UNICEF Angola Humanitarian Situation Report – April 2018

ANGOLA Humanitarian Situation Report April 2018

UNICEF operated child-friendly space and training facilities at Lóvua settlement centre. ©UNICEF/©UNICEF/2018.2017/Luis Vaccination Campaign against Polio, Measles and Rubella.

SITUATION IN NUMBERS Highlights 873 • A total of 873 suspected cases of cholera were reported in Uige Suspected cases of Cholera in Uige province, including 13 deaths up from January to 20 April 2018. A total (includes 13 deaths) of 493 children under 14 were affected of whom 288 were girls and 205 (20 April Cholera Bulletin Ministry of Health) boys. Additionally, 50 suspected cases of cholera and 2 death were reported in Cabinda province. After an effective initial response, case 700,000 numbers have reduced to less than 3 cases per week. people estimated to be in need in 2018 (Vulnerability Assessment Committee • 321,755 children were immunized against measles and rubella (77%) SADC 2017) and 35,411 refugees (Biometric and 161,361 against polio (98%) in the Province of Lunda Norte, Registration Update as of 15 April 2018, including 3,130 refugee children. UNHCR)

• 37,806 children under five were screened for malnutrition, from which 408,100 3,309 were admitted for SAM treatment in UNICEF’s supported Children estimated to be in need outpatient and inpatient treatment centers in drought affected (Vulnerability Assessment Committee SADC municipalities. 2017) including 18,678 refugee children (Biometric • A cumulative total of 908 household latrines and showers built in the Registration Update as of 15 April, UNHCR) DRC refugees settlement of Lovua, from which 83 are for vulnerable families. 43,000 Children under 5 to be admitted for severe • Over 90% of funding gap that have impacted UNICEF response, Acute Malnutrition (SAM) treatment (Based on MOH data) namely in terms of child protection and education.

Funding Status UNICEF’s Response with Partners Funds Carry- received forward to date: amount: $0.2 m $0.9 m UNICEF

UNICEF Cumulative Funding Target results (#) requirements: US$ 14.6 m WASH: Number of people with access to safe water as per 125,000 130,515 agreed standards WASH: Number of people accessing safe and appropriate Funding Gap: sanitation facilities. 125,000 76,186 $13.5m

UNICEF-targeted children in humanitarian situations with SAM 6-59 months admitted into therapeutic treatment 43,000 3,3091 programmes *Funds available include funding received for the current appeal year as well as the carry-forward from the previous year.

1 Data from January to March 2018 for Huila, Cunene and Bié provinces.

UNICEF Angola Humanitarian Situation Report – April 2018

Situation Overview & Humanitarian Needs Southern Angola is experiencing a chronic nutrition crisis stemming from the combined impacts of economic shock, limited rainfall and the deteriorating quality and outreach of basic services. Access to water remains limited, with two- thirds of water points non-operational in affected areas, and over 700,000 people in need of clean drinking water. Below- average rain during the last months has resulted in large moisture deficits and below-average vegetation conditions in north western Angola. Although food security has improved, higher prices are constraining access to food and increasing the risk of malnutrition for thousands of children. Many of these children are still experiencing the impacts of the El Niño phenomenon, which left 756,000 people in need of food assistance.

The rainy season, often associated with displacement and extensive flooding, has given rise to outbreaks of water-borne diseases, particularly cholera. To date, two provinces in Angola have reported suspected cases. In 2018, a total of 923 suspected cases of cholera have been reported including 15 deaths (Case Fatality Rate of 1.6 per cent) in both Uige and Cabinda provinces. UNICEF Angola, has identified and ranked 7 out of the 18 provinces as being at high risk of cholera outbreaks. Prepositioning supplies and partnerships for those areas are key priorities in UNICEF preparedness efforts.

