Map of Madagascar
UNICEF photo: Two young boys help each other during the floods in Ankasina (Antananarivo) © UNICEF/NYHQ2012-0675/Holt Two young boys help each other during the floods in Ankasina (Antananarivo).

Madagascar

In 2013, UNICEF and partners plan for:
280,000

children under 5 and 40,000 pregnant women in regions affected by cyclones and floods access lifesaving curative interventions

100,000

internally displaced people and host community members are provided with safe water

40,000

school-aged children, including adolescents, access quality education

2013 requirements (US$)

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Humanitarian situation

Madagascar is one of the world’s poorest countries, ranking 151 out of 187, according to the 2011 Human Development Report.1Poverty is on the rise in the country, with 75 per cent of people living below the poverty line in 2010, up from 68 per cent in 20052. Poverty is exacerbated by a geographical location and topography that expose the country to various natural hazards, including tropical cyclones, flooding and drought. Between 2003 and 2012, Madagascar was hit by a total of 22 cyclones affecting close to 3 million people, including 540,000 children under 53. The impacts of the cyclones are multiple; including the loss of life and damage to health centres and schools infrastructure, as well as destruction of essential medicines and education materials. In addition, infected wells and latrines in the aftermath of the storms can lead to the spread of diarrhoea and other waterborne diseases. The ongoing political crisis since 2009 has resulted in the suspension of most external assistance to the country, reducing the capacity of Malagasy authorities to provide basic social services and respond to emergencies.

Planned results for 2013

2013 Programme Targets

Nutrition

  • 16,000 children under 5 suffering from severe acute malnutrition have access to appropriate treatment and curative interventions.
  • 137,000 women and 44,800 children under 5 access support for appropriate infant and young child feeding (IYCF).
  • Children under 5 and 27,400 pregnant or lactating women access micronutrients through fortified foods, supplements or multiple-micronutrient preparations via community-based interventions.

Health

  • 280,000 children under 5 and 40,000 pregnant women in seven regions affected by cyclones and floods access lifesaving curative interventions.

WASH

  • 100,000 internally displaced people and host community members (including approximately 65,000 children) are provided with safe water as per agreed standards.
  • 100,000 emergency-affected people benefit from hygiene and sanitation promotion messages.

 Child protection

  • 50,000 children are provided with access to safe community spaces for socialization, play and learning, along with appropriate referral services for children needing specialized care and support.

Education

  • 40,000 school-aged children, including adolescents, access quality education (aided by temporary structures).
  • DRR training is provided for local education authorities and school-aged children in 13 regions.

In 2013, UNICEF will provide an immediate and integrated response to the humanitarian needs of some 100,000 people likely to be affected by cyclones and flooding or food insecurity. The organization will continue to support government efforts to expand essential services to affected populations through community-based interventions, including nutrition and health centres, child-protection networks, education centres and the provision of safe water and sanitation.

Through the health and nutrition clusters, UNICEF will work to integrate water, sanitation and hygiene (WASH) interventions to avoid a sudden increase in mortality in the worst-affected areas. UNICEF will continue to lead  the WASH cluster to ensure effective coordination in the provision and promotion of access to safe water and proper hygiene facilities in anticipation of the 2013 cyclone season. UNICEF has pre-positioned WASH kits with three partners (Ministry of Water, MIARINTSOA and Frères de Saint Gabriel) to benefit an estimated 5,000 households. Through the child-protection network, UNICEF will ensure that children in affected areas benefit from an adequate emergency response, including child-friendly spaces. The education cluster’s focus will be to reach children in the most affected sites, including hard-to-reach areas, to ensure access to temporary learning spaces. The organization will work in partnership with national and regional government and with United Nations agencies, NGOs and communities.

