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Bulletin D'information Humanitaire 12 September to 11 October 2010

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Bulletin D'information Humanitaire 12 September to 11 October 2010 Bulletin d'Information Humanitaire 12 September to 11 October 2010 12 September to 15 October 2010 Key events • Persistence of Cholera: nearly 3338 cases with 128 deaths; • Assistance to households affected by food insecurity and child malnutrition continues; • Dialogue forum between the Government and humanitarian actors launched; • The Consolidated Humanitarian Appeal for Chad funded at 58%. I. Context Quick stats Last This Cholera continues to claim lives despite the Trends report report response given by the Government with the Internally Displaced support of its partners. The number of cases Persons 170 531 170 531 continues to climb, while the fatality rate is (Source : HCR) Refugees 314 016 319 779 decreasing. The floods affecting several areas (Source : HCR) could be an aggravating factor for cholera if Returnees ±30 000 43 000 certain hygiene measures are not taken. (Source : HCR) Persons in food The food and nutrition situation remains critical vulnerability 1 1 (Source 600 000 600 000 during this period preceding harvest, since the SAP/FAO/PAM) destruction of hundreds of hectares of food Flood victims - 150 000 crops due to flooding, may increase the food (Compilation OCHA) vulnerability of affected people. Funding CAP 2010 51 % 58 % (Source : FTS) The Government of Chad, in collaboration with MINURCAT and humanitarian actors, has launched a forum for dialogue on the protection of civilians in the east on 11 October. II. Humanitarian situation 1- Food and nutrition crisis Due to heavy rains this year, the Sahelian regions of Chad could benefit from better harvests than last year, which caused the food crisis of 2009-2010. The results of crops production are expected in November. To address food needs, the World Food Programme (WFP) and its national and international partners have launched on 1 October, as part of the Emergency Operation for the Sahel, a blanket feeding for all children under two years and for pregnant and lactating women. In addition, protection rations known are also distributed to households whose children receive coverage of food to ensure that families do not consume food for young children. To date, under the Emergency Operation for the Sahel, WFP assists 120 supplementary feeding centres in the six Sahelian regions, providing monthly assistance to a total of 85,000 malnourished children. The number of supported centres should increase to 170 by the end of the year. Between October and December 2010, WFP will distribute 19,000 tons of food. Distributions include the blanket feeding for 147,000 children aged 6 to 23 months and protection rations for their families. Food assistance will also be offered to children under five suffering from moderate malnutrition in health facilities, pregnant lactating women and activities for participants to food for work project dedicated to improving or creating community assets and the rehabilitation and protection of 1 Bulletin d'Information Humanitaire 12 September to 11 October 2010 productive resources. An extension of the emergency operations in the Sahel region of Chad is expected until end of 2011. Guera - To respond effectively to emergencies, seven ambulatory feeding centres (AFC) were opened in the Guera region, and about 20 health workers in four health districts in that region have been trained on the management of malnutrition cases in Mongo by UNICEF. In addition, UNICEF has provided therapeutic feeding centres (TFC) with mattresses and blankets, water filters and a large consignment of drugs. A monthly coordination meeting of stakeholders in nutrition is effective on the ground. Batha - In Batha, UNICEF has conducted activities in support of nutrition in the AFC and TFC in Oum Hadjer and a joint supervision work with the Health Regional Delegation in the Health District of Yao. Five AFC should be opened in the health district of Yao to fill the gap caused by the withdrawal, 25 September 2010, of MSF-France. UNICEF has provided an endowment of 1,000 cartons of Plumpynut and other feeding items to the District of Yao. Kanem and Barh El Ghazal - Admissions to these feeding centres are below expectations. To reach children in difficult-accessed areas, health delegations, in collaboration with UNICEF, have set up mobile clinics integrating the activities of the Expanded Programme on Immunization (EPI), screening and support severe malnutrition without complications, but also de-worming, vitamin A supplementation, awareness on EPI and curative care. As part of monitoring the evolution of the nutritional status of children aged 6 to 59 months and women of childbearing age, and to assess changes in mortality rate, a nutritional survey and anthropometric and on mortality was launched in early October by the UNHCR in the 12 camps for Sudanese refugees in eastern Chad. The survey, which covers the period from October to December, will reveal the current rate of malnutrition. The results of the survey will also determine the prevalence of anaemia and estimate vaccination coverage against measles among targeted children and women of childbearing age. It will also assess the retrospective mortality rate in the population. Advocacy for the strengthening of emergency response actions are still relevant for the Sahel region which is only covered by a limited number of humanitarian actors. 