Instability and potential for violence in the Kasai region of the Democratic Republic of the Congo continues to remain a matter of concern. 35,411 DRC refugees have been registered in Lunda Norte province since start of the refugee influx until the last quarter of 2017. By the end of 2017, the situation of refugees improved with their relocation to a new settlement area in Lovua. Nevertheless, torrential rains and limited access to basic health services continue to pose heightened risk of disease outbreaks. Instability in the DRC could cause a new refugee influx into Angola during 2018 and will require continued monitoring and preparedness. UNICEF is working on a new partnership to revamp its support in terms of WASH and C4D in Lovua settlement. Simultaneously, UNICEF has signed an agreement to support capacity strengthening of key provincial government entities for better delivery in Health and Nutrition, Child Protection, Education, WASH, C4D and resilience strengthening, focusing on the emergency response and development nexus beyond the refugee population.

Humanitarian leadership and coordination The national emergency and disaster management group coordinates partners’ support and long term emergency response planning. A high level inter-ministerial commission, led by the Minister of Defence provides overall coordination for the refugee response in Lunda Norte continues. Under this commission, the Ministry of Social Assistance and Women (MASFAMU) leads the humanitarian response in Lunda Norte.

The new national coordination mechanism created in December 2017 by the new leadership of the Ministry of Health to respond to emergencies and epidemics led to the creation of a situation room that monitors disease outbreaks.

Provincial coordination mechanisms led by provincial Governments facilitate local level inter-sectoral coordination involving local authorities and partners. A central level inter-sectoral mechanism was also established under the leadership of the Ministry of Health for coordination of health-related emergencies, notably cholera and malaria.

The UN Disaster Management Team also supports the Government’s response to urgent lifesaving needs, while provincial coordination mechanisms were established for Cunene, Uige, Huila and Namibe to ensure joint coordinated emergency response in the cholera and drought affected areas.

Humanitarian Strategy Through rapid deployment and provision of pre-positioned supplies, UNICEF has delivered support for life-saving interventions while building local capacity to support emergency response and preparedness in Uige, Cunene, Huila, Bie, Namibe and Lunda Norte. In addition, UNICEF regular programme supports resiliency building and further prevention.

UNICEF’s implementation strategy in nutrition include responses to both the DRC Refugees Crisis, severe drought emergency in Southern Provinces and support to Nutrition Systems’ Strengthening for better resilience to emergencies. Along with intensive WASH and health interventions, nutrition interventions (including Integrated Management of Acute Malnutrition (IMAM), Vitamin A supplementation and deworming and the promotion and support of Infant and Young Child Feeding practices) are been implemented in the five most affected provinces, notably, Bié, Huila, Namibe, Cunene and Lunda Norte.

In all affected provinces, UNICEF supported the establishment of Government led coordination mechanisms to integrate synergies and joint efforts in, notably in the response to cholera outbreaks and impact of droughts. UNICEF Angola Humanitarian Situation Report – April 2018

The implementation of the cholera outbreak preparedness and response plan has been coordinated by the Government of Angola under the leadership of the Ministry of Health and the Provincial Health Directorates, with support from UNICEF, WHO, and partners. UNICEF continues to support the provincial and central Government in Dundo, Lunda Norte province, and is working closely with UNHCR, implementing partners and civil society in the refugee influx response, while extending support to host communities through capacity strengthening of local authorities for better service delivery and resilience building.

Summary Analysis of Programme Response

Health and Nutrition A national immunization campaign against measles, rubella and polio has been conducted by the Government of Angola since April 9 to 27 with support of UNICEF, WHO and the Global Alliance for Vaccines (GAVI), targeting 14 million of children. In the first 10 days of the campaign, 7,150,555 children under 15 years old were vaccinated against measles and rubella (58% of the target group) and 3,147,157 (64% of children under 5) were vaccinated against polio. In the Province of Lunda Norte, 321,755 children were immunized against measles and rubella (77%) and 161,361 against polio (98%), including 3,130 refugee children.

