UNICEF Senegal Situation Report 25 September 2012

Transcription

1 UNICEF Senegal Situation Report 25 September 2012 Highlights At the government s request, this month UNICEF and its partners have scaled up their technical support of the nutritional response to cover three more regions: Thies, Louga and St. Louis. 32 additional Inpatient Facilities (IPF) and 335 Outpatient Therapeutic Programs (OTPs) are being supported under the expanded program. This is in addition to ongoing activities in 7 IPF and 216 OTPs in Diourbel, Matam, Kolda and Tamba. UNICEF support to the Cellule de Lutte Contre la Malnutrition (governmental cell for malnutrition) begins to bear fruit, with an increase in the number of severely malnourished children screened at community level and their arrival at health centers for treatment. Over the past month, a community screening campaign in Diourbel has reached 201,137 under-five children; up from 126,711 in the last campaign in June. Screening in Matam is currently ongoing and results will be shared in upcoming reports. More than 300,000 people have been affected by flooding due to heavy rains during August and September throughout the country: outskirts of Dakar, Kolda, Sédhiou, Ziguinchor, Diourbel (Bambey, Mbacké, Touba), Fatick and Thiès (Joal). UNICEF is currently providing support to 150 affected schools and 15,000 households. 1

2 Situation Overview & Humanitarian needs Malnutrition Estimates Estimated Affected Population SMART Total Male Female Total Affected Population by the nutrition crisis 1,529, , ,674 Children Affected (Under 18) 772, , ,767 Children Under Five 254, , ,869 Children 6 to 23 months 101,600 51,652 49,948 Estimated Annual Caseload of Children Under Five with Severe Acute Malnutrition (SAM) ,000* 10,168 9,832 Estimated Annual Caseload of Children Under Five with Moderately Acute Malnutrition (MAM) ,000* 50,800 40,200 Source: UNICEF Humanitarian Action Update June 2012, SMART Survey 2011 (MoH CLM-WFP Senegal SMART survey 2011 estimation of SAM & MAM cases) * See below the ongoing revision of figures according to SMART 2012 The National Nutritional Survey with SMART methods carried out in June 2012 has enabled UNICEF to review the estimated of number of severe cases of malnutrition from 20,000 to 22,336 and the moderate cases estimated from 100,000 to 138,428 children and 54,330 pregnant and lactating women. More importantly, the last national nutritional survey with SMART methods (June 2012) has highlighted new hotspot regions. Based on the results below, UNICEF and government have agreed on a scale up plan to support five additional Regions to the five already covered by UNICEF. Based on needs highlighted in the table below, the new regions are Fatick, Kaffrine, Tamba, Kedougou and Kolda. This direct support would be is in addition to UNICEF s ongoing provision of therapeutic foods for Severe Acute Malnutrition (SAM) treatment in all health facilities countrywide. Prevalence of Global Acute Malnutrition (GAM) and estimated annual caseload of SAM and MAM by region (SMART 2012) Region Prevalence of GAM (%) Estimated expected SAM children DAKAR 6.4 3,556 DIOURBEL 8 1,916 KAFFRINE ,271 TAMBACOUNDA ,976 KOLDA 9.7 1,358 SEDHIOU LOUGA 9.7 1,441 MATAM ,034 SAINT LOUIS ,997 KEDOUGOU THIES FATICK KAOLACK ZIGUINCHOR TOTAL 22,336 2

3 Flooding August-September More than 300,000 people have been affected by flooding due to heavy rains during August and September. Most affected areas are: outskirts of Dakar, Kolda, Sédhiou, Ziguinchor, Diourbel (Bambey, Mbacké, Touba), Fatick and Thiès (Joal). Two UN rapid joint needs assessment missions have taken place on the first and third weeks of September to analyse the resulting damage and needs. In addition to the destruction of homes and disruption of livelihoods, over 150 schools have been flooded, occupied by displaced families or otherwise affected. Some health facilities have been flooded as well, with total loss of medicine and equipment. Immediate action is also required to mitigate public health threats from observed stagnant waters and overflowing latrines. Special attention is focused on border areas where local health authorities are vigilant to the threat of cholera. Local authorities have responded to immediate needs, with UNICEF assistance where needed (Dakar suburb, Saint Louis and Ziguichor). Prepositioned WASH and Education in Emergencies supplies have been used. UNICEF is ready to further respond to any outstanding needs based on ongoing detailed assessments. Programme Response Nutrition Estimated #/% coverage Children 0-59 months with Severe Acute Malnutrition admitted for therapeutic care Children 0-59 months in therapeutic care discharged recovered from SAM Number of Health Centers with SAM treatment Children 0-59 months with MAM enrolled in supplementary feeding programs UNICEF & operational partners Cumulative UNICEF Target % of Target Cluster Target Sector / Cluster Cumulative % of Target 20, , ,000 4, ,000 1, ,000 1, , , ,000 N/A N/A 100,000 12,788 5 N/A (CLM also does MAM supplementary feeding) List of UNICEF Operational Partners: ACF, Ministry of Health, Childfund (CRS, Plan, Africare, World Vision) Note: UNICEF and Cluster Target for SAM related activities are the same; UNICEF is the main supplier of RUTF for cluster partners 1 As planning took place early in the year, targets were fixed with government based on 2011 SMART projections. 2 Based on available data from Matam and Diourbel only. Until September, half of Diourbel districts were not reporting. All other Regions continue to apply health data retention. 3 CLM= Cellule de Lutte contre la Malnutrition 4 Target for direct presence of NGO partners that will ensure quality of interventions. Includes health centers, hospitals, and health posts with SAM treatment. In addition, UNICEF provides all health centers and posts in Senegal-- 34 Hospitals, 107 Health centres and 1,299 Health Posts with therapeutic food for SAM treatment, equipment and training. 5 WFP NB : Due to the inability to obtain data from all health posts (at present approximately 40-50% reporting) it is not possible to accurately reflect the recovery situation. The figures quoted in the chart above are based on reports received only. 3

