FOOD ASSISTANCE - ReliefWeb

SAHEL 2012: CLUSTER STRATEGIC INDICATORS

FOOD ASSISTANCE

Burkina Faso, Chad, Mali, Mauritania, Niger, Northern Cameroon,

Senegal, The Gambia

PERIOD: JULY 2012

2

WFP Sahel response

WFP provided food and nutrition assistance to more than 6 million in July as the peak of the lean season began. 2.9 million people across all affected countries were assisted through targeted food distributions, including 185,000 Malian refugees and internally displaced people. In Burkina Faso, Mauritania, Niger and Senegal, assistance was provided to 1.5 million people through cash and vouchers. 65,000 people were reached in Chad and Mali through food-for-work activities. In July, 15,000 people were assisted in Senegal through the re-stocking of community managed village cereal banks. The same activity was postponed in Mauritania in anticipation of the arrival of required food stocks. In July, WFP assisted close to 1.5 million children and women through nutrition interventions. This includes over 1 million children aged 6-23 months and pregnant and nursing mothers through blanket supplementary feeding activities in Burkina Faso, Chad, Mali, Niger and The Gambia. Under targeted supplementary programmes, 500,000 children aged 6-59 months and pregnant and nursing mothers were assisted in Burkina Faso, Chad, Mauritania, Mali and Niger.

Food security:

WFP food security activities for its Sahel crisis response are implemented in a phased approach: activities are seasonally timed, aligned with communities‟ agricultural calendars and tailored to specific livelihood zones and groups. Furthermore, WFP‟s food security activities link current recovery efforts with resilience-building assistance through cash and food-for-work activities, helping affected communities mitigate the impact of future shocks. Therefore, cash and food-for-work activities were maximized in the dry season, reaching a peak in May. However, once the agricultural season began, these activities were reduced in most countries or stopped altogether. Assistance is shifted from conditional to unconditional in order to allow households to focus on the agricultural season. 65,000 people were reached in Chad and Mali through food-for-work activities whereas more than a million people were reached in each of the previous months. General food distributions reached 2.9 million people in July across all affected countries, rising from 941,000 people in May and 2.5 million people in June. In July, unconditional food assistance began for the first time in Cameroon and The Gambia. When markets are favourable, assistance is provided through cash and vouchers, which strengthen local economies, increase the productivity of small-holder farmers, empower beneficiaries and reduce transportation costs. In Burkina Faso, Mauritania, Niger and Senegal, WFP reached 1.5 million people with cash and vouchers in July. WFP-supported cereal banks in Mauritania and Senegal increase food availability and access during the first months of the lean season, allowing communities to loan or buy cereals at a lower price than in the markets. The height of cereal bank activity was reached in June, before the planting season, when 300,000 people received assistance through the cereal banks. In July, 15,000 people benefitted from the restocking of community managed village cereal banks in Senegal. The activity was temporarily suspended in Mauritania due to insufficient food stocks. In July, WFP continued to provide food assistance to those affected by the Mali crisis, reaching 185,000 refugees in Burkina Faso, Mauritania and Niger and internally displaced people in Mali. For much of the region, July saw the arrival of the rains, vital for agricultural production. However, the heavy rains also posed a significant logistical challenge, making roads difficult and sometimes impossible to pass, delaying the delivery and distribution of food. In Cameroon, Chad and Mauritania, pre-positioning of food ensures availability for distributions.

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April May June July

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Beneficiaires Assisted through WFP General Food Distributions and Cash and Food-for-Work Activities from April to July 2012

General food distributions

3

Nutrition:

In response to this year‟s Sahel crisis, WFP is implementing prevention and treatment activities that take into account seasonal specificities, as well as the needs of the most vulnerable groups during different times of the year, based on continuous assessments and monitoring.

Targeted supplementary feeding for the treatment of moderate acute malnutrition (MAM) among children 6-59 months and malnourished pregnant and nursing mothers is being implemented in all countries (except The Gambia) throughout the year. During the month of July, WFP reached 500,000 children and women in Burkina Faso, Chad, Mauritania, Mali and Niger.

