Monthly Humanitarian Situation Report Burkina Faso 27 May 2013

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1 Monthly Humanitarian Situation Report Burkina Faso 27 May 2013 Highlights The number of new Severe Acute Malnutrition (SAM) admissions from January to end of April 2013 amounts 18,014 children, representing 15 the annual target. The number is slightly low because in May Burkina Faso central level Nutritional Directorate received only 13 April nutritional statistics from district and regional SAM treatment health centres. To date, 49,975 Malian refugees are registered in Burkina Faso; 54.3 them are children between 0-17 years of age. The school enrolment coverage in refugee camps increased in May 2013 from 26.8% to 32.1%. UNICEF, Government of Burkina Faso and humanitarian partners work closely together to improve schooling conditions and to make schools a friendly place for children. In Child Protection, UNICEF and partners started to extend humanitarian response to integrated and holistic service provision for physically and mentally disabled children As of May 2013, no meningitis and no cholera cases were reported from refugee camps. Out of a total of 2,448 reported cases of measles with 8 deaths in the country, 860 cases and 3 deaths were recorded in Dori, Gorom Gorom, Sebba and Djibo districts in the Sahel region. UNICEF continues to support the Government in Expanded Program on Immunization for all children including refugees and children affected by the nutritional crisis. Malian schoolgirl in Goudebou refugee camp northern Burkina Faso. Source: UNICEF Situation Overview & Humanitarian Needs According to the latest UNHCR figures, 27,146 Malian refugee children aged 0-17 years need assistance in Health, Nutrition, Water and Sanitation (WASH), Education and Protection. 1

2 UNICEF Health, Nutrition, WASH and Child Protection psychosocial service coverage for refugees and host population are reaching predicted annual targets, while Education coverage and family reunification need a slight scale up. In the context of the nutritional response, SAM admission coverage as well as WASH hygiene kits distribution (reaching only 3 annual target) need increased attention in the coming months. Estimated Affected Population planning figures from January 2013 (Source: Estimates are based on figures from the Burkina Faso Directorate of Nutrition Response Plan to the nutrition crisis, which affects all 13 regions of the country, January 2013) Total Male Female Total Affected Population Pregnant women* 866, ,140 Children Under Five with Severe Acute Malnutrition (SAM) 120,000 57,600 62,400 Children Under Five with SAM and medical complications 16,320 7,834 8,486 Children Under Five with Moderate Acute Malnutrition (MAM) 400, , ,000 Children Displaced/Refugees 27,146 14,104 13,042 *Estimated at 5 population Refugee crisis: the latest total number of Malian refugees in May 2013 remains 49,975. The majority (88.1%) are settled in the Sahel region in Soum, Oudalan and Seno provinces refugees are men and 49.18% are women. Latest data on Malian refugees in Burkina Faso registered by UNHCR (22 April 2013) (Source: Total Male Female Children Affected (0-4) 7,769 3,975 3,794 Children Affected (5-11) 13,212 6,868 6,344 Children Affected (12-17) 6,165 3,261 2,904 Affected Population (18-59) 20,874 10,243 10,631 Affected Population (over 60) 1,955 1, All ages 49,975 25,398 24,577 Number of households 13,577 Inter-Agency Collaboration and Partnerships Similarly under the leadership of Cluster Lead Agency (CLA) UNICEF's Sectors Nutrition, WASH and Education as well as Child Protection/GBV Sub-Clusters are conducting the Mid-Year Review of 2013 Consolidated Appeal Process (CAP). The Nutritional Sahel crisis and Mali+3 humanitarian responses are being revised in collaboration with UN agencies and NGOs in order to be submitted to Humanitarian Country Team (HCT) for strategic review and final approval by Humanitarian Coordinator beginning of June. UNICEF and International Institute of Water and Environmental Engineering together with partners Action Contre la Faim/Action Against Hunger (ACF), CARE, International Federation of Red Cross and Red Crescent (IFRC), Médecins sans Frontières France (MSF-F) and Oxfam organized the 5 th session of Water in Emergencies (WiE) training taking place in Ouagadougou, Burkina Faso from May 20 th to 30 th The training aims to build capacity in rapid assessment, planning, preparation and implementation of emergency response in WASH, with a focus on the humanitarian context in Central and West Africa. Specifically, the forty (40) participants will extend their knowledge in: 1 2

