Cameroon Humanitarian Situation Report

Cameroon Humanitarian Situation Report

SITUATION IN NUMBERS May 2018 Highlights • Emergency Response Plan for North West and South West 1,810,000 regions was launched on May 27 to assist 160,000 displaced # of children in need of humanitarian persons in these two Anglophone regions with the total budget of assistance 3,260,000 $15.1 million. # of people in need • Cameroon suffered two new outbreaks of infectious diseases in (Cameroon Humanitarian Needs Overview 2018)

May: cholera and monkeypox. Three cases of cholera were reported in the North region on May 22. No cases have occurred Displacement since then. Alarmingly, 16 cases of monkeypox were recorded in 241,000 North West, South West, Central East and Far North region. #of Internally Displaced Persons (IDPs) (Displacement Tracking Matrix 12, Dec 2017) UNICEF is supporting the prevention activities through the 69,700 provision of supplies and social mobilization. # of Returnees • To prevent violent exploitation of children, 35 new adolescent (Displacement Tracking Matrix 12, Dec 2017)

clubs have been put in place in Far North region with 1,114 93,100 # of Nigerian Refugees in rural areas adolescents benefiting from resilience and peace building (UNHCR Cameroon Fact Sheet, April 2018) activities, and educative sessions on other important issues for 238,700 the protection of children. # of CAR Refugees in East, Adamaoua and North regions in rural areas (UNHCR Cameroon Fact Sheet, April 2018)

UNICEF’s Response with Partners UNICEF Appeal 2018 Sector UNICEF US$ 25.4 million *Total results are all cumulative Sector Total UNICEF Total Target Results* Target Results* Funding status (US$) WASH : People provided with access 528,000 9,165 75,000 8,907 to appropriate sanitation Education: School-aged children 4-17, Funds received: including adolescents, accessing $2.6M 411,000 11,314 280,000 11,314 education in a safe and protective Carry-over: learning environment. Nutrition : Number of children aged 6- $2.1M (8%) 59 months with SAM admitted for 38,646 17,863 40,482 18,885 treatment Required: Child Protection : Children reached $25.5M with psychosocial support through 85,636 85,000 22,456 child friendly/safe spaces C4D : Persons reached with information about WASH / health / Funding gap : nutrition / education services 235,913 138,911 $20.8M (82%) (behavior/best practices) through community-based social mobilization and/or outreach activities

Situation Overview & Humanitarian Needs A funding appeal, Emergency Response Plan for the North West and South West Regions, has been published on 27 May with a required budget of $15 million to provide an initial assistance for three months to 160,000 Internally Displaced Persons (IDPs) in Meme and Manyu divisions in the South West, and Boyo, Momo, and Ngo-Ketunjia divisions in the North West. UNICEF is finalising agreements with partners through whom it will implement projects in child protection, health and water and sanitation as well as nutritional screening. Communication for Development (C4D) will reinforce these projects through social mobilisation and community engagement.

Two new epidemics were confirmed in Cameroon this month: monkeypox and cholera. Monkeypox is a rare viral zoonosis (a virus transmitted to humans from animals) with symptoms in humans similar to those seen in the past in smallpox patients, although less severe. The National Emergency Operation Centre for this epidemic was activated on 15 May after one case was confirmed on 14 May. During the second week of transmission, the infection has spread to the regions of Central, East and Far North. As of 30 May, a total of 16 cases have been recorded, of which one was confirmed, 10 tested negative for monkeypox (however, four of them tested positive for chickenpox). The main challenges are: 1) insecurity in the two regions due to the Anglophone crisis which forced many people to live in the bush, and 2) geographically hard-to-reach health districts.

UNICEF is working with partners to integrate the messages on the monkeypox infection and how to prevent the infection into the Essential Family Practices (EFPs) messaging.

