
©UNICEF∕CHAD2012-003∕Duvillier
Achta Saleh, 12-month-old, is going back home with her mother after spending 17 days at the nutrition centre in Mao, Chad. When she arrived on March 17, 2012, Achta was in bad shape.
Chad
In 2013, UNICEF and partners plan for:
126,000
children with severe malnutrition are treated
3 million
children are immunized for measles and meningitis
340,000
school-aged children access quality education
2013 requirements (US$)
Humanitarian Situation
Drought and the impact of climate change are putting poor families at risk of food insecurity. They are threatening to further compromise the nutrition status of more than 125,000 children living in the 11 regions of Chad that fall within the Sahel belt. According to a July 2012 nutrition survey, the prevalence of global acute malnutrition (GAM) within these regions increased from under 14.5 per cent in 2011 to 18 per cent in 2012. Chad continues to face high rates of child malnutrition and disease outbreaks: with an under-five mortality rate of 175 deaths for every 1,000 live births; and a national GAM prevalence rate of 15.7 per cent.1 In addition, the country is experiencing numerous cyclic shocks, such as floods; and reoccurring epidemics, such as cholera, measles, meningitis and polio, which are having an overwhelming impact on the health system. Access to social services remains low, for instance only 16 per cent of the population has access to proper sanitation facilities and just half of Chadian school-aged children have access to primary education. Furthermore, the need to give continuing humanitarian assistance in eastern and southern Chad to 325,000 Sudanese and Central African refugees, 131,000 internally displaced persons, and 50,000 returnees is still among the priorities.
Planned results for 2013
2013 Programme Targets
Nutrition
- 126,000 children with SAM are treated
- 2 million children under five receive micronutrient supplementation
Health
- 3 million children are immunized for measles and meningitis
- 2 million children under five affected by acute watery diarrhoea, malaria and pneumonia are able to access life-saving curative interventions, including home-based management
WASH
- 126,000 children affected by malnutrition and their families benefit from WASH and nutrition interventions
- 1 million people receive information related to hygiene and sanitation to prevent cholera and other illnesses
Child protection
- 126,000 children with SAM receive psychosocial support
- 90,000 schoolchildren in conflict areas benefit from awareness education on the risk of mines and unexploded ordnances (UXOs)
Education
- 340,000 school-aged children in the Sahel belt and conflict-affected regions are accessing quality education
HIV and AIDS
- 3,052 HIV-positive pregnant women receive ARV prophylaxis and 622 children born with HIV receive quality care
- 200,000 young women and men in the Sahel belt are sensitized on HIV prevention
UNICEF will support the Government of Chad in preparing for, and responding to, the humanitarian needs of more than 6 million children and women affected by drought, malnutrition, diseases and displacement. Working with partners, UNICEF will support the scale-up of life-saving child survival interventions, education provision and social protection. This will be done by expanding the number of health centres offering outpatient therapeutic care for severe acute malnutrition (SAM) to 600; and by supporting the rehabilitation or construction of 200 classrooms for improved access to quality education. UNICEF, with its partners, will also monitor child protection risks that are often generated by food security and nutrition crises. These include different forms of gender-based violence (GBV), such as early and forced marriages, which may be used as coping mechanisms by families.
To address the spread of waterborne diseases in general, and cholera in particular, UNICEF will promote safe hygiene practices and provide household water treatment and hygiene kits to more than a million people. This will include providing and maintaining WASH in Schools facilities.
UNICEF will continue to support the government’s efforts to foster conflict prevention and disaster risk reduction, by building communities’ resilience to cyclical and predictable shocks. To this end, UNICEF is focusing on risk-informed programming and social protection strategies aimed at reducing risk, and preparing and responding better – through community interventions – to cholera, meningitis, measles and polio epidemics as well as flooding and other hazards. This is expected to lead to increased ownership and improved resilience.
As lead agency of the nutrition, education, and WASH clusters, as well as the child protection sub-cluster, UNICEF will coordinate line ministries, UN agencies and NGOs to improve accountability and the overall impact of humanitarian programmes.
Results from 2012
UNICEF originally appealed for US$46,424,000, later revising this to US$52,000,000. As of 31 October, it had received US$32,627,978 (63 per cent) as contributions. This enabled UNICEF and its partners to focus on service delivery, while building capacity and resilience at the community level.
UNICEF supported the government in increasing the number of health centres providing treatment for severe and moderate acute malnutrition: from 241 to 425. This contributed to 126,591 children with SAM being treated by 31 October, a significant increase. To scale up the integrated management of childhood illnesses and foster equity in geographical coverage, UNICEF trained and dispatched 200 paramedics to underserved areas. IThe organization also built a network of 2,500 animators on Communication for Development (C4D) for the promotion of hygiene and sanitation practices, polio eradication and cholera prevention. UNICEF supported the identification of 81 unaccompanied children and their reunification with their families in flood-affected regions. The organization also provided support to children affected by displacement in eastern Chad; and helped establish temporary classrooms for the timely return to school of flood-affected children in the capital, N’Djamena. Timely support provided by UNICEF and partners to 700,000 flood-affected people was challenged by a shortage of funding; this resulted in the delayed provision of proper shelter materials for displaced people.
Results as of 31 October 2012. **Targets weren’t achieved, because of lack of funding. Needs remain huge and resources are scarce. For education emergency programme in the East, the cluster received only US$500,256 which is 6 per cent of 2012 planned budget.
UNICEF funding requirements for 2013
In line with the country’s Interagency Consolidated Appeal for 2013, UNICEF is requesting US$60,895,591 to meet the humanitarian needs of children in Chad in 2013. Without additional funding, UNICEF will be unable to support the national response to the country’s continuing food and nutrition crisis; alleviate recurrent epidemics; and address critical and poor access to basic social services by vulnerable communities, internally displaced persons (IDPs), returnees and refugees.
1 UNICEF 2010 Multiple Indicator Cluster Survey.