Ethiopia

Humanitarian
Situation Report
No. 10
including Northern Ethiopia
and Drought responses

Situation in Numbers
31.4 million
people in need
(2023 HNO)
@UNICEF Ethiopia/2023/ Raphael Pouget
16.5 million*
Reporting period: 1 October – 30 November 2023 children in need of
humanitarian assistance
Highlights (CSA) *

• Flooding has severely affected over 1.5 million people across parts of 4.39 million
southeastern Ethiopia displacing over 600,000 people, causing the Internally Displaced People
deaths of 57 people and thousands of livestock, and damaging and (IDPs) **
destroying infrastructure and crops.
953,667
• During the reporting period, UNICEF supported the provision of primary Total Refugees and Asylum
health care services to more than 352,000 children and women across Seekers
drought and conflict-affected areas of Ethiopia. (UNHCR, 31 October 2023)

• Across its programmes since January 2024, UNICEF has reached 46

per cent of its targeted people in need across the country, and 30 per
cent of its targeted children in need.

• As a community resilience measure, UNICEF supported drilling and

solarizing a borehole in Mieso woreda, Oromia Region, expanding the
water supply system to neighboring kebeles, benefitting over 7,000 UNICEF Appeal 2023
people and offering a sustainable source of water for the community.
US$ 674.3 million
UNICEF Response and Funding Status

Funding Status (in US$)

Access to Primary Health Care 119%
Health

Funding status 93%

WASH Education Protection Nutrition

Sever Wasting Treatment 44%

Funds received,
Funding status 42% $139,492,068
MHPSS access 109%
Child

Funding status 33%

Education access 32%
Funding status 17% Funding gap,
$483,908,357 Carry-forward,
Water Supply 28% $50,883,778
Funding status 16%

