IPC Alerts

Malnutrition remains a concern in certain parts of the country, with approximately 114,278 children aged 6-59 months, as well as 23,151 pregnant and breastfeeding women (PBW), suffering or expected to suffer from acute malnutrition through March 2026. Regarding the severity of the situation, from April to September 2025, the Mopeia district in Zambézia province is classified in IPC Acute Malnutrition (AMN) Phase 3 (Severe). Six other districts—Derre (Zambézia), Mutarara (Tete), Macossa (Manica), Mossuril and Angoche (Nampula), and Muanza (Sofala)—are classified in IPC AMN Phase 2 (Alert).
Between October 2025 and March 2026, the nutritional situation is projected to deteriorate across the majority of districts. This decline is expected to be driven by the depletion of household food reserves, limited access to safe drinking water, and inadequate coverage of essential health and sanitation services. These factors collectively heighten the risk of malnutrition, particularly among vulnerable populations.

Approximately 2.09 million people are experiencing high levels of acute food insecurity (IPC Phase 3 or above) between April and September 2025, with 143,000 people experiencing Emergency levels (IPC Phase 4), characterised by large food gaps and high levels of acute malnutrition. The remaining 1.95 million people are experiencing IPC Phase 3 (Crisis) conditions.
The key drivers of the situation include climatic shocks—drought and irregular rainfall—in the southern and central areas of the country, as well as high food prices. In recent months, the northern part of the country has experienced a cessation of conflict and a degree of stabilisation, enabling the return of approximately 700,000 people. Despite this, more than 9,000 people remain internally displaced in Cabo Delgado. Displaced households and households in the process of returning to safe areas often face significant challenges, including limited access to agricultural production, livestock, and other forms of income generation. Their capacity to resume sustainable livelihoods remains severely constrained, leaving many entirely reliant on humanitarian food assistance. Meanwhile, sporadic attacks continue to occur in the districts of Macomia and Quissanga, where conflict continues to undermine security and recovery efforts.

Between May and August 2025, an estimated 3.4 million people—equivalent to 19 percent of Guatemala’s population—faced high levels of Acute Food Insecurity (IPC Phase 3 or above). This figure represents around 400,000 more people compared to the same period in 2024. Eleven of the 22 departments analysed were classified in IPC Phase 3 (Crisis), notably Alta Verapaz, Huehuetenango and Quiché.
For the first projection period, September 2025 to January 2026, a relative improvement is expected, with around 2.6 million people (14 percent of the population analysed) in IPC Phase 3 or above. This includes 2.4 million in Phase 3 (Crisis) and 185,000 in Phase 4 (Emergency). This represents a 5 percent reduction compared with the previous period, attributed to improved food availability in some areas.
However, for the second projection period, February to April 2026, a deterioration is anticipated, with about 3 million people (16 percent of the population analysed) in IPC Phase 3 or above. Of this total, around 2.8 million would remain in Phase 3 (Crisis) and more than 248,000 in Phase 4 (Emergency), reflecting the persistence of structural factors that continue to undermine food security.

The acute food insecurity situation in Madagascar remains deeply concerning. Approximately 1.2 million people—representing 13 percent of the population in the districts analysed—are currently experiencing high levels of acute food insecurity, classified in IPC Phase 3 or above. This includes 29,000 people in IPC Phase 4 (Emergency) and 1.17 million in IPC Phase 3 (Crisis).
Conditions are expected to deteriorate during the first projection period (October 2025 to January 2026), with 1.5 million people projected to face Phase 3 or above, including a sharp increase of 84,000 people in Phase 4. This deterioration is primarily driven by an early lean season, resulting in poor harvests and elevated food prices, which undermine both availability and accessibility of food.
A further decline is anticipated in the second projection period (February to April 2026), with nearly 1.64 million people expected to face high levels of acute food insecurity, including 110,000 people in Phase 4 (Emergency). Alarmingly, marginalised and low-income rural households are disproportionately affected, with 5 to 10 percent of the population in some areas projected to be in Phase 4, even during the peak harvest season.
This worsening crisis is driven by a combination of recurring climate shocks (including droughts, floods, and cyclones), major agricultural disruptions (such as delayed planting and locust infestations), declining purchasing power, and limited access to essential services and humanitarian assistance. These factors are compounded by chronic poverty and fragile community resilience, placing millions at heightened risk.

