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Humanitarian Operational Plan (HOP) 2013 2

Humanitarian Operational Plan (HOP)

2013

Humanitarian Operational Plan (HOP) 2013 3

TABLE OF CONTENTS

1.EXECUTIVE SUMMARY..………………………………………………………………………………………..4-5

2. CONTEXT AND BACKGROUND...……...…….…………………………………………………………….…..5

3. MAP SHOWING DISTRIBUTION OF TARGET BENEFICIARIES AS PROVIDED BY FDMA...………...6

5. COMMITMENT ON ACCOUNTABILITY TO AFFECTED POPULATION……………………………….….7

6. STATEMENT ON COMPLEMENTARY BETWEEN ERAF AND HOP...…………………………………....7

7. CLUSTER STRATEGIC GOALS,NEEDS ANALYSIS AND RESPONSE PLANS……………...…......7-45

7.0 Camp Coordination and Camp Management.....………...……………………………..…..…..…7-9

7.1 Education.……………………………………………………………………………………….....…10-12

7.2 Food Security…………………………………………………………………………...………...…13-16

7.3 Health...……………………………………………………………………………..……………....…16-23

7.4 Nutrition...………………………………………………………………………….…………...….…23-33

7.5 Protection (Including Child Protection and Gender Based Violence…………...................33-40

7.6 Shelter……………………………………………………………………….…………….…………..40-42

7.7 Water, Sanitation & Hygiene (WASH)………………………………………...……....……….…43-45

8. COMMON SERVICES………………………………………………………………………….…………...46-48

ANNEX1: Humanitarian Operational Plan Financial Gap Analysis….……….………….…………….......49

ANNEX 2: Planning FIGURES for Revision of the Humanitarian Operations Plan (HOP….………......49

ANNEX3: LIST OF PROJECTS BY CLUSTER.………………………………………………….……...…..50-76

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1. EXECUTIVE SUMMARY

Pakistan’s north-western regions of Khyber Pakhtunkhwa (KP) and the Federally Administered Tribal Areas (FATA) face a complex emergency dating back to four years ago. Security operations by the Government against armed non-state actors and sectarian violence have resulted in waves of displacement of up to 4 million people over the years. "As of 31 December 2012, the registration of IDPs by UNHCR and the authorities indicates that there were 163,102 IDP families in need of humanitarian assistance. Of these families NADRA has verified a total of 757,996 individuals. However, NADRA verification of registered families/individuals is ongoing, supported by the grievance redress mechanism. Therefore, in working to ensure that the humanitarian needs of affected populations are met, and guided by an Inter-Agency sampling survey (February 2013) and desk review, which indicated a family size of 6 as average for planning purposes, it is accepted by both the Government of Pakistan authorities (PDMA/ FDMA) and by the humanitarian community to use the current total of 163,102 families and an estimated total number of IDPs 978,000 individuals for response planning purposes. As a result, the Humanitarian Operational Plan (HOP) aims to provide humanitarian assistance for 163,102 families with an estimated total population of 1,062,000 individuals(including additional expected caseload of 14,000 families from Tirah Valley, whose registration is currently ongoing), accounting for individuals already verified by NADRA (757,996 individuals), and individuals whose registration is under verification by NADRA. Due to the evolving humanitarian context, including ongoing displacement and potential returns, figures are subject to change." With 757,996 registered people still displaced and hosted in three Internally Displaced Person (IDP) camps and host communities as of February 2013. At the same time, since 2009, over 1.3 million people have returned to their homes in relatively safe areas of origin, with an additional planned caseload of 585,642 people (97,607 families) expected to return in 2013 to their native homes in Bajaur, Khyber, Kurram, Orakzai and South Waziristan agencies and Frontier Region (FR) Tank between January and December 2013, while 532 families could be displaced from Central Kurram due to security operations. Despite the projection, actual returns are likely to be lower, based on past trends the humanitarian community foresee that only 25% (24,402 families) of the planned return caseload (97,607 families) could be facilitated to return in 2013.However, the HOP document will maintain the original planning assumption figures for return with a view to make amendments in the course of the year based on future scenarios especially on returns. In 2012, only 15 per cent (12,594 families) of the projected 85,000 families returned to their areas of origin. This 2013 Humanitarian Operational Plan (HOP) analyses the humanitarian situation in north-western Pakistan and outlines partners’ response strategies and plans for 2013. It is a product of consultations among humanitarian partners and Government authorities in KP and FATA and focuses on addressing the outstanding needs of vulnerable populations. The plan outlines proposed humanitarian activities to support the Government of Pakistan (GOP) in meeting the needs of the affected population, taking cognizance of the complimentary Early Recovery activities outlined in the Early Recovery Assistance Framework (ERAF) for FATA. The 2013 HOP‘s participatory and inclusive process included the proactive involvement of the KP Provincial Disaster Management Authority (PDMA), FATA Disaster Management Authority (FDMA) and humanitarian partners. The Political Administration of the Agencies provided planning figures for expected new displacements and returns. The 2013 HOP articulates the agreed operational priorities, based on a set of defined planning assumptions. In 2012, the Humanitarian Country Team (HCT) identified two broad beneficiary groups that must continue to be prioritized: IDPs in KP and FATA, and returnees and “stayees” (people who were never displaced) in FATA. Groups in ‘transition’, either as they become IDPs or return to ‘normal’ life in their areas of origin in FATA or other parts of Pakistan, are particularly vulnerable, requiring significant assistance. The 2013 HOP provides an updated strategic direction for humanitarian responses, focusing on relief needs of the affected population. The 2013 HOP proposes to meet the relief need of IDPs during their displacement, and provide initial support for their return to their original areas. This transitional support will include facilitation of safe, voluntary, informed, and dignified returns through the provision of transport and basic return packages (including food, hygiene kits, and shelter repair kits). The early recovery needs of returnees and stayees in all affected agencies in FATA are covered in the ERAF. The cross-cutting issues, in particular gender and disaster risk reduction, are fully integrated into respective cluster components in the 2013 HOP. The duration of the 2013 HOP is one year, with an expected mid-year revision. In order to ensure a holistic approach, eight clusters are actively providing assistance to the affected people In the complex environment of North-West (NW) Pakistan, where a range of stakeholders with diverse interests are an integral part of the dynamics, attention will remain focused on adherence to humanitarian principles at all stages of planning and response. Global policies that protect the independence, neutrality and impartiality of action provide overall guidance under which local policy agreements have been endorsed by the GOP and subsequent SOPs for humanitarian action developed.

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In 2012, funding constraints forced the stoppage of reproductive health and newborn services for 2,800 pregnant displaced women, protection services for children in Dera Ismail Khan, Hangu, and Tank districts in KP and Kurram Agency in FATA, and education services for children in the camps and host communities. Other life-saving services are scheduled to end between March and June 2013 unless more funds are secured. Humanitarian partners received 76 per cent of the US$289 million required under the 2012 HOP. Humanitarian partners have a funding gap of $139,568,793 to support 127 projects formulated by 7 UN and 140 NGOs, included in the 2013 HOP.

2. CONTEXT AND BACKGROUND

Since July 2008, Pakistan’s north-western areas of KP and FATA have experienced major displacements of populations as a result of insecurity. As the security context has fluctuated across different districts and agencies of KP and FATA respectively, so too have the patterns of displacement and return; violence erupted in new areas, as conditions for safe return evolved in others. Returns to all areas of KP, which began in July 2009, are complete. Between June 2009 and early 2010, the unstable security situation in South Waziristan Agency resulted in significant levels of displacement. In Khyber Agency security operations resulted in large-scale displacement, with over 200,000 people fleeing to Jalozai camp and nearby hosting areas between January and December 2012. While displacements occurred in some agencies, Internally Displaced Persons (IDPs) returned to secure agencies of FATA, and are struggling to rebuild their homes and communities with limited resources. Areas of large-scale return include Bajaur, Mohmand, Orakzai and South Waziristan agencies. Of the 163,102 currently displaced families in KP and FATA, 10 per cent live in three camps (Jalozai, Togh Sarai and New Durrani), while 90 per cent live in host communities (Dera Ismail Khan, Hangu, Kohat, Peshawar, Tank, Nowshera, FR Peshawar and Kurram agency), with extended family members or in rented accommodation. FDMA estimates 97,607 displaced families could return to all FATA agencies, except Mohmand and North Waziristan, during 2013. The highest returns are expected to take place in Khyber (34,160 families) and South Waziristan (30,000 families) agencies. At the same time, 532 families could be temporarily displaced from Kurram Agency in FATA due to planned security operations. There are families that are currently being displaced from Khyber Agency which the government had not planned anticipated and thus not highlighted during the planning session.

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4. HUMANITARIAN SCENARIO for 2013

Under guidance of the local authorities1, the humanitarian community foresees the following scenarios may unfold in

2013:

i. The currently displaced families remain displaced throughout 2013, due to weak human and infrastructural growth indicators in FATA.

ii. Continued instability in parts of both KP and FATA that will limit regular or reliable access to areas of return. iii. Continuation of relief activities to a significant number of IDP families in the return areas until early recovery

activities begin and livelihoods and basic services are at least partially restored. iv. Sectarian and inter-tribal violence continues to create instability, potential new displacements and an obstacle

to return.

5. COMMITMENT ON ACCOUNTABILITY TO AFFECTED POPULATION

All partners who have contributed to the HOP are committed to accountability to affected populations, working to ensure dignified, relevant, and principled assistance, and empowering affected populations to contribute to the process of delivery of assistance. Partners will ensure full engagement with affected populations, designing programs in consultation with community leaders and representatives from across the population factoring in gender and age, and ensuring people with disabilities are included.

6. STATEMENT ON COMPLEMENTARY BETWEEN EARLY RECOVERY ASSISTANCE FRAMEWORK (ERAF) AND HOP

The HOP and the ERAF complement each other under one common objective of supporting affected displaced people, facilitating principled return, and providing early recovery assistance. The HOP is focused on supporting displaced persons and supporting the return process. The ERAF is focused on the provision of support to help people rebuild homes, re-establish livelihoods, restore communities, and recover losses. The 2013-HOP was developed through the inter-cluster coordination mechanism, based in Peshawar, and supported by the national cluster coordinator. The ERAF is coordinated by FDMA and UNDP.

7. CLUSTER STRATEGIC GOALS AND RESPONSE PLANS

7.0 CCCM CLUSTER

Cluster lead agency(ies) UNHCR /PDMA

Implementing agencies UNHCR, UNICEF, WFP, WHO, UNWOMEN, UNFPA, PDMA, FDMA, IRC, NRC, FRD, SRSP, CERD

Number of projects 2

Revised cluster objectives Enhance Protection of Civilians and strength en the response to victims of human rights and humanitarian law violations and the proactive environment of the vulnerable and conflict affected areas.

Beneficiaries 16,114 families 76,030 individuals (Camp based IDPs as per UNHCR database) 146, 988 families 881,928 individuals (off-camp IDPs, family size is 6)

Funds requested UNHCR US$27,482,500 + NRC 3,250,000 US$ + IRC 1,000,000 US$ =US$31,732,500.00

Contact information [email protected] [email protected] [email protected]

Category Affected population Beneficiaries (if different)

Female Male Total Female Male Total

Camp IDPs 34,974 41,056 76,030

IDPs Host communities 313,704 368,262 681,966

Other

1 FDMA and PDMA provided updated planning assumptions for 2013 to the Peshawar based Humanitarian Regional Team (HRT/ICCM) on 23

rd

January 2013.

mailto:[email protected]



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Needs analysis Security operations in FATA continue to result in large scale displacement. Government of Pakistan's decision to set up IDP camps within FATA or Frontier regions demands combine efforts from all humanitarian actors including authorities. UNHCR is leading the CCCM cluster for conflict IDPs and establishes functioning coordination mechanisms at district and provincial level where CCCM issues are identified, reported, addressed and monitored. Local NGOs are built up as partners and provided with capacity building. UNHCR continues to provide essential domestic items to IDP camp population as well as replacing tents and upgrades basic camp infrastructure. UNHCR also provides winterized kits when needed as well as other climate related assistance. Displacement has severely affected the social safety networks. Community participation in camp activities is often difficult to implement, especially when based on concept of volunteering. Women tend not to be part of decision making committees, a challenge that seeks continued redress. UNHCR and its partners provide capacity building to camp managers and service providers in the camps to ensure that protection principles and gender mainstreaming mechanisms are adhered to.

Cluster Strategy Dialogues and participatory assessments within the camp communities strengthen the ownership of programs within the community and capacity is build up which over time will allow for the community being more self-reliant. Based on the seclusion, i.e. “purdah” of women from public life it remains difficult to reach out to this target group. Confidence building is important and requires constant engagement by all actors involved in reporting and response. While ensuring partners recruit female staff for culturally acceptable outreach to women in purdah. Capacity building and technical assistance to its staff and partners remains an important part of UNHCRs work. As interventions in FATA are at times a challenge close coordination with the government including capacity building of government authorities is paramount. UNHCR operates four warehouses in KP. Its complete security, insurance and other operational expenses need to be budgeted. Under this out-put, way stations are also kept as returnees of SW/Kurram and Orakzai pass through these return centers and get return assistance including packed food and transportation. In 2012 alone, more than 31,200 families returned to their villages of origin in areas declared secured by the government. According to the Return Framework established and the related SOP, the return should be supported only if in line with basic principles of voluntariness and sustainability. As a protection leading agency in Pakistan, UNHCR needs to continue efforts to ascertain the voluntary (free and well informed) character of the return; consult with the returning population on their intention; envisage advocacy strategies for alternative solutions, if preferred by the population; provide adequate information on the process of return and the conditions in areas of origin. Returning IDPs have insufficient access to basic domestic items in areas of return. In order to support and facilitate their reintegration, there is a need to continue providing return kits of basic NFIs. There is an also a need for UNHCR and partners to monitor the progressive return of IDPs through village assessments and protection monitoring activities in IDP return areas to ascertain the sustainability of such returns. Cluster objectives

Objective: Strengthened cluster management and implementation modalities and Improving cluster operations and activities

Outcomes Indicator Activities

Roles and responsibilities for camp managers defined and agreed

Extent Camp Coordination Mechanisms working effectively Roles and responsibilities for camp managers defined and agreed % of household including women and child headed HH whose needs for basic and domestic items are met

Secure working environment for the humanitarian partners Timeframe for the response mechanism and Quality of the services in the camps

Distribution of NFIs including Winterized kits.

Individual family support provided

# of staff( Men and Women) and partners trained Better integration of cross-cutting issues

Number of community structures established/ improved

Quality of the services in the camps

Refilling of gas, distribution of NFIs including Winterized kits.

Objective: increasing the focus of resources for the cluster approach at the local level and Identifying existing preparedness, response and coordination mechanisms and capacities and linking with/ supporting/ complementing them where appropriate


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Capacity building

undertaken

Flexibility to changes in the operating environment, evolving requirements, capacities and participation

Contingency Stocks for fresh / new emergencies (40,000)

Effectively use and transfer information to, from and between cluster members and other stakeholders

Roles and responsibilities defined

Regular meetings at Field and provincial level

Minutes share with all the concern stakeholders

Regular follow-up of the pending activities

Objective: Material assistance/ distribution in-camp/off-camp and return assistance provided


NFIs distribution in-

camp/off-camp and return

# of persons (men women, MHH and WHH) receiving return packages (63,000 families) # of persons (men and women, boys and girls) provided with safe and dignified returnee transport Vulnerable families (% of which are WHH)are provided additional attention during and after return

Extent return has been voluntary and in safety and dignity

Safe and dignified returnee transport provided

Transit centers established

Extent sufficient supplies received in time

Warehouse management

for better management of

NFIs distribution

# of tons of goods transported # of warehouses maintained

Cluster monitoring plan The CCCM Cluster is working closely with the Protection and Durable Solutions Clusters. Some of the challenges faced by the Cluster for 2012 include a lack of basic services in areas of return, need for updating data on IDPs, and the inaccessibility of roads during the rainy season. The government has committed to deploy health, education and other support in the areas of return. Priorities for the Cluster include continued, protection monitoring and mobilization of resources in areas of return, as well as conflict resolution with host communities and profiling of the camp/off camp beneficiaries. The No Objection Certificates (NOC

2)/access to the FATA remains the major challenge throughout 2012

that limited the regular monitoring of New Durrani camp and follow-up on the return monitoring. Accountability mechanisms needs further strengthening into country strategies, programme proposals, monitoring and evaluation, recruitment, staff inductions, trainings and performance management, partnership agreements, and reporting.

Table of proposed coverage per site

SITE / AREA ORGANIZATIONS

Jalozai IDP camp / District Nowshera

UNHCR, UNICEF, WFP, WHO, UNWOMEN, UNFPA, PDMA, IRC, NRC, FRD, SRSP

Togh Sarai IDP camp / District Hangu

UNHCR, UNICEF, WFP, WHO, UNWOMEN, UNFPA, PDMA, FRD, CERD, SRSP

New Durrani IDP camp / Kurram Agency (FATA)

UNHCR, UNICEF, WFP, WHO, UNWOMEN, UNFPA, FDMA, NRC, FRD, CERD, SRSP

8.1 EDUCATION CLUSTER

Cluster lead agency(ies) UNICEF and Save the Children

Implementing agencies Save the Children, HRDS, Hayat Foundation, HRDN, NIRM, WFP, UNICEF, KWH, PEI, ESHAR, ISHAR, HOPE, NPO, IRC, Muslim Aid, CAP, NRC, PVDP, FARD,

2 NOC; ‘No Objection Certificate’ issued by the government is a document to prove that a Program/project is authorized and supported by the

government. It is a legal requirement that Implementers have an NOC before initiating work. The NOC certificate is also a document of ‘proof of authorization’ which can be shown to local authorities during implementation.

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RID,BEST,CRDO, ASWED, KADO, SHID, OSED,SHED, PADO, Education Department (KP and FATA).


Revised cluster objectives

The overall objective is to ensure access to quality education in Child Friendly Inclusive Schools with protective environment for emergency affected children. Specific Objectives achieved by the end of 2013:

To ensure that all children and adolescents affected by the complex emergency have access to safe and well equipped learning opportunities;

To provide Parent Teacher Associations/Taleemi Ishali Jirgas and education authorities with skills to support teaching and learning for teachers and children in emergency and early recovery situations;

To ensure that the FATA/KP Education Cluster coordinates all strategies and activities effectively with other clusters, as well cross cutting themes in close collaboration with the Government of Pakistan.

Beneficiaries

145,633 children (aged 3-18 years) including 75,729 girls living in camps and host

communities in KP and FATA.

Nr. of IDP children in camps: 24,691 ( 12,840 girls);

Nr. of IDP children in host communities: 120,942 ( 62,890 girls)

Teachers: 2,913 (Male 1,398, Female: 1,515)

Members of Parent Teacher Associations/Taleemi Ishali Jirga: 4,369 (Male: 2,097,

Female: 2,272)

Total beneficiaries: 152,915

Funds requested Total funds required: USD 8,737,980

Contact information

1. Syed Fawad Ali Shah, National Cluster Coordinator United Nations Children's Fund Mobile: +92- 0333 5057820 Email: [email protected].. Erum Burki, Educ. National Cluster Coordinator, Save the Children, Mobile: +92-0345 8540768 Email: [email protected],

Table 1

Category

Affected population (3-18 years children)

Beneficiaries children (3-18 years)

Girls Boys Total Girls Boys Total

IDPs in camps 25,679 23,703 49,383 12,804 11,852 24,691

Host communities 233.196 215,257 448,453 62,890 58,052 120,942

Total 258,876 238,960 497,836 75,729 69,904 145,633

Needs analysis The Education Cluster estimates some 497,836 children aged 3-18 have been displaced by the crisis and are currently living in camps and host communities in KP and FATA. The number of children living in the camps (Jalozai, Togh Sarai and New Durrani camps) amounts to 49,383 (including 25,678 girls) while another 448,453 (including 233,196 girls) are living in host communities. These children are affected by the on-going security operations and need to be engaged in educational activities in order to keep them away from harm, train them in life-saving skills and to prepare for reconstruction of the conflict-affected provinces. The education response will include setting up/sustaining the existing camp schools, teacher training and establishing/re-activating PTCs/TIJ/SMCs under the IASC guidelines for psycho social support and the Inter-Agency Network for Education in Emergencies (INEE) Minimum Standards for Education. The Education Cluster aims to reach out to 145,633 displaced children affected by the security operations living in KP and FATA (50% of children living in camps, 25% living off-camp). Approximately 68,388 children may return to their areas of origin where the Education cluster will support the needs of 23,936 returnee children (35 % of the total number of returnee children). This support includes establishment of Temporary Learning Centers (TLCs) in conflict affected damaged schools, provision of teaching learning material, teachers training and activation of school councils. Cluster strategy The Cluster aims to reach the caseload of 143,633 children through a minimum package of basic education services till December 2013. The intervention will ensure maximum enrolment of girls’ and boys’ students in the schools. The strategy will include:



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a) Support schools in IDP camp in Jalozai (Nowshera), Toqh Sarai (Hangu) and New Durrani (Kurram) and also include additional case load from South Waziristan agency and Kurram agency;

b) Provide additional support (para teachers, teaching learning material etc.) in primary and secondary schools in the

affected host communities of KP and FATA; c) Provide capacity building to Govt/para teachers, and PTA/ SMCs/ TIJs members on various topics: teaching in emergency, psycho social support and life skills based education. The education package will include provision of teachers, education supplies, School in a Box, recreational kits, student’s stationeries, and other relevant teaching learning material. Moreover, parents and mother support groups will be established and trained to support the schools and encourage enrolments. The Education Cluster will also support safe and child friendly temporary school facilities including latrines and water facilities that are gender/age sensitive in design. Teachers with minimum qualifications will be hired and trained on child friendly schools; life skills based education and emergency response. Within the camps Early Childhood Education centers will be established in existing schools for the 3-5 years old. Teachers, particularly female teachers/caregivers, will be trained on ECE approach and ECE kit will be provided to already establish schools in camp and off camp. Another strategic direction will be access to quality education. Children community mobilization campaigns will be launched to enroll out-of-school children. Local communities and parents will be sensitized on child rights and the importance of children education.

To ensure accountability and sustainability of the activities different stakeholders including local communities, relevant government district education departments, camp authorities, FDMA and PDMA will be involved to play an active role in this plan and delivery of activities. For this purpose PTCs/TIJs, student councils and community level committees comprising of parents, Shura members, religious leaders, camp administration and children, will be formed by implementation partners. The following activities have been prioritized to respond to the urgent needs of children to continue learning, resume their disrupted schooling and experience some normalcy in their lives:

Initially, non-formal/formal schooling will be started/ sustained for children/adolescent in camps up to secondary level with the particular focus on primary and middle level of education.

Established ECE centers in existing schools in camp/off camp/area of return with little support like ECE kit, care giver for 3-5 years of children

Provide additional support like para teachers, additional teaching learning material and WASH facilities etc. to primary, middle and secondary existing Government schools where IDPs children living off camp in KP/FATA

Organize functional literacy classes with follow-up programs in camps and in host communities for youths and adults, especially adolescent girls and women.

Procure and distribute assorted school supplies to all children enrolled in camp and off camp schools and teachers as well.

Provision of additional support/ minor repair of the existing government schools where IDP children are enrolled in host communities.

Inter Sectoral Collaboration:

In order to provide a comprehensive response the education cluster will stress upon inter cluster collaboration for which the Education Cluster will collaborate with other clusters ,i.e. Protection, Nutrition, Health, WASH, Shelter, GBV and thematic working group for quality improvement of education response and address the child holistic need for over all child development. Cluster objectives

Objective 1: Children have access to quality education through child friendly schools in the target camps to bring them normalcy


Children in IDP camps and host communities have access to basic education services in safe and secure environment

# of children( boys and girls) in IDP camps and # of children( boys and girls) in host community have access to the camp and out of camp schools

Identification and assessment of school age children

Establishment of schools and provision of basic educational supplies

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Establish/Strengthen ECE section for the children of age group of (3-5) years of the total 8% target group;

# of children ( boys and girls) have access to ECE facility

Establish/Strengthen ECE section by improving the learning environment in ECE standard

Train teachers on ECE

2,913 Teachers (Male: 1,398, Female:1,515)are trained in child friendly teaching techniques and teaching in emergency

# of teachers(men and women) are responding to CFS teaching including basic life skills education and emergency response

Organize training workshops and refresher courses to 2,913 teachers on Child Friendly schools, life skills based education, psycho social support and on emergency response.

Establish/strengthen School management Committees and training of 4,369 PTA/ SMCs/ TIJs members (Male: 2097, Female: 2,272)

# of PTA/ SMCs/ TIJs (with %men and %women) established and trained on their roles and responsibilities

Establish/strengthen SMCs in the camp and out of camp schools

Train 4,369 PTA/ SMCs/ TIJs members on roles and responsibilities in all the proposed schools

Objective 2: Child friendly learning and physical environment is developed in the schools to ensure enrolment and retention in the schools.


Provision of tents/rented building

with basic facilities in and out of

camp schools

# of camp and out of camp schools have child friendly physical learning environment

Establishment of schools though temporary arrangement ( in tents or rented building)

Provision of additional support/ minor repair of the existing government schools where IDP children are enrolled in off camp

# of schools repaired/provided

additional support

# Of schools where additional support

provided.

Cluster monitoring plan

To ensure the implementation according to the time frame and cluster guideline, education cluster will take the following measure to ensure the smooth implementation of education response and track the implementation of the intervention according to the predefined indicators and collect the gender segregated data. A monitoring tool will be designed in consultation with all stakeholders and guideline in IASC. After finalization of the tool every organization doing monitoring will use that tool.

