DRC Humanitarian Situation Report

Photo: UNICEF DRC Tremeau

February 2019 SITUATION IN NUMBERS

Highlights 1,260,000*Internally Displaced Persons (IDPs) (HPR 2019) • UNICEF’s response to the North and Ituri Ebola * Estimate for 2019 outbreak can be found on a biweekly basis in the Ebola specific situation reports: 7,500,000 children in need of humanitarian assistance (OCHA, HRP 2019) https://www.unicef.org/appeals/drc_sitreps.html • There has been a 336 per cent increase of suspected 1,400,000 children are suffering from measles cases since January (from 6,839 to 29,820 cases). Severe Acute malnutrition (DRC Nutrition Cluster, January 2019) The number of deaths has risen from 71 in January to 583 by the end of February. Response preparations under the 5,621 cases of cholera reported since January Expanded Immunization Programme have been initiated. 2019 (Ministry of Health)

• 5,621 cholera cases were registered in 61 health zones, 29,820 suspect cases of measles reported which is a 62.8 per cent increase compared to January, since January (Ministry of Health) where 3,451 cases were recorded. Response activities in the most affected provinces Haut Katanga and Haut Lomami are UNICEF Appeal 2019 ongoing. US$ 326 Million

UNICEF’s Response with Partners <1% of required funds available

UNICEF Sector/Cluster 2019 DRC HAC FUNDING

STATUS UNICEF Total Cluster Total Target Results* Target Results* Funds received current year: Nutrition: # of children with SAM $15.5M 911,907 12,097 986,708 12,907 Carry- admitted for therapeutic care forward Health: # of children in amount humanitarian situations 1,028,959 623,582 $43.8M vaccinated against measles WASH: # of natural disaster and conflict-affected people with 1,277,848 61,386 2,232,120 61,386 2019 funding access to water, hygiene and requirements: sanitation basic services $326M Child Protection: # of children Funding Gap benefited from psychosocial 120,000 30,374 150,000 39,150 $281M support, including access to child friendly spaces Education: # of school aged boys and girls (5 to 17 years) 908,283 315,468 2,618,866 518,018 affected by crisis receiving learning materials

* Total results are cumulative since January 2019

DRC Situation Report February 2019 Situation Overview & Humanitarian Needs In accordance with the updated joint Humanitarian Response Plan (HRP) (2017 – 2019), there are an estimated 12.8 million people, including 7.5 million children, in need of humanitarian assistance in the Democratic Republic of the Congo (DRC), affected by armed conflicts and mass displacements, human rights abuses and sexual and gender-based violence, food insecurity and malnutrition, health epidemics and natural disasters. In the month of February, the overall humanitarian situation remained complex and challenging: The conflict and security situation generally continued to follow known historical dynamics and tendencies in the DRC. In , the armed group Patriotic Resistance Front (Front de Résistance Patriotique de l'Ituri, FRPI) continues to be active and to pose a security threat for the population and the Armed Forces of the Democratic Republic of the Congo (Forces Armées de la République Démocratique du Congo, FARDC). Similarly, in Beni and surroundings in province, the armed groups (ADF) and Mai- Mai continue to represent a major threat despite the progress made by the FARDC supported by United Nations Stabilisation Mission in the Democratic Republic of Congo (MONUSCO) in protecting the population. In province, the mobilization of Burundian rebel groups and cross-border movements to and from neighbouring countries has a significant impact on the security and humanitarian situation. In Bunyakiri and Minova health zones of South , surrenders of armed groups to FARDC and MONUSCO were reported during February. In Kasai province, despite the demobilization of a number of members of the rebel leader Kamunia Nsapu in and surroundings, the armed conflict between Bana-Mura and FARDC poses security risks to the population. Child Protection: Due to the lay-down of weapons by militias in Kasai and Kasai Central provinces, there is a considerable risk of community tensions and consequently a need for the reinforcement of protection monitoring. In Kamako, national armed and security forces as well as some ex-militia groups committed acts of violence including sexual violence against the displaced population1. At the end of February, the child protection working group was conducting a situation assessment as well as a needs assessment. Population movements: Approximately 200 Congolese nationals return from Angola on a daily basis towards Kamako and surroundings, in the territory of Kamonia in Kasai Province. While the emergency response is ongoing, further needs assessments will be required for a possible recovery phase and support to the re- installation of returnees. In province, a new wave of population movements towards Lubutu territory were observed due to fights between armed groups and FARDC. In Kowe health zone, Doctors without Borders (Medecins Sans Frontieres, MSF) Belgium is conducting a rapid needs assessment. Besides several mass displacements due to armed violence within Ituri province, also 5,000 South Sudanese citizens, mostly women and children fleeing the fighting in the YEI state region, found refuge in the Igbokolo area in Aru/ Ituri territory in the DRC. The Internally Displaced People (IDPs), refugees, returnees, and host communities require immediate humanitarian assistance. Health: By the end of February, a total of 5,621 cholera cases were registered, which is a 62.8 per cent increase compared to January, where 3,451 cases were recorded. With a total of 264 registered deaths until the end of February (49 in January), the global cholera case fatality rate (CFR) is at 2.62 per cent. The provinces most affected are Haut Katanga with 1867 cases and 43 deaths (CFR: 2.3 per cent), Haut Lomami with 1125 cases and 38 deaths (CFR: 3.3 per cent), South Kivu with 778 cases and 7 deaths (CFR: 1 per cent), and Tanganyika with 742 cases and 25 deaths (CFR: 3,36 per cent) since the beginning of January. Regarding the measles outbreak, a total of 29,820 suspect cases and 584 deaths (CFR: 2 per cent) were reported by the end of week nine compared to 6,839 suspected cholera cases and 71 deaths in January. The global case fatality rate is at 1.96 per cent. The provinces most affected are with 9,564 cases and 341 deaths (CFR: 3.5 per cent), Haut Lomami

