In 2014, UNICEF and partners plan for:
children in humanitarian situations aged 6 to 59 months benefit from free and adequate care to manage malaria, acute respiratory infections and diarrhoea
persons in districts at high risk of cholera and Ebola receive information on transmission, prevention and management of cholera and Ebola
children in humanitarian situations have access to formal and non-formal education
2014 Requirements: US$7,700,000
Total affected population: 1 million
Total affected children: 500,000
Total people to be reached in 2014: 1 million (including internally displaced persons, returnees and host communities)
Total children to be reached in 2014: 500,000
Côte d’Ivoire has made significant progress towards stabilization and recovery since the post-electoral crisis of 2010-2011. Yet as of August 2014, some 63,500 (out of the original 300,000) Ivorians who fled during the crisis, remain refugees in the sub-region due to the fragile security situation in the country. The situation along the border with Liberia remains fragile due to the continued existence of networks affiliated with the former regime and the presence of former combatants and other armed elements. Risks of violence and abuse against children and women remain high and are made worse by the lack of access to justice for victims and the situation of impunity. In May 2014, an armed attack in Grabo in the southwest of Côte d’Ivoire resulted in 14 deaths including 11 civilians and 3 soldiers, and led to the displacement of 3,500 people.1 Internally displaced Ivorians who want to return home continue to face challenges – almost half of the 27,000 people displaced last May 2013 following the Government’s decision to evict populations from protected forests (including in Mont Peko), remain displaced. Malnutrition rates remain high (up to 40 per cent in the Northwest) due to lack of services and limited access to health centres. Access to education is also limited, especially for girls.2 Localized conflicts over land persist, lack of employment opportunities and limited access to basic social services often undermine the sustainable reintegration of internally displaced persons (IDPs) and refugees. Landslides triggered by torrential rain in early June killed 23 people in Abidjan,3 and OCHA estimates that up to 80,000 Abidjan residents could be affected by flooding this year.4
The voluntary repatriation programme to support the return of Ivorian refugees from neighbouring countries has been officially suspended since mid-July following Government measures to contain the Ebola threat and the respective closure of borders with Liberia. Since January 2014, and until the suspension, 12,400 refugees have been repatriated, out of the planned 22,000 for the whole year. It is unclear if the 2014 target will be reached as a result of the suspension. Precautionary measures including surveillance, case management, social mobilization and risk communication are being taken to ensure preparedness in case the epidemic spreads into Côte d’Ivoire.
2014 Revised Programme Targets
- 10,000 children in humanitarian situations aged 6 to 59 months affected by SAM are admitted for treatment
- 325,000 children in humanitarian situations aged 6 to 59 months benefit from free and adequate care to manage malaria, acute respiratory infections and diarrhoea
- 20,000 women with complications in delivery receive adequate care
- 50,000 people in humanitarian situations access water for drinking, cooking and personal hygiene
- 100,000 persons in districts at high risk of cholera and Ebola receive information on transmission, prevention and management of cholera and Ebola
- 10,000 children in humanitarian situations have access to appropriate protection care and services
- 30,000 children in humanitarian situations have access to formal and non-formal education
HIV and AIDS
- 1,050,000 people are better informed on reproductive health and the prevention of HIV/STIs
- 200 survivors of sexual and gender-based violence are provided with post exposure prophylaxis kits and comprehensive care
Throughout 2014, UNICEF will continue to support the Government’s response to the needs of children and women affected by displacement, malnutrition and poor access to water and protective care, by strengthening emergency response capacity and resilience to crises. UNICEF’s humanitarian response is focusing on assisting returning refugees, IDPs, and host communities in the conflict-affected West, with relief packages and activities aimed at rebuilding livelihoods and strengthening resilience. Life-saving nutrition interventions are being scaled-up by expanding the number of health centres offering treatment for severe acute malnutrition (SAM). UNICEF supports antenatal and emergency obstetric care for pregnant women and builds the capacity of health personnel on emergency obstetric and neonatal care in health facilities. Communications for development (C4D) interventions are used to disseminate essential parenting skills information to crisis-affected communities. Support to the management of malaria, acute respiratory infections and diarrhoea for children under 5 years is ongoing through the promotion of key family practices. Orphans and vulnerable children receive a minimum package of HIV services provided through a family approach to reduce risks of new transmissions. Pregnant women who attend ante natal care consultations also receive counselling, care and treatment while adolescents and young people receive life skills training on HIV/AIDS, sexually transmitted infections (STI), reproductive health, and gender-based violence. In high-risk areas, displaced persons and host communities have access to safe drinking water and may access to contingency stocks of non-food item. UNICEF is building the capacity of partners to respond to a possible cholera epidemic, and in collaboration with the Government and the World Health Organization (WHO), will continue to monitor the Ebola outbreak in neighbouring countries and carry out preventive measures through social mobilization and risk communication strategies. UNICEF is working to ensure that children and adolescents have access to quality education in a secure and protective environment through the provision of an integrated package of early childhood, primary and alternative education. It is also reinforcing the capacities of the Ministry of Education staff, students, teachers and parents in conflict transformation, mediation, peace building and psychosocial support. UNICEF will foster protective environments to guard children against exploitation, abuse and neglect, and children in need of protection assistance will access adequate care and support services. UNICEF will continue to closely monitor the situation in the Mont Peko region and in Grabo, and support the vulnerable population as needed.
