PCO WEEKLY SITUATION UPDATE 21-28 July 2014

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Pakistan North Waziristan

Displacement 2014

Weekly Situation Update # 6

Situation Overview & Humanitarian Needs As of 23 July 2014, NADRA reviewed the registration data of 90,039 families registered as displaced from NWA and verified 52,986 families (59 per cent) while 37,053 families (41 per cent) were rejected due to various reasons. As of 24 July 2014, forty-nine families returning from Afghanistan were registered in Kurram Agency by FDMA bringing the total registered from NWA to 92,784 families (995,407 individuals; women: 284,762, children: 453,684, men: 256,961). Other registration points are closed. The number of schools being used as shelters by IDPs has increased from 1,404 to 1,667 schools in districts Bannu, Lakki Marwat and Karak. The main priority needs remain food, health, protection activities as well as water, sanitation and hygiene (WASH). With only 17 per cent routine immunization coverage in the IDP host communities, combined with poor sanitation, nutrition and access to clean water displaced people and hosting communities, especially children are highly vulnerable to communicable diseases. With 54 Polio cases reported in 2014 from NWA, polio vaccination is a critical intervention, 100 per cent of the displaced population is to be vaccinated against Polio.

SITUATION IN NUMBERS

Highlights As of 23 July 2014, 52,986 families (59 per cent) have been verified by

National Database and Registration Authority (NADRA) as displaced

from North Waziristan Agency (NWA). 37,053 families (41 per cent) of

the total 92,784 families registered have been rejected.

UNICEF WASH partner has repaired/installed WASH facilities in 136

schools benefitting 10,328 IDPs, provided 2,376,000 litres of water and

carried out hygiene awareness sessions for 9,303 IDPs in Bannu.

Needs/issues of 1,133 vulnerable children cases (536 girls) referred to

relevant available services have been addressed successfully, with

UNICEF and partners support.

Nutrition services in 20 health facilities of district Bannu, supported by

UNICEF, WHO and WFP, screened 223 children of 6-59 month age

(117 girls) and 100 pregnant and lactating women (PLW) for

malnutrition.

With UNICEF and WHO support the local administration has so far

vaccinated 234,885 people including 97,647 children (0-5 years) and

62,041 children (5-10 years).

UNICEF supported EPI services in Bannu vaccinated 3,756 children

and 405 women against vaccine preventable diseases.

Preliminary findings of the Multi-sector initial rapid assessment (MIRA),

conducted in Bannu from 12 to 16 July 2014, indicate critical protection,

health, water and sanitation and nutrition concerns.

28 July 2014

453,684 # of children affected out of

995,407 # of registered IDPs (FDMA and UNHCR, 24 July 2014)

Polio vaccination

97,647 #of children (0-5 years) among 234,885 # of people vaccinated against polio (WHO, 13 July 2014)

WASH Intervention

2,376,000 Litres of safe drinking water distributed

UNICEF funding requirement

US$ 8.9 million

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PCO WEEKLY SITUATION UPDATE 21-28 July 2014

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Estimated Affected Population (Estimates calculated based on figures from FATA Disaster Management

Authority, 18 July 2014) Total Male Female

Total Affected Population 995,407 517,612 477,795

Children Affected (Under 18) 497,704 258,806 238,898

Children Under Five 149,311 77,642 71,669

Children 6 to 23 months 49,771 25,881 23,890

Pregnant women 35,536 - 35,536

Map courtesy of the UN Office for the Coordination of Humanitarian Affairs

Humanitarian leadership and coordination Multi-sector initial rapid assessment (MIRA) conducted in district Bannu by humanitarian partners, in collaboration with PDMA and FDMA, from 12 to 16 July has been finalized. The assessment aimed to identify priority needs, locations of IDPs and gaps in the current response. Data was collected through key informant interviews in villages identified as having large number of affected families in Bannu district. Preliminary findings reflect critical protection concerns, such as access to CNIC cards and relevant information, health issues related to the overburdened healthcare facilities, poor water and sanitation practices, and food security implications on nutritional status. Need for alternate shelter arrangements for displaced families living in schools, before schools re-open in September, was highlighted.

