Cameroon Humanitarian Situation Report

SITUATION IN NUMBERS March 2018 Highlights 1,810,000 • UNOCHA-led interagency assessment mission identified # of children in need of humanitarian estimated 40,000 IDPs in Mamfe and Mbonge/Kumba sub- assistance 3,260,000 divisions of South West region. The total number of IDPs is # of people in need expected to be substantially higher as the assessment mission (Cameroon Humanitarian Needs Overview 2018)

was unable to visit many areas due to access constraints. • Over 2.3 million children under five years of age including Displacement 241,000 refugee and IDP children were vaccinated against polio and #of Internally Displaced Persons (IDPs) received vitamin A and mebendazole (deworming tablets) in Far (Displacement Tracking Matrix 12, Dec 2017) North, East and Adamaoua regions. 69,700 # of Returnees • The awareness activities through educational sessions and (Displacement Tracking Matrix 12, Dec 2017) theatre presentations reached 30,709 IDPs and members of the 87,600 # of Nigerian Refugees in rural areas host communities in Far North region promoting Essential (UNHCR Cameroon Fact Sheet, Mar 2018) Family Practices. 232,100 # of CAR Refugees in East, Adamaoua and North UNICEF’s Response with Partners regions in rural areas (UNHCR Cameroon Fact Sheet, March 2018) Sector UNICEF

Sector Total UNICEF Total UNICEF Appeal 2018 Target Results* Target Results* US$ 25.4 million WASH : People provided with 528,000 8,907 75,000 8,897 access to appropriate sanitation Funding status 2018 Education: School-aged children 4- 17, including adolescents, accessing (US$) 411,000 9,911 280,000 9,911 2017 Carry- education in a safe and protective over: $2.1M learning environment. (8%) Nutrition : Number of children aged 6-59 months with SAM admitted 38,646 7,354 40,482 7,604 for treatment Funds Child Protection : Children reached 2018 received: with psychosocial support through 30,668 85,000 6,823 Funding Requirement $1.8M child friendly/safe spaces (girls and gap: $25.5M boys) $21.6M C4D : Persons reached with (85%) information about WASH / health / nutrition / education services (behavior/best practices) through 235,913 138,911 community-based social mobilization and/or outreach activities

*Total results are all cumulative Situation Overview & Humanitarian Needs Faced with increasing reports of displacements in the South West region, the UNOCHA-led interagency assessment mission comprising UNICEF, WFP, UNHCR, UNFPA, FAO and UNDSS was conducted in Mamfe and Kumba/Mbonge sub- divisions from 25 to 30 March. In Mamfe, seven villages were visited including Kembong, a village where many houses were reportedly burned during military operations. The remaining six villages hosted IDPs from Kembong and the team was able to interview the IDPs to identify their needs. On the other hand, the insecurity in Mbonge sub-division did not allow the team to visit affected villages. Due to this access constraint, interviews were conducted with IDPs in Kumba town to identify their needs as well as learn about the situation about the people in Mbonge sub-division. Findings indicate that the majority of IDPs are hiding in the bush, while the minority is hosted in the villages or towns. The priority needs identified for people who reside in the villages/towns are cash/voucher or in-kind assistance to fulfil their basic needs, including food, shelter, health, education and water/sanitation needs, while health services (medication and treatment), shelter, mosquito nets, food and water treatment tablets were identified for those hiding in the bush. According to the village chiefs and influential people from the villages interviewed as well as local NGOs and churches, there are estimated 40,000 IDPs in South West region. The overall IDP figure is estimated to be substantially higher as the information received was limited due to access constraint. UNICEF is working on the resource mobilisation to respond to the needs identified through this assessment.

According to UNOCHA, some 8,000 people have been accumulatively internally displaced between January and March 2018 in Far North region due to military operations led jointly by the Cameroonian and Nigerian armies in the border areas with Nigeria. The IDPs from these affected villages including Zelevet, Tchebe Tchebe are currently hosted in Koza, Mozogo, and Mokolo in Mayo Tsanaga department, including in the site of Zamai where the returnees who fled the captivity of Boko Haram in Nigeria are residing. While there is an indication that many of these IDPs have already returned to their place of origin, others reportedly remain in the aforementioned villages and Zamai site. UNICEF is working with other humanitarian actors to obtain more information on the locations and exact numbers of IDPs who remain to be in need of assistance.

