Provision of life saving health care services to the most affected including Internally Displaced Persons (IDPs), returnees and affected host communities in Hiiran, Middle Shabelle and Lower Juba regions.

Section 1. Programme & CSO overview
1.1 Programme submission reference	UNICEF Office	Nairobi
	Programme Title	Provision of life saving health care services to the most affected including Internally Displaced Persons (IDPs), returnees and affected host communities in Hiiran, Middle Shabelle and Lower Juba regions.
	Programme Document Number
	Submission date	18^th March ,2016
1.2 Organization information	Organization Name	Agency for Peace and Development
	Acronym	APD
	Name of Organization Head	Ahmed Diis Haji
	Title of Head	Executive Director
	Email of Head	Ahmed.haji@apdworld.org
	Phone of Head	0720324585/2540202362053/+252 619693395
	Name of Progr. Focal Point	Anab Hassan
	Title	Programme Coordinator
	Email	Anab.hassan@apdworld.org
	Telephone	0721670102
1.3 Programme information	Duration	12 Months
1.4 Programme budget	UNICEF Contribution (** %)	Cash	USD 880,172 .21
		Supplies	USD
	CSO Contribution (** %)	Cash	USD 31,320.00
	Total		USD 911.491.21
1.5 Geographical coverage	Hiran, Middle Shabelle and Lower Juba regions

Zone	Region(s)	District(s) (Attach the list of villages and GPS coordinates, where applicable)	Estimated Population of District(s)	Number of target beneficiaries per district	Is project location accessible to CSO and UNICEF staff?
South Central	Hiiran	Beletweyne District Location: Beletweyne Town MCH	112,000	Target Beneficiaries 5,793	CSO R Yes ☐ No UNICEF R Yes ☐ No
South Central	Middle Shabelle	Jowhar district (Jowhar Town MCH)	45,000 50,000	6,566 7,725	CSO R Yes ☐ No UNICEF R Yes ☐ No
South Central	Lower Juba	Afmadow District ( Afmadow Town, Qoqani, Dhobley) Kismayo district (Calanley MCH, Shaqallaha HP and Madawo MCH). Badhade District (Kulbiyow MCH, Hosingo MCH)	105,000 183,000	8883 9,656	CSO R Yes ☐ No UNICEF R Yes ☐ No
If some of the locations are not accessible to the IP, please provide explanation below on how the CSO will implement and monitor					Note that if some of the locations are not accessible to UNICEF, third-party monitoring will be deployed.
All the aforementioned areas are accessible at the moment.

Section 2. Programme description

2.1 Rationale/ justification

(3 to 5 paragraphs; max 400 words)

The humanitarian crisis in Somalia is among the most complex protracted emergencies in the world. Resurgent conflict across the country and endemic environmental hazards render the majority of Somalia’s 12.3 million people chronically or acutely vulnerable. About 4.9 million people are in need of humanitarian assistance as of September 2015. Hereof, 1 million face food security “crisis” or “emergency” and 3.9 million remain highly vulnerable to shocks and will need assistance, including livelihood support to prevent them slipping into “crisis” or “emergency” phases. Malnutrition rates remain high with about 308,000 children under age 5 acutely malnourished and 56,000 children severely malnourished, while the overall burden of acute malnutrition in 2016 is estimated at be more than 800,000 cases. The lack of improvement is mainly due to the early end of 2015 Gu rains that led to below average cereal production. As the majority of Somalis depend on subsistence farming and pastoralism for their livelihoods, predictable seasonal shocks like flooding and drought continue to cause a fluctuation in humanitarian needs, as well impact the already weak economy.

Health conditions remain worrying, with frequent outbreaks of acute watery diarrhea (AWD) and measles. More than 5,700 suspected measles cases have been reported this year, while about 4,000 cases of AWD/cholera were recorded— with 85 per cent of the cases among children under age 5. The healthcare system in Somalia remains weak, poorly resourced and inequitably distributed. Health expenditure remains very low and there is a critical shortage of capacity for the health workforce. The malnutrition rates have remained somewhat unchanged from 2007 to 2015. The latest countrywide nutrition survey (2015 Gu) results indicate a median GAM rate of 13.6 per cent and a median severe acute malnutrition (SAM) rate of 2.3 per cent of children under age 5. For instance the malnutrition rate in Beletweyne in Hiiran, Jowhar and Balcad in Middle Shabelle is critical while Kismayo and Dhobley IDP’s in Lower Juba remain serious.

