Cameroon Humanitarian Situation Report No

Home , Bertoua, East Region (Cameroon), Jakiri, Menchum

Cameroon Humanitarian Situation Report No. 02

Reporting Period: February 2020 Highlights Situation in Numbers • Over 2,800 children aged 6 to 59 months including 20 Nigerian refugee 2,000,000 children from Minawao camp were admitted in UNICEF-supported children in need of humanitarian health centres in the most affected health districts of Far North Region. assistance (UNICEF HAC 2020)

During the same period, 360 CHWs were trained on IYCF and conducted screening for 55,269 children and among, them 292 were detected with 3,900,000 SAM and referred for treatment. people in need • In the South West, 285 children (141 males and 144 females) received (OCHA December 2019) treatment for ARI) and 133 children (69 males and 64 females) were

treated for diarrhoea. In addition, 883 people (423 males and 460 450,268 females) received antimalarial medications. IDPs in the NWSW regions (OCHA • More than 2,040 children out of school due to the NWSW crisis began MSNA, August 2019) to benefit from the UNICEF Radio Education Program, which broadcast 203,634 Returnees in the NW/SW literacy, numeracy and life-saving messages for 48 listening groups, (OCHA December 2019) averaging 50 children each. • In February, 4,694 children (2,113 girls and 2,581 boys) benefited from 270,870 IDPs in the Far North

psychosocial support in community-based Child Friendly Spaces (CFS) (OIM, August 2019) and other secure spaces through its implementing partners in Far 110,574 Returnees in the North. Far North (IOM, August 2019)

UNICEF’s Response and Funding Status UNICEF Appeal 2020

Total funding requirement SAM admissions 7% available 11%

Nutrition Funding status 2% Carry-over

Measles vaccination US$ 3.4 M 0%

Health Funding status 2% Funds received US$ 1.8 M Safe water access 26%

WASH Funding status 19% Funding requirement MHPSS access 20% US$ 45.4M

Child Funding status 18% Protection

Education access 4% Funding gap US$ 40.2 M

Funding status 7% Education

0% 20% 40% 60% 80% 100% *Funding available includes carry-over and funds received in the current year. 1

Funding Overview and Partnerships In 2020 UNICEF is appealing for US$ 45,445,000 in support of life-saving services for women and children in Cameroon. In 2019, CERF, DFID (UK), US-OFDA, the Government of Japan, Swedish SIDA, the Spanish National Committee, UNICEF global humanitarian thematic funding partners, were the main contributors to UNICEF Cameroon humanitarian response. As of 29 February 2020, UNICEF has received funding from the Japanese government, SIDA and CERF. UNICEF expresses its sincere gratitude to all public and private donors for their continuous support.

Situation Overview & Humanitarian Needs In early 2020, the situation of children in Cameroon affected by violence and conflict, late 2019 flooding, and ongoing cholera and measles outbreaks remains a high concern.

The crisis in the NWSW has had a major impact on the health sector. Some 255 (34%) out 7421 health facilities in both NW and SW regions remain non-functional or only partially functional (absent health personnel, destroyed infrastructure and lack of medical supplies) and access to health care is limited–-including areas under Non-State Armed Groups (NSAGs) control. Immunization in general and measles prevention in particular have been significantly disrupted and the risk of new outbreaks increased. Poor sanitation facilities and lack of hygiene along with large numbers of displaced persons living in temporary conditions in rural areas render them susceptible to water borne diseases and malnutrition. As of December 2019, preliminary data from nutrition cluster partners reveal a very low coverage of the nutrition interventions especially SAM treatment in NWSW and so far, approximately only 19% (479) out of the total estimated SAM caseloads for 2019 (2,500) have accessed treatment for severe acute malnutrition. While children face a high risk of exposure to violence and resulting trauma this situation is often overlooked. Over 5,000 children have been registered as separated or unaccompanied since 2018. While UNICEF has worked with partners to scale up psycho-social support centers (aka child friendly spaces), this has come under criticism by one or more parties to the conflict leading to the closure of services in one sub-division. Despite an increase in school attendance in the NWSW in the last quarter of 2020, mostly in urban areas, over 70% of children remain out of school, largely attributed to parents’ fear for their safety as the three-year-old crisis shows no sign of resolution. The number of operational public schools remains unchanged between January and February with an average of only 20% schools functioning in the two regions, and a worse situation (9% operational) in the North West region. A 4% increase is reported of teachers reporting to work compared to January. Presently, 32% (9,174 out of 28,220) of basic and secondary formal schoolteachers reported to work in the NWSW. Children in non-urban and rural areas remain most deprived in access to formal learning due to the ongoing conflict in the two regions.

