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NIGERIA COUNTRY OFFICE HUMANITARIAN SITUATION REPORT Sitrep No UNICEF NIGERIA COUNTRY OFFICE HUMANITARIAN SITUATION REPORT Sitrep no. 02, 01-28 February 2018 Nigeria Humanitarian UNICEF/Nigeria/Mark Naftalin UNICEF/Nigeria/Mark Situation Report 01-28 February 2018 4.5 million Highlights Children in need of humanitarian assistance • The Nigeria Humanitarian Response Plan (HRP) 2018 was launched (Humanitarian Response Plan, 2018) th on February 8 to serve as the annual plan for the humanitarian 7.7 million community’s programming in the 3 most crisis-affected States in People in need of humanitarian assistance in North East Nigeria. the northeast states of Borno, Adamawa and • More than 1,634,000 people remain internally displaced across the Yobe for 2017 (Humanitarian Response Plan, three north eastern states of Adamawa, Borno and Yobe, according 2017) to IOM DTM Round XXI (February 2018). This represents a 4.6% 6.1 million increase to the December round. Eight out of ten IDPs are in Borno People targeted in the northeast states of state. Borno, Adamawa and Yobe (Humanitarian • As of February 28th, WASH sector partners reported 794 cases of Response Plan, 2018) Acute Watery Diarrhoea (AWD) in northern Borno state (Kukawa LGA). Laboratory tests carried out confirmed some of the cases as UNICEF Appeal 2018 cholera. US$ 149 million • With 60%funding gap, health, WASH, and child protection remain the most critically underfunded sectors, thus affecting an FUNDING STATUS 2018* integrated UNICEF response. UNICEF Sector/Cluster UNICEF’s Response with Partners UNICEF Total Cluster Total Target Results* Target Results* Nutrition: Number of Carry forward Children aged 6 to 59 months 215,292 41,419 307,516 60,686 amount: with SAM $ 43.9 m WASH: Number of people provided with access to safe 1,050,000 665,594 2,100,000 665,594 water Health: Number of Funds consultations for IDPs and TBC 441,402 received affected host communities current year: Funding gap: $17.6m Child Protection: Number of $ 89.2 m children and adolescents 367,050 125,340 540,000 160,381 benefiting from PSS services and life skills Education: Number of *Funds available include funding received for children accessing learning the current appeal year as well as funds through rehabilitated 562,250 3,880 626,200 4,120 carried-forward from the previous year classrooms/established temporary learning spaces. 1 UNICEF NIGERIA COUNTRY OFFICE HUMANITARIAN SITUATION REPORT Sitrep no. 02, 01-28 February 2018 Situation Overview & Humanitarian Needs More than 1.634.000 people remain internally displaced across the three north eastern states of Adamawa, Borno and Yobe, of whom 83.5% are in Borno1. This represents an increase of 4.6% since December 2017, due to both improved access to Konduga LGA (Tungushe ward) and new arrivals from areas experiencing conflict. The Borno State capital Maiduguri, however, recorded a decrease in new arrivals, highlighting that returns to areas of origin continues where security permits. In order to meet new humanitarian needs, the Nigeria Humanitarian Fund (NHF) has released a reserve allocation of $8.9 million for interventions focused on the Monguno and Pulka axes. The increase in new arrivals continues to put pressure on the delivery of humanitarian services in the IDP settlements in terms of shelter, NFIs, health and nutrition, provision of food and access to water and sanitation. Water shortages in Pulka remain a cause for concern, and are predicted to worsen due to the recent and ongoing increase in the population. Humanitarian actors continue to advocate with the Nigerian security forces on the possibility of drilling outside of the security perimeter to relieve the pressure on the town. Humanitarian actors are also preparing for the possibility of new arrivals from Marte LGA and areas around Gudumbali, where Nigerian Security Forces have announced planned military operations. Responses to meet the needs of these populations (47,000 and 135,000, respectively, of which approximately half are estimated to displace if hostilities take place) are likely to require additional resources. On February 19, an attack on a Girls Science Secondary School in Dapchi, Yobe State, resulted in the abduction of more than 100 girls. UNICEF provided psychosocial support to the children who escaped the abduction. As of February 28, WASH sector partners reported a total 794 cases of Acute Watery Diarrhoea (AWD) in Kukawa LGA. Laboratory tests confirmed some of these to be cholera. Lack of access to safe drinking water has been identified as the key problem. An integrated cholera response is ongoing, with strong support from the UNICEF WASH, health, education and Communication for Development (C4D) sections, in collaboration with partners. Additionally, within the reporting period, a Hepatitis E outbreak was reported in Rann (Kala-Balge LGA) on February 1. By February 15, a total of 31 cases had been reported in the LGA. Estimated Population in Need of Humanitarian Assistance (Estimates calculated based on initial figures from HRP 2018 and HNO 2018) Start of humanitarian response: Total (Million) Male Female Comment2 Total Population in Need 7.7 3.3 4.4 57%F, 43M (2018 HNO/HRP) Children (Under 18) 4.5 2.0 2.5 58% (2018 HRP) Children Under Five 1.5 0.6 0.9 20% (VTS used for 2018 HNO) Children 6 to 23 months 0.5 0.2 0.3 6% (Nutrition sector estimate) Pregnant and lactating women 0.6 0.6 8% (Nutrition sector estimate) Humanitarian Strategy UNICEF in 2018 is focusing on improving the quality of its response, in addition to continuous scale up of delivery to populations in need in Borno, Yobe and Adamawa states in coordination with the Government, other United Nations 1IOM DTM Round XXI (February 2018). 