Humanitarian Action for Children Mid-year update for July 2013

HEADLINES  In the run-up to Presidential elections held on 28 July, UNICEF provided candidates with a brief on the situation of children and women in Mali and facilitated the signature of a memorandum on the respect and promotion of children’s rights in Mali.  UNICEF continues to support the resumption of social services in the North by providing material and infrastructure aid for health centres and nutritional units, water networks, schools, and administrative offices.  As part of the Back to School initiative for the 2013 – 2014 academic year, UNICEF in collaboration with partners supports 500,000 school-aged children affected by the recent crises get back to the classrooms.  Results from the SMART nutrition survey in have highlighted a ‘serious’ nutritional situation. In the next six months, 22,730 children are expected to suffer from acute malnutrition, including 5,461 children with acute severe cases.  In support of the cold-chain and to prepare for vaccinations in the next year, UNICEF is providing solar-powered and regular refrigerators to health centres in the North and has rehabilitated the cold room in . UNICEF is targeting more than 60,000 children under 1 with routine vaccinations and over 307,000 children under 5 for routine measles and polio vaccinations.  UNICEF has updated requirements for Humanitarian Action for Children, increasing the overall amount needed by about US$10 million, up to $91.9 million. So far, only 35 per cent of the required funding has been received.

At a school in , a teacher helps her students. UNICEF Mali / Dicko / July 2013

UPDATE OF THE HUMANITARIAN SITUATION

1

Mali Situation at a Glance Total population (census 2009) 1 14,528,662 Children under 18 (census 2009) 7,453,080 Children Under 5 (census 2009) 3,114,000 Children Under Five with Severe Acute Malnutrition (SAM)2 210,000 Children Under Five with Moderate Acute Malnutrition (MAM)2 450,000 Internally Displaced Population 3 342,033 4 Refugees in Neighbouring countries 174,129 Number of Separated/Unaccompanied Children registered Dec 2012- 1,536 Feb 2013 (verified) 5 (Of which 142 non-accompanied) Number of gender-based violence cases reported (as of 11 July) 1,497 Number of mine/ UXO victims 2012-2013 6 76 1 The National Institute of Statistics undertook a review of the national population in May 2013, based upon growth estimates from the 2009 census – age groups were not disaggregated in this revision. 2Cluster Nutrition, June 2012 CAP, based upon data from the June 2011 SMART survey; 3Population Movement Commission estimates; 25 July. 4UNHCR 16 July. A total number of 46 refugees in and Togo are included in overall number reported by UNHCR. 5 As a result of verification conducted this month, the number has reduced as of 26 July. 6 40 child victims including 6 child deaths; 17 victims in 2013. Reporting mechanism coordinated with UNMAS and Handicap International. This figure is unchanged from June.

During the first half of 2013, Mali has been faced with political instability, sporadic fighting, population displacement, and the effects of a pre-existing food and nutrition crisis. The political and security situation remains volatile, although humanitarian access in the northern regions of Gao, Kidal and Timbuktu has seen gradual improvements over the past few months. The United Nations Multidimensional Integrated Stabilization Mission in Mali (MINUSMA)1 was established by Security Council Resolution 2100 in April and Presidential elections were held on 28 July without incident. Displaced people are starting to return home. Initial reports from UNHCR indicate that 8,148 refugees have returned to the North in the last month. The International Organization for Migration (IOM) reports that up to 137,422 internally displaced persons (IDPs) have also returned home to date. A Protocol d’Accord for the release, transfer and protection of children associated with armed forces and groups to child protection agencies was signed by the Government of Mali and the United Nations, granting improved response capacity to UNICEF related to child protection. UNICEF has been able to establish a sub-office in Gao, a presence in Timbuktu and has conducted missions to Kidal.

Despite these advancements, there are still widespread humanitarian needs to be met. There are 342,033 IDPs and 174,129 refugees in neighbouring countries, many living in precarious situations and lacking access to basic services. Over 1.2 million children require educational support, either to enter school for the first time or to go back to school after their studies were interrupted by the crisis. The normal delivery of social services in the North has been limited partially due to a lack of presence of some state authorities, though in recent months some have started to return to northern towns. In urban and rural areas, inadequate infrastructure including office buildings, clinics, transportation, equipment and human resources are also lacking. A monitoring and reporting mechanism for children associated with armed forces and groups needs to be established in the North to ensure appropriate follow-up and support by child protection actors. To improve response in the North, harmonisation of provided assistance and scaling-up of response activities is crucial. These conflict-based needs are all compounded by nearly nationwide crisis-level malnutrition. Estimates indicate 660,000 children will suffer from acute malnutrition by the end of this year, out of which UNICEF has already provided assistance for 93,944 in the South and 18,822 in the North. UNICEF is currently supporting the roll-out of SMART methodology nutrition surveys in all regions of southern Mali, to help guide the response in the South.

ADJUSTED PLANNED RESULTS FOR 2013

1 MINUSMA has been asked to support the transitional authorities of Mali in the stabilization of the country and implementation of the transitional roadmap, focusing on major population centres and lines of communication, protecting civilians, human rights monitoring, the creation of conditions for the provision of humanitarian assistance and the return of displaced persons, the extension of State authority and the preparation of free, inclusive and peaceful elections.

2

UNICEF is scaling up its response across all the sectors in Mali, focusing on providing assistance and support for the re-establishment of social services in the North. UNICEF continues to lead Education, Nutrition, Water Sanitation and Hygiene (WASH) Clusters as well as the Child Protection sub-Cluster and work together with governmental and NGO partners to respond to humanitarian needs.

