Cameroon Humanitarian Situation Report

SITUATION IN NUMBERS November 2018 Highlights 1,810,000  The cholera outbreak continues with a total number of 942 cases # of children in need of humanitarian and 57 deaths recorded in the North, Far North, Central and Littoral assistance regions as of 23 November. In collaboration with national and 3,260,000 humanitarian actors, UNICEF is conducting cholera response and # of people in need ( Humanitarian Needs Overview 2018) prevention activities in the affected areas.  After activities were put on hold due to the electoral campaign in Displacement October 2018, UNICEF and its partners resumed emergency 437,515 # of Internally Displaced Persons (IDPs) in activities in the North West and South West. North West, South West, Littoral and West  In the Far , the number of IDPs increased by 7% and regions. reached 244,347 in September, as opposed to 227,581 people (Estimates by OCHA, October 2018)

reported in June. (IOM Displacement Tracking Matrix Round 15, 244,347 #of Internally Displaced Persons (IDPs) in September 2018). the Far North region (Displacement Tracking Matrix 15, September 2018) 100,925 # of Returnees in the Far North region (Displacement Tracking Matrix 15, September 2018) UNICEF’s Response with Partners 99,851 # of Nigerian Refugees in rural areas Sector Total UNICEF Total (UNHCR Cameroon Fact Sheet, November 2018) Target Results* Target Results* 252,344 WASH: People provided with access 528,000 24,137 75,000 10,754 # of CAR Refugees in the East, Adamawa to appropriate sanitation Education: School-aged children 4-17, and North regions in rural areas (UNHCR Cameroon Fact Sheet, November 2018) including adolescents, accessing 411,000 164,647 280,000 162,705 education in a safe and protective UNICEF Appeal 2018 learning environment. US$ 25.5 million Nutrition: Number of children aged 6- 59 months with SAM admitted for 38,646 58,859 40,482 62,283 Funding status (US$) treatment Funds received: Child Protection: Children reached $4.4M with psychosocial support through 289,527 85,000 142,399 child friendly/safe spaces Carry-over: C4D: Persons reached with $2.1M (8%) information about WASH / health / Required: nutrition / education services 235,913 814,634 (behavior/best practices) through $25.5M community-based social mobilization and/or outreach activities Funding gap: *Total results are cumulative. $18.9M (74%) Situation Overview & Humanitarian Needs The Ministry of Public Health and UNICEF, with financial support from KfW (Germany), conducted Standardized Monitoring and Assessment of Relief and Transitions (SMART) nutrition survey from 12 September to 2 October. The survey targeted the four vulnerable regions (Far North, North, Adamawa and East) to assess the nutritional status of children aged below five years old as well as infant and young child feeding (IYCF) practices. The preliminary report estimated 21,259 cases of severe acute malnutrition (SAM), and indicate that, on average, the prevalence of global acute malnutrition is close to 5% in the four regions. According to WHO 2006 standards, the situation can be classified as “serious” (≤1%) for SAM in the Far North, Adamawa and North regions. Detailed results and analysis will be presented in the final report. UNICEF continues to support the implementation of Integrated Management of Acute Malnutrition (IMAM) activities. In the Far North region, from the 92 schools that were closed-down due to insecurity, 24 schools were reopened this academic year: 23 schools in Mayo Sava and one school in Mayo Tsanaga (Far North Regional Education Office, October 2018). UNICEF contributed to the reopening of these schools by playing an advocacy role towards the authorities. The remaining 68 schools are still closed due to the persisting insecurity: 34 in Mayo Sava, 18 in Mayo Tsanaga and 16 in Logone and Chari. According to the DTM (IOM Displacement Tracking Matrix Round 15, September 2018), in the Far North region, the number of IDPs increased by 7% and reached 244,347 people in September, as opposed to 227,581 people reported in June 2018. On the other hand, the number of returnees and unregistered refugees increased respectively by 9% (100,925 people) and 6% (41,763 people). From June to August, there was an increase of attacks reported in Mayo Sava and Logone and Chari divisions, compared with the period from March to May. This led people to be displaced in these divisions. In terms of the returnees back in Logone and Chari and Mayo Sava divisions, difficulties in accessing agricultural land or finding financial means to sustain their lives motivated people to return to these divisions. Furthermore, relative lull in attacks for the period from February to July encouraged displaced people to return to Mayo Tsanaga division. The cholera epidemic is still observed in the North and Far North regions. As of 23 November, a total of 942 cases and 57 deaths have been reported in Cameroon, out of which 595 cases with 40 deaths, and 268 cases and 16 deaths are reported respectively in the North and Far North regions, according to the Ministry of Public Health (Situation Report 23 November 2018). UNICEF periodically organises field missions in the affected areas in the North and Far North regions to provide support with the regional heath delegations in the cholera coordination and responses. In parallel, UNICEF continues sensitisation activities and distribution of WASH kits. Also in the Far North region, measles epidemic was declared in Kousseri health district in Logone and Chari division. As of November, 61 cases, including one death were reported (Ministry of Public Health, Situation Report 29 November 2018). In collaboration with the Far North Regional Health Delegation, UNICEF is preparing its intervention of providing vaccines and accessories items as well as supporting community social mobilisation. In the North West and South West regions, UNICEF has initiated programmes in health, WASH, child protection and communication for development to provide assistance, primarily through distribution of WASH kits and mosquito nets as well as child protection and sensitisation activities. Despite strong access constraints, UNICEF has reached more than 32,000 beneficiaries in all.

