Background and Humanitarian needs

An estimated 1.5 million Somalis are in need of urgent life-saving food assistance, 58 per cent of whom are internally displaced people (IDPs) – a particularly vulnerable group that largely depends on aid due to losses of livelihood systems and marginalization. The displacement figure has surged by over 1.5 million since November 2016, bringing the total estimated IDP population figure to 2.6 million people. Overall, the nutrition status of children under the age of five has remained largely unchanged, despite the improvement
in food security, with children consistently constituting more than half of the overall people in need. Malnutrition rates remain high, especially among the highly-vulnerable IDP population. Treatment and nutrition support is needed for approximately 294,000 acutely malnourished children, including 55,000 who are severely malnourished. The situation may worsen as a lack of funding is limiting the availability of public health and nutrition services.
Also of concern are rural populations in the north-east, which received slightly below- to near-average Gu rains in 2018. These rains offered limited improvements in areas where people are chronically food insecure. Rural populations which had suffered the brunt of damage/losses due to drought are also extremely vulnerable. Livelihood losses (e.g. ruined harvests, lost livestock etc.) and debt, incurred over multiple seasons, have left rural communities without means to recover. They therefore remain very vulnerable to future shocks. Without humanitarian assistance, the food security situation is expected to deteriorate to Emergency (IPC Phase 4) in the Guban pastoral livelihood zone and to Crisis (IPC Phase 3) in the Northern Inland Pastoral zone of Sool and Sanaag.
Those facing acute food insecurity (IPC Phase 3), or worse, urgently need humanitarian assistance and livelihood support for the remainder of the year. Integrated support interventions should be sustained to maintain recent improvements, as well as to prevent a further deterioration in the nutrition situation.

However, SOYDA have been providing integrated package of nutrition, Food Security, Education, WASH, protection, and health intervention in both Mogadishu IDPs as well as the Afgooye corridor district.
SOYDA shall however, continue its program implementation to enable reduce the vulnerability as well as provide improved lifesaving Health, Nutrition, WASH, Food Security, Protection and Education services.
i. Program effectiveness.
The overall program management was assured by strong capacities in planning, implementation and monitoring through a very qualified and well-organized team and leaderships in Lower Shabelle and Benadir region. It worked through integration of health programs in which SOYDA was also in partnership with SHF, DFID, WFP and UNICEF Somalia.
The program produced important immediate results that show high prospects for larger impacts. Within its limited scope, the program reached vulnerable households as well as enabling equitable access to essential health and nutrition services. During the program implementation, the community members expressed their satisfaction, and it was clear their relationship was very good. The community nutrition education improved health and nutrition seeking behaviour of the communities, through the effective community health workers engagement on daily screening and referral as well as the traditional birth attendance who have visited the homes time to time in order to ensure the pregnant mothers deliver safely at SOYDA facilities. SOYDA enrolled 200 IDP children and provided teaching/learning materials and emergency teaching incentives.
Through the community health workers the project was able to reach the community members and provided the services to their doorstep, this has led to decreased in AWD/cholera related disease reported high before the initiation of the project.

i. Program activity achievement.
The following were some of achievement recorded in this quarter of October-December 2018, they include:
 A total of 46,433number of crisis affected women, children and Men in emergency was reached with improved life-saving primary health care services, However, integration of nutrition, WASH, protection and health have helped the community members have better lifesaving nutrition and health services with easy access to the facilities and mobile sites.
 SOYDA Launched 16 Days of Activism for non-violence against Women and children campaign on 25 November (International Day for the Elimination of Violence against Women) to 10 December (Human Rights Day). The campaign hopes to raise awareness about gender-based violence as a human rights issue as well as giving special consideration to people on special needs including disable people. The theme for this year is ‘ # HEAR ME TOO: End Violence Against Women’ and the theme color is orange. Our campaign started all our health facilities in Benadir and Lower Shabelle Region which aims to raise community awareness and mobilize people everywhere to bring about change through targeting Community leaders, Youth Symposium and Women entities to discuss prevention of GBV and the role of youth and women to GBV prevention. It’s time to galvanize action to end violence against women and girls.
 SOYDA Celebrated Universal Children’s Day, 20 November 2018, in our project sites in Mogadishu and Afgooye corridor IDPs. It is all about treasuring children; praising and encouraging them to lead a fruitful life that is full of new experiences and adventure.
 SOYDA with technical support from FMOH, UNICEF and WHO voluntarily conducted the first round of the Oral cholera vaccination in 4 high risk districts from Benadir & Lower Shabelle (Kahda, Daynile, Arbis & Elasha), from 19 November-17th December 2018, A total of 8,288 people aged 1 year and above received 1st dose of Oral cholera.
 Through the facility and outreach program sites SOYDA was able to reach a total of 11,309 children under five boys and girls for vitamin A supplementation to enable enhance the vulnerable children nutrition status. This has since be able the program to reach more than 88% of the quarterly coverage under five children thus indicating greater progress to the set indicators within the program.
 A total of 30,118 of under five children and 10,568 PLW were provided TSFP and MCHN service in Benadir and Lower Shabelle region.
 SOYDA continuously conducting routine immunization in all the project target sites for health and nutrition however, in this reporting quarterly, it was able to reach Routine measles immunization in both the facility base as well as outreach mobile services hence the program have been able to reach a total of 8,333 children. This has since improved the quality of the target beneficiaries in all the program areas.
 Skilled delivery is the core of primary health care services thus the project was able to record success in both facilities and at home visit for the traditional birth attendance hence encourage facility delivery and passed knowledge and information to the mothers in the target areas for safe motherhoods hence this reporting quarterly a total 753 safe delivery were conducted in SOYDA health and Nutrition facilities. This improvement was also attributed closer coordination between the program outreach team as well as community traditional birth attendants in the project areas.
 The project was able to attend to a total of 6,908 pregnant and lactating mother’s antenatal care (ANC 1st visit) in this reporting period and has since completed all the 4 comprehensive ANC visit. The program has recorded success in all reaching the vulnerable mothers with improved maternal health care services in both facilities and outreach sites program.
 On the same reporting period a total of 2,630 women of reproductive age have received T1-T5. The community health workers are continuously conducting community sensitization and education in the project areas.
 Through this reporting quarterly a total of 3,988 <5 children received penta 1-3 in both the mobile outreach project sites as well as the facility base program sites, this has since provided the target beneficiaries enhance access to feasible emergency integrated nutrition and primary health care services.  1482 Children and PLW were provided acute malnutrition treatment and also provided IYCF and NHHP counseling during this reporting period.  378 Hygiene kit distributions were done to the discharged CTC patients.  On GBV responses, 237 cases were provided STI treatment, basic emotional support and psychosocial support.  We trained more than 2,183 mothers with mother MUAC in Kahda district as part of empowering mothers to play a central role in screening for malnutrition to prevent late presentation resulting in more complications. Mother MUAC is feasible strategy ii. Challenges/Constrains. Some of the bottlenecks experience during this reporting period is as follows: • IDPs eviction: An estimated 450 HHs were evicted from their settlements in Zona K. The HHs are reported to have settled in Waaxda 3aad in Kaxda district. There is no assistance that such households received to date. Their immediate needs include water, latrines and shelter. • There are reports of new displacements of 52 HHs who have fled conflict in Balad-ul-Amin in Lower Shabelle settled in Waaxda 3aad. These IDPs too didn’t receive any assistance.