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SAMPLE OF ORGANIZATIONS PARTICIPATING IN CONSOLIDATED APPEALS AARREC ACF ACTED ADRA Africare AMI-France ARC ASB ASI AVSI CARE CARITAS CEMIR International CESVI CFA CHF CHFI CISV CMA CONCERN COOPI CORDAID COSV CRS CWS DanChurchAid DDG Diakonie Emerg. Aid DRC EM-DH FAO FAR FHI FinnChurchAid FSD GAA GOAL GTZ GVC Handicap International HealthNet TPO HELP HelpAge International HKI Horn Relief HT Humedica IA ILO IMC INTERMON Internews INTERSOS IOM IPHD IR IRC IRD IRIN IRW Islamic Relief JOIN JRS LWF Malaria Consortium Malteser Mercy Corps MDA MDM MEDAIR MENTOR MERLIN Muslim Aid NCA NPA NRC OCHA OHCHR OXFAM PA PACT PAI Plan PMU-I Première Urgence/AMI RC/Germany RCO Samaritan's Purse Save the Children SECADEV Solidarités SUDO TEAR FUND TGH UMCOR UNAIDS UNDP UNDSS UNEP UNESCO UNFPA UN-HABITAT UNHCR UNICEF UNWOMEN UNMAS UNOPS UNRWA VIS WFP WHO World Concern World Relief WV ZOA DJIBOUTI CAP MID-YEAR REVIEW 2012 iii Table of Contents 1. EXECUTIVE SUMMARY ................................................................................................................... 1 TABLE I. TABLE II. TABLE III. REQUIREMENTS AND FUNDING TO DATE PER CLUSTER ................................................................ 6 REQUIREMENTS AND FUNDING TO DATE PER PRIORITY LEVEL...................................................... 7 REQUIREMENTS AND FUNDING TO DATE PER ORGANIZATION ..................................................... 8 2. CHANGES IN THE CONTEXT, HUMANITARIAN NEEDS, AND RESPONSE ................................ 9 2.1 2.2 2.3 2.4 CHANGES IN THE CONTEXT ............................................................................................................ 9 SUMMARY OF RESPONSE TO DATE .............................................................................................. 11 UPDATED NEEDS ANALYSIS .......................................................................................................... 14 ANALYSIS OF FUNDING TO DATE .................................................................................................. 15 3. PROGRESS TOWARDS STRATEGIC OBJECTIVES AND SECTORAL TARGETS ................... 16 3.1 3.2 3.2.1. 3.2.2. 3.2.3. 3.2.4. 3.2.5. 3.2.6. STRATEGIC OBJECTIVES ................................................................................................................ 16 CLUSTER RESPONSE UPDATES ..................................................................................................... 18 FOOD SECURITY ...................................................................................................................... 18 NUTRITION ............................................................................................................................. 23 HEALTH ................................................................................................................................... 25 WATER, SANITATION AND HYGIENE ...................................................................................... 29 EARLY RECOVERY ................................................................................................................... 31 MULTI-SECTOR: REFUGEES AND MIGRANTS .......................................................................... 32 4. FORWARD VIEW............................................................................................................................. 35 ANNEX I: LIST OF PROJECTS AND FUNDING RESULTS TO DATE .............................................. 37 TABLE IV. TABLE V. TABLE VI. TABLE VII. TABLE VIII. TABLE IX. LIST OF APPEAL PROJECTS (GROUPED BY CLUSTER), WITH FUNDING STATUS OF EACH .............. 37 TOTAL FUNDING TO DATE PER DONOR TO PROJECTS LISTED IN THE APPEAL .............................. 40 TOTAL HUMANITARIAN FUNDING TO DATE PER DONOR (APPEAL PLUS OTHER)......................... 41 HUMANITARIAN FUNDING TO DATE PER DONOR TO PROJECTS NOT LISTED IN THE APPEAL ...... 42 REQUIREMENTS AND FUNDING TO DATE PER GENDER MARKER SCORE ..................................... 43 REQUIREMENTS AND FUNDING TO DATE PER GEOGRAPHICAL AREA.......................................... 44 ANNEX II: ROLES, RESPONSIBILITIES, AND COORDINATION MECHANISMS IN DJIBOUTI ..... 45 ANNEX III: ACRONYMS AND ABBREVIATIONS ............................................................................... 46 Please note that appeals are revised regularly. The latest version of this document is available on http://unocha.org/cap/. Full project details, continually updated, can be viewed, downloaded and printed from http://fts.unocha.org. iv DJIBOUTI CAP MID-YEAR REVIEW 2012 DJIBOUTI - Reference Map Bure YEMEN Rahayta Lamsen Debaysima ! Musa Ali Karien (Sebean Haden) Bissidiro ERITREA Sarig ! ! Endahuna ETHIOPIA Manda ! Sulula ! Kaliaeassa DADDA Kadoda Easa Gaila ! Dorra ! Dabningo TADJOURAH Malay Karima ! Gamela ! Arho Daba ! ! Dorri Tabeyna Eli Dar Buduinto ! Garbdoad ! Gala Eela ! ! Easabeaytou ! Sokohta Hamaffado RANDA Dara Battaniyta ! Easa Daba BAL HA !! ! Oukwali Daddae ! ! Hayiggedon Gabel Damourm Diddinto ! Ambabbo Tewee Le ! Foha ! ! ! ! Moulhouli Darma Golofa DJIBOUTI Daba Dora Data Balletou ! ! Y OBOKI Gannati ! ! Yoboki ! ! ! Hedayto Andasa ! Halaksitan Agbi Daddae ! Ameadin Konta ! Kousourkousour Gofa ! Mokoyta Koudda Dabal Koma DIK HIL ! ! ! ! ! Eambada Gaea Maean ! Sanda ! ! Abeaytou Dinamali ! AS EY LA Dikhil Koutabbouyya ! Modahtou As Ela ALI SABIEH DIKHIL ! Gallamo ! Ras Bir Obock DJIBOUTI ! ! Holfof ! Biyyaeasse Campboulaos ! Arta DJIBOU TI Boule ! Damerdjog ! Ouea ! Saneoun ! ! Loyiada ! Boulle ! Chabelley ! Geddi Dage ! Yare Lowya ! Sanqani Cadde El Qori Eel Bahay ! ! Goubatto Hididdaley Tokhoshi Eali Zeylac Hollholl ! ! Fosar Eaddelle Digri ! Baddapta Maydaddara Alayla Ballaal ! ! Isihweee ! Khor Angar Tadjoura Kallolou Hahayta Koma ! Moutrous ! ! ! Lakole ! ! Gaherré Aderi Goh ! ! Cadeela Assa Guelao ! Goloua ! Adaiti' Ale' ! ! Fididis ! ! Anaouelli ! Galellou ! Doubiya Fafahto ! Easo Fodo ! Sanou Le Fodo ! OBOCK Wayded Kibo Gahro Meedoho ! ! ! Aeta ! Sedorre ! ! ! ! ! La'assa ! ! Tourba Fudulta ! Ougouhto ! Minkille Eadbouyya ! ! ! Mee Dabba Mudo Randa TADJOU RAH ! Mahisoyta Sib ! ! Bankouwale Walwalle ! ! Wayboudka Airolaf Nieille ! Alab Daba ! Easa Oud Gera ! Ras Siyyan ! Mandi Eariyyi ! Digiba ! ! Moud'oudli ! Ammeli ! ! ! Galaele Dala Quakirrou OBOCK Dadda'to ALAILI Kausra Daggada Daymali Balho ! ! Alaili Dadda' Okli Ale Moudo DORRA Afambo Moulhoulé ! Eeysa 'Ankoli ! ! Bourhle Dilta ! ! ! ! Kenalli Dadaeto ! Bodo! ! Galafi Eangalalo Herkalou Dawea ! ! ! ! ! Eoungoub Deday Ado Bouri ! ! Harroug Birdelo Sola Gahertou Bandara Ali Sabieh Dihayta ! Awrlofoul ! Eelka Galile ! ! Dieisle Sileg ! Doon Abeo Rare ! ! Rakale ! Danan ! ! Sogel Weyne Jaglaleh Warabood Aasha Caddo ! ! Einka Eadayga ! Laska Guistir ! Dawwaead SOMALIA Dewele DudubAsa Harag Jiid Ceel Gaal Haren Cuutooyin Iskudarka 0 25 National capital Regional capital District capital Populated place International boundary Regional boundary District boundary Karuure 50 km Disclaimer: The designations employed and the presentation of material on this map do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Map data sources: CGIAR, United Nations Cartographic Section, UNDP, Europa Technologies, FAO. DJIBOUTI CAP MID-YEAR REVIEW 2012 1 1. EXECUTIVE SUMMARY As anticipated in November at the launch of this Consolidated Appeal, the Heys/Dara rains (October 2011 - February 2012), the most important rains in Djibouti’s coastal areas, were poor, and have led to further deterioration in the food security situation in the coastal areas. In addition, forecasts predict prolonged rainfall deficits throughout the June-August 2012 period, suggesting a continuation of the prevailing drought. The drought-related humanitarian context in Djibouti is mainly characterized by worsening food insecurity, primarily for rural populations, but with an increasing number of urban poor. The Integrated Phase Classification analysis of December 2011 confirmed deterioration in the food security situation following the failed Heys/Dara rains, and classified approximately half of the rural areas of Djibouti as “stressed” and the other half as “crisis”. According to a report released by the Ministry of Agriculture in March 2012, a prolonged dry season and the failure of the Heys/Dara coastal rains has further depleted natural resources (pasture and water). Surface water retention facilities have practically dried up. The scarcity of food and water has weakened the physical condition of livestock making them vulnerable to disease and increasing the mortality rates (through either starvation or disease). The risk of disease also threatens the livestock export potential as importing countries may ban livestock from Djibouti. 2012 Consolidated Appeal for Djibouti: Key parameters at mid-year Duration: January-December 2012 Key milestones in the rest of 2012: Inland dry season: October-March Dry spell: June Lean season: MaySeptember Target areas: Rural, urban and peri-urban areas of Ali Sabieh, Arta, Dikhil, Obock and Tadjourah Regions, and Djibouti Ville Target beneficiaries: Drought- and conflict-affected people, including: 120,000 rural people. 30,000 urban poor. 26,000 refugees and asylum seekers, and 16,400 migrants (planning figures). Estimated 28,400 children will require treatment for acute malnutrition. Total funding request: $79,310,556 Funding request per beneficiary: $385 The Ministry of Agriculture report further noted the presence of between 20,000 to 30,000 displaced people in the north and south of the country, but no further assessment has yet been undertaken to check whether these people were nomads, or whether they were sedentary populations forced into displacement due to the drought. According to the same report, the number of households that will face food insecurity and will need emergency humanitarian aid will increase from the levels established in the 2012 Consolidated Appeal. According to the Integrated Phase Classification those areas most at risk are Obock, North West and South East Regions. Added to the burden imposed by the ongoing drought, Djibouti is also host to a significant refugee population, mostly from Somalia, as well as large numbers of migrants. These vulnerable populations are located in camps, but also in urban areas. For the next six months, the Ministry of Agriculture predicts lower-than-normal rains because of the prevailing La Niña conditions and lower sea-surface temperatures in the Indian Ocean. This means there will be little to no chance of significant and sustainable improvement in the condition of the affected people. After reviewing the situation and given available capacity and resources 2 DJIBOUTI CAP MID-YEAR REVIEW 2012 to respond to the current situation, the Djibouti country team has maintained the its humanitarian strategy of responding to immediate humanitarian needs, in particular in the food security sector, while aiming to strengthen Government and local response capacity. The financial requirements have changed only slightly from $79,071,305 to $79,310,556 to assist an overall target population of 206,000 people.1 Partners have indicated funding received amounting to $32,257,365 with unmet requirements of $47,053,191 and the appeal 41% funded. 1 All dollar signs in this document denote United States dollars. Funding for this appeal should be reported to the Financial Tracking Service (FTS, fts@un.org ), which will display its requirements and funding on the current appeals page Djibouti Humanitarian Dashboard Key Figures Situation Overview 180,000 food-insecure Up to 206,000 vulnerable people are targeted through this appeal for humanitarian assistance, an increase of 43% compared to those targeted in the 2010 appeal. people in rural (120,000) and urban (60,000) areas. Rural food-insecure amounts to 50% of rural population. Outlook: as of June 2012, preliminary Emergency Food Security Assessment findings indicate the situation has deteriorated compared to last year. IPC analysis of December 2011 classified half of rural areas as stressed and the other half in crisis. There is a continued rise in staple and fuel prices. IGAD Climate Prediction and Applications Centre (ICPAC) predicts equal probabilities for above, near and below-normal rainfall during June-August 2012 (though that is a regional forecast; the Djibouti-specific forecast is more pessimistic). Most-affected areas: rural and urban areas of Ali Sabieh, Arta, Dikhil, Obock and Tadjourah regions and Djibouti Ville. Most-affected groups: poor households, mainly agro-pastoralist. Main drivers of the crisis: fifth consecutive year of drought and sixth consecutive year of rainfall deficit. Since 2007 rainfall has been less than 75% of average. 42,400 refugees and migrants 28,400 children under five suffering from acute malnourishment. MAM and SAM stand at 15% and 5% respectively. 800 Average expected influx of migrants / refugees, majority being from Somalia. Population (DISED ’2009) GDP per capita (UN stats 2010) % pop. living less than $1.25 per day (UNDP, HDR 2011) Life expectancy (UNDP HDR 2011) Under-five mortality (UN DESA 2011) Under-five global acute malnutrition rate (Gov. Dji / UN 2010) % of pop. without sustainable access to an improved drinking water (MSF-CH / MoH 2010) 818,159 $1,283 77% people targeted by humanitarian partners for food assistance targeted food-insecure population reached (135,000 people) Cluster Overview Affected Targeted Reached % People funded reached (% of targeted) 16% 222,500 164,800 Progress towards Strategic Objectives 1. 