UNICEF SITUATION REPORT – 15 May 2019

MOZAMBIQUE Humanitarian Situation Report

UNICEF and partners distributed educations packs to learners at 12 Outobro Primary School. @UNICEF/James Oatway

Cyclone Situation Report #9: 09 - 15 May 2019 SITUATION IN NUMBERS* SITUATION IN NUMBERS Highlights 1.85 million People affected by the cyclone in need of  Around 60,000 children remain in need of life-saving aid in Cabo assistance by HRP 2019 Delgado province with access and security constraints hampering 1 million the delivery of humanitarian assistance. Children affected by the cyclone in need of  In Sofala and Manica provinces, more than 11,000 families are assistance being moved to resettlement sites that do not meet minimum 500,000 conditions. UNICEF is working with partners and government to Children targeted by UNICEF accelerate the provision of basic services. 1 million  UNICEF continues to support the provision of temporary, safe, People targeted by UNICEF WASH drinking water to more than 500,000 children in provinces 178 affected by the two cyclones. However, a permanent solution is Cholera cases reported in Cabo Delgado needed for families returning home or relocating to safer province locations.  With UNICEF support, the Emergency Response Health Week Funding Status (SSRE), reached more than 550,000 children under-five with measles-rubella vaccine, polio vaccine, vitamin A Funds received $17.4 m supplementation, deworming and nutrition screening. 2019 funding requirement  UNICEF is providing temporary solutions to re-establish access to Funding gap $85.2 m $102.6 m education to 36,000 affected children in provinces affected by the cyclones, while planning for permanent and resilient solutions.

Funds received Funding gap UNICEF’s Response with Partners for Cyclone Idai response Cluster Cluster Target UNICEF UNICEF Target

target Result achieved target Result achieved WASH # of people provided with access to safe water (7.5- 1,435,000 1,381,500 96% 965,000 1,004,200 104% 15L per person per day) Health # of children under-fifteen years vaccinated 500,000 330,890 66% (OCV/Measles) Nutrition # of children under 5 years screened for acute 328,000 602,167 183% 328,000 602,200 183% malnutrition Education Children aged 6-15 years old in humanitarian 500,000 87,264 17% 380,000 37,070 10% situations accessing education Child Protection Children receiving psychosocial support through Safe 147,000 12,502 9% 20,000 6,940 35% Spaces Communications for Development Number of people reached with key lifesaving and behavior change messages on health, nutrition and 700,000 835,380 119% safe and appropriate sanitation and hygiene practices. UNICEF MOZAMBIQUE SITUATION REPORT – 15 May 2019

Situation Overview and Humanitarian Needs

Cyclone Idai In the number of accommodation centres has decreased from 18 last week to 11 this week with a total of 2,987 families still displaced. UNICEF and partners are working with the Government to plan and support the resettlement of around 40,000 people to 21 sites. Despite the humanitarian community efforts to accelerate the provision of basic services in relocation areas, the movement of families is happening before minimum conditions are in place. UNICEF and humanitarian partners are advocating with the Provincial Government for a slower process.In (Sussundenga/Dombe districts) more than 15,000 people live in around 30 resettlement areas with limited or no access to basic services. UNICEF is leading the efforts to assess these locations and meet the water and sanitation needs of the displaced families through the WASH cluster. Government’s resettlement plans and standards are still unclear and coordination between provincial, district authorities and humanitarian community is weak.

New cholera cases in Sofala province remain low, in the single digits, with two consecutive days of zero cases. Importantly, cholera has not moved into neighbouring districts as active surveillance investigated and excluded treated diarrhoea cases. Malaria continues to rise with 29,597 accumulated cases in Beira, Dondo, Nhamatanda and Buzi districts since the beginning of the crisis.

Cyclone Kenneth In Cabo Delgado access and security remain significant constraints hampering the delivery of humanitarian assistance to the most heavily affected communities that remain isolated. As of 12 May, the National Institute for the Management of Disasters (INGC in Portuguese) recorded about 286,000 affected people (249,000 in Cabo Delgado and 37,000 in ), of which approximately 143,000 are children. The most affected districts are Macomia, Quissanga and Ibo (Cabo Delgado). The most heavily affected communities, with an estimated population of around 120,000 people, are receiving limited support mostly by air due to their inaccessibility, with blanket distribution of food, shelter, water disinfectant (Certeza) and few additional NFI. Around 2,800 people are sheltering in six temporary accommodation centres in . The government plans to move 13,500 families from unsafe areas to resettlement locations. The Shelter Cluster is engaging the provincial authorities to define resettlement plans and UNICEF is actively engaging in the discussion. A total of 308 classrooms in 147 schools are totally or partially destroyed affecting access to education for around 42,000 children. Over 19 health facilities are damaged or destroyed preventing thousands of children from accessing primary health services.

