UNICEF – 10 January 2017

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ETHIOPIA Humanitarian Situation Report

Mobile health and nutrition team providing service at , ©UNICEF Ethiopia/2016/Tesfaye

SitRep #11 – Reporting Period December 2016 SITUATION IN NUMBERS Highlights: 9.7 million people require relief food assistance in 2016. (HRD, August  In December 2016, UNICEF has deployed 60 water trucks in Oromia Region to benefit an estimated 120,000 people with access to safe water. 2016). UNICEF has also dispatched US$650,000 worth of household and community-level water treatment chemicals to different regions; and 420,000 children are expected to supported the rehabilitation and maintenance of sustainable water supply require treatment for SAM in 2016. systems, which together benefitted around 700,000 people. (HRD, August 2016)

 Between January and October 2016, 271,927 children with severe acute 3.9 million people require access malnutrition (SAM) were admitted to the national Community Management to safe drinking water. (HRD, August of Acute Malnutrition (CMAM) Programme. Out of these, 21,667 children 2016) (8 per cent) had complications and were admitted to in-patient care.

There are 783,401 refugees in  In response to the new influx of South Sudanese refugees, UNICEF Ethiopia. (UNHCR, November 2016). supported the Regional Health Bureau of Gambella to vaccinate 23,543 children between 0 to 15 years and 21,863 children between 6 months and 14 years against polio and measles, respectively. UNICEF requires US$124 million for its humanitarian work in 2016,  UNICEF reached more than 695,000 people with basic hygiene messages including US$115.5 million for the on acute watery diarrhoea (AWD) prevention and control in Oromia, SNNP drought response and US$8.5 million and Somali regions. for refugee programming.

UNICEF’s Key Response with Partners in 2016

Funding Status UNICEF & Partners Sector/Cluster Indicators UNICEF Ethiopia 2016 HAC UNICEF Cumulative Cluster Cumulative Target results (#) Target results (#) WASH: People in Carry-over: US$26.9 m humanitarian situations 3,200,000 4,814,248 8,000,000 12,575,015 accessing water for drinking Funds and cooking purposes 2016 funding received to Nutrition: # children 6-59 requirements: 420,000 271,927 420,000 271,927 date: months with SAM admitted to $124 m therapeutic care Funding gap: US$81.77m Health: # of children and US$15.2 m women accessing essential 5,850,000 1,122,886 N/A N/A health services Education: # of school-aged children accessing formal 430,000 317,826 4,000,000 3,100,000 and non-formal education *Funds available includes funding received for the current Child Protection: # of appeal year as well as carry-over from 2015. children reached with critical 74,500 64,415 530,000 75,071 child protection services *Results updated as of 31 December 2016. Nutrition results as of 31 October 2016. (See Annex 1 for further details).

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UNICEF Ethiopia – 10 January 2017

Situation Overview and Humanitarian Needs The Meher harvest from November 2016 has improved the food security situation in many parts of the country. The National Disaster Risk Management Commission reports that, as a result of good seasonal rains from June to September 2016, the number of people requiring food aid in 2017 has decreased to 5.6 million people as compared to 10.2 million people at the beginning of 2016. However, in many other areas where rains (June to September 2016) were poor and where the effects of the El Niño drought were severe, effects will continue to negatively impact millions of poor households. On the other hand, the effects of the negative Indian Ocean Dipole led to serious water shortfalls in Somali and parts of Oromia and Southern Nations, Nationalities, and Peoples' Region (SNNP). In the coming months, these areas will require an extensive humanitarian response as the regions progress into the dry season. The next seasonal rains in these pastoral areas are expected in April 2017. The Humanitarian Requirements Document (HRD) which indicates humanitarian needs for 2017 is expected to be released in January 2017.

In Afar, early cessation of the Karma rains (June to September) plus poor and erratic distribution in some areas of the region led to water shortages in (zone 1), Awra and Gulina (zone 4) and (zone 5). There are reports of abnormal livestock migration within and out of the region to neighbouring Amhara and Tigray regions. Milk production has also reduced and could not cover household consumptions needs.

The acute watery diarrhoea (AWD) situation in the country is improving in most affected regions as a result of coordinated response, extensive hygiene and sanitation promotion interventions and strengthened surveillance. Addis Ababa, Amhara, Benishangul-Gumuz, Dire Dawa and Gambella reported zero cases for more than four weeks. In Oromia, the AWD outbreak is contained in most areas except in East and West Hararghe zones. However, the situation in Somali (still badly affected), SNNP, Afar and Tigray is of concern with regard to further outbreaks. The Government and humanitarian partners are further strengthening their AWD interventions in these regions.

