January-April 2021.Pdf

Madagascar Country Office Humanitarian Situation Report No. 1

Highlights Situation in Numbers • Madagascar is facing a major nutrition and food security emergency which will 1.6 million continue to worsen if response interventions are not scaled-up. More than 16% Children in need of of children aged 6 to 59 months suffer from acute malnutrition including 2.6% humanitarian assistance

with severe acute malnutrition (ranging from 17% to 27% and from 2.7% to 5.3% respectively in the 6 most affected districts) which is over the emergency levels. 3.2 million • A key driver of the nutrition situation is the high food insecurity which is People in need

affecting more than 1.14 million people (43% of the population in affected areas) in IPC 3 (Crisis), IPC 4 (Emergency) including 5% of the population in IPC 534.000 5 (Catastrophe). Children to be reached • From January to April, more than 51,000 pregnant women and children under 5 years old were provided with access to essential and life-saving health care

services. 925.000 • As a lead for the Cash Working Group (CWG), UNICEF continues to coordinate the cash response to the drought. The members of the CWG are targeting of peo People to be reached

199,000 families with cash assistance to respond to food insecurity, this corresponds to 1 million people in need between December 2020 and May 2021. The financial contribution of UNICEF covers 3,580 families • UNICEF Madagascar focuses on disaster risk reduction and nexus to build resilience in addition to responding to the most immediate needs via a multisectoral approach. • From January to April 2021, UNICEF’s water and sanitation interventions have Funding status 2021 reached 121,000 people most affect by the drought and the COVID response reaches 255,000 others in the three regions of Androy, Anosy and Atsimo Fund Andrefana. received $2.19 • A recent rapid assessment conducted in 12 communes affected by the nutritional emergency in the affected regions unveiled a prevalent perception Funding (more than 70% of respondents) of increased exposure of children to child Gap labor, sexual exploitation and child marriage. 72% of the women and girls $10.44 Carry interviewed feel unsafe in their daily lives.. forward $2.72

UNICEF’s Response and Funding Status

SAM Admission 108% on

Nutriti Funding status 173% People acccessing essential health… 29% Funding status Health 10% People with safe water 38% Funding status

WASH 14%

children reached with psychosocial… 23% tion

Child Funding status Protec 15% Children accessing formal or nonformal… 120% ion Funding status

Educat 0% People reached with key messages 1%

C4D Funding status 6% Households receiving cash transfers 33%

ion Funding status Social

protect 5% 1 -100% -50% 0% 50% 100%

Funding Overview and Partnerships To cover potential emergencies in 2021, UNICEF Madagascar launched a US$ 15.30 million appeal to meet the most urgent humanitarian needs of children and women. As of 31 April, 32 per cent had been received, European Commission/ECHO, USAID (United States Agency for International Development), DFID and Japan and this appeal will be upgraded to take into consideration the deteriorating situation in the south as well as the continuation of the covid response. UNICEF calls on donors to provide flexible and timely support for ongoing humanitarian responses in the sectors of health, nutrition, education, shock-responsive social protection and social policy, child protection, water, sanitation and hygiene sectors (WASH), and communication for development (C4D).

Situation Overview & Humanitarian Needs

Drought Results from the Q1-2021 mass screening exercise of the Nutrition Surveillance System (NSS) conducted in ten Southern districts1 indicated a serious deterioration of the nutrition situation, above emergency levels - Figures 1 and 2: - 74,048 (16.1%) children screened were affected by Global Acute Malnutrition (GAM)2 and 11,808 (2.6%) by Severe Acute Malnutrition (SAM)3 (97% screening coverage); District-level GAM and SAM rates are ranging from 6.2% to 27% and from 0.8% to 5.3% respectively - Six out of the ten districts are classified in “Emergency” and; Among the ten districts, 49% of the 98 municipalities are classified in “Emergency” Similarly, sharp increases of the admissions of the SAM children in nutrition treatment sites have been noted in almost all districts, especially in Ambovombe, Amboasary and Ampanihy. The number of children admitted for treatment of SAM have been significantly higher than the average of the last five years and kept on rising sharply between January and March indicating severely deteriorating nutrition situation - Figures 3 and 4. The severe resource gaps for the key drivers of the acute malnutrition including for food security remained constrained. Therefore, the nutrition crisis continued to escalate in the first quarter of 2021.

