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UNICEF Mali/Dicko/2015 MALI Humanitarian Situation Report REPORTING PERIOD: April June 2017 Highlights 38 boreholes equipped with hand pumps and five solar pumping systems were installed in the regions of Mopti and Gao providing access to safe water to 25 600 beneficiaries. UNICEF Mali organized a forum in Mopti to discuss possible strategies for the reopening of 500 schools that remained closed at the end of the school year in the crisis affected regions. UNICEF Mali supported the Government to vaccinate 496,988 children under 5 against polio in the regions of Gao, Timbuktu and Kidal. 14,260 children suffering from SAM, including 1,289 with complications, were admitted for treatment. UNICEF Mali continues its efforts to mobilize resources for purchasing life-saving treatment (RUTF) to ensure a national coverage. However, at this stage, there is still a gap for July-December 2017, potentially affecting over 50,000 children. 4 children were released from armed groups. They are currently receiving interim care pending family tracing and reunification. UNICEF s Response with partners SITUATION IN NUMBERS 30 June 2017 2,072,000 children out of 3,700,000 people affected (HNO 2017) 302,000 children out of 422,000 people to be reached in 2017 (UNICEF HAC 2017) 51,961 Internally displaced people (DNDS May 2017) 500 schools closed at the end of the school year 3,530,000 people food insecure in 2017 (HNO 2017). UNICEF Appeal 2017 US$ 35 million 2017 funds available* Indicator WASH: # of affected population provided with temporary access to safe water and access to permanent drinking water sources in the North EDUCATION: Number of children benefiting from the education program for peacebuilding NUTRITION: # of SAM (severe acute malnutrition) children (6-59 months) treated CHILD PROTECTION: % of CAAFAGs identified accessing to referral services and reintegration opportunities. UNICEF target UNICEF Cumulative results (#) Cluster target Sector/Cluster Cumulative results (#) 240,000 61,812 790,000 118,224 50,000 45,500 162,197 50,810 107,000 35,966 107,000 35,966 100 100 100 100 Funding gap: 28M 2017 Funding requirement: 35.2M Carry forward amount: 3.4M Funds received: 3.8M *Funds available includes funding received for the current appeal year as well as the carry-forward from the previous year. 1

Situation Overview & Humanitarian Needs Consequences of the security crisis that erupted in 2012 continue to be an obstacle for the access of populations to basic social services and the access of humanitarian organizations in crisis affected areas. Despite the efforts made by the Government of Mali and its partners, humanitarian needs have increased in many sectors. The number of people in need is estimated at 3.7 million in 2017, against 2.5 million in 2016. Among them, 3.53 million are facing food insecurity. Access to populations in the north remains a major challenge due to frequent attacks against the national army, MINUSMA forces and humanitarian organizations. According to OCHA 1, attacks on humanitarian personnel, property and infrastructure constituted 68% of the access incidents since January 2017. In addition, since 2016, ethnic clashes have been registered in the centre of Mali (Segou and Mopti regions), leading to a further degradation of the humanitarian situation in this part of the country. As of May 2017, 51,961 internally displaced persons (IDPs) were registered in Mali (source: DNDS, DTM May 2017), of which 23% are women and 56% children. The nutrition situation remains of serious concern. In 2017, 142,000 under-five children are expected to suffer from severe acute malnutrition (SAM), and about 21,300 children (or nearly 15%) are expected to also develop medical complications. UNICEF and partners aim to ensure quality treatment for at least 107,000 children, mainly through the provision and distribution of Ready to Use Therapeutic Food (RUTF). The number of people in need of WASH are estimated at 1.2 million, while 1.4 million of people are expected to not have access to health care, mainly in the Kidal region where 69% of health centers are non-functional. As of May 2017, almost one third of primary schools (500 out of 1,610) in 66 municipalities of Gao, Kidal, Timbuktu, Mopti and Segou affected by the security crisis remain closed, resulting in an estimate of 100,000 out-of-school children. In addition, over the reporting period, the situation of school closures in Mopti continued to deteriorate; the region accounts for nearly half (248) of the total number of schools closed. Moreover, 9 schools (5 in Gao