NIGER Humanitarian Situation Report @UNICEFNiger/2019/isouleymane July 2019 SITUATION IN NUMBERS 31 July 2019 Highlights • In the Maradi region in July, UNHCR and the government registered 1.26 million children in need of humanitarian assistance 35,055 Nigerian refugees, settled in host families. UNICEF and the Maradi in Niger regional WASH department intervened in 11 host villages for the 2.3 million treatment of 14 wells and the rehabilitation of 6 water infrastructures. people in need UNICEF also facilitated and coordinated the WASH response of the Rapid (OCHA, Humanitarian Response Plan Response Mechanism (RRM) partners. Niger, 2019) • As of July 31, floods have already caused the death of 22 people with 380,166 more than 1,500 households affected. This situation is likely to worsen Children affected by SAM nationwide according to the recent regional weather forecasts. UNICEF assists the (OCHA, Humanitarian Response Plan Ministry of Humanitarian Action and Disaster Relief and the Directorate Niger, 2019) General of Civil Defence for the electronic data collection of the impact, 38,668 and for the multisectoral response. Internally displaced children in Tillabéri / • In July, the RRM conducted five multisectoral assessments, 4 in the Tahoua, out of Tillabéri region and one in the Diffa Region. Furthermore, three rapid 76,634 Internally displaced people in Tillabéri / protection evaluations (ERP) were conducted in the Tillabéri region. Tahoua (cluster protection, 31/05/19) • At the end of July, Niger recorded 9,706 cases of measles and 52 deaths. Response campaigns have been organized across the country reaching so 35,055 far 726,716 children (883 687 targeted). UNICEF supported the Ministry Refugees in Maradi (UNHCR, July 2019) of Health through the provision of 424,900 doses of vaccines and operational cost for vaccination response at the beginning of the year in Diffa region. UNICEF Appeal 2019 US$ 45.9 millions UNICEF’s Response with Partners UNICEF Sector/Cluster *Cumulative results since January Funding status* (US$) UNICEF Total Cluster Total 2019 Target Results* Target Results* Carry-Over Nutrition: # of children <5 with SAM 380,166 185,829 380,166 185,829 $9.9 M admitted for treatment in Niger (22%) Funds Received Health: # of children <5 accessing life- $13.5M (29%) 125,000 21,156 n/a n/a saving services in Niger Required: WASH: # of people with access to safe $46M 120,000 45,177 168,000 84,861 water in Niger Child Protection: #of children reached Funding gap with psychosocial support, including 25,000 511 75,000 6,479 $22.5M (49%) access to child-friendly spaces in Niger Education: # of out of school boys and * Funds available includes funding received girls (4-17 years) affected by crisis 68,300 11,728 136,700 23,241 against current appeal as well as carry-forward accessing education from previous year. UNICEF Niger Humanitarian Situation Report July 2019 Situation Overview & Humanitarian Needs According to the 2019 Humanitarian Needs Overview (HNO), 2.3 million people in Niger need humanitarian assistance, including 1.3 children. The needs analysis shows the persistence of five major crises affecting the country: food insecurity (1.5 million people estimated in need), malnutrition (1.8 million people), epidemics (600,000 children), floods (170,000 people) and population movements due to conflict or migration (478,000 people). In the regions of Tillabéri and Tahoua, the security situation remains worrying and characterized by the continued activism of armed groups in northern Tillabéri and on the border strip with Burkina Faso and inter-community tensions observed mainly in the Tillabéri region. According to the protection cluster, 16 villages in the commune of Torodi and 17 villages in the commune of Makalondi, all bordering Burkina Faso, are at high risk of population movements due to the activism of the GANE. Estimated Affected Lake Chad Basin (LCB) crisis (Diffa Mali crisis National Population (National) region) (Tillabéri and Tahoua regions) Based on HRP/HNO 2019 Total Female Male Total Female Male Total Female Male Total Population in need 2,300,000 1,170,000 1,130,000 469,000 239,000 230,000 717,000 366,000 351,000 Children Affected <18 1,260,000 643,000 617,000 258,000 132,000 126,000 394,000 201,000 193,000 Children <5 380,166 188,943 191,223 84,890 42,190 42,700 131,337 65,274 66,063 13,800 6,859 6,941 Children 6 to 23 months 66,818 33,209 33,609 23,750 11,804 11,946 Pregnant and lactating 20,256 20,256 303,757 303,757 13,576 13,576 women Humanitarian Leadership and Coordination In Niger UNICEF leads the Education and WASH Clusters, and the Child Protection Sub-Cluster in close collaboration with government counterparts and co-leads the Nutrition Technical Working Group/Cluster with the government. UNICEF supports sub-national authorities for the timely and efficient management of sectoral working groups, particularly, but not exclusively, in Diffa, Maradi and Agadez where UNICEF field offices are