UNICEF Situation Report - 30 April 2017

Zimbabwe Humanitarian Situation Report

©UNICEF 2016/ T.Mukwazhi

Situation Report #13 – 30 April 2017 SITUATION IN NUMBERS

TIONHighlights IN NUMBERS 859 people Displaced by flooding in  In response to the floods which hit parts of the country, UNICEF Tsholotsho Sipepa Camp provided teaching and learning materials, water, sanitation, and (DCP, February 2017) hygiene (WASH) and child protection services to over 3,000 people in the flood-affected districts.  As of 31 March 2017, over 3,300 children aged 0-59 months had 3,312 been treated for severe acute malnutrition (SAM) in 20 drought Children aged 0-59 months with SAM affected districts. from 20 drought affected districts were  Since the start of the year, more than 2,200 suspected typhoid admitted and treated in the IMAM cases have been reported in the country out of which 64 have been program as of 31 March 2017 laboratory confirmed and six typhoid related deaths reported. (DHIS, April 2017) UNICEF continues to support emergency preparedness and response through critical lifesaving health and WASH interventions 2,209 in flood affected areas and identified diarrheal disease hot spots. Cumulative typhoid cases comprising  During the reporting period, UNICEF received US$ 2 million from 2,145 suspected, 64 laboratory confirmed the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and 6 reported deaths through the U.S. Agency for International Development (USAID) to (MOHCC, April 2017) expand its WASH programme interventions in 10 drought-affected districts with a high HIV prevalence. UNICEF Zimbabwe 2017 Humanitarian Requirements

US $13.5 million

UNICEF Results with Partners 2017 UNICEF’s Results with Partners 2017 UNICEF UNICEF Target Results WATER, SANITATION & HYGIENE Funding # of people in humanitarian situations accessing Received: 135,000 84,265 water for drinking, cooking and personal hygiene US$2.64M HEALTH # of children with diarrheal diseases having access to life-saving curative interventions, including oral 85,000 21,242 rehydration therapy and zinc Funding NUTRITION requirement: # of children in humanitarian situations aged 0 to 59 US$13.5M months affected by SAM who are admitted for 14,873 3,312 treatment EDUCATION Carry forward: # of children aged 3 to 18 years in humanitarian US$13.9M situations accessing formal or non-formal basic 100,000 7,000 education *Funds available includes funding received for the current Child Protection appeal year as well as the carry-forward from the previous # of children in humanitarian situations accessing year. appropriate care and service 35,000 7,890 **The WASH and Nutrition/HIV/AIDS sectors have a surplus of US$3.76 million and $4.6 million respectively; however this is funding for the drought response only. Other sectors still have a significant funding gap of US$5.9 million. See funding table for more details.

UNICEF Zimbabwe Situation Report - 30 April 2017

Situation Overview & Humanitarian Needs The results of the ZimVAC rapid assessment conducted in January 2017 showed that global acute malnutrition Figure 1: Prevalence rate of GAM, MAM (GAM) has reduced from 5.7 per cent reported in and SAM, ZimVAC 2016-2017 January 2016 to 3.1 per cent in 2017 (see figure 1). In 5.7% 6.0% the same period, a nutrition assessment using the SMART methodology was carried out in 27 districts 5.0% 4.4% earmarked for emergency nutrition response 4.0% 3.6% 3.1% programmes including seven of the nine highly food- 3.0% 2.5% insecure districts. The survey results show a significant 2.1% 1.9% 1.6% decline in the GAM prevalence as compared to the 2.0% 1.4% ZimVAC assessment results of July 2016. However, the 1.0% effects of the El Niño phenomenon will be felt among 0.0% women, children and men in the sub-region for years to ZimVAC Jan 2016 ZimVAC May 2016 ZimVAC Jan 2017 come as estimates indicate that it will take approximately two years for communities to recover from the effects of GAM MAM SAM the El Niño associated drought even with the improved agricultural conditions.

