Situation Report: Rohingya Refugee Crisis Highlights 603, , ,000 46,000 Situation Overview

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1 Situatin Reprt: Rhingya Refugee Crisis Cx s Bazar 22 Oct 2017 This reprt is prduced by ISCG in cllabratin with humanitarian partners. It cvers 12 Octber until 18 Octber, The next reprt will be issued n 29 Octber. Highlights 603,000 new arrivals are reprted as f 21 Octber, accrding t IOM Needs and Ppulatin Mnitring, UNHCR and ther field reprts frm Naikhngchhari (Bandarbhan district). Crss brder mvement f ver 14,000 newly arrived refugees has been verified in the past week. The Ministry f Disaster Management and Relief (MDMR), supprted by UNHCR, is cntinuing a family cunting exercise. As f 19 Octber, 57,661 families (247,606 individuals) were cunted. Amng thse cunted, 83% f the cunted families arrived between August and Octber Refugees are arriving frm primarily 3 lcatins (Maungdaw (76%), Buthidaung (18%) and Rathidaung (4%). The Ministry f Hme Affairs (MHA) has verseen the bimetric registratin f 245,550 Rhingya refugees in the reprting perid. This figure represents 30% f the ttal estimated ppulatin eligible fr registratin. A receptin center has been established at a rubber plantatin where ver 500 newly arrived refugees are hsted. Services available include assistance and prtectin interventins fr the mst vulnerable individuals, medical and nutritin screening, vaccinatins, water and latrines, distributin f clthing and hygiene kits. Ht meals are als served. 603,000 Cumulative arrivals since 25 Aug Situatin Overview 324,000 Arrivals in Kutupalng Expansin Site 1 233,000 Arrivals in ther settlements and camps 46,000 Arrivals in hst cmmunities Vilence in Rakhine State which began n 25 August 2017 has driven an estimated 603,000 Rhingya acrss the brder int Cx s Bazar, Bangladesh. The speed and scale f the influx has resulted in a critical humanitarian emergency. The peple wh have arrived in Bangladesh since 25 August came with very few pssessins. They have used the majrity f their savings n transprtatin and cnstructing a shelter, ften ut f n mre than bamb and thin plastic. They are nw reliant n humanitarian assistance fr fd, and ther life-saving needs. Basic services that were available prir t the influx are under severe strain due t the massive increase in peple in the area. In sme f the sites that have spntaneusly emerged, there is n access t water and sanitatin facilities, raising the risks f an utbreak f disease. The Rhingya ppulatin in Cx s Bazar is highly vulnerable, having fled cnflict and experienced severe trauma, and nw living in extremely difficult cnditins. Ppulatin mvements within Cx s Bazar remain highly fluid, with increasing cncentratin in Ukhia, where the Gvernment has allcated 3,000 acres fr a new camp. Peple have begun arriving at the new, prpsed site befre infrastructure and services can be established. Crucially there is limited access t the site and n rads thrugh this site; this is preventing the develpment f infrastructure including water and sanitatin facilities.

2 Situatin Reprt Cx s Bazar Influx 2 New Arrivals reprted by lcatin: pre-existing and ttal Rhingya Lcatin Ppulatin prir t Aug Influx Ttal Influx (individual) Ttal Ppulatin (cmbined) Makeshift Settlement / Refugee Camps Kutupalng Expansin 1 99, , ,202 Kutupalng RC 13,901 18,689 32,590 Leda MS 14,240 8,298 22,538 Nayapara RC 19,230 15,327 34,557 Shamlapur 8,433 13,933 22,366 Grand Ttal 155, , ,253 New Spntaneus Settlements Hakimpara ,652 54,792 Thangkhali ,886 27,986 Unchiprang - 30,121 30,121 Jamtli 72 31,420 31,492 Mynarghna 50 21,308 21,358 Chakmarkul - 10,500 10,500 Grand Ttal , ,249 Hst Cmmunity Cx's Bazar Sadar 12,485 1,683 14,168 Ramu 1, ,430 Teknaf 34,437 34,075 68,512 Ukhia 8,125 9,543 17,668 Grand Ttal 56,682 46, ,778 TOTAL Rhingya 212, , ,280 Methdlgy fr Ppulatin Tracking Figures are surced frm site assessment Needs and Ppulatin Mnitring, triangulated estimates based n the bservatin f key infrmants: the new arrivals have nt been verified at husehld level. These site assessments are accmpanied by a daily flw mnitring, which recrds the number f inflw and utflws at the majr displacement sites. 1 Kutupalng expansin settlement includes the estimated ppulatin residing in the existing Kutupalng and Balukhali makeshift settlements, and their surrunding expansin znes.

