• The Nutrition Cluster expects that over 2,000,000 people are in need of nutrition assistance in 2018.
• 205,634 children were vaccinated against measles following the declaration of an outbreak in May 2018. As of end of June 1,913 cases and 43 deaths had been reported in 95 districts (21 regions) out of the 117 districts in the country.
• By the end of June more than 22,000 people had fled violence in Paoua, north of Central African Republic (CAR). A total of 103,396 refugees are now living in 3 regions in the south of Chad
• As of end of June, UNICEF HAC is only 32% funded. An additional $36,8 million is required for UNICEF to meet the needs of vulnerable children and women through a multisectoral response and integrated lifesaving response.
• 198,065 students have benefited from a distribution of school materials by UNICEF’s implementing partners
Situation in Numbers
2,500,000 Children in need of humanitarian assistance (UNICEF HAC 2018)
268,837 Children under 5 with Severe Acute Malnutrition targeted in 2018 out of the burden of 362,682 cases (Nutrition Cluster 2018)
188,332 People displaced (IDPs, returnees, refugees, third country nationals) in the Lake Region (OCHA June 2018)
UNICEF Appeal 2018 US$ 54.2 million
Funding available US$ 17.4 million
Situation overview & Humanitarian Needs
Food Security and Nutrition: The nutrition situation continues to deteriorate, with the situation particularly alarming in N’Djamena with 17% of all the reported SAM cases. In response, the Strategic Advisory Group (SAG) composed of UNICEF, WHO, WFP, ALIMA, IRC, ECHO and OCHA and the ICRC as an observer, has developed and validated a multisector Action Plan comprised of nutrition, WASH in Nut and Cash-Based Transfer (CBT) activities for N’Djamena, with a view to reduce morbidity and mortality linked to malnutrition. This plan includes the opening of 16 nutritional units in N’Djamena for 35,000 under 5 children. UNICEF continues to support the management of acute malnutrition with a focus on the Sahel Belt, and a total of 101,551 SAM cases were treated in all the targeted regions during the reporting period. Analysis of routine data for the first five months of the year shows a 20% increase in SAM cases compared to the same period last year (84,979 in 2017 and 101,551 in 2018).
Central African Republic (CAR) refugees in the South: Population movements following clashes between armed groups in Paoua in northern CAR have increased the number of refugees in the South of Chad. Currently, 98,645 refugees are living in the Logone Oriental (65.4%), Mandoul (12.8%) and Moyen Chari (22%). Of these refugees, about 46% are living in camps and the rest in host villages.
UNICEF provided multisectoral assistance to some of the refugees comprised of access to water (8,500 people), immunization (13,350 children vaccinated against measles), nutritional support (837 admitted SAM cases) and the construction of 75 Temporary Learning Spaces (TLS).
Epidemic Outbreaks: The measles epidemic that was officially declared in May continued in June and was one of the main health emergencies that required UNICEF response. By the end of June, 95 districts (out of a total of 117 districts) in 21 regions had reported 1,193 measles cases and 43 deaths. As of June, 12 districts in 9 regions have surpassed the epidemic threshold, i.e. 60% of the samples tested positive for measles within a week.
The regional workshop for cholera preparedness organized by the Senegal-based Cholera Platform was held in N'Djamena from 26 to 27 June 2018. The Lake Chad Basin countries (Niger, Nigeria, Cameroon and Chad), regional organizations (Commission du Bassin du Lac Tchad, Communauté Economique des Etats de l’Afrique Centrale) and the country, regional and headquarters offices of the United Nations agencies, met to discuss the threat that cholera continues to pose to public health and agree on how to put efforts together to improve cross-border surveillance and response.