A strategic plan for a national Back-to-School/Go-to-School initiative for the 2013 -14 academic year has been officially launched by the Minister of Education with the support of UNICEF on 25 July 2013. The national initiative targets 800,000 children, of which UNICEF is planning to reach 500,000 affected by the crisis in addition to 1.2 million children out of school prior to the conflict. Limited access and teacher presence coupled with insecurity, particularly in the regions of Gao, Timbuktu, Kidal and northern Mopti has slowed down the re- opening of schools in these regions. UNICEF and partners will accompany the government in facilitating and promoting equitable access to quality education and by implementing a multi-sectoral minimum package that includes teacher training, social mobilisation and the provision of over 403,000 student and teacher manuals on core subjects, like mathematics and language. In addition, and in order to allow crisis affected school-aged children to catch up on lost schooling time, UNICEF and cluster members in support of the Ministry of Education have been instrumental in the facilitation of the organisation of already on-going catch-up classes in the South (additional schooling hours during the week) and North of the country (adjustment of school calendar and prolongation of school year up to 15 October 2013).

The UNICEF Nutrition component and Nutrition Cluster have redefined their objectives until the end of 2013 in terms of management of acute malnutrition. The Cluster has taken into account the current geographic coverage of operational partners, the level of funding, existing constraints and risks envisaged by the end of 2013 and estimates that 60 per cent of all under 5 children at risk of acute malnutrition will be reached. This means 395,000 children will be targeted for nutrition interventions, including 270,000 children suffering from moderate acute malnutrition (MAM) and 125,000 children suffering from severe acute malnutrition (SAM). UNICEF response activities in the nutrition sector face a number of challenges which are structural in nature and existed before the crisis. These include malnutrition prevention, the need for better training for health workers and better community mobilisation, which are needed to improve the quality and coverage of nutrition. In the coming months, UNICEF is planning to provide support for case management and care for new admissions, including the provision of equipment and supplies in the North. Also planned are capacity-building sessions for State actors and NGO personnel on the National Protocol on the Treatment of Malnutrition.

UNICEF continues to provide assistance in the health sector, in particular for prevention of communicable diseases. Nationwide 1.8 million children under the age of 15 are scheduled for vaccination in the next three months, including 70,000 in three communes of . In addition, UNICEF will provide support to the return of skilled health workers to the North over the coming three months.

The WASH Cluster is now targeting 2.6 million people, out of which 1.9 million will be targeted by UNICEF in collaboration with relevant government entities. UNICEF plans to carry out detailed technical diagnostics of 40 water supply networks in primary and secondary cities and begin efforts to restore production capacity, treatment and distribution of water in the North in the coming months. UNICEF is supporting water systems with solar panels, generators and repair as well as working to enable local and technical directorates to scale up their response.

For Child Protection, UNICEF will work together with the government to support community-based reintegration of children who have formally been associated with armed forces and groups and support the release of children from armed forces and groups. Public outreach on gender-based violence and mine risk education will also continue

INTER-AGENCY COLLABORATION

3

A Memorandum of Understanding (MOU) was signed between UNICEF and the World Food Programme (WFP) in June, highlighting comparative advantages and division of labour, strategic priorities and the scope of future collaborations to create better synergy and a more coordinated response to the nutrition crisis. Furthermore, UNICEF has signed an MOU with the World Health Organization (WHO) to clarify common priorities in health, nutrition and WASH to ensure effective and coordinated pooling of the resources in providing technical and financial support to the Ministry of Health. UNICEF is coordinating with other humanitarian actors through participation in the Humanitarian Country Team, Population Movement Commission and the Commission for Rehabilitation of Post-Conflict Zones.

In 2013 UNICEF in Mali has signed partnership agreements with 36 organisations and has 11 new agreements with NGOs in the pipeline. UNICEF has signed partnership agreements (both development and emergency) amounting to $23 million. UNICEF also works with government institutions to finance activities and supplies.

UNICEF Mali Partner NGOs in 2013 ACF, ACTED, Aga Khan, Alima – AMCP, Alima Nord, AMSOPT, ARCAS, ARDIL, ASDAP, AVSF, CARE, Catholic Relief Services, COMADE, Croix Rouge Francais, Danish Refugee Council, ENDA/ BNCE, Family Care International, Handicap International, IMC, InterSOS, IRC, MDM- Belgique, MDM-France, Oxfam-GB, Plan International, Protos, RECOTRADE, SamuSocial, Save the Children, Sini Sanuman, SNV, Solidarités Internationale, Tagne, Terres des Hommes, URTEL, Ya-G-Tu

CONFLICT RESPONSE AND RECOVERY

Nutrition data for humanitarian response is reported nationwide and is indicated in the nutrition response table below in the Mali Nutrition Response section (pages 11 - 12).

UNICEF & operational partners Sector / Cluster

% of % of Sector Indicator UNICEF Cumulative Cluster Cumulative Target Target Target results (#) Target results (#) Achieved Achieved

Number of people who received temporary access to potable chlorinated 1,549,672 686,801 44% 2,000,000 749,940 37% water of sufficient quantity

Number of people who received access to an 136,000 87,200 64% 250,000 149,210 60% improved potable water source Number of households received a hygiene kit & a WASH community hygiene 200,000 42,152 21% 200,000 49,201 25% awareness session (in conflict affected areas) Health / nutrition centres received WASH interventions (latrines / 150 20 18% 200 39 20% safe water/ chlorine products / hygiene promotion) 1 UNICEF Operational Partners: ACF-E, ACTED, CARE, Handicap International, IRC, MDM-B, Oxfam-GB, Solidarités International. 1To date, the agreements signed between UNICEF and its operational partners should allow 128 health centres to be rehabilitated by end of 2013. The interventions listed here are only those which are complete.

