Somalia - OCHANet

Mogadishu Nutrition Cluster Meeting Minutes
Cluster website: http://ochaonline.un.org/somalia/Nutrition
Venue: : UNICEF MEETING ROOM Date: 17 th June 2012
List of the Participants
Name Organization Name Organization
Bashir Abdullahi WFP Abdullahi Nur Nutrition Cluster
Abdihakin Hassan UNICEF Udbi Omar Wallin WAANO
Ahmed Farah Green Hope Asad Ahmed SAACID
Asha Hussein BPHCC Dr Lul Hassan Banadir Hospital
Aden Mohamed Ali CWW Mustaf Sh. Ibrahim Green Hope
Ayan Muhyadin Mulrany International Dr Isaak Mohamed SOS
Hashim Aden J. SORDDO Dr Yasmin Banadir Hospital
Muna Abass Abdullahi CPD Abdulkadir Ore SC
Veronika Obermair CAP ANAMUR(B. Hospital) Abdinasir Ali Jelle: DWW-Turkey
Alinor Ibrahim Islamic relief Salah Kheyr Abdille FERO
Anisa Hussein Abdi CRO Abdi Mohamed Galol SOFORD
Abdiwahab Ali Osman CPD/SC Nuh sh. Ibrahim ACF
Dr Du’ale Mohamed CWW Fahad Nur WAANO
Abdullahi Ibrahim SAACID Abdimahad Ibrahim SOYDA
Mohamed Gabow OREDO Abdullahi Sh. Ibrahim ZAMZAM
Agenda
Welcome and Introduction (5 minutes)/all
Review and endorsement of the last cluster meeting minutes and follow up of the action
points (10minutes)/Abdullahi
Review the number of nutrition centers in each district in Banadir (20 min)/all
Agency updates ( admission trends,) (15 minutes)/all
Forming working group who will assess the gap in Abdulaziz district (Marina) (15 min)/all
Nutrition supply and balances in the stock… (7 minutes)
AOB(5minutes),
Beneficiary profiling … Nuh (7minutes)
ZONA K gap analysis (15 minutes)

1) Welcome and Introductions
The meeting started 10:25 AM in the morning. It was chaired by the Nutrition cluster Focal point-Abdullahi
Nur who introduced the agenda for the meeting and asked members present to introduce themselves. The cluster
FP appreciated and thanked the participants for their active participation.
2) Review of Previous Meeting Minutes and follow of the action points of the last
cluster meeting.
The previous meeting minutes is reviewed and endorsed. The action points were followed up accordingly but
some were still pending and endorsed on the spot, the map still needs some GPs coordinate corrections which
the partners were asked to review and update.
3) Review the number of nutrition centers in each district in Banadir (20 min)/all
In Mogadishu, the Nutrition Cluster has a lot of Nutrition centers throughout the region. We need to show on a
map so that it would be easier to know which Nutrition center is located where, which can make the possibility
of the organizations to do referrals to the nearest center. The cluster focal point shared the 4W matrix to the
members present in the meeting and asked if the matrix is not showing the exact number of the centers and/or
extra ones.
The Nutrition Cluster focal person requested the cluster members to fill the matrix with right GPs coordinates
so that centers will reflect the exact locations on the map.
ACTION POINT: partners review and update GPs coordinates and send back to the cluster.
4) Agency updates (admission trends,) (15 minutes)/all
BPHCC reported an increase of admission in their center in Daynile district which they explained as a result of
the new arrivals in the area.
Banadir Hospital is experiencing that highest admission in their stabilization Center (SC) as high as 250 cases
in the past two weeks.

