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Humanitarian

Situation Report Vanoorsouw /

NICEF/2018

U

Highlights 1-31 January 2019 • An intensification of the armed conflict in northeast Nigeria since 4.2 million Children in need of humanitarian December 2018 is threatening the lives and livelihoods of hundreds assistance (Humanitarian Response Plan, of thousands of civilians, with more than 60,000 newly displaced 2019) people coming from conflict-affected areas within the three northeast in January 2019. 7.1 million • Of particular concern is the situation of an estimated 40,000 people People in need of humanitarian assistance in Rann (Kale Balge LGA) affected by active hostilities that killed in the northeast states of Borno, Adamawa dozens of civilians on 14 and 27 January. After fleeing the violence & Yobe (HRP, 2019) on foot to , approximately 9,000 people were forcibly

returned into Nigeria in mid-January. Since then, the majority of the 6.1 million Rann population is believed to have again crossed into Cameroon, People targeted in the northeast states of where humanitarian partners are providing emergency assistance in Borno, Adamawa and Yobe (HRP, 2019) the settlement of Goura (Far North).

• The humanitarian situation is also dire in and in 60,118 newly displaced ’s Teacher’s Village Camp, where more than 17,000 newly People arriving in the northeast states in

arrived displaced people are sleeping under open skies because the month of January 2019 there is no space to build new shelters. (IOM DTMETT, February 2019)

UNICEF’s response with partners UNICEF Appeal 2018

US$ 120.1 million

UNICEF Sector/Cluster Funding status* (US$)

UNICEF Total Cluster Total Funds received: Target Results* Target Results* $1.6M Nutrition: Number of children aged 6 to 59 months 158,488 11,627 266,009 11,627 with SAM admitted to therapeutic care WASH: Number of people provided with access to safe 649,800 220,113 3,500,000 404,547 Required: Carry-over: water $120.1M $39.1M (33%) Health: Number of consultations for internally 1,140,000 178,912 displaced and affected host communities Child Protection: Number of Funding gap : children and adolescents 287,500 50,861 575,000 82,289 $79.4M (66%) benefiting from psychosocial support services and life skills * Funds available includes funding received against Education: Number of current appeal as well as funds received in 2018 children affected by crisis 1,050,000 1,000 1,584,131 1000 (including for activities in 2019). accessing accessing formal or non-formal basic education 1

*Total Results are cumulative, since January 2018

Situation Overview & Humanitarian Needs

The humanitarian situation in northeast Nigeria remains precarious following a significant spike in hostilities between Nigerian security forces and non-state armed groups (NSAGs) since the end of 2018. Fighting continues to threaten lives and livelihoods, particularly in and parts of . Population movement, which reached an annual peak in December 2018, remained very high in January 2019 - with 60,118 new arrivals recorded across the northeast. Maiduguri, Jere, , Monguno, and Local Government Areas (LGAs) accounted for over 70 per cent of these movements. Conflict was cited as the cause for 80 % of this movement.

Humanitarian needs remain highest among the new arrivals into Maiduguri (more than 40,000 people 1 ) and Monguno (an estimated 18,000 people), and among the population of Rann in Kala Balge LGA. In Maiduguri and Monguno, nearly 3,500 families are sleeping under open skies because there is no space to build new shelters. In Monguno, an additional 1,300 families are sharing shelters with other families, and more than 400 families are sleeping in the reception centre. The WASH sector has been able to provide 14 liters of water per person per day in both sites through water trucking. Providing sanitation remains a major Graph 1: areas with the highest numbers of newly challenge, due to the lack of available land to construct shelters, latrines arriving IDPs and bathing facilities.

In Rann, clashes on 14 and 27 January reportedly caused dozens of civilian casualties and have forced the entire population (estimated at 40,000 people) to flee on foot towards the Cameroonian border. According to UNHCR, an estimated 9,000 refugees were forcibly returned into Nigeria after their first attempt of crossing into Cameroon. Following the latest violence on 27 January, the majority of Rann’s population again crossed the border and is now sheltering in the Cameroonian town of Goura (Far North Region), where humanitarian partners in Cameroon are providing emergency assistance.