4 UNICEF support to the CLM 1 has enabled it to increase the frequency (every 2 months instead of 3), density of its coverage and quality of its community-level interventions. This support includes funding of screening equipment, transport for referral of SAM cases, home follow-up and care for recovering SAM children, systemic treatment such as Iron and Vitamin A, and nutritional education of mothers using locally available foods. The resulting CLM activity begins to bear its fruit, with an increase in the number of severely malnourished children screened at community level that arrive at health centers for treatment. Over the past month, the number of reported SAM cases has gone up from 2,736 cases to 4, The CLM has conducted a malnutrition screening campaign in Diourbel this month targeting 228,079 under-five children. Using MUAC, the CLM has screened 201,137 under-five children, of which 9,289 were found to suffer from MAM and 1,223 were cases of SAM for referral. The CLM coverage shows an increase from the June campaign, when 108,025 children were targeted and 126,711 screened. Screening by the CLM is currently ongoing in Matam and results will be shared in upcoming reports. At the government s request, this month UNICEF has scaled up its technical support of the nutritional response to cover three more regions (Thies, Louga and St. Louis). UNICEF has extended its partnership with Action Contre la Faim, who will accompany health personnel on the ground to bolster the quality of nutritional services offered. Under the expanded program, 32 additional Inpatient Facilities (IPF) and 335 Outpatient Therapeutic Programs (OTPs) are being further supported with equipment, training, on-the-job capacity building for treatment, management and monitoring. This is in addition to ongoing activities in 7 IPTs and 216 OTPs in Diourbel, Matam, Kolda and Tamba and to provision of therapeutic feeding inputs. To date Senegal has 34 Hospitals, 107 Health centres and 1299 Health Posts. The Hospitals and Health centres host the IPFs, and the health posts host the OTPs. These health facilities treat the severe acute malnutrition, but there are no data to assess the coverage of this program, due the strike of health worker resulting to the data retention. UNICEF supports treatment of Severe Acute Malnutrition in under-five children nationwide by providing therapeutic foods to government health services. Water, Hygiene and Sanitation Estimated coverage UNICEF Target UNICEF & operational partners Cumulative % of Target Emergency affected population provided with access to safe water 144, , Affected population provided with hygiene kit 15, , Affected population provided with access to designed toilets. 144,216 64, List of UNICEF Operational Partners: Ministry of Health, Ministry of Water and Sanitation, Local authorities (Mayor s office, etc), CBOs, Red Cross 1. There is currently no sector-wide reporting 1 Cellule de Lutte Contre la Malnutrition governmental cell currently conducting screening for malnutrition and care of MAM cases at community level 2 Note that these numbers are based on incomplete health center reports for Diourbel and Matam only 4