3 Situatin Reprt Cx s Bazar Influx 3 Humanitarian Respnse Educatin Sectr Crdinatr C-Lead Kaisa-Leena Juvnen Maheen Chwdhury edusectr.cxb@humanitarianrespnse.inf Maheen.chudhury@savethechildren.rg Sectr Target: 370,000 peple 453,000 ttal Rhingya girls and bys need educatin services. 413,000 girls and bys d nt currently have access t safe and prtective learning space. 5,671 teachers need t be recruited and trained. Cnstructin f tilets and hand washing facilities in all learning spaces in needed. Additinal space fr temprary classrms with adequate WASH facilities and play/evacuatin areas. 40,032 children receiving early learning and nnfrmal basic educatin Respnse: During this reprting perid Educatin Sectr partners established 31 new classrms in Rikhng / Unchiprang, Hakimpara, Jamtli / Thangkhali, Balukhali and Mainnerghna. T date, the ttal number f classrms that have been established include 259 classrms. There are a further 25 classrms currently under cnstructin in three settlements. Sectr partners recruited 77 new teachers, bringing the ttal number f teachers recruited t 329. During this reprting perid, 3,018 girls and bys gained access t learning spaces run by the sectr partners. Sectr partners have secured funding fr 100 temprary classrms and site selectin is nging. Gaps & Cnstraints: 413,000 girls and bys d nt currently have access t safe and prtective classrms. 198 families are currently hsted in 11 schls in registered camps. Sectr partners are reprting high teacher turnver, already recruited and trained teachers are receiving better paid psitins with ther sectrs acrss different settlements. The Educatin sectr is nly 10% funded and the current gap in funding is $23.5 millin USD. There is lw attendance in classrms due t cllectin f relief items at distributin sites. Slw apprval f FD7 frms is hampering the scale-up f educatin in emergencies (EIE) respnse. Fd Security Sectr Crdinatr Damien Jud damien.jud@wfp.rg Sectr Target: 974,000 peple All new arrivals (589,000) need emergency fd assistance. An estimated 144,305 peple (Pregnant and lactating wmen and children under 5) need supplementary feeding. Respnse: Since 25 August 566,100 ttal peple have been reached with sme frm f fd assistance. 94,373 husehlds (r 471,865 peple) received a full ratin, while 133,220 husehlds received rice nly fr rund 3 f a jint fd distributin. 128,000 peple received fd daily (ht meal and dry fd cmbined). 63,633 (13,223 PLW and 50,403 Children under 5) received supplementary feeding (r 44% f the targeted ppulatin). The next rund f jint fd distributin will start n 24 th Octber and will end n 2 nd Nvember. 566,100 ppl reached with fd assistance Gaps & Cnstraints:

4 Situatin Reprt Cx s Bazar Influx 4 During the reprting perid, there was a gap in fd assistance fr 22,900 peple. 94,235 peple did nt receive the full fd ratin as a few NGOs did nt get their FD7 permissins t perate. Authrisatin by the NGO-AB is a very lengthy prcess and it is delaying the respnse, many lcal NGOs wrking as implementing partners are verstretched. Prper listing and registratin is ad hc and is nt crdinated. A better registratin system with better identificatin (picture, bimetric) f the husehlds is required. Peple are still mving a lt, changing their lcatin in search fr better lcatin t settle dwn. The distributin sites need t be imprved: rad access, shade, sanitatin facilities, etc. The distributin shuld als be imprved with mre prters, mre vlunteers fr crwd management and better cmmunicatin with cmmunities (many peple are nt sure abut the date f the distributin and the tken system). Mre accuntability measures (cmplaint respnse mechanism, help desk, entitlements, etc.) shuld be put in place. Health Sectr Crdinatr ISCG Dhaka Dr. Edwin Salvadr Dr. Mhiuddin Khan salvadre@wh.int mhkhan@im.int Sectr Target: 1,167,000 peple 308,557 ppl prvided with health care services The ttal estimated number f peple in need f health assistance include 1,200,000 (refugees and hst ppulatin). Crwded living cnditins with lack f adequate water and sanitatin (WASH) cntinue t present risks f cmmunicable disease utbreak, ntably acute water diarrhea and bacillary dysentery. There is a high level f cntaminatin f water, bth at the water surce and even mre at husehld level, with pr husehld hygiene practices. The Wash sectr is scaling up their interventins (tube well, latrines, hygiene prmtin etc.), and is a majr pririty. Insufficient access t health care services, including: New settlements and hardest-t-reach areas are prly cvered with public health services. Imprved and cntinuus mapping f available services is needed t ensure equitable access t health care. Health care services implemented at settlement level lack standardizatin; Quality f care needs t be reinfrced. Insufficient accessibility t inpatient and secndary health facilities, including referral system. There is a need t reinfrce existing hspitals, and additinal inpatient facilities. Essential reprductive health/maternal, child and newbrn health services, especially in the hard t reach areas. Insufficient clinical management f rape survivrs, family planning and n adlescent friendly health services. The GBV wrking grup is wrking n imprved referral pathways