Periodic Monitoring Report 2016 Humanitarian Response Plan - Nigeria

Transcription

1 Periodic Monitoring Report 216 Humanitarian Response Plan - Nigeria Covering July to December 216 Prepared by the Inter-Sector Coordination Group for the Humanitarian Country Team NIGERIA Photo credit: Ghalia Seifo

2 July - December 216 PERIODIC MONITORING REPORT Nigeria FOREWORD The Humanitarian Response Plan 216 for Nigeria was revised in September to include additional needs discovered in newly accessible areas, mostly in Borno state. Correspondingly, the financial ask was increased from $ 279 million to $ 484 million. The source of IDP and returnees used in the Periodic Monitoring Review (PMR) are primarily based on IOM s Displacement Tracking Matrix (DTM) XIII as of December 216. The PMR as of December 216 reflects overall and sectoral accomplishments for the humanitarian response in Nigeria s Northeast. The PMR reports on the four (4) priority states under the HRP. These are Borno, Adamawa, Yobe and Gombe states. The PMR also shows key milestones achieved during the response that improved coordination and synergy with the Government of Nigeria.

3 Nigeria PERIODIC MONITORING REPORT July - December 216 ABBREVIATIONS AND ACRONYMS AAH/ACF Action Against Hunger ECD Early Childhood Development ADRA Adventist Development and Relief Agency ECHO European Civil Protection and Humanitarian International Aid Operations AE Alternative Education ETS Emergency Telecommunications Sector ALIMA The Alliance for International Medical Action EiEWG Education in Emergency Working Group AoH Arm of Hope ERL Early Recovery and Livelihoods AUN American University of Nigeria ES Emergency Shelter BSFP Blanket Supplementary Feeding Programme EWARS Early Warning and Response System BSHRC Borno State Humanitarian Response FAO Food and Agriculture Organization Committee CA UK Christian Aid UK FFP Food for Peace CBPF Country Based Pooled Funds FMoH Federal Ministry of Health CCCM Camp Coordination and Camp Management FSLVA Food Security, Livelihoods and Vulnerability Assessment CERF Central Emergency Response Fund FSWG Food Security Working Group CFS Child Friendly Space GAM Global Acute Malnutrition CH Cadre Harmonise GBV Gender Based Violence CIDAR Centre for Integrated Development and GBVIMS Gender Based Violence Information Research Management System CISCOPE Civil Society Coalition for Poverty Eradication GoN Government of Nigeria CMCOOR Civil Military Coordination HC Humanitarian Coordinator D CMAM Community-based Management of Acute HCT Humanitarian Country Team Malnutrition ComCen Communications Center HCWG Humanitarian Coordination Working Group COOPI Cooperazione Internazionale HNO Humanitarian Needs Overview CP Child Protection HRP Humanitarian Response Plan CPSWG Child Protection Sub Working Group HQ Headquarters CRUDAN Christian Rural and Urban Development ICT Information and Communications Technology Association of Nigeria CTP Cash Transfer Programming IDPs Internally Displaced People CWC Communication with Communities IDSR Integrated Disease Surveillance and Response DHC Deputy Humanitarian Coordinator IEC Information, Education and Communication DMS Displacement Management System IHP International Humanitarian Partnership DRR Disaster Risk Reduction IM Information Management DTM Displacement Tracking Matrix IMOs Information Management Officers ECC Emergency Coordination Center IMC International Medical Corps

4 July - December 216 PERIODIC MONITORING REPORT Nigeria ABBREVIATIONS AND ACRONYMS IMCI Integrated Management of Childhood Illnesses PDM Post Distribution Monitoring IMTF Inter-Ministerial Task Force PFA Psychological First Aid INGOs International Non-Government Organizations PHC Primary Health Care IOM International Organization for Migration PLW Pregnant and Lactating Women IPC Integrated Food Security Phase Classification (P)SEA (Prevention of) Sexual Exploitation and Abuse IRC International Rescue Committee PSS Psychosocial Support Services ISWG Inter Sector Working Group PSWG Protection Sector Working Group IYCF Infant and Young Child Feeding RUWASSA Rural Water Supply and Sanitation Agency L3 Level 3 SADD Sex and Age Disaggregated Data LGA Local Government Area SAM Severe Acute Malnutrition LNA Learning Needs Assessment SBMC School Based Management Committee MBNP Ministry of Budget and National Planning SCI Save the Children International MC Mercy Corps SEMA State Emergency Management Agency MHPSS Mental Health and Psychosocial Support SEL Social Emotional Learning MMC Maiduguri Metropolitan Center SGBVWG Sexual Gender Based Violence Working Group MoA Ministry of Agriculture SMART Standardized Monitoring and Assessment of Relief and Transitions MoH Ministry of Health SMoH State Ministry of Health MoWR Ministry of Water Resources SO Strategic Objective MRE Mine Risk Education SOP Standard Operating Procedures MUAC Mid-Upper Arm Circumference SPHCDA State Primary Healthcare Development Agency NEMA National Emergency Management Agency SUBEB State Universal Basic Education Board NFE Non-Formal Education TF Tearfund NFI Non-Food Items TLS Temporary Learning Space NFLC Non-Formal Learning Center UASC Unaccompanied and Separated Children NHRC National Human Rights Commission UNDP United Nations Development Programme NRC Norwegian Refugee Council UNDSS United Nations Department of Safety and Security OCHA Office for the Coordination of Humanitarian UNFPA United Nations Population Fund Affairs OHCT Operational Humanitarian Country Team UNHCR United Nations High Commissioner on Refugees Oxfam GB Oxfam Great Britain UNICEF United Nations Children's Fund OI OXFAM International USAID United States Agency for International Development

5 Nigeria PERIODIC MONITORING REPORT July - December 216 UXO/IED WASH WFP WHO WHS Unexploded Ordnance/ Improvised Explosive Device Water, Sanitation and Hygiene World Food Programme World Health Organization World Humanitarian Summit

6 July - December 216 PERIODIC MONITORING REPORT Nigeria FUNDING: 484 million ($US) Required 52% of total requirement million ($US) Received Source: Financial Tracking Service (FTS) As of 31 December 216 CONTENTS: Overview... 6 Changes in context... 8 Humanitarian context... 8 Needs analysis... 8 Response capacity... 9 Strategic Objectives: Achievements to date... 1 Strategic Objective Strategic Objective Strategic Objective Analysis Funding analysis Challenges Contingency/Preparedness Plans Analysis of achievements against funding and challenges Recommendations Sector Achievements... 2 Camp Coordination and Camp Management... 2 Emergency Shelter and Non-Food Items (NFI) Education Food Security Health Nutrition Protection Protection: Child Protection Sub- Sector Protection: Gender Based Violence Sub-Sector Water, Sanitation and Hygience Early Recovery and Livelihoods Roles and Responsibilities Hidden text OVERVIEW Key achievements toward Strategic Objectives For implementation of the Humanitarian Response Plan (HRP) in 216, the Humanitarian Country Team (HCT) achieved the following: For implementation of the Humanitarian Response Plan (HRP) in 216, the humanitarian country team achieved the following: - About 966,6 individuals out of the targeted 1,5,5, were provided with food assistance through in-kind and cash/voucher interventions - There were approximately 1,713,4 persons who had access to safe water; out of the targeted 1,666,188 individuals. - Only 31per cent of targeted children, or 197,7 out of 63,, had access to classroom equipped with WASH facilities. - About 131, beneficiaries were provided with Non-Food Item (NFI) kits, or about 211per cent of the target (61,835). - About 486,3 individuals were biomaterically registered out of the targeted 48,; some 5,48 were identified as unaccompanied and separated children (UASC) that needed assistance. - About 71,34 individuals (or 277per cent), out of the targeted 253,, were provided with psychosocial support to promote their well-being. - Approximately 8,6 children (or 54 per cent of children), benefitted from life skills lessons in the classrooms/non formal education (NFE) centers. To complement operations, the following milestones were achieved: - Declaration of internal Level 3 (L3) that called for corporate emergency respone among sector lead agencies, increasing capacity for sector leadership, information management and operations deployed in Maiduguri. - Deployment of a Deputy Humanitarian Coordinator (DHC) who leads the newly established Operational Humanitarian Country Team (OHCT) in Maiduguri. - Commenced the establishment of humanitarian hubs and spokes from Maiduguri operations to bring services closer ot the affected people. - Emergency Telecommunications Sector (ETS) was established in November 216 to support the scale up of the response. - UNDSS Communications Center (ComCEN) upgraded to a 24/7 base to support operations in the field. Challenges - Increasing needs realized as more areas are accessed without funding resources commensurate to the needs. - Internal L3 declaration has not reached the scale that it should be as additional human and financial resources are still needed. - Coordination at Maiduguri level has not fully covered operational support in Adamawa and Yobe states, as originally planned. - Continued grave violation of human rights and increasing cases of genderbased violence (GBV) and sexual exploitation and abuse (SEA), including freedom of movement among IDPs in camps and reports of food in exchange for sex. Recommendations - Continue and increase on-going resource mobilization through regular donor briefings and bilateral donor engagements. - Increase visibility and the profile of humanitarian situation in the Northeast through engagement of different stakeholders in and outside the country. - Actualize multi-stakeholder referral system and operationalization of community engagement mechanisms to address SEA and GBV, including engagement of local authorities in responding to these cases. - Deploy additional humanitarian workers with appropriate profile and provide adequate safety support. - Establish a country-based pooled funds (CBPF) to support the Humanitarian Response Plan (HRP) for 217 and address severely underfunded sectors in a time-efficient and agile manner.

