Cameroon Humanitarian Situation

Report No. 11

Reporting Period: November 1 - 30, 2020 Situation in Numbers

Highlights 2,000,000 • 2020-2021 school year continues to be marked by an alarming spike in children in need of humanitarian attacks on education in North-West and South-West regions including the assistance (UNICEF HAC 2020)

killing and injuring of students and education authorities and kidnapping 6,200,000 of students. The situation has underlined the urgent need for people in need implementation of the Safe Schools Declaration, endorsed by the (HRP June 2020) Republic of Cameroon in 2018, for the protection and wellbeing of children in the country. 409,173 • In the North-West and South-West regions, 15,480 conflict-affected IDPs in the NWSW regions (OCHA

people received WASH kits. Similarly, in the Far-North region, 16,768 MSNA, August 2020) conflict and flood-affected population were reached. 360,547 Returnees in the NW/SW • The 3% funds mobilised under the HAC 2020 for the CAR Refugee (OCHA August 2020) Response is insufficient to meet the urgent needs arising from the

foreseen displacements of CAR civilians in the Eastern regions of 321,886 IDPs in the Far-North Cameroon. (OIM, June 2020) • In total, as of 30 November, UNICEF had received only 26% of funding for 123,489 Returnees in the its humanitarian response. Far-North (IOM, June 2020)

UNICEF’s Response and Funding UNICEF Appeal 2020 Status

SAM admissions 91% Funding Status (in US$) *

Nutrition Funding status 8% * Requirement: $45.5m Measles vaccination 17% Available $12m (26%)

Health Funding status 19%

Safe water access 46%

WASH Funding status 47% Carry- forward MHPSS access 68% US$ 3.4 M

Child Funding status 34% Funds Protection received US$ 8.4M Education access 100%

Funding status 7% Funding gap Education US$ 33.6M 0% 20% 40% 60% 80% 100% *achieved through non-HAC funding sources 1

Funding Overview and Partnerships In 2020, UNICEF is appealing for US$ 45,445,000 in support of lifesaving and protection-based response for children and women affected by humanitarian crises in Cameroon. As of 30 November, UNICEF has received US$ 8,451,445 against this humanitarian requirement from the following donors: Japanese government, Swedish SIDA, UN CERF, ECHO, the British Foreign, Commonwealth and Development Office (FCDO) and Bureau for Humanitarian Assistance (BHA). UNICEF expresses its continuing appreciation to these donors for their support. However, the 80% shortfall continues to seriously limit program response; lack of funding is requiring ‘double-hatting’ of several cluster coordination positions and M&E colleagues replacing absent IMOs, and a shift to increasing use of UN Volunteers in place of staff positions.1 Earlier this year, in May, UNICEF issued a ‘Donor Alert’ to Yaounde embassies and donor representatives highlighting critical need of life-saving and protection-based activities to be implemented over the next five months (May-Sept) for displaced, refugee and returnee and host community children, and for which $10,608,000 was urgently required. Vital activities have been curtailed for lack of funding including measles vaccination, access to lifesaving essential drugs, support for safe water and sanitation and mental health and psychosocial services. The impact of underfunding is further noted in the sector progress reports below. In November 2020, UNICEF established short term humanitarian interventions with LUKMEF for protection response and the Cameroon Baptist Convention Health Board Cameroon for WASH for in the North-West and South-West regions, ADRA for education response in East and Adamaoua regions for a total value of US $ 515,463.

Situation Overview & Humanitarian Needs The onset in early March of the COVID-19 pandemic in Cameroon introduced new threats to children and vulnerable communities with humanitarian response immediately complicated by restrictions on group events and movement. An additional 2.3 million people were estimated to need humanitarian assistance due to the impact of COVID-19, bringing the total number of people in need from 3.9 million prior to the COVID-19 outbreak to 6.2 million. This was reflected in the updated Cameroon HRP, issued in early June. The requirement includes over 3 million children in need of urgent humanitarian aid because of violence and conflict, disease outbreaks including measles, cholera, and the COVID-19 pandemic. See table on COVID-19 case reporting below.

