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.

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). 2 WHO threshold alert is at 10%. 3

UNICEF Cameroon - Humanitarian Situation Report June 2019

On 11 June, a field visit to the Kolofata IDP camp was jointly organised by OCHA and UNICEF’s education, Protection and Nutrition teams. This visit aimed at assessing the functionality of SAM case referral to health centre and availability of the water tank. Through the visit, it was confirmed that the outpatient treatment centre in Kolofata was functional with more than 120 SAM children in charge, and the most severe cases are referred to Mora hospital through the support of ICRC. Three partnership agreements were signed respectively with ACF, IEDA and AHA to provide support with the community-based management of acute malnutrition and the promotion of IYCF in emergency in vulnerable areas of Logone-et-Chari and Mayo Sava divisions. Targeted areas in these divisions are Tokombere (ACF), Kousseri and Goulfey (IEDA) as well as Makary and Mada (AHA). In the coming month, UNICEF is planning to organise a workshop on the mother-led MUAC strategy, launch the home fortification programme in Logone-et-Chari division and hold a nutrition working group coordination meeting. Health Since January, 140,277 children aged 6 months to 15 years were vaccinated against measles in the Far-North region. As of June, 15 districts out of 30 in the Far-North region and 10 Health Districts out of 15 in the North region face measles epidemic. The Ministry of Public Health foresees organising a measles rubella campaign covering the three Northern regions (Far-North, North and Adamawa regions) in response to the out-break and as a preventive measure. From 31 May to 2 June (local immunisation days against polio), 1,278,594 children aged under 59 months were vaccinated against poliomyelitis in all the 30 Health Districts of the Far-North region. In response to the circulating Polio Virus Derived Vaccine 2 (cPVDV2) polio outbreak in Mada Health District confirmed in May, the round zero (1st phase) of the outbreak response was conducted from 10-12 June in Mada and Makary Health Districts of Logone-et-Chari division. During the response, 123,382 children aged 0-5 years were vaccinated against poliomyelitis. The round one (2nd phase) 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. WASH Since the declaration of an epidemic of cholera in May 2018, Cameroon faces cholera epidemic. Out of the three regions (North, Far-North and Centre regions) affected in 2018, only the North region records new cholera cases in 2019. In June, a total of 13 new cases with two deaths of cholera have been reported. Thus, a total of 727 cases and 48 deaths have been reported in the North region since the beginning of epidemic in 2018. 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. In 2019, UNICEF continues to provide support to the Ministry of Public Health in coordination, preparedness, prevention and response activities for the cholera outbreak. From 18-24 June, a training on cholera was organised in Garoua (North region) for 25 participants from national and international NGOs, Ministries of Water Resource and Public Health, and councils. Through the training, participants learned intervention related to cholera outbreak response and control, they also developed plans for cholera preparedness and elimination for selected areas. In partnership with national NGO ACDC, the implementation of Community-Led Total Sanitation (CLTS) is ongoing in all 79 targeted villages in Blangoua (hosting 7,137 IDPs) in Logone-et-Chari division of the Far-North region. Since January, a total of 56,288 people, including 15,429 people in June, were reached through massive sensitisation campaign promoting the utilisation of household latrines and the importance of handwashing with soap. This includes 15,351 people (including 367 IDP) trained on household water treatment and 12,978 people (4,134 women) trained on cholera prevention and treatment. To Improve access to basic sanitation, the construction of 20 gender sensitive latrines were completed in five health centres (Tokombere, CSI Massare, CSI Tolkomari, CSI Kouyape, CMA Amchide) and five schools in Mayo Tsanaga