2) Food security To improve the food security of people affected by floods and other weather conditions, FAO plans to implement programs in support to households in different regions of Chad. In the eastern regions of Biltine, Ouaddai and Sila, 20,000 households will be supported through counter-season projects and gardening. FAO has already made available to its partners 8.2 tons of sorghum seed distributed to approximately 820 households in Am Timan (south east), Barh Azoum and Goz Beida. In the Sahelian region (Hadjer Lamis, Lac, Kanem, Barh El Ghazal, Guera and Batha), 15,000 households will be supported in the field of counter-season cultivation and gardening. These are households affected by floods. In the south, 25,000 households will receive the same assistance in all flooded areas. 3) Health a) Choléra Cholera affects currently 12 health districts. The number of cases increased from 735 to 3368 from September 5 to 7 October, 2010. However, the fatality rate has decreased from 6 to 3.8% for the same period. 46 deaths in 5 September, the number of deaths rose to 128 on 7 October. According to UNICEF, the gold-bearing village of Goigoudoum (sub-prefecture Torrock), recorded a significant number of deaths due to Cholera. An improvised camp was set up by government to address the emergency. 2 Bulletin d'Information Humanitaire 12 September to 11 October 2010 a.1 Needs In general, the Government and its partners have mobilized to control the epidemic, but some gaps remain. More intervention of humanitarian actors in Mayo-Dallah is recommended. a.2 Response Since the report of the first cases, ten risk areas received allocations of chlorine from UNICEF. Seven medical kits have been dispatched to the districts affected by cholera. UNICEF has already provided a grant of "water and sanitation” equipment to its partners and new equipment has been ordered. b) Immunisation of nomad groups When the nomads descended northward, UNICEF in collaboration with the Regional Health District of Barh El Ghazal, took the opportunity to organize a vaccination campaign integrated with health care. Around 600 children were diagnosed with the following results: global acute malnutrition 80(13,33%), moderate acute malnutrition 70 (11,67%), severe acute malnutrition 10(1,67%). 4- Education On the occasion of the 2010-2011 school year, the Ministry of Education with support from UNICEF, is organizing a major awareness campaign for the massive enrolment of girls and their maintain at school in the regions of Salamat and Tibesti. The campaign theme is "Educating a girl is to contribute to the reduction of maternal and infant mortality." The choice of these two regions is justified by the relatively low level of gross enrolment ratio (GER) of girls. In the region of Salamat in the south east, the GER is 46.8% (66.9% boys and girls 26.5%) while for the Tibesti GER of 85.5% (boys and girls 113% 49%). In Sudanese refugee camps in the east, awareness campaigns for the mass enrolment of children in school have been organized in preparation for the school 2010-2011 year. Enrolments took place in September and October in most camps. An allocation of 150 school kits (boxes containing school supplies) and 3,000 boxes of chalk have been granted to the Education section of Abeche to meet the educational needs of students. The school year has been effective since the beginning of October. To strengthen the capacity of teachers, skills’ training of 574 community teachers was organized in the colleges of Abeche, Mongo and Moundou from July to September 2010. Thus, 511 men and 63 women trained have successfully passed their final exam. A workshop on updating of pedagogical tools in non-formal basic education was held from 24 to 28 September at Gassi with financial assistance from UNICEF. Around 40 participants including two women took part in that workshop. 5- Protection The protection of civilians is at the centre of a series of forums that began on 11 October in N'Djamena. Intended to discuss the roles and responsibilities of the Chadian Government and humanitarian actors, these forums will continue to Abeche, Goz Beida and Koukou. A roadmap between the Government, UN and humanitarian actors is expected at the end of this series of discussions. The workshop to launch the joint Government / UNICEF / UNFPA / UNHCR in prevention and response to Gender Based Violence (GBV) was held in N'Djamena from 5 to 8 October. Fifty participants from state services, the UN agencies, NGOs and civil society participated in the workshop.
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