Figure 1: Trends of the classification of the districts as per the NNS results, ten districts, Q3-2020 to Q1-2021 Q3-2020 Q4-2020 Q1-2021

Figure 2: Trends of the classification of the municipalities as per the NNS results, ten districts, Q3-2020 to Q1-2021 Q3-2020 Q4-2020 Q1-2021

Legend: Green = Normal; Yellow = Alert (Proxy-GAM 10-15%) and Red = Emergency (Proxy-GAM > 15% and/or Proxy SAM > 2%)

1 Amboasary, Tolagnaro, Betroka, Bekily, Tsihombe, Ambovombe, Beloha, Ampanihy, Betioky et Tuléar II 2 MUAC < 12.5 cm and/or bilateral oedema 3 MUAC < 11.5 cm and/or bilateral oedema 2

Figure 3: Trends of the number of SAM admissions in ten Figure 4: Trends of SAM admissions in ten districts: 5 years districts, Jan. 2017 to March 2021 average 2015-2020; 2019-2020 and 2020-2021 10,000 2017 2018 2019 2020 2021 9,000

8,000

7,000

6,000

5,000

4,000

3,000

2,000

1,000

- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

The latest Integrated Phase Classification (IPC) Food Security exercise completed in April 2021 projected that 1.14 people (43% of analysed population in ten districts) will be living in Phase 3 (Crisis), 4 (Emergency) and 5 (Catastrophe) from April to September 2021 and 1.31 people (49%) from October to December 2021 (Figure 5). The deterioration of the food security situation since April 2020 is also documented in Table 1. This indicates the need for emergency response to address the food security emergency in Southern Madagascar in addition to the nutrition emergency.

Figure 5: Results of the IPC Food Security, Madagascar, April 2021 April to September 2021 October to December 2021

Table 1: Comparison of the results of the IPC Food Security exercises, published in April 2020, October 2020 and April 2021, ten drought-affected districts4 April-July 20 Oct-Dec 20 April-Sep. 21 Oct-Dec 21 (all districts but (all districts but 10 districts 10 districts Period covered by the IPC Tulear II) Tulear II) (Source: IPC Apr. (Source: IPC Apr. (Source: IPC April (Source: IPC Oct. 2021) 2021) 2020) 2020) Number of people living in Phase 3 and 4 (Crisis and 554,000 (24%) 899,419 (35%) 1,124,000 (42%) 1,285,000 (48%) Emergency) Number of people living in Phase 5 (Catastrophe) 0 0 14,000 (0.5%) 28,000 (1%) Number of districts classified in Phase 2 (Stress) 2 2 2 1 Number of districts classified in Phase 3 (Crisis) 7 6 3 4 Number of districts classified in Phase 4 (Emergency) 0 1 5 6 Number of districts classified in Phase 5 (Catastrophe) 0 0 0 0

Summary Analysis of Programme Response Nutrition • As the United-Nations lead agency on nutrition, UNICEF leads, together with the National Nutrition Office (ONN), the coordination of the emergency nutrition response. A full-time Nutrition Cluster Coordinator was recruited to further strengthen the coordination and information management at central and peripheral levels • Every quarter, UNICEF supports the screening of over 460,000 under-five children to ensure the provision of up-to-date and accurate nutrition information through the quarterly Nutrition Surveillance System (NSS) in ten districts affected by