UNICEF Cameroon - Humanitarian Situation Report June 2019 division (Tchouvouk, Moho, Matakam, Gabai, Sirak) in the Far-North region. As a result, patients and approximately 1,800 students at these health centres and schools will benefit from these new sanitation facilities. Education Between January and June 2019, 2,415 children received learning materials and 5,400 children benefited from psychosocial support in the Far-North region. During the month of June, UNICEF supported the Regional Delegation of Basic Education in identifying 16 children's governments including 3 newly created ones in order to set up a capacity building plan and provide them with technical support. The latter will be empowered on how to promote peace in the classroom and school environment. In Goulfey, 24 teachers (5 women) were empowered on how to carry out debates related to peace education in the school setting. Six (6) schools participated in the debate of which 4 from Goulfey and 2 from Blangoua on the theme “violence vs peace”. One hundred and six (106) children (57 girls, 49 boys) were present during the debate from Goulfey and 41 children (15 girls, 26 boys) from Blangoua. At the end of the debate, both teachers and children understood how to relate with each other in the school milieu to promote peace education. Child Protection In June, UNICEF provided psychosocial support to 1,506 children (624 girls and 882 boys) in community-based Child Friendly Spaces (CFS) and other secure spaces through its implementing partners (CODAS Caritas and ALDEPA) in the Logone-et-Chari, Mayo Sava and Mayo Tsanaga divisions. Of the 1,506 children, 570 are internally displaced (268 girls and 302 boys), 874 are from the host community children (328 girls and 546 boys) and 62 are refugees (28 girls and 34boys). 71 (26 girls and 45 boys) unaccompanied and separated children (UASC) were identified in Logone-et--Chari, Mayo Sava, and Mayo Tsanaga divisions. 12 of them are unaccompanied (3 girls and 9 boys) and 59 are separated (23 girls and 36 boy). Out of 71 UASC, 44 of them are IDPs and 27 are refugees. Each one of them received psychosocial support as well as material assistance (hygienic kits and clothes). In addition, five children (2 girls and 3 boys) were reunified with their families in Gouzoudou (Mayo Sava division) and Zigague (Logone-et-Chari division). 24 children (11 girls and 13 boys) presumed to be associated with armed groups were identified during sensitisation sessions carried out in the community by Child Protection Community-Based Mechanisms (CPCBM) and social workers of ALDEPA, in Mayo Sava and Mayo Tsanaga divisions. Additionally, 40 children (all boys) used by vigilante committees were identified by CODAS Caritas in the villages of Blangoua, Fotokol, Goufey, Krobo and Dougoumachi in the Logone-et-Chari division, making a total of 64 children presumed associated with armed groups identified in June (aged 10 to 17). All the children formerly identified by vigilante groups currently live with their families. All of them were provided with psychosocial support and are benefiting from home visit/follow up by social workers and animators of ALDEPA and CODAS Caritas. All of them have been integrated into adolescent clubs and participate in life skills activities which comprise of small business of basic household items, cattle rearing (sheep/goats) and gardening to facilitate their reintegration in to the community. In parallel, continuous sensitisations are carried out within these communities to prevent any stigmatisation. UNICEF’s implementing partner ALDEPA provided support to 100 children (42 girls and 58 boys) in retrieving pending birth certificates from the civil registration office in Kousseri and Waza sub-divisions (Logone-et-Chari division in the Far-North region). In collaboration with the Regional Delegation of Social Affairs of Far-North, UNICEF facilitated six sessions of training on the United Nations principles on protection of children during armed conflict and prevention of recruitment of children by armed groups (UNSC Resolutions 1612, 1882, 1998 and 2225), as well as on the guidelines of safe schools for children. These trainings benefited a total of 525 personnel of defence and security forces and personnel of law and order (Far-North region), amongst which 423 from the Rapid Intervention Brigade (BIR) (2 women) in Amchide, Kolofata, Salak, Mokolo, 75 (all men) from the Multinational Mixed Force (FMM) of Mora and 27 police and gendarme officers in Mora (5 women). Communication for Development (C4D) 5