Communities in the Far North Region continues to face an unprecedented and ongoing security crisis due to repeated violent incursions by non-state armed groups, mostly cross-border in origin, in which local populations live in constant fear as they continue to be exposed to kidnappings and murder, the burning of homes and pillaging. Cameroon is one of several countries impacted by the ongoing ‘Lake Chad Basin Crisis’ and the impact on children is especially severe. Over 297,000 people are presently displaced including an estimated 150,000 children. Families face poor prospects of returning to home villages. Livelihoods opportunities have been severely weakened, health facilities have been destroyed, schools damaged or otherwise occupied for military purposes. In Mayo Sava department, attacks in early January triggered IDP movements into the village of Kourgui where presently, of an estimated 1,254 school aged children, only half are enrolled in school. In February, attacks on civilians resulted in 80 persons killed, including children and women, incidents of kidnapping as well as thousands of people displaced. According to IOM latest DTM round (Round 20, December 2019), close to 461,664 people are currently displaced in the Far North region with 297 380 IDPs, 47,305 out of camp refugees and 116,979 returnees. The humanitarian needs for people displaced as well as communities living in areas hit by armed groups keep increasing while humanitarian response remain limited. UNICEF is currently responding to several emergencies linked to internal displacement however funds remain limited and cannot cover all the needs. Decrease in resources is felt within the humanitarian community of the Far North region with several INGOs reducing/closing their presence.

1 Health Cluster (2019) Health Cluster Presentation, January 16, 2020. 2

UNICEF is a major actor in humanitarian response in Cameroon and maintains field staff in five locations: Maroua and Kousseri in Far North Region, Bertoua in East Region and Buea and Bamenda in South-West and North-West regions. Since October 2019, UNICEF has directly assisted over 21,000 people in conditions of immediate humanitarian need as a result of floods and landslides, armed conflict and epidemics. This capacity has drawn on existing emergency stocks positioned at UNICEF field offices as well as UNICEF’s main warehouse in Douala. However, the above response combined with lack of funding in 2019 has led to this capacity being severely depleted.

Summary Analysis of Response:

Nutrition2 Lake Chad Basin Crisis: In February 2020, 2,837 children aged 6 to 59 months including 20 Nigerian refugee children from Minawao camp were admitted in UNICEF-supported health centres in the most affected health districts. In addition, 10,107 (preliminary results) children aged 6-23 months received micronutrients powder for home-based food fortification in 3 health districts (Maroua 1, 2,3) supported by the Health delegation and 360 CHWs were trained on IYCF and conducted screening for 55,269 children and among them, 292 were detected with SAM. North-West/South-West Crisis: UNICEF nutrition partners (CBCHS, Reach Out, Mentor Initiative and Action Against Hunger) in the NWSW were able to screen 1,945 children under 5 years for acute malnutrition. Through this, 37 children were diagnosed with MAM and 14 Children with SAM. A total of 1,679 persons were sensitised on key messages on infant and young child feeding practices. In order to strengthen the capacity of partners on the SAM management and IYCF-E, UNICEF supported planning and preparation of phase II training of 40 participants from the Government and NGOs to begin in March.

