Periodic Monitoring Report 2014 Strategic Response Plan - CAR
Covering 1st January to 31 July 2014 Prepared by the Inter-cluster Coordination Group for the Humanitarian Country Team
FUNDING: OVERVIEW
555 million ($US) Key achievements toward Strategic Objectives Required The access to the basic social services is the main achievement of total 59% observed during the SRP implementation. In fact, clusters have reported requirement access improvement to health care, education, water and sanitation, 328 million ($US) shelter, nutritional services and protection for displaced persons, returnees and other affected people. Received
Source: Financial Tracking Service (FTS) The 100-day plan has boosted the response in the countryside as well as in Bangui. From 47 humanitarian actors in November 2013, the number has jumped to around 100 operational organizations in the field. As of the end of July 2014 humanitarian actors are permanently present CONTENTS: in 35 cities and towns across the country covering 2/3 of the population. The plan has facilitated the redeployment and/or establishment of Overview ...... 1 coordination hubs, including five UN hubs (Bambari, Bossangoa, Paoua, Changes in context ...... 4 Bouar, Kaga-Bandoro Humanitarian context ...... 4 Sub clusters are being organized at prefectoral level including some Needs analysis ...... 4 initiatives such as establishment of community protection committees, Response capacity...... 6 and specific child protection committees, community protection Strategic Objectives: monitoring, mediation and social cohesion initiatives. Dissemination of Achievements to date ...... 9 messages on peace and conflict resolution through communities has Analysis ...... 11 contributed Funding analysis ...... 11 In Bangui, the humanitarian community and the local authorities have Cluster Performance ...... 11 established a working group with the local communities’ participation, to Analysis of achievements against facilitate the voluntary return in safety and dignity in their funding and challenges ...... 11 neighbourhoods. Recommendations ...... 11 Cluster achievements ...... 12 Challenges CCCM…………………….………….12 There are sudden new incidents in affected areas that interrupt activities Education …………….……...…….. 15 and protection that were conducted, request new projects and may Shelter &NFIs………………….. 19 divert attention from other areas (i.e. Batangafo). Telecommunication……………..22 Food security…………………... 24 Difficulties to continue delivering assistance and protection in areas Health…………………………… 29 where insecurity is still high despite efforts and presence of international Livelihoods……………………... 33 troops. Logistics………………………….35 The security constraints impede access to the affected population in Nutrition………………………….38 remote locations, notably IDPs hidden in the bush; Protection………………………. 41 WASH…………………………... 46 The use by the various armed groups of the humanitarian assistance as a tool to keep population deprived from access to essential services as well as depriving them from mobility;
Difficulties in tracking of population movements, especially outside of Bangui and urban centers as well as among host communities, resulting in unclear and changing targets for assistance.
CAR PERIODIC MONITORING REPORT January2014-July2014
Particularly, the identification of IDPs in host families and their needs assessment remains extremely challenging and thus hinder greatly partners’ capacity to provide specific assistance to this population.
Others challenges include the cross-border information sharing and the coordination of regional response with neighboring countries (CAR, Chad, DRC, Congo, and Cameroon) affected by the CAR crisis including population movements monitoring; Timely resources availability is slowing down an effective and appropriate scale-up of humanitarian operations.
The absence of local administration in most of the places makes the work of humanitarian actors much more complicated.
Recommendations: 1- Increase delivery of protection and services to vulnerable population especially those at risk residing in the remote locations, enclaves and conflict areas;
2- Support the restoration and access to essentials basic services for the affected population including displaced persons (i.e. protection, education system including repair of damaged schools, homogenous health system, water and sanitation, food and nutrition, etc.);
3- Address special needs related to the child protection including child soldiers reintegration and access to primary school;
4- Implement the Population Tracking System overall the country to monitor beneficiaries’ movements;
5- Implement community stabilization, livelihood, social cohesion projects in close coordination with development actors;
6- Finalize the return strategy and implement the Standard Operating procedures (SOP) for the returnees;
7- Develop an early warning system and a decentralized contingency plan that includes preposition an emergency stock at prefectoral level;
8- Develop a cross border coordination mechanism to ensure a sectoral coherent approach and a close monitoring of population movements including transhumance;
9- Develop close coordination mechanism with the MINUSCA especially on Protection of Civilians;
10- Engage in capacity building of the Ministry of Humanitarian Affairs to strengthen the coordination of the Strategic Response Plan with the Pillar 2 of the Government road map;
11- Empower national NGOs.
2
CAR PERIODIC MONITORING REPORT January2014-July2014
Central African Republic: Reference Map
The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Creation date: 19 Feb. 2014 Sources: UNCS, ESRI, Natural Earth, NGA, OCHA Feedback: ocha.im.car@gmail,com www.unocha.org www.reliefweb.int
3
CAR PERIODIC MONITORING REPORT January2014-July2014
CHANGES IN CONTEXT
Humanitarian context The security situation in the Central African Republic (CAR) Critical political events continued to remain extremely volatile and unpredictable. Persisting 20 Jan. 2014: Election of the violent incidents continue to cause massive population Transitional President, Catherine displacement, while in Bangui, the situation has improved 1 Samba-Panza by the National Transition Committee. considerably. According to information received on 31 July from the Commission on Population Movement (CMP), an estimated 25 Jan. 2014: Appointment of the 102,000 people are still displaced in Bangui; with the M’Poko airport 2 Prime Minister, André Nzapayeké by site holding the largest number of 37,400 internally displaced the Transitional President. persons (IDPs) in the city and 425,0001 people are still in the interior. The number of IDPs peaked in January to 923,000 and has Mars 2014 : The signature of the been decreasing progressively, albeit with occasional spikes due to Government map road, pillar 2 is the humanitarian pillar outbreaks of armed violence and insecurity. According to UNHCR, 3 as of 27 July, an estimated 397,992 people from CAR have sought Ndele and the Ex Seleka new chief of staff , moving to Bambari, creating refuge in Cameroon, the Democratic Republic of Congo, Chad and unrest in that area the Republic of Congo. Most of the people are seeking refuge in 12 May: The President of Chad Cameroon (227,277) announces the closure of Chad’s 4 southern border with CAR Tens of thousands of CAR Muslims, migrants and returnees fleeing armed groups continue to pour into Chad, Cameroon, the 21-23 July 2014: An agreement on Democratic Republic of the Congo (DRC) and Republic of Congo the cessation of hostilities between (RoC). An estimated 200,000 have already fled CAR, most of them anti-Balaka and ex-Seleka elements during the first months of the year. 5 as well as by the GVT, the civil society is signed in Brazzaville, The The humanitarian context in CAR is characterized by a continued Republic of Congo fragile political situation the probable scenario or the ‘status quo’ has been maintained. Despite the efforts of international forces, the 5 August: Resignation of the Prime country continues to face a spiral of insecurity and armed violence. 6 Minister The situation is particularly acute in the western, north-western and central regions. Hot spots in Bangui include the 3rd, 5th and 8th The Government and the Ministry for districts. humanitarian affairs is dissociated 7 from the Ministry of Health Humanitarian access is periodically hindered by violence. Since January, an estimated 880 violent incidents have been registered of which 80 involved humanitarian organizations. The humanitarian community issued statements strongly condemning these attacks, urging all parties to refrain from violence against civilians including humanitarian workers, and to respect the principles and rules of international humanitarian and human rights laws. Humanitarian presence and field deployments have boosted. The crisis between anti-Balaka and ex-Seleka elements slowly worsened leading to the seclusion of communities at risk in various regions including Boda (Lobaye province), Yaloke (Ombella M’poko province) and recently Bambari (Ouaka province) and Batangafo (Ouham province). Various assessments revealed that the people affected are in dire need of multi-sectoral assistance; more over people hidden in the bush are afraid to come to health centers to have access to basic services
Needs Analysis At the peak of violence at the end of January 2014, almost one quarter of the country’s population – one million out of a population of 4.6 million, were displaced. The numbers have since dropped, with many people returning home, and many fleeing the country entirely. While the total number of IDPs as of 31
1 The IDP figures outside Bangui haven’t been updated since December 2013.
4
CAR PERIODIC MONITORING REPORT January2014-July2014
August is now estimated 527,000 including 197,000 in collective sites in both Bangui and the interior.. Minority Muslim populations live at high risk of violence, even massacre, in beleaguered enclaves across the west of the country. Populations returning home have found themselves destitute – their villages burned, houses , granaries, schools and clinics destroyed, livestock killed, tools and household goods stolen or looted. After a gradual improvement of the situation, in Bangui, violence flared again late March in Bangui and in hotspots elsewhere in the country (Kabo, Kaga Bandoro, Carnot, Boda), causing further displacement of a temporary nature in some locations. The recent crises in Bambari (23 May and July 7) and in Batangafo (July 30) have produced new population movements which have increased the level of insecurity in these areas and exposed the civil population to all kinds of infringements of their rights. A ceasefire agreement has been signed on July 23 amongst 42 actors including representatives of Anti- Balaka and Ex-Seleka in the presence of a central African Internally Displaced People in Bangui as of 2 delegation in Brazzaville. Unfortunately, this agreement is not Aug 2014 respected by all the armed groups and is even contested by some.
500
400 On July 31, 2014, the number of displaced in Bangui is 300 estimated at 102,000 and those outside the capital at Thousands 425,000. The number of IDPs within the city of Bangui 200 reached a high of 461,000 in January 2014. Although the 100 situation remains fragile in Bangui, many displaced people have meanwhile returned to their homes in the 3rd and 5th 0 Dec-13 Feb-14 Apr-14 Jun-14 Aug-14 arrondissements, due to the progressive recovery of security of these zones by EU forces and additional measures from Source: http://data.unhcr.org/car/regional.php community and humanitarian actors. CAR refugees as of July 27, 2014 The total number of people in need of humanitarian assistance, including the vulnerable displaced persons and 397,674 8% those returning home only to find devastation, those one in 4 countries of the total population
affected by years of conflicts is estimated at 2.5 million. 500
A significant number of people continue to leave the country. 400 On July 27, 2014, a total number of 397,674 people live as refugees in the neighbouring countries, one third left before Thousands 300 2014: Cameroon (227,277), Chad (92,401), the Democratic 200 Republic of the Congo (60,269) and the Republic of Congo (17,727). These numbers include many vulnerable people in 100 need of basic humanitarian assistance, including many 0 unaccompanied and separated children. Dec-13 Feb-14 Apr-14 Jun-14
The government initiated a road map on which both Source: http://data.unhcr.org/car/regional.php humanitarian and development actors need to work closely with ministries in assistance delivery to restore people livelihoods. Considerable efforts have been undertaken to restore the government’s authority in Bangui and elsewhere. However, these have been constrained by the resistance of armed groups which benefit from the country’s natural resources and thus, do not wish the situation to improve. These groups do not wish the situation to improve also for political reasons. Many areas remain globally insecure, with armed bands continuing to prey on local populations making the criminality to be on the rise.
5
CAR PERIODIC MONITORING REPORT January2014-July2014
The scale-up of international military forces brought in to stabilize the country from December onwards has improved security in many regions, but the number of troops on the ground remains insufficient. The departure of the Chadian contingent of MISCA (850 troops) has strained the effective capacity of these peace-keepers, who were already overstretched not only in terms of troops but also in their logistics and telecoms capacity. MISCA (AU) and SANGARIS (FRANCE) troops remained for some time the sole force for law and order in most of the country. Since June 2014, an EU force has been deployed and boosted security efforts in Bangui town. The national gendarmerie and police is being slowly redeployed, however these have no equipment, no mobility and no weapons and therefore their effectiveness as of end of July is extremely limited. The ambiguous security situation certainly increases the essential needs of the affected population, i.e. for both non-food items and food distribution to be able to survive. Additionally, in order to secure the agricultural season and thus prevent the further aggravation of food security, the outcome of the food security will be crucial in order to prepare the next harvesting season. WASH activities will remain important both for those living on IDP sites and those who returned home. The migration route for pastoralism are reported to have changed essentially due to security reason, the closure of the border of Chad; Therefore, a cross countries coordination mechanisms need to assess the new trends of the pastoralist movement, the impact on the community and the harvest. Moreover, some people are associated to armed groups and created fear amongst community which do not dare to harvest its own field. Special program will need to be addressed in order to assess and implement program that help the peul population to be back and restart a certain livestock. Given the positive evolution of displaced people returning to their homes, a high demand of construction materials for shelters of the returnees is beginning to show. In order to assure that returnees are able to build a sustainable new life, there is a high need of activities to re-establish social cohesion as well as of income-generating activities (e.g. labour intensive public works) to boost household economies, cover food needs, and support the social and professional reintegration of returnees. In the meantime, the need for protection of the affected civil population remains extremely high in the face of continuing conflicts as well as in the context of the United Nations’ strategy for crisis solution. Particular attention also needs to be paid to protection of the most vulnerable. Most recent estimates indicate that up to 10 000 girls and boys are exploited by ex-Seleka or Anti-Balaka forces. Special programs and lasting commitment by the humanitarian community are needed in order to ensure their lasting reintegration. Salaries have been distributed through UNDP: it is essential that civil servants are back in the country side in order to help in the back to school campaign.
Response capacity Since the beginning of the crisis, the number of organisations responding with emergency programmes in Bangui and in the prefectures has more than doubled from 47 to 100 organisations as of the end of July 2014 in 35 cities and towns across the country which now has a permanent humanitarian presence. Out of these, 75 organisations are implementing programs in Bangui and in line with strategic response plan priorities. Since the crisis erupted, the wanton destruction of government and non-government service providers has exacerbated the crippled national and local capacities to respond to an external event. The situation is still very weak or inexistent at both Bangui level and in the interior. As of July 2014, 33 national NGOs are working to alleviate the plight of people both in Bangui and in the interior. There were only 13 back in December.
6
CAR PERIODIC MONITORING REPORT January2014-July2014
According to the analysis of the UNDSS approved security clearance requests, the number of UN staff deployed to/and or visiting 25 locations has steadily increased from 812 in December 2013 to 3,680 in July 2014. UNHAS is the sole aerial transport mode to reach most parts of CAR which are accessible with difficulties due to very weak infrastructure and poor road networks. Under the reporting period, a total of 18,278 security clearances were approved by UNDSS for UN staff travelling inside CAR. UNHAS transported 2,615 UN staff or 14 percent of the total travellers and 15,683 UN staff took car as their mean of transportation. In July, while 500 UN staff2 was transported by UNHAS from one location to another in CAR, 2,679 UN staff travelled by road. UN presence outside of Bangui began in earnest from mid-August 2013 and was boosted under the L3 and the 100-Day plan.
