A child is measured by outreach teams in the slums in Balbala in Djibouti city. These teams visit approx 200 children every day in their homes, measuring them and checking for malnutrition. Many parents do not bring their children to health centres due to lack of funds to rtavel or responsibility over the other children in the household. Approx 400,000 people live in these areas and most do not have access to stable water supplies or food. Malnutrition amoungst under fives is at epidemic proportions.
Drought conditions and high staple food prices have left approximately 441,000
people at risk of extremely food insecurity and in urgent need of emergency food
and/or non‐food assistance through the end of 2009, according to the latest
government, United Nations, and FEWS NET estimate. Four consecutive
years of minimal rains to support pastoral and agropastoral production have left
rural and urban Djiboutians even more dependent on food imports at a time when
international commodity prices have risen steadily. Unless additional assistance is
mobilized to address extreme food insecurity, particularly in pastoral areas of the
northwest and southeast, as well as in urban areas, conditions are likely to
deteriorate further. Dry conditions have resulted in high and rising levels of acute
child malnutrition since February 2009, livestock mortality rates of 50‐70
percent nationwide, limited food availability and access, and mass migration of
households to urban areas (Djibouti City, Sankal, Assamo, and Beyadde).
Households in the rural northwest and southeast that depend heavily on livestock
for food and income have been most affected by the poor rains, though extreme
food insecurity is also present in poor, urban communities, particularly due to
increased costs for staple foods that exceed the purchasing power of poor
households. Existing food insecurity is further aggravated by high fuel prices, high
inflation, decreased remittances, border conflict with E

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