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August 2019.Pdf Mali /Dicko Humanitarian 3I8A7855 3I8A7855 Situation Report UNICEF/ UN UNICEF/ © SITUATION IN NUMBERS Highlights 31 August 2019 • Due to unprecedented humanitarian emergency in the Sahel Region, the level 3,900,000 People in need 2 (L2) emergency for Mali has been activated on August,1, 2019. (Humanitarian Reponses Plan revised - HRP; July 2019) • The number of internal displaced people (IDP) is still on the rise. As of August 2,180,000 Children (<18) in need of 8th, 2019, 168,515 1 people are internally displaced in Mali due to humanitarian assistance intercommunity and armed conflicts, mainly in the central region. (Mali HRP revised July 2019) • Heavy rains and floods have affected nearly 78,000 people, mainly in the 168,515 Internally displaced people regions of Timbuktu, Gao, Segou, Koulikoro, Mopti and Sikasso. (Commission of Movement of Populations Report, 08 August • From January to August, 84,061 children with severe acute malnutrition were 2019) treated whom 23,770 were admitted during the reporting period. 87,627 Internally displaced children • As of August 2019, UNICEF provided short term emergency distribution of (Commission of Population Movements (CMP) Report, 08 household water treatment and hygiene kits as well as sustainable water August 2019) supply services to 179,014 people in the regions of Mopti and Gao. 920 schools closed as of August 2019 • During the reporting period, UNICEF provided 25,341 children affected by (Education Cluster dashboard – August 2019) conflict with psychosocial support and other child protection services, in the regions of Mopti, Timbuktu, Kidal, Gao and Bamako district. UNICEF Appeal 2019 (HAC) US$ 47 million UNICEF’s Response with Partners UNICEF Sector/Cluster UNICEF Total Cluster Total Target Results* Target Results* Nutrition: # of SAM (severe Funding Status 2019* 2 4 acute malnutrition) children (6- 190,000 84,061 190,000 84,061 Fund 59 months) treated received WASH: # of affected 8.0 M population provided with 1,000,00 temporary access to safe water 85,500 119,550 162,832 (water trucking, aquatabs, 0 2019 Funding Carry chlorine) Requirement: Forward 47 M 6.6 M Health: #of children under 5 980,500 909,435 vaccinated against measles Child Protection: # of children Funding Gap who received protection 32.2 M services including psychosocial 92,000 90,914 120,000 98,494 support, interim care, and family and community reunification Education: # of out of school boys and girls (3 to 17) affected 150,000 42,638 357,000 63,1073 by crisis accessing education 1 CMP: Population Displaced Report as of August 8 2019 2 HRP revised as of July 2019 3 The total cluster result is now righteously counting UNICEF numbers aswell. No change in August 2019 as schools are not yet open. Situation Overview & Humanitarian Needs The humanitarian situation is still complex and volatile mainly caused by armed conflict and intercommunity clashes in central and northern regions. The number of IDPs has increased from 147,861 people on 30 June 2019 to 168,515 as of 8 August with the majority in Mopti and Segou regions. Of the 81,338 people at risk of flooding, 78,115 people have already been affected 4 . Stronger precipitations are expected in the coming weeks while the level of Niger river may rise as waters will be released from dams of Guinea and Mali. 920 schools remained closed at the end of the school year of which 598 in the Mopti region affecting 276,000 children5. A total of 650,000 people6 is expected to be at risk of severe food insecurity and livelihood compared to 416,000 initially, which could result in more cases of acute malnutrition than initially anticipated and as reflected in the revised version of the 2019 HRP. From July to August, a total of 195 allegations of child rights grave violations incidents have been reported, compared to 234 as of-June 2019. During its July visit in Mali, the SRSG CAAC expressed concern over the situation and advocated for enhancing efforts and actions to prevent and end violations against children. Estimated Population in Need of Humanitarian Assistance (Estimates calculated based on initial figures from Mali Humanitarian Response Plan (HRP) 2019, revised in July, OCHA) Start of humanitarian response: Total Male Female Total Population in Need 3,900,000 1,911,000 1,989,000 Children (Under 18) 2,180,000 1,068,200 1,111,800 Children Under Five 858,0007 420,420 437,580 Children 6 to 23 months 139,620 68,413 71206 Pregnant and lactating women 195,000 0 195,000 Humanitarian Leadership and Coordination • The Ministry of Health and Social Affairs coordinates humanitarian action with Humanitarian Country Team (HCT). • UNICEF is leading 3 clusters (WASH, Nutrition and Education) and 1 sub-cluster (Child Protection) and participating in Inter- cluster coordination forum at national and regional levels. • UNICEF also contributed to the revision of the Humanitarian Response Plan (HRP) of Mali in July 2019 and participated in the development of the inter-agency response plan on floods under the leadership of OCHA. • UNICEF organized two workshops on emergency preparedness and response (EPR) in