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Mozambique Humanitarian Situation Report No

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Mozambique Humanitarian Situation Report No ©UNICEF/2020/Lima Mozambique Humanitarian Situation Report No. 3 Reporting Period: January to December 2020 Highlights Situation in Numbers • UNICEF dispatched 3,317 kg of cargo to Palma in Cabo Delgado to 363,120 address the WASH, nutrition and education needs of both IDPs and host children in need of communities. humanitarian assistance (source) • Over 57,250 children 6-59 months received Vitamin A supplementation and screened for severe acute malnutrition (SAM); of those 719 children were admitted to therapeutic support. Over 71,660 mothers and 712,000 caregivers of children 6-23 months received IYCF-related messages. people in need (OCHA 2020) • UNICEF continued providing life-saving health services to children and their families. This year, UNICEF supported the government Integrated Mobile Brigades 9,782 children under five received health consultations, 500,000 32,206 children received DTP3, 74,892 children were vaccinated for internally displaced people measles, and 1,406 pregnant HIV+ women received antiretroviral therapy. (IOM) • In 2020, UNICEF supported over 75,870 people to access safe water, over 161,740 people accessed appropriate sanitation facilities and 2,441 received hygiene messages, and 45,088 families received point-of-use Fatalities (ACCLED) water treatment and purification materials/products. UNICEF’s Response and Funding Status UNICEF Appeal 2020 SAM Admission 150% US$ 11 million Funding status 13% Funding Status (in US$) Nutrition Measles Vaccination 83% Health Funding status 109% Funding gap Safe Water 152% $5M WASH Funding status 105% People with MHPSS 103% Funds Receiv Child Funding status 79% ed in Protection 2020 Children learning 48% $6M Funding status 28% Education People reached 197% C4D Funding status 39% 0% 20% 40% 60% 80% 100% 1 Funding Overview and Partnerships To support humanitarian action in 2020, UNICEF appealed for $11.1 million to provide life-saving services for children and their families affected by the ongoing conflict in northern Mozambique. As of 31 December 2020, UNICEF received a total of $6.5 million from donors including the United Kingdom, U.S. Agency for International Development, Central Emergency Response Fund, and the European Civil Protection and Humanitarian Aid Operations, to support its humanitarian response for the Cabo Delgado crisis. With the activation of UNICEF’s Level 2 Corporate Emergency Activation Procedure (CEAP) for the response, UNICEF headquarters allocated $2.5 million—including $500,000 for the Prevention of Sexual Exploitation and Abuse—from its Emergency Programme Fund to support the scale up of the response. The funding gap remaining at the end of 2020 was 41%. This gap is significant heading into 2021, where UNICEF requires $52.8 million for its Humanitarian Action for Children (HAC), of which over $30 million is for the Cabo Delgado crisis response. Situation Overview & Humanitarian Needs Since 2017, the Cabo Delgado province, located in the north of Mozambique, has been facing an increasing humanitarian crisis caused by ongoing conflict by non-state armed groups (NSAGs). The situation deteriorated significantly in 2020 with increased attacks, internal displaced people (IDPs) and access constraints in the northern districts. According to the Armed Conflict Location and Event Data Project (ACLED), by the end of 2020, there were over 720 violent events and 2,441 reported fatalities from attacks on civilians. According to the seventh round of the data tracking matrix (DTM) of the International Organization for Migration (IOM) conducted in November 2020, there are at least 527,9751 people displaced due to insecurity in Cabo Delgado of which approximately 45%2 are children, distributed among five provinces namely Cabo Delgado, Nampula, Niassa, Zambezia and Sofala provinces. About 59,4853 IDPs are in hard to reach areas of Cabo Delgado including Palma, Muidumbe, Macomia and Quissanga districts. Over 90 per cent of the IDPs are located in 16 districts of Cabo Delgado, mainly southern districts due to safety and security as well as access to humanitarian assistance and living in host families; there is no information about Mocimboa da Praia district. The top three priority needs identified for IDPs were food assistance, shelter, and non-food items. Additional priority needs identified in localities hosting IDPs included: access to income-generating activities, potable water, documentation and education. The Government, through the National Institute for Disaster Management and Risk Reduction (INGD), reported higher displacement figures—over 600,000 people in ©UNICEF/2020/Biso seven provinces. There have been recurrent informal reports and allegations of serious human