Cameroon Humanitarian Situation Report

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1 Cameroon Humanitarian Situation Report SITUATION IN NUMBERS Highlights The relocation of IDPs and the returnees who fled the captivity of Boko Haram, as well as the forced return of IDPs to their villages of origin, presents an alarming trend from a human rights perspective. UNICEF is working closely with the humanitarian community to ensure that the rights of these people and children are protected. In Logone and Chari department (Far North region) where the highest number of school closure was recorded for the school year 2016/ due to insecurity, 28 schools reopened enrolling over 5,827 children for the new school year. These schools lack resources and are in great need of teachers, classrooms, school materials and water point/latrines. Since July, approximately 7,000 Central Africans have crossed into Cameroon, fleeing the increased violence in their homeland. UNICEF is providing basic emergency assistance to these populations, despite funding shortages. UNICEF s Response with Partners Indicator WASH: Number of affected people with a sustainable access to drinking water, to address their vulnerabilities EDUCATION: Number of children aged 3-17 years accessing quality formal or non-formal basic education NUTRITION: Number of children aged 6 to 59 months with severe acute malnutrition (SAM) admitted for treatment Sector * UNICEF * 241, ,755 55,000 38, , , , ,494 56,627 47,062 58,640 42,098 October 1,800,000 # of children in need of humanitarian assistance 2,900,000 # of people in need (Cameroon Humanitarian Needs Overview ) Displacement 237,967 Internally Displaced Persons (IDPs) (DTM 10, Aug ) 61,090 Returnees (DTM 10, Aug ) 88,516 Nigerian Refugees in rural areas (UNHCR, Cameroon Factsheet, Oct ) 224,859 CAR Refugees in the East, Adamawa and North regions in rural areas (UNHCR, Cameroon Factsheet, Oct ) UNICEF Appeal US$ 23.7 million Funding status * Funding Gap: US$ 13.9M Requirement 23.7M 2016 Carry forward: US $2.9 M Funds received: US$ 7.6M CHILD PROTECTION: Number of children reached with psychosocial support through child-friendly spaces * results are cumulative 229, , ,800 70,549 *Funds available includes funding received for the current appeal year as well as the carry-forward from the previous year.

2 Situation Overview & Humanitarian Needs Impact of the Lake Chad Basin Crisis: The Displacement Tracking Matrix 10 (IOM, August ) showed that there are 237,967 IDPs, a slight increase compared to the 235,913 in DTM 9 (June/July ). It also showed that there are 29,728 unregistered refugees who are out of Minawao camp, compared to the 30,278, and 61,090 returnees compared to 59,398. The majority of these affected population groups remains located in Makary, Fotokol and Kousseri in Logone and Chari department. A multi-sectoral rapid needs assessment was conducted by UNICEF in Waza in Logone and Chari department on 4 October. An assessment and a response plan are being finalised. Health and WASH were identified as their priority needs. Despite the ongoing assistance to IDPs in Kolofata, Mayo Sava department, the government has decided to relocate some 12,500 IDPs to a new site with very limited access to services. The 2,500 IDPs who have already been relocated to this site are in need of water. UNICEF is engaging with the regional delegation to identify short and medium term solutions that are sustainable. A similar alarming trend is also observed for the returnees including 245 children who fled the captivity of Boko Haram in Mozogo where the authorities decided to relocate them to an existing IDP site in Zamai, Mayo Tsanaga department. UNICEF will work closely with other humanitarian partners to ensure that the human rights of these people are respected and will adapt its response to the new context. Based on the assessment conducted in late July and the response plan developed, UNICEF continues to assist the IDPs in Fotokol, Logone and Chari department in Child Protection, Health, WASH and Nutrition. Impact of the CAR crisis: According to UNHCR, 1,057 (229 households) new asylum seekers entered Gbatoua Godole, Adamaoua region, but have not yet been registered by UNHCR. These asylum seekers fled from attacks by the armed group called 3R (Retour, Réclamation, Réhabilitation) in Central African Republic (CAR) sometime between July and early October. In addition, on 20 October, 47 new refugees arrived in Gbiti, East region, including 21 children (with 19 separated children) and 25 women, among them an unspecified number of pregnant women. These refugees fled from Maina village about 15 km away from Gbiti in anticipation of an announced conflict in the area, and have been pre-registered by UNHCR. Estimated Population in Need of Humanitarian Assistance Cameroon Humanitarian Needs Overview *SMART & UNHCR Standardised Expanded Nutrition Survey (SENS) 2016 Start of humanitarian response: November 2013 Male Female Population in Need 2,900,000 1,400,000 1,500,000 Children (Under 18) 1,822, , ,000 Children Under Five* 493, , ,000 Children 6 to 23 months* 203,000 98, ,000 Pregnant and lactating women* 261, ,000 Humanitarian Leadership and Coordination At the national level, emergency coordination is led by the Humanitarian/Resident Coordinator (HC/RC) and supported by OCHA. Under the leadership of OCHA, the humanitarian needs are quantified and humanitarian strategic response plans developed and coordinated. At the sectoral level, UNICEF and the Government are co-leading the nutrition, WASH and education sectors, as well as the sub-sectoral group for child protection. At the field level, UNHCR leads inter-sector coordination, which addresses particularly challenges and gaps both for refugees, IDPs and host communities in the Far North. This extends into the coordination of the humanitarian response to the Central African Republic refugee crisis in the regions of the East and Adamawa. UNHCR organizes bimonthly meetings with other humanitarian actors, to consolidate data and harmonize interventions. Humanitarian Strategy

