High levels of malnutrition, malaria and spread of communicable diseases in newly accessible areas in North East Nigeria are the main health risks. With detection of fourth case of wild poliovirus type 1 (WPV1) in Monguno in Borno State on 4 October, further spread of polio virus is a significant public health concern.
UNICEF in collaboration with partners has achieved 42 per cent, 79 per cent and 51 per cent of access to water, sanitation and hygiene promotion targets, respectively.
In total 93,148 SAM children, have been admitted to therapeutic feeding programme in Adamawa, Borno and Yobe states.
Psychosocial support has reached 157,583 children among whom 84,311 children are benefitting from education services in a protective and safe learning environment.
Over 2.77 million people among the affected population have access to UNICEF supported primary healthcare (PHC) services.
The revised Nigeria 2016 Humanitarian Response Plan (HRP) is only 24 per cent funded. UNICEF has received only 25 per cent of its appeal requirements of USD 115 million.
Situation Overview & Humanitarian Needs
The findings of the UN-led inter-agency assessment mission to two newly accessible areas of Dikwa and Mafa on 27 September, highlight acute levels of malnutrition, malaria and communicable diseases in these areas. According to WHO, the number of reported measles cases are on the rise in conflict affected areas in Borno, Yobe and Adamawa; 846 cases are reported in Borno, 2,510 cases are reported in Yobe and 273 reported in Adamawa state. Since August 2016, four cases of polio have been confirmed in three LGAs of Borno state, these include: Gwoza, Monguno and Jere with a recent case of wild poliovirus type 1 (WPV1) detected in Monguno on 4 October. The risk of further spread of wild poliovirus in inaccessible areas of Borno state is a significant public health concern.1 To contain the outbreak, the third round of polio campaign will be undertaken from 15 to 18 October. The immunization campaign is being delivered by government, with support from UNICEF, WHO and partners. During this round, more than 30 million children will receive oral polio vaccine (OPV) in 18 high risk states across Nigeria, including 3.5 million children in Adamawa, Borno and Yobe states. The UNICEF-trained Social Mobilisation Network (consisting of 16,000 persons) is in place to create demand for the vaccine. The polio vaccination campaigns are integrated with childhood nutrition screening as part of UNICEF’s scaled-up response to the crisis.
UNICEF Health and Nutrition teams participated in a one-day joint mission with WFP to Banki, Bama LGA on 7 October and visited various facilities in the camp including schools, PHC centres, WASH facilities and conducted some focus group discussions with IDPs. This provided an opportunity to also monitor the quality of health and nutrition services provided to more than 32,000 people residing in and out of IDP camps in Banki.
UNHCR is conducting screening for needs and vulnerability in newly accessible areas in Monguno, Bama, Damboa, Dikwa, Konduga, Mafa, Magumeri and Shani, Borno state. According to their initial findings, there is a high level of vulnerability among displaced people, with nearly every family affected and individualsstill fearing that the insurgency group could attack them again. In Monguno, more than 60,000 displaced people are living in nine sites, where they urgently need humanitarian assistance. More people continue to arrive as military operations against Boko Hakam continue in northern part of Borno. Food shortages are a major concern in sites in Monguno e.g. Kuya site, where nearly 7,500 people are living in dilapidated school buildings and makeshift shelters. Severe acute malnutrition among children is also a major concern in these areas. Most of this population is unlikely to return to their home villages because of continuing insecurity, disrupted economic activity and presence of land mines in their villages and fields.
The twelfth round of Displacement Tracking Matrix (DTM) assessments across six states has been completed in September 2016. Results will be published by the end of October.2 According to IOM’s recent biometric registration of displaced persons in the three affected states, 363,245 IDPs (103,638 households) have been biometrically registered in Adamawa (90,203), Borno (251,841) and Yobe (21,201) states, as of 30 September 2016. The vast majority of IDPs who have been registered live in host communities where little or no assistance has been provided.
The revised funding requirement for Nigeria’s 2016 Humanitarian Response Plan (HRP) is $484 million up from $279 million. As of 3 October $116 million, or 24 per cent, of the funds had been received.3