In 2013, UNICEF and partners plan for:
children under 5 with severe acute malnutrition to be treated
people to have access to safe water for drinking, cooking and personal hygiene
school-aged children to access quality education
2013 requirements (US$)
Update of humanitarian situation
An estimated 2.4 million people in Ethiopia were in need of food assistance during the first half of the year1. The food security and nutrition situation in southern and south eastern parts of Ethiopia stabilized in the last quarter of 2012 due to the relatively favourable rains and good harvest. However, poor performance of rains in the north-eastern parts of the country is likely to lead to increased food insecurity in pockets of Afar, Tigray, Amhara and Oromia. Reports from the Community-Based Management of Acute Malnutrition (CMAM) programme show that 113,240 severely malnourished children were treated in Ethiopia from January to May 2013, an 11-per cent decrease from the 127,300 children treated in the same period of 2012. The number of therapeutic feeding sites able to handle malnutrition increased from 11,351 in 2012 to 11,900 as of June 2013. These are reaching more children, providing earlier treatment and preventing their situation from deteriorating, contributing to community resilience. UNICEF estimates that 300,000 severely malnourished children will require treatment in 2013.
In addition to food insecurity and malnutrition, children face the risk of disease such as acute watery diarrhoea, measles, and yellow fever. Underlying causes include dry weather condition, flooding and low routine immunization coverage. In addition, Ethiopia, situated in the African ‘meningitis belt’, is vulnerable to meningococcal meningitis outbreaks. Following a polio outbreak in neighbouring Somalia and Kenya, children in districts in Ethiopia neighbouring the two countries will require vaccination to prevent transmission and the further spread of disease, particularly given recurrent population movements.
Inter-communal conflict, displacements and socio-economic shocks will pose additional threats to children placing them at risk of separation from their families, emotional distress, abuse and exploitation, for which protection support will need to be strengthened. In addition, Ethiopia will continue to receive vulnerable refugee children from neighbouring countries requiring humanitarian assistance. As of May 2013, 28,028 new refugees have arrived in Ethiopia, bringing the total to 404,430 refugees2 - mainly from Somalia, Eritrea, South Sudan and Sudan3. Among the Eritrean refugees, an area of concern is the number of unaccompanied minors.
Adjusted planned results for 2013
2013 adjusted programme targets
- 300,000 children under 5 with severe acute malnutrition treated.
- 11,700,000 (90 per cent) children aged 6–59 months receive vitamin A twice yearly.
- 2,640,000 pregnant and lactating women screened twice yearly for malnutrition.
3.8 million people over the age of 2 receive meningitis vaccine.
576,000 children, adolescents and women access essential health services though preventive and curative interventions in Somali and Afar regions.
Populations affected by disease outbreaks access lifesaving curative and preventive interventions (estimated 12 outbreaks per year in Ethiopia).
14,000 refugee children under 1 receive routine immunization (Penta3).
1,000,000 people (approximately 600,000 children, including refugee children) have access to safe water for drinking, cooking and personal hygiene.
1,900,000 emergency-affected people, including refugees, receive sanitation and hygiene information to prevent child illnesses, especially diarrhoea.
- 60,000 school-aged children in emergency-affected areas (including refugee children) access quality education.
- 100,000 children provided with quality teaching, including psychosocial support, life skills training and education materials.
- 20,000 children affected by emergencies benefit from child protection services, including psychosocial support, through access to child-friendly spaces.
- 400 children in emergencies supported through interventions on prevention of family separation, family tracing and reunification.
HIV and AIDS
- 1,000 community and Government representatives trained in participatory mapping of child protection issues and the minimum package on HIV/AIDS in emergency settings.
For the remainder of the year, UNICEF will continue to work with the Government of Ethiopia and humanitarian partners to meet core commitments for children affected by emergencies. UNICEF will support interventions to ensure that, during emergencies, children in Ethiopia have adequate access to education, health and nutrition care, safe water, sanitation and hygiene facilities, and receive protection support. UNICEF will support the treatment of children suffering from severe acute malnutrition through the government-led community-based management of acute malnutrition. In the remote and emergency-affected areas of Somali and Afar regions, where no other alternative access to health care exists, UNICEF will continue to support mobile health and nutrition teams. In total in 2013, UNICEF plans to reach 1.9 million people with sanitation and hygiene information to prevent child illnesses, which is a slight reduction from the original plan of 2 million people. Hygiene promotion is mainly required during second half the year with the start of the main raining season (June to September) and several pilgrimage events in July, August and September. UNICEF also supports the Government of Ethiopia in its efforts to enhance communities’ resilience to emergencies. In child protection, UNICEF will continue to support community-based social protection structures that aim to strengthen the traditional care and support systems of local communities. Support will also be provided to the identification, registration and reunification of separated and unaccompanied children, particularly in refugee settings. Due to a significant decrease in number of new refugees from Somalia during the first six months of 2013, the planned target for this intervention has been reduced from 5,000 refugee children to 400, with the focus on scaling up the response to new Eritrean refugees. The education sector targets has also been revised downwards due to fewer incidents outside refugee setting that needed intervention; however UNICEF will continue to support education interventions , particularly improvement in quality of education, for refugee children building on the collaboration with UNHCR started in 2011.
