Cameroon Humanitarian Situation

Report No. 09

Reporting Period: September 1 – September 30 2020 Situation in Numbers

Highlights 2,000,000 children in need of humanitarian

assistance (UNICEF HAC 2020) • For the sixth consecutive month, UNICEF received no contribution for its humanitarian response (non-COVID-19). In Far North region, 2 attacks on 6,200,000 health facilities were reported. Only 4% of UNICEF’s response for victims people in need of Boko Haram attacks is presently funded with health and WASH sectors (HRP June 2020) worst impacted.

• In the Far-North, 11,682 children and caregivers benefitted from mental 450,268

IDPs in the NWSW regions (OCHA health and psychosocial support. • In the North-West and South-West regions, UNICEF partners provided MSNA, August 2019) IYCF counselling to 48,364 parents and caregivers. 203,634 Returnees in the NW/SW • Immunization coverage to prevent child killing disease in conflict areas (OCHA December 2019) remains low, especially for measles. Urgent funds mobilization is needed to support these activities unreached through routine immunization 321,886 IDPs in the Far North program. Some 65% of children in the North-West Region are (OIM, June 2020) unvaccinated and 47% in the South-West. 123,489 Returnees in the Far North (IOM, June 2020) UNICEF’s Response and Funding Status

SAM admissions 72% * UNICEF Appeal 2020 Funding Status (in US$) * Nutrition Funding status 2% * Measles vaccination 14% Requirement: $45.5m

Available $7.2m (16%) Health Funding status 6%

Safe water access 33%

WASH Funding status 21% Carry- forward MHPSS access 56% US$ 3.4 M Received

Child Funding status 26% US$ 3.8M Protection Funding gap Education access 38% US$ 38.2M

Funding status 7% Education

0% 20% 40% 60% 80% 100%

*achieved through non-HAC funding sources

Funding Overview and Partnerships In 2020 UNICEF is appealing for US$ 45,445,000 in support of lifesaving and protection-based response for children and women in Cameroon. As of 30 September, UNICEF has received US$ 3,800,000 against this humanitarian requirement from the following donors: Japanese government, Swedish SIDA, UN CERF and ECHO. UNICEF expresses its continuing appreciation to these donors for their support. However, the 84% shortfall continues to seriously limit program response. If not resolved, the scenario of staffing cutbacks becomes more likely.1

In May, considering the consequences of under-funding for children in emergency need in Cameroon, UNICEF issued a ‘Donor Alert’ to Yaounde embassies and donor representatives highlighting critical life-saving and protection-based activities to be implemented over the next five months (May-Sept), for which $10,608,000 is urgently required for displaced, refugee and returnee and host community children. Vital activities have been curtailed for lack of funding including measles vaccination, access to lifesaving essential drugs, support for safe water and sanitation and mental health and psychosocial services. The impact of underfunding is further noted in the sector progress reports below.

Situation Overview & Humanitarian Needs The onset in early March of the COVID-19 pandemic in Cameroon introduced new threats to children and vulnerable communities with humanitarian response immediately complicated by restrictions on group events and movement. An additional 2.3 million people were estimated to be in need of humanitarian assistance due to the impact of COVID- 19, bringing the total number of people in need from 3.9 million prior to the COVID-19 outbreak to 6.2 million. This was reflected in the updated Cameroon HRP, issued in early June. The requirement includes over three million children in need of urgent humanitarian assistance as a consequence of violence and conflict, disease outbreaks including measles, cholera and the COVID-19 pandemic.

Continuing armed confrontations in September displaced over 1,906 people across the North-West and the South- West regions. Concurrently, 2,729 IDPs returned to the North-West and the South-West regions due to the perceived poor living conditions in the location of displacement and perceptions of security improvements in their areas of origin. Lockdowns and sporadic clashes between both parties of the conflict restricted the access especially to and in Bamenda, leaving project locations cut off from supplies or support. Implementing partners are facing greater threats from NSAGs due to looming suspicion of spying for the Government.

