NIGERIA COUNTRY OFFICE SITUATION REPORT Sitrep no. 12, June UNICEF/UN056317/Gilbertson VII Photo HUMANITARIAN SITREP No. 12.

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1 Nigeria UNICEF/UN056317/Gilbertson VII Photo HUMANITARIAN SITREP No. 12 Highlights The IOM DTM Round XVII (June 2017) estimates that a total of 1.69 million people are still internally displaced across the three north eastern states of Adamawa, Borno and Yobe, of which 85 per cent are in Borno alone. Between January 2015 and 15 June 2017, the number of Nigerian returnees registered by the Nigeria Immigration Service (NIS) with UNHCR support reached nearly 360,000 individuals. In 2017, a total of 2.14 million consultations have taken place in the primary health centers facilities in camps and host communities, of which 72,328 were reached during this reporting period. A total of 57,467 children under 5 suffering from severe acute malnutrition were admitted into treatment, including 3,297 reached during the reporting period. A total of 62,279 children received psychosocial support through Child friendly spaces and child clubs, including 14,920 during the reporting period. So far in 2017, 425,021 children accessed safe learning through temporary facilities and schools, of which 3,307 were reached during the second half of June. UNICEF and Partners Response June million Projected number of people in need of humanitarian assistance in the north east states of Borno, Adamawa and Yobe for 2017 (Humanitarian Response Plan, 2017) 1.69 million IDPs in Borno, Adamawa and Yobe states, over 56 per cent are children (DTM Round XVII, June 2017) 4.4 million Children in need of humanitarian assistance (HAC 2017) UNICEF Appeal 2017 US$ million *Humanitarian Action for Children (HAC), does not include inaccessible areas of Borno UNICEF 2017 FUNDS AVAILABLE # of conflict affected people provided with access to safe water per agreed standard # Children <5 with SAM admitted to therapeutic feeding programmes # of conflict affected people reached with emergency primary health care (PHC) services # of conflict affected children reached with psychosocial support (PSS) # of conflict affected children accessing education in a protective and safe learning environment UNICEF Target Cumulative Target Cumulative 1,028, ,104 1,977, , ,190 57, ,557 84,409 3,919,357 2,136, ,000 62, , ,959 1,260, ,021 1,600, ,853 Funding gap: US$ 75 million 2016 Carry forward: US$ 31.5 million Funds received: US$ 40.4 million 1

2 Situation Overview & Humanitarian Needs The IOM DTM Round XVII (June 2017) estimates that a total of 1.69 million people are still internally displaced across the three north eastern states of Adamawa, Borno and Yobe, of which 85 per cent are in Borno alone. This represents a decrease of just over 60,000 IDPs as compared to the previous IOM DTM Round XVI (May 2017). Among all the LGAs in Borno, Maiduguri Metropolitan Council (MMC) continued to host the highest number of IDPs. MMC reported 345,759 IDPs, a reduction of 39,205 (10 per cent) since the previous round (384,964). The key driver for this decrease was the movement of people to other LGAs including Dikwa, Gwoza, Kukawa, Monguno and Ngala. The LGA with the second largest IDP population was Jere LGA with 273,399 IDPs, down by 32,978 (or 11 per cent) from 306,377 in the previous round on account of people moving to Gwoza, Kala Balge, Mafa and Ngala. The LGA with the third highest number of IDPs in Borno was Monguno with 123,277 people, a marginal increase of less than half a per cent from 122,809 in Round XVI. Refugee returns from Cameroon to North East Nigeria continue and between January 2015 and 15 June 2017, the number of Nigerian returnees registered by the Nigeria Immigration Service (NIS) with UNHCR support reached nearly 360,000 individuals. As of 12 June, UNHCR has registered 19,257 refugee returnees in Banki since the beginning of the year, increasing the population of Banki to around 45,000 people. A group of 887 persons from Kolofata, Cameroon, returned to Nigeria through the border town of Banki on 27 June with 300 being moved to Bama IDP camp. In addition, 818 refugee returnees arrived in Banki and were transferred the following day to Pulka IDP camp, their LGA of origin. The priority needs for the refugee returnees are shelter, health and nutrition services, provision of food and safe water. On 18 June 2017, the Nigerian Ministry of Health notified WHO of an outbreak of hepatitis E located in the north-east region of the country and as of 23 June 2017, there are 146 confirmed and suspected cases of hepatitis