UNICEF Mali Situation Report End of Year

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1 UNICEF Mali Situation Report End of Year HEADLINES In 2013, UNICEF s nutrition component assisted 119,993 children under 5 with severe acute malnutrition. There are currently eight children in detention on terrorism related charges in Bamako. They were arrested before the signing of the July 1st MOU between the Government of Mali and the United Nations. UNICEF and MINUSMA are advocating for their release. In December, UNICEF WASH completed 350 water point technical assessments in Timbuktu region in support of the Regional Water Directorate, will lead to rehabilitation in The UNICEF-led Education Cluster reports that partners support the schooling of 86% students and 80% teachers in conflict-affected areas through provision of learning and teaching materials. In 2013, UNICEF Mail received $US 34.9 million in funding, was only 38 the amount requested to respond to humanitarian needs. For 2014, UNICEF Mali requires $74.6 million to provide urgent assistance over the course of the next year. UPDATE OF THE HUMANITARIAN SITUATION UNICEF Mali / 2013 / Bindra Mali Situation at a Glance : 2013 Total population (census 2009) 1 14,528,662 Children under 18 (census 2009) 7,453,080 Children Under 5 (census 2009) 3,114,000 Children Under Five with Severe Acute Malnutrition (SAM) 2 210,000 Children Under Five with Moderate Acute Malnutrition (MAM) 2 450,000 Internally Displaced Population 3 218,000 1

2 Refugees in Neighbouring countries 4 168,000 Number of Separated/Unaccompanied Children registered Dec Feb 2013 (verified) 767 (Of 86 non-accompanied) Number of gender-based violence cases reported (as of 31 December) 5 3,330 Number of mine/ UXO victims The National Institute of Statistics undertook a review of the national population in May 2013, based upon growth estimates from the 2009 census age groups were not disaggregated in this revision. 2 Cluster Nutrition, 2013 CAP, based upon data from the 2011 SMART surveys; 3 Commission de Movement des Populations, 27 November UNHCR, 30 November These are only GBV cases reported in the 4 regions where UNICEF partners are working on GBV (Kayes, Koulikoro, Mopti and Bamako), all are emergency related cases. 651 survivors are children. Of the total number of cases 2,018 opted to receive treatment, including 599 children. 6 Since March 2012 there have been 51 child victims including 6 child deaths; There were 50 accidents in 2013, of half were children. Of the casualties there were 8 deaths, of 3 were children. Reporting mechanism coordinated with UNMAS and Handicap International. According to provisional data from Early Warning System for the month of December 2013, over 800,000 people in Mali are food insecure at crisis or emergency levels, while 2.3 million people classified as stressed regarding food security. In 2013, humanitarian actors provided food assistance to more than 1.4 million people in support of the Government. The number of functional health facilities is progressively improving in the North, with the return of more displaced health workers and the increasing presence of NGO partners. The proportion of functional health facilities now stands at 93% for Timbuktu, 68% for Gao and 53% for Kidal as of the end of the year Two Regional Health Directorates are also now operational in Gao and Timbuktu regions. Kidal has yet to resume due to insecurity in that zone. In general, 2013 was characterized by outbreaks of infectious diseases such as cholera, with 22 cases all in the North and sporadic outbreaks of measles cases across the country. A total of 734 measles cases were reported across all regions, compared to 620 the previous year. The increasing trend of malaria cases seen over the last two years continued in Mali has still been able to retain its polio free status in 2013, despite the major operational challenges across the country. KEY SECTOR HIGHLIGHTS: CHILD PROTECTION, EDUCATION, NUTRITION AND WASH In response to challenges posed by the complex crisis in Mali in 2013, UNICEF provided technical support to the Ministry of Education to develop an Emergency Action Plan ( ) focusing on the resumption of quality educational activities in conflict-affected areas. UNICEF, with the Ministry of Education, has supported the return to school of about 463,000 children, representing 2/3 of the 800,000 children that have been affected by the crisis. This number includes children and teachers provided support for the school year, children enrolled in catch-up classes and children and teachers provided support for the ongoing school year, began in October for southern Mali and November for northern Mali (for data on the school year, please see the table on page 5). Education needs assessments conducted by the Education Cluster have allowed a better identification of the most affected children and communities. This resulted in a more effective prioritization of the interventions targeting educational authorities, students (3-15 years), parents, teachers and school management committees. In 2013, Cluster partners supported the schooling of 86% targeted students and 80% targeted teachers in the conflict-affected areas through provision of learning and teaching materials. UNICEF s Child Protection response prioritises programmes to assist vulnerable children, including prevention of violence, exploitation, and abuse. UNICEF s programme to support the reintegration of children formerly associated with armed groups prioritises psychosocial support and a focus on family reintegration. To date, 263,403 1 beneficiaries (173,684 children and 89,719 adults) have been reached by Child Protection Sub-Cluster members through different activities such as awareness sessions (51 total beneficiaries), psychosocial and recreational activities (41 total beneficiaries), referral (Medical/Legal) and Identification, Documentation, Tracing and Reunification (FTR) services. UNICEF, in support of the Mopti Regional Bureau for the Promotion of Women, Children and the Family trained 150 new community mobilisers on the risks of explosive remnants of war (ERW). In Gao and Timbuktu, 95 people including 30 community focal points, 15 civil protection staff, 20 health 1 All Child Protection except MRE. 2

