M MALI Humanitarian Situation Report SITUATION IN NUMBERS Highlights Given the ongoing outbreak in neighboring Guinea, UNICEF Mali continues working on Ebola prevention with UNICEF Guinea and local partners. The 6-month regional and district C4D plans will be implemented in the areas of Sikasso and Kayes starting from July. The increased recurrence of fighting in Northern Mali resulted in a 37% increase in internal displacement between April and June. By 1 June, 59,565 new internally displaced persons had been reported across the regions of Timbuktu (54,441), Gao (3,041) and Mopti (2,083). Several areas of Gao and Timbuktu regions in Northern Mali are confronted with water scarcity that was particularly severe this year (up to 75 % of traditional water point dried up). UNICEF and cluster partners are repairing 50 boreholes in Timbuktu region. By end of May 513,388 children under 5 were administered the polio oral vaccine in the Northern regions. In May, in collaboration with WHO, UNICEF supported the Ministry of Health for the campaign against measles in Kidal, which resulted in vaccinating 24,859 children out of a target of 38,881 (63%). Over 430 schools remained closed at the end of the school year in June 2015. UNICEF is currently providing education assistance to 1,579 displaced students in Gourma Rharous (Timbuktu) to catch up on lost school days during the summer vacation. Since the beginning of the year UNICEF and partners reached 148,063 people, of which 50% youth and children, through Mine Risk Education activities in Gao and Tombouctou regions. 1,319 children were further supported via community-based CP services, referral services and reintegration opportunities. According to the latest nutrition surveys conducted in Gao, the prevalence of GAM and SAM were respectively 11.3% and 2.3%. In the Kidal Region, the GAM and SAM prevalence were respectively 5.7% and 1.0% showing a critical nutritional situation. In May, UNICEF contributed to inter-agency mission of CADRI, Capacity for Disaster Reduction Initiative. The assessment report is currently being prepared and will include recommendations contributing to the development of a national action plan for disaster risk reduction. 31 July 2015 1.7 million # Of children affected by the crisis 2.4 million # of people affected by the crisis (SRP Figure, OCHA 2015) Internally Displaced 90,218 # of IDPs (DTM, 17 June 2015) Refugees 136,721 # of registered refugees (UNHCR, 30 June 2015) UNICEF Appeal 2015 US$ 37.5 million Key Humanitarian Performance Indicators UNICEF s Response with partners SITUATION IN NUMBERS UNICEF Cumulative results (#) UNICEF Target Cluster Target Sector/Cluster Cumulative results (#) # SAM children receiving a WASH kit and hygiene promotion session 40,000 6,449 136,000 8,585 # health centres with minimum WASH package 100 34 280 179 # children under five reached each round of polio campaign in Northern region 536,996 513,338
# of U-5 children newly admitted for treatment of severe acute malnutrition (with and without complications) 136,000 49,369 136,000 49,369 # of people reached by community level Mine Risk Activities 250,000 148,063 325,000 258,641 Estimated Affected Population (Estimates calculated based on figures from the Mali HAC, 2015) Start of humanitarian response: June 2012 Mali at a glance Affected Population 1 2,400,000 Children Affected (Under 18) 1,700,000 Children Under Five with Severe Acute Malnutrition (SAM) 181,000 Children Under Five with Moderate Acute Malnutrition (MAM) 534,000 People at risk of cholera 1,138,226 People at potential flood risk 60,000 Number of mine/ UXO victims assisted in 2015 12 Summary of key humanitarian response Response to the recent displacement in the North The multiple incidents including attacks by armed groups