Estimated Population in Need of Humanitarian Assistance

*Cameroon Humanitarian Needs Overview 2018 **SMART Survey 2017 & UNHCR Standardised Expanded Nutrition Survey (SENS) 2016 Start of humanitarian response: November 2013 Total Male Female Total Population in Need* 3,260,000 1,610,000 1,650,000 Children (Under 18)* 1,810,000 915,000 896,000 Children Under Five** 523,000 258,000 265,000 Children 6 to 23 months** 163,000 80,500 82,500 Malnourished Pregnant and lactating women** 18,000 - 18,000

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Humanitarian Leadership and Coordination

 The Humanitarian/Resident Coordinator leads the overall humanitarian coordination, supported by OCHA.  At the national level, UNICEF and the Government are co-leading the Nutrition, WASH and Education sectors, as well as the sub-sectoral group for Child Protection.  At the field level, OCHA leads inter-sector coordination, which addresses particularly challenges and gaps both for refugees, IDPs and host communities in the Far North, while UNHCR oversees coordination in the regions of the East and Adamawa.  In response to the crisis in the North West and South West, clusters have been activated and UNICEF is the lead for the WASH, Nutrition, Education clusters and the Child Protection sub-cluster. Humanitarian Strategy UNICEF’s integrated programme is based on four pillars: building a protective environment and supporting community peacebuilding; preventing and responding to the violence and exploitation of children; increasing access to basic services; and strengthening emergency preparedness and response systems. All four pillars bridge the humanitarian-development nexus and foster community resilience to outside pressures, such as conflict or population displacement, while supporting the State to anticipate and respond to shocks. UNICEF aims at strengthening collaboration between community-based structures and government services to provide care and protection to children, particularly the most marginalised. By supporting community dialogue mechanisms, inter- generational dialogue and non-violent relationships among peers, UNICEF works to foster social cohesion, giving children a voice and rebuilding community linkages. Recognizing that lack of access to basic services exposes children to vulnerabilities, UNICEF supports the Government to strengthen the quality of service delivery at the community level by training community workers and establishing needed infrastructure, improving access to water and sanitation in schools and health centres, developing community health mechanisms and improving the quality of education. Furthermore, UNICEF is working with non-governmental organisations and other partners to implement mechanisms for monitoring and responding to emergencies in a timely and effective manner. Summary Analysis of Programme Response UNICEF humanitarian assistance primarily focuses on IDPs, out-of-camp Nigerian refugees and host communities affected by the violence caused by armed groups as well as the refugees who fled the armed conflict in Central African Republic (CAR), and host communities.

Lake Chad Basin (LCB) Crisis

Nutrition1 IMAM activities continue in the Far North (349 health facilities covered). In October, 3,492 children aged 6-59 months were admitted across UNICEF supported health centres in the Far North for the treatment of malnutrition. 5,694 people (4,431 women and 1,263 men) were sensitised on Infant and Young Child Feeding (IYCF) and good hygiene practices in health districts the most affected by displacements (, Koza, and Mora). A total of 21,282 children were screened in Kolofata, Mora and Koza health districts (12,191 girls and 9,091 boys) of which 489 (282 girls and 207 boys) children were identified with SAM and 1,401 (796 girls and 605 boys) children with Moderate Acute Malnutrition (MAM). Also among those screened were 1,148 IDP children (591 girls and 557 boys) in the Kolofata IDP site, 61 of whom were SAM and 66 MAM. Health In November, 1,637 children aged 0-11 years were vaccinated against measles in , Koza, Mora and Kolofata health districts. No Long Lasting Insecticidal Nets (LLINs) were distributed during the month of November due to its unavailability, although 7,100 LLINs are currently being transferred to the Far North region.

