CAMEROON Humanitarian Dashboard January to March 2021

SITUATION OVERVIEW Cameroon continues to be affected by three, concurrent, complex registered its ﬁrst case. humanitarian situations caused by the conflict and violence in the Far Despite the efforts deployed, the severity of humanitarian needs in North region, hostilities in the North-West and South-West regions and the Cameroon keeps growing due to the prolonged crises, increasing presence of over 300,000 refugees from the Central African Republic (CAR) insecurity and displacement, the impact of COVID-19, as well as climate in the eastern regions (East, Adamawa and North). Humanitarian needs are change related effects such as floods, which eroded remaining household compounded by structural development weaknesses and chronic resilience. As a result, in 2021, 4.4 million people need humanitarian vulnerabilities that further challenge the long-term recovery of affected assistance. The Humanitarian Response Plan (HRP) 2021 targets 3 million people. This already complex preexisting situation has been aggravated by people in need of urgent assistance and requires US$ 362 million to the negative ripple effects linked to COVID-19 pandemic that hit strongly in provide sustainable support for people in need. particular the most vulnerable ones since March 2020 when Cameroon

KEY FIGURES (as of March 2021) Humanitarian Proﬁle People Reached Humanitarian Partners

Per Crisis 168 organisations 4.4M people in need 48 95 North-West and 137 South-West 164 3M Lake Chad Basin people targeted 877K 137 CAR refugees 155 reached 35 29% 112 reached 19 877K 167 12 4 3 people reached NNGO INGO117 GVT UN RCRC Faith Agencies Movement based

Internally Displaced Persons Refugees Funding*

1M Internally Displaced Persons 437K refugees from CAR and Nigeria 59.6M received as of 1 May 2021

Received 391M 1100 437K 440 Unmet 51% 362M 1.0M 320M 82% 426 In USD 850 55% 299M 785K 412 409K 56% 600 232M 238M 398 31% 51% 350 382K 49% 384 238K 69% 224K 45% 100 370 49% 44% 2017 2018 2019 2020 2021 Jan-20 Apr-20 Dec-20 Mar-21 16%

Months Months 2016 2017 2018 2019 2020 2021 2021 HUMANITARIAN RESPONSE PLAN FUNDING* PER CLUSTER Received Unmet TOP 10 DONORS REQUIRED RECEIVED UNMET % FUNDED USA $27.5M 361.6M Sweden $6.3M REQUIRED Refugee Response $115.7M - $115.7M - Japan $6M Food Security $73M $28.7M $44.3M 39% Germany $4.6M UK $4.3M Protection $50.5M $5.2M $45.3M 10% Canada $4M Nutrition $26M - $26M - ADB $1.6M WASH $22.4M - $22.4M - ECHO $1.6M Education $21.4M $1M $20.4M 5% France $1.5M 16.5% Shelter & Non-Food Items $16.3M $1.2M $15.2M 7% Denmark $0.7M Health $15.5M $2.9M $12.6M 19% FUNDED TOP 10 RECIPIENTS Coordination $13.3M $1.4M $11.9M 11% WFP $30.3M Early Recovery $7.3M $0.7M $6.6M 9% UNICEF $5.6M Multiple Field clusters (shared) - $2.6M - IRC $5.5M Not speciﬁed - $15.9M - UNHCR $4.6M WHO $2.8M IOM $2.7M 59.6M NRC $2.2M RECEIVED ACF $1.4M OCHA $1.4M * Funding received as of 1 May 2021 (in millions USD). This represents the report received by FTS from donors/recipient as of date. PLAN $1.2M

• Publication date : 16 June 2021 • Next update: 15 July 2021 • Sources: Sectors/Clusters • Feedback : [email protected] https://www.humanitarianresponse.info/en/operations/cameroon Page 1 Response monitoring

TARGETED 3M targeted of 4.4M in need REACHED by population category by sex and age 832K Girls 450K 816K Boys

864K 458K 337K 1M 359K 677K Women 576K Men IDPs Returnees Refugees Host Other** Communities 66K Older women 14K 59K Older men

877K reached REACHED 73K 33K

by population category by sex and age 247K 234K Girls 233K Boys 59K 59K 1K 168K 382K 267K 191K Women 173K Men IDPs Returnees Refugees Host Other* Communities 19K Older women 27K Older men

The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations.

