UNICEF NIGERIA COUNTRY OFFICE HUMANITARIAN SITUATION REPORT Sitrep no. 03, 01-31 March 2018 Nigeria Humanitarian UNICEF/Nigeria/Mark Naftalin UNICEF/Nigeria/Mark Situation Report Highlights 01- 31 March 2018 The reporting period witnessed high levels movement of IDPs, with a 4.5 million total of 16,542 new arrivals, 3,068 departures and 201 transit Children in need of humanitarian assistance movements across 33 LGAs in Borno and Adamawa States. (Humanitarian Response Plan, 2018) A total of 35 new cases of Acute Watery Diarrhea (AWD) with 3 deaths 7.7 million were reported in Yusufari and Bade LGAs, Yobe State. Laboratory People in need of humanitarian assistance in tests confirmed the presence of cholera. the northeast states of Borno, Adamawa and A total of 195,804 medical consultations were supported by UNICEF Yobe for 2017 (Humanitarian Response Plan, in 2018, out of which 91,184 consultations were made within the 2017) reporting period. 6.1 million UNICEF and its implementing partners have provided critical child People targeted in the northeast states of protection services to 200,160 children and caregivers in the crisis- Borno, Adamawa and Yobe (Humanitarian affected states of Borno, Adamawa and Yobe since the start of 2018. Response Plan, 2018) Though critically underfunded at 80% and 90%, WASH and Health 1.5 million reached a total 128,446 and 195,804 conflict-affected people Internally displaced people in Adamawa, respectively during the reporting period. Increased funding is Borno and Yobe states urgently required in these Sectors for an integrated UNICEF response (IOM DTM Round XXI, February 2018) to crises-affected children in north east Nigeria. 16,542 UNICEF’s Response with Partners Newly displaced people UNICEF Sector/Cluster (IOM DTM Round XXI, February 2018) UNICEF Total Cluster Total FUNDING STATUS 2018* Target Results* Target Results* Nutrition: Number of Children aged 6 to 59 months with SAM 215,292 63,309 307,516 92,449 admitted to therapeutic care Carry WASH: Number of people forward provided with access to safe 1,050,000 794,040 2,100,000 794,040 amount: water $ 43.9 m Health: Number of consultations for IDPs and TBC 637,206 affected host communities Funds Child Protection: Number of received children and adolescents Funding gap: current year: 367,050 151,266 540,000 194,773 $ 87.3 m benefiting from PSS services $17.7m and life skills Education: Number of children accessing learning *Funds available include funding received for through rehabilitated 562,250 3,880 626,200 5,545 the current appeal year as well as funds classrooms/established carried-forward from the previous year temporary learning spaces. *Total Results are cumulative, since January 2018 UNICEF NIGERIA COUNTRY OFFICE HUMANITARIAN SITUATION REPORT Sitrep no. 03, 01-31 March 2018 Situation Overview & Humanitarian Needs More than 1.634.000 people remain internally displaced across the three north eastern states of Adamawa, Borno and Yobe, of whom 83.5% are in Borno1. The reporting period witnessed a high level of movement, with a total of 16, 542 new arrivals, 3,068 departures and 201 transit movements recorded across 33 LGAs in Borno and Adamawa states. The main reasons for the returns are improved security and voluntary relocation, while new displacement is propelled by poor living conditions, fear of attack, ongoing conflict and military operations2. On 23rd March, the Nigerian Government announced its intention to facilitate the return of IDPs from Maiduguri to Bama LGA. Bama currently has the largest number of displaced people (203,374) still outside of the LGA, and at the same time also hosts the highest number of IDPs (49,139 persons DTM Round XXI) of all Borno LGAs. The first voluntary returns exercise, supported by a government package of 10,000 Naira cash, a 50kg bag of rice, and a bag of maize flour per family, was scheduled for 2nd April. Humanitarian actors have emphasized the importance of ensuring that all returns processes take place in a safe, voluntary, and dignified manner, and take into consideration the capacity of state and other actors to meet the needs of returnees. As of 31st March, 133 cases of Acute Watery Diarrhea (AWD) with 12 deaths (a case fatality rate of 9%) were reported in Bade and Yusufari LGAs of Yobe State. Laboratory tests confirmed the presence of cholera. WASH and health partners - including UNICEF, WHO, VCM, MSF Spain, State Ministry of Health (SMoH), State Primary Health Care Board (SPHCMB) and LGAs authorities - are responding in the affected areas. Meanwhile, the number of cholera cases in Kukawa LGA continues to decline following responses by UNICEF and partners. A total number of 639 cases and 3 deaths were reported at the end of March (resulting in a case fatality rate of 0.5%). On 1st March, members of a non-state armed groups attacked the military camp in Rann, killing seven military personnel. Hostilities also resulted in the deaths of three humanitarian workers (including a doctor