1) ETHIOPIA South Sudanese s Update Highlights: SitRep #2 Reporting Period March - April 2015 South Sudanese refugees continue to arrive in Gambella Region, Ethiopia. The total number of South Sudanese refugees who have entered the country since the outbreak of the conflict in mid-december 2013 is now 201,301, including 18,560 unaccompanied minors and separated children. During the last week of April, an estimated 7,500 South Sudanese refugees arrived at Pagak entry point in Gambella Region. A new refugee camp, Jewi, with capacity to accommodate 50,000 refugees was inaugurated on 15 March 2015. The new camp is expected to receive refugees from the flooded Leitchour camp as well as newly arriving refugees. Mothers and babies in IYCF classes in Tierkidi refugee camp UNICEF Ethiopia/2014/Thompson During the month of March, 60,276 children from host and 22,237 children from refugee received oral polio vaccination. As of late April 2015, UNICEF Ethiopia has not received funds against its 2015 appeal for South Sudanese refugees and vulnerable host communities in Gambella Region. SITUATION IN NUMBERS 201,301 South Sudanese refugees have arrived in Ethiopia since 15 December (UNHCR, 24 April 2015) 82,513 refugee and host children received oral polio vaccination in March 2015 US$36.2 million 2015 UNICEF Humanitarian Funding needs US$ 36.2 million (US$ 13.67 million for South Sudan refugee response) UNICEF s and Partners Key Results Indicators (Key result per sector) * WASH: # of target refugee population provided with access to water as per agreed standards Nutrition: # of refugee children 6 months - 5 years who have received Vitamin A supplementation Health: # of refugee children 6 months-15 years vaccinated against measles Education: # of refugee children aged 3 to 14 years accessing learning and recreational materials Child Protection: # of refugee children 3 to 14 years who have access to psychological support and informal education/recreation in child friendly spaces UNICEF target (#) UNICEF & Partners *Planning figure: 340,000 refugees in 2015. See Annex 1 for further details. Cumulative results (#) 234,000 5,000 33,200 425 55,000 1,836 75,000 4,452 60,000 24,317 UNICEF funding level HAC 2015 US$ 36.2 million 12,000,000 10,000,000 8,000,000 6,000,000 4,000,000 2,000,000 0 Requirements US$ Funds available US$ 1
1. Situation Overview & Humanitarian Needs During the last week of April, an estimated 7,500 South Sudanese refugees arrived at Pagak entry point in Gambella. Administration for s and Returnees Affairs (ARRA) and UNHCR conducted a joint assessment on 28 April to review the needs of the new arrivals and discuss the registration and relocation of the refugees. Food, water, sanitation and health services were the main current needs of the new arrivals. The total number of South Sudanese refugees who have entered Ethiopia since the outbreak of the conflict in mid- December 2013 and as of the end of April 2015 is 201,301. From these new arrivals, 71 per cent are female while 67 per cent are children. In 2015, the average daily arrival rate has remained low at 68 individuals as compared to a daily average of 424 in 2014. Out of the total refugee population that have arrived since December 2013, 18,560 unaccompanied minors and separated children have been identified and are registered at Tierkidi, Leitchour, Kule, Pugnido and Okugu refugee. Jewi, the new refugee camp in Gambella Region was inaugurated on 15 March 2015. This new camp will have the capacity to accommodate some 50,000 people from Leitchour and Nip Nip refugee as well as newly arriving refugees. However, refugees from the flood-prone Leitchour refugee camp remain reluctant to be relocated to the new camp. 2. Humanitarian Leadership and Coordination Under the leadership of ARRA and UNHCR, UNICEF and its partners continue to support the emergency response to South Sudanese refugees for the provision of health care, nutrition, water, sanitation, education and child protection services. At the same time, UNICEF together with the regional government is spearheading the coordination of the emergency response within the host in WASH, Education, Nutrition and Child Protection within its cluster leads agency capacity. 