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- 09/14/16--23:10: _South Sudan: Juba R...
- 09/15/16--00:52: _World: Migration an...
- 09/15/16--01:15: _Niger: “Scaling-up”...
- 09/15/16--04:09: _South Sudan: WFP So...
- 09/15/16--05:09: _Chad: Chad: Recurri...
- 09/15/16--05:22: _Nigeria: Activity R...
- 09/15/16--07:06: _Nigeria: Nigeria: I...
- 09/15/16--08:12: _Nigeria: Polio this...
- 09/15/16--08:15: _South Sudan: Hunger...
- 09/15/16--10:21: _Chad: Chad: Patient...
- 09/15/16--11:21: _Niger: Regional hum...
- 09/15/16--12:39: _Senegal: The AfDB p...
- 09/15/16--15:37: _Uganda: Uganda: Pop...
- 09/15/16--21:49: _Niger: Building Nig...
- 09/16/16--01:25: _World: Global Weath...
- 09/16/16--01:28: _Cameroon: Cameroun:...
- 09/16/16--01:32: _Senegal: Senegal - ...
- 09/16/16--01:42: _Mali: WFP Mali Coun...
- 09/16/16--02:35: _South Sudan: Number...
- 09/16/16--03:02: _Cameroon: Cameroun:...
- adopt inclusive early warning systems and community-based risk assessments;
- build local capacities and facilitate policy dialogue to integrate migration concerns into adaptation and disaster risk reduction strategies;
- provide technical support and, whenever possible, strengthen national capacities.
La complétude du reportage au cours de la semaine 34 est de 80,9% pour les CRENI/AS et de 79,7% pour les CRENAM. Les données publiées dans ce bulletin correspondent aux données reçues avant le jour de la publication et des mises à jour pourraient avoir lieu dans les prochaines publications.
Au cours de cette semaine, les CREN ont admis 9 084 enfants souffrant de la malnutrition aiguë sévère (MAS) dont 1 270 avec des complications médicales et 8 962 enfants souffrant de la malnutrition aiguë modérée (MAM). Comparativement à la semaine 33, nous observons une hausse de 22% pour les pour le CRENAS/CRENI et de 68% pour les CRENAM. Cette hausse constatée depuis la semaine 32 pourrait s’expliquer par le dépistage de masse couplée à la campagne CPS réalisée en août dans certains districts sanitaires.
A la date du 28 août 2016, au total 215 495 enfants de moins de cinq ans ont été admis dans les CREN pour cas sévères (MAS) dont 23 461 MAS avec des complications médicales et 258 951 souffrant de la malnutrition aiguë modérée (MAM). Ces chiffres représentent 53,8% et 36,5% de la cible de 2016 respectivement pour la prise en charge des enfants souffrant de la MAS et de la MAM.
Comparativement à la semaine 34 en 2015, les admissions ont baissé de 9% (2 438 enfants) pour les CRENI et de 4% (10 609 enfants) pour les CRENAM tandis qu’elles ont légèrement augmenté de 2% (3 584 enfants) pour les CRENAS.
Nous attirons l’attention des responsables des centres de surveillance (CSE, SPIS) sur une mise à jour continue des données afin que nous puissions avoir une appréciation plus proche de la réalité.
Les données sont compilées et transmises par les DRSP.
1.61 million internally displaced people (OCHA est.)
788,134 South Sudanese refugees (UNHCR est.)
169,418 people seeking shelter with the UN (UNMISS est.)
4.8 million people in emergency or crisis level food insecurity (IPC, May - July 2016)
On 6 September, after more than one month, WFP received tax exemption papers from the Government of South Sudan. These papers will facilitate the delivery of over 700mt of food commodities—including essential nutrition supplies—from the trucks stranded at the Nimule border crossing.
Following the visit of the Security Council to South Sudan last week, the Government of South Sudan has agreed to the deployment of a regional protection force, the details of which remain to be negotiated.
Escalating violence in and around Yei, Central Equatoria, has affected markets and livelihood activities and has led to population displacements from the town and surrounding rural areas. WFP participated in an OCHA led Inter-Agency assessment mission to Yei to evaluate the humanitarian situation and to determine what level of support is required. Preliminary analysis shows that populations that remain in the town and surrounding area, due to limitations on movement and escalating violence and insecurity, face increased challenges. Food is still available in markets but there is concern of a deterioration in food security and nutrition should the situation become prolonged.
Since the inception of the Integrated Rapid Response Mechanism (IRRM) 2.5 years ago, teams have deployed for 400 missions in deep field locations in South Sudan and have reached 1.4 million people with life-saving food assistance, amounting to 150,000mt of food and nutrition commodities.
- 09/15/16--05:22: Nigeria: Activity Report, July - August 2016
- 09/15/16--07:06: Nigeria: Nigeria: INGO Forum Post Newsletter Issue 1, September 2016
- 09/15/16--08:12: Nigeria: Polio this week as of 13 September 2016
The regional polio outbreak response in Nigeria and the Lake Chad basin continues, within the broader humanitarian emergency response. Polio teams on the ground, at national, regional and global levels are closely coordinating with the humanitarian emergency response teams, other UN organizations and NGOs, to maximise the impact of all available resources and ensure that polio vaccine and broader health interventions can reach the most vulnerable and at-need populations in the region.
While much attention is given to the response, the risks of undetected circulation in the rest of Africa cannot be ignored. Efforts to strengthen subnational surveillance and immunity must continue across wide areas of west and central Africa, as well as in countries of the Horn of Africa. More
- 09/15/16--08:15: South Sudan: Hunger, shortages, and hyperinflation
- 09/15/16--10:21: Chad: Chad: Patient stories, malnutrition in Bokoro region
First, developing relevant, timely, accurate and productive sector data, including data disaggregated by income level, gender and age.