rights abuses, killings and maiming; widespread destruction and burning of property including public facilities; looting and (forced) displacement; abductions, and sexual and gender-based violence. Over 1,900 unaccompanied children were reported in the most recent DTM. Due to the conflict and insecurity in 2020, there was destruction of key infrastructure—health facilities and water supply systems—impacting the provision of basic services such as health and nutrition as well as safe water. Of the health facilities, 41 out of 130 are non-functional in nine districts while 12 water systems and 56 boreholes were reported as not operational in seven districts. Nearly 74,250 students and 1,486 teachers in 171 schools have been affected in the nine districts, forcing many to flee to other districts for safety. Access to affected populations in hard to reach areas remained challenging in five districts of the province due to poor security. Palma District has recently become accessible thanks to the UN Humanitarian Air Service (UNHAS) facilitated by the World Food Programme and Logistics Cluster. As a result, humanitarian partners have been able to access Palma and Ibo districts to conduct assessments, transport life-saving supplies and provide assistance. Disease outbreaks such as cholera, acute watery diarrhoea (AWD) and COVID-19 affected Cabo Delgado throughout the year. By end December, there were over 2,400 cumulative cases of cholera in Cabo Delgado with a case fatality rate of 1.5% reported in five districts and over 450 cases of AWD were reported in three districts. UNICEF provided safe 1 IOM/DTM round 7 as of November 2020 2 IOM/DTM round 7 as of November 2020 3 IOM/DTM round 7 as of November 2020 2 water, sanitation materials, hygiene promotion, household water treatment products, medicines (cholera and AWD kits) and other supplies to respond to the needs. The province has reported 1,374 cases of COVID-19, since the onset of the pandemic. Summary Analysis of Programme Response Nutrition Throughout 2020, UNICEF has supported the screening and treatment of severe acute malnutrition (SAM) in children under five years of age including through the government’s Integrated Mobile Brigades. Between June and December, the brigades carried out 621 site visits in Ancuabe, Ibo, Balama, Namuno, Pemba, Montepuez, Mecúfi, Metuge, and Meluco Districts of Cabo Delgado. In addition, UNICEF, with partner CARITAS, strengthened active case finding, SAM screening and referrals. UNICEF supported the Provincial Health Directorate (DPS) in conducting supervisor visits and identification of nutrition sites for implementation of integrated nutrition programs, online and in person mentoring/training on in-patient treatment of acute malnutrition, and the provision of equipment including portable ©UNICEF/2020/Biso stadiometer, scales, in-patient and out-patient kits, and mid-upper arm circumference tapes. Through UNICEF support, a total of 57,257 children 6-59 months were screened for SAM and provided Vitamin A supplementation, 11,000 more than our target for the year. Of these 719 children admitted for SAM treatment while 40,525 children 6-23 months were dewormed, and 71,661 mothers and caregivers of children 6-23 months received IYCF-related messages. UNICEF was able to achieve significantly more people than original targeted as figures the displacement changed significant during the year, necessitating a more significant response. The Nutrition team was also able to use non-emergency funds which provide nationwide support, to cover some of the costs of reaching children with both SAM treatment and Vitamin A distribution. Wherever possible, UNICEF leveraged resources to address the increasing needs in the province as the fluid situation evolved throughout the year. In December 2020, UNICEF prepositioned supplies in Palma District with local health authorities to support provision of services for IDPs and host communities. The supplies included 20 cartons of ready-to-use-therapeutic food (RUTF) and 800 cartons of micronutrients as well as 15,000 Vitamin A and E tablets for children—enough to top-up existing stocks to avoid pipeline breaks through mid-2021. UNICEF leads the Nutrition Cluster in Cabo Delgado as well as at the national level. As part of the Inter-Cluster Coordination Group (ICCG) established in Cabo Delgado, the nutrition cluster participated in different inter-agency rapid assessments including in Ancuabe, Palma, Montepuez, Metuge and Meluco Districts. In addition, during the month of December, the Nutrition Cluster began its preparatory planning and consultations with partners and the Global Nutrition Cluster to undertake a Rapid Nutrition Survey in early 2021. The Cluster Coordination Performance Monitoring (CCPM) started on 18 December and is expected to be finalised mid-February 2021. Health
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