devinitorg/iati-policy-markers huggingface dataset:
Operational Support to the Emergency Health Response in Oromia Region, Ethiopia The proposed project will provide operational support and common services to the Oromia Regional Health Bureau (RHB), UN and NGO partners in the Oromia Region of Ethiopia.  UNOPS support will facilitate the health, WaSH and nutrition response to the growing health sector emergency in four zones of Oromia that have received high numbers of displaced people since the outbreak of conflict in August 2017. Targeted zones include Gurji, East Hararghe, Bale and Borena.

This project builds upon two other EHF-funded projects providing operational support to RHBs, UN and NGO partners during their response to health crises in the Somali and Amhara Regions between May and December 2017.  The support UNOPS has provided in these regions enabled health workers to address acute watery diarrhoea (AWD), communicable diseases and severe acute malnutrition in an efficient and timely manner.

Since 2015, the AWD outbreak combined with prolonged drought has meant that Oromia has been suffering from similar health issues to the Amhara and Somali Regions.  This has been exacerbated by conflict at border areas between Oromia and the Ethiopian Somali Region since September 2017, leading to high levels of internal displacement (estimated at 553,000 people, 27 October 2017) in Oromia and a growing health emergency. Population movement has contributed to the spread of acute watery diarrhoea (AWD) and other communicable diseases (such as measles and hepatitis A), and led to rising rates of malnutrition.  Malnutrition rates were already high before the displacement crisis due to prolonged drought.

UNOPS operational support will include two key components: 

1. Fleet management services for response teams and supplies. So that health workers can visit remote and hotspot areas, UNOPS will assign five 4x4 vehicles (through service providers) to provide travel services to health workers and supply chain services for transport of medical, nutrition, WaSH and education supplies. UNOPS will manage the vehicles, working with service providers and humanitarian partners to ensure vehicles meet the requirements of the emergency in terms of equipment, availability and quality of service.
2. Disbursement of per diem payments. UNOPS will work with a mobile payment company to ensure that the 80 RHB health workers travelling in UNOPS-supplied vehicles are paid per diem promptly, in accordance with MoH per diem rates. Disbursement through mobile payment companies is cost effective, as it reduces logistic and time costs. 

An Operations Associate will be based in the Oromia RHB office in Addis Ababa. His/her role under the fleet management component will be troubleshooting, ensuring that the provider maintains the vehicles and facilitating the planning and work of the response teams in the region. The Operations Associate will manage this process, working closely with Oromia RHB and Addis Ababa UNOPS office to oversee per diem payments and assist with any changes or delays.
Nutrition Intervention through Community Based Management of Acute Malnutrition (CMAM-IYCF) at Zeway Dugda and Dodota woredas (Arsi Zone of Oromia Regional State) The proposed project will provide Emergency Community-based Management of Acute Malnutrition (CMAM) support to Zeway Dugda and Dodota woredas of Arsi Zone in Oromia region for a period of five months. ChildFund will support the Ministry of Health (MOH) to strengthen existing Therapeutic Feeding Programme services by increasing coverage and quality. The intervention will address high levels of moderate acute malnutrition (MAM) in the woredas and prevent cases of MAM from deteriorating to severe acute malnutrition (SAM) among children under five and pregnant and lactating women. 
The overall objective of the project is to provide lifesaving emergency nutrition services in severely drought affected communities. ChildFund will support the MOH to deliver high quality CMAM services including Targeted Supplementary Feeding Programs in hotspot Priority One (P1) Zeway Dugda and Dodota woredas of Arsi Zone in Oromia region.
Lifesaving Emergency Shelter and Non-Food Items Response for the Prioritized Conflict Affected IDPs in Ethiopia The proposed intervention will provide life-saving assistance to 28,752 prioritized internally displaced persons impacted by conflict and in critical need of emergency shelter (ES) and non-food items (NFI) in Oromia, Somali, Gambella and other conflict-affected regions. 

