Humanitarian Situation Report

UNICEF/ UN3I8A7554/Dicko© SITUATION IN NUMBERS Highlights 1 30 June 2019  As of 30 June 2019, 147,861 people are internally displaced in Mali due to intercommunity and armed violence, mainly in the central regions.  From January to June, several deadly armed attacks occurred in many villages in Region, 3,200,000 People in need causing hundreds of causalities and wounded and leading to massive internal displacement of over (Humanitarian Needs Overview 2019) 50,643 populations of whom 52% are below the age of 18 years1  In May, 876,805 children under 5 were vaccinated against measles in the northern and Mopti regions. 1,600,000 Children (<18) in need of  From January to June, 60,291 children aged 6 to 59 months were treated for severe acute humanitarian assistance malnutrition in the 1,379 health facilities that provide treatment across the country. (UNICEF HAC 2019)  As of June 2019, UNICEF had short-term emergency distribution of water and sanitation kits and sustainable water services to 94,530 people of whom (69,330 for temporary access and 25,200 for 76,888 Internally displaced children sustainable access in the regions). (Commission of Population Movements (CMP)Report, 30  From January to June 2019, UNICEF with its implementing partners provided to 65,573 children June 2019) (29,854 girls – 35,719 boys) community psychosocial supports in the regions of Mopti, Tombouctou, Kidal, and the district of . 147,861 Internally displaced people  As of June 2109, UNICEF enabled 42,638 children to access formal schools as well as informal learning (CMP Report, 30 June 2019) centers2.

UNICEF’s Response with Partners 920 schools closed as of June 2019 (Education Cluster dashboard – June 2019)

UNICEF Sector/Cluster UNICEF Appeal 2019)

US$ 41.9 million Total UNICEF Total Cluster Results Target Results* Target Funding status* (US$) * Nutrition : # of SAM (severe acute 160,000 60,291 160,000 60,291 Carry-over: malnutrition) children (6-59 $6.6M months) treated (16%) WASH : # of affected population 85,500 69,330 1,000,0 109,042 provided with temporary access to 00 safe water (water trucking, Required: aquatabs, chlorine) $41.9M Health : #of children under 5 980,500 876,805 vaccinated against measles Funds Child Protection: # of children Funding gap : received: who received protection services 62,151 65,573 82,151 72,468 $3.1M including psychosocial support, $32.3M (77%) interim care, and family and * Funds available includes funding community reunification received against current appeal as well EDUCATION: # of out of school as carry-forward from previous year. boys and girls (3 to 17) affected by 150,000 42,638 357,000 38,6903 crisis accessing education

1 CMP: Population Displaced Report as of June 30, 2019 2 Education Cluster dashboard as of June 2019 3 Results of Education cluster are available as of April 2019; results of the 2nd quarter are being reviewed by the cluster and will be available in the next report Situation Overview & Humanitarian Needs Following various violent incidents, the number IDPs increased from 61,404 in the first half of 2018 to 147,861 as at 30 June 20191, the majority of which is hosted in the north and central regions. From January to June 30, 2019, the humanitarian situation worsened. The education situation continues to deteriorate with 920 schools closed – of which 64% in the Mopti region alone - compared with the 735 schools closed in June 2018. During the reported period, the nutrition situation has been marked by high prevalence of Global Acute Malnutrition in Gao (15,2%) while in , the number reached ‘critical’ levels (15.7%) based on WHO’s standards. A significant deterioration of nutritional status of children under-five (6-59 months) has equally been noted in Mopti region, with 11,478 SAM cases admitted (55% of burden) due to insecurity and populations internal displacement. In addition, children continued to be affected by violence and deteriorated security situation due to armed groups activities and the intensification of inter-community conflicts especially in the central region. Children are permanently victims of the consequence of this situation, including killing, psychosocial distress, family separation-unaccompanied and separated children, population movement, grave violations of children’s rights (234 incidents as of June 2019).