1 Source: Protection Cluster February 2019 DRC Situation Report February 2019 with 5,394 cases and 70 deaths (CFR: 1.29 per cent), and Lualaba with 5159 cases and 38 deaths (CFR: 0.73 per cent). Education: Due to ongoing displacements and epidemics, many school-aged children from 3 to 17 years do not have access to quality education in a safe and protective learning environment2 in the provinces of Tanganyika, South Kivu, North Kivu, Ituri Mai-Ndombe, and Kasai region. This includes the needs for appropriate learning spaces as well as opportunities for play and creative development, scholastic and didactic materials, school furniture, capacity building of teachers on psychosocial support, peace education, and child-focused teaching methodologies. In many cases, the school education of displaced children has been interrupted for weeks or months. Nutrition: The nutritional status of children continues to be a major public health concern in the DRC. In accordance with the monthly nutritional surveillance, food security and early warning bulletin from late February, 52 out of 449 health zones (HZ) were in alert. 75 per cent of those health zones in alert, are concentrated in four provinces, including Kasai Central (13 HZ), (10 HZ), (10 HZ), and Kasai (6 HZ). In February 2019, a nutrition survey and SMART method was conducted in Songa health zone of Haut , revealing a Global Acute Malnutrition (GAM) prevalence of 11.6 per cent including a 3 per cent Severe Acute Malnutrition (SAM) prevalence.

Estimated Population in Need of Humanitarian Assistance Estimates calculated based on initial figures from Humanitarian Response Plan, December 2018

Total Male Female Total Population in Need 12.8 million 6.26 million 6.51 million

Children (Under 18) 7.5 million 3.81 million 3.66 million

Children Under Five (MAS) 1.4 million 0.67 million 0.73 million

New projected IDPs for 2019 1.3 million 0.62 million 0.68 million

Pregnant and lactating women 0.8 million 0 0.8 million

Humanitarian Leadership and Coordination • UNICEF leads five clusters in the DRC humanitarian architecture, at national level in and at provincial hub levels in Bukavu, Goma, Kalemie and Kananga. The clusters are Nutrition, Education, WASH, Non-Food Items and Shelter, and a Working Group on Child Protection which forms part of the Protection Cluster lead by UNHCR. As part of the Ebola response, UNICEF co-leads the commissions on communication, WASH, and psychosocial care. • UNICEF participates in inter-cluster and inter-organizations meetings at the national and decentralized levels and is an active member of the Humanitarian Country Team (HCT).

Humanitarian Strategy • The strategic objectives of the joint multi-year and multi-sectoral HRP (2017 – 2019) for the DRC are to (1) improve the living conditions of people affected by crisis, starting with the most vulnerable, (2) protect the affected population and ensure respect for human rights, (3) reduced excess mortality and morbidity among the affected population.