Source: WHO

Violent clashes between government forces and non-state armed groups (NSAGs) in the North-West and South-West regions remained a root cause for population displacement. As of November 2020, according to OCHA, 4,749 newly displaced persons fled across both regions, in majority to the North-West (3,882 – 82%) and few to neighbouring regions. While the overall conflict-affected population presents urgent needs and has limited access to basic services, the volatile insecurity (abduction, killings, clashes, IEDs, ghost days and roadblocks) still narrows and delays humanitarian reach. In both regions, less than 30% of the schools are operational. Since the NSAGs call against school re-opening, this new academic year is marked by a worsening trend in attack, abduction, robbery and torture affecting students and teachers on school premises or on their way to school. The UN Secretary General, the UNICEF Executive Director and country Resident and Humanitarian Coordinator expressed serious concerns over these incidents, joining the profound shock and denunciations expressed by government officials, some of the opposition groups, and especially people across the country. UNICEF took measures to scale up ongoing child protection activities in Kumba to assist the victims of attacks on school.

1 In parallel, against a COVID-19 response requirement of US$24,007,500 as presented in the UNICEF global COVID-19 HAC, US$16,271,528 has been received. 2

Heavy rains continued to impact the divisions of the Far-North region, especially in Logone et Chari where it damaged and destroyed houses, cultivated areas, roads and bridges while worsening tensions between herders and farmers and further constricting access to services and humanitarian assistance. Notably, the flooding of Kousseri led to the forced displacement of over 1,400 households. In addition, Fotokol hosting 16,500 displaced persons is accessible only through pirogues hindering the delivery of assistance. The compounded effect of the flooding and insecurity renders the humanitarian delivery even more difficult. UNDSS reported continuing high numbers of attacks on civilians in Far North region with 23 deaths and 12 wounded or maimed persons bringing it to a total for the year of 321 killed and another 240 wounded or maimed. The largest number of attacks were reported in Mayo Sava division followed by Mayo Tsanaga with 79% of incidents classified by security specialists as ‘terrorism’ related. This follows a shift from the first half of the year when more attacks were affecting Logone et Chari division at the extreme tip of Far North Region, bordering Lake Chad.

Summary Analysis of Response2: Nutrition3 NSAGs’ violence – Lake Chad Basin In the Far-North region, UNICEF worked collaboratively with the Regional Delegation of the Ministry of Public Health and NGO partners ALIMA, HKI, IEDA, ACF, IMC to ensure availability and access for the treatment of severe acute malnutrition (SAM) in 366 health centres through the provision of nutrition supplies (RUTF, therapeutic milk, essential drugs) and WASH kits. Over 3,533 children aged 6-59 months including 32 Nigerian refugee children from Minawao camp were admitted to these UNICEF-supported health centres for treatment under the Blueprint Initiative umbrella. Following the community training of mothers on how to detect malnutrition in their children with MUAC tapes and oedema measurements, 9,823 children from 6 to 59 months were screened using this method. In addition, with other methods, 103,484 children from 6 to 59 were screened of which 715 SAM (severe acute malnutrition) cases were detected with 4,353 cases of MAM (moderate acute malnutrition). All were referred for treatment. Also, in Far North Region, in 11 health districts (Guidiguis, Kaele, Karhay, Mada, Makary, Maroua 1,2,3, Moutourwa, Mindif and Mokolo) 67,378 children aged 6-23 months were enrolled in the home- based food fortification program, each receiving a micronutrient powder sachet every other day.

North-West/South-West Crisis UNICEF partners4 and the Regional Delegation of the Ministry of Public Health screened 40,594 children (21,109 girls and 19,485 boys) in very hard to reach and peri-urban areas. The children were reached in health facilities and through mobile teams. Among them, 178 (0.4%) were identified with SAM and referred for proper treatment. However, access to in-patient care for SAM treatment remain constrained by medical bills (especially for non-UNICEF supported medicines), insecurity and movement restriction. To ensure the continuity of the nutrition response, UNICEF pre-positioned 3 months’ worth of supplies (RUTF, drugs & therapeutic milk) at regional headquarters in Bamenda and Buea. UNICEF partners also carried out joint sensitisation on COVID-19 and infant and young child feeding practices, reaching 43,744 caregivers (27,114 women and 16,630 men). In addition, 2,012 caregivers were trained on family/mother MUAC approach. Following its performance monitoring (CCPM), the Nutrition Cluster identified preparedness and contingency planning as a capacity in need of major and critical strengthening.

