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Democratic Republic of the Congo: Est de la RDC: dix civils tués dans de nouveaux affrontements inter-commuautaires (armée)

19 July 2016 - 11:22am
Source: Agence France-Presse Country: Democratic Republic of the Congo
Goma, RD Congo | AFP | mardi 19/07/2016 - 15:07 GMT

Dix civils ont été tués lors de nouveaux affrontements inter-communautaires dans une localité de l'est de la République démocratique du Congo en proie, depuis des mois, à de vives tensions, a-t-on appris mardi de sources militaires.

"Nous déplorons la mort de dix civils et des cases incendiées à Kibirizi, lors des affrontements entre les habitants de cette localité" dans la nuit de lundi à mardi, a déclaré à l'AFP le capitaine Guillaume Djike, un des porte-parole de l'armée dans la province troublée du Nord-Kivu.

Kibirizi est une localité du territoire de Rutshuru, située à 150 km au sud-ouest de Goma, capitale du Nord-Kivu.

La société civile de Kibirizi avance elle un bilan de "huit morts" et son président Gaston Kakule accuse les rebelles des Forces démocratiques de libération du Rwanda (FDLR), très actifs dans ce territoire, d'être les auteurs de ces tueries.

Selon M. Kakule, "toutes les personnes tuées" étaient de l'ethnie Nande.

"L'armée est intervenue et a imposé le calme" après affrontements entre "civils", a affirmé le capitaine Djike.

Depuis le début de l'année, plusieurs dizaines de personnes sont mortes dans cette zone lors d'affrontements opposant Nande et Hutu.

Selon des sources locales, les chefs nande de la région s'opposent au retour de déplacés hutu congolais, qu'ils accusent d'être les complices des rebelles hutu des FDLR.

Les FDLR ont été créés par des Hutu rwandais réfugiés dans l'est de la RDC après le génocide des Tutsi au Rwanda de 1994. Les fondateurs de ce mouvement ainsi qu'un certain nombre de ses plus anciens combattants sont recherchés par la justice internationale qui les accuse d'avoir pris une part active au génocide.

Disséminés essentiellement au Nord et au Sud-Kivu, les FDLR n'ont pas mené d'action militaire d'envergure au Rwanda depuis 2001 et sont régulièrement accusés de commettre des atrocités contre les civils dans les zones sous leur contrôle.

La partie orientale de la RDC, est en proie à l'insécurité et déchirée depuis plus de 20 ans par des conflits armés alimentés par des différends ethniques et fonciers, la concurrence pour le contrôle des ressources minières et des rivalités entre puissances régionales.

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© 1994-2016 Agence France-Presse

Democratic Republic of the Congo: Third Party Review of the Bisie Security Report

19 July 2016 - 11:06am
Source: International Peace Information Service Country: Democratic Republic of the Congo

Introduction

Background

This report reviews information regarding approximately a thousand tonnes of cassiterite from the Bisie mines located in Walikale territory, North Kivu – the so-called ‘Bisie Mineral Stock’ (see textbox). This stock pre-dates the April 2015 establishment of ITRI’s Supply Chain Initiative (iTSCi) in Walikale territory.

Bisie Mineral Stock

The Bisie Mineral Stock encompasses about a thousand tons of cassiterite extracted by artisanal miners at Bisie mines, located on Alphamin Bisie Mining SA’s (ABM) exploitation permit no 13155, between November 2010 and June 2015. A number of bans on mining and the trade of minerals in this region, as well as some hesitance further down the supply chain to buy untagged minerals, have meant that, until late 2015, mineral production from this area has not been marketed. Instead, it has been stored in warehouses in Bisie, as well as in the trading towns of Ndjingala and Mubi (Walikale territory) and North Kivu’s provincial capital, Goma.

In June 2015, an iTSCi mission estimated the volume of the stock at 1,351,350 kg. However, by the end of the stock evacuation process, in December 2015, no more than a total of 980,650 kg had been evacuated. More detail on the Bisie Mineral Stock is provided in Chapter 2 of this report.

At the 8th OECD-ICGLR-UN Group of Experts Forum on Responsible Minerals Sourcing in November 2014 (Kinshasa), the Organisation for Economic Co-operation and Development (OECD) organised a side event to facilitate discussion between different stakeholders on the issue of the mineral stocks. This event was a response to the desire of the Congolese authorities to move the stocks through an official ‘stock clearance process.’ At the meeting, a number of potential solutions were discussed and a stock evacuation process suggested.

The process involved labelling the minerals with unique tags to inform potential buyers about the associated risks, as well as the clear identification of stakeholders in the process to ensure compliance with tax requirements. Furthermore, participants highlighted the need to ensure that these minerals be exported using a traditional certificate of origin issued by the Congolese authorities rather than an International Conference on the Great Lakes Region (ICGLR) certificate, for which these minerals could not qualify.

Additional conditions included a “clear public commitment whereby after this one-time only exemption, the Government will not provide any further exemptions for stocks, and that any trader or exporter will, at any point, have to demonstrate a minimum due diligence in line with the OECD Guidance on minerals and the ICGLR RCM in possession, or else the material it holds will be confiscated/seized by the government” and a “process could be considered whereby if any direct evidence is found that actually links the so-called ‘stocks’ to a non-state armed group or [to] serious abuses of human rights, it would be seized by the government.” This process was to make possible the potential sale of these minerals at fair prices.

As part of Pact’s on-the-ground monitoring activities, Pact developed a Security Report3 that documents the security situation prevailing at the Bisie mine, on the transport route and in Walikale territory from 2010 to the end of September 2015. The Security Report is intended as a reference for potential purchasers of the materials to contribute towards their decision-making process and reasonable due diligence and risk mitigation measures. Considering the complexity of the situation, the Conflict Free Sourcing Initiative (CFSI) contracted a third party to review the Security Report. The International Peace Information Service (IPIS) was chosen to undertake this third party review.

Key Points of the Pact Bisie Security Report

The following constitute the key findings of Pact’s security assessment concerning the exploitation of the Bisie mineral stock, as contained in the Bisie Security Report:

The period up to February 2012 is defined as “expected to be prior to mining of stock.” This period was found to involve:

• Interferences in mining and mineral trade, extortion of the population and the violation of human rights by rogue FARDC elements, as well as by the armed groups, NDC Sheka and FDLR. In providing more detail about interferences and extortion by each actor, the Bisie Security Report refers to different intervals during this overall period.

The period February 2012 to March 2015 is considered to be “relevant to mining of stock at the mine.” The Bisie Security Report refers to reports developed by international organisations in 2012 and 2013 on indirect and illegal taxation by FARDC, but states that no information was obtained from local stakeholders to confirm this taxation. At the end it summarises that this period was found to involve:

• At Bisie, looting, and some injuries resulting from a visit by non-state armed group Simba in August 2013 with no evidence of tampering with minerals.

• On the ‘transport route’ payments have been made “to state security agents, as agreed by all stakeholders and possibly to customary authorities,” and there were “reports of attacks by unidentified bandits”.

IPIS was informed by iTSCi that another report is being developed, a Mine Description Report, that includes information about the mine location, production, and plausibility (production capacity) which serves as a reference for exporters. Lastly, iTSCi commissioned Synergy Global Consulting to conduct an independent evaluation of the minerals evacuation process from Bisie to Goma. In its report, Synergy Global Consulting assesses the circumstances in which the process is being conducted against the OECD Due Diligence Guidance of Responsible Supply Chains of Minerals from Conflict-affected and High-risk areas (DDG) and includes a list of open and closed incidents related to the stock clearance process.