The Government of Zimbabwe declared a national flood disaster on 2 March 2017 and launched a Flood Disaster Domestic and International Appeal for Humanitarian Assistance on 20 March 2017, requesting US $189 million. The flooding affected 36 districts in the country, most of which were recently affected by the El Niño associated drought, thereby eroding the coping capacities of the vulnerable communities. In addition to localized displacement, infrastructural damages and the disruption of education services, the floods compromised access to clean water, safe hygiene and sanitation practices where WASH infrastructure was destroyed thereby increasing the risk of WASH related diseases.

Humanitarian leadership and coordination The Department of Civil Protection continued to lead the national and sub-national coordination of the flood emergency response through national, provincial, district and ward level Civil Protection Committees. During the reporting period, UNICEF continued to provide technical support to the national and sub-national flood coordination mechanisms through the national Civil Protection Committee and the Emergency Services Sub- Committee. UNICEF participated in the Capacity for Disaster Reduction Initiative (CADRI) Inter-Agency Assessment of the Disaster Risk Management System in Zimbabwe. The assessment was carried out by a multi- disciplinary team composed of approximately 20 representatives from the Department of Civil Protection (DCP), UN agencies and international experts deployed through the CADRI and the United Nations Disaster Assessment and Coordination (UNDAC) system. A draft report of the assessment findings and recommendations has been shared with the Humanitarian Country Team (HCT) and Government counterparts.

Under the WASH sector, UNICEF continued to support the national Emergency Strategic Advisory Group (E- SAG) coordination mechanisms to coordinate flood and typhoid response activities. Four E-SAG meetings were held at the national level during the reporting period. In addition, UNICEF continued to support Provincial and District Water and Sanitation Sub-Committees, with a total of five meetings held at subnational level. The nutrition sector continued to collaborate with the Ministry of Health and Child Care (MoHCC) and the National Nutrition Technical Working Group in coordinating the nutrition response. During the reporting period, one National Nutrition Coordination meeting and three Weekly Emergency Nutrition Meetings were held at the national level.

UNICEF continues to strengthen coordination of the emergency response, situation monitoring, preparedness and capacity development of the government and sub-sector member agencies participating in the child protection sub-sector at national and at sub-national levels. During the reporting period, one national child protection sub-sector meeting was held to review the sector contingency plan and to plan for a child protection initial assessment which was conducted by UNICEF, Childline and the Ministry of Public Service, Labor and Social Welfare (MOPSLSW) in March 2017. The assessment’s findings informed advocacy and fundraising efforts to expand the child protection interventions being implemented in response to the impact of the flooding.

Humanitarian Strategy UNICEF continues to work with the Government, UN Agencies and NGOs to provide access to critical and life- saving health and nutrition, WASH, education, child protection, social protection and HIV/AIDS. As defined by the projects under the revised inter-agency humanitarian response plan and UNICEF’s response plan, UNICEF UNICEF Zimbabwe Situation Report - 30 April 2017 is implementing emergency programmes in high-risk food and nutrition insecure districts and responding to rapid onset emergencies, mainly localized flooding and diarrhoeal disease outbreaks. The response is being implemented in complementarity with ongoing development programmes in an effort to enhance sustainability and link humanitarian interventions with recovery and resilience building programmes. UNICEF is working with the Government and NGOs to implement the current drought response interventions in coordination with other UN Agencies.

UNICEF and partners are supporting the MoHCC to provide access to life-saving essential health, nutrition and WASH services through strengthening community-based management of acute malnutrition programmes and reaching children with critical WASH services. UNICEF is supporting the MOPSLSW to strengthen child protection services to protect the most vulnerable children, particularly girls, from violence, abuse and exploitation. Children, adolescents and pregnant and lactating mothers on antiretroviral treatment (ART) are being supported through advocacy for an HIV sensitive supplementary feeding programme and are being provided with care and treatment.

Communication for Development interventions are being mainstreamed in all sectors specifically focusing on the provision of technical assistance to the government and NGO counterparts, formative research and the development of Information, Education and Communication (IEC) materials. The Ministry of Primary and Secondary Education (MoPSE) is being supported in the flood response through technical support and the provision of teaching and learning materials. UNICEF is providing technical support to the Ministry to implement the emergency supplementary school feeding programme and the recovery-oriented home-grown school feeding programme.