3. Humanitarian Strategy: Prepositioning and Partnerships In the refugee context, UNICEF works in support of UNHCR and ARRA. The partnership is based on the Memorandum of Understanding signed in 2012 between the two sister agencies and the tripartite agreement signed in 2007, with the ARRA and UNHCR that established the framework of collaboration for the delivery of relief assistance. UNICEF has developed an integrated multi-sectoral emergency response strategy for both refugees and host communities programmes in Gambella Region. The three pronged strategy includes support to UNHCR in the sectoral coordination, technical assistance and provision of basic social services in the refugee, support to the host at the entry points and in the proximity of the refugee, and support to the host communities in the other areas that are not directly affected by the refugee crisis as part of a conflict prevention strategy. Since 2014, UNICEF has seconded WASH, Child Protection, Nutrition, Education and Health/Extended Programme of Immunisation (EPI) Officer Specialists to UNHCR to support the situation monitoring, coordination of sectoral emergency response, spearhead the programmes and provide technical guidance to the Government and partners in implementing programmes according to pre-agreed standards. UNICEF has prepositioned emergency supplies in Gambella and Benishangul-Gumuz regions for timely response to the acute emergency needs of refugees and vulnerable host communities in partnership with regional governments, ARRA, UNHCR and NGOs. 4. Summary Analysis of Programme Response 4.1 Health The third round oral polio supplementary immunization campaign, targeting children under the age of five, was conducted from 27 March to 30 March 2015 in all the refugee and surrounding host. A total of 60,276 children (102 per cent of the 58,647 targeted children) from host and 22,237 children (80 per cent of the 27,973 targeted children) from refugee were vaccinated. 2
UNICEF provided one emergency drug kit to UNHCR for one of the ARRA-managed health centre in Tierkidi refugee camp. The kit can cover basic health services for an estimated 2,500 people for three months. The Regional Health Bureau with support from UNICEF continues to conduct arrival vaccination at Burubey and Pagak entry points for all newly arrived refugee children under the age of 15 years. A total of 102 and 98 children were vaccinated against Polio and Measles respectively while 50 children (12 to 59 months) received deworming tablets. UNICEF has deployed three health consultants to support the Regional Health Bureau to provide access to health care services in woredas affected by high influx of refugees. With technical and financial support from UNICEF, the Regional Health Bureau has started the renovation of five health institutions and the construction of one health post. The five health institutions to be renovated are Adura health post (Ninnyang woreda), Moun health post (Wanthowa woreda), Potalam health post (Abobo woreda), Itang health center (Itang woreda) and Baziel health center (Itnang woreda). The construction of the new health post is taking place in Akula with nearly 80 per cent of the work completed. 4.2 WASH Access to water remains above the nationally approved standard 1 in all the refugee except Pugnido where the refugees are getting 14 litres of water per day/per person. In Leitchour refugee camp, refugees are getting 16.6 litres per day per person, in Tierkidi 17.5 litres, in Kule 15 litres and in Okugo 23 litres. In Kule refugee camp, the health promotion team reinforced messages on hand washing at critical moments while holding rally in the camp and reaching out to 5,556 persons of concern (52 per cent children and 32 per cent women). An additional 7,788 people (28 per cent children and 52 per cent women) accessed mass education at water points and market places. This hygiene education has the objective of controlling the outbreak of diarrhoeal diseases and hepatitis E. Similarly in Okugo refugee camp, 432 persons were reached with hand washing messages. The construction of the permanent water supply system for Kule and Tierkidi refugee is progressing well. UNICEF is responsible for the construction of the master storage facility with generators and pumps in Itang and the approximately 13km pumping mains to the storage tanks in Kule and Tierkidi refugee camp. World Vision and IRC will construct the tanks and the distribution systems within Kule and Tierkidi refugee respectively. Works on the UNICEF part of the project have commenced with installation of tanks and pipes and are expected to be completed by the end of June 2015. This project, once completed, is expected to increase access to clean water to an estimated 120,000 people, both refugees and host of Itang special woreda (district). As part of its strategy to support the host affected by the influx of South Sudanese refugees, UNICEF supported the drilling of a deep well for Ninnyang town benefiting an estimated 4,500 people. 