UNICEF Angola Situation Report Aug 2001
- UNICEF Executive Director, Carol Bellamy, visited Angola on mission from 7-10 August, meeting with child parliamentarians, government counter-parts and partners and visiting UNICEF-supported projects in Luanda, Bie, Malange & Cabinda provinces.
- The National Birth Registration Campaign was launched on 9 August by the Minister of Justice, Executive Director Carol Bellamy and other partners.
- The second round of the Polio National Immunisation Days (NIDs) was carried out in all 18 provinces with a reported 3.4 million children vaccinated.
A - Health and Nutrition
The Ministry of Health (MoH) provided the following vaccines to the EPI programme: BCG 4,310,000 doses; DTP 80,000 doses; T.T. 240,000 doses, and Yellow Fever 3,000 doses. The amount of BCG doses bought by the MoH is enough to cover the entire country's needs until 2004. This contribution, the first in ten years, constitutes a remarkable advance in the government's commitment to basic health care. UNICEF also distributed 132,000 doses of Yellow Fever vaccine to the MoH. Since the beginning of the year, the total amount of vaccines distributed by UNICEF are: BCG: 130,000; Measles: 1,741,000; DTP: 188,000; T.T: 220,000; Yellow Fever: 132,000; and, OPV: 18,458,600. The total financial contribution by UNICEF to the EPI in vaccines, syringes and vaccination material up to August is almost US$4 million.
The second polio NIDs took place from 10-12 August and included the distribution of vitamin A to children between 6 to 48 months. A reported total of 3,467,117 children below 5 years old were vaccinated during the campaign, reaching 138 of the 164 municipalities of the country. This result represents an average coverage of 82%, but ranges vary from 46% in Kuando Kubango to 175% in Lunda Sul. Vitamin A coverage was reported at 62% of targeted children. In the Luanda municipality of Cazenga, the largest in the country, a decline from 92% coverage in the first Polio NIDs to only 54% in the second round was recorded, due to poor planning and implementation and a marked decrease in the number of vaccinators.
It is noted however, that the figure of 3.46 million under-five vaccinated yields a national population of roughly 17.3 million people and therefore it is felt that neither the numerators nor the denominators for the campaign coverage yield credible results. To address this problem a coverage survey on the second round of NIDs was agreed upon and prepared jointly by the MoH, INE, UNICEF, WHO and CORE. Unfortunately, the survey was postponed due to last minute changes by one of the institutions. These coverage surveys could solve concerns about both denominators and numerators and yield more accurate results.
Access is one of the main remaining obstacles to polio eradication in Angola. 5-15% of the total population is estimated to live in inaccessible areas, a number large enough to maintain the circulation of the poliovirus and thereby jeopardise efforts made in accessible areas. In the Huambo municipality of Katchiungo, vaccinators were ambushed on 9 August while distributing vaccination materials. On 12 August, 6 villages around Huambo were attacked (Regidoria-Sahemba, Cachilenge, Cambuiu, Bongo, Miapia, Sawala) and many houses burnt by agents allegedly opposed to the NIDs. Some people were reported abducted during the attack and while the vaccinators were not harmed, they had to disperse and a hired vehicles was abandoned.
The synchronisation of the NIDs among neighbouring countries continued in the second round. Some of the Angolan populations living in Cabinda communes along the DRC border were vaccinated during these NIDs by Congolese teams. Congolese teams also vaccinated several areas of Uige never reached in earlier NIDs.
Outbreaks of Immune-Preventable Diseases
Measles outbreaks in different municipalities of the country were discussed with MSF-Holland, France, Switzerland and Spain, to coordinate field operations and common strategies in support of provincial health delegations. According to epidemiological data retrieved from these outbreaks, measles cases are affecting children outside the traditional target group for measles vaccination (9-48 months), leading to a discussion on the adequacy of the measles target groups.
