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Uganda: South Sudan’s revived conflict displaced thousands every day in October

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Source: UN High Commissioner for Refugees
Country: Democratic Republic of the Congo, Ethiopia, South Sudan, Sudan, Uganda

This is a summary of what was said by UNHCR spokesperson Cécile Pouilly – to whom quoted text may be attributed – at today's press briefing at the Palais des Nations in Geneva.

By: Cécile Pouilly

South Sudan’s conflict, which has spawned one of the world’s biggest humanitarian crises, is continuing to generate vast suffering and huge volumes of displacement. Data for the month of October shows that on average 3,500 people fled to neighbouring countries each day – Uganda, DRC, Ethiopia and Sudan.

In these countries, UNHCR, national authorities and other humanitarian actors are racing to create safe and humane conditions for new arrivals. Nine out of every ten are women and children.

The biggest part of this outflow has been into Uganda, which has seen around 2,400 new arrivals every day since the beginning of October and over a quarter of a million new refugees since the re-eruption of violence in Juba on 7 July.

Most of the arrivals are from the Equatoria regions of South Sudan. They report armed groups harassing civilians, killings and torture of people suspected of supporting opposing factions, burning of villages, sexual assaults of women and girls and forced recruitment of young men and boys.

In recent weeks, refugees are increasingly using informal border crossing points, reportedly due to the presence of armed groups preventing people from using main roads. Many refugees report having had to walk through the bush for days, often without food or water.

A new settlement, Bidibidi, which was opened in August, has become one of the largest refugee-hosting areas in the world. It is now home to 170,000 South Sudanese refugees.

Providing immediate, life-saving assistance, including food, water and shelter, remains UNHCR’s key priority. But severe underfunding is hampering our efforts on the ground.

Water supply is also a major challenge in Bidibidi, where needs are fast growing. Steps are underway to identify urgently-needed water sources in the camp as currently water is being trucked, at great expense, from a treatment plant around 50 kilometres away.

In Ethiopia, some 36,600 new arrivals have been registered since early September. Arrivals have been at an average of 630 people every day.

A new refugee camp, Nguenyyiel, with capacity to accommodate 50,000 people, was opened on 20 October after existing camps in Tierkidi, Jewi and Kule became full. Shelter as well as basic water and sanitation services have been put into place and some 6,200 refugees have already been relocated to Nguenyyiel.

The vast majority of arrivals are from Upper Nile, citing conflict and the fear of renewed fighting as their main reasons for leaving, while those fleeing Jonglei state mostly mentioned food shortages.
Over 85 per cent of the new arrivals are women and children and 65 per cent are children under 18. Over 1,300 unaccompanied children and 6,200 separated children have been registered. Interviews show that many children continue to flee alone, either because their parents are dead or because they were abandoned by or got separated from their family members during their flight.

In Sudan, the number of South Sudanese refugees has now passed the quarter-of-a-million mark. Most refugees arrive in the White Nile state, with some 2,000 new arrivals per month, but sporadic flows into South and West Kordofan states, and East Darfur have also been recorded.

Although east Darfur has received the largest influx, with more 47,000 refugees as of mid-June 2016, most refugees are spread across the country and live outside of organized camps or settlements.
Most refugees entering Sudan, especially women, children and elderly people, arrive in a very poor state. Many have fled areas facing emergency levels of acute malnutrition and have been further weakened by the insecurity and their difficult journey during the rainy season.

In the Democratic Republic of Congo, refugee numbers have gone up, with an influx of 60,000 people, most of whom has arrived since July 2016.

Refugees are settled along the border with South Sudan, where armed groups remain active in some areas. According to our teams on the ground, most refugees arrive from Yei, in Central Equatoria State, with hardly any belongings.

The Ituri province is facing the biggest refugee influx. This week, UNHCR started the transfer of an estimated 40,000 refugees from remote border areas. For the time being, refugees will be sent to Biringi, a site located near the city of Aru, in the northeastern Province of Ituri, while two other sites have been identified. The operation is facing major logistical challenges as many roads are in a very bad state.

Another 4,000 refugees who moved by their own means from the border to Meri in Haut-Uele Province, have been provided drinking water and other basic services. The World Food Programme started a distribution to this group last week.

Refugees in all sites will be given plots of land, construction materials, household goods and agricultural tools to help them become self-sufficient.

For more information on this topic, please contact:

In Kenya, Terry Ongaro, ongaro@unhcr.org, +254 735 337 608 ] In Geneva, Cécile Pouilly, pouilly@unhcr.org, +41 79 108 2625


United Republic of Tanzania: Tanzania: Weekly Transportation and Relocation Report from From 03rd to 09th October 2016

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Source: International Organization for Migration
Country: Burundi, Democratic Republic of the Congo, United Republic of Tanzania

This weekly report is produced by the International Organization for Migration (IOM) as part of the United Nations Country Management Team (UNCMT) response to the influx of Burundian and Congolese refugees from Burundi. The report covers the period from October 03 to 09, 2016. The next report will be issued on October 17, 2016.