4

UNICEF & operational partners Sector / Cluster

% of % of Sector Indicator UNICEF Cumulative Cluster Cumulative Target Target Target results (#) Target results (#) Achieved Achieved

Number of people in measles-affected areas reached with vaccination 367,856 208,367 57% activities – northern regions and Mopti) Number of people in measles-affected areas reached with vaccination 1,362,943 72,000 5% activities – southern regions)1 Number of people benefitting from Inter- Agency Health Kits (IEHK) 800,000 273,000 34% Health – northern regions Number of people benefitting from IEHK – 600,000 60,000 10% South (only to Mopti) Number of children under 5 provided Vitamin A in each round of integrated 276,493 168,134 61% vaccination in the conflict affected North UNICEF Operational Partners: ALIMA, MDM. 1 The target for measles vaccinations nationwide is dynamic, based on areas where localised outbreaks occur. No national vaccination campaign was planned for 2013, as a national campaign was conducted in 2012. There was a small campaign in Bamako earlier in the year, and the larger campaign began on 26 July for which results are not yet available. Number of people reached by community level Mine 100,000 55,455 55% Not 115,066 n/a Risk Education activities1 defined

Number of personnel Not trained to conduct Mine 600 325 54% 325 n/a Risk Education activities defined Number of children

released from armed 100% of 100% of 100% of 100% of 14 14 forces or groups provided identified identified identified with care / support 2 identified

Number of GBV survivors who receive appropriate Child care and support (medical, 1,0503 543 51% Protection psychosocial, economic, judicial services ) Number of social workers, law enforcement officers and health-service 759 60 8% providers trained on child- appropriate responses to sexual violence Number of unaccompanied children in alternative care 100% of 100% of who receive monitoring 25 1,536 370 24% visits at least once per identified identified month4 UNICEF Operational Partners: ENDA/BNCE, Handicap International, IRC, Sini Sanuman, Samu Sociale, Tagne, Terre des Hommes Caritas, IOM, UNMAS, InterSOS. The number of people reached by community level Mine Risk Education

5

UNICEF & operational partners Sector / Cluster

% of % of Sector Indicator UNICEF Cumulative Cluster Cumulative Target Target Target results (#) Target results (#) Achieved Achieved

activities from UNICEF interventions has previously been reported based on all CP Cluster actors’ activities, whereas this figure considers only UNICEF activities. 1 This result has now been split between UNICEF and cluster for the first time, hence the reason for the lower UNICEF total as compared to the June situation report. 2To date all children confirmed as released from armed forces or groups have been taken into care. 3The total number of estimated cases to date is 1,505. While the initial target was 750, the Child Protection Section has increased the target to 1,050 through the end of the year in consideration of the current capacity to respond. 4This dynamic target is 100% of the children confirmed as highly vulnerable through detailed surveys by IOM, Save the Children, Terre des Hommes, IRC. Not all the children included here have been documented or verified. UNICEF partners follow-up on children identified through IOM in Bamako. The cluster includes children verified and followed-up by IRC. NB: UNICEF does not report on GBV sub-Cluster activities. IDP children in host schools/ conflict or flood affected children 200,000 50,858 25% 200,000 70,086 35% benefitting from Education Supplies – northern regions1 IDP children in host schools/ conflict or flood affected children 35,848 12% 603,584 9% benefitting from Education 300,000 52,119 Supplies – southern regions Teachers trained to Education provide psychosocial 3,000 1,758 59% 5,000 2,838 23% support to students 2

Temporary learning spaces installed 3 100 45 45% 100 50 50%

UNICEF Operational Partners: ACAS, APADL, APROMORS, CRADE, GARDL, Danish Refugee Council, Handicap International, International Rescue Committee, Plan International/Mali, Save the Children 1 The Ministry of Education Back to School initiative, supported by UNICEF, has identified children in the vulnerable areas (risk of natural disasters, impact of nutrition crisis and political crisis) in need of immediate education support. This total includes children who have never been in school. 2 This is a new target for the 2013 – 2014 academic year according to the CAP. 3 This number has been revised. There is insufficient information on the need for such structures. An evaluation is being planned. The number of Temporary Learning Spaces includes those for Early Childhood Development. Number of mobilisation visits to concessions/ 759,846 107,576 14% households1 Number of group discussions on Essential 2 Communication Family Practices 78,983 35,805 45% for Development (C4D) Number of displaced persons educated on Essential Family 110,405 5,186 5% Practices3 UNICEF Operational partners for the C4D programme include RECTOTRADE, ASDAP and the Ministry of Social Development, Solidarity and Elderly People 1 C4D targets have been revised based upon planned annual interventions with project partners. Previous targets were only covering on-going interventions for the first period of the year. 2 Indicator revised to number of visits conducted rather than the number of concessions visited to bring the indicator in line with partners reporting. Visits are conducted by local traditional communicators and other community actors. Each concession has approximately 3 households. Each concession is visited two or three times to ensure the behaviour change has been adopted. “Communicators” include professional local communicators as well as community actors who are trained in C4D. 3 This target is the cumulative of RECOTRADE and ASDAP as well as the community mobilisers who were funded by the Government.

