Cameroon Humanitarian Situation Report

Transcription

1 Cameroon Humanitarian Situation Report January-June Highlights In the cholera outbreak in the North region, 20 cases were registered as well as 3 deaths as of 3 July. UNICEF is supporting prevention activities through the provision of supplies and social mobilization. Emergency Response Plan for North West and South West regions was launched on May 27 to assist 160,000 displaced persons in the two regions with the total budget of $15.1 million. In the East and Adamaoua regions, 442 unaccompanied and separated children (192 girls and 250 boys) were identified between January and June These 442 children represent 221% of UNICEF s 2018 target beneficiaries. A significant funding gap for WASH (82%) and Health (86%) resulted in the low achievement for the targets set: only 7.5% of the targeted people gained access to water, while no vaccination campaigns for measles were conducted. UNICEF s Response with Partners *Total results are all cumulative WASH: People provided with access to appropriate sanitation Education: School-aged children 4-17, including adolescents, accessing education in a safe and protective learning environment. Nutrition: Number of children aged 6-59 months with SAM admitted for treatment Child Protection: Children reached with psychosocial support through child friendly/safe spaces (girls and boys) C4D: Persons reached with information about WASH / health / nutrition / education services (behavior/best practices) through community-based social mobilization and/or outreach activities Sector Sector Total Results* UNICEF UNICEF Total Results* 528,000 10,885 75,000 8, ,000 11, ,000 11,314 38,646 25,029 40,482 26, ,766 85,000 28, , ,911 SITUATION IN NUMBERS June ,810,000 # of children in need of humanitarian assistance 3,260,000 # of people in need (Cameroon Humanitarian Needs Overview 2018) Displacement 160,000 #of Internally Displaced Persons (IDPs) in North West and South West regions (Emergency Response Plan for North West and South West regions, May 2018) 238,099 #of Internally Displaced Persons (IDPs) in Far North region (Displacement Tracking Matrix 13, April 2018) 83,141 # of Returnees (Displacement Tracking Matrix 13, April 2018) 95,172 # of Nigerian Refugees in rural areas (UNHCR Cameroon Fact Sheet, June 2018) 242,052 # of CAR Refugees in East, Adamaoua and North regions in rural areas (UNHCR Cameroon Fact Sheet, June 2018) UNICEF Appeal 2018 US$ 25.4 million Carry-over US$ 2.1 m Funding requirement US$ 29.4m Funding gap US$ 24.7 m Funds received US$ 2.6 m