Summary Analysis of Programme response

Nutrition Implementation of nutrition emergency response activities in priority districts is ongoing. UNICEF continued to channel its support, through the MoHCC and implementing partners. During this reporting period, 3,581 of the targeted 4,345 Village Health Workers (VHWs) in the 20 target districts received training on active screening. A total of 159,032 children aged 6-59 months were screened for acute malnutrition nationally, while 91,285 children (27 per cent) out of the targeted 340,863 were screened for acute malnutrition in the 20 priority districts (Demographic Health Information Systems DHIS 2). Of the 91,285 children screened for acute malnutrition in the 20 priority districts, 3,312 were found to be severely malnourished and admitted for treatment in the Integrated Management of Acute Malnutrition (IMAM) program. To effectively scale up the treatment of SAM, UNICEF provided a three-day training for 572 health workers in the 20 districts using the IMAM protocols, while 109 health workers were trained on nutrition data management.

The current HIV prevalence in Zimbabwe is at 13.6 per cent and therefore the linkage between HIV treatment and nutrition treatment is imperative. The nutrition treatment program has continued to offer a strong linkage between HIV testing and treatment, ensuring that all SAM cases are tested for HIV. In this reporting period, 1,862 (56 per cent) of the children admitted for SAM treatment were tested for HIV and of these 138 (7 per cent) tested positive and were referred and initiated for anti-retroviral treatment as shown in the table below:

Table 1: Total number of children with SAM admitted in the IMAM program in the 20 high risk districts as of 31 March 2017 Infants less than 6 months Children 6-59 months Total HIV Total HIV 6-59 District Admissions 0-5 0-5 months Admissions 6-59 Tested 0-5 tested 6-59 months months HIV+ months months months HIV+ Gokwe North 27 16 0 435 366 11 10 6 5 146 95 26 Umguza 8 6 0 286 127 2 Binga 0 0 0 60 37 1 5 0 0 147 24 2 Makonde 5 1 0 134 60 12 5 4 0 75 48 7 2 0 1 23 8 1 Mangwe 3 3 0 96 71 1 Matobo 2 1 0 128 35 1 9 8 1 84 58 1 Shamva 31 1 106 56 15 3 3 0 85 36 3 Mount Darwin 4 4 0 153 124 13 Guruve 3 0 0 106 66 9 UNICEF Zimbabwe Situation Report - 30 April 2017 Mwenezi 4 2 1 125 22 3 16 8 2 310 243 10 Chimanimani 41 4 1 250 52 1 4 3 0 293 203 3 Nyanga 1 1 0 87 61 4 Total 183 70 12 3,129 1,792 126

Effectiveness of the IMAM program within the 20 priority districts The cure rate for SAM in the country has been progressively improving. While the cure rate in the 20 priority districts is higher at 62.8 per cent compared to the national cure rate of 54 per cent, it is still below the target of >75 per cent based on the SPHERE standards. The low cure rate is attributed to the high defaulter rate arising from loss to follow up. The death rate in the SAM treatment program is within acceptable standards at <3%, while the defaulter rate is >15%. VHWs have been tasked to follow up on the defaulter children, while the need for continued health promotion on benefits of IMAM treatment have been emphasized. It has been noted that some caregivers perceive their children as cured, even before discharge from the nutrition treatment program.

Zero stock outs were observed during the district level mentorship visits conducted in collaboration with implementing partners and provincial level nutrition teams. It is envisaged that the effectiveness of the SAM program will improve. Trained VHWs are promoting the early identification and referral of SAM cases in the 20 priority districts, as well as following up on caregivers to ensure adherence to the treatment regime. Late treatment-seeking for SAM, weak case-finding and late admission into the treatment program results in more severe and complicated cases, thus reducing the effective SAM response.