6

EDUCATION

UNICEF and partners’ programming (with UNICEF financial/technical support)

UNICEF’s action since the onset of the crisis included increased access to school through the provision of school supplies, including notebooks, pens, equipment, and recreational kits to over 86,000 girls and boys and 1,400 teachers. UNICEF has contributed to child development through the provision of cognitive and psychosocial support to 7,000 children (ages 3-5 years) that have been affected by the food and nutrition crisis and children displaced due to the conflict. UNICEF has improved quality of education by training 2,200 teachers on psychosocial support including mine risk education modules and training of 1,125 teachers on pedagogy of large groups and methodology of catch-up or remedial classes by UNICEF and partners.

UNICEF was also involved in the facilitation of cross-border dialogue between the Ministry of Education in Mali, and the respective ministries in Burkina Faso, Niger and to ensure reintegration of refugee students in the schooling system, including validation and certification of exams for over 13,600 students. In support of the Ministry of Education in their implementation of a national Back-to-School/Go-to-School initiative for the 2013 – 2014 academic year UNICEF has provided assistance including facilitating the setting up catch-up classes and adjustment of school calendar. UNICEF has also provided logistical and material support to the school administrations in areas affected by the conflict, namely Gao, Timbuktu and Douentza. This assistance aims to facilitate resumption of administrative functions in the North.

Education Cluster

UNICEF, together with Save the Children, has been supporting the Ministry of Education in its cluster lead function and efforts to coordinate humanitarian actors since the beginning of the crisis. With an estimated 800,000 school-aged children affected by the complex emergency, in addition to 1.2 million children who were out of school prior to the crisis (Ministry of Education, May 2013) implementing a sectoral response plan aimed at the resumption of schooling for the 2013-14 school year remains a priority for the Education Cluster. This response plan takes into account access challenges in the North, in particular insecurity in rural areas of Gao, Timbuktu and throughout Kidal. Sub-clusters under the leadership of the Ministry of Education and with the support of UNICEF are currently coordinating the response to needs in education in Mopti, Ségou, Kayes and .

In addition to general coordination, harmonization of approaches and activities between partners, the Education Cluster has set standards and provision of tools to facilitate an efficient and effective education emergency response. The Education Cluster has initiated regular needs assessments on the current situation in the North and the South since the start of the crisis. The most recent assessment in Gao and Timbuktu highlighted the need for material support (teaching and learning materials) for 39 per cent of students and 55 per cent of teachers. It also highlighted training needs on thematic issues relevant to education in emergencies for nearly two thirds (61 per cent) of teachers in the North. There is also a general need for institutional capacity development linked to education emergency prevention and response activities, including conflict and disaster risk reduction.

Cluster members continue to promote school attendance for 170,000 students affected by the food and nutrition crisis in the South of the country, through targeted advocacy with key partners to establish and maintain 1,050 school canteens in the South. According to Cluster estimates, 580 primary and 8 secondary schools are implementing catch-up classes out of a total of 1,042 schools where an estimated number of 14,700 students are being taught by over 2,740 teachers in the regions of Gao and Timbuktu.

CHILD PROTECTION

7

UNICEF and partners’ programming (with UNICEF financial/technical support)

In July, three more children have been released and handed over to UNICEF through the National Directorate for the Protection of Children and Women (DNPEF) following a joint advocacy effort conducted with militant groups. To date, 14 children have joined the transit care centre where they receive care and protection. After verification and certification of vulnerability, 25 separated children have been referred to UNICEF partner Samu Social for specific assistance including medical and psychosocial support.

Conflict-affected people, and in particular children, are affected by psychological distress. There is an acute need for developing community-based child protection programming as well as psychosocial activities. In an effort to provide support tailored for women and girls in Mopti, UNICEF has established a space to accommodate girls and women in need to promote resilience and well-being of children, adolescents and their guardians through community interventions. Mine risk education activities, victim assistance and mine action advocacy has benefitted over 55,000 people so far this year, with another 45,000 targeted.

The Ministers of Justice, of Women, Children and Family Affairs, of Internal Security, and of Defence, signed the Inter-ministerial Circular on the Prevention, Protection and Return to Families of Children Associated with Armed Forces and Groups. UNICEF led advocacy efforts and provided technical inputs to this important document. UNICEF, in collaboration with the Regional Directorate for the promotion of Women and Children (DRPEF) and other protection agencies, visited armed groups in Mopti in April to inform groups’ leaders of the laws and regulations against the use of children in armed forces and groups. Over 200 people in such groups were involved in this exercise. Together with Malian civil society and the European Union and UNOCHA, UNFPA, OHCHR and UNHCR, UNICEF has trained 477 Malian military personnel to raise awareness on international humanitarian law and protection of children’s rights during conflict.

Child Protection sub-Cluster

Since the start of 2013, some 154,053 children and 72,672 adults have been reached by Child Protection sub- cluster members through different activities including awareness sessions, psychosocial and recreational activities, referral (medical/legal) and Identification, Documentation, Tracing and Reunification (IDTR) services. In July, the Child Protection sub-Cluster organized a Training of Trainers for 20 people on case management for separated and unaccompanied children. Working Groups on separated children and on children associated with armed forces and groups, under the umbrella of the Child Protection Sub-Cluster, have been in operation since their reactivation in January. The sub-Cluster estimates that some 1,536 separated and unaccompanied children were pre-identified between December 2012 and February 2013, with Bamako and Mopti having particularly high caseloads. Assistance can only be organized once these cases are verified and the most vulnerable children and specific needs are confirmed. The verification process is underway.