Second, analyzing and informing priorities, design and projections of government policy related to growth strategies, investment, agricultural trade, and natural resources and services.
Third, measuring economic growth and poverty reduction.
And finally, developing the Nigerien Government’s monitoring and evaluation capacity.
- 09/16/16--01:25: World: Global Weather Hazards Summary, September 16-22, 2016
A prolonged period of heavy rainfall has triggered flooding and inundation along the Niger River in Nigeria and Niger. As the river slowly drains, stream flow should remain high through early September.
Low and poorly distributed seasonal rainfall across parts of central Senegal have led to strengthening moisture deficits.
Below-average seasonal rainfall and persistent moisture deficits in the region have negatively impacted developing crops across parts of the eastern Oromia and SNNP provinces of Ethiopia. Similar conditions have also begun to negatively impact ground conditions in many parts of Uganda,
South Sudan, and eastern DRC.
There is a potential for increased number of locusts migrating from the Arabian Peninsula which may negatively impact cropping activities.
- 09/16/16--01:32: Senegal: Senegal - Key Message Update September 2016
The agriculture lean season is over thanks to the typical availability of early green harvests of maize, peanut and cowpea across the country. These crops, as well as below average cereal prices, are improving food availability and access for poor households. Households currently in Stress (IPC Phase 2) food insecurity will improve to Minimal (IPC Phase 1) by the end of September.
Across the country, agricultural production is expected to be at average levels with the exception of some cereal and legume harvests in the groundnut basin. Rainfall deficits at the end of August reduced moisture levels in groundnut growing areas around Kafrine, Diourbel, Fatick, and Dakar. The moisture deficit occurred at a critical time for crop development (budding and flowering) and will negatively impact these harvests.
Market stocks are sufficient across the country. Cereal prices remain near or below the five year average with millet down by 6 percent, sorghum down by 2 percent, and rice at near average levels. Households are also receiving average incomes from typical livelihood activities around agricultural and non- agricultural labor. Income and prices are favorable for improving household food access across most of the country.
Flooding from July to September 2016 has caused extensive damage to homes and crops in Fatick, Dakar, Saint Louis and Louga. The deterioration of livelihoods has negatively affected the capacity of poor households to satisfy food needs and to rebuild lost assets. These households are in Stressed (IPC Phase 2) acute food insecurity.
- 09/16/16--01:42: Mali: WFP Mali Country Brief August 2016
WFP is assisting 205,000 vulnerable people with food, cash and vouchers during the lean season (June-September).
WFP Mali urgently needs USD 3 million to provide school meals to 167,000 children in 965 schools, including 13 in Kidal. If funding is not immediately secured - the school year begins in October 3rd - 167,000 children will not receive school meals. 2016.
The Government of Mali continued the implementation of its 2016 Response Plan for the lean season based on the results of the March 2016 Cadre Harmonisé. The response plan includes government food assistance for the lean season in addition to activities planned by WFP and other stakeholders.
WFP assisted a total of 384,498 people in August distributing 2.95 mt of food were distributed and transferring USD 538,653 to 50,310 people. Paper vouchers were used for general food distributions and a pilot nutrition project while cash was distributed for a food assistance for assets project.
WFP, the Government and other partners are in the process of collecting data for the SMART survey. Results are expected to be finalized and released at the end of September.
2,687 IDPs have relocated from the UNMISS base in Tongping to UN House since movements began on 28 July. A replacement relocation was completed on 13 September, after no movements took place on 12 September. There were 316 individuals relocated over the period compared to 535 the previous week due to protests at the site on the 13 September linked with a change in the camp chairmanship. An estimated 1,289 registered individuals remain in Tongping (13 September), though the true population will vary due to exits and new arrivals.
• A new camp chairman was selected on 11 September and has been encouraging the population not to relocate and is using intimidation to prevent IOM teams from delivering relocation messages.
• On 13 September, the chairman delivered a letter to UNMISS to stop the relocation, and also listed complaints from IDPS, whilst youth protested at the site temporarily halting movements and threatening UN/NGO staff.
• RRP met with the new camp chairman and his team to understand the demands, which included registration of new arrivals and relocation to the former PoC 2 instead of PoC 3. No resolution has been agreed.
• RRP met separately with the police commissioner and the Formed Police Unit and agreed to enhance security at the transit site and at the registration desk for the next relocation.
• RRP request that all partners inform Camp Management and RRP of staff activities at the site so that UNMISS can account for all staff should any disturbances arise.
• IOM delivered an average of 17 litres of safe drinking water per person per day.
• There is one bathing shelter for every 72 people and 4 functioning water points.
• Hygiene promotion covered 614 household visits (3,267 individuals).
• Ongoing outreach to people with specific needs (PSN). Of the 133 identified PSN, 69 have left the transit site, with the majority relocating to UN House.
• An intentions survey of the population has been completed. Findings indicate that the majority of people want to relocate to UN House though many participants were new arrivals not registered at the headcount.
• There are rising tensions at the Western gate related to searching women for security. Nonviolent Peaceforce (NP) will maintain a presence and meet with UNDSS to address the issue.
• 2 GBV cases and 14 child protection cases were reported and are being followed up on, including separated and unaccompanied minors, family issues and child protection issues.
• Continued reduction in consultations to approximately 40 per day as the site population continues to decline (compared to 50 or 60 the period before).
• No cholera reports in the past 5 weeks.
UNMISS UN House
• Reception of IDPs relocating from Tongping continues, currently 39,380 IDPs reside at PoC 1 and PoC 3, UN House (13 September)
• To address protection concerns particularly around women accessing latrines at night, 21 solar lights have been installed in PoC 3.
• Biometric registration is scheduled to begin in PoC 1 on 20 September.
• Shelter partners continue to construct shelters for new arrivals.
