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ETHIOPIA Humanitarian Situation Report

Mother and children seeking assistance in Afar ©UNICEF Ethiopia/2015/Tesfaye SitRep #5 – Reporting Period September 2015 SITUATION IN NUMBERS

8.2 million people, including 4.6 Highlights: million children, will require relief food  In October, the Government announced that about 8.2 million people in Ethiopia, including 4.6 million children, are in need of emergency food assistance during the last quarter of aid, up from the 4.5 million estimated in August. 2015  The estimated number of children with Severe Acute Malnutrition (SAM) for 2015 increased from 302,605 to 350,000. 350,000 children will require treatment  A total of 42,803 children were treated in August 2015, a 27 per cent for acute severe malnutrition in 2015 increase from 32,304 children in July 2015. Between January and (Government release, October 2015) August 2015, 219,617 children have been treated for SAM; this is a 27 per cent increase compared with the numbers reported during the same 219,617 severely malnourished period in 2014. children were treated between January  An estimated 735,150 school children in 94 woredas in Afar, Amhara, and August 2015, of whom 42,803 Dire Dawa, Harari, Oromia, SNNPR, Somali and Tigray regions have dropped out of school due to the current drought emergency. were treated in August (ENCU).  The Disaster Risk Management and Food Security Sector (DRMFSS) has issued a flood Alert. High-risk areas include Somali, SNNPR and 652,234 total refugees in Ethiopia Oromia regions. (UNHCR, September 2015)  UNICEF Ethiopia has increased its 2015 humanitarian appeal to US$55 million from the US$49 million revised in May 2015. UNICEF appeal is UNICEF 2015 humanitarian appeal of currently funded at 34 per cent, leaving a shortfall of US$36 million. US$55 million is 34 per cent funded

UNICEF’s Key Response with Partners Updated as of September 2015 (See Annex 1 for further details) UNICEF Funding Level UNICEF & Partners Sector/Cluster Indicators HAC 2015 US$55 million UNICEF Cumulative Cluster Cumulative 20,000,000 Target results (#) Target results (#) 18,000,000 WASH: People in 16,000,000 humanitarian situations 14,000,000 accessing water for 1,000,000 238,426 1,086,000 805,745 12,000,000 drinking and cooking 10,000,000 purposes 8,000,000 Nutrition: # children 6-59 6,000,000 months with SAM admitted 350,000* 219,617 350,000 219,617 to therapeutic care 4,000,000 Health: # of children and 2,000,000 women accessing 412,000 128,031 N/A N/A 0 essential health services Education: # of school-

aged children accessing 136,000 39,859 201,682 41,800 formal and non-formal

education Child Protection: # of children reached with 67,000 78,934 N/A N/A critical child protection Requirements US$ services 1 *Number of children increased as per addendum to the HDR released in August 2015 Funds Received in 2015 US$

1. Situation Overview and Humanitarian Needs

1.1 Deterioration of Food Security and Nutrition Situation in Ethiopia In October, the Government announced that about 8.2 million in Ethiopia are in of emergency food aid, up from the 4.5 million estimated in August. The worst affected areas include Afar, eastern Amhara, eastern Tigray, eastern SNNP, central and southern Oromia, and northern Somali regions. Of particular concern is areas where two consecutive rains have failed like in Afar Region and Sitti Zone of Somali Region. In these areas, failed crops, reduced livestock production and massive death of livestock have been reported. Children are severely affected by the current deteriorating food security situation. More than 350,000 severely malnourished children, a 25 per cent increase from the initial forecast at the beginning of the year, will require treatment in 2015.

September saw the end of the Kiremt rains1 and with the Meher harvest, (November 2015 January 2016) food security situation is expected to stabilize in parts of Amhara, Oromia, SNNP and Tigray regions. In southern part of the Somali Region, the Deyr rains (October to December) are expected to bring about improved food and income from sale of livestock. However, in Belg producing areas of southern Tigray, eastern Amhara, some areas in central and eastern Oromia and SNNPR, the food security situation is expected to deteriorate further. In the northern part of the Somali Region (Sitti Zone), southern Afar Region and pocket areas of Oromia Region, pastoralists and agro-pastoralists communities that have received insufficient and erratic rains, will remain fragile2 until the next rainy season in April 2016.

According to IOM reports3, an estimated 40,650 people in Sitti Zone have been displaced due to drought.