Blanket supplementary feeding, which helps prevent acute malnutrition among children 6-23 months by providing a ration to all children in this age group and pregnant and nursing mothers, is being implemented in all countries during the lean season, alongside nutrition treatment activities and targeted food assistance. WFP assisted more than 1 million children and women in Burkina Faso, Chad, Mali, Niger and The Gambia with blanket supplementary feeding in July.

The lean season is a difficult period for vulnerable households; food stocks run low and there is a high risk that the nutrition situation will deteriorate. As June/July marks the onset of the lean season‟s peak, WFP is assisting more beneficiaries than previous months through blanket feeding activities. In July, therefore, WFP reached over 1 million children and women, rising from 300,000 in April to 500,000 in May and 980,000 in June. This significant scale-up is represented by a 240 percent increase in beneficiaries between April and July. It is expected that this level of activity will be maintained to continue providing nutrition assistance until the end of the lean season in September/October. Together with cooperating partners, WFP is conducting active screening at blanket feeding distribution sites to identify and refer children with MAM, as well as malnourished pregnant women and nursing mothers, for treatment. Screening helps ensure that children receive treatment at an early stage, preventing them from falling into severe acute malnutrition. In Niger, for example, active screening between May and July has enabled WFP to identify and assist a higher number of children and women in need of treatment. Furthermore, due to the higher number of children and women registered for the blanket feeding programme in Niger, WFP plans to reach 1 million children and women through blanket feeding in Niger, from the initial estimation of 530,000 beneficiaries. While WFP is working with cooperating partners, UN sister organizations and government counterparts to provide assistance to vulnerable groups, several challenges continue to limit nutrition activities. Targeted supplementary feeding in Burkina Faso, Mali and Senegal in July has been largely constrained by pipeline breaks of specialized nutrition products. In addition, impassible roads caused by rains in Cameroon and Chad continue to have a negative impact on WFP‟s ability to reach communities in the targeted regions.

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April May June July

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Beneficiaires Assisted through WFP Nutrition Activities from April to July 2012

Targeted Supplementary Feeding Blanket Supplementary Feeding

4

All Affected Countries June 2012

Unconditional transfers (Cash/Voucher based 1 945 000 1 480 901 76%

Unconditional transfers (food based) 4 237 500 2 864 091 68%

Conditional transfers Cash / Voucher based - - -

Conditional transfers (Food based) 514 000 80 211 16%

Target Assisted

% Assisted

vs Targeted

FOOD ASSISTANCE

Affected or at Risk Assisted by cluster

Targeted by cluster Not Assisted

Targets for Food assistance are monthly

BURKINA FASO July 2012

Unconditional transfers (Cash/Voucher based 555 000 277 840 50%

Unconditional transfers (food based) 690 000 88 986 13%


Conditional transfers (Food based) - - -

Foot Note

Unconditional transfers (food based): Heavy rains posed a logistical challenge to the delivery of food. This figure includes assistance for 65,280 Malian

refugees.

Unconditional transfers (Cash/Voucher based: Slow beneficiary identification process hampered distributions.

Target Assisted

% Assisted

vs Targeted

FOOD ASSISTANCE



CHAD July 2012

Unconditional transfers (Cash/Voucher based - - -




Foot Note

Unconditional transfers (food based): Late arrival of food into the country partly due to heavy rains which made roads impassable

Target Assisted

% Assisted

vs Targeted

FOOD ASSISTANCE



5

MALI July 2012

Unconditional transfers (Cash/Voucher based 45 000 - 0%




Foot Note

Conditional transfers (Food based): Training for partners on FFW activities has been completed, a substantial increase in the number of beneficiaries in the

coming months can be expected.

Unconditional transfers (food based): This figure included assistance for 2,302 Malian IDPs.

Unconditional transfers (Cash/Voucher based: A review is ongoing to ensure proper implementation; the programme is expected to resume at the end of

August.

Target Assisted

% Assisted

vs Targeted

FOOD ASSISTANCE



MAURITANIA July 2012




Conditional transfers (Food based) 214 000 - 0%

Foot Note

Conditional transfers (Food based): Cereal banks were not stocked due to shortfalls; expected to resume next month.

Unconditional transfers (food based): This figure includes assistance for 91,470 Malian refugees and 1,177 members of the host community.

