Emergency Plan of Action (EPoA) Jordan: Population Movement

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1 Emergency Plan of Action (EPoA) Jordan: Population Movement Emergency Appeal n MDRJO001 Date of launch of EA: 29 October 2014 Appeal budget: CF 12,106,275 Number of people affected: Over 620,000 Syrian refugees. Approximately 1 million Jordanian people are also affected, 14.5% of the Jordanian population. Glide n OT JOR Expected timeframe: 15 Months, Expected end date: 31 December 2015 Number of people to be assisted: 126,400 (Syrian refugees and host population) ost National Society: Jordanian Red Crescent (JRC) Number of Branches: 12 Number of volunteers: 600 volunteers, 200 of them active Red Cross Red Crescent Movement partners actively involved in the operation: American Red Cross, Australian Red Cross, British Red Cross, Canadian Red Cross, Danish Red Cross, Finish Red Cross, French Red Cross, German Red Cross, Icelandic Red Cross, Iraqi Red Crescent, Kuwaiti Red Crescent, Netherlands Red Cross, Norwegian Red Cross, Qatari Red Crescent, Saudi Arabia Red Crescent, Spanish Red Cross, Swedish Red Cross, United Arab Emirates Red Crescent, and as well as IFRC and ICRC Other partner organizations actively involved in the operation: Government Institutions: Ministry of interior, Ministry of ealth, Ministry of Education, Ministry of Planning and International Cooperation, Ministry of Social Development, Royal Jordanian Medical Services UN agencies: WFP, UNICEF, UNCR, UNRWA International organizations: Norwegian Refugee Council, MEDAIR, ACTED, CARITAS, World Vision, Mercy Corps, Save the Children, Danish Refugee Council, IRD, MSF, MDM, IRC and others Private companies: Islamic Development Bank Other: ECO, Japanese Government, Italian Government Innovation: Iris scan registration as part of the cash transfer programme, of a Syrian refugee family in the South of Amman. Source: IFRC

2 Page 2 A. Situation analysis Description of the disaster With over 1 out of 10 people actually living in Jordan being a Syrian refugee, the Syrian crisis has a great impact on the country in demographic, social and economic terms. The Syrian conflict, now in its fourth year, has resulted in more than 150,000 deaths according to UNOCA of which nearly 11,000 are women and children. As at 4 September 2014, there were 10.8 million people in need in Syria and 6.45 million of them internally displaced. Also, UNCR reports that there are over 3 million Syrian refugees in the neighboring countries. Jordan is the country hosting the third largest number of Syrian refugees. As of 7 September 2014, the number of registered Syrian refugees in Jordan was estimated at to 615,546. Jordan has a population of six million people. The current Syrian refugee population constitutes almost an additional 10 per cent to this population. This represents 21 per cent of the Syrian refugees in the region. Approximately 20 per cent of Syrian refugees reside in refugee camps. The largest refugee camp is Za'atari, administered by the Government of Jordan (GoJ)-appointed Syrian Refugee Camp Directorate (SRCD. Over 79,000 Syrians are living in Za'atari camp. In late March 2013, the GoJ approved the construction of another sizeable camp near Azraq. The estimated number of Syrian refugees registered in the Azraq camp according to UNCR on the 30 of September is people. Approximately 80 per cent of Syrian refugees are living in non-camp settings in urban and rural areas. The highest concentrations are in northern and central Jordan. These include Amman, Irbid, Mafraq and Zarqa. Smaller but significant concentrations are in Balqa, Jerash, Ajloun, Karak, Madaba and Ma an. Jordan continues to accommodate a large number of Syrians, despite the substantial strain on national systems and infrastructure. This pressure has become even more acute over the past two years, as the global financial crisis has had an impact on Jordan's economic situation and infrastructure for water, electricity, waste management, education, and healthcare. For the Syrian refugees, the greatest challenge they face is that of finding livelihood opportunities in order to have access to cash. This cash is mainly used for rent purposes. The limited access to livelihood opportunities has provoked increased risky coping strategies such as sale of personal assets and increased indebtedness. The increase in prices of rent, food and services make the living conditions more acute. This has accelerated the impoverishment and vulnerability of the refugee households and their dependency on assistance.

