devinitorg/iati-policy-markers huggingface dataset:
Emergency Nutrition response to IDPs in Kiltu woredas of West wollega zone Following the recent border conflict between Benishangul Gumuz and Oromia region about 199,209 (111,061 male, 88,148 female and 28,579 are children under five ) people were displaced from Kamashi zone of Benishangul Gumuz region to five woredas of East Wollega and nine woredas of West Wollega zone. Some of the internally displaced people (IDPs) are reportedly living with host communities, while others are sheltered in collective sites, mainly in Gov¬ernment buildings and schools.

Although the area is not known  by chronic food insecurity and  Community based management of acute malnutrition (CMAM) services are institutionalized through the routine health services, access to Outpatient therapeutic Program (OTP) and Stabilization Center (SC) remains a problem especially for the internally displaced communities(IDPs). Absence of MAM service and week referral between SAM (OTP/SC) and MAM interventions, with referral and continuum of care breakdowns intensifying the malnutrition situation in the area. According to the assessment conducted by International Medical Corps on November 2018, coverage of screening and SAM treatment service provision for displaced population with Sever and moderate malnutrition is low.  SAM with medical complications was treated only in one Health Center with stabilization center (SC) and the health posts are also loaded with SAM cases of IDPs. During the assessment the major gaps identified were lack of transportation to facilitate supply from the zone to respective woredas and health posts, shortage of OTP SC materials and routine drugs, support in regular screening of children and under five, capacity building of health workers for proper service provision of SAM and MAM treatment and follow up, community sensitization and active case finding. International Medical Corps planned to provide a six month support through this project focusing on health system strengthening in full CMAM implementation, screening and capacity building trainings and joint supportive supervisions. Tripartite Field Level Agreement (FLA) will be signed with WFP and ODRMC for the TSFP implementation jointly with HEWs, woreda Health and NDRMC.
Targeted Supplementary Feeding Programme - Support to IDPs The Targeted Supplementary Feeding Programme is addressing the needs of moderately malnourished children 6- 59 months and pregnant and lactating women for IDPs, host communities and  hotspot priority one woredas.
Response to public health emergencies due to conflict and drought through provision of essential medicines and supplies The outbreak response elicited by the El Niño started in 2015 in Addis Ababa and rapidly spread to Somali, Afar, Amhara, Benishangul Gumuz, Dire Dawa, Gambella, Harer, Oromia, SNNPR, and Tigray regions of Ethiopia. The swift surge in the number of cases of AWD in early 2017 with more than 4000/week reported from mid-April to end May brought about significant mobilization of resources by the FMOH/PHEM and partners for saving lives through access to treatment and the control of community spread. By the end of 2017 the outbreak was brought under control in the most heavily affected regions including Somali, Oromia, Amhara, and Tigray. The resurgence in early January 2018 in Dire Dawa, Somali and Tigray as well as the outbreak in Afar in May were rapidly controlled because the strong early warning and rapid response mechanisms which were established during the peak of the outbreak, led by PHEM/RNOH/RHB and supported by WHO covered most of at the high risk regions/zones/woredas. 

The health determinants and triggering factors for outbreaks have remained unchanged, or in some regions degraded further due to additional internal massive displacement. Access to safe drinking water, poor sanitation and hygiene behaviors, wide-spread food insecurity with general poor nutrition and increasing SAM incidence, along with cross-border movements, large numbers of internally displaced people in the context of an overburdened local health system creates an impeding risk for AWD and other water borne diseases outbreak resurgence especially in Aug and Sept.

