Nigeria HUMANITARIAN SITUATION REPORT Highlights In total, 1,878,205 IDPs (IOM s Displacement Tracking Matrix (DTM), Round 11 Aug, 2016) have been displaced by the insurgency with the highest numbers recorded in Borno (69%), Adamawa (7.8%) and Yobe (6.4%) states. Children constitute 54% of the IDP population. Additional 2.2 million people are estimated to be in areas still inaccessible. Humanitarian access remains limited and situation remains critical in both the newly accessible and still inaccessible areas. Acute Watery Diarrhea (AWD) with high fatality rates is reported from Rann/Kalabalage LGA, staff and supply on standby in Maiduguri, however no response has reached there yet due to security and access constraints. The government has reported voluntary return of IDPs from Maiduguri to Mafa (600 households), Konduga (2000 households) and Dikwa (to be confirmed). A joint task force has been created with sector-lead agencies and State Emergency Management Agency (SEMA) to coordinate return. Concerns remain over lack of food and shelter, living conditions, basic services, protection and security in the areas of return. A UPS donated charter cargo flight arrived in Abuja on Sunday 11 September with 106MT in life saving supplies, including 1,600 Health Kits with essential medicines and 1,600 immediate response WASH & dignity kits that will cover over a million people approximately. UNICEF Humanitarian Action for Children (HAC) is being revised to $115m, up from 55.6 million to reflect the latest funding requirements. UNICEF to date has received $28million against to scale up response which will cover the urgent needs of the affected population. The scale up plan focuses on a multi-sector response covering newly liberated areas, Maiduguri Municipality, Jere and Southern Borno and Gujaba and Gulani Local Government Areas (LGAs) of Yobe. UNICEF s Response (as per HAC) Indicators # of conflict affected people provided with access to safe water per agreed standard # of conflict affected children accessing education in a protective and safe learning environment # of conflict affected people reached with emergency PHC services # of conflict affected children reached with psychosocial support # Children <5 with SAM admitted to therapeutic feeding programmes * Sector targets yet to be revised UNICEF UNICEF Cumulative results Sector 1 Sector* Cumulative results 1,220,995 448,333 1,856,572 616,534 586,400 72,891 586,400 130,432 4,267,534 2,627,987 436,201 133,102 TBD 205,611 398,188 74,978 398,188 74,978 8 to 13 September 2016 14.8 million People affected by the crisis in the four North East states of Adamawa, Borno, Gombe and Yobe. (HRP 2016) 7 million People in need in the four North East states. (HRP 2016) 3.8 million Children in need in the four North East states (HRP 2016) 2.2 million People in areas inaccessible due to insecurity in Borno. (UNICEF situation analysis) UNICEF Appeal 2016* US$ 115 million *Humanitarian Action for Children (HAC), does not include inaccessible areas of Borno 2016 funds available Funding gap$86.65 Carryforward amount: $4.76 m 2016 funding requirement: $115m** Funds received to date: $23.59m *Funds available includes funding received for the current appeal year as well as the carry-forward from the previous year. **The original Nigeria appeal amounted to $55.6m. The HAC is currently being revised to $115m to reflect the latest funding requirements for response in the Northeast Nigeria
Situation Overview & Humanitarian Needs Recent gains by the Nigerian army, has improved humanitarian access although it remains limited in some areas and the situation remains volatile. In total, 1,878,205 IDPs (IOM s Displacement Tracking Matrix (DTM), Round 11 Aug, 2016) have been displaced by the insurgency with the highest numbers recorded in Borno (69%), Adamawa (7.8%) and Yobe (6.4%) states. Children constitute 54% of the IDP population. An additional 2.2 million people are estimated to be in areas still inaccessible. The government has reported voluntary returns of IDPs from Maiduguri to Mafa (600 households), Konduga (2000 households) and Dikwa (to be confirmed). The Government is allowing returns only to LGA Headquarters where it is secure and essential services such as water, health, protection services and schools are operational. The returnee