Ethiopia

Humanitarian
Situation Report
No. 11
including Northern Ethiopia
and Drought responses

Situation in Numbers
31.4 million
people in need
(2023 HNO)
@UNICEF Ethiopia/2023/ Demissew Bizuwerk

Reporting period: 1 November – 31 December 2023 16.5 million*

children in need of
Highlights humanitarian assistance
(CSA) *
• There are approximately 2.8 million drought and conflict-affected people in 43
districts of North and South Wello, North Shewa, Oromia Special and North
Gondar zones of Amhara region.
4.39 million
Internally Displaced People
• In November 2023, UNICEF supported nearly 111,000 people through child (IDPs) **
protection interventions including mental health and psychosocial support
(MHPSS), family tracing and reunification and alternative care services for 958,016
unaccompanied and separated children (UASC) and prevention and response to Total Refugees and Asylum
violence, including GBV. Seekers
(UNHCR, 30 November 2023)
• UNICEF reached more than 383,000 people with primary healthcare services and
medical consultations in regions affected by drought and conflict during the
reporting month.

• In Dasenech woreda, South Ethiopia, UNICEF provided 6 Emergency Drug Kits

(EDKs) and expanded provision of essential health services to flood affected
communities.
UNICEF Appeal 2023
• In Oromia, UNICEF delivered 200 cartons of of Ready-to-Use Therapeutic Food
(RUTF), 4 cartons of F-75, and other essential supplies to Wollega, Guji, East
Borena zones, including Begi woreda. US$ 674.3 million
UNICEF Response and Funding Status

Funding Status (in US$)

Nutrition Health

Access to Primary Health Care 137%

Funding status 94%
Severe Wasting Treatment 49%
Funds received,
Funding status 43% $143,802,419
Educatio Protectio

MHPSS access 119%

Child

Funding status 33%

Education access 36%
n

Funding status 17% Funding gap,

$479,598,006 Carry-forward,
WASH

Water Supply 29% $50,883,778

Funding status 17%

0% 20% 40% 60% 80% 100%

* Percentage of children (52.4 per cent) is based on the Central Statistics Agency of Ethiopia 2022 projected population statistics.
** IOM Displacement Tracking Matrix (DTM) Report on 23 August 2023

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Funding Overview and Partnerships
UNICEF continues to appeal for critical funding to meet the humanitarian needs of children, adolescents, women, and
men in Ethiopia. Out of a total appeal of US$674.3 million, including US$255.7 million for the Northern Ethiopia response
and US$345.4 million for the Drought response, only 29 per cent of the total funding requirement is available to date.
To ensure that children and their caregivers receive lifesaving support in 2024 and beyond, UNICEF appeals to all donor
partners to help close the remaining gaps.

UNICEF expresses its sincere gratitude to the many donors who have already provided critical support towards
UNICEF’s HAC, including the Canada, the Central Emergency Response Fund (CERF), European Civil Protection and
Humanitarian Aid Operations (ECHO), Germany Federal Foreign Office, Greece, Japan, Japan International
Cooperation Agency (JICA), Ireland, Korea, Slovenia, Swedish International Development Cooperation Agency (SIDA),
UK Aid / Foreign Commonwealth Development Office (FCDO), U.S. Agency for International Development (USAID) /
Bureau for Humanitarian Assistance (BHA) / PRM, and private sector donor contributions through UNICEF National
Committees.

Situation Overview and Humanitarian Needs1

Ongoing conflict, drought, flood, and other calamities that are occurring in the different regions of the country have
impacted the lives of people especially that of women and children. In Somali and Oromia, heavy unseasonal rainfall
has caused widespread flooding across the regions. According to the regional authorities, over a million people (550,000
children) have been affected and 400,000 people have been displaced in Somali, while over 300,000 people have been
affected and over 26,000 people have been displaced in Oromia. The Somali regional government has activated the
Flood Task Force across the main affected zones: Shebele, Afdher and Liban. The floods have severely disrupted
access to clean water and sanitation services causing damage to 83 motor pumps and over 24 river water intakes in
Somali leaving people with shortage of safe drinking water. While in Oromia, 18 water schemes across the affected
seven woredas have been impacted. The floods have also had a significant impact on sanitation facilities, with latrines
in the affected districts being damaged. This has led to widespread open defecation, poor hygiene practices, and
overloading of available latrines, posing a high risk for disease outbreaks, including cholera. The education sector has
also been greatly impacted by the floods in both regions, causing partial and complete destruction of schools and
learning infrastructure. 10 schools are reportedly underwater in Somali, while 12 schools have been damaged in West
Guji and East Bale zones of Oromia region. In Somali, over 66,000 school-age children who were enrolled in 146 schools
across 19 woredas have reportedly been displaced. Meanwhile, children who lost their parents or have been separated
from their families are more exposed to protection risks, including violence and exploitation.

