Multisectoral nutrition and food insecurity, as well as the WASH emergency in southern Madagascar, remain of great concern as structural worsening will likely continue until March 2022 unless sufficient rains arrive.
UNICEF has promoted a multi-pronged approach, building on interventions that link nutrition to WASH, health, education, crisis-responsive social protection, child protection and gender-specific interventions.
Since the intensification of the UNICEF L2 Corporate emergency began in July, UNICEF and its partners have treated 5,287 cases of severe acute malnutrition (SAM) in July (data confirmed), in addition to least 4,000 SAM cases in August (to be confirmed). Between January and July 2021, 45,000 children with SAM were admitted and treated, more than three times the number admitted and treated for the same period in 2020.
UNICEF’s interventions in the water sector have affected 52,000 people most affected by drought in the regions of Androy, Anosy and Atsimo Andrefana out of the 807,000 targeted by the WASH cluster.
36,928 children under 5 and 2,866 pregnant women benefited from free health services, including the management of childhood illnesses, maternal and neonatal care and vaccination in health centers and through mobile clinics.
UNICEF continued to coordinate the cash response to the drought. Members of the Cash Working Group (CWG) are targeting 180,000 families with cash assistance to address food insecurity for the second phase. UNICEF covered around 35,000 people (covering 7,550 families, around 28,000 children) in Ifotaka commune.
A recent rapid assessment carried out in 12 communes affected by the nutritional emergency revealed a widespread perception (over 70 percent of respondents) of increased exposure of children to child labor, sexual exploitation and child marriage. . In total, 72% of the women and girls surveyed feel in danger in their daily life.