The UN Security Council voted for on 10 April, 2014 to establish a multi-dimensional peace-keeping mission (MINUSCA) with a mandate to protect civilians, restore order, help establish institutions of law and justice, and protect humanitarian action. It will take over from MISCA in mid-September 2014. Eleven clusters are active at the Bangui level including two sub-clusters (GBV and Child Protection). Some clusters have been established in Bambari, Bossangoa, Bouar, Kaga Bandoro and Coordination mechanisms are fully functional in 5 out of 7 hubs including general coordination and civil-military coordination mechanisms. The coordination mechanism is partly functional in Boda and N’dele. Some action plans were developed to address collectively the humanitarian needs of the hotspots unfolded in the country. M’Poko, Kabo/Moyen Sido, Boda, Yaloke, Durable solution and Bambari action plans permitted specifically to boost a multisectoral and coordinated response
2 UNDSS approved security clearance requests
7
CAR PERIODIC MONITORING REPORT January2014-July2014
STRATEGIC OBJECTIVES: ACHIEVEMENTS TO DATE
SO1 Provide life-saving humanitarian, multi-sectoral packages to internally displaced persons (IDPs) and host communities, migrants, and returning persons; SO2 Conflict-affected people are protected from harm, specifically vulnerable groups (e.g. unaccompanied minors, women, single-headed households, migrants, unaccompanied children and the elderly) Returnees and other affected people access basic services SO3 Affected communities’ resilience. Affected communities’ resilience is restored. SO4
Progress toward Strategic Objective The SRP and the 100-days-plan are particularly focused on the rapid redeployment of humanitarians to the field in order to strengthen the response. The redeployment plan of the humanitarian agencies has been implemented in Bambari, Kaga-Bandoro, Bouar and Bossangoa. Several humanitarian agencies and organizations which had reduced their activities due to the deterioration of the security situation have redeployed their staff to the field. The strategy to share offices has permitted the agencies to save resources and to accelerate the process of resuming field activities. Several organizations have benefitted from additional expertise in the context of L3 which has enabled them to reinforce their capabilities in the field. The coordination mechanisms in the field have been strengthened through the permanent presence of OCHA with its 7 sub-offices (Ndele, Bambari, Kaga Bandoro, Bossangoa, Poua, Bouar and Zemio) in the field and with regular missions gathering data and information. In line with the strategic objectives of the SRP 2014 and the populations at risk strategy developed by the Protection cluster and adopted by the HCT in March 2014, the humanitarian community has drafted a global protection strategy to prioritize the protection of civilians, and has provided multi-sectorial assistance to populations at risk to the extent possible, and to other vulnerable populations. Protection monitoring system has been established to advocate for the physical protection of civilians by international military forces, and to mobilize assistance through the Inter Cluster Coordination Group (ICC) re- activated in the provinces (Kaga Bandoro, Bossangoa, Bambari, Bouar and Paoua). As the violence persisted, in and out of Bangui, the physical protection, local mediation efforts and assistance to populations under imminent threat has not been sufficient to prevent deadly attacks and deterioration of the humanitarian situation of those communities. Therefore, as a last resort, relocation of these communities who are the most targeted and vulnerable has been conducted based on the request of the communities. The process has been implemented in cooperation with community representatives and national and local authorities The humanitarian community’s priority, during the reviewed period, was to strengthen its presence in the provinces to deliver assistance and monitor its gaps of all conflict affected people. In Bangui, the focus of the response was to shift from displacement sites assistance towards support to voluntary returns to neighborhoods of origin or alternative displacement sites viable during the rainy season. The process is ongoing in partnership with the Government and other international partners In Bangui, the Government and the humanitarian community has established a working group with the local communities’ participation, to facilitate the voluntary return in safety and in dignity in their neighborhoods. The Government attempts to scale-up assistance for the most vulnerable, income generating activities, social cohesion work, and durable solution for all communities in the neighborhoods. While other clusters have been facing challenges in the scale-up of response, some improvement has been made by some clusters. Emergency Shelter and NFIs were provided to 500,000 people out of the 704,000 targeted. 42,000 among 92,000 returned people in communities have been assisted. While the quantity and quality of water and sanitation services have not reached the minimum standards, WASH cluster partners provided access to safe drinking water to 520,000 among 900,000 targeted people, including in 40 sites that host the most vulnerable. IDP population in Bangui and in the regions affected, notably Bambari, Boda, Batangafo, Bossangoa, Markounda and Nana Bakassa. In Health sector, the health facilities were supported with the provision of essential medicines and medical supplies, and 7 hospitals with surgical assistance (quantities not reported). The catchment areas cover 1.4 and 1 million people, respectively. In terms of protection, monitoring system for populations at risk was extended to 6 out of 10 provinces. In some cases, protection and multi-sectoral response missions have been carried out. The CCCM cluster established site management in spontaneous IDP sites in Bangui. The programme is expanding in
8
CAR PERIODIC MONITORING REPORT January2014-July2014
camps and sites outside Bangui. The cluster is facilitating voluntary returns by disseminating sufficient. Information and ensuring that peace and reconciliation, livelihoods, shelter and other required social infrastructure measures are in place. Two alternative sites are being identified and assessed to transfer the IDP population from the most at-risk sites (including M’Poko) that are unable to return to their communities of origin before the rainy season and school year. About 7,000 out of 8,000 refugees facing risk of displacement were assisted with NFIs and food (overall quantities not reported). The Logistics cluster reports that passenger and cargo transports have increased. UNHAS, during the first half of 2014, transported 85.7 metric tons of cargo and 4,629 passengers either within the country or between Cameroun and CAR, surpassing the targets of 30 metric tons and 2,100 passengers, respectively. Land transport and storage capacity, however, remain unchanged and faced robberies. Meanwhile the Logistics cluster conducted assessments and identified local capabilities to be involved in humanitarian agenda. The deployment of international forces (MISCA, SANGARIS and the EUFOR), the increase of the number of organizations, and the presence of humanitarian actors in the field have made it necessary to establish a mechanism to exchange information and coordinate actions between humanitarians and military forces in the different zones. CM-Coord meetings in Bambari, Kaga-Bandoro and Bouar have been established. The mechanism will be extended with MINUSCA in the months to follow. Progress can be reported in the food security and agricultural cluster. Food was distributed to more than 80% of targeted people, although the needs remain as significant. Seeds and tools have been pre-positioned throughout the country and will be distributed in accordance with the planting season that starts in mid-April. Despite severe funding and security constraints, which limited the scale of the response and possibilities to intervene in the neediest parts of country, members of the Education Cluster provided emergency education to 34,555 children, distributed emergency education supplies to 68,629 children, and provided school feeding to 211,182 children. Development of capacity to respond to the current and future emergencies has been ensured through training on Education in Emergency and Project Management to about 120 Education Cluster members. Furthermore, the Cluster trained 682 teachers and facilitators on psychosocial support, prevention of sexual and gender-based violence, and support for the most affected children. In March 2014, the Ministry of Education announced the restart of the school year, which brought limited yet forward moving results as the percentage of open schools now stands at 41% while it stood at 35% during the last Cluster assessment (February 2014). The slow return to duty by teachers is directly related to late salary payments, and civil servants are unwilling to return to work due to insecurity. The Emergency Telecommunications cluster established security telecommunications and data services in three out of seven targeted hubs (43% reached). The lack of secure compounds and/or adequate office space in some hubs prevents the installation of ETC equipment (Bambari and Kaga Bandoro). Five (Paoua, Bossangoa, Bambari, Bouar, Kaga Bandoro) out of 7 hubs (N’dele and Zemio) were reinforced. In partnership with MSB, a huge number of offices will be rehabilitated in the couple of months.
To date, obstacles to an accelerated response in Bangui and in the country side remain the implementation capacity, the road conditions, the lack of funding and insecurity in some areas. .
9
CAR PERIODIC MONITORING REPORT January2014-July2014
ANALYSIS
Funding analysis The High-Level International Meeting on Humanitarian Action in the Central African Republic (CAR) (Brussels Conference) on 20 January 2014 co-chaired by Emergency Relief Coordinator Valerie Amos and the European Commissioner for International Cooperation, Humanitarian Aid and Crisis Response Kristalina Georgieva helped raising funds for the humanitarian crisis in CAR. A total of $205 million of humanitarian aid was pledged and has been committed for 92%. A total of $328 million was contributed to the SRP during the first 9 months of 2014. Pooled funds (CERF and CHF) contributed 13% to the SRP received funding to date. Donor organisations to CAR did not change considerably from 2013 to 2014. New donors were the World Bank and New Zealand. Donors that have more than quintupled their contribution between 2013 and the first nine months of 2014 include Finland, Denmark, UN agencies and the United Kingdom; while Germany, Luxembourg, the United States of America and the Republic of Korea have more than tripled their contributions. Biggest increases in absolute amounts are achieved by the United States (+$80m), the European Commission (+$22m), the United Kingdom (+$21m), CERF (+$12m) and the UN agencies (+$10m). While original requirements where $247 million, they were revised in January to $551 million in a revised SRP. Later on several Clusters increased their requirements to $565 million but this was revised to $551 million during this PMR exercise. 99% of all projects funded for which the priority was specified addressed immediate or high needs.
Funding: Required vs. Received to date (million $US) 555 million ($US) to 328 million ($US) 59% Total Required Total Received Total Funded CERF: 20 million Unmet: 226 million ($US) CHF: 23 million
Source: Financial Tracking Service (FTS)
Cluster Performance Ssince January 2014, 11 clusters have been active including CCCM, Emergency Telecommunication and Logistics lately activated. The clusters are benefiting from an increasing involvement of national organizations that have played a key role for the needs assessment and the responses implementation in the field. Clusters have made good performance but have suffered from a certain turnover of coordinators and alternates. The main challenge is the coordination between the prefectoral coordination activities and the cluster at national level, as well as the coordination between the ICC and the HCT. These links should be reinforced through clear TORs, taking into consideration the need of decentralized decision mechanism for clusters at prefectoral level since SOP exists for the clusters at national level. The coordination mechanism that exists among humanitarian actors at prefectoral level should be streamlined to make it more efficient.
Analysis of achievements, against funding and challenges According the Financial Tracking System, the SRP is as of 07 October 59% funded. Unfortunately; the information captured in the financial tracking system doesn’t allow having a clear breakdown per cluster: Currently one third of the funds received are still recorded in the ‘multi cluster section’. All efforts should be made to get a clearer picture of funding (needs and funds received) per cluster for the next year for better funding gaps identification;
10
CAR PERIODIC MONITORING REPORT January2014-July2014
The NGOs and UN humanitarian agencies are physically present in 50 % of the sous prefectures, covering two third of the population. Additionally there are some mobile teams covering sous prefectures where there is no permanent presence of humanitarian actors.
The food security sector has registered important successes in term of food and seeds distribution that would have reached more people if it had started earlier. The school feeding has resumed in 200 schools during the 2014 first semester and 19,000 of malnourished children were treated.
Most of IDPs have received humanitarian assistance either on the sites or in the host community. However, progresses need to be done for a better early warning system and analysis, assessment and response in order to adequately and quickly assist those in need.
All IDPs in Bangui were assisted adequately thanks to a good management. There was no one outbreak that erupted in Bangui and the recent nutritional survey did not show any increase of malnutrition. The challenge is to work on the Bangui platform to address the improvement of the returnees’ conditions to their homes.
Collective shelters were provided to those in need on site, especially in Bangui. However the lack of funds did not allow the cluster to respect the family size and gender. Thousands of shelters are being constructed to address the need of returnees. Household items were provided to 300 000 people, however the lack of funds did not allow to provide the full kit.
All affected populations were assisted within the framework of neutrality and impartiality. However, in some places more attention should be given to host population who may need assistance even if they are less vulnerable than the displaced people.
The strategy on protection of civilians was finalised and the protection cluster is working closely with the emerging MINUSCA to implement it in the field. The challenge will be to work together while respecting the humanitarian space. When MINUSCA was still in its starting mode without a proper section addressing the protection of civilian; the humanitarian community succeeded to advocate for protection of civilians in some areas, to express serious concerns for other people and to move to saver place civilians who were in need.
The cluster early recovery stays quite behind due to lack of proper management and coordination. However few activities on early recovery were already included in other clusters (transversal approach) as well as in the Bangui platform targeting the improvement of return conditions.
The platform for transhumance is in place addressing the humanitarian impact of the forthcoming transhumance.
Social cohesions started in several places through dialogue, joint activities. However more is needed to be done especially in areas without administrative structures and in new places that faced unexpected conflict.
In overall the absorption capacity of humanitarian actors has also a certain limit, due to many factors especially the importation delays, the poor road infrastructures , the lack of trucks (the drivers were Muslim), the installation time out of Bangui (moving equipment and furniture), the criminality along the road. During the dry season, the delay on the road may decrease if bridges are not destroyed.
UNHAS provided the logistic / airlift support during the reporting period. Due to fuel shortage, UNHAS stopped for about 4 weeks and was obliged to import fuel by cargo planes that cost a lot and weighted on the budget.
Recommendations: see page two.
11
CAR PERIODIC MONITORING REPORT January2014-July2014
CLUSTER ACHIEVEMENTS
Progress towards Cluster Objectives
Since its late activation in January 2014, the CCCM cluster has been committed to effectively coordinate the provision of humanitarian assistance, reinforce community participation in displacement sites CCCM and transit centres and facilitate voluntary return as per 3 cluster’s objectives set in the Strategic response plan. The 2 first objectives Coordinator UNHCR have reached a better achievement rate than the third, which can be Co-Facilitator IOM explained by a lack of actors to support voluntary return (among them site management agencies), a limited access to information on Government Counterpart Ministry of Social Affairs and return initiatives to be communicated to the IDPs or because the humanitarian Action context has not allowed to actually implement durable solutions, People Targeted 501,980 IDP mostly for security reasons. People Covered 300,000 IDP In January 2014, an estimated 501,980 IDPs were hosted in FUNDING displacement sites and transit centres. Since very few dedicated camp management agencies have been deployed (4 agencies Requested Received Percent Funded managing 32 sites in Bangui and the Ouham prefecture additionally 4,766,000 to local NGO doing site management activities on the ground without proper funding), IOM set up an assistance monitoring mechanism in 50 sites in Bangui, Boda, Moyen Sido and Kabo, which helps reach objective 1. Similarly the cluster has been involved in building the capacities of local stakeholders to manage sites, in Bangui, Bossangoa, Bouca, Kaga Bandoro, Boda and Bambari to reach objectives 1, 2 and partially 3. The cluster has progressively extended its coverage outside Bangui and Bossangoa where it started its coordination to assess the humanitarian assistance in sites in the prefectures through local partners. Nevertheless some areas are still not well covered, such as the Ouaka or the Mambere-Kadei and the capacity intervention remains precarious with no CCCM stakeholders in some key areas and even less on the axes. This limited presence could be explained mostly by a lack of financing. Changes in Context The security situation improved significantly in Bangui which led to the return of more than 200,000 IDPs who left the sites and the closure of over 30 spontaneous sites, as well as in Bossangoa. In other locations, recent population movements have been observed (e.g. Bambari, Batangafo, etc.) and IDPs seek refuge in displacement sites additionally to the ones already residing in sites. The needs of IDPs residing in sites which are stated in the cluster’s objectives remained the same. Cluster Performance
The cluster is composed of 12 agencies, government counterpart or clusters that are active members. 30 additional agencies, institutions and clusters are kept informed of the clusters operations and strategic decisions or participate irregularly in activities. Among these members, only 6 are site management or coordination agencies, 2 state institutions (Ministry of Health and Mairie de Bangui) are involved in site administration and other members are either service providers in sites or cluster partners. The cluster’s coordination meeting is held every other week and the cluster has a monthly meeting with all the site authorities from Bangui. The cluster strongly benefits from the expertise of its lead and co-lead agencies which are both lead agencies of the global CCCM cluster and carry out CCCM activities or programmes additionally to leading and co-leading the cluster. Challenges
The main challenge faced by the cluster is the lack of funding to address the needs of the IDPs living in sites by deploying site management agencies to assess the humanitarian assistance in sites, mobilise the IDP community through participatory mechanisms and facilitate voluntary return. Limited access and the security context also have a significant impact on support to IDPs in sites, mostly outside Bangui.
Actions to be taken The CCCM cluster is highly involved in identifying more site management agencies or train site management stakeholders at field level (even though these field CCCM stakeholders may lack of financial means to carry out site management activities) to
12
CAR PERIODIC MONITORING REPORT January2014-July2014
effectively managed the sites where IDPs are still unable to return to their communities of origin and ensure provision of humanitarian assistance and community mobilization. These site management agencies or any other actor who would conduct activities in sites to promote durable solutions in integrated projects also would have a crucial role to play to facilitate voluntary return and carry out site phase out activities, especially in Bangui. The cluster coordination is and will remain actively engaged in supporting the return strategy.