Meanwhile in southern Ethiopia, the recent overflow of the Omo River has affected over 79,000 people in 27 Kebeles
and seven (7) other at-risk kebeles of Dasenech woreda. In addition, the flooding has displaced more than 69,000
people from 20 kebeles while over 2,600 people have been displaced due to landslides in Konta Zone of Southwest
Ethiopia region. According to the South Omo Zone authorities, a total of 10 primary schools have been impacted by the
floods while five primary schools are surrounded by water, in addition, eight primary schools are at risk of flooding. The
impact of the damage to the schools has been immense, affecting the formal education of over 2,600 primary and pre-
primary school children. In addition, over 800 children enrolled in informal education have been impacted. As a
consequence of the drought and current flood, a significant number of children are at risk of violence, mental health
issues, and concerns regarding their overall well-being and health. More than 9,000 children with different concerns
were identified and referred for appropriate services.

The drought situation in northern Ethiopia, exacerbated by climate change (El Niño), conflict, socioeconomic
deterioration, and failed harvest continues to have a severe impact on the nutritional situation of mothers and children
in Afar, Amhara and Tigray. Regional authorities in Amhara and Tigray have raised concern and alerted aid agencies
of the deteriorating humanitarian situation due to drought and food insecurity in 52 woredas/districts in the South, East,
Southeast, Central, and North-western parts of the regions, and in Mekelle City of Tigray. There are a reported 2.8
million2 drought and conflict-affected people in 43 districts of North and South Wello, North Shewa, Oromia Special and
North Gondar zones of Amhara region.

The ongoing cholera outbreak continues to affect 65 woredas across the regions of Oromia, Afar, Amhara, Tigray,
Benishangul Gumuz, Central Ethiopia (CER), Sidama, Somali, South Ethiopia Region (SER), Harari, and Dire Dawa
administrative city, with more than 30,000 cases 3 and 449 deaths (CFR 1.48%) reported. A total of 116,9224 malaria
cases and 469 deaths were recorded, with 1,053 woredas reporting at least one case of malaria across the country

1
The Situation Overview and Humanitarian Needs reflects the situation and needs as of 31 December 2023, while all programme results reflect
as of 30 November 2023.
2 UNOCHA Humanitarian impact of drought Flash Update #1, 22 December 2023
3 Bacterial Disease Surveillance and Response Weekly SitRep, Ethiopian Public Health Institute (EPHI), 26 December 2023.
4
EPHI Public Health Emergency Center (PHEOC) Multi outbreak situation response 24 Dec 2023
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reported as of 24 December. Additionally, there is an ongoing measles outbreak in 67 woredas across different regions.
To date, a total of 30,389 measles cases and 233 deaths have been reported.

As of 31 December 2023, a total of 101,385 people, including 41,000 Refugees, have entered Ethiopia since the onset
of the ongoing crisis in neighbouring Sudan in April. Crossings have been made through various border points of entry
(PoE), but mainly at the Metema border crossing in Amhara’s West Gondar Zone, and the Kurmuk border crossing in
Benishangul Gumuz’s - Assosa Zone. Among the arrivals, to date Ethiopian returnees represent the largest share of
arrivals at 43 per cent, followed by Sudanese nationals at 39 per cent, and third country nationals at 18 per cent.

Summary Analysis of Programme Response5

Health
During the reporting period, UNICEF provided medical consultations to nearly 317,000 women and children through
Mobile Health and Nutrition Teams (MHNTs) in Tigray, Afar and Amhara regions. UNICEF also continues to strengthen
access to and quality of newborn and child health services, with more than 3,800 pregnant and lactating women (PLW)
receiving antenatal care (ANC), 4,242 PLW giving birth with a skilled birth attendant (SBA), and 3,479 mothers and
children attending early postnatal care services in Tigray and Amhara regions. Additionally, more than 4,700 children
received measles vaccination. In Tigray, UNICEF, in collaboration with its partners, provided support for the clinical
mentorship of 90 mentees from 30 health facilities in the central zone, with a focus on delivering quality medical
consultations, immunization (zero dose), and maternal and new-born services. Moreover, 82 healthcare providers,
including nurses, midwives, and health extension workers, received training on Basic Emergency Obstetric and New-
born Care (BEmONC), MHPSS, and Adolescent and Youth-Friendly Health Services (AYFHS). In collaboration with the
Regional Health Bureau (RHB) and Tigray Youth Empowerment Solution (TYES), UNICEF provided 360 electrical and
237 Solar Direct Drive (SSD) refrigerators across three zones in Tigray to ensure proper storage of routine vaccines,
while also installing 10 additional SSD refrigerators to enhance vaccine storage capacity and improve outreach services
at health post levels.

