Cameroon

Situation Report

Highlights

  • NORTH-WEST AND SOUTH-WEST REGIONS SITUATION REPORT
  • 333,864 people in the North-West and South-West regions benefited from food assistance, agriculture and livelihood-based activities during November.
  • 798 Gender Based Violence (GBV) incidents were reported in the two regions.
  • Trauma surgeons and psychologists deployed by WHO in the two regions performed 69 surgical procedures during November.
  • 16,448 infants benefited from routine vaccines they had previously missed.
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

3M
Affected people in NWSW
1.4M
Targeted for assistance in NWSW
705.8K
IDPs within or displaced from NWSW
360.5K
Returnees (former IDP) in NWSW
61.3K
Cameroonian refugees in Nigeria

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Situation Report

Funding

$390.9M
Required
$170.2M
Received
44%
Progress
FTS

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Contacts

Carla Martinez

Head of Office

James Nunan

Head of Sub-Office South-West region

Ilham Moussa

Head of Sub-Office North-West region

Marie Bibiane Mouangue

Public information Officer

Cameroon

Situation Report
Visual

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

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

Source: OCHA, UNHCR, 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 humanitarian situation in the North-West and South-West (NWSW) regions remained dire during the month of November, marked by continued violent attacks on schools and children and overall insecurity linked to the approaching first ever regional elections announced for 6 December. Incidents reported within the month include killing, torture, abduction of students and teachers, as well as arson against education facilities. On 3 November at least 11 students were abducted by suspected NSAGs from a Presbyterian school in Kumbo (NW region). They were released some days later. On 4 November suspected NSAGs stormed Kulu Memorial College in mile 4 Limbe, assaulting several students and staff, forcing them out of their classrooms and setting fire to school property. The Humanitarian Coordinator in Cameroon released a statement on 5 November condemning the continuous attacks against education.

An increase in the targeting of traditional and religious leaders was also observed in November. On 5 November Emeritus Archbishop of the Douala Archdiocese, Christian Cardinal Tumi, alongside the Fon of Nso (Bui division), Sehm Mbinglo, were abducted by NSAGs while on their way to Kumbo. The Cardinal was released the following day while the Fon spent several days in captivity before being released on 10 November. On 6 November, Chief Molinga Francis Nangoh of Liwola Malale village of the SW region was murdered and his palace burnt down by unidentified gunmen suspected to belong to a NSAG.

The second wave of the COVID-19 pandemic continues to make the delivery of live-saving assistance challenging due to the importance of respecting distancing guidelines .The restrictions on public gatherings in particular, made it difficult for partners to reach their targets, especially those carrying out distributions and sensitization activities.

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Situation Report
Visual

Cameroon 2020 North-West and South-West Crisis - Funding by sector (in million US$) as of 2 November 2020

Cameroon 2020 North-West and South-West Crisis

All humanitarian partners, including donors and recipient agencies, are encouraged to inform OCHA's Financial Tracking Service (FTS - http://fts.unocha.org) of cash and in-kind contributions by e-mailing: fts@un.org

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Situation Report
Trends
learners assisted

Humanitarian Response: Education

In the first month of the 2020-2021 school year, less than 30 percent of schools in the anglophone regions of Cameroon have been operational, with a higher concentration of students attending education in urban centers despite an insufficient number of teachers in the classrooms.

Only 730 primary schools out of 3,127 (23 per cent) and 142 secondary schools out of 558 (25 per cent) in the NW region are operational. In the SW region, 837 out of 2,195 (38 per cent) primary schools and 89 out of 352 (25 per cent) secondary schools are operational. On average, 50 percent attendance by teachers is recorded for both regions. However, in the NW, 79 percent of secondary and 60 percent of primary school teachers are not at work.

October 2020 was noteworthy for the high level of atrocities committed against children and education personnel in the NWSW regions. The education cluster, in collaboration with OCHA and with the support from partners, is engaging in advocacy with actors on the ground to refrain from attacks on education and the use of education as a political tool.

In spite of all these hostilities, education cluster partners were able to continue providing access to learning for 71,731 new learners (32,022 boys and 39,709 girls) in the regions including through community sensitization for safe and protective learning, distance learning, provision of essential teaching and learning materials, and capitation grants for learning.

