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Critical and Extreme Critical GAM Levels Continue for many LGAs and IDP Concentrations

  • Special Report
  • Nigeria
  • March 1, 2017
Critical and Extreme Critical GAM Levels Continue for many LGAs and IDP Concentrations

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  • Nutrition screening results with call outs for data published from October to January
  • Nutrition survey results with call outs for data published from October to January
  • Partner
    UNICEF

    Nutrition screening results with call outs for data published from October to January

    The ongoing armed conflict in the northeast (NE) Nigeria continues to impact food and nutrition security in parts of Borno and Yobe States. Improvement has been seen in some post-harvest areas in South Borno and for IDP concentrations with access to humanitarian assistance, however data remains Serious and Critical in recently accessible areas that have inconsistent humanitarian access. The primary aim of screenings are to identify and refer children for CMAM programs and selection of site and children for screenings are not designed to be random. Nutrition screening results, however can be indicative of need and  from October to January, levels reflected variable proxy GAM levels (MUAC<125), which vary according to the localities from 4 to 23 percent. Proxy GAM levels are above the Critical threshold in six accessible LGAs and one IDP Camp (Mafa, Konduga, Kwaya Kusar, Shani, Bayo, Magumeria and Rann IDP Camp). From the results presented these levels of acute malnutrition continue to reflect an “Serious to Extreme Critical” situation in areas that are less accessible. An emergency nutrition situation continues in these LGAs with the need for expanded and continued assistance to improve outcomes for children aged 0-59 months.


    Nutrition survey results with call outs for data published from October to January

    Population representative surveys conducted between October 2016 and January 2017 in Borno and Yobe states, found a Serious nutrition situation, according to the IPC for Acute Malnutrition. The majority of survey data comes from the Nutrition Surveillance Survey conducted by the National Bureau of Statistics (NBS) in coordination with the National Population Commission (NPC), the Federal Ministry of Health (FMOH), and the Nigerial Nutrition in Emergency Working Group (NiEWG)[1] in partnership with UNICEF in November. The surveys covered both resident and IDP populations in accessible survey domains. The North and East Borno domains were not surveyed due to accessibility constraints, and many areas of the Central Borno domain were also excluded a priori for the same reason. The GAM by WHZ prevalence (<-2 Z-score) was above 10 percent for all domains in Yobe State and two of three surveyed domains in Borno (Central and MMC/Jere). Southern Borno and all domains in Adamawa State had GAM levels between 5 and 10 percent, reflecting an Alert level. Small-scale surveys conducted in IDP populations in Dikwa and Bama LGAs showed improving GAM levels compared to the previous nutrition bulletin, which likely reflects improvements in humanitarian access. Data from Gowza IDP Camp (GAM by WHZ: 22.3%) showed the an Extreme Critical situation; partners report irregular humanitarian access to Gwoza since December 2016 which is likely driving this result.

    [1] Financial support was provided by the Government of Nigeria, UNICEF, and the UN Central Emergency Response Fund (CERF). Technical support was provided by the CDC and UNICEF. 

    Figures Nutrition Screening Results with Proxy GAM

    Figure 1

    Nutrition Screening Results with Proxy GAM

    Source: UNICEF, MSF, NiEWG, InterSOS, WFP

     Figure 2.

    Figure 2

    Nutrition survey results with GAM levels

    Source: UNICEF, MSF, NiEWG, ACF, FEWS NET

    Occasionally, FEWS NET will publish a Special Report that serves to provide an in-depth analysis of food security issues of particular concern that are not covered in FEWS NET’s regular monthly reporting. These reports may focus on a specific factor driving food security outcomes anywhere in the world during a specified period of time. For example, in 2019, FEWS NET produced a Special Report on widespread flooding in East Africa and its associated impacts on regional food security.

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