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Nigeria: Lake Chad Basin Emergency Response Plan 2017

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Source: World Health Organization
Country: Cameroon, Chad, Niger, Nigeria

Funding requirements

Health sector funding requirements for 2017

(health partners including WHO)
• Cameroon: US$ 11 646 815
• Chad: US$ 10 669 960
• Niger: US$ 9 000 243
• Nigeria US$ 93 827 598

Total: US$ 125 144 616

Beneficiaries targeted by health partners in 2017

In the Lake Chad Basin, health partners will target more than 8.2 million people in 2017. These include:
• Cameroon 767 000
• Chad 233 000
• Niger 325 000
• Nigeria 6 900 000

Background

The Lake Chad Basin emergency affects some 17 million people across north-eastern Nigeria, northern Cameroon, western Chad and south-east Niger. The effects of conflict, climate change, environmental degradation, poverty and underinvestment in social services have combined to bring about deepening insecurity, rapid population growth and severe vulnerability. This has translated into 11 million people needing humanitarian assistance. More than 2.3 million people have fled their homes. Vital infrastructure such as health centres, schools, water pipelines, bridges and roads have been destroyed and millions of people have limited or no access to basic services.

Health sector situation

Across the Lake Chad Basin, almost one third of the population is struck by food insecurity. Malnutrition and related mortality are critically high. In most conflict-affected areas, malnutrition rates have surpassed the emergency threshold. More than 500 000 children are severely acutely malnourished, of whom 75 000 could die without urgent assistance.

Cameroon

Cross-border raids, suicide bombings and heightened insecurity have caused massive displacements and deprivation of communities in the Far North region. The number of internally displaced persons (IDPs) reached around 200,000 by October 2016. This has resulted in a sharp increase of humanitarian needs for IDPs and host communities, who were already vulnerable before the crisis. Food insecurity remains alarmingly high. Access to basic services in the conflict-affected areas has been severed or severely diminished. Health centers, whose access and quality of services were already limited, are overwhelmed. Some 21 health centres have closed due to insecurity.

Health sector objectives

Objective 1: Ensure access to essential health care for 1.2 million people by supporting 70 health facilities with 140 additional staff, delivering 100 Interagency Emergency Health Kits and providing comprehensive immunization for 240 000 children under 5 and 6 000 pregnant women.

Objective 2: Procure essential commodities for safe delivery and distribute 5000 dignity kits for 60 000 pregnant women.

Objective 3: Implement a comprehensive package for HIV/AIDS services for 60 000 pregnant women and their children and 30 000 IDPs and host communities.

Chad

Insecurity persists along Chad’s western Lac region. The resulting population displacement has accentuated the vulnerability of both those forced to flee the violence and the communities hosting them, many of who already needed assistance. The influx of displaced people is exerting pressure on resources.

Lac region has only 10 doctors. Global Acute Malnutrition in this region now stands at 12.2%, while severe acute malnutrition is 2.1%, which is above the emergency threshold.

Health sector objectives

To reduce the risk of disease, particularly cholera, measles and polio it is critical to:

Objective 1: Strengthen epidemiological surveillance and outreach to 125 000 displaced persons.

Objective 2: Improve access to primary health care for 187 000 people from both displaced and host communities through access to medicines (for malaria, yellow fever), mobile clinics and support to health centres.

Niger

Recurrent attacks by Boko Haram have resulted in the displacement of more than 300 000 people (IDPs, refugees and returnees) in south-east Niger. Some have been forced to flee multiple times. Already limited basic services and resources are overstretched in a region where communities have long grappled with food insecurity, malnutrition and cyclic droughts and floods.

Insecurity and recurrent attacks regularly disrupt health, water and other essential services. In 2017, some 340 000 people face food insecurity, around 12 000 children will be severely malnourished and almost 45 000 will suffer from moderate malnutrition.

Health sector objectives

Objective 1: Increase access to health services through mobile clinics, free medical consultations and prepositioning of contingency medical supplies.

Objective 2: Establish an early warning system to respond to potential disease outbreaks.

Objective 3: Ensure vaccinations of at least 10 500 children not covered under routine immunization campaigns.

Objective 4: Set up emergency response mechanisms to ensure response to sexual and gender-based violence as well as sexually transmitted diseases, and reinforce mental health services and psychological support to people affected by trauma.

Nigeria

The long-running Boko Haram-linked conflict has devastated communities of north-eastern Nigeria, compounding the poverty and underdevelopment in the area. More than 8 million people across Borno, Adamawa and Yobe States require humanitarian assistance. Food insecurity in the three states has almost doubled and almost 2 million people have been displaced.

Health sector objectives

Objective 1: Provide assistance to 5.9 million people, including 1.7 million IDPs and 4.2 million people in host communities, through services for reproductive health, maternal and child health, gender-based violence and the management of malnutrition and non-communicable diseases.

Objective 2: Establish, expand and strengthen communicable disease surveillance and outbreak prevention, control and response.

Objective 3: Strengthen coordination and health system restoration to improve life-saving response for people in need.


Chad: Chad - Hepatitis E epidemic (OCHA, Ministry of Public Health, ECHO) (ECHO Daily Flash of 25 February 2017)

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Source: European Commission's Directorate-General for European Civil Protection and Humanitarian Aid Operations
Country: Chad

Chad - Hepatitis E epidemic (OCHA, Ministry of Public Health, ECHO)

  • The Ministry of Public Health of Chad has officially declared an epidemic of Hepatitis E in the region of Salamat, south-eastern Chad. The epidemic has already claimed the life of 12 people, including 4 pregnant women. A total of 956 cases have been identified so far. MSF and UNICEF are currently working with the authorities to provide a response, in a context of insufficient epidemiological surveillance, very limited presence of medical actors and lack of safe access to water and sanitation.

  • Hepatitis E is a liver disease caused by the hepatitis E virus. It is transmitted from one person to another, mainly through contaminated water.

Chad: Le Ministère de la Santé Publique déclare l’épidémie de l’hépatite E dans la Région du Salamat

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Source: Government of Chad
Country: Chad

N’Djamena le 16 février 2017 - Notre pays connait depuis le dernier trimestre de l'année 2016 une flambée d’ictère aiguë dans la Région du Salamat. Le District le plus affecté est celui d’Amtiman avec cinq (5) zones de responsabilité touchées sur Quinze (15). Il s’agit de : Amtiman Nord, Amtiman Sud, Ab-lelaye, Mina et Goz Djarat.

La date du 8 février 2017, le total cumulé donne 899 cas pour 45 hospitalisés ; les autres sont suivis de manière ambulatoire. On note malheureusement 11 décès dont 4 femmes enceintes.

Le Ministère de la Santé Publique, à travers la Délégation Sanitaire du Salamat a intensifié la surveillance épidémiologique sur tous les trois (3) Districts de la Région avec l’appui technique de l’Organisation Mondiale de la Santé (OMS).

Devant cette situation, dès le mois d’octobre 2016, le Ministère de la Santé Publique a aussitôt envoyé une mission conjointe MSP/OMS sur le terrain pour procéder à des investigations plus approfondies. C’est ainsi que, trente-huit (38) nouveaux échantillons y ont été prélevés et expédiés au centre Pasteur de Yaoundé, au Cameroun pour des analyses.

Sur ces 38 échantillons, 33 ont pu être testés dont 31 se sont révélés positifs aux anticorps du virus de l’Hépatite E, confirmant ainsi une infection récente de ces patients.

De ce qui précède, le Ministère de la Santé Publique peut conclure que ces cas d’ictère aiguë sont bien dus au virus de l’hépatite E.

A cet effet et suivant le Règlement Sanitaire International (RSI 2005), une flambée de l’hépatite E doit être déclarée. Tenant compte de l’ampleur, de la gravité et de la possibilité de propagation des cas dans les autres Districts et Régions voisines, le Ministère de la Santé Publique déclare publiquement l’épidémie de l’hépatite E dans le District d’Amtiman dans la Région du Salamat.

Le Ministère de la Santé Publique a déjà élaboré et mis en œuvre un plan de contingence qui prend en compte tous les domaines de riposte contre cette maladie.

Il s'agit d'une maladie d'origine hydrique, à transmission oro - fécale, connue et maitrisée par tous nos services de Santé.

La mise en œuvre de ce plan, dans son volet eau-assainissement a permis de renforcer la Délégation en intrants et de mettre à disposition des directives de sensibilisation et d’hygiène/assainissement dans le but de limiter la propagation de la maladie.

Toutefois, nous en appelons à tous ceux de nos partenaires qui ont toujours apporté leur soutien multiforme au Ministère de la Santé Publique, de se joindre à nous pour la mise en œuvre fort du Plan de Contingence en cours.

A la population, nous demandons d’observer strictement les règles élémentaires d’hygiène qui restent le seul moyen efficace de lutter contre l’hépatite E.