Results from 2012

UNICEF originally appealed for US$20,950,000 and later revised requirements down to US$11,000,000. As of 31 October, US$666,605, or 6 per cent of the requested funds, was received, severely restricting UNICEF’s capacity to meet its targets. To respond to the humanitarian needs, UNICEF reprogrammed US$200,000 from its regular resources and used prepositioned supplies. In addition, the country office received funding from the UNICEF Emergency Programme Funds, European Commission Humanitarian Aid Office (ECHO) funding for temporary learning spaces and assistance from the African Development Bank for school and health centre rehabilitation. Funds received from the Central Emergency Response Fund (CERF) ‘Underfunded Emergencies Grant’ allowed increased response to people affected by Cyclone Giovanna in the health, nutrition and WASH sectors. UNICEF worked with the government and led the WASH, education and nutrition clusters. The nutrition response consisted of training community health workers on early detection of severe acute malnutrition. The health response consisted of: providing institutional support and free treatment to over 1,100 children, distributing 10,000 insecticide-treated nets and providing essential health services for 63,000 people through equipped temporary health centres. The response to the malaria outbreak included the sensitization of 127,800 people and distribution of nets to 10,000 vulnerable families with children under 5 or pregnant women. For child protection, the situation of 12,406 children was monitored, and some 400 children benefited from daily psychosocial support through eight child-friendly spaces in Antananarivo. Twenty thousand children were able to restart school thanks to the installation of tents, and 13,670 children received school supplies. Ongoing preparedness activities for the upcoming cyclone season include: disaster risk reduction (DRR) training for local education authorities and school-aged children, strengthening child-protection networks to report or address cases, DRR training for WASH stakeholders and replenishment of pre-positioned stocks to target 20,000 people.

UNICEF originally appealed for US$20,950,000 and later revised requirements down to US$11,000,000. As of 31 October, US$666,605, or 6 per cent of the requested funds, was received, severely restricting UNICEF’s capacity to meet its targets. To respond to the humanitarian needs, UNICEF reprogrammed US$200,000 from its regular resources and used prepositioned supplies. In addition, the country office received funding from the UNICEF Emergency Programme Funds, European Commission Humanitarian Aid Office (ECHO) funding for temporary learning spaces and assistance from the African Development Bank for school and health centre rehabilitation. Funds received from the Central Emergency Response Fund (CERF) ‘Underfunded Emergencies Grant’ allowed increased response to people affected by Cyclone Giovanna in the health, nutrition and WASH sectors. UNICEF worked with the government and led the WASH, education and nutrition clusters. The nutrition response consisted of training community health workers on early detection of severe acute malnutrition. The health response consisted of: providing institutional support and free treatment to over 1,100 children, distributing 10,000 insecticide-treated nets and providing essential health services for 63,000 people through equipped temporary health centres. The response to the malaria outbreak included the sensitization of 127,800 people and distribution of nets to 10,000 vulnerable families with children under 5 or pregnant women. For child protection, the situation of 12,406 children was monitored, and some 400 children benefited from daily psychosocial support through eight child-friendly spaces in Antananarivo. Twenty thousand children were able to restart school thanks to the installation of tents, and 13,670 children received school supplies. Ongoing preparedness activities for the upcoming cyclone season include: disaster risk reduction (DRR) training for local education authorities and school-aged children, strengthening child-protection networks to report or address cases, DRR training for WASH stakeholders and replenishment of pre-positioned stocks to target 20,000 people.

UNICEF funding requirements for 2013

UNICEF requires US$14,980,000 to respond to the coming cyclone season based on the planned targets for 2013. Without this funding UNICEF will be unable to support an adequate national emergency response in crucial areas such as the provision of free health care, nutrition and access to WASH facilities, education and protection—all of which are critical to the well-being and survival of women and children in Madagascar. The budget also takes into account DRR activities such as reconstructing schools to cyclone-resistant standards and establishing water points and latrines with elevated platforms to protect against future flooding.

1 United Nations Development Programme, Human Development Report 2011: Sustainability and equity –A better future for all, UNDP, New York, 2009, p. 126.
2 African Economic Outlook, May 2012, Madagascar 2012.
3 Centre for Research on the Epidemiology of Disasters, ‘Summarized Table of Natural Disasters in Madagascar from 2003 to 2012’, EM-DAT: The OFDA/CRED International Disaster Database, CRED, Brussels, available at http://www.emdat.be/>, and UNICEF estimate of child population.