As part of UNICEF’s ongoing drought response, more than 52,000 women and children were able to access primary
healthcare services and receive medical consultations through UNICEF-supported MHNTs in drought-affected regions
in the reporting period. UNICEF provided 43 Emergency Drug Kits (EDKs), 20 Interagency Emergency Health Kits
(IEHKs), and 18 Delivery kits to ensure the continuous provision of essential services to women and children in the flood
affected woredas of Somali region. In the reporting month, a total of 11,923 children aged 9 to 59 months residing in
IDP sites in Borena, East Guji, and East Borena zones received measles vaccination. Additionally, a total of 263 cholera
cases treated in 52 Cholera Treatment Centers (CTCs) in seven cholera outbreak affected zones. Furthermore, UNICEF
dispatched six EDKs, to assist nearly 15,000 people affected by flood in Dasenech woreda, South Ethiopia.

UNICEF continued to provide technical assistance to the RHBs to support refugees and returnees arriving at Metema
and Kurmuk entry points in Amhara and Benishangul Gumuz regions, respectively, to help address health emergencies.
As a result, 816 Pregnant Lactating Women (PLW) gave birth with a skilled birth attendant, 34 PLW received ANC and
445 women received post-natal care services for refugees, returnees, and host communities in the regions. In Amhara,
through UNICEF-supported MHNTs, over 3,100 refugee women and children were reached through essential health
services. Furthermore, more than 1,500 individuals were referred for MHPSS.

Nutrition
In northern Ethiopia, UNICEF and partners provided treatment to nearly 4,2976 children suffering from Severe Acute
Malnutrition (SAM). In addition, more than 20,300 children received vitamin A supplementation, 14,159 children were
dewormed, 3,660 pregnant mothers received iron folic acid (IFA) supplementation and more than 27,000 primary
caregivers of children aged 0-23 months received counselling on Infant and Young Child Feeding (IYCF) practices. In
Amhara region, through UNICEF supported MHNTs, a total of 11,655 children under five years and 3,780 PLW were
screened, identifying 78 SAM and 386 moderate acute malnutrition (MAM) children, with 74 SAM cases referred to
Outpatient Therapeutic Program (OTP) services and four children receiving treatment in Stabilization Center (SC).

As part of the drought response, UNICEF reached more than 24,500 children suffering from SAM, nearly 390,000
children aged 6-59 months received vitamin A, more than 275,000 children aged 2-5 years were dewormed, 67,295
pregnant women were supplemented with IFA, and nearly 207,000 mothers with children aged 0-23 months received
key nutrition messages through community-based nutrition services. In southern Ethiopia, Emergency Nutrition Officers
(ENOs) visited 91 health facilities, providing on-the-job training, and coaching to 124 Health Extension Workers (HEWs)
and 87 Health Workers (HWs) on the management of SAM, IYCF, and supply chain management in drought and conflict
affected Woredas. In Oromia, UNICEF provided 200 cartons of RUTF, four cartons of F75, Amoxicillin, Therapeutic
Feeding Program (TFP) opening kit, Mid-Upper Arm Circumference (MUAC) tapes and SAM treatment recording cards

5 Due to the data verification process, the Summary Analysis of Programme Response reflects results as of 30 November 2023.
6 The decline in SAM treatment compared to the previous month is due to delays in data collection and verification process from the kebele to the
federal level, as well as underreporting in the Amhara region due to limited accessibility.
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with other SC materials to Wollega, Guji and East Borena zones including for Begi woreda. In Somali, over 900 cartons
of RUTF, 37 cartons of F-75/F-100 were dispatched to address the needs of flood affected woredas. Furthermore, a
total of 4,812 children aged 6 to 23 received Small Quantity Lipid-Based Nutrient Supplements (SQ-LNS) to prevent
malnutrition in early childhood.

WASH
In November, UNICEF provided access to safe drinking water for more than 116,000 people through rehabilitation of
existing non-functional water schemes, water trucking, and installation of water storage tanks. Furthermore,
approximately 8,000 people were reached with handwashing and behaviour change activities. UNICEF also reached
over 188,000 people through the provision of basic WASH non-food items (NFI) such as soaps, household water
containers and water treatment chemicals in Oromia, SER and Somali region.