STRATEGIC OBJECTIVES AND HUMANITARIAN CONSEQUENCES SO1: Reduce mortality and morbidity of 1.5 million people affected by crisis 1.5M 1.5M 275K people people people in need targeted reached

Specific objectives TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE SP1.1: 1.5 million vulnerable people affected by crisis beneﬁt from immediate minimum food, nutrition, 1.5M 274.7K 114.5K 154K 6.2K - 18% WASH, shelter and lifesaving health services by the end of 2021 SP1.2: The morbidity and mortality rate of communicable diseases and other public health threats remain - 36.9K 26.5K 10.5K - - under their respective threshold by the end of 2021 in the regions affected by crisis SO2: Reduce the protection needs of 1.1 million people affected by crisis 1.1M 1.1M 712K people people people in need targeted reached Specific objectives TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE SP2.1: By the end of 2021, 1.1 million people are reached with inclusive prevention and 1.1M 712.1K 247.7K 450.2K 14.3K - 65% response activities on protection risks; including effective and accessible referral pathways SO3: Reduce vulnerabilities and strengthen resilience of 830,000 people affected by crisis

830K 830K 196K people people people in need targeted reached

Specific objectives TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE SP3.1: By the end of 2021, 720,000 vulnerable people affected by crisis have indiscriminatory, regular and safe 720K 195.8K 11.7K 78K 106K - 27% access to quality basic services SP3.2: By the end of 2021, the use of negative coping strategies is mitigated for 380,000 vulnerable people 380K 1.7K - 1.7K - - 0% affected by crisis through inputs, capital and skills for livelihood activities and coordinated response approach

* Other represents people who are not displaced or not hosting displaced people or refugees

