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QUARTER THREE ACTION REVIEW

MEETING 21ST to 22ND NOVEMBER 2016,

NAIROBI KENYA.

Meeting Proceeding and Highlights

21st and 22nd November 2016, Jacaranda Hotel Nutrition Cluster CoordinationUNICEF Somalia Support Centre (USSC)United Nations, Block Q, Nairobi, Kenyahttp://somalia.humanitarianresponse.info/clusters/nutritionFor more information, contact; Samson Desie-Nutrition Cluster Coordinator: [email protected]

SOMALIA NUTRITION CLUSTER

mailto:[email protected]

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Nairobi, Kenya

Contents

Introduction..........................................................................................................................................2Day 1, Session 1: Introduction, opening remark, objective and expectations.....................................2

Purpose:............................................................................................................................................3

Objectives:........................................................................................................................................3

Expected outcome:...........................................................................................................................3

Day 1, Session 2: NCC 3rd quarter, 2016 performance report.............................................................3Key areas/topics covered.................................................................................................................4

Key issues raised/discussed and Key action points..........................................................................4

Day 1,Session 3.1: Somalia NCC HRP 2017 Nutrition chapter, Standardized activities and key indicators..............................................................................................................................................7

Group suggestions/questions on indicators and act6ivities............................................................8

Objective 1:....................................................................................................................................8

Objective 2:....................................................................................................................................8

Objective 3:....................................................................................................................................8

Objective 4:....................................................................................................................................8

Review of activities...........................................................................................................................9

Day 1, Session 3: Somalia IMAM BottleNeck Analysis (BNA)...............................................................9Session 4: Somalia Nutrition Cluster’s update/field cluster................................................................9

Achievements..................................................................................................................................10

Key Challenges faced during the quarter included..........................................................................10

Day 2: Session 5: Somalia Nutrition Cluster’s progress on 2016 key objectives................................10There were 3 key cluster projects in 2016......................................................................................10

1. Geotagging:.............................................................................................................................10

Action point:....................................................................................................................................11

2. BNA..........................................................................................................................................11

IMAM guidelines development:.....................................................................................................11

Day 2 Session 6: World Humanitarian summit...................................................................................11Relevance to the cluster.................................................................................................................11

The areas of the GRAND Bargain....................................................................................................12

Accountability and reporting..........................................................................................................12

Nutrition Cluster CoordinationUNICEF Somalia Support Centre (USSC)United Nations, Block Q, Nairobi, Kenyahttp://somalia.humanitarianresponse.info/clusters/nutritionFor more information, contact; Samson Desie-Nutrition Cluster Coordinator: [email protected]



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Day 2, Session 7: Global IYCF report...................................................................................................12The code:.........................................................................................................................................12

Maternity protection:.....................................................................................................................12

IYCF Reporting:................................................................................................................................12

Coordination:..................................................................................................................................12

Day 2, Session 8: The Global SUN strategy and roadmap..................................................................13The SUN pillars/objectives..............................................................................................................13

Somalia SUN Movement.................................................................................................................13

The SUN Somalia Progress..............................................................................................................13

Questions........................................................................................................................................13

Action Points:..................................................................................................................................14

Day 2, Session 9: ENN-SUN Project.....................................................................................................14Key issues/updates on ENN-Somalia..............................................................................................14

Day 2, Session 10: BMS Monitoring and reporting tool.....................................................................14Why monitor?.................................................................................................................................14

Feedback from the group work......................................................................................................14

Day 2, Session 11: Lessons from WVI nutrition integration initiatives..............................................15Action points...................................................................................................................................15

Day 2, Session 11: Endorsement of the Aim chair..............................................................................15Members of the advocacy taskforce..............................................................................................15

Word from the WHO chief..............................................................................................................16

Any Other Business;............................................................................................................................16Annexes/Attachments........................................................................................................................16Participants list...................................................................................................................................16




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Introduction

The third quarter 2016 Nutrition Cluster Quarterly Action Review Meeting/workshop took place on 21st and 22nd November 2016. The review meeting/workshop attended by Management and technical team of all nutrition cluster stakeholders, MoH representing officials (two officials from each three area offices) – DG, Nutrition directorate and planning or HMIS directorate directors as well as state MoH representatives (2 from each region). The review meeting was chaired by the NCC assisted by the co-chair.

Day 1, Session 1: Introduction, opening remark, objective and expectations Highlights from the UNICEF chief of nutrition:

The UNICEF chief of nutrition appreciated the presence of different stakeholders during the nutrition cluster QRM meeting.

He noted the challenges being experienced currently due to the funding gap and the inadequate resources which has led to the end of the EPHS mainly with the operation costs coming from the JHNP. He emphasised on the need to double up fundraising efforts to be able to the increased needs within Somalia. There will be need with the upcoming funding to prioritize only focusing on life saving interventions.