4 Amboasary, Tolagnaro, Betroka, Bekily, Tsihombe, Ambovombe, Beloha, Ampanihy, Betioky et Tuléar II 3

drought in the Southern regions of Madagascar5. This informs the biannual IPC Food Security and Acute Malnutrition exercises which are also supported by UNICEF together with FAO, WFP and NGO partners. The latest IPC Food Security has been completed in April 2021 and the IPC Acute Malnutrition is due to take place in June 2021, when the ten SMART surveys in ten districts will be finalised, with the support of UNICEF and ONN • UNICEF supports the Ministry of Health to ensure the treatment of the severely wasted children in 276 health centres and 10 hospitals (100% of health centres and hospitals in ten districts). From January to March 2021, 21,033 children have benefited from those services. UNICEF collaborates with Action Contre la Faim (ACF) to support 19 mobile Health & Nutrition Teams covering 59 municipalities (out of 98) reaching affected children in the most remote communities using the Ready-to-Use Therapeutic Food (RUTF) provided by UNICEF • UNICEF has supported to use innovative approaches like Family MUAC approach to ensure early identification of wasted children in communities. UNICEF has so far trained and equipped 116,000 care takers in the ten districts (22%) to screen and refer their children affected by wasting. Additional training of more than 40,000 families is on-going. • UNICEF has supported the Ministry of Health to actively promote and protect Maternal, Infant and Young Child optimum feeding practices at health facility and community levels with the training of health workers and community health workers in three out of six districts in nutrition emergency.

Health

UNICEF continues to support the country in emergency health response for the most vulnerable population in the South. UNICEF and the MoH have provided access to health care and treatment for childhood diseases and ensure immunization to the population in remote communities by strengthening the service capacities of 221 health centers (providing neonatal resuscitation kits, drugs) and of 8 district hospitals (providing of heating tables for premature or low birth weight newborns) but also with the provision of personal protective equipment (3,610 visors for community workers; 290 visors, 6,360 washable masks, 2,460 overcoats, 1,476 coveralls, 2,460 washable charlottes for health workers). Strengthening the supply of maternal and child health services through the establishment of 12 mobile clinics teams targeting areas with poor coverage and difficult access in the 8 health districts has made it possible to reach: 26,913 children in outpatient consultation , 2,550 children vaccinated against measles, 5,560 acutely malnourished children referred for care. Also, at the level of the supported health centres, 16,416 deliveries were assisted by qualified personnel, making a total of 51,439 beneficiaries who had access to maternal and child health services. All these actions are supported by communication for development interventions to increase the use of services by communities through the interventions of NGO ASOS which promotes essential family practices in 1850 fokontany (municipalities)

Figure 6: Health supported mobile teams, April 2021

5 Amboasary, Tolagnaro, Betroka, Bekily, Tsihombe, Ambovombe, Beloha, Ampanihy, Betioky et Tuléar II 4

WASH For January to April 2021, UNICEF, in collaboration with other cluster members, assisted around 198,000 people affected by the drought (this represents 47% of the initial sector target of 420,000) (Table 2). UNICEF’s contribution to the total realization of the sector is 61% or nearly 121,000 people. This result was achieved thanks to the effective implementation of water trucking, construction and rehabilitation of water points, water vouchers to households, an extension of water supply networks. Additionally, hygienists/hygiene promotor has been trained and equipped with personal equipment, chlorine generator device have been installed in the health Centre, hydroalcoholic solution, water treatment products (SurEau) have nee provided to the institution (schools, health center) and communities. UNICEF interventions have also focused on ensuring minimum WASH package in health centers, providing drinking water and hygiene messaging and kits (handwashing devices, disinfectants and soaps) to households with severely malnourished children. With the support from the community health workers, the hygiene promotion activities have also been extended to the community level, focusing on handwashing practices and household water treatment. The tables below show reached population by the district.

Regarding the Covid19 response, overall humanitarian response supported by WASH cluster was provided to approximately 497,000 people, including 253,000 women and girls (for the period January to April 2021), including in Southern Madagascar. UNICEF direct contribution allowed to reach around 255,000 in the three regions (193,000 in Atsimo Andrefana, 22,000 in Androy and 40,000 in Anosy). More specifically, around 20,000 people have received water, 5,000 others had received hygiene kits and supplies, including buckets, jerry cans and soap in the Atsimo Andrefana region. 100 households and 52 public establishments (schools, health centers, administrative offices, COVID 19 treatment centers, churches, markets, Universities) received handwashing devices in the regions of Atsimo Andrefana, Anosy. 37,046 bottles (each bottle is 100ml) of hydroalcoholic gel were distributed to schoolchildren, teachers, patients, and health center staff, as well as community members in Atsimo Andrefana, Androy, Anosy. 220 public places (COVID 19 treatment center, administrative office, markets) and households have been disinfected in the 3 regions. Hypochlorite (for local disinfection and equipment) has been provided to the health center, and personal protective equipment has at least 100 CSBs and COVID 19 treatment center.

