BURKINA FASO Humanitarian Situation Report N05

JuneUNICEF© /2018/Figula 2019

Situation in number Highlights 31 July 2019  In July, the security situation remained precarious and was mainly marked by attacks and criminal acts by non-state armed groups (NSAG) against the 840,000 population, security forces and state representation in Sahel, Centre Nord, Est # children in need of humanitarian assistance and Centre-Sud regions. out of  On 11 July, the Government extended the state of emergency for another six months in 14 provinces, in 6 out of the 13 regions (Sahel, Nord, Centre-Est, 1.5 M Hauts-Bassins, Boucle du Mouhoun and Est). # people in need (Revised Interagency  The number of internal displaced people (IDP) is still on rise. In July, nearly 17,800 Emergency Plan Burkina Faso 2019)

new IDPs have been registered and are seeking refuge in urban settings, some in spontaneous sites such as administrative buildings and schools. These last 140,000 displacements are happening during the lean season. (Conasur,25 July 2019) # children displaced out of  In mid-July, the Kinséré primary school and teacher’s homes were set on fire by 237,769 unidentified armed elements in the Boucle du Mouhoun region, affecting 176 # Internally displaced people (IDPs) registered students and five teachers. In the locality of Mansila (Yagha province, Sahel (Conasur,25 July 2019) region), unidentified armed men burned down five schools and threatened to destroy the remaining ones in the area if they were reopened.  2,024 schools are still closed affecting more than 330,000 children and 9,000 692,627 teachers. # persons without access to health  64 health structures are closed and 65 are working with minimum operations, affecting an estimated 692,627 people (MoH, July 2019) 31,000  From January to July 2019, 37,699 children with severe acute malnutrition (SAM) # Malian refugees have been treated in nutrition services nationwide, of whom 912 were admitted during the reporting period (National health information system, Endos 2019) UNICEF Appeal 2019 (HAC) US$36.5 million 31 October 2018

UNICEF’s Response with Partners UNICEF Sector/Cluster HAC indicators 2019 Target Results Target Funding status 2019 (US$) Results 2019 * 2019 Carry Over # children aged 6 to 59 months with SAM 133,066 37,699 133,066 37,699 $4.2 m admitted for treatment Funds received in Gap # children aged 6 to 59 months vaccinated 29,302 88,286 2019 against measles $25.8m $6.3m # pregnant women in emergency-affected 71% areas received two long-lasting insecticide- 21,360 10,000 Requirement treated mosquito nets $36.4 m # people accessing the agreed quantity of 30,000 25,745 50,000 61,9995 water for drinking, cooking and personal hygiene # children reached with psychosocial support, including access to child-friendly spaces/other 35,800 30,835 64,295 34,500 safe spaces # out-of-school children aged 3 to 17 years affected by crisis accessing formal or non- 76,592 12,372 76,592 12,372 formal basic education

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Situation Overview & Humanitarian Needs Attacks against civilians have continued during the reporting period, leading to constant waves of displacements, mainly in the Sahel, Centre Nord and Est regions. As some of the host communities remain insecure, those IDPs are expected to seek refuge in more secured towns such as region or province capitals. It is estimated that an average of 100 new IDPs are arriving daily in Djibo, Dori and Kaya. As of 25 July 2019, there were 237,769 IDPs (59 per cent children) registered all over the country. All the regions are now hosting IDPs, although the most affected regions remain Sahel (53.6 per cent) and Centre Nord (34.7 per cent).

The new IDPs find refuge in spontaneous sites such as schools and administrative buildings.

By the end of July, 64 out of 816 health centres in five emergency-affected regions1 were closed. An estimated 692,627 people (around 408,000 children) have no or limited access to nutrition and health services, an increase of 291,327 people since the end of June. Djibo health district () is the most affected with 18 out of 41 health centres closed. Barsalogho (Centre-Nord region) is the second most affected health district, with 13 out of 14 centres closed and Kaya (region Centre-Nord region) with 12 facilities closed. Furthermore, 65 health centres are operating at reduced or minimum services. Of those, 23 are in Sahel, 15 in Centre-Nord and 14 in the Est regions.

