Kenya + 2 more

UNICEF Kenya Humanitarian Situation Report, 19 June 2017



• Out of 37,096 children under 5 years screened for acute malnutrition in nine counties in the month of May 2017, 7% were identified as severely malnourished and 25.4% as moderately malnourished with all referred and admitted for treatment.

• Between January and May 2017, a total of 42,579 children have been admitted for treatment of severe acute malnutrition in ASAL, urban and refugees, reaching 51% of UNICEF’s 2017 target.

• People living in many parts of ASALs (where the long rains have ended) are still experiencing long distances between home and water sources, unusually high food prices, and worrying levels of malnutrition.

• Five disease outbreaks continue in parts of the country with Kala zaar (Visceral leishmaniosis) having the highest Case Fatality Rate (CFR) of 3.4 per cent.

• UNICEF Kenya’s humanitarian requirements for 2017 remain underfunded with a funding gap of 48 per cent. Without additional funding, UNICEF will be unable to support the drought emergency response, and mitigate risks of a worsening drought situation for children.

Situation Overview & Humanitarian Needs

The National Drought Management Authority’s (NDMA) early warning bulletin for June indicates that while the long rains have ended, many parts of the Arid and Semi-arid Lands (ASALs) are still experiencing long distances between home and water sources, unusually high food prices, and worrying levels of malnutrition. Being the third consecutive belowaverage rainfall season, the modest recovery conditions in some parts of ASALs are likely to be short-lived. Therefore, the upcoming dry season (June to September) will be a difficult one for the ASALs in terms of malnutrition, access to water and food, particularly for pastoral communities. Insecurity linked to resource-based conflicts has worsened, while Fall Armyworm and African Armyworm infestations continue to threaten crops in marginal agricultural counties, further worsening the prospects for the next harvest.

Disease outbreaks continue in parts of the country with Kenya currently responding to five disease outbreaks. There is an active Cholera outbreak in five counties (Garissa, Nairobi, Muranga, Turkana and Nakuru) with 581 confirmed cases and seven deaths (CFR 1.2 per cent). A dengue fever outbreak also continues in Mombasa and Wajir Counties, with 1,015 cases, and one death (CFR 0.1) reported to date. In addition, 17 cases of Measles were reported in Garissa County’s Dadaab refugee camp with no death reported so far. The last measles case was reported on the 5 th of June, likely to be the end of the outbreak after the measles vaccination campaign in the camps concluded. In Marsabit and Wajir counties, Kalaazar outbreak has resulted to 208 cases and seven deaths (CFR 3.4 per cent). A key challenge for the health sector is the ongoing nurses’ industrial strike over delays in pay since 7th June 2017 which continues to affect access to health services including integrated outreach services across all levels of care.

Kenya continues to receive an increased number of refugees from South Sudan, with 10,772 new arrivals from South Sudan since January 2017. The majority of new arrivals (69.7%) are from Central Equatoria. The situation in Kakuma and Kalobeyei Refugee camps is further aggravated by the ongoing cholera outbreak.

Humanitarian access in East Pokot sub-county (of Baringo County) remains severely constrained due to ongoing intercommunal conflict and security operations by government forces. While the humanitarian situation in the sub-county is of great concern (especially the malnutrition situation); access to the affected population is extremely limited. About fifteen health facilities in the area remain closed, and the remaining nineteen facilities are operating sub-optimally.