UNICEF/NYHQ2015-1460/Calvin 2015 Humanitarian Action for Children Eastern and Southern Africa Eastern and Southern Africa continues to face multiple humanitarian crises such as cyclical drought and flooding, epidemics, acute malnutrition, insecurity and conflict. Malawi, Mozambique and Madagascar experienced significant flooding in the first three months of 2015 resulting in disease outbreaks and displacement. In Malawi, massive flooding along the Shire and Ruo rivers displaced over 170,000 people 1. In Mozambique, flooding resulted in 163 deaths, and affected 408,862 people, which included the displacement of 68,000 people. The flooding in Madagascar resulted in 25 deaths and left more than 40,000 people displaced. 2 The floods also gave rise to cholera in both Malawi and Mozambique resulting in over 11 deaths in Malawi 3 and over 64 deaths in Mozambique 4. People living in the Horn of Africa are increasingly becoming more vulnerable due to insecurity and erratic climatic conditions, with pockets of acute food insecurity and emergency-level malnutrition expected in the coming months. The implications of the expected El Nino weather patterns are likely to result in flooding along key rivers in Kenya, Somalia and Ethiopia. A number of countries in Southern Africa are experiencing a serious drought situation, especially southern Zimbabwe, Botswana, north-western South Africa, Malawi, Namibia and southern Angola. During April 2015, South Africa experienced an upsurge in civil unrest, which also included xenophobic attacks in parts of the country. At the peak of the crisis, over 7,000 people 5 were displaced in different provinces of South Africa. Between April and June, over 144,000 people 6 from Burundi, largely women and children, sought asylum in neighbouring countries as a result of unrest stemming from political developments. As of the end of June 2015, the United Republic of Tanzania is hosting approximately 53,000 new arrivals from Burundi, Rwanda is hosting 30,000, the Democratic Republic of the Congo is hosting 10,000, and Uganda is hosting 7,000 refugees. Due to the ongoing crisis in Burundi, it is expected that the number of people seeking asylum in neighbouring countries will rise. The scale and complexity of the crisis in South Sudan continues to expand with over two million people having fled their homes, which includes 1.6 million displaced inside the country and more than half a million people, largely women and children, having fled to neighbouring countries. 7 The outflows of Somalis and Yemenis back into Somalia, due to the ongoing crisis in Yemen, is further compounding an already fragile situation. Regional Office Planned Results from July to December 2015: During the next six months, the focus of the Regional Office will be on the drought situation in parts of Southern Africa, the potential political crisis in Lesotho, the increasing vulnerability of people in the Horn of Africa, given the El Nino forecasted implications on food and nutrition, while maintaining support to the two crises in and around Burundi and South Sudan. Results to date (January to June 2015): The first six months of 2015 has witnessed an increase in humanitarian crises within the Eastern and Southern Africa Region (ESAR). Country Offices have effectively maintained an adequate level of preparedness for Ebola with support provided from the Regional Office. In South Sudan, surge support was provided to establish a disarmament, demobilization and reintegration programme for more than 1,750 children formerly associated with armed forces in Jonglei and supported in developing a strategic implementation framework for the Back-to-Learning strategy. The nutrition scale-up plan, developed with the support of the Regional Office, has created an important momentum for an enhanced service delivery system for emergency nutrition as reflected by the sharp increase in Severe Acute Malnutrition (SAM) programme coverage and timely nutrition information available for responding. UNICEF has signed an agreement with UNESCO to roll out the capacity development strategy on incorporating safety, resilience and social cohesion in education sector planning in all 21 ESAR countries with special attention and support given to South Sudan. In Malawi, surge and technical support was provided for the response and recovery phase of the floods emergency. Technical assistance has been provided to support the countries affected by the Burundi Crisis and a cross-border mechanism to prevent trafficking and harmful movement of children by unregulated institutions was established. Preparedness measures for the Burundi Crisis began early in the year through capacity building and strategic inter-agency planning. A Regional Health in Emergencies training was provided to over 40 UNICEF and government staff from the region to strengthen the capacity of health professionals to manage health related aspects of humanitarian crises. Joint UNHCR-UNICEF missions to refugeehosting countries neighbouring South Sudan have helped identify key areas that will be more effectively addressed through a regional intervention that includes youth learning and livelihoods, girls education, children with disabilities, and pre-primary education. UNICEF East and Southern Africa Regional Office (ESARO), in collaboration with the Food and Agricultural Organization (FAO), United Nations 1 UNICEF Sitrep, Malawi, 23 January 2015. 2 SADC, Meeting of Ministers Responsible for DRM and Misters of Finance, 26 June 2015. 3 UNICEF Sitrep, Malawi, 25 June 2015. 4 UNRCO Sitrep, Mozambique, 24 April 2015. 5 UNICEF Sitrep, South Africa, 22 April 2015. 6 UNICEF Sitrep, Burundi, 1 July 2015. 7 UNICEF Sitrep, South Sudan, 2 July 2015.
