DRC Humanitarian Situation Report

Photo: UNICEF DRC Tremeau 2018

August 2019 SITUATION IN NUMBERS

Highlights 1,260,000*Internally Displaced Persons (IDPs) (HPR 2019) • 43,740 children (116% coverage) aged 6-59 months were * Estimate for 2019

vaccinated against measles in Kasai Oriental province during the children in need of humanitarian month of August. 7,500,000 assistance (OCHA, HRP 2019) • UNICEF’s Rapid Response to Movements of Population (RRMP) mechanism will be discontinued as of 30th September 2019. A 1,400,000 children are suffering from Severe new model, UNICEF Rapid Response will provide a first Acute malnutrition (DRC Nutrition Cluster, January response, 0ne-off assistance to all population affected by 2019) humanitarian crisis 17,270 cases of cholera reported since January st • August 1 , 2019 marked one year since the Government of the 2019 (Ministry of Health) Democratic Republic of the Congo declared the Ebola outbreak in North Kivu and Ituri provinces. For more information on the 179,477 suspect cases of measles reported since latest Ebola sitrep, please follow this link January (Ministry of Health)

UNICEF Appeal 2019 UNICEF’s Response with Partners US$ 326 Million

26% of required funds available

UNICEF Sector/Cluster 2019 DRC HAC FUNDING

UNICEF Total Cluster Total STATUS* Target Results* Target Results*

Nutrition: # of children with SAM Funds received 911,907 169,227 986,708 409,783 admitted for therapeutic care current year: Health: # of children in $41.0M humanitarian situations 1,028,959 1,078,290 Carry- vaccinated against measles forward WASH: # of natural disaster and amount conflict-affected people with 2019 funding $43.8M 1,277,848 504,387 2,232,120 752,015 access to water, hygiene and requirements: sanitation basic services $326M Child Protection: # of children benefited from psychosocial 120,000 120,000 150,000 156,606 support, including access to child Funding Gap friendly spaces $242.8 M Education: # of school aged boys and girls (5 to 17 years) 908,283 115,678 2,618,866 169,893 affected by crisis receiving learning materials *Funds available includes funding received from the current appeal year as well as the carry-forward from the previous * Total results are cumulative since January 2019 year

DRC Situation Report August 2019 Situation Overview & Humanitarian Needs

• Nutrition: In July, 36 (8.1%)1 out of 447 health zones are in nutritional alerts2 in the Democratic Republic of the Congo (DRC). 71% of the nutritional alerts are from three provinces: Kasaï Central (8 alerts), Kasaï (8 alerts) and Kwango (7 alerts). • Returnees from Angola crisis: 57,435 returnees, of which 14,929 children, have been identified at the Kwango border during the past three months. As of 20th of August, the locality of Kalamba Mbuji in Luiza territory and the city of Kananga, Kasaï Central province, have been hosting spontaneous returnees from the Lovua refugee camp in Angola. At least 12,709 spontaneous returnees, including 7,295 children, arrived in successive waves from the Kalamba Mbuji border crossing during the month of August3.The new influx of returnees have not received any humanitarian assistance, with significant needs in child protection, education, health care, nutrition, and wash, sanitation, and hygiene (WASH). • Tanganyika crisis: As of August, 98,602 displaced persons have been recorded in 14 sites in , Tanganyika province. As a result of the armed conflicts in the area, 547 schools have been destroyed since the beginning of the year, affecting 60,000 school aged children4. • Yumbi crisis: As an aftermath of the Yumbi crisis in the DRC, 3,800 refugees in Brazzaville, Congo, are expected to return in the DRC5. An assessment is required to determine the humanitarian needs of the returnees in their communities.