Democratic Republic of the Congo: Yellow Fever Outbreak in the Democratic Republic of Congo: Dispatch of the Japan Disaster Relief Infectious Diseases Response Team

19 July 2016 - 10:55am
Source: Government of Japan Country: Democratic Republic of the Congo, Japan

The Government of Japan decided to dispatch the Japan Disaster Relief (JDR) Infectious Diseases Response Team in response to the request from the Government of the Democratic Republic of Congo concerning the yellow fever outbreak.

Democratic Republic of the Congo: Bulletin Spécial du Cluster Santé N°2, Réponse sectorielle santé aux épidémies de Fièvre Jaune et de Choléra, Période: 1er au 15 Juillet 2016

19 July 2016 - 9:32am
Source: World Health Organization, Health Cluster Country: Angola, Democratic Republic of the Congo

Ce deuxième numéro du bulletin spécial présente un résumé de la réponse du secteur santé aux flambées de Fièvre Jaune et de Choléra en République Démocratique du Congo jusqu’au 15 juillet 2016. Il met surtout en exergue les principales actions réalisées par les partenaires dans les zones affectées par ces deux maladies et les gaps résiduels.

PRINCIPAUX POINTS

Riposte vaccinale à l’épidémie de fièvre jaune

  • Du 20 au 29 juillet 2016, une campagne de vaccination réactive contre la fièvre jaune sera organisée dans les zones de santé de Kisenso (province de Kinshasa), de Kahemba, Kajiji et Kisanji (province du Kwango)

  • Dans la deuxième moitié d’août 2016, une campagne de vaccination préventive contre la fièvre jaune sera organisée dans 47 zones de santé dont 32 à Kinshasa et 15 frontalières avec l’Angola .
    Mobilisation des ressources pour renforcer la lutte contre l’épidémie de fièvre jaune

  • Une réunion de plaidoyer au haut niveau a été tenue le 04 juillet dernier sous la présidence du Secrétaire général du Ministère de la santé avec la participation de la plupart des donateurs et partenaires opérationnels.

  • L’OMS et l’UNICEF mobilisent 1,6 millions de dollars US des fonds humanitaires d’intervention d’urgence (CERF) pour le renforcement des activités dans les domaines de la prise en charge clinique des cas, de la surveillance épidémiologique , de la lutte anti-vectorielle, de la communication et de mobilisation sociale.
    Lutte contre l’épidémie de choléra

  • Après avoir classé l’épidémie de choléra en RDC au grade 2 des urgences, l’OMS a déployé à Kinshasa un Manager d’incident pour coordonner les différentes interventions de réponse en appui au Ministère de la santé

  • Une plateforme multipartenaires a été mise en place par le Ministère de la santé pour monitorer et coordonner toutes intervenions de riposte à l’épidémie de cholé-ra tant dans le secteur santé que de l’eau, hygiène et assainissement du milieu ,

  • Le Ministère de la santé avec l’appui de l’OMS organise un atelier pour revisiter le plan de réponse national à l’épidémie de choléra et l’adapter au contexte actuel: tous les partenaires clés de la réponse y prendrons part.

World: Analysis of Indicators Used in USAID Education Projects in Crisis and Conflict Environments

19 July 2016 - 9:25am
Source: US Agency for International Development Country: Afghanistan, Democratic Republic of the Congo, Guatemala, Honduras, Lebanon, Liberia, Mali, Nicaragua, Nigeria, occupied Palestinian territory, Pakistan, Philippines, Senegal, Somalia, South Sudan, United States of America, World, Yemen
INTRODUCTION

Since 2011, the United States Agency for International Development (USAID) has been working with partners to increase equitable access to education for learners living in conflict and crisis-affected environments (USAID Education Strategy,

February 2011 Goal 3). The following document provides an analysis of the indicators used in Performance Monitoring and Evaluation Plans (PMEPs) from 25 USAID Education projects1 implemented in 16 countries between 2007 and 2018.

The USAID Education in Crisis and Conflict Network (USAID ECCN) under took this analysis to determine:

  1. What indicators were being used to monitor education projects implemented in crisis and conflict environments slightly before and during the period of USAID’s 2011–2015 Education Strategy.

  2. Whether and how these indicators measured progress related to the USAID Education Strategy themes of: access, retention, equity, safety, conflict sensitive education, education delivery, policy and systems, education demand, and education quality.

  3. What gaps existed in the monitoring efforts of these projects during this period.
    We believe that this analysis will provide USAID program designers and managers, as well as USAID project implementing partners, with a baseline snapshot of the state of project performance monitoring and evaluation (M&E) planning during a period in which USAID was increasingly formalizing its commitment to suppor ting education in crisis and conflict (EiCC) environments. A subsequent analysis, planned for 2019, will undertake a similar review in an effort to map the evolution of performance monitoring and evaluation planning, well into USAID’s 2016–2020 Education Strategy. After an initial description of our analysis methodology, the paper presents analysis results (Which results are monitored where? Which essential EiCC concepts are being monitored how? Which concepts are well monitored?), followed by key findings and recommendations for USAID and the community of practice.

Nigeria: Analysis of Indicators Used in USAID Education Projects in Crisis and Conflict Environments

19 July 2016 - 9:25am
Source: US Agency for International Development Country: Afghanistan, Democratic Republic of the Congo, Guatemala, Honduras, Lebanon, Liberia, Mali, Nicaragua, Nigeria, occupied Palestinian territory, Pakistan, Philippines, Senegal, Somalia, South Sudan, United States of America, Yemen
INTRODUCTION

Since 2011, the United States Agency for International Development (USAID) has been working with partners to increase equitable access to education for learners living in conflict and crisis-affected environments (USAID Education Strategy,

February 2011 Goal 3). The following document provides an analysis of the indicators used in Performance Monitoring and Evaluation Plans (PMEPs) from 25 USAID Education projects1 implemented in 16 countries between 2007 and 2018.

The USAID Education in Crisis and Conflict Network (USAID ECCN) under took this analysis to determine:

  1. What indicators were being used to monitor education projects implemented in crisis and conflict environments slightly before and during the period of USAID’s 2011–2015 Education Strategy.

  2. Whether and how these indicators measured progress related to the USAID Education Strategy themes of: access, retention, equity, safety, conflict sensitive education, education delivery, policy and systems, education demand, and education quality.

  3. What gaps existed in the monitoring efforts of these projects during this period.
    We believe that this analysis will provide USAID program designers and managers, as well as USAID project implementing partners, with a baseline snapshot of the state of project performance monitoring and evaluation (M&E) planning during a period in which USAID was increasingly formalizing its commitment to suppor ting education in crisis and conflict (EiCC) environments. A subsequent analysis, planned for 2019, will undertake a similar review in an effort to map the evolution of performance monitoring and evaluation planning, well into USAID’s 2016–2020 Education Strategy. After an initial description of our analysis methodology, the paper presents analysis results (Which results are monitored where? Which essential EiCC concepts are being monitored how? Which concepts are well monitored?), followed by key findings and recommendations for USAID and the community of practice.