• Shelter and Camp Management are working to confirm UNMISS Engineering support for backfilling drainage ditches to facilitate shelter construction on internal roads within the blocks.
• 307 individuals in PoC 1 remain in transit shelter, and will be relocated to individual shelters by Camp Management.
• THESO, UNICEF and Oxfam are installing contingency water tanks in PoC 1 and PoC 3, to increase water storage capacity in the event of future crises. Health
• Cholera transmission has considerably slowed, but low-level incidence continues with 1 case over the period, compared to 2 cases the previous week.
This booklet is directed towards the Food and Agricultural Organization Member States, UN system and all other potential partners, and sheds light on the role that resilient agriculture livelihoods can play in addressing some of the root causes of migration in protracted crises and assisting displaced populations and host communities to cope with protracted displacement. People with resilient livelihoods are better able to prevent, mitigate and adapt to the impacts of natural disasters on their lives.
The publication presents the following recommendations to strengthen the resilience of migrants, displaced persons and host communities:
“It’s serious for children here,” says Bernadette Ammaji, an MSF cook, as she prepares food for malnourished children and their mothers at MSF’s therapeutic feeding centre in Bokoro town, central Chad. “Some mums don’t have the means to be able to feed their children. Others do, but they fail to take proper care of them due to a lack of education about hygiene and nutrition. You need to be strong and brave to care for a child here. It’s not easy.”
Bernadette has worked with MSF since 2012 and is one of more than 200 staff working to tackle malnutrition in the region. Malnutrition is endemic in Bokoro, as it is across much of Chad, with almost half of child deaths in the country associated with the condition.
The Bokoro region lies around 300 kilometres east of Chad’s capital, N’djamena, towards the centre of this landlocked central African country. It’s a relatively stable part of the country, but also neglected, usually out of the headlines due to Boko Haram’s creeping presence in the northwest of Chad.
This year, in villages across the Bokoro region, MSF is running 15 mobile outpatient clinics for malnourished children between six months and five years of age in partnership with the Ministry of Health (MoH). In Bokoro town, MSF has an inpatient therapeutic feeding centre in an MoH hospital with an intensive care unit where the sickest children are referred. And for the first time, MSF is also working in the area to identify and try to prevent children at risk of malnutrition from falling ill.
An ‘extreme climate’
Bokoro’s climate is harsh. It reaches 45 degrees Celsius and has a very short rainy season. “Living conditions are really hard here,” says Suzanne Moher, an epidemiologist working with MSF in Bokoro. “Yes, it’s green now, but when I arrived here a couple of months ago there was no sign of life.” The population has just a couple of months to grow and harvest enough crops, usually millet, to last them the year. The vast majority of people in the area are subsistence farmers, so a bad harvest can be devastating.
At the moment, as the number of children with malnutrition reaches its annual peak, hundreds of women bring their babies to MSF’s mobile outpatient clinics every day. Families haven’t yet collected this year’s harvest, but last year the harvest was bad and some people have run out of food.
Last month, MSF transferred an average of 50 babies every week from the outpatient clinics to its intensive care unit in Bokoro for emergency care.
Babies and young children in Bokoro also become malnourished due to cultural practices that can unintentionally cause more harm than good.
“Some mums here say that when their next child is conceived, their breast milk is not good for their existing child,” says Benedicte La-Toumbayle, a Chadian nurse at MSF’s therapeutic feeding centre in Bokoro town. “They think that by continuing to feed their baby breast milk, they will harm the future child in their womb.”
Mothers often prefer to take their sick child to a religious leader rather than a health clinic. Marabout (Islamic religious leaders) may say Koranic prayers for the baby, give them a plant-based concoction which can be poisonous, make three cuts on a baby’s stomach or cut out their uvula, at the back of the throat. This can delay malnourished babies getting the treatment they need and, in the worst cases, vulnerable babies, whose immune systems have been weakened by a lack of food, can die from poisoning or infection. It doesn’t help that making the journey to public health clinics in Chad can be expensive. The clinics often don’t have the necessary medicines or enough trained staff, and there are often other hidden costs that make it impossible for people in this area to afford this essential care, despite a national free care policy for malnourished children.
“Sadly, a child died today,” says Benedicte. “At home, they had given him something to eat as part of a traditional medicine procedure which had poisoned him. When the child arrived here at the clinic we did everything we could. It’s miserable to see so many children suffering in front of you, but it’s also this that motivates me to keep going and to help them.”
A lack of education
Compounding these risk factors is a widespread lack of understanding across Bokoro about nutrition. “Instead of breast milk, mums sometimes feed their babies goat’s milk, bouille (a type of broth often made from millet), or other ‘adult’ food like this, and then the child gets diarrhoea and falls into malnutrition,” says Benedicte.
Education rates are low, with a national literacy rate of just 33 per cent, and most of the mothers MSF sees here haven’t spent a day at school. Many don’t understand what it is that makes their children ill. A short lesson on hygiene and nutrition is a core part of each mother’s visit to either MSF’s outpatient clinic or intensive care unit.
A desperate need for prevention to tackle chronic malnutrition cases
MSF has launched an emergency response to malnutrition in Bokoro at this time of year four times in the last five years. Over that time, it has become clearer that these are not one-off emergencies, but part of a pattern of recurring malnutrition with complex, interconnected causes. As a result, this year MSF started work in Bokoro before the malnutrition cases peaked at the start of the rainy season (May to October), setting up its outpatient clinics in January instead of July. Since then, MSF has treated more than 9,140 babies and children for severe malnutrition.
This year MSF has also set up a component of the project that works to prevent babies and young children from becoming malnourished in the first place.
“The children who come to our distribution sites should be healthy, but are at risk of getting malnourished,” says Elizair Djamba, supervisor of MSF’s distribution team in Bokoro. “For the first time in Bokoro this year, we’re giving these children rations of specially formulated supplementary food and giving them a chance to stay healthy.”
