UNICEF Uganda. DRC refugee influx to Bundibugyo - Situation Report #3 Issued 30 July 2013

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UNICEF Uganda DRC refugee influx to Bundibugyo - Situation Report #3 Issued 30 July 2013 Highlights 66,139 refugees registered by Uganda Red Cross (URC) in Bubandi Sub-county as at 14 July 2013. 17,516 refugees registered at Bubukwanga Transit Centre as at 29 July 2013; Children constitute approx. 55% of camp population. Bio-registration of refugees starts at Bubukwanga Transit Centre 30 July, ahead of relocation to Kyangwali Refugee Settlement, in Hoima District. A joint Government of Uganda-Local Government Development Programme/Donor and UN visit/tour took place 29 July. An Assessment Team (Supply & Logistics, Learning, WASH) currently in Kyangwali Refugee Settlement ahead of relocation of refugees from Bubukwanga Transit Centre. UNICEF appealing for USD$7,472,513 in Humanitarian Action for Children (HAC) to support response in health and nutrition; WASH; child protection; and education. Situation Overview & Humanitarian Needs Humanitarian partners in Uganda are responding to a sudden influx of over 66,000 refugees who crossed into Bundibugyo in western Uganda in a space of three days to flee from rebel Allied Democratic Forces (ADF) that attacked Kamango town in eastern Democratic Republic of Congo (DRC) on 11 July 2013. The Uganda Red Cross Society in Bubandi Sub-County, Bundibugyo District, registered a total of 66,139 refugees in the first three days, with the newest arrivals initially staying at six primary schools and various other sites within the host community, until a transit camp was prepared at the Bubukwanga Sub County headquarters, some 28 kilometres from Uganda s border with the DRC border and 8 kilometres from the Ugandan town of Bundibugyo. The Bubukwanga Transit Centre has a capacity of 8-10,000 people, and is currently significantly overcrowded. Over 17,000 refugees are temporarily sheltered there as at 30 July 2013, with children constituting 56% of the camp population. Stay in the transit centre is temporary, and the Office of the Prime Minister announced that voluntary relocation of refugees would begin within 7-10 days to Kyangwali Refugee Settlement in Hoima District, for those wishing to remain in Uganda. At Kyangwali, they will have access to water, education and health services, among others. The OPM and UNHCR are beginning bioregistration of refugee at Bubukwanga Transit Centre, 30 July, ahead of relocation to Kyangwali. The refugee influx has prompted urgent emergency response to provide water, sanitation and hygiene (WASH), health and nutrition, child protection and education interventions, food and other non-food items. Before this recent influx of refugees into Bundibugyo, Uganda was already host to more than 210,000 registered refugees and asylum seekers, 63% of whom originate from the DRC. Bubukwanga Transit Centre, where over 17,000 Congolese refugees are camped after fleeing ADF rebel attacks in eastern DRC. UNICEF and other partners are responding, co-ordinated by OPM and UNHCR. UNICEF/UGD 2013/Kasamani 1

Key Information (Estimates calculated based on initial figures from UNHCR Uganda Assistance and Activities Tracking Sheet as of 29 July, 2013) Start of humanitarian response: 13 July 2013 Total Male Female Total Affected Population 17,587 - - Children Affected (Under 18) (calculated as %) 9,849 - - Humanitarian leadership and coordination The Office of the Prime Minister (OPM) is co-ordinating the overall emergency response to the DRC refugee influx crisis together with UNHCR, and in collaboration with other partners, in what is described as a challenging context of a rapid and massive influx. They are co-ordinating set up and maintenance of Bubukwanga Transit Centre in Bundibugyo District, while the Uganda Red Cross Society (URCS) is in charge of managing the camp. General co-ordination meetings are held on-site daily to assess outputs, outcomes and gaps. Different humanitarian partner agencies are leading and/or providing emergency response in the different sectors: Health: UNHCR and OPM provide lead co-ordination; UNICEF supports Health sector, along with the Bundibugyo district local government (DLG), MSF, MTI, Red Cross, and UNFPA. WASH: UNICEF leads the WASH sector, with UNHCR and OPM leading co-ordination. Protection: UNICEF supports Protection sector, with other operational partners ICRC, Save the Children (SCiU) and Uganda Red Cross Society (URCS) UNICEF Programme response UNICEF is part of the overall emergency response co-ordinated by OPM and UNHCR, and is focusing on providing access to safe water and sanitation, health and nutrition services, safe and child-friendly spaces and activities for children. Attention is also being put on separated and unaccompanied children, tracing and reuniting them with their families. Priority interventions include: Children aged 0-59 months are immunized against polio [HEALTH] Children aged 6 months-15 years are immunized against measles [HEALTH] Screening for children for malnutrition [HEALTH] Providing access to clean water supply [WASH] Increase sanitation facilities and promote hygiene [WASH] Identification and registration of unaccompanied and separated children [PROTECTION] Provide emergency education materials and child-friendly spaces [PROTECTION, LEARNING] A group of children and young people at Bubukwanga Transit Centre where they took refuge to flee fighting by the Allied Democratic Force (ADF) rebels in town of Kamango in the Democratic Republic of Congo (DRC). UNICEF/UGD 2013/Kasamani 2

