Joint UNICEF and WFP OpED on humanitarian situation in Ethiopia

UNICEF Deputy Executive Director, Omar Abdi & World Food Programme Deputy Executive Director, Ramiro Armando De Oliveira Lopes Da Silva

Wednesday 17 May 2017, Nairobi

This past week we have met countless women and children in the Somali region of Ethiopia who have made astonishing efforts to combat the debilitating drought that is afflicting the area. We saw families displaying incredible strength and resourcefulness.

What we didn’t see was a humanitarian catastrophe like the ones that happened in generations past, because the progress made by these families mirrors that made by Ethiopia in response to food insecurity and drought over the last two decades. Ethiopia now has both the determination and the ability to help its people cope better with a disaster.

And yet as we saw firsthand, Ethiopia’s much celebrated development progress could be at risk in the wake of these successive droughts.

Over the last 20 years, the Government of Ethiopia and the international community joined efforts to improve conditions for millions and millions of Ethiopians. Today a concerted and urgent response is required if these families are to avoid a humanitarian crisis, a quarter of a century later.

In 2016, Ethiopia’s highlands were battered by drought amid the worst El Nino in generations, but managed to avoid a major catastrophe through a well-coordinated response, led by the Ethiopian Government with support from the international community. The country had only begun to recover when a new drought struck the country’s lowlands.  The Somali region, which lies in the east of Ethiopia, has been the hardest hit by the effects of these recurrent droughts, with over 30 per cent of the region’s population now requiring food assistance.

The current rainy season in the lowlands appears to be failing as well.  As a result, food insecurity throughout Ethiopia is forecast to rise sharply from the current 7.8 million people in the next few months. An estimated 303,000 children are expected to suffer from severe acute malnutrition – the type that makes a child nine times more likely to die of diseases including acute water diarrhea and measles. An estimated 2.7 million children, pregnant women and breastfeeding mothers will be diagnosed with moderate acute malnutrition in drought areas; without urgent action, the condition of many of those children could deteriorate into severe acute malnutrition, a life-threatening condition that is harder and more expensive to treat.  It is likely that needs will further increase in the coming months, compounding the current problems.

Sehan Smail brought her child, Saedia Alilahi, 2 to the warder district, Somali region OTP for check up. © UNICEF Ethiopia /2017/Martha Tadesse

UNICEF and WFP are committed to supporting the many people we met this week with a well-coordinated response. WFP has mounted a food and nutrition response of significant magnitude and, in partnership with the government, is currently supporting 6.4 million people out of the 7.8 million in need with emergency food assistance.  The remaining 1.4 million people are receiving support from the Joint Emergency Operation (JEOP) – an NGO consortium.  Moreover, WFP is also providing nutrition support to 1.3 million mothers and young children suffering from moderate acute malnutrition.  WFP is also taking the lead in the provision of logistical support to government, UN and international NGO partners which is central to the response.

Across Ethiopia, UNICEF with partners has reached close to seven million people in the first quarter of 2017, with an emphasis on providing safe water and emergency nutrition support. Critically, government with support from UNICEF have just completed a national measles campaign targeting more than 22 million children across the country. And UNICEF is extending its education and child protection interventions that will reach hundreds of thousands of children, focusing on the provision of temporary learning and play spaces, working with communities to prevent and respond to family separation, at-risk migration, child marriage, and gender-based violence.

However, needs far outstrip available resources. Acute funding shortages are hampering our collective ability to act at scale. The international community and the Government of Ethiopia must increase funding urgently or the humanitarian success story of 2016 might be overshadowed just one year later by a story of acute crisis.

UNICEF requires $93.1 million to meet the drought-related needs of children and their families across the country in 2017, in terms of Nutrition, WASH, Health, Child Protection and Education in Emergencies.   WFP currently has only enough food to last through June, and requires a further $430 million to meet the current emergency food and nutrition needs to the end of the year – and both WFP and UNICEF will require additional resources if the needs rise in the next few months as predicted.

Between 2000 and 2016, mortality rates among children under age 5 were cut by a remarkable 40 per cent in Ethiopia, and stunting rates were reduced dramatically from 58 per cent to 38 per cent. It is crucial that the gains made during the last 20 years are not reversed by the current drought.

Strong mothers go extra mile to keep their children safe

By Zerihun Sewunet

In Ethiopia, below-average rainfall has worsened the situation in the Somali region, already severely affected by protracted drought. Access to water, sanitation and health services critically low and livestock deaths have further reduced communities’ capacity to cope, resulting in food and nutrition insecurity.