The school year 2018-2019 concluded on 30 June. As of 31 July, the number of schools closed due to insecurity remained the same as in June: 2,024, affecting 330,292 children (158,541 girls) (OCHA, 10 July 2019). It is important to note that insecurity leading to school closures is sowing psychoses everywhere. Since January 2019, there have been 17 attacks against education.

The number of Malian refugees has also increased in the last weeks from 25,620 to 31,000 people (Revised Emergency Plan Burkina Faso 2019)

Humanitarian Leadership and Coordination UNICEF Burkina Faso leads the Nutrition, Education and WASH sectors, and the Child Protection sub-sector in close collaboration with governmental counterparts. UNICEF is also involved in the Health in emergency sector led by the World Health Organization (WHO).

During the reporting period, UNICEF contributed to the extension of UN integrated offices planned in five cities, out of which UNICEF will join in Kaya (Centre-Nord region) and Fada N’Gourma (Est region).

In July, a multisectoral interagency assessment was undertaken in Centre-Nord region to evaluate the shelter, WASH, food security and health needs of the IDP population in Dablo, Pensa, Barsalogho, Pissila and Kaya, using the MIRA methodology.

The revised 2019 Emergency Plan Burkina Faso will be launched on 1 August to address the deteriorating security and subsequent increase in humanitarian needs. The population in need of humanitarian assistance has raised from an estimated 1.2 million to 1.5 million, of which 800,000 people are directly affected by insecurity. UNICEF will update the 2019 Humanitarian Action for Children (HAC) accordingly.

UNICEF will initiate a partnership with REACH to strengthen the context and gaps analysis as well as needs assessment. The partnership is also meant to reinforce the competency of information management (IM) of the UNICEF, CONASUR and other humanitarian IM staff.

Humanitarian Strategy The upcoming UNICEF Burkina Faso Emergency response plan will address the urgent needs of the population in 14 provinces in Sahel, Nord, Centre-Est, Hauts-Bassins, Boucle du Mouhoun and Est regions affected by the crisis. The response plan is aligned with the Country programme document (CPD 2018-2021), the 2019 Emergency plan Burkina Faso and the government’s extended emergency plan for Sahel, the Stratégie d’extension du programme d’urgence pour le Sahel 2019-2021.

1 Sahel, Nord, Centre-Nord, Est and Boucle du Mouhoun 2

UNICEF is supporting community-based interventions in areas where the government’s basic social services had to be suspended or are being severely restricted to reach the most vulnerable population. UNICEF continues to strengthen the national health and nutrition systems to deliver services in emergencies, including SAM prevention and treatment and measles vaccination. UNICEF prioritizes the access to formal and informal schooling for children affected by crises and schools’ resilience building. Conflict-affected children are also receiving comprehensive child protection services through the decentralized child protection networks supported by UNICEF. With the drastic increase in IDPs and the rainy season, UNICEF’s interventions in emergency WASH services in communities affected by the crisis are becoming critical. With the opening of two sub-offices in Kaya (Centre-Nord) and Fada N’Gourma (Est), UNICEF will strengthen its preparedness and response capacity.

Summary Analysis of the Programme Response

Nutrition Since January 2019, 37, 699 severe acute malnourished (SAM) children (51 percent girls), representing 28 per cent of the 133,066 yearly targeted children with SAM, have been treated in nutrition services nationwide. Of those, 22,813 children were in the six regions most affected by insecurity (Sahel, Centre-Nord, Est, Boucle du Mouhoun, Centre- Est and Nord), representing 60 per cent of the total admissions. This low coverage of SAM admissions (28 per cent) to health and nutrition services is due to the closure of health centres in insecure areas as well as the poor completeness (1 per cent) of routine data in the District health information system (DHIS2) during June and July 2019.

The first round2 of the national vitamin A supplementation to 3,230,000 children from 6 to 59 months, coupled with deworming to 2,882,000 children from 12 to 59 months and screening of acute malnutrition, was realized from 21 June to 20 July 20193. UNICEF provided 7,203 boxes (500 capsules each) of vitamin A and 33,140 boxes (100 tablets each) of mebendazole, 100 per cent of the required quantity for the campaign. UNICEF also provided technical and financial support to the Ministry of Health (MoH) for the preparation and implementation of the campaign. Further mass screening is planned in August during the seasonal malaria chemoprevention (SMC) campaign.

UNICEF also provided technical and financial support to the MoH to train 33 nutrition focal points from health districts and partners on emergency nutrition.