  • Il faut se laver régulièrement les mains au savon avant de manger, après les toilettes notamment
  • Ne consommer que de l’eau traitée et celle des forages ;
  • Eviter les aliments crus non désinfectés.

Par la présente déclaration, nous tenons à vous rassurer mesdames, messieurs et particulièrement la population du Salamat, que le Ministère de la Santé Publique appuyé de ses partenaires a pris toutes les dispositions nécessaires pour mettre fin à l'épidémie de l’Hépatite E.

Democratic Republic of the Congo: Afrique de l’Ouest et du Centre: Aperçu humanitaire hebdomadaire (21 – 27 février 2017)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Cameroon, Central African Republic, Chad, Democratic Republic of the Congo, Niger, Nigeria, Sao Tome and Principe

RÉPUBLIQUE CENTRAFRICAINE

LES GROUPES ARMÉS QUITTENT BAMBARI

À la suite de récents affrontements sur la route principale menant à la ville de Bambari, au centre du pays, la mission de maintien de la paix de l'ONU (MINUSCA) a émis une directive le 21 février pour que tous les groupes armés quittent la ville. Bien que tous les assaillants avaient quitté la ville au 24 février, la situation reste volatile et imprévisible car la crainte d’attaques persiste.

RD CONGO

DE RÉCENTS AFFRONTEMENTS DÉPLACENT PLUS DE 23 000 PERSONNES

Les 22 et 23 février, de nouvelles attaques par des groupes armés dans la province du Tanganyika, au sud-est, ont tué deux personnes, en ont blessé quatre et ont contraint près de 5 300 à fuir leurs villages et à se réfugier dans les régions de Kalemie, Moni et Kalunga. Quelque 7 000 personnes dans la zone de Bimbwi ont aussi été contraintes de fuir vers des lieux inconnus. Une autre attaque à Sange, à 75 km au nordest de Kiambi, dans le territoire de Manono, a empêché la distribution d‘une aide alimentaire à environ 1 500 personnes déplacées. Par ailleurs, plus de 11 000 personnes ont été contraintes de fuir leurs maisons vers le lac Kamandi, dans le territoire de Lubero, à la suite des affrontements du 21 février entre l'armée congolaise et un autre groupe armé. Les personnes déplacées sont hébergées par des familles d'accueil ou dans des écoles et des églises, tandis que d'autres continuent d'arriver dans la région en raison de la crainte d'autres affrontements.

228 CAS DE CHOLÉRA DANS LE SUD-KIVU

Le choléra a refait surface dans trois districts sanitaires de la province du Sud-Kivu, après trois mois sans aucun cas signalé. Les zones d'Uvira, Nundu et Fizi ont enregistré 228 cas depuis le 13 février, y compris un décès à Fizi. Les acteurs de la santé et du WASH surveillent étroitement l'épidémie et élaborent un plan d'intervention.

BASSIN DU LAC TCHAD

672 MILLIONS DE DOLLARS POUR LA CRISE AU LAC TCHAD

Le Gouvernement norvégien a organisé, le 24 février à Oslo, une conférence humanitaire sur le Nigeria et la région du lac Tchad, en partenariat avec les gouvernements de l'Allemagne, du Nigeria, et des Nations Unies. Quatorze pays donateurs ont promis 672 millions de dollars sur trois ans en aide d'urgence aux personnes touchées par la violence causée par Boko Haram dans la région du lac Tchad. Environ 70% des engagements (457 millions de dollars) seront alloués pour l’année 2017. Environ 1,5 milliard de dollars sont nécessaires cette année pour répondre aux besoins les plus urgents d'environ 8 millions de personnes dans la région du bassin du lac Tchad.

NIGERIA

PLUS DE 300 000 DÉPLACÉS RENTRENT CHEZ EUX

Selon l'Agence nationale de gestion des situations d'urgence, les opérations militaires en cours ont rouvert l'accès à certaines zones de gouvernement local inaccessibles auparavant, ce qui a permis le retour chez elles de personnes déplacées à Dikwa (67 000), Bama (9 000), Konduga (54 000), Lassa (5 000), Damboa (52 000), Banki (52 000) et GamboruNgala (71 000). Au 20 février, seules 101 387 personnes déplacées se trouvaient dans des camps situés dans la capitale de l’état de Borno, Maiduguri. La ville abrite plus d’un million de personnes déplacées dont la grande majorité est hébergée par les communautés d'accueil.

SAO TOME ET PRINCIPE

PLUS DE 1 300 PERSONNES INFECTÉES PAR UNE MALADIE RARE

Depuis septembre 2016, plus de 1 300 cas de cellulite nécrosante, une infection rare qui cause une décomposition de la peau, ont été signalés. A ce jour, tous les districts sanitaires du pays ont signalé des cas et les 193 000 habitants sont à risque. Les cas ont augmenté, mais aucun décès directement lié à la maladie n'a été enregistré. Le ministère de la Santé et l'OMS s'efforcent de freiner l'épidémie par des campagnes de surveillance et d'information. Le mode d'infection reste inconnu.

Democratic Republic of the Congo: West and Central Africa: Weekly Regional Humanitarian Snapshot ( 21 - 27 February 2017)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Cameroon, Central African Republic, Chad, Democratic Republic of the Congo, Niger, Nigeria, Sao Tome and Principe

CENTRAL AFRICAN REPUBLIC

ARMED GROUPS LEAVE BAMBARI, FEAR OF ATTACKS PERSIST

Following recent clashes on the main road leading to the central town of Bambari, the UN peacekeeping mission on 21 February issued a directive for all armed groups to leave the town. Although all the gunmen had left as of 24 February, the situation remains volatile and unpredictable as fear of attacks persist.

DR CONGO

FRESH CLASHES DISPLACE OVER 23,000

On 22 and 23 February, new attacks by an armed group in the south-eastern Tanganyika province killed two people, injured four and forced nearly 5,300 to flee their villages and seek refuge in Kalemie, Moni and Kalunga areas. Some 7,000 IDPs in Bimbwi area were also forced to flee to unknown locations. Another attack in Sange, 75 km north-east of Kiambi, Manono Territory, prevented the distribution of food aid to some 1,500 IDPs. Separately, more than 11,000 people were forced to flee their homes in Kamandi Lake in Lubero territory, following clashes on 21 February between the Congolese army and another armed group. The displaced are sheltered with host families or in schools and churches, while others continue to arrive in the area due to fear of further clashes.

228 CASES OF CHOLERA IN SOUTH KIVU

Cholera has resurfaced in three health districts in the province of South Kivu, following three months without any reported cases. The areas of Uvira, Nundu and Fizi recorded 228 cases since 13 February, including one death in Fizi. Health and WASH actors are closely monitoring the outbreak and working on a response plan.

LAKE CHAD BASIN

US$672 MILLION PLEDGED FOR LAKE CHAD CRISIS

On 24 February in Oslo, the Government of Norway hosted a humanitarian conference on Nigeria and the Lake Chad Region, in partnership with the Governments of Germany, Nigeria and the UN. Fourteen donor countries pledged $672 million over three years in emergency aid for people affected by Boko Haram violence in the Lake Chad region. Some 70 per cent of the pledges ($457 million) will be allocated for 2017 alone. Around $1.5 billion is needed this year to address the most pressing needs of an estimated 8 million people across the Lake Chad Basin region.

NIGERIA

OVER 300,000 IDPs RETURN HOME

According to the National Emergency Management Agency, ongoing military operations have reopened access to some previously unreachable local government areas, allowing for the return home of campbased IDPs to Dikwa (67,000), Bama (9,000), Konduga (54,000), Lassa (5,000), Damboa (52,000), Banki (52,000) and Gamboru-Ngala (71,000). As of 20 February, only 101,387 IDPs remain in camps across the capital of Borno, Maiduguri. The city hosts nearly 1 million IDPs, the large majority of which stay in host communities.

SAO TOME AND PRINCIPE

OVER 1,300 INFECTED BY RARE DISEASE

More than 1,300 cases of necrotizing cellulitis - a rare infection that causes skin decay – have been reported since September 2016. To date, all of the country's health districts have reported cases, and the country’s 193,000 inhabitants are at risk. Cases have been increasing but no deaths directly linked to the disease have been recorded. The Ministry of Health and WHO are working to curb the outbreak through surveillance and information campaigns. The mode of infection remains unknown.

Democratic Republic of the Congo: West and Central Africa: Weekly Regional Humanitarian Snapshot ( 21 - 28 February 2017)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Cameroon, Central African Republic, Chad, Democratic Republic of the Congo, Niger, Nigeria, Sao Tome and Principe

CENTRAL AFRICAN REPUBLIC

ARMED GROUPS LEAVE BAMBARI, FEAR OF ATTACKS PERSIST

Following recent clashes on the main road leading to the central town of Bambari, the UN peacekeeping mission on 21 February issued a directive for all armed groups to leave the town. Although all the gunmen had left as of 24 February, the situation remains volatile and unpredictable as fear of attacks persist.

