In 2013, UNICEF and partners plan for:
children under 5 suffering from severe acute malnutrition treated
people in 186 at-risk communes, including 65,000 refugees and 55,000 host communities, accessing safe WASH services
people, including 20,000 children, from the refugee and host community population who are at risk of abuse, violence and exploitation protected and provided with access to support
2013 requirements (US$)
The food insecurity and the malnutrition crisis affecting the Sahel region has severely hit Burkina Faso. According to the 2011 National Nutrition Survey, the prevalence of chronic malnutrition is 34 per cent, and acute malnutrition is over 10 per cent. Estimates suggest that in 2013, around 430,000 children will suffer from acute malnutrition, including 100,000 with severe acute malnutrition (SAM). Malnutrition accounts for 35 per cent of Burkina Faso’s high under-five mortality rate.1 Preliminary findings from a forthcoming study indicate that the crisis may have affected educational performance, resulting in late arrival at school (69 per cent), reduced attendance (52 per cent) and sleepiness in class (49 per cent). Burkina Faso, with a population estimated at 17 million inhabitants, is also located in the African meningitis belt and has faced a series of outbreaks since 1996, with 6,540 cases and 669 deaths reported in 2012 at a fatality rate of over 10 per cent. Furthermore, a total of 125 cholera cases were identified, with seven deaths at a fatality rate of 5 per cent in the Sahel region, where most of the Malian refugees have settled. New meningitis and cholera outbreaks are possible in 2013.
Possible military intervention and the continuous insecurity in northern Mali will most likely result in about 30,000 more Malians seeking refuge in Burkina Faso, bringing the total number of refugees to 65,000. The risk of communicable and waterborne diseases among refugees and host communities, currently estimated at 35,000 and 31,000 respectively, will remain very high. These populations will also face psychosocial stresses as well as the risk of child recruitment and gender-based violence (GBV), shortfalls in access to continued quality education, and lack of productive livelihoods as a result of their displacement.
Planned results for 2013
2013 Programme Targets
- 100,000 children under 5 suffering from severe acute malnutrition treated
- 200,000 pregnant and lactating women to receive information and counselling on appropriate infant and young child feeding practices
- 3,752 refugee children under 2 years old and 1,743 pregnant refugee women covered with routine immunization
- 34,877 Malian refugees and 30,000 host population receiving treated nets
- 400,000 children aged 2–15 years in 18 affected districts immunized against meningitis, and 10,000 people affected by meningitis receiving appropriate treatment and care
- 3 million children and their families receiving lifesaving information and counselling to prevent cholera and seek treatment
- 1,500 cholera cases managed properly at health facilities and the community level
- 120,000 people in 186 at-risk communes, including 65,000 refugees and 55,000 host communities, accessing safe WASH services
- 100,000 children under 5 suffering from severe acute malnutrition provided with WASH as per the integrated WASH-in-nutrition strategy
- 60,000 people, including 20,000 children, from the refugee and host community population who are at risk of abuse, violence and exploitation protected and provided with access to support
- 23,400 refugee children aged from 3–2 accessing quality education (including through temporary structures)
HIV and AIDS
- 3,500 pregnant women and newborns (expected refugees and host population) tested for HIV and treated with antiretrovirals to prevent transmission if positive; 400 cases of STIs managed.
