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World: Fighting Cholera – Operational Handbook: Response to outbreaks and risk prevention in endemic areas

Source: Solidarités International
Country: Democratic Republic of the Congo, Haiti, Nigeria, Somalia, South Sudan, World, Yemen

INTRODUCTION

SOLIDARITÉS INTERNATIONAL has made the fight against cholera one of its key priorities for several years, in ...

Ethiopia: UNHCR Ethiopia Fact Sheet December 2018

Source: UN High Commissioner for Refugees
Country: Eritrea, Ethiopia, Somalia, South Sudan, Sudan, Yemen

Ethiopia is host to the second largest refugee population in Africa, sheltering 905,831 registered refugees and asylum seekers as of 31 August 2018.

Approximately 231,000 of all the refugees in Ethiopia, have gone through the comprehensive (L3) registration, helping to develop a system to better manage and assist refugees.

As a Cluster lead for Protection, CCCM and Shelter, UNHCR continues to be actively participating in the humanitarian response to the IDPs situation in Gedeo and West Guji, supporting the authorities with site management and the coordination of responses to protection needs. UNHCR is also providing emergency kits to the displaced people.

**Working with Partners ■ UNHCR's main government counterpart to ensure the protection of refugees in Ethiopia is the Agency for Refugee and Returnee Affairs (ARRA). In addition, UNHCR works in close coordination with some 50 humanitarian partners and is part of the Humanitarian Country Team in Ethiopia, where refugee programmes are discussed strategically to ensure the needs of refugees are adequately presented and addressed across the UN System. UNHCR is also building on a well-established coordination fora, including the inter-sector Refugee Coordination Group, together with national and regional sector working groups. As part of the CRRF, UNHCR is furthering partnerships with line ministries, regional and local authorities, as well as development partners.

Main Activities

Protection

■ UNHCR Ethiopia has prepared action plans to mainstream the prevention of, mitigation and response to sexual and gender-based violence (SGBV) in the different sectors including Education, Child Protection, Health and Nutrition,
WASH, Shelter and Energy.

■ In preparation for the roll-out of Community Based Complaints Mechanism (CBCM) for Protection from Sexual Exploitation and Abuse (PSEA) in 2019, CBCM action plans have already been developed for the camps in the Afar and Tirgay regions.

■ The SGBV e-learning Level 1 online course has been introduced as a mandatory course to all UNHCR staff in Ethiopia.

Education

■ A total of 806 refugee youth have been placed in different public universities during the 2018/19 academic year, 505 of them sponsored by the government of Ethiopia and 301 by the government of Germany under its DAFI scholarships programme. This is on top of the 2,300 refugee students who were enrolled in institutions of higher learning in Ethiopia in 2017/18 academic year.
Data for the 2018/19 primary and secondary school enrolment rate are still being compiled, but based on 2017/2018 reports, enrolment rates at the primary and secondary levels stood at 72% and 12%, respectively. Gaps in the provision of education include a lack of available classroom space and trained teachers, and scholastic materials, including books, libraries, ICT centres and laboratory facilities and supplies. The average teacher to student ratio is 1:80, with only 56% of teachers having formal qualifications to teach at the primary school level. Over 300 refugee teachers are currently enrolled in teachers’ training colleges and are expected to help address the shortage of qualified teachers upon graduation.

Health

■ So far in 2018, a total of 938,644 persons have received consultations across the health facilities in refugee camps, including 12% from the host communities. No disease outbreak was reported from any of the refugee camps. The health facility utilization rate has remained within the normal limit of 1.1 consultations per refugee per year vis-a-vis the standard range of 1-4. The mortality rate in children under five remains low at 0.1/1000/month. A total of 5,728 patients were referred to higher health facilities outside the refugee camps for further diagnosis and treatment. Out of 16,197 live births, 15,735 (97.2%) were assisted by skilled birth attendants. A total of 44,209 refugees were tested and counselled for HIV.