Table 2: People reached so far with WASH interventions compared to initial target as of April 2021 Région Quartier Cible Bénéficiaires % Androy AMBOVOMBE ANDROY 83,780 35,494 42 Androy BEKILY-CENTRALE 54,738 20,200 37 Androy BELOHA 35,761 6,584 18 Androy TSIHOMBE 20,193 19,217 95 Anosy AMBOASARY ATSIMO 71,328 23,418 33 Anosy BETROKA 28,442 6,775 24 Anosy TAOLAGNARO 19,741 10,983 56 Atsimo Andrefana AMPANIHY CENTRE 76,767 75,705 99 Atsimo Andrefana BETIOKY ATSIMO 29,750 0 0 Total 420,500 198,376 47

Figure 7: WASH Cluster intervention dashboard in response to drought in Southern Madagascar

Figure 8: WASH Cluster intervention dashboard in response to COVID-19 nationwide, including Southern Madagascar

Education

UNICEF’s education response continues to focus on disaster risk reduction (DRR) and strengthening national capacity to respond to emergencies. The education section works in three complementary areas: (i) implementing the education strategy in emergencies relying on a map of vulnerabilities by region, so as to better tailor its response; (ii) improve preparedness, prevention and mitigation by continued support to the capacity for DRR (all hazards); (iii) prepositioning and delivery of stocks to schools affected by hazards. The response to the drought has emphasized efforts to retain children in school.

Between January and April 2021 UNICEF has collaborated with the Ministry of Education in supporting approximately 120,000 students in Androy, Anosy and Atsimo Andrefana by delivering 1,500 school kits assembled locally for 1,500 schools located in 16 districts. These kits provide valuable resources to support classroom work, reduce the likelihood of negative coping mechanisms and reduce the financial burden on parents. Approximately 100,000 of these students are enrolled in elementary school in the 10 districts most affected by the drought and are at significant risk of frequent absenteeism and dropout. The tables below show the distribution of the benefitted population in these 10 districts at higher risk.

REGION DISTRICT Beneficiaries Androy AMBOVOMBE ANDROY 10,000 Androy BEKILY-CENTRALE 10,000 Androy BELOHA 10,000 Androy TSIHOMBE 10,000 Anosy AMBOASARY ATSIMO 14,400 Anosy BETROKA 12,000 Anosy TAOLAGNARO 13,600 Atsimo Andrefana TULEAR II 7,280 Atsimo Andrefana AMPANIHY CENTRE 7,040 Atsimo Andrefana BETIOKY ATSIMO 6,320 Total 100,640

UNICEF has also coordinated efforts with other cluster members to support the local decentralized governments and the Ministry of Education to facilitate the continuity of services for children displaced by the draught. In the Taolagnaro district of the Anosy region approximately 709 households were identified as having been displaced. UNICEF supported the delivery of catch-up classes by providing the CRAN (cours de remise a niveau) programme supply kits for 220 children to promote continuity of learning. As a part of the UNICEF-WFP joint program, approximately 200,000 school children benefitted from school feeding. This programme is 6 ongoing and includes approximately 700 elementary schools in the 7 districts most impacted by food insecurity. This effort by the education group supports children’s well-being, promotes school reintegration and fosters attendance.