DR CONGO

FRESH CLASHES DISPLACE OVER 23,000

On 22 and 23 February, new attacks by an armed group in the south-eastern Tanganyika province killed two people, injured four and forced nearly 5,300 to flee their villages and seek refuge in Kalemie, Moni and Kalunga areas. Some 7,000 IDPs in Bimbwi area were also forced to flee to unknown locations. Another attack in Sange, 75 km north-east of Kiambi, Manono Territory, prevented the distribution of food aid to some 1,500 IDPs. Separately, more than 11,000 people were forced to flee their homes in Kamandi Lake in Lubero territory, following clashes on 21 February between the Congolese army and another armed group. The displaced are sheltered with host families or in schools and churches, while others continue to arrive in the area due to fear of further clashes.

228 CASES OF CHOLERA IN SOUTH KIVU

Cholera has resurfaced in three health districts in the province of South Kivu, following three months without any reported cases. The areas of Uvira, Nundu and Fizi recorded 228 cases since 13 February, including one death in Fizi. Health and WASH actors are closely monitoring the outbreak and working on a response plan.

LAKE CHAD BASIN

US$672 MILLION PLEDGED FOR LAKE CHAD CRISIS

On 24 February in Oslo, the Government of Norway hosted a humanitarian conference on Nigeria and the Lake Chad Region, in partnership with the Governments of Germany, Nigeria and the UN. Fourteen donor countries pledged $672 million over three years in emergency aid for people affected by Boko Haram violence in the Lake Chad region. Some 70 per cent of the pledges ($457 million) will be allocated for 2017 alone. Around $1.5 billion is needed this year to address the most pressing needs of an estimated 8 million people across the Lake Chad Basin region.

NIGERIA

OVER 300,000 IDPs RETURN HOME

According to the National Emergency Management Agency, ongoing military operations have reopened access to some previously unreachable local government areas, allowing for the return home of campbased IDPs to Dikwa (67,000), Bama (9,000), Konduga (54,000), Lassa (5,000), Damboa (52,000), Banki (52,000) and Gamboru-Ngala (71,000). As of 20 February, only 101,387 IDPs remain in camps across the capital of Borno, Maiduguri. The city hosts nearly 1 million IDPs, the large majority of which stay in host communities.

SAO TOME AND PRINCIPE

OVER 1,300 INFECTED BY RARE DISEASE

More than 1,300 cases of necrotizing cellulitis - a rare infection that causes skin decay – have been reported since September 2016. To date, all of the country's health districts have reported cases, and the country’s 193,000 inhabitants are at risk. Cases have been increasing but no deaths directly linked to the disease have been recorded. The Ministry of Health and WHO are working to curb the outbreak through surveillance and information campaigns. The mode of infection remains unknown.

Nigeria: Lake Chad Basin: Crisis Update No. 13 (7 March 2017)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Cameroon, Chad, Niger, Nigeria

Regional Highlights

  • More than 4,500 people are displaced by Boko Haram attacks in Nigeria’s Chibok locality in Borno state.

  • Military operations displaced almost 15,000 people between 27 January and 10 February in the northeast of Nigeria.

  • WFP is scaling up assistance through cash transfers and voucher distributions to provide affected communities in Chad with sustainable solutions.

  • Rising inflation in Nigeria is pushing up prices of local and imported staples. Vulnerable households in the Lake Chad region will be worst affected.

  • Access continues to open in more remote areas of Cameroon’s Far North region, but insecurity remains a challenge.

  • Fourteen donor countries on 24 February pledge US$458 million to assist 11 million people affected by conflict across the Lake Chad Basin region this year. An additional $214 million is announced for 2018 and beyond at the end of a two-day conference on Nigeria and the Lake Chad region held in Oslo.

  • Also at the conference, UN Emergency Relief Coordinator, Stephen O’Brien, launches the Nigeria Humanitarian Fund to enable donors pool contributions to deliver a more effective, collective and immediate response in the country’s north-east.

  • On 2 March, the Governments of Cameroon and Nigeria together with UNHCR sign a tripartite agreement on the voluntary repatriation of Nigerian refugees in Cameroon. The agreement sets out the modalities for the voluntary return of refugees to their country of origin in safety and dignity.

Situation overview

  • A wave of armed attacks in February has triggered new displacements of civilians in areas that have recently opened up in Nigeria’s north-eastern Borno state, where military operations have also forced people to flee for safety elsewhere. Return movements have also been observed in Borno, especially in localities that have recently become accessible.

  • Prevailing insecurity remains a hindrance to humanitarian access in the conflict-hit areas of the region, although several localities in north-eastern Nigeria and in Cameroon’s Far North region are gradually becoming accessible. In Niger’s south-east, three attacks were reported in February compared to nine the previous month.

  • The humanitarian situation remains dire across all the areas affected by the ongoing conflict. In Chad’s western Bol locality, for instance, food and basic household items are the main needs, according to a recent assessment. In Niger’s south-eastern Diffa region, one out of three people is in need of humanitarian assistance.

Chad: UNICEF Chad Humanitarian Situation Report, January 2017

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Source: UN Children's Fund
Country: Central African Republic, Chad, Nigeria

Highlights

  • No new major population movements have been reported. As of January 2017, there are 124,683 displaced persons, including IDPs, Chadian returnees from Nigeria and Niger, refugees and third-country nationals.

  • A suspected Hepatitis E epidemic continues to affect the Salamat Region, With 265 new cases reported in January 2017, out of which 18 cases have been confirmed. In total, since September 2016, 817 cases have been registered and 67 confirmed, with a death toll of 11 people.

  • 34,000 conflict-affected people have access to potable water through the construction of 68 new boreholes in the Lac Region.

  • The construction of 14 classrooms, 13 latrines, 6 temporary learning spaces (TLS), 2 non-formal education centers, 1 office for local educational authorities and 3 multi-purpose playgrounds using solar panels was completed in the Lac region.

  • Results of an assessment by WFP in 8 villages in the islands on the South of Bol, Lac region, show that the number of people on the islands is substantial. An inter-cluster assessment mission is needed to collect more information on the situation.

  • UNICEF’s HAC funding requirement is $ 57.27 million. $ 8.47 million were carried forward from 2016 funding, thus the funding gap is currently 85% although no new funds were received.

Situation in Numbers

2,700,000
Children affected (UNICEF HAC 2017)

228,240
Children under 5 with Severe Acute Malnutrition in 2017 (Nutrition Cluster 2017)

124,683
People displaced (IDPs, returnees, TCN, refugees) in the Lac Region (IOM, DTM 18 January 2017 and UNHCR 31 December 2016)

UNICEF Humanitarian funding needs in 2017
US$ 57.3 million
Carry forward from 2017
US$ 8.5 million

Situation Overview & Humanitarian Needs

In the 2017 Humanitarian Needs Overview elaborated by the humanitarian community in late 2016, three major crises are identified in Chad: 1) food insecurity and malnutrition, 2) population displacements, and 3) epidemics. Natural disasters such as flooding and drought are recurrent in Chad, but were considered to have an impact on the other three crises, and were therefore mainstreamed as an aggravating factor. As per the 2017 Humanitarian Action for Children (HAC), UNICEF will continue to provide life-saving assistance to and protect children affected by these three crises.

Population Displacement

124,683 displaced persons are reported in the Lac Region, including 106,045 registered persons, 12,759 estimated displaced persons and 5,879 Nigerian refugees1. Among those registered displaced persons, there are 90,911 IDPs, 14,810 Chadians returnees and 324 third-country nationals. Humanitarian access remains a challenge, making the delivery of humanitarian aid difficult in many areas, especially in the islands where physical access is also constrained. During the first two weeks of January, security incidents were reported in the Kaiga-Kindjiria sub prefecture near the Lake Chad border with Niger: according to security sources, Boko Haram allegedly attacked Boma Island near the town of Tchoukoutalia.

A civil servants strike, which began in October over non-payment of salaries and the Government’s austerity measures, was suspended by unions for a month beginning on 12 January, in order to give time to the Government to meet their demands. Education and healthcare services slowly and partially reopened. However, access to basic services is hampered by limited human and material resources: the Lac region only has 10 doctors (on average 1 doctor per 54,000 people, while the WHO norm is one per 10,000 people), and 1 teacher for 151 pupils.

16 more people from Boko Haram-held territory have allegedly surrendered to the Chadian military since the beginning of January, totaling 1,130 people, of which 548 are children. Among them, UNICEF and partners identified 1 new unaccompanied children, totaling 95 unaccompanied children since October 2016. The women and children – about 800 in total – have been progressively relocated to their villages of origin in the Lac region, many of which are in the island areas which had been evacuated by the military in 2015. A mission by UNICEF partners and by WFP on 12-13 January found thousands of people on the islands. Thus an Inter Cluster Coordination assessment mission was requested by Humanitarian Country Team to estimate the needs of these villages of return, and is scheduled for early February.

