DRC Humanitarian Situation Report

July, 2018 SITUATION IN NUMBERS

Highlights 4.49 million Internally Displaced - On 24 July 2018, the Ministry of Health officially declared the end of Persons (IDPs) (OCHA, April 2018) the Ebola epidemic outbreak in the province of Equator. UNICEF’s response on the Ebola outbreak can be found on Ebola’s latest 7,900,000 children in need of situation report and situation reports since the beginning of the humanitarian assistance (OCHA, Jan.2018) outbreak. - On 01 August 2018, the Ministry of Public Health in the DRC 2,000,000 children are suffering from declared an Ebola outbreak in the province of . No Sever Acute malnutrition (DRC Cluster epidemiological link has been identified between the Equator and Nutrition, May 2018) North Kivu outbreak. UNICEF’s response on the North Kivu Ebola outbreak can be found on weekly basis on Ebola’s latest situation 15,158 cases of cholera reported since report January 2018 (Ministry of Health, July 2018) - During the month of July, 122,241 persons were provided with essential household items and shelter materials, through the Rapid Response to Population Movement (RRMP) mechanism UNICEF Appeal 2018 US$ 268 million

UNICEF’s Response with Partners 32% of required funds available

Funding status 2018* UNICEF Sector/Cluster

UNICEF Total Cluster Total Target Results* Target Results* Funds Nutrition : # of children with SAM received 1,140,000 88,521 1,306,000 129,351 admitted for therapeutic care 21% $56M Health : # of children in humanitarian situations 979,784 652,396 vaccinated against measles WASH : # of natural disaster and conflict-affected people with Funding 2018 funding 1,987,500 638,582 3,262,000 1,239,156 access to water, hygiene and gap Requirements 11% sanitation basic services $183M $268M Child Protection : # of displaced, Carry- refugee and returnee children 68% Over provided with safe access to 100,000 73,236 170,000 86,396 community spaces for $28.9M socialization, play and learning Education: # of school aged boys and girls affected by crisis 623,750 149,907 1,700,000 254,746 receiving learning materials

* Funds available includes funding received for the current appeal year as well as the carry-forward from the previous year. DRC Situation Report July 2018

Situation Overview & Humanitarian Needs The latest nutrition surveillance and early warning system bulletin revealed that 68 out of 468 health zones (15%) are in alert (at least 4 out of 6 specific indicators reached threshold for malnutrition). The most affected provinces are Kasai central, Kwilu and with 19, 12 and 8 health zones respectively, in alert. In Kasai Oriental, 414 children were identified with specific needs, including 225 Unaccompanied and Separated Children (UASC) (100 girls and 125 boys), 139 children associated with armed groups (30 girls and 109 boys) and 50 wounded children (26 girls and 24 boys). In addition, 211 new cases of children formerly associated with armed groups/forces (CAAFG) were identified and separated in North Kivu during the month of July 2018. On 2nd July, around 12,000 inhabitants from the locality of Kayembese, province were displaced due to conflicts between Armed Forces of the Democratic Republic of Congo (FARDC) and armed groups in the villages of Tenge-Tenge and Kahembe, 30 km from Salamabila Health Zone. The country continues to respond to the Ebola outbreak in North of the DRC as well as continue to support post Ebola activities in the province of Equator.

Estimated Population in Need of Humanitarian Assistance Estimates calculated based on initial figures from Humanitarian Response Plan, December 2017 IDPs and returnees figures calculated based on UNOCHA website, as of March 2018

Start of humanitarian response: January 2018 Total Male Female Total Population in Need 13.1 million 6.3 million 6.8 million

Children (Under 18) 7.9 million 3.8 million 4.1 million

Children Under Five 3.6 million 1.73 million 1.87 million Internally Displaced Persons and 4.49 million 2.16 million 2.34 million returnees

Humanitarian Leadership and Coordination UNICEF is leading five Clusters in DR Congo humanitarian architecture, at national () and provincial hub levels (Bukavu, Goma, Kalemie and ), including Nutrition, Education, WASH, Non-Food Items & Shelter and the area of responsibility for Child Protection. As part of the Ebola response, UNICEF co-leads the commissions on communication, WASH, and psychosocial care. UNICEF participates in inter-cluster meetings at national and decentralized level, and is an active member of the humanitarian Country Team (HCT). UNICEF participates in several humanitarian coordination working group, including the cash working group, gathering humanitarian actors implementing multipurpose cash transfer and cash based activities.