3 In, UNICEF will focus on strengthening the resilience of Cameroonian communities, while addressing both the humanitarian and development needs of the affected regions. By working with all strata of society, in partnership with communities as well as local government, UNICEF will implement programs that address prevailing needs, while being responsive to any changes in context. UNICEF will build strategic partnerships with local NGOs who are able to reach populations that might otherwise be unreachable. This approach the nexus between humanitarian and development programming includes early warning indicators. An underlying criterion is an integrated approach, which will ensure that communities, particularly IDPs and unregistered refugees, receive a package that addresses all their basic needs. Children will have their educational needs met, receive psychosocial support to cope with their traumas and displacement, and have their primary health needs met. UNICEF is making a transition year, moving towards this comprehensive shift in program approach. As such, UNICEF will move towards reaching more communities in isolated areas. It will shift towards building the skills of national and sub-national partners, both government and civil society. Finally, UNICEF intends to explore innovative approaches to increase community involvement in programs, reach and accountability. Summary Analysis of Programme Response Lake Chad Basin Crisis Nutrition The preliminary results of the SMART nutritional survey showed 1.1% of SAM (Severe Acute Malnutrition) and 40.9% of stunting during the data collection for Far Nord region. The SAM rate showed some decline compared to last year, whereas the stunting rate remained about the same. The survey covered only host communities. Stunting and SAM are the main problem in this region with their prevalence above the emergency and alert threshold respectively. Prevention against undernutrition is likely the most important approach to combat stunting. WASH During the ing period, the construction of gender sensitive latrines equipped with hand washing material was completed in 4 schools (2 blocks per school) of Kousseri commune in Logone and Chari department. As a result, access to basic sanitation has been improved for 2,139 students including 133 IDP children. The construction of 36 latrines is ongoing in 7 schools and 8 health centers of Logone and Chari and Mayo Danyo departments. In partnership with the NGOs ACDC, AAEDC and FBM, the implementation of Community Led Sanitation (CLTS) activities is ongoing in 252 communities hosting 16,521 IDPs in Fotokol, Waza, Kousseri, and Makary communes in Logone and Chari department, and Koza commune in Mayo Tsanaga department. In addition, in partnership with an NGO ACDC, 1,829 WASH kits were distributed in Fotokol and Waza communes. A total of 1,829 IDP households (about 10,953 individuals) benefited from soaps, buckets with lids, goblets, kettles, and children s pots made available by UNICEF. During the national emergency WASH sectorial coordination meeting, the low progress of the WASH response to malnutrition was raised, which resulted in the agreement to conduct field visits in some health districts to better understand the problem, including the verification of data. Education So far there has been no security incidents related to schools and students ed during the month; however, a significant concern remains for schools that are still occupied by the military forces in Fotokol and Makary in Logone and Chari department, where in some instances military officers are teaching in schools. UNICEF is working with the regional delegation to collect accurate information in this regard. During the month, 2 FM radio stations, one in Mokolo, Mayo Tsanaga department and another in Kousséri, Logone and Chari department continued to broadcast lessons and protection messages to the targeted out-of-school children in these areas. The children in Mora continued to listen to pre-recorded lessons distributed on USB keys along with radio sets. A total of 66 radio listenership groups have been formed in Mayo Tsanaga, Mayo Sava and Logone and Chari departments. Details on the numbers of children in these groups will be provided in November. A Radio Listenership Survey (RLS) was also conducted in Maroua and Mokolo with the support of the UNICEF Regional Office and the NGO partner, Children Radio Foundation (CRF). The of the survey will be made available as soon as it is finalized. UNICEF provided support to the regional education delegation team for the training of 534 (72 female and 462 male) teachers in psycho-social support, Disaster Risk Reduction and Mine Risk Education in two of the three targeted departments (Mayo Sava and Logone and Chari). 88 of the teachers (12 females and 76 men) were from Kolofata, while the remaining 446 (60 women and 386 men) were from Blangoua, Darak, Logone Birni, Goulfeye, Fotokol and Hile Alifa.

