UNICEF Humanitarian Situation Report 31 July 2018

NIGER Niger Humanitarian Patients are receiving critical care and treatment in the cholera Situation Report treatment center in Madanroufa, Maradi. UNICEF Niger/

Situation Report SITUATION IN NUMBERS

31 July 2018 Highlights 1.2 million ▪ 641 cases of cholera and 10 deaths (mortality rate: 1.6%) have been recorded in Madanroufa/Maradi from 5 to 31 July only. The Regional children in need of humanitarian assistance in Niger Directorate of Public Health of Maradi, UNICEF, WHO and MSF are 2.3 million preparing to start the response activities.

▪ In Tillabery region, non-state armed group attacks and inter- people in need community attacks at the border with Mali caused 47 incidents (in which (OCHA, Humanitarian Response Plan Niger, 2018) four people were killed and six abducted) in July. As of July, 19,444 people were displaced in four municipalities (almost 1,686 in July), 380,166 according to the Protection cluster. Children affected by SAM nationwide ▪ The Niger flood report provided by the Ministry of Humanitarian Action (HRP, 2018) and Disaster Relief (MAH/GC) at the end of July reported 34,096 people (4,368 households) affected and 20 deaths. UNICEF prepares to provide 82,037 non-food items as well as WASH assistance to affected people in the Maradi and regions in August. Refugee children from and returnees from Niger affected, out of ▪ In region during the reporting month, ten civilians were killed, four were abducted (including one woman) and 2,298 people (438 123,290 households) were displaced during non-state armed group attacks and Refugees and returnees from Nigeria intercommunity conflict in Karea (N’Guigmi) and Garin Dole (). One multi-sectoral evaluation (MSA) was conducted by Rapid Response (DREC, October 2017, covering 97 sites) Mechanism (RRM) partners Danish Refugees Council in Karea. This MSA noted strong vulnerabilities in shelters and NFIs, lack of access to clean 85,847 water and latrines, a poor food consumption score. the move was abrupt Internally displaced children, out of and this is the second displacement for the majority of people. 129,015 UNICEF’s Response with Partners Internally displaced people

(DREC, October 2017, covering 97 sites)

Sector/Cluster UNICEF UNICEF Appeal 2018 *Cumulative results since UNICEF Total Cluster Total US$ 42 million January 2018 Target Results* Target Results* Nutrition: # of children <5 with 380,166 132,153 380,166 132,153 Funding Status 2018* SAM admitted for treatment in Niger Carry- forward, Health: # of children <5 accessing 90,000 109,265 N/A N/A $3,752,636 life-saving services in Diffa WASH: # of people with access to 62,000 17,266 127,638 90,299 safe water in Diffa Received, Child Protection: # of children who Gap, $21,254,450 are benefiting from psychosocial $17,713,964 20,616 5,132 24,676 24,740 support through community-based recreational activities in Diffa Education: # of children provided 37,064 1251 80,398 1,774 with access to education in Diffa Page 1 *Funds available includes funding received for the current appeal year as well as the carry-forward from the previous year UNICEF Niger Humanitarian Situation Report 31 July 2018 Situation Overview & Humanitarian Needs According to the 2018 Humanitarian Needs Overview (HNO), 2.3 million people in Niger are in need of humanitarian assistance. The needs analysis shows the persistence of five major crises affecting the country: food insecurity (1.4 million people estimated in need), malnutrition (1.7 million people), epidemics (1.17 million people), floods (170,000 people) and population movements due to conflict or migration (392,305 people). An HNO/HRP review exercise is underway and will include the Tillabery- crisis in the HRP. ▪ In the Tillabery and Tahoua regions in July, the protection cluster and RRM actor monitors estimated that 36,244 people were forcibly displaced to over 6 municipalities and several sites (Tillabery: , , Abala, ; Tahoua: Agando and Assagueygue). Given the very complex and volatile security context with difficult road access, additional planned interventions remain very challenging. Four multi-sectoral evaluations (MSA) were carried out by the RRM actors (ACTED and Danish Refugee Council - DRC) in the Tillabery region after new or secondary displacements: Tillimoune (Abala department), Tiloa (Banibangou department), Garey akoukou and Tingaz raten (Ayerou department). Several vulnerabilities in shelters and NFIs, lack of access to clean water and latrines, poor food consumption score… was reported. ▪ In Diffa, an MSA was carried out by the DRC following the attacks of non-state armed groups on three villages in the department of N’Guingmi (Koulba Koura, Ouyé and Koujou). This MSA noted strong vulnerabilities in shelters and NFIs, lack of access to clean water and latrines, a poor food consumption score. The move was sudden and this is the second displacement for the majority of people. The Directorate of Civil Status (DREC) has updated displacement statistics in the , from 252,305 people in October 2017 to 249,813 in July 2018, a decrease of 2,492 people. With regard to status, there was an increase in the number of refugees by 10,398, 10,911 more returnees, and the number of IDPs decreased by 24,727 since October 2017. Estimated Affected Population (National) National LCB crisis Based on HRP and HNO 2018 Total Female Male Total Female Male Total Affected Population 2,300,000 1,173,000 1,127,000 419,000 213,690 205,310 Children Affected (Under 18) 1,200,000 612,000 588,000 230,000 117,300 112,700 Children <5 455,860 232,489 223,371 83,045 42,353 40,692 Children 6 to 23 months 134,780 68,738 66,042 22,249 11,347 10,902 Pregnant and lactating women 477,710 477,710 87,236 87,236

