NIGERIA / Humanitarian NICEF/2018 Situation Report

ANDREW ESEIBO/U ANDREW

1-31 June 2019 Highlights 4.2 million Since January 2019, with support from UNICEF in the three northeast states: Children in need of humanitarian assistance  70,370 children (44 percent of UNICEF’s target) with severe acute (Humanitarian Response Plan, 2019) malnutrition (SAM) have accessed treatment at UNICEF supported treatment centres. 7.1 million  2,521,194 IDPs including 1,304,572 children under five were reached People in need of humanitarian assistance in with integrated primary health care services. the northeast states of Borno, Adamawa &  177,640 conflict-affected girls and boys benefited from having their Yobe (HRP, 2019) teachers trained in psychosocial procedures, and 89,807 received essential learning materials. 6.1 million  People targeted in the northeast states of 225,836 children and their caregivers (49 per cent females) received child protection services to rebuild their resilience, self-esteem and Borno, Adamawa and Yobe (HRP, 2019)

regain their sense of normalcy.

 937,160 conflicted affected persons accessed safe water through 1.79 million

new construction, rehabilitation and operation and maintenance Internally displaced people in Adamawa, (O&M). Borno and Yobe states

UNICEF’s response with partners (IOM DTM Round XXVII, May 2019)

UNICEF Sector/Cluster UNICEF Appeal 2019

UNICEF Total Cluster Total US$ 120.1 million Target Results* Target Results* Nutrition: Number of FUNDING STATUS 2019* children aged 6 to 59 months 158,488 70,370 264,146 126,552 with SAM admitted to therapeutic care WASH: Number of people provided with access to safe 649,800 937,160 3,500,000 1,267,014 Carry water forward: Health: Number of 39.1 million

consultations for internally 1,140,000 2,521,457 Required displaced and affected host $120.1m communities Child Protection: Number of Funding gap: children reached with $ 60.5 million Funds psychosocial support, 287,500 174,283 575,000 260,624 received including access to child current year: friendly spaces $20.5 million Education: Number of children affected by crisis 1,050,000 18,079 1,584,131 28,612 accessing formal or non-formal * Funds available includes funding received against basic education current appeal as well as funds received in 2018 (including for activities in 2019). *Total Results are cumulative, since January 2019

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Situation Overview & Humanitarian Needs

The conflict in northeast Nigeria is still causing significant forced population movement, with the numbers of displaced persons estimated at 1.79 million people across the three northeast states of Adamawa, Borno and Yobe, of whom 82 per cent are in Borno1. This represents an increase of roughly 300,000 IDPs when compared to the same period in 20182.

Population movements in 2019 are the result of ongoing conflict, poor living conditions, voluntary relocation and military operations. A total of 152,654 movements were recorded across the three states since January 20193, of which 12,524 movements were in June alone. The past months have seen a growing need for the rapid delivery of humanitarian goods and services including shelter, essential household goods, health and nutrition, provision of food and access to water, sanitation and education. UNICEF also continues to engage with civilian and military authorities to advocate on protection, including the swift release of women and children from military detention to enable them access humanitarian support. Disease outbreaks continue to pose a significant threat to the lives of affected communities especially children. A total of 20,127 suspected cases of measles were recorded in the whole country with about 50 per cent of these cases in Borno alone (10,487 cases with 10 associated deaths (CFR: 0.5%) in 21 LGAs and 37 IDP camps)4. On 17 June, the government officially declared a cholera outbreak. So far, authorities have recorded 223 cases with 3 deaths (CFR 2.35%) 5 in , and Local Government Areas (LGAs). Alerts of suspected cases have been reported in several LGAs in Borno State and are awaiting laboratory confirmation.