2 The Cluster targets 2,618,866 girls & boys (5-17 years) affected by conflict or natural disasters to be provided access to quality education and psychosocial activities in 2019 while the UNICEF target is 908,283 school-aged children. DRC Situation Report February 2019 • In line with the HRP, a new UNICEF Humanitarian Strategy is currently being developed and will be launched in the second half of 2019. It aims at addressing the significant increase in humanitarian crises through a rapid multi-sectoral and decentralized response, improved coordination and cooperation among humanitarian actors, anticipation and flexibility of funding, and a strengthening of the nexus between rapid emergency response and resilience-building in target areas. • UNICEF continues to support its partners and beneficiaries through: (1) reinforcing access to primary health care at the community and health center levels in areas affected by conflict and disease outbreaks; (2) providing psychosocial support and recreational activities for children who are displaced, separated, unaccompanied, formerly associated with armed groups, or survivors of sexual violence, by also including psychosocial care for affected families; (3) pre-positioning WASH supplies for water purification and chlorination, and supporting the renovation/construction of latrines/water points for disease prevention and response; (4) provision of WASH in Nutrition (WiN) kits and referral and treatment of children with Severe Acute Malnutrition (SAM); (5) access to education in a safe and protective learning environment; (6) provision of awareness raising of the communities about response measures and promotion of their active engagement and ownership of the response. • The Rapid Response to Movements of Population (RRMP) mechanism provides for a rapid multi-sectoral first response in areas affected by shocks and mass displacements and paves the way for subsequent mid- and longer-term interventions. • In support of the joint Strategic Response Plan (SRP) III to address the Ebola crisis between the Ministry of Health, World Health Organization (WHO), UNICEF, and other partners, UNICEF’s response strategy focuses on five key areas: communication, WASH, psychosocial care, education, and nutrition.

Summary Analysis of Programme Response

Nutrition While the data for February is still being collected, during January 2019, a total of 12,097 SAM new cases were registered which represents about 1.8 per cent of the expected number for entire 2019. UNICEF provided financial resources and technical support to the Ministry of Health and to national and international implementing partners to ensure the early detection and management of cases of severe acute malnutrition. The SAM recovery rate (in January) was at 92.3 per cent, while the death rate was at 0.3 per cent and the defaulting rate was at 6.2 per cent. These performance indicators are acceptable and in accordance with the national standards and global standards (SPHERE). However, the completeness and the promptness of the respective reports is still a major concern. The UNICEF-led Nutrition Cluster identified the international NGO MAGNA to provide the nutritional response in the humanitarian crisis in Yumbi territory, Mai-Dombe province while the INGO Action Contre la Faim (ACF), was identified to conduct a nutritional survey, in collaboration with UNICEF, to better understand the nutritional status and adjust the developed action plan. Cluster partners also agreed that ACF should extend its nutrition lifesaving response to the health zone of Tshitenge. During a nutrition survey conducted in August 2018, this health zone showed a prevalence of 14.5 per cent in accordance with the GAM, including 5.4 per cent prevalence of SAM. To reinforce the Nutrition Cluster in North-East Humanitarian Hub, the national nutrition coordinator conducted a mission in Goma, where the Lutheran World Foundation (LWF) was identified to ensure the co-facilitation of nutrition cluster.

Health DRC Situation Report February 2019 In Haut Katanga and Haut Lomami UNICEF and partners continue to respond to the Cholera epidemic, with the distribution of Cholera kits, WASH chlorination points in schools and C4D interventions to raise awareness. Medical supplies were provided to governmental partners in Haut-Katanga and Haut-Lomami to ensure the medical care of 250 patients, reaching 15 per cent of all patients in those two provinces. In the province of Haut- Katanga 35,000 people are being targeted and in Haut-Lomami 71,422 persons. The Ministry of Health is planning to implement a cholera vaccination campaign in Haut-Katanga in March. A total of 1,609 children were vaccinated in Kasai and Kasai Central, of which 38 per cent received BCG, 33 per cent received Penta 3 / OPV3 / PCV 13, and 29 per cent were vaccinated against yellow fever and measles. Among the vaccinated children, 623 (38.7 per cent) were previously not fully immunized. A total of 525 (33 per cent) of all vaccinated children were returnees from Angola. In order to specifically respond to the measles outbreak in 61 health zones, UNICEF supports the preparations of a measles campaign under the Expanded Immunization Programme, for which UNICEF is going to provide technical and financial support as well as 2,700,000 doses of measles vaccines and syringes. In the Kasai region, in addition to the provision of primary health care in Kamako, UNICEF provided primary health care in six health areas of Kasai and in five health areas of Kasai Central to a total of 4,262 malaria patients (63 per cent), as well as patients with respiratory infections (24 per cent) and diarrhea (13 per cent). Four basic medical kits for three months were delivered to 40,000 patients in five health zones of Kasai Central.