Joint monitoring visit by education cluster team and education department.

Tracking the progress on weekly basis through progress sharing with cluster and education authorities.

Data basis for updated 4Ws on fortnightly basis with cluster.

Feedback from beneficiaries through physical contact/telephonically.

Sharing monthly plan regarding project activities implementation.

Monthly progress review meeting will all stakeholders including Govt. line department, PDMA& FDMA. Table of proposed coverage per site


IDP Camp Togh Sarai, Hangu UNICEF, District Education Department, NGOs

IDP Camp Jalozai, Nowshera IRC, Muslim Aid, FATA Education Department, NGOs

IDP Camp New Durrani,

Kurram Agency

UNICEF, FATA education Department, NGOs

Host communities in KP, FATA UNICEF, Save the children & Government Education Department, NGOs/ INGOs

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7.2 Food Security

Cluster lead agency Food and Agriculture Organization (FAO) of UN and UN World Food Program (WFP)

Implementing agencies 12 cluster members ( WFP, FAO, ISCOS, NRDF, Literate Masses, ACTED, Islamic Relief, SHID, CHESVI, FRD, IHSAS & CARE International)



Save lives and improve food security and livelihoods of conflict affected populations 1. Improve food consumption for targeted groups 2. Increase availability of diverse, nutritious and safe food for targeted groups 3. Improve/stabilize nutritional status of young children (6 months – 12 years) 4. Protect livelihood assets and increasing HH resilience

Beneficiaries i)Up to 1 million individuals IDPs & returnees (160,000 households; plus 40,000 families of hosting communities for agricultural interventions only)

Funds requested US$ 165,369,384

Funds Gap/Shortfall US$ $88,898,538

Contact information

FAO: Khalid Khan, Provincial Cluster Coordinator ([email protected]) 03468544175 WFP : Rizwan Bajwa, National Cluster Coordinator ([email protected] ; 0345-5005166 Zahir Shah Khan, Provincial Cluster Coordinator ([email protected]) 0346-8563443

Category Affected population (Est.) Beneficiaries (if different)

Female Male Total Ind. Female Male Total

IDPs 470,400 489,600 960,000 470,400 489,600 960,000

Host families**** 124,800 115,200 240,000

*Male and Female ratio might be based on a 48 / 52 %, but it is advisable to use HH for beneficiaries’ identification. **Particular focus should be given to female headed household (widows and / or separated). ***40,000 Host families considered for agricultural inputs only **** The hosting community is not registered, the off-camp IDP's projected for the relevant hosting families on the assumption that each off-camp IDP family living with a unique hosting family Needs analysis

Since late-2008, protracted fighting across Pakistan’s Khyber Pakhtunkhwa (KP) province and the Federally Administered Tribal Areas (FATA) has led to mass internal population displacement: severely and abruptly compromising the food security of affected groups and resulting in considerable destruction to livelihood assets, livestock and productive capacity. A range of assessment exercises have continued to advocate emergency food assistance as a key priority response for those still displaced or only recently able to return home. An April 2012 Inter-Agency Rapid Assessment (IARA) of newly-displaced families from Khyber residing in the hosting districts of Peshawar, Nowshera and Kohat confirmed that food is amongst the most urgent needs of 80 percent of affected families. The IDP Vulnerability Assessment and Profiling (IVAP) exercise continues to determine that food assistance remains the highest priority request of IDP families and that a large proportion of the affected population continues to suffer from either poor or borderline food consumption levels (estimated at more than 65 percent, July 2011). Estimated at 47 percent of all off-camp IDPs by the IARA, special implementation provisions are necessary to facilitate the receipt of assistance by female beneficiaries in order to forestall any exacerbation of gender gaps (a common corollary to conflict). Owing to the more severe limitations and greater burdens faced by women during times of conflict and displacement, they are more likely to resort to detrimental coping strategies. Similarly, when household food consumption is subject to restriction, the specific nutritional needs of women and girls tend not to be met; since they are typically marginalized in food allocation and often eat last and less. As such, the provision of a nutritionally-balanced food basket sufficient to meet the requirements of all family members is central to addressing this issue.




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Agriculture and livestock have suffered badly due to military operations and unrest. Agricultural activities were banned and the movements of the people were restricted. Large numbers of livestock were either lost or sold at lower prices, their shelters were destroyed and a substantial amount of animal feed resources in the form of wheat straw, maize stock and fodder seeds has been damaged. The reported damages to the livestock sector due to insurgency (loss or distress sales during displacement) are estimated at PKR 7.75 billion3. Furthermore, in the case of military operations and subsequent displacement and, farming families suffered from loss of standing crops, tools and inputs, destruction to land and water infrastructure and loss of stored food grains. Displacements also bring negative impacts on the household assets, especially the productivity of livestock assets are marginalized which further aggravates the food in-security status of affected population. In IDP camps that host FATA displaced families, there are no, or limited, shelter, feed and watering facilities, as well as veterinary services. Grazing areas around the camp are mostly barren and not sufficient to provide sustenance for the existing livestock. For displaced families the possibility of retaining their animals determines the choice of living in or outside the camp. According to the progress reports from camps in KP and FATA, poultry, small and large ruminants are present in and around camps of more recent displacements. Some of these livelihood needs were responded in the year 2012 which strengthened the understanding of humanitarian community on the criticality of these food security needs in displacements. Response strategy

The Food Security Cluster response strategy is to save lives and improve food security and livelihoods of conflict affected populations by:

1. Improving food consumption for targeted groups 2. Increasing availability of diverse, nutritious and safe food for targeted groups 3. Improving/stabilizing nutritional status of young children (6 months – 12 years) 4. Protecting of livelihood assets and increasing HH resilience

The Food Security Cluster strategy aims at addressing the most urgent food security and livelihoods needs of displaced families living inside and outside the IDPs camps: Togh Sarai and Jalozai camps in KP and New Durrani camp in FATA as well as host communities and returnees in Peshawar, Nowshera, Kohat, DIKhan and Tank districts of KP and SWA, Orakzai & Kurram Agency of FATA. The strategy presents valuable options for food security livelihoods support for IDPs, hosting communities and supporting returns according to the FATA Disaster Management Authority (FDMA) planning scenarios for year 2013. The provision of nutritionally-balanced relief food rations, while protecting food and livelihood assets through emergency livestock feed, medication, vegetable seeds, and milking kits were some activities identified through IVAP multi-cluster assessment for the initial response of food security cluster to population in displacement. Life-Saving Food Assistance

Families displaced from their areas of origin or only recently able to return home are eligible for relief food assistance. This includes those displaced for protracted periods and found still to be vulnerable and in need of external assistance. Relief food distributions are conducted on a monthly basis, with the general family food basket consisting of cereals fortified wheat flour or rice (80Kg), pulses (8Kg), salt (1Kg), and vegetable oil (3.7-4.5Kg) and it also includes High Energy Biscuits (HEB) (2.25Kg) for Children aged 2-12 years and also Ready to Use Supplementary Food (RUSF) (1.5Kg) provision to the Children 2-23 months. But due to resource constraint currently cereals and pulses ration scale have been revised to half. Distributions are conducted on a monthly basis, in order to meet the immediate food needs of beneficiary groups with

the logistical challenges associated with wide-scale activity in insecure locations. Beneficiaries receive their monthly

food ration directly from distribution points within camps and Off -Camp through ‘humanitarian hubs’ (established by

WFP in close proximity to where military operations-affected groups are residing). These hubs help to reach even the

most isolated communities, and also serve as a platform for the supply of non-food items and other humanitarian

services. In select cases voucher/cash programs may be utilized, where appropriate.

Special consideration is given to the provision of food assistance to the most vulnerable groups in the communities,

including the elderly, sick, disabled, children, pregnant and lactating mothers, and female and child headed

households. FSC members ensure that general food distribution as well as all programmatic activities is conducted in

a safe and dignified manner. Separate distribution counters and waiting areas are established for women at

distribution points, and at which female staff are deployed. Assessment teams aim to include women where possible

3 FATA Secretariat, Livestock Department and FDMA

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and beneficiary data is disaggregated by gender.

Emergency food distributions are maintained during the period of displacement, thereafter supplemented by a six

months return package of assistance in the places of origin. The latter is crucial in facilitating the return process by

ensuring that basic needs continue to be met despite adverse availability and access conditions at home, and allowing

complementary recovery efforts to proceed unhindered by immediate food security concerns

Food Security and Livelihood Support

Over a protracted period of displacement, IDPs can strain hosting families’ resources as they themselves have meagre incomes, hosting can cause them to stretch their resources. Often when livestock is sold or dies displaced families will not be in the position to purchase new animals for themselves when in the process of returning to their homes. Vegetable and pulse/legume seeds packages will be distributed to host families and off-camp IDPs to supplement/improve food diversity within households. Furthermore in the tribal areas of Pakistan, livestock is often the only asset to which women have real access and over which women have some degree of control. Leaving this source of livelihood unprotected would create a gender gap in the assistance. Since women and female headed households as beneficiaries form a central component in the strategy, appropriate interventions targeting these women are a must and livestock is one of the most effective sub-sectors in this context. In camps, nutrition, dietary awareness and food preparation trainings are an excellent opportunity to reach women who traditionally prepare meals for families. Support to integrated homestead gardens (for growing vegetables, pulses and legumes) is a key component for supporting food security within these households in the short term. Agriculture represents a vital food and income source for the people of FATA. Most are small landholding farmers with few resources to produce food and earn income for their families. Agriculture-dependent returnee families should be supported with agricultural and livestock support transitional return packages to ensure the rapid recovery of food security and livelihood upon return. The FSC will liaise with Government and other stakeholders (i.e. UN Agencies) to identify the most suitable package composition according to the area of return and predominant livelihood patterns. Packages should be distributed at the site of displacement before or at the time that return is initiated based on information from needs assessments. Coordination

FAO and WFP co-chair the Food Security Cluster with the KP/FATA Departments of Agriculture. The Cluster is committed to coordinating data collection, analysis and sharing of food security information. Particular efforts will focus on the optimization of targeting, prioritization of need, avoiding duplication in assistance, utilization of technical standards in agriculture and livestock interventions. Liaison with PDMA, FDMA, FATA Secretariat, Protection, CCCM clusters and other stakeholders for information sharing will also be a priority. The Cluster will continue to highlight critical cross-cutting issues and support the sector’s ability to mainstream gender, protection and environment into all aspects of programming including assessments, identification of needs, program development, beneficiary targeting and selection criteria leading to improvements in program implementation, monitoring and evaluation. Moreover building capacity among national and local NGOs will be a priority for the sector. With the coming together of the Food Security Cluster, the Governments of KP/FATA, respective line departments, NGOs and the UN need to coordinate their information, communication and interventions through the FS Cluster. Spare resources are most effectively used when all stakeholders communicate and develop a common strategy for response within the sector. Cluster Monitoring Plan

The activities of Food Security Cluster are monitored regularly through collecting and updating 4W matrix from active partners in the field. The information sharing through various channels within humanitarian community also provide opportunities of transparency and accountability in the response mechanism. Alongside, joint monitoring visits with government counterparts will provide space for areas of improvement in project implementation stages. Members in Food Security Cluster are encouraged to share experiences during meetings, not only serve the monitoring and evaluation aspects of program management but consequently led to the development of technical guidelines for adoption at cluster level. Daily reporting of online food distribution system is an effective and informative tool for regular monitoring for the food security cluster.

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Food Security Cluster Objectives

Objective: Save lives and improve food security and livelihoods of conflict affected populations

Outcomes Indicators Activities

Improved food

consumption for

targeted groups

Household food consumption score exceeds threshold for 80% of targeted households

Number of women, men, girls and boys receiving food, as a percentage of planned beneficiaries

Tonnage of food distributed, as a percentage of planned beneficiaries

Unconditional food assistance

Unconditional cash/voucher assistance where appropriate

Increased availability

of diverse, nutritious

and safe food for

targeted groups

Number of HHs receiving kits

Number of HH supported with agricultural packages

Number of HH receiving nutrition and other training

Number of HH provided with poultry/small ruminants packages against the targeted beneficiaries

Household food consumption score exceeds threshold for 80% of targeted households

Distribution of Vegetable/Pulse/Legume Packages

Provision of equipment kits for hygienic collection and storage of animal products (milk, eggs, yogurt)

Conduct training on: Nutrition, Food Preparation & Dietary Awareness:(mostly females)

Distribution of livestock feed supplements

Poultry/small ruminants restocking and packages

Improved/stabilized

nutritional status of

young children (6

months – 12 years)

Number of children provided food under blanket supplementary feeding

Quantity of supplementary foods distributed

Low MUAC prevalence stabilized for 80% Children under 5

Unconditional food assistance: blanket supplementary feeding

Protection of livelihood assets and increasing HH resilience

Number of HH receiving livestock packages

Number of livestock vaccinated/treated

Number of animal shelters constructed

Increased food and income at household level

Number of HH that that benefited from conditional cash transfer programs

Provision of livestock feed packages (feed, containers for feed/ and water, fodder seeds/tools)

Provision of livestock health: vaccinations + treatment +care training (mostly females)

Construction animal shelter— semi permanent for protection from elements

Provision of agricultural input packages for transitional return

Conditional cash transfer modalities 7.3 HEALTH CLUSTER

Cluster lead agency World Health Organization

Implementing agencies

WHO, UNICEF, UNFPA, UNOPS, DG Health KP, DG Health FATA, AICD, Care International, CAMP, CERD, CWS-P/A, DVO, Friends of the Mind, Handicap International, HHRD, IHP, IMC, IRC, Islamic Relief, Johanniter Unfallhilfe E.V., KDWO, Merlin, MDM, MIHO, NATPOW, PEI, REPID, Save the Children, Save and Serve, Shifa Foundation


Cluster objectives The overall objective of the Health Cluster response is to improve the health conditions of IDPs and hosting population in the affected districts of Kohat, DI Khan, Tank, Hangu, Peshawar and Nowshera of Khyber Pakhtunkhwa, including Jalozai, New Durrani and Togh Sarai IDP camps, and returned displaced population to Bajaur, Khyber, Kurram, Orakzai and South Waziristan Agencies through provision of/and maintaining essential life saving health services interventions for reducing morbidity and mortality.

Beneficiaries/ Population caseload

Expected IDP population caseload: Families Individuals

IDP camp population 16,114 96,684

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(average 6)

IDP off camp population 146,656 879,936

Expected caseload displacement 14,000 84,000

Expected displaced population return 24,402 146,412

Total targeted caseload (January–December 2013) 201,172 1,207,032 Funds requested Total Funding needs: 22,799,382 USD

Contact information Dr. Jorge Martinez, Chief of EHA Operations/Health Cluster Coordinator WHO Islamabad, Email: [email protected] Dr. Sardar Hayat Khan, Health Cluster Coordinator KP/FATA WHO Peshawar, E-mail: [email protected]

Table 1. Demographic Estimation of Health in Emergencies

Context Population Programming Groups %

Total Population 1,207,032

Male (52%) 627,657 52%

Female (48%) 579,375 296,240 48%

child bearing age (48.8% of female)

252,735 48.8%

1,207,032 100%

Population below 15 years 523,852 255,287 43.4%

Newborns 7% of total Pop under 15years

89,924 7.45%

Children (Below 5 years excluding newborns)

178,641 14.8%

Population 15 - 64 years 519,318 596,274 53.1%

Pregnant Women 3.7 % of 15 - 64 population

44,660 3.7%

Elderly (Above 65 years) 42,246 3.5%

1,207,032 100%

Needs analysis:

In 2012 Health Cluster placed a great emphasis on the control and mitigation of communicable diseases through provision of emergency primary health care services and addressing risks related to lack of safe water, poor sanitation and hygiene in the IDPs camps and hosting areas. The additional influx from Khyber Agency and the previously displaced population from Bajaur, Kurram, Orakzai and South Waziristan agencies have increased the burden on the already under-resourced health care system in Kohat, Hangu, Tank, D.I. Khan, Nowshera and Peshawar districts. There are evident gaps in the capacity of the health care providers in handling emergency situations, low coverage of vulnerable populations The provision of comprehensive primary health care services (Kohat – 48 health facilities; DI Khan – 88; Tank – 34; Hangu – 24; Peshawar – 166 and Nowshera – 63; Bajaur – 38; Khyber – 36; Kurram – 72: Orakzai – 47; South Waziristan – 71) is urgently required for the returnees and displaced populations of the affected areas of KP and FATA. Special attention and assistance needs to be continue given to the vulnerable groups including the elderly, pregnant women, disabled. Large numbers of IDPs are still staying in three camps i.e. Jalozai (Nowshera), Togh Sarai (Hangu) and New Durrani (Kurram) while the predominant number is in host communities of D.I. Khan, Tank, Kohat, Hangu, Nowshera and Peshawar districts. The already resource constrained health facilities report increased number of IDPs applying for regular health care, and, especially, specialized women and children services. In 6 IDP hosting districts in KP there is a total of 423 health facilities involved in IDP assistance, including 169 Basic Health Units (BHU), 128 civil dispensaries (CD), 74 hospitals, 21 Mother and Child Health centers (MCH), 21 Rural Health Centers (RHC) and 10 Sub-Health Centers (SHC). The latest assessment of de-notified areas in FATA agencies on needs and types of assistance required for selected health facilities indicated that most of the existing health facilities remained significantly damaged or destroyed (for example, 6 PHC facilities in Orakzai and 7 – in Kurram). The analysis of 263 health care facilities in 5 FATA Agencies, including Bajaur, Khyber, Kurram, Orakzai and South Waziristan indicated that there was a definite need for 100 BHUs, 124 CDs, 21 hospitals, 12 MCH centers and 6 RHC to strengthen them to be prepared to bear the burden of returning displaced population through filling gaps in human resources, supply, equipment and enhancement of technical capacity. There is a wide variation between the districts in resource allocation, disease prevalence, malnutrition, gender inequality and illiteracy. A significant number of people, especially in remote areas have difficulty accessing primary healthcare. The average distance to a health facility is about 10 kilometers in rural areas.


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Preventive programs, especially Lady Health Workers Program, MNCH Program and EPI, are the most affected. Only 30% of women and children have access to medical care. There is a need to revitalize LHW Program. The total fertility is high, 5.6 children and the contraceptive prevalence rate (CPR) is not rising enough, 38%. There is high maternal and infant mortality and services are insufficient. The analysis shows significant remaining gaps in MNCH throughout all KP and FATA. Maternal Mortality Ratio (MMR) for KP is 275 maternal deaths per 100,000 live births. Most of these deaths are caused by postpartum hemorrhage, sepsis and eclampsia. The neonatal mortality rate is 41 per 1000 live birth, while the infant mortality rate is 63 and under-five mortality rate is 75. Neonatal deaths are almost entirely due to birth asphyxia, sepsis or prematurity while deaths in the post-natal period are mostly due to diarrhea or pneumonia. The attendance of skilled birth attendants (SBAs) at delivery has increased from 28% in 2001 to 41% in 2011. Only 50% of women receive any form of ante-natal care and only 25% are receiving any form of post-natal care from a SBA. No district has ever conducted maternal and neonatal death reviews. Almost all districts are under reporting maternal and neonatal deaths. Pneumonia remains a leading cause of child mortality accounting for a quarter for all post neonatal deaths with most deaths caused by a failure to seek treatment at a health facility. Implementation of IMNCI (Integrated Management of Neonatal and child Illness), ENC (Essential Newborn Care) and EmONC (Emergency Obstetrics and Neonatal Care) remains very poor. EmONC services are available at only 34% of hospitals (none of RHCs provide these services). Communicable diseases are the most important health problems in KP and FATA. Common causes of death and illness are acute respiratory tract infections, diarrheal diseases, and malaria, tuberculosis and vaccine preventable infections. Epidemic prone diseases such as meningococcal meningitis, cholera, hepatitis and viral hemorrhagic fevers remain prominent health threats. Under the immunization coverage during the displacement, most vaccination services and activities (cold chain) were interrupted in the government-run health facilities due to weak or non-functional facilities; unavailability of electricity or fuel for generators; movement restrictions in insecure areas (especially Tank, D.I. Khan and Hangu) affecting the distribution and delivery of vaccines; and shortage or absenteeism of health facility or field staff. Polio remains a public health threat and the area is endemic. The total number of polio cases in KP and FATA for 2012 is 27 and 20 respectively (country-wide – 56) compared to 20 and 51 for 2011. Tuberculosis accounts for 5.1% of the total burden of diseases with case detection rate to be improved. HIV/AIDS is considered to be at low prevalent levels but prevention through public health education is important. Only 3% households are found to have one mosquito net affecting at average 100,000 people with malaria. Hepatitis is recognized as a priority health problem. Unsafe injections and poor hygiene invasive practices appear to be major causes of the disease. The current gap in the availability of life saving essential medicines is 60%. There is a need for capacity building on concept of rational use of essential medicines as the level of knowledge in FATA agencies and southern districts of D.I. Khan and Tank is just 10%, which pose serious threat to wastage of already scared resources. Over 90% of expenditure on drugs and medicines was private and consultations provided by the private health sector. The cost of health care results in families becoming completely impoverished. Chronic staff shortages and non-availability of essential medicines lead that only 9% of the patients who use a government health facility receive all of their prescribed medicines. Water quality monitoring and control is also of paramount importance in controlling the spread of water borne diseases. Only 47% of the households have tap water and 61% have safe sanitation. Water quality monitoring and treatment should be conducted to avert waterborne diseases and health education and hygiene campaigns. In 2012 the HOP projects were significantly underfunded due to which the response for the off camp IDPs was very weak. Serious funding shortfalls were faced by WHO, UNICEF, UNFPA and NGO partners with the total funding gap of 7.7 million USD. UNFPA has closed down its technical and programmatic support on 31

st December 2012 in Jalozai

camp. Gender Base Violence (GBV) multi-sectoral response and preventive services through integrated RH support were stopped with serious existing gaps. UNICEF also stopped its humanitarian health assistance in Togh Sarai and Jalozai camps. The coverage of health services, including access to insecure areas and to IDPs, remains a major challenge in reducing the burden of diseases to vulnerable population. Response strategy:

i. Coordination of emergency health response, streamlining of decision making, monitoring and

information management In support to the provincial and FATA Directorates of Health, the World Health Organization as the Health Cluster lead, along with cluster partners, is ensuring that:

• A coordinated response is put in place to ensure delivery of health services to the most vulnerable; • The communicable disease surveillance and outbreak response system is maintained and as possible expanded

for timely detection of disease, and prevention of outbreaks;

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• Stocks of necessary medicines and supplies are delivered to warehouses and further distributed, as requested by the health authorities and implementing partners verified needs;

• Water and sanitation condition is improved in selected targeted agency/areas. The Health Cluster has set up an effective and efficient mechanism of coordination at provincial and national level whereby the health partners share/map the information, produce situation reports and ‘who is doing what, when and where’ matrix. The information is used to identify the gaps and plan the response activities. Information management activities will also be strengthened at all levels to guide decision making, identify needs and critical gaps, and monitor impact of interventions. Communication and information Management (C&IM) will provide continuous updates on health cluster interventions by developing Who, What and Where (4W), and health maps using GPS coordinates. Newsletters, Health Bulletins, situational reports and web sites will be produced to inform partners as well as the general public on health interventions and needs. Brochures, information, education and communication messages (IEC material), pictorial coverage of health cluster initiatives, outbreaks, disaster reports, video interviews, documentaries as well as developing need/human interest, success stories and messages via channels of mass media communication will be used. The health cluster has to provide support to national and provincial health authorities in strengthening their capacity in risk reduction, emergency preparedness and timely and efficient response to disasters through improving access to health care for affected populations and putting effective disease control measures in place.

ii. Provision and strengthening of Primary Health Care services

Ensuring that government health facilities in the affected areas are made operational through provision of essential medical equipment and provision of necessary medical male and female staff through health cluster partners and support to health department. Uninterrupted and sustained provision of essential medicines, medical supplies, and equipment has been critical to health delivery at all levels of health service delivery. The Essential Medicine package provided during the relief phase covers the treatment for communicable diseases, non-communicable diseases, MNCH related medicines, pediatric preparation and item for the minor surgery, as well as maintained the contingency stock of key medicines for preparedness and response to alerts. These lifesaving interventions played a vital role in reducing the incidence of morbidity and mortality. Essential medicines and supplies will be provided as funding permits on regular basis to avoid any lapse in the delivery of essential healthcare. Geographic stockpiling will be planned for in a way that allows immediate response to outbreak alerts as well as for the district. Medicines will be bought and imported in accordance with the National and WHO essential medicines list. In order to reach population faster, medicines and equipment will be purchased and dispatched in ready-to-deploy kits. Some kits will require international air shipment to ensure timely availability and delivery. Capacity of the health partners and Department of Health staff will be enhanced on medicine management. The essential medicines team set up within the coordination mechanism will monitor the rational use, storage and dispensing activities, the logistic support system (LSS). Continuation of provision of essential primary health care (PHC) services including activities within the Minimum Initial Service Package (MISP) for reproductive health will be supported. Mass vaccinations/immunization campaigns and awareness campaigns of healthy practices for the masses would be launched for the community. Rehabilitation/ reconstruction of assessment identified partially damaged and full destroyed health facilities including water supply and storage and/or setting up of ad-hoc temporary health facilities to revitalize the primary health care services will be supported by the cluster partners. The foremost requirement that has been identified is the dearth of human resource which immediately needs to be addressed. Therefore, relevant health personnel would be duly appointed at the targeted health facilities and special incentives would be given to female staff working in the security compromised areas.

iii. Communicable Diseases Surveillance and Response

In view of the threats of water-borne diseases such as Cholera and Dysentery and the vaccine-preventable diseases such as Measles, Pertussis and Dysentery, support to the Disease Early Warning System (DEWS) for early detection and response to epidemics is crucial for reducing morbidity and mortality from communicable disease in the camps and among the IDPs in the hosting districts. In the targeted IDP hosting districts of Khyber Pakhtunkhwa and in FATA the government has limited resources and/or capacity to implement DEWS. WHO requires funding to continue support to DEWS for 2013 to respond to the

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epidemic threats in the areas of greatest risk due to: crowding, poverty, under-nutrition, poor coverage of immunization and health services, unsafe water supply, and inadequate sanitary facilities. DEWS teams will continue efforts to mitigate morbidity and mortality caused by epidemic-prone diseases through alert and outbreak detection and timely and effective response. Support to DEWS operations requires logistical support for investigation of alerts and response to outbreaks and for active surveillance and data collection from peripheral facilities. DEWS provides public health professionals on the ground in the targeted districts and agencies for immediate reporting of any public health event to the health partners as well as weekly reporting of disease trends seen in the health facilities. The new “eDEWS” or electronic online DEWS were introduced in the targeted districts to further streamline the information collection system and timely alert detection and response. By sharing weekly analysis of disease trends and disease alerts and outbreaks at provincial and FATA Directorate levels, DEWS will also play a role in health education for care of newborns and young children; advocacy for immunization; prevention and control of waterborne diseases; infection control in hospitals; vector control; water quality testing; sanitation and hygiene promotion. DEWS focal persons in each health facility and district/Agency team will be nominated by the local authorities and will be trained on standard case definition, data collection, alert generation, and reporting and will jointly investigate and respond to outbreaks. Routine vaccination would be accelerated by increasing the number of vaccination sites with specific emphasis to Polio, Measles vaccination, Maternal TT and vitamin A supplementation. Moreover, mass communication and social mobilization activities would also be undertaken. The immediate environmental health activities will include comprehensive measures for the improvement of water quantity and quality of the healthcare facilities serving displaced population.

iv. Health Promotion and Protection, including MNCH, Non Communicable Diseases, Mental Health, and Nutrition.