Limited access to land for displaced persons is seriously curtailing humanitarian actors’ ability to provide assistance and protection to those who have fled violence. In Damboa, authorities have continued to deny permission for the construction of temporary shelters or latrines, which has left 10,358 people without shelters and with only 19 drop holes. The establishment of a new camp is now underway; however, IDPs are living in very dire conditions in the meantime. Restrictions on road movement imposed by military authorities are also hampering the movement of humanitarian supplies, which are currently only able to be transported to Damboa once every three weeks. In Monguno, construction has started on the new camp, which is expected to provide shelter for thousands who are sleeping in the open - but there is still need for additional space to significantly decongest existing camps. In addition, there has been no progress on the identification of any additional land for Maiduguri, which has also received tens of thousands of IDPs in the last few months. High-level advocacy with the government and military counterparts is needed to resolve these challenges. Estimated Population in Need of Humanitarian Assistance (Estimates calculated based on initial figures from HRP 2018 and HNO 2019)

Start of humanitarian response: Total (Million) Male Female Comment Total Population in Need 7.1 3.8 3.3 46%F, 54M (2019HRP) Children (Under 18) 4.2 1.0 3.1 58% (2019HRP) Children Under Five 2.8 1.1 2.7 HNO 2019 Children 6 to 23 months 803,414 417,775 385,639 HNO 2019

Pregnant and lactating women 1,074,321 - 1,074,321 HNO 2019

1 IOM DTM Round 27 May 2019-Nigeria 2 UNICEF Nigeria Sitrep June 2018 3 Nigeria Emergency Tracking Tool Report (ETT 104-125) 4 Early Warning, Alert and Response System (EWARS) 5 Situation Report, Adamawa State Ministry of Health 2

Summary Analysis of Programme Response

Nutrition Since the beginning of 2019, a total of 70,370 children with severe acute malnutrition (SAM) have accessed treatment at UNICEF supported treatment centres, representing 44 percent of UNICEF’s target. In June alone, a total of 12,107 children with SAM were admitted for treatment. Of these children, 95.5 per cent were successfully discharged as cured, 3.0 per cent dropped out of the treatment, 0.5 per cent died and 1 per cent did not respond to the treatment.

Coverage of micro-nutrient powder (MNP) and counselling on infant and young child feeding (IYCF) practices since January stands at 164,104 children and 96,622 care givers reached, respectively. In the month under review, 50,046 new caregivers of children 0-23 months benefitted from IYCF counselling and 17,020 children 6-23 months received MNP for prevention of micronutrient deficiencies through improved complementary feeding. In total since 2019, UNICEF has screened 8,989,719 children in the three states, with 70,370 identified SAM and MAM cases referred for treatment. This was achieved through screening and referral mechanisms for the identification of malnutrition, training for service providers on nutrition services, and on-the-job coaching or supportive supervision visits to outpatients’ therapeutic programme (OTP) sites, stabilization centres (SCs), IYCF corners, mother support groups and community nutrition mobilizers.

Health Since January 2019, a total of 2,521,194 conflict-affected people including 1,304,572 children under five (52 per cent) were reached with integrated primary health care services in health facilities in IDP camps and host communities in Adamawa, Borno and Yobe6. Malaria and acute respiratory infection (ARI) are the main cause of morbidity at the onset of the rainy season, with 133,209 and 131,200 consultations conducted by UNICEF and partners. In addition to consultations, health workers carried out 1,898,975 prevention services:  562,534 children (6 months-15 years) were vaccinated against measles through routine immunization. This is in addition to the reactive campaign for the measles outbreak that was carried out from February to May for 911,497 children.  254, 311 children and pregnant women were reached with various other antigens (including 82,746 children who received Vitamin A supplements).  98,699 pregnant women were reached with ante-natal care.  16,553 women were supported with safe deliveries.  16,480 women received post-natal care.

6 High level achievement is partly as a result of the unprecedented measles outbreak since February 2019 3

WASH UNICEF continues to provide critical water, sanitation and hygiene services across the northeast states. Along with key partners, UNICEF has inputted into the Cholera Response plan, a live document that is updated at the sector level through weekly meetings. UNICEF remains the key partner for cholera-related pipeline supplies. In the lead up to the rainy season, UNICEF has prepositioned essential items in hotspot areas, inputted into the rainy season contingency plan and ensured emergency support can be deployed for spontaneous movements. During the reporting period, UNICEF provided 45,320 people with access to safe water through the provision of 19 handpumps and 7 solar powered boreholes in Shani, Damaturu and Fune LGAs of Borno, Yobe and Adamawa states, respectively. Emergency water trucking (40-60 meters cubed) is being provided for new arrivals in Damboa for 4,000 people (15 liters per person per day) in GSS and Unity Camps.

