UNICEF Situation Report September 2019

Uganda

Humanitarian

Adriko Situation Report

UNICEF Uganda/2019/ UNICEF © ©

REPORTING PERIOD: September 2019 SITUATION IN NUMBERS Highlights • According to the Office of the Prime Minister (OPM) and UNHCR, a total September 2019 of 6,700 new refugees arrived in Uganda in September from , the Democratic Republic of the Congo (DRC) and Burundi, bringing 2.4 million Uganda’s total refugee and asylum-seeking population to 1.34 million.1 # of children in need of humanitarian assistance (*) (UNICEF HAC 2019) • Malaria remains a serious concern with the number of malaria cases doubled in September 2019 compared to the same period in 2018. 4 million • This year, measles and rubella outbreaks have each affected 50 districts # of people in need of humanitarian assistance (*) and 28 districts respectively. To contain the outbreaks, the Government (UNICEF HAC 2019) of Uganda, with support from WHO and UNICEF, are introducing the (*) Figure represents anticipated number of people or Measles and Rubella (MR) vaccine into routine immunization at the end children in need of humanitarian assistance in Uganda in of October 2019. 2019 after experiencing the shocks of refugee influx, disease outbreaks, and hydro-meteorological hazards such • UNICEF continues to intensify Ebola-related risk communication and as floods and landslides. social mobilization activities, as well as interventions on Infection Prevention and Control (IPC) through WASH, child protection, and 808,416 nutrition. UNICEF and partners reached an additional 20,700 people # of refugee and asylum seeker children as of 22 September through direct interpersonal engagement during house-to-house visits 2019 (OPM, Pro Gres V4)

and community meetings in 10 high-risk districts, bringing the total number of people reached with key messages to 630,400. 1,347,360 # of refugees and asylum seekers as of 22 September 2019 (OPM, Pro Gres V4)

2019 UNICEF Response with Partners UNICEF HAC Appeal 2019 2019 2019 US $51.76 million Indicators Targets Results Health: Number of boys and girls immunized against measles in Funding status 2019 489,866 221,531 refugee-hosting districts Carry forward Nutrition: Number of children aged 6 to 59 months who received amount US$ 7.07 M 745,074 598,184² Vitamin A supplementation in the first and second semester WASH: Number of people accessing sufficient quantities of water Funds received to 197,000 20,500 date US$ 6.2 M of appropriate quality for drinking, cooking, and personal hygiene HIV/AIDS: Number of HIV-positive pregnant women receiving 942 1,318⁴ treatment to prevent mother-to-child transmission Education: Number of children accessing formal or non-formal 108,704 44,823³ Funding gap early childhood education / pre-primary education US$ 38.49 M

Child Protection: Number of refugee children registered as unaccompanied or separated who received appropriate 7,368 2,419 Funding available includes USD 7,075,447 carried alternative care services forward from 2018

1 4,215 from the DRC, 715 from South Sudan, 698 from Burundi. Data as of 22 September 2019. 2 Nutrition data is from August 2019. End of month data is published in the HMIS the following month. ³ Education data as of Term 2. Enrolment into term 3 will be reported in October 2019. ⁴ HIV/AIDs data is released on a quarterly basis. This data is from July 2019. UNICEF Uganda Situation Report September 2019 EVD-Specific: HPM and Funding Figures

2019 UNICEF EVD Response with Partners

2019 2019 UNICEF Uganda Indicators June-Dec Results Ebola 2019 Response Targets Funding Requirements C4D: # of at-risk people reached with EVD-related messaging through community engagement and interpersonal 3,258,484 598,184 communication approaches in areas affected by or at risk for EVD US$ 4.06 million WASH: # of health facilities provided with WASH supplies in 607 419 areas affected by or at risk of EVD Funds WASH: # of staff in health facilities trained on infection received to prevention and control related to WASH in areas affected by or 908 636 date at risk of EVD US$ 1.9 M Nutrition: # of health workers oriented on nutrition in the context 233 38 of EVD in areas affected by or at risk Child Protection: # of EVD-affected children who received Funding gap ¥ 11,440 0 psychosocial support US$ 2,158,557 † Target includes response and preparedness activities in , district, and 10 high-priority districts in the National Plan. Targets will be revised to align with the National Response Plan if new EVD cases emerge. ‡ To enable a swift response, UNICEF re-programmed funds where possible. Funds received to date Funding Gap ¥ Following the training of para-social workers at the subcounty level in Kasese, children will be reached through