Immunization for measles is low at only 30 per cent coverage countrywide. Measles outbreaks were confirmed in several regions of Somalia in 2015, including Lower Juba and Middle Shebelle region. Around 5,700 suspected measles cases were reported between January and September, Only 3 per cent of births are registered and the infant mortality rate is 53 per 1,000 live births, while under-five mortality ranges from 180 to 225 per 1,000 live births. With regards to malaria, about 65 per cent of settlements in southern and central Somalia have moderate to very high malaria epidemic risk, contributing to higher morbidity and mortality levels. 1 in every 10 Somali children dies before seeing their first birthday, and 1 in 18 women dies in childbirth.

Therefore, APD proposes this project to provide a unique health and needs to women, men, girls and boys and improve the safety and well-being of disaster affected families. The project will address key needs through participatory, inclusive and effective means to bring about the desired result.

2.2 Expected results

(No narrative required)

“What” this programme will achieve

The table below defines the programme results framework (results and their link to results defined in the country programme and/or humanitarian response plan; specific indicators, baselines, targets and MOV for each programme output).

Result statement	Performance indicator/s	Baseline	Target	Means of Verification^[1]
Corresponding result from Country programme/ Humanitarian Response Plan^[2]	– Xxx – Xxx
1. Essential medical supplies and equipment prepositioned in 9 health facilities	· Number of health facilities supplied with essential medical supplies · Number of persons attended to at the health facility		9 38,623	Health facility records, weekly attendance sheet, monthly reports, quarterly reports, photos, baseline surveys reports
				Health facility records, weekly attendance sheet, monthly reports, quarterly reports, photos, baseline surveys reports
2. Reduced cases of malnutrition and pregnancy related complications among children pregnant and lactating mothers
	· Number of malnourished children treated/given supplementary food · Number of pregnant women with complications treated		6200 1200	Health facility records, weekly attendance sheet, monthly reports, quarterly reports, photos, baseline surveys reports
3. Improved immunization (polio) reduced cases of malaria, TB and other communicable diseases.	· Number children immunized against polio · Number of malaria cases treated · Number of TB cases managed and treated and other communicable diseases treated		2,200 6,300 1,625	Health facility records, weekly attendance sheet, monthly reports, quarterly reports, photos, baseline surveys reports
4. Enhanced capacity among the health workers in the management of the health facilities	· Number of health personnel trained		40	Training reports, Photos, quarterly reports
5. Enhanced capacity among community health committees	· Number of community health committees established and trained		9	Training reports, Photos, monthly reports, quarterly reports
6. Enhanced capacity among community health	· Enhanced capacity a mong community health workers		49	Training reports, Photos, monthly reports, quarterly reports
7. Increased knowledge on AWD, Malaria among the community.	Number of community members mobilized		21,000	Health facility records, weekly attendance sheet, monthly reports, quarterly reports, photos, baseline surveys reports
7. Increased knowledge on AWD, Malaria among the community.				Training reports, Photos, quarterly reports

2.3 Gender, Equity and Sustainability

(3 paragraphs; max 250 words)

APD believes in participatory intervention in its entire project with specific attention to the most vulnerable groups. Therefore in our intervention we shall give women more priority as our co-implementers in the project in information gathering, beneficiary targeting and registration. In all the teams of APD staff in the various health facilities there will be representative of local women groups and youth. The project targets internally displaced persons in the respective IDP camps, refugee returnees and vulnerable host communities inclusive of malnourished children, lactating and pregnant women thus their involvement in the interventions would be of paramount success of the project. Most recurrent problems from food insecurity, civil conflict, natural disasters and lack of social services affect the women and children. Therefore, Apd will ensure 80% of those directly reached are women

2.4 Partner’s contribution

(1 paragraph; max 100 words)

APD as a partner will partly contribute to the project cost for instance personnel cost of key Project staffs, 20%-30 % of their monthly salary e.g. Finance officer , executive director, ME Officer and Program Manager. APD will also partly contribute to office rents and some other administrative costs.

2.5 Other partners involved

(1 paragraph; max 100 words)

APD will liaise and work with the Ministry of Health in Juba administration and the Ministry of Health of the federal government of Somalia. APD will also seek to work with the respective regional administrations in place in all of the project locations. We also intend to work with other stakeholders such as local community members and non state actors involved in the same interventions.