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Situation Report
Trends
Food assistance

Humanitarian Response: Food Security

Cluster partners collectively assisted 333,864 people through food assistance and agriculture and livelihood-based activities. In the NW region, some urban and peri-urban areas have continued to receive food assistance through the “cash for food” modality (8 percent of total beneficiaries) while other areas with little or no market access received assistance in kind. 94 percent of the beneficiaries were supported with food assistance while only 6 percent received agriculture and/or livelihood support like grants for small businesses, farming, poultry and other income generating activities.

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Trends
health

Humanitarian Response: Health

Improving the vaccination coverage for vaccine preventable diseases by strengthening routine immunization remains a key priority of the Health Cluster partners in the NWSW regions. Throughout November, UNICEF supported the regional delegation of public health (RDPH) to conduct the first round of periodic intensification of routine immunisation for children and pregnant women who had missed routine vaccination in seven health districts across both regions (Bamenda, Kumbo East, Nkambe, Wum, Kumba, Konye and Mamfe). A total of 16,448 infants were vaccinated including for measles and rubella (MR), tuberculosis (BCG), poliomyelitis and pneumonia. Yellow fever vaccines were given to 2,072 children while 2,607 others received human papillomavirus (HPV) vaccines. 1,097 children were provided with mebendazole to treat parasitic worm infestations and 10,259 others received vitamin A. 991 pregnant women were vaccinated against tetanus while 294 others were provided with intermittent preventative therapy for malaria prevention. UNICEF also supported reproductive health coordination to train 100 health care providers from neonatal care and maternity units in three district hospitals in the SW and five district hospitals in the NW to ensure quality new-born management.

Surgeons and psychologists deployed by WHO continued to work across the two regions, performing 69 surgical procedures, and conducting 167 consultations. The clinical psychologists in Buea, Kumba, and Bamenda trained a total of 96 people on psychosocial first aid (PFA), consulted 122 patients and provided group therapy to 259 others. In the framework of the COVID-19 response, WHO provided four vehicles to the RDPH in the NW and three in the SW to support field activities of the response teams. Assessments were carried out in the regional hospitals of Bamenda, Buea, Limbe and the Tiko district hospital, to seek ways of improving the existing intensive care units and water supply in these facilities.

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Trends
nutrition

Humanitarian Response: Nutrition

A total of 40,594 children (21,109 girls and 19,485 boys) were screened for acute malnutrition during the month of November, among whom 178 (0.4 percent) were identified with SAM. 160 children (90 percent) of the 178 were referred for SAM treatment. Logistic and financial constraints were reported to be the two major challenges limiting access to SAM treatment. 469 (1.2 percent) children were identified with moderate acute malnutrition (MAM), 51,940 persons (20,723 males and 31,217 females) were sensitized on key messages on infant and young child feeding practices, integrating COVID-19 specific messages, while 2,012 caregivers were trained to detect and refer children with SAM to treatment services.

Under the preventive programme for undernutrition in food insecure areas, 12,780 children (6,002 boys and 6,778 girls) between 6 and 23 months and 8,053 pregnant and lactating women (PLW) were reached under the blanket supplementary feeding program (BSFP) implemented by WFP partners. Two-month rations (November and December 2020) were provided to the beneficiaries under the BSFP programme. Nutrition inputs (ready-to-use therapeutic food, drugs & therapeutic milk) for SAM management for three months were prepositioned at regional headquarters in Bamenda and Buea to ease access by partners and avert any shortages.

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Situation Report
Trends
protection

Humanitarian Response: Protection

The protection environment in the NWSW remained very concerning in November due to ongoing insecurity with attacks on education, indiscriminate arrests by Government security forces, targeted killings, kidnappings and threats against the affected population as well as frequent clashes between Government security forces and NSAGs which led to displacements.

During protection monitoring activities in November population movements were reported in many localities in the two regions, especially Menchum, Mezam, Boyo and Bui divisions of the NW region where close to 3,000 persons were forced to flee their homes. 585 protection incident reports were collected during November by protection partners. The main types of protection incidents reported include destruction of houses and properties, threats to life and personal security, killing/murder, looting, extortion, torture, SGBV, arrest and detention, arson. The most affected populations are IDPs followed by returnees.

During November, 24 pregnant/lactating women and girls (6 girls, 18 women) received dignity and mama kits, 81 persons (IDPs) received NFIs with respect to their specific needs while 574 persons received psychological first aid (PFA). IRC trained 50 community leaders in Fako division on humanitarian principles, protection principles, protection risks, and sensitized 3,384 persons (796 boys, 770 girls, 785 men, 1033 women) on protection risks, humanitarian principles, human rights, civil status documentations including disability cards, and the available services.