As of 31 March 2021, almost 2 million people were displaced within cent of the assessed villages, followed by cough (reported in 63 per cent of HUMANITARIAN ACCESS COVID-19 Cameroon, either as internally displaced persons (IDPs), refugees or the villages) and diarrhea (reported in 41 per cent of the villages). The humanitarian response remained limited due to severe access The COVID-19 pandemic continued to affect the population of Cameroon. returnees. Cameroon was hosting almost 447,000 refugees and asylum Psychological disorders were reported as being primary health issues in 7 challenges, including the lack of funding, insecurity, physical access Following a second peak in June-July 2020, Cameroon started facing seekers, including about 321,000 refugees from the Central African per cent of the assessed villages. challenges and bureaucratic impediments. another significant upsurge in COVID-19 cases in December 2020. As of 31 Republic and almost 114,000 from Nigeria. The country also counts over 1 It is estimated that the crisis in the North-West and South-West Regions March 2020, Cameroon counted 57,337 confirmed cases, including 851 million internally displaced people and about 466,000 returnees, mainly in Access in the Far North remained challenging in the first quarter of 2021, has left around 700,000 children out of school. The reasons why displaced deaths (Case Fatality Rate: 1.5 per cent). the North-West, South-West and Far North regions. mostly due to insecurity. After a slight decrease in attacks by non-State children did not go to school cited in the February MSNA are because armed groups (NSAGs) in January 2021, an increase in security incidents The increase in the number of COVID-19 cases also concerns the United 2.6 million people, 10.1 per cent of the population of Cameroon, are food schools are destroyed (61 per cent), because of insecurity (53 per cent) or had been observed in February and March 2021 in the conflict affected Nations (UN) and NGOs staff in Cameroon, negatively affecting insecure according to the Cadre Harmonisé analysis of March 2021. The the fact that functional schools are too far away (31 per cent). School divisions of Mayo-Sava, Mayo-Tsanaga and Logone et Chari. Attacks humanitarian operations, particularly due to the increase of social food situation is assessed globally as acceptable thanks to relative high children, educational facilities and teachers continue to be targeted. carried out by NSAGs during the day, considerably limited humanitarian distancing and movement restrictions. production levels by households and the great diversity of foodstuffs in Several attacks on school personnel and facilities were reported during the operations, especially in the Mayo-Tsanaga division. households. Meanwhile, the situation is described as rather precarious in reporting period in both regions. As of 22 March, the UN and NGOs in Cameroon reported 323 cumulative the North-West, South-West, Far-North, Littoral and West regions, due to The use of Improvised Explosive Devices (IED) is becoming more frequent cases and four deaths with 27 active cases among their staff. The number of Central African refugees located in the eastern regions of violence and insecurity as well as the additional pressure by displacement and sustained, especially in the North-West and South-West regions, but Cameroon, has increased from 293,000 in December 2020 to almost On 5 March, in his special communication following the significant on household food stocks. also in the Far North region. 302,000 in March 2021. Mounting tension and hostilities before, during increase of COVID-19 cases, the Prime Minister reiterated the rigorous A multi-sectoral needs assessment which was carried out in the Far North and after the 27 December 2020 Presidential elections in the Central Cases of abductions, including of UN/NGO staff, continued to be reported observance of preventive measures. He also announced the arrival of more in December 2020 found that food is the priority need for the displaced African Republic led to a new flight of Central Africans to Cameroon. in the North-West and South-West regions. Overall, the humanitarian than a million doses of vaccines to strengthen the COVID-19 prevention population as well as for the host community, followed by access to Despite borders remaining officially closed between the two countries due operating environment remained challenging, as lockdown days, system in Cameroon. roadblocks and checkpoints and insecurity continued to restrict drinking water and health for the host community and shelter for the to COVID-19-related movement restrictions, people fleeing CAR have been To meet the main needs of the health response (personal protective humanitarian operations. displaced population. allowed to enter Cameroon to seek asylum. 6,692 new Central Africans equipment especially for health personnel, handwashing stations in arrived in Cameroon as of 3 March. However, movement monitoring and From 17 January to 4 February 2021, more than 18,000 people have On 26 March, a United Nations convoy, on a post-distribution monitoring schools, IDPs and refugees’ sites camps; reinforced communication on trends suggest that the actual figures are higher than the reported reportedly returned to Amchidé, Limani et Moskota localities in the mission was attacked by a non-State armed group (NSAG) in Ikata village, barrier measures and vaccines), the Government of Cameroon, with the estimates, as refugees are scattered in small villages along the border and Mayo-Sava division in the Far North region thanks to the rehabilitation and 41km from Buea, the capital of the South-West region. The convoy, which support of UN partners (WHO, UNICEF, WFP, UNDP) continued to have not been able to approach UNHCR due to distance or lack of construction of basic social services and road infrastructures, included two armoured vehicles (AVs) with six UN staff members was strengthen the medical teams in the field and provided substantial knowledge. construction of security sector infrastructures, assistance in attacked with stones and gunshots by a group of young men. The mission logistical support mainly, masks for health facilities in the Far North and in income-generating activities, support to farmer’s organizations and The already vulnerable refugee population is in urgent need of protection was immediately aborted, and the team returned safely to Buea a few the East and strengthened the cold chain in anticipation of the arrival of security sector strengthening. services, food, shelter and essential household items, and education. In hours later although the AVs were severely damaged. This attack on a UN the announced vaccines. addition, they need health care supplies and water, sanitation and hygiene convoy is the first of its kind in the North-West and South-West regions. On 10 February, the Governments of Nigeria and Cameroon and UNHCR Despite the efforts, the response to COVID-19 faces many challenges, services to prevent the spread of diseases. Most of the new arrivals need Following this incident, the UN decided to suspend food distributions and Cameroon announced the planned voluntary return of 5,000 Nigerian including the limited social mobilization among the population for the sufficient financial means to pay for their children’s education fees, health humanitarian missions in this area until further notice. refugees from the Minawao refugee camp in the Far North region of vaccination, a lack of funding, as some donors are reluctant to fund care and other basic needs. Beyond the life-saving humanitarian Cameroon. As of 6 April 2021, 3,058 Nigerian refugees were voluntarily Overall, many areas are difficult for humanitarian actors to access due to COVID-19 vaccination communication activities. assistance and access to basic social services, they also need access to returned to Banki and Bama, located in Borno State in Nigeria. the poor road conditions and insecurity, particularly in the North, Far economic opportunities and productive resources (financial and North, and North-West and South-West regions. Under these conditions, Widespread insecurity in the North-West and South-West regions of non-financial) with the aim of building their socio-economic resilience and air transport provided by UNHAS is the safest and most reliable way to Cameroon continued to result in abuses against civilians and led to forced maintaining livelihoods. reach the intervention sites. Beyond operational support, UNHAS services displacements. Protection continues to be a major humanitarian concern Most refugees in Cameroon live with host communities. New arrivals are are also a critical component of duty of care policy. Airstrips in Tiko and in the two regions. Early pregnancy was reported as one of the top three being accommodated in villages spread across Garoua Boulai locality as Mamfe (South-West remained closed since January 2020 over safety and protection issues in 32 per cent of the villages assessed during a well as around the Batouri locality, both in the East region. Meanwhile, as security concerns resulting from the lack of equipment and deployed local multi-sectoral needs assessment (MSNA) carried out in February 2021, of 3 February, over 1,200 of the new refugees were transferred to the Gado aviation authorities’ personnel. Meanwhile, UNHAS continued to operate followed by gender-based violence (30 per cent) arbitrary detention (29 per settlement (East), where partners have been building and rehabilitating two flights per week to Bamenda (North-West), Maroua (Far North) and cent), lack of civil documentation (29 per cent). emergency shelters, water infrastructure, including 40 communal latrines Garoua (North). 49 per cent of the almost 411,000 IDPs in the North-West and South-West and showers, while distributing core relief items (CRIs), dignity kits and regions live with host families, 51 per cent of IDPs live in self-settled or food assistance as well as providing protection services, especially to makeshift shelters or rented homes. Many IDPs struggle to access children at risk and gender-based violence (GBV) survivors. As the Gado Non-Food Items (NFIs), mostly because they are too expensive (95 per site was reaching full capacity, UNHCR was working with local authorities cent), because they are not available in the market (33 per cent), or to find a location for a new site and to identify new villages to allocate the because it is dangerous going to the market (26 per cent). The February new arrivals. Hosting refugees in identified villages is foreseen as one of MSNA also found that access to drinking water and latrines decreased the best ways to ensure access to basic needs and protection services since August 2020. In 14 per cent of the assessed villages, key informants with an aim of achieving self-reliance for both the refugees and host reported that only a few people had enough water to meet their needs. In communities. more than 49 per cent of the assessed villages displaced populations faced challenges to access water points because they were too far. In COORDINATION more than 74 per cent of assessed villages, key informants reported that The humanitarian operating environment in all regions affected by crises displaced persons had problems in accessing latrines because they were remained challenging due to various access constraints (financial, unhygienic. insecurity, physical, administrative) and the impact of COVID-19. OCHA continued to support the various coordination mechanisms and ensured The February MSNA identified 893 health facilities in both regions, 694 of overall coherence and cooperation between operational and strategic which were functional. There is a slight increase in the number of decision-making bodies. UNHCR continued to lead the multi-sector functional health facilities recorded during this assessment (78 per cent), refugee response coordination of humanitarian operations, including on in comparison to the August 2020 MSNA (71 per cent) and access by the COVID-19 response, in the Adamawa, East and North regions and in displaced people has increased, but time to reach the health facility is still urban centers. an issue. Malaria was reported as being the primary health issue in 93 per

