KEY TAKEAWAYS

•  The findings from the HSM showed concerning food consumption

deficits and limited diversity of diets in the inaccessible areas surveyed.
More than half of the surveyed households (55 percent) struggled to
have sufficient food intake and nearly 77.3 percent experienced a crisis
or higher levels (CH Phase 3 and above) of food deprivation and hunger,
further evidenced in the pervasive use of food-based coping strategies;

•  40 percent of the households relied on either crisis coping strategies to

meet their food needs, which heightens economic vulnerability due to
the negative impact on the future productivity of the most affected
households;

•  The levels of acute malnutrition among new arrivals from the

inaccessible areas are serious (Phase 3 IPC Acute Malnutrition
Classification) with the overall Global Acute Malnutrition (GAM) rates
14.6% and Severe Acute Malnutrition (SAM) at 4.5%. The high levels of
acute malnutrition indicate an extremely stressed population in relation
to food insecurity, poor water, and sanitation access, and poor health
conditions as the key underlying causes of acute malnutrition.

•  Detailed analysis among new arrival population with good quality and

adequate sample size showed extremely critical (Phase 5) in two of the
areas analyzed, Critical (Phase 4) GAM in 3 of the areas analyzed and
alert (Phase 2) in 2 of the areas analyzed. According to the HSM, a
sizeable proportion of the children are suffering from stunting and
underweight. This is characteristic of a chronically stressed situation of
poor nutrition and persistent infection.

•  Overall, both crude and under five mortality rates (CMR and U5MR)

were above the emergency threshold of 1 death/10,000 population/day
and 2 deaths/10,000 population/day respectively with values of 3.47
deaths/10,000 persons/day for CMR and 4.32 deaths /10,000 underfives/
day. Analysis of the data for the 5 LGAs with the highest number
of new arrivals reveals both CMR and U5MR is highest in Gwoza with
CMR of 5.37 deaths/10,000 persons/day and U5MR of 11.35
deaths/10,000 under-fives/day.

•  The elevated levels of consumption gaps, malnutrition, mortality, and

unsustainable usage of emergency coping strategies, is largely driven by
the limited availability of food stocks, restricted access to functional
markets and poor water, health and sanitation services, which might
heighten morbidity risk, and, impact more negatively on households'
ability to engage in labour for food or resource gathering.