SUDAN PROGRAMME PLAN 2013

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1 SUDAN PROGRAMME PLAN 2013

2 THE REPUBLIC OF SUDAN PROGRAMME PLAN Introduction Throughout 2012, Sudan was confronted by political, security and socio-economic challenges which drove the country s urgent humanitarian needs. According to OCHA, the 2012 Sudan work plan, which is estimated to cost $1.06 billion, is the largest humanitarian appeal in the world 1. Despite hopes that the secession of South Sudan in July 2011 would mark a new era of peace and development for both countries, the oil dispute between the neighbouring countries escalated in January 2012, adversely impacting Sudan s economy, which has been plagued by soaring prices, a weakening currency, and a spiralling inflation rate. Fighting between the Sudanese Armed Forces (SAF) and the Sudan People s Liberation Movement - North (SPLM-N) continued throughout 2012, and escalated on April 11th 2012 when South Sudan captured the Heglig oil-field.. After a chorus of regional and international organisations reacted with concern at the deteriorating situation, the UN Security Council passed Resolution The humanitarian situation in the border region seems unlikely to improve in the near future. It is now estimated that around 655,000 people have been displaced or severely affected by the conflict, with more than 200,000 Sudanese people having fled to South Sudan and Ethiopia. Sudan and the SPLM-N signed a tripartite deal to deliver humanitarian assistance to civilians in the rebel held areas in August As the humanitarian situation deteriorates, Concerns programmes have adapted to the evolving context in South Kordofan. While Concern continues to advocate for humanitarian access to restricted areas, programming has continued in Muglad, although the Kauda programme was hibernated due to the insecurity. Additionally, Concern established a presence in Kadugli town in 2012, with the programmes continuing to prioritise the provision of emergency shelter, the distribution of NFI s and nutrition services to the conflict affected communities. Security permitting in 2013, Concern will continue to support the work and capacity building of three local NGO partner organisations to deliver FIM, WASH and nutrition programmes, in addition to exploring the possibility of establishing new NGO partners in Kadugli and the surrounding areas. Elsewhere, following deterioration in the economic situation, sporadic demonstrations erupted in Khartoum and in other parts of the country in June and July, in protest against the rising costs of living and severe austerity measures. Overall Sudan s human development outcomes remained weak in 2012, with the country s growth continuing to be unbalanced, resulting in huge disparities in the development indicators between the best and worst performing regions. Sudan also has an unsustainable debt burden, which hindered poverty reduction and the realisation of the Millennium Development Goals (MDGs). Sudan has recently issued its Interim Poverty Reduction Strategy Paper (IPRSP) with the objective of securing debt relief and to channel the resources saved from debt relief to priority poverty-reduction and growth enhancing infrastructure sectors. Thus, a resolution to the debt problem will improve prospects for sustained growth, employment creation, poverty reduction and achieving the MDGs 2. Continuing Concern s successful programming approach in 2013, the organisation will deliver nutrition; health; food, income and markets (FIM) and water, sanitation and hygiene promotion (WASH) programmes to the communities in West Darfur. However, while Concern will continue programming in all of its established target areas, Concerns office in Umshalaya is expected to close in early Sudan Complex Emergency -Fact Sheet Number 3( ), USAID. 2 Status of MDGs in Sudan in 2012 (2012), UNDP, Sudan.

