UNICEF Côte D'ivoiresituation Report #21 10 June 2011
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UNICEF Côte d’IvoireSituation Report #21 10 June 2011 Reporting Period: 3-10 June 2011 For External Use A displaced girl holds a plastic bottle as she waits to fill it with water from a pipe outside a navy training centre in Abidjan, Coted'Ivoire. © UNICEF Côte d’Ivoire/2011/Asselin Highlights • Although generally calm, incidents of abuses continued to be reported this week. There is a wide perception of insecurity by the displaced population , which is hampering the assistance provided to host families and IDPs and preventing returns. Many are seeking refuge in the forest far from the main roads without any adequate services. • UNICEF provided urgent medical supplies to treat up to 1,000 patients to health authorities in Abidjan, after at least 42 cases of cholera were confirmed in the Koumassi district since 16 May. Soap, chlorine, and water treatment kits were also provided for up to 400,000 people. • While 90 per cent of schools have reopened and 85 per cent of students have gone back to school, at least 350,000 students who were enrolled prior to the crisis are still out-of-school . The distribution of teaching and learning materials, provision of teacher training, and organisation of social mobilisation activities are essential for the coming weeks to minimise drop-out. SITUATION OVERVIEW Insecurity persists, as incidents of abuses continued to be reported this week despite the commitment of the new Government to restore order and security. Some IDPs from Danane and Zouan-Hounien sites returned to their villages, while some new displaced persons came to seek refuge in these sites. There is a cholera outbreak in the Koumassi district in Abidjan, and UNICEF responded to the urgent needs by providing medical supplies, soap, chlorine, and water treatment kits. As of 8 June, 42 cases have been confirmed in Abidjan and the disease claimed the life of three people. At least 350,000 students who were enrolled prior to the crisis are still out-of-school, and it isessential that the teaching and learning materials are distributed without delay, and teacher training and social mobilisation activities are organised, so minimise school drop-out. 1 HUMANITARIAN NEEDS Health : A nationwide polio vaccination campaign was organised by the Ministry of Health in collaboration with WHO and UNICEF but there continued to be reported cases of polio. There is also a cholera outbreak in the country, with reported cases in Abidjan, and measles in the North, Centre regions. WASH: WASH infrastructures were completed in Duékoué in the West, comprising of latrines, showers and collapsible water bladder to assist the displaced. There are continued security concerns in the area. Access to certain villages remains difficult due to bad roads or flooding. Nutrition : Despite the screening for malnutrition and the treatment being offered free of charge, many mothers choose not to treat hospitalise their children due to lack of services offered and limited facilities available. Protection : Lack of funding is still an issue mostly in Abidjan regarding the availability of psychosocial community activities and focussed interventions activities. Education : While 90 per cent of schools have reopened and 85 per cent of students have gone back to school, at least 350,000 students who were enrolled prior to the crisis are still out-of-school . The distribution of teaching and learning materials, provision of teacher training, and organisation of social mobilisation activities are essential for the coming weeks to minimise drop-out. The school feeding programme led by the Government and WFP supporting 1 million children with a daily meal throughout the country stopped during the post-electoral crisis. It needs to be resumed immediately, lest children will not return to school or may drop-out during the summer months. INTER-AGENCY COLLABORATION, COORDINATION, CLUSTER LEADERSHIP AND KEY PARTNERSHIPS UNICEF continued to respond to the emergency in Côte d’Ivoire in collaboration with partners. WASH Cluster (UNICEF lead) • Save the Children have so far assisted 15,600 people in camps and those that are staying with host families, out of the 24,500 target beneficiaries identified. ACF have provided support to 27,503 persons in camps in Duékoué, and UESSO have assisted 900 persons. • Of the 50,403 targeted beneficiaries, around 30,242 have so far been assisted. As for IRC, the target number of beneficiaries is 27,503 in the Nahibly site (Duékoué), 1,000 in Danane, and 900 in Extension. So far, around 11,762 persons have been assisted. Of the 20,000 target beneficiaries for Oxfam, 6,000 persons have been assisted. NUTRITION Cluster (UNICEF lead) • NGO ASAPSU (Association of Support for the Self-Promotion of Urban Health) screened 26 children aged between 6-59 months , of which eight were found to be with Moderate Acute Malnutrition (MAM) and eight others were with Severe Acute Malnutrition (SAM) without complication. These children were treated for their conditions. • 363 children were screened in Danané and in Zouan-Hounien. There were 71 cases of MAM and 39 SAM without complication, and 14 SAM with complication. All malnourished children were treated. 