In 2013, UNICEF and partners plan for:
caregivers adopt improved infant and young child feeding practices
persons in areas at risk of cholera benefit from hygiene and sanitation promotion messages
pregnant women benefit from prevention of mother to child transmission of HIV and AIDS
2013 requirements (US$)
Following a decade of socio-political turmoil, which ended with widespread armed violence in April 2011, the return of peace has not yet yielded viable solutions to millions of children who remain affected by a silent emergency in Côte d’Ivoire. The humanitarian needs of the population remain a concern to the Government but often go unaddressed in light of multiple priorities faced by the authorities in this fragile post-conflict context. Over 81,500 people are displaced in the country and nearly 82,000 people are refugees in neighbouring countries1 with little inclination to return because of insecurity, as reflected in the destruction of the internationally displaced person (IDP) camp in Duékoué in July 2012. More than 4,200 preschool-aged and 7,500 school-aged displaced children2 do not have access to quality education, mostly because of the lack of classrooms and teachers. Risks of violence and abuse against children and women remain high, worsened by the lack of access to justice for victims, and impunity.3 As a result of inappropriate feeding practices, poor hygiene and limited access to potable water and health services,4 1 in every 9 children dies before the age of 5, while more than 1 in every 4 children suffers from chronic malnutrition.5 This situation is compounded by one of the highest neonatal mortality rates in Africa with 41 deaths for every 1,000 live births, maternal mortality at 470 for 100,000 live births,6 and just 36 per cent7 of HIV-positive pregnant women receiving antiretroviral (ARV) prophylactic treatment in 2011.
Planned results for 2013
2013 Programme Targets
- 12,000 children suffering from severe acute malnutrition treated at 25 in-patient and 200 out-patient centres
- 300,000 caregivers adopt improved infant and young child feeding practices
- 750,000 children under 5 benefit from free and adequate care to manage malaria, ARIs and diarrhoea
- 255,000 deliveries managed by skilled attendants and at least 20,000 complications receive adequate care
- 20,000 IDPs and host community members most affected by the crisis provided with safe water
- 500,000 persons in districts at high risk of cholera outbreaks benefit from hygiene and sanitation promotion messages
- 100% of child victims of violence and abuse have access to appropriate care and services
- Children in contact with the judiciary system benefit from improved treatment
- 11,750 displaced boys and girls aged 3–12 have access to community early child development centres; formal education and community-based non-formal education programme
HIV and AIDS
- 150,000 pregnant women benefit from PMTCT care; 6,000 children from HIV-positive women are prevented against the mother-to-child transmission of HIV
- 17,600 young people tested for HIV and 1,000 (6%) HIV+ received care and treatment
In 2013, UNICEF will support the Government in addressing the emergency needs of more than 8 million children through vaccination campaigns and women affected by a decade-long crisis that deeply weakened the delivery of basic social services and protection. With its skilful network of partners, UNICEF aims to treat 12,000 children suffering from severe acute malnutrition (SAM), and to promote life-saving infant and young child feeding practices to 300,000 caregivers, including in early childhood development centres. HIV interventions in the eight most vulnerable regions of the west, southwest and the northeast will expand prevention of mother-to-child transmission (PMTCT) services from 46 to 50 per cent coverage, and allow 700,000 young people to gain access to life skills and 35 per cent of them to access counselling and voluntary testing for HIV and sexually transmitted infections (STIs). Health interventions carried out in the same eight most vulnerable regions will support household management of malaria, diarrhoea and acute respiratory infections (ARIs) to reach 50 per cent of all children under 5 (750,000). WASH interventions will mitigate cholera outbreaks through prevention activities among 500,000 persons in high-risk districts, and provide safe water for 20,000 persons still affected by the post-electoral crisis. UNICEF will pursue efforts for enhanced protection systems to prevent exploitation, abuse and neglect for the most vulnerable children, and provide alternative care services for children in need of special protection. Access to quality justice for identified child victims of violence will be strengthened and children in contact with the judiciary system will be treated appropriately. In addition to its leadership role in education, UNICEF will also expand community-based, non-formal education and supplementary formal education services such as accelerating learning programmes to 11,750 displaced boys and girls aged 3–12, and will train 482 teachers to offer children who dropped out of school an opportunity to attend catch-up classes. Furthermore, the deteriorating security situation in Mali is likely to have a significant impact on Côte d’Ivoire. Fighting is most likely to take place in the north of Mali but possibly also in the south; as a result, thousands of Malians are expected to flee possibly to neighbouring countries, including Côte d’Ivoire. In preparation, UNICEF Côte d’Ivoire will procure and preposition non-food items and WASH materials to respond to the needs of 100,000 refugees. UNICEF will support screening and referral of severe malnutrition, and offer emergency health, psychosocial assistance and family reunification.
