Improving the welfare and quality of life in the Kyzylorda region through innovative approaches to delivering economic, social and environmental services to the local population, including those most vulnerable ANNUAL PROGRAMME NARRATIVE REPORT REPORTING PERIOD: 1 JANUARY – 31 DECEMBER 2015 Country, Locality(s), Priority Area(s) / Programme Title & Project Number Strategic Results • Programme Title: “Improving the welfare and Country/Region: Kazakhstan, Kyzylorda region quality of life in the Kyzylorda region through Priority area/ strategic results: innovative approaches to delivering economic, social • Diversified economic development through and environmental services to the local population, capacitating local government to plan for diversified including those most vulnerable” and balanced economic growth and for the increase of • Programme Number: the efficiency of state policy and support to the local • MPTF Office Project Reference Number: 00091552 development system and small businesses; • Reduction of inequities and disparities in social well- being and health by capacitating local authorities and civil society in addressing the negative social gradients, increase of employment opportunities; • Formation and application of sustainable development practices in response to current problems caused by climate change, natural and man-made acts, including the energy efficiency issues in housing sector and sustainable eco-management. Participating Organization(s) Implementing Partners UNDP, UNESCO, UNFPA, UNICEF, UN Women, WHO The Ministry of National Economy of the Republic of Kazakhstan and the Akimat of Kyzylorda Region Programme/Project Cost (US$) Programme Duration Total approved budget as per project document: $8,743,999 Overall Duration 30 months Agency Contribution: UNDP($1,500,000); UNICEF ($344,000); WHO ($250,000); UNESCO ($ 87,000); Start Date 22 July 2014 UNFPA ($70,000); UN Women ($40,000)

Government Contribution: $6,769,833 Original End Date 31 December 2016 Other Contributions (donors): Samsung Co ($100,000) Current End date 31 December 2016

TOTAL: $8,843,999 Programme Assessment/Review/Mid-Term Eval. Report Submitted By Assessment/Review o Name: Norimasa Shimomura Yes No o Title: UN Resident Coordinator and UNDP Resident Mid-Term Evaluation Report – Representative in Kazakhstan Yes No o Participating Organization (Lead): UNDP o Email address: [email protected] 0

List of abbreviations

JP – Joint Programme CEDAW – Convention on the Elimination of Discrimination against Women CMC – Community Multimedia Centres IWRM – Integrated Water Resources Management CRM – Climate Risk Management DRR-– Disaster Risk Reduction EVAW – Ending violence against women FOE – Freedom of Expression FOI – Freedom of Information IFAS - International Fund for Saving the Aral Sea ICH - Intangible Cultural Heritage ICTs – Information and Communication Technologies IHD – Intangible Cultural Heritage LED –Light-emitting diode LLP – Limited liability partnership MCO – Multi-Country Office MIL – Media and Information Literacy MOHSD – Ministry of Health and Social Development NCD – non-communicable diseases NGO – Non-government organizations RP – Responsible Party SME – Small and micro enterprises PF – Public fund UNDP – United Nations Development Programme UNESCO – United Nations Educational, Scientific and Cultural Organization UNFPA – United Nations Population Fund UNICEF – United Nations Children's Fund UNV – United Nations Volunteers Programme UNWOMEN – United Nations Entity for Gender Equality and the Empowerment of Women WHO – World Health Organization

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EXECUTIVE SUMMARY

The United Nations Country Team in Kazakhstan in partnership with the Ministry of National Economy of the Republic of Kazakhstan launched the Joint Programme “Improving the welfare and quality of life in the Kyzylorda region through innovative approaches to delivering economic, social and environmental services to the local population, including the most vulnerable” in 2014. This Consolidated Annual Narrative Report on activities implemented under the Joint Programme covers the period from 1 January to 31 December 2015. This report is in fulfilment of the reporting requirements set out in the Standard Administrative Arrangement (SAA) concluded between the Administrative Agent (UNDP MPTF Office) and the Donor. In line with the Memorandum of Understanding (MOU), the Report is consolidated based on information and data submitted by Participating Organizations. The report provides a comprehensive overview of achievements and challenges associated with the Joint Programme, enabling to make strategic decisions and correction measures where required.

This annual report highlights the change that the Joint Programme, through the UN agencies, has achieved in 2015 in addressing some of the major development issues in the region of Kyzylorda that continue to affect the overall well-being people of the region.

The UN agencies working as one front and in close collaboration with the government agencies and civil society partners, finding synergies in and complementing each other’s expertise has resulted in notable changes. More children are enrolled in preschool education and fewer children now live under the subsistence level. There are increased opportunities for patients to voice their concerns over health care, engage with health providers and participate in their own well-being. A significant number of economic opportunities have been created by applying innovative technologies for green energy and economy. Innovative thinking has created new economic opportunities and improved access to information has created novel opportunities to engage and participate in governance, increasing full participation in society for many vulnerable people in Kyzylorda.

Interventions on the higher levels of governance have resulted in greater awareness of policy makers towards the pressing issues on the local level, resulting in increased responsiveness to the needs and concerns of local communities. Higher level interventions have resulted in the revision of the Law on Access to Information, increasing awareness of policy makers on the influence of socio-economic determinants and climate change on health, increasing capacity of local policy decision makers and civil servants to use demographic and other statistic data for development local policies, improving prioritization of protection from domestic violence and implementation of the Law on Protection from Domestic Violence at local level, preparing the ground for integrated social policy and better targeted social assistance for women and children, creating mechanisms for improved housing conditions have created a solid basis for sustainable changes in the local governance with greater inclusion of local population needs and interests into local policies and more active participation of the local communities in decision making.

In the field of environmental management capacities were built both at the governance level for better water resource management and at the service and implementation level for usage of innovative farming methods resulting in water savings, and for monitoring of the impact of economic activities on wetlands. Capacities of high educational institutions were enhanced for teaching in the field of water management, in connection with climate change challenges resulting in change of curricula which adds to the sustainability.

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The cumulative results create a strong basis for the achievement of the objectives and reaching the planned targets, creating solid partnerships and making the changes sustainable as they address all levels of society. The increased awareness of the possibilities to link economic development with environmental protection and respond to climate change challenges will further contribute to new thinking and new opportunities for the people of Kyzilorda.

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I. Purpose

The Programme is targeted to improve the quality of life of the population, and advance progress towards the achievement of the Millennium Development Goals in Kyzylorda region, in particular in the districts affected by the Aral Sea crisis. The programme relies on the priorities of the United Nations Development Assistance Framework (UNDAF) for the Republic of Kazakhstan 2010-2015, as well as on the priorities of key national strategic documents, such as “Kazakhstan – 2050”.

The proposed joint programme will address the following three areas:

1. Diversified economic development of the region through capacitating local government to plan for diversified and balanced economic growth and for the increase of the efficiency of state policy on the formation of the economic growth focal points, support to the local development system and small businesses; 2. Reduction of inequities and disparities in social well-being and health by capacitating local authorities and civil society in addressing the negative social gradients, providing new employment opportunities and ensuring availability and improved access to quality health, justice, education and social services for the vulnerable families, their children and vulnerable population groups; 3. Formation and application of sustainable development practices in response to current problems caused by climate change, natural and man-made acts, including the energy efficiency issues in housing sector and sustainable eco-management.

The Joint Programme has set to achieve the following three objectives:

Objective 1: Local government is capacitated to plan for diversified and balanced economic growth, local self-governance system is in place, support to SME provided. Expected outputs: 1.1 Capacities of local government to plan for diversified economic growth and partnerships with SMEs are enhanced – UNDP, UNESCO and UNV 1.2 Citizen participation in local self-governance and local decision-making are strengthened – UNDP

Objective 2: Disparities in social well-being and health are reduced, employment opportunities are increased, and access to quality health, justice, education and social services for the vulnerable families, their children and vulnerable population groups is improved. Expected outputs: 2.1 Capacities of local government and local service providers to plan, budget, implement, monitor and evaluate programmes aimed at improved social inclusion and reduced social disparities of the vulnerable groups are strengthened – UNICEF, UN Women 2.2 New participatory mechanisms are designed for effective and efficient local level planning, budgeting and management for protection of the most vulnerable groups of society – UNICEF, UNFPA, UNESCO 2.3 Innovative approaches to providing special social services to families, children and youth are introduced in rural areas – UNICEF, UNDP 2.4 Support in formulation of policies for promoting productive employment and poverty reduction – UNDP

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2.5 Advanced regional health policies development, responsive to the needs of the population at the primary health care level – WHO 2.6 Increased awareness of local decision makers on application of “Health in all policies” approach in regional development strategy – WHO

Objective 3: Sustainable development practices in response to the current problems caused by climate change, natural and man-made aspects of development, including energy efficiency in the housing sector and sustainable environmental management are established and used. Expected outputs: 3.1 More extensive knowledge of local communities about the impact of environmental degradation on their well-being is increased – UNICEF, WHO 3.2 Sustainable environmental and disaster risk reduction practices are modelled for its potential wider replication, including energy efficiency in the area of housing and communal services – UNICEF, UNESCO, and UNDP 3.3 Principles of sustainable development are mainstreamed into local government programmes and plans – UNDP

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II. Results

Outcome 1: Diversified economic development of the region through capacitating local government to plan for diversified and balanced economic growth and for the increase of the efficiency of state policy on the formation of the economic growth focal points, support to the local development system and small businesses

The positive effects of the Local Administration and Self Government Law accompanied with other laws for holding democratic reforms and direct population participation in matters of local importance are gradually seen on the local governments in Kazakhstan as appropriate volume of resources for local development. However, there is still limited responsiveness and accountability of state actors towards their communities.

The United Nations Country Team in Kazakhstan has been enhancing the non-state actors’ participation in the local development, and capacitating the local governments in Kyzylorda to involve and realize the potential of the communities in decision-making procedures and in solving local issues, as an utmost importance in achieving the greater goal of more diversified economic development in the region.

The economic performance of the rural areas of the region has been improved in 2015, increasing the number of businesses in rural areas. While official statistics for 2015 is yet to be published, the data on the third quarter of 2015 show the drop in the number of population living below the minimum subsistence level by 0.5 % compared to the same period of 2014, and by 0.8 % from 2013. The number of unemployed has dropped by 500 people, from 16.4 thousand in 2014 to 15.9 thousand in the 4th quarter of 2015.

Agencies working towards these developments are UNDP, UNESCO and UNV.

Output 1.1. Capacities of local government to plan for diversified economic growth and partnerships with SMEs are enhanced.

Various projects have been launched in close cooperation with local authorities to test novel approaches to find alternative solutions to local problems by involving and developing small businesses and to create new income-earning opportunities which would in turn contribute to the overall economic growth and diversification in the region. Agencies have worked towards utilizing the existing skills and opportunities in Kyzylorda, and provided training to develop new skills that have been utilized in developing businesses.