Health North-West/South-West Crisis UNICEF supported the Regional Delegation of Public Health to conduct the first round of PIRI during three-days to catch-up children and pregnant women who missed routine vaccination in both regions (Bamenda, Kumba East, Nkambe, Wum, Kumba, Konye and Mamfe). In complement, UNICEF partner CARITAS Bamenda supported the delivery of basic health services to displaced persons and host communities in hard to reach areas in 2 divisions in North-West region (Menchum and Ngo-Ketunjia). A total of 24,636 children 6-59 months were vaccinated with routine vaccination against the most prevalent child killing diseases, including 3,982 children who received MR (measles/rubella) vaccination. Also, 13,544 children received Vitamin A supplementation and 223 children were

2 UNICEF Cameroon is issuing weekly sitreps on its COVID-19 response. These are available on Relief Web 3 Due to the reporting system of the ministry, the admission data of the concerned month is reported in the following month (i.e., April data are reported in May). 4 Reach Out, CBCHS, Action Against Hunger, Lukmef CARITAS Kumba, CARITAS Mamfe, CARITAS Bamenda, SUDAHASER, COMINSUD, Intersos and SHUMAS 3 provided with anti-malaria drugs. Care was also provided for cases of acute respiratory tract infection and severe diarrhoea and over 544 households received treated mosquito nets.

WASH Monthly cholera cases (Jan 2018 to Nov 2020) (Ministry of Public Health) 400 200

Jul-18 Jul-19 Jul-20

Jan-18 Jan-19 Jan-20

Jun-18 Jun-19 Jun-20

Oct-18 Oct-19 Oct-20

Apr-18 Apr-19 Apr-20

Feb-20 Feb-18 Sep-18 Feb-19 Sep-19 Sep-20

Dec-18 Dec-19

Aug-18 Aug-19 Aug-20

Nov-18 Nov-19 Nov-20

Mar-18 Mar-19 Mar-20

May-19 May-20 May-18

NSAGs’ violence – Lake Chad BasinIn Kousseri and Blangoua, UNICEF partners ACDC and DEMTOU assisted 2,828 flood-induced internally displaced persons (728 men, 962 women, 541 boys and 597 girls) with WASH kits and key hygiene messages. Each kit included 6 pieces of soap 250 gr, 1 bucket of 20l with lid, 1 kettle 1l, 1 jerrycan of 10l, 300 Aquatabs tablets, 1 baby potty, and 4 cups of 0.5l. Also, in Kousseri, 1,300 other displaced households (11,300 people) were reached with aquatabs (300 tablets per household) and key WASH messages to treat drinking water and adopt good hygiene practices.

North-West/South-West Crisis In the South-West region, UNICEF partner AFRINET reached 15,480 conflict-affected persons with WASH services including COVID-19 prevention interventions. Key services provided were Water supply, distribution of WASH kits, access to sanitation facilities and promotion of good hygiene and sanitation practices including COVID-19 prevention measures. Also, AFRINET constructed latrine for a total of 4 cabins (200 individual beneficiaries) in Kupe- Manengouba division.

Education NSAGs’ violence – Lake Chad BasinUnder Global Partnership for Education (GPE) funding, UNICEF distributed learning equipment for more than 38,547 children (15,441 girls) and 282 teachers (39 women) in 92 schools in Mayo- Moskota and Makari.

North-West/South-West Crisis UNICEF implementing partners COHEB and MWDA pursued ‘narrow-casting’5 learning sessions for 6,830 out of school children (including 4,381 girls). This included basic math, language and behavioural changing messages related to the COVID-19 pandemic in the South-West region.

Child Protection NSAGs’ violence – Lake Chad BasinIn the Far-North region, UNICEF implementing partner CLiRA identified, referred and facilitated, under its child protection from violence, exploitation and abuse interventions, the enrollment of 400 vulnerable children (208 boys and 192 girls, including 133 living with a disability) into schools practicing inclusive education i.e., formal education with protection services. Among them, 66 children (50 girls and 16 boys) at risk of child marriage and victims of violence, sexual exploitation, and unwanted pregnancies were assisted through counselling, home visits and provided with hygiene kits. Similarly, UNICEF implementing partner COOPI integrated 46 koranic students (17 girls and 29 boys) in 7 formal primary schools in Mayo-Sava and Mayo-Tsanaga localities (Zamai, Moskota, Tourou, Limani, Amchedi, Meme and Kolofata). They all benefited from school kits and indiscriminate in-kind food support along paid parent/teacher association fees. In prevention of seasonal trends on child abuse, exploitation, trafficking and labor, ALDEPA organised 167 sessions of inter-generational/inter-religious dialogue on the consequences of drug consumption, risk of violence and

5 Narrowcasting is defined as the dissemination of information (usually via Internet, radio, newspaper, or television) to a narrow audience; not to the broader public at-large. 4 recruitment and the protection of children. This activity reached 2,799 persons (651 girls, 566 boys, 1.007 women and 575 men).