Humanitarian Leadership and Coordination At the national level, UNICEF leads the Education and WASH Clusters, and the Child Protection Sub-Cluster in close collaboration with government counterparts, and co-leads the Nutrition Technical Working Group/Cluster with the government. UNICEF supports sub-national authorities for the timely and efficient management of sectoral working groups, particularly, but not exclusively, in Diffa, Maradi and Agadez where UNICEF field offices are located, as well as in Tillabery and Tahoua through the support of cluster leads and field office technical staff. UNICEF is also a proactive member of the Health Cluster and the Non-Food Items (NFI) and Shelter Working Group. UNICEF participates in the common framework of the RRM project along with four international NGOs, OCHA and WFP, as well as with the MAH/GC. For RRM, UNICEF is responsible for the procurement of NFIs and for the provision of the overall technical support. Additionally, UNICEF provides technical, financial and in-kind support to the MAH/GC to strengthen its capacity to manage and coordinate humanitarian crises, as well as to prepare for and respond to floods. UNICEF prepared and facilitated the RRM strategic workshop in from 4 to 6 July with all RRM actors to assess the results and build upon lessons learned and think about the perspectives of the RRM in Niger.

Humanitarian Strategy In 2018, UNICEF continues to provide multi-sectoral assistance to people affected by the crises in Niger and strengthen the link between humanitarian interventions, resilience-building and development programmes. UNICEF prioritizes its support to the national severe acute malnutrition (SAM) treatment programme, including its integration into the broader national health system, while aiming at expanding malnutrition prevention interventions. In education, UNICEF focuses on the provision of access to formal and non-formal education opportunities in protective learning environments for crisis affected school aged children. Children affected by crises are also reached with health services and vaccination, as well as with psychosocial support. Unaccompanied and separated children are supported through identification and reunification services. UNICEF multi-sectoral humanitarian interventions also plan to cover in 2018 the needs of people Page 2

UNICEF Niger Humanitarian Situation Report 31 July 2018 affected by the Malian border crisis and the increasing numbers of vulnerable migrant children returning from Algeria and Libya. UNICEF is setting up innovative approaches, such as SMS, to manage child protection data and monitor water, education and nutrition interventions. UNICEF participate in the selection committee to prepare the concept note for the tri-annual planning (2019-2021) of the humanitarian response in Niger and participate to the operationalization of humanitarian-development nexus.