As part of the 2019 cholera preparedness and prevention strategy, UNICEF in collaboration with Borno State Ministry of Water Resources sustained access to safe water to 771,428 people (averaging 35 liters per person per day) through urban water chlorination in Jere and MMC LGAs. Safe sanitation facilities were provided for 4,600 people through the provision of 92 latrines and 46 showers in Fultari, Water Board and Gana Ali camps in Monguno LGA, and in the Transit camp in Pulka/ LGA. Desludging of 2,428 latrines for 81,546 new beneficiaries was also carried out in 18 IDP camps in Konduga, Jere and Maiduguri LGAs.

A total of 5,203 families (31,223 people) were provided with WASH kits in Rann/Kala Balge (3,000), Damboa (2,000) and Bayan Quarters/Maiduguri (510) Camps in Borno, and 620 in Girei and of Adamawa, while 16,499 people were reached with hygiene messages in Borno (Damboa, Dikwa, and Ngala), Yobe (Gulani) and Adamawa (Girei and Fufore).

Education Since January, UNICEF and partners improved access to education to an estimated 18,079 boys and girls through inclusive education. A total of 89,807 children were provided with essential learning materials, and 177,640 boys and girls benefited from having their teachers trained in psychosocial procedures.

Out of the total number of children reached in June, 14,316 (7,183 girls and 7,133 boys) benefitted from essential teaching and learning materials in schools in Adamawa (Girei), Borno (Jere, Konduga, and Maiduguri), and Yobe (Bade, Bursari, Damaturu, Fufore, Fune, Gujba, Karasuwa, Michina, Nangere, Nguru, and Potiskum).

A total of 172 teachers (52 females and 120 males) were trained in classroom management, basic pedagogy, psychosocial support (PSS), conflict disaster risk reduction (C/DRR), life skills and mine risk education (MRE), as well as school record keeping in 17 LGAs in Adamawa ( , Fufore, Girei, , Guyuk, Hong, , , , , , , Numan, , Song, Yola South, and Yola North). The training benefitted 13,760 children (4,160 girls and 9,600 boys).

In addition to essential teaching and learning materials, 3,587 children (1,996 girls and 1,591 boys) accessed improved learning through the provision of 91 three-seater desks and 28 Temporary Learning Spaces (TLS) in both formal and non- formal settings in Damboa, Jere and Maiduguri LGAs of Borno State.

Another 121 members of the School-Based Management Committees (25 females and 96 males) from 11 schools in Damaturu, Gujba and Potiskum LGAs in Yobe State were trained in School Management and Emergency Preparedness Response (EPR).

Child Protection As of 30 June 2019, UNICEF and its implementing partners ensured that 226,510 children and their caregivers (49% females) received learning skills and identified actions to build their resilience, self-esteem and regain their sense of normalcy through integrated child protection in emergency services such as community-based psychosocial support.

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All reported unaccompanied and separated children (UASC) were placed - or are living in - a safe protective family or community-based environment and are accessing services including family tracing and reunification (FTR), social and economic reintegration assistance, support for survivors of gender-based violence (GBV) including conflict-related sexual violence. In June alone, 35,799 children and caregivers received the following child protection in emergencies services:  28,561 children (13,032 girls and 15,529 boys) received psychosocial support services (PSS) through child friendly spaces (CFS).  9 UASC (7 girls and 2 boys) were placed in alternative care.  24 UASC (16 girls and 8 boys) were reunified with their families.  7,205 people (1,945 girls, 865 boys, 2,882 women, and 1,513 men) were provided with GBV prevention and response interventions.

