UNICEF Humanitarian Situation Report

Nigeria

Humanitarian Situation Report

UNICEF/Nigeria/Alfred KANA UNICEF/Nigeria/Alfred

Highlights 1-31 September 2018 • Out of 806 children screened for malnutrition amongst new arrivals, 131 4.5 million of 146 children with severe acute malnutrition (SAM) were from Children in need of humanitarian inaccessible areas. assistance (Humanitarian Response Plan, • With the declaration of cholera in Yobe on 19 September, all the three 2018) northeast states are now experiencing cholera outbreaks. Yobe has 7.7 million reported 1,147 cases (with a case fatality rate (CFR) of 5.4 per cent), while People in need of humanitarian assistance Borno has reported 3,537 cumulative cases (CFR 1.8 per cent), and in the northeast states of Borno, Adamawa Adamawa has reported 2,332 (CFR 1.5 per cent). & Yobe (HRP, 2018)

• In the reporting period, a total of 36,640 people accessed safe water, 6.1 million 37,950 people accessed improved sanitation and 147,837 people were People targeted in the northeast states of reached with key hygiene messages. Borno, Adamawa and Yobe (HRP, 2018) • A total of 36,325 boys and girls from conflict-affected areas accessed million improved quality education through learning materials, establishment of 1.76 Internally displaced people in Borno, learning spaces, and access to psychosocial support. Adamawa, and Yobe • In the reporting period, 446,043 persons (including 133,624 children) were (IOM DTM Round XXIIII, August 2018) reached with integrated primary health care (PHC) services in internally displaced persons (IDP) camps and host communities. 128,793 Newly displaced people since February 2018

(IOM DTM Round XXIII, June 2018) UNICEF Sector/Cluster UNICEF Appeal 2018 UNICEF Total Cluster Total Target Results* Target Results* US$ 142.5 million Nutrition: Number of Funding status* (US$) children aged 6 to 59 months 215,292 198,458 307,666 289,929 with SAM admitted to Funds therapeutic care Funding gap : received: WASH: Number of people $60.0M $38.5M provided with access to safe 1,050,000 1,095,205 2,100,000 2,640,114 (42%) water Health: Number of consultations for internally 2,340,000 2,543,757 Required: displaced and affected host $142.5M communities Child Protection: Number of children and adolescents 367,050 273,843 540,000 381,332 benefiting from psychosocial Carry-over: support services and life skills $43.9M (31%) Education: Number of children accessing learning through rehabilitated 562,250 24,890 626,200 32,105 1 * Funds available includes funding received classrooms/established against current appeal as well as carry-forward temporary learning spaces. from 2017.

*Total Results are cumulative, since January 2018

UNICEF Nigeria Humanitarian Situation Report

Situation Overview & Humanitarian Needs Ongoing conflict, poor living conditions, fear of attacks, military operations and flooding resulted in the movement of 10,493 persons in September, out of which 9,170 were new arrivals in 9 Local Government Areas (LGAs) in Borno and 2 LGAs in Adamawa. Amongst the new arrivals, a total of 806 children were screened for malnutrition out of which 112 were moderately malnourished and 146 children were severely malnourished. Of the 146 children with SAM, 131 boys and girls were from inaccessible areas1.

A cholera outbreak was declared in on 19 September, which means that all three northeast states are now experiencing a cholera outbreak. As of 26 September, Yobe had a cumulative cholera caseload of 1,147 cases in five LGAs: (364 cases with 9 affected wards), (311 cases with 7 affected wards), (288 cases with 6 affected wards), (117 cases with 6 affected ward) and (67 cases with 4 affected wards).

Cholera hotspots in Borno, which reported 3,537 cumulative cases, included Jere (1,398), MMC (642), and Ngala (681) – though cases were also observed in 8 additional LGAs: Magumeri (334), Kaga (33), Konduga (101), Chibok (120), Shani (11), Damboa (42), Askira-Uba (47) and Kwaya Kusar (128).