High Commissioner for Refugees (UNHCR) and the World Food Programme (WFP) Regional Offices, presented to regional donors the Regional Support Plan for the Horn of Africa Food Security and Nutrition Emergency Preparedness and Response (covering Ethiopia, Eritrea, Somalia, Uganda, Kenya, Sudan and Djibouti), which outlines the key priorities from the inter-agency country action plan in the Horn of Africa. Country Offices have been supported in designing and implementing action research for improving water security for the most vulnerable people. ESARO is also supporting the review of resilience analysis and measurement methodologies and the development of appropriate resilience training modules. In addition to the support provided to the countries affected by the Burundi and South Sudan Crises and the flooding in Mozambique, Madagascar and Malawi, additional multi-sectoral technical support by the Regional Office has been provided to South Africa, Ethiopia, Uganda and Kenya. Angola Planned Results from July to December 2015: For the remainder of the year, UNICEF Angola with government and other strategic partners, will support the strengthening of community-based management of childhood diseases, with a focus on identifying and treating children with SAM and ensuring their adequate access to safe water and continued training of health workers. UNICEF will also ensure emergency preparedness efforts are in place ahead of cyclical drought and other natural disasters through ongoing support to the UN Disaster management team with sensitization and orientation of communities and administrative leaders on emergency planning and social inclusion planning and strengthening of the early warning and integrated disease sentinel surveillance system. Results to date (January to June 2015): UNICEF Angola appealed for US$3.2 million for 2015. As of 30 June 2015, a total of US$700,000 has been received. UNICEF Angola is revising its 2015 requirements downwards to US$2 million following the achievement of results in nutrition, health, WASH and Communication for development, and an increased focus on recovery and resilience efforts moving into 2016. UNICEF was able to leverage other donor grant and non-grant resources to reach the majority of its targets, with a focus on the most affected provinces Namibe and Huila, in coordination with the Government and other partners. The southern part of Angola, including the provinces of Cunene, Namibe, Kuando Kubango, Huila, and southern parts of Benguela, are facing a severe drought which is significantly impacting the 2015 harvest. UNICEF-supported rapid nutrition assessments in areas of concern reported very high malnutrition levels for children under-five with Global Acute Malnutrition (GAM) rates above the 15 per cent emergency threshold, particularly in Cunene, Namibe and Huila. For example, in Cunene GAM was recorded at 17.2 per cent and SAM at 5.6 per cent. UNICEF has screened 489 children under five for acute malnutrition and has provided these children with deworming tablets and vitamin A supplements. UNICEF has also provided 177,250 people in high-risk, drought-affected communities living in remote and difficult-to-reach areas, with safe water as well as improved sanitation and hygiene promotion messages. Forty eight community and administrative leaders have been orientated on support to emergency and social inclusion planning. 2015 ANGOLA PROGRAMME TARGETS AND RESULTS UNICEF 2015 UNICEF Total 2015 Target Results Number of children under 5 targeted for malnutrition prevention, health promotion and vaccination in affected provinces 33,000 35,400 Number of children identified with SAM and treated through community-based management of acute malnutrition 3,340 1,100 Number of Inpatient Facilities (IPF) and Outpatient Therapeutic Programme (OTP) facilities established and operational 30 30 Number of children under 5 screened for acute malnutrition receive deworming tablets and vitamin A supplements 250 489 Number of health workers trained on Integrated Community Case Management (iccm), maternal, and newborn health and nutrition counselling 440 250 Number of children treated for SAM at IPFs and OTPs have adequate access to safe water 3,340 1,100 Number of people in high-risk, drought-affected communities living in remote and difficult-toreach areas provided with safe water and benefiting from improved sanitation and hygiene 177,250 177,250 promotion messages COMMUNICATION FOR DEVELOPMENT Number of families with children under 5 in