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ReliefWeb - Updates

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    Source: UN Multidimensional Integrated Stabilization Mission in Mali
    Country: Mali

    La MINUSMA réitère sa forte inquiétude au sujet des tensions qui continuent de sévir dans le nord du Mali. A cet égard, elle déplore le retour non concerté de la Coordination des Mouvements de l'Azawad dans la localité d'Anefis (région de Kidal) au moment où la MINUSMA, le Gouvernement et la médiation internationale sont en train d’entreprendre des efforts ayant pour but d’apaiser la situation et de remettre le processus de paix sur la bonne voie.

    La MINUSMA exhorte la Plateforme et la Coordination des Mouvements de l’Azawad à revenir sur leurs intransigeances et à agir dans un esprit de responsabilité à la hauteur de la phase cruciale que traverse le processus de paix et des attentes du peuple malien.

    Elle souligne qu'ils devront assumer leurs responsabilités pour toute détérioration ultérieure de la situation sécuritaire sur le terrain, toutes formes de violence contre la population ainsi que toute entrave à la bonne marche du processus de paix.


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    Source: UN High Commissioner for Refugees, REACH Initiative
    Country: Niger


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    Source: World Food Programme
    Country: Afghanistan, Brunei Darussalam, Cambodia, Chad, China, Democratic People's Republic of Korea, Djibouti, El Salvador, Eritrea, Ethiopia, Guatemala, Haiti, Honduras, India, Indonesia, Kenya, Malawi, Malaysia, Mauritania, Mozambique, Myanmar, Nicaragua, Niger, Pakistan, Papua New Guinea, Philippines, Senegal, Somalia, South Sudan, Sudan, Uganda, United Republic of Tanzania, Viet Nam, World, Zambia, Zimbabwe

    The on-going El Nino event, officially declared in March, will remain active throughout 2015 and is very likely to extend into the first quarter of 2016.

    The event is now strengthening towards its peak intensity which should be reached in late 2015. There is a significant chance that this event could be close or even exceed the strongest levels on record.

    The event is being influencing all growing seasons of the northern hemisphere, as well as those of equatorial regions (Horn of Africa, Indonesia) of late 2015, and will be influencing those of southern Africa and South America from late 2015 to early 2016.

    The impacts are wide ranging and generally negative in countries facing food insecurity.


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    Source: UN High Commissioner for Refugees, REACH Initiative
    Country: Niger


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    Source: UN High Commissioner for Refugees, REACH Initiative
    Country: Niger


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    Source: UN High Commissioner for Refugees, REACH Initiative
    Country: Niger


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    Source: UN High Commissioner for Refugees, REACH Initiative
    Country: Niger


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    Source: UN High Commissioner for Refugees, REACH Initiative
    Country: Niger


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    Source: UN High Commissioner for Refugees, REACH Initiative
    Country: Niger


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    Source: UN High Commissioner for Refugees, REACH Initiative
    Country: Niger


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    Source: UN High Commissioner for Refugees, REACH Initiative
    Country: Niger


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    Source: UN Office for the Coordination of Humanitarian Affairs
    Country: Niger


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    Source: UN Office for the Coordination of Humanitarian Affairs
    Country: Algeria, Libya, Mali, Niger, Nigeria


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

    Highlights

    • Since July 21st, the estimated number of internally displaced people (IDPs) stands at more than 40,795 people, a decrease of 15% compared with prior estimates. This difference is due to secondary movements related to humanitarian assistance or to erroneous estimates. These people are located in 17 spontaneous sites, host communities in Bol and along the Meli- Bol axis.

    • Constant further displacement of IDPs makes it difficult to compile accurate figures. Registration remains a challenge and a priority.

    • 16,169 IDPs have received humanitarian assistance (40%) in the sites of Yakoua,
      Kaya, Koudouboul, Kollom, Kafia,
      Kousseri, Tagal, Dar al Nahim, Koulkime and Bibi, and in Bol.

    • The most immediate needs are in shelter (20,000 IPDs in 12 sites), food security (30,000 IDPs without any assistance), water, sanitation, and hygiene (90% of IDPs do not have access to latrines and more than 50% of IDPs didn’t benefit from hygiene activities), and health.