Access remains a key issue as the Department of Homes and Internal Affairs, KP in a letter dated 8 July notified requirement

of No-Objection Certificates (NOC) from national and international staff, which requires seven days to process.

ERF funds

The Emergency Response Fund (ERF) Advisory Board on 23 July 2014 agreed to allocate USD 3.5 million to priority

activities within, education: USD 725,000, food security: USD 500,000, health: USD 775,000, nutrition: USD 670,000,

protection: USD 700,000 and WASH: USD 130,000. The ERF will not have any remaining funds following this allocation.

UNOCHA will announce call for proposals on 4 August with a deadline of 13 August, pending the arrival of funds to the ERF

account.

CERF-RR Funding The UNOCHA Secretariat has approved Central Emergency Response Fund (CERF) application amounting to USD 4.9

million for life saving humanitarian interventions for NWA IDPs. This amount is within 10 per cent of the total funding

requirement, USD 99 million, of the NWA Preliminary Response Plan (PRP). UNICEF will receive USD 809,530 of the total

CERF funds for health, nutrition, WASH and protection interventions.

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Humanitarian Strategy The UN and its humanitarian partners are supporting the Government in provision of life-saving assistance in the affected areas by providing clean drinking water, WASH services, polio vaccination, emergency health kits, non-food items and food packages. The NWA Preliminary Response Plan (annexed to the Strategic Response Plan 2014) provides a comprehensive overview of the priority humanitarian response needs for 500,000 affected people. Findings of MIRA will further help streamline the response plan. UNICEF is immediately responding in the areas of WASH and health (polio immunization). Child Protection, education, nutrition and maternal and child health interventions have been initiated/planned based on the cluster plans.

Summary Analysis of Programme Response WASH

UNICEF, with the support of local partner has provided 2,376,000 liters of safe drinking water through water trucking to the areas with high concentration of IDPs.

WASH implementing partner (IP) SABAWOON installed six hand pumps and nine ventilated improved pit latrines in the host communities of district Bannu, benefitting over 6,000 individuals including IDPs and hosting population.

WASH facilities in 136 schools benefitting 10,328 IDPs have been repaired/ rehabilitated so far. In addition, eight

waste bins have been installed in eight schools for collection of solid waste and 9,303 individuals residing in schools

have been reached with critical sanitation-related information.

WASH cluster has provided 5,301,000 liters of clean drinking water, distributed 10,909 bath soaps among 2,775

IDP families and conducted hygiene promotion sessions for 16,239 IDPs residing in schools and host community.

9,000 hygiene kits have also been distributed by OXFAM, NRC and UNICEF.

Water quality testing of the water filling points is regularly conducted by WHO and Disease Early Warning System

(DEWS) report shared with cluster members to be ready for response to any outbreak in the area.

HEALTH

EPI services initiated in 20 UC’s of district Bannu, with UNICEF support, vaccinated 825 under 2 years children

with BCG, 1,287 children with Penta 1 and PCV 10, 59 children with Penta 2, 14 children with Penta 3 ,1428

children with measles 1 and 143 with measles 2 vaccine. Total 405 women including 34 pregnant women were

vaccinated with TT 1 and TT2 respectively.

Jointly WHO and UNICEF are supporting the local administration to vaccinate 100 per cent of the displaced

population irrespective of their age against polio. 234,885 displaced people including 97,647 children (0-5 years),

62,041 children (5-10 years) and 75,297 children above 10 years of age have been vaccinated for polio at

permanent transit points.

A mobile health clinic ‘Nonihaal’ service launched in district Lakki Marwat on 24 July 2014 to facilitate health

services in the community as well as EPI services.

