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 , 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.

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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 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.

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• 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, . 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. • Over 75 schools and over 20 regional and local education offices have been looted and damaged making it difficult for authorities to work effectively unless they are rehabilitated and receive adequate equipment and supplies.

UNICEF RESPONSE

Snapshot of UNICEF emergency response: List of indicators and updated numbers Sectors Indicators Total (as of 9 June 2011) Target Health Total number of children 6-59 months 919,102 1,571,000 vaccinated against measles Total number of children 6-59 months 6,691,744 6,801,700 vaccinated against polio Total number of children who received 730,681 (through campaign) vitamin-A and de-worming treatment + 703 in IDP sites 30,000 in IDP sites Total number of people in IDP sites 2,421 60,000 who received LLITNs 3

WASH Total number of persons exposed to 162,046 450,000 cholera who received hygiene kits Total number of persons who received 13,100 50,000 WASH package Total number of persons who received 43,000 50,000 household water treatment products Total number of persons who benefited 656,000 1,000,000 from wells chlorination campaign Nutrition Total number of children and women 18,095 in IDP sites; 13,710 30,000 in IDP screened for acute malnutrition in host communities sites Total number of children treated for 844 1,200 (in IDP acute malnutrition sites) Protection Type and scope of protective environment measures - Social recreational spaces 05 28 - Child Protection Committees 12 126 Provision of assistance to foster families who received unaccompanied 100% (4.600 families) 100% families or separated children and vulnerable identified children Number and issues for advocacy, training and/or sensitization sessions - Coverage of GBV awareness 10 % of Centre, West & 50% activities South National - UXO awareness campaign National Total number of victims of GBV who 100% (124 cases supported 100% victims received assistance from UNICEF and including 47 children) identified partners Number of community networks 33 networks 6 protection established or enlarged community networks Number of separated or 604 cases identified: 100% children unaccompanied children identified - 478 separated children in identified Abidjan - 126 in the West Education Numbers of displaced children in IDP 13,379 children in Man, 25,000 sites participating in daily programmes Danané, Guiglo, Zouan- to maintain school/life skills and hounien, Logoualé, recreational activities Mahapleu and Duekoue Number of teachers and teaching 136 teachers and teaching 250 assistants of displaced children in IDP assistants sites trained in psychosocial support, teaching and how to use UNICEF school kits Number of displaced pupils integrated 8,373 25,500 in formal schools in CNO Percentage and number of pupils in 85% (460,130 pupils) 100% (541,000) CNO area enrolled in primary school before the crisis who are attending school HIV Number of persons reached through 913,000 persons (estimate) N/A awareness messages in IDP sites or in host communities Number of HIV positive people under 53 persons identified and all HIV + people ARV in IDPs sites who continued to provided with access to ARV identified receive ARV treatment Number of pregnant IDP women 436 women identified and all HIV + people referred to a PMTCT program referred to the PMTCT identified service 4

Number of women and children raped 101 women and children all cases who received support reported Number of STI cases treated in IDP 566 cases: 62 women and all cases sites 504 men reported Social Number of people provided with non- 13,991 20,000 Protection food items

WASH • There is a wide perception of insecurity by the displaced population , which is hampering the assistance provided to host families and IDPs. Many continue to live in the forest far from the main roads, and instances of these persons returning only temporarily to the villages to benefit from assistance and then going back to the forest where there are no adequate services. • There is a heavy reliance on water trucking in IDP camps.

NUTRITION • In the IDP camps in Duékoué, Man and Danané, in the West of the country, 143 children were screened for malnutrition, of which 21 were found to be with acute malnutrition, and 8 with severe malnutrition, which shows an improvement in the nutritional status of the displaced children in the area. 107 children were given tablets for deworming. • UNICEF provided support to local NGOs ASAPSU, ODAFEM and NTN for screening, in the Vallée de Bandama, Worodougou and Denguele regions. In the Worodougou area, 3,901 lactating women received Vitamin A and 2,442 were vaccinated. In the Denguele area, 352 lactating women received Vitamin A and 1,115 were vaccinated. Birth registration remains a problem. Out of 763 births recorded during the period, only 388 were registered.

Summary of results achieved during the month of May 2011. Health Health Number of Healthy Children with Children with Regions Districts children children moderate severe screened malnutrition malnutrition Worodougou Mankono 5,199 4,961 196 42 Seguela 8,618 7,956 537 125 Beoumi 4,009 3,749 165 7 Vallée de Katiola 3,140 2,817 276 6 Bandama Sakassou 1,548 1,328 165 3 Dabakala 2,261 2,034 195 15 Madinani 861 823 247 81 Denguele Odienne- 9,153 8,297 688 168 samatiguila Minignan 6,053 5,718 265 70 Total 40,842 37,683 2,734 517