Democratic Republic of the Congo: Sitrep Choléra, République Démocratique du Congo Rapport de situation du 14 Juillet 2016

19 July 2016 - 9:24am
Source: World Health Organization Country: Democratic Republic of the Congo
  1. POINTS SAILLANTS :
  • Organisation du 15 au 16 juillet 2016 de l’Atelier de Validation du Plan de préparation et riposte contre le choléra

  • Préparation en cours pour la vaccination choléra dans quelques aires de santé des zones de santé plus à risque dans la ville de Kinshasa

  • Persistance de la diffusion de l’épidémie de choléra le long du fleuve Congo, dans les zones de santé de santé des provinces de la Tshopo, Mongala, Equateur, Mai-Ndombe et Kinshasa ;

  • L’OMS a mis à disposition dans le cadre du Contigency Funds for Emergencies (CFE) 1.839.889 USD pour l’accélération de la réponse à l’épidémie de choléra dans les zones les plus touchées. 50,32 % de ce fond soit 925880 USD destiné au plan de déploiement des experts sur le terrain dont : 13 internationaux et 24 Nationaux prévus pour être déployés dans les prochaines semaines. 914000 USD sont destines aux acquisitions dont la mise en place du Centre des Operations d’urgence au sein du Ministère de la santé.

  • Semaine épidémiologique 26 : Tendance globale de l’épidémie stationnaire, mais avec la hausse de cas dans les provinces de Tshopo, Mongala et Equateur

  • Recrudescence des cas de choléra et Déclaration officielle de l’épidémie le 12 juillet 2016 dans les zones de santé de Nyemba et Kalemie (Province de Tanganyika). Une action immédiate est souhaitée pour contenir l’épidémie et éviter son expansion à partir de ce nouveau foyer.

World: Global Emergency Overview Weekly Picks, 19 July 2016

19 July 2016 - 8:38am
Source: Assessment Capacities Project Country: Democratic Republic of the Congo, Iraq, South Sudan, World
Weekly picks

SOUTH SUDAN
Up to 30 suspected cases of cholera are reported at Juba teaching hospital as of 18 July. At least one person has died. The emergence of cholera is likely linked to the sudden arrival of 12,000 of IDPs in UN bases, where sanitation facilities are poor, after the violence that took place in the city between 7 and 11 July.

DRC
50,000 people have been displaced from Kikuku to Nyanzale and Kanyabayonga, Rutshuru, Nord-Kivu, due to fighting between alleged Mayi-Mayi Nyatura (allied to FDLR) and Mayi-Mayi Nduma Defence of Congo between 7–10 July. FARDC troops are in the area.

IRAQ
More than 7,000 people have been displaced from Shirqat, in Salah al Din, since 13 July – almost 4,000 between 15 and 18 July. Government forces are fighting Islamic State.

Updated: 19/07/2016. Next update: 26/07/2016.

Burundi: Burundi | Note d’informations humanitaires du 18 juillet 2016

19 July 2016 - 6:18am
Source: UN Office for the Coordination of Humanitarian Affairs Country: Burundi, Democratic Republic of the Congo, Rwanda, United Republic of Tanzania

Chiffres Clefs

1,1M Personnes affectées (Source HRP)

442,000 Personnes ciblées par les partenaires

100,000 Déplacés internes estimés

272 977 Réfugiés dans les pays limitrophes

4,6M En insécurité alimentaire chronique et aiguë

4,2M Cas de malaria (janvier –juin 2016)

Faits saillants

  • La FAO a distribué des intrants agricoles à 6 475 ménages dans 4 provinces du pays

  • Plus de 450 000 femmes et filles bénéficieront des kits médicaux et de dignité du FNUAP.

  • Plus de 545 000 personnes affectées par l’insécurité alimentaire aiguë sévère ont besoin d’une assistance immédiate

  • La situation sanitaire au Burundi reste marquée par la recrudescence des cas de paludisme

Situation humanitaire et réponse

La FAO et ses partenaires distribuent des kits d’intrants. La saison agricole 2016C a débuté pour les ménages disposant de parcelles irriguées. Dans le cadre du projet financé par le CERF, la FAO et ses partenaires ont distribué des kits d'intrants (semences maraîchères, cordes de patate douce, arrosoirs, pulvérisateurs) en faveur de 6 475 ménages dans les provinces de Bujumbura rurale, Cibitoke, Kirundo et Makamba; dont 1 475 ménages affectés par les inondations à Gatumba (Bujumbura rural). Près de 300 ménages ont été ciblés pour la réalisation de jardins de case.

Dans le cadre de la diversification des moyens d'existence, surtout des jeunes, 930 personnes regroupées en association ont été ciblées pour entreprendre la myciculture, 20 étangs piscicoles ont été identifiés pour être réhabilités et 450 personnes sont déjà ciblées pour entreprendre de la pisciculture intégrée avec l'élevage de porcs.

La FAO prévoit une mission de terrain à Kirundo pour mieux préciser les caractéristiques des personnes expulsées du Rwanda et afin d'évaluer les réels besoins et capacités à mettre en valeur les intrants agricoles qui pourraient être distribués en septembre pour la saison 2017A. L'évaluation des récoltes de la saison 2016B a démarré le 12 juillet 2016 (MINAGRIE/FAO).

Légère augmentation des réfugiés burundais vers les pays voisins1 . Le nombre total des réfugiés burundais dans les pays voisins est passé de 53 316 individus (fin Mai) à 53 465 (fin Juin), soit une augmentation de 149 individus. Le nombre total de demandeurs d'asile est de 2 894 individus, soit une augmentation de 308 individus par rapport au mois précédent. Par ailleurs, 388 nouveaux demandeurs d’asile Congolais (RDC) ont été accueillis et enregistrés. La plupart d’entre eux proviennent de la plaine de la Ruzizi (RDC) et sont majoritairement de l’ethnie Bafulero.

United Republic of Tanzania: Tanzania: Weekly Transportation and Relocation Report from 4th to 11th July 2016

19 July 2016 - 5:55am
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 July 04 to 10, 2016. The next report will be issued on July 18, 2016.

Highlights

  • 987 new arrivals (488 males and 499 females) composed of 903 Burundians and 84 Congolese were transported from the entry points in Kibondo, Ngara, and Kasulu districts to Mtendeli and Nyarugusu camps, and to Lumasi and Manyovo transit centers.

  • 848 (441 males and 407 females) Burundian refugees have been relocated from Nyarugusu to Mtendeli camp, in Kasulu and Kakonko districts.

  • IOM’s fit-to-travel medical screening revealed that the top five medical conditions among the transported and relocated persons were: malaria, skin infections, mental disorders such as schizophrenia, upper respiratory tract infections (URTI), and musculoskeletal disorders such as fractures.

Angola: Regional Early-Stage Child Protection Rapid Assessment

19 July 2016 - 4:01am
Source: UN Children's Fund, Plan, World Vision Country: Angola, Democratic Republic of the Congo, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Zambia, Zimbabwe

· El Nino is having a devastating impact on children in the Southern Africa region forcing them into early marriage, child labour and out of school, reveals a World Vision report released today

· The EU and its Member States urgently need to fund child protection programmes in the region

BRUSSELS, 19 July 2016 - The report based on expert insight from nine countries in the region found that El Nino was severely impacting the lives of children and their futures. Although El Nino as a climatic phenomenon is now over food insecurity has yet to peak putting 49 million people at risk.

Report findings found that El Nino’s impacts were worsening the lives of children in a number of areas with more migrating out of impoverished areas, facing separation, hunger, sexual exploitation, violence, child labour and psychosocial distress.