WASH In February, UNICEF partners delivered WASH packages to a total of 60,031 people, reaching approximately 9,500 people affected by current conflicts in Kasai province and 50,531 people affected by or at risk of contracting cholera in the provinces of Congo Central, Tshopo, Haut Katanga, Haut-Lomami. Cluster WASH partners assisted 159,174 people including 102,131 conflict-affected people (IDPs) and 57,043 people affected or at risk of cholera. In Tshopo province, the UNICEF implementing partner Caritas Germany reached 26,927 people through awareness raising messages about Ebola prevention, and 9,350 people affected by a recent flood in Opala health zone received WASH assistance from Mercy Corps, an implementing partner of the UNICEF RRMP mechanism. In Congo Central province, the UNICEF implementing partner ADRA provided access to drinking water to a total of 16, 307 people affected by cholera through chlorination, water facilities rehabilitation and awareness raising activities in Lukula health zone. In both, Haut Katanga and Haut Lomami provinces, UNICEF reinforced the response to the cholera outbreak by funding new implementing partners, including the Provincial Health Division of Haut Katanga, the Social Development Centre (SDC), the Provincial Committee for Action in Water Sanitation and Hygiene (Comité Provincial des Actions en Eau Hygiène et Assainissement, CPAEHA), the local NGO Vijana ya Panda Tujenge (VIPATU), and the Consortium AIDES3 – Solidarités International, and provided supply for the response.

Education In February, 11,604 conflict-affected children (6,000 girls) received access to quality education and psychosocial support activities. This also included the provision of refresher courses for Congolese children who returned from Angola to and who had to interrupt their school education due to their displacement movements. A total of 6,884 children aged 6 to 11 received school supplies in the health zone of Kalamba, Kapanga Territory, in and 293 teachers were trained in peace education and conflict management, child-centered methodologies and psycho-social modules in the Territory of Kalemie in Tanganyika province. In the health

3 NGO Actions and Interventions for Social Development and Leadership (Actions et Interventions pour le Développement et l’Encadrement Social, AIDES) DRC Situation Report February 2019 zones of Kalehe and Fizi in South Kivu province, school supplies were provided to 7,616 children aged 6 to 11. During the reporting period, a safe and adequate learning environment was provided to ca 4,180 student through the construction or rehabilitation of 76 classrooms. Out of those, 12 classrooms were constructed by the NGO CENAS in Kalamba health zone of Lualaba province for the returnees from Angola, 49 classrooms were constructed or rehabilitated by the “Education Cannot Wait (ECW)” project in Fizi and Kalehe health zones of South Kivu province and 15 classrooms were constructed/ rehabilitated via the RRMP in Tanganyika province.

Child Protection In February, 22,191 children (9,936 girls, or 45 per cent) affected by conflict received child protection assistance4. Among them, 543 Children Associated with Armed Forces or Groups (CAAFAG) and 562 Unaccompanied or Separated Children (UASC) were identified and received temporary assistance. A total of 21,023 children benefited from psycho-social activities, including access to child friendly spaces. Of those, 40 per cent are from Kasai due to the activities being implemented following the displacement of the Congolese returnees from Angola.

Children assisted by provinces since 01 January 2019

8,884 8,277

5,083

3,260 2,689 2,033 922 1,121 201 22

In Kasai and Kasai Central provinces and following the lay-down of arms by militias, all the 371 children (61 girls and 310 boys) identified as associated with the militias have benefited from a child protection assistance: 115 children have been placed in a transit center, 35 children have been placed in foster families, 192 children have been reunified with their families and 29 children already live with their families. During the reporting period, 159 survivors of sexual and gender-based violence (63 girls, 96 adults) were identified and provided with a holistic response.5 Since the beginning of the year, 64 per cent of the UASC identified have been reunified with their families. Family tracing is ongoing for the other children. UNICEF and other members of the Child Protection Working Group (CPWG) supported the age verification procedures of the National Army Forces in the province of Lomami. 14 children (all boys) were identified and returned to their families. The CPWG of Goma, in cooperation with the Protection Cluster, contributed to the development of the joint 2019 action plan.