CHILD PROTECTION • UNICEF continued to support the set up and activation of monitoring and reporting networks on child rights violations and vulnerabilities , along with referral and care for victims. In the North, in Khorogo, UNICEF’s partner NGO ANAED trained 40 local promoters on child rights violations monitoring and reporting to raise awareness for improved reporting and access to response services. In the Centre regions, UNICEF, in partnership with NGO OIS, provided training to 108 local promoters at community and service providers’ level on monitoring and reporting, and case management. 24 Child Protection community committees are contributing to community awareness-raising for prevention and better referral and care provided to victims, and improved reporting on child violations. • UNICEF continued to provide support to child friendly spaces, recreational activities and listening units in conflict-affected areas in the West and the Centre of the country. In the West, Save the Children with UNICEF support has provided assistance to 167 persons since January 2011 through the stress/counselling units in three IDP sites in Danané, Guiglo, and Duékoué. Three new child friendly spaces have been set up in Duékoué (UESSO, Kokoma, Ecolecatholique). During the reporting period, 869 children (57 per cent boys and 43 per cent 5

girls, including 90 new children) affected by the crisis took part in socio-recreational activities and stress/counseling consultations. In the Centre regions, 615 children have so far benefitted from psychosocial assistance through socio-recreational spaces and listening units in Tiebissou, Beoumi, Mbahiakro, Bouaké, Mankono, and Dabakala. In the North, in Khorogo, UNICEF in partnership with ANAED, identified 11 children with trauma and provided them with support. This brings the number of children that have benefitted from psychosocial assistance in the West, Centre and the North with UNICEF support to 3,994. UNICEF is finalising two PCAs with Care in the West, and Save the Children for the South and Centre, to strengthen psychosocial assistance coverage. • UNICEF has signed a PCA with Save the Children to scale up IFTR in all areas affected by displacement in the West, South and Centre . In the West, UNICEF, Save the Children, IRC, Caritas and the Regional Department of the Ministry of Social Welfare have finalised a joint plan for a seven-day campaign to identify and register family separation cases in the West in IDP sites, host communities in urban settings and villages affected by displacements. 120 volunteers have been mobilised for the campaign. Permanent desks will be set up in public facilities in 20 main urban localities targeted to facilitate reporting and registration of family separation cases. • UXOs campaign was launched with 20,000 leaflets, and national radio and TV spot features in partnership with ICRC, French forces Licorne, and ONUCI. UNICEF signed small scale agreements with three NGOs and supported the training of 41 volunteers from the Cote d’Ivoire Red Cross jointly with ICRC. UNICEF also in partnership with NGOs MESAD, Caritas, andDjiguiFoundation provided risk education in IDP sites, schools, market places, churches and mosques, in the most conflict affected areas in Abidjan. ONUCI evaluations in the West showed no evidence of UXO contamination. • UNICEF has participated in the ONUCI/UN Integrated Strategic Framework and Peace Building National Priority Plan review process , along with ONUCI and other UN agencies. Strategic areas of interest for UNICEF include state authority restoration and rule of law with regards to child justice and victims’ access to justice, DDR/SSR with regards to children associated with armed groups/forces and protection, and identification with regards to birth registration.

EDUCATION • Two Action Plans to promote the returning to school of school-age children, and training guide for teachers and their supervisors were developed during a workshop organised in Abidjan on 7-8 June. The workshop brought together the Ministry of Education officials from both central and regional levels, as well as UNICEF, UNESCO, UNDP, Save the Children, IRC, ADRA and CARE. The three main themes developed were social mobilisation, improvement in the working condition, and training of teachers on providing psycho-social support to children. • UNICEF provided 1 million FCFA to the Regional Administration of Education (DREN) in Odienné to support community mobilisation in the back-to-school campaign . • UNICEF provided 13 recreational kits, 17 ECD kits, 184 mats, 28 school-in-a-box kits, 22 tarpaulin sheets and 1 sanitation kit to 6 IDP sites in the West – 4 in Guiglo and 2 in Danané– and 5 sites in Abidjan (St Laurent, Zone Lackman, EgliseCéleste, St AugustinandEglise Harris) to assist 3,531 displaced children and 799 pre-school age children. • Teachers from the Blolequin and Touleupleu areas were registered with the DREN in Guiglo to be reassigned to functioning schools in the area. • In the West of the country, launching of learning activities was organised for 679 pre-school age children at seven IDP sites in Guiglo with UNICEF support on 2 June. On 3 June, UNICEF provided financial support to the regional education authorities in Man for a community mobilisation campaign to support the opening of schools and the return of children and teachers to school. On 7 June, UNICEF installed 2 shelters and 6 latrines at the temporary learning space (TLS) in Mahapleu to assist 684 children. With the support of UNICEF, 270 pre-school aged children continue to benefit from learning activities provided at three IDP sites and 230 additional school-aged children at the sites were integrated into local schools on 3 June. On 7 June, a UNICEF tent was installed in Carrefourin Duékoué for learning activities for children of returnee families, and 90 children have registered so far.