As of the 13 May, the MoH reported 178 confirmed cases of cholera in Cabo Delgado, not only in the city of Pemba but also in the more rural districts of Metuge and Mecufi (147 in Pemba, 20 in Metuge and 11 in Mecufi, making more difficult the identification of cases and ensuring care, although the attack rate in rural areas is typically lower. Children are highly vulnerable to water-borne diseases and vector-borne diseases. Given increase in breeding sites, malaria is a major concern with the number of malaria cases increasing rapidly. Health facilities in Pemba, Macomia, Metuge, Ibo and Quissanga recorded a combined 3,677 cases of malaria since the Cyclone Kenneth.

Humanitarian leadership and coordination

At the national level, the INGC continues to provide overall leadership and coordination for the emergency responses related to both Cyclone Idai and Kenneth. In , UNICEF leads the national Nutrition, WASH and Education clusters and the Child Protection sub-cluster. UNICEF also actively participates in the Health and Protection clusters. UNICEF also co-chairs with COSACA the PSEA Network in Maputo. The Inter-Cluster Coordination Group (ICCG) supports the leadership of the Humanitarian Country Team (HCT).UNICEF is using its close relationship with central and local government to strengthen the Government of Mozambique’s leadership of the cluster coordination system.

Cyclone Idai In Sofala province, the Provincial Government leads multi-sectoral coordination meetings. UNICEF leas the WASH, Nutrition and Education clusters and the Protection Sub-cluster (co-chaired with UNHCR). The ICCG is led by OCHA. UNICEF also participates actively in the Return, Relocation and Resettlement Working Group, in the Disabilities Working Group lead by NGO Light for the World and co-chair the PSEA network meeting with COSACA. In Manica, sectoral and inter- sectoral coordination mechanisms and information management systems continue being much weaker compared to Sofala.

Cyclone Kenneth UNICEF MOZAMBIQUE SITUATION REPORT – 15 May 2019 The Governor of Cabo Delgado leads the coordination of the Cyclone Kenneth response, supported by the INGC from central and provincial levels. UNICEF leads the WASH and Nutrition clusters and the Child Protection sub-cluster and is setting up the Education cluster. Other clusters activated for Cabo are Health, Shelter, Logistic, Food security and Information and Technology. The ICCG is led by OCHA.

Humanitarian Strategy

UNICEF’s strategies and approaches in the response to the humanitarian needs caused by Cyclone Kenneth and Cyclone Idai are similar. UNICEF provides coordination, technical assistance, financial and in-kind resources to Government agencies, as primary providers of services and duty bearers, and non-governmental organizations in the following priority areas: a. Cholera prevention and treatment, with a multisectoral response in Health, WASH and Communication; b. Restoration of provisional basic services and reduction of vulnerability of children in o Transit/accommodation centers o Return, relocation and resettlement sites (RRR)1 o Isolated areas; c. Reconstruction of permanent, resilient services and systems (build back better).

UNICEF is working to:  Strengthen the Government’s coordination and response capacity, including information management systems;  Address the specific needs of children with disabilities and other vulnerable groups;  Ensure an environment free of Sexual Exploitation and Abuse (SEA) and Sexual Harassment (SH);  Enhance accountability to the affected population.

UNICEF and its partners work together to meet the needs of the affected children as they move from accommodation centres to their areas of return and resettlement. In Sofala, the Return, Relocation and Resettlement Working Group, comprised of the UN and partners, is advocating for voluntary, dignified, safe and sustainable returns, relocation and resettlements, and has designed a joint plan and standards with the Government to establish minimum services in the areas of resettlement before moving in the affected families. Special attention is being placed to ensure that vulnerable people receive additional support during the transition to resettlement.

In Cabo Delgado, given the security constraints, agencies are assessing the possibility to establish partnerships with local NGOs and quickly build their capacities to deliver aid.