4 Child protection assistance may include: psycho-social assistance, medical care, educational support, socio-economic reintegration, temporary assistance in transit centres and/ or families foster care. 5 Holistic response is the overall response to survivors of sexual violence that includes psychosocial care, medical care, socio-economic reintegration and legal assistance

DRC Situation Report February 2019

Non-Food Items (NFI) / Shelter Materials UNICEF and partners assisted 6,520 people affected by recent displacements in Tanganyika province with access to essential household and personal Non-Food Items (NFI) including female dignity kits and shelter materials. UNICEF’s primary vehicle for NFI assistance remains the multi province, multi-sector RRMP programme. UNICEF-led NFI and Shelter Cluster highlights from February 2019 include the conduct of a training workshop in Kinshasa, with the support by NORCAP / CashCap, to familiarize actors (26 participants) with cash transfers in shelter interventions. While gaps in NFI exist country-wide, the provinces of the Kasai region, South Kivu and Tanganyika are particularly affected. The returnee’s crises in the Kasai region, and South Kivu and Tanganyika province added to the overall cluster needs. A new case load of 12,000 IDPs has been reported since December 2018 in Yumbi, Mai-Ndombi province.

Rapid Response to Movements of Populations (RRMP) In February, the Rapid Response to the Movements of Population (RRMP) mechanism implemented 18 multi- sectoral interventions in seven provinces (Ituri, Kasaï, Kwango, Nord Kivu, Sud Kivu, Tanganyika et Tshopo) and thus assisted a total of 247,028 displaced people, returnees and vulnerable people in host communities. In the sector of NFIs, UNICEF and its RRMP partners reached a total of 73,202 individuals, out of which, 56,062 people benefited from unconditional multipurpose cash transfers and 17,140 were directly provided with NFI kits. In the health and nutrition sector, 611 children under age of five who showed signs of Severe Acute Malnutrition (SAM) were referred to health centeres and admitted for treatment by the RRMP nutrition programme. A total of 362 children under age five were vaccinated against measles while 30,886 people (out of which 7,704 children) were provided with primary health care through the RRMP mobile clinics and supported functional health centres in the areas of intervention. Through RRMP Water, Sanitation and Hygiene (WASH) activities in IDP host communities, a total of 126,611 persons, including 52,557 children, were reached. During the reporting period, 14 779 children were integrated in schools and the capacities of 577 teachers and community volunteers were built with regard to the provision of psycho-social support. UNICEF, in cooperation with UN OCHA, continued to coordinate the activities of the RRMP Technical Comittee and technically supported its implementing partners, as well as the NFI/ Shelter Cluster with the implementation of the RRMP.

Communication for Development (C4D), Community Engagement and Accountability During the reporting period, 450 people in the cholera affected health zones of Kalemie, Moba and Nyemba of Tanganyika province as well as 99 households and 198 school children of the primary school in Kisera village in North Kivu were reached by awareness raising messages about cholera prevention through 30 volunteers of the national Red Cross, supported by UNICEF. In Tanganyika province, 66 local leaders raised awareness of approximately 439 people in IDP camps as well as farming settlements (Kikumba, Elya et Kalunga) and returnee villages (Kansimba, Nyemba et Kalemie) about the importance to vaccinate insufficiently immunized children against polio and measles. Regarding the Congolese returnees from Angola who are displaced in Kasai Central province, 830 community mobilizers have reached approximately 202,223 persons in five health zones with messages about disease- preventive hygiene behaviour. In Nyunzu health zone of Tanganyika, approximately 1,000 people were briefed about the correct use of Long-Lasting Insecticide treated Nets (LLINs) against mosquitos for malaria prevention. DRC Situation Report February 2019 In Lubero health zone of North Kivu province, through the involvement of 150 community facilitators the awareness of 12,984 persons was raised about hygienic measures that support the prevention of water-borne diseases. Along the route Kasiki, Luofu et Kitabindo beneficiaries were further provided with information about Key Family Practices (KFP) in order to enhance their resilience towards the different epidemics their communities are exposed to.