affected provinces are reached with key life-saving practices, including infant and young child feeding, hand washing, hygiene and home care 23,492 24,500 practices Number of community and administrative leaders orientated on support to emergency and social inclusion planning 62 48 Lesotho Planned Results from July to December 2015: UNICEF is appealing for US$1.5 million to respond to the impact of the drought which has left 84,000 people in need of urgent assistance. Lesotho has been included in the mid-year review of the HAC as a result of increasing political tension, which has the potential to affect over half of the country s population. In addition, under the leadership and coordination of the National Disaster Management Authority, and in alignment with existing contingency and response plans, UNICEF will seek to address the immediate humanitarian needs arising from the impact of the drought, which include the provision of nutritional services to 2,000 children aged 6 59 months and the provision of safe water to 2,500 people, especially for the most vulnerable which includes women and children. In preparedness for the displacement of people resulting from civil unrest, and in coordination with the Government of Lesotho, UN agencies and all key stakeholders, UNICEF will assist 84,000 children with vitamin A supplementation and 30,000 people in accessing health care facilities. Approximately 2,000 children will be enrolled in psychosocial activities while 10,000 HIV positive pregnant women will continue to receive anti-retrovirals (ARVs) for prevention of mother-to-child transmission. In the even that timely funds are received, UNICEF, working alongside the Government and key partners, will be able to realize the 2015 targets by the end of the year.
UNICEF 2015 Target 2015 LESOTHO PROGRAMME TARGETS (as of July 1 2015)* Number of children 6-59 months with SAM enrolled in TFP/community-based programmes/facilities 2,000 Number of targeted caregivers of children 0-23 months with access to infant and young child feeding IYCF 2,000 counselling for appropriate feeding Number of children 6-59 months in the affected areas receiving vitamin A supplement in the past 6 months 84,000 Number of people with access to health care facilities stocked with emergency supplies and drugs for next 30,000 month Number of people with access to sufficient water and safe water for drinking, cooking and maintaining 2,500 personal hygiene Number of focus groups/community group interviews where hygiene and sanitation promotion messages 5,000 were understood and received positively CHILD PROTECTION Number of children enrolled in psycho-social activities 2,000 Number of school-aged children including adolescents reached by schools (including in schools in affected 20,000 areas still functioning, re-opened schools and/or temporary facilities established) Number of children with access to Humanitarian Education programmes that incorporate psychosocial support 20,000 HIV and AIDS Number of HIV positive pregnant women continuing to receive ARVs for prevention of mother-to-child 10,000 transmission (PMTCT) * Results are not available as targets were developed as of July 2015. Madagascar Planned Results from July to December 2015: In the second half of the year, UNICEF will continue with its drought response in the south of the country and will continue preparedness efforts for the 2015/16 cyclone season, whilst meteorologists predict the continuation of heavy rains due to the El Nino effect. UNICEF will continue to work with the Government, UN agencies and partners to deliver on the remaining nutrition, health, WASH, child protection and education 2015 targets. Results to date (January to June 2015): UNICEF has revised its original appeal of US$1.8 million to US$4.9 million as of mid-year in order to respond to additional humanitarian needs associated with various natural disasters and in preparation for the upcoming cyclone season. As of 30 June, over US$400,000 has been received against the original appeal. Despite the limited funding, UNICEF has been able to respond to over 30,000 Malagasy people who were displaced following tropical storms Chedza and Fundi and subsequent floods, with life-saving supplies. A total of 20,400 school aged children were assisted with access to quality education, while over 2,000 children are accessing safe community spaces. A response to the drought in the southern part of the island has been launched to meet the needs of 200,000 people facing significant