UKRAINE SITUATION REPORT NOVEMBER

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Ukraine Humanitarian Situation Report No. 52 Highlights During the month of November, there was a sharp increase in fighting in eastern Ukraine, registering over 2,000 incidents daily. More than 4,500 children were unable to go to school for several days due to an attack which damaged a main pipeline that supplies drinking water and centralised heating for more than 80,000 people on both sides of the contact line in Donetsk oblast. UNICEF repaired and rehabilitated over 17 km of pipelines to ensure uninterrupted access to safe drinking water in Donetsk oblast. 2,500 children, of whom nearly 60 per cent are girls, placed a call to a UNICEF-supported hotline to receive psychological and legal assistance. Antiretroviral (ARV) medicines were shipped to Donetsk non-government controlled area (NGCA). With this delivery, the critical needs of patients in Donetsk and Luhansk oblasts NGCA will be met until the mid-2017. 01-30 November 2016 580,000 # of children affected out of 3,700,000 # of people affected (HAC January 2016) Internally Displaced Persons (IDPs) 230,106 # of children out of 1,656,662 # of people registered as IDPs (Ministry of Social Policy, 5 December 2016) UNICEF Appeal 2016 US$ 54.3 million UNICEF s Response with Partners UNICEF UNICEF Cumulative results (#) Cluster Sector/Cluster Cumulative results (#) Nutrition 80,000 43,879 80,000 50,000 Health 402,000 1,165 - - WASH 1,500,000 2,879,707 2,112,500 4,630,816 Child Protection 1 800,000 736,109 470,000 294,913 Education 169,000 146,446 187,200 192,615 HIV & AIDS 30,000 33,120 30,000 33,120 2016 Funds Available Carryforward amount: $18.8M 35% 2016 Funding Requirement: $54.3M Funding gap: $27.2M 50% Funds received to date: $8.3M 15% 1 The numbers include children and their families who received PSS and MRE Page 1 of 6

Situation Overview & Humanitarian Needs Limited humanitarian access to and within the non-government-controlled areas (NGCAs) of eastern Ukraine remains a concern. The ongoing hostilities along the entire length of the contact line continue to pose a risk to life, safety and security for civilians, especially children. The cumulative impact of the armed conflict erodes the coping capacity of local communities, increasing the vulnerability of children. Given the number of damaged houses, growing poverty, as well as interruptions to electricity, water and gas supplies, a great concern is the lack of heating in kindergartens, schools, maternity units and primary healthcare centres. With primary health care services deteriorating in the rural areas and along the contact line, the risk of outbreak of communicable diseases in eastern Ukraine is a serious concern. Moreover, the ongoing dilemma of cross border payment for utilities remains a worry for the WASH Cluster. The State Company Popasnyanskyi Rayonnyi Vodokanal (PRV) that distributes safe drinking water in Luhansk oblast, with over 600,000 of its beneficiaries residing in NGCA alone, is under threat of having its electricity cut off due to owing money to a local privately owned electricity provider. Humanitarian Leadership & Coordination In November 2016, the WASH and Education Clusters, and the Child Protection and Nutrition Sub-clusters have finalized the 2017 Humanitarian Needs Overview (HNO) and Humanitarian Response Plan (HRP), which has been publically released on 5 December 2016. The WASH Cluster continued to advocate for a resolution to the issue of PRV s unpaid electricity bills and advocating for a more durable solution that can allow for utility payments across the contact line. Following a shelling incident in Toretsk area on 22 November, Donetsk oblast, which left over 80,000 people without access to water and centralised heating, with over 4,500 children in GCA alone unable to attend school for several days, the WASH Cluster as well as Education Cluster produced and shared with partners an incident report and identified number of affected children and their immediate needs. To restore education, close coordination between UNICEF, WASH, Page 2 of 6

