Published On 20 Jan 2026
Somalia is facing a deepening wellness and nutrition exigency arsenic consecutive failed rainy seasons, soaring h2o prices and crisp cuts to humanitarian assistance thrust a surge successful malnutrition and outbreaks of preventable diseases, Doctors Without Borders, known by its French acronym MSF, warns.
The organisation said connected Tuesday that its teams successful Somalia had been witnessing “a worrying trend” of expanding numbers of children arriving astatine overcrowded camps with terrible acute malnutrition oregon measles, diphtheria and acute watery diarrhoea, diseases that tin beryllium prevented.
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“We are seeing children arriving astatine our hospitals successful captious condition, often aft travelling for days without nutrient oregon water,” said Allara Ali, MSF’s task coordinator successful Somalia.
The East African nation’s authorities declared a drought exigency successful November, but assistance agencies said the effect has lagged arsenic backing sinks to its lowest level successful a decade.
“The drought has not lone dried up wells but besides the enactment systems families trust on,” Ali said.
Climate-vulnerable
Ranked among the world’s astir climate-vulnerable countries, Somalia has endured recurrent droughts and floods.
After 4 consecutive failed rainy seasons, United Nations assessments had warned that 4.4 cardinal radical could look crisis-level oregon worse nutrient shortages by the extremity of 2025, including 1.85 cardinal children nether 5 astatine hazard of acute malnutrition.
More than 3.3 cardinal radical person been forced from their homes, galore crowding into camps successful Baidoa successful the southwest and Mudug successful cardinal Somalia.
While request has risen, assistance proviso has shrunk. Since aboriginal 2025, much than 200 wellness and nutrition facilities person closed nationwide portion nutrient assistance has dropped from reaching 1.1 cardinal radical a period to 350,000.
In Baidoa, MSF recorded a 48 percent summation successful admissions for terrible acute malnutrition successful October compared with the erstwhile month.
During the aforesaid period, 189 children were treated for suspected measles, 95 percent of whom had ne'er been vaccinated, the organisation said.
In Mudug, admissions to inpatient therapeutic feeding centres roseate by 35 percent.
A campy for displaced radical connected the outskirts of Baidoa, Somalia, is seen from a level successful November 2022 [File: Guy Peterson/AFP]Surging outgo of water
Displacement camps, wherever h2o and sanitation are scarce, person go flashpoints for disease.
The outgo of h2o has surged beyond the scope of galore families with a 200-litre (53-gallon) tube selling for $2.50 to $4 successful Baidoa and Mudug.
“We cannot spend water,” said Kaltuma Kerow, a 35-year-old parent surviving successful a displaced persons campy successful Baidoa. “We are highly abbreviated of nutrient and water, and we fearfulness diseases similar cholera.”
She added: “Hunger and deficiency of cleanable h2o are making everything worse.”
In Galkayo, superior of the Mudug region, Rahma Mohamed Ibrahim said beingness had “become highly hard” for her household implicit the past 7 years arsenic they were repeatedly displaced by floods, struggle and drought.
“We person 8 children, astir are malnourished,” she said.
Accessing cleanable h2o is beyond her family’s means, she said, resulting successful unwellness for her children.
“We wage $4 for a vessel of h2o oregon 25 cents for a jerrycan of salty water,” she said. “My children portion it and get diarrhoea.”
In effect to acute shortages, MSF launched exigency h2o trucking successful Baidoa successful December, delivering much than 6 cardinal litres (1.6 cardinal gallons) of harmless drinking h2o to 17 sites by mid-January and installing h2o bladders and star lighting.
Situation ‘unacceptable’
Yet assistance workers said specified measures hardly marque a dent owed to the standard of the crisis, particularly arsenic the harsh adust play takes hold.
“This concern is unacceptable due to the fact that it is predictable and mostly preventable,” said Elshafie Mohamed, MSF’s state typical successful Somalia.
“The existent humanitarian effect is leaving millions without entree to basal healthcare, nutrient oregon water.”
MSF is urging donors and authorities to urgently standard up nutrition programmes, vaccination campaigns and h2o services portion besides investing successful climate-resilient h2o infrastructure and sustained enactment for indispensable healthcare.
Without a coordinated, multisector response, the organisation warned, deaths from preventable causes volition proceed to emergence successful the months ahead.

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