NIGER SITUATION REPORT MAY-JUNE 2016

NIGER Humanitarian Situation Report

Children in a Dispositif Itinerant d’Appui Psychosocial (DIAP), spontaneous site of Eil Hadj Meinari

SITUATION IN NUMBERS

Highlights 30 June 2016

° The insecurity caused by the conflict in the area of Bosso and 14,338 neighbouring localities (Eastern part of Diffa region) and the attack on the Children affected by SAM in Diffa region out of 3rd of June resulted in the single most massive population displacement in Diffa region since the beginning of the crisis in 2013. The displaced fled 400,794 the localities of Toumour, Yebi, Kanblewa and Bosso. Diffa region was already hosting an estimated 241,000 people (Nigerian refugees, Children affected by SAM nationwide (As of HRP 2016) returnees and internally displaced) before this last event. The total number of people displaced is presently estimated to be 280,000 people (including around 69,000 recently displaced following the events of 3rd 62,726 June), with some of them displaced various times. Estimated refugee children from Nigeria and Despite a tense security environment, aid organizations have managed returnees from Niger affected out of ° rapidly to reach the newly arrived in the main “sites” on the “Route Nationale 1” (RN1) especially with the very much needed safe water 114,048 supply. As of 07 June, UNICEF and its partners provided access to safe Refugees and returnees from Nigeria water to an additional 27,366 people (out of an estimated target of (Source DREC, 5 th May 2016 , partial data, covering 51 sites 36,097 on the 3 main RN1 sites). out of 135, registration still ongoing ) ° The bodies of 34 migrants including 22 children who died of thirst were found by a patrol in the North of Niger (between Arlit and Assamaka). It 91,274 Estimated internally displaced is believed that most of the deceased originated from Kantche. A study children out of undertaken by IOM will support the development of an action plan in support of child protection and education in Kantche . 165,952 ° Despite a nationwide measles campaign in December 2015, Niger at Internally displaced people week 25 (end June) recorded 2,342 cases of measles with 10 deaths. Six regions have been affected including the capital Niamey (1070 cases at UNICEF Appeal 2016 25th week); and the region of Diffa (35 cases, 5 confirmed at 25th week). US$ 39.5 million total UNICEF supported the operational cost and the procurement of 1,430,000 doses of vaccine for the response. Until end of June, 380,104 children 6 months-14 years have been reached to contain the outbreak. Nigeria+ 2016 (Niger) ° At week 25, 1,568 cases of Meningitis (meningococcal C) have been US $14million (out of total Nigeria+ needs of reported with 114 deaths. During week 25: 206,755 people were reached $97M USD) through vaccination with support of various partners including UNICEF. ° 108 pastoralist children in the Agadez region have received support to finish the schoolyear to avoid drop out in a context of drought and migration of their community in search of pasture for their cattle. ° Floods in the region of Agadez during the second half of June affected 38 villages and 5271 people. Support has been provided to 5,271 flood affected people .

NIGER SITUATION REPORT MAY-JUNE 2016

Situation Overview & Humanitarian Needs A number of simultaneous crises continue to have a major impact on the humanitarian situation in Niger during the first semester of 2016. This includes: displacement caused by insecurity, and increased attacks; as well as outbreaks and epidemics of measles and meningitis.

NIGER SITUATION REPORT MAY-JUNE 2016

Estimated Affected Population Total Male* Female Based on HRP and HNO 2016 Total Aff ected Population 2,000,000 960,000 1,040,000 Children Affected (Under 18) 1,100,000 547,000 553,000 Children Under Five** 429,000 205,920 223,080 Children 6 to 23 months*** 131,200 62,976 68,224 Pregnant women*** 100,000 - 100,000

Children Under Five with Severe Acute Malnutrition (SAM) at national level 400,794 192,381 208,413 Children Under Five with Severe Acute Malnutrition (SAM) in Diffa region ( Nigeria 14,338 6,882 7,456 + crisis) Refugees and returnees from Nigeria 114,048 n/a n/a n/a n/a Refugee and returnees children from Nigeria (0-17 years old) **** 62,726 Internally displaced people in Diffa region 165,952 n/a n/a Internally displaced children ( 0 -17 years old) **** 91,274 n/a n/a