UNDP and UNESCO in cooperation with Regional Entrepreneurship and Tourism Division is realizing the potential of artisans in the region, and have collected an extensive list of all craftsmen for future capacity building activities. In 2015 local felt makers were offered skill development and training to enhance their marketability and gained opportunities to gain visibility on their skill and products at an art exhibition1 at Kyzylorda city and in Taraz city at a UNDP also took the local artisans outside of the region, to Taraz for training. Simirlarly,

1 Exhibition was organized by the Kyzylorda Oblast Entrepreneurship and Tourism Department together with the "Karlygash" Union of artisans.

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UNESCO held a workshop for the development of craft potential2 resulting in new economic opportunities and engagement for local people, specifically women, in a craft production. The inventory of the intangible cultural heritage, which is rich in Kyzylorda, has been promoted by UNESCO for programmatic interventions in 2016. Potential economic activity is embedded also in activities addressing the conservation of the bio-diversity of the Aral Sea basin in alternative fishing and hunting activities.

Kyzylorda has large but little utilised potential for tourism. UNDP in cooperation with a civil society partner supported an initiative focused on eco-tourism development and green agriculture in rural areas by providing interest-free loans to fourteen rural small and micro-businesses which are ecologically ethical and/or involved in eco-tourism development. The scheme has created 17 jobs (including 11 women employed), and will continue to benefit the Figure 1: Artisans at skill development communities in 2016 when return loans will be t ii invested back into new rural projects. UNESCO has discussed potential of establishing cultural routes in Kyzylorda as a way of developing tourism to benefit development of small businesses.College and university students were involved in promoting the region’s tourist potential through UNDP innovative competition which led to a further event called "Academy of Green Technology and Innovations" in which students were acquainted with innovative technologies that that can be applied at rural settings.

Innovative technologies were tested on a project site, along the route of the corridor Western Europe - Western China", for the benefit of local businesses, in the form of energy efficient LED street lights and solar panel powered hot water supplies. The initiative was launched by UNDP in close cooperation with the Regional Akimat. Businesses benefitting from the cost- saving opportunities will in turn ensure free social services for identified vulnerable population groups and provide job opportunities for people with disabilities in 2016. Utilising UNDP’s small grants, new printing-related business was established in Zhalagash, providing livelihoods for three local residents with disabilities. Another inclusive project in Arana provided training in industrial sewing for a dozen women with a goal of establishing a factory for school uniform production.

Supporting small and micro entepreneurs, UNDP together with Regional Business Support Centres of the National Chamber of Entrepreneurs, has expanded the network of online centers housed in local libraries from five to ten, providing citizens not only free access to the internet and e-governmentservices but also consultation on business development opportunities and support3. As a part of the same initiative, UNESCO trained librarians and local Figure 2 Community Media Centre media in disseminating relevant information issued by local governments, creating a channel for participatory decision-making and enhancing local people’s access to relevant information.

2 “Strengthening potential of the crafts sector of Aral Sea Area of Kazakhstan” by UNESCO Almaty Cluster Office, the International Fund for Saving the Aral Sea (IFAS), Union of Artisans of Kazakhstan, Kyzylorda Oblast Administration and Entrepreneurship and Tourism Department. 3 10 online centers in Akkum, Madeniet, Enbekshi, Sulutobe, Shizhaga, Kambash, Zhalantos, Orkendeu, Inkardarya, Akzharma villages of Kyzylorda region. 7

Enhancing capacities of the local people and utilizing the existing skills and opportunities in the region are proving to positively add to the economic development. However, the interventions so far have shown that not all realized opportunities will be able to be utilized within this Joint Programme and the challenge will be to find sufficient funding for these types of initiatives beyond the completion of it.

Output 1.2. Development of local self-government and improving local capacity for decision-making.

The capacity building of rural akims on local self-governance have resulted in benefitting both the rural administration and community. One of the major bottle necks has been cash control accounts which previously were not effectively utilised due to a lack of know-how. Less than 15 % of rural akimats used them after their introduction in 2015, not being able to contribute to the development of the rural districts.

UNDP held a major seminar-workshop in 2015 with the Ministry of National Economy and Akimat of Kyzylorda oblast on financial and development issues concerning local self- governance for nearly 140 akims. The issue that attracted most attention was the opening, maintaining, closing and forming a profitable part of the control cash accounts of local self- government. High on the agenda was also the review conducted on mechanisms ensuring people’s participation in local governance. Since the seminar, administrative procedures have become fully operational in all 137 rural akimats.

A number of trainings and seminars have been held for local governments and NGOs on local development and activation and participation of communities in local governance in all seven districts of Kyzylorda, in order to enforce the positive continuation of developments in local governance matters.

Fig. 3 Training on local self-government development Additionally, a Kazakhstani delegation consisting of the representatives of the Ministry of National Economy of Kazakhstan, rural and regional akimats of East Kazakhstan, Kyzylorda and Mangystau oblasts were provided an extensive study tour to Poland and Czech Republic to familiarize themselves with the Eastern European experiences of local self-government development, the legislation and practice of local self- government, rural development and third sector involvement in community development.

On a more hands on level, pilot projects were launched in three districts of Kyzylorda to enhance the skills of local governments to support projects initiated by local citizens as solutions to local problems. These activities brought following results: greenhouses with energy-efficient and water- saving technologies were built to ensure practical skill development as well as providing vitamin-strong nutrition to school children (an initiative that Fig. 4 Erecting energy will be replicated elsewhere in 2016), safety and comfortability of two efficient lighting rural towns were increased with lighting up main streets with energy- saving LED technology, ensuring 70% savings on budgeted public funds on street lighting, a steam power boiler providing heat for a community house, extending the usage of the premises

8 for all year round, and a children’s playground was built in a densely populated neighbourhood to add to the well-being of the community.

Objective 2. Disparities in social well-being and health are reduced, employment opportunities are increased, access to quality health, justice, education and social services for the vulnerable families, their children and vulnerable population groups is improved Socioeconomic inequality remains high in Kyzylorda region, notably in rural areas. Increasing the welfare of the vulnerable population, specifically children, unemployed youth, people with disabilities, unemployed and rural population remains one of the main priorities for the development of the oblast in order to combat the disparities within Kyzylorda and with other regions of Kazakhstan.

The UNCT has engaged with all levels from policy to service delivery by capacitating local governments and service providers to enhance their programmatic cycles to better address the issues of inequality. Continuous efforts have been made to create more participatory mechanisms to improve social inclusion and to reduce social disparities at all levels of the service provisions, especially targeting vulnerable families with children and youth as well as people with disabilities.

The coalition of agencies involved in these efforts includes UNICEF, UN Women, UNESCO, UNFPA, UNDP and WHO.

Output 2.1. Capacities of local government and local service providers to plan, budget, implement, monitor and evaluate programmes aimed at improved social inclusion and reduced social disparities of the vulnerable groups are strengthened.

Under this output of capacitating local governments and local service providers to design and implement programmes to improve social inclusion, special focus has been paid on children’s and women’s rights. Kyzylorda is in the fourth place in the country regarding the number of children living in poor and socially vulnerable families and an alarming number of children live without parental care, have disabilities, live in residential institutions and face domestic violence.

Against this backdrop UNICEF has been focusing on improving the living conditions of children in cities by establishing an initiative called Child Friendly City (CFC) in Kyzylorda. In cooperation with the local Akimat a CFC board was established, including representatives from social services, education and health sector, city prosecutor's office and police department. High school students have been mobilized to monitor the implementation of the CFC work plan. As a result of this multi-sectoral mechanism Kyzylorda city was awarded the title of “child friendly city” and noted for the significant results achieved in the area of promotion of children's rights, including the increase in the coverage by preschool education, inclusive education, reduction in the number of children living below the subsistence minimum, and increasing the participation of children in the city life.

Similarly, a child well-being monitoring system in Kyzylorda oblast has been planned and designed in close collaboration with local authorities. Partners have been trained to operate the monitoring system which will be fully launched in 2016. Local media, all in all 30 journalists, have been trained in reporting and highlighting child rights situation in an ethical manner.

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Awareness of gender violence and building capacity of the society was achieved through close collaboration of UN Women with local partners. Placing of methodological materials on “Realization of judicial and court control on prevention of domestic violence and the Practicum on prevention of domestic violence as well as materials for training prosecution and Ministry of Interior have been placed on the web portal of the Crisis Centre “Kamkorlik” ensuring availability of these materials to the general public and professionals. Ensuring wide availability of these materials in Kazakh and Russian languages have empowered local authorities to issue more calls for social projects for provision of support to victims of domestic violence, thus effectively enhancing the number of beneficiaries.

A major campaign to increase awareness of domestic violence “16 days without violence” covered the entire Region, and targeted policy level, service providers and political entities. The wide campaign brought the issues related to Kazakhstan Law on Prevention of Domestic Violence and issues related to gender equity close to practically every resident of Kyzylorda. A total of 4 workshops, 2 flash-mobs, 2 round tables, 2 platforms for discussion on gender violence in the community, were organized. More than 100 hours of actual legal and social assistance to victims of domestic violence was provided including protection to 26 persons victims of domestic violence.

Fig 5. Leaflet on implementation of Law on Prevention of Domestic Violence; Fig 6. Awareness raising on domestic violence prevention Fig 7. “Sixteen days without violence” campaign

Also the actual quality of state service provision was increased through development of the package of special standards of social services for victims of gender violence which was accepted by the Ministry of Health and Social Development. The participation of the local NGO Kamkorlik in the working group for adoption of the standards at the central level has further strengthened the role, participation and capacities of the civil society in protection from gender violence.

Output 2.2. New participatory mechanisms are designed for effective and efficient local level planning, budgeting and management for protection of the most vulnerable groups of society.

In order to benefit families with children and other population groups in a vulnerable position, UNCT has engaged in efforts to improve social protection measures through targeted social assistance programmes and develop mechanisms of integrated case management.

UNICEF conducted a comparative study which shows that the social protection system in Kazakhstan is complex and centralized and local authorities have limited regulatory authority. The level of locally initiated social protection is limited. Yet, the application process requirements applied by local administrators play a significant role in ensuring access to social

10 protection programs for local population. Based on the findings of the study, recommendations for improvement were presented to the oblast Akimat. The Employment coordination and social programs department proposed to start a pilot program in Kyzylorda oblast in 2016, introducing integrated social protection mechanisms with case management and establishing a community centre to work with applicants of social assistance. In lieu of this UNICEF organized a study tour for a Kazakhstani delegation to Armenia to learn from examples of successful social assistance model.

In an effort to modernize the current family support and child care system in Kyzylorda region, a road map was developed for a pilot programme focusing on preventing placement of children from 0 to 3 and children with disabilities into residential care, as well as on developing orphanages into modern centres of social services.

With a focus on children in contact with the law, whether alleged offenders, victims or witnesses of crime, the Justice for Children programme was established to promote child protection, care and reintegration into the society.

A pilot centre was opened in Kyzylorda city with an objective of rehabilitating and reintegrating children in conflict with the law without resorting to imprisonment. Additionally, with a purpose to create child friendly environments in justice institutions, the juvenile police station, juvenile court and internal affairs department’s premises in Kyzylorda were equipped with child friendly rooms with the support of UNICEF. A major seminar was held to strengthen the capacities of specialists in child protection and justice for children. Plans were discussed to establish a methodical council for training specialists in child rights protection. A study tour to Germany was organized for a Kazakhstani delegation (including representatives from the education and child protection sectors, law enforcement bodies, the police, the court, and relevant NGOs) to gather examples of organizational structure and tasks of the police in field of juvenile delinquency.