Highlights

  • 2,559 new arrivals (1,320 males and 1,239 females) composed of 2,381 Burundians and 175 Congolese were transported from the entry points in Kasulu, Kibondo, and Ngara districts to Nduta and Nyarugusu camps, and to Lumasi and Manyovo transit centers.

  • IOM’s fit-to-travel medical screening revealed that the top five medical conditions among the transported persons were: upper respiratory tract infections (URTI), malaria, skin infections, diarrhoea, and conjunctivitis.

  • IOM started to provide transportation support to new arrivals to Nduta camp, as of October 3, 2016.

United Republic of Tanzania: Tanzania: Weekly Transportation and Relocation Report from October 10th to 06th, 2016

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Source: International Organization for Migration
Country: Burundi, Democratic Republic of the Congo, United Republic of Tanzania

This weekly report is produced by the International Organization for Migration (IOM) as part of the United Nations Country Management Team (UNCMT) response to the influx of Burundian and Congolese refugees from Burundi. The report covers the period from October 10 to 16, 2016. The next report will be issued on October 24, 2016.

Highlights

  • 2,575 new arrivals (1,356 males and 1,219 females) composed of 2,307 Burundians and 268 Congolese were transported from the entry points in Kasulu, Kibondo, and Ngara districts to Nduta and Nyarugusu camps, and to Lumasi and Manyovo transit centers.

  • IOM’s fit-to-travel medical screening revealed that the top five medical conditions among the transported persons were: malaria, skin infections, upper respiratory tract infections (URTI), diarrhoea, and HIV.

United Republic of Tanzania: Tanzania: Weekly Transportation and Relocation Report from October 17th to 23rd, 2016

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Source: International Organization for Migration
Country: Burundi, Democratic Republic of the Congo, United Republic of Tanzania

This weekly report is produced by the International Organization for Migration (IOM) as part of the United Nations Country Management Team (UNCMT) response to the influx of Burundian and Congolese refugees from Burundi. The report covers the period from October 17 to 23, 2016. The next report will be issued on October 31, 2016.

Highlights

  • 3,189 new arrivals (1,695 males and 1,494 females) composed of 3,054 Burundians and 135 Congolese were transported from the entry points in Kasulu, Kibondo, and Ngara districts to Nduta and Nyarugusu camps, and to Lumasi and Manyovo transit centers.

  • IOM’s fit-to-travel medical screening revealed that the top five medical conditions among the transported persons were: malaria, skin infections, upper respiratory tract infections (URTI), HIV, and diarrhoea

Democratic Republic of the Congo: Verbatim de la Conférence de presse des Nations Unies du Mercredi 2 novembre 2016

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Source: UN Organization Stabilization Mission in the Democratic Republic of the Congo
Country: Democratic Republic of the Congo, South Sudan

Félix Prosper Basse : mesdames, mesdemoiselles et messieurs, membres de la presse, auditeurs de Radio Okapi, bonjour et bienvenue à ce rendez-vous hebdomadaire des Nations Unies.

  • Activités de l’Equipe-pays

  • Situation militaire

Mission d’évaluation de trois jours d’une délégation conjointe UA-UNOCA à Dungu :

Durant la période du 25 au 28 Octobre 2016, une délégation conjointe Union Africaine- Bureau des Nations Unies en Afrique Centrale (UNOCA) rejointe par le conseiller à la sécurité du gouverneur de la province du Bas-Uélé était en visite de terrain dans le cadre de l’Initiative de Coopération Régionale de l’Union Africaine contre la LRA (UA-RCI/LRA) pour évaluer non seulement la menace posée par la LRA en RD Congo, mais aussi la mise en œuvre de l’Initiative de Coopération Régionale de l’Union Africaine contre la LRA dans les provinces du Haut et du Bas-Uélé, discuter des bonnes pratiques en matière de lutte contre la LRA, de réinsertion des victimes de la LRA ainsi que du renforcement de la coopération entre les Missions des Nations Unies en Centrafrique (MINUSCA), au Soudan du Sud (MINUSS) et la MONUSCO.

Activités de l’Equipe-pays

Journée internationale de la fin de l'impunité pour les crimes commis contre des journalistes :

Le monde entier célèbre aujourd’hui la Journée internationale de la fin de l'impunité pour les crimes commis contre des journalistes. La date a été choisie par l’Assemblée générale des Nations Unies en mémoire de l’assassinat de deux journalistes français de RFI au Mali le 2 novembre 2013.

