Highlights Overview of Humanitarian Response

YEMEN: Monthly Humanitarian Update Western Governorates (Hajjah, Al Hudaydah, Al Mahwit and Raymah) October and November 2014

Highlights

• Global acute malnutrition is still high in Al Hudaydah Governorate despite recent reports showing a reduction from 32 to 18 based on 2014 SMART survey. This number is still above critical threshold of 15 per cent.

• Distribution of food in Haradh was suspended in October following security threats to WFP staff at one of the distribution points. Nearly 5,000 households (mostly IDPs) could not receive their food in October

• Provision of health services at the health centre in Mazraq Camp 1 stopped on 9–11 November, due to a strike by health

personnel who complained of salary delay. Source: OCHA The centre reopened on 12 November The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. after the Ministry of Public Health intervened. Overview of Humanitarian Response

Health

Hajjah

• A two week fumigation campaign to control mosquitoes targeted IDPs and host communities in and around Al Mazraq camps, and the IOM migration centre. The campaign reached Haradh, Hayran, Khayran Al Muharraq, Abs, Mustaba, Bakil Al Mir and Midi districts. 19,400 households (HH) benefited from this campaign including 3,000 from the IDP communities and 16,400 from host communities from Haradh (1,400HHs), Hayran (2,000HHs) and Midi (400 HHs) Districts. The MoPH manages the Malaria Control Program supported by WHO.

• 20 November, the Ministry of Public Health concluded a measles and polio vaccination campaign in Hajjah and Al Hudaydah Governorates. The campaign included vitamin A supplementation and targeted children under 15 years of age from IDPs, migrants and local communities. In Haradh District, 60188 children from host communities, 5,805 children from the IDP communities and 225 migrant children were vaccinated representing nearly 100 percent coverage for the district. On 14 October, UNFPA distributed Post Exposure Prophylaxis (PEP) kit to Haradh hospital, Abs Hospital and to Yemen Red Crescent which will in turn distribute to other health facilities that may need similar support.

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• A newly established renal dialysis centre supported by WHO and UNHCR in Haradh started its operations on 3 November and is currently treating 15 patients per month. At full capacity, the centre will treat 35 cases of chronic renal failure per month. The centre lacks laboratory equipment, which local authorities promised earlier to purchase. Previously, WHO referred 35 chronic renal failure cases per month to Hajjah, Al-Hudaydah and Al Mahwit Hospitals.

• Yemen Family Care Association is currently rehabilitating eight health units in Hayran, Midi and Mustaba districts. These projects have been funded through the Emergency Response Fund. Source: UNICEF Al-Hudaydah

• IOM set up a new mobile clinic in Al Qanawis District to provide basic health services and first aid to migrants from the Horn of Africa. Migrants with serious medical cases are referred to Haradh Hospital.

Nutrition

Hajjah

• WHO and ADRA provided nutrition services in Mazraq IDP camps and ACF is providing community-based moderate acute malnutrition services in Asalem and Mustaba Districts.

• With UNICEF support, the Ministry of Health trained 180 health workers for the Hajjah outpatient therapeutic centre (95 male and 85 female) on communication for development to strength their counselling skills. UNICEF supported the training of 189 new community health volunteers from Abs, Mustaba and Asalem Districts.

Al Hudaydah, Raymah and Mahwit

• Four integrated health and nutrition mobile teams were launched in Raymah and Mahwit with UNICEF support to cover the 3rd level hard-to-reach villages. Save The Children International (SCI) continues providing malnutrition treatment for both severe acute malnutrition (SAM) and moderately acute malnutrition (MAM) cases in 11 districts through 19 mobile clinics and four stabilization centres.

• ACF continued to provide severe acute malnutrition (SAM) treatment in 37 facilities in five districts (Jabal’

Ras, Al Khawkhah, Al Garrahi, Al Munirah and Hays) for malnourished children and mothers. Source: HAD

• 20-27 October, a workshop on community-based integrated interventions was conducted in six districts (three in Al-Hudaydah, two in Hajjah and one in Mahwit). The project, consisting of WASH and nutrition activities, will be implemented with UNICEF support via PUAM, an international NGO, in two districts by the Ministry of Health offices in the respective governorates. 90 participants from national and international NGOs attended the workshop.

• Ministry of Health in Al Hudaydah, supported by UNICEF, conducted Communication for Development ( C4D) training for 100 health workers from Raymah (71 male and 29 female), 56 from Mahwit (40 male and 16 female) and 197 from Al Hudaydah (119 male and 78 female) to strength their counselling skills. Training focused on treatment of severe acute malnutrition.

Water, Sanitation and Hygiene (WASH)

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Hajjah

• 32,909 benefitted from 5,092 hygiene kits distributed in five districts (Haradh, Hayran, Mustaba, Khayran and Abs). The distribution reached 5,050 displaced families (28,760 IDPs), four IDP schools (4,149 students), and WHO and ADRA-managed health units inside Mazraq camps 1 and 3. Al Khayr, a national NGO undertook the distribution with support provided by UNICEF

• 29,525 people will benefit from installation of an additional water pump for the main water tank of Al Mazraq water project in Om Al-Qasoum area of Haradh District. The General Authority for Rural Water Supply Projects (GARWSP) implemented the project, which is supported by UNICEF. IDPs inside and outside the camps and the host community are beneficiaries of the project.

