Ethiopia: Emergency Nutrition Programming Recommendations for COVID-19

Ethiopia: Emergency Nutrition Programming Recommendations for COVID-19 (updated 1st April 2020)

(reliefweb)—–The purpose of this document is to provide recommended program adjustments for life-saving nutrition services including Community Based Management of Acute Malnutrition (CMAM) and Maternal and Infant and Young Child Nutrition (MIYCN) in the context of the COVID 19 emergency. These program adjustments are proposed for: Stabilization Center (SC), Outpatient Therapeutic Program (OTP),
Targeted Supplementary Feeding Program (TSFP), identification and referral of acute malnutrition, and interventions aiming at the protection of adequate MIYCN.

This document is important for policy level advisors to advocate for the continuation of these life-saving services as well as to advocate for increased resource needs and/or technical pivoting for nutrition services in the context of COVID 19.

This document will also be used as guidance for front line staff on how to manage acute malnutrition in the context of the COVID 19 pandemic and protect MIYCN. The following program adjustments are recommended to strengthen infection, prevention and control of COVID 19, minimize risk to beneficiaries and staffs, and to ensure essential life-saving activities. These recommendations should be contextualized for each program area considering, local restrictions on movement, regional/zonal/woreda health structure, local practices, and community acceptance.

The recommendations below indicate adjustments to the revised Acute Malnutrition (AM) guidelines, recently endorsed by the Federal Ministry of Health, for general or more detailed guidance please refer to those AM guidelines.

Desert locusts in East Africa: A plague of another order

With so many communities in East Africa struggling to protect against the impact of the COVID-19 pandemic, including strains on the food supply chain, the idea of an additional threat to this region already challenged with food shortages seems unimaginable.

Just months ago people in Kenya, Somalia, South Sudan and Ethiopia celebrated when the rains finally came last fall, promising to relieve the drought that had gripped the region for two years. Although the heavy rains, farmers in the region could at least look forward to a rich crop yield.

However, the torrential rains brought another crisis: serious and widespread Desert locust outbreak

Desert locust is the most destructive migratory pest in the world. Thriving in moist conditions in semi-arid-to-arid environments, millions of locusts have been feeding throughout East Africa, devouring everything in their path, posing an unprecedented threat to the food supply and livelihoods of millions of people. Farmers stand by as armies of ravenous insects eat their young, healthy crops; meanwhile herders watch the rangelands stripped bare before their eyes, and before their livestock can get to them.

Experts say the worst is yet to come. The U.N. Food and Agriculture Organization (FAO) predicts that the second wave of desert locusts will be 20 times worse than the plague that descended two months ago. The Guardian: Second wave of locusts in east Africa said to be 20 times worse, April 20, 2020.

“After the eggs hatch in May, we anticipate new swarms will form in June and July, which will coincide with the start of the harvest season. This could not be worse timing,” says Mercy Corps’ Regional Director for Africa, Sean Granville-Ross.

Ethiopia and Somalia had not seen such severe desert locust outbreaks in more than 25 years, Uganda in 60 years, and Kenya in 70 years (U.N. Food and Agriculture Organization). The lack of infrastructure to address the locust invasion is deepened by COVID-19 restrictions, which can slow the air and ground spraying of pesticides and disrupt the supply chains of the necessary products needed to prevent these pests from wiping out crops across the region.

A locust infestation of this size and magnitude over a period of one or more years is referred to as a “plague.” In the middle 2019, desert locusts began to descend on countries in the Horn of Africa and East Africa.

Climate change and the short and destructive life of a desert locust

The extreme weather causing the intense rain storms in the area are believed to be caused by record high temperatures in the Indian Ocean. Locust swarms are not uncommon in the region, but it is unusual to have infestations of this magnitude and over such a broad area.

“Scientists have linked the current outbreak to unusually favourable climate and resultant ecological conditions, both in Arabia and Eastern Africa regions, primarily driven by climate change. (, “Desert Locust Invasion in Eastern Africa,” April 8, 2020)

This outbreak began with two cyclones and heavy rains in 2018 in the Southern Arabian Peninsula, an area wracked with food insecurity and conflict that eclipsed this growing danger and enabled three generations of locusts to flourish undetected. While they moved, they settled and laid eggs along their path. These eggs are now hatching and forming a new generation of locusts, which continue to spread upon maturity.

Living anywhere from three to five months, the Desert Locusts thrive if they hatch in warm, moist sand in semi-arid-to-arid regions with green vegetation, which is what they find in East Africa and the Horn of Africa. (MCTPs)

The World Meteorological Organization and the U.N. Food and Agriculture Organization report that the life cycles of a locust–“the laying of eggs, egg development, hopper development, moulting, hardening of hopper wings, maturing of locusts, speed of movement of hopper bands and adult swarms, and transition from the younger, “solitary” phase to the gregarious (joining swarms) phase”–require ideal weather conditions including tail winds that facilitate their travel. The conditions this season have been unusually beneficial for breeding.

Locusts breed after storms, laying as many as 1000 eggs in a square meter of sand. After hatching, the wingless nymphs travel in “hopper bands,” literally long thick ribbons of insects that hop across the desert. They are hungriest in their “teen” years, and eat their weight in food every day, consuming almost any vegetation, including crops, pastures and forests. Eventually, they grow into adults with wings and become “gregarious,” traveling in large swarms that can grow to the size of Paris or New York.

One square kilometer swarm can contain about 40 million locusts, which eat about the same amount of food in one day as 35,000 people. An average swarm can destroy crops sufficient to feed 2,500 people for a year. Sometimes as many as 80 million locusts crowd into each square kilometer of the swarm, and they can travel more than 90 miles in a day (BBC). The U.N. Food and Agriculture Organization reports the insects destroyed more than 175,000 acres of farmland in Somalia and Ethiopia by the end of December. The sheer size of the swarms in Kenya and Ethiopia give rise to great concern over even larger swarms during harvest season.

Preparing now for stronger communities

Connecting with local and country-level governments, locust-centered task forces, and other partners, Mercy Corps teams are increasingly working to mirror the response to the locusts to COVID-19, responding to urgent needs such as food and cash, and looking to build preparedness and resilience against future invasions with information outreach and surveillance systems, and strengthening markets and livelihoods.

A great example of such partnerships already in motion includes an effort led by a Mercy Corps Agrifin Program working with local partners to develop digitally-enabled solutions for smallholder farmers in five African countries. In Kenya, Mercy Corps coordinated with a host of partners to develop an SMS line and a WhatsApp line for farmers in need of timely information. Using a new line, farmers can easily report desert locusts in their areas and access up-to-date information. This line was advertised earlier this month via a new TV series that offers desert locust mapping and advisory content and reaches six million farmer households. The WhatsApp line also links to COVID-19 content hosted by the World Health Organization. The cooperation and coordination of several partners builds upon an extensive mobile-technology service platform that is being replicated in Ethiopia and has potential to expand to additional countries.

These information systems put in place a foundation for stronger response to future locust invasions. Now, Mercy Corps efforts will be focused on meeting urgent needs for food and working in partnership with governments and other organizations, including the U.N., to provide support and assistance to these communities so they can build back.

“At a time when the U.N. is estimating that the number of people suffering from hunger could go from 135 million to more than 250 million in the next few months, many of these are likely to be in East Africa,” says Mercy Corps Africa Regional Director Sean Granville-Ross. “The task at hand is ensuring food security for these communities and, after this infestation, help prepare them for the next agricultural season.