In northern Ethiopia, UNICEF collaborated with partners to provide safe water supply to over 18,000 people through
emergency water trucking and restoration of damaged water schemes to boost resilience of populations against future
shocks. Furthermore, a total of 37,733 people were reached through provision of WASH NFIs. UNICEF conducted a
hand-washing behaviour-change programme, targeting more than 2,500 people in different IDP sites. UNICEF, in
collaboration with CARE Ethiopia, completed the solarization of two water schemes in Kuneba and Dallol woredas of
Afar region, benefiting over 18,000 people with improved access to clean water.

In Oromia, as part of the cholera prevention and flood response, household water treatment chemicals, body soaps,
laundry soap and HTH (High-Test Hypochlorite) were distributed, benefited over 84,000 individuals at risk of cholera. In
the Southern region, over 84,000 people reached with awareness on cholera prevention mechanisms and educated on
the proper use of household water treatment chemicals in cholera affected woredas. In addition, 11 health facilities
received 2,700 hand washing facilities estimated to serve approximately 270,000 people in Konso, South Omo, Gedeo,
Gamo and Gofa zones of SER and cholera affected woredas of Sidama region. The rehabilitation and expansion of four
water schemes with solar systems; the provision and installation of 10 water storage tankers and two emergency water
kit (EmWat kit), enabled more than 51,000 people to access potable water in South Ethiopia and Central Ethiopia
regions. Additionally, nearly 7,000 IDPs received WASH NFIs including water treatment chemicals in Dasenech woreda
of South Omo zone. Similarly, in Somali region, UNICEF distributed WASH NFIs including water treatment chemicals
in flood and cholera-affected woredas, benefitting a total of 30,000 individuals with essential WASH supplies.

Child Protection
During the reporting period, UNICEF supported nearly 111,000 people affected by conflict, drought, cholera, and other
emergencies across the country with protection services, providing child protection, gender-based violence (GBV)
prevention, and other social service interventions, including MHPSS, family tracing and reunification (FTR), and
alternative care services for unaccompanied and separated children (UASC). In the reporting month, over 27,400
children and caregivers were provided with MHPSS through access to child-friendly spaces, specialized and non-
specialized individual MHPSS support services. Furthermore, 1,399 UASC were reunified or placed in alternative care,
while 3,296 children who had experienced violence received child protection case management services through
referrals to health and psychosocial and legal services. UNICEF also reached approximately 24,000 people through
GBV, prevention and response activities through community sensitization activities conducted with community-based
structures to raise awareness on protection issues. In addition, over 12,000 people were reached through GBV risk
mitigation interventions by health, nutrition, and social protection sectors.

In northern Ethiopia, UNICEF provided support to nearly 84,000 children and community members with child protection
and GBV prevention and response interventions, including case management, support to UASC, GBV risk mitigation
and services for survivors, and awareness-raising. In Afar region, UNICEF in collaboration with the RHB and its partners
organized psychosocial mental health awareness raising sessions for a total of 1,882 individuals in Yallo, Gulinia, Abala,
Erabti and Berahle woredas. UNICEF, in collaboration with its partners, conducted capacity-building training sessions
on landmine and explosive ordinance risk reduction (EORE) in Tigray, reaching a total of 25,785 individuals to reduce
the risk of injuries and death from explosive ordinance incidents. A two-day training session was conducted for 27
partners in Mekelle and Shire Area of Responsibility (AoR), focusing on Monitoring and Reporting Mechanism (MRM)
for grave child rights violations, with the aim of improving knowledge and strengthening the reporting of severe violations
against children in conflict-affected areas.

UNICEF continued providing technical and financial assistance to government bureaus and NGO partners to strengthen
the child protection response across drought-affected regions. In November, 20,428 people were reached through
various child protection and GBV interventions including case management, MHPSS and FTR and alternative care for
UASC. In SER, more than 4,500 children and caregivers were reached with community-based mental health and
psychosocial support applying different approaches, such as safe spaces, peer support activities, individual counselling,
socio-emotional learning, and parenting skill education sessions. Moreover, 170 UASC were identified, registered, and
provided with FTR services, as well as alternative care services. Out of these, eight separated children were successfully
reunited with their families. Similarly, in Oromia, more than 2,400 children and their partners/caregivers were reached
with MHPSS services including socio-emotional learning sessions. Lastly, 998 UASC in Oromia received services
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related to FTR as well as alternative care arrangements. In Gambella region, UNICEF and its partners organized a
three-day training session on child friendly spaces and safeguarding, as part of the child protection in emergencies
(CPiE) program, involving 30 participants, including social workers and child protection experts. Additionally, a separate
three-day training on GBV prevention and response was conducted, with 35 participants in attendance. Community
awareness campaigns on birth registration were conducted in all targeted woredas of Konso and South Omo zones,
engaging government experts and health workers, leading to successful registration and certification of 137 internally
displaced children. In drought and conflict affected Borena zone of Oromia region, UNICEF advocated for the removal
of barriers and implemented measures resulting in the registration and issuance of birth certificates to 5,273 children in
IDP camps.

