Monthly Situation Report November 2012 Highlights - The Deputy Executive Directors of, UNHCR, and WFP were in between the 19 and 22 November for a high level joint mission to meet with Government partners and humanitarian actors engaged in the response to the food and nutrition crisis as well as the refugee influx from Mali. The DEDs Ms. Brandt (), Ms. Lim (UNHCR), Mr. Lopes da Silva (WFP) were accompanied by the UN Regional Humanitarian Coordinator Mr. Gressly. - Over 9,155 children under-five affected by Severe Acute Malnutrition (SAM) have been admitted and treated from January to October 2012. This represents 73% of the annual of 12,600. - Over 4,000 children (6-24 months) have benefited from a blanket feeding campaign in Tagant region in October 2012. - 640 hygiene kits donated by for mothers have been distributed to 3 Regional Directions of Sanitation and Water (Assaba, Brakna and Tagant) for 640 households. - The second round of the polio campaign with integrated vitamin A supplementation and deworming drugs took place from 23 to 26 November organized by the Ministry of Health with support from and WHO. The campaign also covered children in the M berra camp in partnership with UNHCR and among the host community. - In M berra camp, 584 children (including 260 girls) benefited from psychosocial support through child friendly spaces set up in partnership with UNHCR and InterSos. - For primary schools in M berra camp, the new academic year started on the 18 th November with 4 school sites following the Malian curriculum. On the 21 st November, 1,638 pupils were enrolled, including 797 girls (49%) and 839 boys (51%). Yannaka Mint Abd washes her son Mohammed Ould Ramadan with a hand-washing kit provided to the most vulnerable families in the remote Moundiya village in southern. /Mauritanie/2012/Azar 1
Situation Overview & Humanitarian Needs Estimated Affected Population Total Male Female Total Affected Population (food insecurity) 700,000 347,200 352,800 Children Affected (Under 18) (food insecurity) 350,000 175,000 175,000 Children Under Five (food insecurity) 120,000 60,000 60,000 Children 6 to 23 months (food insecurity) 31,710 15,855 15,855 Pregnant women (food insecurity) 33,250 33,250 Children Under Five with Severe Acute Malnutrition (SAM) (estimations based on prevalence & incidence) 12,600 Children Under Five with SAM and medical complications 1,260 Children Under Five with Moderate Acute Malnutrition(MAM) 77,293 Sources: (Estimates calculated based on figures from the SMART Nutrition Survey, July 2012) 6,300 Estimated Affected Population Malian Refugee Crisis, see UNHCR figures from 25.09.2012 http://data.unhcr.org/malisituation/country.php?id=132 Total Estimated Population 108,953 Individuals (21,515 households) ** 630 38,647 Total Male Female 46% 54% Projected Children Affected (Under 18) 64% 32% 32% Projected Children Under Five 20% 10% 10% *Projections will be updated based on the results of the registration level 2 currently being carried out. ** According to the results of the registration level 2 released December 06 the refugee number in M Berra Camp is 54 117 refugees Inter-agency collaboration - The Humanitarian Country Team is working on updating the Inter-Agency Contingency Plan. - The 2013 CAP is being finalized and will be launched shortly. Programme response 6,300 630 38,647 Cholera preparedness - has established a cholera contingency stock for 1,500 households and 20 cholera treatment centers. Orders are in process to fill in the gaps. - The cholera contingency stock has been shared with partners through the WASH sector humanitarian group. - The WASH sector humanitarian group is continuing strengthening its operational links with the Government Crisis Committee managed by the Ministry of Health, as well as with NGOs and WHO to increase effectiveness of cholera preparedness.. - The hand washing with soap campaign continuing until 31 December in 4,075 schools (public and private) targeting almost 550,000 children of which half are girls.. - Communication materials have also been developed to sensitize populations, including in the refugee camp in coordination with UNHCR and partners. These materials will be distributed shortly for the prevention of cholera. Nutrition The outlook for this year s harvest is good, and cereal prices have started their seasonal fall. However in 2013, like every other year, 122,719 children will be acutely malnourished in. To capitalize on all that has been done to respond to the nutrition crises over the past months, the lessons learned, effective response mechanisms and nutrition systems now in place in most regions need to be boosted and consolidated. Therefore, the UNCT is currently assisting the Government to formulate its Resilience Strategy, in order to be prepared to cope with future shocks. Besides a scale-up plan for the Integrated Management of Acute Malnutrition (IMAM), and partners are strengthening social safety nets and development actions, such as the local production of fortified food, the promotion of appropriate Infant and Young Child Feeding (IYCF) practices and Essential Nutrition Actions (ENA). & partners % of % of Children <5 with Severe Nutrition* 12,600 9,155* 72.70% 12,600 9,155 * 72.70% Acute Malnutrition Refugee admitted to Therapeutic care 300 428 130.3% 1,200 881 64.5% 2