UNICEF Cameroon - Humanitarian Situation Report June 2019

During the month of June, 32 schools in Blangoua and Goulfey (Logone-et-Chari division, Far-North region) organised 288 forum theatre sessions on the prevention of children's involvement in conflict and protection from extreme violence. As part of the polio outbreak response, 93% of households in Mada and Makary Health Districts (Far-North region), representing approximately 130,000 people, were mobilised and received information about the outbreak of polio. Through the raising awareness activity, they have also been informed of the importance of immunisation for children aged 0-5 years old. In addition to these information, generic messages on polio, WASH, routine immunisation were also disseminated. Furthermore, 10 community radio partners broadcasted programmes on prevention and response to the cholera epidemic in the various divisions in the North region. North-West and South-West Crisis Nutrition The latest available data on nutrition situation, derived from the WFP’s Emergency Food Security Assessment (EFSA) conducted in January 2019, revealed that proxy Global Acute Malnutrition rates for the North-West and South-West regions are respectively 4.4% and 5.6%. As per the most recent calculation, endorsed by the nutrition cluster, up to 7,000 children 6-59 months with SAM can be expected in the two regions until the end of the year. As the situation is evolving, UNICEF plans to support a rapid nutrition assessment (RNA) in the coming months to get a better idea of the nutrition situation. To address the needs of the affected populations, UNICEF is intensifying efforts to put in place an emergency nutrition response. UNICEF has provided nutrition supplies and anthropometric equipment to several partners (Action Against Hunger, Reach Out) to support SAM management. For the moment, sporadic cases are reported but the response is limited by security and access constraints. UNICEF is also planning to support MUAC screening and build capacity of local partners on SAM management both for outreach treatment and inpatient facilities. The multisectoral Rapid Response Mechanism (RRM), aiming to reach the hardest to reach areas, will include screening, referral, vitamin A supplementation and nutrition sensitisation. To further augment its internal capacity to respond to the situation, UNICEF will deploy an Emergency Nutrition Specialist who will work closely with partners in both regions to accelerate the delivery of the nutrition response and will continue the support to the Nutrition Cluster Coordinator position. Resource mobilisation is ongoing to secure the response capacity until the end of the year. As nutrition sector lead, UNICEF is coordinating the overall response through the nutrition cluster. A nutrition response plan has been endorsed by the nutrition cluster members following on a workshop that took place in Buea on 12 June 2019. Further discussions are ongoing with WFP to develop a joint action plan. Health In the first half of 2019, 36,499 families have received LLINs through the UNICEF’s support. In June, 4,733 people (1,041 families) have received LLINs. Health response of the RRM has started with the distribution of 82 delivery kits, containing the necessary tools for the delivery of babies, as well as 80 new-born kits for pregnant women (each containing blanket, clothing, skin rubbing oil, bathing soap and diapers). WASH Since January 2019, 82,928 people in the North-West and South-West regions have received WASH kits. As part of RRM, an additional 4,733 people (1,041 families) have received WASH kits in June alone. UNICEF continues to provide support to WASH cluster coordination activities. WASH Cluster held Hygiene Promotion Technical Group (HPTWG), Strategic Advisory Group (SAG) and WASH cluster coordination meeting on 13 June in Buea, on 26 June in Bamenda (SAG and HPTWG) and 27 June (WASH Cluster Coordination Meeting). The main