3 Page 3 In the camps, UNCR and other organizations, with the support of the Jordanian Ministry of Planning and Cooperation, Ministry of ealth (MO), Ministry of Education, Ministry of Interior provide humanitarian support. owever, for the larger proportion of refugees outside the camps, not all needs can be adequately addressed. The Jordanian MO provides full access to health services for the Syrians outside camps along with the local Jordanian population. Additionally, some local and international organizations (including JRC) and private sector practitioners deliver services to Syrian refugees outside the camps Summary of the current response Appeal istory On 10 August 2012, the Federation launched a Preliminary Emergency Appeal for CF 3.7 million to support the national societies of Iraq, Jordan and Lebanon in assisting 55,000 people (11,000 households), for six months. Following further needs assessments, a Revised Emergency Appeal for CF 4,65 million was issued on 30 January 2013 to support 4NS- Iraq, Jordan, Lebanon and the branch of the Palestine Red Crescent in Lebanon in assisting 62,000 people (12,400 households), for six months. With increasing needs and influx of Syrian refugees into Iraq, Jordan and Lebanon, the appeal was revised on 3 June 2013, and sought CF 27.4 million to support the 4NS to assist 51,693 households (258,465 persons) for six months. As of 1 June 2014, Jordan was hosting almost 600,000 refugees from Syria. On 4 July 2014, the appeal was revised seeking CF 49.2 million to support 479,350 people (with some CF 12 M of multilateral contribution and CF 9.9 M that reflected the value of the ERU bilateral component) the net requested amounts to a total of CF 27.2 M, until 30 of September This Appeal also announced the transition into country level appeals on which this plan of action is based. Overview of ost National Society The Jordanian Red Crescent (JRC) was established on 27 December 1947, recognized by the ICRC in 1948 and admitted to the IFRC in It focuses its work on disaster management, CBFA, peace building and social development. JRC is the lead agency in the event of a major disaster and is a member of the igh Council for Disaster Response. It has played a vital role dealing with the influx of refugees during past conflicts including running relief operations, organizing camps for evacuees and providing humanitarian assistance. JRC s headquarters are based in Amman, with branches in all 12 governorates of the country. Some of the key teams in their headquarters (Disaster Management, PSP, Relief and Logistics) have salaried heads, with teams of volunteers, as well as employing manual labour as required. JRC has approximately 600 volunteers nationwide, with 200 of these active. For the duration of the Syria Crisis, JRC, in cooperation with Partner National Societies, ICRC and IFRC, as well as other local and international organizations, has been supporting Syrian refugees - mainly those living in host communities - since the beginning of the crisis, and has already supported over 30,000 households (approximately 150,000 individuals) with various services including immediate relief distribution, shelter, cash transfer programming, medical services, restoring household links among others. Over the period from 2012, JRC has provided more than 150,000 Syrian refugees with blankets, mattresses, pillows, children s clothing, emergency biscuits and hygiene items and other emergency items (see table on next page for more detailed information). This has been done with support from IFRC, ICRC and Partner National Societies. JRC also continues to provide health care to Syrians through the Qatar Red Crescent Society and Red Crescent Society of the United Arab Emirates. Finally, the JRC is also providing

4 Page 4 psycho-social support to Syrians in its Development Centre in Al ashme, in partnership with Danish Red Cross and UNICEF. Overview of Red Cross Red Crescent Movement in country The Syria Operation in Jordan is under the IFRC Jordan Regional Representation and technically supported by the MENA zone office. The operation being overseen by a ead of operations and technical delegates who are working alongside their counterparts in the Jordanian Red Crescent (JRC). Currently 13 Movement partners are in-country working alongside JRC. They include, Canadian RC, Danish RC, Finish RC, German RC, French RC, Iraqi RC, Norwegian RC, Qatari RC, UAE RC, Kuwaiti RC and Saudi Arabian RCS as well as IFRC and ICRC The JRC, in cooperation with partners has supported approximately 150,000 Syrian refugees since the beginning of the crisis (30,000 households) through relief distributions, cash transfer, medical services, restoring family links among others. This went a long way in meeting their needs and maintaining their dignity. Table 1: Summary of support provided by JRC and partners to the targeted population. Sector Population Reached as at 31 August 2014 Partners Relief Distribution 30,000 households reached with a at least one type of non-food item 10,000 households provided with food assistance 3,400 households reached with voucher assistance 13,200 households reached with a at least one type of winter item WAS 30,000 households reached with hygiene kits 13,618 women provided with a kit designed to meet their needs (women emergency kit) 3,959 people provided with a baby kit (for three months) Cash 6,649 households reached with unconditional Distribution cash assistance ealth/medical Services Restoring ousehold Links 10,338 patients treated in RCRC emergency and basic healthcare facilities 450 refugees provided with laboratory (300) and radiology services (150) in RCRC ospital in Azraq refugee camp. 6,666 people reached by psychosocial support 7,665 people reached by community-based health services 983 people financially assisted in seeking medical treatment in Jordan 33,195 people have re-established contact with their households IFRC. German RC, UAE RC, ICRC, Kuwait RC, Saudi Arabian RC, Swiss RC, Iraqi RC, IFRC as well as WFP, and local organizations IFRC, German RC, Spanish RC JRC/IFRC, Swiss RC and ICRC IFRC, PNS Consortium (Finnish RC, Canadian RC, Norwegian RC and German RC),, Danish RC,,, Italian RC, Qatari RC, UAE RC, Iraqi RC, UNICEF, ICRC and Italian Government JRC/ICRC Overview of non-movement actors in-country In addition to relevant government bodies (Ministry of ealth, Ministry of Education, Ministry of Planning and International Cooperation, etc)there are several UN agencies, international and national organizations as well as private entities who supported and are still responding to the plight of Syrian refugees in camps as well as in host communities. Some of them include World Food Programme (WFP), United Nations Children s Fund (UNICEF), United Nations igh Commissioner for Refugees (UNCR), United Nations Relief and Works Agency (UNRWA), Islamic Development Bank, Norwegian Refugee Council, MEDAIR, ACTED, CARITAS, World Vision, Mercy Corps, Save the Children, Danish Refugee Council, International Relief and Development (IRD), among others. Movement Coordination Various coordination meetings between JRC, IFRC and other Movement partners (Danish Red Cross, Swiss Red Cross, French Red Cross Italian Red Cross, German Red Cross, Iraq Red Crescent, ICRC), PNS ospital consortium manager (Finish Red Cross, Canadian Red Cross, Norwegian Red Cross, German Red Cross) have been taking place on a regular basis to ensure that all partners had a general agreement on plans for the current response, implementation as well as contingency planning in case of an increased influx of Syrians into the country. See list below:-