Under the Health Promotion and Protection the dissemination of key health messages, including risk awareness, mental health counseling, disaster management and first aid support among the affected communities will be ensured to prevent major health risks among the affected population. The response will address major health risks including Hygiene Promotion; Malnutrition; Malaria and Dengue Fever; Mother and Child Health; vaccine preventable diseases and snake bites among the affected displaced population. Provision of emergency health services, for basic care of under-five children, would be supported by WHO by establishing under 5 clinics in all health facilities where Integrated Management of New-born and Childhood Illness (IMNCI) strategy will be implemented. Maternal and Newborn care would be provided through Basic Emergency Obstetric Care (BEmOC) and Essential New-born Care (ENC) packages respectively. The health care providers would be trained on IMNCI, ENCC and Basic EmOC for enhancement of their skill and knowledge through the outsource partners. UNICEF will undertake activities to ensure that emergency affected communities in IDP camps and hosting communities in Khyber Pakhtunkhwa and FATA have access to 24/7 basic & comprehensive emergency obstetric care and newborn care services; strengthening of routine EPI; children 6-59 months receive measles immunization and vitamin A supplementation; under-five IDP children and their mothers provided a standard package of maternal, child health and newborn care services, NFIs, and information through Mother and Child Days/Weeks; community based health programs (LHW and MNCH programs) will be revitalized through provision of supplies and incentives along capacity building; strengthening of MCH services in selected public sector health facilities through filling of HR, supplies and equipments gaps; and strengthening of specialized pediatric services and new-born care services in DHQ/Teaching Hospitals in affected districts. UNFPA along with partners and DoH will focus on implementation of Minimum Initial Services Package (MISP) through equipping and strengthening of selected service delivery points, including RHCs, THQs and DHQ hospitals to facilitate the provision of 24/7 Basic and Comprehensive EmONC services; establishing referral pathway to strengthen the community- based referral system by supporting the LHS, LHWs; provision of essential RH medicines, kits (RH/hygiene and new-born) and equipment that; conduct awareness-raising sessions on RH; enhance capacity of the relevant staff in MISP and other life-saving competency based trainings to support provision quality RH services; and conducting RH/GBV information sessions for women, men and youth.

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Response objectives:

Objective 1: Continuation and strengthening of essential PHC services, including essential life saving medicines and other medical supplies, in all affected areas and camps for filling gaps and unmet needs in the health response.


Reactivated/restored primary health care services; ensured availability and accessibility of essential life-saving medicines, supplies, equipment and HR; strengthened referral system.

# of static health units reactivated/strengthened # of operational mobile medical units/teams( Men women trainees) # of consultations provided # of health workers deployed/operationalized to fill the gap( Men women trainees) # of complicated cases referred # of population covered by provision of EHKs, DTKs, ARI kits, LLINs # of health promotion activities conducted # of health staff trained, including LHWs, mid-wives, and Community Health Workers (CHWs)

Provision of health services 24/7

Reactivation/strengthen of static health units with provision of necessary essential medicines, medical supplies and trained HR

Provision of mobile medical units/teams( Men women trainees)

Filling gaps in strengthening referral system, including identification of mental health disorders

Providing capacity building support to health workers( Men women trainees)

Reactivation of community health care services through LHW, community workers, mid-wives

Monitoring rational use of essential medicines

Objective 2: Establishment of communicable disease surveillance and response to mitigate morbidity and mortality among affected and displaced population.


Prevention against

epidemic-prone diseases

and their outbreaks through

diseases early warning

system (DEWS) and

response via coordinated

health interventions.

# of health facilities reporting DEWS/eDEWS # of alerts and outbreaks identified and responded within 24/48 hours # of samples collected within 24-48 hours # of health workers trained on DEWS/eDEWS # of Rapid Response Teams deployed # of DTC/ARI centers established # of water samples collected, tested and reported # of environmental health supplies provided # of patients covered through provision of life saving medicines

Active surveillance in all affected areas through surveillance officers (epidemiologists), environmental health engineers and pharmacists

Remedial actions to mitigate the outbreak

Carrying out laboratory tests for confirmation of an outbreak

Weekly data analysis of reported consultations

Training and deployment of rapid response teams to investigate alerts and outbreaks ( Men women trainees)

Training of health care workers on DEWS/eDEWS( Men women trainees)

Conduct regular water quality monitoring in affected areas, and routinely disseminate results and trends with all WASH partners

Surveillance of waterborne, vector-born and vaccine preventable diseases in affected communities and ensuring appropriate response mechanisms

Provision of life saving medicines and supplies, including ADS, TIG, anti Leishmaniasis, anti Malaria, vitamin A, Tamiflu, LLINs, DDK and ARI kits, etc.

Objective 3: Coordination and streamlining of health response within the cluster mechanism and in partnership with local authorities and other actors


Improved health cluster coordination mechanisms established at federal, provincial, district and Agency levels

# of health cluster and other coordination meetings timely held # of minutes of the meetings prepared and shared # of health information materials (situation reports, bulletins, 4W, maps, media reports, progress

- Supporting service delivery - Informing strategic decision making - Planning and strategy development - Advocacy - Monitoring and reporting - Contingency planning and preparedness

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reports, etc.) distributed among health cluster partners # of health facilities covered by health cluster partners # of health cluster partners attending coordination meetings # of joint assessments undertaken and tools developed # of planning and strategy development documents produced

- Accountability to affected population

Objective 4: Provision of MNCH services


Children under 5 and their

mothers receive a standard

package of services,

information and

commodities through

primary, secondary health

care services and

community based activities

# of 24/7 basic EmOC services # of 24/7 comprehensive EmOC services # of health facilities providing IMNCI services # of health staff trained on IMNCI, EmOC, ENC, IYCF, MISP and family planning counseling # of 2 to 5 year children dewormed # of new-born provided new-born kits # of PLWs provided health education sessions

Provision of relevant supplies (medicines, equipment, IEC materials) to health facilities providing EmOC, IMNCI and ENC services

Training of health staff on EmOC, IMNCI, ENC, IYCF, family planning and MISP

Development of micro plans and social mobilization and health promotion activities

Measles vaccination and

Vitamin A supplementation

campaigns organized in

communities and IDP

camps

# of children vaccinated against measles (boys and girls) # of children (boys and girls) provided Vitamin A supplementation

Pre positioning of vaccines and other logistics

Development of micro plans and social mobilization through different communication activities

Trainings of workers followed by active campaign( Men women trainees)

Cluster Monitoring Strategy:

Health Cluster partners will monitor health interventions according to the indicators outlined above disaggregated by sex and age, and conduct evaluations and assessments to measure the impact of the interventions and to facilitate improvement / changes where required. Specific areas of focus such as the DEWS will deploy surveillance officers in the districts affected for close monitoring and supervision of the disease trends and investigate any alerts and outbreaks to provide the timely and appropriate response. The essential drugs team will monitor the rational use, storage and dispensing activities and capacities of the department of health and all the proposing organizations through the deployment of a pharmacist in each district.

Joint monitoring visits along with the EDO Health are one of the successful mechanisms for the monitoring of cluster activities. Health Cluster uses IASC standard indicators for communicable and non-communicable diseases, including average population coverage, emergency obstetric care, maternal and neonatal care, etc. Health Cluster uses different data collection tools and methods for the assessment of health facilities like HeRAMS (Health Resources Availability and Mapping System) and IRA (Initial Rapid Assessment). Table of proposed coverage by Health Cluster partners:

Site/Area/District Organizations

Peshawar WHO, UNICEF, UNFPA, Save the Children, PEI, CAMP, IMC, MDM, GIZ, Friends of the Mind, Johanniter Unfallhilfe E.V., Merlin, MIHO, Care International, IHP, CWS, DVO

Nowshera WHO, UNICEF, UNFPA, CAMP, CERD, IRC, DG FATA (medical team), Islamic Relief, Shifa Foundation, Merlin, HHRD, MIHO, Care International, NATPOW, Friends of the Mind, IHP

Kohat WHO, UNICEF, UNFPA, MDM, Handicap International, IRC, NATPOW, IHP, CERD, Muslim Aid, MIHO

Hangu WHO, UNICEF, UNFPA, MDM, CERD, Handicap International, Save and Serve, IHP

D.I. Khan WHO, UNICEF, UNFPA, MDM, Handicap International, Merlin, PRCS, AICD, IHP, Shifa Foundation

23

Tank WHO, AICD, IHP

Bajaur Agency WHO, KDWO, AICD, IHP

Khyber Agency WHO, UNFPA, IHP

Kurram Agency WHO, UNFPA, Save and Serve, REPID, IHP, Muslim Hands International

Orakzai Agency WHO, UNICEF, UNFPA, IHP

South Waziristan Agency WHO, UNFPA, Save and Serve, AICD, IHP

Mohmand Agency WHO, HHRD

7.4 Nutrition Cluster

Cluster lead

agency(ies)

UNICEF

Implementing

agencies

Department of Health KP and FATA, UN Agencies (UNICEF, WFP, WHO, UNOCHA) and I/NGOs

(Save the Children, Merlin, Johanniter International, Muslim Aid, Action Against Hunger [ACF],

MDM, IMC, Relief International, Relief Pakistan, RAHBAR, PEACE, CERD, CDO-Swabi, CDO-

Pakistan, IDEA, FPHC, LIFE, PDI, NDF, AMAN, HRDO & PRIME Foundation)

# of projects 3 [Umbrella projects for the cluster members]

Cluster

objectives Overall Objective:

The overall objective of the Nutrition Cluster for KP and FATA is to ensure provision of life saving

preventive and promotive nutritional services for vulnerable children (boys and girls) and pregnant

& lactating women at the community and facility level that meet national and internationally

recommended minimum standard of care for a population affected by an emergency. Further, to

monitor and ensure that the Global Acute Malnutrition (GAM) rate of IDPs living outside the

camps does not fall below that of the ‘norm’ in hosts communities.

Specific Objectives

1. To ensure provision of lifesaving nutrition services for acutely malnourished children (boys and

girls) less than five years of age and pregnant and lactating women (PLW) suffering from acute

malnutrition through a community and facility based nutritional management approach through

2013 [IDPs in camps=97,152, IDPs outside camps in KP=858,042, host communities in

KP=1,523,718, IDPs outside camps in Kurram Agency=49,770, host communities/stayees in

Kurram Agency= 120,000].

2. To contribute to the prevention of malnutrition in early childhood through promotion of improved

infant and young child feeding, care giving and care seeking practices at the facility, community

and family level, promote good maternal nutrition and to prevent and control the donation and

distribution of breast milk substitutes in emergency affected areas.

3. To contribute to prevention and treatment of micronutrient deficiency disorders in children and

women through provision of multiple micronutrient supplementation, Vitamin A and deworming

campaigns.

4. To strengthen capacity for effective implementation of nutrition interventions through

trainings/refreshers of DoH and NGOs; ensure effective and timely implementation of

nutrition interventions through enhanced coordination and information gathering; nutrition

surveillance, surveys, monitoring of trends and status of malnutrition in the target population.

Beneficiaries The total target population is 2,648,682 including current IDPs in Camps=97,152 [Jalozai, Tough

Sarai & New Durrani Camps], IDPs Outside Camps=858,042 in KP [DI Khan, Tank, Kohat,

Hangu, Nowshera & Peshawar], IDPs outside camps in FATA=49,770 [Kurram Agency], Host

Communities=1,523,718 in KP [DIK, TANK, Kohat, Hangu, Nowshera and Peshawar] and host-

communities/stayees in FATA=120,000 [Kurram Agency].

Nutrition Cluster aims to reach 60% of the target population by the end of 2013 (1,589,209 out of

2,648,682 individuals) and as a consequence the estimated direct beneficiaries for nutrition

interventions for complex emergency in KP and FATA are 318,097. This includes 190,960

children under the age of five years (girls=93,570 and boys=97,390]*, and 127,137 PLW. The

detailed breakdown of estimated numbers of beneficiaries is as follows:

Total children to be screened for assessment of acute malnutrition =190,960 [KP-178,840 &

FATA- 12,120]

Severely acute malnourished children = 16,709 [KP-15,649 & FATA-1,060]

Moderately acute malnourished children = 33,418 [KP-31,297 & FATA-2,121]

Total pregnant and lactating women to be screened = 127,137 [KP-118,242 and FATA-

24

8,895]

Pregnant and lactating women at risk to be supported through SFP =33,373 [KP- 31,038 &

FATA- 2,335]

Children (6-59 months) provided with micro nutrient supplements = 133,672 [KP- 125,188 &

FATA- 8,484]

Pregnant and lactating women to receive micronutrient supplements =101,709 [KP- 94,593 &

FATA- 7,16]

*target includes 51% boys and 49% girls4

Funds requested

Total Cost= USD- 11,973,509 [Supplies= 5,792,226 (48%) + Cash= 6,181,283 (52%)] [WHOUSD 949,732, WFP USD4,257,219 and UNICEF USD6,766,558]

Contact

information

Aien Khan Afridi [Coordinator - Nutrition Cluster for KP and FATA]

Email: [email protected], Phone# +92-300-500 2598, +92-91-570 1311-5 (Ext# 3168)

Megan Gayford [Coordinator - National Nutrition Cluster]

Mobile +92 300 811 2749 Email: [email protected]

Category Affected Population

Target Population (if different)--at 60% coverage


Total affected population and target 1,297,854 1,350,828 2,648,682 718,713 810,497 1,589,209

Direct beneficiaries for various interventions

Children:

Screening: # of children 6-59 months of age (12.1% of total population)

155,951 162,316 318,267 93,570 97,390 190,960

SFP: # of Moderate Acute Malnourished Children (10% of 6-59 months children)

27,291 28,405 55,697 16,375 17,043 33,418

OTP: # of Severe Acute Malnourished Children (5% of 6-59 months children)

13,646 14,203 27,848 8,187 8,522 16,709

SC: # of SAM Children with Medical Complications (5% of 6-59 months children) -20% of SAM for SC

2,729 2,841 5,570 1,637 1,704 3,342

Deworming: # of Children (24-60 months) (12 % of total population)-70% coverage

63,595 66,191 129,785 38,157 39,714 77,871

MM Supplementation: # of Children (6-59 months) (12.1% of total population)- 70% coverage

109,165 113,621 222,787 65,499 68,173 133,672

Pregnant and Lactating Women:

Screening: # of PLW (8% of target population) 211,895 211,895 127,137 127,137

MMS: # of PLW provided multi-micronutrient supplements [80% of PLW]

169,516 169,516 101,709 101,709

SFP: # of PLW at risk of malnutrition MUAC < 21 cm [15% of total PLW]

55,622 55,622 33,373 33,373

Sessions # of Sessions conducted for IYCF and Maternal Nutrition Promotion

- 33,600 - 23,040

Nutrition Promotion: # of Mothers/Caretakers educated on IYCF & Maternal Nutrition Key Messages

- 336,000 - 230,400

Needs analysis:

Infant mortality and maternal mortality ratio in Khyber Pakhtunkhwa (KP) and FATA remain very high as compared to

rest of the country (IMR at 87 deaths per 1,000 live births, and MMR at 3805 deaths per 100,000 live births).

Generally, child malnutrition rates throughout Pakistan remain persistently high. The history of National Nutrition

surveys conducted in the last three decades (NNS 1985-87, NNS 2001-02, MICS 2007 and NNS 2011) depicts a

worrying situation of malnutrition in Pakistan. The National Nutrition Survey conducted in 2011 documented Global

Acute Malnutrition (GAM) rate of 15.1% across Pakistan with GAM rate of 17.2% and Severe Acute Malnutrition

(SAM) rate of 6% in Khyber Pakhtunkhwa and GAM rate of 10% and SAM of 6% in FATA. The reported figures for

4 Pakistan Demographic & Health Survey 2006-07 5 FATA MICS 2007-08


http://www.ivap.org.pk/

25

GAM and SAM are higher than the International Emergency Threshold of 15% GAM6 and 4% SAM. The children with

SAM have an increased risk of mortality; severely malnourished children are nine times more prone to mortality

compared to healthy children. NNS 2011 estimates 47.8% to be severely stunted (<-2 SD) and 24.1% children are

underweight. Similarly food insecurity still remains a major concern in Pakistan. The World Food Program (WFP) in

Pakistan has also shown concern this year7 over the high food prices. The food insecurity in the region further

compounds the problem of malnutrition and poor health.

In addition to the overall precarious nutrition situation in areas from where the IDPs have come and areas where these IDPs are living, the various nutrition assessment and/or surveys conducted in recent years shows a worsening nutrition situation of IDPs as compared to the hosting communities. The McRAM

8 assessment conducted in March

2010 for IDPs residing with host community in Kohat and Hangu reported 18.2% GAM (SAM=10.3% and MAM=7.9%), moreover 21% of mothers reported having stopped breastfeeding and 24% reported a reduction in the frequency and rate of breastfeeding and feeding practices after the displacement. Similarly more than 70% of the IDPs reported non availability of food stock and 27% reported having food stock for less than one week. The IVAP

9 [Internally Displaced

Persons Vulnerability Assessment & Profiling] analysis showed 65% of the surveyed IDPs have poor or border line food consumption score, and only around 34% had acceptable food consumption score. More than 50% of the surveyed individuals reported their children eat 2 or less than 2 meals per day, compared to the standard 4-meals per day for children. Due to drastic changes in feeding practices, lack of safe drinking water and sanitation, and inadequate health services due to the influx of IDPs, the acute malnutrition rate is expected to increase in these areas. The data provide evidence of vulnerability of the IDPs in comparison to the general population in the province. On the basis of the current affected population, there will be an expected 80,142 acutely malnourished children [girls=36,652 and boys=40,872] who will need treatment for malnutrition during 2013.

Gradually increasing food insecurity, hikes in the prices of food commodities, lack of antenatal and postnatal care

and counseling, and traditionally poor infant and young child feeding practices contribute to the increased

prevalence of acute malnutrition in most areas of Pakistan. Furthermore, the gender biased environment, poor

agricultural reforms and isolation is likely to amplify the food insecurity affecting the vulnerable population. The lack

of access to basic health care services, high morbidity rates, damaged infrastructure and price hikes further

compound these issues and have the potential to affect the nutrition wellbeing of the population. Diarrhea and

malaria are common in the affected population (cited as major health concerns in the assessment) and these

diseases have a negative synergy with worsening malnutrition. It is expected that all of these factors will adversely

impact and further worsen the nutritional status of pregnant women and the youngest and most vulnerable children,

especially those displaced.

Frequent interruptions to infant feeding practices due to displacement, poor hygienic/ sanitation environment, and

limited access to health facilities further increased the vulnerability of acutely malnourished children. Providing

treatment and care for the malnourished children, and pregnant and lactating women at risk is one of the main

lifesaving activities both in IDP camps and communities where IDPs are staying with the host families.

Proposed Strategy:

The proposed nutrition strategy is designed to ensure the provision of lifesaving nutrition services for acutely

malnourished children (boys and girls), pregnant and lactating women in camps and off-camp; to prevent poor

nutritional outcome through rigorous promotion of optimal infant feeding practices, proper hygiene/sanitation and

improved maternal nutrition; micronutrients supplementation and nutrition education on locally available foods; setting

up of a robust reporting and information system and monitoring mechanism; establishment of a strong surveillance

system, and emphasis on capacity development of health care providers for all target areas to be implemented in

partnership with the district Department of Health (DoH) and provincial nutrition cells in KP & FATA.

The proposed nutrition interventions will be coordinated through the Nutrition Cluster with PDMA/FDMA/UNDP and other

relevant clusters including Health, Food and WASH, and will be implemented through I/NGOs and Departments of

Health with support from UNICEF, WFP and WHO.

Nutrition cluster members have agreed to submit only three proposals under the HOP 2013: (1)- WHO to cover the

expenses of setting up Stabilization Centers for the management of severe acute malnourished children with

complications as inpatients and to establish the nutrition sentinel sites for surveillance; (2) WFP to cover the costs

related to the supplementary feeding program (including procurement of supplementary feeding program supplies and

related costs and (3) UNICEF to cover the costs of therapeutic feeding program supplies (for OTP and Stabilization

Centers), multi-micronutrient supplementation and anthropometric equipments, and to cover the costs of cluster

coordination, nutrition surveys, program monitoring and program implementation costs through DoH and I/NGOs.

UNICEF’s proposal will serve as an umbrella proposal for all the cluster members especially those I/NGOs whose

6 WHO (2013) The Management of Malnutrition in Major Emergencies

7 http://www.ivap.org.pk/

8 http://oneresponse.info/countries/pakistan/im/publicdocuments/McRAM%20analysis%20kohat%20(version%205)-draft.zip

9 VAM-WFP, Pakistan Market Price Bulletin – Feb 2013


http://oneresponse.info/countries/pakistan/im/publicdocuments/McRAM%20analysis%20kohat%20(version%205)-draft.zip


26

proposals were approved last year and vetted by the nutrition cluster project selection committee including Merlin,

Johanniter International, RAHBAR, CERD, PEACE, CDO-Swabi and PRIME Foundation. Other cluster members who

have recently joined the nutrition cluster including IDEA, PDI, NDF, CDO-Pakistan and other potential partners will be

kept under the cluster umbrella for capacity building and small projects on trial basis wherever there is a gap and

funds are available. The organization may apply to donors bilaterally. UNICEF and WFP will provide needed nutrition

supplies to organizations that receive funds from donors for implementation [cash component] of the nutrition projects.

UNICEF (The Cluster Lead Agency) will ensure close collaboration with Health, Food Security, WASH, Camps and Child

Protection Clusters in order to ensure that all cross cutting issues are well addressed. The locations of nutrition project

interventions will be adjusted as per the movement of the affected population to ensure the continuity of services.

(1) Establishment of life saving nutrition services for acutely malnourished children (boys and girls) less than five

years of age and PLW suffering from acute malnutrition through community and facility based nutritional

management approach i.e. CMAM (Community Management of Acute Malnutrition) approach comprising of the

following four components;

(a) Community Outreach:

Community Outreach Workers (COWs) will be trained in the identification of acutely malnourished children

using mid-upper-arm circumference (MUAC), and will be responsible for referring clients to health centers, or

to agreed-upon locations for the visits of mobile nutrition teams, on the assigned day of the mobile clinic team

visit. In addition to the identification of acutely malnourished children, COWs will communicate promotion

messages on health and nutrition, will follow-up with defaulters, and will identify pregnant and lactating women

for SFP and care during pregnancy and in the immediate postnatal period. Simultaneously, COWs will identify

cases of acute malnutrition in the community through active case searches. In each area at village level a

nutrition support committee will be formed, and sensitized through regular meetings. In meetings nutrition

education sessions will be conducted to prevent malnutrition and adopt healthy behavior in childcare.

Behavior change communication through health, hygiene and nutrition promotion is the vital component for

sustainability. This endeavor is designed to promote Infant Young Child Feeding (IYCF) practices with more

emphasis on exclusive breastfeeding and proper complementary feeding. COWs will work in close association

with the community, form committees of females in the community and will conduct sessions to disseminate

key messages.

(b) Supplementary Feeding Program (SFP):

Children with moderate acute malnutrition (MAM) identified through community outreach will be registered

with SFPs and will be provided Acha Mum/Supplementary Plumpy to take home twice a month. Every two

weeks children in the SFP will present to the nutrition centre, or other designated location; where they will

have their nutritional status checked, and where they will be provided with Supplementary Plumpy, deworming

and micronutrient supplementation. Pregnant and lactating women will also be included in the SFP, as per

CMAM guidelines. Moreover, High Energy Biscuits will be provided to one sibling of each SAM and MAM case

admitted in SFP/OTP. Malnourished PLWs will be provided with Fortified Blended Food (FBF) and Vegetable

Oil. A total of 85 SFP sites will be established in the IDPs hosting areas of KP while 10 SFP sites will be

established in FATA [Kurram Agency]. The SFP will be implemented with support from WFP.