Globally, USD3.9 billion has been requested for the 19 worst affected countries, yet the current funding gap is almost USD2.5 billion. The United Nations’ Children Fund (UNICEF) estimates that 26 million children across Eastern and Southern Africa are at risk from malnutrition, water shortages and disease.

“It seems that in disasters like this, children come last,” said Rudo Kwaramba, Regional Leader, World Vision, Southern Africa. The report, Regional Child Protection Rapid Assessment, was designed to explore the various ways children are impacted by a slow-onset emergency, Like El Nino.

“I did not want to marry. I wanted to study,” said a young girl in Mozambique who, aged 14, was forced to marry a man many years older, after her family ran out of food. When her husband started beating her, she ran away.

Of the multi-billions of dollars needed for a comprehensive response only USD11.7m is needed for protection programmes in Southern Africa. Of this amount, only 6% has been pledged by donors.

“The EU and its Member states need to pay more attention to child protection which is one of the most under-funded sector in the response,” said Justin Byworth World Vision Brussels’ Executive Director. “El Nino’s long term impacts on children are shattering. Being forced out of school and into work or into marriage at a young age, it is an unacceptable breach of children’s most basic rights”.

The report is the outcome of an assessment of children’s protection issues in South Africa, Lesotho, Swaziland, Angola, Mozambique, Malawi, Zimbabwe, Zambia and the Democratic Republic of Congo. It was conducted by World Vision, PLAN International and UNICEF who interviewed child protection experts on what they were seeing happening to children.

ENDS

Key findings included: Child migration - Over 70 percent of respondents cited a lack of food as the driver. Drought and the lack of water was the second most common cause. Child Labour - Just over half of respondents believed that child labour had increased since the start of El Niño and believed that is was more likely to impact boys rather than girls. Unaccompanied and Separated Children - Just under half of the respondents said that parents commonly send their children away due to the lack of food. These children are likely to be between 5-14 years old. School Drop-out - Nearly eighty per cent of responders said school drop-outs had increased since the start of El Niño. In one province in Zimbabwe alone, 6,000 children had dropped out of school due to hunger or the need to help their families with house or farm work.

Full report - http://wvi.org/el-nino/publication/el-nino-children-southern-africa Summary of the report - http://wvi.org/el-nino/publication/el-nino-children-southern-africa-report-summary

Notes to editors

World Vision is a Christian relief, development and advocacy organisation dedicated to working with children, families and communities worldwide to reach their full potential by tackling the causes of poverty and injustice. It works in close to 100 countries in most regions of the world including Latin America and the Caribbean, Europe, Africa, the Middle East and the Asia Pacific Region.

World Vision Brussels’ office represents World Vision members in 12 European countries, including 10 EU member states, as well as the wider international World Vision partnership.

For more information or an interview, please contact Ludovic Wahis, Policy and Communications Officer, World Vision Brussels & EU Representation, +32 (0) 2 274 18 67, Ludovic_Wahis@wvi.org

World: Regional Early-Stage Child Protection Rapid Assessment

19 July 2016 - 4:01am
Source: World Vision Country: Angola, Democratic Republic of the Congo, Lesotho, Malawi, Mozambique, South Africa, Swaziland, World, Zambia, Zimbabwe

· El Nino is having a devastating impact on children in the Southern Africa region forcing them into early marriage, child labour and out of school, reveals a World Vision report released today

· The EU and its Member States urgently need to fund child protection programmes in the region

BRUSSELS, 19 July 2016 - The report based on expert insight from nine countries in the region found that El Nino was severely impacting the lives of children and their futures. Although El Nino as a climatic phenomenon is now over food insecurity has yet to peak putting 49 million people at risk.

Report findings found that El Nino’s impacts were worsening the lives of children in a number of areas with more migrating out of impoverished areas, facing separation, hunger, sexual exploitation, violence, child labour and psychosocial distress.

Globally, USD3.9 billion has been requested for the 19 worst affected countries, yet the current funding gap is almost USD2.5 billion. The United Nations’ Children Fund (UNICEF) estimates that 26 million children across Eastern and Southern Africa are at risk from malnutrition, water shortages and disease.

“It seems that in disasters like this, children come last,” said Rudo Kwaramba, Regional Leader, World Vision, Southern Africa. The report, Regional Child Protection Rapid Assessment, was designed to explore the various ways children are impacted by a slow-onset emergency, Like El Nino.

“I did not want to marry. I wanted to study,” said a young girl in Mozambique who, aged 14, was forced to marry a man many years older, after her family ran out of food. When her husband started beating her, she ran away.

Of the multi-billions of dollars needed for a comprehensive response only USD11.7m is needed for protection programmes in Southern Africa. Of this amount, only 6% has been pledged by donors.

“The EU and its Member states need to pay more attention to child protection which is one of the most under-funded sector in the response,” said Justin Byworth World Vision Brussels’ Executive Director. “El Nino’s long term impacts on children are shattering. Being forced out of school and into work or into marriage at a young age, it is an unacceptable breach of children’s most basic rights”.

The report is the outcome of an assessment of children’s protection issues in South Africa, Lesotho, Swaziland, Angola, Mozambique, Malawi, Zimbabwe, Zambia and the Democratic Republic of Congo. It was conducted by World Vision, PLAN International and UNICEF who interviewed child protection experts on what they were seeing happening to children.

ENDS

Key findings included: Child migration - Over 70 percent of respondents cited a lack of food as the driver. Drought and the lack of water was the second most common cause. Child Labour - Just over half of respondents believed that child labour had increased since the start of El Niño and believed that is was more likely to impact boys rather than girls. Unaccompanied and Separated Children - Just under half of the respondents said that parents commonly send their children away due to the lack of food. These children are likely to be between 5-14 years old. School Drop-out - Nearly eighty per cent of responders said school drop-outs had increased since the start of El Niño. In one province in Zimbabwe alone, 6,000 children had dropped out of school due to hunger or the need to help their families with house or farm work.

Full report - http://wvi.org/el-nino/publication/el-nino-children-southern-africa Summary of the report - http://wvi.org/el-nino/publication/el-nino-children-southern-africa-report-summary

Notes to editors

World Vision is a Christian relief, development and advocacy organisation dedicated to working with children, families and communities worldwide to reach their full potential by tackling the causes of poverty and injustice. It works in close to 100 countries in most regions of the world including Latin America and the Caribbean, Europe, Africa, the Middle East and the Asia Pacific Region.

World Vision Brussels’ office represents World Vision members in 12 European countries, including 10 EU member states, as well as the wider international World Vision partnership.

For more information or an interview, please contact Ludovic Wahis, Policy and Communications Officer, World Vision Brussels & EU Representation, +32 (0) 2 274 18 67, Ludovic_Wahis@wvi.org

World: OFID Quarterly July 2016 - Zero hunger by 2030: The not-so-impossible dream

19 July 2016 - 2:18am
Source: OPEC Fund for International Development Country: Algeria, Democratic Republic of the Congo, Ecuador, El Salvador, Galapagos Islands (Ecuador), Iran (Islamic Republic of), occupied Palestinian territory, World, Zambia
Hunger: More than a moral outrage

The statistics are shocking, so utterly appalling as to be beyond comprehension: 780 million people deprived of sufficient nourishment; three million under-fives dead from hunger in just one year; and, 66 million primary school children sent to class every day on empty stomachs.

Tragically, this is not the trailer for some postapocalyptic sci-fi blockbuster, but hard truths about the world we live in.

