A detailed situational analysis of the nutrition situation in country, determinants of malnutrition and current nutrition interventions, strengths, weaknesses, opportunities and threats can be found in annex 2. In brief, eighteen years of war and insecurity have had devastating effects on the nutrition and health status of the people of Somalia, which was already precarious even before. The combination of conflict, insecurity, mass displacement, recurrent droughts and flooding and extreme poverty, coupled with very low basic social service coverage, has seriously affected food security and livelihoods and greatly increased vulnerability to disease and malnutrition. The MDG health-related indicators are among.