Cameroon

Situation Report

Highlights

  • North-West and South West situation report (1-31 May 2021 )
  • Just over two per cent of the 2021 funding requirements for the humanitarian response for the Food Security Cluster and 20 per cent for the Nutrition Cluster have been met.
  • Healthcare facilities were attacked, with 13 reported incidents ranging from kidnapping of personnel and removal of patients from health facilities.
  • Explosive Ordnance Risk Education is highly needed in schools and communities to sensitize children and their caregivers on the dangers posed by Improvised Explosive Devices.
  • Out of the 603 reported Gender-Based Violence (GBV) cases, 99 per cent of the survivors are female, one per cent are survivors with disabilities, and 38 per cent are children.
Source: OCHA
The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations.

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Cameroon

Situation Report

Key Figures

2.2M
Affected people in NWSW
1.6M
Targeted for assistance in NWSW
712.8K
IDPs within or displaced from NWSW
333.9K
Returnees (former IDP) in NWSW
67.4K
Cameroonian refugees in Nigeria

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Cameroon

Situation Report

Funding

$361.6M
Required
$77.6M
Received
21%
Progress
FTS

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Contacts

Carla Martinez

Head of Office

Ilham Moussa

Head of Bamenda Sub-Office, North-West region

Dina Daoud

Head of Buea Sub-Office, South-West Region

Marie Bibiane Mouangue

Public information Officer

Cameroon

Situation Report
Visual

Map of IDP, from the North-West and South-West Regions of Cameroon

Map of IDPs from the North-West and South-West regions of Cameroon

Source: OCHA, IOM, CHOI, Partners

The boundaries and names shown, and the designations used on this map do not imply official endorsement or acceptance by the United Nations.

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Cameroon

Situation Report
Background

Situation Overview

The situation in the North-West and South-West regions (NWSW) remained concerning in May, with continued hostilities, armed clashes and use of improvised explosive devices (IEDs). The population continues to be caught in the middle of the crisis, exposed to extra-judicial killings, GBV incidents, kidnappings, destruction of property and ill treatment. Humanitarian staff and health care workers reported 14 cases of harassment and kidnappings.

Between January and May 2021, more than 53,770 persons faced new displacement or return movements. Most of the displacements were pendular and did not last for more than one week. According to the Multi-Sectoral Needs Assessment (MSNA) conducted in February 2021 in the North-West and South-West regions, the number of internally displaced persons in those two regions was 410,933, and the number of returnees was 333,915 persons. According to the same assessment, the major needs of the displaced persons were safe drinking water, food, and health.

The Cadre Harmonise report, published in March 2021, showed that 1.1 million people are classified as severely food insecure having lost access to their farmlands, assets and livelihoods means. This underscores the urgent need for additional funding to provide life-saving interventions in the two regions.

The humanitarian response for the North-West and South-West regions has received less than seven per cent as reported on the financial tracking system. For three consecutive years, Cameroon continues to be ranked either first or second on the Norwegian Refugee Council’s (NRC) classification of the world’s most neglected crisis.

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Cameroon

Situation Report
Trends
education
UNESCO provides access to relevant inclusive and quality education to out-of school children, through distance learning platforms (formal and non-formal education system) in the South-West region. Photo: UNESCO/Mirela Kuljanin

Humanitarian Response: Education

More than 78,700 students in different schools and communities, including 43,026 girls representing 54.6 per cent of the students, benefited from various educational interventions. The Authentic Memorial Foundation (AMEF) through Cameroon Humanitarian Educational Leadership for Peace and Development (CAM Help) carried out activities including distance learning, psychosocial support for children and sensitization in schools on COVID-19 preventive measures. UNICEF provided school recreational and dignity kits through Green Partners Association (GPA) in the South-West, and ASCOVIME (Association of Competences for a better life) in the North-West. They also distributed school materials through Humanitarian Association of Dynamic Youths (HADY). The Norwegian Refugee Council (NRC) provided materials for recreational activities. Strategic Humanitarian Services (SHUMAS) provided vocational training and support for teachers. Street Child NGO provided school materials, WASH in schools, teacher training, and livelihood.