Education Clusters and partners have ensured a rapid response through the provision of necessary supplies to effectively address humanitarian needs of the affected children. Humanitarian Strategy UNICEF continues to address the needs of the most vulnerable children by ensuring their access to education, safe learning spaces, child protection community-based services and immediate psychosocial support. By working closely with partner organizations, schools, community centers and through mobile teams, the programme supports primary health care and child protection services in conflict-affected areas. Treatment of adults and children with HIV and prevention of mother-to-child HIV transmission is also one of the main objectives of UNICEF in the existing programme. Access to safe drinking water is ensured through the provision of critical treatment chemicals, rehabilitation of infrastructure, and creation of alternative sources of safe drinking water. To achieve more effective humanitarian response, UNICEF also facilitates coordination through its leadership of the Education and WASH Clusters, and its participation in the Child Protection Sub-cluster and Nutrition Working Group. It also contributes to the Health Cluster as well as the HIV/Tuberculosis/Opioid Substitution Treatment (HIV/TB/OST) and Mine Action Sub-clusters. Collaboration is ongoing with the government at all levels, United Nations agencies, international NGOs and local partners. Summary Analysis of Programme Response Partnership with local NGOs enabled UNICEF to continue distribution of Education and WASH supplies throughout NGCA. The fifth shipment of ARV medicines to Donetsk NGCA took place on 30 November 2016. This final shipment will cover the needs of people living with HIV in both Luhansk and Donetsk NGCA until the middle of 2017. In GCA, UNICEF rehabilitated 17 km of water pipelines and delivered over 170,000 liters of drinking water through trucking and bottled water distribution. The partners have also distributed hygiene kits and electronic cash vouchers to cover the emergency needs of 25,329 people, including 4,559 children, living along the contact line. In addition, 2,500 children, of whom nearly 60 per cent are girls, placed a call to a UNICEF-supported hotline to receive psychological and legal assistance. To reinforce the skills of staff working in Community Protection Centers (CPC), UNICEF s partner Terre des Hommes conducted a training on the Minimal Standards for Child Protection in Humanitarian Action. It is evident that ongoing hostilities, which now occur during daytime, are having a strong impact on children s psychological wellbeing. Signs of speech disorders and psychological trauma were identified among 16,000 children and caregivers who visited these CPCs. In November, the UNICEF Mine Risk Education Programme carried out a nation-wide TV and Internet campaign along with distributing printed materials in education facilities in eastern Ukraine, which reached nearly 260,000 children and their caregivers. To ensure ongoing access to education, UNICEF is continuing delivery of basic supplies to kindergartens and continues with the advocacy for a nation-wide ratification of the Safe School Declaration. The Declaration is a public statement of the government s aspirational commitment to prevent attacks on and limit the military use of educational institutions to the greatest extent possible. To this end, UNICEF supports the government in developing a three-year action plan to achieve this aim. Communication for Development (C4D) UNICEF has finalized an integrated communication strategy to support the Ministry of Health of Ukraine revamping the routine immunization programme and rebuilding trust in vaccination in 2017. Moreover, in partnership with the largest media company in Ukraine, UNICEF launched a nation-wide campaign "You are among friends. Let s get together to promote social inclusion of children affected by the conflict. The first component of the campaign was launched with Tiny Stories activation. The videos featuring celebrities reached over 14.5 million people via several TV channels, and over 50,000 viewers have seen them on social media channels. During two weeks of activation, 80 people submitted their personal stories that will form the book Tiny Stories for Every Child in 2017. Page 3 of 6