(c) Outpatient Therapeutic Program (OTP):

Children with severe acute malnutrition (SAM) with appetite and without complications will be treated with

ready-to-use therapeutic foods (RUTF) and symptomatic outpatient medications in the fixed health centers.

The severely malnourished child will come to the health centre or designated location every week for a

medical examination and treatment, and to receive RUTF. Children without appetite and/or with complications

will be referred immediately to inpatient care in Stabilization Centers until they are stable to be discharged.

These children then continue treatment at home in the OTP with RUTF, +/- outpatient medications. On

discharge from the OTP, children will be referred to the SFP as moderately malnourished children.

A total of around 85 OTP sites will be established in the IDPs hosting areas of KP (DI Khan=20, Tank=10,

Kohat=15, Hangu=10, Peshawar=20, Nowshera=5, Jalozai=4 and Tough Sarai=1) and 11 OTP sites will be

established in FATA (Kurram Agency =11). DoH staff will run the OTP Program while NGOs will provide

support in OTP/SFP activities as per agreements with UNICEF and WFP. The DoH staff will be responsible

for operationalization of the OTP services as per National CMAM protocols.

(d) Stabilization Care (SC):

Children without appetite and with complications will be treated as inpatients at Stabilization Centers

established in Peshawar, DI Khan, Kohat, Hangu, Tank, Nowshera and Kurram Agency until they are stable

for transfer to an OTP. Participating NGOs will refer clients and will ensure they are treated in the Stabilization

Centre established in various districts. To the fullest extent possible discharged children will be referred to an

OTP once they are stabilized. Nutrition Supplies [RUTF, F-75 * F-100 Milk and Plumpy Nut] and medicines will

be provided by UNICEF and operational cost and technical support is provided by WHO for six stabilization

27

centers, while UNICEF will provide support in three teaching hospitals in Peshawar (as part of the

UNICEF/WHO collaboration10

).

(2) Establish services for prevention of malnutrition in early childhood through protection and promotion of appropriate

infant feeding practices by strengthening skills/knowledge of health workers, creating breastfeeding corners/safe

heavens in the affected areas, and conducting regular nutrition and hygiene education sessions for mothers and

caregivers of children under five years of age;

(3) Prevention and treatment of micronutrient deficiency disorders in children and women through provision of

multiple micronutrient supplementation, Vitamin A and deworming campaigns.

(4) Strengthening technical capacity of the DoH and NGOs for effective implementation of nutrition interventions;

ensure effective and timely implementation of nutrition interventions including CMAM and IYCF Approach.

(5) Establish Health and Nutrition Sentinel Site Surveillance System (HANSS) in sites fitting the criteria for

surveillance of the main target group of children aged 0-59 months. The objectives of this HANSS will be to

assess on a continuous basis the nutritional and related health status of children aged 0 to 59 months in selected

sites, to identify and highlight the evolution and projected trends towards a nutritional and health emergency as

related to food crisis and to allow sufficient time to advocate for and appropriately respond to an impending crisis.

(6) Continue and strengthen nutrition working group coordination, including formulation and implementation of

strategy and plan, capacity development of members through orientations/trainings and monitoring trends and

address critical nutritional gaps, and contingency strategy with supplies and distribution plan for emergency

nutrition interventions.

(7) Conduct district specific nutrition surveys in the target districts using SMART Methodology to establish district

specific baseline information for various nutritional indicators.


Expected

Outcomes

Outputs Indicators Activities

Objective 1. To ensure provision of lifesaving nutrition services for acutely malnourished children (boys and

girls) less than five years of age and pregnant and lactating women (PLW) suffering from acute

malnutrition through community and facility based nutritional management approach.

1. CMAM

services are

available in

target areas

for the

management

of identified

acute

malnourished

children and

PLW

1.1 Initial Screening/

Rescreening conducted

and reports shared

1.2 Approximately 95

outpatient fixed nutrition

sites and 9 inpatient

stabilization centers are

established for provision of

CMAM interventions in the

target health facilities/areas

1.3 Around 190 health care

providers (HCPs) of the

DoH and 190 from

participating NGOs receive

trainings on CMAM/ IYCF

protocols for the

management of

malnutrition.

1.4 Around 285 COWs and 95

community mobilizers are

trained & equipped. COWs

& CMs continue community

mobilization, screening and

identification of acute

malnourished children,

pregnant women and

lactating mothers, and

follow-up to ensure

- # Of UCs where

Nutrition Assessment

conducted using

Oedema and MUAC

criteria.

- # of nutrition

SFP/OTP/IYCF sites

established/maintained

& are providing CMAM

services and IYCF

information

- # of SFP/OTP sites has

the necessary

anthropometric

equipments and tools.

- % of HCPs (DoH)

identified, trained &

involved in CMAM/IYCF

activities against set

targets.

- % of target children &

PLWs screened for

assessment of

malnutrition and

referred to

supplementary

feeding/treatment

centers

- # of community

1a. Trainings of Facility and

Community Based Health Care

Providers and Workers on

CMAM

1b. Conduction of rapid nutrition

assessments in the target areas

using criteria of MUAC tap and

Oedema to establish baseline

information.

1c. Setting up community based

nutrition management sites

(SFP/OTP) in the target health

facilities in collaboration with

WFP.

1d. Conduction of community

mobilization sessions &

screening for assessment of

acute malnutrition in the

community through outreach

workers

1e. Referral of identified

malnourished children and

PLWs for appropriate care and

active follow ups of beneficiaries

in the community

1f. Community outreach activities

for mobilization, sensitization,

absentee and default tracing

and home visits.

10 WHO-UNICEF MOU for CMAM and Nutrition Surveillance in Pakistan dated: Oct 29, 2010


28

Expected

Outcomes


enrolment.

Across the camps, host

communities and areas of

return in KP and FATA

Around 190,960 children

and 127,137 PLW are

screened in the community

for assessment of acute

malnutrition using criteria of

MUAC and Oedema.

1.5 HCPs of the DoH and

NGOs in their respective

centers register around

17,043 SAM children in

OTP for therapeutic foods

supported by UNICEF and

33,418 MAM children &

33,373 PLW in SFP for

supplementary food

(supported by WFP) as per

CMAM protocols, in

coordination with the

community outreach and

concerned centers.

1.6 Around 3,342 severe acute

malnourished children with

underlying medical

complications are treated in

the supported stabilization

centre.

mobilization sessions

conducted by the

Outreach Workers.

- % of referred children

registered in appropriate

feeding programs in the

health facilities by the

trained HCPs

- % of SAM children with

complications facilitated

to be treated in SCs

- % of acute

malnourished children

(SAM & MAM)

recovered (>75%)

- % of acute

malnourished children

(SAM and MAM)

defaulted from

treatment (<15%)

- Average LOS (Length of

Stay) in the program

1g. Screening and registration of

clients in appropriate feeding

program as per CMAM protocols

by the HCPs

1h. Provision of supplementary and

therapeutic foods to the

identified clients as per

protocols.

1i. Referral and follow up of SAM

children with complications and

no appetite to the identified SC

for further treatment.

1j. Education of mothers/caretakers

on proper use of the provided

food and medication.

1k. Reporting of progress on weekly

and monthly basis

1l. Setting up facility-based

management sites (stabilization

center) in target districts of KP

and FATA in collaboration with

WHO for the lifesaving critical

emergency treatment of

severely acute malnourished

children with medical

complications.

Objective 2. To contribute to prevention of malnutrition in early childhood through promotion of improved infant

and young child feeding, care giving, and care seeking practices at the facility, community and family level,

promote good maternal nutrition and to prevent and control the donation and distribution of breast milk

substitutes in emergency affected areas.

2. Healthy

nutrition

behaviors

promoted at

the facility and

community

level for

prevention of

malnutrition in

early childhood

and promotion

of good

maternal

nutrition

2.1 Around 230,400 mothers/

caretakers are educated on

importance of early

initiation of breastfeeding,

exclusive breastfeeding up

to six months of age,

appropriate complementary

feeding, good nutrition

during pregnancy and

lactation and improved

hygiene practices through

Behavior Change

Communication (BCC)

approach.

2.2 80% of the targeted

beneficiaries (230,400

mothers) receive key

messages on the

importance of early

initiation of breastfeeding,

exclusive breastfeeding up

to six months from birth,

appropriate complementary

food after six months, and

hygienic practices.

- # of HCPs and outreach

workers trained on IYCF

- # of BF corners

established & functional,

providing SRA, full

assessment &referral

services for

management of

lactation failure.

- # of community


held

- # of community

members who

participated in


- # of mothers reached

with key messages on

IYCF & Health

education.

2a. Trainings of Facility and

Community Based Health Care

Providers & Workers on IYCF

2b. Establishment of Breastfeeding

promotion Corners (safe

heavens) in the target areas

especially camps.

2c. Conduction of nutrition

awareness and hygiene

promotion sessions in the health

facilities and communities [To

support mothers in maintaining

appropriate infant and young

child feeding practices (IYCF) by

promoting early initiation of

breastfeeding, exclusive

breastfeeding practices up to six

months and timely introduction

of complementary food at the

age of six months]

2d. Provision relevant IEC material

to the health facilities, outreach

staff & community.

2e. Monitoring of unsolicited free

distribution of Infant Feeding

Formulas in the facilities and

29

Expected

Outcomes


communities.

2f. Establishment/reinforcement

and training of Mother Support

Groups for IYCF promotion.

2g. Developing liaison with DoH for

coordinated effort for

implementation of IYCF

component

Objective 3. To prevent and treat micronutrient deficiency disorders in children and women through

provision of multiple micronutrient supplementation, Vitamin A and deworming campaigns.

3. Micronutrient

deficiencies

disorders in

children &

women

prevented/

treated in the

target

population

3.1 Around 133,672 children

and 101,709 mothers are

provided with multi-

micronutrient (MM)

supplements

3.2 Around 77,871 children

receive de-worming

treatment and vitamin A

dose as per national

guidelines.

- % of target children and

PLW provided MM

sachets and tablets.

- # of target mothers

educated on use of MM

supplements

- # of eligible children de-

wormed.

- # of children provided

with vitamin-A dose.

3a. Registration and referral of

target children and PLW for MM

supplementation

3b. Distribution of MM supplements

to the target children & PLW as

per protocols

3c. Education of mothers/caretakers

on the proper use of MM

supplements

3d. Registration of target children

for deworming treatment and

vitamin A supplementation

3e. Ensuring deworming of all

eligible children

Objective 4. To strengthen technical capacity of the DoH and NGOs for effective implementation of nutrition

interventions; ensure effective and timely implementation of nutrition interventions through

enhanced coordination and information gathering; monitoring of trends and status of

malnutrition in the target population.

4. Technical

Capacity of

selected health

facilities

strengthened

for the

management

of acute and

chronic

malnutrition

and

sustainability,

coordination

mechanism

established.

4.1 Develop essential capacity

of DoH (around 190) staff

for sustaining the CMAM &

IYCF services after NGO’s

exit

4.2 Updated Nutrition

information system is

available for reporting and

monitoring as per needs.

4.3 Effective Coordination

mechanism ensures

provision of services to the

target population and helps

avoid duplication of

services.

4.4 Effective Health and

Nutrition Sentinel

Surveillance

System(HANSS) in the

target district to be able to

provide trends on nutrition

for allowing sufficient time

to advocate for and

appropriately respond to an

impending crisis

- # of health facilities

capable of continuing

OTP & SFP services

and HANSS after

donors support is

withdrawn

- # Of DoH Staff actively

involved in provision of

nutrition interventions

and HANSS.

- # of DoH receives training

on CMAM/ IYCF and

HANSS before withdrawal

of donor support

- # of monitoring visits

made by DoH

representatives.

- Functional Nutrition

Information Sharing

System linked to District

MIS

- # of relevant staff of

NGOs and DoH trained

on Nutrition Information

System, Data

Management and

Reporting Mechanism

- # of coordination

meetings conducted

- Updated 3 Ws Matrices

are available for

4a. Engagement of DoH staff in all

stages of planning and

implementation

4b. Training of DoH staff on CMAM

& IYCF and HANSS

4c. Provision of anthropometric

equipments and necessary

supplies to the target health

facilities

4d. Advocacy and lobbying with

DoH for integration of CMAM

and HANSS in the public

healthcare.

4e. Setup a system of monitoring of

nutrition centers for data &

supplies management

4f. Training of relevant staff of

NGOs and DoH on Nutrition

Information System, Data

Management and Reporting

Mechanism

4g. Ensuring regular coordination of

relevant DoH, UN Agencies and

NGOs coordination through

regular meetings [Monthly

Basis] and electronic

transformations.

30

Expected

Outcomes


avoiding duplications

Nutrition Cluster Target Population for Humanitarian Operation Plan [2013] Family size 6

S#

Description KP FATA

IDPs Hosting IDPs Hosting/Returnees

1 Outside Camps Population* 858,042 1,523,718 49,770 120,000

2 Inside Camps Population 81,606 - 15,546

Subtotal Population 939,648 1,523,718 65,316 120,000

Subtotal KP&FATA 2,463,366 185,316

Grand Total Population 2,648,682

60% coverage 1,589,209

Outside Camp IDPs in KP [updated Jan 2013] Population Families

DI Khan 181,170 30,195

Tank 93,102 15,517

Hangu 6,360 1,060

Kohat 156,732 26,122

Peshawar/Nowshera 420,678 70,113

Subtotal [IDPs Outside Camps in KP] 858,042 143,007

Outside Camp IDPs in FATA [Updated Jan 2013]

Population Families

Kurram Agency 49,770 8,295

Subtotal [IDPs Outside Camps in FATA] 49,770 8,295

Camp Based IDPs [Updated Jan 2013] Population Families

Jalozai 74,652 12,442

Tough Sarai 6,954 1,159

New Durrani 15,546 2,591

Subtotal [IDPs inside camps in KP & FATA] 97,152 16,192

Host Communities [FATA] [Updated Jan 2013] Population

Kurram Agency [10 Areas/Health Facilities] 120,000

Subtotal [Host communities in FATA] 120,000

Host Communities [KP] [Updated Jan 2013] Population

DI Khan [20 Ucs/Health Facilities] 421,942

Tank [10 Ucs/Health Facilities] 73,899

Hangu [10 Ucs/Health Facilities] 263,630

Kohat [15 Ucs/Health Facilities] 259,545

Peshawar/Nowshera [25 UCs/Health Facilities] 504,702

Subtotal [Host communities in KP] 1,523,718

Table of proposed coverage by Nutrition cluster partners:

31

Site/Area/District Organizations

Peshawar DoH KP, UNICEF, WFP, WHO, Merlin, Johanniter International, Relief Pakistan

Nowshera DoH KP, UNICEF, WFP, WHO, Merlin, Johanniter International, CDO-Swabi, PEACE, CERD

Kohat DoH KP, UNICEF, WFP, WHO, ACF, Johanniter Intl. MDM, PEACE, FPHC, PDI

Hangu DoH KP, UNICEF, WFP, WHO, CERD, PEACE, MDM, CDO Swabi

DI Khan DoH KP, UNICEF, WFP, WHO, FPHC, Prime Foundation, MDM, IMC, AMAN

Tank DoH KP, UNICEF, WFP, WHO, MDM, RAHBAR, Merlin, AMAN, LIFE, NDF, IDEA

Kurram Agency DoH FATA, UNICEF, WFP, WHO, PEACE, CDO-Pakistan, CDO Swabi

Detailed Budget for the implementing Agencies

Cluster Lead Agency

UNICEF

Implementing Agencies [Key Partners]

Department of Health (KP & FATA), UN Agencies (UNICEF, WFP, WHO, UNOCHA) and I/NGOs [Save the Children, Merlin, Johanniter International, ACF, Relief Pakistan, PEACE, CERD, CDO-Swabi, IDEA, FPHC & PRIME Foundation, RAHBAR, PDI, NDF, LIFE, CDO-Pakistan]

Project Location IDPs camps and districts including Peshawar, Nowshera, DIK, Kohat, Tank, Hangu and Kurram Agency

Project Beneficiaries

Pregnant & Lactating Women (PLW) = 127,137 & Children <5 Years= 190,960 [M= 97,390 & F= 93,570]

Funds requested

USD11,973,509

Contact information

Aien Khan Afridi (Nutrition Cluster Coordinator for KP and FATA) Email: [email protected], Phone# +92-300-500 2598, +92-91-570 1311-5 (Ext# 3168)

Budget Lines [Project Activities]

Cost Breakdown

Unit Quantity

Unit Cost Total (USD)

UNICEF Implementation and Supplies Costs

A. Supplies/commodities/equipment/transport [Cost of Nutrition Supplies to be procured by UNICEF]

Procurement of emergency nutrition supplies including RUTF, therapeutic milk, medicines, in-patient kits and freight charges for 93 nutrition centers/health facilities in KP

Lump sum

1 1,785,363 $1,785,363

Procurement of emergency nutrition supplies including RUTF, therapeutic milk, medicines, in-patient kits and freight charges for 12 nutrition centers/health Facilities in FATA [Kurram Agency]

Lump sum

1 126,079 $126,079

Transportation and supplies handling costs Lump sum

1 $382,288 $382,288

Sub-Total A: —— —— —— $2,293,730

B. Contracts [Operational Costs of Implementing Partners [NGOs] and DoH +Trainings & Monitoring Costs]

Operational cost to NGOs for implementation of CMAM, MM supplementation and IYCF in KP at the community and facility level in host communities through 82 nutrition centers in KP (DIK=20, Tank=10, Kohat=10, Hangu=10, and Peshawar/Nowshera=20)

Centre 80 $30,000 $2,400,000

32


Cost Breakdown

Unit Quantity


Operational cost to NGOs for implementation of CMAM, MM supplementation and IYCF in KP at the community and facility level in IDP camps through 5 nutrition centers in Jalozai & Tough Sarai Camps

Centre 5 $40,000 $200,000

Operational cost to NGOs for implementation of CMAM, MM supplementation and IYCF in FATA at the community and facility level in host communities through 10 nutrition centers in FATA (TANK=10)

Centre 10 $30,000 $300,000

Operational cost to NGOs for implementation of CMAM, MM supplementation and IYCF in FATA at the community and facility level in IDP camps through 1 nutrition centers in New Durrani Camp

Centre 1 $80,000 $80,000

Cost of Trainings and Refreshers on CMAM/IYCF and monitoring to DoH

1 1 $120,000 $120,000

Cost of Rapid and House hold Level Nutrition Surveys in KP and FATA

1 2 $180,000 $360,000

Sub-Total B: —— —— —— $3,460,000

C. Field Monitoring and Supervision [This includes cost for technical, management and coordination support]

Two Nutrition Officers, Two Monitors for technical assistance and monitoring of the program

Month 12 $4,000 $48,000

Sub-Total C: —— —— —— $48,000

D. Cross Sectoral Costs [Include costs for operation, security, coordination, administration and logistics (9%)]

Cross Sectoral Costs [9% of A+B+C] $522,156

Subtotal project requirements amount = [A+B+C+D] $6,323,886

E. Indirect Program Support Costs [IPSC]* $442,672

Total Cost [UNICEF] $6,766,558

WFP Implementation and Supplies Costs

A. Supplies/commodities/equipment/transport [Cost of Nutrition Supplies to be procured by WFP]

Procurement of nutrition supplies including FBF, Acha Mum, HEB and Veg Oil for 64 nutrition centers/health facilities in KP

Lump sum

1 2,944,567 2,944,567

Procurement of nutrition supplies including WSB, Acha Mum, HEB and Veg Oil for 11 nutrition centers/health Facilities in FATA

Lump sum

1 208,929 208,929

Sub-Total A: —— —— —— $3,153,495


Operations, transportation and salaries Lump sum

1 1,103,723 1,103,723

Sub-Total B: —— —— —— 1,103,723

Subtotal project requirements amount = [A+B] $4,257,219

C. Indirect Program Support Costs [IPSC]*

Total Cost [WFP] $4,257,219

33


Cost Breakdown

Unit Quantity


WHO Implementation and Supplies Costs

A. Supplies/commodities/equipment/transport [Cost of Nutrition Supplies to be procured by WHO]

Cost of supplies to be procured by WHO for SCs Lump sum

1 225,000 $225,000

Cost of supplies to be procured by WHO for HANSS Lump sum

1 120,000 $120,000

Sub-Total A: —— ——

—— $345,000


Personal Costs 3 12 $1,600 $57,600

Operational cost to NGOs/DoH for the implementation NSC in KP (DIK=1 , Tank = 1, Kohat = 1, Hangu=1, Nowshera=1)

Centre 5 $50,000 $250,000

Operational cost to NGOs/DoH for the implementation NSC in FATA (Kurram Agency=1)

Centre 1 $50,000 $50,000

Cost of Trainings and Refreshers on NSC Centre 6 $10,000 $60,000

Cost of Trainings and Refreshers on HANSS 6 $10,000 $60,000

Monitoring and Referral 1 $65,000 $65,000

Sub-Total B: —— ——

—— $542,600

Subtotal project requirements amount = [A+B] $887,600

C. Indirect Program Support Costs [IPSC]* $62,132

Total Cost [WHO] $949,732

Grand Total Cost [CLUSTER] $11,973,50

9

7.5 Protection (inclusive of Child Protection and Gender Based Violence areas of expertise)

Cluster lead agency(ies)

UNHCR – Protection Cluster Lead IRC – Protection Cluster Co-Lead UNICEF – Child Protection Sub-Cluster Lead UNFPA – GBV Sub-Cluster Lead Age and Disability Task Force

Cluster implementing agencies

Protection Cluster, Child Protection Sub-Cluster and GBV Sub-Cluster member organizations and Ageing and Disability Task Force as per project table annexed

Number of projects

34 projects By Type: 12 General Protection; 16 Child Protection; 5 GBV/ Women support;

1 Age and Disability. By Actor: 5 UN; 6 INGO; 23 NGOs By Location (major locations): 18 project in KP; 8 projects in FATA, 8 Projects

in both areas.

Cluster overall objective

The overall objective of the Protection Cluster is to ensure adequate, unobstructed, and non-discriminatory access to protection and assistance for IDPs during all phases of the displacement cycle, in line with the Guiding Principles on Internal Displacement and other standards and principles, with particular attention to groups with specific needs, including: children, women, older-persons, persons with disabilities, and other individuals or groups at risk.

34

Total beneficiaries (individuals and households)

At the beginning of the year UNHCR/Government registration figures indicated 163,102 families registered. As of 10

th April UNHCR indicated 165,427 IDPs

registered for assistance, an increase largely determined by the initial stages of the Tirah Valley IDP influx, which will be progressively included in the Protection Cluster response. The Protection Cluster is aligned with the current estimation of the humanitarian community of 14,000 families least newly displaced from Tirah Valley.

Registration data indicates that the population is largely represented by children (54% or above; at least 18% under five); 46% women and girls (girls 23%).

The Protection Cluster follows the agreed indication of a family size of six individuals for planning purposes.

On the return figures, the Protection Cluster is aligned with the humanitarian community position to revise downwards the initial FDMA indications on 96.000 projected families.

The Protection Cluster targets all IDPs as either direct or indirect beneficiaries. Child Protection plans to target 30% of all affected children. GBV targets 25% of on-camp women case-load and 31% of women off-camp caseload.

Funds requested

The Protection Cluster received from cluster-members projects sheets totaling USD 18,217,327.