La Résolution 68/163, qui instaure cette journée, condamne toutes les attaques et violences perpétrées contre des journalistes et des travailleurs des médias. Elle exhorte également les États Membres à faire tout leur possible pour prévenir cette violence, traduire en justice les auteurs des crimes commis contre des journalistes et des travailleurs des médias, et veiller à ce que les victimes disposent de recours appropriés. Elle demande en outre aux États de promouvoir un environnement sûr et propice dans lequel les journalistes puissent effectuer leur travail de manière indépendante et sans ingérence indue.

Elle exhorte les États Membres à prendre des mesures précises pour combattre la culture actuelle d’impunité. Il faut savoir qu’au cours de la dernière décennie, plus de 800 journalistes ont été tués pour avoir voulu couvrir des évènements et informer le public : en moyenne, c'est une mort par semaine. Dans neuf cas sur dix, les meurtriers sont restés impunis.

Dans son message, le Secrétaire général des Nations Unies établit un lien entre la fin de l'impunité pour les crimes commis contre des journalistes, l’accès public à l’information et la réalisation de l’objectif de développement durable 16 sur la paix, la justice et des institutions efficaces. Il appelle tous les pays à marquer cette journée, particulièrement là où les journalistes sont menacés.

Pour rappel, l’UNESCO est en première ligne pour mobiliser tous les partenaires afin de mettre en œuvre le Plan d’action des Nations Unies sur la sécurité des journalistes et la question de l’impunité.

Democratic Republic of the Congo: RD Congo : Zones de provenance des personnes déplacées dans les sites de déplacement, 25 octobre 2016

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Source: International Organization for Migration, UN High Commissioner for Refugees, CCCM Cluster
Country: Democratic Republic of the Congo

Democratic Republic of the Congo: RD Congo - Nord-Kivu : Personnes déplacées internes dans les sites de déplacement (25 octobre 2016)

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Source: International Organization for Migration, UN High Commissioner for Refugees, CCCM Cluster
Country: Democratic Republic of the Congo

World: Communicable Disease Threats Report, 30 October - 5 November 2016, Week 44

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Source: European Centre for Disease Prevention and Control
Country: Afghanistan, Austria, Belgium, Bolivia (Plurinational State of), Brazil, Bulgaria, Burundi, Cameroon, Central African Republic, Colombia, Czech Republic, Democratic Republic of the Congo, Denmark, Finland, France, Germany, Haiti, Ireland, Israel, Italy, Lao People's Democratic Republic (the), Luxembourg, Malta, Niger, Norway, occupied Palestinian territory, Pakistan, Peru, Poland, Portugal, Romania, Saudi Arabia, Slovakia, Slovenia, Somalia, Spain, Sudan, Sweden, United Kingdom of Great Britain and Northern Ireland, United States of America, Viet Nam, World

The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 30 Oct–5 Nov 2016 and includes updates on influenza, poliomyelitis, Zika fever, MERS CoV, cholera, West Nile virus, and enterovirus detections in Europe.


South Sudan: South Sudan Refugees Statistics as of 31 October 2016

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Source: UN High Commissioner for Refugees
Country: Central African Republic, Democratic Republic of the Congo, Ethiopia, South Sudan, Sudan

Democratic Republic of the Congo: Déclaration du Représentant Special du Secrétaire Général à la veille du meeting politique du 5 novembre 2016

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Source: UN Organization Stabilization Mission in the Democratic Republic of the Congo
Country: Democratic Republic of the Congo

A la veille du meeting annoncé par le Rassemblement des forces politiques et sociales acquises au changement demain le 5 novembre 2016, je voudrais lancer un appel à l’adresse de tous les congolais, notamment les organisateurs de ce meeting et leurs militants ainsi qu’aux forces de l’ordre de la Province de Kinshasa censées encadrer cet évènement de faire preuve de retenue et de responsabilité.

Je tiens à mettre l’accent sur la nécessité du respect par tous des lois de la République, y compris les dispositions constitutionnelles garantissant les libertés de manifestation, de réunions pacifiques et d’expression, dans un espace politique ouvert ; ce sont là les conditions indispensables à une démocratie véritable et vivante.

A cet égard, je voudrais me féliciter des avancées non négligeables qui ont été réalisées dans la recherche d’un plus large consensus visant à apaiser les esprits et permettre l’organisation d’élections paisibles, crédibles et transparentes dans un délai raisonnable, à travers l’Accord Politique du 18 Octobre 2016 et les bons offices entrepris par la Conférence Episcopale Nationale du Congo avec l’aval du Président de la République.