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
1
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 28% of the total funding
requirement is available to date. To ensure that children
and their caregivers receive lifesaving support in 2023
and beyond, UNICEF appeals to all donors 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, Saudi Arabia, 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 Needs 1
Ethiopia continues to experience ongoing conflict and
large-scale displacement, as well as multiple disease
outbreaks, such as cholera, measles, malaria, and
dengue fever. Most recently, this has been
compounded by flooding as a result El Nino, all of which
are having a profound impact on vulnerable individuals,
particularly children.
Heavy rains in Somali Region during the reporting
period led to flooding that that has displaced hundreds
of thousands of people and has also left many
communities trapped due to excessive flood waters.
According to the Regional Disaster Risk Management
Bureau (DRMB), 33 woredas and 156 sites in Afder,
Daawa, Doolo, Erwe, Jarar, Korahe, Liban, Nogob and
Shabelle zones have been affected by flash and river
floods. Over 101,940 households (611,640 people)
have been affected and more than 40,000 households
(240,000 people) have been displaced. Additionally,
flooding has led to the deaths of 33 people and 4,806
livestock 2. Furthermore, the floods have caused
significant damage to over 16,300 hectares of crops,
impacting livelihoods throughout the region, as well as
a health post, schools, water intakes/wells and
community centers. The heavy rain comes after several
years of drought and five consecutive failed rainy
seasons, and it is anticipated to last until December
2023. Flood-displaced families have limited access to
1 4
The Situation Overview and Humanitarian Needs reflects the
situation and needs as of 30 November 2023, while all programme
results reflect as of 31 October 2023.
2 situation response 24 Nov 2023
UNOCHA Ethiopia Flood situation update 15 November 2023.
3
UNOCHA Ethiopia Situation Report, 31 October 2023.
critical basic services, including safe drinking water,
emergency shelter, WASH non-food Items (NFIs), and
alternative care for unaccompanied and separated
children. Furthermore, 24 main routes and multiple
bridges throughout Somali have been damaged, posing
significant constraints in reaching inaccessible and
hard-to-reach communities. Moreover, most affected
districts of Liban, Shabelle, and Afder zones continue to
be affected by the ongoing cholera outbreak.
Similarly, heavy rainfall in the highland parts of South
Ethiopia Region (SER) resulted in the overflow of the
Omo River and flooded 30 kebeles in Dasenech
woreda, South Omo Zone. According to the DRMB
rapid assessment, about 65 per cent of the land area of
the woreda is currently covered by water. This has
resulted in the displacement of over 81,000 people
throughout the region, including 62,800 people from
Dasenech woreda and over 708 people from two
woredas of Gedeo zone. The floods also brought
damage to nearly 1,800 hectares of farmland, posing a
severe threat to agricultural productivity. There is a high
risk in the potential loss of more than 823,700 livestock
and if heavy rains and floods persists, it is projected that
at least 1.34 million livestock will face critical shortage
of pasture. The flood has also impacted social
infrastructure including health institutions, schools, and
water schemes and this requires urgent response to the
affected people.
The Afar region is currently facing a dire nutrition
situation as a result of food insecurity and malnutrition,
exacerbated by various factors including flooding,
conflict, multiple disease outbreaks, a deterioration in
the economic situation, and ongoing drought. The crisis
particularly affects 15 conflict-affected woredas in
Kilbati and Fanti-Rasu zones including Chifra, with over
663,6003 people requiring emergency food assistance.
The ongoing cholera outbreak continues to affect
99 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 27,900 cases4 and 397 deaths (CFR 1.42%)
reported as of 26 November. Additionally, a total of
97,8875 malaria cases and 13 deaths were recorded as
of 24 November, representing a six per cent increase
over the previous reporting week (Epi-week 44). Across
the country, 928 woredas reported at least one case of
malaria. The seasonal rainfall created multiple small
water ponds conducive to mosquito breeding, which,
when combined with insufficient community awareness
of best practices to mitigate the spread of malaria such
as the use insecticide-treated bed nets, has significantly
contributed to high malaria transmission rates.
Additionally, transmission has been exacerbated by
flooding in malaria-endemic woredas across the
country. A measles outbreak also remains active in 39
Bacterial Disease Surveillance and Response Weekly SitRep,