Three suspected cases of cholera were reported in two health areas (Guirviza and Doumo) of Mayo Oulo health district (137,214 inhabitants) in North region with one case confirmed in Guirviza health area, with no fatalities. Since 22 May, there has been no new suspected case recorded. The Ministry of Health (MOH) Emergency Cluster has been activated both at central and regional levels and a response plan developed. To reinforce prevention activities, UNICEF has additionally provided cholera prevention items to Mayo Oulo health district, which have been allocated to the affected areas. UNICEF is working closely with the health district of Mayo Oulo and the Regional Delegation of Public Health of North region to support the social mobilization on cholera prevention. A field mission is being conducted from 30 May – 1 June to identify gaps in terms of preventive activities and response.

Needs assessment was conducted by UNICEF in Amchide and Limani, localities of Mayo Sava department, Far North region, along the border with Nigeria. As these areas suffered attacks by Boko Haram, significant destruction was observed, and strong needs were identified in terms of education, health and child protection for 13,881 people who returned to these villages of origin after taking refuge in the neighboring villages and towns, in addition to 3,500 IDPs and the host populations.

In East region, at least 695 people, 55% of whom children (girls representing 55% of these children), crossed the border into Cameroon from the Central African Republic (CAR) in the localities of Gbiti (341), Bombe Pana (150) and Wissambo (204). These people fled the clashes between the UN Mission in Central African Republic (MINUSCA)/Central African Armed Forces and the armed group occupying the border areas of two prefectures of Mambere Kadey and Nana Mambere in CAR. An interagency needs assessment was organized with WFP, UNHCR, UNICEF and other humanitarian partners to identify the priority needs. Most have come to join their family members who arrived before them, with whom they share their limited resources. A relatively small number of continuous new arrivals from CAR will add a great pressure on these host families which will lead to precarious and worsening living conditions. The needs identified include food, drinking water, hygiene and sanitation, shelter, psychosocial support and education (especially an accelerated/catch-up program). An interagency response plan is being developed based upon the priority needs identified in the needs assessment in these specific localities.

In Garoua Boulai, East region, more than 200 new arrivals from CAR, the majority of them women and children, were pre-listed by UNHCR. According to UNHCR, the number of those fleeing the unrest in Bangui, the capital of CAR, is expected to be much higher because many of these people have spread to other localities including the refugee site of Gado, and other locations in Meiganga (Adamaoua region), Betare Oya or even Bertoua (East region).

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 18,000 - 18,000 lactating women**

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, UNHCR leads inter-sector coordination, which addresses particularly challenges and gaps both for refugees, IDPs and host communities in the Far North. This extends into the coordination of the humanitarian response to the Central African Republic refugee crisis in the regions of the East and Adamawa. UNHCR organizes monthly meetings with other humanitarian actors, to consolidate data and harmonize interventions.

Humanitarian Strategy UNICEF’s integrated programme is based on four pillars: building a protective environment and supporting community peacebuilding; preventing and responding to the violent 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 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 marginalized. 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 organizations 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 Boko Haram, as well as the refugees who fled the armed conflict in CAR, and host communities.

Lake Chad Basin (LCB) Crisis Nutrition1 UNICEF continued to support the implementation of Integrated Management of Acute Malnutrition (IMAM) activities in the Far North (349 health facilities) and the North (203 health facilities). In April, 2,604 and 1,530 children aged 6-59 months were admitted across UNICEF supported health centres in Far North and North regions respectively, bringing the total number of children admitted to 9,866 (including 124 Nigerian refugee children) in Far North region and 5,220 children in North region since January 2018.

In April, 14,871 people (2,891 males and 11,980 females) were sensitized on Infant and Young Child Feeding (IYCF) and good hygiene practices in four health districts the most impacted by the displacements (Kolofata, Koza, Mada, and Mora in Far North region) accompanied by 126 cooking demonstrations.