Estimated Population in Need of Humanitarian Assistance Estimates calculated based on initial figures from Humanitarian Response Plan, December 2018

Total Male Female Total Population in Need 12.8 million 6.26 million 6.51 million

Children (Under 18) 7.5 million 3.81 million 3.66 million

Children Under Five (MAS) 1.4 million 0.67 million 0.73 million

New projected IDPs for 2019 1.3 million 0.62 million 0.68 million

Pregnant and lactating women 0.80 million 0 0.80 million

Humanitarian Leadership and Coordination

• UNICEF leads four clusters and one Working Group in the DRC humanitarian architecture, at national level in and at provincial hub levels in , , Kalemie and Kananga. The clusters are Nutrition, Education, WASH, Non-Food Items (NFIs) and Shelter, and a Working Group on Child Protection which forms part of the Protection Cluster lead by UNHCR. As part of the Ebola response, UNICEF co-leads the commissions on communication, WASH, and psychosocial care. • UNICEF participates in inter-cluster and inter-organizations meetings at the national and decentralized levels and is an active member of the Humanitarian Country Team (HCT). • During the month of August, the Humanitarian Needs Overview (HNO) process continued in the DRC with the organization of regional and local workshops. The Information Management (IM) Working Group and National Inter Cluster developed methodologies to determine the needs in the country, which was presented to the HCT to be validated. The HNO is expected to be completed at the end of October.

1 Source: National Nutrition Department of the DRC (PRONANUT) 2 Nutritional alert: at least 4 out of 6 specific indicators reaches threshold for malnutrition. Indicators are weight at birth, presence of edema in children, number of case admissions in health structures, mid-upper arm circumference (MUAC) for children (6-59 months), lactating women, and pregnant women 3 Source: OCHA, evaluation report in Kasai Central 4 Source: OCHA situation report 29 August 5 Source: UNHCR August 2019 DRC Situation Report August 2019 Humanitarian Strategy

• The strategic objectives of the joint multi-year and multi-sectoral HRP (2017 – 2019) for the DRC are to (1) improve the living conditions of people affected by crisis, starting with the most vulnerable, (2) protect the affected population and ensure respect for human rights, (3) reduce excess mortality and morbidity among the affected population. • UNICEF and its partners continue to support beneficiaries through: (1) reinforcing access to primary health care at the community and health center levels in areas affected by conflict and disease outbreaks; (2) providing psychosocial support and recreational activities for children who are displaced, separated, unaccompanied, formerly associated with armed groups, or survivors of sexual violence, by also including psychosocial care for affected families; (3) pre-positioning WASH supplies for water purification and chlorination, and supporting the renovation/construction of latrines/water points for disease prevention and response; (4) provision of WASH in Nutrition (WiN) kits and referral and treatment of children with Severe Acute Malnutrition (SAM); (5) access to education in a safe and protective learning environment; (6) provision of awareness raising of the communities about response measures and promotion of their active engagement and ownership of the response. • UNICEF Rapid Response uses first response approach, providing initial and lifesaving assistance to vulnerable populations. It targets all population affected by humanitarian crisis, such as populations displaced by conflict or natural disasters, populations affected by epidemics, populations affected by food insecurity, and malnutrition. The rapid response program provides a one off-assistance for a short period and is supply oriented, providing WASH, health/nutrition, NFI and shelter kits to the affected populations.

Summary Analysis of Programme Response Nutrition In the DRC, 1.4 million children under 5 years old are suffering from severe acute malnutrition (SAM)6, of which 911,907 children are targeted by UNICEF. As per the National Nutrition Department of the DRC (PRONANUT) and Ministry of Health reporting in 2019, 44,191 children under 5 years old suffering from SAM received treatment during the month of August. Among those cases, 3,308 cases were inpatients and 40,883 were outpatients. The recovery rate among outpatients stands at 83%, the death rate at 1% and the default rate at 9%7. Since January 2019, UNICEF has supported the treatment of 169,227 children with SAM8.

