Cameroon Humanitarian Situation Report

SITUATION IN NUMBERS

Highlights October 2017  The relocation of IDPs and the returnees who fled the captivity of Boko Haram, as well as the forced return of IDPs to their 1,800,000 villages of origin, presents an alarming trend from a human # of children in need of humanitarian assistance rights perspective. UNICEF is working closely with the 2,900,000 humanitarian community to ensure that the rights of these # of people in need ( Humanitarian Needs Overview 2017) people and children are protected.  In Logone and Chari department (Far North region) where the Displacement 237,967 highest number of school closure was recorded for the school Internally Displaced Persons (IDPs) year 2016/2017 due to insecurity, 28 schools reopened (DTM 10, Aug 2017) enrolling over 5,827 children for the new school year. These 61,090 schools lack resources and are in great need of teachers, Returnees classrooms, school materials and water point/latrines. (DTM 10, Aug 2017)

 Since July 2017, approximately 7,000 Central Africans have 88,516 crossed into Cameroon, fleeing the increased violence in their Nigerian Refugees in rural areas (UNHCR, Cameroon Factsheet, Oct 2017) homeland. UNICEF is providing basic emergency assistance to these populations, despite funding shortages. 224,859 CAR Refugees in the East, Adamawa and North regions in rural areas UNICEF’s Response with Partners (UNHCR, Cameroon Factsheet, Oct 2017)

Sector UNICEF Indicator UNICEF Appeal 2017 2017 Total 2017 Total Target Results* Target Results* US$ 23.7 million WASH: Number of affected people with a sustainable access to drinking 241,000 114,755 55,000 38,655 Funding status 2017* water, to address their vulnerabilities 2016 Carry EDUCATION: Number of children aged forward: US 3-17 years accessing quality formal or 316,592 124,764 221,500 124,494 $2.9 M non-formal basic education 2017 NUTRITION: Number of children aged Requirement Funding Funds 6 to 59 months with severe acute 23.7M 56,627 47,062 58,640 42,098 Gap: US$ received: malnutrition (SAM) admitted for 13.9M US$ 7.6M treatment CHILD PROTECTION: Number of children reached with psychosocial 229,379 101,868 105,800 70,549 support through child-friendly spaces *Funds available includes funding received for the current appeal year as well as the carry-forward from the previous year. *Total results are cumulative Situation Overview & Humanitarian Needs Impact of the Lake Chad Basin Crisis: The Displacement Tracking Matrix 10 (IOM, August 2017) showed that there are 237,967 IDPs, a slight increase compared to the 235,913 in DTM 9 (June/July 2017). It also showed that there are 29,728 unregistered refugees who are out of Minawao camp, compared to the 30,278, and 61,090 returnees compared to 59,398. The majority of these affected population groups remains located in Makary, and Kousseri in Logone and Chari department.

A multi-sectoral rapid needs assessment was conducted by UNICEF in Waza in Logone and Chari department on 4 October. An assessment report and a response plan are being finalised. Health and WASH were identified as their priority needs.

Despite the ongoing assistance to IDPs in , Mayo Sava department, the government has decided to relocate some 12,500 IDPs to a new site with very limited access to services. The 2,500 IDPs who have already been relocated to this site are in need of water. UNICEF is engaging with the regional delegation to identify short and medium term solutions that are sustainable. A similar alarming trend is also observed for the returnees including 245 children who fled the captivity of Boko Haram in Mozogo where the authorities decided to relocate them to an existing IDP site in Zamai, Mayo Tsanaga department. UNICEF will work closely with other humanitarian partners to ensure that the human rights of these people are respected and will adapt its response to the new context.

Based on the assessment conducted in late July and the response plan developed, UNICEF continues to assist the IDPs in Fotokol, Logone and Chari department in Child Protection, Health, WASH and Nutrition.