UNICEF and WHO supported the Provincial Health Delegation of Benguela and MSF France in conducting an emergency vaccination campaign in Balombo municipality against meningitis. In total 23,911 people were vaccinated and a number of meningitis cases were treated. UNICEF support included the provision of the cold chain, syringes, fuel for the cold chain and logistics.
A two-day training of trainers workshop on ITN techniques took place this month. The training involved 36 women from Promaica, a Catholic organization working with Caritas, which has family-based activities in social promotion, hygiene and health education. The objective is to accelerate access to ITNs to families. Initially, 4,500 nets and insecticides were distributed to Caritas-Luanda to support ITN promotion. Mosquito nets and insecticide were distributed to the following provinces conducting ITN activities: Benguela (8,600 nets); Bengo (2,800 nets); Bie (2,800 nets); Huambo (8,600 nets); Luanda (12,000 nets); Malanje (4,600 nets); Moxico (2,800 nets); Uige (4,700 nets); and, Zaire (2,800 nets).
UNICEF Angola participated in the Southern African Roll Back Malaria (RBM) meeting organised by WHO, UNICEF, DFID, UNDP and other RBM partners, both public and private. UNICEF participated in a one hour Radio Programme on Malaria on "Radio Cidade" (Radio Nacional de Angola), together with NMCP and the Luanda Health Director. The main topics were the status of RBM activities in Luanda and malaria prevention tips for the population.
A MoU to train 6 nutrition technicians from the National Nutrition Programme and some provincial delegations of health as nutritional surveyors was finalised with ACH. The objective of the 6 months of training is to improve the MoH's capacity through overall training in planning, operationalisation and analysing the nutrition situation. A self-training module on the management of severe malnutrition was revised through recommendations of the participants in the first Management of Severe Malnutrition workshop held in Benguela from 28 July-10 August.
The review and analysis of therapeutic feeding centres (TFCs), admissions and nutritional surveys was updated up to the end of June and presented at the nutrition network meeting. Main findings include: In the first half of 2001, the number of TFCs decreased in Huambo and Malanje, increased in Bie and remained the same in Benguela, Moxico, Cuando-Cubango, and Uige; In July, 16 TFCs were operating; In March, when according to seasonal trends the highest number of admissions is expected, 58% fewer admissions were registered this year as compared to 2000; In May, due to the influx of IDPs in Kuito and Camacupa, 68% of the total admissions in the country were registered in the TFCs of Kuito; Provincial admissions reflected a stable situation, reflecting only a seasonal trend (peaking in March and decreasing in the following months) in the accessible areas of Moxico and Uige; In Kuito and Camacupa, the number of admissions remained over 800 in July after a peak of 1,000 admissions in May; In Huambo in April, May and June the number of admissions increased 20% in the TFC of Caala due to an influx of people coming from the adjacent non-accessible areas.
Findings also showed that there is a need to improve care in several of the TFCs, as the mortality and abandon rate has been above 10% since the last quarter of year 2000. Since the beginning of the year in areas where TFCs operate, 13 nutritional surveys have been carried out - 8 with the support of UNICEF. Finally, it is noted that only Ganda and Kuito reported a GRM above 10% (z-score <3). UNICEF participated in a subgroup constituted to review the methodologies of the next Vulnerability Assessment exercise planned for September/October 2001. Seven nutritional surveillance kits to support anthropometrical measurements in 7 supplementary feeding centres in Huambo were delivered to Save the Children UK. MINSA Huambo received equipment for the next nutritional survey to be held in September and the MINSA-run TFC in Bengo received therapeutic milk from UNICEF.
A draft of a three-year Iodine Deficiency Disorders and Salt Iodisation Plan, supported by UNICEF, was successfully undertaken in Luanda. Sixteen technicians, including the Provincial Directors of Fisheries of Kwanza Sul, Benguela and Namibe and representatives of the Ministries of Fishery, Commerce, Health and Agriculture participated in a three-day workshop to produce the draft which includes objectives, strategies, activities and indicators for progress.
