• October 2017 MIRA preliminary results showed a deterioration in the nutrition status of children with 4 provinces above 10 per cent for MAM and 6 provinces above 2 per cent for SAM (WHO emergency threshold). UNICEF is supporting the Ministry of Health to conduct a SMART survey which will provide additional information on the situation by January 2018.
• The HNO 2018 showed that 3.5 million people, including 2 million children, are affected by the on-going political crisis and the associated economic down-turn. As a result, 2.3 million people will be targeted in the 2018 HRP, more than double last year target.
• The number of malaria cases is decreasing (6,891,291 cases with 3,017 deaths) dropping under the, same time last year. Malaria cases usually increase by the end of the year due to the rainy season. This demonstrates the positive impact of the response measures implemented by partners.
Situation Overview and Humanitarian Needs
The socio-political situation in Burundi continues to exacerbate movement of population, increasing the humanitarian needs of children across the country. There are a total of 390,914 Burundi refugees in the region, the majority of whom are children (54.6 per cent), while the number of internally displaced people (IDPs) registered in eighteen provinces has decreased to 189,000 (IOM, October 2017), of which 58 per cent are children. The UNHCR-led repatriation plan is proceeding with 9,713 people (including 5,439 children) returning to Burundi from 7 September – 24 November 2017 (UNHCR, November 2017). An estimated 40,000 people have spontaneously returned.
Cholera continues to be of concern in Burundi. There are multiple small outbreaks which are, up to now, contained but are the consequence of an increasing shortage of safe water since the beginning of the political crisis in 2015 and the budget reduction in this sector. Since January 2017, there were 336 cases in five health districts, among whom 132 are children reporting zero deaths, (Cibitoke: 205 cases; Isare: 32 Bujumbura Nord: 7; Nyanza-Lac: 30, Mpanda: 30 and Bubanza: 32). All cases were identified and treated in local health structures.
The number of malaria cases has dropped substantially, and are at lower level than in 2016 level for same period. This demonstrates the positive impact of the measures implemented these last months by partners within the malaria response plan, especially the nationwide mosquito nets distribution. According to the Ministry of Health (MoH) data, the cumulative number of malaria cases reported during the first 46 weeks of 2017 has reached (6,891,291 cases with 3,017 deaths compared to the same period in 2016 (6,863,285 cases and 3,288 deaths).