Northern Ethiopia - Humanitarian Update

Situation Report

Highlights

  • Malnutrition rates increasing in Afar with 30 per cent increase in admissions of severely malnourished children in March and 28 per cent in April.
  • Only 19 out of 33 woredas in Afar are getting nutrition support for the moderately malnourished due to resource constraints.
  • Logia Hospital in Afar will now provide stabilization service for severely malnourished children. This will ease the load from Dubti Hospital.
  • Since early April, truck movements to Tigray followed an upward trend, from 170 trucks in April, to over 1,100 in May and over 1,200 in June so far.
  • Nine people in Mariam Adi-Gesheti in North-Western Zone in Tigray tested positive for Anthrax.
Ethiopia
The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. © OCHA

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Northern Ethiopia - Humanitarian Update

Situation Report

Key Figures

9.4M
People targeted in Amhara, Afar and Tigray

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Northern Ethiopia - Humanitarian Update

Situation Report

Funding

$957M
Requirements Northern Ethiopia
$338M
Outstanding gap

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Contacts

OCHA Ethiopia

Strategic Communications Unit

Northern Ethiopia - Humanitarian Update

Situation Report
Background

Disclaimer

OCHA Ethiopia prepares this report with the support of Cluster Coordinators. The data/information collected covers the period from 7 to 13 June 2022. In some cases, access and communication constraints mean that updates for the period are delayed and cannot be reflected. Boundaries, names and designations of districts/zones indicated in the narration in the report do not imply official endorsement or acceptance by the United Nations. Please contact ocha-eth-communication@un.org for any comment or question you may have on this publication. 

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Northern Ethiopia - Humanitarian Update

Situation Report
Background

Situation Overview

The situation in northern Ethiopia remains generally calm but unpredictable, impacting humanitarian operations. In Tigray, some locations in the northern parts of the region, including some kebeles in Rama (Central Zone) as well as Erob and Zalambessa (Eastern Zone) and Western Zone continue to be inaccessible due to insecurity. Tensions around Sheraro in Tigray continue restricting some partners’ humanitarian activities. In Amhara, Abergele, Adi Arekay, Tsagibji, six kebeles in Zequala, two kebeles in Sekota Zuria and one kebele in Waja woredas continued to be hard to reach during the reporting period. In Afar, the road from Megale to Abala has access constraints due to security concerns. Overall, the safety and security in Zone 2 is still unpredictable, although much calmer than before.

Meanwhile, regional authorities in Afar, Amhara and Tigray continue to facilitate return of internally displaced persons (IDPs). In Afar, the first phase of these returns is targeting IDPs from Abala residing at Logia, Semera, Dubti, Guya and Harsuma IDP sites. The exact number of those who have returned is not yet known. In Tigray, the UN Refugee Agency (UNHCR) reported that more than 2,600 displaced households were registered, counseled, and supported to return voluntarily from Adigrat to their respective areas of origin during the reporting week. All returnees received cash, emergency shelter and non-food items (ES/NFIs).

IDP returns are ongoing amidst the devastating impact of the conflict across northern Ethiopia, including decimated ivelihood of communities and destruction of public infrastructure and basic services. After ensuring safety and security for safe returns of IDPs, it is essential to reinstate public services, such as health centers, schools, water, electricity, and banking services, as well as provide support for the prompt rehabilitation and reconstruction of damaged and destroyed homes. IDPs at Dubti IDP site in Afar, for instance, expressed their hope that social services would be rehabilitated and there would be improved security in the respective kebeles of return ahead of their return, including clearing of explosive remnants of war and unexploded ordnance).

The food security and malnutrition rates in conflict-affected northern Ethiopia continues to be extremely concerning. The situation is particularly deteriorating in Afar IDP sites. Admissions of severely malnourished children to therapeutic feeding programs has increased by more than 30 per cent in March and by 28 per cent in April, compared to the average of the last five-years. Nutrition partners are providing support to malnourished children as well as pregnant and lactating women with available resources, but additional nutrition supplies are urgently needed to address the vast needs. Due to lack of targeted supplementary feeding (TSF) supplies in stock and inadequate funding, only 19 out of 33 woredastargeted for priority response by nutrition partners are receiving TSF services across the region.

Similarly in Tigray, extreme food insecurity is leading some IDPs to resort to eating wild plants to survive. While the arrival of additional humanitarian supplies into Tigray is expected to address some of these gaps, the scale of response is challenged by the lack of fuel to transport the supplies from Mekelle to different parts of the region. At least more than 334,000 liters of fuel (around 7 to 8 fuel tankers) are needed to distribute more than 42,000 MT of relief supplies within the region.

