CAR HUMANITARIAN SITUATION REPORT NOVEMBER 2016

Central African Republic

Humanitarian Situation Report

©UNICEF/CAR/2016/LeDu

REPORTING PERIOD: 1 November -30 November 2016 SITUATION IN NUMBERS Highlights 1.2 million

CHILDREN AFFECTED  On 21-23 November, heavy fighting between Ex-Seleka factions in Bria left (2016 HUMANITARIAN NEEDS OVERVIEW) at least 86 civilians dead and some 11,000 people displaced.  As of the end of November, a reported 420,000 people are still internally 2.3 million displaced (IDPs) in CAR, up from 385,000 in October, due to the violence PEOPLE AFFECTED in the north-west and central regions. (2016 HUMANITARIAN RESPONSE PLAN)

 UNICEF supported the establishment of 13 Temporary Learning Spaces for 5,271 children (47% girls) in new IDP sites in Kaga Bandoro, bringing the 420,000 total number of children participating in Education in Emergency INTERNALLY DISPLACED PERSONS programming to 40,258. (CMP NOVEMBER 2016)  In Kaga Bandoro, UNICEF’s Rapid Response Mechanism (RRM) provided 462,476 WASH interventions for 8,124 households, or 19,201 people, who are REFUGEES IN NEIGHBOURING COUNTRIES currently seeking shelter near the airport. (CHAD, CAMEROON, DRC, CONGO)  On 17 November, international donors pledged $2.2 billion in aid for the (UNHCR NOVEMBER 2016) (CAR) over the next three years at the Brussels Conference for CAR to help restore peace and security. UNICEF APPEAL 2016  The final draft of the 2017 CAR Humanitarian Response Plan was officially presented in Geneva by the CAR Humanitarian Coordinator. US$ 55.7 million

UNICEF Sector/Cluster FUNDING GAP

Key Programme Indicators Cumulative UNICEF Cluster Cumulative US$ 24.4 million results (#) Target Target results (#) 56% of funds received against 2016 needs Number of affected people provided with access to improved sources of 400,000 486,848 700,000 846,554 water as per agreed standards 2016 Funding available Number of displaced children aged 3-17 with access to education in 60,000 40,258 70,000 44,245 temporary learning spaces Carry-Forward Funds, Number of children under 5, including those in IDP sites and 10,312,056 500,000 171,215 n/a enclaves with access to essential Funding health services and medicines Gap, Number of children aged 6-59 24,628,555 months with SAM admitted for 29,250 22,478 29,250 22,478 therapeutic care Number of children released from Funds received, 3,000 3,678 5,660 3,714 armed forces and groups 20,754,389 Number of pregnant women living with HIV who received ARVs for 4,906 3,043 n/a PMTCT

CAR HUMANITARIAN SITUATION REPORT NOVEMBER 2016 Situation Overview & Humanitarian Needs On 17 November, international donors pledged $2.2 billion (€2 billion) in aid for the Central African Republic (CAR) over the next three years at the Brussels Conference for CAR, jointly organised by the European Union and the CAR government. The main objective of the Conference was to draw together commitments to help CAR authorities restore peace and security, renew the social contract and revive the economy.

On 21 November, further violence broke out in Bria (Haute Kotto prefecture), in the east of CAR. Heavy fighting took place among two different Ex-Seleka factions (UPC and FPRC) and left at least 86 civilians dead. Some 11,000 people sought refuge around MINUSCA HQ and the airport, many of them children. A UNICEF-coordinated response effort in NFI/Child Protection/WASH is ongoing with the support of field office. Concerns have been expressed on the potential security and humanitarian impact in the next weeks on prefecture.

In Kaga Bandoro UNICEF’s Rapid Response Mechanism (RRM) intervened on behalf of 8,124 households (19,201 people) currently located near the airport to provide WASH activities. Following the relocation of IDPs to a new site to allow for the appropriate use of the airstrip, profiling is ongoing.