families are receiving 25kg rice and 10kg beans and government has requested WFP to provide a more comprehensive permanent return package. A joint task force has been created with sector-lead agencies and SEMA to coordinate returns. There are unverified reports of return to other areas as well including Bama and Banki. Concerns remain over lack of food and shelter, living conditions, basic services and security in the areas of return. Humanitarian leadership and coordination UNICEF actively participates in the Humanitarian Country Team and as sector lead agency, continues to provide leadership and coordination in the areas of Nutrition, WASH, Education and Child Protection. UNICEF is implementing the scale-up plan in coordination with IOM and WFP for the operational response and with OCHA, UNHCR and other UN agencies and NGO stakeholders for data collection, analysis and inter-agency coordination. To strengthen coordination there are currently two dedicated sector coordinators in Maiduguri; Nutrition and WASH. Efforts are underway to further strengthen coordination through the deployment more sector coordinators and information managers. Humanitarian strategy The humanitarian strategy of the revised scale-up plan has been built around existing systems strengthening initiatives of UNICEF s programming to reach the most vulnerable people. Programmatically, UNICEF will scale-up its delivery of an integrated package of interventions to affected populations which include: increase coverage of CMAM and IYCF 1 including SAM treatment, micronutrient supplementation and infant and young child feeding; improve outreach of primary health care services (PHC) ; improving access to safe water and sanitation at health facilities, including those supporting SAM treatment, as well as hygiene promotion; psychosocial support for children (including in safe spaces), care and support for separated and unaccompanied children as well as reintegration support for children associated with Boko Haram. In addition, access to education will improved through activities such as establishing safe learning spaces for children and will then later go to scale to re-establish the public education system. Scaling-up of these critical life-saving services for children entails a multi-pronged approach: 1) Support the local government agencies, to accelerate the outreach of the interventions and improve the quality of basic services. Support includes funding, supplies, logistics and technical supervision; 2) Partner with communities in hard to reach areas including working with 2,200 Volunteer Community Mobilizers (VCMs) in the IDP camps and host communities of Borno and Yobe State for improving outreach and delivery health and nutrition services, and conduct hygiene promotion activities, including cholera prevention; 3) Expand field presence and strengthen field monitoring for Borno and Yobe; and 4) Maintain and expand partnerships with NGOs to accelerate and scale up service delivery into all accessible areas. UNICEF is proactively expanding partnerships with NGOs on the ground to reach the hard to reach population in need. However, in the newly accessible LGAs extremely limited numbers of NGOs are operational due to security challenges. UNICEF Humanitarian Action for Children (HAC) is being revised to $115m, up from 55.6 million to reflect the latest funding requirements. UNICEF to date has received $28million against to scale up response, with a funding gap of US$ 86.65 million. These funds are needed to meet critical services needs of existing caseload in Borno, Yobe and Adamawa States. The priority for new funding will be the newly accessible areas for the remainder of the year, current funding will be sufficient to maintain existing programmes in the other areas. Summary analysis of programme response Nutrition: UNICEF has improved monitoring of CMAM with consultants visiting 4 sites in MMC and Jere LGAs in Borno state (Graph 1), and screened 4,068 children 6-59 months. Among the children screened, the Global Acute Malnutrition (GAM) rate was 29 percent, the Severe Acute Malnutrition (SAM) rate was significantly lower (1%) and bilateral oedema was found in only 2 children (0.05%). All identified cases of SAM (43 cases) and bilateral oedema (2 cases) were referred for treatment, however only 74% of referred cases were admitted into CMAM program. Recovery rate for CMAM program in the IDP camps were between 85% and 100%, whereas for Teachers Village the mortality rate was 15% which is above the Sphere threshold of 10%. 1 CMAM= Community based management for acute malnutrition and IYCF= infant and young child feeding 2