The nutrition program in Zimbabwe continues to offer a package of services, including access to micro nutrients supplementation. According to the DHIS 2, a total of 94,583 children aged 6-59 months (49,396 girls and 45,187 boys) received the first dose of Vitamin A Supplementation (VAS) during the first quarter of 2017, across the 20 priority districts. This represents 39.4 per cent of the 240,051 children aged 6-59 months targeted to receive VAS in these 20 priority districts, against a planned coverage of 70 per cent. Efforts are underway to improve VAS coverage. This will be achieved through the African Vaccination Week which took place from 24 - 28 April, which was used as an important opportunity to strengthen and achieve the expected VAS coverage. The results are not yet available but will be presented in the next situation report.

A pilot study on the role of VHWs in VAS has also been undertaken in Buhera and Mutasa districts, with the findings revealing that VHWs could effectively dispense VAS to deserving children as opposed to just mobilising and referring caregivers to the health facilities. In the pilot districts, coverage of VAS through the participation of VHWs increased from 39% to 66% in while in , the coverage increased to 50.8% from 28.3% in second semester 2014 compared to first semester 2015. The findings of this pilot have now been validated and MoHCC is integrating VAS into the VHWs tasks

Water, Sanitation and Hygiene (WASH) During the reporting period, UNICEF, the Government, and five NGO partners implementing WASH emergency in 10 of the most food-insecure districts reached 43,836 people with key hygiene promotion messages out of the annual target of 144,000 people. A total of 243 boreholes have been repaired out of a target of 492, reaching 64,915 people with safe water. Twelve of the targeted 25 piped water schemes have been confirmed to have a good yield and rehabilitation activities are already ongoing for two schemes in Bindura. In addition, 334 Water Point Committees, 335 Village Pump Minders and 245 VHWs have been trained to support community-based management of water points and dissemination of key hygiene messages under the drought response program across the 10 targeted districts. UNICEF supported the drilling and construction of 20 new boreholes in Mbare suburb of and the repair of 31 boreholes in Harare suburbs hardest hit by the typhoid outbreak reaching an estimated 18,350 with safe water. Through UNICEF’s Contingency standby partner Welthungerhilfe, a piped water scheme was rehabilitated in flood-affected .

Education UNICEF provided 188 school-in-a-box kits, 56 early childhood development (ECD) kits, 83 recreational kits, 12 tents for teachers’ accommodation and classrooms, 200 tarpaulin plastic sheets and 5,000 school bags for learners in response to the floods which affected parts of the country resulting in damage to classrooms, toilet blocks, teachers’ houses and teaching and learning materials. These materials were distributed through provincial Education Offices for onward distribution to schools affected by flooding. UNICEF is also in the process of pre-positioning emergency education stocks sufficient for 5,000 children to enable a timely response.

UNICEF Zimbabwe Situation Report - 30 April 2017 The MoPSE continued to support school-feeding programmes until the first week of April when the schools went on recess. Provision of grain to schools will not be continued beyond April, however the school feeding programme will continue as a development programme called the “Home Grown Sustainable School Feeding” programme. The schools will be expected to transition from emergency school-feeding programmes to home- grown sustainable school-feeding initiatives which are long-term and sustainable. UNICEF through the WASH sector is supporting the implementation of home-grown school-feeding programmes through the drilling of boreholes and the rehabilitation of piped water schemes at selected emergency affected schools. Training on hygiene promotion will also be conducted in schools to ensure the smooth implementation of the programme. Recipient schools of the School Improvement Grants will be supported to start income-generating projects. Field monitoring conducted during the reporting period indicated that a total of 350 Schools receiving School Improvement Grants (SIG) in Matebeleland South, Mashonaland West, Mashonaland Central, Mashonaland East, Manicaland and had started income-generating projects such as poultry rearing, bee keeping and livestock production and are using the proceeds to support school-feeding programmes. UNICEF will strengthen the schools’ capacities to implement income-generating projects through training on financial and project management.

Health The number of suspected typhoid cases declined significantly during the period between week 9 (ending 5 March 2017) and week 11 (ending 19 March 2017). However, an increasing trend was subsequently observed primarily attributed to the typhoid outbreak reported in Hatcliffe suburb in Harare. As of 16 April 2017, the cumulative number of suspected cases of typhoid was 2,209 of which 64 were laboratory confirmed with 6 deaths reported (CFR 0.27 per cent). Hurungwe is the only district outside Harare consistently reporting typhoid cases. During the same period, six suspected cholera cases, among them one confirmed and three deaths (CFR 50 per cent) were reported from Chipinge, Chiredzi and Epworth.

