Nigeria Humanitarian Situation Report No. 8 © UNICEF/ Nigeria/van Oorsouw Reporting Period: August 1-31, 2020 © UNICEF Nigeria/2019/Owoicho Situation in Numbers 4.6 million Highlights children in need of humanitarian assistance Heavy rainfall continues to affect IDPs in camps and conflict-affected host communities in the north-east and north-west. Shelters in makeshift locations (HAC 2020) were destroyed in the north-east and over 5,000 households were affected by flooding in the north-west. In addition to the direct impact on immediate 7.9 million needs, flooding of farmlands will have a negative impact on food availability people in need (HAC 2020) and nutrition status in the short-medium term. Within the reporting period: 3.8 million • 24,245 children with severe acute malnutrition (SAM) were admitted for people targeted treatment in 431 UNICEF supported treatment facilities in the three north- (HAC 2020) east states while 3,464 children 6-59 months were admitted in 25 facilities in the two north-west states. 1.9 million • 204,000 beneficiaries gained renewed access to safe sanitation through the Internally displaced people desludging of 4,080 latrines in Borno state. (IDPs) North-east (IOM DTM Round XXXII, June 2020) • UNICEF is supporting 24 (including 15 children) Nigerians from Cameroon received at the Bulumkutu rehabilitation center after being released by the 150,000 (IDPs) North-west military to the Borno Ministry of Women Affairs and Social Development. (State emergency management agencies) UNICEF’s Response and Funding Status UNICEF Appeal 2020 US$ 145.1 million Funding Status (in US$) Funds received, $59M Funding gap, $87M 1 Funding Overview and Partnerships In 2020, UNICEF is requesting US$ 145.1 million to provide life-saving services to 3.8 million people, including 2.2 million children. Funds currently available amount to US$ 58.5 million resulting in a 60 percent funding gap. UNICEF’s ability to provide a sustained, integrated package of WASH, nutrition and health, child protection and education in emergencies services for the survival and development of vulnerable children is hampered by this lack of funding. Situation Overview & Humanitarian Needs Northeast During the month of August, a total of 7,306 movements were recorded as a result of military operations, conflicts/attacks, poor living conditions, fear of attacks and voluntary relocations. In one such incident of insecurity in Jere Local Government Area (LGA), 2,7581 people departed their homes and sought refuge in nearby camps and host communities putting strain on already fragile shelter and sanitation infrastructure. At the UNICEF- supported reception points for new arrivals, 1,049 boys and girls aged 6-59 months were screened in IDP Camps Bama, Gwoza, Mobbar and Ngala LGAs of Borno state. Out of which, 29 (2.8 per cent) were identified with severe acute malnutrition (SAM) while 127 (12.1 per cent) were identified with Moderate Acute Malnutrition (MAM). A total of 488 (46.5 per cent) were from other accessible LGAs, 433 (41.2 per cent) came from neighbouring countries of Niger, Cameroon and Chad while the remaining 128 (12.2 per cent) were from areas inaccessible to humanitarians. With the onset of the rainy season, varying degrees of damage have been recorded in camps and camp-like settings. Within the reporting period, six camps were affected in Dikwa, Jere, Maiduguri and Konduga LGAs.2 In Muna Da’alti camp in Jere LGA, heavy rainfall and flooding left 72 makeshift shelters damaged and an estimated 360 individuals without shelter. Other affected camps include Yajiwa Camp, Shuwari 5 Camp in Maiduguri Metropolitan Council, Klagaru Camp in Dikwa LGA, and 400 Housing Estate (Gubio Camp) in Konduga LGA. Major needs for interventions included sandbags, shelter repair kits, construction materials, provision of basic non-food items (NFI) as well as reconstruction of damaged shelters, toilets and shower facilities. Northwest There were relatively fewer reports of violent attacks on rural communities of Sokoto and Zamfara in August, compared to the previous four months, however the insecurity continues to prevent IDPs to return to their original settlements. Torrential rains and flooding continue to wreak havoc amongst the displaced populations. At least 5,000 households were affected by floods in Sokoto, Zamfara and Kebbi states in August. In Goronyo LGA of Sokoto state, at least 100 shelters were destroyed, rendering over 400 people including IDPs completely homeless. A total of over 800 people were faced with the same predicament in Zurmi, Kaura Namoda and Gummi LGAs of Zamfara state. This situation has worsened the plight of internally displaced persons in these locations, leading to serious overcrowding in the few available decent shelters. The rains also damaged crops which could further deteriorate the level of food insecurity of several rural households and increase the incidence of acute malnutrition for especially vulnerable children Summary Analysis of Programme Response Nutrition Northeast During the reporting period, a total of 24,245 children with severe acute malnutrition (SAM) were admitted for treatment in 431 UNICEF supported treatment facilities in the three north-east states.3 The overall performance 1 Nigeria — IDPs Arrival To Jere Flash Report (27 August 2020), DTM Nigeria 2 Nigeria — Windstorm and Rainfall Damages to IDP Sites Flash Report (30 August 2020) 3 Based on 97.3% reporting rate 2 indicators were within the SPHERE standards at 96.2percent cure rate, 2.8 percent defaulter rate, 0.4 percent death rate and 0.6 percent non-respondent. For activities focusing on prevention of malnutrition, 21,276 new caregivers were reached with Infant and Young Child Feeding (IYCF) counselling. Another 11,799 children, 6-23 months, received multiple micronutrient powder (MNP) supplementation. These results were achieved through: • Community-based nutrition using Mid-upper Arm Circumference (MUAC) screening of 615,859 children 6-59 months, identified and refered 8,639 children with SAM and 29,054 with Moderate Acute Malnutrition (MAM). • On-the-job coaching and supportive supervision visits conducted to 265 outpatients’ therapeutic program (OTP) sites, 19 stabilization centers (SCs), 180 IYCF corners, 218 mother support groups and 1,266 community nutrition mobilizers. Although restriction of movement in Borno and Yobe has been lifted, the supportive supervision conducted within the reporting period by the Community Nutrition Mobilizers (CNM) supervisors, and UNICEF supported 3rd Party Facilitators was conducted with strict adherence to COVID-19 infection prevention control measures (including handwashing, use of face masks and physical distancing). • UNCIEF distributed of 4,000 reusable face masks to Health workers, CNMs and their Supervisors in the field as part of COVID-19 infection prevention control. • The World Breastfeeding Week 2020 planning was concluded with the state primary health care development agency (SPHCDA) and nutrition sector partners with UNICEF supporting press conference, Radio and TV talk shows as well as radio jingles, advocacy and baby-shows in various LGAs of Borno and Yobe States. In an excellent development, the Yobe State Government contributed 50 million NGN for the procurement of ready- to-use therapeutic food (RUTF), enough to treat 2,048 SAM children in the State as part of the government commitment to fund nutrition services. Northwest As scaling up of the nutrition response in Sokoto and Zamfara states continues, 85,910 children 6-59 months, were screened for malnutrition in violence affected communities of the two states. 3,327 were identified using mid-upper arm circumference measurements of less than 11.5cm, indicating severe acute malnutrition and were referred to treatment sites. 3,464 children 6-59 months were admitted in 25 outpatient therapeutic programme sites across the two states for treatment of SAM in August while 2,850 children were discharged as cured for the same period. For the prevention of malnutrition, 8,064 caregivers of children 0-23 months, received counselling on infant and young child feeding through community and health facility platforms. 1,892 pregnant women received iron and folic acid supplementation for the prevention and treatment of anaemia Health A total 155, 730 of children, women and men were reached with integrated primary health care services in all UNICEF supported health facilities in IDP camps and host communities in Adamawa, Borno and Yobe States, out of which 76.416 (49%) were children below five years. Out of these, 74,172 consultations were conducted by UNICEF and partners, with malaria being the major cause of morbidity with 25,365 consultations, followed by 11,228 for acute respiratory infection, 8,540 for acute watery diarrhoea, 87 for measles and 28,952 for other medical conditions. A total of 75,379 prevention services were recorded during this reporting period: • 4,209 children vaccinated against measles through routine immunization • 35,366 children and pregnant women reached with various other antigens (Penta, Oral Polio Vaccine, Tetanus Toxoid, hepatitis, Pneumococcal Conjugate, meningitis, yellow fever) • Vitamin A capsules for 9,424 children • Albendazole tablets for deworming 5,830children 3 • Ante-natal care visits for 16,361pregnant women • 4,189 mosquito treated nets distributed through routine immunization (RI) and antenatal care (ANC) clinics in Adamawa, Borno and Yobe States; • 2,165 deliveries (skilled delivery – 2,019, unskilled – 146) • 4,014 postnatal/home visits were recorded during the reporting period. WASH Access to safe water was provided to 17,700 people through the construction of two large solar powered boreholes and one handpump borehole in health centers and host communities Mafa, Hawul, Maiduguri LGAs of Borno. In Benue state 34,900 IDPs now have access to safe water though the rehabilitation of four solar motorized boreholes and seven HPBHs in four camps in Benue state. As part of the cholera preparedness and prevention under the humanitarian assistance support. UNICEF donated 1,625 drums of Calcium Hypochlorite (HTH), 45kg and 1,808 bag of lime, 25 kg to support urban water chlorination in Borno and Adamawa States.