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 ( 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 (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 (CAR), and host communities.

Lake 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 10,619 IDPs and host populations benefited from 1,500 buckets with lids, 1,500 plastic kettles, 3,000 cups, 1,500 aqua tabs pack, 1,500 defecation pots and 1,0512 soaps distributed in Koza and Soulede Roua sub-divisions in Mayo Tsanaga Division. In Kolofata IDP site, approximately 7,000 IDPs continue to benefit from the five boreholes with provisionally installed hand pumps. The solar system will be installed at the beginning of 2019. Despite the low funding of the WASH component of the Humanitarian Response Plan and the onset of an unplanned cholera outbreak, the sector has been able to reach approximately 23% and 29% of its targets respectively in the water sector and hygiene promotion. The low progress was registered in sanitation (only 3% of target reached). For 2019, focus will be on improving WASH situation by providing assistance to IDPs. Education In December 2018, UNICEF provided school materials to 30,149 children in Mora (Mayo Sava division), Kousseri 3

(Logone and Chari division) and Mokolo (Mayo Tsanaga division) sub-divisions. Materials are composed of exercise books, pens, pencils, chalk, rulers, erasers, sharpeners and plastic bags. In 2018, UNICEF responded to the humanitarian education needs of children in Logone and Chari, Mayo Sava and Mayo Tsanaga divisions in the Far North region through: trainings of teachers, construction of classrooms in Sabangari, Lafia, Terbou, provision of teaching and learning materials, Accelerated Learning Programmes (ALP) and the broadcasting of 72 and 69 math lessons through Radio Education Programme (REP) for out of school children. A total of 980 children (450 girls and 530 boys) benefited from the REP. As a result of UNICEF’s programme in 2018, 531 teachers (80 female, 451 male) gained or strengthened their knowledge and competencies of psychosocial support, mine risk as well as conflict and disaster risk reduction (C/DRR) education, resulting in 34,515 children receiving psychosocial support and C/DRR services. 1,458 children (715 girls and 743 boys) participated and graduated from accelerated curriculums to be integrated in the formal school system; approximately 900 children benefited from new classrooms constructed with financial and technical support from UNICEF. Thus, throughout 2018, a total of 145,648 IDPs, refugees and host communities’ children (69,911 girls and 75,737 boys) were reached with education services through ALP, REP as well as community mobilisation and sensitisation.

Child Protection Over the course of 2018,417,394 children benefited psychosocial support out of 321,073 targeted. This achievement can be linked to the numerous attacks and subsequent population movements observed in 2018. As a result, Child Friendly Spaces (CFS) and other community safe spaces received more children than expected. Furthermore, only two implementing partners had been initially targeted (CODAS and ALDEPA) at the time of the planning. However, in agreement with CERF funds, international NGO International Medical Corps (IMC) was later added as an implementing partner, which gave us larger coverage and access to other bordering villages (Limani, Amchide, Koza) to reach many more children through CFS/safe spaces. In addition, UNICEF provided 67 conflict-affected children (31 girls and 36 boys) with birth certificates in Kousseri and Waza sub-divisions in Logone and Chari division, and Mora sub-division in Mayo Sava division. In December, a total of 128 (48 girls and 80 boys) unaccompanied and separated children were identified, of which 91 are unaccompanied (29 girls and 62 boys) and 37 are separated (19 girls and 18 boys) in Logone and Chari, Mayo Sava, and Mayo Tsanaga divisions. They include 60 internally displaced children (27 girls and 33 boys), 55 host community children (17 girls and 38 boys) and 13 refugee children (4 girls and 9 boys). This brings the total of unaccompanied and separated children identified and supported throughout 2018 to 4,855 against 3,508 planned, with 138 % of results achieved. This result can be explained in the same way as for the previous indicators: with IMC as a new implementing partner and subsequent access to Limani, Amchide and Koza, more UASC have been identified than originally planned. Furthermore, a total of 19 children, comprising of 18 unaccompanied IDPs (1 girl and 17 boys) and one girl from the returnee community were reunified with their families in Mayo Sava, and Mayo Tsanaga divisions. 12 children (all girls) suspected of association with armed groups were identified through the interventions of UNICEF implementing partners in Mayo Sava division. the total number of identified and supported throughout 2018 to 316 (51% girls) out of 180 planned, with 178% results achieved. All of these children received psychosocial support and material assistance (hygienic kits, clothes and bathing slippers). UNICEF also provided psychosocial support to 16,647 children (7,598 girls and 9,049 boys) in community-based CFS and secure spaces during December 2018. They include 7,438 IDP children (3,376 girls and 4,062 boys), 9,154 host community children (4,192 girls and 4,962 boys) and 55 refugee children (30 girls and 25 boys). Communication for Development (C4D): Given the persistence of the cholera outbreak, sensitisation on cholera prevention was intensified and expanded in almost all of the health districts in the North region in 2018. December monthly results are not yet reported from the

4 implementing partner, however, as of November 2018, more than 1.3 million people have been sensitised on cholera prevention in the North and Far North regions.

