Cameroon Humanitarian Situation Report July 2018

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UNICEF Cameroon Humanitarian Situation Report July 2018

Cameroon Humanitarian Situation Report

SITUATION IN NUMBERS July 2018 Highlights

• The ongoing cholera outbreak in the North region spread to the Centre 1,810,000 region in July. There have been 142 reported cases so far, 14 of which are # of children in need of humanitarian confirmed, and a total of 12 deaths recorded. The North region has been assistance most affected with seven of its fifteen health districts affected, 3,260,000 accounting for 87 of the 142 suspected cases. Two of the Central region’s # of people in need 30 health districts have so far been affected, where 55 suspected cases (Cameroon Humanitarian Needs Overview 2018)

have been reported. UNICEF is supporting the prevention activities Displacement through the provision of supplies and social mobilization. 160,000 • In the Far North region in June, UNICEF provided psychosocial support to #of Internally Displaced Persons (IDPs) in 18,515 children (8,528 girls and 9,987 boys) in community based child North West and South West regions (Emergency Response Plan for North West and South friendly and secure spaces in the Logone and Chari, Mayo Sava and Mayo West regions, May 2018) Tsanaga divisions. 238,099

• Humanitarian access remains an issue in the North West and South West #of Internally Displaced Persons (IDPs) in the Far North region as insecurity and skirmishes continue throughout these regions. (Displacement Tracking Matrix 13, April 2018) UNICEF’s Response with Partners 83,141 # of Returnees in the Far North region Sector UNICEF (Displacement Tracking Matrix 13, April 2018) *Total results are all cumulative Sector Total UNICEF Total 96,727 Target Results* Target Results* # of Nigerian Refugees in rural areas WASH: People provided with access (UNHCR Cameroon Fact Sheet, June 2018) 528,000 15,545 75,000 10,754 to appropriate sanitation 243,314 Education: School-aged children 4-17, # of CAR Refugees in the East, Adamawa including adolescents, accessing 411,000 13,349 280,000 13,349 and North regions in rural areas education in a safe and protective (UNHCR Cameroon Fact Sheet, FundsJune 2018) received: learning environment. Nutrition: Number of children aged 6- $2.6M (8%) 59 months with SAM admitted for 38,646 29,506 40,482 31,181 UNICEF Appeal 2018 Carry-over: treatment US$ 25.4 million 2.1M (7%) Child Protection: Children reached with psychosocial support through 133,519 85,000 47,164 child friendly/safe spaces Required: C4D: Persons reached with $29.5M information about WASH / health / nutrition / education services 235,913 250,913 (behavior/best practices) through community-based social mobilization and/or outreach activities Funding Gap: $24.8M (84%)

