Nigeria Humanitarian Situation

Report No. 01

© UNICEF/ /Naftalin © UNICEF Nigeria/2019/Owoicho Reporting Period: January 2020 Situation in Numbers 2.2 million Highlights children in need of humanitarian assistance • UNICEF and partners continue to provide critical access to primary (HAC 2020) health care services to internally displaced people (IDPs). In January,

174,763 IDPs including 110,778 children accessed primary health care 7.9 million services in UNICEF supported facilities people in need • In the reporting period, a total of 266,115 people accessed safe water (HNO 2020) through sustained operations and maintenance (O&M) activities, while 69,233 people were reached with key hygiene messages. 3.8 million people targeted • 9,970 children with severe acute malnutrition (SAM) were admitted in (HAC 2020) UNICEF supported treatment facilities.

• With WASH, child protection, education and health critically 1.9 million underfunded, increased funding is urgently required for an integrated Internally displaced people UNICEF response to 2.2 million crises-affected children (IDPs) North-east Nigeria • The 2020 HNO recorded an increase in IDPs in the north-east to 1.9 million people due to the displacement of over 160,000 individuals in 150,000 (IDPs) North-west 2019 UNICEF Nigeria Appeal 2020 UNICEF’s Response and Funding Status US$ 145.1 million

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Funding Overview and Partnerships1 In 2020, UNICEF is requesting US$ 145.1 million to reach 3.8 million people, including 2.2 million children. Funds currently available amount to US$ 40.5 million. UNICEF’s ability to provide an integrated package of WASH, nutrition, health, education and child protection services for the survival and development of vulnerable children is hampered by a 72 per cent funding gap, with all sectors currently underfunded.

Situation Overview & Humanitarian Needs Ongoing conflict, poor living conditions, fear of attacks and military operations resulted in the movement of 12,289 persons in January, out of which 9,577 were new arrivals. Most movements were recorded in Ngala, , Bama, and in Borno state2. An attack on Government Senior Secondary School (GSSSS) Camp in Monguno rendered an estimated 2,728 Internally Displaced Persons (IDP) homeless, after the destruction of more than 300 shelters and properties. The incident occurred January 7, when non-state armed groups (NSAGs) attacked the camp. Four casualties were reported, including two children, an adult male and one adult female, with scores of injured persons. The affected population are currently living with friends with unmet emergency needs3.

Ngala continues to receive new arrivals from Rann, where the humanitarian community cannot reach due to access constraints. This has resulted in the reception centre in Ngala, being severely overcrowded. Camp Management is in the process of building additional shelters in Arabic camp to accommodate the influx. It should be noted that over 600 shelters constructed by Mercy Corps in Ngala remain unoccupied for more than a year, as the military will not grant permission for the opening of the new site.

In , humanitarian actors are responding to the urgent needs of newly arrived IDPs who were forcibly evacuated on January 3 by the military from Jakana to Dalori I in Maiduguri. New arrivals from Jakana reported that they were relocated against their will want to return home. Humanitarian partners have sufficient resources to respond to the immediate needs, but there are significant concerns about protection. Specifically, regarding child protection as the forced relocation resulted in a high number of family separations and the death of at least two infants who were separated from their mothers.

Summary Analysis of Programme Response Nutrition During the reporting period, a total of 9,970 children with severe acute malnutrition (SAM) were admitted for treatment in UNICEF supported treatment facilities. Out of which 1804 children were in the northwest. The overall performance indicators for the 8,166 cases in the northwest were 95.9 per cent cure rate, 2.8 per cent drop out rate, 0.4 per cent death rate and 0.8 per cent non-respondent, all within the SPHERE standards. For activities focusing on the prevention of malnutrition, 15,707 new caregivers were reached with Infant and Young Child Feeding (IYCF) counselling and 7,220 children aged 6-23 months received multiple micronutrient powder (MNP) supplementation.

These results were achieved through community-based active screening for the identification of malnutrition in children aged 6-59 months (using measurement of middle-upper arm circumference, or MUAC) among 1,223,532 children, out of which 7,924 with SAM were admitted for treatment. Other activities carried out during the reporting period include: • On-the-job coaching and supportive supervision visits conducted to 184 outpatient therapeutic program (OTP) sites, 15 stabilization centers (SCs), 134 IYCF corners,146 mother support groups and 864 community nutrition mobilizers. In , screening for acute malnutrition, using mid upper arm circumference (MUAC), and Oedema was conducted for new arrivals in reception sites for 1,128 children. Out of which 21 children were found with severe acute

1 Carry-over funds from 2019 are currently being calculated 2 IOM DTM Nigeria Emergency Tracking report 151-155 Jan 2020 3 Flash Report Attack on GSSSS Monguno, IOM DTM Rapid Assessment, 9th January 2 malnutrition (SAM), while 71 were found with moderate acute malnutrition (MAM). In three LGAs in Yobe (Bade, Geidam, Gujba), a total of 1,064 children 6-59 were screened. Out of which, 141 (13%) were SAM and 175 (16%) MAM cases.

