MALNUTRITION: ETHIOPIA: Somalis living from drought to drought

BISLE (SOMALI REGION), 12 July 2011 (IRIN)
 Photo: Jaspreet Kindra/IRIN
Shokuri Abdullai, like most mothers in Bisle, feeds her family boiled wheat in the Somali region's Shinile zone

Every day, 500g of boiled wheat is divided up between two adults, four children, a calf, a goat and a donkey in the Farah household. It is the only food they have had after rains failed for the past two seasons.
The 15kg sack of wheat is provided to about 1,200 people in the Bisle area, which has four settlements, under the government-run Productive Safety Net Programme (PSNP) as payment for work, such as digging water holes.
"It is boiled wheat for breakfast and for the main meal – we don't have anything else – no milk, no meat, no vegetables, no oil," says Maria Farah, the mother. Not surprisingly, two of her children are severely malnourished.
The calf and goat that share their "ari" - a collapsible egg-shaped hut made of sticks and covered with sheeting – are emaciated. It is too hot for them outside, in temperatures that soar beyond 40 degrees Celsius.
There is no water in their settlement, about 54km north of Dire Dawa town in the Somali region, one of the worst hit by drought in Ethiopia. More than a million people have been affected.
On 11 July, the Ethiopian government launched an appeal for US $398 million to help 4.5 million people, up from 3.2 million in March, who are in need of food aid due to the drought.
Launching the July-December 2011 Humanitarian Requirements Document in the capital, Addis Ababa, Agriculture Minister Ato Mitiku Kassa said of the total revised 4.5 million beneficiaries, 41 and 32 percent are in Oromiya and Somali regional states respectively.
For Farah's family in Bisle, the worsening drought continues to threaten their livelihood. Their donkey, tied to a post, used to help carry water from the nearest waterhole about four hours. But he is frail. "He is too sick to move now," Farah said.
These pastoralists have lost scores of animals in the past three months.
"What will you do – you are just taking notes, are you going to help us?" asks Ali Abdi, a 60-year-old pastoralist. This is the worst drought he has seen in his lifetime, he adds.
An unrelenting battle with failed rains over eight years has left them with no sense of a future nor any hope of a better life.
The eastern Somali region depends on two rainy seasons, known as the gu (April-May) and the deyr (October-November). The gu rains provide 60 percent of the water needs for the region, and the deyr 30 percent.
Both rains failed in 2010 because of a particularly strong La Niña. Some parts of the region received rainfall in May but not enough to replenish reservoirs. Bisle received none at all.
Shokuri Abdullai, a mother of six, sends two of her children to school, which is free in Ethiopia. But she has not given much thought to what will become of them. They moved to this settlement from their village about eight years ago when they lost all their animals to drought.
The settlement is among the most accessible in the harsh Somali region during the dry season. "So NGOs drop by with some food now and then and there is a health post," said Abdullai, explaining their choice to make their home in Bisle, which has only become drier.
Maria Guled, a mother of five, the eldest 11, lies awake at night worrying about them. "I don’t have any other family anywhere else to send them to." Her children are unable to go to school because "they are too hungry".
The UN Children’s Fund (UNICEF) is supporting Save the Children-UK in running a new community-based therapeutic programme at the health post in the settlement. Thanks to the ready-to-use therapeutic food (RUTF), Farah's children have some additional rations.
"But all the food we provide for the malnourished children - a bottle of oil and 25kg of corn soya blend - is consumed by the entire family so the child still remains malnourished," a community health worker said.
There are others who are even less fortunate than the residents of the settlement. A woman with a severely malnourished child at the health post said she had walked two nights from her village for help. She left 10 of her children – the eldest a 15-year-old - alone at home. “I have no choice – my husband left for Djibouti two years ago because of the drought to look for work.” She is too distraught and angry and refuses to be photographed. "What will you do with all this? Are you going to help me?”
But the feeding programme is only three months old, with funding for another three. "It is not a sustainable solution – we need to address the causes,” Katy Webley, director of programmes at Save the Children-UK, said.
Daniel Maxwell, a food security expert and former aid worker in the Horn, said in an email that "underlying livelihoods crisis and threats to food security have to be dealt with in a much more systematic manner, including social protection programmes for the most vulnerable groups even in years when there is not a major humanitarian crisis, and greater emphasis on resilience and reduction of risk”.
He cited Ethiopia’s unique PSNP as the best example of an ideal social programme.

How PSNP works
The PSNP targets people facing predictable food insecurity and offers guaranteed employment for five days a month in return for transfers of either food or cash.
The PSNP has two–pronged benefits in a harsh arid zone such as Somali: cash or food builds resilience; while projects such as reforestation to stem land degradation and water harvesting would help the land recover in the long term.
"But in these conditions [cycles of drought] – there is not much we can do – there has been no room for recovery,” says Abdi Farah, manager of the PSNP in the Shinile woreda [district], where Bisle is located. “The PSNP has become a food aid operation; we need to get to at least 10,000 people in Bisle alone but we don’t have the resources.”
Shahid Haji, of the World Food Programme (WFP), which supports the PSNP with food, said: "We are stuck in the emergency mode – people need aid. They have not had the chance to build any resilience."