UNFPA built capacities of youth NGOs on project management, opened two Y-Peer resource centres to provide training and meeting spaces for the youth, and conducted a number of public events to raise awareness and attract new volunteers to engage themselves in Y-Peer. Support was provided for three Y-Peer activists to participate in an international training on trainers on leadership and communication skills. Several trainings were conducted on sexual and reproductive health (SRH) and healthy life styles. UNFPA built capacities of local government specialists in socio-economic planning and monitoring of regional development programs with special focus on vulnerable population groups, and trained civil servants on population and development interlinkages and

Fig. 8 / Music festival format has become an integration of demographic data in the socio-economic effective tool in introducing Y-Peer network to planning and monitoring of development programs. Kyzylorda region Similarly, the capacities of 30 social-sector regional stakeholders were strengthened in formulating and implementing rights -based policies that integrate evidence on population dynamics into sustainable development. It became evident in the trainings that SRH and GBV issues were of great interest to the participants, as well as highly unfamiliar, requiring further future attention.

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UNESCO on its part has strenghtened access to human rights by improving the legislation on access to information. The Draft Law on Access to Information was peer reviewed and evaluated. Information professionals have been trained in media compliance and professional ethics, creating greater confidence for them to fulfil their duties as mass media representatives operating in an ethical and independent manner. Librarians from rural Kyzylorda were trained to serve their communities through mastering community multimedia principles and mobile ICTs, and in aiding citizens to seek, create and distribute information, thus giving them greater cpacities to approach their local governments and participate in decision making processes. Training material for use of teachers was developed to tackle illiteracy as well as enhancing media and information literacy. UNESCO developed a mobile application directed at specifically rural women and girls, providing tools to strengthen their digital literacy skills for participation in UNESCO’s global campaigns.

Output 2.3 Innovative approaches to providing special social services to families, children and youth are introduced in rural areas

Combining their forces the UN agencies have combated the disparities in social well-being by addressing a number of social and health issues with a holistic view that beneficiaries, mainly rural families, children and youth, are in a vulnerable position often due to issues in more fronts than just one. Innovative approaches that reach people not only in institutional settings, but also involving the third sector and civil society in this scope of work, has widened the access to social services to many in Kyzylorda region.

The third sector plays a vital role in the creation of an inclusive society by implementing projects aimed at changing behaviour or solving concrete problems for disadvantaged groups, for example in mitigating social problems, improving quality of life for vulnerable groups and in providing support for people in social adaptation. For example, NGOs were involved in providing physical accessibility to communal spaces for people with disabilities, creating access to information through strengthening computer and internet literacy for youth and young people with disabilities, supporting victims of domestic violence by the establishing a crises centre, coordinating public monitoring of housing and communal issues, and providing services to strengthen other NGOs in their work for vulnerable people, for example sharing knowledge on effective community development, effective M&E practices and know-how on impact analysis.

UNDP, UNICEF, UNFPA and UNWOMEN synergized activities in building capacities of social care workers, equipping them with new methodologies and communication strategies. UNDP specifically addressed the burn out syndrome and organized the II Forum of Social Workers (November 2015) to provide a platform for exchange of good practices, and discussion on common challenges. This and other UNDP events commemorating the ratification of the UN Convention on the Rights of People with Disabilities by Kazakhstan in 2015 promoted the use of Almaty experience for improving physical access for PWD to social care and other public institutions, which resulted in study tours. In turn, as the outcome of the study tours each district Akimat was tasked by the regional division of social protection to ensure “accessibility” of at least one social object. UNDP project ensuring accessibility of the House of Social Institutions in Kyzylorda serves as a model and source of information for the rural akimats’ workers).

Capacity building of civil society organization was also a key method for achieving stronger participation of the population, and all participating UN agencies provided various trainings to local NGOs. For example: UNDP provided a three-staged training on project management, for the civil sector in Kyzilorda, again using available national expertise. The stages of training

12 included practical work and development of a specific project component. Successful completion of a stage was the condition for continuation to the next stage of training. Feedback received from participating NGOs stressed the usefulness of the skills acquired for effective work on community development, preparing project proposals for “calls for social projects” annually published by various ministries and akimats, and monitoring and evaluation the results and measuring impact.4.

The huge potential of volunteers in tackling social sector issues was concretized in mobilizing volunteers in assisting people with disabilities in psychological rehabilitation and socialization through various rehabilitation activities. The importance of volunteers was underlined in a special programme on the International Volunteers Day during which the Department of Internal Policy presented evidence of the necessity to strengthen the involvement of volunteerism and NGOs in the region’s development plans

Focusing on the issues of youth, UN agencies capacitated youth specialists working on the local governance level in needs assessment and using educational methodologies in programme design as well as tapping into volunteer resources by involving young people with vulnerabilities in programmatic work. Policy designers were given inspiration and understanding through examples of successful cross-governance policy design and practice on a study tour to Great Britain. In suicide prevention local authorities were supported by UNICEF to implement a suicide prevention programme which trained a large number of health practitioners in identifying youth at risk and to develop mechanisms to interact with parents of children in risk group.

A Social Good Summit took place in Kyzylorda on September 28 – an open event dedicated to exploring how new technologies affect the development processes in Kazakhstan to contribute to the theme of 2015 – “2030 NOW New targets. New approaches. New technologies. What did you do for the development of the country and how new technologies help the community to participate in the development process? The event brought together national partners, innovators of Kyzylorda region, the inventors from NIS, NGO representatives, and journalists who shared new ideas and thoughts about the growing role of new technologies in sustainable development. United Nations Volunteers (UNV) took an active part in the preparation of the event. The participants of the forum eventually formed a group which is now known as Volunteers of Kyzylorda and regularly organize various social events contributing to the social development of the whole region.

4 For more information, please visit: https://www.youtube.com/watch?v=MGoOgzlzsDU, http://sport.e-kyzylorda.gov.kz/?q=ru/news/ii-forum-rabotnikov-sistemy-socialnoy-zashchity, https://www.facebook.com/photo.php?fbid=701409013328263&set=a.106793286123175.6994.100003 775120377&type=3&theater, https://www.facebook.com/UNJPKZO/videos/vb.689002487885903/856638287788988/?type=2&theat er https://www.facebook.com/UNJPKZO/photos/pcb.851055278347289/851049621681 188/?type=3&theater, https://www.facebook.com/photo.php?fbid=444821309035534&set=pcb.4448225657 02075&type=3&theater.

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Training social sector employees with sign language training has resulted in people with hearing impairments with greater access to meaningful social services.

In the area of perinatal care, a peer-to-peer approach and WHO methodology was used by UNICEF to assess the quality of perinatal care, resulting in specific recommendations for improving the system, in order to tackle the alarming figures of maternal mortality in Kyzylorda being 15.8 per 100,000 live Fig. 9 Social Good Summit births (in comparison to the 12.5 country average) and infant mortality rate of 16.7 per 1000 live birth (versus the country average of 13.6)5. An assessment of the quality of pediatric care similarly resulted in regional health department adopting regulations for strengthening the internal audit of medical institutions in Kyzylorda.

A progressive patronage nursing pilot model will be launched in 2016 with the aim to further reduce morbidity and deaths of children under 5, from causes that are preventable, having in mind that according to official statistics, these data are in Kyzylorda considerably higher than in the rest of the country6.

Output 2.4. Support in formulation of policies for promoting productive employment and poverty reduction.

A thorough study of the labour market potential of Kyzylorda was finalized by UNDP in 2015. The research revealed large proportion of the youth of NEET7 category and rural unemployed women as well as high potential of people with disabilities at a labour market, since the region has a large share of those with higher education. Recommendations were included in the agenda of the RT chaired by the Akim of the region on the middle class in Kyzylorda that took place in October. The issues raised by the study were partially addressed by organizing short vocational trainings in partnership with educational institutions were conducted for unemployed people between ages 18-45, resulting in several participants being employed after skill development. In addition, 2 representatives of Head-hunters, a successful online recruitment company, provided tips for the Regional and district employment centres on the Internet job search.

Output 2.5. Advanced regional health policies development, responsive to the needs of the population at the primary health care level.

In Kyzylorda, the remote areas in far distances from service providers and the harsh environmental conditions pose challenges for health at policy and service level as well as for the population. Additionally, the circumstances that that lie beyond the mandate of the health sector and service providers cause ill health, e.g. the natural and man-made disasters.

5 2012 data (to be updated). Official Ministry of Health data 2013. 6 The under-5 child mortality rate in Kyzylorda was 20.7 per 1000 live births to the country average of 15.8. 2012 data (to be updated). Official Ministry of Health data 2013. 7 Not in education, employment or training. 14

Empowering patients, creating resilient communities and enabling social environment for healthy behaviours, and empowering people to take responsibility for their own health requires engagement of the three levels of society - governance, service providers, and population - in aiming regional policies and governance mechanisms to better respond to the specific needs of the region’s population. WHO engaged in enhancing the responsiveness of the health care sector on all of these levels, contributing to reducing social disparities in both health and social sectors which are complimentary to each other.

Creating a baseline to enable targeted prevention and monitoring of progress of health related programmes was a result of an assessments carried out by WHO. The population level health behaviours (e.g. child obesity – reviewed through the Child Obesity Surveillance Initiative carried out in the oblast, the Global Youth Tobacco Survey, Behaviour of School Health Children) were carried out on representative samples in Kyzilorda covering children aged 8 and 9 years (obesity), 11, 13 and 15 age, (behaviours including social adaptation and risky healthy lifestyles), and provide to WHO and health authorities the possibility to predict what will be the burden of diseases in the future (adults) but also what interventions can be immediately undertaken to change the current burden of ill health on children, and to prevent the future epidemic of non-communicable diseases. The results of the surveys also further contribute to UNICEF and UNFPA child and youth programmes, in particular the suicide prevention initiative and the improvement of sexual and reproductive health.

At the health service level, WHO assessed the capacities of health service providers communicating to their patients and engaging population in behaviours that will contribute to improved health, prevent further disease and contribute to rehabilitation. An assessment found major systemic barriers of access for health providers. Trainings in managerial capacities, financial and HR planning, and in organizational level monitoring were conducted to tackle these barriers. Similarly, a review of governance level identified several bottlenecks in service provision. Recommendations were developed for betterment of services and a pilot initiative for strengthening managerial capacities and putting in place quality improvement mechanisms at primary health care facilities was carried out. The package, guide book for managers will be finalized and implemented in 2016.

