APPENDIX 2: IEE Output matrix: climate risks, opportunities, and actions 1.1 Defined or Anticipated Project Elements 1.2: 1.3: 2: Climate Risks* 3: Adaptive Capacity 4: Climate Risk Rating* 5: 6.1: Climate Risk Management Options 6.2: How Climate Risks Are Addressed in the Project* 7: Next Steps for Activity Design* 8: Accepted Climate Risks* Blanket Purchase Agreement (procurement of off the shelf commodities and supplies for voluntary male medical circumcision and maternal and child health 0-10 years North, East, East Central and South West Uganda The selected areas have steep terrains and during rainy seasons become very difficult to access and this may affect women from accessing the Health facility as well as men for circumcision National government lacks financial resources to improve the road networks in the regions. Low The through lending institutions has received grants to repair and build the road throughout the country. Outreach programs will be developed to cater for hard to reach areas Acquire 4x4 cars that can easily reach the difficult terrains. Acquire 4x4 cars that can easily reach the difficult terrains. N/A Central procurement 0-10 years National None N/A N/A N/A N/A N/A N/A N/A Food and Nutrition Technical Assistance (FANTA III)/follow on 0-10 years National Drought may affect food production The national government lacks the enabling environment and local governance for nutrition, raising awareness, building technical and Low FANTA strengthens nutrition across sectors through supporting Ministries & Agencies to fulfill This activity will develop capacity of the national systems to ably develop the nutrition Action Plan and therefore the climate risks will not impact on Trainings, meeting will not be affected by climate N/A N/A
leadership capacity, and providing learning platforms. their roles in the Uganda's Nutrition Action Plan. Maternal Child Survival program (MCSP) 0-15 years Eastern Uganda None The National government is incapacitates to undertake leadership and coordination of central and district levels to enhance capacity to plan, implement and track progress of the maternal newborn and child health N/A MCSP will provide technical assistance for the capacity building on the integration of high impact low cost maternal, newborn and child health to rapidly reduce preventable maternal newborn and child deaths. None None N/A N/A Strengthening Partnerships, Results, and Innovation in Nutrition Globally on 0-15 years National level and South Uganda None The National government has low capacity to support district health teams, and partners to strengthen N/A This mechanism will focus on building capacity at the local and national level and therefore will not be affected by climate risk None N/A N/A
nutrition service delivery through community and services in Uganda to improve nutritional status of target populations. Health Sector evaluations, assessments, surveys, assessments, analyses, studies 0-5 years National level None N/A USAID shall undertake these activities in support of the various activities already summarized in These are only studies/ surveys None N/A N/A TRACK TB follow on 0-10 years National level None The Ministry of health and the National TB leprosy program do not have the capacity to improve case detection and treatment success rates. N/A This mechanism will focus on building capacity and the local and national level and therefore will not be affected by climate risk None N/A N/A
Indoor Residual Spraying III 0-5 years National level New malaria hotspots/districts may emerge owing to the changing climatic conditions The National government has low capacity to contribute to effective use of social sector services of a high quality, safe and effective Indoor Residual Spraying program. Other partners like DFID are malaria epidemic control initiatives Interventions under this mechanism will be implemented in a phased manner, to allow for shifting focus to new/emerging high burden malaria hotspots. The phasing will begin with indoor spraying, followed by mosquito net distribution and other follow-on actions Climate risk is addressed by indoor spraying in a phased and flexible manner, to allow for shifting focus to high burden malaria hotspots. The activity will also build capacity of district local government and the private sector to respond to emerging high burden malaria incidents even after activity phase-out Designing indoor spraying in a phased and flexible manner, to allow for shifting focus to new/emerging high burden malaria hotspots. Building capacity of district local governments and the private sector to respond. Develop a full program description, work plan and EMMP that integrates the climate risk management options proposed in columns 6.1 and 6.2 N/A Uganda Health Supply Chain (UHSC) modification 0-15 years National level None The National government has low capacity to increase the availability, accessibility and appropriate Low risk. This activity will do capacity building on health This mechanism will focus on building capacity and the local and national level and therefore will not be None N/A N/A
use of essential medicines and health supplies (EMHS. affected by climate risk Regional Health Integration to Enhance Services -SW, Mbarara Laboratory Renovation 0-20 years Regional Construction sites may be exposed to flooding if not carefully selected The National government has limited capacity the Mbarara Regional Referral Hospital (RRH) laboratory to support HIV/AIDS and TB diagnosis and monitoring services risk. This activity will support of hospital The central government (Ministry of health – health infrastructure unit) will provide design specifications and monitor construction Carefully select a construction site that is not prone to flooding; and ensure the designs consider flooding risk Guide and ensure selection of a construction site that is not prone to flooding; and ensure the designs and materials consider flooding risk. Develop a full program description, work plan and EMMP that integrates the climate risk management options proposed in columns 6.1 and 6.2 N/A