4 The number of children attending schools with teachers trained in these activities will be ed as soon as the data becomes available from the regional delegation. To ensure teachers presence in schools, UNICEF and partners are working with the monitoring and supervision entities of the regional delegation and alert the entities in case of absenteeism. In Logone and Chari department, 15 out of the 43 schools that were shut down remained closed as of end October. The 28 schools that reopened in this department have enrolled over 5,827 children (2,363 girls and 3,464 boys). Some of the gaps identified in these schools include 89 teachers, 4,080 school benches, 94 classrooms, 5,950 readings books, 24 water points and 48 latrines. UNICEF is working closely with its partners to ensure they meet some of these needs in the short term, while continuing to mobilize resources through the 2018 HRP for a medium to long term response. On the other hand in Kolofata, Mayo Sava department, only one school out of a planned 44 reopened due to security reasons. Overall number of reopened schools in Far North region is 32, while 92 schools remain closed. Child Protection A total 221 separated children (97 girls and 124 boys) and 40 unaccompanied children (15 girls and 25 boys) were identified and benefitted from individual follow-up in Minawao camp and host communities in Logone and Chari, Mayo Sava and Mayo Tsanaga departments. All the 40 unaccompanied children, of whom 30 are IDP and 10 are refugee children, were placed in temporary foster families and referred to other services as needed, such as health care, education, and psychological support. Of these, 24 children (13 boys and 11 girls) were reunified with their families in Mayo Tsanaga, Mayo Sava and Logone and Chari departments. 6,537 (2,855 girls and 3,682 boys) newly registered children benefited from psychosocial support in community based child friendly spaces in the Logone and Chari, Mayo Sava, and Mayo Tsanaga departments. Given the possibility of relocation announced by the authorities for the 245 children (125 girls and 120 boys) who are the returnees who fled the captivity of Boko Haram, UNICEF will closely monitor the situation to protect the right of these children and will continue to provide support with respect to their protection needs. UNICEF continues to support children who are arrested under the suspicion of association with Boko Haram. 6 children (3 girls and 3 boys) aged between 5 and 14 held under the custody for questioning by the military police of Mozogo were reunited with their parents in the Moskota village following the successful advocacy by UNICEF and an NGO ALDEPA. These children received psychosocial support and individual counselling. CAR Refugee Crisis Nutrition The preliminary results of the SMART nutritional survey showed no case of SAM during the data collection for the East region. The hypothesis is that the cases are concentrated into small pockets of undernutrition and therefore not captured in the data collection conducted by random selection. For Adamawa region, the SAM rate decreased compared to last year. The survey covered only host communities. Stunting is the main problem in this region with its prevalence above the alert threshold of 30%. WASH In partnership with a local NGO AIDER, the rehabilitation of 20 boreholes is ongoing in 20 communities of Mandjou, Ngoura and Garoua Boulai communes of the Lom and Djerem department. This rehabilitation will improve access to drinking water for around 10,000 people, including refugees and inhabitants of host communities. Education 11,058 CAR refugee children (6,337 boys and 4,721 girls) were enrolled in the 112 temporary learning spaces (TLS). 7,952 (4,486 boys and 3,466 girls) of these children in the TLS had received teaching and learning materials at the time of ing. 1,550 children have been enrolled in 20 community pre-school centres, following their creation in Ngoura and Ngaoui communes. 3,859 (2,399 boys and 1,460 girls) host communities children also enrolled in school during the ing period. 3,859 children (1,460 girls and 2,399 boys) also enrolled in host communities primary schools during the ing period. Thus, a total of 16,467 children (6,911 girls and 9,556 boys) accessed education during the month of October. Child Protection In partnership with an NGO CRS, 19 unaccompanied children (6 girls and 13 boys) were identified in Garoua Boulai commune and benefitted from individual follow-up and psychosocial support. 147 adolescents (67 boys and 80 girls) received psychosocial support in the adolescent clubs in Mandju, which are facilitated by social workers. 65 members of the child protection community-based groups received training in 14 villages in Garoua Boulai on their role as child protection actors in their community, including on the identification and referral procedures for vulnerable children.