Health North-West/South-West Crisis: The month of February experienced lockdown during the twin elections (parliamentary and municipal). However, implementing partners Reach Out (ReO) and the Cameroonian Baptist Convention (CBC) ran basic lifesaving services in Ekondo Titi subdivision (South West) and Kumbo subdivision (North West) respectively. Through these285 children (141 males and 144 females) received treatment for ARI), 133 children (69 males and 64 females) were treated for diarrhoea. Meanwhile 883 people (423 males and 460 females) received antimalarial medications. 10 newborn kits were distributed to mothers and caregivers in Lobe estate, Njenku and Lipenja Camp. In addition, 5,958 people (2,413 males and 3,545 females) were educated on various health prevention topics including, malaria, diarrhea prevention, causes and prevention of ARI in children. In Kumbo West and East Health Districts, 210 children received measles vaccines and 628 children received Vitamin A in Jakiri Subdivision. Meanwhile 140 households received LLINs in Kumbo and 849 children (319 males and 530 females) were provided with essential drugs for ARIs, 1,223 children (770 females and 453 males) received drugs for acute diarrhea and 601 people (270 males and 331 females including 207 children and 394 adults) were provided with anti-malaria treatment.

WASH Lake Chad Basin Crisis: IDP Response. Following the recent Boko Haram attacks in January 2020 around the surrounding villages of Tourou that led to movement of more than 6,000 families, UNICEF supported partner Solidarites International in assisting 1,600 displaced families with WASH kits (including Aquatabs, cups and water-container) along with key messages on good hygiene practices. In collaboration with UNOCHA, a workshop was organized in Maroua, on 23th January 2020 on Minimum commitments in Water, Hygiene and Sanitation to guarantee the protection and dignity of those affected. This workshop brought together 44 stakeholders from the government, National and International NGOs, UNOCHA and UNICEF. Action points from this workshop are being progressively implemented. A similar workshop is planned for the North region in Garoua in April 2020.

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).

North-West/South-West Crisis: A total of 102,660 individuals were reached by four UNICEF partners (EPDA, Caritas, Plan International, Reach Out) in the North West and South West regions of Cameroon including : o 21,897 individuals were sensitized on cholera transmission and prevention in Bakassi health district; o 5,914 families equivalent to 29, 570 individuals who received WASH kits accompanied with key hygiene messages ; o 60,270 individuals were sensitized on good hygiene and sanitation practices only, during the same period o 5880 adolescent girls and women received hygiene and dignity kits and were sensitized on MHM issues; o Also, the lockdown faced by affected communities in February has added more pressure to humanitarian actors to improve access to adequate WASH services for the IDPs who are in bushes. Two water points were rehabilitated, and two water systems extended reaching 3,235 individuals in the NW and SW regions.

Education North-West/South-West Crisis: More than 2,040 out of school crisis affected children, of which 1,115 girls (55%) begun to regularly listen to the UNICEF Radio Education Program, which narrowcast literacy, numeracy and life-saving messages in 48 listening groups. In addition, 51 animators facilitated the pre-testing of children’s competencies, which serves as a basis for assessing learning outcomes for all beneficiaries. In view of a possible expansion of this non-formal education service partners are intensifying community mobilization, identifying more animators in the targeted communities with the help of the chiefs, church leaders and focal points, to train them to conduct radio education activities with the expansion of the program to reach more school children.