Food Security and Nutrition

■ The amount of general ration provided to refugees remained less than the minimum requirement of 2,100 Kcal per person per day, ranging from 1,737 Kcal in Gambella, Melkadida, Assosa and Jijiga to 1,920 Kcal in camps in the Afar and Tigray regions.
Annual nutrition surveys were conducted in 23 of the 26 refugee camps and the results showed that the global acute malnutrition (GAM) rate in 21 refugee camps is below the emergency threshold of 15%. Prevalence of anemia for children aged 6-59 months is below the emergency threshold (<40%) in 13 of the 23 camps. Interventions are being made to bring the malnutrition and anemia rates in the remaining camps to the minimum level.

Water and Sanitation

■ 12.5 million litres of water were supplied across the regions in Ethiopia hosting refugees, representing an average per capita distribution of 17 litres of water per person per day (lppd). 12 of the 26 refugee camps have achieved the minimum standard of 20 l/person/day. 19 of the 26 refugee camps have met the minimum standard of ‘maximum of 20 persons per latrine’ while 7 camps are still below the minimum standards.

Shelter and CRIs

■ A post distribution monitoring of the pilot cash based interventions (CBI) in camps around Jijiga indicated that cash is an appropriate assistance modality to refugees’ needs in Ethiopia and the preferred one too. The market response was good with no negative impact on the local economy, no reports of insecurity due to the CBI and no disruption of household and community social dynamics. The vouchers that were used to facilitate the purchase of essential aid items from the local market and the construction of improved shelters did not lead to entry of contra-bands into the market as only registered and licensed traders were contracted. Refugees said the CBI improved their purchasing power with reduced adoption of negative coping mechanisms to meet basic non-food needs. It also improved interactions between the local communities and the refugees, as demand of essential aid items in the local markets improved, leading to a positive impact on the local economy. The findings will inform the designing of programmes to expand CBI to other locations as well as to cover more aid items and services.

Camp Coordination and Camp Management

■ UNHCR and ARRA work in close coordination with partners to ensure efficient and coordinated delivery of protection and assistance to refugees. Camp coordination meetings and technical working groups take place both at the zonal and camp levels.

Access to Energy

■ UNHCR continues to seek solutions to ensure refugees’ access to energy while strengthening environmental protection activities in and around refugee camps. Response to refugees’ cooking energy needs remains a largely unmet priority. In this regard, communal kitchens and other basic facilities in Sherkole, Aysaita, Barahle and Hitsats camps are being connected to the national electricity grid as part of a pilot initiative within the operation. 33 briquette carbonizers are in place in the five camps near Assosa, and two automated briquette producing machines (1 in Assosa and 1 in Aysaiata) are also installed to increase the production of charcoal briquettes.

World: Humanitarian Funding Update December 2018 – United Nations Coordinated Appeals

Source: UN Office for the Coordination of Humanitarian Affairs
Country: Afghanistan, Bangladesh, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Democratic People's Republic of Korea, Democratic Republic of the Congo, Ethiopia, Haiti, Indonesia, Iraq, Libya, Madagascar, Mali, Mauritania, Myanmar, Niger, Nigeria, occupied Palestinian territory, Pakistan, Philippines, Senegal, Somalia, South Sudan, Sudan, Syrian Arab Republic, Ukraine, Venezuela (Bolivarian Republic of), World, Yemen

At the end of December 2018, 21 Humanitarian Response Plans (HRP) and the Syria Regional Response Plan (3RP) required US$24.93 billion to assist 97.9 million people in urgent need of humanitarian support. The requirements remained unchanged as of the end of November 2018. The plans are funded at $14.58 billion which amounts to 58.5 per cent of financial requirements for 2018. Notably, the percentage of total funding contributed through humanitarian response plans carried out by the UN with partners in 2018 is estimated at 62.9%. This is higher than at any time in the last ten years except 2017 (66.2 per cent). The plans were funded at $14.58 billion which amounted to 58.5 per cent of financial requirements for 2018.

Global requirements finished the year $230 million higher than for December 2017, and the amount of funding reported against UN-coordinated appeals at the end of 2018 was $78 million higher than at this time last year.

To make information on vulnerable people’s needs, planned response, funding and funding gaps in humanitarian crises accessible to all in one place, on 4 December, OCHA announced the launch of a new web-based portal, Humanitarian Insight.

