DRC Humanitarian Situation Report Photo: UNICEF DRC Naftalin April 2019 SITUATION IN NUMBERS Highlights 1,260,000*Internally Displaced Persons (IDPs) (HPR 2019) * Estimate for 2019 • As part of World Vaccination month, 4,244 children (6months- 14years) were vaccinated against measles through the RRMP 7,500,000 children in need of humanitarian mechanism assistance (OCHA, HRP 2019) 1,400,000 children are suffering from Severe • During the month of April, 46,275 persons were provided with Acute malnutrition (DRC Nutrition Cluster, January essential household items, and shelter materials 2019) • Ebola outbreak: as of 14 April 2019, 1,264 total cases of Ebola, 9,606 cases of cholera reported since January 1,198 confirmed cases and 748 deaths linked to Ebola have been 2019 (Ministry of Health) recorded in the provinces of North Kivu and Ituri. 76,107 suspect cases of measles reported since January (Ministry of Health) UNICEF Appeal 2019 US$ 326 Million UNICEF’s Response with Partners 22% of required funds available UNICEF Sector/Cluster 2019 DRC HAC FUNDING STATUS* UNICEF Total Cluster Total Funds received Target Results* Target Results* current year: $27.7M Nutrition: # of children with SAM 911,907 15,573 986,708 15,573 Carry- admitted for therapeutic care forward Health: # of children in amount humanitarian situations 1,028,959 628,896 $43.8M vaccinated against measles WASH: # of natural disaster and 2019 funding conflict-affected people with 1,277,848 307,273 2,232,120 466,231 requirements: access to water, hygiene and sanitation basic services $326M Child Protection: # of children benefited from psychosocial 120,000 64,603 150,000 84,557 support, including access to child Funding Gap friendly spaces $254M Education: # of school aged boys and girls (5 to 17 years) 908,283 93,792 2,618,866 140,154 affected by crisis receiving learning materials *Funds available includes funding received from the current * Total results are cumulative since January 2019 appeal year as well as the carry-forward from the previous year DRC Situation Report April 2019 Situation Overview & Humanitarian Needs • The latest nutrition surveillance and early warning system bulletin covering the period of January to March 2019, reveals that 57 (12.39%) out of 468 health zones are in alert. The most affected province is Kasai central (with 14 health zones out of 26), Kwango (8 out of 57), Sankuru and Kasai Oriental (6 for each out of 57) and Kwilu (5 out of 57). The results of nutritional surveys in the health zones of Mbulula (Tanganyika province), Kikimi and Maluku 1 (Kinshasa province) as well as the territory of Kapanga (lualaba province) have been validated. The key results are summarized in the table below: Provinces Health Global Acute Malnutrition prevalence Severe Acute Malnutrition Prevalence zones Tanganika Mbulula 7,0% 0,3% Lualaba Kapanga 10,1% 1,3% Kinshasa Kikimi 12.0 % 2,3% Kinshasa Maluku 8,6% 1% The analysis of this table shows that the nutritional situation is considered as worrying in the Kikimi health zone in Kinshasa province with a MAG rate of 12% and a MAS of 2.3%. • 55,ooo internally displaced persons (IDPs) and 10,000 returnees1 have been identified in Minembwe Highlands, South Kivu province following intercommunity conflicts between the Fuliro and Bembe group against the Banyamulenge Twagineho between the month of February and March 2019. As of end of April 2019, out of the identified IDPs and returnees, 10,000 persons have been covered by UNICEF interventions through the RRMP mechanism (NFI, education, WASH, and child protection) and Caritas Uvira (food security). • During the month of April, 292 unaccompanied children were newly identified and were reported among population expelled from Angola and victims of the Kamuina Nsapu conflict from the following provinces: Lomami (63) Sankuru (60) Kasai central (169). Verification process is ongoing to provide transitional care and proceed to family research and reunification. • Ebola outbreak: as of 14 April 2019, 1,264 total cases of Ebola, 1,198 confirmed cases and 748 deaths linked to Ebola have been recorded in the provinces of North Kivu and Ituri. 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 0.80 million 0 0.80 million Humanitarian Leadership and Coordination • UNICEF leads five clusters in the DRC humanitarian architecture, at national level in Kinshasa 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. 1 Source: OCHA DRC Situation Report April 2019 • 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. • 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 In April, 14,340 children aged 6-59 months were admitted with Severe Acute Malnutrition (SAM) for therapeutic care. Out of these cases, 593 children suffered from SAM with medical complications. The recovery rate is estimated at 87% while the death rate is at 1% and the default rate around 8%2. Health In April, 4,244 children (6 months-14 years) were vaccinated against measles, reaching a total of 628, 896 children since January. 114,425 people, of which 27,532 children, affected by conflict and disease outbreaks received access to primary health care. Water, Sanitation and Hygiene (WASH) In April 2019 a total of 84,440 people benefited from a WASH package delivered by UNICEF partners, of which 19,200 people affected by ongoing conflicts, 64,720 people affected or at risk of cholera epidemics, and 520 severely malnourished children. In Kasai Centrale, 8,500 persons affected by conflicts, of which 520 malnourished children, received access to water through the rehabilitation of 17 water sources and the distribution of 520 WASH kits through UNICEF partner Centre pour le Developpement Integre de Lukibu (CEILU). In Kasai, 4,000 persons affected by conflicts gained access to safe water through the rehabilitation of water sources in Kamako health zone by the NGO ACD. 2 Recommended standard thresholds: Recovery >75%; death rate <5% and default rate <15% DRC Situation Report April 2019 In Kwango, 6,700 persons gained access to safe water through 13 chlorination water points in Tembo health zone. In addition, 15 latrines and 20 emergency showers were constructed through implementing partner Medecins d’Afrique and RHA. In Haut Lomami, 19,720 persons gained access to safe water through 38 chlroniation points and the rehabilitation of two water sources in Bukama, Kikonja, Malemba Nkulu health zone through UNICEF implementing partner VIPATU. In Haut Katanga, a total of 495,316 liters of water were chlorinated through 45 chlorination points, benefitng 45,431 persons. Education From January to April, 96,654 children aged 6-11 years old, affected by conflict or natural disasters, were given access to quality education3, of which 2,107 children from IDPs camps were reached with remedial courses and 2,700 adolescent girls were provided with hygienic kits, and psychosocial activities4 through UNICEF support in South Kivu, Ituri, and Kasai, of which, 10,623 children aged were reached in April.