Emergencies

Lake Chad Basin Humanitarian Response Plan 2017

Funding requirements

Health sector funding requirements for 2017

(health partners including WHO)
• Cameroon: US$ 11 646 815
• Chad: US$ 10 669 960
• Niger: US$ 9 000 243
• Nigeria US$ 93 827 598

Total: US$ 125 144 616

Beneficiaries targeted by health partners in 2017

In the Lake Chad Basin, health partners will target more than 8.2 million people in 2017. These include:
• Cameroon 767 000
• Chad 233 000
• Niger 325 000
• Nigeria 6 900 000

Background

The Lake Chad Basin emergency affects some 17 million people across north-eastern Nigeria, northern Cameroon, western Chad and south-east Niger. The effects of conflict, climate change, environmental degradation, poverty and underinvestment in social services have combined to bring about deepening insecurity, rapid population growth and severe vulnerability. This has translated into 11 million people needing humanitarian assistance. More than 2.3 million people have fled their homes. Vital infrastructure such as health centres, schools, water pipelines, bridges and roads have been destroyed and millions of people have limited or no access to basic services.

Health sector situation

Across the Lake Chad Basin, almost one third of the population is struck by food insecurity. Malnutrition and related mortality are critically high. In most conflict-affected areas, malnutrition rates have surpassed the emergency threshold. More than 500 000 children are severely acutely malnourished, of whom 75 000 could die without urgent assistance.

Cameroon

Cross-border raids, suicide bombings and heightened insecurity have caused massive displacements and deprivation of communities in the Far North region. The number of internally displaced persons (IDPs) reached around 200,000 by October 2016. This has resulted in a sharp increase of humanitarian needs for IDPs and host communities, who were already vulnerable before the crisis. Food insecurity remains alarmingly high. Access to basic services in the conflict-affected areas has been severed or severely diminished. Health centers, whose access and quality of services were already limited, are overwhelmed. Some 21 health centres have closed due to insecurity.

Health sector objectives

Objective 1: Ensure access to essential health care for 1.2 million people by supporting 70 health facilities with 140 additional staff, delivering 100 Interagency Emergency Health Kits and providing comprehensive immunization for 240 000 children under 5 and 6 000 pregnant women.

Objective 2: Procure essential commodities for safe delivery and distribute 5000 dignity kits for 60 000 pregnant women.

Objective 3: Implement a comprehensive package for HIV/AIDS services for 60 000 pregnant women and their children and
30 000 IDPs and host communities.

Chad

Insecurity persists along Chad’s western Lac region. The resulting population displacement has accentuated the vulnerability of both those forced to flee the violence and the communities hosting them, many of who already needed assistance. The influx of displaced people is exerting pressure on resources.

Lac region has only 10 doctors. Global Acute Malnutrition in this region now stands at 12.2%, while severe acute malnutrition is 2.1%, which is above the emergency threshold.

Health sector objectives

To reduce the risk of disease, particularly cholera, measles and polio it is critical to:

Objective 1: Strengthen epidemiological surveillance and outreach to 125 000 displaced persons.

Objective 2: Improve access to primary health care for 187 000 people from both displaced and host communities through access to medicines (for malaria, yellow fever), mobile clinics and support to health centres.

Niger

Recurrent attacks by Boko Haram have resulted in the displacement of more than 300 000 people (IDPs, refugees and returnees) in south-east Niger. Some have been forced to flee multiple times. Already limited basic services and resources are overstretched in a region where communities have long grappled with food insecurity, malnutrition and cyclic droughts and floods.

Insecurity and recurrent attacks regularly disrupt health, water and other essential services. In 2017, some 340 000 people face food insecurity, around 12 000 children will be severely malnourished and almost 45 000 will suffer from moderate malnutrition.

Health sector objectives

Objective 1: Increase access to health services through mobile clinics, free medical consultations and prepositioning of contingency medical supplies.

Objective 2: Establish an early warning system to respond to potential disease outbreaks.

Objective 3: Ensure vaccinations of at least 10 500 children not covered under routine immunization campaigns.

Objective 4: Set up emergency response mechanisms to ensure response to sexual and gender-based violence as well as sexually transmitted diseases, and reinforce mental health services and psychological support to people affected by trauma.

Nigeria

The long-running Boko Haram-linked conflict has devastated communities of north-eastern Nigeria, compounding the poverty and underdevelopment in the area. More than 8 million people across Borno, Adamawa and Yobe States require humanitarian assistance. Food insecurity in the three states has almost doubled and almost 2 million people have been displaced.

Health sector objectives

Objective 1: Provide assistance to 5.9 million people, including 1.7 million IDPs and 4.2 million people in host communities, through services for reproductive health, maternal and child health, gender-based violence and the management of malnutrition and non-communicable diseases.

Objective 2: Establish, expand and strengthen communicable disease surveillance and outbreak prevention, control and response.

Objective 3: Strengthen coordination and health system restoration to improve life-saving response for people in need.


Acknowledgement

In 2016, WHO received financial contributions to supports its humanitarian work in Cameroon, Chad, Niger and Nigeria from the Central Emergency Response Fund, the European Civil Protection and Humanitarian Aid Operations, and the United States of America.

Related links

Contact information

WHO Cameroon Country office

WHO Chad Country office

WHO Niger Country office

WHO Nigeria Country office

Regional Office for Africa
Email: afrorgocommunications@who.int