The role of the primary health care services, which is in the first hand contact with beneficiaries, has a central role in addressing the key health needs of the population. Against this view, WHO developed a package of services to enhance the responsiveness of primary health care for sustainable and equitable health outcomes. Interventions will focus on increasing patient’s role for improved health and resilient communities, on establishing quality improvement mechanisms for more efficient health service environments by empowering health providers, and on increasing responsiveness and tailored solutions by capacitating health facility managers. Capacitating and empowering policymakers to base their decisions of resource allocation on evidence from the ground and keeping it responsive to the real needs of the population, is a prerequisite for all of the above interventions. The capacity gaps and challenges have been assessed during the programmatic year, serving as a basis for the action plan in 2016.

In 2015 rapid assessments for managerial practices in primary health care facilities were conducted for improved financial and operational planning, as well as a series of technical missions and trainings on appliance in national protocols for key diseases. Special attention was paid on reviewing the tuberculosis services at all institutional levels, with specific focus on government mechanisms that influence service delivery and access to services in Kyzylorda. The review revealed some major structural support needs which will be addressed through a

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complex socio-medical approach, including issues of child protection and child rights related to long-term hospitalization in TB sanatoria of children who were in contact with family members with TB. In addition, the current move of TB treatment to a short hospital stay (up to 2 months) and prolonged treatment at ambulatory level requires adequate preparations both in terms of structures, organization of patient flow in primary health care, but also strengthening competencies of health workers (doctors, nurses and chemists) at primary health care, to delivery services for TB and to be in close contact and coordinate work with the TB specialists in hospitals.

In partnership with UNFPA, WHO conducted also an extensive assessment on the quality of ante-natal and post-natal care in Kyzylorda, serving as a basis for capacitating central and local level health teams in internationally developed methodology for monitoring progress of given technical recommendations1.

Fig. 10 Assessment of quality of care in Primary Health Care

Output 2.6. Increased awareness of local decision makers on application of “Health in all policies” approach in regional development strategy

Health is at times mistakenly perceived as a stand- alone issue and yet it is of utmost importance that it is considered not only a medical but also as a social issue. When assessing barriers and opportunities for overall human development, health is deeply connected with many, if not all, socio-economic issues that affect the lives of people. Thus it has been a major focus of WHO to increase awareness of local decision makers to apply health in policies across the board and to improve cooperation between government and non- government sectors in creating positive development results through addressing health across all sectors. Figure 11. Training on quality of health care services

The basis for this is the WHO European Policy Framework “Health 2020” which has been adopted by Kazakhstan and its principles of addressing inequalities, creating resilient communities and ensuring multi-sectoral collaboration for health are embedded also in the State Health Programme and other strategic documents.

A joint research team has been created to carry out a situation analysis on the issue of applying health in policies. The team will prepare policy, strategic and operational advice to local authorities and the WHO, draft an action plan for specific population groups and finally build capacity for analytical work that will further monitor the effects of interventions within and outside the core health sector on particular population groups (infants, women in reproductive age, men aged 30-60).

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WHO has been preparing to increase the capacities of decision makers in all sectors to develop policies to prevent trauma and ensure safe environment for children. In collaboration with various government departments and NGOs including parent association road traffic safety measures as well as a multi-sectoral initiative has been discussed and planned for at a round table held with two pilot oblasts (Kyzilorda and Mangistau), ministries and WHO. Trauma due to violence and injuries is the leading cause of death for under-18 children after infancy period, and is a specific health related issue that can effectively be addressed only through multi- sectoral approach. A package of training modules for policy and decision makers “VIP- TEACH” has been prepared by WHO, translated into Russian and will be used at all levels, down to the rayon level for sensitizing the key stakeholders and bring them around the table when preparing local operational plans to improve safety of children.

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Outcome 3: Sustainable development practices in response to the current problems caused by climate change, natural and man-made aspects of development, including energy efficiency in the housing sector and sustainable environmental management are established and used

Ecology and environment issues are among the most relevant to Kyzylorda region. The Aral Sea disaster and ecological crises in the region continues to affect the health, the economies, livelihoods and the environment. The UNCT have tackled a variety of issues ranging from fresh water and livelihoods dependent on land and water to electricity efficiency and disaster risk reduction with the overall goal of establishing sustainable development practices that address the ecological problems in Kyzylorda. It has been seen of utmost importance that environmental problems are addressed both in public and governance level, and that the local population are the main drivers of change with adequate support from local and national governments.

Agencies involved in these efforts are UNICEF, WHO, UNESCO and UNDP

Output 3.1. Knowledge of local communities about the impact of environmental degradation on their well-being is increased.

By an initiative of WHO, discussions and trainings have been conducted for policy makers in different sectors on effects on climate change on health of the population, resulting in a development of a plan which addresses the key problems posed on health by climate change and create response mechanisms and early warning systems, with a specific focus on Kyzylorda region.

Additionally, UNDP has built capacities of housing cooperatives for better transparency and higher efficiency of Cooperatives of apartment owners (CAO) and intensified their work in the creation of concrete steps in improving the condition of apartment buildings. It also led to the creation of Association of apartment owners.

a) b) Figure 12:. Thermal-imaging and visual recording of the heating pipes in school #11 (a) before and (b) after "flushing" the heaters

Local school #118 became an effective platform for testing and demonstrating energy efficient technologies, such as solar boilers, automated heating systems, energy efficient lighting and water taps that provide more favourable conditions and applied knowledge platform for the children. In order to implement some of the advanced utility technologies an improvement of

8 Energy efficient lightning was also provided in schools 173 and 198 18 the whole heating system was conducted and even an indoor toilet for elementary schoolchildren was constructed.

Enabling learning of local specialists and decision makers on examples of energy saving models and modernized central heating systems in other parts of Kazakhstan (study tour of local specialists from Astana-Teplotranzit JCS to UNDP Astana project sites and Astana- Teplotranzit) , contributed to the Akimat’s decision to proceed with complex modernization of the city central heating system with capital investments from EBRD. Establishment of 66 automatically dispatching points based on the example of UNDP pilot projects is planned for 2016 within EBRD’s project. There is a plan to upgrade some 250 individual heating points. These should ensure 15-20% savings on heat energy consumption, reduction of CO2 emissions by about 14 000 tons per year. To support capacity building for this ambitious initiative UNDP trained 16 energy specialists from Heating Networks LLP on dispatching and automation of heat consumption.

In the agro-sector, 42 hectares of abandoned land have been rehabilitated through innovative agro technologies - a process which has additionally created 22 new seasonal jobs in 2015. In cooperation with Rice Institute farmers of Kyzylorda have access to real-time farming-focused weather and climate information. Integrated fish breeding techniques have been tested at a selected pilot farm resulting in potential breeding and selling up to 1,000 tons of commercial fish in 3-4 years.

Output 3.2. Sustainable environmental and disaster risk reduction practices are modelled for its potential wider replication.

Deficit of fresh water as well as deficit of energy remains major problems of the region, affecting the environment and the social aspects of human life. Several models have been created and tested to address these two issues.

UNESCO has piloted a study course on Climate Risk Management (CRM) for the universities of Kyzylorda region. The course was subjected to discussion and recommendations for further improvement by relevant academic professionals, and will be further developed and mainstreamed into the Kyzylorda State University curriculum for 2016-17, for the benefit of teachers and young specialists in water resource management addressing the challenges of climate change in Kyzylorda. A training for university teachers in Integrated Water Resource Management (IWRM), focusing on technical water resource issues as well as state policy and legislation was organized with participation of experts in Kyzylorda region, contributing to a better understanding of the main causes of the growing water scarcity in Central Asia region, as well as of the impact of climate change on water resources and approaches in tackling the issues.

In collaboration with the Executive Board of International Fund for saving the Aral Sea (IFAS EB) a field monitoring mission, coordinated by UNESCO, for a team consisting of diverse expertise was conducted to Syr Darya River delta to study and monitor the unique Fig. 13: Field studies in the North Aral Sea wetlands formation process, considering information on pollution, sedimentation, erosion and flooding. The field studies have contributed to a better

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understanding of wetland formation process, which enables local authorities for better informed economic activity promotion in the Aral Sea disaster affected area, as well as for monitoring the effects of it on the surrounding natural environment.

UNESCO has also promoted for the inclusion of Barsakelmes State Nature Reserve in the UNESCO World Network of Biosphere Reserves. It is expected that the project will make a significant contribution to the conservation of biological diversity and economic development through a partnership between people and nature in the Aral Sea region. The introduced functional zoning of the reserve will enhance linkages between the restoration process of the northern part of the Aral Sea and the improvement of socio-economic and environmental Fig. 14: Instalation of gabilons conditions of the region, thus creating a basis for ensuring regulations for sustainable use of resources and development. Additionally, an informative brochure and an android application was developed and disseminated to the local communities to enhance knowledge of local population about biodiversity, conservation and risks associated with the Aral Sea disaster.

UNDP, through several innovative pilot programmes, improved energy efficiency of private and public housing as well as supported several initiatives to modernize heating and electricity usage systems, aiding both the general public and public entities in saving energy, at the same time contributing to significantly reduced CO2 emissions.

In the area of disaster risk reduction, UNICEF supported educational institutions in Kyzylorda to implement risk reduction measures in education programmes. UNDP purchased easy-and- quick-to-use gabion frames for the Emergency Situation Department in the Kyzylorda oblast and trained a number of emergency staff in their usage in case of a natural disaster.

In the area of agriculture, UNDP piloted activities increasing yield of common crops for the benefit of farmers learning to apply water saving technologies. The activity was accompanied by trainings in integrated water resource management and hydro- climatic risks. New approaches in transhumance and fodder production by using green technologies were introduced to the benefit of farmers at a pilot farm in Syr-Darya.

Fig. 15: Water saving technologies from Trainings on sustainable fishery practices and Turkmenistan technologies were conducted for the benefit of developing aquaculture in Kyzylorda region. Similarly, fish breeding techniques have been tested at a pilot farm. The techniques consist in joint breeding of fish and rice at specially adapted paddy fields allowing integrated and optimal use of land and water resources. New technologies have also been developed and tested on restoration of abandoned lands, and farmers in Kyzylorda region were presented with alternative irrigation methods in planting vegetables.

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Decertification and salinization of land are major environmental problems in Kyzylorda. In view of this, as a form of South-South cooperation, UNDP organized a study tour to Turkmenistan for the natural resource management for decision-makers, allowing the participants to learn advanced practices in sustainable land resource management.

Output 3.3. Principles of sustainable development are mainstreamed into local government programmes and plans

Additionally to enhancing local population’s awareness and preparedness to tackle environmental challenges as well as modelling risk reduction and sustainable development practices, it is of high importance that the same issues are equally addressed at the policy level.

With assistance from UNDP, an expert working group has prepared recommendations for sustainable development of the Kyzylorda region’s agricultural sector for 2015-2020, based on the green agriculture principles. The principles were included into the Regional Development Program of Kyzylorda Region’s Agro-industrial Complex till 2020, and include agricultural production diversification indicators based on the scientifically proven innovative resource- saving approaches. Implementation of new approaches in agriculture of Kyzylorda region will help to reduce the single crop areas by replacing them with less moisture-loving crops, saving up to 300 million cubic meters of irrigation water, produce up to 350 thousand tons of fodder units, and create new jobs and increase household incomes by more than 30%.