community-based psychosocial support interventions moving forward. Funding needs for 12 June to 31 December 2019. Situation Overview and Humanitarian Needs Refugees Uganda continues to host the largest number of refugees in Africa, with over 1.34 million refugees and asylum-seekers within its borders, according to UNHCR and the Office of the Prime Minister (OPM).1 Over 848,200 are from South Sudan, 384,000 from the Democratic Republic of the Congo (DRC), 42,000 from Burundi and nearly 71,200 from Somalia, Rwanda, and other nearby countries. Sixty-one per cent of Uganda’s refugee population (over 812,000 people) are children. According to the OPM and UNHCR, a total of 6,700 new refugees arrived in Uganda in September from South Sudan, the DRC and Burundi. The average daily influx in September included 33 people from South Sudan and 192 from the DRC, compared to August arrivals of 26 and 191 respectively, with food insecurity being the main driver of movement from South Sudan and conflict being the main driver of movement from the DRC.

Disease Outbreaks Ebola Outbreak: As of 30 September, there were no reported Ebola virus disease (EVD) cases or contacts under follow-up, and 7,945 frontline health workers and their contacts in 14 districts had been vaccinated against EVD. The latest EVD case was reported in Kasese district on 29 August 2019 involving a nine-year-old girl from the DRC who was detected during the routine screening at Mpondwe Point of Entry on 28 August. The child was brought by her mother to Uganda for healthcare. She tested positive for Ebola Zaire and died at Bwera Ebola Treatment Unit (ETU) on 30 August 2019.

From 25-26 September 2019, a cross-border meeting between Uganda and the DRC was held in , with a focus on strengthening surveillance and coordination of point of entry activities. Some key recommendations included: the need for urgent review and finalization of the Health memorandum of understanding (MOU) between the DRC and Uganda; the development of a framework for management/repatriation of imported EVD cases; and the establishment of a one-stop- border point at Mpondwe. The National Task Force coordination sub-committee approved the organization of another cross- border meeting yet to be scheduled to strengthen risk communication and community engagement. The meeting will be conducted under the leadership of the district local governments of Kasese (Uganda) and Kasindi (the DRC), with support from the OPM, WHO, UNICEF Uganda County Office (UCO), and UNICEF DRC.

Cholera Outbreaks: Uganda is currently responding to cholera outbreaks in the five districts of Bududa, Busia, Isingiro, Kisoro and Kyegegwa. Outbreaks in Isingiro, Kisoro, and Kyegegwa are reported among refugees from Burundi (Isingiro) and the DRC (Kisoro and Kyegegwa). Upon a revision of the Ministry of Health (MoH) Epidemiology and Surveillance Division (ESD) of cholera cases per district line list, the total number of cases amounted to 315, inclusive of three deaths, with a case fatality ratio CFR of one per cent. In all districts, 30 September 2019 marked 21 days since the last cholera case was reported.

Measles and Rubella Outbreak: A total of 1,630 suspected measles cases have been investigated in 113 districts as of 8 October 2019. Of these, 550 were laboratory confirmed; 204 were confirmed by Epi-link and 63 clinically compatible, while

1 Refugee and asylum-seeker population 01 October 2019, UNHCR and OPM: https://data2.unhcr.org/en/documents/download/71655. 2 UNICEF Uganda Situation Report September 2019 288 were laboratory confirmed as rubella, and 44 cases laboratory confirmed as measles-rubella co-infection. So far this year, 50 districts have confirmed measles outbreaks and 28 districts have confirmed rubella outbreaks. A nationwide mass measles-rubella vaccination campaign is planned for 16 to 20 October 2019 targeting 18,079,985 children aged nine months to under 15 years (43 per cent of the total population). The Measles and Rubella (MR) vaccine will be introduced into routine immunization from 21 October 2019 and is expected to interrupt the transmission of both diseases.

Malaria Upsurge: Routine DHIS2 data analysis conducted by the MoH National Malaria Control Division observed that malaria cases doubled across Uganda this month compared to the same period last year. National data shows a 3.5 per cent increase in cases between 16-29 September, with a total of 222,414 cases registered.