Rapid assessments were carried out in 11 new communities where key informants reported humanitarian needs. Communities, where a high level of protection needs were identified, include Anyajua (Belo subdivision), Nsowngwa (Bafut subdivision), Mfuni (Eyumodjock subdivision), Illeh (Konye subdivision), Small Ekange (Tiko subdivision) and Mile 16 Buea (Buea subdivision). IDPs in these communities face different risks ranging from serious threats to life, destruction of habitat, lack of access to services for women and children, lack of health facilities and poor water sanitation and hygiene conditions. 130 key informants were interviewed in the different communities. In Barombi (Meme) and Ogomoko (Manyu), key informants highlighted the lack of civil status documentation as a major restriction to freedom of movement and a limiting factor to their access to basic services.

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Trends
protection (1)

Humanitarian Response: Child Protection Area of Responsibility (AoR)

Children continue to be the main population group affected by the crisis in the NWSW regions of Cameroon, with reports of increased cases of Gender-Based Violence against children and adolescents in the regions. Several cases of early pregnancies, forced/early marriages and child labour were reported.

During the reporting period, more than 55,000 beneficiaries were reached by Child Protection actors, with a variety of child protection interventions/activities. The interventions included the provision of psychosocial support services to children and caregivers, reaching 10,148 beneficiaries (7,371 children and 2,777 adults); case management for unaccompanied and separated children (UASC) and other vulnerable children, reaching 797 children (452 girls and 345 boys); and awareness raising sessions to sensitize communities on child protection risks and concerns, GBV and COVID-19 preventive measures and symptoms, reaching 36,114 beneficiaries (22,397 children and 13,717 adults).

The Child Protection Area of Responsibility also conducted five training sessions on child protection case management. This included three sessions in Bamenda for Child Protection actors implementing in the NW and two in Buea for Child Protection actors based in the SW, strengthening the technical capacities of Child Protection partners. Every training session included 25 participants from different national and international NGOs and respected the COVID-19 mitigation measures.

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Trends
GBV

Humanitarian Response: GBV Area of Responsibility

While access to quality multisectoral services remains a challenge in the NWSW regions, the data shared by GBV partners during November shows an increase in the number of survivors requesting GBV services. During November, 798 GBV survivors were reported and received services according to their individual needs through ethical, secure, and coordinated referrals between specialized GBV service providers.

Sexual violence represents 42 percent of the reported GBV cases. Survivors of GBV incidents are mostly women and girls (86 percent), with 8 percent being persons living with disabilities. 61 percent of survivors are children. Survivors received various services including psychosocial support (36 percent), health (28 percent), and livelihood (45 percent). There is a critical need to scale up lifesaving GBV services and advocate for access to affected communities in hard-to-reach areas.

27,934 people were reached by GBV prevention and response interventions in November including GBV awareness raising and information on available services (19,197); dignity kits distribution (151); women and girl safe space activities (882); psychosocial support and PFA (1,112); youth and adolescent support program (712); life skill development for women (429); capacity building for community members and frontline workers on GBV concepts (1,299); distribution of menstrual hygiene kits (180); engagement of men and boys to raise awareness on GBV (3,065)

In order to manage survivor data with survivor’s full informed consent for the purpose of improving service delivery, and ensure that the collection, storing, analyses and sharing of GBV reported cases is done safely and ethically, the GBV AoR under the leadership of UNFPA trained 27 frontline GBV actors in the NW region, from 26 to 28 November on the Gender- Based Violence Information Management Systems (GBVIMS).

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Trends
shelter NFI

Humanitarian Response: Shelter/NFI

During the reporting period 2,827 households were assisted; 1,827 in the NW and 1,000 in the SW.

In the NW region, NRC through partners CBC and COMINSUD carried out a distribution of 1,000 packs containing some shelter and NFI kits in the Bui and Menchum divisions. This included 200 packs in Jakiri, 300 in Kumbo, 250 in Bafmen and 250 in Zhoa. This distribution reached 5,443 individuals (2,610 males and 2,833 females). Each pack comprised of emergency shelter items, menstrual hygiene items, COVID-19 prevention items, hygiene items and basic household items. Plan international distributed 827 shelter/NFI kits in Kumbo, reaching 4,135 individuals (2,026 males and 2,109 females).

In the SW, NRC through its partners FORUDEF and AMEF distributed 1,000 Shelter/NFI kits in Muyuka, One-Banana, Ebore and Tombel reaching 5,764 individuals (2,612 males and 3,152 females).