The Zamai site has received at least 236 new arrivals since January according to the village chief of Zamai. Currently this site is estimated to host some 1,700 people including the aforementioned new arrivals, adding pressure to the limited resources that are available on site. This has resulted in a situation where the water quantity from the existing water points has become insufficient to cover the needs of the current number of people hosted in this site due to the low productivity of the water points. However, the additional water point has recently been completed by the international NGO CARE, and is expected to improve the situation. As the outbreak of scabies has been reported in this site, the provision of clean water and good sanitation practice is essential to protect the health of the children. UNICEF plans to collaborate with the Regional Health Delegate to tackle this problem. The issue of returnee children from Nigeria not being enrolled in schools after they have been relocated to Zamai site remains to be resolved. The site has no school and the nearby community school does not have the capacity to absorb over 150 school-age children. With the additional new arrivals reported in this site, the gap has now widened. UNICEF continues to explore the solution to this problem. UNICEF together with the partner NGO ALDEPA identifies systematically the new IDP children and provide them with psychosocial activities in the Child Friendly Spaces (CFSs) in Zamai site and in other villages. Adolescents clubs are also set up in these villages hosting new IDPs including Zamai to provide support to adolescents. A new partnership agreement currently underway with the international NGO IMC will reinforce interventions in Mayo Tsanaga and Mayo Sava departments in terms of child Protection and Health.

At the IDPs site in Kolofata, 140 latrines and 100 showers are now available as a result of the joint efforts by UNICEF and international NGO IRC. Water is currently provided by MSF Swiss through water trucking, which currently provides 15 litres per day/person for the 4,943 IDPs on site. With the newly approved Central Emergency Response Fund (CERF), UNICEF plans to cover sanitation gaps and build sustainable infrastructure for drinking water supply.

The Central African Republic (CAR) crisis faces a significant funding gap as the needs transition from humanitarian to longer-term issues of structural development. UNICEF is working on a resilience strategy with other agencies and donors

pg. 2 to enable the refugees and host communities to increase their capacity to adapt the current sociodemographic and economic pressures and to cope with the influx of new refugees.

Estimated Population in Need of Humanitarian Assistance

*Cameroon Humanitarian Needs Overview 2018 **SMART Survey 2017 & UNHCR Standardised Expanded Nutrition Survey (SENS) 2016 Start of humanitarian response: November 2013 Total Male Female

Total Population in Need* 3,260,000 1,610,000 1,650,000

Children (Under 18)* 1,810,000 915,000 896,000

Children Under Five** 523,000 258,000 265,000

Children 6 to 23 months** 163,000 80,500 82,500

Malnourished Pregnant and 18,000 - 18,000 lactating women**

Humanitarian Leadership and Coordination • The Humanitarian/Resident Coordinator leads the overall humanitarian coordination, supported by OCHA. • At the national level, UNICEF and the Government are co-leading the nutrition, WASH and education sectors, as well as the sub-sectoral group for child protection. • At the field level, UNHCR leads inter-sector coordination, which addresses particularly challenges and gaps both for refugees, IDPs and host communities in the Far North. This extends into the coordination of the humanitarian response to the Central African Republic refugee crisis in the regions of the East and Adamawa. UNHCR organizes monthly meetings with other humanitarian actors, to consolidate data and harmonize interventions.

