© UNICEF/NYHQ2006-2891/Pirozzi

A community educator speaks about maternal and child health in Kueke Village. Cross-border violence and massive displacement have resulted in alarmingly high acute malnutrition rates, in excess of 20 per cent in some areas.

Critical Issues for Children and Women

Chad continues to face an acute emergency situation due to internal and cross-border violence, mass displacement and limited access to areas in humanitarian need. In addition, an uneven and below-average rainy season is jeopardising future crops and leading to higher food prices and malnutrition.  The widespread practice of recruitment of underage children into armed groups continues unabated as does the dissemination of unexploded ordnance, killing and maiming civilians, most of them children. Coping mechanisms for refugee, displaced and host communities are strained to almost breaking point, as malnutrition rises above 20 per cent in the worst-affected areas. Spillover from the conflict in Darfur and deteriorating security in the Central African Republic also is contributing to the crisis in Chad, swelling numbers of refugees living in camps or host communities to well over 300,000. 

Planned Humanitarian Action for 2010

Together with the Government of Chad, United Nations agencies, United Nations Mission in the Central African Republic and NGO partners, UNICEF will carry out life-saving interventions to meet the immediate needs of 750,000 affected children, women and families, particularly in the eastern and southern regions of the country. Using integrated approaches, UNICEF will seek to enhance access to health and nutrition care, consolidate and expand achievements in water, sanitation and hygiene according to Sphere standards, and support access to education and protection, especially for those children associated with armed groups or forces. UNICEF will continue to lead the Water, Sanitation and Hygiene, Nutrition and Education Clusters, and the Child Protection Sub-Cluster, and closely collaborate with the World Health Organization on health issues and the World Food Programme on food security. Following are the expected results of UNICEF emergency interventions:

Health and Nutrition: UNICEF will respond to the immediate need for preventive and curative care for 120,000 children under five and 50,000 pregnant women living in refugee, displaced and host communities. Response will include the roll-out of the Accelerated Child Survival and Development strategy which combines catch-up immunization, malaria prevention, vitamin A supplementation and de-worming.

Water, Sanitation and Hygiene (WASH): UNICEF will ensure access to safe water, sanitation and improved hygiene for several hundred thousand displaced people, returnees, newly-arrived Central African Republic refugees and those living in host communities in the east and south of the country. As leader of the Water, Sanitation and Hygiene Cluster, UNICEF will work to improve the coverage and coordination of responses between the 12-plus national and international partners delivering water, sanitation and hygiene support.

Education: In leading the Education Cluster, UNICEF will spearhead efforts to ensure access to quality education for over 170,000 refugee children, while also improving learning environments through the construction of 200 semi-permanent school structures. The skills of teachers and preschool animators will be enhanced through training and schools will receive the necessary teaching, educational and recreational materials needed to provide a child-friendly environment conducive to learning and child development.

Child Protection: As leader of the Child Protection Sub-Cluster, UNICEF will scale up prevention, release and reintegration efforts to benefit children associated with armed forces and groups and continue to address protection challenges facing vulnerable and separated children.

HIV/AIDS: Access to HIV/AIDS awareness, voluntary counselling and testing services will improve for up to 10,000 pregnant women, HIV-positive mothers and infected children.  Around 150,000 young people will have information on HIV prevention through three new youth centres and an existing network of 22 youth centres in refugee camps, displaced persons sites and host communities.

Summary of UNICEF Emergency Needs to fulfil
Core Commitments for Children for 2010
Sector US$
Health 5,005,000
Nutrition 12,500,000
Water, Sanitation and Hygiene (WASH) 11,500,000
Education 10,500,000
Child Protection 9,133,100
HIV/AIDS 1,700,000
Total 50,395,600