Shock Responsive Social Protection and Social Policy

As a lead for the Cash Working Group (CWG), UNICEF continues to coordinate the cash response to the drought in the South. The members of the CWG are targeting 199,000 households with cash assistance to respond to food insecurity, this corresponds to 1 million people in need between December 2020 and May 2021. The response is implemented by seven organisations: UNICEF and the World Bank (through the Fond d’Intervention pour le Developement, FID), WFP, UNDP, SAFJKM, CRS and CRM. UNICEF covers 3,580 families, thanks to FCDO’s financial support, in the commune of Ifotaka in collaboration with FID. Those families have received 5 regular monthly payments since December 2020 of 80,000 MGA each (equal to approximately 21 US$). The results of the post- distribution monitoring show that 90% of the cash is used to buy food or to pay debts previously incurred by families to cover food. In general, the implementation of the cash assistance has suffered important delays in other communes in the first term of 2021, mostly for logistical issues to reach hard to reach areas, and only 156,000 families received at least one transfer by the end of April. Given the deterioration of the food security and nutrition situation in the South the CWG is revising its assistance strategy for the coming months, in particular an increase in the amount of transfer is considered as well as an extension of the assistance until the end of 2021. This will require additional funds to cover the food security needs via a cash transfer modality in the coming months. The estimated financial gap is around 40 million US$ (already accounted for by the food security cluster gap).,.

Child Protection

In partnership with the Ministry of Population, Social Protection and Women Empowerment, UNFPA and CRS, UNICEF launched in December 2020 a rapid assessment to evaluate the risk of violence against children (VAC), sexual and gender based violence (SGBV), sexual abuse and exploitation (SEA) in the 12 communes within the 6 districts most affected by the drought and the consequent nutritional emergency and revealed a widespread perception for 70 % of respondents-; of increased risk of multiple forms of violence against children and women (including child labor, child marriage, sexual exploitation, neglect, and the recruitment of children in armed bandit groups) resulting from underlying conditions that allow for the persistence of abuse, exploitation and violence combined with harmful behaviors and practices exacerbated by negative copying strategies. Both boys and girls are concerned by those issues even if some affect more girls (child marriage and sexual exploitation). Recommendations from this assessment were shared with all protection cluster members in January 2021 and are used to develop the response plan.

Cognizant of the structural weakness that characterize the current system for prevention and protection against VAC/GBV/SEA, and of the additional challenges deriving from insecurity and socio-economic distress that households and communities are facing, UNICEF is strengthening its interventions on information sharing and awareness raising of populations (including local and traditional authorities) on the importance of prevention and reporting of VAC/GBV/PSEA, as well as capacity strengthening of referral services and prevention measures.

74 staff of reporting and referral services have been trained on gender based violence and protection against sexual exploitation and abuse, including legal provisions, duties and responsibilities, survivor-centered approach for assistance post VAC/GBV, standards for safe and confidential reporting and referral; participants included members of armed and security forces, social workers, actors of the juridical chain, staff of regional directions in charge for referral services and medical-paramedical staff.

In February and March 2021, following a significant displacement of people (most of them children) to the towns of Fort dauphin (Anosy region) and Ambovombe (Androy region), as a result of the drought, UNICEF collaborated with the Ministry of Population to support these families in relation to child protection, starting with a census. The objective of this census was to collect information on the situation of the children and their families in order to identify their protection needs and provide them with psychosocial support.

A total of 929 households were identified, including 709 in Fort Dauphin and 220 in Ambovombe. These households are made up of 4,395 people, 1,300 parents and 3,095 children (1,537 boys, 1,558 girls). In Fort Dauphin, 43 unaccompanied children were registered. These families have now returned to their places of origin and the DRPPSPF, with the support of UNICEF, continue to provide support to ensure the reintegration of unaccompanied children. In the city of Fort Dauphin, a child-friendly space was set up at the temporary accommodation site for displaced people in March 2021. 583 children benefited from this activity, including 320 girls and 263 boys (0 disabled, 18 adolescent mothers and 14 child victims of violence (11 girls, 3 boys).