And the sting in the tail? The unpalatable fact that 1.3bn tonnes, or 30 percent, of the food produced for human consumption is lost or wasted globally every year— enough to feed the 780 million hungry four times over.

Factor in the precious resources that are squandered in the process—water, land, energy, labor and capital— and an even grimmer picture emerges.

Little wonder then that the goal of “zero hunger” sits alongside that of “no poverty” at the top of the 2030 Agenda for Development.

The challenges, however, are immense and deeply complex. It’s not just a question of producing enough food. It’s about efficient distribution networks and value chains; the smart management of limited natural resources; and the effective mobilization of all stakeholders, from governments to civil society and the private sector.

And that’s just scraping the surface.

The fact remains, the problem of hunger is so entrenched that it has taken over twenty years to reduce the number of undernourished in developing regions from 991 million to 780 million.

Granted, the figures look better as a percentage of the total population—23.3 percent in 1990–1992 compared with 12.9 percent in 2014–2016. But there is no ignoring the bottom line: far too many people’s lives are blighted by the physiological and emotional impact of ill nourishment.

Which begs the question: is the total elimination of hunger possible by 2030 … or just pie in the sky?

To OFID’s mind, the answer is clear. No stone must be left unturned to ensure proper nutrition for each and every inhabitant of our shared planet. It’s a challenge— one that will require innovation, financial resources and political will—but it can and must be done.

For OFID, the issue of food security has been a key focus of our operations for four decades. Over the years, we’ve channeled billions of dollars into rural infrastructure—from irrigation systems and electricity networks to storage facilities and roads—to support the production, processing and distribution of produce.

With the bulk of food being grown by family farming, we’ve provided technical assistance, capacity building and credit to small producers to help them develop sustainable cultivation methods and improve the quality and quantity of their yields.

And we’ve worked to integrate the might of the private sector into value chains to give small farmers better access to markets—both domestic and export—and a higher, fairer price for their produce.

When needs must, we’ve also stepped in to support the work of organizations like the World Food Program, providing funding for school feeding programs or for the distribution of emergency rations to famine-struck regions.

Through hard-won experience, we’ve come to recognize the importance of an integrated approach to food security, fully embracing the notion that success will depend on all elements being assessed and tackled as an organic whole.

This is why our strategic plan for 2016–2025 has as its pillar the so-called energy–water–food nexus, supported by transportation as an enabling component.

Already in 2015, we channeled US$726m, or more than 60 percent of our total commitments for the year, to those four areas. These efforts will continue and intensify, as we work with our partners toward the Sustainable Development Goals.

However, as well as practical action where it’s needed, the international community also has to work at changing mentalities in the industrialized world, where food waste every year equals almost as much as the entire net production of sub-Saharan Africa (222 million vs. 230 million tonnes).

We must banish the idea that aesthetics is a valid reason for throwing away “imperfect” produce. And we must educate consumers as to the hidden value of food: the precious and often dwindling resources used to grow it, process it, package it, and deliver it—sometimes from one side of the world to the other.

For, at the end of the day, hunger in a world of plenty is not just a moral outrage; for millions it is a veritable death sentence. And who would wish that on another innocent human being?

Democratic Republic of the Congo: Haut-Katanga : un pavillon pour tuberculeux multi-résistants réceptionné par le PNLT à Lubumbashi

19 July 2016 - 12:36am
Source: Caritas Country: Democratic Republic of the Congo

Après Mbuji-Mayi, le Programme National de Lutte contre la Tuberculose (PNLT) a reçu provisoirement mercredi 13 juillet 2016 les travaux de construction du pavillon des malades tuberculeux multi-résistants de l’Hôpital Général de Référence (HGR) de Kisanga à Lubumbashi. Ces travaux ont été financés par le Fonds Mondial et exécutés par l’entreprise DRIDA SARL.

Cet ouvrage s’inscrit dans le cadre du Round 9 du projet d’appui à la lutte contre la tuberculose, financé par le Fonds Mondial et dont Caritas Congo Asbl est Récipiendaire Principal, aux côtés du Ministère de la Santé. C’est donc en cette qualité qu’au nom du Secrétaire Exécutif de Caritas Congo Asbl, le 2ème Secrétaire Exécutif adjoint, Mr Boniface Nakwagelewe ata Deagbo, a remis les clés de ce bâtiment à Dr Fondacaro TETO, Chef de Service TB/VIH au PNLT, représentant son Directeur empêché.Celui-ci a ensuite remis ces clés au Médecin-Chef de la Zone de Santé de Kisanga qui, à son tour les a données au Médecin-Directeur de l’HGR Kisanga.

Bien avant, la Commission de réception a procédé à la visite dudit bâtiment, sous les explications du Chargé des Infrastructures de Caritas Congo Asbl (Ir Alidor Bangu) et l’a déclaré recevable, tout en relevant certaines imperfections mineures à retoucher dans un meilleur délai par l’entrepreneur DRIDA SARL, représenté par son Directeur général, Ir Anaclet KAMBUYI KAMUKENJI. Toutefois, ce pavillon ne recevra effectivement ses occupants qu’après son équipement par le Fonds Mondial, a relevé Dr Teto. « Au nom du Directeur du Programme National de Lutte contre la Tuberculose, Dr Georges Bakaswa Ntambwe, nous remercions vivement le Fonds Mondial, pour avoir accordé le financement de ce bâtiment à travers notre Récipiendaire Principal Caritas Congo Asbl afin de réaliser ce beau bâtiment que nous voyons devant nous et qui devra abriter nos très chers malades tuberculeux multi-résistants pour une bonne prise en charge », a-t-il déclaré.

Dr Teto a également remercié le Gouvernement de la RDC, le Gouvernement provincial du Haut-Katanga avec toutes ses Autorités sanitaires, notamment le Médecin Coordonnateur Provincial de la lutte contre la Lèpre et Tuberculose, empêché et représenté à cette cérémonie. « Nous remercions l’entreprise DRIDA SARL pour le travail de qualité abattu et vous l’équipe de la Coordination provinciale du Haut-Katanga, celle de la Zone de Santé de Kisanga ainsi que celle de l’HGR de Kisanga pour avoir accordé cet endroit où a été érigé ce bâtiment », a-t-il ajouté. Le représentant du PNLT a remis les clés au Médecin-Chef de Zone de Santé de Kisanga, représentant le Médecin Inspecteur Provincial (MIP), avec recommandation d’un usage en bon père de famille, sous les applaudissements du personnel de l’HGR Kisanga, présent à cette cérémonie. Dr Teto a annoncé l’inauguration officielle de ce bâtiment par les Autorités compétentes après son équipement (lits et autres matériels pour la prise en charge de ces malades TB-MR).

Plusieurs bâtiments déjà construits ou réhabilités

Dans son speech, le 2ème Secrétaire Exécutif adjoint de Caritas Congo Asbl, Mr Boniface Nakwagelewi ata Deagbo, a présenté son institution et mis l’accent sur les activités dont elle s’occupe dans la lutte contre la tuberculose : l’approvisionnement (achat des médicaments antituberculeux, des équipements et matériels médicaux et non médicaux, des consommables et réactifs de laboratoire après un processus de passation de marchés supervisé par le VPP) ; les activités communautaires (soutien aux patients, motivation financière aux Relais Communautaires /RECO, sensibilisation de la communauté sur les tuberculeux) ainsi que la réhabilitation des bâtiments des laboratoires de culture et de contrôle de qualité, y compris la rénovation des pavillons des tuberculeux multi-résistants de certains HGR.