The sub-Cluster has introduced a standardized tool for mapping actors and interventions at the national level to ensure geographic coverage of needs. The sub-Cluster has coordination mechanisms in Ségou, Mopti and Bamako and protection programmes implemented by cluster members are being developed in Gao and Timbuktu. Support has also benefitted the regional humanitarian coordination structure to reinforce coordination with child protection actors regionally.

WATER, SANITATION AND HYGIENE (WASH)

UNICEF and partners’ programming (with UNICEF financial/technical support)

8

Over 365,000 crisis-affected people have been supplied with clean water by UNICEF this year. Early in 2013 rapid assessments indicated that supplies of fuel and water treatment products may run short, which would affect urban water networks in northern regions. A number of the urban water networks in northern regions were damaged by looting in 2012 and early 2013. In Timbuktu, Gao and Kidal towns, UNICEF, in coordination with International Committee of the Red Crescent, is supporting SOMAGEP (the Malian Drinking Water Management entity) to restore drinking water production and distribution. The water networks in Gao and Menaka towns have also been supported by UNICEF with water treatment products to ensure safe water for 30,000 people. In Mopti, UNICEF has been providing support to the Regional Hydraulics Directorate to ensure safe water distribution for 100,000 people. In Kidal, UNICEF has contracted a private drilling company to construct two new boreholes in Talhandak, and in Tinzawaten, two water points have been constructed. UNICEF has provided support to partners such as Solidarités International, which has prepositioned WASH in Nutrition kits for malnourished children in Kidal. Some 161 of the targeted A girl drinks clean water provided by UNICEF in community health centres (CSCOMs) lack the minimum package of a Malian refugee camp in Niger UNICEF / Dicko WASH supplies. / April 2013

In May, cholera broke out in the , with 22 cases and 2 deaths reported. UNICEF, in collaboration with WHO and the government provided technical and material assistance through the Cholera Working Group. UNICEF has sent 140 tons of WASH supplies to partners in Ansongo, at the epicentre of the outbreak. By the end of the month, the outbreak was contained. UNICEF will continue to prevent and respond to cholera and waterborne diseases, including efforts to provide access to safe water for 1.5 million people. In southern Mali, UNICEF, in collaboration with local authorities, is carrying out emergency interventions in Nampala, Ségou, including distributing drinking water and providing drilling equipment to establish a water system with six standpipes.

WASH Cluster

The WASH Cluster continues to prioritise response efforts in the North, in places where IDPs are staying and in areas at high risk of cholera outbreaks. WASH Cluster partners continue cholera prevention activities, disseminating messages through local radios or through community mobilisers.

The International Rescue Committee (IRC) has facilitated the dissemination of radio messages and household visits, reaching 3,000 people. Chlorinating water systems (21 water points) and distributing household water treatment products continues in the zones at risk. Along the river in Ségou and Gao, Solidarités conducted

9

diagnostic activities. In the past two weeks IRC distributed 800 cholera prevention kits in Ansongo. A Task Force working in prevention and response to floods was activated in July chaired by the Civil Protection.

Infrastructure support remains a central focus for WASH Cluster partners, in particular in places where IDPs and host communities live. The Cluster aims to reach 1,722,000 conflict-affected people in Ségou, Mopti, Gao, Kidal and Timbuktu. In July, IOM began the rehabilitation of 12 water points in Mopti and completed the distribution of hygiene kits to IDPs and host communities there. In the cercle of Kona, Mopti, IOM has helped to restore the electricity system to connect the water structures in the area. Support for the Gao Hospital continues with provision of water and fuel. In Menaka, six water points have been rehabilitated and eight blocks of latrines constructed, benefiting IDPs and families hosting displaced people. Hygiene promotion and promotion of household water treatment activities have been completed in the same area. In Fafa, one water point was rehabilitated but there is need for more. Action Contre la Faim-Spain (ACF-E) has distributed 6,614 family kits and conducted hygiene promotion training and rehabilitated 13 water points equipped with hand pumps in Gao. In Tominion, Gao, 20 community wells are currently being rehabilitated. In July, in Mopti and Gao, IRC began rehabilitating 40 water points and water structures in 10 schools and 10 CSCOMs in support of both WASH in Schools and WASH in Nutrition integrated programmes. ACTED is also supporting WASH in four CSCOMs in Gao and six in Mopti. WASH Cluster members operate in 168 CSCOMS and CSREFS nationwide.

RESPONSE MAP: WASH

HEALTH

UNICEF and partners’ programming (with UNICEF financial/technical support) Some 333,000 people have benefitted from IEHK Health Kits distributed by UNICEF to date. In July, UNICEF provided 20 basic malaria kits to partners ALIMA and Merlin for distribution in Timbuktu, specifically to the Gondam and Dire districts. Each kit can treat 3,000 uncomplicated cases of malaria. UNICEF also provided Merlin with 11,000 bed nets to distribute and a further 30,000 bed nets were handed over to the Government for

10

distribution in the North. To help stop the spread of communicable diseases, UNICEF has procured enough measles vaccines for 2.7 million people to be vaccinated nationwide. The regional cold room for vaccines in , which also covers the storage needs of three northern regions, has been repaired with UNICEF support. UNICEF plans to provide 18 solar-powered and 1 electric refrigerators to Gao, 19 solar-powered and 2 electric refrigerators for Timbuktu and 3 solar-powered refrigerators for Kidal. Three freezers will be provided to support the cold-chain in the North.