Impact of the CAR crisis: According to UNHCR, 1,057 (229 households) new asylum seekers entered Gbatoua Godole, Adamaoua region, but have not yet been registered by UNHCR. These asylum seekers fled from attacks by the armed group called 3R (Retour, Réclamation, Réhabilitation) in Central African Republic (CAR) sometime between July and early October. In addition, on 20 October, 47 new refugees arrived in Gbiti, East region, including 21 children (with 19 separated children) and 25 women, among them an unspecified number of pregnant women. These refugees fled from Maina village about 15 km away from Gbiti in anticipation of an announced conflict in the area, and have been pre-registered by UNHCR.

Estimated Population in Need of Humanitarian Assistance Cameroon Humanitarian Needs Overview 2017 *SMART 2017 & UNHCR Standardised Expanded Nutrition Survey (SENS) 2016

Start of humanitarian response: November 2013 Total Male Female Total Population in Need 2,900,000 1,400,000 1,500,000

Children (Under 18) 1,822,000 902,000 920,000

Children Under Five* 493,000 238,000 255,000

Children 6 to 23 months* 203,000 98,000 105,000

Pregnant and lactating women* 261,000 - 261,000

Humanitarian Leadership and Coordination At the national level, emergency coordination is led by the Humanitarian/Resident Coordinator (HC/RC) and supported by OCHA. Under the leadership of OCHA, the humanitarian needs are quantified and humanitarian strategic response plans developed and coordinated. At the sectoral level, UNICEF and the Government are co-leading the nutrition, WASH and education sectors, as well as the sub-sectoral group for child protection. At the field level, UNHCR leads inter-sector coordination, which addresses particularly challenges and gaps both for refugees, IDPs and host communities in the Far North. This extends into the coordination of the humanitarian response to the Central African Republic refugee crisis in the regions of the East and Adamawa. UNHCR organizes bimonthly meetings with other humanitarian actors, to consolidate data and harmonize interventions.

Humanitarian Strategy In 2017, UNICEF will focus on strengthening the resilience of Cameroonian communities, while addressing both the humanitarian and development needs of the affected regions. By working with all strata of society, in partnership with communities as well as local government, UNICEF will implement programs that address prevailing needs, while being responsive to any changes in context. UNICEF will build strategic partnerships with local NGOs who are able to reach populations that might otherwise be unreachable. This approach – the nexus between humanitarian and development programming – includes early warning indicators. An underlying criterion is an integrated approach, which will ensure that communities, particularly IDPs and unregistered refugees, receive a package that addresses all their basic needs. Children will have their educational needs met, receive psychosocial support to cope with their traumas and displacement, and have their primary health needs met. UNICEF is making 2017 a transition year, moving towards this comprehensive shift in program approach. As such, UNICEF will move towards reaching more communities in isolated areas. It will shift towards building the skills of national and sub-national partners, both government and civil society. Finally, UNICEF intends to explore innovative approaches to increase community involvement in programs, reach and accountability.

Summary Analysis of Programme Response Lake Chad Basin Crisis Nutrition The preliminary results of the 2017 SMART nutritional survey showed 1.1% of SAM (Severe Acute Malnutrition) and 40.9% of stunting during the data collection for Far Nord region. The SAM rate showed some decline compared to last year, whereas the stunting rate remained about the same. The survey covered only host communities. Stunting and SAM are the main problem in this region with their prevalence above the emergency and alert threshold respectively. Prevention against undernutrition is likely the most important approach to combat stunting.

WASH During the reporting period, the construction of gender sensitive latrines equipped with hand washing material was completed in 4 schools (2 blocks per school) of Kousseri commune in Logone and Chari department. As a result, access to basic sanitation has been improved for 2,139 students including 133 IDP children. The construction of 36 latrines is ongoing in 7 schools and 8 health centers of Logone and Chari and Mayo Danyo departments.

