UNICEF MOZAMBIQUE SITUATION REPORT – 01 May 2019
MOZAMBIQUE Humanitarian Situation Report
Helena Nilsen interacts with children in a temporary classroom in Chipinde. UNICEF activities in around Beira, Mozambique. @UNICEF/James Oatway
SITUATION IN NUMBERS* Cyclone Idai Situation Report #7: 22 – 01 May 2019 Highlights 1.85 millionION IN NUMBERS People affected by the cyclone in need of UNICEF continues to support the functioning of numerous water assistance by HRP 2019 systems in affected areas, providing safe drinking water to 1 million 776,603 people, 81 per cent of the cluster total target. Children affected by the cyclone in need of UNICEF supports the operational deployment of mobile brigades, assistance with more than 11,000 children under-5 accessing live-saving 500,000 consultations. Children targeted by UNICEF UNICEF will be supporting the Ministry of Health (MoH) in the 965,000 Emergency Response Health Week (SSRE) starting on 06 May, People targeted by UNICEF targeting more than 800,000 children under-five in the 21 most 6,708 affected districts with measles/polio vaccine, vitamin A, Cholera cases reported in Sofala Province deworming and nutrition screening. Since the start of the emergency, UNICEF and partners provided Funding Status bottles of CERTEZA, allowing 125,000 households to access water Funds received for one month. $12.9 m
UNICEF and cluster partners reached 36,542 children aged 6-15, 2019 funding and 1,000 children aged 3-5 years, through the provision of requirement Funding gap $102.6 m Temporary Learning Centers (TLC) and Child Friendly Spaces (CFS). $89.7 m
UNICEF’s Response with Partners Funds received Funding gap Cluster Cluster Result Target UNICEF UNICEF Target
target achieved target Result achieved WASH # of people provided with access to safe water 1,435,000 1,086,297 76% 965,000 776,603 81% (7.5-15L per person per day) Health # of children under-fifteen years vaccinated 500,000 330,888 66% Nutrition # of children under 5 years screened for acute 328,000 15,405 5% 328,000 15,405 5% malnutrition Education
Children aged 6-15 years old in humanitarian 500,000 36,542 7% 380,000 25,705 7% situations accessing education
Child Protection Children receiving psychosocial support through 20,000 8,688 43.4% Safe Spaces Communications for Development Number of people reached with key lifesaving and behavior change messages on health, nutrition and 700,000 798,000 104% safe and appropriate sanitation and hygiene practices. UNICEF MOZAMBIQUE SITUATION REPORT – 01 May 2019 Situation Overview & Humanitarian Needs There are still 23,650 people in 27 transit/accommodation centres, respectively with 21,390 in Sofala (25 centres) and and 2,260 in Zambezia (2 centers). All centers in Manica and Tete closed, and the provincial Government in Sofala is demarcating plots for the affected households in resettlement areas. The process has been completed for 3,201 of the required 8,345 plots (38.4 per cent).
Cholera cases continue showing a downward trend. As of 27 April 2019, there were a total of 6,708 cholera cases recorded in Beira, Dondo, Buzi and Nhamatanda, with a death toll of 8. Most of the cases have been reported in Beira, followed by Dondo, Nhamatanda and Buzi. From 27 March to 25 April, a cumulative number of 20,282 malaria cases were also recorded in Beira, Dondo, Nhamatanda and Buzi districts. The Government, jointly with the UN System, the European Union and the World Bank, launched a post disaster needs assessment (PDNA) to evaluate the impact, damages and losses across key sectors and to inform a national post disaster recovery strategy. The process will be completed in May 2019, with the PDNA assessment highlighting financial requirements for the national recovery framework.
Humanitarian leadership and coordination The National Institute for the Management of Disasters (INGC in Portuguese) continues to provide overall leadership and coordination of all humanitarian interventions in the country. The central level INGC reduced its presence in Sofala to a minimum. Government-led coordination meetings in Maputo cover situation analysis and response for the whole area affected by the cyclone Idai. The Provincial Government of Sofala is convening multisectoral coordination meetings with partners three times a week, during which each sector informs about its response and existing gaps. The meeting is chaired by the provincial Governor and is focusing mainly on the response interventions in Sofala province. In Manica, the coordination meetings led by the Government are held fortnightly.