Data analysis indicates that 50 out of 133 of districts reported a malaria upsurge with the Test Positivity Rate (TPR), estimated at 80 per cent. The key drivers of this upsurge include prolonged intermittent rains, population movement from low- to high- burden areas and vice versa, human activity that creates artificial vector breeding sites and low utilization of old mosquito nets in the communities.

Hydro-Meteorological Conditions Above-average off-season rainfall since July has prompted many farmers to plant second season crops earlier than usual, which has led to an increase in agricultural labour demand and income. This may help compensate for below-average incomes from first season crop sales. However, the spatial distribution of this rainfall has been uneven, with other farmers, especially in the southwest where the first season harvest was not delayed, still preparing land on the expected timeline. Given these scenarios, the second season green harvest is expected to begin in some areas by late October, with resulting food and income sources expected to sustain minimal (Integrated Phase Classification Phase 1) outcomes for most poor households through January 2020.2 In Karamoja, the start of the harvest in southern areas and the western farm belt, coupled with relative improvements in the terms of trade for sorghum, are beginning to improve food availability and access.

Humanitarian Leadership and Coordination The OPM’s Department of Refugees and UNHCR continue to lead the refugee response in Uganda. UNICEF co-chairs the Refugee Child Protection sub-working group with UNHCR, the Refugee WASH working group with the Ministry of Water and Environment (MoWE), and the National Nutrition in Emergency and Integrated Management of Acute Malnutrition (IMAM) technical working group with the MoH. The OPM’s Department of Disaster Preparedness coordinates and leads the country’s humanitarian response efforts, primarily through a National Disaster Risk Reduction Platform. The National Platform and District Disaster Management Committees coordinate responses to disasters caused by natural hazards and internal displacement caused by floods or conflict. Meanwhile, humanitarian responses due to disease outbreaks are coordinated through a multi-stakeholder National Task Force (NTF) co-chaired by the MoH and WHO.

The MoH is the lead for the EVD response and preparedness activities with support from WHO and partners, including UNICEF. Response activities build on the MoH’s coordination and experience in preparedness activities since August 2018. The National EVD Response Plan is built around the following pillars: (i) coordination and leadership; (ii) surveillance, including laboratory support and point of entry screening; (iii) case management, including infection prevention and control, and safe and dignified burials; (iv) risk communication, social mobilisation, and community engagement; (v) logistics; (vi) vaccination and investigational therapeutics; (vii) and psychosocial support (PSS), including child protection. UNICEF co-leads the risk communication, social mobilisation, and community engagement sub-committee, and actively contributes to the coordination and leadership, case management (with a focus on WASH and child nutrition), and PSS pillars.

Humanitarian Strategy UNICEF supports the implementation of durable solutions to chronic displacement in line with Uganda’s Refugee and Host Population Empowerment (ReHoPE) Strategic Framework, the Settlement Transformation Agenda (STA), and the Comprehensive Refugee Response Framework (CRRF). UNICEF, in partnership with the Government of Uganda, supports efforts to adapt Uganda’s nutrition, health, WASH, child protection, education, and social protection systems to humanitarian situations. Using a decentralized approach, UNICEF also strengthens the country’s humanitarian response, including localised capacity-building, monitoring and reporting, and procuring essential equipment and supplies. Community-based support is designed to improve the delivery of targeted protection and basic services for affected children and adolescents.

2 FEWS NET Uganda, http://fews.net/east-africa/uganda, retrieved 09 October 2019. 3 UNICEF Uganda Situation Report September 2019 UNICEF, along with the Government of Uganda and partners at the national and district levels, is strengthening multi-year planning processes to leverage domestic and international resources for communities at risk. Government contingency planning and response efforts are supported to mitigate the effects of disease outbreaks and natural disasters. In high-risk communities, UNICEF is applying and scaling up existing civic engagement platforms such as U-report to promote accountability to affected populations, build linkages between communities and local governments, and guide responsive district and sub-district planning and budgeting. Gender, HIV/AIDS, conflict sensitivity, and communication for development (C4D) programming are mainstreamed into all interventions.