18.4% 58.49 years 104/ 1,000 20% Provide humanitarian assistance to up to 206,000 vulnerable people in the rural, urban and peri-urban areas of Djibouti affected by drought and high food prices. Humanitarian assistance was delivered during the first six months to more than 80% of targeted, drought affected vulnerable people, refugees and migrants including directed food distribution, access to water and hygiene facilities, nutrition and health care, and agricultural activities with rural communities. 50% 2. 41% 175,000 Food Assistance 77% 136,244 25% 206,000 175,000 WASH 46% 79,750 Some activities implemented mainly in the rural areas such as FFW/CFW, provision of water for livestock and small gardens, organization of agriculture cooperatives, plantation of trees, dams etc. 3. 18% Enhance the resilience of up to 206,000 vulnerable people in the rural, urban and peri-urban areas of Djibouti to future shocks. No funding provided for small emergency projects to improve veterinary service and for training (epidemiological capacity) and development of veterinary laboratories (supply of equipment). US$ 79 Million requested 75% 206,000 Due to delays (operational, financial), some projects are only just starting. 49% Consolidated Appeal 2012 19-jun-2012 175,000 affected people (primarily food-insecure) Health Funding 59% 206,000 82,400 Baseline Unmet People in Need # of people in need, targeted and reached by cluster Sources: EFSA, UNHCR, Government of Djibouti) as of 20 June 2012 Funded June 2012 210,000 Early Recovery 3,700 16% 172,442 120,954 Nutrition 75% 90,318 Strengthen the response capacity of communities and national authorities to respond to future shocks. Despite critically low funding levels, clusters are augmenting community and governmental response and planning capacity including through training and awareness-raising activities, and implementation of small-scale communitybased activities such as construction of cisterns and other water catchment projects. 3% 120,000 42,400 Multi sector 23% 42,400 26,852 63% Djibouti Humanitarian Dashboard 4 DJIBOUTI CAP MID-YEAR REVIEW 2012 Evolution of CAP Figures MYR 2011 - 2012 20 June 2012 No. of people in need ■ No. of people targeted ■ No. of people assisted ■ (No. of people in need, targeted and assisted per clusters) Health Nutrition Multisector 250,000 250,000 200,000 50,000 200,000 200,000 150,000 40,000 150,000 150,000 100,000 100,000 Food Assistance 50,000 Nov2011 Jun2012 0 Jul-2011 30,000 100,000 20,000 50,000 50,000 0 Jul-2011 Nov2011 Jun-2012 0 Jul-2011 WASH 10,000 Nov2011 Jun2012 0 Jul-2011 Nov2011 Jun2012 250,000 200,000 150,000 100,000 50,000 0 Jul-2011 Nov2011 Jun2012 Progress of Response and Gap Analysis Clusters Response and gap analysis Clusters Food Security Food assistance to vulnerable groups including refugees was adequately resourced, enabling Nutrition distribution of over 3,600 tons of food to 53,000 drought-affected people. Other activities reached nearly 70,000 beneficiaries during the lean season (May-June). In terms of agriculture and livestock, there is progress towards training for rural and peri-urban small-scale farmers, improving livestock assets and water access for communities and livestock. The voucher programme was underfunded and the Cluster is now targeting a reduced number of 3,000 households instead of the 5,800 planned. Other activities face constraints, including interventions to improve animal health and the establishment of a food security information system. Lack of funding for these activities has hampered the ability to combat the risk posed by weakened livestock, such as disease outbreaks and loss of scarce rural capital. WASH The WASH programme reached 79,750 people including 20,000 refugees. Water availability in the rural areas was improved through a trucking system, and sanitation improved through the construction of around 150 latrines. Health activities focused on reducing and mitigating immediate consequences of drought on health and improving communities’ social health conditions. Some activities have been implemented such as reinforcing mobile teams, supporting immunization, construction of diarrheal treatment centres, awareness activities, and training, etc. However, prepositioning medicines and supplying these centres with contingency stocks to face epidemics have not yet been accomplished. Assessments among children under five and adults are showing worrying trends of susceptibility to disease, linked to vulnerabilities brought on by worsening malnutrition. For the next six months, monitoring will be undertaken and operational and institutional constraints addressed to enable better response analysis. Coordination Severe acute malnutrition (SAM) coverage reached 73% of targeted children, with recovery rate of 75%. In exclusive breastfeeding programmes 24.5% of children were reached and 80% of mothers were covered. In blanket feeding programmes 50% of children received Plumpy Doz treatment. In micronutriment supplementary programmes 95% of children (six to 59 months) received vitamin A supplements and 80% of mothers received iron-folic acid supplements during pregnancy, and vitamin A supplements during the post-partum period. Moderate acute malnutrition (MAM) and SAM rates have increased since the launch of the CAP, from 8.8% to 15% and from 1.2% to 5%, respectively. The Cluster expects current and planned activities for the next six months will be sufficient to cover the needs, provided funds are be available. Early Recovery Water scarcity is leading to population movements and internal displacement. Lack of funding is hampering the Cluster’s ability to respond to the planning caseload, in addition to new population movements brought on by the worsening drought. 40% of the country’s pumping stations are not functioning and maintenance/rehabilitation activities as well as water trucking activities will need to be continued so as to meet essential water needs. Health Response and gap analysis Thousands of rural drought-affected people have benefited from CFW/FFW programmes including rehabilitation of wells, irrigation infrastructure, underground tanks, rural roads, agro-pastoral systems (tree-planting), and installation of drip irrigation in order to minimize the impact of drought and increase adaptation capacity. At the institutional level, the Secrétariat Exécutif de la Gestion des Risques et Catastophes has been strengthened. The ER objective of restoring livelihoods and reducing dependence on relief is stalled, with ER projects only 18% funded. With such constraints, the goal of rebuilding the resilience of affected populations remains a significant challenge. Multisector The new refugee camp in Hol Hol was finished and opened. The number of refugees officially decreased to just over 17,000 as of June 2012, primarily because many residing outside camps did not report for screening sessions. An influx from Somalia is expected as figures increase toan average of up to 800 arrivals per month during peak hunger months of July and August. WASH provision continues to be a challenge in camps and had to be met through water trucking. Due to limited funding, only four boreholes were completed at Hol Hol and no further boreholes were completed in Ali Addeh refugee camp or surrounding areas. Six clusters/sectors are now active in Djibouti. An HCT has been established to provide overall leadership and guidance for the response. Preparedness of the humanitarian system was strengthened through contingency planning and the roll out of the Multi-Cluster/Sector Initial Rapid Assessment methodology. DJIBOUTI CAP MID-YEAR REVIEW 2012 5 Additional basic humanitarian and development indicators for Djibouti Sector Indicator Most recent data Previous data or pre-crisis baseline Health Maternal mortality 300/100,000 live births (2011 UNDP Human Development Report) N/A Number of health workforce (MDs+nurse+midwife) per 10,000 population 28 /10,000 (Djibouti MoH 2011) Measles vaccination rate (6 months-15 years) 86% (Djibouti MoH 2011) Number of cases or incidence rate for selected diseases relevant to the crisis 2,961 diarrhoeal diseases (Djibouti MoH June-August 2011) Percentage of households according to food consumption score (<21, 21-34, 35+). Poor: 42 Borderline: 15 Acceptable: 43 (EFSA May 2011)* Poor: 37 Borderline: 24 Acceptable: 38 (EFSA 2010) ↓ Percentage of household expenditure on food 85% (FSMS June 2011) 69% (FSMS 2010) ↓ Number of litres potable water consumed per person per day in affected population. 49.1% of the rural population. At least 30% resort to unprotected sources which do not conform to minimum sanitary requirements. (WASH Cluster) N/A Proportion of the population practising safe excreta disposal. 10% of the rural population has access to improved family latrines. (WASH Cluster) ECHO Vulnerability and Crisis Index score. V: 3 C: 3 Food Security WASH Other vulnerability indices Trend ** * Note: EFSA data for 2012 will be released end June/early July: initial findings infer a further deterioration of food security ** The symbols mean: ↑ situation improved; ↓ situation worsened; ↔ situation remains more or less the same. 6 DJIBOUTI CAP MID-YEAR REVIEW 2012 TABLE I. REQUIREMENTS AND FUNDING TO DATE PER CLUSTER Consolidated Appeal for Djibouti 2012 as of 30 June 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Cluster Original Revised requirements requirements Funding Unmet requirements % Covered Uncommitted pledges ($) C ($) D=B-C E=C/B ($) F ($) A ($) B 194,999 194,999 - 194,999 0% - Early Recovery 9,041,500 9,041,500 1,600,000 7,441,500 18% - Food Security 27,024,247 27,024,247 20,238,470 6,785,777 75% - 2,981,910 2,981,910 470,582 2,511,328 16% - 29,183,669 29,422,920 6,794,119 22,628,801 23% 300,000 Nutrition 5,843,000 5,843,000 933,076 4,909,924 16% - WASH 4,801,980 4,801,980 1,194,011 3,607,969 25% - - - 1,027,107 n/a n/a - 79,071,305 79,310,556 32,257,365 47,053,191 Coordination Health Multi-sector: Refugees and Migrants Cluster not yet specified Grand Total: 41% 300,000 NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: Commitment: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) Pledge: The list of projects and the figures for their funding requirements in this document are a snapshot as of 30 June 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). DJIBOUTI CAP MID-YEAR REVIEW 2012 7 TABLE II. REQUIREMENTS AND FUNDING TO DATE PER PRIORITY LEVEL Consolidated Appeal for Djibouti 2012 as of 30 June 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Priority Original Revised requirements requirements ($) A High priority ($) B Funding Unmet requirements % Covered Uncommitted pledges ($) C ($) D=B-C E=C/B ($) F 76,024,708 76,263,959 31,013,261 45,250,698 41% 300,000 3,046,597 3,046,597 216,997 2,829,600 7% - Not specified - - 1,027,107 n/a n/a - Grand Total 79,071,305 79,310,556 32,257,365 47,053,191 Medium priority 41% 300,000 NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: Commitment: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) Pledge: The list of projects and the figures for their funding requirements in this document are a snapshot as of 30 June 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). 