In Adamawa, six LGAs (Mubi North, Mubi South, Maiha, Hong, Fufore and Yola North) have reported cholera cases, with a cumulative caseload of 2,332 cases.

WASH and health actors have been responding to the outbreak through household-level disinfection, water point chlorination, distribution of cholera kits and a mass campaign focused on hygiene education. Day-to-day monitoring activities were also carried out, and new cases followed up.

UNICEF’s Response with Partners

Estimated Population in Need of Humanitarian Assistance (Estimates calculated based on initial figures from HRP 2018 and HNO 2018)

Start of humanitarian response: Total (Million) Male Female Comment2 Total Population in Need 7.7 3.3 4.4 57%F, 43M (2018 HNO/HRP) Children (under 18) 4.5 2.0 2.5 58% (2018 HRP) Children under five 1.5 0.6 0.9 20% (VTS used for 2018 HNO) Children 6 to 23 months 0.5 0.2 0.3 6% (Nutrition sector estimate)

Pregnant and lactating women 0.6 0.6 8% (Nutrition sector estimate)

1 DISPLACEMENT TRACKING MATRIX – Nigeria, EMERGENCY TRACKING TOOL (ETT) 82-86 ETT reports in September 2018 2 Estimated planning figures are from Humanitarian Needs Overview (HNO), Humanitarian Response Plan (HRP) and Vaccination Tracking System (VTS). 2

UNICEF Nigeria Humanitarian Situation Report Summary Analysis of Programme Response

Nutrition

During the reporting period, a total of 16,166 children with severe acute malnutrition (SAM) were admitted for treatment3 in 604 UNICEF supported treatment facilities in the three northeast states. The overall performance indicators were within the Sphere standards at 93.8 per cent cure rate, 4.8 per cent defaulter rate, 0.3 per cent death rate and 1.1 per cent non- respondent. A total of 22,637 new caregivers were reached with infant and young child feeding (IYCF) counselling and 22,687 children aged 6 to 23 months received micronutrient powder (MNP) respectively. These results were achieved through: • Community-based nutrition screening of children aged 6 to 59 months that reached 1,804,853 children. • Supportive supervision to ensure quality services in 223 Community based Management of Acute Malnutrition (CMAM) facilities in Borno and Yobe States. • Distribution of 7,494 cartons of RUTF to UNICEF supported sites. • Joint bi-annual review meeting of the Integrated Nutrition Project (INP+) conducted with Borno and Yobe State authorities with a focus on achievements, challenges and action plans for the next six months.

In addition, two major initiatives aimed at providing data to asses and monitor the nutrition situation in the northeast commenced within the reporting period. These are: • A joint nutrition and food security assessment (JNFSA) training conducted for enumerators, supervisors and coordinators in collaboration with World Food Program (WFP) and government counterparts. Data collection is completed in Adamawa and ongoing in Borno and Yobe States. • Ongoing data collection for a prospective survey on causes of death and contributory factors in Borno and Yobe conducted by surveillance team in collaboration with WHO and center for disease control and prevention (CDC).

Health In September, 446,043 persons (including 133,624 children under the age of five) were reached with integrated primary health care (PHC) services in internally displaced persons (IDP) camps and host communities in Borno, Adamawa and Yobe. In addition to conducting 180,204 consultations, health workers carried out 177,785 preventive services for: • 88,062 children aged 6 months to 15 years who were vaccinated against measles. • 69,133 children and pregnant women were reached with various antigens (including 40,196 children who received Vitamin A supplementation and 35,945 people who received Albendazole tablets for deworming). • 24,699 pregnant women who were reached with ante-natal care, and 66 pregnant women in Adamawa State who received mosquito nets. • 3,861 women who were supported with safe deliveries. • 4,057 women who received post-natal care.

