Humanitarian Action for Children 2018 - Madagascar

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Total people in need: 1.9 million
Total children (<18) in need: 932,000
Total people to be reached: 770,000
Total children to be reached: 362,000

2018 programme targets:

- 25,000 children under 5 with SAM admitted to therapeutic treatment sites
- 362,000 children under 5 supplemented with vitamin A, dewormed and screened for acute malnutrition twice in 2018

- 35,000 people received insecticide-treated nets
- 300,000 people provided with access to essential and life-saving health care services

300,000 people accessed the agreed quantity of water for drinking, cooking and personal hygiene

Child protection
- 5,000 children reached with psychosocial support

- 50,000 children accessed formal and non-formal pre-school, primary or secondary education
- 100 per cent of school children who are vulnerable to disease outbreaks reached with appropriate epidemic prevention materials

Social protection
- 39,000 households received cash transfers in emergencies to access essential goods

Communication for Development
- 100,000 people reached with key life-saving and behaviour change messages on health, nutrition and safe and appropriate sanitation and hygiene practices contextualized to the emergency scenario


Although the impact of the El Niño-induced drought has lessened, lack of access to water and related nutrition and health issues continue to threaten the lives of children throughout southern Madagascar . An estimated 1 million people will need food-related assistance in the first quarter of 2018, and an estimated 140,000 children under 5 years will require treatment for severe acute malnutrition (SAM).
More than 770,000 people are in need of water , sanitation and hygiene (W ASH) services due to the impact of disasters.

The cyclone season is expected to commence in early 2018, threaten critical infrastructure, including health facilities and schools, and potentially generate additional displacements. Existing and new emergencies have the potential to lead to education interruptions for more than 100,000 children.
Thousands of children are at increased risk of abuse and exploitation through prostitution, child labour and child marriage—risks that are compounded by the impacts of recurring disasters. Since August 2017, a severe outbreak of bubonic and pneumonic plague has resulted in 2,1 19 detected cases and 172 reported deaths.

A resurgence throughout the plague season is likely and will require enhanced preparedness. Socio-economic tensions are expected to increase before the presidential and legislative elections in 2018.

Humanitarian strategy

UNICEF and its partners will respond to the needs of populations affected by emergencies and will mainstream resilience and early recovery strategies. UNICEF will contribute to an integrated nutrition, health, education, Communication for Development (C4D), social protection and WASH response in affected areas through a multi-sectoral approach that will address the most acute needs. SAM prevention and treatment will target children under 5 in drought-affected areas in southern Madagascar . The health system will be strengthened at the national and sub-national levels, including through social mobilization and community engagement, to support preparedness and response to health emergencies and epidemics. UNICEF will contribute to improving and sustaining access to safe water in disaster-prone areas, and support communities affected by water-borne diseases. Cash-based assistance will be prioritized to facilitate a quick response to disasters and prevent families from adopting negative coping mechanisms that give rise to malnutrition, child exploitation and school dropout. UNICEF will support continued access to basic education during disasters through the provision of temporary learning spaces and teaching and learning materials, as well as school rehabilitation and protection services for vulnerable children.
UNICEF will also support the Government to strengthen institutional capacity on disaster management and social protection.

Results from 2017

As of 31 October 2017, UNICEF had US$10.4 million available against the US$31 million appeal (33 per cent funded).
Although significant results were achieved, urgent needs remain for 2018 and vulnerability is high, with 90 per cent of the population living under the poverty line. In 2017, 1 1,700 children under 5 with SAM received treatment, accounting for 33 per cent of the sector target. More than 512,000 children under 5 received treatment for common childhood illnesses and disease outbreaks through health/nutrition outreach services in disaster-af fected areas, the provision of essential supplies, technical support and C4D. Through UNICEF support, more than 400,000 people gained access to safe water . Some 12,000 drought-af fected children facing protection concerns were identified and reached with case management support, including family psychosocial support and referral to medical care. More than 46,500 cyclone-af fected children were able to access education through school rehabilitation and the provision of learning spaces and catch-up classes through programmes supported by UNICEF and the Ministry of Education. An estimated 2.5 million people were reached with prevention messages related to plague identification and treatment; and 15,300 vulnerable households received monthly cash transfers to support them to reestablish their livelihoods and access social service