Afghanistan

UNICEF Afghanistan: Western Region Drought Response Humanitarian Situation Report #2 (30 September 2018)

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Highlights
- As of 30 September, 142,632 people reached (92% of target) with safe drinking water through water trucking, and 44,120 people (55% of target) including women and children gained access to functional toilets.
- Through mobile health and nutrition teams in Herat and Badghis provinces, 6,326 (18% of target) severely acutely malnourished (SAM) and 2,622 moderately acutely malnourished (MAM) children have been admitted to the UNICEF supported treatment programme provided.
- Given the low vaccination rate in the areas of origin, measles Supplementary Immunisation Activity (SIA) conducted in Badghis and vaccinated 28,757 (37% of target) children 9 months to 10 years old. 18,514 children under 5yrs have received polio vaccination in Herat and Badghis.
- Quality education services were provided to over 4,510 children (23% of target) and adolescents (50% of girls) in Herat and Badghis provinces, by establishing 112 Temporary Learning Space (TLS), providing teaching and learning materials and facilitating the recruitment of 49 teachers.
- 7,685 children (52% of target) were also reached with psychosocial support and 246 children were referred to case management services.

Situation Overview & Humanitarian Needs

The total number of registered IDPs both in Badghis and Herat remained stable in the last few weeks, with 15,560 families (95,365 individuals) reportedly in Badghis, and 11,954 families (83,678 individuals) registered in Herat IDP sites. In late September, the Afghan National Disaster Management Agency (ANDMA) in Herat, received petitions from 12,000 families as new arrivals. These new arrivals have settled among previous IDPs in the various sites and are receiving assistance in water, sanitation and hygiene (WASH) and health/nutrition as they await registration to receive food, cash and NFIs.

The situation of shelter and food remains a critical gap. A major concern is IDPs sites in Badghis, which are located on dry river beds and prone to flash flooding risk in the fast approaching rainy and winter season. As such, the poor shelters combined with cold nights, windy and dusty conditions in the IDPs sites exposes children, especially the very young to the risk of Acute Respiratory Infections (ARIs). As per mobile health teams (MHTs) registration data, in Herat number of ARI cases reduced from 1,176 cases in August to 817 cases in September however, in Badghis 18% of referred patients are ARI cases. As a result of scale up in WASH response number of diarrhoea decreased from 720 cases in August to 602 cases in September 2018.

In Herat, the proportion of severe acute malnourished children among MUAC screened IDPs decreased from 13% in August to 9% in September, while the proportion of moderate acute malnourished children remained unchanged at around 17%. The limited coverage of general food distribution both at place of origin and at displacement sites have contributed to persistently high proportion of moderate acute malnourished cases. A household survey was undertaken in Herat and Badghis to identify school aged children (6-18yrs). It indicated around 10,000 school-age girls and boys (6-18 years old) are out of school in the seven IDP sites. Most of these IDP children were reported to have had no access to education prior to their displacement, i.e. at their places of origin.