The MSF teams have distributed ready-to-use supplementary food, as well as mosquito nets and soap, to more than 30,000 mothers across Bokoro, along with short health and nutrition lessons.
The work is hard, but staff feel passionately that it’s what is needed if MSF is to make an impact on recurring malnutrition. “We often arrive at the distribution site as it starts pouring with rain,” says Elizair. But we have to be out in the rain with the women, showing them that it’s important to be here, that it’s worthwhile.”
The Alliance for International Medical Action (ALIMA), an international medical humanitarian organization based in Dakar (Senegal), established a presence in Nigeria in May 2016 following alarming reports from national and international organizations on the humanitarian situation in the country. After establishing all the necessary links with Federal, State and LGA authorities, a first joint fourday exploratory mission to Monguno, Borno State, with the local PHC team took place mid-June in the wake of the city becoming accessible again since the beginning of the crisis. In light of the positive outcome of the mission (see below for more details), an ALIMA coordination team was set up in Maiduguri to support the implementation of two medical projects, one in Monguno (since July 2016) and one within the IDP and host communities of the Muna area (since August 2016), East of Maiduguri (Jere LGA). ALIMA is officially registered in Nigeria as an NGO since September 6th, 2016, four months after the process was started. This report aims at providing an insight of ALIMA’s activities in Borno State since July 2016.
At least 2.4 M people have been displaced by Boko Haram-related violence, with 1.82 M originating from Borno State alone, according to OCHA in Nigeria. These populations remain highly vulnerable with regard to food security, malnutrition, WASH and shelter issues. The needs assessment coupled with a measles vaccination conducted in June 2016 in Monguno, as mentioned above, resulted in 18,812 children being vaccinated against measles and distributed vitamin A. The parallel MUAC screening, conducted on 12 190 children, revealed an alarming 13% of Severe Acute Malnutrition (SAM), 19% of Moderate Acute Malnutrition (MAM) and an overall GAM rate of 32%. The SAM and GAM rates were much higher than the standard indicators of 5% and 20% respectively. In light of these figures and of a target population of approximately 40,000 children aged between 6 and 59 months, ALIMA estimated that more than 4,800 SAM children were in immediate risk of death in Monguno. Rapid assessments carried out in Muna Village (Jere LGA, East of Maiduguri Town) revealed alarming rates of malnutrition as well, combined with a dire situation with regard to WASH and shelter for tens of thousands of both IDPs and host community members.
In this issue
• About The Nigeria INGO Forum
• 2016 Humanitarian Response Plans Compared
• INGO Scale-Up Operations in North East Nigeria
• In-Focus: Response to Nutrition Emergency
• Upcoming Events in September
• Did You Know?
• Forum Members’ Products
Polio this week as of 13 September 2016
How are South Sudanese making ends meet?
Albert Gonzalez Farran
South Sudan’s leaders stand accused of industrial-scale embezzlement, ripping off public money to fund property and business investments across the region. That opulence is in sharp contrast to what the vast majority of their fellow citizens are enduring, as they wrestle with chronic shortages and hyperinflation.
Read the full article on IRIN
Hawa Hamad, a small child from a small village near Gambir
Hawa Hamad arrived at the public health centre in Gambir with her parents on a Monday night. She received an injection to stop the diarrhoea and vomiting that she was suffering from.
The family spent the night at the home of some relatives who lived nearby. They knew that the next day MSF staff would be running a mobile clinic in the village and they wanted the team to check on Hawa first thing.
Hawa was so weak she could not keep her eyes open or her head straight, and she wasn’t able to swallow any milk.
Her mother, Bomboe Youssef, is 20 years old and pregnant for the second time. Hawa’s father, Hamad, is 35. He sells groceries and works in the fields.
As soon as Hawa has been screened by the MSF nurses, she is referred to MSF’s therapeutic feeding centre in Bokoro. It’s about half an hour away by car. As MSF staff get ready to take Bomboe and her daughter to the hospital, Hamad asks them to watch over his wife for him. They are cousins, and she has not spent a night away from him since they got married.
At the hospital, Hawa is found to be suffering from a genetic form of anaemia, probably due to the fact that her parents are close relatives. She needs a blood transfusion. Hospital staff call Hamad, who is willing to donate blood. He tries in vain to arrange transport from Gambir but in the end MSF staff go to pick him up, along with his brother.
After a blood test at the hospital, staff confirm that Hamad’s blood is compatible with Hawa’s. But he also tests positive for syphilis, so is ruled out as a donor. After being persuaded that it won’t make him too weak to work, Hamad’s brother eventually agrees to give blood in his place.
The day after the transfusion, Hawa is noticeably better. She sits up and drinks some milk.
Hawa Haroum, a grandmother from Tchaway village in Bokoro
Hawa Haroum is from a small village in central Chad. She shares her home with her husband, their children and her husband’s mother.
“I have five children – three girls and two boys. My sons are already married and work in the fields. I’m very happy with them. They work hard in the fields and bring home everything they find. And if they don’t work, they go out to buy food.”
Hawa has been in MSF’s intensive care unit in Bokoro town for four days, looking after her grandson, Adeen, who is two years old. She says it feels very far from home. She is sitting on a bed in the busy ward, which can accommodate up to 70 mothers and their severely malnourished babies, and is keen to talk. She explains that she is at the hospital instead of the child’s mother, Fatima, who is at home having just given birth to her second child.