5 Page 5 Movement meetings Operational Movement coordination meetings led by JRC with the support of IFRC and participation of all Movement partners in-country are held after every two weeks to update each other on implementation progress as well as to discuss on future plans related to the Syria operation and organizational development of JRC. Regular trilateral meetings are also taking place between IFRC and ICRC to discuss about on-going programme activities, future plans and National Society Capacity Building. Other ad-hoc meetings with a more strategic focus (to provide an overall strategic element to the operation) are held according to the needs. Operational coordination between IFRC and PNS present in the country is ongoing. For instance, coordination with the Swiss Red Cross that implemented a cash programme until March 2014, worked well alongside the IFRC programme allowing for a pooling of resources, sharing of information and the development of a joint delivery mechanism that maximized the effectiveness / accountability and minimized the strain on JRC resources. JRC has also been working closely with some of the National Societies in the region including Qatar RC, Kuwait RC, Saudi Arabia RC, UAE RC, Emirates RC, Iraqi RC and Iran RC. This is in the area of relief distributions and provision medical services Movement meetings based on different thematic areas have also been held on a bi-monthly basis. They include meetings on organization development and strategic planning, human resources, country plan development and federation wide reporting among others. Several meetings have been held with Iraqi RC, JRC, ICRC and IFRC regarding the Iraqi situation. The discussions were based on what could be done if the situation escalates as well as the humanitarian implications in Jordan. Three scenarios were analysed as: i. The affected internally displaced persons (IDP) stranded at the border might cross over to Jordan if the situation in Iraq deteriorates and conflict escalates: Very unlikely to happen and moderate humanitarian impact. ii. Small groups of militants might succeed in crossing the border illegally with plans to carry out terrorist attacks, but not military action in the traditional sense: Unlikely to happen and minor humanitarian impact iii. The Islamic State of Iraq and the Levant (ISIL) expand its actions into Jordan: very unlikely to happen although too important to major moderate humanitarian impact Inter-agency meetings At interagency level, members of JRC and IFRC regularly attend coordination meetings with UNCR, World ealth Organization (WO), government authorities and other agencies including the inter-sectorial coordination mechanism, the umanitarian Country Team (CT), the Inter- Agency Task Force, and the Syrian International NGO Regional Forum. The IFRC/JRC are leading the Inter-agency Community ealth Task Group (CTG) at country level in Jordan. This group is a sub group of the health sector meeting with a specific focus on the health of refugees living in the urban and rural community either with or alongside the resident population. The role of IFRC/JRC is to coordinate and facilitate the meeting and ensure all relevant information is communicated with agencies attending the CTG as well as provide feedback on major discussion points to the UNCR and at country interagency health sector meetings. Regular agency meetings are held every month with the presence of UNCR, International Medical Corps (IMC), Médecins du Monde (MdM), Japan International Cooperation Agency (JICA), Medair, Save the Children Jordan, German Red Cross, Jordan ealth Aid Society (JAS) and other local and international NGOs that work in the community health sector. These meetings assist in coordinating activities, sharing resources as well as standardizing community health volunteer/worker roles and responsibilities. The PNS Consortium Steering Committee (CSC) created a Communications Working Group (CWG) which meets on an adhoc basis. The PNS CSC reports back on major actions to members of the IFRC Communications team in MENA Zone as well as acts in an advisory capacity. The CWG assists the PNS CSC in ensuring multilateral support for the operation in the area of communications and facilitating cooperation among the four PNS Consortium, the IFRC and the JRC in the area of communications. The PNS Consortium working in the RCRC ospital in Azraq camp is also coordinating technically with IMC (who are running clinics in the Azraq camp) and UNCR. The PNS Consortium members are attending the camp coordination meetings on a weekly basis where there are sectoral updates and direct coordination between more than 22 INGO, UN Agencies and RCRC Movement. Other coordination mechanisms that JRC and IFRC through the PNS or the delegates are attending include: Cash working group, ost Community Support Platform, ealth Working Group (including subsectors such as Reproductive health working group, Polio and immunization working group), Psychosocial and Gender Based Violence Working Group, non-food items (NFI) working group and Azraq Camp coordination meetings.

