Nigeria Humanitarian Situation Report

Nigeria Humanitarian Situation Report Highlights As of August IOM DTM report 2015 and compared to June (IOM DTM report), there has been a dramatic increase (58%) in the number of insurgency related IDPs in the three North East states reaching almost 2 million. Since June 2015, the Borno IDP population has increased the most (65%) with 1.65 million IDPs. The number of returns has also increased (18%) to 262,324 returnees. The preliminary report of the joint needs assessment mission for return areas in Adamawa should be released this week. In interviews, shelter and food were cited as the areas where assistance was most needed. Reconstruction of houses, restoration of water and sanitation and transport infrastructure and repair of schools and health facilities were also identified as top priorities. The need for farming inputs equipment, fertilizer and seeds was also stressed. 42,723 children have been reached with psychosocial support services in 143 communities and 22 IDP camps in the three North East states affected by the crisis, through a network of 474 trained community volunteers. A total number of 88,097 children were reached with school kits in the three states. An additional 10,722 IDP children (5,656 boys; 5,066 girls) newly arrived in 3 new camps of Maiduguri have had their educational needs assessed for enrolment in the September 2015 academic year. 3 additional camps were established in Borno during the reporting period and support provided to 28 health facilities in the host communities to provide integrated Preliminary Health Care (PHC) services in 5 Local Government Areas (LGA) of Borno State. Since the beginning of the year, a total of 181,843 conflict affected people, both in IDP camps and in host communities benefitted with improved access to potable water through the support of UNICEF and its implementing partners. Between January and July 2015, 34,209 children under five were admitted into therapeutic feeding programmes in the states of Adamawa, Borno and Yobe. A total of 21,934 (82%) children recovered and were discharged from therapeutic care. As of 30 July, UNICEF has received nearly $13.6 million USD against its 2015 HAC requirements of $ 26.5 million USD (49% of total requirements); with a funding gap of 51% remaining. SITUATION IN NUMBERS (IOM, August 2015) 20152015) 2015 1 September 2015 IDPs in Nigeria in 8 States (Adamawa, Borno, Yobe, Bauchi, Gombe, Nasarawa, Taraba, Abuja) as a result of the insurgency 1,188,890 # of children affected out of (approx.) 2,049,810 * # of IDPs in the 8 North East States of Nigeria IDPs in the 3 North Eastern States (Borno, Adamawa, Yobe) 1,139,379 # of children affected out of (approx.) 1,964,446 # of IDPs in the 3 North East States of Nigeria IDPs by State 1,650,799 Borno State 117,729 Adamawa State 195,918 Yobe State Returnees in Adamawa 152,148 # of children returnees out of (approx.) 262,324 # of returnees UNICEF Appeal 2015** US$ 26.5 million * 95.32% of IDPs (out of 2,150,451 identified) have been displaced because of the insurgency (IOM DTM, August 2015) **Humanitarian Action for Children (HAC) 1

Situation Overview & Humanitarian Needs Since 2011, the population of the North East of Nigeria States have been affected by the insurgency between Jama atu Ahlis Sunna Lidda awati wal-jihad, commonly known as Boko Haram, and governmental forces. The government declared a State of Emergency (SoE) on 14 May 2013 in the three North Eastern states of Borno, Yobe, and Adamawa and imposed curfews. The Senate has not yet formally extended the State of Emergency from November 2014 onwards. As of August IOM DTM report 2015 and compared to June (IOM DTM report), there has been a dramatic increase (58%) in the number of insurgency related IDPs in the three North East states reaching almost 2 million. Since June 2015, the Borno IDP population has increased the most (65%) with 1.65 million IDPs. The number of returns has also increased (18%) to 262,324 returnees. The joint needs assessment mission organized Adamawa return areas was successfully carried out by the government, UN agencies and a few NGOs (Oxfam and Mercy Corps) from 6-10 July and the preliminary findings (the draft report should be released this week) point to two conclusions: o The extreme vulnerability of the returned IDPs, in terms both of their security in the face of the continuing threat real or perceived of renewed insurgent attacks, and of the devastation and desolation to which they have returned. o The dire need for urgent and comprehensive assistance, for meeting the immediate needs of this vulnerable population as well as for rebuilding and rehabilitation of their community assets. In interviews, shelter and food were cited as the other areas where assistance was most needed. Reconstruction of houses, restoration of water and