Regarding humanitarian cash-based assistance, WFP and UNICEF are planning a joint multi-purpose value voucher approach using a vulnerability-based targeting mechanism to address household food and NFI (primarily hygiene) needs, in areas with functional markets. The proposed approach would be a transitional humanitarian intervention, as UNICEF and WFP aim to establish concrete linkages for coordination and capacity support, where viable, with government-run social protection mechanisms.

Summary Analysis of Programme Response WASH

Cyclone Idai WASH partners continue focussing on resettlement and return areas. Both in Sofala and Manica the WASH cluster has mapped partner responsibilities for the immediate temporary provision of water and sanitation facilities, as well as responsibilities for the long-term WASH solutions of the new settlements. With UNICEF support, in two of the resettlement locations in the (Mutua and Mandruzi), the network extension was completed, with the construction of communal standpipes still underway.

In Sofala the district authorities identified over 140 priority rural water points needing urgent rehabilitation and water committee reactivation. The WASH cluster is coordinating partners’ action to meet this need and UNICEF is supporting the rehabilitation of over 30 per cent of the water points.

1 ‘Return’ for people who voluntarily return to their home to rebuild; ‘Relocation’ for people who are being relocated from their current location to a temporary location before proceeding home or resettling; and ‘Resettlement’ for people who will not return to their highly voulnerable locations and will be assigned plots in safer areas. UNICEF MOZAMBIQUE SITUATION REPORT – 15 May 2019 The Beira Cholera response continues in hotspot neighborhoods of Beira, with the final blanket distribution of Certeza water disinfectant being planned this week. This marks the end of this response phase, which is replaced by a targeted rapid response team (RRT) approach, where visits to the homes of suspected cholera patients are carried out within 48 hours of case admission in the cities of Beira, Dondo, and Nhamatanda. The RRTs are led by Provincial Health Directorate (DPS)and deliver cleaning products, examine the water and sanitation conditions, and reinforce good hygiene practices with the family and the surrounding neighbours.As part of the cholera response, the water quality monitoring initiative continues with local authorities monitoring the water quality at approximately 40 sampling points in Beira and Dondo’s water systems. Chlorine dosages is increased where low chlorine residual levels are detected.

Cyclone Kenneth UNICEF is participating in the cholera taskforce led by the DPS and is coordinating targeted response in high caseload neighbourhoods. The initiative reached 134,000 people to date with Certeza bottles and hygiene education. Similar to the cholera response in Beira, UNICEF and local authorities are establishing a water quality monitoring system to ensure presence of residual chlorine in the water system. Additionally, the WASH cholera RRT is being established to target households with cholera cases.

In an effort to respond in the most affected areas, a multisector pipeline was established between WASH, shelter, food and other clusters to reach inaccessible areas. In some cases, non-WASH partners are integrating WASH distributions into their food and shelter responses.

A total of 1,595 UNICEF hygiene kits were distributed to affected families in Ibo, Pemba, Metuge and Mecufi districts, reaching 7,975 people, covering the most vulnerable households. This includes 1,579 people in the two accommodation shelters in Pemba town, where distributions have been complemented with water trucking and establishing temporary sanitation facilities. UNICEF is supporting the government with key supplies and funding to keep affected water systems running on generators across the province. This has ensured access to water to 147,000 people. UNICEF is also covering local authorities’ operating costs allowing them to assess, undertake small repairs, disinfect water points, and monitor and coordinate the response by NGO partners.

Health

Cyclone Idai The Health Week in Response to the Emergency (SSRE) was largely completed during the week reaching 20 of the 21 targeted districts most affected by the cyclone and floods. of Zambézia was postponed to mid-May due to a completing polio campaign activity. Coverage across the districts is extremely good, preliminary results of the first five days (mop-ups are ongoing in particularly hard to reach areas that required helicopter access) reached more than 559,000 children under-five with measles-rubella vaccine (90 per cent coverage) as well as polio vaccine, vitamin A supplementation and deworming. The available results by health facility already indicate marked changes in the distribution of the population – these results will be triangulated with other population data for better targeting of PHC services.

In addition to the provision of WASH services, UNICEF continues to support health promotion messages on health seeking behaviours to finally bring a closure to the cholera outbreak, hopefully later this month.

One of the significant innovations in support to an integrated service delivery has been the inclusion of BP-5 biscuits to incentivize pregnant women living with HIV/AIDS in affected areas to resume and remain active on treatment for their own health and that of their child. UNICEF provided supplies and trained health workers on the implementation of this initiative. UNICEF started a rapid assessment of 10 health facilities identified for basic rehabilitation support to reinforce primary health care delivery to the most affect and vulnerable communities.

