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Cameroon Humanitarian Situation Report

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Cameroon Humanitarian Situation Report Cameroon Humanitarian Situation Report ©UNICEF Cameroon/2019 SITUATION IN NUMBERS Highlights June 2019 2,300,000 # of children in need of humanitarian Since the beginning of 2019, more than 91,000 people have assistance received UNICEF’s assistance in the North-West and South- 4,300,000 # of people in need West regions. (Cameroon Humanitarian Needs Overview 2019) Between January and June 2019, more than 140,000 Displacement children in the Far-North region were vaccinated against 444,213 measles between January and June 2019. # of Internally Displaced Persons (IDPs) in To provide life-saving assistance for people who are in the the North-West and South-West regions (OCHA Displacement Monitoring, December 2018) most hard-to-reach areas, UNICEF has initiated Rapid 237,349 Response Mechanism (RRM) with its partner in the South- # of Returnees in the North-West and West region from June 2019. RRM preparation in the North- South-West regions (OCHA Displacement Monitoring, December 2018) West region is underway. 372,854 With the funding gap of 80%, additional funding is urgently # of IDPs and Returnees in the Far-North region required for UNICEF to continue providing its assistance to (IOM Displacement Tracking Matrix 18, April 2019) children and their care-takers who are in need. 102,963 # of Nigerian Refugees in rural areas (UNHCR Fact Sheet, May 2019) UNICEF’s Response with Partners Sector Total UNICEF Total UNICEF Appeal 2019 Target Results* Target Results* US$ 39.3 million WASH: People provided with 374,758 30,571 75,000 20,181 access to appropriate sanitation Education: Number of boys and girls (3 to 17 years) affected by 363,300 2,415 217,980 0 Funds crisis receiving learning materials received $ 4.5M Nutrition**: Number of children Carry- aged 6-59 months with SAM 60,255 27,381 65,064 28,546 over $ 3.2 M admitted for treatment 2019 funding Child Protection: Children requirement: reached with psychosocial support 563,265 96,604 289,789 42,707 $39.3 M through child friendly/safe spaces C4D: Persons reached with key life- saving & behaviour change 385,000 165,275 Funding gap messages $ 31.6M *Total results are cumulative. ** UNICEF targets can exceed that of the sector because the nutrition sector does not Situation Overview & cover refugee camps, whereas UNICEF covers both the camps and out-of-camp Humanitarian Needs refugees. UNICEF Cameroon - Humanitarian Situation Report June 2019 In the first half of 2019, UNICEF’s various assistance through its programmes in WASH, health, child protection and Communication for Development (C4D) has reached more than 91,000 people in the North-West and South-West regions. This brings the total number of people who benefited from UNICEF’s assistance since August 2018 to 144,000 people, including 4,733 people reached through the Rapid Response Mechanism. In June, UNICEF and its partner started RRM and reached 674 households (3,198 individuals, including 94 pregnant and lactating women) in Ekondo Titi sub-division (Ndian division, South-West region), with non-food items, items for water and sanitation, and new-born kits for pregnant women. Another RRM partnership agreement was signed for the North-West region to target Kumbo sub-division (Bui division). Trainings and supply dispatch are planned in the next month. To better coordinate humanitarian assistance, Government of Cameroon created Humanitarian Coordination Centre (HCC) in capitals of the two regions (Bamenda in North-West and Buea in South-West). UNOCHA is leading the coordination together with clusters and act as a focal point for the humanitarian community, including UN agencies intervening in the two regions. Despite of the vigorous efforts deployed by UNICEF with national and humanitarian actors, a total of 25 Health Districts in the Far-North and North regions (15 out of 30 in the Far-North and 10 out of 15 in the North) are still facing measles epidemic. Since January, 140,277 children aged 6 months to 15 years were vaccinated against measles. In addition, Ministry of Public Health foresees organising a measles rubella campaign to target the Far-North, North and Adamawa regions as part of the response and prevention measures. In response to the circulating Polio Virus Derived Vaccine 2 (cPVDV2) polio outbreak in Mada Health District confirmed in May, 123,382 children aged 0-5 years were vaccinated against poliomyelitis from 10-12 June in Mada and Makary Health Districts of Logone-et-Chari division. The next round is planned to take place from 12-14 July to target a total of 278,980 children aged 0-59 months in four Health Districts (Mada, Makary, Goulfey, Kousseri) of the Far-North region. The North region continues to be affected by the cholera outbreak which started in May 2018. In June, a total of 13 new cases with two deaths of cholera have been reported. As of 24 June, 12 Health Districts out of 15 have been affected, according to the cholera epidemic sitrep released