Business Case and Intervention Summary Title: Enhancing Resilience in Karamoja, Uganda What support will the UK provide? The UK will provide a total of £38.5 million over 3 years (2013/4 – 2015/6). This includes a £4 million Internal Risk Facility which will ensure that DFID can make a timely response in the event of a significant increase in vulnerability. Why is UK support required? Climate extremes and other weather and climate events are becoming increasingly frequent and severe in Karamoja while the natural resources on which the population depends are increasingly degraded. The 1.2 million population of Karamoja is the most food insecure and amongst the most vulnerable in Uganda, furthermore the traditional pastoralist livelihood, which has provided a natural adaptive approach to climate change, is becoming marginalised. Based on available data a major climate related impact is likely to happen within the next three years. This will further undermine the livelihoods of the population, increase current levels of vulnerability, and negatively impact development oriented strategies. Given the high vulnerability of the population, and the lack of preparedness and response plans, DFID would then be called upon to support a humanitarian response which risks being both late, and based on food relief. The high incidence of poverty and levels of vulnerability, malnutrition, and disaster risk make a strong case for DFID intervention to build longer term resilience. What will we do to tackle this problem? DFID has gained a significant understanding of the issues affecting Karamoja, influencing the shift from humanitarian assistance to sustainable development, and developing programmes with a social and livelihood protection focus. Focussing on resilience provides a framework for both the development of a new programme, and for influencing the plans, policies and programmes of other development partners. The programme will mitigate risk, increase the resilience and capacity of the population, and provide value for money through: Scaling up nutrition programmes targeting malnourished children under 5, pregnant and lactating women - the majority of funds provided in support of these programmes will be spent on essential nutrition supplies. Delivery of strengthened food security and livelihoods for vulnerable households through support to public works and livelihood programmes – DFID funds for this component will mainly be spent on asset creation and the provision of food / cash transfers through public works programmes. Strengthened early warning and response systems: the majority of DFID funds will be used to develop more effective early warning and response systems, and provide animal disease surveillance and veterinary services. Capacity building components will address key challenges such as the limited technical and administrative capacity of government and local partners to manage and coordinate, laying the ground for a more sustainable approach in the mid to long term. Circa 5% of the programme budget has been allocated for design, monitoring, research and evaluation. The majority of these funds have been allocated across implementing partners in 1 support of independent monitoring and evaluation and specific formative research and analysis. Strengthened evidence and lesson learning will complement programme activities, formative and operational research informing implementation, future programme design and maximising impact and value for money. What are the expected results? The programme will contribute to an increase in the resilience of communities to climate extremes and weather events by directly supporting 700,000 people to cope with the effects of climate change. In a context of chronic food insecurity and seasonal peaks in malnutrition, the programme will stabilise the prevalence of Global (GAM) & Severe Acute Malnutrition (SAM) in children aged 6-59 months (GAM <10%; SAM < 2%). Key outputs include: strengthened early warning and response systems; increased food and livelihood security; improved development co-ordination and strengthened evidence and learning. The main outputs directly attributable to UK support will be: 200,000 women & men with improved food security through participation in public works programmes. 6,000 agro-pastoralists & pastoralists with access to improved animal nutrition Severe acute malnutrition (SAM) reduced by treating 37,500 children under five. Global acute malnutrition (GAM) reduced by treating 175,000 children under five, and pregnant & lactating women. 800,000 cattle vaccinated against epidemic diseases. 2 Business Case Strategic Case A. Context and need for a DFID intervention 1. Poverty and Social Indicators Karamoja is located in the northeast corner of Uganda and flanked by Kenya to the east and Southern Sudan to the north. The region spans 10,550 square miles with approximately 1.2 million inhabitants, predominately from pastoral and agro-pastoral ethnic groupsi. Karamoja faces a number of development challenges. Historical marginalization, local and cross-border conflicts (most typically in the form of cattle raiding) and a lack of capacity development and investment in the region have contributed to underdevelopment. Insecurity has also hindered economic development, limiting the scope of successful interventions, the region suffering perennial conflicts underpinned by high levels of insecurity, cattle raiding and inter-ethnic violence. Social indicators for Karamoja are generally poor. The incidence of poverty is 76 percent, compared with 24.5 percent nationally1ii while Karamoja has the highest prevalence of food insecurity in Uganda2. Local government structures are weak, and acute gaps exist in access to basic services. The prevalence of acute under-nutrition among children under five fluctuates between 9% and 12% to 15% over the course of a year3. Approximately 45% of children less than 5 years of age are stunted compared with a national average of 33%4. Just over 10% infants in the region are born low birth weight5. Gender relations are shifting in Karamoja, reflecting changes in pastoralist and agro-pastoralist livelihoods. Women generally have less control than men over productive resources, and consequently limited control over both the products of their labour, and ability to engage in productive economic activities6. However, a number of factors mean that pastoralists are finding it increasingly necessary to supplement livestock-based activities through livelihood diversification. Women are playing a key role in this diversification, sometimes becoming primary household providers7. Patterns of sexual and gender based violence have changed in recent years, violence against women, including rape and violence associated with alcohol abuse becoming more prevalent8. The role of women has been highlighted as an under researched area, although women have been recognised as a potential focus for alternative livelihoods interventions9. 2. Changing Disaster Risks There is strong evidence that globally climate change is leading to more frequent extreme climate events (e.g. droughts and floods) in the short-term10 and to significant increases in temperature in the medium-term11. There is also strong accumulated evidence that poor countries, societies and households are most vulnerable to extreme climate events and to the changing climate.12 Figure 1iii illustrates how exposure and vulnerability to weather and climate events determine impacts and the likelihood of disasters. Natural climate variability and climate change influence climate extremes and other weather and climate events that can contribute to disasters, as well as the i The principal ethnic groups in the region are the Dodoth in the north, the Jie in the central region, and the Karamojong (subdivided into the Bokora, Matheniko, and Pian groups) in the south. The Pokot, an unrelated tribe from a separate linguistic group, are located near the border of Kenya in the southeast of the region. ii If wealth accumulated (i.e. increase in herd size) is included as income, household incomes are broadly comparable to those of equivalent economic groups in other parts of rural Ugandaii. iii See Annex A, Glossary of Terms for key concepts referred to in the text. 3 exposure and vulnerability of populations and natural ecosystems. Disaster risk management and adaptation to climate change can reduce exposure and vulnerability to weather and climate events and thus reduce disaster risk, as well as increase resilience to the risks that cannot be eliminated. Picture 1: Inter linkages between Climate Change and Disaster Risk13 Climate change, through its impact on climate extremes and other weather and climate events, is expected to increase disaster risk in many countries. Weather related hazards negatively impact the productive assets and coping capacities of vulnerable poor communities14, threatening development gains. Closer integration between disaster risk management (DRM) and climate change adaptation is needed to mitigate the impact of these changes, with effective DRM in the short term facilitating adaptation of climate change in the long term. Uganda is vulnerable to the impacts of climate change and climate variability. Since 1960, mean countrywide annual temperatures have risen by 1.3o C15. Climate projections developed by the Climate Systems Analysis Group (CSAG)16 suggest increased temperatures of between 2°C and 2.5°C by 2046-2065, together with increased levels of rainfall. The Uganda NAPA estimates that up to 90 percent of the country’s natural disasters are climate related. Karamoja is one of the most vulnerable regions in Uganda. The arid and drought-prone environment of much of Karamoja has always made food security and survival difficult and challenging. There is anecdotal evidence that the weather in Karamoja has become more variable in recent years17. There were seven droughts between 1991 and 2000, and droughts also occurred in 2001, 2002, 2005 and 200818, with extended dry spells reported every second or third year. In arid areas, as in large areas of Karamoja, there is overwhelming evidence that pastoralism is a well-adapted response to unreliable weather, and more resilient than that of settled households19. 3. Conflict and Insecurity Key drivers of conflict and insecurity in Karamoja have included economic and political marginalization; degradation of the local environment and ecology, and cattle raiding. A number of surveys have provided significant insight into the importance of security for the Karamojong people, and the challenges that insecurity presents for economic development. In a survey of 337 individuals in Karamoja, 84% listed insecurity/armed conflict as the greatest problem affecting 4 their communities20. The Ugandan national army, the Ugandan People’s Defence Force (UPDF), has long been active in Karamoja because of this insecurity, focusing during the last 10 years on conducting a number of disarmament campaigns aimed at restoring security to the region via the removal of arms from the civilian population, through both voluntary and forceful arms appropriations. The most recent disarmament campaign was embedded within the Karamoja Integrated Disarmament and Development Programme (KIDDP 2007-11), and was considered to be part of a broader process addressing the roots of conflict. Physical insecurity has a number of damaging effects on food security, including loss of livestock, access to land for cultivation and property and human life. It has been reported that the disarmament campaign disrupted livelihoods, the protection provided by the UPDF in the kraal / manyatta mobility systemiv causing numerous difficulties for pastoralist communities, including access to their cattle21. Because of insecurity, animals have tended to overgraze designated safe areas accelerating environmental degradation, and there is a problem of overgrazing in areas adjacent to “protected Kraals”v. Over the past few decades, greater pressure has been put on pastoralist mobility, and conflicts over pastures have escalated, limiting access to some of the wetter areas. This has contributed to destruction of the grass cover by serious overgrazing, bush encroachment and soil erosion22. Karamoja continues to be affected by conflict and insecurity at different levels. While progress has been made in reducing the availability of small arms and light weapons, there are still many structural and underlying issues that need to be addressed. Social structures and traditional means of decision-making have been affected, as most clearly seen in changing relations between generations and genders23. While open conflict (cattle raiding) has been reduced, violence against individuals (violent robbery, rape, domestic violence) and petty crime appear to be on the increase24. Redundancy among youth and men together with resulting high rates of alcoholism are a contributing factor25. In their conflict analysis of northern Uganda, the Advisory Consortium on Conflict Sensitivity (ACCS)26 identified the following issues as affecting the region: conflict over land and natural resource management; youth frustration and lack of livelihood options; sexual and gender-based violence; and deficits in transitional justice and peace building. 4. Livelihoods, Chronic Food Insecurity, and Vulnerabilityvi27 Although poverty is the underlying cause of chronic food insecurity and vulnerability, these are exacerbated by extreme climate, and other weather events. Relatively small climate events (erratic rains, dry spells, late / excessive rains) can have a serious impact on livelihoods. There is a two-way relationship between poverty and changes in the climate: poverty increases the vulnerability of individuals to shocks, which in turn can exacerbate poverty and inequality triggering a vicious cycle. Climate extremes and other weather and climate events are likely to become even more important as causes of food insecurity and vulnerability, exacerbating other underlying factors. Karamoja is unique within Uganda in terms of its environmental and socio-economic characteristics. The regional climate consists of arid and semi-arid agro-ecological zones with rainfall ranging between 350-1000 mm per annum, although this varies widely throughout the year and by region28. Unlike other areas of Uganda, the region has a mono-modal rainfall pattern, with rainfall occurring sporadically from April to September and a prolonged dry spell from iv Kraals are mobile camps employed by pastoralists, often fortified to protect against raids. Manyattas are semi-permanent family dwellings, often including huts and granaries. v Areas gazetted by the UPDF within settlements where all the livestock are kept overnight for protection. “’the degree to which a population, system, community, household, or individual is susceptible to and unable to cope with hazards and stresses, including the effects of climate change” vi 5 October to March. Since the rainy season does not begin and end at the same time in all zones, pastoralists need to be highly mobile in search for areas with sufficient productive resources while the rainy season facilitates the growth of pastures, it is also associated with a higher prevalence of livestock diseases.29 The region is composed of six livelihood zones, each falling broadly within one of three livelihood systems: a predominantly ‘agriculture-based livelihood system in the western part of the region, a largely ‘agro-pastoral’ system in the region’s midsection, and a mainly ‘pastoral’ system in much of the east of the region30 (Figure 1). The pastoral and agro-pastoral zones to the east are more arid, whilst in the agricultural belt to the west; rains are more reliable and frequent. The majority of the population pursue pastoralist or agro-pastoralist livelihoods combining livestock management and opportunistic cultivation31. Livelihood strategies are however shifting. One key reason for this is that insecurity has limited people’s ability to engage in traditional pastoralism, as their mobility has been restricted and they have been unable to access rangeland resources. The pastoral and agro-pastoral zones are particularly prone to droughts. The four major droughts in Karamoja in the past ten years32 have each affected a minimum of 600,000 people - half the region’s population33. Settled, crop-based farming is a vulnerable livelihood strategy in these areasvii. The vulnerability of sedentary agriculturalists and agro-pastoralists with a significant dependency on seasonal crop production has resulted in external assistance generally being targeted to these areas. Settled and agro-pastoral communities are easier to reach on a consistent basis than constantly moving pastoralists, while the targeting of programmes to these areas is consistent with the government’s approach of encouraging settlements. A nomadic way of life is a natural response to an unreliable climate, and is more resilient than that of settled households34353637. Droughts in Karamoja are localised, with crop failures caused by both poor rain distribution and excess rain. Pasture and browse are not affected in the same way as crops. Recently there have been no years where pasture or water for livestock has been unavailable. Cattle raiding, personal insecurity and policies supporting increased settled farming in traditionally agro-pastoral and pastoral areas are however undermining pastoralist livelihoods38. Restricted mobility limits access to dry season pasture, compounding environmental challenges, as settlements become increasingly concentrated and exploitation of natural resources intensifies. This contributes to overgrazing of the remaining rangelands, deforestation and land degradation39 further depleting the natural resource base40. Pastoralists are also suffering from a decline in the numbers and health of cattle41 due to cattle vii Agricultural production is also negatively impacted by plant pests and diseases, weak postharvest handling practices and storage, and difficult access to agricultural inputs and markets. 6 raiding, animal diseases, restricted mobility, extreme weather conditions and reduced land and water availability. The 2011 FAO Karamoja Food Security Assessment reported a reduction in herd sizes over the previous two years despite high rainfall and improvements in pasture and browse availability, attributing this to disease outbreaks and poor feeding due to mobility restrictions. Animal disease leads to both fewer productive household assets and, through diseases that can be transmitted from animals to humans, to increased human morbidity and mortality42. Reduced cattle numbers, combined with low calving rates (due to brucellosisviii43) and shorter grazing hours, have resulted in a fall in milk production to less than one litre per cow per day – this is generally not enough to support the daily milk requirements of a family. The combination of declining cattle numbers and milk production has a direct impact on household nutrition, given that the main food sources of pastoralists and agro-pastoralists are from meat, milk and purchased food / food assistance44. The decline in pastoral livelihoods is leading to an increase in extreme vulnerability and poverty, with a move to a sedentary lifestyle. Other drivers towards more settled livelihoods include insecurity, and the absence of productive male labour within the household - most settled households are headed by women.45 There are few pull factors in Karamoja in terms of alternative livelihoods, beyond casual labour and gaining access to targeted livelihoods and nutrition programmes46. 5. Policy and Programming Context Peace, Recovery and Development Plan (PRDP): Following security improvements in northern Uganda, the Government of Uganda (GoU) developed a comprehensive Peace, Recovery and Development Plan (PRDP), which sought to promote peace and reconciliation to eradicate poverty and improve welfare in Northern Uganda and Karamoja. Phase 1 started in July 2009 and was completed in June 2012. Phase 2 will last until June 2015. The PRDP has offered a path to more sustainable development through a centralised national plan and budget, with the potential for improved planning and harmonisation. PRDP 2 has provided the possibility for an extended period of transition planning, which will inform, and be integrated into regular government development planning processes by 2015. The Karamoja Integrated Development Programme (KIDP) (2011-2015) forms part of the PRDP, and aims to address the unique development challenges in Karamoja. The KIDP is coordinated by the Office of the Prime Minister (OPM) with political leadership and oversight provided by The Minister for Karamoja Affairs. The OPM has also developed the Karamoja Action Plan for Food Security (KAPFS) (2009-2014), to assist in the implementation of the livelihood component of the KIDP. The KAPFS aims to ensure sustainable food security and support increased household incomes, by, for example, increased crop and livestock production, restoring degraded natural resources and capacity building. PRDP, KIDP and KAPFS provide a framework for donor support to Karamoja. However, implementation of PRDP 2 was affected in 2012 by a freeze in development partner support following a report by the Auditor General on the misappropriation of funds earmarked for Northern Uganda. Ring-fenced budget support and special programmes, including those supported by DFID, are currently on hold. Other Relevant Government Policies: The Government has taken steps to strengthen disaster risk reduction (DRR) policies through the National Policy for Disaster Preparedness and Management and institutionalized DRR at the national level and at local levels though District Disaster Management Committees. Capacity to implement and develop disaster risk management plans however remains weak. There are also gaps in policies concerning dry land environments and pastoral livelihoods, the Rangeland Management Policy and the Pastoral Code, currently do not provide supportive foundations for the sustainable management of viii The prevalence of Brucellosis is reported to be increasing in the region 7 rangelands for mobile livestock production systems. Uganda’s adaptive capacity is currently low, ranking 7th in terms of the highest levels of unpreparedness among the 28 most vulnerable countries in the world47. A Climate Change Unit (CCU) was created in 2008 within the Ministry of Water and Environment (MWE), with the objective of strengthening implementation of the United Nations Framework Convention on Climate Change (UNFCCC). The Ministry has recently developed a Climate Change policy, and is currently developing a road map for policy implementation. The CCU is currently receiving support from a number of development partners, including in the area of adaptation. The Uganda Nutrition Action Plan (UNAP) (2011 to 2016) sets an ambitious agenda to reduce malnutrition levels among women of reproductive age, infants and young children. The plan aims to scale up cost-effective, community-based initiatives that emphasise prevention and control of malnutrition; establish an enabling legal environment and strong institutional capacity; strengthen food security and nutrition programmes; and conduct operational research. Programme activities, working at district level, aim to ensure that nutritional interventions work towards building longerterm community resilience. The UNAP acknowledges the current weaknesses in capacity, coordination and nutrition-related services in Uganda; it does not however address disaster preparedness and risk management issues. A plan is currently under development for the roll out of a comprehensive package of interventions in three priority regions, including Karamoja. Implementation is due to start in mid to late 2013, although to date only a limited amount of additional finances have been received to enable implementation. The Shift from Humanitarian Response to Sustainable Development: Since 2010 there has been a major shift in development partners’ programmes from humanitarian assistance to livelihood protection and promotion. The shift was reflected by the phase out of European Commission Humanitarian Aid (ECHO) and the United Nations Office for the Coordination of Humanitarian Affairs (UN OCHA) in 2011, and was supported by the main humanitarian donors (ECHO; USAID; DFID)48. Karamoja had received relief assistance for more that forty years, meeting short-term needs but with a limited focus on development. General food distributions peaked in 2009 with 90% of the population receiving food rations. Changes in the food assistance strategy to direct assistance to extremely vulnerable households, and support via public works programmes followed a change in the phase of the Integrated Food Security and Humanitarian Phase Classification System (IPC)49 to moderate food insecurity. During the phase out period OCHA continued to support coordination via support to OPM and the introduction of an integrated UN coordination system. Support was also provided for the development of district contingency plans, although the emergency response fund (ERFix) was phased out in 2011. OCHA’s final recommendations included: a strengthening of early warning, emergency preparedness and response planning, the scale up of existing livelihood programmes, further support to soil, water, and rangeland management and the control of crop and animal diseases.50. ECHO involvement in Karamoja was phased out at the end of 2011, with only limited activities continuing until 2013 via ECHO’s Regional Drought Preparedness Decision, and Regional Learning and Advocacy Programme for Vulnerable Dryland Communities (REGLAP). These included: the development of a Drought Early Warning System by ACTEDx; IPCxi, and food security and livelihoods analysis (FAO); support to the Integrated Management of Acute Malnutrition (IMAM) and nutritional surveillance system (UNICEF, ACF, Concern Worldwide); and ix ERF was established in 2009 by the Humanitarian Coordinator to support rapid responses at the onset of a new emergency, with a financial ceiling of one million $ US. x DEWS was based on the Arid Lands Resources Management Programme (ALRMP) Kenya xi IPC is a standardised, transparent and consensus-based classification of acute and chronic food insecurity. 