At the beginning of January there were still 327 men held under surveillance of the MNJTF at the Bagasola high school. Following advocacy by UNICEF and the humanitarian community to preserve the civil character of the building, the men have been transferred to another site the first week of January and the high school was freed. The status of these “surrendered” people has not been clarified by the government of Chad. The men are allowed to leave in search of food and other basic items since the government is unable to provide for them. At the reporting date, around 300 people were reported to be back to the high school after the most recent mass departure.

In southern Chad, 70,414 Central African refugees and 68,638 Chadian returnees still live in camps, and 33,356 returnees live in host villages. Concern is growing over the increased evidence of protection issues linked to the limited livelihood opportunities, following the reduction in food rations. UNICEF partners have reported increased negative coping mechanisms like survival sex or prostitution, child marriage and child labor.

Food insecurity and malnutrition

According to the last Integrated Food Security Phase Classification (IPC) in November 2016, almost 4 million people will be food insecure in Chad during 2017. Even if the agricultural year 2016-2017 was overall better than the previous season (crop production rose by 14%), some 1,050,000 people are expected to be severely food insecure (phase 3and 4) during the lean season (June-August), mainly in the Sahel belt region of Ennedi West, Borkou, Ouaddaï, Batha, Bahr El Ghazal and Salamat.

According to the Humanitarian Needs Overview for 2017, 1,511,583 people will be in need of nutritional assistance in 2017. Among them, some 401,551 children aged 6-59 months will suffer from acute malnutrition (compared to 410,314 cases in 2016), of which 201,257 children with moderate acute malnutrition (MAM) and 200,294 with severe acute malnutrition (SAM).

Epidemic Outbreaks

AHepatitis E outbreak has continued in the Salamat Region since July 2016 and has not yet been contained, although a formal declaration of the epidemic has not yet taken place. 265 new cases were reported in January 2017, out of which 18 were confirmed. In total, since September 2016, 817 cases have been analyzed for suspected Hepatitis E and 67 confirmed, with a death toll of 11. The weakness of health services and poor hygiene beliefs and practices in the area may explain this situation. Poor access to water and sanitation services contributes to the spread of the virus. In the region, less than a third of the population has access to drinking water (29.5% according to the national NGO ATPCS – Association pour l’Assainissement Total Piloté par la Communauté au Salamat), and most water sources are not treated.


Yemen: USG/ERC Stephen O’Brien Statement to the Security Council on Missions to Yemen, South Sudan, Somalia and Kenya and an Update on the Oslo Conference on Nigeria and the Lake Chad Region

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Cameroon, Chad, Kenya, Niger, Nigeria, Somalia, South Sudan, Yemen

10 March 2017

Checked against delivery

Mr. President, Council members,

Thank you for inviting me to brief on my visits to countries facing famine or at risk of famine: Yemen, South Sudan and Somalia. I will also briefly mention the outcomes of the Oslo Conference on the Lake Chad Basin.

I need to mention that I also visited Northern Kenya where pastoralists are worst affected by the terrible drought. Over 2.7 million Kenyans are now food insecure, a number likely to reach 4 million by April. In collaboration with the Government, the UN will soon launch an appeal of $200 million to provide timely life-saving assistance and protection. For what follows however, I will focus on my other visits over the past 16 days.

Mr. President,

I turn first to Yemen. It’s already the largest humanitarian crisis in the world and the Yemeni people now face the spectre of famine. Today, two-thirds of the population – 18.8 million people – need assistance and more than 7 million are hungry and do not know where there next meal will come from. That is 3 million people more than in January. As fighting continues and escalates, displacement increases. With health facilities destroyed and damaged, diseases are sweeping through the country.

I spoke with people in Aden, Ibb, Sana’a and from Taizz. They told me horrific stories of displacement, escaping unspeakable violence and destruction from Mokha and Taizz city in Taizz governorate. I saw first-hand the effects of losing home and livelihood: malnourishment, hunger and squalid living conditions in destroyed schools, unfinished apartments and wet, concrete basements. In the past two months alone, more than 48,000 people fled fighting, mines and IEDs from Mokha town and the surrounding fields alone. I met countless children, malnourished and sick. My small team met a girl displaced to Ibb, still having shrapnel wounds in her legs while her brother was deeply traumatized. I was introduced to a 13-year-old girl who fled from Taizz city, left in charge of her seven siblings. I spoke with families who have become displaced to Aden as their homes were destroyed by airstrikes living in a destroyed school. All of them told me three things: they are hungry and sick – and they need peace so that they can return home.

I travelled to Aden on the first humanitarian UN flight, where I met the President, Prime Minister and Foreign Minister of the Republic of Yemen. I also met with the senior leadership of the Houthi and General People’s Congress authorities in Sana’a. I discussed the humanitarian situation, the need to prevent a famine and to better respect international humanitarian law and protect civilians. I demanded full, safe and unimpeded humanitarian access. All counterparts promised to facilitate sustained access and respect international humanitarian law. Yet all parties to the conflict are arbitrarily denying sustained humanitarian access and politicize aid. Already, the humanitarian suffering that we see in Yemen today is caused by the parties and proxies and if they don’t change their behaviour now, they must be held accountable for the inevitable famine, unnecessary deaths and associated amplification in suffering that will follow.

Despite the almost impossible and terrifying conditions, the UN and humanitarian partners are not deterred and are stepping up to meet the humanitarian needs across the country. In February alone, 4.9 million people received food assistance. We continue to negotiate access and make modest gains. For instance, despite assurances from all parties of safe passage to Taizz city, I was denied access and retreated to a short safe distance when I and my team came under gunfire. Yet, we managed to use this experience to clear the path for reaching people inside Taizz city with a first humanitarian truck delivery of eight tons of essential medicine on the Ibb to Taizz city road since August 2016. We will not leave a stone unturned to find alternative routes. We must prevail as so many lives depend on us, the full range of the humanitarian family.

For 2017, the humanitarian community requires US$ 2.1 billion to reach 12 million people with life-saving assistance and protection in Yemen. Only 6 per cent of that funding has been received thus far. An international ministerial-level pledging event is scheduled for 25 April, but the situation is so dire that I ask donors to give urgently now. All contributions and pledges since 1 January will be counted at the event.

I continue to reiterate the same message to all: it is only a political solution that will ultimately end human suffering and bring stability to the region. And at this stage, only a combined response with the private sector can stem a famine: commercial imports must be allowed to resume through all entry points in Yemen, including and especially Hudaydah port, which must be kept open and expanded. With access and funding, humanitarians will do more, but we are not the long-term solution to this growing crisis.

I am pleased as I said to confirm that a ministerial-level pledging event for the humanitarian response in Yemen for 2017 will take place in Geneva on 25 April. The Secretary-General will chair the event, co-hosted by the Foreign Ministers of Sweden and Switzerland, to advocate for more resources and access. For 2017, as mentioned, the Yemen humanitarian response plan asks for US $2.1 billion to assist 12 million people in need across all 22 governorates.

Mr. President,

Turning to South Sudan which I visited on 4 and 5 March. The situation is worse than it has ever been. The famine in South Sudan is man-made. Parties to the conflict are parties to the famine – as are those not intervening to make the violence stop.

More than 7.5 million people need assistance, up by 1.4 million from last year. About 3.4 million people are displaced, of which almost 200,000 have fled South Sudan since January alone. A localized famine was declared for Leer and Mayendit [counties] on 20 February, an area where violence and insecurity have compromised humanitarian access for years. More than one million children are estimated to be acutely malnourished across the country; including 270,000 children who face the imminent risk of death should they not be reached in time with assistance. Meanwhile, the cholera outbreak that began in June 2016 has spread to more locations.

I travelled to Ganyiel in Unity state where people have fled from the horrors of famine and conflict. I saw the impact humanitarians can have to alleviate suffering. I met an elderly woman with her malnourished grandson receiving treatment. I listened to women who fled fighting with their children through waist-high swamps to receive food and medicine. Some of these women have experienced the most appalling acts of sexual violence – which continues to be used as a weapon of war. Their harrowing stories are only a few among thousands who have suffered a similar fate across the country.

Humanitarians are delivering. Last year, partners reached more than 5.1 million people with assistance. However, active hostilities, access denials and bureaucratic impediments continue to curtail their efforts to reach people who desperately need help. Aid workers have been killed; humanitarian compounds and supplies have been attacked, looted, and occupied by armed actors. Recently, humanitarians had to leave one of the famine-affected counties because of fighting. Assurances by senior Government officials of unconditional access and no bureaucratic impediments now need to be turned into action on the ground.

