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MALAWI SITUATION REPORT MARCH 2016 1 MALAWI Humanitarian Situation 2016 Report # 3 1 SITUATION IN NUMBERS Highlights The number of people in need of food assistance is expected to increase in the 2016/17 consumption year due to a poor harvest as a result of the El Niño Phenomenon. The Malawi Vulnerability Assessment Committee is planning to undertake an earlier than usual annual assessment of the food security situation in the last week of April, which will provide a clearer picture of the full extent of food insecurity resulting from the effects of the El Niño. By the end of February 2016, a UNICEF supported mass screening drive which started in December 2015 had been rolled out in 24 districts reaching 955,962 children of which 13,477 (1.4%) were found to be severely acute malnourished. The mass screening drive has brought tremendous results in terms of active case findings as well as immediate treatment and saving of children’s lives. UNICEF also continued supporting the delivery of critical life-saving commodities for the treatment of Severe Acute Malnutrition. Preparations are underway for the relocation of refugees from Mozambique from Kapise Village to Luwani camp. The relocation is set to begin on Friday 15 th April 2016. UNICEF continues to support the cholera outbreak response and has provided cholera prevention services to Mozambican refugees at Kapise Village. Date: 5 th April 2016 1.5 million Children affected 2.87 million Food insecure people (The Malawi Vulnerability Assessment Committee, National Food Security Forecast, October 2015 to March 2016) 1,073 cholera cases with 21 deaths (Daily Cholera Update, Ministry of Health, Epidemiology Unit, 31 March 2016) 11, 746 Mozambican new arrivals at Kapise (UNHCR, Inter-Agency operational update, 22 March 2016) UNICEF Appeal 2016 US$13,035,000 Funding gap 86% MALAWI SITUATION REPORT # 3 © UNICEF/2016/Malawi UNICEF’s Response with partners Sector Indicator UNICEF 2016 Sector/Cluster 2016 UNICEF Target Cumulative results (#) Cluster Target Cumulative results (#) Nutrition Children 6-59 months with SAM enrolled in OTP and NRU programmes 34,000 6,276 34,000 6,276 WASH Internally displaced persons and host community members provided with safe water as per agreed standards 50,000 20,756 65,000 26,856 Education Children received school supplies, psychosocial support, care and stand-by teaching from 200 volunteer teachers 50,000 100,853 110,800 100,853 Health Children aged 6 to 59 months immunized against measles 453,500 37,356 Child Protection Child protection cases recorded and referred to appropriate services 250 454 250 454

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Page 1: MALAWI SITUATION REPORT MALAWI - unicef.org...MALAWI SITUATION REPORT MARCH 2016 1 MALAWI ... Maize prices were already at record highs in January in Malawi, and due to ... Week Ending

MALAWI SITUATION REPORT MARCH 2016

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MALAWI Humanitarian Situation

2016 Report # 3 1

SITUATION IN NUMBERS

Highlights

The number of people in need of food assistance is expected to increase in the 2016/17 consumption year due to a poor harvest as a result of the El Niño Phenomenon. The Malawi Vulnerability Assessment Committee is planning to undertake an earlier than usual annual assessment of the food security situation in the last week of April, which will provide a clearer picture of the full extent of food insecurity resulting from the effects of the El Niño. By the end of February 2016, a UNICEF supported mass screening drive which started in December 2015 had been rolled out in 24 districts reaching 955,962 children of which 13,477 (1.4%) were found to be severely acute malnourished. The mass screening drive has brought tremendous results in terms of active case findings as well as immediate treatment and saving of children’s lives. UNICEF also continued supporting the delivery of critical life-saving commodities for the treatment of Severe Acute Malnutrition. Preparations are underway for the relocation of refugees from Mozambique from Kapise Village to Luwani camp. The relocation is set to begin on Friday 15th April 2016. UNICEF continues to support the cholera outbreak response and has provided cholera prevention services to Mozambican refugees at Kapise Village.