5 A new partnership was signed with an NGO LWF to provide support to children affected by the conflict in 10 villages in Ngaoui and Betare Oya communes. This project will strengthen the provision of psychosocial support for 5,000 children, improve the quality of care for unaccompanied and separated children, and structure and strengthen the community protection system and the self-protection capacity of adolescents through teen clubs. Media and External Communication Two National Goodwill Ambassador visits took place this month, with Emmanuel Chatue (Executive Director of TV+) in the East to meet refugees and host communities affected by the CAR crisis, and another with Samuel Eto o in Littoral region to promote child vaccination. Security The ing period witnessed similar levels of trends and patterns of threats including, but not limited to, body born improvised explosive devices with female suicide bombers where three incidents were recorded. Daily activities of incursions and mobilizations were ed predominantly in the departments of Mayo Sava, Logone and Chari and some areas of Mayo Tsanaga. Noteworthy is the incident that took place in the proximity of Bonderi village of Waza commune where seemingly a suicide attack was attempted in conjunction with another attack against elements of the Multinational Joint Taskforce. Cameroonian security forces also arrested several individuals allegedly affiliated with Boko Haram. In the North region, the security situation in the border zone with CAR is dominated by the resurgence of organized crime, particularly in Touboro, where cases of kidnappings and armed robberies where refugees have been the victims were ed. In Adamaoua region, a temporary lift of the escort on the Meiganga-Djohong-Yamba, Djohong-Ngaoui and Djohong- Batoua-Godele axes was decided by the SMT on recommendation of the ASMT after a Security Risk Assessment (SRA) realized in September. Funding UNICEF expresses its gratitude to the Government of Japan, France, United States, Norway and Sweden, as well as to ECHO, CERF and the Spanish National Committee who have contributed generously to the humanitarian response in. Further adequate, predictable and flexible resources will allow UNICEF and its partners to respond effectively where needs are greatest and reach the most disadvantaged children in Cameroon. Funding Requirements (as defined in the Humanitarian Action for Children (HAC)) Funds available* Funding gap Appeal Sector Requirements Funds Received Current Year Carry-Over $ % Nutrition 5,274,400 1,146, ,451 3,575,590 68% Health / HIV 1,231,700 1,876,619** 138, % WASH 6,359,613 1,578, ,411 4,617,232 73% Child Protection 3,663, , ,837 2,230,019 61% Education 5,973,720 1,947,995 1,018,556 3,007,168 50% Emergency Preparedness and Response 1,200, , , ,391 46% 23,703,305 7,636,729 2,867,777 13,982,400 59% *Funds available includes funding received against the current appeal year as well as the carry-forward from the previous year. **Health sector: $1,572,000 of the total funds received is for the polio vaccination which is not part of the original HAC targets. Next SitRep: 15/12/ UNICEF Cameroon Facebook: UNICEF Cameroon Humanitarian Action for Children Appeal: Who to contact for further information: Felicite Tchibindat Representative Yaoundé, Cameroon, Tel: Mobile Fax: ftchibindat@unicef.org Zakari Adam Deputy Representative Yaoundé, Cameroon Tel: Mobile Fax: zadam@unicef.org Sara Karimbhoy Chief Field Operations & Emergencies Yaoundé, Cameroon Tel: Mobile Fax: skarimbhoy@unicef.org

