The number represents almost half of the estimated 3.6 million children in urgent need, who are not being reached in time to save their lives or keep them from permanent development damage.

For UNICEF’s Regional Director for Eastern and Southern Africa, Mohamed M. Fall, “nothing is more devastating than seeing children suffering from severe wasting when we know it could have been prevented and treated.”

1.5M #children lack life-saving treatment for severe wasting in East & Southern Africa. It's devastating seeing children suffer when we know it could be prevented & treated. Thanks to donors & partners we’re saving lives. We need to do even more NOW. https://t.co/oprvQPJ07u pic.twitter.com/Z9G7qdGIF0

— Mohamed M. M. Fall (@MohamedFall) January 21, 2022

Mr. Fall highlights “some outstanding results and success stories”, thanks to the support of donors and partners, but says “the impacts of COVID19, climate change and conflict are creating the perfect storm where needs are quickly outpacing resources.”

For him, “the time to act is now.”

Crises pile up

Across the region, families are dealing with multiple crises, including rising levels of food insecurity, economic deterioration, disease outbreaks, unprecedented cycles of floods and droughts, and conflict.

Millions are having to reduce the quantity or quality of the food they eat in order to survive. In many cases, families are forced to do both.

For UNICEF, this is a looming and preventible tragedy that can, and must, be averted.

Prevention remains the best way to ensure that children survive, avoid permanent cognitive and physical damage, and evade the life-long suffering that results from childhood malnutrition.

With unhindered access and predictable funding, UNICEF believes it can work with partners to save the lives of nearly every child admitted for severe wasting.

The agency is asking for $255 million to scale up its emergency response in 2022.

Countries in the spotlight

A mother feeds her severely malnourished baby at a clinic Ethiopia., by © UNICEF/Esiey Leul

In Angola, where people are facing the consequences of the worst recorded drought in 40 years, UNICEF and partners managed to scale up its response in the most affected provinces (Cuando Cubango, Benguela, Namibe, Huíla and Cunene), with approximately 40 per cent more children treated in 2021 compared to 2020.

In Ethiopia, the country with the largest child population in the region, the agency and partners reached an estimated 500,000 severely wasted children in 2021, but many children in the war-torn north, still need of life-saving support.

Across four regions, families are struggling for survival as a severe drought takes hold following three consecutive failed rainy seasons. According to the latest data, more than 6.8 million people in drought impacted areas will need urgent humanitarian assistance by mid-2022, many of them children.

In South Sudan, an estimated 1.4 million children under five, are acutely malnourished, including over 310,000 children suffering from severe wasting.

Last year, UNICEF and partners treated more than 240,000 children, but the situation remains urgent, as floods have killed cattle, washed away food and fields, and blocked humanitarian access.

In Madagascar, where three years of consecutive droughts created one of the worst food insecurity and nutrition crisis in decades, UNICEF and partners last year helped avert a feared famine for many families in the southern part of the country.

A severely malnourished child at a clinic in Ethiopia, by © UNICEF/Esiey Leul

UNICEF and partners reached almost double the number of children with treatment for severe wasting when compared to 2020. This is estimated to have saved the lives of at least 55,000 children under five years of age.

In Somalia, more than 255,000 children received treatment for severe wasting last year. With the country undergoing one of the worst droughts ever recorded and suffering from continued violence, 1.3 million children under five, are likely to suffer from wasting this year.

In Kenya, at least 65,000 children were reached in 2021 with treatment services for severe wasting. Right now, an estimated 2.8 million people are food insecure, with 565,044 children suffering wasting -123,000 severely so - and the situation is expected to deteriorate further.

Finally, in Mozambique, insecurity continues to have a negatively impact. Last year, some 38,000 children received treatment for severe wasting, up from 10,000 the year before.