Child Protection Lake Chad Basin Crisis: During the month of February 2020, 4,694 children (2,113 girls and 2,581 boys) benefited from psychosocial support in community-based Child Friendly Spaces (CFS) and other secure spaces through its implementing partners (ALDEPA, CODAS Caritas, CLIRA and IMC) in the Divisions of Logone-and-Chari, Mayo Sava and Mayo Tsanaga. Out of the 4,694 children, 1,892 (941 girls and 951 boys) are internally displaced, 2,696 (1,133 girls and 1,563 boys) are of the host community and 106 are refugees (38 girls and 68 boys).Ten (10) unaccompanied children (4 girls and 6 boys) and 26 separated children (13 girls and 13 boys) were identified in the 3 targeted Divisions. Each child benefited from psychosocial support and material assistance (hygienic kits and clothes). North-West/South-West Crisis: UNICEF implementing partners managed to reach 7,428 children (3,785 girls and 3,643 boys) with Psychosocial Support Services (PSS) Psycho-Social Support Units out of which 18 were children with disabilities (9 girls and 9 boys). Another 77 (50 girls and 27 boys) Unaccompanied and Separated Children (UASC) were identified and documented out of which 21 (15 girls and 6 boys) were unaccompanied and 56 (35 girls and 21 boys) were separated, including 5 children (all girls) who are living with disabilities. They benefited from case management services for Unaccompanied and Separated Children (UASC) all of whom benefited from individual follow-up and/or alternative care arrangements. Family tracing and reunification was successful for 12 children (7 girls and 5 boys). UNICEF’s implementing partner LUKMEF provided 53 children (23 girls and 30 boys) with birth certificates and Sexual and Gender Based Violence (SGBV) response services were provided to 21 survivors (18 girls and 2 boys

Communications for Development (C4D), Community Engagement & Accountability Lake Chad Basin Crisis: Cholera Outbreak Prevention and Response in Far North and North regions: During the month of February 2020, community volunteers visited a total of 7,835 households, amongst which 1,579 were identified without latrine while 555 household constructed new latrines. A total of 30,142 people were sensitized on cholera prevention and response. Community resilience in the Far North region: UNICEF supported the implementation of a rapid analysis of the level of appropriation of EFPs by communities in the municipalities of Kousseri, Maga and Moulvoudaye. A partnership was established with 14 networks of community leaders in 14 municipalities in the Far North, for the promotion of 5 key themes (vaccination, birth registration, chronic

4 malnutrition, fight against cholera, participation of children in the decision-making processes on matters that concern their lives); while the partnership with 12 radio stations in the Far North for the animation by children and adolescents of slots on questions that concern their lives was reactivated.”

Humanitarian Leadership, Coordination and Strategy • The Humanitarian/Resident Coordinator leads the overall humanitarian coordination, supported by OCHA. • At the national level, UNICEF and the Government are co-leading the Nutrition, WASH and Education sectors, as well as the sub-sectoral group for Child Protection. • In the Far North, OCHA leads inter-sector coordination which addresses particularly challenges and gaps both for refugees, IDPs and host communities, while UNHCR oversees coordination in the regions of the East and Adamawa. • In response to the crisis in the North-West and South-West, clusters have been activated and UNICEF is the lead for the WASH, Nutrition, Education clusters and the Child Protection Area of Responsibility.

Two separate headquarters emergency support deployments took place during the month, one for emergency education to support development of a Theory of Change (ToC) for education in the NWSW regions and another to strengthen CO capacities for emergency communications and advocacy. A two-day Humanitarian Action Training was held in Garoua for UNICEF staff from Maroua and Bertoua Field Offices emphasizing organizational standards for humanitarian action including preparedness and early action and key cross-sectoral aspects such as gender and GBV in emergencies, community engagement and accountability. The training was supported by UNICEF staff from Yaounde and Dakar Regional Office.

In 2020, UNICEF will prioritize 1) strengthening the quality and coverage of gender-sensitive humanitarian response for children; 2) strengthening child protection capacities; 3) supporting joint government/inter-agency contingency planning and rapid response for new emergencies (including for vaccine preventable and communicable diseases); and 4) conducting advocacy on the impact of conflict on children. The response will emphasize systems strengthening, and linking humanitarian action, development and peacebuilding in local contexts. Life-saving gender-sensitive services will be undertaken for displaced, refugee and host community children to mitigate acute needs and enhance resilience. Gender-based violence in emergencies will be addressed through preventive interventions and inter-agency referral mechanisms.