Humanitarian Strategy UNICEF will continue to scale up integrated, multi-sectoral response, focusing on Kasai and Eastern regions, building on Kasai’s experience of a joint response delivered with the government and civil society, and the application of Risk Informed Programming to promote greater complementarity between development and humanitarian interventions. The Rapid Response to Movements of Population (RRMP) mechanism will target areas affected by shocks, mass displacement and provide a multi-sectoral package of interventions. In support of the joint Ebola response plan between the Ministry of Health, World Health Organisation, UNICEF, and other partners, UNICEF’s response strategy will focus on three key areas: communication, WASH, and psycho-social care. UNICEF will support partners to reinforce access to primary health care at the community and health center levels in areas affected by conflict and disease outbreaks; provide psychosocial support and recreational activities for children who are displaced, separated, unaccompanied, formerly associated with armed groups, or survivors of sexual violence; pre-position WASH supplies, for water purification and chlorination, and will support the renovation/construction of latrines/water points for cholera prevention and response; focus on risk communication, provision of WASH services, and psycho-social care for families affected by Ebola as part of the Ebola response; and increase outreach for screening, provision of Wash in Nutrition (WiN) kits, referral and treatment of SAM to address a larger share of the national SAM burden. DRC Situation Report July 2018

Summary Analysis of Programme Response Nutrition From January to July 2018, UNICEF and its implementing partners provided treatment to 88,521 Severe Acute Malnutrition (SAM) cases (8% coverage), of which 4,426 cases had medical complications. The recovery, death, and default rates1 were estimated respectively at 82%, 2% and 14%. During the month of July, UNICEF interventions led to the decrease in default rate in treatment from 24% to 14% under the standard thresholds.

Health In July, 23,670 (67% coverage) children were vaccinated against measles in Fungurume Health Zone of , where 305 confirmed measles cases in children were reported, reaching a total of 652,396 (67% coverage) out of the targeted 979,784 children since January. In addition, 114 measles related children deaths were reported in the provinces of Lualaba, Haut Lomami and Haut Katanga. Through the RRMP mechanism, 4,593 persons (27% coverage), of which 2,837 Internally Displaced Persons (IDPs) in Ituri and 1,759 returnees in North Kivu, received free primary health care. In Kasai region, UNICEF provided treatment to 3,788 malaria cases, of which 1,605 cases were children under five years of age. Additionally, UNICEF interventions provided treatment to 895 cases of Acute Respiratory Infections and 19 cases of Cholera. UNICEF has deployed 30 basic kits, 20 malaria kits including, 20 supplementary kits, 1,200 litres of lactate ringer, 3,100 bags of Oral Rehydration Salts (ORS), five boxes of Zinc ,500 boxes of gloves, 30 platelets of ciprofloxacin, 1000 tablets of Erythromycin, 300 boxes of Erythromycin 125 mg and 1000 tablets of Doxycycline to support people affected by malaria. As part of the round zero polio response, 199,477 children (104% coverage) under five years were vaccinated against polio in province.

WASH In July 2018 a total of 13,713 (32% coverage) natural disaster and conflict-affected people gained access to WASH basic services and 145,846 (79% coverage) persons in cholera-prone zones and other epidemic affected zones received a WASH cholera-response packages, encompassing 168,262 persons who access to safe water in the Ebola affected areas (Mbandaka, Bikoro, Itipo, and Iboko). During the month of July, UNICEF and its implementing partners Norwegian Church Aid (NCA) and the Red Cross installed a total of 20 chlorination points in Fizi Health Zone, province, as part of the cholera response. In the Kasais, UNICEF promoted community based activities2, while in Mbuji Mayi, Kasai Oriental province, the national Red Cross installed 12 chlorination points and disinfection activities. In province, 34 households has been disinfected by NGO Ceilu and 11 chlorination points were installed. In the Kasais (Lombello health Zones), Sud-Kivu (Wulungu and Minova Health Zones) and Tanganyika (Nuynzu, Luizu and Kalemie), 18 water points were constructed or rehabilitated, 26 latrines and 10 showers in Internally Displaced Persons (IDPs) sites were constructed and more than 7,000 persons received information on hygiene practices. During the month of July, 1,321 (5% coverage) Wash in Nutrition kits were distributed in Nyanza Health Zone, Kasai, to children 0-5 years affected by SAM. As part of the Ebola response in Equator province, 96 health facilities, 323 schools, and 570 community sites were equipped with handwashing facilities.

