Humanitarian Action Report 2007 - Homepage

WCARO GUINEA

CRITICAL ISSUES FOR CHILDREN

Despite an improvement in the general situation and the ongoing repatriation of Liberian refugees, the humanitarian situation in Guinea continues to deteriorate with increasing levels of vulnerability, malnutrition, morbidity and mortality rates. The outbreak of almost eradicated diseases such as yellow fever, a more than 60 per cent fuel price increase and the continued inability of the Government to provide basic social services, further contributed to deteriorate the very precarious living conditions of vulnerable populations. 

Under-five mortality is very high, at 163 deaths per 1,000 live births, while malnutrition and morbidity rates are increasing. There is a relative lack of health posts and health centres in Forest and Upper Guinea, as well as a shortage of staff and resources, especially essential drugs and medical equipment. In addition, both Forest Guinea and Upper Guinea are badly affected by epidemics, including meningococcal and cholera epidemics and sporadic yellow fever and measles cases. Malaria cases are directly responsible for more than 30 per cent of deaths among under-five children.

Improvements have been recorded in the education sector; however, didactic materials and equipment are still scarce and classrooms often remain overcrowded. Net school enrolment ratio is 66 per cent for boys and 60 per cent for girls. According to 2006 official estimations HIV prevalence is 1.5 per cent. Despite progress in addressing some critical protection issues, women, girls and adolescent boys continue to bear the burden of sexual and gender-based violence, exploitation and abuse. An increasing number of children are orphaned and rendered vulnerable by HIV/AIDS and have to face stigmatization and discrimination. Protection needs also continue to exist along border areas and among young people, especially children formerly associated with fighting forces, street children, children in conflict with the law, and children at risk of abuse, exploitation and trafficking.

PLANNED HUMANITARIAN ACTION FOR 2007


Health and nutrition (including water, sanitation and hygiene): Benefiting some 932,000 people, with special emphasis on refugees, internally displaced persons (IDPs) and host community children in Forest Guinea, UNICEF will support the management of cholera, meningitis, measles, malaria and yellow fever outbreaks at regional and district levels; provide essential drugs, basic medical kits and vaccines for district health facilities, including vitamin A and Mebendazol for systematic supplementation and de-worming, through a community based-approach; rehabilitate 1,500 severely malnourished children in five Forest Guinea facilities and extend care to two hospitals; support water disinfection and the rehabilitation of water sources to prevent cholera outbreaks; develop communication activities for the prevention of meningitis and cholera; strengthen the coordination response system through regular coordination meetings at regional and district levels.

Child protection and HIV/AIDS: Some 5,000 victims of armed conflict, 3,000 women victims of gender-based violence and/or sexual abuse and exploitation and 500,000 people affected by HIV/AIDS, with priority for Liberian and Ivorian refugees and IDPs, are targeted through the following key activities: provide early intervention, rehabilitation and reintegration services for victims of abuse or exploitation; provide legal clinic services and psychosocial support; provide access to basic services (shelter, food, education and health); strengthen the coordination of HIV/AIDS-related activities and support health structures to provide voluntary counselling and testing, prevention of mother-to-child-transmission services and care for persons living with HIV/AIDS and for victims of sexual violence.

Summary of UNICEF financial needs for 2007

Sector

US$

Health and nutrition (including WASH)

1,714,200

Child protection and HIV/AIDS

642,800

Total*

2,357,000

* The total includes a maximum recovery rate of 7 per cent. The actual recovery rate on contributions will be calculated in accordance with UNICEF Executive Board Decision 2006/7 dated 9 June 2006.