Bangladesh Humanitarian

Situation report

UNICEF’s Response with Partners

UNICEF

Sector/Cluster

UNICEF Target

Total Results* as of 30

June

Sector Target

Total results* as of 30

June

Nutrition: Children under five with Severe Acute Malnutrition admitted Therapeutic Feeding Programmes

700 563 988 776

Health: Children (aged 9 months to 5 years) vaccinated against measles and rubella

123,543 101,937 n/a n/a

WASH: People provided with access to improved sanitation facilities

25,000 9,700 184,550 150,603

Child-Centred Care: Children have received psychosocial support and Child-Centred Care services

23,500 8,653 23,500 16,653

Education: School-aged children (4-14 years) enrolled in learning centres/schools

20,979 8,347 32,216 25,688

Highlights • UNICEF requires US$20.7 million to implement its 2017-2018 response plan for Rohingya

children. For 2017 alone, UNICEF is seeking US$9.45 million to address the needs of Rohingya

children and their families.

• An estimated 8,347 (40%) out of a targeted 20,979 Undocumented Myanmar Nationals (UMNs)

children aged 4-14 years, both pre-existing and newly arrived, have access to basic non-formal

education in all makeshift settlements.

• 8,653 children (37%) out of a targeted 23,500 have access to recreational and psychosocial

support. Out of 325 targeted unaccompanied and separated children, UNICEF assisted in

reunifying 27 with their families.

• A total of 27,721 children (67%) out of a targeted 41,072 from both UMNs and host communities

were screened for malnutrition. A total of 101,937 Children aged 9-59 months were vaccinated

against Measles and Rubella (MR) in makeshift settlements and hard-to-reach host communities.

15,200 (29.8%) people out of targeted 51,000 have access to safe drinking water and 9,700

people were provided with improved sanitation facilities against a target of 25,000.

• Mirroring the cluster structure at national level, an Inter Sectoral Coordination Group (ISCG) is in

place both at Dhaka and Cox level replacing the previous Inter Agency Coordination Mechanism

(IACM) led by the International Organization for Migration (IOM). UNICEF continues to lead

sectoral coordination in Nutrition, Child Protection (more commonly known as Child-Centred

Care in Cox’s Bazar) and co-leads in Education with Save the Children. Though UNICEF leads the

WASH cluster at national level, the NGO Action against Hunger (ACF) leads the sub-national

sector in Cox’s Bazar.

• On 30 May 2017 Cyclone Mora made landfall over Bangladesh’s coastal eastern region and

affected 335,000 population including 105,500 UMNs. Response is under way in all sectors and

integrated within the Rohingya response plan.

• Since January 2017, two abduction cases in the makeshift settlements took place. Tension has

grown between newly arrived and pre-existing Rohingya due to competition for access to relief,

resources, space and getting enlisted for further services.

01 January – 30 June 2017

358,602 # Children in need of humanitarian assistance

708,743 # People in need (UNICEF projection according to inter-agency SitReps, MIRA and BBS census 2011)

UNICEF Appeal 2017 US$9.45 million

SITUATION IN NUMBERS

Funds received current

year:$4.07m

Funding gap: $5.81m

Funding Status 2017*

2017 funding

requirement$9.45M

*Thanks to the generous contribution from donors, UNICEF Bangladesh has achieved its funding requirement for the coordination/operational set up sector, receiving US$421,530 over the requested amount for 2017.

©UNICEF Bangladesh/2017

Situation Overview & Humanitarian Needs

The new influx of 74,000 Rohingya since October 2016, coupled with another 300,000-500,000 of pre-existing Undocumented Myanmar Nationals (UMNs), and 32,000 registered Rohingya refugees, has created a dire humanitarian crisis in the Cox’s Bazar district of Bangladesh. The district is one of the most vulnerable districts, not only for its poor performance in child-related indicators but as well for its vulnerability to natural hazards. Among the new arrivals around 57%1 are children (49% are male and 51% female). Among these children, 3.3% are unaccompanied minors at risk of being forced into child marriage, exploitation and labour. The access to water, sanitation and hygiene is very poor as 55% of the new arrivals experience limited access to water.2 The situation is worst regarding open defecation, as only 5% of the new arrivals have access to some form of sanitation facility. Malnutrition still exists3. Inadequate food consumption, poor infant child feeding, and inappropriate sanitation and hygiene practices, are among the main determinants of poor child nutrition. In addition, UMN children’s right to education in the makeshift settlements was denied for the last three decades.