North-West/South-West Crisis In the North-West and South-West regions, UNICEF implementing partners LUKMEF, CARITAS Kumba, CARITAS Memfe and CARITAS Bamenda reached 7,742 children and caregivers (2,461 girls, 1,937 boys, 1,898 women and 1,446 men) with mental health and psychosocial support. A total of 707 unaccompanied and separated children (595 girls and 112 boys) were identified and assisted. All of them were placed in alternative care and received hygiene kits. Among those previously identified, 10 unaccompanied children (5 girls and 5 boys) were reunified with their families while family tracing is still ongoing for recent cases. To scale up the capacity and quality of child protection response, UNICEF partners (LUKMEF, Street Child, Reach Out and SUDAHSER) deployed Child Protection Case Management (CPCM) services in 6 North-West and South-West divisions (Mezam, Ngo-Ketunjia, Boyo, Meme, Ndian, and Fako). Through case management tools and the GBV (Gender Based Violence) Area of Responsibility referral pathways developed with UNFPA, 8 children (7 girls and 1 boy) received GBV support services. Also, 3,205 persons (992 girls, 842 boys, 779 women and 592 men) were sensitized on GBV and SEA and how to prevent it in peri-urban areas through CBCPMs and community leaders. Thanks to these sessions, communities are more aware of GBV concerns and risks of PSEA and are now referring cases to UNICEF partners.

Communication for development (C4D) NSAGs’ violence – Lake Chad Basin A series of campaigns for the sensitization of families on Reproductive, Maternal, Neonatal and Infant Health (RMNCH) was organized in 20 priority health districts of the North and Far North regions. This was coupled with free delivery of services such as vaccination (for children and pregnant women), antennal care, consultation of minor illnesses and laboratory tests, in various health facilities in each of the 20 selected health districts.

East and Adamaoua Regions (refugee and host community response) The global UNHCR-UNICEF Blueprint initiative for Cameroon was launched in Bertoua on 7 October, it was presided over by the Governor of the East Region. This two-year UNHCR-UNICEF joint initiative aims to transform the quality of life for refugee and host population’s children and their families by doubling access to social services and infrastructures in East and Adamaoua.

Nutrition – In the North, Adamawa and East regions, UNICEF implementing partners (ACF, AHA, HKI, ASAD and OFSAD) and the Regional Public Health Delegation supported 531 health centres with coverage extending to refugee communities. Nutrition supplies were provided (RUTF, therapeutic milk, essential drugs) for children suffering from SAM (Severe Acute Malnutrition) along with WASH kits to ease access to treatment. As a result, 1,853 severely acute malnourished children aged 6-59 months including 112 CAR refugee children, were admitted in these UNICEF- supported health centres for treatment. Also, UNICEF supported community-based Health Workers screening 43,693 children aged 6-59 months. Among them, 137 were detected with SAM (among which 09 with oedema) and were referred for treatment and 379 with MAM were referred to the nearest prevention programme. Also, in East Region, in collaboration with ACF, 191 community health workers were briefed on acute malnutrition screening procedures of children under five, in the health districts of Batouri, Kette and Ndelele.

Child Protection – Collaboratively with the Regional Delegation of Social Affairs, UNICEF and its implementing partners IMC (International Medical Corps) and AMS (Association Main Solidaire) sensitized 1,394 people (142 girls, 1,122 women and 130 boys) on gender-based violence and protection against sexual exploitation and abuse (PSEA). Also, 172 children (96 boys and 76 girls) received community-based psychosocial support. In Garoua-Boulai, through CBCPMs (community-based complaints and feedback mechanisms), 50 children at risk or victims of violence and exploitation (20 girls and 30 boys) were registered. As an early response to these cases and previous ones, 52 cases were referred to community leaders for family mediation, 21 referrals to services were made under case management and 41 mediation sessions with caregivers were organized. Among them, and under the Blueprint initiative umbrella, 122 refugee and host community children benefited from life-skills sessions. Parallelly, CBCPMs’ members organised 27 awareness raising sessions on child protection reaching 923 people in order to inform about the reporting mechanism and subsequent assistance.