Since early September, flooding across Far North region has reportedly displaced up to 160,000 people (CRC, September 2020). Heavy rains fell, especially in Logone et Chari and Mayo-Danay divisions damaging and destroying houses, cultivated areas, roads and bridges and further reducing access to services Assessed needs were prioritized as shelter, medical care, protection and food security.

Civilians remain the first victims of Boko Haram attacks (violence, kidnapping and looting) mostly cross-border in origin. The epicenter of violence is shifting from Logone-and-Chari to Mayo-Sava department. Presently there are over 150,000 children displaced by the violence and children are particularly vulnerable. On 9 September, 6 children were injured by UXO’s they found and mistook for toys in the bush in the Mayo-Tsanaga. On 24 September a group of international NGOs issued a statement deploring the absence of donor support to a forgotten, multi-layered humanitarian crisis.

Summary Analysis of Response Nutrition2 Boko Haram Violence (Lake Chad Basin Crisis) In the Far-North region, UNICEF worked collaboratively with the Regional Delegation of the Ministry of Public Health and NGO partners ALIMA, HKI, IEDA, ACF, IMC to ensure the availability and access for the treatment of severe acute malnutrition in 366 health centres with the provision of nutrition supplies (RUTF, therapeutic milk, essential drugs) and WASH kits. Over 2,722 children aged 6 to 59 months including 46 Nigerian refugee children from Minawao camp were admitted to these UNICEF-supported health centres for treatment. Following the community training of mothers on how to detect malnutrition in their children with MUAC tapes and oedema measurements, out of the 43,647 children from 6 to 59 months screened, 306 were screened using this method. Of the total screened, 424 SAM

1 In parallel, against a COVID-19 response requirement of US$24,007,500 as presented in the UNICEF global COVID-19 HAC, US$16,271,528 has been received. 2 Due to the reporting system of the ministry, the admission data of the concerned month is reported in the following month (i.e. April data are reported in May). 2

(severe acute malnutrition) cases were detected with 2,031 cases of MAM (moderate acute malnutrition). All were referred for treatment. UNICEF partners and Health District services pursued the joint community-based prevention of malnutrition (IYCF) and COVID-19 reaching 12,404 (10,328 women and 2,076 men) caregivers. In 9 health districts (Maroua 1,2,3, Mokolo, Guidigis, Kaele, Karhay, Mindif and Moutourwa) 69,404 children aged 6-23 months were enrolled in the Home-based food fortification programme and each receiving a micronutrient powder sachet every other day. In response to flood-induced displacements, UNICEF and nutrition sector partners work collaboratively to ensure referral to the nearest accessible nutrition services. North-West/South-West Crisis UNICEF partners (Reach Out, CBCHS, Mentor, Caritas) screened 37,632 (19,066 girls and 18,566 boys) children, among whom 96 (0.2%) were identified with SAM and referred to the 15 UNICEF supported health facilities for treatment. UNICEF partners sensitised 26,248 (17,312 women and 8,936 men) caregivers on key messages on infant and young child feeding practices and COVID-19. In Mutengene (Fako division), from 2nd – 4th of September 2020, 40 health workers received a joint training on SAM Management and COVID-19 specific modules on nutrition. UNICEF also supported the community training of 2,378 caregivers on detection and referral of children suffering from SAM to treatment services.