Overall, since road convoys movement resumed on 1 April, about 2,500 trucks carrying over 101,000 MT of cargo, of which86 per cent of the supplies are food and nutrition, have reached Tigray, including 21 fuel tankers. This includes 532 trucks, including 3 fuel tankers, arrived in Tigray during the reporting period. Since early April, trucks movement to Tigray followed an upward trend, from 170 trucks in April, to more than 1,100 in May and more than 1,200 in the first 13 days of June. In addition to road convoys, another 11 MT of supplies of health, nutrition, and agriculture were airlifted on behalf of 3 partners during the reporting period. Since airlifts started on 15 December 2021, a total of 765.2 MT of supplies or equivalent to 20 trucks has arrived in Tigray.

This included 54 per cent nutrition, 29 per cent health, 14 per cent ES/NFI, and 3 per cent of water, sanitation and hygiene and agriculture supplies.

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Visual

Humanitarian Access in northern Ethiopia

Northern Ethiopia - Access Map

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

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Situation Report
Emergency Response

Humanitarian Preparedness and Response

The overall operating environment in northern Ethiopia remains constrained, mainly by the lack of essential services and functioning markets, as well as the inability to bring in sufficient supplies, fuel, and cash to Tigray, limited access to people in hard-to-reach areas, and limited presence of partners on the ground in some areas. The current response is not yet meeting the increasing needs of most vulnerable people as the resources available are not matching the requirements. Despite the challenge however, humanitarian partners continue to deliver assistance, while mobilizing additional resources. 

Food partners in Tigray assisted more than 340,000 people with 5,303 MT of food during the reporting week. Some partners have reprogrammed their initially planned cash assistance to in-kind food distribution as new supplies are being brought into Tigray. Accordingly, around 3,900 people in Samre and Abergele were supported with around 35 MT of food items during the same period. Cumulatively between early April and 8 June, more than 20,000 MT of food have been distributed to more than 1.2 million people in the region.

In Amhara, under the current round of food assistance, more than 300 people were assisted with 6 MT of food in Bahir Dar in West Gojam Zone and 184 people were assisted with 3 MT of food in Lay and Tach Gaint woredas in South Gondar Zone during the reporting week. Overall, more than 10 million people were reached with food assistance as of 13 June. Similarly, in Afar, nearly 1 million people were assisted with more than 15,500 MT of food at full ration under the current food distribution as of 13 June.

Education partners are also assisting more children with education support, despite limitations. In Tigray, more than 30,000 children continued to be supported with access to formal and non-formal learning during the reporting week in Adigrat, Shire, Mai Tsebri, Axum and Mekelle (Sebacare 4) IDP camps. In Amhara, more thana 30,000 children continued to receive school feeding service across 52 schools in Sahila, Sekota, Zequala woredas and Sekota Town. Separately, more than 31,000 pre-primary and primary school children in 32 schools in Sekota Town and in Sekota and Gaz Gibla woredas continued to receive school feeding service/ supplementary feeding. In Afar, the construction of temporary learning spaces in Agatina and Galimeda IDP sites have been completed during the reporting week and will benefit more than a thousand children.

Shelter and non-food item support for IDPs and returnees continued in Tigray where more than 160,000 IDPs received support since the beginning of the year. More than 2,800 IDPs and returnees in South Wello and North Shewa zones in Amhara and and 1,600 displaced households in Kilbati Resu/Zone 2 in Afar were assisted with shelter and food items during the reporting week.

In Amhara, regional authorities and partners have registered some 560 households in preparation for relocation to newly constructed shelters at Jarra IDP site. To date, and since mid March, more than 28,700 IDPs relocated to Jarra IDP site.

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Emergency Response

Funding Update

The cumulative funding gap for both the 2021 Mid-Year Review of the Humanitarian Response Plan and the 2021 revised Northern Ethiopia Response Plan stands at more than US$1.2 billion. An estimated $619 million has been mobilized towards the Northern Ethiopia Response Plan, and $656 million for response towards the Mid-Year Review Humanitarian Response Plan. However, this is far from sufficient to cover the humanitarian needs.