Health

The measles epidemic affected 10 health zones9 in Kasai Central, Lomami, Kasai Oriental and Kasai provinces10. In August, 43,740 children (6-59 months) were vaccinated against measles in Kasai Oriental province, reaching a total of 1,078,290 children since January. Responses in the other affected provinces are still ongoing.

During the reporting period, 3,209 persons were reached with access to primary health care in Kasai Oriental, reaching a total of 179,172 persons since January, of which 43,141 are children.

Water, Sanitation and Hygiene (WASH) As of August, the overall cholera caseload in the DRC increased from 13,542 cases in the previous reporting period to 17,280 cases in nine provinces11, of which 311 deaths were reported (1.8% lethality)12. In response to the cholera outbreaks, UNICEF reached 170,860 persons affected or at risk of affected by cholera outbreaks, particularly in North Kivu province, during the month of August. In addition, 8,200 Internally Displaced Persons (IDPs) affected by ongoing conflicts in Kasai and Tanganyika provinces gained access to basic WASH services.

6 Source: Nutrition Cluster 2019 7 Recommended standard thresholds: Recovery >75%; death rate <5% and default rate <15% 8 Low coverage is due to difficulties faced in reporting and limited availability of funds 9 Health zones : Kananga, Luiza, Demba, Tshikaji, Kalomba, Muetshi, Makota, Mulumba, Kabeya Kamuanga, and Mutena 10 Source: Division Provinciales de la sante Kasai, Kasai Central, Kasai Oriental, and Lomami 11 Affected provinces : South Kivu, North Kivu, Tanganyika, Kasai Oriental, Haut Katanga, Sankuru, Kasai, Haut Lomami, Lualaba 12 Source: Programme National d’Elimination du Cholera et de lute contre les autres maladies diarrheiques en RDC DRC Situation Report August 2019 In Kasai province, 3,500 persons affected by conflicts gained access to safe water through the rehabilitation of seven water sources in Kanzala health zone through UNICEF’s implementing Bureau Diocesain de Developpement (BDD) Luebo. In addition, eight water sources were rehabilitated in Kasai Central province, by UNICEF’s implementing partner Centre pour le Développement Intégré de Lukibu (CEILU), enabling 4,000 persons affected by conflicts to gain access to clean water. In North Kivu province, 139,360 IDPs in displacement camps gained access to safe water through UNICEF’s implementing partner Centre de Promotion Socio-Sanitaire (CEPROSSAN) in Kayna health zone and DRC Red Cross in Kibirizi and Binza health zone. The beneficiaries were reached with cholera prevention through the installation of 103 chlorination points, distribution of 120,000 water purification tablets, disinfection of 1,110 households, raising awareness on cholera to 13,639 students, and the installation of 7 water sources. In Kalemie, Tanganyika province, 700 persons affected by conflicts gained access to clean water through the rehabilitation of six water sources, as well as the construction of 14 latrine doors and 200 shower doors through UNICEF’s implementing partner Armée du Salut.

Education In the DRC, nearly 7 million children aged 5 to 17 are out of school, of which 52.7% are girls13. In response to the significant education needs, UNICEF and its partners trained 854 teachers, of which 184 women, on teaching methodologies related to reading, writing, and psychosocial support, benefitting 46,970 students in South Kivu, North Kivu, and Kasai Oriental province during the month of August. In Kasai Oriental province, 12 temporary classrooms were set and equipped in preparation of the new academic year, benefitting 660 students. 455 school age children, of which 228 girls, were Children assisted by provinces since 1 January 2019 supported with catch-up courses during school holidays in Kasai Oriental and Tanganyika 30,846 28,151 province. Among them, 66 children, of which 23 girls, were provided with psychosocial support. In 22,459 addition, 735 others (327 girls) received 13,199 psychosocial support in South Kivu province. 140 8,546 8,277 6,290 2,153 1,282 teachers, of which 33 females, were refreshed on 2,400 1,466 784 28 how to use teaching aids, such as didactic materials, through UNICEF’s implementing partner World Vision and Ligue pour la protection de l’enfant et le developpement des mamans (LIPEDEM).