4.3 Nutrition In March 2015, a joint Standard, Monitoring and Assessment of relief and Transitions (SMART) survey was conducted in Tierkidi, Kule, Pugnido and Okugu refugee. Survey results are under compilation. UNICEF and GOAL Ethiopia have since 2014 been supporting the management of acute malnutrition (CMAM) and the infant and young child feeding (IYCF) programme in Tierkidi and Kule refugee. The CMAM programme provides treatment for children with severe acute malnutrition while the IYCF programme promotes good and safe nutrition for children as a prevention of malnutrition. In the host, the Gambella Regional Health Bureau established seven new outpatient therapeutic feeding programme sites (1 in Makuwe, 2 in Jor, 2 in Abobo and 2 in Gambella Zuria) for the treatment of children with severe acute malnutrition. The necessary orientations and supplies were given to all the new sites, including on-the-job training and follow-up. The new sites were established with technical support from four UNICEF nutrition consultants, The nutrition consultants also visited 29 health facilities in nine woredas, provided technical support and monitored the quality of the CMAM programme, including treatment of children, recording and reporting. With UNICEF technical support, ACF trained seven health workers (three in Makuwe and four in Jikawo) woredas on basic management of acute malnutrition while additional 24 health extension works were give refresher training on the management of outpatient therapeutic programme. 1 The nation standard for access to clean water is 15 liters, per person/per day while that of the international standard is 20 liters, per person/per day. 3
To promote IYCF, Jikawo and Makuwe woredas health offices established 20 mother-to-mother support groups with a total of 136 mothers (25 pregnant and 111 lactating mothers) involved. IYCF key messages have been distributed. UNICEF provided on-the-job training for 73 health worker on IYCF practices and CMAM. In Wantowa woreda, awareness raising on IYCF was conducted to 200 health development agents. 4.4 Child Protection More than 15,000 children in all refugee enjoy the services of child friendly spaces where they are engaged in different recreational activities. UNICEF supported the establishment of 12 child friendly spaces in Kule, Leitchour and Tierkidi refugee and trained volunteers who organize the different activities. In addition, UNICEF provided supplies, including tents, blankets, clothes, recreation kits and mattresses. UNICEF child protection information management specialist conducted a five-day training for 45 child protection staff from UNHCR and implementing NGOs. The training is expected to improve the information management and followup of children of concern. Another UNICEF consultant conducted a training for 27 social workers (10 female) from Ethiopian Red Cross Society, International Medical Corp, Plan International Ethiopia, Save the Children International, and UNHCR. The training was a follow up training from the one conducted in December 2014 and aimed at exploring on how skills learned from that training have been put in practice to address the psychosocial needs of children of concern. In the host, with UNICEF technical support the Itang Bureau of Women, Children and Youth Affairs Office has established two committees comprising of ten members for the management of recently established child friendly spaces in Itang woreda. The objective of the committees is to enhance the participation of in the project implementation, monitoring and evaluation and to ensure the sustainability and ownership of the programme. The committees will also be involved in mobilization, protection from violence, abuse neglect and exploitation of children. 4.5 Education The overall enrolment of refugee children aged 3 to 18 in all the in Gambella Region is 52 per cent. However, enrolment in the early childhood care and development for children aged 3 to 6 is 22 per cent while that of primary school for children aged 7 to 14 is 86 per cent. UNICEF continues to support UNHCR and ARRA with construction of schools, teachers training, provision of school supplies and education materials so that refugee children have access to education. UNICEF through a partnership with Save the Children International (SCI0 is constructing 12 classrooms in Tierkidi refugee ; construction is 95 per cent completed. Through a partnership with Plan International Ethiopia, the construction of a permanent school in Kule refugee camp is ongoing. Agreement has been reached with the two NGOs to construct two additional schools in the two mentioned. 4