Between May 2025 and April 2026, the acute malnutrition situation in Grand Sud and Ikongo (located in the Fitovinany Region of Grand Sud-Est) is projected to worsen significantly. An estimated 558,000 children under five are either currently suffering or at risk of suffering from acute malnutrition. Of these, approximately 155,600 are expected to face Severe Acute Malnutrition (SAM), while 402,400 are likely to experience Moderate Acute Malnutrition (MAM). In addition, around 38,500 pregnant and breastfeeding women (PBW) are expected to be affected during the same period.
Amboasary and Ikongo districts are already classified as IPC AMN Phase 3 (Severe) between May and September 2025. This severity is expected to intensify, with five additional districts projected to enter Phase 3 between October 2025 and January 2026. Notably, Ikongo could escalate to IPC AMN Phase 4 (Critical) during this period. By February to April 2026, Amboasary is also projected to reach Phase 4. The residual effects of harvests may temporarily obscure the full extent of the crisis between May and September, but underlying vulnerabilities persist.
Key drivers of acute malnutrition include very low food consumption, soaring food prices, limited market access, high child morbidity (notably from diarrhea and malaria), inadequate healthcare practices, and a fragile health system. These factors are compounded by climatic and socioeconomic shocks, deepening household vulnerability. Without urgent intervention, child survival is at serious risk across several districts.

Approximately 428,000 children aged 6–59 months and 84,000 pregnant or breastfeeding women are suffering or expected to suffer from acute malnutrition across 43 districts in Uganda between March 2025 to February 2026 and require urgent nutrition support or treatment. The highest is reported in Karamoja with three districts classified in IPC AMN Phase 4 (Critical) and four districts classified in IPC AMN Phase 3 (Serious).
Key factors fuelling acute malnutrition include high climate vulnerability—driven by arid to semi-arid conditions and prolonged dry spells that restrict access to reliable and sufficient water—intersects with poor agro-ecological potential, including marginal pastoral and agricultural zones characterized by rocky, infertile soils. Livelihoods are predominantly pastoralist, supplemented by limited single-season crop farming, but remain constrained by low dietary diversity and recurring seasonal food insecurity.

An estimated 1.42 million people in Uganda are expected to face high levels of food insecurity between August 2025 and February 2026. This is an improvement compared to the current analysis period (April to July 2025) when approximately 2.46 million people were classified in IPC Phase 3 or above.
The improvement is largely due to the expected strong harvest season. However, food insecurity remains persistent in Karenga, Napak, Kaabong, Moroto, and Kotido, where between 30 and 45 percent of the population are still classified in IPC Phase 3 or above. It remains essential to implement activities aimed at reducing the food consumption deficits of food insecure populations as well as strengthening their resilience capacities.

Acute malnutrition remains a major concern in Kenya, especially across the arid and semi-arid regions. Acute malnutrition (AMN) remained stable in the 27 analysed areas in Kenya's arid and semi-arid lands (ASALs) between April and July 2025. However, elevated levels have been detected in 15 areas, with 11 areas classified in IPC AMN Phase 4 (Critical), four areas classified in IPC AMN Phase 3 (Serious), seven areas classified in IPC AMN Phase 2 (Alert) and five areas in IPC AMN Phase 1 (Acceptable). In the projection period (August to October 2025), acute malnutrition is expected to deteriorate in eight areas, improve in three areas and remain stable in 15 areas. The number of children aged 6 to 59 months requiring treatment between April 2025 and March 2026 is estimated to be 741,883, which is a slight improvement (2.5 percent reduction) compared to 2024. Food gaps, high disease burden, limited access to health services, limited water and access to sanitation services, and reduced humanitarian funding continue to drive acute malnutrition.

Nearly 1.8 million people are experiencing high levels of acute food insecurity, classified as IPC Phase 3 or above (Crisis or worse), between July and September 2025 (lean season). Of this total, around 179,000 people are experiencing IPC Phase 4 (Emergency) conditions, while the remaining population is classified in IPC Phase 3 (Crisis). The worst-affected areas are four arid counties—Baringo, Mandera, Marsabit, and Turkana.
The current situation has improved compared to the period between February and March 2025 when 2.2 million people faced high levels of acute food insecurity. The improvement is attributed to above-average rainfall, which positively impacted crop and livestock production, and water availability and access, leading to slightly improved household food security in the arid and semi-arid lands (ASALs).
During the projection period (October 2025 to January 2026), the food security situation is expected to deteriorate, particularly during the short rains season (October–December 2025). An estimated 2.1 million people are expected to face high levels of acute food insecurity (IPC Phase 3 or above). The deterioration is mainly driven by forecasted below-average rainfall, which is expected to further affect staple food prices, alongside conflicts over resource management. Compared to the same period last year, the population projected in Phase 3 or above has increased from 11 to 13 percent with around 2 million people expected to be in Phase 3, and approximately 160,000 people in Phase 4.