6 Page 6 Government meetings JRC has been working closely with local authorities such as the Ministry of Interior, Ministry of ealth, Ministry of Social Development, Royal Jordanian Medical Services and other Jordanian humanitarian actors during the operation. Needs analysis, beneficiary selection, risk assessment and scenario planning This needs assessment is based on past IFRC assessment reports, home visits and post distribution monitoring reports quarterly reports, interviews with different stakeholders and reviews of updated secondary data from available reports, assessments, evaluations and studies done by several organizations (including UN Agencies reports, INGO report and Government Authorities reports), since the beginning of the crisis. The most relevant and recent data has been included in this summary. Economic situation The vulnerability of refugee households is both deepening and becoming more entrenched. Indeed, given the increasing impoverishment of the refugees, it is unlikely that this generation will ever recover their previous economic well-being. At the same time, the rapidly rising number of refugees intensifies competition for work, depresses wages for the fortunate few who find employment and, by putting more pressure on the host countries economies already struggling to cope with the impacts of the refugee influx. Area Findings Priority Needs Increased demand on services, such as health care and education, water and electricity supply and waste disposal, which affects economic production and output. Economic The surge in labour supply generated by refugees has impact on host population produced strong competition between nationals and refugees in country s labour markets. There is evidence that refugees who are unregistered work illegally on lower wages, accentuating the decline in job opportunities for local workers. Female-headed households are the most affected. Livelihood activities for poor Jordanian families Economic impact on Syrian refugees Syrians who arrive in Jordan usually have depleted resources, or deplete them rapidly in Jordan upon arrival, a country where the cost of living is as twice as high in Syria. People increasingly resort to negative coping measures such as selling personal items and also buy food and essential items on credit. For those families with no external sources of income, an inability to re-pay the loans might cause severe constraints to the families in the near future. Income generation activities are scarce and in most refugee households the income-expenditure gap is substantial and increasing Child labour is a growing issue, especially in urban areas or in large camps like Za atari in Jordan Economic hardship is causing some women and girls to turn to transactional sex and there are reported incidents of service providers withholding services unless sex is given. Cash to address their immediate needs Shelter, settlement and non-food items Rent is consistently identified as a primary expense amongst refugees across numerous assessments and monitoring. On average, 94 per cent of refugee households live in rented accommodation. An analysis of households in host communities found that most of them have exhausted their savings and 45% of households admitted being indebted. Through the monitoring on the ongoing project implemented by IFRC/JRC, the beneficiaries have reported that they survive entirely on the given cash assistance, daily work, sale of food vouchers, taking loans and charitable donations. The last winter (2013/2014) was very extreme as a windy storm resulted to snowfall on Jordan. Weather conditions are particularly rough during the winter with peeks of sub-zero temperatures in many locations where refugees live, Temperature differences between day and night can be significant, especially in the dryer inland areas, with nights surprisingly cool. Refugees living in camps and in improvised shelter are particularly vulnerable to these conditions. JRC/IFRC plans to provide a one off cash grant to vulnerable Syrian refugee households living in the host community to purchase the needed winterization items.

7 Page 7 Findings Syrians refugees outside of formal camps have reported securing shelter as their single most pressing need. The lack of adequate and affordable housing has forced the majority of Syrian refugees to live in sub-standard accommodation, which is often characterized by earth floors, missing internal doors, broken windows, poor ventilation, mould and outdoor bathrooms. For those Syrian refugees living in rented accommodation, many lack basic security of tenure and are at risk of eviction, rental increases and exploitation by the landlords. Most Syrian refugees living outside camp will not be assisted as per the limitation of funding. People living in substandard shelters are particularly vulnerable. Priority Needs Secure tenure and rental contracts need to be ensured to protect the rights of Syrian refugees. Needs for accurate information about tenancy rights are also substantial. Cash transfer to secure the rent Cash transfer to secure NFI for winterization. ealth The health concerns can be summarized as follows: cost and availability of medicine; cost of transportation to clinics/hospitals; poor service delivery; lack of information on the provision of the services; poor referral system; lack of female doctors at the health facilities used. Findings Access to, and affordability for the treatment and medication of chronic diseases is increasingly problematic. Most health providers at Primary ealth Care level don t know how to deal with Non Communicable Diseases. A valid Asylum Seeker Certificate (ASC card) is required for access to health care (including vaccines and maternity care) There is a lack of awareness of the full range of public health service, and also those provided by humanitarian agencies. There are difficulties in disseminating information to refugees living outside the camp because they are dispersed thus harder to reach and mobilize. Mass immunizations are required, for polio, since there is low immunization coverage. The poor-quality of housing, overcrowded living conditions, especially for non-camp refugees and lack of access to, or poor quality of water, are triggering health-related concerns. There is a substantial deterioration in the quality of already hardpressed health care services for the national population. ost communities are affected by long waiting periods, overburdened care staff and drug shortages. Pregnant women and those with acute neo-natal medical conditions are a particular concern including emergency obstetric care. Rate of breastfeeding among Syrian refugees is relatively low For those with mental health and disability needs, survivors of trauma, and SGBV survivors, heath care provision is available only sparsely and is often of rudimentary quality. Needs Financial support for chronically ill Syrian refugees Support immunizations and the routine vaccination campaigns ealth and hygiene awareness Support to health care facilities Prioritization of reproductive health care. Psycho social support Protection Arising from pressure on services, tension between the host communities and the refugees has implications for the quality of refugee protection. The longevity of the crisis has also accentuated the vulnerability of host communities, and tensions between refugee and host communities exacerbate related protection risks. Findings There are specific protection concerns among the refugees in camps with women and girls, and people with disabilities and older persons. In urban settings, the possibility of eviction carries significant protection risks, especially as local authorities in some areas have started to crack-down on refugees working informally. Socio-economic factors and the lack of legal status increase refugees vulnerability to a range of abuses. Needs Awareness on violence prevention for both Syrian refugees and the Jordanians Better gap analysis and referral mechanisms should be put in place to ensure the needs of more vulnerable households are met. There should be a particular focus on formal links with relevant sectors including Protection and WAS working groups, as shelter is the main entry point to tackle broader general protection