Update on the Future of the JHNP; The chief of nutrition reiterated on the letter that was sent to the respective partners on the

31st if August on the end of the EPHS and the progress done so far. There was secured funding that led to the extension of the project till 31st of December 2016.

UNICEF did fundraise with DFID giving 6 Million Dollars as bridging funding. It should be noted that the EPHS funding will proceed into the first quarter of 2017 but with

scaling down of interventions by 40%. Which means there will be a skeleton programming of 60% of the current programming.

Priorities will be given to specific interventions with services lower than the PHO will be discontinued such as mobile services hence INGO/NGOs will be required to fundraise individually for those interventions.

There is no commitment so far beyond April 2017 as no donor has committed or allocated any funding for the said period.

The nutrition funding and programming will be maintained as it is even though a huge cost was being supported through EPH hence the nutrition component will supplement those areas that were covered by the EPHS project.

Highlights from the Government official Ministry of health:The MoH counterparts welcomed all the stakeholders to the meeting and reiterated the need for more interventions especially to the drought and security hit areas in Somalia.




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He noted that there are high rates of malnutrition being reported and with the increased IDPs due to insecurity, there is need to concentrate on that as a priority. He then officially opened the Nutrition cluster Review meeting.

Purpose: To Strengthen and improve the cluster/sector coordination and information management.

Objectives:

The objectives of this consultative workshop are:

To review 3rd quarter NCC performance, review zonal/field actions progress, and identify challenges, bottleneck and lessons learnt.

To review nutrition cluster Humanitarian Response Plan 2017 as well as stakeholder consultation on standardized activities and key indicators

To review draft report of Somalia iMAM Bottle Neck Analysis (BNA) and develop relevant action plans

To provide a structured platform for discussions, sharing information and lessons learned from cluster partner’s perspective with an aim to improve coordinated response, information flow and learning.

To provide a forum for presenting technical updates relevant to improving effective emergency nutrition response including Global IYCF report, Grand Bargain Components; 2030 Agenda for Sustainable Development; SUN Strategy and Roadmap 2016-2020; 2016 World Humanitarian Summit Commitments to Action and other global updates etc...

Expected outcome:

Expected outcomes

Reviewed and endorsed documents including Somalia NCC HRP 2017, standardized list of activities and key indicators, and Somalia iMAM BNA report.

Develop plan of action for key bottlenecks identified through BNA

Establish taskforce to develop and roll out Somalia NCC advocacy strategy for HRP 2017.

Agree reporting tool on BMS monitoring to improve IYCF-E

Day 1, Session 2: NCC 3rd quarter, 2016 performance report.The sessions was chaired by the NCC and presented by the Puntland MoH representative. From the presentation, it was noted that there were 90 members with 50 active members implementing projects. There are 15 subnational/working groups that are coordinating nutrition activities with support from the national cluster. In the third quarter, 46 cluster members had reported with 931 OTP/TSFP sites, 341 OTPs and 21 SC. This was a drop from 29 SC in the second quarter. It was however not clear if the SCs had been closed down or they were still operational. This is because as at the time of the meeting, the cluster had not received QII reports from all cluster partner hence it was difficult to ascertain the functionality of those SCs.

There were 29 new sites opened to respond to drought.




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Key areas/topics covered National/Regional coordination forum action points 2016 progress against the cluster plan Comparison of 2015 and 2016 performance. 2016 assessments

Key issues raised/discussed and Key action points.

Issues Raised Discussion Action points

Reporting There was a marked improvement in W/Gabeed compared to the first quarter.

There was a noted delay in submission of reports which affected decision making. Reports submitted by some partners lack consistence. For example total number of beneficiaries’ end of the month is different from the total number of the beneficiaries the following month.

There was low coverage in Lower Juba, Muduug and lower Shebelle regions. In Lower Shebelle, inactive contracts contributed to lower performance.

There is no SC in Lower Shebelle (Wana Wayne district). UNICEF had been contacted concerning this but it seemed that the process was taking too long.

There is a need for partners to ensure they submit reports timely.

There is a need to compare the coverage per district in poor performing zones and regions.

Program implementation

New Ways had already signed a PCA with UNICEF in September. However implementation of activities in Barawe started in October due to some delays in accessing supplies. New ways has an SC in Barawe Hospital and OTP sites. They have also a mobile team for outreach in Maringubay area in Barawe District.

ICRC was supporting some SCs in SCZ. However, their cash program was negatively affecting the program implementation. These issues has already been discussed with the cluster, UNICEF and the government.

PAC has made huge investments in SCs in SCZ. WFP should consider providing supplies to SCs for caregivers.




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The government officials in the lower Juba confirmed enough supplies but there were limited actors yet the needs were high. The government had started distributing IDP camps to partners.

There was an overlap observed in activities between WVI and SCI in Puntland. The 2 organizations have had discussions concerning this matter and have agreed that WVI will take over activities from SCI in January 2017. The CHW currently working with SCI will be integrated in the WVI staffing.