IDP Camp NIGERIA COUNTRY OFFICE SITUATION REPORT 8 TO 13 SEPTEMBER 2016 Shehu Sanda Kyarimi In the above-mentioned IDP camps, 150 children received Goni Kachallari Pw micronutrient powders (MNPs) across the camps of which 47% of them were receiving their first dose of MNP, while the rest were Farm Center receiving their second or third dose of MNP. Furthermore, rollout of Teachers' Village MNP distribution completed in 24 new facilities in Borno. In the same sites, a total of 226 pregnant and lactating women were 0 10 20 30 40 50 reached with messages on infant and young child optimum feeding % and care practice. UNICEF continues to prepare for massive SAM MAM screening integrated with IPV campaign for the identification of children with Severe Acute Malnutrition (SAM). A total of 800,000 Graph 1: Results from recent screening at MMC Jere IDP camps children 6-59 months will be screened and out of these 30,000 are expected to be identified as SAM. In collaboration with the State Ministry of Health (SMoH), a total of 1,800 nutrition screeners and data recorders have been trained of whom 1,300 (72%) passed the post-test. The 1,300 workers will participate in the first phase of screening exercise on 17 th September. The recruitment of 300 workers to provide treatment in the outpatient program for the identified SAM children has been finalized. Training for the 300 workers will begin on 15th of September. Newly arrived supply division surge capacity involved in planning for the supply logistics for this exercise. A total of 21,000 cartons RUTF are in Borno to support the initiative. In addition, 270 cartons of F-75 and F-100 each and 10 cartons of ReSoMal are on route to Borno for inpatient management facility. Finally monitoring tools in the form of an online questionnaire have been developed and uploaded onto 100 smartphone tablets to enable real time reporting, and data quality monitoring during the IPV campaign. In addition to this 100 individuals have been recruited to facilitate the supportive supervision and data collection across all screening sites during the campaign. The nutrition sector coordinator for Borno has arrived in country and has been deployed to Maiduguri. Health: During this reporting period, a total of 26,239 women and children have been reached with integrated PHC 2 services out of which 10,276 were children under 5years. Antenatal care services reached 1,050 pregnant women and 177 institutional deliveries have been conducted. A total of 6,526 children received various vaccine antigens for routine immunisation, out of which 1,816 received OPV vaccines and 978 children (6month-15years) immunized with measles vaccine in Muna garage, new arrivals at custom house camp and neighbouring settlements. The IDPs in Dikwa camp have started returning to their place of origin in Dikwa town and UNICEF now supports the PHC centre there for returnees. Two camp clinics have been established in IDP camps in Dikwa (Tzangaya and Shehu Sanda camps) for IDPs from other LGAs. A total of 15 additional health facilities (13 in Chibok LGA and 2 in MMC) have been established. UNICEF is working with camp coordinators on improving quality of care in the camps and host communities by working on improving health and logistics (drugs) management systems. The recruitment of a data manager and health specialist for Yobe has been completed and the health specialist for Borno from a standby partner (NORCAP) has been identified. Initial discussion are underway to explore how best UNICEF could support HIV testing and services in the Borno state. All the vaccines, commodities and resources for social mobilisation needed for the next round of polio campaign starting on 17 th September have been delivered to the state government. Two additional state warehouses to stock UNICEF emergency supplies have been identified and will be rehabilitated by UNICEF. WASH: During this reporting period, 9,000 IDPs gained access to safe water through the drilling/ provision of two solar boreholes (in Muna Garage) and 17 hand pump boreholes in host communities of Maiduguri (Mashamari and Galtimari) in Borno state and another borehole in Gujuba (Yobe State). In order to improve access to sanitation, UNICEF carried out desludging of 100 existing latrines in the IDPs camps of Maiduguri and built 176 new latrines in the host communities and 24 in Dikwa. In Adamawa State, 10 emergency latrines were newly built in St Theresa IDPs camps in Yola. As part of integrated response with nutrition, in the CMAM centre of Maiduguri, UNICEF has provided, a set of hygiene kits (including jerry can, bucket, kettle, soap, dignity kits) to 1,944 families with SAM children. There has been no confirmation yet from the government on AWD outbreak reported in Rann (Kala Balge LGA Borno State). Both security and physical access constraints has impeded the response. 3 Child protection: A total of 6,770 children (3,198 boys, 3,572 girls) were newly reached with psychosocial support (PSS) in Maiduguri, Jere and Konduga, inlcuding 59 boys (Damboa-10, Dikwa-46 and Monguno-3) associated with Boko Haram. Support was provided in Maiduguri to 45 girls and women who experienced sexual violence from Boko Haram. On the 9 September, 177 children (86 boys, 91 girls) arrived with 80 adults in Bama IDP camp, having escaped from Jamiri, Bulagoni and Maijageri villages 2 The package of primary health care (PHC) services includes consultation, screening and treatment of malaria, diarrhea, respiratory infections, severe acute malnutrition screening and treatment as well as immunization. 3 Trained environmental staff and WASH supplies remain on standby in Maiduguri awaiting security advice from military. 3
and are being assessed to identify and determine the needs of those who are unaccompanied, separated or associated with Boko Haram. Education: While schools are yet to open after Eid break, UNICEF is closely working with the state education ministry to finalize the Enrolment Drive Campaign. Education Secretaries in Gwoza and Bama LGAs confirmed that the 10 tents provided by UNICEF have been erected and teaching classes will be resumed after Eid break. Communication for Development and Polio Outbreak Response UNICEF continues to engage with influential persons including religious and traditional leaders, polio survivors and 2,200 frontline Volunteer Community Mobilisers (VCMs) to mobilise caregivers to vaccinate their children against polio during last month s first round of Polio Outbreak Response (OBR) in Borno and Yobe. Efforts include one-to-one community engagement and sermons in mosque prayers in favour of immunization, importance of accessing health facilities and Essential Family Practices (EFP). In Borno, the upcoming campaign will involve use of injectable inactivated polio vaccine (IPV) as well as polio drops to increase the immunity among children under five years old. Over 725,000 children aged 6-59 months will be immunized with IPV at 1,302 fixed outreach booths in Maiduguri Municipal Council, Jere, Mafa and Konduga Local Government Areas of Borno. Distribution of information, education and communication materials continue with support of VCMs promoting a range of health, nutrition and WASH messages in the Borno and Yobe. Supply and Logistics A Boeing 747 cargo charter flight (donated by UPS flight) arrived Abuja on Sunday with US$ 1.3m worth of lifesaving supplies for internally displaced persons in northeast Nigeria. The plane brought in 1,600 health kits containing essential medicines and health supplies for primary health centres in the states affected by the crisis. The health kits will serve nearly one million people for a period of three months. There were also 1,600 water, sanitation and hygiene (WASH) dignity kits including clean water storage cans, basic menstrual hygiene products enough for 80,000 women and adolescent girls for 3 months. UNICEF is currently working on the finalization of procurement and renovation of warehouse facility (1,500 sqm) in Maiduguri. UNICEF launched a local request for quotation (LRFQ) for procurement of transport to support movement of commodities to 23 LGAs in Borno State. Media and External Communication Media interest continues to grow on the nutrition emergency in Borno state, with active UNICEF media