Date: 5th April 2016

1.5 million Children affected

2.87 million Food insecure people

(The Malawi Vulnerability Assessment Committee, National Food Security Forecast, October 2015 to

March 2016)

1,073 cholera cases with 21 deaths (Daily Cholera Update, Ministry of Health,

Epidemiology Unit, 31 March 2016)

11, 746

Mozambican new arrivals at Kapise (UNHCR, Inter-Agency operational update, 22

March 2016)

UNICEF Appeal 2016 US$13,035,000

Funding gap 86%

MALAWI SITUATION REPORT # 3

© UNICEF/2016/Malawi

UNICEF’s Response with partners

Sector

Indicator UNICEF 2016 Sector/Cluster 2016

UNICEF Target

Cumulative results (#)

Cluster Target

Cumulative results (#)

Nutrition Children 6-59 months with SAM enrolled in OTP and NRU programmes

34,000 6,276 34,000 6,276

WASH Internally displaced persons and host community members provided with safe water as per agreed standards

50,000 20,756 65,000 26,856

Education

Children received school supplies, psychosocial support, care and stand-by teaching from 200 volunteer teachers

50,000 100,853 110,800 100,853

Health Children aged 6 to 59 months immunized against measles 453,500 37,356

Child Protection

Child protection cases recorded and referred to appropriate services

250

454

250

454

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Situation Overview & Humanitarian Needs Due to the El Niño phenomenon which is set to have a devastating impact on harvests and food security throughout Southern Africa, the southern region of Malawi has experienced the driest rainfall season since 1981, and the central region has registered severe rainfall deficits. The lack of rain in these two regions (the main maize producing zones) mean that a poor harvest throughout 2016 is likely. Maize prices were already at record highs in January in Malawi, and due to a poor harvest last year, maize stocks throughout Southern Africa are already low1. The number of people in need of food assistance in the 2016/17 consumption season is therefore expected to increase significantly. The MVAC conducted a pre-season assessment from 29th February to 4th March 2016 and the results are expected in the next few days. The MVAC is also planning to undertake an annual assessment of the food security situation in the last week of April 2016 which will give a clearer picture of the full extent of the El Nino effects on the food security situation in the country. In addition, Malawi has over the past nine months been receiving new arrivals from Mozambique mainly from Tete Province. The new arrivals are fleeing reported conflict between the Mozambican Government forces and opposition forces. As of 21st March 2016, Kapise village was hosting an aggregate cumulative figure of 11,746 new arrivals from Mozambique. UNHCR and partners are undertaking preparations for the relocation of the People of Concern (PoC) to Luwani camp after the Government of Malawi again granted UNHCR permission to go ahead with the relocation following the suspension of an earlier decision to the relocate the Mozambican asylum-seekers. During an inter-agency meeting held on 31st March 2016 in Mwanza district it was highlighted that the relocation is set to begin on Friday 15th April 2016. The majority of Mozambican PoCs registered are children, with 64% under the age of 18. The population is also extremely young with 49% of the total registered PoCs estimated to be 11 years old or younger. There are also reports that 800 Mozambican POCs have arrived in Chikwawa as of 22nd March 2016. The Chief and District Administrator in the town have appealed to UNHCR for help and UNHCR is following up on this matter to explore a possible relocation of the group to Luwani as a way of consolidating the location of the PoCs. The cholera outbreak which started in December 2015 continues to be a challenge in the country, particularly in districts surrounding Lake Chirwa, although the number of new cases has been declining in recent weeks. As of 31st March 2016 a cumulative total of 1,073 cholera cases were registered in 10 out of 28 districts with 21 deaths, representing a Case Fatality Rate (CFR) of 1.96%. During the last week of March, a total of 32 new cholera cases were recorded as compared t0 33 recorded in the previous week (Fig 1).

Figure 1: Weekly trend of cholera cases and deaths

1 http://documents.wfp.org/stellent/groups/public/documents/ena/wfp281851.pdf

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Cholera Cases and Deaths Per Week: Week Ending 27th March, 2016

Cases Deaths

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Humanitarian leadership and coordination

UNICEF actively participates in the Humanitarian Country Team and the Inter Cluster forums, which lead strategic and cross-sectoral coordination of humanitarian programmes in the country. UNICEF co-leads the WASH, Nutrition, Education and Protection clusters. In view of the continued influx of Mozambican’s in the South and additional new arrivals to the Dzaleka camp, the Government, UNHCR and partners created a dedicated working group at the national level to provide strategic level guidance, advocacy and standard setting to issues of refugee protection in partnership with UN agencies and other partners. Membership in the Refugee Programme Working Group is open to host government entities, UN agencies, international NGOs, national NGOs and other civil society actors committed to a protection response in line with international protection standards. At district level, an inter-agency coordination meeting chaired by the Mwanza District Commissioner and the Ministry of Home Affairs and supported by UNHCR has also been established. UNICEF also participates in the refugee coordination meetings.