CAR Refugee Situation Nutrition IMAM activities are ongoing within 124 and 140 health facilities respectively in the East and Adamawa regions. Since January, 12,835 children aged 6-59 months (including 2,723 refugees from CAR) have been admitted across UNICEF- supported health centres in the East and Adamawa regions for the treatment of malnutrition. Of these 12,835 children, 777 were admitted in December, including 133 refugee children. WASH Along with the implementation of Community Led Total Sanitation (CLTS) in Mbang sub-division ( division) hosting CAR refugees, a Knowledge, Attitude and Practice (KAP) survey was conducted and completed in December. Results of the survey will be presented during a meeting with local authorities planned in January 2019. Low achievements of WASH activities in 2018 is mainly because of the limited funding as only 31% of the funding was allocated for WASH component in 2018 Humanitarian Response Plan. With utilisation of development funds, approximately 56% of target were reached in water sector but merely 2% was met in hygiene promotion. For 2019, humanitarian response plan on WASH sector will be focused on assistance to new refugees and 15,181 CAR refugees hosted in 43 villages where there is no access to safe drinking water point. Education In December, 32,601 children (16,011 girls and 16,590 boys) benefited from school kits distributed in I, , -Boulai, Betare Oya, , , Ndenmnan sub-divisions () and , sub-divisions (). During the year 2018, the Education humanitarian response for the CAR refugees in the East and Adamawa regions focused on six host communities of refugees; Borgop and Ngam (Adamawa region), Gado, Lolo, Mbile and Timangolo (East region). In these communities, UNICEF implemented an ‘Exit Strategy’ which allows refugee children learning at Temporal Learning Spaces (TLS) to attend the regular schools of host communities, thus attaining a more sustained learning environment with guaranteed quality. Due to the implementation of the strategy, schools in these host communities increased from 11 to 22, and 50 new teachers were assigned to these schools. Furthermore, UNICEF also conducted community mobilisations and sensitisation activities on the importance of education especially that of the girl child in these six communities.

Child Protection During 2018, UNICEF and its partners provided technical support to the regional delegation of social affairs of the East region to engage both humanitarian and development actors working on the framework of child protection system, ensuring operational coordination of interventions and addressing humanitarian needs as well as strengthening conflict-affected children’s resilience. Throughout 2018, 3,149 children (1,669 boys and 1,480 girls), benefitted from psychosocial support, which represent 21% of the targeted children affected by CAR crisis. 442 unaccompanied and separated children (32 UAC, including 17 girls and 15 boys, and 410 SC, including 175 girls and 235 boys) (221% of the annual target) were identified and followed up through alternative care, psychosocial support, home visits, referral for reunification. In December, 209 children (107 boys and 102 girls) benefited from psychosocial support through activities organised by the partners. 42 new adolescents (20 girls and 22 boys) participated in life skills building activities in Garoua Boulai (Lom and Djerem division). In addition, 105 adolescents (49 girls, 56 boys) were sensitised on the consequences of child marriages in two schools by peer educators with the support of Main Solidaire staff.

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Also in December, the third series of community dialogues was organized in eight communities in Garoua Boulai (Lom and Djerem division). 101 people (40 women and 61 men, amongst whom 48 refugees) have actively taken part in these community dialogues and worked on an action plan on the following issues: child marriage, child labour, birth registration and girl and boy education. These community dialogues aim at generating sustained community engagement to prevent violence against children in communities In 2019, UNICEF’s child protection programme in the East and Adamawa regions will continue to strengthen the child protection system to prepare for potential massive influxes of refugees. Emphasis will also be put on emerging issues of protection or issues exacerbated by the crisis in the Central African Republic such as sexual and economic exploitation of children, and child labour in mines.

Security In December, the security situation in the Far North region was characterised by a significant increase of incidents attributed to armed groups in the Far North region. A total of 23 incidents have been recorded out of which 17 occurred in Mayo Sava division. As a result of these attacks in the Far North region, approximately 17 people were killed and a dozen wounded in December. Three suicides attacks with the use of Person Borne Improvised Explosive Device (PBIED) were recorded within a period of six days in Mayo Sava division; two in Kolofata and one in Limani, making a total of six people killed and approximatively 10 civilians wounded as a consequence of these suicide attacks. Three other suicide attacks were thwarted by the vigilance groups and security forces. In Mora and Kolofata sub-divisions (Mayo Sava division), unknown number of incursions and ambush were carried out by armed groups, as a result, seven civilians were killed and 17 people were abducted from Amchidé to . In Logone and Chari division, the situation remains constant compared to the month of November. A total of five incidents have been reported with four incursions of the armed groups in Makary and Waza sub-divisions killing four civilians. As a result of these increasing attacks and incursions in the Far North region, movement of population could be foreseen during the coming weeks. With the security system set up throughout the borders by the Government for the end of the year celebrations, the security situation in the East, Adamawa and North regions remained calm in December.

