Map of Eastern and Southern Africa Region
UNICEF photo:  Mustafa Abdullah, 2, stands next to his mother, Amal Muhammad, while she prepares a meal in a kitchen located just outside Bunj Hospital’s in-patient stabilization centre for children suffering from severe acute malnutrition. © UNICEF/NYHQ2012-1403/Sokol Mustafa Abdullah, 2, stands next to his mother, Amal Muhammad, while she prepares a meal in a kitchen located just outside Bunj Hospital’s in-patient stabilization centre for children suffering from severe acute malnutrition.

Eastern and Southern Africa

Country Office 2014 Requirements: US$26,979,500

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Regional Office 2014 Requirements: US$2,735,000

Humanitarian situation

Humanitarian needs in select countries throughout the Eastern and Southern Africa region remain linked to the effects of conflict and displacement, food and nutrition insecurity, climate variability, political instability, and disease. As of 31 July, 2014, the conflict in South Sudan has led to thousands of deaths and to the displacement of some 1.5 million people, including 1.1 million people within South Sudan and some 431,045 people who have sought refuge in neighboring countries. In South Sudan alone, some 3.7 million people are experiencing emergency or crisis levels of food insecurity, with an estimated 235,0001children suffering from Severe Acute Malnutrition (SAM) and up to 50,000 children at risk of death if they do not receive appropriate treatment. An outbreak of cholera in South Sudan has further complicated the already complex humanitarian situation.

Countries in the Horn of Africa including Kenya, Uganda, Somalia and Ethiopia have experienced poor rains that have resulted in increased food and nutrition insecurity. Response to this situation is ongoing, building on significant improvements in the capacity of government and humanitarian partners to address food security issues since the Horn of Africa crisis of 2011.

Climate variability has led to flooding in parts of Mozambique, Tanzania, Burundi, Zimbabwe and South Africa during the first half of 2014. In March, tropical cyclone Hellen, one of the most powerful cyclones in the Mozambique Channel, resulted in infrastructural damage and affected the livelihoods of people across the southern part of Comoros, northwest Madagascar and Mozambique. In stark contrast, parts of Malawi and Angola experienced dry spells, reducing access to food for affected populations.

In Somalia, women and children remain highly vulnerable due to the ongoing conflict there, and the interplay between the Somali conflict and local and national political dynamics in North Eastern and coastal regions of Kenya, risks having a broader humanitarian impact. In the Great Lakes region, the cross border movement of women and children due to recruitment by armed groups, forced repatriation and flight from violence continues to demand improved preparedness and response. Services are required to provide medical, mental health and psychosocial support to survivors of sexual violence, as well as tracing and associated support for unaccompanied and separated children.

  • Regional Office – Results 2014 (January to June)

    Results from 2013

    UNICEF appealed for US$25,856,339 for 2013, and as of 31 October 2013, a total of US$9,983,104, or 39 per cent of requirements, had been received in contributions. In 2013, ESARO prioritized assistance to high-risk countries for preparedness, response and disaster risk reduction, including strategic planning, inter-agency simulations, coordination training and technical consultations in Comoros, Ethiopia, Malawi, Lesotho, Somalia, Zambia, South Sudan, Botswana, Zimbabwe, Tanzania, Madagascar, Angola, and Namibia. Work with inter-governmental bodies resulted in the adoption of new policy frameworks, including the African Union’s new standard operating procedures for treating children in conflict operations. In addition, ESARO supported the development of strong links between family tracing and interim care across national and regional boundaries in the Great Lakes region, as well as between Yemen and Ethiopia, by working with partners, including IOM, to develop standards of appropriate care for children in mixed migration flows. In education, national policy frameworks were strengthened through strategic engagement with 14 country teams (composed of ministries of education, national disaster management bodies, UNICEF and civil society), which aimed to identify substantial ways of integrating disaster risk management and conflict-sensitive approaches into national education policies. Specific work was also undertaken with the World Health Organization (WHO), Oxfam and the Office for the Coordination of Humanitarian Affairs (OCHA) to develop the Joint Cholera Initiative for Southern Africa. Enhanced strategic engagement between UNICEF and UNHCR at country and regional levels resulted in improved service delivery for women and children in refugee camps in the region. Significant technical support was provided to develop resilience frameworks for Somalia and the Karamoja sub-region in Uganda, and a resilience partnership framework for South Sudan is under discussion. UNICEF, WFP and FAO organized a regional workshop on resilience focused on knowledge sharing and strengthening collaboration.