HEALTH Situation overview Response humanitarian actors. • Improved access to specialized services such as trauma and mental • 2,820 home visits and 157 educational sessions were conducted by health care by deploying trauma surgeons and clinical psychologists to Community Health Workers (CHWs). These sessions were able to reach strategic health facilities in the North-West and South-West, and Far 4,507 persons (1,817 girls/women and 2,690 boys/men) on health and North (Minawao camp by IMC and in the Region by OIM). nutrition themes including COVID-19 in the Far North. • Support was provided to the Ministry of Health in COVID-19 preparedness • Capacity building of health personnel: 25 on the management of severe and response activities. acute malnutrition (CMAM), 26 on the management of child and infant • Training of 185 members of rapid response teams to investigate and diseases (IMCI), 22 on emergency obstetric and neonatal care (BEmONC). respond to cases. • Support to national vaccination campaign against poliomyelitis. • Training of 74 data clerks for data management. • Training of 135 health personnel on case management and infection Gaps/Challenges prevention and control. • Low funding of the response. • Training of 9 health personnel on the management of severe cases. • Challenging access to certain areas in the North-West and South-West • Provision of equipment to the emergency operation center and health Regions. facilities for better coordination of the response. • Interruption of humanitarian response activities due to lack of funds. • Extension and Intensive care units in North-West and South-West to • Little or no compliance with preventive measures against COVID-19. increase patient management capacity. • Vaccine hesitancy for the vaccine against COVID-19. • Reinforced community-based surveillance of outbreak-prone through • Low data feedback by humanitarian actors. EWARS diseases in the North-West and South-West regions using EBS • Poor replenishment of care inputs at the level of Community Health and AVADAR in Far North. Workers. • Vaccination campaign against cholera in 2 health districts in the • Difficulties in referral of cases of complications going beyond our South-West region. capacity (following the withdrawal of the MSF partner from Maroua • Awareness campaigns at the community level by the various Regional Hospital). Humanitarian profile Humanitarian profile people reached by category HRP funding as per 1 May percentage of people reached percentage of people reached percentage of funding HRP21 by sex 1.8M 59K 15.5M people in need displaced people HRP requirements * 1.6M - 2.9M #N/A people targeted returnees Funding HRP 2021 4% FEMALE 19% REACHED REACHED FUNDED 59K - people reached host community Result achieved SpO 1.1: 1.5 million vulnerable people affected by crisis benefit from immediate minimum food, nutrition, WASH, shelter and lifesaving health services by the end of 2021 KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of people receiving health care in the affected areas 1.3M 268K 114K 154K - - 21% Number of victims of trauma who underwent taken mental load and psychosocial care 374K 3K 3K 9 - - 1% Percentage of births carried out by skilled health personnel 95 14 15 10 12 13 15% Percentage of GBV who received health care in affected areas 100 - - - - - 0% SpO 1.2: The morbidity and mortality rate of communicable diseases and other public health threats remain under their respective threshold by the end of 2021 in the regions affected by crisis KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of community health workers trained to raise awareness of good practices to reduce the risk #N/A* 160 160 - - - #N/A* of epidemics Number of kits prepositionned in risk areas #N/A* 10 10 - - - #N/A* Percentage of alerts investigated in 72h 80 - - - - - #N/A*

