NIGER Humanitarian Situation Report

@Unicef Niger/ Aboubacar Bako Mahamane

Situation Report SITUATION IN NUMBERS

30 September 2018 Highlights 1.2 million • 3,696 cases of cholera and 69 deaths (lethality: 1.9%) have been children in need of humanitarian assistance in Niger recorded in 4 as of 30th of September. Response in 2.3 million health, wash and communication is ongoing with the support of people in need UNICEF, WHO and MSF, under the coordination of the Regional (OCHA, Humanitarian Response Plan Niger, 2018) Department of Public Health of the 4 regions • 3,571 cases of measles have been recorded since the beginning of 380,166 the year, with a resurgence of cases in recent months. The country is Children affected by SAM nationwide (OCHA, Humanitarian Response Plan Niger, 2018) running out of measles vaccine. UNICEF will support the Ministry of Public Health in the purchase of a contingency stock of measles vaccines 96,216 ▪ As of 30th September, the Rapid Response Mechanism (RRM) Refugee children from Nigeria and returnees from partners (ACF, ACTED, DRC, IRC, the Ministry of Humanitarian Niger affected, out of Action and Disaster Relief – MAH/GC, OCHA, UNICEF and WFP) had 144,599 Refugees and returnees from Nigeria provided multisectoral assistance to 45,269 displaced people in (DREC, July 2018, covering 97 sites) Niger, out of which 34,410 in Tillabery and , which represents 82% of all displaced populations in these 2 regions. ▪ UNICEF provided NFI assistance to 1,600 families affected by the 69,393 floods in Maradi and region, in partnership with the Internally displaced children, out of MAH/GC, local authorities and the Civil Defense Department. The 104,288 assistance for 500 more in Tahoua is being prepared. Internally displaced people (DREC, July 2018, covering 97 sites)

UNICEF Appeal 2018 UNICEF’s Response with Partners US$ 42 million

Sector/Cluster UNICEF Funding Status 2018 *Cumulative results since UNICEF Total Cluster Total January 2018 Target Results* Target Results* Funding Gap: Carry - Over: Nutrition: # of children <5 with $15,391,812 $3,752,636 380,166 234,682 380,166 234,682 SAM admitted for treatment in Niger Health: # of children <5 accessing 90,000 110,456 N/A N/A life-saving services in WASH: # of people with access to 62,000 17,266 127,638 91,799 safe water in Diffa Child Protection: # of children who are benefiting from psychosocial 20,616 5,369 24,676 25,155 Received: support through community-based $23,576,603 recreational activities in Diffa Education: # of children provided 37,064 1,387 80,398 1,910 with access to education in Diffa

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Situation Overview & Humanitarian Needs According to the 2018 Humanitarian Needs Overview (HNO), 2.3 million people in Niger are in need of humanitarian assistance. The needs analysis shows the persistence of five major crises affecting the country: food insecurity (1.4 million people estimated in need), malnutrition (1.7 million people), epidemics (1.17 million people), floods (170,000 people) and population movements due to conflict or migration (392,305 people). In the Tillabery and Tahoua regions in September, the protection cluster and RRM monitors estimated that 42,274 people were forcibly displaced in over 6 municipalities and several sites (Tillabery: , , Abala, ; Tahoua: Agando and Assagueygue). Given the very complex and volatile security context, worsened by a difficult road access due to heavy rains, humanitarian assistance is challenging. Nevertheless, the Rapid Response Mechanism, in tight collaboration with the protection cluster and the Civilo Military Coordination, succeeded in implementing activities in Tahoua, while a humanitarian corridor is ready to be put in place for the period 1-10 October. Additionally, a CERF RR funding (WASH and protection), was approved for humanitarian assistance in the 2 regions. Estimated Affected Population (National) National LCB crisis Based on HRP and HNO 2018 Total Female Male Total Female Male Total Affected Population 2,300,000 1,173,000 1,127,000 419,000 213,690 205,310 Children Affected (Under 18) 1,200,000 612,000 588,000 230,000 117,300 112,700 Children <5 455,860 232,489 223,371 83,045 42,353 40,692 Children 6 to 23 months 134,780 68,738 66,042 22,249 11,347 10,902 Pregnant and lactating women 477,710 477,710 87,236 87,236

