Nigeria / Humanitarian NICEF/2018 Situation Report

ANDREW ESEIBO/U ANDREW

1-31 July 2019 Highlights 4.2 million The reporting period witnessed a high number of security incidents in Borno, Children in need of humanitarian assistance including two critical incidents directly affecting humanitarian activities. In (Humanitarian Response Plan, 2019) LGA, the 18 July abduction of six aid workers, and killing of one driver, has made humanitarian road movements between and 7.1 million very difficult. In Pulka ( LGA), water supply has temporarily People in need of humanitarian assistance in decreased to only 4 liters of water per person per day, following the killing of the northeast states of Borno, Adamawa & the driver of an INGO-rented water truck by a road-planted IED on 23 July. Yobe (HRP, 2019)

The nutrition sector pipeline is at immediate risk of rupture, with a predicted 6.1 million stock out of life-saving Ready-to-Use Therapeutic Food (RUTF) in more than People targeted in the northeast states of

500 Outpatient Therapeutic Programme (OTP) sites by October. UNICEF Borno, Adamawa and Yobe (HRP, 2019) requires at least USD 3.5 million to place orders for RUTF (and an additional USD 3.4 million for regular nutrition activities). All nutrition sector partners 1.79 million rely on this RTUF pipeline to treat severe acutely malnourished children. Internally displaced people in Adamawa, Borno and Yobe states UNICEF’s response with partners (IOM DTM Round XXVII, May 2019)

UNICEF Sector/Cluster UNICEF Appeal 2019

UNICEF Total Cluster Total US$ 120.1 million Target Results* Target Results* Nutrition: Number of FUNDING STATUS 2019* children aged 6 to 59 months 158,488 83,719 264,146 161,809 with SAM admitted to therapeutic care WASH: Number of people provided with access to safe 649,800 964,160 3,500,000 Carry water forward: Health: Number of 39.1 million consultations for internally 1,140,000 2,801,529 Required displaced and affected host $120.1m communities Child Protection: Number of Funding gap: children reached with $ 60.5 million Funds psychosocial support, 287,500 214,971 575,000 324,328 received including access to child current year: friendly spaces $20.5 million Education: Number of children affected by crisis 1,050,000 23,729 1,584,131 46,044 accessing formal or non-formal * Funds available includes funding received against basic education current appeal as well as funds received in 2018 (including for activities in 2019). *Total Results are cumulative, since January 2019

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Situation Overview & Humanitarian Needs

The security situation in northeast Nigeria remained volatile with a significant spike in the number of security incidents registered in the second half of July compared to the first half of the month.

Two critical incidents impacting humanitarian actors were recorded during this reporting period in Borno, resulting in the further reduction of humanitarian access along the Maiduguri- -Damasak road as well as the Gwoza-Pulka road. On 18 July, an attack on civilian vehicles traveling through Kinnari in Mobbar LGA resulted in the death of a rental car driver and the abduction of six aid workers (including one INGO staff member). Negotiations for the release of the abducted workers are still underway at the time of reporting. Additionally, on 23 July, an NGO-rented water truck traveling on the Pulka-Gwoza road ran over a road-planted IED, resulting in the death of the driver and the injury of his assistant. In another particularly violent incident on 27 July, armed men entered Damaran village in LGA and killed 12 local civilians, returning to the same location later in the day to kill a further 58 civilians.

Ongoing conflict, military operations and poor living conditions resulted in 6,590 new arrivals and 2,131 departures across the three northeast states during the reporting period1. The period also witnessed returnees to Nigeria from Cameroon (1,363), Chad (183) and Niger (273). Overall population movement remained somewhat lower than in recent months due to the onset of the rainy season, which is hampering road access.

Cholera continues to pose a significant threat to the lives of conflict-affected communities. In , 434 cholera cases were recorded by the end of July, with 4 deaths (representing a case fatality rate of 0.92 %). The outbreak has been restricted to four LGAs, with and reporting the highest numbers of cases (259 and 140 cases respectively), while and Song have recorded a much smaller number of cases (34 and 1 case respectively). In Borno, at least four LGAs (Bama, , MMC and Jere) have reported cholera alerts, with samples currently being tested in the national laboratory to confirm the official declaration of an outbreak.

The nutrition response is reporting urgent funding shortfalls, which have already forced the closure of some activities (including outreach through UNICEF community mobilizers) and is now threatening to halt nutrition activities in 7 UNICEF-supported LGAs of . In addition, UNICEF urgently requires funding for the nutrition sector pipeline for Ready-to-Use Therapeutic Food (RUTF). Given the delivery time for this commodity, UNICEF requires additional funds as soon as possible to avoid an RUTF pipeline break in October.