sanitation and transport infrastructure and repair of schools and health facilities were also identified as top priorities. The need for farming inputs equipment, fertilizer and seeds was also stressed. A corollary conclusion identified by returned IDPs as a key gap is the lack of information about their communities, about their numbers and locations, their living conditions, the services available to them and above all about how their needs can be met In northeast Nigeria, FEWSNET forecasted an integrated food security phase classification (IPC) of Phase 3 (Crisis) and 4 (Emergency) with a peak of acute food insecurity expected between July and September, notably in Borno and Yobe. Whilst the October main season harvests will improve food availability somewhat, they are expected to be significantly below-average for the third consecutive year. Much of Borno State and parts of Yobe and Adamawa States will remain in Crisis (IPC Phase 3) between October and December as households continue to face difficulty meeting their basic food needs. A major gap still exists in addressing the education needs of IDP children in host communities. To date efforts have targeted school-aged IDP children living in camps in the three states through the Safe School Initiative (SSI). The challenge will be to meet the additional needs of IDP children living in host communities. WFP launched its United Nations Humanitarian Air Service (UNHAS) in Nigeria on 17 August and provides an alternative means of access to the North-East through the provision of air transport services as well as ensuring capacity to evacuate humanitarian staff when required. Out of Abuja, UNHAS will serve four regular destinations: Bauchi, Gombe, Maiduguri and Yola three times a week. Humanitarian leadership and coordination UNICEF actively participates in the Humanitarian Country Team and the Inter-Sector Working Group (ISWG). The HCT provides strategic leadership, policy development and engagement with the Federal Government and meets under the leadership of the UN Resident Coordinator on a monthly basis. The ISWG promotes sectoral response and coordination. UNICEF leads the Education, WASH and Nutrition sectors as well as the Child Protection sub-sector. UNICEF is supporting National Emergency Management Agency (NEMA) and State Emergency Management Agency (SEMA) with the overall inter-sector coordination in Yobe state since 29 April 2015. 2

For Child Protection, the State Child Protection Sub-Working Group (CP SWG) in Borno was inaugurated on 7 th of July 2015, co-chaired by UNICEF and the State Ministry of Women Affairs and Social Development (SMWASD) and attended by UNHCR, UNFPA, UNOCHA, SCI and Nigerian Red Cross NRC. The Steering Committee of the Global Inter-Agency Child Protection Information Management System (IA CP IMS) has approved the rollout of the system in North East Nigeria for case management purposes. The customization of the database is finalized. Also, the Case Management Technical working Group (CM TWG) in Nigeria has finalized the case management tools. The national CP SWG released data on the situation of child protection in the North East that can be found at: https://www.humanitarianresponse.info/en/system/files/documents/files/nga_sdr_dashboard_2015-08-05.pdf More information on the Nigeria CP SWG could be found at: https://www.humanitarianresponse.info/en/operations/nigeria/child-protection In the Education Sector, the working group at the national level has been expanded to include 2 new NGO members (PLAN and PINE) with planned presence in the North East to further boost coordination efforts in the SoEs. The establishment and training of EIEWGs (Education in Emergency Working Groups) at Borno and Yobe states are planned for 31 st August- 3 rd September. For Nutrition, coordination among partners, including ACF, IMC, Save the Children, IRC and USAID, regarding on-going or planned nutrition interventions in the North East has been accelerated. Fortnightly Nutrition in Emergencies (NiE) Working Group meetings are held in Abuja and Borno while monthly meetings are held in Yobe and Adamawa. Sector members including UNICEF regularly update the 5Ws. Nutrition response mapping is prepared for all nutrition services, which include screening and treatment of severely malnourished children, micronutrient supplementation through the distribution of micronutrients powders and delivery of key nutrition and Infant and Young Child Feeding (IYCF) messages to IDPs and host communities. For Health, UNICEF is working in the 3 states (Borno, Adamawa, and Yobe) to support State Ministries of Health in the coordination of emergency health response in IDP camps and in host communities with high concentration of IDPs. For WASH, UNICEF continues to provide co-leadership for WASH sector coordination at the national and sub-national levels. UNICEF