UNICEF SITUATION REPORT – JANUARY 2017

PlPl

SUDAN

Humanitarian

Situation Report

SITUATION IN NUMBERS

Highlights  UNICEF’s 2017 Humanitarian Action for Children (HAC) appeal for Sudan launched in 3,100,000 children January amounted to US$ 110.25 million to respond to children’s humanitarian needs across the country. According to the 2016 Humanitarian Response Plan (HRP) for Su- 5,800,000 people dan, an estimated 5.8 million people are in dire need of humanitarian assistance, in- # of people affected cluding over 3 million children. (Source: Sudan HRP 2016)

 In December 2016, the Government of Sudan’s Humanitarian Aid Commission (HAC) issued amended directives regarding humanitarian work in the country. The new direc- 1,200,000 children tives outline better acceptance of humanitarian partners by the Government. 1,980,000 people  Four States continued to experience a widespread outbreak of Acute Watery Diarrhoea # of people displaced in (AWD) - Geizira, , Gedarif and . UNICEF responded through the pro- (Source: Sudan Humanitarian Needs Overview 2016) vision of hygiene promotion material, water chlorination, rehabilitation of water sources, water trucking and provision of supplies such as medicines, soap, chlorine and jerry-canes. 208,018 children

 UNICEF and partners continued to support the provision of life-saving improved water 297,168 people supply to 1.6 million people (around 581,551 girls, 556,008 boys, 245,056 women, # of South Sudanese Refugees since 243,937 men) in AWD and conflict affected areas. outbreak of conflict on 15 December 2013  In December of 2016, UNICEF admitted nearly 14,000 children under 5 with severe (Source: UNHCR Information Sharing Portal, 31 acute malnutrition (SAM) for treatment. The total number of children with SAM December 2016. Up to 70% of South Sudanese refugees treated in 2016 was 223,318 (111,659 girls and 111,659 boys), representing 90% of the are children) annual target. UNICEF Appeal 2017  A total of 5,641 conflict affected, displaced and host community children (2,700 girls and 2,941 boys) had access to quality basic education in , Central Darfur US$ 110.25 million and states.

UNICEF’s Response with partners Carry-

forward Funds UNICEF 2017 Sector/Cluster 2017 amount: received Indicators UNICEF Cumulative Cluster Cumulative 10.61M to date: Target results (#) Target results (#) $0.074M # boys and girls receiving psycho- 139,430 6,786 358,840 6,682 social support # of children who have received 2017 Funding education in emergency supplies 310,000 5,641 400,000 - Requirement: and recreational materials $110.25 M # of boys and girls under 1 year of age receiving first dose of measles 523,179 - 462,161 - Funding vaccine* gap: # of children 6-59 months affected 99.57M by Severe Acute Malnutrition ad- 250,000 - 250,000 - mitted to treatment* # of affected people with access to 290,000 - 660,000 28,500 improved drinking water* *Funds available include funds received in 2017 and those *Sector results for January 2017 will be reported in the next monthly situation report. carried forward from 2016 which are provisional and subject to change based on the year-end financial closure.