8 Page 8 Forced and early marriages have reportedly risen compared to the pre-crisis period. Incidents of domestic violence, SGBV and violence against children are high in and risks are increased by crowded living conditions The information related to procedures on how to access basic services and their rights can jeopardize their protection leading to increased vulnerability. By delivering information to communities who need it the most, it would help to enable the affected population to channel critical data about their situation and needs. issues. Delivering information to communities who need it the most, it would help to enable the affected population to channel critical data about their situation and needs. Beneficiary selection: Sector Target population Shelter, Settlements and ouseholds meeting UNCR vulnerability criteria and meet the poverty line non-food items (Cash criteria (50 JD per person per month) and at least one of the following vulnerability transfer and winterization) criteria: Women-headed households Large households ouseholds with a member who has a chronic health condition ouseholds with a member who was injured in the conflict in Syria and requires ongoing medical care ouseholds with children under 5 years of age ouseholds with a disabled member CBFA and PSP Community ealth Volunteers identify population to target based on the needs of their respective communities For PSP, JRC receives people from their psychosocial support center. Food Security and Most vulnerable Jordanian households that are host to the refugees Livelihoods Risk Assessment Based on security assessments conducted in the operational areas, the following risks were identified: Longevity of the crisis Potential spill over of the conflict into Jordan Tensions between refugees and host communities continue to rise in several countries / areas. The number of refugees arriving or coming forward for registration and assistance remains high or a sudden influx of refugees into Jordan raises refugee numbers and resulting to funding constraints. JRC s capacity to implement is severely stretched. The banking system and economic stability in Jordan is at risk The camp policy of the Jordan government is maintained and changes do not require major programming revision The good working relation between IFRC and JRC is maintained and helps to support JRC programming Availability of funds and robust systems to utilise and manage them For more information on risk level, impact and planned actions, refer to Annex 1

9 Page 9 B. Operational strategy and plan Overall objective The overall objective is to meet the needs of Syrian refugees and Jordanian population through: 1. Shelter and settlement support to refugees residing in host communities, including unconditional cash assistance. 2. Medical assistance, including secondary level health care and First Aid, community based health, psychosocial support and support for preventing interpersonal conflict. 3. Strengthening JRC s capacities in disaster preparedness and risk reduction through contingency stocks to respond to further displacement or emergencies. 4. Livelihoods support for vulnerable Jordanian host households. 5. Training, human resource and capacity-building support for JRC at headquarters and branch level to enhance and sustain their emergency response efforts. Proposed strategy This operation consists of 5 essential sectors as summarized below: Shelter, Settlements and non-food items: Syrian refugees living in host communities will be targeted for this sector. Targeting will be based on UNCR vulnerability criteria. A total of 4,000 households will be reached with monthly unconditional cash assistance as well as a one off winterization cash grant ealth: Syrian refugees residing in Azraq camp will have access to medical services offered by the RCRC hospital in Azraq. The services to be offered will include surgeries, treatment of chronic diseases (e.g. hypertension, diabetes), maternal and child health, hygiene related conditions and psychosocial support to trauma patients. The initial target is 40,000 refugees to be reached. Community health activities will include training staff and volunteers in CBFA as well as providing them with necessary tools to enable them to implement risk reduction activities in the community. A total of 30,000 beneficiaries within the Syrian refugee and the host communities in the Governorates of Amman, Ajloun, Jerash, Mafraq and Irbid will be reached with community health activities in order to improve their physical and psychological health Disaster Preparedness and Risk Reduction: To ensure that JRC is well prepared to cope with influx of refugees, a 4WD vehicle will be purchased to facilitate transport and distribution of relief items. In addition, stock will be prepositioned to provide immediate support to 2,000 households when needed. Food Security and Livelihood: this will target Jordanian households who will receive the necessary skills based training and a cash grant to start livelihood projects. A market and livelihood analysis will be conducted to determine the most appropriate livelihood activities. The vulnerable Jordanians will also be trained to develop skills for employment/self-employment. National Society Capacity Building: Support will be provided to JRC to enhance their response capacity the national headquarters and branches. This will be done through setting up appropriate R system, volunteer mobilization, strengthening logistics capacity as well as support in ensuring quality and impact of their programmes

