A/HRC/29/34 host families and communities, who may also face food insecurity. Where displacement becomes protracted, without durable solutions in place, food security and nutrition problems may be particularly pronounced, especially where humanitarian aid has diminished or ended. Often lacking adequate coping mechanisms, IDPs are amongst the most vulnerable communities in terms of food security. 53. While humanitarian aid staples often consist of rice, beans, oil and tinned produce, as well as products to meet the nutritional needs of children, there is frequently a shortage of higher value or perishable foodstuffs, such as meat, fish and vegetables. A restricted diet over any significant period can result in inadequate nutrition and malnutrition, with a lasting effect on the health of individuals and their susceptibility to illness. In this respect, the Special Rapporteur stresses the importance of taking into account the specific needs of children, breastfeeding mothers and groups with specific dietary habits, such as nomadic peoples. Systematically implementing an approach to hunger and food security that recognizes the need for availability, accessibility, acceptability and quality, means also including IDPs. 54. During his joint visit to the Central African Republic in February 2015, the Special Rapporteur deplored the living conditions of nearly 500 members of the Peulh minority group, trapped in an enclave in Yaloke.18 According to reports, the food being distributed in Yaloke does not meet the cultural and nutritional needs of the Peulh minority group. The Peulh, living largely on a diet of beef and milk from cattle, are not used to the rice and beans that humanitarian agencies distribute. As of December 2014, over 40 Peulh had died from malnutrition and other diseases, the majority of them children. 55. In many displacement situations access to land, livestock and employment are essential elements of durable solutions and development that must be put in place to enable IDPs to reduce or eliminate their dependency on humanitarian aid. Furthermore, where large numbers of IDPs are sheltered within host communities they can be a heavy burden on the food security of such non-IDP communities, whose food resources must be spread further. Goal 3: Ensure healthy lives and promote well-being for all at all ages 56. IDPs frequently lose access to health care and medicines and rely heavily on humanitarian health-care assistance. The situation is particularly acute in the least developed countries where health-care provision is generally poor and in rural areas where facilities are sparse. In cases of large-scale displacement, the capacity of existing healthcare services is often inadequate to respond to the psychological and physical health-care needs of IDPs. In urban settings, the challenges are also acute and include lack of capacity of health-care services, and challenges relating to documentation and possible discrimination. The costs of services and medicines frequently put adequate health care out of the reach of IDPs. 57. Médecins Sans Frontières has highlighted the health-care challenges facing IDPs, especially in the context of conflict, noting that “while programmes exist to provide surgical and other care to these victims, the vast majority will not receive the care they need because they live in regions where the health-care system has collapsed and where it is too dangerous for independent aid agencies to operate”.19 To achieve that target “for all at all ages”, requires resolving the health-care and well-being challenges experienced by IDPs. 18 19 14 See UNHCR, Questions and answers, “UN rapporteur looks at how to restore stability and peaceful coexistence in CAR” (27 February 2015), available from www.unhcr.org/54f090f06.html. Available from www.doctorswithoutborders.org/our-work/humanitarian-issues/refugees-and-idps.