reported in Ngala, Mobbar, Monguno and Gwoza (125 suspected cases and 21 confirmed cases). The ongoing humanitarian crisis and insecurity, high numbers of Internally Displaced Persons (IDP) and refugee returnees as well as poor access to safe water have contributed to the spread of disease. The number of hepatitis E cases is highest in Ngala with 29 cases reported to date. Twenty-seven samples were shipped to the virology laboratory in Lagos for further diagnosis. Among the samples collected and tested, 21 tested positive (10 in Ngala, seven in Mobbar, four in Monguno) and six tested negative. Twentythree samples have been collected and are pending laboratory tests. Two cases screened in Ngala IDP camp for Hepatitis E have been tested positive for Yellow Fever using reverse transcriptase polymerase chain reaction testing kits. More samples were collected from one of the positive cases to be sent to Institut Pasteur in Dakar for further confirmation. During the period of reporting, heavy rain has damaged temporary learning spaces (TLS) set up in Borno. In Ngala, 13 TLS were badly damaged preventing 900 children (400 girls, 500 boys) from accessing education and a further 28 TLS were damaged across four IDP camps in MMC, Jere and Yobe state affecting 1,400 students. Humanitarian leadership and coordination UNICEF co-leads with the Government the WASH, nutrition and education sectors as well as the child protection subsector; it is also an active member of the health sector. Regular information sharing takes place with the Emergency Operations Centre (EOC) in Abuja and in Maiduguri, alongside other UN agencies and line ministries. UNICEF continues to strengthen coordination, increase operational capacity at the field level, expand NGO partnerships, engage community-level social mobilizers and strengthen existing UNICEF programming systems to reach the most vulnerable. Humanitarian strategy In 2017, UNICEF is scaling up delivery of an integrated package of humanitarian interventions to affected populations in Borno, Yobe and Adamawa states, through a combination of static and mobile responses in IDP camps, host communities and newly liberated areas. This work is being done in coordination with the Government, other United Nations agencies, and non-governmental organizations (NGOs). The package includes nutrition services such as SAM treatment, promotion of infant and young child feeding (IYCF) and provision of micronutrient supplementation through community outreach, support to health facilities of immunization and maternal, new-born and child health week campaigns, while also improving primary health care service outreach and in WASH, rehabilitation and construction of safe water access points and sanitation facilities along with hygiene promotion, including in health facilities, schools and child-friendly spaces. Child protection activities include psychosocial support for children (including in safe spaces and schools), services for unaccompanied and separated children and reintegration support for children and women associated with Boko Haram and education activities include establishment of temporary learning spaces, additional classrooms, support to teachers, and distribution of learning materials for students. UNICEF is also scaling up and improving the outreach and quality of response by encouraging partners to move towards mobile outreach interventions integrating health and nutrition responses to increase coverage. UNICEF is diversifying and strengthening its partnerships to increasingly work with reliable NGO partners to target both IDPs in host 2

3 communities (including the host community populations) and IDPs living in newly accessible areas. Additional investment is being made in supporting NGO programme costs and strengthening their operational capacity to scale up and improve quality and timeliness of the response. Summary analysis of programme response Health: A total of 72,328 consultations were made in UNICEF supported health facilities providing integrated primary health care (PHC) services in both camps and host communities in Adamawa, Borno and Yobe during this reporting period. A total of 35,428 curative medical consultations took place, with malaria being the most common condition treated (malaria 8,228, acute respiratory infection 5,695, acute watery diarrhoea 5,541, measles 19 and other medical conditions 15,944). Preventive health care actions enabled 36,093 children and pregnant women to be immunized with various antigens (including measles vaccination for 1,893 children aged 6 months - 15 