1.4 Nutrition Update: The number of children requiring treatment for SAM is expected to reach 350,000 by the end of the year.

The number of malnourished children admitted into the Figure 1: National (Ethiopia) Trends in Community Management of Acute Malnutrition (CMAM) programme continues to increase. Admissions increased by Severe Acute Malnutrition Admissions 31 per cent from 32,304 in July 2015 to 42,803 in August 50,000 (2011 - 2015) 2015. Between January and August 2015, 219,617 children have been admitted for treatment. This is an increase of 27 per cent compared with the number reported during the same period last year. 0 Figure 1 shows the national trend of the admission of children with SAM in the CMAM programme in the country, 2011 2012 2013 2014 2015 since 2011. In 2015, the admission trend has been increasing. Source: ENCU data base (August 2015)

Out of the total CMAM admissions, 65 per cent are from Oromia Region while 23 per cent are from SNNPR.

1 Kiremt rains – long seasonal rains from June to September 2 http://www.fews.net/east-africa/ethiopia 3 Internal displacement update, IOM, September 2015 2

Figure 2: SNNPR Trends in Severe Acute Figure 3: Oromia Trends in Severe Malnutrition Admissions Acute Malnutrition Admissions (2011- (2011-2015) 2015) 17,500 30000 15,000 25000 12,500 20000 10,000 15000 7,500 5,000 10000 2,500 5000 0 0

2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

Source: ENCU data base (August 2015)

In August, admission of children with SAM into the CMAM programme has shown a decline in SNNPR similar to July while it increased by 67 per cent in Oromia Region (Figure 3). The high increase in Oromia Region is a result of active screening of children but also because of poor food and water availability. The decrease in SNNPR could be attributed to the scaled up of the emergency response and availability of short maturing foods (green maize, haricot beans, cabbage) following improved Kiremt rains at the end of July in some parts of the region.

Figure 4: Somali Trends in Severe Figure 5: Amhara Trends in Severe Acute Malnutrition Admissions (2011- Acute Malnutrition Admissions 6000 2015) (2011-2015) 5000 4,000 4000 3,000 3000 2,000 2000 1,000 1000 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 0

2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

Source: ENCU data base (August 2015)

Similarly, in Amhara, the number of children with SAM increased by 5 per cent from July to August 2015.

Figure 6: Afar Trends in Severe Acute Figure 7: Tigray Trends in Severe Malnutrition Admissions Acute Malnutrition Admissions (2011 - 2014) (2011-2015) 2000 3,000 1750 1500 1250 2,000 1000 750 500 1,000 250 0 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

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Source: ENCU data base (August 2015)

In Afar, a 26 per cent increase in children‘s admission is observed - from 2,074 in July to 2,622 in August 2015. While in Tigray a 9 per cent increase in observed during the same period.

1.5 Health Update: Measles outbreaks continue in different parts of the country. According to July 2015 (latest data available) from WHO, 197 woredas were affected with measles outbreaks and approximately 14,300 suspected measles cases, including nearly 11,700 confirmed cases—approximately 90 per cent of the 13,300 confirmed cases occurring during all of 2014.

The situation is of particular concern considering the high malnutrition rate among children. The Ministry of Health is planning a vaccination campaign against measles for 5.31 million children in 277 hot spot districts, at the end of October 2015.

In Amhara Region, scabies are reported in East Gojam Zone. According to zonal reports, nearly 160,000 people in Shebel, Enarje and Enebsse woredas are at risk. The critical shortage of water in these areas has posed additional challenge in preventing the outbreak. Humanitarian partners, including UNICEF are responding to the situation.

1.6 WASH Update: According to the Humanitarian Requirement Document released in August 2015, over one million people are in need of emergency water support, following the failure of the Belg rains4. Regional Water Bureaus have deployed rapid assessment teams in all regions to review the increasing needs. Meanwhile, water trucking funded by the Government continues in areas where the need is critical in the Oromia, Amhara and Afar regions.