Typhoid 2015 - 17 500

400

300

CASES 200

100

0 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51

WEEKS 2015 2016 2017

Figure 2:Typhoid Trends : Source: MoHCC weekly epidemic report.

UNICEF supported diarrheal disease case management trainings in 26 targeted districts in response to the diarrhoeal disease outbreaks. Suspected typhoid cases were reported in Harare, , , Hurungwe district, , , Masvingo, , district and and the suspected cholera cases were reported in , and Epworth suburb in Harare. To date, 776 of the targeted 1,395 health workers have been trained in case management of diarrheal diseases and pneumonia in 17 districts. UNICEF provided funding to support the 10 districts and the Government provided support for seven districts. Training participants included nurses, environmental health technicians (EHTs), lab scientists, doctors, health promotion officers and pharmacy technicians. UNICEF is also supporting the cascading of health and hygiene promotion messages in at-risk communities through the orientation of 4,882 VHWs on WASH related diseases.

HIV and AIDS A total of 29 district managers (18 males and 11 females) out of a targeted 30 from Chiredzi and Mwenezi districts were oriented on the importance of implementing HIV-sensitive nutrition programmes and the need to strengthen adherence to HIV treatment and retention in care. To ensure a multi-sectoral response, managers were drawn from Ministries of Health, Education, Public Service, Labour and Social Welfare, Agriculture, Local Government and Youth, as well as managers from the Zimbabwe National Network of People living with HIV UNICEF Zimbabwe Situation Report - 30 April 2017 (ZNNP+) and the National AIDS Council (NAC). Issues raised during the orientation included challenges with cross-border migration and a poor road network affecting the provision of services in the most disadvantaged areas and a shortage of essential drugs for the treatment of opportunistic infections.

Community based dialogues with 64 community leaders (50 males and 14 females) in the same districts raised similar issues related to cross-border movements affecting retention in care, high stigma and discrimination especially in Mwenezi. Outbreaks of WASH related diseases including malaria and diarrhoea and increased child marriages due to drought were also raised during the dialogues. The leaders recommended a cross-border initiative on HIV treatment and the enforcement of laws on ending child marriages.

The ZNNP+, with support from NAC, is facilitating the establishment of peer support groups for adolescents and adults living with HIV to provide continuous support on treatment adherence and stigma reduction. The Network is also lobbying community leaders to prioritise people living with HIV who are on ART in the food distribution schemes. Cascade orientation sessions will be held with village health workers who will further disseminate information on the importance of nutrition for people living with HIV who are on ART, adherence to ART and retention in care of people living with HIV, their families and the general community. UNICEF is preparing 8,000 pamphlets, 200 hats, and 2,000 factsheets on treatment adherence, HIV and nutrition programme which will be distributed in the two districts in May. The key message on the IEC material is Test children, Know and Act. In the same month of May, UNICEF will conduct capacity-building workshops for 60 participants including HIV focal persons, district nutritionists, managers of OI/ART clinics, from the emergency supported districts in an effort to enhance HIV testing and data capturing in IMAM programs and monitoring of nutritional status of children on ART. The workshops are jointly organized by the MoHCC Nutrition and HIV teams.

Child Protection A significant increase in child protection concerns were registered in 2016 compared to the previous two years (see figure 3 below). Among others, this has been attributed to the negative coping mechanisms by families affected by the El Niño associated drought, which left children at risk of abuse, neglect, violence and exploitation. Even though March 2017 marked the end of the Humanitarian Response Plan (HRP), this trend is worrying given that some communities that were hardest hit by the drought were also affected by flooding.

CHILD PROTECTION YEARLY CASE - LOAD ANALYSIS

2014 2015 2016

6000 5000 4000 3000 2000 1000 0 SEXUAL ABUSE NEGLECT E M O T I O N A L COMMERCIAL P H Y S I C A L D O M E S T I C C H I L D ABUSE EXPLOITATION A B U S E VIOLENCE PROSTITUTION Figure 3: Child protection caseload analysis 2014 to 2016.

