1 of 21

​

SoP Nutrition Cluster Meeting 

​

20 August 2025

​

2 of 21

Agenda

Agenda Item

Time

​

Introduction and follow up of actions points

​

West Bank update : FNG

​

Gaza update

  • MUAC data - children
  • Updates from the TWG
  • Preparedness plan

​

​

Partner Updates – scale up/ redeployment possibilities

1300hrs – 1310hrs

​

1310hrs – 13300hrs

​

1330hrs -1400hrs

​

​

​

​

1400hrs -1430hrs

​

3 of 21

Previous Pending action points

Action

By Whom

By When

Status

Coordinate with WHO to finalize screening/discharge strategy for 5+ children

Cluster team

July

In progress

Partners to submit updated functionality status for all service delivery sites

Consolidate functionality status into the Dashboard

Cluster team

Continue

In progress

Nutrition Cluster provide update on statements/briefing regarding the ongoing deterioration of the nutritional situational

Cluster team/WHO

July

In progress

4 of 21

West Bank – Presentation of the FNG analysis

5 of 21

Gaza Update

​

6 of 21

​

MUAC�Gaza Nutrition Cluster Meeting 

​

First Half of August, 2025

​

7 of 21

Children MUAC

Gaza  

8 of 21

Meta Data

Dataset

Data collection date

Setting

Sample size

N (%) Children 6-23 months

P_Children_6_23

N (%) Children 24-59 months

P_Children_24_59

Gaza/Action Against Hunger (ACF) - Spain

Aug 03 - Aug 14

Wafa Hospital, Al Kateeba Camp, Al Kareem Camp, Islamic University, Al-Azhar University, Al Yasmine Medical Point (Heroic Hearts), Metro Jawazat, Al Sahaba Hospital

602

232 (38.54%)

38.54

370 (61.46%)

61.46

Gaza/Ard El Insan Palestinian Benevolent Association (AEI)

Aug 03 - Aug 13

Al-Kateeba, Al-Aqsa, Gaza, مخيم فلسطين 2, مخيم صحبة خير, مخيم الدريملي, مخيم الوحدة, مخيم الأزهر

2496

892 (35.74%)

35.74

1467 (58.77%)

58.77

Gaza/Eastern Mediterranean Public Health Network (EMPHNET)

Aug 03 - Aug 14

EMPHNET Medical Point

554

249 (44.95%)

44.95

293 (52.89%)

52.89

Gaza/UNRWA

Aug 01 - Aug 14

Middle Area HCs, 3, Khanyounis HCs,3, Middle Shelters, 13, Gaza HCs, 1, Gaza Shelters,3, Khanyounis Shelters, 6

2197

1121 (51.02%)

51.02

1076 (48.98%)

48.98

Khan Younis/Action Against Hunger (ACF) - Spain

Aug 03 - Aug 17

Insania IDP Camp, UKMed Hospital, Al Qubba Camp, MSF PHCC

485

207 (42.68%)

42.68

278 (57.32%)

57.32

Khan Younis/Ard El Insan Palestinian Benevolent Association (AEI)

Aug 03 - Aug 13

Alabadlah, Khan Younus, Khanyounis, Khan Yuonis, مخيم الفرا, مخيم الأقصى, مخيم الصليبي, مخيم الأسطل, مخيم الحياة

1196

339 (28.34%)

28.34

699 (58.44%)

58.44

Khan Younis/Save the Children International (SCI)

Aug 03 - Aug 07

PHCC Mawasi, Pier19 - Alburj, AL ATAA, Alard Al - Tayiba, Alard Al-Tayiba, Event, Aljazaeri, Tahlia

1576

486 (30.84%)

30.84

1016 (64.47%)

64.47

Khan Younis/UNRWA

Aug 01 - Aug 14

Khanyounis HCs,3, Middle Area HCs, 3, Khanyounis Shelters, 6, Gaza HCs, 1, Middle Shelters, 13, Gaza Shelters,3

2770

1326 (47.87%)

47.87

1444 (52.13%)