Summary Analysis of Programme Response Lake Basin Crisis Response Nutrition As of end of July (week 30)1, 8,159 under-five children suffering from SAM were admitted to rehabilitation centres (both outpatient and inpatient facilities) in Diffa region, including 698 cases with medical complications. Compared to the same period (week 1 to 30) in 2017, an increase of 1% (5 children) was observed in inpatient facilities (IPF), and an increase of 8% (580 children) was observed in outpatient facilities (OTP). 52.2% of the overall target was reached.

Health The first round of the seasonal malaria chemoprevention (SMC) took place in July with the support of UNICEF in 3 health districts of Diffa region. 108,514 children aged 3 – 59 months were targeted and 103,346 children in the 3 districts received the first dose of SMC, representing a coverage rate of 95.24% for the 3 districts. A measles response campaign was held in health district, targeting 41,317 children from 6 months to 14 years. 40,901 children were vaccinated, giving a coverage rate of 99%. Integrated community case management (ICCM) will be supported by UNICEF in N’Guigmi, one of the six health districts in the region. For the moment, community volunteers have been trained and are awaiting kit deployment to start activities.

WASH As of July, 90,299 people were provided with safe water by the WASH working group (including 17,266 by UNICEF and its implementing partners). In sanitation, UNICEF implementing partner, Norwegian Church Aid has started the implementation of community-led total sanitation (CLTS) in emergencies with the introduction of the project to the administrative authorities; municipal and departmental and regional CLTS committees to allow ownership by the local actors for sustainability. 79 people (focal point) were trained on CLTS approach for the reporting month. The situation of the hepatitis E epidemic shared on July 22nd by the Regional Directorate of Public Health reported 16 cases in June and 5 cases in July. Since week 22, the number of cases has not reached more than 10 per week.

Education: Access: The 2017-2018 school year ended on 30 June and will resume in October, therefore children are not currently in school, however school supplies have been ordered in support of the back to school campaign, planned to be launched in September. Quality: In July, thanks to the partnership between UNICEF and DFIC (Direction régionale pour la formation initiale et continue), 20 education advisors and 4 inspectors benefited from a week-long remote training on pedagogical and administrative leadership. These trainers then trained 1,052 school principals and their teachers, including 551 (368 women) from emergency schools. During the same month, thanks to the partnership between UNICEF and the international NGO Swisscontact, 11 adolescents (3 girls) from the vulnerable host community, who had previously enrolled in vocational education during the previous month, participated in courses in food processing and rural plumbing. These short-term training courses will allow these young people to acquire professionalizing knowledge and to integrate themselves professionally as employees, entrepreneurs, or to generate revenue.

Child Protection Psychosocial support: In July 2018, 236 new children (118 girls) benefitted from psychosocial support through Child Protection Sub Cluster members of whom 236 new children (118 girls) directly benefited from UNICEF support. The

1 Data source: Scaling-up Niger. These admissions figures may differ from the monthly nutrition reports due to completeness issue. Page 3

UNICEF Niger Humanitarian Situation Report 31 July 2018 July attendance across the 139 child friendly spaces was 13,151 children, among them 6,350 girls of whom 3,696 children (1806 girls) through UNICEF support. Separated and unaccompanied children: In July 2018, 10 new children (2 girls separated) have been identified. During July 2018, the 59 reunified children benefited follow-up provided by the Regional Department for Child Protection (DRPE) social workers. Children associated with armed forces and armed groups (CAAFAG): In July 2018, no new case of CAAFAG were identified and reunified. However, the 58 CAAFAG (57 boys and 01 girl) continued to receive individual follow up by social workers. 37 other CAAFAG (7 girls) continued to be cared in the Goudoumaria centre. UNICEF conducted a new advocacy with the new Diffa governor for the release of 37 children from the Goudoumaria centre for their reunification and reintegration.

