In a briefing to journalists on Thursday, a senior UN humanitarian official in Sudan recounted moving testimony from refugees who are crossing the border from Ethiopia in their thousands, fleeing fighting in Tigray province.
“Many of the refugees left behind children, and parents. They did not have time to assemble their families and leave together”, said Babacar Cissé, the UN Resident and Humanitarian Coordinator in Sudan. “They arrived at the camps after having walked for several days, exhausted and with nothing. Seeing families and children sleeping in the open was heartbreaking”.
Many of the refugees are young men, who told UN staff that they had been targeted by armed fighters. One man told Mr. Cissé that he had walked for two days, and had seen two family members killed. Another, a medical doctor, said that he had been forced to leave his family behind: he is now treating other refugees in the camp.
Response plan by the weekend
With the influx of refugees higher than expected, the UN in the region is planning for the arrival of some 200,000 over the next six months, said Mr. Cissé.
The UN, donors, and local authorities, are working closely on a response plan, which should be finalized by this weekend, he added. In the meantime, enough food to support 60,000 people for one month is being prepared for delivery from Kassala in the coming days.
“This crisis started on 7 November. After a week, we had about 20,000 and now over 30,000 refugees”, Mr. Cisse explained. “People were in reception centres for registration before being relocated in refugee camps. They are not supposed to stay there for more than two days and we are committed to immediately addressing this urgent challenge.”
Mr. Cissé was speaking following his return from a two day mission – along with the country representatives of the UN refugee agency (UNHCR), World Food Programme (WFP), UN Childrens’ Fund (UNICEF) and UN Population Fund (UNFPA) – to assess the situation in refugee camps in the southeastern region of Sudan.
So far, the largest number of refugees are entering Sudan at the small town of Hamdayet. During the two-day mission, the UN officials, and Sudanese authorities, visited the Hamdayet Reception Centre, where an emergency response has been set up to register and provide assistance to thousands of women, children and men crossing into the country.
Urgent health needs
The main concern centres around hygiene, as more and more people arrive. At their arrival in the camp, refugees can access clean water and soap, and receive hot meals and high-energy food supplies. More latrines are being built, and WFP has delivered supplies such as cooking pots, tank loads of water, and a mobile storage unit.
Tigray is Ethiopia’s third most-affected region in terms of COVID-19, and there is concern surrounding the movement of people and the risk this entails for the spread of pandemic.
Mr. Cissé warned that refugees are arriving at the camps without any masks or other forms of protection against the virus. Masks are being distributed in the camps but, as of now, there is no capacity for testing.
The most urgent needs are food, clean water, and shelter. The UN and partners are providing health and nutrition services, as well as hygiene and other non-food kits, and are working non-stop to address the needs of the population.
This includes supporting pregnant women, those who are breastfeeding, traumatized children and others who immediately need psychosocial assistance.
‘Keep children out of harm’s way’
Also on Thursday, UNICEF underscored the growing risks children on both sides of the border – the child refugees sheltering in Sudan, and the children inside Ethiopia’s Tigray region.
Henrietta Fore, Executive Director of UNICEF, said that conditions for refugee children are “extremely harsh” and that the UN agency is working to urgently provide critical life-saving support, including health, nutrition, water, sanitation and hygiene services.
Inside Ethiopia’s Tigray region, “restricted access and the ongoing communication blackout have left an estimated 2.3 million children in need of humanitarian assistance and out of reach,” she added.
According to UNICEF, there is also a growing threat of malnutrition rates in the region, with acute malnutrition rates rising by a third since last year, primarily due to a desert locust infestation and COVID-19.
“I am concerned that, without sustained humanitarian access, many more children will be at risk as malnutrition treatment supplies in the region will last only until December,” warned Ms. Fore.
She called on all parties to the conflict to allow urgent, unimpeded and sustained humanitarian access to all affected communities, underscoring that “every effort” be made to keep children out of harm’s way, and to ensure that they are protected from sexual and gender-based violence, as well as from recruitment and use in the conflict.