UNICEF SUDAN SITUATION REPORT – JANUARY 2017

Situation Overview and Humanitarian Needs As of 31 December 2016, a total of 97,481 individuals were registered and verified as being internally displaced in the Darfur region in 2016, according to OCHA. Some 99,435 (approximately 59,661 children) are yet to be verified. There were 52,124 reported returnees (approximately 31,274 children) in Darfur in 2016. According to WFP, 25,564 (approximately 15,338 children) of these were displaced from the Jabel Marra conflict in early 2016, and whom returned from surrounding States to Golo town. According to an assessment in October 2016, with the Ministry of Education, an estimated 9,000 internally displaced children are still out of school in Golo due shortage of space. The arrival of South Sudanese refugees in Sudan has continued. UNHCR reports showed that over 297,000 South Sudanese have fled to Sudan since December 2013, with 208,000 of these being children. Over 131,000 individuals (approximately 78,600 children) arrived in 2016 alone; the highest number of refugees to arrive in a single year. Biometric registration of South Sudanese refugees living at Kario refugee site in began in early December 2016. This process will facilitate the rapid registration of all new arrivals, support the verification of refugees, and improve the tracking of refugee movements within the country. So far, a total of 2,797 refugees out of an estimated number of 13,500 people currently living at the site have been registered. On 25 December 2016, the Government of Sudan’s Humanitarian Aid Commission (HAC) issued amended directives regarding humanitarian work in country. The new HAC directives present several changes in the following aspects of humanitarian work: technical agreements, movement of humanitarian aid workers, partnerships with NGOs, field teams and staffing, identification of humanitarian needs, interaction with affected populations and use of armed escorts. Many of the changes outline better acceptance of humanitarian partners by the Government. According to findings of the recent inter-agency assessment in Kurmuk locality in Blue Nile State, patients with serious conditions are reportedly referred to Assosa in Ethiopia or Damazine in Blue Nile, with both referral locations requiring patients to travel about 80 km to reach them. A significant gap was also observed in WASH facilities, with the population using unsafe water, no chlorination, 50% of existing hand pumps and water yards found non-functional and 80% of the population practicing open defecation. In addition, none of the schools visited had functional latrines and drinking water facilities. The assessment mission also found that there are more than 600 out of school children in Kurmuk locality. UNICEF participated in an inter-agency assessment mission to Umdukhun in Central Darfur from 19- 25 January 2017. The mission assessed humanitarian needs in the area, where a significant number of returnees (from Chad and different parts of Sudan) as well as refugees have been reported to arrive. The findings are expected to be shared shortly. During the month of January, the four States of Geizira, Khartoum, Gedarif and Red Sea have continued to experience widespread acute watery diarrhoea (AWD). UNICEF has continued to respond in these areas through hygiene promotion, water chlorination, rehabilitation of water sources, water trucking and provision of supplies such as medicines, soap, chlorine and jerry-canes etc.

People with Humanitarian Needs in Sudan (Estimates calculated based on Sudan Humanitarian Needs Overview 2016)

Start of humanitarian response: January 2016

Total Male Female Total Affected Population 5.8 million 3 million 2.8 million Refugees 0.7 million 70% children (0.5 million) IDPs 2.2 million 60% children (1.3 million) Humanitarian Leadership and Coordination Planning for the 2017-2019 multi-year Humanitarian Response Plan (HRP) continues. During the reporting period, UNICEF-led sectors submitted their review and inputs to the first draft of Humanitarian Needs Overview (HNO) to OCHA. With the support of partners, the UNICEF-led WASH sector has been able to secure sector specific information management officers in the Darfur region. This recruitment will strengthen and build the capacity of information and data management across the WASH sector in Sudan. The UNICEF-led Nutrition sector is currently undertaking a Cluster Coordination Performance Monitoring (CCPM) activity to assess the sub national coordination in the Darfur region. The results of this monitoring will be used in the development of a coordination improvement plan. UNICEF SUDAN SITUATION REPORT – JANUARY 2017

