In Somaliland, cholera is a symptom of drought. Rainy seasons in the Horn of Africa have disappointed for three consecutive years, now heading into the fourth. As crops fail, livestock die and boreholes dry up, communities drink whatever water they can find. Prolonged malnourishment compromises immune systems, making patients more susceptible to cholera. According to Oxfam, cholera has been associated with more than 1,500 deaths this year in this part of Africa.

Cholera is also a symptom of weak health and water systems, and ultimately, lack of access to universal health coverage.

Emergency responders established a cholera treatment center in Burao — a group of tents that included inpatient and observation wards. A few smaller cholera treatment units were also deployed in hotspot areas.

SRCS also launched an education campaign in Burao. They distributed 20,000 flyers and drove through villages and towns broadcasting messages on cholera prevention from loudspeakers on top of vehicles. They urged residents to chlorinate water, build latrines, and avoid open defecation. Public places such as markets and schools broadcasted a documentary film on cholera prevention. Faith leaders were also looped into the efforts. During Friday prayers, these leaders would teach community members about hygiene and sanitation practices, such as hand washing.

Read the full article on curbing Somaliland's cholera outbreak by Sara Jerving at Devex International Development