Education During the month of July, 7,957 students, of which 4,138 girls, improved their quality of education through catch up classes leading to current coverage of 25% of the targeted number of children. 17,459 students, of which 9,079 girls, received school materials to facilitate the students’ reintegration in schools. During the reporting period, further cleaning of the data in Kasai region for the period March to June, 2018 was done resulting in the capturing of additional 57,399 children who received school kits, bringing the current coverage to a total of 211,537 children (34% coverage) out of the targeted 623,750 reached since January. In addition, 413 teachers (78% coverage), of which 116 women, received training on learner-centred methodologies, peace education, conflict/disaster risk reduction, and psychosocial support to improve students’ quality of education during the month of July. As of the end of July, a total of 323 (79% coverage) out of the targeted 410 schools in the affected health zones in the province of Equator were provided with handwashing kits. Furthermore, 130,790 (100% coverage) students and 5,486 (100% coverage) teachers received Ebola prevention messages.

1 Recommended standard thresholds: Recovery >75%; death rate <5% and default rate <15% 2 sensitization –chlorination points – disinfection of households DRC Situation Report July 2018 Child Protection From January to July, a total of 80,774 children (35,491 girls) received a child protection assistance3, including 15,850 children (6,814 girls) during the reporting period. Among them, 381 (55% coverage) children formerly associated with Children assisted by provinces armed groups/forces (CAAFG) and 445 (36% coverage) Unaccompanied and Separated Children (UASC) were 19,23518,982 identified and received temporary assistance. 331 (107% 9,996 coverage) UASC were reunited with their families. 10,476 9,587 From January to July, UNICEF implemented psychosocial 5,749 support activities for 73,236 children (73% coverage), of which 3,014 1,219 1,626 33,052 girls, including 15,513 children (6,554 girls) during the 762 70 58 month of July. 2,694 (52% coverage) persons, of which 1,076 girls and 37 boys’, survivors of sexual violence were identified and provided with a holistic response4 since the beginning of the year. In the Kasaï Oriental, 72 families foster care were selected and trained to receive UASCs. As part of the Ebola response in the province of Equator, 129 directly affected families and 2,347 contact persons received psychosocial support. In addition, 594 contact families and 53 families directly affected by the virus received food and NFI kits. 93 orphans and unaccompanied children received temporary assistance.

Non-Food Items (NFI) / Shelter materials In the month of July, 31,986 (99% coverage) IDPs, foster families, and returnees in Nord Kivu and Tanganyika provinces, were provided with essential household and personal Non-Food Items (NFI) and shelter materials.

Rapid Response to Movements of Populations (RRMP) In July, 94,414 new Internally Displaced Persons (IDPs), approximately 18,882 households, were assisted through the RRMP mechanism in the province of Ituri, Kasai Central, Lomami, North Kivu, South Kivu and Tanganyika with a multi- sectoral package covering education, health, nutrition, Non-Food Items (NFIs), protection and WASH needs. Globally, three rapid multi-sectoral evaluations with 11 multi-sectoral interventions were launched this month. 4,404 households have benefited from NFIs kits and 6,568 households received unconditional cash assistance. In addition, 14,121 persons received access to primary health care through RRMP interventions. The RRMP mechanism provided training on psychosocial assistance to 70 teachers in the province of Tanganyika. 6,481 adolescents and adults were reached on awareness raising sessions on protection in emergency and displacement situations.

Communications for Development (C4D), Community Engagement & Accountability In July, 84,326 persons were reached with cholera prevention activities and messages through 475 local actors, 106 community relays (RECOs), and 24 C4D actors in Kasai Central and Tanganyika5. During the month of July, 2,500,000 parents were informed on polio virus, the importance of polio vaccinations, and the availability of vaccinations in the provinces of North Ubangi, South Ubangi, Mongala, Bas-Uele, , and Ituri. In the provinces of Kasai Central and Tanganyika, 34,502 persons were reached with information on children’s rights in emergency situations, best practice usage of food and non-food items, and important family habits through 120 local actors, 4,916 RECOs/CACs, and 3 actors from REMED. RRMP activities on child protection, Key Family Practices (KFP), free access to SSPs through RRMP partners Consortium Solidarite NRC, Save the Children, and RECOs reached 3,959 persons in North Kivu and Tanganyika. As of the end of July, 1,937 (100% coverage) specific community groups and 1,099,553 (117% coverage) persons at-risk population were reached with Ebola prevention information in Equator province. In addition, 166 (100% coverage) with wrong perceptions about Ebola benefitted from personalized house visits to address their concerns.