Mr. President,

In Somalia, more than half the population – 6.2 million people – need humanitarian and protection assistance, including 2.9 million who are at risk of famine and require immediate assistance to save or sustain their lives, close to 1 million children under the age of 5 will be acutely malnourished this year. In the last two months alone, nearly 160,000 people have been displaced due to severe drought conditions, adding to the already 1.1 million people who live in appalling conditions around the country.

What I saw and heard during my visit to Somalia was distressing – women and children walk for weeks in search of food and water. They have lost their livestock, water sources have dried up and they have nothing left to survive on. With everything lost, women, boys, girls and men now move to urban centres.

With the Secretary-General – his first field mission since he took office – we visited Baidoa. We met with displaced people going through ordeals none of us can imagine. We visited the regional hospital where children and adults are desperately fighting to survive diarrhoea, cholera and malnutrition. Again, as if proof was needed, it was clear that between malnutrition and death there is disease.

Large parts of southern and central Somalia remain under the control or influence of Al-Shabaab and the security situation is volatile. Last year, some 165 violent incidents – an 18 per cent increase compared to 2015 – directly impacted humanitarian work and resulted in 14 deaths of aid workers. Al-Shabaab, Government Forces and other militia also continue to block major supply routes to towns in 29 of the 42 districts in southern and central Somalia. This has restricted access to markets, basic commodities and services, and is severely disrupting livelihoods. Blockades and double taxation bar farmers from transporting their grains. It is critical that AMISOM and Somali forces secure vital road access to enable both lifesaving aid and longer term recovery. A lot of hope is placed in the new Government.

The current indicators mirror the tragic picture of 2011, when Somalia last suffered a famine. It is important to add that when the famine was called at that time 260,000 had already died, this will be important in what I am about to tell you. However, humanitarian partners now have a larger footprint, mature cash programming, better data through assessments, better controls on resources and vetting of partners, as well as stronger partnership with government authorities. The Government recently declared the drought a national disaster and is taking steps to work with humanitarian partners to ensure a coordinated response. To be clear, we can avert a famine, we have a committed clear new President, a humanitarian and resilience track record, a detailed plan, we’re ready despite incredible risk and danger, we have local and international leadership, we have a lot of access, now we need the international community, at the scale of you the donor agencies and nations, to invest in Somalia, its life-saving – but we need those huge funds now.

For all three crises and North-Eastern Nigeria, an immediate injection of funds plus safe and unimpeded access are required to enable partners to avert a catastrophe; otherwise, many people will predictably die from hunger, livelihoods will be lost, and political gains that have been hard-won over the last few years will be reversed. To be precise we need $4.4 billion by July, and that’s a detailed cost, not a negotiating number.

Mr. President,

Before I visited all these countries, I was in Oslo, where the governments of Norway, Germany and Nigeria, in partnership with the United Nations, organized a humanitarian conference on Nigeria and the Lake Chad region. 10.7 million people need humanitarian assistance and protection, including 7.1 million people who are severely food insecure. Humanitarian partners scaled up their response to reach the most vulnerable groups threatened by violence, food insecurity and famine, particularly in North-Eastern Nigeria.

Fourteen donors pledged a total of US$672 million, of which $458 million is for humanitarian action in 2017. This is very good news, and I commend those who made such generous pledges. More is needed however to receive the $1.5 billion required to provide the assistance needed across the Lake Chad region.

Mr. President,

We stand at a critical point in history. Already at the beginning of the year we are facing the largest humanitarian crisis since the creation of the United Nations. Now, more than 20 million people across four countries face starvation and famine. Without collective and coordinated global efforts, people will simply starve to death. Many more will suffer and die from disease. Children stunted and out of school. Livelihoods, futures and hope will be lost. Communities’ resilience rapidly wilting away. Development gains reversed. Many will be displaced and will continue to move in search for survival, creating ever more instability across entire regions. The warning call and appeal for action by the Secretary-General can thus not be understated. It was right to take the risk and sound the alarm early, not wait for the pictures of emaciated dying children or the world’s TV screens to mobilise a reaction and the funds.

The UN and humanitarian partners are responding. We have strategic, coordinated and prioritised plans in every country. We have the right leadership and heroic, dedicated teams on the ground. We are working hand-in-hand with development partners to marry the immediate life-saving with longer term sustainable development. We are ready to scale up. This is frankly not the time to ask for more detail or use that postponing phrase, what would you prioritize? Every life on the edge of famine and death is equally worth saving.

Now we need the international community and this Council to act:

First and foremost, act quickly to tackle the precipitating factors of famine. Preserving and restoring normal access to food and ensuring all parties' compliance with international humanitarian law are key.

Second, with sufficient and timely financial support, humanitarians can still help to prevent the worst-case scenario. To do this, humanitarians require safe, full and unimpeded access to people in need. Parties to the conflict must respect this fundamental tenet of IHL and those with influence over the parties must exert that influence now.

Third, stop the fighting. To continue on the path of war and military conquest is – I think we all know – to guarantee failure, humiliation and moral turpitude, and will bear the responsibility for the millions who face hunger and deprivation on an incalculable scale because of it.

Mr. President,

Allow me to very briefly sum up. The situation for people in each country is dire and without a major international response, the situation will get worse. All four countries have one thing in common: conflict. This means we – you – have the possibility to prevent – and end – further misery and suffering. The UN and its partners are ready to scale up. But we need the access and the funds to do more. It is all preventable. It is possible to avert this crisis, to avert these famines, to avert these looming human catastrophes.

Thank you. Thank you, Mr. President.

Nigeria: The hidden opportunity of the Lake Chad Basin crisis

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Source: Institute for Security Studies
Country: Cameroon, Chad, Niger, Nigeria

Civilians have been caught between unresponsive governments and the violence of Boko Haram. This must change.

While the Boko Haram-sparked humanitarian crisis raging in the Lake Chad Basin has largely been overlooked outside of the region, recent high-level efforts have sought to change that.

On 24 February, a conference organised by Norway, Germany and Nigeria brought together major donors in Oslo to raise the approximately US$1.5 billion needed for humanitarian actors to continue to fund their response in 2017. US$458 million was raised, or approximately one-third of the required total (along with another US$214 million already earmarked for 2018).

This was followed by a visit from the United Nations Security Council (UNSC) early this month to all four Lake Chad Basin nations (Cameroon, Chad, Niger and Nigeria), to assess the crisis. British Ambassador to the UN, Matthew Rycroft (Britain is currently chairing the UNSC), explained‘We came in order to show this will no longer be a neglected crisis.’ His counterpart, Senegalese Ambassador Fodé Seck, went further, urging that, ‘when we go back to New York, we must not sit idle … this visit must have follow up.’

Such efforts will be necessary to ensure the situation continues to garner the attention it deserves, given the gravity of despair and gaps in current responses.

The Boko Haram-sparked crisis raging in the Lake Chad Basin has largely been overlooked

Any way one looks at the numbers, the situation is dire. An estimated 10.7 million people require assistance, while 7.1 million have been categorised as food insecure. In January, the World Food Programme warned that 1.8 million people are at risk of starvation. In addition to the concerns of impending famine, over 2 million people have been displaced in the region, including combined totals of internally displaced people (IDPs), refugees and returnees of approximately 300 000 in both Cameroon and Niger, and 129 000 in Chad.

In Nigeria, the epicentre of the current crisis, 30% of the displaced reside in camps where movement is often restricted and conditions discouraging. The crisis has also reduced the capacity of local health services, worryingly manifested by reported incidents of polio and Lassa fever: the first such cases in Borno state in two and 48 years respectively. Furthermore, with hundreds of schools closed, the education of an entire generation of youth has been interrupted indefinitely. In addition, humanitarian access is complicated by continued insecurity, with four local government areas and parts of others still off limits in Borno state, along with violence along major highways.

In addition to risking famine, nearly two million people have been displaced in Nigeria

Nonetheless, bleak as this picture is, the humanitarian crisis in the Lake Chad basin can also be an opportunity – a chance for regional governments in partnership with international humanitarian actors to start demonstrating that they can and will provide for their citizens, and in turn alter the nature of state-civilian relations in an oft-neglected region. In the battle for hearts and minds, proactively meeting the needs of IDPs and refugees can result in positive gains, and ultimately serve as a strategy to further degrade Boko Haram’s influence.

The civilian populace in the Lake Chad region has been caught between the pernicious influence of Boko Haram and central governments that are unresponsive at best, or abusive at worst, for far too long.

Boko Haram initially fed off the latter dynamic, intertwining anti-government sentiment with the allure of a religiously inspired alternative, and finding significant appeal. The violent crackdown on the movement and the extrajudicial murder of founder Muhammad Yusuf in July 2009 only emboldened sympathies in contrast to an unpopular government.