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Annex 1 Specific story 1: WHO and UNFPA joining forces for better ante-natal and post-natal care in Kyzylorda

From 25 – 30 April2015, WHO in partnership with UNFPA carried out Assessment of the quality of ante-natal and post-natal care in Kyzilorda, linking it with the assessment in Mangistau oblast, and using the international WHO methodology applied in several countries of the WHO European Region, making the results contribute to a national assessment of quality of care for maternal and child health, and enabling the results to be compared with other facilities and countries. The assessment was used for capacity building of the central and local teams, which learnt how to use and adapt the internationally developed methodology, as an instrument for monitoring progress after the technical recommendations are given.

The assessment was carried out in a confidential way, with two main purposes; to help the selected pilot facilities to identify problems that need and can be immediately solved, to provide the Oblast Health Department and the Ministry of Health with clear identification of gaps, capacities, and recommendations what and how needs to be changed. In each of the health facilities reviewed, at urban and rural level, the local teams were extensively involved in the assessment covering all levels, from policy and protocol implementation, through application of basic principles of hygiene and universal infection precaution measures, to availability and use of appropriate medicines and procedures. In particular the assessment included both quality of health services provided measured against international indicators and patient experiences in contact with health services. The result was the development of a plan of improvement at the concrete facilities, and initiation of development of a plan for an oblast wide and nation-wide plan for assessment of quality of ante-natal and post-natal services, with development of specific education plan for on the job training of midwives, general practitioners, paediatricians and gynaecologists obstetricians and with recommendations for increased performance and efficiency to be provided to the policy level. The main findings were presented to each facility, and a concrete local plan of improvement was developed. At the end of both missions, presentation of the overall strong and weak sides of the MCH care at primary level were presented to the Ministry of Health, with a recommendation for specific follow up.

Fig. 15. Assessment of PHC antenatal & postnatal care - Kyzilorda: WHO team, UNFPA, national experts, Kyzilorda health professionals: Analysis of findings and development of improvement plans

Challenges: While the specific facilities included in the pilot included the recommendations into their quality improvement plans, the intervention at the central level didn’t follow in 2015 due to changes in the Department of Health services in the Ministry of Health and Social Development (MOHSD), and in the Oblast Health Department. In order to address this situation WHO provided the report with specific recommendations to the new team in the MOHSD and to the Oblast Health Department. The plan is to support oblast-wide assessment of quality of ante-natal and post-natal care in every facility, through use of the national team of experts (10 trained experienced experts) and in collaboration with UNICEF and UNFPA to ensure that identified problems are addressed in the entire Oblast.

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How to address the challenge: The key area which revealed weaknesses: communication for health, of health providers, and management of health expectations will be provided as an oblast level training by WHO in June 2016 for representatives of all primary health care facilities. In addition WHO is seeking to identify a national institution that could establish a long-term partnership with recommended international institutions, in order to use this specific curriculum and skills developed as a result of the Kyzilorda and Mangistau projects for wider trainings of the health professionals in Kazakhstan and use it for development of specific curricula at all levels of medical education.

From the Report on Quality of Ante-natal and Post-natal Care: Findings: Knowledge of providers: “National obstetrical protocols were developed and approved by MOHSD, but many health care providers at PHC level are not familiar with them”

Interviews with pregnant women and mothers: (34 women present in PHC were interviewed): Fig. 16. Reporting to MOHSD findings of assessment of quality of care for new-borns and mothers “I have the phone number of my doctor at primary health care; 30 April 2015, MOHSD Astana and nurse, before being discharged from the maternity hospital I called to my doctor, and afterwards they visited me at my home, checked up my newborn baby and me”

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Specific story 2: UNDP implements water saving technologies yielding higher incomes for farmers

Problem / Challenge faced: The Kyzylorda region has always been Kazakhstan’s biggest rice producer and main supplier of rice to the Central Asian region. The whole Kyzylorda’s economy is reliant on this sector. Rice is widely grown here due to favorable soil and climatic conditions and irrigation opportunities of the Syrdarya river. This crop cannot grow in arid areas unless the field is properly irrigated which lead to Fig. 17 Field visit to the Rice institute fields where irrigation of 90 percent of the land in the region. water saving technologies for rice growing were Inappropriate farming practices, drought and arid piloted climate with low precipitation throughout the year make farming difficult. Yet, Kyzylorda is able to maintain or even enlarge rice production by increasing productivity to offset negative effects of land conversion and climate change. At the same time, crop diversification is an important strategy increasing farmers’ income and value added of land resources, especially since the demand for livestock fodder in the region is unmet.

Programme Interventions: UNDP in cooperation with Ybray Zhakhayev Rice Research Institute piloted rice-growing paddies to showcase innovative technologies at the abandoned lands that substantially improved the cropping and hence demonstrated environmentally sound land management system in the region. To regulate the volume of the irrigation, the project has showcased a simple and low cost water meters calculating water usage. The automated water meters were made out of a plain plumbing hose and a calculator, costing less than 10 USD.

Another innovative approach introduced by UNDP is a laser levelling system. Arable soil is often bumpy and with moisture unevenly spread. A special farming device eliminates bumps on the surface ensuring even distribution of moisture. This saves water and guarantees higher yields.

Drought is a farmer’s worst enemy. So, to determine what drought-resistant crops could be grown in the area, UNDP together with the Institute’s specialists tested different seeds known for their drought-resistance qualities. Such crops as sunflower, flax, canola, and millet have shown good results in Kyzylorda climate and can be used by local farmers.

Results achieved: Employment of different technologies on the pilot sites allowed to increase rice yield by 20- 25%, tomato by 8-12%, watermelon and melon by 30%; as well as to reduce the amount of consumption of irrigation water to 2.5 thousand cubic meters. Farmers learned about low-cost, easy to apply methods and agricultural technologies ensuring higher efficiency in terms of minimizing production costs and reducing impact on the environment.

Lessons Learned: Cooperation with regional research institutions is critically important for achieving desired outcomes. The Rice Institute is one of the main knowledge and technology providers in agriculture in the region having strong links with important local players. Through cooperation

24 with the Institute UNDP could reach out a wide range of individuals from local community, farmers and local authorities. Therefore at least 4 000 farmers of Kyzylorda oblast will have access to the knowledge with a potential to bring profit and reduce water consumption by more than 45 %.

Specific story 3: UNDP creates employment opportunities for rural women in Arandy rural county and addresses the socio-economic conditions of remote areas by making products of good quality locally available and economically affordable

Problem / Challenge faced: Arandy rural county with its 3 villages is the most distant area of Kazalinsk district where 2900 local residents even daily life products buy in the district centre Ayteke-bi (about 70 km of mud-locked roads) or Kyzylorda city, which is 350 km away. Costs of the goods in district centres are often not affordable for rural residents, while transportation to the market makes them even more expensive.

Residents of three villages had to buy school uniform, bed linen and other essentials at a high price. The only existing sewing workshop in Kozhabakhy village had outdated equipment and could not ensure quality.

Rural unemployed women trained in new skills and employed in the rural cooperative in a remote area of Kyzilorda

The cooperative provides necessary products for 3 villages, 2900 residents (school uniforms, bed linen) of good quality and affordable prices, without the need to travel 70 or 350 km on mud roads.

Fig. 18. Rural women in the new cooperative

Programme Interventions: UNDP supported the initiative of this local Rural Consumers Cooperative on upgrading its equipment and establishing sewing a modern workshop with personnel from the local area. Quality industrial equipment and proper training are important components of success for such initiative. Therefore, in addition to 5 professional sewing machines, an overlock, a buttonhole machines, a professional steam iron, a disk knife, cutting out tables and high-quality cloth for sewing products were purchased within this project.

For the training UNDP invited specialists from Almaty and Astana working with Almaty based Angelcher, a company that makes school uniform and man’s suits for almost 14 years using German technology. Angelcher has a certification from the Ministry of Education that the uniform they produce is compliant with the official requirements.

Result: Currently the Cooperative has a modern shop and a strong team of 5 previously unemployed women including one with disabilities equipped with advanced knowledge.

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Lessons Learned:

It is often an issue to set the production, but it is even more complicated to ensure distribution of the products. The “Parasat” team has a good chance of becoming a part of the Angelcher’s production chain making skirts for schoolgirls. Now the ladies are working hard to improve their skills to be able to provide goods at a reasonable time. This will ensure good price and quantity for the busy period of summer 2016 when uniforms will be demanded in large amount to be sold in all Angelcher stores located in largest cities around country. UNDP believes that it is its role to ensure cooperation of different players especially providing benefits to less advantaged businesses from rural areas.

Local village officials share the values of the steps undertaken and will continue to work on providing training opportunities for the seamstresses to master new types of sewing technologies, study the demand in the market and expand the types of sewing products. Participation in public procurement is a next step for the director of the cooperative, UNDP and local authorities will help him with the useful info and recommendations.

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Specific story 4: UN Women contributes to the amendments in legislation to protect victims of domestic violence and provides technical support to the local authorities.

Problem / Challenge faced: According to official data available at the time of preparation of the Project document, prepared, there were 3,852 crimes committed against women in Kyzylorda region for only 9 months of 2013. Only 49 protective orders were issued in 2013 in line with enforcement of the Law on prevention of domestic violence. There is no other national data on prevalence of domestic violence against women but in general this form of violence is widespread and tolerated in Kazakhstan society.

Programme Interventions: UN Women through its NGO partner provided more than 100 hours of actual legal and social assistance to victims of domestic violence, including protection to 26 victims of domestic violence. Capacity building and technical support to local authorities in the implementation of the Law on Prevention of Domestic Violence was provided through various trainings, consultative meetings and development of manuals.

In the beginning of 2015, an assessment of the implementation of the Law on Prevention of Domestic Violence was conducted to understand the situation and determine problems pertaining to domestic violence prevention in the region. It revealed that the Law on Prevention of Domestic Violence does not clearly spell out the responsibilities of domestic violence prevention actors; only the responsibilities for the law enforcement bodies are clearly specified. The precinct inspectors have been facing situations when the domestic violence prevention legislation does not correspond to specific cases of domestic violence, among others.

UN Women through its NGO partner facilitated numerous discussions, awareness raising events and consultations to build capacity of the local authorities to provide quality services and contributed to the amendment of the Law on local police service in November 2015.

Result: Amendments to the “Law on local police service” were adopted in November 2015, to protect victims of domestic violence - now provide the possibility to local police to issue protective orders against the perpetrator of violence, for cases when there are no legal grounds for the issuance of an administrative detention order.

Also, the actual quality of state service provision was increased through development of the package of special standards of social services for victims of gender violence which was accepted by the Ministry of Health and Social Development in November 2015. Guidelines for social protectors to help victims of domestic violence was developed, and is being widely distributed among local police units to provide quality services to victims of domestic violence.

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Specific story 5: Suicide prevention among adolescents in Kyzylorda oblast

Problem/challenge faced: During 2011-2013 Kazakhstan had the top rates for female suicides of 15-19 ages and the second highest rate for male suicides of 15-19 ages among CEE/CIS countries, 13.7 and 20.7 per 100,000 respectively. Within the country, the rates ranged from the lowest 5.8 to 38.7 per 100,000 for children and youth of 7 to 29 years in 2011.