UNICEF Cameroon - Humanitarian Situation Report June 2019 constraints reported by WASH partners are insufficient funds, recurrent movement of IDPs from one location to the other and insecurity concerns on the roads. Education Through January to June, the main activities and results obtained are i) comprehensive needs assessment covering 63 sub-divisions in the North-West and South-West regions, ii) UNICEF and PLAN Cameroon joint monitoring mission to the Littoral and West regions to disseminate the findings of the needs assessment report and discuss strategies for effective 'back to school' campaign for 2019/2020 school year. UNICEF is developing an education emergency response partnership agreement with PLAN International to (1) conduct identification of innovative interventions being carried out by community- based organisations in the North- West and South-West regions, (2) support scaling up to cover more children, (3) support teacher training and community mobilisation, and (4) provide learning materials for IDP children in the Littoral and West regions. In June, UNICEF’s partner PAIDWA completed the primary data collection for the comprehensive education needs assessment in the North-West and South-West regions. Data cleaning and analysis are ongoing, and the first preliminary report is expected to be released in July. UNICEF and PLAN International conducted a joint field mission to the Littoral and West regions to discuss with the Education authorities on their plans and support for the back to school campaign for the IDP children for the 2019/2020 school year which starts from next September. The main strategies outlined for the successful integration of these IDP children include: (1) creation of double shift school sessions to accommodate all children as a short-term measure, and construction of additional classrooms for the medium to longer-term solution, (2) advocating with national education authorities to increase quota of teachers in order for these two host regions to support the teaching and learning process, (3) mobilisation of community leaders such as chiefs, quarter heads to encourage them to send all IDP children to school, (4) capacity strengthening of teachers in psycho social support knowledge and skills, in addition to the first session which was conducted in November 2018 and (5) mobilisation of learning materials from benevolent partners to support the children. Child Protection In June, UNICEF and its implementing partners have provided psychosocial support to 593 children (314 girls and 279 boys) and 931 adolescents (582 girls and 349 boys), bringing the total number of children who have been reached through CFS and other secure services since January to 13,517. An attack by NSAGs on villages in Akawaya sub-division of Manyu division (South-West region) has triggered massive displacement which resulted in the separation of hundreds of children from their parents/guardians. As a result, the number of UASC identified and registered by UNICEF’s implementing partner Caritas in June has spiked. A total of 631 (315 girls and 316 boys) UASC were identified and supported through case management and psychosocial activities. Among these 631 children, 624 children (312 girls and 312 boys) were reunited with their families or close relatives. Also in June, a total of three sensitisation sessions were organised respectively on, 1) psychosocial support needs for themselves and their children for 4,673 community members (1,397 women, 891 men, 1,532 girls, 853 boys), 2) children’s rights for 4,699 people (1,382 women, 875 men, 1,565 girls, 877 boys), and 3) Sexual Gender-Based Violence (SGBV) for 4,718 people (1,433 women, 917 men, 1,532 girls, and 836 boys). 10 staff from Reach Out, UNICEF’s RRM implementing partner attended a 2-day training on Child Protection in Emergencies, facilitated by UNICEF personnel. The training focused on (1) serious threats to children in emergency situations, (2) CFS and community-based child protection mechanisms, (3) monitoring and reporting child rights violations, (4) prevention of sexual exploitation and abuse and (5) accountability to affected populations. The Child Protection Area of Responsibility (AoR) finalised the referral pathway and shared it with the humanitarian community. The referral pathway was also shared with the UNFPA-led Gender-Based Violence (GBV) AoR for integration with the GBV referral pathway.

UNICEF Cameroon - Humanitarian Situation Report June 2019 Security In June, the security situation of the Far-North region was characterised by an increase of Non-State Armed Groups (NSAG) activities, especially in Logone-et-Chari division. NSAG carried out more than 22 attacks in the Far-North region during the month of June. As a result of these incidents, 67 people have been killed and 13 other people got injured while six men were abducted. 13 attacks (59%) were reported in Logone-et-Chari division while seven attacks (31%) were carried out in Mayo-Sava division. In Logone-et-Chari division, 54 people, including 17 Cameroonian soldiers, died from the attacks carried out by NSAGs, corresponding to 80% of people killed in the Far-North region in June. On 10 June, NSAGs attacked a Multi- National Joint Task Force (MNJTF) military base in Darack, where 17 soldiers and nine civilians killed. A flag of NSAGs was raised for couple of hours in this locality after being repelled by Cameroonian security forces. NSAGs have considerably increased attacks against security forces, and civilians are not excluded from targets of those attacks in the neighbouring areas of Lake Chad Basin. Mayo-Sava division recorded seven NSAG attacks with 11 people killed in total, indicating some constant NSAG activities in this division. Predominance of predatory and criminal acts of NSAGs has been reported in Kolofata and Mora sub-divisions. In Mayo-Tsanaga division, two NSAG attacks have been repelled by security forces and vigilante auto defence groups. During the night of 17 June, an unknown number of NSAG elements with rifles attacked the locality of Zeleved but quickly repelled by gendarmerie and security forces, as a result of these attacks, three civilians were injured in the crossfire.