At the start of 2022, the Ethiopian Humanitarian Fund (EHF) carried over a balance of US$ 8.1 million, after committing $24.7 million for the second 2021 standard allocation. A total of $26.4 million received in confirmed contributions from the governments of UK, Canada, Switzerland, Germany, Norway, and Sweden. An additional $5 million contribution pledged from the governments of Switzerland and US for the 2022 programming. The EHF has launched a first-round reserve allocation for US $ 17.5 million which is in the finalization process for the drought response. It has also launched a second-round reserve allocation of $5 million for construction of IDP relocation sites in Weleh, Wag Hamra Zones, and Jara, North Wello Zone, in the Amhara Region. With this, the EHF estimated fund balance stands at $15 million. The continued support from donors demonstrates efforts to mobilize resources to enable humanitarian partners delivering assistance to conflict and natural disasters-affected people.

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Inter-sectoral gaps

Inter-sectoral gaps

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Situation Report

Cluster Status

Agriculture

Needs

  • Provision of 60,000 MT (1,500 trucks of fertilizers); 50,000 MT of improved crop seeds; 1,500 MT of vegetable seeds; 40,000 liters of pesticides; and 34,000 liters of fungicides for the major agriculture season (Meher) in Tigray.

  • Provision of veterinary vaccines and drugs to at least 12 million livestock and 5,000 MT of animal feed in Tigray.

  • Rehabilitation and/or restoration of 198 partially damaged veterinary clinics and farmers training centres across Tigray.

  • 40 000 litres of fuel needed to distribute 6 665 MT of fertilizers and 10 490.2 MT of staple crop seeds in Tigray.

  • Provision of seeds, irrigation schemes, and livestock interventions (animal health services and provision of supplementary animal feed) to support 2.6 million people in Amhara, and 1.1 million people in Afar.

Response

  • In Tigray, 6 378.5 Tonnes of fertilizer (about 10.4 per cent of requirement); 11 790.3 tonnes of crop seed (about 23.6 per cent of requirement) and 47.85 tonnes of vegetable seed (about 3.2 per cent of the requirement) being mobilized.

  • 20,969 households in 10 woredas in Southeastern, Eastern and Northwestern zones received vegetable seeds between 6 May and 4 June.

Gaps

  • Lack of fertilizers and seeds for the Meher season in Tigray and lack of veterinary vaccines and treatment drugs. 40,000 liters of fuel for the distribution of available fertilizers and staple crop seeds in Tigray.

  • Lack of required amount/type of seed for Meher season planting in Amhara Region.

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Cluster Status

Camp Coordination and Camp Management

Needs

  • Support for safe and dignified relocations of IDPs from schools to alternative shelters across the northern Ethiopia.

  • Support for voluntary returns of IDPs to their places of origin across northern Ethiopia.

  • Critical medications for people with chronic diseases and skin infections at IDP sites in Tigray.

  • Food, non-food items, firewood, cooking oil, milling support, drinking water, dignity kits, blankets, mattresses, kitchen sets, medication, at IDP sites across northern Ethiopia and education service and school materials for the displaced children.

  • Additional space to reduce the risk of communicable diseases, including COVID-19, and to provide privacy and protection at IDP sites across northern Ethiopia.

  • Support mechanisms for people living with disabilities in IDP sites.

Response

  • In Tigray, during the reporting week, the following site activities were achieved: partition work of 44 blocks in Guna Poultry farm IDP site was completed, benefitting 327 households, while the construction of compound fencing in Midregenet, the concrete pipes for culvert in Maidimu site and the partition works of the existing structures in Endabaguna site are ongoing in Shire.

  • 1,600 households received NFIs in nine IDP sites in Mekelle and Eastern Zone.

  • Communal kitchens in Selekleka IDP site were connected to the city power.

  • In Amhara, COVID-19 mass sensitization and awareness raising activities were carried out at China site, Kebele 06 and Weyneshet IDP site reaching some 1,469 people (715 women).

  • 148 IDPs were relocated from Mebrat site to Weleh IDP site during the reporting week.

  • The construction of ten communal kitchens, four security posts, and two multi-purpose sheds (MPS) were completed at the Weleh and METEC IDP sites. METEC IDP site committees received fire safety training.

  • In Amhara, regional authorities and partners have registered some 560 households in preparation for relocation to newly constructed shelters at Jarra IDP site. The number of IDPs relocated to Jarra IDP site reached 28,723 as of the reporting week.

  • The construction of 16 communal kitchen has commenced and one is already completed at Jarra IDP site.