• 47 per cent of Shaleilah water project has been completed. GARWSP is implementing the project with support provided by UNICEF. The project involves installation of 18,000 meters pipeline to supply safe drinking water to 5832 people in 15 villages in Haradh District

• 166 displaced families (1,150 individuals) benefited from rehabilitation of 117 latrines by Al-Khayr (a national NGO) in Haradh, Mustaba, and Hayran districts.

• OXFAM continued construction of a water tank with a capacity of 150 cubic meters and installing a new water pump operated by solar power in Alfaj area in Haradh district while rehabilitating the water pipeline network in Almatayenah area of Abs District. 500 families from the host community will benefit from the OXFAM water projects.

• CARE continued rehabilitation of 7 wells in Asalem and Bani Qais districts and will install seven solar- powered water pumps for these wells. 95 per cent of the work was completed in mid-November. In addition, CARE constructed 240 latrines and handed over to beneficiaries (240 households) in Asalem and Bani Qais districts. 1424 households also received hygiene and dignity kits.

Food Security and Agriculture

Hajjah

• On 13 November, WFP completed distributing food under the Safety Nets Programme targeting 27,145 food insecure families in eight districts (Ash Shahil, Haradh, Abs , Qafl Shamer, Khuhlan Al-Sharaf, Kushar, Bani Al-Awam and Washhah.

• The distribution of food in Haradh to nearly 20,000 IDP households was suspended in October following security threats to WFP staff at one of the distribution points. About 15,000 households received their October monthly cycle food but nearly 5,000 (mostly IDPs) missed October food. WFP wrote to the local authorities to take action and ensure security at the distribution points.

• Action Contre La Faim (ACF) started registration of 1,154 beneficiaries for its cash transfer intervention in Qafl Shamer District for vulnerable households. Data on severe acute malnutrition collected by stabilisation centers and 42 outpatient therapeutic sites will be used to select the beneficiaries. Each household will receive 13,000 YER for five months.

• WFP, through the Ministry of Agriculture, is conducting post-distribution monitoring in Salem District to assess crop performance and beneficiary feedback after the distribution of 10 tons of seeds to 483 beneficiaries in Al-Mekhlaf and Thoalan Thowaid villages of Qafl Shamer District. Al-Hudaydah

• Save the Children International started implementation of conditional cash transfer in Alluheyah and Al Mighlaf Districts in Al Hudaydah Governorate. 3,000 households (2,000 in Al Mighlaf and 1,000 in Alluheyah) received the first cash transfer. The households have been grouped into 40 Cash-for-Work Groups. A baseline on the households was conducted before starting the activities.

Shelter/Non-Food Items/Camp Coordination, Camp Management

Hajjah

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• Construction of 94 transitional shelters was completed and another 24 are under construction. Al Amal, a national NGO is supported by the Norwegian Refugee Council to implements the project. Transitional shelter in Hayran District is targeting vulnerable people from the IDP community as part of the DFID funded shelter intervention.

• 18,000 people among IDPs and vulnerable host communities benefited from clothes distributed by UNHCR, through its implementing partner Al-Amal, in Al Mazraq IDP camps and in 15 villages. The project will distribute clothes to another 10,085 persons by the end of December. UNIQLO, a giant Japan’s clothing retail donated the clothes. The company has supported UNHCR operations since 2006 with focus on providing clothes to displaced people.

• 192 IDP households received non-food items distributed by Charitable Society and Social Welfare between 24 October and 19 November. This project was supported by the Emergency Response Fund (ERF) to provide assistance Khayran Al Muharraq, Bani Qais, Ku'aydinah, Asalem and Mustaba Districts.

Multi-Sector: Migrants

Hajjah

• 25,950 Yemeni deportees from Saudi Arabia including 24,177 men, 724 women, 667 boys and 372 girls, arrived at Al Tuwal border crossing point in October. IOM continues providing basic health services and NFIs and transportation to vulnerable cases to their final destinations. 304 people(247 male and 57 female) were transported to their original areas during the reporting period.

• 246 migrants from the Horn of Africa (234 Ethiopians, 11 Somali, one Eritrean) were registered at the IOM- managed migrants center in Haradh in October. In collaboration with WFP, the center provides hot meals while the sick migrants receive health care.

Protection

Hajjah

• From 3 to 13 November, CSSW with the support of UNHCR trained 80 members (10 female and 70 males) of Community-Based Protection Networks (CBPN) on GBV, child protection and human education topics. After training, the CBPN volunteers are expected to reach areas where other service providers do not reach. • Following repeated reports of migrants being drowned or killed at sea, UNHCR organized a two-day training on protection at sea in Sana’a where four government officials from Haradh and two DRC staff participated. The training was conducted during 26-27 November as part of the continuous capacity building process for local authorities and civic society.