In 2017, UNICEF started the implementation of a rapid-SMS project in the Diffa region, aiming to improve the monitoring of service delivery in nutrition, education, and WASH sectors in emergency settings through regular and alert-based reporting. As of July, 44 out of 50 health centres in Diffa, Goudoumaria, Bosso, N’Guigmi and Mainé districts were trained in reporting on the availability of nutritional supplies and admissions. Among the health centres’ staff trained, 34 were regularly sending quality weekly reports on admission of moderate and severe malnourish children. In the education sector, no report was transmitted due to the school’s holiday. In WASH areas, among 66 (out of 249 planned) focal points trained, 57 could transmit in July a quality monthly report on the functionality and performance of the water infrastructures. One of the big challenges is the high rate of illiteracy among water committee focal points which led UNICEF to conduct around 28 field visits throughout July to maintain constant coaching.

Nationwide and Other Crises Response2 Nutrition As of end of July, (week 30), 160,467 under-five children suffering from SAM were admitted for treatment since the beginning of the year. Among these children, 20,095 cases (12.5%) presented medical complications (admitted for inpatient therapeutic care), while 140,372 cases (87.5%) were admitted for outpatient therapeutic care. Compared to the same period last year (week 1-30), there was a 7% and a 13% decrease in the overall admissions in inpatient and outpatient care, respectively. The increase of SAM admissions observed beginning of June (week 25) was not maintained in the following weeks, suggesting that the seasonal malnutrition peak had not yet started. However, an increase of 46% (3,145 children) was observed in the week 30 compared to week 29 due to the large-scale screening conducted together with the SMC campaign. These admissions figures and trends need to be interpreted with caution as comprehensiveness of data captured in the Ministry of Health reporting tools fluctuates from one week to another, therefore it cannot provide an accurate picture of the situation.

Health A cholera epidemic is currently affecting Niger’s . As of 31 July, 641 cases of cholera were registered with 10 deaths, a fatality rate of 1.6%. Since the beginning of the epidemic on the 5th of July 2018, UNICEF coordinated the response with the Regional Directorate of Public Health of Maradi, MSF and WHO, and provides supplies (Ringer’s lactate, SRO, gloves) and support for urgent communication activities through radio and social mobilization on the ground by community volunteers. Consultations, vaccinations, SAM and MAM management and family planning in mobile clinics were conducted during the month of July in Ayorou, Tillabery region; 621 children and 371 women were reached during this activity. WASH An outbreak of cholera was reported in the Maradi region since July 5th (first cases from Jibya, Nigeria). health district where 641 cases and 10 deaths at 31 July 2018 including 93 cases from Nigeria. The WASH Cluster has deployed a consortium of two NGOs (ADESA/DEDI) through the signing of a small-scale agreement. This agreement enables the continuation of the dissemination of media spots on the prevention and management of cholera for 2 months, the organization of 3 radio debates/interviews on the cholera, information/awareness of 100,000 people

2 For Nutrition, the section “other crises response” refers to the country-wide integrated management of severe acute malnutrition program, i.e., captures SAM admissions for all (Diffa included), while for the other sectors, the chapter refers to specific crises other than the Basin Page 4

UNICEF Niger Humanitarian Situation Report 31 July 2018 on cholera and on key measures of hygiene prevention and promotion, distribution of water treatment products for 10,000 households for 3 months, monitoring of residual chlorine at home and water quality, and disinfection of 50 wells in the area and intra-residential disinfection of affected households and surrounding households. This epidemic from Nigeria continues to expand, hence the need to strengthen response and prevention activities through the mobilization of a second partner and the expansion of the ongoing partnership. A financial gap of around US$500,000 was evaluated by UNICEF in July, as there have been 1,302 cases and 22 deaths in two health districts. With regard to population movements in the Tillabery and , UNICEF has launched a process of selecting implementing partners to expedite implementation as soon as funds arrive. 795 boxes of 240 bags each for home water treatment were distributed to 795 households (about 5,565 people) on the sites of Tangoushmane and Inates (Tillabery region) by UNICEF in partnership with the NGO ACTED. Child Protection In July, UNICEF, in partnership with the Regional Directorates of Health and Child Protection of Agadez, took care of 9 unaccompanied migrant children returned from Algeria, including 4 girls aged 7 to 14 years old. Those children benefited from accommodation, meals, psychosocial support, emergency health check-ups and care, phone contact with their families for family tracing purposes, and finally accompanied to their home villages in company of social protection workers. UNICEF also offered a set of NFI items to each child. In the Department of Oualam/Tillabery, the national NGO ANTD, with technical and financial support from UNICEF, identified and monitored 113 children at risk, and five children were reintegrated into their families during the month of July. Coordination: UNICEF has obtained CERF funds for the implementation of child protection activities in the Tahoua and Tillabery regions. The Child Protection Sub-Cluster published the results3 of child protection activities in the Diffa region for the last 6 months. Non-Food Items (NFI)