7 Nigeria PERIODIC MONITORING REPORT July to December 216 PARTNER PRESENCE 7

8 Nigeria PERIODIC MONITORING REPORT July to December 216 OVERVIEW OF SECTORAL ACHIEVEMENTS 3.9 M 4.7 M People Targeted Revised People Targeted 216 HRP REVISED 216 HRP SECTOR PEOPLE IN NEED PEOPLE PEOPLE COVERAGE NUMBER OF PROJECTS FINANCIAL REQUIREMENTS (million $) NUMBER OF PROJECTS FINANCIAL REQUIREMENTS (million $) FUNDING COVERAGE WASH 6,2, 2,8, 1,713,48 61% % Health 3,7, 2,6, 3,89,4 15% % Early Recovery 7,, 2,2, % % Nutrition 2,5, 2,, 1,722,44 86% % Protection 5,45, 1,64, 1,766,114 18% % Food Security 3,9, 1,5, 1,928, % % Emergency Shelter & NFI 1,6, 926, ,782 92% % Education 1,, 63, 274,569 44% % CCCM 625, 4, 486, % % 7

9 Nigeria PERIODIC MONITORING REPORT July to December 216 CHANGES IN CONTEXT Humanitarian context The humanitarian crisis in Nigeria s Northeast, which is towards its eighth year, continues to mount, including the unprecedented level of food insecurity, malnutrition and protection concerns. More than 1.8 million people are internally displaced and nearly 2, living as refugees in neighbouring countries of Cameroon, Chad and Niger. The 216 HRP targeted 3.9 million people out of the total 7 million in need. The assessment of newly accessible areas in the 2 nd quarter of the year unfolded increased needs which correspondingly increased the financial requirements of the HRP to a total of $ 484 million. Out of the 7 million people in need identified for the 216 HRP, 3.9 million were targeted for the response. By end of December 216, the Displacement Tracking Matrix 1 (DTM), recorded total IDPs reached 1,77,444 (or 313,923 households). Dispalced families are staying in camps and camp-like settings (24per cent) and host communities (76per cent). Of the displaced, 55per cent are female; 55per cent are children (-18 years); 8.2per cent are infants below one year, and 7.4per cent are above 6 years. Largest IDP population are located in the states of Borno, Adamawa and Yobe. Needs Analysis More needs unfolded as areas become more accessible to humanitarian agencies. Some of the families from the newly accessible areas have moved to Maiduguri in anticipation of accessing more services. However, existing IDP camps are overcrowded and in deplorable living conditions. Host communities, who are equally impoverished, have their resources over-stretched in accommodating IDPs. The 217 Humanitarian Programme Cycle was initiated by the 2 nd semester of 216. The Humanitarian Needs Overview (HNO) revealed that were 14.8 million people in need of assistance. About 1.7 million people were internally displaced with significant numbers in Adamawa, Borno, Gombe and Yobe states. Further, the HNO indicated the following if needs are not addressed urgently: Over 5 million people will fall into crisis and emergency food insecurity including 12, in famine conditions. Every 1 in 5 of the children facing severe acute malnutrition (SAM) is likely to die. Children with severe acute malnutrition will be nine times more likely to die than a properly nourished child. About 2 million people will be one step away from famine. Agricultural communities will likely to collapse and it will take decades to recover. Increased rates of illness for 2.6 million people due to communicable diseases such as malaria, acute respiratory tract infections and other diseases. More cases of the wild polio virus which will push Nigeria back to a point where polio will become a major issue again. Fewer vaccinations will increase outbreaks of fatal childhood illnesses. A shortage of basic life-saving medicines and a break down in health service delivery; fewer health facilities with inadequate trained health staff. About 1.6 million children will have no access to education. They are at risk of recruitment to armed groups, early marriage/pregnancy, exploitative labour and trafficking of children. Girls and boys left to fend for themselves with little or no knowledge of essential life-saving skills and knowledge of hygiene and health, physical and psychological integrity, mine awareness and peace-building. 1 By the International Organization of Migration (IOM) and National Emergency Management Agency (NEMA) 7

10 July - December 216 PERIODIC MONITORING REPORT Nigeria Continued breakdown of family unity and fewer prospects for reintegration and support for returnees back to communities. Lack of acceptance for Boko Haram victims and worsening of their psychosocial wellbeing. Women and girls face sexual and exploitative abuse. Further informal settlements will appear without adequate infrastructure, WASH, shelter and livelihoods. The cycle of violence and displacement will continue as further burden is placed on IDPs and host communities, increasing already fragile vulnerabilities. Response Capacity The 216 HRP was focused on four out of six states in Northeast Nigeria. These are the states of Borno, Adamawa, Yobe and Gombe. With the access to new areas, the establishment of humanitarian hubs and spokes from Maiduguri commenced in the last quarter of 216. The humanitarian hubs were expected to be the best enabler to bring the response closer to the affected populations. By the end of 216, there were 57 humanitarian partners in Borno, 34 in Adamawa, 36 in Yobe and 17 in Gombe. Overall, 75 humanitarian partners work in the four states. Out of the total, 29 were INGOs, 17 were National NGOs, 18 were government agencies, eight were UN Agencies and three from ICRC and/or Red Cross. 1

11 Nigeria PERIODIC MONITORING REPORT July - December 216 STRATEGIC OBJECTIVES: ACHIEVEMENTS TO DATE Strategic Objective 1: Deliver coordinated and integrated life-saving assistance to people affected by emergencies. Progress toward Strategic Objective 1 Key achievements fulfilling SO1 included reaching more than twice the targeted vulnerable populations for the provision of psychosocial support or 71,34 invividuals vs. target of 253,. Access to safe water by IDPs has benefitted abut 1,713,48 individuals out of the 1,666,188 target. The ES/NFI Sector distributed NFI kits that reached 13,994 households or equivalent to 211per cent of target. Complementary WASH facilities were installed in classrooms accessed by 197,697, representing about 31per cent of target. About 8,631 children (or 54per cent of target) had access to life skills lessons in the classrooms or nonformal education (NFE) centers. The Education sector only received 18per cent funding for 216. Indicators: Targets vs. Results to date Number of vulnerable persons provided with psychosocial support to promote their wellbeing 2. 8, 7, 6, 5, 4, 3, 2, 1, 253, 71,34 2 Total psychosocial support services from Protection, Child Protection and GBV. 11

12 July - December 216 PERIODIC MONITORING REPORT Nigeria Number of IDPs with access to safe water 1,8, 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, 1,8, 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, 1,666,188 1,713,48 Number of NFI kits delivered to households in need. 14, 12, 1, 8, 6, 4, 2, 14, 12, 1, 8, 6, 4, 2, 61,835 13,994 Number of children benefitting from safe and equipped classrooms with adequate male and female WASH facilities in affected areas. 7, 6, 5, 4, 3, 2, 1, 7, 6, 5, 4, 3, 2, 1, 63, 197,697 12

13 Nigeria PERIODIC MONITORING REPORT July - December 216 Number of targeted children with access to life skills lessons in the classrooms/nfe centers. 16, 14, 12, 1, 8, 6, 4, 2, 16, 14, 12, 1, 8, 6, 4, 2, 15, 8,631 Strategic Objective 2: Track and analyse risk and vulnerability, integrating findings into humanitarian and development programming Progress toward Strategic Objective 2 In line with tracking and analysing vulnerability to inform humanitarian nd development programming, there were 486,312 persons biometrically registered out of the 4, persons targeted. Unaccompanied and separated children (UASC) identified for appropriate supported were reported to have reached 5,48 out of 6,3 target or approximately 91per cent. Number of referrals for specialized GBV care reached 33 out of the target of 7,55. Indicators: Targets vs. Results to-date Number of eligible persons biometrically registered 6, 6, 5, 4, 3, 2, 1, 5, 4, 3, 2, 1, 4, 486,312 13

14 July - December 216 PERIODIC MONITORING REPORT Nigeria Number of unaccompanied and separated children (UASC) identified 7, 6, 5, 4, 3, 2, 1, 7, 6, 5, 4, 3, 2, 1, 6,3 5,48 Number of referrals for specialized GBV care supported 8, 7, 6, 5, 4, 3, 2, 1, 8, 7, 6, 5, 4, 3, 2, 1, 7,55 33 Strategic Objective 3: Support vulnerable population to better cope with shocks by responding earlier to warning signals, by reducing post-crisis recovery times and by building capacity of national actors. Progress toward Strategic Objective 3 Strategic objective 3 focuses on preparedness and building resilience among the affected populations. There were 192 schoolsreached with the establishment of school-based management committees (SBMCs) to support the conduct of preparedness activities. To ensure timely detection, response and coordination in case of disease outbreaks, there were 16 health personnel trained out of the targeted 42. Due to lack of funding, no achievement was attained for assisting households with sustainable habitat in areas of return by the Early Recovery Sector. 14

15 Nigeria PERIODIC MONITORING REPORT July - December 216 Indicators: Targets vs. Results to-date Number of targeted schools in conflict affected states with established SBMCs able to conduct emergency preparedness activities Number of health authority personnel trained on disease outbreak response and coordination Number of vulnerable households assisted with sustainable habitat at places of return 3 3 No information available from the sector 15

16 July - December 216 PERIODIC MONITORING REPORT Nigeria 25, 2, 15, 1, 5, 25, 2, 15, 1, 5, 21, ANALYSIS Funding analysis By the end of 216, the HRP financial requirement was only 52per cent funded. A total of $254.4 million was received as against the required $484 million. The limited funding for the year had a proportionate impact on the level of implementation and progress by the sectors. Funding: Required vs. Received to date (million $US) 484 million ($US) million ($US) 52% Total Required Total Received Total Funded Unmet: million ($US) Food Security Protection Emergency Shelter & NFI Health WASH Nutrition Required Received Early Recovery Education Coordination CCCM Source: Financial Tracking Service (FTS) as of 31 December

17 Nigeria PERIODIC MONITORING REPORT July - December 216 Challenges The continuing counter-insurgency operations of the Nigerian Government against Boko Haram have opened new areas and increasing humanitarian needs continue to unfold. In 216, about 8, individuals were estimated to be in the newly accessible areas while there are more than 2 million people believed to be still trapped in areas outside the LGA headquarters (HQ). Access to individuals in these areas are limited up to LGA HQ level only, as security still remains unpredictable and pose a major constraint for access. While needs unfold, the financial resources mobilized are not proportionate, leaving a huge chunk of needs still unmet. The internal L3 declaration among key sector lead agencies, did not translate into delivering what a systemwide L3 should have done. There was a significant gap between the vision vs what is being done. Moreover, staff were deployed on ground without corresponding appropriate logistics and medical services. Given the complexity of the situation, getting the right people with right profile is of utmost priority. The shift of center of gravity of operations from the Federal Capital to Maiduguri and closer to the affected areas and internal L3 activation triggered increased human resource capacity and actual implementation in the field. Still, the scale up has not been commensurate to the magnitude of needs. The coordination mechanisms at Maiduguri level have not fully covered operational support in Adamawa and Yobe states as originally planned. Althought, it is noteworthy that an Operational HCT has been established in Maiduguri and chaired by the DHC who is based there. The OHCT needs to better support the Inter Sector Working Group (ISWG) in Maiduguri and vice versa. In a similar manner, the roles and responsibilities of the ISWG in Abuja and Maiduguri needs to be reviewed to better complement each other. There is continued grave violation of human rights and increasing cases of GBV and SEA. There are 6.7 million cases 4 of protection concerns; nearly half of them are of children. Protection needs in the northeast remain severe, especially for vulnerable groups. Since the start of the conflict in 29, it is estimated that more than 2, people have been killed and 4, women and girls abducted 5. As of December 216, the 3rd Vulnerability Screening 6 covered 17,73 vulnerable displaced households comprised of 18,65 individuals. In Borno, out of the total of 38,279 displaced households in newly accessible areas, 46per cent are vulnerable and about 31per cent are women and girls who are survivors of or at imminent risk of sexual and gender based violence (SGBV). Previous rounds of vulnerability screening and protection assessments have also revealed high level of vulnerability in Yobe and Adamawa states. Vulnerable IDPs and members of the host communities including in newly accessible areas experience insecurity and incidents of arrest/detention, reported cases of exchange of humanitarian assistance for sex, cases of forced family separation, physical and emotional abuse of children, child begging/hawking and unaccompanied/separated children (UASC), including orphans and child-headed households. The violence involves the use of women and children as suicide bombers. Women and children suspected of association with Boko Haram face stigma, abuse, arbitrary detention and family separation. Not only is the violence and abuse a direct result of the conflict and the counter-insurgency measures but also an outcome of lack of adequate humanitarian assistance. Contingency/Preparedness Plans In view of the rainy season, sectors in Maiduguri jointly came up with emergency response plan particularly for IDP camps. Such sectors were CCCM/ NFI/ Shelter, Health and WASH. The WASH sector intensified its awareness raising campaign that extended beyond the camps to host communities and areas at risk of cholera. With such coordinated efforts and in partnership with Government ministries and local civil society, no cholera outbreak was experienced in 216. For Adamawa state, under Government leadership and OCHA support, sector partners developed an inter-agency contingency plan in preparation for the rainy season. 4 According to the HNO According to Nigeria Humanitarian Needs Overview (HNO) By the Protection Sector Working Group (PSWG) 17