10 Page 10 A pilot project: Integrated approach in the South of Amman: South Amman pilot project on integrated approach The situation of the Syrian refugees in Jordan has deteriorated since the beginning of the operation after a third year as refugees and it is critical that we are able to sustain support to those in need over the longerterm. To achieve that it is important that we change our focus to a more holistic approach in order to be able to build resilience. This basically means one RCRC team implementing one operation in one area. The strategy here involves moving slowly to a more resiliency focused approach, reducing the geographical scope and working together in host communities in the South of Amman. This strategy of having a multi-sectorial approach in a given geographical area will maximize the effectiveness of operational implementation, minimize issues arising from of engagement with communities or expectations on volunteers, and provide cost savings, as well as lead to more sustainable outcomes for communities Syrian households living in South Amman could benefit through case management, referral guidance and information to different services provided by the project and other external stakeholders. Strengthening the referral of beneficiaries to specialized services using the case management approach, providing beneficiaries with information about services provided as well as guiding them by responding to their consultations, will contribute a more effective reduction of their vulnerabilities and start building the road for resilience. There is a need for frontline workers, including psychosocial workers (PSW), who are able to identify households or individuals in need of other services. The front line workers and volunteers will complete intake/needs assessment of the beneficiaries, develop intervention plans with the beneficiaries and provide them with accurate referrals when need be. The entry point would be the cash transfer programme, where the case manager will refer patients to JRC hospital or clinic. The case manager will also refer the household members to other services being offered in South Amman by Movement partners and other organizations. The services include (see the figure 1) restoring family links (ICRC/JRC), psychosocial support (JRC, Danish RC and Italian RC), violence prevention (JRC/IFRC), vocational training (JRC), community-based health and first aid (JRC/IFRC), Gender based violence prevention (JRC/IFRC), WatSan and P and Shelter improvement (JRC/French RC), Primary and Secondary ealth (JRC/Iraqi RC), beneficiary communication (feasibility study to be done in Novmeber 2014) among other services based on the identified needs. Frontline neighborhood workers and volunteers will also follow up on the referral in order to provide a more comprehensive full service to the households. Beneficiary communication: Based on findings from analysis of secondary data and the post distribution monitoring conducted in host communities by the cash transfer programme, access to vital information was identified as challenging for Syrian refugees living mainly in host communities. This could be information on obtaining or renewing their residence permit, how to access health facilities as well as who to call for queries related to the challenges they face. One of the recommendations was that there needs to be a better coordinated approach from humanitarian actors in order to address their needs in a satisfactory way. The lack of information related to procedures on how to access basic services and their rights can jeopardize their protection leading to increased vulnerability. By delivering information to communities who need it the most, it would help to enable the affected population to access critical data about their situation and needs. This operation will conduct a deeper study to assess the feasibility and explore alternatives in order to develop an appropriate system to facilitate proper access to information that could lead to better access to services by the vulnerable Syrian households. This is cross cutting on all the sectors especially if an integrated approach is adopted

11 Page 11 Figure 1. Diagram of Integrated approach in South Amman. To implement this integrated approach at neighborhood level, there are dedicated additional resources required. This approach also requires specific coordination with Movement partners as well as external coordination, advocacy, information management, public awareness, and beneficiary communication. It is very important to start with a pilot phase in one of the neighborhoods in the South of Amman, with the possibility to expand and learn from this first pilot for scaling up. For it to succeed, all sectors will conduct activity mapping, joint implementation, monitoring, evaluation and reporting on this pilot project. All the implementing partners will coordinate the most suitable interventions based on the priority needs assessed. Beneficiary communication will play a vital role in the integrated approach (once adopted) as the beneficiaries will be able to have access to information on the kind of services provided by the different partners. JRC Capacity building and support: IFRC in coordination with other Movement partners have been training JRC volunteers in topics that include cash transfer programming, PSP, Gender Based Violence, CBFA and NDRT. This has ensured that the various activities are implemented effectively to yield results in meeting the needs of the Syrian refugees. To ensure that Jordanian Red Crescent will have the required capacity to respond to future crises, new/refresher trainings, working meetings, joint monitoring visits as well as coaching and monitoring sessions are planned in various sectors including health, cash programming, disaster response and PMER, during the implementation period. With support from Swiss RC and ICRC, JRC was supported in clearing and re-organizing its warehouse stock in Amman. ICRC donated a 2.5 tons forklift and Swiss RC deployed a logistics delegate who installed the logistics software (Logic) in order to enhance reporting performance of the National Society. Relevant staff were also trained on the use of the software. The JRC warehouse was also provided with relevant tools to effectively manage the receipt, storage and delivery of relief items. For this operation to run smoothly and with an ever growing case-load, support in terms of training and technical advice and guidance is necessary to ensure JRC staff and volunteers can safely and efficiently implement the planned response activities. Continuous support will be provided through the IFRC appeal to ensure that JRC remains a wellfunctioning and well prepared national society.