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Cameroon

Situation Report
Trends
Food assistance
IDP beneficiary of food distribution in South-West region. Credit: OCHA Giles Clarke

Humanitarian Response: Food Security

20 partners collectively provided food, agriculture, and livelihood assistance to 323,034 people, which represents only 28 per cent of the people in need of food security assistance. Though there has been an increased need for livelihood-related support of the affected population, only four per cent of the total beneficiaries have been so far supported through activities such as home gardening, poultry and grants for small businesses. An integrated approach of food and livelihoods targeting the same beneficiaries is highly recommended at this period to enable the population in becoming self-reliant.

With just over two per cent funding received through the Humanitarian Response Plan (HRP), many actors of the Food Security Cluster are unable to provide humanitarian assistance to the about 1.1 million food insecure population who have lost their access to farmlands, assets and livelihoods means, thereby almost 800,000 people have no food security assistance at all. The adverse impact of this can be seen in the most recent Cadre Harmonise analysis, which shows an average of about 17 per cent of the population in NWSW applying negative livelihood coping mechanisms.

Following Food and Agriculture Organization (FAO)’s implementation of the project to support market gardening production in the peri-urban areas of Douala and Buea, a training and data collection of 1,274 households involved in market gardening in two production basins from South-West and Littoral regions each was done. Based on vulnerability criteria, 300 potential beneficiary households were identified while 974 households are on the waiting list for market gardening assistance.

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Cameroon

Situation Report
Trends
Health
MSF Community health volunteer providing free consultation to IDPs in South West region

Humanitarian Response: Health

The community transmission of COVID-19 in the NWSW regions has shown a steady decline since April 2021. The positivity rate of tests done in the North-West dropped to 6.7 per cent in May, from eight per cent in April, and stayed at 3.3 per cent in the South-West. The COVID-19 vaccination campaign in the NWSW started timidly and vaccine hesitancy remains high even among health personnel. The expansion of vaccination sites to confessional health facilities and the sensitization of health personnel and targeted groups on the COVID-19 vaccines is ongoing with the aim to reduce risks to vulnerable categories of the population.

The World Health Organization (WHO) through the Pandemic Emergency Financing Facility (PEF) of the World Bank, provided vehicles and ICT materials in the two regions to support the coordination of the response to COVID-19.

Due to the funding and security challenges in the NWSW, fewer partners reported activities to the Health Cluster. UNICEF through its implementing partners CARITAS Kumba, CARITAS Mamfe, and CARITAS Bamenda supported the Regional Department of Public Health (RDPH) to deliver life-saving services including the routine vaccination of children and pregnant women in nine health districts in the South west and 17 health districts in the North West. A total of 8,531 children from 6-23 months and 4,057 pregnant women received missed routine vaccines. Another 838 children were treated for malaria, 572 children were treated for acute respiratory tract infections and 154 children were treated for diarrhea. Action Against Hunger (AAH), through one mobile clinic and support to two health facilities in Meme, SW, provided health care to 64 pregnant women and 622 children.

Attacks on health care remained a major obstacle to the access to health care services by the population in the NWSW. 13 attacks were reported during May including the kidnapping of health care personnel and patients from health facilities and the confiscation of medical supplies. Healthcare facilities and health staff cannot be targeted and need to be respected and protected.

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Cameroon

Situation Report
Trends
Nutrition
A child with severe acute malnutrition admitted for treatment at the limbe regional hospital supported by UNICEF Credit: UNICEF/Salomon Beguel

Humanitarian Response: Nutrition

Nutrition partners provided key messages on optimal Infant and Young Child Feeding (IYCF) practices integrating COVID-19 specific messages to 29,836 caregivers, 20,937 women, and 8,899 mainly at distribution sites.