When drought strikes women and children suffer the most. Mothers have to travel long distance to find water and food and they often struggle to feed their children. In stories below, we are celebrating strong mothers who go extra mile to keep their children safe and their families together.

 Kadar Kaydsane is 35 years old and has ten children, five boys and five girls. She has walked for five hours to get to Waaf Dhug temporary settlement site. She knew that there would be water and basic health and nutrition services.
Her husband and four of her ten children are not with her as they are herding the remaining goats. Most of her family’s livestock have died.
Dohobo Mohamed
The mother of 9 children who is 40 years old had three of her children affected by AWD. Her 4 year old boy passed away while two remain in care with Plan C interventions. Her biggest worry remain her two children that are still in care. Her family used to own 400 animals of which only 13 are remaining.
Mariema Aden is a Waaf Dhuug local and has two children. She has sold all her livestock in order to survive and has no remaining means of livelihood. Her two children go to Waaf Dhuug primary school, one is in grade 6 and one in grade 8.
Deqa Osman
The 35 year old Mother of nine children has a 5 years old son that is doing a follow up due to being affected by malnutrition. Deqa says that the medical intervention her children have received was very effective.
Out of the 150 cattle her family owned, currently only 15 remains out of which most are likely to die. She worries about the future as her family’s livelihood, similarly to most, fully depended on cattle.
Amren Mualin is 42 years old and has 13 children (12 girls, one boy).
She used to have 400 goats and sheep of which 200 were ready to be exported. 350 of the 400 animals have died as a result of the drought which has lasted for three years.
Seven of her 13 children are with her including her husband and the other six children who are looking after the remaining livestock.
Seafi Khalif
Seafi Khalif, 46, has two children who are both affected by AWD and received plan A and Plan B interventions. The medical intervention was administered to her children in a nearby CTC and they are back home now.
Just like so many others, her family has lost a significant amount of cattle; now only 20 remain out of 150. Her husband stays a few kilometers away from the IDP camp and looks after the remaining livestock.
Saynaba Sahene
Saynaba Sahene, 20,  has three children, including her youngest son who is 18 months old and suffers from acute malnutrition. She says that even though he was previously admitted for medical treatment and was discharged after given care, he currently needs to be readmitted because she was unable to provide him with the nutrition he needs to stay healthy.
She says she stopped breastfeeding her son when he was 6 months old due to health reasons.
Saynaba’s family doesn’t have a lot of cattle. Out of the 14 they have, only one camel has survived. Her husband lives at a different location assisting his father with keeping their livestock safe.

Photo credit: ©UNICEF Ethiopia/2017/Zerihun Sewunet

Rehabilitation of Borehole Saves Thousands of Lives and Livestock during Drought

By Ayuko Matsuhashi

A signboard on the sight of rehabilitated borehole
A signboard on the sight of the rehabilitated borehole ©UNICEF/2017/Tsegaye

HARSHIM, SOMALI, 19 January 2017 – “For three months, the borehole was not functional and people suffered a lot. There was little rain, so most of the birkas[1] became empty. Additionally, water from birkas is usually contaminated so we suffered from diarrhoea,” Muse Hassan Ali, 45-years-old recalls the time that he and his neighbours did not have access to safe and sustainable water in his town. Birkas are underground water storage systems intended to collect rain water during the rainy season and store for use during the dry season. Birkas can also be used to store water transported by trucks during emergencies.

According to the Harshim woreda (district) administrator, Sied Abraham, this borehole in Harshim town is the only sustainable water source that survived the 2015 El-Niño drought. It was drilled by the Somali Regional Water Bureau (RWB) following a UNICEF groundwater mapping in 2009 to identify potential drilling sites. The depth of the borehole is 535 meters, one of the deepest in the Somali region. After this borehole became non-functional due to electromechanical failure last year, UNICEF, with generous financial contribution from European Commission’s humanitarian aid department (ECHO), supported the RWB to rehabilitate the borehole by replacing a submersible pump, generator and an electric cable.

An immediate rehabilitation of the only sustainable water source in the woreda was crucial not only for Harshim town, but a large part of the region. It typically benefits over 9,000 people in Harshim and neighbouring woredas as well as people who cross the border from Somalia. At the end of 2016, it also served people in far-reaching woredas when drought conditions worsened once again due to the negative Indian Ocean Dipole (IOD). The RWB and partners began providing emergency water trucking, using this borehole as their source. Thus, its well-functioning affects a high number of direct and indirect beneficiaries across the region.