Next SitRep: February 2020 UNICEF Cameroon: https://www.unicef.org/infobycountry/cameroon.html UNICEF Cameroon Facebook: www.facebook.com/unicefcameroon UNICEF Cameroon Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/index.html

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

Annex A

Summary of Programme Results National Response Overview Results (Lake Chad Basis Crisis, North-West and South-West Crisis and CAR Refugee Situation)

UNICEF and IPs Response Cluster/Sector Response Change Change Overall 2020 Total since last 2020 Total since last National needs target results* report target results* report ▲▼ ▲▼ Nutrition Number of aged 6-59 months affected by SAM admitted for treatment in South West 76,450 75,950 5,275 1,107 72,500 5,059 891 and North West regions Number of caregivers of children reached with IYCF counselling in South West and 400,000 260,000 45,662 11,572 340,000 45,662 11,572 North West regions Health Number of children (6 months to 05 years) 223,300 210 0 vaccinated against measles Number of families / households that have 158,539 140 18 received 1 LLINs Number of people provided with anti- 222,106 1,484 603 malaria drugs Number of children 0 - 59 months provided with essential drugs for acute respiratory 29,938 1,134 661 infections Number of children 0 -59 months provided 29,938 1,356 909 with essential drugs for diarrhoea Number of children 6 - 59 months provided 75,408 628 0 with Vitamin A Number of children 6 - 59 months provided 59,876 0 0 with deworming tablet Number of PLW provided with maternal 15,194 0 0 care kits Number of caregivers provided with new- 15,194 10 10 born kits Number of children 0 - 11 months that received required vaccines via routine 17,190 0 0 immunization WASH Number of affected people with a sustainable access to safe drinking water 1,722,337 77,500 20,452 3,235 454,000 31,001 3,235 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to meet their 1,692,147 90,000 2,100 0 559,822 13,423 2,100 vulnerabilities Number of people provided with WASH 1,718,984 180,000 78,817 37,570 694,291 93,399 37,570 kits Child Protection

Number of children [and caregivers] accessing mental health and psychosocial 1,153,451 141,483 28,022 12,506 350,330 39,614 20,848 support (M/F) Number of unaccompanied and separated children accessing family-based care or 2,222 458 119 2,502 904 304 appropriate alternative services (SC/UAC, 6,522 M/F) Number of Unaccompanied Children 18,158 4,328 51 17 422 57 22 reunified with families (M/F) Number of crisis-affected children TBD 4,000 53 53 15,000 605 53 provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) 220 200 26 11 220 43 21 provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 1,153,451 126,256 10,435 545 207,043 10,597 707 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 1,212,000 57,400 2,044 2,044 460,100 10,186 2,681 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 1,800,000 521,100 0 0 720,000 3,772 118 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 1,800,000 722,000 117,870 0 722,000 117,870 0 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio 1,132,000 30,000 2,044 2,044 58,000 2,044 2,044 education program Number of victims of attacks on education receiving assistance 1,000 1,000 0 0 1,000 0 0 (CP/Health/ MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages 230,000 143,161 143,161 on Essential Family Practices (EFPs) Number of people reached by mechanisms 110,000 0 0 to voice their needs/concerns * Table footnotes.

Lake Chad Basin Crisis

UNICEF and IPs Response Cluster/Sector Response Change Change Overall 2020 Total since last 2020 Total since last National needs target results* report target results* report ▲▼ ▲▼ Nutrition Number of aged 6-59 months affected by SAM admitted for treatment in South West 41,750 41,750 2,837 534 41,000 2,817 514 and North West regions Number of caregivers of children reached with IYCF counselling in South West and 150,000 100,000 25,947 0 120,000 25,947 0 North West regions Health Number of children (6 months to 05 years) 0 0 40,563 vaccinated against measles Number of families / households that have 0 0 33,973 received 1 LLINs Number of people provided with anti- malaria drugs Number of children 0 - 59 months provided with essential drugs for acute respiratory infections Number of children 0 -59 months provided with essential drugs for diarrhoea Number of children 6 - 59 months provided with Vitamin A Number of children 6 - 59 months provided with deworming tablet Number of PLW provided with maternal care kits Number of caregivers provided with newborn kits Number of children 0 - 11 months that received required vaccines via routine immunization WASH Number of affected people with a sustainable access to safe drinking water 742,120 37,500 0 0 233,000 1,000 0 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to meet their 742,120 30,000 0 0 155,000 1,800 0 vulnerabilities Number of people provided with WASH 742,120 50,000 14,400 8,000 160,000 18,036 8,000 kits Child Protection Number of children [and caregivers] accessing mental health and psychosocial 291,750 88,341 22,024 8,981 241,820 15,320 4,694 support (M/F) Number of unaccompanied and separated children accessing family-based care or 350 180 600 226 350 224 36 appropriate alternative services (SC/UAC, M/F) 8