Unconditional transfers (Cash/Voucher based: Slow start of the activity.

Target Assisted

% Assisted

vs Targeted

FOOD ASSISTANCE



6

NIGER July 2012

Unconditional transfers (Cash/Voucher based 1 106 000 1 028 129 93%

Unconditional transfers (food based) 1 751 000 1 457 146 83%



Foot Note

Unconditional transfers (food based): This figure includes assistance for 27,051 Malian refugees.

Target Assisted

% Assisted

vs Targeted

FOOD ASSISTANCE



NORTHERN CAMEROON July 2012





Target Assisted

% Assisted

vs Targeted

FOOD ASSISTANCE



SENEGAL July 2012





Foot Note

Conditional transfers (Food based): Cereal banks were not sufficiently stocked due to slow arrival of commodities.

Unconditional transfers (food based): Arrivals of food commodities were delayed and as a result, fewer distributions took place.

Target Assisted

% Assisted

vs Targeted

FOOD ASSISTANCE



7

THE GAMBIA July 2012





Target Assisted

% Assisted

vs Targeted

FOOD ASSISTANCE



8


NUTRITION

Burkina Faso, Chad, Mali, Mauritania, Niger, North of Cameroon,

North of Nigeria, Senegal, The Gambia

PERIOD: JANUARY – July 2012

9

Nutrition

To date, there are 526,7181 children admitted in

SAM treatment facilities supported by UNICEF

across the Sahel (48% of annual target of

1.1Million). Niger, Chad, Nigeria and Burkina

Faso have been undergoing scale-up of

nutrition interventions since 2010-2011;

whereas the scale-up of Cameroun, Gambia,

Mali, Mauritania and Senegal nutrition response

has only just been initiated in the 2012 crisis.

In Burkina Faso, the Ministry of Health has

agreed to change from publishing data on a

quarterly to a monthly basis. Discussions are

underway to do the same in Mauritania. In Mali

and Mauritania, regular data collection from the

Ministry of Health (MoH) and NGO partners on

admissions, recovery, deaths and abandonment in acute malnutrition programs remains a challenge. In Mauritania, one

of the main challenges related to nutrition data transmission is distance; UNICEF and the Ministry of Health are

coordinating for regular monthly monitoring missions to collect data and are exploring the possible use of rapid SMS to

address this bottleneck in Mali, the nutrition clusters making a concerted effort to strengthen reporting and improve data

transmission; there has been continued advocacy by the cluster, under the leadership of UNICEF, for the Ministry of

Health to shift from quarterly reporting to weekly reporting; a letter is with the Minister for signature.

Data from May-August 20122 shows that overall

cumulative admissions across 8 of the 9 Sahel

continues to climb as more children are able to

have access to treatment. As expected with the

peak of the lean season, SAM admissions

increased with exception of Chad.

Data reported from Chad indicates a slight

decline in new admissions for severe acute

malnutrition (SAM) between June and July

2012 (12,305 in July versus 15,888 in June

2012, a difference of 3583; This decrease was

observed in seven of the ten Sahel belt regions;

more comprehensive analyses are underway by

UNICEF, the MoH and the cluster technical group to explore reasons although reports from a few district suggest that

flooding had affected people‟s access to health facilities offering SAM treatment, and also affected data collection in flood

affected areas.

In Niger, weekly admissions to therapeutic feeding centres are averaging up to 8,000 children/week, as recorded in

weeks 30, 31 and 32. The expected peak of admissions correlates to height of the lean season. Year-to date cumulative

admissions total 215 768 children under-five children admitted for SAM treatment and the death rate among children

receiving SAM treatment remains below 2%.

For Senegal, data is only from Matam and Diourbel; there is an ongoing health worker strike which is slowing up the

delivery of services. Issues with data accuracy have been encountered in Cameroon: a nutrition audit team is reviewing

2012 data and will produce recommendations to improve national systems and reporting tools, although work is currently

been hampered by floods in the north. The Gambia is just starting to have SAM treatment programs and training of

enumerators is underway for a nutrition survey using SMART methods to be carried out in mid-end September.