As compared to 2012, there are nearly 100 more measles cases this year. On 8 July, 624 cases of measles and 12 deaths have been recorded in Mali, though no new deaths since March. In July, UNICEF, WHO and the Government completed a seven day multi- antigen campaign in the North, targeting 261,556 children under the age of 5. Some 66,428 children, who had no recent demonstrable evidence of vaccination against measles, were vaccinated in Gao and Timbuktu regions. UNICEF provided the vaccines and vitamin A A boy receives a routine vaccination and vitamin A in and albendazole (for de-worming), while WHO funded the field the village of Kabara, located just outside of Timbuktu. operational costs. UNICEF / Dicko / July 2013

MALI NUTRITION RESPONSE

UNICEF & operational partners Sector / Cluster Cumulative % of Cumulative % of UNICEF Cluster Sector Indicator results Target results (#) Target Target Target (North / Achieved (North / Achieved

South) South)

New admissions to programmes for the 39,287 39,287 treatment of children with out of which out of which severe acute malnutrition 7,003 North / 7,003 North / (SAM) with no 32,284 South 32,284 South 1 complications (URENAS) 35% 125,000 35% 125,000

New admissions to programmes for the 4,054 4,054 treatment of children with 596 North / 596 North / severe acute malnutrition 3,458 South 3,458 South (SAM) with complications (URENI) Percentage of children exiting programmes for the treatment of SAM2 Nutrition Exited Cured Target Target ≥75% 85% ≥75% 85% Achieved Achieved Exited Died Target Target ≤10% 2% ≤10% 2% Achieved Achieved Exited Abandoned Target Target ≤15% 13% ≤15% 13% Achieved Achieved New admissions to programmes for the treatment of children with 270,000 69,425 26% moderate acute malnutrition (MAM) (URENAM) 3 Percentage of health areas supported by NGOs 900 900 549 61% 554 62% for treatment of acute (~70%) (~70%) malnutrition 4

11

UNICEF Operational Partners: ACF-E, Alima-AMCP, ASDAP, AVSF, IRC, MDM-B, MDM-F. 118 operational partners supporting 543 health structures of 1,264 nationwide. Supported centres not supported by UNICEF partners in Timbuktu are assisted by MSF. 1This target has recently been updated. The Nutrition Cluster estimates that 60 per cent of all under 5 children at risk of acute malnutrition (450,000 children) will be reached. 2 Note that this data from the National Nutrition Division is only available from the first quarter 2013 and only for southern regions. 3The target of 125,000 compared to a caseload of 210,000 was rationally defined in consultation with partners. Each NGO has given its planning and how many children they would admit and SAM treatment (this corresponded to 68.7% coverage). For districts that do not have the support of NGOs for the year 2013, a theoretical coverage of 36.9%, highlighting the lack of capacity / dedicated personal support of acute malnutrition, active screening, and logistics capabilities. 4 The difference in coverage between UNICEF and the Nutrition cluster is the coverage of MSF. Number of severely malnourished children in 39,287 treatment programmes 8,199 21% 39,287 8,199 21% who receive hygiene kits WASH and hygiene promotion

UNICEF Operational Partners: ACF-E, ACTED, CARE, Handicap International, IRC, MDM-B, Oxfam-GB, Solidarités International. UNICEF has a dynamic target for the number of malnourished children reached with WASH kits, based upon the actual number of children newly admitted into the SAM treatment programmes. Number of stimulation and recreational centres 52 16 31% 52 16 31% Education for malnourished children functional UNICEF Operational Partners: Plan Mali, Save the Children, , ARDIL, IRC, APADL, CRADE, ACAS, GARDL, APROMORS

NUTRITION

UNICEF and partners’ programming (UNICEF financial/ technical support)

Proportion of new Over 108,000 children have been newly admitted in nutrition admissions in URENAM January - July 2013 rehabilitation units (URENs) for moderate and severe acute malnutrition treatment so far this year, The majority of malnourished children North 16% admitted are in the southern (84 per cent), where UNICEF has set up sub-offices in Sikasso, Kayes and Mopti to better respond to needs. Needs also remain in the North, where 16 per cent of new admissions to URENAM have been recorded. UNICEF has established a distribution system for equipment, job aids and South 84% anthropometric material to serve inpatient facilities (URENI) and Outpatient Therapeutic Programming (OTP or URENAS) in all districts of the six regions of southern Mali. In May, joint supervision for IMAM began in Kayes in the districts of Kayes and Kenieba and Mopti in the districts of Djenné and Mopti in coordination with the National Division of Nutrition, the regional Directions of Public Health of Kayes and Mopti, the district Health authorities and the NGO partners.

Nutrition information and monitoring: A SMART methodology nutrition survey was recently conducted in Gao to better tailor response efforts in that region. With UNICEF financial support and in coordination with the Nutrition Cluster, the Nutrition survey with SMART methods for the Southern part of the country started on 20 July, aiming to assess the nutritional status of children 0-59 months and estimate the crude mortality rate and mortality rate among children under 5 in all southern regions (Bamako, Kayes, Koulikoro, Mopti, Ségou and Sikasso). 65 investigators were trained and deployed the regions, along with 14 supervisors. They will be in charge of data collection for approximately four weeks. Preliminary results of this nutritional survey will be available in early September.