Number of Unaccompanied Children 350 80 20 10 100 15 5 reunified with families (M/F) Number of crisis-affected children TBD 3,000 278 0 12,000 0 0 provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) 220 200 43 21 220 26 11 provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 291,750 66,256 678 524 120,910 678 524 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 232,000 12,000 0 0 63,100 0 0 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 400,000 91,000 0 0 130,000 0 0 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 400,000 201,000 40,910 0 201,000 40,910 0 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio 232,000 10,000 0 0 38,000 0 0 education program Number of victims of attacks on education receiving assistance (CP/Health/ MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages 120,000 143,161 143,161 on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their needs/concerns * Table footnotes.

North-West and South-West Crisis

UNICEF and IPs Response Cluster/Sector Response Change Change Overall 2020 Total since last 2020 Total since last National needs target results* report target results* report ▲▼ ▲▼ Nutrition Number of aged 6-59 months affected by SAM admitted for treatment in South West 3,000 2,500 34 14 2,500 34 14 and North West regions Number of caregivers of children reached with IYCF counselling in South West and 170,000 110,000 3,849 1,679 150,000 3,849 1,679 North West regions Health Number of children (6 months to 05 years) 127,875 210 0 vaccinated against measles Number of families / households that have 68,158 140 18 received 1 LLINs Number of people provided with anti- 222,106 1,484 603 malaria drugs Number of children 0 - 59 months provided with essential drugs for acute respiratory 29,938 1,134 661 infections Number of children 0 -59 months provided 29,938 1,356 909 with essential drugs for diarrhoea Number of children 6 - 59 months provided 59,876 628 0 with Vitamin A Number of children 6 - 59 months provided 59,876 0 0 with deworming tablet Number of PLW provided with maternal 15,194 0 0 care kits Number of caregivers provided with new- 15,194 10 10 born kits Number of children 0 - 11 months that received required vaccines via routine 13,147 0 0 immunization WASH Number of affected people with a sustainable access to safe drinking water 879,000 30,000 20,452 3,235 140,000 30,001 3,235 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to meet their 879,000 50,000 2,100 0 348,000 11,623 2,100 vulnerabilities Number of people provided with WASH 879,000 120,000 64,417 29,570 456,000 75,363 29,570 kits Child Protection Number of children [and caregivers] accessing mental health and psychosocial 703,407 35,542 17,042 11,319 104,093 12,155 7,494 support (M/F) Number of unaccompanied and separated children accessing family-based care or 3,418 1,656 304 78 2,152 228 77 appropriate alternative services (SC/UAC, M/F)

Number of Unaccompanied Children 3,418 248 37 12 322 36 12 reunified with families (M/F) Number of crisis-affected children TBD 1,000 327 53 3,000 53 53 provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 703,407 60,000 9,757 21 86,133 9,919 183 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 900,000 45,400 2,044 2,044 355,000 10,186 2,681 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 1,200,000 400,100 0 0 548,000 3,434 118 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 1,200,000 321,000 61,470 0 321,000 61,470 0 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio 900,000 20,000 2,044 2,044 20,000 2,044 2,044 education program Number of victims of attacks on education receiving assistance (CP/Health/ MHPSS/Disability, etc, on a 1,000 1,000 0 0 1,000 0 0 case by case basis)

Communication for Development Number of people reached with key lifesaving & behaviour change messages 110,000 0 0 on Essential Family Practices (EFPs) Number of people reached by mechanisms 110,000 0 0 to voice their needs/concerns * Table footnotes.