2 Situation Overview & Humanitarian Needs In the first six months of 2018, the evolving situation in the North West and South West Regions of Cameroon prompted the humanitarian community to develop an Emergency Response Plan that was launched in May. This plan requires $15 million to provide initial assistance for three months to 160,000 Internally Displaced Persons (IDPs) in Meme and Manyu divisions in the South West and in Boyo, Momo, and Ngo-Ketunjia divisions in the North West. UNICEF is preparing to respond in the domain of WASH, Health, Nutrition, Child Protection, reinforced by community engagement and mobilisation for the IDPs and host communities. Partnership agreements have been finalized, and additional human resources have been recruited to support the response. On 1 June, UNICEF issued a joint statement with UNESCO demanding the immediate release of the abducted educational personnel, stopping the attacks on schools and calling belligerents to respect the right of children to quality education in a secure learning environment. In June, the government also published the National Emergency Response Plan of the North West and South West regions. In the Far North region, newly released IOM data 1 reported 238,099 IDPs in the region, signaling a 1% decrease compared to the 241,030-figure reported in December Over the course of the past six months, according to UNHCR statistics, the number of Nigerian refugees has increased from the 94,371 in January to 95,172 refugees in June. In April and May 2018, UNICEF conducted humanitarian needs assessments in Mayo Sava and Logone and Chari divisions in the Far North region along the border with Nigeria. The insecurity and displacement created by the Boko Haram insurgency in these areas has created acute needs for assistance in education; health; water, sanitation and hygiene (WASH); and child protection for vulnerable populations. In areas where IDPs are living in Zamaï, Mokolo division, in the Far North, UNICEF has supported the response to the scabies outbreak by supplying the Health District with supplies, including medicine and WASH kits. Traditional leaders in Zamaï continue to play an active role in sensitizing communities about hygiene in an effort to curb transmission. In the North region, the cholera outbreak that emerged in mid-may has reportedly caused 20 registered cases, four confirmed cases, and three deaths in three health districts (Guider, Mayo Oulo, and Golombé) as of 3 July. UNICEF has supported the response to this outbreak by providing cholera prevention items (e.g. basic WASH kits including buckets and soap; water treatment tablets; chlorine tablets etc.), which have been distributed within affected areas. UNICEF has also supported awareness-raising activities among vulnerable populations by working closely with health districts in the North to support social mobilization on cholera prevention as well as disseminating prevention information through community radio stations. In addition, UNICEF plans to support the training of community health workers. In the East, Adamaoua and North regions, hundreds of people continued to flee the Central African Republic (CAR) due to skirmishes between Central African Armed Defense Forces, United Nations CAR stabilization (MINUSCA) soldiers, and the armed group occupying areas in CAR. Between January-June 2018, UNHCR registered 3,535 new arrivals. Even these relatively small numbers of continuous new arrivals from CAR will add great pressure on host families and communities who are already sharing limited resources, which is predicted to exacerbate pre-existing challenging conditions. UNICEF has been working on a resilience strategy with other agencies to enable refugees and host communities to increase their capacity to adapt to current sociodemographic and economic challenges and to cope with the influx of new refugees. In May, an interagency needs assessment in collaboration with WFP, UNHCR and other humanitarian partners was conducted to identify priority needs in Gbiti, Wissambo, Boma, and Bombe-Pana in the East region. The assessment identified WASH, psychosocial support and access to education as the priorities falling within UNICEF s expertise and most urgently needed in Wissambo and Gbiti. According to local sources, there have also been reports of sexual exploitation of adolescent girls and child labor during this period in Garoua Boulai, Betare Oya, Kette, and Ngaoui sub-divisions. The humanitarian response to the CAR crisis faces a significant funding gap as the needs transition from humanitarian to longer-term development. Limited humanitarian funding hinders UNICEF s ability to adequately respond to the needs of new asylum seekers, while also continuing to support 242,052 CAR refugees who remain in Cameroon. 1 Displacement Tracking Matrix Round 13, April 2018

3 Estimated Population in Need of Humanitarian Assistance *Cameroon Humanitarian Needs Overview 2018 **SMART Survey 2017 & UNHCR Standardised Expanded Nutrition Survey (SENS) 2016 Start of humanitarian response: November 2013 Total Male Female Total Population in Need* 3,260,000 1,610,000 1,650,000 Children (Under 18)* 1,810, , ,000 Children Under Five** 523, , ,000 Children 6 to 23 months** 163,000 80,500 82,500 Malnourished Pregnant and lactating women** 18,000-18,000 Humanitarian Leadership and Coordination The Humanitarian/Resident Coordinator leads the overall humanitarian coordination, supported by OCHA. At the national 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 situation in the regions of the East and Adamawa. UNHCR organizes monthly meetings with other humanitarian actors, to consolidate data and harmonize interventions. Humanitarian Strategy UNICEF s integrated programme is based on four pillars: building a protective environment and supporting community peacebuilding; preventing and responding to the violent exploitation of children; increasing access to basic services; and strengthening emergency preparedness and response systems. All four pillars bridge the humanitarian-development nexus and foster community resilience to outside pressures, such as conflict or population displacement, while supporting the State to anticipate and respond to shocks. UNICEF aims at strengthening collaboration between community-based structures and government services to provide care and protection to children, particularly the most marginalized. By supporting community dialogue mechanisms, inter-generational dialogue and non-violent relationships among peers, UNICEF works to foster social cohesion, giving children a voice and rebuilding community linkages. Recognizing that lack of access to basic services exposes children to vulnerabilities, UNICEF supports the Government to strengthen the quality of service delivery at the community level by training community workers and establishing needed infrastructure, improving access to water and sanitation in schools and health centres, developing community health mechanisms and improving the quality of education. Furthermore, UNICEF is working with nongovernmental organizations and other partners to implement mechanisms for monitoring and responding to emergencies in a timely and effective manner. Summary Analysis of Programme Response UNICEF humanitarian assistance primarily focuses on IDPs, out-of-camp Nigerian refugees and host communities affected by the violence caused by Boko Haram, as well as the refugees who fled the armed conflict in CAR, and host communities. Lake Chad Basin (LCB) Crisis Nutrition 2 UNICEF s Integrated Management of Severe Acute Malnutrition program in the Far North is present in 323 health centers and 28 hospitals, covering all 30 health districts. In the North, it is present in 177 health centers and 12 hospitals, covering all the 15 health districts. Since January, 14,556 children aged 6-59 months with severe acute malnutrition (SAM), 2 Due to the reporting system of the Ministry of Health, the admission data of the concerned month are reported in the following month (i.e. January data are reported in February).