and violent clashes, which particularly escalated in May, have resulted in displacement and raising insecurity in Timbuktu, Gao and Mopti regions. At the onset of the crisis, UNICEF, through partnership with Handicap International, immediately provided water purification tablets to over 20,000 people in Gourma- Rharous in Timbuktu region. To analyse further the need of the displaced populations, UNICEF has supported a multisectoral assessment conducted by Norwegian Refugee Council (NRC) and Handicap International, focusing on Gourma Rharous in Timbuktu, covering Education, Child Protection, Shelter/NFI, Food security, WASH, and risk of mines and explosives. In partnership with NRC and Handicap International, UNICEF has provided basic family water kits and mosquito nets as well as education materials. UNICEF also supported International Medical Corps (IMC) with essential medical supplies, to reinforce the capacity of Centres de Santé de Référence (CSREF) and 5 Centre de Santé Communautaire (CSCOMs) in Gourma Rharous (Timbuktu). In Goundam (Timbuktu), UNICEF has also supported Solidarités International in providing water purification powders and hygiene sensitization, reaching approximately 2,400 people. In Gao, UNICEF Zonal Office has been supporting the regional authorities in responding to the needs of those displaced in Ansongo through provision of basic WASH supplies and cooking utensils. Ebola response Since the beginning of the crisis UNICEF has continued working with partners to strengthen regular health and transit centres, as well as raising awareness among communities on the EVD risks and preventive practices. In particular: Strengthening capacity of health centres: UNICEF contributed to establishing 6 transit and observation units in health centres and border areas in Sikasso, Kayes and Koulikoro regions. Together with the NGOs partners, UNICEF supported increasing the functionality of nearly 300 health centres (through the provision of equipment, medical supplies, WASH facilities), while training 282 health agents. Awareness raising on prevention and preparedness in communities: UNICEF supported the government partners to develop regional and district strategic plans, which have been implemented in Sikasso and Kayes regions since July. Activities include training and engagement of community leaders (religious leaders, women s groups, school directors) to raise awareness by strengthening community brigades; awareness caravans that provide information on prevention and modes of transmission to at-risk communities (including mining sites); raising awareness through the media including radio, television, and social media; and the promotion of hygienic practices including hand washing stations in places of worship, schools, and in public spaces. To further strengthen the cross-border collaboration, a cross-border meeting to develop a strategy with local partners and UNICEF Guinea was organized with the aim to reinforce surveillance and community engagement activities in the border areas. UNICEF is currently supporting the Ministry of Religious Affairs in training the religious leaders on safe burial practices in Kayes and Sikasso regions. Prevention at schools: The UNICEF Education Section organized a Knowledge, Attitude and Practice (KAP) survey on children, teachers and community members in 5 zones throughout the country. The survey results indicate that in Kayes and Bamako, 84% out of 1,705 children in school and 312 out of school children are aware how Ebola is transmitted. However, in Yanfolila and Selingue in Sikasso region, 21% of the interviewees are not aware that Ebola can be transmitted by direct contact. The results will allow UNICEF and partners to identify the priority areas and to improve the key messages.