Annex B

Funding Status*

Funds available* Funding gap Appeal Sector Requirements Funds Received Current Carry-Over $ % Year

Nutrition 7,500,000 0 152,787 7,347,213 98%

Health / HIV 8,698,000 0 169,644 8,528,356 98%

WASH 6,721,000 1,268,003 8,845 5,444,152 81%

Child Protection 11,058,000 398,507 1,569,692 9,089,801 82%

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

C4D 2,715,000 0 80,000 2,635,000 97%

Emergency Preparedness 1,000,000 131,229 926,603 0 0% and Response

Total 45,445,000 1,797,739 3,438,356 40,266,737 89% * As defined in Humanitarian Appeal of 29 January 2020 for a period of 12 months

INTERNAL

CAR Refugee Situation Humanitarian Context

The humanitarian situation in the East, Adamawa and North regions concerned particularly Central African refugees (271,975 as of 31 January (UNHCR, January 2020). 70% of them are in communities. Since October 2019, 3,559 returned voluntary to CAR. On February 2020, 250 candidates returned voluntary to CAR by the road. They are part of the first convoy of the voluntary repatriation of Central African refugees this year. UNICEF Bertoua field Office through funds from donors such as Global Partnership for Education, Islamic Development Bank for health and WASH and German Cooperation (KFW) for Nutrition, implemented activities which benefited the communities and refugees. These activities are linked to Humanitarian, Resilience and development affairs. A Joint Resilience Program in the East is implemented even though it’s not fully funded.

Another humanitarian situation concerns the IDPs in Adamawa region due to the crisis in North West and South West of Cameroon. 5,000 IDPs were reported in Mayo Banyo division (Adamawa) after humanitarian needs assessments conducted by UNICEF and other UN agencies in 2019. UNICEF is providing a specific response focusing particularly on Child Protection, education, Health and WASH.

Nutrition In January 2020, 2,404 children aged 6-59 months were admitted into 482 Health centers of the North, Adamawa and East Regions among which are 196 CAR refugee children. The average cured rate recorded was 92.5% in these Regions. 9,893 (7,270 Women and 2,623 Men) persons were sensitized on key messages on infant and young child feeding practices. Education During the month of February 2020, UNICEF in partnership with Adventist Development and Relief Agency (ADRA) distributed Water, Hygiene and Sanitation (WASH) Kits to 29 Community Preschool Centers (CPCs) in Ngoura and Ngaoui Sub-divisions that benefited 1,808 (817girls) children. These kits comprised of drinking water containers, buckets, washing Soap, detergents, basins for hand washing, kettles, cups, and WASH Manuals. These donations were followed by sensitization on the importance of adopting good WASH practices in schools. In the same light, the CPC of Mbomba with 82 children (32 girls) in Ngoura benefited from 10 matts.

Child Protection In February 2020, UNICEF through its implementing partner CODAS CARITAS provided psychosocial support to 318 children (135 girls and183 boys) out of which 237 are refugees (105 girls and 132 boys ) in the Kadey Division. Three (3) unaccompanied girls and 3 separated girls were identified in Garoua Boulai municipality through the community mechanisms. The 6 children are already in informal foster families and Main Solidaire is doing the follow-up. Referrals for Restoring Family Links (RFL) are in process for the 3 unaccompanied children. None of the children reached with

psychosocial support and case management for unaccompanied and separated children were children living with disabilities. A total of 106 adolescents: 51 adolescent boys (out of which 24 refugees and 27 host community) and 55 girls (out of which 19 refugees and 36 host community) benefitted from capacity building through life skills sessions with the support of UNICEF’s implementing partner Main Solidaire in Garoua Boulai municipality. In addition, 290 youths (144 girls and 146 boys) of 3 youth associations were briefed on child rights and prevention of violence against children.