Health A total of 174,763 IDPs and host community members were reached with integrated primary health care (PHC) services in UNICEF supported health facilities in the three northeast states, including 110,778 children under five (44 per cent of total patients). Out of these, 83,699 consultations were conducted by UNICEF and partners, with malaria being the major cause of morbidity with 25,845 consultations, followed by 20,100 for acute respiratory infection, 6,619 for acute watery diarrhoea, 174 for measles, and 30,961 for other medical conditions. A total of 84,832 prevention services were recorded during this reporting period: • 3,965 children between 6 months and 15 years were vaccinated against measles (routine immunization) • 35,609 children and pregnant women were reached with various other antigens • 11,139 children received Vitamin A supplementation • 12,601 received Albendazole tablets for deworming • 16,032 pregnant women were reached with ante-natal care (ANC) • 5,486 treated mosquito nets provided through RI and ANC clinics in Adamawa, Borno and Yobe States

Other medical services were: • 2,591 women assisted with safe deliveries (skilled delivery – 2,362, unskilled – 229) • 3,641 women received post-natal care

WASH UNICEF covered the water gaps in transit camp in Pulka, with daily trucking of 100 m3 of safe water for 4,561 people for a period of 30 days. This activity was carried out within UNICEF role as a “provider of last resort” for WASH. 23 handpump boreholes were rehabilitated for 8,280 beneficiaries in Maiduguri, and Konduga LGAs of Borno.

UNICEF supported water treatment in Adamawa and Borno States and monitored the utilization of 450 drums of (45 kg) chlorine (HTH) donated to Adamawa State Government and 873 drums of (45 kg) chlorine (HTH) donated to Borno State Government. Operations and maintenance (O&M) of 101 community water points, including bucket chlorination, benefitted 266,115 IDPs and conflict affected persons in Jere, MMC LGAs.

Through CIDAR, UNICEF reached 16,695 people living in teacher’s village IDP camp in Borno with cleaning and disinfection of 518 latrines drop holes. Renewed access to safe sanitation facilities were provided for 11,260 people through rehabilitation of 563 latrines in Custom house and Teachers village camp in Maiduguri. Additionally, the desludging of 3,663 latrines benefitted 102,454 new beneficiaries in 25 IDP camps in Borno.

A total of 728 families (2,250 people) were provided with WASH kits in Borno, while 69,233 people were reached with hygiene messages through house-to-house hygiene promotion in Borno and Yobe.

Child Protection UNICEF and implementing partners reached a total number of 55,338 children (27,876 girls, 27,462 boys) providing child protection in emergency services across the north-east. The services include community-based psychosocial support services (PSS), child protection case management, reintegration follow up, reporting of conflict related sexual violence (CRSV) and prevention and response to GBV.

86 children (all boys) formerly associated with non-state armed groups (NSAG) continue to receive temporary shelter, basic education, skills training and health and psychosocial support services as they await family reunification at the Bulumkutu rehabilitation centre in Maiduguri, Borno State. A total of 97 children (52 girls, 45 boys) formerly

3 associated with NSAG enrolled in UNICEF supported reintegration programmes in Borno State continue receiving child protection services. UNICEF reached 53,119 children (26,750 girls, 26,369 boys) with PSS through child friendly spaces (CFS) and 590 (294 girl, 296 boys) unaccompanied and separated children (UASC) benefitted from case management services. A total of 191 UASC and vulnerable children were supported with non-food items in some camps and communities.

UNICEF in partnership with International Alert facilitated a 5-day training on GBV case-management for 15 participants (11 women, 4 men). In addition, 1,188 community members received GBV prevention and referral messages and 344 community members oriented on child protection. UNICEF implementing partners established children clubs in Bama, , Jere and MMC (four LGA) to engaged children in school based GBV prevention and response activities, including setting up of buddy system, awareness creation, monitoring and reporting GBV in schools.

Education In January 2020, UNICEF and partners improved access to education for an estimated 4,997 children (1,969 girls 3,028 boys) through the supply of teaching and learning materials as well as increased enrolment in Borno and Yobe states. This achievement includes 3,320 children (1,340 girls and 1,980 boys) who benefited from essential teaching and learning materials in the Maiduguri Local Government Area (LGA) of Borno State and Bade LGA of Yobe State.