co-chairs the WASH Sector Emergency Working Group with the Federal Ministry of Water Resources (FMWR) at the national level. At the sub-national level, UNICEF co-chairs the WASH Sector Emergency Working Groups with the State Ministries of Water Resources (MoWR). The sub-national working groups in Adamawa and Borno states meet bi-weekly with sector partners, including international and national NGOs, SEMA, and field offices of national water and sanitation authorities. The joint assessment of returnees needs (6-10 July) coincided with one of the meeting dates for the Adamawa WASH sector coordination group, so the meeting could not be held as a number of the members participated in the exercise. The WASH sector Emergency Working Group was established in Yobe State in July 2015. Stand-by partners have provided surge support. Five staff have been provided by Norwegian Refugee Council to support coordination in WASH, Education and Nutrition sectors, as well as Emergency coordination. MSB (Swedish Civil Contingencies Agency) have provided surge support for Information Management. Summary Analysis of Programme Response Sector WATER, SANITATION & HYGIENE # of conflict affected people including IDPs and host communities provided with access to safe water per agreed standards # of conflict affected people benefitting from improved sanitation 2015 Target Sector Response Total Results % Target Achieved 2015 Target UNICEF and IPs Total Results % Target Achieved 462,504 249,802 54% 224,254 181,843 81% 136,762 92,890 67.9% 87,381 51,263 58.7% 3

# of conflict affected persons benefiting from hygiene promotion messages 111,104 1 481,421 433.3% 71,410 1 179,006 250.7% EDUCATION # Displaced children access education in a protective and safe learning environment # Conflict affected school aged children reached with pedagogic materials HEALTH 452,620 50,488 2 11.2% 181,048 46,359 25.6% 905,240 88,247 3 9.7% 362,095 88,097 24.3% # of conflict affected pregnant women and children under 5yrs that have received LITNs N/A N/A N/A 387,034 28,274 7.3% # of conflict affected people reached with emergency PHC services NUTRITION N/A N/A N/A 392,034 293,551 74.9% # Children <5 screened using MUAC 434,376 145,907 4 23.4% 347,501 145,907 29% # Children <5 with SAM admitted to therapeutic feeding programmes % Children <5 with SAM who recovered under treatment CHILD PROTECTION # of conflict affected children reached with psychosocial support # of conflict affected children referred to specialist support services where required # of unaccompanied and separated children identified # Separated and unaccompanied IDP children reunified with families or placed in alternative care arrangements 6 75,859 34,209 45.1% 75,859 34,209 45.1% >75% 82% N/A >75% 82% N/A 92,400 65,245 70.6% 53,000 42,723 80.6% 3,050 TBD TBD TBD TBD TBD 3,500 5 2,292 65.5% 2000 1,077 53.9% 2292 247 10.8% 1,727 28 1.62% WASH In Adamawa, UNICEF in partnership with the state Rural Water Supply and Sanitation Agency (RUWASA), continues to monitor the functionality of WASH facilities serving the displaced population. So far the WASH services are adequately used and maintained and continue to ensure access to safe drinking water for IDPs. UNICEF WASH participated in the joint assessment of needs of returnees in affected communities. UNICEF is considering WASH assistance to be provided to IDPs who returned recently from Cameroun. In Yobe State, UNICEF in partnership with CARITAS rehabilitated and disinfected 8 water points in IDP host communities reaching about 4,000 people. In Borno state, UNICEF/RUWASA strengthened IDPs access to safe drinking water and drastically reduced the water collection time in Dalori IDPs camp through construction of two additional water distribution stands fitted with 10 outlets each. Daily chlorination of underground water storage reservoirs in IDPs camps (NYSC, Government Girls College, Sanda Shehu Kyarimi, CAN Centre, Women Teachers College, Yerwa and Arabic Teachers College) continue to benefit 32,478 people (men 8,931, women 9163, boys 7181, girls 7,203). UNICEF continues to support RUWASA to 1 Sector target and UNICEF target on this indicator to be reviewed by WASH Sub-working Group to reflect beneficiaries reached and gaps in coverage (as applicable) 2 Not all sectors partners have provided update for the reporting period- this is partial data for this reporting period 3 Not all sector partners have provided update for the reporting period- this is partial data for this reporting period 4 Data reported on August for this indicator were not correct changes have been made accordingly this month. 5 Sector target to be reviewed in the next Child Protection Sub Working Group meeting to reflect increased beneficiary reach. 