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Central African Republic Situation Report No. 19 1 CENTRAL AFRICAN REPUBLIC (CAR) Situation Report No.20 (as of 9 April 2014) This report is produced by OCHA CAR in collaboration with humanitarian partners. It covers the period between 3 April and 9 April 2014. The next report will be issued on or around 16 April 2014. Highlights Persistent insecurity and violence against civilians continued in various parts of the country. New attacks on villages in northern Paoua (Ouham- Pende) prompted thousands of people to flee into the bush. MISCA Chadian troops withdrawal officially announced on 4 April is raising concerns that minority communities might be at additional risk of attacks by armed groups. With the support of AHA, 1,420 children were screened in Boda (Lobaye Province). About 132 severely malnourished children and 333 moderately malnourished children were detected and received treatment through on-site mobile out-patient therapeutic programmes. Since the beginning of December, 678 unaccompanied and separated children have been identified in Bangui, Yaloke and Kaga Bandoro, and 439 have been reunited with their families. 628,500 IDPs in CAR 203,000 IDPs in 43 sites in Bangui and with host families US$551 million Revised 2014 Strategic Response Plan (SRP) requirements 1.9 million Vulnerable people targeted by SRP for humanitarian aid 23% Funding available (about $119 million) against the revised SRP 4.6 million Population of CAR 2.5 million People who need assistance Sources: OCHA, CMP, Protection Cluster and FTS Situation Overview Persistent insecurity and attacks on civilians continued in various parts of the country. On 3 April, unidentified armed elements burned and looted villages in northern Paoua (Ouham-Pende), prompting over 2,500 people, mostly women and children, to flee into the bush. In Lobaye Province, minority communities are under increasing threats from armed groups due to rising tensions. In Berberati (Mambere-Kadei Province), the situation remains tense between MISCA and militias who have occupied the town since February, posing a direct threat to minority community members. The US Permanent Representative to the United Nations, Samantha Power, arrived in Bangui on 9 April, on the eve of the United Nations Security Council s vote on a resolution authorizing the deployment of a peacekeeping operation. UN Secretary-General Ban Ki-moon recommended the deployment of 10,000 troops and 1,800 police personnel to provide a secure environment, support the transitional Government to exercise basic State functions,

Central African Republic Situation Report No. 19 2 support peace-and-reconciliation efforts, protect basic human rights and facilitate the delivery of humanitarian assistance. In his exchange with Samantha Power, the Senior Humanitarian Coordinator (HC), Abdou Dieng, highlighted the situation of the 1,400 people stranded by insecurity in Bangui s PK12 neighbourhood and who wanted to move to a safer location. He also highlighted the plight of the 550 people who had taken refuge at the Liberté site in Bossangoa and who wish to leave the country. During his visit to CAR on 5 April, the UN Secretary-General placed humanitarian issues, particularly those related to the protection of at-risk communities, at the heart of every meeting. In his discussions with the leadership of MISCA, Sangaris and the just-arrived EU Mission to CAR, he received assurances that measures had been taken for the seamless replacement of the Chadian MISCA contingents that started to leave CAR on 4 April. The international community is concerned about the withdrawal of Chadian MISCA troops, who are providing protection to minority communities at risk of attacks. At the same time, Chadian MISCA troops have come under heavy criticism regarding the civilian casualties during an armed confrontation with anti-balaka elements on 29 March in Bangui. The profile of migrants, refugees and third-country nationals arriving in Chad is changing. At the beginning of the crisis, women and children represented the majority of arrivals. However, men have gradually joined them. The United Nations Children's Fund reported 1,062 unaccompanied or separated minors in Chad. Funding The humanitarian community in CAR needs over US$551 million to provide assistance to 1.9 million people during 2014, as part of the revised CAR SRP. However, only 23 per cent has been disbursed or committed. On 28 March, the Senior HC launched a special Common Humanitarian Fund (CHF) allocation of $10 million, with the main objective of strengthening humanitarian response outside Bangui. The priority sectors are health, nutrition, WASH, protection, shelter/non-food items, CCCM and the food security sector s agricultural projects. Under the CHF reserve window, two emergency WASH and education projects in Boda (Lobaye Province) have been selected and approved by the Senior HC for $267,500. On 10 April, Tearfund will start building 210 latrines for 15,000 displaced people, and Intersos will set up 10 temporary learning spaces for 15,000 children of communities. All humanitarian partners, including donors and recipient agencies, are encouraged to inform OCHA's Financial Tracking Service (FTS - http://fts.unocha.org) of cash and in-kind contributions by e-mailing: fts@un.org Humanitarian Response Food Security Protection Expansion and reinforcement of priority emergency child-protection activities, including for unaccompanied and separated children, notably in Nana Mambere and Lobaye Provinces, and in PK12 in Bangui and other areas hosting at-risk people. DDR projects for children associated with armed forces and armed groups. Increased dialogue with armed groups for the release of children within their ranks. Cross-border collaboration needs to be strengthened, notably with Cameroon and Chad, on the issue of children separated from their families or at risk of separation due to the possible returns from Chad. $74 million Required to assist 2 million targeted vulnerable people in 2014. $5.7 million received (8% needs covered of funding $68 million (funds Eight children associated with armed forces and armed groups (seven girls and one boy) were reunited with their families; one was placed in a foster family. Since the beginning of December, 678 unaccompanied and separated children have been identified in Bangui, Yaloke and Kaga Bandoro, and 439 have been reunited with their families.