Funding UNICEF expresses its gratitude to the Governments of the United States, the United Kingdom, Norway and Sweden, as well as CERF and the PBSO, for their contributions to the 2018 humanitarian response. UNICEF has also received unearmarked funds through Global Humanitarian Thematic Funds. For 2019, 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 NW/SW regions. Total funding gaps for the 2018 Humanitarian Action for Children (HAC) was above 67% for all sectors, exposing children and their care-takers to threats to their well-being. Total UNICEF Funding Funds available* Funding gap Funds Appeal Sector Requirements Received Carry-Over $ % Current Year Nutrition** 5,055,000 32,997 249,594 4,772,409 94% Health / HIV*** 3,272,000 694,201 101,958 2,475,841 76% WASH 7,191,000 2,189,844 58,010 4,943,146 69% Child Protection 3,497,000 903,803 167,446 2,425,751 69% Education 4,326,000 28,239 1,425,639 2,872,122 66% Emergency Preparedness and 2,120,000 3,329,344 90,602 0 0% Response Total 25,461,000 7,718,427 2,093,249 17,489,270 69% * Funds available includes funding received against current appeal as well as carry-forward from the previous year. ** The nutrition program is mainly funded by the German Development Bank KFW, with two non-humanitarian grants. The overall budget for the SAM treatment program is US$4,000,000 of which $1,800,000 are devoted to the LCB crisis. 6

***Health sector: of the total funds received, $101,958 is for the polio immunization which is not part of the original HAC targets. Additional $404,268 were spent for polio immunization and other social mobilization activities for the LCB crisis but not part of the humanitarian fund.

LCB Funding Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC)) Funds available* Funding gap Requirements Funds Appeal Sector LCB Received Carry-Over $ % Current Year Nutrition 2,322,455 249,594 2,072,861 89% Health / HIV 710,500 213,465 101,958 395,077 56% WASH 4,428,000 958,110 0 3,469,890 78% Child Protection 2,383,000 480,980 137,410 1,764,610 74% Education 2,881,500 126,600 2,754,900 96% Emergency Preparedness and 60,081 90,602 0 0% Response Total 12,725,455 1,712,636 706,164 10,457,338 82%

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

Jacques Boyer Arsene Azandossessi Sara Karimbhoy Deputy Representative Chief Field Operations & Emergencies Who to Representative contact for Yaoundé, Cameroon, Yaoundé, Cameroon Yaoundé, Cameroon Tel: +23722223182 Tel: +237222505402 Tel: +23722223182 further Fax: +23722231653 Mobile +237699417238 Mobile +273694538688 Fax: +23722231653 Fax: +23722231653 Email: [email protected] information: Email: [email protected] Email: [email protected]

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Annex A SUMMARY OF PROGRAMME RESULTS* National Response Overview Results ( Basis Crisis & CAR Refugee Situation) Sector Response UNICEF Change Change Overall since since National 2018 Total 2018 Total Needs last last Target Results Target Results report report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of people provided access to water for 826,000 306,000 86,107 34,407 40,000 8,107 2,107 drinking, cooking and personal hygiene Number of people provided with access to 696,000 528,000 30,852 6,715 75,000 15,296 4,542 appropriate sanitation Number of people provided with WASH kits* 592,000 440,000 102,397 26,034 200,000 74,792 17,409 EDUCATION Number of school-aged children 4-17, including adolescents, accessing education in a safe and 610,000 411,000 164,647 0 280,000 162,705 0 protective learning environment. Number of school aged children 4-17 year benefiting 494,000 250,000 87,607 62,750 150,000 87,607 62,750 from teaching and learning materials Number of children who benefited from the services of teachers who are trained in psychosocial support 494,000 336,000 39,582 0 280,000 39,582 0 and conflict and disaster risk reduction. HEALTH Number of children immunized against measles 61,487 8,877 4,942 Number of pregnant women that have received 2 23,457 3,460 1,231 Long Lasting Insecticidal Nets (LLINs ) NUTRITION Number of children aged 6 to 59 months with SAM 44,728 38,646 64,728 5,869 40,482 68,550 6,267 admitted for treatment Performance of integrated program for severe acute >75% 86.3% -1.7% >75% 86.3% -1.7% malnutrition treatment CHILD PROTECTION Number of children reached with psychosocial support through child friendly/safe spaces (girls and 322,718 33,191 85,000 159,255 16,856 boys) Number of children suspected or verified associated with an armed group (including children released 238 37 70 142 12 from detention) provided with temporary care or family / community reintegration support Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 4614 397 1,200 1,770 128 arrangements and/or who benefited from individual follow-up (SC/ UAC ; girls / boys) Number of Unaccompanied Children reunified with 98 24 150 68 19 families (girls and boys) Number of conflict affected children provided with 6965 70 12,000 4558 67 Birth Certificate Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services (behavior/best practices) through 235,913 1,317,961 0 community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, 500 756 0 teachers/principals, etc) participating as agents of social mobilization at community level