Emergency Drought response

29 new sites were opened. SCI was responding to drought in Sool and Sanaag.

Interagency assessment was done and it was noted that there were migrations from Sool and Sanaag to other regions.

In the SCZ, the government had decided to operate OTP and TSFP for 3 days a week. However, due to high caseload, the OTP sites are currently running six days a week.

There is currently a regional nutrition officer who is expected to increase the caseload in the SCZ.

The cluster was urged to prioritize drought affected areas and areas with critical issues in their planning.

In order to improve coverage, partners were urged to open more OTP sites in the SCZ especially Kismayu district.

Supplies Partners expressed the challenge they were facing of limited admissions based on the FLA they have signed with WFP. This led to limited number of admissions. However, WFP also noted that some partners have same number of beneficiaries throughout the year which leads to questioning the credibility, reliability and validity of the data reported by partners.

In Lower Juba, it was reported that supplies was not a major issue. The major issue was the capacity of partners to respond to the huge needs in the region.

UNICEF reported that they had enough supplies for the first quester of 2017.

There was a challenge with TSFP supplies in W/Gabeed. This was discussed at the sub national cluster coordination meeting. However it was

Partners to make a quarterly request and not 6 months as earlier on communicated as UNICEF only has supplies for the first quarter of 2017.

WFP to have bilateral discussions with organizations facing supply pipeline breaks. When calculating caseloads, include discharges from OTP

WFP is flexible to alter the caseloads in the FLAs. However, alteration of caseloads in the FLA must be supported with evidence either through assessments e.g. a mass MUAC screening report. Partners are therefore required to provide information to help in




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reported that there was no issue of supplies and further clarification was required from HPA about reporting.

The sub-national cluster in W/Gabeed holds quarterly coordination meeting regarding supply chain management. They have developed a distribution plan. However, they noted that WFP do not attend these meetings although invited.

Partners expressed the need to have a buffer stock, which WFP said it was a policy issue and so it may not be possible.

decision making.

OTP/SC discharges should be linked to existing TSFP regardless of the implementing partner.

WFP to consider providing supplies for caregivers of SAM children admitted in the SCs.

Coordination There were 2 SAG and 2 AIMWG meetings held during the quarter.

Nutrition cluster conducted trainings for partners in Hargeisa reaching 30 participants.

CHF funding was disbursed to ACF, SCI, WARDI, SAF-UK and SOYDO.

ICRC cash program

Decentralise coordination mechanisms to the district levels.

A meeting to be organized between the government, UNICEF and ICRC and feedback to be provided by 2nd week of December concerning the cash transfer linked to malnutrition. The agenda is to explain the negative impact the cash program on the program and hence stop the program.

Assessments During the quarter, various assessments took place. FSNAU conducted an anthropometric survey in urban and rural IDPs in Gu’u.

CESVI conducted a SQUEAC assessment in Galkayo and Galmudug districts.

The clusters reviewed the reports and endorsed them. The cluster also reviewed the SNS SMART survey proposal, WVI coverage survey protocol and nutrition cluster case studies that were published in the FEX.

Routine assessments should be a collective action. All partners should do assessments at the same time in different locations to avoid duplication, overlapping and double counting. This will also ensure the results are collectively endorsed.

The sub national cluster coordination should be involved in mass MUAC screenings and mapping done to avoid double counting, double registration and ensure validity of results.

PCAs UNICEF has approved 12 nutrition stand-alone PCAs and 33 Joint nutrition and health PCAs. There are 16 PCAs in process which will be approved in Q4. However some partners were able to access

The nutrition cluster to internally follow up on PCAs for Shebelle

UNICEF was urged to fast-track




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supplies before their PCAs were fully approved. This was to ensure activities are implemented in time.

Lack of PCAs in Lower Shebelle

the approval of the remaining PCAs to ensure activities continue being implemented.

UNICEF to speed up the PCA of MARDO.

The zonal offices must clear the PCAs before they are approved at the national level. Partners should therefore liaise with zonal offices for clearance.

Meetings There are sub national cluster meetings. However partners reported that UNICEF and WFP do not participate in those meetings. WFp and UNICEF noted that the meetings in Somalia are many and therefore they could not be able to attend all those meeting. They were urged to ensure that in areas where they have offices, they should attend meetings and take the leadership role.

There is IYCF working group with 25 participants/members.

The cluster has decentralized cluster coordination meeting to regions.

Partners to ensure 100% attendance

WFP and UNICEF were urged to ensure attendance in meetings in areas where they have an office. They should also take the leadership role. Cluster coordination meeting should be decentralized further to district level.

To update email list/data base being used to call for meetings.

Accountability online action point matrix to be developed and utilized.