Cyclone Kenneth In response to cases cholera, UNICEF is supporting the MOH on Oral Cholera Vaccination (OCV) campaign, as part of effort to stop the spread of cholera in the community. With financial support of GAVI, UNICEF procured an initial 516,000 doses of OCV that arrived on 12 May for a campaign schedule to start 16 May in Pemba city and 17 May in Metuge and Mecufi districts for two rounds. UNICEF has provided intense technical and financial support for the social mobilization required for the campaign (as well as wider communication on hygiene and cholera prevention) to complement the operational UNICEF MOZAMBIQUE SITUATION REPORT – 15 May 2019 costs provided by GAVI/WHO. Appreciating the on-going observance of Ramadan, particular care is taken to the organization and communication of the round. Regarding the isolated, heavily affected areas, UNICEF has provided medical kits and operational costs to provincial health teams, sufficient to cover at least 6,000 people in the most affected communities. The needs assessment is ongoing with partners to have more accurate assessment for health and specifically child health needs.

Nutrition Nutrition Cluster at national level continues to follow the agreed emergency response strategy, under co-leadership of UNICEF and Ministerio de Saude. The increasing role of non-governmental partners for the Idai response is a positive development, while low participation of partners in Pemba for the Kenneth response is a concern. The bulk of the cluster coordination function remains at sub-national level.

Cyclone Idai With the implementation of Health Week this week UNICEF and Nutrition Cluster targets for screening children for acute malnutrition were exceeded as all children under-five were screened. Preliminary data reported 586,000 children 6-59 months screened with MUAC (mid-upper arm circumference, a simple but effective measure of acute malnutrition) measurement. Importantly, the screening led to immediate enrolment of identified cases of MAM and SAM for further treatment and counselling. Reports on the number of cases of MAM and SAM are being finalized by the MoH and will be available next week. Further, 585,500 (94 per cent) children 6-59 months received vitamin A supplementation and 466.000 (86 per cent) deworming medication. Over 1.5 million pregnant and lactating women were screened for moderate acute malnutrition, with identified cases enrolled for treatment.

Working closely with Food and Nutrition Security Secretariat (SETSAN), the assessment of nutrition and food security started with financial and technical support, and field supervision support from UNICEF. The ‘SMART’ surveys will provide affected districts: Buzi, Caia, Nhamatanda, Beira and Dondo districts (Sofala province), and Sussundenga and Gondola districts (Manica province) with clear information on their food security prospects and nutritional status of children.

Cyclone Kenneth Around 4,000 children 6-59 months of age were screened for acute malnutrition in Pemba, Macomia, Metuge, Mecufi, Ibo and Quissanga districts. Of these, 75 moderate acute malnutrition cases and 47 severe acute malnutrition cases were identified and enrolled for treatment. A food security and nutrition assessment in Cabo Delgado in April (just before cyclone Kenneth) showed high levels of acute malnutrition (11.3% GAM) in , which was one of the most affected by the cyclone. Given the generally poor nutritional status in the Cabo Delgado province, concerns about high rates of malnutrition continue.

Education

UNICEF is working closely with the local authorities in Sofala, Manica and Cabo Delgado provinces to select schools for temporary rehabilitation solutions (e.g. setting up Temporary Learning Spaces [TLS] and minor repairs of roofs, doors and windows) and enable children to quickly return to school. A verification exercise is underway with Cluster partners to identify and prioritize the hard-to-reach schools and settlements for forthcoming support.

Cyclone Idai This week, UNICEF and the local government organized joint assessment missions in Dondo and Nhamatanda districts where 18 TLSs were installed. In Manica province, UNICEF set up seven TLS equipped with school-in-a box and learner’s kits allowing around 1,500 children to resume classes.

Cyclone Kenneth Response UNICEF conducted joint assessment with the government to the most affected districts and identified urgent needs for supplies to establish TLSs. UNICEF already installed 21 TLSs in , Ibo and two nearby islands, and distributed 32 school-in-a-box and 2,700 learner’s kits to allow more than 4,200 children to have access to primary education. UNICEF also provided two Early Childhood Development Kits benefiting 100 children (3-5 years old) who have a safe place to play and develop learning skills.

Child Protection

Cyclone Idai UNICEF MOZAMBIQUE SITUATION REPORT – 15 May 2019 Under UNICEF leadership, child protection partners are providing psychosocial support through 39 Child Friendly Spaces (CFS) to 12,502 children in Sofala and Manica.