WASH UNICEF continues to increase access to safe water, rehabilitate WASH facilities, restore critical WASH infrastructure and promote good hygiene practices to reduce the risk of WASH related morbidity. In September, through the Rural Water and Sanitation Agency (RUWASA), a total of 36,640 people accessed safe water through the provision of 56 hand pumps and 3 solar powered boreholes in 9 LGAs: Gwoza (Borno), Bade, , Bursari, and (Yobe) and Girei, Fufore, and Yola North (Adamawa). Further, with UNICEF’s support:

3 This is based on 94.2% reporting rate 3

UNICEF Nigeria Humanitarian Situation Report • A total of 6,000 people accessed sanitation through construction of 120 latrines and 60 bathrooms in Gwoza LGA, Borno State. • 37,950 people accessed improved sanitation because of the desludging of 2,054 latrines in Jere, MMC, Konduga, and Gwoza in Borno State. • 15,437 people (2,493 households) were provided with WASH kits in 7 LGAs: Jere, Dikwa, Monguno, Damboa and Bama (Borno) and in Girei and Fufore (Adamawa). • At least 147,837 people were reached with key hygiene messages to promote proper hygiene behaviours and mitigate the risks of cholera in 14 LGAs: Dikwa, Konduga, Monguno, Kala Balge, MMC, Ngala, Jere, and Damboa (Borno), Bursari, Karasuwa, Bade, and Yusufari (Yobe), and Fufore (Adamawa).

UNICEF through RUWASA, the Danish Refugee Council (DRC) and CIDAR sustained its camp/latrine cleaning and garbage removal for 276,192 beneficiaries, as well as operations and maintenance activities (including bucket chlorination) for 110,687 beneficiaries and batch chlorination for 311,000 beneficiaries at community water points in Jere, MMC, Bama, Dikwa, Mafa, Rann, Pulka and Ngala LGAs. UNICEF also continued to support chlorination and free residual chlorine monitoring of 127 water points in 5 LGAs of Yobe (Bade, Bursari, Karasuwa, Jakusko, and Yusufari), reaching 63,500 people with safe water.

Education In September, UNICEF and partners improved learning for a total of 36,325 children (18,540 boys and 17,785 girls) through the provision of essential teaching and learning materials and establishment of learning spaces in Borno and Yobe states. This includes: provision of essential teaching and learning materials in IDP and host community schools in Ngala, Bama, Jere, Gowza, and Monguno (Borno), and Gulani (Yobe); in addition to, the construction/rehabilitation of Temporary Learning spaces and classes benefiting a total 12,932 boys and girls.

During the reporting period and with support from UNICEF and partners, 46,843 (22,982 boys and 23,861 girls) children benefited from psychosocial support through the training of 1,201 teachers (552 males, 649 females) on providing psychosocial support in learning environments. Furthermore, 1,316 School Based Committee Members (SBMCs, 996 males and 320 females) were trained on school governance, school development planning, support to supervision of teaching, and learning and community engagement to improve school enrolment of vulnerable children.

In the reporting period, a total of 32,450 children (14,744 boys and 17,706 girls) learned about cholera prevention through the training of 806 teachers (397 males and 412 females) on improved hygienic practices in the cholera-affected LGAs of Borno. Additionally, UNICEF: • distributed 24,000 soaps in 62 schools in MMC, Jere, and Rann. • monitored the use and distribution of soaps through quality assurance officers and 3rd Party consultants. • distributed cholera posters (2,000 sets, each set consists of 3 posters) for distribution and display in all schools within the hotspot LGAs.

Child Protection In September, 37,720 children and caregivers benefitted from child protection services. A total of 21,408 children accessed psychosocial support services, 566 accessed case management services, 458 accessed socio economic reintegration services and 15,292 received mine risk education. Psychosocial support activities continued to equip children with relevant skills and techniques to address challenges of self-motivation for learning, career identification, self-esteem and resilience. This is in addition to promoting togetherness, peace building and identification of other critical life skills to improves coping and learning mechanisms.

