UNICEF MOZAMBIQUE 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 Sofala province 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 Manica province (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 Nampula province), 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 Cabo Delgado province. 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 Maputo, 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