    During the first half of 2014, UNICEF’s Eastern and Southern Africa Regional Office (ESARO) supported UNICEF country-level response to the crisis in South Sudan and its impact on neighbouring countries including through providing critical surge capacity and technical support in drafting the humanitarian response strategies and scaling up UNICEF’s humanitarian response. UNICEF’s regional office also worked closely with partners, especially the United Nations High Commissioner for Refugees (UNHCR) and the World Food Programme (WFP), to scale up programmes in neighbouring countries in order to address the needs of women and children fleeing the conflict in South Sudan. UNICEF developed regional agreements to share data between UNHCR and partner agencies and to streamline case management and improve tracing of missing children and families. UNICEF ESARO hosted an innovations workshop to boost efficiency in case management services provided to children, including those affected by emergencies. During the cyclone and flooding season in Southern Africa, the regional office actively provided technical support to UNICEF country offices, partners and national governments in order to improve emergency preparedness and response. In water, sanitation and hygiene (WASH), the regional office supported UNICEF country offices and 25 WASH partners across the region to build their capacity to prepare and respond to WASH in emergencies, and in education, provided support on advocating for adequate funding for and implementation of education in emergencies programmes. The regional office also supported regional preparedness and capacity building workshops in the Great Lakes region, with a focus on Uganda, Rwanda and Burundi, to equip national authorities to plan and implement national emergency simulation exercises. UNICEF has strengthened its support for resilience building in the region through strategic engagement with respective country offices, Inter Agency platforms, UN agencies, academia and Governments, including contributing to the development of a resilience framework and strategy for the South African Development Community (SADC).

  • Burundi – Results 2014 (January to June)

    2014 Programme Targets

    35,000 children with severe acute malnutrition (SAM) provided with support, including therapeutic food, equipment and drugs, and coordination of programmes, including links between HIV and AIDS and integrated management of childhood illness

    14,000 schoolchildren continue their learning through the provision of 31 school classrooms, 14,000 school kits and 50 recreational kits, with access to safe water, sanitation and hygiene (WASH) promotion in all temporary accommodations and resettlement areas, including primary schools

    UNICEF Burundi has appealed for US$3,000,000 to meet the humanitarian needs of children and women in 2014. As of 30 June 2014, a total of US$1,539,650 (51 per cent) has been received in contributions against the appeal.

    During the first half of 2014, UNICEF and partners provided WASH, health, nutrition and child protection support to 45,000 Burundians (60 per cent children) who were expelled from Tanzania because they were considered to be illegal immigrants by the government there. In addition, in early 2014, UNICEF and partners provided humanitarian assistance to more than 20,000 Burundians affected by floods in Bujumbura. UNICEF helped deliver WASH services, including the provision of seven 10,000 litre bladders, latrines and hygiene promotion activities, benefitting people in 4 camps for internally displaced persons (IDPs) and 3 transit sites. UNICEF also provided more than 500 people living in three transit centres (Makamba, Rutana, and Muyinga) with non-food items and appropriate latrine systems. UNICEF provided tents, classroom equipment, and learning materials to more than 18,240 school-aged children, including 6,500 returnee children who successfully integrated into the national education system. Approximately 3,000 children under 5 suffering from SAM (more than 50 per cent girls) were treated by UNICEF-supported community-based nutrition programmes.