  • 57 tents backfill and drainage works were completed in the Kulich Meda IDP site through community mobilization. In addition, two blocks with 40 stances of latrines in Kulich Meda were temporarily closed due to protection and health concerns.

  • Road upgrading at the Kulich Meda relocation site has begun, with roadbed preparation currently underway.

  • In Afar, additional trips of water trucking was provided to Dubti (Gali Boda IDP site) to address the water needs of the IDPs. At least 98,000 litres of water is being supplied to the site daily.

  • The construction of multi-functional health post, maternity shelter, education shelter was completed in Agatina site. The rehabilitation of dilapidated buildings in Agatina site has commenced.

  • Six communal kitchens and one Multi-Purpose Shed (MPS) – to be utilized for communal activities including, distribution, coordination meetings, community trainings, etc.) have been constructed in Guya IDP site.

  • Four sets of Small-Scale Site Maintenance (SSSM) toolkits were distributed to the communities to ensure small scale repairs and maintenance.

Gaps

  • Increased needs given the growing number of IDPs in Afar and Amhara versus the available resources.

  • In Afar, lack of basic services particularly drinking water on top of other WASH components, shelter and health at IDP sites.

  • Lack of sufficient CCCM partners in Adigrat, Edagahamous and Abi Adi IDP sites in Tigray.

  • Delays to identify suitable land as an alternative relocation site in Debre Birhan.

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Situation Report

Cluster Status

Education

Needs

  • Reconstruction and rehabilitation of schools damaged/impacted by the conflict across northern Ethiopia: an estimated 1.4 million children in Tigray are entering their third year without access to learning. At least 963 primary and secondary schools in Tigray are closed for lack of payment of teachers, salary, food insecurity amongst students, a lack of learning materials and insecurity. In Amhara, more than 300 schools in Wag Hemra, North Gondar, North Shewa and North Wollo zones remain closed due to insecurity. In Afar, 245 schools in conflict-affected areas remain closed and five schools are currently sheltering IDPs, affecting the schooling of more than 53,000 children. Also, in Afar, 104 schools are fully and 204 schools are partially damaged and require rehabilitation, impacting102,741 students.

  • Provision of WASH facilities and access to clean water in conflict-affected schools in northern Ethiopia.

  • Construction of 167 temporary learning spaces in Tigray, 712 in Afar and 50 in Amhara.

  • School feeding for 377,000 students support for 23,000 teachers in Tigray. Also in Tigray, scholastic material and teaching supplies for 550,000 children and increased access to Accelerated Learning Programs for 110,000 IDP and host community children.

Response

  • In Tigray, 30,706 children (15,660 girls) continued to be supported with access to formal and non-formal learning during the reporting week, including the continuation of Alternative Learning Programmes (ALP), Accelerated School Readiness (ASR) and early childhood development (ECD) classes in Adigrat, Shire, Mai Tsebri, Axum and Mekelle (Sebacare 4) IDP camps.

  • 15,128 children (7,715 girls) aged 5 to 14 are enrolled in Alternative Learning Programmes (ALP), Accelerated School Readiness (ASR) and ECD classes.

  • 21,718 children (11,184 girls) accessing pre-primary, primary, and non-formal learning also benefitted from a school meal.

  • 8,634 students (4,446 girls) accessing formal and non-formal learning in Mekelle, Adigrat and Adwa received learning materials (student kits, stationary materials and learning aids).

  • In Amhara, 329 teachers as well as zonal and woreda education focal persons (124 women) in Wage, North Wello and North Shewa zones were trained on mental health and psychosocial support (MHPSS). They will in turn train some 8,125 teachers on the same subject.

  • 30,641 children (14,788 girls) continued to receive school feeding service across 52 schools in Sahila, Sekota, Zequala woredas and Sekota Town. Separately, some 31,098 (15,958 girls) pre-primary and primary school children in 32 schools of Sekota Town and in Sekota and Gaz Gibla woredas continued to receive school feeding service/ supplementary feeding.

  • 962 blackboards and 2,216 combined desks distributed in 11 woredas in North Shewa, South Wello, North Wello and Oromia Special zones; 1,001 solar powered radios distributed to schools in Raya Kobo, Habru, Meket woredas, benefiting 4,356 children attending ALP (1,961 girls); 756 IDP children (51 girls) in JarraIDP site received scholastic materials; 22,500 laundry soaps distributed to 1,185 girls enrolled in ALP and ASR students in Raya, Kobo, Habru, Tehuledere, Kutaber and Kalu woredas; 23,194 primary school students reached with GBV risk mitigation, prevention and response through key message dissemination and awareness-raising in North Wollo, South Wollo, and North Shewa zones.