UNICEF and partners provided critical child protection services to vulnerable children. A total of 7,890 children (5,210 females and 2,680 males) were reached with child protection services nationally, since the beginning of the year. As part of the integrated drought response programme a total of 3,012 children (1,860 females, 1,152 males) in 10 of the 20 drought affected districts were reached through the provision of psychosocial support to affected caregivers and children, referral of identified vulnerable children to specialized services, and provision of response and risk mitigation services to children who are at risk of or survived abuse, neglect, violence and exploitation. Key interventions which included the provision of psychosocial support to affected caregivers and children and the referral of identified vulnerable children to specialized services are integrated into the nutrition sector response programme interventions mainly the community based management of acute malnutrition programmes and infant young child-feeding programmes.

UNICEF responded to the protection needs in Tsholotsho Sipepa Camp where approximately 859 displaced individuals have been temporarily relocated and conducted a rapid child protection assessment at the inception UNICEF Zimbabwe Situation Report - 30 April 2017 stage. The child protection rapid assessment identified four risks that required immediate response, namely 1) increased psychosocial distress and need for safe places for children to play; 2) unaccompanied or separated children and children’s increased exposure to risk; 3) limited capacity of community-based child protection mechanisms including communities and families to identify, report and address child protection issues; 4) possible increased risk of sexual exploitation and abuse. To address these risks, UNICEF and Childline established a child-friendly safe space and a counselling space in Sipepa camp, carried out awareness raising activities that included distribution of IEC materials on prevention of sexual exploitation and abuse, conducted sensitization on Protection from Sexual Exploitation and Abuse (PSEA), distributed 150 child protection kits and deployed two full time Social Welfare officers who are providing psychosocial support services for women and children. As a result 667 children and 62 women have been reached to date.

In partnership with the MOPSLSW, work is also on-going to strengthen protection monitoring, risk mitigation, use of established referral mechanisms across all sectors, as well supporting coordination and providing critical protection services. In this period, family tracing and reunification services for unaccompanied and separated children (UASC) have been intensified through the national child protection case management system. A total of 32 UASC have been placed in interim care. In March 2017, UNICEF conducted a child protection mainstreaming training for 36 government and community based cadres.

A total of 18,598 labour constrained and food poor households (HH) in five priority drought-affected districts comprising of 139,449 individual members benefited from the Harmonised Social Cash Transfers (HSCT) programme funded by the Child protection Fund. All the households comprise of vulnerable populations particularly children, the elderly and the chronically ill. A total of 33 per cent of the beneficiaries were children, 11 per cent were elderly aged (60 years and above) and a further 8 per cent of the adults were either chronically ill or had a disability. The transfer was used to mitigate the effects of the drought through purchasing of food and supplementing inputs for the ongoing farming season. In adition to the direct monetary support, the households were also supported with child protection services (information and referrals) provided at pay points.

Despite all the above activities, UNICEF recognizes the need for strengthening the capacity of community based systems and structures to prevent and respond to protection needs of the affected population. Scaled-up capacity building interventions of all humanitarian response actors is needed to ensure preparedness and quality of response for the effective protection of children however funding for the Child Protection sub-sector remains a major challenge. Communication for Development (C4D) UNICEF and the Ministry of Health and Child Care trained 50 provincial and district health promotion officers as well as provincial and district nutritionists on social behaviour change communication, behaviour change communication materials development and capacity building for Communication for Development. The trained cadres developed a standard monitoring and evaluation plan and updated the key messages guide using the socio-ecological and Awareness-Knowledge-Attitudes-Behaviour change models. Traditional media and social media creative briefs were developed for creating new IEC-BCC materials. Engagement of designers, illustrators and knowledge management consultants is currently in progress through implementing partners; for finalization of the IEC-BCC materials for the emergency response.

