East Wollega IDPs Rapid Assessment Report ACF

East Wollega IDPs Rapid Assessment Report

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December 2018

Contents

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1. Background ……………………………………………………………………………………………………..……..…….…2

2. IDPs Situation …………………………………………………………………………………………………..…..…….…...3

2.1. Health and Nutrition……………………………………………………………………………………………………..3

2.2. MHCP……………………………………………………………………………………………………………………………..3

2.3. WASH……………………………………………………………………………………………………………………………..8

2.4. FSL……………………………………………………………………………………………………………………………........9

3. Response gap…………………………………………………………………………………………………………..…………10

3.1. Health and Nutrition……………………………………………………………………………………………………....10

3.2. MHCP…………………………………………………………………………………………………………………………....11

3.3. WASH………………………………………………………………………………………………………………………..….11

3.4. FSL………………………………………………………………………………………………………………………………..12

4. Response plan………………………………………………………………………………………………………..………....12

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5. Coordination Mechanism…………………………………………………………………………………………………..14

6. Donor Matrix……………………………………………………………………………………………………………...……..15

7. Logistic Capacities………………………………………………………………………………………………………..……15

8. Security situation……………………………………………………………………………………………………………….15

9. Lesson Learned ……………………………………………….………………………………………………….…….………15

10. Conclusion…………………………………………………………………………………………………………………………16

Annex

BackgroundEast Wollega zone found in west part of Oromia located at latitude 800 31 “52 South and longitude 3600 07‟51 East. Nekemte is capital city of East Wollega zone. Administratively managed into 17 Woredas, 1 Special woreda, 43 towns and 287 rural kebeles. According CSA 2007 report, the total population is 1.5 million.

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In the zone, agriculture is the dominant livelihood the population. Most their agricultural activities cash crop like maize, teff, sorghum and other pulses. So far, well known by food secure zone from Oromia region zones. Currently, there is major circumstantial situations occurred and occurring due conflict outbreak between bordering area Oromia and Benishagul Gumuz region. More than 121, 518 individuals displaced from their original residence place and living in a very overcrowding condition in 27 sites of 6 woredas in East Wollega Zone.

Haro Limu sassiga Diga Guto Gida Gida Ayana Nekemte Town

Limu0

100002000030000400005000060000 51214 52472

3853 3160 1526 3894 1664

East Wollega Total IDP population per Woreda

Total IDP

The graph showing IDP population

In addition, most support provided for IDPs government initiative are ration food and NFIs, but it was not adequate. Beside this, private companies, investors and other group of community member were providing support like Food and NFIs for IDPs resided near and surrounding Nekemte.As per East Wollega Zonal Health and DRM office report, following the conflict and displacements of thousands of people; conditions for exposure to health and health related

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problems including outbreaks of diseases, sexual and gender based violence and trauma are the major health related outcome of the incidence. This emergencies have continued to disrupt socioeconomic development in the zone resulting in a complex interplay and vicious cycle of human right abuses, violence (including gender-based violence), poverty (starvation) and reduced access to basic social services (especially health).Addressing this conflict driven problem requires immediate and practical response from all humanitarian actors to address BNFs in need.

2. IDPs Situation2.1. Health and Nutrition

- Basic health services provided by zone health department by establishing temporal/mobile clinics in all IDPs sites. However, during observation, all IDP sites clinic closed and there was no mobile team providing the services.

- Emergency nutrition activities and services, including screening and TFP and SFP started as per the zone’ report. However, during site level observation (Nekemte and China camp IDP), no functional clinic providing such services and IDP also mentioned as the services was not available.

- Maternal services including ANC, delivery and PNC – is insufficient. Even most of these women KAP’ regarding maternal services utilization was better before their displacement.

- As the temporarily established latrine inappropriate (in terms of privacy, long distance from house, no electricity), in all the visited IDP sites, significant number of IDP practicing open defecation and poor hygiene and sanitation practices.