* #N/A means data not available or not reported

NUTRITION Situation overview Needs (vaccination, distribution of long-lasting insecticidal nets, • The March 2021 SMART/SENS survey was conducted by the Ministry of awareness-raising, etc.), Home-based Food Fortification programs with Health, with the financial and technical support of UNICEF and UNHCR. micronutrient powders and Infant and Young Child Feeding (IYCF) • A relative stable situation related to acute malnutrition for Cameroonian counselling and support in emergencies. population in the four regions assessed (5,9% in the Far North, 4,8% in • The BSFP reached 25,927 children (7,519 boys and 16,853 girls) aged 6 the North, 3,8% in the Adamawa, 4,5% in the East) to 23 months in areas affected by the CAR crisis; 30,930 children (15,156 • A high prevalence of acute malnutrition among Central African refugees boys and 15,774 girls) in Far North and 10,610 children (4,991 boys and (12,5% in sites and outside of sites), which has deteriorated overall 5,619 girls) and 6,819 pregnant and lactating women (PLW) in the compared to 2016 (9,6% and 8,8% respectively). North-West and South-West. • An increase in severe acute malnutrition (SAM) among Nigerian refugees • 5,864 children with severe acute malnutrition were treated, including 51 in the Minawao camp, (1,7%) compared to 2016 (0,2%). Nigerian refugees, in the Far North and 6,252 children were treated in the North, Adamawa and East regions (including 320 CAR refugees). • A very high prevalence of stunting everywhere, with a maximum of 1 in 2 children affected in the refugee sites and camps. • In the North-West and South-West regions adapted intervention strategies were used such as the child comprehensive response • In coordination with UNHCR and other sector’ partners, there is a need to mechanism (CCRM – UNICEF multisectoral integrated response continue to strengthen nutrition assistance to the CAR refugees and mechanisms in hard to reach areas) and mobile clinics, which helped to reinforce the preparedness plan for early action in 2021 (new arrivals). access the affected population in hard to reach areas. 18 health workers • In the South-West and North-West, severe acute malnutrition rates vary in the South-West were trained on SAM management - geared to increase from 0 to 2 per cent depending on areas where screening can be done the capacity of the healthcare system in SAM treatment. (partners monitoring data). Gaps/Challenges Response • In the North-West and South-West need to (i) strengthen resources • The humanitarian response is focused on key emergency nutrition mobilization to conduct Rapid Nutrition Assessments (RNA); (ii) scale up interventions in six regions (Far North, North, Adamawa, East, nutrition interventions and in particularly (iii) strengthen the South-West and North-West); with a particular focus on the treatment of identification and treatment of SAM cases. acute malnutrition in children aged 6-59 months and community-based • Regrading BSFPs, given the limited resources, WFP has developed prevention of malnutrition targeting young children, pregnant and prioritization plans to target the most vulnerable. lactating women and girls. • 1 million USD are needed to secure the Ready-to-Use Therapeutic Food • The community-based prevention package includes Blanket (RUTF) pipeline for the second semester in 2021. Supplementary Feeding Programs (BSFP) serving as a platform integrating various promotional activities adapted to the context Humanitarian profile Humanitarian profile people reached by category HRP funding as per 1 May percentage of people reached percentage of people reached percentage of funding HRP21 by sex 480K 10.4K 26M people in need displaced people HRP requirements 301K 1.4K 0M 51% people targeted returnees Funding HRP 2021 35% FEMALE 0% REACHED REACHED FUNDED 112K* 70.4K people reached host community