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    Source: International Organization for Migration
    Country: Mali, Mauritania

    Mauritania - The International Organization for Migration (IOM) has launched a project funded by the Government of the United States, to combat food insecurity and increase livelihood opportunities for host communities and Malian refugees in the Bassiknou department of the Hodh Ech Chargui region of southeast Mauritania.

    The harsh climate, droughts and floods that regularly hit the area heavily affect livestock and agricultural production, making life extremely hard for the local population. Considering the population’s dependency on the agro-pastoral sector to support their livelihoods, these drastic environmental changes result in persistent severe food and nutritional crises. In addition, the outbreak of the Malian crisis and the creation of the M’bera refugee camp have added considerable pressure on the already fragile surrounding environment.

    “With a population of nearly 88,000 inhabitants, the influx of an additional 50,000 Malian refugees creates a considerable challenge for the residents of Bassiknou. This creates competition between the host communities and the refugees for limited firewood, water and pasture resources,” explained Anke Strauss, Chief of Mission, IOM Mauritania. “Also, it has caused a significant increase in the cost of basic items as demands are considerably overriding supply.”

    Since the beginning of the month, IOM is implementing a community stabilization project that aims to safeguard and increase agricultural resources by enhancing production of diversified and high quality food products, improving livestock breeding, and strengthening community dialogue in order to avoid conflicts between host communities and refugees.

    The 12-month, USD 700,000 project, “Combating food insecurity and increasing livelihood opportunities for Malian refugees and host communities in Hodh Ech Chargui, Mauritania”, is funded by the Government of the United States and implemented in close cooperation with the United Nations High Commissioner for Refugees (UNHCR), Office of the High Commissioner for Human Rights (OHCHR), and other humanitarian partners. The project will assist up to 1,000 direct beneficiaries and 2,000 indirect beneficiaries, at least half of which will be Malian refugees.

    This project allows IOM Mauritania to leverage its significant experience in community stabilization and conflict prevention gained through previous projects funded by the Government of Japan and the UN Central Emergency Response Fund (CERF) to increase food security through agricultural diversity projects.

    Through this new project, IOM and its partners will continue to increase the livelihood opportunities for vulnerable refugees and host communities to mitigate food security threats, and to prevent conflict and rural emigration.

    For further information, please contact Momme Helly Ducros, Tel.: +222-45244081, Email: mducros@iom.int or Flavia Giordani, Tel: +222-48156284, Email: fgiordani@iom.int


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    Source: Assessment Capacities Project
    Country: Afghanistan, Angola, Bangladesh, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Colombia, Democratic People's Republic of Korea, Democratic Republic of the Congo, Djibouti, Dominican Republic, Eritrea, Ethiopia, Gambia, Guatemala, Guinea, Haiti, Honduras, Iraq, Jordan, Kenya, Lebanon, Liberia, Libya, Madagascar, Malawi, Mali, Mauritania, Myanmar, Niger, Nigeria, occupied Palestinian territory, Pakistan, Papua New Guinea, Philippines, Senegal, Sierra Leone, Somalia, South Sudan, Sudan, Syrian Arab Republic, Uganda, Ukraine, World, Yemen

    Bangladesh: 1.5 million people are affected by flooding, which has displaced around 320,000 people in the areas of Cox's Bazar, Chittagong, and Bandarban. Shelter, WASH and food security are key priorities. 15 out 24 rivers are over danger levels as heavy rainfall continues.

    Libya: An estimated 2,244 people have died this year as a result of conflict, and nearly one-third of the country’s population is affected. Humanitarian access remains severely restricted.

    Sierra Leone: Up to 12,000 people have been affected by floods in Freetown. More than 8,000 displaced to two stadiums have significant health, WASH and protection needs. Poor road access has meant that 4,290 people affected by flooding in Bo and Pujehun districts have received very little assistance. Sierra Leone continues to report cases of Ebola near the capital and resistance to the Ebola response persists.

    Updated: 22/09/2015. Next update 29/09/2015.