UNICEF Action as at 30 July UNICEF s emergency response since 13 July has involved the following specific interventions: Health and Nutrition UNICEF procured 100,000 measles vaccines and 50,000 OPV (polio) vaccines (arriving July 31) for a proposed mass immunisation measles campaign along the Uganda-DRC border (dates TBC) [with WHO, MSF] UNICEF supported DLG to immunize 2,110 children (6mths to 15 years) against Measles; 1,198 children (0-5 years) against Polio as at 30 July. UNICEF supported DLG to provide 1,459 children 0-5 years with Vitamin A supplementation and 2,130 children with deworming tables as at 30 July. UNICEF provided a Cholera Kit to serve up to 100 patients in event of an outbreak, UNICEF set up an Isolation ward tent in case of disease outbreak [with MSF-F] UNICEF set up 3 in-patient department (IPD) tents (one each for children, women and men) in the health Congolese children at the Bubukwanga Transit Centre; one of them holds a child centre compound [with DLG, MSF] immunisation health card. UNICEF has UNICEF provided 25 beds, 200 hospital blankets and provided measles and polio vaccines, 183 pairs of bed sheets to IPD Vitamin A supplementation and deworming UNICEF provided 2 IEHK 2006 Kits Equipment tablets as part of the agency response to the UNICEF provided Albendazole 400mg chewable tabs/pac-100 DRC refugee influx. UNICEF/UGD 2013/Kasamani UNICEF provided Retinol 100,000IU soft gel.caps/pac-500 UNICEF provided Retinol 200,000IU soft gel.caps/pac-500 UNICEF provided F-75 therapeutic diet sachet,102.5g/car-120 UNICEF provided ReSoMal,42.1g sachet for 1 litre/car-100 UNICEF provided Squatting plates (90) Gaps in Health and Nutrition Drugs stock outs reported at health centres along DRC border; Complete nutritional screening needed at Bubukwanga Transit Camp and host communities; Mass Measles campaign recommended along the DRC border (dates TBC); Rehabilitation of health facility required; Need for therapeutic and supplementary feeds for children suffering malnutrition. Water, Sanitation and Hygiene UNICEF leads response to provide safe water and sanitation facilities, focusing on water supply, water treatment, tap stands monitoring, hand washing and solid waste management [with DLG, LWF, MSF-F, Oxfam, Samaritan s Purse, URCS, World Harvest Mission] UNICEF facilitated repair of Gravity Flow Scheme (GFS), now supplying over 15,000 litres to the transit centre and 20,000 litres to host communities in daytime, as well as 30,000 litres into storage tanks at the transit centre at night (i.e. total 45,000 litres to transit centre daily) [with DLG, World Harvest Mission] UNICEF today stopped water trucking, though 5 partners continue, providing 200,000 litres daily (camp storage capacity is 243,000 litres), amidst challenge of soggy grounds due to heavy rains [CICO road construction company, LWF, MSF, Oxfam GB, World Harvest Mission] 3

