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UNICEF Nigeria Humanitarian Situation Report No. 10

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UNICEF Nigeria Humanitarian Situation Report No. 10 Nigeria Humanitarian Situation Report No.10 © UNICEF Nigeria/2020 Situation in Numbers Reporting Period October 1-31, 2020 4.6 million children in need of humanitarian assistance Highlights (HAC 2020) The total number of IDPs in the three northeast states has slightly increased to 1.9 million people. The increase is attributed to renewed escalation of security 7.9 million incidents relating to the ongoing hostilities between non-state armed groups people in need (NSAGs) and security forces (SF) in the region. The HNO/HRP process is ongoing (HAC 2020) in the north-east and assessments and inter-agency dialogues continue with the escalating crises in the north-west 3.8 million people targeted With UNICEF’s support: (HAC 2020) • 27,898 boys and girls aged 6-59 months with Severe Acute Malnutrition (SAM) were admitted for treatment and therapeutic feeding. 1.9 million • 216,581 (48 per cent children) women and men were reached with out- Internally displaced people patient consultations. (IDPs) North-east (IOM DTM • 7,373 beneficiaries including 3,251 girls, 3,195 boys were reached with Round XXXII, June 2020) critical child protection services • 138,836 people reached with key hygiene messages in Borno and Yobe. 150,000 (IDPs) North-west (State emergency management agencies) UNICEF Appeal 2020 UNICEF’s Response and Funding Status US$ 145.1 million 1 Funding Overview and Partnerships In 2020, UNICEF is requesting US$ 145.1 million to provide life-saving services to 3.8 million people, including 2.2 million children. Funds currently available amount to US$ 63.6 million resulting in a 56 percent funding gap. UNICEF’s ability to provide a sustained, integrated package of WASH, nutrition and health, child protection and education in emergencies services for the survival and development of vulnerable children is hampered by this lack of funding. Situation Overview & Humanitarian Needs Northeast More than 1,921,903 people remain internally displaced across the three north eastern states of Adamawa, Borno and Yobe, of whom 81 per cent are in Borno.1 This represents an increase of roughly one hundred thousand IDPs compared to the same period 2019. The increase can be attributed to the continuous deterioration of security and poor humanitarian access mainly across Borno State. During the reporting period, President Buhari met with the Governor of Borno to discuss the security situation in Borno and the Lake Chad region. It is the first face to face meeting to take place since the COVID-19 containment measures were put in place. Nigeria also announced it will resume oil exploration in the Lake Chad Basin, on the side of Borno State. The exercise was suspended by the government in 2017 after suspected NSAGs attacked a team of geological engineers from the University of Maiduguri who were engaged by the Nigeria National Petroleum Corporation. In Yobe State the government in collaboration with NEMA provided support to floods victims in Yunusari Local Government Area (LGA) and conducted an in-depth assessment of the affected areas. In Adamawa State, the government pledged support to seasonal famers with farm inputs with the aim to improve food security in the state. The decision followed complaints of low yield of farm produce by farmers as a result of low rainfall for this year cropping season Northwest The recession of flood waters as the rains reduced has come with a significant increase in violent attacks, abductions and displacements of rural populations. The month of October has seen the highest number of such reported incidents since May 2020 after a calmer rainy season. Non-governmental organizations are conducting rapid assessments in the north-western states, primarily focusing on Zamfara to determine needs and opportunities for response. The Inter- Agency Technical Committee has drafted a presentation on the needs and recommendations to be delivered at a humanitarian country team meeting. Summary Analysis of Programme Response Nutrition Northeast A total of 27,898 boys and girls aged 6-59 months with severe acute malnutrition (SAM) were admitted for treatment and therapeutic feeding. All the discharge performance indicators for the Out-Patient Therapeutic Programme (OTP) were within the recommended Sphere standards; 96.6% cure rate, 2.3% defaulter rate, 0.6% death rate and 0.5% of non-responders to treatment. For the prevention of malnutrition 32,146 pregnant women and caregivers of boys and girls aged 0-23 months benefitted from counselling on optimal Infant and Young Child Feeding (IYCF) through community-based Mother-to- mother support groups and skilled counselling at nutrition facility. A total of 18,943 boys and girls 6-23 months received micronutrient powder (MNP) meant for improving the quality of complementary food. Activities listed below were carried out in the month of October 2020 and some were key in achieving the above-mentioned results: • A total of 720,266 boys and girls aged 6-59 months were screened to identify and early detection of acute malnutrition at household-level by the Community Nutrition Mobilizers. Out of these children, 12,997 (1.8%) were identified with SAM whilst 37,359 (5.2%) were identified with Moderate Acute Malnutrition (MAM). • On-the-job coaching and supportive supervision visits conducted to 143 OTP sites, 12 stabilization centers (SCs), 108 IYCF corners, 176 mother support groups and 690 community nutrition mobilizers. 