Summary Analysis of Programme Response in Refugee-Hosting Districts Health UNICEF continues to provide technical and financial support to strengthen routine immunization through improved Reaching Every District/Reaching Every Child (RED/REC) micro-planning, communication, social mobilization, and service delivery in refugee-hosting districts.

On 21 October 2019, the MoH with financial support from Gavi will conduct a nationwide catch-up MR vaccination campaign targeting children aged nine months to under 15 years. In addition, a booster dose of oral polio vaccine will be provided to all children under five years of age to address the risk of polio importation. UNICEF has been providing technical support with a focus on strategic communication and social mobilization, as well as supply and logistics management.

To respond to the malaria upsurge, UNICEF continues to support high-burden districts to strengthen the management of antimalarial commodities to prevent stock-outs, improve case management, and intensify preventive measures. UNICEF is supporting the MOH’s National Malaria Control Programme to develop a comprehensive response plan with durable solutions. To implement this plan, UNICEF, with support from the Department for International Development (DFID)/UK Aid, will re-programme US$ 150,000 under the Strengthening Uganda’s Response to Malaria (SURMA) project to support and strengthen malaria prevention through enhanced community engagement using campaigns for infection prevention control, long-lasting insecticide mosquito nets, focused surveillance, and integrated community outreach. Uganda is in the process of planning the next Universal Long-Lasting Insecticidal Nets distribution campaign scheduled for the fourth quarter of 2020. UNICEF Uganda is assisting the districts of Isingiro, Kyegegwa, and Kisoro to mitigate the impact of cholera outbreaks among refugees by providing technical and financial assistance in addition to WASH and C4D supplies. In September, this included four water tanks of 10,000 cubic litres, water purification tablets, chlorination tablets, and information, education and communication (IEC) materials. A direct cash transfer of US$ 12,000 will be processed to support risk communication and community engagement activities aimed at interrupting cholera transmission in .

Nutrition At national level, UNICEF provided financial and technical support for the pre-testing of the revised IMAM training packages. Further support went into the preparation for the Regional Training of Trainers on the revised Health Management Information System (HMIS). It is expected that both the revised IMAM training packages and revised HMIS will be in use by the end of 2019.

At district level, UNICEF and its implementing partner AVSI supported District Health Teams in the refugee-hosting districts of Adjumani, Moyo, Obongi, Lamwo, Kiryandongo, and to conduct integrated support supervision and monitoring of Reproductive, Maternal, Newborn and Child Health (RMNCH), HIV, and nutrition interventions at Health Centre IIIs and IVs, high-volume Health Centre IIs, and district hospitals. A total of 130 health workers were supervised in the six districts with a focus on quality of care for nutrition interventions in the health sector. Complementing this was on-site coaching and mentorship of health workers to address any key areas of weakness identified. In addition, UNICEF in collaboration with AVSI provided technical and financial support to the Joint Regional Performance Review (JRPR) for both refugee- and non-refugee- hosting districts. The review focused on the sharing of best practices and lessons learned on the scale-up of RMNCH services. The JRPR was attended by 300 delegates representing 12 District Local Governments (DLG), Members of Parliament in the region, public-sector agencies, private-sector groups, faith-based organizations, civil society, officials from the MoH, and the Arua Regional Referral Hospital.

WASH The extension of the WASH pipeline for Maratatu allowed for the completion and extension of the distribution network for the Kavule II water supply scheme as well as the ongoing construction of the Kagoma water supply scheme (construction stands at 60 per cent completion). The project, expected to be completed by November 2019, aims to serve 25,000 women and children in the Kyangwali refugee settlement. In addition, UNICEF is supporting the construction of 16 blocks of latrines in schools and health facilities in Isingiro and Kikuube districts, which will serve 3,200 people.

4 UNICEF Uganda Situation Report September 2019 UNICEF continues to provide support to districts in Karamoja (Kaabong, Kotido, Moroto, Nakapiripirit and Napak) to address the need to rehabilitate boreholes and re-establish stable water supplies for both human and animal consumption. Rehabilitation of 28 boreholes commenced in August and is ongoing.