Media and External Communication The Country Office continued to concentrate its external communication on UNICEF’s response to the new Ebola outbreak in eastern DRC. Following the attack of the Ebola Treatment Centres in Butembo at the end of February, a statement of the Executive Director of UNICEF was issued: Statement by UNICEF Executive Director Henrietta Fore on the recent attacks against Ebola treatment centers in the DRC. Media coverage on the Ebola- response during the reporting period included El Pais, Europa press, El Mundo, Reliefweb and Forbes. New stories included The story of Jacques, an 8 year old Ebola survivor and Ebola is leaving orphaned children behind in Beni. Other humanitarian issues covered through external communication activities included the demobilization of militia members in the Kasai region. Media coverage included Slate Afrique, TV5 Monde, Deutsche Welle, and AFP. During the reporting period the CO published 4 stories related to the humanitarian situation on Pona Bana and 4 on its website www.unicef.org/drcongo. Digital communication included Children used to kill each other and others and Recruiting a child to fight is a crime!

Funding By end of February 2019, UNICEF DRC has received US$ 15.6 million of the US$ 326 million 2019 HAC appeal amount. In addition, UNICEF has approximately US$ 43.8 million funding available as carry-over from the previous year. There is a current funding gap of US$ 281 million (82 per cent). To support the Ebola response in Ituri and North Kivu provinces, UNICEF response strategy as part of the joint Strategic Response Plan III (February to July 2019) focuses on Communication, WASH, Child Protection and Psycho-social Care, Nutrition and cross-cutting Education sector response and is estimated at US$ 50.14 million. As of end of February 2019, the UNICEF Ebola response has a funding shortfall of US$ 25.18 million.

Funding Requirements as defined in the Humanitarian Appeal 2019 Funds available* Funding gap Funds Appeal Sector Requirements Received Carry-Over** $ % Current Year Nutrition 143,861,994 314,613 14,839,066 128,708,315 89% Health 17,398,569 1,147,515 14,549,419 1,701,635 10% WASH 23,961,326 3,982,070 2,302,996 17,676,259 74% Child Protection 7,550,000 1,420,523 2,875,139 3,254,338 43% Education 60,260,103 1,190,000 910,960 58,159,143 97% Communication for 22,560,200 3,995,410 587,614 17,977,176 - development RRMP (including Cash- 48,895,000 2,701,269 7,738,796 38,454,935 79% based interventions)* Cluster/Sector 1,621,102 842,400 0 778,702 48% Coordination Total 326,108,294 15,593,801 43,803,990 266,710,503 82%

* Funds available includes funding received against current appeal as well as carry-forward from the previous year. **Carry-over figure is the unutilized programmable balance that was carried over from the prior year to the current year, as of year-end closure DRC Situation Report February 2019

Next Situation Report: 15/04/2019

UNICEF DRC on Twitter: https://twitter.com/UNICEFDRC UNICEF DRC on Facebook: https://www.facebook.com/UNICEFRDC/ UNICEF DRC Country Website: https://www.unicef.org/drcongo/english UNICEF DRC Humanitarian Action for Children: www.unicef.org/appeals/drc

Who to Gianfranco Rotigliano Tajudeen Oyewale Pierre Bry contact for Representative a.i. Deputy Representative Chief Field Operations UNICEF DRC UNICEF DRC UNICEF DRC further Tel: + (243) 996 050 399 Tel : +(243) 996 050 200 Tel: + (243) 817 045 473 information: E-mail: [email protected] E-mail : [email protected] E-mail: [email protected]

DRC Situation Report February 2019

Annex A

SUMMARY OF PROGRAMME RESPONSE

Targets UNICEF and IPs Cluster Response Total Total Change Overall 2019 Total Total 2019 Total Change since last needs Targetǂ results Target results since last report report ▲▼ ▲▼

NUTRITION 1,415,850 # of children 6-59 months with

Severe Acute Malnutrition (SAM) 911,907 11,977 986,708 12,097 11,977 12,097 admitted for therapeutic care

HEALTH 5,480,998 # of children (6 months-14 years) in humanitarian situations 1,028,959 624,418 vaccinated against measles # of people affected by conflict and disease outbreaks having 607,832 38,823 received access to primary health care WATER, SANITATION &

HYGIENE 8,000,000 # of natural disaster and conflict- affected people with access to 136,111 217,274 1,277,848 197,497 2,232,120 278,660 water, hygiene and sanitation basic services # of persons in cholera-prone zones and other epidemic affected zones (yellow fever, FHV, etc.) 53,031 2,582,293 55,531 6,436,482 110,846 benefitting from preventive as 108,346 well as WASH cholera-response packages # of severely malnourished children and host family receiving WASH assistance from the 282,749 0 0 323,598 0 0 nutrition centres, through to the household level CHILD PROTECTION 4,000,000 # of children associated with

armed forces/groups identified and 6,000 831 7,200 1,224 who benefited from individual 543 802

follow-up # of children associated with armed forces/groups who benefited from 6,000 88 69 7,200 302 151 integration/reintegration support # of Unaccompanied and

