• The ongoing cholera outbreak in the North region spread to the Littoral region in September. The North region remains the most affected region, accounting for 317 out of 394 cases with 30 out of 31 deaths reported as of 28 September. UNICEF, together with the national and other humanitarian actors, continues to support and implement cholera response and prevention activities.
• In the regions of Littoral and West, a joint assessment mission was organised by an UN interagency team, and the Directorate of Civil Protection to assess the needs of people who were displaced from the North West and South West regions. Needs identified included education, shelter and food. The estimated number of IDPs in these regions are currently being reviewed.
• UNICEF’s programmes in the North West and South West have reached 22,000 people in September.
Situation Overview & Humanitarian Needs
Estimates shared by OCHA based on information from NGOs indicate that 350,000 people are internally displaced in the North West and South West regions. UNICEF is implementing programs in WASH, Health, Child Protection and Communication for Development (C4D) to affected populations through which UNICEF has reached 22,000 people in the month of September. Due to the ongoing crisis in the aforementioned two regions, increased displacements have been reported into the regions of Littoral and West. To assess the needs of these people, a joint assessment mission was organised by an interagency team comprising UNOCHA, UNICEF, UNHCR, UNFPA, WFP and WHO, and the Directorate of Civil Protection from 25-28 September. Preliminary findings indicate that education, shelter/non-food items (NFIs), and food are the priority needs, while all sectors including child protection, education, health, nutrition and water/sanitation require further technical assessments. The underlying protection concerns were also expressed in terms of need for psychosocial support and reissuance of ID documents.
The estimated number of displaced people in Littoral and West regions are being reviewed and will be available next month.
In the Far North region, the academic year 2018/2019 started effectively from 3 September in all the three divisions (Logone and Chari, Mayo Sava and Mayo Tsanaga) the most affected by the Lake Chad Basin crisis. According to the Delegation of Basic Education, 19 out of 25 schools were opened for new school year in Mayo Sava division. This reopening of schools was authorised after a risk security study conducted by the administration and the military.
Children originally enrolled attend these schools, together with IDP children. In Mayo Tsanaga division, 1 out of 18 was reopened while there is no school previously closed reopened in Logone and Chari, including one school in Amtchoukouli, occupied by military forces. While the overall number of security incidents in the region has declined over the past few months, largely the border areas of Logone and Chari, Mayo Sava and Mayo Tsanaga continue to suffer incursions by the non-state armed groups (NSAGs), with 390 families reportedly newly displaced to host families in Mozogo or to spontaneous sites in Nguétchéwé in Mayo Tsanaga division, according to the multi-sectoral assessment report by the Rapid Response Mechanism. NFIs, water wells and latrines were identified as urgent needs by the assessment. These findings will be used for discussion among humanitarian actors to provide support to the displaced people.
As reported previously in August, due to the continuous flow of arrivals, the need for assistance in Zamai IDP site continues to increase. UNICEF will provide assistance in terms of latrines and hygiene promotion: 72 latrines for 1,440 IDPs, and WASH kits to 2,270 IDPs. Based on assessments conducted in the divisions of Logone and Chari, Mayo Sava, and Mayo Tsanaga respectively in April, May and July, UNICEF is preparing responses in Child Protection, WASH,Education, Health and C4D.
According to the DTM (IOM Displacement Tracking Matrix Round 14, June 2018), in the Far North region, the number of IDPs dropped from 238,099 in April 2018 to 227,581 in June 2018 (a decrease of 4.6%), while the number of unregistered refugees and returnees increased from 31,681 to 39,403 (20% increase), and 83,141 to 92,238 returnees (10% increase) respectively. Most of these populations, 176,976 people, remain in Logone and Chari division.
According to United Nations Department of Safety and Security (UNDSS), the number of security incidents in the Far North region has decreased from January 2018 (51) to September 2018 (17), which presumably contributed to the reduction of internal displacements and increase of returnees.
The cholera outbreak that emerged in the North region in mid-May spread to the Littoral region in September. The North region remains the most affected region, accounting for 317 out of 394 cases with 30 out of 31 deaths reported as of 28 September. UNICEF continues to support the response by providing affected areas with basic WASH kits (buckets and soap etc.) and chlorine tablets for water purification. UNICEF is also supporting the training of Community Health Workers (CHWs) and sensitising local populations about cholera by disseminating prevention information through community radio stations. UNICEF conducted a joint mission (WASH, Health, and C4D) to the North region to support the heath delegation in cholera coordination and the response.No major change was observed in the flow of refugees during the month of September in the regions of the East,
Adamawa and North. Arrivals continue in isolation in small numbers or individually especially in the Kadei division (including Batouri and Bombe Pana) and Lom and Djerem division (including Garoua-Boulai and Betare Oya).
To provide sustainable solutions to the needs of the refugees from Central African Republic (CAR) and host communities in the East region, UNICEF, in conjunction with UNHCR, UNDP, WFP, UNFPA, FAO and UNWOMEN, organised a programming workshop on the resilience. The workshop identified four priority areas: 1) access to basic social services, 2) economic resilience, 3) social and community resilience, and 4) environmental resilience.