HIV/AIDS In partnership with the MoH, Yumbe DLG, and Uganda’s Infectious Diseases Institute, UNICEF supported capacity-building for 40 health workers from 13 health facilities in , West , in an effort to improve the quality of service delivery in health facilities in refugee-hosting districts. Capacity-building focused on the provision of viral-load testing and other basic laboratory tests, the consolidated 2018 HIV prevention, care and treatment guidelines and the revised HMIS tools. UNICEF also supported a quarterly performance review meeting in Isingiro district on the integration of sexual and reproductive health, HIV, and gender-based violence (GBV). One hundred stakeholders from six health facilities in Nakivale and Oruchinga refugee settlements participated in the meeting aimed at improving documentation and reporting of the SRH/SGBV and HIV/TB services offered to clients.

Education UNICEF is actively engaged in supporting the operationalization of the Education Response Plan for Refugees and Host Communities. In September, UNICEF, UNHCR, and the Ministry of Education and Sports convened a working session for District Planners and District Education Officers from refugee-hosting District Local Governments. This was the first of a series of events to prepare district-specific, costed education response planning to empower district technical departments with sector situation analyses, targeting, and budgeting required to mainstream refugee-inclusive planning. In so doing, UNICEF is directly supporting the implementation of the Global Compact for Refugees/CRRF in Uganda.

UNICEF’s emergency response in early childhood development (ECD) and adolescent development continues. As the third school term opened in September, 63,193 children and adolescents (30,706 boys, 32,487 girls) are accessing learning opportunities in 2019 with direct support from UNICEF.

Child Protection During the reporting period, a total of 120 unaccompanied or separated children (UASC) (53 boys, 67 girls) were newly identified, registered, and provided with appropriate alternative care services. This brings the total number of UASC registered and provided with support in 2019 to 2,419 (1,214 boys, 1,205 girls). A total of 28,942 children (16,141 boys, 12,801 girls) have benefitted from psychosocial support across 42 child-friendly spaces so far in 2019, including 238 children who were newly registered during the reporting month. Partnership agreements with Save the Children and World Vision were finalised and amended to continue the provision of critical child protection services for refugee children and host communities in the South Sudanese and DRC refugee response areas.

In September, a three-day case management training was carried out for partner staff at Lutheran World Federation and Save the Children, targeting 25 case workers and managers to strengthen capacities to provide timely and quality individual support to children and families in line with national and international principles.

Response and Preparedness for Ebola Virus Disease (EVD) Since the beginning of the current EVD outbreak in the DRC in August 2018, UNICEF continues to support the preparedness and prevention efforts overseen by Uganda’s MOH as per the National EVD Preparedness Response Plan June to December 2019. The MoH and partners transitioned from EVD preparedness to the EVD response phase following declaration of an outbreak in Kasese in June 2019.3 The MoH and partners developed a three-month National EVD Response Plan costed at US $17.2 million, which was extended to December 2019 following confirmation of another outbreak in August 2019, with no change in budget. UNICEF Uganda’s response strategy is aligned with the National EVD Response and Preparedness Plan and is integrated into the Joint UN EVD Response Framework. Based on its comparative advantage, UNICEF’s support in high- risk districts has focused on the following areas.

Risk Communication, Social Mobilisation, and Community Engagement As co-lead of the risk communication, social mobilization, and community engagement sub-committee of the NTF, UNICEF and the MoH support priority high-risk districts to disseminate EVD prevention messages through multiple channels, including mass media (radio and television) and social media (Facebook, Twitter, Instagram, WhatsApp, Facebook, mTrac and U-Report), the distribution of IEC materials and community engagement through existing community platforms, including village health teams (VHTs). Radio talk shows have also been used for community-feedback and response to EVD-

3 Scenario 1: Preparedness—no confirmed case—which was implemented in Uganda from August 2018 to May 2019. Scenario 2: confirmed case, enhanced preparedness in high risk districts. Scenario 3: confirmed cases in multiple locations, urban areas, refugee settlements, or an overwhelming number of cases (Source: National EVD Response Plan, July 2019). 5 UNICEF Uganda Situation Report September 2019 related questions, and to address myths and misconceptions.