Je tiens également à saluer l’implication de la Région des Grands Lacs et en particulier des Chefs d’Etat de la République d’Angola et de la République du Congo pour accompagner ces efforts en vue de sauvegarder la stabilité de la RDC.

Pour les Nations Unies, le dialogue reste la voie privilégiée. Nous avons été tous ici en RDC profondément touchés par les évènements tragiques des 19 et 20 septembre 2016 qui ont endeuillé sans distinction d’appartenance politique.

Les Congolais, de tous bords doivent dans un sursaut patriotique privilégier l'intérêt supérieur de la RDC en tournant le dos à la violence.

Des femmes de l’opposition et de la majorité m’ont récemment approché pour dire « plus jamais ça ». Nous avions alors fait part de notre profonde inquiétude au Conseil de Sécurité des Nations Unies.
Aujourd’hui face à l’espoir réel de contacts constructifs entre les deux camps sur intervention personnelle du Chef de l’Etat, la MONUSCO tient à réaffirmer qu’elle soutient entièrement les efforts nobles des évêques catholiques.

Nous prenons entretemps des mesures pour renforcer nos patrouilles demain dans la ville de Kinshasa pour veiller, en soutien aux forces de sécurité congolaises, au respect de la personne humaine et la protection des biens publics et privés.

Je vous remercie de votre attention.

World: Global Early Warning – Early Action Report on Food Security and Agriculture: October - December 2016

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Source: Food and Agriculture Organization of the United Nations
Country: Botswana, Burundi, Central African Republic, Democratic Republic of the Congo, Haiti, Kenya, Lesotho, Madagascar, Malawi, Mozambique, Namibia, Niger, Nigeria, Somalia, South Sudan, Swaziland, Syrian Arab Republic, World, Yemen, Zimbabwe

Background

The Global Early Warning – Early Action (EWEA) report on food security and agriculture is developed by the Food and Agriculture Organization of the United Nations (FAO). The report is a part of FAO’s EWEA system, which aims to translate forecasts and early warnings into anticipatory action.

EWEA enables FAO to act early before disasters have happened to mitigate or even prevent their impact. By lessening damages to livelihoods and protecting assets and investments, FAO can help local livelihoods become more resilient to threats and crises.

The Global EWEA report is a quarterly forward-looking analytical summary of major disaster risks to food security and agriculture. The report specifically highlights two types of contexts:
- Potential new emergencies caused by imminent disaster threats; and
- In countries currently in a situation of protracted crisis or already in the response stage of an emergency, the risk of a significant deterioration of the situation with a severe impact on food security and/or agriculture is also covered. For this kind of risk, the analysis will focus on the additional risk factors which would, either alone or in combination with others, lead to a substantial deterioration of the situation.

Countries affected by protracted crises or already in the response stage of an emergency, where there are limited signs of a significant deterioration, are not included in the report. However, an overview of countries with humanitarian response plans or emergency plans is provided on page 24.

The report’s summary is rooted in the analysis provided by existing FAO corporate and joint multi-agency information and early warning systems, mainly:
- Global Information and Early Warning System on Food and Agriculture (GIEWS);
- Food Chain Crisis and Emergency Prevention System (FCC-EMPRES); and
- Integrated Food Security Phase Classification (IPC).

Additional corporate information and external sources are also consulted for the development of this report. A detailed list is available on page 23.

Through a consensus-based process countries have been indicated as “high risk” when there is a very likely new emergency or deterioration of the current situation with potentially severe effects on agriculture and food security, and in which FAO and partners should start implementing early actions on a no-regret basis.

Countries listed as “on watch” instead have a moderate to high likelihood of a new emergency or deterioration of the current situation, with potentially moderate or significant impacts on agriculture and food security. An overview of the risk ranking methodology is provided on page 3.

Ethiopia: East Africa Seasonal Monitor November 5, 2016

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Source: Famine Early Warning System Network
Country: Burundi, Democratic Republic of the Congo, Eritrea, Ethiopia, Kenya, Rwanda, Somalia, South Sudan, Sudan, Uganda, United Republic of Tanzania

Delayed onset and early seasonal rainfall deficits worsen over eastern Horn

Key Messages

  • Rainfall for the October to December season over the eastern Horn of Africa is significantly delayed and remains well below average over southern and southeastern Ethiopia, southern and central Somalia, and eastern and northeastern Kenya. Remote sensing products suggest pastoral conditions and vegetation conditions in marginal cropping areas are well below average.
  • In western areas of the region such as Uganda, Burundi, Rwanda, and South Sudan seasonal rainfall performance has been generally favorable since mid-October, following either with either a timely or slightly delayed onset of season or dry spells in early to mid-October. However, there are some initial rainfall deficits around the Lake Victoria basin.
  • Rainfall forecasts for the coming week (November 6-13) suggest rainfall is expected to improve in many areas of the eastern Horn of Africa during the next week, and heavy rainfall is expected over Burundi, Rwanda, and northern Tanzania. However, the week-two forecast (November 14-21) indicates much lighter and erratically distributed rainfall over the eastern Horn.