Since January, 389,391 pregnant and lactating women with children under the age of two participated in IYCF counselling sessions in Plateau-Central, Est, Nord, Sud-Ouest, Cascades and Sahel regions, representing 83,69 per cent of the annual target. In collaboration with the regional direction of health and the NGO GRET, a training session for 90 health agents from the Est region on interpersonal communication and behavior change for IYCF was held from the 29 July to 2 August.

66,353 children aged 6 to 23 months received micronutrients powder to improve their complementary feeding in the regions of Cascades, Sud-Ouest and Plateau-Central.

The nutrition sector is finalizing an emergency response plan and a nutrition information platform. At the national level, two meetings were organized with partners to coordinate the nutritional response to the emergency.

The main challenges are linked to : i) access to health and nutrition services in areas affected by insecurity leading to the closure of some health centres and the reduction of activities, ii) indirect coverage (28 per cent) of the CMAM program, and iii) the low level of completeness of the data in the DHIS2 (only 1 per cent) because health workers are striking and not transmitting data since June.

Health No cases of measles have been reported since the end of June as there is no reporting due to the health workers strike.

2 The campaign took place in all the regions. However, UNICEF financed 10 regions 3 The results are not yet available 3

The deterioration of the security situation triggered new displacements, mainly in the regions of Sahel, Centre-Nord and Boucle du Mouhoun in July. By the end of July, 64 health centres were closed (15 in Centre-Nord and 22 in Sahel) and activities were reduced or discontinued in other 65. 692,627 people are affected closed health facilities.

In July, UNICEF supported the training of 20 health workers on essential care and resuscitation for newborn in the Sahel region.

UNICEF is supporting the implementation of the resilience humanitarian response plan developed by the MoH.

The country, with the support of technical and financial partners, is currently developing a request to submit to the 2nd envelope of the CERF.

Education During the reporting period, UNICEF and its implementing partners supported the training on the Safe school psychosocial (PSS) approach of 585 people (266 women), 313 teachers (126 women), 272 community members (140 women) in Sahel, Boucle du Mouhoun and Centre-Nord regions.

In partnership with the National Red Cross Burkina Faso (CRBF), UNICEF facilitated the access to school for 4,972 students (2,514 girls) in the Sahel and Centre-Nord regions between March and June. Adding this unreported figure to last month’s figure, a final number of 12,372 children (6,140 girls) have been supported in terms of access to education.

The situation of schools occupied by IDPs (data not yet available) is of concern for the Education in Emergencies (EiE), WASH and shelter sector groups, and government authorities. Since mid-June, the technical group is advocating the authorities on the protection of schools investments in view of the next school year. The IDPs will be relocated to temporary residences or will be provided cash for renting houses. School-age children will also be supported with informal education (basic education, socio-recreative activities, awareness on key protection topics). It will be an opportunity to prepare the next school year with classroom’s rehabilitations, sanitation facilities, etc.

In the Centre-Nord, out of approximately 35,000 school-age children affected by displacement and school closures, the EiE working group has already targeted approximately 20,000 children as part of ongoing or planned/funded projects for an immediate and medium-term response. Both projects are expected to be launched in September as recommended in the in the July 2019 multisectoral interagency assessment. The estimated gaps in the current response is 15,000 children in need.

Child Protection UNICEF and its child protection (CP) partners4 are providing assistance in the Sahel, Centre-Nord, Nord and Est regions. During the reporting period, 16,016 new IDP children (7,914 girls) were reached in these regions. The CP interventions include socio-educational and psychosocial support activities in response to the distress, and identification, documentation, service provision and referral of children survivors of violence and abuse, and community awareness activities to prevent family separation and violence against children.

4 Danish refugee council (DRC), Christian children fund of Canada (CCFC), the Ministry of woman, national solidarity, family and humanitarian action (MFSNFAH), the Coordination nationale des associations des enfants et jeunes travailleurs du Burkina (CN-AEJTB) and Croix Rouge Burkina Faso (RCBF) 4

41 per cent (6,611 children including 3,471 girls) of the new IDP children were identified and assisted in the Centre- Nord region. 339 children and 400 adults benefited of non-food items and cash transfer. 164 children (81 girls) benefited from awareness-raising activities on menstrual hygiene management (MHM), and hygiene and sanitation. 50 new unaccompanied and separated children (UASC) were identified in the Est region and their reintegration is ongoing.

