Cameroon Humanitarian Situation Report

©UNICEF /2019

SITUATION IN NUMBERS

Highlights July 2019 2,300,000  Since January, more than 102,300 people received UNICEF’s # of children in need of humanitarian assistance in the North-West and South-West regions. assistance 4,300,000  Between June and July, 1,211 children benefited from # of people in need psychosocial support, and 9,473 people received WASH kits (Cameroon Humanitarian Needs Overview 2019)

and mosquito nets in the South- through the Displacement Rapid Response Mechanism (RRM). 444,213 # of Internally Displaced Persons (IDPs) in  In July, 8,388 people were sensitized on good hygiene the North-West and South-West regions practices in the Far-. (OCHA Displacement Monitoring, December 2018) 237,349  From 12-14 July, 275,068 children were vaccinated against # of Returnees in the North-West and South-West regions (OCHA Displacement poliomyelitis in four districts of the Far-North region. Monitoring, December 2018) UNICEF and WHO continue to support the Ministry of Public 372,854 Health for the response to the polio outbreak. # of IDPs and Returnees in the Far-North region (IOM Displacement Tracking Matrix 18, April 2019) 105,923 # of Nigerian Refugees in rural areas (UNHCR Fact Sheet, July 2019) UNICEF’s Response with Partners

Sector Total UNICEF Total UNICEF Appeal 2019

Target Results* Target Results* US$ 39.3 million WASH: People provided with 374,758 32,734 75,000 20,181 access to appropriate sanitation Education: Number of boys and Funds girls (3 to 17 years) affected by 363,300 2,415 217,980 0 received crisis receiving learning materials $ 4.5M Nutrition**: Number of children Carry- aged 6-59 months with SAM 60,255 33,366 65,064 33,981 over $ 3.2 M admitted for treatment 2019 funding Child Protection: Children requirement: reached with psychosocial support 563,265 145,610 289,789 81,891 $39.3 M through child friendly/safe spaces C4D: Persons reached with key life- saving & behaviour change 385,000 167,566 Funding gap messages $ 31.6M *Total results are cumulative. ** UNICEF targets can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out-of-camp refugees. Situation Overview & Humanitarian Needs In the North-West and South-West regions, UNICEF’s assistance to vulnerable population reached more than 102,300 people since January. To reach the affected people in the most hard-to-reach area, UNICEF continued to target Ekondo-Titi sub-division (Ndian division, South-West region) through Rapid Response Mechanism (RRM) with an integrated package of water and hygiene, nutrition, child protection and health. Since UNICEF’s implementing partner Reach Out started the intervention in June, the initial target of 2,000 families (9,473 individuals) have been reached with non-food items and WASH kits as well as mosquito nets. 303 pregnant and lactating women were reached with maternal care kits, while 216 caregivers were provided with new-born kits. After the initial distribution of non-food items, a follow-up mobile team has so far created eight Child Friendly Spaces (CFSs) reaching 1,211 children with psychosocial support. To enhance accountability to affected population, a total of 9,473 people received information on how to access humanitarian interventions. As the needs still remain in Ekondo-Titi sub-division, discussion is ongoing with the implementing partner to cover more families within the same sub-division and also to expand the coverage to the neighbouring sub-division ( division, South-West region). In the Far-North region, two children were killed by the explosion of a grenade they had collected in Kousseri (Logone-et-Chari division) on 17 July. The incident occurred at the family home and injured the mother and a third child who died as a result of her injuries later. This incident is a reminder of the need to conduct regular awareness campaigns with children about the risks associated with mines and explosive devices. UNICEF, along with Protection Sector partners, is engaged to conduct training and awareness activities during the month of August. The current rainy season is also synonymous with the resurgence of diseases such as cholera and malaria. The North and Far-North regions are facing a cholera epidemic. As of July, 238 cases with 10 deaths reported in the North region, while 46 cases and five deaths recorded in the Far-North region (Sitrep No.136, the Ministry of Public Health). UNICEF and its partners reacted immediately in support of the efforts of the Regional Health and Water and Energy Delegations of the two regions by providing 1,440 soaps as well as 200 aqua tabs, cups, kettles and pots for children. Awareness material has been deployed in affected areas and messages relayed to community-based radios to raise awareness on key practices to prevent cholera transmission.