5. Funding: UNICEF Ethiopia is appealing for US$ 36.2 million 2 for its humanitarian activities in Ethiopia, out of which US$ 13.67 million is for South Sudanese refugee response in Gambella Region. UNICEF continues its humanitarian support with funds that have been received at the end of 2014 and have been moved to 2015. Funding Requirements 2015 Appeal Sector Requirements Funds received Funding gap US$ US$ US$ % Nutrition 10,000,000 0 10,000,000 100 Health 8,600,000 0 8,600,000 100 WASH 8,500,000 0 8,500,000 100 Child protection 3,000,000 0 3,000,000 100 Education 4,500,000 0 4,500,000 100 Cluster coordination 1,600,000 0 1,600,000 100 Total 36,200,000 0 36,200,000 100 *UNICEF Ethiopia has US$ 11.2 million carried over fund from 2014 Next SitRep: May 2015 Who to contact for further information: Gillian Mellsop Alhaji Bah Alexandra Westerbeek Representative Chief-Field Operations Chief, Media and External and Emergency Relations UNICEF Ethiopia UNICEF Ethiopia UNICEF Ethiopia Tel: +251 11 5184001 Tel:+251 11 5184082 Tel: +251 11 5184039 Fax: +251 11 5511628 Fax: +251 11 5511628 Fax: +251 11 5511628 Email: araosingh@unicef.org, Email: abah@unicef.org Email: westerbeek@unicef.org 2 UNICEF Ethiopia is reviewing its humanitarian funding requirement upwards to take into consideration the increased influx of Eritrean refugees and their needs and additional needs for South Sudanese refugees 5
Annex A: SUMMARY OF PROGRAMME RESULTS SUMMARY OF PROGRAMME RESULTS: RESPONSE TO SOUTH SUDANESE REFUGEES Planning figure: 340,000 refugees by the end of 2015 Locations and host Sectors 2015 Target UNICEF and Partners Total Results % Results Achieved NUTRITION Number of refugee children ( 6-59 months) supplemented with Vitamin A 33,200 1543 4.65 Number of children 6-59 months with SAM admitted to therapeutic care programme 10,800 - - Number of children 6-59 months with SAM admitted to therapeutic care programme 8,640 100 1.16 Number of mothers receiving IYCF counselling and support 39,100 6993 17.88 HEALTH and host and host Host & host Health Nutrition WASH Education Child Protection Number of children vaccinated for measles (6 months-15 years)-95 55,000 3666 6.66 Number of families receiving 2 ITNs (1 bed net for 2 household members) Number of refugee children, fully covered through routine EPI (0-1 year) in the Number of refugee children, fully covered through routine EPI (0-1 year) in the WATER, SANITATION & HYGIENE 55,000 4,831 8.78 6,900 6900 102 1.47 Number of affected people provided with sufficient water of adequate quality 14,000 9,500* 67.86 Number of people reached with critical WASH related information 20,000 - - Number of affected people provided with sufficient water of adequate quality 220,000 - - Number of people with access to appropriately designed toilets 50,000 9400****** 18.80 Number of people reached with critical WASH related information 330,000 6500***** 1.97 CHILD PROTECTION Number of children accessing child friendly spaces 20,000 - - Number of identified vulnerable children receiving cases management, relevant support and referral services 1,000 - - Number of children accessing child friendly spaces 60,000 46,720** 78 Number of children receiving age and gender appropriated psychosocial support and services 3,000 449** 15 Number of children participating in child rights clubs/committees and other child/youth led activities 4,000 - - Number of members engaged in awareness raising activities on child protection 10,000 - - EDUCATION School aged children affected by refugee influx continue their education 20,000 5,759*** 29 Children affected by emergencies continue their education 75,000 6,952**** 9 PARTNERS UNHCR, ARRA, RHB, MSF, UNHCR, GOAL, MSF, ACF, CONCERN UNHCR, MSF, ZOA, ERCS, DRC, NRC, ADRA, LWF, IRC, World Vision, ACF UNHCR, SCI, ZOA, PIE UNHCR, SCI, ZOA, ERCS Notes: 6
* Number of people benefited from drilled ten shallow wells constructed in 2015 in Lare (6) and Itang (4) woredas and one deep well in Nynignang. ** Children benefiting from the child friendly spaces in 2015 January *** Education supplies sent to host (Conflict affected communities in Mengeshi & Godere) ****Additional 2,500 children in two shifts benefited from school furniture s provided to SCI ***** Number of people reached through distributed 130 posters ****** Number of people benefited from constructed 20 latrines (8 stance each) in schools and 600 HHs latrine in Kule camp. 7