8 DJIBOUTI CAP MID-YEAR REVIEW 2012 TABLE III. REQUIREMENTS AND FUNDING TO DATE PER ORGANIZATION Consolidated Appeal for Djibouti 2012 as of 30 June 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Appealing organization Original Revised requirements requirements ($) A ACF - France ($) B Funding Unmet requirements % Covered Uncommitted pledges ($) C ($) D=B-C E=C/B ($) F 2,543,000 2,543,000 - 2,543,000 0% - 803,930 803,930 600,000 203,930 75% - FAO 7,850,000 7,850,000 3,254,595 4,595,405 41% - IOM 2,500,000 2,500,000 2,399,998 100,002 96% - OCHA 194,999 194,999 - 194,999 0% - UNDP 9,041,500 9,041,500 1,600,000 7,441,500 18% - UNFPA 252,000 252,000 - 252,000 0% - UNHCR 26,683,669 26,922,920 4,394,121 22,528,799 16% 300,000 UNICEF 7,298,050 7,298,050 2,554,194 4,743,856 35% - WFP 19,174,247 19,174,247 16,983,875 2,190,372 89% - WHO 2,729,910 2,729,910 470,582 2,259,328 17% - 79,071,305 79,310,556 32,257,365 47,053,191 41% 300,000 CARE International Grand Total NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: Commitment: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) Pledge: The list of projects and the figures for their funding requirements in this document are a snapshot as of 30 June 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). DJIBOUTI CAP MID-YEAR REVIEW 2012 9 2. CHANGES IN THE CONTEXT, HUMANITARIAN NEEDS, AND RESPONSE 2.1 CHANGES IN THE CONTEXT In the last decade, drought has become almost a chronic condition in the Republic of Djibouti, with more intensity and frequency. Droughts have hit the country in 2001, 2005, 2008, 2010 and 2011, with each one depleting the country’s low levels of critical resources such as water. As resources are depleted the population’s ability to resist shocks to their lives and livelihoods declines and their vulnerability increases. Djibouti does not have permanent rivers or lakes, and relies only on rains which are becoming ever scarcer, hence less replenishment of groundwater. Low replenishment in turn makes the water quality poor, as shown in a recent analysis by the Food and Agriculture Organization (FAO) which showed constant high salinity levels. This poses an important challenge for agro-pastoralists as only drought-adapted and saline-resistant strains of crops will grow in such stringent conditions. The drought-related humanitarian context in Djibouti is mainly characterized by worsening food insecurity. The Integrated Phase Classification (IPC) analysis led by FAO in December 2011 confirmed deterioration in the food security situation following the failed Heys/Dara rains, and classified approximately half the rural areas of Djibouti as ‘stressed’ and the other half as in ‘crisis’ (see map below, with the darker zones indicating areas in ‘crisis’). A new development is the displacement of around 20,000 to 30,000 people due to lack of water and pastures in the north and south of the country according to a report released in March 2012 by the Ministry of Agriculture. These people are among the existing beneficiaries of humanitarian programmes, and an assessment is planned to determine potential additional needs given the change in their status. The high drought temperatures evaporate much of the runoff before it can penetrate the aquifer, which further limits groundwater recharge. Given the below-normal 2011 Karan/Karma rains (July to September), followed by—as anticipated in the original Consolidated Appeal (CAP) in November—the failure of the coastal Heys/Dada rains (October 2011-February 2012) the population is ever more vulnerable, with pastoralists in particular difficulty. In addition, the Intergovernmental Authority for Development Climate Prediction and Application Centre’s (ICPAC) May 2012 climatic outlook predicts prolonged rainfall deficits throughout the JuneAugust 2012 period, suggesting a continuation of the prevailing drought conditions. The World Food Programme (WFP) conducts an annual Emergency Food Security Assessment (EFSA). The May 2011 EFSA concluded that 69% of the rural population is not able to meet their basic food needs. While the results of the May 2012 EFSA have not yet been released, preliminary findings indicate that the food security situation has deteriorated compared to last year. By the end of June 2012, key EFSA indicators measuring household food security (access and utilization) will start to become available and discussed by partners to inform program response. 10 DJIBOUTI CAP MID-YEAR REVIEW 2012 The number of refugees in camps has officially decreased from 20,611 in September 2011 to 17,727 as of June 2012. It is believed this is primarily because a number of refugees residing outside of the camps failed to appear for screening sessions as refugees are free in Djibouti to stay in the camps or elsewhere. It is expected that the next two months may show an increase in the influx from Somalia as each year the figures increase from 300 to 800 arrivals per month during the peak hunger months of July and August. A second camp, in Hol Hol, was opened to supplement the existing one in Ali Addeh. Since 2009, Djibouti has become a major migration destination and transit country en route to the Arabian Peninsula. This trend has continued over the last six months. The large number of irregular migrants, who often arrive in Djibouti in dire conditions, poses a humanitarian and health challenge for the local authorities, especially at the points of departure to Yemen and onwards. In the period under review, 9,500 new migrants sought assistance. DJIBOUTI CAP MID-YEAR REVIEW 2012 11 2.2 SUMMARY OF RESPONSE TO DATE Given the complexity of the situation, and the gaps in funding to date and the imbalance of the funding received across the clusters (see Section 2.4 below), the humanitarian response has had to look first to delivering immediate, life-saving assistance. The interventions that were made were emergency interventions, namely the provision of food, water, basic sanitation, and essential health services. Other interventions helped to support these measures and also in improving the resilience and livelihoods of vulnerable people. Food Security As the drought worsened, it became clear the impact on food security was severe as indicated by worsening food consumption scores and global acute malnutrition (GAM) rates (established through rapid assessments). Food assistance to vulnerable groups was adequately resourced and enabled the distribution of more than 4,790 tons of food to over 136,500 drought-affected people, including refugees. However, the voucher programme was underfunded and the Food Security Cluster is now targeting a reduced number of 3,000 households instead of the 5,800 planned. The Cluster also supported nutrition activities and contributed to the feeding of malnourished children. Similarly, food security has been strengthened through a disaster risk reduction approach which aims to strengthen the livelihoods linked to agriculture (be it pastoralist, agro-pastoralist or periurban agriculture). Agriculture has, amongst others, been strengthened through the distribution of drought-adapted seeds, plants and irrigation equipment, the rehabilitation of gardens, and capacity reinforcement with training through the Farmer Field School approach. Livestock health is being promoted through strengthening of the national veterinary services system, increased water access and improved nutrition through the distribution of feed blocks as supplements and forage seeds. Cash-for-work has also been used as a tool during the lean period to increase vulnerable families’ food purchasing power. There is however a lack of sufficient funding for these activities which has hampered the cluster’s ability to fully combat the risk posed by weakened livestock, such as diseases outbreak and loss of scarce rural capital. Nutrition The coverage of severe acute malnutrition (SAM) reached 73% of the targeted child population with a recovery rate of 75%, while exclusive breastfeeding programmes reached 80% of mothers and saw 24.5% of children exclusively breastfed. 50% of targeted children received Plumpy Doz treatment through blanket treatment programmes. In micronutrient supplementary programmes 95% of children (6 to 59 months) received vitamin A supplements and 80% of mothers received iron-folic acid supplements during pregnancy, and vitamin A supplements during the post-partum period. Water, Sanitation and Hygiene (WASH) The WASH programme reached 79,750 people including 20,000 refugees in the first half of 2012. Water availability in the rural areas was improved through a trucking system, and sanitation improved through the construction of around 150 latrines. Water access has also been improved through the construction of water and hygiene facilities (19 wells, 9 cisterns, 1 dam, 1 pipe aqueduct and a reservoir). 12 DJIBOUTI CAP MID-YEAR REVIEW 2012 Health Health actions have mainly focused on reducing and mitigating the immediate consequences of drought on the health of the affected population and improving social health conditions in communities. Some activities have been implemented such as the reinforcement of the mobile teams, immunization campaigns, and construction of diarrhoeal treatment centres, awareness raising activities and training. However, other actions like the prepositioning of medicines and supplying health centres with contingency stocks to face epidemics have not yet commenced. The quarterly report from the health information system and from the monitoring of the health status has revealed the following trends: upper respiratory tract infections (URI) and pneumonia were more common than diarrhoea in children below the age of five in the first three months of 2012 (graph 1) and showed worryingly high levels due to coexistent malnutrition. Anaemia is also common with variations between regions. 80% Djibouti 70% 60% Ali Sabieh 50% Arta 40% 30% Obock 20% 10% Tadjoura 0% diarrhea anemia severe malnutrition stunting URI pneumonia Dikhil Graph 1: Six most common conditions among children under five as per Jan-Mar 2012 consultations. Source: SNIS-MOH Data from adult consultations show a similar trend with high anaemia levels among pregnant women (graph 2), especially in Dikhil and Ali Sabieh. Fever of unknown origin has also been included though it is clear that a better case definition should be adopted. 40% 35% 30% 25% 20% 15% 10% 5% 0% ARI adults LRI adults FUO anemia diarrhea Djibouti Ali Sabieh Arta Obock Tadjoura Dikhil Graph 2: Five most common conditions among adults per region. (FUO: fever of unexplained origin) Source: SNIS-MOH During the next six months the Health Cluster will operationalize regular monitoring. The Cluster aims to address operational and institutional constraints more comprehensively to enable better response analysis. DJIBOUTI CAP MID-YEAR REVIEW 2012 13 Early Recovery The Early Recovery Cluster is yet to be activated. However, during the first six months of 2012 UNDP implemented activities in line with its objective to improve the resilience of rural vulnerable people. More than 3,000 rural drought-affected people benefited from cash-for-work (CFW) and food-for-work (FFW) programmes. Implemented activities include the rehabilitation of wells, underground tanks, rural roads, agro-pastoral systems (including tree-planting), and the installation of drip irrigation for ten agro-pastoral systems improving water management and increasing productivity, as well as the rehabilitation of irrigation infrastructures in order to minimize the impact of drought on communities and to increase adaptation capacity. At the institutional level, the Secrétariat Exécutif de la Gestion des Risques et Catastophes (Executive Secretariat for Disaster Risk Management/SEGRC) has been strengthened by the recruitment of regional focal points that are expected to be deployed to decentralised locations shortly. Cluster partners provided training for these regional focal points. Successful disaster risk management requires information-gathering and advance planning. As part of this. smart phone technology has been used in order to develop maps on water points, and migration routes of livestock and pastoralists. Furthermore analysis has been performed on both soil samples and water from various wells/water points. A national committee for early warning is now operational in order to ensure better prevention and preparedness for future disasters. Multi-Sector Refugees The food needs of all registered refugees have been met during the first half of 2012. More than 4,000 refugee children have been treated for various diseases. A measles immunization campaign reached 91.4% of the intended refugee beneficiaries. WASH provision continues to be a challenge in the camps and had to be met through water trucking. Working to increase water access for refugees through the rehabilitation of the supply network, partners identified 14 potential locations for boreholes at Ali Addeh refugee camp and surrounding areas. The same number was also found at Hol Hol, the second refugee camp which is now operational. However, due to limited funding, only four boreholes were completed at Hol Hol and none was completed at Ali Addeh or surrounding areas. Furthermore, due to lack of funding, only 500 new family latrines will be built in 2012 at Ali Addeh, instead of the 1,200 planned. Migrants Due to a decreased influx of people only 9,539 migrants received humanitarian assistance compared to 16,400 as planned in the original appeal. Different programmes have been implemented to assist vulnerable migrants such as awareness-raising programmes, assistance to vulnerable migrants, and distribution of non-food items (NFIs). Non-governmental organizations (NGOs) and local communities were also targeted in the awareness-raising campaigns and counter-trafficking capacity-building programmes. Coordination (see Annex II as well) Four clusters are currently active in Djibouti: Food Security, WASH, Health, and Nutrition. The Early Recovery Cluster will be fully activated in the second half of 2012 and Multi-sector activities will be reorganized to be in line with the IASC guidelines. An HCT has also been established to provide overall leadership and guidance for the response. Cluster/sector coordination provided 14 DJIBOUTI CAP MID-YEAR REVIEW 2012 accountability and enhanced trust between humanitarian actors (UN, NGOs) and the Government. Preparedness of the humanitarian system was strengthened through contingency planning and the roll-out of the Multi-Cluster/Sector Initial Rapid Assessment (MIRA) methodology. 