A first half-2001 progress review of the UNICEF-GoA maternal mortality reduction project activities in Kilamba-Kiaxi (located on the outskirts of Luanda), revealed an increased demand of services following the up-grade of the local maternity hospital with maternity equipment and drug/supplies replenishment. Despite a 10% increase in the 3,400 deliveries of the year 2000, the number of delivery complications referrals from the hospital to the 3rd level L. Paim hospital decreased by 50%. Maternal deaths in Kilamba-Kiaxi were also audited during the same time, targeting half of the 12 deaths recorded during the period. The major conclusion of the study is that UNICEF should include activities for the rehabilitation of the intensive care unit and community support for the early referral of difficult deliveries. Late referrals cause 70% of maternal deaths within 48 hours of hospital admission.
B- Water and Sanitation
The water section followed up on projects in Bengo Province. A meeting was held with DNA to evaluate the status of all projects planned for 2001, focusing on the level of implementation, constraints and strategies for improvement. Thirty family latrines were constructed in Cassai, Lobito municipality, benefiting 30 families and 54 more were constructed in Asseke, Benguela Province benefiting 54 families. UNICEF supported seminars for 29 participants on latrine construction in Cunene and Huila Provinces and in Benguela Province, DPA produced 242 platforms for latrines. A Clean-Up campaign took place in Damba Maria market, Benguela Province, with 50 participants and sensitization activities for 300 people in Damba Maria market were conducted on hygiene and environmental sanitation. Three seminars on Hygiene Education using the PHAST methodology took place in: Benguela Province for 25 participants from several NGOs (Oxfam, ADPP, Pastoral da Criança, etc.) and DPA; Namibe Province for 15 participants from DPA; and, Uige Province for 36 participants from several communities.
Education activities concentrated on training: TEP courses for IDP teachers were implemented in Kuito and Huambo; a course for TEP supervisors was held in Luena; and, workshops on methodologies for teachers, principals and supervisors both for pre-school and primary education were developed in Benguela, Uige and Malange provinces. A national delegation participated in the Kampala meeting on Girls Education for all African Leaders and preparation took place for a national workshop on Women's Literacy that will be launched in September. Studies on distributing educational materials at the provincial level were initiated in Benguela and Lubango, as well as studies on educational services at the community level in the same provinces. A technical team on literacy for health, hygiene and sanitation began its work defining contents and methodologies for 1,000 literacy groups. The elaboration of a Methodological Guide and additional material for young volunteers working with child learning groups was concluded. The material will be tested during the last quarter of this school year.
D- Child Protection
The national birth registration campaign launch took place on 9 August in Malange Province with the participation of the UNICEF Executive Director, the Ministers of Justice, Family, Health and other Vice Minister members of the Inter-Ministerial Commission for Birth Registration. On 8 August, the President of the National Assembly officially declared the second phase of the campaign open at the Palacio dos Congresso in Luanda. Initial birth registration progressed well and during the first two weeks, 4,100 children were registered in Luanda, 2,841 in Kuito, 2,591 in Lobito, 1,088 in Malange and 1,193 in Uige for a total of 11,813 registered children. To expand birth registration activities throughout Angola and to benefit more children during September, the Minister of Justice signed 2 partnership agreements with the Catholic and the Methodist churches. Advocacy among private companies to support the campaign led to a donation from Chevron of $15,000 and a material donation from Odebrecht of 25,000 pens, 20,000 books and 25,000 pencils. Eighteen staff from the NGOs Concern and MSF working in the TFCs in Huambo Province were trained in psycho-social stimulation. The staff will consequently be able to work with children and mothers through specific recreation and dance activities to help improve communication skills between mothers, staff and children for better monitoring, care and interaction and improved focus on children needs.
E- Information and Communication
Advocacy and External Relations
Three press releases were produced and distributed to national and international media regarding the UNICEF Executive Director's 7-10 August mission to Angola in which UNICEF's Chief of Polio and OCHA's Senior Adviser from Geneva also participated. UNICEF worked closely with all international and national media based in Angola and with the CNN television crew who participated throughout the Executive Director's mission in Luanda, Kuito, Malange and Cabinda provinces.