Humanitarian Leadership and Coordination At the national level, UNICEF leads the Education and WASH Clusters, and the Child Protection Sub-Cluster in close collaboration with government counterparts, and co-leads the Nutrition Technical Working Group/Cluster with the government. UNICEF supports sub-national authorities for the timely and efficient management of sectoral working groups, particularly, but not exclusively, in Diffa, Maradi and Agadez where UNICEF field offices are located, as well as in Tillabery and Tahoua through the support of cluster leads and field office technical staff. UNICEF is also a proactive member of the Health Cluster and the Non-Food Items (NFI) and Shelter Working Group. UNICEF participates in the common framework of the RRM project along with four international NGOs, OCHA and WFP, as well as with the MAH/GC. For RRM, UNICEF is responsible for the procurement of NFIs and for the provision of the overall technical support. Additionally, UNICEF provides technical, financial and in-kind support to the MAH/GC to strengthen its capacity to manage and coordinate humanitarian crises, as well as to prepare for and respond to floods. UNICEF, as lead of 4 sectors, plays a major and proactive role in the preparations of the Humanitarian Needs Overview and the Humanitarian Response Plan. In Niger, the new process will be prepared over 3 years, aligned with the new UNDAF. The government has out in place a 3-party high level committee to make sure that the nexus is operationalized including through the HNO/HRP process.

Humanitarian Strategy In 2018, UNICEF continues to provide multi-sectoral assistance to people affected by the crises in Niger and strengthen the link between humanitarian interventions, resilience-building and development programmes. UNICEF prioritizes its support to the national severe acute malnutrition (SAM) treatment programme, including its integration into the broader national health system, while aiming at expanding malnutrition prevention interventions. In education, UNICEF focuses on the provision of access to formal and non-formal education opportunities in protective learning environments for crisis affected school aged children. Children affected by crises are also reached with health services and vaccination, as well as with psychosocial support. Unaccompanied and separated children are supported through identification and reunification services. UNICEF multi-sectoral humanitarian interventions also plan to cover in 2018 the needs of people affected by the Malian border crisis and the increasing numbers of vulnerable migrant children returning from Algeria and Libya. UNICEF is setting up innovative approaches, such as SMS, to manage child protection data and monitor water, education and nutrition interventions.