Pooled Funds

With $945 million received from 32 Member States, one crown dependency and the general public through the UN Foundation, 2018 became the fifth consecutive year of record-high contributions received for country-based pooled funds (CBPFs). The increased contributions to CBPFs are testament to donors’ trust in this funding mechanism as a tool for principled, transparent and inclusive humanitarian assistance. Globally, a total of $756 million was allocated during the calendar year to 1,334 projects implemented by 657 partners, with two-thirds of overall CBPF allocations disbursed to NGOs. Over 24 percent were directly allocated to local and national NGOs, amounting to some $183 million. Health, emergency shelter and non-food items, water, sanitation and hygiene, food security, nutrition and protection were the largest funded sectors during 2018. In 2018, the Yemen Humanitarian Fund became the largest CBPF ever, allocating $188 million to 53 partners implementing 112 projects. The country-based funds in Afghanistan, the Democratic Republic of Congo, Ethiopia, South Sudan and Turkey each allocated over $50 million.

Between 1 January and 31 December 2018, the Emergency Relief Coordinator approved the largest amount of funding from the Central Emergency Response Fund (CERF) in a single year with a total of $500 million. This includes $320 million from the Rapid Response Window and $180 million from the Underfunded Emergencies Window, for life-saving activities in 49 countries. In December, a total of $12.8 million was released to assist Congolese returnees and people expelled from Angola, to meet needs outstanding since the October earthquake in Haiti, and to support people affected by flooding in Nigeria.

Specific appeal information

On 17 December, the Palestinian Authority and the Humanitarian Coordinator for the occupied Palestinian territory launched the 2019 Humanitarian Response Plan (HRP) for $350 million to address critical humanitarian needs of 1.4 million Palestinians in the Gaza Strip and the West Bank, including East Jerusalem. A full 77 per cent of the requested funds target Gaza where the humanitarian crisis has been aggravated by a massive rise in Palestinian casualties due to demonstrations. Israel’s prolonged blockade, the internal Palestinian political divide and recurrent escalations of hostilities necessitate urgent humanitarian assistance for people assessed as being most in need of protection, food, health care, shelter, water and sanitation in the Gaza Strip and the West Bank.

A three-month Operational Plan for Rapid Response to Internal Displacement issued on 31 December seeks $25.5 million to reach civilians displaced by inter-communal violence in Ethiopia. The plan focuses exclusively on addressing health, nutrition, education, water, sanitation and hygiene, non-food items, protection and agriculture issues related to recent violence-induced displacements around Kamashi and Assoss (Benishangul Gumuz region) and East and West Wollega (Oromia region). Nearly 250,000 people have been displaced in these regions since September 2018. The plan has been developed to bridge the period between now and the official launch of the 2019 Humanitarian and Disaster Resilience Plan (HDRP). The needs and requirements for the Benishangul Gumuz-East/West Wollega response will be included in the HDRP.

On 13 December, Assistant-Secretary-General/Deputy Emergency Relief Coordinator (ASG/DERC) Ursula Mueller delivered a statement to the Security Council on the humanitarian situation in Ukraine, where more than 3,000 civilians have been killed and up to 9,000 injured since conflict began in 2014. The crisis affects over 30 per cent of elderly people in the country, the highest proportion of people in this category in the world. The 2018 Humanitarian Response Plan, which required $187 million, was only 32 per cent funded. Without adequate funds, food, healthcare, water and sanitation, and other life-saving assistance cannot be provided.

During a 14 December briefing the USG/ERC and the Special Envoy for Yemen urged the Security Council to act swiftly to ensure full implementation of the Stockholm Agreement to demilitarize ports in the country. The agreement requires mutual withdrawal of forces from Hodeida city and its ports and a governorate-wide ceasefire to allow desperately needed humanitarian assistance to flow. The USG/ERC encouraged all parties to continue to engage seriously in implementing the multiple agreements reached in Sweden. The Government of Yemen requires billions of dollars in external support for its 2019 budget, and in parallel this year’s humanitarian response plan for Yemen requests $4 billion, about half of it for emergency food assistance.

On 11 December at a meeting in New York on the gravity of the humanitarian situation in the Central African Republic, OCHA reiterated that response to this crisis is a priority for the organization and announced that in 2019 a high-level meeting will be arranged to address the impact of underfunding on the level of humanitarian response in the Central African Republic.