Estimated Population in Need of Humanitarian Assistance

*Cameroon Humanitarian Needs Overview 2019 **SMART Survey 2017 & UNHCR Standardised Expanded Nutrition Survey (SENS) 2016 Start of humanitarian response: November 2013 Total Male Female Total Population in Need* 4,300,000 2,000,000 2,300,000 Children (Under 18) * 2,300,000 Children Under Five** 523,000 258,000 265,000 Children 6 to 23 months** 163,000 80,500 82,500 Malnourished Pregnant and lactating women** 18,000 - 18,000

Humanitarian Leadership and Coordination  The Humanitarian/Resident Coordinator leads the overall humanitarian coordination, supported by OCHA.  At the national level, UNICEF and the Government are co-leading the Nutrition, WASH and Education sectors, as well as the sub-sectoral group for Child Protection.  At the field level, OCHA leads inter-sector coordination, which addresses particularly challenges and gaps both for refugees, IDPs and host communities in the Far-North, 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.  Note that where relevant, UNICEF, as cluster lead agency, is responsible for information management of the cluster and sharing overall results achieved by the cluster collectively.

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Humanitarian Strategy UNICEF’s humanitarian strategy is organised around four pillars designed to strengthen the linkages between humanitarian action and development programming: 1) building a protective environment and supporting community peacebuilding; 2) preventing and responding to violence against and exploitation of children; 3) increasing access to basic services; and 4) strengthening emergency preparedness and response systems. The strategy will be implemented using three operational modalities. First, UNICEF strengthens government systems in communes and build community capacities. The goal is to establish linkages between community-based mechanisms and government structures to reinforce local resilience. Second, where community structures are unable to absorb shocks, UNICEF supports community-based associations and sub-regional governments to deliver services and establish coordination mechanisms. This will strengthen social cohesion by ensuring that both affected populations and host communities can access services. Third, UNICEF and partners provide an integrated, rights-based assistance package to the most conflict-affected populations. In all aspects of its humanitarian response, UNICEF strengthens accountability to affected populations, including by meeting with communities directly, where possible, and working through third-party monitors to ensure effective programme delivery. UNICEF also serves as a leader in the effort to prevent sexual exploitation and abuse and protect affected populations. Summary Analysis of Programme Response UNICEF humanitarian assistance primarily focuses on IDPs, out-of-camp Nigerian refugees and host communities affected by the Lake Chad Basin (LCB) crisis, and the North-West and South-West crisis. Lake Chad Basin (LCB) Crisis Nutrition1 During the month of June, 3,405 children aged 6 to 59 months, including 110 Nigerian refugee children from Minawao camp were admitted to 360 UNICEF-supported health centres in the Far-North region. In the North region, 5,281 children aged 6-23 months received micronutrients powder for home-based food fortification programme in three Health Districts, namely Golombe, Ngong and Pitoa. On 19 July, UNICEF, in collaboration with the Regional Health Delegations of the North and Far-North regions organised a workshop to kick off mother-led Mid-Upper Arm Circumference (MUAC) strategy. A total of 45 people, mainly nutrition focal points in Health Districts and UNICEF partners (IMC, AHA and ACF etc.) took part in the workshop. It allowed participants to have a common understating on the strategy and improve early detection by mother as well as referral of children with severe acute malnutrition to health facility. Health The response to the outbreak of Polio Virus Derived Vaccine 2 (cPVDV2) in Mada Health District continues with the Ministry of Public Health and WHO. Following the round zero (1st phase) of the polio campaign conducted in June, the 1st round (2nd phase) took place from 12-14 July, through which a total of 275,068 children (273,408 children aged 0-59 months and 1,660 children aged 5-10 years) were vaccinated against poliomyelitis in Health Districts of Mada, Makary, Goulfey and Kousseri of the Far-North region. There will be a final round (3rd phase) of the campaign planned in August. WASH In July, approximately 8,388 people (2,852 children), including 560 IDPs learned the risks associated with poor hygiene practices through hygiene sensitisation sessions which took place in 43 localities of Blangoua (Logone-et-Chari division, Far-North region). Also in July, UNICEF, in partnership with a private company, constructed three boreholes equipped with hand pump. Approximately 1,500 people in three communities (Kossa1, Kossa2, Doulo in Mayo Sava division), gained access to safe drinking water through the three boreholes.

