DRC Humanitarian Situation Report July, 2018 SITUATION IN NUMBERS Highlights 4.49 million Internally Displaced - On 24 July 2018, the Ministry of Health officially declared the end of Persons (IDPs) (OCHA, April 2018) the Ebola epidemic outbreak in the province of Equator. UNICEF’s response on the Ebola outbreak can be found on Ebola’s latest 7,900,000 children in need of situation report and situation reports since the beginning of the humanitarian assistance (OCHA, Jan.2018) outbreak. - On 01 August 2018, the Ministry of Public Health in the DRC 2,000,000 children are suffering from declared an Ebola outbreak in the province of North Kivu. No Sever Acute malnutrition (DRC Cluster epidemiological link has been identified between the Equator and Nutrition, May 2018) North Kivu outbreak. UNICEF’s response on the North Kivu Ebola outbreak can be found on weekly basis on Ebola’s latest situation 15,158 cases of cholera reported since report January 2018 (Ministry of Health, July 2018) - During the month of July, 122,241 persons were provided with essential household items and shelter materials, through the Rapid Response to Population Movement (RRMP) mechanism UNICEF Appeal 2018 US$ 268 million UNICEF’s Response with Partners 32% of required funds available Funding status 2018* UNICEF Sector/Cluster UNICEF Total Cluster Total Target Results* Target Results* Funds Nutrition : # of children with SAM received 1,140,000 88,521 1,306,000 129,351 admitted for therapeutic care 21% $56M Health : # of children in humanitarian situations 979,784 652,396 vaccinated against measles WASH : # of natural disaster and conflict-affected people with Funding 2018 funding 1,987,500 638,582 3,262,000 1,239,156 access to water, hygiene and gap Requirements 11% sanitation basic services $183M $268M Child Protection : # of displaced, Carry- refugee and returnee children 68% Over provided with safe access to 100,000 73,236 170,000 86,396 community spaces for $28.9M socialization, play and learning Education: # of school aged boys and girls affected by crisis 623,750 149,907 1,700,000 254,746 receiving learning materials * Funds available includes funding received for the current appeal year as well as the carry-forward from the previous year. DRC Situation Report July 2018 Situation Overview & Humanitarian Needs The latest nutrition surveillance and early warning system bulletin revealed that 68 out of 468 health zones (15%) are in alert (at least 4 out of 6 specific indicators reached threshold for malnutrition). The most affected provinces are Kasai central, Kwilu and Kwango with 19, 12 and 8 health zones respectively, in alert. In Kasai Oriental, 414 children were identified with specific needs, including 225 Unaccompanied and Separated Children (UASC) (100 girls and 125 boys), 139 children associated with armed groups (30 girls and 109 boys) and 50 wounded children (26 girls and 24 boys). In addition, 211 new cases of children formerly associated with armed groups/forces (CAAFG) were identified and separated in North Kivu during the month of July 2018. On 2nd July, around 12,000 inhabitants from the locality of Kayembese, Maniema province were displaced due to conflicts between Armed Forces of the Democratic Republic of Congo (FARDC) and armed groups in the villages of Tenge-Tenge and Kahembe, 30 km from Salamabila Health Zone. The country continues to respond to the Ebola outbreak in North Kivu province of the DRC as well as continue to support post Ebola activities in the province of Equator. Estimated Population in Need of Humanitarian Assistance Estimates calculated based on initial figures from Humanitarian Response Plan, December 2017 IDPs and returnees figures calculated based on UNOCHA website, as of March 2018 Start of humanitarian response: January 2018 Total Male Female Total Population in Need 13.1 million 6.3 million 6.8 million Children (Under 18) 7.9 million 3.8 million 4.1 million Children Under Five 3.6 million 1.73 million 1.87 million Internally Displaced Persons and 4.49 million 2.16 million 2.34 million returnees Humanitarian Leadership and Coordination UNICEF is leading five Clusters in DR Congo humanitarian architecture, at national (Kinshasa) and provincial hub levels (Bukavu, Goma, Kalemie and Kananga), including Nutrition, Education, WASH, Non-Food Items & Shelter and the area of responsibility for Child Protection. As part of the Ebola response, UNICEF co-leads the commissions on communication, WASH, and psychosocial care. UNICEF participates in inter-cluster meetings at national and decentralized level, and is an active member of the humanitarian Country Team (HCT). UNICEF participates in several humanitarian coordination working group, including the cash working group, gathering humanitarian actors implementing multipurpose cash transfer and cash based activities. Humanitarian Strategy UNICEF will continue to scale up integrated, multi-sectoral response, focusing on Kasai and Eastern regions, building on Kasai’s experience of a joint response delivered with the government and civil society, and the application