and training f health facility staff in GBV case management is planned fr. An adlescent health assessment has been planned fr next week. Need fr scaling up and standardizatin f the cmmunity health wrkers (CHW s) netwrk, t ensure adequate health/hygiene prmtin and cntinuum f care. Mental Health and Psychscial Supprt needs are immense. N cmprehensive HIV and TB services There is a need t expand and supprt existing health partner and gvernment health facilities that are currently ver capacity. Respnse: A ttal f 308,557 persns have been reached with health care services since August 25, including 119,292 OPD cnsultatins, admissins and ther health services; 83,106 wmen and girls reached with SRH services; and 106,519 peple wh have received MHPSS. A ttal number f 135,519 children (9 mnths-15 years) received Measles/Rubella vaccines, 72,334 children (0-5 years) received pli vaccines and 72,064 children (6 mnts-5 years) received Vitamin A supplementatin. The Oral Vaccine (OCV) campaign was carried ut between Octber. 700,487 peple (1 year and abve) have been vaccinated, reaching 106% f the ttal estimated target ppulatin. OCV was als given t new arrivals at Arjumandpara and Sabrang entry pints.

5 Situatin Reprt Cx s Bazar Influx 5 Preparatins fr acute watery diarrheal (AWD) and respnse plan is nging, including an verview f expected cases, number f Diarrhea treatments Centers (DTC)/ Diarrhea treatment units (DTC/DTU) and beds needed per settlement, as well as the available cntingency medical supplies f varius agencies and the need fr additinal rder. Agencies have t quickly scale up their respnse capacity. Currently, medical supplies cver abut half f the expected caselad (40,000) in the settlements. Respnse plans fr dysentery, Hepatitis E, Rtavirus and Typhid fever is als being develped. A medical screening and treatment prgramme is being rganized at the transit center at the rubber plantatin (screening fr illnesses, including emergency referral f pregnant wmen, MUAC screening f the U5, dewrming and Vitamin A supplementatin, immunizatin (discussin n type f vaccine, OCV and/r MR t be given is nging), and psychscial cunseling. The district health department has deplyed 12 medical teams in the new influx areas f Teknaf and Ukhia, they are als setting up 9 healthcare centers in mre remte, hard-t-reach areas. Partners cntinue t prvide life-saving minimum initial services package fr Reprductive Health in emergency as part f the respnse. A list f ambulances fr referral has been drafted and is being updated regularly. A mbile field hspital with a 40-bed capacity is peratinal since this week near Kutapulng t expand inpatient service capacity. Hepatitis B vaccinatin has been made available fr all medical staff. The Cntrl Rm at Cx s Bazar Civil Surgen s Office is leading disease surveillance thrugh the Early Warning and Surveillance system (EWARS). The first Mrbidity/Mrtality Weekly bulletin (25 August-10 Octber 2017) has been published this week, and revealed as key bservatins: a ttal f 38,209 cnsultatins under surveillance were reprted thrugh the EWARS system f which 32% (12,165) were due t ARI, 10% (3,876) due t AWD, 7% (2,585) due t SKN, 6% (2,272) due t unexplained fever (UNFEV), 4% (1,460) INJ, 2% BD, the rest 40% frm ther disease including severe malnutritin, eye infectin, suspected measles/rubella, jaundice, and malaria. Gaps & Cnstraints: It shuld be nted that there is underreprting f health services by multiple agencies. Finding space fr setting up service health centres still remains a challenge t cater the need f un-reached Rhingya ppulatin in 3 large settlements (Balukhali, Unchinprang and Kutupalng). The newly indicated area f 3,000 acres fr refugee settlements has been tentatively planned fr ne health pst per zne (apprx. 14,000-20,000 peple), ne 20-bed inpatient facility per 50,000 ppulatin (in the zne) and larger inpatient facilities n the main rad, as well as space allcatin fr CTC/CDU. Identifying sites fr DTC/DTU s are a huge challenge. In additin, lgistical kits fr DTC/DTU need t be rdered/purchased lcally. The cntinued influx f new refugees builds up the unvaccinated chrt and thus adds t the risk f transmissin f measles, rubella and chlera. Since the influx, 44 measles cases have been reprted (21 cnfirmed and fr the ther reprted cases, lab results are awaited), f which 90% were nt vaccinated and amng the status f the remaining 10% is unknwn. Strengthening f EPI is being planned as a matter f urgency. Cmprehensive HIV prgramming is needed, and the Natinal HIV prgramme is planning t scale up. Nutritin Sectr Crdinatr Tabasum Abdul Rasul Masumbuk tmasumbuk@unicef.rg Sectr Target: 470,300 peple 47,206 children and PLW An estimated 386,811 peple need nutritin assistance f the new and previus reached with nutritin arrivals and hst cmmunity. interventin since 25 16,965 severely acute malnurished children require inpatient and utpatient Aug treatment. 45,846 mderate acute malnurished children require inpatient and utpatient treatment. 120,000 Pregnant and Lactating Wmen need nutritin supprt. 204,000 adlescent girls need nutritinal supprt. Respnse: In the last week, 50,319 children under 5 were screened fr malnutritin (cumulative: 251,172).