All children continue to receive community-based PSS services through mobile and static child friendly spaces in the accessible LGAs in Borno, Adamawa and Yobe States. Prevention of cholera activities to minimize the risks continues. An estimated 60% of CFS meet the basic WASH standards, with a focus on the cholera prone LGAs.

Training continued for 800 foster care parents of children in alternative care focused on good parenting skills in 16 LGAs in Borno State. This group forms a standby network of foster parents to support unaccompanied and separated children in emergency contexts.

From the 894 children (106 girls and 758 boys) who were formally separated from the Civilian Joint Task Force (CJTF) in May, more than 300 are already enrolled in formal education. Also, four safety audits were conducted this month in 4 LGAs and outcomes shared with partners highlighting follow-up activities to implement the recommendations.

External Communication UNICEF continued to highlight the urgent needs of children and women affected by the conflict and advocated for protection of their rights to both domestic and international audiences. The separation of children associated with armed groups sparked the interest of both national and international media to cover the humanitarian crisis and document the issues children and women are facing in the northeast. These events were followed by television and radio interviews and a large social media footprint.

Supply UNICEF supported the State Ministries of Health in the three states with a total of 200 Nigeria Health Kits (NHKs) to support 100,000 people, and 23 Emergency Health Kits (IEHKs) for integrated emergency primary health care services in the IDP camps and host communities. In addition, UNICEF distributed 5,401 boxes of Ready-To-Use Therapeutic Food (RUTF) for 6,280 children, 91,900 packs of micronutrient powder for 8,837 children to nutrition sites as buffer stocks.

Funding In 2019, UNICEF is requesting US$ 120.1 million to reach 2.67 million people, including 1.77 million children. Funds currently available amount to US$ 59.6 million. This includes US$ 39.1 million “carry-forward”* from grants received in 2018 (consisting mainly of funds reserved for programming in 2019 and beyond). In the reporting period, a new contribution was received from DG ECHO (European Civil Protection and Humanitarian Aid Operations). UNICEF’s ability to provide an integrated package of WASH, nutrition and health services for the survival and development of vulnerable children is hampered by a 50 per cent funding gap, with all sectors currently underfunded except education.

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Funding Requirements (as defined in the 2019 Humanitarian Action for Children (HAC) Funds available Funding gap Funds Received Current Appeal Sector Requirements Year Carry Forwards * $ %

29,000,000 2,358,825 3,164,068** 23,477,107 81% WASH

24,000,000 680,501 22,687,890*** 631,609 3% Education

16,700,000 787,006 2,066,179 13,846,815 83% Health

31,000,000 15,594,994 8,432,612 6,972,394 22% Nutrition

18,200,000 733,687 1,619,227 15,847,085 87% Child Protection

1,200,000 382,514 1,095,406 - 0% EPR

Total 120,100,000 20,537,528 39,065,382 60,497,090 50%

* “Carry-forward” refers to all unutilized funds received by UNICEF during the previous year, often for activities that span more than one calendar year. The 2018 carry-forward includes several grants received in December 2018, for the implementation of activities in 2019. ** The “carry-forward” of the WASH section includes two grants for emergency response activities outside of the northeast, including USD 1.5 million for floods response in Niger, Kogi, Anambra, Delta, Rivers and Bayelsa states. *** Education funds available are multi-year and do not reflect actual amount available. The actual funding gap is therefore higher than indicated.

Next SitRep: July 2019

For further Peter Hawkins Pernille Ironside Nicki Bennett Representative Deputy Representative. Emergency Manager information UNICEF Nigeria UNICEF Nigeria UNICEF Nigeria contact: Tel: +234 803 402 0870 Tel: +234 803 4035273 Tel: +234 803 4035235 Email: [email protected] Email: [email protected] Email: [email protected]

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Annex A SUMMARY OF PROGRAMME RESULTS UNICEF and IPs Sector Response Change Change Overall 2019 Total since last 2019 Total since last needs7 Target Results* report Target Results* report NUTRITION

