There have been multiple deployments to Yemen. Technical areas include CMAM, IYCF-E and Assessment 

CMAM Deployment

Reason for request:

Yemen is current gripped by a combination of civil conflict and drought that has left an estimated 21.2 million people (82% of the population) in need of some form of humanitarian assistance, including 10.3 million who are in acute need. An estimated 14 million people are currently food insecure, including 7 million people who do not know where their next meal will come from.

In 2016, the nutrition cluster agreed on a joint CMAM programme scaling up, with the objective of drastically increasing the geographical coverage, programme convergence and updating the National CMAM guidelines in line with international standards.

The main objective of the TRRT advisor was to:

  • Provide technical and strategic support to MoPHP and Nutrition Cluster partners to update/develop nutrition national standards, protocols and guidelines related to CMAM in line with the international standards.

Outcome:

  • Reviewed and updated the Yemeni CMAM National guidelines according to the guidance from the SAG including updating it with current technical knowledge and best practices in line with international standards.
  • Reviewed the Nutrition Cluster CMAM Scale-up strategy and plan.
  • Reviewed and revised the CMAM M&E tools and indicators including the reporting tools and programme monitoring and mentoring checklists.

Attach any necessary background documents that you are able to share

  • The revised interim Yemen CMAM National Guidelines
  • Review of the CMAM Scale up Plan – Yemen
  • Joint monitoring and mentoring visit report.

IYCF-E Deployment 

Reason for request:

Since mid-March 2015, conflict in Yemen has spread to 21 of Yemen’s 22 governorates prompting a large-scale protection crisis and compounding an already dire humanitarian crisis brought on by years of poverty, poor governance, conflict and ongoing instability.

IYCF: The 2013 Yemen National Demographic and Health Survey (YDHS) estimated that as little as 10% of children under six months were exclusively breastfed. In addition to breastmilk, 26% of infants under six months were given water, while 3% were given non-milk liquids and juice, and 30% were given milk other than breastmilk. Furthermore, 24% of infants under six months were given complementary foods and breastmilk. By the age of 6-9 months only 65% were given complementary foods. 44% of infants under six months were fed using a bottle with a nipple.[1]

According to a Knowledge Attitude and Practices (KAP) survey conducted by UNICEF in 2015, 57% of mothers indicated that infants should be breastfed immediately after birth; however 14% believe that a baby should not be breastfed within the first 24 hours after birth and 10% believe that the first food a newborn should receive is water and sugar. While 60% of both males and females believe that a newborn should receive nothing other than breastmilk during the first 6 months, 94% of mothers gave their children water, 60% gave them Breastmilk Substitutes (BMS)[2], 42% gave their children juice, and 33% gave their children infant formula the night before the interview.[3]

Following a review on IYCF practices in Yemen in November 2016, using a tool from WHO the need for a national IYCF Strategy was identified by the MoPHP and partners. The main objective of this deployment was therefore to support the development of this national strategy. The second key objective was the development of an IYCF in Emergencies (IYCF-E) response plan.

Outcome: Stated outcome of the deployment including statistics if applicable (i.e. number of people trained and on what, assessment results, and any other outputs/documents that were completed during the deployment)

  • Development of the final draft National IYCF Strategy for 2017-2021
  • Development of a draft IYCF-E Response Plan for 2017
  • Strengthening of the IYCF TWG through: revision of the ToRs; organization and chairing of several meetings during deployment; and the development of an action plan for Q2.
  • Revision of the national BMS Reporting Format and set-up of a reporting mechanism.
  • Revision of the Joint Statement on IYCF – endorsed by the NC.
  • Revision of key IYCF indicators for intersectoral assessments – shared with ICCM.
  • Capacity building through: orientation on IYCF-E and BMS for 26 nutrition cluster members; one day training on IYCF for 17 Save the Children (8) and Ministry of Social Affairs (9) CP staff; and provision of an orientation session on IYCF for Save the Children’s media and communications team.

[1] Yemen National Demographic and Health Survey 2013

[2] Any food being marketed or otherwise represented as a partial or total replacement of breastmilk, whether or not suitable for that purpose. For example – infant formula.

[3] Maternal New-Born and Child Health in Yemen, UNICEF KAP Survey Report

Assessment Deployment 

Date of Deployment: April 30, 2017 – June 1, 2017

Reason for request:

Ongoing conflict is devastating Yemen. Humanitarian partners now estimate that 21.2 million people, or 82 per cent of the population, require some kind of humanitarian assistance to meet their basic needs or protect their fundamental rights. Malnutrition rates are rising in Yemen and partners now estimate that 4.5 million people require treatment or prevention services for malnutrition, which is a 200  per cent rise in people in need since late 2014. Children under the age of five, including infants and pregnant and lactating women, are the most affected. Within this population, IDPs are most at risk. Of the 4.5 million people in need, nearly 2.2 million are currently estimated to be acutely malnourished, including 462,000 children suffering from severe acute malnutrition (SAM) and 1.7 million children affected by moderate acute malnutrition (MAM).

In Yemen, a significant technical capacity gap has been identified by the Assessment Working Group (AWG) and agencies representing the nutrition cluster. Due to the absence of adequate technical knowledge of representative assessments, including SMART methodology, the functionality and accountability of the AWG has been challenged to ensure producing quality data, analysis and reporting on undernutrition and mortality in a timely fashion. In Yemen, there are currently very few agencies with the skills to conduct SMART nutrition surveys.

The Tech-RRT Assessment Adviser was requested to contribute to strengthening the overall emergency nutrition response by building the capacity of response stakeholders in the design, implementation, analysis and reporting of nutrition assessment at national and sub-national level. He will provide senior leadership, technical support and capacity building during in-country support to nutrition cluster partners.

Key Outputs: 

  1. Reviewed all of the 2011-2017 Yemen Nutrition Assessments from the Yemen Humanitarian Response repository and created a nutrition assessment database.
  2. Facilitated a one-day workshop attended by 7 individuals from Assessment Working Group (AWG) agencies that discussed core indicators (and accompanying questions) to be included in all Governorate level SMART surveys.
  3. Facilitated a two-day Yemen Nutrition and Mortality Guideline workshop that was attended by 9 individuals representing AWG agencies. The objective of the workshop was to present all proposed sections that will be included in the Guideline and agree on content.
  4. Created a draft version of the Yemen National Guidelines for Conducting Integrated Anthropometric and Mortality Surveys.