2 Estimated Planning figures are from Humanitarian Needs Overview (HNO), Humanitarian Response Plan (HRP) and Vaccination Tracking System (VTS). 2 UNICEF NIGERIA COUNTRY OFFICE HUMANITARIAN SITUATION REPORT Sitrep no. 02, 01-28 February 2018 agencies, and non-governmental organizations (NGOs). UNICEF is providing targeted services to the most affected within IDP and host communities; in locations where both are present, UNICEF aims to provide equal access to services. In order to improve programme quality in its response, UNICEF is increasing programme integration approach, and promoting convergence opportunities especially amongst health, nutrition, WASH, education, and child protection sectors. UNICEF has diversified and strengthened its partnerships. Alongside Government, UNICEF has existing partnerships with 21 NGOs (19 from 2017 to expire in the 1st quarter of 2018; and 7 new Programme Cooperation Agreement, PCAs). To deliver nutrition services, UNICEF has supported State Primary Health Care Development Agency (SPHCDA) to set up 35 outreach sites in Borno (MMC 21; Jere 9; Mafa 3 and Konduga 2) and 26 in Yobe (Barde 3; Karasuwa 3; Jakusko 4; Nguru 3; Bursari 4; Geidam 3; Gulani 3 and Yusufari 3). In addition, 10 mobile teams have been established in Gwoza, Pulka, Izge, Bama, Banki, Damasak, Kukawa, Gubio, Rann and Dikwa of Borno providing integrated nutrition services to 50 sites. The Rapid Response Mechanism is being strengthened to enhance the humanitarian community’s capacity to respond in a timely, coordinated and predictable manner to the needs of populations made vulnerable by displacement, diseases and/or natural disasters. The mechanism forms the initial emergency response in case the sector is unable to provide this, which is then quickly followed-up by sector-specific responses that are coordinated through the Inter-Sector Working Group led by OCHA. The RRM plan and the minimum package for life saving support developed in 2017 is planned for review in the 1st quarter of 2018 to align with current situation and needs. Programme monitoring has been strengthened with the implementation of a two-pronged strategy for field monitoring: a) programme implementation monitoring by UNICEF programme sections; and b) complementary monitoring of response quality, gaps and emerging issues conducted by independent field monitors, in collaboration with the affected populations. Additionally, following school closures due to insecurity, destruction of infrastructure, and continuous attacks on education, UNICEF is also promoting the expansion of resilient education approaches into the State education policies. Summary Analysis of Programme Response Nutrition A total of 41,419 children with severe acute malnutrition (SAM) have been admitted for treatment in UNICEF-supported treatment facilities in the three north east states since 2018 with 17,784 children admission during the reporting period. Overall, the performance indicators for the community management of acute malnutrition (CMAM) are within the Sphere standards (93.4 per cent cure rate, 4.9 per cent defaulter rate, 1.4 per cent non-respondent and 0.3 percent death rate). A total of 1,838,546 children were screened for SAM in 27 LGAs (19 in Borno and 8 in Yobe), of which 18,554 (1.0 percent) identified with SAM were referred to UNICEF supported CMAM treatment site. With a planned target of over 500,000 for 2018, UNICEF and partners since 2018 have supported preventive nutrition services for 61,839 caregivers with IYCF, out of which, 15,746 were reached during the reporting period in the three states. Additionally, a total of 15,370 children 6 - 23 months received micronutrient powder (MNP). Health A total of 297,223 persons, including children, were reached with integrated primary health care (PHC) services in UNICEF-supported health facilities in the IDP camps and host communities in the 3 north-eastern States3. A total of 109,079 consultations were conducted by UNICEF and partners, with malaria being the major cause of morbidity. 3 Adamawa, Borno and Yobe States 3 UNICEF NIGERIA COUNTRY OFFICE HUMANITARIAN SITUATION REPORT Sitrep no. 02, 01-28 February 2018 (Numbers of consultation by morbidity: malaria 29,087; acute respiratory infection 29,049; acute watery diarrhoea 11,457; measles 69 and other medical conditions 39,333.) A total of 182,407 prevention services were recorded during this reporting period.
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