In the UNICEF supported Transit Centre in Maiduguri, 78 per cent of the children admitted have been reunified with their families in five states across Nigeria. These include 167 children (8 girls and 159 boys) reunified in Adamawa, Borno, 4

UNICEF Nigeria Humanitarian Situation Report Bauchi, Gombe and Yobe states. Another 30 children newly released from military detention facilities in Giwa Barracks (24) and Gombe State (6) were profiled, documented and had their needs assessed. Of these, 17 children (5 girls and 12 boys) were successfully reunified with their primary caregivers and supported with reunification kits. Case management services are ongoing for the remaining 47 children pending family tracing and reunification. Through follow up visits, 126 children (61 girls, 65 boys), whose needs have been addressed have had their case files closed.

In the reporting period, 5,200 persons (625 girls, 87 boys, 2,890 women and 1,598 men) received Gender Based Violence (GBV) support services. Survivors of GBV, their families and communities as well as religious leaders participated in peer to peer support on stigma reduction and community dialogues to outline concerns of survivors. Support sessions reached a total of 400 beneficiaries including 185 female survivors of sexual violence.

A total of 458 children (262 girls, 196 boys) formerly associated with non- state armed groups in Borno State were identified, registered and provided with rehabilitation and reintegration services. Another 15,292 persons (2,437 girls, 6,126 boys, 2,638 women and 4,091 men) in Adamawa and Borno were reached with information to protect themselves from the dangers of improvised explosive devices, unexploded ordnance and explosive remnants of war.

Communications for Development (C4D), Community Engagement & Accountability All 3,300 UNICEF trained Volunteer Community Mobilizers (VCMs) in Borno and Yobe continued to conduct house-to- house sensitization on cholera prevention and routine immunisation.

In Borno, over 102,600 people including women and children were sensitized on cholera prevention, and have begun to translate the key messages received into action through clean up campaigns, practicing proper handwashing and hygiene behaviour. The activities were done with guidance from the risk communication teams in the various hotspots affected communities. Communication for Development efforts also supported active case finding, referrals, identification and reporting of WASH needs to humanitarian partners.

Religious focal persons in Borno and Yobe were also engaged to support church and mosque announcements on cholera prevention. In Adamawa, social mobilization actors, including radio stations at the state and LGA level, also participated in raising awareness about the outbreak situation.

Media In September, UNICEF continued to highlight the humanitarian situation of children and their families who have and continue to be affected by the ongoing conflict in the northeast, as well as UNICEF’s response in host communities and IDP camps through its social media platforms. Through Facebook, Twitter and Instagram – UNICEF featured the issues facing the conflict affected populations in the northeast, the UNICEF response as well as the donors and partners supporting the fulfilment of the rights of women and children.

UNICEF also shared content on its cholera response on different social media platforms, highlighting progress on hygiene promotion, chlorination and community engagement. A UNICEF WASH Specialist participated in a live radio programme on cholera on Peace FM. UNICEF also submitted an article on the cholera response to the UN Nigeria Newsletter.

Supply UNICEF supported the State Ministry of Health (SMOH) through State Primary Health Care Development Agency (SPHCDA) and State Primary Health Care Management Board (SPHCMB) with 219 Nigeria Health Kits (NHKs) in Adamawa (2), Borno (194) and Yobe (23) to provide integrated emergency PHC services in the IDP camps, host communities and outreach activities to reach both IDPs and vulnerable host community members.

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UNICEF Nigeria Humanitarian Situation Report Funding To reach 3.9 million people, including 3.4 million children, in 2018 UNICEF is requesting US$ 149 million. The funds currently available amount to US$ 82.5 million (58 per cent), including a US$ 43.9 million carry-over from 2017. Funding shortfalls are currently observed in health (52 per cent), WASH (53 per cent) and Education (49 per cent). The 42 percent funding gap continues to hinder UNICEF’s ability to deliver an integrated package of WASH, nutrition and health services and ensure the survival and development of the most vulnerable children affected by the ongoing conflict. Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC) Funds available Funding gap Funds Received Appeal Sector Requirements Current Year Carry-Over $ %

WASH 19,448,000 4,831,418 4,338,191 10,278,391 53%

Education 34,723,000 2,560,300 15,156,620 17,006,080 49%

Health 19,740,000 7,419,509 1,970,563 10,349,928 52%

Nutrition 38,754,000 17,732,700 17,110,572 3,910,728 10%

Child Protection 25,743,000 4,365,887 3,916,546 17,460,567 68%

EPR 4,065,000 1,623,291 1,439,783 1,001,926 25%

Total 142,473,000 38,533,105 43,932,275 60,007,620 42%

* Funds available includes funding received against current appeal as well as carry-forward from the previous year.

