Safe Motherhood Overall submission description (humanitarian context &amp;amp;amp; prioritization)
The DPRK continues to suffer from chronic food insecurity and underdevelopment, and the consequences of frequent natural disasters. Although the overall humanitarian situation has improved slightly over the last 12 months, the structural causes of people’s vulnerability persist. External assistance is needed and continues to play a vital role to address the needs of millions whose food security, nutritional status, access to clean and safe water and general health would otherwise be seriously compromised.  Out of the total population of 24.6 million, around 16 million people remain chronically food insecure and highly vulnerable to production gaps.  Furthermore, the country is facing a multiplicity of health challenges, particularly in the areas of maternal, child and reproductive health, compounded by a deteriorating health care infrastructure and a lack of medicines.   The high malnutrition rates mentioned above only makes this issue worse, having a number of negative consequences on overall health and resistance to infections. 
International assistance has declined due to the worsening political situation since late 2012.  Political developments in 2013 have meant both an increase in the enforcement of existing sanctions and the imposition of new ones.  The severe under-funded situation has forced UN agencies to reprioritize and suspend some programme activities affecting the most vulnerable people, whose health, nutritional, WASH and food security status depend largely on international humanitarian assistance. The ERC agreed to an underfunded emergency allocation to DPR Korea because resource mobilization for vital humanitarian programming continues to be hindered by the political situation. Some US$6 million was allocated to UN agencies in the 2013 second underfunded emergencies round ($15 million total in 2013). 

Pakistan underfunded submission and review process
Total envelope: USD 6.5 million (round I allocation: USD 95.5 million for 11 countries)
Grant package received: 21 Feb 2014
Total # of projects submitted: 5

Overall project description 14-UF-FPA-007 (Health)
The project’s objective are to:
1. Improve availability of quality reproductive health care services in rural areas;
2. Enhance institutional capacity to emergency response for life-saving of mothers, adolescents and children; and
3. Reduce maternal mortality through better management of pregnancy complications and delivery using essential supplies and equipment

The total number of people targeted with CERF funding is 5,104,881.

With CERF funds, the agency will:
1. Procure and distribute RH emergency kits, hygiene kits, delivery-assistance including C-section equipment, antibiotics for puerperal sepsis, and disposable syringes to approximately 20 county/ri hospitals in flood affected areas
2. Conduct project monitoring to ensure proper utilization of supplies and equipment provided under the CERF funding
Total project requirements:				USD $ 1,140,000
Current funding level:					USD 540,000
Recommended to the ERC for approval:		USD 250,000

The CERF Secretariat recommends this project for approval.