In the town of Ambovombe, since March 2021, the regional directorate of the Ministry of Population (DRPPSPF) has set up a mobile site for psychosocial support at the site of the Sisters of the Daughter of Charity where meals are distributed every Friday. The objective is to offer a local service and to facilitate access to psycho-social support and referral to services. It should be noted that the office of the Ministry of Population and the CECJ (“Centre d’Ecoute et de Conseil Juridique”) continue to welcome beneficiaries. Para social Workers are deployed there, for a period of 3 months, to ensure in turn the psychosocial support of the beneficiaries who come to this site. 7 child victims of violence (5 girls and 2 boys) and 18 adult victims of GBV were identified and received care and support.

At the end of April 2021, the Municipalities of Ambovombe, Anjeky Beagnantara, Maroalopoty and Maroalomainty which represent the largest number of displaced families were targeted for sensitization on child protection as well as protection measures against COVID 19. This awareness raising was done during nutritional interventions once a week at primary health care centres. 716 people including 379 adults (315 women and 64 men) and 337 children under 10 years old (203 girls and 134 boys) benefited from the intervention.

In the Atsimo Andrefana region, some families from the West Ampanihy district and the Androy region migrated to Toliara to find work as rickshaw pullers for men and street vendors for women. Faced with this situation, their children have dropped out of school and became malnourished in the period that they were looking for work. With the support of UNICEF, the NGO Bel Avenir has taken care of 63 children through its Center for Nutritional Education (CENUT). These children attend the canteen and return to school. Since January 2021, 8 girls and 4 boys have received such support.

UNICEF also made efforts to maintain ongoing programmes despite the impact of the drought. For example, literacy classes in 18 fokontany in the 3 districts of the Anosy Region have been maintained despite the drought. As the households began to move, the beneficiaries of these literacy courses were kept in their home fokontany and they were more assiduous (no absences recorded during the 4-month course and no failure in the final evaluation of the course. They were offered a snack before and at the end of the daily lessons. 413 children (260 girls and 153 boys) and 46 adults (35 women and 11 men) were trained between December and April received a certificate at the end of course in early April 2021.

Communications for Development (C4D), Community Engagement & Accountability

Based on the available evidence, the communication and community engagement plan related to the drought in 3 regions of the south have been updated in collaboration with the BNGRC and the Communication in emergencies platform. The implementation of this communication plan aims to support clusters efforts in the response to the drought, mainly the WASH and Nutrition components.

The lean season has displaced many families living in the south, making it more difficult for them to access health care and Wash. Children were the most affected by this situation. In response to this situation, basic service support such as latrines and local health services have been provided. The C4D, to create the link between these offers and their uses by the affected populations, provided support in the promotion of essential services by ensuring the increase in knowledge of family members regarding the various benefits. Different communication actions were carried out and addressed several issues, namely GBV, WASH and Covid- 19 measures.

111 community actors were trained by local authorities (Regional Direction of Population, Regional Direction of youth and Sport, Regional Direction of Communication and Culture), under the coordination of the CCOK (Coordination Committee of Drought). Thus, more than 641 families with about 464 children under 5 years old in the districts of Fort Dauphin and Amboasary benefited from interpersonal communication interventions such as focus groups, educational discussions, supported with communication tools and materials (100 GBV posters, 1200 WASH and Nutrition picture boxes). Currently, the C4D section maintains its support to the nutrition, health and WASH sectors by providing technical guidance. in the implementation of PCAs with the NGO ASOS, on the community mobilization component.

Humanitarian Leadership, Coordination and Strategy

As described above, UNICEF ensures that its interventions are in line with humanitarian leadership, whether from the Humanitarian Country Team, government authorities like as Nutrition National Office, CCOK (coordination committee of Drought), BNGRC (National Office for Disaster Management). This coordination relayed to the clusters UNICEF is responsible for (Education, Nutrition, WASH, Cash) and to the field. UNICEF strategy aims at ensuring a nexus between its development and humanitarian interventions, at reinforcing partners’ capacity in all elements of social systems (data, HR, planning, supply, advocacy) and in giving priority to “at scale” potentially innovative interventions

External communication

UNICEF Communications worked to highlight the programmatic response to the crises affecting Madagascar, the support of donors and partners and the ongoing needs while maintaining a focus on the impact on children.

