5.2 The purpose of this CRM screening is to identify high-level climate related risks regarding USAID/WA Regional Health Office’s “Amplify Family Planning and Sexual and Reproductive Health (Amplify-FP) Activities covered in this IEE. The goal of CRM is to both render USAID’s work more climate-resilient and to avoid maladaptation. This screening is part of implementing the Reference for ADS Chapter 201, Risks Management for USAID Projects and Activities. OUTPUT MATRIX: RISKS, OPPORTUNITIES, AND ACTIONS FOR THE USAID/WA “AMPLIFY FAMILY PLANNING AND SEXUAL AND REPRODUCTIVE HEALTH ACTIVITY (AMPLIFY-FP)” ACTIVITY November 1, 2017 * = A required element, according to the Mandatory Reference Table 1. Project or Activity-Level Climate Risk Management Summary Table Activity 1.2: 1.3: 2: Climate Risks* 3: Adaptive Capacity 4: Risk 5: Opportunities 6.1: Climate Risk Management Options 6.2: How Climate Risks are Addressed in the Activity* 7: Next Steps for Activity 8: Climate Risks* Strategic Objective 1: Strengthen and institutionalize a system for adaptation, and replication of key family planning high impact practices (Replication) 5 years Burkina Faso, Togo, Cote d’Ivoire, and Niger 1. Flooding damages infrastructure and decreases ability of individuals to use key health services. Other stakeholders that work with economic development, resource management, or governance may have more capacity to influence any Low for the activity itself. Increase understanding of the potential connection between demand for family planning services and declines in resources abundance and increased pressure for resource access and control as possibly driven by climate change. Conduct analytical research that explores potential connections between women and youth seeking family planning services and declines in resource abundance and 2.Health workers may not be able to access facility due to flooding
potential climate-related triggers. Social and Institutional: some NGOs are advocating for climate change increased pressure for resource access and control if RHO team, IP and other partners determine such research is a Amplify-FP priority. 3. Increased temperature may increase demand for cooling and over-tax power generation and distribution systems Human capacity- insufficient knowledge/expertise among Health Service providers not enough qualified resources in one country 4. Electrical grid –reliability and adequacy of power supply could be negatively impacted by CC Strategic Objective 2: Engage and leverage domestic, 5 years (a) Provide access to full range of contraceptive methods mix Increased variability of temperature and precipitation might impact Temperature impact on equipment and increase Cost of power generation. Low for the activity itself. Awareness of risks can lead to actions to mitigate Increase number of health care workers trained in climate risk
donor and local communities’ resources and support to build sustainability and scale of selected HIPs. [Scale & Sustainability] and choice: pills, injectable, implants (b) Set up and demonstrate post-partum and post abortion care family planning family planning products management Design/ adapt drug storage facilities in response to climate risk Train healthcare workers on relevant topics and how to adapt to the country environmental laws Health service supply could be overwhelmed from an increase in malaria cases, infectious diseases, or waterborne diseases from impacts to water quality and sanitation 3. Health care workers could be impacted if they contract malaria or other diseases related to climate change or are unable to get to work due to flooding or
infrastructure issues Strategic Objective 3: a sustainable and system of service quality assurance and monitoring [Quality Assurance] 5 years Routine activity Lome in Togo, Ouagadougou in Burkina Faso, Niamey in Niger, and Abidjan in Cote d’Ivoire Inability to access or hold training or other capacity building events due to climatic events (e.g., flooding, landslides) interrupting transportation or damaging infrastructure Poor weather could impact Social capacity - Civil society advocates for action on climate change, institutions advocate for working on environmental issues including climate change , some public institutions dedicated to work on environmental Low for the activity itself. Impact of climate variability on access to the Center of Learning