Result achieved SpO 1.1: 1.5 million vulnerable people affected by crisis beneﬁt from immediate minimum food, nutrition, WASH, shelter and lifesaving health services by the end of 2021 KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of new admissions of boys and girls, 6 -59 months in the integrated management of severe 83K 12K - 6K 6K - 14% acute malnutrition programme Number of severely acutely malnourished boys and girls, 6-59 months, with access to SAM treatment 4K 132 132 - - - 3% in South West and North West Regions Proportion of men participating in awareness sessions in nutrition programs (%) 50 30 30 30 30 30 30%

SpO 3.1: By the end of 2021, 720,000 vulnerable people affected by crisis have indiscriminatory, regular and safe access to quality basic services KEY INDICATORS TARGETED REACHED NW#N/A** SW LCB CAR REF. OTHER COVERAGE Number of boys and girls aged 6-23 months enrolled in the Blanket Supplementary Feeding Programme 80K 85K 12K 34K 39K - 106% Number of pregnant and lactating women enrolled in the Blanket Supplementary Feeding Programme 9K 8K 8K - - - 89%

* People reached includes as well "others" who are not displaced or hosting displaced people or refugees

PROTECTION Situation overview Response Highlights identified and placed in alternative care while the process for family tracing and reunification takes place. Protection • 223 individuals (59 girls, 88 boys and 76 adults) were provided with birth • 89 community-based structures were trained on the identification of certificates and/or other civil status documentation during the reporting specific needs in the Far North region by multiple Protection Sector period. partners. • 2,468 individuals (55% female) in need of civil documentation or identity Gaps and needs documents were assisted in all the North-West, the South-West and the Far North regions where lack of civil documentation is a key factor to Protection protection risks such as arbitrary arrests and a barrier to school • COVID-19 has put a halt to several capacity-building initiatives of the enrollment. Protection Sector for protection partners and local authorities. • 697,880 individuals were covered by protection monitoring activities • Despite a widespread presence of protection monitors, many zones in the across the North-West, South-West and Far North regions, allowing North-West and South-West regions remain inaccessible for monitoring, protection actors to update their protection analysis and adjust their assessment and response to protection needs. response accordingly. • There is currently no dedicated funding to strengthen the community-based approach within the Sector including training of local GBV actors and community-based structures. • 4,622 (66% female and 31% children) people at risk of GBV including GBV • There is a poor ownership by the communities of the protection referral survivors received at least one form of assistance (psychosocial, medical, pathways and the need for the Sector to review its service mapping and legal, livelihood). pathways in all three regions. • 5,889 women and girls (26% girls) received dignity kits (2,430 in the GBV North-West and South-West and 3,459 in the Far North) • in most cases, post-rape kits are not available in the health facilities in • 5,440 women and girls (4,114 in the North-West and South-West and the Far North, in fact only 13% of cases of rape have benefited from 1,326 in the Far North) benefited from safe space activities. post-rape kits in the health facilities within the 72hrs of the incident. • 2,368 children and women (28% children) accessed GBV risk mitigation • There is a critical need to scale up lifesaving GBV services and advocate activities. for access to reach affected communities in hard-to-reach areas in the • 86,773 people (34,649 in the North-West and South-West and 53,124 in North-West and South-West. the Far North) were reached by GBV awareness raising messages, • Referral pathways are not up to date. sensitization, and referrals. • Reinforce remote psychosocial support and GBV case management • 2,791 people (47% children) were reached activities engaging men and through a community-based approach. boys, Its mainly awareness raising sessions especially for men and boys through Focus Group Discussions on GBV prevention- causes, • Increase Cash and Voucher Assistance (CVA) to support access to GBV consequences, protection/promotion of women and girls' rights and and other sexual and reproductive health services, and contribute to the sensitization on the punishment of perpetrators of GBV according to the safety, dignity and resilience of women and girls in humanitarian context. Penal Code • Support capacity building/reinforcement of GBV frontline workers on caring for child survivors, GBV case management and clinical management of rape. Child Protection • Provide financial assistance to facilitate access to physical assault • A total of 17,043 children and caregivers were reached with different services child protection interventions. • 4,195 children and caregivers (2,419 girls, 1,256 boys and 520 adults) Child Protection were reached with mental health and psychosocial support in psychosocial support units, child friendly and other safe spaces. • Increased insecurity due to intensified clashes between government • Child Protection AoR actors reached 7,538 children and caregivers (2,569 security forces and non-State armed groups (NSAGs) as well as girls, 1,782 boys and 3,187 adults) with awareness raising sessions on increasing use of improvised explosive devices (IEDs) hampered the child protection, GBV and COVID-19 preventative measures. response to the identified needs of children and adolescents. • In case management, CP AoR actors reached 511 children (278 girls and • There is a limited number of Child Protection AoR actors with capacity 233 boys) throughout the South-West and North-West regions, out of and funding to respond to identified needs of children and adolescents. which 105 children were unaccompanied and/or separated who were • Referral Pathways need to be updated to reflect the reality on the ground.