Separated Children (UASC) 8,000 1,183 10,000 1,585 identified and/or placed in 562 888

alternative care arrangements # of Unaccompanied and

Separated Children (UASC) 8,000 614 10,000 923 reunified with their families or 359 393

provided with long term solutions # of children benefited from psychosocial support, including 120,000 30,374 21,023 150,000 39,150 23,415 access to child friendly spaces # of girls and boys survivors of gender-based violence provided 5,000 267 159 with a comprehensive response DRC Situation Report February 2019 # of EVD orphans and separated children identified who received appropriate care and psycho-social 1400 1,155 650 support as well as material assistance EDUCATION 5,237,732 # of girls & boys (5-17 years) affected by conflict or natural disasters given access to quality 908,283 53,939 18,906 2,618,866** 58,372 22,256 education and psychosocial activities # of school aged boys and girls (5 to 17 years) affected by crisis 908,283 21,213 15,511 2,618,866 28,448 21,663 receiving learning materials # of teachers trained on learner- centred methodologies, peace education, conflict/disaster risk 16,787 1,293 592 47,616 1,539 653 reduction (C/DRR), and Psychosocial support # of school aged children reached with Ebola prevention information 1,090,006 316,650 83,981 in school NFI/Shelter (RRMP) 6,700,000 # of people provided with 17,140 23,660 17,140 35,217 essential household items, and 481,250 3,756,122

shelter materials Multipurpose Cash-based

Assistance 3,337,673

# of people receive an 481,250 90,442 TBC 90,442 90,442 Unconditional Cash Grant

COMMMUNICATION FOR

DEVELOPMENT 10,500,000 # of members of the formal community development structures and frontline workers trained, certified and actively 75,000 1,889 1,889 engaged in community surveillance and participation # of at-risk people in Ebola- affected zones engaged through face-to-face activities and mass 19,500,000 media 12,333,560 12,333,560 ***

*This figure only includes data from the Rapid Response to Movements of Population (RRMP) mechanism ** This figure takes into account our HAC planning figures which are different from the HRP figures. *** Target is aligned with Ebola results which are cumulative (since August) ǂ 2019 total target include program and RRMP target

DRC Situation Report February 2019

RRMP Contributions to UNICEF Overall Response Those RRMP targets and results are included in the Summary of national 2019 RRMP Response programme response table above. Total Change since last Target Total results report ▲▼

NUTRITION # of children 6-59 months with Severe Acute Malnutrition (SAM) admitted for 23,870 731 611 therapeutic care

HEALTH # of children (6 months-14 years) in humanitarian situations vaccinated 59,675 460 362 against measles # of people affected by conflict and disease outbreaks having received 192,500 43,895 30,886 access to primary health care

WATER, SANITATION & HYGIENE # of natural disaster and conflict-affected people with access to water, 385,000 164,506 126,611 hygiene and sanitation basic services # of persons in cholera-prone zones and other epidemic affected zones 7,700 - - (yellow fever, FHV, etc.) benefitting from preventive as well as WASH cholera-response packages # of severely malnourished children and host family receiving WASH 23,870 - - assistance from the nutrition centres, through to the household level EDUCATION # of girls & boys (5-11 years) affected by conflict or natural disasters given 122,623 26,268 14,779 access to quality education and psychosocial activities # of school aged boys and girls (5 to 11 years) affected by crisis receiving 122,623 14,779 14,779 learning materials # of teachers trained on learner-centered methodologies, peace education, 2,502 626 577 conflict/disaster risk reduction (C/DRR), and Psychosocial support NFI/Shelter (RRMP) 481,250 17,140 17,140 # of people provided with essential household items, and shelter materials

Multipurpose Cash-based Assistance 481,250 90,442 56,062 # of people receive an Unconditional Cash Grant

COMMMUNICATION FOR DEVELOPMENT # of members of the formal community development structures and

frontline workers trained, certified and actively engaged in community 0

surveillance and participation "# of at-risk people in Ebola-affected zones engaged through face-to-face

activities and mass media