“Fatima couldn’t leave the house, so I took Adeen to the clinic to pick up some rations [enriched peanut paste to treat malnutrition] and then return home, but when the nurses saw Adeen, they said I had to come straight here. I thought I was just going to the mobile clinic and then going home again, so I wasn’t very happy when they told me this. I’d been going with Adeen to the mobile clinic for three weeks but this time they said he wasn’t getting better and that he had to be transferred. I’ve had to leave my mother-in-law in our village – she’s a very old woman. I also have a three-year-old child and I’ve had to leave them both. I didn’t even have the chance to get a change of clothes. I asked, but they said it was too far for me to go and they couldn’t wait. There were four other women and their babies on that day who were transferred to the hospital here from Tchaway. One woman was lucky; she called her husband, who cancelled what he was doing and came on a motorbike to deliver her things before we left.”
She sounds bemused but also pleased to see Adeem getting better. “He had a fever; he was vomiting and had diarrhoea. But since he’s been here, he’s been okay. The baby hasn’t put on any weight but I can tell his health is better. I hope he continues to get better like this over the next couple of days so I can go home. I’m waiting to hear from the doctor before I know if I can leave.”
As well as severe malnutrition, Adeen also has microcephaly, an abnormal smallness of the head where the brain doesn’t fully develop. Despite this, Adeen’s head looks oversized for his incredibly thin body and he has little energy.
Severe malnutrition is very common among babies and young children in Chad and often relatives may not be aware of the severity of their child’s illness because it’s what they’re used to seeing. In addition, there are few health services in Chad and they often don’t have the necessary medicine, so relatives don’t always seek help.
The doctor comes and gives Adeen his hourly check-up. There’s no cure for this condition, so once he has recovered from malnutrition, he and his grandmother will return to their village. However, it doesn’t look likely that he will be discharged in the next couple of days.
Still, Howa is keen to talk about the medicine and support they’ve received. “They’ve given Adeen medicine and a lot of milk. They’re always checking on him. I’ve had a lot of good food.”
It’s clear that Howa is also keen to get home because she’s worried about her daughter. “I haven’t spoken to Fatima since I’ve been in the hospital. I don’t have a phone. She just has to wait for her child to come home. It must be difficult for her. Illness has separated them.”
Zara Abba, a grandmother from N’djamena
Zara Abba has been at MSF’s intensive care unit in Bokoro town for four days, caring for her granddaughter, Katalma Moussa, who is two years old.
When her granddaughter fell ill, Zara Abba was visiting Bokoro to pay her respects to a family member who had died.
“She hadn’t put much weight on for a while and then she started to get very liquid diarrhoea and her health got even worse. I had been taking her out for walks and to play with the other children, but since she started getting diarrhoea, she didn’t have any energy and I couldn’t do that anymore. She was always hungry and crying and it was like the milk we were giving her wasn’t enough. I looked after her for seven days at home but after that knew I had to get her to a clinic.”
Katalma is incredibly thin and although she’s sitting up next to her grandmother, it looks like it’s a challenge for her. She’s moving her hands and head very slowly to push the flies from her face. It seems to take all of her energy.
“As soon as we arrived at 5pm a doctor examined her. He gave her some water and an injection. Since then, she has only had diarrhoea once and now she’s almost back to normal. She is starting to get her appetite back. It’s as if she can’t eat enough. She finishes all of the milk they give her and then she cries because she wants more.”
Zara Abba also has a two-year-old daughter of her own. “I would travel all the way to France for my children’s health.” She says. “So I have no problems staying here until Katalma gets better. Yes it’s hot and noisy, but it’s hot and noisy in my house too. I have given birth to 15 children. Seven of them have died and eight are still living. Two of them were twins and they died on the same day they were born. The others, I don’t know why; it was God’s choice.”
Sadly this kind of story is common in Chad. Women marry young and tend to get pregnant again soon after giving birth to their previous child. With high rates of malaria, poor hygiene and a lack of nutritious food, losing many children isn’t unusual.
“My husband is a Marabout [an Islamic religious leader] and also sells things at the market in N’djamena. Four of my children are married and the other four still live with me. All of them have gone to school, and I hope they can achieve something with their lives. This is my daughter’s first child. She’s still in N’djamena but I’ve been speaking to her every day. She calls to ask about the health of her daughter. I say, ‘your daughter is getting better, and MSF have gone above and beyond to help your daughter. They’ve worked really hard.’ I would really encourage MSF to keep putting in so much effort for these children. There are a lot of illnesses for children here, but thanks to MSF there are now a lot of nurses and, even if there is still a lot of illness, it’s getting less.”
(Niamey 15 September 2016): Assistant-Secretary-General and Regional Humanitarian Coordinator for the Sahel Toby Lanzer completed today a four-day mission in Niger. He went to the Diffa region, part of the Lake Chad Basin, where violence at the hands of Boko Haram has pushed hundreds of thousands of people from their homes, disrupted trade and livelihoods and heightened malnutrition and food insecurity. Toby Lanzer, who was accompanied by Niger’s Minister in charge of humanitarian action, Laouan Magagi, commended local communities and displaced people for their solidarity and called on the international community to show increased support for the people of Diffa and of the rest of the Lake Chad Basin.
“Despite difficult living conditions, lack of sustainable income and basic means of daily subsistence, thousands of families continue to care for those who have even less’’, Lanzer said. ‘’People in the Lake Chad region provide us an example of humanity that should be an inspiration for us all,’’ he added.
Over 280,000 people have been forced from their homes in Nigeria and within the Diffa region due to Boko Haram raids and attacks on villages. Two of every three displaced people have had to move more than once, each time testing their resilience and further deepening their suffering. Entire villages have been emptied of their residents; a large proportion of fields have not been tilled; and, access to basic social services such as water, health and education has been further restricted. Some 400,000 people need emergency food assistance. The Global Acute Malnutrition (GAM) rate of 17 per cent exceeds the emergency threshold.
Humanitarian organisations have scaled up their operations during the lean season which stretches from June to September. For example, food assistance reached more than 65 per cent of the 400,000 people targeted, up from 41 per cent in May.