In 2019 twelve countries will have multi-year HRPs. These are Afghanistan, Cameroon, CAR, Chad, DRC, Haiti, Niger, Nigeria, oPt, Somalia, Sudan and Ukraine.

World: Preventive Priorities Survey: 2019

Source: Council on Foreign Relations
Country: Afghanistan, Albania, Bosnia and Herzegovina, Cameroon, Central African Republic, Croatia, Democratic People's Republic of Korea, Democratic Republic of the Congo, India, Iraq, Montenegro, Myanmar, Nicaragua, Nigeria, occupied Palestinian territory, Pakistan, Serbia, Somalia, South Sudan, Syrian Arab Republic, the former Yugoslav Republic of Macedonia, Turkey, Ukraine, Venezuela (Bolivarian Republic of), World, Yemen, Zimbabwe

U.S. foreign policy experts assess the likelihood and impact of thirty potential crises or conflicts around the world in the coming year in CFR’s annual survey.

Download PDF

Each year since 2008, the Council on Foreign Relations’ Center for Preventive Action (CPA) has asked foreign policy experts to rank thirty ongoing or potential conflicts based on their likelihood of occurring or escalating in the next year and their potential impact on U.S. national interests.

“The annual Preventive Priorities Survey is unique in providing a regular, forward-looking assessment of conflict and instability around the world in a way that helps policymakers focus attention on the most important risks,” explains Paul B. Stares, General John W. Vessey senior fellow for conflict prevention and CPA director.

Read more on Council on Foreign Relations.

Libya: Special Report No 32/2018: European Union Emergency Trust Fund for Africa: Flexible but lacking focus

Source: European Court of Auditors
Country: Algeria, Burkina Faso, Cameroon, Chad, Côte d'Ivoire, Djibouti, Egypt, Eritrea, Ethiopia, Gambia, Ghana, Guinea, Kenya, Libya, Mali, Mauritania, Morocco, Niger, Nigeria, Senegal, Somalia, South Sudan, Sudan, Tunisia, Uganda, United Republic of Tanzania

EXECUTIVE SUMMARY

I. Since January 2013, the Financial Regulation governing the EU budget has allowed the European Commission to create and administer European Union trust funds for external actions. These are multi-donor trust funds for emergency, post-emergency or thematic actions.

II. The European Union Emergency trust fund for stability and addressing root causes of irregular migration and displaced persons in Africa (the ‘EUTF for Africa’) is aimed at fostering stability and helping to better manage migration by addressing the root causes of destabilisation, forced displacement and irregular migration. It was agreed at the Valletta Summit on Migration in November 2015. It supports activities in 26 countries across three regions of Africa (referred to as ‘windows’): the Sahel and Lake Chad, the Horn of Africa and North of Africa.

III. We examined whether the EUTF for Africa is well-designed and well-implemented. We conclude that the EUTF for Africa is a flexible tool, but considering the unprecedented challenges that it faces, its design should have been more focused. Compared to traditional instruments, the EUTF for Africa was faster in launching projects. It has, overall, managed to speed up the signing of contracts and making advance payments. However, projects face similar challenges as traditional instruments that delay their implementation.

IV. We found that the objectives of the EUTF for Africa are broad. This has allowed flexibility in terms of adapting the support to suit different and changing situations, but is less useful when it comes to steering action across the three windows and for measuring impact. The Commission has not comprehensively analysed and quantified the needs to be addressed by the trust fund, nor the means at its disposal. We also found that the strategic guidance provided to the managers of the three windows has not been specific enough, and the pooling of resources and capacities of donors is not yet sufficiently effective.

V. Concerning the implementation, we found that the procedures for selecting projects varied between the windows and that the criteria for assessing project proposals were not sufficiently clear or documented. Furthermore, the comparative advantage of funding projects through the EUTF for Africa was not always well explained.

VI. While the EUTF for Africa has adopted a common monitoring system, it is not yet operational and the three windows use different systems for monitoring performance. We found that project objectives were often not SMART and indicators used for measuring project performance lacked baselines. The audited projects were at an early phase of implementation but had started to produce outputs.