UNICEF provided a 10,000-litre water bowser, trucking water four times a day (total 40,000 litres) daily from July 13-30, 2013. UNICEF supporting water quality monitoring surveillance and residual chlorine monitoring for every water bowser delivered to the camp [with DLG] UNICEF provided 500 drums for lining drainable latrines; also contributed 32 lined-stances today, another 32 lined-stances to be excavated tomorrow (total 64), bringing overall stances by UNICEF and other partners to 168, 150 of them lined and drainable. Current latrine-to-refugee ratio at transit centre is 1: 109; 166 more stances under construction [with Danish Refugee Council, Oxfam, Samaritan s Purse] UNICEF supported DLG to disinfect 6 schools that hosted initial wave of refugee influx with chlorine, empty their latrines with cesspool emptier, and spread EMO to eliminate the smell; vacated schools resumed operations on 29 July [with DLG] UNICEF supporting 25 out of 50 hygiene promoters deployed as at 30 July + provided hygiene promotion equipment. URCS supporting remaining 25 [with DLG, LWF] UNICEF provided hygiene promotion equipment i.e. gum boots, gloves, brushes, facilitation and 5 cartoons of (800gm) soap. Gaps in Water, Sanitation and Hygiene Funds needed for cesspool emptier to de-sludge drainable latrines. Latrine stance ratio stands at 1:109, leaving a gap of 166 stances. Bath shelter ratio is 1:160; gap is 158 stances. Protection UNICEF supporting identification of separated children and unaccompanied minors (UAM); i.e. 55 separated children (15 girls and 40 boys) and 122 UAM identified in total as at 30 July; currently, 59 UAM (06 girls and 53 boys) are pending reunification with their families [with URCS, SCiU, World Vision] UNICEF deployed innovative RapidFTR tool to facilitate family tracing and reunification for separated children and unaccompanied minors (UAM); 63 children reunited with relatives or family, 59 (6 girls, 53 boys) pending reunification as at 30 July [with ICRC, SCiU, URCS] UNICEF trained, counselled and mentored RapidFTR volunteers UNICEF provided funds worth USD$11,900 to Bundibugyo DLG Probation Office to support district level co-ordination of child protection and psychosocial support. UNICEF supported SCiU to set up one child-friendly space in addition to that set up by World Vision, to serve up to 1,000 children (SCiU alone reported handling approx. 800 children on 29 July). UNICEF provided 2,000 NFI kits, to contribute to reaching the needs of over 17,000 persons [through UNHCR, URCS] UNICEF provided 40 plastic tarpaulins, each providing shelter to a household of an average of 6 people. A Uganda Red Cross Society worker uses a phone to register the details of unaccompanied minors (UAM) and children separated from their families during the influx of refugees fleeing fighting by the Allied Democratic Force (ADF) rebels in town of Kamango in the Democratic Republic of Congo (DRC). UNICEF has deployed RapidFTR, an innovative SMS-based tool to track down relatives of UAM and separated children, and is working with ICRC, Uganda Red Cross Society and Save the Children in Uganda (SCiU) to trace and reunite them. UNICEF/UGD 2013/Kasamani 4

Gaps in Protection Need to strengthen co-ordination and care for UAMs (e.g. caretakers, registration procedures, etc.) More volunteers needed to man child-friendly spaces. HIV/AIDS Condoms still made available but not for distribution. Education UNICEF provided 60 School-in-a-Box (SIB) to Bundibugyo District Education Office (DEO), each SIB serving 40 children for affected schools in host communities (approx. 2,400 children to be reached). UNICEF provided Bundibugyo District Education Office (DEO) with 30 early childhood development (ECD) kits and 5 (72m) tents for child-friendly learning spaces [with SCiU] Gaps in Education Additional (120) School-in-a-Box and (30) ECD kits, recreational kits and other materials needed to support learning in Kyangwali Settlement Camp Hoima, where refugees may be relocated. Education strategy required for new refugees in collaboration with implementing partners. Human Resources as at 30 July The Uganda Country Office set up an Emergency Team comprising the following persons to follow up on UNICEF s response to the Bundibugyo refugee crisis: 1. Representative 2. Emergency/Field Co-ordinator 3. Chief of Operations/Supply Manager 4. Health Specialist 5. Nutrition Specialist 6. WASH Specialist 7. Education Specialist 8. Child Protection Specialist 9. Chief of Communications/External Relations UNICEF has also dedicated the following staff to provide in-field co-ordination and technical support, with additional staff co-opted as required: 01 District Programme Officer/Emergency Co-ordinator (WASH) 01 WASH Consultant 01 Logistics Assistant Security Ugandan authorities are discouraging refugees from moving back and forth across the border, though persons seeking asylum are allowed to enter the country. The restriction is due to security concerns over possible infiltration by the rebel ADF into Uganda. Funding 1 In line with Uganda s refugee appeal (Emergency response appeal to the refugee influx from the Eastern Democratic Republic of the Congo), the UNICEF/WFP/FAO resilience strategy in Karamoja (A Joint Strategy for Building Community Resilience in Karamoja) and the UNICEF Country Programme s commitment to emergency response country-wide, UNICEF is requesting US$16,272,320 to meet the humanitarian needs of children and women in Uganda in 2013. Without additional funding UNICEF will be unable to support the national response to the country s continuing nutrition crisis in Karamoja, provision of critical services to refugees and affected Uganda communities and WASH and health services to those adversely affected and/or displaced by flooding. Basic supplies for primary education are also urgently needed to uphold children s right to education. 1 Text on UNICEF funding requirements excerpted from Humanitarian Action for Children, 18 July 2013 5