Day 1,Session 3.1: Somalia NCC HRP 2017 Nutrition chapter, Standardized activities and key indicators.All the project sheet that were submitted through the OPS were reviewed. 50 project sheets were approved. In 2017, there are four strategic objectives namely:

Strengthen lifesaving preventive nutrition services for vulnerable population groups focusing on appropriate infant and young child feeding practices in emergency, micronutrient interventions and optimal maternal nutrition

Improve equitable access to quality lifesaving curative nutrition services through systematic identification, referral and treatment of acutely malnourished cases.

Strengthening robust evidence based system for Nutrition with capacity in decision making to inform need based programming.




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Establish integrated nutrition programs between and across relevant sectors through enhanced coordination and joint programming including nutrition sensitive actions.

There is more focus on SDGs, IYCF at the facility level, prevention activities, addressing micronutrient deficiencies, integration and multi-sectoral programming and building resilience of communities.

There will be more preference to single service providers of all nutrition services. In the HRP 2017, all clusters are expected to contribute to a reduction in malnutrition.

After presentation of the HRP 2017, the participants were divided into 6 groups to review the indicators, targets and activities.

Group suggestions/questions on indicators and act6ivities.

Objective 1: i. The target for indicator 1 (Number of pregnant and lactating women counselled on

IYCF) to be increased. Standardize data collection tools and reporting tools for this indicator. Questions of whether it was individual counseling were clarified. Although it seemed that the target for this indicator was too low compare with the people in need, it was clarified that individual counseling was a whole process and there having a high target could lead to inappropriate counseling.

ii. Indicator 2: it was suggested by other groups to change from sessions to individuals attending the sessions.

iii. Indicator 5 was too broad. It was suggested to break to PLW, and under five separately. It was also good o suggest one proxy indicator e.g. iron folate for pregnant women, Vitamin A supplementation for under-fives.

iv. Indicator 6 was also to be broken down. This is because BSFP and MCHN were using different products.

v. There was a question on what next after all those counseling and awareness sessions which was clarified that there are a number of assessments including KAP, SQUEAC, SLEAC that have been done. They will also be continued to ascertain the impact on optimal IYCF.

Objective 2: i. The baseline for indicator 1 (Number of facility and community workers trained on

IMAM guidelines) was too low. There are many IMAM trainings that partners had carried out in Somalia and there this needed to be revised.

ii. Number of beneficiaries receiving IMAM messages at the facility level.iii. Indicator 3 needed to be broken down to PLW and boy and girls as a separate

indicator. This was also true for indicator 4.

Objective 3:i. Indicator 1 needed rephrasing to read number of community health workers

submitting screening reports to health facilities.




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ii. Indicator 2. The SMART surveys should be clarified whether it is at national, regional or district level.

iii. Number of staff trained on rapid nutrition assessments or SMART surveys needed to be clarified whether is at national, regional or district level.

Objective 4: i. Some groups proposed to drop objective 3 because it was found to be similar to

indicator 2 in objective 4.ii. Indicator 1: it is good t rephrase it to read for example number of HF providing at-

least 6 of the 9 essential components of integrated nutrition services.iii. Change to number of multi-sectoral platforms existing and functional. It was

clarified that this indicator focused on geographical convergence.

Review of activities. All the groups endorsed the activities. However there were suggestions to include monitoring

and evaluation in all the activities.

All partners were urged to consider the element of prevention and required to comprehensively implement IYCF within their programs

It was suggested to have indicators that clearly capture the IDPs and Refugee returnees due to the exposure and increased needs caused by their level of vulnerability.

Day 1, Session 3: Somalia IMAM BottleNeck Analysis (BNA).This sessions was presented by UNICEF. The objective of the BNA was to improve access and quality of IMAM services, improve community participation, improve evidence based programming and thereby health system strengthening. The BNA had 5 steps which are: decide what to monitor and define the indicator, data sources and data collection and analysis, identifying bottlenecks, causal analysis of bottlenecks, identifying solution and developing a plan and implementing the plan.

BNA inception and training had been conducted in SCZ on 3 rd to 5th October 2016. The training reached 40 participants with MoH and partners well represented. The training was later cascaded into regions. Data collection is ongoing led by MoH. In Jubaland, Gedo region, data collection has been completed. In lower Juba, data collection is ongoing while middle Juba was not accessible.In Somaliland and Jubaland, the trainings have been conducted. Data collection is to commence soon. The final report of the analysis will be by the end of quarter 1 2017.

Session 4: Somalia Nutrition Cluster’s update/field clusterThe cluster gave an update on progress of action point from the last quarter review meeting. Most action points had been done. However the following actions points are still in progress and need follow up

1. UNICEF and CISP to work together to secure supplies for Haradheere is still in progress2. Taskforce to complete gap analysis review is in progress3. Support for breastfeeding promotion. There is a breastfeeding taskforce in place and active.4. Inviting other cluster to attend nutrition cluster meetings is in progress and should continue.