As of the end of November, a reported 420,000 people are now internally displaced (IDPs) in IDP sites and within host families , according to CMP (Commission Mouvement Population), with a sharp increase as compared to October due to the violence that broke out in north western and central CAR (/ and Kaga Bandoro).

Estimated Affected Population (Estimates calculated based on initial figures from OCHA, May 2016)

Start of humanitarian response: January 2014

Total Male Female Total Affected Population 2.3 million 1.1 million 1.2 million

Children Affected (Under 18) 1.2 million 630,000 614,000

Children Under Five 370,520 185,330 185,190

Children 6 to 23 months 184,000 93,000 91,000

Pregnant women 87,000

Humanitarian leadership and coordination UNICEF-led clusters have actively participated in the finalisation of the 2017 CAR Humanitarian Response Plan: the final draft has been issued and officially presented in Geneva by the CAR Humanitarian Coordinator. The funding requirement for 2017 is US$ 399.5 million as compared to US$ 531 million for 2016. This decrease is not to be construed as representing a decrease in humanitarian needs but is rather the result of a planning and budgeting effort carried out jointly with partners for the Recovery and Peacebuilding Plan.

UNICEF has been particularly active within the Crisis Committee that Humanitarian Country Team set up to follow up the situation in the recent Bria emergency. The Committee defined the advocacy strategy to be put in place with MINUSCA forces to ensure humanitarian access, determine IDPs population needs, fix the gaps to be addressed and coordinate the first critical response.

Humanitarian Strategy The Rapid Response Mechanism (RRM) is a UNICEF initiative in CAR that provides assistance to acutely vulnerable populations affected by a sudden shock provoking population displacement. It undertakes rapid multi-sector needs assessments to provide quality information to the humanitarian community while also delivering immediate assistance in non-food items (NFI) and water, sanitation and hygiene (WASH) to provide a basic means of survival for vulnerable populations. In addition, UNICEF implements a strategy of mobile teams to expand the humanitarian response in areas affected by crisis where there is an inadequate presence of actors under the principle of equity. To provide durable solutions for IDPs, UNICEF is developing a strategy to respond to return movements, coordinated by the Emergency Task Force and Programme Coordination Meeting (PCM).

CAR HUMANITARIAN SITUATION REPORT NOVEMBER 2016

Summary Analysis of Programme response

Nutrition Since January 2016, a total of 22,478 children (77% of the annual target) have been admitted for treatment of Severe Acute Malnutrition (SAM), including children from host populations and IDP sites. 20.6% (4,630) of SAM cases are in inpatient therapeutic units due to medical complications, while those without medical complications (79.4%, or 17,848 children) are being treated through outpatient therapeutic programs. The performance indicators for the treatment of SAM remain within international norms, with an 87.6% recovery rate (standard: > 75%), a 2.2% death rate (standard: <5%) and a 10.3% default rate (standard: <15%).

As part of the emergency response in Kaga-Bandoro and Bocaranga, vitamin A and deworming medications were provided by UNICEF to the Ministry of Health to complement the existing stock, which were used to assist more than 14,800 children aged from 6 months to 14 years during the measles campaign at the end of November.1 In addition, UNICEF continued to preposition nutrition supplies in the and Bambari sub-offices including 800 cartons of RUTF, 40 cartons of F-75, and 20 cartons of F-100. Furthermore, a total of 1,330 cartons of RUTF and 37 cartons of F-100, and 73 cartons of F-75 were provided to partners PU-AMI, ALIMA, AHA, Concern, MSF-F and CARITAS for the treatment of 1,000 malnourished children for the coming three months. With UNICEF support, since March, a total of 1,149 (93%) 1,235 government health staff have been trained on Community-based Management of Acute Malnutrition (CMAM).