The Executive Director's mission included meetings with child parliamentarians, senior government counter-parts and representatives of UN agencies, NGOs, donors and other partners. Provincial field activities included visits to UNICEF-supported projects, IDP camps, TFCs and the launching of the national Child Registration Campaign in Malange and the launch of the second round of Polio NIDs in Cabinda. The Executive Director also participated in a "Say Yes for Children" advocacy event at INAC, which included dialogue between the UNICEF Executive Director and Angolan child parliamentarians, large-size banner voting and the participation of special "Say Yes" advocates, As Gingas in the presence of international and national media. Interviews were also conducted with BBC Radio and with provincial media, as well as appearing in IRIN. At the end of the Executive Director's mission, a press conference was held in which the UNSG Representative, the Humanitarian Assistance Coordinator, UNICEF's Chief of Polio, the OCHA Senior Adviser and the UNICEF Angola Representative also participated. The conference was covered by: VOA, CNN, RTP-Africa, Xinhua, TPA-TV, RNA, Jornal de Angola, Radio Ecclesia, Radio LAC, LUSA, ANGOP, Independente and Agora. Updates of the mission were also posted on the UNICEF web-site and briefed at the Palais des Nations press conferences.
The UNICEF travelling photo exhibition was set up in Malange and Bie Provinces, featuring 25 large, black & white photos with advocacy messages related to issues of concern to UNICEF Angola. Inexpensively produced, the plastified photos can easily be put up and removed virtually anywhere. After staying in a provincial office for a month, they will then be sent to the next province until sufficient photos are produced for all provinces. In Uige, UNICEF implemented a 3-day media seminar on "Children and Women in the Media" during which journalists received information about UNICEF's mandate and work in Angola and briefings on the following main documents: CRC, CEDAW and SOWCR. They also worked in teams to develop 4 conceptual frameworks regarding: the causes and manifestations of malaria, HIV/AIDS, malnutrition and separated children; a table on the status of child rights in Uige; and, a programme for their intervention as child friendly journalists. OCHA also participated with topics on humanitarian assistance and humanitarian journalism. For the polio NIDs, UNICEF supported the production of radio spots in 6 national languages, broadcast free of charge by national radio. The Angolan Writers Association also included polio eradication during their August Seresta - a new, strong ally in polio eradication efforts. The UNICEF-produced civic education booklet, Epa! on Polio was included as a free insert in Jornal de Angola, Angola's largest circulation newspaper. A press release was issued marking Breastfeeding Week and a joint press release and advocacy ceremony was conducted at the Israeli Embassy to announce the extension of cooperation between the Israeli Government and UNICEF on mine awareness.
To take stock of all developments under the GMC and the "Say Yes for Children" campaign, the national television Janela Aberta programme hosted GMC partners on its 27 August programme, including UNICEF, NGO and Government representatives, 2 child parliamentarians and As Gingas. Activities discussed were: the upcoming UNGASS on Children; the release of abducted children in Caxito; the Angola End of Decade report; various Say Yes advocacy events; the participation of As Gingas; the voting conducted by all members of Parliament at the National Assembly; and, the assistance of the national media in promoting "Say Yes".
The HIV/AIDS section has been identifying youth groups that focus on HIV/AIDS prevention through social mobilization. The identification process has lead to the submission of numerous proposals for funding, which are now under review. A mission to Uige was undertaken to evaluate the needs of an active local youth group, JAS, that promotes HIV prevention through social mobilization and community theater. Two visits were also made to the Luanda bairros of Marcal and Boavista, to evaluate 2 NGOs that work with IDPs on HIV/AIDS awareness. ADPCI is working in Boavista and planting the seeds of a youth-to-youth project while those in the Marcal neighborhood are working with a national NGO, ACORD, on a sensitization project.