Scabies outbreak is currently spreading to SNNP and Oromia while Amhara and Tigray continue to report cases. In SNNP, 82 out of 148 woredas (55 per cent) are affected while the East and West Hararghe zones reported new scabies cases in 10 woredas. Partners’ interventions are ongoing.

Preliminary reports indicate that some 23,764 families in Afar, Oromia, SNNP and Somali regions urgently require non-food items (NFIs) as they are displaced due to drought and conflict. Humanitarian partners are working on prioritization to distribute the required items including shelter materials, kitchen sets, blankets and sleeping mats. UNICEF, in partnership with the Ethiopian Red Cross Society (ERCS) is preparing to send 11,780 NFI kits for immediate distribution. In Ethiopia, it is estimated that there are more than 718,000 internally displaced people (130,000 households) due to flood, drought and conflict.

Ethiopia is hosting the largest refugee population in Africa with a total of 783,401 refugees as of November 2016. South Sudanese refugees constitute the largest group (41.9 per cent), with 328,145 residing in Gambella and Benishangul-Gumuz regions. They are followed by Somali (31.4 per cent), Eritrean (20.7 per cent) and Sudanese (5.1 per cent) refugees. Since September 2016, following renewed conflicts, 54,033 South Sudanese have arrived in Ethiopia. Of these new refugees, 51,984 were registered and relocated to Jewi, Kule, Ngyenyyiel and Tierkidi camps in Gambella.

Humanitarian Leadership and Coordination

The Government of Ethiopia’s National Disaster Risk Management Commission (NDRMC) leads the overall humanitarian coordination through the federal and regional level Disaster Risk Management Technical Working Groups (DRMTWGs) and brings together various taskforce/sector cluster partners to coordinate drought and flood response efforts.

Together with the Government of Ethiopia, UNICEF continues to provide cluster leadership for WASH, nutrition, and education (co-leadership with Save the Children International) and sub-cluster co-leadership, with UNFPA, for child protection and gender based violence; and plays a key role in the health cluster coordination.

WASH, education and child protection clusters have developed action plans to strengthen clusters at regional level. Education in emergencies workshops have been conducted at the national level with federal and regional level participants; child protection in emergencies workshops were held in Tigray and Oromia. WASH workshops at the regional level are expected to be held. Cluster Core Functions and Inter-cluster coordination are included in the trainings.

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UNICEF Ethiopia – 10 January 2017

Humanitarian Strategy: Prepositioning and Partnerships

The Government of Ethiopia and humanitarian partners’ strategic priorities as detailed in the HRD 2016 include: 1. Save lives and reduce morbidity related to drought 2. Protect and restore livelihoods 3. Prepare for, and respond to other humanitarian shocks – natural disasters, conflict and displacement

The release of the revised August 2016 HRD has not changed the overall response strategy outlined in the January 2016 HRD.

In line with its Core Commitments for Children in Humanitarian Action, UNICEF is supporting the Government of Ethiopia to achieve priorities one and three. UNICEF is scaling-up its response to mitigate the impact of the current drought on children and women. UNICEF is working with all partners to ensure that children have access to education, health and nutrition care, child protection and safe water, sanitation and hygiene services during emergencies.

- Ongoing support is provided to community resilience-building efforts aimed at reducing the vulnerability of women and children. - In drought-affected pastoralist areas, UNICEF is supporting Mobile Health and Nutrition Teams (MHNTs) to provide access to life-saving health and nutrition services. - UNICEF and partners are supporting the Ministry of Health in the prevention and control of diseases, including scabies, measles, meningitis, and AWD. - UNICEF is supporting the treatment of severely acutely malnourished children through the community-based management of acute malnutrition (CMAM). - In addition, UNICEF is complementing life-saving WASH interventions with the establishment and rehabilitation of water sources and the dissemination of water treatment chemicals as well as sanitation and hygiene information. - UNICEF facilitates education for children affected by emergencies and is providing minimum packages for child protection in emergencies. UNICEF has reached an agreement with the regional governments of Afar, Amhara, Oromia, SNNP, Somali and Tigray to implement the Child Protection Minimum Package of interventions reflected in the HRD Operational Plan in selected woredas and is mobilizing funds to accelerate the plan’s implementation. The services include identification and referral of children at risk of, or victims of abuse, violence and exploitation, identification and referral of unaccompanied and separated children, psychosocial support through child-friendly spaces and community mobilization to prevent family separation, dangerous migration, child marriage, Female Genital Mutilation/Cutting (FGM/C) and other protection issues.