4 including 255 Nigerian refugee children, were admitted for treatment across UNICEF-supported health centers in the Far North. In the North region, 6,903 children aged 6-59 months were admitted for SAM treatment. In the most affected areas, UNICEF identified beneficiaries through an active case finding and rapid referral mechanism, based on massive screenings administered by community health workers as well as those performed by mothers at home. UNICEF promoted these screenings in all health facilities in the region. In total, 1,908 mothers were trained on malnutrition screenings, more than 300,000 children under five years old have been screened, and 3,380 children with severe acute malnutrition have been identified, referred, and admitted into the program. Since January 2018, 199,000 people (64,000 males and 135,000 females) were sensitized on infant and young child feeding and good hygiene practices in the four health districts most impacted by population displacement, such as Kolofata, Koza, Mada, and Mora. Health In 2018, UNICEF aims to provide preventive, promotional and curative care to a target 13,500 pregnant women and 43,500 children under five years old in priority health districts in the Far North, including four in Logone and Chari division, two in Mayo Sava division, and two in Mayo Tsanaga division. During the first six months of 2018, huge gaps in health services were identified during a mission to Amchide and Limani due to the closure of health centres resulting from insecurity in the region. UNICEF provided the health districts of Mora, Mokolo, Koza and Kolofata in the Far North region with medications and supplies for malaria cases in children under 5 years of age and for malaria prevention in pregnant women, which is estimated to have covered the needs of some 12,500 children. During Health Action Week in March, UNICEF vaccinated 1,586,092 children under 5 years of age (including refugee and IDP children) against polio and provided them vitamin A and mebendazole (deworming) tablets, exceeding the initial target of 1,560,494 in the Far North (101.6% achievement). UNICEF also worked to combat the scabies outbreak at Zamaï site in Mokolo health district by providing the Health District with supplies and 100 bottles of benzyl benzoate for 1,770 people, 717 of whom were children, as well as conducted hygiene promotion activities and distributed prevention materials to prevent further infection in May. WASH Access to safe drinking water and sanitation remains a challenge in the Far North and North regions affected by the Lake Chad Basin crisis. Between January and June 2018, 3,000 people were provided access to water for drinking, cooking and personal hygiene through the construction and rehabilitation of boreholes; 4,953 people were provided with access to appropriate sanitation through latrine construction; and 18,644 were provided with WASH kits. Projects included latrine and shower booth construction, borehole rehabilitation, hygiene promotion and sensitization, and supply distribution for the prevention of infectious diseases. In June, for instance, 1,913 households in Mayo Sava division (representing approximately 10,321 people) received 1,913 WASH kits and 400 dignity kits. 3 These distribution activities were complemented by concurrent sensitization activities on WASH good practices that included cholera prevention, which benefitted 10,858 people in Mayo Sava division including the 1,913 households that benefitted from the aforementioned WASH kit and dignity kit distributions. Nonetheless, the completion of current projects combined with limited available resources will not suffice to reach all targeted beneficiaries, and the recent emergence of cholera cases in the region could exacerbate already vulnerable populations. At Kolofata site in Mayo Sava division, international NGO Médecins Sans Frontieres (MSF) is continuously providing water to IDPs by trucking water to the site. The private enterprise that UNICEF selected for the construction of five small-scale photovoltaic water supply networks has started construction, and when complete will provide 5,891 people at the site with long-term, sustainable access to safe drinking water. Also at Kolofata site and in partnership with UNICEF, international NGO IRC built 127 new latrines and 200 new showers, making the person-to-latrine ratio 22 to 1 and the person-to-shower ratio 22 to 1 for IDPs at the site. Hygiene promotion activities are ongoing at this site as well, with a focus on cholera prevention. 3 Dignity kits include various items including washable sanitary napkins, tooth paste, tooth brush, detergent, and flashlights.

