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SOMALIA NUTRITION CLUSTERGEDO Sub‐national Nutrition Cluster Meeting MinutesWednesday, 18th October 2017, 10:00 am CEDA Hall, Dollow District, Somalia1. Welcome and Introductions:The meeting officially opened at 10.15 A.M on 18th October 2017 by Chairman AhmedMohamed at CEDA Meeting hall in Dolow Somalia, the meetings was opened with a word ofprayer from Mr. Hussein from Trocaire, followed by round self‐introduction, after theintroduction the chairman took the participant through the agendas of the meeting2. Review and endorsement of the last cluster meeting minutes andfollow up on the action points:Partners’ reviewed the previous meeting minutes on ‐20th September 2017 and the all theparticipants agreed and endorsed the docs of the previous minute as a true record.The newly elected chairman appreciated and welcomed the nutrition cluster members whoattended the meeting on their punctuality and requested the members to maintain thenutrition coordination meetings and always send a representative who can be able to shareexactly what the organization is doing at the field, has a good concept on the generalsituation of the region and who is doing what and where so that we all have on the samepage.The previous action point was closed because there was no any pending action.3. Key Nutrition Services and Situation Highlights;The clusters members reported that the general situation in the region is stable, security ofthe accessible areas remain quite stable, no incidents has been reported so far whichhindered the day to day running for the nutrition programs and other related activities.Updates from partnersNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERCEDA; Currently implementing OTP in 21 sites 17 mobile and 4 static including KABASA andQANSAHLAY IDPs CEDA also implementing TSFP/BSFP in the KABASA IDP will getopportunity to opened a pilot fixed TSFP site at Kabasa IDP camp to integrate the twoprograms. They also run TSFP and BSFP programs. Ceda under their own budget andinitiative of the community have developed a mechanism to support the migrants IDP whoare dropout from neighbouring regions i.e Bay, Bakool and Gedo.CEDA opened mother baby area, a conducive area appropriate when conducting IYCF/NHHPsession as the caregivers wait to be served this was initial by CEDA.CEDA with the support of WFP started scope registration for the PLWs so far registered 889PLWs in Kabasa and Qansaxley IDPs, out of the 889 PLWs 872 received their ratio cards,these beneficiaries are entitled to receive 14.1 USD for a period of 9 months as vegetablewhile they also receive 7.5kg of CBW and 0.75 kg of oil as in‐kind.CEDA has integrated its nutrition services on nine Basic Nutrition service package in all thesites and triggered all outreach sites on how to do open defecation freeIYCF counselling was one of the sessions that contribute high on behavioural change to allmothers attending the sessionsCEDA implements TSFP / BSFP in 10 Food Distribution Points (FDPs) in Dolow Districts andnow ongoing a monthly routine screening in all sitesCEDA with WVI gives additional support to all normal pregnant mothers who get deliveredin the MCHN Program and gives 50 kg of Sorghum, 10 Pulses 10kg of CSB, 5.2 litres of Oiland 14 dollars cash for vegetables so as to encourage mothers to deliver in the MCH.Under MCHN we also support pregnant mothers who are in the second trimester and weprovide different ration than the delivers mothers in the MCH which is 7.5kg of CSB, O.75litres of Oil.Lactating mothers from zero month receive an appropriate services until they fulfil thedischarge criteria which is 6 month time, while we Discharge pregnant mothers the day theyNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERdeliver from the Antenatal care to postnatal care in which they also receive an equivalent of14 dollars money for vegetables.SRDA; Currently Implementing OTP program supported by UNICEF in 7 Sites (2 fixed and 5mobile sites), the agency also implements TSFP/BSFP programs supported by WFP/WVI 12sites at Luuq district, the services offered at the facilities including ,EPI, Mother supportgroup, NHHP, health and hygiene promotion sessions, IYCF‐Emergency.Under the OTP program the agency is also supporting the main hospital of Bohol GarasVillage, where we offer our OTP and EPI services, pregnant mothers is being givensystematic treatments, including MMNs, EPI and counselling, regarding IYCF and NHHP.The TSFP‐as program is funded by WFP/WVI in 12 FDPs in luuq district targeting U5 MAMchildren to receive Plum sup (28 Pieces) 7 sachets for the out‐going/Cured children,For the preventive measures SRDA admitted 7990 U3 children across 12 FDPs where everyU3 child receives 30 sachets of BSFP on monthly basis.SRDA also admits and supports the Pregnant and Lactating women who are malnourishedby giving Oil (0.75 kg) and CSB (7.5 Kg),Along site the Nutrition Program SRDA trained Community