On 30 May, cyclone Mora hit the Cox’s Bazar area and further deteriorated the already critical humanitarian situation linked to the Rohingya recent influx. Large parts of the makeshift settlements inhabited by Rohingya were devastated. An estimated 25% of the shelters were severely damaged, and more than 55% were partially damaged, with rooftops blown away, bamboo pillars broken, fences fallen off, and further soil erosion.4 Almost all UNICEF-supported Child-Friendly Spaces (CFS) in the makeshift settlements and host communities covering over 22,000 children have been affected. Psychosocial and recreational kits and other essential supplies were damaged. As per the education sector assessment, 61 out of 314 non-formal schools/learning centres for out-of-school children in the registered camps, makeshift settlements and host communities were fully damaged and 93 schools were partially damaged. The education materials of these schools were also destroyed either partially or fully. The affected population is likely to face more challenges in meeting its WASH and Health needs throughout the current cyclone season.

To address the on-going humanitarian needs of the Rohingya population in Bangladesh, UNICEF seeks US$20.7 million to provide Child-Centred Care (Child Protection), Education, Nutrition, WASH and Health support to 358,602 children for two years through direct interventions and by strengthening local governance systems. The response includes life-saving needs for the new influx, recovery support and medium-term development activities including resilience to natural disasters.

Estimated Population in Need of Humanitarian Assistance

(UNICEF estimates calculated based on Inter-agency SitReps, March 2016; MIRA, December 2016; and projection for 2016 based on BBS census 2011)

Start of humanitarian response:

Total Male Female

Total Population in Need 708,743 359,968 348,775

Children (Under 18) 358,602 182,098 176,504

Children Under Five 109,105 55,403 53,702

Children 6 to 23 months 7,500 3,825 3,675

Pregnant and lactating women 26,932 n/a 26,932

Humanitarian Leadership and Coordination

A sector based coordination architecture, the Inter-Sectoral Coordination Group (ISCG), has been established for UMNs and refugee response in Cox’s Bazar, which is underpinned by the principles of the cluster approach. This allows more accountability to beneficiaries through the establishment of global standards for humanitarian assistance through a coordinated and needs-based response. This structure is intended to mirror the national humanitarian coordination platform, the Humanitarian Coordination Task Team (HCTT), to the highest extent possible to avoid duplication.

Sectors have started to review and agree on sector indicators and targets that will be officially approved in an upcoming ISCG response plan due by September 2017.

At sub-national level, UNICEF continues to lead sectoral coordination in Nutrition, Child-Centred Care (i.e. Child Protection) and co-leads in Education with Save the Children. Though UNICEF leads the WASH cluster at national level, Action against Hunger (ACF) is the WASH cluster lead for the sector in Cox’s Bazar. As part of its cluster responsibilities at sub-national level in Nutrition, Child-Centred Care and Education, UNICEF endeavours to address sectoral gaps with all humanitarian partners. At national level the National Task Force led by the Ministry of Foreign Affairs (MoFA) monitors the overall Rohingya humanitarian response.

1 Multi-Cluster/Sectoral Initial Rapid Assessment (MIRA), Inter-agency coordination Group for Cox’s Bazar, December 2016. 2 Ibid 3 SMART Survey, 2015 4 Multi Sector Rapid assessment, ISCG, June 2017

After Cyclone Mora made landfall in Cox’s Bazar in May, a joint multi-sectoral rapid assessment was conducted in Kutupalong, Leda, Shamlapur and Balukhali where UNICEF was actively engaged as sector lead in Child-Centred Care and Nutrition and as a co-lead in Education and led the development of multi-sectoral response plan.

Humanitarian Strategy To address the humanitarian situation of the Rohingya population in Bangladesh, the UN Country Team (UNCT) sub-group on Cox’s

Bazar developed a UNCT Joint Response Plan for Rohingya refugees and Myanmar nationals in Bangladesh 2017-2018. The strategic

objectives of this plan are: (1) to provide life-saving assistance to those in life-threatening situations; (2) to reduce vulnerabilities and,

to restore the safety and dignity of the most vulnerable population, including specific interventions to find durable solutions for all

Rohingya refugees; and (3) to strengthen public services to meet the increased demand for quality service delivery in a way that leaves

no one behind.