Cluster Objective 1: The humanitarian assistance of affected populations seeking safe haven in Supports displacement sites and transit centres is well-managed and coordinated, responding to Strategic lifesaving needs and aiming towards international standards. Objective 1 Activities Locations Indicator Baseline Target Result Status Camp management and Bangui, ~ 80% of the camp 501,980 501,980 400,000 coordination Boda, population have access to IDP IDP IDP On Track – mechanisms are Kabo, basic services 79% established and Moyenne 50% of positive responses ACK maintained, ensuring a Sido, to reported gaps and timely and coordinated Batangafo, duplications delivery of humanitarian Bambari, 60% of service providers assistance Kaga, and other stakeholders Bandoro, involved in camp Bossangoa coordination and camp Carnot, management mechanisms Bouca, Grimari, Bouar
A regular monitoring and Bangui, Monitoring system 501,980 501,980 350,000 On Track – evaluation of the Boda, developed and IDP IDP IDP 70% humanitarian assistance Kabo, implemented in larger is undertaken in Moyenne sites, in collaboration with accordance with agreed Sido, protection actors and standards, ensuring the Batangafo, service providers clusters identification and Bambari, Inter-cluster assessments reporting of humanitarian Kaga undertaken in sites on a gaps Bandoro, bimonthly basis at a Bossangoa minimum, and with the protection, WASH and shelter clusters at a minimum
Information on situation, Bangui, Daily sector level needs 501,980 501,980 350,000 On Track – populations, needs and Boda, updates shared with the IDP IDP IDP 70% response is regularly Kabo, respective clusters gathered from affected Moyenne Site lists, profiles and 3W populations and other Sido, updated on a monthly stakeholders in Batangafo, basis and made publically displacement sites, and Bambari, available shared with all relevant Kaga partners Bandoro, Bossangoa
Preparedness/response Bangui, Drainage, sector level site 501,980 501,980 150,000 Major gap – for rainy season in Bossangoa considerations, and/or IDP IDP IDP 29% cooperation with the contingency measures, relevant service are put in place in providers anticipation of the rainy season Cluster Objective 2: Representative and functioning communication and leadership structures Supports are in place and supported in displacement and transit sites, and all affected, especially Strategic vulnerable populations, are involved (in accordance with the accountability to affected Objectives 1 & populations framework and based on a selection in accordance with AGDM approach). 2 Activities Locations Indicator Baseline Target Result Status
13
CAR PERIODIC MONITORING REPORT January2014-July2014
Conduct training Bangui, 10 CCCM trainings 10 10 37 On Track – courses for CCCM Kaga conducted trainings trainngs trainings 370% actors in order to Bandoro, increase their Bossangoa, knowledge and Bambari, capacity in response to Boda, displacement. Bouca
Representative and Bangui, Bi-weekly meetings held 501,980 501,980 413.700 On track – functioning leadership Boda, Kabo, with camp committees IDP IDP IDP 82% structures (camp Moyenne One representative site committees) are Sido, leadership committee established and Batangafo, established per site capable to identify Bambari, Female representation in gaps, needs and Kaga site committees ensured responses within the Bandoro, site. Bossangoa
Effective Bangui, Complaints mechanisms 501,980 501,980 160,000 Major gap – communication, Bossangoa established at each site IDP IDP IDP 32% complaints, and Communicating strategy information prepared and implemented dissemination for each site mechanisms are established in each site in order to ensure accountability to affected populations
Advocate and work Bangui % of sites without reported 501,980 501,980 50,000 Major gap - with all stakeholders to incidents involving armed IDP IDP IDP 10% ensure the civilian non-state actors nature of the site Cluster Objective 3: Facilitating returns through effective information dissemination and in close Supports collaboration with other humanitarian actors to ensure that peace and reconciliation, livelihood, Strategic shelter and other required social infrastructure measures are in place, in addition to ensuring Objectives 1, 2 measures are in place for site closure. & 3 Activities Locations Indicator Baseline Target Result Status Working with all Bangui Arrange 'Go and See' 501,980 501,980 130,000 Major gap - stakeholders to support visits to return areas prior IDP IDP IDP 25% IDP returns and related to returns programming. Return committees (comite de crise) are in place and supported
Support humanitarian Bangui, Transition to durable 501,980 501,980 160,000 Major gap - and early recovery Bossangoa solutions facilitated by safe IDP IDP IDP 32% actors in the transition to zones throughout the durable solutions and Bangui neighbourhoods community based safe zones.
Ensure that appropriate Bangui, 100% of sites have 501,980 501,980 160,000 Major gap - site closure and Bossangoa decommissioning and IDP IDP IDP 32% decommissioning hand-over strategies measures are in place incorporated into their for displacement sites respective response plans and transit centres.
14
CAR PERIODIC MONITORING REPORT January2014-July2014
Changes in Context
In mid-February a remote survey conducted by the Cluster found that 65 per cent of the 355 schools evaluated remained Education closed; in open schools, 37 per cent of students enrolled in 2012-2013 were no longer enrolled in the 2013-2014 school Coordinator UNICEF year. The assessment also revealed that by mid-February, Co-coordinator CORDAID the schools were functional for an average of four weeks only Government Ministry of Education (since beginning of the school year). These results Counterpart demonstrate the long term effects of violence and insecurity. People Targeted 685,000 Since March 2014, there has been a double dynamic across People Covered 432,500 the country: FUNDING In the capital as well as along a few axes and Percent regions, the improvement in security, payment of Requested Received salaries of civil servants, along with the official Funded announcement of the resumption of education services, and the work of Cluster members triggered 33 mill incentive for a return to school. Increasingly in Bangui, children in displacement sites are joining nearby schools, and students are attending their schools of origin. Conversely, the central, northern and eastern parts of the country and along minor roads in the western part of the country are still marked by recurring violence, insecurity and temporary displacement.
In IDP camps in Bangui, the parents are still afraid to send their children to the schools of origin. The vast majority of schools in the 3rd and 5th districts remain closed. In addition, schools in Bangui host a large number of children from nearby displacement camps and neighboring prefectures. According to government statistics, 45 per cent of schools were still closed in the Central African Republic in May 2014.
Challenges o The February 2014 survey found that 33 per cent of the 355 schools surveyed have been looted, occupied by armed forces and groups, hit by bullets or shells, or burnt intentionally. Attacks against education and occupation of schools by armed forces or groups have continued on a regular basis these past months. o Many teachers' salaries have been irregular, especially outside Bangui, teachers have had their homes burnt or looted. They are struggling to make ends meet and many are unable to show up for work due to insecurity. o The unstable and unpredictable security context with recurring spontaneous population movement implies difficulties in planning and monitoring the situation and impedes access for humanitarian actors to respond to educational needs and teachers and students to return - especially outside Bangui. o There is shortage of specialized organisations, technical expertise and capacity to respond especially outside Bangui. o To cover payment/ new process for the teachers/parents
Cluster Coordination Performance o The number of international education partners with their own funds has increased o Training on Education in Emergency and Project Management has been provided to about 120 education Cluster members and increased their capacity to respond o About 40 partners (MoE3 national and international NGOs, civil society organisations, donors) have been actively participating in Cluster Coordination meetings every second Friday o Key issues are being addressed in bilateral meetings with the MoE with focus on return to school, content of emergency curricula, response in hot spots and preparation for return of refugee students o Advocacy and communication tools have been developed to increase support and funding (among lead agencies, global Education Cluster, specialised networks and agencies, towards larger audience: Education Cluster bulletin, update of INEE CAR crisis spotlight webpage and ReliefWeb) o Technical support has been provided to Cluster members on fundraising and humanitarian mechanisms
3 MoE; Ministry of Education
15
CAR PERIODIC MONITORING REPORT January2014-July2014
o Technical advice to ensure quality of ETAPE4s partners and content has been provided o The education strategy and terms of reference has been revised o Support has been provided to MoE in development and implementation of catch up classes o IM tools have been produced to guide interventions of members: 5Ws (Who does What, Where, When and for whom), 3W analysis, prioritisation tool for displacement sites, collection of data on attacks against schools, education cluster stock updated.
Actions to be taken o Continuation and reinforcement of the ETAPEi approach with age-sensitive educational and recreational activities, as well as child protection services are provided for the longer term IDPs (145,445) still in need o Ensure an appropriate coordination in the transition between temporary safe learning spaces (ETAPEs) and schools of return o Coordinate extension school-feeding activities for the additional 200,000 learners still in need particularly in provinces with a low rate of student returns o Include preparedness training for teachers and students o Adjust the target of teachers needing psychosocial support taking into account the capacity of education partners to respond and facilitate training. o Advocate for continued capacity building of education partners o Assist coordinated monitoring and evaluation covering the whole country and promote information sharing among stakeholders
Progress towards Cluster Objectives
Cluster Objective 1: Contribute to the survival of IDPs, host communities, returning persons and refugees through training of children, youth and adults in good practices on safety, hygiene and basic principles of health. Activities Indicator Locations Target Result Status Life skills education for affected # of children, Bangui: 3ème, children, youth and adults with a youth and adults 5ème et 8ème focus on safety, hygiene, basic benefiting from arrondissements. principles of health and UXO life skills activities All relocation and 180,000 19,118 11% risk education. displacement sites in the country
Cluster Objective 2: Contribute to the protection of children and youth affected by the conflict through psychosocial support, prevention of SGBV, training on human rights, and education activities in schools and temporary learning spaces.
Activities Indicator Locations Target Result Status
Temporary learning spaces in # of pupils, other displacement sites for children, youth preschool, primary and and adults 180,000 34,555 19% secondary school-aged children benefiting from education Bangui: 3ème, activities 5ème et 8ème Training of teachers and # of teachers and arrondissements. facilitators on psychosocial facilitators trained All relocation and support (symptoms, positive on psychosocial displacement sites coping mechanisms, how to support in the country create a favorable learning 2,500 4825 19% environment), prevention of sexual and gender-based violence, and support for the most affected children
4 ETAPE; temporary safe learning spaces (Espace Temporaire d’Apprentissage 5 Only selected teachers in ETAPEs has been trained this far. Schools in areas of return are yet to be trained, depending on the security situation and teachers’ willingness to return
16
CAR PERIODIC MONITORING REPORT January2014-July2014
Distribution of emergency # of children education supplies (ECD, benefiting from school in a box and recreation ECD activities 180,000 68,629 38% kits) to allow children to regain a and play materials sense of normalcy through play and learning Set-up a monitoring and Document drafted System in reporting mechanism for attacks and shared with place and against education (schools, cluster members members teachers, students) per UNSC trained, Resolution 1998 and advocate 1 1 document for the protection of schools yet to be shared
Cluster Objective 3: Support access to education activities for children in return and affected Communities
Activities Indicator Locations Target Result Status
Rehabilitation and equipment of # of school- Bangui and all 44 damaged or destroyed school infrastructures prefectures in the schools infrastructures rehabilitated country (with the 930 (13,112 5% exception of the students three prefectures ) Development of education in Education in which were emergency programme to be emergency assessed as non- Programm implemented in reopened programme priority in the e being schools developed and February 2014 used in shared with Education Cluster 1 1 ETAPEs, cluster members assessment, not yet in namely Haut- return Mbomou, Mbomou areas and Basse-Kotto) Cluster Objective 4: Support the restoration of the education system in a way that promotes reconciliation and peacebuilding
Activities Indicator Locations Target Result Status
Social mobilization and # of key actors Ouham, Kémo, advocacy targeting local reached by the Sangha-Mbaéré, authorities, parent-children campaign Lobaye, Baminghi- 6 associations on the reopening Bangoran, Haute- 4650 810 17% of schools and provision of Kotto, Ombella- education in emergency Mpoko, Nana- programme Grébizi, Vakaga, School feeding activities, # of students Ouaka, Bangui, especially in prefectures where benefiting from Nana-Mambéré, 211,182 the level of return of students is school feeding Mambéré-Kadéï 250,000 7 81% low activities and Ouham-Pendé.
6 810 members of parent-teacher associations (90 APE x9 members) trained + mobilization of xx local authorities yet to be included. 7 This number is the total of 81,479 children who was reached by this activity from December 2013 to February 2014 (activities suspended) plus 129,703 children who benefitted from this activity until end July 2014. There is no duplication between the numbers as they cover different part of the country. Total beneficiaries of school feeding: 211,182
17
CAR PERIODIC MONITORING REPORT January2014-July2014
Progress towards Cluster Objectives Emergency Shelter & NFIs The objectives of the Emergency Shelter & NFIs Cluster can Coordinator UNHCR be grouped in three areas of interventions, with different Co-Facilitator ACTED progress towards achievement of the original objectives. Government Counterpart Cellule d’Appui de l’Action Emergency shelter assistance. In this area of intervention, Humanitaire / Ministry of Health and Humanitarian approximately 192 065 people have been assisted so far Action through (i) distribution of 30 077 tarpaulins; and (ii) construction of 1 042 community shelters. Although the latter People Targeted 703 975 has reached only 24% of its original target and has had a People Covered 307 320 primary focus on Bangui area, it is considered to be “on track” FUNDING and partners are now continuing their activities through the maintenance of existing community shelters and the Requested Received Percent Funded construction of new ones based on pre-identified needs. On the contrary, major gaps exist in the distribution of tarpaulins 33.5m since only 22% of the targeted beneficiaries have so far been assisted.
NFI assistance. Through in-country supplies of the UNHCR and the UNICEF/RRM, as well as the ICRC and other humanitarian partners, cluster partners have been able to provide NFI assistance to 569 615 people. Yet, the content/quantities of items in distributed kits varied greatly since as of June 2014, only about 8% of beneficiaries received a full NFI kit, while 40% received one item only (the jerrycan). As a result, the Emergency Shelter & NFIs Cluster has aggregated the distributions to determine that the equivalent of 61 464 complete NFI kits were distributed in CAR between December 2013 and July 2014. Through this analysis, the needs of only approximately 307 320 people out of the 703 975 targeted have been met, or approximately 44%. Another major gap is to be reported in the establishment of a contingency stock of NFIs in the provinces to ensure rapid humanitarian responses to continued displacement. If the stock and pipeline of NFIs is currently expected to cover the needs of 302 660 people, most of the available stock is or will be warehoused in Bangui.
Assistance to shelter reconstruction. In cooperation with its partners, the Cluster has defined two assistance packages in terms of assistance to shelter reconstruction efforts, adapted to urban and rural contexts respectively. Progress made with regards to supporting returnee populations to rebuild their houses is projected as “on track” compared to the original target of 92 500 people. Yet, it should be noted that these projections result from the funding received by cluster partners rather than the actual number of beneficiaries assisted so far. Assistance in this area is provided after an estimation of the level of destruction is undertaken by shelter partners and after a subsequent house-by-house evaluation of reconstruction needs is completed. One national NGO and nine international NGOs have already started projects in this area. It should also be noted that the needs are on the rise as the Emergency Shelter & NFIs cluster partner agencies are still in the process of assessing the need for support to returnees in terms of building back their homes destroyed in the conflict. Indeed, in this area of intervention, the major challenge is the evaluation of needs since factors including continued assessments along new axes in conflict-affected areas, as well as spontaneous reconstruction and ethnic minorities who will not come back to their homes will continue to refine the actual target.
Changes in Context Humanitarian Context Large populations remain displaced in sites in Bangui and in the provinces but also in host families and living out in the open in remote fields. Continued insecurity, especially in the Ouham, Ouham Pende, Ouaka and Nana-Gribizi provinces are creating new waves of IDPs and is hindering humanitarian access. There is also, in parallel, a movement of IDPs to return to their areas of origin and begin to rebuild their housing lost in the conflict. Additionally, in order to protect people at risk, mostly Muslim communities in different enclaves across the Western part of the country, relocation process has begun that has created a number of relocation sites of especially vulnerable displaced communities.