6 Amng them, 1,614 were identified as SAM and were admitted t in- and utpatient settings fr treatment (cumulative: 5,373). In additin, 806 Children (6-59 mnths) were identified as MAM and were admitted t utpatient settings fr treatment (cumulative: 6,383). 770 children (6-59 mnths) were admitted t malnutritin preventin prgrammes (cumulative: 7,810). 61 Pregnant and Lactating Wmen (PLW) were identified as MAM and were admitted t utpatient settings fr treatment (cumulative: 731). 379 PLW admitted t malnutritin preventin prgrammes (cumulative: 7,266). 3,537 PLW received cunseling n Infant and Yung Child Feeding (cumulative: 19,643). 4 Breast-milk Substitute (BMS) vilatins reprted (cumulative: 8). Gaps & Cnstraints: Situatin Reprt Cx s Bazar Influx 6 Lack f inpatient treatment services fr SAM children. Caregivers are afraid t access the existing centers which are placed far frm settlement. Lack f breastfeeding spaces in the settlements t ensure prmtin and prtectin f breastfeeding. There is a shrtage f essential nutritin cmmdities such as Ready t Use Therapeutic Fd (RUTF), Therapeutic milk (F-75 & F-100), Supplementary fds (Super cereal, Super cereal +, Vegetable il) and Micrnutrient pwder (MNP). Capacity building fr nutritin partners t execute emergency nutritin interventins efficiently is needed. There is a lack f crdinatin in the establishment f new utpatient therapeutic prgramme site and area demarcatin f wrking area in new settlements. Prtectin Sectr Target: 597,000 peple Fr Child Prtectin: 185,000 peple Fr GBV: 190,500 peple Sectr Crdinatr Child Centered Care GBV Blanche Tax Tayba Sharif Mhaned Kaddam Saba Zariv The ttal estimated peple in need f prtectin interventins and activities include 597,000 refugees, 300,000 hst cmmunity, plus 270,000 cntingency (prtectin verall) and 348,000 (child prtectin n psychscial supprt). With increasing new arrivals, cmprehensive, prtectin-sensitive receptin systems in the KTP extensin site need further develpment; t ensure prper receptin f all refugees, including thse with vulnerabilities and specific needs. Infrmatin prvisin (relating t all services and sectrs) needs further imprvement. Targeted assistance t all persns with specific needs requires scaling up while Psychscial First Aid (PFA), Psychscial Supprt (PSS) and cunseling services need t be imprved and expanded. Basic infrastructure, including drinking water pints, lighting, signpsting, and WASH facilities are still nt available t many f the refugees, r facilities need imprvement; prtectin needs arise ut f the absence r inadequate quality f these services / interventins. There is a grwing demand fr cash, as it wuld facilitate a mre immediate respnse t varius needs by refugees, and wuld, as such, mitigate against certain prtectin risks. tax@unhcr.rg sharif@unhcr.rg mkaddam@unicef.rg zariv@unfpa.rg 26,050 ppl reached with GBV sub-sectr assistance 36,046 ppl reached with Child Prtectin sub-sectr assistance A cmprehensive crss-sectral mapping f available services is an urgent need, t ensure that services are available and accessible t refugees in an equitable manner in the different lcatins, and t avid duplicatin f effrt. Unaccmpanied and separated children run many risks, including the risk f being expsed t early marriage and child labr. Identificatin f unaccmpanied and separated children, as well as ther children at risk, needs t scale up s as t refer them t and prvide them with apprpriate supprt. Family tracing and a system fr reunificatin must be strengthened. Prper tilet and bathing facilities, particularly fr wmen and girls are urgently needed t sustain their physical health.