Technical assistance was provided to Population Services International (PSI) on their KAP/Sero-Prevalence study with commercial sex workers in Luanda as well as in other provincial hubs. After attending a conference in Kampala in July, UNICEF is actively planning a mother-to-child-transmission (MTCT) project that will include voluntary testing and counseling as well as the prevention of MTCT. The office has also been assisting the Government in Angola in their preparations for the "Workshop on Strengthening Monitoring and Evaluation of National AIDS Programs in the Context of Expanded Response," that will be held in Dakar, Senegal. Finally, the new International HIV/AIDS Project Officer arrived in mid-August to begin her duties.
From 20-24 August, UNICEF held a seminar in Luanda with the principle partners of mine awareness. Sixteen people attended this event that focused upon NGO capacity building, administrative procedures and contingency planning for emergencies. Participants included 3 Theatre Groups, 3 NGOs, INAROEE and the Ministry of Education & Culture. During the seminar, 3 new contracts were agreed between UNICEF and the theatre groups for community mine awareness activities in Uige, Moxico and Malange for September, October and November 2001. During the seminar it was calculated that during the last three months approximately 18,000 children and women received information about mine accident avoidance from the 3 theatre groups and 3 NGOs. Two visits to the provinces by mine awareness staff took place in August. The first visit was to Malanje to observe community-based mine awareness drama and puppet shows and to assist in a course designed for 35 teachers delivering mines awareness within schools. The second visit was to Kuanza Sul to assist Ministry of Education officials launch mine awareness activities within schools across the province. UNICEF materials were also sent to another teacher training course in Cunene, where a further 25 teachers benefited from mine awareness instruction. Under an agreement signed with the Israeli Embassy and UNICEF, four Israeli mine awareness secondees will join the UNICEF project in October 2001. The secondees will be deployed to Uige, Malanje, Moxico and Huambo.
Activities were devoted to mobilizing the population for the 10-12 August NIDs, through a media-oriented campaign which included: radio spots by Angolan celebrities: As Gingas, Man-Torras, Miguel Lutondo, Miss Angola, Estrelhinha Cuia, etc.; radio spots in national languages; radio round table discussions and interviews; television spots, interviews and talk shows; publication of Epa! and Xe! on Polio-NIDs; international football match public events; operation Stop Polio; social mobilization training seminars with church organizations and Scout leaders; Scout house-to-house visits; visits by the polio mascot Estrelhina Cuia to schools and markets; and, the provincial distribution and public display of large-size Polio-NID banners.
F- UNICEF Field Offices
Several security incidents were reported as well as 2 mine accidents. Nine municipalities took part in the second round of Polio NIDs which included the administration of vitamin A, with the exception of Caimbambo where vitamin A will be administered during the third round. 666,250 children under 5 years were vaccinated. UNICEF, in partnership with the Provincial and Municipal Departments of Health, WHO and CRS supported the NIDs with micro-planning, human resources, mapping, monitoring and evaluation. A joint evaluation carried out with the partners revealed constraints and successes to be taken into account for the next round of NIDs. An evaluation was also conducted into the increase of admissions in the TFCs between January and June. The conclusion highlighted the necessity to create a nutritional network with a management system and continuous evaluation. UNICEF, in partnership with the Provincial and Municipal Health Department, distributed bed frames and 89 impregnated mosquito nets to the Maternity Wa
rd, 'Amigo da Crianca', in Lobito. UNICEF participated in a seminar together with 36 health technicians, run by the Ministry of Health to improve the use of health information systems and quality of services. UNICEF and CRS/Lobito also promoted a national workshop on the management of severe malnutrition held in the province. The objective of the global workshop was to assist participants in dealing with the management of severe malnutrition and to create an understanding of the link between theory and practice. UNICEF provided 3,000 ORTs to health centres in Cubal municipality who are working in the programme of CRS/Caritas Child Health, supporting 14 communities, with 54,229 beneficiaries.
