Iran war deepens hunger crisis for Somalia’s malnourished children

By Ammu Kannampilly and Olivia Le PoidevinWednesday April 29, 2026

An internally displaced Somali woman feeds her malnourished child at the Daynile hospital, Mogadishu, Somalia April 20, 2026. REUTERS/Feisal Omar Purchase Licensing Rights

In Somalia, where children are already caught between a worsening hunger crisis and deep cuts in foreign aid, the latest shock from the U.S.-Israeli war on Iran is hitting the most vulnerable first. For malnourished boys and girls, the fallout is not just higher fuel prices. It is the difference between treatment and turning them away.

Reuters reporting shows that shipping delays tied to the conflict are tightening supplies of therapeutic food, leaving clinics to ration stocks and, in some cases, refuse severely malnourished children who need urgent help.

Almost half a million children under 5 suffer from “severe acute malnutrition” or “wasting”, the most life-threatening form of hunger, and the delays are worsening the effect of the aid reductions.

SOMALIA’S CHILDREN RELY ON EVER-SHRINKING FOOD AID

In Baidoa and Mogadishu, health workers say they are stretching scarce reserves of specialized milk and peanut-based therapeutic paste, the dense nutrition that can keep a child with wasting alive.

“Since the needs are large and we don’t have a lot of supplies, we have had to keep reducing the amount ​we give children,” nurse Hassan Yahye Kheyre said.

He said the clinic where he works, which treats more than 1,200 children, has just 225 cartons of peanut paste left. The International Rescue Committee, which supplies the facility, expects that stock to run out within two weeks.

“If treatment is on-and-off, the children will become very weak, physically and mentally. And it may not be ⁠possible to reverse it,” Kheyre added.

The IRC is one of three aid groups that said transport delays and rising costs linked to the war in Iran were making an already complicated situation worse.

At the clinic ​in the southwestern city of Baidoa, run by IRC’s local partner READO, mother-of-nine Muumino Adan Aamin has been trying to get peanut paste for Ruweido, her 11-month-old daughter.

Ruweido is on a regimen of three sachets ​a day but Aamin has been turned away twice because the clinic had run out each time.

Aamin nearly lost her daughter Anisa to hunger when a previous drought pushed Somalia to the brink of famine in 2017. “Just bone and skin,” the toddler only survived because of peanut paste, Aamin said.

Nine years on, a new drought has pushed 6.5 million people, or one in three Somalis, into acute hunger, and aid groups are desperately trying to plug gaps.

An IRC order for peanut ​paste that would have fed over 1,000 children got stuck two months ago in the Indian port of Mundra, now congested with diverted cargoes unable to dock in the Gulf, said Shukri Abdulkadir, IRC’s ​Somalia coordinator.

After being told that the peanut paste, made in India, would take at least 30 more days to arrive, IRC cancelled the order.

It placed an emergency order for 400 cartons from Nairobi, and is moving supplies in Mogadishu ‌to Baidoa ⁠while awaiting them.

But the increase in freight and manufacturing costs has pushed the price of a single carton to $200 from $55, according to CARE International, whose latest order now buys enough for only 83 children rather than 300.

LIFE-SAVING FOOD AID TAKES LONGER AND COSTS MORE

In 2024, deliveries of therapeutic milk and ready-to-use therapeutic food (RUTF) from Europe to Somalia typically took 30–35 days, increasing to 40–45 days in 2025 as vessels diverted around Africa owing to security threats in the Red Sea.

Since the United States and Israel attacked Iran on February 28 and Iran closed the entrance to the Gulf, a lack of ships has pushed that out to 55–65 ​days, said Mohamed Omar, head of Health and Nutrition ​at Action Against Hunger (ACF) in Mogadishu.

Meanwhile in ⁠Somalia, the IPC global hunger monitor says more than 2 million people are now in the “Emergency” phase, one level before famine.

Admissions of severely malnourished children in January-March to health centres supported by ACF were up 35% from last year.Staff at Daynile General Hospital, which is treating 360 children for wasting, said on April ​20 that they barely had enough supplies for the week.

“Some children’s nutritional status has already worsened,” said health and nutrition supervisor Xafsa Ali Hassan.

Somalia was ​not among 17 impoverished nations ⁠singled out to receive a share of this year’s funds allocated to the U.N. Office for the Coordination of Humanitarian Affairs (OCHA) by the U.S., which has made the most drastic cuts among foreign aid donors.

OCHA says more than 200 health facilities have been closed and mobile teams disbanded.

It said in December that over 60,500 severely malnourished children had gone untreated as a result, and that the number could rise to 150,000 if funding gaps persisted.

Then, ⁠when the ​Iran war erupted, domestic fuel prices leapt 150%.

“Somalia is really hard hit by the Iran war because people are still reeling ​from the impact of the previous drought,” said IRC’s Abdulkadir. “It’s very difficult for people to absorb these shocks.”

OCHA has appealed for $852 million from global donors to stave off a full-blown famine.

This is far below the $1.42 billion it requested last year – yet it has ​still barely received 14% of this amount.

Additional reporting by Abdirahman Hussein in Mogadishu and Charlotte Van Campenhout in Amsterdam; Editing by Mike Collett-White and Kevin Liffey