Ethiopian Public Health Institute (EPHI), 26 November 2023.
5
EPHI Public Health Emergency Center (PHEOC) Multi outbreak
2
woredas across different regions. A total of 1,389 new
measles cases and seven deaths have been reported.
As of 26 November 2023, 93,128 people had 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, Ethiopian returnees, so far, 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 Response 6
Health
During the reporting period, UNICEF provided medical
consultations to nearly 278,000 women and children
through Mobile Health and Nutrition Teams (MHNTs) in
Tigray, Afar and Amhara regions. Notably, in Tigray, the
cumulative total reached is 1,087,383 individuals,
exceeding the initial target of 448,295 by 243 per cent.
This remarkable achievement was due to expanded
access enabled by the Cessation of
Hostilities Agreement (COHA). UNICEF also continues
to strengthen access to and quality of newborn and child
health services, with 10,000 pregnant and lactating
women (PLW) receiving antenatal care (ANC), 2,006
PLW giving birth with a skilled birth attendant (SBA),
and 2,091 mothers and children attending early
postnatal care services in Tigray region. In Amhara
region, psychosocial support services were provided to
more than 5,000 individuals from affected communities,
and referral services were provided for 755 children and
adolescents referred from six IDP sites, four health
facilities, two refugees and returnees’ centers. In Afar,
training sessions were conducted for 71 health workers
on basic emergency obstetric and neonatal care, as well
as integrated community case management. Moreover,
20 health workers received training on the integrated
management of childhood illness.
As part of UNICEF’s ongoing drought response, more
than 75,000 women and children were able to access
primary healthcare services and receive medical
consultations through UNICEF-supported MHNTs in
drought-affected regions. As part of service integration
with emergency responses, 2,627 children under the
age of two received vaccinations to enhance routine
immunization, and 19,510 children were vaccinated
with measles conjugated vaccine (MCV) as part of the
outbreak response. Similarly, more than 13,000
children have received measles vaccination in Oromia
and Somali regions. Furthermore, UNICEF deployed
two zonal Technical Assistances (TAs) to provide on-
site technical support for cholera outbreak responses
6 8
Due to the data verification process, the Summary Analysis of
Programme Response reflects results as of 31 October 2023.
7
Linking the short-term interventions to system strengthening and
durable solutions.
and other public health emergencies in Borena, West
Guji, East Borena zone and East Guji zones.
UNICEF continued to provide technical assistance to
the Regional Health Bureaus (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, 604 PLW giving birth with a
skilled birth attendant, 39 PLW receiving ANC) and 324
women received post-natal care services for refugees,
returnees, and host communities in the regions.
Through UNICEF-supported MHNTs, over 2,000
refugee women and children were reached through
essential health services. Furthermore, nearly 1,500
individuals were referred for MHPSS. UNICEF provided
two Emergency Drug Kits (EDKs) to ensure continuity
of essential services to women and children in IDP and
returnee hosting woredas in Benishangul Gumuz
region. Similarly, in Gambella, UNICEF continued
providing the primary health care services to a total of
9,100 individuals and 19,800 mothers and caregivers
reached through continuous social mobilization and
communication to promote immunization and other
Maternal, Newborn, and Child Health (MNCH) services.
As part of UNICEF’s efforts to build community
resilience and contribute to the Nexus7 approach,
UNICEF has provided support for the restoration of
health facilities that were damaged in conflict-affected
regions, with the aim of strengthening the capacity to
deliver primary healthcare services and improving the
ability to respond to public health emergencies in these
regions. In Tigray, approximately 192 primary health
care units started static and outreach services through
the provision of cold chain and assorted MNCH
equipment, emergency drugs and other supplies.
Additionally, capacity building and technical support
were provided. Among these units, one health center
has been rehabilitated and two other health facilities are
currently undergoing rehabilitation works. UNICEF also
provided support for training programs on cholera and
other public health emergencies, targeting nearly 100
health workers and community health workers in
cholera affected regions. These trainings aim to
enhance the capacity of health workers and promote
resilience in responding to emergencies.
Nutrition8
During the reporting month, UNICEF and partners
