Mothers in Djibouti feed their malnourished children ready-to-use therapeutic food.
Photo: Action Against Hunger, Djibouti
Human Development Index
172 (out of 188 countries ranked)
Our Team
15 employees
Program Start

People Helped in 2017: 14,101

People Reached by Nutrition and Health Programs 
People Reached by Water, Sanitation and Hygiene Programs 
People Reached by Food Security and Livelihoods Programs 

A small, resource-poor country located in Eastern Africa, Djibouti relies almost entirely on imported food and natural resources, a situation exacerbated by the severe droughts across the region. Given its location, Djibouti serves as a shipping hub for much of Eastern Africa, and as a result has a vibrant, large urban population. However, a third of the population is spread across hundreds of rural villages, which presents logistical difficulties in accessing healthcare and food.

The humanitarian situation in Djibouti is worrying: nearly one-third of the population was in need of humanitarian aid in 2017, with around 155,000 people suffering from food insecurity, a global acute malnutrition rate of 17.8 percent and some 15 percent of the population without proper access to water, healthcare or sanitation. Extreme poverty and unemployment is endemic, affecting nearly 23 percent of people and more than 70 percent of the working-age population respectively.

The government imposed an embargo on international organizations and UN agencies at the end of 2016 and beginning of 2017, thus paralyzing interventions in healthcare. Due to lack of funding, three of our projects were terminated. Despite this, our teams have worked with local partners and maintained an efficient emergency response to improve food security through integrated water, sanitation and hygiene projects, and in food security and livelihoods. This has included developing operational research, community utility works, distributing 773 tons of ready-to-use therapeutic foods, the supervision of health centers, testing and referral of cases of undernutrition, training and awareness raising on health, nutrition and good hygiene practices, and rehabilitation and construction of latrines. A report on mother-and-child psychosocial practices and resources was also produced.

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