8 development of community based disaster risk reduction programmes and livestock disease surveillance (through an NGO consortium led by Dan Church Aid). FAO’s IPC and food security and DRR assessments have helped generate an improved understanding of food security and livelihoods in Karamoja, enabling the shift from food relief to more effective programming options, including the design of the EC’s Karamoja Livelihood Improvement Programme (KALIP)51. Although KALIP complements previous programmes, it does not have the necessary size or flexibility to match all the elements of the ECHO programmes52. What are we and others doing?53 The EC and USAID have both developed livelihoods and food security programmes. KALIP (2011-5) covers a limited geographical area, and is focused on building productive assets; increasing farmer productivity, food security and income generation and strengthening local government. USAID, via a Food for Peace programme (US$ 100 M 2012-7), is sponsoring Mercy Corps and ACDI / VOCA programmes in agribusiness, financial services, enterprise development, community development and food security and nutrition. A clear objective of these programmes is agriculture and livestock productivity, including expansion of market access and diversification. The GoU’s Expanding Social Protection Programme ((ESP 2009-15), supported by DFID, is piloting a cash transfer system for senior citizens and vulnerable families, including in four districts in Karamoja. DFID also funds specific components of the Northern Uganda Social Action Fund (second phase - NUSAF II), a World Bank (WB) programme that seeks to improve access in Northern Uganda to income-earning opportunities and better basic socio-economic services. DFID is also funding the public works (PWP) component of NUSAF II in Karamoja via the World Food Programme (WFP), and has previously funded the supplementary feeding component of WFP’s Protracted Relief and Recovery Operation (PRRO). The PRRO and PWPs have recently been evaluated, with recommendations to continue support contingent on the adoption of changes to programme objectives and design54 55. DFID also provided nutritional assistance through WFP and UNICEF (2011-2013) in response to drought and poor harvestsxii. Support was provided to WFP’s community based supplementary feeding programme (CBSFP) under the PRRO, and to UNICEF’s Integrated Management of Acute Malnutrition (IMAM), nutritional surveillance and water, sanitation and hygiene promotion (WASH) programmes. The Project Completion Report56 (PCR) noted that although the programme had a considerable impact, malnutrition rates had not been maintained within WHO emergency thresholdsxiii, and recommended that stabilisation of the nutritional situation should be considered a priority in the short term. 6. Enhancing Resilience is a High Priorityxiv It will take many years to reduce chronic food insecurity and vulnerability in Karamoja. The shift from humanitarian assistance has been accompanied by declining levels of external assistance, with a primary focus on livelihood promotion without adequate attention to programmes that target the most vulnerable57. It is highly likely that the people of Karamoja will require humanitarian assistance in the short term given both the level of vulnerability of the population and the likelihood of an extreme or other weather and climate event. There is an immediate need to scale up programmes that address the vulnerability of agro pastoralists and pastoralists while maintaining and improving emergency preparedness and xii Sustaining Nutritional Assistance in Karamoja Programme 10% Global Acute Malnutrition (GAM) and 2% Severe Acute Malnutrition (SAM). xiv Disaster resilience is the ability of countries, communities and households to manage change, by maintaining or transforming living standards in the face of shocks or stresses such as earthquakes, drought or violent conflict – without compromising their long-term prospects (Defining Disaster Resilience: A DFID Approach Paper, 2012). xiii 9 response capacities. Livelihood programmes, programmes which target the vulnerable, and disaster risk management and early warning and response systems require immediate support. In the short to medium-term programmes will need to more effectively address challenges such as the limited technical and administrative capacity of government and local partners to manage and coordinate these programmes. Immediate needs can be considered in terms of four broad categories: a) Strengthened early warning preparedness and response systems: good local data and a functional early warning system are essential for effective response. However, many of the former early warning programmes were discontinued in 2011 due to lack of funds – this includes the IPC and livelihood analysis.58 The ACTED supported drought early warning system (DEWS), nutritional surveillance and animal health surveillance systems are due to end in 2013. Previous efforts have not been well coordinated, and the system is in need of rationalisation. District contingency plans need updating, along with the development of preparedness and response plans. Institutionalisation of the contingency planning processes remains a critical challenge. In the short term programmes should support district authorities, building stronger links with other implementing partners and developing national programmes. An evaluation of previous programmes and a district capacity needs assessment are required. Rapid access to funding is central to the effective functioning of early warning systems and response plans. Despite the regular and predictable occurrence of both spikes in need, and disasters, these funding mechanisms are not in place. In the short term, an emergency response fund is needed, along with a risk facility to enable a rapid call down of additional funds. In the medium term the possibility of developing centralised response funds should be considered. There are currently no early pre-planned responses to reduce the impact of the next disaster event. These need to be researched, developed and piloted. Given the centrality of market failure as a cause of food insecurity, work on developing emergency market interventions should be prioritised. b) Strengthening livelihoods: the public works component of KALIP is based on cash for work, with a focus on soil and water production and management, and agricultural production and storage.59 Although public works programmes (PWPs) are implemented across Karamoja, coverage is insufficient to reach all vulnerable households who could and would be interested in participating. In addition to the creation of assets PWPs provide an important consumption smoothing function, which could be scaled up in the event of shock / disaster. A wellcoordinated programme, incorporating the lessons from recent evaluations could add significant value60. A key issue highlighted in the evaluation of the WFP NUSAF II programme, was the need to reconsider the current approach to supporting pastoralist livelihoods. The mid-term review of KALIP61 noted that Agro Pastoral Field Schools (APFS) are effective in promoting knowledge and best practises in agriculture and livestock management, as entry points for village savings and loans groups and animal health programmes. Given the contribution of animal disease to morbidity and mortality, scaling up animal health and surveillance interventions would provide a good return on investment62. The livestock value chain includes improved pastureland productivity and water supply. Water is essential to the resilience of livestock and pasture, and programmes should be informed by the development of an integrated watershed management approach. c) Improving nutrition status: there is a high level of nutritional vulnerability among young children and women in Karamoja63. Addressing the various forms of undernutrition involves tackling the immediate, underlying and root causes of the problem. It also involves building resilient strategies and contingencies to ensure that people are able to maintain their 10 nutritional status throughout the year and when more severe shocks arise. This process will take years. The objective in the short term should be to stabilise acute undernutrition, in the medium term to reduce acute undernutrition and in the long term to reduce chronic undernutrition whilst continuing to protect gains from shocks and disasters. d) Improving coordination, analysis and lesson learning: the inefficiencies caused by poor coordination in Karamoja between different agencies, donors and governments cannot be overemphasised. Government has taken over the responsibility of coordination since the departure of the humanitarian agencies (led by UN OCHA), however capacity for coordination is limited and in need of strengthening. Any engagement in Karamoja should ensure that effective strategies are developed which will improve coordination structures, both through effective analysis and the sharing of information, and capacity support to the relevant agencies, and district and national government partners. A more co-ordinated approach amongst development partners is likely to increase the possibility of influencing relevant national policies, including those on settlement and pastoralism. There is an opportunity to influence the development of climate resilient growth related programmes in the medium to long term given that most programmes supported by the Government and other development partners are due to end in 2-3 years. (Table 1). Table 1. Summary of Relevant Programmes Timelines PROGRAMME This project PRDP 2 / KIDP Post-PRDP KALIP NUSAF11 ESP WB Regional Pastoral Livelihood Resilience Project IGAD Drought Resilience DONOR/COUNTRY DFID Uganda GoU OPM GoU OPM EU Uganda Karamoja WB Uganda Northern DFID Uganda WB Regional <2011 2012 2013 2014 2015 2016> IGAD Developing more rigorous evidence, together with the consideration and application of lessons from relevant DFID and regional programmes (see Table 2) will assist in the design and development of more effective and efficient programmes in the mid to long term. Although it is important to be realistic in terms of what can be achieved in the short term, given the opportunities to influence the development of future programmes, it will be important to make a significant investment in action learning and analysis to ensure evidence based engagement. Challenges that will need to be considered when designing resilience strategies in Karamoja646566 include: The perception in Government that pastoralism is unsustainable and incompatible with development67 Expansion of settled agriculture in dry areas is a risky strategy for farmers; reduces pastoralist mobility and increases levels of cattle raiding and personal insecurity6869. The increasing degradation of the natural resource base70 The high prevalence of chronic and acute malnutrition71 The lack of effective early warning and response systems 11 The increase in the number of vulnerable settled communities. The scope and scale of existing programmes is currently inadequate to meet growing demand72 7. Rationale for the DFID Intervention Climate extremes and other weather and climate events are becoming increasingly frequent and severe in Karamoja while the natural resources on which the population depends are increasingly degraded. Based on available data a major climate related impact is likely to happen within the next two to three years. Given the high vulnerability of the population, and the lack of preparedness and response plans, DFID will otherwise be called upon to support a humanitarian response which risks being both late, and based on food relief. This will further undermine the livelihoods of the population, increase current levels of vulnerability, and negatively impact development oriented strategies. Activities proposed in the programme aim to mitigate against this risk, increase the resilience and capacity of the population, and provide value for money. There is now compelling evidence that the impact of disasters can be significantly mitigated by building the resilience of countries and people, and addressing the root causes of vulnerability. The right combination of humanitarian, development and political action can reduce unnecessary loss of life and suffering, in the long-term reducing the need for humanitarian aid. Investing in resilience is much better value for money. A DFID CHASE funded study in Kenya and Ethiopia comparing the costs of a late humanitarian response with early response and longer term resilience investments, found that, over a 20 year period, every $1 spent on resilience resulted in $2.9 saved in the form of reduced humanitarian spend, avoided loses and development gains73. The high incidence of poverty and levels of vulnerability, malnutrition, and disaster risk make a strong case for DFID intervention. The scale and depth of need suggests prioritising livelihoods and public works programmes. There is also a funding gap in a number of other critical areas due to the withdrawal of humanitarian support, for example in the areas of early warning and response systems, nutritional surveillance and nutrition. Other development partners, particularly USAID and the EC, have developed programmes based on development instruments which are unable to meet the shortfall, or scale up, in the short term. DFID has gained a significant understanding of the issues affecting Karamoja, influencing the shift from humanitarian assistance to sustainable development, and developing programmes with a social and livelihoods protection focus. DFID also has a long history of funding humanitarian responses in Karamoja, including recent support to a scale up of nutrition and WASH programmes. Building on this experience and further developing existing relationships is a basis to move forward. Focussing on resilience provides a framework for both the development of a new programme, and for influencing the plans, policies and programmes of other development partners. Given that a number of key programmes are due to end in the next 2-3 years, there is an opportunity to influence the future development of GoU and development partner programmes and policies through improved coordination, engagement, and by developing more rigorous evidence. The application of lessons from regional and global DFID programmes will greatly assist DFID Uganda in meeting these objectives. 12 The Strategic Case is Coherent With: DFID Uganda’s Operational Plan: the plan identifies the need to work in Karamoja and to support the process of moving from humanitarian aid to development planning. This business case provides the opportunity to move forward with government and partners in the region, linking DFID Uganda’s current work on social protection, disaster risk reduction and climate change. UK Government and DFID Uganda’s priorities towards embedding resilience: the June 2011 response to the Humanitarian Emergency Response Review (HERR) presented disaster resilience as ‘a new and vital component to the UK Government’s humanitarian and development work74. Building on this, the UK Government’s Humanitarian Policy75 puts resilience at the centre of its approach to disasters, both natural and man-made. This includes commitments to embed resilience-building in all DFID country programmes by 2015, integrate resilience into work on climate change and conflict prevention and improve the coherence of development and humanitarian work. The programme is also coherent with Uganda’s Strategic Programme Review of Climate Change (July 2012), and draft Resilience Strategy (March 2013). UK Government priorities on nutrition: these are described in ‘Scaling Up Nutrition: The UK’s Position Paper on Undernutrition’ (September 2011) which commits the UK to scale up on global undernutrition and in particular to “build longer term capacity to respond to nutritional crises through multi-year funding”. The UK Government’s Humanitarian Policy (2011), also commits the UK to address “the root causes of vulnerability”76 and improve links between development and humanitarian work. This programme will also make a contribution towards meeting the first Millennium Development Goal (MDG), to end extreme poverty and hunger, and to DFID’s priorities, as outlined in its Business Plan for 2011-15 to ‘Improve the coherence and performance of British international development policy in fragile and conflict-affected countries’77. UK Government priorities on climate change Financing for the programme is from the International Climate Fund (ICF) - a dedicated crossgovernment fund for developing countries to support projects related to climate change. The Enhancing Resilience in Karamoja programme was endorsed by the ICF to work up a Business Case after the April 2012 ICF competitive bidding process based on the ICF selection criteria. It was regarded as sufficiently transformational, and in line with the ICF’s strategy, in particular the strategy’s objective of supporting poor and vulnerable people in developing countries to respond effectively to existing climate variability and the future impacts of climate change. The programme is in line with a number of the priority sectors and interventions identified by the ICF for support. These include: Disaster risk reduction and early warning systems; Addressing the impacts of climate change on girls and women; Social protection measures and their integration with disaster risk reduction initiatives; Support to health systems and deepening knowledge and action on specific impacts (e.g. malnutrition); Scaled up delivery of programmes in a range of key vulnerable sectors that are critical to poor people’s livelihoods and growth; Building knowledge, capacity, institutions and evidence. This programme has been designed taking into consideration other similar DFID programmes in the region and globally. The programme will both contribute to the evidence base developed through implementation and draw upon lessons and evidence for other programmes, including the expertise of DFID staff. 13 Table 2. Summary Relevant DFID Programmes Programme Country / Time Period Potential for cross-learning. Productive Safety Nets Programme (PSNP) DFID Ethiopia, World Bank (2010 – 2014) Climate Smart Initiative (CSI) integrates resilience into PSNP Building Resilience through Asset Creation & Enhancement (BRACE) DFID South Sudan (2013 – 15) Moving from humanitarian to development environment Livelihoods and Food Security Programme (LFSP) DFID Zimbabwe (2013 – 7), Ethiopia Peace & Development Programme (DDP) DFID Ethiopia (2013 – 18) PSNP component, innovative links with markets, strong focus on nutrition Pastoralist Somali Region Moving from humanitarian to development Building Resilient & Adaptive Livelihoods In Kenya’s Arid & SemiArid Lands (ASAL) Strengthening Adaptation and Resilience to Climate change in Kenya (StARCK) DFID Kenya (201122015) DFID Kenya (20122014) Community-level climate change adaptation Risk Financing Mechanism Catalyses private sector investment Invests also in civil society capacity B. Impact and Outcome that we expect to achieve The programme will directly contribute to the achievement of the following targets set out in the UK’s position paper on undernutrition, and those of the International Climate Fund (ICF): The number of people supported to cope with the effects of climate change Number of children under five and pregnant women reached through DFID's nutritionrelevant programmes. The overall impact of the programme will be increased resilience of the population of Karamoja to climate extremes and weather events. Potential indicators include: Number of people indirectly supported to cope with the effects of weather and extreme climate events through early warning and preparedness systems (ICF indicator 1) Extent to which the Programme is likely to have a transformational impact (ICF indicator 15). For example through the integration of resilience into other development partners programmes; use of evidence and lessons developed by the programme; impact on coordination and planning structures. The specific outcome of the programme will be increased resilience of target communities to climate extremes and weather events. Potential indicators include : 700,000 people directly supported to cope with the effects of climate change (community nutrition, animal health, public works) (ICF indicator) Stabilisation in prevalence of Global (GAM) & Severe Acute Malnutrition (SAM) in children aged 6-59 months: GAM <10%; SAM < 2% 14 Programme results will provide a platform which will inform and influence programme and policy development based on a better understanding of what does and what doesn’t work. This will inform DFID’s future engagement in the region, and support improved coordination with other development partners and the Government of Uganda. 