Kyzylorda oblast had an unexpected surge of suicides in 2013. Based on the findings of the study on the spread and risk factors of adolescent suicide and attempts conducted jointly with the Ministry of Healthcare of Kazakhstan, UNICEF is supporting the national authorities of Kyzylorda oblast to pilot a school based suicide prevention program among adolescents that could be potentially scaled up at the country level.

Program intervention: In 2015, in accordance with the joint order of the Ministry of Health and Social Development, the Ministry of Education and Science, and the Ministry of Internal Affairs of the Republic of Kazakhstan "On phased implementation of the project on suicide prevention among minors in Kazakhstan», UNICEF assisted local authorities in implementation of a complex suicide prevention program among adolescents in Kyzylorda region. The program started with joint meeting of the representatives of the departments of education and health care of Kyzylorda region with the national working group on suicide prevention among adolescents and UNICEF. The program Fig. 19. International trainer and the participants of the involved trainings for school psychologists workshop on suicide prevention among adolescents (master trainers for the region) to identify children at risk of committing suicide at schools, general practitioners for supporting and treating children at primary healthcare facilities and mental health specialists for work with children in high risk group. Results: Overall, 445 school psychologists and 63 general practitioners were trained in the course of the program. Furthermore, 23,630 education specialists were trained by regional master trainers and 32,857 students of 8th to 10th grades in schools and 1st year college students in the region underwent screening. In total, the program involved 292 secondary schools and 29 colleges. The program also involved developing mechanisms for interaction of general practitioners Fig.20. Schoolchildren familiarizing themselves with and school psychologists, with parents informational materials on coping with depression of children in risk group to refer them to general practitioner at the primary healthcare and, if necessary, to a psychiatrist in the regional mental health care. As an important component of the program communication materials were developed for raising awareness of children and parents on suicide issue and disseminated widely among schools and colleges. A Coordination Council was established in the region for managing the program headed by deputy

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Akim of the Kyzilorda region and consisting of the representatives of regional departments of education, health, internal affairs and regional prosecution.

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Annex 2

List of activities per agency

Number of beneficiaries with UN District Activity aggregation by affiliation where Special deliverables agency possible Aralsk 1. 2 online centers in Kambash and Savings up to 7 times compared to Free access to high-quality UNDP Saksaulsk villages. the previous year information technologies for 2. Installation of two greenhouses with the residents of remote rural energy-efficient and water-saving technologies (in areas; Aralkum and Amanotkel) Budgetary savings for lighting 3. Replacement of street lighting in up to 7 times compared to the Amanotkel and Shizhaga villages. previous year; New technologies in rural schools

Kazalinsk 1. 2 online centers in Orkendeu and 5 women including 1 woman with Comfort conditions made for UNDP Zhankozha villages; disabilities were employed. leisure time activities for: 150 2. Women and persons with disabilities pupils and students; 130 employed in the Sewing workshop in Kozhabakhy pensioners and vulnerable village; persons; 25 state employees 3. 2 greenhouses with the use of energy-efficient and water-saving technologies at schools of Bekarystan bi and Karashengel villages; 4. Installation of a boiler in a rural House of Culture in Kazalinsk; 5. Installation of a modern playground for children in Aiteke bi village;

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Syrdarya 1. Opening of a resource center for the More than 12 trainings were Capacity building UNDP development of rural NGOs of Syrdarya region due organized for the regional NGOs and to inclusive grant of "Akmurat" NGO; vulnerable target groups. 2. 2 greenhouses with the use of energy-efficient and water-saving technologies at the schools of Terenozek village; Zhalagash 1. NGO "Society of people with 2 jobs for people with disabilities UNDP disabilities of Zhalagash region" with a project created "Social enterprise - new opportunities for people with disabilities", opening of a printing center with special training for employees and subsequent employment of people with disabilities;

Kyzylorda 1. Specialist” educational center 1. 3 persons with Capacity buidling UNDP provided trainings for 20 unemployed persons in disabilities were trained and 2 of two new specializations of a seamstress and a them were employed afterwards. master on repairing household appliances with 2. 20 persons were subsequent employment; trained and 13 young people were 2. Advanced training on the usage of employed. sign language for 24 social workers to provide 3. Advanced training for special services to the people with disabilities; rural social workers on November 4 - 3. "Izet" Public Fund, project 7 4. October 26: Seminar "Accessible Environment" - installation of special for State authorities to ensure equipment for people with disabilities in the House accessible environment for people of social institutions; with disabilities; 48 representatives 4. "Kyzylorda association of librarians" of state agencies took part in this Public association, "Shanyrak Intelligence Center" seminar. project - creation of courses on computer literacy 5. 20 trainings were and expansion of library services for public, organized for 45 participants, 5 including people with disabilities; young people were employed. 5. «Orkenietti Kazakhstan» - 6. A club for 30 young establishment of a club of young persons with people with disabilities was

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disabilities to address socio-economic and established. 4 trainings and 1 survey educational issues; on the needs and problems of young 6. «Syr Ulandary» Public Association - people with disabilities were Social audit of the implementation of state organized on December 12 – 22 program of modernization of apartment housing in 7. 4 trainings were held Kyzylorda»; for the Association of Cooperative of 7. «Arylu» Public Association - apartment owners (CAO) and public establishment of Volunteers Club in the hearings were organized on raising rehabilitation center for people with disabilities in the problems of housing and communal modernization campaign. Talsuat village; 8. A Volunteer Club 8. "Society of Women the small consisting of 30 volunteers was entrepreneurs" Public Association opened the opened in the Center; 2 trainings Crisis Center "ZHAN" for women and children were organized for people with suffered from domestic violence disabilities and Center employees; 9. Three-stage advanced training of 9. Volunteers support NGOs' representatives of Kyzylorda region classes on photo taking, art therapy (Trainer: Ainur Absemetova); and winter garden. 10. Forum of social workers with the 10. 2 trainings and 1 round participation of representatives of the Ministry of table were held for women and Health and Social Development, the regional employees of social and law akimat and social workers of Kyzylorda oblast. 50 enforcement agencies since social workers were trained on providing social November 24 to December 23. Over services for the people with disabilities; 20 women-victims of domestic 11. «Social Good Summit» attracted violence were consulted. volunteers, regional NGOs and business people. 11. 3 two-days trainings were organized for 36 regional NGOs on November 1 – 30. 12. Over 120 specialists and managers of social sphere of Kyzylorda region took part in this Forum on November 6 13. More than 30 NGO, state agencies and business

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representatives took part in this event on September 28

Kyzylorda region Capacity building and technical assistance to the 31 staff from the unit for the Report of activities UN UN - whole local authorities in the implementation of the law protection of WAV, police for Women MCO implemented Women On Prevention of Domestic Violence juvenile offenders, and the district through a partnership with the police; Crisis Centre “Podrugi” 41 psychologists and social workers; Kyzylorda region in 2015, 1 local akimat; under Output 2.1 1 local healthcare department; 1 education department. UN Women KZ Kyzylorda JP report_e

Building capacity of the civil society 3 NGOs; 1 crisis centers; 3 schools.

Raising awareness 26 victims of domestic violence

Improving the quality of public services Local community

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Kizylorda city; Review of quality assurance mechanisms for health Oblast hospital quality management Base-line report WHO Syrdarinski services at primary health care (PHC) - focus on team; (patients/population served by rayon adult population Oblast hospital) Rayon central hospital/primary health care department: patients/population served by the PHC Kizylorda city Assessment of quality of health care at PHC; Patients (pregnant women and Overal report for Kazakhstan WHO Shiely rayon Interviews on quality of care and patient mothers of newborns) served by with recommendations to satisfaction with pregnant women and mothers of Policlinic No. 3 – Kizylorda city and MOHSD; newborns Shiely rayon central PHC Specific report with recommendations for management of two health facilities

Kizylorda city Patient satisfaction survey – (adult Kizylorda policlinics: No. 1, No2, Report; Presentation for health WHO Shagansk rayon population/patients with heart diseases and No3, No 6 and oblast hospital and akimat authorities; Terenozek diabetes) Shagansk rayon hospital and communication strategy for policlinic better communication of Terenozek (hospital and policlinic) management with health professionals

Kizylorda city Assessment of management capacities, budgetary Management of health facilities: Presentation and report on WHO Shiely rayon planning and management of human resources Kyzylorda oblast (four health round table Syrdarinski facilities providing inpatient and rayon outpatient care; patients served by the health facilities in selected rural and urban areas) Kizylorda city Increasing knowledge of central and oblast Oblast health authorities, and WHO authorities on climate change effects on health: authorities from department of round table education, social care, branch of committee for consumer rights protection

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Kizylorda oblast Presentation of the findings of the assessment of Oblast authorities and oblast health Report and presentation WHO management capacities in PHC department

Kizylorda city Training – Introduction of quality assurance Health professionals of the pilot Quality improvement plans WHO Shiely rayon principles for health care services and setting up facilities; population served by the for pilot facilities quality improvement plans for pilot facilities pilot facilities Kizylorda city Assessment of socio-economic determinants of Population of Kizylorda oblast Report pending due to WHO Aral district health and identification of “mortality” hot spots unavailability of information on mortality per rayon and linkage with socio-economic data Kizylorda city Review of implementation of TB programme in TB oblast hospital, Pediatric TB WHO Kizylorda hospital in Kizylorda; TB sanatorium Kizylorda Kizylorda oblast Assessment of environmental challenges related to Kizylorda oblast Report – Karaganda institute WHO chemical pollution – desk review of data on occupational health Shiely rayon and Review of meteorological data – extreme weather Population of Shiely rayon D-base with data – baseline WHO Aral rayon events related to mortality from stroke in specific for analysis rayons Art gallery of Exhibition, devoted to the 550 anniversary of the 60 artisans of Kyzylorda oblast Best works were sent to UNESCO Kyzylorda city Kazakh Khanate, participated Astana, where the exhibition September 2015 "Festive ethnic-aul" also dedicated to the 550th Anniversary of the Kazakh Khanate Kyzylorda and Series of meetings with the local stakeholders in the n/a The programme of activities UNESCO Aralsk cities regional centers of Kyzylorda and Aralsk, 25-28 for the community based October 2015 inventory of the intangible cultural heritage in Kyzylorda oblast of Kazakhstan was drawn 7 rayons of “Strengthening potential of the crafts sector of Aral 30 UNESCO Kyzylorda Sea Area of Kazakhstan”, 26-31 October 2015

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14 regions of Training-workshop on “ICH documentation and 18 Representatives of Culture ICH guidelines UNESCO Kazakhstan, inventorying”, 18 November 2015 Departments from each of 14 regions including Astana of Kazakhstan, including Astana and and Almaty cities Almaty cities Country wide Legislation on Access to Information Country Population will benefit since 1 Law UNESCO Adoption 18.11.15 1.01.16 UNDP