  • Lesotho – Results 2014 (January to June)

    2014 Programme Targets

    At least 20,000 ultra-poor and very poor households with at least one child receive a monthly cash transfer of LSL 250 (approximately US$25) from October 2013 to March 2014 in the targeted areas

    At least 1,500 severely malnourished children aged 0 to 5 years are treated and cared for in the targeted areas

    At least 6,000 children aged 0 to 5 years receive multi-micronutrient supplementation in targeted areas

    UNICEF Lesotho appealed for US$5,000,000 to meet the humanitarian needs of children and women in 2014. As of 30 June 2014, no funds have been received against the appeal. Given the lack of humanitarian funding, UNICEF directed other resources to cover the shortfall.2

    As of mid-year, UNICEF and partners provided cash assistance support to 5,472 households who care for orphans or other vulnerable children, and up to 5,472 children were immunized. Through UNICEF and partner support, more than 790 children aged 6 to 59 months were screened and treated for malnutrition, and more than 35,000 pregnant and lactating women were provided with micronutrient supplements. The pattern of chronic food insecurity in the country promised to continue. A recent Lesotho Vulnerability Assessment report (April 2014) revealed that 447,476 people will likely experience food shortages in late 2014 and early 2015 due to poor crop production resulting from late onset of rains, agricultural inputs, and pest infestation.

    UNICEF and partners helped support the development of a national resilience framework, commissioned by government and inter-governmental organizations, which is designed to address chronic food insecurity. UNICEF will continue to work with the government on preparedness and response plans and interventions.

  • Madagascar – Results 2014 (January to June)

    2014 Programme Targets

    5,000 children under 5 who suffer from SAM have access to treatment and 100,000 children are screened

    25,000 internally displaced persons and host community members (including approximately 16,250 children) have safe water to drink

    25,000 school-aged children, including adolescents, have access to quality education (aided by temporary structures)

    UNICEF Madagascar appealed for US$4,636,440 to meet the humanitarian needs of some 25,000 children and women in 2014. As of 30 June 2014, US$515,737 (or 11 per cent of the total) has been received against the appeal.7

    The 2014 cyclone season was uncharacteristically mild during the first half of 2014, with some 5000 people affected by Cyclone Hellen which made landfall in Madagascar at the beginning of the year. Given the small scale of the emergency, authorities largely managed the response on their own. In response to requests from authorities, UNICEF participated in impact and needs assessment activities, and provided some relief. This included using water purification contingency stocks to support 2,141 people in the district of Soalala in the Boeny region and providing 44 sheets of tarpaulins to help repair the roofs of 11 classrooms, benefitting some 1,243 children. UNICEF, in collaboration with the Ministry of Health, conducted screenings of 171,651 children aged 6 to 59 months (74 per cent of all children in this age group) in regions with Global Acute Malnutrition (GAM) rates above 10 per cent. As a result of the campaign, 519 cases of severe acute malnutrition (SAM) were identified and referred for treatment.

  • Malawi – Results 2014 (January to June)

    2014 Programme Targets

    18,557 children aged 6 to 59 months with SAM and 22,372 children aged 6 to 59 months with MAM treated

    419,000 flood-affected people access safe water through household water treatment or rehabilitation and repair of water points

    400,000 affected people reached with messages on hygiene practices, especially hand washing with soap, use of latrines and use of safe drinking water through various channels

    400,000 children affected by emergencies provided with psychosocial support through community-based child care centres and children’s corners

    12,000 flood-affected schoolchildren benefit from school supplies (school-in-a-box and recreation kits)

    UNICEF Malawi appealed for US$5,243,500 to meet the humanitarian needs of children and women in 2014. As of 30 June 2014, US$3,334,240 (or 64 per cent of the total) has been received against the appeal.

    During the first half of 2014, some 40,000 people were affected by floods. UNICEF and partners responded through the provision of household water treatment, benefitting 24,285 people. UNICEF and partners also provided support to 1,894,782 people facing food insecurity (for the period of October 2013 to March 2014) as a result of localised dry spells. By mid-year, with UNICEF support, an estimated 22,970 children with severe acute malnutrition (SAM) were enrolled and treated in Outpatient Therapeutic (OTP) and Nutrition Rehabilitation Unit (NRU) Programmes (for the response period October 2013 to September 2014). UNICEF also facilitated the provision of psychosocial support services in food insecure districts, enabling some 19,648 children (79 per cent of the target) to benefit from the services through community-based child care centres and children’s corners. Through the end of 2014, UNICEF support is likely to focus on food security conditions in some parts of the country, which are expected to deteriorate as a result of prolonged dryness, the early cessation of rains, and resulting production shortfalls. In addition, UNICEF will continue to provide preparedness and response support to authorities in anticipation of possible flooding during the rainy season, which begins in October.