In April, an exhaustive screening of acute malnutrition among children aged 6-59 months was conducted in Kolofata, Mora and Mada health districts in Far North region. A total of 36,723 children were screened for acute malnutrition, among them 18,776 children were internally displaced (51%). The results indicated that 2,732 children (7.4%) were with Moderate Acute Malnutrition (MAM) and 769 children (2.1%) were with Severe Acute Malnutrition (SAM). The SAM children were referred for treatment to the nearest health facilities providing IMAM services, while the caregivers of MAM children received counselling on IYCF practices. In addition, 675 children were screened at Kolofata IDP site, and 32 children were identified with SAM (4.7%) and 42 with MAM (6.2%). It has been recommended to reinforce IYCF activities in the area.

Health To reinforce the capacity of the local actors, UNICEF supported the health districts of Logone and Chari, Mayo Sava and Mayo Tsanaga in Far North region to develop an Integrated Communication Plan to promote the EFPs to improve many aspects of children’s life, including the immunization. Training of trainers was organized in which 10 staff from the regional delegation were trained on microplanning to reach every district for routine immunization.

At Zamai site in Mayo Tsanaga department where returnees from Nigeria are also hosted, UNICEF will provide additional medication required to treat scabies in collaboration with the Far North Regional Delegation of Public Health. The outbreak was initially confirmed last August in Mozogo, Mayo Tsanaga department, where these returnees were hosted before being relocated to Zamai site. To date, there have been 142 confirmed cases of scabies at this site.

In addition, a response plan against monkeypox has been developed at the sub-national level and resource mobilization is ongoing.

WASH In partnership with UNICEF, NGO AIDER has completed the rehabilitation of six boreholes and supported communities in setting up the water point management committees. Once the water quality control is finalized, these water points will provide drinking water to nearly 1,820 people including IDPs and returnees in Mayo Sava department.

At the IDP site of Kolofata in Mayo Sava department, international NGO IRC conducted hygiene promotion activities where 417 households representing 3,449 people (2,000 of them children) were sensitized on handwashing and cholera prevention. To provide sustainable long-term solution to the drinking water at this site, UNICEF has identified an enterprise to execute the project.

In the fight against scabies in Zamai site in Mayo Tsanaga department, where 1,700 people are hosted, 100 liters of Ascabiol, 350 buckets with lids and 2,400 cubes of soaps were made available to the Far North Regional Delegation of Public Health. In collaboration with Zamai Lamido, a religious leader, hygiene promotion activities were conducted.

In 2017, UNICEF prepositioned items to the health district of Mayo Ouloto enable the health district to respond quickly in case of the outbreak of infectious diseases. With the three cholera cases, UNICEF has complemented the supplies with 56 cartons of soaps (48 pieces each), 10 floor cloths, 160 boxes of water treatment tablets, two containers with faucet, four pairs of boots, seven squatting pots for adults and 360 squatting pots for children.

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). Education 199 teachers (35 female and 164 male) including 70 teachers from Kai Kai (11 female, 59 male) in Mayo Danay department, 85 teachers from Bogo (16 female, 69 male) in Diamare department and 44 teachers from Kousseri (8 female and 36 male) in Logone and Chari department were trained on an experimental model of pedagogic supervision and continuous training. The main objective of this training is to boost the impact of teaching on children. The former method was limited on evaluating the teacher without taking into consideration the outcome of the teaching on the child whereas with the new method, the impact of the teaching on the child is taken into consideration.

The Education sector also carried out an assessment of the impact of the Radio Education Program (REP) on the knowledge and skills of children who participate within the Kousseri area in Logone and Chari department. The purpose of the assessment was to ascertain the knowledge and skills gained by REP learners and realize the added value of this program in the lives of children who had dropped out of school due to the crisis. The evaluation was conducted in an exam form where a sample of 105 learners (41 girls and 64 boys) was chosen to participate in a test in literacy and numeracy. Another evaluation was also conducted in Mora on 31 May with 101 children (70 boys and 31 girls). The evaluation report will be available in June.