3 Finally, at the end of 2012, Concern Sudan s Country Strategic Plan (CSP) was initiated. The CSP will be for the period from 2013 to 2015, outlining clearly Concern Sudan s objectives for the near future PROGRAMME LOCATIONS IN THE REPUBLIC OF SUDAN Programme West Darfur Closure/opening new locations (if applicable) Nutrition Will continue in same locations as 2012, with the exception of Umshalaya which is due to close in early FIM Will continue in same locations as WASH Will continue in same locations as Health Will continue in same locations as 2012, with the exception of Umshalaya which is due to close in early Programme South Kordofan Closure/opening new locations (if applicable) Nutrition Will continue in same locations as 2012 expanding to SPLM-N held areas if permitted. FIM Will continue in same locations as WASH Will continue in same locations as NFI s Will continue in same locations as HIV and AIDS/Gender /Accountability/PEER These topics are mainstreamed throughout all of Concern Sudan s programmes. 2. Programmes: Programme Results Framework : Sudan- West Darfur Intended Impact To contribute to increasing the resilience of the extreme poor in West Darfur by providing basic services and strengthening the adaptation strategies of the communities in the Mornei Area. 1. Dimensio ns of Extreme Poverty Assets (and Return on Assets) Outcome 2. Programme Outcome 1.Vulnerabl e households amend their livelihoods 3. Indicators (Disaggregatio n by gender and extremely poor group will be conducted for all indicators, unless disaggregated groups are specified) 1.1 targeted poorest households 4 reducing 4.Baseline value and source Poor households experience mean average hunger gap of 3 months (FIM 5. Target 2013 Poor househol ds average hunger gap at 3 6. Target 2015 Poor househol ds achieve reduction to value and sourc e 2014 value and sourc e 2015 value and sourc e 4 Households with limited productive assets,size of catchment group is 6000

4 (s) 3 strategies resulting in an increase in the number of households practicing resilient and sustainable livelihood strategies (micro) hunger gap experienced 1.2 Percentage increase in average household income derived from small enterprises (disaggregated by gender of head of household) 2012 Baseline months. 6 months.. 5 Average monthly income for poor HHs is 252 SDG, i.e. 3,024 SDG per year (FIM 2012 baseline 5% increase in average incomes per month, 265 SDG; per year 3,180 SDG 10% increase in average incomes per month, 277 SDG; per year 3,324 SDG 1.3 households accessing savings and loans associations (disaggregated by gender of household head) 5% of hhs (4.6% MHH and 0.4% FHH) are members of savings and loans initiatives (FIM 2012 baseline. 5% 9% 2. Improved levels of voluntary engagemen t, which make a real contributio n towards developme nt in the (micro, meso) 2.1 % of extreme poor HHs who are members of based organisations or committees in their communities 2.2 # of 20% HHs belong to a based organisation or committee within their (2012 Baseline 10.8% of 20% 40% 10.8% resource 15% resources 3 These outcomes (objectives according to IA definitions) are linked to the budget 5 The overall mean average hunger gap experienced by sampled households in the Food, Income & Markets (FIM) Baseline Study is 2.8 months. However, among the relatively poor households, this rises to 3 months with acute food insecurity during July to September. 6 During our internal review process for the refinement of the 2013 results frameworks we encouraged country teams to be realistic in target setting which resulted in reductions of targets across most programmes. The effort to be more realistic was reinforced when many baseline values were found to be lower than initially estimated and some contextual analyses pointed to deteriorating values over time. In difficult Stream One contexts, such as Republic of Sudan, maintaining current values for indicators can be an achievement. Sudan is an extreme example due to the political and security context as laid out in our contextual analysis. These targets will be reviewed following on-going monitoring at the end of 2013.

5 interventions supported by group with resource from local contribution members are contributing resources while 9.2% dedicated their time towards initiatives (2012 Baseline s 9.2% time 20% time Inequality Outcome (s) 3.Marginalis ed groups have improved access and equitable access to services through service provision and support to SMoH, SMo ANR and SMoARF (micro, meso) 3.1 Proportion of women and/or their children receiving treatment at PHC (measured with 2 questions were you sick in last 2 weeks and if so did you go for treatment at clinic) (disaggregate for under 5s and women) Women: 39% Concern Survey 2011 Children: 27% Concern Nutrition Survey July 2011, Mornei. Women 40% Children 66% Women 50% Children 75% 3.2 nomad/pastor alist and settled livestock owning HHs accessing veterinary services 43 % of livestock owners (includes nomad/pastor alist hhs) utilised veterinary care services in the previous twelve months (FIM 2012 baseline 43% 48%