In July 2018, in the context of the RRM4, UNICEF and DRC provided assistance to 796 displaced families (5,572 people) in Ayerou (Inates and Toungoushman) department in Tillabery region. In total, 3,033 displaced and host families (21,212 people) were assisted by RRM actors with UNICEF support since January 2018. IOM has obtained CERF funds and will provide the RRM with NFI kits and shelter kits for the Tillabery and Tahoua regions through the shelter and non-food working group. The gap for the response to the floods remains because other actors have not yet mobilized the capacities to respond with NFIs. UNICEF is planning to start the response as of August,. Strong advocacy is still needed to address and focus on these needs and mobilize financial resources. Media and External Communication In close coordination with the regional office, UNICEF produced a series of multimedia packages on UNICEF’s response to acute malnutrition to feed the recently-launched regional campaign #SahelNow. UNICEF also facilitated a fundraising documentation visit highlighting UNICEF emergency responses as part of the “Patrimoines Solidaires” campaign carried out by UNICEF France. UNICEF disseminated its periodic newsletter to its partners which included a focus on emergencies. Security The presence of non-state armed groups in the regions of Diffa, Agadez, Tillabery and Tahoua continued to negatively affect the security situation in Niger. In Diffa, there has been an increase of activity in the area of N’Guigmi and on the Chadian border since the end of the Amni Farkat military operation. In , violent armed clashes were reported between Nigerien Defense and Security Forces (NDSF) and non-state armed group militants allegedly coming from Libya or Chad. The deteriorating security environment in Tillabery and Tahoua regions (presence of terrorist groups, harassment of local populations, tensions and violence between communities) led to a doubling of the number of internal displaced people in the area.

Funding UNICEF is requesting US$42,721,051 to meet the humanitarian needs of children in 2018 and to reach 741,438 people, including 597,438 children. Funds currently available amount to US$ 25 million including a US$ 3.7 million carry-over from 2017.

3 https://www.humanitarianresponse.info/en/operations/niger/document/bulletin-d%E2%80%99infos-scpe-aout-2018 4 In 2018 the RRM partners include OCHA, UNICEF, WFP, ACF, ACTED, DRC and IRC as well as the Ministry of Humanitarian Action and Disaster Relief Page 5

UNICEF Niger Humanitarian Situation Report 31 July 2018 UNICEF expresses its sincere appreciation for the generous contribution by, and without being exhaustive: ECHO, Japan, German committee, Canada, SIDA-Sweden, US State BPRM, USAID food for peace, Italy, United Kingdom. Nevertheless, 41 percent funding gap continues to hinder UNICEF’s ability to deliver an integrated package services for children affected by humanitarian crisis. The most critical funding shortfalls are currently observed in Non-food items (73 per cent), education (69 per cent), health (67 per cent) and WASH (66 per cent), with an impact in terms of lack of Non-food items (for the response to displacement and floods), the use of poor quality water, open defecation, non-schooling of affected children and lack of malnutrition treatment items.