52.13

Middle Area (Deir al-Balah)/AWDA Health and Community Association

Aug 02 - Aug 14

Alawda hospital

590

253 (42.88%)

42.88

334 (56.61%)

56.61

Middle Area (Deir al-Balah)/Action Against Hunger (ACF) - Spain

Aug 05 - Aug 14

UK MED Zawaida, ALshalihat (AL Zawayda), Palestine Health Center, Swiss Pal. Friendship Camp

79

36 (45.57%)

45.57

43 (54.43%)

54.43

Middle Area (Deir al-Balah)/Ard El Insan Palestinian Benevolent Association (AEI)

Aug 03 - Aug 13

Abu Dalal, Burij camp, مخيم الألماني, مخيم الرازي, مخيم البركة, مخيم قطوف, زوايدة

1909

631 (33.05%)

33.05

1185 (62.07%)

62.07

Middle Area (Deir al-Balah)/Eastern Mediterranean Public Health Network (EMPHNET)

Aug 03 - Aug 14

Al-Seka Shelter

501

156 (31.14%)

31.14

333 (66.47%)

66.47

Middle Area (Deir al-Balah)/Premiere Urgence Internationale (PUI)

Aug 02 - Aug 14

NA

408

193 (47.3%)

47.3

214 (52.45%)

52.45

Middle Area (Deir al-Balah)/Save the Children International (SCI)

Aug 03 - Aug 07

PHCC DAB

229

101 (44.1%)

44.1

119 (51.97%)

51.97

Middle Area (Deir al-Balah)/UNRWA

Aug 01 - Aug 14

Middle Area HCs, 3, Khanyounis Shelters, 6, Khanyounis HCs,3, Middle Shelters, 13, Gaza HCs, 1, Gaza Shelters,3

2705

1464 (54.12%)

54.12

1241 (45.88%)

45.88

Rafah/Ard El Insan Palestinian Benevolent Association (AEI)

Aug 03 - Aug 12

Rafah

144

27 (18.75%)

18.75

99 (68.75%)

68.75

9 of 21

Data Quality

Dataset

N 18218

Below 6 months n=337

Over 59 months n=162

Mean MUACZ

SD MUACZ 0.92-1.73

SD MUAC 13.42-23.57

% Flags MUAC (100- 200mm)

% Flags MUACZ (+/- 4sd)

DPS MUAC

Gaza/Action Against Hunger (ACF) - Spain

602

0

0

-0.64

1.18

16.72

0% (0)

0.17% (1)

27.22

Gaza/Ard El Insan Palestinian Benevolent Association (AEI)

2,496

108

29

-0.78

1.73

22.72

0.4% (10)

0.58% (14)

26.82

Gaza/Eastern Mediterranean Public Health Network (EMPHNET)

554

0

12

-0.73

1.25

18.61

0% (0)

0.18% (1)

15.08

Gaza/UNRWA

2,197

0

0

-1.28

1.22

15.80

0.46% (10)

1% (22)

13.71

Khan Younis/Action Against Hunger (ACF) - Spain

485

0

0

-0.64

1.07

15.21

0% (0)

0% (0)

11.51

Khan Younis/Ard El Insan Palestinian Benevolent Association (AEI)

1,196

150

8

-0.41

1.16

18.57

0.59% (7)

0.45% (5)

30.46

Khan Younis/Save the Children International (SCI)

1,576

2

72

-0.84

1.19

13.96

0.19% (3)

0.86% (13)

8.84

Khan Younis/UNRWA

2,770

0

0

-0.83

1.07

14.80

0.11% (3)

0.43% (12)

12.94

Middle Area (Deir al-Balah)/AWDA Health and Community Association

590

3

0

-1.18

1.30

16.49

0% (0)

1.7% (10)

32.29

Middle Area (Deir al-Balah)/Ard El Insan Palestinian Benevolent Association (AEI)

1,909

73

20

-0.77

1.02

23.57

0.31% (6)

0.21% (4)

44.96

Middle Area (Deir al-Balah)/Eastern Mediterranean Public Health Network (EMPHNET)