Media

In January, the section produced a press release on the joint Country Team Flash appeal. In early February, UNICEF organized along with USAID, WFP and CRS a joint media trip to the south to highlight the impacts of the drought and UNICEF’s response to the malnutrition crisis. Six national news organizations participated in the four-day trip during which USAID support to UNICEF interventions were the focus. The trip resulted in extensive news coverage in print and broadcast. 8

In March, the communication section issued a press release on the support of the Japanese Government in providing access to water, hygiene and sanitation for the vulnerable people in southern Madagascar Two human interest stories on drought impact and response were published during the reporting period. One focused on families forced to leave their homes due to the drought and the other looked at families struggling to feed themselves.

Digital content The communication section produced two photos looking at the impact of the drought on malnutrition in the south. In Madagascar, families struggle to survive in drought-hit south; Between Hope and Doubt in Madagascar – Recovering from Severe Malnutrition Additional photographs were made available on WeShare. The section contributed photographs to the joint Flash Appeal on the drought which were posted on social media. Social media posts: • In Madagascar, 3 out of 4 children living in the drought-affected south of Madagascar have dropped out of school to help their parents search for food. • In February 2021, more than 2,000 people are living temporarily in a Catholic shelter in Fort-Dauphin, fleeing famine in their home villages. • USAID and ECHO are supporting UNICEF to help families trying to survive the food crisis and drought in the South and especially to treat children suffering from severe acute malnutrition. • The Government of Japan is strengthening its support to UNICEF's emergency response to the drought in southern Madagascar by providing safe water supply and hygiene materials.

Contact for further information Michel Saint-Lot, Representative of UNICEF Madagascar, +261 32 23 432 84, [email protected] Jean Benoit Manhes, Deputy Representative UNICEF, +261 32 05 411 37, [email protected]

Annex A Summary of Programme Results

Cluster/Sector Response UNICEF and IPs Change Change since Overall 2021 Total 2021 since last Sector last Total results* needs target results* Target report report ▲▼ ▲▼ Nutrition # of children under 5 with SAM admitted 19,500 19,500 21,033 19,500 21,033 to therapeutic treatment sites Health # people provided with access to essential and life-saving health care 200,000 200,000 N/A 180,000 51,439 services* WASH # of people who accessed the agreed quantity of water for drinking, cooking 650,000 650,000 160,000 400,000 150,000 and personal hygiene* Child Protection, GBViE,PSEA # of children reached with psychosocial 4,000 4,000 N/A 1,000 3.095 (1.537 support boys, 1.558 girls, 24 children with disabilities)

TBD # women, girls and boys accessing TBD 8700 (4400 gender-based violence risk mitigation, 137,000 33250 female and prevention or response interventions 3000 male, 1300 adolescent ) Education # of children accessing formal or non- 155,000 155,000 200,000 100,000 120,000 formal education, including early learning (Note: cumulative and in

reference to those who abandoned school due to emergency).

C4D # of people reached with key lifesaving and behavior change messages on health, nutrition and safe and 750,000 750,000 8,949 appropriate sanitation and hygiene practices Shock Responsive Social

Protection # households receiving cash transfers 199,000 199,000, 181,000 11,000 3,580

Annex B

Funding Status*

Funding Requirements (as defined in HAC 2021) Funds available Funding gap

Appeal Sector Requirements Funds Received Carry-Over Total $ % Current Year

Nutrition 2,000,000 1,764,711 1,686,085 3,450,797 - 0% Health 4,000,000 - 406,069 406,069 3,593,931 90% WASH 5,000,000 340,741 217,465 558,205 3,441,795 86%

Education 600,000 - - - 600,000 100%

Child Protection ,GBViE and 650,000 - 97,873 97,873 552,127 85% PSEA Communication for 1,500,000 7,403 83,686 91,090 1,408,910 94% Development Cash-based transfert 2,600,000 - 136,784 136,784 2,463,216 95% Cross sectoral / Cluster - 77,549 93,633 171,182 - 0% coordination Total 15,350,000 2,190,404 2,721,595 4,911,999 10,438,001 68%