years), the provision of vitamin A supplementation to 4,442 children and deworming tablets provided to 5,214 children. A total of 2,749 pregnant women were reached with ante-natal care (ANC), 388 safe deliveries were carried out and post-natal care provided to 413 women during this reporting period. UNICEF supported the distribution of insecticide treated mosquito nets (LLIN) to a total of 20,274 families in Borno and Yobe states (2 nets per family). UNICEF provided 301 Nigeria Health Kits which were distributed to health facilities in IDP camps and host communities across Borno (254 Kits) and Yobe (47 Kits) states. In addition, UNICEF supplied 70 kits containing emergency drugs to Adamawa state, which were distributed to all 4 IDP camps, 48 Primary Health Centres, 10 secondary health facilities, and health facilities in 3 returnees LGAs namely Madagali, Michika and Gombi. Another 12 kits were prepositioned in the state drug store as buffer stock. Each health kit serves 500 people for a 3 months period. Nutrition: So far in 2017 a total of 57,467 children aged 6 59 months suffering from severe acute malnutrition (SAM) have been admitted into the outpatient therapeutic program (OTP) across Borno, Yobe and Adamawa including 3,297 admitted during this reporting period. Overall, the community management of acute malnutrition program in the three north east states the performance indicators are within the Sphere standards (82.6 percent cure rate, 0.9 percent death rate and 10.8 percent defaulter rate). In Ngala IDP camp, UNICEF supported community-based active case finding screened a total of 705 children 6 59 months and 28 cases of SAM (4 per cent) were identified and referred to the UNICEF supported treatment facilities. In other newly accessible areas (Mobbar, Pulka, Gwoza, Dikwa and Ngala) a total of 5,095 children were screened, of which 291 SAM cases (6 per cent) were admitted into UNICEF supported treatment facilities. In order to strengthen the in-patient care component of the SAM treatment programme, UNICEF supported the Borno State Hospital Management Board to renovate and open two new stabilization centres in Bayo and Kwaya Kusar LGAs. These two facilities are expected to reach 1,620 SAM cases with medical complications in Southern Borno. During the reporting period, a total of 6,407 cartons of ready to use therapeutic food (RUTF) were distributed in 17 LGAs of Yobe state for the management of 7,450 malnourished children. A total of 338,784 children 6-23 months received multiple micronutrient powder since the beginning of 2017 including 136,613 reached within the reporting period. Blanket supplementary food was provided to 3,675 out of the targeted 7,679 pregnant and lactating women in two newly accessible LGAs, Dikwa and Kala/Balge. WASH: During the reporting period, 29,644 people were reached with access to safe water across Borno, Yobe and Adamawa. In Borno 21,600 people gained access to safe water through the construction of 20 hand pump boreholes, rehabilitation of one solar and six hand pump boreholes in Jere, Bama and Dikwa LGAs respectively. Another 4,000 people accessed safe water in Yobe through the construction of eight hand pump boreholes in Geidam LGA. One high yielding solar pump borehole and two hand pump boreholes were rehabilitated in Danse, Furore and Yola South LGAs of Adamawa State to provide access to safe water for 4,044 people. UNICEF continues to support Oxfam to trucking of 38m3 of safe water in Pulka on a daily basis to reach 4,638 IDPs with safe water. UNICEF supported RUWASA to construct 100 emergency latrines in Chibok, 30 latrines in IDP camps and host communities in Dikwa and 52 in host communities in Jere LGA providing access to latrines to 11,150 people. In addition, the rehabilitation of 8 ventilated improved pit (VIP) latrines in 2 CMAM centres in Mashamari in Jere, Borno provided access to sanitation facilities to 300 caregivers of children with SAM. UNICEF WASH team distributed WASH dignity kits to 11,238 people in 3 LGAS Jere in Borno, Fufore and Gombi in Adamawa state. These non-food item kits contain 10L water containers, 14l buckets, soaps, aquatabs, cups, kettles, torch, child potty, multipurpose cloths, and sanitary pads. 3

