Kenya Nutrition Situation Overview for the Arid and Semi- Arid Areas, February 2017 According to the Integrated Phase Classification (IPC) for Acute Malnutrition conducted in February 2017, Turkana North, North Horr in Marsabit and Mandera counties reported a Very Critical Nutrition situation (phase 5; Global Acute Malnutrition ≥30 percent). A Critical Nutrition Situation (Phase 4; GAM WHZ 15.0 - 29.9 percent) was reported in East Pokot in Baringo county, Isiolo and Turkana South, West and Central. Tana River county reported a Serious Nutrition Situation GAM WHZ 10.0 -14.9 percent) while Tharaka Nithi was in phase 2 (alert GAM WHZ ≥ 5 to 9.9 percent). Finally Kitui and Kilifi were in Phase 1 (acceptable GAM WHZ <5%). Compared with August 2016, improvement in the nutrition situation was noted in Turkana South while deterioration was noted in Turkana North, Isiolo Mandera and Marsabit Counties. The nutrition situation is expected to deteriorate across all ASAL counties in the coming months if the dry spell persists. Very critical nutrition situation: Turkana North and North Horr in Marsabit & Mandera Critical nutrition situation East Pokot in Baringo, Isiolo, Turkana South, West and Central Number requiring treatment of acute malnutrition in the ASAL& Urban areas: 412,297 children 6 to 59 months (of which 98,464 are SAM) 43,452 pregnant and lactating women Figure 1: Estimated Caseloads for Children 6-59 months Requiring Treatment for Acute Malnutrition by County, February 2017 Mandera 22676 Nairobi 17386 Turkana 9971 West Pokot 7633 Wajir 5918 Garissa 5329 Baringo 2885 34772 30934 25154 23179 20672 13814 Kilifi 1367 3400 Tana River 1028 11009 10709 Samburu 1806 9108 Kisumu 4600 Kwale 829 5093 8708 Isiolo 1368 2087 Mombasa Area 61845 Marsabit Narok Table 1: Estimated Caseloads for Children and PLW Requiring Treatment for Acute Malnutrition, February 2017 14359 6176 5067 1468 5419 Kitui 2873 Kajiado 3735 1576 4335 Meru 1932 3671 Makueni 243 5344 Laikipia 833 3749 3427 Taita Taveta Tharaka Nithi 1298 Embu 1272 Nyeri 580 Machakos 404 0 10000 20000 SAM 30000 40000 MAM-U5 50000 60000 SAM MAM Children 6- 59 Children 6-59 Total caseload 6-59 months PLW ASAL Urban 75,010 23,454 268,549 45,284 343,559 68,738 37,223 6,229 Total caseloads 98,464 313,833 412,297 43,452 Key recommendations - immediate response • Scale up mass screening and referral in order to identify and treat children and PLW with acute malnutrition including in periurban and urban areas •Engage community health services to ensure close follow up of identified cases especially referrals and defaulters •Scale up integrated outreach services in hard to reach areas •Link acutely malnourished children and women to existing social safety net programs •Scale up of WASH services in areas that are most affected by drought •Increased surveillance including regular situation updates and feedback between and within national and county levels with strong linkages to response •Capacity strengthening on Integrated Management of Acute Malnutrition (IMAM) and IMAM surge •Manage and strengthen supply chain to ensure appropriate nutrition commodities are consistently available at health facility level •Promote multi-sectoral engagement and collaboration to ensure coordinated efforts and synergy to address acute malnutrition •Hot spot and resource mapping across affected counties •Update nutrition response plan and step up resource mobilization efforts nationally •Ensure active follow up of implementation of emergency response plans and adjust based on evidence and learning Created on 9th February 2017. Source: Kenya Food and Nutrition Security Seasonal Assessments. For feedback please contact Gladys Mugambi, Head Nutrition and Dietetics Unit at [email protected] , Lucy Gathigi at [email protected] or Victoria Mwenda at [email protected] MAM – Moderate Acute Malnutrition, SAM – Severe Acute Malnutrition
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