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Situation Report
Trends
WASH (1)

Humanitarian Response: Water, Sanitation and Hygiene

In November, 45,700 individuals received various WASH services including COVID-19 prevention interventions implemented by twelve WASH partners in the NW and SW regions. WASH partners AFRINET, EPDA and IRC constructed 129 emergency latrines to be used by at least 6,400 people in Buea, Ekondo Titi, Kombo Itindi, Konye, Kumba 1, Kumba 3 and Mbonge subdivisions of Fako, Ndian and Meme divisions respectively. IRC, NRC and SUDAHSER conducted sanitation and hygiene promotion trainings for 142 community health workers and hygiene promoters/volunteers in Bamenda 1, Bamenda 2, Bamenda 3, Buea, Ekondo Titi, Konye, Kumba 2, Kumbo, Mbonge and Muyuka sub-divisions while AFRINET and H4BF trained 120 girls and women In Nkum and Mamfe subdivisions on the use of dignity/hygiene kits.

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Situation Report
Coordination

Humanitarian Coordination

OCHA continued to provide leadership in the response in the NWSW regions, advocating for effective and principled humanitarian action through regular meetings. During the month of November OCHA chaired two Inter-Cluster Coordination Group (ICCG) meetings, one Humanitarian Coordination Forum (HCF), and one Access Working Group meeting. Progress was made on plans to implement the HCT approved ‘Compact to end Illegal Payments’ in addition to supporting humanitarian NGOs contribute effectively to the 2021 Humanitarian Response Plan (HRP). OCHA also led an inter-agency UN mission to Fundong subdivision, Boyo division on 27 November.

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Situation Report
Emergency Response
Card-Attack rate per health district in Cameroon
Source: Cameroon COVID-19 Situation report n.58 (from 26 November to 2 December 2020) Attack rate per health district in Cameroon

COVID-19 Situation report - It covers the period from 15 to 30 November 2020

HIGHLIGHTS  

  • According to the Cameroonian Ministry of Health (MoH) the relentless fight against COVID-19 continues all over the country. Epidemiological data indicated 638 new infections in week 48 of the epidemic (21 to 27 November 2020), bringing the total number of positive cases to 24,507, including 23,478 recoveries and 441deaths.

  • The epidemic is spreading in schools, with 138 positives cases reported among teachers and 189 among students as of 2 December 2020 in all ten regions of the country.

  • The case fatality rate as per 30 November was 1.8 per cent which is one the lowest in Africa. Cameroon is the eleventh in the list of countries with the highest number of positive cases in Africa.

  • The International Organization for Migration (IOM) will hold a conference in Yaoundé on the strengthening of coordination and partnerships for a holistic COVID-19 response in Cameroon from 3 to 4 December 2020.

  • 24,5K COVID-19 cases

  • 775 Active cases

  • 18,1K Samples tested for COVID-19 (TDR+PCR)

  • 1,8% Fatality rate

SITUATION OVERVIEW 

On 26 November 2020, Cameroon has passed the milestone of 24,000 positive cases, while remained the eleventh African country with the highest number of confirmed cases and the one with the highest cure rate of 95 per cent. On 25 November, the Ministry of health chaired, by teleconference, the COVID-19 response weekly evaluation meeting with the regional Delegates of public health. The number of COVID-19 positive cases continued increasing in schools in the reporting period. From 19 to 25 November, 131 teachers and 189 students were tested positive among respectively 19,808 teachers and 25,186 students in the ten regions of the country. The spread of the number of cases in education facilities was a consequence from the non-compliance with barrier measures in schools, despite the Government’s efforts to limit the number of students per classroom. Following the increase in the number of positive cases of COVID-19 in schools, the government and the Africa CDC extended the campaign to strengthen infection prevention and control (IPC) measures in health facilities to the disinfection of some schools in the Far North, West and South regions. The increase in the number of COVID-19 cases also concerns the United Nations (UN) and NGOs staff in Cameroon. On 30 November 2020, the UN clinic reported 128 cumulative cases, among them 93 staff members from UN agencies, four staff members from NGOs and 31 dependents. On 26 November, the regional delegation of public health in the East region with the technical support of the Organization of Coordination for the fight against Endemic diseases in Central Africa (OCEAC) organized a training workshop in Bertoua for health personnel and other sectors in charge of COVID-19 monitoring in the main cross-border corridors / nodes between Cameroon and Central African Republic. The International Organization for Migration (IOM) will hold a conference in Yaoundé on the strengthening of coordination and partnerships for a holistic COVID-19 response in Cameroon from 3 to 4 December 2020.