5 Education Over the past six months, the education response in the North and Far North of Cameroon focused on continuing the expansion of access to quality education for children affected by the Lake Chad Basin crisis. During this period, 971 children (376 girls and 595 boys) benefited from literacy and numeracy lessons broadcast through the two FM radio stations in Kousseri and Mokolo as well as through recordings for those in Mora. These children also benefited from psychosocial support (PSS) and conflict and disaster risk reduction (C/DRR) messages aimed at minimizing their exposure to risks. Also during this period, 312 school aged children from 11 existing listening groups in Mokolo were distributed exercise books, pencils and pens to facilitate their learning activities. The key challenges that face the education sector that explain its limited achievement of response targets include insecurity, inaccessibility, and a funding gap, few implementing partners, and weak capacity on the ground to support the response. A total of 200 teachers (30% female) were also trained on C/DRR and PSS to equip them with the necessary knowledge and skills to continue to support refugee, IDP, and host community children. Additionally, 199 school directors (35 of whom were women) benefited from training on educational supervision in order to support classroom teachers on child-centred pedagogy and also provide teachers with supportive management to improve both their performance and learning outcomes for children. The key challenges to education response include insecurity and inaccessibility to certain areas, a significant funding gap, and limited response feasibility due to too few implementing partners and limited capacity on the ground to support the response. Child Protection From January to June 2018 in the Far North region, 26,273 children (12,671 girls and 13,602 boys, 38% of the 2018 target) benefitted from psychosocial support provided by social workers, psychologists and community workers in child-friendly and safe spaces in the three affected divisions of Mayo Sava, Mayo Tsanaga, and Logone and Chari. During the same period, 22 children suspected of association with Boko Haram (5 girls and 17 boys, 31% of the 2018 target) were released from prison and provided with temporary emergency care in Maroua. Over the course of four to 12 weeks, these children benefitted from psychosocial services before reunification with their families and reintegration into their communities. A total of 459 unaccompanied and separated children (220 girls and 239 boys), of which 78 were unaccompanied children (25 girls and 53 boys) and 381 separated children (195 girls and 186 boys), were also identified over the past six months (46% of annual target). These children benefited from psychosocial support as well as alternative care in foster families trained and selected by the Government with UNICEF s support. The majority of these children were found in Mayo Sava division where frequent Boko Haram incursions have triggered mass displacement of populations within these communities. Also during this period, 27 unaccompanied children (12 girls and 15 boys) were reunited with their families, representing 18% of UNICEF s response target. This weak reunification rate is due to security challenges that prevent rigorous family tracing as well as to the numerous small and widely dispersed sites where displaced persons are located. UNICEF also supported interventions that succeeded in providing 2,661 conflict-affected children (1,193 girls and 1,468 boys) with birth certificates during the same reporting period, representing 30% of UNICEF s response target of 12,000. Birth registration remains a key challenge in the Far North region, exacerbated by the crisis. UNICEF continues to work toward improving the region s registration system, as birth certificates provide protection measures for children and grant them access to other essential services like schools and healthcare, which they otherwise would not be able to access. Communication for Development (C4D) 4 : In the Far North, UNICEF is promoting Essential Family Practices (EFPs) in Mozogo (Mayo Tsanaga division), Fotokol (Logone and Chari division) and Kolofata (Mayo Sava division) in partnership with national NGOs. Over the past six months, 44 community mechanisms for participation and accountability have been put in place to promote EFPs and social cohesion and peacebuilding. Students and teachers have also organized 230 theatre presentations in schools to promote EFPs, social cohesion, and peacebuilding, and 669 community leaders (traditional leaders, local political leaders, and educators) conducted over 1,300 community dialogues promoting the adoption of EFPs. In collaboration with the Ministry for the Promotion of Women and Family, UNICEF also mobilized 95 women s and youth associations in Mora (Mayo Sava division), Mokolo (Mayo Tsanaga division) and Kousseri (Logone and Chari division) to promote EFPs, peace, and social cohesion. To date, 90 community leaders have committed to promoting these initiatives in their 4 C4D started reporting in the situation report in January Reported results include data collected from the beginning of projects in December 2017.