501

1

11

-0.66

0.92

13.66

0% (0)

0% (0)

41.62

Middle Area (Deir al-Balah)/Premiere Urgence Internationale (PUI)

408

0

1

-0.63

1.15

15.13

0% (0)

0.49% (2)

18.92

Middle Area (Deir al-Balah)/Save the Children International (SCI)

229

0

9

-1.28

1.33

15.30

0% (0)

3.18% (7)

10.28

Middle Area (Deir al-Balah)/UNRWA

2,705

0

0

-0.67

1.03

13.42

0.04% (1)

0.26% (7)

15.57

10 of 21

GAM_MUAC_prevelance

Dataset

N

N_Children_6_23

GAM_23

GAM MUAC 6-23 months

N_Children_24_59

GAM_69

GAM MUAC 24-59 months

GAM MUAC 6-59 months (UNWEIGHTED)

GAM MUAC 6-59 months (WEIGHTED)

Gaza/Action Against Hunger (ACF) - Spain

602

232

60

25.86%

370

10

2.7%

11.63%

10.42%

Gaza/Ard El Insan Palestinian Benevolent Association (AEI)

2,496

892

214

23.99%

1467

29

1.98%

12.66%

9.31%

Gaza/Eastern Mediterranean Public Health Network (EMPHNET)

554

249

85

34.14%

293

4

1.37%

16.06%

12.29%

Gaza/UNRWA

2,197

1121

461

41.12%

1076

184

17.1%

29.36%

25.11%

Khan Younis/Action Against Hunger (ACF) - Spain

485

207

42

20.29%

278

2

0.72%

9.07%

7.24%

Khan Younis/Save the Children International (SCI)

1,576

486

81

16.67%

1016

36

3.54%

7.55%

7.92%

Khan Younis/UNRWA

2,770

1326

269

20.29%

1444

31

2.15%

10.83%

8.19%

Middle Area (Deir al-Balah)/Premiere Urgence Internationale (PUI)

408

193

26

13.47%

214

14

6.54%

9.8%

8.85%

Middle Area (Deir al-Balah)/Save the Children International (SCI)

229

101

40

39.6%

119

18

15.13%

25.33%

23.29%

Middle Area (Deir al-Balah)/UNRWA

2,705

1464

184

12.57%

1241

36

2.9%

8.13%

6.12%

11 of 21

GAM_MUACz_prevelance

Dataset

N

GAM MUACz 6-23 months

GAM MUACz 24-59 months

GAM MUACz 6-59 months (UNWEIGHTED)

GAM MUACz 6-59 months (WEIGHTED)

Gaza/Action Against Hunger (ACF) - Spain

602

20.69%

8.11%

12.96%

12.3%

Gaza/Ard El Insan Palestinian Benevolent Association (AEI)

2,496

21.08%

9.07%

13.7%

13.07%

Gaza/Eastern Mediterranean Public Health Network (EMPHNET)

554

31.33%

5.8%

17.15%

14.31%

Gaza/UNRWA

2,197

29.79%

26.58%

28.22%

27.65%

Khan Younis/Action Against Hunger (ACF) - Spain

485

16.91%

4.68%

9.9%

8.75%

Khan Younis/Save the Children International (SCI)

1,576

13.99%

15.85%

14.53%

15.23%

Khan Younis/UNRWA

2,770

14.1%

11.57%

12.78%

12.41%

Middle Area (Deir al-Balah)/Premiere Urgence Internationale (PUI)

408

9.84%

12.15%

11.03%

11.38%

Middle Area (Deir al-Balah)/Save the Children International (SCI)

229

31.68%

25.21%

27.07%

27.37%

Middle Area (Deir al-Balah)/UNRWA

2,705

8.54%

9.75%

9.09%

9.35%

12 of 21

SAM_MUAC_prevelance

Dataset

N

SAM MUAC 6-23 months

SAM MUAC 24-59 months

SAM MUAC 6-59 months (UNWEIGHTED)

SAM MUAC 6-59 months (WEIGHTED)