Funding UNICEF expresses its gratitude to the Governments of Japan, United States, Sweden, as well as CERF, Global Thematic Partners and Spanish committee for their contributions to the 2019 humanitarian response. Further adequate, predictable and flexible resources are needed to allow UNICEF to reach the most disadvantaged children in Cameroon, including children affected in the newly emerging crisis in the North-West and South-West regions. Without having sufficient funds, UNICEF is unable to reach children in need of assistance to provide them with the necessary support. Currently, total funding gap for the 2019 Humanitarian Action for Children (HAC) plan is 80%, exposing children and their care-takers to threats to their well-being. Total UNICEF Funding Funds available* Funding gap Appeal Sector Requirements Funds Received Carry-Over Total available $ % Current Year Nutrition 6,739,200 0 0 0 6,739,200 100% Health / HIV 5,313,886 389,926 360,610 750,536 4,563,350 86% WASH 10,355,676 600,000 186,498 786,498 9,569,178 92% Child Protection 9,291,240 1,860,001 27,203 1,887,204 7,404,036 80% Education 4,181,177 896,365 0 896,365 3,284,812 79% C4D 1,427,756 80,000 0 80,000 1,347,756 94% Emergency Preparedness 2,021,760 725,065 2,600,464 3,325,529 0 0% and Response Total 39,330,695 4,551,357 3,174,775 7,726,132 31,604,563 80% * Funds available includes funding received against current appeal as well as carry-forward from the previous year. The ongoing programmes for the LCB crisis are financed by carry-forward from the previous year.

LCB Funding Appeal Sector Requirements Funds available* Funding gap

UNICEF Cameroon - Humanitarian Situation Report June 2019

Funds Received Carry-Over Total available $ % Current Year Nutrition 3,000,000 0 0 0 3,000,000 100% Health / HIV 1,715,781 0 0 0 1,715,781 100% WASH 3,390,660 0 0 0 3,390,660 100% Child Protection 2,080,000 757,869 0 757,869 1,322,131 64% Education 1,268,233 0 0 0 1,268,233 100% C4D 571,496 0 0 0 571,496 100% Emergency Preparedness 70,403 0 0 0 70,403 100% and Response Total 12,096,573 757,869 0 757,869 11,338,704 94%

NW/SW Funding Funds available* Funding gap Appeal Sector Requirements Funds Received Carry-Over Total available $ % Current Year Nutrition 500,000 0 0 0 500,000 100% Health / HIV 1,907,044 389,926 360,610 750,536 1,156,508 61% WASH 4,414,500 600,000 186,498 786,498 3,628,002 82% Child Protection 2,915,000 1,102,132 27,203 1,129,335 1,785,665 61% Education 1,446,152 896,365 0 896,365 549,787 38% C4D 616,416 80,000 80,000 536,416 87% Emergency Preparedness 8,285,000 725,065 2,600,464 3,325,529 4,959,471 60% and Response Total 20,084,112 3,793,488 3,174,775 6,968,263 13,115,849 65%

Next SitRep: July 2019 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 Barbara Jamar Jacques Boyer Who to Representative Deputy Representative- Chief of Field Operations & Emergencies a.i. Yaoundé, Cameroon, Programme Yaoundé, Cameroon contact for Yaoundé, Cameroon Tel: +23722223182 Tel: +23722223182 further Fax: +23722231653 Tel: +237222505402 Mobile +237696742015 Mobile +237699417238 Fax: +23722231653 Email: [email protected] information: Fax: +23722231653 Email: [email protected] Email: [email protected]