Humanitarian Strategy UNICEF’s humanitarian strategy in Sudan is targeting 4.6 million people for assistance (2.4 million children), as a part of the 2016 Sudan Humanitarian Response Plan (HRP) which targets 4.6 million people (2.76 million children). UNICEF has adopted an integrated approach to programme delivery and has prioritised 72 localities for assistance based on vulnerability criteria, rather than the status (refugee, IDP, returnee), of those targeted areas. Immediate life-saving assistance continues to focus on sustainable assistance programmes that promote resilience amongst affected populations and effective use of resources, including funding. UNICEF’s humanitarian interventions are in line with humanitarian principles and adopt a principled approach with continued advocacy to reach children in the conflict affected areas of Blue Nile, Nuba Mountains and Jebel Marra in Darfur where there has been limited humanitarian access since 2011. Summary Analysis of Programme Response Child Protection In January, a total of 47,896 children (23,293 girls and 24,603 boys) in 62 conflict affected localities in nine States received psychosocial support (PSS) through child friendly spaces (CFS), mobile PSS teams or direct home visits. Since the last report, an additional 6,786 children (2,470 girls and 4,316 boys) have been reported to have received PSS services. During the reporting period, a total of 235 children (91 girls and 144 boys) have been identified as unaccompanied or separated children (UASC), and have been placed either in alternative care arrangements or been successfully reunified with their families in Central Darfur, South Darfur, East Darfur, Blue Nile, , South and States. UNICEF has managed to provide blankets and tarpaulin to beneficiaries in areas where they are much more likely to be exposed to cold harsh weather. So far, UNICEF has distributed 490 blankets, and 505 sitting mats to the most vulnerable children, including UASC, in areas affected by the Jebel Marra crisis in South Darfur (Kass, Otash, Nyala, Mershing, Manawashi, El Malam and Deirbat). However, the need for supplies has not been fully met. Areas such as Rokoro in Central Darfur, have also reported their need for further supplies due to cold weather. Education In January, UNICEF and partners succeeded in getting 5,641 conflict affected, displaced and host community children (2,700 girls and 2,941 boys) access to quality basic education through the provision of essential teaching, learning and child-centred recreational materials in South Darfur, Central Darfur and Blue Nile States. An additional 890 children (463 girls and 427 boys) in host and displaced communities benefited from improved child- friendly learning environments through the rehabilitation of eight learning spaces in Otash Camp in South Darfur, Balalbi School in Umdukun in Central Darfur, Azaza School for girls, Alshaheed Almulla School and Azhra School in Dindro, and Tulungush School in Blue Nile State. In order to support their continued learning, these children received 1,500 seating mats, 112 plastic sheets, 11 blackboards, 5 Students Kits and 5 School-in-a box packages. To enhance the quality of education for conflict affected children in Tawila, State, UNICEF and partners supported the capacity development of 51 (13 females and 38 males) teachers and volunteers among the internally displaced. The training covered a range of topics including education in emergencies, psychosocial support and child centred learning and teaching methodologies.

Health In January, UNICEF continued to support to the provision of life-saving health interventions to South Sudanese refugee children all over Sudan. To reduce under-five mortality related to common childhood illnesses, UNICEF supported the training of 20 medical doctors in and 42 health workers in West and on standard case management of childhood illnesses. In addition, with UNICEF’s support, 48 Community Health Workers (CHWs) in Blue Nile and 43 CHWs in South Kordofan received training on Integrated Community Case Management (ICCM).

UNICEF SUDAN SITUATION REPORT – JANUARY 2017

UNICEF-supported health awareness sessions reached a total of 6,658 people in Central and West Darfur States. These sessions were conducted to increase awareness on essential family practices and promote utilization of the health services. In North Darfur State, UNICEF supported the provision of Primary Health Care (PHC) services to displaced communities in Zamzam, Al Salam, Abasia, Kebkabiya, and Baashim areas through the distribution of 12 PHC kits to cover the gap in essential heath supplies. UNICEF has continued to support the Ministry of Health’s ongoing response to the outbreak of AWD since August 2016. During the reporting period, 20 PHC kits were provided to the Federal Ministry of Health in four affected States (Sinnar, Geizira, Red Sea and Gedarif) to support AWD case management.