World: Financing Dialogue: Investing in the World’s Health Organization

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Source: World Health Organization
Country: Angola, Democratic Republic of the Congo, World

  1. In 2013 the World Health Assembly established the Financing Dialogue through decision WHA66(8). It aims to ensure a match between WHO’s results and deliverables as agreed in the programme budget, with the ultimate objective of enhancing the quality and effectiveness of WHO’s work. In accordance with the Dialogue’s guiding principles for the financing of WHO – alignment and flexibility, transparency, predictability, broadening the donor base - it aims to achieve a fully-funded programme budget.

  2. In May 2016, the World Health Assembly agreed on a budget increase of USD 160 million for the new WHO Health Emergency Programme, raising WHO’s base budget to USD 3 354 million. A recent assessment has shown that without additional investment by contributors, WHO would finish the current biennium with a USD 500 million funding gap (15% of the total base Programme Budget), with the health emergencies programme being the most significantly underfunded programme with only 56% of requirements fulfilled.

  3. In light of the budget increase, and in order to address the funding shortfall, the Director-General convened an extraordinary Financing Dialogue session on 31 October 2016. Close to 170 participants from 72 Member States and 20 international organizations and non-State partner organizations attended the meeting in person or via WebEx.

  4. The objectives of the meeting were (i) to examine the overall Programme Budget 2016 – 2017, particularly programme areas which remain underfunded; (ii) to provide an update on the WHO Health Emergency Programme (WHE), including progress on results achieved and the financing situation; and (iii) to initiate discussions on the proposed increase in assessed contributions, ahead of the governing body meetings to be held in 2017.

  5. The meeting was chaired by Dr Phusit Prakongsai, Chair of the Programme, Budget and Administration Committee (PBAC) of the Executive Board (EB). In addition, to ensure a lively interaction among participants, the journalist Mr James Chau was invited to moderate the first two sessions.

  6. The Chair opened the meeting by welcoming the participants and reviewing the objectives for the day. He restated that the Financing Dialogue is principally a dialogue amongst member states and other contributors on WHO’s funding and seeks to find solutions and ensure that WHO is properly equipped to respond to its global public health mandate.

  7. In her welcoming address, WHO Director-General noted that this biennium WHO faces a double challenge. The Organization has been asked to do more, specifically through WHE, while income from voluntary contributions has not increased and core voluntary contributions income has actually decreased. While the WHE is the most important underfunded programme (currently at 56% of requirements) a number of other programmes are endangered by inadequate funding, such as the response to anti-microbial resistance, work on noncommunicable diseases and HIV. Dr Chan also highlighted that despite budgetary discipline, WHO continues to face a long-standing budgetary imbalance between voluntary and assessed contributions and she will ask the next World Health Assembly to approve an increase in assessed contributions. Finally she announced that as an expression of its commitment to transparency and accountability, WHO will join the International Aid Transparency Initiative as of 1 November 2016.

Democratic Republic of the Congo: Espérance, une jeune mère au service de la santé communautaire

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Source: UN Children's Fund
Country: Democratic Republic of the Congo

par ESTHER DABI

Espérance, relais communautaire, mère et femme enceinte est un bel exemple du bénévolat au service de la communauté. De retour de mission à Mangiva, à 2 heures de Bunia en Ituri, je veux partager avec vous l’engagement de cette jeune femme de 23 ans et mère de Toyabo, 5 ans. Espérance soutient les familles de son village à travers la dynamique communautaire florissante de la zone de santé de Komanda, dans la province de l’Ituri.

Lutter contre la mortalité maternelle et infantile en RDC

Reconnaissons de prime abord que l’Ituri, à l’instar de toutes les provinces de République Démocratique du Congo, connaît un fort problème de santé publique lié aux trop nombreux décès maternels et infantiles. Mangiva n’est pas du reste: de nombreuses jeunes femmes décèdent lors de l’accouchement à domicile ou dans l’aire de santé et trop d’enfants meurent avant leurs 5 ans. « _La plupart de nos enfants tombent gravement malades de fièvres et diarrhées_ » raconte Espérance.