1 IOM DTM Round XXXIII (September 2020). 2 • In October 2020, a total of 189 boys and girls aged 6-59 months were screened from UNICEF-supported reception centers in IDP Camps across hard to reach areas of Bama, Gwoza, Mobbar and Ngala LGAs of Borno state. Out of the 189 children, 11 (5.8%) were found with SAM while 15 (7.9%) were found with MAM. A total of 47 (25%%) were from other accessible LGAs, 105 (55%) came from neighboring countries of Niger, Cameroon and Chad while the remaining 37 (20%) were from inaccessible locations. All children with SAM were enrolled in the therapeutic feeding and treatment service delivery sites. • A total of 200 nutrition service providers and four nutrition focal persons received refresher trainings on integrated nutrition package including GBV. The trainings were conducted in two batches each in Nguru, Geidam, Gulani and Karasuwa LGAs. COVID-19 IPC measures were adhered to during the training sessions. Preparations have been concluded to commence the training of 200 additional nutrition service providers in Bade, Jakusko, Bursari and Yusufari LGAs. • In Yobe, UNICEF provided Vitamin A, Iron Folic Acid and deworming tablets and supportive supervision and monitoring during a one-week integrated medical outreach with the State Ministry. A total of 676,431 U5 Children and 187,897 Pregnant women were targeted for the activity. Results for this activity are being compiled and will be shared soon. • A total of 345 Health workers were re-trained on integrated nutrition service packages (CMAM, IYCF, MNP), Gender-based violence (GBV) & PSEA in southern Borno from 5th -31st October. • A training was conducted on Logistics & Supply Chain Management, Supervision & Coordination in Borno and Yobe for 96 participants in October. In attendance were state nutrition team, Logistics officers, LGA officers, Nutrition and WASH partners, State Supervisors, and LGA facilitators. Northwest 120,037 children under five years, in violence affected areas of Sokoto and Zamfara states were screened for malnutrition in October. 3,928 (representing 3.3 percent) of these children were identified using mid-upper arm circumference (MUAC) less than 11.5cm indicating SAM, while 34,912 (representing 29 percent of the total) had MUAC between 11.5 and 12.4 cm indicating MAM. 2,692 children with severe acute malnutrition were admitted into 28 emergency SAM treatment sites in the two states. In the same period, 2,266 children were discharged cured of SAM from these outpatient treatment sites. For prevention of malnutrition, 10,018 caregivers of children 0-23 months, received counselling and key messages on infant and young child feeding. 2,159 pregnant women also received iron folate supplementation for the prevention and treatment of anaemia. Health A total of 216,581 children, women and men were reached with Out-patient department (OPD) consultations for integrated Primary Health Care (PHC) services in all UNICEF supported health facilities in IDP camps and host communities in Adamawa, Borno and Yobe States, out of which 104,345 (48%) were children below five years. During the reporting period, 108,998 OPD consultations for curative services were recorded, with Malaria-44,267 being the major cause of consultations, followed by Acute Respiratory Infections – 18,982; Acute Watery Diarrhoea (AWD) – 9,405; measles – 160, and other medical conditions – 36,184. A total of 98,409 consultations for prevention services were recorded, including • 5,708 children vaccinated against measles through Routine Immunization (RI) sessions, • 47,146 children and pregnant women reached with various other antigens (Penta, Oral Polio Vaccine (OPV), Tetanus toxoid (TT), Hepatitis, Pneumococcal conjugate vaccine (PCV), Meningitis and Yellow Fever); • 12,196 reached with Vitamin A capsules, • 8,154 with Albendazole tablets for deworming, • 21,177 Ante-Natal Care (ANC) visits, • 4,028 LLINs distributed through RI and ANC clinics in Adamawa, Borno and Yobe States, • A total of 3,259 deliveries (skilled delivery – 3,022, unskilled – 237), • 5,952 postnatal/home visits were recorded during the reporting period. 3 WASH Emergency water trucking (60m³) is being provided for 4,000 people in Pulka. Access to safe water was provided to 2,760 people through the optimization of two solar powered boreholes in Gwoza LGA. As part of the cholera preparedness and prevention strategy, UNICEF in collaboration with Borno State Ministry of Water Resources sustained access to safe water to 2,100,000 through urban water chlorination Maiduguri and Adamawa.
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