Of the USD 150 million needed to maintain food, health and sanitation programs by five UN agencies in the country for 2013, USD 98 million is still needed, the world body said.
"External assistance continues to play a vital role in safeguarding the lives of millions," UN resident coordinator Ghulam Isaczai said in a statement.
North Korea faces chronic food shortages and suffered from famine in the mid-1990s that resulted in hundreds of thousands of deaths.
International aid, particularly from the United States and South Korea, has dried up in recent years amid tension over Pyongyang's nuclear program.
Nearly 2.4 million North Koreans need regular food assistance and 28 per cent of children under five suffer chronic malnutrition.
"While the overall humanitarian situation has improved slightly over the last 12 months, the structural causes of people's vulnerability persist," Isaczai said.
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