    Global Emergency Overview Web Interface


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    Source: World Food Programme, Food and Agriculture Organization
    Country: Benin, Burkina Faso, Cameroon, Central African Republic, Chad, Côte d'Ivoire, Gambia, Ghana, Guinea, Liberia, Mali, Mauritania, Niger, Nigeria, Senegal, Sierra Leone, Togo

    Key points:

    • The rainfall situation has improved markedly in most parts of the region. However, some areas particularly the south of Benin, Ghana and Togo, northwest Mali, central Mauritania, northeast Niger and northwest Chad still experiencing rainfall deficits.

    • Livestock remains affected by the long lean period especially in areas that have experienced delayed onset of the rainy season (southern Mauritania and Mali border, northern Senegal and eastern Chad).

    • The improvement in rainfall has caused floods that affected many people in Burkina Faso, Guinea, Mali and Niger.

    • Mauritania and northern Benin deterioration of the food and nutrition situation has been reported.

    • Cereal availability was satisfactory in the Sahel with increased fears in the Gulf of Guinea due to El Niño.


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    Source: UN Office for the Coordination of Humanitarian Affairs
    Country: Cameroon


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    Source: UN Population Fund, UN Children's Fund, Government of Cameroon
    Country: Cameroon

    Yaoundé, 18 septembre 2015 - La Banque mondiale, l'UNICEF (Fonds des Nations Unies pour l'enfance) et l'UNFPA (Fonds des Nations Unies pour la Population) procèderont le 18 septembre 2015 à 10h00 à l'hôtel Hilton à la signature d'une convention avec le Ministère de la Santé publique visant à améliorer la qualité et la quantité des services de santé maternelle et infantile au Cameroun à travers la stratégie du Financement Basé sur la Performance.

    C'est la première fois dans le monde que l'UNICEF et l'UNFPA s'engagent directement dans le financement basé sur la performance. Chaque agence versera environ 300,000 dollars américains (approximativement 150 millions FCFA) pour l'année 2015 dans le cadre de cette convention. La phase pilote démarrera dans la région de l'Est au cours de ce mois (septembre).

    «Cette collaboration constitue une opportunité d'aligner et d'harmoniser le soutien des Nations unies et de la Banque mondiale pour le secteur de la santé dans le cadre d'un programme gouvernemental qui génère des résultats mesurables » Elisabeth Huybens, Directrice des Opérations de la Banque mondiale.

    Le but du projet est d'augmenter l'utilisation des services de santé et d'améliorer leur qualité, avec un accent particulier sur la santé maternelle et infantile et les maladies transmissibles.

    Le Financement basé sur la Performance (FBP) est une stratégie de financement de la santé basée sur les résultats (performance) et matérialisée par une relation contractuelle entre les différents acteurs du système de santé. Il consiste à financer les soins et services de santé en fonction de la performance réalisée par les structures de santé et sur la base des indicateurs préalablement définis, tels que nombre des clients de planification familiale, le nombre de femmes enceintes recevant des soins obstétricaux, le nombre de cas de viol pris en charge cliniquement, le nombre d'enfants souffrant de malnutrition aigüe sévère correctement traités. Il est différent du financement classique où les structures de soins recevaient tous les intrants (tels que la formation et l'équipement) nécessaires à leur fonctionnement sans aucune obligation de résultats.

    Dans le système de financement basé sur la performance, il appartient à chaque structure de santé de mettre en œuvre des stratégies novatrices pour servir plus de patients et ce dans le respect des normes. Ces stratégies sont variées allant de l'amélioration de l'accueil, de l'état des infrastructures, de l'équipement, de la motivation du personnel, jusqu'à la révision à la baisse des tarifs de soins.

    L'approche du Financement Basé sur la Performance dans le secteur de la santé a démarré au Cameroun en 2006 dans le Diocèse de Batouri et puis dans le Diocèse de Maroua-Mokolo avec le soutien technique et financier de l'ONG internationale CORDAID. Cette approche a été élargie en 2011 dans 4 des 10 régions du Cameroun (littoral, Nord-ouest, Sud-ouest, Est) principalement financée par des subventions et des prêts de la Banque mondiale et la contrepartie du gouvernement. Le but premier de cette stratégie est d'améliorer la santé maternelle et infantile. Par conséquent, environ 75% des indicateurs quantitatifs et qualitatifs de performance sont directement liés à la santé sexuelle et reproductive ainsi que la santé de l'enfant. Les contrats de performance ont été signés avec 472 formations sanitaires (ce qui représente 12% des établissements de santé du Cameroun) couvrant une population cible de près de 3 millions de personnes (environ 12% de la population totale).