2.3 UPDATED NEEDS ANALYSIS The IPC of December 2011 indicated that the most food-insecure regions were Obock, NorthWest and South-East and that more than 50% of households in rural areas have low food consumption scores. However, since then, with the exception of the EFSA, no major assessment has been conducted, and the results of the EFSA (conducted in May) have not been yet released. The Food Security Information System (FSIS) has not yet been put in place, though funding for it is in the pipeline. Moderate acute malnutrition (MAM) and SAM rates among children under five have increased since the launch of the CAP, from 8.8% to 15% and from 1.2% to 5% respectively. The Nutrition Cluster expects that current and planned actions for the next six months will be sufficient to cover the needs, provided funds will be available. Food and other income resulting from animal production have considerably reduced. The production of milk has dropped significantly, which has worsened not only revenue generation but also human nutrition—milk is a nutritious food source, especially for children, being high in energy and calcium. Sales of cattle have fallen due to the poor physical condition of livestock. Furthermore, livestock fertility is very low and thus herds that have suffered high mortality rates cannot replenish easily through young stock. Water scarcity has led to population movements and internal displacement. In Balho for instance, the only borehole available has not worked since March 2012 and there is no other alternative for the local population. The water-trucking point is 40 kilometres away. In Djibouti 40% of the pumping stations are not functioning and maintenance and rehabilitation activities as well as water-trucking activities will need to be continued to meet essential water needs. The planning figure for refugees at the time of the CAP launch was 26,000, of whom 21,000 were registered refugees and 5,000 were expected new arrivals. However, no new major influx from Somalia materialized and the number of registered refugees decreased from 20,611 to 17,727 during screening exercises. Given the likely evolution of displacement based on past patterns, the planning figure of beneficiaries under Multi-sector activities remains 26,000 refugees and asylum seekers, a number which includes the current 17,727 refugees, 2,340 asylum seekers, and about 6,000 expected new arrivals if the expected influx happens during July and August. In addition, the Sector maintains a planning figure of 16,400 migrants, having assisted over 9,500 to date this year. DJIBOUTI CAP MID-YEAR REVIEW 2012 15 2.4 ANALYSIS OF FUNDING TO DATE The 2012 CAP is 41% funded ($32 million) at this mid-year review (MYR). This is both an absolute and percentage increase compared to the 2011 MYR (funded at $10 million, or 30%). This improvement could be the result of a better humanitarian mechanism implemented in the country since last year in terms of needs assessments and common planning. The highest funded cluster is Food Security, at 75%, with a significant drop to the second-highest funded – Multi-sector at 23%. The funding response shows significant imbalances across the clusters/sectors, with a marked preference towards funding projects that can be classed as providing immediate life-saving services. High priority projects are 41% funded while the medium ones are 7% funded. In terms of overall funding according to priority, 96% of all funding received (some $31 million) has gone to high-priority projects. However, even within high priority projects there is significant imbalance, with many projects having received no funding, particularly in Health, Nutrition, WASH and Coordination. Not only are most of the projects underfunded, but most of the funded projects received their funding late, with Central Emergency Response Fund (CERF) grants in some cases the only timely funds available. While the CERF funding was effective, it was not sufficient to cover the needs in Djibouti. The challenge in Djibouti is that if no action is taken early in the year the situation worsens exponentially during the lean season between July to September, immediately following this MYR. For instance, at mid-year FAO, the World Health Organization (WHO), and the United Nations Children’s Fund (UNICEF) are only just starting the implementation of some projects. In addition, the key early recovery objectives of restoring livelihoods and reducing dependency on relief are stalled, with early recovery projects only 18% funded. With such constraints, the goal of rebuilding the resilience of affected populations remains a significant challenge. Only food security is well resourced. All other clusters require urgent additional funding over the next six months. For example, disease prevalence has increased during the first semester compared to the last six months in 2011 (see graphs in the summary of response above), but the Health Cluster struggled to deliver health services across the country. Support for medical mobile teams remains a constraint, in addition to the pre-positioning of medicines (the system of storing the medicines is very expensive and needs well-trained staff). Nutrition and health activities lack trained health staff. WASH activities were scaled down due to lack of funding, especially the construction or rehabilitation of boreholes, while at the same time a second refugee camp needed to be opened due to the influx of refugees at the end of 2011. The Food Security Cluster could not implement the FSIS over the last six months, though funding is now in the pipeline. This information system is vital in a context where most humanitarian needs result from drought. Putting into place this information system will improve the availability of data, needs analysis and planning. The three best-funded organisations in the CAP are IOM (96% of revised requirements) CARE (75%) and WFP. In dollar terms, WFP is the best-funded agency, with funding received of $16,983,875 equivalent to 89% of their revised requirements, and equivalent to 52% of all funding received to date for the CAP. After these three organisations, there is a significant step down in dollar and percentage terms to the next-best-funded agency, which is FAO, funded at 41% of revised requirements. 16 DJIBOUTI CAP MID-YEAR REVIEW 2012 3. PROGRESS TOWARDS STRATEGIC OBJECTIVES AND SECTORAL TARGETS 3.1 STRATEGIC OBJECTIVES Provide humanitarian assistance to up to 206,000 vulnerable people in the rural, urban and peri-urban areas of Djibouti affected by drought and increases in prices of staple foods. Indicator Target Achieved as of mid-year Number of people in need reached with food aid and food security activities. 168,280 136,593 Number of refugees provided with multi-sectoral support. 26,000 17,513 Decrease the rate of acute malnutrition for children under five. 95% 73% Proportion of children and pregnant/lactating women (PLW) reached. 80% 80% Number of people for whom access to safe drinking water has been improved. 175,000 79,790 Decrease in prevalence rate of water-borne diseases in the affected areas. From 70% to less than 10% by October 2012. N/A Percentage of target population reached with household water treatment & safe storage technologies & training. 80% of 175,000 79,790 Number of people accessing and using adequate sanitation facilities. 60% in peri-urban areas and 8% in urban areas. 68% Enhance the resilience of up to 206,000 vulnerable people in the rural, urban and peri-urban areas of Djibouti to future shocks. Indicator Target Achieved as of mid-year Number of refugees benefited from small family gardens. 10,000 1,200 Number of people benefited from food for work, cash for work and food for assets activities. 24,500 29,744 DJIBOUTI CAP MID-YEAR REVIEW 2012 17 Strengthen the response capacity of communities and national authorities to respond to future shocks. Indicator Target Achieved as of mid-year The Government Executive Secretariat has put an Early Warning System (EWS) in place. By July 2012 Training of the Government Secretariat has just started. A national inter-agency contingency plan is developed in accordance with the Government Organisation de Secours (National Crisis Committee/ORSEC) plan and tested in a simulation exercise. By September 2012 Workshop on child protection (CP) organized in May and the document will be fully updated end of June. Local development committees in the five districts participated in the simulation exercise (SIMEX) and are trained in basic principles of disaster risk reduction (DRR). By September 2012 Not yet implemented. Number of community-based interventions for drought mitigation. 50 community-based activities More than 50 community-based activities have been implemented that target the most vulnerable by sex and age through FAO food security activities and UNDP early recovery programmes: Construction of cisterns, water catchments, water dams, a pipe-aqueduct, establishment of farmer field schools, provision of CFW and implementation of 25 community gardens 18 DJIBOUTI CAP MID-YEAR REVIEW 2012 3.2 CLUSTER RESPONSE UPDATES 3.2.1. FOOD SECURITY Summary of updated cluster response plan Cluster lead agencies WORLD FOOD PROGRAMME AND THE FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS Cluster member organizations ACF, ADDS, AFD, CARE, CERD, DECAN , EU Delegation, FEWSNET, French Embassy, IGAD, IOM, Japanese Embassy, Johanniter, LWF, MoA, Ministry of Finance and the Economy, MoE, MoEW, MoH, MPF, MSF, National Meteorological Agency, ONARS, PROMES-GDT, Qatari Embassy, RCSD, SEGRC, UNDP, UNFD, UNHCR, UNICEF, University of Djibouti, USAID, WHO Cluster objectives 1. Supporting the poorest and most food-insecure populations including refugees through improved food access and nutrition. 2. Support livestock and agriculture-based production capacities, increase the resilience to shocks of vulnerable households affected by the drought and enhance their ability to preserve assets through risk mitigation measures. 3. Increase access for drought-affected communities to water in order to promote survival and maintenance of livelihood options as well as resilience to drought. Number of projects Five Funds required Original: $27,024,247 Revised: $27,024,247 Funds required per priority level High: $24,374,247 Medium: $2,650,000 Funding to date $20,238,470 (75%) Contact information Mario Touchette - mario.touchette@wfp.org James Terjanian - james.terjanian@fao.org Dany Lanoe - dany.lanoe@fao.org DJIBOUTI CAP MID-YEAR REVIEW 2012 19 Categories and disaggregated numbers of affected population and beneficiaries Category of affected people Number of people in need Female Male Number of targeted beneficiaries Total Female Male Total Number of people covered Female Male Total Vulnerable rural populations 72,000 48,000 120,000 72,000 48,000 120,000 47,533 42,547 90,080 Food-insecure urban populations 36,000 24,000 60,000 17,400 11,600 29,000 17,400 11,600 29,000 Refugee populations 12,000 14,000 26,000 12,000 14,000 26,000 8,658 8,855 17,513 108,000 86,000 206,000 89,400 73,600 175,000 73,591 63,002 136,593 Total Table of mid-year monitoring vs. objectives Outcomes with corresponding targets Outputs with corresponding targets Indicators with corresponding targets and baseline Achieved as mid-year Cluster objective 1: Supporting the poorest and most food-insecure populations including refugees through improved food access and nutrition. Improved food access for drought-affected people in rural areas and for refugees. Improved food access for rural poor during the lean season. 36,200 drought-affected people received monthly general food distribution. 20,000 refugees received monthly food ration. 60,700 during lean season drought -affected people received monthly general food distribution. Food consumption score Coping strategy index. 29,000 urban poor beneficiaries received food Improved nutrition status of vulnerable groups for urban poor. assistance through vouchers during the lean season. Improved food access for drought-affected people in rural areas and for refugees. 12,000 beneficiaries in vulnerable groups received targeted nutritional support. GAM rate. 36,200 beneficiaries/month from January-April 2012 2,432 tons of food distributed 17,513 refugees 1,265 tons of food distributed 60,700 beneficiaries/month from May-June 2012 2,041 tons of food distributed. Beneficiary targeting Selection of implementing partners (NGOs and suppliers) Project will start in July 36 nutritional supplementation centres (reaching 3,296 malnourished children, 2,278 malnourished PLW, 305 TB patients, and 540 people living with HIV/AIDS) 320 tons of food distributed. Cluster objective 2: Support livestock and agriculture-based production capacities, increase the resilience to shocks of vulnerable households affected by the drought and enhance their ability to preserve assets through risk mitigation measures. Improved animal health for vulnerable herds. 700,000 head of livestock are protected, and if the situation improves, herd sizes slightly increase. Number of head of livestock increases or stays the same. No funding was received this year for this outcome; FAO through core funding has an emergency project which focuses on strengthening veterinary service capacity through an 20 Outcomes with corresponding targets DJIBOUTI CAP MID-YEAR REVIEW 2012 Outputs with corresponding targets Indicators with corresponding targets and baseline Improved food availability for vulnerable households in rural affected areas. 2,000 households are able to cultivate at least 0.5 hectares (ha). The number of ha cultivated and production obtained. Displaced/refugee households in urban and peri-urban affected areas have improved income and access to food. 7,000 households able to generate income from auto-production. Increase in household income by 10% increased food consumption. Increased resilience and selfreliance among most foodinsecure households and communities affected by shocks. 