Taking the UN strategic objectives into consideration, below is UNICEF’s response strategy to the Rohingya for the next two years:

UNICEF will concentrate on Education and Child-Centred Care (i.e. Child Protection) interventions for all Rohingya children. UNICEF will provide universal non-formal education to all Rohingya children who have been living in makeshift settlements and official camps for several years, and to the new arrivals. In addition, psychosocial support, identification and case management of unaccompanied/separated children will be provided to all Rohingya children through UNICEF Child-Friendly Spaces.

On Nutrition, WASH and Health, UNICEF will intervene on sectoral gaps that are not addressed by other partners in makeshift settlements, host communities and official camps.

UNICEF continues to lead sectoral coordination in Nutrition, Child-Centred Care (i.e. Child Protection) and co-leads in Education with Save the Children. Though UNICEF leads the WASH cluster at national level, Action against Hunger (ACF) is the WASH cluster lead in Cox’s Bazar hence UNICEF will provide technical coordination support to the WASH sector as required.

The response plan is adaptive and is updated as needs evolve (i.e. after Cyclone Mora). It follows a careful approach to strengthen integration of Rohingya within host communities and to link up with disaster preparedness and development programme interventions. For example, per the 2017 Save the Children vulnerability assessment, around 23,750 Rohingya, of which 42% are children, reside in Bandarban, Chittagong Hill Tracts (CHT) where access is limited following 25 years of conflict. UNICEF has been working in CHT since 1972 to support the hard-to-reach marginalized children and women with basic social services and has a close working relationship with respective government bodies.

Summary Analysis of Programme Response

Child Protection (more commonly known as Child-Centred Care in Cox’s Bazar)

As of June, 27 unaccompanied and separated children were reunified with their families amongst the identified 325. Through eight Child-Friendly Spaces (CFS), 8,653 children have access to recreational and psychosocial support and other Child-Centred Care services which are equipped with 120 psychosocial and recreational kits. In addition, 10 mobile Child-Friendly spaces were operational in June in the makeshift camps to facilitate access to services for children in remote areas. Thanks to a strengthened referral system, individual cases were referred to relevant service providers such as Department of Social Welfare and Bangladesh Red Crescent Society and comprehensive support including psychosocial care and first aid benefiting 1,015 children. Out of 6,500, 1,456 adolescents received life-skills-based education in 66 adolescent clubs. UNICEF leads the Child-Centred Care sector which has developed a SWOT analysis, orientation on sector/cluster approach, 4W updates, referral pathway, and finalization of ToRs of the sector and tracking of contingency stocks. All these facilitated to identify gaps in Child-Centred Care services and brought together all the Child-Centred Care humanitarian partners to deliver effective coordinated services. The technical working group on Child-Centred Care have reviewed TORs on case management including the tool/forms that have been used by the social workers. The sector contributed to rapid assessment of the humanitarian impact of cyclone Mora in May which was led by the Inter-Sector Coordination Group (ISCG).

Education

As a result of UNICEF’s advocacy with the Ministry of Primary and Mass Education (MoPME), UMN children aged 4 – 14 years living inside makeshift settlements had access to non-formal basic education for the first time since November 2016. During the reporting period of January to June 2017, UNICEF’s humanitarian interventions in education reached an estimated 8,347 children (girls 4,512; boys 3,835) against the annual target of 20,979 (40%). The programme expanded gradually in four makeshift settlements of Kutupalong, Balukhali, Leda and Shamlapur. The children getting access to education are from both the pre-existing and newly arrived Rohingya communities. A total of 154 teachers against the annual target of 322 (48%) received training on interactive child-centred, teaching-learning methodologies at pre-primary and basic education. The latter is aiming to equip children with school readiness skills, basic learning tools of literacy, numeracy and key life skills. MoPME’s line offices at the national and district levels extended full technical and supervision support in supplying textbooks and in providing training to teachers. Until June, 115 Learning Centres were equipped with necessary teaching-learning materials and trained human resources. In collaboration with WFP, 4,487 children in Kutupalong makeshift settlement have benefitted from a WFP-led school feeding programme. As part of Cyclone Mora response, all 33 fully or partially

