Affected populations in north east Nigeria remain in Emergency acute food insecurity (IPC Phase 4) due to large gaps in basic food needs and high levels of acute malnutrition.
Over 97 per cent of 1.69 million children have been reached with Oral Polio Vaccine (OPV), 92 per cent of 1.61 million with Inactivated Polio Vaccine (IPV) and 338,181 children (6 to 59 months) were screened for malnutrition in the recently completed integrated polio outbreak response and nutrition screening campaigns in Borno state.
Over 2.7 million affected population have access to UNICEF supported primary healthcare services (PHC) and 89,178 severe acute malnourished children have been admitted into therapeutic feeding programmes with a cure rate of 87 per cent.
With UNICEF support, 489,533 affected people have access to safe water. Psychosocial support has reached 155,962 children and 83,970 children are benefitting from education services through protective and safe learning environment.
Constraining factors to scale up humanitarian response include under-funding, access to affected people due to insecurity, and difficult road conditions exacerbated by heavy rains affecting aid delivery.
Situation in Numbers
29 Sept to 5 October 2016
14.8 million People affected by the crisis in the four North East States of Adamawa, Borno, Gombe and Yobe (HRP, January 2016)
7 million People in need in the four North East states. (HRP, January 2016)
3.8 million Children in need in the four North East states (HRP, January 2016)
2.2 million People in areas inaccessible due to insecurity in Borno (UNICEF Situation Analysis)
UNICEF Appeal 2016
US$ 115 million *Humanitarian Action for Children (HAC), does not include inaccessible areas of Borno
Situation Overview & Humanitarian Needs
As more areas are cleared by military, increased number of displaced families are returning to their homes in newly accessible areas.
Field mission reports from various humanitarian partners including UN partners highlight that the scale of damage in newly accessible areas is immense and both displaced and returning families continue to face a precarious security situation, food shortages, economic disruption, as well as limited access to food, water and sanitation, shelter and health services in several recently accessible LGAs in Borno, Adamawa and Yobe States. The Nigeria Update from the Famine Early Warning Systems (FEWS) Network, reports that population in these areas remain in Emergency acute food insecurity (IPC Phase 4) as recent information shows larger gaps in basic food needs and suggest high levels of acute malnutrition. The Nigerian currency (Naira)has depreciated by more than 40 percent since early 2016, with the national inflation rate having increased from 17.1 per cent in July to 17.6 per cent presently, resulting in a significant increase in food prices,which is further exacerbating the food insecurity and malnutrition situation in crisis affected areas in north east.
Access for humanitarian actors to affected areas remains difficult. Sporadic attacks by the insurgentsalong some routes continue to be a threat for civilian, military and humanitarian convoys. Humanitarian organizations are providing some support to these communities with helicopter services provided by the UN. The rainy season has also exacerbated the problem of access to some of these areas as roads are washed out and impassable.
A confirmed case of circulating vaccine-derived poliovirus type two (cVDPV2) was discovered on 21 September in Monguno, a former non-accessible LGA of Borno state, this follows theAugust confirmation of three cases of wild poliovirus. In response, UNICEF provided timely funds and support to the Ministry of Health to assess population immunity, search for cases of acute flaccid paralysis as part of polio surveillance, and assess any potential risk of circulation of this strain.
In newly accessible areas including Mafa, Konduga, Dikwa, Bama, Monguno, Gowza, there is an urgent need to support the State Ministry of Education (SoME) and State Universal Basic Education Board (SUBEB), with provision of school tents and other school supplies. The SoME has reported that in Konduga LGA, two more schools (Konduga Central Primary School and Lawan Masta Primary School) have reopened and urgently require tents and supplies to increase access to safe learning. Additionally, school tents have been damaged due to heavy rains and wind in a number of IDP camps in Maiduguri and need to be replaced. This has been a consistent challenge and has often interrupted schooling.
UNICEF Country Representative, Chief of Field Office, and Health staff visited Muna Garage IDP Camp and Custom IDP camp Clinic in Maiduguri. There were significant improvements in terms of quality of services provided, showing good integration between health, WASH and nutrition.
With an HIV/AIDs prevalence of 1.1% in 2014, Borno state is not one of the priority states for the national HIV/AIDs response, however, the UNICEF HIV/AIDs Team is conducting a scoping mission (3 to 9 October) to assess the need for a HIV response in affected areas in Borno state given the increased vulnerabilities to HIV/AIDs and the disruption of HIV/AIDs services in camps and among the displaced population.