Gaps & constraints

  • Logistical difficulties associated with transporting testing teams and passengers who are tested positive for COVID-19 from the Yaounde Nsimalen airport to health facilities.

  • Difficulties related to the disinfection of baggage and cargo at arrival at the airports.

  • Absence of approved protocol and regulations for coordinated action in the disinfection of schools.

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Inter-Agency Response Plan/Cameroon HRP COVID 2020

Cameroon HRP COVID 2020

US$ 81.7 million requested US$ 53,6 million funded /All humanitarian partners, including donors and recipient agencies, are encouraged to inform OCHA's Financial Tracking Service (FTS - http://fts.unocha.org) of cash and in-kind contributions by e-mailing: fts@un.org

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Situation Report
Emergency Response

Case management and IPC

Needs: The need for training health personnel in IPC has increased with the return to school and the absence of prevention measures in many schools

Response:

  • OCHA and WHO supported the regional delegation of public health in the Far North conducting the evaluation of infection prevention and control (IPC) mechanism in six health facilities, Maroua regional hospital, Meri district hospital and health centers of Bogo, Godola, Madaka and Douvangar.

  • From 26 to 30 November 2020 WHO and the International Rescue Committee (IRC) organized a training of health care worker on case management in Buea, in the South-West region.

  • From 24 to 28 November 2020, IRC supported the training of 45 actors from five health districts of the North-West region on IPC and case management.

Gaps & Constraints:

  • Misinformation about COVID-19 in communities undermined the response activities; patients who tested positive disappeared after taking the test due to stigma and fear, patients resorted to alternative medicine.

  • The effectiveness of prevention measures in schools is questionable given the new positive cases being identified each week since massive screening started in schools.

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Emergency Response

Risk Communication and Community Engagement (RCCE)

Needs:

  • Implementation of the RCCE micro plans at all seventeen points of entry in the country.

Response:

  • UNICEF has launched the new RCCE strategy at the 17 entry points. The launching ceremony, that took place in Mbalmayo (Centre region) and Ngaoundéré (Adamawa region) was organized jointly with a training session for key stakeholders of border health post, with the technical support of IFRC.

  • UNICEF facilitated the production of two radio, television and web broadcasts, with the technical support of the IFRC. The 15 radio episodes and the ten web and TV episodes promote the practice of barrier gestures, in response to the perception that the COVID-19 pandemic is ending in Cameroon.

  • UNICEF and UNFPA, with technical support from WHO, funded the production of communication materials on the use of personal protective equipment (PPE) and stress management by health workers in the context of COVID-19.

  • During the last week of November 2020, UNICEF donated phones and speakers to the regional delegation of public health in the South-West region for sensitization activities. The equipment will be distributed to the health districts in the coming days.

Gaps & Constraints:

  • Misconception of COVID-19 in the community

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Emergency Response

Points of Entry (POE); Operational Support and Logistics

The surveillance team at points of entry continues to test all passengers crossing Cameroon's air, sea and land borders.

Needs: With the strengthening of testing at the borders, PoE actors have identified some gaps, in particular:

  • There is a lack of premises to house health posts at the border.

  • Lack of staff, especially medical staff.

  • Lack of equipment and materials for testing.

  • Absence of knowledge or information on COVID-19 activities at border health posts.

Response:

  • On 20 November, the Minister of Health appointed the heads of border surveillance posts in the 10 regions of Cameroon.

  • Partners including WFP and WHO announced that they will make tents available to house emergency teams.

Gaps & Constraints:

  • Skepticism of population regarding the continuation of the COVID-19 pandemic in Cameroon.

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Emergency Response

Socio-economic and humanitarian support

On 29 November, UNESCO presented the preliminary findings of the economic consequence of COVID-19 on teachers and education evaluation. According to the report, 72.7 per cent of the respondents thought the health situation in school is acceptable and 54.5 per cent thought that the access to water, availability of toilets and waste management in the school environment is acceptable. The report of the evaluation on the effects of COVID-19 on the most vulnerable population in Cameroon provided important recommendations with a view to respect the “leave no one behind” vision, in particular:

  • Adapt protection and physical distancing measures to the most vulnerable people, notably the people living with disabilities and older.

  • Make sure messages are adapted and use the appropriate channels to reach adolescents (boys and girls) and women.

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