Gaza/Action Against Hunger (ACF) - Spain

602

5.6%

0.27%

2.33%

2.05%

Gaza/Ard El Insan Palestinian Benevolent Association (AEI)

2496

6.84%

0.2%

4.45%

2.42%

Gaza/Eastern Mediterranean Public Health Network (EMPHNET)

554

6.83%

0%

3.07%

2.28%

Gaza/UNRWA

2197

6.87%

1.12%

4.05%

3.03%

Khan Younis/Action Against Hunger (ACF) - Spain

485

1.93%

0%

0.82%

0.64%

Khan Younis/Save the Children International (SCI)

1576

5.56%

0.89%

2.28%

2.44%

Khan Younis/UNRWA

2770

3.62%

0.35%

1.91%

1.44%

Middle Area (Deir al-Balah)/Premiere Urgence Internationale (PUI)

408

2.59%

0.93%

1.72%

1.49%

Middle Area (Deir al-Balah)/Save the Children International (SCI)

229

9.9%

3.36%

6.11%

5.54%

Middle Area (Deir al-Balah)/UNRWA

2705

1.09%

0.32%

0.74%

0.58%

13 of 21

SAM_MUACz_prevelance

Dataset

N

SAM MUACz 6-23 months

SAM MUACz 24-59 months

SAM MUACz 6-59 months (UNWEIGHTED)

SAM MUAC 6-59 months (WEIGHTED)

Gaza/Action Against Hunger (ACF) - Spain

602

5.17%

1.89%

3.16%

2.99%

Gaza/Ard El Insan Palestinian Benevolent Association (AEI)

2,496

5.16%

1.43%

2.84%

2.67%

Gaza/Eastern Mediterranean Public Health Network (EMPHNET)

554

4.42%

0.68%

2.35%

1.93%

Gaza/UNRWA

2,197

5.62%

11.52%

8.51%

9.56%

Khan Younis/Action Against Hunger (ACF) - Spain

485

2.42%

0.72%

1.44%

1.28%

Khan Younis/Save the Children International (SCI)

1,576

5.14%

3.25%

3.68%

3.88%

Khan Younis/UNRWA

2,770

2.94%

1.66%

2.27%

2.09%

Middle Area (Deir al-Balah)/Premiere Urgence Internationale (PUI)

408

3.11%

6.54%

4.9%

5.4%

Middle Area (Deir al-Balah)/Save the Children International (SCI)

229

7.92%

12.61%

10.04%

11.04%

Middle Area (Deir al-Balah)/UNRWA

2,705

0.82%

2.01%

1.37%

1.62%

14 of 21

GAM_MUAC_prevelance (by sex)

Dataset

N

N Male

N Female

GAM MUAC 6-59 months

Male

Female

Gaza/Action Against Hunger (ACF) - Spain

602

282

320

11.63%

10.64%

12.5%

Gaza/Ard El Insan Palestinian Benevolent Association (AEI)

2,496

1228

1268

12.66%

10.83%

14.43%

Gaza/Eastern Mediterranean Public Health Network (EMPHNET)

554

294

260

16.06%

12.24%

20.38%

Gaza/UNRWA

2,197

1067

1130

29.36%

26.9%

31.68%

Khan Younis/Action Against Hunger (ACF) - Spain

485

235

250

9.07%

7.66%

10.4%

Khan Younis/Save the Children International (SCI)

1,576

808

768

7.55%

6.81%

8.33%

Khan Younis/UNRWA

2,770

1372

1398

10.83%

9.48%

12.16%

Middle Area (Deir al-Balah)/Premiere Urgence Internationale (PUI)

408

200

208

9.8%

11%

8.65%

Middle Area (Deir al-Balah)/Save the Children International (SCI)

229

123

106

25.33%

20.33%

31.13%

Middle Area (Deir al-Balah)/UNRWA

2,705

1348

1357

8.13%

7.57%

8.7%

15 of 21

GAM per Gov

Gaza

Month

2025

 

Jan

Feb

Mar

Apr

May

June

Jul

Aug

GAM prev. (Unweighted)

3.5%

2.8%

3.5%

3.2%

3.4%

5.9%

13.1%

19.1%

GAM prev. (Weighted)

2.7%

2.5%

3.3%

4.4%

4.4%

5.2%

11.9%

15.7%

Data points

4

5

4

5

4

5

17

23

Contrib.