Child Protection In August, a total of 9,924 children (4,532 girls, or 46%) affected by conflict received child protection assistance14. Among them, 31 Children formerly Associated with Armed Forces/Groups (CAAFG) and 89 Unaccompanied and Separated Children (UASC) were identified and received temporary assistance to prepare for family reunification. In August, 9,798 vulnerable children benefitted from psychosocial activities, including access to child friendly spaces. Since the beginning of the year, 8 new specific reintegration projects15 with a case management approach and more individualized and diverse professional learning opportunities have been implemented, benefitting 358 CAAFAG (114 girls 244 boys). 6 survivors of sexual and gender-based violence (3 girls and 3 women) were identified and provided with a holistic response16 during the reporting period. In response to displacements In Djugu territory and , Ituri province, 4 Child Friendly Spaces received up to 1,000 children/per day. Identification, transitional care of UASC as well as care/referral of child victims of violence continue.

13 Source: UNICEF 2019 14 A child protection assistance can include: psycho-social assistance, medical care, educational support, socio-economic reintegration, temporary assistance in transit centers and/or families foster care. 15 Two in Ituri, one in North Kivu, two in South Kivu, one in Tanganyika and two in Kasai 16 Holistic response is the overall response to survivors of sexual violence that includes psychosocial care, medical care, socio-economic reintegration and legal assistance

DRC Situation Report August 2019 Since the beginning of the crisis17, 265 (136 girls and 129 boys) UASC were identified and received transitional care. Family tracing and reunification remain difficult due to insecurity in Djugu territory.

Non-Food Items (NFI) / Shelter Materials In August, UNICEF and partners assisted 39,253 people in the provinces of Haut Katanga, Ituri, North Kivu, South Kivu and Tanganyika with access to essential household and personal NFI, including female dignity kits and shelter materials. Rapid Response to Movements of Populations (RRMP) Since January, 403,126 vulnerable persons were reached through the RRMP mechanism. During the month of August, 37,805 IDPs, returnees, and host communities (18,389 children), were assisted through the RRMP mechanism in four provinces18 with a multi-sectoral package covering health, nutrition, and NFIs. During the reporting period, 148 children affected by SAM were provided with treatment. 3,209 people (997 children) benefited with consultations in the health structure supported by the RRMP mechanism. In addition, 7,134 children were reintegrated in schools and 297 teachers and community volunteers received psychosocial trainings.

Communication for Development (C4D), Community Engagement and Accountability In Kabalo, Moba and Nyemba health zones in Tanganyika province, 2,000 persons were sensitized on the importance of polio vaccination. In Kalemie and Nyemba heath zones, Tanganyika province, 6,353 persons have been reached with cholera prevention measures, such as the promotion of the usage of chlorine-treated water through UNICEF’s implementing partner Usima. In addition, in the same health zones, 1,000 Christians and travellers have been reached with messages on preventive measures against Ebola virus disease and measles. In 11 health zones in central Kasai province, 138,420 people were reached with information on essential family practices through 275 community-based workers. Media and External Communication In August 2019, UNICEF continued to focus its external humanitarian communication work on the Ebola outbreak. The CO facilitated the coverage of UNICEF’s response in Eastern DRC for ABC Australia and the Times of London - sharing briefing notes on the impact of the Ebola outbreak on children. Press coverage included Reuters, Voice of America, Xinhua, UN News, Reliefweb, The New Humanitarian, , NHK, NY Daily News, BBC, Repubblica, Il Corriere della Sera.

During the reporting period, UNICEF also issued a press release on the number of children orphaned or left unaccompanied in Ebola affected areas. It also issued a press release on protecting children and engaging communities in areas affected by Ebola. Several media have reported on both press releases.