Estimated Population in Need of Humanitarian Assistance (Estimates calculated based on initial figures from Mali Humanitarian Response Plan, January 2019 _OCHA _HRP 2019)

Start of humanitarian response:

Total Male Female Total Population in Need 3,200,000 1,568,000 1,632,000 Children (Under 18) 1,600,000 784,000 816,000 Children Under Five 660,000 323,400 336,600 Children 6 to 23 months 114,768 56,236 58,532 Pregnant and lactating women 56,510 0 56,510

Humanitarian Leadership and Coordination Following the ministerial reshuffle in May 2019, the Ministry of Health and Social Affairs is responsible for humanitarian assistance while the coordination remains within the Ministry of Solidarity and Poverty Reduction. The Humanitarian Coordinator leads the coordination of the Humanitarian Country Team with support of a Deputy Humanitarian Coordinator recently arrived and based in Mopti. UNICEF leads 3 clusters (WASH, Nutrition and Education) and 1 sub- cluster (Child Protection). The Inter-cluster coordination forum regroups all cluster coordinators and addresses intersectoral aspects. At regional level, a similar humanitarian coordination structure called the “Groupe Interagences de Coordination” is in place in Mopti, Timbuktu and Gao.

Humanitarian Strategy UNICEF in Mali strategy is aligned with the interagency Humanitarian Response Plan (HRP) and the Government's national Humanitarian plan. UNICEF Mali is supporting the Government to manage SAM cases through an integrated package of activities, including hygiene promotion and the provision of water treatment and hygiene kits. UNICEF is continuing to rehabilitate and construct water systems and provide full package of water, sanitation and hygiene (WASH) services to health centers and. Health support is focusing on immunization campaigns and Integrated Management of Childhood Illness(IMCI). 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 the first semester of 2019, 60,291 under five-children (6-59months) were treated for severe acute malnutrition in health centers across the country, representing 38% of the cases expected this year. Admissions increased drastically in the second quarter due to insecurity in the Mopti region (intercommunal conflicts) and massive displacement of populations to the Segou region. Despite this serious humanitarian situation, the performances of the health centers remain in the recommended standards: Cure rate 92,2%, death rate 0,7% and defaulter rate is 7,2%. Also 127,041 children were screened during the reported period and especially in June during the coupling of the screening with some activities of high impact: Week of intensification of nutrition activities (SIAN) and Local Vaccination Some 616,737 children aged 6 to 11 months and 4,872,636 aged 12 to 59 months were supplemented in Vitamin A during the week of intensification of nutritional activities (SIAN) held in April 2019. With the beginning of the rainy season and the volatile security situation in Mopti region, humanitarian needs are increasing and will require an adequate response. The 2019 SMART survey process is already underway which will integrate the collection of data on the Infant and Young Children Feeding.

WASH As of June 2019, UNICEF supported 69,330 people (of which 50,244 people from May to June) in Mopti, Sikasso, Timbuktu, Gao and Menaka regions through short-term emergency kits distribution including water treatment products. Some 25,200-people gained access to safe water through the rehabilitation and construction of 63 water points (27 in May and June benefiting to 10,800) either through boreholes equipped with hand pumps, solar pumping systems or by wells).

Some 94,530 people of whom (61,044 in May and June) 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 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 2,440 children with severe acute malnutrition and their family, representing a total of 14,640 people in Mopti, Timbuktu and Taoudenit regions were covered through distribution of WASH and Nutrition kits.

Health The health system in the center and north regions continues to face the consequences of the ongoing crisis which led to interruption of service provision in many health facilities due to the absence of 11 health center directors and other health personnel. The UNICEF response consisted in provision of lifesaving interventions through the distribution of emergency health kits A total of 780 patients of whom 344 under fourteen years of age received care and treatment in Mopti displacement sites. Community and health facility-based diseases surveillance was strengthened to detect and address any case of epidemic diseases. From January to June, 1,312 suspected measles cases were reported. As part of the measles elimination process and responding to the measles outbreak, UNICEF, Government of Mali and other partners organized a national measles follow-up campaign targeting 863,677 children 9-59 months in emergency areas where 876,805 children were vaccinated.

During the reported period, the Ministry of Health and its partners have organized polio campaign into polio high-risk health districts, reaching 1,420,199 under-five children. This campaign covered the emergency areas in Mali such as Mopti and the 5 northern regions.

Education The mid-year reporting period saw the long teachers strike come to an end; with the MoE announcing a prolongation in the school year till July 31st. This decision has helped children not to lose the whole school year and prepare for exams. In Mopti, Gao and Timbuktu, 42,638 children accessed formal education in collaboration with the MoE through informal education (temporary learning spaces), and through NGOs: NRC, GARDL, OMAES who also distributed 20,734 individual school kits to children.

