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Mid-Year Review of the Work Plan for Sudan 2012 - Global ...

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UNITED NATIONS AND PARTNERS[2] PROGRESS | SECTOR RESPONSEMID YEAR REVIEW | SUDAN WORK PLAN <strong>2012</strong>41NUTRITIONSummary <strong>of</strong> updated sector response planLead agency(s)Government leadSector memberorganizationsProjectsFunds requestedFunds requested per prioritylevelFunding to dateContact infoChanges in needsUnited Nations Children’s Fund (UNICEF)Nutrition Department (MoH)ARC, ALMANAR, CIS, CONCERN, COSV, CRS, DATA,Emergency Italy, FANTA, GHF/SUDAN AIDS network(SAN), GOAL, GRC, HAD, HAI, ICRC, IMC, JohanniterInternational, KUWAIT PATIENTS HELPING FUND, MayoClinic, MEDIAR, MERCY CORPS SCOTLAND, MERLIN,MOH, MSF-E, MSF-B, MSF-S, NCA, , <strong>Plan</strong>, Relief anddevelopment Society, RI, SABA, SAWAID HEALTH ORG,SRCS, SAMARITAN’S PURSE, SPCR, TEARFUND, SC-S,WORLD RELIEF, UNHCR, UNICEF, USAID/OFDA, WFP,WHO, WVI, <strong>Sudan</strong>.26 projects$51.2 million (original)$52.7 million (revised at mid-year)$32.7 million (high)$20.0 million (medium)$19.4 million (38% <strong>of</strong> requirements)Susan Lillicrap, slillicrap@unicef.org;Agnes Kihamia, ackihamia@unicef.org.Categories and disaggregated numbers <strong>of</strong> affectedpopulation and beneficiariesPeople in needTargeted beneficiariesCategory Female Male Total Female Male TotalMAM in all<strong>Sudan</strong>SAM in all<strong>Sudan</strong>PLW inconflict affectstatesChildrenunder fivein conflictaffectedstatesh746,000 746,000 1,492,000 125,000 125,000 250,000258,000 258,000 515,000 75,000 75,000 150,0000 488,000 488,000 0 488,000 488,000987,000 937,000 1,924,000 987,000 937,000 1,924,000Total 1,991,000 2,429,000 4,420,000 1,187,000 1,625,000 2,812,000The results <strong>of</strong> <strong>the</strong> second quarter nutrition survey have not yetbeen released so any changes in need have not been <strong>of</strong>ficiallyidentified. However, nutrition needs may have changed dueto access to previously inaccessible people in some parts <strong>of</strong>South Kord<strong>of</strong>an, <strong>the</strong> movement <strong>of</strong> South <strong>Sudan</strong>ese in <strong>Sudan</strong>,as well as <strong>the</strong> food security situation throughout <strong>the</strong> country.For example, one localized survey conducted in <strong>the</strong> AbyeiArea, south <strong>of</strong> <strong>the</strong> river Kiir, shows a GAM rate <strong>of</strong> 20.6%,providing some indication <strong>of</strong> <strong>the</strong> scale <strong>of</strong> needs in previouslyinaccessible or underserved areas.Currently, only areas under Government control have beensurveyed as insecurity has impeded <strong>the</strong> implementation <strong>of</strong>surveys and activities elsewhere. A more representative picture<strong>of</strong> <strong>the</strong> overall situation will be provided once <strong>the</strong> June NationalSurvey is conducted, as well as <strong>the</strong> pilot Nutrition Survey using<strong>the</strong> new Simple Spatial Sampling methodology in Al-Gedarefis completed. Fur<strong>the</strong>rmore, in areas controlled by <strong>the</strong> armedmovements, <strong>the</strong>re is no in<strong>for</strong>mation available <strong>of</strong> <strong>the</strong> nutritionalsituation.Preparedness ActivitiesThere are changes in <strong>the</strong> budget since <strong>the</strong> amount totalling$2.3 million has been added to cover contingency plansupplies including: BP5, Plumpy Nut and ReSoMal (a powder<strong>for</strong> <strong>the</strong> preparation <strong>of</strong> an oral rehydration solution (ORS).Achievements as <strong>of</strong> 15 May <strong>2012</strong>327,617 children have been screened <strong>for</strong> malnutrition during<strong>the</strong> first half <strong>of</strong> <strong>the</strong> year; <strong>of</strong> this number, 32,719 children weretreated <strong>for</strong> SAM, representing an increase in <strong>the</strong> number<strong>of</strong> children with SAM compared to <strong>the</strong> first half 2011, whenapproximately 7,000 children were treated. This is largely dueto <strong>the</strong> increase in <strong>the</strong> number <strong>of</strong> Community-Based Management<strong>of</strong> Acute Malnutrition (CMAM) centres, especially outside<strong>of</strong> Darfur. In addition, 18,210 children have been treated <strong>for</strong>MAM.Darfur nutrition centresTherapeutic ● and supplementary ● feeding centres290290 311317 318206208 217227238 216212 227247 227 261 272 274 278Nov-08Jan-09Mar-09Jun-09Aug-09Jan-10Mar-10Jun-10Aug-10Sep-10Dec-10Mar-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Source: UNICEFIn <strong>the</strong> first half <strong>of</strong> <strong>2012</strong>, an additional 58 outpatient and inpatient(OP/IP) centres <strong>for</strong> treatment <strong>of</strong> SAM were opened, <strong>the</strong>majority in non-Darfur States, particularly in South Kord<strong>of</strong>anand Kassala. An additional 12 supplementary feeding centres(SFCs) have been opened in Red Sea State. A total <strong>of</strong> 557people have been trained during <strong>the</strong> first half year, includingon standardized monitoring and assessment <strong>of</strong> relief and transition(SMART) survey methodology, Training <strong>of</strong> Trainers (ToT)<strong>for</strong> mid-upper-arm circumference (MUAC) screening, CMAM,IYCF, nutrition surveillance system data collection and NutritionSector training. Meanwhile, local production <strong>of</strong> <strong>the</strong>rapeuticfoods has started at <strong>the</strong> Samil factory with <strong>the</strong> first batches<strong>of</strong> ready-to-use <strong>the</strong>rapeutic food (RUTF) and ready-to-usesupplementary food (RUSF) coming <strong>of</strong>f <strong>the</strong> production lineduring first quarter <strong>of</strong> <strong>2012</strong>.Implementation challengesHumanitarian access has been a major challenge due to<strong>the</strong> security situation and severe restrictions on travel andwork permits. In addition, travel to Darfur has recently beenrestricted due to <strong>the</strong> activation <strong>of</strong> travel permit requests,making it more time-consuming and difficult <strong>for</strong> internationalhumanitarian actors to deliver assistance, as well as buildingcapacity <strong>of</strong> <strong>the</strong> State MoH <strong>for</strong> monitoring and response.Changes in TargetsNo changes in targets.Sector Project RevalidationThe sector mapped needs and coordinated projects amongsector members to ensure full coverage without gaps or duplications.Coverage <strong>of</strong> Needs by Actors not in <strong>the</strong> Sectoror CAPNone reported.Darfur admissions terapeutic feedingcenters - TFC per month (in thousands)Apr-09Jul-09Change in admissioncriteria in early 2010Oct-09Jan-10Apr-10Jul-10Oct-10Jan-11Apr-11Jul-11Oct-1186420

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