As of 29 March 2017, IOM’s displacement figures identified a total of 51,777 conflict displaced households, including 24,909 in Somali, 17,899 in Oromia, 2,709 in Gambella, 64 in Afar, 49 in Amhara, 600 in Hareri and 5,547 in Tigray regions. The present action prioritizes Somali, Oromia and Gambella regions as 83% of the overall conflict-displaced households are located in these regions. 

The project will be implemented through a coordinated response of the following Cluster members: the International Organization for Migration (IOM)/Ethiopian Red Cross Society (ERCS as implementing partner) and the Norwegian Refugee Council (NRC). 

Currently, IOM has 8,500 ES/NFI kits and 10,753 Dignity kits prepositioned. Of these, 3,000 ES/NFI kits and 3,795 dignity kits will be provided to NRC for distribution through separate donor funding. Within the proposed action, IOM will replenish the prepositioned stock by procuring an additional 2,400 ES/NFI kits and 3,795 dignity kits. 

IOM and NRC will distribute the total of 7,900 ES/NFI kits (5,500 prepositioned + 2,400 procured) and 10,754 dignity kits. The ES/NFI kits will be fully procured by IOM and distributed by IOM and NRC (3,950 ES/NFI kits and 5,377 dignity kits each) in Oromia (38%), Somali (38%) and Gambella (14%) ‘Other’ (10%) regions. Exact areas of distribution will be identified through joint assessment by ES/NFI Cluster agencies in coordination with regional and zonal government authorities. IOM will engage ERCS as an implementing partner for ES/NFI and Dignity kit distributions based on the agency’s wide geographic coverage, cost effectiveness and past partnership history with IOM. 

IOM and NRC will provide cash-based assistance for 600 households (300 household per agency) in project locations with access to quality shelter materials in the local market. This cash-based assistance follows on from the successful IOM cash pilot funded by EHF and implemented in Gambella and Somali regions which reached a total of 982 households from September 2016 to March 2017. The cash-based intervention is based on the recommendations of the ES/NFI Cluster’s continued development of experienced based knowledge on cash interventions in the sector. 

In total, through the joint IOM and NRC intervention, 8,500 households will receive ES/NFI assistance (7,900 in kind and 600 in cash) while a total of 10,754 women from ES/NFI beneficiary households will receive in kind dignity kits. IOM will directly assist 3,950 households with in-kind ES/NFI, 300 households with cash-based assistance and 5,377 girls/women of reproductive age with dignity kits.
Safe spaces for humanitarian workers in refugee camps in Ethiopia With EHF funding, UNHCR will provide VHF radios as well as stand-alone safe rooms, suitable for the respective location, to enhance the communication and protection of humanitarian personnel during security incidents within the camps. Depending on the respective situation in each camp, stone/concrete buildings or HESCO protective shelter will be constructed, or existing structures will be enhanced. VHF radios will be provided to partner organisations in the camps in line with national regulations.
Emergency Nutrition Response for Drought-Affected and Displaced Communities in Oromiya Region This project responds to the nutritional needs of IDP and host communities in five zones in Oromiya Region, who have been negatively affected by prolonged drought, food insecurity, and most recently conflict-induced displacement. Continued drought, and lack of clean water and food among IDP communities has led to the development of both severe and moderate acute malnutrition among the children under 5 and pregnant and lactating women. In addition the influx of IDPs into the targeted woredas has put a strain on existing host community resources and health worker capacity.

GOAL proposes a six-month CMAM intervention to respond to the needs in the following woredas: 
Deder, Oda Bultum, Daru Lebo, Siraro, Dolo Mena, Meda Welabu, Harena Buluk, and Goro Dola
Proposed areas of intervention have been discussed with the ENCU at Federal and Regional level and are among those prioritised under this allocation.