Humanitarian Strategy UNICEF’s integrated programme is based on four pillars: building a protective environment and supporting community peacebuilding; preventing and responding to the violent exploitation of children; increasing access to basic services; and strengthening emergency preparedness and response systems. All four pillars bridge the humanitarian-development nexus and foster community resilience to outside pressures, such as conflict or population displacement, while supporting the State to anticipate and respond to shocks. UNICEF aims at strengthening collaboration between community-based structures and government services to provide care and protection to children, particularly the most marginalized. By supporting community dialogue mechanisms, inter-generational dialogue and non-violent relationships among peers, UNICEF works to foster social cohesion, giving children a voice and rebuilding community linkages. Recognizing that lack of access to basic services exposes children to vulnerabilities, UNICEF supports the Government to strengthen the quality of service delivery at the community level by training community workers and establishing needed infrastructure, improving access to water and sanitation in schools and health centres, developing community health mechanisms and improving the quality of education. Furthermore, UNICEF is working with non- governmental organizations and other partners to implement mechanisms for monitoring and responding to emergencies in a timely and effective manner.

Summary Analysis of Programme Response UNICEF humanitarian assistance primarily focuses on IDPs, out-of-camp Nigerian refugees and host communities affected by the violence caused by Boko Haram, as well as the refugees who fled the armed conflict in CAR, and host communities.

pg. 3 Lake Chad Basis Crisis Nutrition1 UNICEF continued to support the implementation of Integrated Management of Acute Malnutrition (IMAM) activities in Far North (349 health facilities covered) and North (203 health facilities). Since January, 4,002 children aged 6-59 months (including 42 Nigerian refugee children) have been admitted across UNICEF supported health centres in the Far North, 1,529 of whom were reached during this reporting month for which the average cure rate recorded was 84%. In North region, 2,386 children aged 6-59 months have been admitted since January, 1,337 of whom reached during this reporting month with an average cure rate of 78.9%.

On 1 March, UNICEF organized a Nutrition working group meeting in the Logone and Chari health district in collaboration with the Regional Health Delegation and implementing partners. The discussion has resulted in the recommendation to organize an exhaustive screening of acute malnutrition covering the entire Logone and Chari department.

In February, 49,317 people (34,675 females and 14,642 males) were sensitized on Infant and Young Child Feeding (IYCF) and good hygiene practices in the seven health districts the most impacted by the displacements, namely Goulfey, Kolofata, Kousseri, Koza, Mada, Makary, and Mora. In addition, 86,549 children were screened in these seven health districts, where 1,125 children (1.3%) were identified as Severe Acute Malnutrition (SAM) and referred to health centres for treatment.

Health Health districts of Mora, Mokolo, Koza and Kolofata in Far North region have been provided by UNICEF with medications and supplies for the management of malaria cases for children under 5 years of age and the prevention of malaria for pregnant women. These supplies are expected to cover the needs of some 12,500 children.

Health action week with the aim of improving the infant and maternal health has reached 1,586,092 children under 5 years of age against the initial target of 1,560,494 in the Far North (101.6% achievement), including refugee and IDP children. These children were vaccinated against polio and received vitamin A and mebendazole (deworming tablets) during this campaign.

WASH UNICEF partner, international NGO IRC, has completed the construction of additional 20 latrines and 80 showers, bringing the total of latrines and shower booths completed to 140 and 100 respectively serving the needs of 4,943 IDPs living on site, with the ratio of 35 persons per latrine and 49 persons per shower booth. A new partnership agreement will be signed with IRC to improve these ratios through the construction of additional latrines and showers to achieve the standard of 20 persons per latrine and shower.

Education A joint mission consisting of UNICEF Education, Child Protection, and Communication for Development sections as well as UNDP visited the four areas targeted by the project funded by UN Peacebuilding Support Office, namely Blangoua, Dougoumachi, Koubro and Goulfey in Logone and Chari department. This project is jointly implemented with respective agencies from Chad with the objective of consolidating peace among the communities affected by the violent extremism as well as the prevention of violent exploitation of children through the training of teachers on peacebuilding and the sensitisation of Parent-Teacher Associations (PTAs) on social cohesion and pacific cohabitation. During the mission, local authorities and community leaders were sensitized on the project and planned activities in order to ensure the community acceptance and participation.