provided treatment to more than 31,000 children
suffering from Severe Acute Malnutrition (SAM) across
all regions. In northern Ethiopia, UNICEF supported the
training of 433 health workers in Integrated
Management of Acute Malnutrition (IMAM).
Additionally, efforts were made to providing Vitamin A
supplementation to 18,378 children aged 6-59 months,
deworming tablets to 18,663 children aged 12-59
months, and weekly iron-folic acid (IFA) supplements to
Data on nutrition programme response is two months delayed due
to lengthy data collection and verification process from the kebele to
the federal level.
3
more than 10,000 pregnant women. Furthermore, over
56,500 primary caregivers of children aged 0–23
months received counselling on Infant, and Young Child
Feeding (IYCF) and care practices.
As part of the drought response, UNICEF reached over
27,800 children suffering from SAM, more than 398,000
children aged 6-59 months received vitamin A, more
than 289,000 children aged 2-5 years were dewormed,
67,982 pregnant women were supplemented with IFA,
and 201,202 mothers with children aged 0-23 months
received key nutrition messages through community-
based nutrition services. In Oromia, a lifesaving
integrated find and treat campaign was conducted in 49
drought-affected woredas. Out of the screened children,
7,468 (1.2%) children with SAM and 77,239 (12.3%)
were identified with Moderate Acute Malnutrition
(MAM). Furthermore, UNICEF deployed five
Emergency Nutrition Officers (ENOs) who visited 106
health facilities in drought and conflict-affected woredas
of SER, providing technical and logistical support and
delivering on-the-job training and coaching to 181
Health Extension Workers (HEWs), Health Workers
(HWs), and supervisors in managing SAM, IYCF,
supply transportation and management systems in
Sidama, CER, Southwest Ethiopia People’s Region
(SWEPR), and SER. In Somali, over 14,360 cartons of
Ready-to-Use Therapeutic Food (RUTF), 75 cartons of
therapeutic milk, and 90 Therapeutic Feeding Program
(TFP) opening kits were dispatched to respond to the
flood. In addition, a total of 2,048 children aged 6 to 23
received Small Quantity Lipid-Based Nutrient
Supplements (SQ-LNS) to prevent malnutrition in early
childhood.
As part of UNICEF’s efforts to build community
resilience and contribute to the Nexus approach,
UNICEF and its partners are implementing local
solutions to prevent malnutrition and enhance
resilience. Small-quantity lipid-based nutrient
supplements (SQLNS) and hydroponic vegetable
farming are being implemented in mekelle, central, and
southern Tigray. These community-based efforts
involve the participation of Mother Support Groups
(MSG). In October, SQLNS was provided to 1,909
children in the central zone and 3,209 in the southern
zones to prevent micronutrient deficiencies while 50
individuals received training on hydroponic farming
techniques to establish household-level vegetable
cultivation systems. Furthermore, UNICEF deployed 52
ENOs nationwide to provide capacity-building training,
on-site coaching, and mentoring for health and
extension workers, while also monitored the nutrition
supply chain and conducting advocacy. In Benishangul
Gumuz, 11,806 mothers and caregivers were trained on
routine vaccination and MNCH services for IDPs,
returnees, and host communities.
WASH
In October alone, UNICEF provided access to safe
drinking water for more than 96,000 people through
rehabilitation of existing non-functional water schemes,
water trucking, and installation of water storage tanks.
Furthermore, approximately 28,861 people were
reached with handwashing and behaviour change
activities. UNICEF also reached nearly 155,000 people
through the provision of basic WASH NFIs such as
soaps, household water containers and water treatment
chemicals in Afar, Benishangul Gumuz, Gambella,
SER, Oromia, Somali and Tigray regions. Moreover,
39,412 people had access to safe and appropriate
sanitation facilities mainly through emergency latrine
construction, repair of existing non-functional latrines
and desludging of filled latrines in Amhara, Tigray,
Oromia and Gambella regions.
In Northern Ethiopia, UNICEF collaborated with
partners to provide safe water supply to 21,538 people
through water trucking and restoration of damaged
water schemes. Furthermore, a total of 35,620 people
were reached through provision of WASH NFIs and
6,355 people have had access to basic sanitation
facilities. UNICEF conducted a hand-washing
behaviour-change programme, targeting more than
31,059 people in different IDP sites.
In Oromia, UNICEF continued its efforts to respond to
the drought and cholera-affected areas by deploying
three water trucks in Borena and West Arsi zone
benefitting over 12,000 people with clean water.
Furthermore, two springs with distribution systems were
completed in Berbere woreda of Bale zone, benefiting