HEALTH • UNICEF, in collaboration with partners, organised a nation-wide immunisation day against polio, and was successful in reaching 98 per cent of the target number of children. 6

Target Number of Vaccination Number of target children Number of population children coverage rate vaccinated for the first time children to be vaccinated (zero dose) vaccinated 6,801,700 6,691,744 98% 104,057 109,956

• There is a cholera outbreak , with 42 reported cases (as of 8 June) in the health districts of Koumassi, West Yop and East Abobo.UNICEF provided urgent medical supplies to treat up to 1,000 patients to health authorities in Abidjan.Soap, chlorine, and water treatment kits were also provided for up to 400,000 people. • Measles immunisation is organised between 11-15 June in six health districts, Odienné, Minigan, Mankono, Kounahiri, Zuenoula and Sinfra, for a target number of 170,000 children aged between 6-59 months. The children are also given Vitamin A supplementation.

HIV/AIDS • UNICEF, in collaboration with NGO partners, continued to provide information and life skills education in Abidjan, in the West of the country, in the Lacs regions and the North, reaching about 28, 125 new young people in IDP sites and surrounding areas through interpersonal communication and 337,500 young people through radio programme on HIV and AIDS. • UNICEF HIV and adolescents section organised a field mission to analyse the HIV in emergencies situation in the Centre, North and West Regions of Cote d’Ivoire, namely the Vallée du Bandama, the , NziComoe and Zanzan areas, which have high numbers of displaced in host families and thus received less attention and assistance than other regions that had higher number of IDPs in camps. All interventions were provided to the regions with acute emergencies and IDPS. • 500 new OVCs received care and support in the intervention areas. • A rapid assessment in 13 districts was carried out to assess the impact of the silent crisis on these regions and to share the results with all counterparts for future humanitarian and recovery planning. The results are as follows. The HIV activities organised in all 13 districts were ART, HIV testing and PMTCT. Districts Number of Number of District HIV positive Partners Health Health Population population Centres Centres using ART implementing HIV activities Bocanda 18 3 123,600 179 EGPAF Bongouanou 37 17 N/A N/A EGPAF Daoukro 19 4 164,764 983 EGPAF Dimbokro 13 4 139,336 N/A EGPAF M’Bahiakro 13 1 79,139 177 HAI Bouafle 27 9 318,185 849 ICAP Zuenoula 20 4 217,801 N/A ICAP Abengourou 35 35 423,623 3740 EGPAF Agnibilekro 20 18 155,808 461 EGPAF Bondoukou 45 13 140,902 1437 HAI Bouna 21 5 211,299 N/A HAI KounFao 24 3 149,466 574 EGPAF Tanda 25 3 177,997 358 EGPAF

SUPPLY AND LOGISTICS • During this reporting period, UNICEF provided of supplies to partners in Abidjan at a value of USD 400,000, and supplies at a value of USD 63,543 were distributed from Man and Bouake offices. The supplies provided were for activities in Health, Education, Nutrition and Protection to respond to the emergency operations in the country. • The value of the supplies in UNICEF warehouses is now around USD 1.8 million.

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FUNDING Against the USD 36.8 million required by UNICEF in the inter-agency humanitarian appeal (EHAP) UNICEF Côte d’Ivoire has received over USD 19.7 million in funds (including pledges) . To date, contributions have been received from the Governments of Japan, Norway, the Netherlands, Sweden, Australia, Republic of Korea, and Estonia, UNICEF National Committees in France, the United States, the Netherlands, Spain and Italy, as well as ECHO and CERF. Pledges have been received from the Governments of Belgium and the United States.

HUMAN RESOURCES As of 9 June, UNICEF Côte d’Ivoirehas a total of 113 staff. There are a total of 28 international staff, including staff on surge support, staff on mission, and consultants, and there are 85 local staff.

Abidjan Bouake Man Total International Staff (including surge, staff on mission and consultants) 24 1 3 28 Local Staff (including surge, staff on mission and consultants) 59 14 12 85 Total 83 15 15 113

MEDIA AND COMMUNICATION • A press release and Q&A update on cholera outbreak was finalised and disseminated. Interviews were requested by RFI, ONUCI FM, and UN Radio. • One human interest story on separated and unaccompanied children has been posted online (http://www.unicef.org/infobycountry/cotedivoire_58768.html ) • An interview was organised for the French Committee for UNICEF • The first draft of the Mid-Year Humanitarian Report and Action Plan Update has been finalised. • The preparation for the Day of the African Child is underway: UNICEF in collaboration with partners has produced tshirts and banners, and is coordinating the programme for the celebrations. • The Consolidated Emergency Report and Humanitarian Action for Children Report are almost finalised.

CONTACTS IN COTE D’IVOIRE • HervéLudovic de Lys, DesignatedRepresentative Tel: +22520-20-18-13, Email: [email protected] • Christina de Bruin, Deputy Representative Tel: +22504-27-83-94, Email: [email protected] • Louis Vigneault-Dubois, Chief of Communication Tel: +22504-03-50-44, Email: [email protected]

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