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Summary Analysis of Programme Response Lake Chad Basin Crisis Response Nutrition: As of September 30th, (week 39) [1], 11,018 under-five children suffering from SAM were admitted to rehabilitation centers (both outpatient and inpatient facilities) in Diffa region, including 842 cases with medical complications. Compared to the same period (week 1 to 39) in 2017, there is no difference in new SAM admissions in inpatient facilities (IPF) but an increase of 10% (978 children) was observed in outpatient facilities (OTP) that may be explained by regular intensive screenings in this some health districts (mainly Diffa, and Maine Soroa). 70.5% of the overall SAM target was reached (the annual target for Diffa region is 15,635 SAM children) Health: A measles vaccination campaign was carried out in September in the urban Integrated health center of Diffa health district, and reached 12,917 children aged 6 months to 14 years old. As of the end of September, 110,829 under-five children have utilized health services. Integrated Community Case Management (ICCM) is supported by UNICEF in 3 of the 6 health districts in the region (Goudoumaria, Mainé and N’Guigmi). AS of September 30th, 275 community volunteers had been trained and started the implementation of planned activities. A polio vaccination campaign was carried out in September, and reached 268,892 children aged 0-59 months, including 38,598 refugees, which represents 24,87% of the estimated target of 154,567 children. WASH: The implementation of Community-Led Total Sanitation (CLTS) activities in emergencies by the NGO Norwegian Church Aid (NCA) continued in September, through the support to population on behaviour changes and the construction of 1,890 latrines. A second CLTS project in emergency has just been launched in the commune of targeting 10,851 people. WASH actors are also implementing cholera prevention activities (radio messages broadcasting, sensitization activities and other communications activities), as 4 regions of the country and the border region of Nigeria are in epidemics. The situation of the hepatitis E epidemic in August and September 2018 shared on September 23rd by the Regional Department of Public Health reported respectively 22 and 11 cases. Education: In September, UNICEF in partnership with the NGO reached 649 students, including 373 girls through remedial courses which started in August 28 (19 additional children joined in September) Concern also organized trainings for 170 teachers in different thematic areas: 55 teachers (25 female) in multi-grade teaching, 21 teachers (12 female) in bilingual classes, 72 teachers (39 female) in rapid reading and 22 teachers (4 female) in distance coaching. UNICEF’s partner IFADEM (Francophone Initiative for Distance Training of Masters) trained 50 directors (18 female) in pedagogy. With the NGO COOPI, UNICEF trained 394 (302 female) teachers on psychosocial support and disaster risk reduction. In addition, 57 adolescent and youth girls were trained in local production of cosmetics, processing of agricultural products and micro enterprise management by Swiss Contact. 22 of the girls are below the age of 18 years. Child Protection: Psychosocial support: In September, 173 new children (77 girls) benefitted from psychosocial support through child protection sub cluster members, out of which 85 new children (31 girls) directly benefited from UNICEF support. The September attendance across the 120 child friendly spaces was 15,555 children, among them 7,429 girls of whom 4,124 children (1939 girls) through UNICEF support. Separated and unaccompanied children: In September 2018, 13 new children (4 girls separated) have been identified. Children associated with armed forces and armed groups (CAAFAG): The total of CAAFAG in Goudoumaria center is 42 (7 girls). They receive psychosocial support as well as alphabetization classes and recreational activities Non-Food Items (NFI): In September, UNICEF supported IRC and the Ministry of Humanitarian Action in the framework of the Rapid Response Mechanism project, to assist 50 households (350 people) affected by the flood in Wogom and 48 displaced households (336 people) in Mombio 2 and Baramatadji 2 in the Diffa region. The total number of assisted households since the beginning of the year has reached 616 (3,677 people). In September, UNICEF also organized, in collaboration with RRM partners, field monitoring on the quality and accountability of ACTED intervention in Mombio 2, and collaborated for the presentation of RRM strategy and approach to local authorities and communities’ leader in Nguigmi and Bosso department as part of RRM advocacy strategy for the ownership of the RRM by local authorities and community leaders.

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In September 2018, 37 Integrated Health Centers (CSI) out of the 39 CSI located in areas with GSM telephone coverage, sent quality weekly SMS-reports on admissions of SAM and MAM children. The twelve remaining CSI of the region are located in areas not covered by GSM telephone coverage and will be provided with satellite phones in October, to start reporting through the Rapid SMS system. In September, UNICEF finalized the activation of Airtel services for RapidPro (Airtel is the major mobile operator and with wider network coverage in Diffa). This will allow RapidPro to reach more remote areas and collect data more rapidly and efficiently. In the education sector, no SMS-report was sent in August due to the schools’ holiday, which will continue until October 2018. In WASH, 92 out of the 195 focal points, water committees’ members, trained on RapidPro by UNICEF partner Vision Plus, sent regular SMS – reports with information on the functioning of the water point. Vision Plus continues to strengthen the capacity of the remaining 103 RapidPro WASH focal point on how to send quality SMS-reports. Furthermore, in September 23 SMS-alerts on the dysfunction of 18 water points (there have been more than 1 SMS-alert o the same water point) were reported by the focal points and they were discussed during wash working group meetings under the leadership of the regional water and sanitation department. Out of the 18 water points not functioning, 10 have already been been repaired and are functional, and for the remaining 8, specific actions have been put in place but not yet finalized.