Summary Analysis of Programme Response

Nutrition

During the month of February a total of 6,276 children (3,062 boys and 3,214 girls) under five suffering from severe acute malnutrition (SAM) were admitted to 563 UNICEF supported outpatient therapeutic programmes (OTPs) and 101 Nutrition Rehabilitation Units in the 25 drought affected districts of Malawi. This represents an increased uptake of the CMAM services as compared to 4,385 in February 2015. Death rates at Nutrition Rehabilitation Units (NRUs) reduced from 11% to 7%, which is within the SPHERE minimum standards (10%). UNICEF continued supporting the delivery of critical life-saving commodities for the treatment of severe acute malnutrition in an effort to ensure availability of the required supplies for treatment. In March 2016, UNICEF dispatched 7,323 cartons of RUTF, 600 cartons of F-100; 600 cartons of F-75; 39 cartons of ReSomal; 2005 Packs of MUAC tapes and 3,323 packages of Rapid SMS to all 25 emergency districts. Health Surveillance Assistants are conducting screening and referral for acute malnutrition and nutrition community mobilization activities for children under age of 5. In addition, 14 Nutrition Field Monitors are supporting community mass screening and supporting the delivery of quality CMAM services in the drought affected districts. As of the end of February, the Mass Screening Drive has been rolled out to 24 districts reaching 955,962 children (53% of total target) of which 13,477 (1.4%) were found to be severely acute malnourished. The mass screening drive has delivered tremendous results in terms of active case findings as well as immediate treatment and saving of children’s lives. Provision of Vitamin A supplementation for children 6-59 months, deworming and Infant and Young Child Feeding (IYCF) counselling and support to mothers and caregivers of children under five years are also being undertaken. Additionally, Child Health Days were conducted successfully across the country during second week of March. UNICEF supported the activity with essential supplies and nationwide monitoring and oversight.

A child receiving Vitamin A dose- District Kasungu March 2016

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UNICEF continues to co-lead the Malawi Nutrition Cluster. A cluster coordination meeting was held on 17th March 2016, attended by 21 cluster partners. Key updates from the Cluster meeting are as follows:

SMART survey launched and protocol validated by stakeholders

Defined Nutrition cluster response plan beyond April 2016

Overall update from cluster partners and response modalities for SAM and MAM children inside the at Kapise refugee site reaching 2,631 children of which 24 were identified with Severe Acute Malnutrition and 122 with Moderate Acute Malnutrition.

WASH

In Kapise, UNICEF has completed the drilling of 8 boreholes, thereby serving a total population of 9,922 PoCs and 500 people in the host community. With regards to sanitation and hygiene, a total of 276 latrines, 86 bathing shelters, 55 hand washing facilities and 77 refuse pits have been constructed benefiting 9,922 asylum seekers. A joint assessment has been conducted by UNICEF and WASH partners to provide a better understanding of the overall WASH situation, to assess the WASH needs of the population and to help inform WASH response plans. In Karonga, a total of 16 latrines and 16 bathing shelters have been constructed for flash flood victims at Chinsebe and Zindi Camps. In addition, 1,300 people from the two camps and the host community benefited from various types of intensive hygiene promotion campaigns and activities during March, bringing the cumulative number of people reached in 2016 to 257,284.

Communications for Development (C4D)

UNICEF continues to work with a number of partners in undertaking nutrition mass screening social mobilisation activities. The following activities have been undertaken during this reporting period:

EXP Momentum and Face2Face have been conducted with a total of 80 road shows (including 61 stop overs), reaching a total of 15,827 people (3,834 men, 6,104 women and 5,889 children) in Mangochi, Ntcheu, Dowa, Salima, Blantyre, Thyolo and Chiradzulu districts mobilizing mothers to take their children for nutrition mass screening between February and March 2016.

231 public service announcements were broadcasted on 11 radio stations over 1 week in February 2016

1,617 jingles were broadcasted on 11 radio stations between February and March 2016

154 interactive radio programmes were broadcasted on 11 radio stations between February and March 2016 For the Mozambican PoCs in Mwanza and Neno districts:

UNICEF conducted a Knowledge, Attitudes and Practice study on three key WASH behaviors (handwashing, latrine use and water treatment/handling), and HIV prevention (condom use). The study results have been shared with district refugee response stakeholder team on 22 March.

UNICEF is planning to develop joint C4D strategy messages and coordinate C4D activities with partners at the new site-Luwani on 5 April.

UNICEF partner, the Story Workshop, is currently conducting a C4D formative assessment to collect baseline information as part of the development process for interactive radio programmes, community dialogue sessions and theatre for development.