15 Appraisal Case A. General overview: Theory of Change The following Theory of Change (TOC) shows how the programme’s outcome and impact, described in the Strategic Case, may be achieved by a series of potential outputs and activities to be identified in a preferred option. Impact Increased resilience of the population of Karamoja to climate extremes and weather events Expected Step change 3: 1.2 million people – the population of Karamoja are made more climate resilient (longer term) through strengthened early warning and response systems and the integration of resilience into government and development partner’s policies and programmes. Outcome Increased resilience of targeted communities to climate extremes and weather events Expected Step Change 2: Up to 700,000 people directly benefit from programme interventions that reduce short term vulnerability and increase their resilience. Outputs 1) Implementation and delivery of programmes targeting vulnerable groups. 2) Implementation and delivery of strengthened food security and livelihoods programmes 3) Strengthened early warning, preparedness and response systems 4) Improved development coordination in Karamoja 5) Strengthened evidence and lesson learning that further improve resilience in the longer-term Expected Step Change 1: Funding targeted on high VfM inputs maintains current resilience and builds evidence base for the future Inputs Community based nutrition Cash and food transfers Rebuild community assets through public works Strengthen pastoralist livelihoods Natural resource management Nutrition, animal health and food security information systems Support to existing coordination structures Technical assistance Innovative pilots Robust analysis Risk management financing Emergency preparedness and response The Strategic Case provided the context regarding climate change, climate variability and livelihoods in Karamoja. It showed that Karamoja is moving from a situation of humanitarian support needs to one where long term support to sustainable development can and must be provided, and it argued that building resilience is a high priority. 16 A number of conditions that would facilitate this change were detailed: firstly, that building resilience requires strengthening programmes targeting vulnerable groups; secondly, that it requires livelihoods to be strengthened; thirdly, that effective early warning and response systems be developed; and finally, that in Karamoja the entire process requires improved coordination, analysis and lesson learning. It further outlined the policy context, provided detail about DFID’s national and regional programmes, as well as those of other development partners. It provided evidence underpinning the intervention, and gave a justification for DFID to adopt the business case. A number of factors will guide the selection of a preferred option for meeting the programme outcome of increased resilience to climate extremes and weather events in Karamoja these are: 1. High rates of malnutrition and the risk of an extreme or other weather and climate event make an early start to the programme important; 2. There are funding gaps in key programme areas, and in the support to vulnerable groups, increasing current vulnerability. For example funding will be required in early 2013 for effective implementation of public works programmes given seasonal planning and the need to pre- position food and other programme inputs. 3. The proposed time line for the programme is broadly in line with partner programmes including the Government of Uganda, World Bank and the European Commission. This underlines the importance of the transformational and evidence-gathering components of the programme. 4. Recognising that investment in Karamoja will be required in the medium and long term, the programme should identify and develop analysis that will inform longer term investments. 5. DFID has frozen financial aid until adequate fiduciary measures have been taken to guarantee the intended use of UK Aid. This impacts both the proposed use of DFID funds, and the choice of delivery partners. 6. The need for better coordination to ensure cost effective programming and the development of a more effective approach to reducing vulnerability in Karamoja. This will need to take account of the limits to support as a result of the freeze on financial aid. 7. All programmes are designed to build the capacities of local authorities and local communities, and should develop strategies for sustainability in the mid to long term that take account of capacity, finance, resource and political constraints. 8. Given instability in the cultural and security context in Karamoja, conflict sensitivity analysis will need to be mainstreamed into the programme. 9. Options considered will also take account of the need for equitable distribution of benefits. 17 B. Feasible Options and their Strengths B1. What are the feasible options that address the needs set out in the strategic case The strategic case identified four broad areas of intervention for building resilience and achieving the outcome and impact statements. These are: Strengthening programmes targeting vulnerable groups, particularly nutrition programmes (TOC Output 1) Strengthening livelihoods and food security (TOC Output 2); Strengthening early warning, preparedness and response systems (TOC Output 3); and Improving coordination (TOC Output 4), analysis and lesson learning (TOC Output 5). The appraisal asks two questions: Which approach would best achieve the outcome and impact? and; Which partner(s) are best placed and resourced to implement the recommended approach? (Section B4) Two options have been identified based on the strategic analysis, the theory of change, DFID’s recent programming experience in Karamoja and the key factors influencing design. Both options are based on the premise that disaster risk reduction and resilience requires a substantive shift away from emergency food relief in Karamoja, towards interventions that improve livelihoods in the medium to long term whilst protecting the most vulnerable in the short to medium term. They also both address the problem of poor coordination in intervention areas and provide for lesson learning and innovation to inform interventions (for DFID and others) that strengthen resilience in the longer-term. The two options are appraised against a “do-nothing counterfactual” option. OPTION A: Food Security This option is effectively a continuation of the work DFID has been supporting in Karamoja through the WFP NUSAF II programme, building in lessons and recommendations from the formative evaluation conducted in 2011 and scaling up support to the public works (PWP) component of the programme. This approach would help strengthen food security for 200,000 vulnerable but productive poor people (those with labour capacity) through continued DFID support to public works programmes, but with a greater focus on soil and watershed management. The programme would enhance food security through consumption smoothing, providing a food or cash transfer in return for work, at appropriate times in the season, when food stocks but also labour demand on own farms is low. In addition, it would contribute to building longer term food security through refocusing PWP asset creation on soil conservation and watershed management, thereby increasing resilience to climatic conditions and events. OPTION B: Resilience and Risk Reduction. This option combines activities described in Option A with those that specifically target vulnerable women and children, and agro pastoralist and pastoralist livelihoods. It also incorporates early warning and response systems to reduce the impact of any future disasters which would inevitably undermine developmental efforts. Specifically Option B would: Provide development support to the Integrated Management of Acute Malnutrition (IMAM) and supplementary feeding programmes. This would include therapeutic feeding to 37,500 acutely malnourished children Strengthen the food security of up to 200,000 productive vulnerable people and protect environmental assets through public works; 18 Improve animal disease control systems with 800,000 cattle vaccinated against epidemic diseases. Strengthen early warning and response systems: with a focus on contingency planning and response, system coherence, market systems and early response (livelihood protection) options. OPTION C: ‘Do Nothing’ Counterfactual No other sources of finance have been identified to support or scale up the outputs included in this business case. It may be assumed, therefore, that without DFID assistance there will be an unchanged, if not reduced, level of development assistance to Karamoja for the next few years. As such, there is a very high risk that DFID will be asked to contribute to an emergency response in Karamoja in the short to medium-term, raising questions as to the cost effectiveness of not supporting programmes that would increase resilience. In the absence of effective early warning and response systems there is a risk that the response to an impending emergency will be delayed leading to a major food crisis, a sharp increase in malnutrition and stunting in children and a return to large scale general food distributions. DFID would also lose the opportunity to leverage its experience from similar programmes in the region into the design of future programmes in Karamoja. This would greatly reduce DFID’s ability to influence the design of future programmes and ensure that resilience and vulnerability are mainstreamed more broadly into growth and development strategies for the region. This is considered a high-risk option. Table 3: Summary of Outputs and Activities for Options A & B. # Project Outputs Activities 1 Implementation and delivery of programmes targeting vulnerable groups. Implementation and delivery of strengthened food security and livelihoods programmes Strengthened early warning and response systems Management of Severe Acute Malnutrition Community Based Supplementary Feeding (CBSF) moderately malnourished children & pregnant & lactating women 2 3 4 5 Improved development coordination in Karamoja Strengthened evidence & lesson learning No. of beneficiaries / Level of focus Option A No. of beneficiaries / Level of focus Option B - 40,000 175,000 200,000 200,000 - Up to 500,000 N/A Up to 1.2mn indirectly District Government capacity Integrate disaster risk reduction into district development plans Low N/A High Medium / High Baseline food security analysis Action research on watershed management Short-term studies and reviews Innovation Fund N/A N/A Low PWP focus High High High Focus on a range of programme / research options Public Works Programme i. ii. iii. i. ii. iii. iv. v. Animal health (disease control & vaccination) Animal nutrition Agro-Pastoralist Field Schools Strengthen existing EWS Pilot new ‘chronic’ IPC Animal disease surveillance Nutrition surveillance Contingency Fund 19 B2. Programme Output: assessing the strength of the evidence base of feasible options This section provides an overview of the expected outputs, and asks the question “on the basis of the evidence available which approach would achieve the impact and outcome?” It looks individually at all of the outputs proposed in the Theory of Change. Table 4 provides a summary of the potential impact on resilience of the various options appraised and the strength of the evidence supporting this assessment. Table 4. Option Programme Areas: Summary of Resilience Impact and Evidence Ratings TOC Outputs 1 2 Implementation and delivery of programmes targeting vulnerable groups Implementation and delivery of strengthened food security and livelihoods programmes Options Resilience impact 1.Reduced vulnerability of the most food insecure and poorest households through transfers (food, cash, vouchers) via existing programmes 2. Increase the nutritional resilience of children, pregnant women through community based nutrition and supplementary feeding High in the short term, but unlikely to increase resilience in the mid to long term in the absence of long term commitment / social protection High – strong links to nutrition and resilience especially in children. High – we know the impact food aid / direct transfers. If not a comprehensive nutrition bundle it will not increase resilience of the beneficiary. . 1. Public Works Programmes Medium/low for PWPs. Medium globally but low in Karamoja. Limited evidence of the long-term impact of public works programmes in isolated areas. 1. Animal health (disease control & vaccination) 2. Animal nutrition 3 Strengthened early warning and response systems Potentially medium to high in the mid to short term; depending on quality and relevance of the intervention High for animal health Medium 1. Strengthen existing EWS work via DG 2. Pilot new ‘chronic’ IPC 3. Animal health (disease surveillance/ diagnosis) 4. Nutrition surveillance High – directly contributes to DFID, government and other donors future investments 5. Contingency Fund / Internal Risk Facility High as a response to extreme climate events High – will directly contribute to DFID, government and other donors future investments High 4 Improved development coordination in Karamoja 1. Building District capacity 2.Integrate disaster risk reduction into district development plans 5 Strengthened evidence and lesson learning 1. Baseline survey of Karamoja 2. Action research on watershed management 3. Short-term studies, reviews, Pilots 4. Innovation fund Potentially high Evidence Rating High – proven results, strong impact globally. Medium Karamoja - requires improved programme effectiveness, capacity building and commitment to ensure sustainability. High; strong Value for Money Limited evidence for rangeland management Medium – evidence that early warning and response plans improve resilience is strong. Evidence of what works in Karamoja is weak. High; evidence that animal disease surveillance of limited value without ability to respond promptly. High; strong evidence on impact. Medium – coordination can improve impact. However effectiveness depends on implementation capacity. High. Evidence forms the basis if effective policies and programmes As above 20 Output 1. Nutritional Programmes for Vulnerable Groups. A recent study on resilience in the Sahel noted that “there is no better single indicator of resilience…than the level of child malnutrition’. It went on to propose that “‘nutrition security’ be placed at the apex of the pathways to resilience78. People who are well-nourished and who have been well-nourished from birth are less sick less often, achieve more at school and go on to earn more during adulthood. Meanwhile, chronically undernourished children are disadvantaged throughout life and are more likely to have children of their own who are trapped in a cycle of poverty and under-nutrition79. Research from crisis prone regions demonstrates the impact of shocks on nutrition outcomes. Studies in the Gambia have revealed that women who are pregnant during the hunger gap give birth to smaller babies80. In Ethiopia and Niger, children born during a drought are more likely to be chronically malnourished later in childhood than those who are not81. The prevalence of chronic under-nutrition has been found to increase among Bangladeshi children following flooding82. It has been estimated that more than 20% of adult height variation in developing countries (the physical sign of having experienced chronic under-nutrition in childhood) is determined by environmental factors, in particular drought. Integrated treatment of severe and moderate acute undernutrition Community-based management of acute malnutrition (CMAM) xv has been shown to be a costeffective strategy for treating life-threatening acute undernutrition83. An effective CMAM programme in Karamoja will assist in stabilising and reducing the severity of acute undernutrition. The WFP PRRO and public works programmes (PWPs) have both recently been evaluated, recommendations indicating the need for continued support based on the adoption of key changes to programme objectives and design84 85. Targeted nutritional support for pregnant and lactating women and children < 2 years Provision of nutritional supplements for pregnant and lactating women and children <2 years has been shown to be effective for improving the nutritional status of women and children in vulnerable contexts86. Given the prevalence of under-nutrition among women and very young children, a specific supplementary ration for these groups could be important to protect nutritional status in the short and medium term. WFP has been providing a supplement to these groups on condition that women attend antenatal services and other essential health-related activities, reporting that this strategy has improved uptake of health services and has reduced incidence of low birth weight – this area requires further research and analysis. Expand promotion of optimal infant and young child feeding practices (IYCF) It is well established that improvements in breastfeeding and complementary feeding practices have positive impacts on child growth and reduce the risk of both chronic and acute undernutrition. Interventions that promote improved IYCF practices in Karamoja could achieve a stabilisation in acute under-nutrition. There is a lack of evidence of the most effective strategies for improving IYCF practices in Uganda, and a lack of understanding of the barriers to improved IYCF in Karamoja. A global review of IYCF promotion did identify that a combination of messaging through health staff, community health workers as well as through peer-to-peer community groups can be effective. As part of a preventative strategy support could be provided to the development of IYCF promotion on the basis of formative research into the barriers in Karamoja. There is good international evidence for interventions which directly address undernutrition, in xv CMAM is also referred to as IMAM (Integrated Management of Acute Malnutrition) or CTC (Community-based Therapeutic Care). 21 particular those delivered through the health sector87. Given the lack of investment in health service capacity in Karamoja, and lack of clarity on the responsibilities of Village Health Teams (VHTs), there is a high risk of poor delivery. Effective technical assistance, capacity building, and coordination between implementing agencies will be essential. Summary of Evidence Output 1: There is strong evidence that nutritional support to children, pregnant women and lactating mothers will deliver increased resilience. Option B preferable to Option A. Output 2: Strengthened Food Security and Livelihoods Programmes 2.1. Public Works Programmes (PWPs) Public works programmes are seen as making an important contribution in the shift away from emergency assistance to longer-term support for development. However a 2009 study of PWPs across Sub-Saharan Africa concluded that “the limited availability and poor quality of primary data from 167 public works programmes on programme cost, outputs, outcomes and the socioeconomic profile of programme participants limit the potential for addressing questions of cost, targeting or impact in the region”88. In 2012/3, evidence of the impact of PWPs was still limited. The formative evaluation of the NUSAF II WFP programme, which targets vulnerable households with labour capacity, found evidence of a positive impact on short term food security through consumption smoothing89 however, there was little evidence of a wider impact on long term resilience. The latter has proved more elusive in general with few notable exceptions. The Ethiopian Productive Safety Nets Programme (PSNP) provides valuable evidence on how to support governments in moving away from annual humanitarian emergency appeals90. It combines labour intensive public works with direct food or cash transfers to the most vulnerable households. Relevant lessons for PWPs in Karamoja include: Regular and predictable cash transfers (whether from public works or directly to households) are crucial to success; Graduation criteria (5 years) were overambitious; and It is important to tailor the interventions to two types of beneficiary; those with the long-term capacity to graduate out of poverty and others with chronic challenges. The formative evaluation of the Uganda NUSAF II WFP PWP recommended that re-orientation of the asset creation component would be needed to increase value for money, building longer term resilience through a focus on quality assets which address under-lying barriers to food security91. Evaluations of the WFP NUSAF II PWP and PRRO92 recommended the need for: Improved focus and delivery mechanisms Greater focus on the PWP component of NUSAF II. Improved targeting and analysis of underlying causes of food insecurity Evidence of the impact, and monitoring of nutrition outcomes Incorporation of gender and conflict sensitivity analysis The evidence suggests that strengthening livelihoods, and building assets, poses significant challenges for PWPs. The high cost of the WFP NUSAF II PWP is largely due to the cost of food distributions, and the possibility of a transition to cash / voucher systems should therefore be assessed. PWPs play an important role in providing assistance to vulnerable households in Karamoja. Given the high levels of vulnerability, and in the absence of alternatives, there is a strong case for funding to PWPs to continue. However, funding should be contingent on the implementation of evaluation findings, and the development of evidence. The implementation of PWPs should also inform and be informed by relevant reviews and evaluations, and feed into the 22 development of the GoU’s Social Protection Policy. 2.2. Strengthened settled and agro-pastoralist livelihoods. WFP NUSAF II and the Karamoja Livelihoods Improvement Programme (KALIP) aim to strengthen and diversify livelihoods. The Household Income Support Programme (HISP) component of WFP NUSAF II also provides inputs and training to individual and small groups of poor households and aims to enhance productivity and diversify livelihoods. The formative evaluation of the WFP NUSAF II programme however recommended that WFP focus on PWPs and transfer the HISP, or improve the links, with the livelihood programmes of KALIP / FAO. KALIP is focused on building productive assets, increasing farmer productivity, food security and income generation. Amongst its components KALIP includes programmes to improve livestock health and nutrition. Similar programmes are also supported by a Dan Church aid led NGO consortium. The USAID funded Mercy Corps and ACDI / VOCA programmes are focused on agribusiness, financial services, enterprise development, community development and food security and nutrition. A clear objective of these programmes is to support agriculture and livestock productivity, including through expanded market access and diversification. It will be important for the DFID supported programme to effectively coordinate with and learn lessons from these programmes. Mercy Corps intend to pilot a number of innovative market and livestock development approaches which could be supported through the innovation fund component of this programme. KALIP includes support to Agro-Pastoral Field Schools (APFS), which could also be scaled up under this programme. APFS have been developed from the Farmer Field School (FFS) methodology introduced into Uganda in 1999. There is some evidence that the FFS approach has imparted skills and technologies to households which have enabled an increase in production, productivity and incomes9394. APFS aim to improve livestock and crop production through a combination of water harvest technologies, participatory extension and use of the Community Animal Health Worker (CAHW) system. The KALIP Mid Term Review95 concluded that APFS are effective tools to strengthen livelihoods, and provide an effective entry point to address livestock nutrition, rangelands, environment conservation and soil and water management. 