2

4

3

5

4

2

6

4

Sample size

9824

4392

6433

9039

15678

3396

19027

5849

Middle Area

Month

2025

 

Jan

Feb

Mar

Apr

May

June

Jul

Aug

GAM prev. (Unweighted)

2.4%

2.5%

0.9%

2.6%

4.0%

4.9%

7.7%

9.5%

GAM prev. (Weighted)

5.2%

2.8%

1.4%

3.7%

4.0%

4.0%

6.2%

7.6%

Data points

6

3

3

3

5

6

661

415

Contrib.

6

4

2

3

5

3

5

3

Sample size

17315

12636

6921

3740

9498

2270

10203

3342

Khan Younis

Month

2025

 

Jan

Feb

Mar

Apr

May

June

Jul

Aug

GAM prev. (Unweighted)

3.0%

2.0%

1.4%

3.9%

3.3%

5.6%

9.3%

9.6%

GAM prev. (Weighted)

3.7%

2.3%

1.7%

4.0%

3.8%

5.0%

7.3%

8.2%

Data points

5

3

4

3

4

4

20

18

Contrib.

4

3

3

3

4

1

4

3

Sample size

11151

6435

2037

5609

14056

2321

10947

4831

16 of 21

​

​

Thank you!

​

​

For general inquiries: SoP.nutrition.cluster@gmail.com

17 of 21

Technical working Groups updates

Next IYCF TWG

​

Next meeting Monday 25 August

​

NIS TWG :

​

IPC analysis conducted 30th July - 4th August

FRC activated and is finalizing conclusion

​

Snapshot to be published on Friday

​

​

CMAM TWG – Monday 17 August

​

Adaptation of the TSFP protocol

  • Taking into account feedbacks on implementation
    • Adolescent girls to be include
    • BW with children 6-11 months
    • Deliveries modalities/ integration within the Health system to increase reach
  • Draft revised version to be shared

​

Protocol for children above 5 yo

  • Draft 1 presented to the groups
  • Inclusion both through BMI and MUAC (cut-off still under discussion)
  • Join work on operational plan for community level/ outpatient reached (on-going)
  • Presentation to MoH 20/08
  • Q: linkage with TSFP for adolescent girls – needs for continuity and coherence

18 of 21

Technical working Groups updates

Advocacy

​

First meeting to be set up – both comms and technical people

​

2 streams:

- Better understanding the questions comms are getting

- Prioritizing key message the nutrition cluster wants to get the narrative on.

​

Modality of work, tools to be define (keep it light!)

​

SAG meeting

​

Validation of the IPC new PIN

​

Validation of the need to reinforce advocacy, and ideas for 1st meeting planning

​

Validation of the methodology for Flash Appeal (programme-based)

For info: Deadline for clusters inputs to the Flash appeal – need calculation, costing, narrative : 17 October

​

Renewal of SAG membership: to be launch in September

19 of 21

Update on programme

Gaza meeting – key topics discussed

  • Refeeding syndrom – share guidance
  • Children under 6 months / MAMI

​

Preparedness plan (ICCG)

  • Supply needs for the last 5 months of 2025- based on new GAM estimates

About 140.000 admission children/ 58.000 PBW (for one year)

5 months: 58,000 children – 24,000 PBW – SC scale up

​

  • Key advocacy messages - intercluster
    • Maintain access to hospital/ SC
    • Private sector to scale up for NUTRITIOUS food and NFI
    • Nutrition is services, not only supplement distribution (and not in general distribution)
  • Need to maintain services (especially in Gaza city) / relocate if displacement of population
    • Partners capacities?
    • Lessons learned from previous occurrences?

​

​

20 of 21

Partners updates & AOB

21 of 21

​

​

Thank you!

​

​

For general inquiries: SoP.nutrition.cluster@gmail.com