The CP in emergency working group organized, with the technical and financial support of UNICEF, a two-day workshop in Ouagadougou on 17 and 18 July to finalize the response strategy for the sector. This strategy promotes a strengthened system approach built around three pillars: capacity building of families, increased involvement of community child protection mechanisms and improved access of affected children to child protection services. In addition, three intersectoral/interagency rapid assessment missions were organized in the Sahel, Centre-Nord and Est regions. These missions highlighted a significant rise in child labour and increased exposure of children to the risk of abuse due to promiscuity and family separation.

The involvement of community protection mechanisms in the sector’s response remains to be strengthened as a strategy to improve the humanitarian access. Data management and gender-based violence prevention and response also need improvement.

WASH During July 2019, 3,000 new people (1,710 women and girls) have benefited from emergency water, sanitation and hygiene (WASH) assistance in Centre-Nord and Sahel regions. This brings the total number of beneficiaries to 55,087 since January 2019. Out of those, 25,745 people (14,675 women and girls) have gained access to water provision, including 900 during the reporting period.

In addition, 3,000 persons affected by the emergency (1,710 women and girls) in Pensa (Centre-Nord) and Arbinda(Sahel) have been provided with square plate and plastic sheeting for 300 emergency latrines and 300 emergency showers. Since January, 7,860 people (4,480 IDP women and children and host communities) have therefore been reached with sanitation services in these two regions.

UNICEF intensified its interventions to deliver hygiene messages and supplies (MHM kits, 400 grams of soap per person, two buckets per household), reaching 2,100 new IDPs and host communities (1,197 women and girls) in Centre-Nord and Sahel regions. This sums up to 55,087 people (30,849 women and girls) who received hygiene awareness sessions focused on handwashing, personal hygiene and environmental cleaning in these two regions since January 2019.

WASH response activities continue in IDP sites and host families. The CRBF, OXFAM and Solidarity International received WASH items (soap, plastic Tarpaulin, plastic slabs, hygiene kits, etc.) in early July to strengthen awareness activities for 3,000 people.

The Est and Centre-Nord Regional directions for water and sanitation, supported by UNICEF, provided awareness- raising activities on hygiene and sanitation as well as the use of dignity kits, supervision and monitoring activities, and supplies for students regrouped to take their exams.

Population movements is a major challenge in terms of coordination, preparation and implementation of the response. Companies have difficulties accessing the drilling sites. In mid-July, WASH was unable to transport WASH items to Foubé due to lack of access in the area.

C4D UNICEF, through its partnership with the CRBF and Action communautaire pour le développement (ACD), continued to support radio-based programs and community dialogues for people affected by the emergency. Messages were focused on peace, social cohesion and life enhancing information in health, water, sanitation and hygiene practices This included four radio programmes with traditional, religious, youth and women organizations with the local radio Manegda of Kaya in the Centre-Nord on the role and contribution of these organizations and their members in the promotion of peace and social cohesion as well as the understanding of peace in the different religious and traditional practices.

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In addition, UNICEF trained 350 community relays, including 75 from affected communities and 22 media workers on child immunization, pregnancy and newborn health with the aim to deliver accurate messages to population including those affected by humanitarian crisis. With UNICEF support, the regional health directorate started the implementation of such activities in the Sahel region.

Media and external communication The media and external communication team has produced fundraising appeals. It also helped finalization of ‘Child Alert on Education’ to call for support for children in emergency. As a result of this work, several films, articles and photo reports will be broadcast at the end of August. The section provided orientations for topics related to the humanitarian situation, including emergency education, to international media reporters.

Funding In line with the 2019 Humanitarian Action for Children appeal (HAC)5 and the 2019 Burkina Faso- Emergency plan, UNICEF is requesting US$36,370,000 to meet the needs of the children in Burkina Faso. The funding gap has decrease by 3 per cent compared to the end of Jun 2019 (from 74 to 71 per cent). During the reporting period, UNICEF-Burkina Faso received US$1.6million from Austria and US$1 million from USAID/Food for peace. Education has the largest funding gap although some contributions from donors such as Norway, Switzerland and Denmark have been used for the Safe school strategy and emergency school supplies. Although these are not emergency funds, they significantly contribute to advancing the HAC target 2019.

