Despite a significant scale-up of the humanitarian response by the United Nations and humanitarian partners since 2016, in support of the Government of Nigeria, the humanitarian crisis in the BAY states continues. Civilians still bear the brunt of a conflict that has led to widespread forced displacement and violations of international humanitarian and human rights law. New and protracted displacement, triggered by the conflict, continues to affect access to basic services and disrupts the livelihoods of millions of people. Acute malnutrition among children under the age of five is above emergency thresholds in many parts of the BAY states.

The Rohingya Refugee Crisis Response Plan is focused on life-saving and protection assistance for the most vulnerable people. The Plan targets 1.2 million people, including all Rohingya refugees, and 300,000 Bangladeshi host communities over the next six months.The plan prioritizes the provision of life-saving assistance, improving the conditions and management of settlement areas, as well as promoting protection, dignity and respect for the Rohingya refugees.

In 2019, many more people needed humanitarian assistance than we had forecast, largely because of conflicts and extreme climate events. Donors provided a record $16 billion for inter-agency appeals between January and November 2019. Compliance with international law is declining. Armed conflicts are killing and maiming a record number of children, forcing them to flee their homes. They are becoming a lost generation. Women and girls are at higher risk of sexual and gender-based violence. One in five people living in conflict areas has a mental health condition.Highly violent conflicts are causing widespread hunger, displacement, death and destruction around the world. They are taking a heavy toll on civilians, who account for 90 per cent of the casualties when explosive weapons are used in populated areas. There were 791 attacks against health workers and health-care facilities in the first nine months of 2019, resulting in 171 deaths. In 2018, 131 aid workers were killed and 130 were kidnapped in 400 attacks. Attacks against health and aid workers are putting millions of people at risk by denying them care and aid.

Trafficking in persons is a serious crime that affects every country in the world. Conflicts that arise in countries or other geographical areas can exacerbate vulnerability to trafficking, as well as its prevalence and severity. As State and non-State structures weaken, and as people turn to negative coping strategies in order to survive, not only does the risk of falling victim to trafficking increase, but so too does the risk of perpetrating it against others. At the same time, conflict also increases the demand for goods and services provided by exploited persons and creates new demands for exploitative combat and support roles. For these reasons, United Nations entities and other international actors active in settings affected by conflict have a crucial role to play in preventing and countering trafficking in persons.