UNITED NATIONS, (CMC) – The United Nations Children’s Fund (UNICEF) said children in Haiti are facing the triple threat of insecurity, malnutrition and cholera, as violence spread from the capital, Port-au-Prince, to Artibonite, Haiti’s main rice-growing region.

This surge in violence, UNICEF said, is exacerbating an already critical humanitarian emergency.

Over five million Haitians, including a record three million children, need humanitarian support in 2023 and that nearly five million are acutely hungry, UNICEF disclosed.

The Fund stated that the dire situation is “terrorising children and families, and destroying livelihoods amid unprecedented hunger, malnutrition and a resurgent cholera epidemic.”

Haiti was among the top five countries globally in terms of recorded cholera cases between July 20 and August 31, and Artibonite has been the worst area affected overall.

Humanitarian workers said the insecurity has made it extremely difficult, and, in some cases, impossible to access six of the department’s 17 communes, including Saint Marc, Verrettes and Petite Rivière – hotspots of cholera where some families are virtually besieged by the violence.

It is reported that two of the three major water treatment plants in Artibonite have shut down due to insecurity, and the third faces distribution challenges.

According to UNICEF, the combination of escalating insecurity, restricted access to essential health, water and sanitation services, and cholera pose particularly lethal threats to malnourished children.

The agency said at least 115,000 children in Haiti are expected to suffer from life-threatening malnutrition this year, an increase of 30 per cent over 2022, noting that, in Artibonite, the number of children who are estimated to need lifesaving treatment more than doubled since 2020.

“No human being, and certainly no child, should ever have to face such shocking brutality, deprivation and lawlessness. The current situation is simply untenable,” said UNICEF Executive Director Catherine Russell, who is also the designated Principal Advocate for Haiti for the Inter-Agency Standing Committee, a group of humanitarians.’

UNICEF said over 100 schools have shut down due to insecurity and only one in four health facilities across the department remain accessible due to security-related challenges, noting that roughly a third of the population—nearly half of them children— now require humanitarian assistance.

“Brutal violence, mirroring that seen in Port-au-Prince, has forcibly displaced families and disrupted rice and agricultural production, a lifeline for the economy,” said UNICEF, adding that over 22,000 people were displaced as of June, up from less than 10,000 in April.

According to the UN agency, most have sought refuge among host communities, while hundreds shelter in precarious makeshift spaces with little access to basic services or protection from the armed groups.

“The humanitarian system, including UNICEF, is delivering and scaling up the response, but needs support from the international community in order to reach Haitian children and families who desperately need help right now,” Russell said.

The latest data from UNICEF shows that between May and June 2023, at least 60 people were killed or injured amid clashes for territory and resources between armed groups, compared with four during the same period last year.

UNICEF said nearly half of the 298 kidnappings countrywide during that period took place in Bas Artibonite, or the lower part of Artibonite, mostly involving civilians travelling on public transport.