Face à ce problème, l’Etat congolais, avec l’appui de l’UNICEF notamment, a lancé le Cadre accéléré d’appui aux Objectifs du Millénaire 4 et 5 (CAO4&5), afin de réduire la mortalité infantile et maternelle. « _Le CAO4&5 a 4 axes: la dynamique communautaire; le monitoring amélioré pour l’action; le financement basé sur les résultats; et l’approvisionnement en médicaments _» nous explique Dr. Moulaye Sangaré, Spécialiste en Santé de l’UNICEF en Ituri.

La dynamique communautaire au service de la santé

Dans la province de l’Ituri, la dynamique communautaire a été mise en place en septembre 2015. Cette dynamique se focalise sur l’organisation des communautés autour d’organes de participation choisis parmi les membres de la communauté eux-mêmes pour les activités de sensibilisation sur les 15 pratiques familiales essentielles.

Au village, Kalume Blaise, nous explique la dynamique: « _D’abord les facilitateurs identifiés par les infirmiers titulaires ont fait la sensibilisation au chef du village, qui a alors réuni le village en assemblée pour élire la Cellule d’animation communautaires (CAC). J’ai été candidat et suis devenu Président du CAC. Puis nous avons rassemblé les Cellules dans un Comité de Développement et de Santé (CODESA) dont j’ai été élu Président pour l’aire de santé de Mangiva. Là, nous avons commencé à former les relais communautaires (RECO)._ »

Espérance et la santé communautaire

Espérance fait partie des 798 relais communautaires formés dans le cadre de ce projet qui couvre actuellement cinq zones de santé de la Division provinciale sanitaire de l’Ituri.

Espérance, comme chaque relais communautaire, a été chargée d’identifier les ménages comportant des femmes enceintes et/ou des enfants de moins de 5 ans dans sa communauté. Ensuite, les relais suivent ces familles, leur santé, les conseille sur les pratiques à adopter pour leur santé et fait remonter les problèmes.

Ainsi, la journée d’Espérance, comme toute bonne maman après ses petits travaux ménagers, commence par des visites à domicile dans les 40 ménages pour : les sensibiliser avant, pendant et après les distributions des Kits Accouchement et PCIME (Prise en charge des maladies de l’enfant); organiser des visites à domicile de suivi des nouveau-nés et des mères après la naissance ainsi que des femmes enceintes pour la consultation prénatale; récupérer les enfants qui n’ont pas eu tous leurs vaccins; enregistrer les naissances par procuration et inscrire les enfants en ayant l’âge à l’école ; organiser des causeries éducatives; et rapporter à la fin du mois au CAC toutes les activités menées et les difficultés et problèmes de santé du village.

Comme Espérance, André, une quarantaine d’années, est un relais très satisfait de participer à la santé de sa communauté. « _Je suis choisi par ma communauté et fier de porter cette responsabilité confiée le temps de mon mandat, pour l’instant je suis relais mais pas pour toujours, alors je fais mon travail avec amour dans les 40 ménages qui me sont impartis. _»

La dynamique communautaire, un succès?

Ce projet, qui implique la communauté dans la gestion de sa propre santé, a rencontré quelques défis. Selon le Chef du Bureau d’appui technique de la DPS de l’Ituri, Dr Jean Luc « l_es infirmiers titulaires au début étaient réticents et pensaient que la distribution des kits pourrait réduire la fréquentation des malades dans les centres de santé mais cela a plutôt encouragé les femmes à venir accoucher au centre._»

Le Kit Accouchement fournit le matériel nécessaire pour mettre au monde en toute sécurité, avec l’assistance d’un professionnel de santé.

Nous avons suivi Espérance, notre relais communautaire, dans sa visite à Espérance, bénéficiaire du kit d’accouchement et aujourd’hui maman d’Ornella, un bébé âgé d’un mois et demi. « _Le kit est une bonne chose pour les femmes, qui doivent contribuer à le préserver pour une bonne utilisation _».

Blaise Kalume, le président du CODESA de Mangiva est conquis par les résultats : « _nous avons eu 20 décès d’enfants de moins de 5 ans en juin 2016, avant les activités du programme, mais grâce à la sensibilisation des relais et la distribution des kits, nous avons en septembre 2016 eu 4 décès seulement_ » ce qui explique le succès de cette initiative novatrice dans la zone.

Santé communautaire: la responsabilité de tous

N’est-il pas merveilleux de voir une si jeune femme de surcroît enceinte se dévouer avec succès à travers le bénévolat pour le bien-être sanitaire de la mère et de l’enfant pour un meilleur avenir ? Nous souhaiterions que chaque jeune suive son exemple pour être au-devant des intérêts de nos communautés.

Programme de lutte contre la mortalité infanto-juvénile et maternelle

Le programme _« CAO 4&5 »_ du gouvernement congolais est mis en place avec l’appui de l’UNICEF, de la Banque Mondiale, de l’Alliance du vaccin (GAVI) et du Fonds Mondial. Pour sa mise en oeuvre, l’UNICEF a le soutien de l’Union Européenne et de la Suède notamment.