    « Nous constatons que dans les districts de santé où le PBF a été mis en œuvre, les hôpitaux sont propres, ils sont bien tenus. Les hôpitaux sont fréquentés, le personnel de santé est motivé. Il y a donc plus de ressources qui sont générées directement par l'hôpital et les patients reçoivent des soins de qualité en payant le juste prix.» André MAMA FOUDA, Ministre de la Santé Publique.

    Dans le cadre du projet, les établissements de santé primaire sont récompensés par des paiements supplémentaires en fonction de la performance à atteindre. La performance est soumise à un processus rigoureux de vérification avant le paiement. Celle-ci est vérifiée et validée sur une base mensuelle à l'aide de mécanismes complémentaires pour assurer la fiabilité des données. «La performance dans le domaine de la fourniture des services de santé sexuelle et reproductive est très encourageante. Entre 2012 et 2014, le nombre de patients a augmenté de plus de 100% pour de nombreux services critiques de santé sexuelle et reproductive. » Barbara SOW, Représentante de l'UNFPA

    Au vu des résultats positifs générés par cette stratégie, le Gouvernement a décidé d'étendre sa mise en œuvre à trois régions supplémentaires. D'après Félicité TCHIBINDAT, Représentante de l'UNICEF au Cameroun, «La mortalité infantile est au centre de nos préoccupations, nous travaillons avec tous les acteurs pour la réduire. Le Cameroun fait face à des problèmes chroniques de sous-nutrition qui sont responsables de plus d'un tiers des décès infantiles. En plus, le nombre d'enfants malnutris aiguës sévères est en augmentation et une prise en charge de qualité doit être assurée. C'est ce qui explique dans ce cadre que les interventions de nutrition sont inscrites dans le paquet d'actions des services de santé et intégrées dans les approches de financements basés sur la performance».


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    Source: Agence France-Presse
    Country: Nigeria

    Maiduguri, Nigeria | AFP | Tuesday 9/22/2015 - 20:26 GMT

    The death toll from a series of bomb blasts blamed on Boko Haram in Maiduguri in northeastern Nigeria has risen to at least 117, hospital sources said Tuesday, more than twice the official tally.

    A total of 72 dead were registered at the University of Maiduguri Teaching Hospital, while another 45 were taken to the mortuary at the Borno State Specialist Hospital, three medical staff said.

    Borno state's capital has been hit repeatedly since President Muhammadu Buhari came to power on May 29, vowing to crush the insurgency.

    But Sunday night's attacks were the deadliest so far.

    Nigeria's military claims the Islamist militants are a spent force and that troops have driven them from their camps and occupied territory in the remote region.

    But the blasts underlined the threat the group still poses with its guerrilla-style tactics against "soft" civilian targets.

    Borno police on Monday said that 54 people died and 90 were injured in the bombings, which hit worshippers at a mosque, football fans watching a televised match and bystanders.

    Locals disputed the figures, saying at least 85 died and that some people had taken loved ones killed in the blasts directly for burial rather than to hospitals.

    "Sixty-nine dead bodies were brought here and three other people died while receiving treatment," an orthopaedic doctor at the University of Maiduguri Teaching Hospital said on Tuesday.

    "I am afraid that there are some victims with grievous injuries who may likely require referral to other specialised hospitals."

    A mortuary worker at the hospital confirmed the tally.

    "Some bereaved families have come and claimed the bodies of their loved ones but we still have many here," he said.

    At the city's State Specialist Hospital, a senior nursing officer said 45 bodies were brought to the mortuary.

    "Most of the bodies were unrecognisable because of the burns the victims sustained," he said.

    "Most of the 43 people that died in the mosque were brought here."

    More than 70 others who were injured were also brought for treatment, he added.

    The sources requested anonymity as they were not authorised to speak to the media.

    str-phz/hmw

    © 1994-2015 Agence France-Presse


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