1 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). 3

The Far-North region faces cholera epidemic again, with 46 cases and five deaths recorded in July (Sitrep No.136, the Ministry of Public Health). By the end of July, the North region has reported 238 cases with 10 deaths, according to the Ministry of Public Health. UNICEF and WHO continue to support coordination, preparation, prevention and response activities against the cholera outbreak. UNICEF plans to establish a partnership with three local NGOs (2 in North and 1 in Far-North) for community mobilisation activities (sensitisation, active research of case, disinfection of household etc.). A total of 1,440 soaps, 200 aqua tabs (each tablet enables treatment of 4-5 litres of water), 200 cups, 200 kettles, 200 pots for children have been made available at the Cholera Treatment Unit of Garoua and Midjivin (Far-North region) and Garoua (North region) for the benefit of 200 families. Education A small-scale funding agreement has been drafted with an NGO Community Humanitarian Emergency Board (COHEB) to ensure that an effective “back to school” mobilisation and sensitisation campaign to be carried out in Mayo Mosokota (Mayo Tsanaga division) and Mora (Mayo Sava division) sub-divisions in the Far-North region. “Back to School” and “Stay in School” campaigns will take place at the beginning and during the school year. Local administrators, religious authorities, women, youths and men in the community will be mobilised to sensitise them on the importance of education. School community structures will also be empowered in this regard. Child Protection In July, UNICEF provided psychosocial support to 5,197 children (2,418 girls and 2,779 boys) in community-based CFS and other secure spaces through its implementing partners (CODAS Caritas, CLiRA and ALDEPA) in Logone-et-Chari, Mayo Sava and Mayo Tsanaga divisions (Far-North region). Out of the 5,197 children, 2,235 are internally displaced (1,149 girls and 1,086 boys), 2,807 are from the host community children (1,192 girls and 1,615 boys) and 155 are refugees (77 girls and 78 boys). 47 separated children (19 girls and 28 boys) were identified in Logone-et-Chari division by CODAS Caritas and CLiRA, amongst which, 32 (14 girls and 18 boys) children are internally displaced and 15 (5 girls and 10 boys) are refugees. Each one of them received psychosocial support as well as material assistance (hygienic kits and clothes). In the same division, CLiRA identified and provided individual follow-up to 16 unaccompanied children (2 girls and 14 boys). In addition, four unaccompanied children (2 girls and 2 boys) who had been identified and followed up in the previous months were reunified with their families in Ldamang, Wandai in Mayo Tsanaga division by ALDEPA. Thirty-seven children (all boys) used by vigilante committees were identified by CODAS Caritas animators and social workers in the villages of Fotokol, Blangoua, and Goufey in Logone-et-Chari division. They received psychosocial support and home visits/follow-up. They have all been integrated into adolescent clubs and participate in life skills activities which comprise of small business of basic household items, cattle rearing (sheep/goats) and gardening to facilitate their reintegration in to the community. In parallel, continuous sensitisations are carried out within these communities to prevent any stigmatisation. UNICEF’s implementing partner ALDEPA provided support to 59 children (27 girls and 32 boys) in retrieving pending birth certificates from the civil registration office in Mayo Sava division (Far-North region). In collaboration with the Regional Delegation of Social Affairs of the Far-North region, UNICEF facilitated a training session for medical personnel on age determination for children without birth certificates. This is a scientific method to determine appropriate estimated age of a child without a birth certificate through the collection of past events in the country and regional context. A total of 24 participants (17 men and 7 women), which comprises four staff of the Regional Delegation of Social Affairs of the Far-North region, and 20 medical doctors, benefited from the training. Communication for Development (C4D) In July, an estimated 346,613 people (Far-North region) and 1,142,729 people (North region) were sensitised on cholera through the radio broadcasting by 10 UNICEF partner radios. Also, 300 cholera posters were distributed in households of Kaéle Health District in the Far-North region.

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In July, UNICEF supported to organise the official ceremony for the delivery of materials to drama clubs at 82 schools in Blangoua and Goulfey sub-divisions (Logone-et-Chari division, Far-North region). The ceremony was chaired by the Divisional Officers of each sub-division. The materials comprise of 82 megaphones, six radio sets with USB ports, 82 USB sticks, 164 puppets, 166 aprons for students, 20 aprons for trainers/supervisors and 1,688 batteries. The 82 schools in Blangoua and Goulfey organised a total of 515 drama sessions, through which 2,073 children were sensitised (1,079 boys and 994 girls).