  • Namibia – Results 2014 (January to June)

    2014 Programme Targets

    80,000 children aged 6 to 59 months in rural areas, and 15,000 pregnant and lactating women benefit from community-based management of acute malnutrition and nutrition screening and treatment

    109,000 children provided with multi-micronutrient supplementation

    350,000 people in six target regions benefit from community-led total sanitation, household water treatment and storage and hygiene education

    UNICEF Namibia appealed for US$3,500,000 to meet the humanitarian needs of children and women in 2014. As of 30 June 2014, US$443,442 (or 13 per cent of the total) has been received against the appeal.

    In May, 2014, UNICEF in partnership with the Ministry of Health supported African Vaccination Week where a total of 152,928 children aged 6 to 59 months were vaccinated against measles and 142,132 children received Vitamin A supplementation. In addition, 109,000 children aged 6 to 59 months were screened for malnutrition. Out of these, a total of 2,827 moderately malnourished and 607 severely malnourished children were detected and were provided with ready to use therapeutic food and referred for treatment. In partnership with the Namibian Red Cross, UNICEF supported training of trainers for 30 Red Cross staff, and training for 450 Red Cross volunteers on conducting household and community based nutrition surveillance for acute malnutrition, promoting breast feeding and complementary feeding practices with mothers and caregivers, and delivering messages to communities on critical hygiene practices and the link between hygiene and nutrition. As a result of the Red Cross training, volunteers screened 532 children and 378 adults for acute malnutrition out of which 127 were referred to health facilities for further treatment, and a total of 9,000 households (approximately 36,000 people) were reached with hygiene promotion messages.

  • Rwanda – Results 2014 (January to June)

    2014 Programme Targets

    7,000 refugee children enrolled in ECD services

    1,000 refugee children receive special protection measures

    6,000 additional refugee pupils receive essential teaching and training material

    11,000 refugee students will benefit from improved teaching skills through teacher trainings

    6,000 refugee families will benefit from WASH through maintenance and newly established systems

    20,000 newly arrived refugees (16,000 mothers and children) will receive adequate ECD, protection, education and WASH services through contingency planning

    UNICEF Rwanda appealed for US$3,200,000 to meet the humanitarian needs of children and women in 2014. As of 30 June 2014, US$1,789,472 (or 56 per cent of the total) has been received.

    During the first half of 2014, UNICEF and partners provided integrated early childhood development (ECD) services, along with 30 ECD kits and quality ECD materials, benefitting some 4,500 young children in Mugombwa and Kigeme refugee camps. This included center and home-based care, linked to integrated health, nutrition and water, sanitation and hygiene (WASH) interventions. UNICEF and partners provided 28,000 textbooks and reading materials which benefitted 7,342 students. UNICEF also supported school-based mentorship programmes to build the capacity of teachers on teaching methodologies and English proficiency, benefitting some 5,142 students. UNICEF and partners also provided clean drinking water, sanitation and hygiene services to Nkamira, Mugombwa, and Kigeme refugee camps, benefitting 6,800 refugee families, and delivered key messages to promote safe hygiene practices. Over 5,000 returnees from Tanzania were supported with lifesaving WASH supplies in relevant host community districts. In child protection, UNICEF and partners provided 620 girls with targeted support to prevent sexual exploitation and abuse, and worked jointly with UNHCR to ensure children in refugee camps receive timely and quality protection services. Additional funding will enable strengthened prevention and response mechanisms in the camps and increase protection through case management, referral pathways and protection monitoring activities. For emergency preparedness, UNICEF, government and other development partners finalized the National Contingency Plan for a Mass Population Influx.

