Myr 2005 Roc.Pdf

Consolidated Appeals Process (CAP)

The CAP is much more than an appeal for money. It is an inclusive and coordinated programme cycle of:

• strategic planning leading to a Common Humanitarian Action Plan (CHAP); • resource mobilisation (leading to a Consolidated Appeal or a Flash Appeal); • coordinated programme implementation; • joint monitoring and evaluation; • revision, if necessary; and • reporting on results.

The CHAP is a strategic plan for humanitarian response in a given country or region and includes the following elements:

• a common analysis of the context in which humanitarian action takes place; • an assessment of needs; • best, worst, and most likely scenarios; • stakeholder analysis, i.e. who does what and where; • a clear statement of longer-term objectives and goals; • prioritised response plans; and • a framework for monitoring the strategy and revising it if necessary.

The CHAP is the foundation for developing a Consolidated Appeal or, when crises break or natural disasters occur, a Flash Appeal. The CHAP can also serve as a reference for organisations deciding not to appeal for funds through a common framework. Under the leadership of the Humanitarian Coordinator, the CHAP is developed at the field level by the Inter-Agency Standing Committee (IASC) Country Team. This team mirrors the IASC structure at headquarters and includes UN agencies, and standing invitees, i.e. the International Organization for Migration, the Red Cross Movement, and NGOs that belong to ICVA, Interaction, or SCHR. Non-IASC members, such as national NGOs, can be included, and other key stakeholders in humanitarian action, in particular host governments and donors, should be consulted.

The Humanitarian Coordinator is responsible for the annual preparation of the consolidated appeal document. The document is launched globally each November to enhance advocacy and resource mobilisation. An update, known as the Mid-Year Review, is presented to donors in June of each year.

Donors provide resources to appealing agencies directly in response to project proposals. The Financial Tracking Service (FTS), managed by the United Nations Office for the Coordination of Humanitarian Affairs (OCHA), is a database of donor contributions and can be found on www.reliefweb.int/fts

In sum, the CAP is about how the aid community collaborates to provide civilians in need the best protection and assistance available, on time.

ORGANISATIONS PARTICIPATING IN CONSOLIDATED APPEALS DURING 2005:

AAH CPA-LIRA HIA Non-Violence Int'l TEWPA ABS CPAR Horn Relief NPA UNAIDS ACF/ACH CPCD HWA NRC UNDP ACTED CRC IFRC OCHA UNESCO ADRA CREAF ILO OCPH UNFPA Africare CRS IMC OHCHR UN-HABITAT Alisei DDG INTERMON Open Continent UNHCR AMREF DENAL INTERSOS Orphan's Aid UNICEF ARC DRC IOM OXFAM-GB UNIFEM Atlas Logistique EMSF IRC PAPP UNMAS AVSI ERM IRIN PIN UNODC CAM FAO Islamic Relief PRC UNRWA CARE Int'l Fondn. Suisse Déminage JVSF RUFOU UNSECOORD CARITAS GAA KOC SBF VESTA CEASOP GPI LIBA SCF / SC-UK VETAID CESVI HA LSTG SCU WACRO CIRID HABEN MAG SERLO WANEP/APDH COLFADHEMA Handicap Int'l Mani Tese SFP WFP COMED HDIG MAT Solidarités WHO COOPI HDO MDA TASO WV Int'l CORDAID HFe.V NE TEARFUND

TABLE OF CONTENTS

1. EXECUTIVE SUMMARY...... 1

2. CHANGES IN THE CONTEXT AND HUMANITARIAN CONSEQUENCES...... 2

3. REVIEW OF THE COMMON HUMANITARIAN ACTION PLAN...... 3

3.1 Impact of funding levels on CHAP implementation:...... 3

3.2 Scenarios ...... 4

3.3 Strategic Priorities...... 4

4. RESPONSE PLAN ...... 5

5. CONCLUSION...... 10

ANNEX I. CAP 2005 – HUMANITARIAN SITUATION IN CONGO ...... 11

ANNEX II. CAP 2005 – NEW AND REVISED PROJECTS ...... 12

ANNEX III. CAP 2005 – NEW AND REVISED PROJECTS DESCRIPTIONS ...... 13

ANNEX IV. TABLE 1. SUMMARY OF REQUIREMENTS AND CONTRIBUTIONS BY APPEALING ORGANISATION AND BY SECTOR...... 25

ANNEX V. ACRONYMS AND ABBREVIATIONS...... 26

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1. EXECUTIVE SUMMARY

This Mid-Year Review revises the Consolidated Appeal in response to changes in the situation in the Republic of Congo (RoC) and more particularly in the Pool Region. These changes result mainly from: (1) the recent announcement of legislative elections by President Sassou Ngesso; (2) the country’s efforts to implement the March 2003 Peace Agreement as Ninjas Chief Frederic Bitsangou, alias Pastor Ntumi, has now clearly expressed his intention to be part of the political process and has taken some concrete steps to confirm this option; and (3) the status of the Demobilisation, Disarmament and Reintegration (DDR) process.

Pastor Ntumi has recently visited all districts in the Pool, claiming his intention to bring peace, collect arms and represent the region in the parliament. It is not clear yet whether he has the backing of the present government and/or the support of the majority of the Pool inhabitants including the Ninjas.

Conversely, the DDR programme, which was supposed to start in June, has been delayed again with some signs that the implementation may be more challenging than previously expected. A postponed DDR programme may generate a sharp rise in criminal behaviour leading to increased threats against civilians as well as lootings of Non-Governmental Organisations (NGOs) and United Nations (UN) agencies. It is widely believed that an inadequate or delayed DDR may jeopardise any peace process.

The impact of this evolution on humanitarian needs and strategy is not yet clear. It is clear, however, that many basic needs are still unmet in the sectors of water and sanitation, education, agriculture, and health. The nutritional situation of a vast majority of the population remains precarious, particularly in the Pool region, and there are still considerable reconstruction and rehabilitation needs.

It is likely that the delayed DDR and lengthy political settlement, in the short term, will not help improve the humanitarian situation in the Pool. On the contrary, it may (1) bring to light new needs and new trends as populations previously inaccessible are revealed, or (2) set further obstacles to access.

A key achievement during the last six months has been the recent opening of a UN office in the Pool (Kinkala) that will be able to launch a strong advocacy campaign on protection of civilians, negotiate for access to areas of need with authorities and non-state actors on behalf of humanitarian partners, and implement rehabilitation and income generating projects.

However, major constraints so far to the implementation of key components of the Common Humanitarian Action Plan (CHAP) have been:

(1) Low funding levels (30% for the CAP); (2) Impeded access due to logistical hurdles and insecurity as recently experienced by the attack on a UN convoy on its way to Mindouli; (3) Lack of data regarding needs, location and priorities of vulnerable populations; (4) Reduced humanitarian presence on the ground.

Consequently, humanitarian partners must turn their attention to resource mobilisation and response strategies based on the evolving security situation and conditions of access that could have considerable impact on the type of aid as well as the locations where such assistance is most needed. The main priorities defined in the original 2005 CAP were to improve and rehabilitate basic social services, to re-launch farming activities, enhance access and promote a culture of peace. They remain relevant, but some of their short-term implementation strategies have been revised to ensure that the various constraints are fully taken into account.

For this purpose, six new projects have been added to the CAP 2005, eight revised and three removed. The revised CAP 2005 increases the funding request from US$ 21,960,437 to US$ 24,110,476. US$ 7,282,363 has been contributed or committed to date, leaving unmet requirements of US$ 16,828,113.

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2. CHANGES IN THE CONTEXT AND HUMANITARIAN CONSEQUENCES

On the political front, the President Denis Sassou-Nguesso and the ruling Parti Congolais du Travail (PCT), together with its allies in Forces Démocratiques Unies (FDU), dominate the political scene. Together, they hold 70% of the seats in Parliament and new legislative elections are not due until 2007.

The Ceasefire Agreement signed in 1999, renewed in 2003, is still holding. Despite their efforts to find a common ground, the Government and the Conseil National de la Resistance (CNR) have not yet managed to implement measures that could foster peace. The first half of 2005 has been characterised by some progress on the political front, with several governmental communiqués reasserting its willingness to find a final settlement with Pastor Ntumi.

In December, the government announced legislative elections in the Pool would take place at the end of 2005’s second quarter. Insecurity and the absence of electoral lists may hold back this key political process. However, for the Pool region, having Members of Parliament (MPs) would allow a discussion in the parliament of the region’s problems, increase the government awareness and political will to address key issues as well as the allocation of part of the national budget that normally funds local spending on essential health, education, administrative and security services. Pastor Ntumi has indicated his intention to participate in the electoral process and this may be a sign of a renewed commitment to the peace process. In the meantime, he has promised to collect the arms remaining in the Ninjas hands. Indeed, the DDR programme agreed under the ceasefire has yet to begin and young armed men are still living in the Pool without any financial assistance or reintegration prospect.

