Type of intervention
- Nutrition, health, mental health and Care practices
- Water, Sanitation & Hygiene
- Disaster and climate change risk management
Places of interventions
- Djibouti Ville
- Quartier populaire de Balbala
- Région Sud – Dikhil (2011/2012)
Ranked among the least developed countries as measured by the human development index, Djibouti is a land exhibiting strong contrasts. With a semi-arid climate, the country suffers from recurrent long periods of drought, affecting over 120,000 people nationwide, chiefly in rural areas. The lack of rain in recent years has severely cut down herd numbers, as well as damaging pasture zones, impelling the populations concerned to desert rural areas. Hence, some 60% of the population dwells in Djibouti City, the capital.
This rural depopulation increases the dependence of urban populations on foreign sources, particularly Ethiopia, to satisfy its primary needs: food, of which 90% is imported, and also energy and drinking water.
Limited and fluctuating earning opportunities, due to a 60% unemployment rate and high prices for basic foodstuffs and drinking water, have curtailed households' capacity to adjust, so that the slightest external shock has a devastating impact. Furthermore, limited access to sanitation and poor knowledge of good hygiene practices lead to a high incidence of diarrhoea-related illnesses.
This situation impacts the prevalence rate for acute malnutrition among children below the age of five. Despite a lack of regular, reliable data on malnutrition, the various surveys point to a situation in which acute malnutrition rates border on or exceed emergency thresholds in some districts. For rural areas, the latest WFP assessment in May 2013 shows a GAM rate of 18% as against 4.1% for SAM. For the vulnerable areas of Djibouti City, the WFP urban survey conducted in December 2012 revealed a GAM rate of 7.1% and a SAM rate of 1%. However, the 2012 PAPFAM survey is far more alarming, indicating 9.1% of SAM and 21.5% of GAM nationally.
Lack of financial and human resources limits the Health Ministry's capacity to integrate the National Food Programme in its urban or rural infrastructures. This means that sizeable shortcomings are becoming apparent in the management and treatment of acute malnutrition cases.
- ECHO (Union europeenne)
Key figures of the country
- Number of beneficiaries: 4 649
- Population : 888 716
- Life Expectancy: 56
- Human Development Index: 147/182
- PIB/inhabitant : US$ 1406
Source : Banque Mondiale, PNUD, FMI
Il n'y a pas de résultat
- Improving hygiene and child-care practices and reducing the incidence of morbidity due to waterborne diseases among vulnerable populations of the Balbala peri-urban area:
In order to limit diarrhoea-related illnesses, the leading cause of mortality among children below the age of 5, ACF teams emphasised hygiene practices in a project integrating water, hygiene and sanitation. The action proposed by ACF, jointly with the local “Peace and Milk” Association, seeks to improve hygiene and child-care practices, home water storage and sanitation in the vulnerable quarters of Balbala – outlying peri-urban and urban areas of Djibouti City. The population is awareness-trained in hygiene practices through local community support networks which ensure proper hygiene and care practices in the community to foster healthy child development.
In addition, following training of officials of the Djibouti national water and sanitation board (ONEAD), ACF handed over the management and maintenance of the water-supply points set up by ACF in 2012 at Balbala.
- Emergency preparedness and management of drought-related risks at community level in the Dikhil region:
This project was developed in a context of virtually chronic drought throughout the country, a growing population, difficulties of access to water for basic needs, and adaptation mechanisms heavily impacting the already-limited natural resources, hence also impacting livelihoods, food security and nutritional status. Accordingly, this project seeks to bolster vulnerable populations' capacities of adaptation and response to drought-related risks. ACF teams operate in four communities at Dikhil (Hanlé, Dadahalou, Bondora, and Koutabouya): drawing up community plans, defining micro-projects on a basis involving the population, such as market gardens, schemes to rehabilitate water-supply points, etc.
- Reinforcing the Health Ministry's technical and operational capabilities to better manage malnutrition affecting children below the age of five:
After an initial project conducted by ACF at community health centres at the time of the acute malnutrition peak in 2011 – which ended in 2012 – ACF concerted with the Ministry of Health in late 2013 to prepare the next stage in their partnership. The aim is to ensure effective, sustainable handling of severe acute malnutrition by reinforcing the Ministry of Health's capabilities.
- About us
- What we do
- Our countries around the world
- Burkina Faso
- Central African Republic
- Democratic Republic of the Congo
- Kurdistan Region of Iraq
- Occupied Palestinian territory
- South Sudan
- Ivory Coast
- Sierra Leone
- Our fields of expertise
- Our countries around the world
- Get involved