C4D - As part of the support program for Central African refugees in 6 municipalities in Adamawa and East regions, a media briefing workshop was organized on the collaboration and the development of the communication plan. The coordinators of the 02 regional platforms of community radios for the East and Adamawa and 04 other urban media (CRTV-East, Radio Aurore, LTMTV and SANS Detour) were involved in the activity. In perspective in this context, the adoption of media plans and the signing of contracts for information and sensitization of refugees are planned. Additionally, there was engagement of 100 community leaders and 20 association leaders for sensitization in their respective localities.

Systems Strengthening • In the Far-North region, on World Toilet Day (November 19), UNICEF facilitated a workshop on community-led total sanitation (CLTS) in Maroua with NGO actors, Diamare local authorities and regional delegations of ministries (Water Resources and Energy (MINEE), Housing and Urban Development (MINHDU), Decentralization and Local Development (MINDDEVEL), and Communications). As a result, municipalities committed to give a central place to sanitation in their municipal development plans currently being updated, including in emergency situations. • In partnership with the Adamaoua Regional Delegation for Public Health, UNICEF developed an inventory and mapping of health centres WASH conditions in all the existing 9 health districts, the first results showing that 42 (24%) out of 174 health facilities do not have safe drinking water points. • Within the framework of the Blueprint Initiative, UNICEF and UNHCR co-led an inter-agency training with 41 PSEA focal points (28 women and 13 men) from 14 organizations including 4 UN Agencies. Each of the 41 focal points drafted an action plan for the prevention of sexual exploitation and abuse by humanitarian workers which they are to implement and monitor in their respective organizations. • UNICEF trained 100 health care providers from neonatal care units and maternity in the district hospitals of the South-West and North-West Regions (Buea, Limbe, Kumba, Bamenda, Batibo, Fundong, Kumbo, Santa and Tubah) on the provision of quality essential newborn care, including the kangaroo method and management of low birth weight/premature babies. • In support of the ‘Clean schools’ initiative of the Ministry of Secondary Education, UNICEF has supported the reinforcement of capacity building in Psychosocial Support, and Risk Mitigation for 1,500 teachers across the country. They will be better equipped to work with children in contexts of insecurity, conflict and displacement.

Humanitarian Leadership, Coordination, Strategy and Partnerships • The Humanitarian/Resident Coordinator leads the overall humanitarian coordination, supported by OCHA. • At the national level, UNICEF and the Government are co-leading the Nutrition, WASH and Education sectors, as well as the sub-sectoral group for Child Protection. • In the Far-North region, OCHA leads inter-sector coordination for out-of-camp refugees, IDPs and host communities, while UNHCR oversees coordination for refugee response in the regions of the East and Adamawa and North. • In response to the crisis in the North-West and South-West, clusters have been activated and UNICEF is the lead for the WASH, Nutrition and Education clusters and the Child Protection Area of Responsibility. • In response to COVID-19 outbreak UNICEF is co-leading with the government the joint pillar on Risk Communications and Community Engagement.6 Latest indications suggest national COVID-19 response planning for 2021 is likely to shift to more integrated approaches into national development and service structures in addition to roll out of COVAX vaccination implementation. • Planning of the 2021 Humanitarian Response Plan (HRP) continued with finalization of regional needs assessments in all parts of the country: North-West, South-West, North and Far North, East and Adamaoua, Littoral and West. Summarizing the assessment findings, the 2020 Humanitarian Needs Overview (HNO) is now being finalized. Consistent with the national strategy, the 2021 HRP will not highlight specific COVID-19 strategies, limiting to integra ration into existing humanitarian approaches.

In March, UNICEF adopted an integrated COVID-19 strategy to ensure that lifesaving and protection interventions are sustained whilst managing the pandemic response. The response has been incorporated into a global COVID-19 appeal and the revised global COVID-19 HRP was launched in May.