UNICEF Cameroon Humanitarian Situation Report July 2018 Situation Overview & Humanitarian Needs An Emergency Response Plan for the North West and South West Regions has been published on 27 May with a required budget of $15 million to provide an initial assistance for three months to 160,000 Internally Displaced Persons (IDPs) in Meme and Manyu divisions in the South West, and Boyo, Momo, and Ngo-Ketunjia divisions in the North West. UNICEF has signed partnership agreements, through which it will implement projects in child protection, health, water and sanitation, and nutritional screening. Communication for Development (C4D) will reinforce these projects through social mobilisation and community engagement. According to a recently released report from UNHCR,1 there are currently approximately 334,362 displaced persons (96,263 refugees and 238,099 IDPs) in the Far North region. An estimated 51,433 of the refugees reside in Minawao camp, while the remaining 44,830 are found outside of camps. UNICEF conducted humanitarian needs assessments in July in Mayo Tsanaga division in the Far North along the border with Nigeria. The situation was found to be particularly severe in the environs of the village of Moskota where 6,378 IDPs are living in four sites and 6,786 returned IDPs were found to have significant needs in education, health, WASH, and child protection. Response plans to address these needs were finalized at the field office level in July to be carried out in the second half of 2018 in Moskota. Response plans also cover Koza (Mayo Tsanaga division); Amchide and Limani (Mayo Sava division); and Afade, Kobro, Sao, and Blangoua (Logone and Chari division). Also in the Far North, access to children affiliated with armed groups currently detained at a Multinational Joint Task Force (MNJTF) military compound in Mora town (Mayo Sava division, Far North region) remains an issue. Despite authorization given by the Governor of the Far North to access these ex-combatants, the MNJTF requested that authorization be given by MNJTF HQ. UNICEF is advocating for a meeting with the relevant parties at MNJTF HQ level to secure access to these detained children. In the North region, the cholera outbreak that emerged in mid-May has reportedly caused so far 87 cases with 11 deaths in seven of fifteen health districts (Garoua II, Gaschiga, Golombe, Guider, Mayo Oulo, Ngong, Pitoa) as of 1 August. UNICEF continues to support the response by providing affected areas in the North with basic water kits (buckets, soap etc.), tablets for water purification, and chlorine tablets. UNICEF is also supporting the training of community health workers and sensitizing local populations about cholera by disseminating prevention information through community radio stations. UNICEF took part in a joint mission with WHO and the Minister Secretary of State, the leading authority responsible for coordinating the epidemic’s response, from 27 to 30 July in the North region. The main recommendations from the mission were to bolstering monitoring activities and data collection, increasing WASH access, and improving the systematic and rapid distribution of available sensitization materials. According to UNHCR and local community leaders, asylum seekers continue to arrive in small numbers in the East and Adamawa regions, many of whom come to join family members already settled in host communities. For instance, UNHCR reported that ten individuals arrived in Bertoua in July. The CAR situation also has caused displacement into the North region with reports of new arrivals, according to UNHCR.

Estimated Population in Need of Humanitarian Assistance

*Cameroon Humanitarian Needs Overview 2018 **SMART Survey 2017 & UNHCR Standardised Expanded Nutrition Survey (SENS) 2016 Start of humanitarian response: November 2013 Total Male Female

Total Population in Need* 3,260,000 1,610,000 1,650,000

Children (Under 18)* 1,810,000 915,000 896,000

Children Under Five** 523,000 258,000 265,000

Children 6 to 23 months** 163,000 80,500 82,500

1 See UNHCR’s Cameroon Factsheet, July 2018: https://reliefweb.int/sites/reliefweb.int/files/resources/unhcr_cmr_factsheet_-_july_2018.pdf

UNICEF Cameroon Humanitarian Situation Report July 2018 Malnourished Pregnant and 18,000 - 18,000 lactating women**

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

Lake Chad Basin (LCB) Crisis

Nutrition2 UNICEF continued to support the implementation of Integrated Management of Acute Malnutrition (IMAM) activities in the Far North (349 health facilities covered) and the North (203 health facilities). In June, 3,790 children aged 6-59 months were admitted across UNICEF supported health centers in the Far North and North regions (2,418 in the Far North, 1,372 in the North), bringing the total to 25,249 children admitted since January (16,974 in the Far North and 8,275 in the North), including 369 Nigerian refugee children in the Far North region. Also in June, 16,238 people (2,970 men and 13,268 women) were sensitized on Infant and Young Child Feeding (IYCF) and good hygiene practices in health districts the most impacted by displacement (Kolofata, Koza, and Mora in the Far North region), with 44 cooking demonstrations and 1,190 home visits complementing these sensitization activities. Screenings for malnutrition among children aged 6-59 months were also conducted in June in Kolofata, Mora and Koza health districts in the Far North region. A total of 39,358 children were screened (19,834 girls and 19,524 boys), among

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

UNICEF Cameroon Humanitarian Situation Report July 2018 them 622 (349 girls and 273 boys) were identified with Severe Acute Malnutrition (SAM) and 2,818 (1,391 girls and 1,427 boys) with Moderate Acute Malnutrition (MAM). Also among those screened were 1,779 IDP children in Kolofata, 43 of whom were identified with SAM (2.4%) and 81 with MAM (4.5%).

