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Emergency Nutrition Response in Whole of Syria

MAP

13th – 15th October, 2015GNC Annual Meeting, Nairobi, Kenya

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Country Context

Pre-crisis (Nutrition Indicators) Current Situation

GAM prevalence U5 was 9.3% (7 % MAM & 2.3 % SAM)

GAM prevalence U5 of 7.2% (2.3% SAM and 4.9%MAM)

Stunting level of children U5 was 23 % Stunting U5 22.3%

IYCF indicators: 43 % Exclusive Breastfeeding

63% EBF

46% initiating breastfeeding within the first hour of birth

Nd

37% providing timely introduction of complementary food

Nd

Micronutrient deficiencies: 29.2% anemia and 12.9% iodine deficiency

Nd

Nutrition sector Coordination Structure

WoS Nut sector (UNICEF &ACF)

Jordan (H&N WG)

(WHO/UNICEF)

Gaziantep Nut Cluster

(UNICEF/GOAL)

Damascus Nutrition Sector (UNICEF/MoH)

FourSub-National Coordination

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Overview of Needs Assessments and AnalysisNutrition Cluster used the findings from the below surveys to develop Severity Ranking Scale in order to inform strategic priorities of response: 2009 Syrian Family Health Survey. 2014-15, a series of Rapid Nutrition Assessments conducted from

Damascus, among IDPs in 13 of the 14 governorates. 3 SMART surveys, 1 KAP study and 1 Anemia Survey conducted from Cross border through Turkey (IDP and Host communities in 3 governorates) + 1 SMART survey conducted through cross border from Jordan.

Monthly 4Ws data Findings of other sectors such as Food Security, Health and WASH are also

used to identify needs. →Conducting assessments inside Syria is one of the main challenges due to security, capacity and sensitivity.

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Syria SRP: 2015 Strategic Nutrition Priorities

1. Promote preventive nutrition services for vulnerable groups (IYFC, micronutrient & optimal maternal nutrition)

2. Strengthen the systematic identification, referral & treatment of acutely malnourished cases (use of standard guidelines & treatment products)

3. Promote nutrition situation analysis using standard tools + screening for children & women

4. Promote response and practices enhancing nutrition well-being of Syrians through multi-sectoral analysis, integrated response, coordination & capacity strengthening

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Gaps in Resource Mobilization

Highlight key gaps (max 6 bullet points): Human Resources:

Capacity of partners to implement NiE interventions and to scale-up Insufficient capacity of cluster leads in coordination of NiE interventions Restrictions on the work of INGOs inside Syria

Supplies: Gap in procurement of MAM supplies and supplies for in-patient SAM treatment Access restrictions to deliver supplies to partners and beneficiaries High influx of uncontrolled BMS

Financial: Only 18% ($8.5 M) of the total sectoral needs ($ 48 M) for WoS is funded

Se-ries

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- 500,000 1,000,000 1,500,000 2,000,000 2,500,000

1,319,5

87 / 60%

2,200,0

00

Nutrition sector oveall achievements

Achievement 2015

Tagets (SRP)

- 500,000 1,000,000 1,500,000 2,000,000 2,500,000

125,112

1,932,1

73

2,057,2

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HUB wise updates

Grand Total Damascus\دمشق \Gaziantep عينتاب غازي

\of children U2 received complementary food # تكميلية تغذية تلقوا الذين األطفال

\of children U5 received lipid-based nutrient supplements (PD) # زبدة تلقوا الذين األطفالالوقائية السوداني الفول

\of children U5 screened for malnutrition # لألطفال التغذوي المسح

\of children U5 supplemented with Multiple Micronutrients # دقيقة مغذيات تلقوا الذين األطفال

\of PLWs counselled on appropriate IYCF # وصغار الرضع تغذية حول مشورة تلقين امهاتاألطفال

\of PLWs screened for malnutrition # والمرضعات للحوامل التغذوي المسح

\ of PLWs supplemented with Multiple Micronutrients # الدقيقة المغذيات تلقين اللواتي األمهات

- 200,000 400,000 600,000 800,000 1,000,000 1,200,000 1,400,000 1,600,000

261,922

556,427

631,625

437,823

85,814

44,762

15,914

370,000

147,000

660,000

1,500,000

440,000

150,000

700,000

Nutrition Activities Jan - Aug 2015(Targets vs Achievenets)

Targets(SRP-2015)

Achievements2015

Children & PLW

Activ

ities

-

100,000

200,000

300,000

400,000

500,000

600,000

700,000

66,000

21,000

660,000

44,000

150,000

7,416 1,296

631,625

982

44,762

Key Activities -2015

Targets (SRP-2015)

Achievements2015

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Challenge at WoS level

1. Limited level of data details available (dependent on hub); no recent national data is available for situation analysis

2. There is no sector-wide nutrition strategy and CMAM operational Guideline adapted to the Syrian context

3. Despite advocacy, partners facing challenges of capacity, visa, authorization to operate in the 3 hubs (due to host government procedures) – hampering capacity building activities

4. Unique programme environment hence different approaches in Jordan, Syria, S/Turkey, Lebanon & Iraq capacity, coordination with government vs policies, etc

5. Dealing with multiple governing structures; e.g. SSG, UNCT, ISCCG, etc & derive the complementarity to enhance program outcome

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Breastfeeding is being undermined by a proliferation of myths/misconceptions about breastfeeding.

Widespread donations and untargeted distributions of breastmilk substitutes (BMS) and other milk products,

Lack of skilled support for breastfeeding mothers Negative influence of private sector on IYCF-E Lack of appropriate support for children with no possibility to

breastfeed. Lack of complementary foods; concern about the poor

micronutrient content of food and restrictions on CF. Patchy health services with little IYCF/IYCF-E capacity Poor/strained WASH facilities impacting on ‘safe’ infant feeding

outcomes.

Specifically on IYCF-E