BURKINA FASO Humanitarian Situation Report N05 June Faso/2018/Figula Burkina © UNICEF 2019 Situation in number Highlights 31 July 2019 In July, the security situation remained precarious and was mainly marked by attacks and criminal acts by non-state armed groups (NSAG) against the 840,000 population, security forces and state representation in Sahel, Centre Nord, Est # children in need of humanitarian assistance and Centre-Sud regions. out of On 11 July, the Government extended the state of emergency for another six months in 14 provinces, in 6 out of the 13 regions (Sahel, Nord, Centre-Est, 1.5 M Hauts-Bassins, Boucle du Mouhoun and Est). # people in need (Revised Interagency The number of internal displaced people (IDP) is still on rise. In July, nearly 17,800 Emergency Plan Burkina Faso 2019) new IDPs have been registered and are seeking refuge in urban settings, some in spontaneous sites such as administrative buildings and schools. These last 140,000 displacements are happening during the lean season. (Conasur,25 July 2019) # children displaced out of In mid-July, the Kinséré primary school and teacher’s homes were set on fire by 237,769 unidentified armed elements in the Boucle du Mouhoun region, affecting 176 # Internally displaced people (IDPs) registered students and five teachers. In the locality of Mansila (Yagha province, Sahel (Conasur,25 July 2019) region), unidentified armed men burned down five schools and threatened to destroy the remaining ones in the area if they were reopened. 2,024 schools are still closed affecting more than 330,000 children and 9,000 692,627 teachers. # persons without access to health 64 health structures are closed and 65 are working with minimum operations, affecting an estimated 692,627 people (MoH, July 2019) 31,000 From January to July 2019, 37,699 children with severe acute malnutrition (SAM) # Malian refugees have been treated in nutrition services nationwide, of whom 912 were admitted during the reporting period (National health information system, Endos 2019) UNICEF Appeal 2019 (HAC) US$36.5 million 31 October 2018 UNICEF’s Response with Partners UNICEF Sector/Cluster HAC indicators 2019 Target Results Target Funding status 2019 (US$) Results 2019 * 2019 Carry Over # children aged 6 to 59 months with SAM 133,066 37,699 133,066 37,699 $4.2 m admitted for treatment Funds received in Gap # children aged 6 to 59 months vaccinated 29,302 88,286 2019 against measles $25.8m $6.3m # pregnant women in emergency-affected 71% areas received two long-lasting insecticide- 21,360 10,000 Requirement treated mosquito nets $36.4 m # people accessing the agreed quantity of 30,000 25,745 50,000 61,9995 water for drinking, cooking and personal hygiene # children reached with psychosocial support, including access to child-friendly spaces/other 35,800 30,835 64,295 34,500 safe spaces # out-of-school children aged 3 to 17 years affected by crisis accessing formal or non- 76,592 12,372 76,592 12,372 formal basic education 1 Situation Overview & Humanitarian Needs Attacks against civilians have continued during the reporting period, leading to constant waves of displacements, mainly in the Sahel, Centre Nord and Est regions. As some of the host communities remain insecure, those IDPs are expected to seek refuge in more secured towns such as region or province capitals. It is estimated that an average of 100 new IDPs are arriving daily in Djibo, Dori and Kaya. As of 25 July 2019, there were 237,769 IDPs (59 per cent children) registered all over the country. All the regions are now hosting IDPs, although the most affected regions remain Sahel (53.6 per cent) and Centre Nord (34.7 per cent). The new IDPs find refuge in spontaneous sites such as schools and administrative buildings. By the end of July, 64 out of 816 health centres in five emergency-affected regions1 were closed. An estimated 692,627 people (around 408,000 children) have no or limited access to nutrition and health services, an increase of 291,327 people since the end of June. Djibo health district (Sahel region) is the most affected with 18 out of 41 health centres closed. Barsalogho (Centre-Nord region) is the second most affected health district, with 13 out of 14 centres closed and Kaya (region Centre-Nord region) with 12 facilities closed. Furthermore, 65 health centres are operating at reduced or minimum services. Of those, 23 are in Sahel, 15 in Centre-Nord and 14 in the Est regions. The school year 2018-2019 concluded on 30 June. As of 31 July, the number of schools closed due to insecurity remained the same as in June: 2,024, affecting 330,292 children (158,541 girls) (OCHA, 10 July 2019). It is important to note that insecurity leading to school closures is sowing psychoses everywhere. Since January 2019, there have been 17 attacks against education. The number of Malian refugees has also increased in the last weeks from 25,620 to 31,000 people (Revised Emergency Plan Burkina Faso 2019) Humanitarian