ACTION AGAINST HUNGER - USA

Programs

1. Ethiopia:in ethiopia - africa's second most populous nation - more than a third of children under the age of five years are stunted, 21 per cent are underweight, and 7 per cent are acutely malnourished. One in four people are food insecure. In 2023, an estimated 28.6 million people in ethiopia needed humanitarian assistance. The country faced simultaneous crises: armed conflicts, disease outbreaks, climate disasters including both drought and flooding, and economic shocks marked by high inflation rates. Limited funding and disruptions in food assistance programs exacerbated already dire needs. Action against hunger is a leading humanitarian organization in ethiopia, responding to nutrition emergencies and building multisectoral resilience since 1985. With eight operational bases and 17 sub-bases, the organization operates in six major regions (amhara, oromia, tigray, somali, gambela and benishangul gumuz) and provides services in 52 districts and five refugee camps. In 2023, our programs directly reached 714,774 people through integrated, multisectoral lifesaving and resilience interventions. Our nutrition teams treated 25,274 severely malnourished children across 185 health…

   $39,211,357 spentof which $867,540 as grants$132,734 earned by the program
   29% of program spending

2. South sudan:in south sudan, an estimated nine million people, including refugees and returnees from sudan, will experience critical humanitarian needs in 2024. An estimated 7.1 million people will require food assistance, with children at critical risk of malnutrition. An estimated 1.6 million young children are at risk of acute malnutrition. The conflict in sudan has resulted in the arrival of vulnerable people who require assistance, driving up market costs and further stretching coping capacities. Women and girls remain at risk of gender-based violence. People across south sudan suffer violence, displacement, and high levels of poverty, along with lack of livelihoods, and limited access to basic services. To compound the situation, south sudan has been hit hard by climate crises, with parts of the country experiencing prolonged dry spells and others experiencing flooding.in 2023, action against hunger strengthened our approach to reinforce connections between our humanitarian, development, and peace-building interventions. We strengthened our research and monitoring systems and practices to enhance knowledge and evidence generation. Our teams worked with lawmakers, youth…

   $33,928,679 spentof which $565,765 as grants
   25% of program spending

3. Somalia: conflict and climate shocks continued to affect somalia throughout 2023, resulting in two major humanitarian consequences: forced displacement and acute food and nutrition crises. Oscillating between climatic extremes, the year started in severe drought and closed with extreme flooding. Triggered by the el nio weather pattern, deadly floods impacted more than 2.5 million people and displaced over 1.2 million. Across the country, the global acute malnutrition rate decreased from 15.9 per cent in 2022 to 12.4 per cent in 2023, but pockets of significant hunger and humanitarian needs remained. In hudur, for example, action against hunger's surveys found that acute malnutrition increased from 23.7 per cent in early 2023 to 26.2 per cent in early 2024. Action against hunger worked in 28 districts across somalia delivering health, nutrition, water, sanitation, hygiene, and food security and livelihoods interventions. In 2023, we directly reached 1.3 million people with lifesaving assistance, including 1.2 million reached through health interventions and 722,000 through nutrition services. Our teams also repaired 51 water points and our water, sanitation, and hygiene program…

   $23,608,533 spentof which $4,405,568 as grants
   17% of program spending

4. Haiti:since march 2023, haiti has witnessed a notable surge in violence and organized crime, particularly in the port-au-prince region, where criminal groups engage in murders, kidnappings, and sexual assaults. The humanitarian situation in haiti is deteriorating, with aid organizations struggling to match the escalating needs. Half of haiti's population is reported to need humanitarian assistance, with 45 per cent living in areas facing severe food crises, a situation exacerbated by economic paralysis due to violence. A quarter of children are suffering chronic malnutrition. Action against hunger's program focuses on the most vulnerable and hard-to-reach populations and aims to help families and communities cope with successive shocks, including gang violence, natural disasters, and climate change. Our team addressed malnutrition and its root causes through food distribution to disadvantaged families, screenings and treatment for malnourished children, psychological support for traumatized people and survivors of sexual violence, and income-generating activities. We also collaborated with local authorities to strengthen health systems and build community-level resilience. In…