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

Nutrition 24,500,000 17,206,286.66 26% 904,385.79 6,389,327.55

Health 1,576,407 468,857.53 67% 50,847.80 1,056,701.67

WASH 5,993,842 584,428.49 66% 1,482,020.63 3,927,392.88

Child Protection 2,617,441 588,595.57 38% 1,037,566.33 991,279.10

Education 3,537,711 813,950.50 69% 277,815.91 2,445,944.59

Non-Food Items (NFI) 3,495,650 939,559.28 73% - 2,556,090.72

Cluster Coordination 1,000,000 652,772.10 35% - 347,227.90 Total 42,721,051 21,254,450 3,752,636.46 17,713,964.41 41% * Funds available includes funding received against current appeal as well as carry-forward from the previous year5.

Lake Chad Basin Crisis Funding Funding Requirements (as defined in Humanitarian Appeal 2018) Funds available Funding gap Appeal Sector Requirements Funds Received Current Year Carry-Over $

Nutrition 1,950,000 1,189,019 61% 735,314.32 25,666.94

Health 1,112,907 658,338 59% 422,527.32 32,041.87

WASH 3,842,000 2,005,696 52% 584,428.49 1,251,875.45

Child Protection 1,740,024 249,125 14% 573,595.57 917,303.72

Education 2,017,546 993,258 49% 813,950.50 210,337.36

Non-Food Items (NFI) 1,805,650 1,199,409 66% 606,241.50 -

Cluster Coordination 650,000 225,939 35% 424,060.69 - Total 13,118,127 4,160,118 2,437,225 6,520,784 50% * Funds available includes funding received against current appeal as well as carry-forward from the previous year6.

Next SitRep: August 2018 UNICEF Niger Facebook: https://www.facebook.com/unicefniger/ UNICEF Niger Twitter: www.twitter.com/Unicefniger UNICEF Niger Blog: http://unicefniger.tumblr.com/

5 The funds carried forward from 2017, in the amount of 3,752,636, included 1 ml Euro (1,106,243.66 USD) received by the Italian government on December 30th, which was not included in the reporting of December 2017 Sitrep since it rather contributes to the HAC 2018. 6 The funds carried forward from 2017, in the amount of 3,752,636, included 1 ml Euro (1,106,243.66 USD) received by the Italian government on December 30th, which was not included in the reporting of December 2017 Sitrep since it rather contributes to the HAC 2018. Page 6

UNICEF Niger Humanitarian Situation Report 31 July 2018 UNICEF Niger Instagram: https://www.instagram.com/unicefniger/ UNICEF Niger Humanitarian Action for Children appeal: http://www.unicef.org/appeals/index.html

Who to contact Félicité Tchibindat Flavia Guidetti Lalaina Fatratra Andriamasino Representative Deputy Representative a.i. Chief of Communication Officer for further UNICEF Niger UNICEF Niger UNICEF Niger information: Tel: (+227) 20727100 Tel: (+227) 20727124 Tel: (+227) 20727208 Email: [email protected] Email: [email protected] Email: [email protected]

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UNICEF Niger Humanitarian Situation Report 31 July 2018 Annex A - SUMMARY OF PROGRAMME RESULTS Lake Chad Basin Crisis Response

UNICEF and IPs Cluster Response Change Change Overall 2018 Total 2018 Total since last since last needs Target Results Target Results report report NUTRITION # children under 5 years affected by SAM 15,635 15,635 8,159 1,191 ▲ 15,635 8,159 1,191 ▲ admitted for treatment in Diffa HEALTH # of children who have access to life-saving NA 90,000 109,265 = interventions through fixed and mobile strategies # of children aged 6 months to 14 NA 10,500 55,856 40,901 ▲ years vaccinated against measles # of children who have access to community case management in emergency in the N’Guigmi NA 6,000 - = health district WATER, SANITATION & HYGIENE # of people affected by the crisis in Diffa having 2,500 280,132 62,000 17,266 = 127,638 90,299 access to safe water ▲ # of people affected by the crisis in Diffa with 280,132 34,000 1,650 = 146,986 access to sanitation infrastructure 27,858 1,400▲ # of people affected by the crisis in Diffa having 280,132 175,000 26,875 79▲ 277,378 132,493 access to hygiene kits and sensitization activities 7,666▲ CHILD PROTECTION # of children who are benefiting from 236 psychosocial support through community - based 213,572 20,616 5,132 236▲ 24,676 24,740 ▲ recreational and socio-educational activities # of separated and/or unaccompanied children