Additionally, a total of 1,677 children (629 girls and 1,048 boys) were enrolled through the Enrolment Drive Campaign (EDC) in a school in the Bade LGA of Yobe State

Supplies UNICEF supported the State Ministries of Health in the three states with a total of 19 Nigeria Health Kits (NHKs) to support 9,500 persons for three months. In addition, UNICEF distributed 6,134 boxes of Ready-To-Use Therapeutic Food (RUTF) to 6,970 children and 800 packs of micronutrient powder (MNP) to nutrition sites. Through the WASH Sector pipeline 62 drums of (45 kg) chlorine were provided to partners for cholera prepositioning and ongoing chlorination activities.

Next SitRep: February 2020

Who to contact for Peter Hawkins Claes Johansson Gillian Walker further information: Representative Deputy Representative a.i. Emergency Manager UNICEF Nigeria UNICEF Nigeria UNICEF Nigeria Tel: +234 (0) 803 402 0870 Tel: +234 (0) 906 206 6637 Tel: +234 (0) 8035351745 Email: [email protected] Email: [email protected] Email: [email protected]

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Annex A

Summary of Programme Results SUMMARY OF PROGRAMME RESULTS UNICEF and IPs

Sector 2020 Target Total Results* NUTRITION Number of children aged 6-59 months with SAM admitted to therapeutic care for 455,619 specified period 8,166 Proportion of children 6-59 months with severe acute malnutrition recovered >75% 96.4% Number of caregivers of children 0-23 months with access to IYCF counselling for 167,797 appropriate feeding 15,707 Number of new children 6-23 months in the affected areas receiving multiple 156,490 micronutrient powder 7,220 HEALTH Number of children 6 months - 15 years vaccinated against measles 1,186,800 3,965 Number of consultations for IDPs and affected host communities 3,713,100 174,763 WATER, SANITATION & HYGIENE* Number of people gain access to safe water (at least 15 litres per capita per day) for 250,000 drinking, cooking and personal hygiene 12,841 Number of people have sustained access to safe water for drinking, cooking and personal 500,000 hygiene 266,115 Number of IDPs in camps gaining access to gender segregated sanitation facilities and 300,000 services (latrines, showers, handwashing stations) as per SPHERE standard 113,714 Number of people benefiting from community tailored hygiene messages aiming at 1,126,800 hygienic behaviours and practices 69,233 Number of people benefiting from basic hygiene items including top-ups. 1,276,800 2,250 CHILD PROTECTION Number of children reached with psychosocial support, including access to child friendly 232,400 place 53,119 Number of children and caregivers reached with information on childcare and child 147,200 protection including on grave child rights violations 344 Number of registered unaccompanied and separated children benefitting from alternative 1,760 care arrangements 467 Number of unaccompanied and separated children reunified with their caregivers 360 123 Number of children released from armed forces or groups who have benefited from 3,080 community reintegration support 97 Number of children, adolescents and caregivers benefitting from mine risk education 25,000 - Number of children and adolescents affected by protection risks who receive specialized 1,400 support services including response to gender-based violence - Number of women and children provided with prevention information to address gender- 48,536 based violence 1,188 Number of women and children provided with response interventions to address gender- 1,578 based violence (GBV sub sector) - EDUCATION Number of conflict-affected boys and girls (3-17 years) attending a learning centre or 420,452 school 1,677 Number of conflict-affected boys and girls (3-17 years) accessing alternative basic 121,477 education models (Integrated Qur’anic Education and accelerated learning programmes) 0 Number of conflict-affected boys and girls (3-17 years) benefiting from learning supplies 604,797 including ECD kits 3,320 Number of children accessing learning through rehabilitated classrooms/ established 94,050 temporary learning spaces 0 Number of children receiving education in a classroom where the teacher has been 584,797 trained in psychosocial support. 0 Number of teachers trained in psychosocial support skills and positive discipline 10,343 0

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Annex B

Funding Status

Funding Requirements (as defined in the 2020 Humanitarian Action for Children (HAC)

Funding gap Appeal Sector Requirements Funds available*

USD % WASH 37,312,000 8,758,719 28,553,281 77%

Education 28,468,416 10,221,841 18,246,575 64%

Health 19,726,710 5,776,859 13,949,851 71%

47,886,640 12,567,611 74% Nutrition 35,319,029 Child Protection 10,476,110 2,107,545 8,368,565 80%

EPR 1,250,000 1,078,624 0%

Total 145,119,876 40,511,199 72% 104,608,677

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