Media and External Communication The CO concentrated its external communication activities on DRC Ebola epidemic ends. The CO issued a press release on the epidemic ends, but ongoing vigilance is essential to keeping children safe from future outbreaks.Press coverage of the UNICEF’s response to the Ebola crisis includes The New York Times, NBCnews.com, CNN, Actualite.cd, France 24, RFI, Telegraph.co.uk. Media coverage during the reporting period include All Africa, Europa press, Russia Today.

3 A child protection assistance can include: psycho-social assistance, medical care, educational support, socio-economic reintegration, temporary assistance in transit centers and/or families foster care. 4 Holistic response is the overall response to survivors of sexual violence that includes psychosocial care, medical care, socio-economic reintegration and legal assistance 5 Kalemie, Nyemba, Kansimba, and Moba DRC Situation Report July 2018 During the reporting period the CO published 7 articles on http://ponabana.com/ related to the humanitarian situation and posted more than 100 messages on its social media platforms.

Funding From January to June 2018, UNICEF DRC received US $56 million (21%) of the US $268 million 2018 HAC appeal amount. In addition, UNICEF has approximately US$29 million funding available as carry over from the previous year. In July, UNICEF DRC received grants from Belgian Committee for UNICEF (USD 165,720), German Committee for UNICEF (USD 65,730), Japan (USD 700,000), United Kingdom (14,397,906), and Japan Committee for UNICEF (USD 61,194). Key donors supported the Ebola response including CERF (USD 400,000), USAID (USD 2 Million), CIDA (Canadian Dollar 400,000 approximately USD 385,000) and JAPAN ($700,000). Additional funding for the Ebola response was mobilised from Mercury Funds through US NatCom (USD 400,000), World Bank Pandemic Emergency Financing Facility (USD 4.56 Million) and GAVI (USD 140,000), and ECHO (Euro 600,000).

Funding Requirements (as defined in the revised Humanitarian Appeal 2018)

Funds available** Funding gap Appeal Sector Requirements Funds Received Carry-Over*** $ % Current Year* Nutrition 137,940,000 10,726,633 9,823,573 117,389,794 85% Health 10,583,769 534,884 470,949 9,577,937 90% WASH 28,085,485 6,221,659 1,387,053 20,476,773 73% Child Protection 21,290,500 2,915,672 1,671,341 16,703,487 78% Education 16,269,000 6,347,894 1,076,773 8,844,333 54% RRMP (including Cash- 52,302,250 27,290,216 14,497,499 10,514,535 20% based interventions)* Cluster/Sector 1,650,000 2,011,281 0 0 0% Coordination Total 268,121,004 56,048,238 28,927,188 183,506,859 68% * ‘Funds received’ does not include pledges ** Funds available includes funding received against current appeal as well as carry-forward from the previous year.

***Carry-over figure is the unutilized programmable balance that was carried over from the prior year to the current year, as of year-end closure

Next SitRep: 05/09/2018

UNICEF DRC on Twitter: https://twitter.com/UNICEFDRC UNICEF DRC on Facebook: https://www.facebook.com/UNICEFRDC/ UNICEF DRC Country Website: https://www.unicef.org/drcongo/english UNICEF DRC Humanitarian Action for Children: www.unicef.org/appeals/drc

Who to Gianfranco Rotigliano Tajudeen Oyewale Pierre Bry contact for Representative a.i. Deputy Representative Chief Field Operations UNICEF DRC UNICEF DRC UNICEF DRC further Tel: + (243) 996 050 399 Tel : +(243) 996 050 200 Tel: + (243) 817 045 473 information: E-mail: [email protected] E-mail : [email protected] E-mail: [email protected]

DRC Situation Report July 2018 Annex A SUMMARY OF PROGRAMME RESPONSE UNICEF and IPs Cluster Response

Overall 2018 Total Change 2018 Total Change needs Total results since last Target results since last Target report report ▲▼ ▲▼ NUTRITION 2,000,0006 # of children 6-59 months with Severe Acute Malnutrition (SAM) 1,140,000 88,521 9,020 1,306,000 129,351 9,616 admitted for therapeutic care HEALTH 10,500,000 # of children (6 months-14 years) in humanitarian situations 979,784 652,396 23,670 vaccinated against measles # of people affected by conflict and disease outbreaks having 624,165 167,896 16,955 received access to primary health care WATER, SANITATION & HYGIENE 13,100,000 # of natural disaster and conflict-affected people with access to 1,987,500 645,745 13,713 3,262,000 1,319,475 24,541 water, hygiene and sanitation basic services