In Maputo, UNICEF leads the national Nutrition, WASH and Education clusters and the Child Protection sub-cluster. Co- chairing arrangements for Child Protection sub-cluster with an NGO will be defined soon. UNICEF also actively participates in the Health and Protection clusters. The Inter-Cluster Coordination Group (ICCG) supports the Humanitarian Country Team (HCT) overall leadership. In addition, an inter-agency cholera task force brings together the Heath, WASH and community engagement stakeholders. In Beira, UNICEF leads the WASH, Nutrition and Education clusters and the Child Protection sub-cluster (co-chaired with UNHCR) for the Sofala province. In addition, with UNICEF’s support, a disability sub-cluster has been activated. In Chimoio, UNICEF leads the WASH and Protection clusters for the Manica province. In Quelimane, UNICEF leads the WASH cluster for the Zambezia Province. UNICEF is using its close relationship with central and local Government to strengthen the Government of Mozambique’s leadership of the cluster coordination system, with special focus on the Provincial Government’s leadership in Beira.
Humanitarian Strategy UNICEF is providing technical assistance and financial and in-kind resources to Government agencies, as primary providers of services and duty bearers, and non-governmental organizations. To ensure its operational efficiency and timely response, UNICEF established three hubs in the provinces most affected by the cyclone Idai: Beira in Sofala province, Chimoio in Manica province and Quelimane in Zambezia province. With its increased field presence, UNICEF enhanced its capacity to provide technical and operational support to governmental agencies and other partners, undertake higher frequency monitoring and provide quality assurance.
UNICEF’s priorities are: (a) cholera prevention and treatment in hotspots through interventions in WASH, Health, Nutrition, Education and Protection, in collaboration with WHO, MSF and the Government; (b) support to children and their families in transit/accommodation centres; (c) increase the outreach in hard-to–reach areas where people have received very limited aid; and (d) support families returning to their areas of origin or moving to resettlement areas with the progressive deployment of basic services, more resilient to climate-related hazards. UNICEF is striving to make it response inclusive, especially for children with disabilities.
UNICEF is actively engaging government and NGOs partners in promoting an environment free of Sexual Exploitation and Abuse (SEA) and Sexual Harassment (SH). A joint UN toll free call centre will be established shortly by WFP and supported by UNICEF, UNFPA and other UN agencies to enable effective referral for potential victims. The UNICEF Gender Specialist is deployed to Beira to lead the process of operationalizing the PSEA system. Additionally, the child protection team will conduct a quick mapping of existing services.
UNICEF MOZAMBIQUE SITUATION REPORT – 01 May 2019 In support to the PDNA process, UNICEF leads data gathering and analysis in the WASH (co-led with the EU), Education and Social Policy sectors. Primary and secondary data collection was completed. Preliminary costing of damage and loss is being produced and will be discussed with the Government of in early May. UNICEF is supporting the INGC in developing an information management platform to strengthen its ability to use information for decision making and promote enhanced data sharing amongst humanitarian partners, government, civil society and other stakeholders (https://cycloneidai.onalabs.org/).