1 Due to the reporting system of the ministry, the admission data of the concerned month is reported in the following month (i.e. January data are reported in February). 3

WASH In the North region, 25 pots containing 25kg of chlorine each were made available to the Regional Delegation of Public Health to fight against cholera. Two health centres and nine primary schools in health district received various WASH kit items (126 buckets, 338 cups, 2,304 soaps, 530 packs of 50 tables of aqua tabs). In the Far North region, the Regional Delegation of Public Health received 18 pots containing 25 kg of chlorine each and 50 flyers for hygiene promotion against cholera. In parallel, 35 flyers and 200 posters on cholera were handed over to NGOs (IEDA Relief and NRC) to support awareness-raising in the health district of Makary where cholera outbreak has occurred. In November, UNICEF concluded new partnership agreements with four NGOs (CRC, UNOADD, AP2D and Solidarités International). These NGOs will implement community mobilisation activities on cholera in the North (, Golombe, Bibemi, Ngong, 1 health districts) and Far North regions (Makary and Fotokol health districts) to boost the efforts to fight against cholera. In Kolofata IDP site, hand pumps have been provisionally installed on the five boreholes while waiting for the installation of solar system. 7,000 IDPs currently benefit from these hand pumps. In partnership with NGO COHEB, UNICEF provided 11,295 IDPs and host populations with WASH items (2,259 buckets, 2,259 plastic kettles, 4,518 cups, 2,259 aqua tab boxes, 2,259 defecation pots and 15,840 soaps) in the localities of Mozogo and Moskota in Mayo Tsanaga division. To improve the situation of approximately 2,270 IDPs in Zamai site, a partnership agreement was signed with NGO Public Concern to construct 36 blocks of latrines, conduct hygiene promotion activities and distribution of WASH kits to approximately 1,000 families. Education As of November, 141,493 (67,917 girls and 73,576 boys) enrolled in primary and pre-schools in the Logone and Chari, Mayo Sava and Mayo Tsanaga divisions. During this same period, 35,520 children also benefited from psychosocial support services from trained teachers supported by UNICEF. UNICEF supported the regional education authorities and a local NGO to conduct community mobilization and sensitization for the massive enrolment of new children in the school for the new academic year. The implementation of peacebuilding education activities continues in the Logone and Chari division. In schools, trained teachers are teaching students about peacebuilding, tolerance and pacific cohabitation. 19,523 children (9,371 girls and 10,152 boys) are targeted for these education activities. School supplies (exercise books, pens, pencils, erasers) and Early Childhood Development kits (books, balls etc.) have been dispatched to Logone and Chari division in Mayo Sava and Mayo Tsanaga divisions. These materials will be distributed in December to cover the needs of those 19,523 children.

Child Protection In November, a total of 90 (44 girls and 46 boys) unaccompanied and separated children were identified, of which 29 are unaccompanied (17 girls and 12 boys) and 61 are separated (27 girls and 34 boys) in Logone and Chari, Mayo Sava, and Mayo Tsanaga divisions. They include 62 internally displaced children (33 girls and 29 boys), 19 host community children (7 girls and 12 boys) and 9 refugee children (3 girls and 6 boys). Furthermore, a total of six children, comprising of four unaccompanied IDPs (all boys), one refugee (girl), and two returnees’ children (1 girl, 1 boy) were reunified with their families in Logone and Chari, Mayo Sava, and Mayo Tsanaga divisions. 12 children (8 girls and 4 boys) suspected of association with armed groups were identified through the interventions of UNICEF implementing partners in Mayo Sava and Mayo Tsanaga divisions. UNICEF also provided psychosocial support to 22,484 children (10,649girls and 11,835boys) in community-based Child Friendly Spaces (CFS) during November 2018. They include 11,254 IDP children (5,509 girls and 5,745 boys), 11,119 host community children (5,094 girls and 6,025 boys) and 111 refugee children (46 girls and 65 boys). Additionally, UNICEF provided 109 conflict- affected children (50 girls and 59 boys) with birth certificates in Kousseri and Waza sub-divisions in Logone and Chari division, and Mora sub-division in Mayo Sava division.

