Nairobi,Kenya/Washington, DC, USA -- Kenya could face a serious food shortage and subsequent large-scale malnutrition in the coming year if insecurity persists. International Medical Corps (IMC) is concerned that a shortage of maize production during 2008 and long-term displacement could severely affect the nutritional status, general health, and livelihood of the displaced as well as that of the general population. According to the Kenyan Red Cross almost 270,000 displaced are currently living in camps. A similar number is thought to be living with host families. Most of the forcibly displaced have not only lost their homes and belongings but also their economic base, which was destroyed in the violence.

"At the moment we are mainly concerned about the well-being of pregnant women, lactating mothers and children under five years old in the camps and among the host community," says Kristi Ladd, International Medical Corps Nutrition Specialist and advisor to the emergency response team. "These groups are most likely to be the first to show signs of malnutrition and micronutrient deficiencies. We must have a screening and support system in place to detect malnutrition and start further interventions."

The current situation demands continued nutritional and food security monitoring to enable aid agencies to anticipate threats and catch cases of wasting and other indications of malnutrition early on. Health providers must coordinate with agencies currently distributing food to make sure that at-risk patients are identified and are receiving supplementary food if necessary.

International Medical Corps will implement a multi-tiered approach and incorporate nutritional services into its ongoing primary health care programs. The moderately malnourished will be provided with supplemental food. Severely malnourished patients will receive ready-to-use-therapeutic-food (RUTF) either at IMC facilities or in community-based programs. International Medical Corps may also support existing facilities and government referral hospitals to ensure that malnourished patients receive the necessary care.

A Long-Term Problem According to preliminary assessments by the U.N. Food and Agriculture Organization (FAO), Kenyan farmers are already far behind in soil preparation. In the fertile Rift Valley, post-election violence forced at least 180,000 to flee their homes -- more than half of the total displaced population in the country -- many of them small holdings owners or farm workers. The area, normally producing about 70 percent of Kenya's maize crop, is still gripped in an uneasy truce between hostile communities.

With the beginning of the planting season just weeks away, many farmers will not be able to return to their plots in time. In conversations with the displaced, International Medical Corps learned that many crop growers also saw their remaining harvest stolen and their land now being farmed by members of rival groups. This development could further worsen community relations and make it unlikely that the forcibly displaced will be able to return and catch up with the planting season, which usually starts in March.

"More and more factors are emerging that threaten to prolong the humanitarian crisis in Kenya, and food insecurity is one of them," says Edi Cosic, International Medical Corps Director of Emergency Response. "Kenyans might need our support in more sectors and for a longer period of time than initially anticipated."

Media reports quote a joint report soon to be released by the U.N and US Agency for International Development (USAID), anticipating that 100,000 hectares may not be cultivated for the March rainy season and estimating losses of 300,000 tons of various crop harvests.

Displaced and Host Communities Affected Most likely, increased food insecurity and malnourishment will not only affect the displaced but also the population as a whole, particularly the urban slum dwellers and households that have taken in displaced family members. The complete loss of their economic base puts significant pressure on host families, which often have to get by with a marginal amount of food while also having more mouths to feed.

The violence has also increased transport and farm supply costs, sharply raising wholesale and retail prices. The very poor and less mobile, in particular, feel the effect of rising prices. In order to revive economic activity among the poor, International Medical Corps, through its local partner organization Jamii Bora Trust, is currently rebuilding local markets in several urban slum areas that were torched and looted during the violence following the December 2007 contested presidential election. Small-scale traders report that the shortage of supplies and the increase in prices are hurting them and their customers, who earn money as day laborers or through occasional work.

International Medical Corps Emergency Response in Kenya

International Medical Corps is operating mobile clinics in the northern part of Rift Valley province and Nairobi. With almost 180,000 displaced, the Rift Valley has been hardest hit by violence and continuing insecurity. Currently, IMC medical staff is seeing around 3,600 patients per week in Eldoret and Kitale districts alone. It remains an area with large humanitarian needs that are challenging the capacity of existing health providers. IMC will soon integrate mental health services into its programs and provide safe play areas for children living in camps.