Communication and advocacy outputs on UNICEF digital platforms continued to gain momentum during the period under review. In August 2019, UNICEF published 150 messages on the impact of Ebola on children and UNICEF's response through its digital platforms.

Funding In August 2019, UNICEF DRC received US$ 41 million of the US$ 326 million 2019 HAC appeal amount. In addition, UNICEF has approximately US$ 43.8 million funding available as carry-over from the previous year. There is a current funding gap of US$ 242.8 million (74 per cent). This gap impacts UNICEF’s response to recurring crises and prevent more than 3 million children from accessing their basic rights, such as education, nutrition, safe water and adequate sanitation and hygiene facilities.

17 June 2019 18 North Kivu, South Kivu, Ituri and Lomami

DRC Situation Report August 2019

Funding Requirements as defined in the Humanitarian Appeal 2019 Funds available** Funding gap Appeal Sector Requirements Funds Received Carry-Over*** $ % Current Year* Nutrition 143,861,994 5,581,770 14,839,066 123,441,158 86% Health 17,398,569 1,225,310 14,549,419 1,623,840 9% WASH 23,961,326 10,276,591 2,302,996 11,381,738 48% Child Protection 7,550,000 6,273,705 2,875,139 0 0% Education 60,260,103 6,991,747 910,960 52,357,397 87% Communication for 22,560,200 5,656,336 587,614 16,316,250 72% development RRMP (including Cash- 48,895,000 3,934,821 7,738,796 37,221,384 76% based interventions)* Cluster/Sector 1,621,102 1,094,358 0 526,744 32% Coordination Total 326,108,294 41,034,637.61 43,803,990.17 242,868,510.39 74% * ‘Funds received’ does not include pledges ** Funds available includes funding received against current appeal as well as carry-forward from the previous year. ***Carry-over figure is the unutilized programmable balance that was carried over from the prior year to the current year, as of year-end closure

Next Situation Report: 15/10/2019

UNICEF DRC on Twitter: https://twitter.com/UNICEFDRC UNICEF DRC on Facebook: https://www.facebook.com/UNICEFRDC/ UNICEF DRC Country Website: https://www.unicef.org/drcongo/english UNICEF DRC Humanitarian Action for Children: www.unicef.org/appeals/drc

Who to contact for Edouard Beigbeder Pierre Bry further information: Representative Chief Field Operations UNICEF DRC UNICEF DRC Tel: + (243) 996 050 399 Tel: + (243) 817 045 473 E-mail: [email protected] E-mail: [email protected]

DRC Situation Report August 2019 Annex A

SUMMARY OF PROGRAMME RESPONSE

Targets UNICEF and IPs Cluster Response Total Total Overall 2019 Total Total Change 2019 Total Change

needs Targetǂ results since last Target results since last report ▲▼ report ▲▼

NUTRITION 1,415,850 # of children 6-59 months with Severe Acute Malnutrition (SAM) 911,907 169,227 44,339 986,708 409,783 44,339 admitted for therapeutic care

HEALTH 5,480,998 # of children (6 months-14 years) in humanitarian situations 1,028,959 1,078,290* 43,740 vaccinated against measles # of people affected by conflict and disease outbreaks having 607,832 179,172 3,209 received access to primary health care WATER, SANITATION &