- Considering inadequate GFD amount, erroneous SFP distribution, inadequate WaSH and others factors, the nutritional status of these IDP communities might be deteriorated/worsened in the coming couple of weeks unless regular screening, early cases detection, enrolment, and nutrition program performance monitoring positioned.

2.2. MHCP

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1 Nekemte Total 7 2236 8319 997 352 22

2 Sasiga 6 6893 50503 6700 1591 0

3 Haro Limu 8 8330 52472 7350 1140 4

4 Guto Gidda 8 405 4330 371 420 0

5 Gida Ayana 1 607 2581 314 39 0

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6 Diga 3 1233 5109 723 184 0

  Total 33 19704 123314 16455 3726 26

Table1: Demography of IDPs & Individuals received psychological support, East Wollega

As depicted in the table above over 123,314 individuals were displaced from their original residence place and living in a very overcrowded condition in 30 sites of 6 woredas in East Wollega Zone only. The average household size of the IDPs is 6.25. Following the displacement, the overall socioeconomic, physical & psychological conditions of the conflict-affected people is disrupted & worsening due to the reduced response capacity of the Zone. Depending the situation they struggling with, the supports they received is very limited or nearly null as reported by the participants and government sector heads.

The table below describes the response of FGD & Key informant interview participants for the question how the crisis affected their life in general.

Settlement setting/accommodation

Food & Economy Health service Social relationship & support system

Mental well-being

Communal living- 5 to 6 HH/single room

Insufficient & culturally inappropriate food “macaroni & rice”

No free health service & sell ration & CSB

Separated from family (children, husband, relatives)

Uncertainty & feeling of helplessness

Large number in 1 hall with separated matress or plastic sheet

Don’t have the capacity to buy clothes, food, education materials for children, dignity kits and pay for treatments

Irregular health education & limited provisions of hygiene kits- 1soap/HH

Lost loved ones, no place to worship, poor child care giving

No child friendly spaces and recreational centers for younger children & adults

Unhygienic & rough cement/plain room

Food preparation is communal, no variety food for kids

Distant health facilities for some IDP sites

Divorced a marriage from the other ethnic

Anger and frustration, conflict,

No blankets in most camps

Shortage of general food aid, recipes & cooking kits

Poor access to medical care

Good supports among IDPs

Drinking problems among men IDPs

Labor work Home delivery in some camps & no follow up care

Good support in some from the local community in some camps

Loss of dignity & feeling of humiliation

Table2: Depicting the overall impacts of the crisis

Summary of general situations of the IDPs:

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- Very congested settlement and sharing a small single room per 5 to 6 HHs, affected privacy of the population and feel overcrowded

- Lack or shortages of basic NFIs such as blanket, mattress, pillows & etc making the living conditions of the general IDPs & the pregnant women in particular to be worsened

- Unhygienic, rough & plain ground sleeping area for both children & PLWs- Insufficient & culturally inappropriate food provision that is mostly “macaroni & rice with

no recipes” forced some IDPs to go for begging in the community.- Lack of capacity to buy dressing clothes for children and adults as they left the area with

the single cloth they wore- Absence of variety & culturally appropriate foods for children is making children to refuse

to eat and this has increased the burden of women & challenged their dignity.- Limited free health service forced some IDPs to sell their ration & CSB+ for medical

treatment payments & this has increased frustration among the IDPs.- Limited health promotion in the camps, and distant health service providing facilities

increasing the IDPs home delivery with poor quality care (china Camp IDP site)- Most family members are separated between camps and others’ are trapped in the

original places, and this has created feeling of uncertainty & stress among the IDPs- Loss of family members due to the conflict (husband, wife, children) increased the

burden of the affected community group- Separated from their husband/wife due to their partner is from the other ethnic origin - No child friendly spaces and recreational centers for younger children & adults, no

worshiping places. This has created children to play in unhygienic area and women/men to be boredom.