The aim of the project is to improve access to health care to effectively cover the high risk populations. Improved access to appropriate treatment of cases (case management/IPC) are essential for the control of community spread of diseases with high epidemic potential. The EHF funding will enable health facilities, temporary clinics and mobile health and nutrition teams to improve access to health care for the next 7 month.  Controlling health threats and outbreaks is a multi-disciplinary (water quality, case management, risk communication, surveillance, IPC) and multi-sectorial (WASH, Nutrition, shelter, logistic) effort, as a front line rapid response to contain the sources of potential outbreaks. The activities are complementing other WHO field programs in coordination with the FMOH, RHBs and humanitarian partners’. This intervention will ensure timely detection of disease alerts/outbreaks and rapid, efficient response and as a result will help to contain the outbreaks locally and keep monitoring the epidemiological trends, in line with the requirements of International Health Regulations (IHR). In addition, the project includes procurement of medicines and medical supplies for PHC clinics run by NGOs and RHBs for the IDPs, and some AWD kits, complementing other available resources. Still, even with USD 2,1 received/committed (EHF, CERF) so far, the gap in medicines and medical supplies remains significant at USD 6,4.
Emergency WASH response to displacement affected population in Gedeo and West Guji zones This project is based on the immediate funding priorities released in August 2018 and revised in October 2018 which placed a great emphasis on life saving interventions for conflict affected communities mainly returnees and IDPs in West Guji and Gedeo zones while also focusing on preparedness and durable solutions. This is also based on Humanitarian and Disaster Resilience Plan (HDRP) 2018 objectives.   This project directly links to this approach with the objective of reaching 22,162 individuals (11,622F,10.540M) displacement-affected populations in West Guji and Gedeo zones. The main objective will be to ensure displacement affected people have increased equal and sustained access to reliable safe water, appropriate sanitation and hygiene services. This will not only provide access to humanitarian assistance but also contribute to durable solutions.
To achieve this objective, NRC will focus lifesaving interventions for 6 months with flexibility to adjust based on the returnees or new life threatening crises occurs. This will specifically be done through water systems rehabilitation as at exit strategy to water trucking or recovery of the returnees areas, construction of communal latrines with hand washing facilities, promotion of adoption of positive hygiene practices and distribution of essential WASH NFIs provided by UNICEF or Water bureau.The sites have been selected based on returnee population and also areas greatly affected by the displacement. The project design has closely been coordinated with the WASH Cluster, regional and zonal authorities, and other operational partners in the targeted communities. Specifically coordination has been done with MSF Spain, Oxfam, IOM, IRC and water bureau to establish the gaps and clear division of interventions. This will ensure smooth implementation and complementarity as the needs are massive and will require concerted efforts to reduce possible disease outbreaks like Acute watery diarrhoea (AWD). Continuous monitoring will be undertaken in the implementation period to ensure all emerging trends are captured for the project to remain relevant to the ever evolving needs. Great community participation has been incorporated in the project design with emphasis to needs of women and children who form a great percentage of the displaced populations. This approach will continue in the project implementation and lessons learnt incorporated in future responses.
Information, Counseling and Assistance for IDPs in the Somali region The proposed intervention will facilitate access to legal identity documents for IDPs in the Somali region.  An assessment conducted by the Norwegian Refugee Council (NRC) indicates that as few as 8% of drought affected IDPs  and 32% of conflict affected IDPs in the Somali region possess legal identity documents and that there is a limited understanding of the importance of such documents. In Ethiopia, legal documents are required to open a bank account, register a contract, enter into a legal marriage, for admission into educational institutions, and to pass through security checkpoints. Legal documents such as birth certificates also guard against the risk of statelessness, early marriage, child labour, and the risk of incarceration if juvenile offenders are unable to prove their age in court. 

NRC will collaborate with government, local authorities in Dollo Zone (Warder, Danot, and Galladi Woredas), Fafan Zone (Awbare, Jigjiga, Harshin, and Kebribeyah Woredas), Erer Zone (Meyu Muluke Woreda) and Liben Zone (Fitu and Dekasuftu Woredas) to enhance the ability of IDPs to obtain legal identity documents. NRC’s activities will (1) ensure that IDPs are better informed about the importance of legal identity documents, and are able to obtain legal identity documents, through group information sessions, informational materials, mobile counselling, individualized assistance, and referral linkages with administrative units issuing documentation and (2) enhance understanding amongst authorities, community leaders, and humanitarian actors about the importance of legal documentation and ensure that the relevant actors are supported to issue documentation.
Addressing Sexual and Reproductive Health (SRH) services for conflict induced internally displaced persons in West Guji zone of Oromia and Gedeo zone of SNNP Regions, Project Goal: To contribute to the reduction of maternal and neonatal mortality and morbidity in selected IDP sites and surrounding affected host communities
Project Objectives: 
1. To increase demand on utilization of lifesaving reproductive health services among vulnerable women and girls in IDP sites.
2. To enhance access to lifesaving reproductive health, maternal health and sexual violence services for IDPs and affected host communities.
Strengthening referral stabilization centers for inpatient management of severe acute malnutrition with medical complications in IDP response, Gedeo/West Guji The situation along the border areas of Gedeo and West Guji zones is worsening, according to a joint inter-agency mission which was conducted in the last week of June 2018,. Violence in these zones along the border areas since June 2018 has led to the displacement of over 793,094 IDPs in Gedeo these IDPs are now living in 73 collective sites, and about 185,000 are living in 26 sites in West Guji zone.The IDP numbers remain fluid, with reports of new IDPs arriving every day. In Gedeb  for instance, it was reported that on average over 100 new IDPs arrive each day.

Due to the challenges related to food distribution the assessment team has seen an alarming rate of malnutrition and an increase in the rate of SAM. 

