Nigeria Humanitarian Situation

Report No. 2

Reporting Period: February 2020 © UNICEF Nigeria/2019/Owoicho Situation in Numbers

Highlights 2.2 million children in need of Humanitarian access continues to be affected by increased security incidents humanitarian assistance and actions of security forces with regards restrictions in movement of goods, (HAC 2020) especially in hard-to-reach areas in Borno state. 7.9 million • In February, 174,763 medical consultations were supported by UNICEF, out people in need of which 110,778 were children under five. (HNO 2020)

• UNICEF and its implementing partners provided critical child protection 3.8 million services to 9,955 children and caregivers in the crisis-affected states of people targeted Borno, Adamawa and Yobe. (HAC 2020) • WASH reached a total 347,671 conflict-affected people respectively during

the reporting period. 1.9 million • With health, nutrition, WASH, and child protection critically underfunded, Internally displaced people increased funding is urgently required for an integrated UNICEF response (IDPs) North-east Nigeria to 2.2 million crises-affected children

150,000 (IDPs) North-west

UNICEF’s Response and Funding Status UNICEF Nigeria Appeal 2020 US$ 145.1 million

Funding Overview and Partnerships1 In 2020, UNICEF is requesting US$ 145.1 million to reach 3.8 million people, including 2.2 million children. Funds currently available amount to US$ 45 million. UNICEF’s ability to provide an integrated package of WASH, nutrition, health, education and child protection services for the survival and development of vulnerable children is hampered by a 69 per cent funding gap, with all sectors currently underfunded.

Situation Overview & Humanitarian Needs February witnessed 11,322 movements across the three northeast states. Out of which 8,653 were arrivals and 2, 669 departures. Movements were attributed to ongoing conflict, poor living conditions, fear of attack and voluntary relocation. Needs identified by IDPs included shelter, protection services, health and nutrition services, provision of food, and access to water and sanitation2. In addition to increased security incidents that has continued to affect humanitarian access, military restrictions on the movement of goods within the reporting period affected the transportation of items such as Ready-to-Use Therapeutic Food (RUTF) and fuel to LGAs outside the state capitals.

As a follow-up to the enacted Borno Bill, INGOs commenced registration with the state government as specified in the law. However, rather than commence an altogether new registration, the INGOs submitted the memorandum of understanding (MoUs) signed with the Federal Government. Humanitarian agencies are engaging with the government and donors to advocate on content of the Bill which can affect humanitarian response. In this regard, the Humanitarian Country Team HCT core group have drafted a letter to address some of the more concerning issues related to the new law which could delay the provision of life-saving services. This includes payment of one per cent of grants by INGOs to the state’s agency for monitoring and evaluation; conflicting project approvals processes; handing down of penalties for contradicting the law; including, discussion on the composition of the humanitarian council, which currently has the military and other security agencies.

The President, Federal Republic of Nigeria approved the establishment of National Humanitarian Coordination Committee on 24 March. The committee will be co-chaired by the Minister of Humanitarian Affairs, Disaster Management and Social Development (FMHADMSD) and National Security Adviser (NSA) and will be responsible for overseeing all humanitarian actions in the country.

Summary Analysis of Programme Response Nutrition During the reporting period, a total of 9,651 children with severe acute malnutrition (SAM) were admitted for treatment, out of which, 8,392 were admitted in 438 UNICEF supported treatment facilities across the three northeast states. While 1,259 children (Sokoto 653; Zamfara 606) were admitted in 20 emergency response nutrition sites in the northwest. The northwest had an 87 per cent cure rate while the northeast had 94.8 per cent cured, 3.9 per cent defaulted, 0.3 per cent died and 1 per cent non-respondent. For activities focusing on the prevention of malnutrition, 16,755 new caregivers in the northwest (2469) and northeast (14,306) were reached with Infant and Young Child Feeding (IYCF) counselling and 7,512 children aged 6-23 months received multiple micronutrient powder (MNP) supplementation. The following activities were responsible in achieving the results: • 1,055,209 boys and girls aged 6-59 months were screened for acute malnutrition at community level by the Community Nutrition Mobilizers. Out of these children, 6,732 (0.6 per cent) were identified with SAM whilst 28,864 (2.7 per cent) were identified with Moderate Acute Malnutrition (MAM). • On-the-job coaching and supportive supervision visits conducted to 196 outpatients’ therapeutic program (OTP) sites, 17 stabilization centers (SCs), 143 IYCF corners, 131 mother support groups and 930 community nutrition mobilizers.

1 Carry-over funds from 2019 are currently being calculated 2 IOM DTM Nigeria Emergency Tracking report 156-158 Feb 2020 2

The final report of the first northeast acute malnutrition analysis of the Integrated food security Phase Classification (IPC), projected malnutrition level of Borno and Yobe for January – April to be in IPC level 3, while Adamawa in Level 2. The assessment was facilitated by the Federal Ministry of Health (FMoH) and the IPC Technical Working Group of Nigeria, with financial support from the European Union Commission and the United Kingdom.