18 July - December 216 PERIODIC MONITORING REPORT Nigeria In the last quarter of 216 when areas became more accessible, establishment of humanitarian hubs was recognized as the best enabler to bring the response closer to the affected people. In October 216, a mission led by the International Humanitarian Partnership (IHP) was conducted to assess the feasibility of hubs. These hubs are where humanitarians will operate from, on the ground. Hubs will also include installation of necessary security regime to protect staff in line with MOSS/MORSS compliance, and establish safe relocation routes in case of an emergency. By end of December, the hub in Maiduguri, Borno state was completed providing accommodation to increasing humanitarian staff deployed to the field. For 217, at least six more sites will be established. Analysis of achievements, against funding and challenges In mid 216, the financial ask for the 216 HRP was revised upwards from $279 million to $ 484 million to cover additional needs inn newly accessible areas, for an estimated of 8, individuals. By end of 216, the 216 HRP was funded 52 per cent or equivalent to $254.4 million. The HCT continues to be concerned of the level of funding mobilized for the response. Out of the nine sectors, only two have received more than 5per cent. These are Nutrition (67per cent) and Camp Coordination and Camp Management (9per cent). Seven sectors received under 5per cent funding. These are Food Security (44per cent), Emergency Shelter/Non-Food Items (32per cent), Health (22per cent), Education (18per cent), WASH (15per cent), Protection (13per cent) and Early Receovery (less than 1per cent). The funding constraints significantly affected the sector accomplishments, resulting to non-achievement of scale up to the required level. The HCT, led by the HC and DHC, is continuously intensifying resource mobilization efforts through government and donor engagement and increased advocacy efforts both at the national and international levels to raise the profile of the humanitarian crisis in the Northeast. While the humanitarian community faced a difficult challenge in terms of resource mobilization, it has continued to increase humanitarian action by declaring internal L3 to increase capacity in sector leadership and response. The L3 declaration called for corporate emergency within the humanitarian system to mobilize experienced sector coordinators and IMOs. Most sector coordinators were based in Maiduguri to fulfill the shift of operational coordination to the field. However, sectors were still confronted with high turn over of staff as most were deployed on secondment or through standby partner. Long term solutions should be taken in terms of human resource capacity Still consistent with the shift of operational coordination, the DHC came in October 216 and since then been based in Maiduguri. The DHC chairs the OHCT, which was created to provide direct linkage from the field to the HCT in Abuja. The OCHT focuses on operational concerns and issues while the HCT in Abuja focuses on strategic issues and engagements with key stakeholders in and outside the country. This leadership capacity build-up has significantly improved coordination mechanisms in Borno state. The establishment of humanitarian hubs was prioritized in the 2 nd semester of 216 to address needs in newly accessible areas. With this, the Emergency Telecommunications Sector was set up to support the hubs as well as scale up the response of individual agencies. Correspondingly, the UNDSS Communications Center was then established to full operational capacity in the field, at 24/7. Following sustained advocacy, international attention on the humanitarian crisis is growing. The government, through a presidential order set up an Inter-Ministerial Task Force (IMTF) in October 216 to improve coordination at federal level. The IMTF is led by the Ministry of Budget and National Planning (MBNP) to coordinate national authorities vis-à-vis the international community. A corresponding committee was set up in Borno state to coordinate government and humanitarian partners called Borno State Humanitarian Response Committee (BSHRC). An Emergency Coordination Center (ECC) was established in Abuja where humanitarian actors and government regularly meet, at least once a month, in a forum called Humanitarian Coordination Working Group (HCWG). The GoN was directly involved in the 217 HNO and HRP preparations through the HCWG. The HC supported the humanitarian partners, UN and INGOs, to address government administrative bottlenecks to streamline visa processing, INGO registration, and exemption and immediate customs clearance for humanitarian goods coming into the country. The HC is regularly engaging key interlocutors in the government on these. 18

19 Nigeria PERIODIC MONITORING REPORT July - December 216 The Civil Military Coordination (CMCOORD) continues to work with the government authorities at federal and state levels to facilitate humanitarian space. A sub-committee on Security and Movement is regularly meeting to discuss and facilitate humanitarian access. This is composed of CMCOORD and Access officers from humanitarian agencies and government authorities for regular interaction and exchange. The sub-committee is under the auspices of the BSHRC led by the State Government of Borno. The Governments of Nigeria, Cameroon, Chad and Niger and key protection stakeholders convened in a two-day Regional Protection Dialogue summit in June to discuss protection needs and incidents, including cases of refoulement, leading to the adoption of the Abuja Action Statement. A ministerial-level meeting was thereafter held on the finalization of a Tripartite Agreement between Nigeria, Cameroon and UNHCR for the safe and voluntary return of Nigerian refugees back from Cameroon. The Action Statement was widely shared with protection actors and has been used for the revision of the protection strategy of the Sector in November It is expected that the tripartitie agreement will be signed in the first quarter of 217. Recommendations It is apparent that the humanitarian community has reached a shared and common understanding of needs, gaps and intended response. This requires a continued complementary resource mobilization through regular donor briefings 8, bilateral donor engagements, outreach to non-traditional donors such as the private sector and advocacy activities. With the Nigeria s humanitarian crisis in the Northeast competing with other global emergencies, it is crucial to increase visibility and profile of humanitarian situation in the Northeast through engagement of different stakeholders in and outside of the country. The humanitarian dashboards, key messages, press briefings and situation reports are tools that can help raise consciousness of authorities and international community. A strategy needs to be articulated to guide media engagement to ensure/ help tell the stories better. Joint and complementary advocacy needs to be agreed within and undertaken by the humanitarian community to ensure that national actors, regional organisations, civil society, private sector, media, etc., take humanitarian concerns into account. Recognizing that the protection issues are driven by the lack or inadequate access to humanitarian assistance, the HCT needs to pursue robust response to increasing SEA and GBV cases. A multi-stakeholder referral system needs to be actualized including the operationalization of community engagement to increase community-based response, including engagement of local authorities in responding to these cases. To enable continued scale up of response, additional humanitarian workers with the appropriate profile needs to be mobilized and deployed in the field and ensure coverage of Adamawa, Yobe and Gombe states. Disproportionate attention is given to Borno operations that the three other states are somehow overlooked. Upon deployment of the humanitarian workers, adequate medical and safety support should be provided to ensure that they are fit and safe to roll out the response. As realized in the preprations for the 217 HPC, the HCT needs to establish a country-based pooled funds (CBPF) to address severely underfunded sectors in a time-efficient and agile manner. Given the volatile situation in Nigeria coupled by the delicate capacity of sectors/ agencies whilst the humanitarian needs are increasingly unfolding, a consolidated action under the leadership of the Humanitarian Coordinator such as the CBPF is imperative. This is an active and direct initiative to underfunded yet critical sectors while building national and local capacities. Likewise, this will fulfill the commitment in the World Humanitarian Summit (WHS) to a wider sectoral response and participation of local and national responders. 7 PSWG Annual Report, December Regular briefings are currently held at least once a month, led by the HC and DHC. 19

20 July - December 216 PERIODIC MONITORING REPORT Nigeria CAMP COORDINATION AND CAMP MANAGEMENT SECTOR OVERVIEW COORDINATOR: National Emergency Management Agency (NEMA) Co Lead: International Organisation for Migration (IOM) NUMBER OF PEOPLE IN NEED, AND 625, IN NEED 4, 486,312 91% Covered of US$ 12.4 million required 6, 5, 4, 3, 2, 1, 64% Percentage of people in need targeted for the response CUMULATIVE NUMBER OF PEOPLE THROUGH DECEMBER % Percentage of people reached TOTAL PEOPLE BY SEX 146,145 girls 123,382 boys 97,497 women 83,221 men 17,933 elderly women 18,134 elderly men 3 Number of projects in 216 Humanitarian Response Plan (HRP)* 5 PARTNERS** 1 project funded. 2 projects not funded. * Based on projects in the OPS submitted for appeal ** Based on Who does What Where (3Ws) Progress towards Sector Objectives The sector objectives in the Nigeria 216 Humanitarian Response Plan included tracking and profiling of displaced populations to enable assistance by all sectors. Other objectives aimed at improving the quality of life of displaced populations in camps and camp-like settings through monitoring and site facilitation approaches and camp upgrading through site plans, camp care and maintenance activities as well as capacity building of NEMA and SEMAs camp managers to reinforce camp management. Within this framework, assistance was directed primarily for registration, Displacement Tracking Matrix (DTM) and capacity-building. At the end of 216, interventions included camp care and maintenance and extension of the monitoring mechanisms in priority sites. Despite a high turn-over of camp managers and low funding provided to the sector for specific camp management activities, the sector advocated for the reinforcement of camp coordination and management mechanisms for improved service delivery. In 216, key priority was given to tracking population movements, through the DTM and registration. Out of the 4, IDPs targeted for registration, over 486, IDPs were registered to support the humanitarian response. Frequent tracking reports have been produced with by-products enabling sectors to analyse and plan responses based on dates provided by the DTM. More locations were reached throughout 216, allowing the DTM to cover 2