6 This is an aggregate indicator for the time being recognizing that there may be different needs and responses as the situation evolves 4

ensure operation and maintenance of generators to sustain water supply to 50,536 (men 10,334, women 16,575, boys 10,032, girls 13,595) in Dalori, Government College, NYSC, Arabic Teachers College, Women Teachers College and Teachers Village IDP camps. To prevent outbreaks of cholera and of other water-borne diseases, UNICEF in partnership with RUWASA reached 21,442 people (men 3,986, women 7,817, boys 3,785, girls 5,854) deprived and affected by conflict with key hygiene messages. Similarly latrines were de-sludged and put to use in CAN Centre IDP camp, benefitting 1,985 people (men 974, women 877, boys 78, girls 56). In collaboration with RUWASA, UNICEF also distributed water and hygiene/dignity kits to 5,873 households benefiting 3,134 people (including 1,000 women, 1,128 boys and 1,006 girls) while 400 households were reached with basic water kits at Simari new IDP camp inhabited by 1,000 people (480 women, 120 men and 400 children). Education The Nigerian government and UNICEF remain the only implementing partners for education in emergencies interventions in Borno state, with no visible NGO presence. The occupation of several secondary school buildings as shelters by over 60% of IDPs in the state casts a shadow on the possibility of reopening schools at the start of the new school year in September 2015, as there are currently no plans for relocation of IDPs to separate accommodations; despite advocacy efforts made with the federal and state governments. This is notwithstanding a whole year of schooling that children have now lost due to IDP occupation of schools. In collaboration with educational authorities in the three states 46,453 IDP children [Adamawa: 6,021 (3,319B/2,882G), Borno: 38,249 (22,581B/ 15,668G) have been supported to access improved quality education within IDP camps. An additional 10,722 IDP children (5,656 boys; 5,066 girls) newly arrived in 3 new camps of Maiduguri have had their educational needs assessed for enrolment in the September 2015 academic year. Since the beginning of the year, a total of 88,097 conflict-affected children aged 3-17 years have benefitted from pedagogic materials including 1,070 school in a box kits, 210 ECD, 210 recreational kits, 48,900 school bags with classroom supplies, 32 tents and 1,250 floor mats. Out of these school-in-a-box kits, 346 have been distributed to 25 schools (Borno-18, Adamawa-6, Yobe-2) while the rest has been distributed in IDP camps. 683 teachers within 29 IDP camps and host communities in Adamawa, Borno and Yobe states have received training in pedagogical and psychosocial support skills which the teachers are expected to use to support the healing processes of their students. In collaboration with the Vice President s office and the state level Government, enrolment drives are currently planned for launch in the second week of September in the 3 states towards ensuring that children are encouraged to return to school. The back to school campaign will be carried out in collaboration with PINE that has procured 29 mobile containerized classroom units to increase access to education for children. Health UNICEF is supporting the Borno State Ministry of Health and the State Primary Health Care Development Agency (SPHCDA) to provide integrated primary health care (PHC) services to IDPs in both IDP camps and host communities in the state. During the course of the reporting period, 3 new camps were established as a result of an increase in number of IDPs from villages liberated by the on-going military operations in the state, making the total number of IDP camps supported with integrated PHC services by UNICEF 19. Support was provided in the reporting period to 28 health facilities in 5 Local governments (MMC, Jere, Biu, Kaga and Konduga) hosting large proportion of IPDs. To date a total of 204,314 IDPs (37,097 men, 69,237 women and 97,980 children) have benefitted from the various PHC services offered through the camps and host community clinics and outreaches. Immunization activities in the IDP camps reached 38,014 children aged between 6 months-15 years with measles vaccines; 28,588 children aged between 14 weeks - 5 years were immunized with Inactivated Polio Vaccine (IPV); 45,477 children under 5 years with Oral Polio Vaccine (OPV); 42,038 children aged between 6 months - 5 years received Vitamin A and 39,230 children aged between 6 months - 5 years received deworming tablets. Seventy per cent of those reached and reported were from the IDP camp clinics because the full support to the health facilities in the host communities started during the course of the reporting period. In Yobe, UNICEF is supporting the Yobe SPHCDA to provide integrated Primary health care services for IDPs camps in one permanent camp, 2 transit camps and through dedicated outreach teams providing integrated PHC services to 5