and 4 in Timbuktu) are occupied by armed groups. Recruiting and deploying teachers is a major challenge: it is estimated that 1,634 teachers are missing in crisis-affected areas, and in particular in Kidal region, where 65% of teachers have a voluntary status.moreover, the country is yearly exposed to natural disasters including floods and epidemics. The number of people at risk of floods is estimated at 50,000 and 15,000 are at risk of epidemics. Humanitarian actors continued to play a critical role in supporting life-saving interventions, including by re-establishing basic social services and reinforcing social cohesion through peacebuilding at community level. Capacity building of communities to respond to and reinforce their resilience against crises, including natural hazards and conflict, remains a priority for the humanitarian community, including UNICEF. Estimated Affected Population (Estimates calculated based on initial figures from Mali Humanitarian Response Plan, January 2017) Start of humanitarian response: 2012 Total Male Female* Total Affected Population 3,700,000 1,813,000 1,887,000 Children Affected (Under 18) 2,072,000 1,015,280 1,056,720 Children Under Five 736,767 353,648 383,119 Pregnant women 115,010-115,010 Humanitarian leadership and coordination The humanitarian leadership and coordination structures remain unchanged. The Ministry of Solidarity and Humanitarian Action has the primary role in terms of humanitarian coordination, assistance and protection of affected population. In support of this Ministry, the Humanitarian Coordinator, who also ensures the role of Resident Coordinator and DSRSG, is leading the coordination of the Humanitarian Country Team (HCT), supported by OCHA. The HCT is 1 OCHA, Overview of humanitarian access January-March 2017 2

composed of representatives of UN agencies, NGOs, donors and the Red Cross Movement (observers) and represents the main strategic humanitarian coordination forum in the country. Eight clusters are also active in the country (WASH, Nutrition, Education, Protection, Shelter/NFI, Food Security, Early Recovery and Health). UNICEF is leading 3 clusters (WASH, Nutritition and Education) and 1 sub-cluster (Child Protection). The Intercluster coordination forum regroups all cluster coordinators and treats interesectoral aspects. At the regional level, a similar humanitarian coordination structure called the Groupe Interagences de Coordination (GIAC) is in place in Mopti, Timbuktu and Gao and reports to the HCT. Humanitarian Strategy UNICEF continues to work with partners, including national counterparts, to respond to humanitarian needs and facilitate access to quality basic social services for crisis-affected population in the north and other vulnerable groups. In the area of water, sanitation and hygiene (WASH), UNICEF continues to focus on the rehabilitation of infrastructure to ensure access to safe water for 240,000 people. In education, 141,147 children in crisis affected communities will be targeted for improved access to quality learning. In Child Protection, UNICEF supports interventions for survivors of gender-based violence and reinforces the Monitoring and Reporting Mechanism. In terms of nutrition, UNICEF continues to support the expansion of SAM treatment, to implement integrated health, education and WASH interventions, and to reinforce the coordination capacities of national counterparts. In health, integrated vaccination campaigns will be supported in the three northern regions (Gao, Kidal and Timbuktu) and health facilities will receive essential drugs and medical equipment to support health care for children under 5 years and pregnant women. UNICEF continues to support disaster preparedness for flooding and epidemic outbreaks. Summary Analysis of Programme response WASH During the second quarter of 2017, a total of 37,228 affected people in the north were provided with access to safe water. In fact, UNICEF Mali supported short term emergency distribution of household water treatment products to 1,938 households (11,628 people) in Timbuktu, Gao and Menaka regions, following population displacement in those areas. In addition, water supply rehabilitation and constructions works reached 25,600 people through 38 boreholes equipped with hand pumps, one solar pumping system (equivalent to 2 water points) and 4 new solar pumping system (equivalent to 24 water points), in Mopti and Gao regions. Since January 2017, 61,812 affected people in the north have been provided with access to safe water in conflict-affected areas, this represents 26% of the annual target. Education In May 2017, a