21 Nigeria PERIODIC MONITORING REPORT July - December 216 the majority of LGAs in the six Northeast affected states 9 and monitor the displacement trends of more than 1.7 million people. However, four out of the 27 LGAs in Borno remained inaccessible. In December 216, the DTM had been enhanced to cover displacement areas in host communities and launched its first location-based assessment outside of camps. The improved tool was used to assess nearly 2, locations where IDPs are living. Additional flash profiles were conducted to capture data on new arrivals and for first-time assessments of newly accessible locations, such as Ngala, Rann, Kukawa/Baga. These profiles also provided details on other newly accessible areas. At a smaller scale, the site facilitation approach was extended to 37 camps, to - monitor needs as well as the reinforce Government s capacity, focusing on Maiduguri area and Adamawa State. The site facilitators supported the State Emeregncy Management Agency (SEMA) and National Emergency Management Agency (NEMA) in monitoring the issues on camp management/provision of services, including data collection and incident reporting. It was however only during the second semester of 216 that the site facilitation approach could be extended, in view of limited funding available. During this time, the CCCM site tracker tool was piloted to reinforce the referral of needs accross sectors for the sites covered. However, limited capacity, high turn-over of Government staff, security and outreach for camp coordination hindered the full improvement of intra-camp coordination, mainly in informal camps and camps located in the LGAs of Borno, particularly in hard to reach areas. The improvement of camps through site planning and coordination of the response was undertaken with site vialibility assessments and specific site plans developed to support the shelter response to address flood and fire risks. The sites improved were Muna Garage, Bama, Gwoza and other LGAs that have become accessible in 216. Toward this end, the sector has also initiatiated a specific CCCM task force to address issues related to the congestion of sites and multisectorial assistance, based on a multisectorial need analysis conducted with all sectors involved. As part of the sector capacity-building activities, the sector continued building the Government capacities for camp management, following the results of the Learning Need Assessment (LNA) conducted during the first quarter of the year. The capacity-budiling activities focused on camp coordinationand camp management issues as well as SPHERE standards, emergency shelter and protection. These activities were conductedduring the last quarter of 216. The high level of turn-over of camp managers and government officials represented a major contraint, thus, requiring continuous capacity building activities in 217. Changes in Context In the second quarter of 216, the increase in access to LGAs in Borno and Adamawa allowed the humanitarian community to start needs assessments in formerly inaccessible locations in Borno, finding high numbers of people in concentrated settlements without dedicated site management agencies. In most cases, the only actors present and partially playing this role have been the military. Continued counter insurgency operations by government resulted to continued mobility of populations, causing the population in camps to swell and flux. People leaving areas previously held by Boko Haram have sought safety and assistance in LGA capitals or in Maiduguri, where massive new camps such as Muna Garage have formed. In August 216, the Federal Government declared a health and nutrition emergency in Borno to acknowledge the deplorable situation of many displaced and affected populations in the state. At the same time, the United Nations decided to elevate the level of emergency within their own agencies to an internal Level 3 Emergency. The profile of the emergency in Northeast Nigeria was acknowledged and acted upon by the UN system and by the Federal Government of Nigeria through the appointment of more senior management staff in late 216, increasing the amount of funding requested to meet urgent needs and the development of new projects to adapt to the new context. Sector Performance The urgency for more robust and effective site facilitation became even clearer in 216. The sector moved towards the end of the year to establish mobile teams to provide coverage across the multiple sites. Investment in raising the 9 Adamawa, Bauchi, Borno, Gombe, Taraba, and Yobe 21

22 July - December 216 PERIODIC MONITORING REPORT Nigeria capacity of existing site facilitators, and by extension the quality of their support to the Government of Nigeria (GoN) camp managers in Maiduguri, had been key. The DTM continued to be conducted on a bi-monthly basis, which includedsite assessmentsthe DTM was used to pilot alocation-based assessment in host communities, with nearly 2, areas of displacement assessed. The DTM expanded biometric registration, including collaboration with WFP in the first phases of their cash assistance programme. Despite the late reception of funding, which hindered the capacity to fully deploy and reinforce the camp management capacities, the sector is on track its objectives and targets for 216. However, the number of site facilitators could not be increased up to the amount required by the sector, therefore, this will be continued in 217. The Federal Government reorganized the sectors in October 216, assigning the responsibility of the coordination of humanitarian response to an Inter-Ministerial Task Force (IATF) and making the line-ministers responsible for assigning directors to lead each sector. The overall coordination of the IMTF fell under the Ministry of State, Budget and Finance and a Chief Humanitarian Coordination was appointed to lead the entire coordination of the Federal Government in liaison with the Humanitarian Country Team (HCT). In the field, the Shelter and Non-Food Items (NFI) sector had been merged with the Camp Coordination and Camp Management (CCCM) sector under the leadership of NEMA and the co-leadership of the International Organization for Migration (IOM) and the addition of the United Nations High Commission for Refugees (UNHCR) in August 216., With the creation of the IMTF and the reorganisation sector leadership, the GoN divided the CCCM & Shelter/NFI sector at Federal level, and kept it merged in the field to support the response in the Northeastern states. NEMA continues to lead the ES/NFI (renamed Shelter ) though close coordination continues with NBS and CCCM. Challenges Limited access to people in need has been the main challenge faced by the humanitarian community. Limited capacity has prevented broader response in hard-to reach locations and in the main urban centres hosting displaced population. Very few actors are implementing Displacement Management System (DMS) activities. Rotation of camp managers limit the impact of the capacity building support provided to date. Displacement management in out-of-camps settings was piloted in Yola, Adamawa State in 215 and 216 but has not been expanded to other locations hosting large numbers of IDPs.The first location based assessment were conducted in December 216 and will inform the response in 217. Camps in hard-to-reach locations are mainly self-managed or managed by the military who ensure coordination apart from providing security. The extension of the site facilitation a/ roving team approach requires stable security situation in the ground. Difficuly in presenting implementation progress due to the low rate of reproting and the large turn-over of staff from partners. Difficulties to mobilise humanitarian partners on CCCM activities. Limited and late (at the end of 216) funding for emergency senior coordination Ssaff and turn-over of surge capacities put pressure on agencies. Actions to be taken Increase the capacity of sector members willing to implement camp management activities through capacity building and increase of funding and staff. Expand monitoring of activities and gaps in camps and camp-like settings through submission of information via the CCCM Multisector Site Tracker with the participation of humanitarian partners. Identify and designate site management agencies in self managed camps and those managed by the military Strengthen coordination with OCHA to ensure multi-sectoral buy-in of intra-camp coordination among sectors working in camps, including reporting to the DTM information of new settlement missing in the previous reports. Development of contingency planning capacities. Continue the flash site profile updates for locations assessed for the first time. 22

23 Nigeria PERIODIC MONITORING REPORT July - December 216 Increase coordination with other sectors to reinforce the referral mechanisms and ensure the buy-in of sectors to the CCCM coordinated approach, through site planning and the development of dedicated SOP toward this end, with the development of performance monitoring mechanisms to measure progress and challenges. Analysis of gaps and achievements against the HRP and redefinition of the strategic action plan for CCCM to reinforce the displacement management mechanisms with partners. PROGRESS TOWARDS SECTOR OBJECTIVES CCCM OBJECTIVE 1: Track and monitor displacement and mobility, including sex and age disaggregated data and information on needs and gaps, in order to establish a comprehensive profile of the displaced population. Relates to SO3 Number of assessment reports published capturing displacement data Number of eligible persons biometrically registered 6, 5, 4, 6, 5, 4, 3, 3, 2, 1, 2, 1, 4, 486,312 23

24 July - December 216 PERIODIC MONITORING REPORT Nigeria CCCM OBJECTIVE 2: Support coordination and management of displacement (both camp and out-ofcamp ) to ensure that minimum standards are upheld, with community participation and engagement, through training and on-site facilitation support. Relates to S1 & SO3 Capacity building trainings held on CCCM for national authorities, local actors and CCCM actors Number of sites (both camp and out-of-camp ) receiving site facilitation support from roving teams

25 Nigeria PERIODIC MONITORING REPORT July - December 216 CCCM OBJECTIVE 3: Support decongestion and upgrade in formal and informal camps, including site planning and improvements where required. Relates to SO1 Number of formal and informal camps assessed for viability Number of formal and informal camps improved through site planning, infrastructure and/or basic engineering works

26 July - December 216 PERIODIC MONITORING REPORT Nigeria EMERGENCY SHELTER AND NON-FOOD ITEMS (NFI) SECTOR OVERVIEW COORDINATOR: National Emergency Management Agency (NEMA) CO LEAD: International Organisation for Migration (IOM) NUMBER OF PEOPLE IN NEED, 1,6, IN NEED 926, ,782 32% Covered of $53.7 million required 58% 92% Percentage of people in need targeted for the response Percentage of people reached Projects funded. CUMULATIVE NUMBER OF PEOPLE THROUGH DECEMBER 216 1,, 9, 8, 7, 6, 5, 4, 3, 2, 1, TOTAL PEOPLE 256,276 girls 216,359 boys 17,968 women 145,933 men 31,447 elderly women 31,799 elderly men Number of projects in 216 Humanitarian Response Plan (HRP)* 16 PARTNERS** 7 projects not funded. * Based on projects in the OPS submitted for appeal ** Based on who does, What, Where (3Ws) Progress towards Sector Objectives The 216 sector objectives in the HRPwere aimed at providing a flexible response in terms of emergency shelter and shelter-related NFIs in areas with high needs such as camps, host communities and areas of return. The objectives also included improving the quality of shelter in camps and decongestion of sites, where possiblethrough the implementation of reinforced emergency shelters. Harmonizing responses to a variety of displacement situations and issues helped achieve some of these objectives. In late 215, the sector adopted a standardized Reinforced Emergency Shelter (named Bakassi internally) model that hosts two families in formal and informal camps in the northeast, to improve the living conditions of people in protracted dispalcement. In July 216, the sector adopted a standard Emergency Shelter model (named Bama ) to respond to new and secondary displacement, particularly in hard-to-reach locations outside state capitals. The sector also standardized two NFI kits (Adamawa and Borno in June 216), with consideration to the results of Post- Distribution Monitoring (PDM) assessments conducted by sector partners. Specific technical committees were set on an ad-hoc basis to respond to the various changes, particularly on shelter, CCCM and cash/vouchers approaches. Changes in Context The 216 HRP was developed for the dynamic local context, where limited Local Government Areas (LGAs) of Borno were accessible to the humanitarian community and ongoing spontaneous returns were occurring to the northern LGAs of Adamawa and the southern LGAs of Borno and Yobe. The largest concentration of displaced people was found in the state capitals of Adamawa, Borno and Yobe. 26

27 Nigeria PERIODIC MONITORING REPORT July - December 216 By the second quarter of 216, the increase in access to LGAs in Borno and Adamawa allowed the humanitarian community to start needs assessments in formerly inaccessible locations in Borno, finding high numbers of people in need of life-saving assistance. In many cases, displaced populations had been rescued from captivity, where they lived in deplorable physical and psychological conditions. The arrival of helicopters allowed eight (8) new areas to be reached by humanitarian actors. Shelter & NFI partners were able to deliver assistance in 15 LGAs in Borno State. Given that no assistance was provided outside Maiduguri in early 216, this represented a notable achievement and change in context in line with the improvement in access and the wider recognition of the urgency of the humanitarian situation in Northeast Nigeria. Sector Performance Out of the 1.6 million people in need of shelter and NFIs, the sector targeted 9,. At the end of December 216, NFI provision had reached 8per centof the entire initial sector target population 1. About 7per cent of the NFI response provided used standardized kits and the rest were provided with individual items based on needs assessment and logistical requirements. However, despite a major response in terms of NFI. Due to population movements in mid-216 and the scale-up of the NFI response toward the end of 216, operational constraints and limited resources allocated to the shelter response prevented the sector from reaching more than 13per cent of the entire target population with shelter related items, particualrly in host communities (37per cent of the initial target population for a shelter response). As of December 216, only 32per cent of the pledged funds for shelter assistance was received against the HRP. Out of the total shelter response, 78per cent was provided in camps and 22per cent in host communities. reflecting an ongoing proportional imbalance compared to the numbers of displaced; and the remainder of shelters were provided to areas of return. The response is on-track based on funding received, nonetheless, with an important proportion of funding allocated for NFI response as compared to the shelter response. The standardized NFI kits were used for large-scale distributions. To maximize benefits to local economies and to provide more expansive choice to benificiaries to meet their specific needs, pilot initatives were expanded in 216 using vouchers. Subsidized rentals for IDPs were also piloted in 216 as a shelter solution for people displaced in host communities. With the activation of the internal L3 emergency for UN agencies in October 216, dedicated staff were deployed as coordinators and information management officers. Since then, during the last quarter, operational coordination has been at the core of the response to respond effectively and fill gaps. This began in Bama, where IDPs had been living on the General Hospital grounds in overcrowded buildings and in makeshift shelters made of iron sheets, and the urgent needs of populations in newly liberated areas and in congested sites in Maiduguri. In order to adapt to the changing needs of the sector, specific ad-hoc technical committees were formed, including on the use of cash/voucher for shelter and NFI, and emergency shelter design. The Federal Government reorganized the sectors in October 216, assigning the responsibility of the coordination of humanitarian response to an Inter-Ministerial Task Force and making the line-ministers responsibles for assigning directors to lead each sector. The overall coordination of the IMTF fell under the Ministry of State, Budget and Finance and a Chief Humanitarian Coordination has been appointed to lead the entire coordination of the Federal Government in liaison with the Humanitarian Country Team. In the field, the Shelter and Non-Food Items sector had been merged with the Camp Coordination and Camp Management sector under the leadership of NEMA and the co-leadership of the International Organization for Migration and the addition of the United Nations High Commission for Refugees in August 216, which also co-leads the Protection sector. With the creation of the IMTF and the reorganisation sector leadership, the Government of Nigeria divided the CCCM & Shelter/NFI sector at Federal level, and kept it merged in the field to support the response in the northeastern states. NEMA continues to lead the ES/NFI (renamed Shelter ) though close coordination continues with NBS and CCCM. 1 Cumulated data based on information provided by partners 27

