UNICEF Kenya Humanitarian Situation Report, 2 to 31 March 2018

Report
from UN Children's Fund
Published on 31 Mar 2018

Highlights

• Following security operations and political tensions, some 10,557 people from the Oromia region in Moyale, Ethiopia, have been displaced across the border to Moyale in Marsabit county, Kenya, since 10 March. More than 80% of the asylum seekers are women and children, including 600 pregnant women and 1,500 children under five. UNICEF is supporting response coordination and is providing WASH, Health, Nutrition, Child Protection and NFIs support.

• UNICEF responded within 72 hours to the Moyale Refugee emergency with technical support, coordination and provision of emergency health supplies, including mosquito nets (LLINs), assorted antibiotics and emergency drug kits, adequate to manage a total of 2,402 children under five years.

• Heavy rains in March have resulted in flooding, resulting in infrastructure damage and affecting 2,747 households across 26 counties

• A total of 12,008 severely malnourished children and 28,504 moderately malnourished children were admitted for treatment by end of February 2018.

• In 2018, UNICEF requires US$ 33.7 million for its Humanitarian Action for Children (HAC) Appeal. The 2018 HAC has a funding gap of 81%. In the reporting period, USD 620,000 from ECHO has been received

Situation in Numbers

2.55 million
People are food insecure
(2017 Short Rains Assessment, March 2018)

3.5 million
People are in urgent need of safe drinking water (Ministry of Water and Irrigation, June 2017)

1.19 million
Children are food insecure
(2017 Short Rains Assessment, March 2018)

85,837
Children under 5 in need of SAM treatment (Nutrition SMART Surveys, February 2018, total caseload)

Situation Overview & Humanitarian Needs

Following security operations and political tensions, some 10,557 people from the Oromia region in Moyale, Ethiopia, have been displaced across the border to Moyale in Marsabit county, Kenya, since 10 March.

Preliminary results of the registration exercise led by UNHCR and the Refugee Affairs Secretariat (RAS) indicates that more than 80% of the asylum seekers are women and children, including 600 pregnant women and 1,500 children under five, and an average household consists of six to seven members. Many other asylum seekers are reportedly being hosted by families within the local population. The most critical needs and gaps in the ongoing response are WASH, Health, Shelter and Protection. Poor sanitation and hygiene due to insufficient latrines and lack of solid waste management is a risk factor for disease outbreak with the ongoing rains. The insecure environment in Somare holding ground, based on its location and topography, exposes women children, and especially girls, to the risk of Sexual and Gender-based Violence. Shelter is also insufficient, causing asylum seekers to occupy Dambala Fachana Health Centre including in the maternity wing, thus disrupting health service provision. There is also reported shortage of essential drugs especially for under- fives, no postnatal beds and inadequate personnel, as there is only one nurse in the health facility.

According to the latest Ministry of Health Disease Outbreak situation report dated 23 March 2018, a total of 39 cases of Measles (7 confirmed) have been reported in Wajir East Sub-County, and 73 cases (4 Confirmed) with one death have been reported in Mandera East Sub County (the last Measles outbreak in the country was in 2016). A total 917 Chikungunya cases with 32 being laboratory confirmed are reported in Mombasa County, and 127 cases have been listed in Lamu County, with 4 cases being laboratory confirmed. An upsurge of flu-like illness was reported in Nanyuki County in mid-February, of which two cases tested positive for AH1N1 pd09 subtype and ten were confirmed to be Influenza A H1N1pdm09 positive. Up to 10 cases of Hepatitis B have been reported in West Pokot County. A total of fourteen counties (Mombasa, Garissa, Siaya, Tharaka-Nithi, Meru, Kirinyaga, Busia, Tana-River, Turkana, Murang’a, Trans-Nzoia, West Pokot, Nairobi and Nakuru) have reported confirmed cholera outbreaks since the beginning of 2018. Seven of the counties namely Kirinyaga, Busia, Mombasa,Tharaka Nithi, Siaya and Meru have successfully contained the outbreak. Cumulatively, a total of 2,180 cases with 48 deaths (Case Fatality Rate of 2.2) have been recorded.

According to the Kenya Meteorological Department, rainfall has continued over most parts of the country since the first week of March, with heavy rainfall being experienced in most areas. Flash floods were reported over parts of the Central, Western, North Eastern and South Eastern areas of Kenya, mostly in low lying areas and urban areas with poor drainage systems. Kenya Red Cross reports indicate that a total of 2,747 households have been affected by floods across 26 counties, including in ‘non-traditional’ flooding areas. The most-affected are Garissa, Taita Taveta, Tana River, Kilifi, Kiambu, Migori, Turkana and Kajiado counties. Floods-displacement is within host families. A total of 45 fatalities linked to drowning, being swept away by floods or collapsed buildings have been reported. According to FEWSNET, the March to May long rains began early countrywide with significantly above-average amounts, upwards of 145 percent of the long-term averages, improving water availability but also causing flooding. In the marginal agricultural areas, planting is already ongoing due to the sufficient and consistent rains, however, additional flooding could negatively affect production. In pastoral areas, livestock body conditions are likely to improve by late March and this is expected to increase milk production and livestock prices.

Since the beginning of the year, a cumulative total of 1,513 children (953 boys and 560 girls) have arrived in Kakuma refugee camp by 16th March 2018 as per the below table. Majority of the new arrivals are from South Sudan. However, the refugee arrivals in the month of March were minimal, with only 5 (all girls) unaccompanied and separated children being recorded in Kakuma Refugee Camp.