6 communities. On cholera response in the North, UNICEF continues to support community mobilization activities through coordination and advocacy initiatives with traditional leaders and healers, local regional and divisional authorities, health personnel and other key stakeholders. This response is also focusing on prevention by disseminating information through many channels including training community health workers to sensitize patients and their family members to broadcasting messaging on good hygiene practices through local community radio stations or on the ground in public spaces using megaphones. In areas where IDPs are living in Zamaï, Mokolo division, in the Far North, where UNICEF has supported the response to the scabies outbreak, UNICEF has continued to work with traditional leaders in Zamaï who continue to play an active role in sensitizing communities about hygiene in an effort to curb transmission. CAR Refugee situation Nutrition Integrated Management of Acute Malnutrition (IMAM) activities are ongoing within the 124 and 123 health facilities in East and Adamaoua regions respectively, covering all 9 health districts in Adamaoua and all 14 health districts in the East. Since January, 4,965 children aged 6-59 months with SAM were admitted across UNICEF supported health centers in the East and Adamaoua regions. Of these 4,965 children, 1,140 (23%) were refugees from CAR. Also during this reporting period, a home-based food fortification program that includes the distribution of micronutrient powders was launched to bolster the prevention of malnutrition in the health districts of Bétaré Oya, Garoua Boulaï, Kette, Ndélélé, and Batouri for 10,673 children aged 6-23 months. The community platforms for those distributions were also used to integrate activities such as vitamin A supplements, vaccinations, and sensitization on birth registration. Health During this period, UNICEF, in partnership with UNFPA, launched a maternal, newborn and child health support project that covers 17,900 children under 5 and 9,800 pregnant women in Adamaoua region. UNICEF has also launched a project on improving the quality of newborn care, which will cover 21,000 children, including 6,000 in Batouri and Garoua Boulaï sub-divisions that accommodate a substantial number of refugees. This project emphasizes capacity building of health care providers and program managers of maternal and new born health care, and has trained 10 managers, 40 health care providers and 60 Community Health Workers (CHWs) in the East region. Needs remain high, particularly in areas like Kadey division, which registered over 500 new refugee arrivals in May 2018 only. Gaps identified during this period included overwhelmed health centres incapable of attending to patients in a timely manner, the termination of free-ofcharge medication, the absence of health services in the areas with mining sites, limited access to vaccination services, and insecurity in certain areas near the border with CAR. WASH The situation of Water Sanitation and Hygiene in localities affected by the CAR crisis in the East and Adamaoua regions remain a concern. From January through June 2018, WASH activities have been extremely limited due to lack of funding. Sanitation activities have been the most active though impact remains limited, given only 16% of target beneficiaries (3,954 of the target 25,000 people) were provided with access to appropriate sanitation through latrine construction during this period. The beneficiaries that did gain access to sanitation, however, were reached as a result of UNICEF s partnership with international NGO ADRA to implement the Community-Led Total Sanitation (CLTS) program in 102 targeted villages in Batouri, Dir, Ngoura and Kette sub-divisions. This has so far resulted in 809 households constructing 1,043 household latrines and improving access to adequate sanitation for 3,954 people. Additionally, the construction of 12 gender-sensitive latrine blocks in schools in Ngoura in Lom and Djerem division is ongoing and will serve the sanitation needs of 1,200 students (including refugees) once complete. Funding constraints were especially felt in other activities, where UNICEF was unable to fund any activities that aimed to reach any of the targeted 10,000 people to provide with access to water for drinking, cooking and personal hygiene or the 20,000 targeted beneficiaries to provide with WASH kits. Education Over the course of the first two quarters of 2018, 13,256 CAR refugee children (5,503 girls and 7,753 boys) were provided with education services at six refugee sites, namely Borgop and Ngam in the Adamawa region and Gado, Timangolo, Mbile, and Lolo in the East. Additionally, during this period a total of 96 teachers (44 women and 52 men) were trained on child-centred pedagogy and supportive supervision to continue to provide support to the refugee, IDP, and host