6 UNICEF Cameroon is issuing bi-weekly sitreps on its COVID-19 response. These are available on Relief Web. 6

Next SitRep: December 2020 UNICEF Cameroon: https://www.unicef.org/infobycountry/cameroon.html UNICEF Cameroon Facebook: www.facebook.com/unicefcameroon UNICEF Cameroon Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/index.html

Who to Jacques Boyer Arsene Azandossessi Barbara Jamar Representative Deputy Representative-Programme OIC Chief of Field Operations contact for Yaoundé, Cameroon, Yaounde, Cameroon Yaoundé, Cameroon further Tel : +23722223182 Tel: +237222505402 Tel: +23722223182 Fax : +23722231653 Fax: +23722231653 Fax: +23722231653 information: Email : [email protected] Email: [email protected] Email: [email protected]

Annex A Summary of Programme Results

A. National Response Overview Results: includes 1) Boko Haram Violence (Lake Chad Basin Crisis); 2) North-West and South-West Crisis; and 3) CAR Refugee Situation

UNICEF and IPs Response Cluster/Sector Response Change Change since Overall 2020 Total since last 2020 Total Indicators last needs target results report target results* ▲▼ report ▲▼ Nutrition Number of aged 6-59 months affected by 76,450 48,968 69,485 6,128 72,500 67,661 6,096 SAM admitted for treatment Number of caregivers of children reached 400,000 224,664 459,480 63,742 340,000 459,480 63,742 with IYCF counselling Health Number of children (6 months to 05 223,300 38,201 6,218 years) vaccinated against measles Number of families / households that 158,539 14,207 544 have received 1 LLINs Number of people provided with anti- 222,106 12,347 223 malaria drugs Number of children 0 - 59 months provided with essential drugs for acute 29,938 7,462 129 respiratory infections Number of children 0 -59 months provided with essential drugs for 29,938 8,134 64 diarrhoea Number of children 6 - 59 months 75,408 46,977 13,544 provided with Vitamin A Number of children 6 - 59 months 59,876 11,850 2,995 provided with deworming tablet Number of PLW provided with maternal 15,194 517 19 care kits Number of caregivers provided with new- 15,194 389 0 born kits Number of children 0 - 11 months that received required vaccines via routine 17,190 71,690 24,636 immunization WASH Number of affected people with a sustainable access to safe drinking water 1,722,337 77,500 35,654 0 453,973 182,284 44,200 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to 1,692,147 90,000 22,000 200 559,822 56,455 7,290 meet their vulnerabilities Number of people provided with WASH 1,718,984 180,000 170,334 16,768 694,291 315,664 18,308 kits Child Protection Number of children [and caregivers] accessing mental health and psychosocial 1,153,451 141,483 96,574 8,314 350,330 177,304 15,169 support (M/F) Number of unaccompanied and 6,522 2,222 4,278 710 2,502 7,113 911 separated children accessing family-

8 based care or appropriate alternative services (SC/UAC, M/F) Number of Unaccompanied Children 18,158 328 184 10 422 272 10 reunified with families (M/F) Number of crisis-affected children TBD 4,000 4,442 0 15,000 6,458 265 provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or 220 200 231 0 220 286 0 suspected of association) provided with temporary care or family/community- based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention 1,153,451 136,046 37,549 4,673 207,043 61,390 8,728 or response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 1,212,000 57,400 119,384 89,248 460,100 154,280 91,348 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 1,800,000 521,100 186,819 126,702 720,000 210,351 128,225 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 1,800,000 722,000 120,496 0 722,000 194,857 0 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio 1,132,000 30,000 6,830 1,093 58,000 28,288 0 education program Number of victims of attacks on education receiving assistance 1,000 1,000 0 0 1,000 0 0 (CP/Health/ MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages 230,000 937,837 0 on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their 110,000 120 0 needs/concerns