UNICEF continued to monitor the situation in cholera-prone regions to ensure preparedness to quickly respond to requests for emergency support. UNICEF supported the National Directorate of Public Health to conduct an epidemiological study to map the areas and populations at risk of cholera, and the factors associated with its spread. Part of a wider ESAR cholera epidemiological study to map hotspots in nine countries, the results will contribute to better targeting cholera interventions in most at-risk locations and/or groups to prevent, prepare for and timely respond to outbreaks.

With UNICEF's support, to date, 37,806 children have been screened for malnutrition and 3,309 children under the age of 5 years were admitted into SAM treatment programmes in the drought affected areas. In March, UNICEF provided ready- to-use therapeutic food (RUTF), therapeutic milks (F75 and F100) and essential medicines (including antibiotics, ReSoMal, Vitamin A, Albendazol and Oral Rehydration Salts with Zinc tablets) to ensure 6 months’ SAM treatment for a caseload of 23,722 r SAM treatment in both the drought provinces and Lunda Norte. Through the joint agreement with ADRA NGO in Huila province, UNICEF also supported community screening and referral of Moderate Acute Malnutrition (MAM) and SAM cases to Special Nutritional Therapeutic Centres, providing regular household monitoring visits to 395 families by 15 trained community health agents from January to April 2018..

Water, Sanitation and Hygiene (WASH) During the reporting period, 63,515 people have been reached with safe water in drought affected provinces by rehabilitation and installation of handpumps, in cholera affected neighbourhoods in Uíge province and in Lovua settlement. At least 130,000 people have been engaged and reached with hygiene promotion messages in drought prone areas. In those provinces, 75,278 people access safe and appropriate sanitation facilities through the implementation of the Community-led Total Sanitation (CLTS) approach.

UNICEF interventions for the DRC refugee population in Lunda Norte continued through the support to provincial Government and partners on the ground, focusing on WASH capacity development and resilience strengthening. During the reporting period UNICEF Angola partnered with UNICEF Supply Division completed the Trial Assessment of Latrine for people with disability in Lovua Settlement and final report was shared. Refugees (leaders, people with disability and local in village where the prototype was installed) decided to keep using the 6 prototypes latrines installed for test and promised to be responsible for their good use and maintenance. UNIICEF through its implementing partner and based upon current funding availability is targeting 920 households and a population of 4,173 refugees. To date, 908 household latrines and showers (benefitting 4,173 people) have been constructed in the refugee settlement of Lovua, including in 83 households where vulnerable people live, such as elderly people, single mothers, caregivers of abandoned children and people with disabilities. Nine (9) WASH committees in 9 villages from Lovua settlement have been created and trained in Water management and Hygiene Promotion. UNICEF Angola Humanitarian Situation Report – April 2018

Child Protection UNICEF has continued to engage with Lunda Norte provincial government and civil society for the monitoring of child protection issues among refugee communities, despite the current unavailability of emergency funding. To continuously strengthen the child protection system in the affected areas, UNICEF has included child protection in emergencies in the provincial work plan for Lunda Norte, namely to ensure provision of birth registration, and implement a referral system and a child protection network, benefiting refugee communities. Trainings provided to law enforcement agents during last year's emergency response, has enabled them to closely monitor on and prevent child trafficking and violence against children in the refugee settlement.

At national level, UNICEF is partnering with the National Immigration Services to strengthen the case management system for better protection of the rights of children on the move including refugee, migrant and trafficked children. Lack of funding for emergency response has prevented the continuation of key UNICEF interventions such as child friendly spaces, child protection case management and social mobilisation activities for prevention of violence against children.

Education UNICEF is in discussion with Lovua municipality to establish temporary learning spaces for the children at pre-primary and primary school age, for both refugee and hosting communities. In this context, 5 tents, 12 ECD kits, 20 school- in- box kits, 10 maths, 500 school bags and 8 recreational kits and other material such as clay modelling drawing books, pencils, crayons will be sent soon to Lovua to support the schooling of 500 children.