Humanitarian profile Humanitarian proﬁle people reached by category HRP funding as per 1 May percentage of people reached percentage of people reached percentage of funding HRP21 by sex 992K #N/A* 50.5M people in need displaced people HRP requirements * 743K #N/A* 5.2M #N/A people targeted returnees Funding HRP 2021 94% FEMALE 10% REACHED REACHED FUNDED 698K #N/A* people reached host community

Result achieved

SpO 2.1 By the end of 2021, 1.1 million people are reached with inclusive prevention and response activities on protection risks; including effective and accessible referral pathways KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of children and care-givers accessing mental health or psycho-social support 683K 11K - 11K - - 2% Number of community-based structures trained on identification of specific needs (disability, 2K 89 - 89 - - 4% elderly, chronical illness, UASC) Number of conflict-affected persons having benefited from civil or identity documentation 181K 2K 307 2K - - 1% support (including birth certification) Number of persons covered by protection monitoring activities 918K 698K 248K 450K - - 76% Number of persons referred to relevant protection actors in order to receive legal assistance 11K - - - - - 0% (excluding GBV cases) Number of persons who received life-saving VBG services 12K 862 - 862 - - 7% Number of staff from local and national authorities trained on protection standards and policies 2K - - - - - 0%

SpO 3.1: By the end of 2021, 720,000 vulnerable people affected by crisis have indiscriminatory, regular and safe access to quality basic services KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of annual sector/cluster work plans including prevention, mitigation and response to 8 - - - - 0% identiﬁed protection risks Number of staff across sectors/ clusters trained on centrality and mainstreaming of Protection 10 - - - - 0%

SHELTER AND NFI Situation overview Needs persist cash modality should be considered by the humanitarian • Critical need for additional funding to scale up lifesaving services in all community as an alternative. Feasibility studies need to be implemented three regions by the relevant sectors jointly. • In the North-West, South-West and Far North there is the need to Gaps/Challenges strengthen resources mobilization to conduct Shelter Assessments and • According to partners authorities ban on metal elements in the shelter kit scale up shelter/NFI interventions is preventing the effective response in certain areas. In the event the ban • Very low predictability in assistance provision. Humanitarian profile Humanitarian proﬁle people reached by category HRP funding as per 1 May percentage of people reached percentage of people reached percentage of funding HRP21 by sex 1.5M 125K 16.3M people in need displaced people HRP requirements 727K - 1.2M 50% people targeted returnees Funding HRP 2021 19% FEMALE 7% REACHED REACHED FUNDED 139K** 14K people reached host community

Result achieved SpO 1.1: 1.5 million vulnerable people affected by crisis beneﬁt from immediate minimum food, nutrition, WASH, shelter and lifesaving health services by the end of 2021 KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of households to be assisted with emergency shelter 85K 4K 3K 666 - - 5% Number of households to be assisted with transitional shelter 163K - - - - - 0% SpO 3.1: By the end of 2021, 720,000 vulnerable people affected by crisis have indiscriminatory, regular and safe access to quality basic services KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of households to be assisted with core relief Items 352K 25K 2K 23K - - 7% Number of households to be assisted with subsidies rental 129K - - - - - 0%

* #N/A means data not available or not reported ** People reached includes as well "others" who are not displaced or hosting displaced people or refugees