Nonetheless, since its re-emergence in 2010, Boko Haram has had ample opportunity to demonstrate its vision for the Lake Chad Basin. Unsurprisingly, it was not an attractive one. The increased targeting of civilians under Abubakar Shekau, and predatory behaviour during a period of territorial control between 2014-5, cost it much support over the past few years.

This is evidenced by the increased reliance on forced recruitment, rather than voluntary membership, to augment the movement’s ranks. In reality, the movement under Shekau has done much to discredit its own credibility, likely giving rise to breakaway factions who have also seen how this has damaged their cause.

These actions sowed the seeds of the current crisis by displacing millions and interrupting typical activities, such as subsistence farming, putting parts of the region on the brink of famine.

Taken in this manner, the situation in 2017 is quite different from that of 2009. Therein lies an important opportunity for regional governments, especially Nigeria: an occasion to re-set relations and convince a sceptical public that it can adequately provide for its citizenry in a way that Boko Haram and its extremist ideology cannot.

Proactively meeting the needs of IDPs and refugees can result in positive gains

Complaints by the Nigerian government that aid agencies have exacerbated the crisis, poor conditions in the camps – and the reported mismanagement of funds – however, are not encouraging signs.

In this sense, shifting the dynamics from government neglect to government support in a region that has long been ignored will not be easy, and require an effective, sustained, and adequately resourced response in close coordination with external actors, well beyond what has currently been the case.

But a successful humanitarian response that addresses basic needs and helps civilians re-start their lives, can in turn serve as a starting point in rebuilding fragile trust.

In terms of outside support for this process, the Oslo Conference and Security Council visit were positive steps. But given the immense needs for the 2017 year and the approximately 50% shortfall experienced in 2016 (on a smaller budget), questions abound as to source of additional funding for crucial life-saving programmes, such as those addressing food insecurity.

Senegalese diplomat Seck is correct in expressing concerns about the limitations of his public visit, and the need for further action at the Security Council level to draw continued attention to the plight of Lake Chad’s residents.

In a world facing an unprecedented level of complex emergencies, including the very real risk of famine also in Yemen, Somalia and South Sudan (already declared in part of the country), the trick will be to sustain action on the Lake Chad Basin region once the headlines fade. Nonetheless, adequately funding and effectively implementing a humanitarian response that will further discredit Boko Haram and its abhorrent ideology is too significant an opportunity to miss. It is in the long-term interests of all involved to ensure this does not turn out to be the case.

Omar S Mahmood, Researcher, ISS Addis Ababa

ISS will soon release a West Africa Report that examines Boko Haram messaging in detail, in order to better understand the movement’s origins, aspirations and evolution.

Other ISS research on Boko Haram includes policy briefs on financial incentives for youth to join Boko Haram, and how local peacebuilders perceive the problem. A new ISS monograph presents comprehensive findings of a recent in-depth study.

In South Africa, Daily Maverick has exclusive rights to re-publish ISS Today articles. For media based outside South Africa and queries about our re-publishing policy, email us.

World: Disasters and national economic resilience

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Source: ODI - Humanitarian Practice Network
Country: Burkina Faso, Chad, Ethiopia, Kenya, Mali, Mauritania, Myanmar, Nepal, Niger, Senegal, South Sudan, Sudan, Uganda, World

By Catherine Simonet, Eva Comba and Emily Wilkinson

This working paper provides an analysis of economic resilience at the national level, presenting a broad picture of changes in resilience to climate extremes over a 42 year period. It focuses on 12 countries in the Sahel, East Africa and Asia that are part of the UK Government funded resilience programme Building Resilience and Adaptation to Climate Extremes and Disasters (BRACED).

In this paper, authors create a typology of risk for countries that can be used to inform approaches to building resilience. Burkina Faso and Mali, for example, have a ‘mono-risk’ profile as they have experienced relatively few events, whereas Nepal has a ‘multi-risk’ profile and has experienced various disasters over the 42 year period analysed. Droughts are seen to have a disproportionate effect compared with other climate-related hazards, especially in Africa, and floods have also been very frequent.

This paper looks at how the national economies of different sets of developing countries are affected by disasters and have been able to ‘bounce back’ afterwards. The findings confirm a negative significant effect of disasters on economic growth: a climate event that affects 1% of the population contributes to a reduction in gross domestic product of 0.05% on average. In particular, the negative effects of climate-induced events are highly significant and important in landlocked countries, a category that includes many BRACED countries. More specifically, shocks seem to be absorbed one year following a disaster, but there is a negative impact on economic growth three years following a disaster.

Read the full report on ODI.

Chad: Tchad Bulletin Humanitaire N° 02 | Février 2017

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Central African Republic, Chad, Nigeria

FAITS SAILLANTS

  • Après trois ans d’assistance sur le site de Gaoui, la communauté humanitaire plaide des solutions durables pour faciliter la réinsertion des retournés.

  • La Conférence humanitaire d’Oslo a permis aux pays du Bassin du Lac Tchad de recevoir des promesses de dons à hauteur de 672 millions de dollars américains, dont 458 millions en 2017.

Vers des solutions durables pour les retournés de Gaoui

Une réponse humanitaire dégressive sur le site Arrivés au Tchad depuis janvier 2014, après des décennies passées en République Centrafricaine (RCA), et pour certains plusieurs générations, environ 5 000 Tchadiens retournés (dont 57% de femmes et 43% d’hommes) ont été installés par les autorités, avec l’appui de l’Organisation internationale pour les migrations (OIM) sur le site de Zafaye à Gaoui, village situé à environ 15 km au nord-est de N’Djamena. Après trois ans d’assistance de la communauté humanitaire, la quasi-totalité des acteurs humanitaires se sont retirés du site par manque de financement, occasionnant la détérioration des conditions de vie des retournés. Les distributions de vivres sont sporadiques ; la moitié des 700 abris est dans un état de délabrement avancé ; l’absence de moyens de subsistance ne permet pas de payer les soins de santé du centre situé à trois kilomètres du site, et moins de la moitié des 18 forages du site et seulement 40 pour cent des latrines sont fonctionnels. Il faut ajouter à cela que 40 pour cent des enfants inscrits dans les écoles de N’Djamena, hors du site, ont été renvoyés pour non-paiement de frais de scolarité. UNICEF continue cependant de soutenir l’école du site, en prenant en charge le salaire des enseignants, via l’ONG nationale CDVT (Comité pour le développement du volontariat au Tchad). Pour l’année scolaire 2016-2017, UNICEF entend innover, en développant des activités génératrices de revenus avec les parents d’élèves, pour qu’avec le temps, la prise en charge des salaires des enseignants leur incombe entièrement.

Depuis 2016, la communauté humanitaire plaide pour une assistance principalement orientée vers les solutions durables pour faciliter la réinsertion des retournés de Gaoui. En effet, la majorité de ces retournés souhaite quitter le site pour s’insérer dans la ville de N’Djamena et reprendre une vie normale.

C’est ce qui ressort de l’enquête menée en 2016 par l’Organisation internationale pour les migrations (OIM) en collaboration avec l’ONG ADES (Agence de développement économique et social). Les besoins prioritaires concernent l’accès au logement et aux moyens de subsistance suivis de l’accès à l’éducation et à l’emploi. La majorité des retournés, constituée d’anciens commerçants, veut reprendre des activités génératrices de revenus qui leur permettront de se prendre en charge et sortir ainsi de la dépendance à l’aide humanitaire.

Chad: Rapport annuel 2016

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Source: Médecins Sans Frontières
Country: Chad

Chad: West and Central Africa: Weekly Regional Humanitarian Snapshot (14 - 20 March 2017)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Central African Republic, Chad, Congo, Mali, Niger

CHAD

FIRE DESTROYS SHELTERS AT REFUGEE CAMP

A rapid humanitarian response is underway following a fire at Dosseye refugee camp in southern Chad on 15 March. The fire, whose cause is still unknown, destroyed several huts, food stocks and household items. No casualties were reported. Dosseye camp hosts more than 12,000 refugees from the Central African Republic.

CONGO

MONKEYPOX INFECTS 20, KILLS THREE

An outbreak of monkeypox has infected 20 people and caused three deaths in the northern Likouala department, the Ministry of Health confirmed on 16 March. Patients are receiving free medical care and the authorities have ramped up epidemiological surveillance and banned the handling of monkeys and other wild animals. Monkeypox is transmitted from an infected monkey to humans and then from one person to another. There is no vaccine against the virus and only the symptoms are treated. The country’s last outbreak was in 2003 in the same department.

NIGER

OVER 500 SUSPECTED MENINGITIS CASES

Four health districts (Niamey 2, Niamey 3, Ouallam and Tillabéry) have reached the alert threshold for meningitis with more than 5 cases per 100,000 inhabitants per week. In total, health authorities have registered 511 suspected cases and 34 deaths between 2 January and 12 March. The meningitis epidemiological season runs from December to June.