placed in alternative care arrangements and / or 213,572 685 33 10 ▲ 1,142 66 10▲ who benefitted from individual follow up # of children suspected or verified CAAFAG identified benefitting from temporary care and/or 213,572 314 37 = 442 37 = family/community reintegration support EDUCATION # of girls and boys (3-17 years) affected by crisis 114,854 37,064 1,251 94▲ 80,398 1,774 94▲ accessing education in Diffa # of girls and boys (3-17 years) affected by crisis 114,854 37,064 5▲ 80,398 3,962 5▲ receiving learning materials 1,759 # of girls and boys (3 -17 years) affected by crisis attending education in a classroom where the 114,854 37,064 6,087 5▲ 80,398 8,242 5▲ teacher has been trained in psychosocial support NON-FOOD ITEMS # of displaced persons provided with non-food 180,490 70,000 - items kits =

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UNICEF Niger Humanitarian Situation Report 31 July 2018 Overall Response7

UNICEF and IPs Cluster Response UNICEF and IPs Cluster Response Change Change Overall 2018 2018 Total Total Results* since last since last needs Target Change Target Results* Change Overall 2018 Total reportsince last 2018 Total sincereport last

NUTRITION needs Target Results* report Target Results* report # of children under-five with severe ▲▼ ▲▼ acuteNUTRITION malnutrition admitted for 380,166 380,166 160,467 28, 314▲ 380,166 160,467 28,314▲ #treatment of children nationwide under-five with severe acute HEALTHmalnutrition admitted into therapeutic feeding 380,166 380,166 18,488 380,166 18,488 #programme of children under 5 accessing lifesavingWATER, SANITATION interventions through& HYGIENE fixed 103,500 88,6578 621 ▲ #and of mobilepeople strategiesaffected by crisis having access to 805,628 200,000 - 706,528 - hygiene# of children kits and aged sensitization 6 months to activities 14 124,401 71,732 124,401 #years of malnourished vaccinated against children measles admitted ▲ WATER,for SAM/MAM SANITATION and benefiting & HYGIENE WASH minimum 380,166 15,000 61 150,000 61 #package people affectedin the community by population movements and natural disasters 311,072 160,400 34, 4469 5565▲ 266,860 107,479 23,746 ▲ having access to drinking water # people affected by water-borne disease outbreaks having access to 79▲ 805,628 200,000 26,875 706,528 132,493 9797▲ hygiene kits and sensitization activities CHILD PROTECTION # of children provided with psychosocial support through 364,697 38,136 5,132 236▲ 248,824 24,504 188▲ community-based recreational and socio-educational activities EDUCATION # of girls and boys aged 3 to 17 years provided with access to formal 325,015 95,611 1,656 109▲ 185,478 2,179 109▲ and non-formal education # of girls and boys (3-17 years) affected by crisis receiving learning 325,015 95,611 11,605 11,605 ▲ 185,478 5,528 5,528▲ materials NON-FOOD ITEMS # people affected by conflict or natural disasters provided with non- NA 140,000 15,640 6,503▲ food items kits

7 This table summarizes major results of crises included in the 2018 HRP and the contingency plan for the Mali crisis. The cluster does not report on the Mali crisis though, however UNICEF has included it in the HAC 2018. Therefore results for UNICEF include the Mali crisis in all sector results, while not all cluster reflect this crisis. 8 Data include admissions for malaria, diarrhoea and respiratory infections (DHS2, Ministry of Health) for LCB crisis only. We have not yet carried out interventions in response to crisis outside the Diffa region. 9 The water trucking services have been provided since June 2016 for the same people, and this result is covering the Lake Chad Basin crisis as well as the crisis at the border with Mali Page 9