UNICEF conducted the final reception of five Temporary Learning Spaces (TLS) constructed in Baigai and Dzawandai villages hosting IDPs in Mokolo commune in the presence of government officials. Radio Education Program continued to provide lessons in numeracy and literacy in Mokolo (Mayo Tsanaga department), Mora (Mayo Sava department) and

1 Due to the reporting system of the ministry, the admission data of the concerned month is reported in the following month (i.e. January data are reported in February). pg. 4 Kousseri (Logone and Chari department), with 49 listenership groups (1,200 children of whom 570 are girls) reported to be operational during this reporting period. In total, 45 numeracy and 45 literacy lessons in Kousseri, 64 literacy and 58 numeracy lessons in Mokolo, 27 literacy and 26 numeracy lessons in Mora were broadcast through the radio stations in Kousseri and Mokolo and using the radio sets in Mora.

Child Protection One unaccompanied child (a girl) and 56 separated children (21 girls and 35 boys) were identified and followed up in the Logone and Chari, Mayo Sava and Mayo Tsanaga departments. They benefited from psychosocial support, home visits and referrals services while in alternative care. The family search for the reunification process is ongoing. A total of 3,048 children (1,482 girls and 1,566 boys) benefited from psychosocial support in community based CFSs and adolescent clubs in the communities hosting IDPs across Far North region.

With UNICEF’s financial and technical support, from 22-23 March, National Civil Registry trained 350 civil registration stakeholders of the Mokolo Council including community relay agents, chiefs of villages, chiefs of health facilities, civil registration officers and civil registration secretaries. They were trained on the use of new tools for birth declaration and the importance of birth registration and birth certificates with the aim of improving the percentage of birth declaration and registration in the Mokolo Council.

Communication for Development (C4D)2: In partnership with national NGOs ACDEV, AGADJAS, and RESAEC, UNICEF continues to promote Essential Family Practices (EFPs) in Mozogo (Mayo Tsanaga department), Fotokol (Logone and Chari department) and Kolofata (Mayo Sava department). EFPs aim to promote behavioural changes among the families through community interventions that will contribute to improving child survival, growth and development with a holistic approach integrating the elements of WASH, Child Protection, Health, Education and Nutrition. During the reporting month, 443 new leaders joined this effort in addition to 170 leaders who committed last month, and conducted more than 1,300 community dialogues for the adoption of EFPs. Additionally, students and teachers organised 230 theatre presentations in schools. The awareness activities through educational sessions and theatre presentations reached 30,709 IDPs and members of the host communities including 12,409 new students. As of end March, 17,000 heads of household declared their adoption of at least 3 EFPs.

CAR Refugee crisis Nutrition IMAM activities are ongoing within the 115 and 123 health facilities respectively in East and Adamaoua regions. 1,216 children including 211 refugees from CAR aged 6-59 months have been admitted across UNICEF supported health centres in East and Adamaoua regions.

The second distribution of Micronutrients Powders for the IYCF/Home Based Fortification intervention is ongoing in Betare Oya and Garoua Boulai health districts in East region where 6,330 children aged 6-23 months are targeted. In February and early March, 970 women were sensitized on IYCF, and 201 mothers of children aged 0-23 months received counselling on exclusive breastfeeding or adequate complementary feeding during home visits. In addition, 41 cooking demonstrations on appropriate complementary food were organised and 7 action groups on IYCF were created.

Health Health action week with the aim of improving the infant and maternal health has reached 411,671 children against the initial target of 408,661 (100.7%) in Adamaoua region and 340,281 children against the initial target of 372,715 (91.2%) in East region, including refugee children. These children were vaccinated against polio and received vitamin A and mebendazole (deworming tablets) during this campaign.

2 As it is the first time for C4D to report on its projects, the result covered from the beginning of the projects in December 2017. pg. 5 WASH The construction of 12 gender sensitive block of latrines in six schools is ongoing in East region. The project is around 60% complete. The implementation of WASH project is very limited in East and Adamaoua regions due to lack of funding. The national WASH sector group plans to conduct advocacy activities to mobilise funds. The funding gap for WASH stands at 86% as of end March.