Child Protection A total of 168 unaccompanied and separated children (90 girls and 78 boys), out of which 51 were unaccompanied children (18 girls and 33 boys) and 117 were separated children (72 girls and 45 boys) were identified and received psychosocial support, alternative care and were followed up for needs and referred to other services. Seven children (3 girls and 4 boys) were reunified with their families, six in Mayo Sava department in Far North region, and one in Nigeria.

Three boys suspected of being associated with armed groups liberated from detention were reunified with their families in Maroua. They are currently benefiting from activities on life skills through the UNICEF implementing partner, national NGO ALDEPA.

9,362 children (4,680 girls and 4,682 boys) benefited from psychosocial support activities in community based child friendly spaces and secure spaces, including 4,198 IDP children (2,170 girls, 2,028 boys), 5,080 host community children (2,469 girls, 2,611 boys) and 84 refugee children (41 girls and 43 boys) in communities in Logone and Chari, Mayo Sava and Mayo Tsanaga departments.

35 new adolescent clubs have been put in place in Mayo Tsanaga, Mayo Sava and Logone and Chari departments with 1,114 adolescents (505 girls and 609 boys) benefiting from resilience and peace building activities and educative sessions on the prevention of violent extremism, the risk of recruitment by armed groups, self-esteem and peaceful cohabitation, sketches on the prevention of child marriage and enrolment of girls in school. The life skills activities were focused on hair braiding, confection of decorative items with carton and plastic papers and the use of clay to create items.

In the fight against child marriage in Mayo Tsanaga, Mayo Sava and Logone and Chari departments, 367 girls aged 10 to 19 benefited from preventive counseling sessions on the consequences of child marriage, sexual violence and indecent body touches from boys and men. Amongst these girls, 23 girls who were survivors of child marriage and forced marriage received specialized individual counseling and were followed up on life skills activities to build self-esteem and moral stability. They also benefited from kits which consisted of soap, loincloths, sanitary papers, buckets, toothbrushes, toothpaste and bathing slippers.

Communication for Development (C4D)2: On cholera response, UNICEF is supporting community mobilization activities mainly in 1) coordination and advocacy meetings with traditional leaders and healers, local regional and departmental authorities, and health personnel and other key stakeholders, 2) briefing of community health workers on how to sensitize patients and their family members, and 3) local community radio broadcasting messages on good hygiene practices. As of 31 May, C4D is conducting a joint field mission with WASH to the affected health areas to identify gaps.

2 While C4D started reporting in the situation report in January 2018, and the result covers from the beginning of the projects in December 2017.

CAR Refugee crisis Nutrition IMAM activities are ongoing within the 115 and 123 health facilities respectively in East and Adamaoua regions. In April, 2,138 children aged 6-59 months have been admitted across UNICEF supported health centres in East and Adamaoua regions, bringing the total number of children to 3,799 children (898 refugees from CAR) since January 2018.

126 Community Health Workers (CHWs) were trained on the screening of acute malnutrition in the health districts of Batouri, Kette and Ndelele in East region. An active screening of acute malnutrition was held in the same health districts. Out of 8,000 children aged 6-59 months screened, 68 were suffering from SAM (<1%) and were referred to the nearest health facilities.

67 health workers and 126 CHWs from the health districts of Batouri, Ndelele and Kette were trained on IYCF to cover an estimated 6,000 children aged 0-23 months. 350 women and 225 men were sensitized on IYCF, and 601 mothers of children aged 0-23 months received counselling on exclusive breastfeeding or adequate complementary feeding during home visit. 101 cooking demonstrations on appropriate complementary food were organised and already 17 action groups on IYCF were created. In addition, 8,801 children received Micronutrients Powders for the IYCF/Home Based Fortification intervention in the health district of Betare Oya, Garoua Boulai and Batouri in East region.

Health A workshop on equity analysis of immunization was held in the health district of Moloundou, East region. The purpose of the workshop was to identify bottlenecks in accessing and utilising of immunization services in view of ensuring better coverage of immunization services for all vulnerable and hard-to-reach groups of people in East region, including indigenous peoples and minority populations (Bororo and Baka) and refugees.