North-West and South-West Crisis Nutrition As part of ongoing RRM activities in Ekondo-Titi sub-division (Ndian division, South-West region), during the month of July, 161 children under 5 years were screened for acute malnutrition with none being diagnosed either moderately or severally malnourished. Also, a total of 218 people in seven communities were sensitised on key practices of infant and young child feeding. Health As part of the RRM, 959 households in Ekondo-Titi sub-division have received Long Lasting Insecticidal Nets (LLINs) during the month of July. Also, 40 community health workers from 36 communities were trained to be able to diagnose and treat simple cases of malaria, respiratory tract infection, diarrhoea and malnutrition. Furthermore, 102 new-born kits (each containing blanket, clothing, skin rubbing oil, bathing soap and diapers) were distributed to caregivers of new-borns, and 185 women benefited from maternal kits (containing the necessary tools for the delivery of babies). WASH In July, a total of 4,740 people in Ekondo-Titi sub-division have received WASH kits through the RRM. UNICEF continues to lead WASH cluster coordination activities. In July, WASH Cluster held Hygiene Promotion Technical Working Group (HPTWG), Strategic Advisory Group (SAG )and WASH cluster coordination meetings took place both in and Bamenda. The key constraints mentioned by WASH partners in the meetings are 1) access to affected population (road blockages), 2) difficulties in taking photos to document activities as some communities completely refuse for safety reasons (which impacts the accountability), and 3) insufficient funds to respond to the WASH needs. In August, there will be a WASH training in both Bamenda (North-West region) and Buea (South-West region) to cover the areas of 1) household water treatment, 2) sanitation options, 3) hygiene promotion and 4) 5Ws (who, what, where, when and why) data analysis through using Excel spreadsheet. Education An education in emergency response partnership agreement with PLAN Cameroon is underway. Through the partnership, PLAN Cameroon will (1) conduct identification of innovative interventions being carried out by community- based organisations in the North-West and South-West regions, (2) support scaling up to cover more children, (3) develop curriculum for catch-up programme, (4) support teacher training and community mobilisation and (5) provide learning materials for IDP children in the Littoral and West regions. Rapid Emergency Needs Assessment (RENA) report, prepared by UNICEF’s partner PAIDWA, will be finalised in early August. Child Protection In July, as part of the RRM, UNICEF’s implementing partner Reach Out conducted several child protection activities in Ekondo-Titi sub-division, targeting children and adolescents in hard-to-reach areas. 20 child protection volunteers and 10 animators were trained during this month. A total of eight CFSs were set up, and a total of 1,211 children started attending them. In addition, two Community Based Child Protection Mechanisms (CBCPM) were set up and supported the CFSs by clearing the bushes and digging latrines for children. 5

Child Protection stand-alone partnership agreements came to an end in late June. In July, two new partnership agreements were signed respectively with LUKMEF and Danish Refugee Council (DRC). They will start implementing activities from August. The Gender-Based Violence (GBV) Area of Responsibility (AoR) finalised the referral pathway for GBV cases in the North-West and South-West regions, and the Child Protection referral pathway was also integrated. Communication for Development (C4D) As part of the RRM, community health workers continued sensitisation on good practices of hygiene and vaccination and reached 218 people in Ekondo-Titi sub-division.