IDPs living in 40 selected host communities. To date, a total of 89,237 IDPs (17,798 men, 22,013 women and 49,426 children) have benefitted from the various PHC services. Measles immunization has reached 33,971 children between the ages of 6 months 15 years. 12,379 children aged between 14 weeks - 5 years were immunized with Inactivated Polio Vaccine (IPV); 23,047 children under five years with Oral Polio Vaccine (OPV); 19,793 children aged between 6 months - 5 years received Vitamin A and 18,978 children aged between 6 months - 5 years received deworming tablets. UNICEF support to the 40 health facilities in communities hosting IDPs in terms of supplies of drugs, essentials, training etc. will be fully operational with effect from the next reporting period. 28, 274 long lasting mosquito nets have been distributed so far for the use of women and children under five in the IDP camps Child Protection The programme is currently delivering critical psychosocial support in 143 communities and 22 IDP camps through 474 trained community volunteers. Between January to July 2015, 42,723 children (19,555 girls) were reached representing 81% of the target of 53,000 children. Of the children reached, 28,286 (66%) have been supported in their communities in Damaturu and Potiskum in Yobe; in Biu, Hawul, Bayo, Kwaya Kusar, as well as in host communities in Maiduguri in Borno; and in Fofure, Sangare and Daware in Adamawa. Scaling up of this programme is on-going. The programme targets both the formal camps and local government authorities: In Adamawa - Fufore, Girei, Yola North and Yola South local government areas are being reached. To date, in Adamawa, 443 unaccompanied or separated children (UASC) have been identified (230 boys and 214 girls), out of which 93 are unaccompanied (46 boys and 47 girls). All children are being supported in current care environments. Forty foster families have been identified and trained. 93 children have been referred for tracing. In Borno, the programme is operational in 7 IDP camps - Teacher's village, Dalori, NYSC, Sanda Kyarimi, WTC, Arabic Teachers Village and Bakassi and surrounding communities. To date 634 UASC have been identified out of which 109 are unaccompanied children (56 boys and 53 girls). Children are being supported by a social/para-social worker in their current care arrangement to ensure they are safe and cared for In Adamawa, 30 Community Based Child Protection Committee members were trained on child protection and their roles in identifying, managing and referring child protection cases. To date the committees have referred 106 children for additional support services. The committees have also reached 214 community members, through six community awareness meetings in Fufore, Sangere B and Daware community, with child protection messages. Messages on protection and support of UASC were produced in three languages and aired on ABC FM radio based in Yola. A live phone in program was also hosted on the radio station to provide additional information and advice. In September, UNICEF will embark on two pieces of critical research on children born out of sexual violence and on community perceptions of children associated with armed groups, in order to inform the development of programmes that ensure support and safety for these highly vulnerable groups. Nutrition The nutrition response continues in the three emergency states in the North East of Nigeria. The response plan is based on the delivery of emergency lifesaving services including treatment of severe acute malnutrition through Out Patient Programmes (OTPs) and in-patient care, education on Infant and Young Child Feeding (IYCF) practices together with provision of multi-micronutrient powders and deworming tablets. UNICEF established emergency nutrition services in 16 IDP camps and continues Community Management of Acute Malnutrition (CMAM) services through already established CMAM centers within the health facilities. A total of 188 health facilities in the three affected North East states have been equipped and trained on identification and management of severe acute malnutrition. Discussion with partners is on-going to open additional CMAM sites that provide service for children with Severe Acute Malnutrition (SAM) across the three states affected by emergency. UNICEF has commenced the distribution of multiple micronutrient powders in four IDP camps in Borno and Adamawa states, reaching 756 children and care givers; and in collaboration with partners, has also established community based IYCF and awareness raising services. Distribution will also be extended to all IDP camps and host communities sites in 6