The security situation remains essentially the same, with cyclical insecurity peaks forcing NGOs to pull out or limiting their activities for short periods. The United Nations security phase remains at IV for Mindouli and III in Kinkala. Several security incidents affecting train passengers, NGOs and the UN have resulted over the recent months in a limited access and incapacity to properly support the population in need.

The lack of road infrastructure is hampering humanitarian assistance as well as any kind of trade. Transportation is essential to access markets, sell agricultural products and buy goods, but the poor condition of the roads, insecurity and roadblocks are among the many reasons why unhindered access to markets is still denied for a majority of the Pool’s inhabitants. It takes 5 hours to cover the 70 kilometres (km) separating Brazzaville and Kinkala. Local tradesman are often looted or ransomed at Ninjas’ checkpoints. As a result, essential basic products are unavailable or too expensive for the population. Actually, farmers practice subsistence farming as the only alternative to the continuous looting, resulting on a negative impact on food security.

The health sector suffers from lack of access and shortage of funds to pay medicine and medical staff as well as the reluctance of civil servants to be posted in the region, which all concurs to the worsening of the health crisis. The lack of electricity in the whole department prevents a safe medical practice. NGOs are providing basic health care to the population. In May 2005, the country was hit again by the Ebola outbreak, which affected 12 people and caused 10 deaths. Fifty-one persons who were in contact the disease are currently being monitored.

The education sector is in disarray. Thousands of teachers fled the conflict and school infrastructures are in ruin. According to the Ministry of Primary and Secondary Education, 85% of school buildings in the Pool are in need of significant repair. In addition, the government’s inability to pay the teachers still around, leave children being taught by hundreds of untrained volunteers.

With conflicts that started in 1997/98, at least two generations of children have never been to school. United Nations Children’s Fund (UNICEF) estimates in 2005 that there are at least 1,500 children in the Ninja ranks, while in villages controlled by the armed group, those too young to carry weapons have little prospects for education. In a context of no peace no war, ease of access to small arms and a large presence of armed young men, the education crisis constitutes a serious threat to peace and stability in the region.

The economic situation has registered some positive changes following the debt reduction announcement from the Club of Paris, and the African Development Bank (ADB) as well as the International Monetary Fund (IMF) approval of the RoC economical and financial programme.

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However, these changes have yet to have an impact on the population’s conditions of life. 70% of the people still live under the poverty line and the country is listed 144 out of 177 on the United Nations Development Programme (UNDP) Human Development (HD) index in 2004.

Funding With chronic under-funding for humanitarian actions in Republic of Congo (approximately 30% response to the CAP), little funding is available for International NGOs (INGO) working in the Pool area. As the European Commission Humanitarian Office (ECHO) programmes are ending in July, some NGOs may leave the country, although the vulnerable population still needs assistance. Currently, only 4 NGOs in addition to the International Committee of the Red Cross (ICRC) are working in the Pool region: Médecins sans Frontières-Holland (MSF-H), Atlas Logistique, the Agency for Technical Cooperation and Development (ACTED), and the Comité d’Aide Médicale (CAM). Médecins sans Frontières-France (MSF-F) left Mindouli in April.

Indeed, the Pool crisis remains mostly ignored or unknown on the international scene while thousands of poor people continue to be displaced, affected by food insecurity, lack of basic resources and human rights violations.

Key under-funded sectors include:

• UNICEF: school and health infrastructure rehabilitation, water and sanitation, protection projects have been on hold due to lack of funds (US$ 3.1 million requested, 23% funded, affecting 30,500 Pool children between 6 and 12 years); • NGO/World Health Organization (WHO) health programmes may end without new funding, despite NGO’s early and consistent presence in the field. In the Health sector, US$ 5 million requested, 1% funded, leading to a lack of national immunisation programme in the Pool, with devastating effect on the population, particularly some 10,000 children targeted by the programme; • The Food and Agriculture Organization (FAO) has been unable to purchase and distribute essential seeds and farming tools that could stabilise food security (0% of the US$ 1.7 million requested to increase the income/production capacity of some 160,000 persons). Funding for humanitarian action not listed in the CAP has only reached 29% of the population; • Road rehabilitation remains on hold, making access difficult. (Economic recovery and infrastructure requested US$ 583,000, 0% funded).

It is therefore important to continue raising the profile of the crisis. Humanitarian reports, accurate assessments and field missions (including donors and media) will help ensure awareness from the international community and promote more vigorous support through the CAP. In the meantime, it is crucial to find funding for the several NGOs who may otherwise leave the Pool in the coming months, whereas humanitarian needs are still prevailing.

3. REVIEW OF THE COMMON HUMANITARIAN ACTION PLAN

The CHAP for RoC laid out at the end of 2004 remains relevant. Overall, the humanitarian community realistically expects that no further progress and improvements in the operating environment will be made over the next six months and access will remain a constant concern to all parts of the Pool region.

Over the next six months, a large effort will be made to extend humanitarian assistance and carry on the rehabilitation of social services and infrastructures in the region.

3.1 IMPACT OF FUNDING LEVELS ON CHAP IMPLEMENTATION: Currently, 30% of the US$ 24 million requested in the CAP 2005 has been received. Furthermore, funding, beyond being scarce, has been slow to arrive, thus delaying the effective implementation of the projects. The recent UN inter-agency mission has undeniably contributed to heighten the visibility of the crisis.

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Despite the limited funding received, UN agencies and humanitarian partners are increasing their activities in the Pool area, as developed in paragraph 4. They provide support to the populations in the sectors of health, education, agriculture, economic recovery, infrastructure rehabilitation and protection. Operational and active in the region since the beginning of the conflicts, the NGOs make a valuable contribution to the CHAP. However, some of them are planning to suspend their activities and leave the country due to lack of funding. The termination of ECHO programmes in the country (currently their main source of funding), and the absence of funding on the projects proposed in the CAP 2005, are putting NGOs in a very precarious situation.

3.2 SCENARIOS The most likely scenario developed in the CAP 2005 remains unchanged with a further deterioration of humanitarian conditions worsened by accessibility constraints in reaching the affected communities. It closely mirrors the current situation of the Pool, with some developments being slightly worst than expected.

Insecurity incidents have been recurring over the months of December, preventing humanitarian organisations to be fully operational during that period, and later in March and April, causing the temporary suspension of UN activities in the region.

The fact that the DDR process has not been operational, despite the Government official launch of reinsertion activities in March is worrisome. Indeed, it is clear that the demobilisation of fighters is a cornerstone and conditional to the installation of a durable peace in the Pool. The disarmament announced by Pastor Ntumi, could become a “bargaining” tool for the rebel group, and trigger more violence if his demands of inclusion in the current cabinet of President Nguesso are not met. In that case, the risks of further deterioration of security conditions and resumption of conflict would have devastating consequences on the already affected population.

3.3 STRATEGIC PRIORITIES Depending on the availability of funds for the remaining of 2005, the strategic priorities of the humanitarian community will be as follow:

• Reduce current mortality, morbidity and malnutrition levels; • Improve and rehabilitate basic social services, including education and health centres; • Re-launch productive and farming activities; • Increase advocacy for free circulation of humanitarian actors and to ensure adequate mobilisation of internal and external resources; • Address longer term vulnerabilities and better link relief and recovery/ transitions actions; • Establish a more coherent and comprehensive information management and sharing system with all stakeholders; • Support the reintegration of internally displaced populations and returnees; • Contribute to peace building and conflict prevention efforts by supporting the implementation of DDR programmes.

Some progress have already been achieved in implementing some of these strategic goals regarding the rehabilitation of social services and the provision and assistance in health, water and sanitation and Human Immuno-Deficiency Virus (HIV) prevention and treatment. It is expected that the newly opened UN office will facilitate the achievement of these strategic goals. However, over the last six months, critical under-funding, insecurity and lack of reliable data hampered initiatives to reduce mortality, malnutrition and to address longer-term vulnerability, peace building and conflict prevention activities.

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4. RESPONSE PLAN

Agriculture and Food Security Prior to the conflicts, cattle raising and agricultural production were done extensively throughout the department. The region was known to be the country’s most important granary. At present, as the result of the conflicts and a direct consequence of poor transportation infrastructures and prevalent insecurity, the agricultural sector is in disarray. Populations who returned to their abandoned fields have difficulties to rebuild their seeds stocks. Tools are unaffordable and cattle have been particularly difficult to reintroduce due to repeated looting. According to the last Caritas assessment, a third of the population did not harvest since the return to their village1 and half of households do not eat for one or more days per week due to food shortage.

The requested support in the CAP 2005 for the agricultural sector is of US$ 1,763,640. FAO has been able to distribute seeds, tools and agricultural equipments to 11,750 people reaching only 29% of the population in need. The World Bank and FAO own resources have funded these activities, as the organisation has not received any contribution through the CAP.

