SITUATION REPORT OCTOBER 2016

NIGER Humanitarian Situation Report

@UNICEF Niger/Confalone 2015 Niger/Confalone @UNICEF

@UNICEF Niger/Confalone 2016 Niger/Confalone @UNICEF

SITUATION IN NUMBERS 31 October 2016 Highlights

° 11 security incidents were registered in in October, including an attack 400,794 on the health centers of N’Garwa and of Gueskerou, where people displaced Children affected by SAM nationwide from Niger and Nigeria receive care. No casualties were reported, but (HRP 2016) medical supplies, essential medicines and RUTF were looted.

° Niger was hit in October by a cholera outbreak in 2 health districts of the 68,803 Dosso region. As of 31 October, 38 suspected cases have been reported with Refugee children from Nigeria and returnees from 11 deaths, out of which 5 were in health centers and 6 in the community. Niger affected out of UNICEF with its partner CISP are implementing prevention and infection- control activities, including home-based and water point disinfection, 112,792 promotion of home-based water treatment and hand-washing with soap. Refugees and returnees from Nigeria UNICEF also has supported the MoH for case management through the (Source DREC, October 2016, covering 86 sites) provision of medical supplies. 66,489

Internally displaced children out of ° The 3rd round of a sub-regional vaccination campaign for wild polio virus (WPV) took place from 15 to 18 October. 2,797,138 under-5 children were 108,998 reached in the Diffa, Maradi and regions out of a target of 2,731,470. Internally displaced people (Source DREC, October 2016, covering 86 sites) ° As of the end of October 171 cases (31 deaths) of hemorrhagic Rift Valley Fever were registered in the region, involving at least 7 health districts. UNICEF Appeal 2016 ° As of October 23, 2016 (week 42), 286,348 under-5 children suffering from SAM have been admitted for therapeutic care across the country. This US$ 39.5 million represents 71.4% of the expected 2016 caseload, and it includes 34,635 cases Requirements for Nigeria+ 2016 with medical complications (57.6%) for in-patient care (ITP) and 251,713 SAM children without complications admitted in out-patient care (OTP). US $14million

Results for Children

UNICEF Sector Indicators $19,092,527 $15,404,646 UNICEF Cumulati Sector Cumulativ Funding Gap Received in Target ve results Target e results (48%) 2016 Children under-five with severe acute malnutrition admitted into 14,338 11,025 14,338 11,025 therapeutic feeding programme in Diffa # of school -aged girls and boys (7 - 14 years) with continued access to 20,000 16,215 26,000 25,871 formal and non-formal education in Diffa $5,019,098 # of men, women, girls, boys Carry-forward affected by the crisis in Diffa who 20,000 75,846 194,970 148,394 have improved access to drinking water NIGER SITUATION REPORT OCTOBER 2016

Situation Overview & Humanitarian Needs A number of simultaneous crises continue to have a major impact on the humanitarian situation in Niger. These include displacement caused by insecurity and increased attacks from Boko Haram particularly affecting the , a cholera outbreak in the Dosso region, an epidemic of Rift Valley Fever in Tahoua region, as well as food insecurity and spikes in malnutrition.

The Diffa region currently hosts 221,790 displaced people (IDPs, refugees and returnees), including over 135,292 children, as a result of the ongoing conflict in northeast Nigeria. Community tensions have been observed in the region due to increasing competition over land and resources between pastoralists and crop farmers, and between host and displaced communities. 11 attacks were reported in October in Diffa, including 2 attacks on 2 health centres (N’Garwa and Gueskerou), where medical supplies including RUTF were looted.

In Region, UNICEF supported the Government in conducting a comprehensive assessment of damages caused by floods to schools. Overall, 57 classrooms have been damaged in 4 districts, as well as 7 latrines, 2 dormitory, and other structures. In the Tahoua Region, UNICEF contributed to awareness-raising activities and prevention of the rift valley fever through the development of a communication plan, design of communication tools, broadcasting of awareness messages through community radios, and advocacy.

Estimated Affected Population Total Male* Female

Based on HRP and HNO 2016 Total Affected Population 2,000,000 960,000 1,040,000 Children Affected (Under 18) 1,100,000 528,000 572,000 Children Under Five* 429,000 205,920 223,080 Children 6 to 23 months** 131,200 62,976 68,224 Pregnant women*** 100,000 - 100,000 Children Under Five with Severe Acute Malnutrition (SAM) at national level 400,794 192,381 208,413 Children Under Five with Severe Acute Malnutrition (SAM) in Diffa region ( Nigeria + 14,338 6,882 7,456 crisis) Refugees and returnees from Nigeria 112,792 54,140 58,652 Refugee and returnees children from Nigeria (0-17 years old) **** 68,803 33,025 35,778 Internally displaced people in Diffa region 108,998 52,319 56,679 Internally displaced children ( 0-17 years old) **** 66,489 31,915 34,574