The project will develop the stabilization centers in Bule Hora and Kercha hospitals in West Guji Zone (Oromia) and also the stabilization centers in Dilla and Bule Hospital as well as Wanago Health Center in Gedeo Zone (SNNP).
Emergency Nutrition Response for Drought-Affected Communities in Afar Region The project will consist of a full CMAM intervention to help prevent morbidity and mortality among children under five and pregnant and lactating women in five drought affected areas of Afar Region: Adaar, Elidar, Chifra, Gewane, Telalak. In Chifra operations will be limited to treatment for moderate acute malnutrition and IYCF, due to restrictions in place by the Regional authorities. In the other four Woredas the full CMAM package (including treatment for severe acute malnutrition) will be implemented.

Activities will consist of:
- Supporting government-led treatment of severe acute malnutrition among children under five in out-patient therapeutic programmes and stablisation centres
- Strengthening of OTP and SCs
- Treatment of moderate acute malnutrition among children under five and pregnant and lactating women through targeted supplementary feeding programmes
- Establishment and strengthening of TSFP sites
- On-the-job capacity building of health workers and health extension workers on community-based management of acute malnutrition
- Community mobilization and outreach, to raise awareness of service delivery and boost uptake
- Logistical and technical support to the Woreda Health Office in the implementation of CMAM response
- Infant and young child feeding education including hygiene promotion

The project will be tailored to take into account the specific context in Afar Region, including strengthening coverage in remote kebeles which are inaccessible by vehicle transportation, establishment of TSFP sites in remote areas, adapting activities in line with recently conducted SQUEAC assessment, and strengthening MoH capacity regarding screening and management of CMAM services.

GOAL expects to reach:
518 children under five with SAM
7707 children under five, and 3774 PLW with MAM
152 health workers, 164 health extension workers, and 312 community volunteers with on-the-job capacity building
All caregivers of children on OTP and PLW, along with other community members attending TSFP distributions, will receive nutrition and hygiene education through IYCF activities

35 OTP and 11 SC will be strengthened
Emergency Nutrition Response for Drought affected Two Woredas in Zone-four of Afar Region and Three Woredas in Two Zones of Amhara Region - Ethiopia The proposed project will provide emergency Community-based Management of Acute Malnutrition (CMAM) support to Awura and Teru woredas in Zone-4, Afar region and Angot and Gazo woredas of North Wollo in Amhara region for a period of 6 months. Concern will build the capacity of the Ministry of Health (MoH) through strengthening existing Therapeutic Feeding Program (TFP) services by increasing coverage and quality in addition, zonal level coordination of CMAM services will be enhanced, including improving reporting. The intervention will address high levels of acute malnutrition in the woredas, supporting the treatment of Severe Acute Malnutrition (SAM) cases and preventing deterioration of Moderate Acute Malnutrition (MAM) cases among children under five years of age (U5) and pregnant and lactating women (PLV).

The overall objective of the project is to provide lifesaving emergency nutrition services in five Priority 1 Hotspot woredas (three in Afar and two in Amhara). Concern will support the MoH to deliver high quality CMAM services including Outpatient Therapeutic Programs (OTP), Stabilization Centers (SC), and community mobilization through infant and young child feeding in emergencies (IYCF-E) messaging. The project will strengthen the capacity of the targeted woredas in both Afar and Amhara Regional State Health Bureau (RHB) and its subordinate office to manage CMAM and to establish effective community mobilization mechanisms for case detection, referral, follow-up, and promotion of key health-seeking behaviors. The OTP, SC, and community mobilization components will be delivered by the Woreda health Office (WoHO) in order to improve management and treatment of severely malnourished children at health post (HP) level, treatment of severely malnourished children with medical complications at SCs, and community mobilization through more robust outreach by health staff and Health Extension Workers (HEWs). Technical support, including joint monitoring and supervision of OTP/SC and on-the-job training for health workers (HWs) and HEWs, will ensure the quality of the intervention and allow for corrective action when needed. The Targeted Supplementary Feeding Program (TSFP) component, through which screenings, distributions, and on-site IYCF-E services are provided, will be directly supported by Concern in collaboration with the World Food Program (WFP) and WoHO. 

Concern will provide MoH staff such as HWs and HEWs with CMAM training in line with national guidelines, and HEWs will also be trained to deliver IYCF-E activities to promote optimal feeding practices. Good hygiene and treatment of drinking water at household level will also be promoted through messaging and via the supply of water treatment chemicals (WTC), and through laundry and body soap being distributed to TSFP beneficiaries.
Emergency Response Project in Conflict affected IDP sites in Gedio Zone, SNNPR This allocation prioritized support to activities that address immediate, lifesaving needs with immediate impact on the lives and livelihoods of conflict-induced IDP households by ensuring timely delivery of emergency response activities. In line with these strategies CARE Ethiopia will work on sanitation facility installation for IDP sites. These activities clearly stated in the HDRP document as a key strategies and priorities to saving lives minimizing public health risks associated with the low WASH coverage.