However insecurity and lack of funding are limiting humanitarian teams’ ability to reach the most in need. The humanitarian response in Diffa is only 38 per cent funded, with $28 million of $73 million secured. About 50 per cent of food needs for the rest of the year will not be covered if additional funding is not received.
‘’$44 million are needed to respond to an overwhelming situation and deep suffering,” said the Humanitarian Coordinator in Niger, Fodé Ndiaye. “It is my hope that the Lake Chad Basin event, organised on 23 September in New York in the margins of the General Assembly, will mobilise the attention of the international community and pave the way to ending violence and misery across the region. This requires creating youth and women’s employment, creating socio-economic opportunities, and strengthening social cohesion.”
For further information, please contact:
Katy Thiam, Public Information and Advocacy Officer, OCHA Niger, firstname.lastname@example.org, Cell +227 99 71 71 39 Eve Sabbagh, Public Information Officer, RHC Office Dakar, email@example.com, Cell +221 77 569 96 54 OCHA press releases are available at www.unocha.org/Niger or www.reliefweb.int.
On September 14, 2016, in Abidjan, the Board of Directors of the African Development Bank (AfDB) approved the Country Strategy Paper for Senegal for the next five years (2016-2020). The new strategy has two pillars: support to agricultural transformation and strengthening of production and competitiveness support infrastructure (energy and transport). The AfDB has pledged an estimated 1.4 million USD in funding for 2016-2020. There are also additional funding possibilities offered through Africa50, the Africa Growing Together Fund, and trust funds such as the Global Environment Fund and the Fund for African Private Sector Assistance.
This funding follows on from the AfDB’s operations since 1972. Since then the AfDB has approved a total of 95 operations in Senegal amounting to a total of 1,200 billion CFA francs. The scale of the Bank’s commitment is an example of the robust partnership formed between Senegal and the Bank thanks to more than four decades of cooperation.
The new strategy is aligned with the Emerging Senegal Plan (_Plan Sénégal Emergent_, PSE), the country’s Development Strategy (2014-2035) and its Priority Action Plan 2014-2018. It is also aligned with the AfDB’s Ten Year Strategy, especially inclusive and green growth with a particular focus on the High 5s: Light up and power Africa, Feed Africa, Industrialise Africa, Integrate Africa, and Improve quality of life for the people of Africa. It will support several of the PSE’s flagship projects in the sectors of "agriculture, agro-industry and fishing products", "regional logistics and industrial hub" and "energy and transport". It will also support agro-hubs, the Emergency Community Development Programme, the Regional Express Train, the promotion and modernisation of towns, and the "strategic implementation, monitoring and assessment of the PSE".
Furthermore, as part of the US $1.4-billion pledge, the Board has approved a budget support of US $48.4 million for 2016, aimed at helping the efforts of Senegalese authorities in implementing the Emerging Senegal Plan (PSE), especially the programme to assist local development reform in the country in support of the Emergency Community Development Programme.
Summary of major updates to the emergency appeal
This update provides a brief overview on Ugandan Red Crescent Societies (URCS) actions to date in the preparations for the start of their response activities to be covered by the Emergency Appeal (in anticipation of pledges). Appeal coverage at the time of writing is 0%, however some soft pledges are being discussed with partners including Netherlands and Swedish Red Cross interested in potentially support to increase our coverage to approximately 20%.
Donors are still urgently needed and encouraged to support the appeal to enable URCS provide lifesaving support to the South Sudanese refugees through the planned activities as detailed in the Emergency Plan of Action (EPoA).
The numbers of refugees have significantly increased in the past 2 weeks with nearly double the number of refugees arriving each day in comparison to arrivals in August. At the time of writing the appeal UNHCR predicted Bidibidi camp would be hosting 40,000 refugees by the end of 2016. The camp now hosts almost 56,000 and is expected to be over its capacity of 100,000 people within the next month.
A. Situation analysis
Description of the disaster
July 2016: In the month following escalation of violence in South Sudan, 80,354 people have crossed into Uganda at a rate of approximately 2,592 people per day. Crossings are occurring at Elegu, Arua, Kyriandongo, Moyo and Lamwo.
27 July 2016: Inter-agency meeting where the Office of the Prime Minister (OPM) and UNHCR called upon agencies to urgently mobilize resources and capacities to respond to the refugee humanitarian situation in West Nile.
2 Aug 2016: Bidibidi camp opens in Yumbe District to alleviate overcrowding in other camps. The Red Cross is focusing its response efforts here. Services and facilities available in Bidibidi settlement are extremely under resourced and not sufficient to meet the basic needs of the current and projected refugees. URCS, UNHCR and other agencies working in Bidibidi settlement are helping to address urgent basic needs in terms of water and sanitation, health and shelter. There is a high concern of a cholera outbreak from neighbouring settlements into the new camp, as suspected cholera cases have been recently reported. 1
6 Aug 2016: 8,982 refugees are registered at Bidibidi. UNHCR is projecting this number to increase to 40,000 by December 2016.
24 August 2016: IFRC issues Emergency Appeal for 658,728 Swiss francs targeting 40,000 refugees in Bidibidi Settlement.
24 August – 10 September 2016: The refugee numbers entering Uganda have increased during this period, with more than 4,000 South Sudanese refugees entering Uganda each day in the past week, the highest daily arrivals being 4,879 on 07 September. Bidibidi Settlement continues to receive convoys from Kiryandongo, Elegu, Nyumanzi, Oraba, Palorinya, Kuluba, Pagirinya settlement/transit Centers and Kerwa collection site in Yumbe district. During this period, there has been increased number of daily arrivals, averaging over 2,000 refugees a day. Some refugees, who initially opted to stay with relatives and friends as an interim measure while monitoring the situation with the hope to return to South Sudan, have now started to seek refuge in the camps as the situation has not improved and their financial resources have depleted.