3 focal points and 30 teachers were trained through cooperation between UNICEF and Handicap International. Operational presence of 49 Child Protection sub-cluster member organizations involved in child protection in emergencies across the country. This presence has achieved the 273,402 beneficiaries to date, including 183,550 children in various areas (psychosocial support, prevention, awareness and education mines). In line with the improving access to healthcare, UNICEF support to partners has expanded to 133 health facilities and sites, represents more than two thirds of the total health facilities in the North. As of the end of the year, UNICEF exceeded the planned number of health facilities benefitting from assistance. Assistance has been in the form of essential medicines and human resources support. New partners that have been associated with UNICEF include Save the Children, working in Timbuktu region, and Premiere Urgence Aide Medicale Internationale in Gao region. As of December 2013, UNICEF was able to provide substantial quantities of malaria and cholera kits to government and NGO implementing partners over the year and supported the conduct of two major vaccination campaigns reaching more than 250,000 children in the North. In 2013, UNICEF-led Nutrition Cluster partners operational coverage areas supported 60 health districts, up from 38% in 2012 at the national level. This has ensured the nutritional management of 344,514 children, of 224,521 MAM and 119,993 SAM, reaching 96 children targeted by UNICEF for nutritional support. UNICEF WASH surpassed its target for the number of people who received access to an improved potable water source due to activities completed to benefit the populations of the three northern cities of Gao, Kidal and Timbuktu (see table below for data). Improving water networks, pumps and helping to secure ways to ensure more constant access to water (e.g. provision of alternate electricity generators to power water systems) are included in these recently completed activities in the North. CONFLICT AND RECOVERY RESPONSE UNICEF & operational partners Sector / Cluster Sector Indicator UNICEF results (#) Cluster results (#) WASH Number of people who received temporary access to potable 1,549, ,840 57% 2,000,000 1,010,369 51% chlorinated water of sufficient quantity 1 Number of people who received access to an 153% 136, , % 250, ,887 improved potable water source Number of households received a hygiene kit & a community hygiene 200,000 54,864 27% 200,000 88,857 44% awareness session (in conflict affected areas) 2 Health / nutrition centres received WASH interventions (latrines / 47% % safe water/ chlorine products / hygiene promotion) 3 UNICEF Operational Partners: ACF-E, ACTED, CARE, Handicap International, IRC, MDM-B, Oxfam-GB, Solidarités International. 1 Hygiene kits are a response to short-term emergencies such as cholera, flooding or displacement. UNICEF has focused on sustainable systems such as improved potable water sources, and temporary support to chlorination of water systems. 2 This indicator was developed taking into consideration potential need for additional IDPs or disease outbreaks, though adequate prevention of outbreaks such as cholera and a relatively static displacement situation limited needs in this regard. 3 The interventions listed here are only those are complete. While work is on-going for many projects, it is not reflected in this indicator until all aspects are included. 3