Health In July, UNICEF began to support a campaign on seasonal malaria chemoprevention (SMC) in the North and Far North regions that launched on 3 July to deliver malaria prevention medicine (sulfadoxine-purimethanine amodiaquine) to children aged 3 to 59 months, including IDP children. UNICEF is supporting this campaign through awareness-raising and communications activities as well as conducting advocacy to authorities. The campaign will be carried out over the next four months through the end of October, which coincides with the peak malaria season in the North and Far North.

WASH In partnership with UNICEF, IRC, an INGO, completed the construction of 57 latrine blocks of two cabins each, improving access to sanitation for nearly 6,000 people at the the IDP site of Kolofata in Mayo Sava division. IRC continues to conduct hygiene promotion activities as well as part of cholera response. To promote good water, sanitation and hygiene practices, 1,745 WASH kits (consisting of a bucket with a lid, five units of soap, 100 tablets for water purification, a cup, and a kettle) were distributed to benefit approximately 8,725 IDPs within and outside of Kolofata site. While Médecins Sans Frontières (MSF), an INGO, continues to truck water to the site to provide IDPs with potable water, the enterprise hired by UNICEF to provide sustainable long-term access to drinking water at this site drilled three holes in July, initiating the first phase of construction of five solar-powered drinking water supply systems. The cholera outbreak is also ongoing, with 87 cases in the North region, including 11 of the 12 deaths reported so far in the two affected regions (as of 1 August). UNICEF is continuing to support this response by supporting preparedness, through the distribution of basic water kits (buckets, soap etc.), tablets for water purification, and chlorine tablets in affected areas in the North. UNICEF is also supporting WASH sector coordination, response and prevention in the North and Far North regions by pre-positioning supplies (e.g. pots of chlorine) and supporting community mobilization.

Education The Radio Education Program continues to be broadcast in the Far North towns of Mora (Mayo Sava division), Mokolo (Mayo Tsanaga division) and Kousseri (Logone and Chari division). In Mokolo, five new listening groups were established, raising the total number to 16 groups that reached 93 children (53 boys and 40 girls) during the month of July. A workshop was also organized in Maroua (capital of the Far North region) by Plan Cameroon in collaboration with UNICEF on the Safe Schools Declaration and Guidelines to protect schools in crisis-affected regions of Cameroon. The participants of the workshop included military officials, the Ministry of Education, local authorities and NGOs, and the workshop resulted in the proposal to develop an action plan to promote safe school environments for children in crisis-affected areas.

Child Protection In July, a total of 153 unaccompanied and separated children (64 girls and 89 boys), of which 17 were unaccompanied children (10 girls and 7 boys) and 136 separated children (54 girls and 82 boys), were identified. They benefited from psychosocial support, alternative care, home visits and life skills activities and were referred to specialized services including health and education. Six unaccompanied children (3 girls and 3 boys), four of whom were IDPs and two were refugees, were reunified with their families in July: one in Kolofata sub-division in the Mayo Sava division, three in the village of Mavoumai in the Mayo Tsanaga division, and two in Fotokol sub-division in the Logone and Chari division. Post- reunification visits conducted by community based workers and social workers are planned twice a month for these children as well as activities on life skills through group discussion in adolescent clubs. Also in July, seven children and young adults between 15 and 20 years of age (6 girls and 1 boy), suspected of association with armed groups, were identified through UNICEF interventions. Five of these were identified at Igawa (Mora sub-division, Mayo Sava division, Far North region), including two 15-year-old, one 19-year-old, and two 20-year-olds girls. Of these seven, an eight-year- old girl was identified at the Kerawa IDP site (Kolofata sub-division, Mayo Sava division) and the last was a 14-year-old