located, as well as in Tillabéri and Tahoua through the support of cluster leads and field office technical staff. UNICEF is also a proactive member of the Health Cluster and the NFI/Shelter Working Group. UNICEF participates in the common framework of the RRM project along with four international NGOs (ACF, ACTED, DRC AND IRC), OCHA and WFP, as well as with the Ministry of Humanitarian Action and Disaster Relief (MAH/GC). In the RRM, UNICEF’s is responsible for the procurement of Non- food Items and WASH kits, and for the provision of the overall technical leadership. Additionally, UNICEF provides technical, financial and in-kind support to the MAH/GC and to the Department of Civil Defense, to strengthen their capacity to manage and coordinate humanitarian crises, as well as to prepare for and respond to floods. Humanitarian Strategy UNICEF responds to both chronic and acute crises in the Niger. In 2019, an increasing focus is put on the strengthening and operationalization of the linkages between humanitarian action and development programming, particularly in the Diffa region. Emergency capacity to respond to acute crises is increased through the RRM. In Tahoua and Tillabéri regions, strategic partnerships and innovative community-based approaches are identified to help UNICEF and partners overcome access challenges and reach vulnerable populations with multi-sectoral support. UNICEF continues to strengthen national health and nutrition systems to deliver services in emergencies, including severe acute malnutrition (SAM) prevention and treatment, measles and polio vaccination and free health care for children under 5 years. UNICEF prioritizes the access to quality school services for children affected by crises and schools’ resilience building. Conflict- affected children receive comprehensive child protection services. The cholera prevention package is strengthened and access to safe water includes both immediate and durable solutions. UNICEF maintains its preparedness capacity through contingency stocks, partnerships and human and financial resources; and a cash transfer strategy is being developed. Page 2 UNICEF Niger Humanitarian Situation Report July 2019 Summary Analysis of Programme Response Nutrition Lake Chad Basin crisis As of end of July 2019 (week 31), 7,771 under-five children suffering from SAM were admitted to rehabilitation centers (both outpatient and inpatient facilities) in Diffa region, including 604 cases with medical complications. This represents 49.7% of the annual target. Compared to the same period (week 1 to 31) in 2018, a decrease of 28% (232 children) and 14% (1,173 children) was observed in both inpatient and outpatient facilities respectively. An antimalaria drug distribution campaign was held in July 2019 in Diffa region. On this occasion, 152,226 children (109 per cent of the target population) benefited from malaria chemoprophylaxis, and 827 children with severe acute malnutrition were referred to the health centers. Mali Border crisis (Tahoua and Tillabéri regions) As of end of July 2019 (week 31), 51,560 under-five children suffering from SAM were admitted to rehabilitation centers (both outpatient and inpatient facilities) in Tahoua et Tillabéri regions, including 5,801 cases with medical complications. This represents 47.7% of the annual target. Compared to the same period (week 1 to 31) in 2018, an increase of 15% (6,093 children) was observed in inpatient and outpatient facilities respectively. Nationwide As end of July (week 31), 185,829 under-five children suffering from SAM were admitted for treatment. Among these children, 21,554 cases (11.6%) presented medical complications (admitted for inpatient therapeutic care), while 164,275 cases (88.4%) were admitted for outpatient therapeutic care. Compared to the same period last year (week 1-31), an increase in admissions of 5% (7,760 children) was observed in outpatient care while a decrease of 6% (1,344 children) was observed in inpatient facilities. This represents 48.9% of the annual target. A national nutrition survey, supported by UNICEF, is started at 30th July. The data collection will be undertaken from mid-August to end of September 2019. The results are expected for mid-October and will allow UNICEF and Nutrition partners to have an update their nutritional analysis. In addition, a screening mission is planned for August/September to better understand the nutritional needs of refugees and host communities in Maradi. Health Lake Chad Basin crisis UNICEF is working in the whole 6 affected districts in Diffa region through five proven main interventions. These include: (i) immunization of children under five (ii) the response to epidemics (iii) the organization of mobile clinics (iv) sensitization on HIV / AIDS transmission and (v) integrated management of childhood illness at the community level. In July 2019, for Polio immunization response 43,672 children were vaccinated in Bosso and 134,057 children in Diffa Health District.