Feeling of anger, uncertainty and frustration among IDPs

Common Mental health reactions among IDPs Perceived causes

Copying mechanisms

Awakening from asleep and shouting at night “abjun iyu”

Lost loved ones, witnessed killings & murder, beaten, lost properties and assets, difficult living conditions in the camp, genetic, poisoned “Qoricha merachisu” by gumuz

Talking to other friends in the camp, bless for surviving in life

Avoiding voice, avoid children chatting and staying alone

Go to church for prayer

Worrying about, cry, mistrust among each other Men do drinkFeeling uncertain about the future, thinking about those who left trapped, frustration

Chaining those who run away

Reaction of anger, easily irritation, running away, going out ”marata”

Refer or sending to original places for treatment or recitation

Falling down & jerking while getting upset “gagabu”,

Helping each other, sleeping

Unable to communicate & stopped talkingFeeling weak, poor self-care, poor child care, sleepless & headachePoor appetite, slanging speech, developmental

Summary of Mental health & Psychosocial Issues & Community coping Mechanisms.

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- The community seem frustrated & uncertain about the future due to the worsening living conditions in the camp & the ongoing conflict

- There is generalized manifestations of Acute stress & post crisis reactions such as shouting, awakening from asleep, difficulty to fall asleep, headaches, panic & fearfulness among the IDPs. Most FGD participants reported, as these are the commonest symptoms they experience since the crisis.

- There is suggestive symptoms of depression in the community. There was a reported feeling of isolation, voice avoidance, generalized body pain and lack of interest in things among China- Camp & Wollega University IDP sites FGD participants.

- Through onsite visit, it was also observed a woman having conversion problems after witnessing the slaughtering of her husband “unable to talk/stopped talking” in Wollega University Engineering campus. Similarly, participants in this site also reported that 2 men sent to Harar (family places) for treatment due to severe mental illness problems”akka Qalbi/Marata”.

- There is reported problems of convulsing & jerky body movements when getting upset “gagabi-local naming”

- There are children with clear developmental problems where care givers are struggling with care giving of these children

Psychosocial stressors and difficult situations coping mechanisms

Participants were asked what do they do to know how they dealt with these difficult conditions and the following were the summary from the FGD Participants:

- Share thoughts and worries to friends in the camps- Receive different supports from the host community-food & clothes- Pray to God and bless at least for surviving in life- Chain those with severe illness- Send/refer to extended family who supports during their treatment/recitation of holy

booksIYCF-E situation of IDPs in East Wolega

FGD & Key informant Interview conducted to assess emergency induced changes on early initiation of breast-feeding, exclusive breast-feeding, minimum dietary diversity and artificial milk feeding practices of the IDPs. The following is the key summary findings:

- There is a good understanding on early initiation of breastfeeding among participants. Mothers reported that they give birth in the health facilities & initiate breastfeeding within an hour when they were in place of origin. However, despite the good awareness, there were mothers who delivered in the camp and do not initiate breast milk within anhour due to difficulty of breast milk expressions problem. Breastmilk expression difficulty was the major problem reported by all participants.

- Most mothers also aware the practice of Exclusive breast-feeding. However due to difficulty of breastmilk expression & feeling of insufficient milk production they provide additional foods before the age of 6 moths. The food provided for the children were mostly rice soap, CSB+ & any soft food they got. Participants confirmed, “We are not getting enough food and there is no milk for our young kids”.

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- With regard to food variety & feeding frequency, nearly all participants both in the FGD & Key informant interview reported as this is one of the great challenge of the IDPs. The available food rations in the IDP sites are rice, wheat, macaroni & CSB+ supply. As Participants on FGD reported, “let alone for our kids very difficult for adults as it is less diversified, no recipes & culturally inappropriate. We give these foods, they do not eat, and we do not afford to buy anything for our kids.” Another participant from FGD pointing at her kid said, “my kid was physically good and now she do not eat the food we offer and her physique is deteriorating gradually.”

- There is no breast milk substituting artificial milk on the area but there is provision of Anchor Milk by the government in some IDP sites. Some caregivers are providing when they experience breastmilk expression difficulty.