10,738 children, including 5,284 boys and 5,454 girls, aged 6 -23 months, and 6,701 pregnant and lactating women in locations considered food insecure received Specialized Nutritious Food (SNF) through Blanket Supplementary Feeding Programme (BSFP). Preliminary data from the regional delegations of public health in the NW and SW on the concluded national immunization day campaign shows that, 66.5 per cent, equivalent to 453,000 children aged 6-59 months, and 78.5 per cent corresponding to 406,000 children aged 12-59 months, received Vitamin A supplementation and deworming tablets respectively.

UNICEF is partnering with five civil society organizations which have good access and acceptance within communities to reach 80,000 children and 46,000 caregivers with nutrition support including screening for acute malnutrition, management of severe acute malnutrition, IYCF sensitization, vitamin A supplementation, deworming prophylaxis and trainings on mother Mid-Upper Arm Circumference measurement (MUAC). Additionally, The Alliance for International Medical Action (ALIMA) and International Medical Corps (IMC) will be launching health and nutrition response in NW regions with the aim of scaling up nutrition response in NW.

Nutrition partners continue to experience serious funding gaps limiting the response capacity. As of May 2021, only 20 per cent, equivalent to US$ 2.4 million out of US$ 11.4 million of the HRP nutrition requirements for the NW/SW regions have been received.

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Cameroon

Situation Report
Trends

Humanitarian Response: Protection

More than 450 protection incidents were reported mainly related to arbitrary arrests, illegal or unlawful detentions, extortion, theft, sexual and gender-based violence (SGBV) including rape predominantly in the villages, extra-judicial killings, kidnappings and forced disappearances, destruction of properties, physical assaults, threats to life, liberty, and security of person. A total of 3,866 persons were reached during awareness-raising sessions on the prevention of discrimination, civil status documentation, rights and responsibilities of Internally Displaced Persons (IDPS).

Protection partners reached 247,263 persons through protection monitoring activities in the two regions. In addition, 968 unaccompanied and separated children (UASC) accessed family-based care or appropriate alternative services. 55 people at risk of Gender-Based Violence (GBV) including GBV survivors received at least one form of assistance. 281 most vulnerable persons identified in need of targeted protection assistance were supported with Non-Food Items (NFIs), including solar lamps and cash assistance. 185 persons were provided with legal support including access to their properties.

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Cameroon

Situation Report
Trends

Humanitarian Response: Child Protection Area of Responsibility (AoR)

A total of 12 improvised explosive devices (IED) incidents were reported, evenly split between the North-West and the South-West. This calls for the prioritization of Explosive Ordnance Risk Education (MRE) in schools and communities to sensitize children and their caregivers about the dangers posed by an IED and on how to better protect themselves.

CP AoR actors continued to provide child protection services to affected communities, reaching a total of 19,845 children and caregivers, including 11,029 females and 8,816 males with different child protection interventions. This is about 2.4 times the number reached in April. This is attributable to an increase in the number of partners who submitted reports in May compared to April. CP AoR actors reached 6,837 children, including 3,724 girls and 3,113 boys and caregivers including 870 women and 600 men, with Mental Health and Psychosocial Services (MHPSS) in psychosocial support units, child friendly and other safe spaces.

Additionally, 11,361 children and caregivers including 5,231 girls, 4,089 boys, 1,092 women and 949 men, were reached with awareness raising sessions on child protection risks, GBV and the COVID-19 pandemic. Three unaccompanied and separated children, all boys, were provided with alternative care during the reporting period.

Under the on-going child protection case management project, partners reached 572 children, including 284 girls and 288 boys, throughout the NWSW. Of these, 259 cases comprised of 138 girls and 121 boys were referred to specialized services through the CP AoR Referral Pathways.