7 Situatin Reprt Cx s Bazar Influx 7 Cmmunity structures are t be fully mapped and strengthened, with issues f representatin and participatin lked int, t ensure that the cmmunities can actively participate in decisins affecting them and can cntribute t the fullest t their wn prtectin and well-being. Respnse: Basic assistance and prtectin interventins were prvided fr an estimated 15,000 refugees stranded fr several days since 16 Octber, after having crssed the Anjumanpara brder pint. Thse with serius medical cnditins were transferred t a health pst. Psychscial First Aid (PFA) grup sessins were als cnducted t supprt mental health f the new arrivals. Fr new arrivals wh prceeded (n ft) t Kutupalng, NFIs were distributed while schls and madrassas were pened t prvide immediate temprary shelter. Cmmunity vlunteers were mbilized t prvide supprt t the newly arrived refugees, and prvide advice n cping mechanisms in their new envirnment. The brder mnitring team visited spntaneus sites in Unchiprang, Kanjarpara, Zhimnkhali and entry pint in Kunarpara where 6,000 refugees have been residing in a precarius situatin, very clse t the brder, since 27 August The situatin in these areas is clsely mnitred in rder t identify and respnd t prtectin risks and intervene fr individuals wh are particularly vulnerable. The MDMR-led family cunting exercise is nging, with a cumulative number f 57,661 families cunted. This represents 55% f the extended target f 105,000 families. 151,429 individuals have been individually registered in the gvernment-led bimetric registratin exercise. This figure represents apprximately 27% f the estimated ppulatin eligible fr registratin. Mapping f cmmunity leadership structures in the nrthern sectin f the Kutupalng extensin cntinues. During the reprting perid, 27 cmmunity blcks have been newly cvered with the cmmunity leadership structures identified, resulting in a ttal f 132 cmmunity structures mapped. Seven meetings with zne leaders were cnducted t supprt their awareness and understanding f leadership cncepts and t engage them, in an apprpriate manner, in the identificatin f persns with specific needs. In additin, the mapping f ptential cmmunity vlunteers was pursued. Several sites near distributin pints in Kutupalng have been identified as cmmunity meeting space and t serve as infrmatin desk. These will be part f the effrts t empwer cmmunities and imprve cmmunicatin with refugees. Meanwhile, advcacy fr female representatin in cmmunity structures is taking place. The survivrs f the bat incident cntinued t receive assistance and supprt, including psychscial supprt and health referrals. A ttal f 265 incidents f gender-based vilence (GBV) were reprted and referred t care during the reprting perid. Of these, 97 percent were referred t emergency medical care services. A cumulative ttal f 1390 incidents have been reprted t date. These incidents include, but are nt limited t, sexual frms f vilence. Apprximately 2,210 wmen and girls received psychscial supprt and GBV service infrmatin frm twelve established safe spaces fr wmen and girls (SSWG). Since August 27th, apprximately 11,750 wmen and girls have accessed these SSWG fr peer supprt and recreatin, case management, and GBV emergency referral services. Safe Space learning sessins were cnducted in Kutupalng, Balukhali and Shamlapur t streamline and strengthen usage f the available facilities. Over 3,632 men, wmen, bys, and girls received GBV service infrmatin thrugh cmmunity utreach and awareness raising in make-shift and spntaneus settlements during the reprting perid. 200 Dignity Kits were distributed in Kutupalng makeshift settlement that include items t enhance the immediate safety and mbility f wmen and girls. Apprximately 9,905 kits have been distributed t date. Apprximately 8,390 children received psychscial supprt in different camps. An additinal 90 unaccmpanied children were registered in the reprting perid, with a cumulative number f 1,765 unaccmpanied and separated children registered. Life-skill sessins cntinue t be prvided; t date, 8,679 individuals have benefited. Awareness-raising sessins were cnducted in Kutupalng and Nayapara camps, targeting a ttal f 164 participants. The sessins cvered varius tpics such as trafficking, menstrual hygiene and GBV referral pathways. Gaps & Cnstraints: Harsh weather cnditins hamper aid delivery, particularly in areas where transprt is hardly accessible. Increased bat fares result in additinal risks fr refugees seeking t reach safety and services. Lack f space cntinues t be an bstacle fr the establishment f service facilities, and affects access f refugees t necessary services, including identifying private, safe service pints fr prtectin case management. Wmen and girls face safety and security risks when cllecting firewd frm the frest. The lack f sufficient lighting in camps further exacerbates such risks and negatively affects their sense f safety. Wmen and girls have n safe havens. Overcrwding in make-shift settlements and rapid ppulatin mvement in spntaneus settlements challenges the ability f service prviders t identify private, safe service pints fr GBV case management and psychscial supprt services.

