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Emergency Appeal Malawi Issued May 2020 37 EMERGENCY May - October APPEAL 2020 MALAWI MALAWI Overview Map Chitipa CHITIPA Chitipa v" District Hospital Karonga District Hospital v"v"Karonga old Hospital KARONGA Chilumba TANZANIA RUMPHI Rumphi Rumphi District v"Hospital ZAMBIA NORTHERN MZUZU CITY v" Mzuzu Mzuzu Central Hospital v" Nkhata Bay District Hospital NKHATA BAY MZIMBA Mzimba District v" Hospital LIKOMA LILONGWE CITY Lake Malawi MOZAMBIQUE Lilongwe Central Hospital "v KASUNGU \! NKHOTAKOTA "v v" Nkhotakota Bwaila/Bottom Hospital Kasungu District Hospital Kasungu v" District Hospital NTCHISI Ntchisi District ZOMBA CITY CENTRAL v"Hospital DOWA Dzaleka Refugee MCHINJI SALIMA Camp (44,385) v" Dowa District Hospital v"Salima District v" Mchinji District Hospital Hospital ZOMBA LILONGWE CITY v" \!v" DEDZA "v Zomba Central Hospital LILONGWE Dedza Dedza District v" Mangoche BLANTYRE CITY Hospital v" Mangochi District "v MANGOCHI Hospital NTCHEU Ntcheu Ntcheu District Hospitalv" !\ Capi Balaka District Hospital MACHINGA v" Liwonde Majo own BLANTYRE BALAKA v"Machinga District Hospital He ility "v Machinga Lake Centr ospital LIMBE "v Queen Elizabeth Chilwa ZOMBA CITY Central Hospital NENO "v Distr ospital v"Zomba Central Hospital Mwanza District Hospital SOUTHERN Refugee " ZOMBA (Numbe efugees) v BLANTYRE PHALOMBE v"Chiradzulu District Hospital MWANZA Road v" CHIRADZULU BLANTYRE CITY Ional der MULANJE Chikwawa District v" Thyolo District v" Mulanje District Region Hospital Hospital v" Hospital District CHIKWAWA THYOLO MOZAMBIQUE Popul en (People m) Bangula NSANJE ZIMBABWE Nsanje District v" Hospital The designations employed and the presentation of material in the report do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area or Theof itdesignationss authorities, or conc eemployedrning the delim iandtation othef its fpresentationrontiers or boundarie sof. material in the report do not imply the expression of any opinion whatsoever on the part of the Secretariat Creation date: 24 Apr 2020 Sources: Malawi NSO, OSM, UNCS, UNOCHA, Camps: UNHCR, Health Facilities: HDX/WHO-CDC, Population Density: Malawi NSO Feedback:[email protected] | Twitter: @UNOCHA_ROSEA | www.unocha.org/rosea of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. COVER PHOTO Francis Botha washes his son's hands using soap in Chilinde, T/A Mchezo, Lilongwe. Photo: UNICEF 2 EMERGENCY APPEAL 2020 Table of Contents 4 Foreword by the Resident Coordinator 5 Emergency Appeal At a Glance 6 Overview of the Crisis 8 Strategic Objectives 9 Response Approach 11 Response 12 Education 14 Food Security & Livelihoods and Social Protection 16 Health 18 Nutrition 19 Protection 21 Risk Communication and Community Engagement 23 Water, Sanitation & Hygiene (WASH) 24 Coordination 25 Logistics 26 Annexes 27 Participating Organizations 28 Projects 36 End Notes 3 MALAWI Foreword by the Resident Coordinator for Malawi “This is the time for science and solidarity, through various development investments The proposals in the plan build on existing the moment to step up for the vulnerable" over the years. capacities of the UN agencies and NGOs that are participating in the Emergency Appeal has alerted United Nations Secretary-General, This Emergency Appeal for Malawi is and are closely coordinated with the national António Guterres. therefore central to take decisive action to authorities and relevant line Ministries, The coronavirus disease (COVID-19) has contain the virus and alleviate suffering. It under the overall leadership of the Ministry spread cross the world at a record speed. It presents a chance to save lives, safeguard of Disaster Management Affairs and Public is menacing the whole of humanity – and so livelihoods and sustain an environment for Events. the whole of humanity must fight back. More alleviating poverty, hunger and suffering in than ever, defeating COVID-19 calls for unity Malawi. If properly funded, we will be able Strengthening local planning, local responses to strengthen health systems, ensure human to mitigate disastrous consequences of the and engagement with communities is core to rights, protect our children and put vulnerable pandemic in the country. the strategy of this six-month plan. groups at the centre of the response. Through this six-month Appeal, the much- I therefore appeal to all development partners The Secretary-General has also noted that the needed improvements to boost the health to strongly support the response plan of the world is only as strong as its weakest health response to detect and stop COVID-19 humanitarian community in Malawi to help system, meaning all countries must step up transmissions; sustain supply and availability stem the impact of COVID-19 in an already their responses to be part of the solution to of essential services and goods; provide fragile humanitarian context. the pandemic. safety nets to the most