Kyzylorda Training of Media Trainers 1 trainer UNESCO UNDP

10 core villages Capacity building of librarians of on-line centers in 10 centers staff 4 centers are functional and 6 UNESCO where on-line Akkum, Madeniet, Enbekshi, Sulutobe, Shiraga, potential staff is trained UNDP centers are Kambash, Zhalantos, Orkendeu, Inkardarya, located Akzharma villages Kyzylorda region UNESCO Media and Information literacy actions Potential beneficiaries: 10 online 1 publication Media and UNESCO centers Information Literacy in Russian and Kazak

Kyzylorda region the 9 - 12 July 2015 the ІII International Summer 4 Media outlets UNESCO School on Media and Information Literacy Kyzylorda region Mobile application to access multilingual 10 online centers multilingual application UNESCO information UNESCO Almaty Kyzylorda region Development of a pilot study course on Climate Local universities of Kyzylorda Study module on Climate UNESCO Risk Management for Universities of Kyzylorda region Risk Management for region universities Kyzylorda region Training on Climate Risk Management (CRM) - 11 professors of local universities; List of recommendations on UNESCO course, 6 November 2016 - 4 Heads of Departments of local improvement of the CRM Akimat; course - 1 local college; - 1 local research institution; - 2 local NGOs Kyzylorda region Integrated Water Resources Management (IWRM) 1 local university UNESCO training for university teachers, 11 December 2015

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Kyzylorda region Field work wetlands monitoring in the Syr Darya Local authorities and local population Field work report “Eco- UNESCO River delta and the North Aral Sea, August- monitoring of the Syr Darya September 2015 River Delta and the North Aral Sea” Aral district, Promotion of Barsakelmes Biosphere Reserve (BR) 74,700 people of Aral district (57,9% Nomination endorsed; UNESCO Kyzylorda region nomination for inclusion in the UNESCO World of which is rural population) Barsakelmes BR was Network of Biosphere Reserves (WNBR) officially included into the UNESCO WNBR on March 19, 2016 Kyzylorda region Development of an informative brochure on Local communities Informative brochure on UNESCO Barsakelmes Barsakelmes BR in English and Russian Kyzylorda region Development of an informative brochure on Barsakelmes BR

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ii) Indicator Based Performance Assessment:

Achieved Indicator Targets Reasons for Variance with Planned Source of Verification Target (if any) Economic Development and Effective Governance Outcome 1. Local government is capacitated to plan for diversified and balanced economic growth, local self-governance system is in place, by the end of 2016 Output 1.1 Support to formulation of policies stimulating productive employment

Indicator: 1.1.1 Achieved: 1 research on labour market published, www.kz.undp.org Recommendations for regional development and economic diversification; Planned Target: 1 published quality analytical report with recommendations that includes potential benefits from the transport corridor Planned Target: 1 research Baseline: 0

Indicator: 1.1.2 Achieved: 14 business project in rural https://www.facebook.com/ObsestvennoeObedin Number of successful business area were supported eniePodderzkaIniciativy/posts/883968054974493 projects supported Planned Target for: 2014 – 5; 2015- 10; 2016- 10. Baseline: 0

Indicator: 1.1.3 https://strategy2050.kz/ru/news/23983/ Number of beneficiaries served by https://www.youtube.com/watch?v=Ar96Q1tV59 business-consultants /on-line centres Planned Target: 2014 – 50/50 U 2015-1000/1000; 2016 – 1000/1000 http://www.syrboyi.kz/bilik/6511-auyl-kmdern- Baseline: 0 aldynda-auymdy-mndetter-tr.html

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https://www.facebook.com/permalink.php?story_ fbid=799134493539368&id=689002487885903 http://www.kzvesti.kz/25-7-15/7069-bolshe- vlasti-na-mestah.html

https://www.facebook.com/689002487885903/ph otos/pcb.763689710417180/763687250417426/?t ype=1&theater https://www.facebook.com/photo.php?fbid=2893 91481185181&set=pcb.289391541185175&type =1&theate Indicator: 1.1.4 Achieved: Online centres on the base http://karzhy.e- Number of successfully operating on- of rural libraries provided kyzylorda.gov.kz/?q=ru/news/intellekt-centr- line centres consultations jointly with business , Planned Target: 2014-4; consulting centres to over 1200 shanyrak-nachal-svoyu-rabotu 2015-10, 2016-14 people in 5 regions and 10 rural http://www.kzvesti.kz/3-10-2015/7755-pod- Baseline: 0 districts. odnim-shanyrakom.html http://kitapkhana.kz/lang-ru/news/850-shayra- intellektualdy-ortalyyny-saltanatty-sharasy.html

Indicator 1.1.5: Achieved: 10 centres. 50% Project report and monitoring framework Implementation of ratified Together with the UNESCO Cluster Activities for documentation and conventions, notably the 1972 (World Office created a special mobile preparation of nomination dossiers for Heritage) and 2003 (Intangible application "Voice of Kyzylorda" the Silk Roads sites of the Syr-Darya Cultural Heritage) ensured. corridor had been agreed. Ratification of 2005 convention For safeguarding of ICH the priorities (Diversity of Cultural Expressions) are in conduction of series of trainings promoted. for local administrations, network of Baseline: 0 conventions ‘Houses of Culture’, ICH holders and community representatives. 2005 convention is being promoted by the crafts sector in Kyzylorda oblast

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Output 1.2 Citizen participation in local self-governance and local decision-making are strengthened

Indicator: 1.2.1 Achieved. http://baq.kz/kk/regional_media/publications/357/ Awareness of rural population on the More than 40% of respondents page/2 possibilities provided by local self- government https://www.facebook.com/689002487885903/ph Target: high (over 80% of otos/pcb.763689710417180/763687250417426/?t respondents) ype=1&theater Baseline: low (less than 20% of respondents);

Indicator: 1.2.2 Achieved. https://www.facebook.com/photo.php?fbid=3193 Number of successful projects 9 projects realized in 3 regions. 49614856034&set=pcb.319350688189260&type implemented within self-governance scheme =3&theater Target for 2014 – min 4 2015- min 6; 2016 – min 6;

Indicator: 1.2.3 Achieved. http://sayasat.org/articles/1560-rejting-akimov- Number of districts covered by 3districts: Aral, Kazaly, itogi-fevralja information campaign on the local Syrdariya self-government projects https://www.facebook.com/permalink.php?story_ Planned Target for 2014 – 2; fbid=800440263408791&id=689002487885903 2015 – 3; http://www.zakon.kz/4730983-razvitie-mestnogo- 2016 – 2 samoupravlenija.html Baseline: 0

Indicator: 1.2.4 http://total.kz/politics/kazakhstan/2015/01/12/reyt Rating of the Regional Akimat in the ing_raboty_akimatov_oblastey_gorodov/ achievement of strategic goals and tasks Achieved. Feb/2016, 3rd place Target: 20% improvement by 2016 Baseline: 9th place (2013) Social-economic Development of the Region and Employment Increase

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Output 2: Increase the capacity of local governments in the planning of diversified and balanced economic growth, incomes and the development of local-self-government by the end of 2016

Output 2.1Capacities of local government and local service providers to plan, budget, implement, monitor and evaluate programmes aimed at improved social inclusion and reduced social disparities of the vulnerable groups are strengthened Indicator 2.1.1: CFC Coordination Commission is CFC portfolio of city Akimat CFC Coordination group is established established within the city Akimat Baseline: not established Planned Target: Indicator 2.1.2: On-going. It was agreed to Approved by decision of the Steering Committee Number of child well-being indicators establish child well-being disaggregated by sex, location and age monitoring system on the basis of Baseline: not established the Situation room in Akimat Planned Target: Indicator 2.1.3: Number of local media 30 journalists improved their Media reports on child issues. who have improved understanding on understanding and knowledge on child rights situation and apply ethical applying ethical forms in norms in reporting on child issues. highlighting child rights issues in Baseline: 0 (zero) media Planned Target: Indicator 2.1.4: Not yet achieved, on track Akimat annual local public expenditure plan/report Local public allocation for implementation of Law on prevention of domestic violence in relation to support to survivors of domestic violence increased by 15% by 2016 Baseline: 0 Planned Target:

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Output 2.2 New participatory mechanisms are designed for effective and efficient local level planning, budgeting and management for protection of the most vulnerable groups of society Output 2.2 New participatory mechanisms are designed for effective and efficient local level planning, budgeting and management for protection of the most vulnerable groups of society Indicator 2.2.1 changed due to 16,525 in 2015 according to data of Education Department Kyzylorda oblast Social unavailability of data to: 8,102 (in 2014) according to Social Protection department data Protection department Number of children in low income data families: Baseline: 21,303 children (in 2013) according to Education department data 8,058 (in 2013) according to Social Protection department data Planned target: decrease by 20% by 2017 Indicator 2.2.2: 16/84 (2015) Data of Children’s rights Ratio of children in institutional care to protection committee of children in alternative family/ the Ministry of education community-based care (in %) Baseline: 15/85 (2013) Planned Target: 10/90 Indicator 2.2.3: 3/ 139 in 2015 Local statistics Ratio of juveniles diverted to alternative 3 children diverted to alternative services services at the pre-trial stage to the 139 crimes committed against children number of committed crimes in pilot sites Baseline: 0 children diverted to alternative services Planned target: 70 children by 2017

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Indicator2.2.4: 33% (2 out of total 6) in 2015 Ombudsman annual and % of child closed and residential monitoring reports facilities monitored by independent including under National bodies Preventive mechanism Baseline: o% of institutions Indicator 2.2.5 Figure not available. Baseline figure from 2011 MICS. 2015 Kazakhstan MICS Report Unmet needs to contraceptives. Baseline: Baseline update will be made by end of 11.2 2016 when MICS 2015 MICS will be available Indicator2.2.6: Number of young people Achieved; 45 young people N/A Y-Peer training reports empowered to advocate behaviours to empowered to advocate for prevent unwanted pregnancies and HIV behaviour preventing unwanted transmission. pregnancy and for behaviours Baseline: 0 preventing HIV transmission; . Further 200 young people trained through peer-to-peer training Indicator2.2.7: Rate of compliance of Not achieved students’ education on sexual and reproductive health, including HIV and AIDS issues with UNESCO standards. Baseline: 0

Indicator 2.2.8: Number of local 15 local governments specialists N/A Workshop report government specialists trained on were trained on Population and Population and Development Development interlinkages and interlinkages and effective socio- effective socio-economic planning economic planning and monitoring of and monitoring of regional regional development programs, taking development programs, taking into into account needs of vulnerable groups account needs of vulnerable groups of the population of the population Baseline: 0 2.2.9 Number of public libraries are Not yet achieved – on track 50% Digital libraries with sub indicators: Project report and monitoring framework, it also using human rights digital library (1 out of 1) Law on Access to contributes to 2.3.4 and other media related indicators, as (including applications for mobile Information signed 18.11.2015 well as capacity building and self-governance. phones) UNESCO (10 out of total 10) online centres and total 16 participants are trained on community media basics;