In the area of water and sanitation, UNICEF held a seminar for 35 technicians from ADPP, Pastoral da Crianca, Provincial Department of Water and Sanitation and ADAMA. The objectives of the seminar were to: evaluate the workplan established in year 2000; identify the constraints in the implementation strategies of the programme with the use of PHAST methodology; and, assess new academic materials for use in communities.
48 teachers benefited from a capacity-building TEP course in Cubala municipality. In Cubala municipality there are now 21 TEP classes with 517 students (238 girls) and 7 mini-schools with 1,808 students (811 girls). In support to the TEP and mini-school projects, UNICEF distributed TEP kits, educational materials and bicycles to various locations in the province benefiting a total of 2,081 students, 362 teachers and 8 supervisors. The national birth registration campaign registered 2,597 children in the cities of Benguela, Lobito and Baia Farta by the end of August. UNICEF also distributed various materials to assist 65 street children as well as providing materials in support of a capacity building seminar for 60 women leaders.
Due to a high level of security incidents, more IDPs have arrived in Camacupa and Kuito and five mine accidents were reported. Preliminary results of the Polio NIDs indicate that 279,072 children under 5 years were vaccinated. UNICEF financed a measles vaccination campaign in Chinguar municipality where Africare and PAV vaccinated 22,878 children against measles and 15,657 children against TT. Two basic teachers courses were concluded with 80 new teachers trained. A total of 1,359 children were registered under the birth registration campaign. 200 Girl & Boy Scouts were mobilised for the polio campaign, with house to house visits and distribution of the UNICEF-produced Epa! booklet on polio.
The Polio NIDs were disrupted by security incidents at two locations in Huambo Province (please see health section). Sporadic attacks were also registered at vicinities of Cuima (50 km from Caala), creating a state of insecurity in the village. An unconfirmed number of families that had previously and voluntarily returned from the transit camps at Caala to Cuima were forced to re-seek refuge once again at Caala as a consequence of insecurity. Insecurity at Cuima may threaten the continuity of the ADRA-N resettlement project funded by the World Bank.
The Ministry of Health released the official report on the nutrition survey conducted in Huambo in May 2001. The report indicated an acute malnutrition rate of 0.9% and a global malnutrition rate of 4.7%. Though the rates are not critical, the continuous arrival of new IDPs and the non-inclusion of some IDPs at general food distributions in areas attended by CICV (Cruzeiro, Cantao Paola), is cause for alarm.
Two Insecticide Treatment Units (ITUs) were inaugurated on 15 and 22 August in Huambo to increase the accessibility of the population to insecticide treated mosquito nets. Within two weeks of its inauguration, 700 mosquito nets were supplied by UNICEF and distributed mainly to rural populations. Due to the awareness already created, there is very high demand by rural populations, including IDPs. UNICEF rehabilitated the ITUs with the participation of the provincial government. Following the successful launching of the two ITUs in Huambo, UNICEF will rehabilitate 2 additional ITUs at Caala and Ukuma municipalities by the end of the year.
During the second round of Polio NIDs, 206,380 children under five years were vaccinated while 147,762 were administered Vitamin A in all eleven municipalities of the province. Vaccinators accessed a total of 26 comunas - including 3 additional "comunas" at Bailundo with the assistance of government troops - while 12 were not accessed due to insecurity. As a result of the insecurity and the attack on vaccinators, many children remained unvaccinated. High rates of measles in children under five years are still reported at various IDP camps at Cruzeiro, Caliamamo, Ekunha and Ukuma. Following a technical meeting, UNICEF, MSF-F and MoH carried out a measles immunization campaign at Caliamamo and Cruzeiro.