In September 2019, 4,698 Ebola IEC materials including posters, flip charts, job aides, and leaflets in various local languages were distributed in three high-risk EVD districts. During the same period, five radio talk shows were conducted in Kasese, Arua and Kagadi. Additional radio spots, TV spots and radio talk shows to increase EVD awareness are planned between October and December, targeting 22 districts. In the same month, 20,703 people were reached with key EVD messages through the organization of 540 household visits and 419 community dialogues. During the same reporting period 870 community influencers were oriented on EVD prevention and control and continue to contribute to community engagement. Those trained included VHTs (130), local council leaders (33), and boda-boda cyclists/riders (597). Additionally, 47 teachers from seven schools were oriented on EVD prevention and control and 3,038 students were reached with key EVD messages.

Infection Prevention and Control (IPC)/WASH In September, UNICEF supported the Kasese District Health Team (DHT) to conduct assessments of Infection Prevention and Control (IPC)/WASH practices at six points of entry and 21 health centres in Kasese, Kisoro, Ntoroko, and Bundibugyo. The results indicated that over 50 per cent of health facilities lacked access to reliable water supplies and 40 per cent lacked water and had inadequate sanitation facilities making, it impossible to achieve optimal IPC standards. A plan for improving infrastructure in 21 health facilities in five districts (Kasese 8, Kisoro 4, Ntoroko 4 and Bundibudgyo 5) has been finalized. Additionally, pump-testing will be conducted at 20 sites in Kasese, Bundibugyo, and Ntoroko.

Infant and Young Child Feeding (IYCF)/Nutrition in the Context of Ebola UNICEF, in collaboration with other UN agencies (WHO, WFP and UNHCR), continues to support the NTF case management sub-committee to strengthen infant and young child feeding (IYCF) in EVD contexts. This month, UNICEF supported the MoH to print the IYCF EVD-adapted materials (posters) for all MoH-categorized high-risk EVD districts with Ebola Treatment Units. In addition to this, UNICEF supported MoH in finalizing the protocol for nutrition care for infants, young children, and adults in the ETU, as well as standard operating procedures (SOPs) for nutrition in EVD.

Psychosocial Support, including Child Protection UNICEF, in collaboration with WHO, is continuing to support the MoH to ensure that a Mental Health and Psychosocial Support (MPHSS) sub-committee is functional at the national level. UNICEF has been working with the districts to plan and budget for trainings of core district MPHSS teams and para-social workers in Kasese, Ntoroko, Buliisa, and Kikuube districts. Training will continue to focus on strengthening the capacity at district level to identify protection concerns for children in EVD outbreaks, including symptoms of distress and family separation, while providing basic psychosocial support to children.

Community Development Officers (CDOs) and para-social workers in Kasese have continued to conduct home visits to offer psychosocial support to EVD-affected households in 10 sub-counties. On 10 September 2019, they held a meeting to share reports, best practices, challenges and way-forward. During the meeting, participants agreed to sustain regular home visits to affected households for psychosocial support and to ensure weekly reports on the Ebola situation from sub-counties to the district. In Kasese, a psychologist is on standby to start his deployment to strengthen MHPSS capacities as soon as a funds transfer to the district is completed.

Logistics Support UNICEF continues to engage with the National Task Force logistics sub-committee and individual district task forces to ensure a streamlined management system for all EVD supplies. As part of the response, UNICEF has been managing the procurement and last mile distribution for the UNICEF EVD supplies to high-risk districts. UNICEF logistics staff are periodically placed within the district logistics teams to support district-level capacity for tracking and managing supplies from multiple entities.

External Communications UNICEF’s communication goals for EVD focus on reaching as many people as possible with life-saving messages. UNICEF Uganda is still prioritizing the full optimization of Facebook boosting and advertising to ensure its messages are seen by targeted audiences. UNICEF’s Facebook page has reached over 110,000 people in the last month and received 11,041 through-plays (videos watched for 15 seconds or more), 572 likes, 386 link-clicks (number of clicks through to UNICEF’s YouTube channel from its Facebook page), and 49 shares.

Four videos published on YouTube that highlighted UNICEF’s preparedness efforts through partners have been viewed 100 times in the past month. The video footage and over 50 images from the field have been uploaded on the global image database for further use by UNICEF offices across the world and National Committees for UNICEF. The Ebola page on UNICEF Uganda’s website is regularly updated with new content and continues to attract users with over 180 page-views in the past 6 UNICEF Uganda Situation Report September 2019 month. The Ebola preparedness-related human-interest stories uploaded on the website have in the past month attracted 120 page-views. All materials have been cross-posted on UNICEF’s social media channels for further reach and engagement.