Roda Ahmed, 35 years old and Rahma Ahmed, 30 years old collecting clean water from the on-site water point ©UNICEF/2017/Tsegaye

Roda Ahmed, 35 years old, is with her five children collecting water. “This is a source of life. Now I can cook and feed my children,” she says. Another woman from Harshim town also with five children, Rahma Ahmed, explains, “Since this borehole has been working, we stopped drinking water from birkas.

In addition to people collecting water near the borehole, the on-site trough draws in many pastoralists and their livestock. It takes more than a day for Farah Aden, 60 years old, to walk to the Harshim borehole with his 10 camels. “We are grateful for this borehole. Water is always a great cost for livestock. The functionality of this borehole has impacted our life a lot.” Indeed, during drought periods such as this one, entire herds may be wiped out, as evidenced by dozens of dead carcasses along the roads across the region.

Pastoralists come to Harshim town from neighbouring woredas and Somalia looking for water
Hundreds of livestock come from all over the Harshim woreda and drink water at the on-site trough ©UNICEF/2017/Tsegaye

As he contemplates this grave issue in his region, Muse pauses before emphasizing, “Still, this is not enough. There is a great pressure on this borehole. The generator is working 22 hours every day.”

UNICEF and partners will continue efforts to support the Government of Ethiopia to increase water coverage and functional water schemes in the Somali region to save the lives of children, their families and their livestock and contribute to a better future for all.

[1] traditional water harvesting pond

Mobile Health and Nutrition Teams Providing Crucial Services for Pastoralist Mothers As They Cope with Drought

By Rebecca Beauregard

GASHAMO, SOMALI, 15 February 2017 – Mutas does not look at his mother. He is not looking anywhere, rather he lays still, his unfocused pupils covered occasionally by heavy eyelids. While we talk, his mother, Bedra Dek, keeps her eyes entirely on him. Her one-year-old son is suffering from severe acute malnutrition (SAM) and despite the food and water shortage and her two other children, she explains that all her thoughts are focused on him improving.

“When your child is well, spiritually you feel happy. This is what I am waiting and hoping for. Nothing else is in my mind except this,” Bedra speaks softly, her eyes never wavering from her son.

About six months ago, Mutas became sick with a cold. Since then, he has fought that illness and intermittent diarrhoea while they lived in remote rural areas. Living in remote areas means even farther than where we are now, which is over 300 km from the regional capital and 63 km off the paved road through desert sand – no roads. Bedra walked yet another 15 km to the settlement just outside Al-Bahi kebele (sub-district) after hearing that there was a mobile health and nutrition team (MHNT) providing lifesaving services. She knew Mutas was not improving, and indeed, shortly after her arrival, he had become lethargic and largely unresponsive.

MHNT in Somali drought 2017
Bedra Dek, 21-years-old, looks at her one-year-old Mutas Abdulahi, who is ill from malnourishment. ©UNICEF/2017/Tesfaye

At 21-years-old, Bedra has 7- and 4-year-old daughters in addition to Mutas. They are a pastoralist family, living in a rural village and often traveling vast kilometres in search of water and grazing land for their livestock.

While the semi-arid Somali region is often dry, the drought brought on by the negative Indian Ocean Dipole (IOD) in the past few months is beyond anything Bedra has experienced. Her family’s herd of over 200 goats and sheep is now down to four, and their physical appearance is too poor to sell in the market.

Upon arriving in Al Bahi, she went to the MHNT, which has temporarily set up as a static clinic in the site to service the hundreds of families in the area. MHNTs were initially set up over a decade ago in this region as a unique and necessary component of the emergency health service delivery system to reach nomadic families such as Bedra’s. They respond to disease outbreaks, provide routine immunizations and basic healthcare including treatment of common illnesses, conduct screening and manage uncomplicated cases of malnutrition as well as refer to higher levels of care as necessary. Here, the team has encountered high levels of malnutrition and the majority of children have low immunization status. The team is both responding to emergency care needs as well as conducting mass immunization and other preventative measures to ensure that a temporary settlement like this does not create further disease and suffering.

Once a child is diagnosed with SAM, they are provided with ready-to-use-therapeutic-food (RUTF) and medications which should help them to quickly improve. To ensure progress, mothers are instructed to come weekly to have their children checked. We meet Bedra as she waits with Mutas for his weekly check.