Summary of Program Responses WASH Several areas of Gao and Timbuktu regions in Northern Mali are faced with acute water shortage which is particularly severe this year (up to 75 % of traditional water sources dried up). UNICEF, in collaboration with NGOs and Regional Directorate of Civil Protection, is currently supporting water-trucking to the most affected area in Gao, including IDPs. UNICEF, through partnership with Handicap International, immediately distributed water purification tablets to over 20,000 people in Gourma Rharous in Timbuktu region and water purification powders in Goundam, reaching approximately 2,400 people. UNICEF is further supporting the Regional Directorate of Hydraulic to repair 50 boreholes in Timbuktu region, in villages between Timbuktu and Gourma Rharous hosting those displaced in the aftermath of May fighting. Child Protection Since the beginning of the year, UNICEF and partners reached 148,063 people, of which 50% youth and children, through Mine Risk Education activities in Gao and Timbuktu regions. Furthermore 1,319 children were supported via community-based child protection services, referral services and reintegration opportunities. 402 survivors of Gender Based Violence (GBV) affected by the conflict were provided with psychosocial and medical care in Mopti by Family Care International (FCI). In order to challenge gender adverse norms which perpetuate GBV, FCI reached 13,521 community members in Douentza (Mopti region) through community awareness and mobilization activities. 35 partners including international, local NGOs and public services were trained in Information Management (IM) and in the Monitoring and Reporting Mechanism (MRM) in Mopti, Timbuktu and Gao to improve data collection and analysis in addition to reporting on the grave violations of children. In 2015, to date, 8 boys formerly associated with armed groups have received residential care at the Bamako based Centre for Transit and Orientation (CTO); 5 have been successfully reunified with their families while 3 remain in the centre. The 3 boys currently at the centre were released from armed groups in June 2015. Education At the beginning of the year the Education Cluster, led by UNICEF and Save the Children, organized a strategic workshop to promote the restoration of education in Kidal and Menaka regions. In the regions of Gao, Mopti and Timbuktu, Education Cluster members contributed to reach 2,028 children through alternative education. The resumption of hostilities lead to a total of 430 schools closed and 20,500 children unable to attend schools. UNICEF, in partnership with the Ministry of Education and the Norwegian Refugee Council, is providing education assistance to 1,579 displaced students in Gourma Rharous (Timbuktu) to catch up lost school days. Furthermore, in Kidal and Menaka, 5,000 children are benefiting from an accelerated learning programme, while 680 adolescents are provided with vocational training, in collaboration with IRC. To date, UNICEF and Handicap International provided psycho-cognitive support and stimulation for 800 children affected by malnutrition in Timbuktu. They also carried out awareness campaigns on early childhood development for 3,523 parents on the importance of psycho social stimulation for malnourished children. 28 health and social development agents were trained as counsellors to deliver the Care for Child Development intervention. 7 stimulation centers have been established and are functional. Health UNICEF focused its response on the polio and measles vaccination campaigns which took place from the 6 th to the 9 th of February and from the 17 th to the 26 th of March 2015 respectively. 277,345 children were vaccinated in Timbuktu, 299,453 in Gao and 6,590 in Kidal against polio. 152,587 children were vaccinated in Timbuktu, 120,525 in Gao and 9,747 in Kidal against measles. In May, in coordination with WHO, UNICEF supported the Ministry of Health for the campaign against measles in Kidal, which reached 24,859 children, 63% out of a target of 38,881. Furthermore, 245 IEHKs (Interagency Emergency Health Kits) and 245 delivery tables were distributed to 245 health centers in Kayes, Koulikoro, Ségou, Mopti, Tombouctou, Gao and Bamako for coverage of up to 2,450,000 people. Nutrition The results of the two nutrition surveys carried out with SMART methodology showed that the nutrition situation in both Gao and Kidal regions significantly worsened since 2011.The prevalence of GAM and SAM (severe acute malnutrition) in the Region of Gao were respectively 11.3% and 2,3% which correspond to a serious nutritional situation according to WHO classification. In the Region of Kidal the GAM and SAM prevalence were respectively 5.7% and 1.0% showing a critical nutritional situation. In April UNICEF developed the second quarterly distribution plan for CMAM (Community-based Management of Acute Malnutrition) supplies in 6 regions of the South (the distribution plan in the North had already taken place in March). UNICEF further finalised an agreement with INRSP (Institut National de Recherché sur la Santé Publique) to conduct a qualitative research in Bafoulabe, Sikasso, Mopti, Timbuktu and Bamako, where SAM treatment coverage had been classified as low during the National SLEAC (Simplified Lot Quality Assurance Sampling Evaluation of Access and Coverage survey). The research is being carried out over 3 months (May-July 2015) and should inform strategies to increase access to SAM treatment in these 5 areas of low coverage. In June, UNICEF distributed therapeutic supplies and essential drugs (third quarterly distribution plan) for the treatment of SAM amongst children, in all the 3 regions of the North.