vulnerable and at-risk The UN in Malawi has operationalised an communities; and tackle inequalities can be The fight against COVID-19 has come at a SDG Acceleration Fund to enable resource achieved. critical time, when our collective action was mobilisation and enhance coordination. I propelling the 2030 Agenda for Sustainable The Emergency Appeal for Malawi develops invite development partners to consider Development forward at the start of the further the framework of the National using this channel that will sustain the gains decade to deliver on the Sustainable COVID-19 Preparedness and Response Plan we have made through various development Development Goals (SDGs). launched by the Government of Malawi on investments over the years. 8 April 2020. The humanitarian community Thus, our battle against COVID-19 is not As humanitarian and development actors, we in Malawi appeals for US$140.1 million just about eliminating the virus and its will ensure that no one is left behind in the to ensure that no one is left behind in the socioeconomic impact, but painstakingly COVID-19 response in Malawi. response, while a socio-economic framework guarding against any losses on the strides for the response to COVID-19 commences its we have made and the momentum we have implementation. garnered so far to achieve SDGs. We cannot We are all in this TOGETHER and we will get afford to lose the gains we have made through this TOGETHER. Ms. Maria Jose Torres United Nations Resident Coordinator 4 EMERGENCY APPEAL 2020 Emergency Appeal at a Glance PEOPLE IN NEED PEOPLE TARGETED REQUIREMENTS (US$) OPERATIONAL PARTNERS 8.3M 7.5M $140.1M 32 People in Need and Targeted Operational Presence Operational Partner by Type Partners by Type NNGO Chitipa Chitipa 5 Karonga Karonga INGO 15 UN Rumphi Rumphi 12 Mzuzu City Mzuzu City Mzimba Nkhata Bay Mzimba Nkhata Bay Likoma Likoma Kasungu Nkhotakota Kasungu Nkhotakota Ntchisi Mchinji Dowa Ntchisi Dowa Mchinji Salima Lilongwe City Lilongwe Salima Lilongwe City Lilongwe Dedza Dedza Mangochi Mangochi Ntcheu Ntcheu Balaka Machinga Machinga Balaka Zomba Zomba Zomba City Neno City Zomba Blantyre Neno Blantyre Mwanza Phalombe Mwanza Phalombe Chiradzulu Chiradzulu Blantyre City Mulanje Blantyre City Partners by District Mulanje Thyolo Thyolo 4 - 5 Chikwawa Chikwawa 6 - 7 People People in Need targeted Nsanje 8 - 9 Nsanje 10 - 11 12 - 13 Requirements by Sector People in Need and Targeted by Sector Food Security & 6.4M Food Security & $70.2M Livelihoods and Livelihoods and 4.8M Social Protection Social Protection Health $24.0M 5.8M Health Nutrition $13.8M 4.0M WASH $12.2M 4.3M WASH 2.1M Education $8.4M 3.3M Protection $7.6M Protection 1.8M Risk Communication & $2.7M Community Engagement 3.2M Education Logistics $0.85M 2.5M People in need Coordination $0.32M 2.1M Nutrition People targeted 957K 5 MALAWI Overview of the Crisis Coronavirus Disease-19 (COVID-19) was declared a global pandemic COVID-19 is a specific concern. Malawi registers some of the highest on 11 March 2020, and Malawi declared its first case on 2 April. As annual birth rates in the world, with approximately 520,000 births of 1 May, there were 37 confirmed positive cases of COVID-19 and 3 recorded per year, according to 2019 trends. Its maternal mortality deaths. A state of disaster was declared by President Arthur Peter rate, although declining, remains high, at 349 deaths per 100,000 Mutharika on 20 March and a 21 day lockdown was to be implemented births3. Approximately 30 per cent of babies in Malawi are born to between on 18 April and – 9 May. A court injunction has since then mothers under 19 years of age, leading to an increase in preterm suspended the lockdown, which is now no longer being implemented. and underweight babies and contributing to the high maternal 4 The COVID-19 pandemic is expected to negatively impact the and neonatal mortality rate. Health facilities have limited stock of economic outlook for Malawi, while measures implemented to relevant equipment and supplies for the care of pregnant woman and control the spread of the disease are expected to affect the most there are frequent stock outs of essential medicine for managing vulnerable. Around 70 per cent of the population in Malawi live below obstetric complications, as well as shortage of trained personnel to provide emergency obstetric care. In any crisis-affected population, the international poverty line of US$1.90 per day,1 and 89 per cent of approximately 4 per cent of the total population will be pregnant at Malawi’s workforce are employed in the informal economy. Malawi any given time, of whom 15 per cent will experience an obstetric has one of the lowest per capita Gross National Incomes (GNI) in complication, while 9 per cent to 15 per cent of newborns will require the world, at just $320, and its economy -which is heavily reliant on lifesaving emergency care.
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