 Photo: Jaspreet Kindra/IRIN
Maria Farah outside her ari

Farah Wayis Ali, an elder from the settlement, explained to Valerie Amos, the visiting UN Emergency Relief Coordinator, that they could not work in the PSNP programmes as they needed water. “To collect the water we have to walk four hours – so when do we do the work?”
The government recently started trucking in water. “It is not a lot – we have big fights over water,” says Ali Abdi.
But supplying water is an extremely expensive exercise. Amy Martin, acting head of the UN Office for the Coordination of Humanitarian Affairs (OCHA) in Ethiopia, said the operation to supply water in the drought-affected parts of Ethiopia from January to March alone had cost at least US$11 million.
Amos said the government was exploring the option of tapping deeper into the water table for a sustainable supply, but this too was costly.
The PSNP also has the option of providing cash but high food prices have rendered the exercise meaningless. Ali Abdi said a 50kg bag of wheat cost 400 birr (almost $24) compared with 150 birr (about $9) for a goat. “The life of our livestock has become so cheap.”
Maxwell said it should be noted “that much of this activity [PSNP] is still donor-supported [and hence subject to the same budget-cutting]”.

Security concerns
Humanitarian access has also been restricted in parts of the Somali region. In June 2011, two WFP workers were detained in the region.
Shadrack Omol, UNICEF's chief of operations and emergency in Ethiopia, said because of “conflict and security issues a number of health posts are frequently not able to provide essential services, [let] alone nutrition programmes”. As a solution, the agency is deploying mobile health and nutrition teams.
Amos said she had met Ethiopia's deputy Prime Minister Hailemariam Desalegn to discuss a plan to ensure safe access for aid workers to the country’s volatile areas.
http://www.irinnews.org/report.aspx?reportID=93200

POVERTY: ZIMBABWE: Threat of waterborne disease from unsafe water

HARARE, 15 April 2011 (IRIN)
 Photo: IRIN : Raw sewage flows in a Harare township in 2007 and was seen as the catalyst for the cholera outbreak the following year

Jennifer Madongonda, 43, shares a seven-roomed house with three other families in the low-income suburb of Budiriro, about 15km southwest of the Zimbabwean capital, Harare. Seven months ago the municipality cut off water supply because they couldn’t pay the bill.
"Water supplies to this suburb are very erratic. People get running water at most four times a week and for short periods, but for us who live at this house, it means nothing because we accumulated a huge bill that we are struggling to pay," Madongonda told IRIN.
"We used to rely on the boreholes that were set up in 2008 but most of them have broken down and no one has come to repair them. Our neighbours don't want to share their water because they are afraid they will accumulate huge bills too."
Budiriro was regarded as the epicentre of the cholera epidemic that began in August 2008 and lasted for a year before it was officially declared at an end in July 2009. The waterborne disease killed more than 4,000 people and infected nearly 100,000 others, and all water sources were found to be contaminated in the working class ssuburb.
Many neighbourhoods had dug shallow wells after the collapse of water and sanitation infrastructure in Zimbabwe’s economic implosion, creating ideal conditions for the proliferation of cholera, which infects the gastrointestinal system, causing vomiting and diarrhoea that can lead to acute dehydration; left untreated, it can kill within 24 hours.
To combat cholera, donor organizations, including the UN Children's Fund (UNICEF) Zimbabwe, drilled scores of boreholes, but many have since fallen into disrepair and at night it is not uncommon to see long queues at the few remaining working boreholes as residents jostle to get water for the next day.
We now cook at all sorts of times - sometimes at midnight or early morning - when we manage to get water
"We now cook at all sorts of times - sometimes at midnight or early morning - when we manage to get water. We can hardly spare any to wash clothes because we don't have containers big enough to store it," Madongonda said.
A stream about 5km away is used for laundry and bathing. "Many women complain of skin problems and we suspect it is because the water is polluted with sewage and dangerous chemicals dumped in the stream by factories. It will not be long before there is another cholera outbreak," she warned.
UNICEF Zimbabwe's head of communications, Micaela Marques de Souza, told IRIN the boreholes drilled "in response to the 2008/09 cholera outbreak were handed over, and are being maintained by Harare City [municipality]".
UNICEF had "also supported training of the staff of Harare City in the operation and maintenance of these boreholes. In order to ease the water shortages in these areas and Harare City, UNICEF has recently provided spares and tool kits [for the boreholes] to the Director of Health Services,” De Souza said.
In 2010 UNICEF drilled 43 additional boreholes in Harare, and is assisting in the rehabilitation of the capital’s main source of water, Morton Jeffery Water Works, where the pumps regularly break down because the municipality does not have enough money to buy spares.
"I am aware of the fact that most of the boreholes, even some drilled last year, have broken down because there are too many residents using them and some of them are careless, but I am surprised that we are supposed to be repairing them," a senior health official in the municipality’s public works department, who declined to be named, told IRIN.

Sanitation
Reticulated water is also becoming scarce In Glen Norah, the suburb next to Budiriro, where boreholes were also sunk to combat the cholera epidemic.
"A lot of people use the bush and buckets to relieve themselves because of the water shortages. Toilets are overflowing and our children suffer from running stomachs most of the time." The tap water was "suspicious", because whenever supplies returned briefly, it was dirty, Glen Norah resident Trymore Purazi, 28, told IRIN.
"We have been advised by health officials to leave the water to settle, but it is difficult to heed this advice because, in most cases, we would have waited the whole day to have water to cook and we would be very hungry," he said.
Chris Magadza, a researcher at the University of Zimbabwe, told participants at a recent workshop that "clinical studies carried out on Harare's water supplies, and the results obtained, revealed that the water bodies carry a significant amount of pollutants, which pose a potential health risk."
http://www.irinnews.org/report.aspx?reportID=92487