4 To respond to the Hepatitis E outbreak in Ngala a 5 day sensitization campaign was carried out. House-to-house health education/environmental and hygiene promotion activities to prevent Hepatitis E and cholera took place reaching 69,317 people. Community mobilization and sensitization of Bulamas (who sell water) and the distribution of 100,000 Aqua-tabs through VCM s who also raised awareness on water quality and the safe use of Aqua-tabs. Six hundred pregnant women benefitted from the distribution of 600 Immediate WASH Response and Dignity kits. UNICEF is supporting Oxfam to assess the water sources in Damasak/Mobbar and Ngala LGAs using rapid water testing kits to ensure the water is safe. Child Protection: In the first half of 2017, UNICEF and implementing partners have reached a cumulative number of 62,279 children (32,940 girls; 29,339 boys) with basic psychosocial support services through a network of 12,200 trained community volunteers operating 174 child friendly spaces and after-school children s clubs in the three states of Borno (89), Yobe (56) and Adamawa (29). Of this number, 14,920 children (8,411 girls and 6,509 boys) were reached during the reporting period in Borno (12,600 children 7,184 boys; 5,416 girls), Yobe (1,940 children 1,031 boys; 909 girls) and in Adamawa state (380 children 196 boys; 184 girls). In order to further scale up the PSS response and to strengthen community based child protection and psychosocial support to children, a mapping of community based organizations CBOs/associations was undertaken in southern Borno. In Hawul LGA, 20 CBOs were identified in collaboration with the Borno State Ministry of Women Affairs and Social Development and a total of 95 members (82 males; 13 females) received an orientation session covering the role of the community in promoting a protective environment for children including on identification, reporting and referral of children with protection concerns. UNICEF and implementing partners (Borno MWASD, WINN, EYN and International Alert) have reached a total of 3,391 children associated with armed groups and women and girl survivors of conflict-related sexual violence with communitysocial cohesion and livelihood support between January and June In Borno, between 15 May and 27 June, UNICEF in partnership with International Alert, provided social reintegration services through supportive sessions and workshops to 1,826 survivors of Boko Haram conflict-related sexual violence (908 girls below 18 years and 918 women between 18 and 25 years old). The supportive sessions were aimed at reducing vulnerabilities, stigma and rejection that women, girls and their children born of sexual violence continue to face in their own communities. In order to support these sessions, 631 community leaders (313 men and 318 women) have been trained on reconciliation and dialogue facilitation techniques. The trained community leaders have so far conducted two dialogue sessions reaching 1,137 beneficiaries (90 family members of survivors) and 1,047 other community members in three IDP camps and four host communities within Maiduguri metropolis1. UNICEF s partner WINN oriented 73 children (42 girls and 31 boys) and 350 adults (207 women and 143 men) on understanding and contextualizing vulnerability to inform identification of the children most in need of assistance, and mobilizing peers and community members on acceptance of and support to children and women recused from Boko Haram. By 30 June, UNICEF and implementing partners had reached 7,399 unaccompanied and separated children with case management services including identification and documentation, family tracing and reunification and alternative care support. During this reporting period, 45 children (19 boys and 26 girls) where supported in Borno and Yobe states including 4 separated children (1 girl, 3 boys) and 12 unaccompanied minors (1 girl, 11 boys) who were reunified with their family members. Education: UNICEF in partnership with SUBEB are repairing 21 TLS damaged during the storms with an improved design made of more robust materials in 4 IDP camp schools in MMC and Jere which will enable 1,050 children to resume learning in single shift and up to 2,100 in double shift in Borno State. During the reporting period, 3,307 children (1,897 girls and 1,410 boys) have been newly enrolled through the reopening of 3 schools in Damasak town, Mobbar LGA. In Adamawa State, 2 tents were provided to Waja Girls School for pre-primary classes reaching 80 young children. In addition, 40 school-in-a-box were provided to 40 schools reaching 1,600 girls and 14 recreational kits were provided reaching 700 girls. In order to improve the quality of learning in a child-friendly environment, 40 Head Teachers (5 women and 35 men) were trained on leadership for school transformation in Borno State by UNICEF in collaboration with SUBEB and Kashim College of Education in Maiduguri. In preparation of the 2017 enrolment drive campaign, UNICEF conducted advocacy and sensitisation visits to SUBEB, SMOE and Yobe State House of Assembly on the importance of their active participation and contribution to the campaign. 1 dialogue sessions were held in Dalori 1 Camp, NYSC Camp, Bakassi Camp, EYN Camp, Wulari Host Community, Mairi Host Community, Malakyariri Host Community, and Bulumkutu old Airport Host Community 4