Education Following the violence that broke out in northern CAR, UNICEF supported the establishment of 13 Temporary Learning Spaces (TLS) for 5,271 children (47% girls) in new IDP sites in Kaga Bandoro. This brings the total number of children participating in Education in Emergency (EiE) to 40,258 (of whom 49% are girls). UNICEF also supported the integration and distribution of learning materials for approximately 3,000 children in five schools which recently reopened in Kaga Bandoro. Additionally, UNICEF continues to work closely with Ministry of Education officials and local partners to reopen other schools in affected areas in a safe and secure environment.

UNICEF education staff also carried out a support mission to advance activities for 1,538 Sudanese refugees and host community in . Activities financed by CERF include the establishment of seven TLS light rehabilitation of three schools for 1,538 children and the training of 21 teachers on psychosocial support, child protection, and good health and hygiene practices.

In response to the eruption of violence in Bria on 20 November, the Education Cluster coordinated two light assessments, which were jointly carried out by partners and local education authorities. Results indicated that over 20 schools have been closed, affecting close to 15,000 children in Bria and Bambari. To ensure that children affected by this recent crisis and in other affected areas have access to education, UNICEF is finalizing contracts with four implementing partners to provided Education in Emergencies (EiE) programming for over 24,000 children.

Health and HIV/AIDS During the reporting period, a total of 320,000 treated mosquito nets were provided by UNICEF to the Ministry of Health to support 23 health facilities in various health districts. In addition, medical kits including anti-malaria medications (ACT) were provided to prefecture and Baboua sub-prefecture for the treatment of 22,000 persons and 250 pregnant women for the next three months. As part of the response in Kaga Bandoro, a total of 1,108 persons including 621 children under five were assisted through UNICEF, ICRC and WHO efforts, with UNICEF providing medicine to the prefectural hospital as well as to the temporary health centres in IDP sites.

With UNICEF support, a total of 15 sites for the community management of childhood diseases are currently functional in Bossangoa sub-prefecture. As of today, more than 1,000 children under five have been assisted in these sites. In the framework of the response to the Lake Chad polio outbreak, CAR finalized its 3rd round of the vaccination campaign from 12 to 15 November. A total of 360,078 children aged 0 to 59 months were vaccinated (around 108% of the target).As

1 To be reported on in the next Sitrep. CAR HUMANITARIAN SITUATION REPORT NOVEMBER 2016 part of improving vaccination coverage rates in low performance health districts, the first round of Periodic Intensified Routine Immunization (PIRI) was implemented in 11 sub-prefectures of Health Regions RS1, RS2 and RS3.

During the reporting period, a total of 341 pregnant women living with HIV received ARVs for PMTCT and 164 children born to mothers who are HIV positive gained access to appropriate treatment.

WASH In response to the crisis in Bria, on 27 November, UNICEF provided NGO partner Oxfam with critical emergency supplies (soap, chlorine, a water bladder, aquatabs, and latrine parts). With support from UNICEF, ANEA constructed two new boreholes (with manual drilling) and repaired 73 boreholes in Bossangoa, Kaga Bandoro, Mbaiki and Ndélé, reaching 45,266 persons with access to safe water. As part of the emergency WASH response following the attack in Kaga Bandoro, ANEA repaired 17 boreholes near the IDP site. In addition, with support from UNICEF, partners provided 80 m3 of water per day for 19,500 IDPs through water trucking.

UNICEF partners (TGH, CARITAS and Nourrir) maintained garbage pits, latrines and showers in IDP sites in Bambari and Ngakobo. CARITAS built 105 new latrines for 10,000 IDPs. In , Oxfam continues to maintain latrines built with UNICEF support. ANEA conducted awareness campaigns on good hygiene practices in different zonal offices in eight prefectures, reaching 11,109 persons. In Kaga Bandoro, with UNICEF support, NGO partner Solidarites built 85 latrines (separated blocks for men and women). For the cholera response in , Damara and , UNICEF supported partners ANEA, IDC, OIM and ACF to continue providing sensitization and to develop an exit strategy.