8 Situatin Reprt Cx s Bazar Influx 8 Nt all distributins pints are safe. In sme reprted cases, wmen with humanitarian gds in hand were targeted fr theft, harassment, and assault. Increasing islatin and restricted mbility f wmen and girls limits their access t infrmatin, including regarding life-saving GBV services. Lack f designated tilet r bathing facilities in spntaneus settlements has a severe impact n the health and safety f wmen and girls. T avid pen bathing and defecatin, they reprtedly wash inside their shelters, restrict fd and water intake, and restrict mvement during the menstrual perid. Shelter/NFI Sectr Crdinatr Graham Eastmnd sheltercxb.crd@gmail.cm Sectr Target: 942,000 peple Based n Situatin Reprt update dated 19 Octber, a ttal 801,505 refugees require assistance. The verall bjective f the sectr is t meet the needs f 948,000 individuals within 6 mnths including hst cmmunities. The pipeline fr tarps and mst f the NFIs t reach the targeted 948,000 is rbust with much f the gds and materials arriving ver the next 6 weeks. Mre kitchen sets and msquit nets are required. Anecdtally, partners are reprting that culturally apprpriate clthes are being requested further assessments required. Respnse: In this reprting perid, nearly 26,000 husehlds have received acute emergency shelter kits. NFIs have been distributed t 6,800 husehlds. Gaps & Cnstraints: 140,000 HH received emergency shelter kits since 25 August There are reprts that extremely vulnerable HHs, HHs living lng distances frm the distributin pints r in remte lcatins r persns with limited mbility have nt yet been reached with distributins. Agencies are being requested t pay particular attentin t these grups, and adjust delivery mechanisms t meet the needs f these grups. Identified ptential gaps in the NFI pipeline, include kitchen sets, msquit nets and clthing. Other NFIs such as slar lamps, dignity kits and hygiene kits are needed and the relevant Sectr Crdinatrs shuld be cntacted fr standards, specificatins etc. Preliminary gap analysis seems t indicate that cmmunities in the fllwing areas have been under-served: Hakimpara, Shamlapur, Jamtli, and Baggha/Ptibnia. Despite this, agencies are encuraged t reference the 4W fr planned interventins in these areas and crdinate at the field level with each ther and lcal authrities. Site Management Sectr Crdinatr Wan S. Sphnpanich smcxb.crd@gmail.cm Sectr Target: 1,167,000 peple An estimated 700,000 peple are in need f Site Management assistance. Tremendus pressure n the existing settlements since the ppulatin f registered camp and makeshift settlements has mre than duble pst August 25th Lack f crdinatin f service prvisin and infrastructure in existing sites hsting refugees, resulting in gaps and duplicatin acrss sectrs. Lack f access t and relevant infrmatin n the ppulatin, including cmmunity gvernance structures, t prvide timely and apprpriate assistance and imprve humanitarian respnse targeting.

9 Situatin Reprt Cx s Bazar Influx 9 The need fr areas/zne/blck bundaries as well as naming cnventins t be standardized and agreed upn by all key stakehlders. It is imprtant that zne and blck systems are harmnized in a manner that reflect situatins n the grund in rder t frm the basis fr address system. Respnse: Site Management: Basic Site management activities have started in 5 znes 3 znes in Balukhali, 1 in Kutupalng and 1 in Uchiprang, reaching apprximately 125,000 individuals. The first pilt site management rientatin fr partners taking n temprary fcal pint rle is planned fr Saturday 21 st Octber. Onging update f service mapping, cmmunity engagement, and setting up f cmplaint and feedback mechanisms. Need Assessment: Rund 6 f the Needs and Ppulatin Mnitring (NPM) has been shared. This include the reprt, maps as well as the raw data. The NPM team will be reviewing the assessment questins and indicatrs tgether with sectr leads and infrmatin managers at the next IMWG, in preparatin fr launching the next rund f NPM by the start f Nvember. NPM Flw Mnitring team established netwrk f key infrmants and setup standby mbile teams at strategic pints alng the brder t strengthen the timely reprting f new arrivals crssing the brder pints. Key infrmant netwrk is als being setup in strategic lcatins in new znes t better mnitr the new arrivals arriving at the sites. Site Develpment: Updated rad diagram fr Kutupalng extensin site based n discussins during the last Site Develpment Taskfrce meeting is shared. The taskfrce is in the prcess f develping an agreed strategic apprach t earthwrk, in an effrt t increase usable land area while minimizing destructin t the existing landscape. Ukhia-Balukhali Rad: UNHCR reprts that rad preparatin wrk has reached 4.13km in the nrth, and 1.05km in the suth. There is cncern that the cnstructin team is nt fllwing the curse f the planned rad, but is veering twards zne AA, and increased mnitring will be required. Site Planning Taskfrce wrked with ISCG t prepare a preliminary feasibility dcument fr an additinal ~1000 acres f land adjunct t the Kutupalng Extensin Site, and all parties generally agreed that further expansin t the west was nt a gd