Four indicators on Communication for Development will be reported on a monthly basis by the Health Promotion Officers and Implementing Partners in the 10 emergency districts. The four indicators are (i) number of principal caregivers of children under 2 years reached with key nutrition, health, WASH and HIV treatment and prevention key messages, (ii) number of young mothers (12-24 years) reached with positive parenting and child protection messages to prevent malnutrition,(iii) number of targeted caregivers of children aged 0-23 months with access to IYCF counselling and appropriate feeding and (iv) number of young mothers receiving psychosocial support in waiting mother’s shelters. The training workshop also reflected and planned social mobilisation activities for Africa Vaccination Week and the promotion of Active screening and Vitamin A supplementation.

Media and External Communication Articles and op-eds/media outreach: Zim floods foul water supply – Daily News https://www.dailynews.co.zw/articles/2017/03/25/zim-floods-foul-water-supply Good rains, but what of tomorrow? – The Herald http://www.herald.co.zw/good-rains-but-what-of-tomorrow/ US drought response reduced suffering for over 2 million Zimbabweans as malnutrition declines - Reliefweb UNICEF Zimbabwe Situation Report - 30 April 2017 http://reliefweb.int/report/zimbabwe/us-drought-response-reduced-suffering-over-2-million-zimbabweans- malnutrition Hard life in transit camp after floods - Xinhua http://news.xinhuanet.com/english/2017-03/29/c_136165544.htm Tsholotsho flood victims in urgent need of food, blankets, tents - Newsday https://www.newsday.co.zw/2017/03/01/tsholotsho-floods-victims-urgent-need-food-blankets-tents/ Flood-induced damage runs into millions of dollars – The Herald http://www.herald.co.zw/floods-induced-damage-runs-into-millions-of-dollars/ Govt, aid agencies urged to intervene in floods crisis – The Chronicle http://www.herald.co.zw/floods-induced-damage-runs-into-millions-of-dollars/ Near-fatal hazard for flood-ravaged communities – The Herald http://www.herald.co.zw/floods-induced-damage-runs-into-millions-of-dollars/ Tsholotsho flood victims in dire straits – Daily News https://www.dailynews.co.zw/articles/2017/03/01/tsholotsho-flood-victims-in-dire-straits Let’s complement Govt efforts in assisting flood victims – Bulawayo 24 http://bulawayo24.com/index-id-opinion-sc-columnist-byo-105452.html ZDF, CPU evacuate flood victims – The Herald http://www.herald.co.zw/zdf-cpu-evacuate-850-flood-victims/

Photos, video, multimedia: UNICEF photos used by media organisations - all pictures available on WeShare: http://www.apimages.com/metadata/Index/Zimbabwe-Floods/1ad0ba7d089141fdaf139af86bde4e99/21/0 http://www.apimages.com/metadata/Index/Zimbabwe-Floods/1cdcb23de0a4434e9922e8920c2208f6/8/0 http://www.trtworld.com/mea/zimbabwe-asks-for-foreign-aid-after-heavy-flooding-309226

Social media: Tweets in February and March 2017 UKinZimbabwe @UKAid included an announcement on rural wash funding, using @263chat, an organization with Zimbabwe’s largest social media audience (250,000+ followers). There we multiple tweets on the La Nina-related relief response to flood victims in Tsholotsho district.

Supply and Logistics During the reporting period, UNICEF ensured that there were adequate stocks of Ringer Lactate, Oral Rehydration Salts (ORS), Ciprofloxacin and other emergency related supplies in typhoid and flood affected areas. Additional emergency health supplies were procured to support the routine supply program in managing the increased diarrhoeal disease caseload. In addition, UNICEF procured a total of 13,595 cartons of RUTF, enough to treat a total of 13,595 children with SAM over a period of 6-8 weeks, against a target of 14,873 cartons for distribution in all the districts in the country. There were no supply gaps experienced in all the districts throughout the reporting period. The number of F75 cartons procured in the reporting period remained at 250 cartons, while 4,655 cartons of RUSF were procured.

Funding UNICEF’s 2017 Humanitarian Action for Children (HAC) requirements for Zimbabwe are US$ 13.5 million. For 2017, funds available for the response includes generous contributions of over US$13.9 million received in the last quarter of 2016. In 2017, UNICEF has received a total of US $2,636,000. With the available funding, UNICEF will be able to meet the increased humanitarian needs of children in Zimbabwe. UNICEF will provide a timely response critical risks or multiple hazards and shocks affecting vulnerable and disadvantaged women and children and enable them to withstand, adapt to, and recover from emergencies.

