UNICEF Angola Humanitarian Situation Report – January to June 2018 ANGOLA Humanitarian Situation Report UNICEF operated child-friendly space and training facilities at Lóvua settlement centre. ©UNICEF/©UNICEF/2018.2017/Luis Social Mobilizers training on cholera prevention and response. SITUATION IN NUMBERS Highlights 890 Suspected cases of cholera in Uige, Cabinda 890 suspected cases of cholera, including 15 deaths, were and Luanda reported from January to June in Uige, Cabinda and Luanda (includes 15 deaths) (27 June Cholera Bulletin, Ministry of Health) Provinces. Throughout the year, 1,250 mobilizers were trained on cholera 700,000 prevention in Uige and Luanda’s cholera affected communities People estimated to be in need of clean through door-to-door visits, reaching over 185,000 people. drinking water 42,587 children under the age of 5 years have been screened for (Projection for 2018 based on 2017 malnutrition and 9,843 were admitted for severe acute Vulnerability Assessment Committee SADC) malnutrition (SAM) treatment from January to June in UNICEF- and 35,622 refugees (Biometric Registration supported outpatient and inpatient treatment centers in drought Update as of 18 June 2018, UNHCR) affected municipalities. 408,100 A cumulative total of 980 household latrines and showers built in Children estimated to be in need of clean the Democratic Republic of the Congo (DRC) refugee settlement drinking water* (2017 Vulnerability of Lovua, of which 83 are for vulnerable families. Assessment Committee SADC) The 2018 Humanitarian Action for Children (HAC) has a including 18,678 refugee children (Biometric substantial funding gap of 80 per cent which will impact UNICEF Registration Update as of 15 April, UNHCR) response in the next six months, namely in terms of child protection in the refugee response, access to education services 43,000 and cholera case management. Children under 5 to be admitted for SAM treatment (Based on MOH data) UNICEF’s Response with Partners Funding Status Funds received UNICEF Carry- to date: January –June 2018 forward $2 m UNICEF Cumulative amount: Target results (#) $0.9 m Funding WASH: Number of people with access to safe water as per 125,000 158,500 requirements: agreed standards US$ 14.6 m WASH: Number of people accessing safe and appropriate 125,000 80,178 sanitation facilities. Funding Gap: NUTRITION: UNICEF-targeted children in humanitarian $11.7m situations with SAM 6-59 months admitted into therapeutic 43,000 9,843 treatment programmes Funds available include funding received for the current appeal year as well as the carry-forward from the previous year. *Calculated based on figures from the Angola Census 2014, taking 58.1 per cent for the child population. UNICEF Angola Humanitarian Situation Report – January to June 2018 Situation Overview and Humanitarian Needs The rainy season, associated with displacement and extensive flooding, has given rise to outbreaks of water-borne diseases, particularly cholera. In 2018, three provinces in Angola have reported suspected cases. In Uige and Cabinda, where cholera outbreaks affected almost 900 people and killed 15 people, no new cases have been registered in the last five weeks, after an effective initial response supported by UNICEF. In May, a new cholera outbreak was declared in Luanda province, with 33 suspected cases, 3 lab-confirmed cases and 6 deaths. Conversely, no new cases have been reported in Uige and Cabinda provinces in the last five weeks. UNICEF has identified and ranked 7 out of the 18 provinces as being at high risk for cholera outbreaks. Although pre-positioning supplies and partnerships for those areas are key priorities in preparedness efforts, successive outbreaks and lack of funding and experienced partners is preventing UNICEF from adequately addressing those priorities in a timely manner. Southern Angola is experiencing a chronic nutrition crisis stemming from the combined impacts of economic shock, limited rainfall and the deteriorating quality and reach of basic services. Access to safe water remains limited, with two- thirds of water points non-operational in affected areas, and over 700,000 people in need of clean drinking water. Although food security has improved, higher prices are constraining access to food and increasing the risk of malnutrition for thousands of children. Many of these children are still experiencing the impacts of the El Niño phenomenon, which left 756,000 people in need of food assistance. Instability and potential for violence in the Kasai region of the DRC continues to remain a matter of concern. A total of 35,622 DRC refugees have been registered in Lunda Norte province from the start of the refugee influx to the last quarter of 2017. By the end of 2017, the situation of refugees