1 This does not include cumulative data for the year from Cameroon

2 Idem

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All Affected Countries July 2012

# children 6-59 months with severe acute

malnutrition admitted for therapeutic care1 094 986 1 094 867 526 712 48%

# and % of children 6-59 months with moderate

acute malnutrition admitted for therapeutic care3 006 339 374 000 284 749 76%

Targeted Supplementary Feeding programme -

malnourished women200 500 177 620 89%

Blanket Feeding in high risk areas (preventative) 1 862 418 1 071 571 58%

Number of health centres with nutriton programmes 2 564 4 249 166%

% Assisted

vs Targeted

Affected or at Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - July)

NUTRITION





malnutrition admitted for therapeutic care100 000 100 000 63 149 63%


acute malnutrition admitted for therapeutic care450 000 69 000 39 259 57%



Blanket Feeding in high risk areas (preventative) 415 018 44 408 11%

Number of health centres with nutriton programmes - 1 658 -

Foot Note

Number of health centres with nutriton programmes: no change from previous reporting

Blanket Feeding in high risk areas (preventative): Following the higher number of children 6-23 months identified through registration for the blanket feeding activity during June and July, the

plan has been increased to match the newly estimated caseload in the targeted communities. Underachievement this month is due to a pipeline break of nutrition commodities. Scale-up

during the coming months is planned.

Targeted Supplementary Feeding programme - malnourished women: (Monthly target -July 2012)

# and % of children 6-59 months with moderate acute malnutrition admitted for therapeutic care: annual caseload of estimated MAM, Underachievement was due to pipeline breaks of

specialised nutrition products.

# children 6-59 months with severe acute malnutrition admitted for therapeutic care: SAM data is for Jan – July 2012, monthly reporting system now in place with national nutrition authority;

% Assisted

vs Targeted

Affected or at Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - July)

NUTRITION



11

CHAD July 2012








Number of health centres with nutriton programmes 468 345 74%

Foot Note

Number of health centres with nutriton programmes: Data collection June-results reported in July 2012

Blanket Feeding in high risk areas (preventative): Activities carried out in July 2012: Intervention targets children and nursing mothersChildren: Although a combination of factors including

rains slowing down activities and targeting which took longer than planned continue to affect achievement, the number of children reached has increased compared to the previous months.

Women: A combination of factors including, remote location of health centers coupled with the multiple activties women are engaged in contributed to lower than planned achievement.

Targeted Supplementary Feeding programme - malnourished women: (Monthly target - June 2012); A combination of factors including remote location of health centres coupled wiith the

multiple activities women are engaged in contributed to the lower than planned achievements

# and % of children 6-59 months with moderate acute malnutrition admitted for therapeutic care: annual caseload of estimated MAM, TSFP is ongoing and assisted in July are similar to June

(86%).

% Assisted

vs Targeted

Affected or at Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - July)

NUTRITION



MALI July 2012






malnourished women10 500 707 7%


Number of health centres with nutriton programmes 1 094 459 42%

Foot Note

Number of health centres with nutriton programmes: Data collection July- results reported in Aug 2012; no new information reported

Blanket Feeding in high risk areas (preventative): Children: Higher number of children screened at BSF sites than planned.

Women: Underachievement for PLW is due to the late arrival of Supercereal (CSB+).

Targeted Supplementary Feeding programme - malnourished women: Underachievement for PLW is due to the late arrival of Supercereal (CSB+).

# and % of children 6-59 months with moderate acute malnutrition admitted for therapeutic care: Underachievement is due to a pipeline break of required nutrition products.

# children 6-59 months with severe acute malnutrition admitted for therapeutic care: assisted includes inludes 6352 SAM admissions with medication complication and 41503 SAM

admissions without medical complications; Data from Jan – July reported in August 2012.

% Assisted

vs Targeted

Affected or at Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - July)

NUTRITION

Affected or at R isk Assisted by cluster


12








Blanket Feeding in high risk areas (preventative) 27 600 - 0%


Foot Note

Number of health centres with nutriton programmes: Data collection July- results reported in Aug 2012; the number of health centres was misreported as 370 in previous reports (eg. May

sitrep and June HAU); assessment visits by MoH and UNICEF have found 291 out of 488(target by Nutrition working group)are operational and have been assisted

Blanket Feeding in high risk areas (preventative): No BSFP in July due to a pipeline break for specialised nutrition products.