  • In Afar, temporary learning spaces in Agatina and Galimeda IDP sites have been completed and will benefit 1087 children, recreational material, ECD kits and learning material were also provided.

Gaps

  • Lack of food for school feeding programs to support teachers in Tigray.

  • Lack of space to construct Temporary Learning Spaces in Semera IDP site in Afar.

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Northern Ethiopia - Humanitarian Update

Situation Report

Cluster Status

Emergency Shelter & Non-Food Items

Needs

  • Adequate shelters and NFIs for IDPs living in highly congested sites and facing substandard living conditions across northern Ethiopia.

  • Provision of shelter and NFI assistance to IDPs willing to return to their areas of origin, and to IDPs currently living within host communities across northern Ethiopia.

  • Rental assistance schemes or other arrangements for IDPs living in host communities in northern Ethiopia.

  • In Tigray, close to 8,000 people in Sheraro need shelter assistance and NFIs, including newly arrived IDPs from Western Zone, and construction of 1,200 shelters in Adi Abay relocation site to respond to the shelter needs as well as ES/NFI assistance for some 1,330 households/5,000 new IDPs displaced from Kaftahumera, Welkait, and Tsegede currently living in Mait-Tsebri Town.

  • In Amhara, more than 1 million are targeted for ES/NFI support, including 21,000 in North Wello, 71,000 in Wag Hamra and 40,000 in North Shewa zones.

  • Additional resources are required to reconstruct/repair damaged shelters in affected areas.

  • In Afar, 81,000 displaced households need shelter and NFI support of whom 38,000 are in Kilbati Resu/Zone 2.

Response

  • In Tigray, between January 1 and 13 June, 160,175 people (81,869 women) received ES/NFI support.

  • 355 full NFI kits were distributed to IDPs displaced from Afar in Endarta Woreda. Meanwhile, the distribution of 436 full NFI kits is ongoing in Mekelle IDP sites, including 132 kits in Mesebo IDP site, 127 kits in Adihaki Primary School and 177 kits in Quiha IDP site. Some 1,700 NFIs kits were also distributed to 8,500 people in Adigrat IDP site, while providing cash for rent for 500 households in Shire and Sheraro.

  • 1,669 shelter kits and cash were distributed to 8,345 people in Shire IDP site.

  • In Amhara, between 7 and 13 June, 2,813 IDPs and returnees (625 households) in South Wello and North Shewa zones received ES/NFI support, including 1,800 people (400 households) in Debre Birhane Town in North Shewa, and 450 people (100 households) in Dessie Zuria Woreda and 563 people (125 households) in Kutaber Woreda in South Wello Zone. Cumulatively since January 2022, 291,510 people (64,780 households) have been reached with ES/NFI support, which constitutes 27 per cent of the targeted 1.1 million people.

  • So far, partners have finalized the construction of 200 blocks (1200 units) and 20 blocks (120 units) of communal shelters in the Jarrasite in North Wello and Weleh Site, Wag Hemra Zone respectively.

  • In Afar, during the reporting week, 1600 displaced households were assisted in Kilbati Resu/Zone 2. This includes 1200 NFI (CRI) kits distributed for IDPs in Dubti Town and 400 ESNFI kits distributed to displaced households in Dirma IDP site of Megale Woreda.

Gaps

  • Shortage of shelter maintenance materials in the local market in Tigray.

  • In Amhara, there is an overall gap of 66 per cent to meet the ES/NFI needs of the targeted population.

  • Additional resources are required to reconstruct damaged shelters in the areas of return before the upcoming rainy season in Amhara.

  • Limited partners’ presence in Afar and Amhara, and in some areas in Tigray including Mai-Tsebri and Sheraro.

  • Lack of information on displaced people and host communities in hard-to-reach locations and in return locations across northern Ethiopia.

  • Increased prices of construction material.

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Northern Ethiopia - Humanitarian Update

Situation Report

Cluster Status

Food

Needs

  • More than 9 million people are in need of food assistance in northern Ethiopia throughout 2022.

  • Provision of food assistance in hard-to-reach areas in Tigray, Amhara and Afar.

  • Increased food needs due to increased number of IDPs in parts of Amhara and in Afar.

