Somali Cash Consortium – Baseline and Endline Findings MPCA Outcomes from the Direct Nutrition Referral Approach: Kismayo & Banadir, Somalia (June 2026)

Country: Somalia Source: REACH Initiative Please refer to the attached file. KEY MESSAGES • The use of consumption-based coping strategies declined. The proportion of households with high reduced Coping Strategy Index (rCSI) decreased sharply, from 47% to 2%, while low or medium rCSI increased to 87%. While the proportion of HHs relying on emergency, crisis or stress livelihood coping strategies (LCS) declined, a substantial share continued to rely on these strategies at endline, including 42% using emergency LCS, highlighting continued pressure on livelihoods despite improvements in food consumption. • HH income and expenditures increased, with the largest share spent on food and medical expenses. However, most HHs still relied mainly on casual labour and humanitarian assistance as their primary source of income. Despite this improvement, HHs with debt remained widespread. More than three-quarters of assessed HHs (83%) reported having debt at endline, although the average debt burden declined from USD 84. 51 at baseline to USD 70. 42 at endline. • Findings indicate that HHs remained highly financially vulnerable, with limited ability to build savings, despite improvements in income and a modest reduction in debt levels. The proportion of HHs with any savings fell sharply from 13% at baseline to just 3% at endline, while average savings declined from USD 3. 32 to USD 1. 89.

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