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Cameroon

Situation Report
Trends

Humanitarian Response: GBV Area of Responsibility

According to the data provided by GBV sub cluster partners, a total of 603 GBV cases were reported to GBV specialized services providers. Since the beginning of the second quarter of 2021, there has been an increase of over 20 per cent in the number of GBV reported cases. This increase in the number of reported incidents could be explained by the significant number of community outreach activities and increase in the number of organizations that shared reports including GBV incident data.

99 per cent of the survivors of the 603 GBV incidents are female; one per cent are survivors with disabilities, and 38 per cent are children. 37 per cent of the survivors received psychosocial support, 25 per cent received healthcare, and 20 per cent received livelihoods support. 25 per cent of the reported incidents were physical assault, 24 per cent were emotional abuse and eight per cent were sexual violence. There is a critical need to scale up lifesaving GBV services and advocate for access to affected communities in hard to reach areas.

23,170 persons were reached with GBV prevention and response intervention including GBV awareness raising and information on available specialized services to 14,184 persons. 18 persons received psychosocial support and psychosocial first aid, 304 women received life skill development training, 30 women received dignity kits, 540 community members and frontline workers received capacity building on GBV concepts and GBV risk mitigation messages reached 7,842 persons.

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Cameroon

Situation Report
Trends

Humanitarian Response: Shelter/NFI

Plan International, Finders Group Initiative (FGI), Community Based Organization (COHESODEC) and Positive Vision conducted a needs assessment in the NW to explore the perceptions of IDPs about the distribution of light shelter kits. The assessment was conducted in four communities in Mezam division, one community in Ngo-ketunjia division and three communities in Momo division.

In May, 4,065 households were assisted including 296 households in the NW and 3,769 households in the SW. In the NW, Plan International distributed 296 emergency shelter kits in Bamenda 2 subdivisions in Mezam division, reaching 1,480 individuals. SHUMAS continued assisting 41 students with rental accommodation in Bamenda 1 and Bamenda 2 subdivisions. In the SW, Plan International distributed 2,169 emergency shelter kits in Meme and Fako divisions reaching 10,839 individuals including 5,528 females and 5,311 males. The Danish Refugee Council (DRC) distributed 2,184 emergency shelter kits and 975 core relief items in Meme division reaching 10,779 individuals including 5,497 females and 5,282 males.

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Cameroon

Situation Report
Trends

Humanitarian Response: Water, Sanitation and Hygiene

48,804 individuals were reached through various WASH interventions implemented by eight WASH partners in the NWSW. Of the total number of people reached, 23,245 equivalent to 48 per cent, were males and 25,559, equivalent to 52 per cent, were females. Also, 13 per cent of the total number of people reached were IDPs.

The Baptist Convention Health Services (CBCHS) and the Environmental Protection and Development Association (EPDA) recruited 180 volunteers; 80 in the SW and 100 in the NW to implement a COVID-19 project in the two regions. Of these 180 volunteers, 61 were trained to reach the population with life-saving messages on COVID-19 in Kumbo, Jakiri and Nkambe localities in the NW.

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Cameroon

Situation Report
Coordination

Humanitarian Coordination

OCHA continued to ensure the coordination of the response in the North-West and South-West regions and continued to advocate for humanitarian access and for effective and principled humanitarian action through regular meetings with relevant stakeholders.

The funding situation in the NWSW remains a major concern and OCHA continues its efforts to raise awareness on the situation and advocate for narrowing the funding gaps.

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Cameroon

Situation Report
Emergency Response
Attack rate per 10,000 people
Infection rate per 10,000 people Source: Cameroon COVID-19 Situation report n.77 (from 27 May to 2 June 2021)

COVID-19 Situation report - It covers the period from 1 to 31 May 2021.

HIGHLIGHTS  

  • In May 2021, the Ministry of Public Health (MoH) recorded 4,788 new COVID-19 positive cases, including 158 deaths. With a case fatality rate of 1.6 per cent, Cameroun remains the 12th African country with the highest number of infections.

  • The vaccination campaign continues in the health facilities selected by the Government. 63,404 people have been vaccinated, including 15,119 health personnel as of 2 June.