Partners supported the re-establishment of 26 Community Child Protection Committees (CCPC), who have reached 700 community members with messages on child right, violence, abuse and neglect. A total of 1,000 children were reintegrated in school and 730 children referred to specialized services, including medical and psychological services.

A total of 47 religious leaders (men and women) were trained on child protection as part of effort the rebuild a protective community for children following resettlement. Child protection partners reached 7,012 community members with messages on prevention of separation and existing mechanisms for family tracing and reunification enhancing safe transfer to relocation and resettlement centers.

Partners identified 2,478 people with disabilities (PwD) in need of assistance in Sofala. Light for World conducted a needs assessment of some 1,563 PwD; major needs identified are shelter, food assistance and education materials. The main challenges in the resettlement of persons with disabilities, particularly children, are related to the location of schools in the resettlement zones.

Inter-agency efforts directed at strengthening the PSEA Network in Beira meeting have resulted in i) the development of a tool to map partner activity and monitor results; ii) a dissemination strategy for the roll-out of Codes of Conduct; iii) roll- out plan for the training of UN and partner drivers; iv) and vertical capacity building strategy through the clusters system. In addition, collaboration between the PSEA Network and the GBV Sub-Cluster has resulted in final draft of the referral pathway for services which will be presented to the government for approval. UNICEF direct efforts around PSEA have resulted in: (i) training for 40 volunteer community activists on PSEA; (ii) training of UNICEF staff deployed to Beira; and (iii) initial planning with the Community Engagement Working Group on awareness raising and engagement initiatives.

Cyclone Kenneth In Pemba City, 90 children are receiving psychosocial support in CFS with support from UNICEF and Child Protection Sub- Cluster partners. UNICEF is providing PSEA training to the different humanitarian actors. From a rapid assessment carried out in Ibo, it was identified that there is a great need for socio-recreational activities, as schools have not restarted, and previous recreational centres were destroyed by the cyclone.

Communication for Development (C4D)

Cyclone Idai In Manica province, the Health Week was promoted through radio spots broadcasted in Portuguese and local languages and leaflets reaching thousands of people, including media, community and religious leaders, and health volunteers.

In Sofala province, the Health Week was promoted through Radio Mozambique, community radios and TV in three languages, including episodes of the national radio drama, where listeners could call in and get information from the government about the health week. UNICEF also conducted a rapid poll with 7,134 U-Reporters on the Health Week messages in four districts with 68 per cent of people reached being aware of the campaign. UNICEF National Ambassador was also part of the launch of the Health Week in Buzi where she interacted with parents and children throughout the week.

UNICEF reached 10,000 people, including youth and children, in transit centres, resettlement areas and affected communities through the community engagement sessions and discussions on the key health messages. The sessions also addressed the resettlement process.

Partnership with inter-faith organization, PIRCOM, continues to expand with the training of 50 religious leaders and 25 youth leaders on health seeking behaviours, child protection and community engagement in Buzi and Nhamatanda Districts of Sofala province.

UNICEF is now co-chairing the Community Engagement Working Group (CEWG) together with Plan International. CEWG partners are improving collaboration within clusters to ensure interventions and reporting on accountability to the affected population (AAP). CEWG is also working closely with PSEA Network to ensure that communities are aware of their rights, how to protect themselves and, in case of abuse, how to report through the community feedback system.

UNICEF MOZAMBIQUE SITUATION REPORT – 15 May 2019 Cyclone Kenneth UNICEF is currently supporting DPS on the community engagement and social mobilization for the Cholera response through Mobile Multimedia Units in the districts of Macomia, Mecufi, Metugi and Pemba City reaching about 93,100 people since the beginning of the response. Additionally, Multimedia Mobile Units on cholera and malaria prevention, breastfeeding promotion and prevention of violence against children reached about 1,200 people in two resettlement centres in Pemba. Radio spots on WASH behaviours are being broadcasted on community radios and on Radio Mozambique.

UNICEF developed with the Government and WHO, the Communication Plan for the upcoming OCV campaign. Specifically, UNICEF engaged with the Islamic Council and agreed on the schedule and preferred time to provide the oral vaccination during the ongoing Ramadan period.