Funding Requirements (as defined in Humanitarian Appeal of 18/07/2013 for 2013) Sector Total 2013 requirements Income through 30 June Funding gap Health and Nutrition 8,508,398 5,293,735 3,214,663 Water, sanitation and hygiene 4,503,498 1,335,977 3,167,521 Child protection 1,428,229 1,343,864 84,365 Education 1,832,196 826,231 1,005,965 Total 16,272,320* 8,799,807 7,472,513 All figures in US$ * Reflects an increase from the original requirements of US$8,159,000 in January 2013 to respond to the refugee crisis. Total does not add up to US$16,272,320 due to rounding. Supply and Logistics as at 30 July Cumulative supplies delivered by UNICEF to Bundibugyo in response to the DRC refugee influx crisis: Material Description Unit Qty Value Consignee Name Waybill Nr Delivery date Water bladder (10,000 litres) EA 1 $2,000.00 BUNDIBUGYO DISTRICT ADMIN 16-07-13 Water trucking Litres 550,000 $8,156.02 BUNDIBUGYO DISTRICT ADMIN 26-07-13 HTH Chlorine 65% 7 $1,164.87 BUNDIBUGYO DISTRICT ADMIN 4123 16-07-13 Water purification machine EA 1 $3,906.33 BUNDIBUGYO DISTRICT ADMIN 72045084 14-07-13 NFI Kit EA 250 $9,312.50 UNHCR 72045081 14-07-13 NFI Kit EA 250 $9,312.50 UNHCR 72045082 14-07-13 Diarrhoeal Disease Set Packing EA 1 $4,660.03 MSF FRANCE KAMPALA 72045083 14-07-13 School-in-a-box,40 students EA 60 $10,318.20 BUNDIBIGYO DEO 72045129 16-07-13 Tent,light weight,rectangular,72m² EA 5 $8,850.00 BUNDIBIGYO DEO 72045129 16-07-13 Early Childhood Development (ECD) kit EA 20 $4,038.60 BUNDIBIGYO DEO 72045129 16-07-13 NFI Kit EA 1,500 $55,875.00 UNHCR 72045172 16-07-13 Tarpaulin,reinforc.,plastic,sheet,4x5m EA 40 $456.80 BUNDIBIGYO DEO 72045129 16-07-13 MUAC,Child 11.5 Red/PAC-50 PAC 5 $14.60 BUNDIBUGYO DHO 72045490 19-07-13 Albendazole 400mg chewable tabs/pac-100 PAC 100 $216.00 BUNDIBUGYO DHO 72045490 19-07-13 Retinol 100,000IU soft gel.caps/pac-500 PAC 10 $65.00 BUNDIBUGYO DHO 72045490 19-07-13 Retinol 200,000IU soft gel.caps/pac-500 PAC 20 $176.80 BUNDIBUGYO DHO 72045490 19-07-13 F-75 therap. diet,sachet,102.5g/car-120 CAR 60 $2,774.40 BUNDIBUGYO DHO 72045490 19-07-13 ReSoMal,42.1g sachet for 1 litre/car-100 CAR 4 $87.92 BUNDIBUGYO DHO 72045490 19-07-13 IEHK2006,kit,suppl.2-equipment EA 2 $1,761.12 BUNDIBUGYO DHO 72045490 19-07-13 Squatting plates EA 90 $765.00 BUNDIBUGYO DISTRICT ADMIN 21-07-13 Water Tank (10,000 liters) EA 2 $2,680.00 BUNDIBUGYO DISTRICT ADMIN 21-07-13 Soap (800gm) CAR 5 $54.50 BUNDIBUGYO DISTRICT ADMIN 21-07-13 Metallic drums EA 40 $1,078.58 BUNDIBUGYO DISTRICT ADMIN 4127 24-07-13 Metallic drums EA 160 $4,314.33 BUNDIBUGYO DISTRICT ADMIN 4126 24-07-13 Hospital beds EA 25 $6,452.23 BUNDIBUGYO DISTRICT ADMIN 26-07-13 Mattresses EA 25 $1,502.31 BUNDIBUGYO DISTRICT ADMIN 26-07-13 Blankets, EA 200 $4,807.00 BUNDIBUGYO DISTRICT ADMIN 26-07-13 Bed sheets EA 200 $3,162.94 BUNDIBUGYO DISTRICT ADMIN 26-07-13 Metallic drums EA 300 $8,089.00 BUNDIBUGYO DISTRICT ADMIN 4126 26-07-13 Total Value: $156,052.58 6

Next SitRep: 02/08/2013 For further information, please contact Sharad Sapra Representative Uganda Country Office Tel: +256 717 171 100 Fax: +256 414 235 660 E-mail: ssapra@unicef.org May Anyabolu Deputy Representative Uganda Country Office Tel: +256 717 171 300 Fax: +256 414 235 660 E-mail: manyabolu@unicef.org Grace Ekudu OIC Chief, Field Operations Uganda Country Office Tel: +256 717 171 151 Fax: +256 414 235 660 E-mail: gekudu@unicef.org 7