Activities will consist of: 
-	Supporting health workers and health extension workers in the treatment of severe acute malnutrition via out-patient therapeutic programme and stabilization centres
-	Community mobilization and screening
-	Education on Infant and Young Child Feeding
-	Capacity building, and on-the-job coaching of health workers and health extension workers on management of acute malnutrition and IYCF

189 OTPs will be strengthened / established
42 SCs will be strengthened / established

GOAL expects to directly reach the following beneficiaries:
3,199 children under 5 suffering from SAM (through OTP/SC)
944 HWs and 600 HEWs
3,199 caregivers of children on OTP/SC with IYCF messaging.
Borena zone  Emergency Nutrition Réponse Project The overall objective of this project is to support the existing health system to manage increasing cases of acute malnutrition among children less than 5 years, and pregnant and lactating women in the six drought affected Woredas (Teltele, Elwaye, Gomole, Dubluk,  Arero, and Wachile) of Borena zone in Oromia region. The project targets male and female children less than five years, pregnant women, and lactating women for direct nutrition support and mothers of children less than 5 years (regardless of  their nutritional status) for IYCF-E, Health, and Nutrition counseling. Gender balance will be considered when recruiting staff for this project,  and most of the technical support for program will be provided to HEWs who are mostly female, and Woreda health staff who are both male and female. Project target numbers are planned by reviewing admission trend in similar months the previous year and considering the current drought and food insecurity situation. 

The proposed project will reach: 
 9973 moderately malnourished children age between 6 to 59 months
 1342 severely acute malnourished children less than five years
 13686 moderately malnourished pregnant and lactating women 
 1500 women of reproductive age and men will receive maternal and child nutrition education
Emergency WASH response to support the Government of Ethiopia's Drought and AWD Response During the past two years most parts of Ethiopia have been hit by severe droughts due to the negative effects of El Niño and the Indian Ocean Dipole (IOD) weather phenomenon. As a result of these successive droughts, the groundwater water level has been declining significantly while at the same time the non-functionality of water supply systems has been increasing due to over utilization of schemes. In addition to and as consequence of the drought and the resulting water shortage, AWD cases have been reported in many regions, particularly in the Somali Region. During the ongoing rainy season, AWD cases are expected to increase in Amhara, Tigray and Oromia regions. This will significantly increase the risks of mortality and morbidity from malnutrition and water- and vector-borne diseases among the affected people, especially children and women.

To minimize the negative effects of the looming public health risk, the proposed project aims to support the Government in its efforts to respond to the emergency through the provision of various household water treatment chemicals, water storage tanks, and NFIs to drought and AWD affected regions with particular focus to Amhara, Oromia and Somali regions.
Livelihood Based Drought Emergency Response in Hamer, Dasenech and Nyagatom  Woredas of south Omo Zone, SNNPR This project proposal  is submitted by VSF Germany and its partner VITA under SNNPR cluster which comprised of multiple organizations currently operating in SNNPR. The SNNPR cluster members include FAO, PIN, VITA and VSF Germany. The proposal in line with HRD strategic objective 1 and 2 is designed in order to prevent further deterioration of food security and protect livelihoods of vulnerable households. VSF Germany and its partner VITA targeted a total of 11,350 households (68,800 beneficiaries) in 3 drought-stricken woredas (Hamer, Dasenech and Nyagatom) of south Omo zone  by improving livestock health, provision of livestock feed and slaughter destocking (meat distribution) activity to vulnerable households according agriculture cluster objective 2 , in particular with priority category 1 . VSF Germany will implement animal health and slaughter de-stocking intervention across the three districts and feeding activity only in Hamer wereda. VITA will implement animal feeding in Dasenech and Nyagatom weredas.
Outcome 1: Protected livestock assets through the provision of animal feed, veterinary services and slaughter de-stocking (meat distribution). In order to protect core-breeding animals, the project seeks to provide livestock feed and animal health service to selected households in each woreda. To attain this outcome These project targeted 8,000 households for animal health intervention and 2,850 HHs for feeding activity in the three districts. It is assumed that each household will receive feed for 2 breeding cattle which will allows them to feed those cattle for 66 days. Each breeding cattle in the selected households receives 1.5 kg concentrate feed on a daily basis. Further to feeding activity the project will target 8,000 households from the two districts (Dasenech and Nyagatom) for veterinary service. Each household will receive veterinary vouchers with a value of 7$ to access veterinary service through community animal health workers. in addition the project carry out slaughter destocking activity. A total of 6,750 households will be expected to benefit from slaughter destocking and meat distribution intervention. Each selected household will receive 5 to10 kg of fresh meat from village level slaughtering committee.
Strengthening emergency health and nutrition response in Somali and Oromia Regions The Somali Region has a high number of mobile communities spread out over vast areas, which have poor infrastructure, and low access to safe water (34.6%) and sanitation (7 %). Also, with an estimated 573,886 IDPs (309,890 drought and 258,249 conflict – DTM R6), food insecurity, high rates of acute malnutrition among children and multiple ongoing disease outbreaks the region faces many public health challenges and threats.To further complicate this situation the health system has been weakened due to many of the prolonged emergencies, making the delivery of quality static mobile emergency health and nutrition services critical to effective emergency response. 