En complément, le Ministère de la Santé est responsable de la coordination, de la formation, de la planification, de la recherche opérationnelle, le suivi et évaluation, ainsi que de la distribution des médicaments et produits médicaux à travers tout le pays.

A ce jour, Caritas Congo Asbl a déjà réalisé les activités de réhabilitation du centre antituberculeux de Kisangani, des pavillons de tuberculeux multi-résistants (TB-MR) de l’HGR de Mosango (vers Kikwit), de l’HGR de Kalemie, de l’HGR Kananga, de l’HGR Muya (à Mbuji-Mayi), de l’HGR de l’IME à Kimpese, a cité Mr Deagbo. A cela s’ajoute la réhabilitation des laboratoires de contrôle de qualité de Bunia ainsi que celui de culture de Mbuji-Mayi. Les travaux de réhabilitation sont en cours pour les pavillons TB-MR de l’HGR de Malembe-Nkulu, de l’HGR Virunga à Goma et de l’HGR de Ciriri à Bukavu.

Tous ces pavillons comptent deux locaux d’hospitalisation (pour hommes et femmes), chacun avec une douche et un WC ; une pharmacie avec un bureau pour Infirmiers (à cloisonner), un bureau du médecin, un hangar pour les visiteurs et malades en ambulatoire, avec une toilette pour eux, une salle d‘eau avec vestiaire pour le personnel soignant, lequel dispose aussi de sa toilette. Il sied de signaler que les conditions de ventilation de ces locaux par effets de serre ont été prises en compte pour réduire au maximum les risques de contamination, a noté le 2ème Secrétaire Exécutif adjoint de la Caritas Congo Asbl.

Soulagement des bénéficiaires

« Nous sommes animé d’un sentiment de joie. Etant donné que notre hôpital manquait de locaux. Un tel bâtiment est arrivé au bon moment pour toute la population de la ville de Lubumbashi en général et celle de Kisanga, en particulier. Elle sera satisfaite, car nous pourrons maintenant prendre en charge correctement les cas de tuberculose multi-résistante », a souligné Dr Puta Mwanto Kyky, Médecin-Directeur de l’Hôpital Général de Référence de Kisanga. Abordé par caritasdev.cd, ce dernier a remercié le PNLT, le Fonds Mondial ainsi que Caritas Congo Asbl pour « cette œuvre grandiose », et cela, au nom de tout le personnel de l’Hôpital Général de Référence de Kisanga et de la population de la Zone de Santé de Kisanga.

Pour sa part, le médecin Chef de Zone de Kisanga s’est réjoui de cette acquisition. «L’absence de ce bâtiment posait un sérieux problème quant à la prise en charge des malades tuberculeux multi-résistants. Ils étaient éparpillés, avec un impact négatif sur leur suivi et sur la protection de la communauté. Maintenant que tous ces malades seront suivis ici, cela constitue un vrai soulagement pour nous », a conclu Dr Anaclet Yumba Moketo (MCZ Kisanga).

La cérémonie s’est clôturée dans une ambiance joyeuse par une photo de famille, à laquelle a pris part Dr Romain Kibadi, Coordonnateur de l’Unité de Gestion de Projet de lutte contre la tuberculose/Fonds Mondial de la Caritas Congo Asbl.

Guy-Marin Kamandji
(Envoyé Spécial)

World: World events - ECHO Daily Map | 18/07/2016

18 July 2016 - 11:27pm
Source: European Commission Humanitarian Aid Office Country: Angola, Burundi, Democratic Republic of the Congo, South Sudan, Syrian Arab Republic, Uganda, World, Yemen

Syria - Conflict
• On 15 July, the UN High Commissioner for Human Rights - Zeid Ra’ad Al Hussein - expressed alarm about the increasingly desperate situation of civilians trapped in Syrian towns where air and ground military offensives are being carried out.
• On 17 July, the Syrian Observatory for Human Rights (SOHR) reported that the east of Aleppo city had come under siege after Government forces tightened their control over the Castello Road. At least 150 000 civilians are believed to be trapped in the opposition-held part of Aleppo. As fighting closes in, already minimal supplies of food, water and medicines are expected to run out.
• In northeast Aleppo, approximately 70 000 civilians are believed to be trapped in Manbij town and surrounding areas where airstrikes and ground fighting continue since early June.

Yemen - Conflict
• On Saturday 16 July UN-led negotiations resumed in Kuwait. The talks will reportedly focus on the cessation of hostilities, de-escalation, withdrawal and handing over of weapons and safe corridors for humanitarian aid.
• In their latest crisis update (14 July) MSF reported a decrease in patients due to airstrikes and violence since mid-March but an increase in patients with chronic diseases. MSF also reports a significant increase in patients due to landmines and unexploded ordnance. According to OCHA/WHO, the health system is now on the verge of collapse due to continued damage to health facilities, shortages of medical supplies, and lack of electricity and fuel during the month of June.

South Sudan - Conflict
• Conflict is on-going across South Sudan giving rise to concern for the civilian population. In Juba, nearly 12 800 people remain displaced, 10 140 in and around the Protection of Civilians (PoC) sites and around and 2 660 in the rest of the city.
• There are 20 suspected cholera cases reported in Juba. However, as none of the suspected cases have been confirmed as yet by a positive culture test, there has been no official declaration of a cholera outbreak. UNICEF, WHO, MSF and others are activating treatment plans based on procedures for cholera.

Uganda - Displacement
• In view of fighting in South Sudan, notably Juba, UNHCR has activated preparations to implement the inter-agency refugee contingency plan in Uganda.
• Currently the passage through the Elegu border appears to be closed on the South Sudan side.
• There are currently almost 540 000 refugees in Uganda, including 225 000 South Sudanese since the outbreak of the crisis at the end of 2013. Taking into account insecurity in the neighbouring countries of the Democratic Republic of Congo (DRC), South Sudan and Burundi, it is expected that around 100 000 new refugees could reach Uganda by the end of 2016.

DRC, Angola - Yellow fever
• In Angola, as of 8 July 2016, a total of 3 625 suspected cases have been reported in Angola, of which 876 are confirmed. The total number of reported deaths is 357, of which 117 were reported among confirmed cases. Suspected cases have been reported in all 18 provinces and confirmed cases have been reported in 16 of 18 provinces and 80 of 125 reporting districts.
• In Democratic Republic of the Congo (DRC), the national laboratory has been unable to confirm or discard any suspected cases of yellow fever due to the stock out of lab reagents for the last three weeks. There is therefore no update available regarding the epidemiological situation of the outbreak. According to the latest available information (as of 11 Jul 2016), the total number of notified suspected cases was 1798, with 68 confirmed cases (as of 24 June 2016) and 85 reported deaths. Cases were reported in 22 health zones in 5 of 26 provinces. Of the 68 confirmed cases, 59 were imported from Angola, 2 were sylvatic (not related to the outbreak) and 7 were autochthonous.

France - Forest fires
• Several wildfires have continued to burn across southern France causing damage.
• The largest active forest fire broke out in the commune of Ensues-la-Redonne (Provence-Alpes-Côte d'Azur region) on 14 July and has so far burnt an area of approx. 400 ha. National authorities, as of 18 July, report 200 people evacuated and one house damaged. A second fire broke out in the commune of Martigues (Provence-Alpes-Cote dÀzur region) on 15 July and has so far burnt an area of approx. 60 ha. National authorities, as of 18 July, report the evacuation of a camping area.