Results from 2012
With emergency contributions of US$18,601,728, or 69 per cent of the required US$26,929,000 as of end October 2012, UNICEF and its partners focused their joint response on supporting the most vulnerable populations. This included the provision of essential drugs following the Government’s decision to offer free health services; the improvement of access to health care for pregnant women and under 5 children in 17 districts in the west and the southwest; the reinforcement of the national immunization coverage through expanded outreach activities and the restoration of the cold chain; the provision of preventive and curative services to about 268,000 people living in districts affected by cholera outbreaks; the provision of safe water to 150,600 IDPs; and a nationwide immunization response to curtail polio, with no new cases reported over the last 12 months. UNICEF led the nutrition cluster while also supporting the development and implementation of a nationwide nutrition surveillance system and providing direct support to local NGOs, which significantly increased the national capacity to identify and manage SAM. This resulted in the treatment of 6,953 children with SAM, with a cure rate of 87 per cent. UNICEF also supported the provision of Vitamin A to 6,789,925 children aged 6–59 months and the administration of deworming treatment to 6,141,618 children aged 1–5 years. For the prevention, care and treatment of people living with HIV, over 900,000 adolescents and women received information on the disease with counselling offered to 45,393 people and voluntary testing of HIV and STIs taken by 21,631 people in the west. Of those who were tested, 3,503 new HIV-positive young people and 2,425 women are now receiving ARV treatment. In education, 1,000 teachers have been trained in providing psycho-social assistance to children, and 45 primary schools damaged during the conflict were rehabilitated in the west. Psychosocial assistance was delivered to 68,341 children and 176,470 people were sensitized on the prevention of violence and harmful practices against children.
UNICEF funding requirements for 2013
In line with the country’s 2013 Inter-Agency Humanitarian Strategy in Phase of Transition, which has been developed in lieu of the Consolidated Appeals Process, UNICEF is requesting US$16,470,000 to meet the humanitarian needs of children in Côte d’Ivoire in 2013, and to respond to the possible influx of Malian refugees into Côte d’Ivoire. Failure to mobilize this funding will prevent UNICEF from supporting ongoing efforts by the Government to address unmet post-crisis needs, particularly those of IDPs in the west; upholding children’s rights to education and protection in the delicate transition phase; responding to alarming malnutrition trends in the north; providing basic health care; and ensuring critical coordination responsibility for WASH, nutrition, education and protection activities while the country navigates the delicate path from relief to development.
1 UN Office for the Coordination of Humanitarian Affairs, Bulletin Humanitaire Côte d’Ivoire, no. 23, 30 Septembre 2012.
2 Estimation based on the 2012 CAP Review (9 per cent of displaced children aged 3–5, and 16 per cent of displaced children aged 6–12).
4 Ministry of Health, National SMART survey 2012.
5 Demographic and Health Survey (DHS), 2012.
6 Demographic and Health Survey (DHS), 2005.
7 World Health Organisation (WHO), Universal Access Report, WHO Geneva, 2010.