Estimated Population in Need of Humanitarian Assistance (Estimates calculated based on initial figures from HRP 2018 and HNO 2019)

Start of humanitarian response: Total (Million) Male Female Comment Total Population in Need 7.1 3.8 3.3 46%F, 54M (2019HRP) Children (Under 18) 4.2 1.0 3.1 58% (2019HRP) Children Under Five 2.8 1.1 2.7 HNO 2019 Children 6 to 23 months 803,414 417,775 385,639 HNO 2019

Pregnant and lactating women 1,074,321 - 1,074,321 HNO 2019

1 The IOM DTM ETT for the month of March 2

Summary Analysis of Programme Response

Nutrition During the reporting period, a total of 13,349 children with severe acute malnutrition (SAM) were admitted for treatment 2 in 431 UNICEF supported treatment facilities in the three northeast states. The overall performance indicators were within the Sphere standards at 96 per cent cure rate, 2.5 per cent defaulter rate, 0.5 per cent death rate and 1.0 per cent non-respondent. A total of 40,761 new caregivers were reached with infant and young child feeding (IYCF) counselling and 18,343 children aged 6 to 23 months received micronutrient powder (MNP) respectively. These results were achieved through: • Community-based nutrition screening of 1,461,660 children aged 6 to 59 months. All children with SAM were referred to treatment sites. • On-the-job coaching and supportive supervision to ensure quality services in 334 outpatients therapeutic programme (OTP) sites, 24 stabilization centers (SCs), 238 IYCF corners, 298 mother support groups and through 1,290 community nutrition mobilizers in Borno and Yobe states.

In addition, a three-day Integrated Nutrition Training was conducted in 8 LGAs of Yobe State (Bade, , , , , , Nguru and ) to strengthen the capacity of 362 health workers and eight nutrition fact panels (NFPs) to ensure the delivery of quality nutrition services.

Health A total of 280,072 IDPs and host community members were reached with integrated primary health care (PHC) services in UNICEF supported health facilities in the three northeast states, including 124,311 children under five (44 per cent of total patients). Out of these, 144,808 consultations were conducted by UNICEF and partners, with malaria being the major cause of morbidity (with 37,2741 consultations, followed by 27,399 for acute respiratory infection, 17,477 for acute watery diarrhoea, 913 for measles, and 61,745 for other medical conditions). A total of 127,257 prevention services were recorded during this reporting period: • 6,488 children between 6 months and 15 years were vaccinated against measles (routine immunization) • 47,038 children and pregnant women were reached with various other antigens (21,369 children received Vitamin A supplementation and 25,849 received Albendazole tablets for deworming) • 22,870 pregnant women were reached with ante-natal care (ANC) • 4,310 women were assisted with safe deliveries • 3,374 women received post-natal care

WASH Significant gaps exist in access to water across the three northeast states, with Pulka experiencing a particularly dire situation of only 4 liters of water per person per day. Responses have been hampered by a range of factors, including insecurity, lack of available space for the establishment of WASH facilities, inadequate designs, and lack of funds for sector partners.

Windstorms hit LGA in Borno, destroying nearly 60% of the existing WASH facilities and disrupting services for 11,029 people in GGSS camp. As the WASH provider of last resort, UNICEF partnered with TdH to fill the existing gaps in Mafa for three months. WASH actors also continue to address the humanitarian needs of 10,358 individuals displaced into (Unity Phase 2 and GSSSS School) from Sabon Gari, including through water trucking.

WASH partners (UNICEF, SI, IRC and IOM) are responding to an ongoing cholera outbreak in Adamawa with water source chlorination, household disinfection, distribution of non-food items (NFIs), aquatabs and hygiene promotion. Partner presence in Adamawa remains low compared to needs, and there are gaps in available resources and capacities. Water source chlorination and monitoring of FRC (free residual chlorine) remain a high priority in affected LGAs.

2 This is based on 94.2% reporting rate 3

In Borno, an increased number of cholera alerts were received in July, including in Monguno, Bama (Bama and Banki), MMC and Jere LGAs. Testing of samples to confirm cholera is underway. UNICEF, through the WASH sector pipeline, provided 3,900 WASH kits to AAH for immediate distribution in cholera hot spot areas (including Damasak, Gubio, Monguno, Mobbar, Kaga, Jere, Nganzai and LGAs).

Education In July 2019, UNICEF and partners improved access to 5,650 children in Borno (Damboa, Jere, and Maiduguri LGAs) and Yobe (Bade, Bursari, Fune, Karasuwa, Machina, , Nguru, and LGAs). Another 10,335 children (4,858 girls and 5,477 boys) were provided with essential teaching and learning materials in Borno (Konduga LGA) and Yobe (Bade, Fune, , Karasuwa and Potiskum LGAs).