A capacity building seminar supported by UNICEF for 34 school inspectors was concluded on 4 August. The seminar was unique in the sense that all 11 provincial municipalities were fully represented and the seminar was the first of this nature. 54 desks donated by NRC were distributed by UNICEF to the Okutiuka-TEP school, benefiting 100 TEP pupils. Fifty primary school teachers, mainly from Bailundo municipality, are taking part in a six week basic TEP seminar organised and supported jointly by UNICEF and NRC in Huambo. UNICEF is constructing four TEP schools at a resettlement area of Cantao Paola-Caala municipality with local materials. The school is expected to benefit at least 100 displaced children.
DPA and the Canadian NGO, Development Workshop, are implementing water projects at the resettlement areas of Cruzeiro, Kasseque, Cantao Paola and Cassoko. UNICEF provided logistic materials to UAJCA - a national NGO and UNICEF's major HIV/AIDS implementing partner in Huambo - during a two-day sensitization and exhibition of preventive materials for HIV/AIDS & STDs. Twenty-three supervisors of various primary health care units had a four-day training on prevention, diagnosis and treatment of HIV/AIDS & STDs.
A 30-day multiple indicator cluster survey (MICs) was realized within the rural and peri-urban areas of the province albeit with some alterations. With the exception of the municipal town of Ekunha, all other "comunas" previously selected by sampling for studies in the municipality were abandoned due to insecurity. Consequently, Caala municipality was sampled and some of its comunas studied as a replacement with UNICEF providing logistical support.
Huila and the Southern Provinces
The security situation remained unstable in some areas in the southern region, with attacks reported in the provinces of Huila, Kunene and Kuando Kubango. Two mine accidents were reported in Menongue, Kuando Kubango, resulting in the death of a young boy. 639 IDPs arrived in Menongue in August. Health and nutritional activities continue in collaboration with the Departments of Public Health in Namibe, Huila and Kunene. UNICEF actively participated in the planning, coordination and implementation of the second NIDs, where preliminary figures show that 348,273 children were vaccinated against polio in Huila; 38,521 in Kunene and 78,556 in Kunene. Data for Kuando Kubango has yet to be received.
The supervision of salt iodization activities took place in Tombwar and Namibe. The Iodization Commission in Namibe carried out the following activities: regular meetings; local visits to shops, markets and salt production plants; mobilisation activities in schools and restaurants; and a co-ordination meeting to divulge the rapid method for testing the quality of iodization. DPSP Huila carried out nutritional surveys in the IDP centres in Cacula, Hoque and Tchipalakassa. The Tchivinguiro health post received equipment benefiting 5,000 people and 1,000 children under five years of age. Namibe held capacity building training on breastfeeding for 8 public health technicians and 5 traditional midwifes.
The NGO Prazedor with UNICEF support carried out HIV/AIDS awareness activities to promote the protection of youth and the capacity building of other NGOs interested in the subject. The information centre sold 852 condoms and held awareness campaigns benefiting 157 people. A total of 28 awareness campaigns on HIV/AIDS & STDs were held in the Tchioco and Joao de Almeida markets benefiting approximately 500 people. Two awareness campaigns with themes on gonorrhoea and HIV/AIDS and the distribution of red bows and condoms, benefited 31 boys and 30 girls. Prazedor also held cultural events, lectures and other awareness raising activities. The NGO Clube de Jovens, with UNICEF support, carried out 46 mine awareness activities benefiting 783 people in various barrios and IDP centres. The 16-18th editions of "How to Avoid Mine Accidents" were recorded by 24 mini instructors.
A total of 3,503 school children received didactic materials, as well as 28 children in the REMAR project for the rehabilitation and reintegration of street children. A literacy program also received didactic materials benefiting 14,860 men and 10,140 women. In Huila, the national NGO ADCP, with the support of UNICEF, and in partnership of INAC, MINARS and the Catholic Church continued its activities of attendance on health, education, sport and family reintegration of street children. The priority of the project is the material, social and psychological support to children living in the streets. Daily activities include medical assistance, hygiene and the provision of hot meals. The Sao Miguel Church in Chibia municipality also received 50 blankets for 34 orphans.