Nutrition During the month of December, UNICEF supported the provision of life-saving treatment for 13,968 children (6,984 girls and 6,984 boys) with severe acute malnutrition (SAM), bringing the total number of children treated in 2016 to 223,318 children (111,659 girls and 111,659 boys), and representing 90% of the annual target. The World Health Organization (WHO) estimates that without treatment, up to 50% of these children were likely to die. In addition to the treatment for SAM, a total of 3,842,016 under five children (1,921,008 girls and 1,921,008 boys) were reached with vitamin A supplementation integrated with immunization services. UNICEF also supported expansion of treatment services in Jebel Marra. Six new Outpatient Therapeutic Programmes (OTPs) were opened in West Jebel Marra through Islamic Relief Worldwide (IRW) while Catholic Relief Services (CRS) completed training for the establishment of two additional OTPs in North Jebel Marra. The expansion of the Community- based Management of Acute Malnutrition (CMAM) within the Jebel Marra area is particularly important as these services also serve as an entry point for other Primary Health Care services. Because there is no evidence to suggest reduced prevalence of SAM in Sudan, UNICEF will be maintaining the target to reach 250,000 children suffering from severe acute malnutrition in 2017. Water, Sanitation and Hygiene (WASH) UNICEF and partners continued to support the provision of lifesaving improved water supply to 1.6 million people (around 581,551 girls, 556,008 boys, 245,056 women, 243,937 men) in AWD and conflict affected areas through water chlorination at source and household levels; operation and maintenance of the existing water sources in addition to improved water trucking for the critically affected areas. These lifesaving WASH interventions were provided to the AWD affected population in Red Sea, Blue Nile, , , and Gedarif sates. In addition, IDPs in the five States of Darfur and South Sudan Refugees in White Nile, South Kordofan and West Kordofan States also received lifesaving WASH interventions. With UNICEF’s support, an additional 17,630 individuals (9,808 females and 7,822 males) in January have benefitted from improved sanitation facilities through the construction of 701 communal latrines. The beneficiary population consisted of conflict affected communities in South Darfur, South Kordofan and West Kordofan, and AWD affected communities in Kassala state. In addition to the ongoing interventions for existing emergency affected populations, hygiene promotion interventions with a focus on handwashing with soap were expanded to reach around 52,890 newly affected individuals (29,424 females and 23,466 males). On top of this, an additional 6,910 households, representing 41,460 individuals (23,220 females and 18,240 males) benefitted from an expansion of the distribution of bathing and handwashing soap.

Communication for Development (C4D) In efforts to respond to outbreaks of AWD, UNICEF continued to provide technical support to the Health Promotion and Emergency Humanitarian Action directorates of the Federal Ministry of Health (FMoH) in the seven affected States of Khartoum, Geizira, Sennar, Damazien, Gadaref, Kassala and Red Sea throughout the month of January. In addition,

UNICEF SUDAN SITUATION REPORT – JANUARY 2017

UNICEF disseminated 40,230 booklets on handwashing, 6,000 booklets on breastfeeding, 6,000 booklets on oral rehydration solution (ORS), 25,000 flyers on AWD, 5,810 booklets on school sanitation and hygiene (SSH), and 1,300 flipcharts and 18,920 posters with information on the prevention and management of diarrhoea. With UNICEF’s support, 6,000 individuals (2,400 girls, 1,700 boys, 1,000 women and 900 men) received key messages on the six essential family practices during the launch of Alshuffa’a Communication Initiative in Sirba locality in West Darfur State in January. In South Darfur, UNICEF supported orientation sessions with communication materials such as posters and booklets, reaching about 4,000 individuals (2,500 women and 1,500 men) with messages on the six essential family practices. To support the ongoing hygiene promotion in South Sudanese refugee communities, health promoters who received training in May 2016 continued to hold hygiene promotion sessions in seven refugee camps in White Nile State, reaching 18,004 households. During the reporting period, 1,500 hand washing booklets, 500breast feeding booklets, 500 immunization booklets, 500 bed nets booklets and 2,000 posters were distributed. Supply and Logistics To ensure uninterrupted water supply for 29,000 newly arrived South Sudanese refugees in East Darfur, UNICEF has begun drilling 2 boreholes in Kario, a project expected to be completed in the next 2 months. In addition, a large consignment of essential WASH supplies has been procured and dispatched to area, an operation that has allowed those served by the farthest field office to be reached. With the identification of new cases of AWD in Red Sea state, 50 boxes of water purification tablets, 150 water purification tablets, 20 drums of chlorine powder and, 72,000 pieces of washing soap have been procured and sent to Port Sudan. As part of UNICEF’s supplies pre-positioning, 1,685 recreation kits and 365 early childhood kits from Child Protection programme; and 518 primary school kits, 900 blackboards, 200 early childhood kits with 740 early childhood kits from Education programme, and 1,000 family hygiene kits have arrived in the UNICEF warehouse and are awaiting dispatch to emergency areas. In preparation of the rainy season, 20,000 insecticide treated mosquito nets (LLINs) to be dispatched to malaria-endemic States have also arrived. Local production and procurement of Ready to Use Therapeutic Food (RUTF) has been suspended following discovery of aflatoxin in the local SAMIL factory during a routine quality assurance check. As a result, pipeline orders worth over US$3 million have had to be shifted to offshore at more than a 20% higher price.