* Proxy calculated based on percentages from HNO and HRP: 55% children <18; 52 % women and 48% men ** Proxy DRSP 2016, 21.45% *** Proxy DRSP 2016, 6.56% ****Proxy DRSP 2016, 55%

Humanitarian leadership and coordination UNICEF leads the Education and WASH Clusters and the Child Protection sub Cluster in close collaboration with government counterparts in Niamey, and supports the government in the leadership of the Nutrition working group. In Diffa, UNICEF supports regional authorities for the management of sectoral working groups. A Child Friendly Spaces thematic working group has been activated in Diffa. All of them update the analysis and the needs.

Humanitarian Strategy UNICEF supports the Government’s efforts to coordinate with line ministries and NGOs to expand essential services to emergency-affected populations through community-based interventions, including nutrition, health, WASH, education and child protection networks. The office in Diffa allows UNICEF to alert, evaluate and monitor the humanitarian situation affecting children and women, and boosting the humanitarian response. The office also allows to strengthen the linkages between humanitarian response and early recovery.

Summary Analysis of Programme response

Nigeria Crisis Response

As of 7 June UNICEF and its partners have provided access to safe water to an additional 27, 366 affected people in Diffa region, including through the RRM. 4, 940 people have benefitted from access to latrines and 3, 531 people from hygiene kits and sensitization activities on hygiene practices. Efforts for a timely response and effective coordination contributed to avoid deaths linked to dehydration after the massive displacement caused by the attack on Bosso. Needs and gaps are regularly updated by the WASH cluster. UNICEF pursues its support through IRC, ACTED, CRL, through the Diffa Regional Directorate of Water and Sanitation and through direct support for water trucking and drilling activities with private sector operators. Other WASH cluster members include ICRC, FICR, ACF, IRC, SCI, MSF-E, and WVI.

As of 30 June, Niger continues to be cholera free. UNICEF pursues prevention activities and maintains a preparedness capacity in case of outbreak. The total number of girls and boys having access to formal and non-formal education was 17,825 students (at end of school year): 8,954 preschool and primary school resident children and 8,871 displaced students. Out of the 17,825 students, 9,095 (4,724 girls) were provided education in temporary schools on IDPs sites through UNICEF and its partner COOPI.

With the support of Lux-Dev, a psycho social support training for 400 teachers and 200 school principals was carried out. The attack of the 3rd June in Bosso town did not directly impact on the capacity of students to sit middle school exams, as the students were sent to Diffa town or other alternative locations earlier by their parents. However, the insecurity had an impact on lower secondary education for girls, who are less likely to leave the family to pursue their education, although no data is currently available to document this. In the entire region of Diffa, out of 147,000 children of primary school age, only 61,053 children (of which 30, 136 girls) are currently provided education opportunities. NIGER SITUATION REPORT MAY-JUNE 2016

Up to June 16, 2016 (Week 24) 6,247 children less than 5 years old suffering from SAM had been admitted in the rehabilitation program (OTP and ITP) in Diffa region, including 952 cases with medical complication. Trainers from regional and district health directorates and NGOs have been trained according to the revised national protocol for management of malnutrition.

According to a MUAC screening of children 6-59 months conducted by Save the Children among the newly displaced communities (post 3 rd of June): the level of MAM was 9.49% (1766 children), SAM 1.89% (352 children) among 18,596 children (0 à 5 years) screened.