damaged Learning Centres have been renovated, materials replenished. As a result, classes have fully resumed for approximately 2,000 Rohingya children affected by the Cyclone Mora. UNICEF co-leads Education sector coordination with Save the Children. UNICEF supported capacity building of the partners on sector/cluster approach in April and facilitated a SWOT analysis of the education sector. The sector contributed in the rapid assessment of Cyclone Mora in May led by Inter-Sector Coordination Group (ISCG).

Nutrition

The Integrated Nutrition Survey (INS) conducted in October 2015 identified 43,000 wasted, 92,000 underweight and 107,000 stunted children. Inadequate food consumption, poor infant child feeding, inappropriate sanitation and hygiene practices are among the main determinants of child nutrition in the makeshift settlements and host communities. Moreover, child morbidity and mortality in relation to undernourishment is high in the area (U5 mortality rate: 46/1000 LB5). The last influx further overstretched nutrition services in the area. The response to Cyclone Mora has been limited due to a lack of funding among nutrition sector partners. As of June, a total of 27,721 children from both UMNs and host communities were screened for malnutrition against the overall. A total of 563 children were detected with Severe Acute Malnutrition (SAM) and received treatment against. About 12,209 Pregnant and Lactating Women (PLW) received Infant Young Child Feeding (IYCF) counselling, against the total target of 14,500 PLW. Since the beginning of response, 5,561 children have received micro-nutrient supplementation against the overall target of 9,100. As the lead coordination agency for Nutrition sector, UNICEF has led the sectoral coordination, engaged in developing sector response plan, and has supported joint needs assessment in makeshift settlements and host communities following cyclone Mora. UNICEF also coordinated a SMART survey in Balukhali and Shamlapur makeshift settlements. Blanket supplementary feeding for pregnant, lactating and U5 children was not conducted due to a shortage of funds for the sector. To alleviate the possible negative consequences of the current situation, additional resources are needed to address emergency levels of malnutrition in Balukhali makeshift settlement.

WASH

45% of the newly arrived population did not have access to adequate water supply and 95% were practicing open defecation. About 94% did not have proper handwashing practice, while 91% of adolescent girls and women faced challenges related to menstrual hygiene. In order to address the WASH needs, UNICEF targeted 85,874 people in the host communities of Teknaf and Ukhiya in 2017. As of June, 15,200 people were provided with safe drinking water sources through disinfection of contaminated water sources and installation of new deep tube wells. 9,700 people now have access to improved sanitation facilities against UNICEF’s overall target of 25,000 through the construction of 450 emergency latrines including 50 disability and gender-friendly latrines; and rehabilitation of 300 latrines. In addition, 150 bathing cubicles were constructed for women and adolescent girls. 26,735 people were reached with key hygiene messages out of targeted 85,874 people. Cyclone Mora further deteriorated the WASH situation of Rohingya communities. As part of the response, UNICEF distributed 1,012 hygiene kits to 5,060 Rohingya in Balukhali settlement and host communities. 7,000 cyclone-affected people in Cox’s Bazar have access to safe drinking water sources through the disinfection of contaminated water sources.

Health

To tackle the poor immunization status of UMN children, 17 special routine immunization outreach centres became operational under EPI micro plan with UNICEF’s support to strengthen immunization coverage in makeshift settlements and host communities of Teknaf and Ukhiya. As of June, a total of 101,937 children aged 9-59 months were vaccinated against Measles and Rubella (MR) out of the overall UNICEF target of 123,543. To address the capacity gap of health service providers, a total of 126 service providers were trained on Maternal, New-born and Child Health (MNCH) services. In addition, UNICEF organized a five-day exclusive clinical training on MNCH for government and development agencies namely IOM, UNHCR, UNFPA and Bangladesh Red Crescent. The establishment of stabilizing units for new-borns to reduce neonatal mortality at Teknaf and Ukhiya Health Complexes is under progress. Teknaf Upazila Health Complex received two Radiant warmers and Ukhiya Health Complex received three for stabilizing units. In May, a special MR Campaign was conducted in the whole district jointly by the government, UNICEF and WHO. In total, 5,391 out of the UNICEF target of 8,800 under five children received treatment for pneumonia and diarrhoea.