  • Provision of food to the newly displaced people in Kobo Town in North Wollo Zone and in Sekota Town and Ziquala in Wag Hamra Zone, and provision of food to the 20,000 IDPs relocated to Jarraand Weleh sites in Amhara.

  • Influx of IDPs from bordering area between Amhara and Tigray has contributed to increase in food needs in Sekota and continues to affect the ongoing food response as food allocations are limited and compilation of beneficiary registration list are usually delayed.

  • In Afar, more than 600,000 people in the region are targeted for food assistance.

Response

  • In Tigray, between 2 and 8 June, 342,607 people were assisted with 5,303 MT of food in Central, Eastern, Northwestern, Western, Southeastern and Southern zones. Some partners have revised their initially planned cash assistance to in-kind food distribution, bringing supplies into Tigray and supporting around 3,900 people in Samre and Abergele with around 35 MT of food items during the same period.

  • Cumulatively as of 8 June and since early April, at least 20,130 MT of food has been distributed to around 1,259,000 people in the region. Almost eight months since the start of Round 3 distributions in Tigray in mid-October 2021, partners have assisted 2,572,120 people with 36,131 MT of food (41 per cent of the total planned caseload of 6.3 million people) with 36,131 MT of food in Central, Eastern, Northwestern, Southeastern, and Southern (312,739) zones and Mekelle.

  • In Amhara, during the reporting week, 326 people were assisted with 6 MT of food (Round 5 allocation) in Bahir Dar in West Gojam Zone and 184 people were assisted with 3 MT of food (Round 1 allocation) in Lay and Tach Gaint woredas in South Gondar Zone (16.95 kg per person, which constitutes the food basket)

  • Cumulatively as of 13 June, the three food partners have assisted 10,442,957 people with 176,948 MT of food under Round 5 allocation which started on 22 December 2022 and 770,362 people were assisted with 12,836 MT of food under Round 1 distribution for 2022.

  • The food distribution for the 2021/2022 bridging round in North Wollo Zone was completed reaching some 280,793 people with 4,759 MT of food.

  • In Afar, cumulatively as of 13 June, 992,309 people were assisted with 15,500 MT of food (Round 5 allocation), which represents 97 per cent of target in WFP-covered areas and 33 per cent of target in EDRMC-covered areas.

Gaps

  • In Tigray, due to fuel scarcity, food partners have been forced to scale down or temporarily suspend dispatch since late May. As of 15 June, food partners urgently required at least 240,000 liters of fuel to complete Round 3 distribution. The amount of fuel required for resuming life-saving activities at full scale is way beyond the amount brought into Tigray.

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Situation Report

Cluster Status

Health

Needs

  • 3.9 million people in Tigray and more than 10 million people in Amhara need health services and interventions.

  • Provision of medical equipment, supplies, vaccines, and medicines including tuberculosis, cholera kits, interagency emergency health kits (IEHKs), malaria and scabies’ medicines, severe acute malnutrition (SAM) kits, and reproductive health kits.

  • In Tigray, support for the COVID-19 vaccination campaign.

  • In Tigray, on 10 June, confirmed anthrax cases were reported in Mariam Adi-gesheti of Tahetaye adeyabo Woredain the Northwestern Zone. Nine individuals were confirmed positive.

Response

  • In Tigray, as of 9 June, eleven health partners provided health services to 22,485 displaced and non-displaced people across 36 (of 88) woredas in Central, Eastern, Northwestern, Southeastern and Southern zones and Mekelle either directly in health facilities or through MHNTs.

  • Medical supplies by one health partner delivered to Mekelle general Hospital (1.9 metric tons); Quiha (0.7 metric tons); Yekatit 11 (0.6 metric tons), including Interagency Emergency Health Kits (IEHKs), paediatric SAM kits, malaria and personal protective equipment (PPE).

  • In Afar, overall, health partners were able to reach 4,606 people (2,434 women s) with different healthcare services.

Gaps

  • Limited fuel and medical supplies coming into Tigray.

  • Lack of health workers due to non payment of their salary.

  • Insufficient medical supplies to be used by the deployed MHNTs in Amhara.

  • Shortage of drugs, medical supplies, and equipment to restart essential health services at damaged health facilities as well as at IDP sites in Amhara.

  • Shortage of vehicles in Amhara for the transport of supplies.

  • Absence of supplementary feeding supplies and emergency nutrition kits for malnutrition management in Amhara.

  • No free health-care services available at Gondar Hospital; discussions ongoing on possible reimbursement mechanisms so that IDPs can access life-saving health services at the hospital.