UNICEF Cameroon - Humanitarian Situation Report June 2019 Annex A SUMMARY OF PROGRAMME RESULTS* National Response Overview Results (Lake Chad Basis Crisis, North-West and South-West Crisis and CAR Refugee Situation) Sector Response UNICEF Change Change Overall since since National 2019 Total 2019 Total Needs last last Target Results Target Results report report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of affected people with a sustainable access 1,296,709 811,386 59,730 0 110,000 12,500 0 to safe drinking water to address their vulnerabilities Number of affected people with an access to adequate 755,119 374,758 30,571 630 75,000 20,181 0 basic sanitation to meet their vulnerabilities Number of people provided with WASH kits 1,349,195 649,109 121,020 5,096 270,000 94,143 4,733 EDUCATION Number of out of school boys and girls (3 to 17 years) 1,051,000 519,000 0 0 311,400 0 0 affected by crisis accessing education Number of school aged boys and girls (3 to 17 years) 557,600 363,300 2,415 0 217,980 0 0 affected by crisis receiving learning materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher 1,051,000 476,200 5,400 0 260,520 0 0 has been trained in psychosocial support and/or conflict and disaster risk reduction HEALTH Number of children (6 months to 15 years) vaccinated 526,565 0 0 0 266,492 140,277 0 against measles Number of families / households that have received at 222,227 0 0 0 62,739 42,199 1,041 least 1 LLIN NUTRITION Number of children aged 6 to 59 months with SAM 62,545 60,255 27,381 3,922 65,064 28,546 4,133 admitted for treatment Performance of integrated program for severe acute ≥ 75% ≥ 75% 89% 0 ≥ 75% 89% 0 malnutrition treatment : cured rate Number of primary health facilities that deliver IMAM 809 809 839 360 702 839 360 services CHILD PROTECTION # of children reached with psychosocial support including through child friendly/safe spaces (girls and 1,007,213 540,449 96,604 5,638 289,789 42,707 3,534 boys) # of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 9,661 6,504 5,612 1,244 2,611 1,481 737 arrangements and/or who benefited from individual follow-up (SC/UAC; girls / boys) # of Unaccompanied Children reunified with families 1,951 171 35 11 1,211 26 5 (girls and boys) # of children suspected or verified associated with an armed group (including children released from TBD 69 188 64 47 119 64 detention) provided with temporary care or family / community reintegration support # of conflict affected children provided with Birth 15,121 7,030 1,620 264 4,780 842 83 Certificate # of children facing protection risks who receive case 105,227 0 0 0 5,000 280 49 management services Communication for Development (C4D) # of people reached with key life- saving & behavior 385,000 165,275 130,000 change messages # of people reached by mechanisms to voice their 210,000 1,137 0 needs/concerns

UNICEF Cameroon - Humanitarian Situation Report June 2019

*All results are cumulative. ** UNICEF target for these two indicators should be read as follows: # of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who 9,661 7,596 5,612 1,244 2,611 1,481 737 benefited from individual follow-up (SC/ UAC; girls / boys) # of Unaccompanied Children reunified with families (girls and 1,951 171 35 11 129 26 5 boys)