Targeted Supplementary Feeding programme - malnourished women: Women assisted includes 360 refugee women.

# and % of children 6-59 months with moderate acute malnutrition admitted for therapeutic care: Children assisted includes 1943 refugee children.

# children 6-59 months with severe acute malnutrition admitted for therapeutic care: Data collection July- results reported in Aug 2012

% Assisted

vs Targeted

Affected or at Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - July)

NUTRITION



NIGER July 2012







Blanket Feeding in high risk areas (preventative) 1 000 000 713 817 71%

Number of health centres with nutriton programmes - 898 -

Foot Note

Number of health centres with nutriton programmes: Data collection August 2012

Blanket Feeding in high risk areas (preventative): Following the higher number of children and women being registered for the blanket feeding activity, the operational plan has been increased

to match the newly estimated caseload in the targeted communities. Children assisted includes 1980 refugee children.

Targeted Supplementary Feeding programme - malnourished women: Ongoing active screening during BSFP and TSFP acitvities during the peak of the lean season led to the increase in

malnourished women identified in need of treatment.

# and % of children 6-59 months with moderate acute malnutrition admitted for therapeutic care: The planned caseload for children has been increased following active screening during the

lean season.

# children 6-59 months with severe acute malnutrition admitted for therapeutic care: Data collection August (weekly reporting )2012

% Assisted

vs Targeted

Affected or at Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - July)

NUTRITION



13

NORTHERN NIGERIA July 2012




acute malnutrition admitted for therapeutic care794 225 - - -


malnourished women- - -

Blanket Feeding in high risk areas (preventative) - - -


Foot Note

Number of health centres with nutriton programmes: Data collection July- results reported in Aug 2012

Blanket Feeding in high risk areas (preventative): not planned

Targeted Supplementary Feeding programme - malnourished women: not planned

# and % of children 6-59 months with moderate acute malnutrition admitted for therapeutic care: not planned


% Assisted

vs Targeted

Affected or at Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - July)

NUTRITION



SENEGAL July 2012







Blanket Feeding in high risk areas (preventative) - - -

Number of health centres with nutriton programmes - 216 -

Foot Note

Number of health centres with nutriton programmes: Data collection June 2012

Blanket Feeding in high risk areas (preventative): Nutrition activities in Cameroon and Senegal were not launched in July.

Targeted Supplementary Feeding programme - malnourished women: Nutrition activities in Cameroon and Senegal were not launched in July.

# and % of children 6-59 months with moderate acute malnutrition admitted for therapeutic care: Nutrition activities in Cameroon and Senegal were not launched in July.


% Assisted

vs Targeted

Affected or at Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - July)

NUTRITION



14



malnutrition admitted for therapeutic care3 230 3 230 960 30%







Foot Note

Number of health centres with nutriton programmes: Data collection June 2012

Blanket Feeding in high risk areas (preventative): This activity was launched at the end of July; distributions have been completed in one region (West Coast Region). The remaining

beneficiaries in the other targeted regions will be assisted from August onwards.

Targeted Supplementary Feeding programme - malnourished women: not planned

# and % of children 6-59 months with moderate acute malnutrition admitted for therapeutic care: not planned

# children 6-59 months with severe acute malnutrition admitted for therapeutic care: Data collection and review July 2012 reported in August 2012

% Assisted

vs Targeted

Affected or at Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - July)

NUTRITION



15

SAHEL 2012: SECTOR PERFORMANCE INDICATORS

AGRICULTURE

Burkina Faso, Chad, Mali, Mauritania, Niger, Northern Cameroon,

Senegal, The Gambia

PERIOD: JANUARY – JULY 2012

16

FAO Sahel response

As of July, more than 4.5 million individuals were assisted by FAO in response to the Sahel crisis in Burkina

Faso, Cameroon, Gambia, Mali, Mauritania, Niger, Senegal and Chad. FAO‟s priority response interventions in

the Sahel focus on protecting, restoring and building resilient livelihoods of crisis-affected vulnerable farmers,

agro pastoralist and herders. The proposed interventions, linking action in a continuum from emergency to

recovery and development are presented in the Regional Response Programme to the Food and Nutrition

Security Crisis in the Sahel.