In addition, a total of 1,557 students (844 girls and 713 boys) were provided with dignity/sanitary kits (each kit contains soaps, detergent, Vaseline and - for girls - sanitary pads) in Jere, Konduga and Maiduguri LGAs of .

A total of 359 teachers (117 females and 242 males) received supplementary training in life skills and mine risk education in Gwoza LGA in Borno. A further 1,555 members of School-based Management Committees (437 females and 1,118 males) were trained in school management and emergency preparedness & response. SBMC members included 147 children (76 girls and 71 boys) from 87 schools in Adamawa (, , Girei, , Guyuk, Guyuk , Hong, , , , Mubi North, , Numan, , Song, Yola North and Yola South LGAs), Borno (Bama, Gwoza, Jere and MMC LGAs), and Yobe (Bade and Fika LGAs).

Child Protection Child protection partners reunified 34 unaccompanied or separated children (10 girls and 24 boys) with their families, and placed 68 children (32 girls and 36 boys) in alternative care arrangements with foster families.

During the reporting period, the UNICEF-supported Bulumkutu rehabilitation center in Maiduguri received 151 individuals including 18 children (all boys) from the government-run deradicalization center in Gombe State (part of Operation Safe Corridor). All children are receiving comprehensive case management, psychosocial support (PSS) and education services from UNICEF and its implementing partners. PSS services were also provided to 40,688 children (19,144 girls and 21,544 boys) in Borno, Adamawa and Yobe with 12,872 adolescents (5,944 girls and 6928 boys) receiving life skills training. A further 98 community volunteers (43 women and 61 men) were trained on innovative approaches to enhance their child protection skills.

Eight children (one girl and seven boys) formerly associated with non-state armed groups (NSAG) in Borno were profiled and provided with reintegration services in Maiduguri. Meanwhile, 22 boys in the process of reintegration in Mafa LGA completed skills training on welding, tailoring/embroidery and nut grinding, and received business start-up tools.

UNICEF and partners provided specialized case management to 28 survivors of gender-based violence (GBV) (8 girls and 20 women). Another 12 survivors (11 girls and 1 woman) received dignity kits. Additionally, 762 individuals (460 women and 302 girls) participated in skills acquisition sessions in soap and pomade making, cap making, knitting, etc.

External Communication Within the reporting period, UNICEF continued highlighting the urgent needs of children and women affected by the conflict and advocating for protection, which included media work on: • A polio vaccination campaign that took place in the northeast in July, where UNICEF used its social media platforms to create awareness on the campaign; and • The handing-over of water treatment chemicals to the state, an event which attracted substantial local media coverage .

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Supply UNICEF supported the State Ministries of Health in the three states with a total of 131 Nigeria Health Kits to support 65,500 people. In addition, UNICEF provided 15,514 boxes of Ready-To-Use Therapeutic Food (RUTF) for 19,393 children, and 19,400 packs of micronutrient powder for 216 children to nutrition sites.

Funding In 2019, UNICEF is requesting US$ 120.1 million to reach 2.67 million people, including 1.77 million children. Funds currently available amount to US$ 59.6 million. This includes US$ 39.1 million “carry-forward”* from grants received in 2018 (consisting mainly of funds reserved for programming in 2019 and beyond). In the reporting period, a new contribution was received from DG ECHO (European Civil Protection and Humanitarian Aid Operations). In addition to an urgent need for additional funds to avoid an RUTF pipeline break in October, UNICEF’s ability to provide an integrated package of WASH, nutrition and health services for the survival and development of vulnerable children is also hampered by a 50 per cent funding gap, with all sectors currently underfunded except education.

Funding Requirements (as defined in the 2019 Humanitarian Action for Children (HAC) Funds available Funding gap Funds Received Current Appeal Sector Requirements Year Carry Forwards * $ %

29,000,000 2,358,825 3,164,068** 23,477,107 81% WASH

24,000,000 680,501 22,687,890*** 631,609 3% Education

16,700,000 787,006 2,066,179 13,846,815 83% Health

31,000,000 15,594,994 8,432,612 6,972,394 22% Nutrition

18,200,000 733,687 1,619,227 15,847,085 87% Child Protection

1,200,000 382,514 1,095,406 - 0% EPR

Total 120,100,000 20,537,528 39,065,382 60,497,090 50%

* “Carry-forward” refers to all unutilized funds received by UNICEF during the previous year, often for activities that span more than one calendar year. The 2018 carry-forward includes several grants received in December 2018, for the implementation of activities in 2019. ** The “carry-forward” of the WASH section includes two grants for emergency response activities outside of the northeast, including USD 1.5 million for floods response in Niger, Kogi, Anambra, Delta, Rivers and Bayelsa states. *** Education funds available are multi-year and do not reflect actual amount available. The actual funding gap is therefore higher than indicated.