SOS is running both OTP/SC in Heliwa and reported to have seen an increase of admission with limited space
since the bigger hospital was not yet functional for security reason, these people are coming from middle
shabelle specially Elma’an, Aliyale, Balad area and Mogadishu outskirt. Concerned about people coming from
Balad area not willing to stay or come back for follow up for the OTP treatment after they are discharged from
their SC. The Cluster lead advised them to participate the Shabelles Nutrition Cluster meeting to communicate
the partners in Balad area for referrals.
SAACID reported a steady increase in admissions in all their centers in Banadir in May and june. They will
open TSFP/OTP center in Daynile (77) district in 2 nd July 2012.
CPD/SC have also noticed an increase of admission in their centers, IYCF is included their centers, they have
trained 17 mothers in the camps of Hodan and Hawlwadag districts to conduct mother-to-mother support in
their centers. They divided into groups with group leader.
5) Forming working group who will assess the gap in Abdulaziz district (Marina) (15 min)/all
SHARDO Organization reported last week a gap in Marina IDP in Abdulaziz district. MSF has been operating
in this area but stopped their operations. SAACID, BPHCC and ACF have been implementing nutrition services
in this district as well.
SAACID informed that MSF referred 200 malnourished children who have been in their programme to
SAACID center in Abdulaziz.
ACF mentioned the Marina IDP is 700 m distance between where their center is and can cover gap together
with the other two organizations.
SOYDA informed that MSF used to cover this area in terms of health and nutrition but unfortunately they
vacated the area. He added that SOYDA is running a mobile clinic in Marina and visit twice a week.
Abdullahi Nur suggested arranging a team is best option to assess the said gaps, with the inclusion of those
partners currently working in Abdulaziz plus other members.
Team
ACF, SAACID. BPHCC, Green Hope, CWW and SOS were assigned to do the assessment and then will be our
factor to make a concrete decision.
ACTION POINT: arrangement of team to do gap analysis Marina IDP Settlement in Abdulaziz district.

6) Nutrition supply and balances in the stock… (7 minutes)
Banadir Hospital reportedSC supplies shortage in stock which may not stay more than 10 days. They are
concerned that have never been offered WASH supplies to the hospital.
SOS stated that they have problem to transport supplies to their OTP in Baidoa. In Mogadishu they are do not
have WASH supplies and shortage of SC cards.
CPD/SC ever since they started their programmes in Mogadishu they did not get any systematic treatment
drugs which they requested earlier.
SOYDA informed they run out of RUSF since last three months which UNICEF used to give them. Since the
Cluster was’t aware this issue of UNICEF distributing RUSF in Mogadishu as RUSF was WFP mandate
communicated to SOYDA offices in Mogadishu with the confirmation that they provide CSB and not RUSF
with the support from Doctors World Wide-Turkey Organization in Mogadishu.
SAACID mentioned their systematic treatment and WASH supplies run out from their stock, but they have
their RUTF supplies with enough stock.
UNICEF’ Abdulhakim talked about the supply shortage of Mogadishu nutrition centers especially Banadir
Hospital issue. He promised to meet with Banadir Hospital management to resolve this problem.
ACTION POINT: Abdulhakim and Banadir hospital will meet about the supply issue very soon.
7) AOB,
Beneficiary profiling … (7minutes)/ Nuh (ACF)
ACF Nuh introduced the cluster participants that they have produced Beneficiary Profiling Form. This form id
for the new comers for better beneficiary profiling to be familiar with exactly where they came from, the time
and the reason they abandoned from their original residences.
Abdullahi Nur emphasized the usage of this form for the cluster and requested ACF to share the form with
the cluster members.
ACTION POINT: ACF will share the beneficiary profiling form to the nutrition cluster participants for
adapatation and use in their programmes.
ZONA K gap analysis (15 minutes)

The Nutrition Cluster Focal Point updated the members on their mission to ZONA K in Hodan district on
14 th June 2012, where they have done geographical gap analysis. Below is the finding of the assessment:-
Review of Gap and Coverage of nutrition services in Zone K IDP in Hodan District
Situational Analysis:
FSNAU in collaboration with ACF, CONCERN WW, WFP and other partners in April 2012 conducted
nutrition survey targeting Mogadishu IDP. Findings show improvements in the situation from December 2011
survey results. The current nutrition situation is in early critical phase with GAM rate of 16.1% and SAM rate
of 3.7%. The IDP in Terabunka, zone K and 77 area were estimated (by the Inter-clusters/OCHA) to be 25000
HH including the drought-affected IDPs last year, the newly displaced from Afgoye in February 2012 and
evicted IDP within Mogadishu. Assuming that Zone K IDPs are 2/3 (16600 HH) of the estimated population in
the three areas, with this the estimated planned figures for the Moderate and Severe Acute Malnourished
Children shall be as follow;
Location
(IDP)
HH
Pop
Children

