Al Hudaydah: Rapid Multi-Cluster Assessment Initial Findings for AHCT Discussion | 12 June 2015 Using the summary report This report should inform the AHCT post-assessment discussion. The information summarized here – as well as discussions with assessment team leaders – will help AHCT members to review the points outlined in the post-assessment guide. Main topics to consier when reviewing the report: Review affected people’s priorities and locations Estimate overall caseloads in consultation with assessment team leaders (i.e., for each priority need identified, about how many people should partners plan to assist?) Match priorities, locations and estimated caseloads to existing response capacity (i.e., agree who has operational capability to meet the identified needs) Identify gaps to be filled by potential pooled fund applications (i.e., which priority needs cannot be achieved with existing capacity?) Overview The assessment surveyed 100 key informants from five Districts in Al Hudaydah Governorate: Al Garrahi, Al Khawkhah, Al Qanawis, Az Zaydiyah and Hays. Key informants included IDPs, host community members, women, health workers, teachers, shop keepers, fishers, and local community leaders. Assessed Districts in Al Hudaydah exhibit a very high level of need. Needs are not primarily concentrated among IDPs or any other single group (although IDPs appear very vulnerable). Of 23 potential “serious problems”, key informants in five Districts identified between 16 and 20 per District, covering basic life-saving and protection needs. In such a high-need environment, partners should prioritize rapid response based on the top priorities of affected communities. Top priorities across Districts are food, WASH and health. Some variation in priority-setting exists within Districts; this is summarized in the tables below. Displacement Overall, 36% of key informants report that people had to leave their homes during the recent crisis. 45 per cent of the respondents from Al Garrahi District reported that people from their community had to leave their homes because of the recent crisis. 42% of the respondents from Al Qanawis, 33% of the respondents from Al Khawkhah, 30% of the respondents from Az Zaydiyah, and 26% of the respondents from Hays all reported the same. All 36 respondents list the recenet crisis as one of the reasons that people in the community cannot meet their needs. Of 36 respondents, approximately 67% report that very few displaced families have returned back to their respective communities. Identified IDP sites by District: Al Garrahi (25%) Al Khawkhah (25%) Al Qanawis (28%) Az Zaydiyah (8%) Hays (14%) Al-Jerbah (44%) Qataba (44%) Deer Al-Hard (20%) Bait Ata (100%) Wadi Dami (20%) Al-Rawdhah (56%) Kafr (12%) Al-Mawshaj (44%) Deer Al-Zein (50%) Mahal Al-Sadr (30%) Al-Qatnah (40%) Al-Qalmah (40%) www.unocha.org The mission of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) is to mobilize and coordinate effective and principled humanitarian action in partnership with national and international actors. Coordination Saves Lives Al Hudaydah Rapid Assessment | Initial Findings | 12 June 2015 |2 Priority needs Three priorities were identified across all Districts: food (and nutrition), WASH and health. The sections below provide more detail on each of these priorities. The tables in each section summarize how top priority choices were allocated per District. The most frequently cited categories are coloured red. In cases where a priority in a specific District is different to the overall priority across Districts, a partner with capacity in that sector may wish to intervene in that area. Priority 1: Food and nutrition Priority Responses Per cent Al Garrahi (Sector) (Total) (Of total) (reponses) Al Khawkhah Al Qanawis Az Zaydiyah Hays (reponses) (reponses) (reponses) (reponses) Food 46 46% 10 13 10 4 9 WASH 19 19% 2 1 10 5 1 Livelihoods 11 11% 1 4 2 0 4 Poverty 9 9% 4 0 1 0 4 Fuel 8 8% 0 8 0 0 0 Shelter 4 4% 3 0 0 0 1 Health 1 1% 0 1 0 0 0 Security 1 1% 0 0 1 0 0 Unemployment 1 1% 0 0 0 1 0 Food supply: Respondents overwhelmingly agree in all locations that there is a serious problem in the community because food supplies are insufficient, food is not good enough or it is not possible to prepare food. Altogether, 94 respondents (94 per cent) characterized this as a serious problem. Scarcity of food and lack of access to available food: Affected people’s lack of food is attributable mainly to high food prices, shortages in markets and shortages within household food stocks. Among the 94 respondents who identified food as a serious problem, the following reasons were most frequently cited: o Food prices too high (62%) Mainly cited by respondents from Al Khawkhah District, with substantial majorities from Al Garrahi and Hays Districts. o No food in the markets (45%) Cited by half of the respondents in both, Al Garrahi and Az Zaydiyah Districts as well as substantial percentages (but less than 50%) from Hays, Al Khawkhah, and Al Qanawis Districts. o No food from own supplies (44%) Cited by half of the respondents in both, Al Garrahi and Az Zaydiyah Districts as well as substantial percentages (but less than 50%) from Hays, Al Khawkhah, and Al Qanawis Districts. o o o o Not enough food (20%) Not good enough food (15%) Insufficient income or resources (10%) No cooking fuel (9%) Yemen Humanitarian Country Team Al Hudaydah Rapid Assessment | Initial Findings | 12 June 2015 o o o |3 No physical access to markets (8%) No cooking facilities (7%) No untensils (6%) Food consumption levels: All 100 respondents report that food consumption levels have decreased since the beginning of the crisis (100%). Sources of food: Local markets are by far the most frequently cited source of food across all locations. Of 100 respondents, 88 identified the local market as a source of food (88%). The next most frequently cited source is subsistence production (9 respondents or 9%). Malnutrition: Of 100 respondents, 83 identified malnutrition as a serious problem in their community (83%). All of the respondents from Al Garrahi District and approximately 95% of the respondents from Hays District deem malnutrition a serious problem in their respective communities. 24 per cent of the respondents pointed out that people from the community do not know how to identify or treat children suffering from nutrition problems. Despite the relatively low percentage, this issue needs to be addressed, given malnutrition’s various repercussions that affect not only food security, but all other lifesaving facets such as water, health, shelter, etc. AHCT discussion points: What types of food assistance would the AHCT recommend (cash, vouchers, direct food aid, etc.)? What types of nutrition programmes would the AHCT recommend (mobile clinics, outreach, etc.)? Which partners are available to provide this assistance in identified locations? What gaps remain? Priority 2: Water, sanitation and hygiene Priority Responses Per cent Al Garrahi (Sector) (Total) (Of total) (reponses) Al Khawkhah Al Qanawis Az Zaydiyah Hays (reponses) (reponses) (reponses) (reponses) WASH 24 24% 7 3 6 3 5 Food 22 22% 4 9 6 1 2 Fuel 17 17% 1 10 3 0 3 Health 10 10% 0 2 3 4 1 Livelihoods 9 9% 3 0 1 0 5 Shelter 8 8% 2 2 3 0 1 Electricity 5 5% 2 0 1 2 0 Poverty 2 2% 1 0 0 0 1 Education 1 1% 0 1 0 0 0 Security 1 1% 0 0 1 0 0 Basic Services 1 1% 0 0 0 0 1 Clean water: Respondents in all locations agree that there is a serious problem in the community because of a lack of clean water for drinking, cooking or personal hygiene. Altogether, 80 respondents (80 per cent) characterized this as a serious problem, cutting across all locations and types of key informants. Mainly, Al Garrahi (90%), Al Qanawis (88%), and Hays (95%) Districts registered the most responses to this particular category. Yemen Humanitarian Country Team Al Hudaydah Rapid Assessment | Initial Findings | 12 June 2015 |4 Sources of water: Among the 80 respondents who identified water as a serious problem, the followng sources of water were identified: o Boreholes or wells with motor pumps (76%) or hand pumps (10%) Mainly cited by respondents from Al Garrahi, Al Qanawis, and Hays Districts. o Piped water (20%) Mainly in Al Khawkhah District. o Humanitarian assistance (8%) Mainly in Al Garrahi District. o Traditional water sellers (6%) Just in Al Qanawis and Az Zaydiyah Districts. Constraints on access to water: Among the 80 respondents who identified water as a serious problem, the following main constraints were identified o Lack of fuel (45%) Mainly in Al Qanawis District. o Water too expensive (36%) Mainly in Al Qanawis District. o Long distances to safe water (20%) Mainly in Al Garrahi District. o Available water unsafe (9%) Clean toilets: Of 100 respondents, 64 agreed that a lack of clean toilets are a serious problem in their community (64%). Substantial majorities reported this as a problem in Al Garrahi, Al Qanawis, and Hays Districts and across all types of key informants. Hygiene and cleanliness: Of 100 respondents, 61 agreed that it is difficult for people in their community to keep clean due to the lack of soap, water or an adequate place to wash (61%). Substantial majorities in Al Garrahi and Hays Districts reported lack of hygiene and cleanliness as a problem, and a less substantial majority in Al Qanawis also reported thi as a problem. AHCT discussion points: What types of WASH assistance would the AHCT recommend (water trucking, water filters, soap, etc.)