UNICEF MOZAMBIQUE SITUATION REPORT – 10 June 2019 MOZAMBIQUE Humanitarian Situation Report © UNICEF/MOZA2019- 0750/Karel Prinsloo. A child fills a jerrycan full of water from UNICEF tap at the Mandruzi Resettlement Site in Dondo, Sofala Cyclones Idai and Kenneth Situation Report #11: 01-10 June 2019 SITUATION IN NUMBERS* Highlights 1.85 million ighlights -- Suggest 3 key messages covering e.g.: People affected by the cyclone in need of • At least 60,000 people are displaced and hosted in 58 sites in assistance by HRP 2019 Sofala, Manica, Zambezia, Tete and Cabo Delgado, with 3,000 1 million people still waiting to be resettled. Children affected by the cyclone in need of • As of 10 June, no cholera cases were reported in Sofala, Manica. assistance In Cabo Delgado 42 new cases were registered over the past 500,000 two weeks. Children targeted by UNICEF • Since the start of the cyclone, UNICEF has provided access to 1 million People targeted by UNICEF WASH 161 Temporary Learning Centers (TLCs) to more than 70,000 children in cyclone affected areas. Funding Status • More than 13,500 children participated in UNICEF supported psychosocial support activities through UNICEF supported 61 Funds received child friendly spaces (CFS) in Sofala, Manica and Cabo Delgado 2019 funding Funding gap $26.6 m requirement $7 m provinces. $102.6 m Funds received Funding gap 1 2 UNICEF’s Response with Partners Cluster Cluster Target UNICEF UNICEF Target target Result achieved target Result achieved WASH # of people provided with access to safe Idai 1,435,000 1,563,714 109% 965,000 1,150,669 119% water (7.5 -15L per person per day)** Kenn 540,000 515,329 95% 460,000 371,035 81% Health Idai 330,890 # of children under-fifteen years vaccinated 500,000 197% 656,300 (OCV/Measles) Kenn 120,000 104,009 87% Nutrition # of children under 5 years screened for Idai 328,000 651,1783 199% 328,000 648,968 198% acute malnutrition Kenn 60,000 6,537 11% 45,000 6,537 15% Education Children aged 6-15 years old in Idai 500,000 150,568 30% 380,000 67,795 18% humanitarian situations accessing education Kenn 40,000 3,389 8% 15,000 3,389 23% Child Protection Idai 147,000 25,411 17% 20,000 13,625 68% 1 Please see footnotes in ANNEX I: UNICEF Table of results. 2 UNICEF will revise its HAC shortly to reflect its response plans to the Cyclone Kenneth and revise the Idai targets in light of the food and nutrition security assessment and the crop assessment, which will be available soon. UNICEF MOZAMBIQUE SITUATION REPORT – 10 June 2019 Children receiving psychosocial support Kenn * 2,000 207 10% through Safe Spaces Communications for Development Number of people reached with key Idai 700,000 871,814 124% lifesaving and behavior change messages on health, nutrition and safe and appropriate Kenn 175,000 103,320 59% sanitation and hygiene practices. Situation Overview & Humanitarian Needs Cyclone Idai The humanitarian community continues with the provision of basic services in resettlement areas as well as in the rural communities affected by the cyclone. In Sofala, Manica, Zambezia and Tete provinces, at least 60,000 people are in 58 resettlement sites. The top five priority needs in the resettlement sites are food, shelter, health, water and agricultural inputs. In Sofala province, 22,000 people are in 16 resettlement sites and 3,000 people are still in four accommodation/transit centres (DTM3 and government data) in Beira and Buzi. During the reporting period, resettlement was put on hold for few days to create minimum conditions at the sites. As the resettlement process resumes in the districts of Beira and Dondo, the emphasis of the humanitarian community is shifting to the most remote resettlement sites in Buzi district, where the provision of basic services is lagging behind. In Manica province, most of the 26 resettlement sites, hosting more than 23,000 people, are spontaneous and are currently being formalized. The provincial government and humanitarian community have resumed coordination to accelerate the support to resettlement sites and avoid families moving back to areas at risk. In the epidemiological week 22 (as of 10 June 2019), no cholera cases were reported in Sofala, Manica, advancing towards the 21 days of no cases required to declare an end to an outbreak. Final confirmation will be made by MOH in coordination with the National Institute of Health. In Sofala and Manica, malaria, diarrhoea, and pneumonia are the most common illnesses. While the numberof reported malaria cases remains within the level seen in previous years, efforts to control the cases continues. Cyclone Kenneth In Cabo Delgado province nearly 1,000 people are in two transit sites in Metuge and Pemba districts. The provision of basic services has already started in the site that the Government identified for resettlement in Metuge. The identification of the resettlement site in Pemba district is still pending. Access by road is improving in all districts. However, security concerns heavily constrain the delivery of humanitarian aid in the most affected districts located north of Pemba. For example, in Macomia district