Kenya: Kenya: Kakuma Camp Population Statistics (as of 18 July 2016)

18 July 2016 - 3:56pm
Source: UN High Commissioner for Refugees Country: Burkina Faso, Burundi, Central African Republic, Congo, Democratic Republic of the Congo, Eritrea, Ethiopia, Guinea, Kenya, Niger, Rwanda, Somalia, South Sudan, Sudan, Uganda, United Republic of Tanzania, Yemen, Zimbabwe

Kenya: Kenya: Kakuma New Arrival Registration Trends 2016 (as of 18 July 2016)

18 July 2016 - 3:24pm
Source: UN High Commissioner for Refugees Country: Burkina Faso, Burundi, Cameroon, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Eritrea, Ethiopia, Guinea, Guinea-Bissau, Iran (Islamic Republic of), Kenya, Nigeria, Pakistan, Russian Federation, Rwanda, Saudi Arabia, Sierra Leone, Somalia, South Sudan, Sudan, Uganda, United Republic of Tanzania, Yemen, Zimbabwe

Zimbabwe: “Response to El Niño in Southern Africa” Conference: Outcome Statement Issued on behalf of Deputy Emergency Relief Coordinator and Assistant Secretary-general for Humanitarian Affairs, Kyung-Wha Kang

18 July 2016 - 1:53pm
Source: UN Office for the Coordination of Humanitarian Affairs Country: Angola, Botswana, Democratic Republic of the Congo, Lesotho, Madagascar, Malawi, Mozambique, Namibia, South Africa, Swaziland, United Republic of Tanzania, Zimbabwe

London, 14 July 2016

The impact of the current El Niño is felt globally, affecting over 60 million people. Southern Africa is of particular concern as the region is facing its worst drought in 35 years, with an estimated 40 million people facing food insecurity, including some 23 million in need of urgent humanitarian assistance.

Five countries – Lesotho, Malawi, Namibia, Swaziland, and Zimbabwe – have already declared national emergencies, in addition to eight out of nine provinces in South Africa that collectively account for 90 per cent of the country’s maize production. Mozambique has also issued an institutional red alert for its most affected central and southern provinces. While the current diminished harvest provides some temporary respite, the lean season will start earlier than normal and food insecurity is expected to peak between October 2016 and March 2017. The time is now to scale-up the humanitarian response and preserve development gains.

In addition, there is a high probability of La Niña phenomenon toward the end of this year, which is likely to exacerbate the humanitarian situation, as coping capacity has been eroded. Contingency plans need to incorporate the possibility of localized flooding, and due to the reduced capacity of vulnerable farmers to access inputs, there is a need for interventions now that enable people to capitalize on potentially good rains. The aggregated scale of need in the region is on a par with the drought in Ethiopia and there needs to be a commensurate response from international donors in support of the Southern Africa region.

Co-hosted by DFID and OCHA, the focus of this conference was to raise the profile of the impacts of El Niño and La Niña in Southern Africa, to better understand the severe impacts of the crisis at local, national and regional levels, and discuss how donors and partners can come together to provide a coordinated and rapid response. DFID has already responded by scaling up response in countries where they have a presence. UN agencies and partners have also geared up to increase response and promote the visibility of the crisis. This has included the appointment of two special envoys on El Niño and Climate, Ms. Mary Robinson and Ambassador Macharia Kamau. However, more needs to be done and we have a narrowing window of opportunity to reduce mortality, alleviate suffering and enable early recovery.

The development of a SADC Regional Drought Appeal, which will be launched in Botswana at the end of July, represents a step change in government leadership to humanitarian crises in the region. UN agencies have supported the development of the Appeal through the Regional Interagency Standing Committee (RIASCO) and secondments to SADC’s newly formed regional El Niño coordination centre. To support SADC and affected member states, the UN and partners have also developed a RIASCO Regional Action Plan, with a requirement of $ 1.2 billion to meet the needs of 12.3 million people in seven most affected countries. However, this is only 17 per cent funded to date.

The Action Plan outlines multi-sectorial humanitarian action addressing not only food insecurity, but also increased levels of malnutrition, reduced availability of potable water, higher school drop-out rates, and increased incidence of communicable diseases. It is imperative that national and regional planning to respond to this exceptional drought continues to include all mechanisms of assistance, including providing humanitarian assistance, promoting resilience through for example the development of shock-responsive national social protection systems, addressing macro-economic impacts and developing risk mitigation measures.

Given the range of response required and the actors involved, we will need to continue to strengthen coordination efforts both at regional and national levels, through supporting SADC, RIASCO and sector coordination, particularly in areas such as Food, Livelihoods, Health and Nutrition, WASH, Protection, and Education. In this regard, there is a pressing need for IASC to step up coordinated multi-sectoral assessment and coordination in priority countries. We encourage efforts to strengthen the assessment of needs in the areas of health and protection, in particular, which can help better inform early warning and early response for natural disasters and communicable disease outbreaks such as yellow fever and cholera epidemics now present in the region.

Lastly, we acknowledge the importance of understanding the private sector’s ability to support the response, including through addressing shortfalls in agricultural production, and encourage its contribution. We will need to work with the private sector to enable the predictable importation of key commodities into, and across the region, looking to ease or remove barriers.

Delivering the right response for the millions affected across this region is an important test of our ability to collaborate across borders, institutional and sectoral boundaries, as well as to put the needs of the acutely vulnerable at the heart of our collective efforts, as agreed at the World Humanitarian Summit convened by the Secretary-General in May this year.

Democratic Republic of the Congo: Lutter contre le choléra en milieu scolaire

18 July 2016 - 12:30pm
Source: UN Children's Fund Country: Democratic Republic of the Congo

L’hygiène des mains

« Encore une fois ! », tonne à la manière d’un rocker ou d’un pasteur, Blaise Ilunga. L’enseignant congolais s’adresse à sa classe de 1ère année primaire à Kasungami, quartier populaire de Lubumbashi, deuxième ville du pays. « L’hygiène des mains… » Répond à tue-tête et comme un seul homme la trentaine d’enfants en bas âge de cet établissement durement touché par le choléra il y a quatre ans.

« …Pour éviter les microbes », embraye alors l’instituteur. Voilà comment ce qui pourrait un cours conventionnel sur les règles élémentaires d’hygiène se transforme en grand jeu d’apprentissage.

Pendant une heure, l’enseignant anime la séance : sceau d’eau, savonner les mains, tout y passe pour faire de cet école proprette un sanctuaire face au choléra et aux maladies des mains sales. Dans le fond de la classe, un homme écoute attentivement : Jean Martin Muyumba.

Le choléra au complexe scolaire Saint Augustin

Le directeur de l’école a la prise de notes méticuleuse. Il dit évaluer chaque jour les enseignants de cet ensemble scolaire qui accueille 900 élèves du primaire et du secondaire. Vigilant, et tatillon, car encore traumatisé par les drames de 2011. « En décembre de cette année-là, un jour, on s’aperçoit, que quatre enfants faisaient des allers et venues aux toilettes toute la journée, se souvient le directeur.

Tout de suite, on a sonné la sonnette d’alarme ». Très vite, le constat s’impose : le choléra a bel et bien fait irruption dans les classes. En quelques jours, la maladie décime les bancs : 30 élèves et enseignants seront touchés au total. Quatre mourront du choléra.