? Which partners are available to provide this assistance in identified locations? What gaps remain? Priority 3: Health and family Priority Responses Per cent Al Garrahi (Sector) (Total) (Of total) (reponses) Al Khawkhah Al Qanawis Az Zaydiyah Hays (reponses) (reponses) (reponses) (reponses) Health 24 24% 5 4 5 3 7 Fuel or Transportation 19 19% 0 7 5 4 3 Livelihoods 16 16% 6 4 3 0 3 Food 12 12% 2 3 3 3 1 Yemen Humanitarian Country Team Al Hudaydah Rapid Assessment | Initial Findings | 12 June 2015 |5 Shelter 12 12% 4 1 6 0 1 Water 9 9% 3 3 0 0 3 Education 5 5% 0 3 2 0 0 Electricity 2 2% 0 2 0 0 0 Basic Services 1 1% 0 0 0 0 1 Illness and injury: Respondents agree in all locations that there is a serious problem in the community because people are injured, sick, or have disabilities. Altogether, 86 respondents (86 per cent) characterized this as a serious problem, cutting across all locations and types of key informant. The following illnesses were identified: o Malaria (78%) Majorities in all Districts reported this as a serious problem with the exception of Al Qanawis District. o Malnutrition (63%) Majorities in all Districts reported this as a serious problem with the exception of Al Khawkhah District. o Diarrhoea (52%) Mainly in Al Garrahi and Hays Districts. 50 per cent of the respondents from Az Zaydiyah District also cited diarrhoea as a serious problem that is affecting the community. o Colds or respiratory problems (38%) Mainly in Al Garrahi and Hays Districts. o Dengue hemorrhagic fever (9%) All eight respondents who cited this as a serious problem are from Al Khawkhah District. Adequate healthcare: The majority of respondents agree that there is a serious problem because people are not able to get adequate healthcare, such as medicine, doctor’s visits or care during child birth. 87 respondents (87%) cited this as a serious problem. Substantial majorities in all Districts cited this as a serious problem with no exception. Care for family: Of 100 respondents, 79 agreed that there is a serious problem because people cannot care for family members who live with them, like their children or family members who are elderly, disabled or ill (79%). Overall, the majority of respondents from each district characterised this as a serious problem. Family Separation: Of 100 respondents, 43 agreed that there are people who were separated from their family members (43%). The majority of respondents from Az Zaydiyah District stated that this constitutes a serious problem. There no other majorities in the other Districts. People alone: Of 100 respondents, 68 agreed that there are people who are alone who do not get enough help (68%). Majorities (ranging in therms of size) of respondents from each District consider this to be a serious problem. Yemen Humanitarian Country Team Al Hudaydah Rapid Assessment | Initial Findings | 12 June 2015 |6 AHCT discussion points: What types of healthcare assistance would the AHCT recommend (water trucking, water filters, soap, etc.)? Which partners are available to provide this assistance in identified locations? What gaps remain? Overview of serious problems by District The table below summarizes whether a majority of respondents in a District identified a given issue as a “serious problem”. The last rows provides the total number of serious problems identified, providing an indirect measure of the relative level of need across different sectors. Issues identified as serious problems below could also benefit from interventions, although partners are encouraged first to allocate planning and resources to meeting the priority needs identified above. Serious problem? Al Garrahi Al Khawkhah Al Qanawis Az Zaydiyah Hays Safe water Yes Yes Yes Yes Yes Toilets Yes No Yes No Yes Cleanliness Yes No Yes No Yes Food Yes Yes Yes Yes Yes Malnutrition Yes Yes Yes Yes Yes Illness and injury Yes Yes Yes Yes Yes Adequate healthcare Yes Yes Yes Yes Yes Care for family members Yes Yes Yes Yes Yes Family separation Yes No Yes Yes No People alone Yes Yes Yes Yes Yes Shelter Yes No Yes Yes Yes Essential items Yes Yes Yes Yes Yes Reach community structures No No No No Yes Travel to neighbouring areas Yes No No Yes Yes Education Yes Yes Yes Yes* Yes Upset, sad, angry Yes* Yes Yes Yes Yes Humiliation, disrespect No Yes No No No Safety No Yes No No Yes Violation of dignity No No No No No Justice, rights awareness Yes Yes No No Yes Money, resources Yes Yes Yes Yes Yes Too much free time Yes Yes Yes Yes Yes Information Yes Yes Yes Yes Yes Total 19 16 17 16 20 * Split evenly Yemen Humanitarian Country Team