food insecurity. Five polio cases have been identified and mass campaigns are under way to raise awareness to prevent polio amongst at-risk populations. All children under-five, approximately 78,000, received lifesaving support in seven of the most vulnerable regions affected by natural disasters. Mozambique 2015 MADAGASCAR PROGRAMME TARGETS AND RESULTS Number of children under 5 suffering from severe acute malnutrition have access to treatment and screened UNICEF 2015 Target UNICEF Total 2015 Results 5,000 519 Number of children under 5 screened for severe acute malnutrition 100,000 1,403 Number of women and children under 5 who have access to support for infant and young child 25,000 women feeding (IYCF) 750 children 0 Percentage of children under 5 who receive lifesaving support in 7 of the most vulnerable regions affected by natural disasters 78,000 cases 100% Number of internally displaced people and host community members who have safe water to drink 30,000 30,000 Number of emergency-affected people who benefit from hygiene and sanitation promotion messages 30,000 21,660 CHILD PROTECTION Number of children who have access to safe community spaces to socialize, play and learn, along with appropriate referral services for children in need of special care. 6,000 2,035 Number of school-aged children, including adolescents, who have access to quality education (aided by temporary structures) 25,400 20,400 Number of DRR trainings provided for local education authorities and school-aged children 6 0 Results to date (January to June 2015): UNICEF s initial appeal for humanitarian requirements for 2015 of US$2.8 million has been revised and reduced to just under US$2 million. As of 30 June 2015, the appeal is fully funded. This downwards revision is based on the
outcome of the response to the floods and cholera outbreak and the fact that preparedness is already in place for any potential outbreak to cover the next six months. Many of the 2015 targets have already been met. On 12 January 2015, the Government of Mozambique activated the institutional red alert as a result of the heavy flooding in the northern Zambezia and Nampula provinces giving rise to cholera outbreaks. The floods disrupted basic services, health, access to water, education, and food and shelter, which affected a total of 408,863 people and resulted in 163 deaths (134 of which were in Zambezia). UNICEF worked with the Government and partners to implement the national Multi-Sector Response Plan. UNICEF provided material and technical support for the establishment of the cholera treatments centres, the development of the cholera multi-sectorial plan, and the provision of cholera medication for multi-sectorial coordination. UNICEF supported 63,000 flood-affected people in accessing safe water and sanitation. As the floods occurred during the beginning of the school term, UNICEF provided tents and learning kits for 23,760 students. Community radio stations in the affected areas were supplied with generators and support to produce and broadcast radio programmes with key life-saving messages, which reached 39,000 families. Basic health kits were distributed, benefitting a total of 10,896 people. Nutritional supplements were provided to 3,130 children under five, with partners providing additional support as required. UNICEF also provided 400 vulnerable families with kits comprised of household utensils (cups, plates, spoons, buckets, sleeping mats, torches, cooking pots, soap bars and blankets) to assist with their recovery from the disaster. 2015 MOZAMBIQUE PROGRAMME TARGETS AND RESULTS UNICEF 2015 Target UNICEF 2015 Total Results Number of children under 5 years reached with emergency nutritional supplements 8,000 3,130 Number of children ages 6-59 months with SAM enrolled in OTP and NRU programmes 120 195 Number of children under 5 receiving adequate health services in accommodation centres 20,000 10,896 Number of flood-affected people supported with access to safe water and sanitation facilities in accommodation centers and through household water treatment or rehabilitation and repair of 50,000 63,000 water points Number of flood-affected school children benefit from school supplies (school-in-a-box and recreation kits) 20,000 23,760 PROTECTION Number of children affected by emergencies provided with psychosocial support through community-based child care centres and children s corners* 5,000 Number of vulnerable families supported with household kits 400 COMMUNICATION FOR DEVELOPMENT Number of