As of June 12th, 7,160 children under five years of age suffering from malaria had been reported by the NHIS at regional level. This represents an increase of 2534 cases of the malaria morbidity during the reporting period. UNICEF continues to provide antimalarial drugs to health facilities and mobile clinics in the region. A forum on mobile clinics has been organized with the support of the MoH at central level and UNICEF. The workshop was attended by all stakeholders and local authorities involved in outreach activities in Diffa region and recommended integrated mapping for better management and cost efficiency of outreach activities/mobile clinics. As of end of June, 35 cases of measles have been reported in Diffa region mainly in Diffa (16 cases) and N’Guigmi (18 cases) health districts. No death has been reported. With nine (05) cases confirmed, this triggered an immediate immunization response by NGOs and UNICEF; UNICEF provided 200 600 doses of vaccines and technical/operational support. Immunization is still ongoing covering children, jointly with Vitamin A supplementation. From January 2016 to date, six child protection organizations have been carrying out psychosocial support and recreational activities for 66,209 children (including 34,735girls) in Diffa region through 85 child friendly spaces (CFS) in more than 53 sites in the Departments of Diffa, Bosso, Goudoumaria, Maine Soroa and N’guigmi.

20 trained youth peer educator committees composed of children 10 to 17 years (103 girls and 108 boys) have been involved in sensitization campaigns on child protection issues with IRC staff in Maine Soroa and Goudoumaria, and reached 6,203 people (including 3,077 girls).

917 unaccompanied and separated children (316 girls) received support (through distribution of NFI kits and food kits for the foster families). Support was also provided by UNICEF implementing partners and Child Protection Sub-Cluster members in displacement sites, for the follow up with foster families, reunification when possible and psychosocial activities. Since January 2016, 97 unaccompanied/separated children have been placed with 50 foster families and are now receiving follow up visits from the Child Protection Regional Directorate (DRP/PF/PE) social workers; 15 children (including 7 girls) have been reunified with their families.

Sahel Nutrition Crisis Response

Up Week 21 (end May) of 2016, 127,093 children under 5 years of age had been admitted for SAM treatment (nationally) with 12,790 complicated cases referred to hospital level. Compared to the same period in 2015, admissions have decreased by 3.1% for outpatients and by 19.3 % for the inpatients (severe malnutrition with complications). The decrease in admissions is observed in Maradi particularly in the health districts of Dakoro, Guidan Roumji, and Tessaoua and in all districts of Zinder region. Performance indicators remain good compared to Sphere Standards with recovery rate of 91%, CFR of 2% and 4.3% defaulting. The regional training of trainers on the revised protocol for management of SAM have been conducted in Tillabery region (26 trainers) and Diffa region (18 trainers).

Supply and Logistics In June, items for the prepositioning of 3,000 kits for floods were sending in field, as well as 2,500 additional kits for RRM. 643 household have been assisted after severe floods in Ingal, region of Agadez.

NIGER SITUATION REPORT MAY-JUNE 2016

Media and External Communication UNICEF accompanied several major outlets to the Diffa Region in May and June to report on the humanitarian situation and the response to the children needs in terms of protection and education. The Canadian Broadcasting Corporation (CBC) worked May 2-6 on a long-format story on the psychological ramifications for children who have been held by the Nigeria-based armed group but also on the importance of education in such emergency setting (http://ici.radio-canada.ca/nouvelles/special/2016/5/boko-haram-victimes/index.html ; http://ici.radio-canada.ca/emissions/desautels_le_dimanche/2015-2016/ ; http://ici.radio-canada.ca/emissions/l_heure_du_monde/2015-2016/emissions.asp http://ici.radio-canada.ca/nouvelles/special/2016/5/boko-haram-victimes-djihadistes-niger/index.html ). All reports were posted on the CO social media platforms, including a portrait of the Child Protection Officer (http://ici.radio-canada.ca/emissions/l_heure_du_monde/2015-2016/chronique.asp?idChronique=407243 ; http://unicefniger.tumblr.com/post/142784539364/notre-coll%C3%A8gue-murielle-pallar%C3%A8s-est- sp%C3%A9cialiste ).