In Afar, water sources, including shallow wells, boreholes, springs, and rivers have decreased level of water. This is forcing people to use unprotected water sources that expose them to water borne diseases. In Oromia Region, although some seasonal rains have been received, some areas in Borena (Dhas Woreda), Arsi (Robe Woreda), and Bale (Raytu Woreda) Zones continue to be dry. There are also reports of families migrating in search of water in Bale Zone of Oromia Region. In Amhara Region, North Shewa (Minjar Shenkora, Berehet Woredas), North Gondar (East Belessa Woreda), Oromia (Bati Woreda), South Wello (Argoba Woreda) and Wag Himra (Sehala Woreda) zones, over 91,311 people are facing critical water shortage. In Somali Region, Sitti and Fafan Zones continue to face critical water shortage. The poor performance of the Kiremt rains have also led to the water shortage in Sidama Zone (Boricha and Lokabaya woredas), Guraghe Zone (Mareko and Muhur Na Aklil Woredas), Silte Zone (Sankura and Lanfuro Woredas), Hadiya Zone (East Badewacho, Ani Lemo and Shashego Woredas), Wolaita Zone (Duguna Fango Woreda), Gamogofa Zone (West Abaya and Kemba woredas) and Alaba special Woreda in SNNPR.

The situation is compounded by the high number of non-functional water schemes. For example in Afar Region, the Regional Water Bureau has identified 40 non-functional water schemes that require urgent rehabilitation. Similarly, in Oromia Region, there are 75 and in Somali 45 water schemes that need rehabilitation. WASH partners, including CARE, COOPI, and AMREF, have developed proposals to undertake the rehabilitation works.

1.7 Education Update: The Ministry of Education together with regional, zonal and woreda education bureaus, conducted rapid assessments in September, to assess the impact of the deteriorating humanitarian situation on the enrolment of children in the new academic year 2015-2016 (the new school year starts end of September) . According to initial estimations, 735,150 school children in 94 hot spot priority one woredas in Afar, Amhara, Dire Dawa, Harari, Oromia, SNNPR, Somali and Tigray regions are reported to require emergency education assistance to be able to continue their education. Prioritized intervention needs include school feeding, institutional WASH and school supplies provision to the affected children. Some of the worst affected areas include Sitti Zone of Somali Region where 68 schools are closed and as a result, 18,826 children have not enrolled in schools.

Partners are working to respond to the situation.

1.3 Refugees Update: As of September 2015, UNHCR reported that a total of 652,234 refugees are living in Ethiopia. The majority of the refugees are South Sudanese, Somalis, Eritrean and Sudanese. As compared to the refugee population of 728,070 in August 2015, there is a reduction in the number of refugees in the country due to the inactivation of over 81,078 Eritrean refugees’ records in Shire.

In September, the number of Eritrean refugees living in the Shire refugee camps of Tigray Region has been reduced following the inactivation of 81,078 refugee records. The Administration for Refugees and Returnees Affairs (ARRA),

4 Belg rains: seasonal rains from February to June 4

UNHCR, and WFP conducted a joint food and cash distribution monitoring and the records of those refugees who failed to collect food or cash assistance between April and September 2015 have been inactivated. As a result, the number of Eritrean refugees in the Shire refugee camps has been reduced to 34,320. The missing refugees are believed to have moved to third countries, continuing their journey to European countries or other developed countries to seek asylum.

Out of the total Eritrean refugees registered in Shire refugee camps, 16 per cent are children. The continued influx of a high number of unaccompanied and separated children in the camps and their secondary movements present challenges to ARRA, UNHCR and humanitarian partners. As of the end of July 2015, there are 2,372 unaccompanied and separated children registered in the four refugee camps in Shire.

South Sudanese refugees continue to arrive in the country. The daily arrival rate of South Sudanese refugees into Gambella Region has further declined to 29 as of end of September (compared to 90 at the beginning of the month). As of end of September 2015, the total number of South Sudanese refugees is 219,910. Out of these refugees, 20,627 are unaccompanied and separated children.

Humanitarian Leadership and Coordination

DRMFSS is responsible for the overall coordination of drought crisis response reporting to National Disaster Prevention and Preparedness Committee which is chaired by the Deputy Prime Minister. The Disaster Risk Management (DRM) Technical Working Group continues to bring together all the DRM actors and is expected to plays a significant role in the coordination of inter-sectoral emergency programmes.

Under the leadership of the line ministries, Task Forces are preparing response plans that will help them to prioritize critical areas, in view of the limited fund available.

UNICEF emergency response will focus on supporting the Government of Ethiopia to respond to the rapid deterioration of food security and nutrition in the country focusing on women and children in line with its Core Commitments to Children in Humanitarian Action. Together with the Government of Ethiopia, UNICEF continues to provide cluster leadership for WASH, nutrition, education and child protection sectors.

