DOOLOW, Somalia – When her crops failed and her parched goats died, Hirsiyo Mohamed left her home in southwestern Somalia, carrying and coaxing three of her eight children over a long walk across a bare and dusty landscape with temperatures as high as 100 degrees.
Along the way, her 3-and-a-half-year-old son, Adan, tugged at her robe, begging for food and water. But there was no one to give, she said. “We buried him, and kept walking.”
They reached an aid camp in the town of Doolow four days later, but her malnourished 8-year-old daughter, Habiba, soon contracted whooping cough and died, she said. Sitting in her makeshift tent last month, holding her 2-and-half-year-old daughter, Maryam, in her lap, she said, “This drought has finished us.”
The worst drought in four decades is imperiling lives across the Horn of Africa, with up to 20 million people facing Kenya, Ethiopia and Somalia facing the risk of starvation this year, according to the World Food Program.
Aid donors, focused on the crisis in Ukraine and the coronavirus pandemic, have pledged only about 18 percent of the $ 1.46 billion needed for Somalia, according to the United Nations’ financial tracking service. “This will put the world in a moral and ethical dilemma,” said El-Khidir Daloum, director of the Somalia country for the World Food Program, a UN agency.
With the rivers low, wells dry and their livestock dead, families are walking or getting buses and donkeys – sometimes for hundreds of miles – just to find food, water or emergency medical care.
Parents flow into the capital, Mogadishu, bringing their malnourished children to health facilities like Benadir Hospital, a few in the country with a pediatric stabilization unit. A recent visit to the beds was packed with bony babies with scaly skin and hair that had lost its natural color because of malnutrition. Many of the children also had measles, such as measles, and were being fed through nasal tubes and needed oxygen to breathe.
Mothers sat in the corridors, slowly feeding their children the peanut-based paste used to fight malnutrition. The price of this lifesaving product is projected to increase by up to 16 percent because of the war in Ukraine and the pandemic, which made ingredients, packaging and supply chains more costly, according to UNICEF.
At the hospital’s cholera treatment unit, Adan Diyad held the hand of his 4-year-old son, Zakariya, as the boy’s protruding ribs heaved. Mr. Diyad had abandoned his maize and bean fields in the southwestern region of the Bay after the river ran low.
In Mogadishu, he settled at a crowded camp for displaced people with his wife and three children, where they had no toilet and not enough clean water. Without a job, he couldn’t feed his family. Zakariya, usually chirpy, grew emaciated. The night before Mr. Diyad took him into the hospital, he said he kept listening to his son’s heartbeat to make sure he didn’t die.
In rural areas throughout south and central Somalia, danger and poor road networks have made it hard for authorities or aid agencies to reach those in need. The United Nations estimates that nearly 900,000 Somalis live in inaccessible areas controlled by the Shabab – though aid workers believe those figures are higher.
Mohammed Ali Hussein, the deputy governor of the southern Gedo region, acknowledged that local authorities were often unable to venture out of the area to protect those in need, even when they received a distress call.
Extreme weather events, some linked to climate change, have devastated communities, too, bringing flash floods, cyclonesrising temperatures, a locust infestation that destroyed crops, and, now, four consecutive failed rainy seasons.
“These crises just keep coming one after the other,” so people didn’t have to rebuild their farms or herds, said Daniel Molla, chief technical adviser for food and nutrition at the UN Food and Agriculture Organization.
Those uprooted by the drought are arriving in towns and cities where many are already straining to afford food.
Somalia imports over half of its food, and the poor in Somalia already spend 60to 80 percent of their income on food. The loss of wheat from Ukraine, supply-chain delays and soaring inflation have led to sharp rises in prices of cooking oils and staples like rice and sorghum.
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At a market in the border town of Doolow, more than two dozen tables were abandoned because vendors could no longer afford to produce stock from local farms. The remaining retailers have sold paltry supplies of cherry tomatoes, dried lemons and unripe bananas to trick the few customers.
Some of the shoppers were displaced people with food vouchers from aid groups, worried about rising food prices.
Traders like Adan Mohamed, who manages a juice and snacks shop, say they had to raise their prices after the costs of sugar, flour and fruits soared. “Everything is expensive,” said Mr. Mohamed, blending pineapples imported from Kenya. And with wages relatively unchanged, many Somalis said they have cut back on meat and camel milk. Over three million herd animals are perished since mid-2021, according to monitoring agencies.
The drought is also straining the social support systems that Somalis relies on during crises.
As thousands of hungry and homeless people flood the capital, the women at the Hiil-Haween cooperative seek ways to support them. But faced with their own soaring bills, many of the women said they had little to share. They combine clothes and food for about 70 displaced people.
“We had to reach deep into our community to find anything,” said Hadiya Hassan, who leads the cooperative.
Experts forecast that the upcoming October to December rainy season will most likely fail, pushing the drought into 2023. Somalis.
“There are scary echoes of 2011,” said Daniel Maxwell, a professor of food security at Tufts University who co-wrote the book “Famine in Somalia.”
For now, the merciless drought is forcing some families to make hard choices.
Back at the Benadir hospital in Mogadishu, Amina Abdullahi gazed at her severely malnourished 3-month-old daughter, Fatuma Yusuf. Clenching her fists and gasping for air, the baby let out a feeble cry, drawing smiles from the doctors who were happy to hear her make any noise at all.
“She was still as dead when we brought her here,” Ms. Abdullahi said. But even though the baby had gained more than a pound in the hospital, she was still less than five pounds in all – not even half what she should have. Doctors said it would be a while before she was discharged.
This pained Ms. Abdullahi. She had left six other children behind in Beledweyne, about 200 miles away, on a small, desiccated farm with her goats dying.
“The suffering back home is indescribable,” she said. “I want to go back to my children.”