Nationwide and Other Crises Response1 Nutrition: As of end of September, (week 39), 234,682 under-five children suffering from SAM were admitted for treatment since the beginning of the year, representing 61.7% of the annual target. Among these children, 32,196 cases (13.7%) presented medical complications (admitted for inpatient therapeutic care), while 202,486 cases (86.3%) were admitted for outpatient therapeutic care. Compared to the same period last year (week 1-39), there was a 1% and a 9% decrease in the overall admissions in inpatient and outpatient care, respectively. The third round of the SMC campaign coupled with malnutrition screening took place from the 22nd to the 26th of September except in 5 health districts (namely Belbeiji, Bosso, Diffa, Goudoumaria, ) due to issues related to health districts bank accounts’ closure. 3,408,546 children were screened during this round out of 3,542,088, representing 96,2% of the target.. The data collection for the national nutrition survey based on the SMART methodology will start the second week of October. Preliminary results are expected by mid-November. Health: A cholera epidemic broke out in July in Maradi region. As of 30th of September, 3,696 cases and 69 deaths (lethality: 1.9%) were reported in 4 regions. Since the beginning of the epidemic, UNICEF coordinated the response with the regional department of public health of Maradi and then the other 3 affected regions, as well as with MSF and WHO, and provided supplies (Ringer’s lactate, oral rehydration salts, gloves) and support for urgent communication activities, through radio and social mobilization by community volunteers. In September, UNICEF also supported mobile clinics providing basic services such as consultations, vaccinations, SAM and MAM management and family planning in Ayorou, Tillabery region for 881 children including 229 displaced, 156 refugees, and 496 children from the host population, and 682 women. WASH: The WASH response to cholera continues in the 4 regions affected by the epidemic. UNICEF in partnership with the NGO Consortium ADESA and DEDI in the health district of Madaraounfa and with the NGO CISP in the health districts of Maradi, Guidan Roumdji and Gaya carried out several activities, including: awareness on preventive measures (hand washing, use of latrines, household water treatment) to the benefit of 50, 170 people; delivery of hygiene kits to 4 districts and 4 health centres and disinfection of 532 households with registered cases of cholera; broadcasting of messages through community radio stations in Maradi region; the holding of 3 public broadcasts in the affected villages of Gaya health district; the training and mobilization of 82 community relays; the distribution of water treatment products and Aquatabs and soaps to 2,101 households; residual chlorine follow up in 1,739 households, with residual chlorine found in 97% of them; disinfection and bacteriological analysis of 63 water point in 29 villages in the District, where no atypical colonies were found, based on analyses. Other cluster members intervened in