Budget Breakdown: 55% General Protection (10,0 Million USD); 31% Child protection (5,6 Million USD); GBV 13% (2,4 Million USD); Age and Disability 1% (150,000 USD)

Contact information

- Christopher Laughlin – Protection Cluster Coordinator (UNHCR) – [email protected] - Valerie Svobodova, – Protection Cluster Coordinator (IRC) – [email protected] - Imran Ullah Jan – Protection Cluster Co-Lead (IRC) – [email protected] - Farman Ali – Child Protection Sub-Cluster Coordinator – [email protected] - Sajida Ali – GBV Sub-Cluster Coordinator – [email protected] -Talal Waheed – Age and Disability Task Force (national) - [email protected] - Elisabetta Brumat – Protection Cluster Coordinator (national) – [email protected]

Needs analysis

2013 will be a year significant humanitarian need for the displaced population from the FATA region, where security operations continue. As of 31

st December 2012 the registered displaced population included 163, 102 families,

according to registration conducted by UNHCR and its partners on behalf of the Government11

, approximately 10% of which live on-camp while the rest are off-camp. Registration figures indicate that 54 percent of the population are male, 46 percent female, and of those 54 percent are children (31% boys, 23% girls), and 3 percent older-aged. On-camp population is generally considered to be the most vulnerable. According to UNHCR registration data, the Peshawar Valley currently hosts the majority of the protracted displaced (more than 50%, largely form the Khyber Agency), followed by DI Khan (IDPs form South Waziristan), Kohat and Kurram Agencies. The Protection Cluster will respond to the new displacement form the Tirah Valley, started during the first months of 2013 and reaching its peak between end-March and the beginning of April and characterized by specifi need and security concerns. The Protection Cluster is aligned with the estimation of the humanitarian community, based on indications from the authorities, of a new displacement population of at least 14,000 families, largely in the Peshawar Valley, in Kohat and in Kurram. Registration activities currently ongoing will soon provide a more precise figure, FDMA planning figures for January through December 2013 anticipate new displacements of 532 families and a highly ambitious return of 97,607 families

12, which the humanitarian community and the authorities are likely to revise

downwards in light of the current trends. Estimations from the authorities now indicates a possible more realistic target of 25% of the initial figure. Efforts will have to continue to ensure and advocate for the respect of the voluntary, safe and dignified character of the return, as endorsed by the authorities and the UN in the “IDP Return Framework.” In recognition of these vulnerabilities - exacerbated by significant protracted displacement, the risk of new displacement, as evident in the situation of Tirah Valley, and the return process - it is crucial that Protection, Child

11

UNHCR KP/FATA IDP Fact Sheet – 10 April 2013 12

FDMA Expected Caseload of Displacement and Project Return of Displaced Population of FATA – February 2013







35

Protection and GBV Protection services are well funded throughout 2013, and that the funding shortfall of 2012, which resulted in significant reduction and suspension of essential services especially targeting children and women, is overcome. 1. Pre-displacement: Displacement is often a traumatic and confusing process for those affected, forced to leave their homes with little advance-notice, often not knowing how they will cope during displacement, not knowing their rights or how to access them, and struggling to transport their family and belongings to safety. This can be especially challenging for those with specific vulnerabilities, including children, women, older persons, and persons with disabilities. In the current context, displacement from FATA is caused primarily by sectarian violence, insurgency-related insecurity, the associated military-operation. Displacement largely generates in areas where access to the humanitarian community is not granted. In order to reduce the resulting trauma and confusion there is need for:

Provision by the authorities to affected population and the humanitarian community of clear and consistent information about the displacement process and support to the population on the move;

Monitoring of the displacement process by humanitarian organizations to ensure compliance with the Guiding Principles on Internal Displacement and other relevant standards

The absence of the above support measures results in significantly increased risk of harm and trauma to the most vulnerable. 2. In displacement: Displacement creates new vulnerabilities and exacerbates those previously existing, presents new risks, disrupts coping mechanisms, and creates a situation of increased reliance on humanitarian protection and assistance. In the context of KP/FATA it is commonly considered that the 10% of displaced population residing on-camp represent the most vulnerable segment of the population. However, the protection needs of the remaining 90% of the population living off-camp should not be neglected

13. This is especially true over time as protracted

displacement results in the likely erosion of coping mechanisms. As such, it is essential that:

All freshly displaced persons are registered

Those who are in protracted displacement but not yet registered as IDPs are facilitated to do so and to receive assistance along vulnerability criteria linked to the conflict

Mechanisms are put in place to ensure vulnerability profiling

Those displaced have access to clear and consistent information regarding the displacement process, their rights, and how to access protection and assistance

Legal assistance and civil documentation support is provided, with an emphasis on ensuring access to CNICs to help facilitate access to humanitarian assistance and government services;

Protection-monitoring services identify issues, trends. and needs of the displaced population, to ensure equitable access to assistance and to specialized assistance for those requiring it

Grievance redress mechanisms are available to facilitate self-reporting of exclusion from registration and assistance, vulnerability-based needs, and other related protection issues

Referral systems are available to ensure that issues and needs identified through protection monitoring and grievance mechanisms are addressed quickly and effectively by the appropriate organizations or government institutions

Protective services are available for children, both in and off-camp, with integrated services for mothers, to promote the well-being of children (girls and boys) and prevent situations of neglect, abandonment, abuse, exploitation or other such protection concerns

Protective services are available for women, both in and off-camp. These will include a holistic, multi-sectoral, survivor-centered response to GBV, focusing on immediate response (health, psychosocial, and legal support if requested), through existing structures and service providers.

14

Protective services and other specific interventions are available for persons with disabilities and older persons affected by displacement

3. Return process: Humanitarian standards recognize that internally displaced persons have the right to choose between a range of durable solutions, including return to their places of origin, local integration near the site of displacement, or integration into another area of their choosing, and that this decision should be informed and voluntary. During 2012 the Protection Cluster conducted recurrent assessments of IDP intentions, usually during the period preceding the planned facilitated return of the population to their places of origin. Those assessments suggest that return home is often the preferred durable solution but only if and when the cause of the displacement ceases to exist, and highly dependent on evaluation of the security situation and the availability of shelter, services, and infrastructure. Recognizing that in KP/FATA the emphasis the emphasis has been on return, it is crucial to ensure that:

13

For instance, estimations (IVAP) suggest that some 4% of the displaced population may be represented by widows with no family support,

2% by persons with mental or physical disabilities.

14 Activities will be undertaken with the clear understanding that GBV response will be targeted to women and girls but will also include men

and boys

36

Displaced persons have access to clear and consistent information, are included in the decision-making process, and decision made by those displaced are honored and supported

Return intention surveys are conducted in displacement areas to assess the intentions of the displaced, obstacles to return, its voluntary and well-informed character, and necessary actions by the authorities and humanitarian organization required to ensure that returns are sustainable along the commitments of the “IDP Return Policy Framework” of 2010

Community-members, including women, are facilitated to make “go and see” visits to places of origin together with humanitarian organizations and authorities, to report back to the displaced community, and to communicate necessary actions to be taken in order to facilitate the return process

Return areas affected by mines and explosive remnants of war should be cleared or at minimum well-demarcated, and returning populations receive comprehensive mine-risk education

The return process is monitored by humanitarian organizations to ensure that from start to finish it complies with recognized standards and principles, including the Guiding Principles on Internal Displacement, the 2010 “Return Policy Framework” and the Return SOPs endorsed by the HCT in 2012.

4. On return: Vulnerability doesn’t immediately end upon return to one’s home area, and in fact vulnerabilities are often further exacerbated during the initial period. Recognizing this, it is important that:

Protection-monitoring is conducted in return areas for a period of at least 3-6 months in order to identify and respond to vulnerabilities and needs, and to ensure sustainability of return

Specialized assistance is provided in response to identified vulnerabilities, with attention to children, women, older persons and those with disabilities

Counseling and legal assistance services are provided, with particular focus on civil documentation, housing/land/property, and resolution of grievances

It is recognized that some of the above activities may be supported under the ERAF (Early Recovery Assistance Framework), while others will be more suitable for funding under the HOP. 5. General: Additional enabling conditions include:

Increased access and frequency for protection-monitoring and go-and-see missions by the protection cluster and its partners

Improved coordination within the Protection Cluster, between clusters, and with the authorities (including PDMA, FDMA, and the military)

Increased information collection, analysis, and advocacy on vulnerabilities, needs and protection issues

Cluster strategy The overall objective of the Protection Cluster, inclusive of the Child Protection and Gender Based Violence Protection Sub-Clusters, is to ensure that during all stages of the displacement cycle the rights, dignity, and specific needs of those affected are upheld in accordance with the Guiding Principles on Internal Displacement and other relevant standards; they have equitable access to protection and assistance on the basis of assessed vulnerabilities; they are meaningfully involved in the planning and decision making process; and are supported by clear and coherent information on which basis to make informed and voluntary choices. In order to achieve this overall objective the Protection Cluster has selected projects with a view of an equitable coverage and a reinforced presence in camps, which are known to host the most vulnerable segments of the population, as well as areas of major concentration of IDPs, including the new IDPs of Tirah Valley (DI Khan, Kohat, Peshawar, Kurram, Tank, Khyber). The Protection Cluster intends to implement the following types of activities, responding to the needs analysis above: 1) Humanitarian information: Humanitarian information services will be provided during all phases of the displacement cycle, delivering clear, coherent and consistent information on rights, entitlements, access to services, and the displacement process. (90% of projects have an information component, with some 3 dedicated projects) 2) Registration: The UNHCR-led Registration Working group will develop and implement a strategy to ensure registration and assistance according to agreed standards and approaches. (4 projects, 2 specifically for Child Protection) 3) Profiling: As necessary, profiling will be conducted to provide general information on the IDP population and identify specific vulnerabilities and needs. 4) Counseling and legal assistance, including civil documentation support: Affected population will receive counseling, legal assistance and civil documentation support during all phases of the displacement cycle. UNHCR, NRC and IRC currently implement such activities, with the support of the authorities – including PDMA, FDMA and NADRA – though additional organizations may provide similar assistance as well. (10 projects, with a legal and civil documentation component)

37

5) Protection monitoring: Protection monitoring activities will be expanded beyond their current scope to more comprehensively include not only camp areas but also IDP population in hosting arrangements, before and during the process of return. (28 projects, 82% have a protection monitoring component) 6) Grievance desks and redressal mechanisms: Grievance desks are currently established and operational on-camp to facilitate the self-reporting of grievances, particularly related to access to registration and assistance, and to refer the grievances to the relevant authority or agency for action. (5 projects, included in the legal and civil documentation category) 7) Referral systems in camp-settings: The Protection Cluster will work with stakeholder, particularly the CCCM cluster, to improve mapping of on-camp services so that issues and needs arising from protection monitoring and grievance desk activities can be more quickly and efficiently referred and resolved. (Some 19 projects of various nature having also activities in camp settings) 8) Return Intention Surveys (RIS): The Protection Cluster will facilitate Return Intention Surveys (RIS) to assess the willingness of the displaced community to return to their home areas or pursue other durable solutions; assess information needs of the displaced population regarding the return process and the situation in areas of return; detect obstacles do return as expressed by the displaced, find and solutions to remove those obstacles. Results of the RIS will inform the greater humanitarian community and authorities and will serve as a basis for advocacy. 9) “Go-and-see” visits: The Protection Cluster will advocate with the concerned authorities and help facilitate “go-and-see” visits, enabling community-leaders and other members identified by the community, including women, to visit places of origin together with humanitarian organizations and authorities, report back to the displaced community and communicate actions to be taken to facilitate the return process. Advocacy will be undertaken on the basis of findings. 10) Mine clearance and mine-risk education: The Protection Cluster will advocate with the authorities for greater emphasis on clearance of mines and explosive remnants of war and delivery of mine risk education to returning populations, including and especially children. (At least 5 projects, largely in the Child Protection sub-cluster) 11) Protection Cluster Assessment Missions: In line with the SoPs on return endorsed by the HCT, the Protection Cluster will arrange regular assessment missions to areas of return in order to assess the viability and sustainability of return, identify risks, threats and vulnerabilities, and on which basis to conduct advocacy. 12) Child Protection Specific: According to UNHCR registration figures children constitute 54% of the individuals within the registered population, and are persons of concern for the Child Protection Sub-Cluster in KP and FATA. Of these, approximately 30% are targeted as the most vulnerable and need to be prioritized with access to services. To respond to the protection needs of children, the Protective Learning and Community Emergency Services (‘PLaCES’) managed by UNICEF and partners as well as other protective spaces will offer safe spaces for girls, boys, adolescents and women in order to access rights-based information and awareness, learning and life skills, mine risk education and DRR knowledge, psychosocial support, sessions on good parenting and care of children, and recreation. All protective spaces include the establishment and / or strengthening of female and male community-based protection mechanisms involving adolescent boys and girls, men and women for the identification, monitoring and response to violence, abuse and exploitation of children and women, as well as raising awareness on issues such as early and forced marriage and child labour. Strengthening the capacity of district governments and civil society to monitor and respond to child protection needs remains a priority, linked with established referral mechanisms on-camp and off-camp to identify vulnerable children and ensure their access to basic services. These interventions will continue throughout the year and will be further strengthened if funding is forthcoming. The Child Protection Sub-Cluster will support protective services for children and women across the camps, in the hosting districts, and inside Kurram Agency to assist with the returns. (16 projects, largely including protective spaces and services for children and women, psychosocial support, child protection and child rights awareness) 13) Gender Based Violence Protection Specific: The GBV Sub-Cluster aims to reach approximately 25% of on-camp women case-load, 31% of the off-camp women caseload. The targets set by the GBV Sub-Cluster are based on assessed need and also the accessibility and feasibility of providing protection and assistance in each area. Currently, the GBV response and prevention services are only able to target approximately 14% of the women caseload on-camp and off-camp. To provide protective services, including proper response and prevention of GBV, Women Friendly spaces will be created. A “Women Friendly Space” is a place where women and adolescent girls can come and spend their time in a productive and safe environment. Women and adolescent girls will be assisted to develop different vocational skills in order reduce vulnerability and increase self-reliance and reliance. Skilled staff will provide psychosocial support. Women and girls will be sensitized on health issues, human and women rights. Survivors of violence will be provided

38

with the required support and case management. Hygiene kits will be distributed. The WFS will be an essential chain (and entry point) on the referral pathway. (5 projects, largely including protective spaces and services for women, psychosocial counseling, vocational skills activities, integrated family planning and RH support) 14) Coordination and advocacy: The Protection Cluster in KP/FATA will continue to strengthen its role in coordination and advocacy along areas of expertise. UNHCR and IRC will continue to coordinate the Protection Cluster; UNICEF will continue to coordinate the Child Protection Sub-Cluster; UNFPA will continue to lead the GBV Protection Sub-Cluster. The Ageing and Disability Task Force (ADTF) will also support an increased understanding of and focus on age and disability related issues. The Cluster and Sub-Clusters will hold regular meetings, and the Coordinators will actively participate in all other coordination fora in KP/FATA, including but not limited to the HRT/ICCM to advocate for and mainstream protection. The Cluster and Sub-Clusters will endeavor to strengthen evidence-based advocacy. Cluster objectives

1. Objective: IDPs have equitable and non-discriminatory access to registration and assistance


Inclusive registration of IDPs

All eligible IDPs registered according to established criteria

Eligible unregistered IDPs included

Regular updated of registration data, gender and age disaggregated

Effective management and supervision of the registration process with support from the authorities

Advocacy and support for inclusive registration (including to remove barriers to registration, increase field coverage)

Vulnerable IDPs are supported to access protection, assistance and services

# of grievance desks operational in registration hubs and in areas of return

# of cases addressed with counseling, information and/or referred

Humanitarian communications

Grievance desks in areas of displacement and areas of return

Information and documentation support

2. Objective: IDPs are able to access safe, informed and voluntary durable solutions


IDPs are well aware of the process of return and are able to make an informed choice

# of successful information products and campaigns undertaken in cooperation with the Humanitarian Communications project

Humanitarian communications and rights awareness to ensure IDPs know their rights and remedies

The principles of voluntary and safe returns are upheld

# of Return Intention Surveys (RIS) conducted

Number of missions or other assessments in return areas undertaken before the return is organized

# of Go-and-See visits organized

Monitoring of the pre-return intentions of IDPs through RIS

Assessment of the conditions in areas of return

Go-and-See visits for community members with authorities

Grievance desks for IDPS who would otherwise be returned to risk, and follow up

Advocacy interventions with the authorities on the principles of voluntary return

39

3. Objective: Prevent, mitigate and respond to risks of violence, abuse and exploitation to the most vulnerable girls, boys, adolescents and women in each stage of displacement, including through the establishment of community-based mechanisms and related services such as protective spaces, CP Committees, CP monitoring, referral and information dissemination, in and off-camp


Strengthened child protection mechanisms at community, camp and in communities who are returning.

# and % of targeted girls, boys, adolescents and women with safe access to protective spaces and related services

# and % of population in communities where committees work to mobilize and strengthen social support networks to prevent and address violence, abuse and exploitation, including GBV

# of girls, boys, men and women reached with mine risk education

Functioning of protective spaces (e.g. PLaCES, Child Friendly Spaces) and Community based child protection centers for women and children

Establishment of female and male Child protection Committees

Provision of mine risk education sessions to children and community members

Delivery of interpersonal child protection messages, including on keeping children safe, prevention and response to separation, community-based psycho-social support

Children at risk (including children separated from families, child labour and survivors of gender based violence) are monitored, identified, and responded to in an appropriate, timely basis

# of separated / unaccompanied and missing children that are united with their families or receiving appropriate alternative care

# of girls/boys at risk who receive referral and/ response

Identification and registration of separated and unaccompanied children

Monitoring of risks to children

Rolling out of SOPs on separated, missing and unaccompanied children at district level.

Grievance, redress and referral

Establish and strengthen provincial and district level coordination mechanism, leveraging resources and information to enhance the implementation of emergency child protection services.

# of district level working groups functional

# of cluster members trained on CPIE

# of proposals developed and submitted for fund raising

# of assessments conducted on CP issues

Conducting Child Protection Rapid Assessment (CPRA)

Information sharing and management

Monitoring of child protection issues and situation.

Capacity building trainings for cluster members

Resources mobilization for the cluster members

4. Objective: The protection specific needs of displaced women and girls, with particular attention to

women headed households and women/girls at risk such as GBV survivors15

, are adequately addressed through the offer of protective services and referrals to service providers.


# of referral pathways

developed with the other

sectors like health, protection,

food, etc

Strong referral linkage with the other sectors so as to ensure holistic multi-sectoral GBV response and to facilitate service-delivery to women through the Women Friendly Spaces (will be integrated/linked with protective child friendly spaces)

15 While the GBV response is included under an objective that targets the specific needs of women, it is well understood that GBV can also affect men and boys.

The inclusion under this objective is for sake of systematization and considering – as trends show – that in the specific context of Pakistan the majority of the reported cases of GBV survivors are traditionally female. Gender disaggregation will be considered in the reporting.

40

GBV Case Management: survivor-centered and multi sector response to GBV survivors are ensured: a functional referral mechanism is in place, to facilitate the survivors who reported cases of violence.

# of GBV cases provided with

/ referred to medical support

# of GBV cases receiving

psychosocial support.

Initiate GBV case management to ensure improved access of GBV survivors to secure and appropriate reporting, follow up and protection

Provide health services providers (Reproductive Health) with relevant training and supplies(Rape Treatment Kit & PEP kits) and ensure that appropriate psychosocial support is offered to survivors

Identified vulnerable individuals are provided with psychosocial support.

# of vulnerable individuals

provided with psychosocial

support

Establishment of women/child friendly spaces

Provision of psychosocial support to women and adolescent girls from conflict-affected areas, with special focus on survivors of gender based violence

Livelihood, skills development opportunities available for the women and adolescent girls.

# of women and adolescent girls provided with vocational skills trainings.

Vocational skills training

5. Objective: Specific needs of older (over 60) IDPs as well as persons with disabilities are adequately

addressed through specialized support, in coordination with key protection and social welfare government institutions


Specific needs of older persons and persons with disabilities are identified and addressed through multiple access services

# of older persons supported with dedicated interventions

# of people with disabilities supported with dedicated interventions

Establishment of community-based older-persons associations

Targeted dissemination of information and assistance for people with disabilities

6. Objective: Effective coordination amongst protection actors and with key protection and social welfare governmental institutions is ensured and protection principles are effectively mainstreamed in the work of other clusters engaged in relief assistance.


Effective coordination within the cluster, with other clusters and with the authorities at national, provincial and district level ensured.

Regular and well attended meetings of the cluster and sub-clusters

Effective conduction of participatory coordination meetings

Continuous functioning and support to District Protection Working groups in the displacement areas chaired by the authorities and local protection actors/ focal points at District level

Protection is effectively promoted with government counterparts and mainstreamed in the work of the other clusters

# of training sessions held, type and actors addressed (NGOs/Clusters, national authorities)

# of M/F participants

Training and sensitization session on protection principles offered to partners and authorities

Cluster monitoring and reporting plan

Each agency participating in the HOP 2013 will carry out their regular self-monitoring and evaluation, as agreed with

donor agencies. Cluster members receiving project-funding as a result of participation in the HOP process will report

to the cluster on the indicators above. Cluster coordinators will, when feasible and from time to time, visit projects in

41

the field. Cluster coordination meetings will serve as regularly fora for updating on activities, challenges and

accomplishments. The information will also be shared through periodical Protection Cluster Bulletins, Child Protection

Bulletins and other publications.

7.6 SHELTER CLUSTER

Cluster lead agency(ies) UNHCR

Implementing agencies UNHCR, FRD, NRC, SHID, EHSAR, SRSP, ACTED, JEN, SARHAD, AICD, RI

Number of projects

6 Projects are envisioned: 1. Tent Shelters for expected new IDPs 2. Shelter repair kits 3. One Room Shelters 4. Two Room Shelter 5. Tent distribution 6. Infrastructure maintenance


Provide security and protection to vulnerable groups returning to FATA through provision of one room (ORS) and shelter repair kit components in line with government planning.

Beneficiaries: Research based assumption -76% homes are considered fully or partly damaged - Fully damaged factor 47.5%

Direct Beneficiaries of one room shelter = 7,500 House Holds (HHs) (7.73% WHH) or up to 45,000 people Direct Beneficiaries of two room shelter = 1,025 House Holds (HHs) (1.05% WHH) or up to 6,150 people Direct Beneficiaries of Shelter Repair Kit = 12,000 House Holds (HHs) (12.37% WHH)or up to 72,000 people Direct Beneficiaries of tent shelter (New affected) = 2,000 HHs (2.06% WHH) or up to 12,000 people Total = 22,525 House Holds (HH) or up to 135,150 people

Funds requested

One Room Shelter: = USD 16,125,000 (i.e. 7,500 one room shelters@ USD 2150/Unit) Two Room Shelter: = USD 8,000,000, (Fund promised by the Saudi Arabia Government) Shelter repair kits: = USD 13,800,000, (i.e. 12,000 shelter kits + cash for work @ USD 1150.00 per unit) Tent Shelter = USD$ 600,000 ,(i.e. 2,000 T.S @ USD$300/Unit) Tent distribution: = USD$ 1,080,000 (i.e. 2,700 tents @ $400/tent) Shelter and infrastructure maintenance = USD $680,000 Total funds required including SDF (Saudi): = USD $91,577,300 Total funds required excluding SDF(Saudi): = USD $45,685,000

Contact information

Zelalem Mengistu, Shelter Cluster Coordinator, e-mail: [email protected], Cell: 0303 5552593

Category Newly affected population Returnee Beneficiaries


Beneficiaries eligible for 1 room - - - 23,400 21600 45,000

Beneficiaries eligible for 2 room - - - 2,952 3,198 6,150


42

Beneficiaries eligible for Shelter repair kits - - - 37,440 34,560 72,000

Newly affected eligible for Tent Shelter 6240 5,760 12,000 - - -

Grand Total

3192 63,792 59,358 123,150

Needs Analysis:

Absence from premises for a prolonged time by the owners has contributed to the degradation of the mud built traditional structures rendering many dwellings uninhabitable and completely destroyed as a consequence of lack of maintenance. Field observations and shelter damage assessment reports indicate that up to 76% of the housing stock in affected areas of return are either severely damaged or fully destroyed. Enhancement of the return process, specifically for those IDPs who are confronted with total shelter damage at their place of return, will be possible with tailored shelter assistance for beneficiaries who will be identified based on damage assessment and vulnerability criteria. It is suggested to tailor the assistance package with two complementary components, e.g. with one and two Room Shelters (for the vulnerable) and with shelter repair kits for the rest. In the event these services will not reach the returnees on time and a severe winter season kicks in, a contingency plan for provision of transitional winterized tent component must be made to address basic shelter protection needs and provide transitional protection from weather impact. While the provision of one/two room shelters will address the needs of the most vulnerable such as the elderly, disabled, female heads of family, the shelter repair kits will support initial self – help repair works on recoverable dwelling units. It will contribute to facilitate minimum SPHERE standard shelter space in severely damaged or fully damaged family compounds. These needs are identified for South Waziristan, Bajaur, Orakzai, Kurram and Khyber agencies and return will have to be covered under the HOP and the Saudi government funding through UNHCR

Cluster Strategy:

The objective under the HOP initiative is to enhance the return process of IDPs with shelter kits support to the majority of the returnees and provide one/two room shelters (ORS) that will assist to facilitate minimum protective shelter space to most vulnerable families who are confronted with fully damaged shelter compounds at their place of return. In doing so, all beneficiaries may not receive the shelter package they deserve at the same time and the delay might be prolonged until winter of 2013. To relieve those returnees who have not received the shelter package but are exposed to severe winter, a contingency plan of provision of winterized tent or tented shelters must also be part of the 2013 HOP planning figure. To quantify the shelter needs it is suggested to work along the following guidelines:

Anticipate a total case load of 97,607 returnee 23.22% of the total caseload.

consider 10.025% of shelter stock needed for this case load as partly to fully damaged (9,725 homes)

quantify the fully damaged housing stock by applying a damage factor of 47.5 %, (i.e. a research based damage fully factor for weather exposed and little or unmaintained traditional mud structures, specifically where unmaintained over a period of three years or more (35,236 fully damaged and 38,948 partly damaged)

Assume that 40% to 47 % of the fully damaged housing stock will be replaced by self - help investment

provided by damage affected returnees which means 53% or 18,675 HH are most vulnerable (1 or 2 room

qualifiers)

Bridge the remaining shelter gap with minimum shelter securing interventions funded by various program

initiatives.

Cluster Objective: Provide security and protection to the returning vulnerable groups through provision of one room (ORS) and shelter repair kit components in line with government planning. Outcomes

Indicator Activities

Most vulnerable households whose homes were totally destroyed will have one room shelters (ORS) while returnees with partially damaged houses were provided shelter kits. Those returned but have not yet received shelter kits by next winter season will be provided with emergency transitional shelter assistance to fend off the cold winter.