engagement and recent coverage in Bloomberg News, BBC (Nigeria s Borno Faces World s Worst Food Crisis, UNICEF Says) was picked up in the UK s Independent (Nigeria's Borno region is facing world's worst food crisis, UNICEF warns) and several Nigerian media. The BBC World Service also interviewed the Chief of Nutrition live for its flagship morning programme Newsday (Race to help children in Nigeria food crisis). Media visits this week to Maiduguri hosted by UNICEF include Japan s NHK television, for stories on malnutrition and child protection, and Agence France Press (AFP) for a story on the malnutrition crisis. The arrival of more than 100 metric tonnes of supplies in Abuja was covered in UNICEF social media and photographs of the arrival shared system-wide. Human Resources 32 Surge requests are identified (20 programme, 6 Operations and 6 cluster Coordination); candidates have been identified for 26 requests. Efforts are being made to find candidates for remaining requests especially in area of sector coordination. 13 Surge staff are on ground as of 14 September 2016 (7 programme, 4 Operations and 2 cluster coordination); 2 more staff are expected to arrive this week of which 6 are on ground in Maiduguri (1 Health Specialist (ERT), 1 CP Specialist (ERT), 1 Emergency WASH Specialist (ERT), 1 Logistics Specialist (IRT), 1 WASH Sector Coordinator and 1 Nutrition Sector Coordinator). Visa approval has been delayed due to Eid holidays. Security The general security situation in Borno State continues to be fluid, volatile and dangerous due to the ongoing armed conflict between the Nigerian Security Forces and the Boko Haram insurgents. Despite being dislodged from most of the main towns within the state Boko Haram has continued to launch attacks against the security forces and the humanitarian community. The situation within Maiduguri remains relatively calm, there have not been any incidents reported within the town within the last six months. Funding Funding Requirements (as defined in Revised Humanitarian Appeal of 01/09/2016 for a period of 12 months) Appeal Sector Requirements Funds received* Funding gap USD % 4
WASH 32,432,817 5,586,696 26,846,121 83% Education 12,951,282 4,955,965 7,995,317 62% Health 27,016,164 3,131,736 23,884,428 88% Nutrition 19,324,375 12,397,041 6,927,334 36% Child Protection 23,275,362 2,123,979 21,151,383 91% Total 115,000,000 28,195,418 86,804,582 75% * Funds received includes funding received against current appeal as well as carry-forward from the previous year. Next SitRep: 21 September 2016 Who to contact for further information: Gianfranco Rotigliano Representative a.i. UNICEF Nigeria Tel: +234 803 402 0870 Email: grotigliano@unicef.org Dr Naqib Safi Deputy Representative, a.i. UNICEF Nigeria Tel: +234 803 403 5273 Email: nsafi@unicef.org Dominic Stolarow Emergency Manager UNICEF Nigeria Tel: +234 803 403 5235 Email: dstolarow@unicef.org Annex A: Summary Analysis of Programme Response against 2016 revised HAC targets Sector Sector Response UNICEF and IPs 5
Change since UNICEF Change since last report total results last report NUTRITION Number of children 6-59 months with Severe Acute Malnutrition 5 admitted to therapeutic care for specified period of time Proportion of children 6-59 months with severe acute malnutrition recovered Number of caregivers of children 0-23 months with access to IYCF counselling for appropriate feeding Number of children 6-23 months in the affected areas receiving multiple micronutrient powder HEALTH Number of children 6months-15years vaccinated against measles Number of people reached with emergency primary health care services Number of families reached with LLITNs WATER, SANITATION AND HYGIENE Number of people provided with access to safe water per agreed standards Number of people with access to improved sanitation facilities Number of people reached through hygiene promotion Campaigns/ received WASH hygiene kits CHILD PROTECTION Number of children reached with psychosocial support (including through CFS and child clubs) Number of children and women associated with armed groups/victims of SGBV 6 supported with reintegration services Number of unaccompanied and separated children supported (case managed, including those supported in alternative care arrangements) Number of children reached with