Emergency Response to Malnutrition among Returnees, IDPs and Vulnerable Host Communities in Warrap State, South Sudan by World Vision

Project Report, 2013

15 Pages


Table of Contents



General Analysis
Program Components
The Sphere Project

Update on OTP performance indicators Nov 2012 – May 2013
Recovery Rates
Defaulter Rate
Mortality Rate
Supplementary Feeding Program (SFP)
Community Mobilization
SMART Survey
Project summary in pictures

Millennium Development Goals (MDGs)

General Recommendations




South Sudan humanitarian context remains volatile as conflicts and population movement continue amidst worsening food insecurity, and flooding experienced from June to October 2012. In 2012, more than half the population (4.7 million people) were at risk of food insecurity, with over one million people at risk of severe food insecurity, and 3.7 million facing moderate food insecurity. In 2013, 4.6 million South Sudanese are projected to face food insecurity, with 2.3 million South Sudanese likely requiring food assistance according to UN OCHA. This is due to insecurity/conflict, natural disasters, weak commodity markets and insufficient food availability at national level as projected in the annual cereal deficit owing to poor agricultural productivity.

While overall, the numbers of people requiring food assistance figures denote a minor improvement in the country’s food security situation compared to 2011/2012; Warrap State is one among 5 states where food insecurity worsened. According to WFP, Warrap has highest rate of severely food insecure households in the country at 66%, with an additional 26% considered moderately food insecure. Access and availability to food remain critical issues. According to a report on food security issued by WFP in August 2012, Warrap currently faces a cereal deficit of almost 60,000 metric tons decreasing food availability for the year ahead. According to FEWSNET, food security in Warrap State is anticipated to remain stressed through to March 2013, after which food security outcomes are anticipated to deteriorate, marking an early start to the lean season.

The most frequent coping mechanisms used by food insecure households includes reducing meal serving size, consumption of cheaper, less preferred food, reducing the number of meals, and limiting adults’ consumption. This is evidenced by food consumption rates in Warrap: 30.4% of households have a poor food consumption score meaning that households have low dietary frequency and diversity. About 24% of households in Warrap were considered borderline. The majority (75%) of the severely food insecure group consume less than 4 food groups. Female-headed households are significantly more likely to adopt coping strategies and more severe ones than male- headed ones. While 73% of households with female heads used some coping strategy, 10% less households with male heads reported any strategy.

Inadequate food intake constitutes a major contributing factor to malnutrition. According to WFP, 63% of households in Warrap are considered food deprived, consuming 1301 calories per day, much fewer than FAO’s minimum recommended intake for the country of 1717 kcal per person per day to live an active and healthy life. Apart from food availability, cultural dietary taboos and preferences are found to be determinant in influencing nutritional status of children among communities in South Sudan and have contributed to some of the worst GAM rates since 2010. Women and girls tend to eat last, enjoying the least diet diversity. Young children need at least four meals per day as they are not able to absorb larger quantities in fewer meals. According to a food security survey conducted in 2010, only 4% of under-five children in South Sudan had four or more meals in the previous day, only one third of children consume an adequate diet with the highest proportion in October after the harvest and lowest in February at the beginning of the lean period .


The paper covers a nutrition project implemented by World Vision in Warrap state of South Sudan in the management of malnutrition and food insecurity. It outlines the general components of the community based management of acute malnutrition (CMAM) program in detail i.e. OTP, SC, SFP and community mobilization. It further covers the principal objectives of the project and the activities being carried out to meet those objectives. Capacity building of health staff, routine monitoring and supervision visits are some of the many activities carried out to meet project requirements.

The paper covers a section on WHO Sphere standards and how the project compares to these expected standards and attempts to give variance explanations.

The project has taken great strides in trying to improve the lives of the community and thus this paper documents the progress made to date and makes recommendations accordingly for future reference.

The month of April marked the start of the hunger gap and as part of the project requirements, a SMART nutrition survey was conducted and this is discussed briefly on the paper.

South Sudan is a very young and developing nation so the paper seeks to make recommendations on good health policies and strategies to ensure the nation remains in sync with other nations in providing proper health care practices.


Excerpt out of 15 pages


Emergency Response to Malnutrition among Returnees, IDPs and Vulnerable Host Communities in Warrap State, South Sudan by World Vision
( Atlantic International University )
Masters Degree in Health Sciences
Catalog Number
ISBN (eBook)
ISBN (Book)
File size
1746 KB
emergency, response, malnutrition, returnees, idps, vulnerable, host, communities, warrap, state, south, sudan, world, vision
Quote paper
Thembisani Maphosa (Author), 2013, Emergency Response to Malnutrition among Returnees, IDPs and Vulnerable Host Communities in Warrap State, South Sudan by World Vision, Munich, GRIN Verlag, https://www.grin.com/document/230058


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