2.3. Animal Health Livestock production has been neglected in development programmes in Karamoja, despite the fact that pastoralism and agro-pastoralism are the dominant livelihood strategies. Surveys in Karamoja confirm that animal disease control is a high priority of livestock owners96. The World Organization for Animal Health97 concluded that the benefits of preventing transboundary animal diseases (surveillance and vaccination before an outbreak) greatly exceed the costs of controlling an outbreak (vaccination after an outbreak and/or slaughter). In Africa it has been estimated that an investment of Euro 14.7 million to control contagious bovine pleuropneumonia (CBPP) could save Euro 30 million in losses from morbidity/mortality, leading to a net benefit of Euro 15.3 million98. Support is currently provided to government production departments and the CAHW system by KALIP, and the ECHO supported NGO consortium. FAO has been building the Government’s capacity to control animal diseases for a number of years, including in Karamoja, where it has supported vaccination campaigns (2010) which led to the removal of a livestock movement quarantine. 2.4. Soil, water and rangeland management Studies implemented as part of KALIP have noted a serious degradation of Karamoja rangelands. Changes in weather patterns, and the possibility of an increased frequency in extreme climate 23 events, underline the importance of effective rangeland and water shed management. The KALIP MTR noting that upgrading rangelands should be a priority for future programming. Household livelihoods depend on sustainable access to water and soil resources, and although evidence on the benefits of soil and water management at household level is not extensive there are examples of high returns: A DFID-funded project in Malawi supporting crop diversification, soil and water conservation, and provision of drought-resistant livestock, has yielded a Benefit Cost Ratios (BCR) of between 24.30 and 37.32 depending on the underlying assumptions99: The DFID-funded Protracted Relief Programme (PRP) in Zimbabwe has shown that small scale projects (conservation farming; seeds, fertilisers and small stock distribution; crop diversification) which aimed to increase food security showed a BCR of between 1.6 and 17.2100 depending on the intervention; A small water-shed project in Rajasthan assessed by Sahu (2008)101 showed BCR of 2.14102. The scaling-up of watershed management programmes present particular challenges. A World Bank Paper103 highlighted two major concerns: Watershed management programmes have not always been demonstrably pro-poor; and Watershed management programmes have focused on micro-level activities and institutions upstream but have produced little or no evidence of impacts on downstream areas. This concern is of particular relevance to pastoralist livelihoods in Karamoja. Benefits from rangeland improvement practices can be even more difficult to estimate104. The prolonged time scale and number of externalities make it difficult to assess the economic benefits of rehabilitating natural resources, particularly those with intrinsically low value, with limited (or largely social) benefits, and with high rehabilitation costs. Summary of Evidence Output 2. The evidence on PWPs is strong in terms of aiding consumption smoothing but low to medium in terms of impact on poverty and resilience outcomes, depending on the relevance and quality of the assets. Animal health evidence, by contrast, is considered strong. Settled agriculture over much of Karamoja is high risk – the priority for these communities is to diversify livelihoods. A focus on this area should be considered a priority in the programme. A review of programmes that enable livelihood diversification should be implemented as part of the programmes learning component. Soil and water, and rangeland management are important in building resilience but the evidence is weak – this area could be piloted under the programme and included in the learning and evidence component. Overall, Option B is preferred given its stronger focus on lesson learning and improving performance on PWPs, the importance of animal health to pastoralists and agro pastoralists, and its stronger VfM (see Economic appraisal). Output 3: Early Warning, Preparedness and Response Systems. Surveillance and early warning systems are promoted as important elements of a coherent approach to under-nutrition in shock prone contexts. There is strong global evidence of the benefits of weather services and early warning systems for natural disasters. They provide good value for money and positive benefit/cost ratios, typically in excess of four and often higher in the case of floods and cyclones105. However, they may not pay in the case of high cost “over-built” specialized early warning systems designed to reduce risks from low-frequency events106’107. The value of nutritional data, information and analysis in galvanising action, strengthening approaches and preventing nutritional emergencies has been demonstrated in a number of contexts. Timely/regular data collection to monitor changes in nutrition is recommended in the Uganda Nutrition Action Plan (UNAP). The nutritional surveillance system established by UNICEF 24 and Action Against Hunger (ACF) has produced some extremely useful information. However weak analysis, a lack of collaboration with government institutions and other actors, and limited linkages with drought and food security surveillance systems has meant that this system has been largely under-utilised. The Uganda Drought Early Warning System (DEWS) was established in 2008, funded by European Commission Humanitarian Affairs and Civil Protection Office (ECHO). Its main objective was to build resilience to drought, implemented in seven districts of Karamoja by ACTED in collaboration with local and national governments, international organizations and UN agencies. The DEWS is largely implemented by the district local government, with all activities from data collection to analysis and production undertaken by district officials. A recent review of the system considered it to be cost-effective, have effective methods of collecting, analysing and disseminating information, and to provide credible and much needed advance information on drought risk. However problems were noted in the ability to link the information to a timely response due to constraints in preparedness and response systems108. ACTED is also supporting the Uganda Meteorological Department to operate its own local stations to record rainfall, temperature and wind speed, and has begun the process of developing a national coordination system. ECHO funding to DEWS programme will be discontinued in mid- 2013. The Integrated Food Security Phase Classification (IPC) aims to provide an objective, evidencebased and transparent analysis of food insecurity issues. The aim of the IPC is to provide a common classification, comparable over space and time, with early warning triggers calibrated to identify crises of similar severity in different circumstances. IPC uses all available information including classic early warning and conflict indicators. It produces high quality maps for the Greater Horn of Africa and is active in several other African countries, as well as parts of Asia. These maps are now the agreed global standard with the US-funded Famine Early Warning Systems Network (FEWS NET), the Food and Agriculture Organisation (FAO), the World Food Programme (WFP), other United Nations agencies and most large NGOs. The IPC food security severity classification was the agreed standard in the analysis and response to the recent Horn of Africa famine. National food security analysts of government and regional agencies, UN, and non-governmental organisations work together in an institutionalised IPC technical working group. Following an encouraging initial rollout in Uganda under the leadership of FAO, the IPC has come almost to a standstill, largely due to a lack of funding. FAO plans to initiate new work on the programme in 2013, using core funds provided by DFID centrally. Additional funds are required for a full roll out of the programme, and the piloting of a chronic vulnerability methodology in Karamoja. Support to early warning and vulnerability systems should include a review to ensure coherence in use and planning, and an analysis of sustainability options given weak and poorly resourced government systems. Preparedness and response OCHA previously provided assistance in the development of preparedness and response systems, including the development of contingency plans and management of an early response fund. This responsibility now lies with OPM and the District Disaster Management Technical Committees (DDMTC) which is operational in Karamoja. Both OPM and the DDMTCs are under resourced, and require assistance and additional financing to perform their functions. FAO has been piloting early response mechanisms including irrigated fodder production, the creation of feed banks and the production of Livestock Emergency Guidelines (LEGS) which set out standards for livestock interventions in humanitarian crises. The development of effective contingency and preparedness plans, and funds to operationalize these plans, are essential components of disaster risk management. There is little incentive to 25 draft detailed plans if there is no money to implement them. Contingency plans and funds are not available outside of the operational plans of implementing agencies – WFP is probably best prepared to implement a response in Karamoja. The programme should fund, and develop preparedness and response systems and capacity, and develop links to programmes with similar objectives, for example those of the Uganda Red Cross, and UNDP. Contingency funds & internal risk financing As outlined in the strategic case, Karamoja is highly susceptible to weather related shocks. The likelihood of rain failure leading to drought and failed harvests during the implementation period is high. While it is impossible to predict what will happen over the three years of the programme, recommendations from ICAI suggest that flexible funding arrangements should be in place to deal with such challenges109. Recent research undertaken in Kenya and Ethiopia110 suggests that providing assistance before a crisis reaches maturity is more economical and results in better outcomes for people than provision of emergency aid. Rapid response humanitarian aid is often expensive and does not provide the time needed to properly plan and develop initiatives that build sustainability. An internal contingency fund would allow additional resources to be rapidly channelled through the programme to respond to spikes in need, while additional sources of predictable funding through an internal risk facility (IRF) would ensure that DFID can release funds in a timely way in the event of significant increases in vulnerability. The amount to be included in the IRF should be a proportionate amount that would enable the UK to plan a significant catalytic role in funding early action. Based on preliminary analysis, if a similar scenario to 2008/9111 was to occur approximately $5m would be required to urgently scale up emergency food, nutritional security and human and animal health interventions. Summary of Evidence Output 3: The evidence for the value of EWS if they are not overdesigned and use good data is considered to be strong. A combination of the IPC, DEWS and nutrition and animal health surveillance would provide an essential and comprehensive EWS for Karamoja. The programme should also contain a contingency fund for immediate response; develop an internal risk facility and support and pilot programmes that are developing early response options. Option B preferred to Option A. Output 4. Improved Coordination There are many examples in the literature which highlight the need to develop mechanisms which strengthen coordination and minimise duplication112113 while the central role of governments in successful transition from short to longer term responses is widely acknowledged in fragile and conflict affected states114. Evidence of the impact and sustainability of short term capacity building to enhance coordination in Karamoja is low, while government capacity is weak. Programmes that assist coordination objectives should also provide analysis that enables the development of more effective mechanisms in the medium to long term. The programme is operating in a political climate where, particularly following the suspension of financial aid following the corruption case in OPM, it is difficult to work directly with key parts of government. Collaboration and capacity building of district government should be a short term priority, developing links to relevant national and regional coordination structures. Assistance to local government should include: i) ii) iii) iv) Building capacity to optimise the contribution to achieving specific outputs e.g. PWPs, community nutrition; animal health; Consulting and liaising with local government, including presentations to Chief Administrative Officers (CAOs); Help to minimise the current duplication of effort and unaligned activities; Analysis of programme coverage to inform more effective coordination and development 26 planning The assumption is that district governments are willing to work closely with implementing partners and that there is adequate common ground among development partners to collaborate. The main risk will be the willingness of government to fully engage with implementing partners in developing more effective coordination given that the programme is not providing funds directly to government coordination structures given current restrictions on the use of financial aid. Summary of Evidence Output 4: the evidence for the importance of coordination to achieving the outcome and impact is judged to be medium; it is qualitative and based on empirical evidence115 116 . Output 5. Strengthened Evidence & Lesson Learning. This area of work will complement the activities and programmes outlined above, and includes: 1. Formative and operational research: designing and researching specific analysis to inform implementation and future programme development to maximise impact; 2. Compiling lessons learnt and testing new approaches, with the aim of informing future interventions, and strengthening resilience in the medium to long-term; 3. Policy dialogue and strategic influencing: in order to support sustainability and leverage greater impact. Activities under component 1 may include: i. ii. iii. iv. v. Research and analysis on whether the provision of a nutritional supplement could act as an artificial incentive for women to attend essential health services, masking the underlying reasons why they do not use these. Formative research into the barriers to improved infant and young child feeding practices. Support to the nutrition surveillance system to strengthen understanding of how to support the nutrition security of women and children more effectively throughout the year. Development of a comprehensive food security baseline and the implementation of seasonal assessments to provide actionable knowledge for decision-making and response at both community and district levels, for use by district government and development partners. Action research in watershed management encompassing both technical and social research. This will assess the suitability and relevance of implementing a communitybased integrated watershed management programme. Activities under component 2 include: i. A general lesson learning function, built around key partnerships at both national and regional level ii. Management of an innovation fund, which will create opportunities for new ideas to be developed and piloted. The immediate priorities for the innovation fund will be refined through an inception phase in consultation with partner agencies, development partners and the Government. Priorities may include: i. ii. iii. iv. Political economy analysis. Gender analysis across all programme components. Conflict sensitivity analysis across all programme components An impact evaluation of the targeting and contribution of public works programmes in rebuilding assets, strengthening livelihoods and protecting environmental services. v. A review of the application and use of low carbon technologies. vi. A review of environmental and natural resource management programme approaches. 27 vii. A review of capacity building programmes. Policy dialogue and strategic influencing is one of the most important aims of the programme. Summary of Evidence Output 5: Option B is considered preferable over Option A given the increased focus on action research and learning. B3. Appraisal of each option: the evidence base This answers the question: “on the basis of evidence above, which is the best option?” Option A B Evidence rating Medium Strong On the strength of the evidence Option B is the preferred option. It will make a developmental impact in the short-term whilst having greater potential for addressing the fundamental challenges faced in building resilience in Karamoja over the mid to long term. The programme will also explore options for the vulnerable, dependent poor in Karamoja to receive long-term support from social protection programmes. Evidence is considered strong for Option B because of inclusion of: i) ii) iii) iv) Community nutrition - there is strong evidence that nutritional support to children, pregnant women and lactating mothers will deliver increased resilience. Animal health – there is strong evidence that support to animal health programmes will increase resilience given the importance of animal health to pastoralist and agro pastoralist livelihoods. EWS - the evidence for the value of EWS if they are not overdesigned and use good data is considered to be strong The increased emphasis on learning and evidence, and innovative pilots. B4. Assessment of delivery routes This section of the appraisal answers the question: “Which partner(s) would best implement the recommended approach?” The programme is designed to support government services. This is in line with the PRDP and KIDP, is consistent with both the programme’s resilience and influencing objectives, and offers better value for money than creating new delivery systems. Given that DFID had suspended direct funding to the Government of Uganda during the development of the business case, the programme’s design was based on implementing partners delivering outputs on behalf of government. This remains the preferred deliver option given both limited government capacity and the high levels of fiduciary risk, effective delivery of programme outputs and objectives requiring implementing partners to help improve and fill the gaps in government capacity and coverage. Given the range of outputs, a number of sub-projects will be needed to deliver the programme. Forming a strategic partnership with one agency, either in the form of a consortium or joint programming approach, is considered preferable to a multiple partner approach given the need to implement the programme expediently, and the reduced transaction and administration costs associated with a single partnership. The following three single partnership options have been considered: Option 1: An international consultancy company; 28 Option 2: A consortium of NGOs; Option 3: Joint Approach by United Nation Agencies. These options were ranked against the criteria in Table 5, where: 1= best, 2= second best, and 3 = third best. Table 5: Ranking of Options Appraisal criteria Option 1 International company or consortium 2 Option 2 NGO consortium Option 3 UN consortium 2 2 1 Demonstrate an understanding of different approaches to building resilience 2 Regional/global experience of managing complex projects 1 3 2 3 Recent experience and track record of working in Karamoja on complex programmes, preferably working with DFID 3 2 1 4 Ability to field a team “on the ground” in Karamoja rapidly and scale up 3 2 1 5 Flexibility and responsiveness 1 3 3 6 Access to technical expertise 1 3 2 7 Potential to influence policy 3 3 1 8 Overhead and staff costs 3 1 3 Overall ranking 2 3 1 i. Criterion 1: Approaches to resilience: although crucial, it is not generic to the different types of organisation. Understanding of resilience varies across individual companies, NGOs and (to a lesser extent) individual UN agencies. The criterion can only be assessed on a case by case basis. ii. Criteria 2 and 3: Managing complex programmes / local experience: Karamoja is unique within Uganda in terms of its environmental and socio-economic characteristics. It is a difficult place to work- isolated, insecure prone to extreme weather events with poor social indicators. Any organisation setting up in Karamoja will have a steep learning curve. With prior emphasis on humanitarian assistance, the UN agencies and international NGOs have been active in Karamoja for many years, whilst private sector companies have been less involved. Although international consultancy groups score highly both globally and regionally in managing complex programmes, they lack experience in Karamoja. iii. Criteria 4: Ability to field team “on the ground” in Karamoja rapidly, scale up and operate in a hostile environment: given their existing programmes in Karamoja, UN Agencies and NGOs score more highly than consultancy groups. However, if the time to develop a consortium is taken into account, (scale up could be protracted) UN agencies are considered the best option. UN agencies also have in house security and logistical capacity. iv. Criteria 5: Flexibility and responsiveness and 6; Access to technical expertise: Private sector consultancies score highly in both areas. Access to technical expertise is critical for programmes in Karamoja. v. Criteria 7: Potential to influence policy: the UN agencies score highest in this area. Developments related to the corruption case in OPM, and subsequent aid freeze, mean 29 that implementing partners will be working in a complex political environment. The UN agencies are best placed to engage with government in this situation, and have appropriate systems that will enable support to sectors and district governments. Although not weighted separately in the selection criteria, the ability to work with government at all levels in the current operational environment is a key consideration informing the choice of implementing partner. vi. Criteria 8: Overhead and staff costs: an initial assessment indicated that NGOs have the lowest costs - 6% of total costs for the management of nutrition programmes in Kenya, and between 5-7% for NGO consortia implementing a resilience programme in Malawi. This does not take account of the possible additional costs of operating in a fragile insecure environment. Preferred Option: Option 3 Joint Approach by United Nation Agencies. UN agencies currently have a number of advantages in terms of implementing the programme in Karamoja when compared to commercial suppliers and NGOs. These are chiefly in terms of their ability to build upon previous programmes with national and local government, to effectively implement at scale in a timely manner, and to operate effectively in an insecure environment. An approach based on NGO consortia or a commercial supplier may be feasible as the operational context in Karamoja develops, but was considered not to be feasible given the current operational and political environment. This section of the appraisal answers the question - Which Agencies to Partner? Considerations informing the choice of individual agencies are presented below, and take account of both experience in the areas relevant to the specific outputs, and experience in Karamoja. The World Food Programme (WFP) WFP is the preferred implementer for key components of Outputs 1 and 2 based on its programming experience and the findings of the PRRO and NUSAF II programme evaluations. WFP has experience of operating at scale in Karamoja, has developed good relationships with local government, and is able to negotiate effectively with national sectors and coordination bodies. WFP’s continued presence in Karamoja is also considered critical at this time from a preparedness perspective given its capability to scale up quickly to support a humanitarian response. Based on the findings of recent evaluations it will be important for WFP Uganda to put resilience theory into practice117 by demonstrating: Focus on sustainable development and resilience Improved technical capacity Development of alternative transfer modalities - vouchers, cash, combined transfers Improved targeting and knowledge of household vulnerability Incorporate conflict and gender sensitivity in programme design The Food and Agriculture Organization (FAO) FAO is the preferred implementing agency on the animal health and nutrition components of Output 2, overall implementation of the EWS (Output 3), local government coordination (Output 4), and two of the components of the evidence and learning component (Output 5). Based on its previous work on livelihoods and vulnerability, FAO should also address climate integration and awareness issues in the programme. FAO is one of the main partners of KALIP, and leads on the IPC in Uganda. FAO has existing capacity to implement the programme, and has illustrated that it is able to scale up quickly to support additional programmes. FAO’s main strength in Karamoja lies in its relationship with local government. It also has long-standing relationships with international and local NGOs that 30 implement its field programmes. The UN Children’s Fund (UNICEF) UNICEF is the preferred implementing agency for Output 1. The recent programme completion report on the IMAM and nutritional surveillance programmes recommended that they be continued, albeit with significant changes in programme implementation. UNICEF has a field office in Karamoja, and will be able to scale up quickly to implement the programme. UNICEF also has good relationships with government at the district and national level. The agency has been supporting capacity building activities in Karamoja and these could be taken forward by the programme. Table 6 summarises the key partners that have the capacity to deliver, and the components that they should implement. In terms of priority links between government and UN agencies Table 6 also identifies the key relationships that need to be developed by the programme. Table 6; Key Relationships # Project Outputs 1 Implementation and delivery of programmes targeting vulnerable groups 2 3 4 5 Implementation and delivery of strengthened food security and livelihoods programmes Strengthened early warning and response systems Improved development coordination Strengthened evidence and lesson learning Agency GoU Partner Activities UNICEF + implementing NGOs MoH District government 1. 