The overall responsibility for coordinating emergency response in Ethiopia rests with the Disaster Risk Management and Food Security Sector of the Ministry of Agriculture and Rural Development, and the relevant line ministers coordinate activities in their sectors. UNICEF, as cluster lead in nutrition and WASH and co-lead in education and child protection, provides support to sector coordination.
Results from 2013
In addition to the results listed in the table below, UNICEF supported the Ministry of Health with the procurement of over four million doses of meningitis vaccines for the campaign in June 2013, reaching 2.6 million people over the age of two. Ethiopia’s Ministry of Health, with UNICEF support, initiated a polio vaccination campaign targeting 2.6 million children living in high-risk districts near the Somali and Kenya borders and in the Dollo Ado refugee camps. UNICEF provided cold chain equipment and social mobilization support. UNICEF supported the Ministry of Health and NGOs in the management of severe acute malnutrition by providing therapeutic food, drugs and equipment to more than 11,000 therapeutic feeding sites in the country. UNICEF facilitated disaster risk management (DRM) training to partners (113 participants from Government and NGOs) in multiple sectors in Afar, Oromia and SNNP regions. From January to June 2013, UNICEF procured and distributed a total of 1,583 tons of Ready-to-Use-Therapeutic-Food, 1,037 cartons of F75 and 1,381 cartons of F100. From January to April 90,835 severely malnourished children received effective treatment with a recovery rate of 85.5 per cent. To assist the Somali and Afar Regional Health Bureaus’ programmes for hard-to-reach communities, UNICEF provided 100 emergency drug kits to mobile health and nutrition teams sufficient to provide life-saving curative care to over 125,000 people. More than 150,000 people in drought or flood affected areas had access to clean water through provision of water trucking (used as a last resort), distribution of water purification chemicals and rehabilitation/maintenance of non-functional water points. A peak in the need for emergency water trucking was observed in mid-March 2013 when 54 trucks were deployed of which UNICEF supported 25 of them. A total of 43,700 children (including 24,000 refugees) in Afar, Amhara, Gambella, Benishangul Gumuz, Oromia and Somali regions were able to continue their education partly due to provision of supplies from UNICEF including 144 early childhood development kits, 336 teacher kits, 2,435 hygiene kits and 26,714 learners’ kits/students bag. In child protection, 20,000 children continue to be reached with psychosocial support through child-friendly spaces established in 2012 and sustained in 2013 through UNICEF technical support in Dollo Ado. In addition, UNICEF supported ‘Community Care Coalitions’ (CCCs) – community-based social protection structures that aim to strengthen the traditional care and support systems in emergency affected areas. So far in 2013, 10,280 children benefited from the support provided by the CCCs through distribution of school materials and school uniforms for orphans as well as medical treatment support for the most vulnerable. These activities have been implemented by reprogramming resources from 2012.
Results through 30 June 2013 unless stated
*Data are as of May 2013.
**Data for the Community Health Days conducted during the first quarter of 2013 have not yet been released.
***Includes consultations through April 2013 by the Somali Regional Health Bureau and through March 2013 for Afar.
**** Data are as of May 2013
*****Awaiting data from UNHCR
UNICEF funding requirements for 2013
UNICEF Ethiopia increased its emergency requirements for 2013 from US$49,498,000 to US$53,487,000 to reflect the additional resources needed for response to meningitis cases and pre-emptive polio campaign. For education cluster response, there have been fewer incidences that required response and hence the figure is being adjusted to reflect the projected situation. As of 30 June 2013, US$34.1 million has been received, which is 64 per cent of the revised funding requirement. Although the health sector is fully funded (more funds were received than originally requested), UNICEF Ethiopia is in urgent need of funding to scale up treatment of acute malnutrition, increase access to clean water, procure the school supplies for children before the opening of schools in September and to strengthen child protection systems, particularly for refugee children.
1 Government and Humanitarian Partners – Humanitarian Requirement Document 28 February 2013
2 UNHCR - UNHCR Refugee Update as of 31 December 2012 (http://www.unhcr.org/50efd2649.html) and Population of Concern to UNHCR as of 31 May 2013 (http://data.unhcr.org/horn-of-africa/download.php?id=1210)
3 237,774 of Somali origin, 71,833 of Eritrean origin, 60,558 of South Sudanese origin and 30,090 from Sudan.