28 July - December 216 PERIODIC MONITORING REPORT Nigeria Challenges The main challenges have been: limited access to people in need, scaling up rapidly to respond appropriately to humanitarian needs, and the volatile security situation. Underfunding to the different sector members and limited capacity have prevented a broader response in hard-to-reach locations and in the main urban centres hosting displaced populations. Difficulties in reporting activities were exacerbated by the large turnover of staff across sector partners. Limited and late (at the end of 216) funding for senior emergency coordination staff and turnover of surge capacities put pressure on agencies. The shelter sector was funded at 33per cent, with an emphasis on the NFI response and overstreched capacities in 216 to respond to the most immediate shelter needs. While the response has largely scaled up in terms of NFI, the shelter response remained limited. Emergency shelter response only covered 13per cent of the total NFI response. Prioritizing the limited resources to respond to the emergency needs has limited the assistance provided to people returning to their places of origin. The response provided to respond to the shelter needs of this type of population has been limited to the north of Adamawa. Most of the assistance provided were for those in camps and host communities, but not so much in areas of return. Actions to be taken Ensure close collaboration between the WASH and DMS sectors to monitor the needs of displaced populations and of returnees, to ensure that shelter assistance is provided with other complementary intervetions for a holistic package of assistance Work with Government leads and implementing agencies to develop common strategies with clear roles and responsibilities and avoid misunderstandings in terms of objectives, response and needs. Conduct continuous monitoring of assistance to ensure that these meet the beneficiaries needs, culture and preferences through Communication with Communities (CWC) and PDMs. Increase sector members capacities to implement activities in the LGAs of Borno and in hard-to-reach areas, supporting the response of shelter and shelter-related non-food items. Develop contingency plans for the rainy season and to respond to sudden displacement of populations as well as secondary displacements. Ensure there is a stable sector structure in 217 and gather all humanitarian partners to further refine the strategic action plan for 217 to maximize the response. 28

29 Nigeria PERIODIC MONITORING REPORT July - December 216 PROGRESS TOWARDS SECTOR OBJECTIVES ES/NFI OBJECTIVE 1: Ensure sufficient and flexible supply and targeted delivery of minimum standard emergency shelter and NFI kits (including assessment, distribution and post-distribution monitoring) to people in need, including displaced people in host communities. Relates to SO1 Number of NFI kits delivered to households in need. 14, 14, 12, 1, 8, 6, 4, 2, 12, 1, 8, 6, 4, 2, 61,835 13,994 Number of e-shelter/ shelter repair kits delivered to households in need (including people in host communities) 35, 3, 25, 2, 15, 1, 5, 35, 3, 25, 2, 15, 1, 5, 33,22 14,34 29

30 July - December 216 PERIODIC MONITORING REPORT Nigeria Number of post-distribution monitoring reports shared with the sector and information programming ES/NFI OBJECTIVE 2: Deliver reinforced emergency shelter to upgrade and decongest formal and informal camps to minimum standards. Relates to SO1 Number of reinforced e-shelters constructed in formal and informal camps 9, 8, 7, 6, 5, 4, 3, 2, 1, 9, 8, 7, 6, 5, 4, 3, 2, 1, 8, 5,29 3

31 Nigeria PERIODIC MONITORING REPORT July - December 216 ES/NFI OBJECTIVE 3: Deliver locally appropriate shelter solutions for vulnerable IDPs in need both in host communities and returning to their communities of origin. Relates to SO1 Number of reinforced e-shelters constructed / shelters repaired in host and return communities 14, 12, 1, 8, 6, 4, 2, 14, 12, 1, 8, 6, 4, 2, 13, 1,511 31

32 July - December 216 PERIODIC MONITORING REPORT Nigeria EDUCATION SECTOR OVERVIEW COORDINATOR: MINISTRY OF EDUCATION CO LEAD: UNICEF NUMBER OF CHILDREN IN NEED, AND 1,, IN NEED 63, 274,569 18% Covered of $23.6 million required Percentage of people in need targeted for the response 63% 44% Percentage of people reached 12 1 Project funded. CUMULATIVE NUMBER OF PEOPLE THROUGH DECEMBER 216 7, 6, 5, 4, 3, 2, 1, TOTAL CHILDREN 135,22 Girls 139,349 Boys Number of projects in 216 Humanitarian Response Plan (HRP)* 13 PARTNERS** 11 Projects not funded. * Based on projects in the OPS submitted for appeal ** Based on Who, does What, Where (3Ws) Progress towards Cluster Objectives There were about 274, conflict-affected children, aged 3-17 years, provided with educational materials. Among these learners, 97 per cent, equivalent to 265,219, are children from the three most affected states 12. There are about 18, children cpming from Borno state. A total of 197, children of school-going age, who had been out of school due to the crisis, enrolled in schools or formal education and in 621 learning centers where they received non-formal education. There were119, children who received formal education while 78, received non-formal education. In support to increased access, 35, learners were reached through the provision of gender and special need sensitive WASH facilities, addressing WASH needs of children in school. A total os WASH facilites were installed to support education. In Damaturu and Potiskum LGAs in Yobe state, 48 (24B/24G) learners with special needs benefitted while reached. In Jere LGA of Borno statem 1,2 learners benefitted. In Fufore, Girie, Numan, Shelleng, Song, Yola-North and Yola- South LGAs of Adamawa State, about 7,252 learners benefited from the 11 Breakdown is 139,349 boys and 135,22 girls 12 Borno, Adamawa and Yobe states 13 Breakdown is 9,478 boys and 9,13 girls 14 Breakdown is 97,686 boys and 1,11 girls 15 Breakdown is 6,112 boys and 59,314 girls 16 Breakdown is 37,538 boys and 4,733 girls 17 Breakdown is 2,33 boys and 15,54G girls 32

33 Nigeria PERIODIC MONITORING REPORT July - December 216 WASH facilities.. These WASH facilities were constructed with key consideration for GBV-related protection issues. In line with capacity-building, there were 1,437 teachers, 621 facilitators and 14 Early Childhood Development (ECD) caregivers trained. The areas of capacity-building activities included pedadogy, psychosocial support (PSS), social emotional learning (SEL), life skills, DRR, Reggio Emilia and other child-centered pedadogies. There were 381 temporary learning spaces (TLS) established to accommodate cjild-friendly environment needs. A total of school-based management committees (SBMC) and 61 community coalitions (61) had been established. There were 1,23 SBMC members and 57 community coalition-members trained to manage conflict-affected learners. Changes in Context As a result of improved access to LGAs previously restricted to humanitarian actors, more opportunities have been provided to address the unmet education needs of children who had been out of school due to conflict in Borno and Yobe states. However, access is still limited by terrain and can only be accessed through air, land travel is limited. such as Rann of Kala Balge, which borders with Cameroon in the east and Ngala, Dikwa and Bama LGAs in the north, west and south. Reports revealed that only four schools are functional post conflict. Before the insurgency attacks, there were 24 primary and in the locality. The inadequacy of basic school infrastructure especially adequate classrooms, learning materials and teaching staff in in the newly liberated areas such as Dikwa, Damboa, Konduga, Mafa, Bama and Mongono further limited schooling. In some of these areas, education was offered by military educators and delivered in learning centres and non- formal in nature. In few LGAs like Bama, two schools were built and correspondingly, SUBEB teachers deployed. In Banki 18, located between Cameroon and Nigeriaone school was built and 2 teachers deployed in order to re-establish education. With the increase in population of displaced people in Maiduguri, the creation of new camps and need for expansion of educational services have led to the establishment of formal education schools in Muna Garage and two additional new permanent IDP camps, called Custom house IDP camp 1 and 2 hosting at least 1, IDPs. This further highlights additional needs for education service provision. The USAID-funded Creative Associates programme responsible for more than 9per cent of access results achieved under the non-formal education sector had been expanded -to Borno. A total of 3 non-formal learning centres were established in Maiduguri Municipal Council, Jere, Konduga, Kaga and Biu LGAs to address arising needs. In view of the Borno government s plans to close IDP camps by May, 217, there is an increased need for the promotion of durable solutions that would support recovery efforts in areas of return with long term considerations for education. This advocacy to international and national EiE actors witnessed increase in the number of partners who made commitments to respond to the education concerns in the Northeast. Among new members include NRC, Plan International, Street Child, OXFAM, FHI36, Hallmark Leadership Initiative, Peace Front for Development Initiative and Nonviolent Peace Initiative. Sector Performance Towards achieving key cluster objectives with emphasis on Access and Quality, less than 1% of cluster partners have been able to significantly contribute to the sector s progress. In line with this, by December 216, 31% and 55% of Access and Quality targets were reached respectively. The results achieved have been attributed to limited availability of funding, number and capacity of operational partners and humanitarian access to hard to reach ares owing to insurgent activity or terrain. The non-funding of education sector under the 216 HRP left few partners (6) restricted by donor funding, terms and condition including geographic scope. Within the 216 year, education sector humanitarian response was undertaken in states other than the 4 states prioritized under the 216 HRP 18 Of Borno state 33