UNICEF Cameroon Humanitarian Situation Report July 2018 boy identified in Blangoua sub-division (Logone and Chari division). These children were referred to a psychologist for in-depth psychosocial support, received home visits conducted by social workers, and provided basic hygiene kits. UNICEF is following up with these children to ensure they participate in the adolescent clubs to benefit from activities on life skills, sensitization sessions on peace building, sessions outlining the importance of self-esteem, and sessions on preventing gender based violence and the risk of enrolment into armed groups. UNICEF continued to offer psychosocial support to 18,515 children (8,528 girls and 9,987 boys) through community based child friendly spaces and secure spaces in communities in the Logone & Chari, Mayo Sava and Mayo Tsanaga divisions.The different categories of beneficiaries included: 8,211 IDP children (3,893 girls and 4,318 boys), 10,068 host community children (4,547 girls and 5,521 boys) and 236 refugee children (88 girls and 148 boys). They received support through creative play and educational sessions, sports and learning activities, life skills and individual- or group-based psychosocial support activities in communities. Additionally, UNICEF provided 700 conflict-affected children (389 girls and 311 boys) with birth certificates in the Mayo Sava and Logone and Chari divisions in the Far North region in July.

Communication for Development (C4D)3: In July, UNICEF supported the Regional Health Delegation in developing and finalizing the regional cholera response Communication Plan in the North region. UNICEF is also supporting this response by participating in coordination meetings and missions to health districts that aimed to strengthen interpersonal communication among staff to improve collaboration and response capacity. UNICEF also worked with local radio station partners to broadcast cholera prevention messaging and supported the Ministry of Health in producing and distributing cholera communication materials, including 20,000 posters, in the affected health districts.

CAR Refugee Situation Nutrition IMAM activities are ongoing within 124 and 123 health facilities respectively in the East and Adamawa regions. Since January, 5,932 children aged 6-59 months (including 1,306 refugees from CAR) have been admitted across UNICEF- supported health centers in the East and Adamawa regions for severe acute malnutrition (SAM). Of these 5,932 children 1,135 were admitted in June (612 girls and 523 boys), 217 of whom were refugee children. Since the beginning of the infant and young child feeding (IYCF) intervention in February, 1,620 mothers of children aged 0-6 months and 2,021 mothers of children aged 6-23 months have received counselling on exclusive breastfeeding or adequate complementary feeding during home visits; 417 cooking demonstrations and sensitizations on appropriate complementary feeding and nutrition education were organized; and 161 action group sessions on IYCF were organized.

WASH UNICEF provided 25 plastic tarpaulins in July used to make temporary latrine walls and coverings as the latrines are under rehabilitation at Ngam and Borgop refugees sites (Mbéré division, Adamawa region). Additionally, UNICEF began construction in July of ten gender sensitive latrines and five small-scale solar water pumping systems in five health centers of Adamawa region. Upon completion, some 15,000 patients covered by these health centers will have access to basic sanitation and safe drinking water. In the East and Adamawa regions, UNICEF continues to support the Government in cholera preparedness and prevention for local populations, including CAR refugees. UNICEF has contributed by pre-positioning 35 pots of chlorine (45 kg each) in all 23 health districts in the East and Adamawa regions in July (14 districts in the East and 9 districts in Adamawa) for water purification.

Education UNICEF, with its partner Plan International, is currently running a program that offers children the opportunity to engage in recreational activities during the summer holiday at the six refugee sites of Borgop and Ngam (both in Mbéré division in Adamawa region); Gado (Lom and Djérem division, East region); and Timangolo, Lolo, and Mbile (Kadey division, East region). These include organized sports like football and handball, which children from both refugee sites and host

3 While C4D started reporting in the situation report in January 2018, and the result covers from the beginning of the projects in December 2017.

