AFGHANISTAN: LAGHMAN PROVINCE Humanitarian Profile (January 2015) Laghman Province Context

PANJSHER Laghman province is strategic for the Eastern region as it is the bridge between Kabul and the regional capital – Jalalabad City. Furthermore, it NURISTAN is the only significant access route to the Western part of Nuristan. Dawlatshah KUNAR Humanitarian operational space remains a challenge in several districts of the province where armed opposition groups maintain a strong KAPISA presence.

Alishang Alingar KABUL Key Messages Mehtarlam Mehtarlam / Bad Pash Laghman province remains an area of concern for the humanitarian community, especially in the sector of nutrition where needs remain high Qarghayi coupled with high indicators for global and severe acute malnutrition, Jalalabad acute diarrheal diseases and respiratory infections. Notably, the 2015 10 km NANGARHAR HRP ranks Laghman sixth in terms of overall need and vulnerability. The designations employed and the presentation of material on this map do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal The province is overall rated as registering high mortality and morbidity, status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. and protection concerns due to insecurity.

Key Figures1 The province is prone to localized seasonal flash floods, due to Kabul and Alishang Rivers overflows when snow melts and during spring season rainfall. The effect of flooding on agricultural crops is huge and 97,000 vulnerability is increased when land, houses and other infrastructures people prioritized for assistance are destroyed. 198,000 people in need Humanitarian Coordination Structure An Operational Coordination Team (OCT) was established in Metherlam 90,000 in July 2013 under the leadership of a local NGO – Rehabilitation and severely food-insecure Coordination Organization for Afghanistan (RCOA). OCHA supports the organization of this humanitarian coordination forum which includes participation from government departments. Very few organizations 34,000 operate directly from Laghman, coordination at the provincial level is children with malnutrition expected to remain somehow constrained. PDMC meetings are regularly scheduled and attended by a number of humanitarian organizations, with 950 an active participation from ANDMA and government departments. conflict-displaced in last 3 years Humanitarian Access 4,700 at risk from natural disasters Presence of armed opposition groups limits access of humanitarian actors to the districts of Badpakh, Alishang and Dawlatshah and parts of Alingar. Presence of armed groups along the main highways to Kabul xx,xxx and Nuristan result in frequent armed clashes and impedes movement of living in informal settlements humanitarian workers and supplies. However, in the last eight months of 2 2014 some progress has been made by ANSF with establishment of Population 2014/15 security check points to secure the province. 438,300 Disease Outbreaks total population From January to December, 2014 Laghman province recorded six 224,600 male (51%) outbreaks, including two confirmed cases polio and two scabies outbreaks, one outbreak of CCHF and one of viral Hepatitis which 213,700 female (49%) directly affected 108 individuals, while about 4,744 individuals (estimated population) were affected indirectly. 5,000 urban (3%)

433,300 rural (97%) Contact: Gift Chatora, [email protected] OCHA Eastern Region Sub Office

http://ww.unocha.org/afghanistan https://afg.humanitarianresponse.info The mission of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) is to mobilize and coordinate effective and principled humanitarian action in partnership with national and international actors. Coordination Saves Lives AFGHANISTAN: Laghman Province | Humanitarian Profile | 2

2015 Overall Need and Humanitarian Needs by Cluster/Sector Vulnerability Index3 Ranked 6 out of 34 provinces Food Security and Agriculture 3.5 Overall Need Index (Average M & V)  90,000 persons living with less than 1,500 Kcal. per day5. 4.4 Mortality & Morbidity (M Score)  77% of the population under ‘severe’ or ‘moderate’ household 1 Under-5 Mortality hunger classification6. 4 Civilian Casualties (Conflict)  30% of the population classified as ‘poor’ or ‘borderline’ on food 4 Civilian Casualties (Mines/UXOs) consumption score6. 5 Severe Acute Malnutrition  Key partners include: MADERA, NRC, SOFAR, WFP 5 Global Acute Malnutrition 5 Acute Diarrhoeal Disease 4 Measles Health 5 ARI (Pneumonia)  Prevalence of diseases (cases per 1,000 population)7: 2.6 Vulnerability (V Score)  Acute diarrheal disease: 320 4 Kcal intake deficiency (<1,500 Kcal/p/d) 3 Poor Food Consumption  Measles:0 3 Household Hunger  Acute respiratory infections:120 3 Vaccination Coverage Deficit  5 measles outbreaks per year on average 8. 3 % Deliveries without Skilled Birth Attend.  59% of children under 1 have not received Penta3 vaccination9. 2 Poor Access to Safe Water  61% of deliveries without a skilled birth assistant10. 3 Poor Hygiene Practices  Key partners include: ARCS, CWS, SCA, WHO and UNICEF 5 Insecurity 2 Exposure to Mines/UXOs 1 Conflict Induced IDPs Nutrition 1 Unmet Emergency Needs 3 Natural Disaster Exposure  34,000 children requiring treatment for malnutrition10. 3 Conflict Profile  5% of under 5 children with severe acute malnutrition (SAM) and 16% with global acute malnutrition (GAM)10. Index Scale Reference: 12345  Key partners include: SCA Very Low Low Medium High Very High Protection Common Humanitarian Fund4  Different protection issues exist in the province.  950 new conflict-displaced IDPS in the last 3 years11.  6,400 people living within 500m of mine/UXO hazards12. 299,600  500 security incidents per year on average13. US$ approved allocations 2 partners supported Water, Sanitation and Hygiene WFP, WHO  39% of the population does not have access to safe drinking 3 projects water14.  64% of households do not have soap available14. Sectors: health and nutrition  Key partners include: CARE Humanitarian Presence16 Emergency Shelter & Non-Food Items 24 organizations  4,700 people vulnerable to natural disasters15. delivering humanitarian services  500 people affected and 160 houses damaged or destroyed by ABM, ADA, AGHCO, AIHRC, AMRAN, APA, natural disasters in 2014. ARCS, AWN, CSHRO, CWS, DACAAR,  Key partners include: CoAR, DRC, IOM, NRC, UNHCR DRC, FGA, ICARDA, IOM, IRC, MADERA, MCA, NCRO, NPO/RRAA, NRC, ODCG, RRDPO, SCA, UNAMA, UNHCR, UNICEF, WAW, WFP, WHO

Sources: (1) Afghanistan Humanitarian Response Plan (HRP) 2015; (2) CSO population projection for 2014/1015; (3) Overall Needs and Vulnerability Analysis, HRP 2015; (4) GMS, OCHA HFU, Dec 2014; (5) Food Security Cluster using NRVA 2012 results for the 2014 CHAP; (6) SFSA 2014; (7) HMIS, 3-year average, Aug 2014; (8) DEWS, 3- year average, Aug 2014; (9) NICS, 2013; (10) NNS, 2013; (11) PMT, UNHCR, Sep 2011 – Aug 2014; (12) MACCA, Sep 2014; (13) 3-year average, various sources; (14) NVRA 2012, NNS 2013; (15) IOM HAP database, OCHA natural disaster incidents tracking, Aug 2014, WFP VAM analysis on natural hazards, Oct 2013; (16) 3W information collected by OCHA Sub Offices through the Humanitarian Regional Team (HRT) mechanism, Dec 2014.

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