UNICEF Chad Humanitarian Situation Report, 30 June 2017
• From 7 to 9 June, a multi-sectoral inter-agency assessment mission was carried out in five villages in the Sub-Prefecture of Kangalom, to assess the conditions of areas of return of formerly displaced persons (around 11,000) returning to the islands. The mission recommended that urgent interventions are needed in the areas of WASH and education since there are no existing facilities.
• Since September 2016, 1,607 suspected cases of Hepatitis E (134 in June) have been reported in the 3 health districts of Salamat, of which 221 cases were tested, 106 confirmed positive (positive rate of 47.9%), and 16 deaths reported (1 in June). The number of suspected cases has increased in June.
• UNICEF water-treatment activities and rehabilitation of water pumps provided 70,677 people with access to clean water in Hepatitis E-affected Salamat region.
• In the South of Chad, 7 unaccompanied children (2 girls and 5 boys) were reunified with their families in RCA and socio-educational and recreational activities were organized in the Child Friendly Spaces of the Danamadja, Kobiteye, Mbitoye, Djako, Maïngama and Mbaïbokoum sites for 3,191 children, including 587 who had never assisted before.
• UNICEF has not received additional funding for lifesaving interventions in June. Overall funding of the 2017 HAC has reached only 34% of the global needs at the mid-year mark.
Situation Overview & Humanitarian Needs
From 7 to 9 June, following reported displacements in the area South-West of Bagasola, a multi-sectoral interagency assessment mission by UNHCR, UNICEF, OCHA, WFP, FAO, IRC and Help-Chad was carried out in five island-villages in the Sub-Prefecture of Kangalom (see map), home to about 11,000 people. The mission recommended that urgent interventions are needed in the areas of WASH and education since there are no existing schools or clean water sources. The areas of food securities (livelihood, food assistance), protection (civil status documents and unaccompanied children), shelter/NFIs and health/nutrition also need rapid interventions. Upon these recommendations, the nutrition cluster, along with WASH and the Health clusters and the GBV working group are planning to set up mobile clinics. The food security cluster will distribute food supplies to 20,000 people in the islands, including to some of the locations identified in the report.
The assessment shows a similar situation to the one found in the islands South of Bol in February where 40,000 people had returned after varying periods of displacement. Humanitarians increasingly seek durable solutions for populations that return, despite logistical difficulties in access and need for security precautions that make a constant presence difficult.
The security situation in the Chad’s Lake region is marked by a deterioration in the protection of civilians in the border areas of Kaiga Kindjiria and Tchukutalia due to ongoing military operations in Niger and Nigeria and to multiple attacks of armed groups in the region. The resurgence of attacks witnessed in May and June has a negative impact on humanitarian access, reducing the possibility of humanitarian interventions in the areas of Kaiga Kindjiria and Tchukutalia, where approximately 15,000 people were reported to be displaced according to IOM (DTM January 2017).
Three waves of surrenders of Chadians from Boko Haram areas across the border were reported in June, for a total of 138 people, of which 52 are children. The group mostly originates from southern and north western Lake region.
After allegedly surrendering to the military, the “surrendered” are transferred to the civilian authorities who place them under the supervision of the village chiefs in their areas of origin. When unaccompanied and separated children are identified, they are referred to the Regional Delegation of social welfare (DRAS) for follow-up and temporary care. 2 unaccompanied children have been identified in May and none in June.
Out of 127,100 displaced people in the Lake Region, 106,045 have been registered by UN organizations (90,911 IDPs, 14,810 Chadian returnees and 324 third-country nationals), 12,759 are estimated displaced persons whose status is yet to be determined, and 8,343 are Nigerian refugees . Displacement tracking matrix (DTM) data is from January, but an update is expected end of July.
In the South, the situation has remains stable for Central African refugees and returnees with no new arrivals reported in June. The total number of refugees in the 8 refugee camps in the Logone Occidental, Logone Oriental, Mandoul and Moyen Chari regions is 68,988 in the south, including the 1,300 newly arrived CAR refugees from April.
Moreover, in these regions almost 68,650 Chadian returnees from CAR still live in sites, and 33,350 returnees live in host villages. The priorities for these areas are the long-term socio-economic integration of displaced populations, access to and quality of basic social services, and the strengthening of livelihoods and local development. Ensuring a humanitarian response at scale is also a pre-requisite for the adoption of this integrated humanitarian/development approach, as well as emergency response preparedness, given the volatile security situation in CAR causing regular influxes of populations fleeing violence in the neighbouring country.
In the East of the country, UNHCR reported that there are 318,473 Sudanese refugees in Chad as of 30 June.
Food security and Nutrition
On 14 June, the Minister of Production, Irrigation and Agricultural Equipment declared that, due to an uneven rainfall and the resulting lack of food for livestock, a pastoral crisis was ongoing in the areas of Barh El Ghazal, Batha, Borkou, Ennedi East, Ennedi West, Kanem, Ouaddai and Wadi Fira, requiring an emergency intervention to preserve the livelihoods of cattle herders in this area. In line with this, the Famine Early Warning System Network (FEWS NET) has reported that food consumption by poor households in the Kanem, Bahr El Gazel (BEG), Wadi Fira and Guera regions deteriorated from Stress (ICP Phase 2) to Crisis (IPC Phase 3). The depletion of food stocks, an early and harsh pastoral lean season, and the decline in purchasing power caused by falling livestock prices were identified as the main causes for this deterioration. In the Lake region, it is the persistence of insecurity that keeps the population in a Crisis situation (IPC Phase 3).
There is currently no data that would hint at a deterioration in the nutritional in the area beyond the annual forecast.
Admissions of children with severe acute malnutrition remain within what can be expected in the lean season (15,700 new admissions in June) with the current level of coverage. The 2017 SMART nutritional survey, which will begin at the end of July, will allow to draw more accurate conclusions on the nutritional situation.
Since September 2016, 1,607 suspected cases of Hepatitis E (134 in June) have been reported in the 3 health districts of Salamat, of which 221 cases were tested and 106 of these confirmed positive (positive rate of 47.9%), and 16 deaths reported (1 this month). Since the Ministry of Public Health officially declared a Hepatitis E epidemic in the region of Salamat, the epidemiologic surveillance has been extended to the region’s 3 health districts and the 42 areas of responsibility (12 in Aboudeia, 18 in Am Timan, and 12 in Haraze health districts). The number of suspected cases has increased this month, and this could be due to the fact that, beside UNICEF’s partner Islamic Relief Worldwide, no other WASH actor is intervening to curb the epidemic transmission in the region. Nevertheless, if compared to the peak of the epidemic, there is a decrease of cases, from an average 80 cases/week in February to 34 cases/week in June. The Amtiman health district keeps being the most affected (65% of the caseload), followed by Aboudeia (35% of the cases). In Haraze health district no case has been reported so far.