  • Swaziland – Results 2014 (January to June)

    2014 Programme Targets

    90 children have access to nutrition screening and referral services

    120 health care workers oriented on health and hygiene practices and management of diarrhea

    UNICEF Swaziland appealed for US$450,000 to meet the humanitarian needs of children and women in 2014. As of 30 June 2014, no humanitarian funds have been received. Despite the shortfall in emergency funds, a number of results were achieved using catalytic resources secured from UNHCR as well as from other UNICEF programme resources.

    Swaziland is susceptible to natural and man-made hazards (including droughts, flash floods, storms, wildfires, epidemics) which have become more frequent and intense in recent years, and which pose a serious threat to livelihoods, environmental resources, agriculture production and food security. The HIV/AIDs epidemic, furthermore, is threatening the lives of thousands of Swazi children, and is the second leading cause of death for children aged under five years (comprising 14 per cent of the mortality rate of this age group).14 Positively, there is almost universal coverage of prevention of mother-to-child transmission (PMTCT) services with over 90 percent of pregnant mothers and exposed infants receiving appropriate treatment. Transmission rates are estimated at 11 percent in children aged 18 months.

    During the first half of 2014, UNICEF provided technical support to finalizing national policies on climate change, standard operating procedures for early rescue and finalisation of sub-sectoral plans on disaster risk reduction (DRR). UNICEF convened coordination groups in key sectors, including water, sanitation and hygiene (WASH), education, nutrition, and health, which contributed to increased coordination and partnership. UNICEF supported the Ministry of Health to carry out innovative routine disease surveillance through the use of SMS technology for disease notification. In response to service delivery gaps in the Malindza refugee camp, UNICEF, in partnership with UNHCR, supported the rehabilitation of WASH facilities benefitting some 300 people, and established an early childhood development (ECD) centre, benefitting children from the camp and the surrounding communities. UNICEF and partners built the capacity of key stakeholders to carry out nutrition screenings in select communities, to provide hygiene promotion and pre-positioning in cholera-prone areas, and to design effective communication for development (C4D) programmes, in partnership with the Promotion Unit of the Ministry of Health.

  • Zimbabwe – Results 2014 (January to June)

    2014 Programme Targets

    250,000 women, men and children at risk of water-borne diseases provided with emergency WASH promotion

    10,000 vulnerable families, including those living in disaster-prone areas at risk or exposed to violence, exploitation and abuse benefiting from social cash transfers

    50,000 mother and infant pairs receiving appropriate infant and young child feeding in high-risk districts

    UNICEF Zimbabwe appealed for US$1,950,000 to meet the humanitarian needs of children and women in 2014. As of 30 June 2014, US$202,038 (or 10 per cent of the total) has been received. To cover the shortfall, UNICEF utilized existing emergency funds carried over from previous years together with programmatic and thematic funds to cover humanitarian related activities for an estimated amount of US$500,000. After the de-activation of the cluster system in 2013, UNICEF has continued its support to the government for humanitarian coordination and capacity building in the sectors of child protection, education, nutrition and water, sanitation and hygiene (WASH). UNICEF, in partnership with the Ministry of Health and Child Care (MOHCC) for the National Community-Based Management of Acute Malnutrition (CMAM) Programme, facilitated cash transfers to 24,000 households affected by food insecurity as part of its Harmonized Social Cash Transfer programme. Nationally, UNICEF supported the treatment of over 12,000 children and adults for severe malnutrition (out of which over 10,000 are children aged under 5 years) and over 24,000 households in drought-prone districts benefited from social cash transfers.