UNICEF partnered with the Education Development Center and supported 84 schools and 425 teachers in the use of technological tools for self-learning in interactive teaching methods. Out of the 425 teachers trained, a group in Mopti volunteered to work in the IDPs sites after the Ogossagou attacks. Unicef provided 3 temporary learning and playing areas for 258 children and 6 facilitators in Mopti along with the distribution of school and recreational kits. With the NGOs Search for Common Ground, NRC and IEDA Relief, UNICEF signed PCAs which aim at creating awareness in communities to ensure the continuity of education for 94,000 children in Mopti, Segou and Timbuktu this will contribute to the overall target of 245,000 children for 2019. Child Protection As of June 2019, 65,573 children (29,854 girls – 35,719 boys) benefited from community psychosocial support in 45 child friendly spaces and other recreational and secure spaces (CTO, reception center, foster families) in Mopti, Gao, Kidal, Timbuktu and Bamako district.

During the reporting period, 161 children released from armed groups in Gao, Kidal, Mopti, and Timbuktu, benefited from interim care (medical, food, psychosocial support) in 4 transit and orientation centers in Ga0, Bamako, Mopti and Kidal. Among these children, a total of 95 children benefited from socioeconomic reintegration in Gao, Kidal, Mopti and Bamako. Additionally, 171 unaccompanied and 116 separated children benefited from protection services and interim care and 94 among them (20 girls and 74 boys) were reunited with their families and communities in Mopti, Kidal, and Gao. The number increased in the second quarter (march-June) due to the intercommunity and armed conflict in the central regions that has caused internally displacement. These results were achieved in partnership with the National and Regional Directorates of Women, Children and Family Promotion, but also UNICEF both International and National NGOs implementing partners including TdH, COOPI, Centre KANUYA, ATDED and SOLISA-KIDAL.

Communications for Development (C4D), Community Engagement & Accountability As of June 30, 1,300 Young Actors for peace and national reconciliation in Mopti and Ségou regions were trained and coached by Action Mopti, an NGO partner to UNICEF. Sensitization of communities (including in the IDP sites) on peace and social cohesion were conducted through inter-community dialogue sessions, focus groups discussions and home visits.

As part of United Nations Trust Funds for Human Security activities, implemented by the Regional Direction of Social Development (DRDS), 700 teachers of whom 210 women were trained on life skills modules (training of trainers) in Gao, Timbuktu, Kidal and Menaka. The cascade trainings of 20,000 young people on life skills is ongoing along 2019.

As part of the emergency response to the attack in Ogossagou, DRDS and its partners, with the support of UNICEF, have implemented the C4D emergency validated plan which focuses on life-saving information and priority key family practices via spots and microprograms produced and broadcasted by five Community radios in Mopti region. Film projections on social cohesion and peace were organized in the IDP site, reaching 200 children and 155 adults.

Media and External Communication

Following the attack on Sobanou, UNICEF released a statement from its Executive Director. UNICEF continued to engage with top-tier media on the situation of children in Mopti, resulting in an op-ed in CNN and coverage in Al Jazeera. Professional-quality photos and stories on child-friendly spaces and temporary learning spaces were produced. UNICEF Mali launched its new website, featuring a page on humanitarian response and stories on health, WASH and child protection. Finally, on the Day of the African Child, UNICEF requested a minute of silence for children lost in recent attacks, and child journalists advocated for increased child protection measures.

Security

The security situation has continued to remain unstable mostly. From January to June, the security situation was marked by repeated inter-communal tensions that led to massive massacres of civilians , serious violations of righs of the child and increased internal displacements of populations, particularly in the northern and central regions. The first half of the year was also characterized by a significant increase in the number of IED attacks especially on FAMA and civilians. Road access in the north and central part of the country has become challenging for humanitarian actors impacting negatively humanitarian response.

Funding

In 2019, UNICEF is appealing for US$ 42 million to continue responding to humanitarian needs caused by conflict or natural disasters while facilitating access to quality basic social services for crisis-affected populations in the north and centre of the country. As of 30 June 2019, UNICEF presented a 74% funding gap, with the most urgent funding needs in 4 WASH, Education and Child Protection. UNICEF Mali has also $6.6 million of carry-forward funds from 2018 including global thematic humanitarian funds. UNICEF wishes to express its deep gratitude for the contribution from Government of Denmark and Sweden for their regular contribution for the affected population the ongoing complex crisis in Mali.