18
CAR PERIODIC MONITORING REPORT January2014-July2014
Needs Analysis Since it is difficult to provide a final estimation of the number of IDPs (exercise to which the CMP is dedicated), the Emergency Shelter & NFIs Cluster is constantly reviewing its original estimations based on ongoing assessments of needs undertaken by its partners with regards to IDPs, host families and returnees. Therefore, we have in parallel continued need for emergency shelter & NFI assistance for IDPs at the same time as returnees require support to ensure the reconstruction of their damaged or destroyed houses and relocated families to construct new settlements.
Cluster Coordination Performance Since December 2013, the UNCHR has ensured the coordination of the cluster through the deployment of three coordinators and two technical advisors. In addition, ACTED (co-facilitator), has supported coordination through the deployment of two dedicated staff with an IMO profile. As of August 2014, the Emergency Shelter & NFIs Cluster consists of one interim coordinator (though the Global Shelter Cluster) and one longer term co-facilitator/IMO staff, both 100% dedicated to the cluster. The ongoing recruitment of a longer term coordinator will ensure coverage of coordination functions as needed.
Challenges Emergency Shelter & NFIs assistance The security context, which remains volatile, impacts partners response capacity as access to some areas remains restricted/difficult. Weak pre-positioning of NFI stocks (both in terms of basic household items and tarpaulins for emergency shelter purposes) in the provinces, hindering partners’ capacity to respond to new waves of displacement. Difficulties in tracking of population movements, notably outside of Bangui/urban centres and among host communities, resulting in unclear and changing targets for assistance. In particular, identification and assessment of needs of IDPs in host families remains extremely challenging and thus hinders greatly partners’ capacity to provide specific assistance to this population.
Assistance to shelter reconstruction Evaluation of needs in terms of assistance to shelter reconstruction efforts impacted by security and logistic constraints hindering assessments along new axes in conflict-affected areas, as well as spontaneous reconstruction.
Actions to be taken Emergency Shelter and NFIs assistance Strengthen pre-positioning of NFI stocks in key logistics hubs outside of Bangui to increase partners’ response capacity. As much as possible, agencies with NFIs stocks should be encouraged to pre-identify partners so as to reduce the gap between the identification of urgent needs and the actual provision of assistance.
Assistance to shelter reconstruction In order to facilitate the provision of assistance to shelter reconstruction of damaged houses, the cluster should continue to closely monitor and evaluate projects which are already ongoing in an effort to identify best practices that could be scaled-up. The cluster should also support its partners in the systematisation of the results of field evaluations of damaged houses in order to allow for information to be more easily analysed. This would facilitate the identification of real needs and gaps, thus ensuring appropriate support is provided in a timely manner.
19
CAR PERIODIC MONITORING REPORT January2014-July2014
Cluster Objective 1: Emergency shelter support and NFIs are provided within three months and before the rainy seasons to meet the needs of displaced persons living both in urban and rural areas in spontaneous and organised sites. Collective shelters are constructed in various transit locations. Public buildings such as non-functional schools, churches, hospitals vacated by IDPs returning to their place of origin are repaired and rehabilitated. Stocks of shelter materials as well as domestic household items are available in adequate quantities for distribution in case of extreme weather conditions or contingency measure. Activities Indicator Locations Target Result Status
NFI and emergency shelter Number of persons Nationwide 685,000 150,385 Major support provided to displace who benefited from Gaps population. NFIs (for emergency shelter purposes – i.e. tarpaulins)
Provision of collective Number of families Bangui 175 000* 41 680 On emergency shelters living in the collective *this target is considered track centres built. to have been over- estimated
Repairs of existing collective Number of existing Bangui 15* 156 On centres infrastructure such as collective centres *this target is considered track schools, hospitals being used repaired. to have been under- as temporary shelters by IDPs. estimated
As a cross cutting included in Number of persons Nationwide 137 500* 302 660 Major all 4 first activities, ensure which can benefit Gaps contingency plans are in place from prepositioned *this target is considered before the rainy season. This NFI and shelter to have been under- may include specific NFI and items. estimated and the cluster aims is to cover the full Shelter materials. caseload of vulnerable IDPs
Cluster Objective 2: Shelter repair kits are distributed to families returning to their area of origin. Activities Indicator Locations Target Result Status Support the repair of Number of persons in Nationwide 92 500* 79 490 On damaged houses in return communities Track return communities. assisted (projected). *this target is a rough estimate as needs continue to be evaluated (ref. challenges above)
Cluster Objective 3: Basic domestic household items are provided in a timely manner to meet the needs of displaced families living with host families. Activities Indicator Locations Target Result Status IDPs as well as host Number of host Nationwide 75 000* 307 320 Major families are provided families and IDPs *this target is considered to have Gaps with household items received NFI family been under-estimated and the kits. cluster aims is to cover the full caseload of vulnerable IDPs
20
CAR PERIODIC MONITORING REPORT January2014-July2014
Progress towards Cluster objectives
The ETC project of US$1.9 million is included in the SRP and Donors have expressed interest in the project. Emergency Telecommunications By end of July, the ETC was underfunded with 0.6 million Cluster (35%) received from the CHF (Reserve), the Government of Coordinator Ekue AYIH, WFP Luxemburg and the Government of Czech. Co-Facilitator Komi As of 19 August, 1.2 million (62%) have been received with AMEDJONEKOU, the additional contribution from the SRAC and the WFP USA/OFDA. Government 0 The ETC has also submitted requests to other pool funds in Counterpart 2014 such as CERF and CHF (standard allocation) but these People Targeted Over 35 UN Agencies have been rejected. and NGOs See in the below table, the achievements up to date. People Covered Over 10 UN Agencies and NGOs FUNDING
Percent Requested Received Changes in Context Funded
The needs basically remain the same as stated in the 1.9m Country Minimum Security Operating Security Standards (C- MOSS).
Cluster Lead 100 Day Expected Output Target Unit Target Achieved Emergency World Food Provide security Number of 7 4 Telecommunications Programme telecommunications to the operational areas Cluster (ETC) (WFP) humanitarian community to covered by improve security environment common security for staff and assets telecommunications network Emergency World Food Provide voice and data Number of 7 6 Telecommunications Programme connectivity services to operational areas Cluster (ETC) (WFP) humanitarian community to covered by data improve operational communications environments for staff. services. Emergency World Food Maintain an information Number of Situation 12 7 Telecommunications Programme management platform for Reports published Cluster (ETC) (WFP) information sharing on ETC activities and other related issues Emergency World Food Number of UN agency and Number of UN 200 30 Telecommunications Programme NGO staff trained in radio agency and NGO Cluster (ETC) (WFP) communications staff trained in radio communications
Response Gaps
The lack of secure compounds and/or adequate office space in some common operational locations (Bambari, N’Délé and Kaga Bandoro) prevents the installation of ETC equipment and deployment of services.
21
CAR PERIODIC MONITORING REPORT January2014-July2014
Outside of Bangui, the lack of radio operators and the security situation are hampering the fulfilment of the Country MOSS requirements for Communication Centres. Planned recruitments have been delayed due to funding constraints.
Actions to be taken
Continue the efforts to secure more funding. Continue the prepositioning of the equipment in the remaining locations and proceed with the deployment To ensure coordination with the network of MINUSCA , especially for security reason.
22
CAR PERIODIC MONITORING REPORT January2014-July2014
Progress towards Cluster Objectives In line with what the Food Security Cluster committed to do in the Food security 2014 revised SRP, its members provided immediate life-saving assistance to severely food insecure populations (including not only Coordinator World Food Programme (WFP), Food and Agriculture Organization IDPs and refugees but also host communities) and supported (FAO) actions aiming at saving the 2014 agricultural campaign. The Co-Facilitator ACTED cluster and its members also endeavored to rebuild affected Government Direction générale de l’Agriculture, communities’ resilience by linking relief, rehabilitation and Counterpart de l’Elevage et des Industries development, and promoted activities fostering social cohesion and Animales, Ministère du multi-sectorial approaches to prevent children malnutrition. As a Développement Rural result, the status of the Cluster Specific Objective 1 (life-saving People Targeted 1.25 million assistance/ food) and 2 (social safety nets/productive assets) is on People Covered 1.81 million8 track, with important achievements regarding the provision of immediate food assistance, agricultural inputs (seeds & basic tools) FUNDING and seed protection rations. If this emergency assistance allowed to Requested Received Percent Funded save the 2014 agricultural campaign and enabled affected households to renew their individual food stocks in the short-term, 180m the food security nevertheless remains highly precarious with some 45 per cent of the rural population being food insecure (1.7 million people - according to the April multi-agency IPC). The Crop and Food Security Assessment Mission (CFSAM) and the Emergency Food Security Assessment (EFSA) that will take place in September 2014 will soon enable the cluster and its members to assess precisely the food security and agricultural situation in the country. Because life-saving assistance had to be prioritized to answer most urgent needs, the Cluster Specific Objective 3 (resilience/social cohesion and local governance) is facing important gaps, mainly due to persistent insecurity and displacements in the country and the weakening of agricultural systems which have constituted major challenges to the implementation of longer term projects. This objective as well as the continued provision of life-saving assistance and the protection and restoration of productive assets remain the priority in the field of Food Security. Regarding overall cluster coordination performance, the FSC has proved essential in providing a global analysis of the evolving food security situation in CAR, bringing together food security actors and enabling the coordination of harmonized food security interventions in response to the crisis. As such, the cluster work has led to improved information sharing, data availability and analysis, enabling partners to deploy based on specific needs and gaps, hence increasing nationwide impact. Changes in Context The food security situation and livelihoods of the population are still severely affected by persistent insecurity and displacements, combined with the loss and/or depletion of productive assets, food stocks and livestock (lack of animal traction and farm inputs), the limited access to fields and disruption of agricultural activities, and the subsequent poor performance of the 2013/2014 agricultural season leading to limited food availability. Access to food is hindered by the limited physical access to markets due to violence, and the global disruption of economic activities further negatively affects typical food and income sources, and limits labor opportunities for poor households. As a result, the coping mechanisms of the population are further stretched, worsening an already severe situation. Because of these persistent difficulties and despite the humanitarian assistance provided since December 2013, the 2014/15 crop production is expected to be below average, especially in conflict-affected areas (incl. Ouham, Ouham Pende, Nana Mambere, Kémo, and Ouaka). In addition, the weak purchasing power of poor and displaced households in these conflict zones is maintaining Crisis (IPC Phase 3) food insecurity, with households facing a poorly diversified diet and food consumption gaps. For certain households, particularly IDPs who have below- average or no harvests this year, Crisis (IPC Phase 3) will continue through December, despite the normal harvest period, due to the above mentioned effects of disrupted livelihoods and below-average food stocks and incomes. In southern areas (ex. Sangha and Basse Kotto) the situation is expected to ease with the availability and consumption of freshly harvested crops, yet the security situation in these areas will prevent local households from generating their normal levels of income (ex. from crop sales) to meet nonfood expenditures due to the poor economic climate. As a result, Stressed (IPC Phase 2) food insecurity will continue in these areas through December9. Cluster Coordination Performance
8 Please note that this figure may include some overlap. 9 FewsNet, Central African Republic Remote Monitoring Update, July 2014
23
CAR PERIODIC MONITORING REPORT January2014-July2014
To date the food security cluster has proved essential in providing a global analysis of the evolving food security situation in CAR, bringing together all major food security actors (including national organizations, Ministries and government officials) and facilitating the coordination of the food security interventions in response to the crisis. More specifically, the cluster contributed to the elaboration of the strategic response plan for the sector to contribute to the overall SRP, and to the review and selection of projects for pool fund allocations (CERF and CHF). The additional elaboration of the cluster Plan of Action that, building on the SRP general objectives, defined more detailed specific objectives, expected results, activities and related calendar for the food security sector is also an important achievement of the cluster. One of the main achievements of the FSC in CAR is also the coordination of the planning of the agricultural campaign to which it actively participated developing synergies among the co-lead agencies and promoting joint interventions by FAO, WFP and NGO partners. This achievement was also given a high visibility through the production of a bi-weekly bulletin on the agricultural campaign as well as maps on “who does what where” (3W) shared with all relevant humanitarian actors and government ministries. Additionally, the cluster established an information management system and adopted common tools for data collection, and has responded to HC/HCT/OCHA demands on food security issues (incl. through OCHA Situation Reports and the Dashboard). The cluster has also responded to partners’ demand for specific discussions and guidance by setting up thematic working groups (National NGOs WG, gardening WG, agro pastoralism WG, Assessment, Monitoring and Evaluation WG, etc.) and facilitated their flexible use as a participatory and effective way to cover specific activities. In the course of July, the cluster has also been actively participating in the preparation stages of the Crop and Food Security Assessment Mission (CFSAM) and the Emergency Food Security Assessment (EFSA) that will take place in August/September 2014 under the lead of governmental authorities, WFP and FAO, and with the participation of NGOs for data collection, treatment and analysis. Regarding the overall cluster management and structure, the integration in the coordination team of an NGO (ACTED) as co-chair agency has resulted in improved participation and coordination, notably by allowing to overcome the usual divide between UN agencies being in a leading position and NGOs participating without a significant decision making power. It has created a shared feeling among NGO partners of being more adequately represented in the decision-making processes and has certainly contributed to create a stronger collaborative environment within the cluster10. Challenges The complexity and scale of the crisis that has expanded at regional level, and the highly unstable security situation that has determined the extension of the IASC L3 activation until September 2014, require that the food security cluster continues and expands its activities. In fact, the security situation as well as limited funding compared to the magnitude of the needs has limited the cluster’s ability to respond at scale and with speed to the constantly evolving and increasing needs. In particular, poor access and limited humanitarian space in the country’s provinces have prevented the cluster providing more systematic and updated data on the food security situation and analysis at sub- national level. For the same reasons, the Cluster Specific Objective 3 aiming at increasing farmers’ resilience and fostering local governance is also facing important gaps, also due to the weakening of agricultural systems (agro-ecosystems and productive, financial and human capital), which have constituted major challenges to the implementation of longer term projects linking relief, rehabilitation and development. Regarding the integration and capacity building of local actors, high turnover of staff among government ministries has also negatively impacted on participation and internal communication at ministry level. State institutions must recover from the conflict before meaningful capacity building can take place. This means that the FSC in the country will have to continue being jointly led by WFP and FAO as an eventual hand-over of responsibility for food security coordination to national authorities will take some time. Actions to be taken While the FSC coordination in CAR can be considered effective in avoiding duplications and fill the gaps, the cluster still needs to take a more active role in the identification of gaps both for assessments and response and in providing information and guidance on existing standards. In that aim, the cluster will continue to increase effective coordination of FSC Partners, and support the development of common data collection tools validated collectively by cluster members for assessments, monitoring and evaluation (incl. tools for price monitoring and multisectoral
10 Lessons Learned in the Central African Republic Food Security Cluster, Exercise conducted by the global Food Security Cluster, Synthesis Report, 30 April 2014
24
CAR PERIODIC MONITORING REPORT January2014-July2014