Humanitarian actors remain unable to access Kala Balge and LGAs (in addition to , and Marte LGAs, which were already inaccessible throughout most of 2018), resulting in an increased number of people beyond the reach of humanitarian actors. Humanitarian premises and supplies continued to come under attack during the period, most notably in Rann where the humanitarian hub, the UNICEF clinic and several other humanitarian facilities were damaged or destroyed and a significant amount of humanitarian supplies (including several hundred cartons of UNICEF's Ready-to-Use Therapeutic Food) was looted or destroyed. Other locations experiencing hostilities in January included Pulka, , and Biu LGAs in Borno State and and LGAs in Yobe State.

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 Comment Total Population in Need 7.1 3.8 3.3 46%F, 54M (2019HRP) Children (Under 18) 4.1 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 A total of 40,143 newly arrived people have been registered in Maiduguri camps between 3 November 2018 and 29 January 2019. 2

Summary Analysis of Programme Response

Nutrition

During the reporting period, a total of 11,627 children with severe acute malnutrition (SAM) were admitted for treatment2 in 584 UNICEF supported treatment facilities in the three northeast states. The overall performance indicators were within the Sphere standards at 92.3 per cent cure rate, 6.4 per cent defaulter rate, 0.4 per cent death rate and 0.9 per cent non- respondent. A total of 23,134 new caregivers were reached with infant and young child feeding (IYCF) counselling and 12,317 children aged 6 to 23 months received micronutrient powder (MNP) respectively in the health facilities. These results were achieved through: • Community-based nutrition screening of 1,461,570 children aged 6 to 59 months carried out by community nutrition mobilizers (CNMs) as part of early detection and referral. This screening helped to identify and refer 11,627 new children with SAM for treatment. • Inpatient training for 71 health workers in • Distribution of 15,710 cartons of RUTF to UNICEF supported sites.

Based on the number of targeted children for SAM for 2019, UNICEF still requires a total of 157,944 cartons of Ready-to-Use Therapeutic Food (RUTF).

Health A total of 178,912 IDPs and host community members were reached with integrated primary health care services in IDP camps and host communities in Adamawa, Borno and Yobe, including 89,158 children under the age of five. Out of these, 95,798 consultations were conducted by UNICEF and partners. Acute respiratory infections (24,306) made up the majority of consultations during the reporting period as a result of lower temperatures and dry, dusty ‘Harmattan’ winds. Other common morbidities include malaria (21,406 consultations), acute water diarrhoea (7,040 consultations), bloody diarrhoea (725 consultations), and measles (337 consultations), with 41,982 consultations for other medical conditions.

A total of 77,755 preventive consultations were recorded during this reporting period including: • 4,103 children between 6 months and 15 years who were vaccinated against measles • 31,239 children and pregnant women who were reached with various other antigens (11,758 children received Vitamin A supplementation and 15,469 received Albendazole tablets for deworming) • 15,130 pregnant women who were reached with ante-natal care (ANC) and 56 pregnant women in Adamawa State who received mosquito nets • 2,775 safe deliveries • 2,584 women who received post-natal care

WASH In January, UNICEF reached a total of 546,180 people with safe water through: • Provision of 13 solar boreholes in Ngala (Borno State), Bade, , , and (Yobe State) • Provision of 5 hand pump bore holes in Girei (Adamawa State) • Water trucking (220 m3) in Bolori, Konduga, Monguno and Gwoza (Borno State) • Bucket chlorination for 175,000 people and batch chlorination for 311,400 people at community water points in Jere, MMC, Bama, , Konduga and Monguno (Borno State)

During the same period, safe sanitation facilities were provided to 76,750 people through: • Construction of 158 latrines in Bade and Karasuwa (Yobe State) • Rehabilitation of 1,377 latrines and desludging of 1,450 latrines in Dikwa, Konduga, , Monguno, Maiduguri and Ngala (Borno State).