MHNT in Somali drought 2017
The homes of pastoralists gathered at the temporary Al Bahi site starting from December 2016, in Gashamo woreda, Somali region. ©UNICEF/2017/Tesfaye

UNICEF continues to support the GoE’s MHNTs through vehicle provision, transportation allowances, emergency supplies and technical guidance. UNICEF emergency health and monitoring consultant, Kassim Hussein, was present when Mutas was referred. When asked about his role, he explained how he roves around the region providing technical support. “During emergencies, things may be done in a haste, there may be staffing or technical knowledge gaps, or the situation may reach extreme levels and the team is too busy to report. I make rounds to all the teams, providing technical support and ensuring standards of care and supplies are available at adequate levels. I then report back to UNICEF and the regional health bureau,” explains Kassim.

Now Mutas is being seen by Mohammed Miyir, the team leader of the MHNT in Al-Bahi temporary settlement. Originally, he diagnosed Mutas with SAM; now his condition has developed medical complications, making him unable to receive fluids or medicine. This development signals the need for him to be sent to a stabilization centre (SC) at the Gashamo woreda (district) health centre, where he will receive in-patient advanced care until he reaches a minimal level of improvement in his responsiveness and weight.

Bedra is perplexed. Just minutes before they told her this news, she had said she wanted anything for him to improve. Now that it may happen, a new reality hit her. Her two daughters will need to be left behind – there is no room in the MHNT car. This is often an issue mothers out here face. With husbands caring for the grazing livestock, if they need to go to a SC for further treatment, who will take care of their other children? Some find neighbours to watch their kids, other mothers choose to stay and hope for the best, concerned about finding their children again as people are so mobile.

For Bedra, she has another 10 minutes to decide until the car will be ready for her.

Severe Water Shortage No More

 Project Taps into Existing Groundwater to Bring Sustainable Water to Community

By Ayuko Matsuhashi

SHINILE, SOMALI, 17 January 2017 – Munasib Omer, Chief of Bisle kebele (sub-district) in Shinile woreda (district), tells how excited the community is about the ongoing drilling work of a borehole in the kebele. “Thank you! Thank you to those who are providing the water to this kebele.”

Harshim Town Fafan Zone Somali region
Chief of Bisle kebele, Munasib Omer Maydhane, explains how Bisle has not had sustainable water while standing in front of an abandoned reservoir. ©UNICEF/2017/Tsegaye

He continues, “Since I was born, there has been no sustainable water supply in this community. We are entirely dependent on rainfall and travel 15 km one way to get water from a dried river bed. Here, we can use our hands to dig through the sand and find some water. But in the last 10 years, we have suffered from water shortage. NGOs and the government have been providing water through trucking but this is not enough and not predictable as the road condition is so difficult for trucks to access. Our primary problem has been always water.” He points to the road from which the UNICEF car arrived. “As you may have seen, there are many empty houses [along the way]. People left because of the water shortage.”

A mother of four children, 32-year-old Fadumo Ali talks about how difficult it is to raise children without a secure water source. “Sometimes there is no water to give to our children. We cannot wash them.”

UNICEF’s implementing partner, Hydro, began drilling a borehole in November 2016 at a location 1.5 km outside the Bisle community, which has a population of 11,000 people. This crucial drilling work is made possible by the DFID emergency fund. While it is difficult to find water by drilling in lowland areas due to the nature of the hydrogeological complexity in the Somali region, water was found at a depth of 210 meters and the drilling was completed at depth of 299 meters. According to a pump test, the borehole is providing more than 30 litres per second. The post-drilling construction is planned to be completed by March 2017. This news has brought hope for a better future to the Bisle community.

Pump test
People from Bisle kebele play with the water during a successful pump test of the borehole. ©UNICEF/2017/Godfrey

Fadumo is now looking forward to the day that she will no longer need to worry about water. She will have a few extra hours per day once the borehole is functional as she will not travel in search of water. “When I have regular water and more time, I want to do more about sanitation and hygiene for my children. I will clean my children more often.”

Through the generous contribution of donors, UNICEF will continue to support regional water bureaus across the Somali region to implement similar sustainable interventions that will support children and their families.