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5. The focal point is still following up on Medair and IRCs issue in order to demarcate their areas of operation. This is in order to avoid duplication of services.

6. PCAs for Bay and Bakool districts are still pending. Dinsoor is in critical condition and immediate action is needed.

7. Partners to share updates stock balances with UNICEF and WFP. This has not been done. This leads to partners experiencing pipeline breaks. All partners is required to submit updated stock balances indicating the expiry date.

8. All partners should share their screening reports with the cluster.9. Nutrition reports must be shared with the nutritio0n luster HMIS by 10th of every month.10. All Bossasso partners to conduct mass MUAC screening in operational areas to increase

coverage before the end of November.11. UNICEF and WFP to attend Bay/Bakool cluster coordination meetings.

Achievementsi. During the cluster meeting, more than 5 regions developed EPRP document which is to be

reviewed and endorsed.

ii. BNA data collection started in most regions in the country.

Key Challenges faced during the quarter includedi. Poor participation of key nutrition stakeholders in monthly meeting. However, their

participation improved in some areas

ii. Feedback and information sharing from some partners has been poor and challenging.

iii. There was limited access in some areas especially in the SCZ. This affected partner participation in monthly cluster meetings.

iv. Insecurity in some areas affected service delivery.

v. Lack of a regular meeting place which led to meeting being held in hotel which increases the risk of insecurity.

vi. Partners who have other sources of funding had to go through the same long PCA process before they accessed supplies.

Day 2: Session 5: Somalia Nutrition Cluster’s progress on 2016 key objectivesThere were 3 key cluster projects in 2016.

1. Geotagging: This project is ongoing. It had 2 phases. Phase 1 was confirmation of operation facilities, and their location. Phase 2 involved a detailed work plan and recruitment of field teams. Capacity assessment tools was used for field data collection. Data collected included human resource, qualifications, facility hygiene, and drug supplies storage. The whole objective of this is to ascertain where the facilities are located, what are the gaps. This will help in developing a capacity development plan. Partners should view this as a technical appraisal rather than an audit of their capacity in terms of HACT. Final facility data including GPS coordinates will be collected. Contact list of communities Nutrition Cluster CoordinationUNICEF Somalia Support Centre (USSC)United Nations, Block Q, Nairobi, Kenyahttp://somalia.humanitarianresponse.info/clusters/nutritionFor more information, contact; Samson Desie-Nutrition Cluster Coordinator: [email protected]



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around the facility will be collected to ensure a feedback and complain mechanism. The contact list can be used to ascertain whether the facilities are running and also send out bulk SMS. Confidential information will be maintained in development of the contact. The report will be online for ease of access but the contact lists will remain confidential with the cluster. At the end of the assessment, a base map will be created, datasets and final report.

The cluster will use ONA platform to link with existing platforms. The system will help identify and acknowledge good performance and share best/good practices and also poor performing facilities. This will help to plan how to improve performance in those health faculties. Mobile sites will also be assessed. There was a question on why nutrition cluster is doing an assessment similar to what WHO is doing. The cluster clarified this saying that the assessment by WHO was only focused on health facilities while there are nutrition activities outside the health facilities. The assessment by the cluster was looking at capacity, location, contact list etc. This would complement the assessment WHO did.

Action point: The partners should ensure they give inputs. Abdullahi should follow up and communicate

with partners on assessment dates to ensure their facilities are assessed.

Partners in the south central were requested to share the current data set in south central to ensure all the facilities are assessed and included within the Geotagging exercise.

2. BNAIMAM guidelines development:This Included translation into Somalia language for quick reference. The ToR for CMAM had been finalized and will be released in the coming week. FSNAU does nutrition assessments. However, there is no guideline for these assessments. The ToR for developing Somalia nutrition assessment guidelines had also been finalized and will be out in the coming week.

Day 2 Session 6: World Humanitarian summitThe cluster coordinator presented the world health summit proceedings. There were global renewed commitments. The outcome of the summit was 5 core responsibilities and 24 transformational actions to achieve the responsibilities. The world summit called for a new way of working i.e. building resilience. It also called for support and recognition of national actors and national government. Shifting from short-term to longer term humanitarian funding and commitments to improve donor funding. New partnerships and initiativesRelevance to the cluster

Move from Coordination to collaboration i.e. engaging actors, sharing responsibilities among actors.

Local actors. The cluster should strive to build the capacity of local actors and ensure more engagement of local actors.

Humanitarian development link. Nutrition is an emergency development link. Inclusiveness. Whatever is done by the cluster should include all levels of stakeholders. Use

local language as much as possible. Ensure all tools and guidelines developed are as simple as possible.

Accountability: ensure there is feedback mechanism and accountability to affected persons. Partners to ensure documentation of success stories.