UNICEF Cameroon Humanitarian Situation Report July 2018 communities play. The aim is to continue to facilitate interaction and promote the integration of refugee and host communities through sports. UNICEF field staff continued to monitor the construction of four classrooms at Borgop sites I and II that are expected to benefit over 300 refugee and host community children upon completion. This activity is carried out within the framework of the exit strategy from the temporary learning spaces (TLS) and action plan that have been developed through a consultation process involving national and local level actors to ensure a smooth transition for older refugee children to safe and protective learning environments in host community schools. The Government has agreed to incorporate the TLSs into host communities’ schools and post teachers to them to continue to cater to the education needs of younger children aged 5 to 7 years old that continue to live within the refugee sites.

Security The security situation in Far North region saw a decrease in the total number of incidents and the number of fatalities in July compared to the last month, with 15 incidents, 25 civilian fatalities and 5 civilians injured. The overall situation remained volatile, however, as attacks against security forces and civilians continued to occur. The security situation is relatively stable in the interior of East and Adamawa regions; however, a degree of insecurity persists along the border with the Central African Republic with persistent threats of armed incursions in border areas. In the North West and South West regions in July, attacks, armed skirmishes, and kidnappings continue to cause civilian casualties and persistent insecurity.

Funding UNICEF expresses its gratitude to the Government of Japan, France, United States, Norway and Sweden, as well as to ECHO, CERF, the United Nations Trust Fund for Human Security and the Spanish National Committee who have contributed generously to the humanitarian response in 2018. However, further adequate, predictable and flexible resources are needed to allow UNICEF and its partners to respond effectively where needs are greatest and reach the most disadvantaged children in Cameroon, including children affected in the newly emerging crisis in the Anglophone regions. Total funding gaps for the 2018 Humanitarian Action for Children (HAC) plan remain above 84% across sectors, putting children and their care-takers at great risk of continued exposure to threats to their well-being without the humanitarian assistance they so desperately need. Total UNICEF Funding

Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC)) with Additional Requirements for the NW and SW crisis Funds available* Funding gap Appeal Sector Requirements Funds Received Carry-Over $ % Current Year

Nutrition** 5,098,000 2,978 249,594 4,845,428 95%

Health*** / HIV 3,951,000 345,310 101,958 3,503,732 89%

WASH 8,886,000 1,247,264 58,010 7,580,726 85%

Child Protection 4,017,000 483,040 167,446 3,366,514 84%

Education 5,137,000 2,549 1,425,639 3,708,812 72%

Emergency Preparedness 2,390,000 529,605 90,602 1,769,793 74% and Response

Total 29,479,000 2,610,746 2,093,249 24,775,005 84%

* Funds available includes funding received against current appeal as well as carry-forward from the previous year. ** The nutrition program is mainly funded by the German Development Bank KFW, with two non-humanitarian grants. The overall budget for the SAM treatment program is US$4,000,000 of which $1,800,000 are devoted to the LCB crisis.

UNICEF Cameroon Humanitarian Situation Report July 2018 ***Health sector: of the total funds received, $101,958 is for the polio immunization which is not part of the original HAC targets. Additional $404,268 were spent for polio immunization and other social mobilization activities for the LCB crisis but not part of the humanitarian fund.

LCB Funding Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC)) Funds available* Funding gap Requirements Appeal Sector Funds LCB Received Carry-Over $ % Current Year Nutrition 2,322,455 249,594 2,072,861 89% Health / HIV 710,500 213,465 101,958 395,077 56% WASH 4,428,000 958,110 0 3,469,890 78% Child Protection 2,383,000 480,980 0 1,902,020 80% Education 2,881,500 126,600 2,754,900 96%

Emergency Preparedness and 60,081 90,602 0 0% Response

Total 12,725,455 1,712,636 568,754 10,594,748 83%

Next SitRep: August 2018 UNICEF Cameroon: https://www.unicef.org/infobycountry/cameroon.html UNICEF Cameroon Facebook: www.facebook.com/unicefcameroon UNICEF Cameroon Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/index.html Arsene Azandossessi Sara Karimbhoy Jacques Boyer Who to Representative Deputy Representative Chief Field Operations & Emergencies Yaoundé, Cameroon, Yaoundé, Cameroon Yaoundé, Cameroon contact for Tel: +237222505402 Tel: +23722223182 Tel: +23722223182 further Fax: +23722231653 Mobile +237699417238 Mobile +273694538688 Fax: +23722231653 Fax: +23722231653 Email: [email protected] information: Email: [email protected] Email: [email protected]