& partners % of % of Children <5 with Severe Nutrition* NA 5,663 NA NA 5,663 NA Acute Malnutrition Refugee discharged NA NA NA NA Children <5 with Severe Nutrition* 10,600 3,878 36.56% 10,600 3,878 36.56% Acute Malnutrition discharged recovered Refugee 240 74 30.8% 1,110 352 25.8% Number of Health Nutrition* 488 291 59.6%** 488 291 59.6%** centres with SAM treatment Refugee 1 1 100% 6 4 66.7% Children <5 with Nutrition NA NA NA 57,900 37,891 65.4% Moderate Acute Malnutrition benefiting Refugee from Supplementary NA NA NA 2,100 1,990 94.7% Feeding programmes*** Partners: the Government of, Action Contre la Faim, Croix-Rouge française, World Vision, Terre des Hommes, Counterpart International, Médecins Sans Frontières France, Medecins sans Frontières Belgique, Red Crescent, UNHCR for the refugee population and the World Food Program (WFP) for the coordination and treatment of moderate acute malnutrition, WHO * As activities are fully integrated across the sector, and sector figures are equivalent for SAM. However, for Mberra camp, MSF Belgium is running separate health facilities which figures are included in the cluster cumulative results. ** This rate is partial and comes from 291 out of 488 Health Centers and Health Posts offering SAM treatment. *** Supplementary Feeding Programmes (SFPs) are supported by WFP, which provides bimonthly rations at the community level. At the M berra camp provides technical support through training and equipment. and partners programming Nutrition response: - From January to October 2012, over 9,155 children under-five affected by Severe Acute Malnutrition (SAM) have been admitted and treated. This represents 73% of the of 12,600-4,372 children (6-24 months) have benefited from a blanket feeding campaign in Tagant region in October 2012. - A national SMART survey is being prepared to be carried out in December 2012. Refugee response in M berra camp: - In October, 140 children (6-59 months) were screened with MUAC and 37 severely malnourished children (6-59 months) were newly admitted to the Government health centre supported by. Moreover, 44 children (6-59 months) were newly admitted to MSF-B Therapeutic Nutrition Units, which receive RUTF, therapeutic milk and drugs from Unicef. During the reporting period, 67 children 6-59 months) were recovered and discharged. WASH & operational partners % of / Nutritional centres delivering the WASH minimum package 291 14 5% 480 59 12% The number of hygiene kits with key hygiene messages distributed to SAM affected carer / mother and child 12,600 4,950 39% 12,600 5,598 44% % of Partners: Action Contre la Faim, CountPart International, Solidarités International (SI), Oxfam Intermon, NGO ECODEV, AMAMI and APSD Moundy, Ministry of Water and Sanitation, Ministry of Social and Family Affairs, UNHCR. target is based on U5 children data and partners programming Nutrition response: - 4200 hygiene kits for mothers donated by have been distributed to 5 Regional Directions of Sanitation and Water (Hodh el Garbi, hodh el Chargui, Assaba, Brakna and Tagant) for 640 households. - The celebration of Global Hand-Washing Day continued with support to 400 vulnerable mothers and heads of households in periurban areas of. - continued supporting the WASH humanitarian sector: the first 3W matrix has been finalised, technical committees have been established with the aim of reinforcing coordination on specific issues such as emergency preparedness, and monitoring. 3
Refugee response in M berra camp: - 2,904 latrines have been built since the beginning of the operation by UNHCR and partners, including 1,500 with support from. - supplied cabins and slabs for the reconstruction of 16 latrines in schools by OXFAM and Solidarite International (SI). - provided 19 sanitation kits to four schools and has installed 2 water points in two schools. Health A mass campaign has been organized by the Ministry of Health with support from and WHO to boost immunization against polio and prevent any reintroduction of the wild polio virus, including for the Malian refugees and host communities. Support has been provided for mobile integrated activities including vaccination, treatment of common diseases and antenatal care to children and women living in remote areas (data