Progress report for
Mangrove Partnership Reporting Online Platform
Achievement at a glance
December 2017, weak end by conflict and malnutrition, children face extreme threats to health.\r\nNorth West region health system, already fregile before the conflict is at at breaking point. Health facilities have been looted or destroyed and many health workers have not been paid. Disease outbreaks have become more widespread and more deadly.<br>
<br>The conflict has severely restricted access to safe water and basic sanitation facilities. In some areas, the fighting has made it impossible to repair or maintain facilities, while in comparatively safe areas, large influxes of people fleeing the fighting have further strained water and sanitation facilities in the absence of safe water sources, families draw water directly from contaminated rivers or streams.
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<br>The lack of adequate health, water and sanitation services provide fertile ground for the spread of diseases at a time when fighting, displacement and malnutrition have weak end communities, leaving children particularly malaria, pneumonia are major killers of children in a country where one in every 10 children dies before reaching the age of 5, and almost one in 100 births results in the death of the mother. More than 1.3 million people fell ill with malaria in the first nine months of 2017. Every week, the mosquito borne disease kills nearly 2235 people, most of them children under five. A cholera outbreak, which started in June 2016, could have devastating consequences if it not brought under control. In the first eight months of 2017, more than 20,112 cases, including 388 deaths, had been reported. Close to half the cases are among children under the age of 15. Among those affected are communities who live in remote, hard to reach areas, and cattle herders, whose movements are difficult to predict. Limited financial resources and the need to respond to numerous health emergencies simultaneously are further complicating efforts to contain the outbreak.