UNICEF is grateful to DFID, ECHO, USAID (OFDA and Food for Peace), USAID-PEPFAR, The Government of Japan, Global Affairs Canada, German Federal Office (AA Germany), GIZ and UK, Japan and German National Committees for UNICEF who have directly supported the ongoing response and donors that are contributing to regular development programmes that are contributing to resilience building.

UNICEF Zimbabwe Situation Report - 30 April 2017

UNICEF Zimbabwe Funding Requirements (as defined in the HAC appeal for 2017) Requirements* Funds available** Funding gap*** Appeal Sector $ % WASH 2,500,000 6,266,952 0 -151 Education 1,000,000 0 1,000,000 100 Health 2,617,000 266,638 2,350,362 90 Nutrition and HIV/AIDS 3,125,000 7,715,461 0 -147 Child Protection 1,550,000 1,479,069 70,931 5 Social Protection 2,734,000 228,855 2,505,145 92 Total 13,526,000 15,956,975 5,926,438 44% *Sector coordination requirements have been dispersed within each sector. **Funds available includes funding received against current appeal and carry-forward ($13.9 million) from 2016. ***The WASH and Nutrition/HIV/AIDS sectors have a surplus of US$3,766,952 and $4,590,461 respectively; however this is funding for the drought response only. Other sectors still have a significant funding gap of US$5.9 million. The surplus in WASH and Nutrition/HIV/AIDS sectors have not been included in funding gap calculations.

Next SitRep: 30 June 2017

UNICEF Zimbabwe Humanitarian Action for Children Appeal: www.unicef.org/appeals/zimbabwe UNICEF Zimbabwe Facebook: https://www.facebook.com/www.harareunicef.co.zw/ UNICEF Zimbabwe Twitter: https://twitter.com/unicefzimbabwe

Who to contact Dr.Mohamed Ayoya Dr.Jane Muita Victor Chinyama Representative Deputy Representative Chief of Communication for further Zimbabwe Zimbabwe Zimbabwe information: Tel: +263 4 703941-2 Tel: +263 4 703941-2 Tel: +263 4 703941-2 Fax: +263 4 791163 Fax: +263 4 791163 Fax: +263 4 791163 Email: [email protected] Email: [email protected] Email: [email protected] Zimbabwe Tel: +263 4 703941-2 Annex 1 Fax: +263 4 791163 SUMMARY OF PROGRAMMEEmail: [email protected] RESULTS

Sector UNICEF Response Response UNICEF Zimbabwe Results Table 2017 Target Total Target Total Results Results WATER, SANITATION & HYGIENE # of people in humanitarian situations accessing water for drinking, 135,000 84,265 cooking and personal hygiene # of people in humanitarian situations received critical WASH-related 140,000 153,265 information to prevent child illness, especially diarrhoea HEALTH # of children with diarrheal diseases have access to life-saving curative 85,000 21,242 interventions, including oral rehydration therapy and zinc # of children in humanitarian situations vaccinated against measles 465,668 9,691 NUTRITION # of children in humanitarian situations aged 0 to 59 months affected by 14,873 3,312 SAM who are admitted for treatment # of caregivers of children in humanitarian situations accessing infant

and young child feeding counselling* # of children aged 6 to 59 months receive vitamin A supplementation 240,051 94,583 CHILD PROTECTION # of children in humanitarian situations accessing appropriate care and 35,000 7,890 services EDUCATION # of Children aged 3 to 18 years in humanitarian situations accessing 100,000 7,000 formal or non-formal basic education HIV and AIDS # of children, adolescents and pregnant and lactating mothers retained 55,500 - on HIV treatment** % of children under 5 (of unknown or negative HIV status) with SAM 70% 61% admitted in therapeutic feeding programmes tested for HIV *Statistical information was not available at the time of reporting. **The interventions have not yet been implemented.