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In collaboration with PROMUNDO-Living peace, NGO ALDEPA established two ‘youth space for peace’ for children who had been involved in hostility. These spaces located respectively in Zamai site (Mayo Tsanaga division) and Igawa (Mayo Sava division) are operational from 13 August. As of 19 November, a total of 150 (75 girls and 75 boys) adolescents benefited from therapeutic in-depth psychosocial support and discussion on gender positions in the society to think about a positive change in behaviour to prevent extremism. Communication for Development (C4D)2: Sensitisation on cholera prevention continues as 203,552 people and 558,336 people were sensitised respectively in the Far North (Logone and Chari, Mayo Tsanaga, Mayo Kani and Diamaré divisions) and North (Benoué and Mayo Louti divisions) regions through community meetings and home visits.

CAR Refugee Situation Nutrition IMAM activities are ongoing within 124 and 140 health facilities respectively in the East and Adamawa regions. Since January, 11,422 children aged 6-59 months (including 2,382 refugees from CAR) have been admitted across UNICEF- supported health centres in the East and Adamawa regions for SAM. Of these children, 952 were admitted in October, including 215 refugee children.

WASH In November, as part of cholera prevention, in collaboration with the Regional Delegation of Public Health of East region and UNHCR, UNICEF provided WASH kit items (8,000 pieces of soap, 440 buckets with lids and 880 water- container collapsible of 10 litres) to 1,205 households, including 688 CAR refugee households in five sites (Lolo, Timangolo, Mbile, Gado and Gari Nsingo) in the Kadey division of the East region. Those households, equivalent to 4,486 people were also sensitised on water collection, transportation and conservation as well as hand washing for cholera prevention.

Education During the month, UNICEF supported a refresher training for 38 (9 males and 29 females) Community Pre-school Center (CPC) animators and nursery teachers in Garoua Boulai sub-division. The training equipped them with basic knowledge on pre-school and skills of taking care of young children (welcoming, keeping them active and alert, encouraging and motivating them to stay in the centres), the use of the new pedagogic curriculum in pre-schools and on the technics of creativity and animation in CPCs.

Child Protection In November, 564 children (280 girls and 284 boys) received psychosocial support in the Garoua Boulai sub-division in the East region. The Community-Based Child Protection Mechanisms (CBCPM) is operational in 18 villages. During the month of November, they identified 291 cases of violence, abuse, exploitation and 1,268 cases of deprivation of rights. Of these cases identified, 28 children were referred to the appropriate services, while others received psychosocial support directly from the members of CBCPM. They also undertook 23 mediations with the families, and six denunciations were made to the authorities. To strengthen community mobilisation and search for endogenous solutions to child protection issues, 12 community dialogues were organized in eight communities with the participation of 382 persons on child marriages, birth registration, education, and support to vulnerable children.

Security The security situation in the Far North region deteriorated from 20 November. Between 20-30 November, 15 attacks were recorded. The use of Person-Borne Improvised Explosive Devices (PBIED) has been reported. On 25 November, two suicide bombers infiltrated the locality of Amchide in Mayo-Sava division, and one of them exploded her charge, while the other was shot down before she detonated her explosives. Two deaths and 29 casualties were reported with

2 While C4D started reporting in the situation report in January 2018, and the result covers from the beginning of the projects in December 2017. 5 the explosion. On 28 November, another attack took place in Limani (Mayo-Sava division). One suicide bomber killed herself with PBIED and one person was injured. In November, the security situation was relatively calm in the Adamawa and East regions. The North region was marked by kidnappings with ransom demands: two people in Lougéré ( division), three people in Baka ( division) and two people in Mbaiboum (Mayo-Rey division). All the victims of these kidnappings were Cameroonians.

Funding UNICEF expresses its gratitude to the Governments of the United States, Norway and Sweden, as well as CERF and the PBSO, for their contributions to the 2018 humanitarian response. UNICEF has also received unearmarked funds through Global Humanitarian Thematic Funds. Further adequate, predictable and flexible resources are needed to allow UNICEF to reach the most disadvantaged children in Cameroon, including children affected in the newly emerging crisis in the NW/SW regions. Total funding gaps for the 2018 Humanitarian Action for Children (HAC) plan remain above 67% for all sectors, exposing children and their care-takers to threats to their well-being. Total UNICEF Funding

Funds available* Funding gap Appeal Sector Requirements Funds Received Carry-Over $ % Current Year Nutrition 5,055,000 32,997 249,594 4,772,409 94%

