11 March

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MALI CONSOLIDATED APPEAL – PRIORITY ACTIONS 11 March 2013HealthEstimated Cost$5.13 million total amount immediately required to fund the priority projectsLogisticsPriority Needs Maintain the coordination unit in Bamako Strengthen information management capacity Strengthen capacity of temporary mobile storage units in preparation for deployment in the north. Strengthen Niger-Mali supply route Evaluation of other alternatives supplies routes. Maintain UNHAS flights towards current destinations. Increase UNHAS capacity to allow access to new destinations in the north.GapsConstraintsLack of funding for UNHAS and Logistic ClusterVolatile security environmentPriority Response Maintain effective coordination through meetings and regular contact with partners. Increase information management capacity by recruiting an information manager for the Logistics Cluster. Prepare for deployment of mobile storage units according to partners‟ needs. Plan UNHAS flights according to partners‟ needs (Mopti, Timbuktu and Niamey as priorities). Increase UNHAS capacity and envisage new destinations depending on needs and security.Priority Projects Maintain and strengthen UNHAS capacity Coordinate logistics Manage logistics information Increase capacity of mobile storage unitsEstimated Cost$1,844,000 total amount immediately required for the priority project (MLI-13/CSS/54122/561)($1.5 million for 3-month UNHAS priority operations and $344,000 for 3-months Logistics Cluster priority operations)10
MALI CONSOLIDATED APPEAL – PRIORITY ACTIONS 11 March 2013NutritionPriority NeedsAt a national level: malnutrition in Mali is a structural issue that pre-dates the socio-political crisis that the country has suffered since the beginning of2012. The SMART survey conducted in 2012 – only in country‟s southern regions due to instability and political and security troubles in the north –pointed out a low evolution of malnutrition rates, with a GAM rate of 8.9% (vs. 10.5% in the 2011 SMART survey), out of which 2.3% of SAM (vs.2.2% in 2011) and 6.6% of MAM (vs. 8.3% in2011). Taking into account the prevalence of acute malnutrition and using per region population growthrate, the number of children aged 0 to 59 months suffering from acute malnutrition in 2013 is estimated at 660,000 among which: 450,000 children at risks of moderated acute malnutrition, out of whom 185,000 girls and 265,000 boys. 210,000 children at risk of severe acute malnutrition, out of whom 86,000 girls and 124,000 boys. 500,000 children under five years of age will need preventive actions.Significantly, an estimated 87% of expected cases, or 575,556 children, are located in the southern regions of the country.Since the end of 2011, UNICEF and its partners respond to a food crisis in Mali hitherto underestimated. To do so, all actors acting under theleadership of UNICEF, put in place a national response mechanism that takes into account all Malian regions. As part of this response and inaddition to human resources and training, UNICEF provides all health structures in therapeutic food. This supply chain is essential to ensurecontinuity of services throughout the country and should therefore not be broken. Since the recent resumption of the conflict, the war condition(including all related consequences such as displacement or family separation) can only result in a deterioration of the nutritional status ofpopulations both in the south and in the north. Because of the security situation in the north, the global malnutrition rate in the three northern regionscannot yet be confirmed through detailed investigation; however, given the difficulties already experienced by populations to feed themselves, giventhe reduced access to health structures, which is limited to urban areas, the main humanitarian operators anticipate a deteriorated situation requiringimmediate intervention. It is also important to remember that by end of March the lean season will begin and thereby a period of expecteddeterioration of the overall food and nutrition conditions in the country, which will be even more problematic since access to the northern regions isfar from guaranteed.In this context, needs and priorities for action at the national level are:To accelerate the detection of GAM case at community level and reinforce reference counter reference system of case towards relevanthealth centres.To provide a support to health structure for care for children under five as well as for pregnant and breast-feeding women suffering fromGAM and/or micro-nutriments deficiencies as per the national protocol for malnutrition care.To reinforce prevention for malnutrition and provide food supplements with adequate micro-nutriments through the promotion of bestpractices linked to infant and young child feeding (ANJE) along with the implementation of blanket feeding programsTo put in place jointly with the ministry of Health and partners, an efficient system of nutritional monitoring at all levels: central regional level,at health district level, at community level.Reinforce regional and national coordination for nutrition actions and cross-sector coordination in order to have a common targeting and anintegrated humanitarian response.Identify an institutional framework that ensures care costs exemption for MA children and identify related support terms.11
Page 1 and 2: MALI 2013Credit: UNHCR / Helene Cau
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11 March

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