UNICEF Chad Humanitarian Situation Report, 31 August 2019

Report
from UN Children's Fund
Published on 31 Aug 2019

Highlights

• 49 cases of cholera and two deaths have been reported in the Mayo Kebbi Ouest province in southern Chad. UNICEF has continued to support the Government’s response by monitoring water quality, organising social mobilisation and awareness sessions, as well as distributing WASH supplies for the affected population.

• Over one million suspected cases of malaria and 1,162 deaths have been reported since the beginning of the year. UNICEF is supporting the Government by organising chemoprophylaxis campaigns and by supplying anti-malarial drugs.

• 41,181 severely malnourished children were admitted and treated in UNICEF-supported health facilities during the reporting month. Since the beginning of the year, the number of severely malnourished children has increased by 32% compared to the same period in 2018.

• As of August 2019, only 41% of the HAC funding requirement is covered. An additional US$ 27 million is urgently required for UNICEF to provide lifesaving assistance to vulnerable children and women through an integrated multisectoral response.

SITUATION IN NUMBERS

2,300,000
children in need of humanitarian assistance (UNICEF HAC 2019)

304,589
Under 5 children with Severe Acute Malnutrition targeted in 2019 (Nutrition Cluster 2018)

192,041
People displaced (Internally Displaced Persons, returnees, refugees, third-country nationals) in Lac Province (OCHA, May 2019)

UNICEF Appeal 2019
US$ 46 million

Situation Overview & Humanitarian Needs

Chad continues to face a cholera outbreak in the Mayo Kebbi Ouest province the southwest of the country Chad. The first cases in Chad, suspected to have originated from neighbouring Cameroon, were reported in mid-July 2019. In response to the outbreak, the Ministry of Public Health deployed medical equipment and additional staff to assist local authorities and health personnel in response to the outbreak. UNICEF Chad continued to implement its prevention and response support programme against the cholera outbreak in Mayo Kebbi Est province with a focus on strengthening the health system and sensitising communities on hygiene promotion. Medical equipment, essentials drugs and WASH supplies were distributed to the two cholera treatment centres set up by MSF-Holland. Thirty social mobilisers have been trained on case identification and fourteen chlorinating personnel have been trained on water treatment. In addition, the two cholera treatment centres received WASH minimum package. Communities were also sensitised through mass communication campaigns on cholera and hygiene promotion sessions and 52 handwashing stations were provided in public spaces such as market (1) and at public gatherings (two churches and one mosque) during religious celebrations. Open-air defecation, limited access to clean water, population gathering, and trans-border movements to and from Cameroon are some of the many challenges faced by the response. A total of 49 cases and two deaths have been reported as of week 34 (Service de Surveillance Epidémiologique Intégrée, SSEI).

23,887 measles cases and 234 deaths (1% lethality rate) have been reported in the country as of week 34 (Service de Surveillance Epidémiologique Intégrée, SSEI). The number of cases reported has been consistently declining since week 23 as a result of coordinated interventions, including an immunisation campaign organised by the Ministry of Public Health and its partners. The measles emergency response plan that was developed by the platform of technical experts set up by the Ministry of Public Health has been approved by the Inter-Agency Coordination Committee (ICC). This plan has recommended that a follow-up campaign be organised in the 33 districts still facing the epidemic at the time the plan was elaborated.