Media and External Communication A representative from Department for international development (Dfid) from the UK Government visited Buea, South-West region, on 16 July to have a better understanding of the humanitarian situation in the South-West region and RRM that it is funding. UNICEF shared its progress on RRM and explained the challenges which included poor mobile network, insecurity, difficulty of coordinating with different stakeholders, and re-negotiation of access. Dfid’s Representative met with UNICEF implementing partners for RRM and third-party monitoring for first-hand information and exchange of views. Doctors Without Borders Spain as well as heads of sub-offices of UN agencies were also invited to share an overview of their humanitarian response. One area identified to be of importance for UNICEF was to explore a possibility to expand the scope of RRM to cover health and malnutrition cases with complications that require referrals to the health facility. Security In the month of July, the security situation did not show any significant sign of improvement in the Far-North region. An increase of Non-State Armed Groups (NSAGs) activities, especially in Mayo Tsanaga division has been observed. During the month of July, 25 attacks conducted by NSAGs were recorded in the Far-North region (10 in Logone-et Chari division, 9 in Mayo Tsanaga division and 6 in Mayo Sava division). As a result of these 25 incidents, 10 people (including three children) have been killed, 17 other people got injured, and three men were abducted. Logone-et-Chari division recorded 10 incidents carried out by NSAG, placing this division as the most attacked division in the region. On 17 July in Bargaram (Hile-Alifa sub-division), children picked up an unexploded ordnance device and brought it to their home where it exploded. Two children were killed, and their mother and another child were injured. Mayo Tsanaga division recorded nine incidents, mainly predatory attacks and lootings targeting communities of Tourou, Nguétchéwe, Goldavi, Mozogo/Moskota and Zelevet. These attacks prompted local population to seek refuge in safer neighbouring communities. The resurgence of these attacks is said to have caused concerns among communities. Mayo Sava division recorded six NSAG attacks with a prevalence of predatory and criminal acts in Kolofata and Mora sub-divisions. On 27 July, three members of vigilante committee in Kangaleri were slaughtered by NSAG. During the night of 29-30 July, an incursion has been carried out by NSAG elements in Gakara where two villagers were slaughtered, including a 15-year-old boy. Three women had their ears mutilated and were taken to a military infirmary for care. The attackers took away food, cattle and clothing items before withdrawing into Nigeria.

Funding UNICEF expresses its gratitude to the Governments of Japan, United States, Sweden, as well as CERF, Dfid, Global Thematic Partners and Spanish committee for their contributions to the 2019 humanitarian response. Further adequate, predictable and flexible resources are needed to allow UNICEF to reach the most disadvantaged children in Cameroon, including children affected in the newly emerging crisis in the North-West and South-West regions. Without having sufficient funds, UNICEF is unable to reach children in need of assistance to provide them with the

6 necessary support. Currently, total funding gap for the 2019 Humanitarian Action for Children (HAC) plan is 80%, exposing children and their care-takers to threats to their well-being. Total UNICEF Funding Funds available* Funding gap Appeal Sector Requirements Funds Received Carry-Over Total available $ % Current Year Nutrition 6,739,200 0 0 0 6,739,200 100% Health / HIV 5,313,886 389,926 360,610 750,536 4,563,350 86% WASH 10,355,676 600,000 186,498 786,498 9,569,178 92% Child Protection 9,291,240 1,860,001 27,203 1,887,204 7,404,036 80% Education 4,181,177 896,365 0 896,365 3,284,812 79% C4D 1,427,756 80,000 0 80,000 1,347,756 94% Emergency Preparedness 2,021,760 725,065 2,600,464 3,325,529 0 0% and Response Total 39,330,695 4,551,357 3,174,775 7,726,132 31,604,563 80% * Funds available includes funding received against current appeal as well as carry-forward from the previous year. The ongoing programmes for the LCB crisis are financed by carry-forward from the previous year. LCB Funding Funds available* Funding gap Appeal Sector Requirements Funds Received Carry-Over Total available $ % Current Year Nutrition 3,000,000 0 0 0 3,000,000 100% Health / HIV 1,715,781 0 0 0 1,715,781 100% WASH 3,390,660 0 0 0 3,390,660 100% Child Protection 2,080,000 757,869 0 757,869 1,322,131 64% Education 1,268,233 0 0 0 1,268,233 100% C4D 571,496 0 0 0 571,496 100% Emergency Preparedness 70,403 0 0 0 70,403 100% and Response Total 12,096,573 757,869 0 757,869 11,338,704 94%

NW/SW Funding Funds available* Funding gap Appeal Sector Requirements Funds Received Carry-Over Total available $ % Current Year Nutrition 500,000 0 0 0 500,000 100% Health / HIV 1,907,044 389,926 360,610 750,536 1,156,508 61% WASH 4,414,500 600,000 186,498 786,498 3,628,002 82% Child Protection 2,915,000 1,102,132 27,203 1,129,335 1,785,665 61% Education 1,446,152 896,365 0 896,365 549,787 38% C4D 616,416 80,000 80,000 536,416 87% Emergency Preparedness 8,285,000 725,065 2,600,464 3,325,529 4,959,471 60% and Response Total 20,084,112 3,793,488 3,174,775 6,968,263 13,115,849 65%