12 Page 12 Operational support services uman resources In Amman, the office is led by a ead of Regional Representation and the Syria Crisis operation is led by a ead of Operation. The operations team consists of national and international staff. Presently, there are 3 international delegates who provide specialized support to the operation in cash transfer and livelihoods, health as well as planning, monitoring, evaluation and reporting (PMER). There are 11 national staff providing support in cash transfer, administration, finance, information technology/management, logistics and transport. There is a PNS ospital Consortium responsible for the Azraq ospital. It has 14 international delegates (4 in Amman and 10 in Azraq) and 2 national staff responsible for hospital management, finance and administration, logistics and human resources. At the MENA Zone office, an overall ead of Syria Crisis Operation is in place to provide support for the Syria operation in Iraq, Jordan and Lebanon. In addition, technical staff (international and national) are available to provide support to the Jordan team in areas that include information management, human resources, PMER, information technology, finance, administration and logistics. Logistics and supply chain JRC is being provided with Procurement and Logistics support by the IFRC Jordan office, the MENA Zone office and GLS Dubai office as well as by PNS consortium logistic staff. The appeal will follow IFRC procurement rules and regulations. There is a need to further enhance the National Society logistics capacity by reinforcing all logistics units (procurement, warehousing and fleet management) to effectively and efficiently render timely services to all JRC stakeholders. The MENA Zone logistics will further support JRC through trainings and coaching. A scoping visit will be conducted to assess the logistics capacity of JRC, identify Movement partner support and come up with a joint capacity building plan. Information technologies (IT) To ensure proper information management for the cash transfer programme, a database officer is in place to support collection, analysis, presentation and use of information on population reached through cash disbursements. At the MENA Zone Office, an information management delegate provides support to the operation in Jordan through providing graphical presentations based on information provided and available. Communications Over the last four years, the operation in Jordan has provided information on a wide variety of topics, including health, hygiene and non-communicable diseases. It has also increased its focus on two way communications as a way of giving the Syrian refugees a voice, ensuring their needs are addressed through the beneficiary feedback mechanism. The cash transfer programme has a beneficiary complaints focal person who responds to issues raised by Syrian refugees benefiting from this programme. This is done over a toll free phone line. The feasibility study on beneficiary communications will assist in identification of other approaches that can be adopted for beneficiary feedback Following the Movement Communication Strategy, entering in the fourth year of the crisis, communication has a key role to play, to increase awareness of the humanitarian impact of the Syria crisis, to reiterate our call for unimpeded and safe access to those most in need, to address most vulnerable and give voice to the voiceless. Operations are scaling up and communication must help this process both internally and externally with donors and partners, underlining activities on the field, enhancing Red Cross Red Crescent Role, having a continuous flow of information, providing web-stories, AV materials, advocacy tools, visibility. IFRC will provide, if needed, technical support and training to JRC. A beneficiary communications delegate will be recruited for one month to conduct a feasibility study and recommend new tools and emerging technologies in a bid to open up a dialogue with beneficiaries, to reach more people, faster and more cost effectively. This will provide a clear channel to help overcome the obstacles that exist for the most vulnerable in the current crisis in Jordan, for access to information and hence to the services that they are entitled to and their rights. The delegate will have an opportunity to interact with all the relevant partners from the Government of Jordan, Movement partners, international and national organizations in-country and most importantly targeted community leaders and the affected Syrian households. Based on the findings, a decision will be made on whether planning will be done for a future project. Security The operational areas are classified as white zone based on security assessments conducted by security experts from MENA Zone Office and the secretariat (Geneva). Security guidelines were drafted for the Azraq area which applies to all IFRC staff.

13 Page 13 The ead of Jordan Office is the focal point for security. owever as the situation has changed recently due to the new developments in the region, a Security officer has recently been recruited to provide support to the ead of Delegation on security matters in Jordan. This includes conducting security assessments, providing regular information on the security situation in the country as well as alerts and security advice in case of tension in any part of the country. The officer will also be in charge of organizing security trainings and simulation exercises for the IFRC and JRC teams. Planning, monitoring, evaluation, & reporting (PMER) Monitoring of the operation is done differently depending on the sectors. For cash transfer programme, post distribution monitoring is conducted every 3-6 months to gather information on the most significant changes for the Syrian refugees being supported through the cash disbursements. The programme plans to use the Open Data Kit (ODK) where they will use mobile phone technology to collect information, which will be collated and analysed realtime to increase efficiency in data management. The community based health and first aid programme is planning to conduct a baseline assessment on knowledge, attitudes and practices (KAP) of target population with aspects related to health and hygiene practices. At the end of the programme, an end line will be conducted with the same tools to measure the change in KAP. All the above processes will be supported by the Regional Reporting Delegate. The delegate will also support the operation in drafting monthly newsletters to highlight major achievements and developments in the operation. JRC staff and volunteers as well as IFRC will be supported in enhancing their PMER skills through trainings, coaching and mentoring. An end of operation evaluation as well as sector specific evaluations are planned. This process will be supported by the PMER focal persons in Jordan and MENA Zone Office. For reporting, quarterly operations updates will initially be published and this frequency will be reviewed depending on the pace of the operation. Internally, quarterly updates will be provided by Movement partners based on agreed upon indicators. This will be consolidated and distributed widely through existing networks. This information will also be used to supply data for the Movement Wide Reporting System (MWRS) for the Syria Crisis Response in the region, once this is launched. Administration and Finance The IFRC finance and administration team in Jordan includes one finance manager, one finance assistance, a senior administration officer, one admin assistant, and three drivers who also provide transport support in the field when required. For PNS ospital Consortium, one finance and administration delegate, one logistic delegate and one driver support the team.