CAR Refugees response: Performance monitoring

UNICEF and IPs Response Cluster/Sector Response Change Change Overall 2020 Total since last 2020 Total since last National needs target results* report target results* report ▲▼ ▲▼ Nutrition Number of aged 6-59 months affected by SAM admitted for treatment in South West 31,700 31,700 2,404 559 29,000 2,208 363 and North West regions Number of caregivers of children reached with IYCF counselling in South West and 80,000 50,000 15,866 9,893 70,000 15,866 9,893 North West regions Health Number of children (6 months to 05 years) 54,862 0 0 vaccinated against measles Number of families / households that have 56,408 0 0 received 1 LLINs Number of people provided with anti- malaria drugs Number of children 0 - 59 months provided with essential drugs for acute respiratory infections Number of children 0 -59 months provided with essential drugs for diarrhoea Number of children 6 - 59 months provided 15,532 0 0 with Vitamin A Number of children 6 - 59 months provided with deworming tablet Number of PLW provided with maternal care kits Number of caregivers provided with newborn kits Number of children 0 - 11 months that received required vaccines via routine 4,043 0 0 immunization WASH Number of affected people with a sustainable access to safe drinking water 101,217 10,000 0 0 80,973 0 0 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to meet their 71,027 10,000 0 0 56,822 0 0 vulnerabilities Number of people provided with WASH 97,864 10,000 0 0 78,291 0 0 kits

Child Protection Number of children [and caregivers] accessing mental health and psychosocial 158,294 17,600 547 318 4,417 548 548 support (M/F) Number of unaccompanied and separated children accessing family-based care or 2,754 386 6 6 appropriate alternative services (SC/UAC, M/F) Number of Unaccompanied Children 14,390 4,000 0 0 reunified with families (M/F) Number of crisis-affected children provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 158,294 9,790 0 0 0 0 0 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 80,000 0 0 0 42,000 0 0 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 200,000 30,000 0 0 42,000 338 0 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 200,000 200,000 15,490 0 200,000 15,490 0 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio education program Number of victims of attacks on education receiving assistance (CP/Health/ MHPSS/Disability, etc, on a case by case basis)

Communication for Development Number of people reached with key lifesaving & behaviour change messages on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their needs/concerns * Table footnotes.

North-West/South-West Crisis Humanitarian situation: Due to the increased violence linked to municipal and legislative elections held on the 9th of February, humanitarian operation was reduced in February. In addition, a lockdown was imposed by the Non-State Armed Groups (NSAGs) from 6-11 February throughout the two regions of North West (NW) and South West (SW). During a period of heightened tensions, a village in Donga Mantung division (NW) was attacked by armed men on the 14th of February resulting in the killing of 23 civilians, including 15 children (source: United Nations Office of the High Commissioner for Human Rights). While the civilian casualties including children have been reported before, the scale of this killing was unprecedented. UNICEF is providing relevant assistance to those who were impacted by this attack including for 53 IDP children accommodated by local authorities in an orphanage in Bamenda after they had fled clashes between the security forces and NSAGs around Bafmeng (Menchum, NW) . UNICEF coordinated with other UN agencies and NGOs to support these children so as to be issued birth certificates and be reunited with their family members and care takers. They are expected to be reunited with their families in the coming weeks as soon as the birth certificates are issued.

Lake Chad Basin Crisis Humanitarian Context The security situation during the month of February was characterized by several incidents and attacks on villages leading to internal displacements. During the month, 48 security incidents were recorded by UNDSS, more than double of what was recorded in February 2019 (22). Impact on civilians was very severe with 80 civilians killed, including children and women, kidnapping as well as thousands of people displaced. A gradual deterioration of the situation is seen in general in the bordering departments with Nigeria (Logone and Chari, Mayo Sava and Mayo Tsanaga). 80% of the incidents took place in Mayo-Sava and Mayo-Tsanaga between January and end of February.

The humanitarian needs for people displaced as well as communities living in areas hit by armed groups keep increasing while humanitarian response remain limited. UNICEF is currently responding to several emergencies linked to internal displacement however funds remain limited and cannot cover all the needs.