  • The Cameroonian population is reluctant to receive COVID-19 vaccine. An internal Enlarged Programme for Immunization (EPI) survey found that 37 per cent of doctors and medical staff are not willing to receive any vaccine, questioning its reliability.

  • On 28 April, the United Nations launched the COVID-19 vaccination campaign within at the UN Clinic for personnel and dependents of the UN agencies and NGOs. A total of 361 staff members and dependents received their first dose as of 28 May.

  • A Knowledge, Attitude and Practice (KAP) survey, was conducted by UN COVID-19 Task force, from 15 April to 5 May among UN agencies and NGO staff and their dependents on COVID-19 vaccines, revealed that staff members and dependents are well informed about the vaccines.

  • NRC conducted Risk Communication and Community Engagement activities in the Far North, in Logone et Chari, Mayo Sava and Mayo Tsanaga divisons, North West and South West regions, entailing awareness raising and sensitization on COVID-19 prevention.

  • 79,521 COVID-19 cases

  • 4,140 active cases

  • 2,788 healthcare workers infected

  • 1.7M cumulation of samples tested for COVID-19 (TDR+PCR)

  • 63,404 people vaccinated

  • 1,6% Fatality rate

SITUATION OVERVIEW 

For the first time since the first COVID-19 case was reported in Cameroon in March 2020, the epidemiological curve is decreasing. To date, the country has an average of 135 new infections per day. On 8 April, more than 890 positive cases, representing the highest average number of daily infections was reported. In comparison, the Ministry of Public Health (MoH) recorded only about 4,500 new positive cases in May. The curve is also falling within the United Nations System and NGOs with 10 positive cases reported in May compared to 114 in March and 80 in April. The Polymerase Chain Reaction (PCR) diagnostic rate is 11.4 per cent per 1,000 inhabitants (309,156 samples analyzed in May) and the Rapid Diagnostic Test (RDT) rate is 52.1 per cent per 1,000 population (1,409,781 samples tested). The vaccination campaign is underway. According to an Expanded Programme on Immunization (EPI) report, 90 per cent of those who are going to be vaccinated in the approved centers are people from other nationalities living in Cameroon. Despite the recent extension of vaccination to people aged 18 and over, many Cameroonians hold on to conspiracy theories and remain reluctant to be vaccinated. The issue of vaccine safety seems to have remained an ongoing stumbling block. According to experts, the Government needs to improve communication about the vaccination campaign. Social communication experts think that in order to instill confidence in people, it would be important to use opinion leaders to influence people’s convictions about the vaccine. Within the humanitarian community and UN agencies, the UN COVID-19 Task force KAP survey also concluded that people providing information so far, administration and politicians, are not credible in the eyes of the UN and NGO staff, which may explain the low mobilization for vaccines. Gaps & constraints Despite the communication strategy elaborated by the Ministry of Public Health and its partners on the vaccination against COVID-19, mobilization of people is limited. The multiple-dose vaccines discourage recipients and there is a general lack of follow-up and mobilization strategy for the second dose of the vaccine.

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Cameroon

Situation Report
Emergency Response

Case management, Infection, Prevention and Control (IPC)

Needs:

  • Need to strengthen capacity for COVID-19 surveillance in refugee camps and at the border health posts.

  • Need to strengthen capacity for surveillance of Adverse Events Following immunization (AEFI) throughout the country.

Response:

  • In order to accelerate the detection of serious and unknown adverse reactions to COVID-19 vaccines, the MoH has set up a Green line to allow for immediate and priority reporting of these adverse reactions. For further information, please call 1510 or go to covid19.minsante.cm.

  • The Ministry of Public Health prepared the final application for the new Global Fund financing request, within the framework of the national response to COVID-19 during a workshop in Douala, from 8 to 11 June 2021.