of the first round not yet available). Children <5 receiving measles vaccination (refugees) Families receiving 2 ITNs Routine : 9-11 months Campaign / Routine : 1 to 15 years Nutrition Refugee Partners: Ministry of Health, Médecins Sans Frontières, UNHCR, WHO, UNFPA, NGOs 2,580 28,058 13,000 13,998 & operational partners 906 26,831* 13,000 5,403 % of 35.12% 95.63% 100% 38.6% and partners programming - The second round of the mass polio campaign with integrated vitamin A supplementation and deworming drugs took place from 23 to 26 November organized by the Ministry of Health with and WHO. The campaign also covered children in M berra camp in partnership with UNHCR, and among the host community. In Mberra camp, a total of 12,173 children under-five years were immunized against poliomyelitis. In the moughataa of Bassiknou, 7,988 children were vaccinated. - To prevent any shortage of drug stocks and to ensure that all drugs are available to treat under-five children suffering from malaria or Acute Respiratory Infections (ARI), has provided to the health centre run by the Ministry of Health, equipment, antibiotics, and 2 Malaria Kits for 2,000 people over a period of 3 months 1 in M berra camp. - The Office has received funds to implement HIV/AIDS activities. Supplies were already ordered.. HIV/AIDS treatment is currently provided in only 4 structures which especially ART, screening is available in some health centres and the PMTCT is not operational. With the distribution of supplies, the Office is planning to introduce the HIV/AIDS screening in outpatient centres among malnourished children not responding to the treatment and train health center and post staff in Bassiknou and M Berra to undertake HIV/AIDS screening and handling.. Child Protection The Child Protection interventions continue to extend and consolidate the responses for both the nutritional response and the Malian refugee response. In November the focus was on the provision of psychosocial services, finalisation of training for Gender Based Violence prevention and response, and agreement preparations for new protocols with partners to implement activities. & partners % of % of Child access to psychosocial services 23,100 3,955 17.12% 23,100 3,955 17.12% Partners: Ministry of Social Affairs, Ministry of Health, UNHCR, WFP, InterSOS, Save the Children, Terre des Hommes- Lausanne and partners programming Provision of psychosocial services - 247 malnourished children (118 severe acute malnourished children and 129 moderate malnourished children) received emotional stimulation care provided by four health and nutritional centres in partnership with Save the Children in Gorgol (2) and Terre des Hommes-Lausanne in (2). supported these activities. 1 Malaria Kit for 1,000 persons over 3 months. 4
- 417 families from 11 villages in Kaedi were sensitized on the importance of psychosocial support for the development of young children, especially in the rehabilitation of malnourished children. - In M berra camp, 584 children (including 260 girls) continued to benefit from psychosocial support through child friendly spaces set up in partnership with UNHCR and InterSos. Capacity building - 38 public actors from the central level - in the sectors of Health, Security, Justice, Islamic Affairs, and NGOs specialized in psychosocial care) were trained on Gender-based Violence (GBV), in particular the tools to implement the Standard Operating Procedures (SoPs). The regional expert on GBV provided this training supported by and UNFPA. - 30 protection and health agents were trained by Terre des Hommes-Lausanne in emotional stimulation in particular to reinforce emotional relations between mothers and malnourished children. - 48 refugees in M berra camp, identified with the support of the community, were trained on psychosocial support for children. Education Overview and and partners programming & operational partners # and % of school-aged girls and boys including adolescents with continued access to formal and non-formal basic education Refugees % of / % of 17,000 2,176 12.80% 25,300 2,176 8.60% partners: Ministry of education, education regional authorities, UNHCR, INTERSOS, Ensemble pour la Solidarité et le Développement (ESD) Malian refugees in : - For primary schools, the New Year started on the 18 th November through 4 school sites in the refugee camp following the Malian curriculum in partnership with UNHCR, INTERSOS, and the local education authorities. - As we are at the beginning of the year, statistics are not yet constant and the number of pupils is growing each day. - On the 29 th, 2,176 pupils enrolled: 1125 girls (51.7%) and 1051 boys (49.3%) thanks to prior meetings with the refugees representatives held in collaboration with UNHCR and INTERSOS.This NGO continues to conduct an information campaign on reopening school, focusing on girls Education. - School stationery and exercise books are being distributed to pupils and their teachers. 