2,000
1,800
1,600
1,400
1,200
1,000
800
600
400
200
0
OTP/TSFP Monthly reported caseloads in Zone K
IDP camp
Jan Feb Mar Apr May
OTP
TSFP
Coverage and Gap Analysis in Zone K
Following the estimated caseload, it is apparent that the current fixed and temporary nutrition centers can cover
the nutrition needs in zone K IDP camp.
However, since some cluster members reported that there is geographical gap area in the Zone K IDP camp, a
team has conducted rapid assessment to evaluate the geographical gap analysis.
ZONA K Field Trip
On Thursday 14th June 2012, a team of 6 members from CPD/SC, SAACID, SORRDO, CONCERN WW and
the Nutrition Cluster conducted the gap and coverage assessment in Zona K.
The objective of the mission:
Gap analysis:
Representative and signatures of the mission team:

ZONA K is part of Hodan district in Banadir region and it is one of biggest areas where IDP settlements are.
In this matter we compared the services that were going on in ZONA K to that of needs. We started with the
nutrition center in that area.
CONCERN WW;
o Centre located at the start point of Zone K. We met number of beneficiaries in queue with the
classification of both Severe Acute and Moderate Acute malnutrition. These people are from parts of
Hodan district but mainly Zona K and Terabunka.
o Staff present in this center reported to us that they have been admitting new cases those newly arrived
from Elasha and other parts of the corridor since the last 3 to 4 weeks.
o Components: OTP/TSF (PLW and 6-59 months)
o Number of outreach workers covering the area: 6
o Number of beneficiaries admitted per day: 70 per day.
SORRDO
o which is also one of the organizations working in Zona K with TSFP center for 6-59 months, they daily
admit 35 MAM cases. They have 5 CWHs in this centre.
SAACID
This Centre had the largest population in the area admitting 130 cases of both MAM and SAM. They
have 35 Outreach workers for the whole district where 20 of them are doing active case referral in in
Zona K to their site.
Islamic Relief
o This organization is running TSFP and OTP in Zona K, they work only three days in that area
(Saturday, Sunday, Monday) in the week. We could not get information as they were closed this day

Thursday. . When we looked at where CPD/SC is planning to open their site is just 700m where Islamic
relief based and 1 km where SAACID center is and also SORRDO TSFP locates.
The team again met on 25th June 2012 to agree on final recommendation and conclusion and agreed the
following points.
o
o
o
o
No more Nutrition services needed in ZONA K
Rearrangements of the centers in ZONA K
Continuous visits to all Banadir districts to avoid overlaps of the nutrition services and gaps.
Close collaboration and familiarity among the Agencies in the same geographical:-
1. To avoid duplication
2. To improve referral system in any particular area.
3. CPD/SC to be discouraged to start any service as the area is already covered
Action Points: (3 rd June 2012)
Action Points Focal agency/person Timeline
Share the Mogadishu Nutrition Map NC foal point Done
Assessment of the new arrivals All partners On going
Share the information before starting activity All partners On going
to the cluster
Share the GPs coordinates to the cluster CPD Done
ACF and WAANO to meet tomorrow and
discuss about referral issues
ACF and WAANO Done
Action Points: (17 rd June 2012)
Action Points Focal agency/person Timeline
Geographical gap analysis –Marina IDP SAACID, ACF, SOS, BPHCC, SORRDO, 26 TH June 2012
GREEN HOPE AND CWW
Meeting with B. Hospital about supplies Abdulhakim 19 th June 2012
Sharing the beneficiary profiling form ACF-Nuh Before the next cluster
meeting
Refill GPs Coordinates of the centers All partners ASAP