Training sessions on quality control of salt, for 258 agents (health, customs, commerce, and competition departments) were carried out in each district of Mopti region. Security In an extremely volatile context, the lack of humanitarian access to certain areas in the North, as well as part of Mopti and Segou regions, posed operational challenges to humanitarian actors. In March 2015 a truck of ICRC was attacked in Gao region, resulting in one death and one injured. Incidents in Bamako and in the North brought to ten the total number of UN (MINUSMA) casualties from hostile acts during the last six months. While the insecurity persists, the Peace Agreement signed by all the major parties on the 20 th of June opened prospects for Mali s recovery and longer-term perspectives, with a view to reversing the setbacks induced by the political and security crisis. Funding Appeal Sector Requirements Funds received Funding gap $ % Nutrition 13,300,000 4,211,591 9,088,409 68% Health 3,000,000 415,652 2,584,348 86% WASH 11,000,000 0 11,000,000 100% Education 5,000,000 1,084,331 3,915,669 78% Child Protection 4,000,000 0 4,000,000 100% Cluster Coordination 1,200,000 329,985 870,015 73% allocated 5,691,560 Not allocated 37,500,000 1,414,967 31,458,440 78% Received 7,106,527 UNICEF is appealing for US$37,500,000 to meet the humanitarian needs of children and women in Mali in 2015. As of 20 July 2015, $7,106,527 were received, and 78 per cent still is required against the 2015 appeal. Summary of program results WATER, SANITATION & HYGIENE Affected population provided with access to safe water (construction/ rehabilitation) Number of SAM children receiving a WASH kit and hygiene promotion session Number of health centers with minimum WASH package EDUCATION # children with access to alternative education activities (boys / girls) # young children with access to activities of awakening and development (boys/girls) # children benefiting from the education program for peacebuilding (boys / girls) 2 # of People Affected 649,800 281,690 2015 Target 441,600 1 Cluster Response Results Change since last report 50,603 2015 Target 32,000 UNICEF and IPs Results Change since last report 4,400 136,000 103,843 40,000 6,449 280 179 100 34 30,000 5,635 25,000 2,051 10,000 1,476 5,000 1,476 260,921 0-100,000 0 - HEALTH # children under five reached each round of polio campaign in Northern region 1,557,775 536,996 513,338-1 The target change is due to the recalculation of the supply capacity of 400 manually operated pumps. 2 Although PBF activities have already started, no result has been reported to date. The results will be informed starting from the next SitRep.
# children under five in measles affected areas reached with vaccination activities - Northern regions # health facilities reached with UNICEF assistance (cold chain, logistics etc.) NUTRITION New admissions to programs for the treatment of U5 children with severe acute malnutrition 315,386 282,879 190 0-181,000 181,000 56,225 181,000 56,225 New admissions to programs for the treatment of U5 children with moderate acute malnutrition # of health centers offering malnutrition treatment 534,300 534,300 114,371 534,300 114,371 1,307 1,307 - CHILD PROTECTION # of people reached by community level Mine Risk Activities # children victims of/or at risk of violence, abuse and exploitation (including EAFGAs, ENAs/ES) with access to referral services and reintegration opportunities # survivors of GBV who receive appropriate care & support (desegregated by sex & age: women, girls, boys and men) 600,000 325,000 258,641 250,000 148,063 5,000 1,319 1,500 1,319 1,000 402 Next SitRep: 30 September 2015 UNICEF Mail Crisis Facebook: https://www.facebook.com/pages/unicef-mali/396303583734755 UNICEF Mail and Refugees Humanitarian Action for Children Appeal: http://www.unicef.org/appeals/mali.html Who to contact for further Information: Mr. Fran Equiza Representative Telephone: (+223) 75995849 fequiza@unicef.org Mr. Hector Calderon Chief of Communications Telephone: (+223) 75 99 40 89 hcalderon@unicef.org Ms. Josephine Ferreiro Resource Mobilization Specialist Telephone: (+223)75 99 54 19 jferreiro@unicef.org