surveillance). This will allow a more harmonized needs assessment and collation of data, especially for the provinces, as well as facilitated information sharing among partners, in order to ensure that FSC members provide a comprehensive response and reach the most vulnerable with clear and aligned priorities as well as harmonized implementation. Visibility of the cluster work in the humanitarian community as well as advocacy for the food security sector will also be crucial to gather support and donors attention and consequently enable the appropriate scale of response. This increased visibility should also aim at emphasizing on the added-value of the FSC for all parties, including co-leads and partner NGOs. Notably, to face the difficulties in obtaining comprehensive and robust data, in particular from the provinces, the cluster will support with field visits and remote support the groups of discussion on food security that are starting to be organised in the provinces, and will also further encourage the establishment of partners as focal points (“relais d’information”) at decentralized level. FSC IM capacity at central level will also be increased for dedicated follow-up of focal points activities and compilation of data. The cluster will also actively support to the coordination of the up- coming CFSAM, EFSA, vulnerability assessment in the “enclave” of PK5, and of any other future assessment missions (including through the RRM mechanism and partners), which will be crucial to provide up-to-date and harmonized information, monitor alerts on the agricultural and food security situation, and subsequently inform humanitarian programming towards both immediate and urgent needs and more sustainable activities aiming at improving resilience of communities to future shocks where appropriate. The coordination role of the cluster will be crucial to ensure that alerts are followed by effective response. Cluster Objective 1: Provide life-saving assistance to IDPs and other severely food insecure people by ensuring access to food. 11 Activities Indicator Locations Target Result Status Activity 1.1: % of moderately or severely N/A <20% Data not yet available Unconditional food food-insecure population (EFSA to take place in
distributions to IDPs, % of targeted households September 2014) refugees and other having at least acceptable Ouham On severely food insecure 80% Ouham/Ouham Pendé: food consumption Ouham Pendé Track people 29%13 (FCS/FDS) >100%
# of IDPs and other severely 12 Bambari, Bangui, 135,000 930,000 individuals (incl. food insecure people Bossangoa, Bouar, 667, 900 IDPs) receiving food assistance Kaga-Bandoro, Paoua
Activity 1.2: Reinforce # of information bulletins on monitoring and analysis the development of the On of food security and global food security Bangui 12 12 FSC Bulletins Track nutrition situation in the situation, including trends 100% country
Cluster Objective 2: Enhance social safety nets and ensure access to productive assets for returnees and other food- insecure people affected by the conflict. Activities Indicator Locations Target Result Status Activity 2.1: Restore food # of severely food Ndélé, Bria, Kaga-Bandoro, 95,735 HH assisted production and “save the insecure households Mbrès, Grimari, Bambari, Ippy, with agricultural Sibut, Dékoa, NdjoukouBakala, 2014 agricultural campaign” assisted with inputs Mala, Kouango, Mobaye, inputs (seeds & through emergency and/or protection Alindao, Gambo, Ouango, 27,000 basic tools) On distributions of agricultural rations Mingala, Kembé, Zangba, households Track inputs, basic tools and food Bangassou, Bangui, Bégoua, 14 >100% protection rations at Boali, Damara, Bogangolo, Mbaïki, Boda, Boganda, household level Boganangone, Yaloké, Bossembélé, Bossemptélé,
11 Targets from SRP, December 2013 12 This target was the one indicated under the SRP 2014 (December 2013) but is today very low compared to actual achievements. Therefore the percentage of progress has been stated as « above 100% » in order to give a realistic picture of the situation. 13 IPC, April – May 2014 14 Target from SRP, December 2013
25
CAR PERIODIC MONITORING REPORT January2014-July2014
Bossangoa, Bozoum, Nana- Approximately Bakassa, Bouca, Batangafo, 36,148 HH assisted Moyen-Sido, Ngaounday, Paoua, Bouar, Baoro, Bohong with seed protection rations Bambari, Bangui, Bossangoa, (253,034 Bouar, Kaga-Bandoro, Paoua individuals) Activity 2.2: Implement # of severely food Bangui, Bimbo 1,812 households activities to increase insecure households received vouchers purchasing power benefitting from for food (unconditional/conditional increased purchasing Bangui, Kabo 10,628 households On cash transfers, etc.) power following Track 15 received these activities unconditional cash transfers (3 months) Activity 2.3: Increase # of severely food Bangui 200 households household income by insecure households received kits for the providing agricultural inputs benefitting from development of an (including small livestock) increased incomes16 IGA and restoring productive assets through various % increase in crop 20% Data not yet On modalities (fairs, voucher, production in available (CFSAM to Track cash, HIMO, cash or food for targeted areas take place in work, support to the % of increase in average 10% August-September development of IGAs) number of livestock 2014) per household in targeted areas
Activity 2.4: Restore Bimbo Maintenance of 1.8 agricultural infrastructure # of agricultural km of watercourses and facilitate returns through infrastructures in gardening lands temporary employment (e.g. rehabilitated17 through HIMO storage and market facilities, Bangui 2 markets cleaned On rehabilitation of fields and # of women and men 18 and rehabilitated track water access) receiving assistance through CFW
5,425 households Bangui, Bimbo assisted through CFW/HIMO
Activity 2.5: Emergency # of primary school Bambari, Bangui, Bossangoa, 197,000 89,927 school On school feeding to encourage children benefitting Bouar, Kaga-Bandoro, Paoua school children Track returns and foster sense of from emergency children 46% normalcy for school children school feeding
15 Data for this indicator has been collected among several NGOs but is non-exhaustive as it has not been possible to obtain data from all NGOs implementing related programmes in the field of food security. 16 Idem 17 Idem 18 Idem
26
CAR PERIODIC MONITORING REPORT January2014-July2014
Cluster Objective 3: Assist affected communities in rebuilding their livelihoods and reinforce their resilience to further shocks, by strengthening their social and economic infrastructure and their agro-ecological capital. Support activities fostering social cohesion and local governance with the ultimate aim of contributing to building peace. Activities Indicator Locations Target Result Status Activity 3.1: Strengthen farmers # of farmers benefitting from associations' production, including support as percentage of their seed multiplication capacity, to planned Activity not yet No reduce dependence from imports and % of increase in crop production in implemented Progress promote local purchases of food targeted areas assistance (including seeds)
Activity 3.2: Strengthen women's % of women groups supported as resilience by encouraging the set-up of percentage of planned structured and cohesive women Activity not yet No groups, facilitating access to and implemented Progress management of loans and production capacities (agriculture, fisheries, husbandry)
Activity 3.3: Strengthen economic # of workshops on natural resource integration and foster community and land management organized dialogue by rehabilitating and % of reduction of reported Activity not yet No reinvigorating local markets and by incidents of conflict related to implemented Progress facilitating joint natural resource resource management management, including water access Increase in number of traders in for livestock activities local markets
27
CAR PERIODIC MONITORING REPORT January2014-July2014
Progress towards Cluster Objectives
The security context remained volatile during the first seven months of the implementation of the SRP including the Health Health Cluster Strategy. The 100-day plan came as a booster of the Coordinator Dr Richard FOSTING intervention during the first 3 months and also encouraged Co-Facilitator Dr Jerry MBASHA partners to provide free health care although the legal document guiding the practice of free hhealth care is not yet Government Counterpart Dr Thomas D’Aqui KOYAZEGBE available. Community health care services have been set up in different People Targeted 878000 IDPs sites to support health care providers in provision of People Covered 433 452 prevention and promotion activities FUNDING
Even they are Observers, ICRC and MSF contributed Requested Received Percent Funded significantly to the implementation of the emergency health responses in priority health structures and IDPs Camps ( 71.0m community Hospital and IDPs of Mpoko in Bangui, hospital of Bossangoa, Bocaranga, Batangafo, etc.)
In regards to all health facilities in the country, 3 central hospitals (representing 60% of all public central hospitals), 16 district hospitals (representing 45% of all public secondary hospitals), 102 health centers (representing 34% of all public categories of Health Centre), and 46 health posts (representing 25% of public all health posts) have been supported. This provided secondary care to the 124 900 number of population and primary health care to 433 452 number of population.
Measles vaccination campaigns targeting IDPs took place in Bangui, Bocaranga, Bria, Berberati and Carnot with an average coverage rate of 85%. Polio vaccination campaigns took place in Bangui, however not in all IDPs sites. Intensification vaccination campaign coupled with the African Week of vaccination took place with the aim to advocate more on immunization issues in the country and boost the routine immunization program.
A Cholera Task Force was set up and a contingency plan was developed in collaboration with the Wash Cluster. 22 trainers was trained in Bangui; and Identification of cholera prone outbreak risk areas, kit pre-positioning delivery of water quality test kit was posted in Bouar, Bossangoa, Kaga Bandoro, and Bambari; the training of health care providers took place in Gaounday health prefecture at the border of Cameroon 1200 communities health workers were trained and community mobilization tools produced and provided to them. The focus is now oriented toward the South East part of the country where the threat is coming from the South Soudan.
The secondary care was focused more on surgical and obstetrical emergencies; later it was also oriented toward medical emergency. The response to specific chronic diseases such as HIV and tuberculosis was supported from the Global Fund project. Static and ambulatory health services were provided in IDPs camps and health facilities. The response to other chronic diseases (mental diseases, diabetes, high blood, pressure, kidney diseases etc.) was not sufficiently supported due to lack of resources (financial, supplies and skilled health workers). However, efforts were done by the health sectors actors to initiate a Mental Health inter-agency working group. The training of 37 health care providers and community health workers from the Ministry of Health and NGOs took place in Bangui so that they can prevent, identify and provide initial assistance in managing mental illness cases. Maternal and child health services packages were provided in IDPs camps and health facilities: 33652 antenatal consultations, 6234 deliveries and 148 caesarean births were reported. 19 health facilities were rehabilitated (2 hospitals and 17 health centers).
Health personnel received financial incentives to re-deploy to their duties position in Bangui and some prefectures such as Nana Mambere, Ouaka, Mbomou, Haut Mbomou, Basse Kotto, Kemo, Nana Gribizi, Ombella Mpoko, Lobaye, Mambere Kadei and Bamingui Bangoram.
Given the high number of IDPs in temporary sites since early January 2014, an active epidemic surveillance system was strengthened in Bangui and Bimbo through the Early Warning System (EWARS) implemented in all IDPs sites. The EWARS detected three measles outbreaks in IDPs camps. Routine epidemic surveillance was also implemented across the country and few measles outbreaks were detected in Bria, Carnot and Paoua.
28
CAR PERIODIC MONITORING REPORT January2014-July2014
Moreover, several canine rabies cases have be detected by this EWARS mainly in Bangui and Ndelé ; and subsequent action took place through human health – Animal health sectors collaboration and action plan to advocate, sensitize, prevent and control this threat.
The health cluster was decentralized and is still operational in Bouar, Kaga Bandoro, Bambari and Bangassou. HeRAMS (Health Resources Available Mapping System) was carried out throughout the entire country, the preliminary results were validated and the final report is expected soon.
As part of the early recovery planning, the Health Sector is currently developing a Transition Plan with the Ministry of Health that should guide the health sector intervention during the next 2 years. WHO country Office and AFD are financially and technically supporting the process with international consultants and experts.
Changes in Context
- People, especially Muslims, who have not been able to move out of the country, are in enclaves in the western part of the country, with very limited mobility; - Coexistence between communities is extremely fragile and is source of repetitive violence circle. - The wild polio virus confirmed in Cameroon at the border with CAR. The confirmation of Cholera cases in Cameroon at the border with CAR and in South Sudan is additional pressure for the already affected surveillance system. ; - Recently, the Ebola outbreaks in West Africa countries and in Democratic Republic of Congo are serious threats to consider for CAR. A contingency plan has been developed and is under implementation.
Cluster Coordination Performance
- Weekly health cluster meetings attended by average of 35 organizations. Actions points are addressed between meetings. Ad hoc meetings are decided when needed. As well, specific thematic issues such as cholera cholera, free healthcare, HeRAMS survey, etc. lead to set up working groups - Monthly Health Cluster 4W available (with mapping). - Attending of all weekly Inter-Cluster meeting and other adhoc meeting. - 2 projects funded by CHF impact evaluation done - Support Ministry of health in the development of the free health care guidance document, contingency plans and Transitional Health plan; - Coordinated funding process through the CERF and the CHF sessions in collaboration with OCHA. - Collaboration with other sectoral clusters such as nutrition (MAS prevention and management), WASH (sanitation, cholera), Protection (particularly SGBV), CCCM (IDPs sites needs assessment), logistic Cluster (transportation and drugs and non-medical items delivery).
Challenges
- Mental Health Response strategy defined, supporting the returnee population in Bangui from IDPs sites and increased the coverage of supported health facilities with the whole package of standard interventions required and free health care are in need of additional funding for the implementation of the intervention.
- Logistical support is still required to complete the decentralization of blood banks for easier access to safe transfusion out of Bangui
- Difficult access in some area for the monitoring and control of communicable diseases with the high risk of outbreaks (Cameroon and South Soudan are experiencing Cholera outbreak; Wild polio virus confirmed in Cameroon) - Hhumanitarian access is impeded in the area affected by armed groups’ conflicts. - MSF: full substitution: to work on an increasing involvement from the state?
29
CAR PERIODIC MONITORING REPORT January2014-July2014
Actions to be taken
- Increase action for fundraising advocacy to support free health care program. - Sustain the advocacy for the humanitarian access for humanitarian workers to provide adequate and prompt response; - Support the decentralization of blood banks in the country - Emphasize the Epidemiological surveillance in the countrywide - Support Communicable diseases prevention interventions such as Polio immunization campaign, large distribution of LLTMNs for universal coverage, cholera contingency plan implementation. - Continue to support the Ministry of Health in the provision of legal free health care in CAR. - Support the Ministry of Health to finalize the Health Sector Transitional Plan oriented toward the recovery phase. - Reinforce the Coordination and the Monitoring and Evaluation process of the intervention in collaboration with the Ministry of Health.
Cluster Objective 1:Provision of emergency health services (preventive and curative) including support for chronic diseases, reproductive health, trauma care, infant Supports Strategic newborn and child health and nutrition services to affected community Objective 1
Activities Locations Indicator Baseline Target Result Status Providing Bangui, Begoua, All the site with at least 5000 On Track access to basic Bimbo, Ouaka, Nana IDPs are covered by health 100% 100% health services Gribizi and Ouham partner (NGO or Red Cross to the affected pendé Organization) people in displaced population sites - Supporting Coordination - need based response
Ensuring mass Bangui, Begoua, IDPs measles vaccine xxx >95% 85% On Track prevention and Bimbo, Bria, Carnot coverage among 6 to 59 communicable and Berberati months (≥ 95%) diseases control
- . At least 80% of functional xxx >80% 74% On Track - Supporting CAR health facilities are applying free health care free healthcare in the most in public health affected areas facilities in the affected areas
30
CAR PERIODIC MONITORING REPORT January2014-July2014
Cluster Objective 2: Increase the capacity of functioning of primary and secondary Supports Strategic health facilities affected by conflicts through rehabilitation and setting up of the Objective 3 package of minimum of activities Activities Locations Indicator Baseline Target Result Status Equipping and All Country reparation of - At least 80% of >80% 11% health facilities damaged health xxx looted facilities are - Supporting the rehabilitated minimum activities Major Gap : package of 89% primary and (especially in secondary Ouham and health care Ouham - Supporting the pende) essential drugs circuit supplying
31
CAR PERIODIC MONITORING REPORT January2014-July2014
Progress towards Cluster Objectives
The activities carried out by some international NGOs and national members of the cluster as well as UNDP led to a significant progress towards the achievement of the cluster's objective for the period under review. Livelihoods & Community A total of 45 activities or initiatives have been implemented in Stabilization Bangui and in districts/locality of 10 prefectures. Coordinator UNDP Co-Facilitator DRC, ACTED These include activities to support to the resilience of conflict affected communities in Bangui in the 3rd, 4th, 5th, 7th Government Counterpart xxx arrrondissement and in Bossangoa, as part of a partnership People Targeted 2,4 millions with NGOs such as ACTED and Foundation Humanism International (FHI). In the 4th district, DRC in partnership with People Covered 49 510 UNDP has carried out activities of social cohesion through FUNDING the structuring of social cohesion committees in 29 districts. Requested Received Percent Funded In this district, UNDP plans to strengthen social cohesion through the project to build a youth and culture by engaging 53.9m youth THIMO.
