The nutrition situation in Chad continues to be worrying. This is especially the case in five regions: Sila, Ouaddai, Kanem Guera and N'Djamena, where the number of people admitted for acute malnutrition treatment has increased gradually since January, including in comparison to last year (see graph below).?
In returnee sites, 5% of under-five children living are severely malnourished as of 1 June.?
The national SMART nutritional survey conducted in August–September 2016 revealed global acute malnutrition (GAM) rates of 11.9% and severe acute malnutrition (SAM) rates of 2.6%. Among children aged 6–23 months, GAM is at 15.8%, above the emergency threshold.?? Malnutrition is above the alert and emegency thresholds in ten regions, including Salamat, Lac, Ouaddai, Ennedi-Ouest, and Batha.?
In January, over 14,000 SAM cases were admitted for treatment across the country. This is an increase of 34% compared to the same period in 2016. This is due to an expanded coverage of malnutrition monitoring. Arrivals have also been recorded earlier than usual, ahead of the normal time period linked to the lean season.? In 2017, 438,000 cases of malnutrition are forecast, 7% more than the estimate for 2016, including more than 200,000 cases of SAM.?
Camp of Oure Cassoni
The situation in the camp of Oure Cassoni is critical, mainly because the camp, which hosts 28,364 Sudanese refugees, is located in an arid area, where natural resources are scarce and access to livelihood resources limited. GAM rates have been reported at 18.9% and SAM at 3% [threshold 2%]. The rate of chronic malnutrition is 43% [threshold <20%]. Several actions, such as the distribution of food, and the distribution of cash and vouchers to pregnant and lactating women, are currently being undertaken by international organisations present on the ground.??
Since October 2016, SAM rates have been reported at 6.1% and MAM 22.8%. 2015/2016 harvests were around a 25% below average, hampering diverse food consumption.??
In December 2016, across the region, GAM was estimated at 12.1%, and SAM at 2.1%, with an estimated 22,200 children suffering from SAM.??In January and February, screenings carried out in displacement sites along Liwa-Daboua road, Fouli department, revealed high malnutrition rates above emergency thresholds. GAM rate is at 19,6%, including 4.4% SAM, highlighting a deterioration since December 2016.? In December 2016, a screening in Bol, Baga Sola and Liwa districts, Lac region, has shown 17% GAM, including 5% SAM rates.?
Since December 2016, in Oure Cassoni refugee camp, SAM was 3% and GAM was 18.9% - both over emergency thresholds. This is a distinct deterioration compared to the latest nutrition assessment carried out in the camp as of late 2015, when SAM was 1.1% and GAM 12.7%. Deterioration of the nutrition situation is likely explained by lack of funding for humanitarian response and low opportunities for farming activities around the camp as the area is arid.??