# of persons in cholera-prone zones and other epidemic affected zones (yellow fever, FHV, etc.) benefitting from preventive as 1,893,750 1,492,562 145,846 4,304,000 1,758,209 194,589 well as WASH cholera-response packages # of severely malnourished children and host family receiving WASH assistance from the nutrition centres, through to the 549,124 27,319 1,321 652,627 27,319 1,321 household level CHILD PROTECTION 7,925,500 # of children formerly associated with armed forces/groups 6,000 3,270 381 7,200 3,764 390 released and provided with temporary assistance # of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who 11,700 4,268 445 13,000 5,254 647 benefited from individual follow-up (SC/ UASC ; girls / boys) # of separated and unaccompanied children identified and 2,500 2,684 331 3,500 2,967 355 reunited with their families # of displaced, refugee and returnee children provided with safe 100,000 73,236 15,513 170,000 86,396 17,663 access to community spaces for socialization, play and learning # of identified survivors of sexual violence provided with a 5,200 2,694 1,107 comprehensive response # of affected families of probable and confirmed cases, including 179 53 0 children that receive protection and psycho social support kit EDUCATION 3,400,000 # of girls & boys (5-11 years) affected by conflict or natural disasters given access to quality education and psychosocial 623,750 229,327 58,291 1,700,000 367,726 64,522 activities # of school-aged boys and girls (5 to 11 years) affected by crisis 623,750 211,537 74,858 1,700,000 341,079 86,333 receiving learning materials

# of teachers trained on learner-centered methodologies, peace education, conflict/disaster risk reduction (C/DRR), and 9,273 7,272 413 30,909 13,547 554 Psychosocial support

# of target schools in high risk areas provided with handwashing 119,680 130,790 26,759 facilities (Ebola outbreak indicator)

NFI/Shelter (RRMP) 4,700,000 # of people provided with essential household items, and shelter 437,500 431,886 31,986 3,700,000 811,770 67,046 materials Multipurpose Cash-based Assistance 4,700,000 # of people receive an unconditional cash grant 603,950 281,217 34,535 3,971,050 281,217 37,241

COMMMUNICATION FOR DEVELOPMENT 10,500,000

# of people reached with key life-saving & behaviour change messages on: the humanitarian available services, child rights 7,600,000 7,861,785 122,787 protection and Key family practices

6 Please note that 4.6 million mentioned on the January SitRep is overall nutrition needs, including adults. 2 million is only for SAM-affected children. DRC Situation Report July 2018

RRMP contributions to UNICEF overall response Those RRMP targets and results are included in the Summary 2018 RRMP Response of national programme response table above.

Change since last Target Total results report ▲▼

NUTRITION # of children 6-59 months with Severe Acute Malnutrition (SAM) 2,100 2,805 596 admitted for therapeutic care HEALTH # of children (6 months-14 years) in humanitarian situations 10,500 4,667 1,244 vaccinated against measles

# of people affected by conflict and disease outbreaks having 105,000 138,361 46,311 received access to primary health care

WATER, SANITATION & HYGIENE # of natural disaster and conflict-affected people with access to 787,500 118,859 0 water, hygiene and sanitation basic services # of persons in cholera-prone zones and other epidemic affected

zones (yellow fever, FHV, etc.) benefitting from preventive as well 393,7507 - - as WASH cholera-response packages # of severely malnourished children and host family receiving WASH assistance from the nutrition centres, through to the TBD 1,166 - household level EDUCATION # of girls & boys (5-11 years) affected by conflict or natural disasters given access to quality education and psychosocial 113,750 76,700 0 activities # of school aged boys and girls (5 to 11 years) affected by crisis 113,750 53,712 7,244 receiving learning materials # of teachers trained on learner-centered methodologies, peace education, conflict/disaster risk reduction (C/DRR), and 2,275 2,227 0 Psychosocial support NFI/Shelter (RRMP) # of people provided with essential household items, and shelter 437,500 431,886 122,416 materials Multipurpose Cash-based Assistance # of people receive an unconditional cash grant 437,500 190,860 37,241

COMMMUNICATION FOR DEVELOPMENT

# of people reached with key life-saving & behaviour change messages on: the humanitarian available services, child rights 875,000 234,245 3,959 protection and Key family practices

7 The RRMP program does not cover cholera and/or other epidemic affected zones