families with children under-5 in affected provinces reached with key life-saving messages, including infant and young child feeding, malaria prevention, hand washing, hygiene 5,000 39,000 and child protection and care practices * While psychosocial support was provided to children, it was delayed due to logistical and administrative issues and the numbers reached have not been collected yet. Namibia Planned Results from July to December 2015: For the remainder of the year, UNICEF will continue to work with the Government and key partners to realize the 2015 targets, particularly for WASH and nutrition. In the event that funds materialize, UNICEF will work towards ensuring 680,000 people have access to safe water in the five most affected northern regions, of which 68,000 will also have access to improved hygiene practices. Efforts will continue to establish functioning Food Security and Nutrition Monitoring System, developed by the Directorate for Disaster Risk Management and Ministry of Health and Social Services with support from WFP and UNICEF, in the remaining 8 regions, to inform policy and programme response. Results to date (January to June 2015): UNICEF s 2015 appeal for humanitarian requirements is US$1 million, of which no contributions have been received to date. The 2014/15 rainy season was sub-optimal due to late onset, prolonged mid-season dry spells and lower than normal rainfalls. Overall, food security conditions are expected to deteriorate due to: poor harvests; rising market food prices; low market values for livestock; a drop in the number of households owning livestock; depleted household food stocks resulting in continued use of coping strategies, such as limiting the number of meals in a day; and poor household dietary diversification. UNICEF has conducted a training of regional disaster risk management teams and regional health units in Infant and Young Child Feeding in Emergencies. Approximately 1,000 regional Disaster Risk Management personnel have subsequently been trained by 53 trainers who received training of trainers from UNICEF and the International Organization for Migration (IOM). UNICEF partnered with the Namibian Red Cross Society (NRCS) in May 2015 to support communities with water, sanitation and hygiene (WASH) interventions. UNICEF and partners have supported the ongoing food security and nutrition monitoring systems in six regions of the country. Due to a shortage of complex minerals and vitamins (CMV) and Ready-To-Use Therapeutic Food (RUTF), the Government requested UNICEF s support to procure 67 boxes of CMV and 500 boxes of RUTF. Therapeutic food supplies have been distributed to 35 hospitals for treatment of severe acute malnutrition. UNICEF was able to support emergency preparedness and response activities by utilizing carry-forward funds available from 2014 and reallocating funds from other resources to meet additional funding gaps. 2015 NAMIBIA PROGRAMME TARGETS AND RESULTS Number of members of regional disaster risk management teams and regional health units in all 14 regions received training on IYCF in emergencies UNICEF 2015 Targets UNICEF Total 2015 Results 1,000 1,000 Number of functioning food security and nutrition monitoring system in the 14 regions 14 6 WATER, SANITATION, AND HYGIENE Number of people benefit from household water treatment and storage and hygiene education 680,000 0
Number of people who practice hand washing with soap at critical periods 68,000 0 Swaziland Planned Results from July to December 2015: Through to the end of the year, UNICEF and leading UN agencies will support the National Disaster Management Authority in implementing a simulation of the EiERP, which directly addresses key areas of education, health, nutrition and WASH. The National Disaster Management Authority develops and regularly updates plans and uses early warning systems to improve forecasting and safeguarding against disasters. Results to date (January to June 2015): UNICEF Swaziland worked closely with the Ministry of Education Emergency Preparedness Response team to develop the Education in Emergency Response Plan (EiERP) and the National Framework 2015-2020, through a participatory process. The EiERP and National Framework provides a comprehensive and standardized functional system and coordination mechanism for monitoring, assessing and evaluating disasters that take place in schools in an effort to prevent and mitigate the effects of natural disasters. The final EiERP is currently awaiting validation by the