Supply and Logistics

The Supply and Logistics Section continues to deliver staunch programmatic support throughout the affected areas and during the reporting period, a total of USD 518,000 multi-sectoral supplies were dispatched from the UNICEF warehouses in Beira, to implementing partners’ country-wide, including warehouse to warehouse transfer.

From Pemba, the bulk of supplies dispatched were delivered to various locations, mainly through our partnership with Caritas Pemba, Oxfam, DPS and Fundacion Wiwanana.

Since 27 March, 166 trucks have been dispatched from the main UNICEF warehouse in Beira carrying multi-sectoral supplies to the different municipalities of Beira (Sofala Province) and Pemba (Cabo Delgado Province).

Security

Cyclone Kenneth The overall risk level is moderate, with some of the Cabo Delgado districts located north of Pemba considered as high, due to violent armed attacks perpetrated since October 2017. The most recent incident occurred on 3 May 2019 in . As a result, the UN security arrangements were reviewed. Activities in the southern districts of Cabo Delgado and in Nampula continue as normal.

Funding

Based on the initial assessments and needs, UNICEF requested 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’s appeal covers March to December 2019. To initiate its response, the UNICEF Mozambique used US$1 million from its contingency reserve of regular resources and accessed US$ 8 million emergency loan from HQ (EPF). In terms of funds received, to date, UNICEF Mozambique has received almost US$17.5 million from CERF (WASH, Health, Nutrition, Protection, Education), DFID, Sweden, Canada, Japan and Ireland, and, several National Committees, including the German National Committee. UNICEF Mozambique is grateful to those donors who provided thematic funding as this has allowed the CO to be more agile and adaptive in its response. Currently, the Office has US$1.6 million of unallocated thematic funds available to use for allocation in due course.

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 6,650,728 23,349,272 78% Nutrition 6,000,000 210,940 5,789,060 96% Health 11,000,000 3,328,857 7,671,143 70% Child protection 4,000,000 1,971,844 2,028,156 51% Education 20,000,000 2,896,785 17,103,215 86% Comm 4 Dev 1,600,000 946,975 653,025 41% Logistics and Operations 15,000,000 1,851,583 13,148,417 88% Resilience and Recovery 15,000,000 378,000 14,622,000 97% Total 102,600,000 18,235,712 84,364,288 82% UNICEF MOZAMBIQUE SITUATION REPORT – 15 May 2019

Next SitRep: 15 May 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 – 15 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 1,381,500 ▲92,900 965,000 1,004,200 ▲44,241 (7.5-15L per person per day)

People benefiting from sanitation, hygiene promotion activities, including point-of-use 435,000 800,250 ▲78,250 267,500 492,200 No change water treatment safe practices

Health

330,8902 No change Children aged 6 months to 15 years 500,000 vaccinated (OCV/Measles) 559,5703 NA

Children under-five receiving a consultation 229,500 14,487 No change Nutrition

Children under five years of age screened 328,000 602,200 ▲586,115 328,000 602,2004 ▲586,1155 for acute malnutrition

Pregnant and lactating women reached 100,000 80,970 ▲ 14,280 100,000 79,361 ▲38,710 with IYCF services

Education

Children aged 6-15 years old in humanitarian situations accessing 500,000 87,260 ▲31,660 380,000 37,070 ▲716 education

Children aged 3-5 years old in humanitarian No 100,000 1,950 76,000 1,950 No change situations accessing play-based learning change

Child Protection

Children receiving psychosocial support 147,000 12,500 ▲1,550 20,000 6,9406 ▲90 through Safe Spaces

Separated and unaccompanied children are 100% target identified and are in family-based care or on UASC 82 No change 400 82 No change an alternative care identified

Communications for Development

Number of people reached with key lifesaving and behavior change messages on health, nutrition and safe and 700,000 835,4007 ▲25,4008 appropriate sanitation and hygiene practices.

2 The total number of people vaccinated against cholera with UNICEF support is nearly 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. 3 Preliminary result of children under-5 vaccinated with Measles – Rubella vaccine during the Health Week (SSRE) in 20 affected districts of cyclone Idai and flood 4 Include 586,082 children under 5 screened for acute malnutrition during the Health week (SSRE) 5 Preliminary result of mass screening of children under-5 during the health week (May 6 – 11, 2019) 6 This figure remains low due to lack of quality reporting from partners. UNICEF Child Protection team is addressing the issue. 7 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. 8 Reached through family social mobilizer and multimedia mobile unit with integrated package with key lifesaving and behavior change messages