• In mid-November, the Ministry of Human Rights conducted a two day workshop on the rights of the refugees and migrants for local NGOs, INGOs and local authorities in Haradh with the support of UNHCR.

• On 25 November, GBV Sub-Cluster marked the beginning of the commemoration of 16 Days of Activism against Violence against Women at the IOM migrant center. The participants in the ceremony highlighted the negative impacts of GBV on women, families and communities and encouraged all to curb it. Child Protection

• The Child protection centre in Haradh, managed by the Ministry of Social Affairs and Labour, received 83 unaccompanied children deported from Saudi Arabia October. 77 were handed over to their families at the centre and six children sent to their families in their areas of origin in Sana’a, Raymah and Mahwit.

GBV

• In October, 758 women and 137 men received awareness sessions on GBV in Haradh, Aflah Ash Shawm, Abs and Hajjah Districts. These included IDPs, returnees and host communities. 48 GBV survivors (40 women, five girls and three boys) received assistance, including health services, psychosocial and

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livelihood support. One woman, one boy and two girls received legal support. The human rights violations reported include sexual and gender based violence, physical assault, forced marriage, and psychological abuse. These activities were funded through CERF.

Education

Hajjah

• UNICEF provided educational support to 4,612 school children (1,838 girls and 2,774 Boys). Out of 4,612 school children, 3,993(1,599 girls and 2,394 boys) are IDPs. In addition to provision of child friendly spaces, and educational materials, UNICEF provides incentives to 79 teachers in five schools benefiting IDP students (1,821 children; 766 girls, and 1,055 boys—in Taashar, camp 1 and 3 and settlement 2 schools). Each teacher receives 35,000 YER per month. The Ministry of Education has promised to gradually transfer these teachers to the government payroll.

Coordination: Activities, challenges and solutions

• OCHA organized two workshops on 28 October in Al-Hudaydah and 30 October in Haradh for field consultations ahead of the Humanitarian Needs Overview (HNO) workshop in Sanaa on 23rd October. 76 participants (44 in Haradh and 32 in Al-Hudaydah) from the operational clusters, INGOs, local NGOs and government participated.

• The durable solutions task force discussed the return strategy for IDPs in Al Mazraq camps 1 and 3 on 15 October. Return packages will include food, non-food items, and shelter support. UNDP expects to launch inter-agency assessments at Haydan and Al Dhaher Districts in Sa’ada focusing on villages of return.

• From 9-10 November, OCHA facilitated a training workshop in Haradh on strengthening Cluster coordination for sub-national cluster leads, alternate leads (co-facilitators) and sub-cluster leads (GBV, Child Protection). The training focused on both substantive issues (Global Humanitarian system, Inter- Agency Standing Committee, Humanitarian Reform, Transformative Agenda, Humanitarian Programming Cycle and roles and responsibilities in coordination) and soft skills (facilitation skills, management of meetings). More than 20 participants from NGOs and UN benefited.

• On 10 November, the HCT GenCap Gender Advisor conducted a brief session on gender considerations in IDP registration processes, with participation of registration teams from Executive Unit, UNHCR, WFP, IRY and others.

• Other coordination meetings held during this period include Food Security and Agriculture, Health, WASH, GBV and child protection and CCCM/shelter/NFIs cluster meetings.

Challenges

• WFP Emergency Coordinator for Yemen Mr Ian McDonal and the WFP Area Manager for the western governorates Mr Mohammed Satti visited Haradh in November to consult local authorities on security. On 13 November, Mr Mohamed Harmal, Deputy Head of Executive Unit in Sanaa, delivered an official letter to the head of security in Haradh asking him to ensure safe environment for aid workers.

• The Health Sub-Cluster reported gaps in funding to support referral cases resulting in WHO confining its support to critical renal and tumour cases. Approximately 100 chronic or emergency cases from IDP communities or vulnerable host communities need immediate referral services. WHO is negotiating with INGOs to try to fill the gaps so that critical cases can be referred to Hajjah, Al-Hudaydah or Sanaa hospitals. ADRA is considering filling this gap but lacks funds.

• Lack of accurate statistics on actual numbers of victims of protection-related crimes remains a challenge due to sensitivities related to these issues and limited capacity for accurate reporting.

• On 1 November, Haradh hospital refused to accept IDPs who were wounded in a car accident that resulted in three deaths and 15 injuries, four of them life threatening injuries. Islamic Relief, the manager of the IDP camps in Al Mazraq, managed to transfer the wounded to a private hospital and later transported four serious cases to Al Hudaydah and Hajjah hospitals. The health office in Haradh has been asked to

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investigate why staff in Haradh Hospital refused to provide life-saving services to IDPs. Haradh Hospital is the only referral governmental hospital for approximately 10 districts in Hajjah and the western districts of Sa’ada Governorate. With significant UN support, the hospital is supposed to serve IDPs and host communities.

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