2.6 Other considerations

(3 paragraphs; max 250 words)

APD is committed to enhanced coordination of humanitarian interventions to maximize the impact of such assistance. APD actively participates in the Inter Agency standing Committee (IASC) cluster coordination forums including water and sanitation, food security, shelter, protection and nutrition and health. At the field level APD is an active member of the regional NGO coordination forums(Lower Juba, Middle Shabelle and Hiran Region) and Somali NGO consortium in Nairobi. where agencies with field presence coordinate their activities. In addition, APD and its staff are very well connected with the local communities and have developed good rapport overtime. This cordial relationship will be harnessed during planning and implementation to ensure communities participate in decision making regarding the earmarked interventions. APD will ensure village PICs are operational and actively involved in intervention implementation. Prior to the start of the intervention APD will carry out baseline assessment and actor mapping exercise where all actors in the project areas will be thoroughly mapped out. This will not only allow easy coordination but will also curb duplication.The progress of the project will regularly be shared with donor, relevant cluster in the form of updates and also with other organizations involved in health and wash activities in the target regions of lower juba, Middle Shabelle and Hiran.

2.7 Additional documentation

(1 paragraph; max 100 words)

Additional documentation can be mentioned here for reference.

Section 3. Programme work plan and budget

The table below defines the programme implementation work plan (the specific activities to be undertaken towards achievement of each of the programme outputs; the schedule of implementation; and the planned budget, including the CSO and UNICEF’s contributions to the programme).

Result Level	Result/activity	Timeframe (quarters/year(s)					Total (CSO+UNICEF)	CSO contribution	UNICEF contribution
Result Level	Result/activity	Q1	Q2	Q3	Q4	Year2	Total (CSO+UNICEF)	CSO contribution	Cash^[3]	Supply
Progr. Output 1:	1. Essential medical supplies and equipment prepositioned in 9 health facilities Performance indicator(s), · # of health facilities supplied with essential medical supplies · # of people treated						330,844.68			330,844.68
Act.1.1	Preposition essential medical supplies and equipment at 9 primary health care (PHC) service delivery sites for 38,625 persons for timely response to health emergencies	x	x	X	X
Progr. Output 2:	2. Reduced cases of malnutrition and pregnant related complications among children pregnant and lactating mothers Performance indicator(s): · # of malnourished children treated/given supplementary food · # of pregnant women with complications treated						Budget as listed above
Act 2.1	Support 9 existing PHC service delivery sites with drug and equipment for the management of pregnancy and nutrition related complications among children, pregnant and lactating mothers	X	X	X	X
Progr. Output 3:	Output statement 3. Improved access to immunization against (polio) and reduced cases of malaria, TB, and other communicable diseases. Performance indicator(s): · # of children immunized against polio · #of malaria cases treated · # of HIV cases managed · # of HIV patients counselled · # of TB cases managed and treated and other communicable diseases treated · # of AWD treated · # of mothers given counselling on mothers · # of women given ante natal and post natal care services · # of survivors of sexual gender based violence (SGBV) supported						Sub-total output	Sub-total	Sub-	Sub-total
Act 3.1	Provide integrated primary healthcare services including support for immunization , treatment of malaria, management of tuberculosis (TB), prevention and treatment of Acute water diarrhea(AWD) and other communicable diseases, and provide Minimum Initial Service Package (MISP) for reproductive health including strengthening ante natal and post natal services through regular reproductive health education and continuous monitoring of pregnant women through regular arranged visits, HIV and SGBV support	X	X	X	X		Budget as listed above			Budget as listed above
Act 3.1
Sub-total for the outputs
Progr. Output 4	Effective and efficient programme management						Sub-total output 4	Sub-total output 4	Sub-total output 4	Sub-total output 4
Act 4.1	Standard activity: In-country management & support staff^[4] pro-rated to their contribution to the programme (representation, planning, coordination, logistics, admin, finance)						436,800		436,800
Act 4.2	Standard activity: Operational costs pro-rated to their contribution to the programme (office space, equipment, office supplies, maintenance)						383,044.68		383,044.68
4.3	Standard activity: Planning, monitoring, evaluation and communication^[5], pro-rated to their contribution to the programme (venue, travels…)						32,800		32,800
Sub-total for programme costs							$852,644.68
HQ costs^[6]	HQ technical support^[7] (7% of the cash component)						58846.53
Total programme document budget							$911,491.21