In Diffa, UNICEF also hosted a full BBC World Service crew (presenter and producers) from May 24 to 27 who interviewed children, young women and teachers living in IDP sites along the RN1 supported by UNICEF and its partner COOPI. Reports covered trauma faced by the displaced children and the psychological support that they are receiving but also the role of schools in the reconstruction process. (http://www.bbc.co.uk/programmes/p03wpz64?ocid=socialflow_twitter ; http://www.bbc.co.uk/programmes/p03wy1k2 ). These reports, and many others, were aired during the Newsday programme, which was live from Niamey on Monday 30 May (5-9 am). The CO Representative was interviewed on UNICEF’s role in education, which fits with UNICEF UK campaigning on education and child protection in emergencies. The following programmes broadcasted the reports produced in Diffa: World Update; Newshour; The newsroom; Outside Source; Today Programme or World Tonight on Radio 4. BBC Africa (notably Focus on Africa and BBC in French) aired specific reports along the day. Videos, photos and interviews will be available on the BBC Online piece in June. This month, a full team (text, photos and videos) from the French News Agency (Agence France Presse) visited Diffa region, hosted by UNICEF. The media published several pieces, including on the UNICEF-led response in terms of water and sanitation (with UNICEF mentions http://www.medias24.com/filafp/afp-62254-Niger-l-eau-travail-de-Sisyphe-des- humanitaires-dans-le-sud-est.html / http://www.lalibre.be/dernieres-depeches/afp/niger-bosso-ville-fantome-meurtrie- par-boko-haram-576433b835705701fd88bf57 ). Photos and videos were produced and distributed to international media newsroom globally. Last, UNICEF supported and hosted the French Magazine Le Point on June 28-29 to report on the water and sanitation response in the Diffa area. The piece will be published in July. The AFP and Radio France International also produced pieces on child malnutrition ( http://www.sciencesetavenir.fr/sante/20160622.AFP9184/niger-success- story-d-une-entreprise-combattant-la-malnutrition.html ), including interviews with the UNICEF Niger Representative, broadcasted on June 23 and 27 ( http://www.rfi.fr/emission/20160627-paradoxe-malnutrition-nord-sud-niger ; http://www.rfi.fr/emission/20160623-malnutrition-niger-le-prix-mil-est-secondaire-unicef-viviane-van-steirteghem ). All media reports and UNICEF advocacy lines were subject to posting on the UNICEF Africa and Niger digital platforms (unicefniger.tumblr.com; Facebook/unicefnige; twitter @Unicefniger). On June 16, we celebrated the Day of African Child in Diffa town, in presence of the Child Protection Minister and UNICEF-supported children and partners - the Aicha story was posted on the UNICEF Niger blog http://bit.ly/292gOQb . Security

• The locality of Bosso in Diffa region was attacked on the evening of the 3 rd of June, one week after an attack in Yebi. • These attacks caused one of the largest spontaneous displacement observed in Diffa region since the beginning of the crisis in Niger in February 2015. An estimated 69,000 people fled Bosso and surrounding localities to other sites within Diffa aloung RN1. • Attacks are directed more towards the military targets and are accompanied by plundering of food; this is a change of the modus operandi of the armed groups

NIGER SITUATION REPORT MAY-JUNE 2016

Funding

Funding gap (2016) Appeal Sector HAC 2016 Requirements Nigeria+ Requirements Funds received* $ % WASH 5,217,600 2,580,991 1,508,980 3,708,620 71% Education 3,000,000 3,000,000 300,240 2,699,760 90% Health 980,000 480,000 1,277,600 (297,600) -30% Nutrition 27,500,000 5,381,960 5,769,850 21,730,150 79% Child Protection 1,668,671 1,668,671 754,915 913,756 55% HIV and AIDS 150,000 150,000 150,000 100% Cluster/Sector Coordination 1,000,000 700,000 594,677 405,323 41% Programme Support 205,775 Carry-forward 6,389,869 Total 39,516,271 13,961,622 16,801,906 22,714,365 57% * ‘Funds received’ does not include pledges

Next SitRep:

UNICEF Niger Facebook: www.facebook.com/unicefniger UNICEF Niger Twitter: www.twitter.com/Unicefniger UNICEF Niger Youtube: https://www.facebook.com/unicefniger?fref=ts UNICEF Niger Blog: http://unicefniger.tumblr.com/ UNICEF Niger HAC: http://www.unicef.org/appeals/index.html