NIGER

INSECURITY IMPEDES EDUCATION IN DIFFA

School attendance continues to be hampered by insecurity and population movements in the southern Diffa region.

Thirty schools hosting 1,280 students remain closed, while 121 schools were re-opened in October 2016 with the support of the Ministry of Education.

MALI

ARMED GROUP SIGNS CHILD PROTECTION DEAL

On 17 March, the Coordination des Mouvements de l’Azawad (CMA), a coalition of armed movements signatory to the June 2015 peace agreement, signed an action plan with the UN to end and prevent the recruitment and use, sexual violence and all other grave violations against children. The plan is binding on all CMA entities and includes concrete measures to end and prevent child recruitment and abuse.

AID WORKERS ATTACKED

Several attacks against local and international humanitarian workers have been reported between 11 and 13 March in Gao, Timbuktu and Mopti regions, killing one person and leaving several injured. Gunmen hijacked vehicles and equipment and ambushed trucks transporting food aid. The incidents have prompted affected organisations to seek alternative means to assist those in need.

Chad: Afrique de l’Ouest et du Centre: Aperçu humanitaire hebdomadaire (14 – 20 mars 2017)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Central African Republic, Chad, Congo, Mali, Niger

TCHAD

UN INCENDIE DÉTRUIT DES ABRIS DANS UN CAMP DE RÉFUGIÉS

Une réponse humanitaire rapide est en cours à la suite d'un incendie, le 15 mars, dans le camp de réfugiés de Dosseye, au sud du Tchad. Le feu, dont la cause est encore inconnue, a détruit plusieurs abris, des vivres et des articles ménagers. Aucune victime n'a été signalée. Le camp de Dosseye accueille plus de 12 000 réfugiés de la République centrafricaine.

CONGO

20 PERSONNES INFECTÉES PAR LA VARIOLE DU SINGE, 3 DÉCÈS

Une flambée de variole du singe a infecté 20 personnes et causé trois décès dans le département de Likouala, au nord, a confirmé le ministère de la Santé le 16 mars.
Les patients reçoivent des soins médicaux gratuits et les autorités ont intensifié la surveillance épidémiologique et interdit la manipulation des singes et autres animaux sauvages. La variole du singe est transmise d'un singe infecté à l'homme, puis d'une personne à l'autre. Il n’existe pas de vaccin contre le virus et seuls les symptômes sont traités. La dernière épidémie a eu lieu en 2003 dans le même département.

NIGER

PLUS DE 500 CAS SUSPECTS DE MÉNINGITE

Quatre districts sanitaires (Niamey 2, Niamey 3, Ouallam et Tillabéry) ont atteint le seuil d'alerte pour la méningite avec plus de 5 cas pour 100 000 habitants par semaine. Au total, les autorités sanitaires ont enregistré 511 cas suspects et 34 décès entre le 2 janvier et le 12 mars. La saison épidémiologique de la méningite s'étend de décembre à juin.

L’INSÉCURITÉ ENTRAVE L’ACCÈS À L’ÉDUCATION À DIFFA

La scolarisation continue d'être entravée par l'insécurité et les mouvements de population dans la région sud de Diffa. Trente écoles accueillant 1 280 écoliers restent fermées, tandis que 121 écoles ont été rouvertes en octobre 2016 avec le soutien du ministère de l'Éducation.

MALI

UN GROUPE ARMÉ SIGNE UN ACCORD DE PROTECTION DES ENFANTS

Le 17 mars, la Coordination des Mouvements de l'Azawad (CMA), une coalition de mouvements armés signataires de l'accord de paix de juin 2015, a signé un plan d'action avec l'ONU pour mettre fin et empêcher le recrutement et l'utilisation, la violence sexuelle et toutes les autres graves violations des droits de l'enfant. Le plan est contraignant pour toutes les entités de la CMA et comprend des mesures concrètes pour mettre fin et prévenir le recrutement et l'abus des enfants.

DES TRAVAILLEURS HUMANITAIRES ATTAQUÉS

Plusieurs attaques contre des travailleurs humanitaires locaux et internationaux ont été signalées entre le 11 et le 13 mars dans les régions de Gao, Tombouctou et Mopti, tuant une personne et faisant plusieurs blessés. Des hommes armés ont détourné des véhicules et des équipements et ont pris en embuscade des camions transportant de l'aide alimentaire.
Les incidents ont incité les organisations concernées à chercher d'autres moyens d'aider les personnes affectées.


Chad: UNICEF Chad Humanitarian Situation Report, February 2017

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Source: UN Children's Fund
Country: Central African Republic, Chad, Nigeria

Highlights

  • Chad’s pipeline of Ready to Use Therapeutic Food (RUTF) is facing an alarming strain. The current pipeline covers up to June 2017. Chad is a landlocked country and new supplies take four months to arrive in country - unless new funds are received by end of March, the country will be facing an RUTF shortage.

  • An Intercluster assessment mission visited 14 villages, of which 10 are on the islands south of Bol, where no humanitarian assistance has been provided to date. The mission estimated the affected population in visited areas at nearly 40,000 people, 30% of whom are school-aged children. As urgent humanitarian needs were identified (no access to drinking water and sanitation, malnutrition and food insecurity, lack of basic services), UNICEF is preparing a response plan to tackle them.

  • In the Lake Region, 16 boreholes with hand pumps in the islands and villages in Bol and Kangalom areas were completed, providing access to drinking water for 8,500 people. A total of 158 boreholes have been dug by UNICEF in the region since the beginning of the crisis.

  • $1.77 million in new emergency funding was received in February. When carry forward for 2016 projects is considered, the UNICEF HAC is 17% funded.

Situation Overview & Humanitarian Needs

Population Displacement

As of February 2017, there are 127,022 displaced persons in the Lake Region, including 106,045 registered persons (90,911 IDPs, 14,810 Chadians returnees and 324 third-country nationals), 12,759 estimated displaced persons and 8,218 Nigerian refugees1. Although displacement numbers remain globally stable, according to the CNARR2, the government body for refugees, about 500 households left the islands surrounding Bol (Kora 1, 2 and Garoua 1, 2) following the deployment of the military in January, and moved to the IDP site of Kousserie, in Bagasola. An IOM team assessed the site on 23 February and confirmed the information. In addition, according to MSF, 330 households which represent 2,300 people have arrived in Koulkimé 1, 2 and 3 from the villages of Kingirme and Dodgi south of Bol, followed by a second wave of displacements of 65 households. Ongoing military movements in the Lake region could be accompanied by an increase in security incidents or displacement. Last year, the resurgence of attacks and similar incidents in the Lake region in June-August 2016 coincided with the military operations of the Multinational Joint Task Force (MNJTF).

By end of February, more than 1,200 men, women and children have allegedly surrendered according to authorities, including 562 children. The Bagasola site where male surrenders were under surveillance of the MNJTF was found empty due to departures of the men reportedly to their villages of origin.

A mission by UNICEF protection partners and by WFP to the villages of return of the children with their families showed that the islands were not uninhabited as initially believed. The Humanitarian Country Team had requested an intercluster assessment mission, which took place from 10 and 15 February to visit 14 out of 22 initial villages of return. The mission estimated the affected population in visited areas at nearly 40,000 people, 30% of whom are school-aged children. 10 of the villages were on islands on the lake, while 4 were on land near IDP sites. Although the protection needs of the returnees was particularly acute, the overall humanitarian needs on the islands are the same for the entire population: stressed livelihoods, lack of access to basic services like health and education, absence of safe drinking water, and need for non-food items to protect children from the elements. The very difficult physical access to remote island villages was highlighted as a major challenge to humanitarian assistance and for the presence of the government through public services.

In Southern and Eastern Chad, the situation remains stable. 67,408 Central African refugees and 68,638 Chadian returnees still live in camps, and 33,356 returnees live in host villages. In the East, 314,441 refugees live in 12 camps, 1 site and host villages.

World: From coast to coast: Africa unites to tackle threat of polio

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Source: World Health Organization, UN Children's Fund
Country: Benin, Cameroon, Central African Republic, Chad, Côte d'Ivoire, Democratic Republic of the Congo, Guinea, Liberia, Mali, Mauritania, Niger, Nigeria, Sierra Leone, World

116 million children to be immunized from coast to coast across the continent, as regional emergency outbreak response intensifies

23 March 2017 – Geneva/Brazzaville/New York/Dakar: More than 190 000 polio vaccinators in 13 countries across west and central Africa will immunize more than 116 million children over the next week, to tackle the last remaining stronghold of polio on the continent.

