April 26, 2018
Ensuring Access To Care In Uganda’s Largest Refugee Camp
Somalia has been wracked by civil war and conflict for over 25 years. Militant groups such as Al-Shabaab – which the US designated as a foreign terrorist organization in 2008 – have controlled vast areas in the south of the country for the last decade, causing many internally displaced people (IDPs) to flee to northern areas such as Puntland. The resulting instability has caused a severe deterioration in living conditions for most of the population, which has been exacerbated by recent events such as floods and droughts.
Doctors of the World has operated a sexual and reproductive health (SRH) clinic in the port town of Bosaso in Puntland since 2011. Currently, more than 60,000 people live in 38 IDP camps spread throughout Bosaso. An additional 3,000 displaced people are scattered in rural areas outside of town. Puntland and Somaliland are currently experiencing drought conditions, exacerbated by a milder than normal rainy season from October to December (known locally as the Deyr). Outside of the rainy season, Somalia receives little rainfall; as a result, drought conditions will likely intensify, and total crop failure is expected in some areas.
In Puntland, drought conditions are estimated to impact over 150,000 people. Thousands of people living in rural areas are flooding into cities and IDP camps in order to find food and aid. As a result of the drought conditions there has been a sharp increase in cases of malnutrition, AWD (Acute Watery Diarrhea – a precursor to cholera and a direct cause of malnutrition) and cholera itself. It is estimated that 363,000 children under 5 are acutely malnourished – with 71,000 at risk of imminent death. In 2017 so far there have been over 7,700 cases of AWD and 183 deaths.
In response to the crisis, our teams are scaling up their capacity in Somalia. We are providing the Bosaso General Hospital with additional resources and increasing our activities such as early detection, prevention and treatment of AWD, cholera and malaria through our mobile units – with a new unit added last month. Beatriz Valbuena, DotW General Coordinator in Somalia, explains, “We already had the expertise, but with the new mobile unit we can reach a lot more people.” We are also focused on providing care in rural areas, which have little to no access to health and medical facilities. Valbuena goes on to say, “We are transporting the severely undernourished children by ambulance to health centers, all free of charge.”