Education
During the reporting period, UNICEF, in collaboration with Regional Education Bureaus (REBs) and NGO partners, has
reached nearly 40,000 children through the provision of formal or non-formal education in emergency-affected regions.
Additionally, a total of 32,253 children have benefitted from the provision of educational materials.

In Northern Ethiopia, UNICEF provided mental health and psychosocial support training to 54 teachers, social workers,
and school leaders, aiming to enhance the capacity and resilience of conflict-affected children and government
counterparts in learning spaces. Furthermore, the provision of remedial classes for 1,500 children, along with
supplementary reading materials benefiting 16,000 students, resulted in improved learning outcomes for 17,500
students. In Amhara, in collaboration with Imagine 1 Day, conducted two days of awareness-raising sessions on the
prevention of sexual exploitation and abuse (PSEA), involving 251 participants, including teachers, school principals,
parents, and children. In Tigray, UNICEF and its partners provided learning materials to more than 26,000 children. In
Afar, UNICEF supported the implementation of BETE, an integrated education-child protection program led by Edukans
Foundation, resulting in the enrolment of 4,351 out-of-school children in an accelerated learning program across six
conflict-affected woredas. Moreover, 16 tents, 640 plastic chairs, 160 plastic tables, 16 blackboards, 16 teachers chair,
and table were provided to 640 out-of-school children in Chifera and Ewa woredas of Afar region.

UNICEF, in collaboration with World Vision Ethiopia (WVI), provided backpacks with stationery materials to 2,000
drought-affected children in five woredas of Southwest Ethiopia People’s Region (SWEPR), contributing to improved
learning outcomes, increased school enrolment, and reduced dropout rates. In Afar, UNICEF continued the
implementation of Accelerated Learning Program (ALP), benefitting over 1,000 out-of-school children, enabling them to
continue their education in three drought-affected woredas.

UNICEF in partnership with Imagine 1 Day, provided life skills training to 1,146 IDP children in Debrebirhan town,
Amhara region. Additionally, a temporary learning space consisting of four classrooms was constructed in Kelem IDP
site, Dasenech woreda, of the SER, enabling 200 flood-affected out-of-school children to access education services in
a safe and secure environment. In Benishangul Gumuz, UNICEF, in collaboration with REB, provided backpacks with
stationary materials for 6,981 children in three woredas. Moreover, in Gambella, UNICEF and its partners conducted a
one-week training for 317 teachers from eight emergency-affected woredas, improving their capacity in emergency
response and pedagogy, while also providing individual scholastic materials to 11,688 primary school students in six
flood and conflict-affected woredas.

Social Protection
In November 2023, over 4,900 drought-affected households (32,480 people) in Oromia and Somali regions received
Shock Responsive Cash Transfers (SRCTs), and community service workers connected them to various social services
such as health, nutrition, psychosocial support, education, and food assistance. Furthermore, more than 600 conflict-
affected individuals had safe and accessible channels to report sexual exploitation and abuse and 751 women, girls,
and boys accessed GBV risk mitigation, prevention, and/or response interventions by community-level social workers.

As part of UNICEF’s drought response, a total of 1,920 households (13,052 individuals) received cash transfers in Goro
Gutu woreda of Oromia region. Furthermore, a three-day comprehensive training on child protection was conducted for
newly recruited social workers and frontline staff to provide effective technical support for the implementing partners
and to conduct comprehensive monitoring throughout the program's phases, of cash disbursement, linkages to services
and case management. In Somali, SRCTs were provided to 3,073 Mirqan refugees and host communities households
(19,428 individuals).