The synchronized vaccination campaign, one of the largest of its kind ever implemented in Africa, is part of urgent measures to permanently stop polio on the continent. All children under five years of age in the 13 countries – Benin, Cameroon, Central African Republic, Chad, Côte d’Ivoire, Democratic Republic of Congo, Guinea, Liberia, Mali, Mauritania, Niger, Nigeria and Sierra Leone – will be simultaneously immunized in a coordinated effort to raise childhood immunity to polio across the continent. In August 2016, four children were paralysed by the disease in security-compromised areas in Borno state, north-eastern Nigeria, widely considered to be the only place on the continent where the virus maintains its grip.

“Twenty years ago, Nelson Mandela launched the pan-African ‘Kick Polio Out of Africa’ campaign,” said Dr Matshidiso Moeti, WHO Regional Director for Africa. “At that time, every single country on the continent was endemic to polio, and every year, more than 75 000 children were paralysed for life by this terrible disease. Thanks to the dedication of governments, communities, parents and health workers, this disease is now beaten back to this final reservoir.”

Dr Moeti cautioned, however, that progress was fragile, given the epidemic-prone nature of the virus. Although confined to a comparatively small region of the continent, experts warned that the virus could easily spread to under-protected areas of neighbouring countries. That is why regional public health ministers from five Lake Chad Basin countries - Cameroon, Central African Republic, Chad, Niger and Nigeria – declared the outbreak a regional public health emergency and have committed to multiple synchronized immunization campaigns.

UNICEF Regional Director for West and Central Africa, Ms Marie-Pierre Poirier, stated that with the strong commitment of Africa’s leaders, there was confidence that this last remaining polio reservoir could be wiped out, hereby protecting all future generations of African children from the crippling effects of this disease once and for all. “Polio eradication will be an unparalleled victory, which will not only save all future generations of children from the grip of a disease that is entirely preventable – but will show the world what Africa can do when it unites behind a common goal.”

To stop the potentially dangerous spread of the disease as soon as possible, volunteers will deliver bivalent oral polio vaccine (bOPV) to every house across all cities, towns and villages of the 13 countries. To succeed, this army of volunteers and health workers will work up to 12 hours per day, travelling on foot or bicycle, in often stifling humidity and temperatures in excess of 40°C. Each vaccination team will carry the vaccine in special carrier bags, filled with ice packs to ensure the vaccine remains below the required 8°C.

"This extraordinary coordinated response is precisely what is needed to stop this polio outbreak," said Michael K McGovern, Chair of Rotary’s International PolioPlus Committee. "Every aspect of civil society in these African countries is coming together, every community, every parent and every community leader, to achieve one common goal: to protect their children from life-long paralysis caused by this deadly disease."

The full engagement of political and community leaders at every level – right down to the district – is considered critical to the success of the campaign. It is only through the full participation of this leadership that all sectors of civil society are mobilized to ensure every child is reached.

Chad: Tchad : Aperçu de la situation humanitaire (au 28 février 2017)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Central African Republic, Chad, Nigeria, Sudan

Le Tchad fait face à des crises humanitaires interconnectées, dans un contexte de pauvreté chronique et de faible développement économique. La situation sécuritaire dans les pays voisins a entrainé d’importants mouvements de personnes vers le Tchad, ainsi que des déplacements internes depuis plusieurs années.

Des millions de personnes sont touchées par l’insécurité alimentaire et la malnutrition, en particulier dans la bande sahélienne et cette situation risque de s’aggraver pendant la période de soudure. Le pays connait également des épidémies persistantes de rougeole et des milliers de cas de paludisme ayant un impact direct sur la morbidité et la mortalité. Tous ces facteurs exposent les populations déjà vulnérables à des crises humanitaires récurrentes, exacerbant leur vulnérabilité et affectant leur capacité de résilience.

Chad: Chad: Humanitarian situation overview (as of 28th February 2017)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Central African Republic, Chad, Nigeria, Sudan

Chad is facing interconnected humanitarian crises in a context of chronic poverty and low economic development. The security situation in neighboring countries has led to large population movements into Chad, as well as internal displacement for several years.
Millions of people are affected by food insecurity and malnutrition, especially in the Sahel belt, and this situation is likely to worsen during the lean season. The country is also experiencing persistent measles epidemics and thousands of cases of malaria that have a direct impact on morbidity and mortality. All these factors expose already vulnerable populations to recurrent humanitarian crises, exacerbating their vulnerability and affecting their resilience.

Chad: Chad: Situation in the Lake region and the impact of the Nigerian crisis – Situation Report n˚ 22 (23/03/2017)

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Source: UN Office for the Coordination of Humanitarian Affairs
Country: Chad, Nigeria

Highlights

  • The security situation remained calm, despite some incidents related to inter-communal tensions or acts allegedly perpetrated by armed elements.

  • Two multisector assessments in the return areas of women and children having allegedly surrendered highlighted many vulnerabilities and the likely return of nearly 40,000 people in the southern part of Bol canton.

  • New displacements to Koulkime and Kousserie were reported, caused by a feeling of insecurity among the population.

  • 117 cases of gender-based violence were reported and documented during the months of January and February in Baga Sola and Liwa areas.

  • A school kit distribution campaign for all students in the Lac region started during the week of 20 February to support the resumption of classes.

Situation Overview

The security situation remained calm, despite some incidents reported in January and February. Two incidents are linked to inter-communal tensions: on 8 January, a conflict between farmers and herders reportedly caused one death in the islands around Bol. On 16 February, clashes between two communities in Ernou village, 40km northeast of Baga Sola, reportedly resulted in one death and one seriously wounded, leading the authorities to intervene to prevent a deterioration of the situation. Two incidents were linked to the actions of armed elements: on 19 January, members of an armed group allegedly attacked fishermen on an island between Tchoukoutalia and Boma, causing three deaths (one member of an armed group and two fishermen). On 18 February, one displaced person was reportedly killed in Koulfoua. According to the authorities, this incident was allegedly caused by members of an armed group. Moreover, the ongoing military movements in the Lac region could be accompanied by a surge in security incidents, partly due to the creation of security vacuums in some areas. In 2016, the resurgence of incidents in the Lac region in June-August 2016 coincided with the military operations of the Multinational Joint Taskforce.

The situation of people having allegedly surrendered remained dynamic until the closing of the site in Baga Sola. Small waves of people allegedly surrendering continued to be recorded in January, with 4 people reportedly presenting themselves to authorities on 9 January, 12 on 10 January, 8 on 27 January, and 3 on 30 January including one woman and one child who were directly handed over to the chief of their canton of origin. In total, since July 2016, more than 1,200 people have allegedly presented themselves to the authorities. These people are now in their villages of origin. Indeed, since 20 February, the men having allegedly surrendered who were being held on a site in Baga Sola have been authorized by the authorities to join their families in their villages of origin.

They were reportedly given a written authorization that would allow their identification and monitoring. However, their status has not yet been determined. According to local authorities, this return of men having allegedly surrendered could present additional protection risks but also facilitate the reintegration of families into their communities of origin.

In addition, during the reporting period, two multisector assessments were carried out in the return areas of women and children having allegedly surrendered. A rapid assessment by the World Food Programme (WFP), the Regional Delegation for Social Affairs (DRAS) and the NGO Initiative pour l’Humanitaire et le Développement (IHDL), conducted on 12 and 13 January in island areas in the south of Bol, reported multisector needs, particularly in food security. Indeed, low food stocks and insufficient incomes lead to the adoption of negative survival strategies (reduction in the number of meals per day, borrowing money, etc.). According to the assessment, women and children who returned to their villages of origin have not faced integration problems, but specific cases of stigmatization require follow-up.

Following this mission, and upon recommendation of the Humanitarian Country Team, a multisector assessment mission was organized from 10 to 14 February to assess the conditions of return of people having allegedly surrendered who were transferred to their villages of origin and to identify the humanitarian needs in the return areas. The mission estimates that some 40,000 people have returned to 14 villages and sites in Bol subprefecture, including island areas.

The main need these populations face is food and livelihoods, which have been severely affected by the crisis.

The need for non-food items, especially blankets, was also mentioned. The vulnerability of populations is exacerbated by movement restrictions linked to the implementation of state of emergency measures (despite its expiry on 24 October 2016) and by poor access to essential services such as health centers, schools and limited access to safe drinking water and sanitation. Despite the absence of specific protection problems for people having allegedly surrendered who have returned to their villages, numerous protection incidents, particularly gender-based violence, have been reported and require specific assistance. As regards people having allegedly surrendered, psychosocial support should be provided in order to address the trauma experienced. An operational plan has been developed to mobilize efforts for a joint response to multi-sectoral needs in the southern basin of the lake . Difficulties in accessing the islands were the main constraint faced by the mission and could have an impact on the delivery of assistance to the population.

The multisector needs severity matrix underscores a particularly critical situation in sites visited in island areas. Two villages, Medi Kouta and Nahr, are the most vulnerable. Most of the sites visited demonstrate a severe vulnerability in the education sector and a critical situation regarding access to health, water and sanitation, as well as mechanisms to ensure protection.

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