1. NSAGs violence (Lake Chad Basin Crisis)

Number of families / households that have 33,973 0 0 received 1 LLINs Number of people provided with anti- malaria drugs Number of children 0 - 59 months provided with essential drugs for acute respiratory infections Number of children 0 -59 months provided with essential drugs for diarrhoea Number of children 6 - 59 months provided with Vitamin A Number of children 6 - 59 months provided with deworming tablet Number of PLW provided with maternal care kits Number of caregivers provided with newborn kits Number of children 0 - 11 months that received required vaccines via routine immunization WASH Number of affected people with a sustainable access to safe drinking water 742,120 37,500 3,000 0 233,000 105,200 38,700 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to meet their 742,120 30,000 0 0 155,000 7,463 840 vulnerabilities Number of people provided with WASH 742,120 50,000 19,757 2,828 160,000 121,942 2,828 kits Child Protection Number of children [and caregivers] accessing mental health and psychosocial 291,750 88,341 45,111 400 241,820 67,778 2,673 support (M/F) Number of unaccompanied and separated children accessing family-based care or 350 180 690 3 350 1,846 182 appropriate alternative services (SC/UAC, M/F) Number of Unaccompanied Children 350 80 70 0 100 114 0 reunified with families (M/F) Number of crisis-affected children TBD 3,000 4,366 0 12,000 6,050 215 provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) 220 200 231 0 220 286 0 provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 291,750 66,256 2,142 66 120,910 2,220 74 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 232,000 12,000 98,159 90,255 63,100 98,159 90,255 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 400,000 91,000 173,051 128,225 130,000 173,051 128,225 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 400,000 201,000 52,796 0 201,000 40,910 0 trained in psychosocial support and/or conflict and disaster risk reduction

Number of boys and girls who reportedly listen to at least 50% of the radio 232,000 10,000 0 0 38,000 0 0 education program Number of victims of attacks on education receiving assistance (CP/Health/

MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages 120,000 520,473 15 on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their needs/concerns

2. North-West and South-West Crisis

UNICEF and IPs Response Cluster/Sector Response Change Change since Overall 2020 Total since last 2020 Total Indicators last needs target results report target results* ▲▼ report ▲▼ Nutrition Number of aged 6-59 months affected by 3,000 2,500 918 174 2,500 918 18 SAM admitted for treatment Number of caregivers of children reached 170,000 110,000 217,031 43,744 150,000 217,031 19 with IYCF counselling Health Number of children (6 months to 05 127,875 38,201 6,218 years) vaccinated against measles Number of families / households that 68,158 14,207 544 have received 1 LLINs Number of people provided with anti- 222,106 12,347 223 malaria drugs Number of children 0 - 59 months provided with essential drugs for acute 29,938 7,462 129 respiratory infections Number of children 0 -59 months provided with essential drugs for 29,938 8,134 64 diarrhoea Number of children 6 - 59 months 59,876 46,977 13,544 provided with Vitamin A Number of children 6 - 59 months 59,876 11,850 2,995 provided with deworming tablet Number of PLW provided with maternal 15,194 517 19 care kits Number of caregivers provided with new- 15,194 389 0 born kits Number of children 0 - 11 months that received required vaccines via routine 13,147 71,690 24,636 immunization WASH Number of affected people with a sustainable access to safe drinking water 879,000 30,000 23,602 0 140,000 65,332 5,500 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to meet their 879,000 50,000 22,000 200 348,000 44,742 6,450 vulnerabilities Number of people provided with WASH 879,000 120,000 150,577 13,940 456,000 193,722 15,480 kits 11

Child Protection Number of children [and caregivers] accessing mental health and psychosocial 703,407 35,542 49,426 7,742 104,093 107,661 12,496 support (M/F) Number of unaccompanied and separated children accessing family- 3,418 1,656 3,582 707 2,152 5,267 729 based care or appropriate alternative services (SC/UAC, M/F) Number of Unaccompanied Children 3,418 248 114 10 322 158 10 reunified with families (M/F) Number of crisis-affected children TBD 1,000 76 0 3,000 408 50 provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 703,407 60,000 32,272 3,213 86,133 59,170 8,654 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 900,000 45,400 6,830 1,093 355,000 39,626 1,093 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 1,200,000 400,100 0 0 548,000 20,805 0 materials Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 1,200,000 321,000 64,096 0 321,000 125,566 0 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio 900,000 20,000 6,830 1,093 20,000 6,830 0 education program Number of victims of attacks on education receiving assistance 1,000 1,000 0 0 1,000 0 0 (CP/Health/ MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages 110,000 417,364 265,431 on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their 110,000 120 0 needs/concerns

3. CAR Refugee Situation

UNICEF and IPs Response Cluster/Sector Response Change Change since Overall 2020 Total since last 2020 Total Indicators last needs target results* report target results* ▲▼ report ▲▼ Nutrition Number of aged 6-59 months affected by 31,700 31,700 28,429 1,041 29,000 27,151 1,041 SAM admitted for treatment

