MADAGASCAR PEOPLE IN NEED 1.14M PEOPLE TARGETED 665k REQUIREMENTS (US$) 70M AVAILABLE FUNDS, GOV. AVAILABLE FUNDS PARTNERS 22.8M Sectors Requested Food 665k Wash People Targeted 665k People Targeted Nutrition 86k Health People Targeted 665k People Targeted Agriculture 510k People Targeted Education 300k People Targeted Overview/Context The El Nino-induced drought has impacted southern Madagascar (known as the Grand Sud) in particular, which has now experienced two consecutive years of prolonged erratic rainfall; an estimated 80 per cent of harvest losses are predicted. The full effects are expected during the lean season in late 2016/early 2017. An estimated 665,000 people (including 333,750 women and girls) are severely food insecure, the highest figure in a decade. While the country has the fourth highest stunting rates (at 10 per cent) in the world, this rate stands at 20 per cent in the drought-affected districts. The most vulnerable groups are the estimated 267,000 women of childbearing age (including 51,000 pregnant women) and 205,000 children under age5 – recent screenings found that more than 7,000 children are currently suffering from SAM and close to 32,200 suffering from MAM. Access to water and sanitation is also a major concern. Women and girls are affected disproportionately by this crisis. Lack of access to clean water means that girls must spend hours every day accessing water instead of going to school; as boys spend hours every day leading cattle to water. Children with diarrhoea struggle to recover from dehydration. The humanitarian situation due to the ongoing drought aggravates the already challenging education context in these regions. Enrolment rates in affected areas range from 40 per cent to 53 per cent, which are much lower than the national average of 69 per cent. Key Humanitarian Needs A multi-sectoral recovery plan have been developed, which highlights the following needs: • Provision of food assistance to people suffering severe food insecurity. • Nutritional supplementation and treatment of acute and moderate malnutrition cases. • Provision of basic healthcare covering reproductive health. • Support in water supply to vulnerable people • Strengthening of response interand intra-sectoral coordination and monitoring. If these needs are not met, the direct consequences could be: i) loss of lives of children under age 5 already suffering from SAM; ii) increase in SAM cases; iii) risk of increased mortality among the 665,000 people suffering severe food insecurity; and iv) mortality associated with obstetric complication affecting pregnant women during childbirth. Targeting People in severe food insecurity, which include children under age 5 with SAM great than 2 per cent or GAM greater than 10 per cent WASH • More than 550 water points have been rehabilitated by UNICEF benefiting an estimated 100,000 people, including at schools and health centers. • UNICEF equipped 35 new boreholes with hand pumps, benefiting 6,300 people; and another 20 boreholes are underway which will benefit an estimated 3,500 people. • UNICEF is starting construction of 8 47