Proxy calculated based on percentages from: * Proxy DRSP 2016, 21.45%; ** Proxy DRSP 2016, 6.56%; *** Proxy DRSP 5%; ****Proxy INS 2016, 61%

Humanitarian leadership and coordination UNICEF leads the Education and WASH Clusters and the Child Protection sub Cluster in close collaboration with government counterparts in , and supports the government in the leadership of the Nutrition working group. In Diffa, UNICEF supports regional authorities for the management of sectoral working groups. UNICEF has been fully engaged in the HNO and HRP process at regional and national level, through the clusters and working groups, but also through an Emergency Unit staff, who collaborated with OCHA in the overall process, including the organisation and facilitation of 2 regional workshops and co-facilitation of the national workshop. UNICEF also led an inter-organisation working group preparing the strategy for an integrated RRM 2017.

Humanitarian Strategy UNICEF supports the Government’s efforts to coordinate with line ministries and NGOs to expand essential services to emergency-affected populations through community-based interventions, including nutrition, health, WASH, education NIGER SITUATION REPORT OCTOBER 2016 and child protection networks. The office in Diffa allows UNICEF to immediately alert, evaluate and monitor the humanitarian situation affecting children and women, thereby strengthening the humanitarian response. In October, UNCIEF received support from regional office to organise an Emergency Preparedness Training in Niamey and Diffa.

Summary Analysis of Programme response Nigeria Crisis Response In October, UNICEF and implementing partners provided access to safe water to 22,266 people including through the Rapid Response Mechanism (RRM) project. Among these people, 18,266 people covered last month continue to benefit from access to water through the water trucking, and 4,000 new people have access to water through the construction of 8 mechanical boreholes. 8,450 additional people have benefitted from access to latrines through the construction of 169 block of two emergency latrines and 88,076 people participated in sensitization activities on hygiene practices and benefitted from hygiene kits including soap and water chlorination tablets. Emergency WASH interventions continue with several partners, including INGOs such as IEDA Relief, IRC, ACTED, as well as local NGOs such as Demi-E. UNICEF also works with the Diffa Regional Directorate of Water and Sanitation, and has established private sector cooperation for water trucking and drilling activities.

In October, the first cholera case since February 2015 was reported in Dosso region. As of October 31 st , 38 cases have been recorded in 2 districts of the region with 11 deaths including deaths outside of health centers in communities. UNICEF and its partner CISP quickly mobilized a rapid response to contain the epidemic and limit its spread through the implementation of prevention and infection-control activities, such as home-based and disinfection of water points, promotion of home-based water treatment and hand-washing with soap, and community sensitization. In the Diffa Region, prevention activities and cholera preparedness continued in partnership with IEDA Relief and Demi-E in the displacement sites and health centers in hotspots. Training sessions on early detection of cholera cases, infection control and emergency response were carried out in partnership with government directorate and covered the eleven hotspots health districts.

As of the end of October (week 43), 11,025 under-5 children suffering from severe acute malnutrition (SAM) have been admitted into the rehabilitation centers (in both outpatient and inpatient programmes) of the Diffa region, including 1,516 cases with medical complications. Eleven (11) deaths were registered in the inpatient treatment programme (IPT), which represents a fatality rate of 0.7 %.

The screening coupled with the Seasonal Malaria Chemoprophylaxis campaign in the municipality of convergence (Mainé- Soroa) reached 11,229 children, out of which 239 children were found to have SAM (2.1 %) and 835 other children were found to have MAM (7.4 %).

The school year 2016-2017 was officially opened on October 4th in Niger. However, it had not been effective in many parts of the country, including in many schools of Diffa, because teachers went on strike. Additional constraints in Diffa included the insufficient infrastructures and the registration process of children in temporary learning spaces (TLS) in displacement sites, which went on for the whole month. The government took dissuasive measures 1 and teachers progressively went back to school. Regardless of the constraints, in October UNICEF and its implementing partners have set up 97 TLS out of 195 planned in the UNICEF back to school, and including 51 TLS set up the previous school year and still functioning. The 97 TLS are set up in displacement spontaneous sites as well as in existing schools in host communities. Overall, at the end of October, 8,046 children were back to primary school, out of which 7,120 through UNICEF and its partners, out of 58,208 children (4-17 years) expected to be back to (formal and non-formal) school at all levels by the end of the year through different programmes already in place.