Humanitarian Strategy: Prepositioning and Partnerships

To respond to any rapid onset crisis in a timely manner, UNICEF has prepositioned stocks in Addis Ababa and at three regional hubs to address the needs of 125,000 people. These supplies are currently being used to provide immediate assistance to affected populations based on the requests from the regional governments. UNICEF has established Long Term Agreements with suppliers of most important emergency supplies and drilling of shallow boreholes, which enables urgent delivery when needed.

In the refugee context, UNICEF supports UNHCR and ARRA to spearhead the coordination of emergency response. The partnership is based on the Memorandum of Understanding signed in 2012 between the two sister agencies and the tripartite agreement signed in 2007, with ARRA and UNHCR to establish a framework of collaboration for the delivery of services and assistance.

Summary Analysis of Programme Response

3.3 Emergency Response in Ethiopia

Nutrition:

In support of the Community Management of Acute Malnutrition (CMAM) programme in the country, UNICEF Ethiopia procured and distributed drugs, milk and ready-to-use-therapeutic-food (RUTF) for the fourth quarter of the year. These supplies will enable the treatment of an estimated 76,113 children suffering from severe acute malnutrition (SAM).

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Table 1: Nutrition supplies sent to regions for the fourth quarter Item Amhara SNNPR Dire Dawa Somali Afar Tigray Benishangul Gambella Oromia* Total -Gumuz Amoxicillin 2,242 4,657 97 1,425 1,296 500 160 82 2,622 13,081 250mg pack of 10X10 F100(milk) 179 353 8 93 12 30 10 5 285 975 F75 (milk) 132 283 6 71 54 60 8 4 238 856 Mebendazole 561 1,164 24 356 324 81 40 21 965 3,536 100mg ReSoMal 27 47 1 14 1 5 2 1 39 137 Ready-to-use- 10,086 18,634 436 6,413 5,832 1,755 120 369 21,438 65,083 therapeutic-food Source: UNICEF Ethiopia * While for all regions supply is for three months, for Oromia the supply is only for one month due to high volume of the supplies for the region and related logistics issues

The required nutrition supplies from the field are on the increase, reflecting the increasing number of children with SAM. The requirement amount of ready-to-use-therapeutic food (RUTF) for the fourth quarter is nearly 108,000 cartons (taking into account the Oromia need for the three months), which is an increase of 20 per cent as compared to the 89,293 cartons sent for the third quarter.

Health: UNICEF has procured vaccines at a cost of US$ 2.4 million to support the Federal Ministry of Health to vaccinate 5.31 million children against measles. The mass vaccination in priority woredas is expected to be conducted at the end of October 2015 and will be integrated with meningitis vaccination.

Following the current drought emergency in Amhara Region and reports of scabies, UNICEF has provided 10 emergency drug kits (expected to support 25,000 people with access to basic health service) and 1,000 bottles of Benzyl Benzoate lotion expected to treat more than 2,000 households in response to scabies outbreak.

Two Case Treatment Centre kits and Acute Water Diarrhoea (AWD) treatment supplies were prepositioned in Moyale woreda of Oromia Region and in Somali Region to prepare for any possible outbreaks after reports of AWD in the neighbouring country – Kenya.

UNICEF is supporting 30 Mobile Health and Nutrition Teams (MHNT) in Somali (25 teams) and Afar (five teams) regions to provide access to health care services in the remote areas of these two regions. The MHNTs provide medical consultations, nutritional screening and promote safe motherhood (screening of pregnant and lactating women), health education and sanitation, hygiene promotion and emergency water treatment. UNICEF supplies these teams with essential drug kits and nutrition supplies. As of July 2015, these teams in both regions provided consultations to 128,031 people (45 per cent reporting rate).

With the current drought in Afar and Somali regions, the regional authorities are relocating the teams to the nutrition hot spot priority woredas to provide lifesaving interventions. In the Somali Region, four teams have been relocated to Sitti Zone to provide health services to an estimated 40,650 drought displaced people.

WASH: UNICEF is currently focusing on the rehabilitation and upgrading of non-functional water schemes in Afar, Oromia, Amhara, SNNP and Somali regions. In addition, UNICEF is also supporting hygiene promotion and environmental sanitation in Afar Region, where the carcasses of the dead animals could cause environmental pollution.

