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Zimbabwe Humanitarian Zimbabwe Humanitarian Leon Muwoni Leon Situation Report #6 / 30 June 2016 UNICEF 2016 UNICEF © SITUATION IN NUMBERS Highlights 4 million Zimbabwe’s food insecure population at the peak of the hunger People facing food and nutrition season has increased from to 2.8 to 4 million people based on the insecurity during the period January- preliminary results of the Zimbabwe Vulnerability Assessment March 2017 (ZimVAC, July 2016) (ZimVAC) of July 2016.This translates to approximately 42 per cent of rural households, representing a rise of 44 per cent compared to the lean season assessment results of February 2016. 2,468 2,468 children with SAM from 15 During the period January to May 2016 the total number of children drought affected districts admitted and under five admitted and treated for severe acute malnutrition (SAM) treated in CMAM program between under the community management of acute malnutrition programme (CMAM) in the fifteen most drought affected districts is 2,468. A total January - May 2016 (DHIS, June 2016) of 529 of these children were admitted in the month of May 2016. 1,485 In the month of May, UNICEF and partners responded to 7,707 new Cumulative typhoid cases, 74 laboratory child protection cases which were reported nationwide through the confirmed and 6 deaths reported national case management system. The drought affected districts accounted for most of the neglect, separated children, emotional (MoHCC, June 2016) abuse and child labor cases. Based on weekly epidemiological data, there was a marginal increase in new typhoid cases. To date, 1, 485 typhoid cases have been UNICEF Zimbabwe 2016 reported in the country, out of which 74 have been laboratory Humanitarian Requirements confirmed, with 6 typhoid related deaths reported. UNICEF is continuing its response to the typhoid outbreak with the provision of US $21.8 million Health and WASH services. Funding Gap 97% UNICEF UNICEF UNICEF’s Results with Partners 2016 Target Results Carry-forward WATER, SANITATION & HYGIENE Funds amount: # of people provided with access to safe water (7.5-15L per US$613,000 325,000 74,800 received: person per day) $47,000 HEALTH # of children with diarrheal diseases have access to life- Funding saving curative interventions, including oral rehydration 50,000 5,238 Requirement: therapy and zinc US$21.8 NUTRITION million # of children 6 to 59 months with SAM admitted to 14,711 2,468 community-based treatment programmes CHILD PROTECTION Funding gap: # of vulnerable children provided with child protection US$21.2 million 31,000 21,275 services *Funds available includes funding received for the current appeal year as well as the carry-forward from the previous year. Situation Overview & Humanitarian Needs The El Niño weather phenomenon’s negative impacts continue to affect vulnerable women and children in Zimbabwe, with the situation expected to worsen in the coming months. While the effects of the drought are already apparent the peak phase of this emergency is expected to start in October 2016 and last through to March 2017. Based on the preliminary results of the ZimVAC results of July 2016, approximately 42% of rural households, and over 4 million people will be food insecure during the peak of the hunger season running from January-March 2017. While the drought has impacted the entire country, the provinces of Manicaland, Masvingo and Midlands are the most affected as shown in Figure 11. Weather forecasts are predicting that there is a high chance (above 70%) that a La Niña event will occur by late 2016. For Southern Africa, La Niña is generally associated with above average rainfall during the period (December to March) particularly in the southern half of the region (although variability occurs). The prediction of La Niña implies an increased risk of floods in Zimbabwe especially in the flood prone areas. The drought affected, flood prone areas are at risk of other hazards and shocks namely flooding and disease outbreaks. In the month of May, the weekly surveillance data reported Matabeleland South to consistently report a high number of SAM cases each week as compared to the same period last year. Matabeleland North which has 6 out of 7 districts classified as drought emergency districts also reported an increase in the number of SAM cases. In terms of water availability across the country, the capacity of the dams as of 27 June 2016 is on average 51%, with Runde and Save catchments having below 50% of their full capacity (25% and 50% respectively). The total storage capacity is around 20% less than the historical average of the past 5 years (2011-2015). Humanitarian leadership and coordination UNICEF and the Government continue to provide coordination and leadership for the water, sanitation and hygiene (WASH), nutrition and education sectors and the child protection sub-sector. UNICEF-led sectors supported the finalization