16,104 individuals. As part of cholera prevention and
response intervention in Sheger City, 15 woreda
experts were trained in water quality testing and
disinfection. Additionally, 80 water schemes were
disinfected, and 30 water samples were tested for
contamination, benefiting more than 426,000 people at
risk of cholera. Moreover, the construction of two
permanent institutional latrines at Borena, Dokishu
health post and East Bale Sofumer Health center has
been completed, providing improved sanitation facilities
for the respective healthcare institutions. In Afar,
UNICEF, in collaboration with the Regional Water
Bureau (RWB), completed the rehabilitation of the
piping system and installation of the roto tanks in Bidu
town, benefiting 5,500 people. In SER, 19,600 people
were reached through the rehabilitation and expansion
of three water supply schemes with solar systems in
Dasenech woreda of the South Omo zone. Similarly, in
Somali, over 10,000 individuals from both IDP and host
community populations were able to access safe
drinking water through the provision of water trucking
services. UNICEF also provided WASH NFIs including
water treatment chemicals, laundry, and body soap
benefitting over 5,500 people in Sidama region.
Additionally, over 800 people were reached through
hygiene promotion interventions in the cholera-affected
and at-risk woredas of Sidama region.
As part of UNICEF’s efforts to build community
resilience and contribute to the Nexus approach,
rehabilitation and expansion of water supply systems
have been carried out, with approximately 2,800 water
schemes rehabilitated in the past two years, providing
sustainable water access to over one million people in
Tigray region. In addition, the installation of solar
equipment has enabled the motorization of three water
4
supply systems, benefiting around 30,000 individuals.
WASH facilities have also been installed in 67 schools,
providing safe sanitation for approximately 200,000
school children, contributing to a safe learning
environment in Tigray. Moreover, as part of the system
re-activation and strengthening, four water utility
companies have developed business plans, improving
their operational efficiency and resilience, aiming for
self-sustainability and equitable service delivery. In
Somali, a three-phase approach was implemented,
benefiting 41,268 individuals through interventions such
as electrifying the water supply system, upgrading the
main distribution pipeline, and expanding the
distribution network with additional water points in Qoloji
IDP site. Similarly, in Bediweyne IDP site, a two-phase
project that began with 300 households has now
expanded to 500 households by developing a shallow
borehole, constructing a water distribution system, and
installing a solar system to establish a remote water
supply system.
Child Protection
During the reporting period, UNICEF supported more
than 72,000 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 mental health and
psychosocial support (MHPSS), family tracing and
reunification (FTR), and alternative care services for
unaccompanied and separated children (UASC). In the
reporting month, over 19,800 children and caregivers
were provided with mental health and psychosocial
support (MHPSS) through access to child-friendly
spaces, specialized and non-specialized individual
MHPSS support services. Furthermore, 555 UASC
were reunified or placed in alternative care, while 1,944
children who had experienced violence received child
protection case management services through referrals
to health and psychosocial and legal services. UNICEF
also reached 24,759 people through GBV, prevention
and response activities through community
sensitization activities conducted with community-
based structures to raise awareness on protection
issues. In addition, 9,227 people were reached through
GBV risk mitigation interventions by health, nutrition,
and social protection sectors.
In northern Ethiopia, UNICEF provided support to nearly
49,000 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 2,142 individuals in Abala, Yallo, Kelewan,
Berahle woredas. UNICEF, in collaboration with its
partners, conducted capacity-building training sessions
on landmine and explosive ordinance risk reduction
(EORE) in Tigray and Afar regions, reaching 13,693
children and 35,198 community members to reduce the
risk of injuries and death from explosive ordinance
incidents.
UNICEF and its partners provided support for MHPSS
interventions including psychological first aid, peer
support, socio-emotional learning skills, parenting skills
education sessions, and individual counselling reaching
5,125 children and caregivers in Konso, and South Omo
zones, aiming to enhance their well-being, help cope
with stress, and build resilience. Furthermore, five
survivors of sexual violence were referred and received
comprehensive GBV services, including health, psycho-