Health Boko Haram Violence (Lake Chad Basin Crisis) UNICEF conducted the training of 90 health workers in 7 health districts and 156 community health workers in 3 health districts on IPC and COVID-19 prevention (Moulvoudaye and Maroua 3 health districts). From 18 to 20 September 2020, UNICEF supported the 1st round of the Local Immunization Days mOPV with over 96% of the targeted children aged 0-59 months vaccinated (2,137,119). North-West/South-West Crisis UNICEF partners Cameroon Baptist Convention Health Services (CBCHS), CARITAS Bamenda, CARITAS Kumba and CARITAS Mamfe supported the delivery of basic health services to internally displaced persons and host communities in hard to reach areas in 11 health districts in North-West and South-West regions. A total of 8,095 children 6-59 months were vaccinated with routine vaccination against the most prevalent child killing diseases, including 2,080 children who received MR (measles/rubella) vaccination. Also, 3,123 children received Vitamin A supplementation and 2,331 children received a deworming tablet. 3,411 children (1,519 males and 1,892 females) were provided with anti-malaria drugs. 1,741 children (692 boys and 1,049 girls) were treated for ARIs and 452 children ( 201 boys and 251 girls) were treated for diarrhoea and 6,128 households received treated mosquito nets.

Mapping of measles immunization coverage for children under five years old financed by UNICEF (AVS, PIRI for the NWSW)

WASH North-West/South-West Crisis

UNICEF partner EPDA facilitated access to basic sanitation for 8,300 people through the construction of 42 latrines (2 cabins each).

Education Boko Haram Violence (Lake Chad Basin Crisis) UNICEF mobilised teaching and learning equipment (school tents, learning materials, and hygiene materials) to allow more than 5,000 flood affected children to safely resume school starting October 5. Parallelly, UNICEF pursued its advocacy in mobilizing towards the mobilization of education sector actors for COVID-19 safe-school protocols. As a result, UNICEF partners, UNOADD and COHEB disinfected 381 schools, this will benefit 116,205 students in the Far- North and North regions. North-West/South-West Crisis UNICEF partners COHEB and MWDA pursued narrow-casting learning sessions for 5,737 out of school children (including 3,094 girls). This included basic math, language and protective behavioral changing messages related to the COVID-19 pandemic in the South-West region.

Child Protection Boko Haram Violence (Lake Chad Basin Crisis) UNICEF partner ALDEPA provided psychosocial support to 2,724 children (1,305 boys and 1,419 girl) out of which 1,126 (507 boys and 619 girls), were internally displaced, 1,470 (738 boys and 732 girls) were from the host community, 95 (42 boys and 53 girls) were refugees, and 33 (18 boys and 15 girls) were returnee children. UNICEF partner COOPI identified and provided support to 9 girls aged between 15-17 who had been Boko-Haram hostages who had escaped and returned to their communities in Mayo-Sava. The girls were received into adolescent clubs where they benefitted from individual counselling and received basic food and non-food items. In parallel, ALDEPA organized 74 sessions of inter-generational/inter-religious dialogue for peaceful cohabitation, promotion of children and women’s participation in community decision-making and peace building. This was done in 12 different localities of Mayo Sava, Mayo Tsanaga and Logone & Chari reaching 5,113 persons (923 boys, 831 girls, 1,354 men, 2,005 women) including 40 girls living with a disability. Also in the Far-North, UNICEF in collaboration with the National Civil Status Registration Office and the Regional Delegation of the Ministry of Public Health established civil status services in 12 health facilities which facilitated the issuance of birth certificates to 100% of the newborns (468 boys and 520 girls) in these facilities. North-West/South-West Crisis In the North-West region, UNICEF partner LUKMEF reached 5,208 children (2,932 girls and 2,276 boys) and 1,816 caregivers (1,074 women and 742 men) with mental health and psychosocial support services. A total of 272 unaccompanied and separated children (180 girls and 92 boys), including 10 girls and 3 boys living with a disability were identified and benefitted from case management services. Among these children, 25 unaccompanied children (15 girls and 10 boys), including one boy living with a disability, were reunified with their families. Another 99 children (66 girls and 33 boys) including 3 girls living with a disability were placed in alternative care. Awareness raising sessions on GBV prevention and other child protection issues were carried out by LUKMEF reaching 7,805 children and adults. Among them 5,787 children (3,258 girls and 2,529 boys) and 2,018 adults (1,193 women and 825 men).