SBC and AAP

During the reporting period, over 2.6 million people were reached and engaged through community engagement
sessions. These sessions were conducted with the objective of delivering messages on various health topics, including
immunization, malaria prevention, cholera prevention, measles, hygiene and sanitation promotion, essential health
services, IYCF in emergencies (IYCF-E), education and GBV. Furthermore, apart from disseminating information,
ensuring participation on preventive behaviours and available services, efforts were made to gather feedback from over
23,000 people regarding the services provided. The feedback was provided through established mechanisms for

5
Accountability to Affected Population (AAP), such as focus group discussions, community sessions, peer-to-peer
dialogue, and visits conducted house-to-house and tent-to-tent.

UNICEF trained 50 individuals in Tigray and Somali on Social and Behavior Change (SBC) to enhance their capacity in
Risk Communication and Community Engagement (RCCE) response. Additionally, 483 frontline workers, including
health extension workers, volunteers, and community leaders, were trained on WASH and health promotion in Sidama
and SER, focusing on cholera prevention and other WASH behaviors.

Human Interest Stories and External Media

In the reporting period, UNICEF documented the UK Ambassador to Ethiopia, Darren Welch's visit to Assosa and
Benishangul-Gumuz regions, where he observed the support provided to the community in education, health, and
WASH programmes. The visit of Joshua Tabah, Canada Ambassador to Ethiopia, to Afar region was highlighted, during
which he visited a maternal and child health centre and engaged with groups of adolescent girls and women who are
actively working to prevent FGM.

UNICEF continued to respond to emergencies in southern and eastern Ethiopia, where many have been displaced and
affected by the recent flooding. UNICEF is responding to the ongoing crises in Amhara Region and nutrition-related
challenges in Afar Region, where mothers and children are receiving the support they need to resume their normal lives
accordingly. Additionally, UNICEF addressed the harmful practice of child marriage in Sidama Region by emphasizing
the impact and consequences to vulnerable girls through community conversations, providing girls with empowerment
and life skills training, and improving service providers capacity to support vulnerable girls. UNICEF also covered topics
including WASH, inclusion, education, neonatal care, maternity, and mental health. UNICEF actively participated in a
high-level advocacy event of the Ethiopian Great Run to maximize public awareness of zero-dose children impacted by
conflict. Through this event, UNICEF showcased the collaborative effort of the government and the Ministry of Health in
ensuring that vaccines are accessible to all children everywhere. UNICEF also celebrated World Immunization Week,
Global Handwashing Day, World Pneumonia Day, World Diabetics Day, World Prematurity Day, World Children Day,
and World Toilet Day. In addition, UNICEF celebrated the first week of 16 Days of Activism through video, photo, and
graphics.

Donor contributions to UNICEF Ethiopia humanitarian appeal on social media were also highlighted including, Alwaleed
philanthropy, the Government of Japan, the Embassy of Sweden in Addis Ababa, and USAID's Bureau for Humanitarian
Assistance (here and here).

Humanitarian Leadership, Coordination and Strategy

UNICEF continues to lead the Nutrition and WASH Clusters and the Child Protection AoR and co-leads the Education
Cluster supporting relevant line ministries and the national and regional level DRMCs. As the lead agency for three
clusters and one AoR, UNICEF brings leadership to intersectoral coordination and efficiency and effectiveness when
responding to immediate needs. UNICEF is also the lead agency for the Rapid Response Mechanism (RRM), working
in partnership with local and international NGOs operating throughout the country. UNICEF also leads the Ethiopia Cash
Working Group that seeks to harmonize and facilitate complementarity of cash-based interventions. UNICEF
participates in OCHA-led regional and sub-regional coordination mechanisms that involve the UN, NGOs, and the
Government of Ethiopia and that take place through the Emergency Coordination Centre (ECC) meetings, using these
platforms to advocate for the needs of affected populations across all regions. Overall, UNICEF's leadership,
coordination, and strategy in Ethiopia aim to ensure a well-coordinated and efficient response to humanitarian needs,
leveraging partnerships and collaborating with relevant stakeholders for maximum impact.

In line with the ongoing concerns regarding aid diversion, UNICEF Ethiopia country office is evaluating and enhancing
its existing monitoring system, focusing on cash and supply monitoring, to ensure the prevention and detection of
misuse. The primary focus is on strengthening the current supply End User Monitoring (EUM) system and developing
sector specific mitigation measures for Nutrition, Health, Education and Social Policy sections.