24,500 moderately food-insecure people maintaining and improving livelihood assets through food for assets. Number and type of community assets built/rehabilitated. Achieved as mid-year epidemiological survey campaign, training and development of veterinary laboratories (supply of equipment), and advanced training of community based animal health workers. These activities are essential in order to strengthen the decentralized veterinary care offered in Djibouti and provide direct support to pastoralists. This project will allow for a small vaccination campaign which could reach approximately 60,000 heads of livestock. 500 agro-pastoralist families in rural or peri-urban areas of Djibouti assisted with training, including water management (circa 3,000 beneficiaries with a priority for women headed households). Provision irrigation equipment to 420 drought-affected small gardens (2,520 beneficiaries). Piloting of micro-gardens for communities in refugee camps and the target is 200 groups (circa 1,200 beneficiaries. Provision of CFW for 300 vulnerable food-insecure families (female headed households targeted as a priority) for 1,800 beneficiaries. 24,200 beneficiaries assisted through FFW/FFA (1,453 metric tonnes/MT of food distributed). 1,400 km of rural feeder roads rehabilitated through FFW. 32 agricultural cooperatives and 25 community gardens assisted under FFW. Nine traditional wells rehabilitated. 3,500 trees planted (FFW). Construction of two cisterns of 100m³. Construction of one dam (gabions 2 x 30MT). Cluster objective 3: Increase access for drought-affected communities to water in order to promote survival and maintenance of livelihood options as well as resilience to drought. Improved access to water for both livestock and human consumption for communities dependent on livestock. 150 communities have access to improved water sources. Number of communities with access to water within 500m of their homesteads. 2,500 beneficiaries are targeted through the rehabilitation of ten key wells in food-insecure areas of Obock. Distribution of 400 camels to vulnerable communities for improved water access in particular for women (circa 2,400 beneficiaries). DJIBOUTI CAP MID-YEAR REVIEW 2012 Outcomes with corresponding targets Outputs with corresponding targets 21 Indicators with corresponding targets and baseline Achieved as mid-year The construction of a pipe-aqueduct in Assagueyla with a total of 900 beneficiaries. Improved access to water to communities that do not have access to ground water through water programming. 50 communities receive water catchment programming including the building of cisterns and the introduction of watershed improvement programming. Number of communities with access to water in remote areas. Number of livestock having access to water in remote areas. Number of animal mortalities as a result of long distances travelled between water points. Construction of 7 cisterns/water catchment infrastructure in the north west pastoral zones of Tadjourah and Dikhil reaching 1,260 beneficiaries The construction of a water dam/reservoir in a remote community with a strategic agro-pastoralist importance has been funded and is in planning stages with the Water Directorate. Improved water point management, leading to better and more efficient water usage and resilience to drought. 3,200 people sensitized in the importance of improved water usage. 200 water points managed. Evaluation mission reports. 15 farmer field schools being established which will reach approximately 450 direct beneficiary households (circa 2,700 people). Cluster Objective 4: Strengthen capacity of vulnerable rural communities and national institutions to be prepared for, with stand and respond to shocks, provide essential services and monitor the food security situation. Efficient and consolidated food 206,000 food-insecure people (women, girls, security coordination mechanism boys and men) are shielded from the most in place, with long- term harmful effects of the drought. institutionalization plan developed, guaranteeing sustainability. Strengthened FSIS through improved availability of multiple sources of information and direct field data, collected through a sustainable field-based monitoring system designed around current gaps. A food security information collection network is established to ensure that data on food security is sent from the regions on a regular and timely basis to inform better food security analysis. The number of households receiving assistance. Response measures are implemented according to the plan. Food Security Cluster reports. Cluster coordination staff secured, weekly cluster meetings held, important strategy discussions and planning facilitated with all cluster partners (i.e. contingency planning, CAP MYR, etc). Pipeline funding. No funding received to date. FAO is trying to work with core funding to improve the MAPE-RH’s capacity to produce FS information regularly 22 Outcomes with corresponding targets DJIBOUTI CAP MID-YEAR REVIEW 2012 Outputs with corresponding targets Indicators with corresponding targets and baseline Achieved as mid-year Consolidated timely and quality consensus-based food security situation and outlook analysis informing programming (IPC). IPC is fully operational in Djibouti. High quality IPC maps are Produced on a regular basis Internal FAO resources identified for funding of IPC analysis in September, other funding is awaited in Pipeline funding. Emergency food security information available and contributing to IPC system. Annual EFSA and Food Security Monitoring System (FSMS) completed. EFSA reports produced and shared. Analysis being finalized. DJIBOUTI CAP MID-YEAR REVIEW 2012 3.2.2. 23 NUTRITION Summary of updated cluster response plan Cluster lead agency UNITED NATIONS CHILDREN'S FUND Cluster member organizations ACF, ADDS, CARE, FAO, Johanniter, MoH, UNHCR, WFP, WHO Cluster objectives 1. Reduce malnutrition-related morbidity and mortality. 2. Prevent malnutrition among children under five and pregnant and lactating women. 3. Strengthen the national nutrition surveillance and warning system. 4. Break the cycle of malnutrition through interventions towards development Number of projects Two Funds required $5,843,000 Funds required per priority level High: $5,843,000 Funding to date $933,076 (16%) Contact information Dr Aristide Sagbohan – asagbohan@unicef.org Categories and disaggregated numbers of affected population and beneficiaries Category of affected people Number of people in need Female Male Total Number of targeted beneficiaries Female Male Total Number of people covered Female Male Total 28,442 acutely malnourished children six to 59 months old. 13,367 15,075 28,442 10,694 12,060 22,754 N/A N/A 16,603 43,000 children six to 59 months old at risk will benefit for micronutrient supplements. 20,210 22,790 43,000 18,189 20,511 38,700 N/A N/A 36,765 71,000 children six to 36 months old for blanket feeding. 33,370 37,630 71,000 16,685 18,815 35,500 N/A N/A 17,750 30,000 pregnant and lactating women 30,000 - 30,000 24,000 - 24,000 N/A N/A 19,200 Total 96,947 75,495 172,442 69,568 51,386 120,954 N/A N/A 90,318 24 DJIBOUTI CAP MID-YEAR REVIEW 2012 Table of mid-year monitoring vs. objectives Outcomes with corresponding targets Outputs with corresponding targets Indicators with corresponding targets and baseline Achieved as mid-year Cluster objective 1: Reduction in malnutrition-related morbidity and mortality. Increase coverage in the case management of SAM from 70% to 90%. 20,763 children under five treated for acute malnutrition. Coverage rate. Recovery rate>75%. Death rate<10%. Defaulter rate<15 Coverage 73%. Recovery rate 75%. Death rate 1%. Defaulter rate 23%. Cluster objective 2: Prevention of malnutrition among children under five and PLW. Increased rate of exclusive breastfeeding (EBF). Measures in place for code implementation. 19,200 mothers reached for the promotion of EBF and infant and young child feeding (IYCF). EBF rate. Proportion of children and PLW reached. EBF rate: 24.5%. Proportion of mothers covered: 80%. Blanket feeding scaled up for children aged six to 36 months. 35,000 children reached out of 70,000. Proportion of children six to 36 months of age. Proportion of children receiving Plumpy Doz is about 50%. Improved diets for PLW. 19,200 PLW reached. Proportion of PLW receiving improved diets. 80% of PLW received improved diets. Increased coverage of micronutrients supplementation for children under five and mothers. 114,000 children six to 59 months of age receiving Vitamin A supplements. 19,200 mothers receiving ironfolic acid and Vitamin A supplements. Not yet implemented. Proportion of children six to 59 months old receiving micronutrient supplements. 95% of children six to 59 months old received. Vitamin A supplements. 80% of mothers received iron-folic acid supplements during pregnancy and Vitamin A supplements during the post-partum period. Fortified diets for children under five and mothers with Sprinkles in the household. Proportion of mothers receiving ironfolic acid and Vitamin A supplements. Proportion of children under five and mothers receiving fortified diets with Sprinkles. Not yet implemented Cluster objective 3: Strengthen the national nutrition surveillance and warning system. Data accurately gathered and processed from health centres and community sites. Data gathered and processed for year-end 2011 and first quarter 2012. Monthly monitoring and supervision conducted. Data related to GAM (MAM and SAM) as well as case management performance indicators (deaths, cure, defaulters) gathered and processed for yearend 2011 and first quarter 2012. Cluster objective 4: Break the cycle of malnutrition through interventions towards development. Disaster risk reduction (DRR) interventions in place. Funding of DRR interventions throughout community development activities. Proportion of individuals reached. No funding to achieve this objective. DJIBOUTI CAP MID-YEAR REVIEW 2012 3.2.3. 25 HEALTH Summary of updated cluster response plan Cluster lead agency WORLD HEALTH ORGANIZATION Cluster member organizations ACF, IOM, MoH, MSF, UNFPA, UNICEF Cluster objectives 1. Provide emergency health assistance. 2. Support the disease early warning system, monitor epidemic-prone communicable diseases such as diarrhoea or measles and investigate, respond to and control epidemics or outbreaks. 3. Identify and monitor health elements in food security that negatively influence household conditions. 4. Ensure a package of minimum essential health care for the most vulnerable population networks as part of the social production programme, particularly in urban and peri-urban areas. Number of projects Four Funds required $2,981,910 Funds required per priority level High: $2,585,313 Medium: $396,597 Funding to date $470,582 (16%) Contact information Dr Rayana Bou Hakabouhakar - BouHakabouhakar@emro.who.int Categories and disaggregated numbers of affected population and beneficiaries Category of affected people Number of people in need Female Male Targeted beneficiaries Total Female Male Achieved at Mid-Year Total Female Male Total *Vulnerable rural and nomad populations 72,000 48,000 120,000 72,000 48,000 120,000 36,000 24,000 60,000 *Vulnerable urban populations 36,000 24,000 60,000 17,400 11,600 29,000 8,700 5,800 14,500 900 14,900 15,800 900 14,900 15,800 7,450 450 7,900 108,900 86,900 195,800 90,300 74,500 164,800 52,150 30,250 82,400 Migrant populations Totals * Including reproductive-health-age women, lactating women, and children under five. 26 DJIBOUTI CAP MID-YEAR REVIEW 2012 Table of mid-year monitoring vs. objectives Outcomes with corresponding targets Outputs with corresponding targets Indicators with corresponding targets and baseline Achieved as mid-year 14 mobile teams are available to supply basic health care in the rural districts. 2 vehicles for the mobile teams bought and 12 still under procurement due to procurement delays 100% of the materials necessary for the operation of vehicles are available. Materials the two vehicles are available. Cluster objective 1: Provide emergency health assistance. 80% of the affected isolated population in the rural areas covered by 14 mobile clinics Strengthen mobile teams to increase access to health services in rural and hardto-reach areas, particularly for women and children staying and receiving migrants in the villages Frequency of site visits increased from one to two per month 10 inter-agency emergency health kits (IEHK) are pre-positioned in CEmONC structures. Materials for the 12 vehicles are delayed for the same reasons above Sites visits did not increase due to the lack of vehicles, however, sites close to the capital city were regularly visited compared to last. Comprehensive emergency obstetric and new born care (CEmONC) structures are able to provide the nine comprehensive health functions Supply materials and equipment for the functioning of CEmONC facilities. 2 IEHK kits and 5 cholera kits were prepositioned 80% of the population in Dikhil is involved in immunization activities. Organize a follow-up campaign for measles for children aged 6-59 months in Dikhil and surrounding area Immunization coverage for measles in the target population. 