Summary Analysis of Programme Response WASH The FIPAG water supply system covering Beira and Dondo cities continue fully operational and providing water to 340,000 people. UNICEF supported the reestablishment of water supply one week after the cyclone and has since continued supporting with fuel and water treatment chemicals to maintain its operation. To increase coverage, 20 tap stands were reopened in both cities, particularly in areas with a high-risk of cholera. In addition, UNICEF also provided support for the reestablishment and operation of water supply systems in Nhamatanda, Sussundenga, Mocuba, Gurue and Alto Molocue. WASH cluster partners continue with provision of water in affected areas, including the establishment and rehabilitation of 69 water points supported with bucket chlorination in Dondo, 7 water treatment plants and water trucking to up 40 accommodation centers in Beira, Dondo and Buzi. In addition, and 10 water points in Buzi through water trucking. Cholera response efforts continue through rapid response teams in Beira and other cholera affected districts, following data on reported cases, and informing targeting of interventions per neighborhood. Through UNICEF’s support, WASH cluster partners have distributed over 125,000 bottles of CERTEZA (household water treatment product) to a similar number of families since the start of the emergency; 35,000 of these as part of the cholera response in Beira city. One CERTEZA bottle provides a family with enough water treatment product for one month. Such efforts have contributed to the steep reduction in cholera cases. To ensure water quality, UNICEF is supporting the Water Regulatory Council (CRA) for water quality monitoring in Beira and Dondo. Since 16 April, free residual chlorine is also being monitored in 53 points within the water network and accommodation centres. In addition, more than 1,000 community mobilizers are deployed for social mobilization to promote hygiene and sanitation promotion messages in Beira, Buzi, Nhamatanda and Dondo. UNICEF and partners continue improving sanitation conditions in accommodation centres and resettlement areas, following the guidelines prepared for latrines / communal sanitation facilities developed within the cluster. Through advocacy from UNICEF, the operation of the Beira city sanitation treatment plant resumed its operation. Moreover, UNICEF is supporting Beira municipality to restore access to the city’s solid waste disposal site and to increase its capacity for latrine desludging for accommodation centres and institutions. This is a significant improvement as the sludge from the camps and the cholera treatment centres (CTCs) had nowhere to be safely disposed. WASH continued its efforts in providing treated water to prepare ORS, management of all the excreta and vomit produced. WASH response is also being implemented in the most affected districts in the Manica and Zambezia provinces. Through the WASH cluster, partners identified specific needs per location and a division of responsibilities has been made per geographical area to avoid duplicating efforts. While emergency response continues in terms of water supply, including distribution of products and materials for household water treatment, water trucking, rehabilitation of water sources, installation of temporary sanitation facilities and distribution of NFI kits in affected areas, UNICEF and partners are supporting Government for the rehabilitation and construction of new water sources for resettlement and relocation areas. The WASH cluster developed standards for emergency response, including for cholera. With the recovery planning already ongoing, principles for the relocation process have been discussed between WASH partners and agreed with national and provincial governments, aligned the national sectoral policies.
Health The Oral Cholera Vaccination (OCV) campaign concluded two weeks ago. New cholera cases registered a marked reduction, thought a small number of cases continues to be reported daily from Beira, Dondo and Nhamatanda. These are being addressed with targeted response. Concerning reports of acute watery diarrhoea cases in Manica were found to be negative for cholera. Malaria is the rapidly growing concern with 20,282 reported cases in the most affected districts of Sofala. To prevent cases, more than 218,000 mosquito nets (LLINs) have been distributed during campaigns and returns from accommodation centres using available national stocks. However, this effort has created critical gaps with an urgent need to replenish stocks. An Indoor Residual Spraying (IRS) campaign started on 25 April aiming to cover more than 200,000 households. UNICEF has imported additional malaria treatments and is coordinating distribution of supplies with partners.
UNICEF MOZAMBIQUE SITUATION REPORT – 01 May 2019 The next campaign organized by the MoH with UNICEF support is the Child Health Week starting on 06 May 6, targeting more than 800,000 children under-5 in the 21 most affected districts with measles/polio vaccine, vitamin A, deworming and nutrition screening. UNICEF supported the microplanning and training of teams. Remote locations have been mapped and solutions using boats and helicopters to reach these sites are currently being defined. Working with CHAI and Village Reach, UNICEF is rehabilitating a basic cold chain to store vaccines in strategic locations as full functionality of EPI services is still needed. The campaign has been scheduled to start 06 May, allowing sufficient time for these complex preparations. Aligned with the integrated national health and nutrition response plan, UNICEF is working closely with the MoH to ensure mobile/outreach services to accommodation centres and highly affected communities from the 1st week of the response. This is part of a wider health service delivery scale-up for access to a basic package of primary and secondary health care services, including treatment of common childhood illnesses, restoration of treatment for HIV, routine prevention and promotion services (e.g. EPI, ANC) as well as referral for delivery and newborn care in partnership with international medical teams. UNICEF continues to support operational deployment of mobile brigades provision of medical kits and a short-term staffing surge organized by the provincial health authorities to prove for curative and preventive services. A complementary assessment of the functionality of Community Health Workers (APE in Portuguese) has completed. Of 175 workers in affected districts, 66 per cent report direct impacts of the cyclone. As part of the material support provided, additional medical kits are being procured to return APE to full functionality, serving women and children in the most remote communities. A HIV task force was constituted during the week, co-chaired by MOH, FHI360, and UNICEF the focus is to ensure HIV+ individuals resume and remain on treatment. Prior to the crisis, adherence to treatment was a challenge and concerns are great that this may only get worse.