UNICEF Polio communication team facilitated local radio channel BBC Urdu in KP to air radio programmes on polio

vaccination of NWA IDPs. Information is being provided regarding various points set up for vaccination and strong

messages to local communities for vaccination of their children to stop virus transmission.

CHILD PROTECTION

The two Help Desks in Bannu, set up by Child Protection and Welfare Commission (CPWC) with UNICEF support

have so far identified and registered 2,368 vulnerable cases (897 girls) majorly including 1,660 orphan children

(673 girls), 23 child labourers (4 girls), 87 separated children (35 girls), 27 out of school children (8 girls), 82 children

with disabilities (19 girls) and 208 children with health issues (91 girls). So far needs/issues of 1,133 vulnerable

children cases (536 girls) of total 2,193 referred to relevant service providers have been addressed successfully. A

female psychologist deployed by CPWC at one help desk in Bannu district has provided 40 children (22 girls) with

psychosocial support and counselling services.

GCC PDMA, supported by UNICEF, in collaboration with Social Welfare Office in district Lakki Marwat and local

NGO identified 60 persons with special needs including adults and children. The identification and registration of

vulnerable cases is in process.

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NUTRITION

UNICEF in collaboration with WHO and WFP supported nutrition services in 20 health facilities of district Bannu have screened 223 children of 6-59 month age (boys: 106; girls: 117) and 100 pregnant and lactating women (PLW) for assessment of acute malnutrition.

In addition 182 mothers and care takers were provided with messages on infant and young child feeding, maternal nutrition and importance of hygiene.

EDUCATION

A contingency partnership agreement with UNICEF partner BEFARE has been activated for three months from 24

July to 23 October 2014 to provide education services to 9,000 children (4,500 girls) in district Bannu.

Supply and Logistics UNICEF Child Protection programme supplies worth USD 12,701 have been moved out of UNICEF warehouse for

delivery to implementing partner in Peshawar for NWA displacement response.

Human Resources A P-4 International Emergency Coordinator has been identified and will arrive in the first week of August. Surge request for

a WASH Cluster Coordinator via Standby Partner arrangements has been processed.

Security The overall security situation in Frontier Regions (FRs) and settled areas remains highly sensitive and volatile. The current security risk level is “extreme” and NWA is a ‘no-go’ area. UNICEF staff missions are being facilitated for their safe travel to conduct support activities in areas of Bannu, DI Khan, Lakki Marwat, FR Bannu and adjacent areas.

Funding For North Waziristan humanitarian response specifically, UNICEF needs a total of USD 8.9 million in support of the affected

children and women. UNICEF has advanced USD 3.9 million from existing emergency funds. A CERF application

amounting to USD 4.9 million has been approved by UNOCHA Secretariat wherein UNICEF is to receive USD 809,531.

Even with the expected CERF funds, 53 per cent of the response remains unfunded. More funding is needed to sustain

and increase humanitarian assistance for displaced and vulnerable children and women living in host communities,

especially for WASH, health, education and protection services.

UNICEF Pakistan NWA Displacement Response

Programme Funding

Requirement* Funds received CERF

Funded Total

Gap %

Unfunded

WASH 4,000,000 1,220,000 317,202 1,537,202 2,462,798 62%

Nutrition 1,400,000 725,000 180,350 905,350

494,650 35%

Education 1,100,000 465,015

- 465,015 634,985 58%

Child protection 1,000,000 431,260 191,979 623,239 376,761 38%

Health 1,400,000 552,486 120,000 672,486 727,514 52%

Total 8,900,000 3,393,761 809,531 4,203,292 4,696,708 53%

* This amount does not includes funds for polio interventions, for which existing PEI funds are being utilised.

Next Weekly Situation Update: 4 August 2014 Who to

contact for further information:

Dan Rohrmann Representative Pakistan Country Office drohrmann@unicef.org

Alhaji Bah Chief of Field Operations Pakistan Country Office abah@unicef.org

Francois Kampundu Chief of Field Office Khyber Pakhtunkhwa fkampundu@unicef.org