Although funded at 53%, the World Food Programme (WFP) has faced difficulties to implement its project because contributions were received late (end of March). The endemic insecurity, the reluctance of goods carriers to take the Pool’s roads and the unreliability of train transportation have been major constraints to their initiatives. The nutritional support to schools programme has also been difficult to implement; schools in Kinkala, Louingui and Boko have never received any assistance. Therefore, WFP has mainly worked in partnership with local NGOs and MSF-H to distribute food.

The strategy for the agricultural sector for the next six months includes the following:

• Increase agricultural production in order to enhance food security through the provision of agricultural inputs; • Improve the nutritional status of the most vulnerable communities; • Promote social reintegration through income generating activities; • Increase income and food production of the affected population through the revitalisation of farm livestock and fish breeding activities.

Education The education sector has been greatly affected by the continuous conflicts. School infrastructures in the Pool are still in ruins, with about 80% of the schools being unusable. In comparison, the national rate of damaged schools is 22%. In Mindouli District, only half of the schools have reopened. Schools that have resumed classes are lacking basic equipment, (with one desk per 4 to 6 students), or educational equipment, (with an average of one school manual for 20 students).

Another important problem in the region is the lack of qualified teachers; most have fled the region during the conflicts and have never come back. To cope with this situation, families are supporting non-trained voluntary workers, who are accounted to be over 80% of the current educational personnel2. The quality of the education provided is suffering from these precarious conditions and the enrolment level remains low.

The project proposed by ACTED and aiming at rehabilitating 83 schools has not been implemented due to lack of funding. UNICEF will start its CAP education projects in June thanks to an official donor contribution (US$ 265,950, 41% of the required funds). This will allow the organisation to implement an advocacy campaign for return to school, to retrain teachers and to provide some canvas sheet; however, the rehabilitation programmes and the school meals projects are postponed due to lack of funding. The United Nations Educational, Scientific and Cultural Organization (UNESCO) has set up civic clubs in some schools in the Pool. The idea is to instil values of peace and tolerance to children and to change a mindset resulting from years of conflict and violence.

1 Source: post-Conflict Communities at Risk: the Continuing Crisis in Congo’s Department of Pool, November 2004, Caritas Congo and Catholic Relief Services (CRS). 2 Joint Missions Assessment “ February 2005, OCHA RoC.

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Therefore, an urgent response is still required to rehabilitate and reequip the educational structures. In parallel to these actions, the deployment of qualified teaching personnel by the Government of RoC is imperative.

The requested support in the CAP 2005 for the education sector is of US$ 2,187,727 and the strategy for the next six months includes the following:

• Rehabilitation and provision of materials to schools along with the provision of clean water points; • Training volunteers and upgrading the skills of certified teachers; • Raising the standards and literacy levels of out of school or unschooled children; • Supporting community initiatives aimed at developing community involvement in the management of schools and in orientation of children; • Ensuring professional training for a socio-reintegration of out school youth; • Promoting a peace culture; • Prevention of HIV/Acquired Immuno-Deficiency Syndrome (AIDS).

Health and Nutrition Health infrastructures are in poor conditions all over the department. Only 33 health centres, out of 68 before the war, are operational3. Most structures still require rehabilitation, as the roof, doors, and equipment were looted during the conflicts and have still not been replaced. Operational structures are in shortage of equipment, medicines, blood banks; the quality of the services provided is lowered considerably for centres that are not operated by international partners. Indeed, services all around the department are essentially provided by NGOs (MSFH, CAM) and ICRC who pay and train health agents, procure medicines and basic equipment, manage operation activities and the rehabilitation of structures.

State agents are still reluctant to return in the region, and consequently there is a critical lack of qualified personnel. There are only 5 doctors and 3 midwives in the whole department. However, as ECHO is terminating its programmes at the end of spring 2005, the population may be prevented from access to essential basic health services.

Consequently, diseases such as malaria, pulmonary infections, diarrhoea, dermatitis and HIV/AIDS still have a large incidence on the department population’s health. More than a third of the morbidity rate is linked to malaria. The bad nutritional status of the population, the lack of sanitation and community structures, added to the population’s weakened survival mechanisms, have contributed to the rising of the mortality rate.

The vaccination rate in the region is estimated to be a third lower than the rate of the rest of the country (41% against 62%), which is already lower than the one of the least developed countries in the world4. Under five mortality at 108/1,000 is among the worst in Africa while maternal mortality, estimated at 1,100 maternal deaths /100,000 live births, is one of the highest ratios in the world.

In recent years, HIV/AIDS has become one of the main causes of mortality. Statistics on HIV prevalence vary from one actor to another and range from 4.2%5 to 9.8% 6; in the Pool prior to the war the rate was supposedly around 7%. The sexual violence perpetrated in the region during the war, suggests that the rate may be higher. A better HIV survey in the region could strengthen the monitoring and awareness on the disease.

Looking at this situation, the involvement of humanitarian actors is key. WHO has not been able to implement projects in the Pool due to lack of funding. In the case of Ebola, WHO has supported the Ministry of Health (MoH) to rapidly contain the outbreak, but needs to replace its emergency stock for further Ebola outbreak response.

3 Interview Pool’s Health Director May 2005 4 As per the Rapport Mondial sur le Développement Humain 2004, UNDP, RoC is classified 144th in the HDI chart (Human Development Indicator), over 177 countries. However, in terms of the children vaccination rate in Congo, with 37% of children vaccinated against measles, the country finds itself well below countries classified in the last positions of the HDI chart such as Burkina-Faso (175th) and Sierra Leone (177th), presenting respectively 46% and 60% of children vaccinated against the same disease. 5 Survey from the Conseil National de Lutte contre le Sida - 2003 6 IFRC Appeal for the Congo - May 2005

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MSF-H provides 13,000 consultations per month in the region and manages the hospitals in Kinkala, Kindamba and Mindouli. The organisation is also providing antiretrovirus (ARV) for Aids patients in Kinkala. ICRC and Atlas Logistique are involved in rehabilitation of health centres and training of medical staff.

In May, the United Nations Population Fund (UNFPA) provided US$ 75,000 of their own core resources for the strengthening of reproductive health services in the Pool. CAM has assisted 30,000 people in 10 health centres to facilitate access to basic health care in the Pool (Goma Tsé-Tsé and Mayama districts). The organisation has distributed essential drugs, rehabilitated health structures and trained the health personnel. However, due to delay in funding it had to suspend its operations on various occasions and may have to close its activities if no contribution is received in the coming months.

The requested support in the CAP 2005 for the health and nutrition sector is US$ 5,086,071 and the strategy for the remaining period is as follows:

• Rehabilitation of basic health structures to improve health coverage; • Training of health personnel in maternal and child health programmes and case management of communicable disease (including Malaria, diarrhoea and acute respiratory infections) and malnutrition; • Strengthening of health information system and implementation of an epidemiological sentinel for diseases surveillance including HIV/AIDS, Polio and other dangerous outbreak such as Ebola are essential and vital for the country and worldwide public health needs.

Water and Sanitation The water and sanitation infrastructures in the region have been tremendously affected by the conflicts. In general terms, the population has no access to clean water at the exception of some hospitals receiving water supplies from humanitarian actors. The majority of the population is using water from rivers, ponds and stagnant pools. Consequently, a high level of water-borne diseases is found throughout the region. These conditions can be directly linked to the high mortality rate of the region. Several NGOs have been responding to this problem by providing clean water supply sources and by building latrines to the health facilities they support. Organisations, such as UNICEF, ICRC, Atlas Logistique and ACTED have also started implementing clean water sources rehabilitation projects.

Requirements for the Water and Sanitation sector in the CAP 2005 were US$ 511,650 in order to: • Reduce morbidity and mortality rates due to related disease outbreaks; • Improve access to drinking water and ensure quality monitoring.

UNICEF has received US$ 443,000 and has undertaken some activities with the Ministry of Water and local NGOs. The organisation has already conducted an assessment and 52 wells, 55 latrines and 2 springs are being built in Mayama, Boko and Mindouli.

Protection, Human Rights and Rule of Law Years of conflicts in the region have forced the populations to live under continuous threats, while displacements have affected most of the population at one moment or another during the fighting. Looting, sexual violence, property destructions, and violation of basic human rights and principles have been part of the day-to-day reality of the inhabitants of the region.

The situation of children, in general, is very concerning. Most children born in the Pool over the last seven years have not received a birth certificate, impeding on their future. UNICEF will launch in Mid June programmes related to registration of birth throughout the region.

Several children have lost one or several family members, forcing them to do small labours to survive, or worst, to take the arms. The situation of Child soldiers is preoccupying as most children have grown up around arms, and an estimated number of 1,500 have integrated the ranks of the rebel troops. Reinserting child soldiers is critical to ensure the development of a durable peace in the region. Equally, it is important to note that the presence of armed men has considerably undermined the role of village chiefs in resolving problems between villagers in a context of chronic absence of tribunal,

REPUBLIC OF CONGO courts of justice and police force. In the Pool, too often the possession of arms commands authority and power. Several ordinary citizens are still killed in total impunity usually accused of witchcraft.

