Crisis Severity The severity score from 1 to 5 is based on 31 indicators aggregated into 3 pillars (impact, conditions, and complexity)4.20 Very lowVery high 5
Impact This measures the impact of the crisis itself, in terms of the scope of its geographical, and human effects.4.40 Very lowVery high 5
Humanitarian Conditions This measures the conditions and status of the people affected, including info about the distribution of severity.4.00 Very lowVery high 5
Complexity This measures the complexity of the crisis, in terms of factors that affect its mitigation or resolution.4.30 Very lowVery high 5
Access Constraints This measures the level of humanitarian access constraints.4.0No constraintsExtreme constraints
DRC: Displacement in Ituri
DRC: Displacement in Sud Kivu
A complex emergency has persisted in DRC for more than 20 years. Over 99% of displacement, which is frequent and repeated, is due to armed clashes and intercommunal violence between foreign, self-defence, and other armed groups. 4.49 million IDPs are registered and 800,000 refugees are hosted in neighbouring countries. DRC also hosts approximately 533,000 refugees.?
An Ebola virus outbreak began in Ituri and Nord-Kivu provinces on 1 August 2018, transmission rates have been increasing since late March. Conflict in Nord-Kivu make the response to extremely challenging, and activities are regularly suspended.?
By mid-December 2018, almost 670,000 Congolese nationals returned from Angola to Kasai and areas close to the border after the Angolan government forced all those without documentation to leave. Most returnees are staying with host communities while some are sleeping out in the open or in churches. They are in need of healthcare, food, drinkable water, WASH, and also face protection concerns as the security situation in Kasai is volatile.?
The Commission électorale nationale indépendante announced the provisional results, with Félix Tshisekedi declared the new president, after elections took place on 30 December in a tense climate with reports of widespread irregularities, voter suppression, and violence. ?
INFORM measures DRC's risk of humanitarian crisis and disaster to be very high, at 7.6/10. Lack of coping capacity is of particular concern, at 8/10 as well as vulnerability at 7.6/10. ?
Since mid-October heavy rains have caused flooding across numerous provinces in DRC, including Sud-Ubangi, Nord-Ubangi, and Mongala. Assessments are still ongoing, but initial reports indicate that 40,000 people have been displaced, particularly in communities along the Ubangi River.? In the Libenge and Zongo territories of Sud-Ubangi, approximately 14,200 homes have been destroyed and schools, bridges, and crops have been significantly damaged by the floods. Infrastructure and homes have been damaged or destroyed by the floods across three territories in Nord-Ubangi, including Mobayi-Mbongo, Bosobolo, and Businga. In the Bumba Territories of Mongala, flooding has destroyed houses, crops, and livestock. Humanitarian response may be compromised due to restricted access caused by damaged roads and bridges. As of 11 November, the Ubangi river was still rising, potentially leading to further destruction and displacement. ?
Very high constraints
Insecurity and poor infrastructure continue to restrict humanitarian access. The security situation remains volatile due to armed clashes and inter-ethnic conflicts. In addition, difficult terrain and limited infrastructure, particularly poor road conditions, remain a logistical obstacle to reach populations in need. The UN Humanitarian Air Service (UNHAS) continues to be essential to airlifts of personnel and goods to areas in need. The risk of attacks against humanitarian workers remains high. Armed groups have ambushed and robbed aid convoys and kidnapped staff of several aid organisations for ransom. Activities in some regions had to be temporarily suspended following attacks against health workers and facilities.
Read more in the latest ACAPS Humanitarian Access Overview.
On 2 June 2019, the Ebola outbreak in northeast DRC surpassed 2,000 cases including nearly 1,400 deaths.? The rapid increase in case numbers since late March has been linked to widespread insecurity resulting from some 120 active armed groups in the area and violence against response workers by armed groups and villagers, that lead to temporary suspension of response activities. Community distrust due to misinformation, scepticism against the government, and a reluctance to seek treatment and adhere to preventative measures is widening gaps in Ebola treatment and tracking; it is estimated that only 75% of cases are detected.?High population mobility and frequent internal and cross-border conflict displacement aggravate the situation and increase the risk of Ebola spreading to neighbouring provinces and countries, including Rwanda, South Sudan and Tanzania. ? On 11 June, an Ebola outbreak was declared in Uganda as several people infected with the virus returned from DRC to Uganda via informal crossings to avoid health checkpoints. ? The spread to more densely populated, economic centres is particularly concerning and will make it harder to contain the outbreak. Nord Kivu’s capital Goma is a high-risk location, given its proximity to the border with Rwanda, frequent movement of goods and people, and limited preparedness. Despite response adjustments including communication campaigns that target community mistrust, an extension of the vaccination campaign, and the activation of the “Humanitarian System-wide Scale-Up” in late May, the risk of Ebola spreading remains high, with a high probability of the disease reaching Goma and then becoming even more challenging to contain. ?
This geographical spread will make it harder to gain control of the outbreak and increase the loss of human life. The case fatality rate has risen in recent months, from 61% in early January to 67% in mid-June. ? The first EVD cases in Uganda and the threat of Ebola reaching Goma near the Rwandan border mean that the declaration of a “Public Health Emergency of International Concern (PHEIC)” is likely. This would place restrictions on trade and travel.
Trade, employment and family ties see several tens of thousands of people cross the DRC-Rwanda-Uganda borders every day. Restrictions on movement will likely impact livelihoods, food security, and nutrition. Disruptions are likely to increase reluctance towards response efforts and increase informal crossings where no screening is in place, thus further impeding humanitarian operations.? Although preparedness and response capacity was previously estimated to be good in some neighbouring countries, several factors could aggravate the situation: including other disease outbreaks that display similar symptoms such as cholera; the ongoing rainy season hindering access in Uganda and South Sudan; and the volatile security situation in South Sudan. As in the ACAPS’ Global risk analysis published in December 2018, IDP and refugee populations are anticipated to be at a higher risk due to congested displacement sites and limited access to adequate WASH facilities.
This risk was identified in the June Quarterly Risk Report.
Food security: 13.1 million people are in IPC Phase 3 (Crisis) and IPC Phase 4 (Emergency), mainly in the conflict-affected eastern part of the county and Greater Kasai region, where a severe cholera outbreak and recent influx of returnees from Angola further aggravate the situation.? Conflict and insecurity, which limit access to livelihoods and disrupt farming activities, are key drivers of food insecurity, especially in the east and in the Greater Kasai region.?
Protection: Sexual gender-based violence (SGBV) by armed groups and government forces is often reported in conflict-affected areas: in 2017 over 13,000 cases of SGBV were reported across the country.?
WASH 13.1 million people are in need of WASH support.? 50% of households in DRC do not have access to drinking water, and poor sanitation and hygiene services are among disease predisposing factors. Damage to WASH infrastructure in conflict as well as long-term displacement and a high concentration of IDPs has placed pressure on water resources.?