Education Teaching and learning activities continued in the six CAR refugee sites (Borgop, Ngam, Mbile, Lolo, Gado, and Timangolo). This is in a bid to continuously guarantee quality education for 9,911 CAR refugee children (4,313 girls and 5,598 boys) currently taking lessons in the TLSs in East and Adamaoua regions. Another partnership cooperation agreement with PLAN International is in the process of approval to ensure the implementation of activities and continued community mobilisation in favour of education for these CAR refugees and host community children in these regions. In-depth preparations with the mobilisation of key partners and collection of data are ongoing to transition from the TLSs to the host community schools as a sustainable solution. UNICEF continued the monitoring of the 10 Community Pre-school Centres put in place last year by the international NGO Catholic Relief Services in Garoua Boulai currently harbouring 930 (581 Cameroonians and 349 refugees) children with 427 girls and 503 boys.

Child Protection 135 children (72 girls and 63 boys) were newly registered in CFSs in March bringing the total number of children who have received psychosocial support through recreational, expressive, cultural, sports activities in CFSs and other secure spaces since the beginning of the year to 2,376. Out of the 135 newly registered children, 71 (33 girls and 38 boys) were refugees and 64 (39 girls and 25 boys) were Cameroonian. At least 370 adolescents (60 % being girls) actively participated in 11 teen clubs where they were engaged in psychosocial/recreational activities and life skills to develop their resilience and help them cope with life’s daily challenges.

To refocus the attention on the importance of child protection, six workshops were organized in Betare Oya and Ngaoui communes with the administrative authorities, the police forces, the civil associations, religious and traditional leaders and humanitarian personnel. A total of 103 people were briefed on child protection issues and discussed ways of combating violence, abuse and exploitation of children.

Media and External Communication UNICEF published a new video on how a Norway-funded new building in Abou Boutila's school that hosts over 30% refugees from CAR changed the lives of the children: https://www.youtube.com/watch?v=S8X0d-X6oBQ&t=42s. In addition, two 15-minute videos were produced to highlight the need for birth registration and the consequences of child marriage, and have been broadcast in 40 localities in Far North and East regions. https://www.youtube.com/watch?v=UTpDJHY2uc0 (birth registration) https://www.youtube.com/watch?v=jv6QbdihmN8 (child marriage)

Security A relative decrease in the total number of incidents has been observed in Far North region. A total of 17 incidents were reported targeting civilians resulting in 14 deaths and 11 injured representing a 43% decrease compared with the incidents recorded last month with a total of 39. Casualty figures also dropped dramatically in comparison with the last reporting period with 48 deaths and 32 injured.

On the contrary, North West and South West regions continue to witness a deterioration in the security situation with seemingly recurrent attacks and armed assaults targeting the Cameroonian security forces and kidnappings targeting governmental officials. Kidnapping seems to be gaining traction in those areas where another kidnaping incident targeting two Tunisian nationals materialised in the department of Ndian. Governmental security forces conducted a rescue operation and liberated one Tunisian, however another Tunisian national was unfortunately killed during the operation.

pg. 6 Funding UNICEF expresses its gratitude to the Government of Japan, France, United States, Norway and Sweden, as well as to ECHO, CERF, the United Nations Trust Fund for Human Security and the Spanish National Committee who have contributed generously to the humanitarian response in 2018. Further adequate, predictable and flexible resources will allow UNICEF and its partners to respond effectively where needs are greatest and reach the most disadvantaged children in Cameroon, including children affected in the newly emerging crisis in the Anglophone regions. Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC)) Funds available* Funding gap Requirements Funds Appeal Sector Requirements Received LCB Carry-Over Funds available LCB $ % Current Year Nutrition** 5,055,000 2,322,455 2,978 249,594 249,594 4,802,428 95%

Health / HIV*** 3,272,000 710,500 215,393 101,958 317,351 2,954,649 90%

WASH 7,191,000 4,428,000 962,347 58,010 962,347 6,170,643 86%

Child Protection 3,497,000 2,383,000 483,040 167,446 499,489 2,846,514 81%

Education 4,326,000 2,881,500 2,549 1,425,639 126,600 2,897,812 67%

Emergency Preparedness and 2,120,000 139,841 90,602 151,932 1,889,556 89% Response

Total 25,461,000 12,725,455 1,806,148 2,093,250 2,307,312 21,561,602 85% * Funds available includes funding received against current appeal as well as carry-forward from the previous year. ** The nutrition program is mainly funded by the German Development Bank KFW, with two non-humanitarian grants (SC 160391 and SC 170769). The overall budget for the SAM treatment program is US$4,000,000 of which $1,800,000 are devoted to the LCB crisis. ***Health sector: $101,958 of the total funds received is for the polio vaccination which is not part of the original HAC targets. Additional $404,268 were spent for polio immunization and other social mobilization activities for the LCB crisis but not part of the humanitarian fund.