Funding Requirements (as defined in 2019 Humanitarian Appeal) Funds available Funding gap Requirem Appeal Sector Funds Received ents Carry-Forward $ % Current Year Nutrition 14,749,880 1,746,681 6,195,867 6,807,332 46% WASH 13,008,073 657,208 0 12,350,865 95% Health 1,470,750 280,976 130,000 1,059,774 72% Child Protection 4,000,000 314,578 250,937 3,434,485 86% Education 7,500,000 838,328 0 6,661,672 89% Emergency Coordination 1,250,000 434,484 30,000 785,516 63% Total 41,978,703 4,272,255 6,606,804 31,099,644 74%

Next SitRep: 30/08/2019

UNICEF Mali Facebook: https://www.facebook.com/unicefmali/ UNICEF Mali Humanitarian Action for Children Appeal: https://www.unicef.org/appeals/Mali.html

Who to contact Lucia Elmi Felix Ackebo Anne Daher Aden for further Representative Deputy Representative, Chief of Field Ops and information: UNICEF Mali UNICEF Mali Emergency, Tel: (+ 223) 44 97 69 69 Tel: (+223) 75 99 54 44 UNICEF Mali Email:[email protected] Email: Tel: (+223) 75 99 62 50 [email protected] Email: [email protected]

4 This carry-forward stems from some grants supporting multiannual intervention as well as grants received towards the 2018 year-end closure. Annex A

SUMMARY OF PROGRAMME RESULTS

UNICEF and IPs Cluster Response

Change since Change since Overall 2019 Total 2019 Total last report last report needs Target Results* Target Results* ▲▼ ▲▼ NUTRITION # of children 6-59 months with Severe Acute Malnutrition (SAM) admitted for 160,000 160,000 60,291 25,253 160,000 60,291 25,253 therapeutic care. # of health centres offering NA 1,379 1,379 0 1,379 1,379 0 malnutrition treatment. HEALTH # of children under 5 vaccinated 980,500 876,805 844,175 against measles WATER, SANITATION & HYGIENE # of affected population provided with temporary access to safe water (water 85,500 69,330 35,844 1,000,000 109,042 9,998 trucking, aquatabs, chlorine) # people accessing the agreed quantity of water for drinking, cooking and 1,300,0005 162,500 94530 85,476 1,037,767 161,042 151,988 personal hygiene # people living in environments free of 50,000 16,440 0 378,500 18,610 0 open defecation # children accessing WASH facilities in 25,000 6,750 6,150 133,700 7,950 6,150 learning environments CHILD PROTECTION Number of children who received

psychosocial support in child friendly 272,038 62,151 65,573 48,231 82,151 72,468 52,219 spaces or other secure spaces. Number of children suspected and / or released from forces and armed groups /CAAFAGs receiving interim care or 500 400 161 59 500 164 60 family reunification (including children released from detention) Number of children released from forces and armed groups /CAAFAGs accessing to reintegration 500 400 95 27 500 106 - opportunities and / or socio-economic reintegration. Number of unaccompanied and separated children (UASC) identified and placed in alternative care 450 400 287 287 450 429 arrangements (FAT - CTO) or who have benefited from individual follow-up 429 (Data disaggregated by sex) Number of unaccompanied and separated children reunited with their 450 400 94 94 450 171 biological families (Data disaggregated 171 by sex) EDUCATION # of school aged boys and girls (3 to 17) affected by crisis receiving learning 451,000 245,000 20,734 17,833 357,000 38,6906 -6 /school materials # of out of school boys and girls (3 to 17) affected by crisis accessing 451,000 150,000 42,638 39,737 357,000 42,6387 -7 education. # Boys and girls (3 to 17) affected by crisis attending education in a 451,000 50,000 07 07 357,000 07 07 classroom where the teacher has been trained in psychosocial support

*Total results for all sectors are cumulative.

5 Number of people requiring humanitarian assistance in Water, Hygiene and Sanitation as per 2019 Humanitarian Needs Overview. 6 Results of education cluster as of April 30, 2019, the data of the 2cd Quarter has being collected and will be inserted in the next report

7 This indicator will be updated in the next report (July -August 2019)