total of 500 schools remained closed in crisis affected regions due to insecurity. The situation in Mopti region is particularly serious, where 13% of schools are closed. In May 2017, a one day forum was organised in Mopti to identify strategies for the reopening of closed schools. This workshop brought together 94 participants. Community mobilisation and dialogue with armed groups, as well as the reactivation of School Management Committees along with sustainable school canteens were some of the recommendations made during the forum. Recommendations will be effective before the start of the school year 2017-2018. Moreover, UNICEF Mali in collaboration with its implementing partners in the field, is targeting 4,500 boys and girls who are out of school to access education, by creating 100 community learning centers to improve education quality in the crisis affected regions (Mopti, Gao, Timbuktu and Menaka). Finally, an external evaluation is ongoing to determine the level of achievement of planned results on Peacebuilding Education which used schools as an entry point in the regions of Gao and Timbuktu. Health During the reporting quarter, UNICEF Mali supported the Government of Mali for the vaccination of children in conflictaffected areas. In fact, in April 2017, UNICEF Mali worked with the Ministry of Public Health for the implementation of polio vaccination campaign. During this campaign, a total of 496,988 children under five were vaccinated in Gao, 3

Timbuktu and Kidal regions. In addition, in the same regions, 20,697 children under one were vaccinated against measles countrywide, including 8,740 in the northern regions. In Kidal region, 51 children under one were reached with penta3 vaccine. The polio vaccination campaign was sustained by social mobilization implemented in the framework of C4D, with activities related to production and broadcast of spots on TV and local radio. Nutrition UNICEF Mali is the sole provider of life-saving RUTF to the Malian health system, while also providing training, anthropometric tools and essential medicine (deworming, vitamin A, antibiotics) for the functionality of over 1300 health facilities across the country. Between April and May 2017, 14,260 children were treated for severe acute malnutrition in Mali, including 1,289 with complications. A total of 35,966 children were admitted for SAM since the beginning of the year, this represents 34% of the annual target SAM cases. UNICEF Mali, in collaboration with the Nutrition Division of the Ministry of health, the National Institute of Statistics (INSTAT) and other technical and financial partners (FAO, WHO and WFP) has launched the national nutrition SMART survey 2017. The 2017 SMART survey will have a national coverage, and will be combined with another national survey that measures household poverty and vulnerability (EMOP). It will provide the prevalence of Global Acute Malnutrition (GAM) and expected caseload of 2018. UNICEF Mali has also initiated the revision of the National Nutrition Protocol for the Management of Acute Malnutrition, in collaboration with the Government of Mali. The revised document is expected by the end of 2017. It will provide new evidences on SAM and reinforce the integration of CMAM in the nutrition system in Mali. Globally, the level of performance indicators match with SPHERE norms. The national recovery rate is higher than 75 % (URENI: 94.8% URENAS: 89.5%); the mortality rate set almost at 10% (URENI: 4.35%, URENAS: 0.17%) and default rate is at 15% (URENI: 0.85%, URENAS: 10.2%). Child Protection During the reporting period, 248 survivors of Gender Based Violence in conflict-affected areas received appropriate holistic care and support, of which 50 % are girl under 18 years old. In addition, a total of 2,585 children at risk of violence, abuse and exploitation received psychosocial support in Gao and Kidal regions. In June 2017, 4 boys aged between 12 and 16 where released from armed groups; they are currently receiving interim care provided by a UNICEF Mali partner (transit center), pending family tracing and reunification. Moreover, UNICEF Mali and its partners provided interim care to 12 Nigerien boys, victim of trafficking, who were intercepted by the Malian security forces in the outskirts of Gao. The children are currently in Bamako pending their repatriation to Niger. In the framework of the Protection of Sexual Abuse and Exploitation (PSEA), UNICEF Mali provided training to 182 people, from 46 local and international organizations in Mopti, Gao and Timbuktu regions. For each region, organizations trained put in place an action plan