about half of the population lives in inaccessible communities. Aid in these areas continues to be delivered mainly by air and only in the largest villages (sedes of the postos). Forty-two new cholera cases were registered over the past two weeks, bringing the total number of cases to 267 in the districts of Metuge, Mecufi and Pemba, with no deaths reported. The trend indicates that the cholera outbreak is coming under control. A second round of Oral Cholera Vaccination (OCV) campaign will start next week, with primary financial support from GAVI and technical support from WHO, UNICEF, and Save the Children. Malaria cases are a concern in districts affected by Cyclone Kenneth with rates of infection nearly double in the rate in Sofala districts, particularly in the coastal areas. However, there has not been a significant rise in cases, as malaria is a large burden year-round. UNICEF will support the provincial government in an upcoming blanket distribution of insecticide treated bed-nets (LLINs). Over the last 10 days the nnutritional screenings of 2,490 children under five in Macomia, Metuge and Mecufi districts identified 128 MAM cases and 23 SAM cases, with a rate of 6.1 per cent. The situation is particularly worrying in Mecufi district, which reported64 MAM cases and 14 SAM cases. Humanitarian leadership and coordination OCHA is reducing its presence in all provinces and will hand over the provincial coordination leadership to other agencies. The HCT is defining the agencies that will assume the role of HCT Provincial Focal Points. National and provincial cluster coordination remains active. At provincial level, clusters are meeting regularly in Sofala, Manica and 3 Displacement Tracking Matrix, Daily Site tracking and Interactive Dashboard. UNICEF MOZAMBIQUE SITUATION REPORT – 10 June 2019 Cabo Delgado, with UNICEF and the government co-leading the WASH, Education, Nutrition and Child Protection cluster/sub-clusters. A provincial WASH cluster is also active in Zambezia, and district WASH clusters in Buzi and Nhamatanda (Sofala province) and Sussundenga in Manica province. UNICEF is also actively participating in the Health and Protection clusters and co-chairs with COSACA the Prevention of Sexual Exploitation and Abuse (PSEA) Network both at national and sub-national levels. The Inter-Cluster Coordination Group (ICCG) supports the leadership of the Humanitarian Country Team (HCT). In Sofala province, UNICEF also participates actively in the ‘Leadership’ Group (integrated by the team leaders of the main humanitarian agencies), in the Return, Relocation and Resettlement Working Group and, in the Disability Working Group. Both at national and local levels, UNICEF is using its close relationship with central and local government to strengthen the Government of Mozambique’s leadership of the sectoral coordination system. In Manica province, UNICEF played a key role in advocating for stronger coordination among the humanitarian partners and with the government, in particular to address the gaps in serving the resettlement sites. As a result, a new Early Recovery and Resettlement Group led by the Provincial Government was established, and the provincial inter-agency Leadership Group reactivated. Humanitarian Strategy UNICEF provides coordination, technical assistance, financial and in-kind resources to Government agencies, as primary providers of services and duty bearers, and non-governmental organizations in the following priority areas: a. Cholera prevention and treatment, with a multisectoral response in Health, WASH and Communication; b. Restoration of provisional basic services and reduction of vulnerability of children in o Transit/accommodation centers o Return, relocation and resettlement sites (RRR) o Isolated areas; c. Reconstruction of permanent, resilient services and systems (build back better). UNICEF is working to: • Strengthen the Government’s coordination and response capacity, including information management systems; • Address the specific needs of children with disabilities and other vulnerable groups; • Ensure an environment free of Sexual Exploitation and Abuse (SEA); • Enhance accountability to the affected population. UNICEF and its partners work together to meet the needs of the affected children as they move from accommodation centres to their areas of return and resettlement. In July WFP and UNICEF will start a joint multi-purpose value voucher programme using a vulnerability-based targeting mechanism to address household food and NFI (primarily hygiene) needs, in areas with functional markets. The district selection is being discussed with the government. UNICEF and WFP are also working with the World Bank on ensuring that the most vulnerable families will transition into various government-run social protection programmes. Summary Analysis of Programme Response WASH Cyclone Idai Response In Sofala province, UNICEF supported the Fund for the water supply service for Mozambique’s largest cities (FIPAG) to extend the existing water supply system to Mutua and Madruzi resettlement sites in Dondo district benefiting 3,133 people.