(2018) Humanitarian Action for Children 2018: Haiti

© UNICEF Haiti/2017/Pedro Alcantara 2018 Haiti www.unicef.org/appeals/haiti Humanitarian Action for Children Total people in need: 1.9 million One year after Hurricane Matthew made landfall, the humanitarian situation in Haiti remains Total children (<18) in need: 779,000 challenging. The country is affected by cholera outbreaks, food insecurity, malnutrition, migration and natural disasters. Although the number of cholera cases declined in 2017, Total people to be reached: more than 11,600 suspected cholera cases and 130 deaths were reported by the Ministry of 1.5 million Public Health and Population over the course of the year. If prevention and control efforts are Total children to be reached: not continued, another 11,000 new cholera cases will likely occur in 2018. More than 4.8 615,0001 million people lack access to an improved water source,3 1.3 million people are food insecure,4 and more than 75,000 children under 5 are affected by acute malnutrition, 2018 programme targets: including some 25,000 children suffering from severe acute malnutrition (SAM).5 Haiti is frequently exposed to natural disasters, with hurricanes and heavy rains threatening the lives Cholera 720,000 people reached by rapid and livelihoods of the population every year. Although the country was largely spared the response teams and benefitting from the impacts of the powerful category 5 hurricanes that hit the Caribbean in 2017, the resulting cordon sanitaire heavy rains caused flooding in 5 out of 10 departments. 1.3 million people reached through the Humanitarian strategy Results from 2017 oral cholera vaccine campaign In 2018, UNICEF will address the immediate As of 31 October 2017, UNICEF had Nutrition needs of children and families in Haiti through US$28.5 million available against the 11,000 children aged 6 to 59 months the implementation of the Cholera Elimination US$42.4 million appeal (67 per cent treated for SAM7 Plan, which covers daily surveillance and funded).6 As part of the cholera response, 8,000 children aged 6 to 59 months coordination; rapid response in communities; UNICEF reached nearly 900,000 people treated for MAM hygiene awareness-raising activities; and through cholera prevention awareness38,000 children aged 6 to 23 months engagement with local authorities and raising activities, disinfected 73,000 homes receiving micronutrient powders communities. Access to water and sanitation and activated 413 emergency water will be facilitated through the rehabilitation chlorination points. Eighty-four per cent of all Health and chlorination of water supply systems, the cholera cases identified were responded to 35,000 children under age 1 receiving construction of sanitary blocks, hygiene within 48 hours. More than 910,000 people emergency vaccinations8 promotion, and the distribution of water, received safe water through water treatment, 37,000 pregnant women attending at sanitation and hygiene (WASH) water trucking or chlorination points. Over least two prenatal visits supplies. UNICEF will support national 370,000 people were sensitized on capacity strengthening, including emergency hygiene practices, 5,800 hygiene WASH coordination, the identification and treatment kits were distributed and 229 hand-washing 450,000 people provided with safe water of acute malnutrition, infant and young child stations were installed. More than 11,000 for drinking, cooking and personal feeding in emergencies and the prevention of children under 5 years were treated for SAM, hygiene micronutrient deficiencies. The Ministry of nearly 8,400 were treated for moderate acute 200,000 people reached with key hygiene Public Health and Population will be malnutrition (MAM), and some 8,000 children behaviour messages, including on hand supported to coordinate emergency nutrition aged 6 to 23 months received micronutrient washing assessments and interventions and develop powders. Over 23,000 children under 1 40,000 people accessing safe sanitation sector contingency plans. Schools will be received emergency vaccinations and 90 Child protection equipped with supplies and alternative cold chain systems were installed, as 3,500 unaccompanied and separated learning programmes will help migrant planned. children returning to Haiti reintegrate into the More than 4,300 unaccompanied and children assisted with interim care and education system. UNICEF will support the separated children received interim care and family reunification support Ministry of Education to improve information family reunification support, and over 42,000 3,500 people accessing social work to management systems and preparedness and children benefitted from recreational and prevent family separation response mechanisms. Synergies between psychosocial support activities. Over 83,000 30,000 children accessing recreational the education and protection sectors will children aged 5 to 14 received learning and psychosocial support activities support the provision of a comprehensive materials to access education, and nearly Education package of services to affected 90,000 children aged 5 to 14 benefitted from 30,000 children aged 5 to 14, including children. UNICEF will also continue to the rehabilitation and/or provision of children repatriated from the Dominican maintain and pre-position equipment to schools. contingency supplies for humanitarian Republic, received learning materials to response. access education 5,000 children's access to education