To respond to any rapid onset crises in a timely manner, UNICEF prepositioned NFI stocks in Addis Ababa and at two regional hubs to address the needs of 120,000 people. These supplies are currently being used to provide immediate assistance to drought and flood affected populations based on requests from the regional governments and other partners. UNICEF established long-term agreements with suppliers of key emergency supplies and for drilling shallow boreholes, which enable scaling up quick responses if needed.

In the refugee response context, UNICEF supports UNHCR and the Government of Ethiopia’s Administration for Refugees and Returnees Affairs (ARRA) to spearhead the emergency response coordination. The partnership is based on a new Memorandum of Understanding which was signed in 2016 between the two sister agencies and a tripartite agreement signed in 2007 with ARRA and UNHCR to establish a framework of collaboration for the delivery of services and assistance for refugees.

Summary Analysis of Programme Response

Nutrition

From January to October 2016, a total of 271,927 children were treated for severe acute malnutrition (SAM). Among these, 21,667 children had medical complications and were admitted in stabilization centres while 250,260 children received treatment within their communities.

In October, 23,762 children with SAM were treated, registering a 10 per cent decrease from the September admissions (Figure 1). All regions, except Somali, experienced this decrease in SAM admissions in October. Somali saw a 43 per cent increase in admissions in comparison with September, but also a 10 per cent increase in the reporting rate.

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UNICEF Ethiopia – 10 January 2017

Figure 1: Trend in Admission of Children with Severe Acute Malnutrition in Ethiopia (2011-2016) 50,000 40,000 30,000 20,000 10,000 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

2011 2012 2013 2014 2015 2016

Source: Emergency Nutrition Coordination Unit (ENCU)

The SAM treatment and the Infant and Young Child Feeding (IYCF) Programme are ongoing through 14,909 outpatient therapeutic feeding sites, 1,547 stabilization centres and 49 MHNTs. The performance of the CMAM Programme is in line with Sphere standards1.

UNICEF also provides essential nutrition supplies to the programme including therapeutic food, milk, drugs and medical supplies in addition to technical support. In 2016, UNICEF has procured and distributed to all regions 310,049 cartons of ready to use therapeutic food enough for the treatment of more than 400,000 children with SAM in food insecure woredas.

UNICEF continues to support the emergency nutrition coordination through emergency nutrition coordination unit under the NDRMC and to work with WFP and WHO to improve the efficiency of the response. UNICEF has deployed 32 monitors to ensure the quality of service of the CMAM and IYCF programmes.

Health The national trend of the AWD outbreak that started in November 2015 is declining. However, Afar, Oromia, SNNP, Somali and Tigray continue to report cases. In Somali, although the trend in general is declining, cases are increasing in Degehabur, Kebridehar and Togo-Wujale, all in the Fafan zone; and Gode Council (Shebelle zone). The continued support of humanitarian partners in response to the AWD outbreak contributed to the low case fatality rate of 0.2 per cent. UNICEF has provided technical, logistic and coordination support at the national level as well as in affected regions. UNICEF has provided 180 case treatment centre (CTCs) kits out of the total 200 treatment centres established countrywide for the isolation and treatment of patients with AWD. With limited access to clean water and poor sanitation and hygiene practices, the risk of AWD remains in the country. It is therefore important that emergency water supply, prevention and hygiene promotion and education activities continue in the coming months.

As of 14 December 2016, a total of 118 woredas reported new scabies cases from Amhara, Oromia, SNNP and Tigray. In response, 300,000 tubes of Permethrin 5 per cent cream for SNNP and 100,000 tubes for Oromia have been distributed. WASH and communication activities are also implemented in affected areas with provision of safe water and hygiene promotion and social mobilization. The Federal Ministry of Health has requested UNICEF for the procurement of 500,000 tubes of Permethrin 5 per cent cream for the treatment of affected people and their contacts. The prevention and control of scabies has been a challenge due to the presence of risk factors including shortage of water and poor hygiene.