UNDP is planning to start the Youth at Risk Reintegration Project, which will be key to increase stability, and peaceful coexistence in the Pool. It will target 15,000 youths, particularly child soldiers and will focus on civic and peace education, vocational training, as well as development of income generating projects and rehabilitation of basic infrastructures.

The organisation also intends to ensure the promotion and protection of the individual rights. Trough a new project proposal aiming at reinforcing the population’s access to legal aid and justice, UNDP will help abused women and children, strengthen human rights and put an end to a generalised culture of impunity.

Regarding the returnees from Gabon and the Democratic Republic of Congo (DRC), the United Nations High Commissioner for Refugees (UNHCR) aims to ensure the reintegration of returnees through assistance to self-sufficiency. The organisation has, for example, supported 53 families in Dolisie with tools, seeds and land as well as small animals. It has also provided medical assistance to returnees at risk. Protection monitoring missions have also taken place in the main Departments of return of Niari and Lekoumou to assess the security and living conditions of the returnees.

The RoC is participating in the International Conference on the Great Lakes region as a core country. In this framework, the Office of the High Commissioner for Human Rights (OHCHR) is assisting in mainstreaming human rights aspects in the four thematic areas of the Conference. The programmes of work and projects being developed include protection activities for refugees, Internally Displaced Persons (IDPs) and returnees. They also aim to address human rights violations in the context of the sexual abuses of women and child-soldiers.

The requested support in the CAP 2005 for the Protection sector is US$ 3,553,149, of which US$ 1,582,090 has been contributed or committed, and US$ 1,971,059 remains unfounded. Activities will focus on:

• Psychological and social care for the affected persons; • Promotion of birth registration; • Support and reintegration of child soldiers; • Social and economic reintegration of teenage girls with children; • Needs evaluation of the affected population to better target the assistance.

Shelter and Non-Food Items Around 150,000 persons where displaced by the 2003 fighting. The last IDPs census was in early 2004 and since then IDPs camps around Brazzaville have been closed and a reinstallation process completed by the government through the first half of 2004. However, recent studies (Caritas) show that the population has not fully returned and an average of one out of 5 inhabitants has not come back in its village of origin and more than half of the returnees are living in houses partially or totally destroyed.

The fear of renewed fighting is a factor preventing the population from rebuilding and rehabilitating houses. A Precarious shelter number of villagers have been anticipating the worst and have built shelters in the forest to escape to in case the situation deteriorates again. The regional economic crisis, compounded by the appalling road conditions and the prevailing insecurity, prevent the population from rebuilding their villages.

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Consequently, the affected population in the region is still living in precarious situation that requires an urgent response. The CAP proposes a variety of programmes to improve the living conditions of this vulnerable population, mainly through the rehabilitation of basic structures and a self-help reconstruction programme.

The requested support in the CAP 2005 for the Protection sector is US$ 239,062, towards which nothing has yet been contributed or committed. The sectoral strategy is to: • Improve living conditions through the distribution of non-food items (NFI); On the way to Kinkala • Support the reconstruction efforts through the distribution of building kits.

Economic Recovery and Infrastructure In the Pool, road conditions and economic recovery are closely linked. Without good transportation infrastructures, trade with regional centres is limited; the agriculture production is confined to its production spot. In addition, the prevailing insecurity is increasing the current isolation of the region.

The current road conditions are resulting from a lack of maintenance and from the destructions caused by the conflicts. Several infrastructures have been damaged or completely destroyed by fighting. It currently takes over 5 hours to reach Kinkala, the administrative centre of the region, which is located less than 70 km from Brazzaville. Before the war it took approximately one hour. Transportation trucks rarely venture in these risky roads, limiting the capacity of the population to exchange basic goods. As the roads have been left without any maintenance for years, erosion and water seepage are leaving behind immense sloughs and holes larger than vehicles. The only other alternative for the population is to use the trains, however they are unreliable, regularly attacked and looted.

UNDP with the support of the World Bank has invested about US$ 650,000 to assist communities in the Pool through the building or rehabilitation of roads, bridges using mainly ex-combatants for manpower.

Some NGOs such as ACTED and Atlas Logistique have been working on road rehabilitation. ACTED is repairing the RN1 (60km) between Kinkala and Mindouli through cash for work projects;

In spite of their noteworthy efforts, additional assistance is requested for roads and bridges rehabilitation throughout the department.

The requested support in the CAP 2005 for the economic recovery / infrastructure sector is US$ 583,000 (towards which nothing has yet been contributed or committed), in order to:

• Improve access to affected zones and populations through the rehabilitation of basic infrastructures; • Establish community maintenance systems.

Coordination Sector The Office for the Coordination of Humanitarian Affairs (OCHA) has maintained an office in the RoC to support the Humanitarian Coordinator and partners to coordinate humanitarian actions in the country.

Through several joint assessment missions and consultations, a need for more effective and coherent coordination has been noted to adequately respond to the emergency situation in the Pool region, to effectively negotiate access on behalf of the humanitarian community, enhance advocacy efforts and strengthen needs assessments. Currently it is essential to gather accurate data on the humanitarian situation in the Pool as well as in other parts of the country that are totally isolated and marginal.

Field presence will be strengthened through the opening of a UN office comprising an OCHA bureau in the Pool. OCHA will help provide timely and accurate information on the humanitarian situation, analyse and disseminate humanitarian data, raise awareness on humanitarian challenges, including human rights and protection of civilians, and reinforce the overall coordination.

REPUBLIC OF CONGO

The Rapid Response Funds proposed by OCHA is intended to provide a flexible disbursement facility to respond to basic needs of vulnerable populations, by supporting at short notice activities designed to respond to an emergency. These projects will facilitate recovery at the community level, rebuild capacities, promote a sense of confidence among Congolese people and make the benefits of peace real and tangible to ordinary Congolese. The Rapid Response Capacity for emergency situation will also allow providing financial support to INGOs that are presently facing funding difficulties. A committee composed of operational UN agencies and NGOs is being set up to select relevant projects.

Efforts to strengthen humanitarian coordination at all levels will continue through the provision of appropriate institutional and technical support to national counterparts. Coordination will be improved and synergies developed by linking relief, transition and development programmes, enhancing early warning, monitoring and evaluation and by facilitating data collection and joint needs assessments. The requested support in the CAP 2005 for the coordination sector is of US$ 1,725,165, of which US$ 1,128,169 remains unfounded.

The strategy of the coordination sector is:

• To facilitate an effective and timely response of UN and humanitarian actors in the RoC; • To strengthen humanitarian partners capacities to respond and advocate for humanitarian needs.

5. CONCLUSION

The people from the Pool continue to be plagued by insecurity and vulnerability. The priorities defined in the 2005 CAP remain relevant and the humanitarian needs will persist in the coming months. There has clearly been an implementation gap due to low funding, impeded access and a chronic lack of data.

This has not allowed key programmes in health, nutrition, education to be implemented, undermining the humanitarian imperative to save lives and restore livelihoods.

While the DDR process, often includes inherent political and military dimensions (therefore beyond the scope of humanitarian assistance), it is important that humanitarian agencies advocate at various levels to reduce delays in this process and provide as much support as possible for reintegration activities and long term rehabilitation. Support to education, skills building and income generating activities will help provide an incentive to pursue alternative livelihoods and will be pivotal in the CAP strategy for the next 6 months.

The prevailing post conflict context, with a possible final peace settlement if Pastor Ntumi political integration is confirmed, requires nevertheless more attention to the transition from emergency assistance, to more long term analysis and development programmes. This will demand a stronger collaborative analysis on the part of all humanitarian actors and donors but does not negate the continued demand for humanitarian assistance, as population remain isolated and vulnerable with few prospects for immediate improvement. Therefore, consideration is being given to have for next year a transitional CAP that will integrate both, emergencies and transitional approaches.

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ANNEX I.

CAP 2005 – HUMANITARIAN SITUATION IN CONGO

IMPACT OF CONFLICTS ON THE HUMANITARIAN SITUATION IN ROC

Indicators Before the conflicts After the conflicts

79% (DTC) /1990 a 51% (DTC) / 2002 b Vaccination Rate 90% (BCG) / 1990 a 37% (BCG) / 2000 b

Life expectancy at birth 52 years (1990) c 48 years (2002) b

Total number of AIDS cases 4805 (1990) c 13 798 (1999) c

Infant mortality rate (for 1 000 live births) 83,6 (1990) d 84,0 (2000) d

School enrolment ratio 82% (1990) c 48% (2002) b

Public expenditure on education as % of GNP 8.3% (1993) c 3.2% (2001) b

Number of health care personnel 7,135 (1996) a 5,130 (2002) a

Public expenditure on health as % of GNP 2.6% (1993) c 1.4% (2001) b

Human Development Indicator (HDI) 0.532 (1990) b 0.494 (2002) b

a. Source: Ministry of Health, Politique Nationale de Santé, 2003. b. Source: UNDP, Rapport mondial sur le développement humain 2004. c. Source: UNDP Rapport annuel national sur le développement humain 2002. d. Source: UN Secretariat, World Population Prospects: the 2002 Revision and World Urbanisation Prospects: The 2001 Revision.