The assistance provided in July included : helping farmers with the delivery of seeds, fertilizers and farming

tools for the main planting season, which began in May/June 2012; drought-related assistance to herders,

including the distribution of animal feeding veterinary inputs, and provision of small livestock; strengthening of

technical capacities with training on good practices including vegetable processing and marketing, and best

practices of livestock management; organization of nutrition education sessions in order to increase the

nutritional status of affected households with children and pregnant women facing high malnutrition rates,

school gardens, rehabilitation of water points for irrigation and batter access to water for human and livestock

populations; and support to food security-information, early-warning systems and coordination. The impact of

lack of funds on programmes is important. For instance the assistance provided to crisis-affected herders in

Burkina Faso through animal fodder distribution covers a period of one to two months instead of four to five

months ideally.

Regarding the rainy season, in July, partners continue distributing agricultural inputs and started monitoring of

the programs, including culture development. The technical training activities have started. In some countries,

distributions are almost completed. This is why indicators remain the same than last month (Chad, Senegal,

Gambia). In other countries, they are still running and will be completed by August (Mali, Niger, Burkina Faso,

and Mauritania).

The off-season production (October 2012 – April 2013) has not started yet.

Malian Context:

In the North of Mali, FAO encounters specific issues of monitoring of the activities (agriculture, livestock and

food assistance) due to the very limited access in the area.

Note that the indicators remain FAO data only, except for Mali which provides the figures of FAO and partners.


Agriculture and Livestock 18 740 123 9 965 556 5 053 410 51%

Affected or at

Risk Target Assisted

% Assisted

vs Targeted

AGRICULTURE



17

CHAD July 2012

Agriculture and Livestock 3 622 200 1 115 100 558 798 50%

Agriculture - 528 000

Livestock - 30 798

Foot Note

Agriculture and Livestock: Assisted: FAO beneficiaries only

Affected or at


% Assisted

vs Targeted

AGRICULTURE



MALI July 2012

Agriculture and Livestock 4 600 000 2 430 624 647 672 27%


Livestock - 145 467

Foot Note

Agriculture and Livestock: FAO and partners data

Affected or at


% Assisted

vs Targeted

AGRICULTURE




Agriculture and Livestock 2 065 738 933 800 726 551 78%


Livestock - 259 413

Foot Note

Agriculture and Livestock: FAO data only

Affected or at


% Assisted

vs Targeted

AGRICULTURE



18


Agriculture and Livestock 700 000 497 500 486 240 98%

Agriculture 210 000 241 242

Livestock 287 500 244 998

Foot Note


Affected or at


% Assisted

vs Targeted

AGRICULTURE



NIGER July 2012

Agriculture and Livestock 6 421 934 4 180 000 2 004 600 48%

Agriculture 2 805 000 1 734 600

Livestock 1 375 000 270 000

Foot Note


Affected or at


% Assisted

vs Targeted

AGRICULTURE






Livestock - 29 362

Foot Note


Affected or at


% Assisted

vs Targeted

AGRICULTURE



19

SENEGAL July 2012



Livestock - -

Foot Note

Livestock:


Affected or at


% Assisted

vs Targeted

AGRICULTURE






Livestock - 34 649

Foot Note


Affected or at


% Assisted

vs Targeted

AGRICULTURE



20


HEALTH

Burkina Faso, Mali, Mauritania, Niger, Senegal, The Gambia

PERIOD: JULY 2012

21

WHO Sahel response

The Sahel regions affected by a major food and nutrition crisis that will reach a peak with the lean season from June to September 2012. The crisis is currently affecting 9 countries: Burkina Faso, Chad, Northern Cameroon, Gambia, Mali, Mauritania, Niger, Northern Nigeria, and Northern Senegal. These countries are reporting an increasing number of cases of Severe Acute Malnutrition (SAM). The prevalence of global acute malnutrition (GAM) in food insecure districts is very often above 15%. UNICEF is projecting 1 million of SAM cases, of which 200,000 are expected to suffer medical complications. In addition to the food and nutrition crisis, conflict in Mali has displaced more than 343,000 people with about 200,000 refugees and returnees in neighbouring countries, often in the same areas already affected by drought and food insecurity. Ongoing disease outbreaks in the same areas (measles, cholera, meningitis, Lassa fever) increase the risk of transmission due to poor living conditions, high malnutrition prevalence and low immunization coverage in a context of fragile health systems. The coming rainy season in the Sahel region will also increase the risk of water and vector-borne diseases such as malaria. The health system has been disrupted in Northern Mali and even some district in the south with health canters looted and skilled health workers displaced in the South. Health partners are supporting health care in Northern Mali with NGOs Partners and Volunteer trough the Mali medical Association and MoH. Food security crises have substantial health impact. Nonetheless, most planning, response and advocacy efforts related to the Sahelian crisis have focused almost entirely on the food and nutrition dimensions. A Regional Health Strategy for the Sahel crisis has been developed by the regional Health Working Group chaired by WHO to address the health consequences of the food and nutrition crisis. The Regional Strategy expands the interventions already described in the IASC Response Plan for Food Security and Nutrition Crisis in the Sahel 2012 launched in February 2012.


Number and % of children under 5 years of age

vaccinated against measles in areas with high

GAM (> 10%) since January 1, 2012

563 800 563 040 23 481 4%

Number and % of children under 5 severely

malnourished (SAM) with medical

complications admitted to the hospital for

appropriated care

770 945 239 670 71 162 30%

Affected or at


% Assisted

vs Targeted

HEALTH



Number and % of children under 5 severely malnourished (SAM) with medical complications admitted to the hospital for appropriated care, data available for the following countries: Burkina Faso, Mali, Mauritania, Niger, Senegal and The Gambia. Number and % of children under 5 years of age vaccinated against measles in areas with high GAM (> 10%) since January 1, 2012: data only available for Mali and Mauritania

Target for both indicators are annual.

22





- - -




appropriated care

100 000 20 000 4 275 21%

Affected or at


% Assisted

vs Targeted

HEALTH



MALI July 2012




560 000 560 000 23 027 4%




appropriated care

175 000 78 750 1 926 2%

Foot Note

Number and % of children under 5 severely malnourished (SAM) with medical complications admitted to the hospital for appropriated care: Affected or at Risk: 2.2%

of SAM for the entire country; Targeted: 45% of SAM; Assisted: 1st quarter data only for the 6 Southern regions only. Data for the Northern regions not yet available.

Affected or at


% Assisted

vs Targeted

HEALTH







3 800 3 040 454 15%




appropriated care

74 115 59 292 37 235 63%

Affected or at


% Assisted

vs Targeted

HEALTH



23

NIGER July 2012




- - -




appropriated care

393 737 78 748 27 604 35%

Foot Note

Number and % of children under 5 severely malnourished (SAM) with medical complications admitted to the hospital for appropriated care: Affected or at Risk:

Enquête de 2011 publiée en Janvier 2012; Targeted: Yearly target

Affected or at


% Assisted

vs Targeted

HEALTH



SENEGAL July 2012




- - -




appropriated care

2 093 280 30 11%

Foot Note

Number and % of children under 5 severely malnourished (SAM) with medical complications admitted to the hospital for appropriated care: Data for Matam Region

only

Affected or at


% Assisted

vs Targeted

HEALTH







- - -




appropriated care

26 000 2 600 92 4%

Affected or at


% Assisted

vs Targeted

HEALTH



24


WASH

Burkina Faso, Chad, Mali, Mauritania, Niger, North of Cameroon,

North of Nigeria, Senegal, The Gambia

PERIOD: JANUARY – JULY 2012

25

WASH

The late of funding of the WASH sector in humanitarian response in the Sahel explains the poor results of the 2 strategic indicators selected to monitor WASH performance:

18 % of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages);

13 % of nutritional centres delivering the WASH minimum package (safe drank water with residual chlorine, disinfecting hand washing and food utensils, hygienic and secure defecation)

The levels of implementation of the various components of a WASH package vary greatly, testifying of the difficulties to

implement an integrated response swiftly. For UNICEF, only 32% of the needed funding requirements against the 2012

Sahel Humanitarian Action Update has been met (i.e. only $14million USD out of $43.7 million USD of total WASH needs

across the Sahel has been received)

With the on-going rainy season adding the risk of epidemics of diarrhoeal diseases to the current vulnerability of displaced and malnourished, the challenge remains acutely relevant to:

Deliver a minimum WASH package including all components "Water - Hygiene - Sanitation";

Integrate this minimum WASH package into humanitarian programming in order to achieve the Nutrition sector‟s standards.