In response to the new influx of South Sudanese refugees, UNICEF supported the Regional Health Bureau of Gambella to vaccinate 31,168 children 0 to 15 years old and 28,413 children from 6 months to 14 years old against polio and measles respectively at Pagak and Akobo entry points into Ethiopia. UNICEF also provided 31,000 mosquito nets that were distributed in six refugee camps in Gambella with a particular focus on pregnant and lactating women and under five children for protection in this malaria-endemic region.

1 SPHERE standards: cure>75%, defaulter<15%, death<10%. 4

UNICEF Ethiopia – 10 January 2017

WASH The Government of Ethiopia with support from humanitarian partners, including UNICEF, is responding to the current drought resulting from the negative Indian Ocean Dipole in Somali, Oromia and SNNP. With no alternatives for access to water and as an emergency intervention, water trucking is ongoing in these regions that are facing water shortfalls. In addition, water trucking is taking place in pocket areas in Afar and Tigray that did not recover from the El Niño-induced drought. Currently, a total of 145 water trucks are deployed in the country out of the total 231 required, leaving a gap of 86 trucks. Of the 145 deployed, UNICEF is supporting the deployment of 60 water trucks in Oromia. UNICEF has contracted a freight company with monitors to implement the water trucking operation. An estimated 300,000 people are provided with safe water through this operation.

Region Number of Number of Number of Gap woredas trucks trucks affected requested deployed Afar 6 12 1 11 Dire Dawa 4 7 3 4 Oromia 52 146 109 37 SNNP 6 8 3 5 Somali 35 46 26 20 Tigray 6 12 3 9 Total 109 231 145 86

UNICEF also dispatched household and community water treatment chemicals valued at US$650,000 to Afar, Amhara, Oromia, SNNP, Somali and Tigray regions to provide access to clean water to an estimated 600,000 people for three months.

In addition, UNICEF is supporting the rehabilitation and maintenance of sustainable water supply systems in these regions. In SNNP, the construction of 11 shallow wells were completed so that 16,500 people benefit from access to clean water. In Somali, UNICEF is funding the rehabilitation of 56 boreholes; 30 by the Regional Water Bureau and 26 through a private contractor. In , construction of five multi-village water supply projects out of 35 ongoing projects is completed. These five water supply systems are benefiting 37,500 people with safe and sustainable water supply. Along with water trucking in Oromia, UNICEF is supporting the maintenance and rehabilitation of three water schemes through a private company and that of 15 other systems through the Regional Water Bureau from which over 45,000 people are getting safe water. In addition, UNICEF provided 43 pumps, 41 generators and water storage tankers to the Oromia Regional Water, Mineral and Energy Bureau. In Afar, while work is in progress for sustainable water supply systems, UNICEF provided the Amibara Woreda Water Office more than US$113,000 for the procurement of electromechanical equipment.

In addition to targeting drought affected people, the increased access to safe water will also benefit people in areas affected by AWD and scabies outbreak reported in different regions. While AWD is a water borne disease, the control of both diseases highly depends on the provision of adequate and clean water to the affected and at-risk population.

Education Preliminary Meher assessment data reveals that the number of closed schools due to emergency situation is 138 in Oromia, 184 in Somali and 13 in SNNP and requires immediate emergency response to reopen the schools. A continuing effect of the El Niño-induced drought, shortage of water and school feeding has been identified as major contributors to student absenteeism and dropout, hampering the overall education in emergency situation. Furthermore, the data also shows that 66 per cent of the schools in emergency areas are without water while 44 per cent are without latrines. UNICEF continues to work with education partners to provide affected children with the opportunity for quality education in a safe environment and to improve the children’s psychosocial wellbeing.

In the Somali region, UNICEF supported the construction of six semi-permanent learning spaces in Afdem, Shinille and Hadigala woredas with funding support from OCHA EHF (Ethiopia Humanitarian Fund). Also, 20 semi- permanent learning spaces are currently under construction with five in Sitti zone and 15 in Fafan zone to provide additional classrooms for children displaced due to drought and conflict emergencies. A three-day training for 105 teachers from Sitti and Fafan zones was organised to strengthen teachers’ response to school children displaced by the emergencies in Somali region. The training primarily focused on psychosocial support and education in emergencies and is expected to enable teachers to help distressed children.