In partnership with the NGOs ACDC, AAEDC and FBM, the implementation of Community Led Total Sanitation (CLTS) activities is ongoing in 252 communities hosting 16,521 IDPs in Fotokol, Waza, Kousseri, and Makary communes in Logone and Chari department, and Koza commune in Mayo Tsanaga department. In addition, in partnership with an NGO ACDC, 1,829 WASH kits were distributed in Fotokol and Waza communes. A total of 1,829 IDP households (about 10,953 individuals) benefited from soaps, buckets with lids, goblets, kettles, and children’s pots made available by UNICEF.

During the national emergency WASH sectorial coordination meeting, the low progress of the WASH response to malnutrition was raised, which resulted in the agreement to conduct field visits in some health districts to better understand the problem, including the verification of data.

Education So far there has been no security incidents related to schools and students reported during the month; however, a significant concern remains for schools that are still occupied by the military forces in Fotokol and Makary in Logone and Chari department, where in some instances military officers are teaching in schools. UNICEF is working with the regional delegation to collect accurate information in this regard.

During the month, 2 FM radio stations, one in , Mayo Tsanaga department and another in Kousséri, Logone and Chari department continued to broadcast lessons and protection messages to the targeted out-of-school children in these areas. The children in Mora continued to listen to pre-recorded lessons distributed on USB keys along with radio sets. A total of 66 radio listenership groups have been formed in Mayo Tsanaga, Mayo Sava and Logone and Chari departments. Details on the numbers of children in these groups will be provided in November report. A Radio Listenership Survey (RLS) was also conducted in Maroua and Mokolo with the support of the UNICEF Regional Office and the NGO partner, Children Radio Foundation (CRF). The report of the survey will be made available as soon as it is finalized.

UNICEF provided support to the regional education delegation team for the training of 534 (72 female and 462 male) teachers in psycho-social support, Disaster Risk Reduction and Mine Risk Education in two of the three targeted departments (Mayo Sava and Logone and Chari). 88 of the teachers (12 females and 76 men) were from Kolofata, while the remaining 446 (60 women and 386 men) were from , Darak, Logone Birni, Goulfeye, Fotokol and Hile Alifa. The number of children attending schools with teachers trained in these activities will be reported as soon as the data becomes available from the regional delegation. To ensure teachers’ presence in schools, UNICEF and partners are working with the monitoring and supervision entities of the regional delegation and alert the entities in case of absenteeism.

In Logone and Chari department, 15 out of the 43 schools that were shut down remained closed as of end October. The 28 schools that reopened in this department have enrolled over 5,827 children (2,363 girls and 3,464 boys). Some of the gaps identified in these schools include 89 teachers, 4,080 school benches, 94 classrooms, 5,950 readings books, 24 water points and 48 latrines. UNICEF is working closely with its partners to ensure they meet some of these needs in the short term, while continuing to mobilize resources through the 2018 HRP for a medium to long term response. On the other hand in Kolofata, Mayo Sava department, only one school out of a planned 44 reopened due to security reasons. Overall number of reopened schools in Far North region is 32, while 92 schools remain closed.

Child Protection A total 221 separated children (97 girls and 124 boys) and 40 unaccompanied children (15 girls and 25 boys) were identified and benefitted from individual follow-up in Minawao camp and host communities in Logone and Chari, Mayo Sava and Mayo Tsanaga departments. All the 40 unaccompanied children, of whom 30 are IDP and 10 are refugee children, were placed in temporary foster families and referred to other services as needed, such as health care, education, and psychological support. Of these, 24 children (13 boys and 11 girls) were reunified with their families in Mayo Tsanaga, Mayo Sava and Logone and Chari departments. 6,537 (2,855 girls and 3,682 boys) newly registered children benefited from psychosocial support in community based child friendly spaces in the Logone and Chari, Mayo Sava, and Mayo Tsanaga departments.

Given the possibility of relocation announced by the authorities for the 245 children (125 girls and 120 boys) who are the returnees who fled the captivity of Boko Haram, UNICEF will closely monitor the situation to protect the right of these children and will continue to provide support with respect to their protection needs.

