Greater Horn of Africa (Djibouti, Ethiopia, Kenya, Somalia, South Sudan, Sudan and Uganda), Grade 3 Emergency Appeal (March 2023)

Estimated Total Population: 294 million (World Bank)

Acutely Food Insecure Population (high level): 46.3 million (IPC 3+ crisis or worse)

Number of Refugees: 4.5 million (UNHCR)

Internally Displaced People: 13.5 million (UNHCR)

Estimated acutely malnourished children (under 5 years): 1.8 million (Somalia), 1.4 million (South Sudan), 884k (Kenya) and 104K (Uganda)

Estimated severely acute malnourished children (under 5 years): 514k (Somalia), 346k (South Sudan), 223k (Kenya) and 16.5k (Uganda).

WHO steering 4 health clusters and coordinating 262 partners in service of 21.5 million people (Ethiopia, Sudan, South Sudan and Somalia)

Attacks on health care: 73 attacks, 113 injuries, 93 deaths (Jan 21-Dec 22 in 3 countries)

Under- five mortality rate (per 1,000 live births, IGME 2020): Somalia 115, South Sudan 98, Sudan 57

Ongoing outbreaks as of 16 December 2022: Measles (6 countries), Cholera (4 countries), Yellow Fever (2 countries), Mpox, Hepatitis E, Polio, Dengue, Anthrax, Malaria, Ebola disease (caused by Sudan virus)

Funding requirements: US$ 178 million (Jan-Dec 2023)

The Greater Horn of Africa is one of the world’s most vulnerable geographical areas in relation to impacts of climate change and is currently experiencing one of the worst food insecurity situations in decades. It is estimated that more than 46 million people are in Integrated Food Security Phase Classification (IPC) Phase 3 or above.

The sub-region is home to a large pastoralist population with significant vulnerabilities. Currently, the region, which includes Djibouti, Ethiopia, Kenya, Somalia, South Sudan, Sudan and Uganda is experiencing rising food insecurity due to extreme climate events such as drought and flooding, as well as conflict, socio-economic impacts of the COVID-19 pandemic, and volatile food and fuel prices, all of which are contributing to the creation of a huge humanitarian crisis. Regardless of future rainfall performance, the recovery period from a drought this severe will take years, with extremely high humanitarian needs even set to increase in 2023.

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