- There is also watery diarrhea, malaria cases and coughing reports in children by most participants

- Poor child friendly spaces due to congested and overcrowded living conditions- Poor maternal care for PLWsVulnerabilities in the IDPs

Key informant Interview and FGD participants asked to identify the most disadvantaged community groups due to the crisis, and the following were the key summary notes:

1. Children of any Age- Children are not getting the food of their preference, bad sleeping area, suffering from

illnesses and there is no play area for young children. Some mothers are also reported as their children are requesting them to go back to home to see TVs.2. Pregnant & Lactating Women

- Most participants reported, as the living condition is very difficult for pregnant women a due to lack of food, no sleeping mattress and lack of proper care after delivery as she used to. Lactating women are not getting proper food, care in general, and they are over burdened by requests of their kids. On site, observation also confirmed the existing situation of children and PLWs.3. Old ages & People with disability

- People with old are not getting the respect they deserve and they are sleeping with kids-children urinating on. People with disability also the most affected as the situation is over worsened for them.

Gender and Protection Issues in the IDPs

- There is reports of an attempted rape as the data obtained from the key informant interview in China-Camp IDP site. The zonal health Bureau & WVE representatives confirmed incidences of rape in Harolimu camp sites but not officially acknowledged by the zonal Women affair office.

- Most latrines are not properly fenced, no electricity and far from the residence area and women do not feel secured.

- There are family members separated and looking for reunion. There are also mothers’ who do not know the where about of their kids ”China Camp site”

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Mental Health & Care Practice, Protection & Gender Program Actors

- Currently there is no active partner operating on the MHCP, Gender & Protection Area- MSF-E provided basic PFA for 6 zonal government staffs- UNICEF is planning to give basic IYCF training for government staff- The 2 Zonal Health Bureau, UNOCHA & WHO representatives requested partners to

involve with Mental health program

2.3. WASH

Water Supply- The water coverage for East Wollega is 65 % and Nun functional rate is 9 %. At 25 IDP sites the

water source is from 8 spring, 2 Hand dug well, 10 pipe extension and 5 unprotected source river. 80% of the IDP is obtaining from protected source.

- However, since the IDP population are hosting with existing community (sharing resource like water) the existing water is not adequate for them. In addition, due to power fluctuation for pressure source and low discharge of spring the supply is not continuous like IDPs in Nekemte Town and Diga Woreda. During the time of no water from protected source, communities shifted to unprotected source, which is the Cause of water related disease. Aqua taps POUWTC was distributed 2 strip per HH in Guto Gida and Diga woreda IDPs by Save The Children.

- In Sasiga Woreda MSF is ongoing of Construction of protection for the spring box, rehabilitation of the night storage, pipe extension to IDP site, Construction of river cross for the spring eye, connection to city line and installation of Roto thank at 6 IDP site.

- According to East Wollega WME office, report UNICEF was supplied 6 water tanker with 10,000lit, 25,000pcs body soap of Jerry can and 8 cartoon of aqua tabs for Guto Gida, Nekemte and Diga woreda IDPs.

Hygiene and Sanitation

- The sanitation condition of IDP is very poor. IDP site hosting in government/organization institution like Nekemte University there is existing latrine but with less primary emergency stage of sphere slandered 1:50. In other IDP sites like Diga there is no latrine in the in the camp and 495 population are used to defecate in the bush surrounding the camp which needs urgent response. There is no hand washing and shower facilities around latrine and in the compound of IDP

- At most of the IDPs communities are living in congest way and they generate west in the compound. To collect and dispose safely the west there is no sanitation tools was supplied and there is no specific west-disposing place.

- Government health workers are visiting the IDPs and dissemination hygiene message with mobile clinic activity but not regularly doing it. As tried to observe there is no good hand washing practice by the IDP. Due to this there is high risk of hygiene and sanitation related disease like diarrhea that frequently observed on children.