UNICEF continues to support children who are arrested under the suspicion of association with Boko Haram. 6 children (3 girls and 3 boys) aged between 5 and 14 held under the custody for questioning by the military police of Mozogo were reunited with their parents in the Moskota village following the successful advocacy by UNICEF and an NGO ALDEPA. These children received psychosocial support and individual counselling.

CAR Refugee Crisis Nutrition The preliminary results of the 2017 SMART nutritional survey showed no case of SAM during the data collection for the East region. The hypothesis is that the cases are concentrated into small pockets of undernutrition and therefore not captured in the data collection conducted by random selection. For , the SAM rate decreased compared to last year. The survey covered only host communities. Stunting is the main problem in this region with its prevalence above the alert threshold of 30%.

WASH In partnership with a local NGO AIDER, the rehabilitation of 20 boreholes is ongoing in 20 communities of Mandjou, Ngoura and Garoua Boulai communes of the Lom and Djerem department. This rehabilitation will improve access to drinking water for around 10,000 people, including refugees and inhabitants of host communities.

Education 11,058 CAR refugee children (6,337 boys and 4,721 girls) were enrolled in the 112 temporary learning spaces (TLS). 7,952 (4,486 boys and 3,466 girls) of these children in the TLS had received teaching and learning materials at the time of reporting. 1,550 children have been enrolled in 20 community pre-school centres, following their creation in Ngoura and Ngaoui communes. 3,859 (2,399 boys and 1,460 girls) host communities’ children also enrolled in school during the reporting period. 3,859 children (1,460 girls and 2,399 boys) also enrolled in host communities’ primary schools during the reporting period. Thus, a total of 16,467 children (6,911 girls and 9,556 boys) accessed education during the month of October.

Child Protection In partnership with an NGO CRS, 19 unaccompanied children (6 girls and 13 boys) were identified in Garoua Boulai commune and benefitted from individual follow-up and psychosocial support. 147 adolescents (67 boys and 80 girls) received psychosocial support in the adolescent clubs in Mandju, which are facilitated by social workers. 65 members of the child protection community-based groups received training in 14 villages in Garoua Boulai on their role as child protection actors in their community, including on the identification and referral procedures for vulnerable children.

A new partnership was signed with an NGO LWF to provide support to children affected by the conflict in 10 villages in Ngaoui and Betare Oya communes. This project will strengthen the provision of psychosocial support for 5,000 children, improve the quality of care for unaccompanied and separated children, and structure and strengthen the community protection system and the self-protection capacity of adolescents through teen clubs.

Media and External Communication Two National Goodwill Ambassador visits took place this month, with Emmanuel Chatue (Executive Director of TV+) in the East to meet refugees and host communities affected by the CAR crisis, and another with Samuel Eto’o in Littoral region to promote child vaccination.

Security The reporting period witnessed similar levels of trends and patterns of threats including, but not limited to, body born improvised explosive devices with female suicide bombers where three incidents were recorded. Daily activities of incursions and mobilizations were reported predominantly in the departments of Mayo Sava, Logone and Chari and some areas of Mayo Tsanaga. Noteworthy is the incident that took place in the proximity of Bonderi village of Waza commune where seemingly a suicide attack was attempted in conjunction with another attack against elements of the Multinational Joint Taskforce. Cameroonian security forces also arrested several individuals allegedly affiliated with Boko Haram.

In the North region, the security situation in the border zone with CAR is dominated by the resurgence of organized crime, particularly in Touboro, where cases of kidnappings and armed robberies where refugees have been the victims were reported.

In Adamaoua region, a temporary lift of the escort on the --Yamba, Djohong-Ngaoui and Djohong- Batoua-Godele axes was decided by the SMT on recommendation of the ASMT after a Security Risk Assessment (SRA) realized in September.