supported by equipping schools CHOLERA People reached by the rapid response teams and benefitting from cordon sanitaire Cholera cases identified that were responded to within 48 hours with a complete WASH package (%) People reached through the oral cholera vaccine campaign in selected departments WATER, SANITATION AND HYGIENE People provided with safe water for drinking, cooking and personal hygiene use People sensitized to hygiene behaviours, including hand-washingrelated risks People having access to safe sanitation, including alternative sustainable sanitation strategies HEALTHiv Cold chain systems installed Children under 1 who received emergency vaccinations Pregnant women who received at least two prenatal visits, both institutional and mobile clinics NUTRITIONiv Children aged 6 to 59 months treated for SAM Children aged 6 to 59 months treated for MAM Children aged 6 to 23 months receiving micronutrient powders CHILD PROTECTION Unaccompanied and separated children assisted with interim care and family reunification support People accessing preventive social work interventions to prevent family separation People accessing recreational and psychosocial support activities EDUCATION Children aged 5 to 14 years receiving learning materials to access educationv Children aged 5 to 14 years accessing education through rehabilitation and/or equipping of schools Sector 2017 targets Sector total results UNICEF 2017 target UNICEF total results 1,650,000 620,225 1,237,500 620,225i 75% 84% 75% 84% 771,000 654,143 771,000 654,143ii 380,000 999,979 300,000 910,400iii 615,000 522,876 300,000 377,450 45,000 47,200 40,000 47,200 90 34,135 90 23,456 39,169 10,404 14,500 31,200 60,400 11,330 8,390 37,010 13,056 15,600 42,285 11,330 8,390 37,010 7,000 4,385 4,000 4,385 6,500 3,852 3,500 3,852 75,000 42,382 30,000 42,382 150,000 136,271 85,000 83,356 150,000 141,211 48,000 89,946 Results are through 31 October 2017 unless otherwise noted. i The initial target was based on a caseload of 30,000 new cases in 2017. However, due to strengthened response and awareness-raising interventions, 12,167 cases have been reported to date. Given that the target is based on 55 persons per case covered, or 669,185, the achievement rate is 93 per cent. ii Results are provisional from the July campaign report, pending official confirmation by the Ministry of Health Immunization Directorate. iii Partner results provided in September were not taken into account in the target revision in July. The additional number of beneficiaries are due to the addition of beneficiaries benefitting from Aquatabs distribution, water trucking or temporary chlorination points. iv Needs were initially overestimated. v Sector targets and results reflect children aged 5 to 18 years old, while UNICEF's targets and results reflect children aged 5 to 14. Funding requirements In line with the Haiti Humanitarian Response Plan for 2017-2018, UNICEF urgently requires US$30,000,000 to meet the humanitarian needs of children and women in Haiti in 2018. With this funding, UNICEF will be able to scale up the level of surveillance and rapid response required nationwide to ensure the control of each case of cholera, ensure nutritional surveillance and treatment of children suffering from SAM and MAM, assist vulnerable children, including those being repatriated or deported from the Dominican Republic, and restore access to basic health and nutrition services in emergency-affected regions. Sector Cholera Nutrition Health Water, sanitation and hygiene Child protection Education Total 2018 requirements (US$) 11,750,0009 2,550,000 7,000,000 4,200,000 3,500,000 1,000,000 30,000,000 1 Calculated based on the percentage of the population that is children under 18 years of age (41 per cent) and applied to the total number of people to be reached. 2 Ibid. 3 According to the World Health Organization (WHO)/UNICEF Joint Monitoring Programme Report for Water Supply, Sanitation and Hygiene (2015), 45 per cent of the population do not have access to an improved water source, 19 per cent practice open defecation and 75 per cent do not have access to a handwashing facility with soap. 4 Integrated Food Security Phase Classification Analysis, 2017. 5 SMART Survey 2017. 6 Available funds include $12.6 million raised against the current appeal and $15.9 million carried forward from the previous year. In addition, UNICEF had resources available from a Central Emergency Response Fund loan of US$8 million, which was granted in October 2016. 7 This is a subset of the nationwide projected caseload of 48,596. In the 2018 Humanitarian Action for Children appeal, UNICEF is targeting children with SAM that are also affected by emergencies. Additional SAM programing will occur through regular programming. 8 Vaccinations include Bacillus Calmette-Guérin, diphtheria, tetanus, pertussis, poliomyelitis, haemophilus influenza, polio, measles and rubella. 9 The cholera response encompasses a multi-sectorial intervention with a strong WASH, health and Communication for Development component. As such, the cholera financial requirements are relatively elevated compared with other sectors. Who to contact for further information: Marc Vincent Representative - Haiti Tel: +509 3702 7916 Email: mvincent@unicef.org Grant Leaity Deputy Director, Office of Emergency Programmes (EMOPS) Tel: +1 212 326 7150 Email: gleaity@unicef.org Carla Haddad Mardini Director, Public Partnership Division (PPD) Tel: +1 212 326 7160 Email: humanitarian.ppd@unicef.org