Sahel countries now in the rainy season already affected by cholera outbreak include: Nigeria, Cameroon, Niger, Mali and

recently Burkina. In the region, the recommended approach for managing cholera in the region is called „Sword and

Shield‟. This approach highlights the need for on-going, cross-sector activities throughout the year, as opposed to

sectorial approaches.

After the dissemination of the “WASH in Nutrition” strategy by UNICEF and the Regional WASH Group, countries which benefited from strong capacity building in cholera preparedness and response, namely Senegal, Cameroon and Chad show significant better results. In Mali, the WASH response has benefit from the positive dynamic of the WASH Cluster. In Burkina Faso, the WASH coordination has been pushed but the minimum qualitative package in Nutritional Centres remains a challenge. Other countries such namely Niger and Nigeria are still facing monitoring system challenges.


# of nutritional centers delivering the WASH

minimum package (safe drank water with residual

chlorine, disinfecting hand washing and food

utensils, hygienic and secure defecation)

5 525 4 581 612 13%

# of affected population provided with the WASH

minimum package (safe water, hygiene supplies

and key messages)

4 003 473 2 960 473 520 798 18%

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted

vs TargetedAffected or at Risk Assisted by cluster


26






1 658 1 658 20 1%



and key messages)

207 909 207 909 42 193 20%

Foot Note

# of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages) : WASH minimum package functional in camps

for Malian refugees in Damba, Mentao and Fererio. Source: WASH Regional Group (data collection July 2012).

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted



CHAD July 2012





400 400 107 27%



and key messages)

331 559 331 559 62 297 19%

Foot Note

# of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages) : Volunteers and technicians working in the

CAN/CNT in 6 Regions have been trained in WASH. Source: UNICEF (data collection July 2012).

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted



MALI July 2012





1 094 150 45 30%



and key messages)

2 695 000 1 652 000 352 260 21%

Foot Note

# of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages) : 352,260 persons received hygiene kits (including

265,200 persons benefiting from a simple mosquito net + soap kit) and hygiene promotion. Source: UNICEF (data collection July 2012)

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted



27






488 488 22 5%



and key messages)

39 138 39 138 13 659 35%

Foot Note

# of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages) : All 8 schools for refugee children delevering the

WASH minim package. Source: UNICEF (data collection July 2012).

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted



NIGER July 2012





898 898 89 10%



and key messages)

443 737 443 737 26 560 6%

Foot Note

# of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages) : WASH minimum package functional in Ayorou

and Mangaize refugees camps. Source: WASH Regional Group (Data collection July 2012)

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted








436 436 173 40%



and key messages)

55 000 55 000 5 709 10%

Foot Note

# of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages) : 5,709 WASH kits have been distributed to

families with severe acute malnourished children. Source: UNICEF (data collection July 2012)

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted



28

NORTHERN NIGERIA July 2012





378 378 38 10%



and key messages)

208 000 208 000 5 200 3%

Foot Note

# of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages) : 138,600 provided with hygiene supplies and key

messages. Water treatment supplies (PUR) will be distributed shortly. Souce: UNICEF WASH team (data collection July 2012)

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted



SENEGAL July 2012





168 168 118 70%



and key messages)

20 000 20 000 12 000 60%

Foot Note

# of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages) : 94,859 persons at risk within 12,000 SAM

provided with access to household water treatment. Source: UNICEF (data collection July 2012).

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted








5 5 - 0%



and key messages)

3 130 3 130 920 29%

Foot Note

# of affected population provided with the WASH minimum package (safe water, hygiene supplies and key messages) : Figure based on 29,4% of target achieved.

Source: UNICEF (data collection July 2012).

WASHAffected or at

Risk

(Jan - Dec)

Target

(Jan - Dec)

Assisted

(Jan - Dec)

% Assisted



29

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