Education

UNICEF supported volunteer teachers have been mobilized in school communities in drought mitigation and response through the establishment of home grown school gardens (crops and vegetables) to supplement school feeding activities in the 89 drought affected schools in the four districts of Dedza, Mangochi, Salima and Chikwawa reaching 90,834 learners (44,339 girls and 46,495 boys). The volunteers also supported adolescents and youth on agri-business and

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livelihood activities, including prevention of gender based violence in school communities, establishing school and youth clubs in addition to providing teaching and learning, psychosocial support and care; monitoring of school feeding activities and data collection for real time monitoring to improve information management. UNICEF is supporting the PoCs emergency situation in Kapise camp in Mwanza district through the provision of additional education supplies comprising seven school tents, seven school in a box kits, six recreation kits, 20 chalk boards and 12 flip charts for the school enabling 1,638 learners (843 girls and 795 boys) to access basic education and recreation activities in the refugee camp. Five volunteer teachers that were deployed to provide teaching and learning, including psychosocial support and care to learners, at Kapise site completed their assignment on 31 March 2016 and a new set of teachers is to be deployed within a week to continue the teaching and learning process for the refugee children. Meanwhile, the school management committee was entrusted with the recreation materials and continues to provide to learners as well as adolescents and youth daily sporting activities in the camp. UNICEF participated in interagency assessments in Neno district to assess the state of school infrastructure, available facilities and school supplies and to identify needs and gaps in preparation for the relocation of PoCs from Kapise to Luwani. The findings of the assessment were presented at an interagency planning meeting in Mwanza on 31 March 2016.

Health and HIV

UNICEF continues supporting the cholera outbreak response working closely with partners’, especially with MSF, PSI and Malawi Red Cross, specifically through supporting drug supplies on case management and undertaking community mobilization and health education activities on cholera prevention. A reactive mass Oral Cholera Vacccine (OCV) campaign was conducted. In addition, about 80,000 fishermen who reside within a short radius of Lake Chirwa were vaccinated as a preventive intervention. UNICEF and the Ministry of Health with MSF have organized a pre-emptive Oral Cholera Vaccination (OCV) and measles SIAs for children aged 9 months to 15 years taking place from 28 March to 2 April in Kapise refugee site. UNICEF is fully covering the operational cost for the campaign. Prior to the campaign, 48 vaccination team members were trained, social mobilization was undertaken and area and sensitization of community leaders took place. The campaign is targeting about 7,000 individuals aged 1 year and older with OCV and about 1,000 children for measles vaccination by 2 April 2016. UNICEF is providing drugs and medical supplies for Kapise refugee site through MSF including ORS (400 PAC), Amoxicillin (200 PAC), Paracetamol (500 PAC) and anti-malarial drugs (200 PAC). Both curative and preventive health services are provided by MSF-Belgium and the District Health Office. Routine immunization and nutritional screening for children under five years are scheduled once a week every Thursday while OPD services, HIV testing and counselling are being offered on a daily basis. UNICEF is also facilitating the delivery of HIV and sexual and reproductive health services to Kapise.

Protection

Response to protection concerns as a result of the refugee situation in Mwanza and Neno and to the food insecurity situation has continued in 10 districts in the month of March. The Mwanza Social Welfare Office, and Mwanza Police Officers have been working with UNHCR to conduct a verification of the unaccompanied and separated children located at Kapise. The social Welfare Office in Mwanza is following up on protection cases identified as a result of the verification exercise, including a number of child-headed households and unaccompanied and separated children with child protection concerns. A child protection committee was established at Kapise camp to look into protection cases in the camp. A Community Policing Committee was also established in the surrounding community to look into security issues around the camp. These committees and the stakeholders supporting them have also been oriented on key concepts and best practices on Child Protection in Refugee Settings. The Mwanza Social Welfare Office continues to provide ECD and Child Friendly Space activities in the camp. These activities are benefitting over 500 children who in the process of early learning and play experience much needed relief from the trauma of displacement.

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In terms of the response to the food insecurity, 120 psychosocial first aid providers were trained in Nsanje, Chikwawa and Phalombe. Additional trainings in four districts will begin on 2nd April. These community workers are reaching out to people traumatized by the food insecurity with psychosocial support. Strengthening of community protection mechanisms to better respond to the food insecurity crisis is also ongoing in 13 districts (Neno, Mwanza, Phalombe, Blantyre, Nsanje, Chikwawa, Thyolo, Chitipa, Mangochi, Zomba, Karonga, Balaka and Mzimba). The activities being implemented include identification and referral of cases to protection services, mainstreaming protection in community based protection structures such as community victim support unit, and establishing community child protection workers, community based child care centres, lower level police formations and children’s corners. Coordination meetings on protection are also being supported. The Malawi Police Service are rolling out case management in lower police formations in the 13 districts as well as revamping community policing structures. Massive awareness campaigns have also been conducted by the Malawi Police Service in all 13 districts on violence against children and gender based violence. The visibility of police officers in food selling points and violence hotspots has been enhanced. A monitoring exercise to consolidate results will be done in mid-April.