The Oromia Region has also been impacted by the prolonged drought and has not recovered from the impact of the insufficient rains in 2016. Based on the Belg assessment, 95 woredas were identified as P1 and 29 as P2 for health and nutrition humanitarian support. The multiple vulnerabilities aggravated by drought resulted in a complex health and nutrition emergency, including the outbreak of Acute Watery Diarrhea (AWD), which is ongoing in eastern zones, as well as Global Acute Malnutrition (GAM) rate for Somali region which is 22.7% (EDHS 2016) - rates above 15% are considered critical. The recent border conflict between Oromia and Somali region has produced 382,837 conflict IDSs in Oromia and new waves of IDPs have significantly increased the risk of AWD outbreaks and an increase in GAM. The disruption in health and nutrition services continues to compromise the ability of the region to respond. 

The aim of the project is to strengthen the quality, coverage and timeliness of the current health and nutrition response in Somali and Oromia Regions. The project will provide rapid response medical teams to respond to emerging health needs related to the conflict, train newly deployed surge health staff, provide medicines and medical supplies to address the most urgent stocks out of  Mobile Health Nutrition Teams (MHNTs) run by NGOs and supportive supervision/coaching to improve quality of services for IDPs in CTCs and inpatient management of SAM to prevent relapse. The project will also support the Information Management (IM), data collection, monitoring and quality assurance capacity at zonal hubs.
Life-Saving Emergency Shelter / Non-Food Item (ES/NFI) Assistance to Internally Displaced Persons (IDPs) in Ethiopia The proposed intervention will procure and transport 13,000 ES and 9,500 NFI kits for lifesaving assistance to targeted households displaced by conflict. Out of the 13,000 ES assisted beneficiaries, 3,500  will receive cash based assistance while the remaining will receive NFIs kits..  IOM will transport the kits to field distribution sites in Borana and Bale Zones of the Oromia Region and Dawa and Liben Zones of the Somali Region as prioritized through the ES/NFI Cluster. Norwegian Refugee Council (NRC), Save the Children and GOAL will conduct the distributions in Liben (1,500), Dawa (3,000) and Bale and Borana (5,000) respectively while also providing WASH assistance under individual projects.  

The ES/NFI kits will provide life-saving assistance to displaced households and individuals recorded by the Displacement Tracking Matrix (DTM) in Round 7 conducted in September/October. In total 166,440 households representing 1,016,534 individuals are in a situation of internal displacement across Ethiopia in the various regions with the highest numbers reported in the Somali Region (51%) followed by Oromia Region (38%). 