Communications for Development (C4D), Community Engagement & Accountability

Communication for Development in Emergency is designed and implemented after considering needful, practical and actionable information for the Rohingya and by actively involving them at programme design, implementation and monitoring stage. As of June, dedicated C4D activities were integrated in the education and health interventions to ensure effective two-way communications with Rohingya communities in the makeshift settlements. A total of 700 Rohingya shared their opinion on education activities in the camp(s) through four community consultation sessions. 175 women members of the Learning Centre Management Committee (LCMC) received orientation on their roles, responsibilities and key life-saving behaviours for children. A total of 2,893 parents were consulted on the management of the Learning Centre and they committed to ensure regular attendance of their children. As a result of the orientation for religious leaders, 180 Imams actively supported the education activities in the settlement and disseminated messages on life-saving behaviours through different religious gatherings. Furthermore, 2,023 Rohingya also received useful and practical information on key life-saving behaviours through 60 community dialogues in the settlement. In collaboration with the civil surgeon’s office, UNICEF organised 30 Interactive Popular Theatre (IPT) shows and created a theme song to share actionable information on measles and rubella (MR) vaccine, iron and folic acid supplement, and tetanus vaccine. Approximately 12,400 Rohingya were reached through this campaign. Immediately after Cyclone Mora, UNICEF supported Bangladesh Betar, a state-owned radio station, in Cox’s Bazar to disseminate useful

5 Bangladesh Demographic and Health Survey (2014 BDHS)

messages on health, WASH and shelter issues to the affected population. UNICEF also supported with the distribution of 100 radio sets among the local stakeholders including cyclone preparedness programme (CPP) volunteers.

Supply and Logistics UNICEF has prepositioned with the partners 120 psychosocial and recreational kits for children aged 6-14 years to support 7,200 children. In June, 80 Education in Emergency (EiE) Kits have been distributed to four most-affected Upazila by Cyclone Mora which benefitted 2,400 children from 22 government primary schools. UNICEF distributed 1,330 tarpaulins to Kutupalong, Balukhali and Leda makeshift settlements in collaboration with shelter sector. With UNICEF support, 1,012 hygiene kits were distributed in Balukhali Makeshift settlements and in host communities of Baharchara Union and 28,000 Water Purification Tablets (WPT) were distributed through health facilities in Ramu, Ukhiya and Teknaf Upazila.

Media and External Communication The criticality of the Rohingya crisis came to public knowledge when violence erupted in Myanmar again in October 2016 and 74,000 Rohingya sought refuge in Cox’s Bazar District. Since then, the issue has been reported widely in national and international media. UNICEF continues to document information on the ground realities and on the responses from the Government, UN organizations and implementing partners in the makeshift settlements and host communities. Considering the sensitivity of the situation, the information is provided strategically to multiple stakeholders, including the media. UNICEF Bangladesh is working with UNICEF headquarters to prepare a Child Alert Report which will include Rohingya children. This report will be launched in October 2017.

Security Since January 2017 two cases of abduction have occurred. Two Camp Management Committee (CMC) members were murdered and one was badly stabbed in Kutupalong. During the above-mentioned period tension grew between pre-existing and newly arrived Rohingya due to competition for access to relief, resources and space. Children are vulnerable to labour, trafficking and sexual violence. Security of women and adolescent girls became critical and risk of sexual violence and abuse increased. Inter-agency focus groups were set up for taking preventive mitigation measures.

Funding As part of the UNCT Joint Programme of assistance being developed for Rohingya refugees for 2017-2018, UNICEF requires US$20.7 million for this period to reach 358,602 children and their families. Out of US$9.45 million requested for the immediate response in 2017, US$4.07 million has so far been received representing a funding of 43% vis-à-vis the needs. In February 2017, to accelerate the immediate response for the new influx of Rohingya refugees, UNICEF Bangladesh allocated US$270,000 to Education, US$25,000 to Nutrition and US$15,000 to Health from its Regular Resources.