ptin, because it will negatively impact n the prtected frest (Inani), and that multiple smaller sites is preferable fr site management, safety and security, and less risk f epidemic and fire. Wrk n site planning at zne level had started in zne OO, PP and SS. Assessments is als n-ging t imprve rads inside Balukhali MS. Gaps & Cnstraints: Reprts f large pckets f settlements in hst cmmunities in Teknaf that will require further re-fcus and attentin by partners. The sheer size, density and spntaneus nature f the makeshift settlements hsting refugees remain majr bstacle t setting up the cmmunal infrastructures necessary t crdinate services at site level and interact meaningfully with cmmunity leaders and lcal authrities. The need t increase presence and capacities f partners fr site management activities, as well as t prvide n-ging capacity building/mentring supprts. The lack f traditinal cmmunity structures pses a serius challenge in ensuring inclusive and representative leadership structure in the camps. Land availability and access remains ne f the mst challenging aspects f site activities acrss all sectrs. This challenge is als faced by the site management and CwC teams lking t set up infrmatin hubs. It is a cncern that prtectin services will be pushed ut by ther cre sectrs as land grabbing cntinues. Lack f adequate referral pathways and/r referral services.

10 Situatin Reprt Cx s Bazar Influx 10 Water, Sanitatin and Hygiene Sectr C-Crdinatr Sectr C-Crdinatr Naim Md. Shafiullah Zahid Mahmd Durrani wash-cx@bd.missinsacf.rg zmdurrani@unicef.rg Sectr Target: 750,000 peple 450,000 ppl are prvided with Given the current capacity f lcal partners, gvernment cunterparts and INGOs WASH assistance with an apprved FD-7, the target f the WASH Sectr is 750,000 peple ut f the 1.2 millin peple in need. There is cntinuus new influx f refugees resulting in increase in ppulatin at multiple sites which is verlading existing WASH facilities due t heavy use. In additin, these new arrivals are in urgent need f WASH NFI s (jerrycans fr strage/transprtatin f water). Receptin areas clse t brder and nearby Naf river area have very limited safe water and sanitatin facilities. The existing public health cnditins in the different areas due t space limitatin and terrain, cmbined with the increased ppulatin, has greatly increased the risk f serius public health hazards. As a part f AWD preparedness and respnse plans sectr partners have t prepsitin cntingency supplies which includes water purificatin tablets, chlrine pwder and NFI kit, in additin cntinue t meet immediate needs fr hygiene kits. Respnse: An estimated 450,000 peple have been reached with immediate WASH assistance. Cllectively the sectr have reprted 4,071 tubewells (hand-pumps). Hwever there are cncerns abut the quality f infrastructures (with a majrity being shallw), their apprpriate siting and ptential cntaminatin, and their adequate distributin given cntinued ppulatin mvements. Sme infrastructure surveys have fund ver 20% f water pints needing immediate rehabilitatin/replacement. Fr sanitatin, 19,300 temprary emergency latrines have been built hwever, there are cncerns regarding the quality, durability and the gegraphic distributin f the infrastructure. Infrastructure surveys indicate that in sme areas as many as 50% f cnstructed latrines are abut t get full, cmpunded by limited space and the current unavailability fr faecal sludge management ptins. Sectr partners UNICEF, MSF and Oxfam prvided WASH supprt t 6500 new influx at receptin center by prviding them bttled water and water thrugh trucking. UNICEF has signed an MU with the MDMR (implemented with supprt frm the Bangladesh military) t cnstruct 10,000 latrines ver the next 8 weeks. Bth agencies are currently wrking t define the allcatin f these latrines at varius camps and make shift settlements. Other sectr partners cntinue t install WASH infrastructures in the expansin areas. 22,500 hygiene kits/nfis have been reprted as distributed in the majr spntaneus sites, makeshift settlements, refugee camps as well as in sme nearby hst cmmunities. Gaps & Cnstraints: The ttal estimated gap in the number f peple wh require WASH services is 300,000. Physical access within the new sites is a majr cncern in scaling up the WASH emergency respnse. Gvernment with supprt f the military is wrking n the cnstructin f these access and link rads t varius parts f the camps. With the n-ging influx, cngestin in the receiving sites is a majr cncern; verburdening existing facilities; cmplicating access fr emptying latrines is increasing the public health risk in these sites. Faecal sludge management therefre remains a high pririty fr the WASH Sectr. T address the sludge management, partners are develping multiple cntext specific technlgies fr all the sites. Reliable access t health statistics, water quality testing/mapping and demarcatin/naming f the camps/ znes, will be essential t ensure rapid respnse in the case f epidemics. There are still majr cncerns fr WASH Sectr partners wh have nt received FD-7 extensins r clearances since last week, 5 agencies have been apprved, thugh 10 are still pending.