Nutrition UNICEF is supporting active screening of children aged 6-59 months in affected areas to identify children suffering from both Severe and Moderate Acute Malnutrition (SAM and MAM) who are then referred to Government run facilities for treatment. To date, UNICEF and partners have screened over 15,405 children. A UNICEF-supported mass screening exercise in accommodation centers in Sofala province the week of 22 April found 163 SAM and 471 MAM cases. 904 pregnant and lactating women were also screened. UNICEF also provided over 5,000 cartons of BP-5 fortified biscuits to health centers in affected areas to provide nutrition support to pregnant and lactating women with HIV, as well as an incentive to resume monthly health checks and ART treatment. The upcoming Child Health Week in cyclone affected provinces will scale up nutrition services for women and children, including those living far from accommodation centers and health centers. Nutrition specific activities will include Mass MUAC screening and referral for treatment for identified children with acute malnutrition, vitamin A supplementation and deworming, for all 6-59-month-old children, and Iron-Folic Acid (IFA) supplementation for pregnant and lactating women and girls aged 10-19 years. This exercise will enable identification of malnutrition ‘hot-spots’ and consequently the targeting of resources for treatment services in those areas. Working with other Nutrition Partners and SETSAN, the Government body coordinating Food and Nutrition assessments, UNICEF is supporting SMART Surveys and Integrated Food Security Phase classification (IPC) for acute malnutrition in 17 affected districts. Data collection is on-going, and the results of the IPC analysis will further inform the response strategy from the month of July 2019.
Education To date, Education Cluster partners reached 36,542 children aged 6-15, including 25,705 reached by UNICEF and partners, 1,000 children aged 3-5 years were also reached through the provision of Temporary Learning Centers (TLC), Child Friendly Spaces (CFS) and materials. The increase in the beneficiary was partly due to partners’ effort to reach more areas including DPEDH and partly due to the improvement of reporting by partners who benefitted from the training provided in this area. As a result, the cluster’s coverage was extended from 2 districts to 7 districts. UNICEF has been intensively supporting DPEDH to distribute the supplies delivered to them in addition to the contribution through our main partner COSACA, resulting in reaching 26,705 children to date in 4 districts.
As the government proceeds to the early recovery stage and IDPs’ return to their area of origin, efforts will continue to be made to ensure that supplies are available, and children have access to learning opportunities through the provision of TLC and CFS. In response to the government’s request for psychosocial support (PSS) to children and teachers, UNICEF is identifying partners working on PSS and harmonizing the approach being used, including training materials and methodology. Meanwhile, the disability sub group established under the Child Protection cluster and UNICEF will leverage this platform to ensure the mainstreaming of disability issues into PSS activities. Child Protection The child protection coordination in Sofala is now co-led by the government and UNICEF. The provincial Director of Gender, Children and Social Action (DPGCAS) leads one in two weekly coordination meetings. UNICEF conducted a series of UNICEF MOZAMBIQUE SITUATION REPORT – 01 May 2019 workshops on case management, psychosocial support and strategic information management to take stock of interventions, harmonize approaches were possible, and identify and respond to gaps. The workshops were attended by a total of 48 participants from the government social work force and local and international civil society organizations; More than half of the participants were government officials.
UNICEF is supporting PSS activities in Beria – in Picoco, IFAPA, IFP, Sao Pedro Camp, Samora Machel and in Buzi - Secondary school, Campo 11 -- Buzi and Gondola. 10,313 children are receiving psychosocial support in child friendly spaces (CFS) thanks to UNICEF and Child Protection Sub-Cluster partners, of which 6,336 children in Sofala (in Beira and Buzi) and 3,795 children in Manica (Gondola). UNICEF led the formation of a task force on people living with disabilities (PwD) that will work with all sectors to mainstream to address vulnerabilities of PwD.