The Borno State Committee for Food and Nutrition (SCFN) and Nutrition Technical and Steering Committee was inaugurated in Maiduguri on the 11th of February 2020 by the Borno Secretary to the State Government. It was organized by the Borno state ministry of Finance, Budgeting and Planning in collaboration with UNICEF. The committee would give a strategic platform for effective collaboration, governance, coordination and negotiation for resource mobilization, design and implementation of multi-sectoral programs.

Health A total of 158,029 IDPs and host community members were reached with integrated primary health care (PHC) services in UNICEF supported health facilities in the three northeast states, including 81,442 children under five representing 52 per cent of total patients. Out of total number reached UNICEF and partners conducted 68,041 consultations, with acute watery diarrhoea being the major cause of morbidity with 17,857 consultations, followed by 17,808 for malaria, acute water diarrhoea 5,767, 246 for measles, and 26,363 for other medical conditions. In addition, a total of 81,733 prevention services were recorded during this reporting period: • 4,222 children between 6 months and 15 years were vaccinated against measles (routine immunization) • 33,109 children and pregnant women were reached with various other antigens • 11,542 children received Vitamin A supplementation • 12,257 received Albendazole tablets for deworming) • 15,803 pregnant women were reached with ante-natal care (ANC) • 4,800 treated mosquito nets provided through RI and ANC clinics in the three states. • 2,327 women were assisted with safe deliveries (skilled delivery – 1954, unskilled – 373) • 5,928 women received post-natal care

WASH As provider of last resort, UNICEF covered critical water gaps in the transit centre in Pulka, with daily trucking of 60 cm3 of safe water for 14,792 beneficiaries for a period of 30 days. Rehabilitation of 38 handpump boreholes for 19,000 beneficiaries was achieved in Maiduguri, Mafa and Konduga LGAs of Borno. UNICEF supported water treatment in Adamawa and Borno States and monitored the utilization of 450 drums of (45 kg) chlorine (HTH) donated to Adamawa state Government and 873 drums of (45 kg) chlorine (HTH) donated to Borno State Government.

UNICEF sustained operation and maintenance (O&M) of community water points, including bucket and batch chlorination, maintenance/repair and replacement of water systems and support to camp/host community wash committees (WASHCOMs) support, for 81,556 beneficiaries in identified high-risk cholera locations in Jere and MMC LGAs.

Renewed access to safe sanitation facilities were provided for 82,480 people through the desludging of 4,124 latrines in 34 IDP camps in Borno. A total of 1,700 SAM affected families (8,568 people) in Askira Uba, Biu, Bayo and Chibok were provided with WASH kits in Borno, while 28,657 people were reached with hygiene messages in Borno and Yobe.

Child Protection During the reporting period, UNICEF and its implementing partners reached a total of 9,955 children and women (4,974 girls, 4,975 boys, 5 women) with child protection in emergency services across the north-eastern states of in Borno, Adamawa and Yobe. The services include community-based psychosocial support services (PSS), child protection case management, reintegration, follow up care and support of reporting children and women survivors of conflict related sexual violence (CRSV) as well as prevention and response to GBV.

86 children (all boys) formerly associated with non-state armed groups (NSAG) were reunified from Bulumkutu rehabilitation centre with their families and caregivers after successful family tracing and adult verifications by Borno State Ministry of Women Affairs and Social Development (BSMWASD) social workers. A total of 347 children (94 girls, 253 boys) formerly associated with NSAG enrolled in UNICEF supported reintegration programmes in Borno state continue receiving child protection services.

UNICEF reached 9,319 children (4,699 girls, 4,620 boys) with PSS through child friendly spaces (CFS) and 257 (158 girls, 99 boys) unaccompanied and separated children (UASC) benefitted from family tracing and reunification, placement in alternative care and case management services.

A total of 32 persons (23 girls, 3 boys and 6 women) including children and adolescents affected by protection risks who receive specialized support services including response to gender-based violence. In addition, 849 (216 girls, 241 boys, 362 women, 29 men) community members received GBV prevention and referral messages and childcare and child protection including on grave child rights violations

Education In February 2020, UNICEF and partners improved access to education through the supply of teaching and learning materials, rehabilitation and construction of Temporary Learning Spaces (TLS), and Water, Sanitation and Hygiene (WASH) facilities and enrolment drives in Adamawa, Borno and Yobe states.

This achievement includes 9,820 children (4,838 girls and 4,982 boys) who benefited from essential teaching and learning materials in the Jere, Maiduguri and Shani Local Government Areas (LGA) of Borno State and Damaturu and Gujba LGAs of Yobe State. A total of four TLS were constructed which benefited 542 children (226 girls and 316 boys) in Gwoza LGA of Borno State, and one classroom was rehabilitated which benefited 62 children (33 girls and 29 boys) in Bama LGA of Borno State; 18 latrines/toilets blocks were provided which benefited 11,665 children (5,249 girls and 6,416 boys) in Bama and Gwoza LGAs of Borno State.