6 4.Children under 5 are given a greater priority for feeding within the HH, with fathers playing a greater role in child welfare(mic ro) 4.1 children 0-24 months (a) put to the breast within one hour of birth & (b) % of children exclusively breastfeeding for the first 6 months 4.2 children 6 to 23 months of age at HH who receive foods from 4 or more food groups ) (a) 64% (b) 14% 2012 Nutrition surveys 26% (2012 Nutrition survey (a) 64% (a) 70% (b) 14% (b) 20% 26% 30% 4.3 <1% 5% 20% mothers that say that men help feed children or take ill children to the hospital. KAP Surveys infants 6 8 months of age who receive solid, semisolid or soft foods to complement breast feeding. 52% (2012 Nutrition & KAP survey surveys) 52% 60% 5.Stigma % % 80% 7 7 In general levels of stigma and discrimination against people living with HIV are high and knowledge of modes of transmission of HIV is low in Sudan. Out of 216 Concern staff in Sudan, 207 are national staff. The target setting is reflective of the national situation.

7 towards those with HIV & AIDs has decreased amongst our staff and our beneficiary population, through trainings and support to Sudan National AIDS Programme (SNAP) (micro) Percentage Staff that can correctly identify 5 modes that HIV can be transmitted & recognise accepting attitudes towards colleagues with HIV and AIDs (variety of indicators) 5.2 beneficiaries expressing accepting attitudes towards PLHIV 8 Internal Mainstreaming Audit 26.8% (Urban36.4%, Rural 18.6%) 2012 Baseline survey report 26.8% 30% Risk and Vulnerabil ity Outcome( s) 6.Children under the age of five are less vulnerable to disease outbreaks, including waterborne diseases (micro, meso, macro) 6.1 children under 5 who have suffered from diarrhoea in the previous two weeks. 6.2 children aged 6-59 months who have received a measles vaccination. 18.3% suffered from diarrhea (2012 Nutrition survey 71.5% (Urban71.5%,R ural 71.3%) 2012 Baseline survey report 18.3% 15% 71.5% 75% 6.3 Incidence rate 8.2% (2012 Baseline survey 8.2% 7% 8 Stigma is measured by asking beneficiaries series of questions including: would you buy fresh vegetables from a vendor whom they knew was HIV+? Would use the same toilet as someone with HIV+? Would you drink from the same cup as someone who is HIV+?

8 of malaria cases in under 5 population. 6.4 Sudanese Ministry of Health (SMoH) have adopted SMART methodology as a standard. July 2012 Nutrition Survey led by Concern with SMoH participation used SMART. 7 SMoH technical staff are trained. Addition al 10 SMoH staff to be trained in SMART 9 Institutio nal acceptan ce by SMoH of SMART 10 7.Child and maternal mortality rates reduced (micro) 7.1 women who have benefited from 4 or more antenatal care visits provided by skilled health personnel 60% (2012 Baseline survey 60% 65% 7.2 mothers, who received a post-natal visit within 40 days of birth, from an appropriately trained health worker. 51% (2012 Baseline survey 51% 55% 8..Vulnerabl e 8.1 Percentage 21% FIM 2012 Baseline 21% 18% 9 Concern appreciates the feedback from Irish Aid on target setting for meso and macro level targets. We will work to improve our target setting and monitoring of meso and macro level indicators through 2013 by contacting other agencies funded by Irish Aid. 10 Institutional acceptance of SMART methodologies would be indicated by using SMART methodologies in nutrition surveys, basing decisions on the results of SMART surveys, and an increasing understanding of SMART methodologies by staff.

