malawi - Unicef

MALAWI FLOODS SITUATION REPORT # 22

MALAWI Humanitarian Situation Report

SITUATION IN NUMBERS

HIGHLIGHTS

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In efforts to prevent and sustain good behaviour change from the cholera outbreak, Communications for Development continue to implement hygiene promotion activities through WASH, Health and Child Protection. Through UNICEF support, World Vision in collaboration with the Ministry of Education Science and Technology and Ministry of Youth and Sports Development is currently distributing the first batch of recovery education supplies comprising of 299 school in a box and 170 recreation kits and 24 tents to 84 out of the 150 UNICEF target disaster affected schools in Phalombe, Mulanje, Thyolo, Zomba rural and Machinga which will benefit 80,743 learners (55,652 girls). Department of Disaster Management Affairs (DoDMA) successfully carried out a Lessons Learned Workshop in late July with all clusters and district councils in order to synthesize the strengths, weaknesses and lessons learnt of the Emergency Flood Response. Challenges are persisting for the resettlement of Internally Displaced Persons in camps remaining in Nsanje and Chikwawa, which is preventing the closure of camps.

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5 August 2015 100,000 displaced people roughly estimated to still be in temporary sites in Nsanje and Chikwawa districts (Shelter Cluster minutes, 23 June 2015)

693 Cholera cases reported, 0 cases reported in the month of July.

11 Cholera deaths (Weekly Cholera Report, 15-21 June, 2015 Ministry of Health)

UNICEF Appeal in 2015 US$ 9,291,292

UNICEF’s Response with partners s Sector Nutrition Education WASH Child Protection

Indicator

UNICEF Target

Children 6-59 months with SAM enrolled in OTP and NRU programmes Affected school children benefiting from school supplies Affected population reached with safe water to through chlorination Children provided with psychosocial support

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UNICEF Cumulative results (#)

23,085

14,633

105,000 125,000

193,923 178,525

15,000

26,454


Situation Overview & Humanitarian Needs 

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Challenges are persisting for the resettlement of Internally Displaced Persons in camps remaining in Nsanje and Chikwawa, which is preventing the closure of camps. Challenges include issues of site selection for resettlement, where reports of unsuitable land has been allocated. Concern over the lack of procedure for land selection which is leading to the selection of unsuitable land that will make already vulnerable families more vulnerable. Proposed for DoDMA to take the lead in carrying out land assessment exercise to ensure land is safe for resettled families. For the month of July, no cholera case were reported in any of the originally affected districts which is a positive development, however hygiene promotion continues as a preventative measure. As of 21 June 2015, a total of 693 cholera cases and 11 deaths (CFR 1.6%) had been reported from eight affected districts of Nsanje, Chikwawa, Ntcheu, Mwanza, Phalombe, Blantyre, Dedza and Lilongwe.

Humanitarian Leadership and Coordination 

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DoDMA organized a Lessons Learned workshop for all clusters, July 22-July 23 in Blantyre, to review the emergency response and synthesize lessons learned in order to understand the strengths and weaknesses of the response in preparation for future emergency responses. As cluster and co-cluster leads, UNICEF through the government organized cluster meetings in preparation for the lessons learned workshop. The Malawi National Protection Cluster met on 21 July to review the response to human rights violations during the emergency response. The Malawi National Nutrition Cluster had a meeting on 29th July 2015 and the main items of discussion were: coordinated nutrition response for the impending drought, emergency nutrition supply updates and positioning, roll out of Nutrition in Emergency (NiE) and Nutrition cluster coordination trainings to the districts partners for proper coordination at the district level. A small technical working group was formed to develop drought response plan for the Nutrition cluster incorporating lessons from the previous emergency responses. The nutrition Standardized Monitoring and Assessment of Relief and Transitions Survey (SMART) report is under finalization through requisite review and validation by the relevant government committees’ .The survey report is expected to be released by 15th August 2015. An inter cluster meeting between Shelter and Camp Management, WASH and Education clusters was held on 28 July 2015 to discuss and establish district contingency plans for emergency preparedness. The National Shelter Cluster continues to meet with government and relevant clusters in order to decide and action a way forward for the resettlement of Internally Displaced Persons.

SUMMARY OF PROGRAMME RESULTS Communication for Development In efforts to prevent and recover from the cholera outbreak, Communications for Development have supported hygiene promotion activities through the WASH, Health and Child Protection sections.  UNICEF’s partner the Malawi Red Cross Society has cumulatively trained 359 community based volunteers, who, in turn, conducted door-to-door visits reaching out to a total of 89,000 households in Blantyre, Chikhwawa and Nsanje with cholera prevention messages.  These trained volunteers also conducted 567 community meetings, reaching out to an estimated total of 14,000 people in Blantyre, Chikhwawa and Nsanje with cholera prevention messages.

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Malawi Red Cross has also oriented a total of 600 caregivers drawn from 102 community based child care centres (CBCCs) in Blantyre, Chikhwawa and Nsanje. These caregivers have been promoting hand washing activities and cholera prevention among children in CBCCs.

WASH 

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During the reporting period, a total of 1,253 people have been reached with hygiene and sanitation messages through NGO partners. Cumulatively at least 566,989 people in camps, schools and communities have been reached during the recovery phase through NGO partners. This brings the total number of people reached with hygiene promotion messages on water treatment, cholera and other diarrhea disease prevention from the onset of the emergency to a cumulative total of 913,100. UNICEF supplied 840 buckets, 840 bars of soap (Each 1 Kg) and 840 bottles of water guard to NGO partners. These were supplied to contribute to the Cholera case reduction following the outbreak in Blantyre, Chikwawa and Nsanje. These materials have been distributed to 102 Community Based Childcare Centres (CBCCs) serving at least 10,200 people. The number of people in camps, schools, CBCCs and communities provided with safe water through UNICEF and partners is now at 178,525 during the recovery phase. UNICEF through NGO partners continue to decommission WASH facilities in IDP camps in Chikwawa and Nsanje districts. As of 1st August, 2015, a total of 579 pit latrines and 136 bath shelters have been decommissioned in 29 IDP camps and 10 Cholera treatment Centres (CTCs) in these districts. A total of 55 pit latrines and 21 bath shelters are still standing in 5 IDP camps across the districts where people have not relocated and also in 2 CTCs in Chikwawa.

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Figure 1: Map depicting WASH activities carried during the recovery phase in IDP camps and Health Centres in Chikwawa Note: The four WASH activities include chlorination, construction/rehabilitation/decommissioning of sanitation facilities (i.e. latrines and bath shelters), hygiene promotion and provision of WASH suppliers (e.g. HTH, soap and buckets). The five WASH activities include all the aforementioned activities plus water trucking. Nutrition 

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To date, a cumulative total of 14,633 (7,073 males and 7,560 females) under-five children with severe acute malnutrition (SAM) have been admitted in OTP and NRUs supported by UNICEF. Over 92 % and 82% of children discharged from OTP and NRU were cured respectively; overall, all the outcome indicators in CMAM is consistent with SPHERE standards of >75% recovery rate except for NRU death rates cumulatively was at 12.5% above the recommended SPHERE of