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Angola Humanitarian Situation Report – February 2018

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UNICEF Angola Humanitarian Situation Report – February 2018 ANGOLA Humanitarian Situation Report February 2018 ©UNICEF/2018. Cholera prevention. Community mobilisation. Uige SITUATION IN NUMBERS Highlights 751 Suspected cases of Cholera • A total of 751 suspected cases of cholera were reported in Uige including (includes 13 deaths 13 deaths up to 10 March 2018. A total of 447 children under 14 were (10 March Cholera Bulletin Ministry of affected of which 264 were girls and 183 boys. Additionally, 18 suspected Health) cases of cholera and 1 death were reported in Cabinda province. 700,000 • Over 130,000 people have been reached with messages on cholera people estimated to be in need in 2018 prevention, through community engagement and participation. (Vulnerability Assessment Committee Additionally, an average of 5,000 people in communities across Uige are SADC 2017) and 35,411 refugees (Biometric reached weekly with cholera response and prevention messages through Registration Update as of 26 February 2018, partnerships with Faith Based Organizations. UNHCR) • 1,970,000 water treatment tablets were distributed by UNICEF and partners in most affected areas in Uige reaching 67,000 people. It is 408,100 Children estimated to be in need estimated that 39,400,000 liters of water were treated at household level (Vulnerability Assessment Committee SADC with water treatment tablets provided with the support of UNICEF in 2017) Uige. In addition, 8 water bladders were set up in most critical residential including 14, 133 refugee children (Biometric areas, providing access to safe water to 40,000 additional people. Registration Update as of 26 February 2018, UNHCR • UNICEF is currently supporting Ministry of Health to map out cholera hotspots in a concerted effort to activate early response and cut 43,000 transmission in the most at risk areas of the country. Children under 5 to be admitted for severe Acute Malnutrition (SAM) treatment (Based on MOH data) UNICEF’s Response with Partners Funding Status UNICEF Carry-forward amount: $0.9 m Funding UNICEF Cumulative Gap: $13.8 Target results (#) m WASH: Number of people with access to safe water as per 125,000 107,0001 agreed standards Funding WASH: Number of people reached with key 470,000 130,000 Requirement: messages on hygiene practices $14.7 m *Funds available include funding received for the current appeal year as well as the carry-forward from the previous year. 1 Access to safe water through aquatabs distribution to target population in the cholera outbreak covering needs for one month period UNICEF Angola Humanitarian Situation Report – February 2018 Situation Overview & Humanitarian Needs Southern Angola is experiencing a chronic nutrition crisis stemming from the combined impacts of economic shock, limited rainfall and the deteriorating quality and outreach of basic services. Access to water remains limited, with two- thirds of water points non-operational in affected areas, and over 700,000 people in need of clean drinking water. Below- average rain during the past month has resulted in large moisture deficits and below-average vegetation conditions in north western Angola. Although food security has improved, higher prices are constraining access to food and increasing the risk of malnutrition for thousands of children. Many of these children are still experiencing the impacts of the El Niño phenomenon, which left 756,000 people in need of food assistance. The rainy season, often associated with displacement and extensive flooding, has given rise to outbreaks of water-borne diseases, particularly cholera. To date, two provinces in Angola have reported suspected cases. In this reporting period alone (i.e. January and February 2018) 751 suspected cases of cholera have been reported including 13 deaths (Case Fatality Rate of 1.7 per cent). UNICEF Angola in its preparedness efforts, has identified and ranked 7 out of the 18 provinces as being at high risk of cholera outbreaks. Prepositioning supplies and partnerships for those areas is key. Instability and potential for violence in the Kasai region of the Democratic Republic of the Congo continues to remain a matter of concern. 