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UNICEF Chad Humanitarian Situation Report, February 2017

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UNICEF Chad Humanitarian Situation Report, February 2017 CHAD Humanitarian Situation Report ©UNICEF/Chad/Bahaji2016 SITUATION IN NUMBERS Highlights 28 February 2017 • Chad’s pipeline of Ready to Use Therapeutic Food (RUTF) is facing an alarming strain. The current pipeline covers up to June 2017. 2,700,000 Children affected Chad is a landlocked country and new supplies take four months to (UNICEF HAC 2017) arrive in country - unless new funds are received by end of March, the country will be facing an RUTF shortage. • An Intercluster assessment mission visited 14 villages, of which 10 228,240 are on the islands south of Bol, where no humanitarian assistance Children under 5 with has been provided to date. The mission estimated the affected Severe Acute Malnutrition in 2017 population in visited areas at nearly 40,000 people, 30% of whom (Nutrition Cluster 2017) are school-aged children. As urgent humanitarian needs were identified (no access to drinking water and sanitation, malnutrition 127,022 and food insecurity, lack of basic services), UNICEF is preparing a People displaced (IDPs, returnees, response plan to tackle them. TCN, refugees) in the Lake Region • In the Lake Region, 16 boreholes with hand pumps in the islands (IOM, DTM 18 January 2017 and UNHCR and villages in Bol and Kangalom areas were completed, providing 28 February 2016) access to drinking water for 8,500 people. A total of 158 boreholes UNICEF Humanitarian funding have been dug by UNICEF in the region since the beginning of the needs in 2017 crisis. • $1.77 million in new emergency funding was received in February. US$ 57.27 million When carry forward for 2016 projects is considered, the UNICEF Funded to date HAC is 17% funded. US$ 10.24 million UNICEF’s Response with partners Funding received in 2017 UNICEF Sector/Cluster 3% Carry Forward UNICEF Cumulative Cluster Cumulative from 2016 Target results (#) Target results (#) 15% Number of conflict -affected people that have access to potable water and Funding basic sanitation facilities and reached 268,000 50,000 594,523 50,000 Requirements: with messages about appropriate $57.27 million hygiene practices Number of children 6-59 months with Gap 82% Severe Acute Malnutrition (SAM) 200,294 14,152 200,294 14,152 admitted for therapeutic care CHAD HUMANITARIAN SITUATION REPORT – 28 February 2017 Situation Overview & Humanitarian Needs Population Displacement As of February 2017, there are 127,022 displaced persons in the Lake Region, including 106,045 registered persons (90,911 IDPs, 14,810 Chadians returnees and 324 third-country nationals), 12,759 estimated displaced persons and 8,218 Nigerian refugees 1. Although displacement numbers remain globally stable, according to the CNARR 2, the government body for refugees, about 500 households left the islands surrounding Bol (Kora 1, 2 and Garoua 1, 2) following the deployment of the military in January, and moved to the IDP site of Kousserie, in Bagasola. An IOM team assessed the site on 23 February and confirmed the information. In addition, according to MSF, 330 households which represent 2,300 people have arrived in Koulkimé 1, 2 and 3 from the villages of Kingirme and Dodgi south of Bol, followed by a second wave of displacements of 65 households. Ongoing military movements in the Lake region could be accompanied by an increase in security incidents or displacement. Last year, the resurgence of attacks and similar incidents in the Lake region in June-August 2016 coincided with the military operations of the Multinational Joint Task Force (MNJTF). By end of February, more than 1,200 men, women and children have allegedly surrendered according to authorities, including 562 children. The Bagasola site where male surrenders were under surveillance of the MNJTF was found empty due to departures of the men reportedly to their villages of origin. A mission by UNICEF protection partners and by WFP to the villages of return of the children with their families showed that the islands were not uninhabited as initially believed. The Humanitarian Country Team had requested an intercluster assessment mission, which took place from 10 and 15 February to visit 14 out of 22 initial villages of return. The mission estimated the affected population in visited areas at nearly 40,000 people, 30% of whom are school-aged children. 10 of the villages were on islands on the lake, while 4 were on land near IDP sites. Although the protection needs of the returnees was particularly acute, the overall humanitarian needs on the islands are the same for the entire population: stressed livelihoods, lack of access to basic services like health and education, absence of safe drinking water, and need for non-food items to protect children from the elements. The very difficult physical access to remote island villages was highlighted as a major challenge to humanitarian assistance and for the presence of the government through public services. In Southern and Eastern Chad, the situation remains stable. 