Large-scale fighting in Somalia has led to deterioration in humanitarian conditions. As a result refugees have fled the country and people have been displaced within Somalia. They are in need of humanitarian assistance. Combined effects of poor and failed rains, continuing conflict, massive displacement and diarrheal disease outbreaks have exacerbated the food security situation resulting in a significant increase in malnutrition rates. USG has provided $167 million for emergency food assistance, health, nutrition, agriculture and food security, livelihoods support, humanitarian coordination, protection, and water, sanitation, and hygiene programs.