UNICEF continued monitoring the relocation of families to ensure safety and protection of children. To date, a total of 401 households (HH)were relocated, 213 HH in Buzi and 188 HH in Nhamatanda (188 HH) during the reporting period. In the new resettlement sites, UNICEF supported the establishment of protective environments and together with child protection actors raised awareness on family separation, and prevention and response to violence against children, through case management.
Communication for Development (C4D) The Community Engagement Working Group, led by OCHA and co-led by UNICEF, was strengthened in its capacity to address Accountability to Affected Population (AAP) and programmatic needs across sectors. All partners and government agencies working on Community Engagement and Communication for Development still need to align efforts to both systematically listen to the needs of the affected communities and streamline social mobilization and behaviour change communication activities. A comprehensive behavioural assessment will be undertaken in the coming weeks. It will identify current information gaps and cultural drivers for uptake of recommended behaviours across all sectors.
In Beira, more than 1,000 social mobilizers promoted preventive WASH-related behaviours and malaria. reaching 32,000 families. Similarly, in Dondo, 50 social mobilizers deployed reached 1,400 families and 40 social mobilizers deployed in Nhamatanda reached 1,200 families. Mobile Units from the Institute of Social Communication engaged 3,000 people from 18-24 April in transit centers and communities in Beira and Nhamatanda districts through public announcements and community cinema engagement sessions with key messages on WASH related behavior and information about resettlement to new areas (Guara Guara). Radio Mozambique and 5 community radios in Sofala province also continued disseminating interactive broadcast programmes and radio spots on hygiene behaviors, cholera and malaria prevention and resettlement in 3 languages. During the reporting period, 18 Religious Leaders from inter-faith organization trained and 17 social mobilizers from OJOLICS NGO were trained. Youth group trainings with PIRCOM are planned from this weekend. For the up-coming Child Health Week, script for radio spot developed with DEPROS and “Ouro Negro “radio programme will seek community feedback through call-in shows. Operationalization of the Community Feedback Mechanism through hotline – Linhe Verde (led by WFP) and UNICEF platforms such as U-Report used by Activistas (social mobilizers) and radio programmes is on-going. With the use of Third Party Monitoring system and by establishing a nimble behavioural monitoring system, data gaps in C4D will be addressed to ensure communication is based on evolving needs of the affected communities as we move into a recovery and rebuilding phase.
Supply and Logistics Most of supplies linked to the first-wave response have been delivered. The finalization of the second supply wave is under way, including through local and regional options where possible. The main logistics hub in Beira is fully operational. Two warehouse locations are managed in Beira with total storage capacity of more than 1000 m2 to meet the storage needs based on the supply plan. Agreements have been established with local logistics partners in Beira to support in- country logistics and transport needs. Most of the delivery points are now accessible by road, with the Logistics Cluster providing support when road access is not possible. A secondary logistics base has been established and is operational in Chimoio (Manica Province). Warehousing is provided via the Logistics Cluster in Chimoio, with a total capacity of 1000 m2. Emergency supplies are subject to an expedited custom clearance process allowing a smoothly clearance process.
Funding Based on the initial assessments and needs, UNICEF is requesting US$102.6 million to meet the humanitarian needs of people affected by Cyclone Idai as well as to support the recovery phase of the response. UNICEF appeal covers March to December 2019. The UN Flash Appeal for IDAI response with the funding requirement of US$281.7 million covers the first three months of the response supporting 1.72 million people, of which UNICEF's portion is US$30 million.
UNICEF MOZAMBIQUE SITUATION REPORT – 01 May 2019 As of 21 April 2019, UNICEF secured close to US$ 12.9 million from CERF (WASH, Health, Nutrition, Protection, Education), DFID, Sweden and several National Committees, including the German National Committee, and UNICEF continues to engage other public and private sector partners. UNICEF Mozambique also released US$1 million of its contingency reserve from internal regular resources and accessed US$ 8 million emergency loan from HQ (EPF).