A specific support was provided by UNDP in the area of psycho-social and socioeconomic activities, and this was implemented in three districts of Bangui. The local NGO COHEB implemented livelihoods activities in Sibut, Prefecture of Kémo and in Grimari in the Prefecture of Ouaka. In terms of job creation, UNDP supported youth employment activities, in the area of infrastructure rehabilitation in Bossangoa and Bangui.
Changes in Context The context is volatile and is keeping on changing, especially in the 3rd and 5th arrondissement of Bangui and in Bossangoa. This is due to tensions between communities or between armed groups and the Sangaris in Bossangoa. Despite these tensions, we have noticed a progressive return of displaced populations within their households or in other arrondissements, where houses are destroyed. Cluster Performance UNDP is planning to deploy very soon M. Eric Levron, to boost activities of the Early Recovery Cluster. The cluster has been weakened by the absence of a cluster coordinator, the former one recruited under the SURGE modality have left the country. A recruitment of a full time Early Recovery Specialist is underway.
Challenges Major challenges are: Resource mobilization with only 5,6% of the total needed budget; the strengthening of capacity in data base tools, as well as reporting on SRP will be necessary for the ER cluster. Weaknesses in this area are hindering the access to funds, including CHF funds. And finally the recruitment of an Early Recovery coordinator, as well as the recruitment of an Information Management Officer will significantly boost the Cluster’s capacities.
Actions to be taken The deployment of an interim cluster coordinator will be soon implemented, while waiting for a long-term recruitment to take place; there is a need for continued cluster coordination to recruitment and deployment of a coordinator; there is a need to encourage all organizations to collect data in line with the 4W template and transmit them to the ER coordination. Data consolidation is necessary for periodic reporting. Of the 40 members of the Cluster, only 13 transmitted their data;
The Monitoring of the implementation of ongoing activities in Bangui, Bossangoa Sibut and Grimari; monitoring recent bids for the rehabilitation of the radio Bambari.
32
CAR PERIODIC MONITORING REPORT January2014-July2014
Cluster Objective 1: Through an integrated approach, assist individuals and communities Supports Strategic through the provision of immediate emergency livelihood activities. Objective 1 and 4: Indicator: Baseline Target Result Status Number of affected communities, host families, IDPs, 32 000 800,000 49 100 6,1% returnees and vulnerable groups assisted Activities Locations Indicator Baseline Target Result Status Rebuild Bangui Nb de bénéficiaires de 32000 800 000 49100 livelihoods to Sibut d”emploi en Cash for No progress meet the Grimari work et THIMO et AGR immediate basic needs of affected people
Facilitate diversification of livelihoods opportunities and capacity building of affected communities
Cluster Objective 2: Facilitate social cohesion, conflict resolution and conflict prevention Supports Strategic initiatives. Objective 2 Indicator: Baseline Target Result Status Number of initiatives supported restoration of social cohesion 105 350 519 148%
Activities Locations Indicator Baseline Target Result Status Reinforce local Bangui Nbre de comité de 29 90 29 On track capacities to Bossangoa cohésion sociale formées enhance social cohesion Nb de bénéficiaires 76 290 490
d’activités de cohésion
sociale :formation/Inform ation sensibilisation en cohésion sociale Cluster Objective 3: Provide community stabilisation through peace dividends in support of Supports Strategic basic social, economic, local administrative and legal services. Objective 3 Indicator: Baseline Target Result Status Number of basic social, economic, local administrative and 6 80 7 8;75% legal services restored Activities Locations Indicator Baseline Target Result Status Support the Bangui Nb de services 6 80 7 On Track 8;75% rehabilitation of Bossangoa administratifs et local social d’infrastructures sociales economic infrastructures restaurées
33
CAR PERIODIC MONITORING REPORT January2014-July2014
Progress towards Cluster Objectives To achieve the first strategic objective of this SRP (providing life-saving assistance), it will be crucial for aid organizations to overcome key access and logistical constraints.
The Logistics Cluster aims to support the humanitarian Logistics community in its ability to move its staff and emergency Coordinator Kim CLaveau, Logistic supplies. CAR is a country well-known for the considerable Co-Facilitator Cluster/WFP Lorine Martingorena PU-AMI transport difficulties which results in severe delays because of Government Counterpart Oyoma Mesmin Ozébé, the poor road infrastructures, unpredicted expenses for Bissafi Louis Omer repairing vehicles and for renting replacement vehicles, high People Targeted 1.8 million exposure to road accidents for cars and rented trucks, People Covered xxx impossibility – except by air – to send staff quickly to various FUNDING field locations. On top of that, the security situation has Requested Received Percent Funded severely worsened in many areas causing restriction of movement and sometimes refusal by private companies to 9.66 m send their trucks because of the risk of looting or vehicle-jacking.
The Logistics Cluster and WFP have developed an air-land-coordination approach, which focuses on the following elements:
Repairing some road infrastructure at critical points along the major roads, particularly in the Southeast, Northwest and centre of the country, in coordination with the Early Recovery Cluster. Supporting UNHAS to provide air services for transporting staff and cargo to affected areas. o To ensure that humanitarian organizations (UN agencies, NGOs) and donor representatives have access to beneficiaries and project implementation sites through the provision of efficient air services; o To carry out medical and security evacuations for humanitarian workers; and o To respond in a fast, efficient and flexible manner to the needs of the humanitarian community. Under the responsibility of its Coordinator, the Logistics Cluster will continue to offer services such as regular meetings, information management products (e.g. maps and information on suppliers and customs and tax regulations.
The logistics Cluster is on hte right way to meet all is objectives. All activities are doing well and most of them are exceeding the expecting participation from partners.
Changes in Context The lack of funding is limiting the possible additional activities. But we are working hard with the partners to rehabilitate as much bridges as possible to facilitate the access to the field to all humanitarian partners and hope to be able to get to 12-14 bridges rehabilitated before the end of the year. The flight and the coordination meetings are taking place as planned.
Cluster Performance So far, the Logistics Cluster is meeting is objectives. The rehabilitation of bridges projects is ongoing, we rehabilitated Taley bridges and we are now working with the partners on 9 to 12 new bridges to repair. Air operation is working well, this is a service very demanded by the partners and it is used even more so far than expected. The coordination meetings take place every two weeks and we have more than 40 organisations participating.
34
CAR PERIODIC MONITORING REPORT January2014-July2014
Challenges The security situation has been really complicated and has influenced our activities. UNHAS staff faced difficulties on their way to the airport several times during the period. The missions and activities on the field have been also restricted by the security situation several times. The state of the airstrip on the field also causes delays and problems for UNHAS flights. Size of the strip, obstacles on the way, strips much damaged etc. They were also an airplane fuel shortage JET A1 in Car at the only supplier in country, Total, from May 2014 to end of July. That also affected the air services.
Actions to be taken The logistic Cluster will continue its efforts to maintain a good coordination and continue to improve information sharing between all the partners. We will support the partners with the rehabilitation projects as much as possible to facilitate the work. UNHAS will maintain is level of activity and maintain is services of flight for passenger and cargo, medical and security evacuation.
Supports Cluster Objective 1: Oobjective Providing life-saving assistance Strategic Objective1 Indicator: Baseline Target Result Status Indicator from cluster response plan. Xxx xxx xxx xxx Activities Locations Indicator Baseline Target Result Status Rehabilitation of South East: the # of road obstacles 10-15 1 bridge All On Track damaged roads, road Alindao- fixed leading to done , 9 – 90%to bridges, muddy areas, Bangassou and reduced delays in -12 100% ferry boats, etc. Zemio-Obo supply chain. planned North West: Paoua area Center: Grimari- Banbari (TBC) X,Y,Z
UNHAS : 1-1 Number of 700 700 1505 1- Provide CAR passengers regular air COUNTRYWIDE transported transport to per month various 1-2 Mt of cargo 20MT 20MT 47.3 affected transported locations in per month CAR 2- Number of 60 60 82 (passengers evacuations and cargo) (medical and 2- Ensure security) 1 1 1 security and Bria 3- Number of medical locations evacuations where fuel in-country or infrastructure out of the is country reestablished (Yaoundé) 3-Re-establishment of fuel infrastructure in remote locations 20 35 40 Maintain Logistics Bangui+field mission Number of Cluster organizations (35 Coordination registered) that capacity throughout attend meetings 2014 held every 2 35 weeks.
CAR PERIODIC MONITORING REPORT January2014-July2014
Progress towards Cluster Objectives
Nutrition Cluster through partners continues to support case finding, surveillance and case management for malnutrition in Nutrition CAR. Coordinator Francis Ayambaye Since 1 January 14,107 children have been admitted for Co-Facilitator SAM treatment across the country, of which 6,634 have already recovered. The performance rates are as follows: Government National Nutrition recovery: 81 per cent (>=75 per cent); death: 3 per cent (<5 Counterpart service per cent); default: 16 per cent (<15 per cent). This represents People Targeted 361,011 84 per cent of the SRP target of 16,800 children suffering from SAM. People Covered 230438 The default rate remains slightly high especially for areas FUNDING affected by insecurity and displaced person including Ouham, Percent Requested Received Lobaye, Nana Gribizi, Nana Mambere and Ouaka. Good Funded progress was made on the achievement of SAM. Since the beginning of the year, 32,431 children were treated from MAM with the following performance rates: recovery 22.5m rate: 89 per cent (>75 per cent); death: 0.03 per cent (<3 per cent); default: 5 per cent (<15 per cent). This represents 19 per cent of the SRP target of 75,000 children suffering from MAM. Nutrition supplements were also provided to 5,000 malnourished pregnant and lactating women. A total of 5,400 people living with HIV/AIDS and on ART, enrolled in the food-by-prescription activity. More than 4,500 of caretakers of Children with SAM have been supported by WFP ration. Limited progress was made on the achievements of MAM due to lack of nutrition’s engagement on treatment of MAM. For time being there are just MSF, AHA, INTERSOS and Caritas has been engaged for MAM treatment , more engagement on treatment of MAM has been recommended in country. Since the onset of the emergency, WFP has expanded its programme to 96 health facilities in June in 12 prefectures in the country. To prevent spikes in malnutrition, WFP provides a large-scale integrated general food distribution and blanket feeding intervention. WFP distributes nutritious Plumpy’Sup to one child under five per household. In June, 46,000 children were assisted under this programme, which represents an increase of 68% compared to earlier in the year. Since access to beneficiaries is a challenge and every opportunity to reach children is taken, it is not necessarily the same children that are covered every month. From January to July, 315 Mt of Plumpy’Sup have been distributed to 169,000 children (in some area some children under five have been received BSFP, but due to population displacement, there is hard to count how many children has been received exactly one ration per month) Partners continue efforts to screen children for malnutrition. Since 1 January, 117,321 children have been screened for malnutrition. This represents 31 per cent of the SRP target of 360,000 children. Children received treatment through on-site mobile out-patient therapeutic programmes (OPT). Some were also referred for treatment to existing health structures with OTP and supplementary feeding programme (SFP) components. The scaling up of nutrition activities is being continued with increasing of national coverage for CMAM activities implemented with support of clusters members. The nutrition cluster focused on re-opening nutrition facilities in the following key areas: Lobaye, Ombella M’Poko, Nana Mambere, Sangha Mbaere, Ouham, Ouham Pende, Kemo, Nana Grebizi, and Basse Kotto. According to Nutrition Cluster mapping there are 169 out-patient therapeutic programmes (OTPs), 29 in-patient therapeutic programmes (ITPs) and 96 targeted supplementary feeding programmes (SFP) functional in CAR. A nutrition survey (SMART) targeting all prefectures was completed on 15th July in Bangui. The national nutrition protocol is being updated and a workshop will be held from 18-27 August 2014 for validation and dissemination. A total of 106 health workers (46 female and 50 male) have been trained through formal and on-job training. Monitoring of the progress and quality of the nutrition interventions was done through monitoring performance indicators, recommended by the national protocol and SPHERE standards. This very useful tool helps the partners and coordination team in evaluating the monthly activity progress reports. The cluster also provided a technical support to nutrition staff in order to fulfil their statistical monthly report. Feedback was offered to partners during meetings, drawing on monthly reports. Achievements were disaggregated by gender required by reporting tools. The nutrition cluster ensured that there is a contingency stock of nutrition supplies available in the country until end of 2014. However, the prepositioning still remains a challenge. The coordination and information systems of the nutrition cluster have been strengthened. The nutrition performance monitoring has significantly improved. The coordination and monitoring tools have been put in place. The national nutrition database is being developed.
36
CAR PERIODIC MONITORING REPORT January2014-July2014
Changes in Context
The security situation deteriorated significantly and in short period, more children were screened and admitted for treatment. The situation forced the nutrition cluster to revise the priority zones in March in order to enhance coverage of CMAM services. Given that a number of IDPs are now returning to their homes, Nutrition Cluster partners are moving towards a strategy of supporting existing health structures inside and outside Bangui in order to stimulate this return process, and enhance the coverage. Mobile approaches will still be available in IDPs sites as long as the need is present. Challenges
Coverage of community-based management of acute malnutrition services outside of Bangui remains low due to security constraints. There is a gap in the provision of activities aimed at supporting appropriate infant and young child feeding (IYCF). Lack of partners for treatment of MAM in CAR. There is extremely limited health care capacity to provide care and treatment to children suffering from acute malnutrition. Cluster Performance Whilst great work has been done during this reporting period, further work is still necessary in strengthening the understanding of the Cluster role among partners to ensure roles, responsibilities, accountabilities and standards are understood and adhere to and respected by all partners. The overall cluster performance appears to be satisfactory. Significant progress has been achieved since the beginning of the year. The Nutrition Cluster is fully functioning with relevant management tools. The cluster developed a best practise of sharing relevant key documents with cluster members. The cluster continued strengthening engagement of nutrition partners into mapping of partner’s geographic presence and programme activities. The cluster continued to motivate partners to actively attend and participate in nutrition meetings, and report on nutrition interventions. Moreover, the cluster continued updating strategy plan in collaboration with other sectors, advocating for resources mobilisation targeting prioritized areas.
Actions to be taken
Continue the scaling up CMAM coverage needs in order to ensure equitable access to screening and treatment activities for all acutely malnourished children. Finalise the implementation of the SMART nutrition survey in the remaining prefectures. Put in place dedicated IYCF-E programmes. Strengthen the screening activities in the existing health facilities through the community health workers. Continue the prepositioning of nutrition supplies in difficult locations.