Plus d’informations :

Democratic Republic of the Congo: Espérance, a young mother serving in community health

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Source: UN Children's Fund
Country: Democratic Republic of the Congo

by ESTHER DABI

Espérance, community relay, mother and pregnant woman is a fine example of volunteerism to the service of the community. Returning from a mission to Mangiva, 2 hours from Bunia in Ituri, I want to share with you the commitment of this young woman of 23 years and mother of Toyabo, 5 years. Espérance supports the families in her village through the thriving community dynamics of the Komanda health zone, in the Ituri province.

Fighting against maternal and infant mortality in DRC

Let us first and foremost acknowledge that Ituri like all the provinces in DR Congo experience a serious public health problem linked to the too many maternal and infant deaths. Mangiva is no exception: many young women die during childbirth at home or at the health facility and many children die before their fifth birthday. “_Most of the children fall seriously sick with fevers and diarrhea_” says Espérance.

To deal with this problem, the Congolese State, with a particular support from UNICEF, launched the accelerated support Framework for the Millennium Goals 4 and 5 (FMG4&5), in order to reduce maternal and infant mortality. “_The FMG4&5 has 4 key points: the community dynamics; the enhanced monitoring for action; the funding based on results; and the supply of medicines_” explains Dr. Moulaye Sangaré, Health Specialist in UNICEF in Ituri.

Community dynamics in the health service

In the Ituri province, the community dynamics was established in September 2015. This dynamics focuses on the organization of communities around the participating bodies chosen from members of the community for the activities of awareness on the 15 essential family practices (EFP).

In the village, Kalume Blaise explains the dynamics: “_First of all facilitators identified by qualified nurses have sensitized the chief of the village, who has then convened the village into an assembly to elect the community animation Cell (CAC). I was a candidate and I became President of the CAC. We then assembled the Cells into a Health and Development Committee (HDC) of which I was elected President for the Mangiva health center. From there, we started to form community relays (CORE)_.”

Espérance and community health

Espérance is among the 798 COREs formed within the framework of this project which currently covers five health zones of the Sanitary Provincial Division (SPD) of Ituri with the support of UNICEF assisted by the European Union.

Espérance, like each community relay, was responsible for identifying households with pregnant women and/or children less than 5 years in her community. The relays then follow up on families, their health, and advise them on practices to adopt for their health and relay the problems.

Thus, the day of Espérance, like any good mother after her small house chores, starts with home visits in 40 households to: sensitize them before, during and after distributions of Childbirth kits and IMCI (Integrated Management of Childhood Illness); organize follow-up home visits for newborns and mothers after birth and also pregnant women for prenatal consultation; gather children who have not had all their vaccines; register births by proxy and enroll children by getting the age from school; organize educative talks; and report all the activities and the difficulties and health problems of the village to the CAC at the end of the month.

Like Espérance, André, forty years old, is a relay who is very pleased to participate in the health of his community.  “_I am chosen by my community and proud to carry this entrusted responsibility during my mandate, for now I am a relay but not forever, therefore I do my work with love in the 40 households that are allotted to me._”

The community dynamics, a success?

This project, which involves the community in the management of its own health, encountered some challenges. According to the Head of the technical support office of the SPD of Ituri, Dr. Jean Luc “_the qualified nurses were reluctant at first and thought that the distribution of kits could reduce the attendance of patients to the health centers but it rather encouraged women to give birth in the center._”

The Childbirth Kit provides the necessary material for a safe delivery, with the help of a health professional.

We followed Espérance, our community relay, during her visit to Espérance, a beneficiary of the childbirth kit and today mother of Ornella, a one and a half months old baby. “_The kit is a good thing for women, who must contribute to preserve it for good use_”.

Blaise Kalume, president of HDC of Mangiva is impressed by the results: “_we had 20 deaths of children less than 5 years in June 2016, before the activities of the program, but through the sensitization by the relays and the distribution of kits, we had only 4 deaths in September 2016_” this explains the success of this innovative initiative in the area.

Community health: the responsibility of everyone

Is it not wonderful to see such a young and above all pregnant woman dedicating herself with success through volunteerism for the sanitary welfare of the mother and child for a better future? We wish every young person would follow her example to be at the forefront of the interests of our communities.

Fight against mother and child mortality

The “CAO 4&5” program of the Congolese government has been set up with the support of UNICEF, the World Bank, the Vaccine Alliance (GAVI) and the Global Fund. For its implementation, UNICEF is supported by the European Union and, notably, Sweden.

