1.8.16 Despite concerted efforts tosecurethetotalfoodrequirements for Somalirefugees intheeast,thereweresignificant shortfalls in1989, mainlyofnutritive non-cereal foodstuffs. WFPandUNHCRcontinued to collaborate tominimize theseshortfalls butinadequate andirregUlar food supplythreatened thegainsmadethusfarinthehealth andnutritional statusoftherefugees. Thoseidentified asparticularly vulnerable continued toreceivepriority supplementary feeding undertheauspices ofthe ARA.Therapeutic feeding ofmalnourished children continued atninefeeding centres runbySCFintheHartisheik campsandthreerunbyMSFintheAware camps. Successful implementation ofthesefeeding programmes contributed to thesustaned improvement inthenutritional statusoftherefugee population, asmentioned earlier. Logistics systems havebeendeveloped with thecapacity toensuredelivery totheSudanese refugees ofadequate foodand othersupplies through theGTZ-operated transport fleet. Inaddition to theirresponsibilities forthelogistics operations oftheSudanese programme, GTZisresponsible forthetransport ofcommodities fromDeghabor tothethreecampsinAware. 1.8.17 Healthstatistics fromtheSomali campsindicated thatthemajor causesofdeathwererespiratory infection, diarrhoea, skindisease, andeye infections. Refugee patients weretreatedattwocentral andeightsatellite clinics inHartisheik andatthreecentral andsixsatellite clinics in Aware. Priorities inthehealthsectorfor1990and1991include areliable drugsupplysystem, moreeffective participation fromtheMinistry ofHealth, regional co-ordination, morepermanent healthinfrastructure andgreater emphasis onpreventive healthcarethrough Primary Health Care(PHC)and Maternal andChildHealth (MCH)programmes. Thehealth andnutrition committee, composed ofallparticipating agencies inthesector, continues to betheco-ordinating mechanism forhealthactivities inbothprogrammes. 1.8.18 Since ~988,anaverage of800,000litresofwaterhasbeen transported dailybywatertankers tosome210,000 refugees attheHartisheik campsfromJijiga townwells, 75kmaway.Aftercompleting geological surveys in1989,exploratory drilling wastakingplaceintheJerrerValley foraproposed pipedwatersupplysystemfortheHart!sheik camps. Untilthe JerrerValleywaterdevelopment project issaccessfully completed, probably in1991,CAREwillcontinue thetransport ofwaterfromtheJijigaaquifer to Hartisheik. Theassured capacity ofthisaquifer wasstillunknown andcould notberelied uponexceptasaninterim measure. InAware,refugees were totally dependent onrainwaterinearthdams andbirkasfortheirwater supply. Atotalofsixearthdams havenowbeenconstructed (twoforeach camp)toincrease thequantity ofwatercatchment. Onewatertreatment plant wasinstalled inRabasso camp,andworkwasinprogress tocommission plants inCamaboker andDarorcamps. 1.8.19 In1991,assistance fortheSudanese refugees inwestern Ethiopia willbeincluded underthecareandmaintenance allocation toreflect more.. acc nec bac of Sud of mai rev Sud Foo Tra Dom Wat San Hea She Edu Cro For Inc Leg Age Pro 1.8 add rev to mai sim 1.8 $2 res (TO dom eff pay cos 1.8 the ham.A/AC.96/75l(Part I) page37 accurately thetypeofassistance measures beingextended. Thishasproved necessary sinceacombination oflowagricultural potential andthepastoral background oftherefugees hasrendered thepossibility oflocalsettlement ofthisgroupveryremote. Overall, thesumofassistance tobothSomali and Sudanese r6fugees isexpected todecrease between 1990and1991,asaresult ofmodified arrangements forlogistics, watersupply, infrastructure maintenance andagencyoperational support. Thesectoral breakdown ofthe revised 1990(Somali refugees) andproposed 1991appropriation (Somali and
**Analysis**
The text primarily discusses the humanitarian aid and relief efforts for Somali and Sudanese refugees in Ethiopia. It covers topics such as food security, health services, water supply, and infrastructure development, all of which are crucial for the well-being of refugees. The text also touches on the logistics and coordination of these efforts, highlighting the importance of collaboration among different agencies.

**Category**
Humanitarian aid and relief, Health