Cluster objective 1: Ensure access to quality life-saving treatment of acute malnutrition for at least 60% of vulnerable populations (girls and boys under five years, pregnant and lactating women) at both health center and IDP camp level outcome Indicator Target Result Status % of children aged 6-59 months affected by SAM admitted for treatment On 60% 88% (target: 60%) Track % of children aged 6-59 months affected with MAM having received treatment On 60% 43% (target; 60%) Track % of children admitted for treatment (both MAM and SAM) recovered (target: On 75% 81% cured rate: 75%) Track
Cluster objective 2: To promote, protect and support optimal infant and young child feeding (e-IYCF) outcome Indicator Target Result Status No Number of trained health staff, CHWs and caregivers on IYCF practices 180 Progres s On Number of tools adapted and disseminated 1,000 1,000 Track
37
CAR PERIODIC MONITORING REPORT January2014-July2014
No Number of beneficiaries reached during the integrated campaigns 6,000 Progres - s
Cluster objective 3: Ensure adequate micronutrients supplementation for vulnerable people including children and pregnant and lactating women. outcome Indicator Target Result Status Major # and % of children 6-59 months supplemented with Vitamin A >=80% 25% Gaps Major # and % of children 6-59 months benefiting from deworming >=80% 31% Gaps # And % of pregnant and lactating women supplemented with folic acid and Major >=50% Ongoing iron. Gaps
Cluster objective 4: Make available complete and timely sex and age disaggregated nutrition data with improved monthly data collection and management, supplemented by nutrition surveys and rapid assessments outcome Indicator Target Result Status Ongoing (11 Number of prefectures with updated and accurate reference indicators for On 1 prefecture nutrition (e.g. via SMART survey) Track s completed On % of completeness and timeliness for nutrition reports (> 70%) >70% 80% Track On # of nutrition situation analysis (quarterly report) 4 2 Track
Cluster objective 5: Ensure a predictable, timely, coordinated and effective nutrition response through optimal cluster coordination, including contingency planning, adequate pipeline of nutrition supplies, sustainable funding, situation and gap analysis and strategy development outcome Indicator Target Result Status On Existence of adequate cluster nutrition mechanisms Yes Yes Track On Existence of cluster SRP with monitoring tools Yes Yes Track No Training on cluster coordination role has been organized. Yes No Progres s
38
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
Progress towards Cluster Objectives
The situation in the Central African Republic (CAR) has deteriorated further between January and June, with numerous protection issues and risks for the civilian Protection populations. Despite the joint efforts of the humanitarian Coordinator UNHCR community, international military forces and other actors, Co-Facilitator DRC the protection situation in the entire country remains worrisome. Exactions continue to be reported especially Government Counterpart Ministry of Health and in the North and South-Western parts of the country, Humanitarian Action including massive and/or targeted killings. Civilians are People Targeted 2 million increasingly exasperated by the security situation in the country. The crisis remains a protection crisis People Covered 1,400,000 encompassing: violations of basic rights, forcible FUNDING displacement, sexual violence, massacres, torture, and Requested Received Percent Funded massive destruction of property. The protection cluster’s response to the crisis is done in 74m line with its objectives as revised in January 2014 Progress was reported, inter alia, for the following objectives Ensure life-saving protection response - Prevent and response to protection risk linked to insecurity, violence and displacement in areas of origin and displacement and mainstream protection principles into humanitarian response - Strengthen response to victims of violence and human rights violation and improve their access to services - Enhance resilience of communities in particular women, children and isolated elderly to cope with and respond to protection risk and violations The Protection Cluster has strengthened and supported its protection monitoring activities. The monitoring of protection incidents including violations of human rights, among them the rights of women and children, has enabled humanitarian actors to provide holistic assistance, to prevent violations and to address the causes of violence within and between communities. Through the protection monitoring, community protection mechanisms were also promoted and strengthened. Protection monitoring projects were implemented by numerous Cluster members in Ouham, Ouham Pende, Ombella-Mpoko, Basse-Kotto, Lobaye, Sangha Mbaere, Mambere Kadei, Nana Mambere provinces. Protection incidents were collected by various protection monitoring actors. Some of the protection monitoring projects are specifically focused on the monitoring of grave child rights violations in line with the MRM (Security Council Resolution 1612), through members of the Child Protection Sub Cluster and with the support of a network of 140 monitors, trained and deployed in key locations across the country, including Bangui, Ouham, Ouham Pende, Mambere-Kadei, Nana-Mambere and Lobaye. As of July 2014, a total of 1878 incidents of grave violations against children were documented. The “Green Line” project implemented by the Danish Refugee Council has been extended to 24/7 service to receive information about protection incidents, provide legal counsel and refer the cases to appropriates protection actors. GBVIMS system Data collected through the monitoring allows the Protection Cluster members better understand specific situations and develop tailored protection interventions to the needs of all affected by the crisis, including IDPs and host communities. In July 2014, UNHCR launched also a border monitoring project with a partner deployed along the Chad and Cameroon borders. The project aims to monitor population movements across borders in order to analyze trends on refoulement cases, movement trends, violations of human rights and of humanitarian law and any other protection issues and respond to identified issues through appropriate channels. Border monitoring constitutes also a warning system in itself as an analysis of population movements to border countries hints on the situation in localities of origin where monitoring teams are then deployed to assess the situation and alert the humanitarian community for interventions or further assessments. This initiative brought an important added value to the Protection cluster early warming mechanism and the tracking of population movements as well as the analysis of displacement trends by the CMP. The Protection Cluster, including the Child Protection Sub-Cluster and the Gender-Based Violence (GBV) Sub-Cluster has been engaging in protection mainstreaming and strengthening its civil-military cooperation. With the support of the Global Protection Cluster, the Protection cluster hosted a protection mainstreaming mission in July. The mission provided technical support to the Protection Cluster, Nutrition, WASH and Shelter clusters as well as the Inter-cluster in CAR through 6 workshops to support a periodic and systematic review of protection mainstreaming throughout humanitarian interventions in CAR. With regards to GBV interventions, sservice-based Data on GBV cases is collected through the GBVIMS users. A total of 5, 968 GBV cases were registered. Out of 5,000 targeted people, 1,141 identified GBV survivors were assisted (Medical, psychosocial, legal and socio-economic support). In Bangui, life-saving
39
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
medical response services to survivors of sexual violence are delivered to sexual violence survivors in 9 IDP sites while psychosocial response are offered through temporary “Listening Centers” in 14 IDP sites. Permanent listening center are operational in districts of Bangui. At field level, psychosocial services are available in 32% of all sub-provinces while medical care for survivors of sexual assault is available in 39% of all sub-provinces. Legal response services for GBV survivors are available only in two districts in Bangui and six sub-provinces in the interior of the country. The GBV Sub-cluster in collaboration with the GenCap has supported Gender mainstreaming for two Clusters In order to increase the capacity of their members. Several training session were also held on prevention and response to GBV as well as GBV and ethical and security aspects of managing GBV-related data and the GBVIMS.
Various community-based initiatives aim to reinforce prevention and response to protection concerns, including child protection issues, in the most affected areas of Lobaye, Ouham, Ouham Pende, Bamingui- Bangoran, Nana Mambere, Ombella Mpoko, Ouaka, Nana Gribizi, Basse-Kotto and in the capital Bangui. Through community protection committees, including child protection committees, awareness-raising on a range of protection and child protection issues has been undertaken and mediation, social cohesion as well as referral activities have been carried out. . As such, a total of 454,059 out of 600,000 targeted people were reached between January to July. In addition, training and awareness-raising activities on the prevention of violations of children’s rights undertaken by the child protection sub-cluster members reached more than 46,750 persons including women, men and children.
In order to address psychosocial and recreational needs of boys and girls affected by the crisis, 54 Child Friendly Spaces and 45 Listening Centers have been established in Bangui, Bossangoa, Bouar, Bambari, Kaga Bandoro, Sibut, Yaloke, Boali, Bria. As such, 64,000 children were reached.
Progress has been made regarding child DDR. Since the beginning of the crisis, 1388 girls and boys formerly associated with Anti Balaka and ex-Seleka armed groups have been released. These children have benefited or are in the process of receiving socio-economic and/or psychosocial reintegration support in 2 Centers of Transit and Orientation (CTOs) in Bangui and Bria or through community-based initiatives in Mbaiki, Bangui, Boali, Yaloke and Bria. These reintegration initiatives are being implemented in coordination with the Ministries of DDR and Social Affairs. In 191 cases, children formerly associated are temporarily being accommodated with host families while awaiting family reunifications Out of 1487 unaccompanied and separated children registered throughout the country, 852 were reunified with their families by various protection actors. The sub-cluster is also developing Standard Operating Procedures to guide child protection actors in the identification, documentation, provision of interim care and family reunification to unaccompanied and separated children. In order to prevent family separations, child protection actors conducted awareness-raising activities reaching an estimated 967,000 people were and distributed a total of 3925 bracelets. Progress has also been made regarding the registration of children born during the crisis. Following a 10-day birth registration campaign in June, a total of 25,162 children including 304 girls and 12,858 boys in Bangui, Begoa and Bimbo have been registered.
Changes in Context
The security situation deteriorated significantly with the targeting of civilians including minority community members, children and women. In addition to some 16,000 people scattered in 9 locations across the country and identified at risk of physical violence as of July 2014, other thousands of civilians have been directly affected by armed violence in several locations across the country in the Ouham (Batangafo, Bouca, ); Ouham Pende (Ngaoundaye, Tolle, ); Ouaka (Bambari, Grimari); Kemo/Nana Gribizi (Dekoa, Kaga Bandoro axis). At the same time, return movements of those formerly displaced necessitate of IDPs happen in certain places, prompting new need assessments. Major strides have been made regarding the development of strategic documents to guide work of protection actors on key issues. An overall protection strategy and plan of action for CAR has been developed at Protection Cluster level and was subsequently also endorsed by the HCT in July 2014. Idem, an action plan and a strategy have been put in place at child protection sub-cluster level, while the GBV sub-cluster is still finalizing its guiding documents. Moreover, in order to ensure the protection of communities at risk, the Protection Cluster put in place a specific strategic approach, including also a set of concrete actions in form of targeted action plans for communities at risk and/or IDPs and other civilians affected by armed violence. The Cluster liaises closely with UNHCR in neighbouring countries to share protection information, also as part of early warning.
40
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
Cluster Performance
The coordination structure of the Cluster Protection has been strengthened with dedicated and full time staff as lead (UNHCR) and co-lead (DRC). It also has a sub-cluster for child protection led by UNICEF with the co- leadership of Save the Children International and Cooperazione Internazionale (COOPI) and a sub-cluster for gender-based violence led by UNFPA and Mercy Corps. A Protection Cluster Coordinator and a child protection sub-cluster coordinator were also deployed in Bossangoa to lead respectively the Sub-national protection cluster and the sub-national child protection sub-cluster at Bossangoa level covering the north-west part of the country. Regional protection clusters have been established in Bouar, Bambari, Kaga Bandoro and Paoua.
Timely, accurate data and analysis is a precondition to ensure early, preventive action as well as to monitor progress in the achievement of strategic cluster objectives. Towards this end, the Protection Cluster has set up a Protection Information and Analysis Cell which, as an early warning mechanism (EWM). It produces a weekly map and analytical matrix of displacement movements and communities at risk, informing humanitarian actors and all relevant partners on displacement trends and protection needs and constitutes the basis for multi-sectoral needs assessment and responses. The RRM and the Protection cluster, including the child protection sub cluster, are channeling sectoral recommendations for the mobilization of partners and response through the ICC. A more strengthened and institutionalized mechanism is still in the process of being set up to link the different monitoring systems and the HCT/ICC. Dedicated information management staff members have been deployed to support the Protection Cluster. In addition to the IMO (who dedicates around 50% of his time to the Protection cluster), there are three national information management assistants and one Protection Analyst who are working in the information unit of the protection cluster.
As of 31 July 2014, a total of 63 organizations (national and international NGOs, UN agencies, UN and AU Missions and civilian associations) are members of the Protection Cluster with dedicated staff who participated to the Protection Cluster meetings. This figure represents 155% of the initial target (40 organizations). In spite of a difficult security environment in the period from January to July, The Protection Cluster and its sub-clusters (child protection and gender based violence) ensured weekly coordination meetings and consultations. Minutes and key action points of meetings were shared on regular basis with the Protection Cluster and sub-clusters members, to ensure swift and coordinated response to (child) protection concerns and GBV issues. In order to strengthen its decision making capacity and in line with its national strategy, the Protection Cluster has established a strategic advisory group composed of 12 members of the protection cluster including its coordination team, sub-clusters, representatives from national NGOs, MINUSCA and key protection actors in CAR.
Challenges
With the collapse of its institutions, the State is unable to provide protection and basic services to civilian populations while the presence of international forces remains insufficient. Educational, health, security and social services were seriously disrupted due to the crisis, while, at the same time, limited access to livelihoods has drastically reduced the level of self-reliance of IDPs and host communities leading to serious protection issues. Due to the absence of vulnerability profiling, multi-sectoral assistance towards durable solutions for population in need has not been possible. With the regional dimension of the crisis and in order to monitor the return movements from neighbouring countries, it is also crucial to reinforce the cross-border information sharing and response, notably with Cameroon, Chad and DRC.
While violence is ongoing, including against women and children, one of the major challenges of the Protection Cluster is the monitoring of IDPs’figures outside Bangui. The last figures on IDPs outside Bangui were not updated since January 2014. Despite the great effort of the “Commission de Movement de Population – CMP” of the protection cluster, the lack of funding and human resources to implement projects on data collection and data analysis on IDP figures hamper the issuance of accurate statistics.
Several other challenges including the lack of resources to cover the considerable child protection needs, in particular, the large number of children associated with armed groups (around 10,000 children according to the latest official estimation of the CAR Government) and the lack of access to areas where children have been recruited and are being used by armed groups, limited the presence of child protection actors outside of the capital.
41
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
On other hand, the lack of access to populations in need in some locations, especially the communities at risk, remains a big challenge. Some IDPs are still hidden in the bush in several locations throughout the country. This is particularly worrying for children and women.
Actions to be taken
The Protection Cluster needs to continue with protection mainstreaming initiatives in order to ensure the integration of the protection dimension in the multi-sectoral response. Multi-sectoral response should especially take into account support for child protection and fight against GBV. The capacity of relevant State actors at national and local level must be strengthened in order to ensure their full participation in all protection activities. Support to communities, including communities at risk, in building up their own protection systems, including through mediation and social cohesion initiatives, must be strengthened. Improve data collection mechanisms on IDP figures and ensure the implementation of a population movement tracking system throughout the country Continue to ensure effective protection response to all priority communities including IDP returnees. In this framework, roles and responsibilities among protection actors is needed regarding identified returnees and their profiling for appropriate response. Ensure the implementation of the protection action plans for return and durable solutions working group. Provide full support to the Government in the process of elaboration of a national IDP policy for CAR and the domestication of the African Union Kampala Convention on the protection and assistance to IDPs. In line with its strategy, the child protection sub-cluster will draft and endorse an action plan to map planned activities. A considerable number of children in CAR are being or have been used by armed groups. In order to ensure their lasting extraction from the cycle of exploitation and violence, a thoughtfully conceived strategy and considerable resources are necessary. In particular, an emphasis has to be put by the protection cluster actors on a community based approach which is key for durable reintegration of children formerly associated with armed violence. In view of the deployment of a UN peacekeeping mission to CAR, the child protection sub-cluster with the support of the protection cluster will ensure close collaboration between the MRM monitoring system and the DPKO actors for information exchange and documentation of grave violations against children. With regards to GBV, the sub-cluster will finalize its overall GBV strategy and referral pathways will be established at sub-national and provincial level to strengthen protection and assistance to GBV survivors. Finalize the GBV national Standard Operating Procedures and make additional efforts to strengthen the rollout of the GBVIMS in all locations in CAR in order to improve ethical data gathering capacities Reinforce the legal aspect of the GBV response through the strengthening of partnership UNWOMEN/UNDP, MINUSCA and the judicial system.
42
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
Cluster Specific Indicators (achievement as of July Unit Target Achieved Objective 2014) Output
Ensure life-saving Provide life-saving and appropriate gender Cases 5,000 1,141 protection response based violence services especially medical and psychosocial services and generate data on reported cases.
The number of provinces covered by the Prefectures 10 8 protection monitoring system increased from 4 to 10.