August to strengthen the capacity of 100 government officials at national and provincial levels. Humanitarian Strategy UNICEF strategy is aligned with the interagency Humanitarian Response Plan (HRP) and the Government's national Humanitarian plan. UNICEF Mali continues to strengthen the national health and nutrition systems to deliver services emergencies, including the management of SAM cases through an integrated package of activities, hygiene promotion and the provision of water treatment and hygiene kits, measles vaccination and Integrated Management of Childhood Illness. UNICEF is continuing to rehabilitate and construct water systems and provide full package of water, sanitation and hygiene (WASH) services to health centers. In affected areas, UNICEF is promoting the continuity of education through community mobilization, community learning centers and the provision of school supplies. UNICEF is providing psychosocial support to conflict-affected children; support the release of children from armed forces and groups; facilitate the reunification of unaccompanied and separated children with their families; and provide girl survivors of gender-based violence with community care and socio-economic reintegration. Summary Analysis of Programme Response Nutrition By the end of August 2019, 84,061 children aged 6 to 59 months were treated for severe acute malnutrition in health centers across the country, representing 53% of the cases expected for this year. Increased admissions were noticed in the region of Mopti associated to the intercommunal conflict and massive displacement of populations to both Mopti and Segou regions. More data will 4Joint Floods Emergency Response Plan of Ministry of Solidarity and Poverty alleviation and OCHA, August 2019 5 Education cluster dashboard as of 30 June 6 According to the food security cluster and based on the July 2019 revised HRP 7 22% of Children Under 18 based on Ministry of Health and Public Hygiene: 2018 Statistical Yearbook of the Local Health Information System become available with the SMART survey currently underway. For the period under review, 39,757 children under the age of five were screened. This brought to 166,798 the total number of children under five screened since January 2019. Despite a serious humanitarian situation, the nutrition program performance indicators remained within the recommended SPHERE standards: Cure rate 91,5 per cent, death rate is 0,6 per cent, defaulter rate is 7,5 per cent while 0,4 per cent is considered not responding to treatment. The 2019 SMART survey process is underway and covers the whole country and; integrates the collection of data on the IYCF. WASH As of August 2019, UNICEF supported 119,550 people (of which 50,220 people from July to August) in Mopti, Timbuktu and Gao regions through short-term emergency kits distribution including water treatment products. Some 59,464-people gained access to safe water through the rehabilitation and construction of 149 water points (86 in July and August benefiting to 34,264) either through boreholes equipped with hand pumps, solar pumping systems or by wells). Some 179,014 people (84,484 in July and August) benefited from both temporary and permanent drinking water services. Following the deadly attacks of the villages of Ogossagou and Sobane Dah, in the district of Bankass and Sangha respectively, UNICEF and its partners has implemented emergency WASH response (150 emergency latrines, 75 emergency showers, 5 washing areas, 3 waste management incineration pits under construction, 119 households received hygiene kits and tap stands) in IDPs camps and water treatment products to host communities. A total of 3,993 children with severe acute malnutrition and their family, representing a total of 23,958 people in Mopti, Timbuktu and Taoudénit regions were covered through distribution of WASH and Nutrition kits (1553 children and their family for July and August). Health The health system in the center and north regions continues to face the consequences of the ongoing crisis with a lack of minimum health services in some health facilities. In Mopti region, some 11 heads of health facilities left their positions due to intercommunity’s violence. UNICEF response aims sees at providing lifesaving interventions through the distribution of emergency health kits. For this reporting period, 5441 children 0-5 years in Kidal region has been treated for malaria, diarrhea and pneumonia. Malaria chemoprevention campaign has been held in Dire health, where 37,582 children 3 -59 months has treated. A total of 780 patients among them 344 under fourteen year of age received care and treatment in Mopti displacement sites. Community and health facility- based diseases surveillance is being strengthened to timely detect epidemic diseases. Education As part of the inclusive consultation frameworks, 548 community members in Mopti and 210 in Tombouctou have been organized to ensure that communities are engaged in the projects with the aim that they actively support access to education, act as educational advocates and contribute to securing educational activities.
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