7 community children in the aforementioned refugee sites and surrounding communities. In efforts to integrate the Education in Emergency (EiE) module into the region s teacher training curriculum, 56 tutors from teacher training colleges participated in a capacity building exercise on how to integrate the module into the colleges curriculum. Also during this reporting period, UNICEF has been developing an exit strategy from the temporary learning spaces (TLS) in aims to establish a more sustainable education response for CAR refugee and host community children at the six sites and surrounding host schools. This has resulted in consensus among stakeholders on developing appropriate strategies as well as an action plan to implement the identified strategies. Inadequate financing continues to limit the capacity and efforts of UNICEF and its partners in responding to the educational needs of refugees and host communities. Child Protection Between January and June 2018, 442 unaccompanied and separated children (192 girls and 250 boys) were identified. Of these 442 children, 410 were separated children (175 girls and 235 boys) and 32 were unaccompanied children (17 girls and 15 boys) placed in foster families. These 442 children represent 221% of the annual target. UNICEF was able to the identify a greater number of beneficiaries than anticipated and surpass this target likely as a result of focussing interventions at entry points where new refugees are received (as in Ngaoui and Garoua Boulai) and in communities hosting CAR refugees that have not thus far received child protection interventions. Additionally, the establishment and strengthening of community based child protection mechanisms has contributed to raising local populations awareness of the need to identify and provide care to vulnerable children. Notwithstanding, the security situation in CAR remains volatile and continues to pose a barrier to family tracing and reunification. Also in these first six months of 2018, 2,376 children (1,098 girls and 1,278 boys) received psychosocial support in child friendly/safe spaces. This represents 16% of the targeted 15,000 children, attributed to limited funding and too few implementing partners with solid expertise in child protection in emergency. In the same vein, no birth certificates were issued to the targeted 3,000 conflict-affected children during the same reporting period. This is also attributed to lack of funding for the CAR crisis specifically for child protection interventions. Media and External Communication In the first six months of 2018, UNICEF organized four trips with national and international journalists to the East and the Far North to cover emergency interventions in Protection, Education, WASH, Health and Nutrition activities for people affected by the humanitarian crises in those regions. One such visit to the East region served to produce stories on child marriage and its detrimental impact on young girls, and another visit to the Far North region gave journalists the opportunity to write about polio vaccination interventions. As a result of these activities, a series of articles on the humanitarian situation in the Far North region was also released in a principal mainstream Swedish newspaper. UNICEF also continued to produce multimedia content to better communicate humanitarian needs and impact to donors: a video was produced depicting the impact of a new school building constructed with Norwegian funding and how it has changed the lives of CAR refugee children. In May 2018, UNICEF participated in the 21 st University Games in the Far North region with the participation of 16 universities in Cameroon, where over 6,000 youth from all over the country participated as athletes or spectators. UNICEF participated in this event in partnership with the Ministry of Youth and Civic Education to promote U-Report, a free digital communication tool using SMS messaging for social mobilization by allowing users to either easily disseminate information or collect information through SMS surveys. 15,000 new youth have registered as U-reporters as a result of this partnership. Security In the Far North region, the first six months of 2018 saw a continuation of incursions and mobilization in the Cameroonian territories with fluctuating frequency. Most of these were attributed to armed groups affiliated with Boko Haram engaged in acts of aggression against local populations as well as reported incidents of cattle theft and kidnappings targeting civilians, many of whom were children. By the end of the reporting period in June, the number of security related incidents in the Far North region significantly dropped when compared with those recorded in the previous month. Nevertheless, it is likely that armed groups maintain a latent presence in the area, continuing to pose security risks to the local population. East and Adamaoua regions continue to experience some level of insecurity as a result of armed incursions along the border, tensions between refugees and host communities, and criminal activity including kidnappings that targeted refugee children as well. The cohabitation between refugees and host communities remains