WATER, SANITATION AND HYGIENE Situation overview Needs Response • 1.1 million were targeted out of the 1,6 million people (37 percent IDPs, • As of 31st March 2021, a total of 36,934 people has benefited of an 19 percent returnees and 44 percent host communities) who are in need assistance in the Water, Sanitation and Hygiene (WASH) sector. A total of of humanitarian assistance to access safe drinking water, and adequate 16,845 people benefited of new safe drinking water point facilities In Far basic sanitation and hygiene services. North, South-West and North-West regions. • Need of strengthening capacities of WASH actors at different level for an • The WASH cluster/sectors coordination platforms were active and adequate response. functional at national and regional level (North-West, South-West, Adamaoua and Far North region) Gaps/Challenges • Many interventions carried out by WASH actors for resource mobilization • Strengthen WASH sector coordination platform in the East and North in order to scale up the response region. • Online training of on Infection Prevention and Control of WASH actors • As very few projects are in pipe, there is need of resource mobilization for was carried out with the Support of UNICEF. WASH assistance provision across affected regions. • Less than 5 per cent of people in targeted have benefited of WASH • Lack of funding constitute one of the main challenges for the Wash assistance during the first quarter. sector. Humanitarian profile Humanitarian profile people reached by category HRP funding as per 1 May percentage of people reached percentage of people reached percentage of funding HRP21 by sex 1.6M #N/A* 22.4M people in need displaced people HRP requirements * 1M #N/A* 0M #N/A people targeted returnees Funding HRP 2021 4% FEMALE 0% REACHED REACHED FUNDED 37K #N/A* people reached host community Result achieved SpO 1.1: 1.5 million vulnerable people affected by crisis benefit from immediate minimum food, nutrition, WASH, shelter and lifesaving health services by the end of 2021 KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of affected population with sustainable access to safe drinking water 916K 17K 6K 11K - - 2% Number of affected population gaining access to sustainable basic sanitation services 667K 9K 1K 9K - - 1% SpO 1.2: The morbidity and mortality rate of communicable diseases and other public health threats remain under their respective threshold by the end of 2021 in the regions affected by crisis KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Proportion of people beneficiaries of a minimum WASH package based on their vulnerability 1M 37K 26K 11K - - 4% SpO 3.1: By the end of 2021, 720,000 vulnerable people affected by crisis have indiscriminatory, regular and safe access to quality basic services KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Percentage of functionnal sectorial group/cluster 70 71 100 100 100 - 71%

* #N/A means data not available or not reported

REFUGEE RESPONSE Humanitarian profile Humanitarian proﬁle people reached by category HRP funding as per 1 May percentage of people reached percentage of people reached percentage of funding HRP21 by sex 693K 168K 115.7M people in need refugees HRP requirements 554K 10K - people targeted host community Funding HRP 2021 32% 53% 0% REACHED REACHED FUNDED 178K people reached Result achieved SpO 2.1: By the end of 2021, 1.1 million people are reached with inclusive prevention and response activities on protection risks; including effective and accessible referral pathways KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of prevention and response action to gender-based violence and child protection issues 65K 17K - 13K 4K - 26% Number of refugee involve in durable solutions (voluntary repatriation and resettlement) 11K 2K - 2K - - 18% Number of refugees issued with a valid document 204K 15K - 765 14K - 7% Number of refugees recognized through an individual refugee status determination procedure 2K - - - - - 0% Number of refugees registered 132K 9K - 926 8K - 7% SpO 3.1: By the end of 2021, 720,000 vulnerable people affected by crisis have indiscriminatory, regular and safe access to quality basic services KEY INDICATORS TARGETED REACHED NW#N/A** SW LCB CAR REF. OTHER COVERAGE Number of person with access to basic services (education and health) 439K 121K - 78K 43K - 28% Emergency shelter and Non food Item 18K 4K - 4K - - 22% Number of boreholes and other water supply mechanisms rehabilitated 30 - - - - - 0% Number of refugees receive food assistance on a monthly basis (# in cash and vouchers and # in kind) 185K 168K - 68K 100K - 91% SpO 3.2: By the end of 2021, the use of negative coping strategies is mitigated for 380,000 vulnerable people affected by crisis#N/A** through inputs, capital and skills for livelihood activities and coordinated response approach KEY INDICATORS TARGETED REACHED NW SW LCB CAR REF. OTHER COVERAGE Number of person with Self-reliance and livelihood opportunities 10K - - - - - 0% Number of refugee household using renewable sources of energy and involve in protection of the 470 2K - 2K - - 100% environment

• Publication date : 16 June 2021 • Next update: 15 July 2021 • Sources: Sectors/Clusters • Feedback : [email protected] https://www.humanitarianresponse.info/en/operations/cameroon Page 10