9 households are better prepared to withstand shocks and protect their asset during the hunger season and at other times of crisis (micro, meso) reduction in animals death rate 8.2 # of hectares of grazing land restored 8.3 farmers affected by crop destruction incidences 405 hectares restored by % of farmers engaged in cultivation during 2011/12 season were affected by crop destruction (n= 81, FIM baseline report, July 2012) 405 hectares 53% 50% 600 hectares Baseline Plan Date Baseline (completed by) Jan 2013 Emergency Programme South Kordofan- Concern will continue emergency response activities in Kadugli, Talodi, Gadir, El Leri and other accessible conflict affected localities in the state, with the possible expansion to SPLM- N held areas if access is permitted. These activities, including the provision of NFI s and shelter material, FIM and health interventions, will be closely coordinated with other humanitarian actors. In 2011, a few members of Concern Sudan s Emergency Response Team participated in the initial emergency response operation in Kadugli, but while access restrictions for staff prevail, future responses will be led by South Kordofan based staff, with technical support from the Emergency Unit in Dublin sought where necessary. FIM South Kordofan- FIM programme activities will continue to be implemented in Abyei/Muglad, Babanusa and al Salam localities, including Kadugli, Talodi and surrounding areas in the Nuba Mountains. The programme hopes to reach 44,056 people in 2013, through supporting the enhancement of the capacity of conflict affected and resource poor communities, to improve food security and restore and protect their livelihood strategies. This approach will continue to involve traditional food security interventions, including supporting critical agricultural inputs, on-farm guidance and improved livestock keeping techniques. Also, livelihood support will be provided for the Misseriyya pastoralists, focusing on the adoption of alternative livelihoods strategies including agriculture and market engagement. Concern will continue to work with ANGATO in Muglad and identify another national NGO to collaborate on the implementation of FIM activities in Kadugli.

10 West Darfur- FIM activities during 2013 will continue to focus on three areas; advancing agricultural production, promoting and caring for livestock, and improving returns on market interaction. These programmes are delivered in partnership with the State Ministry for Animal Resources and Fisheries (SMoARF) and the State Ministry of Agriculture (SMoA), as well as a local NGO partner. A new initiative of the FIM programme during 2012 has been the collection of monthly market surveys in El Geneina, Mornei, Umshalaya, Seleia and Kulbus towns. During 2013 these surveys will become increasingly valuable to examine market functionality and dynamics, along with food security and vulnerability analysis, through the monitoring of price trends and commodities availability. The endline data from which programme outcomes and impact can be measured will be collected and analysed in early Overall, the programme hopes to reach 41,621 beneficiaries. Health Programme in South Kordofan Health - The health programme in South Kordofan which was introduced in 2012 as an integrated programme with nutrition, will continue in 2013 to improve IDPs and other conflict affected communities access to quality primary health care services, especially maternal and child health. The programme has been primarily implemented in Kadugli and the Talodi localities, and depending on the security situation, the programme will be expanded to other localities, focusing on supporting the functioning of health facilities, training health care professionals, reducing the spread of communicable diseases and distributing mosquito nets to the most vulnerable people in the. The total number of beneficiaries to be reached is 14,098. Nutrition- The nutrition programme in South Kordofan will continue to contribute to improving the conflict affected communities access to nutrition services, as it has throughout In consultation with the SMoH, Concern has implemented programmes targeting the most vulnerable communities in 6 locations in Kadugli and 3 in Talodi, and hopes to reach 15,451 people in Access permitting, the programme will be further extended to cover other localities, ensuring malnourished children are targeted by the programmes Community Management of Acute Malnutrition (CMAM) approach, and preventative activities, such as education sessions for caretakers on topics such as optimal young child feeding practices, among others. While Concern continues to support the SMoH in the implementation of the health and nutrition programme in South Kordofan, the possibility of collaborating with a national NGO will also be explored. WASH- In 2013, the WASH programme will continue to enhance access to safe and adequate water both for domestic and livestock consumption, promote sanitation, along with the adoption of good hygiene and environmental health practices. The project will target Abyie/Muglad, Babanusa and al Salam localities, along with Kadugli and Talodi, which are currently affected by the on-going conflict. In Muglad, Concern continues to work with SECS and will identify a national NGO in Kadugli to collaborate with if access to the area is permitted. In this case, the emergency response activities will be extended to cover SPLM-N held areas such as Heiban, Dalami, Umduran, Elboram and any other localities within the state where displaced communities might need assistance. The programme will also continue to focus on pastoralist communities who often have limited access to water and grazing land, with the programme aiming to reach 78,500 people. Health Programme in West Darfur Health- Concerns health programme will continue in 2013 to target vulnerable communities in the Northern Corridor areas of Seleia/ Kulbus, targeting 52,452 people. As Concern is the only health service provider in the Jebel moon locality (along with the SMoH, who support the operation of a clinic in Seleia), the programme will continue to strengthen existing services, which include three mobile clinics. Additionally, to improve the sustainability of the programme, Concern will also continue to support newly graduated Community Health Workers and Village Midwives to ensure that the area has trained professionals capable of supporting SMoH services, after Concern s eventual