The most vulnerable IDP returnees will be provided with one room/two room shelters and the rest with shelter repair kits on need bases. (x% WHH)

Identification of most vulnerable

households

Verification of vulnerability

Verification that damage to house poses

a threat to health and safety of

inhabitants

Monitoring construction of ORS

Issuance of housing repair kit and grant

43


Monitoring of the construction progress of the one room/two room shelters and distribution of shelter kits is reviewed periodically by the cluster lead through the 4 W matrix updated by all participating cluster members on bi-weekly bases. The information is then disseminated to the various levels of the cluster structure and government/local authorities. This will allow IPs to demonstrate their progress against the strategies presented in this document while at the same time it ensures compliance with the UN Guiding Principles and other relevant standards. Receiving complaints and responding to them is central to accountability, impact, and learning. By making access to

the complaints process easy to the beneficiaries, by educating them about the benefits of complaint process and

being clear about the types of complaint they can and can’t deal with it is possible to put a functioning complaints

response mechanism in place.

Table of proposed coverage per Organization

No. Organization Activity Location Budget Requested $

1 UNHCR 7,350 ORS 17,948 SRK 532 Tent Shelter

SWA, Bajaur, Orakzai, Kurram and Khyber

15,802,500 20,640,200 159,600

2 ACTED 1,500 SRK Lower /Upper Kurram 1,725,000

3 FRD 6,000 SRK 2000 ORS camp maintenance

SWA/Kurram Jalozai

6,900,000 4,300,000 680,000

4 NRC 6,000 SRK, 1000 ORS

SWA/Kurram SWA/Kurram

6,900,000 2,150,000

5 SRSP 1500 ORS 3,000 SRK


3,225,000 3,450,000

6 EHSAR 1,500 SRK 1000 ORS


1,725,000 2,150,000

7 SHID 1000 ORS SWA Khyber agency

2,150,000

8 JEN 1,500 Tent 1000 SRK 500 ORS


600,000 1,150,000 1,075,000

9 SARHAD 200 ORS 200 SRK 200 tent

SWA 430,000 230,000 80,000

10 AICD 2400, ORS 1600 SRK 1000 tent

Khyber, Kurram, Orakzai SWA, 5,160,000 1,840,000 400,000

11 RI 700 ORS 200 SRK

SWA/Kurram

1,505,000 230,000

7.7 WASH CLUSTER

Cluster lead agency(ies)

UNICEF

Implementing agencies UNICEF, OXFAM, IRC, ACTED, SSD, RID, BEST, SEED, PHED, LGRDD and other cluster members



The WASH Cluster Strategy 2013 has defined a response to meet the identified needs and is guided by humanitarian principles and priorities, including Sphere Guidelines. The WASH strategic objectives are defined as follows:

Ensure access and provision of safe drinking water, appropriate sanitation, and promotion of safe hygiene practices to 17,514 families (105,084 IDPs) in camps through 2013

Support efforts to ensure access to safe drinking water, sanitation and hygiene promotion activities benefiting 957,528 IDPs living in host communities and 957,528 hosting population through 2013.

Support provision of return package (hygiene kit) to 146,410 (24,402 families) returnees during the year 2013.

44

Category Affected population

Children Women Men Total

IDPs 478,764 244,170 234,594 957,528

Host communities 478,764 244,170 234,594 957,528

Camps 52,764 26,910 25,854 105,528

Returnees 73,205 37,335 35,870 146,410

Needs Analysis

WASH response in any humanitarian emergency forms part of life saving interventions and, due to the dynamic nature of the KP and FATA emergency, WASH interventions are expected to remain a priority area of response through 2013. As the situation extends into 2013, more than .7 Million IDP’s are expected to continue to reside or be new IDPs in camps or in hosting districts/Agencies off of camps. Based on information from government and registration data, approximately 156,221 families have returned to their places of origin and yet others still reside in crisis areas. WASH interventions and services are basic pre-requisites for the health and reduced vulnerability of all of these population segments. In IDP camps, WASH facilities are basic pre-requisites in camps and must be maintained throughout the camp lifetime. Over 2013, approximately 80,000 individuals are expected to reside in minimum three IDP camps; these IDP’s would have to be provided with all lifesaving WASH facilities as per SPHERE standards. Where IDP populations have taken, or are expected to take, refuge in host communities, and often water and sanitation coverage is already below standard, the increased burden on drinking water supplies and sanitation infrastructure, if existing, can increase vulnerabilities to water, sanitation and hygiene-related diseases. Based on the most likely scenario, through 2013, approximately 9 million IDPs and hosting communities may require WASH response. Although the response will vary as per needs i.e. from just soap distribution to a full WASH package as per needs (determined through the WASH assessment and IVAP) corresponding to SPHERE.

Outbreaks of waterborne diseases continue to occur in the affected areas, leading to loss of life, disease and economic burden for vulnerable affected communities. Bacteriological contamination of drinking water represents a serious health issue in the affected areas, with resulting diarrhea and worm infestation being two major waterborne public health threats. Regular water quality monitoring and control in all affected areas, is thus of paramount importance in blocking the spread of water borne diseases. WHOs’ regular testing of drinking water in affected communities in IDP camps and return areas is one of the measures available to ensure the provision of a safe water supply in affected areas. Water quality monitoring serves as a check that barriers to contamination are working effectively. For the returnee population the WASH Cluster in consultation with relevant UN Agencies and Government Stake Holders has estimated that 97,607 families would need to be provided with WASH NFI’s throughout 2013 but in the interim period 24,402 families are expected to be supported during return to their places of origin and will be assisted accordingly.

Cluster Strategy

The implementation of WASH response as defined above is guided by the following strategies:

Coordinate effective delivery of WASH response to the affected populations through the Cluster Approach, including coordination with government, key partnerships within the Cluster and across related Clusters including:

o Health Cluster: WASH in health facilities, diarrheal disease reporting, outbreak response o Education Cluster: WASH facilities in schools, hygiene education for school-going children o Protection Cluster: identification of vulnerable persons and areas for prioritized response o CCCM and Shelter: camp site selection and development, camp management

Ensure effective coordination of the humanitarian response program in the WASH cluster in close collaboration with other clusters and Government, including ensuring complementarities of interventions through information management

Enhance protection of affected communities from preventable illnesses, through routine water quality surveillance and disinfection and capacity building of local water service providers.

Beneficiaries 2,166,994 (IDPs living in camps and out of camps , host families and returnees) including female population

Funds requested 10.9 Million US $

Contact information Sajjad Akbar;([email protected]), Asif Mahmood ([email protected])



45

Whilst meeting immediate needs, WASH interventions should seek to establish from the outset linkage to and be guided by longer term development efforts where possible, including guidance from WASH related policies and strategies

Proactive commitment to ensure that cross-cutting issues of human rights, gender, environment and refugees are addressed in the immediate response and in on-going prioritization of projects; address WASH priorities with special emphasis on the needs of women, children, the disabled and the elderly

Utilization of participatory and rights-based approaches, efforts will be made to ensure consultation with women, men and children and all segments of the population resulting in the overall promotion and empowerment of these populations and in particular that of women.

On-going assessments will continue to aid in the prioritization of activities. in these areas which may include installation / restoration of water supply to supplement existing schemes, technical support and installation of sanitation facilities, intensive social mobilization / hygiene promotion for improved hygiene and sanitation coverage, distribution of WASH related NFIs for safe household water storage and treatment, support for water and sanitation facilities in schools and health centres. These actions are being planned and prioritized, in coordination with government counterparts and other Clusters, including Camp Coordination, Health, Education and Protection Clusters, for an effective and efficient response aimed at reaching those identified as most vulnerable.

Capacity development of government and communities in emergency preparedness, response and coordination to enhance the resilience to deal with the emergency situation and ensure the ability to execute and maintain the WASH early recovery programme.

Establishment of multi-faceted and robust monitoring and reporting mechanisms to measure the effectiveness and impact of the WASH response

Cluster objectives

Objective 1: Ensure access and provision of safe drinking water, appropriate sanitation, and promotion of safe hygiene practices to 105,528 IDPs in camps through 2013.

Outcomes Indicators Activities

105,528 IDPs residing in camps have access to:

# of IDPs (men and women, boys and girls) provided with water as per Sphere Standards. # of IDPs provided with adequate sanitation facilities as per Sphere Standards. # of IDPs reached and sensitized on appropriate essential health and hygiene messages ( Men women boys and girls) # of Schools and Health facilities in camps provided with WASH facilities.

- Continuous provision of water through bore holes/pipe networks. Water tankering if required.

- Maintenance of existing sanitation facilities in camps

- Installation of new WASH facilities, if required.

- Hygiene promotion and solid waste management.

- Provision of WASH facilities and improving health and hygiene condition of children and IDPs in schools and health facilities.

15 liters per person per day of safe drinking water

Adequate sanitation facilities, ensuring separate and private facilities for women and girls, maximum of 20 persons/latrine

Basic hygiene materials (kits) and knowledge of key hygiene behaviors

Camp schools and health facilities have WASH facilities

Objective 2: Support efforts to ensure access to safe drinking water, sanitation and hygiene promotion activities benefiting 957,528 IDPs living in host communities and 957,528 hosting population through 2013

1.91 million IDPs and hosting communities have improved access to safe drinking water, sanitation and are enabled to practice improved hygiene behavior as per needs established through WASH assessments and IVAP corresponding to SPHERE.

# of IDP’s ( Men women boys and girls) and hosting communities provided with improved WASH facilities.

- Rehabilitation of existing non –functional water sources and/or installation where appropriate

- Support for social mobilization to support improved sanitation coverage in host areas, including technical guidance on low-cost, sustainable designs,

- Etc.

Objective 3: Support provision of return package to 24,402 returnee families through 2013.

24,402 returnee families provided with hygiene kit as return package

Number of Returnee families (x%WHH) provided with return package.

- Provision of hygiene kit as a return package

- Etc.

46


The WASH Cluster will ensure monitoring in collaboration/coordination with Government structures and I/NGO partners through the following specific means/modalities:

Regular cluster coordination meetings will be held bi-monthly, the frequency of which may be increased depending upon the status of emergency.

Regular reporting on 4W Matrix that includes a pre-scribed list of indicators for reflecting on the progress, impact and effectiveness of the interventions ensuring sex and age disaggregated data

A well-established cell namely WATSAN cell in Local Government & Rural Development Department has been working for coordinating WASH sector activities. The cell has experienced/specialized staff specifically working for coordination/monitoring and capacity building of WASH stake holders.

Vetting of projects by verification and certification by cluster is in place and will serve as a tool to avoid duplication of resources and to fill in the gaps where required.

Line government agencies shall also carry out regular monitoring of the work where no conflict of interest is envisaged. Line agencies shall also report regularly. WASH Sector shall coordinate the respective roles and inputs by consultants, facilitators, monitors, etc and line agencies;

Table of proposed coverage per site


IDP Camps (Jalozai, Togh Sarai, New Durrani)

UNICEF, SSD, SEED, RID, BEST and other cluster members

Peshawar, Nowshera UNICEF, OXFAM, IRC, PHED, LGRDD and other cluster members

DI Khan UNICEF, OXFAM, IRC, PHED, LGRDD and other cluster members

Tank UNICEF, OXFAM, ACTED, IRC, PHED, LGRDD and other cluster members

Kohat UNICEF, IRC, PHED, LGRDD and other cluster members

Hangu UNICEF, IRC, PHED, LGRDD and other cluster members

Kurram Agency UNICEF, PHED, LGRDD and other cluster members

8. COMMON SERVICES:

Common services provide technical support on cross-cutting issues to the humanitarian response, with the overarching focus being provision of high quality coordination, profiling/assessments, security compliance, and public information. The Coordination component of common services will provide leadership role and guidance on humanitarian policies in the provision of humanitarian assistance. They aim to foster synergies and collaboration amongst clusters to enhance, integrated action, complementarities, and reduce overlap. Underpinning the humanitarian response is the need to ensure timely, appropriate safety and security support to optimize operational time.

Responsible Organizations OCHA, UNDSS, IVAP/IRC

Key objectives

The overall objective is to

Ensure strong, inclusive and on-site humanitarian coordination in the emergency phase.

Ensure generation and dissemination of timely information products that support implementation of the humanitarian response plan by highlighting priority needs, gaps and duplications.

Ensure and refine strategic joint planning, needs assessment and advocacy to promote principled action, equitable distribution of support/services and a seamless transition from humanitarian response to early recovery.

Promote the use and analysis of sex-disaggregated data for relief programming.

To provide timely and accurate, life-saving information to IDP population on aid available/provided by the humanitarian community and how to access it.

Survey and profile conflict affected IDPs in order to gather essential data to inform the humanitarian response.

Ensure delivery of humanitarian assistance and carrying out of assessment missions in a safe and secure manner.

Beneficiaries Partners and the broader humanitarian community in KP and FATA.

47

Strategy

Coordination (OCHA) OCHA provides effective coordination function both vertically (between Humanitarian Regional Team-HRT/Provincial ICCM and Humanitarian Country Team-HCT) and horizontally (between Humanitarian Regional Team-HRT/Provincial ICCM and General Coordination Mechanism-GCM, Clusters, Early Recovery Working Group-ERWG, Provincial Government Authorities (PDMA/FDMA)) with a view to ensuring that provincial coordination function and cluster approach are coherent, principled, timely, effective and efficient, and contribute to both humanitarian assistance and longer-term recovery. Core functions include:

Enabling and/or supporting coordination mechanisms at the global, national and local levels

Ensure the provision of coordination services through IASC principles and agreed mechanisms;

Explore further and better initiatives with the military for improved civil military coordination and ensure

maintenance of humanitarian space;

Continue to manage, identify needs and gaps with a view to provide effective instrument (HOP) that will

provide a platform for the provision of timely life saving emergency assistance and available resources for

critically underfunded programs;

Strengthen the capacity of local government authorities (P/FDMA) for effective response and preparedness

through training and capacity building;

Ensure gender mainstreaming in all programs;

Timely sharing of strategic government plans on any impending displacement with the humanitarian actors

which will in turn allow good planning and effective response to the needs of the IDPs;

Development and revisions of the humanitarian response plan in consultation with relevant Government agencies;

Provision of timely multi-cluster needs assessments.

The following diagram shows the coordination structures in KP/FATA

48

Safety and Security (UNDSS)

UN Department of Safety and Security (UNDSS) support the Humanitarian Organizations in KP/FATA by providing security advice and guidance which enable humanitarian activities to be conducted in the safest and principled manner possible. UNDSS also conducts a series of courses designed to mitigate the risks faced by humanitarian workers in KP/FATA:

Facilitate the delivery of humanitarian assistance and the carrying out of assessment missions in a safe and secure manner, in line with Minimum Operating Security Standards (MOSS).

Monitor security environment and share information on security developments as they arise, including the impact on humanitarian operations.

Provide security awareness to local and international partners responding to humanitarian needs in risk potential environments.

UNDSS KP / FATA Continuously liaise with government law enforcement agents regarding major security incidents and their impact on UN staff and operations.

UNDSS KP/FATA facilitates security cooperation with INGOs / NGOs in accordance with the SLT policy.

Provides psychosocial support for staff. IVAP/IRC (New Data collection)

The ever-changing situation in KP/FATA requires that humanitarian organizations have access to up-to-date information on IDPs to allow them to target beneficiary populations appropriately when designing and implementing humanitarian interventions. By collecting and regularly updating data on the location and multi-sectoral needs of IDP families, IVAP is able to provide exactly this information. The Internally Displaced Person (IDP) Vulnerability Assessment and Profiling (IVAP) project was therefore initiated in 2010 to fill the information gap regarding the situation of these conflict-displaced populations. Specifically, IVAP implements multi-sector assessments to gather data on the location of IDPs, their breakdown by gender and age, and their needs for WASH, shelter, food and other kinds of support. A wealth of information is available in the IVAP online database (sign up on the home page) on the location and needs of these IDP families to inform the humanitarian response and ensure that assistance is targeted appropriately. IVAP provides general assessment data to the humanitarian community for design and implementation of programs to benefit displaced and host communities. Profile the level of vulnerability of every conflict displaced family in KP to allow for targeting of assistance

Expected outcomes

Improved coordination and transparency of humanitarian response.

More coherent, effective and efficient delivery of humanitarian assistance.

Stronger advocacy on humanitarian principles.

Improved reporting and accountability on gender results in the IDP response.

Improved accountability to the beneficiaries and also a platform for them to make informed decisions especially on their areas of origin during planning phase for returns.

IVAP database remains up to date and representative of current IDP population and partner organizations have access to relevant information to inform their programs

Better understanding of the security situation among local and international agencies and partners.

49

ANNEXES Annex 1: Humanitarian Operations Plan Financial Gap Analysis 2013

Cluster Resources Allocated

as of May 1, 2013 Funding Gaps May-Dec 2013

CCCM $8,482,500 $21,133,000

Education $1,129,686 $5,072,196

Food Security $118,483,272 $45,700,000

Health $159,536 $15,000,000

Nutrition $2,064,238 $5,667,021

Protection $2,512,376 $13,869,772

Shelter $5,311,720 $30,000,000

WASH $6,209,794 $3,126,804

Total $139,041,402 $139,568,793

Annex 2: FDMA PLANNING FIGURES

50

ANNEX3. LIST OF PROJECTS BY CLUSTER

CCCM

S.N

o

Ag

en

cy/N

GO

Project Title Location

Ben

efi

cia

rie

s

(in

div

idu

als

)

Bu

dg

et

US

D

Du

rati

on

Objectives Email contact

Reco

mm

en

dati

on

s

1.

NR

C

CCCM, NFIs

Jalozai, Togh Sarai and New Durrani

1611

4

3,2

50,0

00

12 m

onth

s

SaeedUllah.Khan

@pak.nrc.no

Recom

mend

ed

2.

IRC

CCCM, Community outreach

Jalozai, Nowshera

1244

2

1,0

00,0

00

12 m

onth

s

[email protected]

Recom

mend

ed

Education

S.N

o

Ag

en

cy/N

GO

Project Title Locatio

n

Ben

efi

cia

rie

s

(in

div

idu

als

)

Bu

dg

et

US

D

Du

rati

on


Reco

mm

en

dati

on

s

1.

AS

WE

D Revamp of the

Education Services for Conflict Affected off-Camp beneficiaries.

District Peshawar Town III & IV

3,5

00

271,2

71

10 m

onth

s

To ensure access of children to life sustaining learning services in host communities of district Peshawar

[email protected]

Recom

mend

ed

2.

SH

ID

Provision of education to newly returned IDPs children of Kurram Agency FATA

Kurram Agency FATA 4

,10

0

317,7

74

10 m

onth

s

1. To keep continue the education of 1000 newly returned IDPs children in those areas where the schools are totally damaged through TLCs 2. Minor repairs of 20 partially damaged schools in Kurram Agency, FATA to support the government and IDPs children

[email protected]

Recom

mend

ed

3.

KA

DO

Provision of Non-Formal Education to The IDPs Children at District Hangu

Hangu

893

69,2

13

8 m

onth

s To ensure access to quality

education in Child Friendly Inclusive Schools with protective environment for emergency affected children.

[email protected]

Recom

mend

ed









51

4

PV

DP

Provision of emergency education facilities for conflict affected and displaced children in Return area.

Kurram Agency FATA & Orkzai

6,5

00

503,7

88

10 m

onth

s To revitalize educational

activities for affected children in Kurram Return IDP’s for ensuring continuation of their education and hope for prosperous future

[email protected]

Recom

mend

ed

5

UN

ICE

F

Provision of education services to emergency affected children in off-camp

Off-camp

Peshawar

10;0

00

800,0

00

10 m

onth

s Ensure access to quality

education for emergency affected children in a child friendly and protective learning environment

[email protected]

Recom

mend

ed

6

Save t

he

child

ren

Access to education for IDP children in KP

Peshawar

10,0

20

501,0

00

10 m

onth

s

To provide education access to 10,000 IDP children living off camp in District Peshawar.

[email protected]

Recom

mend

ed

7

IRC

Continuing Primary Education in Jalozai Camp

Jalozai Camp

10,0

00

775,0

59

10 m

onth

s To provide quality education

in healing classrooms with a focus on student-centered learning and psycho-social support for students in Jalozai Camp.

[email protected]

Recom

mend

ed

8

SH

ED

Provide support in education of the children of conflict affected host communities and IDPs

DI Khan & Kohat 3

000

232,5

18

10

month

s To ensure continuity and

improvement in quality of education to 3000 children of conflict affected host communities and the IDPs in the project area.

[email protected]

Recom

mend

ed

9

Muslim

Aid

Non Formal Education & Accelerated Learning Opportunities for Conflict Affected Children, Adolescents and Women of FATA Living in Nowshera, Kohat and Peshawar, KP, Pakistan.

Jalozai camp and Kohat and Peshawar from Off camp

18,4

97

1,4

33,6

27

10 m

onth

s

1. To impart literacy and numeracy skills to IDP children, adolescents and women of 10-18 and 19-25 and above year age groups through non-formal and accelerated learning approaches. 2. To mainstream out of school children living in camps and host communities into formal education system by the end of project.

[email protected]

[email protected]

[email protected] R

ecom

mend

ed

10

BE

ST

Emergency Primary Education to Khyber IDPs children in Kohat

Kohat

3,0

00

232,5

18

10 M

onth

s To provide access to quality

emergency education (safe and secure)to Khyber IDPs children (3000 boys and girl) in host communities of Kohat according to INEE standards

[email protected]

Recom

mend

ed

11

IDE

A

To ensure access to education to 1500 emergency affected Children of Khyber Agency living in off-camp of district Nowshera, KPK, Pakistan

Nowshera 2

500

193,7

65

10 M

onth

s To ensure access to

education to 1500 emergency affected Children of Khyber Agency living in off-camp of district Nowshera, KPK, Pakistan

[email protected]

Recom

mend

ed

















52

12

Phila

nth

rope

Provision of emergency education for Tribal IDPs students residing in hosting communities.

Peshawar &

Kohat 3,5

00

271,2

71

10 M

onth

s

1) To provide educational support to 2500 students (1000 boys, 1500 girls) by establishing 2nd shift schooling facilities. 2) To build the capacity of Learners, Teachers, PTCs/SMCs, on life skills, Mentoring Sessions and DRR Strategies for safe and responsive learning opportunities for children leading towards secure and healthy environment; Increased participation of parents in Educational process through planned activities; Increased enrolment and a reduced dropout ratio. 3) To improve learning environment through child friendly co-curricular activities, Health hygiene Education sessions, repair and maintenance of school Washrooms.

[email protected]

Recom

mend

ed

13

KK

Education with Protection

DI Khan

3,5

00

271,2

71

10

Month

s

i. Provision primary education to 2500 of camp children in DIK. ii. Provision of socio psycho support to the enrolled children. Iii. Children in indeed of various services are referred to the relevant service providers

[email protected]

Recom

mend

ed

14

EH

SA

R

Found

ation

Provision of Primary Education services through Temporary learning Centers (TLCs) in Peshawar

Peshawar 2

,50

0

193,7

65

10 m

onth

s Children have access to

quality education through TLCs in Peshawar (Host community) to bring them to normalcy.

[email protected] , [email protected]

Recom

mend

ed

15

BF

O

Emergency Assistance to establish 06 TLCs in host communities Kurram Agency

Off Camp,

Nowsherah

1,8

50

90,0

00

8 m

onth

s

Children have access to quality education through 08 temporary literacy centers in host communities of Peshawar to bring them normalcy.

[email protected]

Recom

mend

ed








53

16

HE

LP

IN

NE

ED

Provision of emergency education facilities for conflict displaced children of Khyber Agency, hosted at districts Nowsherah

Off-Camp,

Nowsherah

2,2

10

99,9

99

6 m

onth

s

Main Objective: To revitalize educational activities for affected children in host communities for ensuring continuation of their education and hope for prosperous future. • To enrolled affected children of targeted areas, especially girls through community mobilization and advocacy • Provision access and learning environment through o establishment of temporary learning centre for displaced children in host communities • Capacity building of teachers to create child friendly learning atmosphere in TLCs • To improve teaching and learning services through provision of essential educational materials • To improve hygiene condition of students through hygiene promotion in TLCs

[email protected]

Recom

mend

ed

17

N

ationa

l In

stitu

te

of R

ese

arc

h &

Educatio

n

Provision of Primary level education (off camp/ in-camp) through Temporary Accelerated Learning Centers (TALCs.) at Jalozai Camp in District Nowsherah

Off camp,

Nowshera

2

,37

0

92,0

00

6 M

onth

s

The project envisages the establishment of 80 TALCs. To educate 2100 out of school/dropped out male/female (of 7 – 14) years age) learners up to primary level during a period of 6 months.

[email protected]

Recom

mend

ed

18

Peace a

nd D

eve

lop

me

nt O

rganiz

atio

n

Provision of emergency education facilities for 4,000 conflict displaced children and women of Khyber Agency living with host communities in District Peshawar (KPK)

Off camp,

Peshawar

4

,00

0

178,6

68

8 M

onth

s

• To revitalize educational activities for 4000 affected children and women in host communities through 20 TLCs and 10 TALCs in Peshawar district • To improve teaching and learning services through provision of essential educational materials • Capacity building of teachers and Community Education Committees (CEC) to support the children education and to create child friendly learning atmosphere in centers

[email protected]

Recom

mend

ed





54

19

Part

icip

ato

ry R

ura

l

Develo

pm

ent

Socie

ty

Off camp IDP Emergency

Education Project

Off camp, Lower

Kurram

3

,86

0

146,3

00

6 M

onth

s

To provide Emergency education and support

services including access and

enrolment through Temporary learning Centers to severely affected 3,000

crises affected off camp IDP school going boys and girls

in IDP hosting areas of Lower Kurram Agency

FATA humayun1@live.

com

Recom

mend

ed

20

N

ationa

l In

tegra

ted &

Develo

pm

eD

ew

ant

Associa

tion (

NID

A-

Pakis

tan)

Provision of Temporary Learning Centers (TLCs) for

Children residing with the host communities

in New Durrani, Kurram Agency,

FATA, KP

New Durrani camp, Kurram agency

4

,00

0

192,0

50

6 M

onth

s

To provide access to quality learning environment to the

displaced children (age 3-18), particularly girls, residing with the host

communities in Durrani Kurram,

through active involvement of the local communities and

the government education department.

