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[pronut-hiv] CAMEROON: "Silent emergency" persists


  • From: "ProNut-HIV" <pronut-hiv@healthnet.org>
  • Date: Mon, 20 Apr 2009 07:53:39 -0400

CAMEROON: "Silent emergency" persists

DAKAR, 18 April 2009 (IRIN) - Each year in Cameroon at least 45,000 children die due to malnutrition, according to the UN Children's Fund.

UNICEF says it has been difficult giving voice to Cameroon's "silent emergency", unfolding as it is in a relatively stable country in sub-Saharan Africa, overshadowed by conflicts and refugee crises elsewhere in the region.

âIt is a silent emergency because we have children in the north, extreme north and east who are severely malnourished,â Ora Musu Clemens, UNICEF representative in Cameroon, told IRIN from the capital YaoundÃ.

In northern Cameroon global acute malnutrition (GAM) â weight deficit for height â stands at 12.6 percent, striking 115,000 children under five, according to UNICEF. Nearly 40 percent of children â some 350,000 â suffer chronic malnutrition. The World Health Organization classifies a GAM between 10 percent and 14.9 percent as "serious", warranting supplementary feeding; 15 percent and above constitutes an emergency.

UNICEF says new nutritional and health surveys in Cameroon are planned for later this year.

âOften when it comes to malnutrition in the region we think only of the âpurelyâ Sahel countries,â UNICEF-Cameroon nutrition specialist Denis Garnier told IRIN. âBut Cameroon has high levels of malnutrition in its northern part equal to those in the Sahel; unfortunately this does not get the same attention.â

The population of the north and extreme north regions is about 4.9 million â more than the entire population of Liberia or Mauritania.

The causes of malnutrition in Cameroon are many and varied, and similar to those in many Sahel countries, according to Garnier: lack of basic healthcare, food insecurity, poor access to essential child-survival services and poor infant feeding practices. Isolation of these zones is also a contributing factor. Exacerbating difficult living conditions in eastern and northern Cameroon are influxes of refugees from Central African Republic and Chad.

âTo its great credit Cameroon has opened its borders to refugees from Chad and Central African Republic,â UNICEFâs Clemens told IRIN. âBut refugees are putting a great deal of pressure on already scarce resources. The host communities are not rich, yet are sharing what little is there.â

Nutrition and health

Nutritionist Garnier said the government is taking encouraging steps to integrate nutrition and malnutrition treatment into health services, but much remains to be done by all concerned, and resources are lacking.

Augustin Ndongmo Nanfack, head of nutritional monitoring and evaluation with Cameroonâs Health Promotion Department, told IRIN that for the first time the government is placing nutrition coordinators around the country. âWe have had a deficit of nutritionists in the field,â he told IRIN. âCameroon has not been seen as a country that has a problem of under-nutrition, but it clearly does.â

He added: âWe cannot possibly fight for the health of the population without paying attention to nutrition.â

What is needed, UNICEFâs Garnier said, is for government, UN agencies and NGOs to collaborate on reducing malnutrition. âPart of the challenge in the north and far north regions is a lack of NGO partners, particularly to monitor nutrition activities and quality of health care.â

He said many NGOs have come in to deal with refugee influxes in Cameroon. âBut they leave after those emergency operations. It is difficult to mobilise NGOs for these regions because the problems are structural and because they are not well-known â we do not hear of them.â

Garnier said there is an âurgentâ need to reinforce communities' capacity to deal with and prevent malnutrition. UNICEF and the government plan to scale up malnutrition treatment services in the north. A training on community-based management of malnutrition in three northern districts is planned for end of April, Garnier said.

In a recent paper UNICEF says large sctors of Cameroon's population lack access to basic health services, safe water, sanitation facilities and basic education.

But UNICEF has received no funding to date for its humanitarian operations in Cameroon for 2009, according to head of office Clemens. âThis is very concerning to us. Donors are more focused on development issues here in Cameroon. But within that future-oriented, development context you have a humanitarian situation that must be addressed.â

The agency is appealing for US$650,000 to prevent and combat nutrition in 2009 and $2.48 million for humanitarian operations in all.