Nigeria NIGERIA / Humanitarian NICEF/2018 Report Situation ANDREW ESEIBO/UANDREW 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) Mobbar LGA, the 18 July abduction of six aid workers, and killing of one driver, has made humanitarian road movements between Maiduguri and 7.1 million Damasak very difficult. In Pulka (Gwoza 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 1 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- Gubio-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 Nganzai 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 Adamawa State, 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 Yola North and Girei reporting the highest numbers of cases (259 and 140 cases respectively), while Yola South and Song have recorded a much smaller number of cases (34 and 1 case respectively). In Borno, at least four LGAs (Bama, Monguno, 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 Yobe state. 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, Bursari, Geidam, Gulani, Jakusko, Karasuwa, Nguru and Yusufari) 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 Mafa 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 Damboa (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.