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Promote multi-sectoral approach. Consideration of cash based response. More regular communication with communities. Advocate for multi-year funding and longer term planning. More systematic linkages to development projects. More engagement with the local partners

The areas of the GRAND BargainThe grand bargain seeks to make significant improvement in the way aid is provided. The grand bargain seeks to improve, financial transparency, more support to national responders, support to more cash based assistance to stimulate local economy.

Commitment to areas of more financial accountability More support to national first responders Cash based assistance focusing on resilience to stimulate the local economy as a trickling

down effect Periodic functional review on expenditure and reduction in duplication of management costs Improved needs assessment Participant revolution which involves the direct participation of beneficiaries Multi-year planning and funding as there is less funding earmarked Harmonizing and simplifying of the reporting requirements

Accountability and reporting1. Light monitoring on reporting. Focus on self-reporting.2. Focus on results and not processes.3. Integration of WHS and GB work steams into existing practice and communities.

Day 2, Session 7: Global IYCF report

The progress on IYCF was presented by ANNPPCAN and BPPSC. A number of issues were raise concerning the Somalia IYCF.The code: The MoH Puntland shared the English version of the code. Comments and finalizing is ongoing. The code is however yet to be ratified. Once the code is ratified, the cluster will help in translation into Somalia Language. The tool for monitoring the code violation will be developed by the cluster. Key media personnel have been oriented for the code and key stakeholders and line ministries. Although advertisements are still going on in some national media, there is a message that promotes breastfeeding “nothing is equal to a mother’s breast-milk”.

Maternity protection: It was clarified in the meeting that the cluster only brings ideas for advocacy for development of policies and guidelines. The maternity protection act should be ratified by the government but cluster partners promote minimum maternity protection to be organization based. It was reported that the GoS has maternity leave for 4 months. The GoS also allows for flexi time for lactating mothers. This information is however limited among women. Awareness creation among women need to be strengthened so that they know their entitlements.




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IYCF Reporting: The MoH PL reported that there is IYCF database maintained. There is also IYCF quarterly report submitted to the cluster. It was advised that the IYCF reporting tool should be owned and used by all partners. Reporting of routine IYCF activities will go on routinely every month.

Coordination: It was agreed that the zonal focal points to act as IYCF focal persons. Multi-sector partnerships have been created to enhance programming. IYCF taskforce has been established.

Day 2, Session 8: The Global SUN strategy and roadmap.This sessions was presented by Titus from ENN. The SUN movement’s vision 20130 is to ensure a world free of malnutrition in all the forms. He reported that most countries are struggling to achieve the world health assembly targets by 2025. Somalia joined the SUN movement as the 52 nd country. There are 57 SUN member states.

The SUN pillars/objectives 1) Expanding and sustaining an enabling political environment2) Accountability: Prioritize and institutionalize effective actions that contribute to good

nutrition3) Implement effective actions aligned with common result.4) Effectively use and significantly increase financial resources for nutrition.

There are 10 principles of SUN engagement which include transparency, inclusiveness, rights based approach, willingness to negotiate, being predictable and mutually accountable, being cost effective, being continuously communicative, act with integrity and ethics, be mutually respectful and do no harm.Somalia SUN MovementThe national nutrition coordination is in the office of the PM. There is a sub national focal point in the office of the vice pre4sident of PL. There are focal points at various sectors including health, agriculture, livestock, commerce, education and gender and human rights. The ministry of commerce is engaging the chambers of commerce on SUN.The civil society network has not been established, however the nutrition cluster is acting as the forum for civil societies. UN network was established and is active. The UN plays an important role in SUN in Somalia both technically and financially. Donors eg DFID supported the stakeholders analysis and policy review in nutrition.

The SUN Somalia ProgressThe UN network convened in 2016. They have developed a concept note of $200,000.A question was asked on where the SUN focal points should be placed. The response was that the focal points should be placed at the highest possible office. However, the country decides where to place. Currently there is a consultant on board. Questions.

1) The composition of the UN network is for UN agencies. What about the rest of the organizations? The response was that the civil societies are represented through the SAG. The co-chair of the SAG is a full member and represent the CSO in the SUN network. The




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SUN has different network, including the government network, Business/private sector, CSOs network, Donor network, UN agencies network and academia and research network.

2) In nutrition, many countries have strategies and work plans incorporated. What value is Sun adding? The response: The National Development Plan (NDP) is the overall plan that the cluster etc. should overarch on. SUN has added value of high level advocacy and multi-sectoral approach. A country that becomes a SUN members commits to bring its line ministries together for a common objective.

3) Do the focal points attend cluster meeting? Response: the co-chair liaises with the zonal clusters and SUN focal point. The cluster coordinator routinely shares SUN publications and updates.

Action Points: There is need to develop a social mobilization and accountability group (ACSM) to push the

nutrition agenda and to continuously improve country planning and implementation of interventions.