4 Health Child Protection Number of people in measles-affected areas reached with vaccination activities northern regions and Mopti) 1 367, ,367 57% Number of people in measles-affected areas reached with vaccination 1,362,943 1,635, % activities southern regions) 1 Number of people with access to health facilities supported by UNICEF 1,320, ,895 59% partners Number of health facilities supported by % UNICEF Number of children under 5 provided Vitamin A in each round of integrated vaccination in the conflict affected North 276, ,134 61% UNICEF Operational Partners: ALIMA, MDM. Number of people reached by community level Mine Risk Education activities Number of personnel trained to conduct Mine Risk Education activities Number of children released from armed forces or groups provided with care / support 1 Number of children released from armed forces or groups reunited with families/ tutors Number of GBV survivors who receive appropriate care and support (medical, psychosocial, economic, judicial services) 5 100, , % Not defined % ,050 1, % Not defined 279,065 n/a 1,188 n/a UNICEF Operational Partners: ENDA/BNCE, Handicap International, IRC, Sini Sanuman, Samu Social, Tagne, Terre des Hommes Caritas, IOM, UNMAS, InterSOS. The number of people reached by community level Mine Risk Education now includes a broader range of partners including from MAG in Ségou. 1 In the area of MRE education, the performance exceeds by far the plan. This is due to a number of reasons: a) At the time of planning access was still limited and it was only realistic to target 100,000 beneficiaries. When the area opened up, it was possible to reach far more beneficiaries than initially planned, b) the targeting of schools for MRE made it possible to reach more beneficiaries than planned. 2 UNICEF supported the Regional Directorate for Social Development to train 500 personnel on MRE and GBV in August and September. In addition to numbers mentioned above, 703 persons were trained as master trainers and supervisors to strengthen community awareness building capabilities... 3 To date all children confirmed as released from armed forces or groups have been taken into care. There are now two centres to support children released by armed groups or forces being supported by UNICEF. When new cases are and children released from armed groups, UNICEF is providing care and support through its implementing partner. 4 A total of 28 children were of one child received care but was not associated with armed groups. 5 While the initial target was 750, the Child Protection Section has increased the target to 1,050 through the end of the year in consideration of the current capacity to respond. The total number of GBV cases is higher nationally and UNFPA is the lead for the GBV Sub-Cluster. 4

5 Education Communication for Development (C4D) IDP children in host schools/ conflict or flood affected children benefitting from Education Supplies northern regions and southern regions 1 Teachers trained to provide psychosocial support to students Temporary learning spaces installed 500, ,276 33% 803, ,308 25% 3,000 3, % 5,000 3,989 80% % % UNICEF Operational Partners: ACAS, APADL, APROMORS, CRADE, GARDL, Danish Refugee Council, Handicap International, International Rescue Committee, Plan International/Mali, Save the Children. In northern regions government authorities are now re-established and a limited number of NGO partners are scaling up capacity. 1 This number includes children that have received school kits since late October 2013, including 114,241 children in the North. The Ministry of Education Back to School initiative, supported by UNICEF, has children in the vulnerable areas (risk of natural disasters, impact of nutrition crisis and political crisis) in need of immediate education support. to be reached through the Back to School campaign. Number of mobilisation visits to concessions/ households Number of group discussions on Essential Family Practices 759,846 7,177 1% 78,983 10,330 13% C4D has only re-signed a PCA with ASDAP in October; the PCA for the other C4D partner RECOTRADE has not yet come into effect. NUTRITION RESPONSE Sector Indicator UNICEF & operational partners UNICEF results (North / Cluster Sector / Cluster results (#) (North / Nutrition New admissions to programmes for the treatment of children with severe acute malnutrition (SAM) with no complications (URENAS) 1 125,000 New admissions to programmes for the treatment of children with severe acute malnutrition (SAM) with complications (URENI) New admissions to programmes for the treatment of children with moderate acute malnutrition (MAM) (URENAM) 2 Percentage of health areas supported by NGOs for treatment of acute malnutrition (~70%) 107,246 (of 14,002 North / 93,244 12,747 of 1,197 North / 11,550 South % 96% 125, (of 14,002 North / 93,244 12,747 of 1,197 North / 911,550 South 96% 270, ,521 61% 900 (~70%) % 5