6 Annex A SUMMARY OF PROGRAMME RESULTS National Response Overview (Lake Chad Basis Crisis & CAR Refugee Crisis) National WATER, SANITATION & HYGIENE Number of affected people with a sustainable access to drinking water, to address their vulnerabilities Number of affected people with an access to adequate sanitation to meet their vulnerabilities Number of children admitted for SAM treatment having received a WASH minimum package of activities EDUCATION accessing quality formal or non-formal basic education benefitting from learning materials Number of primary and secondary schoolaged children attending school in a classroom with a teacher trained in PSS NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment Performance of integrated program for severe acute malnutrition treatment CHILD PROTECTION Number of children reached with psychosocial support through childfriendly spaces Number of unaccompanied and separated children who are placed in alternative care and/or who benefitted from individual follow-up Number of unaccompaned children reuinified with their families Number of children associated with armed groups receiving support for reintegration HEALTH Overall Needs Sector Response UNICEF and IPs 531, , , ,000 38, , ,000 89,295 11, ,000 80,215 6,480 51,000 40,000 18, ,000 18, , , ,764 22, , ,494 22, , , ,249 13, , ,979 13, , ,100 76, ,500 76, ,869 56,627 47,062 6,246 58,640 42,098 0 >75% >75% 79% 0 >75% 79% 0 TBD 229, ,868 13, ,800 70,549 6,684 TBD TBD 2, ,800 2, TBD TBD TBD n/a Number of children from 6 months to , years old vaccinated against measles *Although there is no progress for the Health indicator due to no emergency funding, the needs are covered by the regular program.

7 Lake Chad Basin Crisis Sector WATER, SANITATION & HYGIENE Number of affected people with a sustainable access to drinking water, to address their vulnerabilities Number of affected people with an access to adequate sanitation to meet their vulnerabilities Number of children admitted for SAM treatment having received a WASH minimum package of activities EDUCATION accessing quality formal or non-formal basic education benefitting from learning materials Number of primary and secondary school-aged children attending school in a classroom with a teacher trained in PSS NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment in Far North Number of children aged 6 to 59 months with SAM admitted for treatment in North Performance of integrated program for severe acute malnutrition treatment in Far North : cured rate Performance of integrated program for severe acute malnutrition treatment in North : cured rate CHILD PROTECTION Number of children reached with psychosocial support through childfriendly spaces Number of unaccompanied and separated children who are placed in alternative care and/or who benefitted from individual follow-up Number of unaccompaned children reuinified with their families Number of children associated with armed groups receiving support for reintegration HEALTH Overall needs Sector Response UNICEF and IPs 332, ,000 93, ,000 28, ,000 87,000 84,340 6,720 50,000 80,215 6,480 51,000 40,000 18, ,000 18, , ,532 84,054 5, ,500 83,784 5, , ,532 84,054 5,827 98,000 83,784 5, ,557 90,600 76, ,500 76, ,074 27,967 25,818 2,901 28,029 23, ,518 14,866 12,444 1,642 14,866 10,802 0 >75% >75% 80.8% 0 >75% 87.6% 0 >75% >75% 77.5% 0 >75% 80.3% 0 TBD 103, ,721 13,815 67,500 70,402 6,537 TBD 3,000 2, ,300 1, TBD 1, TBD Number of children from 6 months to 15 years old vaccinated against measles 317, *Although there is no progress for the Health indicator due to no emergency funding, the needs are covered by the regular program.

8 CAR Refugee Crisis Sector WATER, SANITATION & HYGIENE Number of affected people with a sustainable access to drinking water, to address their vulnerabilities Number of affected people with an access to adequate sanitation to meet their vulnerabilities EDUCATION accessing quality formal or nonformal basic education benefitting from learning materials Number of primary and secondary school-aged children attending school in a classroom with a teacher trained in PSS NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment in East and Adamaoua regions Performance of integrated program for severe acute malnutrition treatment in East and Adamaoua : cured rate CHILD PROTECTION Number of children reached with psychosocial support through childfriendly spaces Number of unaccompanied and separated children who are placed in alternative care and/or who benefitted from individual follow-up Number of unaccompanied children reunified with their families Overall needs Sector Response UNICEF and IPs 199,000 84,000 21, ,000 10, ,000 84,000 4,955 4,955 50, , ,060 40,710 16, ,000 40,710 16, , ,060 32,195 7,952 92,000 32,195 7, ,443 76, , ,277 13,794 8,800 1,703 15,745 7,885 0 >75% >75% 78.6% 0 >75% 83.7% 0 TBD 125, , TBD TBD TBD TBD

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