UNICEF Burkina Faso would like to recognize the generous contributions from key partners including Japan, Sweden, CERF, USAID and Austria. In addition, UNICEF recognizes the flexible and unearmarked funding received through the Global Humanitarian Thematic Fund.

Funds available (US$) Funding gap Requirements Appeal Sector Funds Received Total (US$) Carry-Over US$ % in 2019 available 5,745,900 8,204,100 59% Nutrition 13,950,000 2,097,000 3,648,900 Health 850,000 251,300 140,000 391,300 458,700 54% WASH 5,000,000 1,736,600 107,500 1,844,100 3,155,900 63% Child Protection 1,720,000 1,559,253 230,500 1,789,753 06 0% Education 14,850,000 738,500 57,288 795,788 14,054,212 95% Total 36,370,000 6,382,653 4,184,188 10,566,841 25,872,912 7 71%

UNICEF Burkina Faso Facebook and Twitter UNICEF Burkina Faso Humanitarian Action for Children Appeal UNICEF Humanitarian Action for Children Appeal

Who to contact for Anne Vincent Rinko Kinoshita Roland Zongo more information Representative Deputy Representative Communication officer UNICEF Burkina Faso UNICEF Burkina Faso UNICEF Burkina Faso Tel: +262.25 491 101 Tel: +262.25 491 105 Tel: +262.25 491 125 Who to contact Email: [email protected] Email: [email protected] Email: [email protected]

5 The HRP have been revised in July 2019. Based on the revised HRP, HAC 2019 is being modified. In this July SitRep, the original HAC appeal was used for calculation. 6 The child protection does not have funding gap but mobilized 104% of the requirement (US$1,720,000) of HAC 2019. In this table, the funding gap was adjusted to 0. However, due to growing humanitarian needs, the HAC is being revised based on the modified HRP and thus, the budget/targets will increase in all sectors 7 Because the funding gap for child protection (-4%) was adjusted to 0%. 6

Annex A SUMMARY OF PROGRAMME RESULTS

UNICEF and IPs Sector response Overall Change Change Indicators 8 needs 2019 Total since last 2019 Total since last Target Results report Target * Results report ▲▼ ▲▼ NUTRITION #Children < 5 years old with SAM admitted into therapeutic feeding 133,066 37,699 ▲ 912 133,066 37,699 ▲ 912 programme #Pregnant and lactating women of children aged 0 to 23 months received 465,000 389,391 ----- 465,000 389,391 ----- IYCF counselling HEALTH

#Children aged 6 to 59 months 29,3029 88,286 ----- vaccinated against measles #Pregnant women in emergency affected areas received two long lasting insecticide 21,360 10,000 ----- treated mosquito nets #Mothers with new born children in emergency affected areas received at 21,360 7,975 ----- least one postnatal visit by a community health worker WATER, SANITATION & HYGIENE #People accessing the agreed quantity of 25,745 ▲900 water for drinking, cooking and personal 30,000 50,000 61,999 ▲900 hygiene #People accessing appropriate sanitation 7,860 ▲3,000 24,000 50,000 14,080 ▲3,000 facilities #People accessing hygiene awareness 55,087 ▲3,000 100,000 100,000 85,918 ▲3,000 interventions in the targeted regions CHILD PROTECTION #Children reached with psychosocial support, including access to child friendly 35,800 30,835 ▲13,106 64,295 34,500 ▲14,305 spaces/other safe spaces #Women and children provided with prevention or response interventions to 5,000 1,130 ▲62 5,000 1,232 ▲164 address gender-based violence EDUCATION #Out of school children aged 3 to 17 years affected by crisis accessing formal or non- 76,592 12,372 ▲4,972 76,592 12,372 ▲4,972 formal basic education #Children aged 3 to 17 years affected by crisis attending education in a classroom 339,754 339,754 where the teacher has been trained in 374,839 ----- 374,839 ----- psychosocial support and conflict/disaster risk reduction

8 In nutrition and health, sectors are the same for UNICEF and the sector 9 With the increase of the measles cases in Sahel and Centre-Nord regions, it is estimated that 146 000 children from 6 to 59 months old will need to be vaccinated. Targets for this indicator will be increased accordingly. 7