2. 3. Capacity building esp of DG118 Therapeutic feeding (SAM) Monitoring, learning WFP PRRO+ implementing NGOs WFP NUSAF II + implementing NGOs MoH District government 4. Supplementary feeding (GAM) and pregnant and lactating women. District government, Production Dept, MAAIF 1. Public Works Programme FAO + implementing NGOs FAO UNICEF District government, Production Dept, MAAIF 2. 3. 4. 1. 2. 3. 3. Animal health & nutrition Animal nutrition Agro-Pastoralist Field Schools Strengthen existing EWS work via DG Pilot new ‘chronic’ IPC Animal health (disease surveillance and diagnosis) Nutrition surveillance Contingency Fund Build District Government capacity Integrate information into District Devt Plans Link with central coordination agencies District government, Production Dept, MAAIF 1. 2. Baseline survey of Karamoja Action research on CBIWM119 DG CAO 3. 4. Short-term studies, reviews, pilots Innovation Fund DFID All agencies per sector. FAO All agencies TBD [DFID TA-led] District government, Production Dept MAAIF, MoH District government, Production Dept, MAAIF MoH 4. 5. 1. 2. B5. Climate change and environment assessment What is the likely impact (positive and negative) on climate change and variability and environment for each feasible option?120 Five feasibility criteria were developed and weighted to provide guidance on the selection of the most relevant options. Standard DFID climate and environment sensitivity analysis was applied to the options, and potential positive and negative impacts assessed and analysed. 31 Option A B Climate change & environment risks and impacts Category B B Climate change & environment opportunities Category) C B The greatest risk to the programme is either an escalation of conflict / insecurity or an extreme weather event (drought / flood). This risk applies to all options equally and is considered a medium risk. Option A was considered to offer limited climate and environment opportunities, the additional activities proposed under Option B offering a enhanced opportunity to reduce vulnerability and improve resilience in the short term, and also preparing the ground for potentially extended longer term investment and impact. Option B also scored more highly against climate change and environment feasibility criteria, derived from the ICF success criteria. Significant risks and opportunities were considered as: Programme may be negatively impacted by extreme climate, or weather events; DFID is able to place a degree of reliance on the risk management systems and processes of implementing partners to monitor and manage intervention; Potential to positively impact on climate change / the environment; Potential to improve vulnerable community’s ability to adapt to climate change and / or deal with environmental shocks and disasters. B6. Social Appraisal Women are central to the programme. They are direct beneficiaries, and important actors in programme implementation. This is particularly the case in the nutrition component where women make up a significant proportion of the staff and local agents delivering the programme. Gender inequality and other forms of social exclusion are some of the basic causes of undernutrition. As the primary carers of children reaching out to women is critical to improving the nutritional status and providing services to under-fives. In addition, interventions such as providing micronutrient supplements to women benefit the women directly as well as their children. Equality, Gender, Women and Girls Gender relations in pastoral societies are changing due to a number of endogenous and exogenous factors. These are having an impact on how pastoral societies and livelihoods currently function and will continue to develop in the future. Patterns of sexual and gender based violence have changed in recent years, violence against women, including rape and violence associated with alcohol abuse becoming more prevalent121. Gender determines the different roles that men and women play in pastoral society, as well as the power relations in the household. Pastoral women are members of a pastoral grouping most commonly, a clan. Though women’s position may be viewed as subservient, marginalised and disempowered the clan can offer many benefits including social protection. Customary rules and regulations govern access and ownership of clan assets including livestock. Both men and women have access to livestock as ‘owners’ and/or as ‘users’. Often terms of access to livestock are complicated and depend upon a number of factors including the status of the man or woman and stage in his/her lifecycle. Access to livestock does not necessarily mean control, and it may be the case that women play a role in the management of livestock and use products such as milk, but are not able to dispose of them – such decisions are likely to be made by both husband and wife. Unilateral decisions concerning the use of livestock assets are considered uncustomary. Commonly however, the husband will have the final word and in some cases a subordinate situation exists where women 32 have little say. A pastoral woman is likely to be dependent upon the presence of males in the family to enable an effective livestock-based production system: female-headed households may find this particularly challenging. Women often manage sheep and goats as they tend to be kept closer to the homestead. Women also tend to be left responsible for the home herd of cattle when men take others on migration. As such, women’s roles in livestock management should not be underestimated and often their knowledge of livestock as well as grazing areas, migration routes and water points is rich. The gender division of household tasks and reproductive activities around food production and cooking means that women have a very high labour burden both in terms of agricultural production and as collectors and users of firewood (the latter is done by adolescent girls as well as women). A number of factors mean that pastoralists are finding it increasing necessary to supplement livestock-based activities through livelihood diversification. This can include employment opportunities, trading of goods, and sale of natural resources including firewood and charcoal. Women play a key role in this diversification, sometimes becoming primary household providers, and making decisions about which crops are planted and will take the crops to market for sale.122 Collecting firewood and selling charcoal is one of the few economic activities open to women in Karamoja and is carried out by the poorest women, who can spend over three hours per day gathering fuel and carrying heavy loads. Combined with the heavy burden of unpaid domestic and subsistence labour, this leaves them with little time for productive activities with an economic reward. Chronic energy deficiency in women is the highest in the country and has increased in recent years123. Approximately one-third of women have a low Body Mass Index (BMI). Iron deficiency among women and children is also the highest in Uganda with nearly 70% of these groups affected by mild, moderate or severe anaemia. Gender identity will play a large role when looking at the barriers to men and women participating and benefiting from different aspects of the programme. There are different challenges in ensuring participation from both men and women and girls and boys and from pastoralists, and different ethnic groups. Barriers to entry and opportunities to promote equality need to be identified and worked on through representation, voice and behaviour change. However, care needs to be taken as undermining male and tribal identities and over-emphasizing women’s involvement and empowerment may cause further conflict including in intra-household relationships. Understanding gender is vital to the development of appropriate interventions in pastoral areas that are more likely to ‘do no harm’ to current positive gender relations, and have more chance of initiating further positive change. This includes understanding the processes of change that are already underway in pastoral areas and why they are occurring. The role of women has been highlighted as an under researched area in Karamoja, although women have been recognised as a potential focus for alternative livelihoods interventions 124. An in-depth gender and contextual analysis including gender sensitivity analysis of the main components of the programme should be undertaken to ensure that barriers to participation are fully considered, for example by ensuring that women, particularly hard-to-reach female-headed households are able to participate in livelihoods programmes, access nutrition programmes, and by ensuring that public works programmes do not inadvertently disadvantage women, for example by excessive physical workloads. Options for improving female participation in public works programmes include providing crèches and supplying lunch for participants should also be investigated. Conflict and Insecurity Karamoja continues to be affected by insecurity and intra-Karamojong tensions, which tend to mask underlying and less well known processes - mineral exploration; land-gazetting; the decentralisation processes - which also intensify conflicts between pastoralist and agro-pastoralist 33 groups and livelihoods. These tensions, and changes in livelihoods, are expressed in gender conflict and youth unemployment.125 Conflict sensitivity is not just about minimizing negative impacts of development interventions but also about recognizing new opportunities and directions for development policy and programming. In developing programmes that look to stimulate local economic activities there is always a risk of grievances emerging, for groups to feel marginalized or left out and for these feelings to escalate into conflict at a number of levels including intra-household (gender and age related), intracommunal, communal and wider. The programme will need to be transparent about why certain groups are targeted or receive benefits. It will also need to invest in understanding and monitoring local perceptions and conflict dynamics, as the basis for informed decision making. Attention to access to land and water will be fundamental to the success of interventions within these areas and the programme will need to gain a greater understanding of these issues. C. What are the costs and benefits of each feasible option? Annex B provides a detailed economic appraisal. The appraisal uses a qualitative and a semiquantitative cost effectiveness and cost benefit analysis against a baseline counterfactual “do nothing” scenario. The evidence suggests that the outputs are likely to deliver significant development benefits, with some more cost effective than others, Option B providing better value for money than Option A. C1. Summary VfM findings for Options A and B Table 7 summarises the VfM findings for both options. Option B scores better on VfM, with a rating of medium/high. Option A has a VfM rating of low/medium. Table 7: VfM Summary Findings for Option A and B Outputs Total budget VfM findings Option A £17m VfM findings Option B £ 34.5mxvi VfM: Medium/High Output 1: Implementation and delivery of programmes targeting vulnerable groups Nutrition / Supplementary feeding: A cost per beneficiary ($39) compares favourably when benchmarked against other similar programmes to assess cost effectiveness. Evidence on efficiency and effectiveness is inconclusive and not strongly positive from the evaluation. But strong positive impacts of programme relative to counterfactual (good preventative measure of SAM) Nutrition / Therapeutic feeding: Debatable value for money based on cost per Disability-Adjusted Life Year (DALY) figures (£70), but appears to be highly cost effective. Output 2: Implementation and delivery of strengthened food security and xvi VfM: Low / Medium WFP Public Works Programme (PWP): VfM: Medium/High WFP PWP: Same as Option A. Animal disease control: Livestock vaccination programme Does not include Internal Risk Facility (IRF) £4m during the life of the programme 34 livelihoods programmes VfM findings are debatable, admin costs appear to be high, there is some evidence of good efficiency, but effectiveness has been poor in the past. Information and evidence is very limited to draw firm conclusions. The programme will benefit from evaluation lessons learnt. modelling provides a benefit to cost ratio of 7.2 – thus highly cost effective. Agro Pastoralist Field schools: good VfM with strengthened household incomes and water access for livestock farming giving rise to a positive NPV VfM: High Output 3: Strengthened early warning and response systems IPC / Drought Early Warning System (DEWS): Good benefits, and good VfM. Surveillance: effective VfM outcomes for disease and nutritional control. VfM: Medium Output 4: Improved development coordination in Karamoja Coordination: Likely to show good benefits in terms of economy, efficiency and effectiveness. Detailed evidence and information to make VfM conclusions is not available. VfM: High Output 5: Strengthened evidence and lesson learning Likely to show improve programming in the future, thus improving effectiveness and efficiency. Action research pilots are likely to have good returns, with example BCR of 3.6 in watershed management. This will give rise to excellent outcomes if such pilots are scaled up. Overall Performance on 3Es Economy Efficiency Effectiveness Low Inconclusive evidence, but with WFP showing relatively high costs (high proportion of budget) Medium Per option A but with UNICEF performing better historically. Inconclusive evidence at this stage to comment on individual programme efficiency. Inconclusive evidence at this stage to comment on individual programme efficiency. Evaluation evidence on PWPs and supplementary feeding questions efficiency. Application of performance incentives could improve this. Low High Ineffective programming, over emphasis on PWP. Equity Low/Medium Medium Medium Much more efficient mix of interventions, with better incentives for performance, nutrition and animal disease control follow up with high VfM and more emphasis on pilots and research Medium / High 35 Key difference between the options Overall VfM conclusion Summary quantified VfM findings Emphasis on settled households. Evidence weak on ability to “target” most vulnerable HHs, including hard to reach female headed households. Will improve resilience of mobile as well as settled communities. Increased spending on lesson learning should assist with better targeting of the most vulnerable households. No early warning, preparedness, nutrition components and limited support for strengthening agropastoralist and, specifically, pastoralist livelihoods. Low/Medium Early warning and response, coordination, nutrition and animal disease control components. Greater expenditure on lesson learning. Output 2: Public works – cost per HH per year of £24; total cost of transferring £1 in net wage benefit to a food insecure person is £5.37, which includes the £1 in net wage. Output 1: Therapeutic feeding preventing 1,448 deaths at £70 per DALY, Wider nutritional benefits reaching 280,000 mothers and children Wider nutritional benefits reaching 280,000 mothers and children Medium/High Output 2: Animal disease control Cost benefit of 7.2 (£7.2 gained for every £1 invested); Public works – cost per HH per year of £24; total cost of transferring £1 in net wage benefit to a food insecure person is £5.37, which includes the £1 in net wage. Agro pastoralist field schools – likely to give an NPV of £0.7m Output 5: Example of a watershed management pilot likely to give a BCR of 3.6 (£3.6 gained for every £1 invested) C2. Detailed Appraisal Option 0: Counterfactual scenario - refer to page 17/18 which states the counterfactual scenario outcomes. In the absence of the project society would lose net benefits. Incremental costs: Options A & B: Table 8 indicates the budgets for Options A and B. Table 8: Budget figures for Options A and B Programme Activity Option A (£) 1. Implementation and delivery of programmes targeting vulnerable groups UNICEF Integrated Management of Acute Malnutrition (IMAM). WFP Community Based Supplementary Feeding Programme (CBSFP) 2. Implementation and delivery of strengthened food security and livelihoods programmes WFP PWPs; FAO animal health & nutrition. 3. Strengthened early warning and response systems Option B (£) 10,850,000 16,600,000 16,400,000 1,850,000 36 IPC Pilot; strengthening existing EWS via District Government 4. Improved development coordination Improved district contingency and response capacity; climate awareness & integration. 5. Strengthened evidence & lesson learning Action research; specific studies 6. HR to manage the programme 1,340,000 1,660,000 300,000 1,200,000 7. Contingency Funds 1,000,000 Grand Programme total 16,900,000 34,500,000xvii Discounted costs (at 10% discount rate) 15,218,802 31,050,054 D. What measures can be used to assess Value for Money for the intervention? This section identifies Value for Money measures that could be used throughout the life of the programme. Value for money for the programme will be assessed against: • The achievement of performance targets stipulated in the log frame. • Indicators / benchmarks of economy, efficiency, effectiveness. Suggested indicators are outlined for each component, and should be refined during implementation. 