SUDAN

United Nations and Partners[4] Sector Response PlansSUDAN WORK PLAN 201373NUTRITION SECTOR funding requirements by state2013 NUTRITIONLIBYA>0.5 mRed Sea$0.5 - 0.9 m$1.0 - 1.9 m$2.0 - 5.0 m> $5.0 m$5.6 mNORTHERN$0.04 mNILE$0.04 mRED SEA$3.7 mCHAD$5.8 mWESTDARFURNORTH DARFUR$0.8 mNORTH KORDOFAN$2.4 mCENTRALDARFUR$7.5 m $8.1 mSOUTH DARFUR$4.8 mEASTSOUTH KORDOFANCENTRALDARFURAFRICANREPUBLIC$0.3 mABYEI$1.2 mKHARTOUMAL GEZIRAREPUBLIC OF SOUTH SUDAN$0.5 m$4.0 mBLUENILE$1.2 mKASSALA$0.3 mGEDAREF$1.0 m SENNARWHITE $1.3 mNILEERITREAETHIOPIAone in the Abyei Administrative Area), showing GAM rates in arange of 13.1% - 28.1%. Annual caseload of GAM is estimatedat approximately 1.5 million children, including a little under500,000 children suffering from severe acute malnutrition(SAM). At the national level one in three children are stunted(both moderately and severely), translating to a burden acrossthe country of approximately 1.9 million children who areunlikely to ever reach their full potential in terms of physicaland intellectual development. The Millennium DevelopmentGoal hunger indicator of ‘underweight’ is at 32% nationallyagainst a target of 16% 22 . Survey results consistently show thatyounger children are most likely to be malnourished and causalanalysis data show that diarrhoea, illness and giving water toinfants at an early age (i.e. less than six months) are major riskfactors for severe acute malnutrition.During 2012 there has been continued insecurity in some locations,particularly South Kordofan and Blue Nile states and insome areas of Darfur. Nutrition data is unavailable for theseareas due to lack of access for humanitarian actors. The nutritionsituation in these areas, however, is likely to be poor dueto the disruption of usual cultivation and coping strategies. InSouth Kordofan, average monthly admissions per center forSAM have increased in 2012, as compared to 2011, signifyinga rise in the case-load. At the end of July, the number of SAMcases admitted in South Kordofan is four times higher than forthe same month in 2011 23 . Results from one localised surveyconducted in January (post-harvest) in the Abyei Area, southof the river Kiir, show a precarious situation with a GAM ratewell above emergency thresholds and an elevated prevalenceof SAM, both according to weight for height and mid-upperarm circumference measurements (MUAC). In addition, themajority of states outside of conflict zones are carrying a highhumanitarian burden in terms of malnutrition, and accordingto available national-level data only four of 15 states 24 in Sudanhave a GAM prevalence below the 15% emergency threshold.A range of interventions are being implemented by partnerson the ground to address these needs including integratedblanket supplementary feeding to address moderate malnutrilevelsof malnutritionSelected location nutritional survey results (Jun-Jul 2012)3024.92521.3201510508.23.424.16.3Source: Ministry of Health, UNICEF (2012)% GAM % SAM (children under 5)22.7 23.319.920.118.1 18.417.413.64.8 4.5 3.94.96.32.55.03.3Nyala-TulusBelielEd Elfursan/KubumKassAlsalamOtashMershingEd DaienMorneiGedaref StateGedaref Townfeeding center managementNumber of functioning therapeutic feeding centers, by management(June 2012)DarfurSouthKordofanBlueNileEasternSudanMoH 88 21 28 213NGOs 247 49 3 0