25,157 suspected malaria cases were reported among under-5 children in the Diffa region, resulting in an increase of 6,528 cases during the reporting period i. UNICEF continues to provide antimalarial drugs to 37 health facilities and mobile clinics in the region. The third round of polio vaccination campaign took place in Diffa (15-18 October) and 254,652 children out of 213,935 targeted were vaccinated (119%). The third round of the Seasonal Malaria Chemoprevention (SMC) campaign resulted in a coverage of 77%. The extension of the campaign to health centers assisting displaced people allowed a coverage of 5,990 children, which represented 49.7% of the vaccinated children (12,063).

From January to date, 4 UNICEF child protection implementing partners have been carrying out psychosocial support and recreational activities for 57,781 2 children in the Diffa region through 62 child friendly spaces (CFS) and 27 youth peer

1 Such as breaking of contract and salary cut for days not worked 2 Data collection tools are under revision. Figures for 2017 will be calculated based on a different approach. Meanwhile, the decision has been taken to maintain the figure for the rest of the year at 57,781, while reporting on the number of CFS functioning in the whole region. NIGER SITUATION REPORT OCTOBER 2016 educators’ committees in more than 30 sites in the region. Since January 2016, 10 social workers, recruited by the Child Protection Regional Directorate (DRPE, under partnership with UNICEF), have identified 156 unaccompanied and separated children (UASC) (including 61 girls), including 115 separated and 41 unaccompanied, bringing the total number of children receiving appropriate follow-up care to 275, and out of them, 12 reunified since January. In October, a Specialist from the UNICEF Regional Office organized a training workshop on Age Determination attended by 36 government and humanitarian personnel, including 16 members of the Defense and Security forces (FDS). The UNICEF Regional Specialist also visited N’Guagam and Assaga displaced people’s sites in order to monitor the quality of the response to the actual situation by community volunteers and UNICEF partners. Finally, two child protection working groups met on 7 and 20 October, one on the reunification of unaccompanied children, and one on the harmonization of psychosocial activities carried out in displacement sites. The mapping of activities was updated by UNICEF, which made it possible for child protection actors to identify gaps and needs.

Sahel Nutrition Crisis Response As of October 23, 2016 (week 42), a total number of 286,348 under-5 children suffering from SAM have been admitted to the nutritional rehabilitation program at national level. This represents 71.4% of the expected 2016 caseload, and it includes 34,635 cases (girls and boys) with medical complication (12,10%) for in-patient care (ITP) and 251,713 SAM children without complication admitted in out-patient care (OTP - 87,90%%). The completeness of the data collected is 81.8% both for OTP and ITP. Compared to the same period last year (2015) we observed a reduction in new SAM admissions of 10% at ITP level (less than 3,825 children) and an increase of 3% in the OTP level (6,450 children).

Media and External Communication Media attention to the southeast region of Diffa kept going in October. UNICEF hosted a New York Times team, interested in covering the daily life of people fleeing Boko Haram violence and now displaced along the RN1. Photo and 360/VR footages were organized to accompany the reports and the interviews with children and communities’ members, allowing the media to cover the whole UNICEF response. A consultant has been secured to provide professional photographs and additional communication materials will be proposed to DOC and WCARO for posting on the global and regional digital platforms. In the meantime, El Pais / Planeta Futuro started to post stories and photos of the humanitarian situation in Diffa and the UNICEF response explored during the visit organised last month. Several pieces are available on their website (http://bit.ly/2f3T9Df ; http://bit.ly/2f4pvxc for example) and digitally promoted, including on Twitter (@Planeta_Futuro).

Security The security situation substantially deteriorated in Western and North-Western Niger (Tillaberi and Tahoua regions), where extremist armed groups operating in Mali carried out a number of operations, one of which resulted in mass casualties (6 October attack in Tazelit, Niger). In Diffa region, isolated attacks and lootings of villages and health centers perpetrated by Boko Haram militants were reported. The Multi National Joint Task Force (MNJTF) continued its operations in Lake Chad area, where the operational context remains prone to quick deterioration. Transnational criminal activities such as road banditry, cattle theft and armed robberies were also reported in the tri border area between Niger, Mali and Burkina Faso (Tillaberi region) and between Niger and Nigeria (Maradi and Diffa regions).