The Ministry of Education has finally issued a decree to the Provincial Education Directorate (DPE) to enrol refugee children in public schools. In addition, DPE and Lóvua Municipality are collaborating with UNICEF to support the educational needs of children in the hosting communities. It is agreed that UNICEF will supports the improvement of education services in four communities around Lóvua centre with the kits mentioned above, and advocate for the MoE to allocate more primary education manuals to Lóvua and providing support for training teachers. DPE will contribute with the primary education manuals (already finalized) and the municipality will provide 4/5 teachers for the concerned hosting communities.

UNICEF is also supporting the Government of Huila to establish temporary learning spaces in Eiva and Toco to ensure the continuation of formal education for children from floods-affected communities in Lubango. For this purpose, in April 2018, 2 tents were assembled and school materials were distributed, reaching 139 children.

In Cunene, UNICEF is assessing the impact on the education sector of the floods which occurred in March 18, in particular the number of affected children and schools. Several schools have been flooded and others have been cut off from the town centres as the roads are flooded. In affected schools, children are attending their classes outside of the building, under the trees. UNICEF is finalising the dispatch of supplies to these schools, and working with the provincial education department to monitor the impact of the floods on the school’s attendance and performance. In early May, 4 tents, 12 ECD kits, 20 school-in-a- box ,11 math and 8 recreational kits, and 500 school bags will be sent to Cunene.

Communication for Development In response to the cholera outbreak in Uíge, 60 new Community Development Agents ADECOS, trained by UNICEF on community interventions techniques and messages for cholera prevention and response, have started their functions in the affected neighborhoods, thus integrating the cholera-related mobilization activities, reaching an average of 6000 families. Daily activities of mobilizers and supervisors have been monitored by provincial health promotion teams and volunteer mobilizers using tools provided by UNICEF. The use of these monitoring sheets has enabled UNICEF and partners to obtain detailed and objective information on the number of households visited, people reached and distributions made.

UNICEF is developing a new partnership with and international NGO to implement C4D interventions for the DRC refugee population in Lunda Norte, which aims to empower the refugee population and to build the capacity of village leaders in terms of key family competencies, conflict resolution and services management, namely in terms of communication, water related services, child-friendly spaces, health promotion. At the end of the intervention, community and village leaders, as well as social mobilizers, radio animators and comedians will be able to manage a platform to deliver services for the most vulnerable children and women through a permanent participatory process.

UNICEF Angola Humanitarian Situation Report – April 2018

UNICEF has been supporting the national immunization campaign against measles, rubella and polio by training and monitoring health promotion supervisors who have been using monitoring tools and social mobilization materials prepared with UNICEF support to reach families with children up to 15 years old in the 18 provinces of the country.

As part of the drought response, UNICEF is supporting the implementation of the Family Competencies programme, a cross-sectoral methodology to promote resilience and essential practices at the household level and to create demand for basic social services for children through a strategic alliance between the Department of Family and Health and faith- based organizations. In the Province of Huila, 300 women leaders of church groups were trained and are sharing, on weekly basis, key messages on disease prevention, vaccination, hygiene to create demand for services with mothers and pregnant women of their communities.

Funding UNICEF Angola consolidated its humanitarian funding requirements for 2018 under the HAC which amounts to USD 14, 660,000 and reflects the increasing humanitarian needs in Angola exacerbated by the current economic and financial crisis. During the reporting period, the Government of Japan has contributed with USD 231,481 for the DRC refugee support operations in Lunda Norte to continue humanitarian assistance in the areas of nutrition, water, hygiene and sanitation, as well as the promotion of good health practices. Nevertheless, UNICEF Angola currently faces a funding gap of USD 13,518,987 to continue to effectively respond to multiple humanitarian crisis affecting the country, namely seasonal floods and droughts, and water borne diseases outbreaks in critical locations as well as the refugee response at the border with DRC.