3 Identification of the key components of a complete WASH response in emergencies Awareness of the role of Sphere Standards in an effective WASH response Understanding of the importance of coordination across agencies and stakeholders and other sectors (i.e. Nutrition, Shelter, Health and Logistics) Identification of the challenges in managing information in needs assessments, monitoring and reporting Finding solutions to challenges in implementation of WASH in emergencies through practical field excursions organized during WiE training Consideration of actions for preparedness and DRR in WASH response Programme response MALI+3 Nutrition As of May 2013, 31 children under five have been identified with Severe Acute Malnutrition in refugee camps, which corresponds to the achievement of 43.7 the annual target. WASH All water points constructed and rehabilitated in response to the influx of Malians refugees northern Burkina Faso continue to be well maintained and functional. MALI+3 CRISIS Sector Estimated # / % coverage UNICEF & operational partners UNICEF Cluster Sector / Cluster Nutrition WASH Children <5 with Severe Acute Malnutrition admitted to 71* % 71* % therapeutic care Children 6-59 months supplemented with Vitamin A every semester 7,474 4,109 55% 7,474 4,109 55% * The figure derived from UNCHR nutrition survey conducted in refugee camps in January UNHCR and nutrition partners Red Cross France, Médecins du Monde Spain, Médecins du Monde France, Save the Children are working on MoU arrangements concerning SAM treatment in the camps. UNICEF Operational Partners: Ministry of Health, Directorate of Nutrition and NGOs Action Contre la Faim, Terre des Hommes, Save the Children, Médecins Sans Frontières, Helen Keller International, Progettomondo MLAL, OCADES Caritas # and refugees who have improved access to drinking 2,830 2,500 88% 49,975 46,533 93% water* 3

4 MALI+3 CRISIS Sector Health Child Protection Education C4D Estimated # / % coverage # and refugees with access to adequate gender sensitive sanitation infrastructure UNICEF & operational partners UNICEF Cluster Sector / Cluster 2,800 2, % 49,975 19,940 40% * In access to drinking water, UNICEF WASH covers Sag-Nioniogo refugee camp. Other refugee camps are covered by UNHCR and partners. UNICEF, additionally to 2,500 refugees, provided drinking water for 25,000 members of host communities, which are not reflected in refugee statistics above. UNICEF Operational Partners: Oxfam Intermon Children <5 receiving measles vaccination among Malian 7,474 4, % 7,474 4, % refugees Children aged 0-11 months received the doses of DTCP- 2, ,32% 2, ,32% HIB-Heb vaccine* * Estimation 0-11 months - 5 refugee population. UNICEF Operational Partners: Médecins Sans Frontières, WHO, Médecins du Monde, Red Cross Burkina Faso Children with safe access to community spaces for 10,021* 7, % 10,021* 7, % socializing, play, learning Separated children reunited with families % 1,823** % * Child Protection decreased the target following the revision of UNHCR data. ** IDTR is being developed by UNHCR, discussions are being held concerning the definition of a LoU bringing together UNHCR/UNICEF/ICRC. No process in place yet. UNICEF Operational Partners: Terre des Hommes, Save the Children International, Plan Burkina, Red Cross Burkina Faso # and school-aged girls and boys including adolescents with continued access to formal and non-formal basic education 14,473* 4, % 14,473* 4, % * Baseline needs to be verified. UNICEF Operational Partners: Terre des Hommes, Fondation pour le Développement Communautaire, Plan Burkina, Save the Children, Red Cross Burkina Faso # and persons in refugee camps who were sensitized on hand washing, breastfeeding, HIV and cholera prevention, 8,500 4,010 47% hygiene, malaria prevention and treatment and peace building within communities UNICEF Operational Partners: Oxfam, NGO RAJS, local radio Djibo Health From January to May l 2013, a total of 2,448 cases of measles with 8 deaths (mortality rate 0.33%) were reported in Burkina Faso out of which 860 cases and 3 deaths were identified in Dori, Gorom Gorom, Sebba and Djibo districts in the Sahel region From April to May there is a 10% increase in DTCP/Hib/HEB vaccination of refugee children and the coverage currently amounts 24.3% As of May 2013, no meningitis and no cholera cases were reported from refugee camps 4