For more content please check: Facebook, Twitter, YouTube, LinkedIn, Instagram, and www.unicef.org/ethiopia

UNICEF 2023 Ethiopia Humanitarian Action for Children (HAC) Appeal: Ethiopia Appeal | UNICEF

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Who to contact for Aboubacar Kampo Mohammed Mohammedi Dheepa Pandian
further information: Representative Chief of Field Operations & Chief of Communication,
UNICEF Ethiopia Emergency Advocacy, Partnerships
Tel: +251 11 518 4001 UNICEF Ethiopia UNICEF Ethiopia
Email:akampo@unicef.org Tel: +251 11 513 015 Tel: +251 11 518 4162
Email: mmohammedi@unicef.org Email: dpandian@unicef.org

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Annex A - Summary of Programme Results7
UNICEF and IPs Response
UNICEF and IPs Response UNICEF and IPs Response
Cluster/Sector Response (Including Northern Ethiopia and Drought
(Northern Ethiopia Response only) (Drought Response only)
Response)
2023 Cumulative Total Cumulative
Sector 2023 target Total results 2023 target Total results 2023 target Total results To
target results
Nutrition 8 Jan-Nov 2023 Jan-Nov 2023 Jan-Nov 2023 Jan-Nov 2023
Number of children aged 6 to 59 months with severe
1,213,870 597,052 1,213,870 598,950 334,102 162,936 845,458 411,903
wasting admitted for treatment
Number of children aged 6 to 59 months receiving Vitamin
5,835,146 4,231,175 2,169,383 704,486 3,340,380 3,275,955
A supplementation (SEMESTER 2)
Number of primary caregivers of children aged 0 to 23
1,047,650 3,164,5669 1,047,650 3,164,566 527,530 893,922 450,561 2,190,903
months receiving IYCF counselling
Number of pregnant women receiving preventative iron
1,476,477 1,131,404 529,049 237,641 876,308 761,649
supplementation
Health
Number of children and women accessing primary
2,114,138 2,894,686 762,478 2,274,680 994,272 513,364
healthcare in UNICEF supported facilities
Number of children below 15 years of age vaccinated
900,000 1,234,851 421,998 1,000,919 459,310 201,168
against measles
WASH
Number of people accessing a sufficient quantity and
8,078,358 5,416,663 8,078,358 2,359,599 2,882,536 890,405 4,326,372 982,517
quality of water for drinking and domestic needs

Number of people accessing appropriate sanitation services 1,462,249 919,985 1,462,249 381,079 819,502 185,566 546,747 168,114
Number of people reached with hand-washing behaviour-
6,216,236 3,796,379 6,216,236 4,320,965 2,282,536 2,070,788 2,516,700 1,819,860
change programmes
Number of people reached with critical WASH supplies 3,212,822 695,526 3,212,822 1,377,918 1,022,000 426,599 1,555,622 843,719

Child Protection
Number of children, adolescents and caregivers accessing
347,000 310,001 275,012 326,666 190,910 224,505 80,026 82,724
community based MHPSS
Number of UASC provided with alternative care and/or
30,000 7,250 16,002 19,167 9,000 10,586 6,496 8,084
reunified
Number of children provided with landmine or other
explosive weapons prevention and/or survivor assistance 295,000 133,123 295,000 133,123
interventions
Number of girls and boys who have experienced violence
reached by health, social work, or justice/law enforcement 70,000 34,041 76,841 56,433 63,033 41,914 11,579 14,055
services

7
Due to the data verification process, Annex A - Summary of Programme Results reflects results as of 30 November 2023.
8 Data on nutrition programme response is two months delayed due to lengthy data collection and verification process from the kebeles to federal level.
9 The cluster has prioritized targets for IYCF/E interventions in severity level 4 woredas. Integrated nutrition services (including IYCF/E) and activities are recommended in all woredas
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 UNICEF and IPs Response
UNICEF and IPs Response UNICEF and IPs Response
Cluster/Sector Response (Including Northern Ethiopia and Drought
(Northern Ethiopia Response only) (Drought Response only)
Response)
2023 Cumulative Total Cumulative
Sector 2023 target Total results 2023 target Total results 2023 target Total results To
target results
Nutrition 8 Jan-Nov 2023 Jan-Nov 2023 Jan-Nov 2023 Jan-Nov 2023

Education

Number of children accessing formal and non-formal

1,344,475 210,419 1,088,257 388,732 508,393 167,762 465,702 107,091
education, including early learning
Number of children receiving learning materials 1,487,654 598,763 1,095,894 481,368 508,393 155,319 476,662 253,695