    On 10 February, the Government of Zimbabwe declared the Tokwe Mukorsi Dam flooding a state of disaster. Some 3,125 families were internally displaced and moved to a temporary camp established in the Chingwizi area. UNICEF and partners provided assistance in the areas of child protection (including psychosocial support services and prevention of and response to child abuse), education (including the establishment of temporary learning spaces, and provision of stationery and furniture for temporary schools), health (including supporting the clinic setup-up of and relocation of primary health care medicines), nutrition (including carrying out a nutrition assessment, distributing Micro-nutrition Powder and counselling for c-IYCF) and WASH (including provision of water supply, latrines and bathroom facilities, non-food items, hygiene promotion and solid waste management). While efforts were made to decongest the camp, as of mid-June, 2014, only some 500 families had relocated to the permanent site.

Funding requirements

UNICEF is requesting a total of US$29,714,500 to provide humanitarian support to children and women across the Eastern and Southern Africa region in 2014. This includes US$27 million to respond to small- or medium-scale emergencies in Burundi, Lesotho, Madagascar, Malawi, Nambia, Rwanda, Swaziland, and Zimbabwe, as well as US$2.7 million to cover regional actions that support humanitarian action and resilience and peacebuilding throughout the region. As of 30 June 2014, a total of US$8,377,420 (28 per cent) has been received against the appeal, including US$7.8 million for country level responses, and US$552,841 for regional efforts. Additional funding is critical to enable UNICEF to continue its critical preparedness, response and resilience-building work in the region.

WFP and UNICEF Nutrition Scale Up Plan - South Sudan in support of the Cluster Response Plan (July 2014).
2 Specifically, UNICEF utilized US$3,449,761 from other resources against the emergency appeal.
3 Based on the 4 per cent SAM rate.
4 The limited results were due to underfunding.
5 ‘Number of pregnant and lactating women remain the same
6 The original target was corrected to reflect the number of children in 21,824 households enrolled in the cash grant programme
7 This includes US$500,000 from the DFID-funded Preparedness grant to reinforce the resilience and capacity of national emergency systems.
8 The 2014 HAC appeal was based on the assumption that a medium size cyclonic catastrophe would hit the island, as has been habitual in Madagascar in years past. The fact that only a minor storm occurred means that the CO has not had to respond at the scale originally foreseen, hence the low performance against most targets. Severe storms may still be possible when the cyclone season resumes in the last months of 2014.
9 Interventions in the other 12 regions are planned in the second half of 2014.
10 The original target was corrected downwards, to accurately reflect cumulative targets of total number of children attending the CBCCs.
11 The target was based on previous years’ experiences of flooding, however the extent of 2014 flooding has been minimal, affecting much fewer children than anticipated, thus the relatively low numbers of children reached.
12 Out of the 109,000 children in 6-59 month age group screened, 3,434 children who were moderately or severely malnourished received treatment.
13 The results were higher than original target as a greater number of refugee came to the camps than originally anticipated.
14 See 2013 UNICEF-supported situation analysis of women and children in Swaziland (IGME 2013 report)
15 ORT: Oral rehydration therapy.
16 All households supported in drought prone districts: Buhera, Chivi Mwenezi, Bulilima, Mangwe, Gokwe North, Kariba Rural benefiting from Harmonized Cash Transfers. Includes 71 households affected by flooding at Tokwe Mukorsi.
17 Breakdown of 1,334 girls and 1,401 boys. Includes children enrolled in ECD, Primary and Secondary school in the Chingwizi area up to April.
18 1,200 children receiving micro-nutrient powder every two months in Chingwizi camp; 12,327 children and adults (10,2221 under five) treated for acute malnutrition (Jan – April).
19 At the beginning of the emergency UNICEF, through implementing partners, supported WASH needs for the majority of population in Chingwizi camp. In the following months this support was complemented by other partners with different sources of funding.
20 In responding to the emergency needs, UNICEF utilized US$3,449,761 from other resources.
21 This includes emergency funds carried over from 2013 in the amount of US$15,737.
22 Includes 2013 carry over funds and recovery costs.
23 Includes 2013 carry over and recovery costs. In addition, some US$400,000 from other resources were utilized to support emergency preparedness and response activities as part of drought/cholera outbreak response.
24 Includes recovery costs.
25 All funds are 2013 carry over and do not include recovery costs. In addition, US$ 337,924 of other resources were utilized to respond the emergency needs.