East and Adamaoua Regions (refugee and host community response) Nutrition – In the North, Adamawa and East regions, UNICEF partners (ACF, AHA, HKI, ASAD and OFSAD) and the Regional Public Health Delegation supported 531 health centres also supporting refugee sites, with nutrition supplies (RUTF, therapeutic milk, essential drugs) and WASH kits to facilitate the access to treatment for children suffering from SAM (Severe Acute Malnutrition). As a result, 1,661 severely acute malnourished children aged 6-59 months including 95 CAR refugee children were admitted in these UNICEF-supported health centres for treatment. Also, UNICEF supported community-based screening of acute malnutrition to early identify SAM children. As such, community-based Health Workers screened 43,693 children aged 6-59 months. Among them, 137 were detected with SAM (among which 09 with oedema) and were referred to the UNICEF supported health centres for treatment and 379 with MAM and referred to the nearest prevention programme. In parallel, UNICEF partners and health district services sensitised 33,084 (25,314 women and 7,770 men) caregivers on IYCF (infant and young child feeding) practices with integrated COVID-19 specific messages. Through its home- based food fortification program, 88,927 children aged 6-23 months were admitted and received every other day micronutrient powder sachet. Education – UNICEF trained 200 teachers (128 women) and inspectors from 17 schools in 4 subdivisions; (Garoua Boulai, Ngoura, Bertoua 1, Bertoua 2) on the provision of psychosocial support in the classroom, application of 4

COVID-19 risk mitigation measures. The teachers also received 3-day training on the use of tablets online and offline for teaching in the classroom. This training was part of the ‘Connect my School’ initiative. Through this training, over 15,185 children in will benefit from improved quality of education. In partnership with the GPE, 39 new classrooms constructed with the GPE funds to increase the capacity of the refugee host community schools of Timangolo (Kette) and Lolo (Ketzou), were completed and partially handed over to the government/schools through the Regional Delegation for the Basic Education for the East Region. These classrooms are to benefit 1950 Children (girls and boys) in these communities, upon launching. Nutrition – In collaboration with ACF, 191 community health workers were briefed on acute malnutrition screening procedures of children under five, in the health districts of Batouri, Kette and Ndelele in the East region. WASH - The construction of a solar powered water supply network in Colomine municipality hosting refugee is ongoing with 95% of work completed. It is expected that this water infrastructure will be functional latest end November and will serve a total population of at least 5,000 people. Child Protection - UNICEF partner IMC sensitized 266 people (17 girls, 164 women and 85 men) on GBV and protection against sexual exploitation and abuse (PSEA). Also, in Kadey (Kette, Batouri), Lom and Djerem (Bertoua 1 2, Mandjou) and Mbere (Ngaoui, Meiganga) divisions, communities participated in consultations to set-up SEA (sexaual exploitation and abuse) community-based complaints and feedback mechanisms. UNICEF held 2 workshops with 40 participants (mayors, head of health facilities and civil state secretaries) for the establishment of advanced civil status posts in health facilities in the Adamawa and East regions.

Humanitarian Leadership, Coordination, Strategy and Partnerships • 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. • In the Far North, OCHA leads inter-sector coordination for refugees, IDPs and host communities, 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 Area of Responsibility. • In response to COVID-19 outbreak UNICEF is co-leading with the government the joint pillar on Risk Communications and Community Engagement.3

In March, UNICEF adopted an integrated COVID-19 strategy to ensure that lifesaving and protection interventions are sustained whilst managing the pandemic response. The response has been incorporated into a global COVID-19 appeal and the revised global COVID-19 HRP launched in May.