35,411 DRC refugees have been registered in Lunda Norte province since start of the refugee influx until the last quarter of 2017. By the end of 2017, the situation of refugees improved with their relocation to a new settlement area in Lovua. Nevertheless torrential rains and limited access to basic health services continue to pose heightened risk of disease outbreaks. Instability in the DRC could cause a new refugee influx into Angola during 2018 and will require continued monitoring and preparedness. UNICEF continues to support direct refugee interventions through a number of partner organizations, and has simultaneously signed an agreement to support capacity strengthening of key provincial government entities for better delivery in Health and Nutrition, Child Protection, Education and WASH and resilience strengthening, focusing on the emergency response and development nexus beyond the refugee population. Humanitarian leadership and coordination The national emergency and disaster management group coordinates partners’ support and long term emergency response planning. A high level inter-ministerial commission, led by the Minister of Defence provides overall coordination for the refugee response in Lunda Norte continues. Under this commission, the Ministry of Social Assistance and Women (MASFAMU) leads the humanitarian response in Lunda Norte. Provincial coordination mechanisms led by provincial Governments facilitate local level inter-sectoral coordination involving local authorities and partners. A central level inter-sectoral mechanism was also established under the leadership of the Ministry of Health for coordination of health-related emergencies, notably cholera and malaria. The UN Disaster Management Team also supports the Government’s response to urgent lifesaving needs, while provincial coordination mechanisms were established for Cunene, Uige, Huila and Namibe to ensure joint coordinated emergency response in the cholera and drought affected areas. Humanitarian Strategy Through rapid deployment and provision of pre-positioned supplies, UNICEF delivered support for life-saving interventions while building local capacity to support emergency response and preparedness in Uige, Cunene, Huila, Bie, Namibe and Lunda Norte. In addition, the humanitarian development link through UNICEF regular programme supports resiliency building and further prevention. In all affected provinces, UNICEF supported the establishment of Government led coordination mechanisms to integrate synergies and joint efforts in, notably in the response to cholera outbreaks and impact of droughts. The implementation of the cholera outbreak preparedness and response plan has been coordinated by the Government of Angola under the leadership of the Ministry of Health and the Provincial Health Directorates, with support from UNICEF, WHO and partners. UNICEF continues to support the provincial and central Government in Dundo, Lunda Norte province, and is working closely with UNHCR and partners and civil society in the refugee influx response, while extending support to host communities through capacity strengthening of local authorities for better service delivery and resilience building. UNICEF Angola Humanitarian Situation Report – February 2018 Summary Analysis of Programme Response Nutrition and Health Since December 2017, UNICEF has engaged in a new national coordination mechanism created by the new leadership of the Ministry of Health to respond to emergencies and epidemics. The UNICEF team, composed of Health, WASH and C4D specialist has actively participated in coordination meetings at the central level and provincial levels on the cholera outbreak; this was supplemented by delivery of UNICEF emergency support to the cholera affected Province of Uíge composed of 1,300 malaria rapid tests and 750 boxes of antimalarial drugs ( Artem and Amod) 1 Diarrhoeal Disease Set Pack, 200 hygiene prevention manuals and four 72 square-meter tents for setting up cholera treatment centers. UNICEF has also continued to monitor the situation in cholera-prone regions in other parts of the country to ensure preparedness to quickly respond to possible outbreaks and requests of emergency support. In this regard, UNICEF has supported the National Directorate of Public Health in the preparation of an upcoming epidemiological study to map the areas and populations at risk of cholera and the factors associated with its spread. This study is being carried out as part of a UNICEF and WHO regional initiative on the spread of cholera covering the countries of East and Southern and Western Africa. Water, Sanitation and Hygiene (WASH) During this reporting period, 107,000 people have been reached with safe water in cholera-affected Uige province (by the distribution of aquatabs and installation of water bladders in affected areas as temporary solution covering a 30 day period). A total of 39,400,000 litres of water were treated at household level with water treatment tablets provided by UNICEF in Uige. At least 130,000 people have been engaged and reached with hygiene promotion messages. In response to the cholera outbreak in Uige province, UNICEF partnered with the Government Water and Sanitation provider support of the Provincial Health Directorate (DPS). UNICEF procured and distributed priority emergency WASH items which included 1,970,000 water treatment
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