34 July - December 216 PERIODIC MONITORING REPORT Nigeria owing to donor s terms preferences with their key considerations being accessibility for monitoring purposes. Such a state as Bauchi where needs were not as severe in the geographically prioritized ones were responded in. Challenges With the expansion of access to previously inaccessible areas, the need for education services to address more than two years of unmet needs has become glaring. Underfunding of Education Sector has limited the number of operational sector actors on ground with the few available sourcing funding not from the 216 HRP but from organizational pooled sources. In the absence of adequate financial and material resources, the expansion of educational services cannot be optimally supported. Almost all the children enrolled in November 216 are yet to receive classroom emergency supplies to facilitate the education process to a level where adequate feedback to inform learning outcomes can be provided. Teaching supplies are also grossly inadequate. An education emergency curriculum that addresses emerging needs such as PSS, DRR, school EPR and peace building to address trauma, resilience development towards return and increased apathy of learners does not yet exist in Nigeria. Availability of teachers with relevant capacity to provide education supply is lacking. Dealing with children who have missed education for several years or those involved with armed groups and other vulnerable groups such as abducted children also necessitates holding of catch up classes and introduction of special programs. There is no formal arrangement or policy for this by the Federal Ministry of Education. Increased security incidents have further reduced the number of LGAs that humanitarian workers in the Education Sector can access freely, due to their organizations security rules. The monitoring of educational services and quality assurance cannot be achieved in recently recaptured areas without a military escort, and this has restricted the pace and level of implementation. Actions to be taken Funding for the Education Sector remains the most pressing constraints without which at least three million children will continue to be deprived of their right to education and their right to life. In urgent response to communities demand for education, funding must be prioritized with consideration that education has been the immediate casualty of the insurgency and has suffered massive setbacks and underfunding in Borno, Yobe and Adamawa states. Education remains lifesaving as it incorporates new learning opportunities that empower children cope with trauma and the additional needs that have arisen as result of the insurgency. It also keeps the children off the streets where they can be kidnapped or recruited by militia. As a minimal integrated package in line with the current situation of education in the Northeast, efforts to provide temporary learning spaces in support of education access should be pursued. Through availability of child-friendly school environments, provision of teaching and learning materials and recruitment of qualified teachers armed with new knowledge, not previously addressed at pre-service levels, to help children cope, key progress will be achievable for the sector. Towards catch-up on missed years of schooling, volunteer teachers should also be recruited after updated training has been provided to enable them address gaps in education supply. Teachers traumatized by the insurgency must be supported through key peer coping efforts. Without addressing security issues, parents will remain reluctant to release their wards to attend school. For increased sustainability, community ownership and capacity building in preparedness efforts including the establishment of early warning systems is very crucial as displaced persons return to their homes. Introduction of school disaster management efforts coupled with capacity building of learners to reduce vulnerability and increasing resilience remain key. 34

35 Nigeria PERIODIC MONITORING REPORT July - December 216 EDUCATION OBJECTIVE 1: Provide access to inclusive and protective learning including safe classrooms, with WASH facilities, trained teachers and learning materials for conflict-affected children aged Relates to SO1 Number of children benefitting from safe and equipped classrooms with adequate male and female WASH facilities in affected areas. 7, 6, 5, 4, 3, 2, 1, 7, 6, 5, 4, 3, 2, 1, 63, 197,697 Percentage of targeted conflict-affected children benefiting from learning supplies 1% 8% 6, 5, 6% 4% 2% % 4, 3, 2, 1, 5, 274,569 Number of learners enrolled in non-formal learning centers (NFLCs) and alternative education (AE) 9, 8, 7, 6, 5, 4, 3, 2, 1, 9, 8, 7, 6, 5, 4, 3, 2, 1, 3, 78,271 35

36 July - December 216 PERIODIC MONITORING REPORT Nigeria EDUCATION OBJECTIVE 2: Improve the ability of conflict- affected children aged 3 17 to cope in an emergency through relevant learning, life skills and psychosocial first-aid. Relates to SO3 There are 1,899 teachers and non-formal education facilitators who benefitted from capacity building for psychological first aid (PFA) and PSS, and social emotional learning. Among these instructors, life skills training was provided to 29 (176M/124F) to support stepdown training to learners, empowering them to deal with emerging issues. The development of a relevant national curriculum that captures new learning needs was initiated by the EIEWGN and is led by designated agencies for emergency and education curriculum development. Percentage of emergency affected learning spaces/ schools in target areas incorporating psychosocial support 1% 8% 6% 4% 2% % Number of targeted conflict-affected children benefitting from psychological first aid 16, 14, 12, 1, 8, 6, 4, 2, 16, 14, 12, 1, 8, 6, 4, 2, 15, 141,511 Number of targeted children with access to life skills lessons in the classrooms/nfe centers 36

37 Nigeria PERIODIC MONITORING REPORT July - December , 14, 12, 1, 8, 6, 4, 2, 16, 14, 12, 1, 8, 6, 4, 2, 15, 8,631 EDUCATION OBJECTIVE 3: Restore and protect learning in conflict affected states through community advocacy, mobilization. Relates to SO1 & SO2 There were 192 school based-management committees (SBMCs) established in schools, IDP camps and host communities. Members of the SBMCs total to 1, There are members in Gombe, in Yobe, in Adamawa and in Borno. Number targeted schools in conflict affected states with established SBMCs that are able to conduct emergency preparedness activities Breakdown is 1,2 males amd 383 females 2 Breakdown is 172 males and 62 females 21 Breakdown is 71 males anf 14 females 22 Breakdown is 8 males and 8 females 23 Breakdown is 533 males and 273 females 37

38 July - December 216 PERIODIC MONITORING REPORT Nigeria Percentage of affected teachers/caregivers and facilitators receiving psychosocial support 1% 8% 6% 4% 2% % Percentage of NFLC/AEs established that meet or surpass criteria for safe, quality and relevant NFLCs 14% 12% 1% 8% 6% 4% 2% %

39 Nigeria PERIODIC MONITORING REPORT July - December 216 FOOD SECURITY SECTOR OVERVIEW COORDINATOR: MINISTRY OF AGRICULTURE (MoA) CO LEAD: UNITED NATIONS FOOD AND AGRICULTURE ORGANISATION (FAO) NUMBER OF PEOPLE IN NEED, AND 3,9, IN NEED 1,5, 1,928,792 44% Covered of $ million required 38% Percentage of people in need targeted for the response TOTAL PEOPLE BY SEX 412,498 girls 432,313 boys 59,93 elderly women 71,228 elderly men 129% Percentage of people reached. 465,238 women 487,585 men Number of projects in 216 Humanitarian Response Plan (HRP)* 33 PARTNERS** Projects funded 1 Projects not funded * Based on projects in the OPS submitted for appeal ** Based on Who does, What, Where (3Ws) Changes in Context A Cadre Harmonise (CH) Assessment was conducted between the 17 th and the 28 th of October 216 to generate information and data on the level of food insecurity in 16 states. These states include Borno, Yobe, Adamawa, Bauchi, Benue, Gombe, Jigawa, Kaduna, Kano, Katsina, Kebbi, Niger, Plateau, Sokoto, Taraba and Zamfara. The analysis was aimed at updating the March 216 projected classifications, which indicated that between the periods of June to August 216 about 3,24,239 million people would be classified in the CH Phase of 3 to 5. The report of the comprehensive analysis in October 216 showed that about 5.8 million people would be in phases 3-5 across the 16 states beginning from June to August 217 which is typically the lean season across Northern Nigeria and these people would need food assistance. Specifically, about 24,749 people in Adamawa State; 3,641,297, in Borno State, and 1,272,75 people in Yobe State were projected to be in phases 3-5 beginning from June

40 July - December 216 PERIODIC MONITORING REPORT Nigeria Sector Performance The Rapid Response Mechanism initiated by WFP ensured that both in-kind food assistance and cash interventions reached populations in newly accessible LGAs such as Magumeri, Gubio and Ngala (in Borno state) for the first time towards the end 216. This mechanism contributed significantly to the sector exceeding its HRP target of 1.5 million people for 216. In all, the food security sector reached some 1,928,792 people-in-need with food assistance, agricultural production inputs and alternative livelihood activities in 216. This achievement represents per cent of the target of 1.5 million beneficiaries, set for the Food Security Sector (FSS) in the 216 Humanitarian Response Plan (HRP). Some 2.3 million people were reached. Of the total, about 2.1 million were reached with food assistance through inkind and cash-based interventions while there were 2,489 people who received agricultural inputs such as seeds, tools, fertilizers, livestock, poultry and small ruminants re-stocking as well as alternative livelihoods through smallscale enterprises and other cash-generating activities. Evidence-based assessments continue to generate reliable data and statistics, to inform and support planning and programming by sector partners. The Cadre Harmonise process were rolled out in March, August and October 216 for analysis of acute food and nutrition insecurity. Enhanced timely response attributed to improved coordination, collaboration and synergy amongst partners. Food security coordination was led by the Ministry of Agriculture and Rural Development at the federal level while state level coordination is led by Ministry of Agriculture and Natural Resources. Regular co-ordination and technical working group meetings, once a month at federal level and twice a month at state level. Food Security Sector Co-ordinator and Information Management Officer (IMO) were both deployed, in August 216 to strengthen the existing capacity of the sector to lead and support sector co-ordination in Maiduguri and Abuja. IMO from IMMAP was deployed to the sector in October 216. This deployment increased the capacity of the sector to better coordinate partner activities and deliver on its mandate of reaching vulnerable people with food support, agriculture support, alternative livelihoods support, and coordination. Food Security Information products including Bulletins, 4W maps and gap analysis are regularly produced and shared with partners. Critical food assistance, through cash and in-kind modality, (cash and in kind) was provided to address immediate needs of the IDPs and host communities in Borno, Yobe, Gombe and Adamawa States. More beneficiaries in hard to reach areas were assisted through the Rapid Response Mechanism (RRM) in November and December 216. In August 216, a CH Rapid Food Security Assessment was conducted in Adamawa, Borno and Yobe to give a snapshot of the food security situation in states. This rapid assessment was jointly conducted jointly by the FS group and partners in the three states. The data generated during this assessment informed the planning, and targeting of humanitarian assistance and other related programming processes during the latter part of the lean season. Cadre Harmonise analysis of food security analysis has expanded to cover additional eight (8) states. The additional states were Kaduna, Niger, Plateau, Gombe, Bauchi, Sokoto, Benue, and Kebbi. The CH covereda total to 16 states that are being analysed for food insecurity vulnerability. A comprehensive Food Security, Livelihoods and Vulnerability Assessment (FSLVA) that covered 16 States in Nigeria was held from 26th September to 21st October 216. The overall aim of the assessment was to generate reliable data and information on the status of food security and livelihoods vulnerability of people in 16 States of Nigeria, focusing on two key indicators-food consumption and livelihood. It also provided an in-depth assessment of the food security situation within Northern Nigeria. The FSLVA was very important as it equipped partners with timely and relevant information that aided the targeting of interventions, planning and programming processes. More importantly, the information generated was very useful in the comprehensive Cadre Harmonise Analysis of Food Security situation which took place in October 216. This comprehensive CH analysis informed the 217 HNO and HRP processes. A Training workshop on standardised food security indicators was held between on October 216. The training helped to strengthen the capacity of sector partners in information management and its related products/tools in support of effective, efficient, appropriate and timely food security response. 4