25 classrooms in tents are ready to be used and construction is on-going for other classroom tents. - For secondary school aged children, the school year will open early next week with approximately 220 students. Teachers have already been identified. The non- formal literacy component is under preparation. - More funds are urgently needed to meet the education needs of refugee children and host communities. Communications for Development (C4D) - Vitamin A supplementation and child deworming using mebendazole has been included in the November round of social mobilisation in relation to an integrated campaign against polio by the Ministry of Health with support from, WHO, and partners. - Sensitization on Key Family Practices is on-going in 7 regions affected by the nutritional crisis, using radio programs developed. - The mapping of C4D actors has started in a few regions in preparation for the implementation of the Health Community Strategy. - C4D capacity building of programme communicators from staff partners and other UN agencies was organized by an international consultant. The session included monitoring and evaluation of C4D activities in emergency situations. Supply and Logistics - Around 855 metric tonnes of supplies with a value of USD 2,119,181.52 have been provided to date. Supplies delivered contained essential commodities such as recreation kits, school-in-a-box kits, RUTF, hygiene kits, basic family water kits, water purification tabs, squatting plats and tarpaulins. - Over USD 4,190,568.90 planned with 3,510,197.94 are already committed. - Supplies estimated at USD 193,752 are in the pipeline 5
Funding Funding requirements Appeal sector Requirements (as per HAU June 2012*) Funds received** Funding Gap $ % Nutrition* 3,000,000 3,723,563-723,563-24.1% Health** 2,170,000 1,477,573 692,427 31.9% WASH 2,800,000 2,046,175 753,825 26.9% C4D 77,000 93,847-16,847-21.9% Education*** 3,615,000 770,416 2,844,584 78.7% Child Protection 450,000 324,574 125,426 27.9% Coordination & M&E**** 625,000 496,662 128,338 20.5% Total 12,737,000 8,932,809.8 3,804,190.2 29.9% * The total includes a maximum recovery rate of 7%. The actual recovery rate on contributions will be calculated in accordance with Executive Board Decision 2006/7 dated 9 June 2006. **Figures represent Other Resources-Emergency budget allocations at country level, which may have been received prior to 2012 and excludes indirect programme support costs. ***Includes social protection **** includes some funding for HIV/AIDS *****Includes some funding that is joint with child protection ******includes operations support wishes to express its deep gratitude to all public and private sector donors for the contributions and pledges received, which have made the current response possible. would especially like to thank National Committees and donors who have contributed unearmarked funding. Unearmarked funding gives essential flexibility to direct resources and ensure the delivery of life-saving supplies and interventions to where they are needed most especially in the form of longer-term and predictable funding and in strengthening preparedness and resilience building. Continued donor support is critical to continue scaling up the response. Across Sahel, received financial and material contributions from: Andorra, Australia, Belgium, Brazil, Canada, CERF, Denmark, Estonia, European Commission/EC, Finland, France, Ireland, Japan, Luxemburg, Netherlands, Norway, Republic of Korea, Spain, Sweden, United Kingdom, United States of America; and the Argentina Committee for, Australian Committee for, Bulgarian Committee for, Canadian Committee for, Chilean Committee for, Chinese Committee for, Croatian Committee for, Danish Committee for, Finnish Committee for, French Committee for, German Committee for, Hellenic National Committee for, Hong Kong Committee for, Iceland National Committee for, Indonesian Committee for, Italian Committee for, Japan Committee for, Netherlands Committee for, New Zealand Committee for, Norwegian Committee for, Portuguese Committee for, Spanish Committee for, Thai Committee for, United Kingdom Committee for, United States Fund for. For further information, please contact Lucia Elmi Aissata Ba Sidibe Representative Deputy Representative Tel: +222 45 29 98 01 Tel: +222 45 29 98 04 Fax: +222 45 25 13 46 Fax: +222 45 25 13 46 Email:lelmi@unicef.org Email:asidibe@unicef.org Brahim Ould Isselmou Communications Specialist Tel: +222 45 29 98 03 Fax: +222 45 25 13 46 Email:bouldisselmou@unicef.org Miriam Azar Reporting Specialist Tel : +222 22 34 23 49 Fax: +222 525 1346 Email: miazar@unicef.org 6