Ministry of Education for roll out. The implementation plan includes a Training of Trainers of approximately 20 school inspectors who will in turn train head teachers and teachers to develop a local contextualized EiERP for their own schools. Additional funding will contribute to the successful and wide dissemination of the Plan to all primary and secondary schools, as well as the development of appropriate child-sensitive communication materials for children and schools, as well as communities. Number of trained inspectors 20 0* *Results will be available following the finalization and implementation of the Education in Emergency Response Plan. Funding Requirement 2015 SWAZILAND PROGRAMME TARGETS AND RESULTS UNICEF 2015 Target UNICEF Total 2015 Results Education in Emergency Response Plan finalized and endorsed 1 0 UNICEF s original funding requirement for 2015 was just under US$13 million. The funding requirement was increased to US$15.8 million with the addtiion of Mozambique, and is increasing again as part of the mid-year review to US$15.9 million with the addition of Lesotho. The revised requirements includes US$11.8 million to respond to humanitarian programmes in Angola, Lesotho, Madagascar, Mozambique, Namibia and Swaziland. To date US$6.5 million is available from funding gratefully received from donors in 2015 (including funds received in late 2014 and carried forward into 2015). Additional support is required for the Regional Office to continue supporting at-risk countries in the region through surge missions, technical support and capacity building. This funding may be used to prepare for and respond to situations in the region that are not included in a separate chapter of the Humanitarian Action for Children 2015 and may not benefit from other interagency flash appeals to respond to small or medium scale emergencies. Appeal Sector 2015 HAC Requirement Funds Received Against Funding gap (US$)*** 2015 HAC (US$) (US$ / %) Nutrition 455,000 0 455,000 100% Health 162,000 0 162,000 100% Water, Sanitation & Hygiene 1,188,000 0 1,188,000 100% Child Protection 810,000 0 810,000 100% Education 162,000 0 162,000 100% Social Protection 87,000 0 87,000 100% Resilience 240,000 38,013 201,987 84% Emergency Coordination 990,000 0 990,000 100% Sub-Total 4,094,000 38,013 4,055,987 99% Carry-forward* 2,774,761 Total funding available** 2,812,774 Grand Total 4,094,000 2,812,774 1,281,226 31% * The carry-forward figure is the unutilized budget balance that was carried forward from the prior year to the current year, available as of 1 January 2015. ** Total funding available includes total funds received against current appeal plus carry-forward. *** Although the HAC funding requirement has been revised in June and July 2015, the Regional Office s funding requirement has not changed. Appeal Country Original 2015 HAC Requirement (US$) January 2015 Revised 2015 HAC Requirement (US$) June 2015 Revised 2015 HAC Requirement (US$) July 2015 Funds Received Against 2015 HAC (US$) Funding gap US$ / % Angola 3,200,000 3,200,000 2,000,000 700,000 1,300,000 65% Burundi 2,500,000 2,500,000 Lesotho 1,501,350 0 1,501,350 100% Madagascar 1,751,000 1,751,000 4,936,440 428,334 4,508,106 91% Mozambique 2,840,000 1,961,553 1,961,553 0 0% Namibia 1,000,000 1,000,000 1,000,000 0 1,000,000 100% Swaziland 400,000 400,000 400,000 0 400,000 100% Sub-Total 8,851,000 11,691,000 11,799,343 3,089,887 8,709,456 74% Carry-forward* 597,274 Total funding available** 3,687,161 Grand Total 8,851,000 11,691,000 11,799,343 3,687,161 8,112,182 69%
* The carry-forward figure is the unutilized budget balance that was carried forward from the prior year to the current year, available as of 1 January 2015. ** Total funding available includes total funds received against current appeal plus carry-forward. Burundi was included in the ESARO HAC chapter until July 2015, when it became a stand-alone chapter. Lesotho has been added to the July 2015 ESARO HAC Chapter to appeal for funds to respond to the drought. Mozambique was added to the ESARO HAC Chapter in early 2015 following the flood emergency. For further information please contact: Leila Pakkala Regional Director, UNICEF Eastern and Southern Africa Region Tel: +254 20 762-2226 Email: lpakkala@unicef.org Yasmin Haque Deputy Director, Office of Emergency Programmes (EMOPS) UNICEF, New York Tel: +1 212 326 7150 Email: yhaque@unicef.org Olav Kjørven Director, Public Partnerships Division (PPD) UNICEF, New York Tel: +1 212 326 7160 Email: okjorven@unicef.org