REPUBLIC OF CONGO

ANNEX II. CAP 2005 – NEW AND REVISED PROJECTS Original Revised Agency Project Number Sector Project Title Target Beneficiaries Region Requirement Requirement Coordination and Rapid Response Capacity for Emergency Population, Women, OCHA ROC-05/CSS02 Pool / Country 459,978 866,828 Support Services Situation in RoC Children Programme promoting access to basic Pool: Districts of Population, Women, ROC-05/H04 Health health care for the population of Mayama- Mayama-Kindamba, 500,000 393,006 Children Kindamba and of Goma Tsé-Tsé Districts Goma Tsé-Tsé CAM Programme Promoting access to basic ROC-05/H13 Population, Women, Pool: District of Health health care for the population of Mindouli NA 477,611 New Children Mindouli District Capacity building of communities for ROC-05/MS01 Multi-sector: Health, Children, women and integrated development and survival of Pool NA 240,000 New Nutrition, Education vulnerable families young children ROC-05/H14C Improving the life conditions of women by Health Women Pool: District of Voka NA 58,000 New Lower Risks Maternity Nutritional monitoring, fighting nutritional Children, women and ROC-05/H12 Health Pool 426,136 351,750 deficiencies vulnerable families Protection, Human UNICEF ROC-05/HR/RL01 Catching up with births registrations Children Pool 409,091 210,000 Rights, Rule of Law Social and psychological rehabilitation and Protection, Human Children, Women, ROC-05/HR/RL03 children of women victims of violence and Pool 710,227 260,000 Rights, Rule of Law Child Soldiers traumatism ROC-05/P/HR/RL04 Protection, Human Capacity building for youths and women for Children, Women Pool 586,182 0 Removed Rights, Rule of Law sustainable community development Re-launching Expanded programme of Children under five ROC-05/H06A/B Health Pool 482,955 357,500 immunisation (PEV) Activities and women ROC-05/H14B Improving the life conditions of women by Health Women Pool: District of Voka NA 14,700 New Lower Risks Maternity UNDP ROC-05/P/HR/RL06 Protection, Human Creation of legal clinics in the Pool Children, Women, Pool NA 960,000 New Rights, Rule of Law Department Elderly Strengthening of reproductive health Pool: Districts of ROC05/H01A Health services in health facilities of the Pool Returnees, Women Kinkala, Mindouli, 199,800 140,894 region Kindamba ROC-05/H14A Improving the life conditions of women by Health Women Pool: District of Voka NA 106,500 UNFPA New Lower Risks Maternity ROC-05/CSS01 Coordination and Children, Women and Rapid Assessment Pool 90,000 0 Removed Support Services Elderly ROC-05/H05 Preventing HIV/AIDS among youth in the Adolescents and Health Pool 244,000 0 Removed Pool Region Youth Protection, Repatriation, Social Integration, Assistance to the reintegration of Congolese UNHCR ROC-05/P/HR/RL/05 Refugees, Returnees Niari, Lekoumou 1,094,381 1,123,149 Human Rights and Rule returnees from Gabon and DRC of Law

REPUBLIC OF CONGO

ANNEX III. CAP 2005 – NEW AND REVISED PROJECTS DESCRIPTIONS Appealing Agency: OFFICE FOR THE COORDINATION OF HUMANITARIAN AFFAIRS Project Title: Rapid Response Capacity for emergency situation in the RoC Project Code: ROC-05/CSS02 Sector: Coordination and Support Services Objectives: To set up a Rapid Response Fund (RRF) to provide financial support for facilitating access, deployment of humanitarian actors and delivery of emergency assistance throughout the RoC Beneficiaries: Total: 300,000 Children: 120,000 Women: 180,000 Implementing Partners: UN Agencies and partners Project Duration: January – December 2005 Funds Requested: US$ 866,828

Summary In order to strengthen the UN and NGOs capacity for the effective delivery of humanitarian assistance to the most affected populations in the RoC, especially the Pool region, the United Nations Office for the Coordination of Humanitarian Affairs is proposing to set up a RRF. This fund will provide financial support to facilitate access, the deployment of humanitarian actors and the delivery of assistance throughout the RoC. This Fund will also provide support to INGOs in order to bridge the funding gap as ECHO programmes are ending in June until other sources of funding are secured.

The RRF will address the following crises:

• Emergency health; nutrition; shelter; water; infrastructure rehabilitation; • Lack of food security (serious food shortages as a result of isolation of communities and/or loss of harvests); • Natural calamities, such as floods, drought, landslides, erosion, etc.; • Epidemics such as Ebola, water borne diseases, measles…

Activities • Rapid Inter-agency/NGO assessment missions (transport & logistical support); • Rapid delivery of assistance and deployment of humanitarian actors (logistical and distribution costs, transport means-road, air, river, railway…); • Access to the most isolated vulnerable groups, humanitarian access (basic rehabilitation of communication infrastructures – i.e. bridges); • Emergency humanitarian projects.

Expected outcomes • Humanitarian actors receive financial support for their rapid deployment in newly affected areas and ensure rapid delivery of assistance; • Humanitarian needs are addressed in a rapid and timely manner; • Humanitarian access is improved in areas of crises; • Effective emergency coordination mechanisms are set up and become operational.

FINANCIAL SUMMARY Budget Items US$ Staff costs: Assistant RRF (Consultant) and Travel 21,580 Equipment: 1 vehicle 4x4 Minimum Operational Security Standards (MOSS) compliant, 2 laptops, 1 multi function printer, 1 satellite phone (includes communication costs), 1 Global 30,000 Positioning System (GPS), 1 generator (6 Kilo Volt Ampere (KVA)), Grants, contribution, freight and related costs 790,000 Programme support costs (3%) 25,248 Total 866,828

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Appealing Agencies: WORLD HEALTH ORGANIZATION / UNITED NATIONS POPULATION FUND Project Title: Strengthening of Reproductive Health services in health facilities of the Pool region Project Code: ROC-05/H01A-B Sector: Health Objectives: Contribute to the reduction of maternal and neonatal mortality through the provision of improved emergency obstetric care, neonatal care and family planning services. Beneficiaries: Total: 20,000 of the returnee population Children: 10,000 Women: 10,000 Implementing Partners: Ministry of Health, UNICEF, MSF, CAM, UDA and other NGOs Project Duration: January - December 2005 Funds Requested: US$ 304,134

Summary In the Republic of Congo, maternal mortality is estimated at 1,100 maternal deaths / 100,000 live births, one of the highest ratios in the world. This is mainly due to the poor reproductive health service in the country, resulting from a lack of adequately trained staff and a constant shortage of essential equipment and drugs required to perform health services. In line with the common humanitarian strategy and in response to the identified needs of the vulnerable populations in the Pool region, this project aims at reinforcing the Emergency Obstetric Care (EmOC), Family Planning (FP) and antenatal care services in 10 health centres and 3 referral hospitals.

Activities • Training and re-cycling of 60 health personnel on EmOC, FP and antenatal care; • Counselling and training on STIs and HIV and on Voluntary, Counselling and Testing (VCT); • Distributing emergency delivery equipment and supplies to health facilities; • Reinforcing the implementation of technical protocols and tools in health centres and referral hospitals in Kinkala, Mindouli and Kindamba.

Expected outcome • 60 health personnel trained on EmOC, FP and antenatal care; • Reproductive Health services (EmOC, FP and antenatal) are available in 10 health centres and 3 hospitals of the Pool region (delivery kits, Sexually Transmitted Infection (STI) kits, HIV testing, referral level Reproductive Health (RH) kits); • Transport and communication equipment for referral are available in Kinkala, Mindouli and Kindamba.

FINANCIAL SUMMARY Budget Items US$ UNFPA WHO Staff costs 6,600 10,000 Training of Traditional Birth Attendants (TBAs) and health staff on 2,000 30,000 emergency obstetric cares Emergency Obstetrical Kits for 10 heath centres 20,000 30,000 Support to referral hospitals (3 in the Pool region) 14,000 70,000 Sensitisation of women and youth 6,500 Monitoring and evaluation 9,000 14,000 Administrative costs 10,800 9,240 Transport and communication 71,994 0 Total 140,894 163,240

REPUBLIC OF CONGO

Appealing Agency: COMITÉ D'AIDE MÉDICALE Project Title: Programme promoting access to basic health care for the populations of the districts of Mayama-Kindamba and of Goma Tsé-Tsé, Pool Department, Republic of Congo Project Code: ROC-05/H04 Sector: Health Objectives: Improving the access to basic health care and the quality of sanitary services to the populations of Goma Tsé-Tsé and Myama-Kindamba districts. Beneficiaries: Total: 30,000 direct beneficiaries between the two districts with a particular attention to women and children Implementing Partners: Ministry of Health, General Office of Health, Department Office of Health, WHO Project Duration: June - December 2005 Funds Requested: US$ 393,006

Summary Supported by ECHO since December 2003 in the Pool Department, the CAM has contributed to the improvement of the sanitary situation in the districts of Goma Tsé-Tsé and Mayama-Kindamba through the rehabilitation and supervision of 10 health centres, two maternities, and their procurement with medicines and medical equipment. The CAM has also emphasised local capacity building through continuous training of health staff and the reactivation of the health committee (COSA), which is essential to ensure the durability of the programme. The continuous support of the centres and the epidemiological survey conducted during the programme, have resulted in increasing the number of users and the attendance of health services.