8 difficult, where recently young refugees are suspected of being part of gangs, prompting Rapid Intervention Forces to raid Gado refugee camp in June and arrest a refugee suspected of contributing to roadblocks. Funding UNICEF expresses its gratitude to the Government of Japan, France, the United States, Norway and Sweden, as well as to ECHO, CERF, the United Nations Trust Fund for Human Security, 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, including children affected in the newly emerging crisis in the North West and South West regions. Total UNICEF Funding Funding Requirements Appeal Sector Requirements Funds available* Funding gap Funds Received Current Year Carry-Over $ % Nutrition 5,098,228 2, ,594 4,845,656 95% Health / HIV 3,950, , ,958 3,503,482 89% WASH 8,886,300 1,247,264 58,010 7,581,026 85% Child Protection 4,016, , ,446 3,366,327 84% Education 5,136,520 2,549 1,425,639 3,708,332 72% Emergency 2,390, ,605 90,602 1,769,966 74% Preparedness and Response Total 29,478,784 2,610,746 2,093,249 24,774,789 84% * Funds available includes funding received for the current appeal as well as carry-over funds from the previous year. ** The nutrition program is mainly funded by the German Development Bank KFW with two non-humanitarian grants. The overall budget for the SAM treatment program is US$4,000,000 of which $1,800,000 is devoted to the LCB crisis. ***Health sector: Of the total funds received, $101,958 is for polio immunization, which is not part of the original HAC targets. An additional $404,268 was spent for polio immunization and other social mobilization activities for the LCB crisis but not part of the humanitarian fund. ****$804,597.7 recently received from Swedish International Development Cooperation Agency will be allocated to sectors in the following months. LCB Funding Appeal Sector Funding Requirements (as defined in the 2018 Humanitarian Action for Children (HAC)) Requirements LCB Funds Received Current Year Funds available* Funding gap Carry-Over $ % Nutrition 2,322, ,594 2,072,861 89% Health / HIV 710, , , ,077 56% WASH 4,428, ,11 3,469,890 78% Child Protection 2,383, ,98 1,902,020 80% Education 2,881, ,600 2,754,900 96% Emergency Preparedness and Response 60,081 90,602 % Total 12,725,455 1,712, ,754 10,594,748 83% Next SitRep: July 2018

9 UNICEF Cameroon: UNICEF Cameroon Facebook: UNICEF Cameroon Humanitarian Action for Children Appeal: Who to contact for further information: Jacques Boyer Representative Yaoundé, Cameroon, Tel: Fax: Arsene Azandossessi Deputy Representative Yaoundé, Cameroon Tel: Mobile Fax: Sara Karimbhoy Chief Field Operations & Emergencies Yaoundé, Cameroon Tel: Mobile Fax:

10 Annex A SUMMARY OF PROGRAMME RESULTS* National Response Overview Results (Lake Chad Basis Crisis & CAR Refugee Crisis) Sector Response UNICEF National Overall Needs 2018 Total Results Change since last report 2018 Total Results Change since last report WATER, SANITATION & HYGIENE Number of people provided access to water for drinking, cooking and personal hygiene 826, ,000 15,250 6,250 40,000 3,000 3,000 Number of people provided with access to appropriate sanitation 696, ,000 Number of people provided with WASH kits* 592, ,000 10,885 1,720 75,000 8, ,814 10, ,000 18,644 10,321 EDUCATION Number of school-aged children 4-17, including adolescents, accessing education in a safe and protective learning environment. Number of school aged children 4-17 year benefiting from teaching and learning materials Number of children who benefited from the services of teachers who are trained in psychosocial support and conflict and disaster risk reduction. HEALTH Number of children immunized against measles 610, , , , , ,000 11, ,000 13,256 1,942 1, ,000 1, , ,487 Number of pregnant women that have received 2 Long Lasting Insecticidal Nets (LLINs ) NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment 44,728 38,646 Performance of integrated program for severe acute malnutrition treatment CHILD PROTECTION 23,457 25,029 7,166 40,482 26,424 7,539 >75% 84.2% 0 >75% 84.2% 0 Number of children reached with psychosocial support through child friendly/safe spaces (girls and boys) 101,766 16,130 85,000 28,649 6,193 Number of children suspected or verified associated with an armed group (including children released from detention) provided with temporary care or family / community reintegration support Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who benefited from individual follow-up (SC/ UAC ; girls / boys) 1, ,

11 Number of Unaccompanied Children reunified with families (girls and boys) Number of conflict affected children provided with Birth Certificate 3,988 2,661 12,000 2,661 2,661 Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services (behavior/best practices) through community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, etc) participating as agents of social mobilization at community level 235, , ,