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- In Sasiga Woreda MSF is constructing 42 blocks of latrines (each block with 6 pits) and there is no body washing room. NFI Distribution

- In East Wollega WASH NFI like laundry soap, women underwear, sanitary pad and washing basin was distributed by different NGOs like SAVE The Children, MSF IRC and Food for Hunger(HF). According to East Wolega DRRM Office report, Save the Children distributed NFI for 2091 in Nekemte, Guto Gida & Diga and MSF distributed for 4000 HHs in Sasiga IDPs. However, the NFI distributed is not sufficient; not complete package based on sphere standard and not addressed all IDPs. Some of the water bucket, body soap was not distributed.2.4. FSL

The major identified priority needs are food (more to supplementary) and nutrition, shelter and NFIs, health, WaSH (more hygienic perspective), education and protection assistances are very weak than west here, even though the hazard was very serious in western zone . Communities, private sectors, public institution and Zone Government staff and few Humanitarian organizations (NGOs) provided the first life saving assistances.

Never the less, the above responses were tried to be addressed, still there has been evidences that huge response gaps remain un touched. These are food (coverage and supplementary food needs), nutrition (for children U5 and PLWs), shelter ( for separation), health (focus on communicable and contagious diseases), WaSH (IDP schemes rehabilitation & latrine construction), education ( HH fees for exercise, pens, pencils and uniform) and protections.

In the current Rapid assessment made by AAH in the seven Woredas/sites in East Wollega zone, Specific to food security related gaps based on the partners meeting, discussions with GO Officials, ( KII interview & FGD with IDP representatives ) and general observation made while IDP visit the following key points were assessed as top need gaps;-

- There was food shortage at household level in both coverage and complementarity as a result of large numbers of displaced households, despite provision of insignificant responses made by NDRMC

- The little provided food items were non nutritious in nature/ not attractive to be consumed with Children, PLWs and elders, so that IDPs were forced to sell those food items to buy the foods of their preference like Milk and milk products, salt ,onion, eggs, chilly, injera and oil as supplementary foods for their children, PLWs and elders.

- They also sell the foods to charge their medical fees, school fees ( clothes, exercise, pen pencils and student uniform to attend school)

- There will be high malnutrition fear since there was limited or no access to supplementary feeding (especially for children U5), PLWs and elders.

- No any IDPs has any income source as they loss all their household assets while conflict

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- Nevertheless, there is the available nearest market place with necessary commodities ( like complementary food, NFI & others) for assessed IDP sites, the purchasing power of the peoples was dramatically depleted.

- There was no any cash distribution response made so far by any actors. - IDPs (mostly western wellega) were not experienced exposure to the hazards like conflict; they

were highly frustrated with the loss of their families, relatives and assets.- Due to the congested and suffocated shelters (specially in Nekemte & China Camp site), females

(girls) were found very vulnerable to the IDP condition.

Market assessment

The assessment was mainly focused on key Emergency food, Shelter and Non-Food Items (ES-NFIs) required by IDPs in Six woredas of East Wollega zone. Pre-designed questionnaires for Key Informant Interview (KII), focus group discussion (FGD) as well as traders’ interview questionnaires were used to gather information from government officials, IDP leaders, IDPs and traders of key food items, ES-NFIs in the area. Accordingly, 2 FGD with IDP women and men group separately, 4 KII with IDP leaders and government staffs and 3 interview with traders has been conducted in four markets within selected 2 sampled woredas; Nekemte (Guto gida market) & Diga (arjo market ). In addition, the assessment team has also conducted observation to the selected principal markets in the above two market sites.

Market Assessment findings

In all assessed sampled IDP markets, IDPs have no adequate house items (cooking materials) and cloths but they are sharing with neighboring households, relatives and friends. Upon the assessment team observations, IDPs were leaving in communal shelter like school, college camp, private buildings & etc. Due to the congested and suffocated shelters, females (girls) were found very vulnerable to the IDP condition. Again small food provided by government is inadequate and not include required food types diversity. Due to the sudden and just ongoing conflict situation in the areas this was widely resulted in decreased dramatically households’ purchasing power. In contrary, the local market price of majority of basic food items and NFI observed slightly increment.