Funding UNICEF’s 2019 Humanitarian Action for Children (HAC) appeal for Uganda is US$ 50.76 million. To date, approximately US$ 7 million was carried forward from 2018 and has been available to support vulnerable children. In addition, US$ 5 million was received in 2019 from United Nations Central Emergency Response Fund (CERF), the Government of Japan, the Belgian National Committee, and UNICEF’s own resources, leaving a funding gap of US$ 39.6 million (76 per cent).

UNICEF extends its gratitude to UNOCHA, the Government of Japan, and the Belgian National Committee for their generous contributions in 2019 to support humanitarian interventions. With the continued influx of refugees from the DRC and South Sudan, as well as other humanitarian needs in the country, including food insecurity, UNICEF seeks additional funding to complement government efforts to protect the rights of children affected by the emergencies.

Funding Requirements 2019 Funds available Funding gap Appeal Sector Requirements Funds Received Current Carry-Over $ % Year (corrected) Nutrition 7,703,412 545,235 586,704 6,571,473 85 Health 9,190,623 880,013 1,254,154 7,056,456 77 Water, sanitation & 12,170,004 2,443,236 1,163,337 8,563,431 70 hygiene (WASH) Child Protection 6,912,427 1,632,126 1,122,317 4,157,984 60 Education 14,351,658 699,786 2,747,405 10,904,468 76 HIV and AIDS 1,436,607 0 201,530 1,235,077 86 Total 51,764,731 6,200,395 7,075,447 38,488,889 74 (*) The requirements for cross-sectoral support have been included in sub-costs for nutrition, health, WASH, child protection, education, and HIV/AIDS.

EVD-Specific: Funding Figures

The Uganda 2019 HAC includes EVD preparedness activities that were implemented by the Country Office during the preparedness phase (Scenario 1) from August 2018 until May 2019, when there were no confirmed cases of Ebola in the country. UNICEF’s funding needs for the EVD response plan through December 2019 is US$ 4.06 million. The funding needs reflect the plans of the Country Office during the EVD response phase of the EVD plan activated after three EVD cases were confirmed in Uganda on 11 and 12 June. After the Ebola cases were confirmed, the Country Office received two allocations from UNICEF’s Global Thematic Humanitarian Funding, as well as a generous contribution from the US Fund for UNICEF. Estimated Funding Requirements for Ebola Response (June - December 2019) Funding gap Pillars of the National EVD Response UNICEF Preliminary UNICEF Expertise Funds Available Plan Requirements $ % Coordination and leadership Cross-Sectoral $ 126,123 $ 104,095.24 $ 22,026.76 17.5 Technical Assistance Surveillance, laboratory support and ------points of entry screening Case management, infection WASH/IPC $ 1,746,742 $ 811,301.38 $ 935,440.62 53.5 prevention and control, safe and dignified burials Nutrition $ 437,919 $ 110,087 $ 327,832 75 Risk communication, social Communication 4 $ 1,184,602 $ 697,446 $ 487,156 41 mobilisation and community Development (C4D) engagement Operations support and logistics Cross-Sectoral $ 114,048 $ - $ 114,048 100 Operations Support Vaccination and operational research ------Psychosocial support Child Protection $ 451,546 $ 179,603 $ 271,943 60

Total $ 4,060,980 $ 1,902,532.62 $ 2,158,447.38 53 (*) UNICEF also received an internal allocation of USD 1.4 million from its Emergency Programme Fund (EPF). The allocation has reduced to USD 1.29 million in view of the fact that UCO has paid back a portion of the loan. The allocation was distributed to the following pillars of the response: Cross-sectoral technical assistance, WASH/infection prevention and control, nutrition, communication for development (C4D), and child protection. 7 UNICEF Uganda Situation Report September 2019

Who to Doreen Mulenga Noreen Prendiville Irene Babille Representative Deputy Representative Emergency Specialist contact for UNICEF Uganda UNICEF Uganda UNICEF Uganda further Tel: +256 4 1717 1001 Tel : + 256 4 17171300 Tel: +256 772147080 Fax : +256 4 1423 5660 Fax : +256 4 1423 5660 Fax : +256 4 1423 5660 information: Email : [email protected] Email : [email protected] Email : [email protected]