6 WASH Education UNICEF Operational Partners: ACF-E, Alima-AMCP, ASDAP, AVSF, IRC, MDM-B, MDM-F. 18 operational partners supporting 543 health structures of 1,264 nationwide. Supported centres not supported by UNICEF partners in Timbuktu are assisted by MSF. 1 Since November the numbers in the North have been The target of 125,000 compared to an annual burden of 210,000 was rationally defined in consultation with partners. Each NGO has given its planning figure and how many children they expect to admit for SAM treatment (this corresponds to 69% coverage). This is the total number of health areas covered minus those covered by MSF do not receive support from UNICEF. 3 For districts that do not have the support of NGOs for the year 2013, theoretical coverage is at 36.9%, highlighting the lack of capacity / dedicated personal support of acute malnutrition, active screening, and logistics capabilities. Number of severely malnourished children in treatment programmes who receive hygiene kits and hygiene promotion 1 74,172 11,997 16% 74,172 11,997 16% UNICEF Operational Partners: ACF-E, ACTED, CARE, Handicap International, IRC, MDM-B, Oxfam-GB, Solidarités International. UNICEF has a dynamic target for the number of malnourished children reached with WASH kits, based upon the actual number of children newly admitted into the SAM treatment programmes. All new UNICEF nutrition partnerships agreements now include WASH in Nutrition components. 1 Limited specific funding inhibits the WASH component s ability to achieve these WASH in Nut objectives. In the first half of 2013 WASH in Nutrition systematically imbedded in Nutrition PCAs, means this target was set later than some of the other WASH targets. Numbers will be higher in 2014 due to a sizeable grant from DFID, will be directed specifically toward achieving WASH in Nut objectives. 2 This number takes into consideration operational coverage and funding gaps, explains why the target has not been reached. In addition, there remains additional data to be collected to report on these numbers. Note that the average target achieved for SAM and MAM is 61%. Number of stimulation and recreational functional centres for malnourished children % % UNICEF Operational Partners: Plan Mali, Save the Children, ARDIL, IRC, APADL, CRADE, ACAS, GARDL, APROMORS 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5,000 - Quarterly evolution of the number of new cases of Acute Malnutrition UREN admitted from 2011 to 2013 (Source: UNICEFled Nutrition Cluster, 31 December ,136 33,006 30,493 20,358 7,141 9,850 5,122 6,211 6,009 16,141 17,222 8,925 Quarter 1 Quarter 2 Quarter 3 Quarter Comparing the nutrition response from 2011 to 2013, the number of children admitted to nutritional support centres (UREN) for SAM has more than tripled. This is due to largely a number of factors, including improved support provided at these centres, improved community-level support for malnutrition and due to an increase in the number of partners providing assistance. HUMAN RESOURCES In January 2013, UNICEF Mali had a total of 135 staff employed. As of 16 December 2013, the office has 194 staff (55 IP, 58 National Officers, 69 General Staff, including 40 Temporary staff), 3 by stand-by partners, 8 Consultants and 1 UNICEF Staff on mission. This increase was due to the implementation of the new CPMP, specifically tailored to allow MCO to respond to the continued humanitarian and political crisis, and the war in the northern part of the country. SUPPLY AND LOGISTICS 6

7 Since January 2013, UNICEF has distributed 3,160 metric tons (MT) of supplies for a total value of $10,618, Some 287 truckloads delivered aid in the South (a total 1,871 MT) and 210 truckloads in the North (1,289 MT). UNICEF 2013 FUNDING (IN US$ AS OF 31 DECEMBER) Sector Original UNICEF Emergency Funding Requirements for 2013 (US$) Revised Requirements as per CAP/HAC MYR June 2013 Received to date * Unmet requirements (US$) % Unfunded Nutrition 34,770,000 35,950,877 16,511,466 19,439,411 54% Health 6,741,000 6,741,000 4,199,875 2,541,125 38% WASH 19,159,059 22,800,731 6,189,306 16,611,425 73% Education 7,725,400 12,509,627 3,361,158 9,148,469 73% Child Protection 9,270,708 9,270,708 2,073,399 7,197,309 78% Cluster/Sector Coordination 4,333,096 4,647,735 1,187,429 3,460,307 74% Total allocated 33,522,632 Not allocated 81,999,263 91,920,678 1,440,049 56,957,997 62% Total Received 34,962,681 UNICEF wishes to express gratitude to all public and private sector donors for the contributions and pledges received, have made the current response possible. UNICEF would especially like to thank National Committees and donors who have contributed non-earmarked funding. Non-earmarked 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. Continued donor support is critical to continue scaling up the response. Since 2012 UNICEF Mali has received financial and material contributions from: Australia, Brazil, Canada, CERF, DFID, Estonia, European Commission/EC, Finland, Japan, Netherlands, Luxemburg, Poland, Republic of Korea, Spain, Sweden, Switzerland, 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, Swedish Committee for UNICEF, UNICEF Bulgaria, UNICEF Canada, UNICEF Chile, United Kingdom Committee for UNICEF, United States Fund for UNICEF. Mr. Gianfranco Rotigliano Representative (A.I.) Telephone: (+223) grotigliano@unicef.org For further information, please contact: Mr. Hector Calderon Chief of Communications Telephone: (+223) hcalderon@unicef.org Ms. Josephine Ferreiro Resource Mobilization Specialist Telephone: (+223) jferreiro@unicef.org 7

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