by the Ministry of Public Health. UNICEF continues to provide the Ministry of Health with its support in coordination, preparedness, prevention and response activities for the cholera outbreak. In June, UNICEF organised a total of six training sessions in Amchide, Kolofata, Mora, Mokolo and Salak, in collaboration with the Delegation of Social Affairs and the military in the Far-North region. Through the training, a total of 525 soldiers reinforced the knowledge of graves violations on children’s rights and the guidelines on safe school in armed conflict situation. Estimated Population in Need of Humanitarian Assistance *Cameroon Humanitarian Needs Overview 2019 **SMART Survey 2017 & UNHCR Standardised Expanded Nutrition Survey (SENS) 2016 Start of humanitarian response: November 2013 Total Male Female Total Population in Need* 4,300,000 2,000,000 2,300,000 Children (Under 18) * 2,300,000 Children Under Five** 523,000 258,000 265,000 Children 6 to 23 months** 163,000 80,500 82,500 Malnourished Pregnant and lactating women** 18,000 - 18,000 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. 2 UNICEF Cameroon - Humanitarian Situation Report June 2019 At the field level, OCHA leads inter-sector coordination, which addresses particularly challenges and gaps both for refugees, IDPs and host communities in the Far-North, while UNHCR oversees coordination in the regions of the East and Adamawa. In response to the crisis in the North-West and South-West, clusters have been activated and UNICEF is the lead for the WASH, Nutrition, Education clusters and the Child Protection Area of Responsibility. Humanitarian Strategy UNICEF’s humanitarian strategy is organised around four pillars designed to strengthen the linkages between humanitarian action and development programming: 1) building a protective environment and supporting community peacebuilding; 2) preventing and responding to violence against and exploitation of children; 3) increasing access to basic services; and 4) strengthening emergency preparedness and response systems. The strategy will be implemented using three operational modalities. First, UNICEF strengthens government systems in communes and build community capacities. The goal is to establish linkages between community-based mechanisms and government structures to reinforce local resilience. Second, where community structures are unable to absorb shocks, UNICEF supports community-based associations and sub-regional governments to deliver services and establish coordination mechanisms. This will strengthen social cohesion by ensuring that both affected populations and host communities can access services. Third, UNICEF and partners provide an integrated, rights-based assistance package to the most conflict-affected populations. In all aspects of its humanitarian response, UNICEF strengthens accountability to affected populations, including by meeting with communities directly, where possible, and working through third-party monitors to ensure effective programme delivery. UNICEF also serves as a leader in the effort to prevent sexual exploitation and abuse and protect affected populations. Summary Analysis of Programme Response UNICEF humanitarian assistance primarily focuses on IDPs, out-of-camp Nigerian refugees and host communities affected by the Lake Chad Basin (LCB) crisis, and the North-West and South-West crisis. Lake Chad Basin (LCB) Crisis Nutrition1 UNICEF’s support to Integrated Management of Severe Acute Malnutrition (IMAM) activities in 360 health centres. Since January, 15,366 children aged 6 to 59 months, including 239 Nigerian refugee children from Minawao refugee camp were admitted to these UNICEF supported centres. According to Standardized Monitoring and Assessment of Relief and Transitions (SMART) survey conducted in 2018, the overall nutrition situation in the Far-North region is 9.6%2 and remains precarious, given the large number of aggravating factors (security instability, access to health services, water and food insecurity, etc.). Chronic malnutrition is also a major public health problem in the North and Far-North region with rates between 30-39% (SMART 2018). In order to have updated information on the nutrition situation, another SMART survey is planned from next month. UNICEF continues to collaborate with the Regional Health Delegation for implementation of nutrition interventions: 1) promotion of Infant and Young Child Feeding (IYCF) through various platform such as home fortification, mother to mother support groups, mother-led Mid-Upper Arm Circumference (MUAC) strategy etc., 2) vitamin A supplementation, 3) home fortification, 4) management of Severe Acute Malnutrition (SAM), 5) WASH in Nut activities in health facilities, and 6) multisectoral coordination. In June, UNICEF distributed 2,717 WASH in Nutrition kits to improve home hygiene conditions of children with Severe Acute Malnutrition (SAM) in Logone-et-Chari division. In addition, 2,500 cartons of RUTF were prepositioned in the same division to anticipate access issues during the rainy season.
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