5 * Caseload of Meningitis from January until May in Burkina Faso for the years Source: MoH, Division of epidemiological surveillance. Epidemiological report no. 20 (13-19/05/2013) Child Protection UNICEF and partners such as Terre des Hommes Lausanne, Plan Burkina, Red Cross Burkina Faso and Save the Children continue to work together to support the emotional well-being of children by offering psychosocial support and safe spaces to play. As of the end of May reported figures remain unchanged in comparison to the month of April which is 7,338 children Until 24 May, the number of unaccompanied and separated children registered by UNICEF partners remained same as in the month of April 2013 which is 482 children Psychological support was provided to 33 separated children in Goudebou, Sag-Nioniogo and Mentao camps; this support was provided by a psychologist of Terre des Hommes and Christian Blind Mission (CBM) and has strengthened the resilience of these children separated from their families. 415 persons with disabilities were registered during the level 2 registrations run by UNHCR in 2013 among them 73 children under 18 years of age. UNICEF and UNHCR together with CBM and Handicap International are planning to proceed with a systematic and precise identification of all these children through the filling in of individual identification forms in order to plan for their adapted and holistic assistance Child Protection in Emergencies (CPiE) and Gender Based Violence (GBV) thematic group took place on 20 th May to validate the Sexual and Gender Based Violence (SGBV) Standard Operating Procedures (SoPs) for the Sahel region UNICEF Burkina Faso together with UNHCR presented the outcome of the Mali+3 regional meeting (Burkina Faso action plan) on CPiE held in Dakar Regional office from 24 to 26 April 2013 to the GBV/CPiE Thematic Group on 29 th April and to Representatives of UNICEF and UNHCR in Burkina Faso on 8 th May. This feedback allowed the two agencies to provide better orientations on what should be done in this area, and by whom among all partners. UNICEF, together with UNHCR, held a one day meeting with CPiE implementing partners on 10 th May to map the response to the refugees needs in terms of child protection, in all refugee camps and outside the refugee camps to host communities. Following that meeting, UNICEF with UNHCR conducted an evaluation mission on the camp of Mentao to assess the quantitative and qualitative response level in term of child friendly spaces and psychosocial related activities. While it appears that implementing staff need additional technical support and training, there is an important need of activities towards youth aged between 13 and 18 years old Regional programming needs to be strengthened with Mali humanitarian stakeholders dealing with cross border issues, such as legal protection of refugees fleeing human rights violations in Mali and their protection while in Mali and in Burkina Faso. Education 4,652 children of 3 to 18 years have had continuous access to formal and non-formal education in three main refugee camps. That includes 1,231 pre-school children, 540 of them girls, 2,221 primary school children and 226 post-primary school children, 22 of them girls; and 1,200 adolescents including 207 girls have benefited from literacy courses. 5

6 A workshop was organized on May 9 th to address the issue of education quality assurance and the improvement of teachers working conditions. Part of the workshop was dedicated to importance of teachers school attendance, which was identified as one of the weaknesses From May 20 th to 24 th 2013, a joint monitoring mission involving members of the Education in Emergencies working Group (NGOs, UN system, Government) was conducted by the Ministry of Education. The mission allowed participating technical actors to obtain a holistic picture of educational response in refugee camps, to develop a clear view of gaps and challenges and to identify the necessary support for effective and efficient response as to strengthen future coordination mechanisms between local authorities and partners To improve enrolment rates during the next school year, local authorities are planning to anticipate a quality teacher recruitment campaign and they already started identifying school-age children within camps and in the host communities. Complementary activities in the form of pre-professional training will also be offered to address the needs of those children not taken into account by the formal education system Communication for Development (C4D) UNICEF and partners continue sensitization sessions in refugee sites. Participation at sensitization sessions increased in the month of May 2013 from 3,510 to 4,010 refugees SAHEL NUTRITION RESPONSE SAHEL NUTRITION RESPONSE Sector Nutrition WASH Child Protection Estimated # and % coverage Children <5 with Severe Acute Malnutrition admitted to therapeutic care Number of health centres with SAM treatment UNICEF & operational partners UNICEF 120,000 18,014* 15% 1,658 1, % Cluster Sector / Cluster * In Mai central Nutritional Directorate at MoH received only 13 April district and regional monthly admission statistics. In Nutrition UNICEF and Sectoral targets are identical. UNICEF Operational Partners: Ministry of Health, Directorate of Nutrition, Regional Health Directorate, Health Districts and NGOs Action Contre la Faim, Terre des Hommes, Save the Children, Helen Keller International, Progettomondo MLAL, OCADES Caritas, ALIMA/Keeogo, Medicus Mundi Italia, Medicus Mundi Andalucia Nutritional centres delivering the WASH minimum package 1, % # and children admitted for SAM treatment using hygiene kits provided with key hygiene 18,014 3, % messages/behaviors counseled to parents/caregivers UNICEF Operational Partners: Oxfam, Red Cross Burkina Faso, Red Cross Monaco, UNHCR, Association Paix et Solidarité, Plan Burkina, Help, Ministry of Agriculture and Hydraulic, Ministry of Health, CONAREF, IEDA Relief # of children with SAM who received psychosocial care through Child Friendly Spaces *Lack of funding for integration of CFS activities in Nutrition 18,014 0* 0* Nutrition 6