Next SitRep: August 2019 UNICEF Cameroon: https://www.unicef.org/infobycountry/cameroon.html UNICEF Cameroon Facebook: www.facebook.com/unicefcameroon UNICEF Cameroon Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/index.html Arsene Azandossessi Barbara Jamar Jacques Boyer Who to Representative Deputy Representative- Chief of Field Operations & Emergencies a.i. Programme Yaoundé, Cameroon contact for Yaoundé, Cameroon, Tel: +23722223182 Yaoundé, Cameroon Tel: +23722223182 further Fax: +23722231653 Tel: +237222505402 Mobile +237696742015 Mobile +237699417238 Fax: +23722231653 Email: [email protected] information: Fax: +23722231653 Email: [email protected] Email: [email protected] 7

Annex A SUMMARY OF PROGRAMME RESULTS* National Response Overview Results (Lake Chad Basis Crisis, North-West and South-West Crisis and CAR Refugee Situation) Sector Response UNICEF and IPs Change Change Overall since since National 2019 Total 2019 Total Needs last last Target Results Target Results report report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of affected people with a sustainable access 1,296,709 811,386 65,182 5,452 110,000 14,000 1,500 to safe drinking water to address their vulnerabilities Number of affected people with an access to adequate 755,119 374,758 32,734 2,163 75,000 20,181 0 basic sanitation to meet their vulnerabilities Number of people provided with WASH kits 1,349,195 649,109 137,826 12,073 270,000 98,883 4,740 EDUCATION Number of out of school boys and girls (3 to 17 years) 1,051,000 519,000 0 0 311,400 0 0 affected by crisis accessing education Number of school aged boys and girls (3 to 17 years) 557,600 363,300 2,415 0 217,980 0 0 affected by crisis receiving learning materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher 1,051,000 476,200 5,400 0 260,520 0 0 has been trained in psychosocial support and/or conflict and disaster risk reduction HEALTH Number of children (6 months to 15 years) vaccinated 526,565 266,492 140,277 0 against measles Number of families / households that have received at 222,227 62,739 43,158 959 least 1 LLIN NUTRITION Number of children aged 6 to 59 months with SAM 62,545 60,255 33,366 5,985 65,064 33,981 5,435 admitted for treatment Performance of integrated program for severe acute ≥ 75% ≥ 75% 89% ≥ 75% 89% malnutrition treatment: cured rate Number of primary health facilities that deliver IMAM 809 809 839 0 702 839 0 services CHILD PROTECTION** # of children reached with psychosocial support including through child friendly/safe spaces (girls and 1,007,213 563,265 145,610 46,054 289,789 81,891 39,184 boys) # of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 9,661 7,596 6,367 653 2,611 1,547 66 arrangements and/or who benefited from individual follow-up (SC/ UAC; girls / boys) # of Unaccompanied Children reunified with families 1,951 171 41 6 1,211 30 4 (girls and boys) # of children suspected or verified associated with an armed group (including children released from TBD 69 292 104 47 223 104 detention) provided with temporary care or family / community reintegration support # of conflict affected children provided with Birth 15,121 7,030 2,104 484 4,780 901 59 Certificate # of children facing protection risks who receive case 105,227 5,497 280 0 5,000 280 0 management services Communication for Development (C4D) # of people reached with key life- saving & behaviour 385,000 167,566 2,291 change messages # of people reached by mechanisms to voice their 210,000 1,137 0 needs/concerns *All results are cumulative.

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** UNICEF target for these two indicators should be read as follows: # of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who 9,661 7,596 6,367 1,244 2,611 1,547 66 benefited from individual follow-up (SC/ UAC; girls / boys) # of Unaccompanied Children reunified with 1,951 171 41 6 129 30 4 families (girls and boys)