UNICEF Mozambique Humanitarian Action for Children Funds available Funding gap (HAC) Requirements for IDAI cyclone response Funds received Requirements Appeal Sector current year US$ % (US$) (US$) Water, sanitation and hygiene $30,000,000 4,684,728 25,315,272 84% Nutrition $6,000,000 210,940 5,789,060 96% Health $11,000,000 2,728,857 8,271,143 75% Child protection $4,000,000 1,069,004 2,930,996 73% Education $20,000,000 2,435,945 17,564,055 88% Communications for Development $1,600,000 646,975 953,025 60% Logistics and Operations 15,000,000 1,130,952 13,869,048 92% Resilience and Recovery 15,000,000 0 15,000,000 100% Total $102,600,000 12,907,401 89,692,599 87%
Next SitRep: 28 April 2019 UNICEF Mozambique: http://www.unicef.org.mz/ UNICEF Mozambique: http://www.facebook.com/unicef.mozambique UNICEF Mozambique: http://www.twitter.com/UNICEF_Moz UNICEF Mozambique: http://www.youtube.com/UnicefMozambique
Who to Marcoluigi Corsi Michel Le Pechoux Claudio Julaia Representative, Deputy Representative, Emergency/DRR Specialist, contact for Mozambique Mozambique Mozambique further Tel: +258 21 48 11 11 Tel: +258 21 48 11 04 Tel: +258 21 481 150 Mobile: +258 82 305 1900 Mobile : +258 82 314 8100 Mobile: +258 82 333 9250 information: Email: [email protected] Email: [email protected] Email: [email protected] [email protected]
UNICEF MOZAMBIQUE SITUATION REPORT – 01 May 2019
ANNEX I: UNICEF targets for Cyclone Idai response
Cluster/sector UNICEF
Cluster Cluster Change UNICEF Change Target Results** since last UNICEF Results since last report▲ Target report▲▼ WASH ▼ People provided with access to safe water 1,435,000 1,086,297 ▲148,273 965,000 776,603 No change (7.5-15L per person per day)
People benefiting from sanitation, hygiene promotion activities, including point-of-use 435,000 548,510 ▲66,413 267,500 358,557 ▲101,957 water treatment safe practices
Health
Children aged 6 months to 15 years 500,000 330,8881 No change vaccinated (OCV/Measles)
Children under-five receiving a consultation 229,500 11,246 ▲2,398 Nutrition
Children under five years of age screened 328,000 15,405 ▲3,777 328,000 15,405 ▲3,777 for acute malnutrition
Pregnant and lactating women reached 100,000 59,581 No change 100,000 33,544 No change with IYCF services
Education
Children aged 6-15 years old in humanitarian situations accessing 500,000 36,542 ▲23,290 380,000 25,705 ▲18,615 education
Children aged 3-5 years old in humanitarian 100,000 1,000 No change 76,000 1,000 No change situations accessing play-based learning
Child Protection
Children receiving psychosocial support 20,000 6,7312 through Safe Spaces
Separated and unaccompanied children are identified and are in family-based care or 400 123 No change an alternative care
Communications for Development
Number of people reached with key lifesaving and behavior change messages on health, nutrition and safe and 700,000 798,0004 ▲176,0005 appropriate sanitation and hygiene practices.
1 The total number of people vaccinated with UNICEF support is 900,000. Children aged 1-14 yrs are estimated to be 41.2% of the population. This proportion was used to calculate the result achieved. 2 The number of children reported in SitRep #6 reflected the result achieved by Child Protection Sub-Cluster. We are correcting this figure to reflect the result achieved by UNICEF with its implementing partners. 3 More children identified; report on verification is on-going and will be reported on next week. 4 Include 430,000 people reached through one-time OVC campaign through social mobilization on hygiene and sanitation promotion in preparation for the cholera vaccination campaign on 3-4 April in Beira, Buzi, Nhamatanda and Dondo. 5 Reached through family social mobilizer and multimedia mobile unit with integrated package with key lifesaving and behavior change messages