45 community based sessions to follow up on child development and nutrition education took place as part of household visits, and 447 children were screened for malnutrition, of which 70 were with MAM and 27 were with SAM. 127 children were referred to facilities for treatment. 965 people participated in the session on exclusive breastfeeding as part of nutrition education provided to communities. • In Duékoué, Guiglo, Blolequin and Toulepleu where the NGO OIDSP provides community based nutrition programme, many of the activities had to be put on hold due to security concerns. To date, 22,869 children have been screened, of which 544 children were with MAM and 174 were with SAM . 1,013 malnourished children were referred for treatment. • In the Worodougou region, NGO ODAFEM in partnership with community health workers, benefitted 10,772 children - 7,443 in Mankonoof which 544 were with MAM and 102 were with SAM. In Seguela, of the 3,329 children screened for malnutrition, there were 241 cases of MAM and 42 of SAM. All children were referred for treatment. 2 • Despite security concerns in Zouan-Hounien, NGO OMEC carried out community nutrition activities with WFP support to follow-up on ACF activities. OMEC manages the nutritional supplementary feeding centres in ZouanHounien. During the course of May, 67 cases of MAM and 20 cases were referred to ACF’s outpatient nutrition treatment centres (UNTA). 138 children treated were cured, 12 were referred to an outpatient treatment centre, 25 children left the programme, and there were no deaths recorded. • Regional hospital reported 32 cases of SAM, and 3 deaths (1 under 6 months, and 2 cases between 6-59 months), and 13 cases of abandonment. CHILD PROTECTION sub-Cluster (UNICEF lead) • Starting this week, two Child Protection sub-cluster meetings are organised in Abidjan , addressing strategic issues at national level which will guide the work of all sub-national clusters or sectorial groups on child protection in the South, the West and the Centre/North. • The Child Protection sub-cluster in the West is continuing its weekly meeting and there have been discussions on organising regional-level meetings on Child Protection in Guiglo, Danané and Duékoué.The sub-cluster in the South has launched its activities and weekly meetings are organised with the participation of the Government, national and international NGOs as well as UN agencies. • The recent Save the Children assessment in the South and other studies showed that psycho- social stress was one of the main issues that children are experiencing in a number of neighbourhoods in Abidjan such as Aboisso, Noe, Dabou. Maintaining access to recreational, non-formal educational activities and vocational training in the existing centres such as the ones managed by BICE and Amigo DoumeFoundation as well as increasing access to play through child-friendly spaces in Grand Bassam, Bonoua and Yopougon areas is essential. • UNICEF, Save the Children and IRC are providing support to implement several initiatives on increasing awareness and skills of parents and teachers who are in contact with children on a daily basis, on how to best respond to the children’s needs and on how to help them overcoming their fears. Children, adolescents and parents can seek support from social workers in Government run counselling centres, yet eight social centres in the Lagunes region in Abidjan remain closed and need to be rehabilitated to continue the services provided. • A mapping of the counselling centres in the MoyenCavally and Les Montagnes regions identified a number of centres offering first aid psychological support in Duékoué and Man while assessing the gap in Toulepleu to respond to the needs of the increasing returnee population. With a view to increasing access, the cluster needs to establish minimum standards for all counselling centres. EDUCATION Cluster (UNICEF co-lead with Save the Children) • 26,000 IDP students have been integrated in functioning schools in host communities but tens of thousands remain out of school. There is a need for the Ministry of Education to pursue integration of IDP students into schools even if the usually required paperwork to enrol is missing. The Cluster members must provide support to increase schools’ absorption capacities and to ensure safe and protective learning environment for all children. •