12

Nutrition 1st Quarter 2013 The UNICEF Nutrition component % of the 15,918 children who exited programmes and the National Nutrition for treatment of Severe Acute Malnutrition in Department are developing a 100% southern Mali 85% computerized database to 80% Source: Ministry of Health, National automatically compile Integrated Nutrition Division. MoH does not Management of Acute Malnutrition 60% provide data for northern regions. (IMAM) information through routine services from monthly tally reports 40% completed by health centre staff (including quantitative indicators, 20% 13% such as admissions, death, 2% defaulters and cure rates). UNICEF 0% has established a distribution system Cured Died Abandonment for equipment, job aids and anthropometric material to serve stabilization centres and Outpatient Therapeutic Programming (OTP) in all districts of the six regions of southern Mali. In May, joint supervision for IMAM began in Kayes in the districts of Kayes and Kenieba and Mopti in the districts of Djenné and Mopti in coordination with the National Division of Nutrition, the regional Directions of Public Health of Kayes and Mopti, the district Health authorities and the NGO partners.

Nutrition and care development: In response to the nutritional crisis and in accordance with the integrated protocol on malnutrition cases management, UNICEF has helped developed a package of care for development. This module provides guidance to health and NGO workers to strengthen integrated child development, which highlights the importance of the cognitive development of young children suffering from malnutrition. Some 16 centres for mothers and young children have been established, benefitting 5,384 children so far.

New admissions registered in URENAM Nutrition Cluster during 1st Quarter from 2011 to- 2013 Compared to the past three years, there has been an 30,000 increase in children newly admitted for treatment for 29,790 severe malnutrition in the first quarter of 2013, with 25,000 nearly double the number admitted in 2012. 20,000 2011 2012 15,000 15,578 Regular data collection remains a priority of the Cluster 13,943 2013 to ensure clear monitoring of the situation. In April, a 10,000 new format for the monthly compilation of nutritional data 5,000 per Health Districts and Regions, was revised at the national level with the technical support from UNICEF. - This new format aims to harmonize the data compilation process and to reinforce the follow-up on the nutritional care quality.

Since January, nine multi-sectoral assessments with nutritional components have been conducted in the North (Timbuktu and Kidal regions) and southern regions (in Mopti and Ségou). These assessments have shown no degradation of the nutritional status of children so far in 2013. However, there is limited humanitarian access in the North and current limited community screening for malnutrition, which may affect the validity of the findings. As of May, all 47 Health Districts in the southern regions began entering nutritional data on a weekly basis to the nutritional surveillance system implemented by national and regional health actors. The northern regions have also begun to transmit their data into the system, but the mechanism needs to be strengthened. In this context and for these three regions specifically, the Nutrition Cluster uses data provided by NGOs present in those areas.

13

Data from the SMART nutrition survey conducted in the region of Gao in May 2013 was made available in July and shows that the nutritional situation is serious (13.5 per cent global acute malnutrition, 2.4 per cent severe) according to the WHO classification. The nutritional situation and under 5 child mortality has not worsened as compared with data from the 2011 SMART survey. The extrapolation of the prevalence of acute malnutrition (global, moderate and severe) reveals that over the next six months, in the region of Gao, 22,730 children are at risk of acute malnutrition, with 17,269 for moderate acute malnutrition and 5,461 for severe acute malnutrition.

Nutrition sub-clusters have been established in Koulikoro region, Mopti, Sikasso and Kayes. These sub-clusters are led by the Regional Health Direction with support from UNICEF. Several Cluster members have started rehabilitation and/or construction of Intensive Unit for treatment of SAM children with complications (those admitted to URENI) including: Médecins du Monde-Belgium in Ménaka and in Gao, IRC in Kati in Koulikoro and Terre des Hommes-Lausanne in Markala in Ségou.

New admissions of children into nutritional rehabilitation units (URENs)

6,000 South new admissions: 93,944 5,372 5,304

4,830 5,000 North new admissions: 18,822 4,385 4,451 4,229 4,305 3,906 4,212 4,000 3,545 4,101 4,025 2,894 3,192 3,781 2,811 3,000 2,558 2,939 2,413 2,219 2,265 2,397 1,976 2,073 1,693 2,000 1,144 2,025 1,932 1,046 1,051 959 987 884 801 778 720 731 799 740 1,000 671 678 686 582 652 303 255 278 129 134 154 772 859 769 715 - Number of new admissions registered of newadmissionsNumber 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 WEEKS in 2013

COMMUNICATION FOR DEVELOPMENT (C4D)

Action plans of Regional Directorates for Social Development have been rolled-out in 22 vulnerable districts in Mopti, Kayes, Koulikoro, Ségou and Sikasso in March and are on-going. Action plans involve public sector and civil society actors (community and religious leaders). IDPs were also among those involved in Mopti. For cholera prevention, a national media campaign to raise awareness of cholera prevention and treatment began in late May. Prevention messages were passed on via radio, television, through SMS text messages and through community mobilisers.

Since January, and in support of these action plans, UNICEF supported the training of 864 socio-health agents from the regions of Mopti, Ségou, Sikasso, and Kayes. UNICEF partner RECOTRADE began to work in the three regions of the North as well as northern Mopti. In partnership with the Ministry of Communication, UNICEF organized a meeting to discuss activities to be implemented by religious organizations and local administrative structures in nutrition, education, protection and inter-community tolerance. Four religious organizations and two local administrative structures will develop plans for the promotion of these activities in the country 60 districts through their branches. So far in 2013, UNICEF has distributed C4D products including 700 placards, 700 brochures, and 1,800 booklets.