UNICEF is in the process of deploying a deep well service rig to rehabilitate abandoned deep boreholes in priority areas of the regions Somali, Oromia, and Afar.

Although, the regional requests for water trucking are being worked out, the regional governments of Afar, Oromia and Amhara with support from partners have been deploying water trucks for the provision of water rationing. With limited funds available, the responses are far below the requirements and critical gaps remain. In Afar, the regional government has deployed 18 water trucks to benefit an estimated 36,000 people in the most affected woredas of Elidar, Kori, Berhale, Dalol, Gewane and Dupti. In Oromia, only four water trucks serving 10,000 people are deployed out of the required 28. In Amhara, the Regional Government is providing emergency water rationing in Meket (North Wello), Berehet (North Shewa), Sekota town (Waghimra Zone), East Bellessa (North Gonder) and Minjar (North Shewa); the former three woredas have never been dependent on water trucking. 6

At the beginning of October, UNICEF in partnership with the Ethiopian Red Cross Society dispatched 1,400 non-food items (NFI) kits that includes shelter items, blankets, sleeping mat, kitchen utensils, jerry cans and soaps. This will benefit the same number of families in Hadhagala Woreda of Sitti Zone. IOM and DRMFSS have distributed 700 and 1,339 NFI kits to the most affected people.

UNICEF is also sending jerry cans, buckets, soaps and water purification chemicals. These supplies benefit 2,600 families with access to clean water. With UNICEF support, the Somali Regional Water Bureau will purchase water tanks for the health facilities. UNICEF will also work to ensure that affected children have a safe environment to be able to play and continue their education.

Education: UNICEF, through the Education Cluster supported the Ministry of Education (MoE) Emergency Task Force in developing the Education in Emergencies (EiE) response plan following the rapid education needs assessment. The Education Cluster has been conducting bi-weekly regular meetings and a weekly working group meeting that includes the MoE, Save the Children International (SCI), WFP and UNICEF to coordinate the education response, advocate for EiE support and look for funding opportunities.

3.2 South Sudanese Refugees Emergency Response: UNICEF continues to support UNHCR, ARRA and partners to provide health, nutrition, WASH, education and child protection services to refugees within the refugee camps and at the border crossing points. In addition, UNICEF also supports the Regional Government to provide access to basic social services to the vulnerable the host community affected by the refugee crisis in Gambella Region.

Health and Nutrition: The Regional Health Bureau (RHB) teams supported by UNICEF have been conducting vaccination for all new refugee children in Pagak, Burubey, and Akobo entry points since the beginning of the influx of the refugees. From January to August, 20,086 children (0-15 years old) have been vaccinated against polio, and 18,180 (6 month – 15 years old) were vaccinated against measles. In addition, 8,664 children (6 months – five years) received vitamin A, and 5,265 children (1-5 years old) received deworming tablets. Three UNICEF consultants are providing technical support to the RHB to provide entry point vaccination to the refugees.

UNICEF continues to support UNHCR and ARRA together with NGOs including GOAL Ethiopia, Concern Worldwide and ACF. The support includes the establishment and operation of CMAM programme, Infant and Young Child Feeding (IYCF), provision of supplies and technical support and improving service quality and information management. During the month of September, UNICEF supported ACF for the establishment of CMAM programme in the new Pugnido 2 camp.

Since July 2014, UNICEF has deployed four nutrition consultants to support nutrition intervention in the host community areas and refugee entry points.

WASH: As part of its plan to support access to clean water for both refugees and host communities, UNICEF has procured four generators and four pumps for the Itang Permanent Water Supply System. This system is expected to be completed in October 2015.

Education: In September, the Education Working Group has concentrated its effort on the back-to-school campaign and door-to- door survey to ensure:  All children aged 4-14 years in the pre- and primary schools are enrolled by the end of September 2015,  Children stay in schools throughout 2015-16 school year;  Integrated services are provided to children, families, and caregivers, both at school and at community level.

The back-to-school campaign includes school registration, preparation of classrooms and provision of education supplies. The sector expects to enrol at least 60 per cent of 122,336 children aged 3 to 18 years that are in the camps.

Learning materials that include school-in-a-bag, textbooks, black boards, T-shirts, early childhood and care and teachers’ kits that benefit 30,000 children provided by UNICEF are distributed through implementing partners.