Results 2014 (January to June)
From January to June 2014, UNICEF, in cooperation with the Government and NGO partners, has focused on delivering programmes to crisis-affected populations, while building capacity at local level. UNICEF supported health interventions including the treatment of 119,182 cases of malaria, 21,519 cases of diarrhoea and 46,997 cases acute respiratory infections, as well as cold chain management. UNICEF supported the distribution of essential drugs benefitting some 728,868 children under 5 years and 180,000 pregnant women, and provided supplies, therapeutic foods and essential medicines for the treatment of malnutrition. Some 3,500 children aged between 6 to 59 months with SAM were treated, with a cure rate of 76 per cent. In addition, 7,225,723 children under 5 received Vitamin A supplementation. Out of 102,723 pregnant women attending ante natal care in the UNICEF intervention zone, 65,704 received counselling and 2,091 testing positive for HIV were referred and received antiretroviral treatment (ART) and prophylaxis for their children. Some 404,140 adolescents and young people received information and life skills on HIV/AIDS, STIs, reproductive health, and GBV, 52,586 youth tested for HIV and STIs, and those testing positive (251 for HIV and 3410 for STIs) received appropriate care and treatment. UNICEF and partners supported community-level water, sanitation and hygiene (WASH) interventions in the Southwest enabling first-time access to clean drinking water for populations there. To assist populations affected by the flooding and landslides in June, UNICEF placed orders for WASH contingency stocks for 150,000 affected persons. A total of 833 survivors of violence (including 583 children) were identified and referred to appropriate services. Out of these cases, 24 per cent were sexual violence related. UNICEF supported the establishment of a child helpline in December 2013 which has received nearly 20,000 calls as of mid-year. Through support to community-based protection networks and awareness raising interventions, more than 140,000 persons (including 37 percent children) were better informed on preventing and responding to child protection risks. Two primary schools were built in conflict-affected border areas, benefiting some 426 students (including 159 girls), while 18 peace clubs were reinforced in targeted schools, building the skills of some 550 students in non-violent and collaborative alternatives to conflict management. Two community based early childhood and development (ECD) centres were constructed in early 2014, bringing the total number of centres in the conflict affected region to 15, benefiting some 1,100 children. UNICEF advocacy led to the validation of the school year for some 540 students who had their education interrupted due to conflict and displacement. UNICEF provided WASH kits to assist 500 IDP families and school kits to 310 students. UNICEF pre-positioned protection kits and provided school supplies for 13,237 children and school furniture to benefit 900 children affected by the displacement out of Mont Peko.5 In preparedness to Ebola, communication interventions have been carried out, including briefing of media professionals, religious leaders and community workers to sensitize 26,485 households on Ebola in the West of Côte d’Ivoire. Of note, the Ebola preparedness activities and funding requirements for the period September 2014 – February 2015 are included in the separated HAC sub-regional chapter for Ebola.
UNICEF is appealing for US$7.7 million to meet the humanitarian needs of children in Côte d’Ivoire in 2014. As of 30 June 2014, a total of US$296,009, or less than 4 per cent of requirements, was received against the 2014 appeal. There was no carry over from 2013. A non-humanitarian grant of US$3,702,600 received for humanitarian/transition activities is also supporting our response in 2014, but the needs remain high. Another US$7.4 million is required to enable UNICEF meet the humanitarian needs of children in Côte d’Ivoire through the end of 2014. Without additional funding, UNICEF will be unable to support the national response to the country’s continuing nutrition crisis, to provide critical WASH services, to support those at risk of cholera, and to provide ARVs/ART. Basic supplies for primary education are also urgently needed to uphold childrens’ right to education. Of note, the funding requirement for Ebola preparedness starting 1 September 2014 are included in the sub-regional HAC chapter for Ebola.
1 Ivory Coast army retakes border town after attack kills 13, 16 May 2014, Reuters, http://www.reuters.com/article/2014/05/16/us-ivorycoast-attacks-idUSBREA4F0LK20140516
2 The net attendance rate for primary school in the South region is 62.9 per cent (54.1 per cent for girls); the net intake ratio for primary school in grade one is 26.9 per cent, and; the net attendance ratio for secondary school is 28 per cent (16.6 per cent for girls).
3 A Abidjan, la pluie tue les plus pauvres, Abidjan.net, 20 juin 2014, http://news.abidjan.net/h/501409.html
4 Ivoirian floods highlight disaster preparedness shortcomings, IRIN, 4 July 2014
5 Thirty-third report of the Secretary-General on the United Nations Operation in Côte d’Ivoire, 24 December 2013
6 In line with the WASH cluster programme plans, the dissemination of hygiene messages and child illness prevention was carried out by the ICRC and the Danish Refugee Council (DRC), while UNICEF focused on supporting affected populations by providing access to safe drinking water and WASH kits. UNICEF interventions were planned for second half of 2014, and we expect the 2014 target to be achieved as as planned.