67,408 Central African refugees and 68,638 Chadian returnees still live in camps, and 33,356 returnees live in host villages. In the East, 314,441 refugees live in 12 camps, 1 site and host villages. Food security and Nutrition A joint study published in February by the Sustainable Information System on Food Security and Early Warning 3, in collaboration with WFP, FAO and Care, shows that markets in the Sahelian and Saharan belts are well supplied with cereals from local production resulting from the good agricultural season 2016/17 and previous stocks of traders. Also in the Sudanian zone markets are generally well supplied with cereal, tuber and pulses. In addition, there is a good availability of some cash crops such as sesame and groundnut in most markets. However, compared to February 2016, the level of demand fell sharply in most markets. This weakness in demand is due in part to economic reasons which has resulted in poor purchasing power. A satisfactory level of production coupled with low demand causes a substantial decline in cereal and other market prices (especially livestock). Finally, the study highlights that early depletion of stocks and declining household purchasing power in the sub- prefectures of Eref, Mangalmé, Ntiona, Amsileb and Kamkalaga, in northern Guera Region; Mesmédjé in Batha Est Region and the departments of East Tandjilé and Mount Illi in XX Region will greatly reduce access to food for poor households during the lean season. 1 IOM, DTM 18 January 2017 and UNHCR, refugee statistics 31 December 2016 2 Commission Nationale d’Accueil et de Réinsertion des Refugiés 3 Système d'Information durable sur la sécurité Alimentaire et d'Alerte Précoce, in French 2 CHAD HUMANITARIAN SITUATION REPORT – 28 February 2017 Epidemic Outbreaks On 14 February, the Ministry of Public Health officially declared a Hepatitis E epidemic in the region of Salamat. Since September 2016, 1,120 suspected cases have been reported in the Am-Timan health district of Salamat, of which 180 cases were tested and 80 of these confirmed positive (positive rate of 44%), and 13 deaths reported. Suspected cases have also been reported in the two other health districts of Salamat: Aboudeia and Haraze. To date there have been a total of 68 hospitalized cases. Since January, surveillance was extended to all three districts of the region with OMS support, which could explain the increase in cases found in recent weeks. A joint UNICEF-OMS team visited Am-Timan from 6 to 15 February 2017 for a needs assessment and determined that the district of Am-Timan is considered high risk, while risk is moderate in the District of Aboudeia and Haraze. The criteria were: socio-cultural factors, vaccine coverage, functionality of the epidemiological surveillance system, and prevalence of other waterborne diseases. MSF-Holland who had been active in the response to the epidemic from both a medical and WASH standpoint, announced its withdrawal from the WASH prevention activities on 20 February and made a call for WASH partners to take over from them. To allow for a handover time, MSF will continue with a reduced capacity until end of March. Table 1 Hepatitis E suspected cases and deaths reported 100 90 80 70 60 50 Cases 40 Suspected cases 30 20 Death 10 0 01-jan.-17 08-jan.-17 15-jan.-17 22-jan.-17 29-jan.-17 02-oct.-16 09-oct.-16 16-oct.-16 23-oct.-16 30-oct.-16 05-feb.-17 12-feb.-17 19-feb.-17 26-feb.-17 04-sep.-16 11-sep.-16 18-sep.-16 25-sep.-16 04-dec.-16 11-dec.-16 18-dec.-16 25-dec.-16 06-nov.-16 13-nov.-16 20-nov.-16 27-nov.-16 Week Estimated Affected Population Start of humanitarian response: Nigeria+, April 2015; CAR+, December 2013; Sahel, 2011 Total Male Female 1 Total Affected Population 4,700,000 2,256,000 2,444,000 2 Children Affected (Under 18) 2,700,000 1,296,000 1,404,000 Children Under Five 709,560 340,589 368,971 Children 6 to 23 months 213,010 102,245 110,765 Children Under Five with Severe Acute 228,240 1 98,144 130,096 Malnutrition (SAM) Children Under Five with SAM with medical 20,029 9,614 10,415 complications Children Under Five with Moderate Acute 201,257 1 96,603 104,654 Malnutrition (MAM) CAR returnees 101,9943 46,917 55,077 Refugees 393,895 4* 168,480 213,424 Sources: 1HRP 2017; 2 HAC 2017 UNICEF; 3 OIM DTM Januray 2017; 4 UNHCR Chad, general statistics February 2017 *The sum of the female and male refugees amounts to the people who have been registered at the 2 nd level by UNCHR 3 CHAD HUMANITARIAN SITUATION REPORT – 28 February 2017 Humanitarian leadership and coordination From 10 and 15 February, an intercluster assessment mission visited 14 out of the 22 initial villages of return of the alleged “surrenders”.
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