During the month, UNICEF supported a six-day training of thirty teachers at Tierkidi and Kule refugee camps. This training is expected to improve teachers’ capacity and skills to support students with psychosocial and other problems.

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Child Protection: UNICEF continues to work with implementing partners to provide child protection related services to the refugees through the establishment of Child Friendly Spaces (CFS), support to the child protection information management system for better case management, and the provision of psychosocial service. In September, UNICEF provided psychosocial service refresher training to 109 social workers of PLAN International Ethiopia in Kule camp. The training aimed at increasing the capacity of social workers to be able to identify children who need psychosocial support in the child friendly spaces.

Two child protection registration help desks have been established in the new Pugnido 2 refugee camp, right next to ARRA and UNHCR registration desks to handle issues related to unaccompanied minors and separated children and other vulnerable children.

A training workshop was conducted for 27 social workers on the basic concepts of CFCs and psychosocial support so as to enable them to support the children that attend the temporary child friendly space and other vulnerable children in the new Pugnido 2 camp.

Funding: UNICEF has increased its funding requirement to US$55 million (from US$ 49 million), in view of the increased humanitarian needs following the drought situation in the country. The additional fund is required to support the Ministry of Health together with WHO and partners in vaccinating 5.3 million children in nutrition hot spot woredas against measles and support the Government in scaling up the CMAM programme. In addition to the US$55 million, UNICEF requires US$13 million in 2015; to purchase nutrition supplies for the first quarter of 2016, to give three to four months lead-time to deliver the supplies to the country.

UNICEF’s 2015 appeal is currently 34 per cent funded, leaving a shortfall of US$36 million.

UNICEF Ethiopia appreciates the generous contribution in 2015; US$5,400,000 from USAID/OFDA, US$5,516,027 from the Central Emergency Response Fund, US$ 5,158,212 from the Government of the UK, US$1,999,753 from the Humanitarian Response Fund, US$497,238 from Italian Development Cooperation and US$395,256 from the Government of Canada. . Funds Appeal Sector Requirements Received in Funding gap 2015 US$ US$ US$ per cent Nutrition 13,164,800 8,577,754 4,587,046 35% Health 12,137,000 3,503,660 8,633,340 71% WASH 17,817,500 3,861,586 13,955,914 78% Child Protection 3,428,300 741,972 2,686,328 78% Education 6,058,300 2,276,079 3,782,221 62% Cluster coordination 2,554,552 0 2,554,552 100% Sub-Total 55,160,452 18,961,051 36,199,401 66% Carry-forward 11,400,000 Total funding available 30,361,051 Grand Total 55,160,452 30,361,051 24,799,401 45%

Next SitRep: November 2015

Gillian Mellsop Alhaji Bah Alexandra Westerbeek Representative Chief-Field Operations Chief, Media and External and Emergency Relations Who to contact for UNICEF Ethiopia UNICEF Ethiopia UNICEF Ethiopia further Tel: +251 11 5184001 Tel:+251 11 5184082 Tel: +251 11 5184039 information: Fax: +251 11 5511628 Fax: +251 11 5511628 Fax: +251 11 5511628 Email:[email protected] Email: [email protected] Email: [email protected]

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Annex A SUMMARY OF PROGRAMME RESULTS: ETHIOPIA September 2015 Cluster Response UNICEF and IPs 2015* Change Change Overall Total 2015 Target since last Total Results since last needs Results Target report ▲▼ report ▲▼ NUTRITION