The project will be implemented through a coordinated response of the following Cluster members: Norwegian Refugee Council (NRC), Goal and Save the Children ensuring that the distribution is conducted through an environment-friendly and economically sustainable in-kind response.
AWD response in Cel-Ogaden, Boodalay, Higlooley, Dhooboweyn, Kundur-bur, Kalafo, Adadle , Daror, Gashamo Woredas of Korahey Shebelle and Jarar  zones-Somali region Save the Children’s proposed implementation is an integrated WASH and Health intervention which is designed as an AWD outbreak response to reduce the morbidity and mortality of affected children and communities in the Somali Region. Save the Children has been operational in the Somali region providing lifesaving medicines, building capacity of health workers, involved in Water, hygiene and sanitation (WASH) activities and supporting disease surveillance and coordination. The Acute Watery Diarrhea (AWD) outbreak is expanding rapidly to new areas requiring intensive responses needing more resources. Save the Children, with funding from Ethiopian Humanitarian Fund (EHF), will respond to the immediate health and WASH needs of vulnerable households affected by AWD. We will implement Health and WASH interventions targeted at capacity building of technical staff, enhancing quality of AWD cases management in the Cholera Treatment Center (CTC) through deployment of medical doctors and nurses, enhancing AWD case search and community awareness, water trucking services and the promotion of community level hygiene and sanitation in line with the government AWD response plan. The project will target AWD affected woredas in the Somali region and its intervention will be implemented through integration across different sectors, further focusing on strengthening coordination of AWD responses.  The project is designed to run for 4 months of direct implementation and have a 5 month eligibility period in total.
Enhancing nutrition support to AWD outbreak in Somali Region This project will provide nutrition support to 160,000 AWD cases, receiving treatment in CTC/CTUs in Somali region, through procurement and distribution of safe and ready to use nutritious food (BP5)
Emergency ES/NFI Response to IDPs affected by conflict  in Somali, Oromia,Gambella  and other Regions The proposed intervention will provide life-saving assistance to 28,752 internally displaced persons impacted by conflict and in critical need of emergency shelter (ES) and non-food items (NFI) in Oromia, Somali, Gambela and other conflict-affected regions. 

According to Round 3 of IOM’s Displacement Tracking Matrix (DTM) a total of 40,016 households (representing 268,782 individuals) are currently displaced as a result of conflict. The majority of conflict displaced-households are located in Somali (22,886), Oromia (8,761) and Gambella (2,109) regions. In the first two weeks of March, data obtained from IOM’s Emergency Tracking Tool, which gathers information on displacement between published rounds of DTM, demonstrates an increase of 11,761 households displaced (representing 60,870 individuals) as a result of conflict in Somali and Oromia regions, highlighting displacement of households as a result of conflict. The present action prioritizes Somali, Oromia and Gambella regions as 84% of the overall conflict-displaced households are located in these regions. Other conflict-affected regions, including Afar, Amhara, Tigray and Harari reported a total displacement of 6,260 households, as per DTM Round 3. 

The project will be implemented through a coordinated response of the following Cluster members: the International Organization for Migration (IOM)/Ethiopian Red Cross Society (ERCS as implementing partner) and the Norwegian Refugee Council (NRC). Currently, IOM has 8,500 ES/NFI kits and 10,753 Dignity kits prepositioned. Of these, 3,000 ES/NFI kits and 3,795 dignity kits will be provided to NRC for distribution through separate donor funding. 

Within the proposed action, IOM will replenish the prepositioned stock by procuring an additional 2,400 ES/NFI kits and 3,795 dignity kits. IOM and NRC will distribute the total of 7,900 ES/NFI kits and 10,753 dignity kits (5,500 prepositioned + 2,400 procured). The ES/NFI kits will be fully procured by IOM and distributed by IOM and NRC (3,950 ES/NFI kits and 5,377 dignity kits each) in Oromia (38%), Somali (38%) and Gambela (14%) ‘Other’ (10%) regions. Exact areas of distribution will be identified through joint assessment by ES/NFI Cluster agencies in coordination with regional and zonal government authorities. IOM will engage ERCS as an implementing partner for ES/NFI and Dignity kit distributions based on the agency’s wide geographic coverage, cost effectiveness and past partnership history with IOM. 

IOM and NRC will provide cash-based assistance for 600 households (300 household per agency) in project locations with access to quality materials in the local market. This cash-based assistance follows on the successful IOM cash pilot funded by EHF and will contribute to the ES/NFI Cluster’s continued development of experienced based knowledge on cash interventions in the sector. In total, 8,500 households will receive ES/NFI assistance (7,900 in kind and 600 in cash) while a total of 10,753 women from ES/NFI beneficiary households will receive in kind dignity kits.