In response to the ongoing AWD outbreak in Somali, UNICEF has also supported the Regional Education Bureau with the distribution of some 35,000 information, education and communication brochures and 1,145 posters in Kabridaher, Shilabo and Warder woredas. This is expected to improve hygiene and sanitation in schools especially in AWD affected and at-risk woredas. These interventions may also result in the increase of improved practices and behaviours to household environments and the community at large. 5

UNICEF Ethiopia – 10 January 2017

Child Protection In response to the El Niño-induced drought and to protect affected children, UNICEF continues to support a package of interventions in 61 woredas in Afar, Amhara, Oromia, Somali and Tigray. In SNNP, a response plan has been completed and implementation will begin shortly. The key child protection package includes case management, psychosocial support, violence awareness and prevention and strengthening community-based structures for prevention and response services. It also includes referrals to other services, such as education. Accordingly in 2016, with UNICEF support, a total of 49,822 children (22,422 girls and 27,400 boys) received psychosocial support in these drought affected regions. In addition, 7,839 unaccompanied and separated children (3,279 girls and 4,560 boys) in these same areas were identified and documented while 3,666 children (1,651 girls and 2,015 boys) were reunited with families. Within the same programme to drought-affected areas, some 74,963 adults (35,032 females and 39,931 males) received messages and trainings to raise awareness of children’s protection and to help prevent violence, exploitation and abuse.

In partnership with IOM and the Government of Ethiopia, UNICEF provided support to unaccompanied children who were deported back to Ethiopia from Djibouti, Yemen, Zimbabwe and Zambia. Since July 2016, the services, which include psychosocial support, provision of essential supplies and reunification grants, reached 567 children (557 boys and 10 girls).

UNICEF finalised the project cooperation agreements with Save the Children and Plan International Ethiopia to respond to the additional influx of refugees from South Sudan in Gambella. The interventions include psychosocial support through community mobilisation and child friendly spaces; case management of identified protection issues affecting the children and facilitating enhanced knowledge of parents and community members to prevent and respond to protection concerns affecting the children. The programme will benefit 14,100 refugee children who have arrived since September 2016.

Communication for Development Communication for development (C4D) remains an important prevention and control intervention in the regions where AWD and scabies are being reported. Beyond the provision of safe water, UNICEF has been providing support to regional government authorities to increase community participation and engage traditional and community leaders for social mobilization to promote safe hygiene practices and influence health seeking behaviour. UNICEF has used different media including mobile vans, radio spots and printed messages, to transmit messages and encourage the continued practice of acquired knowledge. The Federal Ministry of Health, in collaboration with UNICEF and other partners, prepared a public health emergency communication guideline that will be finalized during the next month.

In SNNP, where an AWD outbreak has been reported, UNICEF reached 115,710 people with basic hygiene messages in relation to AWD prevention and control. The messages were transmitted through mobile vans, the production and distribution of posters and brochures, house to house visits, awareness raising at schools and churches and broadcasting of radio spots. 6,500 AWD brochures and 800 posters were distributed during the reporting period. A more accelerated and intensified C4D intervention is critical in the region as well as in Amhara, Oromia, and Tigray, which are currently facing expanding scabies outbreak.

The Ethiopian Red Cross Society (ERCS) continues to support social mobilization for AWD prevention in hot spot woredas in Somali and Afar through audio vans, community theatre and IEC material dissemination in selected locations including; commercial farms, where daily labourers work, and their residences, universities, schools, public and market places.

Social mobilization action for AWD at a high risk religious gathering in Oromia engaged religious leaders in community mobilization and key message dissemination throughout the celebration week at the end of December 2016. Over 500,000 pilgrims and surrounding communities were reached through dissemination of messages in the religious context through audio vans and IEC materials distribution implemented in collaboration with ERCS. In Degehabur, the currently most affected woreda of Somali, some 80,000 people were reached with AWD control and prevention messages through the distribution of brochures.

Funding

In 2016, UNICEF Ethiopia raised US$108.7 against its appeal of US$124 million for the El Niño -induced drought response that started in 2015. With the adequate available funding, UNICEF supported the Ministry of Health to reach more than 23.7 million children with measles vaccination, provided access to water for nearly 4 million people, exceeding its target of 3.2 million and provided children the opportunity to continue their education and remain in a protected environment. UNICEF has received funds from the Governments of Canada, Germany, Ireland, Italy,

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UNICEF Ethiopia – 10 January 2017

Japan, Sweden, UK, and USA, and from Bill and Melinda Gates Foundation, CERF, ECHO, Ethiopian Humanitarian Fund, and the National Committees for UNICEF of Japan, the Netherlands, the US and UK.

