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Cameroon Humanitarian Situation Report

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Cameroon Humanitarian Situation Report Cameroon Humanitarian Situation Report SITUATION IN NUMBERS December 2018 Highlights 1,810,000 • Since the declaration of the cholera outbreak on 14 July, a total # of children in need of humanitarian number of 991 cases and 58 deaths have been recorded in the assistance North, Far North, Central and Littoral regions. UNICEF’s 3,260,000 intervention for cholera response and prevention continue in the # of people in need (Cameroon Humanitarian Needs Overview 2018) affected areas, together with national and humanitarian actors. • From August to December 2018, UNICEF and its partners Displacement provided assistance to more than 47,000 people in the North 437,515 # of Internally Displaced Persons (IDPs) in West and South West regions. North West, South West, Littoral and West • During 2018, 76,531 children aged 6-59 months were treated for regions. malnutrition in UNICEF supported health centres in the four (Estimates by OCHA, October 2018) regions (Far North, North, East and Adamawa regions), reaching 245,725 #of Internally Displaced Persons (IDPs) in 118% of the target. the Far North region (Displacement Tracking Matrix 16, November 2018) 105,906 # of Returnees in the Far North region (Displacement Tracking Matrix 16, November 2018) UNICEF’s Response with Partners 100,371 # of Nigerian Refugees in rural areas Sector Total UNICEF Total (UNHCR Cameroon Fact Sheet, December 2018) Target Results* Target Results* 255,282 WASH: People provided with access 528,000 30,852 75,000 15,296 # of CAR Refugees in the East, Adamawa to appropriate sanitation Education: School-aged children 4- and North regions in rural areas (UNHCR Cameroon Fact Sheet, December 2018) 17, including adolescents, accessing 411,000 164,647 280,000 162,705 education in a safe and protective UNICEF Appeal 2018 learning environment. US$ 25.5 million Nutrition: Number of children aged 6-59 months with SAM admitted for 38,646 64,728 40,482 68,550 Funding status* (US$) treatment Child Protection: Children reached Funds received: with psychosocial support through 322,718 85,000 159,225 Funding gap : $7.2M child friendly/safe spaces $17.5M (69%) C4D: Persons reached with Required: information about WASH / health / $25.5M nutrition / education services Carry-over: (behavior/best practices) through 235,913 814,634 $2.1M (8%) community-based social mobilization and/or outreach * Funds available includes funding received activities against current appeal as well as carry-forward *Total results are cumulative. from previous year. Situation Overview & Humanitarian Needs Instability due to the insecurity in the Far North region continues to generate displacement of population in the region. According to the DTM (IOM Displacement Tracking Matrix Round 16, November 2018), as of November, the total number of people displaced are 392,027 out of whom 245,725 IDPs, 40,396 out of camp refugees and 105,906 returnees. Logone and Chari remains the division which hosts the highest number of affected population followed by Mayo Sava division. In the North and Far North regions, the cholera epidemic is ongoing. As of December, a total of 991 cases and 58 deaths have been reported in Cameroon, out of which 633 cases with 40 deaths, and 279 cases and 17 deaths are recorded respectively in the North and Far North regions, according to the Ministry of Public Health (Situation Report 21 December 2018). Since the declaration of cholera outbreak in July, UNICEF has been collaborating with the regional health delegations of the North and Far North regions for cholera coordination and responses. UNICEF continues to implement sensitisation activities and provide of WASH kits in the affected areas in these regions. Since November, the Far North region is facing a measles epidemic in Kousseri health district in Logone and Chari division. As of December, 159 cases, including three deaths have been reported (Ministry of Public Health, Situation Report 29 December 2018). UNICEF has provided 59,690 measles vaccines to the Far North regional health delegation. In addition, UNICEF plans to conduct an immunisation campaign at the beginning of January. In the North West and South West regions, UNICEF’s implementation of programmes in health, WASH, child protection and communication for development continues with the distribution of WASH kits and mosquito nets as well as child protection and community sensitisation activities. Since August, UNICEF has successfully reached more than 47,000 people, including those who are in hard-to-reach areas, notwithstanding strong access constraints and limited acceptability in these regions. 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 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. • 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 integrated programme is based on four pillars: building a protective environment and supporting community peacebuilding; preventing and responding to the violence and 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 2 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 marginalised. 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 organisations 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 armed groups as well as the refugees who fled the armed conflict in Central African Republic (CAR), and host communities. Lake Chad Basin (LCB) Crisis Nutrition IMAM activities continue in the Far North (349 health facilities) and North (203 health facilities) regions. Throughout 2018, 62,626 children aged 6-59 months were admitted across UNICEF supported health centres in the Far North and North regions (44,334 in the Far North, 18,292 in the North) for the treatment of malnutrition. During the month of December, 9,421 people (2,556 men and 6,865 women) were sensitised on Infant and Young Child Feeding (IYCF) and good hygiene practices in health districts most impacted by displacements (Kolofata, Koza, and Mora in the Far North region). Health In 2018, 8,877 children aged 0-11 years were vaccinated against measles in Mokolo, Koza, Mora and Kolofata health districts including 1,315 children for the month of December. By December, 3,460 pregnant women have received Long Lasting Insecticidal Nets (LLINs) in Mayo Sava and Mayo Tsanaga divisions (Far North region). WASH During 2018, UNICEF has continued to support the cholera response in the North and Far North regions. In December, four partnership agreements were signed respectively with Solidarités Internationale (SI), Cameroon Red Cross (CRC), Association for the Promotion of Sustainable Development (AP2D), Union of Supporting Organizations for Sustainable Development (UNOADD) in order to strengthen awareness-raising activities in the North and Far North regions. Also in December, SI trained 78 community health and hygiene workers on cholera prevention. These health workers later sensitised 19,577 people, including 9,708 children in the health districts of Makary and Mada in the Far North region. As for the WASH response to IDPs, the construction of 72 latrines in the IDP site in Zamaï has started in partnership with a national NGO, Public Concern. In partnership with Solidarités Internationale, approximately
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