Health / HIV 3,272,000 694,201 101,958 2,475,841 76%

WASH 7,191,000 2,189,844 58,010 4,943,146 69%

Child Protection 3,497,000 903,803 167,446 2,425,751 69%

Education 4,326,000 28,239 1,425,639 2,872,122 66% Emergency Preparedness and 2,120,000 594,257 90,602 1,435,141 68% Response

Total 25,461,000 4,443,341 2,093,249 18,924,410 74% * Funds available includes funding received against current appeal as well as carry-forward from the previous year. ** The nutrition program is mainly funded by the German Development Bank KFW, with two non-humanitarian grants. The overall budget for the SAM treatment program is US$4,000,000 of which $1,800,000 are devoted to the LCB crisis. ***Health sector: of the total funds received, $101,958 is for the polio immunization which is not part of the original HAC targets. Additional $404,268 were spent for polio immunization and other social mobilization activities for the LCB crisis but not part of the humanitarian fund.

LCB Funding Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC)) Funds available* Funding gap Requirements Funds Appeal Sector LCB Received Carry-Over $ % Current Year Nutrition 2,322,455 249,594 2,072,861 89%

Health / HIV 710,500 213,465 101,958 395,077 56%

WASH 4,428,000 958,110 0 3,469,890 78%

Child Protection 2,383,000 480,980 137,410 1,764,610 74%

Education 2,881,500 126,600 2,754,900 96% Emergency Preparedness and 60,081 90,602 0 0% Response

Total 12,725,455 1,712,636 706,164 10,457,338 82%

Next SitRep: December 2018

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UNICEF Cameroon: https://www.unicef.org/infobycountry/cameroon.html UNICEF Cameroon Facebook: www.facebook.com/unicefcameroon UNICEF Cameroon Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/index.html

Arsene Azandossessi Sara Karimbhoy Jacques Boyer Who to Representative Deputy Representative Chief Field Operations & Emergencies Yaoundé, Cameroon, Yaoundé, Cameroon Yaoundé, Cameroon contact for Tel: +237222505402 Tel: +23722223182 Tel: +23722223182 further Fax: +23722231653 Mobile +237699417238 Mobile +273694538688 Fax: +23722231653 Fax: +23722231653 Email: [email protected] information: Email: [email protected] Email: [email protected]

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Annex A SUMMARY OF PROGRAMME RESULTS* National Response Overview Results (Lake Chad Basis Crisis & CAR Refugee Situation) Sector Response UNICEF Overall Change Change National Needs 2018 Total since last 2018 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of people provided access to water for 826,000 306,000 51,700 10,200 40,000 6,000 3,000 drinking, cooking and personal hygiene Number of people provided with access to 696,000 528,000 24,137 4,412 75,000 10,754 0 appropriate sanitation Number of people provided with WASH kits* 592,000 440,000 76,363 16,060 200,000 57,383 13,859 EDUCATION Number of school-aged children 4-17, including adolescents, accessing education in a safe and 610,000 411,000 164,647 141,493 280,000 162,705 141,493 protective learning environment. Number of school aged children 4-17 year benefiting 494,000 250,000 5,334 0 150,000 5,334 0 from teaching and learning materials Number of children who benefited from the services of teachers who are trained in psychosocial support 494,000 336,000 39,582 35,520 280,000 39,582 35,520 and conflict and disaster risk reduction. HEALTH Number of children immunized against measles 61,487 3,935 1,637 Number of pregnant women that have received 2 Long 23,457 2,229 0 Lasting Insecticidal Nets (LLINs) NUTRITION Number of children aged 6 to 59 months with SAM 44,728 38,646 58,859 7,294 40,482 62,283 7,664 admitted for treatment Performance of integrated program for severe acute >75% 88% 3.7% >75% 88% 3.7% malnutrition treatment CHILD PROTECTION Number of children reached with psychosocial support 289,527 36,246 85,000 142,399 23,048 through child friendly/safe spaces (girls and boys) Number of children suspected or verified associated with an armed group (including children released from 201 44 70 130 12 detention) provided with temporary care or family / community reintegration support Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 4217 476 1,200 1,642 90 arrangements and/or who benefited from individual follow-up (SC/ UAC; girls / boys) Number of Unaccompanied Children reunified with 74 11 150 49 6 families (girls and boys) Number of conflict affected children provided with Birth 6895 451 12,000 4,491 109 Certificate Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education 235,913 1,317,961 761,888 services (behavior/best practices) through community- based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, 500 756 0 etc) participating as agents of social mobilization at community level