Objectives • Reduce child and maternal mortality; • Reinforce the population’s sanitary and immunisation cover (in particular for children and for pregnant and breastfeeding women); • Rehabilitate basic sanitary structures; • Reinforce capacity of health agents and actors, and reinforce the community participation; • These actions will improve the sanitary situation of the Mayama-Kindamba and Goma Tsé-Tsé Districts, with a particular attention to maternal and child protection.

Activities • Supervision of health staff and of functioning of the supported health centres; • Distribution of essential medicines and of medical equipment in the supported health centres; • Rehabilitation and re-equipment of a basic sanitary structures (Renéville); • Continuous training and evaluation of the local health staff members; • Education campaigns regarding health, Protection Materno-Infantile (PMI), PEV, Sexually Transmitted Diseases (STD)/AIDS, family planning, malaria, and environmental and hospital hygiene; • Support of COSA.

Expected outcome To improve attendance rate of health services in Mayama-Kindamba and Goma Tsé-Tsé districts; to increase the quality of services to the patients, through a better support of health centres; to set up conditions for a financial and organisational autonomy of the centres.

FINANCIAL SUMMARY Budget Items US$ Staff costs 110,576 Implementing costs 80,372 Operating costs 176,347 Administrative costs 25,711 Total 393,006

REPUBLIC OF CONGO

Appealing Agencies UNITED NATIONS CHILDREN'S FUND & WORLD HEALTH ORGANIZATION Project Title Re-launching PEV Activities Project Code Health Sector ROC-05/H06A -B Objective To Contribute to reduction of mortality and morbidity related to vaccines preventive diseases in children under five (5) years Beneficiaries 21,000 of what 10,000 children under five and 11,000 women Implementing agencies UNICEF, WHO and Department of MoH in Pool Region Project Duration June-December 2005 Total Project Budget US$ 439,120 Fund Requested for 2005 US$ 439,120

Summary The socio political conflict led to the breakdown of the health services including the interruption of immunisation activities. UNICEF and WHO will work together to improve the immunisation services by:

Activities • Proving material of cold chain to nationals; • Proving vaccines; • Organising refresh and training of health personnel; • Supporting immunisation campaign against polio and measles; • Proving transport during immunisation campaign and supervision.

FINANCIAL SUMMARY Budget Items US$ WHO UNICEF Staff costs 10,000 65,000 Implementing costs 25,000 225,000 Operating costs 10,000 10,000 Refresher training of health personnel 25,000 25,000 Monitoring and evaluation 7,000 Administrative costs 4,620 32,500 Sub-total 81,620 357,500 Total 81,620 357,500

REPUBLIC OF CONGO

Appealing Agency: UNITED NATIONS CHILDREN'S FUND Project Title: Nutritional monitoring, fighting nutritional deficiencies Project Code: ROC-05/H12 Sector: Health Objectives: • To reduce morbidity and mortality connected with malnutrition; • To build capacity of health workers in the monitoring and the treatment of malnutrition. Beneficiaries: Total: 25,000 Children (0 to 5 yrs.): 5,000 Children (< 1 yrs.) : 1,000 Children (primary school): 11,750 Pregnant women: 1,200 Breastfeeding women: 1,750 Families: 4,000 Implementing Partners: Pool Health Department Office, Primary Education Department Office, Médecins d'Afrique, African Network Prime Enfance, Waterworks Ministry, Communities Project Duration: January – December 2005 Funds Requested: US$ 351,750

Summary The nutritional status of the Pool children remains fragile and a serious concern. Low vaccine coverage (below 60%), bad weaning practices; inadequate quantity and quality of food (95% of the livestock has been destroyed); low economic capacity of the populations, lack of training of medical workers and the destruction of sanitary infrastructures are the main factors leading to additional vulnerability.

Activities UNICEF intends to set up, in its areas of involvement, a nutritional surveillance system (NS) through the following activities:

(1) Strengthening the capacity of the agents and community intermediaries, on the nutritional surveillance system, the monitoring and data management; (2) The organisation of communities; (3) The supplementation of vitamin A for children and postpartum women; (4) Worm removal for children; (5) The distribution of iron supplements to pregnant women; (6) The supply of essential medicines, equipment and supplementation food.

Indicators • Number of organised communities for the surveillance system in communities; • Number of trained workers and intermediaries; • Malnutrition rate; • Indicators of nutritional rehabilitation (rehabilitation rate, mortality rate, number of missing patients, relapsing rate, weight gain, hospitalisation length, percentage of people suffering from malnutrition); • Number of children having received two doses of vitamin A and de-wormed; • Number of postpartum women having received vitamin A and supplemented; • Number of pregnant women who have been correctly supplemented with iron (for at least 4 months).

FINANCIAL SUMMARY Budget Items US$ Staff costs 75,000 Implementing costs 100,000 Operating costs 50,000 Provision of medicines, material, wheel transportation (bicycle, motorcycle, vehicle) 100,000 Coordination of project, follow up and evaluation 10,000 Support Project 16,750 Total 351,750

REPUBLIC OF CONGO

Appealing Agency: COMITÉ D'AIDE MÉDICALE Project Title: Relief Programme promoting access to basic health care for the populations of Mindouli District, Pool Department, Republic of Congo Project Code: ROC-05/H13 Sector: Health Objectives: Improving the access to basic health care and sanitary services quality for Mindouli populations. Beneficiaries: Total: 15,000 direct beneficiaries with a particular attention to women and children Implementing Partners: Ministry of Health, General Office of Health, Department Office of Health, WHO Project Duration: June-December 2005 (1st phase of 6 months; 3 integrated health centres, then expansion to 6 health centres) Funds Requested: US$ 477,611

Summary Supported by ECHO since December 2003 in the Pool Department, the CAM has contributed to the improvement of the sanitary situation in the districts of Goma Tsé-Tsé and Mayama-Kindamba. CAM will pursue its support to this zone but will also extend its activities to Mindouli District, where population access to health centres remains limited, due to the prevailing insecurity situation. CAM intends to support in Mindouli 6 health centres, starting with 3 of them during the first 6 months of the project. CAM will emphasise from the beginning community participation, namely through health committees and education campaigns, in order to prepare the conditions for a durable programme.

Objectives • Reduce child and maternal mortality; • Reinforce the population’s sanitary and immunisation cover (in particular for children and for pregnant and breastfeeding women); • Rehabilitate basic sanitary structures; • Reinforce capacity of health agents and actors, and reinforce the community participation regarding health; • These actions will improve the sanitary situation of Mindouli District, with a particular attention to maternal and child protection.

Activities • Opening of a working base in Mindouli; • Conducting a Basic Health Survey (Capacity/skills/practices) within health areas, in order to have a database at the beginning of the project regarding population habits and behaviours as well as health centres use and attendance; • Rehabilitation and re-equipment of 3 health centres (then expansion to 6 afterwards); • Distribution of essential medicines and of medical equipment in the supported health centres; • Initial and continuous training of the local health staff members; • Setting up and support of the COSA; • Supervision and follow up of local health staff and of functioning of the health centres and COSA; • Carrying out of health education campaigns, PMI, PEV, STD/AIDS, family planning, malaria, environmental and hospital hygiene.

Expected outcome To improve attendance rate of health services in Mindouli Districts and to increase the quality of services to patients, through a better support of health centres to set up conditions for a financial and organisational autonomy of the centres.

FINANCIAL SUMMARY Budget Items US$ Staff costs 152,834 Implementing costs 141,039 Operating costs 152,492 Administrative costs 31,246 Total 477,611

REPUBLIC OF CONGO

Appealing Agencies: UNITED NATIONS POPULATION FUND / UNITED NATIONS DEVELOPMENT PROGRAMME / UNITED NATIONS CHILDREN’S FUND Project Title: Improving life conditions of women through lower risk maternity Project Code: ROC-05/H14A-B-C Sector: Health Objectives: Increase access to quality Reproductive health services towards the reduction of morbidity and mortality rates of mother and child Beneficiaries: Women; Children under 5 Implementing Partners: UNDP, WHO, local NGO Sœurs de la Divine Providence de Ribeauville Project Duration: June - December 2005 Funds Requested: US$ 179,200

The present project, which is inscribed under the framework of the common humanitarian strategy in the Pool Department, aims at contributing to the improvement of the quality of reproductive health services, as well as their expansion to Voka health region.