social support, and legal support in Konso and South
Omo zones. In Benishangul Gumuz, UNICEF, in
partnership with Imagine 1 Day, provided hygiene kits
containing sanitary pads and soaps to a total of 650
women and girls. Along with the provision of these
dignity items, messages were conveyed to raise
awareness about the benefits of using hygiene kits for
adolescent girls and women. Additionally, UNICEF, in
collaboration with Bureau of Women and Social Affairs
(BoWSA) and Plan International Ethiopia, held a child
protection case management training for 28 participants
in Gambella as part of the Child Protection in
Emergencies (CPiE) program.
As part of UNICEF’s efforts to build community
resilience and contribute to the Nexus approach,
UNICEF provided support in strengthening institutional
and technical capacity of the civil registration system in
Afar, Oromia, Somali and Southern regions.
Interventions include, building the capacities of civil
registrars and health workers trainings, awareness
creation activities as well as monitoring and supportive
supervision of civil registration activities. As a result, the
rate of birth registration and issuance of birth certificates
to children under the age of five has shown
improvement in all target areas. Furthermore, a trend
analysis was conducted to assess the influence of the
humanitarian situation and interventions on reducing
the vulnerability of adolescent girls by analyzing
incidents of child marriage using data from January to
April 2022/2023. Accordingly, the result has shown that
child marriage has decreased overall by 26.7 per cent
in 2023 for the drought-affected regions. Moreover, a
capacity-building training session was conducted for a
group of 44 personnel from UN agencies, CSOs, and
government entities to enhance the flexibility of the
Harmful Practices (HP) intervention in humanitarian
contexts and strengthen the nexus approach. The
training focused on utilizing the toolbox on Female
Genital Mutilation (FGM) and the Humanitarian-
Development Nexus framework, resulting in the
creation of an action plan that emphasizes the necessity
for ongoing capacity development, as well as the
articulation of the HP narrative and its role in promoting
the overall well-being of adolescents and communities,
similar to other life-saving interventions.
Education
In October alone, UNICEF, in collaboration with
Regional Education Bureaus (REBs) and NGO
partners, has reached over 68,000 children through the
provision of formal or non-formal education in
emergency-affected regions. Additionally, a total of
184,993 children have benefitted from the provision of
educational materials. As part of the Northern Ethiopia
5
response, school bags and stationery were distributed
to 7,773 school-age children in Ewa and Chifra woredas
of Afar region. Additionally, nine wheelchairs and 24
crutches were purchased and distributed to children in
need. Five tents and 181 combined desks were also
distributed to support the educational facility and to
create a conducive learning environment. In Amhara
region, UNICEF, in collaboration with Imagine 1 Day,
provided individual learning materials to nearly 14,000
children in Lasta, Lalibela and Raya Kobo woredas of
North Wollo zone. Additionally, the Accelerated
Learning Program (ALP) continued to support 1,000
out-of-school children aged 9 to 14, enabling them to
continue their education. Furthermore, a total of 561
teachers and parents received MHPSS, inclusive
education and life skills training, strengthening their
capacity to address the well-being of the students and
promote positive learning environment. With UNICEF
support, the REB conducted back-to-school/learning
campaigns in multiple zones, reaching 24,569 people,
including 15,844 children, through the dissemination of
key messages via printed banners and awareness-
raising activities using amplifiers in community
gathering areas. Additionally, over 3,300 children
benefited from learning materials in Mekelle, Selekleka,
Endabaguna and Sheraro towns.
In Oromia, UNICEF distributed 29,502 school bags to
children in 85 schools across 25 conflict-affected
woredas. As a result, a total of 88,157 needy and at-risk
children were able to receive essential learning
materials. Similarly, in Somali, 50 Early Childhood
Development (ECD) kits and 75 schools in a carton
were distributed to Dolo-Ado, Dolo-Bay, and
Guradhamole woredas, benefiting 17,000 children,
facilitating teaching, and learning processes and
assisting flood-displaced children. Furthermore, 85,723
people were reached through back-to-school
campaigns in Oromia and Sidama regions. In Afar, the
construction of one temporary learning site and one
primary school, which include gender disaggregated
WASH facilities, have been completed and furnished
with 59 combined desks, two blackboards, two
teachers' chairs, and a table and they have been