Child Protection In November, an additional 958 children including 397 girls were released from Anti-Balaka armed group (including 376 children in , 246 in Nangha and 336 children in ). The total number of children released from armed groups since the beginning of this year is now 3,678 children, including 1,161 (31%) girls. Following the massive displacement of the population in Kaga Bandoro, UNICEF set up two child friendly spaces in the IDP site with the support of IOM, enrolling 420 children, including 272 boys and 148 girls. To date in 2016, a total of 56,229 children (24,062 girls and 32,167 boys) have been reached with recreational activities in child friendly spaces and community centers throughout the country. Among IDPs that have arrived in Bangui fleeing the violence in Kaga Bandoro, UNICEF and its partners identified 26 separated children. UNICEF has started the tracing of their families for reunification in partnership with Ministry of Social Affairs and Plan International. In response to the crisis in Bria, UNICEF supported NGO partner “Esperance” to identify unaccompanied and separated children and to set up a child friendly space at the IDP site.

UNICEF and the MINUSCA Child Protection team organized a MRM training session in Bangui for the members of the Child Protection Sub-Cluster as well as the Education Cluster on 17-18 November. 26 staff including six women participated. The training aims at reinforcing capacity of trainees in the field for rapid alerts of grave violations of children’s rights and reporting on the 6 types of grave violations. A total of 336 staff including 62 women from NGOs, UN agencies, the Government and local service providers have participated in MRM capacity building sessions in 2016. In addition, 287 victims of rape (including 86 minors) have received treatment in Bangui, Bria and Bocangara.

Rapid Response Mechanism (RRM) During the reporting period, the four implementing RRM partners (ACF, ACTED, PU-AMI, and Solidarités International) received thirteen alerts, undertook seven exploratory missions in Ouaka, , Sangha-Mbaere, Haut Mbomou and Ouham Pendé prefectures, and conducted one multi-sectorial assessment (MSA) in Ouham prefecture. Two exploratory missions in Kemo and Nana-Mambere prefectures, and two multi-sectorial assessments (MSAs) in Ouham prefecture are currently ongoing. Five NFI distributions are currently ongoing in Ouham and Ouham Pende prefectures, and one WASH intervention is currently ongoing in Ouham.

Globally, since 1 January, a total of 23,381 households (108,867 individuals) have received NFI items, and 49,816 individuals have gained access to water and sanitation facilities thanks to RRM emergency interventions. This is a total of more of 158,683 beneficiaries.

Media and External Communication During the reporting period, the communications team developed communications material for the Brussels Conference (press release, social media assets); helped the German news agency DPA write a story on the challenges in CAR; facilitated the visit of a Regional Office communication specialist to UNICEF CO programmes; ensured visibility for a EU funded health program launch in Bossangoa. The Facebook and Twitter pages were updated on a regular basis, CAR HUMANITARIAN SITUATION REPORT NOVEMBER 2016 attracting a growing number of interest and interactions (as of November 30, 62,500 followers on Facebook and almost 5,100 on Twitter).

Supply and Logistics During the reporting period, the movement of containers in the Douala-Bangui corridor remained normal. Out of the 58 containers in the pipeline, 17 were received in Bangui and delivered to the warehouse. The implementation of the Supply Plan rate as of November is 93%, with ongoing activities to support the current polio campaign and emergency cases that arose in several areas of the country. New construction projects are progressing satisfactorily (out of nine schools under construction, five are already completed), the heavy rehabilitation of three out of six schools is completed, and the rehabilitation/construction of eight latrines in health centers is still underway. The construction of 37 boreholes and 29 latrines under the new contracts have begun.

Security In November, the western sector of the country was marked by ongoing confrontations between Anti-Balaka elements and Ex-Seleka factions, causing population displacement and disrupting access to the area. The eastern sector has been marked by high tension and confrontations between a coalition of RPRC and FPRC against the UPC. While the first party has reinforced its positions on the N’Dele-Bria-Bakouma-Bangasou (N-S) axis, the UPC has reinforced its positions along the Bakala-Bambari- axis. It is unlikely that this situation will improve in the upcoming months as the root causes of the conflicts have not been addressed, the almost complete absence of state authority outside of the capital and the upcoming dry season that will preempt troop movement.