[email protected]

Recom

mend

ed

21

C

om

mun

ity

Researc

h a

nd

Develo

pm

ent

Org

aniz

atio

n

To Provide Quality Education to Conflict

Affected children IDPs in Togh Sarai

Camp , KPK

Togh Sarai camp, Hangu

3

,83

4

88,2

30

6 M

onth

s

To Provide Primary Level Education to 3834 students

of IDPs in Togh Sarai Camp, To Train 50 Teachers on

CFS Teaching sammiullah@hot

mail.com

Recom

mend

ed

22

Rura

l D

evelo

pm

ent

Initia

tive

Provision of quality education for off Camp children in

child friendly educational

environment in District Hangu

Off camp, Hangu

4

,46

5

171,3

45

6 M

onth

s

To increase enrolment of off camp children up to 50 % in the targeted area at primary

level. To provide formal education to the Internally Displaced children in child friendly environment. To bring about attitudinal/

behavioral change among the targeted communities

in support of basic/ primary education for ID children

especially girl’s education. [email protected]

m

Recom

mend

ed

23

HO

PE

IDPs Children Integration through quality education

Off camp,

Peshawar

1

,19

0

49,5

00

4 M

onth

s

Ensure that all children, especially girls/women

affected by the man-made emergency have access to

safe and well equipped learning /teaching

opportunities. Provide non-formal mechanism for

continuation of education of the IDPs children in the

established schools through provision of supplies.

Formation of the PTCs/SMCs in order to carry on the process beyond the

emergency phase and make them practice it in their

normal lives in the future hopefata@gmail.

com

Recom

mend

ed











55

24

Hum

an R

eso

urc

e

Develo

pm

ent

Socie

ty

Revitalization of Educational Services

for IDPs Children, Togh Sarai IDPs

camp, Hangu Togh Sarai camp, Hangu

2

,94

2

76,5

29

6 M

onth

s

1. The IDPs Children have access to quality education

through child friendly schools in the target camp to bring

them to normalcy. 2. Child friendly learning and

physical environment is developed in the schools to

ensure enrolment and retention in the schools

[email protected]

Recom

mend

ed

25

Naveed K

han

Found

ation

Ensuring Access to Basic Education Jalozai

camp, Nowsher

a

1

,36

6

42,6

12

7 M

onth

s

Provide access to 1300 IDP children (45% girls) in Jalozai IDP camp of district Nowshera to safe and adequate formal schooling.

[email protected]

Recom

mend

ed

26

Worl

d V

isio

n In

tern

atio

na

l

Let’s learn together

Jalozai camp,

Nowshera

2

,45

0

73,5

00

8 M

onth

s

The Child friendly learning centers will serve as safe places where the children will play, sing, draw and

learn the coping mechanisms to the threats they are facing

and will bring back the knowledge to their families. The initiative will boost their school return interest. The longer they will be out of

schools the lesser they are likely to return. The interventions would contribute to rebuild their lives as step to

normalcy. The project will work in close coordination

with the ministry of education, sister

organizations and cluster to meet the common

goals and vision. The project will contribute its efforts to

build the capacities of teachers, PTCs, student

councils and community level committees comprising

of parents, religious leaders, camp administration and

children in different relevant subjects.

[email protected]

Recom

mend

ed

27

Kher

Khe

gara

Tanzeem

Provision of quality Education for

Tirah IDPs (Peshawar)

Off camp, Pesha

war

1

,84

0

85,0

00

6 M

onth

s

To provide adequate educational repose to the off camp IDPs children’s,

while ensuring adherence to

INEE standards& to provide proper advocacy

regarding education importance.

[email protected]

Recom

mend

ed









56

28

Nation

al D

eve

lopm

ent O

rganiz

atio

n

Mainstreaming primary education for 10000 IDP children

(Khyber Agency, SWA & Orakzai

Agencies- FATA) within the host communities of

Kohat, Hangu and DIKhan districts-

Khyber Pakhtunkhwa province

Off camp, Hangu, DIKhan,

Tank

11

,50

0

209,0

87

6 M

onth

s

1) Two Baseline surveys of the IDP children- one each

for IDP children from Khyber Agency (Kohat/ Hangu) and

IDP children from SWA/ NWA (DIKhan);

2) Provision of primary education to the IDP children

(primary- age groups) through developing second-

shift schooling at government primary schools (GPS/ GGPS 3) INEE training/ capacity development of primary school teachers (PSTs) from the selected government schools- who will act as Master Trainers (MTs) to cascade the INEE

training among the officials of their respective District Education Departments

(DEDs)- Kohat, Hangu and DIKhan; 4) Cpacaity development of the

Education Department/ DEDs in INEE and joyful

learning/ life skills cultivation among children.

[email protected]

Recom

mend

ed

Food Security

S.N

o

Ag

en

cy/N

GO


n

Ben

efi

cia

rie

s

(in

div

idu

als

)

Bu

dg

et

US

D

Du

rati

on


Reco

mm

en

dati

on

s

1

ISC

OS

-CIS

L Istitu

to

sin

daca

le p

er

la

coopera

zio

ne

allo

svilu

pp

o

SOIL: supporting off-camp IDPs’ and hosting communities’ livelihoods

Peshawar District, UC Lala Peshawar District, UC Surizai Payan

1925

0

326,0

00.0

0

12 m

onth

s The project will improve food

security and support livelihoods of off-camp IDPs and hosting families dependent on agriculture in Peshawar District.

Mario Barberini Country Representative Str. 53, House 2, F-7/4 - Islamabad Tel./Mob.: 051 2611223 / 0307 5067087 e-mail: [email protected]

Recom

mend

ed

2

NR

DF

-Nationa

l R

esearc

h &

Develo

pm

ent F

oun

dation

School Feeding (Reaching the unreachable

children)

100 Primary schools in Sararogha & Sarwakai in South Waziristan Agency

1500

0

2490

00

12 m

onth

s

To feed the most vulnerable children of conflict affected areas

[email protected]

Recom

mend

ed





57

3

Litera

te M

asses

1. Rehabilitation of community based infrastructure & enhancement of livelihood opportunities for the affected people of Bajaur Agency 2. Protecting and enhancing Livestock assets for the militancy affected and displaced communities

Bajaur Agency & Orakzai Agency

63,0

00

475,0

00

12 m

onth

s 1. To improve livelihood of

the affected community. 2. To rehabilitate basic infrastructure 3. To restore livestock assets

[email protected]

Recom

mend

ed

4

FA

O

Restoration of agriculture and livestock based livelihoods for conflict affected communities Khyber, Orakzai, Kurram and South Waziristan Agencies of FATA.

Khyber and Kurram, Orakzai and South Waziristan Agencies

6484

80

8,5

13,5

00

12 m

onth

s

With a major focus on in-camp and off-camp IDPs the project seeks to restore agriculture and livestock based livelihoods of the most vulnerable and food insecure conflict-affected households in the four worst affected agencies namely khyber, Kurram Orakzai and South Waziristan Agencies in FATA.

Mr. Syed Abdul Razak, Officer In-charge (CPRU) Email: [email protected] Tel. Phone no. +92 51 26 55 882 Mobile: + 92 (0) 345 501 44 59

Recom

mend

ed

5

AC

TE

D

Provision of immediate agriculture assistance to vulnerable conflict-affected communities in KP and FATA

Khyber Pakhtunkhwa (KP): Districts Kohat, Nowshera and Peshawar; Federally Administered Tribal Areas (FATA): Khurrum, Bajaur and Orakzai Agencies

6000

0

758,3

39

12 m

onth

s

Improve food security through protection of livestock assets and support agricultural livelihoods for off camp IDPs, host communities and returnees during their transition. For off camp IDPs and host communities: Provision of livestock feed packages and health inputs For returnees in transition: Provision of livestock input packages. Provision of agricultural tools and trainings.

[email protected]

[email protected]

Recom

mend

ed



58

6

Isla

mic

Re

lief P

akis

tan

Humanitarian Assistance to flood affected and Internally displaced Population of Dara Ismail Khan (D.I Khan)

Province: Khyber Pukhtunkhwa (KPK) District: Dera Ismail Khan (D.I. Khan) Tehsil: Darban Union Councils: Musazai and Chodwan

4800

0

375,7

32

12 m

onth

s

To improve the access to goods, services and support to live their lives of 48000 affected population in dignifying manner specially women, children, and elderly Utilize Local resources to reduce the effects of natural disaster by target communities trough capacity building, awareness and DRR initiatives

[email protected]

Recom

mend

ed

7

Socie

ty for

Hu

ma

n a

nd

Institu

tio

na

l D

eve

lopm

ent

(SH

ID)

To improve food security and livelihoods of conflict affected families of Khyber Agency

Khyber and Orakzai Agencies, FATA

2100

0

653,1

00

12 m

onth

s

To improve the food security of conflict affected families through protection of livestock assets, livestock feeds and provision of poultry, poultry feeds for nutritional purposes and agriculture tool kits to provide immediate support to agricultural livelihood for the conflict affected families of Khyber and Orakzai Agencies, FATA.

[email protected]

Recom

mend

ed

8

CE

SV

I

Emergency Livelihoods Support to off-camp IDPs and hosting families In Jalozai camp surrounding areas.

District Peshawar and Nowshera

2979

2

283,6

64

12 m

onth

s

The project aims to improve the food security through protection of livestock/poultry assets and support to agriculture livelihoods for immediate earning of income for off-camp IDPs/host families

[email protected]

Recom

mend

ed

9

FR

D

Livelihoods and economic opportunities for conflict/sectarian violence affected returning IDPs of Kurram Agency/ Livelihoods Rehabilitation through Food for work at Kurram Agency FATA

Kurram Agency FATA 2

900

0

616,3

91

12 m

onth

s

Protection of livelihood assets and increasing HH resilience

[email protected] ,

[email protected]

Recom

mend

ed







59

10

Initia

tive for

Hum

anity, S

ocia

l A

ware

ness &

Sup

port

(IH

SA

S) Rehabilitation

through adequate nutrition Livestock Care Program for Returnees of Kurram Agency

Village Manatoo & Village Dogar of Central Kurram Agency

2200

0

311,3

71

12 m

onth

s

• To provide immediate assistance to returnees and non-displaced population to ensure the rapid restoration of agriculture production, and their livelihoods. • To contribute towards the early recovery of flood affected areas through the construction / rehabilitation of community infrastructure. ============== 1 . To protect the key livestock-related assets of conflict affected communities. 2. To build key live-stock related shelter for conflict affected communities.

[email protected]

Recom

mend

ed

11

WF

P

Food Assistance to IDPs

Peshawar,Nowshera,DI Khan,

Hangu, Kohat,Tank,SWA,Kurram,Orakzai,

160,0

00

149,5

00,0

72

12 m

onth

s

Save lives and improve food security and livelihood of conflict affected population

[email protected]

Recom

mend

ed

12

CA

RE

Inte

rnatio

nal in

Pakis

tan

Emergency livelihood Assistance for Vulnerable Conflict-affected Internally Displaced Persons Living in Districts Nowshera and Peshawar, Khyber Pakhtunkhwa, Pakistan

Tank, DI Khan

districts, Bajour

and South

Waziristan

Agencies

4857

0

1,0

97,3

93

12 m

onth

s

CARE International in Pakistan (CIP) and its two local partners (LPs) will implement response and Disaster Risk Reduction (DRR) activities to address the immediate health and livelihood needs of the most vulnerable Internally Displaced Persons (IDPs) and their host communities in Districts Nowshera and Peshawar.

[email protected]

Recom

mend

ed

Health

S.N

o

Ag

en

cy/N

GO


n

Ben

efi

cia

rie

s

(in

div

idu

als

)

Bu

dg

et

US

D

Du

rati

on


Reco

mm

en

dati

on

s







60

1.

Associa

te in C

om

mu

nity D

evelo

pm

ent

(AIC

D)

Provision of reproductive services to the affected women and girls living in host areas

Tank, DI Khan districts, Bajaur and South Waziristan Agencies

2650

0

2250

00

12 m

onth

s

Improve access to essential medicine at primary health care, to prevent excess maternal and newborn mortality and morbidity, planning for the provision of comprehensive reproductive health services on 24/7 basic emergency obstetric care (BEmOC) and referrals for comprehensive emergency obstetric care services for complicated cases that will require immediate life-saving interventions to 25000 women and girls of child bearing age living in host community

[email protected]

Recom

mend

ed

2.

Care

Inte

rnatio

nal in

Pakis

tan

Emergency Health for vulnerable conflict-affected internally displaced persons living in districts Nowshera and Peshawar, Khyber Pakhtunkhwa, Pakistan

Nowshera, Peshawar districts

4492

0

6428

09

12 m

onth

s

Improved health conditions of 44,920 vulnerable IDPs and host women, children and men in Peshawar and Nowshera through provision of/and maintaining essential life saving health services interventions for reducing morbidity and mortality

[email protected]

Recom

mend

ed

3.

Centr

e O

f E

xcelle

nce

for

Rura

l D

eve

lop

me

nt

(CE

RD

)

Provision and strengthening of essential Maternal and Child Health Care services in the existing health facilities (basic health units) in IDPs hosting areas of Kohat district

Kohat district

1252

44

2493

64

12 m

onth

s

To provide MCH services to 26122 conflicts affected families of IDPs in the hosting areas through three MCH centers

[email protected]

Recom

mend

ed

4.

Com

mun

ity

Appra

isal &

Motiva

tio

n

Pro

gra

mm

e

(CA

MP

)

Emergency Relief and Primary Health Care Project for IDPs in Jalozai Camp

Nowshera district

1160

0

1500

00

12 m

onth

s

The project aims to prevent avoidable death, disease and disability in the camp population through provision of essential life-saving Primary Health Care services, with focus on women and children

[email protected]; [email protected]; [email protected]

Recom

mend

ed

5.

Churc

h W

orld

Serv

ice

-

Pakis

tan/A

fgh

anis

tan (C

WS

-P/A

)

To provide preventive and curative health care services to the non camp IDPs of FATA and host community in district Peshawar

Peshawar district

4800

0

2140

71

12 m

onth

s

To provide preventive and curative health care services with provision of free essential medicine to (8000 families) 48,000 IDP’s for registered/unregistered-non-camp areas with a special focus on women, children, elderly and disabled via fully equipped mobile health units (MHU), Hydraulic Mobile Health Units (HMHU), laboratory tests through a fully equipped mobile laboratory and ambulance available for 24/7 emergencies

[email protected]

Recom

mend

ed





mailto:[email protected];






61

6.

Devout

Vo

lun

teer

Org

aniz

atio

n Access to PHC

services to the internally displaced population in district Peshawar

Peshawar district

5200

1030

00

12 m

onth

s

To provide access to essential PHC services, for the conflict and post conflict affected population, by focusing on the women & children health care as the most vulnerable amongst internally displaced

[email protected]

Recom

mend

ed

7.

Friends o

f th

e M

ind

Provision of community-based mental health care services and psychosocial support to the affected and displaced population of KPK/FATA

Nowshera, Peshawar districts

9150

1854

31

12 m

onth

s

Provide mental health care services and psychosocial support as integrated part of PHC to affected and displaced population (men, women, children) suffering from various mental, psychological disorders and disabilities during pre and recent crisis at community level; ensure psychosocial assistance to most vulnerable groups i.e. women, children through motivation & mobilization process

[email protected]; [email protected]

Recom

mend

ed

8.

Hand

icap I

nte

rnationa

l Strengthening primary health services and reduction of risk factors in IDPs and hosting communities of Kohat district, with a special attention to the most vulnerable population

Kohat district (UC Kharmatoo)

2000

0

1683

15

12 m

onth

s

Reduce morbidity and mortality in the target population through the provision of essential life saving health intervention

[email protected]

Recom

mend

ed

9.

Help

ing H

and f

or

Relie

f and

Develo

pm

ent

(HH

RD

)

Provision of comprehensive PHC services, including MNCH to conflict affected communities in Mohmand Agency

Mohmand Agency

4350

0

6600

00

12 m

onth

s

To improve the health conditions of IDPs and hosting population in Mohmand Agency through provision of/and maintaining essential life saving health services interventions for reducing morbidity and mortality


Recom

mend

ed

10.

Inte

rna

tio

na

l

Health

Part

ners

(IH

P)

Donation of Essential Medicines to Health Cluster (re KP/FATA)

KP and FATA

7604

96

2500

00

12 m

onth

s Provision of/and maintaining

essential life saving health services interventions for reducing morbidity and mortality.

[email protected]

Recom

mend

ed

11.

Inte

rna

tio

na

l

Med

ical C

orp

s

(IM

C)

Emergency comprehensive healthcare services for the conflict-affected population in Khyber Pakhtunkhwa (KP)

Peshawar district

6000

0

4318

51

12 m

onth

s

To provide critical life-saving emergency healthcare, reproductive health services including PHC, MCH, health education, referral, for the conflict-affected population

[email protected]

Recom

mend

ed

12.

Inte

rna

tio

na

l

Rescue

Com

mitte

e

(IR

C)

Leishmaniasis control and prevention in Nowshera and Kohat districts

Nowshera and Kohat districts

3187

08

1383

34

12 m

onth

s

To improve prevention and treatment of Coetaneous Leishmaniasis in 11 targeted UCs of districts Kohat and Nowshera

[email protected]

Recom

mend

ed



















62

13.

Isla

mic

Relie

f

Pakis

tan

Health assistance to off camp IDPs of FATA and host community (HAIDP)

Nowshera district

1395

0

3108

79

12 m

onth

s To improve access to

essential Primary Health Care services, including mental health and enhance referral linkages

[email protected]

Recom

men

ded

14.

Johann

iter

Unfa

llhilf

e E

.V. Ensuring the life

saving Primary Healthcare Intervention for conflict affected IDPs and hosting communities living in district Peshawar

Peshawar district

9903

1

3855

24

12 m

onth

s

Continuation and strengthening of essential PHC services, including essential life-saving medicines and other medical supplies in all affected areas for filling gaps and unmet needs in the health response; maintenance of communicable disease surveillance and response to mitigate morbidity and mortality among displaced population

[email protected]

Recom

mend

ed

15.

Kam

ore

Develo

pm

en

t W

elfare

Org

aniz

atio

n

(KD

WO

)

Provision of MNCH services and strengthening of EPI and HIMS in 10 health facilities of Bajaur Agency

Bajaur Agency

2100

0

3780

68

12 m

onth

s

Improvement in the quality of Maternal and Child Health Care across the Agency Health System through enriching the knowledge and skills of the PHC

[email protected]

Recom

mend

ed

16.

Med

ical E

merg

ency R

elie

f

inte

rnation

al (M

erl

in)

Provision of life saving and emergency health care services to the conflict affected internally displaced population residing in host communities (Nowshera, Peshawar and DI Khan) through static health facilities

DI Khan, Peshawar, Nowshera districts

6156

15

1027

200

12 m

onth

s

The project aims to prevent excess morbidities and mortalities through provision of life saving and emergency healthcare interventions by strengthening the public health care system in the targeted IDP host communities.

[email protected]

Recom

mend

ed

17.

Med

icin

s d

u M

ond

e

(MD

M)

Access to PHC, including nutrition and MCH for the most vulnerable among the population victim of conflict in Khyber Pakhtunkhwa province

Peshawar, Kohat, Hangu, DI Khan district

9902

1

1713

400

12 m

onth

s

To provide access to quality primary and sexual and reproductive health care services to the most vulnerable population

[email protected]

Recom

me

nd

ed

18.

Mob

ile Im

mun

ization &

Healthcare

Org

aniz

atio

n-

Provision of immunization and health education services in IDP hosting districts of Peshawar, Nowshera and Kohat

Peshawar, Nowshera, Kohat districts

7070

0

2424

05

12 m

onth

s

To reduce avoidable morbidity, mortality and disability associated with vaccine preventable diseases; to improve Immunization coverage among IDP children and women; to improve health, hygiene and Immunization awareness among IDPs; to build the capacity of community health workers in routine immunization

[email protected]

Recom

mend

ed









63

19.

Muslim

Aid

Strengthening of 3 BHUs for improved Primary Health Care and MNCH services to conflict affected communities in Kohat district

Kohat district

6020

0

2371

97

12 m

onth

s

To support three government Basic Health Units (BHUs) in effective delivery of Primary Health Care Services and promoting healthy practices through awareness raising campaigns on MNCH and other communicable diseases among targeted populations


Recom

mend

ed

20.

Muslim

Hands

Inte

rna

tio

na

l

(MH

I)

Control of diseases through sustained provision of PHC services for the IDPs in New Durrani Camp, Kurram Agency

Kurram Agency

1243

8

1160

00

12 m

onth

s

Continuation and strengthening of essential PHC services, including life-saving medicines and other medical supplies for filling gaps and unmet needs in the health response.

[email protected]

Recom

mend

ed

21.

Nationa

l T

rust fo

r P

opula

tio

n W

elfare

-

NA

TP

OW

Provision of life saving Primary Health Care services with special focus on safe motherhood, newborn & child health care, including basic EmONC, PPFP/ PPIUCD, HTSP, PAC and treatment for minor ailments in women, girls, adolescents and elderly, psycho-social support and anti-GBV awareness

Kohat and Nowshera districts

3500

00

3000

75

12 m

onth

s

To establish Mobile Service Units-MSUs in Kohat (06) and Nowshera (09); To provide Life Saving Primary Healthcare services with especial focus on Safe Motherhood, Newborn & Child Healthcare-MNCH including Basic EmOC; Provision of Family Planning especially PPFP/PPIUCD, HTSP and PAC; To provide Treatment of Minor Ailments in girls, women and elderly Males & Females; To provide the Psychosocial support to IDPs/ Returnees; To provide GBV (Gender based violence ) Awareness


Recom

mend

ed

22.

Povert

y

Era

dic

ation

Initia

tive

(PE

I)

Mobile dental services in Jalozai camp and off camp IDPs of Peshawar

Peshawar district

3881

77

2450

00

12 m

onth

s To provide services of dental

care like minor surgery, diagnosis, consultations etc and addressing inadequacies in dental care services.

[email protected]

Recom

men

ded

23.

Rura

l E

mpow

erm

en

t an

d

Institu

tio

na

l D

eve

lopm

ent

(RE

PID

)

To strengthen the essential PHC services, including essential life saving medicines for the returnees communities of Central Kurram Agency

Kurram Agency

7300

1400

00

12 m

onth

s

Continuation and strengthening of essential PHC services, including essential life saving medicines and other medical supplies in all affected areas and camps for filling gaps and unmet needs in the health response; Continuous communicable disease surveillance and response to mitigate morbidity and mortality among affected and displaced population;


Recom

mend

ed

24.

Save a

nd S

erv

e

Provision of Primary Health Care (PHC) and MNCH services with a special focus on women and children health care in Hangu district and South Waziristan Agency

Hangu district, Kurram Agency

1551

50

3500

00

12 m

onth

s

Strengthen the damaged and non functional BHUs in South Waziristan and provision of primary health care services in Hangu

[email protected]

Recom

mend

ed

















64

25.

Save t

he C

hild

ren

Provision of life saving health services to affected populations through mobile health facilities and health and hygiene awareness sessions for the prevention of disease outbreaks and malnutrition

Peshawar district

5540

0

3188

55

12 m

onth

s

Provision of life saving health services to affected populations through mobile health facilities and health and hygiene awareness sessions for the prevention of disease outbreaks and malnutrition

[email protected]

Recom

mend

ed

26.

Shifa F

ound

ation

Provision of Emergency Integrated Primary Health care, Basic EmONC and Nutrition Services in District Nowshera and DI Khan

Nowshera and DI Khan districts

2730

79

3792

04

12 m

onth

s

Providing integrated primary healthcare services with focus on disadvantaged and vulnerable groups; taking emergency preventive health measures to reduce risks of epidemic outbreaks; reducing the vulnerability for malnutrition in the flood affected area specifically for pregnant and lactating women and children under 5 years of age; providing BEmOC and FP services to women of child bearing age (CBA’s)

[email protected]

Recom

mend

ed

27.

UN

FP

A

Provision of RH services with focus on 24/7 BEmONC to reduce maternal morbidity and mortality of women living in conflict affected/ hosting districts/agencies of KP/FATA

Peshawar, Nowshera, DI Khan, Tank, Hangu districts, Jalozai and Togh Sarai IDP camps, Khyber, Kurram, Orakzai and South Waziristan Agencies 9

650

0

2088

698

12 m

onth

s

The objective is to improve the Reproductive Health Conditions of IDPs and hosting population in the affected districts of Kohat, DI Khan, Tank, Hangu, Peshawar and Nowshera of Khyber Pakhtunkhwa, including Jalozai, New Durrani and Togh Sarai IDP camps, and returned displaced population to Bajaur, Khyber, Kurram, Orakzai and South Waziristan Agencies through provision of/and maintaining essential life saving RH interventions for reducing maternal and neonatal, morbidity and mortality complementing the general health care provided by other partners.


Recom

mend

ed









65

28.

UN

ICE

F

Emergency health assistance for affected mothers, new-borns and children living in IDP hosting districts/agencies and camps in Khyber Pakhtunkhwa and FATA

Nowshera, Hangu , DI Khan , Kohat, Peshawar, districts and Orakzai Agency

1000

000

4920

452

12 m

onth

s

In line with the minimum standards (SPHERE) and UNICEF Core Commitment for Children (CCCs) UNICEF, the overall objective of UNICEF response is to reduce maternal and under 5 mortality and morbidity through life-saving Maternal and Child Health interventions for the conflict affected children, new-born and mothers residing in camps and hosting communities in Khyber Pakhtunkhwa (KP) and FATA

[email protected]

Recom

mend

ed

29.