80% of the populations in Dikhil are involved in immunization activities. 90% of migrants visiting public health centres and the IOM registration centre are vaccinated against measles. Provide measles vaccines to IOM registration centre in Obock to reduce the risk of epidemics. 90% of migrants visiting public health centres and the IOM registration centre are vaccinated against measles. The epidemic of measles was investigated and Weekly reports are produced by MoH. Sites have been identified, tented structures put into place. 100% population infected is treated for AWD in Obock. Provide supplies and materials for the diagnosis and treatment of AWD at the Obock diagnostic and treatment centre (DTC). NTR NTR Immunization coverage for measles in the target population DJIBOUTI CAP MID-YEAR REVIEW 2012 27 The five districts have an operational DTC. Supply the equipment needed for the treatment of cases of AWD to the five DTCs (Tadjourah, Dikhil, Obock, Arta and Ali Sabbeh). NTR MoH on the consultations and the admissions of the cases of diarrhoea, measles and other diseases 80% of staff at the DTC are trained or retrained on the management of AWD. Train doctors and nurses in the cases management of AWD in all DTCs. NTR Training activities were partially implemented in town, but not in the region. Figures are not available as the MoH did not bring reports. 2. Support the disease early warning system, monitor epidemic-prone communicable diseases such as diarrhoea or measles and investigate, respond to and control epidemics or outbreaks. 80% of mobile clinic staff trained on the detection of TB and diagnosis of HIV. Train mobile clinic staff on the detection of TB and the diagnosis of HIV in rural areas. Number of nurses and midwives trained on the detection of TB and diagnosis of HIV. Training on the detection of TB implemented and investigation conducted by the MoH. Training on HIV yet to be conducted. 80% of disease early warning alerts are investigated within 48 hours. Reinforce the technical capacity of personnel and communities through training for surveillance and early warning. Early warnings are investigated within 48 hours of alert. Early warning activities were implemented, but within 72 hours instead of 48. Updated reports allow for the monitoring of epidemic evolution, by gender and age. Support the collection and dissemination of surveillance data of epidemic-prone diseases by gender and age. Data on consultations, admissions for treatment of AWD, measles etc. are collected and segregated by age and gender during periods of epidemics and are analyzed monthly. Achieved and still ongoing Laboratories in the districts are operational. Furnish laboratories with tools and necessary supplies. Laboratory materials are distributed in different districts. Assessment yet to done The response plan is updated based on field visits and health cluster meetings. . Organize joint missions with the MoH and partners to monitor and evaluate health interventions. The response plan is updated based on field visits and Health Cluster meetings. Assessment yet to done The response plan is updated based on field visits and health cluster meetings. Reinforce the coordination of emergency health interventions and organize Health Cluster meetings. Field visits are conducted. Partially conducted 3W matrix is regularly updated. Ongoing Health Cluster action plan. Will be available in July 2012 28 DJIBOUTI CAP MID-YEAR REVIEW 2012 3. Identify and monitor health elements in food security that negatively influence household conditions. Data on needs and response options are obtained, emphasizing gender and age differences, if any. In collaboration with Food Security and Nutrition Clusters, include in the SMART and EFSA studies questions on household health access and needs. Health-related questions included in the SMART, EFSA questionnaires. Not implemented due to lack of funds. Focus groups are conducted and information analyzed is used to inform action plans to assist most vulnerable population. Organize discussions with groups of women, men and health-care providers to identify health needs, socio-economic determinants that are influenced by the drought and identify potential actions. Number of focus groups organized. Focus groups are conducted and information analyzed is used to inform action plans to assist most vulnerable population. 4. Ensure a package of minimum essential health care for the most vulnerable population networks as part of the social production programme, particularly in urban and peri-urban areas. Key health services for the most vulnerable are identified and included in the protection social networks. Explore and identify with partners, key services that should be included in a minimum health package included in the protection social networks (cash transfer, vouchers, and income-generating activities). List of key services and options/approaches. Key health services for the most vulnerable are identified and included in the social protection networks. Communities are consulted. To pilot this minimum package of health in a district affected by the drought. Pilot project developed. Not implemented Pilot project is conducted and provides information to inform action plan. Early warning systems strengthened at the community level. Number of consultations organized with the committees. Number of locations and committees. Reinforce the community early warning system. Number of early warning system reports on epidemics and health needs Ongoing DJIBOUTI CAP MID-YEAR REVIEW 2012 3.2.4. 29 WATER, SANITATION AND HYGIENE Summary of updated cluster response plan Cluster lead agency UNITED NATIONS CHILDREN'S FUND Cluster member organizations ACF, ADDS, Association EVA, Association pour le développement social et de la protection de Goabad, Association Union de Développement Social, CARE International, Caritas, CERD, FAO, IOM , MoE, MoEW, MoH, RCSD and other local NGOs (ADIM and Paix&Lait), UNHCR JICA, WFP, WHO Cluster objectives 1. Ensure the establishment of effective leadership for WASH Cluster coordination. 2. Improve equal access to safe and appropriate water for women, girls, boys and men. 3. Improve sanitation and hygiene practices for women, girls, boys and men at community level. 4. Ensure that children access safe WASH facilities in their learning environment and in child-friendly spaces. 5. Promote water quality surveillance and household water treatment and safe storage at community level to control and eliminate cholera outbreaks in affected areas. Number of projects Three Funds required Original: $4,801,980 Revised at mid-year: $4,801,980 Funds required per priority level High: $4,801,980 Funding to date $1,194,011 (25%) Contact information AhmedouOuld SidiOuldBahah-aouldsidiouldbahah@unicef.org Categories and disaggregated numbers of affected population and beneficiaries Category of affected population Number of people in need Female Male Number of targeted beneficiaries Total Female Male Total Number of people covered Female Male Total Rural 72,000 48,000 120,000 72,000 48,000 120,000 28,650 19,100 47,750 Peri-urban 36,000 24,000 60,000 17,400 11,600 29,000 9,000 6,000 15,000 Refugees 12,000 14,000 26,000 12,000 14,000 26,000 7,820 9,180 17,000 120,000 86,000 206,000 101,400 73,600 175,000 45,470 34,280 79,750 Total 30 DJIBOUTI CAP MID-YEAR REVIEW 2012 Table of mid-year monitoring vs. objectives Outcomes with corresponding targets Outputs with corresponding targets Indicators with corresponding targets and baseline Achieved as mid-year Cluster objective 1: Ensure the establishment of effective leadership for WASH Cluster coordination. National and district level trained on Improved coordination during emergency preparedness and response. emergency preparedness and response. Regular meeting of WASH Cluster. Cluster strategic advisor group exists. Cluster strategy developed and approved. Number of coordination meetings. Two Cluster meetings held with participation of all partners involved in the emergency preparedness and response: training on WASH Cluster approach, development of WASH Strategic Operational Framework, development of mapping intervention (3W), Joint Rapid Assessment ongoing. Cluster objective 2: Improve equal access to safe and appropriate water for women, girls, boys and men. Reduced incidence of water-related diseases among affected beneficiaries. 25 pumping stations rehabilitated. Number of affected people accessing 29,000 affected people have access sufficient water 50 traditional well protected. sufficient water of appropriate quality through the rehabilitation of traditional wells, 25 water supply schemes developed. for drinking, cooking and maintaining rehabilitation of 13 pumping stations and water personal hygiene. trucking. Cluster objective 3: Improve sanitation and hygiene practices for women, girls, boys and men at community level. Reduced incidence of diseases related Improved access to proper sanitation Number of people accessing and to poor hygiene and sanitation practices and hygiene for 60,000 affected using adequate sanitation facilities. at household level. women, girls, boys and men. Number of people practicing at least one proper hygiene practice. Rate of prevalence of water-borne diseases in the affected areas. 30,000 people reached through improved sanitation and hygiene activities. Cluster Objective 4: Ensure that children access safe WASH facilities in their learning environment and in child-friendly spaces Reduced incidence of diseases related 30 schools will have access to WASH to poor hygiene and sanitation practices facilities. at school facility level. Teachers in the 30 schools will be trained on practicing hygiene and sanitation promotion. Number of school with access to WASH facilities. Number of pupils trained on and practicing hygiene and sanitation promotion. Full package (hardware and software) is ongoing in 17 schools. Bidding process launched for four schools. 12 schools targeted from September to December. Training conducted in 10 schools. All affected schools were reached by hygiene messages during hand washing days. Cluster Objective 5: Promote water quality surveillance and household water treatment and safe storage at community level to control and eliminate cholera outbreaks in affected areas. Reduced incidence of diseases related to poor hygiene. 45,000 affected people have improved access to water of appropriate quality (especially for the refugees and underground cisterns). Percentage of target population reached with household water treatment, safe storage technologies and training. Distribution of water tablets for the refugees camps (about 17,000 people). DJIBOUTI CAP MID-YEAR REVIEW 2012 31 3.2.5. EARLY RECOVERY Summary of updated cluster response plan Cluster lead agency UNITED NATIONS DEVELOPMENT PROGRAMME Cluster member organizations Cluster not yet activated; informal consultations by UNDP with other clusters ongoing. Cluster objectives 1. To help rural affected families increase their resilience through CFW activities. 2. To enhance the preparedness capacity of local authorities for future crisis. Number of projects Two Funds required $9,041,500 Funds required per priority level High: $9,041,500 Funding to date $1,600,000 (18% ) Contact information Idriss Ahmed Hared - idriss.hared@undp.org Categories and disaggregated numbers of affected population and beneficiaries Category of affected population. Number of people in need Female Drought and disaster-prone populations. Male 52,500 157,000 Number of targeted beneficiaries Total 209,500 Female Male 30,000 Number of people covered Total 90,000 Female 120,000 N/A Male Total N/A 3,700 Table of mid-year monitoring vs. objectives Outcomes with corresponding targets Outputs with corresponding targets Indicators with corresponding targets and baseline Achieved as mid-year Cluster objective 1: To help rural affected families increase their resilience through CFW activities. Communities’ resilience enhanced. At least 20,000 rural youth received cash and enhanced their coping mechanism to drought. Monitoring and evaluation reports. Around 3,744 people received cash-for-community works and were able to provide for the needs of their families. Cluster objective 2: To enhance the preparedness capacity of local authorities for future crisis. Local authorities are able to plan and manage emergency crisis based on contingency planning and SIMEX. Ten staff at the SEGRC. 40 local development members in the five districts. Availability of national contingency plan and reports and recommendation of the SIMEX. Due to operational constrains the training on preparedness was delayed up to end of June 2012. National Contingency Plan on the finalization process. 