5 Communication for Development (C4D): A total of 733 new-borns in 16 LGAs were tracked by Volunteer Community Mobilizers (VCMs) in their various settlements, all of them were referred to health facilities for Oral Polio Vaccination zero dose and routine immunization. In addition, 2,624 children under 5 were given OPV doses with the support of VCMs at naming ceremonies in Borno. Community mobilization was conducted to increase the uptake of Routine Immunization and integrated Primary Health Care services in Maiduguri Municipal Council and Jere LGAs. Funding In 2017, UNICEF is requesting US$ million to reach more than four million people, including 2.1 million children. Funds available amount to US$ 71.9 million including US$ 31.5 million carry-over funds from 2016, representing a 51 per cent funding gap. Health, Child Protection, and WASH are critically underfunded, respectively with 79 per cent, 76 per cent and 57 per cent funding gaps. This shortage in funding is hindering UNICEF s ability to deliver an integrated package of WASH and Health services for the survival and development of vulnerable children. Funding Requirements (as defined in the 2017 Humanitarian Action for Children (HAC) Funding gap Appeal Requirements Funds available* USD % WASH 19,137,663 8,238,207 10,899,456 57% Education 31,435,344 17,174,465 14,260,879 45% Health 25,007,231 5,255,932 19,751,299 79% Nutrition 40,217,105 31,529,153 8,687,952 22% Child Protection 27,230,558 6,441,362 20,789,196 76% EPR 3,840,000 3,221, ,698 16% Total 146,867,901 71,860,421 75,007,480 51% *Funds available includes funding received against current appeal as well as carry-forward from the previous year. Who to contact for further information: Mohamed Malick Fall Representative UNICEF Nigeria Tel: mmfall@unicef.org Pernille Ironside Deputy Representative UNICEF Nigeria Tel: pironside@unicef.org Dominic Stolarow Emergency Manager UNICEF Nigeria Tel: dstolarow@unicef.org 5

6 Annex A: Summary Analysis of Programme Response against 2017 HAC targets Response UNICEF and IPs NUTRITION Number of children 6-59 months with Severe Acute Malnutrition admitted to therapeutic care for specified period of time Proportion of children 6-59 months with severe acute malnutrition recovered Number of caregivers of children 0-23 months with access to IYCF counselling for appropriate feeding Number of children 6-23 months in the affected areas receiving multiple micronutrient powder target total Change since last report UNICEF 2017 target UNICEF total Change since last report 314,557 84,409 3, ,190 57,467 3,297 >75% 83.4% +0.1% >75% 82.6% -0.1% 731, ,167 31, ,932 30, , , , , , ,613 HEALTH Number of children 6 months - 15 years vaccinated against measles 1,763,711 4,157,709 1,893 Number of people reached with emergency primary health care services 2 Number of families reached with LLITNs WATER, SANITATION AND HYGIENE Number of people provided with access to safe water per agreed standards Number of people with access to improved sanitation facilities Number of people reached through hygiene promotion Campaigns/ received WASH hygiene kits CHILD PROTECTION Number of children reached with psychosocial support (including through CFS and child clubs) Number of children and women associated with armed groups/victims of SGBV 3 supported with reintegration services Number of unaccompanied and separated children supported (case managed, including those supported in alternative care arrangements) Number of children reached with Mine Risk Education EDUCATION 3,919,357 2,136,590 72, ,226 55,861 20,274 1,977, ,541 60,993 1,028, ,104 29, , , , , ,039 11,150 1,114, ,611 11,238 1,028, ,839 11, , ,959 23, ,000 62,279 14,920 5,500 3,503 2,146 5,500 3,391 2,146 12,000 4, ,200 2, ,000 60, , Number of school-aged children including adolescents reached by schools/temporary facilities in 1,600, ,853 4,789 1,260, ,021 3,307 safe learning environment Number of school-aged children reached with learning materials 1,600,000 91,806 2,380 1,260,000 91,806 2,380 2 This indicator reflects the number of consultations made 3 Including victims of forced marriage and sexual violence and children born out of sexual violence. 6