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Lake Chad Basin Crisis Sector Response UNICEF and IPs Overall Change Change Sector Total since last 2018 Total since last needs 2018 Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of people provided access to water for 534,000 261,000 35,400 8,400 30,000 4500 1,500 drinking, cooking and personal hygiene Number of people provided with access to 556,000 455,000 14,693 0 50,000 6,800 0 appropriate sanitation Number of people provided with WASH kits* 472,000 350,000 74,299 13,996 180,000 55,319 11,795 EDUCATION Number of school-aged children 4-17, including adolescents, accessing education in a safe and 400,000 210,000 145648 141,493 180,000 145,648 141,493 protective learning environment. Number of school aged children 4-17 year benefiting 342,000 130,000 4,374 0 85,000 4,374 0 from teaching and learning materials Number of children who benefited from the services of teachers who are trained in psychosocial support 342,000 196,000 39582 35,520 180,000 39,582 35,520 and conflict and disaster risk reduction. HEALTH Number of children immunized against measles 43,568 3,935 1,637 Number of pregnant women that have received 2 13,582 2,229 0 Long Lasting Insecticidal Nets (LLINs) NUTRITION Number of children aged 6 to 59 months with SAM 23,945 21,465 35,507 4,730 21,555 36,135 4,782 admitted for treatment in Far North Number of children aged 6 to 59 months with SAM 12,093 10,884 14,312 1,626 11,012 14,726 1,686 admitted for treatment in North Performance of integrated program for severe acute >75% >75% 93.3% 5.5% >75% 93.3% 0 malnutrition treatment in Far North: cured rate Performance of integrated program for severe acute >75% >75% 84.6% 5.8% >75% 84.6% 0 malnutrition treatment in North: cured rate CHILD PROTECTION Number of children reached with psychosocial support through child friendly/safe spaces (girls and 251,073 286,587 35,682 70,000 139,459 22,484 boys) Number of children suspected or verified associated with an armed group (including children released 110 201 44 70 130 12 from detention) provided with temporary care or family / community reintegration support Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 2,508 3,775 476 1,000 1,200 90 arrangements and/or who benefited from individual follow-up (SC/ UAC; girls / boys) Number of Unaccompanied Children reunified with 376 74 11 150 49 6 families (girls and boys) Number of conflict affected children provided with 12,500 6,895 451 9,000 4,491 109 Birth Certificate Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services (behavior/best practices) through 235,913 1,317,961 761,888 community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, 500 756 0 teachers/principals, etc) participating as agents of social mobilization at community level *All results are cumulative. **The target includes 10,000 people for the North region. ***UNICEF targets can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out- of-camp refugees. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry. 9

CAR Refugee Situation Sector Response UNICEF and IPs Overall Change Change Sector 2018 Total 2018 Total needs since last since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of people provided access to water for 292,000 45,000 16,300 1,800 10,000 1,500 1,500 drinking, cooking and personal hygiene Number of people provided with access to 140,000 73,000 9,444 4,412 25,000 3,954 0 appropriate sanitation Number of people provided with WASH kits 120,000 90,000 2,064 2,064 20,000 2,064 2,064 EDUCATION Number of school-aged children 4-17, including adolescents, accessing education in a safe and 210,000 201,000 18,999 0 100,000 17,0573 0 protective learning environment Number of school aged children4-17 year benefiting 152,000 120,000 960 0 65,000 960 0 from teaching and learning materials Number of children who benefited from the services of teachers who are trained in psychosocial support 152,000 140,000 0 0 100,000 0 0 and conflict and disaster risk reduction. HEALTH Number of children immunized against measles 17,919 0 0 Number of pregnant women that have received 2 9,875 0 0 Long Lasting Insecticidal Nets (LLINs) NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment in East and Adamaoua 938 8,690 6,297 9,040 7,915 11,422 1,196 regions Performance of integrated program for severe acute malnutrition treatment in East and Adamaoua : >75% >75% 86.2% 0.0% >75% 86.2% 0.0% cured rate CHILD PROTECTION Number of children reached with psychosocial support through child friendly/safe spaces (girls and 2,940 564 15,000 2,940 564 boys) Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 442 0 200 442 0 arrangements and/or who benefited from individual follow-up (SC/ UAC ; girls / boys) Number of conflict affected children provided with 0 0 3,000 0 0 Birth Certificate *All results are cumulative. **UNICEF targets can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out-of-camp refugees. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry.

3 This figure will be revised as soon as the updated data are shared by the Ministry of Education. 10