Based Workers based at theoutreach villages who are doing active case findings, Social mobilization and hygienesessions and behavioural changes to the communities.The agency is supporting the main hospital of Bohol Garas, where we offer our OTP and EPIservices, where pregnant mothers who are in the second trimester and lactating mothers isbeing given systematic treatments , including MMNs, EPI and counselling, regarding IYCFand NHHP.Trocaire; Trocaire is implementing health and nutrition services in Gedo region. Due to thecurrent emergency Trocaire have scaled up nutrition services ongoing in the three districtsof Belethawa, Dollow and Luuq where six outreach teams have been organized to work inhard to reach remote areas identify and treat malnourished children and mothers. As part ofNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERnutrition program and due to increased needs in IDPs Trocaire is providing the vulnerablefamilies in Kansaxley IDPs with food basket to help them meet their dietary needs.In terms of program performance, some slight decrease in the admission trends have beennoticed in the months of August and September, this could be due to timely and active casefindings and treatment done by the implementing partners supported by the donors andlow IDP influx from neighbouring regions of Somalia (Bay and Bagol).Trocaire is expanding the stabilization ward in Dollow through partnership with MSF. Thenew building will have 30 bed capacity. It was proposed that MSF with partnership withlocal health and nutrition partners in Dolow and will engage the community health workerwho will be doing screening, case finding and referral of sick children from Kabasa andQansahley IDPs in Dollow.In response to the emergency drought situation Trocaire introduced monthly Food Basketfor vulnerable households with food entitlements of 25 kg of rice, 25 kg of wheat, and 7kg ofbeans 3L cooking oil 3 Kg sugar. So far targeted 200 HH in Qansaxley IDP. The beneficiaryselection was done in collaboration with district drought and disaster committee andTrocaire field officers and registration and food distribution for October is ongoing.Challenges.Beneficiaries selling the CSB that was given as family protection ration to minimize sharingof other therapeutic food items for children with SAM.The routine health and nutrition services of OTP/TSFP/SCs are ongoing in all MCHs andoutreach sites. The nutrition supplies are adequately available and preplaced in all ourstores in Dolow, Gedweyne, Luuq and Belethawa.AMA/DA; is currently running TSFP, BSFP and MCHN in partnership with WVI Somalia, theprogram is funded by WFP through WVI international Somalia program.BSFP BSFP program is intended for under 3 children who are at risk of becomingmalnutrition and its primary objectives are to prevent acute malnutrition that occursamongst vulnerable groups, reduce incidence of acute malnutrition by providing adequateNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERdietary intake and routine treatment, reduce excess mortality among those at‐risk ofmalnutrition and to reduce excess morbidity among those at‐risk of malnutrition.8189 under three beneficiaries were entitled 1.5 kg of plumpy Doz which is equivalent to 4.5pcs of plumpy dozTSFPTargeted supplementary feeding program supported by WFP through world vision Somaliaand implemented by AMA DA continued in the 15 FDPs in Beled‐Hawa district in GedoRegion Somalia, The target beneficiaries were Pregnant Lactating Women and childrenunder five years who received RUSF and CSB and oil respectively while Community NutritionWorkers (CNWS) role is to carry out systematic screening and referral of all themalnourished children. They refer slips and tally sheets.TSFP New AdmissionDuring the month of October 2017 a total of 383 Cu5 fresh screening of U5children and 77PLW new beneficiaries were admitted to the AMA’s TSFP in the 15 FDPs. The admissionswere achieved through active case finding and referrals by community nutrition workers atthe 15 FDPs in Beled‐Hawa district.36% of the beneficiaries in the program are newadmission, where the new admission of last month 26%, due to drought and some otherfactors related to diseases and poor dietary at the HH level.DischargesDuring the reporting month a total of 223 under five children and 56 PLW were exited fromthe program from all the FDPs in Beled‐Hawa District, and below is the exit breakdown forthe month of October 2017.Cured: Total 223 children and 56 PLW were exited as cured accounting for 100% of the totalexit.Cured: Total beneficiaries exitedNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERTransfers: Total 6 beneficiaries were transferred to Outpatient therapeutic program run byTrocaire: Male 2 and Female 4Non‐response: a total of 0 beneficiaries exited as Non‐response, the total exit.Defaulter: A total of 11 beneficiaries defaulted from the program,2 PLWS and 9 UnderchildrenMCHNA total of 1100 pregnant and lactating