12 Lake Chad Basin Crisis Sector Response UNICEF and IPs Sector Overall needs 2018 Total Results Change since last report 2018 Total Results Change since last report WATER, SANITATION & HYGIENE Number of people provided access to water for drinking, cooking and personal hygiene 534, ,000 15,250 6,250 30,000 3,000 3,000 Number of people provided with access to appropriate sanitation 556, ,000 6,673 1,720 50,000 4,953 0 Number of people provided with WASH kits* 472,000 EDUCATION 350,000 18,814 10, ,000 18,644 10,321 Number of school-aged children 4-17, including adolescents, accessing education in a safe and protective learning environment. 400, , ,00 0 Number of school aged children 4-17 year benefiting from teaching and learning materials 342, , , Number of children who benefited from the services of teachers who are trained in psychosocial support and conflict and disaster risk reduction. 342, , , HEALTH Number of children immunized against measles 43,568 Number of pregnant women that have received 2 Long Lasting Insecticidal Nets (LLINs ) 13,582 NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment in Far North 23,945 21,465 14,301 2,579 21,555 14,556 4,690 Number of children aged 6 to 59 months with SAM admitted for treatment in North 12,093 10,884 6,903 1,530 11,012 6,903 1,683 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 >75% >75% 89.7% 3.8% >75% 89.7% 0% >75% >75% 80.0% 0% >75% 80.0% 0% Number of children reached with psychosocial support through child friendly/safe spaces (girls and boys) 251,073 99,390 16,130 70,000 26,273 6,193 Number of children suspected or verified associated with an armed group (including children released from detention) provided with temporary care or family / community reintegration support Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who benefited from individual follow-up (SC/ UAC ; girls / boys) ,508 1, ,

13 Number of Unaccompanied Children reunified with families (girls and boys) Number of conflict affected children provided with Birth Certificate 12,500 Communication for Development (C4D) # of person (IDPs and host communities) reached with information about WASH / health / nutrition / education services (behavior/best practices) through community-based social mobilization and/or outreach activities # of community leaders (traditional leaders, local political leaders, religious leaders, teachers/principals, etc) participating as agents of social mobilization at community level 3,988 2,661 9,000 2,661 2, , , , *All results are cumulative. ** The target includes 10,000 people for the North region. ***UNICEF targets can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out-of-camp refugees. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry.

14 CAR Refugee Crisis Sector Response UNICEF and IPs Sector Overall needs 2018 Total Results Change since last report 2018 Total Results Change since last report WATER, SANITATION & HYGIENE Number of people provided access to water for drinking, cooking and personal hygiene 292,000 45,000 10,000 Number of people provided with access to appropriate sanitation 140,000 73,000 4, ,000 3,954 0 Number of people provided with WASH kits 120,000 90,000 20,000 EDUCATION Number of school-aged children, including adolescents, accessing education in a safe and protective learning environment 210, ,000 13,256 1, ,000 13,256 1,942 Number of school aged children benefiting from teaching and learning materials 152, , , Number of children who benefited from the services of teachers who are trained in psychosocial support and conflict and disaster risk reduction. 152, , ,000 HEALTH Number of children immunized against measles 17,919 Number of pregnant women that have received 2 Long Lasting Insecticidal Nets (LLINs ) 9,875 NUTRITION Number of children aged 6 to 59 months with SAM admitted for treatment in East and Adamaoua regions 8,690 6,297 3, ,915 4,965 1,166 Performance of integrated program for severe acute malnutrition treatment in East and Adamaoua : cured rate >75% >75% 84.1% -0.4% >75% 84.1% -0.4 % CHILD PROTECTION Number of children reached with psychosocial support through child friendly/safe spaces (girls and boys) 2, ,000 2,376 0 Number of Unaccompanied and Separated Children (UASC) identified and/or placed in alternative care arrangements and/or who benefited from individual follow-up (SC/ UAC ; girls / boys) Number of conflict affected children provided with Birth Certificate 3,000 *All results are cumulative. **UNICEF targets can exceed that of the sector because the nutrition sector does not cover refugee camps, whereas UNICEF covers both the camps and out-of-camp refugees. Nutrition normally reports the data received from the previous month due to the reporting system from the ministry.