‘No end’ to conflict in Ethiopia’s Tigray region
Disturbing reports have continued to emerge of widespread abuse of civilians in Ethiopia’s Tigray region, nearly six months since conflict erupted, the UN Children’s Fund (UNICEF) said on Tuesday.
“There is no clear end in sight” to the conflict, said agency spokesperson James Elder, after returning from a visit the northern Ethiopian region.
He said more than a million people were displaced, noting that fighting was continuing, and security remained a major issue. UNICEF had been “concerned from the onset about the harm that this is going to cause children, and unfortunately such fears are being realized.”
The conflict is the result of months of escalating tensions between the Ethiopian Government and the dominant regional force, the Tigray People’s Liberation Front (TPLF), which culminated in Prime Minister Abiy Ahmed ordering a military offensive after rebels attacked a federal army base.
Within days, militias from the neighbouring Amhara region had joined the fray, reportedly followed by some troops from neighbouring Eritrea – a long-time rival of Tigray.
According to the Government, the region had been secured by the end of November, however TPLF resistance has continued, amid accusations of extrajudicial killings and rights abuses on all sides.
Mr. Elder underscored the impact on women and girls, characterising it as a “protection crisis”.
He added: “What is really emerging now is a disturbing picture of severe and ongoing child violations, there is also unfortunately an education and nutrition emergency and I saw extensive destruction to systems on essential services that children rely on.”
Among the estimated one million displaced by the violence are children who have suffered terribly, the UNICEF official explained.
300 km march in flip-flops
“The many children I spoke with, there was one, a girl who is 16, Merhawit, she had walked 300 kilometres with her baby brother on her back from the west of country, amid pretty intense fighting…300 kilometres and in broken flip-flops”, he said.
“Those stories abound. She was a star in physics, and now she is searching for food and hasn’t seen a classroom in a year.”
Apart from the education crisis, the Tigray region is also in the grip of a nutrition emergency, linked to pillaging and the destruction of medical centres and costly irrigation systems which farming communities cannot do without.
“We had a recent assessment in 13 towns and more than half of boreholes are non-functional,” said Mr. Elder. “It’s important to remember that these were really advanced systems, supporting hundreds of thousands of people with generators and electrical circuitry, all looted or destroyed.”
Vandalizing and looting
Health centres have not been spared either, with the majority now out of action.
This includes a new maternal health clinic specialising in emergency surgery for mothers that opened 100 kilometres from Mekelle which has been ransacked.
“Everything – X-ray machines, oxygen, and mattresses for patients – are gone,” said Mr. Elder. A doctor there told me, “It had all the services a mother and baby needed. It was a life-saving place. There was no reason for forces to come here. They came here for vandalizing and looting.”
The UNICEF spokesperson also urged all those with influence on the military actors involved in the conflict to condemn rights abuses against civilians. “Severe and ongoing child rights violations” have been reported by victims, he said.
“We have an average of three cases of reported, reported gender-based violence, remembering of course that this is probably the tip of the iceberg because reporting is very, very difficult both for…security and cultural elements of shame, and so on. I heard traumatic stories of children as young as 14, I heard reports of gang-rapes.”
Thousands flee fresh clashes in Central African Republic
Recent fighting between government forces and rebels in northern Central African Republic (CAR) has forced more than 2,000 refugees into neighboring Chad over the past week, the UN refugee agency (UNHCR) said on Tuesday.
According to the agency, new arrivals in Chad reported having fled clashes, as well as pillaging, extortion and other acts of violence at the hands of rebel groups. Most of the displaced were from CAR’s Kaga-Bandoro, Batangafo and Kabo regions.
UNHCR spokesperson Babar Baloch said that to reach Chad, people had to wade shoulder-deep through the Grande Sido river, which flows along the Chad-CAR border, with the some carrying their few belongings on their heads.
“The refugees are now settled in Gandaza village and the bordering town of Sido, although some are having to resort to crossing back into CAR to find food or salvage what little is left from their properties”, he added.