Next SitRep: September 2020 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

Who to Jacques Boyer Arsene Azandossessi Robert McCarthy Representative Deputy Representative-Programme Chief of Field Operations contact for Yaounde, Cameroon, Yaounde, Cameroon Yaounde, Cameroon further Tel: +23722223182 Tel: +237222505402 Tel: +23722223182 Fax: +23722231653 Fax: +23722231653 Fax: +23722231653 information: Email: [email protected] Email: [email protected] Email: [email protected]

3 UNICEF Cameroon is issuing bi-weekly sitreps on its COVID-19 response. These are available on Relief Web. 5

Annex A Summary of Programme Results

A. National Response Overview Results: includes 1) Boko Haram Violence (Lake Chad Basin Crisis); 2) North-West and South-West Crisis; and 3) CAR Refugee Situation

UNICEF and IPs Response Cluster/Sector Response Change Change since Overall 2020 Total since last 2020 Total Indicators last needs target results report target results* ▲▼ report ▲▼ Nutrition Number of aged 6-59 months affected by 76,450 48,968 54,537 5,569 72,500 52,956 5,369 SAM admitted for treatment Number of caregivers of children reached 400,000 224,664 318,516 93,852 340,000 318,516 93,852 with IYCF counselling Health Number of children (6 months to 05 223,300 30,818 2,080 years) vaccinated against measles Number of families / households that 158,539 9,402 6,128 have received 1 LLINs Number of people provided with anti- 222,106 9,113 3,411 malaria drugs Number of children 0 - 59 months provided with essential drugs for acute 29,938 5,503 1,741 respiratory infections Number of children 0 -59 months provided with essential drugs for 29,938 7,155 452 diarrhoea Number of children 6 - 59 months 75,408 33,433 3,123 provided with Vitamin A Number of children 6 - 59 months 59,876 8,855 2,331 provided with deworming tablet Number of PLW provided with maternal 15,194 372 319 care kits Number of caregivers provided with new- 15,194 326 194 born kits Number of children 0 - 11 months that received required vaccines via routine 17,190 41,257 8,095 immunization WASH Number of affected people with a sustainable access to safe drinking water 1,722,337 77,500 25,602 0 453,973 116,951 4,400 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to 1,692,147 90,000 14,800 8,300 559,822 39,845 9,250 meet their vulnerabilities Number of people provided with WASH 1,718,984 180,000 117,442 0 694,291 258,268 1,500 kits Child Protection Number of children [and caregivers] accessing mental health and psychosocial 1,153,451 141,483 79,937 9,748 350,330 140,826 24,106 support (M/F) Number of unaccompanied and 6,522 2,222 3,001 272 2,502 4,410 432 separated children accessing family-

6 based care or appropriate alternative services (SC/UAC, M/F) Number of Unaccompanied Children 18,158 328 126 15 422 176 15 reunified with families (M/F) Number of crisis-affected children TBD 4,000 3,317 988 15,000 5,068 988 provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or 220 200 178 9 220 232 13 suspected of association) provided with temporary care or family/community- based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention 1,153,451 136,046 31,709 7,077 207,043 49,408 8,349 or response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 1,212,000 57,400 22,080 3,541 460,100 55,028 28,347 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 1,800,000 521,100 16,495 0 720,000 37,300 17,371 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 1,800,000 722,000 117,870 0 722,000 194,857 64,096 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio 1,132,000 30,000 5,585 1,202 58,000 28,138 17,490 education program Number of victims of attacks on education receiving assistance 1,000 1,000 0 0 1,000 0 0 (CP/Health/ MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages 230,000 672,391 175,863 on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their 110,000 120 0 needs/concerns

