Supporting the  pre-distribution ME of the Allowance Initiative for Health Workers in 37 Operational Health Facilities with COVID19 ICUs in Yemen WHO will put in place two lines of defense and monitoring to promote accountability and transparency at the first stage of the C-19 allowances payment, namely: the stage of development and validation of the lists of healthcare workers assigned to the 37 target C-19 ICUs. The two lines of defense can be described as follows: 
1-WHO will maintain in place the existing MampE field officers (first line of MampE at the target ICUs). The MampE contractors will monitor the staff attendance and eligibility, as well as the functional status of the ICUs. A checklist to monitor the functional status and capacity of the ICUs has been developed as of May 2020. Like other MampE tools, the checklist is expected to be further revised and updated according to the findings and recommendations from the TPM company. 
2- WHO will activate a dedicated Third Party Monitoring (TPM, second line of Mamp E of the ICUs). The TPM will monitor staff attendance and confirm eligibility of the allowances based on the profile and cadre. 
Findings generated through the mechanisms described above will ensure WHO and its partners monitor the ICUs from an operational and functional view point. 
WHO will complement the monitoring mechanism described above with the TPM put in place under the World Bank (WB)- WHO partnership for COVID-19 response in Yemen the WB-funded TPM will focus its scope of work on the functional status of the ICUs. As a result, the three sources of MampE (WHO-contracted MampE officers, OCHA-funded TPM dedicated only to pre-monitoring distribution of the allowances and WB-funded TPM) will complement each other and help strengthen field verification and triangulation. 
The WHO contracted MampE staff and TPM will be responsible for the pre-distribution monitoring in other words, for the validation and verification of the health workers' attendance and performance at the ICUs before UNICEF disburses the actual allowances.
The present project complements UNICEF's submission to OCHA for the Allowance Initiative in light of this, the pre-distribution monitoring will focus on the same target number of ICUs receiving aCOVID19 allowances through UNICEF (37 ICUs for a total expected number of 4,175 workers). Under this proposal, the number of healthcare workers receiving the hazard allowance are classified as: (a) those staff operating within the ICU and (b) those staff directly supporting ICU operations. ICU staff may include Specialist MDs, General MDs, Anesthetists, RNs and staff who directly support the ICUs may include laboratory technicians, radiology technicians, pharmacists, cleaners, admitting clerks.
The target ICUs operate on 3 shifts per 24 hours each health workers will work for 1 shift/ 24 hours. 

Additional information in response to 25 August 2020 comments:
a) More information and data about the TPM. The TPM will be a national company deploying one field monitor per facility each facility will be visited twice/month. The total expected number of visits will be 444 (calculated as 2 visits * month* 37 ICUs*6 months). 
b) Criteria followed in determining the 37 HFs, the 4,175 HWs and how the number of HWs in each IU was calculated: The 37 HFs  were designated as COVID19 treatment Centres based on criteria of functionality. Fully or partially functioning COVID19 ICUs are defined by the following parameters: requirements (e.g. water, electricity, fuel, etc.) assessed, rehabilitated, equipment and supplies provided, staff trained, and ICU ready to accept patients. The number of HWs is calculated on standard parameters for ICUs.Due to shortage of HWs in Yemen,some of the ICUs may not have all cadres in place -this is the case of Al Wa'arah HU.