WH

O

Coordination of health cluster response, disaster risk management and umbrella rapid fund for NGO partners for filling gaps in the emergency health response for the affected population

Peshawar, Nowshera, Kohat, Hangu, DI Khan, Tank, IDP camps - Jalozai, Togh Sarai New Durrani, FATA Agencies (Khyber, Orakzai, Bajaur, South Waziristan, Kurram) 9

81.8

04

1388

650

12 m

onth

s

To ensure effective cluster coordination for effective health cluster response and umbrella rapid fund for NGOs for filling gaps and addressing unmet needs in the emergency health response; To ensure provision of support to provincial health authorities and in strengthening their capacity in risk reduction, emergency preparedness and timely and efficient response to disasters


Recom

mend

ed

30.

WH

O

Communicable Disease control including Disease Surveillance, outbreak Response, Environmental health and vector control intervention


81.8

04

2130

000

12 m

onth

s

To reduce avoidable deaths and illness through early detection of potential outbreak alerts, prompt investigation, monitoring the communicable diseases trends and by timely response to any outbreak detected; To maintain and strengthen the Communicable Disease surveillance, alert investigation and response network in the affected districts


Recom

mend

ed

66

31.

WH

O

Provision of essential life saving medicines and supplies to ensure smooth delivery of primary health care services for the affected population


81.8

04

2258

000

12 m

onth

s

Improve access to essential medicines at primary health care by gap filling of essential medicines and supplies (including lifesaving medicines and supplies); Improve essential medicines management, evidence based quantization and rational use of medicines through structured capacity building programs


Recom

mend

ed

32.

WH

O

MNCH, Healthy life promotion, psycho social support, establishment of nutrition sentinel sites and care of elderly people

Peshawar, Nowshera, Kohat, Hangu, DI Khan, Tank, IDP camps - Jalozai, Togh Sarai New Durrani, FATA Agencies (Khyber, Orakzai, Bajaur, South Waziristan, Kurram)

981.8

04

4516

00

12 m

onth

s

Increasing access of IDPs and host communities to essential package of maternal newborns, children and old people to health services aiming at protecting and promoting the health of most at risk segments


Recom

mend

ed

Nutrition

S.N

o

Ag

en

cy/N

GO


Ben

efi

cia

rie

s

(in

div

idu

als

)

Bu

dg

et

US

D

Du

rati

on


Reco

mm

en

dati

on

s

67

1.

UN

ICE

F

Provision of Emergency Nutrition Services for Internally Displaced Persons and Host Communities in selected districts of KP and Agencies of FATA [Serves as an umbrella project for I/NGOs]

Peshawar, Nowshera, Kohat, DI Khan, Tank, Hangu and Kurram Agency

318,0

97

6,7

66,5

58

12 m

onth

s

The overall objective of the Nutrition Cluster for KP and FATA is to ensure provision of life saving preventive and promotive nutritional services for vulnerable children (boys and girls) and pregnant & lactating women at the community and facility level; that meet national and internationally recommended minimum standard of care for population affected by emergency.

[email protected]

Recom

mend

ed

2.

WF

P

Targeted Nutritional Support for Crisis-Affected Women and Children in Pakistan's Khyber Pakhtunkhwa Province (KPK) and the Federally Administered Tribal Areas (FATA)

Peshawar, Nowshera, Kohat, DI Khan, Tank, Hangu and Kurram Agency 1

33,6

27

4,2

57,2

19

12 m

onth

s

Stabilize acute malnutrition rate among 6-59 month old children and Pregnant & Lactating Women living in IDP camps and host communities in KP and FATA.

[email protected]

Recom

mend

ed

3.

WH

O

Lifesaving nutritional interventions for severe acute malnourished children and pregnant and lactating women.

Peshawar, Nowshera, Kohat, DI Khan, Tank, Hangu and Kurram Agency

8,3

83

949,7

32

12 m

onth

s

1. To ensure provision of lifesaving nutrition services for acutely malnourished children (boys and girls) less than five years of age 2. To operationalize the Health & Nutrition Sentinel Site Surveillance System(HANSS) in order to monitor on continuous basis the nutritional status of affected population and to avert impending danger and crisis through capacity building and strengthening of DoH and NGOs.

[email protected]

Recom

mend

ed

Protection

S.N

o

Ag

en

cy/N

GO


Ben

efi

cia

rie

s

(in

div

idu

als

)

Bu

dg

et

US

D

Du

rati

on


Reco

mm

en

dati

on

s

1

CE

RD

Improved access to assistance and

protection for conflict-affected communities in

targeted areas of FATA (Kurram

Agency)

Central Kurram, Kurram

Agency - FATA

15,0

00

120,0

42

12 m

onth

s To contribute to ensure easy

access of the victims of conflict in Pakistan to

protection & humanitarian assistance

[email protected]

Recom

mend

ed





68

2

CE

RD

Improved access to assistance and

protection for conflict-affected communities in

targeted areas of FATA (Orakzai

Agency)

Orakzai Agency -

FATA 15,0

00

120,0

42.0

0

12 m

onth

s To contribute to ensure easy

access of the victims of conflict in Pakistan to

protection & humanitarian assistance

[email protected]

Recom

mend

ed

3

EH

SA

R IDPs are assisted

to return at South Waziristan

Agency FATA

South Wazirist

an Agency - FATA;

KP

210,0

00

630,0

00.0

0

12 m

onth

s To support IDPs in having

access to safe and voluntary durable solutions within

areas of displacement and return to South Waziristan

Agency FATA

[email protected],

[email protected]

Recom

mend

ed

4

FA

RD

Comprehensive protection

program for off-camp IDPs of

Khyber Agency

Peshawar- KP; Khyber

Agency - FATA

24,9

00

179,0

00.0

0

9 m

onth

s

To Facilitate Durable and Protective solutions for crises affected women,

boys, girls, & men through information, counseling and

legal assistance, socio-physiological support,

behavior change, formation of protection cells in the

government administrative set up for protracted and

returnee IDPs within displacement area 17 Ucs of

Peshawar and areas of return in Khyber Agency

[email protected];

[email protected]

Recom

mend

ed

5

FA

RD

Comprehensive protection

program for off-camp IDPs of

South Waziristan Agency

South Wazirist

an Agency, FATA

29,9

99

216,0

00.0

0

10 m

onth

s

To Facilitate Durable and Protective solutions for crises affected women,

boys, girls, & men through information, counseling and

legal assistance, socio-physiological support,

behavior change, formation of protection cells in the

government administrative set up for protracted and

returnee IDPs within displacement area (D I

Khan) and areas of return in Serwekai Sararogha, & Ladah Tehsils of South

Waziristan Agency

[email protected];

[email protected]

Recom

mend

ed

6

IOM

Provision of humanitarian

communications support to the

insecurity affected population in KP

and FATA

IDP Hosting Areas of KP and FATA

30,0

00

300,0

00.0

0

6 m

onth

s

Development of a two way communication channel

between the IDPs and the Government/ humanitarian community to support the provision of multi-sectoral,

life saving information regarding the outstanding needs and the assistance

available

[email protected]

Recom

mend

ed

69

7

IRC

To contribute to provide protection

and integrated humanitarian assistance. Protective presence, protection

monitoring and improved access to humanitarian and government

services to conflict affected IDPs and returnees in KP

and FATA

KP and FATA

(mobile approac

h)

70,0

00

1,0

00,0

00.0

0

12 m

onth

s

See project sheet

[email protected];

[email protected]

Recom

mend

ed

8

JP

I

Updating indigenous

knowledge of care and protection

through modern ADR inception for peace, family and

community cohesion.

Jalozai Camp, New

Durrani Camp, Togh Serai

Camp - KPK

15,0

00

70,6

00.0

0

6 m

onth

s

To ensure Human rights in indigenous dispute

resolution mechanism keeping in view protection

issues of marginalized groups by update indigenous

ADR system with modern tools and techniques of

conflict transformation peace building and Restorative

Justice system.

[email protected] /

[email protected]

Recom

mend

ed

9

Khw

end

o K

or "Da Sahar Pa

laar" (protection cluster) for IDPs and stayees

DI Khan, New Durrani, Togh Serai - KPK;

154,0

68

388,7

45.0

0

12 m

onth

s

To protect the rights of IDPs i.e. women, children and men in the targeted areas. Affected communities have improved access to basic social services and protection in the selected IDP camps.

[email protected] & [email protected]

Recom

mend

ed

10

Litera

te M

asses

Enhancing community structure to protect and

empower women and children of

the conflict affected areas of

FATA

Kyber Agency, Orakzai Agency, Kurram

Agency - FATA

2,6

00

185,0

00.0

0

8 m

onth

s

To enhance the wellbeing of women and children by providing them a secure place (Women and Child

Friendly Spaces) where they can make their life better by

learning and sharing.

[email protected]

Recom

mend

ed

11

NR

C

Providing information,

counseling and legal assistance

to displaced persons in KP and

FATA

Peshawar, DI Khan,

Kurram, Bajaur, KP and FATA

8,0

00

200,0

00.0

0

12 m

onth

s

The objective is to provide better protection

environment to IDPs and returnees through

assistance in information, counseling legal services

and documentation including grievance

[email protected]

Recom

mend

ed

70

12

UN

HC

R

Coordinate Protection Monitoring

Response and Advocacy on the

protection. Concerns of girls, boys, women and

men in displacement and conflict areas in

Pakistan

KP and FATA

(Peshawar,

Nowshera,

Jalozai Camp, Kohat, Togh Sarai

Camp, Hangu New

Durrani Camp, South

Waziristan,

Kurram, Orakzai, Khyber)

820,9

96

6,6

25,0

00.0

0

12 m

onth

s

To Enhance the Protection of Civilians and to strengthen the response to victims of human rights and humanitarian law violations in areas of displacement and areas of return

To support a voluntary, well-informed and sustainable return

To ensure equitable and non-discriminatory mechanisms for the provision of assistance

[email protected]

Recom

mend

ed

13

BE

ST

Mobilizing Parents, children

and IDP’s communities to prevent Child Labour and

promote school enrolment.

Pabbi (Jalozai Camp)

Nowshera

7,5

00

150,0

00

6 m

onth

s

7500 individuals including 5000 Children, 1000 women and 1500 men are sensitized on the importance of education and child protection issues

[email protected]

Recom

mend

ed

14

PV

DP

Protection of vulnerable

children and Women from the consequences of armed conflict in Central Kurram

Agency.

Kurram Agency FATA. 5

,00

0

120,0

00

10 m

onth

s

Most vulnerable children and women of the crisis affected populations of Central Kurram Agency after their fresh return provided with specialized support

Safety and security of children in Central Kurram Agency monitored and individuals at risk protected from harassment, abuse and supported with access to remedies

Access to services for vulnerable children ensured

Mobilisation ensured to identify and address child protection concerns

Child Protection Centres (CPCs) established to facilitate the development of activities for children and serve as a base for dialogue and awareness sessions on child rights.

[email protected]

Recom

mend

ed

71

15

Muslim

Aid

Creating Safe, Protective and Enabling Environment for Conflict Affected Children in District Nowshera, Kohat, Peshawar, KP Province of Pakistan.

IDPs Camp Jalozai

and Kohat off

camp

8,2

52

232,0

00

9 m

onth

s

To provide safe, secure, protective and friendly environment to conflict affected IDP children to develop, play, learn and build resilience by end of

project.

[email protected]

Recom

mend

ed

16

Pakis

tan V

illa

ge D

evelo

pm

ent

Pro

gra

m (

PV

DP

)

Enhanced protection of IDP girls, boys and

women in district Hangu.

Kurram Agency

(Off camps) Villages: Tindo,

Mir Bagh,

Badama, Manato, Judara, Dogar,

Jelamay, dopkay, Tawda

Cheena, Tarale, Talai,

Warasta Mela,

Talpaka, Sarpana

y

2,0

53

92,3

82

10 m

onth

s

To support the Government and the CSOs for the

provision of community based protective services to

the most vulnerable girls, boys and women (including

the Children Affected by Armed Conflict) and

enhance the service delivery capacity of the relevant

stakeholders.

[email protected]

Recom

mend

ed

17

PV

DP

Protection of vulnerable

children and Women from the consequences of armed conflict in

Jalozai Camp

District Hangu

Khanbari,

Saidanobanda,

Ganjiano

Kaly,

Toghsarai,

Bilyamina

5,2

00

108,0

00

10 m

onth

s

To support government departments for Provision of CP support to the most vulnerable children and women in Jalozai Camp

Safety and security of children in Jalozai camp monitored and at risk individuals protected from harassment, abuse and supported with access to remedies

Access to services for vulnerable individuals ensured

Mobilisation increased to identify and address child protection concerns

[email protected]

Recom

mend

ed

72

18

Peace a

nd D

eve

lop

me

nt O

rganiz

atio

n (

PA

DO

)

Protection of vulnerable girls

and boys from the consequences of armed conflict in FATA (Kurram

Agency)

Kurram Agency 5

,25

0

125,7

81

6 m

onth

s

To protect vulnerable children, and women, against the risk of harm, violence, abuse, exploitation, recruitment, abduction, discrimination, and gender based violence including trafficking and sexual violence

To ensure that vulnerable children and families have equally access to basic relief items and basic social services and to fulfil their essential protection and psychosocial needs in return areas of Central Kurram.

[email protected]

Recom

mend

ed

19

Peace a

nd D

eve

lop

me

nt O

rganiz

atio

n (

PA

DO

)


and boys from the consequences of armed conflict in District Hangu

District: Hangu 2

,80

0

71,7

81.0

0

6 m

onth

s

• To protect vulnerable children, and women, against the risk of harm, violence, abuse, exploitation, recruitment, abduction, discrimination, and gender based violence including trafficking and sexual violence

• To ensure that vulnerable children and families have equally access to basic relief items and basic social services and to fulfil their essential protection and psychosocial needs in Host UCs of Hangu.

[email protected]

Recom

mend

ed

20

Peace a

nd

Deve

lop

me

nt O

rganiz

atio

n

(PA

DO

)


and boys from the consequences of armed conflict in

District Kohat

District Kohat 5

,05

0

99,8

54

6 m

onth

s

To protect vulnerable children, and women,

against the risk of harm, violence, abuse, exploitation,

recruitment, abduction, discrimination, and gender based violence including

trafficking and sexual violence > To ensure that vulnerable children and

families have equally access to basic relief items and

basic social services and to fulfil their essential

protection and psychosocial needs in Host UCs of Kohat.

[email protected]

Recom

mend

ed

73

21

Save t

he c

hild

ren

Children in Affected

Communities are Provided with a

Protective Environment and

Psychosocial Support.

District: Peshaw

ar, Union

Council: Bahadur

Killy, Ahmed Khel, Landi Arbab, Mera

Kachori, Chamka

ni, wadpag

a, Surizai Payan, Peshtha khara, Sufaid Dheri, Lala Killy, Mera

Kachori, Hazar

Khowani, Budhni Pajagy,

20,0

00

400,0

00

10 m

onth

s To Provide Essential

Protection to Children by Establishing Appropriate Community-Based Child

Protection and Psychosocial Support.

[email protected]

Recom

mend

ed

22

“The A

waken

ing”

A S

ocie

ty for

Socia

l &

Cu

ltura

l D

evelo

pm

ent

Providing counseling, and referrals and life skills training by establishing 2

children friendly spaces in Kohat

Kohat Urban

IV, Urban V,

Lachi Rural

3,0

00

60,0

00

12 m

onth

s

• To provide IDP children with a safe space where they feel secure and provide psychosocial support to children suffering from gender based violence, neglect, discrimination.

• To empower children by providing them vocational skills for livelihood and economic independence

[email protected]

Recom

mend

ed

74

23

HA

YA

T F

OU

ND

AT

ION

PA

KIS

TA

N-H

F

Protecting off Camp IDP

Children and women from

abuse, neglect, violence and exploitation

District: Peshaw

ar Union

Council: Aza Khel, Hazar

Khawani 1, Hazar Khawani 2, Maira Kachori,

Maira Surizai Payan,

Mathani, Musazai, Sheikh Muhammadi,

Sheikhan,

Surizai Bala

11,4

00

183,1

20

6 m

onth

s

Children and their families affected by conflict are

protected against violence, abuse, exploitation,

discrimination and other violations of their rights in 10

UCs of Town 4 of District Peshawar (Aza Khel, Hazar Khawani 1, Hazar Khawani

2, Maira Kachori, Maira Surizai Payan, Mathani,

Musazai, Sheikh Muhammadi, Sheikhan,

Surizai Bala )

[email protected]

Recom

mend

ed

24

Susta

ina

ble

Peace a

nd D

evelo

pm

en

t

Org

aniz

atio

n (

SP

AD

O) Protecting conflict

affected Girls and Boys, of Khyber Agency, from the Consequences of

Armed Conflict living off camp in Kohat and Hangu

of Khyber Pakhtunkhwa

District: Kohat and

Hungo Union

Council:Kohat: Alizai,

Urban-5 and

urban-6: Hangu:

Ganjiano Kali , Kech

Banda,Togh

Sarai

12

,000

207,2

33

9 m

onth

s

To Ensure protection of rights of all displaced

children in the target Union Councils of Kohat and

Hangu through capacity building, awareness raising and access of children to

basic services.

[email protected]

Recom

mend

ed

25

Socie

ty for

Skill

s, T

rain

ings

and D

evelo

pm

ent (S

ST

D)

Combating Child Labour through Prevention, Withdrawal & Rehabilitation in hosting area of conflict affected IDPs of South Waziristan Agency in area of D.I.Khan and Tank.

South Wazirist

an agency FATA

9,0

00

74,8

00

6 m

onth

s To adequately address the

specific protection needs of children through the

provision of protective spaces and services

[email protected]

Recom

mend

ed

26

Khw

end

o K

or

"Da khushalay Pa laar" On the Path

of Happiness”

New Durrani Camp,

D.I.Khan, Tank

and Kohat

12,0

00

250,0

00

10 m

onth

s

Mapping of service providers ,effective referral system established, data base

developed

[email protected]

Recom

mend

ed

75

27

UN

ICE

F

Enhancing protection for the vulnerable IDP

Children through the participation of local community

in Khyber Pakhtunkhwa.

Jalozai & IDP camp

District Tank, DI

Khan, Kohat, Hangu, Peshaw

ar

174,0

62

3,1

82,8

26

10 m

onth

s

Establishment of Child Protective spaces, Formation of Child

Protection Committees, Child Protection Monitoring,

Referral of vulnerable to social services,

Communication for Development including

MRE, Capacity Building of Govt staff on CP issues, Life

skill based education, Vocational education

[email protected]

Recom

mend

ed

28

UN

ICE

F

Enhancing protection for the vulnerable IDP

Children through the participation of local community

in FATA.

Togh Sarai

and New Durrani camp,

Kurram agency

off camp

13,4

87

246,6

44

11 m

onth

s

Establishment of Child Protective spaces, Formation of Child

Protection Committees, Child Protection Monitoring,

Referral of vulnerable to social services,

Communication for Development including

MRE, Capacity Building of Govt staff on CP issues, Life

skill based education, Vocational education

[email protected]

Recom

mend

ed

29

AR

C

Addressing Gender-based Violence and

Protection Issues in Conflict

Displacement Affected Areas in

KP

KP

18,6

32

451,2

75

12 m

onth

s

To provide access to quality essential reproductive health and GBV case management

services according to international standards. To develop capacities of

local service providers and community groups for

addressing protection issues within their communities with

a focus on vulnerable women and GBV survivors.

[email protected]

Recom

mend

ed

30

UN

FP

A Support for

effective Multi-Sector prevention and Response to

GBV

Tank

53,5

00

1,0

27,4

69

12 m

onth

s

To Provide holistic multi-sector response to GBV

survivors, ensuring medical aid including rape/PEP treatment and referral

mechanism by integrating protective spaces in RH

service centres

[email protected]

Recom

mend

ed

31

AIC

D

GBV Multisector response to the conflict affected

population of Bajaur Agency

(GBV Sub-cluster)

Kurram Agency

New Durrani

DPs Camp, Sadda

5000

250,0

00

12 m

onth

s

To Provide Holistic Multisector response to GBV and ensure survivor centred

services to 5000 women/adolescent girls, men and children living in conflict affected area of

Bajaur Agency and South Waziristan

[email protected]

Recom

mend

ed

32

IRC

Addressing Violence Against Adolescent Girls in Jalozai Camp

and Host Communities

FATA Kurram Agency Central Kurram:

694

450,0

00

12 m

onth

s

To Increase girls’ protective assets

To develop safe and supportive households To Provide access to age-appropriate, quality support to recover from GBV

[email protected]

Recom

mend

ed

76

33

BP

DO

GBV response and preventive

services for IDPs & Host

communities focusing on filling the gaps/unmet life saving needs

in the GBV response for crisis effected IDPs in KPK Pakistan

KP

6,6

00

249,7

33

12 m

onth

s

1 Provide multi-sector response to GBV and prevention, livelihood

trainings, Family planning services, STI treatments for

women and giving child protection to vulnerable

children

Recom

mend

ed

34

Help

Ag

e In

tern

atio

na

l

Increased Access of Older People

and Persons with Disabilities to Humanitarian assistance.

Nowshera,

Peshawar

16,0

00

1500

00

12 M

onth

s

To support humanitarian assistance provided to IDPs of Tirah is inclusive of the needs and vulnerabilities of older people and persons with disabilities; To provide services in response to urgent protection needs of older people and persons with disabilities

Recom

mend

ed

Shelter

S.N

o

Ag

en

cy/N

GO


Ben

efi

cia

rie

s

(in

div

idu

als

)

Bu

dg

et

US

D

Du

rati

on


Reco

mm

en

dati

on

s

1.

UN

HC

R

Provision of ORS, Shelter repair kit and Tents

SWA, Bajaur, Orakzai, Kurram and Khyber 1

549

80

36,6

02,3

00

12 m

onth

s

Provision of adequate living space (SPHERE standards) in areas of displacement and return, taking into account cultural norms and practices, specific gender needs and needs of vulnerable groups.

[email protected]

Recom

mend

ed

2.

AC

TE

D Provision of Shelter

repair kit

Upper and Lower Kurram

9000

1725

000

12 m

onth

s Enabling Sustainable

Returns through Provision of Shelter Repair Kits

[email protected] [email protected]

Recom

mend

ed

3.

FR

D

Provision of ORS, Shelter repair kit and camp maintenance

SWA, Kurram and Jalozai

4800

0

1188

000

0

12 m

onth

s

Enabling Sustainable Returns through Construction of Shelters (ORS), Provision of Shelter Repair Kits, community Engagement and Capacity building


Recom

mend

ed

4.

NR

C


SWA, Bajaur, Orakzai, Kurram and Khyber 4

200

0

9050

000

12 m

onth

s



Recom

mend

ed







77

5.

SR

SP

Provision of ORS, Shelter repair kit

SWA, Kurram

2700

0

6675

000

12 m

onth

s



Recom

mend

ed

6.

EH

SA

R Provision of ORS,

Shelter repair kit SWA, Kurram

1500

0

3875

000

12 m

onth

s


[email protected]

Recom

mend

ed

7.

SH

ID

Provision of ORS SWA, Khyber Agency

6000

2150

000

12 m

onth

s Enabling Sustainable

Returns through Construction of Shelters (ORS

[email protected]

Recom

mend

ed

8.

JE

N


SWA, Kurram

1800

0

2825

000

12 m

onth

s


[email protected]

Recom

mend

ed

9.

SA

RH

AD


SWA

3600

7400

00

12 m

onth

s


[email protected]

Recom

mend

ed

10.

AIC

D


SWA, Orakzai, Kurram and Khyber

3000

0

7400

000

12 m

onth

s


[email protected]

Recom

mend

ed

11.

RI

Provision of ORS, Shelter repair kit

SWA, Kurram

5400

1735

000

12 m

onth

s


[email protected]

Recom

mend

ed

WASH

S.N

o

Ag

en

cy/N

GO


Ben

efi

cia

rie

s

(in

div

idu

als

)

Bu

dg

et

US

D

Du

rati

on


Reco

mm

en

dati

on

s
















78

1

AC

TE

D

Provision of immediate WASH assistance to vulnerable IDPs

Tank, DI Khan districts, Bajaur and South Waziristan Agencies 5

000

0

6500

00

12 m

onth

s Water supply schemes;

Sanitation schemes; Hygiene promotion;

[email protected]

Recom

mend

ed

2

AC

F

Provision of WASH facilities

District Peshawar

7000

0

7500

00

12 m

onth



[email protected]

Recom

mend

ed

3

Solid

arité

s

Inte

rna

tio

na

l

Emergency safe drinking water supply, and provision of sanitation and hygiene services

District D.I.Khan

1000

00

9000

00

12 m

onth



[email protected]

Recom

mend

ed

4

Norw

eg

ian

Churc

h A

id

Emergency WASH assistance

Kurram Agency

1500

00

1250

000

12 m

onth



[email protected]

Recom

mend

ed

5

IRC

Immediate WASH assistance addressing the lifesaving needs returnees in FATA

Orakzai Agency

2000

00

1600

000

12 m

onth



[email protected]

Recom

mend

ed

6

UN

ICE

F

WASH IDPs Emergency activities in KP/FATA

KP/FATA

1876

182

6650

000

12 m

onth



[email protected]

Recom

mend

ed







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