The table below shows the funding status as of 31 December 2016

Appeal Sector Requirements Funds available Funding gap

US$ US$ US$ per cent Nutrition 34,000,000 26,158,645 7,841,355 23% Health 19,500,000 20,411,187 -911,187 -5% WASH 51,000,000 52,307,256 -1,307,256 -3% Child Protection 4,000,000 4,179,286 -179,286 -4% Education 12,000,000 5,661,359 6,338,641 53% Cluster coordination 3,500,000 0 3,500,000 100% Total 124,000,000 108,717,733 15,282,267 12% *Funds available include funding received (US$81.7) against current appeal as well as carry-forward (US$26.9). In addition, nutrition supplies valued at US$20 million have also been moved to 2016. UNICEF also received from the Government of Canada an additional US$443,459 that remains to be allocated.

Next SitRep: January 2017

Who to contact for further information:

Gillian Mellsop Alhaji Bah Frehiwot Yilma Representative Chief-Field Operations and OIC-Communication, Advocacy, UNICEF Ethiopia Emergency Partnerships Tel: +251 11 5184001 UNICEF Ethiopia UNICEF Ethiopia Fax: +251 11 5511628 Tel: +251 11 5184082 Tel: +251 11 5184065 Email: [email protected] Fax: +251 11 5511628 Fax: +251 11 5511628 Email: [email protected] Email: [email protected]

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UNICEF Ethiopia – 10 January 2017 Annex A SUMMARY OF PROGRAMME RESULTS: ETHIOPIA

Cluster Response UNICEF and IPs Change Change 2016 Overall Total since last 2016 since last Target Total Results needs* Results report Target report

▲▼ ▲▼ NUTRITION Children under 5 years with SAM admitted 420,000 420,000 271,927 24,447 420,000 271,927 24,447 to therapeutic care programmes Children under 5 years who received 1,800,000 1,800,000 784,918 - 1,800,000 784,918 - vitamin A supplementation HEALTH Children under 5 years vaccinated against 6,800,000 23,739,945** - measles People provided with access to health care facilities stocked with emergency supplies 5,850,000 1,122,886 - and drugs People with access to treatment for 35,000 28,523 - diarrheal disease WATER, SANITATION & HYGIENE People provided with access to safe water 8,000,000 8,000,000 12,575,015 1,000,000 3,200,000 4,814,248*** 820,000 People reached with key health promotion 5,492,000 5,492,000 4,339,680 695,710 2,100,000 3,299,902 695,710 messages CHILD PROTECTION Separated and unaccompanied children registered in family tracing services and 22,000 22,000 7,592 995 4,500 7,592 995 received family-based or appropriate alternative care Vulnerable children in refugee camps, host communities and drought-affected areas 530,000 530,000 75,071 6,754 74,500 64,415 6,754 benefitted from critical child protection in emergencies services EDUCATION School-aged children with access to emergency education programmes 4,000,000 4,000,000 3,100,000 - 430,000 317,826 -

Refugee and host community children received psychosocial support in 130,000 130,000 49,094 - 130,000 76,599 - emergency education programmes OPERATIONAL PARTNERS Health Regional Health Bureaus, Mercy Corps, SCI, ADRA, Ogaden Welfare and Development Association, Islamic Relief, MSF Nutrition Ministry of Health, Regional Health Bureaus Federal and Regional, Emergency Nutrition Coordination Unit (under DRMFSS), Concern Worldwide, International Medical Corps, World Vision, Action Against Hunger (ACF), Islamic Relief, Mercy Corps, SCI, MSF, ADRA, GOAL Ethiopia and Plan International Ethiopia WASH Federal and Regional Mines and Water Bureaus, Oxfam Intermon, Adhorn, Ogaden Welfare and Development Association, SCI Education Federal and Regional Education Bureaus, SCI, PIE, Ogaden Welfare and Development Association Child Protection Regional Bureau of Labor and Social Affairs, Regional Bureau of Women, Children and Youth Affairs, SCI, Plan International Ethiopia , the Ethiopian Red Cross Society, GOAL Ethiopia Results are as of 31 December 2016, except for Nutrition which are as of 31 October 2016. *Revised Humanitarian Requirements Document, August 2016 **Initially, the target was for under five children (6.8 million children). Based on analysis of on the ground situation, the Government increased the target to included children under 15 years of age. ***WASH target for UNICEF increased from 2.2 million to 3.2 million following the HAC revision in October 2016. A proper combination of low-cost interventions (i.e. water trucking) with longer-term solutions (i.e. construction of water schemes) explains the higher result.

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