Un choc toujours présent pour M. Muyumba. « On doit sans cesse faire de la sensibilisation auprès des parents pour impliquer tout le monde, précise-t-il. Mais si on réussi à écarter le choléra c’est grâce au programme des écoles assainies ».

60000 enfants ont accès à l’eau potable

Ce programme phare de l’Unicef, mis en place il y a 5 ans dans cette école, a depuis permis à plus de 60000 enfants de la province de l’ex-Katanga d’avoir accès à l’eau potable, de disposer de latrines hygiéniques et de stations d’eau pour se laver les mains.

Plus de 60000 enfants sains et saufs, qui peuvent ainsi aller à l’école et repartir tranquilles. Les « écoles assainies » prouvent chaque jour leur efficacité selon les encadrants de l’école Saint-Augustin. « Vous imaginez, il y a quelques années, le choléra nous frappait, ajoute M. Muyumba. Mais aujourd’hui, on a seulement compté cette année quatre cas de diarrhées à la rentrée de janvier. Les enfants touchés viennent de familles qui ne respectent pas les règles d’hygiène, on est donc allés immédiatement les voir pour leur dire que c’est impératif. Cet exemple illustre la limite du programme. Car l’école assainie est un sanctuaire dans un milieu pauvre, où la coutume est encore trop forte, et les résistances encore présentes ».

Intensifier la sensibilisation aux règles d’hygiène pour lutter contre le choléra

Selon M. Muyumba, seules 58% des familles de ses élèves observeraient à la lettre les règles d’hygiène. « Il faut donc intensifier la sensibilisation », lance-t-il. « L’autre grande limite tient au fait qu’après le primaire, les écoles ne sont plus assainies, abonde Mariette Neema Mwesha, administratrice communication à l’Unicef. Le secondaire n’est pas concerné par le programme des écoles assainies ».

En attendant une plus grande généralisation des écoles assainies, l’exemplaire complexe Saint-Augustin de Lubumbashi refuse toute marche arrière pour ne plus revivre le traumatisme du choléra.

Le programme national Ecoles et Villages Assainis bénéficie du soutien de la coopération britannique ainsi que de la coopération américaine.

Découvrez comment le choléra a reculé à l’école Saint-Augustin

South Africa: MSF Uses International AIDS Conference in Durban to Call for Comprehensive Plan, Mobilisation of Global Actors for Immediate Implementation of Quality HIV Care in Neglected Communities

18 July 2016 - 11:03am
Source: Médecins Sans Frontières Country: Central African Republic, Democratic Republic of the Congo, South Africa, Swaziland, World

While significant progress has been made in South Africa since the first Durban conference in 2000, deadly and unnecessary HIV trea­tment gaps persist in other countries

Durban, South Africa, 19 July 2016—Médecins Sans Frontières/ Doctors Without Borders (MSF) is calling on global HIV/AIDS leaders at the International AIDS Conference in Durban to develop and implement an action plan to address the critical lack of access to HIV treatment in those countries in West and Central Africa where coverage remains below 30 percent. This comes as new MSF data from Southern Africa suggests that the implementation of “Test and Start” is feasible but that community-led outreach is necessary to test and link people living with HIV to care and support them on lifelong treatment.

This situation in several countries in West and Central Africa is reminiscent of MSF’s call at Durban 2000 to expand access to affordable antiretroviral drugs in South Africa, where more people than ever are now living long and healthy lives on treatment. As we’ve seen, civil and community support and affordable medications play a key role in making sure people get and stay on antiretroviral therapies. Failing to reach people in neglected regions puts at risk global goals to reach 30 million people with treatment by 2020 and achieve UNAIDS 90-90-90 targets.*

In MSF’s project in Swaziland, data from across nine health facilities in rural Nhlangano district showed that of people who started treatment with a CD4 cell count above 500, 90 percent were still on treatment after six months. In MSF’s project in KwaZulu-Natal (KZN) province, South Africa, when offering treatment including to people with higher CD4 counts, over 80 percent of people remained on treatment after twelve months, whether they had started treatment below or above CD4 350. Initiation rates remained stable for people at CD4 levels below 350. These findings suggest that newly-eligible patients will initiate and remain on ART if provided the opportunity, without compromising access to care for the sickest people.

However, testing and offering people treatment and ensuring life-long adherence will not be possible without outreach activities that target testing people before they are ill. Community testing strategies piloted by MSF in KZN are particularly effective at reaching first-time testers, including students, young women at risk of HIV, and young men wh­­­o may not attend health facilities. Door-to-door testing by community health workers reaches people of all ages, and can even be less expensive than facility-based testing. Importantly, people diagnosed at mobile and stand-alone sites in 2015 had higher median CD4 counts (462 cells/mm³), compared to those diagnosed in facilities (CD4 363 cells/mm³).

“Patient care works like dominoes, with an entire community involved in testing people where they live and work, and ensuring someone who tests positive is initiated on treatment, and supported to stay adherent to lifelong treatment with suppressed levels of the virus,” said Musa Ndlovu, Deputy Field Coordinator for MSF in KwaZulu-Natal. “The lay workers in communities and facilities are the glue holding everything together—improving both quality of care and access. We need governments to ensure that a workforce of lay people is employed, maintained and expanded throughout the region, to provide testing, treatment initiation and adherence support for all who need it.”

While policies and practices for employing lay workers vary widely, when they are absent from the health system, the impact is substantial. After lay counsellors were withdrawn from facilities in KZN province in two waves during 2015, the monthly average number of HIV tests conducted in facilities MSF supports in Eshowe/Mbongolwane decreased by 25 percent and a further 13 percent respectively. The number of new people starting on treatment in the area also declined by 20 percent in 2015.

Adopting community-based strategies could help expand coverage in West and Central Africa where barely one in four people among the 6.5 million with HIV in the region have access to treatment. Nearly one third of AIDS-related deaths globally occur in the region, and in order to achieve the global goal of reaching 30 million people with treatment by 2020—agreed by all governments at the UN in June—an additional 13 million people need to be reached with treatment, one third of whom live in West and Central Africa.

At a hospital where MSF works in Kinshasa, Democratic Republic of the Congo, one quarter of people with HIV arrive too sick to be saved, with 39 percent of these dying within 24 hours of being admitted to the hospital. And Central African Republic, although national HIV prevalence is believed to be below 5 percent, 84 percent of deaths in Beberati hospital where MSF works are related to HIV/AIDS, while in the north of the country in Ndele, Kabo and Batangafo, MSF teams report HIV positivity rates of 33 percent at the VCT level.

“The HIV situation in West and Central Africa reminds us of the terrible days over a decade ago in Southern Africa, when people were dying and no treatment was available,” said Dr. Eric Goemaere, HIV/TB Unit Coordinator for MSF's Southern Africa Medical Unit. “Solutions to close this massive treatment gap exist; we need a massive booster shot for West and Central African if we’re going to get anywhere close to achieving the global treatment goals. When there are so many millions of people on treatment today, the right to access that lifesaving treatment should not depend on where people live. We cannot leave these people behind.”

*UNAIDS 90-90-90 targets aim that by 2020, 90 percent of people living with HIV know their HIV status; 90 percent of those people are on antiretroviral treatment; and that 90 percent of those on treatment have achieved ‘undetectable’ levels of virus in their blood (viral suppression).

MSF has been providing antiretroviral treatment to people living with HIV/AIDS since 2000, and currently supports HIV treatment for nearly 247,000 people in 19 countries.