Number of children aged 6-59 months with SAM

admitted to therapeutic care for specified period 367,526 158,488 70,370 12,107 264,146 126,552 21,478 Proportion of children 6-59 months with severe acute malnutrition recovered >75% 95.5% >75% Number of caregivers of children 0-23 months with access to IYCF counselling for appropriate feeding 1,062,764 305,474 164,104 50,046 763,685 470,986 75,475 Number of new children 6-23 months in the affected areas receiving multiple micronutrient powder 282,034 90,183 17,020 577,200 110,579 20,811 HEALTH Number of children 6 months - 15 years vaccinated against measles 720,230 1,363,194 4,392

Number of consultations for IDPs and affected host 2,521,457 communities 2,000,000 1,140,000 208,582 WATER, SANITATION & HYGIENE Number of people having adequate access to temporary safe water facilities and services as per sector’s standard 172,096 65,000 32,5298 4,000 130,000 142,100 19,514 Number of people gaining access to adequate safe water facilities and services as per sector’s standard through new construction and rehabilitation of water systems 3,269,818 149,800 136,001 0 400,000 165,116 8,550 Number of people whose water systems functionality is supported by sustained operations and maintenance 3,441,914 500,00 768,630 0 3,100,000 959,798 0 Number of people that have access to gender and disability sensitive sanitation facilities 1,552,772 300,000 134,557 4,600 1,000,000 608,602 17,903 Number of people benefiting from sustained desludging and cleaning of their latrines as per sector’s standard 1,552,772 500,000 423,656 81,546 1,000,000 490,833 81,546 Number of people benefiting from sustained environmental sanitation services (solid waste management)‡ 1,552,772 500,000 224,558‡ 0 1,000,000 594,125‡ 0 Number of people reached with handwashing behaviour-change programmes to prevent hygiene related illness in children. 3,441,914 1,550,00 274,282 0* 3,100,000 589,401 18,236 CHILD PROTECTION Number of children reached with psychosocial support, including access to child friendly spaces9 840,000 287,500 174,283 28,561 575,000 260,624 38,086 Number of registered unaccompanied and separated children benefitting from alternative care arrangements 1,500 312 9 3,000 604 9 Number of unaccompanied and separated children reunified with their families 1,500 700 91 24 1,400 129 24 Number of children released from armed forces or groups who have benefited from community 10,000 reintegration support 7,000 1,010 0 10,000 1,010 0 Number of children, adolescents and caregivers benefitting from mine risk education 770,000 237,500 10,339 0 475,000 79,409 24,552

7 HRP Nigeria 2019 8 Sector uses site population to calculate beneficiaries. UNICEF only counts the number of people benefitting from a certain volume of water being provided at SPHERE standards (15l/p/d). If the entire population is being reported, each person receives much less than 15lpd. 9 The HRP target for this indicator is 575,000 for children and caregivers, however, UNICEF is only reporting on the number of children, 500,000. ‡ This result (solid waste management) is not cumulative. Monthly beneficiaries figure are collated as reported in the monthly DTM; * Beneficiaries reached by UNICEF have been covered in previous months by UNICEF or other partners, hence they are not counted as new beneficiaries

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Number of women and children provided with 39,368 7082 prevention interventions to address gender-based violence 40,000 N/A - - Number of women and children provided with 1,107 123 response interventions to address gender-based violence 1,400 N/A - - EDUCATION10 Number of girls and boys (aged 3 to 17 years) affected by crisis accessing inclusive education 1,239,820 1,050,000 18,079 3,587 1,584,831 28,612 6,772 Number of out-of-school children affected by crisis accessing formal and non-formal basic education and receiving appropriate learning materials 2,847,464 1,050,000 89,807 14,316 1,584,831 123,314 15,772

Number of teachers trained in psychosocial support skills and positive discipline 20,000 4000 2,684 172 6000 2,843 172 Number of children attending education in a classroom where the teacher has been trained in psychosocial support. 1,600,000 320,000 177,646 13,760 480,000 187,826 13,760

10 Education’s indicators were rephrased in June to properly highlight UNICEF actions for conflict affected children 8