improved with their transfer to a new settlement area in Lovua. Nevertheless, limited access to basic health services continues to pose heightened risk of disease outbreaks. Instability in the DRC could cause a new refugee influx into Angola during 2018 and will require continued monitoring and preparedness. UNICEF has started a new project to revamp its support in terms of WASH and C4D in Lovua settlement. A new partnership to ensure that refugee children with Severe and Moderate Acute Malnutrition receive appropriate treatment and that caregivers in Lovua settlement have appropriate knowledge on infant and young child feeding (IYCF) practices is also being developed. Simultaneously, UNICEF has signed an agreement to support capacity strengthening of key provincial government entities for improved social sector service delivery and resilience strengthening, focusing on the emergency response and development nexus beyond the refugee population. The Ebola Virus Disease outbreak in the DRC’s Equateur province in April 2018, and consequent high risk of spreading at regional level, prompted Angola to react. Under the leadership of the Civil Protection National Committee (CNPC), and with UNICEF and partners’ support, Angola drafted and approved the 2018 Ebola National Contingency Plan, while immediately implementing a set of preventive measures in its bordering provinces, including training of health and administration staff, as well as community and religious leaders on prevention and case management. UNICEF Angola will be reviewing its Humanitarian Action for Children (HAC; currently $14,660,000 is required to address the needs of refugee children and the ongoing vulnerability of Angolan women and children at risk of water-borne diseases and facing protracted drought, exacerbated by the economic and financial crisis. Humanitarian leadership and coordination The national emergency and disaster management group coordinates partners’ support and long-term emergency response planning. A high level inter-ministerial commission, led by the Minister of Defence continues to provide overall coordination for the refugee response in Lunda Norte. Under this commission, the Ministry of Social Assistance, Family and Women (MASFAMU) has led the humanitarian response in Lunda Norte from 2017 until June. From July onwards, the Ministry of Interior will take over the refugee response leadership. Coordination mechanisms led by provincial governments facilitate local level inter-sectoral coordination involving local authorities and partners. A central level inter-sectoral mechanism was also established under the leadership of the Ministry of Health for coordination of health-related emergencies, notably cholera and malaria. The UN Disaster Management Team also supports the Government’s response to urgent life-saving needs, while provincial coordination mechanisms were established for Cunene, Uige, Huila and Namibe to ensure joint coordinated emergency response in the cholera and drought-affected areas. UNICEF Angola Humanitarian Situation Report – January to June 2018 Humanitarian Strategy Through rapid deployment and provision of pre-positioned supplies, UNICEF has delivered support for life-saving interventions while building local capacity to support emergency response and preparedness in Uige, Cunene, Huila, Bie, Namibe and Lunda Norte. In addition, UNICEF’s regular programme supports prevention and resilience building. UNICEF’s implementation strategy in nutrition includes responses to both the DRC Refugees Crisis, severe drought emergency in Southern Provinces and support to Nutrition Systems Strengthening for better resilience to emergencies. Along with intensive WASH and health interventions, nutrition intervention, (including Integrated Management of Acute Malnutrition (IMAM), Vitamin A supplementation and deworming and the promotion and support of IYCF practices, are being implemented in the five most affected provinces, notably, Bié, Huila, Namibe, Cunene and Lunda Norte. In all affected provinces, UNICEF supported the establishment of Government led coordination mechanisms to integrate synergies and joint efforts mainly in response to cholera outbreaks and drought. The implementation of the cholera outbreak preparedness and response plan is being coordinated by the Government of Angola under the leadership of the Ministry of Health and the Provincial Health Directorates, with support from UNICEF, WHO and partners. Similarly, UNICEF and partners have been supporting the Civil Protection National Directorate to prepare and implement the Ebola National Contingency Plan. UNICEF continues to support the provincial and central Government in Dundo, Lunda Norte province, and is working closely with UNHCR, implementing partners