1. Boko Haram violence (Lake Chad Basin Crisis)

Number of families / households that have 33,973 0 0 received 1 LLINs Number of people provided with anti- malaria drugs Number of children 0 - 59 months provided with essential drugs for acute respiratory infections Number of children 0 -59 months provided with essential drugs for diarrhoea Number of children 6 - 59 months provided with Vitamin A Number of children 6 - 59 months provided with deworming tablet Number of PLW provided with maternal care kits Number of caregivers provided with new- born kits Number of children 0 - 11 months that received required vaccines via routine immunization WASH Number of affected people with a sustainable access to safe drinking water 742,120 37,500 3,000 0 233,000 64,500 3,000 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to meet their 742,120 30,000 0 0 155,000 6,303 0 vulnerabilities Number of people provided with WASH 742,120 50,000 15,910 0 160,000 115,387 0 kits Child Protection Number of children [and caregivers] accessing mental health and psychosocial 291,750 88,341 44,030 2,724 241,820 64,163 11,682 support (M/F) Number of unaccompanied and separated children accessing family-based care or 350 180 687 0 350 1,610 153 appropriate alternative services (SC/UAC, M/F) Number of Unaccompanied Children 350 80 70 0 100 114 0 reunified with families (M/F) Number of crisis-affected children TBD 3,000 3,241 988 12,000 4,710 988 provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) 220 200 178 9 220 232 13 provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 291,750 66,256 2,076 24 120,910 2,145 44 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 232,000 12,000 0 0 63,100 0 0 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 400,000 91,000 0 0 130,000 0 0 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 400,000 201,000 40,910 0 201,000 52,796 0 trained in psychosocial support and/or conflict and disaster risk reduction

Number of boys and girls who reportedly listen to at least 50% of the radio 232,000 10,000 0 0 38,000 0 0 education program Number of victims of attacks on education receiving assistance (CP/Health/

MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages 120,000 520,458 110,831 on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their needs/concerns

2. North-West and South-West Crisis

UNICEF and IPs Response Cluster/Sector Response Change Change since Overall 2020 Total since last 2020 Total Indicators last needs target results report target results* ▲▼ report ▲▼ Nutrition Number of aged 6-59 months affected by 3,000 2,500 690 150 2,500 690 150 SAM admitted for treatment Number of caregivers of children reached 170,000 110,000 124,820 48,364 150,000 124,820 48,364 with IYCF counselling Health Number of children (6 months to 05 127,875 30,818 2,080 years) vaccinated against measles Number of families / households that 68,158 9,402 6,128 have received 1 LLINs Number of people provided with anti- 222,106 9,113 3,411 malaria drugs Number of children 0 - 59 months provided with essential drugs for acute 29,938 5,503 1,741 respiratory infections Number of children 0 -59 months provided with essential drugs for 29,938 7,155 452 diarrhoea Number of children 6 - 59 months 59,876 33,433 3,123 provided with Vitamin A Number of children 6 - 59 months 59,876 8,855 2,331 provided with deworming tablet Number of PLW provided with maternal 15,194 372 319 care kits Number of caregivers provided with new- 15,194 326 194 born kits Number of children 0 - 11 months that received required vaccines via routine 13,147 41,257 8,095 immunization WASH Number of affected people with a sustainable access to safe drinking water 879,000 30,000 22,602 0 140,000 49,751 500 to address their vulnerabilities

Number of affected people with an access to adequate basic sanitation to meet their 879,000 50,000 14,800 8,300 348,000 29,292 8,300 vulnerabilities Number of people provided with WASH 879,000 120,000 101,532 0 456,000 142,881 1,500 kits Child Protection Number of children [and caregivers] accessing mental health and psychosocial 703,407 35,542 34,585 7,024 104,093 72,246 9,340 support (M/F) Number of unaccompanied and separated children accessing family- 3,418 1,656 2,308 272 2,152 2,800 279 based care or appropriate alternative services (SC/UAC, M/F) Number of Unaccompanied Children 3,418 248 56 15 322 62 15 reunified with families (M/F) Number of crisis-affected children TBD 1,000 76 0 3,000 358 0 provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 703,407 60,000 29,059 6,787 86,133 47,263 8,305 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 900,000 45,400 5,585 3,541 355,000 38,533 28,347 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 1,200,000 400,100 0 0 548,000 20,805 17,371 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 1,200,000 321,000 61,470 0 321,000 125,566 64,096 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio 900,000 20,000 5,585 1,202 20,000 28,138 17,490 education program Number of victims of attacks on education receiving assistance 1,000 1,000 0 0 1,000 0 0 (CP/Health/ MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages 110,000 151,933 65,032 on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their 110,000 120 0 needs/concerns