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In Teachers Village Camp in Maiduguri, UNICEF improved the hygiene situation of 15,320 new arrivals by distributing 3,046 WASH and dignity kits. A total of 53,777 people were reached with key hygiene messages through house-to-house visits in Borno State. In Adamawa State, 52 WASH committees were formed in communities, with 825 members trained in Mubi North, Maiha, Hong and LGAs to build resilience and strengthen the transition from humanitarian response to development.

Education In January 2019, UNICEF and partners improved access to education to an estimated 14,093 conflict-affected children (8,220 girls and 5873 boys) through the provision of essential teaching and learning materials and/or establishment of learning spaces (including the construction of gender-sensitive WASH facilities). This achievement includes 13,093 (7,570 girls and 5,523 boys) conflict-affected children who benefitted from essential teaching and learning materials in Maiduguri, Jere and Konduga Local Government Areas (LGAs) of Borno state and of Yobe state. In addition to 1,000 children (650 girls and 350 boys) who accessed learning through the establishment of 20 new temporary learning spaces in and Damaturu LGAs, Yobe State.

A total of 36,613 children (19,208 girls and 17,405 boys) in 12 schools in Jere and Maiduguri LGAs in Borno state benefited from the Teaching at the Right Level (TaRL) refresher training targeting 304 teachers (196 females and 108 males). In addition, a total of 449 teachers (113 females and 214 males) were trained in classroom management, psychosocial support (PSS), pedagogical skills, conflict disaster risk reduction (CDRR) and cholera mitigation measures (CMM) in Bama, Gwoza, Jere, Maiduguri, Monguno and Shani (Borno State). The training is expected to benefit a total of 28,863 (15,181 girls and 13,682 boys) children.

In Yobe State (Potiskum and Damaturu), 1,000 children (650 girls and 350 boys) accessed learning through the establishment of 20 new temporary learning spaces.

UNICEF’s support to the Enrolment Drive Campaign (EDC) for 2018/2019 school year (from September 2018 – January 2019) has contributed to improved access to education in 60 LGAs across all three states for 526,154 out-of-school children 12,418 of whom are displaced.

Child Protection In January, UNICEF and its implementing partners reached a total of 62,377 children and caregivers (48 per cent females) with critical child protection services such as community-based psychosocial support, case management for unaccompanied, separated and other vulnerable children, socio-economic reintegration assistance for children associated with armed groups, and mine risk education services.

In response to fresh displacement in Maiduguri and Monguno, UNICEF prioritized immediate case management including family tracing and reunification, structured recreational activities and life skills education for conflict-affected girls and boys. A total of 34 facilitators (18 female, 16 male) were trained on the use of the UNICEF-approved ‘Adolescent Kits’ promoting life skills and competencies.

Communications for Development (C4D), Community Engagement & Accountability UNICEF continued to sensitize communities on the prevention of cholera and polio. House-to-house visits and group sessions led by 450 temporary community mobilizers reached 407,346 people at risk, including 65,000 children and 120,000 mothers in 87 settlements (18 wards) across the three states. Religious clerics made 1,200 church and mosque announcements, while Airtel mobile voice messages in Kanuri, Hausa and English were transmitted to over 2 million customers.

External Communications UNICEF continued to highlight the urgent needs of children and women affected by the conflict, advocating for protection of their rights to both domestic and international audiences. During the reporting period, there were 177 UNICEF Nigeria media mentions covering both the development and the humanitarian response. The reporting followed the announcement of the Global $4 Billion Humanitarian Appeal and the increased movement of the displaced population in northeast Nigeria.

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UNICEF hosted a donor missions from Norway on a monitoring visit to assess the impact of the Norwegian support on the lives of conflict affected women in northeast Nigeria, specifically in child protection and education.

Supply UNICEF supported the government counterparts in Adamawa, Borno and Yobe states with a total of 215 Nigeria Health Kits (5 in Adamawa, 188 in Borno, and 22 in Yobe) to support 107,500 persons for 3 months and 44 Emergency Health Kits to reach 143,570 patients with primary health care services in the IDP camps, health facilities in host communities, and outreach services.