In 2013, UNICEF will support the Government of Burkina Faso’s response to the humanitarian needs of more than 100,000 children with SAM and 200,000 pregnant and lactating women. UNICEF will support partners in treating 100 per cent of children with SAM by providing ready-to-use therapeutic food (RUTF), equipment, technical assistance, training and supervision. It will also promote appropriate infant and young child feeding practices for more than 200,000 pregnant and lactating women. A basic WASH-in-nutrition package will be provided to all nutrition rehabilitation units (NRUs) in the affected area. UNICEF will also continue efforts to prevent and respond to cholera and meningitis outbreaks nationwide, with 400,000 children aged 2 to 15 from 18 affected districts immunized against meningitis, and 10,000 meningitis cases properly managed In addition, 3 million children potentially affected by cholera will receive access to lifesaving information, and 1,500 cholera cases will be managed properly by health services. UNICEF will provide humanitarian assistance to the current caseload of refugees and to the potential influx of additional refugees from Mali, as well as host communities and potential internally displaced persons (IDPs). Planned interventions include routine immunization of over 3,700 children aged 0–23 months and 1,700 pregnant women, as well as the distribution of 34,000 insecticide-treated mosquito nets. HIV testing for pregnant women, prevention of HIV transmission in women to their newborns, and treatment of sexually transmitted infections (STIs) will also be carried out. Some 60,000 children, youth and women from the refugee and host communities will be protected from abuse, violence and exploitation and provided with psychosocial support, while 23,400 school-aged children, including adolescents, will access quality education, including through temporary structures. To improve children’s well-being and mitigate the impact of the nutritional crisis, 10,000 parents in camps and surrounding communities who care for children from 0 to 5 years old will be trained on life skills and child survival and development, including health, nutrition, water, sanitation, protection and prevention of epidemics.
Results from 2012
As part of UNICEF’s regional appeals launched for the Mali crisis in April and the Sahel nutrition crisis in June, the Burkino Faso Country Office requested a total of US$22,270,198 for its emergency operations. As of 31 October, US$15,202,510, or 68 per cent of requirements, was received as contributions, enabling UNICEF and partners to respond to both emergencies. Through October, 85,883 severely malnourished children were enrolled in therapeutic care. Over 6,500 meningitiscases were treated, while 669 deaths were reported. Some 235,258 children aged 2 to 14 years were immunized in April in three health districts of Gourcy, Séguénéga and Tougan, with 100 per cent coverage to curtail the expansion of the epidemic. One hundred twenty-five cholera cases were managed by the health services, with seven deaths in the Sahel region. Communication for Development and disinfection activities were organized to limit cholera transmission in and around the affected area, in addition to curative case management. Post-emergency standards for water provision have been reached for all official Malian refugee camps and some host communities. Latrines were constructed in all four refugee camps to meet minimum Sphere standards and were complemented by hygiene promotion and solid waste management. Over 6,100 children were immunized against measles, and 230 children under one year old were immunized with routine Expanded Programme on Immunization (EPI) vaccines in the camps. During the 2011/2012 school year, approximately 1,600 Malian refugee children aged 3 to 17 years old were integrated in Burkinabe schools. Some 1,454 (764 boys and 690 girls) elementary school refugee children aged 6–12 nationwide have benefited from catch-up classes during the summer holidays. In addition, 984 children aged 3 to 5 also received education support and benefited from social protection services. In September and October, a total of 2,294 children aged 3 to 18 years old have had access to child-friendly and safe spaces in five refugee sites, while partners increased their capacity to reach more children. In these spaces, children were provided with psychosocial assistance and participated in recreational activities. UNICEF is closely working with the United Nations High Commissioner for Refugees (UNHCR) to verify and assess the child protection needs of 1,062 children registered as unaccompanied or separated. In close collaboration with the United Nations Population Fund (UNFPA), UNICEF contributed to the development of guidelines to assist victims of gender-based violence. To assist Malian refugee children, UNICEF also worked on the development of a child protection monitoring system and integrated the sub-regional child protection approach.
* Not all clusters are officially activated, but some sectors, such as education, work under cluster-like coordination mechanisms.
Results through 31 October 2012
UNICEF funding requirements for 2013
In line with the country’s Inter-Agency Consolidated Appeal for 2013, UNICEF is requesting US$22,226,485. Funding will enable the continuation of quality and high standard service delivery to children suffering from malnutrition and those affected by food insecurity and other crises, including cholera outbreaks and the refugee crisis. This funding will reinforce UNICEF’s emergency response capacity to the potential cholera and meningitis epidemics or the potential escalation of the Malian crisis, while benefiting the refugee and host community populations already affected.
1 In 2010, under-five mortality in Burkina Faso was 176 per 1,000 live births, third highest in the world. See United Nations Children’s Fund, The State of the World’s Children 2012: Children in an urban world, UNICEF, New York, 2012, p. 88