C4D together with external communications and education has been playing a key role in the preparatory activities for the Back-to-School initiative, which included the development of a communication and fund raising

14

strategy that will include the development of key messages on the importance of schooling and on working with school and community members to achieve positive related behaviour change. UNICEF in support of the Ministry of Education has been organizing a 3-day workshop for 30 communications and education partners from national and decentralized levels, which will take place from 5 - 8 August to develop the communication strategy and necessary tools for the on-going Back-to-School initiative until January 2014.

COMMUNICATION AND RESOURCE MOBILISATION

Since January 2013, special attention was paid to communication, visibility and resource mobilization activities of UNICEF’s Humanitarian interventions in northern Mali. Within the framework of the extension of the Country Program of Cooperation, Communication and Partnerships play a central role in UNICEF’s humanitarian response. UNICEF Mali created a communication and partnerships program that included the recruitment of new international and national staff to respond to the on-going need for communication, media and fundraising materials and tools. With the new team in place, the development of a communication and resource mobilization strategy in emergencies was conducted and is fully operational since March 2013. The overall strategy included the development of materials, tools, media and donors relations to meet stakeholders needs related to the humanitarian crisis affecting women and children. Within the communication and media relations plan, UNICEF produced a series of documents to meet the needs of media and stakeholders at the advocacy and resource mobilization levels, including, fact sheets, press releases, human interest stories, video stories, and photography.

A social media strategy was developed and is fully implemented, including a country office web site and social media accounts for the dissemination of stories about women and children affected by the crisis. Three documentation field visits took place between April-June 2013, concluding in the production of video stories, human interest stories, photography and blog posts to document UNICEF’s activities in the fields of education, health, WASH, protection and nutrition in Mali. Lead media relations efforts related to issues of concerned to UNICEF, including, participation in the organization of the international day against Mines, the Release of the SOWC Report on children’s and disabilities, the preparation of the Nutrition SMART survey in the region of Gao and the Back to School initiative. Along with the Humanitarian Communication Group, UNICEF organized and facilitated the training of 30 key humanitarian journalists on children’s rights. Along with UN partners and other stakeholders, participated in the training of over 500 military personnel on the Rights of Children. Within the existing fund raising frameworks, participate actively in proposal development and key partnership opportunities to address funding gaps.

HUMAN RESOURCES

In January 2012, at the beginning of the crisis, the country office had a total of 108 staff employed. As of 19 July 2013, the office has 174 staff including staff from three stand-by partners (Save the Children, MSB and NRC), consultants and UNICEF staff on support mission. Colleagues from other UNICEF offices (West and Central African Regional Office (WCARO), Tanzania, Central African Republic, Office of Emergency Programmes in New York (EMOPS), provided assistance to Child Protection, HR, Emergency, M&E and Communication sections during the month of July.

SUPPLY AND LOGISTICS

From January to July, UNICEF Mali has distributed in Total mt of supplies transported per total 1,015 metric tons (MT) of emergency supplies, section in Mali (South and North) including 144 MT to the North and 197 MT to the 0% southern Mali from 15 June to 15 July. In the North, 14% Wash education, health, WASH and nutrition supplies were 21% Health distributed to Gao, Timbuktu, Ansongo, and Dire towns 5% Nutrition under the leadership of the government and through 60% Education Protection

15

UNICEF partners ALIMA, ACF IRC, Solidarités. In the South, education, health, WASH and nutrition supplies were distributed to the towns of Mopti, Kayes, Ségou, Macima, , , , Macina and Markala and dispatched to NGO partners.

UNICEF FUNDING (in $US as of 23 July)

Original UNICEF Revised Emergency Requirements Unmet Received to % Sector Funding as per requirements date * Unfunded Requirements for CAP/HAC MYR (US$) 2013 (US$) June 2013 Nutrition 34,770,000 35,950,877 13,856,427 22,094,450 61% Health 6,741,000 6,741,000 4,199,875 2,541,125 38% WASH 19,159,059 22,800,731 4,059,048 18,741,683 82% Education 7,725,400 12,509,627 3,361,158 9,148,469 73% Child Protection 9,270,708 9,270,708 2,073,399 7,197,309 78% Cluster/Sector 4,333,096 4,647,735 1,187,429 3,424,607 74% Coordination

Total allocated 81,999,263 91,920,678 28,737,335 59,793,398 65% Not allocated 3,354,245 Total Received 32,091,580

UNICEF wishes to express gratitude to all public and private sector donors for the contributions and pledges received, which have made the current response possible. UNICEF would especially like to thank National Committees and donors who have contributed ‘non-earmarked’ funding. ‘Non-earmarked’ funding gives UNICEF essential flexibility to direct resources and ensure the delivery of life-saving supplies and interventions to where they are needed most – especially in the form of longer-term and predictable funding and in strengthening preparedness and resilience. Continued donor support is critical to continue scaling up the response.

For further information, please contact: Ms. Françoise Ackermans Mr. Hector Calderon Ms. Josephine Ferreiro Representative Chief of Communications Resource Mobilization Specialist Telephone: (+223) 76 40 84 84 Telephone: (+223) 75 99 40 89 Telephone: (+223)75 99 54 19 [email protected] [email protected] [email protected]

16