Activities • Improve sanitary conditions in the centre of Voka by the realisation of latrines and the drilling of freshwater well; • Provide Voka maternity with medical equipment, basic medicines, safe delivery kit and other health products related to reproductive health and family planning; • Set up of a functional nutritional unit in Voka health centre; • Provide Voka centre with a cold chain / PEV routine vaccination for children under 5; • Train essential health personnel of the Voka health centre on emergency RH.

Expected outcome • The construction of 2 latrine blocks with five septic tanks and four units, the drilling of one freshwater well; • Voka maternity provided with medical equipment, basic medicines, safe delivery kit and other health products related to reproductive health; • Functional nutritional unit in Voka health centre; • One cold chain / PEV routine vaccines available in Voka; • Voka health centre Trained health personnel.

FINANCIAL SUMMARY Budget Items UNFPA UNDP UNICEF Latrines construction cost 12,000 Fresh water well drilling and purchase of a pump 14,700 Purchase of an ambulance 61,200 Provision of basic medicines 5,000 15,000 Childbirth kits provision 4,800 8,000 Provision of medical equipment 10,000 7,000 Nutritional unit functioning 5,000 Cold chain / PEV vaccines for 0 to 5 years old children 15,000 Capacity building of health staff 13,500 8,000 Total 106,500 14,700 58,000

REPUBLIC OF CONGO

Appealing Agency: UNITED NATIONS CHILDREN'S FUND Project Title: Capacity building of communities for the integrated development and survival of young children Project Code: ROC-05/MS01 Sector: Multi-sector: Education, Health, Nutrition Objectives: To guarantee young children a suitable environment for an adequate development and supervision for their survival Beneficiaries: Total: 25,000 Children (0 to 5 yrs.): 5,000 Children (< 1 yrs): 1,000 Children (primary school): 11,750 Pregnant women: 1,200 Breastfeeding women: 1,750 Families: 4,000 Implementing Partners: Pool Health Department Office, Primary Education Department Office, Médecins d'Afrique, African Network Prime Enfance, Waterworks Ministry, Communities Project Duration: January – December 2005 Funds Requested: US$ 240,000

Summary After a long period of armed conflict and despite a progressive return to civil peace, child development is still a serious concern in the Pool department. Low vaccine coverage (below 60%), bad weaning practices; inadequate quantity and quality of food (95% of the livestock has been destroyed); low economic capacity of the populations, the lack of training of medical workers and teachers along with their limited motivation, the appalling conditions of sanitary and road infrastructures and the absence of early-learning centres are the main factors leading to the precariousness of the Pool children’s health. Additionally, 70% of them do not have a birth certificate, limiting considerably their school registration capacity.

Activities UNICEF intends to set up an integrated strategy in health, nutrition and education, with a strong participation of parents, in villages where the Watsan projects will be implemented. Planned actions consist in (1) organising communities, (2) training 300 community intermediaries, (3) the setting up of 20 early-learning community centres managed by mothers, (4) the supply of health centres and communities with basic medicines, supplementation food and equipments, (5) the training of 80% of health agents and social workers; (6) the setting up of a community coordination system of initiatives in targeted action areas.

Indicators • Number of organised communities; • Number of children attending an early-learning community centre; • Number of children supplemented twice a year in vitamins A; • Percentage of immunised children; • Number of trained community intermediaries and agents; • Number of sensitised households.

FINANCIAL SUMMARY Budget Items US$ Staff costs 30,000 Implementing costs 50,000 Operating costs 20,000 Training 30,000 Provision in medicines, material, wheel transportation (bicycle, motorcycle, vehicle) 100,000 Coordination of project, follow up and evaluation 10,000 Total 240,000

REPUBLIC OF CONGO

Appealing Agency: UNITED NATIONS CHILDREN'S FUND Project Title: Catching up with births registrations Project Code: ROC-05/P/HR/RL01 Sector: Protection – human rights – rule of law Objectives: • To ensure free registration for children from 0 to 18 years old; • To sensitise and encourage parents on the need to notify births; • To reinforce the civil status services staffing and logistical tools. Beneficiaries: Total: 20,000 children without birth certificates Implementing Partners: Government: Ministries of Social Affairs, Health, Justice, Territory Administration, Education, NGOs: Fondation Urgences d'Afrique, Médecins d'Afrique, Association du Personnel de l'Administration Scolaire et Universitaire (APASU), Centre d'Appui au Développement de la Fille Mère (CADFM) Churches and communities, UNFPA, WHO. Project Duration: June – December 2005 Funds Requested: US$ 210,000

Summary For the last ten years, the civil status services have not been properly functioning in the country and more particularly in the Pool region. Parents, facing difficulties, lacking resources, have neglected their responsibility to register them children. Also many young girls came out of the forests bearing children of unknown father and without birth certificate.

UNICEF is planning an operation to catch up with free births registration. Planned actions will focus on capacity building of civil status services and of related actors, public awareness campaigns and community mobilisation, the supply of documents and registers, registration campaigns, coordination, monitoring and evaluation.

The expected impact is the setting up of at least 100 identification and pre-registration posts; the training of 500 contact agents; the mobilisation of communities; the reinforcement of the capacity of status services; 20,000 children registered and provided with free birth certificates.

FINANCIAL SUMMARY Budget Items US$ Staff costs 30,000 Implementing costs 10,000 Operating costs 20,000 Capacity building 90,000 Documents registration campaigns 60,000 Total 210,000

REPUBLIC OF CONGO

Appealing Agency: UNITED NATIONS CHILDREN'S FUND Project Title: Social and psychological support of children and women victims of violence and traumatism Project Code: ROC-05/P/HR/RL03 Sector: Protection – human rights – rule of law Objectives: To assist affected people to lead a normal and dignified social life. To promote peace and human rights. Beneficiaries: Total: 30,000 persons affected by violence and traumatism. Children: 20,000 Women: 10,000 Other group: 500 raped women / young girls; 1,500 child soldiers; 50 children born from rape, 2,000 orphan children Implementing Partners: Government: Ministries of Social Affairs, Health, Justice, Education, Women Promotion and Youth, Churches and communities, MDA and MSF. Project Duration: June – December 2005 Funds Requested: US$ 260,000

Summary and Justification The Republic of Congo remains fragile following a decade of armed conflicts (1993-2003). Although the overall situation is improving, the conditions in the Pool region remain a major concern.

The forthcoming legislative election still gives rise to interrogations and risks of further violence. A situation of “no war no peace” prevails in most of the Pool region.

If the current situation lasts longer, serious survival and developmental threats weigh down on these children who will not learn how to read nor write, will not be able to cure themselves and will consequently suffer from behavioural problems related to compounded traumatisms and frustrations.

It is a matter of rehabilitating them, through a human rights and community based approach, to regain their status and value.

Actions regarding advocacy and social communication, training on management of stress and traumatism, psychosocial support, reinsertion, coordination and evaluation.

The expected impact is the improvement of the action capacity of at least 100 specialists in stress and trauma management (medical staff, teachers, social assistants, religious and community leaders) through 13 listening centres, 20,000 traumatised children and women are psychosocially supported and reinserted, populations are informed about their rights and can reclaim them.

FINANCIAL SUMMARY Budget Items US$ Staff costs 30,000 Operating costs 20,000 Training 50,000 Psychosocial support 80,000 Reinsertion 60,000 Sensitisation on human rights 20,000 Total 260,000

REPUBLIC OF CONGO

Appealing Agency: UNITED NATIONS HIGH COMMISSIONER FOR REFUGEES Project Title: Assistance to the reintegration of Congolese returnees from Gabon and DRC Project Code: ROC-05/P/HR/RL05 Sector: Protection, Repatriation, Social Integration, Human Rights and the Rule of Law Objectives: Ensure reintegration of returnees through self-reliance (improved food security and income). Beneficiaries: 2000 Congolese refugees to be repatriated from Gabon and DRC in 2005. 2500 returnees who repatriated in the Republic of Congo (RoC) between 2000 and 2004. Implementing Partners: FAO, Gesellschaft für Technische Zusammenarbeit (GTZ) Project Duration: January – December 2005 Funds Requested: US$ 1,123,149

Summary The several crises that RoC had to endure have caused significant displacement of populations from RoC to Gabon. UNHCR will facilitate the return of refugees willing to come back to the Niari and Lekoumou Departments and will provide resources in order to restart income-generating activities such as agriculture and animal husbandry.

