© UNICEF/HQ05-1380/Newsbitt

An adolescent girl cares for her infant son and two younger brothers in Malawi. The girl’s parents died of AIDS and her brothers are HIV-positive. Impoverished, the family is also stigmatized in their community.


Eight districts in Malawi have been identified as vulnerable based on floods, heavy rainfall and prolonged dry spells, with a total of 519,200 people prone to be food insecure depending on worsening of economic conditions. Over 4 million children across the country live in poverty. The growing HIV crisis compounds poverty to increment poor people's vulnerability to risks and shocks. Consequently women and under-five children are increasingly exposed to natural disasters, malnutrition and infections as well as to abuse and exploitation.


Health and nutrition: UNICEF will preposition medical supplies and emergency drugs, including oral rehydration salts (ORS) and chlorine, in 15 cholera-prone districts to ensure a total treatment capacity of 5,000 cholera cases; procure/distribute 15,000 insecticide-treated mosquito nets and drugs for under-five children and pregnant women who will be admitted to nutrition rehabilitation units (NRUs) and intensify regular distribution of nets in all malaria-affected areas; provide support to treat up to 3,500 severely malnourished under-five children per month in 95 NRUs and 201 community therapeutic care centres nationwide. In partnership with the World Food Programme (WFP) UNICEF will support the treatment of 40,000 moderately malnourished under-five children and 18,500 pregnant/lactating women each month through supplementary feeding activities; continue supporting the monitoring system established for the therapeutic and supplementary feeding centres; undertake prevention, care and support programmes in the area of HIV and AIDS; assist the Ministry of Health in conducting nationwide vitamin A supplementation and deworming campaigns targeting 956,000 under-five children.

Water, sanitation and hygiene: UNICEF will support the National Cholera Task Force to undertake national awareness campaigns on cholera prevention in all communities; rehabilitate wells and adequate sanitary facilities in 150 communities; conduct sanitary surveys of water sources and test with H2S strips the contamination of sources with E.coli at household level in 15 cholera-prone districts; initiate local solutions to improve water sources along with chlorination; provide hygiene education and management support to 15 district health officials and 150 workers, 1,200 communities and 2,000 caregivers at 500 community-based child-care centres, 95 NRUs and 200 school feeding centres; provide jerrycans/buckets with taps and enamel cups along with user instructions and messages on safe handling of water and disposal of excreta and solid waste; provide soap and detergents and disseminate key hygiene messages on the prevention of cholera and other diseases; support post-mortem meetings at national and district levels in the aftermath of the 2007/08 cholera season for preparedness of the following season.

Education: UNICEF will continue to focus on the prevention of absenteeism among schoolchildren, especially among orphaned and other vulnerable children, in areas considered at high risk of food insecurity and floods; provide basic school materials to 32,000 primary schoolchildren; distribute recreational kits to 30 schools and 30 youth centres; train 30 Ministry of Education staff and other stakeholders on managing education in emergency; train 240 primary school teachers, with particular attention to HIV and psychosocial care and support; rehabilitate/construct school blocks and build water point sets of sanitation facilities, comprising latrines, urinals and handwashing facilities in 15 schools; support the construction of 15 temporary school/classroom structures to accommodate 12,000 primary schoolchildren.

Chid protection: UNICEF will produce materials on child protection to prevent the exploitation of children in line with the ‘Stop Child Abuse’ campaign for national coverage; produce radio programmes, including the radio version of ‘A Trolley Full of Rights’, to raise awareness on child abuse; support NGOs to conduct drama theatre on the issue of child abuse in each traditional authority area; support the establishment of Police Victim Support Units at community level; train police from Victim Support Units on the play therapy client-centred approach; train 400 community child protection workers to advance the fight against child abuse.

Summary of UNICEF financial needs for 2008
Sector US$
Health and nutrition 2,000,000
Water, sanitation and hygiene 1,000,000
Education 600,000
Child protection 600,000
Total* 4,200,000

* 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.


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