Supply & Logistics The key supply activity for November was the arrangement of the ARV medicines delivery to NGCAs via the Logistics Cluster. Goods were delivered to the Logistics Cluster Wear House in Dnipro, and the Logistics Cluster has organized transportation of UNICEF HIV-related supplies to NGCAs. Media & External Communication On 15-16 November, the UNICEF Volleyball Cup Final took place in Kharkiv City resulting in at least 20 national media mentions. Eight teams from five eastern Ukraine regions participated in the final games of the tournament followed by a live concert from a rock band Pianoboy. The UNICEF Volleyball Cup was launched in October within the project Towards Greater Social Cohesion and Integration of IDPs in Eastern Ukraine. The Cup, organized together with the Committee for Physical Education and Sports of the Ministry of Education and Science, brought together over 3,500 children, including children from IDP families, from 301 schools in GCAs. Security During the reporting period, the security situation in eastern Ukraine worsened. Breaches of the ceasefire agreement by the parties to the conflict occurred along the contact line daily. OSCE Special Monitoring Mission reported that the security situation along the contact line seriously deteriorated in November. 2 The situation was further aggravated by a surge in hostilities at all crossing points, including sniper fire. Moreover, the political and economic situation in most of Ukraine is very tense, with implications for the general security situation. A heightened security regime has been announced by the Government to counter possible provocations and attempts at destabilization as daily demonstrations against high utility rates and lost deposits in bankrupted banks continued in front of the Ukrainian Parliament and the National Bank of Ukraine in Kyiv. Funding Requirements (as defined in Humanitarian Appeal of 2016 for a period of 12 months) Appeal Sector Requirements Funds Received Funding Gap $ % Nutrition 1,000,000 0 1,000,000 100 Health 4,450,000 779,000 3,671,000 82 WASH 30,400,000 1,939,842 28,460,158 94 Child Protection 8,500,000 1,986,927 6,513,073 77 Education 5,850,000 3,048,506 2,801,494 48 HIV/AIDS 3,500,000 0 3,500,000 100 Cluster/Sector Coordination 600,000 533,914 66,086 11 Unallocated Sub-Total 54,300,000 8,288,189 46,011,811 85 Carry-forward (2016) 18,805,681 Total 54,300,000 27,093,870 27,206,130 50 * Total Funds Available includes funding received current appeal as well as Carry-Forward from the previous year. 2 OSCE Status Report of the Special Monitoring Mission to Ukraine as of 23 November 2016. Accessed at: http://www.osce.org/ukraine-smm/283841 Page 4 of 6

Next SitRep: 01/01/2017 UNICEF Ukraine Crisis: www.unicef.org.ua UNICEF Ukraine Crisis on Facebook: www.facebook.com/unicef.ukraine UNICEF Ukraine Humanitarian Action for Children Appeal: www.unicef.org/appeals/ Who to contact for further information: Giovanna Barberis Country Representative UNICEF Office in Ukraine Tel: +38 044 521 0125 Fax: +38 044 230 2506 Email: gbarberis@unicef.org Natasha Stojkovska Emergency Coordinator UNICEF Country Office in Ukraine Tel: +38 044 521 0125 Fax: +38 044 230 2506 Email: nstojkovska@unicef.org Iuliia Poberezhna Communication Specialist UNICEF Country Office in Ukraine Tel: +38 044 521 0125 Fax: +38 044 230 2506 Email: ipoberezhna@unicef.org Page 5 of 6

Annex A SUMMARY OF PROGRAMME RESULTS Cluster Response UNICEF and IPs NUTRITION 2016 Total Results Change since last report 2016 Total Results Change since last report Pregnant or lactating women reached with infant and young child feeding counselling HEALTH Number of children who received regular immunization through the enhancement of cold chain and vaccine distribution systems Number of health professionals who gained increased knowledge and capacity for the implementation of public health campaigns WATER, SANITATION & HYGIENE Number of conflict-affected people who gained access to safe drinking water. 80,000 50,000 4,137 80,000 43,879 - NA NA - 400,000 0 3 - NA NA - 2,000 1,165-1,700,000 4,234,411 1,623,933 1,200,000 2,547,225 23,701 Number of people with access to hygiene supplies. 412,500 396,405 45,106 300,000 332,482 25,329 CHILD PROTECTION Number of affected children, youth and caregivers provided with psychosocial support 470,000 294,913 70,367 400,000 224,348 16,595 Number of children and their families who received MRE EDUCATION Number of children who benefited from rehabilitated education infrastructure, life skills training and education supplies HIV and AIDS Number of pregnant women provided with tests for diagnostic of HIV to prevent mother-to-child transmission of HIV NA NA - 400,000 511,761 260,618 187,200 192,615 24,965 169,000 146,446 3,980 30,000 33,120 41 30,000 33,120 41 3 OSCE Status Report of the Special Monitoring Mission to Ukraine as of 23 November 2016. Accessed at: http://www.osce.org/ukraine-smm/283841 Page 6 of 6