Northeast Nigeria Response: Health Sector Bulletin #37, 15 December 2017
According to Humanitarian Need Overview (HNO)-2018 chapeau, the most severe and acute needs across multiple sectors are concentrated in the areas of ongoing conflict, as well as areas hosting large numbers of IDPs. These includes almost all local government areas (LGAs) of Borno State, and areas of Adamawa and Yobe states that are bordering Borno.
HNO-2018 further reflects that around 7.9 million conflict-affected people are in need of primary and secondary health interventions across six states, of whom 5.4 million are located in the three worst crisis-affected states of Adamawa, Borno and Yobe. Conflict-affected people remain at significant risk of epidemic-prone diseases like cholera, measles, meningitis, and viral haemorrhagic fevers (VHF) such as Lassa and yellow fever.
Due to evolving conflict dynamics in some areas as well as other various environmental/seasonal factors new population displacement is ongoing in different areas including Gajigana /Magumeri, Tungushe /Konduga , Rann, Ngala, Pulka, Gwoza, Banki, Dikwa and Monguno LGAs.
Phase II of the Oral Cholera Vaccination (OCV) campaign has been completed in MMC, Jere, Mafa and Konduga while vaccination is ongoing in Dikwa and Monguno. The cholera vaccination will protect the population for up to 3 years against cholera. The national Measles vaccination campaign has been completed in all LGAs of Borno state.
The crisis in north-east Nigeria is one of the most severe in the world today. Across the six affected states of Borno, Adamawa, Yobe, Bauchi, Gombe and Taraba, 10.2 million people are estimated to be in need of humanitarian assistance in 2018, of which 52 percent are women and girls, and 48 percent are men and boys. Children constitute 63 percent of those needing assistance. The most acute humanitarian needs are clearly concentrated in Borno state – and areas bordering Borno in Adamawa and Yobe states – where the crisis shows no sign of abating.
The Health and WASH sectors partners have successfully controlled the cholera outbreak in MMC, Jere, Dikwa and Mafa LGAs, where no cases have reported for the last 6 weeks. Two weeks back cases were reported from the non-secure and with limited access Mairari ward in Guzamala, and Monguno LGA. Sensitization on cholera prevention messages and importance of good sanitation and Hygiene practices are ongoing in all affected areas to mitigate further risk of any outbreak. No new cases reported during the last two weeks.
There is an ongoing relocation of IDPs to the new camp site in Bama LGA. The IDPs are currently living in General Hospital camp in a congested environment. Health Sector has identified a partner to deliver health care services at new location. WHO and Federal Government mobile teams can also be deployed based on the needs on ground.
For coordinated health sector response to new displacement in Borno state, partners’ capacity mapping was consolidated to ensure effective service delivery and avoid duplication of services. The potential displacement locations are Gajigana/Magumeri, Tungushe/Konduga, Rann, Ngala, Pulka, Gwoza, Banki, Dikwa and Monguno LGAs. In terms of health sector response in different geographical areas, health partners/observers specially ICRC, MSF (France, Swiss, Spain, Belgium), UNICEF and WHO have wider coverage in all LGAs so in case of limited population influx the minimum health services are already available.
Phase II of the Oral Cholera Vaccination (OCV) campaign has been completed in MMC, Jere, Mafa and Konduga while vaccination is ongoing in Dikwa and Monguno. The second round of the cholera vaccination will protect the population for up to 3 years against cholera. The national Measles vaccination campaign has been completed in all LGAs of Borno state. The vaccination data is under compilation and analysis stage. The campaign has targeted children up to 5 years age.