Funding UNICEF expresses its gratitude to the Government of Japan, France, United States, Norway and Sweden, as well as to ECHO, CERF and the Spanish National Committee who have contributed generously to the humanitarian response in 2017. Further adequate, predictable and flexible resources will allow UNICEF and its partners to respond effectively where needs are greatest and reach the most disadvantaged children in Cameroon. Funding Requirements (as defined in the 2017 Humanitarian Action for Children (HAC)) Funds available* Funding gap

Appeal Sector Requirements Funds Received Carry-Over $ % Current Year Nutrition 5,274,400 1,146,359 552,451 3,575,590 68%

Health / HIV 1,231,700 1,876,619** 138,683 0 0%

WASH 6,359,613 1,578,970 163,411 4,617,232 73%

Child Protection 3,663,872 758,016 675,837 2,230,019 61%

Education 5,973,720 1,947,995 1,018,556 3,007,168 50%

Emergency Preparedness and 1,200,000 328,770 318,838 552,391 46% Response

Total 23,703,305 7,636,729 2,867,777 13,982,400 59% *Funds available includes funding received against the current appeal year as well as the carry-forward from the previous year. **Health sector: $1,572,000 of the total funds received is for the polio vaccination which is not part of the original HAC targets. Next SitRep: 15/12/2017 UNICEF Cameroon Facebook: www.facebook.com/unicefcameroon UNICEF Cameroon Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/index.html Felicite Tchibindat Zakari Adam Sara Karimbhoy Who to Representative Deputy Representative Chief Field Operations & Emergencies contact for Yaoundé, Cameroon, Yaoundé, Cameroon Yaoundé, Cameroon Tel: +23722223182 Tel: +23722223182 Tel: +23722223182 further Mobile +237675061112 Mobile +237679523052 Mobile +273694538688 information: Fax: +23722231653 Fax: +23722231653 Fax: +23722231653 Email: [email protected] Email: [email protected] Email: [email protected]

Annex A

SUMMARY OF PROGRAMME RESULTS National Response Overview Results (Lake Chad Basis Crisis & CAR Refugee Crisis) Sector Response UNICEF and IPs Overall Change Change National Needs 2017 Total since last 2017 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of affected people with a sustainable access to drinking water, to 531,000 241,000 114,755 0 55,000 38,655 0 address their vulnerabilities Number of affected people with an access to adequate sanitation to meet 531,000 171,000 89,295 11,675▲ 100,000 80,215 6,480▲ their vulnerabilities Number of children admitted for SAM treatment having received a WASH 51,000 40,000 18,932 0 30,000 18,932 0 minimum package of activities EDUCATION Number of children aged 3-17 years accessing quality formal or non-formal 450,000 316,592 124,764 22,294▲ 221,500 124,494 22,294▲ basic education Number of children aged 3-17 years 450,000 316,592 116,249 13,779▲ 190,000 115,979 13,779▲ benefitting from learning materials Number of primary and secondary school- aged children attending school in a 450,000 167,100 76,308 0 117,500 76,308 0 classroom with a teacher trained in PSS NUTRITION Number of children aged 6 to 59 months 64,869 56,627 47,062 6,246▲ 58,640 42,098 0 with SAM admitted for treatment Performance of integrated program for >75% >75% 79% 0 >75% 79% 0 severe acute malnutrition treatment CHILD PROTECTION Number of children reached with psychosocial support through child- TBD 229,379 101,868 13,962▲ 105,800 70,549 6,684▲ friendly spaces Number of unaccompanied and separated children who are placed in alternative care TBD TBD 2,994 549▲ 2,800 2,165 280▲ and/or who benefitted from individual follow-up Number of unaccompaned children TBD TBD 277 24▲ 800 273 24▲ reuinified with their families Number of children associated with armed groups receiving support for TBD n/a 46 11▲ 35 37 6▲ reintegration HEALTH Number of children from 6 months to 15 317,419 0 0 years old vaccinated against measles *Although there is no progress for the Health indicator due to no emergency funding, the needs are covered by the regular program.