Next SitRep: November 2018

For further Mohamed Malick Fall Pernille Ironside Nicki Bennett Representative Deputy Representative. Emergency Manager information UNICEF Nigeria UNICEF Nigeria UNICEF Nigeria contact: Tel : +234 803 402 0870 Tel: +234 803 4035273 Tel: +234 803 4035235 Email : [email protected] Email: [email protected] Email: [email protected]

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UNICEF Nigeria Humanitarian Situation Report Annex A SUMMARY OF PROGRAMME RESULTS UNICEF and IPs Sector Response Change Change Overall 2018 Total since last 2018 Total since last needs Target4 Results* report Target Results* report NUTRITION Number of Children aged 6-59 months with SAM admitted to therapeutic care for specified period of 439523 215,292 198,458 16,166 307,666 289,929 16,166 time Proportion of children 6-59 months with severe acute >75% 95.7 1.6 >75% 93.3 malnutrition recovered Number of caregivers of children 0-23 months with 519,640 163,661 22,637 743,006 223,211 22,637 access to IYCF counselling for appropriate feeding Number of new children 6-23 months in the affected 292,446 190,889 22,687 418,141 224,656 22,687 areas receiving multiple micronutrient powder HEALTH Number of children 6 months - 15 years vaccinated 2,892,925 2,025,048 293,580 88,062 against measles Number of consultations for IDPs and affected host 3,900,000 2,543,757 446,043 communities 2,340,000 Number of pregnant women and children under 5 1,732,938 205,580 66 years given and sleeping under mosquito nets WATER, SANITATION & HYGIENE5 Number of people provided with access to safe water 2,886,000 1, o50,000 1,095,205 41,640 2,100,000 2,640,114 per agreed standards 147,979 Number of people with access to improved sanitation 1,000,000 250,000 89,100 6,000 600,000 296,802 facilities. 159,106 Number of people benefiting from sustained environmental sanitation services (solid waste TBC 600,000 493,256 37,950 1,000,000 609,224 117,226 management and latrines cleaning and desludging of latrines) Number of people exposed to community tailored hygiene messages aiming at hygienic behaviour and 2,886,000 1,000,000 564,465 147,837 2,000,000 564,465 practices.

Number of people benefiting from basic hygiene 2,886,000 500,000 183,545 14,955 1,500,000 183,545 53,945 items including top-ups. CHILD PROTECTION Number of children and adolescents benefiting from 785,000 368,000 273,843 21,408 540,000 381,332 28,299 PSS services and life skills Number of children facing protection risks (violence, neglect, abuse, family separation) who received case 34,000 10,500 8,853 562 15,000 17,505 1,475 management services Number of children and adolescents who have suffered from grave child rights violations including those formerly associated with armed groups or those TBC 5,000 2,483 458 7,000 4,242 739 returning from captivity who benefit from socio- economic assistance to successfully reintegrate into their communities Number of children, adolescents and caregivers 800,000 175,000 162,530 15,292 250,000 331,911 35,244 benefiting from mine risk education EDUCATION Number of children accessing learning through

rehabilitated classrooms/ established temporary 1,239,820 562,250 24,890 12,932 626,200 32,1056 12932 learning spaces

Number of girls and boys receiving education supplies 2,847,464 1,458,000 167,423 36,325 1,871,424 and/or teaching/learning materials 238,298 38,525

4 Targets for Nutrition, Health and Child Protection have been adjusted in HAC to align with the HRP 5 WASH Sector achievements for indicators on hygiene messages and distribution of hygiene items are incomplete 6 The figure is inclusive of a total of 565 boys and girls that were not captured in the July sitrep 7

UNICEF Nigeria Humanitarian Situation Report

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