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Lake Chad Basin Crisis Sector Response UNICEF and IPs Change Change Overall Sector 2018 Total since last 2018 Total since last needs Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of people provided access to water for 534,000 261,000 60,900 25,500 30,000 5,100 600 drinking, cooking and personal hygiene Number of people provided with access to 556,000 455,000 14,860 167 50,000 6,800 0 appropriate sanitation Number of people provided with WASH kits* 472,000 350,000 100,333 26,034 180,000 72,728 17,409 EDUCATION Number of school-aged children 4-17, including adolescents, accessing education in a safe and 400,000 210,000 145,648 0 180,000 145,648 0 protective learning environment. Number of school aged children 4-17 year benefiting 54,046 342,000 130,000 54,046 30,149 85,000 30,149 from teaching and learning materials Number of children who benefited from the services 34,515 of teachers who are trained in psychosocial support 342,000 196,000 39,582 0 180,000 0

and conflict and disaster risk reduction. HEALTH Number of children immunized against measles 43,568 8,877 1,315 Number of pregnant women that have received 2 13,582 3,460 0 Long Lasting Insecticidal Nets (LLINs ) NUTRITION Number of children aged 6 to 59 months with SAM 23,945 21,465 38,849 3,342 21,555 39,534 3,399 admitted for treatment in Far North Number of children aged 6 to 59 months with SAM 12,093 10,884 15,767 1,455 11,012 16,181 1,455 admitted for treatment in North Performance of integrated program for severe acute >75% >75% 90.6% -2.7% >75% 90.6% -2.7% malnutrition treatment in Far North: cured rate Performance of integrated program for severe acute >75% >75% 82% -2.6% >75% 82.0% -2.6% malnutrition treatment in North : cured rate CHILD PROTECTION Number of children reached with psychosocial support through child friendly/safe spaces (girls and 251,073 319,569 32,982 70,000 156,106 16,647 boys) Number of children suspected or verified associated with an armed group (including children released from 110 238 37 70 142 12 detention) provided with temporary care or family / community reintegration support Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care 2,508 4,172 397 1,000 1,328 128 arrangements and/or who benefited from individual follow-up (SC/ UAC; girls / boys) Number of Unaccompanied Children reunified with 376 98 24 150 68 19 families (girls and boys) Number of conflict affected children provided with 12,500 6,965 70 9,000 4,558 67 Birth Certificate Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services (behavior/best practices) through 235,913 1,317,961 0 community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, 500 756 0 etc) participating as agents of social mobilization at community level *All results are cumulative. **The target includes 10,000 people for the North region. ***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. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry.

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CAR Refugee Situation Sector Response UNICEF and IPs Overall Change Change Sector 2018 Total 2018 Total needs since last since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of people provided access to water 292,000 45,000 25,207 8,907 10,000 3,007 1,507 for drinking, cooking and personal hygiene Number of people provided with access to 140,000 73,000 15,992 6,548 25,000 8,496 4,542 appropriate sanitation Number of people provided with WASH kits 120,000 90,000 2,064 0 20,000 2,064 0 EDUCATION Number of school-aged children 4-17 years, including adolescents, accessing education in 210,000 201,000 18,999 0 100,000 17,057 0 a safe and protective learning environment Number of school aged children 4-17 years, benefiting from teaching and learning 152,000 120,000 33,561 32,601 65,000 33,561 32,601 materials Number of children who benefited from the services of teachers who are trained in 152,000 140,000 0 0 100,000 0 0 psychosocial support and conflict and disaster risk reduction. HEALTH Number of children immunized against 17,919 0 0 measles Number of pregnant women that have received 2 Long Lasting Insecticidal Nets 9,875 0 0 (LLINs ) NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment in East and 8,690 6,297 10,112 1,072 7,915 12,835 1,413 Adamaoua regions Performance of integrated program for severe acute malnutrition treatment in East and >75% >75% 86.5% 0.3% >75% 86.5% 0.3% Adamaoua : cured rate CHILD PROTECTION Number of children reached with psychosocial support through child friendly/safe spaces 3,149 209 15,000 3,149 209 (girls and boys) Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who 442 0 200 442 0 benefited from individual follow-up (SC/ UAC; girls / boys) Number of conflict affected children provided 0 0 3,000 0 0 with Birth Certificate *All results are cumulative. **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. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry. partners

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