   $8,336,858 spent
   6% of program spending

5. Kenya:kenya faces recurring challenges including droughts, floods, and disease outbreaks, worsening the country's humanitarian crisis, particularly in the arid and semi-arid regions. In late 2023, el nio floods caused flooding and displacement, impacting nearly 500,000 people. An estimated 2.8 million people in kenya face crisis (or worse) levels of hunger. Stunting and wasting rates are high, and micronutrient deficiencies are particularly prevalent among children, pregnant women, and breastfeeding mothers. Poor nutrition is compounded by factors such as inadequate healthcare access, regressive cultural practices, gender disparities, conflicts, poor infrastructure, and limited access to clean water, sanitation, and hygiene.in 2023, our programs directly reached 198,1791 people through integrated, multisectoral lifesaving and resilience interventions. Our nutrition teams treated 58,980 severely malnourished children, in addition to providing supplementary nutrition to 70,559 moderately malnourished children and 55,271 malnourished pregnant women and breastfeeding mothers. Wash services benefited 180,544 community members and 44,279 from fsl service.action against hunger operated…

   $10,427,329 spentof which $254,307 as grants
   8% of program spending

6. Tanzania:in tanzania, agriculture is the nation's economic backbone, employing 70 per cent of the population in around eight million households, most in rural areas. An estimated 27 per cent of tanzania's population lives below the poverty line, and 8 per cent live in extreme poverty.according to the 2023 global hunger index, hunger levels in tanzania are serious, though there have been improvements in the last 20 years. An estimated 20 per cent of families are unable to afford enough food, and 59 per cent cannot afford a nutritious diet. About 30 per cent of children in tanzania are stunted, and 3.3 per cent are acutely malnourished. In 2023, action against hunger's water, sanitation, and hygiene interventions helped to bring about significant improvement in school hygiene for students in the mpwapwa district. We constructed improved toilets and trained pupils and teachers on how to make sanitary pads skills that have since been passed on to other children. In 2023, our program directly reached 23,465 people through integrated, multisectoral lifesaving and resilience interventions. Our nutrition teams treated 23 severely malnourished children across 30 health centers and…

   $723,238 spentof which $20,721 as grants
   1% of program spending

7. Uganda:uganda is home to 1.6 million refugees and asylum-seekers - africa's largest such population. But it is also the third most nutritionally vulnerable region in east africa, with a global acute malnutrition rate of 20.2 per cent and significantly high anemia rates. Children under five are particularly vulnerable. Acute food insecurity is also a pressing concern, impacting 5.4 million people. This year action against hunger continued to provide lifesaving interventions to strengthen nutrition, food security, livelihoods, resilience, and water, sanitation, and hygiene in several refugee-hosting districts. We tackled malnutrition through comprehensive programs, offering treatment for moderate and severe acute malnutrition and promoting breastfeeding and proper child feeding practices. Our teams also trained health staff and parents to detect and prevent malnutrition. In 2023, we supplied 58 health facilities with nutrition staff, essential medicines, and supplies to identify and treat malnutrition. In 2023, our programs directly reached 376,306 people through integrated, multisectoral lifesaving and resilience interventions. Our nutrition teams supported in 43 health facilities,…

   $7,635,667 spentof which $626,013 as grants
   6% of program spending

8. Zambia:in 2023, zambia faced a complex humanitarian situation marked by challenges such as malnutrition, food insecurity, and inadequate access to water, sanitation, and hygiene services. Climate change has caused the country to experience more extreme weather events including intense rainfall, floods, and droughts, coupled with elevated temperatures, which have major impacts on agriculture, water resources, human health, biodiversity, energy, and infrastructure. Two million people in zambia are expected to face crisis or worse levels of hunger in 2024. Food insecurity is primarily driven by high poverty rates, economic instability, and shocks and hazards such as prolonged dry spells, pests, and diseases. Amidst these challenges, action against hunger successfully launched new programs in 2023 to address the root causes of poverty, hunger, and biodiversity loss. Our multifaceted approach reflects our commitment to sustainable impact and collaboration with local partners, including the ministry of agriculture and zambia-based ngos. In 2023, we supported local organizations to build their capacity to better manage water sources and irrigations systems and prepare for disasters. We…

   $621,403 spentof which $35,634 as grants
   0% of program spending

9. Program support

   $4,417,806 spent$46,185 earned by the program
   3% of program spending

10. Other country and strategic programs

    $8,026,232 spentof which $5,612,988 as grants
    6% of program spending

The 10 programs described on its FY2023 Form 990, listed largest first by expense. Program spending in total: $136,937,102.