1 For Nutrition, the section “other crises response” refers to the country-wide integrated management of severe acute malnutrition program, i.e., captures SAM admissions for all regions of Niger (Diffa included), while for the other sectors, the chapter refers to specific crises other than the Lake Chad Basin Page 4 the cholera response, and in particular: ACF, NCA, the Nigerian Red Cross and the Vision Plus. The interventions included: the distribution of 108 hygiene kits; the disinfection of 39 wells in the affected villages; sensitization of 170,317 people on hygiene around water points, water hygiene, the link between water and cholera; the intra-residential disinfection of 27 households (all households with cases); material support at care centre level; the mobilization of 195 community and voluntary relays; distribution of water treatment products for 7,909 households; setting up of 100 hand washing devices and installation of 100 “Rehydrat” points. The combination of all efforts might have contributed to the decrease of the epidemic's curve since week 35 in the district of Madarounfa, where the cases recorded per week have gone from 299 to 5 cases in week 41. The same trend is recorded in Maradi District where cases have gone from 106 to 7 cases per week from week 37 to week 41. In the framework of the CERF Rapid Response allocation for the crisis at the border with Mali, several in-depth diagnoses and basic surveys have been carried out and the companies in charge of water supply works are either selected or in the final process of selection. As for sanitation, 10 villages hosting displaced people were triggered, totalling 6,796 people. In the framework of the response to the nutritional crisis, ACF continue its support to 65 health centres to deliver the minimum WASH package in Diffa, Tahoua and Maradi regions, including hygiene kits to malnourished child-caregiver pairs in several districts. Education: In Tillaberi, UNICEF in partnership with the NGO Concern World Wide constructed 30 Temporary Learning Spaces in 13 schools, which will facilitate the enrolment of 1,050 children affected by the Malian Crisis in the communes of Inates, , Banibangou and Abala. To date 11 latrines have been constructed in 4 out of 13 schools. In addition, 44 schools received Code of Conduct posters to support teachers to improve the school environment. The codes will be operational at the beginning of the school year on 1 October. Child Protection: In September, UNICEF, in partnership with the regional department of health and child protection of Agadez, took care of 7 unaccompanied migrant children originally from Tahoua and . The children benefitted from accommodation, meals, psychosocial support, emergency health check-ups and care, phone contact with their families for family tracing purposes, and were accompanied to their home villages by social protection workers. UNICEF also provided NFI items to each child. In the departments of and Tillabery, the national NGO ANTD, with technical and financial support from UNICEF, identified 25 separated and unaccompanied children (including 13 girls) and monitored a total of 42 children at risk through alternative care (psychosocial support, food and hygienic care) while doing the family tracing. In September, UNICEF continued to support 44 children refugees (5 girls) transferred from detention facilities in Libya by UNHCR while awaiting resettlement in third countries. In September, the child protection sub cluster organized a workshop for the validation of the HNO 2019. The workshop brought together 26 participants including national authorities and UNDP. The key issues identified for Niger are family separation, recruitment of children into armed groups, psychosocial distress and sexual violence including child marriage. The Need Identification Analysis Framework (NIAF) method developed by Global Child Protection Area of Responsibility (CPAoR) was used to analyse data sources, determine vulnerable populations and priority geographical areas of intervention during the Beirut Humanitarian Needs Overview (HNO) Workshop organized by the Global CPAoR. Non-Food Items (NFI): As of September 2018, in the context of the RRM2, UNICEF and IRC provided assistance to 9,351 displaced families in Abala (Saraye, Inkarfan 1&2, and Aguagueye) department in Tillabery region. In total, 43,512 displaced and flood-affected people were assisted by RRM actors with UNICEF support and by UNICEF and government partners since January 2018.

2 In 2018 the RRM partners include OCHA, UNICEF, WFP, ACF, ACTED, DRC and IRC as well as the Ministry of Humanitarian Action and Disaster Relief Page 5

Media and External Communication UNICEF has published and widely disseminated among partners its periodic newsletter, which includes a series of articles on our response to emergencies

Security Nigerien Defence and Security Forces (NDSF) remain challenged by the presence of Non-state armed groups across the country. In South-Eastern Niger (Diffa region), Boko Haram and ISWAP (Islamic State West Africa Province) militants continued to pose a threat to local authorities, security forces and civilians. Islamist militants essentially resorted to small scale attacks against civilians (targeted killings, kidnappings for ransom…) and criminal activities (lootings of villages, cattle theft, armed robberies…). In Western Niger, ISGS (Islamic State in the Greater Sahara) militants continued to use the regions of Tillaberi and Tahoua as a rear base for their operations in Mali (regions of Gao and Menaka) and Burkina Faso (Sahel and Est regions). In Northern Niger, the presence of criminal armed groups led to violent criminal incidents in Agadez region (road banditry, vehicle hijackings). Niger also remained an important hub for trafficking and smuggling activities in the region.