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Translated from French by Adjah Benedict


Chad: Tchad: Vue Générale des Opérations - Statistiques par camp, bureau et région de la population de personnes relevant de la compétence du HCR. (Au 31/10/2016)

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Source: Government of Chad, UN High Commissioner for Refugees
Country: Central African Republic, Chad, Democratic Republic of the Congo, Nigeria, Sudan

United Republic of Tanzania: Refugee Situation in Northwest Tanzania - Statistical Report (Sunday, 06-Nov-2016)

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Source: UN High Commissioner for Refugees
Country: Burundi, Democratic Republic of the Congo, Kenya, Rwanda, Sudan, Uganda, United Republic of Tanzania

United Republic of Tanzania: Tanzania: Weekly Transportation and Relocation Report from October 24th to 30th, 2016

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Source: International Organization for Migration
Country: Burundi, Democratic Republic of the Congo, United Republic of Tanzania

This weekly report is produced by the International Organization for Migration (IOM) as part of the United Nations Country Management Team (UNCMT) response to the influx of Burundian and Congolese refugees from Burundi. The report covers the period from October 24 to 30, 2016. The next report will be issued on November 07, 2016.

Highlights

  • 4,744 new arrivals (2,327 males and 2,417 females) composed of 4,562 Burundians and 182 Congolese were transported from the entry points in Kasulu, Kibondo, and Ngara districts to Nduta and Nyarugusu camps, and to Lumasi and Manyovo transit centers.

  • IOM’s fit-to-travel medical screening revealed that the top five medical conditions among the transported persons were: malaria, upper respiratory tract infections (URTI), skin infections, diarrhoea, and conjunctivitis.

Key Facts

IOM has been providing safe and dignified transportation to persons fleeing the crisis from various entrycpoints along the border between Tanzania and Burundi, mainly in Kasulu, Kibondo, and Ngara districts. Inctotal, 4,744 (2,327 males and 2,417 females) composed of 4,562 Burundians and 182 Congolese have newlycarrived in Tanzania during the reporting period. While the 4,558 Burundians were transported to Ndutaccamp, and to Manyovo and Lumasi transit centers, the 182 Congolese were transported to Nyarugusu camp, in Kasulu district.

World: Helping refugees build a future: Tackling the root causes of displacement, stabilizing host regions, supporting refugees

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Source: Government of Germany
Country: Afghanistan, Central African Republic, Colombia, Democratic Republic of the Congo, Eritrea, Germany, Iraq, Jordan, Myanmar, Pakistan, Somalia, South Sudan, Sudan, Syrian Arab Republic, Ukraine, World, Yemen

Today Thomas Silberhorn, the Parliamentary State Secretary to the Federal Minister for Economic Cooperation and Development, ended his three-day visit to Iraq and Jordan. In a meeting with Iraqi Prime Minister Haider al-Abadi, Silberhorn pledged support for the people who have fled from Mosul and assistance for rebuilding the city following its liberation.

"The displaced persons in Iraq need to have the prospect of being able to return safely to their homes," Silberhorn said. "Through our assistance in Tikrit we have already helped make it possible for more than 90 per cent of the people who had been displaced to go back. This is not just about providing clean drinking water, medical care and electricity. These people also need schools and jobs. In order to win the fight against IS terrorism and permanently stabilise Iraq, reconciliation processes must go hand in hand with economic reconstruction."

Working with the United Nations Children’s Fund UNICEF and the UN Development Programme UNDP, Germany is providing development cooperation support to meet the immediate needs of the refugees and to assist with the future reconstruction of Mosul. The Development Ministry is providing 34 million euros for this purpose.

In Amman in Jordan, State Secretary Silberhorn opened the German-Jordanian Water Dialogue. The German government wishes to contribute through this Dialogue towards boosting the involvement of the German water industry in Jordan.

"Jordan is one of the most water-poor countries in the world," Silberhorn said. "The refugee crisis in Syria and the subsequent influx of more than one million people seeking refuge in Jordan is making the situation even more difficult. That is why we are helping Jordanian communities to develop their water supplies – for the local Jordanian population and for the refugees from Syria. German companies are able to offer superb expertise in the water sector. Without the involvement of the private sector, we will not be able to handle the enormous challenges to be faced."

Germany has provided massive development cooperation support for developing water supplies in Jordan. The main focus of the cooperation in this context has been on developing and improving infrastructure such as drinking water pipelines and wastewater treatment plants. These efforts benefit all communities, particularly those that are hosting refugees.

Rwanda: UNHCR Rwanda Monthly Population Statistics - Statistics as of: October 31st 2016

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Source: UN High Commissioner for Refugees
Country: Burundi, Democratic Republic of the Congo, Rwanda

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