Central African Republic Situation Report No. 19 3 Twenty-two child-friendly spaces are operational across the country: 13 in Bangui, three in Kaga-Bandoro, two in Bambari, two in Bouar and two in Sibut. A total of 34,436 children benefited from recreational activities and psychosocial support. To avoid family separation of children under age 5, 30 bracelets were distributed at the military airport site in Bangui, and 3,725 bracelets were distributed at different displacement sites. Insecurity is preventing access to IDPs. The limited number of child-protection responders, particularly outside of Bangui and in hard-to-reach communities, is limiting accurate identification, documentation activities and the response to protection concerns. Lack of funding. Emergency shelter and NFI Water, Sanitation and Hygiene Need to continue improving access to water, basic sanitation services and hygiene practices for 900,000 affected people. WASH conditions in the majority of IDP sites still do not meet the required minimum standards. Need to scale up the response and presence of WASH actors in rural areas. Need to scale up rainy season preparedness activities to mitigate public health risks (including cholera preparedness). $27.5 million Required to support 900,000 targeted vulnerable people in 2014. About 188,000 IDPs in 35 IDPs sites in Bangui are connected to the National Water Distribution Company and receive free water. The project launched by IRAD/FSD resulted in 76 latrine pits in IDP sites being emptied manually during March. Using an emergency CHF grant of $200,000, Tearfund will start building 210 latrines in Boda for almost 15,000 displaced people. The lack of funding needed to continue existing activities and to assist returnees to neighbourhoods in Bangui remains problematic. There is a major risk of needing to downsize the humanitarian response beyond mid- April. Security constraints are limiting WASH activities in and outside Bangui. Logistical constraints, such as transport and storage, are slowing down the launch of activities outside Bangui. Final disposal of solid waste and sludge is inadequate around Bangui. $8 million received (29% of funding $19.4 million (funds Camp Coordination and Camp Management Needs Joint WASH, Protection and Shelter/NFI Clusters assessment of alternative sites for the possible relocation of M'Poko IDPs. Improve security and the rule of law in and around displacement sites in coordination with national authorities. Improve communication and coordination with displaced populations in displacement $20 million Required to assist 501,980 people. sites. Improve CCCM presence in the provinces in order to support the populations and humanitarian activities in displacement and transit sites. No funding allocations reported by the Cluster