Social Protection

Number of households reached with UNICEF-funded

220,000 34,837 90,000 14,377 127,000 20,460
humanitarian cash transfers
PSEA
Number of people with safe and accessible channels to
report SEA by personnel who provide assistance to affected 969,403 948,69410 345,904 342,224 519,165 387,572
populations (Cross-sectoral)
GBViE
Number of women, girls and boys accessing GBV risk
mitigation, prevention and/or response interventions 268,222 432,494 115,704 293,945 147,115 93,385
(Cross-sectoral)
Social Behaviour Change (SBC)

Number of people reached through messaging on

35,208,969 34,325,196 4,491,642 5,110,582 17,215,321 12,138,929
prevention and access to services

Number of people who participate in engagement actions 3,378,969 3,996,360 728,398 1,248,849 2,018,725 1,883,723

Number of people sharing their concerns and asking

816,196 283,090 153,874 12,201 504,345 216,776
questions through established feedback mechanisms

10
The data from the sections was not captured in the previous reports and now the matrix has been revised.
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Annex B - 2023 HAC Funding Status including Northern Ethiopia and Drought Response
Funds available Funding gap
Humanitarian Resources available
2023 HAC Funding Total Funds
Sector resources received in from 2022 (Carry-
Requirements (US) Available $ %
2023 over)
(USD) (USD) (USD)
Health 35 076 756 22,110,141 10,837,459 32,947,600 2,129,156 6%
Nutrition 140 834 883 44,810,787 15,468,108 60,278,895 80,555,988 57%
WASH 236,545,571 29,210,814 10,594,636 39,805,450 196,740,121 83%
Education 86,258,265 7,297,644 7,529,518 14,827,162 71,431,103 83%
Child Protection 59,857,414 15,004,953 5,011,141 20,016,094 39,841,320 67%
Social Policy 73,998,886 7,974,508 1,442,916 9,417,424 64,581,462 87%
SBC and AAP 18,377,381 0 0 0 18,377,381 100%
GBVIE 14,483,988 2,797,554 0 2,797,554 11,686,434 81%
PSEA 3,422,078 50,000 0 50,000 3,372,078 99%
Cluster
5,428,981 14,546,018 0 14,546,018 (9,117,037) -168%
Coordination11
Total $674,284,203 $143,802,419 $50,883,778 $194,686,197 $479,598,006 71%

Annex C - 2023 Northern Ethiopia Response Funding Status (part of the HAC)
Funds available Funding gap
2023 Northern
Sector Ethiopia Funding Humanitarian Resources available
Total Funds
Requirements (USD) resources received from 2022 (Carry- $ %
Available (USD)
in 2023 (USD) over) (USD)

Health 11,597,764 7,350,488 4,511,294 11,861,782 (264,018) -2%

Nutrition 40,102,284 5,137,659 8,115,004 13,252,663 26,849,621 67%
WASH 75,552,708 6,013,390 1,326,851 7,340,241 68,212,467 90%
Education 39,565,551 1,052,906 568,128 1,621,034 37,944,517 96%
Child Protection 43,414,446 5,462,252 239,036 5,701,288 37,713,158 87%
Social Policy 30,270,894 0 0 0 30,270,894 100%
SBC and AAP 2,812,694 0 0 0 2,812,694 100%
GBVIE 10,156,079 986,854 0 986,854 9,169,225 90%
PSEA 2,232,105 0 0 0 2,232,105 100%
Total $255,704,525 $26,003,549 $14,760,312 $40,763,861 $214,940,664 84%

Annex D - 2023 Drought Response Funding Status (part of the HAC)12

Funds available Funding gap
2023 Drought Humanitarian Resources available
Total Funds
Sector Funding resources received from 2022 (Carry-
Available $ %
Requirements (USD) in 2023 over)
(USD) (USD) (USD)
Health 14,567,340 4,500,000 0 4,500,000 10,067,340 69%
Nutrition 96,516,407 9,753,638 2,943,612 12,697,250 83,819,157 87%
WASH 125,338,665 16,056,940 139,124 16,196,063 109,142,601 87%
Education 36,048,661 0 0 0 36,048,661 100%
Child Protection 20,500,848 5,850,127 0 5,850,127 14,650,721 71%
Social Policy 42,719,092 236,635 919,885 1,156,520 41,562,572 97%
SBC and AAP 9,666,573 0 0 0 9,666,573 100%
Total $345,357,584 $46,579,291 $4,002,620 $50,581,911.25 $304,957,624 88%

11 Breakdown of funding allocated to each cluster is as follows: Education - $1,046,594; Nutrition - $2,145,400; WASH - $1,222,972; CP -
$1,014,015
12 The nearly $6 million reduction in drought funding of the BHA grant received is due to double counting in the July 2023 SitRep, the table has
been corrected.
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