Number of caregivers of children reached 80,000 50,000 132,008 0 70,000 132,008 0 with IYCF counselling Health Number of children (6 months to 05 years) 54,862 0 0 vaccinated against measles Number of families / households that have 56,408 0 0 received 1 LLINs Number of people provided with anti- malaria drugs Number of children 0 - 59 months provided with essential drugs for acute respiratory infections Number of children 0 -59 months provided with essential drugs for diarrhoea Number of children 6 - 59 months 15,532 0 0 provided with Vitamin A Number of children 6 - 59 months provided with deworming tablet Number of PLW provided with maternal care kits Number of caregivers provided with newborn kits Number of children 0 - 11 months that received required vaccines via routine 4,043 0 0 immunization WASH Number of affected people with a sustainable access to safe drinking water 101,217 10,000 9,052 0 80,973 11,752 0 to address their vulnerabilities Number of affected people with an access to adequate basic sanitation to meet their 71,027 10,000 0 0 56,822 4,250 0 vulnerabilities Number of people provided with WASH 97,864 10,000 0 0 78,291 0 0 kits Child Protection Number of children [and caregivers] accessing mental health and psychosocial 158,294 17,600 2,037 172 4,417 1,865 0 support (M/F) Number of unaccompanied and separated children accessing family-based care or 2,754 386 6 0 appropriate alternative services (SC/UAC, M/F) Number of Unaccompanied Children 14,390 0 0 0 reunified with families (M/F) Number of crisis-affected children provided with a birth certificate Number of children associated with armed groups (including children released from detention and/or suspected of association) provided with temporary care or family/community-based reintegration support (M/F) Number of children and women accessing GBV risk mitigation, prevention or 158,294 9,790 3,135 1,394 response interventions Education Number of boys and girls (3 to 17 years) affected by crisis accessing to quality 80,000 0 16,495 0 42,000 16,495 0 formal or non-formal basic education Number of boys and girls (3 to 17 years) affected by crisis receiving learning 200,000 30,000 16,495 0 42,000 16,495 0 materials

Number of boys and girls (3 to 17) affected by crisis attending education in a classroom where the teacher has been 200,000 200,000 15,490 0 200,000 16,495 0 trained in psychosocial support and/or conflict and disaster risk reduction Number of boys and girls who reportedly listen to at least 50% of the radio education program Number of victims of attacks on education receiving assistance (CP/Health/

MHPSS/Disability, etc, on a case by case basis) Communication for Development Number of people reached with key lifesaving & behaviour change messages on Essential Family Practices (EFPs) Number of people reached by mechanisms to voice their needs/concerns

Annex B Funding Status*

Funds available* Funding gap Appeal Requirements Funds Received Sector Carry-Over $ % Current Year Nutrition 7,500,000 473,557 152,787 6,873,656 92%

Health / HIV 8,698,000 1,503,230 169,644 7,025,126 81%

WASH 6,721,000 3,140,751 8,845 3,571,404 53%

Child Protection 11,058,000 2,186,176 1,569,692 7,302,132 66%

Education 7,753,000 0 530,785 7,222,215 93%

C4D 2,715,000 25,000 80,000 2,610,000 96%

Emergency Preparedness 1,000,000 1,122,731 926,603 0 0% and Response

Total 45,445,000 8,451,445 3,438,356 33,555,199 74% * As defined in Humanitarian Action for Children (HAC) appeal of 29 January 2020 for a period of 12 months. For the nutrition sector, activities received help from multi-annual development funding received from KfW (Germany), of which $5m was programmed for HAC targets. Non-HAC channelled contributions were also receive for Education, through the Global Partnership for Education (GPE) and for C4D (Communications 4 Development), through the UN (United Nations) Peace-Building fund.

Funds available* Funding gap Appeal Requirements Funds Received Sector Carry-Over $ % Current Year North- West/South- 25,015,789 7,964,718 2,887,146 14,163,925 57% West Crisis NSAGs violence 12,877,546 423,727 401,210 12,052,609 94% (LCB) CAR Crisis 7,551,665 63,000 150,000 7,338,665 97%

Total 45,445,000 8,451,445 3,438,356 33,555,199 74% * As defined in Humanitarian Appeal of 29 January 2020 for a period of 12 months