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Opinion
MOGADISHU, Somalia , May 12 2026 (IPS) – When war erupted in the Middle East in late February, the most visible consequences were playing out in the Persian Gulf, with smoke rising from Dubai’s Jebel Ali port and shipping traffic across one of the world’s most critical maritime routes grinding to a near halt.
What was harder to see was a mother in Somalia, traveling 200 kilometers with a child too sick to sit upright, arriving at a stabilization center that was running low on the one product that could save her child’s life.
The closure of the Strait of Hormuz, one of the world’s most consequential maritime chokepoints, has sent shockwaves through global supply chains that reach far beyond the Gulf. Before the war began, roughly 3,000 vessels transited the strait each month.
In March, that number fell to just 154. The UN has warned that the resulting disruption is triggering a widening humanitarian and economic shock far beyond the Middle East, with rising oil prices and reduced maritime traffic driving up transport and food costs across import-dependent economies. We are certainly feeling that shock in Somalia.
Dr. Mohamed Omar is head of Health and Nutrition at Action Against Hunger in Somalia.
Somalia was already contending with acute malnutrition, with an estimated 1.84 million children under five expected to be impacted this year, up from 1.7 million last year. Of those cases, over 480,000 involve severe acute malnutrition, the form that requires immediate inpatient medical treatment.
These children are treated with two products: Ready to Use Therapeutic Food (RUTF) and therapeutic milk, specifically the formulas F-75 and F-100, which are produced exclusively by Nutriset in France. Before the Strait of Hormuz closure, those products arrived in Mogadishu in 30 to 35 days via the Suez Canal and the Gulf of Aden.
Ships now divert around the entire African continent, extending delivery times to 55 to 65 days. That is nearly double the original transit time, and it comes with far less certainty about when shipments will actually arrive.
The cost increases compound the delay. A carton of therapeutic milk that cost $139 in 2024 rose to $186 in 2025 after USAID funding cuts, and has since climbed to $200 in 2026 following the Strait of Hormuz closure, a 44 percent increase in two years.
Fuel costs inside Somalia have surged by 150 percent, raising both the price of food for households and the cost of transporting supplies from Mogadishu to remote program sites like Hudur in the Bakool region. They represent the difference between whether a child receives treatment and whether a facility can afford to stay open.
Action Against Hunger, which operates 10 of the 52 remaining stabilization centers in the country,