Humanitarian Health Action

Somalia Humanitarian Response Plan 2016

The humanitarian crisis in Somalia is one of the most complex protracted emergencies in the world. Resurgent conflict across the country and endemic environmental hazards have left the majority of Somalia’s 12.3 million people chronically or acutely vulnerable. About 4.9 million people were in need of humanitarian assistance as of September 2015.

Malnutrition rates remain high with about 308 000 children under five years old acutely malnourished and 56 000 children severely malnourished, while the overall burden of acute malnutrition in 2016 is estimated at be more than 800 000 cases. Health conditions remain worrying, with frequent outbreaks of acute watery diarrhoea and measles.

Internally displaced people are particularly vulnerable and make up more than 58% of those food insecure. Over 1.1 million remain in an ongoing internal displacement situation with no adequate access to basic services and livelihoods. Refugees and returnees fleeing the Yemen crisis continue to arrive in Somalia, and as of late November 2015 close to 30 000 had arrived in Puntland, Somaliland, and southern and central Somalia.

Health Sector Situation

Essential and life-saving medical services are insufficient and overstretched, including critical public health, nutrition and water services, which increases the risk of outbreaks. Delivery of life-saving medicines and medical equipment has been irregular because of insecurity, road inaccessibility, and electricity and fuel shortages. Access to essential health services is an immediate need for around 3.3 million people, with health capacities severely overburdened, stocks diminished and services disrupted, especially in conflict, drought and flood-affected areas.

Child-focused interventions will include emergency immunization against measles and polio, and addressing major causes of newborn and childhood morbidity and mortality.

With low immunity levels, overcrowding in camps and shelters and continued displacement, there is a high risk of communicable disease outbreaks of measles, cholera, meningitis, acute jaundice syndrome and leishmaniasis. Timely identification, treatment, and case management for communicable diseases and response to outbreaks will be managed through a functional early warning system and increased availability of stocks of medicines, vaccines and medical supplies.

Health Cluster partners plan to reach about 1.9 million people, or 56% of the people in need of assistance with health care. This assistance will be through the provision of primary and secondary health care services, focusing on displaced people, host communities, underserved rural and urban areas (including newly recovered areas), and people affected by drought and the El Niño weather pattern.

Health Cluster Objectives

Objective 1: Improved access to essential life-saving health services (quality primary and secondary health care) for crisis-affected populations aimed at reducing avoidable morbidity and mortality.

  • Planned outputs:

    • 57% of health facilities providing minimum basic package of primary health care services (treatment of common diseases, immunization, antenatal care, provision of essential drugs, nutrition).
    • 57% of population covered by functioning health facility.
    • 28 members of the health workforce (doctor, nurse, midwife) per 10 000 people.
    • One secondary health care facility/hospital providing comprehensive emergency obstetric care per 500 000 people in crises-affected areas.

Objective 2: To contribute to the reduction of maternal and child morbidity and mortality.

  • Planned outputs:

    • 8 health facilities with basic emergency obstetric care per 500 000 people.
    • 85% of children below one year receiving Penta 3 vaccine.
    • 90% of children under one year receiving measles vaccine.
    • 70% of births assisted by skilled birth attendant.

Objective 3: Strengthened and expanded early warning disease detection to mitigate, detect and respond to disease outbreaks in a timely manner.

  • Planned outputs:

    • 1% case fatality rate in relation to acute watery diarrhoea and cholera outbreaks.

Beneficiaries targeted by health partners in 2016

Health partners are targeting 1.9 million people in 2016.

Health Cluster funding requirements for 2016

US$ 71 180 216 (health partners including WHO)

WHO funding requirements for 2016

WHO is appealing for a total of US$ 14 050 727