UNICEF Cameroon: https://www.unicef.org/infobycountry/cameroon.html UNICEF Cameroon Facebook: www.facebook.com/unicefcameroon UNICEF Cameroon Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/index.html

Arsene Azandossessi Sara Karimbhoy Jacques Boyer Who to Representative Deputy Representative Chief Field Operations & Emergencies Yaoundé, Cameroon Yaoundé, Cameroon contact for Yaoundé, Cameroon, Tel: +23722223182 Tel: +237222505402 Tel: +23722223182 further Fax: +23722231653 Mobile +237699417238 Mobile +273694538688 Fax: +23722231653 Fax: +23722231653 Email: [email protected] information: Email: [email protected] Email: [email protected]

pg. 7 Annex A SUMMARY OF PROGRAMME RESULTS* National Response Overview Results (Lake Chad Basis Crisis & CAR Refugee Crisis) Sector Response UNICEF Overall Change Change National Needs 2018 Total since last 2018 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of people provided access to

water for drinking, cooking and personal 0 0 40,000 0 0 826,000 306,000 hygiene

Number of people provided with access to 8,907 2,553 75,000 8,897 2,543 appropriate sanitation 696,000 528,000

Number of people provided with WASH 6,623 3,106 200,000 6,623 3,106 kits* 592,000 440,000 EDUCATION

Number of school-aged children 4-17, including adolescents, accessing education in 549,000 411,000 9,911 9,911 280,000 9,911 9,911 a safe and protective learning environment.

Number of school aged children 4-17 year

benefiting from teaching and learning 549,000 1,077 0 150,000 1,077 0 250,000 materials Number of children who benefited from the services of teachers who are trained in 549,000 0 0 280,000 0 0 psychosocial support and conflict and 336,000 disaster risk reduction. HEALTH Number of children immunized against 61,487 0 0 measles Number of pregnant women that have received 2 Long Lasting Insecticidal Nets 23,457 0 0 (LLINs ) NUTRITION Number of children aged 6 to 59 months with 7,354 3,438 40,482 7,604 4,082 SAM admitted for treatment 44,728 38,646 Performance of integrated program for >75% >75% 79.3% -1.8% >75% 79.3% -1.8% severe acute malnutrition treatment CHILD PROTECTION

Number of children reached with

psychosocial support through child 15,769 85,000 3,183 30,668 6,823 friendly/safe spaces (girls and boys) Number of children suspected or verified associated with an armed group (including

children released from detention) provided 0 70 7 0 7 with temporary care or family / community reintegration support

Number of Unaccompanied and Separated Children (UASC) identified and/or placed in

alternative care arrangements and/or who 823 225 1,200 57 499 benefited from individual follow-up (SC/ UAC ; girls / boys)

Number of Unaccompanied Children 9 150 3 0 reunified with families (girls and boys) 13

pg. 8 Number of conflict affected children 307 195 12,000 0 0 provided with Birth Certificate

Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services 235,913 30,709 (behavior/best practices) through 138,911 community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, etc) participating as 500 443 613 agents of social mobilization at community level

pg. 9 Lake Chad Basin Crisis Sector Response UNICEF and IPs

Change Overall Change since Sector Total 2018 Total since last needs 2018 Target last report Results Target Results report ▲▼ ▲▼