for the prevention and response to sexual exploitation and abuse in their communities. Media and External Communication UNICEF continued to engage national and international media on the humanitarian situation in Mali, including highlighting the issue of school closures at the end of the 2016/2017 school year in top-tier media such as RFI. A media production delegation from UNICEF Norway was also hosted to cover the situation of school closures in Mopti. Further, UNICEF also leveraged key advocacy opportunities to highlight humanitarian issues faced by children in conflictaffected areas in the north and central regions, notably on the Day of the African Child through a widely followed televised debate between children and the UNICEF Mali Representative, the placement of a UNICEF-bylined editorial in Mali s leading print media, and digital communications actions on social media and blogs. Security The security situation in the country has slightly deteriorated compared to the previous quarter, due to an exacerbation of terrorist attacks and social unrests. The areas most impacted are the northern and central regions, where the Security 4

Level System remains at 5. In general, humanitarian access remains challenging in these areas due to a high level of criminality and presence of radical armed groups. The third party monitoring (3PM) system, launched last March 2017 to monitor UNICEF programs in the north of the country is ongoing. The system is implemented by a national NGO that have access to these hard to reach areas. It is providing UNICEF Mali with monthly data that allow to monitor projects implemented in the north of the country. Funding Funding Requirements (as defined in Humanitarian Action for Children for a period of 12 months) Appeal Sector Requirements Funds available* Funding gap $ % WASH 2 10,381,140 0 10,381,140 100% Education 6,757,220 1,443,061 5,314,159 79% Health 3 1,735,515 0 1,735,515 100% Nutrition 13,000,000 5,181,748 7,818,252 60% Child Protection 2,500,000 539,939 1,960,061 78% Cluster Coordination 844,000 0 4 844,000 100% Total 35,217,875 7,164,748 28,053,127 80% * Funds available includes funding received against current appeal as well as carry-forward from the previous year. Who to contact for further information: Alessandra Dentice UNICEF Mali Representative a.i, Telephone: (+223) 75 99 62 36 Email: adentice@unicef.org Benny Krasniqi Chief of Field Ops and Emergency, UNICEF Mali Telephone: (+223) 75 99 62 50 Email: bkrasniqi@unicef.org Moussa Koné Emergency Specialist, UNICEF Mali Telephone: (+223) 75 99 93 00 Email: moukone@unicef.org 2 The regular funds (ORR), not recorded as Emergency funds allowed to reach the results reported in the sitrep. 3 The regular funds (ORR), not recorded as Emergency funds allowed to reach the results reported in the sitrep. 4 Cluster received no specific funds for their functioning. They are funded by other resources for emergency. 5

Annex SUMMARY OF PROGRAMME RESULTS Indicator WATER, SANITATION & HYGIENE Number of water point rehabilitated/constructed Number of affected population provided with temporary access to safe water (water trucking, aquatabs, chlorine) Number of people having access to permanent drinking water sources (construction/ rehabilitation) Number of households who received WASH emergency kits EDUCATION Number of boys and girls (3 to 17 years) affected by crisis attending education in a classroom where the teacher has been trained in Psychosocial Support Number of children benefiting from the education program for peacebuilding (boys / girls) HEALTH Number of children under five reached each round of polio campaign in northern regions Number of children under 5 vaccinated against measles Number of children under five reached with penta3 vaccine in Kidal Region NUTRITION Number of children 6-59 months with Severe Acute Malnutrition (SAM) admitted for therapeutic care. Number of health centres offering malnutrition treatment. CHILD PROTECTION % of CAAFAGs identified accessing to referral services and reintegration opportunities. Number of survivors of GBV who receive appropriate care and support 2017 Target Cluster Response Total Results Change since last report 2017 Target UNICEF and IPs Total Results Change since last report 1,239 211 152 360 111 64 294,327 29,424 23,640 54,400 17,412 11,628 495,600 88,800 65,200 185,600 44,400 25,600 9,730 2,989 2,025 6,520 2,902 1,938 67,500 12,210 6210 45,000 6,000 0 162,197 50,810 5310 50,000 45,500 0 242,792 496,988 302,650 20,697 3,527 106 107,000 35,966 25,235 107,000 35,966 25,235 1,307 1,307 0 1,307 1,307 0 100 100 100 100 0 2,100 513 6