Funding UNICEF expresses its sincere appreciation for the generous contribution by, and without being exhaustive: ECHO, Japan, German committee, Canada, SIDA-Sweden, US State BPRM, USAID food for peace, Italy, United Kingdom, Thematic Emergency Funds, Spain and, Czech Republic and the Central Emergency Relief Fund. Nevertheless, 37% funding gap continues to hinder UNICEF’s ability to deliver an integrated package services for children affected by humanitarian crisis. The most critical funding shortfalls are currently observed in Non-food items (73 per cent), education (69 per cent), health (67 per cent) and WASH (50 per cent), with an impact in terms of lack of Non-food items (for the response to displacement and floods), the use of poor quality water, open defecation, non-schooling of affected children and lack of malnutrition treatment items Funding Requirements (as defined in Humanitarian Appeal 2018) Funds available Funding gap Appeal Sector Requirements Funds Received Carry-Over $ Current Year Nutrition 24,500,000 18,378,387 904,386 5,217,228 21% Health 1,576,407 468,858 50,848 1,056,702 67% WASH 5,993,842 1,534,484 1,482,021 2,977,337 50% Child Protection 2,617,441 792,414 1,037,566 787,460 30% Education 3,537,711 810,129 277,816 2,449,766 69% Non-Food Items (NFI) 3,495,650 939,559 - 2,556,091 73% Cluster Coordination 1,000,000 652,772 - 347,228 35% Total 42,721,051 23,576,603 3,752,636 15,391,812 36% * Funds available includes funding received against current appeal as well as carry-forward from the previous year3.

3 The funds carried forward from 2017, in the amount of 3,752,636, included 1 ml Euro (1,106,243.66 USD) received by the Italian government on December 30th, which was not included in the reporting of December 2017 Sitrep since it rather contributes to the HAC 2018. Page 6

Lake Chad Basin Crisis Funding Funding Requirements (as defined in Humanitarian Appeal 2018) Funds available Funding gap Appeal Sector Requirements Funds Received Carry-Over $ Current Year Nutrition 1,950,000 793,919 25,667 1,130,414 58% Health 1,112,907 422,527 32,042 658,338 59% WASH 3,842,000 584,428 1,251,875 2,005,696 52% Child Protection 1,740,024 577,417 917,304 245,303 14% Education 2,017,546 810,129 210,337 997,080 49% Non Food Items (NFI) 1,805,650 606,241 - 1,199,409 66% Cluster Coordination 650,000 424,061 - 225,939 35% Total 13,118,127 4,218,723 2,437,225 6,462,178 49%

Next SitRep: October 2018 UNICEF Niger Facebook: https://www.facebook.com/unicefniger/ UNICEF Niger Twitter: www.twitter.com/Unicefniger UNICEF Niger Blog: http://unicefniger.tumblr.com/ UNICEF Niger Instagram: https://www.instagram.com/unicefniger/ UNICEF Niger Humanitarian Action for Children appeal: http://www.unicef.org/appeals/index.html

Who to contact Félicité Tchibindat Ilaria Carnevali Lalaina Fatratra Andriamasino Representative Deputy Representative. Chief of Communication Officer for further UNICEF Niger UNICEF Niger UNICEF Niger information: Tel: (+227) 20727100 Tel: (+227) 20727124 Tel: (+227) 20727208 Email: [email protected] Email: [email protected] Email: [email protected]

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Annex A - SUMMARY OF PROGRAMME RESULTS Lake Chad Basin Crisis Response

UNICEF and IPs Cluster Response Change Change Overall 2018 Total since last 2018 Total since