VII. The EUTF for Africa has contributed to the effort of decreasing the number of irregular migrants passing from Africa to Europe, but this contribution cannot be measured precisely.

VIII. Based on our audit, we make a number of recommendations, which should be implemented as soon as possible, given that the EUTF for Africa is expected to end in 2020. The Commission should:
- improve the quality of the objectives of the EUTF for Africa,
- revise the selection procedure for projects,
- take measures to speed up implementation,
- improve the monitoring of the EUTF for Africa.

Uganda: UNICEF Uganda Humanitarian Situation Report – November 2018

Source: UN Children's Fund
Country: Burundi, Democratic Republic of the Congo, Rwanda, Somalia, South Sudan, Uganda

Highlights

• No Ebola case has been reported in Uganda despite the persistent influx of refugees from the Democratic Republic of the Congo (DRC) and regular trade activities across the DRC/Uganda border. This is largely attributed to the intensive Ebola prevention and preparedness efforts by the Ministry of Health and partners, including UNICEF. Over 100,000 people, including 35,000 children, were reached with messages on signs, symptoms, prevention and control of Ebola by UNICEF and the Uganda Red Cross Society.

• Uganda continues to host over 700,000 refugees and asylum seekers from South Sudan, nearly 285,000 from DRC, over 33,000 from Burundi and 50,000 from Somalia, Rwanda and other countries.

• Over 800 unaccompanied and separated children received alternative care services in South Sudanese and Congolese refugee settlements; approximately 1,000 children and adolescents accessed formal or informal education; and 48,000 people accessed appropriate sanitation facilities in refugee hosting districts.

• The overall number of children admitted for severe acute malnutrition has reduced significantly over the last two months from over 1,700 to 934 and currently at 485.

Situation Overview and Humanitarian Needs

Refugees: Uganda hosts over 700,000 refugees and asylum seekers from South Sudan, nearly 285,000 from DRC, over 33,000 from Burundi and 50,000 from Somalia, Rwanda and other countries.

The Government has developed the Uganda 2019-2020 Refugee Response Plan (RRP) to maintain Uganda’s asylum space and preserve equal and unhindered access to its territory; implement protection processes that promote the full enjoyment of rights and uphold international protection standards; and ensure that Uganda’s refugee response paradigm progressively shifts from care and maintenance to inclusion and self-reliance. UNICEF contributed to its development.

Disease outbreaks:

Ebola preparedness and response As of 26 November 2018, the Public Health Emergency Operations Centre of the Ministry of Health (MoH) had not confirmed any cases of Ebola Virus Disease (EVD) in Uganda. Comprehensive surveillance continues in all communities, health facilities and at formal and informal border crossings in all of the 28 at-risk districts.
MoH and district authorities, with support from partners, continue to identify and isolate alert cases, with blood samples taken for testing to the Uganda Virus Research Institute.
According to the MoH and the World Health Organization (WHO), and in line with the EVD National Preparedness Plan, there is need to strengthen Ebola infection prevention and control interventions in all high-risk districts to reduce the transmission of infections. UNICEF is working closely with community leaders and local structures to communicate on the disease and orient local populations on actions they should take to prevent contracting and spreading it.

Other outbreaks

Since the beginning of the year, 20 cases of, and six deaths from, Crimean-Congo Haemorrhagic fever (CCHF) have been reported in Kakumiro, Isingiro, Kiboga, Kiryandongo, Nakaseke and Sembabule districts; 35 cases of, and 18 deaths from, Rift Valley Fever (RVF) had been reported in 17 districts; 364 measles cases were reported in 79 districts, and 167 cases of Rubella in 36 districts.
Following the confirmation of a dengue fever case on 27 November, the Ministry of Health has instituted epidemiological linking and enhanced contact tracing for the case. No cholera cases were reported in November.

Kenya: Kenya: Kakuma and Kalobeyei Population Statistics by Country of Origin, Sex and Age Group (as of 31 December 2018)

Source: UN High Commissioner for Refugees
Country: Angola, Burkina Faso, Burundi, Central African Republic, Congo, Democratic Republic of the Congo, Eritrea, Ethiopia, Guinea, Kenya, Niger, Rwanda, Saudi Arabia, Somalia, South Sudan, Sudan, Uganda, Uni...

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