UNICEF Ethiopia seeks US$110.5 million in emergency assistance for 9.2 million children and their families

Malnutrition poses “silent threat” to children, agency’s 2017 appeal says 

NEW YORK/GENEVA/ADDIS ABABA, 31 January 2017 – 48 million children living through some of the world’s worst conflicts and other humanitarian emergencies will benefit from UNICEF’s 2017 appeal, which was launched today.

From Syria to Yemen and Iraq, from South Sudan to Nigeria, children are under direct attack, their homes, schools and communities in ruins, their hopes and futures hanging in the balance. In total, almost one in four of the world’s children live in a country affected by conflict or disaster.

“In country after country, war, natural disaster and climate change are driving ever more children from their homes, exposing them to violence, disease and exploitation,” said UNICEF Director of Emergency Programmes, Manuel Fontaine. 

UNICEF’s Humanitarian Action for Children sets out the agency’s 2017 appeal totaling $3.3 billion, and its goals in providing children with access to safe water, nutrition, education, health and protection in 48 countries across the globe. 

An estimated 7.5 million children will face severe acute malnutrition across the majority of appeal countries, including almost half a million each in northeast Nigeria and Yemen.

“Malnutrition is a silent threat to millions of children,” said Fontaine. “The damage it does can be irreversible, robbing children of their mental and physical potential. In its worst form, severe malnutrition can be deadly.”  

The largest single component of the appeal is for children and families caught up in the Syria conflict, soon to enter its seventh year. UNICEF is seeking a total of $1.4 billion to support Syrian children inside Syria and those living as refugees in neighbouring countries.

In total, working alongside its partners, UNICEF’s other priorities in 2017 are:

  • Providing over 19 million people with access to safe water;
  • Reaching 9.2 million children with formal or non-formal basic education;
  • Immunizing 8.3 million children against measles;
  • Providing psychosocial support to over two million children;
  • Treating 3.1 million children with severe acute malnutrition.

In the first ten months of 2016, as a result of UNICEF’s support:

  • 13.6 million people had access to safe water;
  • 9.4 million children were vaccinated against measles;
  • 6.4 million children accessed some form of education;
  • 2.2 million children were treated for severe acute malnutrition.

UNICEF Ethiopia’s 2017 Humanitarian Appeal for Children (HAC) is for US$110.5 million, which includes US$17.3 million required to provide assistance to refugees.  Together with the Government of Ethiopia and humanitarian partners, UNICEF Ethiopia aims to reach 9.2 million children and their families with access to safe water and hygiene, nutrition, health and protection services and give hope for the future by providing education in emergencies.

Aysha Nur a mother of four is receiving a medical treatment for her child
Fatuma Ahmed 4 is checked for malnutrition by a mobile health extension officer at Lubakda Kebele of Kori Woreda in Afar Regional state. Lubakda, a remote site served by one of Afar’s 20 Mobile Health and Nutrition Teams (MHNTs), is 4km from the nearest health post and 30km from the nearest health centre. ©UNICEF Ethiopia/2016/Tesfaye

“In 2017, UNICEF Ethiopia prioritizes humanitarian needs of those affected by the Horn of Africa drought while continuing to support development initiatives to ensure all children and their families have clean water, adequate sanitation as well as access to nutrition and health services. Additional priorities are to support education for children facing emergencies and to protect children against violence and abuse,” said Gillian Mellsop, UNICEF Representative to Ethiopia. “Our ability to respond adequately to the needs of millions of children contributes to future growth and stability in Ethiopia. Through linked humanitarian and development programming, the Government of Ethiopia, UNICEF and our partners’ investments helps build families’ and communities’ resilience against future emergencies.”

While the funding will be critical to UNICEF’s ability to respond to immediate needs, it will also be used to take appropriate action to strengthen preparedness, improve early warning systems and reduce vulnerability as well as contribute to more resilient communities. 

In 2016, UNICEF raised US$108.7 million to provide around 7 million children and their families with life-saving humanitarian assistance to mitigate the impact of the El Niño-induced drought. With severe water shortages, malnutrition and disease outbreaks, the anticipated humanitarian need in 2017 has reduced only slightly, from 9.7 to 9.2 million people.

Though an adequate 2016 ‘kiremt’ rainy season was recorded in many areas of the country, drought conditions and residual effects from the El Niño emergency continue to cause water shortages, malnutrition, disease outbreaks and related protection and education issues, including the closure of hundreds of schools in drought-affected areas.