Media and External Communication The MER Section supported the UNICEF Sudan HAC appeal with a press release and Q&A.

Funding UNICEF’s 2017 Humanitarian Action for Children (HAC) appeal for Sudan launched in January amounted to US$ 110.25 million to respond to children’s humanitarian needs across the country. According to the 2016 Humanitarian Response Plan (HRP) for Sudan, an estimated 5.8 million people are in dire need of humanitarian assistance, including over 3 million children. UNICEF in Sudan is planning to reach 2.4 million children across the country in 2017.

UNICEF Sudan would like to extend its continued appreciation to all donors that support the humanitarian response in Sudan. Currently, the 2017 UNICEF HAC appeal has a funding gap of over US$ 99.57 (90 per cent unfunded).

UNICEF SUDAN SITUATION REPORT – JANUARY 2017

Funding Requirements (as per UNICEF Sudan 2017 HAC appeal)1

Funding gap Requirements Funds Available2 Appeal Sector (USD) (USD) $ %

Child Protection 8,712,200 2,415,075 6,297,125 72%

Education 21,663,727 1,417,559 20,246,168 93%

Health 10,877,972 889,154 9,988,918 92%

Nutrition 36,776,073 2,387,147 34,388,926 94%

WASH 32,217,197 2,751,883 29,465,314 91%

Sub-total 110,247,169 9,860,818 100,386,451 91%

Other3 819,096

Grand Total 110,247,169 10,679,914 99,567,355 90%

Next SitRep: 10 March 2017

UNICEF Sudan: www.unicef.org/sudan UNICEF Sudan Facebook: https://www.facebook.com/UnicefSudan123 UNICEF Sudan Humanitarian Action for Children: http://www.unicef.org/appeals/index.html

Who to Abdullah Fadil Alison Parker contact for Representative Chief of Communication UNICEF Sudan UNICEF Sudan further Email: [email protected] Email: [email protected] information: Tel: +249 (0)156 553 670 ext. 300 Tel: +249 (0)156 553 670 ext. 310

1Programme targets in the 2017 UNICEF Sudan HAC are based on the targets of the HRP 2016, including the Refugee Multi-Sector. 2Funds received include carry over figures from 2016 which are provisional and subject to change based on the year-end financial closure. 3The amount listed as ‘other’ includes earmarked funds which are not linked to specific sectors.

UNICEF SUDAN SITUATION REPORT – JANUARY 2017

Annex A: SUMMARY OF PROGRAMME RESULTS for 20174

Sector (Cluster) Response UNICEF

Overall Change Change

Needs5 2017 Total since last 2017 Total since last Target Results report Target6 Results report ▲▼ ▲▼ CHILD PROTECTION # boys and girls receiving 358,840 6,682 6,682 139,430 6,786 6,786 psychosocial support # separated and unaccompanied 2 million boys and girls receiving long- 5,600 223 223 2,200 235 235 term alternative care arrangements EDUCATION 7 # of school-aged boys and girls 180,000 - - 115,000 890 890 accessing safe learning spaces # of children who have received 1.6 million education in emergency supplies 400,000 - - 310,000 5,641 5,641 and recreational materials HEALTH # of boys and girls under 1 year of age receiving first dose of 462,161 - - 523,1799 - - measles vaccine 8 3.9 million # of conflict affected people having access to primary health 3,400,000 120,000 120,000 1,859,300 140,000 140,000 care services10 NUTRITION11 # of children 6-59 months

affected by Severe Acute 250,000 - - 250,000 - - Malnutrition admitted to 2 million treatment

# of caregivers receiving infant and young child feeding (IYCF) 300,000 - - 300,000 - - counselling WASH12 # of affected people with access 660,000 28,500 28,500 290,000 - - to improved drinking water # of affected people with access to safe means of excreta 370,000 27,489 27,489 270,000 17,630 17,630 5.4 million disposal # of affected people reached with hygiene messages and 1,800,000 82,467 82,467 780,000 52,890 52,890 sensitisation activities