Leadership and Coordination UNICEF Burkina Faso leads the Nutrition, Education and WASH sectors, and the Child Protection sub-sector in close collaboration with governmental counterparts. UNICEF is also involved in the Health in emergency sector led by the World Health Organization (WHO). During the reporting period, UNICEF contributed to the extension of UN integrated offices planned in five cities, out of which UNICEF will join in Kaya (Centre-Nord region) and Fada N’Gourma (Est region). In July, a multisectoral interagency assessment was undertaken in Centre-Nord region to evaluate the shelter, WASH, food security and health needs of the IDP population in Dablo, Pensa, Barsalogho, Pissila and Kaya, using the MIRA methodology. The revised 2019 Emergency Plan Burkina Faso will be launched on 1 August to address the deteriorating security and subsequent increase in humanitarian needs. The population in need of humanitarian assistance has raised from an estimated 1.2 million to 1.5 million, of which 800,000 people are directly affected by insecurity. UNICEF will update the 2019 Humanitarian Action for Children (HAC) accordingly. UNICEF will initiate a partnership with REACH to strengthen the context and gaps analysis as well as needs assessment. The partnership is also meant to reinforce the competency of information management (IM) of the UNICEF, CONASUR and other humanitarian IM staff. Humanitarian Strategy The upcoming UNICEF Burkina Faso Emergency response plan will address the urgent needs of the population in 14 provinces in Sahel, Nord, Centre-Est, Hauts-Bassins, Boucle du Mouhoun and Est regions affected by the crisis. The response plan is aligned with the Country programme document (CPD 2018-2021), the 2019 Emergency plan Burkina Faso and the government’s extended emergency plan for Sahel, the Stratégie d’extension du programme d’urgence pour le Sahel 2019-2021. 1 Sahel, Nord, Centre-Nord, Est and Boucle du Mouhoun 2 UNICEF is supporting community-based interventions in areas where the government’s basic social services had to be suspended or are being severely restricted to reach the most vulnerable population. UNICEF continues to strengthen the national health and nutrition systems to deliver services in emergencies, including SAM prevention and treatment and measles vaccination. UNICEF prioritizes the access to formal and informal schooling for children affected by crises and schools’ resilience building. Conflict-affected children are also receiving comprehensive child protection services through the decentralized child protection networks supported by UNICEF. With the drastic increase in IDPs and the rainy season, UNICEF’s interventions in emergency WASH services in communities affected by the crisis are becoming critical. With the opening of two sub-offices in Kaya (Centre-Nord) and Fada N’Gourma (Est), UNICEF will strengthen its preparedness and response capacity. Summary Analysis of the Programme Response Nutrition Since January 2019, 37, 699 severe acute malnourished (SAM) children (51 percent girls), representing 28 per cent of the 133,066 yearly targeted children with SAM, have been treated in nutrition services nationwide. Of those, 22,813 children were in the six regions most affected by insecurity (Sahel, Centre-Nord, Est, Boucle du Mouhoun, Centre- Est and Nord), representing 60 per cent of the total admissions. This low coverage of SAM admissions (28 per cent) to health and nutrition services is due to the closure of health centres in insecure areas as well as the poor completeness (1 per cent) of routine data in the District health information system (DHIS2) during June and July 2019. The first round2 of the national vitamin A supplementation to 3,230,000 children from 6 to 59 months, coupled with deworming to 2,882,000 children from 12 to 59 months and screening of acute malnutrition, was realized from 21 June to 20 July 20193. UNICEF provided 7,203 boxes (500 capsules each) of vitamin A and 33,140 boxes (100 tablets each) of mebendazole, 100 per cent of the required quantity for the campaign. UNICEF also provided technical and financial support to the Ministry of Health (MoH) for the preparation and implementation of the campaign. Further mass screening is planned in August during the seasonal malaria chemoprevention (SMC) campaign. UNICEF also provided technical and financial support to the MoH to train 33 nutrition focal points from health districts and partners on emergency nutrition. Since January, 389,391 pregnant and lactating women with children under the age of two participated in IYCF counselling sessions in Plateau-Central, Est, Nord, Sud-Ouest, Cascades and Sahel regions, representing 83,69 per cent of the annual target. In collaboration with the regional direction of health and the NGO GRET, a training session for 90 health agents from the Est region on interpersonal communication and behavior change for IYCF was held from the 29 July to 2 August.