mothers were issued CSB and Vegetable oil onOctober 2017, each beneficiary received 7.5 kg of CSB and 0.75 kg of vegetable oil.EDRO; Is implementing OTP program integrated with Resilience program Funded by UNICEF,through provision of nutrition services to the children U5 in 3 fixed and 7 mobile OTP sites.EDRO Have CBWs well trained and working on IYCF conducting on daily routine, as well asalso implementing prevention services like deworming, counselling and promotion of IYCF,community mobilization and micronutrient supplementation For PLWs.In the month of September 17 IYCF promoters were trained for IYCF and NHHP promotions.4. MOH District Nutrition Focal PointOn behalf of the Gedo MoH , Dolow Focal points attended the meetings and shared thecluster that MoH in collaboration and Partnership with WVI started jointly implementationof Health and Nutrition projects in Bohol Garas Village, The health project started August2017 , the project support the main hospital of the village, the nutrition project is targetingMAM cases in the villages and its yet to start , so far the recruitment of the technical staff isdone Comprising MoH Nutrition Focal points, Screeners, registers and Auxiliary nurses done.The MoH focal point emphasized the need to involve the MOH in all steps prior beforesigning a contract, selecting the operation areas by doing so we will have an environmentwhere we can serve without much Complication, Duplication and gaps.MOH as well requested the partner to the monthly reports for their monitoring and dataanalysisHIRDA; The agency have active PCA in Balet‐hawa and Bardhere targeting SAM cases,Pregnant and lactating mothers in a total of 26 OTP sites in which 4 are fixed while the otherNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTER22 are mobile and 1 SC. The nutrition program is integrated with EPI and resilience programin both districts68 CBW actively operating doing active case finding and community mobilization throughthe project sites in Bardera (30) and (38) in Belet‐Hawa districtsIYCF and NHHP activities are also going on in both districts.HIRDA do not have Registration books so we use normal books which we bought from bookshops and have requested from UNICEF several times and not yet respondWith the support of WFP HIRDA also signed an FLA (TSFP project) directly funded by WFP inBardhere District targeting MAM cases both U5 and PLW. The project is 1 year starting fromSeptember 2017, Supply is already delivered through air on 24th September 2017.Having received the supply on 24th September, we have screened and registered children U5and PLWs in two FDPs in Bardere town. Therefore, we started actually started thedistribution on 1st of October and have not yet sent the monthly report to WFP, we will giveyou all the updates and screening/registration activities next month.On 1st October HIRDA started screening of U5 beneficiaries and so far Admitted 251 U5 andPLW 149 in two fixed sites as the 1st initial utilization of the project, Community NutritionWorkers is yet to be selected from the communities but on process as the HIRDArepresentatives and WFP representatives.CHALLENGESDouble registration‐ most of the mothers who their children in OTP program use tricks toregister their children different sites so that to get more Plumpy nut and sell so that to getmoney to manage their daily activities, and that cause children to lose weight every week.SOVA; Has carried out 8 nutrition education sessions and counselling to pregnant andlactating mothers or care‐takers in 12 different villages in Bardera district Gedo Region.Has train 8 community volunteers/CHW s in order to promote hygienic related diseases suchas AWD which is one of the underlining factors which cause immediate under nutrition.SOVA conducted 10 food demonstration sessions on preparation balance diet food formothers.SOVA roll out 8 community education campaigns and deliver messages on improvedinfant/young child feeding & PLW and good hygiene behaviours on October 2017.SOVA has carried out prevention of acute malnutrition measures through ensuringsustained access of effective hygiene, Nutrition Health and hygienic promotion(NHHP).Nutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERCarried out 11 nutrition education sessions and counselling to pregnant and lactatingmothers or care‐takers in 12 different villages in Bardera district Gedo Region.SOVA is also running kurman community MCHN in Bardera district with support fromSCWW.HARD; HARD are implementing integrated heal and Nutrition of 11 OTP sites, 8 sites aremobile and 3 are static and EPI in Elwaq and Bardere and 1 SC in Elwaq districtHARD is also running integrated programs alongside with nutrition which is IYCF, NHHPservices and resilience 61 CBWs in villages of both districts.The OTP program is supported by UNICEF and with active PCA currently two years fromJanuary 2017 to Dec 2018.IYCF/NHHP programs is conducting in all the sites, admission trend is normal.Hard