Central African Republic Situation Report No. 19 4 In coordination with the Minister of Health and Humanitarian Affair and the mayors of Bangui, several potential alternative sites have been identified for the IDP population of M Poko. Assessments are ongoing. As part of the CCCM capacity building strategy, six CCCM trainings were held for Nutrition, Health, Education, Shelter/NFI, Food security, Protection and WASH actors. Assessment of displacement sites in Boda, Carnot and Moyen Sido are underway. Gaps and Constraints: The large number of sites in Bangui and CAR make it challenging to ensure an adequate level of CCCM support to all of the site authorities/managers. Limited funding continues to challenge communication and site management. Multi-sector assistance to refugees Nutrition About 28,000 children will suffer from severe acute malnutrition (SAM) in 2014, and 75,500 children will suffer from moderate acute malnutrition (MAM). An estimated 159,000 children under age 5 need highly nutritious foods. A consistent and adequately funded pipeline is needed to prevent a deterioration of nutritional status during the rainy season. Since 1 January, 5,388 children have been admitted for SAM treatment, 1,940 of whom have already recovered from SAM in CAR. This represents 32 per cent of the SRP target of 16,800 children suffering from SAM. Since 1 January, 81,271 children have been screened for malnutrition in CAR. This represents 23 per cent of the SRP target of 360,000 children. Since 1 January, 78,424 children have received highly nutritious food through WFP s integrated general food distribution in Bangui, Bossangoa, (Ouham Province) and Bouar (Ouham Pende Province). With the support of AHA, 1,420 children were screened in Boda (Lobaye Province). About 132 severely malnourished children and 333 moderately malnourished children were detected and received treatment through on-site mobile out-patient therapeutic programmes. $22 million Required to provide nutrition services to 361,011 targeted vulnerable people out of 628,000 in 2014. Coverage of health centres with Community Management of Acute Malnutrition (CMAM) services remains low in priority provinces, including Ombella M Poko, Nana-Gribizi, Vakaga, Ouham, Nana-Mambere, Kemo, Mambere-Kadei, Ouham Pende, Ouaka and Basse Kotto. CMAM coverage needs to be urgently scaled up before the rainy season to ensure equitable access to screening and treatment activities for all acutely malnourished children. Limited funding for nutrition activities is compromising the delivery of life-saving activities for the prevention and treatment of malnutrition. Food access in some IDP sites remains challenging. This will affect IDPs nutritional status, especially the most vulnerable (children under age 5 and pregnant and lactating women). There is a lack of activities in IDP sites addressing the protection, promotion and support of appropriate infant and young-child feeding in emergencies, which are life-saving interventions. The rainy season begins this month; the window for pre-positioning inputs is closing fast. $2.1 million received (10% of total $19.8 million (funds

Central African Republic Situation Report No. 19 5 Health Mapping of health resources available to plan early recovery interventions. Ensure delivery of free, life-saving health care to affected people in priority areas, particularly high-risk communities. Prevent disease outbreaks through the vaccination of vulnerable children and the strengthening of the early warning system and response in and outside Bangui. A training of trainers on cholera prevention was organized from 2 to 5 April. UNICEF and WHO provided financial and technical support. $56.4 million Required to assist 878,000 targeted people. Health services report shortage of essential drugs and vaccines for routine immunization. Underfunding resulted in some NGOs closing their operations and the limited expansion of basic services to vulnerable people outside Bangui. Insecurity is impeding health-service delivery and health information management, as well as the transportation of drugs and other materials outside Bangui. $12 million received (21% of funding $44 million (funds Education Establish temporary safe learning spaces (ETAPEs) in IDP sites with age-sensitive educational and recreational activities and child-protection services for 362,000 people in need. This need is crucial in Boda, where five IDP sites, including four schools, are hosting about 20,000 people. Distribute emergency recreational, teaching and learning materials for ETAPEs and opened schools for 362,000 people in need. Psychosocial training for 5,000 teachers. School-feeding activities, particularly in provinces with a low rate of student returns, targeting 400,000 people in need. School-feeding programme was launched in 76 schools in Bouar, Paoua and Bambari targeting 31,482 school children. In Bangui, about 40 teachers from the ETAPE received pedagogic and psychosocial training. $28.6 million Required to provide emergency education to 350,000 targeted vulnerable people out of 400,000 in Security access is limiting movement, resulting in a lack of information and data outside of Bangui. A limited number of education partners are available for interventions outside of Bangui. Population movement is making the organization of structured education and child-protection activities difficult. 2014. $1 million received (3% of funding $27.6 million (funds Livelihood/Community Stabilization Cluster Needs Start community-healing activities to restore social cohesion and reduce community tensions across the country. Support community initiatives to revive local economies and create temporary jobs, mainly for youths. Mobilize more resources to support civil society and public administration, including the rehabilitation of services related to local community governance and the restoration of social ties, citizenship and respect for public property. $60 million Required to provide assistance to 2.4 million targeted vulnerable people out of 3 million in 2014. $1.3 million received (2% of funding $58.7 million (funds

Central African Republic Situation Report No. 19 6 With UNDP funding, ACTED launched a cash-for-work project in the Ouango market and Kassaï IDP site of the 7th district, providing temporary employment for 2,310 people. There is not enough funding to create temporary employment for youths (cash for work), or to support incomegenerating activities and community efforts to reduce tensions. Restoring social cohesion is vital in order to facilitate operations throughout the country. Insecurity hinders activities in some areas inside and outside Bangui. Logistics Emergency Telecommunications For further information, please contact: Barbara Shenstone, Head of Office, Shenstone@un.org, Tel: +236 70 73 87 30 Emmanuelle Schneider, Public Information Unit, schneider1@un.org, Tel: + 236 72 68 00 67 Laura Fultang, Public Information Officer, fultangl@un.org, Tel: +236 70 18 80 64 For more information, please visit www.unocha.org or reliefweb.int