Day 2, Session 9: ENN-SUN Project The ENN information specialist presented this session. ENN is an Oxford based organization with 20 years of experience in strengthening evidence and know-how effective nutrition interventions in countries prone to crisis and high levels of malnutrition. The ENN supports the SUN movement. Multiple approaches are used to capture and disseminate learning and fill the knowledge gap. ENN does publications and also respond to tricky programming questions. There are 2 publications done. The nutrition exchange publication is a simplified version that is intended for anybody who may want information. Field exchange commonly called FEX is intended for experts.

The online question and answer started in February 2009. In this, what one is required to do is to register or sign up, then post a question. There are 18 thematic forum areas. Questions can be posted either in English or French. Responses to questions are either from peers working in similar contexts facing the same challenges. Responses can also be from experts. There are moderators who review the questions before posting to the forum.

The presenter advised participants that before posting a question, it would be good to search in the forum if a similar question had been posted earlier on.

Key issues/updates on ENN-Somalia1) The nutrition Cluster coordinator (Samson) has been publishing articles on the ENN. Once

such articles was issue 53 which was on intergeneration cycle of malnutrition. Through this publication, the cluster received funding to implement a pilot school nutrition targeting adolescent girls, school gardening, adolescent girls nutrition etc.

Day 2, Session 10: BMS Monitoring and reporting tool Why monitor?Monitoring will help to increase consistence in tracking code violations. It will also help document best practices for other users globally. The monitoring tool is a 2 part tool with MS word document for tracking violations and MS excel database to compile the violations for further action. It is good that the reporting organization is identified. However the name of the organization will remain confidential with the cluster Nutrition Cluster CoordinationUNICEF Somalia Support Centre (USSC)United Nations, Block Q, Nairobi, Kenyahttp://somalia.humanitarianresponse.info/clusters/nutritionFor more information, contact; Samson Desie-Nutrition Cluster Coordinator: [email protected]



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coordinator (Samson). The Code monitoring reporting will only be sent to him without copying any other person.There was a group work to review the code monitoring tool.

Feedback from the group work1) The definition of BMS in question 1 should be removed because this has already been

captured in the introductory section.2) Instead of having 2 questions, the question should be merged into and use was/will for a

distribution that already occurred and will distribution that is planned respectively.3) For question 2, it should say provide a map where applicable.4) Option 4 i.e. organization should include organization office and a then have another option

at the community level which includes door to door.5) Include a question on how to monitor irrational distributions by doctors.

Day 2, Session 11: Lessons from WVI nutrition integration initiativesThis session was presented by Maryan Abbi Duale. WVI is implementing IMAM activities in Nugaal region. WVI implements OTP and TSFP in 7 HC and 30 sites. They also implement MCHN in 6 HC.

The challenges for PL nutrition include low geographical coverage, poor referral mechanism, limited nutrition and health integration, poor community ownership and participation and double counting.

WVI has come up with initiative to address the above challenges/ in 2016, WVI recruited village based nutrition workers in their nutrition sites. The village nutrition workers live and work at the community. They do door to door screening for malnutrition, admit and refer children for treatment. They also support in food distribution. WVI therefore started integrating OTP, TSFP and MCHN.

The outcome of this was early detection and treatment of malnourished children, high caseloads, and community ownership improved. Performance indicators improved compared to 2015. However, this initiative had a negative outcome in which mistrust was created due to shortage of rations and conflict between beneficiaries and staff. Beneficiaries who missed ration though they were discriminated and believed those who received ration was because of family connections. There were beneficiaries who were admitted and registered but did not receive rations up to 4 months due to supply shortage.

Action points WVI, MoH PL and WFP field office to investigate why beneficiaries did not receive treatment

for 4 months and report to the cluster by 1 of December.

Day 2, Session 11: Endorsement of the Aim chair. The AIMWG chair was elected by the AIMWG members. The new chair for 2017 is Sadiq of ACF with support from ACF regional office.The chair was endorsed. The chair urged members to share their assessment plans with the cluster and put in place an advocacy taskforce. The advocacy taskforce was nominated immediately.




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Members of the advocacy taskforce.Name Organization Email address Phone contactMohamed Alshafe Younes

PAC [email protected]

Dorcas Keya Save the Children [email protected] 0721788632

Daudi Hussein Hidig [email protected] 0721296982Halima Nuur Issack BPSC [email protected] 0723510649Faiza Hussein Somali-Aid [email protected] 0721682051

Word from the WHO Chief, HealthThe WHO chief present in the meeting emphasized the importance of unity in health and nutrition clusters. He mentioned that the health cluster had done a SWOT analysis and identified one gap to be improving communication and collaboration among partners. He reported that Somalia will launch OCV in hot spots especially kismayu, Beletweine and Mogadishu. There was reported measles increase in Kismayu.

Any Other Business;There being no any other business, the meeting was closed by Director General –MoH Somalia who during the closing remarks emphasized on the importance of coordination, sharing information for action and accountability to affected population.