Activities The UNHCR project aims at the repatriation and reintegration of Congolese refugees living in Gabon and in DRC by creating a favourable environment for a safe and durable return. UNHCR will ensure the transportation of refugees towards their city or village of origin and will rehabilitate when required schools, dispensaries and water points in the main areas of return (Niari, Lekoumou). UNHCR will also ensure, in collaboration with FAO, the provision of agricultural tools and seeds to vulnerable returnees and offer support to develop small cattle breeding activities. It will support returnee families at risk especially women heads of family and single women returnees with training on agricultural techniques and animal husbandry.

Expected outcome of the project 2000 Congolese returning in RoC in 2005 as well as 2,500 returnees repatriated in previous years will attain economic self-sufficiency.

FINANCIAL SUMMARY Budget Items US$ Programme 890,463 Programme support 232,686 Total 1,123,149 (*) The funds requested here represent approximately 15.67% of the entire revised UNHCR programme in RoC of US$ 7,138,378. The remaining budget covers refugee operations in northeast RoC and urban areas.

REPUBLIC OF CONGO

Appealing Agency: UNITED NATIONS DEVELOPMENT PROGRAMME Project Title: Judicial/Legal Aid Clinics in the department of Pool, to restore respect for and protection of Human Rights Project Code: ROC-05/P/HR/RL06 Sector: Protection – human rights – rule of law Objectives: • To reinforce the populations’ access to legal redress; • To ensure the promotion and the protection of the human rights, in particular of the women and children who are victims of sexual and physical abuse; • To ensure the popularisation of the rights of individuals and the family. Beneficiaries: Total: 35,000 Children: 5,000 Women: 25,000 Other group: 2,000 elderly people and 3,000 orphans Implementing Partners: Government: Ministry of Justice, Ministry of Social Affairs, National Police, Local Authorities, Churches and Communities, UNFPA Project Duration: 16 Months (September 2005 – December 2006) Funds Requested: US$ 960,000

Summary and Justification The crisis which has prevailed in the department of the Pool following a decade of armed conflicts (1993-2003), has left in its trail flagrant violations of the rights of the populations, in particular of the women and children who were victims of sexual and physical abuses. This project intends to bring legal aid assistance to these populations to seek redress and justice. More specifically, it intends to ensure the promotion and the protection of the individual rights and that of the family and to reinforce the population’s access to legal redress and justice. UNDP has successfully implemented similar projects and installed four legal clinics in other parts of Congo. The expected impact is the reinforcement of human rights through:

• Information, sensitisation and training on the individual rights of citizens and that of the family; • Free legal aid assistance, in particular to institute judicial proceedings; • Mediation, reconciliation and pacification services; • Legal support in the drafting of the statutes and the rules of procedure for associations and other groups.

Activities • To bring socio-juridical assistance to the populations, in particular women and children who had been physically and sexually abused; • To organise sessions on reconciliation, pacification, forgiveness and peaceful coexistence within the communities; • To organise training and information sessions, sensitising the community on their rights and that of the family.

FINANCIAL SUMMARY Budget Items US$ Staff costs 75,000 Operating costs 100,000 Training 120,000 Legal support 415,000 Pacification & Sensitisation on human rights 250,000 Total 960,000

REPUBLIC OF CONGO

ANNEX IV. TABLE 1. SUMMARY OF REQUIREMENTS AND CONTRIBUTIONS BY APPEALING ORGANISATION AND BY SECTOR

Consolidated Appeal for Republic of Congo 2005 Requirements, Commitments/Contributions and Pledges per Appealing Organisation as of 17 June 2005 http://www.reliefweb.int/fts

Compiled by OCHA on the basis of information provided by Donors and Appealing Organisations

APPEALING ORGANISATION Original Revised Commitments, % Unmet Uncommitted Requirements Requirements Contributions, Covered Requirements Pledges Carryover Values in USD A B C C/B B-C D

ACTED 990,000 990,000 - 0% 990,000 - ALISEI 633,260 633,260 - 0% 633,260 - Atlas Logistique 583,000 583,000 - 0% 583,000 - CAM 500,000 870,617 - 0% 870,617 - FAO 1,763,640 1,763,640 - 0% 1,763,640 - OCHA 1,318,315 1,725,165 596,996 35% 1,128,169 - UNDP 1,000,000 1,974,700 582,090 29% 1,392,610 - UNESCO 550,000 550,000 - 0% 550,000 - UNFPA 533,800 247,394 75,000 30% 172,394 - UNHCR 1,094,381 1,123,149 1,000,000 89% 123,149 - UNICEF 4,245,030 3,125,689 708,950 23% 2,416,739 - WFP 6,446,161 8,221,012 4,319,327 53% 3,901,685 - WHO 2,302,850 2,302,850 - 0% 2,302,850 - GRAND TOTAL 21,960,437 24,110,476 7,282,363 30% 16,828,113

Consolidated Appeal for Republic of Congo 2005 Requirements and Contributions per Sector as of 17 June 2005 http://www.reliefweb.int/fts

Compiled by OCHA on the basis of information provided by Donors and Appealing Organisations

SECTOR Original Revised Commitments, % Unmet Uncommitted Requirements Requirements Contributions, Covered Requirements Pledges Carryover Values in USD A B C C/B B-C D AGRICULTURE 1,763,640 1,763,640 -0% 1,763,640 - COORDINATION AND SUPPORT SERVICES 1,408,315 1,725,165 596,996 35% 1,128,169 - ECONOMIC RECOVERY AND INFRASTRUCTURE 583,000 583,000 -0% 583,000 - EDUCATION 2,187,727 2,187,727 265,950 12% 1,921,777 - FAMILY SHELTER AND NON-FOOD ITEMS 239,062 239,062 -0% 239,062 - FOOD 6,446,161 8,221,012 4,319,327 53% 3,901,685 - HEALTH 5,039,001 5,086,071 75,000 1% 5,011,071 - MULTI-SECTOR -240,000 -0% 240,000 - PROTECTION/HUMAN RIGHTS/RULE OF LAW 3,781,881 3,553,149 1,582,090 45% 1,971,059 - SECTOR NOT YET SPECIFIED - - -0% - - WATER AND SANITATION 511,650 511,650 443,000 87% 68,650 -

GRAND TOTAL 21,960,437 24,110,476 7,282,363 30% 16,828,113 -

Pledge: a non-binding announcement of an intended contribution or allocation by the donor. (“Uncommitted pledge” on these tables indicates the balance of original pledges not yet committed). Commitment: creation of a legal, contractual obligation between the donor and recipient entity, specifying the amount to be contributed. Contribution: the actual payment of funds or transfer of in-kind goods from the donor to the recipient entity.

REPUBLIC OF CONGO

ANNEX V.

ACRONYMS AND ABBREVIATIONS

ACTED Agency for Technical Cooperation and Development ADB African Development Bank ALISEI Associazione Latino Americana de Derechos Humanos APASU Association du Personnel de l'Administration Scolaire et Universitaire ARV Antiretrovirus

BCG Bacile Calmette Guerin - anti-tuberculosis vaccine

CADFM Centre d'Appui au Développement de la Fille Mère CAM Comité d’Aide Médicale CAP Consolidated Appeals Process CHAP Common Humanitarian Action Plan CNR Conseil National de la Resistance COSA Health Care Committees CRS Catholic Relief Services

DDR Demobilisation, Disarmament and Reintegration DRC Democratic Republic of Congo DTC Diphthérie/Tétanos/Coqueluch

ECHO European Commission Humanitarian Office EmOC Emergency Obstetric Care

FAO Food and Agriculture Organization FDU Forces Démocratiques Unies FP Family Planning

GPS Global Positioning System GTZ Gesellschaft für Technische Zusammenarbeit

HD Human Development HDI Human Development Indicator HIV/AIDS Human Immuno-Deficiency Virus/Acquired Immuno-Deficiency Syndrome

ICRC International Committee of the Red Cross IDPs Internally Displaced Persons IMF International Monetary Fund INGO International Non-Governmental Organisation km Kilometre KVA Kilo Volt Ampere

MDA Médecins d'Afrique MoH Ministry of Health MPs Members of Parliament MSF-F Médecins san Frontières - France MSF-H Médecins san Frontières - Holland

NFI Non-Food Item NGO Non-Governmental Organisation

OCHA Office for the Coordination of Humanitarian Affairs OHCHR Office of the High Commissioner for Human Rights (UN)

PCT Parti Congolais du Travail PEV Programme élargi de vaccination - Expanded programme of immunisation

REPUBLIC OF CONGO

PMI Protection Materno-Infantile

RH Reproductive Health RoC Republic of Congo RRF Rapid Response Fund

STD Sexually Transmitted Disease STIs Sexually-transmitted Infection

TBA Traditional Birth Attendant

UDA Urban Development Authority UN United Nations UNDP United Nations Development Programme UNESCO United Nations Educational, Scientific, and Cultural Organization UNFPA United Nations Population Fund UNHCR United Nations High Commissioner for Refugees UNICEF United Nations Children's Fund

VCT Voluntary, Counselling and Testing

WFP World Food Programme WHO World Health Organization

Consolidated Appeal Feedback Sheet

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