Children under 5 with SAM treated 350,000 350,000*** 219,388** 350,000 41,640 219,388 41,640 Children under 5 in humanitarian situations screened and referred to 1,757,029 1,757,029 2,183,200 2,183,200 1,757,029 2,183,200 2,183,200 supplementary feeding programmes Pregnant and breastfeeding women in humanitarian situations screened and 1,486,970 1,486,970 1,486,970 446,812 446,812 1,486,970 446,812 referred to supplementary feeding programmes HEALTH Children and women accessing essential health services through 128,031**** - - 350,000 preventive and curative interventions in the Somali and Afar Regions WATER, SANITATION & HYGIENE People in humanitarian situations 23,718 accessing water for drinking, cooking 1,244,100 1,244,100 805,745 99,718 1,000,000 238,426 and personal hygiene People in humanitarian situations receiving sanitation and hygiene 850,000 850,000 46,616 - 1,140,000 46,616 - information to prevent child illnesses CHILD PROTECTION Children in humanitarian situations vulnerable to violence, exploitation and - - - - 78,934 52,966 67,000 abuse accessing appropriate care and services Identified, separated and unaccompanied children reunited with - - - - 1,085 507 5,000 their families/caregivers or provided with an appropriate alternative care EDUCATION Children in humanitarian situations access temporary learning spaces and 201,682 201,682 67,704 25,904 136,000 65,704 25,904 basic education materials OPERATIONAL PARTNERS Regional Health Bureaus, Mercy Corps, SCI, ADRA, Ogaden Welfare and Development Association, Health Islamic Relief, MSF Ministry of Health, Regional Health Bureaus Federal and Regional, Emergency Nutrition Coordination Unit (under DRMFSS), Concern Worldwide, International Medical Corps, World Vision, Action Against Nutrition Hunger (ACF), Islamic Relief, Mercy Corps, SCI, MSF, ADRA, GOAL Ethiopia and Plan International Ethiopia Federal and Regional Mines and Water Bureaus, Oxfam Intermon, Adhorn, Ogaden Welfare and WASH Development Association, SCI Education Federal and Regional Education Bureaus, SCI, PIE, Ogaden Welfare and Development Association Regional Bureau of Labor and Social Affairs, Regional Bureau of Women, Children and Youth Affairs, SCI, Child Protection Plan International Ethiopia , the Ethiopian Red Cross Society, GOAL Ethiopia *Revised HRD, August 2015 ** January to August 2015 admissions *** The government has issued an addendum to the Humanitarian Requirement Document released in Note August 2015 and revised upwards the number of children under 5 requiring treatment from severe acute malnutrition ****Only 45 per cent of the reports have been received as of July 2015

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Annex B SUMMARY OF PROGRAMME RESULTS: RESPONSE TO SOUTH SUDANESE REFUGEES Planning figure: 340,000 refugees by the end of 2015 August 2015

UNICEF and Partners per cent Sectors 2015 Total Locations Results Target Results Achieved NUTRITION Entry points Number of refugee children( 6-59 months) supplemented with Vitamin A 33,200 8,664 26 and host Number of children 6-59 months with SAM admitted to therapeutic care 10,800 850 8 community programme Number of children 6-59 months with SAM admitted to therapeutic care Refugee 8,640 2,465 28 programme camps Number of mothers receiving IYCF counselling and support 39.100 49,960 >100 HEALTH Entry points Number of children vaccinated for measles (6 months-15 years)-95per cent 55,000 18,180 33 and host coverage community Number of families receiving 2 ITNs (1 bed net for 2 household members) 55,000 50,772 92.3 Number of population with access to health care facilities stocked with 110,000 - - emergency supplies and drugs Refugee Number of refugee children, fully covered through routine EPI (0-1 year) in the 6,900 1,196 17 camps camps WATER, SANITATION & HYGIENE Entry points Number of affected people provided with sufficient water of adequate quality 14,000 11,000 78 and host Number of people reached with critical WASH related information 20,000 7,500 37.5 community Number of affected people provided with sufficient water of adequate quality 220,000 10,300 5 Refugee Number of people with access to appropriately designed toilets 50,000 9,400 19 camps Number of people reached with critical WASH related information 330,000 6,500 2 CHILD PROTECTION Number of children accessing child friendly spaces 20,000 13,606 >100 Entry points Number of identified vulnerable children receiving cases management, relevant 1,000 1,659 >100 support and referral services Number of children accessing child friendly spaces 60,000 36,558 61 Refugee Number of children receiving age and gender appropriated psychosocial camps 3,000 1,659 55 support and services Number of children participating in child rights clubs/committees and other 4,000 1,491 37.28 Host child/youth led activities community Number of community members engaged in awareness raising activities on 10,000 995 9.95 child protection EDUCATION Entry points & host School aged children affected by refugee influx continue their education 20,000 11,359 57 community Refugee Children affected by emergencies continue their education 75,000 50,223 67 camps PARTNERS Health UNHCR, ARRA, RHB, MSF Nutrition UNHCR, GOAL, MSF, ACF, CONCERN WASH UNHCR, MSF, ZOA, ERCS, DRC, NRC, ADRA, LWF, IRC, World Vision, ACF Education UNHCR, ARRA, REB, SCI, ZOA, PIE, NRC, DRC, WV, DICAC Child UNHCR, SCI, ZOA Protection Notes:

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