Annexes/Attachments Meeting Agenda

Group discussion

Presentations

ParticipantsName Agency Email address Phone number

1. Meymuna Abass Abdullahi

IMC [email protected]

0712900625

2. Hassan Abdi Mohamed RAAS [email protected] 07276844433. Mohamed Abdi Yusuf DEH [email protected] 07225481334. Felix Karani PASOS [email protected] 07140828315. Mohamed Adan PASOS [email protected] 07218479446. Jemimah Khamadi WVI/NC [email protected] 07134872707. Gloria Kisia WFP [email protected]. Hadijah Ali OSPAD [email protected]. Fatuma Ali ARD [email protected]. Gedi Ibrahim ARD [email protected] 0720093019










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11. Fatuma Ali OSPAD [email protected]. Mohamed Bashir Abdi SFH [email protected] 072716183013. Daudi Hussein HIDIG [email protected] 072129698214. Rosemary Mutie SOS CV rosemary.mutie@sossomalia.

org0722380405

15. Mohamed Ali BTSC [email protected] 070426770316. Edil Hassan MoH [email protected] 072224186917. Morena Bassan CISP [email protected] 070793597418. Ibrahim Hussein SA [email protected]. Adan Mohamed SHAHRO [email protected] 072231375220. Abdullahi Ali

MohamedNWO [email protected] 0725058491

21. Abdi Hassan RAAS [email protected] 072137169522. Saal Abdirahman SHAHRO [email protected] 072241524023. Evelyne Adhiambo SAF UK [email protected] 071498706 24. Ifrah Mohamed Omar ANPPCAN Somalia [email protected] 072149214225. Abukar Samow

MohamedWARDI [email protected] 0725336313

26. Abdullahi Ahmed Dol BPPSC [email protected] 079222647327. Khadija Ali Gedi MoH [email protected] 079687859528. Hussein Adan Ibrahim Trocaire [email protected] 072458175429. Ntambi John UNICEF [email protected] 070212112930. Rose Chelangat RRP [email protected]

om0722279392

31. Susan Wako Mercy USA [email protected] 079236646432. Anderso Ogoye SRDO [email protected] 072299417933. Ubah Abdullahi RAWA [email protected] 070870211234. Hilda Owiti IMC howiti@internationalmedicalc

orps.org0725053586

35. Abdullahi Nur Aden Nut Cluster [email protected] 072927196636. Zahra Ugas FERO37. Mohamed Haibe USWRO [email protected] 070745824738. Abdullahi Mohamed

HusseinSRDA [email protected] 0722289121

39. Ilias Iman Abdullahi SYPD [email protected] 071717807840. Ubah Ahmed Haji SOYDA [email protected] 070790163341. Maryan Abdi Khalif Juba Foundation [email protected] 072234528642. Ahmed Ali Issack SOS [email protected] 072295331243. Abdigani Rashid Abdi SDIO [email protected] 0711829323





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44. Adisiad Ali SDIO [email protected] 07250367145. Rufaro Musvaire UNICEF [email protected] 079140144346. Abdirahman Noor Ali ANPPCAN [email protected] 072229290647. Halima Nur Issack BPPSC [email protected] 072351064948. James Makokha Saita SRDA [email protected] 072182697949. Meftuh Omer SCI meftuh.omer@savethechildre

n.org0719821845

50. Mohamed Osman WARDI [email protected] 072351229351. Abdinasir Ali

MohamedBTSC [email protected] 0722148060

52. Mohiddin Ahmed Gure New Ways [email protected] 070161231753. Aden Mohamed Ali CWW [email protected] 071889400054. Ayan Ibrahim

MohamedPASOS [email protected] 0721736584

55. Nasrudin Jama WASDA [email protected] 0715769617 56. Ibrahim Mohamed

AdenDEH Relief [email protected] 0724694790

57. Adan A Ali CESVI [email protected] 072120622458. Sheryar Janjj SNS shehryarjanjua@savethechildr

en.org0731029951

59. Alish Byrne SNS [email protected]

60. Muna Abdi EPHCO [email protected] 071241309361. Ezekiel Sirya WVI [email protected] 072591755062. Maryan Abbi Dualle MoH [email protected] 072224186963. Nimo Ali HIMILO Foundation [email protected]

[email protected]

64. Ali Said Ai MoH [email protected] 061540303265. Hassan Ahmed Shariff Swisso-Kalmo hassan.shariff@swisso-

kalmo.org0722640669

66. Sadik Mohamed ACF [email protected] 072063611367. S E Majeed UNICEF [email protected] 072798226968. Naema Hirad WFP [email protected] 071194650169. Sarah Oteri Nut Cluster [email protected] 072455896170. Isaak Mohamed

MarsalMoH-SWS [email protected] +252675545202

71. Faiza Hussein Somali Aid [email protected] 072168205172. Njoroge kamau CWW [email protected] 0712301509





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