Mine Risk Education EDUCATION Number of school-aged children including adolescents reached by schools/temporary facilities in safe learning Number environment of school-aged children reached with learning materials Number of children attending schools/tlss with a teacher trained in C/DRR (including vulnerability mapping and response planning) Sector target 4 Sector total results Revised UNICEF 2016 target 75,859 74,978-398,188 74,978 0 >75% 87% +2% >75% 87% +2% 375,845 137,580 5,301 138,904 59,816 5,301 126,565 83,559 2,330 126,565 83,559 2,330 5,731,507 319,938 0 4,267,534 2,627,987 195,509 160,000 76,775 9,304 1,856,572 616,534-1,220,995 448,333 19,000 315,384 668,200-1,033,547 622,152 22,352 2,601,209 605,531-1,100,000 462,134 15,414 511,201 205,611 6,770 436,201 133,102 6,770 TBD 1,483 104 4,550 1,424 104 TBD 5,809 0 8,355 4,122 104,000 10,988 0 104,000 10,988 586,400 130,432 800 586,400 72,891 800 905,240 199,066 2,500 586,400 149,088 2,500 213,200 - - 231,400 - - 0 0 4 Sector targets for scale up yet to be updated 5 UNICEF target is 100 per cent of SAM caseload for Borno (244,268), Yobe (106,105) and Adamawa (47,815) 6 including victims of forced marriage and sexual violence and children born out of sexual violence 6
NIGERIA COUNTRY OFFICE SITUATION REPORT Week 8-13 September 2016 Annex B: Summary Analysis of Programme Response against UNICEF Scale Up targets 7 (1 September 2016-28 February 2017) Sector NUTRITION[1] Number of children 6-59 months with Severe Acute Malnutrition admitted to therapeutic care for specified period of time Proportion of children 6-59 months with severe acute malnutrition recovered Number of caregivers of children 0-23 months with access to IYCF counselling for appropriate feeding Number of children 6-23 months in the affected areas receiving multiple micronutrient powder HEALTH Number of children 6months- 15years vaccinated against measles Number of people reached with emergency primary health care services Number of families reached with LLITNs WATER, SANITATION AND HYGIENE Number of people provided with access to safe water per agreed standards Location UNICEF MMC Jere South Borno Newly Liberated Areas Yobe (Gujuba and Gulabi LGAs) Total Results Results Change Since last report Results Change Since last report Results Change Since last report Results Change since last report 71,604 17,992-50,544 13,041-5,932-128,080 31,033 - >75% 86 - >75% 78 - >75% - >75% 82-68,000 26,094-12,000 22,642-6,434-86,434 48,736-51,000 17,169-9,000 5,581-4,826-64,826 22,750-1,360,427 1,153 753 954,750 936 617 144,000 398 259 2,459,177 2,487 1,629 600,000 11,872 24,702 750,000 21,278 14,378 320,000 6,712 4,170 1,670,000 39,862 43,250 10,000-125,000-25,000-160,000 - - 391,154 230,681 0 375,000 125,405-51,608 10,500-817,762 366,586-7 Sector targets yet to be revised 7
NIGERIA COUNTRY OFFICE SITUATION REPORT Week 8-13 September 2016 Number of people with access to improved sanitation facilities Number of people reached through hygiene promotion Campaigns/received WASH hygiene kits CHILD PROTECTION Number of children reached with psychosocial support (including through CFS and child clubs) Number of children and women associated with armed groups/victims of SGBV (including victims of forced marriage and sexual violence and children born out of sexual violence) supported with reintegration services Number of unaccompanied and separated children supported (case managed, including those supported in alternative care arrangements) Number of children reached with MRE EDUCATION Number of school-aged children including adolescents reached by schools/temporary facilities in safe learning environment Number of school-aged children reached with learning materials Number of children attending schools/tlss with a teacher trained in C/DRR (including vulnerability mapping and response planning) 606,939 341,152 0 375,000 167,400-51,608 0-1,033,547 508,552-606,939 300,255 0 375,000 102,315-51,608 7,622-1,033,547 410,192-246,566 29,679 6,028 121,635 13,100 742 8,000-376,201 42,779 6,770 1,125 210 45 1,150 142 59 50-2,325 352 104 4,130 2,522 2,875 672 150-7,055 3,194 74,800 10,988 21,200 8,000-104,000 10,988 158,500 - - 200,000 800 800 67,900 - - 426,400 800 800 158,500 - - 200,000 2,500 2,500 67,900 - - 426,400 2,500 2,500 79,250 - - 100,000 33,950 - - 213,200 - - 8