41 Nigeria PERIODIC MONITORING REPORT July - December 216 In 216, the 4Ws matrix that consolidates all partner interventions in the Food Sector was developed into interactive 4Ws maps, to guide partners planning, cordination and identification of gaps and priorities. Challenges The scale of the crisis and needs exceeds available resources and capacpity. As of December 216, only $ 68.9 millon (approximately 44per cent) is mobilized against the sector requirement of $ 158 million. While needs to be urgently addressed, humanitarian agencies and sector members are thriving in a challenging working environment. Unpredictable security situation impede access and most of the time, hamper operations. Return process and returnees management (958,549 vs 1822,541 IDPs) Late reporting of the 4Ws data from partners which usually delayed the production of the 4W maps, and the gap analysis of food needs in particular areas. Lack of available sex and age disaggregated data (SADD) from partners made it difficult to do equitable and appropriate targeting of beneficiaries. Particularly for cash transfer programming (CTP), the cash transfer value is not harmonized within the sector resulting to different amounts provided to beneficiaries. Moreover, there is no standard average household size used causing inconsistency in the transfer values. This is a foreseen risk for CTP implementers if not addressed, as this will raise questions and even tensions in the areas of operations. Actions to be taken The sector will continue to work with partners to strengthen resource mobilisation activities and efforts in support of the implementation of planned activities. Advocacy contacts, meetings and presentations on the activities of the sector will be made with potential donors and partners including the European Humanitarian Aid (ECHO), European Union (EU) and the United States Agency for International Development (USAID) Food for Peace (FFP), for possible funding consideration during 217. In the intent to improve reporting and coordination, the 4Ws reporting templates are being improved to ensure that they are fit for purpose. This template is used to request information and updates on ongoing activities. The issue of the need for harmonisation of sector related assessments continues to be discussed in the regular sector meetings. It has been agreed that all partners assessments be coordinated and conducted jointly. Conducting joint assessments will help reduce duplication and costs, strengthen synergy, coordination and collaboration, increasevalue-addition and minimize assessment fatigue. This will also ensure shared understanding of needs within the sector. The achievements and gaps in 216 contributes to the priorities set for the 217 response which includes improving access to food livelihoods activities, livestock and provision of agriculture production inputs for crop and vegetable production. In 217, evidenced-based assessment (CH and other joint food security assessments) and analysis will continue to be carried out to generate reliable data and statistics to inform and support partners planning and programming processes. Food security coordination and information management in 217 will be strengthened through regular FSWG and technical meetings in Abuja, Borno, Adamawa, and Yobe states; The Sector will continue to regularly produce gap analysis and presence maps, dashboards, analyses, 4Ws maps and Food Security bulletins. In addition, mini-coordination meetings of partners will be instituted, an 41

42 July - December 216 PERIODIC MONITORING REPORT Nigeria innovative mechanism of devolving coordination to partners. These mini coordination meetings will help to better coordinate and improve efficiency, effectiveness, coherent and timely response. Trainings and capacity building initiatives on information management, market and price monitoring and food security indicatorsfor partners are planned for 217. PROGRESS TOWARDS SECTOR OBJECTIVES 24 FOOD SECURITY OBJECTIVE 1: Increase food assistance and livelihood protection for the most food insecure population. Relates to SO1 Number of people who received food assistance through in kind and/or cash & voucher interventions. 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, 1,5,5 966,581 Number of people reached by in kind and/or cash/voucher livelihood restoration interventions. 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, 1,5,5 9, Monthly breakdown of achievements per indicator will be reflected in the next reporting period. 42

43 Nigeria PERIODIC MONITORING REPORT July - December 216 Number of people reporting an improvement in Household Hunger Score. 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, 1,5,5 1,12,629 Number of people reporting an improvement in Food Consumption Score or Household Dietary Diversity Score 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, 1,5,5 1,12,629 FOOD SECURITY OBJECTIVE 2: Improve household resilience by restoring and supporting livelihood assets and food security of the most vulnerable. Relates to S3 Number of households supported with cash/voucher and /or in-kind alternative livelihoods support. 2, 18, 16, 14, 12, 1, 8, 6, 4, 2, 187,5 9,595 43

44 July - December 216 PERIODIC MONITORING REPORT Nigeria Number of households supported in livestock and farm production. 25, 2, 15, 1, 5, 225, Number of civil service agents trained in resilience promoting agricultural methods and practices. 114,389 Number of households reporting improved Household Hunger Scores that received livelihoods interventions , 16, 14, 12, 1, 8, 6, 4, 2, ,5 9,595 44

45 Nigeria PERIODIC MONITORING REPORT July - December 216 FOOD SECURITY OBJECTIVE 3: Strengthen coordination through capacity building for information management, situation analysis, preparedness, response and monitoring. Relates to SO2 Number of adequately resourced coordination units (staff and logistical capacity) in three states and in Abuja Number and type of coordination functions effectively implemented in a timely manner Number of Cadre Harmonisé/IPC analyses generated

46 July - December 216 PERIODIC MONITORING REPORT Nigeria Number of joint assessments focusing on the food security situation conducted Percentage of Food Security Sector partners reporting monthly on the 4W intervention matrix. 8% 6% 4% 2% % 8% Number of people trained and engaged in early warning and contingency planning. 8 8%

47 Nigeria PERIODIC MONITORING REPORT July - December 216 Number of capacity building activities provided by Food Security Sector partners

48 July - December 216 PERIODIC MONITORING REPORT Nigeria HEALTH SECTOR OVERVIEW COORDINATOR: MINISTRY OF HEALTH (MoH) CO LEAD: WORLD HEALTH ORGANISATION (WHO) NUMBER OF PEOPLE IN NEED, AND 3,7, IN NEED 2,6, 3,89,4 22% Covered of $ 53.1 million required CUMULATIVE NUMBER OF PEOPLE THROUGH JUNE 216 4,5, 4,, 3,5, 3,, 2,5, 2,, 1,5, 1,, 5, 7% 15% Percentage of people in need targeted for the response Percentage of people reached TOTAL PEOPLE BY SEX 1,167,1 girls 855,81 boys 972,51 women 7,21 men 116,7 elderly women 77,8 elderly men 12 Number of projects in 216 Humanitarian Response Plan (HRP)** 18 PARTNERS*** 5 Projects funded. 7 Projects not funded * The data is subject to reconciliation ** Based on projects in the OPS submitted for appeal *** Based on Who does, What, Where (3Ws) Progress towards Sector Objectives In 216, the sector exceeded its target by reaching a total of 3,89,4 beneficiaries, approximately 15per cent, out of the targeted 2,6, individuals. Changes in Context On 216, after two years from the last case, two new wild polio virus (WPV1) cases were reported from IDPs in Borno State and genetically matched the previous reported case in 211. This indicated a prolonged undetected indigenous transmission and persistent gap in the disease surveillance system and in the immunization coverage. During the year, polio and measles outbreaks were confirmed. On 21 st August 216, the 66th session of the WHO Regional Committee for the African Region declared the poliomyelitis outbreak in Nigeria as a public health emergency for countries of the of Lake Chad Basin. Although the major influx and movement of IDPs to camps and accessible host communities offered a unique opportunity to control and stop the polio transmission, it increased the spread of other vaccine preventable diseases such as measles and cholera due to overcrowding and poor hygiene conditions. A measles outbreak was rampant through the IDPs camps in Borno since late summer of 216 and had spread to Yobe State in late December. Based on the large number of measles cases reported by Early Warning, Alert and Response System (EWARS) and Integrated Disease Surveillance and Response(IDSR), advocacy efforts were initiated with the federal and state Minsitry of Health (MoH) for the mass vaccination of children in the Northeast region. Health Sector partners conducted reactive measles vaccination in 18 IDPs camps and vaccinated more than 48

49 Nigeria PERIODIC MONITORING REPORT July - December , children, 6 months to 15 years. Correspondingly, a national mass measles vaccination campaign is planned for January 217. By the end of 216, the Nigerian government engaged in military operations in areas previously held by Boko Haram. As a result, Local Government Areas (LGAs) such as Bama, Damboa, Dikwa, Gwoza, Konduga, Kukawa, Magumeri, Monguno, Ngala and Shani, became more accessible. At least 279,758 IDPs out of the 579, present in these areas became reachable. This newly gained accessibility revealed the dire needs of people who had been cut off from all essential services for almost two years. High malnutrition rates and suspicion of famine levels are among the main humanitarian issues. Poor health and wash conditions exacerbated the needs of the affected population. Protection issues were widely reported among IDPs. As access was gained to additional areas, an increase of the population in need is expected. Sector Performance In terms of service delivery, health sector partners provided health services and filled gaps in IDPs camps and hsot communities through mobile outreach teams, delivery of medicines and supplies, referral/ambulance services, vaccination of children for measles, screening and treatment of children with malnutrition, disease surveillance and mitigation for risks of outbreaks. In Borno, Health Sector coordination meetings were regularly conducted under with the permanent secretary of the State MoH as chair. Sector products including Health Sector bulletins, 4W matrix, dashboard, needs and gaps analysis were prepared and shared with partners on a regular basis. The HNO and HRP processes for 217 were conducted in close consultation with SMoH and sector partners. During the 216 calendar year, the Health Sector Coordination team chaired by the Borno SMoH and co-chaired by WHO conducted 29 coordination meetings. The Health Sector/Cluster Coordination team published 19 weekly bulletins and 19 EWARS bulletins were issued. Working groups were established on reproductive health, surveillance, mental health and psychosocial support for more effective and close coordination on priority areas. The Inter-Agency Emergency Health Kits (IEHK), Inter agency Diarrheal Disease kits (IDDKs), Nigerian health kits, Reproductive Health Kits and Severe Acute Malnutrition (SAM) treatment kits were delivered and prepositioned in key Local Government Areas (LGAs). In support to Borno SMoH,as a part of the preparedness plan, the health sector prepositioned 19 IDDKs for further delivery to the high risk LGAs in the state. One IDDK is is covers treatment of 1 severe diarrhoea/cholera cases. About 16 staff SMoH and sector partners were trained on disease surveillance and outbreak response while training sessions were planned for capacity enhancement of laboratory staff for timely and effective confirmation of alerts. The Mental Health and Psychosocial Support (MHPSS) partners supported mobile teams and provided assistance such as group support and counselling to IDPs and host communities in Northeast NigeriaMHPSS partners has supported 175,912 individuals across the region, following the abduction of school girls in Chibok in 214. During the reporting period, 72 reproductive health kits for 5, people was distributed. A total of 21,387 pregnant women delivered in assisted health facilities while 13,957 clean delivery kits were distributed and utilized. The deployment of trained health workers, facilities mentoring and outreach services provided in hard to reach communities and LGAs enhanced utilization of health facilities. About 276,27 women were reached with various forms of family planning methods. The relative achievements against targets in the health sector do not demonstrate that health needs in NE Nigeria are being fully met, but a reality that baselines of the people in need were underestimated for 216. In addition, the operational capacity of the health sector response grew due to almost doubling in number of partners by the end of the year but reporting was not properly standardised creating conflicting and in some instances duplication in data for the 216 year. The HRP process for 217 has identified not only the health needs of the population but realistic baselines and targets and is in the process of streamlining the data collection and analysis to include all sector partners. (The data reported in this document is subject to reconciliation). Challenges Health delivery continues to be hampered by the breakdown of health infrastructure. In Borno State alone, over 6per cent of health facilities are partially damaged (29per cent) or destroyed (35per cent). 49