A new drought expanding across the lowland areas in the Horn of Africa, induced by another weather phenomena, the Indian Ocean Dipole (IOD), is further exacerbating humanitarian needs in the south and south eastern regions of Afar and Somali, as well as parts of Oromia and SNNP. Neighbouring country Somalia is also severely affected, causing 1,325 refugees crossing into the Ethiopian Somali region in the first 17 days of January. Ethiopia is already one of the top refugee-hosting countries in Africa, with 783,401 refugees as of November 2016 hailing from South Sudan, Somalia, Eritrea and Sudan.

Regional experts confirm the polio outbreak is successfully interrupted in Ethiopia and Kenya

Vigilance in Somalia and region still needed before the region is declared polio-free once more.

By Shalini Rozario

Dr. Jean-Marc Olive, Horn of Africa (HOA) Polio Technical Advisory Group (TAG) Chair, chairs proceedings of the HOA Polio Outbreak Final Assessment
Dr. Jean-Marc Olive, Horn of Africa (HOA) Polio Technical Advisory Group (TAG) Chair, chairs proceedings of the HOA Polio Outbreak Final Assessment, and is seated with representatives from the Kenyan Government, WHO, UNICEF and partners such as Rotary International, The Gates Foundation, CDC among others. ©UNICEF Ethiopia/2015/Rozario

17 June 2015, Nairobi, Kenya. Government representatives, technical experts, donors, and polio partners gathered on Wednesday, 17 June 2015 to review the polio outbreak status in the Horn of Africa (HOA) Region. The final assessment concluded the following:

  • The assessment team commends the overall robust outbreak response in the HOA with strong vaccination, communication strategy and strengthened surveillance.
  • The assessment team believes that transmission in Kenya and Ethiopia has been interrupted; however, continued undetected low level transmission cannot be ruled out in Somalia

Overall progress in the region was reviewed since onset of the outbreak in April 2013, which resulted in a total of 223 WPV cases across the region (10 in Ethiopia), and remaining challenges ahead were identified. Chaired by the Horn of Africa polio Technical Advisory Group (TAG) Chair, Dr. Jean-Marc Olive, the meeting gave opportunity to strategically reflect on the current outbreak status and required next steps for all three countries. Dr. Ephrem Tekle, Director of the Maternal and Child Health Directorate, Ethiopia Federal Ministry of Health responded positively to the wild poliovirus (WPV) interruption in Ethiopia, and also acknowledged the work ahead to further improve routine immunisation. “Successes achieved in the polio response are due to the political commitment and the support of partners,” said Dr. Ephrem. “We have been successful on SIAs (supplementary immunisation activities) and NIDs (National Immunisation Days). However, I don’t think we are yet fully successful on routine immunisation; there is a lot to do on routine immunisation even though WPV transmission is interrupted.” Dr. Ephrem acknowledged the strong focus on the involvement of religious and clan leaders in the Somali Region, and mobilisation of the community which have been instrumental to some of the immense achievements in the polio legacy process. He cited an example of community leaders asking for a generator so they could continue routine immunisation services. In moving ahead, Dr. Ephrem stressed the importance of sustaining the polio gains made, using the momentum to improve routine immunisation in the country, and also emphasised the importance to intensify the same efforts in regions bordering South Sudan, such as Benshangul Gumuz and Gambella, in light of the immense population migration. The HOA TAG Chair congratulated Dr. Ephrem and the Ethiopia team on their efforts and wished the country success for strengthening routine immunisation in the country, a challenging task. Closing remarks were provided by governments and partners such as Rotary International, CDC, The Gates Foundation, Red Cross, Core Group, USAID, Communication Initiative, UNICEF, WHO and the HOA TAG Chairman. Next steps for countries include working towards the polio legacy transition plan and using polio assets and achievement to further strengthen routine immunisation and beyond. Countries will continue to implement specific recommendations from the external assessment team, and the outbreak response in Somalia will be assessed again after three months. Following the Somalia assessment, the next HOA TAG meeting in August, and continual monitoring of regional progress, it is hoped that soon, the entire HOA region will be declared “polio-free.”

Through the generous support of polio donors and partners such as the Centres for Disease Control and Prevention; Crown Prince Court, Abu Dhabi, UAE; European Union; the Bill and Melinda Gates Foundation; National Philanthropic Trust; Slim Foundation; Rotary International; Swedish International Development Cooperation; and others, successful interruption of the outbreak in Ethiopia has been achieved. Continued collaboration is critical to sustain gains for polio and routine immunisation for healthy children and families in Ethiopia.

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