needs Target Results report Target Results last report NUTRITION # children under 5 years affected by SAM admitted 15,635 15,635 11,018 2,056 ▲ 15,635 11,018 2,056 ▲ for treatment in Diffa HEALTH # of children who have access to life-saving NA 90,000 110,456 = interventions through fixed and mobile strategies # of children aged 6 months to 14 NA 10,500 68,773 12,917▲ years vaccinated against measles # of children who have access to community case management in emergency in the N’Guigmi health NA 6,000 - = district WATER, SANITATION & HYGIENE # of people affected by the crisis in Diffa having 280,132 62,000 17,266 = 127,638 91,799 1,500▲ access to safe water # of people affected by the crisis in Diffa with 280,132 34,000 3,956 1,940 ▲ 146,986 31,345 3,121▲ access to sanitation infrastructure # of people affected by the crisis in Diffa having 280,132 175,000 67,678 18,225▲ 277,378 184,946 25,125▲ access to hygiene kits and sensitization activities CHILD PROTECTION # of children who are benefiting from psychosocial support through community - based recreational 213,572 20,616 5,369 85▲ 24,676 25,155 173▲ and socio-educational activities # of separated and/or unaccompanied children placed in alternative care arrangements and / or 213,572 685 51 9▲ 1 142 89 13▲ who benefitted from individual follow up # of children suspected or verified CAAFAG identified benefitting from temporary care and/or 213,572 314 44 = 442 44 = family/community reintegration support EDUCATION # of girls and boys (3-17 years) affected by crisis 114,854 37,064 1,387 22▲ 80,398 1,910 22▲ accessing education in Diffa # of girls and boys (3-17 years) affected by crisis 114,854 37,064 1,759 = 80,398 3,962 = receiving learning materials # of girls and boys (3 -17 years) affected by crisis attending education in a classroom where the 114,854 37,064 6,087 = 80,398 8,242 = teacher has been trained in psychosocial support NON-FOOD ITEMS # of displaced persons provided with non-food 180,490 70,000 3,677 616▲ items kits

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Overall Response4

UNICEF and IPs Cluster Response UNICEF and IPs Cluster Response Change since Change Overall 2018 Total 2018 Total last report since last needs Target Results* Change Target Results* Change Overall 2018 Total since last 2018 Total sincereport last

NUTRITION needs Target Results* report Target Results* report # of children under-five with ▲▼ ▲▼ severeNUTRITION acute malnutrition 380,166 380,166 234,682 45,449▲ 380,166 234,682 45,449 ▲ #admitted of children for treatmentunder-five nationwidewith severe acute HEALTHmalnutrition admitted into therapeutic feeding 380,166 380,166 18,488 380,166 18,488 #programme of children under 5 accessing

lifesavingWATER, SANITATION interventions through& HYGIENE 103,500 92,082 881 ▲ #fixed of people and mobile affected strategies by crisis having access to 805,628 200,000 - 706,528 - hygiene# of children kits and aged sensitization 6 months to activities 14 71,732 137,318 12,917▲ #years of malnourished vaccinated against children measles admitted forWATER, SAM/MAM SANITATION and benefiting & WASH minimum 380,166 15,000 61 150,000 61

packageHYGIENE in the community # people affected by population

movements and natural disasters 311,072 160,400 53,5705 266,860 130,194 3,591 ▲ = having access to drinking water # people affected by water-borne disease outbreaks having access to 805,628 200,000 198,491 68,395▲ 706,528 486, 076 245,612▲ hygiene kits and sensitization activities CHILD PROTECTION # of children provided with psychosocial support through 364,697 38,136 5,373 85▲ 248,824 25,159 173▲ community-based recreational and socio-educational activities EDUCATION # of girls and boys aged 3 to 17 years provided with access to 325,015 95,611 1,792 22▲ 185,478 2,315 22▲ formal and non-formal education # of girls and boys (3-17 years) affected by crisis receiving learning 325,015 95,611 11,605 - 185,478 5,528 - materials NON-FOOD ITEMS # people affected by conflict or natural disasters provided with NA 140,000 43,512 9,351▲ non-food items kits

4 This table summarizes major results of crises included in the 2018 HRP and the contingency plan for the Mali crisis. The cluster does not report on the Mali crisis though, however UNICEF has included it in the HAC 2018. Therefore results for UNICEF include the Mali crisis in all sector results, while not all cluster reflect this crisis. 5 The water trucking services have been provided since June 2016 for the same people, and this result is covering the Lake Chad Basin crisis as well as the crisis at the border with Mali Page 9