Lake Chad Basin Crisis Sector Response UNICEF and IPs Change Change Overall since since Sector 2019 Total 2019 Total needs last last Target Results Target Results report report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of affected people with a sustainable access 179,181 165,423 35,750 0 30,000 0 0 to safe drinking water to address their vulnerabilities Number of affected people with an access to adequate 205,424 122,903 23,781 0 25,000 16,981 0 basic sanitation to meet their vulnerabilities Number of people provided with WASH kits 205,424 132,338 32,979 264 40,000 11,215 0 EDUCATION Number of out of school boys and girls (3 to 17 years) 440,000 213,000 0 0 127,800 0 0 affected by crisis accessing education Number of school aged boys and girls (3 to 17 years) 220,000 149,100 2,415 0 89,460 0 0 affected by crisis receiving learning materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher 440,000 213,000 5,400 0 127,800 0 0 has been trained in psychosocial support and/or conflict and disaster risk reduction HEALTH Number of children (6 months to 15 years) vaccinated 199,066 78,289 140,277 0 against measles Number of families / households that have received at 65,569 16,392 5,700 0 least 1 LLIN NUTRITION Number of children aged 6 to 59 months with SAM 31,533 31,282 15,127 2,542 31,282 15,366 2,634 admitted for treatment in Far North Performance of integrated program for severe acute ≥ 75% ≥ 75% 90% ≥ 75% 90% malnutrition treatment in Far North : cured rate Number of primary health facilities that deliver IMAM 351 351 360 360 351 360 360 services CHILD PROTECTION # of children reached with psychosocial support including through child friendly/safe spaces (girls and 501,883 273,715 69,274 4,008 133,636 26,238 1,506 boys) # of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 1,951 1,951 1,319 307 129 303 71 arrangements and/or who benefited from individual follow-up (SC/UAC ; girls / boys) # of Unaccompanied Children reunified with families 1,951 171 35 11 1,211 26 5 (girls and boys) # of children suspected or verified associated with an armed group (including children released from TBD 69 188 64 47 119 64 detention) provided with temporary care or family / community reintegration support # of conflict affected children provided with Birth 15,121 7,030 1,620 264 4,780 842 83 Certificate Communication for Development (C4D) # of people reached with key life- saving & behaviour 250,000 141,625 130,000 change messages

UNICEF Cameroon - Humanitarian Situation Report June 2019

# of people reached by mechanisms to voice their 150,000 0 0 needs/concerns *Needs and targets for WASH and Health are different from those of Online Project System. **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. ***Targets for these indicators should be read as follows: # of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who 1,951 1,951 1,319 307 1,211 303 71 benefited from individual follow-up (SC/ UAC ; girls / boys) # of Unaccompanied Children reunified with families (girls and 1,951 171 35 11 129 26 5 boys)

North-West and South-West Crisis Sector Response UNICEF and IPs Change Change Overall since since Sector 2019 Total 2019 Total needs last last Target Results Target Results report report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of affected people with a sustainable access 938,347 480,540 12,980 0 50,000 11,000 0 to safe drinking water to address their vulnerabilities Number of affected people with an access to adequate 344,271 128,952 3,990 630 25,000 3,200 0 basic sanitation to meet their vulnerabilities Number of people provided with WASH kits 938,347 384,432 87,566 4,832 190,000 82,928 4,733 EDUCATION Number of out of school boys and girls (3 to 17 years) 466,000 214,000 0 0 128,400 0 0 affected by crisis accessing education Number of school aged boys and girls (3 to 17 years) 279,600 149,800 0 0 89,880 0 0 affected by crisis receiving learning materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher 466,000 171,200 0 0 102,720 0 0 has been trained in psychosocial support and/or conflict and disaster risk reduction HEALTH Number of children (6 months to 15 years) vaccinated 122,792 122,792 0 0 against measles Number of families / households that have received at 86,540 28,847 36,499 1,041 least 1 LLIN NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment in South West and North West 2,500 2,500 0 0 2,500 0 0 regions CHILD PROTECTION Number of children reached with psychosocial support including through child friendly/safe spaces (girls and 400,103 266,734 27,330 1,630 136,153 13,517 1,524 boys) Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 4,553 4,553 4,293 937 2,000 1,076 631 arrangements and/or who benefited from individual follow-up (SC/ UAC ; girls / boys) Communication for Development (C4D) Number of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services (behaviour/best 135,000 23,650 0 practices) through community-based social mobilization and/or outreach activities Number of community leaders (traditional leaders, local political leaders, religious leaders, 60,000 1,137 0 teachers/principals, etc) participating as agents of social mobilization at community level *Needs and targets for WASH are different from those of Online Project System.