The "Green Line" 4040 hotline number Yes/no Yes Yes extended to operate 24/7 Children released from armed groups and Children 800 1388 provided with social and community reintegration programmes
Number of children accessing PSS children 100,000 64,000 activities and services
Prevent and respond to Protection considerations mainstreamed in Yes/No Yes En cours protection risk linked to the response and delivery of other sectors insecurity, violence and displacement in areas of origin and displacement and mainstream protection principles into humanitarian response. Strengthen response to Referral pathways for gender based Yes/No Yes Yes victims of violence and violence and guidelines for the prevention human rights violations of gender based violence updated and and improve their access widely disseminated, as well as referral to services. pathway for child protection interventions updated and widely disseminated
Referral pathways for child protection Yes/No Yes En cours interventions updated and widely disseminated.
Enhance resilience of Activities of community reconciliation and Responses All En coursl communities in particular social cohesion integrated into all women, children and responses to conflict-affected communities isolated elderly to cope with and respond to Number of people directly reached by the persons 600,000 454,059 protection risks and community protection based initiatives violations.
43
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
Progress towards Cluster Objectives
SO1 - Provide access to safe water, sanitation and hygiene for people in emergency need This objective has been reached in term of safe water and hygiene for IDPs in sites and partially for IDPs in host communities and returnees. The quantity of safe WASH Cluster water provided was quite variable from an estimated 3 liters per person and per day to above 20 liters per Coordinator UNICEF person and per day. However this figure only represent Co-Facilitator the quantity of safe water provided by WASH partners through trucking, connection to SODECA water Government None network, rehabilitation or construction of pump and Counterpart borehole, without consideration of alternative sources People Targeted 900,000 of water accessible to communities such as traditional wells and other unprotected water sources. Overall People Covered 550,000 (See table water need of people in emergency need were below with people covered. covered by sub-sector) In term of sanitation, mostly IDPs in sites and host FUNDING communities were targeted with emergency sanitation options such as rehabilitation of institutional latrines Requested Received Percent Funded and the construction of emergency latrine and shower. It was agreed among WASH partners that within 3 27.5 m months of the displacement occurrence a ratio of 1 latrine to 100 people will be reached, then within 6 month a ratio of 1 for 50, after which if displacement last longer the ratio would go down to 1 to 20. For the December crisis caseload, except in sites where space is unsufficient to build enough infrastructures WASH partners have reached the 1 for 50 target in Bangui and provincial areas and are working on the 1 for 20 target. For most new caseload depending on security and presence of WASH actors in the area the ratio of 1 latrine for 100 people was reached within 1 month.
SO1 - Emergency preparedness and early response to humanitarian emergencies A cholera workshop was held in April with WASH and health actors. A draft cholera strategy was written with some action points. This resulted in the creation of a cholera working group with both Health and WASH cluster actors. By end of July prepositioning of cholera response items was starting. New caseload of IDPs are being reached within 2 weeks to 1 month of the onset of displacement depending on security and access.
SO3&4 - Provide reliable and sustained access to sufficient safe water through the establishment of sustainable management structures for the most heavily used water sources, and the development of sustained household water treatment strategies This objective was partially achieved through the setup of water management committee for water point constructed and rehabilitated in returnees’ areas. In IDPs sites wherever possible connection were built to SODECA water network to ensure regular water access and stop water trucking. To support access to water despite loss of financial resources SODECA with the support of UNICEF implemented a social fare for returnee’s area (gratuity for the first 10m3 of water consumed over 6 months) and gratuity in IDPs site. The response so far has concentrated in the access to safe water sources for higher concentration of population. As return increased in area with unsafe water source or unsufficient safe water source WASH actors will looked into household water treatment strategies that could provide access to safe water where only traditional wells or other unprotected water sources are available. Two aspects of the response requires the selection of appropriate household water treatment options. In area of return where SODECA network cannot reach or provide unsufficient water, affordable options need to be tested in term of cost and acceptability. In area of instability where people frequently moved into the bush for their security, light and efficient filtration unit should be considered for treatment raw water with variable quality.
SO 3&4 - Provide reliable and sustainable access to environmental sanitation - all sanitation programs must be coupled with sustained hygiene promotion for the target population This objective has been partially reached in IDPs’ site and solution are being explored for returnees’ area. For Bangui IDPs’ sites which are still being occupied after 9 months, a latrine desludging management cycle has been explored and is being implemented. This include the setup of latrine desludging teams, safe transport service and the construction of a disposal site where latrine sludge are buried. Technical options to reduce sludge volume on site (with a new latrine design) and at the final disposal site are being explored. One latrine design that decrease sludge volume and improve sludge handling was tested by one WASH partner.
44
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
In term of solid waste, unsustainable solutions are being implemented to compensate the city council lack of capacity, with the provision of additional truck for solid waste collection from IDPs sites to disposal area, rental of compacting machinery to maintain the operation of the solid waste burial site. Funding to repair and restart the operation of the solid waste burial site is being sourced. With the implementation of multisectoral solution to accompany return, sustainability through the support of city council technical department will be looked into. On site, the primary collection of solid waste is managed by WASH committee and implemented by IDPs through cash for work. Where there is sufficient space, biodegradable waste are segregated and disposed on site for partial composting process and reduction of volume. IDPs selected for cash for work rotate regularly to spread the distribution of money. Some IDPs used this cash for supporting their return.
Some of the solution being explored for Bangui IDPs sites will be adapted to improve access to environmental sanitation in returnees’ area. Through the restoration of pre-crisis sanitation level, resilient WASH systems will be explored to help communities resist future crisis.
For provincial area, sustainable sanitation solutions will require the adaptation of participative and more development oriented solutions. In the next phase WASH actors will explored, where security allowed, how to adapt sanitation approaches to the humanitarian context and cultural sensitivities.
Changes in Context
From a humanitarian and security perspective, the situation in CAR is quite volatile. One can note that the number of IDPs hosted in the sites in Bangui increased until mid-February, then started to decrease. In the region, it was noted by actors on site that the number of IDPs was kept stable throughout the period, though there was a lack of reliable source for the census. By the end of July, there were still 87,000 IDPs in sites around Bangui, some of them present only for the night. Throughout May to July, clashes resulted in new displacements in pre-existing or new sites (Bangui, Bambari, Kabo, Bouca, and Batangafo). People returned as soon as the security situation stabilised. With this return, there was a noted reduction of pressure on WASH infrastructures in sites. In areas of return, abandoned WASH infrastructures were often partially or completely non-functional (water source) or inexistent (latrine). In some areas (Boda, Yaloke, PK5 in Bangui, etc.), some minority communities were forbidden movement outside their neighbourhood, decreasing their access to safe water and to hygiene product. In the case of PK12, this minority was relocated to Moyen Sido and Kabo, which created a demand for new WASH services.
Cluster Performance
The number of international WASH actors with recognized WASH expertise increased. Several of them entered partnerships with national NGOs. Furthermore, the participation of governmental agencies is active and increasing (ANEA, DGH, DRH, SODECA). Several TWiG were created, boosting analysis, decision and collaboration between WASH actors. Advocacy towards donors was done by the Cluster. WASH actors are starting to see the impact of this with increased funding. However, WASH actors have difficulties to free sufficient time for coordination purposes and to ensure harmonization within the response. Hence the strategic operational framework has been drafted but not yet finalised. Challenges The top down requirement of processes and procedures to deliver a certain number of standard documents takes over the need to develop practical guidance to many WASH actors. These actors are largely in need of capacity building, as well as means to agree on technical response standard. In some case, donor funding strategies have driven the response rather than following the needs assessment and analysis. For example, funding for return activities has been slow to follow the return pattern. Funding limited in amount and time didn’t give sufficient space for WASH actors to develop medium term action planning for their response, leading to reactive rather than proactive intervention. Presence of WASH actors in provincial area is slowly starting to cover the country, even though donors have been ready to support the move. The capacity of response outside of Bangui and outside the RRM system is limited. Lack of WASH partners in critical areas who can conduct a quick WASH emergency response
45
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
Lack of a WASH contingency plan in the regions outside Bangui. Lack of coordinated operational response in key areas with people at risk, which hampers the synergy between humanitarian actors and the application of the “Do No Harm” approach.
Actions to be taken
Capacity building of WASH actors for instance on WASH assessment, basic humanitarian principle and Sphere, as well as simple WASH intervention versus needs evaluated. Set up contingency stock prepositioned in strategic areas among major WASH actors, with harmonised rules of operation and refilling. Advocacy to support Reinforce donor advocacy to align strategies (donors and Clusters) Advocacy to health Cluster regarding morbidity data in provincial areas. Transform the TWiG desludging Bangui into a national TWiG sanitation Activate the TWiG hygiene promotion with C4D unit of UNICEF Launch a socioeconomic and behavioural analysis of returnee’s area communities to understand triggers and blockages for developing resilient WASH services
Table 1 Indicator status for Cluster Objective 1A Cluster Objective 1A: Provide access to safe water, sanitation and Support Strategic Objective 1 Provide life-saving hygiene for people in emergency need humanitarian multi-sectorial package to IDPs and host communities, migrants, refugees and returning persons Indicator 1: Number of affected people (men, women and Baseline Target Result Status children) with access to safe water (with a minimum 953.000 714.750 550 000 On Track standard of 15lts/pers/day) – 77%
Activities Locations Baseline Target Result Status
Ensure the optimal functionality Bouar, and chlorination of the SODECA Bossangoa, 550 000 On Track – 77% water systems in locations of Carnot, Bangui,
displacement Bambari
Ensure sufficient storage and
distribution capacities in IDP's Bangui, Bambari, xxx On Track – XX% 953.000 714.750 site
Bossangoa, Bangui, Kaga- Bandoro, Rehabilitation of existing shallow Batangafo, Sibut, wells/boreholes (including spare 350 000 On Track – 49% Ndele, parts and fuel where needed) Bocaranga, Paoua, Bouar, Bambari, Grimari Indicator 2: Number of affected people (men, women and Baseline Target Result Status children) using basic sanitation structures 953.000 714.750 390.000 On Track – 40%
Activities Locations Baseline Target Result Status Bossangoa, Bangui, Kaga- Bandoro, Batangafo, Sibut, Ndele, Construction of safe and gender Bocaranga, friendly emergency 953.000 714.750 390.000 On Track – 40% Paoua, Bouar, latrines/defecation trenches Bambari, Grimari, Boda, Bimbo, Bengassou, Carnot, Bria, Ngaoundaye
46
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
Indicator 3: Number of affected people (men, women and Baseline Target Result Status children) having the means and knowledge to practice 953.000 714.759 350.000 On Track hand washing at critical moments – 49%
Activities Locations Baseline Target Result Status Beneficiaries for such activities are not Public awareness and mass counted. Radio media communication activities X,Y,Z 953.000 714.750 xxx messaging over country in relation to prevention during cholera high risk period. Distribution of key hygiene All accessible 953.000 714.750 350.000 On Track – 49% items/materials areas
Indicator 4: Number of affected people (men, women and Baseline Target Result Status children) living in IDP sites with effective garbage 953.000 714.750 400.000 On Track disposal/removal systems – 55%
Activities Locations Baseline Target Result Status
Bangui, Bambari, Grimari, Kaga- Collection and disposal/removal Bandoro, Boda, 953.000 714.750 400.000 On Track – 55% of garbage in IDP's sites Bossangoa, Kabo, Bouca
Table 2 indicator status for Cluster Objective 1B Cluster Objective 1B: Emergency preparedness and early response to Support Strategic Objective 1: Provide life-saving humanitarian emergencies humanitarian multi-sectorial package to IDPs and host communities, migrants, refugees and returning persons Indicator 1: Contingency plan developed and Baseline Target Result Status regularly updated including up to date 4W and On Track – contact-lists 40%
Activities Locations Baseline Target Result Status All areas Regular updates of the On Track – 35%
4W matrix and contact lists
Activities Locations Baseline Target Result Status All areas Regular distribution of On Track – 37%
Rapid Needs Assessments documents and training on their use
Activities Locations Baseline Target Result Status All areas 0 2 1 Development of On Track – 50% emergency and
contingency plans (cholera, etc.)
Indicator 2: WASH Cluster strategy and priorities Baseline Target Res Status are updated regularly based on results from the ult AWD/Cholera Activities Locations Baseline Target Result Status
47
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
Regular collection of All areas data from the Health No Progress Cluster and sharing of these with WASH partners
Activities Locations Baseline Target Result Status Weekly updates of All areas AWD/cholera cases in Major Gaps – XX%
the event of an outbreak Not applicable at current situation (no outbreak declared)
Table 3 indicator status for Cluster Objective 3&4 A
Cluster Objective 3&4 A: Provide reliable and sustained access to Support Strategic Objective 3&4: sufficient safe water through the establishment of sustainable Assistance to returning management structures for the most heavily used water sources, and persons, and provide vulnerable populations the development of sustained household water treatment strategies with minimum basic services; Rebuild affected communities' resilience Indicator 1: Number of people (men, women and Baseline Target Result Status children) with sustained access to safe water 2.600.000 900.000 325.000 On Track – 36%
Activities Locations Baseline Target Result Status Construction/ Bossangoa, Bangui, 2.600.000 900.000 325.000 On Track – 36% Rehabilitation or Kaga-Bandoro,
Protection of the most Batangafo, Sibut, heavily used water Ndele, Bocaranga, sources Paoua, Bouar, (permanent/perennial Bambari, Grimari, sources such as Boda, Bimbo, boreholes, wells and Bengassou, Carnot, springs) Bria, Ngaoundaye
Activities Locations Baseline Target Result Status Promotion and distribution X,Y,Z 2.600.000 900.000 0 of household water No Progress treatment systems
Indicator 2: Number of people (men, women and Baseline Target Result Status children) benefited by a newly 100.00 80.000 45.000 On Track created/reactivated/retrained water management – 56%
committees
Activities Locations Baseline Target Result Status Training of water service All IDPs sites 100.000 80 000 45.000 On Track – 56% committees
48
Country name PERIODIC MONITORING REPORT Mmm to Mmm 2014
Table 4 indicator status for Cluster Objective 3&4 B
Cluster Objective 3&4 B: Provide reliable and sustainable access to Support Strategic Objective 3&4: environmental sanitation - all sanitation programs must be coupled Assistance to returning with sustained hygiene promotion for the target population persons, and provide vulnerable populations with minimum basic services; Rebuild affected communities' resilience Indicator 1: Number of people (men, women and Baseline Target Result Status children) benefited by the construction and 2.600.000 225.000 80.000 On Track rehabilitation of institutional sanitation structures – 35%
which are culturally acceptable and gender-sensitive Activities Locations Baseline Target Result Status Construction/ All IDPs sites 2.600.000 225.000 80.000 On Track – 35% Rehabilitation of gender-
sensitive institutional sanitation facilities (school, health center, markets) Indicator 2: Number of people (men, women and Baseline Target Result Status children) benefited by the construction and 2.600.000 900.000 250.000 On Track rehabilitation of family sanitation structures which are – 27%
culturally acceptable Activities Locations Baseline Target Result Status Construction/ Bossangoa, 2.600.000 900000 250.000 On Track – 27% rehabilitation of family Bangui,
sanitation infrastructures Paoua, Ndele
Indicator 3: Number of people (men, women and Baseline Target Result Status children) who have participated in face-to-face 2.600.000 900.000 350.000 On Track hygiene promotion sessions – 37%
Activities Locations Baseline Target Result Status Organisation of hand- Bangui, Boda, 2.600.000 900.000 350.000 On Track – 37% washing activities Ngaoundaye,
(demonstrations in Bossangoa, schools, health centers, Bouar, etc) Bambari, Grimari, Organisation of hygiene In all areas 2.600.000 900.000 220.000 On Track – 24% promotion sessions in
nutritional feeding centers, health facilities and schools
END.
49