Malian refugees at risk of increased malnutrition following cancelled food distributions

The cancellation of monthly food rations in July for 49,500 Malian refugees in Mbera Camp is likely to cause a rise in global acute malnutrition levels, warns Médecins Sans Frontières (MSF), which provides medical care and malnutrition support in the camp. MSF calls on the international donor community to ensure that refugees in Mbera camp have reliable sources of food.
The World Food Programme (WFP), faced with financial shortfalls, has been unable to secure financing for the general food distribution in July. Also UNHCR, which is responsible for the management of the refugee camp, insist they lack the funds to propose an alternative solution to the inevitable consequence of increased malnutrition.
This follows an already precarious situation where rice rations were cut from 12 kg per person to 5.4 kg in June, and the general food distribution was cancelled entirely in March, which then caused a surge in admissions of sick children to MSF therapeutic feeding programs from 30 in the month before the cancellation to 79 in the month following it. 
“Global acute malnutrition in the camp was around twenty percent in 2012 when we first started its activities here,” said Dr. Mahama Gbané, MSF Medical Coordinator in Mauritania. “We’ve worked together with agencies like WFP to bring this down to an estimated nine percent.  It would be tragic if we allowed the health of the most vulnerable to slip back to catastrophic levels.”
These refugees fled to Mauritania in 2012 when conflict engulfed northern Mali. Despite recent peace agreements signed by some armed opposition groups in Mali, people still do not feel safe to return home. Since 2012, their survival in the desert, where temperatures reach 50°C and sandstorms are common, has largely depended on humanitarian assistance. A number of the refugees have managed to keep livestock, but successive droughts have drastically depleted the residual pasture for grazing animals across the Sahel. Recent attacks and pillaging of towns and villages in northern Mali has increased fears that it will be a long time before refugees will feel safe enough to return to their homeland.
“People have tried to grow food in community gardens, but the scorching heat, blowing sand, and insects have destroyed most of the crops” said Maya Walet Mohamed, leader of the women’s committee in the camp. “The timing of the gap in food distributions is all the more cruel because people are already fasting during daylight hours for the month of Ramadan, and now they have little food to break their fast at sunset”.  
Three years into their exile, most refugees have sold what little they had left to trade for alternative sources of food, namely meat and milk – the staples of the traditional nomadic diet which are not part of the WFP’s distributions. This back-up source of food is now scarce. “This is critical for us as well as the Mauritanian people, because the animals are dying or worthless because of the droughts,” added Maya.
MSF started working in Mauritania in 1994. Today, 370 aid workers support the Mauritanian health ministry by providing free services including primary care, emergency surgery, and sexual and reproductive health care in the country’s south-eastern region including Mbera refugee camp, in Bassikounou and in Fassala.