Somalia Country Study

The REFANI-Somalia study was a non-randomised cluster controlled intervention trial to assess the impact of cash transfer programs in reducing the risk acute malnutrition in children aged 6-59 months living in internally displaced person (IDP) camps.

The impact results of the study can be found here

Study Background

As a result of a prolonged state of conflict and instability, and exacerbated by natural disasters, Somalia, with a population of over 10,800,000, has the highest prevalence of malnutrition worldwide. The people most affected by food insecurity are often internally displaced (IDPs). The nutrition status of IDP children is worse compared to children of rural and urban populations in Somalia.

Concern Worldwide has been working in Somalia since 1986, aiding in relief efforts to combat floods, droughts, and food shortages. Funded by the European Commission (ECHO), Concern Worldwide provides the most vulnerable households of the IDP camps in the Afgoye Corridor (a region close to Mogadishu), with an unconditional, monthly cash transfer.

Led by the Institute for Global Health at University College London (UCL), with the support of operational partner Concern Worldwide, the REFANI Somalia study looked at how CTPs reduce the risk of IDP children, aged 6-59, from becoming acutely malnourished. The study also looked to evaluate the delivery process of the CTPs, and explored perceptions of malnutrition and its risk factors, and the mechanisms by which the cash transfers may have aided in changing those risk factors.

For more information on the REFANI Somalia study please refer to the REFANI Somalia Brief.


Action Against Hunger is a global humanitarian organization that takes decisive action against the causes and effects of hunger. We save the lives of malnourished children. We ensure everyone can access clean water, food, training and healthcare. We enable entire communities to be free from hunger.