50 July - December 216 PERIODIC MONITORING REPORT Nigeria Low vaccination coverage due limited access to populations caused by security threats and difficult terrain. This has hampered the control of ongoing polio and measles outbreaks. Robust preparedness plans needed for cholera, malaria and meningitis as they continue to threaten the displaced families. Insufficient number of skilled and appropriately trained health care staff. Malaria has become endemic in the northeast region increasing the risk of child mortality among malnourished children. In 216, the number of confirmed Malaria cases peaked in epidemiological week 42 with a total of 6,579 cases. Nutrition screening is not regularly conducted in all the catchment areas to timely detect severe acute malnourished children with complications. Medicines importation, among NGOs partners, is a long process which significantly hampered their programme implementation and timely delivery of health service. Actions to be taken A countrywide mass vaccination measles campaign for 217. Expand mobile health teams in hard to reach areas and to the underserved IDP and vulnerable population in host communities. Provide life-saving integrated essential minimum package of primary health care (PHC) services including immunization, integrated management of childhood illnesses (IMCI), nutrition screening such as MUAC, MHPSS, emergency obstetrics, child survival activities, management of life threatening and other non-communicable diseases and HIV services. Re-establish, strengthen and expand the disease surveillance system with the capacity for timely investigation and response to disease alerts and to mitigate and/or control outbreaks. Ensure preparedness activities (e.g. develop contingency plans) for acute watery diarrhoea/cholera, malaria, yellow fever and dengue fever potential outbreaks. Management of children with severe acute malnutrition with medical complications or failed appetite should be admitted to hospital for inpatient care. Restore/strengthen existing health care facilities. Streamline and strengthen the referral system from primary to secondary health care. Continue advocacy to streamline and expedite NGO registration processes. Strengthen multi-sectoral coordination approach at regional, state and LGA levels. 5

51 Nigeria PERIODIC MONITORING REPORT July - December 216 PROGRESS TOWARDS SECTOR OBJECTIVES HEALTH OBJECTIVE 1: Deliver coordinated and integrated emergency life-saving health services to the population affected by the crisis. Relates to SO1 Number of out-patient consultations in health facilities supported by Health Sector partners 4,5, 4,, 3,5, 3,, 2,5, 2,, 1,5, 1,, 5, 4,5, 4,, 3,5, 3,, 2,5, 2,, 1,5, 1,, 5, 2,6, 3,89,4 Proportion of health facilities with a referral mechanism to a higher level of care. 1% 5 8% 4 6% 3 4% 2 2% 1 % Number of people reached through mobile medical activities 51

52 July - December 216 PERIODIC MONITORING REPORT Nigeria 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, 35, 1,348,1 Number of health facilities receiving essential medicines and equipment HEALTH OBJECTIVE 2: Continually monitor health risks and vulnerabilities of the affected population and integrate finding to improve health response. Relates to S2 Proportion of outbreak alerts investigated within 48 hours 1% 1% 8% 6% 4% 2% % 8% 6% 4% 2% % 7% 1% Proportion of health facilities supported by cluster partners submitting weekly surveillance reports on time 52

53 Nigeria PERIODIC MONITORING REPORT July - December 216 1% 1% 8% 6% 8% 6% 4% 4% 2% % 2% % 7% 86% Proportion of LGAs supported by sector partners submitting timely monthly surveillance reports to the state 1% 8% 1% 8% 6% 4% 2% % 6% 4% 2% % 7% 1% HEALTH OBJECTIVE 3: Strengthen existing health system capacity for emergency response to foster early recovery and resilience. Relates to SO3 Number of health authority personnel trained on disease outbreak response and coordination

54 July - December 216 PERIODIC MONITORING REPORT Nigeria NUTRITION SECTOR OVERVIEW COORDINATOR: MINISTRY OF HEALTH (MoH) CO LEAD: UNICEF NUMBER OF PEOPLE IN NEED, AND 2,5, IN NEED 2,, 1,722,44 67% Covered of $ 33.2 million required Percentage of people in need targeted for the response CUMULATIVE NUMBER OF PEOPLE THROUGH JUNE 216 2,, 1,8, 1,6, 1,4, 1,2, 1,, 8, 6, 4, 2, 8% 86% Percentage of people reached. TOTAL PEOPLE BY SEX 734,275 girls 75,479 boys 282,29 pregnant and lactating women Number of projects in 216 Humanitarian Response Plan (HRP)* 11 PARTNERS** 7 4 Projects funded. 3 Projects not funded. * Based on projects in the OPS submitted for appeal ** Based on Who does What, Where (3Ws) Progress towards Sector Objectives In 216, the nutrition sector continued to work in accessible LGAs of Adamawa, Borno, and Yobe states providing the following services: inpatient and outpatient treatment of severe acute malnutrition (SAM), supplementation to prevent and treat micronutrient deficiencies among children and women including blanket supplementary feeding and promotion of good child feeding practices such as early initiation of breastfeeding, exclusive breastfeeding, and ongoing feeding up to two years. The nutrtion sector is led by Federal Minisrtry of Health at the national level while State Primary Healthcare Develoment Agencies are acting leads at the state levels. Overall, the nutritition sector reached 1,722,44 People or 69per cent) of the total people targeted. Through the national, bi-annually conducted, Maternal, Newborn and Child Health week campaign, sector partners reached about 1.4 million children 6-59 months with high dose supplementation of Vitamin A. Over 1per cent, about 86,, of targeted pregnant women were provided with iron folate. Both interventions met the global standards for a minimum of 7per centcoverage for campaign-based interventions. During the HRP review in July 216, the sector targets were revised for SAM cases admitted into treatment from 83,79 to 398,188 with the sector aiming to reach 1 per cent of the SAM burden. In total, 167,492 SAM children 6-59 months, about 42per cent of the target were admitted into outpatient and inpatient therapeutic programmes. Performance indicators for the Community Management of Acute Malnutrition (CMAM) programme met the Sphere minimum standards for emergencies. Similarily, sector targets for pregnant and lactating women (PLW) to be reached with behavioural change infant and young child feeding (IYCF) couselling was also revised from 375,845 to 637,952; only 44per cent of the annual target or about 282,29 PLWwere reached. To accommodate the increase in targeted 54

55 Nigeria PERIODIC MONITORING REPORT July - December 216 beneficiaries, operational CMAM sites across the focus states scaled up from 196 sites at baseline to 461 which represents over 1per cent of the target. Blanket supplementary feeding commenced in June 216 as an immediate strategy to prevent deterioriation in nutrition status of children discharged from treatment program as cured. In total, about 192,31 children 6-59 months were provided with Ready to Use Supplementary Foods (RUSF) in Borno and Yobe states. The Sector also aimed to provide pregnant women with supplementary foods, delayed funding resulted in less than 1per cent (4,518) of 55, target being reached. Sector partners continued to strengthen the quality of nutrition service delivery by suporting trainings to build the capacity of national health workers, community volunteers, and personnel involved in nutrition service provision. A total of 5, equivalent to over 1per cent of the target, State Primary Healthcare Development Agency healthworkers were trained on integrated nutrition service provision of CMAM, micronutrient supplementation, and IYCF practices. The number of nutrition assessments conducted in emergency areas increased from one in 215 to 7 in 216 which significantly improved evidence-based decision making. In addition to this, the first round of the sector led Nutrition and Food Security Surveillance (NFSS) system for the emergency states was established which will provide information on key nutrition indicators representative at the domain level on a tri-annual basis. Changes in Context In July 216, accessibility in emergency states improved as a result of military operations. In Borno, 22 of the 27 LGAs and in Yobe, 15 of the 17 LGAs became accessible at different times of the year. Among the populations previously trapped by Boko Haram, approximately 73, children under two years needed urgent humanitarian nutrition assistance. The situation of these vulnerable populations is expected to worsen due to the depleted markets and livelihoods and many newly accessible areas are being classified as emergency phase 4 food insecure. At the same time, small scale nutrition assessmeents using Standardised Monitoring and Assessment of Relief Transition (SMART) methodology conducted in the LGAs of Jere, Maiduguri, Kaga, Konduga (Borno) and Jakusko (Yobe) documented prevalence of global acute malnutrition (GAM) ranging from 13.per cent-19.2per cent. Screening data collected by sector partners in Borno and Yobe states had sites with the proportion of children with GAM 25 and/ or edema is over 8per cent.. Understanding the magnitude of the situation, the Federal Minister of Health declared a Nutrition Emergency for Borno state on the 27 th June 216. The declaration prioritized the provision of life-saving nutrition interventions, and facilitated the scale up of CMAM for the treatment of SAM (with and without complications) integrated with BSFP in high prioirtiy areas of Borno and Yobe states. 25 Identified using mid-upper arm circumference (MUAC) 55

56 July - December 216 PERIODIC MONITORING REPORT Nigeria By November 216, results from nutrition assessments provided evidence that prevalence of GAM remained at serious levels in Borno (11.3per cent) and Yobe (11.4per cent) states (NFSS, 216). However, surveillance data suggest an overall decrease in SAM in Borno from 2.6per cent, as measured by the National Nutrition and Health Survey (215), to below emergency classification levels of 1.7per cent (NFSS,216). Survey results from a Rapid SMART conducted in Monguno LGA in Borno showed a drop in GAM (dropped from 27.3per cent to 9.4per cent) and SAM (dropped from 8.7per cent to 2.2per cent) prevalence between October and December 216. It is postulated that increased coverage of multi-sector interventions across emergency states and the effect of seasonality significantly contributed to the observed decline in malnutrition prevalence. However, there is still need to maintain the momentum of large scale, high impact nutrition assessments focused on treatment and prevention in emergency states. Sector Performance In 216, there was an increase in the number of partners implementing nutrtion activities, from 5 to 11 by the end of the year significantly contributing to sector achievements, over 7per cent of the target was reached. The sector made progress for 7 out of 1 nutrition indicators, however only 4 indicators were fully accomplished by December 216. Three indicators; admission of SAM children into CMAM program, provision of pregnant and lactating women with supplementary foods, and dissemination of a quarterly sector bulletin were not achieved. Reasons for this included the revision of the SAM caseload half way into the year and delay in the receipt of donor funding for programme targeting the PLW. Challenges Inadequate human resourses capacity of both government and sector partners to be able to scale up in all programs in the states. Unpredictable security in led to limited access to people in need and caused constraints in terms of programme monitoring. Volatile security situation in ewly accessible areas likewise made provision of life-saving assistance difficult. Funding constraints derailed the achievement of sector targets. The sector received $22.2 million out of the $ 33.2 million, which is around 67per cent of the total requirement. State primary health care management board limited funds amounting to longstanding non-payment of salaries for SMoH staff in Adamawa negatively affected human resources productivity. Limited adequate information to facilitate situation analysis and inform programmatic descisions to facilitate timely response. The newly accessible areas with partial accessibility required a diffferent response modality complicated by the logistical challenge of the accomodations for humanitarian workers in these locations. 56