WASH Construction of 12 gender-sensitive block of latrines in 6 schools is ongoing in East region. Upon completion, some 1,500 students will benefit from these latrines.

Education During the reporting period, UNICEF continued with activities related to preparations for the exit strategy meeting for the Temporary Learning Spaces (TLSs) in the six refugee sites of Borgop, Ngam, Gado, Lolo, Mbile, and Timangolo. UNICEF in collaboration with the Ministry of Basic Education, Regional Delegations of Basic Education for East and Adamawa regions, UNHCR, PLAN International, JRS, CRS, and Mayors of Garoua Boulai and Djohong, had developed the first draft of the exit plan based on four scenarios. Meanwhile, these six refugee sites continued with teaching and learning, community mobilization and sensitization on the importance of education, and monitoring of school attendance under the supervision of Plan International Cameroon, an implementing partner for UNICEF. Child Protection UNICEF conducted the follow-up of the community protection networks established between September and November 2017 in Garoua Boulai and Betare Oya in East region and Ngaoui in Adamaoua region through field visits and telephone calls. Out of the 25 networks, seven were not fully functional because of the farming season. However, the 18 networks which remain active managed to identify and refer 35 vulnerable children including 15 boys and 20 girls, many of them were abandoned or malnourished, to appropriate services. They also sensitized at least 625 persons (including 400 women) on violence against children and child marriage.

The first meeting of the Regional Platform of Protection Actors was held on 9 May under the lead of the Regional Delegation of Social Affairs with UNICEF technical support. The general objective of this platform is to harmonize the operational coordination of the interventions of all the actors working in the framework of child protection in East region. This platform works in collaboration with the child protection sub working group, which is more focused on the response to the CAR crisis.

Media and External Communication From 4-11 May 2018, Maroua, the capital of Far North region hosted an event “University Games” organized by the University of Higher Education with the participation of 16 universities in Cameroon. This was the 21st University Games, and over 6,000 youth from all over the country participated as athletes or as spectators. UNICEF participated in this event in partnership with the Ministry of Youth and Civic Education to promote U-Report, which is a free digital communication tool using SMS messaging for social mobilization. U-Report can be used in two ways: to benefit from quality information services or to participate in the surveys through SMS. 15,000 new youth have registered as U-reporters. Link to this story can be found at http://cameroon.ureport.in/story/557/ .

Security The security situation in Far North region was marked by a continuation of similar trends and patterns of targeting that was observed in April 2018. The threat profile witnessed the recurrence of incursions and mobilization materializing at villages situated along the border with Nigeria throughout the first two weeks of May. In addition, the use of improvised explosive devices was also recorded through the reporting period with a military vehicle reportedly landing on a land mine on one of the vehicle tracks linking Fotokol with Maltam in Logone and Chari department.

The security situation in East and Adamaoua regions are characterized by criminality, armed incursions along the border and the tension between the refugees and host communities. The cohabitation between refugees and host communities remains difficult, with agro-pastoral conflicts being observed, as in the village of Gboutou, Nyambaka, Adamaoua region, where a conflict occurred between the refugees with livestock and Cameroonian host community due to the risk of destruction of the field by the livestock.

In North West and South West regions, the threat profile has seen a deterioration predominantly in the South West. All through the month, there has been an escalation of violence against education personnel, with school principals being a particular target. Between April 28 and May 25, five academic staff were kidnapped or killed. It is supposed that the aim is to prevent schools from performing the end of year exams.