14 C. DETAILED OPERATIONAL PLAN Shelter, settlements and non-food items Objective Indicators Means of Verification Assumptions Outcome 1 The immediate shelter and settlement needs of 4,000 % of households reporting that the Post distribution Monitoring Please refer to refugee households (20,000 persons) living outside camps within cash assistance received was timely reports, cash flow reports, Focus the assumptions host communities are met during 2014 and 2015 and appropriate to their needs Group Discussions and risks table (Annex 1) Output 1.1: 4,000 Syrian refugee households (20,000 people) living in host communities in Amman receive unconditional cash grant for essential winterization during 2014 and 2015 Output 1.2: 4,000 Syrian refugee households (20,000 people) receive cash grants for rent and other most essential household items Output 1.3: JRC s capacity to implement the cash transfer programme effectively and efficiently strengthened # of Syrian refugee households living in host communities in Amman receiving unconditional cash grant for essential winterization # of Syrian refugee households receiving cash grants for rent and other most essential household items # of JRC volunteers and staff trained in cash transfer programming (CTP); Post distribution monitoring report, Monthly Reports, cash flow reports, questionnaires Post distribution Monitoring, Monthly Reports, questionnaires, cash flow reports Monthly reports, training reports Output 1.1: 4,000 Syrian refugee households (20,000 people) living in host communities in Amman receive unconditional cash grant for essential winterization 1.1.1: Develop an efficient and accurate beneficiary targeting strategy to enable interventions to meet the needs of the most vulnerable : Distribute cash to 4,000 most vulnerable Syrian refugee households during the winter season, from November 2014 to February : Conduct pre and post distribution monitoring of the cash programme. Output 1.2: 4,000 Syrian refugee households (20,000 people) receive cash grants for rent and other most essential household items 1.2.1: Distribute cash to 4,000 most vulnerable Syrian refugee households once per month over 12 months (until September 2015) : Conduct pre and post distribution monitoring of the cash programme. Output 1.3: JRC s capacity to implement the cash transfer programme effectively and efficiently is strengthened 1.3.1: Train 20 JRC volunteers and staffs in cash transfer programming (CTP); case work and home visits, programme monitoring, psychosocial support, safe referral mechanisms for child protection and interpersonal violence cases, etc : Deploy a CTP support delegate/staff on Loan, if required, to CTP Delegate in Place support the programme implementation in time.

15 ealth Objective Indicators Means of Verification Outcome 1: The secondary health needs of % of Syrian refugees in Azraq camp reporting that they received Monitoring Report 30,000 Syrian in Azraq Camp are met the required medical attention and in timely manner. Output 1.1: 60,000 Syrian refugees have access # of Syrian refugees who have access to secondary health care Monthly Reports to secondary health care and services for 15 and services for 15 months in Azraq camp. months in Azraq camp. Assumptions Please refer to the assumptions and risks table (Annex 1) Output 1.1: 60,000 Syrian refugees have access to secondary health care and services for 15 months in Azraq camp : Running of a 60 bed field hospital (a modified referral ERU hospital) in camp Azraq for 15 months with the option to expand to 130 beds : Provide secondary level health care and services to 60,000 Syrian refugees. This number could increase to 130,000 if the camp population is expanded to its maximum capacity : Provide ambulance service to resident refugees for safe transport from the Azraq camp to public hospitals when needed. Outcome 2: 30,000 beneficiaries within the Syrian refugee and the host communities in the Governorates of Amman, Ajloun, Jerash, Mafraq and Irbid have improved physical and psychological health related to disease and disaster risk reduction, with a special focus on women and children. Funding for 2014 covered by ECO and the Canadian and Italian governments. The hospital is managed by PNS ospital consortium comprising of Finnish, Norwegian, Canadian and German RC societies, in cooperation with the Jordanian RC. Additional support for might be sought through this appel for This will be after a decision is reached on the funding mechanism for the ospital Objective Indicators Means of Verification # households who reported that a household member participated in Monitoring Report an activity conducted by CBFA volunteers in the past 15 months Output 2.1: Increased knowledge, skills and positive coping mechanisms among Syrian refugee and host community members in disease prevention, home and community safety and psychological well-being, towards community resilience Output 2.2: The hygiene needs of Syrian and host community women and girls are met through the distribution of 1,000 women s emergency kits Output 2.3: Increased capacity of JRC staff and volunteers to conduct effective # of people reached by community-based health services (disaggregated by type of service, age and sex) # of people who know basic steps of first aid Monthly Reports # of women and girls who received women s emergency kits Monthly Reports # of CBFA facilitators active in the last 16 months (disaggregated by sex) Monthly Reports Assumptions Please refer to the assumptions and risks table (Annex 1)

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