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Three year old Hasbo sits quietly, cross-legged, on a bed in an overcrowded, clammy ward in the Trócaire hospital in Luug town, Gedo District, southern Somalia. The ward is designed for 20 patients, but today there are 32 children under the age of five being treated for severe malnourishment, all packed into this small space.
Habso’s family walked for 20 days from Wajid Region to Luuq town in Gedo Region, southern Somalia (approx. 70 kms) when the last of their goats died and they had no food to sustain the family. Left to right back row: Anab (7); Father Ibrahim Yarow (49); Habiba (8); Habso (3); mother Abshiro Adn Mohammad, (35), baby Nasra (8 months); Hassan (9). Front row: Abdi Nassir (5); Abdifatah (4) and Fartun (6) Pic: Miriam Donohoe
Stoic and sombre mothers, including Habso’s, sit quietly with their seriously ill children, many of who have been admitted to this vital health facility on the brink of death.
There is the sound of small babies crying and an overall sense of gut-wrenching suffering. The children look curiously at the small group of visitors, who are a distraction. But most of the exhausted mothers stare ahead and don’t make eye contact.
Trócaire staff are busy, going from bed to bed to check on the patients. Among them is Dr Shukri Hussein Abdi, a Somalian and the first ever female doctor employed by the Irish humanitarian agency which runs all of the health services in Gedo, a regional slightly bigger than the size of the island of Ireland. She is concerned about a new patient who has been admitted and she is consulting with the Trócaire programme manager, Dr Abdi Tari Ali.
Hunger has taken a grip on Somalia, which is experiencing its fourth successive season of drought, making it the worst in 40 years. With the rains falling, livestock have died and crops have withered. There is no food. Families are leaving their villages in their thousands and drifting towards towns and internally displaced persons camps to seek support.
Habso’s family left their village in Wajid Region, about 70 kilometres away, three months ago when the last of their goats died. Father Ibrahim Yarow (49) and mother Abshiro Adn Mohammad (35) walked for 20 days with their nine children, all already weak from a lack of food.
We had no food or water setting out on our journey. When we came to a town we managed to get a little to eat and drink to allow us continue. But my daughter didn’t make it. She didn’t have enough food. The life left her. We had to bury her on the side of the road and continue the journey. We had to keep moving or we would have all died,” said Ibrahim.
Trócaire’s first every female doctor, Sr, Shurkiur Hussein Abdi, tending to patients in Luug hospital. Pic: Miriam Donohoe
Today the family have had nothing to eat yet. “We are hungry, but we hope some of our neighbours can help us later. We all try to help each other.”
They arrived at Boyle Internally Displaced Persons camp in Luug, desperate for support. They built a shelter and have been barely surviving since with the help of neighbours and the local District Committee.
New arrivals tell of villages deserted as hungry people leave in their droves in search of relief. They tell of carcasses of goats, donkeys and camels strewn along rural roads, a catastrophe for Somalis who earn their living by raising and selling animals.
A scene from the Internally Displaced Persons Camp in Somalia. Pic: Miriam Donohoe
As you walk through the camp you see scores of weary women, men and children shuffling slowly in the searing heat. Young babies clutch to mothers dressed brightly in colourful traditional dresses and scarves.
Trócaire runs an outreach clinic here where daily dozens of mothers bring their children to have them assessed for malnutrition. This is done using a colour coded MUAC (Mid-Upper Arm Circumference) Tape, which is used on children from six months to five years to measure malnourishment. The tape is wrapped around a child’s arm. Green means that there is no acute malnutrition, yellow indicates moderate acute malnutrition and red severe acute malnutrition.
A Trócaire team learned of Habso’s family’s plight on a visit to the camp. One of the team immediately identified that Habso was malnourished, and she was taken to Luuq hospital to be assessed and admitted.
Just two days later the change in Habso was remarkable. The little girl was coming back to life. Without the intervention, Habso may not have survived the week.
Currently, 7.7 million people in Somalia, or half the population, are in dire need of humanitarian assistance as climate change takes its deadly toll, triggering a devastating hunger crisis.
Over 800,000 people have so far fled their homes, says the UN, flocking to already overcrowded Internally Displaced Persons camps similar to the one in Boyle. New camps are sprouting up in the region to cope with the increasing numbers which are expected to rise to 1.4 million in the coming months.
In Gedo Region in southern Somalia scenes like this of dead animal carcasses are common due to a 4th year of consecutive drought. Pic: Miriam Donohoe
The UN has warned that 350,000 Somalia children could die this year if nothing is done to help them. Since January, at least 448 children have died from severe acute malnutrition, according to a database managed by UNICEF.
Trócaire’s Country Director for Somalia, Dubliner Paul Healy, says it is devastating to witness what is happening on the ground. Trócaire is reaching over 215,000 people with lifesaving services every year through its health facilities in Luug, Dollow, Garbaharey, Belet Hawa and Burdhubo. Key aspects of the work are supported by the Irish government through Irish Aid, and recently Trócaire has implemented a new EU-funded programme targeting vulnerable, hard-to-reach populations.
“Severe malnutrition has taken hold in Somalia and it will get much worse in the coming months unless urgent action is taken. Currently, the world is focused on the dreadful crisis in Ukraine, but we must not forget what is happening here in Somalia and the Horn of Africa. Thousands of people are at risk of dying.”
“Children are the most vulnerable. There is limited access to food, and prices are rising due to the war in Ukraine. Climate change is wreaking havoc. Severe water shortages have heightened the risk of disease outbreaks, with people and animals now competing for untreated water from hand-dug shallow wells and dwindling rivers.”
Healy says the team in Luug have been feeling the impact of drought in recent months. “In January we admitted 66 patients to our stablisation unit in Luug Hospital. In May this figure had jumped to over 200, a three-fold increase. The pressure on our services is increasing all the time.”
This article first appeared in the journal.ie on Saturday July 11th 2022.