Funding UNICEF expresses its gratitude to the Government of Japan, France, United States, Norway and Sweden, as well as to ECHO, CERF, the United Nations Trust Fund for Human Security and the Spanish National Committee who have contributed generously to the humanitarian response in 2018. Further adequate, predictable and flexible resources will allow UNICEF and its partners to respond effectively where needs are greatest and reach the most disadvantaged children in Cameroon, including children affected in the newly emerging crisis in the Anglophone regions. Total HAC Funding Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC))

Funds available* Funding gap Appeal Sector Requirements Funds Received Carry-Over $ % Current Year

Nutrition 5,055,000 2,978 249,594 4,802,428 95%

Health / HIV 3,272,000 215,393 101,958 2,954,649 90%

WASH 7,191,000 962,347 58,010 6,170,643 86%

Child Protection 3,497,000 483,040 167,446 2,846,514 81%

Education 4,326,000 2,549 1,425,639 2,897,812 67%

Emergency Preparedness 2,120,000 944,439**** 90,602 1,084,958 51% and Response

Total 25,461,000 2,610,746 2,093,250 20,757,004 82%

* 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. ***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. ****$804,597.7 recently received from Swedish International Development Cooperation Agency will be allocated to sectors in the following month.

LCB Funding Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC)) Funds available* Funding gap Requirements Appeal Sector Funds 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 0 1,902,020 80% Education 2,881,500 126,600 2,754,900 96%

Emergency Preparedness and 60,081 90,602 0 0% Response

Total 12,725,455 1,712,636 568,754 10,594,748 83%

Next SitRep: June 2018 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 Email: [email protected] Fax: +23722231653 Fax: +23722231653 information: Email: [email protected] Email: [email protected]

Annex A SUMMARY OF PROGRAMME RESULTS* National Response Overview Results (Lake Chad Basis Crisis & CAR Refugee Crisis) Sector Response UNICEF Overall Change Change National Needs 2018 Total since last 2018 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of people provided access to

water for drinking, cooking and personal 1,000 40,000 0 0 826,000 306,000 9,000 hygiene Number of people provided with access to 258 75,000 8,907 0 appropriate sanitation 696,000 528,000 9,165 Number of people provided with WASH 1,700 200,000 8,323 1,700 kits* 592,000 440,000 8,493 EDUCATION Number of school-aged children 4-17, including adolescents, accessing education 11,314 0 280,000 11,314 0 in a safe and protective learning 610,000 411,000 environment. Number of school aged children 4-17 year

benefiting from teaching and learning 1,077 0 150,000 1,077 0 494,000 250,000 materials Number of children who benefited from the services of teachers who are trained in 971 0 280,000 971 0 psychosocial support and conflict and 494,000 336,000 disaster risk reduction. HEALTH Number of children immunized against 61,487 0 0 measles Number of pregnant women that have received 2 Long Lasting Insecticidal Nets 23,457 0 0 (LLINs ) NUTRITION Number of children aged 6 to 59 months with 17,863 5,682 40,482 18,885 6,272 SAM admitted for treatment 44,728 38,646 Performance of integrated program for >75% 82.8% 1.2% >75% 82.8% 1.2% severe acute malnutrition treatment CHILD PROTECTION Number of children reached with

psychosocial support through child 85,636 23,945 85,000 22,456 9,362 friendly/safe spaces (girls and boys) Number of children suspected or verified associated with an armed group (including

children released from detention) provided 70 26 11 22 11 with temporary care or family / community reintegration support

Number of Unaccompanied and Separated Children (UASC) identified and/or placed in

alternative care arrangements and/or who 736 1,519 402 1,200 168 benefited from individual follow-up (SC/ UAC ; girls / boys) Number of Unaccompanied Children 41 27 reunified with families (girls and boys) 11 150 7 Number of conflict affected children 0 0 provided with Birth Certificate 1,327 638 12,000 Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services 235,913 138,911 0 (behavior/best practices) through community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, etc) participating as 500 669 0 agents of social mobilization at community level

Lake Chad Basin Crisis Sector Response UNICEF and IPs

Overall Change Change Sector needs 2018 Total since last 2018 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE

Number of people provided access to water 534,000 261,000 9,000 1,000 30,000 0 0 for drinking, cooking and personal hygiene

Number of people provided with access to 556,000 0 50,000 0 appropriate sanitation 455,000 4,953 4,953

Number of people provided with WASH kits* 472,000 1,700 180,000 1,700 350,000 8,493 8,323 EDUCATION

Number of school-aged children 4-17,

including adolescents, accessing education in 400,000 0 0 180,000 0 0 210,000 a safe and protective learning environment.