UNICEF Cameroon Humanitarian Situation Report July 2018 Annex A SUMMARY OF PROGRAMME RESULTS* National Response Overview Results (Lake Chad Basis Crisis & CAR Refugee Situation) Sector Response UNICEF Overall Change Change National Needs 2018 Total since last 2018 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of people provided access to

water for drinking, cooking and personal 29,500 ▲14,250 40,000 3,000 0 826,000 306,000 hygiene Number of people provided with access to 15,545 ▲4,660 75,000 10,754 ▲1,847 appropriate sanitation 696,000 528,000 Number of people provided with WASH 41,448 ▲22,634 200,000 27,369 ▲8,725 kits* 592,000 440,000 EDUCATION Number of school-aged children 4-17, including adolescents, accessing education 13,349 ▲93 280,000 13,349 0 in a safe and protective learning 610,000 411,000 environment. Number of school aged children 4-17 year

benefiting from teaching and learning 1,272 0 150,000 1,272 0 494,000 250,000 materials Number of children who benefited from the services of teachers who are trained in 971 0 280,000 971 0 psychosocial support and conflict and 494,000 336,000 disaster risk reduction. HEALTH Number of children immunized against 61,487 0 0 measles Number of pregnant women that have received 2 Long Lasting Insecticidal Nets 23,457 0 0 (LLINs ) NUTRITION Number of children aged 6 to 59 months with 29,506 ▲4,477 40,482 31,181 ▲4,757 SAM admitted for treatment 44,728 38,646 Performance of integrated program for >75% 83.8% 0 >75% 83.8% 0 severe acute malnutrition treatment CHILD PROTECTION Number of children reached with

psychosocial support through child 133,519 ▲31,753 47,164 ▲18,515 85,000 friendly/safe spaces (girls and boys) Number of children suspected or verified associated with an armed group (including

children released from detention) provided 33 70 ▲7 ▲7 29 with temporary care or family / community reintegration support

Number of Unaccompanied and Separated Children (UASC) identified and/or placed in

alternative care arrangements and/or who 2,110 ▲340 1,054 ▲153 1,200 benefited from individual follow-up (SC/ UAC ; girls / boys)

UNICEF Cameroon Humanitarian Situation Report July 2018 Number of Unaccompanied Children ▲6 33 ▲6 reunified with families (girls and boys) 48 150 Number of conflict affected children 5,146 ▲1,158 3,361 ▲700 provided with Birth Certificate 12,000 Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services 235,913 250,982 0 (behavior/best practices) through community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, etc.) participating as 500 756 0 agents of social mobilization at community level

UNICEF Cameroon Humanitarian Situation Report July 2018 Lake Chad Basin Crisis Sector Response UNICEF and IPs

Overall Change Change Sector needs 2018 Total since last 2018 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE

Number of people provided access to water 534,000 261,000 27,000 ▲11,750 30,000 3,000 0 for drinking, cooking and personal hygiene

Number of people provided with access to 556,000 11,113 ▲4,440 50,000 6,800 ▲1,847 appropriate sanitation 455,000

Number of people provided with WASH kits* 472,000 41,448 ▲22,634 180,000 27,369 ▲8,725 350,000 EDUCATION

Number of school-aged children 4-17,

including adolescents, accessing education in 400,000 93 ▲93 180,000 93 0 210,000 a safe and protective learning environment.

