DISCLAIMER: Please note that this IPC Acute Malnutrition analysis was integrated with an IPC Acute Food Insecurity analysis.

Results from 38 separate nutrition surveys conducted by FSNAU and partners in November and December 2018 indicate the overall nutrition situation in Somalia has improved due to better food security conditions, reduced outbreak of disease, and sustained humanitarian interventions. At the national level, acute malnutrition has remained stable due to relatively low morbidity and sustained nutrition and health related interventions and support. The median prevalence of Global Acute Malnutrition (GAM) has remained Serious (10–14.9%) over the past three seasons (12.6% in 2018 Deyr, 14.0% in 2018 Gu and 13.8% in 2017 Deyr). However, a high level of acute malnutrition persists across Somalia due to a combination of factors, including food insecurity, high morbidity, low immunization and vitamin-A supplementation, and poor care practices. A Critical (≥4-5.6%) prevalence of Severe Acute Malnutrition (SAM) was observed in Bakool Southern Inland Pastoral livelihood zone. The Crude Death Rate (CDR) was Critical (1 to <2/10 000/day) in West Golis Pastoral and northwestern Hawd Pastoral, while morbidity rates remain high (>20%) in half of the populations surveyed. The nutrition situation in Sorghum High Potential Agropastoral livelihood zone of Bay and Southern Agropastoral livelihood zone of Hiiran are expected to deteriorate from Serious to Critical from February to April 2019.