the three emergency States, covering over 90,000 children. Training for community volunteers is on-going especially for IYCF services. The major programming gap is adequately trained community human resources for support of IYCF and community sensitization on nutrition, health and sanitation. The SMART survey for the assessment of the current nutritional situation began in July, with the training of enumerators completed in the month. Data collection is near completion. The survey covers the North East as well as the rest of the country. Screening activities continue in IDP camps. Overall, 145,907 children were screened between January and end of August 2015, of which 3.5% (5,048) were reported as severely malnourished. Ninety nine per cent of identified children with SAM were admitted to the program. The screening activities will continue to identify children who needed treatment for SAM and to monitor the nutrition situation of the population. Efforts are also continuing to strengthen nutrition screening outside the camps. From January to July 2015, 34,209 children under five with SAM were admitted in the states of Adamawa, Borno and Yobe and provided with treatment. This is 45.1% of the target of 75,859 children for the year. Of the 26, 847 children discharged during the reporting period, a total of 21,934 (82%) children were reported cured. The performance indicators for cure rate remain in line with SPHERE standards (>75%) at 82%, while the defaulter rate is reported at 15%, which is the limit permissible by the SPHERE standard (<15%) and is largely due to the highly dynamic population movements observed in the IDP camps. Whilst the number of children admitted against the target seems low, this is in large part explained by the seasonality of SAM cases in the North East of Nigeria where admissions tend to be low in the first five months of the year and increases significantly over the second half of the year as the hunger season starts. A significant drop of in admission was also observed in Yobe and is much lower than expected. The table below presents the overall number of new admission into the CMAM programme across the three emergency states of North East Nigeria from January to July 2915. As of July 2015, the programme has already treated 70 per cent of the total number of children treated in 2014, demonstrating the scale-up of the programme to date; however, efforts must continue to accelerate its role out. Communication for Development Communication for Development (C4D) undertook capacity building of 26 Directors from the high-risk states of Anambra, Bayelsa, Benue, Cross River, Ebonyi, and Rivers on Cholera Preparedness, Response and Prevention in Makurdi, Benue state. The directors were drawn from the State Emergency Management Agencies (SEMA), State Directorates of the National Orientation Agency (NOA), the Health Education Departments of the State Ministries of Health and the State Social Mobilization Technical Committees (SOMTECs). With their new skills and C4D guidelines, the directors developed work plans to engage with stakeholders and vulnerable populations in their areas of operation. Media and External Communication On August 4, the Guardian (UK) Global Development Professionals Network carried a UNICEF Nigeria blog about the release of civilians, almost all girls and women, by Boko Haram and the work that UNICEF is doing to support them. 7

The blog, entitled, Eyewitness: the women and girls rescued from Boko Haram in Nigeria focuses on the first group of civilians to be released following Nigerian military action against Boko Haram. Coverage of the emergency and UNICEF s response continues in UNICEF s social media outlets, especially Facebook and Twitter. UNICEF is also supporting a visit by a freelance television team working for the Chinese network CCTV and CNN. Plans are underway for a Norwegian National Committee visit to North-East Nigeria in the middle of September. Funding As of 30 July, UNICEF has received around $13.6 million against the $26.5 million in the 2015 HAC requirements. Details are provided in the below table. Sector UNICEF NIGERIA CO FUNDING REQUIREMENT Total 2015 Requirements (HAC) Funding required for assistance conflict-affected population (180 day plans) Funding available (HAC) Funding Gap (2015) USD % Unfunded Nutrition 6,100,000 2,275,924 5,446,241 653,759 11% Health 4,000,000 4,126,098 2,179,440 1,820,560 46% WASH 3,900,000 4,959,515 2,736, 556 1,163,444 30% Child Protection 3,810,000 3,644,743 1,503,253 2,306747 60% Education 7,500,000 3,901,942 1,691,621 5,808,379 77% Sector Coordination 1,200,000 209,857-1,200,000 100% Total 26,510,000 19,118,079 13,557,111 12,952,889 49% Next SitRep: 01/10/2015 Who to contact for further information: Jean Gough Representative, UNICEF Nigeria Tel: +234 803 402 0870 Email: jgough@unicef.org Samuel Momanyi Nyambati Deputy Representative UNICEF Nigeria Tel: +234 803 535 0009 Email: smomanyi@unicef.org Dominic Stolarow Emergency Manager UNICEF Nigeria Tel: +234 803 403 5235 Email: dstolarow@unicef.org 8