent of women of child bearing age nationwide with high-impact
child survival interventions: immunization against measles, polio, vitamin A supplementation,
deworming, provision of oral rehydration salts, water treatment tablets, hygiene education,
nutritional screening, and tetanus toxoid vaccination for women. These campaign days are
especially important in the context of the majority nomadic and rural population who have limited
access to regular health services.
4.9 Other sector activities with nutrition focus
- FAO Trials of Improved Practices. This project aims to identify and implement the most
acceptable practices in the region for improving infant and child feeding practices. The method
involves discussion with the mothers and caregivers in moving towards recommended IYCF
over three household visits. The aim is to move from ideal recommendations to practical realistic
recommendations. The project has been piloted in Hiran and Gedo regions which were identified
by KAPs 2007 as being particularly vulnerable in IYCF.
- EU and FAO Integrated Support to Rural Livelihoods. The aim of this project is to mitigate the
effects of soaring food prices in 2009 for 78,100 households in South Central Somalia. It aims
to enhance agricultural production through cash for work programmes, distribution of packaged
seed kits, tools and fertilizers. Resulting improvements to livelihood and food security should
have a positive impact on nutritional status.
4.10 Strengths, weaknesses, opportunities and threats of current interventions
Table 1 summarises a SWOT analysis of the current nutrition interventions in Somalia. This
analysis highlights the strengths of nutrition and food security surveillance and the current
interventions for the management of acute malnutrition; weakness in areas of interventions to
address underlying causes of malnutrition; opportunities for integration of complementary activities
into existing nutrition programmes and the significant threats to quality programming by insecurity
and poor access, weak health systems and low human resource capacity. In such a challenging
operating environment, the use of existing programmes and structures as a delivery mechanism
for integrated activities is crucial.
Table 2 summarises key existing initiatives and the opportunities they offer as delivery mechanisms
for strengthening nutrition interventions.