Lake Chad Basin Crisis Sector Response UNICEF and IPs Change Change Overall since since Sector 2019 Total 2019 Total needs last last Target Results Target Results report report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of affected people with a sustainable access to 179,181 165,423 38,950 3,200 30,000 1,500 1,500 safe drinking water to address their vulnerabilities Number of affected people with an access to adequate 205,424 122,903 23,781 0 25,000 16,981 0 basic sanitation to meet their vulnerabilities Number of people provided with WASH kits 205,424 132,338 33,279 300 40,000 11,215 0 EDUCATION Number of out of school boys and girls (3 to 17 years) 440,000 213,000 0 0 127,800 0 0 affected by crisis accessing education Number of school aged boys and girls (3 to 17 years) 220,000 149,100 2,415 0 89,460 0 0 affected by crisis receiving learning materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher 440,000 213,000 5,400 0 127,800 0 0 has been trained in psychosocial support and/or conflict and disaster risk reduction HEALTH Number of children (6 months to 15 years) vaccinated 199,066 78,289 140,277 0 against measles Number of families / households that have received at 65,569 16,392 5,700 0 least 1 LLIN NUTRITION** Number of children aged 6 to 59 months with SAM 31,533 31,282 18,415 3,288 31,282 18,771 3,405 admitted for treatment in Far North Performance of integrated program for severe acute ≥ 75% ≥ 75% 91% ≥ 75% 91% malnutrition treatment in Far North : cured rate Number of primary health facilities that deliver IMAM 351 351 360 0 351 360 0 services CHILD PROTECTION*** # of children reached with psychosocial support including through child friendly/safe spaces (girls and 501,883 273,715 112,404 43,130 133,636 63,686 37,448 boys) **** # of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 1,951 1,951 1,610 291 129 366 63 arrangements and/or who benefited from individual follow-up (SC/ UAC; girls / boys) # of Unaccompanied Children reunified with families 1,951 171 41 6 1,211 30 4 (girls and boys) # of children suspected or verified associated with an armed group (including children released from TBD 69 292 104 47 223 104 detention) provided with temporary care or family / community reintegration support # of conflict affected children provided with Birth 15,121 7,030 2,104 484 4,780 901 59 Certificate Communication for Development (C4D) # of people reached with key life- saving & behaviour 250,000 143,698 2,073 change messages

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# of people reached by mechanisms to voice their 150,000 0 0 needs/concerns

*UNICEF targets for Nutrition can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out-of-camp refugees. **Targets for these indicators should be read as follows: # of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who 1,951 1,951 1,610 291 1,211 366 63 benefited from individual follow-up (SC/ UAC ; girls / boys) # of Unaccompanied Children reunified with families (girls and 1,951 171 41 6 129 30 4 boys) ***Results for this indicator include 32,251 children (14, 573 girls and 17,678 boys) who have been reached in January but not added in results. Thus, monthly result of July is 5,197.

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North-West and South-West Crisis Sector Response UNICEF and IPs Change Change Overall since since Sector 2019 Total 2019 Total needs last last Target Results Target Results report report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of affected people with a sustainable access to 938,347 480,540 15,232 2,252 50,000 11,000 0 safe drinking water to address their vulnerabilities Number of affected people with an access to adequate 344,271 128,952 5,503 1,513 25,000 3,200 0 basic sanitation to meet their vulnerabilities Number of people provided with WASH kits 938,347 384,432 104,072 11,773 190,000 87,668 4,740 EDUCATION Number of out of school boys and girls (3 to 17 years) 466,000 214,000 0 0 128,400 0 0 affected by crisis accessing education Number of school aged boys and girls (3 to 17 years) 279,600 149,800 0 0 89,880 0 0 affected by crisis receiving learning materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher 466,000 171,200 0 0 102,720 0 0 has been trained in psychosocial support and/or conflict and disaster risk reduction HEALTH Number of children (6 months to 15 years) vaccinated 122,792 122,792 0 0 against measles Number of families / households that have received at 86,540 28,847 37,458 959 least 1 LLIN NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment in South West and North West 2,500 2,500 0 0 2,500 0 0 regions CHILD PROTECTION Number of children reached with psychosocial support including through child friendly/safe spaces (girls and 400,103 266,734 29,729 2,399 136,153 14,728 1,211 boys) Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 4,553 4,553 4,652 359 2,000 1,076 0 arrangements and/or who benefited from individual follow-up (SC/ UAC ; girls / boys) Communication for Development (C4D) Number of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services (behaviour/best practices) 135,000 23,868 218 through community-based social mobilization and/or outreach activities Number of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, 60,000 1,137 0 etc) participating as agents of social mobilization at community level

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