According to the FGD of IDP representative of all woredas due to fear from ongoing conflict in the area accessing local markets and affording what every items household needed was a challenge. Accordingly, 85% of the IDPS were not visited the local markets as the result of insecurity lack of many that don’t afford to purchase required food items. Even though the purchasing power of the IDPs was poor, there was no significant problem to access require items from the nearest market.

As to the availability of Financial Service Providers (FSP) Oromia International Bank (OIB), Cooperative Bank of Oromia (CBO), Awash Bank (Awash), Nib Bank, Berhan Bank, Commercial Bank (CBE), Buna Bank and Abay banks are among banks operating in in the assessed areas.

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Based on the Market assessment findings and observations, the following conclusions has been made

• Majority of assessed Local Markets in IDP Woredas are functional except some Haro limu and sasiga IDP sites due to market location at border pockets and income diminished by the conflict.

• Based on IDPs, government representatives and community leader response, cash based or combination of Cash and In-kind assistance can be appropriate in all assessed IDP sites

• Oromia International Bank (OIB), Cooperative Bank of Oromia (CBO), Awash Bank (Awash), Nib Bank, Berhan Bank, Commercial Bank (CBE), Buna Bank and Abay banks are among banks operating in in the assessed areas.

3. Response gap3.1. Health and Nutrition

- The basic health service for IDPs provided needs services coverage and quality improvement through providing essential drug kit, strengthening referral and linkage with the nearby health facilities and assigning HWs regularly in all IDP sites.

- Child health services including Vitamin A provided for 679 children (4.1%), routine vaccination for 67 (0.4%). Maternal services including SBA and ANC provided for 152 and ANC: 645, respectively. Both child and maternal services coverage and quality – needs improvements,

- Nutrition: Poor nutrition screening coverage of 22.4% U5, 37.5% for PLWs, respectively. GAM for U5 and PLW, respectively 16.3% and 20.9%. SAM for U5 = 2.6%. The current number of nutrition BN, 524 (SAM = 147, MAM = 377), which gives only half of malnourished cases detected and admitted to the program (53%) if we relied on ZHD report?????

- Inadequate nutrition supplies for SAM and MAM management, gaps of 3,752 ppt, 91 F- 75 sachets, 968 F- 100 sachets, and routine drugs shortage, (their supplies shortage is not a lot compared to their demand,,,,due to poor screening coverage,,,)

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- Inappropriate implementation of SFP program, adding SFP on GFD food and all these 524 BN not followed according to the protocols,,,,,

- Nutrition surveillance and monitoring systems in all IDP sites not in placed, 3.2. MHCP- The overall service provision for IDPs is insufficient, fragmented and basic service need is high- There is high demand of Mental health interventions as the findings mostly revealed psychological

problems in the IDPs. There is no - Due to the poor maternal care, insufficient diversified food provision and hygiene-sanitation

situations the childcare situation is sub optimal and this in turn is leading to the deterioration of children health. Child feeding in this context is becoming a challenge for most mothers.

- Children, PLWs, old ages and people with disability are the most affected community group- There is no child friendly and recreational centers for Children and Adults- There is feeling of insecurity among women and protection gaps- There is no access to Mental heath and Psychological services in the IDPs- There is report of MH cases seen by the government staff in the HC but there are no trained staff

to offer MH services at HC level.

3.3. WASH

Water Supply

According to rapid assessment conducted, the following water supply gap was identified;

Shortage of emergency water storage thank Non-functional Water scheme rehabilitation and insufficiency of water supply due to

low discharge of scheme Community is using unprotected water source Lack of sufficient water PoUWTC

Hygiene and sanitation

Lack of access of sanitation facilities in IDP/communal latrine with sphere standard primary solution(1:50), hand washing facility, Shower and west disposal.