The selected woredas and IDP sites for this project were prioritized by the national WASH clusters and confirmed by the government as a critical areas based on the unmet need on WASH coverage, especially on access to sanitation infrastructures and hygienic practices in addition to lack of safe water supply.

CARE Ethiopia is a regular member of WASH clusters at national and regional level and well known for having a presence in the country as well as in Gedio zone by providing humanitarian assistance to IDPs and disaster affected communities.

In this project, 30 emergency latrine blocks will constructed to address 21,000 people in 8 IDP sites in Yirga chefe woreda in Gedio zone. Hygiene ans sanitation promotion activities also planned to address 30000 people.
Life-saving Emergency Nutrition Response in hotspot woredas in Oromia, SNNPR, Somali, Afar, and Amhara regions in Ethiopia Ethiopia has been confronted by several repeated natural disasters since 2015: the whole country was hit by the El-Nino induced drought in 2015, followed by the Indian Ocean Dipole (IOD) driven drought in the second half of 2016 which seriously affected pastoral communities in the southern and eastern parts of the country. Adding to the already dire situation in these areas, inter-community conflicts have resulted in more than 2.8 million internally displaced populations (IDPs) DTM Round 11)) across the country. Approximately one million – of the 2.8 million IDPs - are displaced in Gedeo (SNNPR) and West Guji (Oromia) zones. More than one million people still displaced since last year’s Oromia-Somali conflict face multiple vulnerabilities. Majority of the IDPs are women (50 per cent) and children under 18 (60 per cent) (DTM R11). Many of these IDPs have lost their homes and are now without proper shelter, with inadequate NFIs, and little access to safe water, sanitation facilities and health nutrition services. Moreover, with the arrival of the heavy kiremt rains as well as the major hunger season, Afar, Oromia, SNNPR, Amhara, and Somali regions are seeing a deterioration in the nutrition situation among children. Robust and comprehensive nutrition services should be provided and strong coordination mechanism put in place to sustain, reduce and prevent mortality and morbidity associated with the multiple emergencies.
 
Due to above complex emergencies, Ethiopia has seen its highest levels of the Severe Acute Malnutrition (SAM) since the inception of the Community-based Management of Acute Malnutrition (CMAM) in the country: 350,451, 320,883 and 344,666 children under five were admitted for SAM treatment in 2015, 2016, and 2017, respectively. In 2018, it is estimated that some 350,000 children will receive SAM treatment, and the figure is likely to be revised upwards during the mid-year review (MYR) of the 2018 Humanitarian and Disaster Resilience Plan (HDRP). UNICEF remains the sole agency that procures the Ready-to-Use-Therapeutic Foods (RUTF) and therapeutic milks, and routine medicine that are essential to treat SAM. For its 2018 response, considering the increased needs and given the multiple risk factors of flooding and disease outbreaks, UNICEF has internally revised its nationwide SAM caseload higher for planning and preparedness purposes, and faces a gap in its SAM treatment supplies pipeline. Failure to close the gap will result in the failure to deliver life-saving nutrition services to the children in need. To prevent this, in this proposed project, UNICEF aims to procure and distribute 56,700 cartons of Ready-to-Use Therapeutic Foods (RUTFs) that can immediately save lives of children with SAM.
Livelihood Based Emergency Response in four districts of Afar region This project proposal is submitted by VSF Germany after selected by agriculture cluster following criteria set by cluster as well as Afar regional government recommendation. The proposal designed as per strategic objectives developed to guide humanitarian action in 2018. These  three mutually-reinforcing strategic objectives includes To save lives and reduce morbidity due to drought and acute food insecurityTo protect and restore livelihoods to prepare for and response to other humanitarian shocks – natural disaster, conflict and displacement. This project contributes to the two strategic objectives (save lives and reduce morbidity due to drought and acute food insecurity as well as protecting and restore livelihoods). The project targeted 4 drought affected districts (Bidu, Elidar, Chifera and Asayita) which are prioritized by agriculture cluster as well as regional government of Afar. The thematic areas of the project are provision voucher based  animal health service and livestock feeding. Therefore this project will provide livestock feed and animal health service to selected households in four woreda to protect core-breeding animals. To attain this, the project targeted 3700households for voucher based animal treatment, out of these, 1800 HHs will also receive animal feed to feed a total of 10800 sheep and goats.  It is assumed that each household will receive feed for 6 breeding goats which will allows them to feed for 66days. Further to this, the project will provide support during vaccination campaign and a total of 180,750 animals owned by 7230 HHs will be vaccinated.