Number of school aged children 4-17 year

benefiting from teaching and learning 342,000 117 0 85,000 117 0 130,000 materials Number of children who benefited from the services of teachers who are trained in 342,000 971 0 180,000 971 0 psychosocial support and conflict and 196,000 disaster risk reduction. HEALTH Number of children immunized against 43,568 0 0 measles Number of pregnant women that have received 2 Long Lasting Insecticidal Nets 13,582 0 0 (LLINs ) NUTRITION

Number of children aged 6 to 59 months with 2,579 21,555 2,604 SAM admitted for treatment in Far North 23,945 21,465 9,742 9,866

Number of children aged 6 to 59 months with 1,530 11,012 1,530 SAM admitted for treatment in North 12,093 10,884 5,220 5,220

Performance of integrated program for severe acute malnutrition treatment in Far >75% >75% 85.9% -1.0% >75% 85.9% -1% North : cured rate Performance of integrated program for severe acute malnutrition treatment in >75% >75% 80.0% 7.5% >75% 80.0% 7.5% North : cured rate CHILD PROTECTION

Number of children reached with

psychosocial support through child 23,945 70,000 9,362 251,073 83,260 20,080 friendly/safe spaces (girls and boys)

Number of children suspected or verified associated with an armed group (including

children released from detention) provided 11 70 22 11 110 26 with temporary care or family / community reintegration support Number of Unaccompanied and Separated Children (UASC) identified and/or placed in

alternative care arrangements and/or who 402 1,000 168 2,508 1,077 294 benefited from individual follow-up (SC/ UAC ; girls / boys)

Number of Unaccompanied Children 41 11 150 7 reunified with families (girls and boys) 376 27

Number of conflict affected children 638 9,000 0 0 provided with Birth Certificate 12,500 1,327

Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services 235,913 0 (behavior/best practices) through 138,911 community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders,

teachers/principals, etc) participating as 500 0 669 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.

CAR Refugee Crisis Sector Response UNICEF and IPs

Overall Change Change Sector needs 2018 Total since last 2018 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE

Number of people provided access to water 0 0 0 0 for drinking, cooking and personal hygiene 292,000 45,000 10,000

Number of people provided with access to 258 0 appropriate sanitation 140,000 73,000 4,212 25,000 3,954

Number of people provided with WASH kits 0 0 0 0 120,000 90,000 20,000 EDUCATION Number of school-aged children, including

adolescents, accessing education in a safe 0 0 210,000 201,000 11,314 100,000 11,314 and protective learning environment Number of school aged children benefiting 960 0 960 0 from teaching and learning materials 152,000 120,000 65,000 Number of children who benefited from the services of teachers who are trained in 0 0 0 0 psychosocial support and conflict and 152,000 140,000 100,000 disaster risk reduction. HEALTH

Number of children immunized against 0 0 measles 17,919

Number of pregnant women that have

received 2 Long Lasting Insecticidal Nets 0 0 9,875 (LLINs ) NUTRITION

Number of children aged 6 to 59 months with

SAM admitted for treatment in East and 1573 8,690 6,297 2,901 7,915 3,799 2,138 Adamaoua regions Performance of integrated program for severe acute malnutrition treatment in East >75% >75% 84.5% -1.0% >75% 84.5% -1.0% and Adamaoua : cured rate CHILD PROTECTION

Number of children reached with

psychosocial support through child 0 0 2,376 15,000 2,376 friendly/safe spaces (girls and boys) Number of Unaccompanied and Separated Children (UASC) identified and/or placed in

alternative care arrangements and/or who 0 200 442 0 442 benefited from individual follow-up (SC/ UAC ; girls / boys) Number of conflict affected children 0 0 0 0 provided with Birth Certificate 3,000 *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.