Number of school aged children 4-17 year

benefiting from teaching and learning 342,000 312 0 85,000 312 0 130,000 materials Number of children who benefited from the services of teachers who are trained in 342,000 971 0 180,000 971 0 psychosocial support and conflict and 196,000 disaster risk reduction. HEALTH Number of children immunized against 43,568 0 0 measles Number of pregnant women that have received 2 Long Lasting Insecticidal Nets 13,582 0 0 (LLINs ) NUTRITION

Number of children aged 6 to 59 months with ▲2,304 21,555 16,974 ▲2,418 SAM admitted for treatment in Far North 23,945 21,465 16,605

Number of children aged 6 to 59 months with ▲1,372 11,012 ▲1,372 SAM admitted for treatment in North 12,093 10,884 8,275 8,275

Performance of integrated program for severe acute malnutrition treatment in Far >75% >75% 86.5% ▼3.2% >75% 86.5% 0 North : cured rate Performance of integrated program for severe acute malnutrition treatment in >75% >75% 76.8% ▼3.2% >75% 76.8% 0 North : cured rate CHILD PROTECTION

Number of children reached with

psychosocial support through child 131,143 ▲31,753 70,000 44,788 ▲18,515 251,073 friendly/safe spaces (girls and boys)

Number of children suspected or verified associated with an armed group (including

children released from detention) provided 33 ▲7 70 29 ▲7 110 with temporary care or family / community reintegration support

UNICEF Cameroon Humanitarian Situation Report July 2018 Number of Unaccompanied and Separated Children (UASC) identified and/or placed in

alternative care arrangements and/or who 1,668 ▲340 1,000 612 ▲153 2,508 benefited from individual follow-up (SC/ UAC ; girls / boys)

Number of Unaccompanied Children ▲6 150 33 ▲6 reunified with families (girls and boys) 376 48

Number of conflict affected children 5,146 ▲1,158 9,000 3,361 ▲700 provided with Birth Certificate 12,500

Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services 235,913 0 (behavior/best practices) through 250,982 community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, etc) participating as 500 756 0 agents of social mobilization at community level

*All results are cumulative. ** The target includes 10,000 people for the North region. ***UNICEF targets can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out-of-camp refugees. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry.

UNICEF Cameroon Humanitarian Situation Report July 2018 CAR Refugee Situation Sector Response UNICEF and IPs

Overall Change Change Sector needs 2018 Total since last 2018 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE

Number of people provided access to water 2500 ▲2,500 0 0 for drinking, cooking and personal hygiene 292,000 45,000 10,000

Number of people provided with access to ▲220 0 appropriate sanitation 140,000 73,000 4,432 25,000 3,954

Number of people provided with WASH kits 0 0 0 0 120,000 90,000 20,000 EDUCATION Number of school-aged children, including

adolescents, accessing education in a safe 13,256 0 0 210,000 201,000 100,000 13,256 and protective learning environment Number of school aged children benefiting 960 0 960 0 from teaching and learning materials 152,000 120,000 65,000 Number of children who benefited from the services of teachers who are trained in 0 0 0 0 psychosocial support and conflict and 152,000 140,000 100,000 disaster risk reduction. HEALTH

Number of children immunized against 0 0 measles 17,919

Number of pregnant women that have

received 2 Long Lasting Insecticidal Nets 0 0 9,875 (LLINs ) NUTRITION

Number of children aged 6 to 59 months with

SAM admitted for treatment in East and 4,626 5,932 967 8,690 6,297 801 7,915 Adamawa regions Performance of integrated program for severe acute malnutrition treatment in East >75% >75% 88.0% 3.9% >75% 88.0% 3.9% and Adamawa : cured rate CHILD PROTECTION

Number of children reached with

psychosocial support through child 0 0 2,376 15,000 2,376 friendly/safe spaces (girls and boys) Number of Unaccompanied and Separated Children (UASC) identified and/or placed in

alternative care arrangements and/or who 0 200 442 0 442 benefited from individual follow-up (SC/ UAC ; girls / boys) Number of conflict affected children 0 0 0 0 provided with Birth Certificate 3,000 *All results are cumulative. **UNICEF targets can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out-of-camp refugees. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry.