Hospital admissions of children suffering from severe malnutrition have spiked in Dagahaley, one of three refugee camps in the Dadaab refugee complex, amid worsening humanitarian conditions in the overcrowded camps, says Médecins Sans Frontières (MSF).

In 2022, according to MSF, a record 12,007 patients  were treated at their facility with an overwhelming majority being children.

The number represents  a 33% increase from preceding year.

Consistent with the alarming surge in child admissions, MSF data also shows a gradually increasing trend in the global acute malnutrition (GAM) rate among children in Dagahaley camp, which reached 8 percent during mid-upper arm circumference (MUAC) screening in December 2022.

“This marks a 45 percent increase compared to the previous screening in July 2022”.

MFS says refugees staring at crisis

In a statement, MSF says several complex factors are aggravating the humanitarian situation in Dagahaley, and stretching the healthcare capacity in the camp.

The agency cites an ongoing cholera outbreak, declared at the end of October 2022 and inadequate humanitarian response as a result of scarce funding as some of the factors.

Inadequate funding, MSF says has added further pressure, deepening wide-scale gaps across sectors including water, sanitation and hygiene (WASH), nutrition, health, and protection.

“Worryingly, forecasts paint a grim outlook for refugees this year.  The United Nations Office for the Coordination of Humanitarian Affairs (OCHA, Dec 2022) has predicted a sixth consecutive failed rainy season from March to May 2023, exacerbating the scale and severity of the humanitarian emergency in the Horn of Africa” MSF said in a statement.

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Humanitarian actors are concerned over expected funding cuts for refugees, which would force them to further downscale operations at a time when needs are rising fast.

To remedy the situation, MSF has opened two medical outposts, built 50 latrines, put in place two water tanks and distributed plastic sheeting and floor mats for some 800 newly arrived families residing on the outskirts of the camp.

“Despite MSF’s efforts to target the most vulnerable refugees living on the fringes of Dagahaley camp, the current humanitarian crisis in Dadaab urgently requires wide-scale response to avert further deterioration” said the organization.

MSF is calling on donors to rapidly release financial assistance, critical to meeting surging life-saving assistance and protection needs.

UN mobilisation to aid refugees

The UN Refugee Agency (UNHRC) has made appeals to donors to mobilize resources for the re-opening of IFO 2 site, initially closed in 2018, to accommodate up to 80,000 refugees from the congested camps ahead of the approaching dry season when more people are expected to make their way into Dadaab refugee camp.

“Unless the donor appeals materialize and urgent action follows up, the incoming influx of refugees can tip the crisis beyond the levels humanitarian organizations can manage, with currently allocated resources” it says.

Dadaab currently hosts over 233,000 registered refugees, many of whom have been living in the camps for over three decades (UNHCR, July 2022) and more than 80,000 unregistered refugees.

In 2022 alone, over 50,000 people arrived in Dadaab, yet to be officially registered as refugees.

MSF has been delivering healthcare in and around Dadaab for most of the camp’s 30-year existence.