1. Nutrition Programmes: VfM indicators for therapeutic feeding and supplementary feeding directly related to costs and that should be assessed within the programme are: cost per beneficiary (cost effectiveness ratio); cost per DALY (cost effectiveness ratio); admin overheads as a % of total programme costs (economy). Other VfM indicators are presented in the Table 9 with baselines for reference. Table 9 Value for Money Indicators & Benchmarks for Nutrition Programmes Activity/ Item Unit Economy - Unit cost of key inputs: Ready to Use Per child treated for Therapeutic food SAM (RUTF) Ready to Use Per child treated for Supplementary MAM Food (RUSF) Efficiency: cost of outputs Management of Per child treated SAM in OTP, excluding supplies Management of MAM in SFP, excluding supplies Per case treated Unit cost (US$) Unit cost comparator (US$) Source US$ 56 US$ 88 Save the Children UK (SCUK) Kenya 2010 UNICEF Somalia 2011 US$26 – US$30126 depending on geographical location US$ 27 US$ 115 US$ 115 - 142 Coffey 2011 report, Kenya NE province US$ 35 DFID Pakistan US$ 45 US$ 45 Islamic Relief 2010 Wajir, Kenya US$ 20,000 US$ 35 US$ 12,539 DFID Pakistan SMART Nutrition xvii Per survey SCUK 2010 Does not include Internal Risk Facility (IRF) - £4m during the life of the programme 37 Survey Coverage survey Per survey Effectiveness: cost per outcome Treatment of SAM Per life saved Per DALY Treatment of MAM Per life saved Per DALY NE Province Kenya SCUK 2010 NE Province Kenya US$ 10,000 US$ 9,041 US$ 1,005 US$ 30 To be confirmed within first 12 months of programme.. Current data not sufficiently robust. US$ 1,351 US$ 41 US$ 500 to 1000 per DALY averted Lusaka, Zambia (Bachmann 2009) World Bank 2010 2. Animal Surveillance and Control Indicators Table 10; Suggested Indicators for Animal Surveillance & Control Dimension A. Productivity 1 Natural Capital Assets 2 3 4 Financial capital Physical Capital Criteria Indicators Livestock production Livestock production Livestock mortality Livestock productivity Forage production Average ton of dry matter/ ha per year Household income Household income deriving from livestock products sales Veterinary laboratory Surveillance equipment and systems Number and type of analytical work available/performed Number and type of surveillance data transmitted and analysed in real time Human capital Adaptive capacities: Knowledge, skill, institutional and economic, etc. 5 Social Organized local capital institutions, groups and networks Ecosystem services Provisioning Increased rangeland function productivity No of people (community, district officials) trained, with knowledge and skills on livestock health, nutrition, surveillance Number of institutions and communities trained and skilled on livestock health, nutrition, surveillance and on LEGS (Livestock Emergency Guidelines and Standards) Fodder production available to livestock 3. Public Works Programmes Table 11; Suggested Indicators for Public Works Programmes in the 3E framework. Economy Admin: cash transfer ratio Admin cost per household per year Wages as a proportion of total budget Efficiency Cost per £1 of cash delivered Targeting inclusion/exclusion errors No. HH targeted in the poorest quintile Total cost per HH Cost per job Effectiveness No. poor HH with improved poverty status No. HH with greater access to schooling No. HH with greater nutritional status Changes in HH poverty 38 In their proposals, partners will be required to complete a Value for Money annex which will include: i. ii. iii. A narrative describing the partner’s internal budgeting, management information, procurement, and supply chain management (economy and efficiency): Cost per output metrics for each of the main outputs as defined in the log frame Justification of the costs in terms of the particular context. Partners will be asked to reduce their costs over time, as we try to move towards a more sustainable approach. The economy of the intervention will be assessed by measuring the unit costs of key inputs into the intervention, standard products and services. The efficiency of the intervention will be assessed through monitoring the output levels against the log frame milestones and measuring cost per beneficiary before the start and at the end of project and comparing against established benchmarks for similar operational environments. The effectiveness of the programme is measured through the results it achieves and an assessment of its impact. The programme is ambitious and aims for a large number of beneficiaries for relatively low unit costs in a highly complex context. The evidence base for these interventions in other contexts is strong, as explained in the appraisal case, however assessing effectiveness of implementation in Uganda is limited. In addition to the robust set of indicators in the log frame, the programme will support formative evaluation / research to allow interventions to be tailored to the context, and support improvements in programme effectiveness. The programme will also collect evidence through the evaluation. E. Summary Value for Money Statement for the preferred option Based on analysis and empirical evidence, cost benefit and cost effectiveness analysis, a qualitative analysis of the benefits and a risk assessment, Option B is likely to offers better VfM compared to Option A, and it offers good VfM. In terms of evidence, this option has a “strong” rating because of its inclusion of community nutrition support and animal health at an output level and increased emphasis on learning and analysis. Commercial Case Direct Procurement The programme will be delivered under a separate Memoranda of Understanding with the UN agencies (FAO, UNICEF, and WFP). Procurement of all goods and services will be done indirectly through these agencies. The majority of costs therefore fall under indirect procurement. A. Clearly state the procurement/commercial requirements for intervention. A monitoring, evaluation and learning (ME&L) consultant, and studies to be implemented as part of the innovation fund, will be procured locally via mini-competitions or via existing framework agreements (e.g. Global Evaluation Framework Agreement (GEFA); Professional Evidence and Applied Knowledge Services (PEAKS) Climate, Environment, Infrastructure and Livelihoods (CEIL); the Wealth Creation Framework) DFID procurement supervising a limited tender. Should there be a need to undertake a process outside of the above the Official Journal of the European Union (OJEU) procedures will be adhered to. B. How does the intervention design use competition to drive commercial advantage for DFID? When using a framework agreement, the programme will benefit from pre-negotiated economies of scale on fee rates and administration, and the ability to rapidly mobilise. Technical Assistance. 39 Framework arrangements allow for member firms to submit alternative CVs and fee rates, thereby driving down costs through internal competition. C. How do we expect the market place will respond to this opportunity? High interest is likely for the ME&L consultant position, and for consultancy work to be implemented via the innovation fund. The market is competitive at the local, regional and international levels, with a large number of firms potentially able to put forward suitable candidates. As noted, existing framework agreements are also in place that can provide these services. D. What are the key cost elements that affect overall price? How is value added and how will we measure and improve this? The majority of costs fall under indirect procurement. The only costs incurred under direct procurement are staff and consultancy costs. Other than salaries, the most important cost drivers will be direct operating costs, overheads fee-rates, travel expenses and accommodation. DFID will conduct regular reviews of performance, and appropriate safeguards and sanctions will be written into contracts to ensure performance. Payments will be linked to agreed deliverables or achievement of contract outputs. E. What is the intended Procurement Process to support contract award? The services of consultants, staff and other goods and services will be procured through open and transparent procurement processes. Mini competitions for consultancy services will be undertaken in country if the anticipated budget is not above the local competition threshold. Above this threshold procurement will either be through a restricted competitive process with organisations registered on existing framework agreements, or if above the competitive threshold for these services via a standard OJEU processes. F. How will contract & supplier performance be managed through the life of the intervention? Competitive tendering / mini-competition. Individuals or firms tendering for consultant positions, or work to be implemented as part of the innovation fund will be required to describe how they will deliver programme results. Contracts / terms of reference (TORs) will be output focused this will encourage suppliers to propose innovative and workable proposals, and ensure value for money. For local contracts, DFID Uganda will directly negotiate fee rates and request consultants provide references on past payments to justify quoted fee rates. All procedures will comply with DFID internal procurement rules and regulations. Performance Monitoring. DFID will review and monitor performance of contracts with consultants.. DFID will enter into performance-based contracts with consultants. This will require the development of an inception report, and a work plan linked to expected results and outputs. Suppliers will be required to submit six-monthly reports providing (i) summaries of progress against work plan deliverables and log frame outputs, and (ii) the work plan and deliverables for the next six months. Regular review meetings with DFID will be held throughout the contract to ensure satisfactory performance. Break clauses will be developed after year 1 to maintain competitive tension and incentivise suppliers to perform. Key performance indicators, milestones and reporting requirements linked to payments will also be developed. Monitoring & evaluation. Programme design requires the ME&L consultant to work with the partners to develop a comprehensive monitoring and evaluation framework. 40 Indirect Procurement A. Why is the proposed funding mechanism/form of arrangement the right one for this intervention, with this development partner? Procurement of all goods and services will be done indirectly through UN agencies (FAO, UNICEF, and WFP). Alternative delivery channels were considered as part of the appraisal case, which also outlined the criteria informing the choice of agencies. Framework arrangements have been developed with UNICEF and WFP centrally, and represent DFID’s position on value for money. These apply to all funding arrangements established with any DFID office. As agreed in the framework agreements, the procurement of goods and services will be done in accordance with agency procedures and regulations. Funds will be dispersed via memoranda of understanding (MoUs) established and agreed with each agency. MoUs will be in line with central DFID funding policy, and designed to ensure the efficient and effective delivery of programme results. MoUs will specify reporting requirements and projected results to be procured with UK funds Base line due diligence assessments will be undertaken on all agencies prior to programme start upxviii. Comprehensive assessments will be applied to selected components per the recommendations of the base line assessments. Assessments will seek assurance of: local commercial / procurement capacity & capability; use of centrally negotiated contracts where beneficial; validate application of centre policies; test if positive MAR results are mirrored locally and where not, jointly develop improvement plans. The due diligence exercise will also be used to assess the justification for varying overhead costs and to determine acceptable rates. UNICEF In DFID’s Multilateral Aid Review (MAR), conducted in 2010, UNICEF was assessed as delivering very good value for money for UK aid127. UNICEF has a strong poverty focus and a critical role in meeting UK and international development objectives. It demonstrates delivery in fragile situations and works well with partners, although concerns were raised regarding its response to humanitarian and emergency situations, particularly in terms of deploying the right staff at the right time and its management of costs UNICEF was selected based on a number of factors including its central role in nutrition programming in Uganda, previous programming history in Karamoja, and its capacity to start up swiftly. UNICEF has a sub-office in Karamoja headed by senior staff reporting to the Chief of Emergency / Field Coordination. The Kampala office has a Maternal and Child Survival section with advisors in health, nutrition, and water, hygiene and sanitation, the emergency & field coordination section supporting the government in emergency preparedness and response. The DFID programme completion report128 (PCR) on the Community Managed Acute Malnutrition (CMAM) and nutritional surveillance programmes recommended that these programmes be continued, albeit with significant changes in programme implementation. The nutrition component of this programme will also have an increased focus on community outreach, and capacity building. During programme development, DFID will work with UNICEF to mitigate the concerns identified in the PCR and the MAR. In particular, we will make sure that the right staff are in place to manage and monitor the programme and that UNICEF continues to take positive steps on cost control. xviii FAO and UNICEF have agreed to participate in due diligence pilots in country; WFP to work with DFID locally on key elements of the base line assessment. 41 WFP DFID’s MAR highlighted WFP’s ability to deliver results at scale in humanitarian and fragile contexts, although concerns about the effectiveness and VfM of some of WFP’s recovery tools, including food-for-assets / PWPs was noted. WFP is a critical humanitarian partner for the UK, and is becoming a more important developmental partner in countries where it is successfully managing the transition to a strategic and capacity building role. WFP has commissioned some excellent climate change analysis, and is developing strategic partnerships to develop software and planning tools to integrate climate and weather into emergency response preparation and disaster risk management. WFP’s ability to operate in conflict-affected and fragile contexts is one of its key comparative advantages, reflected in the quality of its staff and systems. WFP has been present in Karamoja for 40 years, and has developed a good working relationship with district government officials. The programme will be based initially on continued support to the NUSAF II programme, and hence will be ready to start immediately. WFP’s continued presence in Karamoja is also considered critical at this time from a preparedness perspective. DFID will work with WFP to ensure that findings from recent evaluations 129 are applied in the design of the programme, including recommended improvements in technical capacity. FAO DFID’s MAR noted that FAO’s mandate was highly relevant to meeting UK and international food security, hunger and nutrition objectives, also developing policy and providing technical advice to help countries adapt to climate change. Overall the MAR assessed FAO as a ‘poor performer’. FAO was however found to perform well in fragile contexts, and to be increasingly effective player in emergency response. FAO has strong experience in food security programming and analysis in Karamoja130131132. It has a comparative advantage in agro-pastoral field schools (APFS), rangeland rehabilitation, land and water management, watershed management and animal health. FAO’s strong presence on the ground and good relationships with local government has made it a leading player in designing and implementing early warning systems, including the Integrated Phase Classification system. It regularly coordinates and exchanges information and best practices with other FAO offices in the East Africa sub-region. Given its existing capacity, including an existing team in Karamoja, FAO will be able to ensure an almost immediate project start-up. DFID will work with FAO to ensure that findings from recent mid-term reviews are applied in the design of the programme, and that it has the required technical and staff capacity to scale up the programme. Including recommended improvements in technical capacity. B. Value for money through procurement The key cost drivers and VfM through procurement is considered for each implementing agency. UNICEF Procurement Processes The DFID Multilateral Aid Review (MAR)133 concluded that there is good country level evidence for value for money for UNICEF, UNICEF reducing its administration to programme ratio and playing a leading role in reviewing procurement. UNICEF does not however comprehensively report on the cost efficiency of its operations and it is hard to assess cost efficiency gains from UNICEF’s field operations. UNICEF is taking positive steps to improve cost control, building on some good work at country level. All procurement will be done in line with UNICEF’s central policy, which employs competitive tendering with clear procurement guidelines according to the UNICEF supply manual. Any procurement above US$ 30,000 is subjected to a Contracts Review Committee (CRC), which reviews the transparency in the process, assesses “value-for-money” and makes a 42 recommendation to the UNICEF Representative for approval. There are checks and balances built into the system: an international member of staff heads the supply unit; there is an audit every two to three years, and an internal committee, headed by the Chief of Operations oversees procurement. UNICEF develops an annual Supply Plan based upon the supply component included within partners annual work plans. Health and nutrition supplies will be procured through UNICEF’s global supply division, in Copenhagen based on agreements made with reputable pre-qualified suppliers. Procuring supplies globally in bulk means that UNICEF can ensure that all products are of good quality (critical in the case of medicines and nutritional supplies); take advantage of economies of scale and get better value for money. UNICEF’s Supply Division establishes Long Term Arrangements (LTA) with specialized companies globally where all country offices can procure directly using already negotiated/discounted prices. This reduces on the lead times for standard quality supplies across different countries. Through competitive bidding, local LTAs have been established to cater for regular supplies and emergency supplies, UNICEF thereby avoiding costs related to repetitive bidding and having stable prices for supplies for an average time of two years. Key Cost Drivers Table 12 indicates the key cost drivers for the UNICEF programme component in terms of % of the budget total. The key cost driver is activity (1) – the scale up of high nutrition activities. Table 12; Budget Summary for UNICEF Programme Component Activities 1. Scale up of nutrition activities 2. Coordination and partners interaction for nutrition and capacity to respond 3. Knowledge understanding and timely information for nutrition programming Operational technical assistance Operational costs: UNICEF Uganda 10% of above lines Programme total UNICEF HQ recovery costs: 7% of above lines Total % of total budget 49% 11% 8% 17% 8% 93% 7% 100% A further breakdown of Activity 1 - Scale up of Nutrition Activities – in the table below highlights the procurement of supplies and equipment as the most expensive component. UNICEF Activity 1: Scale up of Nutrition Activities Budget breakdown £ % of total programme budget Transfers to District Health Offices (DHO) for family health days 288,750 9% Research on Infant & Young Child Feeding (IYCF) 32,500 1% Development/testing educational materials 48,150 1% 43 Community support and operational support for DHOs and NGOs 562,000 17% On the job training and aids for community workers 450,984 13% Supplies, commodities, equipment 1,964,483 59% Total (% of total programme) 3,346383 63% A significant proportion - 59% - of the budget for the UNICEF component is spent on the procurement of essential nutrition supplies. This includes the purchase of medical supplies / supplements, growth monitoring equipment and therapeutic foods. Freight costs are 15%, making a total of circa £2m of programme spend on supplies, commodities and equipment. There are two aspects to administrative costs. Firstly the framework arrangement between DFID and UNICEF sets UNICEF’s indirect cost recovery rates for interventions at 7%. UNICEF Uganda has additional programme management costs, which for this programme have been set at 10% of the total programme. These fees cover programme management services that UNICEF is undertaking on DFID’s behalf, including coordinating partners; procurement of services; payments to contractors; monitoring, review and oversight; and financial reporting and audits. The programme management fee is within the normal range for UNICEF programmes, and similar to that charged for other DFID Uganda support projects. However to benchmark this figure, a DFID Yemen programme with UNICEF on treatment and prevention of nutrition has programme management costs of 5%. The ICAI report on UNICEF stated that there is some flexibility on cost recovery negotiation134. DFID should negotiate these fees with the Uganda UNICEF office to achieve better VfM through the baseline due diligence process. Supply chain risks, monitoring and processes Together with programme staff, the Supply Unit in Uganda engages in end-user monitoring to evaluate the efficiency and effectiveness of the supplies delivered and to ascertain if they were received by the right people, end-user monitoring also influencing future procurement practices. UNICEF is also rolling out mTracxix an SMS-based health systems strengthening tool designed to improve Health Management Information System (HMIS) reporting on disease surveillance and medicine tracking in all health facilities in Uganda. The level of risk associated with UNICEF’s procurement process will be reviewed as part of the baseline due diligence process. Despite strong checks and balances, the area of greatest risk is the delivery chain, where, given the fragile operating context and use of government systems, there is a high possibility of corruption and / or mismanagement. There are a number of benefits to using the Government distribution system as explained in the appraisal case. While DFID assesses that these gains currently outweigh the risks, it will monitor this part of the programme closely to make sure it is operating well, identifying risks and developing appropriate mitigation measures. Possible risks and mitigation measures are outlined below: - - Fraud and Corruption: there are opportunities at all stages of the delivery chain for goods to go astray due to fraud and corruption. This risk could be mitigated by close monitoring, and agreeing with UNICEF the responses that will be made to the discovery of fraud and corruption for example: the return of funds and goods; appropriate responses at the district level; development of contingency plans to maintain service delivery in the event of large scale fraud and corruption. Delays: due to lack of vehicles or lack of fuel. Where there are problems with transportation, UNICEF could collaborate with districts to get supplies to facilities, supplying transportation in xix System Strengthening using Mobile Phone Technology 44 emergency situations. Risk of diversion or selling of Ready to Use Therapeutic Food: measures should be developed to ensure greater control of supplies with programme participants. WFP: Procurement Processes - In the MAR WFP scored very well, on organisational strength, demonstrating good partnership behaviour, transparency and accountability, cost and value consciousness, and strong financial resource and strategic and performance management. It was noted however that WFP needed to further strengthen its performance on results, value for money, transparency and accountability. The MAR also noted that WFP’s cost-recovery model provides incentives for managers to maximise volume rather than minimise costs; that there are specific issues around direct support costs, and concerns about the effectiveness and VfM of food-for-assets / PWPs. Globally, WFP state that they use competition at various stages of procurement to drive costs down. WFP Uganda compares costs across its portfolio of partners to ensure conformity. Partners are selected through a competitive tendering process, with proposals submitted and forwarded to the districts. District officers in collaboration with WFP make recommendations, based on performance, cost and quality of delivery of the intervention in Karamoja. WFP Kampala assesses the bids, scrutinising budgets and comparing internal costs. WFP have responded to the NUSAF II evaluation by agreeing to improve the coordination of their PWPs, revisit their food and cash pipeline to improve delivery modalities, supplement the technical capacity of partners to improve monitoring of projects, and proactively encourage coordination with other agencies. Key issues identified in the programme completion report of the supplementary feeding programme, and those recommended in the evaluation of the supplementary feeding component of the Protracted Relief and Recovery Operation (PRRO) will also be incorporated in the final programme design. Key Cost Drivers Tables 13 and 14 below outline the main costs for the WFP programmes. Table 13; WFP : Public Works Programme (PWP) Budget Summary OPERATING COSTS Asset creation Cash Transfers Food transfers Learning & Evaluation % of Total Budget PWP inputs 36.6% Admin (Partners) 6.8% Transfers 2.5% Transactions costs 0.2% Transfers 17% Transport 4.3% Distribution 3.1% 5.7% Admin overhead costs 25% Operational cost in Uganda 17.6% 7% WFP HQ overhead 6.2% Total 24% Grand total 100% 45 PWP administration costs (all non-transfer costs) appear to be relatively high compared to other similar programmes (see appraisal case). These are related both to the high cost of food transfers and “building” the community assets, and high administrative overheads. There are two aspects to the administrative costs: the HQ overhead (WFP’s Indirect Support Costs (ISC)), and the Uganda office Direct Support Costs (DSC). ISC covers WFP core functions, is currently set at 7%, and is non-negotiable. DSC cover costs that are directly linked with the provision of support for an operation and which would not be incurred should the activity cease. These include staff, duty travel, training, office rent and running costs, communication, vehicles, etc. This rate has been fixed at 25% for the PWP component. Table 14; WFP Community Based Supplementary Feeding Programme (CBSFP)– Budget Summary OPERATING COSTS Commodity costs (food supplies) Total Direct operating costs (transport, handling etc. excl. commodities) ADMIN OVERHEADS 19% Direct support costs (DSC) 7% Indirect support costs (ISC) - HQ overhead Total costs Cost per tonne of food (not including transport) Cost per beneficiary % of total budget 58% 14% US$ 21% 7% 100% $550 $39 DSC is lower for the supplementary feeding component than for the PWP component – set at 19%. WFP’s procurement process has strong checks and balances on implementing partners, and the level of risk associated with the programme will be reviewed as part of the base line due diligence process. The main risk to the programme is delays due to pipeline breaks and lack of access during the rainy season. WFP have implemented a risk registry, with triggers and recommended mitigation actions, including actions to be implemented in the case of delays in food deliveries, and the establishment of prepositioning centres across Karamoja. WFP administration costs The current WFP Uganda PRRO has a DSC of 15%, similar to that of the previous PRRO. The WFP Uganda County project has a very high DSC at 36%. In terms of benchmarking, DSC rates in the following countries were: Ethiopia PRRO (6%), Kenya PRRO (10%) DRC PRRO (18%), Zimbabwe PRRO (15%), Kenya Country Programme (21%), Somalia Food and Nutrition (26%); Country Plan Rwanda (28%).. The DSC rate is therefore high, although 19% is not unprecedented in terms of the WFP country programme DSC rate. 25% for the PWP component, although equivalent to that previously supported as part of NUSAF II, is very high. These rates will be assessed and reviewed as part of the MoU negotiation process. WFP reports that it has a high DSC rate for its programmes in Karamoja because of its field presence, its capacity and costs associated with a shift from relief to development. WFP has four field offices in the Karamoja, and has invested in ensuring staff capacity to implement and monitor its programmes. DSC includes costs related to travel for monitoring, assessments, staff training, etc. Finally the shift from large-scale relief approaches to developmental approaches costs more in DSC terms because the latter are more staff-intensive to implement. Managing development-oriented programmes and engaging in the associated partnerships requires solid WFP staff capacity at field level. 