Lake Chad Basin Crisis Sector Response UNICEF and IPs Overall Change Change Sector needs 2017 Total since last 2017 Total since last Target Results report Target Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of affected people with a sustainable access to drinking water, to 332,000 157,000 93,600 0 30,000 28,500 0 address their vulnerabilities Number of affected people with an access to adequate sanitation to meet 332,000 87,000 84,340 6,720▲ 50,000 80,215 6,480▲ their vulnerabilities Number of children admitted for SAM treatment having received a WASH 51,000 40,000 18,932 0 30,000 18,932 0 minimum package of activities EDUCATION Number of children aged 3-17 years accessing quality formal or non-formal 209,557 163,532 84,054 5,827▲ 114,500 83,784 5,827▲ basic education Number of children aged 3-17 years 209,557 163,532 84,054 5,827▲ 98,000 83,784 5,827▲ benefitting from learning materials Number of primary and secondary school-aged children attending school in 209,557 90,600 76,308 0 63,500 76,308 0 a classroom with a teacher trained in PSS NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment in Far 31,074 27,967 25,818 2,901▲ 28,029 23,411 0 North Number of children aged 6 to 59 months with SAM admitted for treatment in 16,518 14,866 12,444 1,642▲ 14,866 10,802 0 North Performance of integrated program for severe acute malnutrition treatment in >75% >75% 80.8% 0 >75% 87.6% 0 Far North : cured rate Performance of integrated program for severe acute malnutrition treatment in >75% >75% 77.5% 0 >75% 80.3% 0 North : cured rate CHILD PROTECTION Number of children reached with psychosocial support through child- TBD 103,611 101,721 13,815▲ 67,500 70,402 6,537▲ friendly spaces Number of unaccompanied and separated children who are placed in TBD 3,000 2,691 530▲ 2,300 1,862 261▲ alternative care and/or who benefitted from individual follow-up Number of unaccompaned children TBD 1,941 277 24▲ 750 273 24▲ reuinified with their families Number of children associated with armed groups receiving support for TBD 35 46 11▲ 35 37 6▲ reintegration HEALTH

Number of children from 6 months to 15 317,419 0 0 years old vaccinated against measles *Although there is no progress for the Health indicator due to no emergency funding, the needs are covered by the regular program. CAR Refugee Crisis Sector Response UNICEF and IPs Overall Change Change Sector 2017 Total since last Total since last needs 2017 Target Target Results report Results report ▲▼ ▲▼ WATER, SANITATION & HYGIENE Number of affected people with a sustainable access to drinking 199,000 84,000 21,155 0 25,000 10,155 0 water, to address their vulnerabilities Number of affected people with an access to adequate sanitation to 199,000 84,000 4,955 4,955▲ 50,000 0 0 meet their vulnerabilities EDUCATION Number of children aged 3-17 years accessing quality formal or non- 240,443 153,060 40,710 16,467▲ 107,000 40,710 16,467▲ formal basic education Number of children aged 3-17 years 240,443 153,060 32,195 7,952▲ 92,000 32,195 7,952▲ benefitting from learning materials Number of primary and secondary school-aged children attending 240,443 76,500 0 0 54,000 0 0 school in a classroom with a teacher trained in PSS NUTRITION Number of children aged 6 to 59 months with SAM admitted for 17,277 13,794 8,800 1,703▲ 15,745 7,885 0 treatment in East and Adamaoua regions Performance of integrated program for severe acute malnutrition >75% >75% 78.6% 0 >75% 83.7% 0 treatment in East and Adamaoua : cured rate CHILD PROTECTION Number of children reached with psychosocial support through child- TBD 125,768 147 147▲ 38,300 147 147▲ friendly spaces Number of unaccompanied and separated children who are placed TBD TBD 303 19▲ 500 303 19▲ in alternative care and/or who benefitted from individual follow-up Number of unaccompanied children TBD TBD 0 0 50 0 0 reunified with their families