  • MoH and UNHCR organized a training workshop for health facilities on management of mass influx of refugees in the context of COVID-19. The training took place from 31 May to 3 June 2021, in Garoua Boulai, East Region with the participation of health personnel from the East, Adamawa, North and Far-North regions. In May 2021, NRC trained some 69 hygiene promoters in 25 communities, including 40 males and 29 females and distributed 60 handwashing stations to schools in 10 communities of the North-West and South-West regions.

  • To cope with the reluctance of the population to be vaccinated, the Ministry of Public Health has: • Elaborated and disseminated tools allowing people who volunteered for vaccination to be registered and to have reliable information on the subject. • Set-up a platform for exchange and information on social networks, animated in real time by the Enlarged Immunization Programme team.

Gaps & Constraints:

  • No strategy developed for school vacations supporting the decrease in COVID-19 cases.

  • Poor compliance with barrier measures in schools.

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Cameroon

Situation Report
Emergency Response

Risk Communication and Community Engagement (RCCE)

Needs:

  • Need of financial resources for the implementation of the 2021 RCCE COVID-19 Response Plan.

Response:

  • Considering the reluctance to take the second dose of the vaccine with 85 per cent refusal rate recorded at the Center for the Coordination of Public Health Emergency Operations (CCOUSP), the Risk Communication and Community Engagement Group (RCCE), in collaboration with the CCOUSP, organized a meeting to develop strategies to mobilize people who have taken the first dose of vaccine to take the second.

  • MoH and the Association Camerounaise pour le Dialogue Interreligieux (ACADIR), in partnership with UNICEF and WHO, launched the Central Africa Hub COVID-19, calling “Christians and Muslims to fight together against Coronavirus” through sensitizations and community engagement.

  • MoH and the Conseil des Imams et Dignitaires Musulmans du Cameroun (CIDIMUC), in partnership with UNICEF, engaged Imams and Muslim Dignitaries for the vaccination of their community through the launch of the Imams vaccination campaign in the Centre region.

  • Ministry of Communication and Ministry of Public Health, in partnership with UNICEF, organized a media awareness campaign on COVID-19 in Kalak FM Radio and Magic FM.

  • MoH in partnership with UNICEF, WHO, CDC, IFRC followed-up on the implementation of the COVID-19 socio-anthropological survey in five regions: Centre, West, Littoral, North-West and South-West.

  • MoH and the Cameroon Association of Bloggers (ABC), with the support of UNICEF, launched a digital communication strategy with emphasis on the analysis and treatment of feedback collected through social media.

  • UNESCO trained 120 journalists from 10 regions on handling COVID-19 information and techniques to contain rumors.

  • UN-Habitat organized focus group discussions on COVID-19 with vulnerable groups (Elderly, women, the chronically ill and people living with a disability) and trained volunteers to support COVID-19 outreach activities in Bafoussam, Douala and Yaounde precarious quarters.

  • NRC implemented awareness raising sessions on hygiene and COVID-19 prevention targeting 27,367 people. The organization also carried out house to house sensitization activities on prevention reaching 8,000 households with 17,692 males and 18,162 females in 25 communities in the North-West and South-West regions. They also distributed COVID-19 prevention kits to 7,150 households, reaching 21,813 males and 22,484 females in 25 other communities in the same regions.

Gaps & Constraints:

  • There is a need for funding for COVID-19 vaccination communication activities.

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Cameroon

Situation Report
Emergency Response

Operational support and logistics

Needs:

  • Need for a clear strategy to deal with the expiration in August of the AstraZeneca vaccines received by the Government of Cameroon under the COVAX initiative.

Response:

  • At the logistics group meeting held on 26 May WFP debriefed about the medical logistics training workshops organized in March 2021. The purpose of these workshops was to strengthen the capacities of the MoH staff on medical logistics, especially the new specificities and constraints induced by the COVID-19 pandemic. The main recommendation was to reinforce collaboration with the Direction of Civil Protection in order to strengthen preparation measures for public health emergencies.

Gaps & Constraints:

  • Health personnel are not equipped to deal with health emergencies that arise in the country.

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