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Cluster Status

Logistics

Needs

  • Safe and sustained access and additional transportation routes via road and air to transport the required humanitarian supplies to Tigray

  • Safe and sustained access to hard-to-reach areas in Amhara and Afar regions.

Response

  • From 7 to 13 June, 532 trucks (including 3 fuel tankers) arrived in Tigray. Since convoys resumed on 1 April 2022, a total of 2,499 trucks (over 101,100 MT of cargo) have transited to Tigray, including 21 fuel tankers.

  • The cluster facilitated the airlift of some 10.9 MT of health, nutrition and agriculture cargo from Addis Ababa to Mekelle during the reporting period.

  • The cluster secured additional storage capacity in Mekelle and has now 3,500 m² of warehouse storage.

  • In Amhara, the cluster has two warehouses. The warehouse in Gondar has a total capacity of 2,400 m² and currently is 40 per cent full, including 1.6 MT of shelter material. The warehouse in Kombolcha has a total capacity of 1,000 m² which is almost completely available. The warehouse is currently storing 5.3 MT of WASH items. At this stage, an additional warehouse facility in Amhara does not seem needed.

  • In Afar, six partners collected 86.29 MT of food and NFIs from Semera for transporation to Mekelle.

Gaps

  • Limited availability of commercial transporters in Tigray and to Tigray.

  • Increased needs for storage and transport services in North Shewa, Wag Hamra and Jarra IDP site in Amhara.

  • Limited transporters to support Afar humanitarian response.

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Cluster Status

Nutrition

Needs

  • About 454,000 children are estimated to be malnourished in Tigray in 2022. Out of this about 116,000 are severely malnourished and more than 338,000 are moderately malnourished and need treatment. About 120,000 pregnant and lactating women (PLW) are estimated to be malnourished. More than 460,000 children and more than 307,000 PLW need of supplementary feeding and about 667,000 PLW need blanket supplementary feeding.

  • In Amhara, an estimated 1.4 million children and PLW and an estimated 80,000 children in Afar need preventative and treatment interventions to address malnutrition.

  • Additional nutrition supplies (RUTF, F100, F75, RUSF, CSB++) to address the increasing malnutrition levels amongst children under five years and pregnant and lactating women across northern Ethiopia, particularly Afar in recent weeks where malnutrition rates are increasing.

Response

  • In Tigray, the cluster is working on distributing 534MT of therapeutic milk, RUTF, RUSF and CSB++ to 142 sites across the region.

  • Routine screening for malnutrition reached 73,492 children under five of whom 16,512 (22.5 per cent) children were found to be malnourished, including 1,762 (2.4 per cent) were severely malnourished. Screening for pregnant and nursing mothers was also conducted with 11,307 screened, of whom 6,526 (57.75 per cent) were malnourished.

  • Following the screening and self-referrals, 1,395 children under 5 were admitted in the outpatient therapeutic treatment for severe acute malnutrition; 95 children were admitted in the inpatient facility with severe acute malnutrition and medical complications. Additionally, 4,504 children were admitted for treatment for moderate acute malnutrition, while 1,512 women were also admitted for management of acute malnutrition.

  • Also in Tigray, the Infant and young child feeding (IYCF) messaging reached a total of 6,067 caregivers, helping them to improve feeding practices of infants and the young children. 643 pregnant women received iron folic acid supplement.

  • In Afar, 6 new mobile health and nutrition teams (MHNTs) were established bringing the total to 36 MHNTs operating in the region

  • Vitamin A supplementation and deworming activities commenced in the entire region, including in IDP sites as part of the mass MUAC find and treat screening campaign.

  • Logia Hospital is fully ready to provide stabilization service for severely malnourished children with 30 beds, which will ease the load from Dubti Hospital.

Gaps

  • In Tigray, increasing absence of health workers is compromising scale-up of nutrition services as many health workers are absent from the health centers due to non payment of salaries.

  • Also in Tigray, lack of fuel is compromising response efforts, including missions to all sites.

  • In Afar, low presence of nutrition partners in Kilbati Zone/Zone 2 limiting the scaling-up of the response. No partners in Agatina IDP site.

  • Also in Afar, only 19 out of 33 woredas prioritized for response by the cluster are getting TSF service due to lack of resource

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Northern Ethiopia - Humanitarian Update

Situation Report

Cluster Status

Protection

Needs

  • In Tigray, family tracing and reunification and alternative care services needed for 9,330 recorded unaccompanied and separated children (UASC) considering notably the ongoing IDPs return and relocation process.