WATER, SANITATION & HYGIENE Number of people provided access to water 534,000 261,000 0 0 30,000 0 0 for drinking, cooking and personal hygiene Number of people provided with access to 556,000 455,000 4,953 2,553 50,000 4,943 2,543 appropriate sanitation Number of people provided with WASH kits* 472,000 350,000 6,623 3,106 180,000 6,623 3,106 EDUCATION Number of school-aged children 4-17, including adolescents, accessing education in 290,000 210,000 0 0 180,000 0 0 a safe and protective learning environment. Number of school aged children 4-17 year benefiting from teaching and learning 290,000 130,000 117 0 85,000 117 0 materials Number of children who benefited from the services of teachers who are trained in 290,000 196,000 0 180,000 0 psychosocial support and conflict and disaster risk reduction. HEALTH Number of children immunized against 43,568 0 measles Number of pregnant women that have received 2 Long Lasting Insecticidal Nets 13,582 0 (LLINs ) NUTRITION Number of children aged 6 to 59 months with 23,945 21,465 3,960 1,508 21,555 4,002 1,529 SAM admitted for treatment in Far North Number of children aged 6 to 59 months with 12,093 10,884 2,386 1,337 11,012 2,386 1,337 SAM admitted for treatment in North Performance of integrated program for severe acute malnutrition treatment in Far North : >75% >75% 84.00% -4.50% >75% 84.00% -4.50% cured rate Performance of integrated program for severe acute malnutrition treatment in North : cured >75% >75% 78.90% 1.50% >75% 78.90% 1.50% rate CHILD PROTECTION Number of children reached with psychosocial support through child friendly/safe spaces 251,073 28,292 15,634 70,000 4,447 3,048 (girls and boys) Number of children suspected or verified associated with an armed group (including children released from detention) provided 110 7 0 70 7 0 with temporary care or family / community reintegration support Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who 2,508 381 225 1,000 57 57 benefited from individual follow-up (SC/ UAC ; girls / boys) Number of Unaccompanied Children reunified 376 13 9 150 3 0 with families (girls and boys) Number of conflict affected children provided 12,500 307 195 9,000 0 with Birth Certificate - Communication for Development (C4D)

pg. 10 # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services 235,913 138,911 30,709 (behavior/best practices) through community- based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, etc) participating as 500 613 443 agents of social mobilization at community level

*All results are cumulative. ** The target includes 10,000 people for the North region. ***UNICEF targets can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out-of-camp refugees. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry.

pg. 11 CAR Refugee Crisis Sector Response UNICEF and IPs Overall Change Change Sector needs 2018 Total since last 2018 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE

Number of people provided access to water 0 0 0 0 for drinking, cooking and personal hygiene 292,000 45,000 10,000

Number of people provided with access to 0 0 appropriate sanitation 140,000 73,000 3,954 25,000 3,954

Number of people provided with WASH kits 0 0 0 0 120,000 90,000 20,000 EDUCATION

Number of school-aged children, including

adolescents, accessing education in a safe and 220,555 201,000 9,911 9,911 100,000 9,911 9,911 protective learning environment

Number of school aged children benefiting 960 0 960 0 from teaching and learning materials 220,555 120,000 65,000

Number of children who benefited from the services of teachers who are trained in 0 0 psychosocial support and conflict and disaster 220,555 140,000 100,000 risk reduction. HEALTH

Number of children immunized against 0 measles 17,919 Number of pregnant women that have

received 2 Long Lasting Insecticidal Nets 0 9,875 (LLINs ) NUTRITION

Number of children aged 6 to 59 months with

SAM admitted for treatment in East and 1,008 593 1,216 1,216 8,690 6,297 7,915 Adamaoua regions

Performance of integrated program for severe acute malnutrition treatment in East and >75% >75% 75.1% -1.1% >75% 75.1% -1.1% Adamaoua : cured rate

CHILD PROTECTION

Number of children reached with psychosocial

support through child friendly/safe spaces 135 135 2,376 15,000 2,376 (girls and boys)

Number of Unaccompanied and Separated Children (UASC) identified and/or placed in

alternative care arrangements and/or who 0 442 0 442 200 benefited from individual follow-up (SC/ UAC ; girls / boys)

Number of conflict affected children provided 0 0 0 0 with Birth Certificate 3,000

*All results are cumulative. **UNICEF targets can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out-of-camp refugees. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry.

pg. 12