Next SitRep: August 2019

For further Peter Hawkins Pernille Ironside Nicki Bennett Representative Deputy Representative. Emergency Manager information UNICEF Nigeria UNICEF Nigeria UNICEF Nigeria contact: Tel: +234 803 402 0870 Tel: +234 803 4035273 Tel: +234 803 4035235 Email: [email protected] Email: [email protected] Email: [email protected]

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Annex A SUMMARY OF PROGRAMME RESULTS UNICEF and IPs Sector Response Change Change Overall 2019 Total since last 2019 Total since last needs3 Target Results* report Target Results* report NUTRITION Number of children aged 6-59 months with SAM admitted to therapeutic care for specified period 367,526 158,488 83,719 13,349 264,146 161,809 35,257 Proportion of children 6-59 months with severe acute malnutrition recovered >75% 96% >75% 1,395,118 Number of caregivers of children 0-23 months with access to IYCF counselling for appropriate feeding 1,062,764 305,474 231,992 67,888 763,685 553,433 82,447 Number of new children 6-23 months in the affected areas receiving multiple micronutrient powder 282,034 108,773 18,590 577,200 131,741 21,162 HEALTH Number of children 6 months - 15 years vaccinated against measles 720,230 1,369,682 6,488 Number of consultations for IDPs and affected host communities 2,000,000 1,140,000 2,801,529 280,072 WATER, SANITATION & HYGIENE Number of people having adequate access to temporary safe water facilities and services as per sector’s standard 172,096 65,000 38,5294 6,000 130,000 197,300 55,200 Number of people gaining access to adequate safe water facilities and services as per sector’s standard through new construction and rehabilitation of water systems 3,269,818 149,800 157,001 21,000 400,000 201,441 36,325 Number of people whose water systems functionality is supported by sustained operations and maintenance5 3,441,914 500,00 768,630 0 3,100,000 996,377 36,579 Number of people that have access to gender and disability sensitive sanitation facilities 1,552,772 300,000 177,485 42,928 1,000,000 689,109 80,507 Number of people benefiting from sustained desludging and cleaning of their latrines as per sector’s standard 1,552,772 500,000 527,790 105,790 1,000,000 596,623 105,790 Number of people benefiting from sustained environmental sanitation services (solid waste management) 1,552,772 500,000 224,558 0 1,000,000 594,125 0 Number of people reached with handwashing behaviour-change programmes to prevent hygiene related illness in children. 3,441,914 1,550,00 274,282 0* 3,100,000 659,895 70,494 CHILD PROTECTION Number of children reached with psychosocial support, including access to child friendly spaces6 840,000 287,500 214,971 40,688 575,000 324,328 63,704 Number of registered unaccompanied and separated children benefitting from alternative care arrangements 1,500 380 68 3,000 675 74 Number of unaccompanied and separated children reunified with their families 1,500 700 125 34 1,400 164 35 Number of children released from armed forces or groups who have benefited from community reintegration support 10,000 7,000 1,018 8 10,000 1,018 8 Number of children, adolescents and caregivers benefitting from mine risk education 770,000 237,500 10,339 0 475,000 138,654 59,245

3 HRP Nigeria 2019 4 Sector uses site population to calculate beneficiaries. UNICEF only counts the number of people benefitting from a certain volume of water being provided at SPHERE standards (15l/p/d). If the entire population is being reported, each person receives much less than 15lpd. 5 The HRP target for this indicator is 575,000 for children and caregivers, however, UNICEF is only reporting on the number of children, 500,000. * Beneficiaries reached by UNICEF have been covered in previous months by UNICEF or other partners, hence they are not counted as new beneficiaries

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Number of women and children provided with prevention interventions to address gender-based violence 40,000 33,292 1,006 N/A 0 Number of women and children provided with response interventions to address gender-based violence 1,400 1,024 40 N/A 0 EDUCATION7 Number of girls and boys (aged 3 to 17 years) affected by crisis accessing inclusive education 1,239,820 1,050,000 23,729 5,650 1,584,831 46,044 17,432 Number of out-of-school children affected by crisis accessing formal and non-formal basic education and receiving appropriate learning materials 2,847,464 1,050,000 100,142 10,335 1,584,831 161,909 38,595

Number of teachers trained in psychosocial support skills and positive discipline 20,000 4000 2,684 0 6000 2,883 40 Number of children attending education in a classroom where the teacher has been trained in psychosocial support. 1,600,000 320,000 177,646 0 480,000 189,826 2000

7 Education’s indicators were rephrased in June to properly highlight UNICEF actions for conflict affected children 7