Funding HAC 2016 Nigeria+ Funds Funding gap (2016) Appeal Sector Requirements Requirements available* $ % Nutrition 27,500,000 5,381,960 10,483,927 17,016,073 67 % Health 980,000 480,000 1,344,409 0 0% WASH 5,217,600 2,580,991 3,732,704 1,484,896 28 % Child Protection 1,668,671 1,668,671 2,677,627 0 0% Education 3,000,000 3,000,000 825,524 2,174,476 72% HIV and AIDS 150,000 150,000 -- 150,000 100% Cluster/Sector Coordination 1,000,000 700,000 932,088 67,912 7% Programme Support -- 427,464 0 Total 39,516,271 13,961,622 20,423,744 19,092,527 48% * ‘Funds received’ does not include pledges ** Carry-forward from 2015 included Note: The office also received a loan of EPF funds (1,380,000) which will be paid off before the end of 2016

NIGER SITUATION REPORT OCTOBER 2016

Next SitRep: December 2016 UNICEF Niger Facebook: UNICEF Niger Twitter: www.twitter.com/Unicefniger UNICEF Niger Youtube: https://www.facebook.com/unicefniger?fref=ts UNICEF Niger Blog: http://unicefniger.tumblr.com/ UNICEF Niger HAC: http://www.unicef.org/appeals/index.html

Who to Viviane Van Steirteghem Félix Ackebo Anne Boher Representative Deputy Representative Chief of Communication contact for UNICEF Niger UNICEF Niger UNICEF Niger further Tel: (+227) 20727100 Tel: (+227) 20727100 Tel: (+227) 20727100 Email:[email protected] Email: [email protected] Email: [email protected] information:

NIGER SITUATION REPORT OCTOBER 2016

Annex A

SUMMARY OF PROGRAMME RESULTS Nigeria Crisis Response

Cluster Response UNICEF and IPs Change Change since 2016 Sector Overall since last 2016 Total last report ▲▼ Target Total Results needs report Target Results

▲▼ WATER, SANITATION & HYGIENE # of men, women, girls, boys

affected by the crisis in Diffa 279,144 194,970 148,394 4,000 ▲ 20,000 75,846 4,000 ▲ who have improved access to

drinking water # of people affected by the crisis in Diffa with access to sanitation infrastructure taking 279,144 268,605 77,272 11, 100 ▲ 71,495 49,750 8,450 ▲ into account accessibility for children, and the specific needs of women and men # of people affected by the crisis

in Diffa having access to hygiene 537,211 481,912 93,588 ▲ 305,931 396,537 88,076 ▲ 558,289 kits and sensitization activities EDUCATION # of school -aged girls and boys (7-14 years) with continued 210,000 26,000 25,871 8,046 ▲ 20,000 16,215 7,120 ▲ access to formal and non-formal education in Diffa HEALTH # of children aged 9 month -14 years old vaccinated against 100,000 420,829 = measles # of under five years old who utilized health services 70,000 80,748 6,528 3▲ (pneumonia, diarrhoea and malaria ) # of children who have access to life-saving interventions 40,000 4,719 4, 719 ▲ through outreach community- based activities (mobile clinics) NUTRITION # of children under-five with

severe acute malnutrition 14,338 11,025 ▲981 14,338 11,025 ▲981 admitted into therapeutic

feeding programme in Diffa # of Health Centres with an 51 50 = 51 50 = integrated nutrition program CHILD PROTECTION # of children who are benefiting from psychosocial support through community - based 62,905 97,454 = 40,000 57,581 = recreational and socio- educational activities 4 # of separated and/or unaccompanied children identified, documented and benefitting and placed in 1,318 1,075 33 ▲ 600 275 33 ▲ alternative care arrangements and / or who benefitted from individual follow up

3 This increase applies only to Malaria, pneumonia and diarrhea being harvested on a quarterly basis data 4 Data collection tools are under revision. Figures for 2017 will be calculated based on a different approach. Meanwhile, the decision has been taken to maintain the figure for the rest of the year at 57,781, while reporting on the number of CFS functioning in the whole region NIGER SITUATION REPORT OCTOBER 2016

Sahel Nutrition Crisis Response

Cluster Response UNICEF and IPs Overall 2016 Change since Change since Sector 2016 needs Target Total Results last report Total Results last report ▲▼ Target ▲▼

WATER, SANITATION & HYGIENE # of nutritional centres delivering the WASH 490 334 78 = 144 75 = minimum package # of malnourished children admitted for SAM/MAM and 368,114 122,286 8, 461 224 ▲ 22,603 3,129 224 ▲ benefiting WASH minimum package in the community HEALTH # of children in humanitarian situation aged 0-11 months 1,013,382 1,013,382 678,356 5 143,720 ▲ vaccinated against measles NUTRITION # of children under -five with severe acute malnutrition admitted 400,794 400,794 286,348 21,958 ▲ 400,794 286,348 21,958 ▲ into therapeutic feeding programme % of children under 5 year suffering of SAM At least At least At least n/a 92% discharged as 75% 75% NA 75% 92% recovered # of Health Centres with an integrated 922 922 922 = 922 922 = nutrition program CHILD PROTECTION Couples malnourished children/caregivers who receive 16,519 16,519 39,856 9,182 ▲ NA NA NA psychosocial support in CRENIs and CRENAs

5 Source : DVD-MT end of September 2016