11 exit. Concern will also support the SMoH to implement immunization campaigns through logistical support and assistance in mobilization. Nutrition- Concern s nutrition activities will continue to use a Community-based Management of Acute Malnutrition (CMAM) approach to reduce the high malnutrition prevalence and poor caring and feeding practices of under-five children in the area. In addition to curative activities, the programme will focus on the prevention of malnutrition through behavioral change communication, implemented through Mothers and Fathers Groups. The programme will also continue to train staff and volunteers in CMAM protocols and the prevention of malnutrition, to ensure the programme maintains Sphere minimum standards. Also, due to the financial and capacity constraints faced by the SMoH, Concern will continue to promote CMAM as part of the SMoH s routine activities. However, while actions will be taken in 2013 to hand over Outpatient Care services to the SMoH, an assessment of their facilities and capabilities will first be conducted, in order to guide the subsequent hand-over strategy. Overall, the programme aims to reach 123,885 beneficiaries in WASH- Recognizing the inherent relationship between communicable diseases and poor hygiene practices, the WASH programme in West Darfur will continue to promote improved hygiene practices through both hardware (construction of latrines) and software (the promotion of good hygiene practices). During 2013, Concern will priortise the construction of subsurface dams and the improvement of traditional water sources to increase communities access to water, in order to reach 33,333 beneficiaries. Also, the programme will focus on engagement in hygiene promotion, using participatory approaches like Community Cleaning Services (CCS) and Community Lead Total Sanitation (CLTS). Programme Quality, Strategies and Mainstreaming While mainstreaming HIV and AIDS has been a central component in Concerns programming in Sudan, in 2012 mainstreaming activities were broadened to include gender, accountability and disaster risk reduction (as part of PEER). Concern conducted a Mainstreaming Audit with staff in Geneina and South Kordofan, to measure existing perceptions and behavior amongst staff in relation to gender and equality. The results will be used to define the future objectives of the 2013 mainstreaming strategy. Concern is also committed to promoting gender equality, making every effort to ensure that there is a gender balance in staff recruitment, and capacity. In 2012 the South Kordofan programme hired a female Equality and Programming Officer, to work in South Kordofan, promoting mainstreaming issues and to build the capacity of national staff. Significant progress was made during 2012 in relation to the organisations levels of accountability, with a pilot Complaint and Responses Mechanism (CRM) in Mornei and Rongataz IDP camps, West Darfur, continuing successfully, and the development of Concern Sudan s Accountability Commitments and associated Implementation Plan. In 2011, Concern also developed a Preparing for Effective Emergency Response (PEER) Plan, which runs until December As Sudan is a country with many emergency triggers, the PEER plan aims to ensure that preparedness and capacity is constantly maintained and improved, and the plan will be updated in 2013.

12 3. Monitoring and Evaluation Programme s in 2013 West Darfur Programme South Kordofan Context Analysis, Proposal Devt + Results Frameworks- Yes/No Completed from November 2011 January Completed in November Survey (e.g. baseline/ mid line/ end line) To completed be in Completed in January M T Review / Evaluation To be completed in 2013 To be completed in 2013 Internal / External Internal support may be reqd. Both Donor (if Applicable) OFDA, ECHO, Irish Aid, CHF. OFDA, CHF, UNICEF. Timefra me

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