32 DJIBOUTI CAP MID-YEAR REVIEW 2012 3.2.6. MULTI-SECTOR: REFUGEES AND MIGRANTS Summary of updated cluster response plan Sector lead agency UNITED NATIONS HIGH COMMISSIONER FOR REFUGEES AND INTERNATIONAL ORGANIZATION FOR MIGRATION Sector member organizations MMTF members, MoH, Prefecture of Obock. Cluster objectives 1. Ensure the rights of refugees, asylum seekers and mixed migrants and provide them with multi- sectoral assistance in health, nutrition, water, sanitation, education, community services and IGAs. 2. To contribute to build the capacity of the Djiboutian government in managing migration, and to promote migrants’ human rights as well as provide protection for vulnerable migrants including victims of trafficking. Number of projects Two Funds required Original: $29,183,669 Revised: $29,422,920: $26,922,920 Sub-Cluster – refugees and asylum seekers. $2,500,000 Sub-Cluster – migrants. Funds required per priority level High: $29,422,290 Funding to date $6,794,119 (23% ) Contact information Nuria Fouz Perez - fouz@unhcr.org (refugees and asylum seekers) Husham Halim - hhalim@iom.int (migrants) Categories and disaggregated numbers of affected population and beneficiaries Profile of affected population Refugees and asylum seekers Migrants Total Number of people in need Female Male Number of targeted beneficiaries Total Female Male Total Number of people covered Female Male Total 12,000 14,000 26,000 12,000 14,000 26,000 8,658 8,855 17,513 8,200 8,200 16,400 8,200 8,200 16,400 3,000 6,539 9,539 20,200 22,200 42,400 20,200 22,200 42,400 11,658 15,394 27,052 DJIBOUTI CAP MID-YEAR REVIEW 2012 33 There was no important influx from Somalia during the period under review Moreover, the number of registered refugees has decreased to 17,727. However, the planning figure until the end of 2012 remains 26,000 and includes the current figures of 17,727 refugees and 2,340 asylum seekers, and a contingency for about 6,000 new arrivals. This planning figure is maintained as it is expected the next two months may show an increase in the influx from Somalia as each year the figures increase during the peak hunger months of July and August. It is agreed the other clusters implementing activities in the camp (WASH, food aid, health etc.) will also keep the target figures for the refugees and asylum seekers. During the first six months of 2012, the number of migrants who received assistance was lower (9,539) compared to the 16,400 planned. However, the target number will remain the same for the next six months as it is expected that during July and August the influx rate may increase and could double, as this has been an observable trend in recent years. For instance, the period of Ramadan is often the time when the largest number of refugees and migrants are on the move to Yemen and other Arabian countries. Table of mid-year monitoring vs. objectives Outcomes with corresponding targets Outputs with corresponding targets Indicators with corresponding targets and baseline Achieved as mid-year Cluster objective 1: Ensure the rights of refugees, asylum seekers and mixed migrants and provide them with multi- sectoral assistance in health, nutrition, water, sanitation, education, community services and IGAs. 1.1Development of Hol Hol camp 1.1.1. Refugees transferred to new camp. 1.2. Community infrastructure available for the refugees. 1.2.1. Latrines, heath centre, and primary school available for use. 1.2.2. New boreholes/water tanks put in place. 6,000-7,000 refugees transferred to new camp. 927 refugees were transferred from Ali-Addeh camp to Hol Hol camp. Registration of new those willing to transfer and who fulfil the conditions of transfer are ongoing. Due to the lack of funding, the number of family latrines planned this year at Ali-Addeh refugee camp is limited to 500 instead of 1,200. Refugees have up to 15 litres of water per day. Two boreholes are under construction and six wells have been finalized in Holl Holl camp. Despite the drought that considerably impacted expectations, UNHCR aimed to maintain the availability of water per person per day at 18 litres (obtain at household), but UNHCR expected to reach the 20 litres per person per day as required after transfer of refugees from Al-Addeh to Hol Hol and the completion of pending projects (connecting the existing pipeline network to the newly constructed big well located at 3 kilometres from Ali-Addeh camp). Cluster objective 2: To contribute to build the capacity of the Djiboutian government in managing migration, and to promote migrants’ human rights as well as provide protection for vulnerable migrants including victims of trafficking. 2.1. Reponses to migration protection issues by central and 2.1.1. At least 100 local authorities become aware of migrants’ rights, At least 100 local authorities sensitized 100 local authorities were sensitized on migrants’ rights. 34 DJIBOUTI CAP MID-YEAR REVIEW 2012 local immigration authorities including immigration and border police is improved. counter-trafficking and the risks and dangers of irregular migration through capacity-building trainings. 2.2. Protection of victims of trafficking as well as prevention of trafficking increased through training, awareness- raising and victim assistance. 2.2.1. At least 250 members of NGO networks and the general public participate in countertrafficking capacitybuilding/awareness raising trainings. 2.3. Improved hygiene and reduced disease transmission in migrant detention and response centres. 2.4. Migrants provided with emergency support. on migrants rights counter-trafficking and the risks and dangers of irregular migration through capacity-building trainings. 250 members of NGOs participated in counter-trafficking capacitybuilding/awareness raising trainings. 23 migrants assisted through Assisted Voluntary Return (AVR) to return to their countries of origin. Most of the migrants prefer to continue the trip 2.2.2. At least 50 victims of trafficking and those at highest risk of being trafficked are screened and identified and provided with direct assistance. 2.3.1. Basic water and sanitation and ventilation systems are improved in the Migration Response Centre (MRC) in Obock and Migrant Detention Centre in Djibouti 2.3.2. Gender-sensitive health services are improved at MRC Obock. At least 50 victims of trafficking received adequate assistance. NTR At least 15,000 vulnerable migrants receive improved services. Out of 9,539 migrants registered at the MRC, IOM provided basic sanitation services to over 8,000 migrants. The need for such assistance remains and IOM continues to provide such services to vulnerable migrants and host communities. Increase awareness on gender health services at MRC Obock. 3,000 migrant women received health services. 2.4.1. Assisted voluntary return provided to up to 500 most vulnerable migrants. Increased awareness among migrants to the option of voluntary return. At least 500 vulnerable migrants received NFIs. 2.4.2. Emergency NFIs provided to at least 500 vulnerable migrants addressing the needs of the most vulnerable populations such as women and girls. 500 vulnerable migrants (mainly women and girls) received emergency NFIs. DJIBOUTI CAP MID-YEAR REVIEW 2012 35 4. FORWARD VIEW 1. Will there be a CAP in 2013? Yes. 2. CAP 2013 workshop dates: September 2012 (date TBC). 3. Needs assessment plan for the 2013 CAP: existing assessments, identification of gaps in assessment information, and planned assessments to fill gaps. EXISTING NEEDS ASSESSMENTS Cluster(s) Geographic areas and population groups assessed Organizations that implemented the assessment Dates Title or Subject Food Security Food-insecure people in rural areas, disaggregated by sex and age where possible WFP (lead agency), FEWS NET, DISED April-May 2012 Food Security in Rural Areas Food Security Food-insecure people in rural areas, disaggregated by sex and age where possible WFP (lead agency), FEWS NET, DISED April-May 2012 EFSA Food Security Food-insecure people in urban areas, disaggregated by sex and age where possible WFP December 2011 EFSA Food Security Food-insecure people in rural and urban areas, disaggregated by sex and age where possible WFP Quarterly WFP food security monitoring (latest report September 2011) Food-insecure people in rural areas, disaggregated by sex and age where possible WFP (lead agency), FEWS NET, DISED April - May 2012 EFSA Health Whole country. WHO, Ministry of Health. Ongoing Disease surveillance Multi-sector Loyada border. UNHCR Ongoing Refugee screening and registration 36 DJIBOUTI CAP MIDYEAR REVIEW 2012 GAPS IN INFORMATION Ref. # Cluster(s) Geographic areas and population groups Issues of concern 1 Food Security Food-insecure people, disaggregated by sex and age where possible Update of the drought consequences on the population 2 Health The five districts of Djibouti. Stocks of emergency medicines status Djibouti town. Laboratory technical requirements for supplies National. Establishment modalities of local surveillance teams 3 Nutrition National. Nutrition survey 4 WASH Ali Adde refugee camp. Functionality of water facilities Pastoralist areas. Functionality of water facilities PLANNED NEEDS ASSESSMENTS To fill info gap (ref. #) Cluster(s) Geographic areas and population groups targeted Orgs. to implement the assessment Planned dates Issues of concern To be funded by 1 Food Security Foodinsecure people in areas WFP (lead agency) FEWSNET DISED November December 2012 Food security assessment $100,000 still required 2 Health The five districts of Djibouti WHO July 2012 Stocks of emergency medicines status Funded by CERF WHO August 2012 Laboratories requirements and supplies Not funded WHO July 2012 Establishment modalities of local surveillance teams Funded by CERF and Gates Foundation Nutrition The five districts of the country UNICEF Government of Djibouti TBC Nutrition situation in the country Funds available with UNICEF, but waiting for the approval of authorities. 3 WASH Ali Addeh refugee camp WASH Cluster October 2012 Functionality of water facilities UNICEF 4 WASH Pastoralist areas UNICEF Veolia Environment Foundation MoEW October 2012 Functionality of water facilities UNICEF DJIBOUTI CAP MID-YEAR REVIEW 2012 37 ANNEX I: LIST OF PROJECTS AND FUNDING RESULTS TO DATE TABLE IV. OF EACH LIST OF APPEAL PROJECTS (GROUPED BY CLUSTER), WITH FUNDING STATUS Consolidated Appeal for Djibouti 2012 as of 30 June 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Project code Title (click on hyperlinked project code to open full project details) Appealing agency Original Revised requirements requirements ($) ($) Funding ($) Unmet requirements ($) % Covered Priority High priority Coordination DJI-12/CSS/47932/R/119 Strengthening Humanitarian Coordination and Advocacy in Djibouti OCHA Sub total for Coordination 194,999 194,999 - 194,999 0% 194,999 194,999 - 194,999 0% Early Recovery DJI-12/CSS/47834/776 Developing National Capacities for Drought Risk Management in Djibouti UNDP 642,000 642,000 600,000 42,000 93% High priority DJI-12/ER/47829/R/776 The Development of agro-pastoral systems in rural areas of Djibouti as an adaptation to climate change UNDP 8,399,500 8,399,500 1,000,000 7,399,500 12% High priority 9,041,500 9,041,500 1,600,000 7,441,500 18% Sub total for Early Recovery Food Security DJI-12/A/47305/123 Increasing Agriculture production to combat food insecurity in Djibouti FAO 2,650,000 2,650,000 158,801 2,491,199 6% Medium priority DJI-12/A/47350/123 Sustainable increase in livestock production by reinforcing the capacity of the most vulnerable men and women in pastoral areas to prepare, prevent, mitigate and respond effectively to the effects of drought. FAO 2,550,000 2,550,000 410,000 2,140,000 16% High priority 38 DJIBOUTI CAP MIDYEAR REVIEW 2012 Project code Title (click on hyperlinked project code to open full project details) Appealing agency Original Revised requirements requirements ($) ($) Funding ($) Unmet requirements ($) % Covered Priority DJI-12/A/47351/123 Strengthening national food security information system for coordinated informed action and urgent access to water for nomadic and agro pastoral communities to promote food security and safeguard livelihood assets in response to the drought crisis FAO 2,650,000 2,650,000 2,685,794 (35,794) 101% High priority DJI-12/F/47821/561 “Assistance to Vulnerable Groups Including Refugees” (PRRO 200293) WFP 16,656,018 16,656,018 15,771,167 884,851 95% High priority DJI-12/F/47826/561 “Food voucher program for vulnerable poor in Djibouti city” (PRRO 200293) WFP 2,518,229 2,518,229 1,212,708 1,305,521 48% High priority 27,024,247 27,024,247 20,238,470 6,785,777 75% 2,333,313 2,333,313 412,386 1,920,927 18% High priority Sub total for Food Security Health DJI-12/H/47832/R/122 Reduction and mitigation of the immediate health consequences of the drought on the affected population's WHO health DJI-12/H/47835/122 Strengthening the synergy between health and social networks and community activities WHO 174,785 174,785 25,648 149,137 15% Medium priority DJI-12/H/47857/1171 Intensified support for pregnant women and newborns in rural areas and refugee camp UNFPA 252,000 252,000 - 252,000 0% High priority DJI-12/H/47940/122 Reducing the risks and impact of infectious disease outbreaks in migrant populations WHO 221,812 221,812 32,548 189,264 15% Medium priority 2,981,910 2,981,910 470,582 2,511,328 16% 26,683,669 26,922,920 4,394,121 22,528,799 16% High priority 2,500,000 2,500,000 2,399,998 100,002 96% High priority 29,183,669 29,422,920 6,794,119 22,628,801 23% Sub total for Health Multi-sector: Refugees and Migrants DJI-12/MS/47852/R/120 Protection and multisectoral assistance for refugees, asylum seekers and mixed migrants in Djibouti DJI-12/P-HR-RL/47874/R/298 Improving protection of vulnerable migrants travelling to & IOM through Djibouti UNHCR Sub total for Multi-sector: Refugees and Migrants Nutrition DJI-12/H/47559/124 Malnutrition case management and prevention amongst children and mothers UNICEF 4,500,000 4,500,000 933,076 3,566,924 21% High priority DJI-12/H/47876/5271 Nutritional Surveillance ACF - France 1,343,000 1,343,000 - 1,343,000 0% High priority 5,843,000 5,843,000 933,076 4,909,924 16% Sub total for Nutrition DJIBOUTI CAP MID-YEAR REVIEW 2012 Project code 39 Title (click on hyperlinked project code to open full project details) Appealing agency Original Revised requirements requirements ($) ($) Funding ($) Unmet requirements ($) % Covered Priority WASH DJI-12/WS/47555/124 WASH response in vulnerable areas UNICEF DJI-12/WS/47600/5645 Response to humanitarian WASH-related emergencies in CARE Ali Sabieh district of Djibouti International DJI-12/WS/47878/5271 WASH response in peri-urban zones of Djibouti City ACF - France Sub total for WASH 2,798,050 2,798,050 594,011 2,204,039 21% High priority 803,930 803,930 600,000 203,930 75% High priority 1,200,000 1,200,000 - 1,200,000 0% High priority 4,801,980 4,801,980 1,194,011 3,607,969 25% - - 1,027,107 (1,027,107) 0% - - 1,027,107 (1,027,107) 0% 79,071,305 79,310,556 32,257,365 47,053,191 41% Cluster not yet specified DJI-12/SNYS/50808/R/124 Awaiting allocation to specific projects Sub total for Cluster not yet specified Grand Total NOTE: UNICEF NOT SPECIFIED "Funding" means Contributions + Commitments + Carry-over Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. Pledge: a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) The list of projects and the figures for their funding requirements in this document are a snapshot as of 30 June 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). 