Nigeria Humanitarian Response Plan 2019-2020

The conflict in northeast Nigeria has resulted in widespread displacement, violations of international humanitarian and human rights law, protection risks and a deepening humanitarian crisis.

Health sector funding requirements

US$ 109.5 million for 2019-20

AHO funding needs

US$45 million

Beneficiaries targeted by health partners

Health partners will target 5.1 million people in 2019-20. This includes:
• 61% female
• 39% male
• 56% children
• 6% elderly

Background

The conflict in northeast Nigeria has resulted in widespread displacement, violations of international humanitarian and human rights law, protection risks and a deepening humanitarian crisis. Access is becoming more challenging due to insecurity, difficult terrain and poor road networks. The conflict has also led to an exodus of skilled health-care workers, leaving many people without basic healthcare

Health sector situation

Affected populations across northeast Nigeria remain at significant risk of epidemic-prone diseases like cholera, measles, meningitis, and viral haemorrhagic fevers such as Lassa fever and yellow fever. Meanwhile endemic malaria accounts for 50% of the total consultations in the Early Warning and Alert Disease Response and Surveillance system (EWARS). In addition to malaria, acute respiratory infections and watery diarrhoea are the top three leading causes of illness among internally displaced people, along with high levels of severe acute malnutrition. More than 40 000 children are at risk of dying due to the combined threat of severe acute malnutrition and medical complications, within a context of high malaria prevalence and frequent population movement.
A recent assessment showed that out of 755 health facilities in Borno State, 292 (39%) are fully damaged, 205 (27%) are partially damaged and 253 (34%) are not damaged. In terms of functionality, 376 (50%) are nonfunctional.
The prevalence of mental illness among Nigerians is estimated to be 12.1%, which means that over 650 000 people in north-eastern Nigeria will suffer one or another form of mental illness in their lifetime. Despite the magnitude of the problem, the region has a comparably weak and poorly funded mental health system, with very few mental health professionals. This is particularly alarming given the high incident rate of gender-based violence. Only 18% of the fully or partially functioning health centres in Borno State report that they can provide survivors of violence with integrated clinical management services.

Humanitarian Response Plan strategic objectives

Objective 1: To provide life-saving and life-sustaining humanitarian health assistance to affected population.

Objective 2: To expand and strengthen the communicable disease surveillance for prevention/mitigation and control of epidemic outbreaks.

Objective 3: To strengthen coordination, information management and health system restoration leading to improved service delivery with focus on enhancing protection and increased access to health care

AHO projects in Nigeria

Restoring the fragile health delivery system in Borno, Yobe and Adamawa states
NGA-19/H/111408/199
Requested funds US$ 9 125 135

Emergency lifesaving nutrition services for inpatient management of Severe Acute Malnutrition (SAM) in Borno, Yobe and Adamawa states in the North east Nigeria
NGA-19/N/1205123/199
Requested funds US$ 5 576 000

Strengthen coordination, partnership building, health information management, gaps filling and health system recovery focusing on humanitarian-development nexus.
NGA-19/H/111409/199
Requested funds US$ 8 011 336

To establish, expand and strengthen the communicable disease surveillance, outbreak prevention, control and response.
NGA-19/H/111410/199
Requested funds US$ 3 890 433

Provision of life saving and life sustaining health interventions to IDPs and host communities in Borno, Yobe and Adamawa states.
NGA-19/H/111411/199
Requested funds US$ 15 912 122