of Risk Informed Programming to promote greater complementarity between development and humanitarian interventions. The Rapid Response to Movements of Population (RRMP) mechanism will target areas affected by shocks, mass displacement and provide a multi-sectoral package of interventions. In support of the joint Ebola response plan between the Ministry of Health, World Health Organisation, UNICEF, and other partners, UNICEF’s response strategy will focus on three key areas: communication, WASH, and psycho-social care. UNICEF will support partners to reinforce access to primary health care at the community and health center levels in areas affected by conflict and disease outbreaks; provide psychosocial support and recreational activities for children who are displaced, separated, unaccompanied, formerly associated with armed groups, or survivors of sexual violence; pre-position WASH supplies, for water purification and chlorination, and will support the renovation/construction of latrines/water points for cholera prevention and response; focus on risk communication, provision of WASH services, and psycho-social care for families affected by Ebola as part of the Ebola response; and increase outreach for screening, provision of Wash in Nutrition (WiN) kits, referral and treatment of SAM to address a larger share of the national SAM burden. DRC Situation Report July 2018 Summary Analysis of Programme Response Nutrition From January to July 2018, UNICEF and its implementing partners provided treatment to 88,521 Severe Acute Malnutrition (SAM) cases (8% coverage), of which 4,426 cases had medical complications. The recovery, death, and default rates1 were estimated respectively at 82%, 2% and 14%. During the month of July, UNICEF interventions led to the decrease in default rate in treatment from 24% to 14% under the standard thresholds. Health In July, 23,670 (67% coverage) children were vaccinated against measles in Fungurume Health Zone of Lualaba Province, where 305 confirmed measles cases in children were reported, reaching a total of 652,396 (67% coverage) out of the targeted 979,784 children since January. In addition, 114 measles related children deaths were reported in the provinces of Lualaba, Haut Lomami and Haut Katanga. Through the RRMP mechanism, 4,593 persons (27% coverage), of which 2,837 Internally Displaced Persons (IDPs) in Ituri and 1,759 returnees in North Kivu, received free primary health care. In Kasai region, UNICEF provided treatment to 3,788 malaria cases, of which 1,605 cases were children under five years of age. Additionally, UNICEF interventions provided treatment to 895 cases of Acute Respiratory Infections and 19 cases of Cholera. UNICEF has deployed 30 basic kits, 20 malaria kits including, 20 supplementary kits, 1,200 litres of lactate ringer, 3,100 bags of Oral Rehydration Salts (ORS), five boxes of Zinc ,500 boxes of gloves, 30 platelets of ciprofloxacin, 1000 tablets of Erythromycin, 300 boxes of Erythromycin 125 mg and 1000 tablets of Doxycycline to support people affected by malaria. As part of the round zero polio response, 199,477 children (104% coverage) under five years were vaccinated against polio in Mongala province. WASH In July 2018 a total of 13,713 (32% coverage) natural disaster and conflict-affected people gained access to WASH basic services and 145,846 (79% coverage) persons in cholera-prone zones and other epidemic affected zones received a WASH cholera-response packages, encompassing 168,262 persons who access to safe water in the Ebola affected areas (Mbandaka, Bikoro, Itipo, and Iboko). During the month of July, UNICEF and its implementing partners Norwegian Church Aid (NCA) and the Red Cross installed a total of 20 chlorination points in Fizi Health Zone, South Kivu province, as part of the cholera response. In the Kasais, UNICEF promoted community based activities2, while in Mbuji Mayi, Kasai Oriental province, the national Red Cross installed 12 chlorination points and disinfection activities. In Sankuru province, 34 households has been disinfected by NGO Ceilu and 11 chlorination points were installed. In the Kasais (Lombello health Zones), Sud-Kivu (Wulungu and Minova Health Zones) and Tanganyika (Nuynzu, Luizu and Kalemie), 18 water points were constructed or rehabilitated, 26 latrines and 10 showers in Internally Displaced Persons (IDPs) sites were constructed and more than 7,000 persons received information on hygiene practices. During the month of July, 1,321 (5% coverage) Wash in Nutrition kits were distributed in Nyanza Health Zone, Kasai, to children 0-5 years affected by SAM. As part of the Ebola response in Equator province, 96 health facilities, 323 schools, and 570 community sites were equipped with handwashing facilities. Education During the month of July, 7,957 students, of which 4,138 girls, improved their quality of education through catch up classes leading to current coverage of 25% of the targeted number of children. 17,459 students, of which 9,079 girls, received school materials to facilitate the students’ reintegration in schools.