46 FAO Procurement Processes FAO was rated in the MAR as showing weak VfM. Country reports indicate that value for money is not systematically taken into consideration by staff. Inefficient processes have been identified by evaluations and, whilst plans are in place to address the issues, results have yet to be achieved. Key Cost Drivers Table 15 summarises the budget breakdown for FAO and shows that Output 2 has the highest costs. Direct Operating Costs (DOC) (10%) have been calculated in accordance with FAO’s policy relating to the charging and distribution of Project Servicing Costs (PSC). A standard rate of 13% PSC/DOC to cover Administrative and Operational Support applies for development projects throughout FAO’s operations; however, the FAO Support Cost Policy provides flexibility on setting PSC rates, as long as AOS costs of 13% are fully recovered - 7% for HQ costs and 6% is for country office costs. The PSC rate for the programme is in line with the ceiling for nonemergency projects, and can be negotiated as part of the MoU.. FAO have charged 3% of the AOS for the Uganda country office directly to the project budget lines – this includes the costs for key personnel and the security budget. The remaining 3% AOS has been included in the 10% DOC budget. Table 15: FAO Budget Summary FAO Budget Output 1: Adaptation planning and response strengthened through improved learning: assessments, action research, early warning systems and IPC % of Total Budget 24% Output 2: Livestock disease surveillance, diagnostic capacity, veterinary services and animal nutrition strengthened 32% Output 3: Agro-pastoral production systems strengthened through support to DLG, Agro-Pastoral Field Schools and improved access to water 16% Technical Support Services Travel GoE (General Operating Expenses) Equipment and supplies Personnel : TA Other Costs Total Direct Operating Costs (10% of Programme budget excluding admin) Grand Total 1.8% 1% 1% 2% 11% 1% 91% 9% 100% Financial Case A. What are the costs, how are they profiled and how will you ensure accurate forecasting? The cost of this programme will be £38.5 million including an internal risk facility allocation of £4m, over 3 years (2013/4 – 2015/6). The provisional allocation of funds to the individual agencies and programme components is provided in Table 16. 47 Programme costs have a near equal split of £9 million for the first and third years, and a cost of £15 million pounds during the second year. Main cost contributors to the higher spend for the second year are in relation to programme scale up - this includes direct programme costs, increases in staffing levels, equipment, supplies, and learning and evaluation costs. Programme spend has been forecasted from April 2013 following a request from WFP for immediate support to its public works programme. Based on advice from FCPD, DFID CHASE and the DFID WFP liaison office, DFID U has informed WFP of its intention to support WFP’s programme following Ministerial Approval of the business case and that upon confirmation, the contribution can be used to repay WFP internal advances to the operationxxxxi. £25 million has been allocated to the programme by the ICF board for the period 2013/4 -15/16. Approval for additional funding to meet the shortfall of £9.5 million and for clearance to spend beyond the current spending review period has been requested from the ICF board. Final approval will be sought following Ministerial Approval of the business case. Table 16: Programme Budget Activity Description April 2013 March 2014 April 2014 March 2015 April 2015 March 2016 Total 1) FAO Livelihoods & Early Warning and Preparedness Programmes 1,020,000 4,475,500 1,560,500 7,056,000 102,000 447,500 157,000 706,500 1,122,000 Subtotal 2) UNICEF Vulnerable Group / Nutrition Programme 4,923,000 1,717,500 7,762,500 1,716,000 2,198,500 1,890,000 5,804,500 UNICEF Uganda operational costs (10%) 171,500 220,000 189,000 580,500 UNICEF HQ Recovery Cost (7%) 132,000 169,000 145,500 446,500 2,019,500 Subtotal 3) WFP Vulnerable Group / Nutrition Programme 2,587,500 2,224,500 6,831,500 1,547,500 2,065,000 516,000 4,128,500 Direct Support Costs 294,000 392,000 98,000 784,000 Indirect Support Costs 129,000 172,000 43,000 344,000 Subtotal 4) WFP Public Works Programme 1,970,500 2,629,000 657,000 5,256,500 Implementing Public Works 1,687,000 1,687,000 1,687,000 5,061,000 Cash transfers 108,000 108,000 108,000 324,000 Food transfers 948,000 948,000 948,000 2,844,000 Direct Support Costs 685,500 685,500 685,500 2,056,500 Indirect Support Costs 240,000 240,000 240,000 720,000 Learning & Analysis 350,000 314,000 Subtotal 4,018,500 3,982,500 3,668,500 11,669,500 Subtotal Partner Programmes 9,130,500 14,122,000 8,267,500 31,520,000 30,000 300,000 200,000 530,000 Total programme Costs Direct Operating Costs (10%) Total programme Community Based Supplementary Feeding Programme 512,000 5) Innovation / Learning Fund Analysis & learning xx xxi Document: (3868078) Intention to fund confirmation - WFP programme. Document: (3868070) Approval of disbursement to WFP - 1st 6 month advance. 48 150,000 100,000 250,000 30,000 450,000 300,000 780,000 9,160,500 14,572,000 8,567,500 32,300,000 510,000 510,000 1,200,000 Conflict sensitivity Subtotal Total Programme 6) DFID Programme Management - PM & ME&L Subtotal 180,000 5,000,000 7) Contingency Fund & Internal Risk Facility GRAND TOTAL 9,340,500 15,082,000 9,077,500 38,500,000 To ensure accurate forecasting, forecasts will be further reviewed during the finalisation of partner proposals. Costs will also be monitored against forecasts, which will be adjusted to reflect near time realities during programme implementation. Close contact will be maintained between the programme management team, DFID and implementing partners to ensure that concerns over forecasting are noted and mitigating actions taken. Table 17 summarises the administrative charges of the different UN agencies. UNICEF and FAO’s country office administration costs are within the normal range for both agencies and will be negotiated to ensure value for money. WFP’s costs, although within the historical range for operations within Uganda and Karamoja, are high when benchmarked against operations in other countries. These will be specifically reviewed, and more closely benchmarked against comparative programmes, particularly DFID supported programmes in Ethiopia and Kenya. The review will develop a set of acceptable rates, beyond which DFID support to the programme will need to be reconsidered. Table 17: Administration Overheads for all Agencies WFP HQ overhead (non-negotiable) Uganda country office administration costs 7% 19% (nutrition) / 25% (PWP) FAO UNICEF % of programme activity budget 7% 7% 6% 10% The contingency fund will initially be managed by the DFID programme manager pending design and possible integration into partner’s programmes. The £4m allocated to the facility will enable a significant, and proportionate, catalytic role in funding early action throughout the life of the programme. DFID Uganda is engaged with DFID CHASE and the Africa Regional Department (ARD) regarding the design of an internal risk facility. A review will be undertaken early in the programme, which will provide a more detailed review of past humanitarian responses in Karamoja, and ensure that triggers identified for early action are developed in collaboration with the GoU, implementing partners and other development partners, particularly USAID and EC. B. How will it be funded: capital/programme/admin? Funds will be drawn from the International Climate Fund, and managed by DFID Uganda as part of its overall resource allocation. All funds are programme spend. C. How will funds be paid out? The funds will be paid via a Memorandum of Understanding to the UN agencies. Payments will be made in advance on a three (FAO) or six monthly basis (UNICEF/WFP), with a requirement that accountability for the previous period needs to be submitted before the next tranche can be disbursed. Funds will be transferred as described in the Contribution Arrangement, which is based on the centrally agreed framework agreement between DFID and UNICEF/WFP that governs all financial transfers. 49 D. What is the assessment of financial risk and fraud? Financial risks and the risks of fraud and corruption are judged to be medium. The selected agencies have systems in place to manage corruption, fraud and financial risks, conducting risk and institutional assessments of partners prior to funding. Baseline due diligence assessments will be undertaken on all the selected agencies prior to implementation, which will enable a reassessment of the risk rating for the programme. There is a need to review the level of reporting and audits. MoUs will also need to clearly stipulate measures that will be taken in the event of poor performance, failure to deliver on expected results or to optimise value for money. UNICEF: The MAR concluded that UNICEF has clear financial allocation criteria and processes with good processes for audit, risk and accountability. UNICEF Uganda implements finance micro-assessments (detailed audits) of all partners, including government. These include an assessment of the adequacy of partner’s financial management systems and internal controls (for partners that receive more than US$100,000 per year). UNICEF also conducts regular Programme Quality Assurance checks and financial spot checks of all implementing partners. WFP: The MAR reported that WFP’s financial accountability systems and processes were strong, but that more effective risk management was required at the country level. WFP requires all partners to submit monitoring and programming reports, and undertakes regular audits and spot checks of partner programmes. As part of this programme WFP will increase their capacity to monitor programmes at the district level. FAO: The MAR concluded that FAO had improved its budgeting process, but that programming and financial accountability processes at country level were weak. However, disbursements to government and other partners in Uganda are subject to stringent controls, and linked to agreed deliverables certified by programme staff, supported by the FAO Kampala M&E Unit. E. How will expenditure be monitored, reported, and accounted for? Detailed six monthly financial reports and interim quarterly reports of progress will provide the basis for monitoring of all expenditures. The funds disbursed will be subject to the internal and external auditing procedures laid down in each agency’s financial regulations and rules. Accurate forecasting will be ensured through routine quarterly meetings to review written reports, disbursement rates, challenges currently being faced and likely to be faced in the future. Partners will also be encouraged to contact DFID on an ad hoc basis if any issues arise that represent a challenge to agreed forecasts. Management Case A. What are the Management Arrangements for implementing the intervention? Criteria used in the selection of the implementing agencies are outlined in the appraisal section – (B4 assessment of delivery routes). Programme Management Options It is important to establish strong management capacity in a context where co-ordinating the activities of several implementing agencies and learning lessons will be central to success. DFID will provide strong oversight and programme management support. The three management options considered below were informed by the need to ensure optimal DFID oversight of the programme. 1. Management Option 1: A Joint Programme with UN management: UN Joint Programme based on UN programme management and a single DFID MoU. This would reduce DFID’s administrative burden, and full responsibility for managing the programme 50 would rest with the UN. A recent DFID Uganda review (2012) of three joint UN programmes found mixed results: lack of a shared approach; absence of rigour in M&E; poor joint reporting structures. This option would provide limited direct DFID oversight, and is not recommended based on past experience. 2. Management Option 2: Programme management by UN agencies: DFID would enter into a separate contract with each agency. Agencies would develop a joint proposal based on a common analysis, results framework, risk framework and summary budget, and would be responsible for programme management, including contracting and managing the programme manager. This option would reduce DFID’s oversight and ability to influence the strategic direction of the programme. Experience to date in Uganda is that effective delivery using this model requires dedicated oversight and entails high transaction costs. This option is not recommended based on past experience. 3. Management Option 3: DFID management and reporting arrangements: DFID enters into a separate contract with each agency per option 2. However the programme would be managed by a DFID advisor or externally contracted manager. This will address the need for strong DFID oversight and dedicated management capacity, and has the additional advantage of a dedicated focus on results, coordination and lesson-learning. Given the funding definition, the DFID advisor / manager will be based outside of the DFID Uganda office. The advisor / manager could be placed within one of the implementing agencies or with a third party partner or agency. This is the recommended option since it retains strong DFID oversight and financial management. The Preferred Management Option – Option 3 : Appoint a DFID A2 Advisor, sourced internally, as Programme Manager (PM), who is familiar with DFID financial management and reporting requirements. The PM will have overall responsibility for making sure that the programme delivers results. The PM will work closely with the UN staff in Kampala and Karamoja, be responsible for overall programme management, coordination, learning and monitoring and evaluation. The PM will be supported by a monitoring, evaluation and learning consultant (ME&L); a DFID U B1 programme officer (30%) and the DFID U Climate Change Advisor (20%) with additional support from the Social Protection, Health, and Governance Advisors. This team will manage UN partner programmes and the contingency and innovation funds, the ME&L consultant directly managing the innovation fund. Contract management, administration and finance will be provided by the programme officer. Management Arrangements Under the Preferred Option (see diagram below) A Programme Management Committee (PMC) comprised of the programme managers from WFP, UNICEF and FAO, a DFID programme officer, and led by the DFID-appointed PM will meet every quarter to ensure full strategic and operational coordination. In the first 6 months of the programme DFID and the UN agencies will also consider expanding membership of the committee to include other key programme stakeholders, including government representatives and participating NGO partners. Discussions are also being held with the UN Resident Coordinator regarding further UN engagement in the PMC, as this may provide an additional layer of accountability 51 The Programme Advisory Committee (PAC) will be led by the DFID Uganda Head of Growth and Resilience, and include representatives from the UN agencies and Government of Uganda partner Ministries. The PAC will meet yearly to oversee and provide programme guidance, focussing on the strategic direction of the programme. It will receive reports and provide feedback to the Programme Management Unit. Oversight and guidance from the PAC will include: Review progress against milestones Identify any new measure that may be required to meet targets and improve efficiency Review disbursements and expenditure Provide general guidance to programme implementation through the Programme Management Unit (PMU) Ensure participation and buy-in of key partners. Promote the sharing of evidence and lesson learning from the programme and Ensure coordination and alignment of programme activities with the broader development plan of the GoU and other donors. Table 18 below summarises the management arrangements that each agency already has in place for its component of the programme. 52 Table 18; Management Arrangements UN Agencies Project Management WFP P4 international Karamoja Regional Coordinator, based in Karamoja. This person has been recruited and will start in August 2013. FAO An FAO Program Manager, reporting to the FAO Representative through the Senior Disaster Response Coordinator; the program manager will spend over half his/her time in the field in Karamoja. Already in place Northern and southern Karamoja sub-office. Field teams supported by the Program Manager and by a Kampala-based technical team (50% of its time in Karamoja). Team of 5 people, permanently based in Karamoja. These include veterinary/livestock officers, water resources officers, rangeland rehabilitation, officers and GIS/data analysis. Sub offices and their management Four sub-offices in Karamoja, headed by one international and three senior national officers. Capacity in each of the suboffices (this capacity already exists) 5 programme staff and an additional 8 support staff (logistics, finance) Role of the Kampala office Coordination and technical guidance: Food & nutrition security coordinator; two national officers; head of Programme. Coordination and technical guidance includes: Karamoja program manager, food security advisors, M&E, GIS, and gender officers in the Karamoja technical unit. Final project responsibility and accountability WFP Country Director A Project Task Force, chaired by the FAO Representative in Uganda. UNICEF Senior Manager with strong background in programming based in the Karamoja field office. Already in place One field office in Karamoja, headed by a Senior Manager and Field Programme Officers. Focal District Programme Officers interact daily with the district authorities. A team of Field Programme Officers with technical expertise in various areas of maternal and child survival, permanently based in Karamoja. Focal District Programme Officers ensure close technical assistance and monitoring of interventions. Coordination and technical guidance from Health and Nutrition section. Deputy Representative in collaboration with the Field/Emergency Coordinator. Programme Management Framework The Memoranda of Understanding (MoU) with the UN agencies will provide the framework for management of the programme. The key points are: Day to day programme management will be the responsibility of the UN agencies. Implementation will be based on proposals for the use of funding that will be reviewed, and if necessary revised with DFID annually. Proposals will capture the importance of forward planning, improved coordination, capacity building monitoring and accountability. Preparedness and contingency planning will also need to be reflected. Funding will be monitored through six monthly and annual progress and financial reports, with interim quarterly results reports. DFID will continue to use its participation in the Karamoja Development Partner Group, and other relevant coordination groups on social protection, climate change, and disaster reduction to seek system and partner performance improvements. DFID will continue to work especially closely with USAID, the EC and Irish Aid. The DFID PM and climate change advisor will also work closely with DFID’s governance, health and social development advisors to ensure that efforts to seek improvements in relevant sectors are integrated into central sector discussions. DFID lobbying with implementing partner headquarters and regional offices to support effective programme implementation. Annual reviews will closely assess the case for continued funding and agreements will provide for 53 support to be curtailed, including if the context in which the programme is being implemented changes significantly. Triggers for suspending the programme, together with notice periods, will be agreed with the agencies prior to the first disbursement. Tranche release decisions will provide a mechanism for adjusting funding according to performance. B. What are the risks and how these will be managed? Identified risks will be reviewed quarterly. The risk probability in many of the categories below is high, reflecting the operational environment in Karamoja. Clauses in the MoUs will enable DFID to review its assistance in the event that implementation is significantly compromised. Description of risks Impact Probability Mitigating Actions Deterioration in security situation High Medium Programme negatively impacted by floods, droughts other weather events. High High - Medium The risk of corruption within the UN agencies Medium Low Agency technical capacity and leadership is below expectations, leading to badly measured, poor quality results Medium - High Medium - low Weaknesses in PWP and nutrition programme performance. Medium UNICEF is unable to effectively enhance capacity in the management of acute Medium malnutrition at national and sub-national levels of government Lack of political support from central Government Institutions High Medium Medium Medium - low Medium - low Partners implement appropriate security guidelines, with advice from UN Department of Safety and Security and other inter-agency coordination mechanisms. Programme activities are temporarily scaled back during specific periods of insecurity. Partners develop effective contingency plans. Partners ensure implementation plans and timeframes are realistic Partners develop effective mitigating measures - pre-positioned stocks, remote planning for short periods of inaccessibility and increased use of alternative transport. Agencies have standard financial procedures in place (including financial tracking, auditing, reporting and field monitoring visits) DFID is undertaking base line due diligence assessments and based on findings will consider implementing comprehensive analysis of key part of the supply and delivery chains of the programme. The programme has identified the UN agencies that have the greatest capacity to scale up quickly. Due diligence assessments focus on staff capacity and downward management processes. Proposal development and inception period ensuring that agencies have the management capabilities and quality assurance measures in place. The likelihood of pipeline disruptions for UN agencies is deemed to be quite high based on previous difficulties experienced in 2011 / 12 DFID will seek assurance from senior management that shortcomings have been addressed and previous recommendations taken forward. UNICEF requested to produce a robust programme proposal that addresses this concern by showing how they will ensure how sufficient UNICEF staff technical capacity will be used to mentor national counterparts All programmes are aligned with the KIDP and include capacity building objectives at the district level. UN agencies are working closely with the Government in relevant policy and programme areas. 