Funding

Funding Requirements (as defined in the Humanitarian Action for Children (HAC)

2016 Funding Gap Appeal Sector Funds available* requirements $ % Nutrition 7,200,000 5,903,481 1,296,519 18% Health and HIV/AIDS 9,250,000 4,069,783 5,180,217 56% Water, Sanitation & 7,227,000 4,715,786 2,511,214 35% Hygiene Child Protection 12,900,000 6,527,170 6,372,830 49% Education 6,118,000 1,569,779 4,548,221 74% Rapid Response 13,000,000 8,280,446 4,719,554 36% Mechanism Total 55,695,000 31,066,445 24,628,555 44% * ‘Funds available’ includes funding received against current appeal as well as carry-forward from the previous year.

Next SitRep: 1 January 2017

UNICEF CAR on Twitter: https://twitter.com/UNICEF_CAR UNICEF CAR on Facebook: www.facebook.com/UNICEFCAR UNICEF CAR Humanitarian Action for Children 2016: http://www.unicef.org/appeals/car.html

Who to Aboubackry Tall Speciose Hakizimana Suzanne Suh contact for Representative Deputy Representative Fundraising and Reporting Central African Republic Central African Republic Central African Republic further Tel: +236 7055 0205 Tel: +236 7055 0206 Tel: +236 7017 8040 information: Email: [email protected] Email: [email protected] Email: [email protected]

CAR HUMANITARIAN SITUATION REPORT NOVEMBER 2016 Annex A

SUMMARY OF PROGRAMME RESULTS

Cluster Response UNICEF and IPs

Change Change since 2016 Total since last 2016 Total last report Target Results report Target Results ▲▼

▲▼ WATER, SANITATION & HYGIENE Number of affected people provided with access to improved 700,000 846,554 64,766 sources of water as per agreed 64,766 400,000 486,848 standards Number of affected people

provided with sanitation facilities 700,000 275,537 9,500 9,500 250,000 88,004 as per agreed standards Number of internally displaced

households provided with WASH 50,000 68,107 - - 10,000 14,313 NFI kits EDUCATION Number of children who received 350,000 70,941 9,650 8,271 learning materials 300,000 59,114 Number of displaced children aged 3 to 17 years with access to

education in temporary learning 70,000 44,245 6,650 5,271 60,000 40,258 spaces with teachers trained in psychosocial support HEALTH Number of children under 5 immunized against measles in IDP n/a 18,570 33,162 0 sites and epidemic districts Number of children under 5, including those in IDP sites and n/a 500,000 171,215 1,618 enclaves, with access to essential health services and medicines NUTRITION Number of children aged 6-59 months with Severe Acute 29,250 22,478 1,580 29,250 22,478 1,580 Malnutrition (SAM) admitted for therapeutic care Recovery rate ≥75% 87.56% 0.0 ≥75% 87.56% 0.0 Death rate <10% 2.15% 0.0 <10% 2.15% 0.0 Default rate <15% 10.29% 0.0 <15% 10.29% 0.0 CHILD PROTECTION Number of unaccompanied and separated children reunited with 3,500 288 0 500 287 0 their families Number of children released from 5,660 3,714 958 3,000 3,678 958 armed forces and groups Number of women and children identified as survivors of sexual 7,000 1106 378 3,500 1106 378 violence have access to holistic support HIV and AIDS Number of children born to mothers who are HIV positive who n/a 4,060 1,853 164 have access to appropriate treatment Number of pregnant women living with HIV who received ARVs for n/a 4,906 3,043 341 PMTCT CAR HUMANITARIAN SITUATION REPORT NOVEMBER 2016 RAPID RESPONSE MECHANISM Number of acutely vulnerable households following a shock that n/a 40,000 23,381 135 received rapid assistance with NFIs Number of acute acutely vulnerable people following a shock that n/a 80,000 0 received rapid and appropriate 49,816 assistance in WASH