September 14, 2016 Kristin Penn, MCC Niger Resident Country Director Guyslain K. Ngeleza, MCC Lead Economist in the Department of Policy and Evaluation
Food crises are all too common in Niger, a land-locked country, two-thirds of which is Sahara desert. Over the last 12 years, Niger has witnessed four years (2001, 2005, 2010 and 2012) of severe food insecurity that resulted in appeals for international humanitarian assistance and food relief. Due to frequent droughts and floods that decimate crops and productive assets, many Nigeriens struggle to survive, let alone increase their household incomes.
The 2007–2008 global food crisis was a wake-up call — an opportunity to revitalize global agricultural production and trade. This was certainly the case in Niger, where the agricultural sector employs more than 80 percent of the population and represents the second-largest export sector in the country.
One of the barriers to smart development of a more resilient agricultural sector in Niger has been a lack of reliable and comprehensive data to inform policies and public spending. There just isn’t the budget for quality data collection. For the great majority of agricultural plots in Niger, basic data on crop production and yield is sparse. And if such data is available, it tends to cover only a limited number of crops, and its quality and reliability are low. With access to reliable data, Nigerien farmers can make informed decisions on what to produce, when and where to sell, and at what price. More information on market demand and price trends means lower risks and the potential for greater profits.
MCC and the Government of Niger recently signed a $437 million compact focused on strengthening Niger’s agricultural sector by improving water availability, infrastructure, and market access. During pre-compact negotiations, MCC was particularly excited by the Nigerien Government’s enthusiastic request to invest in its statistical capacity to improve evidence-based planning and monitoring of key indicators. As a result, the Niger Compact includes a very important investment that will bolster the country’s statistical capacity — the compact will help provide a framework for Niger’s national statistical system to generate and apply the basic data needed to guide decision-making. It will also focus on the development of statistical capacity at the National Institute of Statistics and key ministries, including the Ministries of Planning, Water and Sanitation, Agriculture and Livestock, and Environment.
There are four main aspects to this work.
The Niger Compact will, as a first step, develop a master plan to improve the capacity to collect, analyze, and report high-quality data on household incomes, the performance of farmers and the agricultural sector overall, the nutritional status of households, and the sustainability of natural resources. This master plan will not only guide investments in Niger’s statistical capacity made by the Nigerien Government, MCC and other donors, it will also have a far-reaching impact, allowing Niger to better use data to achieve and measure progress toward global initiatives like the Sustainable Development Goals (SDGs). In particular, MCC’s investment will better position Niger to track its contributions to achieving Sustainable Development Goal #2: “End hunger, achieve food security and improved nutrition, and promote sustainable agriculture.”
As part of the 71st session of the United Nations General Assembly in New York City — with a theme of The Sustainable Development Goals: A Universal Push to Transform Our World — MCC will join with partners to co-host an event on September 22 to celebrate the recently signed Niger Compact and discuss the importance of food security and the continued need for inclusive growth. The celebration will include a conversation between Nigerien President Mahamadou Issoufou and MCC CEO Dana J. Hyde
Timely and accurate agricultural statistics are critical in order to analyze the impacts of government policy, the efficient functioning of agricultural markets, food security, and economic growth. They enable agricultural producers and agribusinesses to make informed decisions on marketing, pricing, farm inputs, and financial needs. We look forward to working with our Nigerien partners in the years ahead to strengthen the Government’s capacity to gather quality, reliable data and analyze the country’s agricultural sector to benefit producers and consumers for years to come.
Abnormal dryness within East Africa and elevated river levels along the Niger River in Nigeria
Africa Weather Hazards
Depuis 2014, le Cameroun est affecté par les effets du mouvement insurgé de l’Etat Islamique en Afrique de l’Ouest (EAIO, ex Boko Haram). L’augmentation des attaques et incursions aux Nigéria, au Cameroun et dans les pays frontaliers a créé des déplacements de populations depuis les zones de conflit et de violence.
L’Organisation Internationale pour les Migrations (OIM) a lancé son premier numéro de la Matrice de Suivi des Déplacements (DTM) en Novembre 2015 avec pour objectif de fournir des informations régulières, exactes et à jour sur les populations déplacées dans la région de l’Extrême-Nord du Cameroun afin d’informer la réponse du Gouvernement du Cameroun et de la communauté humanitaire. La DTM Cameroun peut être comparée avec la DTM Nigéria pour un aperçu des déplacements dans la région.
Les données collectées du 20 Juillet au 1er Aout, et présentées dans ce quatrième rapport, incluent des information sur le nombre de personnes déplacées, les périodes de déplacement, les raisons du déplacement, les types de logement, des informations sur les ménages et des données démographiques. Ces données ont été collectées dans 06 départements, 38 arrondissements et 514 villages de la région de l’Extrême-Nord.
Population identifiée par la DTM en Juillet 2016 dans l’Extrême-Nord du Cameroun :
• 181,215 Personnes Déplacées Internes (33,621 ménages);
• 14,871 Réfugiés Non Enregistrés (2,617 ménages);
• 32,023 Retournés (6,188 ménages).
87% de la population déplacée a été déplacée par l’insurrection/conflit et 13% par des inondations et autres catastrophes naturelles
33% de la population déplacée actuelle a été déplacée en 2016 (Janvier à Juillet 2016), 38% en 2015, 21% en 2014 et 8% avant 2014.
59% de la population déplacée vit dans des communautés hôtes alors que 20% vit en location, 12% dans des sites spontanés, 9% dans des abris collectifs, et 1% en plein air.
Early green harvests mark the end of the agricultural lean season
The number of South Sudanese refugees sheltering in neighbouring countries has this week passed the 1 million mark, including more than 185,000 people who have fled since fresh violence erupted in the country in Juba on July 8. With this milestone, South Sudan joins Syria, Afghanistan and Somalia as countries which have produced more than a million refugees.