4Sector targets and UNICEF targets reflect the Sudan HRP 2016. 5The Overall Needs column represents the overall figure of people with humanitarian needs by sector as per the HRP 2016. Please note, refugees are covered by the Refugee Multi-Sector and their needs are not included in the technical sectors. 6UNICEF targets include targets in technical sectors and the Refugee Multi-Sector. As a result, in some cases UNICEF targets may be higher than sector targets. 7Results reported on these indicators by the Education Sector are one month prior to the sitrep date due to partner reporting mechanisms. 8Results reported on this indicator are one month prior to the sitrep date due to partner reporting mechanisms. 9For this indicator the UNICEF target is based on partner targets, including the Ministry of Health target, which represents 95% of the HRP 2016 targeted popu- lation. This is higher than the Health Sector target which is 85% of the HRP 2016 targeted population. 10Results reported on this indicator under the Health Sector currently only reflect UNICEF contributions. Full results from all sector participants will be included once published by the sector lead, WHO. 11Results reported on these indicators are one month prior to the sitrep date due to partner reporting mechanisms. 12WASH results report against the provision of new water facilitates (water trucking is not reflected) and new latrines. Operation and maintenance of existing water facilities and the rehabilitation of existing latrines are not reflected.

UNICEF SUDAN SITUATION REPORT – JANUARY 2017

Annex B: SUMMARY OF PROGRAMME RESULTS for 201621

Sector (Cluster) Response UNICEF

Overall Change Change

Needs13 2016 Total since last 2016 Total since last Target Results report Target 14 Results report ▲▼ ▲▼ CHILD PROTECTION # boys and girls receiving 358,840 104,490 7,363 139,430 94,317 4,035 psychosocial support # separated and unaccompanied 2 million boys and girls receiving long-term 5,600 3,928 182 2,200 4,522 609 alternative care arrangements EDUCATION 15 # of school-aged boys and girls 180,000 105,019 25,129 115,000 62,419 20,096 accessing safe learning spaces # of children who have received 1.6 million education in emergency supplies 400,000 182,080 46,533 310,000 154,298 34,045 and recreational materials HEALTH # of boys and girls under 1 year of age receiving first dose of measles 462,161 409,730 51,008 523,17917 414,312 51,311 vaccine 16 3.9 million # of conflict affected people having access to primary health care 3,400,000 3,260,000 250,000 1,859,300 3,370,000 250,000 services 18 NUTRITION19

# of children 6-59 months affected by Severe Acute Malnutrition 250,000 223,318 13,967 250,000 223,318 13,967 admitted to treatment 2 million # of caregivers receiving infant and young child feeding (IYCF) 300,000 490,951 7,261 300,000 490,951 7,261 counselling WASH20

# of affected people with access to 660,000 419,115 20,000 290,000 85,339 7,500 improved drinking water # of affected people with access to 370,000 425,444 32,366 270,000 223,464 28,956 safe means of excreta disposal 5.4 million # of affected people reached with hygiene messages and sensitisation 1,800,000 1,388,273 97,098 780,000 768,392 86,868 activities

13 The Overall Needs column represents the overall figure of people with humanitarian needs by sector as per the HRP 2016. Please note, refugees are covered by the Refugee Multi-Sector and their needs are not included in the technical sectors. 14UNICEF targets include targets in technical sectors and the Refugee Multi-Sector. As a result, in some cases UNICEF targets may be higher than sector targets. 15Results reported on these indicators by the Education Sector are one month prior to the sitrep date due to partner reporting mechanisms. 16Results reported on this indicator are one month prior to the sitrep date due to partner reporting mechanisms. 17For this indicator the UNICEF target is based on partner targets, including the Ministry of Health target, which represents 95% of the HRP 2016 targeted popu- lation. This is higher than the Health Sector target which is 85% of the HRP 2016 targeted population. 18Results reported on this indicator under the Health Sector currently only reflect UNICEF contributions. Full results from all sector participants will be included once published by the sector lead, WHO. 19Results reported on these indicators are one month prior to the sitrep date due to partner reporting mechanisms. 20WASH results report against the provision of new water facilitates (water trucking is not reflected) and new latrines. Operation and maintenance of existing water facilities and the rehabilitation of existing latrines are not reflected. 21Sector targets and UNICEF targets reflect the Sudan HRP 2016.