11 Crdinatin Situatin Reprt Cx s Bazar Influx 11 The humanitarian respnse in Cx s Bazar is crdinated by an Inter-Sectr Crdinatin Grup (ISCG) which was established after the previus significant influx f peple in Octber 2016 t try and ensure better peratinal crdinatin amngst agencies. 11 sectrs are currently perating in CXB: Educatin (UNICEF/SCI), Fd Security (WFP), Prtectin with GBV and Child Prtectin Sub-Sectrs (UNHCR, UNFPA and UNICEF), Nutritin (UNICEF), Health (WHO), WASH (ACF/UNICEF), Lgistics and Emergency Telecmmunicatins (WFP), Shelter & NFI (IOM), Site Management (IOM), and Multi-Sectr ( fr the registered refugee respnse in Nayapara and Kutupalng Registered Refugee Camps, in place since the early 1990s, under UNHCR) alng with tw wrking grups Cmmunicatin with Cmmunities and Infrmatin Management. The Inter-Sectr Crdinatin Grup (ISCG) perates under the strategic guidance prvided by a Plicy Grup, which includes UN, INGOs and dnrs at Dhaka level. The Sectrs liaise with relevant Gvernment cunterparts: Ministries, Departments r ther authrities, and ensure clear linkages with the natinal level clusters. Sectrs are underpinned by the principles f the cluster apprach, allwing fr a mre effective crdinatin, the establishment f sectr standards, needs assessments and analysis, technical issues, and mnitring needs and gaps in the prvisin f humanitarian assistance. Better crdinatin with large Bangladeshi civil sciety that is prviding multiple, small scale but ften uncrdinated distributins including clthing and fd is required. Individuals and private cmpanies in Cx s Bazar wh wuld like t prvide supprt t the Rhingya ppulatin shuld cntact the lcal authrities t ensure that this prcess is apprpriately crdinated. The District Administratin has established a cntrl rm t supprt this thse individuals wishing t prvide assistance shuld call them n The Department f Public Health Engineering DPHE and the District Civil Surgen have established mechanisms in Cx s Bazar t imprve crdinatin with implementing agencies n WASH and health respectively. The Ministry f Disaster Management and Relief (MDMR) district level RRRC will als be engaging in crdinatin with humanitarian actrs n the Kutupalng site establishment. The gvernment has nt requested supprt frm Freign Medical Teams at this stage. The Lgistics Sectr Hub, initially meant t be nly a transhipment pint, will nw be available t partners fr a lnger perid (up t 14 days). This decisin was made based n evlving partner requirements and t accmmdate requests fr strage fr cntingency planning. Discussins abut the pssibility t make available a kitting area inside the Lgistics Hub, are als underway. The Lgistics Sectr is gathering and cmpiling infrmatin n market assessments and lcal prcurement t feed int the Bangladesh Lgistics Capacity Assessment (LCA). NGOs have begun receiving FD7 clearance, fllwing engagement bth in Dhaka and Cx s Bazar with NGO s and sectr leads. New NGOs wh wuld like t prvide assistance shuld ensure that they crdinate with existing partners thugh the sectrs. Fr further infrmatin cntact the NGO Supprt Cell in the Inter-Sectr Crdinatin Grup iscg.ng1@gmail.cm. There is a weekly humanitarian frum every Sunday in Cx s Bazar at 16:00 in the IOM Cnference Rm. Fr further infrmatin, please cntact: Marg Baars, Inter-Sectr Crdinatr, mbaars@im.int Saikat Biswas, Natinal Crdinatin Officer, sbiswas@im.int Zhu, Ying, Infrmatin Management Officer, yzhu@im.int Amierah Ismail, Reprting Officer, ismail53@un.rg Fr mre infrmatin, please visit and ReliefWeb