3. CAR Refugee Situation

UNICEF and IPs Response Cluster/Sector Response Change Change Overall 2020 Total 2020 Total since Indicators since last needs target results* report target results* last ▲▼ report 10

▲▼ Nutrition Number of aged 6-59 months affected by 31,700 31,700 25,017 2,232 29,000 23,884 2,078 SAM admitted for treatment Number of caregivers of children reached 80,000 50,000 112,631 33,084 70,000 112,631 33,084 with IYCF counselling Health Number of children (6 months to 05 years) 54,862 0 0 vaccinated against measles Number of families / households that have 56,408 0 0 received 1 LLINs Number of people provided with anti- malaria drugs Number of children 0 - 59 months provided with essential drugs for acute respiratory infections Number of children 0 -59 months provided with essential drugs for diarrhoea Number of children 6 - 59 months 15,532 0 0 provided with Vitamin A Number of children 6 - 59 months provided with deworming tablet Number of PLW provided with maternal care kits Number of caregivers provided with new- born kits Number of children 0 - 11 months that received required vaccines via routine 4,043 0 0 immunization WASH Number of affected people with a sustainable access to safe drinking water 101,217 10,000 0 0 80,973 2,700 900 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to meet their 71,027 10,000 0 0 56,822 4,250 950 vulnerabilities Number of people provided with WASH 97,864 10,000 0 0 78,291 0 0 kits Child Protection Number of children [and caregivers] accessing mental health and psychosocial 158,294 17,600 1,322 0 4,417 4,417 3,084 support (M/F) Number of unaccompanied and separated children accessing family-based care or 2,754 386 6 0 appropriate alternative services (SC/UAC, M/F) Number of Unaccompanied Children 14,390 0 0 0 reunified with families (M/F) Number of crisis-affected children provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 158,294 9,790 574 266 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 80,000 0 16,495 0 42,000 16,495 0 formal or non-formal basic education 11

Number of boys and girls (3 to 17 years) affected by crisis receiving learning 200,000 30,000 16,495 0 42,000 16,495 0 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 200,000 200,000 15,490 0 200,000 16,495 0 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio education program Number of victims of attacks on education receiving assistance (CP/Health/

MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their needs/concerns

Annex B Funding Status*

Funds available* Funding gap Appeal Requirements Funds Received Sector Carry-Over $ % Current Year Nutrition 7,500,000 0 152,787 7,347,213 98%

Health / HIV 8,698,000 363,704 169,644 8,164,652 94%

WASH 6,721,000 1,394,003 8,845 5,318,152 79%

Child Protection 11,058,000 1,271,869 1,569,692 8,216,439 74%

Education 7,753,000 0 530,785 7,222,215 93%

C4D 2,715,000 25,000 80,000 2,610,000 96%

Emergency Preparedness 1,000,000 748,105 926,603 0 0% and Response

Total 45,445,000 3,802,681 3,438,356 38,203,963 84% * As defined in Humanitarian Action for Children (HAC) appeal of 29 January 2020 for a period of 12 months. For the nutrition sector, activities benefited from multi-annual development funding received from KfW (Germany), of which $5m was programmed for HAC targets. Non-HAC channelled contributions were also receive for Education, through the Global Partnership for Education (GPE) and for C4D, through the UN Peace-Building fund.

Funds available* Funding gap Appeal Requirements Funds Received Sector Carry-Over $ % Current Year North- West/South- 25,015,789 3,315,954 2,887,146 18,812,689 75% West Crisis Boko Haram 12,877,546 423,727 401,210 12,052,609 94% violences (LCB) CAR Situation 7,551,665 63,000 150,000 7,338,665 97%

Total 45,445,000 3,802,681 3,438,356 38,203,963 84% * As defined in Humanitarian Appeal of 29 January 2020 for a period of 12 months