Funding

UNICEF Malawi’s humanitarian funding requirement as reflected in the 2016 Humanitarian Action for Children (HAC) stands at US$ 13,035,000. Against the HAC requirement UNICEF has received US$ 1.771 million (14 per cent funded). In addition, funds amounting to USD 2,998,898 have been received in regular OR Grants to support the humanitarian response.

Funding Requirements for a period of 12 months

Appeal Sector 2016 requirements

(US$) Funds received

against 2016 HAC Funding Gap

Nutrition 7,130,000 1,771,585 5,358,415 75%

Health 1,500,000 0 1,500,000 100%

Water, sanitation and hygiene

1,200,000 0 1,200,000 100%

Child Protection 600,000 0 600,000 100%

Education 1,875,000 0 1,875,000 100%

HIV and AIDS 200,000 0 200,000 100%

Cluster/Sector Coordination 530,000 0 530,000 100%

Unallocated balance 0 0

Sub-Total 13,035,000 1,771,585 11,263,415 86%

Grand Total 13,035,000 1,771,585 11,263,415 86%

*Additional funds for Humanitarian Response (USD 2,998,898) received in regular OR Grants.

Next SitRep: 3rd May 2016

Mahimbo Mdoe Representative, Malawi Telephone: 265 999 964 130 Facsimile: 265 1 773 162 Email:[email protected]

Roisin De Burca Deputy Representative, Malawi Telephone: 265 992 961 100 Facsimile: 265 1 773 162 E-mail: [email protected]

Angela Travis Communications Officer, Malawi Tel: +265 1 771 632 Fax: +: 265 1 773 162 Email: [email protected]

Who to contact for further information:

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Annex A

SUMMARY OF PROGRAMME RESULTS

2 Results achieved in January 2016 revised after verification of the numbers provided by partners (Cluster results from 21,228 to 12,778 and UNICEF results from 17,628 to 9,178) 3 Results achieved in January 2016 revised after verification of the numbers provided by partners (Revised 9,459 to 1650 for both UNICEF and cluster 4 Results achieved in January 2016 revised after verification of the numbers provided by partners (Revised from 142,130 to 95,574 for both UNICEF and cluster) 5 Supported through drought response in four districts of Dedza, Mangochi, Salima and Chikwawa; Karonga & Mangochi flood response and refugee emergency response in Kapise in Mwanza. Note that the achievement for UNICEF has surpassed its target due to the additional support to drought response in Chikwawa district and the refugee emergency response which were not originally planned for and entirely funded by UNICEF 6 Supported through drought response in Dedza, Mangochi, Salima and Chikwawa and refugee emergency response in Kapise in Mwanza 7 The reported January-February figures (10,984) are from 25 emergency districts

Cluster Response UNICEF and IPs

Overall needs

2016 Target

Total Results

Change since last

report ▲▼

2016 Target

Total Results

Change since last report ▲▼

WATER, SANITATION & HYGIENE

Internally displaced persons and host community members provided with safe water as per agreed standards2

65,000 26,856 ▲ 6,822 50,000 20,756 ▲6,822

People provided with access to sanitation/temporary latrines3

125,000 15,972 ▲8,272 100,000 13,322 ▲8,272

People benefitted from hygiene promotion campaigns4

500,000 282,564 ▲3,550 400,000 257,284 ▲1,300

EDUCATION

Children received school supplies, psychosocial support, care and stand-by teaching from 200 volunteer teachers

199,328 110,800 100,853 91,945▲ 50,000 100,8535 ▲91,485

Girls and boys that are in and out of school accessed livelihood skills, literacy and social services

11,000 11,000 3,034 3,034▲ 5,000 3,0346 3,034▲

HEALTH

Children aged 6 to 59 months immunized against measles

453,500 ▲37,356 ▲35,470

Children provided with access to life-saving curative interventions

96,330 ▲8,955 ▲7,755

NUTRITION

Children 6-59 months with SAM enrolled in OTP and NRU programmes7

34,000 10,984

▲6,276 34,000 10,984

▲6,276

Children aged 6 to 59 months provided with micronutrient supplementation

453,500

CHILD PROTECTION

Child protection cases recorded and referred to appropriate services

250 454 250 454

Vulnerable women and children reached with protection messages to expand knowledge on protection services and service points

10,000 10,000

HIV and AIDS

Emergency-affected women retained on HIV treatment

10,000

emergency-affected adolescents provided with HIV-related information and access to services

100,000 0