Section 4. Partnership review (To be completed with UNICEF as part of finalization of the programme document)
4.1 Financial management assessment (if applicable)^[8]	Date planned/ completed
4.1 Financial management assessment (if applicable)^[8]	Risk rating^[9]	Low / Medium / Significant / High / Non-assessed
4.2 Assurance activities planned for the programme duration^[10]	Type	#	Date planned/ frequency
	Programmatic visits
	Spot checks
	Audit^[11]	Yes/No
	Third Party Verification	Yes/No
4.3 Other	Project inception meeting with UNICEF/other partners	Yes/No
	Monitoring visits by UNICEF staff	Yes/No
	Monitoring visits by Government Officials
	Programmatic visits
4.4 Cash transfer modality(ies)
4.5 PRC Ref.#^[12]

Section 5: Detailed Monitoring Plan
No	Activity (list of sample activities the CSO should consider introducing)	Time frame/ frequency	Person Responsible	Means of verification on completion of activity*	Budget required to implement (DSA, travel)
5.1	Monitoring trips	Quarterly	M& E officer & Program coordinator ,Executive Director	Trip reports; pictures ,list of beneficiaries met,	6,000
5.2	Review meetings	Quarterly	Executive Director , Program coordinator	Minutes, picture	800
5.3	Phone calls to beneficiaries	Weekly, Bi-weekly, monthly	Program Manager , Program coordinator	Call logs, summary reports	3,000
5.4	Review of monthly reports from each facility	Weekly, monthly, Quarterly	Health program manager, HIMS Officer	Minutes of review meetings; summary of management recommendations	N/A
5.5	Submission of monthly/quarterly reports to UNICEF	monthly, Quarterly	Health program manager, HIMS Officer	Facility records, monthly reports, quarterly reports	N/A
5.6	Complaint/beneficiary feedback mechanisms introduced by the CSO	Weekly, Bi-weekly, monthly, Quarterly	M& E officer , IT assistant	Summary of complaints received and management actions taken	N/A
5.7	Evaluation – Baseline data collection to be conducted – End of project evaluation activities to be conducted by the CSO IP	-Project inception period -After project implementation	Consultant	Baseline report; evaluation report ,recommendations	12,000
				Total:	21,800

Section 6. Other requirements
6.1 Additional reporting required	See attached additional information in the mail
6.2 Applicable technical specifications or guidance	See attached additional information in the mail
6.3 Supply considerations, if applicable	Specify any protocols, lead times and other key considerations related to supply requirements
6.4 Other

Section 7. Signatures and date

_______________________________________

Head of CSO name, signature and date

________________________________________

UNICEF Representative name, signature and date

[1] The specific sources from which the status of each of the performance indicators can be ascertained. If any data source is a survey or a study which the implementing partner is planning to conduct for this programme, this should be planned and budgeted for in section 3 below (programme workplan and budget).

[2] The most relevant output level result from the Country Programme (CP)/ Humanitarian Response Plan should be identified here, with the corresponding performance indicator(s), directly drawn from CP official documents. If the programme contributes to more than one CP/Humanitarian Response Plan output, each should be identified in a separate line, with programme outputs listed below each corresponding CP output. Identification of the most relevant output level result and corresponding performance indicator(s) is done in consultation with UNICEF Office during the finalization of the programme document.

[3] The budget is prepared in the currency of implementation. Most generally, this correspond to the local currency in the country.

[4] Costs of technical assistance/staff directly related to the achievement of planned results are budgeted as part of programme output budgeting, see above footnote 4.

[5] Costs of M&E and communication activities directly related to the achievement of the planned results re budgeted as part of the programme output budgeting see above footnote 4.

[6] Only payable to organizations with headquarters outside of the country of implementation.

[7] Amount is an estimate. Amount paid is a standard 7% on actual expenditures subject to calculation exclusions as per Annex H of the CSO Procedure.

[8] As per UNICEF HACT Procedure,

[9] Ibid, High risk is assumed for an implementing partner requiring a micro assessment until the assessment is completed. If the partner does not require a micro assessment, the risk rating is “non-assessed” unless the financial management checklist is used to determine a risk rating.

[10] Ibid

[11] One audit is scheduled during the programme cycle if one or more of the programme documents with the CSO reach a cumulative value of $500,000 or more.

[12] Partnership Review Committee Reference number.