distributed to the respective schools. In addition, 14,493
school children were provided school bags with basic
learning materials and the schools were provided 187
combined desks and 78 blackboards in SER. Moreover,
in Gambella, UNICEF provided 200 ECD kits and 100
recreational kits to schools and children affected by
conflict and floods across eight woredas and
Nguenyyiel refugee camp.
In Tigray, as part of UNICEF’s efforts to build
community resilience and contribute to the Nexus
approach, nine classrooms were constructed in three
schools, and 35 schools were rehabilitated with WASH
facilities. Furthermore, schools that were damaged by
the conflict received desks for students and
chairs/tables for teachers. As a result, the building
assistance benefitted over 20,000 students. Moreover,
UNICEF in collaboration with Imagine 1 Day and REB,
provided training to more than 40,000 teachers and
education personnel on MHPSS, accelerated teaching
methodologies and an orientation on the condensed
curriculum enabling them to deliver quality education
and address challenges identified during school
reopening reflection workshops. Additionally, children
aged 7-18 years received life skills training to help them
recover from violence and life-threatening situations,
improve community cohesion and stability, and develop
equitable and healthy relationships.
Social Protection
During the reporting month, more than 1,880 drought-
affected households (12,892 people) in Bishan Guracha
and Goro Gutu woredas of Oromia region 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. As part of
UNICEF’s efforts to build community resilience and
contribute to the Nexus approach, the beneficiaries
received training on financial inclusion to support their
engagement in income generating activities.
Additionally, they have organized themselves into 97
self-help groups (SHGs) based on their socioeconomic
status.
More than 2,300 conflict affected individuals had safe
and accessible channels to report sexual exploitation
and abuse and 528 women, girls, and boys accessed
GBV risk mitigation, prevention, and/or response
interventions by community-level social workers.
SBC and AAP
In October 2023, over 1.4 million people were reached
and engaged through community engagement sessions
as part of UNICEF Social Behaviour Change cross-
cutting programming. 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 6,800 people regarding the services
provided. Feedback was collected through established
mechanisms for 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.
PSEA
During the reporting period, UNICEF reached over
60,000 individuals with information on safe and
accessible SEA reporting channels, including focus
group discussions, community awareness-raising
sessions, and information campaigns across all
regions. UNICEF conducted partner risk assessments
and evaluated six new civil society organizations
(CSOs) using UN common PSEA assessment tool.
Among these CSOs, one demonstrated full capacity,
while four were identified as moderate risk and one as
a high risk. In response, UNICEF provided support and
developed a six-month action plan to assist the
6
moderate and high-risk partners in enhancing their
capacities.
Human Interest Stories and External Media
During the reporting period, UNICEF documented the
visit of the Royal Family, Her Royal Highness, The
Duchess of Edinburgh, to Tigray region, where she
observed the support provided to children, displaced
young women, and survivors of gender-based violence.
The joint visit of the Denmark and Sweden
Ambassadors to the Gambela region was also
highlighted through photos and video. Furthermore,
UNICEF covered the UK Ambassador’s visit to Tigray
to see the UNICEF-supported programmes for children
and their communities. UNICEF also documented the
ongoing cholera response in the Sidama region through
video. The response was further amplified by the
testimonies of parents from Bale zone and commitment
of health workers in Dire Dawa region.
UNICEF highlighted the ongoing humanitarian
response in Qoloji, Somali region by emphasizing the
importance of education for children and their futures.
The solarized water scheme built to support children,
IDPs, and the host communities was also highlighted
through a video. UNICEF also celebrated World
Teacher Day, World Mental Health Day, the Day of the
Girls, World Polio Day, and United Nations Day.
Donor contributions to UNICEF Ethiopia humanitarian
appeal on social media were also highlighted including
USAID, UAE, Canada in Ethiopia, and Education
Cannot Wait.
Humanitarian Leadership, Coordination and
Strategy
UNICEF continues to lead the Nutrition and WASH
Clusters and 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
also 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. UNICEF uses 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