Most of the recent arrivals have crossed into Uganda (143,164), but a surge of people have entered western Ethiopia’s Gambella region in the past week and others have been heading to Kenya, the Democratic Republic of the Congo and Central African Republic. These countries have commendably kept their doors open to the new arrivals.
The violence in July came as a major setback to peace efforts in South Sudan, coming as the fledgling country prepared to celebrate its fifth anniversary and amid a short-lived peace deal between supporters of President Salva Kiir and former First Vice President Riek Machar.
The fighting has shattered hopes for a real breakthrough and triggered new waves of displacement and suffering, while humanitarian organizations are finding it very difficult for logistical, security and funding reasons to provide urgent protection and assistance to the hundreds of thousands in need, including 1.61 million internally displaced people.
Most of those fleeing South Sudan are women and children. They include survivors of violent attacks, sexual assault, children that have been separated from their parents or travelled alone, the disabled, the elderly and people in need of urgent medical care.
Uganda is hosting the lion’s share of South Sudanese refugees, with 373,626, more than a third of them arriving since early July. They keep coming; over the past week more than 20,000 new arrivals were recorded, primarily through the Oraba crossing in the northwest. New arrivals report increased fighting across the Greater Equatoria region and attacks by armed groups that kill civilians, loot villages, sexually assault women and girls, and recruit young boys. Many refugees arrive exhausted after days walking in the bush and going without food or water. Many children have lost one or both of their parents, some forced to become primary caregivers to younger siblings.
A surge of people, more than 11,000, many of them from the Nuer tribe, have crossed into Gambella during the past week, bringing the number of South Sudanese refugees in that country to more than 292,000. The majority were women and children, including some 500 children travelling alone. Most had fled from Nasser, Maban, Mathiang and Maiwut in Upper Nile and cited insecurity and fears of renewed conflict after seeing significant troop movements. New arrivals from Jonglei talked of food shortages as one reason for fleeing.
Neighbouring Sudan hosts the third largest number of South Sudanese refugees, 247,317, and people continue to come to the country’s East Darfur, South Darfur and White Nile states. Those in the two Darfurs cite growing unrest and heightened food insecurity, especially in the north-western states of Northern Bahr El Ghazal and Warrap, as their reasons for flight. White Nile state has 41% of all South Sudanese refugees in Sudan. Currently, an average of nearly 1,800 people are arriving per month. Floods are preventing others from leaving South Sudan.
Smaller numbers have been fleeing to Kenya, DR Congo and Central African Republic since the return to conflict in July. About 300 people a week have been crossing into Kenya, citing insecurity, economic instability and drought and reporting that the flight corridor between Torit and Kapoeta remains dangerous due to armed bandits. Kenya has over 90,000 South Sudanese refugees.
The DR Congo is currently experiencing an influx into Ituri province close to the border with South Sudan and Uganda. An estimated 40,000 South Sudanese refugees are said to be in the country and we are continuing registration.
UNHCR field staff report that new arrivals are camped in schools and churches, while the less fortunate sleep in the open. Refugees lack food and basic household items. An estimated 5% of the children are unaccompanied, and many women and girls said they were sexually assaulted during their flight. Early this month, refugees near the city of Doruma (Haut-Uele province) were attacked, their food rations stolen, and a health centre looted by unknown attackers.
Insecurity in South Sudan’s Central Equatoria has also significantly affected UNHCR’s ability to access and assist thousands of refugees inside South Sudan itself. In Lasu settlement, some 40 km south of Yei, nearly 10,000 refugees from the Democratic Republic of the Congo (DRC), Central African Republic and Sudan have not received their monthly food rations since late June this year.
Without further funding and support, we and our partners will struggle to assist the needy with even the most basic assistance. UNHCR is calling on donors to provide US$701 million for South Sudan refugee operations, of which 20% has been funded.
For more information on this topic, please contact:
In Kampala, Charlie Yaxley, firstname.lastname@example.org +256 776 720045
In Nairobi, Terry Ongaro, email@example.com, +254 735 337608
In Nairobi, Duke Mwancha, firstname.lastname@example.org +254 715 523604
In Juba, Rocco Nuri, email@example.com +211 927 725 535
In Kinshasa, Andreas Kirchhof, firstname.lastname@example.org +243 817 009 484
In Gambella, Kisut Gebre Egziabher, email@example.com +251 91 120 8901
In Geneva, Nora Sturm, firstname.lastname@example.org +41 79 200 76 18
La situation sécuritaire est restée incertaine. Le groupe Boko Haram continue ses attaques dans les localités camerounaises proches de la frontière avec le Nigeria. Cette situation empêche les populations déplacées de retourner chez elles craignant pour leur sécurité, et complique d'avantage la gestion de la crise humanitaire. La semaine sous rubrique a connu des incursions dans les localités de Karasseri, Guidiguidi, Wamba, Akzawaya dans le Mayo Sava. Le bilan de ces attaques est de trois morts.
Mouvement de population
Des mouvements de populations des localités frontalières vers d’autres localités, en quête de sécurité, continuent d’être enregistrés. La semaine écoulée, 335 personnes, tous des bergers et leurs familles en provenance de 06 localités de l’arrondissement de Kolofata, ont été enregistrés à Mora. Ils sont arrivés depuis environ deux semaines et ils sont installés non loin du lycée technique de Mora. Les raisons de leurs déplacements sont liées aux menaces et attaques de la secte islamiste dans leurs localités. Le nombre total des PDIs dans la région de l’Extrême-Nord était estimé à environ 181,215 personnes d’après les données du monitoring de protection DTM (Matrice de Suivi des Déplacements) établi fin juillet 2016. Depuis ce temps, les comités mixtes ont notés une augmentation avec environ 192,000 PDIs.