of the SADC Appeal and the RIASCO regional El Niño Action Plan. A Humanitarian Country Team meeting was conducted in the Month of June, to discuss the current humanitarian interventions and areas of enhanced support. In the month of June, in collaboration with the Food and Nutrition Council (FNC), UNICEF provided support in the ZimVAC process, specifically focusing on data analysis and report writing. UNICEF and partners are currently conducting a Child Protection Rapid Assessment (CPRA) in selected urban areas and Growth Points in the country. The results of the Rapid Assessment are expected in the last week of July. In a bid to support sub-national WASH coordination, NGOs have been identified to assume a support role for the Provincial Water Supply and Sanitation Committees (PWSSC) through the WASH Sector Coordination and Information Management Forum and its Emergency Strategic Advisory Group. Humanitarian Strategy As defined by the projects in the inter-agency humanitarian response plan and the UNICEF response plan, UNICEF is continuing to scale up its response interventions in additional food insecure districts. The scale up is being implemented through complementarity with ongoing development programmes in an effort to enhance sustainability and link humanitarian interventions with recovery and development programmes. UNICEF is working with the Government and NGOs to implement the current drought and typhoid response interventions. 1 ZimVAC,2016: Preliminary Assessment report, July 2016. Summary Analysis of Programme response Nutrition Nutrition emergency programme interventions are primarily targeting 15 districts with high levels of food insecurity (above 40%) according to the Lean Season Assessment carried out in February 2016. In the month of May, health workers in Kariba district were trained on outpatient management of SAM and active screening bringing the total number of districts with trained health workers and community cadres on the emergency nutrition response to 5. Districts which have been trained include Binga, Buhera, Tsholotsho, Lupane and Kariba. A total of 529 SAM cases had been admitted in CMAM programme in the month of May 2016 in the 15 targeted districts. Buhera reported the highest number of cases, this is partly due to its size and active case finding interventions through the community cadres who were trained in active screening. The table below shows the breakdown by district of the number of children under 5 admitted for management of SAM in the 15 emergency districts. Table 1: CMAM program coverage in 15 high risk districts from January to May 2016 (Source DHIS 2) Total children admitted in the CMAM program No District Jan- April 2016 May Total 1 Umzingwane 65 21 86 2 Umguza 63 17 80 3 Tsholotsho 181 27 208 4 Nkayi 96 27 123 5 Lupane 166 53 219 6 Hwange 45 17 62 7 Binga 235 42 277 8 Zvishavane 144 44 188 9 Gokwe North 91 48 139 10 Mudzi 79 21 100 11 Mbire 18 13 31 12 Buhera 604 133 737 13 Mwenezi 49 23 72 14 Kariba 45 11 56 15 Zvimba 58 32 90 Total 1,939 529 2,468 Figure 2 below shows the percentage of children cured by district in the 15 emergency districts. Three out of the fifteen districts managed to reach programme targets (> 75%) for cure rates according to the sphere standards in the month of May. The districts with alarming cure rates, that is, cure rates below (50%) include Umzingwane (45%), Umguza (12%), Hwange (45%), Zvishavane (20%), Gokwe North (47%), Mwenezi (38%) and Kariba (0%). The average cure rate for the 15 districts was at 59% which is below the acceptable standards. Figure 2 : Percentage of children cured in the programme 100% 93% 90% 80% 75% 75% 79% 80% 64% 70% 59% 60% 54% 53% 45% 45% 47% 50% 38% 40% 30% 20% 20% 12% 10% 0% 0% % CURED Sphere Standard The programme interventions supported infant and young child (IYCF) in emergencies through establishing gender responsive IYCF support groups in the affected communities for exclusive breastfeeding during the first 6 months in four districts. The programme interventions reached out to 228 existing active community groups that were mobilized and sensitized on optimal infant feeding practices. A total of 10,245 (40 father baby pairs and 10,205 pregnant women and; mother and baby pairs) received counselling and support on optimal breastfeeding practices and the provision of age appropriate complementary foods. According to the LQUAS assessment implemented in April 2016 in 4 emergency districts, exclusive breastfeeding rates of children under the age of 6 months are as follows: 92% in Tsholotsho district; 79% in Lupane district; 80 in Binga district; and 76% in Buhera district. The average exclusive breast feeding rate in 4 priority districts were emergency programmes were implemented is now at 82% which is above the planned target of 60%. Data on the proportion of children 6-8 months receiving solids and semi- solid foods was not collected.
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