working for a UNICEF contractor) and the abduction of three female health workers (including a nurse working for a UNICEF contractor). Humanitarian activities in Rann were suspended as a result of the attack, temporarily leaving the local population and an estimated 40,000 IDPs without life-saving assistance. The attack also resulted in the closure of the only school in Rann, thus halting learning opportunities for 7300 children (46% of whom are girls) and the destruction of 2,700 school bags with essential learning materials prepositioned in preparation for new enrolment. All teachers have moved to Maiduguri following the attack. Estimated Population in Need of Humanitarian Assistance (Estimates calculated based on initial figures from HRP 2018 and HNO 2018) Start of humanitarian response: Total (Million) Male Female Comment3 Total Population in Need 7.7 3.3 4.4 57%F, 43M (2018 HNO/HRP) Children (Under 18) 4.5 2.0 2.5 58% (2018 HRP) Children Under Five 1.5 0.6 0.9 20% (VTS used for 2018 HNO) Children 6 to 23 months 0.5 0.2 0.3 6% (Nutrition sector estimate) Pregnant and lactating women 0.6 0.6 8% (Nutrition sector estimate) Humanitarian Strategy UNICEF in 2018 is focusing on improving the quality of its response, in addition to continuous scale up of delivery to populations in need in Borno, Yobe and Adamawa states in coordination with the Government, other United Nations agencies, and non-governmental organizations (NGOs). UNICEF is providing targeted services to the most affected within IDP and host communities; in locations where both are present, UNICEF aims to provide equal access to services. IOM DTM Round XXI (February 2018). 2 IO2M ETT reports March 2018 3 Estimated Planning figures are from Humanitarian Needs Overview (HNO), Humanitarian Response Plan (HRP) and Vaccination Tracking System (VTS). UNICEF NIGERIA COUNTRY OFFICE HUMANITARIAN SITUATION REPORT Sitrep no. 03, 01-31 March 2018 UNICEF has continued to diversify and strengthen its partnerships, and has signed 11 new Programme Cooperation Agreement (PCAs) with NGOs. To deliver nutrition services, UNICEF has supported the State Primary Health Care Development Agency (SPHCDA) to set up 35 outreach sites in Borno (MMC 21; Jere 9; Mafa 3 and Konduga 2) and 26 in Yobe (Barde 3; Karasuwa 3; Jakusko 4; Nguru 3; Bursari 4; Geidam 3; Gulani 3 and Yusufari 3). In addition, 10 mobile teams have been established in Gwoza, Pulka, Izge, Bama, Banki, Damasak, Kukawa, Gubio, Rann and Dikwa of Borno providing integrated nutrition services to 50 sites. Summary Analysis of Programme Response Nutrition During the reporting period, 21,890 children with severe acute malnutrition (SAM) were admitted to UNICEF-supported treatment facilities in the three north-east states. Overall, the performance indicators for the community management of acute malnutrition (CMAM) are within the Sphere standards, with 93.5 per cent cure rate, 4.7 per cent defaulter rate, 0.7 per cent non-responder and 0.4 per cent death rate. A total of 10,497 children (6 – 23 months) received micronutrient powder and 7,802 new mothers/caregivers were reached with support and counselling on infant and young child feeding. These results were achieved through: 1. Continued active SAM case detection at the community level: a total of 1,664,380 children under five years of age were screened, out of which 15,889 children with SAM were identified and referred to the treatment centers. 2. Continued treatment and follow up at the OTPs. In addition, programme monitoring was improved through the training of 31 LGA facilitators (7 females and 24 males) and 32 nutrition focal persons (23 females and 9 males) on real time data collection and reporting from the health facilities to the LGAs and states for Borno and Yobe states. Health A total of 195,804 persons, including children, were reached with Causes of morbidity integrated primary health care (PHC) services in UNICEF-supported (#consultations) health facilities in the IDP camps and host communities in the three north- Malaria 27,853 eastern States. A total of 91,184 consultations were conducted by UNICEF Respiratory infection 21,440 and partners, with malaria being the major cause of morbidity (27,853), Acute watery diarrhoea 11,448 followed by acute respiratory infection (21,440), acute watery diarrhoea Measles 155 (11,448), measles (155) and other medical conditions (30,288). Others medical conditions 30,288 A total of 100,434 prevention services were recorded during this reporting period. This includes: 4,092 children (6months-15 years) who were vaccinated against measles 60,528 children and pregnant women who were reached with various other antigens (including 10,495 children who received Vitamin A supplements and 22,375 people who received Albendazole tablets for deworming) 13,930 pregnant women who were reached with ante-natal care, and 14 pregnant women in Adamawa State who received mosquito nets 2,026 safe deliveries 2,160 women who received post-natal care.