Security The high degree of hostilities observed between Nigerian security forces and non-state armed groups in December 2018 has continued into the first month of 2019. Fighting has prevented humanitarian actors from providing assistance in Kukawa and Kala Balge (Borno State), and temporarily affected civilian and humanitarian movements in several other parts of Borno and Yobe. As the dry season continues, the security situation is expected to remain volatile, with attacks expected to continue into February and beyond.

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$ 40.7 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). UNICEF’s ability to respond to provide an integrated package of WASH, nutrition and health services for the survival and development of vulnerable children is hampered by a 69 per cent funding gap, with all sectors currently critically underfunded except education.

Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC) Funds available Funding gap Funds Received Current Appeal Sector Requirements Year Carry-Forward* $ %

29,000,000 WASH - 3,164,068 25,835,932 89%**

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

16,700,000 Health - 2,066,179 14,633,821 88%

31,000,000 Nutrition 882,353 8,432,612 21,685,035 70%

18,200,000 Child Protection - 1,619,227 16,580,773 91%

1,200,000 EPR 41,224 1,095,406 63,370 5%

Total 120,100,000 1,604,078 39,065,382 79,430,540 66%

* “Carry-forward” refers to all 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 , Kogi, Anambra, Delta, Rivers and Bayelsa states.

Next SitRep: February 2019

For further Mohamed Malick Fall 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 2019Targ Total since last needs Target Results* report et Results* report NUTRITION Number of children aged 6-59 months with SAM admitted to therapeutic care for specified period of time 158,488 11,627 - 266,009 11,627 - Proportion of children 6-59 months with severe acute

malnutrition recovered >75% 97.3 - >75% 97.3 - Number of caregivers of children 0-23 months with

access to IYCF counselling for appropriate feeding 305,474 23,134 - 771,783 23,134 - Number of new children 6-23 months in the affected

areas receiving multiple micronutrient powder 282,034 12,317 - 577,200 12,317 - HEALTH Number of children 6 months - 15 years vaccinated against measles 720,230 4,103 - Number of consultations for IDPs and affected host 1,900,000 communities 1,140,000 178,912 - WATER, SANITATION & HYGIENE34 Number of people have sustained access to the agreed quantity of water for drinking, cooking and personal hygiene through new construct/rehab 149,800 45,113 - 400,000 95,718 - Number of people having sustained access to agreed safe quality and quantity of water for drinking, cooking and personal hygiene 500,000 175,000 - 3,100,000 174,634 - Number of people that have access to gender and

disability sensitive sanitation facilities 500,000 76,750 - 1,000,000 354,355 - Number of people reached with handwashing behaviour-change programmes to prevent hygiene related illness in children. 1,550,000 69,097 - 3,100,000 352,262 - CHILD PROTECTION Number of children and adolescents benefiting from PSS services and life skills 840,000 287,500 50,861 - 575,000 82,289 - Number of children facing protection risks (violence, neglect, abuse, family separation) who received protective and specialized services 43,500 13,700 638 - 27,400 1,447 - Number of children and adolescents who have suffered from grave child rights violations including those formerly associated with armed groups or those returning from captivity who benefit from socio- economic assistance to successfully reintegrate into their communities 10,000 7,000 539 - 10,000 539 - Number of children, adolescents and caregivers benefiting from mine risk education 770,000 237,500 10,339 - 475,000 10,339 - EDUCATION Number of children affected by crisis accessing formal or non-formal basic education 1,239,820 1,050,000 1,000 - 1,584,831 1,000 -

Number of girls and boys accessing inclusive, quality learning with age-appropriate learning materials 2,847,464 1,050,000 13,093 - 1,584,831 22,616 -

Number of teachers trained in psychosocial support skills and positive discipline 4,000 449 - 6,000 504 -

4 WASH sector result for hygiene messages and distribution of hygiene kits not available as at reporting time 6