In a major vaccination
campaign concluding this week, 4.7 million children are being vaccinated in
response to a measles outbreak in northeast Nigeria. The campaign is covering
the three states most affected by the Boko Haram conflict – Adamawa, Borno and
Yobe – where insecurity has limited vaccination efforts. In 2016, there were
approximately 25,000 cases of measles among children in Nigeria; 97 per cent of
the cases were in children under the age of ten and at least a hundred children
died.
“Security has improved
in some areas so we have acted quickly to access places we could not previously
reach and protect children from the spread of a very dangerous disease”, said
Mohamed Fall, UNICEF Representative in Nigeria. “We are still extremely
concerned about children living in large areas of Borno state that are not yet
accessible.”
Measles infections
tend to increase during the first half of the year because of higher
temperatures. Measles vaccination coverage across Nigeria remains low, with a
little over 50 per cent of children reached, but in areas affected by conflict,
children are particularly vulnerable. The risks for malnourished children who
have weakened immunity are further heightened. The conflict and resulting
displacement have left more than 4.4 million children in Nigeria in need of
humanitarian assistance, with an estimated 450,000 children likely to suffer
from Severe Acute Malnutrition in 2017.
The vaccination
campaign, conducted in partnership with the Nigerian government, WHO, and
several non-governmental organizations, also includes a vitamin A supplement
for children under five to boost their immunity as well as de-worming tablets.
Most of the funding for the campaign was provided by the Measles and Rubella
Initiative.
The campaign is part
of UNICEF’s wider emergency health response in the three northeast Nigerian
states. In partnership with Nigerian authorities, UNICEF has provided primary
health care services for both internally displaced persons and the vulnerable
host communities within which they have sought shelter. Health clinics have
been rehabilitated, damage from the fighting has been repaired and temporary
clinics have been set up, equipped and stocked in camps for the displaced,
reaching more than 4.2 million people with services that include routine
vaccination, ante-natal care and midwifery support, and treatment for common
illnesses such as malaria, diarrhoea and pneumonia, as well as measles.
UNICEF has trained
more than 1,000 health workers on emergency primary health care services; in
areas that have become accessible more recently to humanitarian workers, UNICEF
has recruited 60 nurse-midwives and deployed six doctors to strengthen health
services.
The emergency in
northeast Nigeria remains acute with more than 1.6 million people displaced
because of the conflict. Although UNICEF has made significant progress in
reaching children and their families with healthcare, treatment for
malnutrition, safe water, sanitation and hygiene services, education and child
protection, a persistent lack of funding continues to hamper the response
effort. Of the US$115 million called for in 2016, only US$51 million was
received; in 2017, UNICEF is seeking 150 million to respond to the urgent
humanitarian needs in northeast Nigeria.
Photo caption information:
A small child is vaccinated against measles at the Malakachalla clinic in Maiduguri, during the vaccination campaign in northeast Nigeria concluding this week.
Pix: UNICE/Nigeria/2016/van den Berg