UNICEF expresses deep gratitude to all the public and private sector donors. The contributions received make it possible to provide life-saving and essential basic services to Rohingya children and their families including those affected by Cyclone Mora. Donor support is critical to continue scaling up the Rohingya refugee response in Cox’s Bazar area of Bangladesh.

Funding Requirements (as defined in Humanitarian Appeal of 07/04/2017 for a period of 12 months)

Appeal Sector Requirements

Funds available Funding gap

Funds Received Current Year

Carry-Over $ %

Child-Centred Care 1,280,687 493,498 - 787,189 61%

Education 4,000,000 975,468 - 3,024,532 76%

Nutrition 957,200 534,682 - 422,518 44%

WASH 1,624,856 884,981 - 739,875 46%

Health 1,045,231 527,717 - 517,514 50%

C4D 401,000 83,329 - 317,671 79%

Coordination/Operation Setup

150,000 571,530 - 06 -

Total 9,458,974 4,071,205 - 5,809,299 57%

Next SitRep: 25/09/2017

6 Thanks to the generous contribution from donors, UNICEF Bangladesh has achieved its funding requirement for the coordination/operational set up sector, receiving US$421,530 over the

requested amount for 2017.

Who to contact for further information:

Edouard Beigbeder Representative UNICEF Bangladesh Tel: +880 1730344031 Email: ebeigbeder@unicef.org

Sara Bordas Eddy Chief Field Services UNICEF Bangladesh Tel: +880 17 30089085 Email: sbordaseddy@unicef.org

Jean-Jacques Simon Chief of Communication UNICEF Bangladesh Mob: +880 17 1304 3478 Email: jsimon@unicef.org

Sheema Sen Gupta Deputy Representative UNICEF Bangladesh Mob: +880 17 1300 4617 Email: ssengupta@unicef.org

Annex Ai

SUMMARY OF PROGRAMME RESULTS

* Sectoral targets and results are reported for the first time in June 2017, so there is no previous data for available for showing change.

7 This figure is lower than what has been reported in HAC. The Nutrition figures provided before the Situation Report No. 2 were incomplete and since then they were updated to reflect the actual numbers. 8 Sector plan is currently being revised and will be officially aligned with the ISCG Response Plan. It is noted that the expected target for this indicator is more than 164,000 hence nutrition gap remains.

UNICEF and IPs Cluster Response

Overall needs

2017 Target

Total Results (as of June

2017)

Change since last

report ▲▼

2017 Target *

Total Results (as of June

2017)

Change since last

report * ▲▼

NUTRITION

Number of children aged 6-59 months screened for malnutrition

41,072 27,7217 2,686 72,0008

76,493 -

Number of children aged 6-59 months with SAM referred/admitted for therapeutic care

700 563 44 988

776 -

Number of pregnant and lactating women receiving Infant and Young Child Feeding (IYCF) support and counselling

12,400 12,209 1,480 24,000

2,056 -

Number of children aged 6-23 months receiving MNP supplementation

7,500 5,561 184 10,700

2,739 -

HEALTH

Children (aged 9 months to 5 years) vaccinated against measles and rubella

123,543 101,937 556 - - -

Number of service providers received training to provide MNCAH services

200 126 46 - - -

Number of children U5 who received treatment for pneumonia and diarrheoa.

8,800 5,391 1,119 - - -

WATER, SANITATION AND HYGIENE

People provided with access to improved safe drinking water

51,000 15,200 7,300 210,550 149,191 -

People provided with access to improved sanitation facilities

25,000 9,700 2,555 184,550 150,603 -

People reached with key messages on improved hygiene practices

85,874 26,735 11,385 245,424 174,928 -

CHILD PROTECTION

Children have received psychosocial support and Child-Centred Care services.

23,500 8,653 1,602 23,500 16,653 -

Most at risk adolescents have received life skill based education and GBV referral services.

6,500 1,456 17 6,500 1,470 -

Number of separated and unaccompanied children identified and registered

650 184 15 950 184 -

Number of separated and unaccompanied children reunited or for whom family link has been re-established.

325 27 12 475 27 -

EDUCATION

School-aged children (4-14 years) enrolled in learning centres/schools

20,979 8,347 2,222 32,216 25,688 -

Number of teachers trained on interactive and child-centred teaching-learning methodologies.

322 154 56 682 363 -