7 The 2013 total estimated annual caseload of children under 5 with severe acute malnutrition (SAM) is 120,000 children. The number of new admissions in 2013 from January until end of April is 18,014 which correspond to the achievement of 15 the annual target. The admission numbers are slightly underreported due to the fact that only 13 district nutritional centers submitted their last monthly April statistic to Nutritional directorate at central level. However, the trend of SAM admissions until May is in line with the same season in previous years and the numbers are expected to rise during the lean season in coming months In May, a workshop to update the national protocol on Integrated Management of Acute Malnutrition took place. The revising team was composed out of 16 technical staff from Ministry of Health (MoH) Nutrition Directorate, research institutions IRSS and ENSP, MoH pediatricians, UNICEF, World Food Program (WFP), World Health Organization (WHO), Médecins Sans Frontier France (MRS-F), Save the Children, GRET, Helen Keller Int. and Action Contre le Faim/Action Against Hunger (ACF) The number of health staff trained on Integrated Management of Acute Malnutrition (IMAM) increased between April and May from 42 to 92 health workers and from 160 to 256 community health workers. WASH The monitoring of WASH support to SAM management in Haut Bassins and Boucle du Mouhoun region confirmed that mothers/caregivers received 613 new Kits for improved hygiene practices in the month of May Health 1,958 cases of meningitis were reported in all the 63 districts of Burkina Faso since the beginning of the year up to week 20 with 240 deaths. The lethality rate remains high at 12.26%. However, the total number of cases is the lowest in comparison to the past five (5) years and no district out of 63 was in alert in week 20 with no district having reached the epidemic threshold. Funding Update (as of 27 May 2013) Funding Requirements* Requirements Funding gap Appeal Sector as per HAC Funds received January 2013 $ % Nutrition 12, 000,000 2,077,037 9,922, Health 2,690, ,232 2,570, WASH 4,200, ,497 4,045, EDUCATION 1,443,430 1,464, CHILD PROTECTION 1,498,000 1,102, , HIV and AIDS 94, , Coordination 300, , TOTAL 22,226,485 4,918,646 17,307,839 78% *The total includes a maximum recovery rate of 7%. The actual recovery rate on contributions will be calculated in accordance with UNICEF Executive Board Decision 2006/7 dated 9 June UNICEF wishes to express its deep gratitude to all public and private sector donors for the contributions and pledges received which have made the current response possible. UNICEF would especially like to thank National Committees and donors that have contributed un-earmarked funding, which comprised 14 per cent of the funds contributed. Un-earmarked funding gives UNICEF essential flexibility to direct resources and ensure the delivery of life-saving supplies and interventions to where they are needed most especially in the form of longer-term and predictable funding and in strengthening preparedness and resilience building. Continued donor support is critical to continue scaling up the response. Across Sahel, UNICEF received financial and material contributions from: Andorra, Australia, Canada, CERF, Denmark, Estonia, European Commission/EC, Finland, Japan, Netherlands, Norway, Republic of Korea, Spain, Sweden, United Kingdom, United States of America; the Bulgarian, Chilean, Danish, Dutch, Finnish, French, German, Hong Kong, Iceland, Japanese, New Zealand, Slovenian and UK UNICEF National Committees and US Fund for UNICEF. Next SitRep: 24 June

8 For further information, please contact: Aboubacry Tall Representative UNICEF Burkina Faso Tel: (+226) Fax: (+226) Sylvana Nzirorera Deputy Representative UNICEF Burkina Faso Tel: (+226) Fax: (+226) Nina Kokol Emergency Reports/HPM Specialist UNICEF Burkina Faso Tel: (+226) Fax: (+226)