Additionally, a total of 69,497 children (32,384 girls and 37,113 boys) were enrolled in 454 formal schools through the Enrolment Drive Campaign (EDC) in Fufore, Girei, Guyuk, Mubi North and Yola South LGAs of Adamawa State; another 4,265 children (2,200 girls and 2,065 boys) were enrolled in 10 non-formal centres in Gwoza, Hawul, Jere, Maiduguri and Mobbar LGAs of Borno State, and 119,324 children (60,871 girls and 58,453 boys) were enrolled through double-shift school system in 34 formal schools in Jere and Maiduguri LGAs of Borno State.

Another 200 graduate and volunteer teachers (84 females and 116 males) from 100 learning centers and ten Islamiyya/Tsangaya centres were trained in the Teaching at the Right Level (TaRL) methodology whose focus is to improve literacy and numeracy skills which benefited 10,400 children (5,927 girls and 4,473 boys) in Maiduguri LGA of Borno State.

Supplies UNICEF distributed 8,815 boxes of Ready-To-Use Therapeutic Food (RUTF) for 10,017 children and 21,400 packs of micronutrient powder (MNP) to partners/nutrition sites. In addition, UNICEF supported the State Ministries of Health in the three states with essential medicines. In addition, the WASH Sector pipeline pre-positioned 2,072 reusable menstrual kits, 2072 WASH and dignity kits, 7600 anti-bacterial soaps, 55 aquatab packs in partners warehouses.

Next SitRep: March 2020

Who to contact for Peter Hawkins Claes Johansson Gillian Walker further information: Representative Deputy Representative a.i. Emergency Manager UNICEF Nigeria UNICEF Nigeria UNICEF Nigeria Tel: +234 (0) 803 402 0870 Tel: +234 (0) 906 206 6637 Tel: +234 (0) 8035351745 Email: [email protected] Email: [email protected] Email: [email protected]

Annex A

Summary of Programme Results UNICEF and IPs

Sector 2020 Target Total Results* NUTRITION Number of children aged 6-59 months with SAM admitted to therapeutic care for 455,619 specified period 17,817 Proportion of children 6-59 months with severe acute malnutrition recovered >75% 94.8% Number of caregivers of children 0-23 months with access to IYCF counselling for 167,797 appropriate feeding 32,482 Number of new children 6-23 months in the affected areas receiving multiple 156,490 micronutrient powder 14,732 HEALTH Number of children 6 months - 15 years vaccinated against measles 1,186,800 8,187 Number of consultations for IDPs and affected host communities 3,713,100 332,792 WATER, SANITATION & HYGIENE* Number of people gain access to safe water (at least 15 litres per capita per day) for 250,000 drinking, cooking and personal hygiene 46,633 Number of people have sustained access to safe water for drinking, cooking and personal 500,000 hygiene 347,671 Number of IDPs in camps gaining access to gender segregated sanitation facilities and 300,000 services (latrines, showers, handwashing stations) as per SPHERE standard 113,714 Number of people benefiting from community tailored hygiene messages aiming at 1,126,800 hygienic behaviours and practices 97,890 Number of people benefiting from basic hygiene items including top-ups. 1,276,800 10,818 CHILD PROTECTION Number of children reached with psychosocial support, including access to child friendly 232,400 place 62,438 Number of children and caregivers reached with information on childcare and child 147,200 protection including on grave child rights violations 802 Number of registered unaccompanied and separated children benefitting from alternative 1,760 care arrangements 685 Number of unaccompanied and separated children reunified with their caregivers 360 162 Number of children released from armed forces or groups who have benefited from 3,080 community reintegration support 444 Number of children, adolescents and caregivers benefitting from mine risk education 25,000 -- Number of children and adolescents affected by protection risks who receive specialized 1,400 support services including response to gender-based violence 15 Number of women and children provided with prevention information to address gender- 48,536 based violence 1,579 Number of women and children provided with response interventions to address gender- 1,578 based violence (GBV sub sector) 17 EDUCATION Number of conflict-affected boys and girls (3-17 years) attending a learning centre or 420,452 school 207,032 Number of conflict-affected boys and girls (3-17 years) accessing alternative basic 121,477 education models (Integrated Qur’anic Education and accelerated learning programmes) 4,265 Number of conflict-affected boys and girls (3-17 years) benefiting from learning supplies 604,797 including ECD kits 13,140

Number of children accessing learning through rehabilitated classrooms/ established 94,050 temporary learning spaces 604 Number of children receiving education in a classroom where the teacher has been 584,797 trained in psychosocial support. 0 Number of teachers trained in psychosocial support skills and positive discipline 10,343 0

Annex B

Funding Status Funding Requirements (as defined in the 2017 Humanitarian Action for Children (HAC)

Funding gap Appeal Sector Requirements Funds available*

USD % WASH 37,312,000 9,258,719 28,053,281 75% Education 28,468,416 12,217,480 16,250,936 57% Health 19,726,710 6,325,885 13,400,825 68% Nutrition 47,886,640 12,534,203 35,352,437 74% Child Protection 10,476,110 2,107,545 8,368,565 80%

EPR 1,250,000 2,152,624 - 0% Total 145,119,876 44,596,456 100,523,420 69%