Who to Viviane Van Steirteghem Félix Ackebo Anne Boher Representative Deputy Representative Chief of Communication contact for UNICEF Niger UNICEF Niger UNICEF Niger further Tel: (+227) 20727100 Tel: (+227) 20727100 Tel: (+227) 20727100 Email:[email protected] Email: [email protected] Email: [email protected] information:

NIGER SITUATION REPORT MAY-JUNE 2016 Annex A SUMMARY OF PROGRAMME RESULTS Nigeria Crisis Response

Cluster Response UNICEF and IPs 2016 Change Change Sector Overall Total 2016 Total Target since last since last needs Results Target Results report ▲▼ report ▲▼ WATER, SANITATION & HYGIENE # of men, women, girls, boys

affected by the crisis in Diffa 279, 144 194,970 102125 50 832 ▲ 20,000 49846 27 366 ▲ who have improved access to

drinking water # of people affected by the crisis in Diffa with access to sanitation infrastructure taking 279, 144 268,605 44,308 4940 ▲ 71,495 30,200 4 940 ▲ into account accessibility for children, and the specific needs of women and men # of people affected by the crisis in Diffa having access to 268,884 537,211 305,900 7 409 ▲ 305,931 3 531 ▲ hygiene kits and sensitization 558,289 activities EDUCATION # of school-aged girls and boys (7-14 years) with continued 210,000 26,000 17,825 20,000 access to formal and non-formal = 9095 = education in Diffa HEALTH # of children aged 9 month -14 years old vaccinated against 100,000 308, 104 measles # of under five years old who utilized health services 70,000 58600 ▲ 18996 (pneumonia, diarrhoea and malaria ) # of children who have access to life-saving interventions 40,000 0 through outreach community- based activities (mobile clinics) NUTRITION # of children under -five with

severe acute malnutrition 14,338 6,247 ▲3,010 14,338 6,247 3,010 ▲ admitted into therapeutic

feeding programme in Diffa % of children under 5 year At least At least suffering of SAM discharged as NA 75% NA 75% NA NA recovered in Diffa # of Health Centres with an 51 49 ▲ 51 49 ▲ integrated nutrition program CHILD PROTECTION # of children who are benefiting from psychosocial support through community - based 62,905 66,209, 37,965 ▲ 40,000 54,673 31,978 ▲ recreational and socio- educational activities # of separated and/or unaccompanied children identified, documented and benefitting and placed in 1,318 917 737 ▲ 600 164 164 ▲ alternative care arrangements and / or who benefitted from individual follow up NIGER SITUATION REPORT MAY-JUNE 2016

Sahel Nutrition Crisis Response

Cluster Response UNICEF and IPs Change Change since Overall 2016 Sector Total since last last report needs Target 2016 Target Total Results Results report ▲▼

▲▼ WATER, SANITATION & HYGIENE # of nutritional centres delivering the WASH 490 334 78 = 3 144 75 = minimum package # of malnourished children admitted for SAM/MAM and 368,114 122,286 8, 038 5132 ▲ 22,603 2,706 ▲ benefiting WASH minimum package in the community HEALTH # of children in humanitarian situation aged 0-11 months 1,013,382 1,013,382 389029 189795 ▲ vaccinated against measles NUTRITION # of children under-five with severe acute malnutrition admitted 400,794 1 400,794 127,093 57,414 ▲ 400,794 127,093 57,414 ▲ into therapeutic feeding programme

% of children under 5 year At least suffering of SAM At least 75% 91% At least 75% 75% 91% discharged as recovered

# of Health Centres with an integrated nutrition 922 922 922 = 922 922 = program CHILD PROTECTION Couples malnourished children/caregivers who receive psychosocial 16,519 16,519 17,586 17,586 ▲ NA support in CRENIs and CRENAs

11 Figure may be revised by sector in over the coming weeks/month.