  • Material support (tents, recreational kits) to establish and strengthen new and existing child-friendly spaces at IDP sites across northern Ethiopia.

  • Provision of protection services at IDP sites across northern Ethiopia, including child protection, gender-based violence (GBV) and Sexual GBV (SGBV) prevention and response, and mental and psychosocial support.

  • Comprehensive GBV services mapping and localized referral mechanisms, health services for survivors, risk mitigation and prevention activities in northern Ethiopia.

  • Scale-up child protection services and referrals in all the three regions.

  • Awareness raising activities on UxO, landmine and explosive across northern Ethiopia.

Response

  • In Tigray, during the reporting period, return counselling service provided for 352

    households (1,197 individuals) ahead of their return from Alamata to their place of origin

    in Maichew Town.

  • 178 households with different protection concerns received protection consultation services, of whom 21 households received dignity kits, 12 referred to respective service providers and 2 families provided with ES/NFI assistance.

  • 2,438 children (1,365 girls) and their care givers received basic non-specialized MHPSS services. 28 children (13 girls) were referred to MHPSS support in Northwestern, Eastern, Central, Southern and Southeastern zones and Mekelle.

  • In Afar, four one-stop centers are providing psychosocial support in addition to health care services.

  • 311 children (148) girls with protection concerns were provided with case management services, including referral services in Semera, Amibara, Gelaelo, Dulecha, Adaar , Chifra, Mille, Aysaita and Dubti IDP sites.

  • 13,000 NFIs distributed in Dubti IDP site

Gaps

  • Lack of health, education services and food items for referred children and caregivers in Afar.

  • Severe overcrowding at the Semera IDP site in Afar and inadequate and insufficient water, sanitation, food and health care.Lack of well-developed alternative care system in Tigray for UASC, and lack of family tracing, reunification, and alternative care.

  • Lack of tailored services for children with special needs across the north.

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Northern Ethiopia - Humanitarian Update

Situation Report

Cluster Status

Water, Sanitation and Hygiene (WASH)

Needs

  • 70,667 IDPs out of a total of 417,910 IDPs (17 per cent) living in collective sites in Tigray need water trucking support. 57 trips of 20 m³ of water trucks (1,060 m³) are needed to address the need. Remaining IDPs are accessing water through piped water network as most sites are now getting connected to the main water system.

  • Adequate provision of WASH services to prevent disease outbreaks at IDP sites across northern Ethiopia.

  • WASH facility (Water, Sanitation and Hygiene) provision in Priority 1 woredas in Tigray.

  • According to regional authorities in Afar, more than 336,000 IDPs in 11 sites require 168 trips of water trucking every day to fill the minimum standard of 10 liters of water per day per person.

  • In Afar, construction of 560 latrine blocks and bathing shelters in IDP sites, and solid waste management in all 11 IDP sites.

  • In Amhara, provision of WASH services in the new relocation IDP sites.

Response

  • In Tigray, 13 woredas across Central, Eastern, Southern, Southeastern and Northwestern zones and Mekelle were supported with WASH activities, including 4,000 people benefiting from 840 m³ of water trucked and 2,427 people benefitting from access to water through the rehabilitation and repair of 12 water points. Currently 82 IDP sites (of 136 sites) are connected to the main water supply system.

  • 900 people also benefited from the construction/rehabilitation/cleaning of 18 latrine stances; 543 people benefited from the distribution of 1,144 WASH NFIs and 1,608 people were reached through 18 hygiene promotion sessions.

  • In Afar, the routine water trucking support continued to IDP sites and woredas with water shortage with 31 trucks (6 for Afdera, 8 for Guyah, 2 for Semara, 3 for Dubti town including hospital, 2 for Gali Meda, 3 Berhale, 1 for Kori Kebele,1 for Ada’al, 1 for Bidu Kebele (Ala’ab), 1 for Kelwan, 1 for Chifra Woama, 1 for Gutikoma and 1 for Gilfo), benefitting nearly 125,000 people.

  • The water volume supplied by one partner to Dubti Hospital increased from 36 m³ to 66 m³.

  • The routine hygiene promotion activities are in progress in Semera, Guyah and Gali Meda IDP sites.

Gaps

  • In Tigray, lack of technical capacity and adequate WASH supplies.

  • In Afar, long distance for water trucking and long queuing time of water trucks at water filling point.

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