Poor hygiene practice/hand washing at critical moment, body hygiene food hygiene and

Environmental Sanitation/west and excreta disposal and lack of sanitation tools

NFI Distribution

Lack of key WASH NFI/Jerry can, bucket, body soap, laundry soap, women underwear, Sanitary pad and washing basin

Completeness of WASH NFI in relative to sphere standard.

4. Response planHealth and Nutrition

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Using activities oriented HR and logistic structure, the following activities proposed based on the zone’s recommendations and RA team finding.

Table 1: response plan with draft budget.

IDPs Situation

Response gap Response plan (with quantity/types, strategies,,, of responses)

Remarks

Health and nutrition

No regular availability of primary basic health services through temporal/mobile clinics.

- Supporting the IDP hosting woredas to assign regularly incentive based health professionals to rend basic health and nutrition service through supporting $31,263 as incentive payment for the next three months.

1HW, 300ETB/day for 33 IDP sites

Shortages of essential drugs to treat common childhood and other public health important illness,

- Support IDP hosting woredas through provision of 33 essential drug kit, costing $81053.

1 EDK costs 70,000ETB. (???)

No routine nutrition screening - Support the woreda in providing routine nutrition screening in all IDP sites,

As the zone following RMS, mass screening might not be convincible

Poor adherence with emergency nutrition services implementation protocols, including supplementary (the existing SFP is neither BSFP nor TSFP). Moreover, TFP products are using for home based treatment.

- Conducting orientation on 3 days CMAM refreshment (SAM, MAM and IYCF-E management) for HWs assigned at IDP sites, costing $3419

- Availing SFP monitoring and recoding tools, for 1327 U5 MAM children, costing $2124

10ETB/card for 3 months

Primary health services

Inadequate maternal services, women delivering in temporal, no PEP treatment for STI and HIV cases, no EOC FP, poor referral system in all visited IDP sites, Inadequate EPI coverage, no access for treated insecticide bed net,

- Conducting refreshment training on basic health services provision (MNCH/IMNCI/RH/ITN) for HW assigned at IDP clinics = 33+10 = $4927.7 trainees for three days,

total budget in $ (28.5 rate) $220,226.7

MHCP

Ensure access to basic services (shelter, NFIs, GF & Kits) through information provision and Advocacy with other IPs

Organize Training on MHPSS in Emergency for NGOs and Government Emergency partners

Training for government health staff on PFA (Psychological First AID) Create Access to Mental health services through training of Primary health staff on

Mental health and Psychological Support

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Mapping Mental health services in the zone and strengthened referral Linkages Working with Wollega University Psychology department for sustainability and access

of services Establish Baby Friendly spaces in the IDP sites Improve IYCF-E interventions through enhancing Coverage and training of

government health staff Integrate IYCF with FSL Cash distribution activities-more targets of PLWs Conduct sensitization workshop on Gender and Protection for government staff Community Awareness sessions on Gender Protection

WASH

Response gap Location Quantity Remark1 Supplying and installation of

10,000lit water tankerSasiga Woreda Bareda & Balo IDP site and Nekemte for 3 sites

4 Roto seat construction, water tabs installed

2 PoUWTC distribution Diga Woreda for 3853 IDP

346,770 For 90 days guarantee

3 Body Soap Diga and Nekemte for 7747 IDP

23,241

4 Laundry soap Diga and Nekemte for 7747 IDP

23,241

5 Women underwear Diga and Nekemte for xxx IDP

Xxx

6 Sanitary pad Diga and Nekemte for xxx IDP

Xxx

FSL

Multi sectoral approach intervention is mandatory, which can integrate each other to relive the shock as much as possible.

Based on the assessment findings, even though market functionality and FSPs availability is evidential the feasibility of cash based or in kind assistance is equally feasible

Even though little food items response was made by Government, the supplementary food provision targeted for Children U5, PLWs and elders intervention should be accompanied

Government is only distributing cereals but if they will get cash injection they can easily afford an additional fresh (supplementary) food items from local accessible markets.

Moreover, in order to let IDPs not to sell the provided food items, to increasing their purchasing power/income and to activate the local markets, cash is the appropriate and feasible response modality in the assessed woredas.

