This collection explores the determinants of risk and vulnerability to cholera in the context of drought in Somalia and the Somali region of Ethiopia in 2017. It outlines the practices, structural constraints, behavioural factors and social norms that increase the risk of transmission and explores the contextual factors that shape treatment-seeking. The evidence review and guidance notes give practical recommendations to humanitarian agencies on how to adapt responses to the specific political, social and cultural context.

Contextual Factors Shaping Cholera Transmission and Treatment-Seeking in Somalia and the Somali Region of Ethiopia


The drought in the Horn of Africa and the protracted conflict has created a humanitarian emergency that has led to a declaration of famine in several regions of Somalia and the Somali region of Ethiopia. As a result of depleted water resources, widespread internal displacement, malnutrition, and inadequate water and sanitation facilities, cholera outbreaks have occurred. […]