Elwak offices equipments and stocks were taken by Al‐shabab but all HARD staff aresafe and sound, Alshabab attacked Ceelwaaq town on Saturday morning 16 September2017 and attacked three offices including our office, HDCoffice and SAIF office. In our officethey took two computers one laptop and one desktop, a carton of amoxicillin and 42cartons of Plumpynet and all the files in the office for reference. The office is open now andthe staff consumed their work as usual.GEWDO; is currently implementing OTP/TSFP program in Elwak districts of Gedo region, wehave 7 OTP/TSFP sites in which 4 are mobile while the other 3 are fixed and 1 SC.There is a security gaps in Elwak district and that situation forced World vision and WFP tostop 21 FDPS.RAAS; is running 4 OTP sites 1 fixed and three mobile sites, 4 TSFP sites and two MHC/OPD 1Garbaharey and 1 Budhubo are ongoing all in well the Nutrition supplies are available in ourstores,RAAS conducted world Breastfeeding day celebrations in Burdhubo district from 01.08.2017to 07.08.2017, this event participated Burdhubo local authority civil society womenorganization, Imams and youth, the event has successfully completed.Gedo Relief Foundation (GRF); GRF is a local organization based in USA, and sub‐offices inGarbaharey, as The agency informed the cluster they are currently operating in GarbahereyNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERwhere they do Implement OTP/TSFP programs supported by Diaspora communities based inUSA in 5 sites in Garboharey District, 1 fixed and 4 mobile., along the OTP/TSFP the agencyalso operates Jaalle Siyad General Hospital in Garbaharey District offering EPI, Mothersupport group, health and hygiene promotion sessions.5. Security situation & incident in the region;Generally, the security situation of the region has been good with movement of people and thecommercial goods are moving between all the major towns.Dolow:Very GoodLuuq –Very goodBelet Hawa‐GoodGarbaharey – GoodBurdubo ‐Good.Bardhere‐Elwak :fair.GoodAction Points, 18th October 17TimelineAction PointsFocal agency.Every partnershould submit OTPsites or TSFP sitesso as to improvelinkage and referralsystemsTheremaining Before thePartnersGEWDO,StatusnextHIRDA, ClusterRAAS and HARDMeetingsAREAS WITHLINKAGE OF OTP, TSFWe are requesting every partner to fill the aboveattached links, failure to do we will report to Abdiweli(UNICEF) Gedo nutrition focal person and MohamedIbrahim (WVI) to do action against the failures.Nutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERAnnex 1: List of the ParticipantsNameOrganizationContact NumberE‐mail AddressAhmed Mohamed AbdullahiNutrition comAdan Abdikadir IbrahimWVI061‐6533914Adan mohamed@wvi.orgAden HaredCEDA061‐5158799Hareed54@gmail.comHUSSEIN orgAbdinasir Ali BashirHIRDA061‐5862362hirdabardera@yahoo.comAnab Ahmed OsmanHIRDA061‐2830084Carabeey17@gmail.comNOOR YUSSUF AHMEDSOVA061‐9818530sovasomalia@gmail.comAmina HassanWFP061‐2183118amina@wfo.orgABDULLAHI OMAR K MOHAMEDSRDA061‐8211426Srda som@yahoo.comAhmed ED AHMEDRAASO61‐7776778raassom@yahoo.comIssack .comHassan Mukhtar ShiekhUDRO061‐5227132urdosom@gmail.comMohamed AbdiHARD061‐9818188hardcelwaq@gmail.comNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERORGANIZATION PARTICIPATION MATRIXOrganisationJAN2017FEB 2017MAR 2017April 2017MAY 2017JulyAUGUSTSEP 2017201720172017 CEDA AMA XXX TROCAIRE JUNESRDA EDROA X GEWDOXX XRAASXX X XX XXX XX HAARDGELDAXXXHIRDAXXXWVI XXXUNICEF SOVA XSOCDA CHILDREN XXXXXXX X XGEDO RELIEF FOUNDATION (GRF) Pbsc.networkWFP URDO BardheraX X XX X XX Nutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERSCOTPTotalTSFP U5TSFP PLWNew Total New adm Total New adm Total New admadmOrgCEDADistrictJuly AUG SEP JulyAUG SEPJulyAUG SEPJulyAUG Sept1717171717171717Dollow132 293276 495 120237 190 2539TROCAIRE Dollow131511160251202492392388553769TROCAIRE Luuq433434197167116319312254879996SRDA000304 253151 9228302 922849TROCAIRE BeletHawa wa 000EDROLUUQ247 341195HIRDABardhere322 295282HIRDABaladhawo302 242151HARDElwak/BDR 5176 228171 0000168 213348 77103SYPDNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

SOMALIA NUTRITION CLUSTERUNICEF DIProjectSOVASOCDACHILDRENTOTALGEDOO.A.BAll the partners should update the previous inputs they shared with the cluster and update any newactivities done after the previous meetings,All the partners MUST fill the trend matrix because it’s the place where we can see if the admissiontrend increased or decreasedNutrition Cluster CoordinationSRDA OfficeTel: 252‐615362210Doolow, Somalia tion/clusters/nutritionFor more information, contact Ahmed Mohamed Abdullahi Cluster Focal Point, srda som@yahoo.com

Trocaire; Trocaire is implementing health and nutrition services in Gedo region. Due to the current emergency Trocaire have scaled up nutrition services ongoing in the three districts of Belethawa, Dollow and Luuq where six outreach teams have been organized to work in

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