5 All 7 IPTs in Matam and Diourbel currently provide the WASH minimum package, with scale up to cover the regions of Thies, Louga and St. Louis almost finalised. Scale up to cover the 30 IPFs in the new areas of intervention (Thies, Louga, St. Louis) should be complete shortly. UNICEF is providing hygiene kits to 15,000 households affected by the recent floods, as well communications materials for the prevention of water-borne diseases in all affected Regions. Health UNICEF & operational partners Estimated #/% coverage Cumulative % of Target UNICEF Target Children <5 receiving measles vaccination 2.5 million N/A N/A Children dewormed months million N/A N/A 6-59 months children provided with Vitamin A million N/A N/A People benefiting from Inter-agency emergency health kits 1,529,000 N/A N/A Families receiving 2 ITNs 20,000 5, List of UNICEF Operational Partners: ACF, Ministry of Health, Childfund (Africare, World Vision, Plan, CRS, CRF). 1 The next Vitamin A and Deworming campaign is expected to take place in December NB: These numbers are targets for UNICEF s ongoing health program, not specifically for the nutrition crisis. Education With the academic year beginning on October 4 th, 22,500 students in ten regions affected by the floods are being supported by UNICEF. 150 schools will receive supplies such as disinfection materials, school-in-a-box, recreation kits and ECD kits, as well as iron supplements for the students. HIV/AIDS Children not responding to treatment at Inpatient Facility level are tested for HIV/AIDS. There have only been two cases of malnourished children testing HIV positive this month. This is consistent with the country s low HIV prevalence rate. Communications A UNICEF-sponsored series of documentary emissions on malnutrition has launched this week on national television. The program will cover different aspects of malnutrition such as identification, treatment and prevention, and will air nationally and internationally on a weekly basis. Wolof language is used alongside French to target female caretakers. A UNICEF communications consultant has assisted the regions of Matam, Diourbel, Thies, St. Louis and Louga to revise their emergency response plans in order to incorporate elements of sensitisation and communication for behavioral change. A 2-hour radio show in a Q&A with experts format also currently airs every other Saturday to improve the population s understanding of malnutrition and good nutrition and hygiene practices. 5

6 Interagency Collaboration and Partnerships The emergency response plan with government is an interagency joint plan. Fortnightly inter-agency coordination meetings are held between WFP-UNICEF- WHO to monitor progress against their joint response plan with MoH. Implementing partners such as ACF and the French Red Cross, and donors (ECHO), have been invited to participate for improved coordination and information sharing. The next meeting to be held on October 2 nd. Two UN joint rapid assessment missions have taken place in response to flooding (first and third week of September). The joint report outlined agreed-upon needs, available contingency supplies and gaps. WFP has launched its project to support 11 Regions with supplementary feeding for moderately malnourished children, and pregnant and lactating women. The project, which is to provide supplementary feeding to 73,455 under-five malnourished children and 19,105 malnourished lactating and pregnant women, had reached 8,513 children and 3,203 women by mid-september. Coordination National coordination meetings take place every two weeks under the leadership of the Ministry of Women Affairs and Social Action, designated by the Prime Minister to monitor progress of the response to the nutritional crisis. A monitoring committee visited Diourbel, Tamba and Kaffrine on September 11 th -14 th. Regional coordination meetings currently take place in Diourbel and Matam regions under leadership of the Regional Governor. All stakeholders are invited to these meetings with the latest taking place in Matam on September 21st. UNICEF has presented the results of the last National Nutritional Survey with SMART methods (June 2012) to the Thematic Group on Food Security and Nutrition, to raise awareness on the situation and current needs. Constraints Although UNICEF has successfully advocated for the release of nutrition response data in Diourbel and Matam, local capacity to report (skills and human resources) is still low, with only about 50% of reports being submitted, and often not on time. In all other regions, the data retention strike by health workers continues to considerably limit access to nutrition data. NGOs specialized in nutrition are limited in number and geographic presence. UNICEF continues to seek partners to support the ongoing response in Fatick, Kaffrine, Tamba, Kedougou and Kolda. Additional funding is needed for scale up of interventions in all crisis-affected regions. 6

7 Funding (in USD, as of 25 September 2012) Total needs for 2012 (HAU) Funds received Gap vs total needs % Funded vs HAU 6,825,560 4,047,560 2,778, UNICEF wishes to express its deep gratitude to all public and private sector donors for the contributions and pledges received, which have made the current response possible. UNICEF would especially like to thank National Committees and donors who have contributed unmarked funding. Unmarked funding gives UNICEF essential flexibility to direct resources and ensure the delivery of life-saving supplies and interventions to where they are needed most especially in the form of longer-term and predictable funding and in strengthening preparedness and resilience building. Continued donor support is critical to continue scaling up the response. Across Sahel, UNICEF received financial and material contributions from: Andorra, Australia, Canada, CERF, Denmark, Estonia, European Commission/EC, Finland, Japan, Netherlands, Norway, Republic of Korea, Spain, Sweden, United Kingdom, United States of America; and the Danish Committee for UNICEF, Finnish Committee for UNICEF, French Committee for UNICEF, German Committee for UNICEF, Hong Kong Committee for UNICEF, Iceland National Committee for UNICEF, Japan Committee for UNICEF, Netherlands Committee for UNICEF, New Zealand Committee for UNICEF, UNICEF Bulgaria, UNICEF-Chile, United Kingdom Committee for UNICEF, United States Fund for UNICEF. Date of next Sitrep: 25 October, 2012 For further information, please contact: Giovanna Barberis Representative Tel: gbarberis@unicef.org Mohamed Azzedine Salah Deputy representative Tel: masalah@unicef.org 7