Resources are urgently needed so that UNICEF Angola can support treatment of acute malnutrition; provide clean water and sanitation through WASH interventions; promote community engagement and scale up response interventions in health, education, and child protection while also providing life-saving support as and when required.

Funding Requirements (as defined in Humanitarian Appeal of 2018 Funds available Funding gap Appeal Sector Requirements Funds Received Carry-Over $ % Current Year WASH 2,600,000 93,827 1,376 2,504,797 96 Education 500,000 500,000 100 Health 7,200,000 904,991 6,201,181 86 Nutrition 2,000,000 93,828 2,000,000 100 Child Protection 900,000 3,165 896,835 100 Coordination, PME, 1,460,000 43,826 1,416,174 96 Communication Total 14,660,000 231,481 909,532 13,518,987 92 * Funds available includes funding received against current appeal as well as carry-forward from the previous year.

UNICEF Angola: https://www.unicef.org/infobycountry/angola_latest.html UNICEF Angola: https://www.facebook.com/UNICEFAngola/ UNICEF Angola: https://twitter.com/unicefangola UNICEF Angola: https://www.youtube.com/user/UNICEFangola

Who to Abubacar Sultan Mariana Palavra Niko Wieland contact for Representative Emergency Focal Point Chief of Communication UNICEF Angola UNICEF Angola UNICEF Angola further Tel: +244 226 430 870 (Ext. 4442) Tel: +244 948 143 068 Tel: +244 912 653 017 information: Fax: +244 226 430 878 Fax: +244 226 430 878 Fax: +244 226 430 878 Email: [email protected] Email: [email protected] Email: [email protected]

UNICEFNiko and Wieland IPs Abubacar Sultan Chief of Communication Representative SECTOR UNICEF Angola UNICEF Angola Target Total Tel:Results +244 912 653 017 Tel: +244 226 430 870 (Ext. 4442) Fax: +244 226 430 878 Fax: +244 226 430 878 WATER, SANITATION & Email: [email protected] Email: [email protected] HYGIENE

UNICEF Angola Humanitarian Situation Report – April 2018 Annex 1 SUMMARY OF PROGRAMME RESULTS 2017

UNICEF and Implementing Partners Response Total Results Change since last 2018 Target (January –April report ▲▼ 2018) NUTRITION2 UNICEF-targeted children in humanitarian situations with SAM 6-59 months admitted into therapeutic 43,000 3,309 3,309▲ treatment programmes

UNICEF-targeted children in humanitarian situations 275,000 37,806 37,806▲ under 5 years old screened for malnutrition

HEALTH UNICEF-targeted children 6 months to 14 years in humanitarian situations who are vaccinated against 15,000 2,343 2,3433▲ measles Number of cholera cases managed with UNICEF support. 400 0 No change WATER, SANITATION & HYGIENE Number of people accessing safe water as 125,000 130,515 23,515▲ per agreed standards Number of people accessing safe and appropriate 125,000 76,186 76,1864 ▲ sanitation facilities. Number of people reached with key 470,000 130,000 No change messages on hygiene practices CHILD PROTECTION UNICEF-targeted children in humanitarian situations 5,000 0 No change accessing Child Friendly Spaces Number of people reached by key protection messages 25,000 0 No change in humanitarian situations UNICEF-targeted children in humanitarian situations 190 0 No change reached by child protection services (VAC) EDUCATION UNICEF-targeted children in humanitarian situations 14,000 139 139 5▲ accessing education services

2 In the previous Situation Report results figure were not yet available. 3 The Government, with support from UNICEF and other partners is rolling out a mass vaccination campaign against Polio, Rubella and Measles. The results will be fully available in the next Situation Report. The reported results refer to Lunda Norte DRC refugees. Targets will be updated in the HAC review process. 4 In the previous Situation Report results figure were not yet available. The results include people reached through CLTS in drought affected regions and the refugee settlement. 5 Numbers will increase significantly in the next Situation Report, as several education supplies will be sent to the field in the coming weeks.