HYGIENE 8,000,000 # of natural disaster and conflict- affected people with access to 1,277,848 504,387 8,200 2,232,120 752,015 8,200 water, hygiene and sanitation basic services # of persons in cholera-prone zones and other epidemic affected zones (yellow fever, FHV, etc.) 2,582,293 541,006 170,860 6,436,482 708,267 170,860 benefitting from preventive as well as WASH cholera-response packages # of severely malnourished children and host family receiving WASH assistance from the 282,749 755 0 323,598 755 0 nutrition centres, through to the household level CHILD PROTECTION 4,000,000 # of children associated with armed forces/groups identified and 6,000 1,853 31 7,200 4,012 639 who benefited from individual follow-up # of children associated with armed forces/groups who benefited from 6,000 358 83 7,200 1,598 280 integration/reintegration support # of Unaccompanied and Separated Children (UASC) 8,000 3,044 89 10,000 4,928 326 identified and/or placed in alternative care arrangements # of Unaccompanied and Separated Children (UASC) 8,000 1,830 117 10,000 2,844 190 reunified with their families or provided with long term solutions # of children benefited from psychosocial support, including 120,000 120,000 9,798 150,000 156,606 11,807 access to child friendly spaces # of girls and boys survivors of gender-based violence provided 5,000 1,936 6 with a comprehensive response # of EVD orphans and separated children identified who received 3,100 4,284 964 appropriate care and psycho-social DRC Situation Report August 2019 support as well as material assistance EDUCATION 5,237,732 # of girls & boys (5-17 years) affected by conflict or natural disasters given access to quality 908,283 125,992 7,134 2,618,866 261,787 8,324 education and psychosocial activities # of school aged boys and girls (5 to 17 years) affected by crisis 908,283 115,678 5,006 2,618,866 169,893 5,061 receiving learning materials # of teachers trained on learner- centred methodologies, peace education, conflict/disaster risk 16,787 4,800 854 47,616 7,883 1,570 reduction (C/DRR), and Psychosocial support # of school aged children reached with Ebola prevention information 1,090,006 928,565 37,517 in school NFI/Shelter (RRMP) 6,700,000 # of people provided with essential household items, and 481,250 293,457 37,463 3,756,122 938,291 76,716 shelter materials Multipurpose Cash-based

Assistance 3,337,673 # of people receive an 481,250 138,293 0 138,293 0 Unconditional Cash Grant COMMMUNICATION FOR

DEVELOPMENT 10,500,000 # of members of the formal community development structures and frontline workers trained, certified and actively 75,000 3,412 24 engaged in community surveillance and participation "# of at-risk people in Ebola- affected zones engaged through face-to-face activities and mass 24,030,824* media 19,500,000 4,202,890 *

* Target exceeded due to increased numbers of measles epidemic outbreaks in the DRC ** Target exceeded due to increased numbers of alerts and crisis in the DRC, such as Ebola epidemics, mass displacement and conflict in Ituri and Tanganyika.

DRC Situation Report August 2019 RRMP Contributions to UNICEF Overall Response Those RRMP targets and results are included in the Summary of national 2019 RRMP Response programme response table above. Total Change since last Target Total results report ▲▼

NUTRITION # of children 6-59 months with Severe Acute Malnutrition (SAM) admitted for 23,870 1,657 148 therapeutic care HEALTH # of children (6 months-14 years) in humanitarian situations vaccinated 59,675 1,416 0 against measles # of people affected by conflict and disease outbreaks having received 192,500 128,029 3,209 access to primary health care WATER, SANITATION & HYGIENE # of natural disaster and conflict-affected people with access to water, 385,000 301,375 0 hygiene and sanitation basic services # of persons in cholera-prone zones and other epidemic affected zones

(yellow fever, FHV, etc.) benefitting from preventive as well as WASH 7,700 0 22,500 cholera-response packages # of severely malnourished children and host family receiving WASH 23,870 0 assistance from the nutrition centres, through to the household level - EDUCATION # of girls & boys (5-11 years) affected by conflict or natural disasters given 122,623 77,760 7,134 access to quality education and psychosocial activities # of school aged boys and girls (5 to 11 years) affected by crisis receiving 122,623 48,234 5,006 learning materials # of teachers trained on learner-centered methodologies, peace education, 2,502 1,635 297 conflict/disaster risk reduction (C/DRR), and Psychosocial support NFI/Shelter (RRMP) # of people provided with essential household items, and shelter materials 481,250 293,457 37,463

Multipurpose Cash-based Assistance # of people receive an Unconditional Cash Grant 481,250 138,293 0