40 DJIBOUTI CAP MIDYEAR REVIEW 2012 TABLE V. TOTAL FUNDING TO DATE PER DONOR TO PROJECTS LISTED IN THE APPEAL Consolidated Appeal for Djibouti 2012 as of 30 June 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Donor Funding % of Grand Total ($) Japan Uncommitted pledges ($) 13,425,863 42% - Germany 5,115,962 16% - Central Emergency Response Fund (CERF) 4,019,325 12% - European Commission 3,449,203 11% - United States 2,449,180 8% - Canada 1,576,560 5% - Russian Federation 1,000,000 3% - Allocation of unearmarked funds by UN agencies 510,000 2% - Saudi Arabia 301,422 1% - Switzerland 278,707 1% - Private (individuals & organisations) 120,547 0% - 10,596 0% - 0 0% 300,000 100% 300,000 France Korea, Republic of Grand Total 32,257,365 NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: Commitment: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) Pledge: The list of projects and the figures for their funding requirements in this document are a snapshot as of 30 June 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). DJIBOUTI CAP MID-YEAR REVIEW 2012 41 TABLE VI. TOTAL HUMANITARIAN FUNDING TO DATE PER DONOR (APPEAL PLUS OTHER) Djibouti 2012 as of 30 June 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Donor Funding** % of Grand Total ($) Japan Uncommitted pledges ($) 13,641,646 38% - European Commission 6,115,870 17% - Germany 5,506,816 15% - Central Emergency Response Fund (CERF) 4,019,325 11% - United States 2,449,180 7% - Canada 1,576,560 4% - Russian Federation 1,000,000 3% - Switzerland 550,742 2% - Allocation of unearmarked funds by UN agencies 510,000 1% - Saudi Arabia 301,422 1% - Private (individuals & organisations) 120,547 0% - 10,596 0% - - 0% 300,000.00 100% 300,000.00 France Korea, Republic of Grand Total 35,802,704 NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: Commitment: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) Pledge: * Includes contributions to the Consolidated Appeal and additional contributions outside of the Consolidated Appeal Process (bilateral, Red Cross, etc.) Zeros in both the funding and uncommitted pledges columns indicate that no value has been reported for in-kind contributions. The list of projects and the figures for their funding requirements in this document are a snapshot as of 30 June 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). 42 DJIBOUTI CAP MIDYEAR REVIEW 2012 TABLE VII. HUMANITARIAN FUNDING TO DATE PER DONOR TO PROJECTS NOT LISTED IN THE APPEAL Other Humanitarian Funding to Djibouti 2012 as of 30 June 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Donor Funding % of Grand Total ($) European Commission Uncommitted pledges ($) 2,666,667 75% - Germany 390,854 11% - Switzerland 272,035 8% - Japan 215,783 6% - 100% - Grand Total 3,545,339 NOTE: "Funding" means Contributions + Commitments + Carry-over This table also includes funding to Appeal projects but in surplus to these projects' requirements as stated in the Appeal. Contribution: Commitment: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) Pledge: The list of projects and the figures for their funding requirements in this document are a snapshot as of 30 June 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). DJIBOUTI CAP MID-YEAR REVIEW 2012 43 TABLE VIII. REQUIREMENTS AND FUNDING TO DATE PER GENDER MARKER SCORE Consolidated Appeal for Djibouti 2012 as of 30 June 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Gender marker Original Revised requirements requirements ($) A ($) B Funding Unmet requirements % Covered Uncommitted pledges ($) C ($) D=B-C E=C/B ($) F 2b-The principal purpose of the project is to advance gender equality 4,752,000 4,752,000 933,076 3,818,924 20% - 2a-The project is designed to contribute significantly to gender equality 56,009,902 56,249,153 22,549,737 33,699,416 40% 300,000 1-The project is designed to contribute in some limited way to gender equality 10,635,040 10,635,040 6,741,048 3,893,992 63% - 0-No signs that gender issues were considered in project design 7,674,363 7,674,363 1,006,397 6,667,966 13% - -Not specified Grand Total - - 1,027,107 n/a 79,071,305 79,310,556 32,257,365 47,053,191 n/a 41% 300,000 NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: Commitment: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) Pledge: The list of projects and the figures for their funding requirements in this document are a snapshot as of 30 June 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). 44 DJIBOUTI CAP MIDYEAR REVIEW 2012 TABLE IX. REQUIREMENTS AND FUNDING TO DATE PER GEOGRAPHICAL AREA Consolidated Appeal for Djibouti 2012 as of 30 June 2012 http://fts.unocha.org Compiled by OCHA on the basis of information provided by donors and appealing organizations. Location Original Revised requirements requirements ($) A ($) B Funding Unmet requirements % Covered Uncommitted pledges ($) C ($) D=B-C E=C/B ($) F All regions 71,854,147 72,093,398 27,017,552 45,075,846 37% 300,000 Ali Sabieh 803,930 803,930 600,000 203,930 75% - 6,413,228 6,413,228 3,612,706 2,800,522 56% - Not specified - - 1,027,107 n/a n/a - Grand Total 79,071,305 79,310,556 32,257,365 47,053,191 Djibouti City 41% 300,000 NOTE: "Funding" means Contributions + Commitments + Carry-over Contribution: Commitment: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity. creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. a non-binding announcement of an intended contribution or allocation by the donor. ("Uncommitted pledge" on these tables indicates the balance of original pledges not yet committed.) Pledge: The list of projects and the figures for their funding requirements in this document are a snapshot as of 30 June 2012. For continuously updated information on projects, funding requirements, and contributions to date, visit the Financial Tracking Service (fts.unocha.org). DJIBOUTI CAP MID-YEAR REVIEW 2012 45 ANNEX II: Roles, responsibilities, and coordination mechanisms in Djibouti Cluster/sector name Relevant governmental and national institution Cluster/sector lead Cluster/sector members and other humanitarian stakeholders Food Security Ministry of Agriculture, University of Djibouti FAO/WFP ACF, ADDS, AFD, CARE, CERD, EU Delegation, FAO, FEWSNET, French Embassy, IGAD, IOM, Japanese Embassy, LWF, MoA, Ministry of Finance and the Economy, MSF, MoH, MoE, MoEW, MPF, MoI, National Meteorological Agency, ONARS, PROMES-GDT, Qatari Embassy, Red Cross, SEGRC, UNDP, UNFD, UNHCR, UNICEF, University of Djibouti, USAID, WFP, WHO Health Ministry of Health WHO ACF, UNAIDS, UNFPA, UNICEF MoH WASH Ministry of Energy and Water UNICEF ACF, ADDS, ADIM, Croissant Rouge, FAO, Association EVA, Association pour le développement social et de la protection de Goabad, Association Union de Développement Social, CARE International, Caritas, CERD, MoEW, MoH, RCSD and others local NGOs (ADIM and Paix&Lait), UNHCR JICA, WFP, WHO Nutrition Ministry of Health UNICEF MSF, ACF, FAO, WHO, Johanniter, Caritas CARE, MoH, UNHCR, WFP, Early Recovery Executive Secretariat for Disaster Risk Management UNDP (Not activated) Consultations with the clusters / stakeholders and the Government on-going Multi-sector National Refugee Assistance Office UNHCR and IOM CARE International, APEF, LWF and UNFD Mechanism Role Periodicity of meetings Other information Clusters Technical Monthly (Nutrition and FS Clusters meet once a month) Activated Early Recovery (to be activated). MULTISECTOR to be re-organised to be in line with the IASC guidelines Inter-cluster Technical (cross cutting issues) Not activated (informal meetings) HCT Decision-making Activated Permanent Dialogue Frame with the Government Informationsharing and advocacy Informal meetings 46 DJIBOUTI CAP MID-YEAR REVIEW 2012 ANNEX III: ACRONYMS AND ABBREVIATIONS 3W who, what, where ACF ADDS Action Contre la Faim (Action Against Hunger) Agence Djiboutienne de Développement Social (Djiboutian Agency for Social Development) Association pour le Développement Intégré du Mabla (Association for Integrated Development of Mabla) Association des Femmes de Dikhil (Dikhil Women’s Association) Ambedkar Rural Development Organization acute watery diarrhoea ADIM AFD ARDO AWD CAP CEmONC CERD CERF CFW consolidated appeal or consolidated appeal process comprehensive emergency obstetric and neonatal care Centre d'Etudes et de Recherches de Djibouti (Academy and Research Centre of Djibouti) Central Emergency Response Fund cash-for-work DISED Direction des Statistiques et des Etudes Démographiques (Department of Statistics and Population Studies) DRR DTC disaster risk reduction dipthérie/tetanus/coqueluche (diphtheria/tetanus/pertussis) EBF ECHO EFSA EW EWS exclusive breastfeeding European Commission Directorate-General for Humanitarian Aid and Civil Protection Emergency Food Security Assessment early warning early warning system FAO FEWS NET FFA FFW FSIS FSMS Food and Agriculture Organization of the United Nations Famine Early Warning System Network food-for-assets food-for-work Food Security Information System Food Security Monitoring System GAM global acute malnutrition ha HCT HDI HIV/AIDS hectares Humanitarian Country Team Human Development Index human immuno-deficiency virus/acquired immune deficiency syndrome ICPAC IEHK IGA IGAD IMF IOM IPC IYCF IGAD Climate Prediction and Application Centre interagency emergency health kit income-generating activity Intergovernmental Authority for Development International Monetary Fund International Organization for Migration Integrated Phase Classification infant and young-child feeding LWF Lutheran World Federation DJIBOUTI CAP MID-YEAR REVIEW 2012 MAM MoA 47 MRC MSF MT MYR moderate acute malnutrition Ministère de l’Agriculture, de la Pêche, de l'Elevage et des Ressources Halieutiques (Ministry of Agriculture, Fisheries, Livestock and Fishery Resources) Multi-Cluster/Sector Initial Rapid Assessment Ministère de l’Education Nationale et de la Formation Professionnelle (Ministry of Education) Ministère de l'Energie et de l’Eau chargé des Ressources Naturelles (Ministry of Energy and Water) Ministère de la Santé (Ministry of Health) Mixed Migration Task Force Ministère de la Promotion de la Femme et du Planning Familial chargé des Relations avec le Parlement (Ministry for the Promotion of Women) Migration Response Centre Médecins sans frontières (Doctors Without Borders) metric ton mid-year review NFI NGO non-food item non-governmental organization OCHA ONARS Office for the Coordination of Humanitarian Affairs Office National d’Assistance aux Réfugiés et Sinistrés (National Refugee Assistance Office) Organization de Secours (National Crisis Committee) MIRA MoE MoEW MoH MMTF MPF ORSEC PDNA PLW PROMES-GDT post-disaster needs assessment pregnant or lactating women Projet de mobilisation des eaux de surface et de gestion durable des terres (Project to exploit surface water and promote sustainable land use) RCSD Red Crescent Society of Djibouti SAM SEGRC SIMEX SMART severe acute malnutrition Secrétariat Exécutif de la Gestion des Risques et Catastrophes (Executive Secretariat for Disaster Risk Management) simulation exercise Standardized Monitoring and Assessment of Relief and Transitions (survey) TB tuberculosis UNDP UNFD UNFPA UNHCR UNICEF USAID United Nations Development Programme Union Nationale des Femmes Djiboutiennes (Djiboutian Women’s National Union) United Nations Population Fund United Nations High Commissioner for Refugees United Nations Children’s Fund United States Agency for International Development WASH WFP WHO water sanitation and hygiene World Food Programme World Health Organization OFFICE FOR THE COORDINATION OF HUMANITARIAN AFFAIRS (OCHA) United Nations New York, N.Y. 10017 USA Palais des Nations 1211 Geneva 10 Switzerland