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

7
Annex A - Summary of Programme Results9

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 10 Jan-Oct 2023 Jan-Oct 2023 Jan-Oct 2023 Jan-Oct 2023
Number of children aged 6 to 59 months with severe
1,213,870 537,438 1,213,870 537,438 334,102 143,768 845,458 372,941
wasting admitted for treatment
Number of children aged 6 to 59 months receiving Vitamin
5,835,146 3,789,174 2,169,383 684,182 3,340,380 2,886,119
A supplementation (SEMESTER 2)
Number of primary caregivers of children aged 0 to 23
1,047,650 2,930,801 11 1,047,650 2,930,801 527,530 866,456 450,561 1,983,980
months receiving IYCF counselling
Number of pregnant women receiving preventative iron
1,476,477 1,053,848 529,049 233,981 876,308 694,354
supplementation
Health
Number of children and women accessing primary
2,114,138 2,511,347 762,478 1,958,108 994,272 460,697
healthcare in UNICEF supported facilities
Number of children below 15 years of age vaccinated
900,000 1,169,568 421,998 996,137 459,310 161,950
against measles
WASH

Number of people accessing a sufficient quantity and

8,078,358 5,329,871 8,078,358 2,243,370 2,882,536 872,300 4,326,372 935,316
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 3,680,936 6,216,236 4,313,376 2,282,536 2,068,199 2,516,700 1,814,860
change programmes
Number of people reached with critical WASH supplies 3,212,822 674,398 3,212,822 1,189,536 1,022,000 388,866 1,555,622 693,070

Child Protection
Number of children, adolescents and caregivers accessing
347,000 270,008 275,012 299,176 190,910 207,860 80,026 73,353
community based MHPSS
Number of UASC provided with alternative care and/or
30,000 6,179 16,002 17,768 9,000 10,400 6,496 6,916
reunified
Number of children provided with landmine or other
explosive weapons prevention and/or survivor assistance 295,000 92,362 295,000 92,362
interventions
Number of girls and boys who have experienced violence
reached by health, social work, or justice/law enforcement 70,000 26,869 76,841 53,137 63,033 41,264 11,579 11,460
services

9
Due to the data verification process, Annex A - Summary of Programme Results reflects results as of 31 October 2023.
10 Data on nutrition programme response is two months delayed due to lengthy data collection and verification process from the k ebeles to federal level.
11 The cluster has prioritized targets for IYCF/E interventions in severity level 4 woredas. Integrated nutrition services (incl uding IYCF/E) and activities are recommended in all woredas
8
 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 10 Jan-Oct 2023 Jan-Oct 2023 Jan-Oct 2023 Jan-Oct 2023

Education

Number of children accessing formal and non-formal

1,344,475 201,622 1,088,257 348,871 508,393 161,237 465,702 107,091
education, including early learning
Number of children receiving learning materials 1,487,654 530,802 1,095,894 449,115 508,393 155,319 476,662 253,695

Social Protection

Number of households reached with UNICEF-funded

220,000 31,724 90,000 14,377 127,000 17,347
humanitarian cash transfers
PSEA
Number of people with safe and accessible channels to
report SEA by personnel who provide assistance to affected 969,403 948,027 12 345,904 342,224 519,165 387,524
populations (Cross-sectoral)
GBViE
Number of women, girls and boys accessing GBV risk
mitigation, prevention and/or response interventions 268,222 396,581 115,704 268,244 147,115 88,043
(Cross-sectoral)
Social Behaviour Change (SBC)

Number of people reached through messaging on

35,208,969 32,146,189 4,491,642 4,811,223 17,215,321 11,006,202
prevention and access to services

Number of people who participate in engagement actions 3,378,969 3,487,389 728,398 1,198,335 2,018,725 1,431,845

Number of people sharing their concerns and asking

816,196 256,900 153,874 9,533 504,345 193,287
questions through established feedback mechanisms

12 The data from the sections was not captured in the previous reports and now the matrix has been revised.
9
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 (USD) Available $ %
2023 over)
(USD) (USD) (USD)
Health 35 076 756 21,928,730 10,837,459 32,766,189 2,310,567 7%
Nutrition 140 834 883 43,346,269 15,468,108 58,814,377 82,020,506 58%
WASH 236,545,571 27,032,947 10,594,636 37,627,583 198,917,988 84%
Education 86,258,265 7,275,776 7,529,518 14,805,294 71,452,971 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 14,081,332 0 14,081,332 (8,652,351) -159%
Coordination13
Total $674,284,203 $139,492,067.98 $50,883,778 $190,375,845.70 $483,908,357.30 72%

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) 14

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%

13
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
14
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.
10