UNICEF-WFP Consultative Meeting, 23 rd June 2014 UNICEF Nutrition Response to the South Sudan Crisis Updates, Gaps and Scale-up Options

1.Nutrition Cluster Priority areas 2.Achievements and Gaps 3.Scale-up options Outline

UNICEF Nutrition Response Overview Coordination Nutrition Information Infant and Young Child Feeding CMAM Micronutrients

Prioritization of the Nutrition Response

Achievements – SAM Service Availability 26 SC 268 OTP

Low acute malnutrition treatment coverage due to: Service disruption in conflict affected areas Response capacity issues Achievements – Management of Acute Malnutrition (as of end May 2014)

LAKES 35,000 CENTRAL EQUATORIA 40,000 EASTERN EQUATORIA 53,000 UPPER NILE 136,000 WESTERN BAHR EL GHAZAL 18,000 UNITY 80,000 NORTHERN BAHR EL GHAZAL 107,000 JONGLEI 105,000 WARRAP 81,000 WESTERN EQUATORIA 20, km SAM Target 25,964 Reached 8,499 Coverage 32% SAM Target 41,169 Reached 6,921 Coverage 17% SAM Target 14,453 Reached 3,407 Coverage 23% SAM Target 20,013 Reached 5,741 Coverage 28% SAM Target 31,728 Reached 5,947 Coverage 19% SAM Target 74,684 Reached 3,728 Coverage 5% Comparison of annual target, admissions Jan- May, and indirect coverage estimates Similar SAM coverage rates: Conflict affected states (23%) Other Warrap and NBEG (22.5%)

Achievements – IRRM Nutrition (as 21 st June) 13 missions conducted so far Locations covered with MUAC screening: Akobo, Mayendit, Kodok, Pagak, Lankien, Haat, Pochalla, Old Fangak, Walgak, Jeich, Leer 30,254 children 6-59 months screened Main findings: Proxy SAM : 8.5% Proxy MAM: 20.2% PLW MUAC <18.5cm: 16.8%

Achievements – Nutrition Surveillance MUAC <11.5cm 10.8% >11.5cm - < 12.5cm 24.5% MUAC <11.5cm 3.7% >11.5cm - < 12.5cm 9.1% MUAC <11.5cm 4.0% >11.5cm - < 12.5cm 8.0% MUAC <11.5cm 4.5% >11.5cm - < 12.5cm 13.5% MUAC <11.5cm 1.9% >11.5cm - < 12.5cm 27.3% MUAC <11.5cm 28.8% >11.5cm - < 12.5cm 22.6% MUAC <11.5cm 4.1% >11.5cm - < 12.5cm 6.6% MUAC <11.5cm 0.4% >11.5cm - < 12.5cm 6.4% MUAC <11.5cm 1.0% >11.5cm - < 12.5cm 21.0% MUAC <11.5cm 9.6% >11.5cm - < 12.5cm 12.1% MUAC <11.5cm 18.6% >11.5cm - < 12.5cm 30.4% MUAC <11.5cm 10.1% >11.5cm - < 12.5cm 29.9%

Achievements - Pipeline

Achievements - Funding (as of 22 nd June) Funding coverage: 32% Frontline: 24.2 m Pipeline: 19.5 m

Gaps in the Response SAM/MAM: – Limited geographic coverage and activity intensity – Inadequate programmatic coverage (service package) RRM: – Selected sites not always aligned with most at nutritionally at risk counties – Number of missions – Service continuity beyond the mission (number & composition of teams) NIS: – Few surveys conducted in the high priority counties Pipeline: – Limited in-country (UNICEF & partners) stock level

Bottlenecks SAM/MAM: – Insecurity & constraint logistic in conflict affected states – Constraint logistic in other high burden states – Harmonized approach for the SAM-MAM service package RRM: – Parameters for sites selection – Financial constraint – Human resources capacity NIS: – Absence of a concerted survey plan or level of influence on it Pipeline: – Reporting issues – Management capacities – Communication on pipeline management

Scale-up Options PARTNERSHIP & ACCOUNTABILITY Revision of Partnership agreements to address the existing response gap New partnership to expand response coverage (Health partners, RC) Service integration with other sectors Stronger monitoring on implementation capacity and response at national, states level ENHANCED FIELD PRESENCE Strengthen programmatic support to partners and monitoring

Scale-up Options SUPPLY MANAGEMENT Capacity building Communication MOBILE TEAMS to complement existing resources Increased number of RRM missions in areas of greatest nutritional needs Review of mobile team composition Increased number of mobile teams

Scale-up Options TREATMENT PROTOCOLS ADJUSTED TO THE NEEDS Standard protocol & expanded criteria protocol NUTRITION INFORMATION SYSTEM Comprehensive analysis of existing data from other sectors with nutrition data 20 nutrition surveys planned by end July Integration of nutrition indicators (W/H) in the FSMS

Thank you