ICDP (International Child Development Programmes-Huila), and INAC are implementing a project for capacity building on psycho-social recuperation. This is a project of training and awareness for children's attendance and education by parents, educators and guardians on important aspects of their development. The project is financed by UNICEF and is carried out in Matala municipality. The ICDP staff in Matala continues activist training on the principles of good interaction and encouraged the creation of a multi-sectoral group that promotes debates on child rights.
In general, the security situation remained calm, however, some attacks were reported during August, including INAROEE's report of 6 mine accidents. The second phase of the Polio NIDs covered the municipalities of Malanje, Cangandala, Calandula, Caculama and Cambundi-Catembo and vaccinated 87,377 children under five years of age. PAV received diesel and kerosene for the cold chain and syringes for routine vaccination. UNICEF distributed 499 mosquito nets to the provincial ITU for impregnation to benefit 200 families and 299 infants. World Vision's TFC received blankets and BP-5 biscuits to benefit 55 children and plastic canvas and blankets were distributed to benefit 100 children and homes taking care of orphans.
A 5,000-litre water tank was provided to benefit 116 children in the 'Centro de Acolhimento de Criancas de rua Kudielela' as well as 12 zinc roofs to cover public latrines for 150 children. Seven hand-pumps were repaired in 7 different bairros in Malanje municipality, serving a total of 3,272 people and didactic material was distributed for 1,150 TEP pupils. With the support of UNICEF, the NGO Palanca Negra carried out: 13 theatre sessions on mine awareness at 3 locations benefiting 2,200 people; 4 sessions on water and sanitation practices at 4 locations benefiting 763 people; 5 sessions on birth registration at 5 locations benefiting 464 people; and, 4 sessions on health and nutrition at 4 locations benefiting 932 people.
44,743 children were vaccinated against polio and 38,328 received vitamin A during the second phase of the polio NIDs.
The security situation remained calm around Uige municipality. However, military instability has intensified along the border with the DRC. Fighting has been reported in Beu, Makokola, Kangola and Cuilo Futa. One person was killed by a land mine in Cangundo/Negage municipality. During the first two weeks of August, 50 new families arrived from Kimbele to Uige and a further 20 families arrived during the last week. UNICEF participated in the verification and registration of 21 families and all children under 5 years were vaccinated against BCG, DTP, Polio & TT. In total, 536 new IDPs were registered in Uige and Negage.
The new distribution plan of Essential Drug Kits (EDKs) is being implemented with 4 health centres and 8 health posts. An analysis of the measles situation in Uige, together with IMC and WHO, concluded that there is a progressive reduction of measles cases. It was agreed to vaccinate IDPs at the time of verification. UNICEF provided 2 EDKs to CIC-Portugal at the paediatric hospital to reinforce intervention capacity.
Together with local facilitators from the Provincial Water and Public Health department, UNICEF held a 3-day seminar, to introduce the 30 participants to the PHAST methodology and build capacity in the management of small water systems. In partnership with the Provincial Department of Water, UNICEF conducted an assessment for the identification of new water sources in four locations of Uige municipality.
Thirty first-level teachers from non-accessible areas participated in a capacity building seminar, which included topics on mine awareness and health issues. 423 pupils who attended the TEP program have been integrated into formal primary education. The distribution of didactic materials re-commenced with the start of term on 27 August, benefiting 20,000 first-level pupils in 6 municipalities.
At the end of August, 1,800 children had been registered through the birth registration campaign. Nutritional, educational and protection assistance continues with the 'Abrigo' street children project. This month, two of the street children received work placement as field helpers, to assist in their social reintegration. The PEPAM programme of mine awareness in schools continued its work with the involvement of UNICEF, INAROEE and MEC. The JAS group continued with HIV/AIDS mobilisation activities in schools. The MICS began on 30 July with 99.3% of the proposed interviews carried out in Uige and Negage.
(Also available at: www.unicef.org/emerg, www.angonet.org, www.gro.unicef.org & www.reliefweb.int)