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Nigeria NIGERIA / Humanitarian NICEF/2018 Situation Report

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Nigeria NIGERIA / Humanitarian NICEF/2018 Situation Report Nigeria NIGERIA / Humanitarian NICEF/2018 Situation Report ANDREW ESEIBO/U 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 225,836 children and their caregivers (49 per cent females) received People targeted in the northeast states of 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 1 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 Adamawa State government officially declared a cholera outbreak. So far, authorities have recorded 223 cases with 3 deaths (CFR 2.35%) 5 in Yola North, Yola South and Girei 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/Gwoza LGA.
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