Due to the congested and suffocated shelters, females (girls) were found very vulnerable to the IDP condition, so that in coordination with concerned government structures settlement rearrangement strategies in parallel with the provision of separate shelter material has to be in place.

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As the IDPs were not experienced exposure to the hazards like conflict, they were highly frustrated with the loss of their families, relatives and assets, awareness creation on how to with stand the existing shock is feasible to develop coping mechanism for IDPs.

5. Coordination MechanismUNOCHA is UN agency coordination the IDPs emergency response at zonal level in collaboration with Zonal Health Office, DRM office, WHO and other stakeholders. There is two established cluster level coordination meeting. First, the Nutrition, Health and WASH technical working cluster meeting chaired by Zonal Health and WHO technical person that conducted every two weeks. Second, the cluster level coordination meeting chaired by Deputy Zonal Administrator that conducted every two weeks. To mention some partners like NRC, MSF-S, WVI, IOM and FIDO conducted rapid assessment but except MSF-S present in Sasiga Woreda with health vaccination and NFI WASH distribution most of them not working in East Wollega. Currently, Plan International conducting similar assessment.MSF-S Shared their rapid assessment report and willing to handover Sasiga woreda intervention If Action Against Hunger decided to enter the woreda.During the assessment period, Action Against Hunger team attended the technical working team, observed that

Existence of limited partners engaged the emergency response, limited coordination effort, poor communication and clear targeting, high nutrition, health and WASH gaps in all IDP sites,

Generally, meeting the TWG members is limited to hearing progress update only. Lack of clear technical guidance, objective, and sharing of minutes.

6. Donor MatrixLack of documentation.

7. Logistic CapacitiesFollowing the logistic kit, capacity assessment conducted in the area. Based on the finding in East Wollega zone Nekemte town we observed,

Availability of office rent in Nekmete town, Availability of basic infrastructure in town-Internet, Water, electric city Road accessibility to all woreda,

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Availability market and supplies, Vehicle the only means of transportation, Presence of international and local NGO in area,

8. Security situationAccording to the local information, during last five years the most common security treat and problem in area is demonstration, road blocking, targeted killing of individuals (political officials). Since the area well known by the origin and maturity of OLF, it very common to see and observe using of OLF flag in the straight, building and individual closes. They are very much sensitive regarding any act related to OLF instead of governing ODP. That need maximum care and protection from any attempt and engagement as humanitarian organization.Recent, history does not show presence of human and fabricated problem except political faction that is truth throughout the region and the country.According IDPs information, conflict between Oromia and Benishangul Gumuz region the area has historical trend falls in to 90s’, 95’, 2007s’ and 2018. However, the currently conflict and mass killing is worst scenario in the two region.

9. Lesson LearnedMajor lesson drawn from the rapid assessment includes;

It is inappropriate to use FDG tools/checklist about different issues in case of IDP’s are on starvation,

It is important to include senior management team rapid assessment to support and better understand the socking reality,

Engagement of field based experienced staff helped to better understand and communicate with BNFs,

Arrangement of multi-disciplinary team to collect reliable data in different sector, Building strong partnership with WVI, SCI at country level helped easily to adapt the

situation, To conduct similar emergency assessment it important to have at least NFI

distribution items for BNFs in emergency,

Conclusion

In spite of the security challenge and government office closing, the rapid assessment finding and response plan will helps technical persons to understand the existing situation as a first-hand information for further programming.

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Seeing the current IDP situation and status in all aspects, it needs immediate emergency response at list in some aspects. In this regard, nutrition and WASH intervention deemed necessitated for any partners working in humanitarian field. Considering the long-term effect of the current conflict and historical trend, for Action Against Hunger it potential area to integrate the program share with Borena and Hararghe Zones. However, the settlement of the IDP (121,518) in 27 sites in six woredas and one town requires high resource, coordination and commitment. It also required further discussion with program and logistic team to decided intervention area and office arrangement setup.