Violence flared across CAR following last December’s contested elections, with armed elements allied with former president François Bozizé attacking several towns and villages. Hundreds of thousands of people were displaced within the country as well as into neighbouring ones.
Chad currently hosts close to 11,000 of the total 117,000 Central African refugees who also fled to Cameroon, the Democratic Republic of the Congo (DRC) and the Republic of the Congo (ROC) in the wake of the post-electoral violence.
Longstanding humanitarian crisis
The influx slowed considerably since mid-March after government forces and their allies reclaimed most of the rebel strongholds, UNHCR said. The lull allowed some 37,000 formerly internally displaced persons (IDPs) to return to their areas of origin, who now need help to rebuild their lives, it added.
Roughly the size of France, CAR has been plagued by conflict and insecurity for years.
According to the UN Office for Coordination of Humanitarian Affairs (OCHA) about 2.8 million people in CAR – 57 per cent of the population – are in need of humanitarian assistance and protection. The situation has been further complicated by the coronavirus pandemic, with rising hunger, loss of livelihoods, closure of schools, and a reported increase in violence against women and children.
The Gambia Secures More Funds for COVID-19 Vaccines
World Bank Board approved $8 million additional financing from the International Development Association (IDA) to provide The Gambia with safe and effective vaccine purchase and deployment.
“With this additional financing, the World Bank is helping The Gambia strengthen their pandemic response and health care systems, as well as scale up its vaccination campaign, with a total contribution of $19 million towards the implementation of the Government’s National COVID-19 Preparedness and Response Plan,” said Feyi Boroffice, World Bank Resident Representative for The Gambia.
The additional financing for Gambia COVID-19 Vaccine Preparedness and Response Project will strengthen immunization systems and service delivery capacity to support the COVID-19 vaccination roll-out. It will expand The Gambia’s access to vaccines, through direct purchases from manufacturers and other arrangements through the African Vaccine Acquisition Trust convened by the African Union.
“The COVAX Facility will provide vaccine doses to cover 480,000 people and this additional financing from the World Bank will make it possible to have sufficient vaccine doses to cover 980,000 more people, with nearly all adults in the Gambia having access,” said Samuel Mills, World Bank Task Team Leader for the project. “It is now important for people to be adequately informed that the benefits of COVID-19 vaccination outweigh the risk of not getting the vaccine.”
To help prepare the National Deployment and Vaccination Plan for COVID-19 vaccines, the government conducted a vaccine readiness assessment with support from the World Bank, the World Health Organizations (WHO), the United Nation Children’s Fund (UNICEF) and the Global Alliance for Vaccines and Immunizations (GAVI). The assessment showed that the country has trained medical staff, a monitoring system in place, as well as adequate storage capacity to handle both routine vaccines and COVID-19 vaccine at temperatures between 2°C and 8°C. This additional financing will also support the procurement of ultracold freezers to augment the cold chain to store vaccines such as the Pfizer/BioNTech vaccine which require sub-zero storage, and the freezers will subsequently be used by the National Blood Transfusion Center for storing blood plasma.
In addition, the World Bank has supported the Ministry of Health in procuring innovative and environment friendly health care waste treatment technology to allow safe decontamination in hospitals. The Foundation Stone Laying Ceremony will be held tomorrow for the construction of clinical waste treatment centers at Farato and at Edward Francis Small Teaching Hospital. The project contributed to the renovation of the Ndemban Clinic, which operates as a COVID-19 treatment center, and procured 10 ambulances for intensive care, critical life-saving medical equipment and supplies, as well as six pickup trucks and 18 motorcycles to facilitate contact tracing and response.
This $8 million funding package for The Gambia is one of several projects in support for the COVID-19 vaccination effort across Africa and other regions. Today, the World Bank Board also approved additional financing for Côte d’Ivoire ($100 million), Eswatini ($5 million), Rwanda ($30 million), El Salvador ($50 million) and Honduras ($20 million).
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