54 C. What conditions apply (for financial aid only)? D. . How will progress and results be monitored, measured and evaluated? £1,860,000 has been allocated for design, monitoring, research and evaluation. Of this £580,000 is allocated to the innovation fund, of which 250,000 is allocated to the Post Conflict Development Programme managed by the DFID U Governance & Security team, in support of the development of conflict sensitive approaches. The remaining funds have been allocated across implementing partners in support of independent monitoring and evaluation (mid- term reviews and final evaluations), and specific formative research and analysis. Funds allocated to partners for independent evaluation should be ring-fenced, and appropriate governance structures will be setup in due course. The programme will also be subjected to a summative evaluation towards the end of the cycle, which will draw together the evidence generated through the decentralized evaluations managed within each component, and assess the overall coherence and results of the initiative. The key tool that DFID will use for monitoring programme delivery will be the logframe, which has been jointly developed with the partners. This includes a set of output, outcome and impact indicators which aim to capture the key steps in the theory of change underlying the programme design in order to monitor programme delivery in detail and with appropriate frequency, DFID has agreed a more comprehensive programme monitoring framework with each agency, which focuses on a wider set of output and activity indicators, which will inform quarterly meetings between DFID and the implementing agencies. This will allow DFID to identify any operational challenges being faced by the agencies or their partners at an early stage, and feed into the annual review process.. Implementing agencies will be responsible for the day-to-day monitoring of the programme. UN agencies will quality assure information from partners with field monitoring and spot checks carried out through their field offices. The ME&L consultant will provide further quality assurance, undertaking regular visits to verify data collection and analysis method and systems. VfM indicators will be incorporated into the quarterly reporting and assessed alongside the logframe. Selected indicators are in line with the International Climate Fund Key Performance Indicators and are readily verifiable and generally SMART. Output indicators defined within the log frame will be monitored from data on programme performance, and regular reporting by the agencies to the programme advisor. Partner interim and final reports will provide additional information on progress and results. Outcome indicators will be reported on from monitoring data from implementing agencies, and survey data as appropriate.. Nutrition data will be monitored via regular Standardized Monitoring and Assessment of Relief and Transitions (SMART) surveys. Rates of global and severe acute malnutrition will be also be monitored (UNICEF / Makerere University School of Public Health). Impact indicators will be monitored on data from UN agencies and from surveys as appropriate. A qualitative index will be developed to measure the extent to which the programme has had a transformational impact (ICF indicator 15). An in depth output to outcome review will be conducted by DFID at the end of year 1 and annual reviews thereafter will provide the key basis for management decisions, and programme design changes. These will be conducted in close consultation with programme partners. A final external evaluation is planned for the middle of year 3 to inform future programme development Partners will be responsible for analysing and sharing lessons learned that can be fed into the annual reviews and the external evaluation. Formative and operational research to inform programme implementation and future 55 development, will be undertaken in the following areas: i. Research and analysis on whether the provision of a nutritional supplement could act as an artificial incentive for women to attend essential health services, masking the underlying reasons why they do not use these. ii. Formative research into the barriers to improved infant and young child feeding practices. iii. Support to the nutrition surveillance system to strengthen understanding of how to support nutrition security of households, women and children more effectively throughout the year. 56 REFERENCES 1 2009/10 Uganda Bureau of Statistics WFP Kampala 3ACF / UNICEF Karamoja Nutrition Surveillance 4 Uganda DHS 2011 5 Ibid 6 A Situation Analysis of the Challenges and Opportunities for addressing Gender Based Violence in Karamoja Region. UNFPA Uganda. 2009 7 The changing nature of gender roles in the drylands of the Horn and East Africa: implications for DRR programming. REGLAP. Fiona Flintan. 2011. 8 Advisory Consortium on Conflict Sensitivity (ACCS); Northern Uganda Conflict Analysis. October 2012. 9 Knaute D and Kagan S, Issues of Pastoralism: Proceedings of the 2008 International Conference. Luneburg; University of Luneburg, 2008. 10IPCCSREX Extreme Events Report (2012) Summary for Policymakers 11 Ibid 12 Burke and Lobell (2010) Food Security and Adaptation to Climate Change; What do we know? Climate Change and Food Security; Advances in Global Change Research 37 (Springer Science). 13IPCCSREX Extreme Events Report (2012) Summary for Policymakers 14 UNDP/NEMA/UNEP Poverty Environment Initiative, 2009. Enhancing the contribution of Weather, Climate and Climate Change to Growth, Employment and Prosperity. Kampala. 15 McSweeney, C; New, M and Lizanco, G (2007). UNDP climate Change Country Profiles: Uganda. 16 Support to the Strategic Programme Review for Climate Change in Uganda: Understanding the implications and appraising the response. DFID Uganda. DEW Point 2012. 17 Foundation for Environmental Security and Sustainability (FESS) (2011), ‘Climate Change and Conflict in Uganda: The Cattle Corridor and Karamoja’ (publication produced for review by the United States Agency for International Development). 18 Uganda National Climate Change Policy, Ministry of Water and Environment, 2012. 19 Pastoralism and Climate Change; Humanitarian Policy Group Synthesis Paper, ODI (2009) 20 Saferworld. Karamoja conflict and security assessment. September 2010. 21 Stites, Elizabeth & Darlington Akabwai, "Changing Roles, Shifting Risks: Livelihood Impacts of Disarmament in Karamoja, Uganda." Feinstein International Center, July 2009. 22 Kagan, s., Pedersen, L., Ollech, S., and Knaute, D., (2009) ‘The Karamoja Syndrome: Transdisciplinary Systems Research Informing Policy and Advocacy’ 23 Pastoralists, Peace and Livelihoods: Economic interventions to build peace in Karamoja, Uganda. Elliott School of International Affairs for Mercy Corps 2012 24 A Situational Analysis of the Challenges and opportunities for addressing Gender- based Violence in Karamoja, UNFPA 2009. 25 Dancause KN, Helen A. Akol, Sandra J. Gray Beer is the cattle of women: Sorghum beer commercialization and dietary intake of agro pastoral families in Karamoja, Uganda. Social Science & Medicine, Volume 70, Issue 8, April 2010, Pages 1123-1130 26 Advisory Consortium on Conflict Sensitivity (ACCS) Northern Uganda Conflict Analysis 2012. 27 Pasteur, K. 2011. From vulnerability to resilience: A framework for analysis and action to build community resilience. Rugby: Practical Action. 28 Nalule, A.S. "Social management of rangelands and settlement in Karamoja." Food and Agriculture Organization, 2010. 29 Ibid. 30 Karamoja Seasonal Assessment, FAO, 2010-2011 31 Swift J (1988) cited in Rass N. (2006) in "Policies and Strategies to address the Vulnerability of Pastoralists in Sub-Saharan Africa"; 32 Data Source: Center for Research on the Epidemiology of Disasters (CRED). 33 World Food Programme PRROs 34 Pastoralism and Climate Change; Humanitarian Policy Group Policy Paper; ODI (2009) 3535 Karamoja Seasonal Assessment; FAO 2010-2011; 2 57 36 Gray. S. (2000) A memory of loss; Ecological Politics, Local History and the Evolution of Karamojong Violence; Human Organisation. 37 What to do about Karamoja? A food security analysis of Karamoja 2010; FAO/ECHO. Simon Levine 37 Data Source: Center for Research on the Epidemiology of Disasters (CRED). 37 World Food Programme PRROs 37McKinney, P. (2009) Comprehensive Food Security and Vulnerability Analysis: Uganda, WFP, Kampala 38Karamoja; Changing the Lens; A human rights research project in Uganda's Karamoja subregion; OSIEA (2012).www.karamojainfo.org 39What to do about Karamoja? A food security analysis of Karamoja 2010; FAO/ECHO. Simon Levine 40 FAO November 2011; Karamoja Food Security Seasonal Assessment 41Markets for livestock and food crops in Karamoja subregion. Ezaga, O.P. July 2010 42 FAO (2012) Karamoja Livelihoods Programme; Quarterly Progress Reports 43 Livestock disease surveillance records at Karamoja Veterinary Laboratory operated by the International Institute for Cooperation and Development (C&D) in partnership with MAAIF, 2012 44 Baseline Household Economy Assessment of Karamoja, FAO, EC, May 2010, 45 Social Management of Rangelands and Settlement in Karamoja Sub-Region, A,SNalule, 2010, Maquere University, FAO 46 IOD PARC Formative evaluation of the World Food Programme’s Livelihoods Programme Karamoja Uganda. 2012. 47 Action Aid (Oct 2011), Scorecard - Who is best prepared for a climate and hunger crisis 48 Evaluation of DG ECHOs action in Uganda. Aguaconsult Ltd. Evaluation Report May 2011. 49 Ministry of Agriculture, Animal Industry and Fishery / FAO 2010. 50 UN OCHA Uganda Humanitarian Profile, 2011 51 Evaluation of DG ECHOs action in Uganda Aguaconsult Ltd. Evaluation Report May 2011. 52 Mid Term Evaluation of DG ECHO’s Regional Drought Decision in the Greater Horn of Africa March - May 2009. John Wilding, Jeremy Swift and Hans Hartung. AGEG Consultants 53For comprehensive details and an analysis of all other programmes – regional and national see the Influencing Strategy. 54 Bernard Broughton, Gaston A. Tumuhimbise, Richard Basalirwa (May 2012), Decentralized Operation Evaluation of the Uganda, Protracted Relief and Recovery Operation (PRRO) 101213: Protracted Relief for Internally Displaced Persons and Refugees, Evaluation Report commissioned by WFP 55 IOD PARC (June 2012), Formative evaluation of World Food Programme’s Livelihoods Programme, Karamoja, Uganda. 56 Project Completion Review - Sustaining Nutritional Assistance in Karamoja. DFID Uganda Draft April 2013 57 Secure Livelihoods Research Consortium; (2012); Livelihoods, basic services and social protection in Northern Uganda and Karamoja; Working Paper 4; 58 For an overarching analysis see: Mohammed Kadi, Leonard Njogu Njau, John Mwikya, Andre Kamga (August 2011), Working Paper no. 5, The State of Climate Information Services for Agriculture and Food Security in East African Countries, available at http://ccafs.cgiar.org/resources/working-papers USAID (Feb 2011), USAID Climate Change and Conflict in Uganda: The Cattle Corridor and Karamoja, available at http://www.fessglobal.org/Publications/Other/Climate_Change_and_Conflic_%2520in_Uganda.pdf 59 Strongly recommended by most vulnerability and development needs assessments, including for example Mercy Corps (May 2011), Pastoralists, Peace and Livelihoods: Economic interventions to help build peace in Karamoja, Uganda, available at http://elliott.gwu.edu/assets/docs/acad/ids/capstone-2011/mercy-corps-uganda.pdf 60 IOD PARC (2012) Formative evaluation of World Food Programme’s Livelihoods Programme, Karamoja, Uganda; Final Report. 61 Karamoja Livelihoods Programme (KALIP) Mid-Term Review March 2012 58 62Tambi et al. (1999) cited by Roeder P and Rich K in “The Global Effort to Eradicate Rinderpest” “Proven Successes in Agricultural Development” An IFPRI 2020 Book; Published 2010 63 Save the Children and World Vision. 2012. Ending the everyday emergency. 64 Secure Livelihoods Research Consortium; (2012); Livelihoods, basic services and social protection in Northern Uganda and Karamoja; Working Paper 4; 65 What to do about Karamoja? A food security analysis of Karamoja (2010); FAO/ECHO. Simon Levine 66 Powell, J. (2010) Karamoja; A Literature Review; Saferworld 67 What to do about Karamoja? A food security analysis of Karamoja (2010); FAO/ECHO. Simon Levine 68 Secure Livelihoods Research Consortium; (2012); Livelihoods, basic services and social protection in Northern Uganda and Karamoja; Working Paper 4; 69 Oxfam (2008)Turning up the heat: Climate change and poverty in Uganda 70 FAO November 2011; Karamoja Food Security Seasonal Assessment 71 Uganda DHS 2011 72 IOD PARC (2012) Formative evaluation of World Food Programme’s Livelihoods Programme, Karamoja, Uganda; Final Report. 73 The Economics of Early Response and Disaster Resilience: Lessons from Kenya and Ethiopia. Courtenay Cabot Venton, Catherine Fitzgibbon, Tenna Shitarek, Lorraine Coulter, Olivia Dooley. June 2012. 74 www.dfid.gov.uk/Documents/publications1/hum-emer-resp-rev-uk-gvmtresp.pdf?epslanguage=en 75 Saving lives, preventing suffering and building resilience 76 DFID (2011) Saving lives, preventing suffering and building resilience. 77 DFID Business Plan 2011-15, http://www.dfid.gov.uk/About-DFID/Finance-andperformance/DFID-Business-plan-2011---2015/ 78 Save the Children and World Vision. 2012. Ending the everyday emergency 79 Lancet Nutrition Series paper 1. 2008 80 Prentice et al. 1983 81 Fuentes, R. and Seck, P. 2007. The Short-Term and Long-Term Human Development Effects of Climate-Related Shocks: some Empirical Evidence. New York, UNDP 82 Del Ninno, C., Dorosh, P.A. and Smith, L.C. 2003. ‘Public policy, markets and household coping strategies in Bangladesh: Avoiding a food security crisis following the 1998 floods’. World Development 31(7): 1221–1238. 83 Emergency food security interventions by Daniel Maxwell, Kate Sadler, Amanda Sim, Mercy Mutonyi, Rebecca Egan. ODI Good Practice Reviews, 2008 84 Bernard Broughton, Gaston A. Tumuhimbise, Richard Basalirwa (May 2012), Decentralized Operation Evaluation of the Uganda, Protracted Relief and Recovery Operation (PRRO) 101213: Protracted Relief for Internally Displaced Persons and Refugees, Evaluation Report commissioned by WFP 85 IOD PARC (June 2012), Formative evaluation of World Food Programme’s Livelihoods Programme, Karamoja, Uganda. 86 Lancet paper 3: what works 87 Silventoinen, K. 2003. Determinants of variation in adult body height. Journal of Biosocial Sciences, 35:263–285. 88 McCord A and Slater, R. (2009) Overview of Public Works Programmes in Sub-Saharan Africa. ODI Report to World Bank 89 For details see Bernard Broughton, Gaston A. Tumuhimbise, Richard Basalirwa (May 2012), Decentralized Operation Evaluation of the Uganda, Protracted Relief and Recovery Operation (PRRO) 101213: Protracted Relief for Internally Displaced Persons and Refugees, Evaluation Report commissioned by WFP; IOD PARC for DFID (June 2012), Formative evaluation of World Food Programme’s Livelihoods Programme, Karamoja, Uganda 90 Slater R and Evans A. (2011) World Bank, Project Performance Assessment Report. 91 Gayfer, J. et al (2012) Formative Evaluation of World Food Programme’s Livelihoods Programme in Karamoja, 92 For details see Bernard Broughton, Gaston A. Tumuhimbise, Richard Basalirwa (May 2012), Decentralized Operation Evaluation of the Uganda, Protracted Relief and Recovery Operation (PRRO) 101213: Protracted Relief for Internally Displaced Persons and Refugees, 59 Evaluation Report commissioned by WFP; IOD PARC for DFID (June 2012), Formative evaluation of World Food Programme’s Livelihoods Programme, Karamoja, Uganda 93 Report on the Results Assessment of the Farmer Field School Program in Uganda, FAO August 2012 94 Impact of Farmer Field Schools on Agricultural Productivity And Poverty In East Africa, May 2010 (IFPRI: K. Davis, E. Nkonya, E. Kato, D.A. Mekonnen, M. Odendo, R. Miiro, J. Nkuba, and J. Okoth) 95 KALIP mid-term review, February 2012 96 Simon Levine, 2010 “What to do about Karamoja?” Livelihoods Support Strategy Report, FAO/ECHO 97 The World Organisation for Animal Health (OIE) 2007 Prevention & control of animal diseases worldwide; Economic analysis Prevention versus outbreak costs; Final Report. 98 The World Organisation for Animal Health (OIE) 2007 Prevention & control of animal diseases worldwide; Economic analysis Prevention versus outbreak costs; Final Report. 99 Tearfund Report; Investing in Communities; The benefits and costs of building resilience for food security in Malawi (2010) 100 Some projects’ benefits were not possible to quantify. The highest cost-benefit ratio was found for crop diversification (sweet potato), 17.2.; a BCR of 1.6 was found for conservation farming. 101 Sahu Cost Benefit Analysis of Participatory Natural Resource Management; A study of Watershed Development Initiative in Indian Village; Munich Personal RePEc Archive (2008). 102 Ibid. 103 World Bank Water Sector Board Discussion Paper Series; Paper No 11; May 2008; Watershed Management Approaches, Policies, and Operations: Lessons for Scaling Up 104 John Tanaka (2012); Economic Feasibility of Range Improvement Practices 105 “Background Paper on the benefits and costs of Early Warning Systems for Major Natural Hazards”; GFDRR Paper; Teisberg, T J and Weiher, R F (2009) 106 Mechler, R. and The Risk to Resilience Study Team, (2008): The Cost-Benefit Analysis Methodology, From Risk to Resilience Working Paper No. 1, eds. Moench, M., Caspari, E. & A. Pokhrel, ISET, ISET-Nepal and ProVention, Kathmandu, Nepal 107 Moench, M. and The Risk to Resilience Study Team, (2008): Understanding the Costs and Benefits of Disaster Risk Reduction under Changing Climatic Conditions, From Risk to Resilience Working Paper No. 9, eds. Moench, M., Caspari, E. & A. Pokhrel, ISET, ISETNepal and ProVention, Kathmandu, Nepal, 108 Study on Lessons Learnt from Drought Early warning Systems in Uganda and Kenya CIP Consult Uganda Ltd. Feb.2012. 109 ICAI DFID’s Humanitarian Emergency Response in the Horn of Africa, 2012. Recommendation 2: DFID should build on existing good practice to develop, within six months, a new model for flexibly addressing recurring crises in the Horn of Africa. 110 The Economics of Early Response and Disaster Resilience: lessons from Kenya and Ethiopia June 2012. Courtenay Cabot Venton, Catherine Fitzgibbon, Tenna Shitarek, Lorraine Coulter, Olivia Dooley. 111 UN OCHA Consolidated Appeal for Uganda 2009 112 Lessons learned from complex emergencies over past decade. Prof Peter Salama MBBS,Paul Spiegel MD,Leisel Talley MPH,Ronald Waldman MD The Lancet - 13 November 2004 ( Vol. 364, Issue 9447, Pages 1801-1813 ) DOI: 10.1016/S0140-6736(04)17405-9 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(04)17405-9/fulltext 113 Burcu Balcik, Benita M. Beamon, Caroline C. Krejci, Kyle M. Muramatsu, Magaly Ramirez, Coordination in humanitarian relief chains: Practices, challenges and opportunities, International Journal of Production Economics, Volume 126, Issue 1, July 2010, Pages 22-34, ISSN 0925-5273, 10.1016/j.ijpe.2009.09.008. (http://www.sciencedirect.com/science/article/pii/S092552730900365X) 114 WB – HDR 2011, DFID policy re fragile states, HERR 115 Davies F, Gregory Smith and Tim Williamson. Coordinating post-conflict aid in Southern Sudan. September 2011. ODI Background Notes 116 Brickell E, Will McFarland and David M. Mwayafu. Unlocking progress on REDD+: sector coordination in Uganda. November 2012. ODI Background Notes 60 Confirmed through all recent Karamoja-specific evaluations of WFP’s work funded by DFID, but also by other evaluations of WFP’s work in the wider Uganda, e.g. ODI for WFP (2011), WFP's Agriculture and Market Support (AMS) in Uganda (2009-2014) A Strategic Evaluation (Mid-Term), available at http://www.wfp.org/content/wfps-agriculture-and-marketsupport-uganda-2009-2014-strategic-evaluation-mid-term Note that P4P is a sub set of the AMS programme. 118 District government 119 Community-based Integrated Watershed Management. 120 Compiled according to DFID Technical Note on Climate & Environment Assessment for the Business Case (How-to-note, a DFID Practice Paper, November 2012.) 121 Advisory Consortium on Conflict Sensitivity (ACCS); Northern Uganda Conflict Analysis; October 2012. 122 The changing nature of gender roles in the drylands of the Horn and East Africa: implications for DRR programming. REGLAP 2011. 123 FANTA-2 2010. The analysis of the nutritional situation in Uganda. 124 Knaute D and Kagan S, Issues of Pastoralism: Proceedings of the 2008 International Conference; Luneburg; University of Luneburg, 2008. 125 Advisory Consortium on Conflict Sensitivity (ACCS); Northern Uganda Conflict Analysis. October 2012. 126 Based on average 60 days in SFP 127 DFID Multilateral Aid Review 2011. 128 Project Completion Review - Sustaining Nutritional Assistance in Karamoja. DFID Uganda Draft April 2013 129 Bernard Broughton, Gaston A. Tumuhimbise, Richard Basalirwa (May 2012), Decentralized Operation Evaluation of the Uganda, Protracted Relief and Recovery Operation (PRRO) 101213: Protracted Relief for Internally Displaced Persons and Refugees, Evaluation Report commissioned by WFP; IOD PARC for DFID (June 2012), Formative evaluation of World Food Programme’s Livelihoods Programme, Karamoja, Uganda. 130 Karamoja Livelihoods Programme (KALIP) Mid-Term Review March 2012 131 Evaluation of DG ECHO’s action in Uganda Aguaconsult Ltd. Evaluation Report May 2011. 132 Baseline Household Economy Assessment of Karamoja, FAO, EC, May 2010, 133 DFID Multilateral Aid Review - UNICEF 2011 134 DFID’s work through UNICEF. Report 21 – March 2013 117 61