@UNICEFUganda UNICEFUganda UNICEFUganda

https://www.unicef.org/uganda/

8 UNICEF Uganda Situation Report September 2019 ANNEX A: 2019 PROGRAMME INDICATORS AND TARGETS

Change 2019 2019 since last UNICEF Uganda Humanitarian Targets 2019 Targets Results report ▼▲ NUTRITION Number of children aged 6-59 months who received vitamin A supplementation in semester 1 745,074 530,663 ▲ 26,521 and 2 Number of children aged 6-59 months affected by severe acute malnutrition admitted for 22,278 22,692 ▲ 1,694 treatment EDUCATION Number of children accessing formal or non-formal early childhood education/pre-primary 108,704 44,823 No change education Number of children accessing formal or non-formal basic education 75,763 18,306 No change HEALTH Number of boys and girls immunized against measles 489,866 203,146 ▲ 17,240

Number of people reached with key health/educational messages 1,963,705 1,480,309 ▲ 20,703 WASH Number of people accessing sufficient quantity of water of appropriate quality for drinking, 197,000 20,500 No change cooking and personal hygiene Number of people accessing appropriate sanitation facilities and living in environments free of 255,100 9,800 No change open defecation HIV/AIDS (*) Number of HIV-positive children continuing to receive antiretroviral treatment 3,433 1,607 No change

Number of HIV-positive pregnant women receiving treatment to prevent mother to child 942 1,318 No change transmission CHILD PROTECTION Number of children registered as unaccompanied or separated receiving appropriate alternative 7,368 2,419 ▲ 120 care services Number of children benefitting from psychosocial support 47,824 28,942 ▲ 238

(**) The MoH had made good progress in revising the Health Monitoring Information System (HMIS) tools in 2018 to segregate data inputs for host and refugee populations. The HIV targets for 2019 were therefore set for refugee populations only. Due to the delayed rollout of the revised HMIS tools, expected for the second half of 2019, UCO is currently reporting 2019 data for both hosts and refugees in refugee-hosting sub-counties only.

9 UNICEF Uganda Situation Report September 2019 EVD-Specific: Full HPM

ANNEX B: JUNE-DECEMBER 2019 EBOLA VIRUS-DISEASE PROGRAMME INDICATORS AND TARGETS

Change 2019 2019 since last UNICEF Uganda EVD Targets Targets* Results** report ▼▲ COMMUNICATION FOR DEVELOPMENT Number of at-risk people reached with EVD related messaging through community engagement 3,258,484 598,184 ▲ 20,703 and interpersonal communication approaches in areas affected by or at risk for EVD

Number of teachers oriented on EVD prevention 11,882 1,994 ▲ 47

Number of key community influencers engaged for EVD prevention and response*** 35,280 9,429 ▲ 870

Number of radio talk shows conducted to raise awareness for EVD prevention and control 144 29 ▲ 5

WASH

Number of health facilities provided with WASH supplies in areas affected by or at risk for EVD 607 419 ▲ 8

Number of staff in health facilities trained on infection prevention and control related to WASH 908 636 ▲ 41 in areas affected by or at risk for EVD

Number of health facilities with improved WASH Infrastructure 4 2 No change

Number of schools provided with IPC WASH supplies 1,079 211 No change

CHILD PROTECTION Number of EVD affected children who received psychosocial support including at community 11,440 0 No change level Number of partner staff and community volunteers oriented on protection and psychosocial 2,976 171 No change support in EVD outbreaks

Number of EVD affected children who benefit from child protection case management services 43 0 No change

NUTRITION Number of health workers oriented on nutrition in the context of EVD in areas affected by or at 233 38 No change risk for EVD Number of children below 6 months (in treatment, separated or orphaned by EVD) receiving 16 0 No change ready-to-use infant formula

(*) Target includes response and preparedness activities in Kasese district, , and 10 high priority districts in the National Plan. In case required, targets will be revised to align with the National Response Plan if new EVD cases emerge. (**) To enable a swift response, UNICEF re-programmed funds where possible. (***) Religious leaders, traditional healers, teachers, Local Council I leaders, and Village Health Teams.

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