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(2 out of total 11) media outlets trained on media compliance, (1 application developed (total 3) to access online/offline information

Indicator 2.2.10: Number of Y-Peer Achieved. One centre in Kyzilorda New indicator – not in project document resource centres established in the region city and one centre in Shiely (Additional indicator added by UNFPA) Baseline: 0 Target: 2 Output 2.3. Innovative approaches to providing special social services to families, children and youth are introduced in rural areas Indicator 2.3.1: 2 representatives of Akimat Project reports and monitoring framework for rural youth Number of approaches introduced and participated in a study tour to Great centres proven as effective in the framework of Britain on youth policy and youth rural youth centres. work. Baseline: 0 4 representative of YRC underwent Planned Target: Organizational training on youth work and youth framework for youth resource centres centres and organizational developed and introduced in the region framework for youth centres. Organizational framework for youth centres in Kyzylorda will be developed in 2016 Indicator 2.3.2: 60% for Kyzylorda region visited Assessment of the Home visiting service % of patronage nursing/home-visiting within one month of birth delivery services provided to mothers and children (in 2015) in rural settlements Baseline: to be established Indicator 2.3.3: Suicide prevention programme Project report. Decree of the local government on Suicide prevention programme introduced introduced and on-going introduction of the suicide prevention programme. to decrease suicidal behaviour among Special questionnaires to measure the level of suicide adolescents. ideation Baseline: 0

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Indicator 2.3.4: 30 journalists improved their Media content analysis, reports, media articles Increased awareness of the families and understanding and knowledge on local community on good practices of highlighting issues of orphanages child care (health, inclusion, and youth); and child abandonment prevention. Baseline: Poor knowledge on child care UNICEF video spot on child abandonment prevention was shown on local media 160 times during 2 months. Output 2.4 Support in formulation of policies for promoting productive employment and poverty reduction UNDP Indicator: 2.4.1 Number of jobs created including those Partially Achieved. for PWD Created 38 jobs, 5 for PWD https://www.facebook.com/permalink.php?stor Planned Target for 2014- 10 and 5 for y_fbid=509287949231779&id=1000045173533 PWD 2015 – 15 and 7 for PWD ; 39 2016-2- and 10 for PWD Baseline: 0 https://www.facebook.com/permalink.php?stor UNDP Achieved. y_fbid=525295207631053&id=1000045173533 Indicator: 2.4.2 74 social worker providing special Number of social workers that increased services to PWD trained 39&pnref=story their capacity Baseline: 0 Planned Target: 30 https://www.facebook.com/photo.php?fbid=509 UNDP Achieved. 283932565514&set=pcb.509284235898817&ty Indicator: 2.4.3 “Volunteers of Kyzylorda” alliance pe=3&theater Number of beneficiaries served by has been created. Over 100 people business corporate volunteers including PWD are covered by Baseline: 0 various activities. Planned Target: 50 Achieved. 10 inclusive projects implemented https://www.facebook.com/UNJPKZO/photos/p

cb.858774084242075/858773724242111/?type UNDP Achieved. Over 10 social objects =3&theater Indicator: 2.4.4 benefited.

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Number of implemented projects that solve social problems of those most vulnerable Planned Target for 2014:7 2015 – 8; http://kyzylorda-news.kz/zhanalik/kogam/6957- 2016 – 6; mmkndg-shekteul-zhandara-kedergsz-orta- Baseline: 0; Kyzylorda News alyptastyru-bzd-mndetmz.html Oblast Nespaper UNDP http://ru.kyzylorda- Indicator: 2.4.5 news.kz/news/obshestvo/6872-proekt- Number of objects that benefited from dostupnaya-sreda-vozmozhnost-uluchsheniya- implementation of inclusive projects zhizni-lic-s-ogranichennymi- Planned Target for 2014-4 Kyzylorda News Oblast 2015 – 5; vozmozhnostyami.html 2016 – 6; Nespaper Baseline: 0 http://www.syrboyi.kz/pdf/6855-151-19039- 8102015.html http://karzhy.e- kyzylorda.gov.kz/?q=ru/news/intellekt-centr- shanyrak-nachal-svoyu-rabotu, https://strategy2050.kz/ru/news/23983/ http://www.kzvesti.kz/3-10-2015/7755-pod- odnim-shanyrakom.html http://kitapkhana.kz/lang-ru/news/850-shayra- intellektualdy-ortalyyny-saltanatty-sharasy.html http://bilim.e-kyzylorda.gov.kz/?q=ru/news/v- kyzylorde-realizuetsya-proekt-sozdaniya-kluba- molodezhi-s-ogranichennymi- vozmozhnostyami http://www.kzvesti.kz/news/8271-socialnyy- proekt.html http://kogamtv.kz/m%D2%AFmkindigi- shekteuli-zhastardy%D2%A3-kluby- %D2%9B%D2%B1rylma%D2%9B/

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http://kogamtv.kz/krizisnyj-centr-zhan/

Output 2.5 Advanced regional health policies development, responsive to the needs of the population at the primary health care level

Indicator 2.5.1: Partially achieved: 2 in Kyzilorda 2 districts plus Kyzilorda city – % of PHC facilities in Kyzylorda develop city; PHC in Shielinsky and preferences of population covered institutional action plan based on Syrdarinsky rayon through focus groups and analysis of assessment of local population needs available reports; socio-economic profile (epidemiological assessment; preferences of area completed of population; specific socio-economic profile of the sub-area) Baseline: 0 Indicator 2.5.2: Partially achieved: 4 PHC centres Training of health managers of PHC and WHO report on assessment of managerial capacities and % of PHC facilities included in training/ key managerial on the job coaching in 4 facilities reports on coaching and mentoring for quality (management/responsible staff) covered staff continues; by end of 2016 50 % of health improvement of services by WHO trainings; managers to be trained Baseline: 0 Target: 2014 (20 %); 2015 (20 %) 2016 (10%) Output 2.6. Increased awareness of local decision makers on application of “Health in all policies” approach in regional development strategy

Indicator 2.6.1: Not achieved: detailed mortality Basic workshop with key stakeholders Stakeholder round table, December 2015 report Inter-sectoral plan for reducing child statistics based on ICD-10, 4 digits held; plan to be developed based on a injury and mortality developed in line per rayon, with break down per age detailed assessment of mortality which with WHO “Violence and Injury group has not been accessible to was not available in 2015 due to non- prevention” – reduced number of serious WHO; availability non-availability of data. child injuries and mortality due to Action taken by WHO to obtain detailed accidents at home and in traffic mortality data per rayon Baseline: no plan Indicator 2.6.2: Not achieved – will be measured in Indicator relevant for entire project. No 2016. target for 2014 – reduction of mortality to be achieved by 2016.

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Mortality of children under 5 in Baseline not yet available due to non- Kyzylorda due to accidents at home and availability of data. Action taken by in traffic reduced by 10 % WHO to obtain detailed mortality data Baseline; per rayon. Indicator 2.6.3: Partially achieved; risk factors data WHO has made an MOU with RCHCD Kyzylorda regional health development available, NCD mortality data per for obtaining the necessary policy includes objectives and targets on rayon not available due to rejection depersonalized data necessary for reduction of burden of non- of Statistic Agency to provide data assessment communicable diseases and related risk to WHO factors – linked to the overall national NCD monitoring structure enabling monitoring inequities Baseline: 0 indicators on NCD included in any plan Indicator 2.6.4: Two training workshops held As the Republican Centre for Health Care Child Obesity Surveillance Report for Kyzilorda Number of workshops held for training related to risk factors (obesity and Development has been reorganized and Survey on behaviour of school health children for staff of: branch offices of Republican school health surveillance) for there are no more branch offices, the Kyzilorda (report). Centre for Health Care development, Healthy Lifestyles; trainings of relevant staff will include branch offices of healthy lifestyles representatives of Health Department and institutes and of the Kyzylorda Health relevant health facilities care department on the NCD global action plan and 9 objectives and 25 voluntary indicators Baseline: 0 Environmental Sustainability, Energy Efficiency and Housing and Communal Sphere

Output 3. Sustainable development practices in response to the current problems caused by climate change, natural and man-made aspects of development, including energy efficiency in the housing sector and sustainable environmental management are established and used

Output 3.1. Knowledge of local communities about the impact of environmental degradation on their well-being is increased Indicator 3.1.1: N/A data will be available in Biological Monitoring of micronutrients deficiency % of children under 5 age with September 2016 among children under 5, and WRA anaemia Baseline: 51.8 % (2011) Planned Target: 45%

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3.1 Principles of sustainable development are mainstreamed into local government programmes and plans.

Indicator: 3.1.1 On track. The survey conducted in Environmental targets consider impacts 2015 show that only about 10% of and benefits can be gained from using respondents are informed of “green new approaches and tools of resource solutions” management and techniques. Target: New approaches and tools of resource management and techniques suggested into regional strategic documents by 2016 Indicator: 3.1.2 Partially achieved: 3 round tables Evaluation tests were not conducted in 2015, Round table reports and Profile on Climate Change and Knowledge of local health and general and workshops conducted; as a major evaluation test on knowledge on chemical safety – internal preliminary report shared communities increased by 30% based environmental risks is planned for all health with technical partners: Karaganda institute; on evaluation tests of educational workers in 2016 Committee for Consumer Rights Protection events conducted; Baseline: 0 target: 3.2 Sustainable environmental and disaster risk reduction practices are modelled for its potential wider replication, including energy efficiency in the area of housing and communal services Indicator 3.2.1 A 7 schools and 3 pre—schools are Data of education and emergency departments, training Number of schools practicing equipped with DRR equipment and reports of the in-service teachers’ training institute, emergency plans updated with DRR methodological guides. schools reports, consultants’ reports, project evaluation components; report. Baseline: 0 (2013) Planned Target: 7 schools and 3 pre-- schools Indicator: 3.2.1 B Achieved, 4 objects 1 secondary school, 1 block of flats, 1 street named Number of entities that have after Astana, lightning and solar water heating system implemented the practices of rational at the object along Western-Europe – Western China use of energy, including electricity and corridor. “Sustainable cities” Bulletin, issue #2,3, 2015. energy management. http://lighting.eep.kz/news/ Baseline: 0

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Target 2014-3, 2015 – 2, 2016 - 1 Indicator: 3.2.1 C Partially achieved Report by UNDP short-term consultant N. Druz Local stakeholders are well informed of possible improvement of their life quality by means of “green solutions”, including the energy efficiency in housing sector Baseline: Local stakeholders are not informed on the opportunities to improve their livelihoods by using “green solutions” and have no access to such information. Target for 2016: at least 50% of respondents Indicator 3.2.2: Enhanced capacities of On track. 2 Project report and monitoring framework target groups on water and DRR education, in particular on IWRM: number of materials/tools produced Baseline: 0 Target: 3

Indicator 3.2.3: Enhanced capacities of On track. 2 Project report and monitoring framework targeted groups on water and DRR education, in particular on IWRM: number of trainings organized Baseline: 0 Target: 3

Output 3.3 Principles of sustainable development are mainstreamed into local government programmes and plans

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Indicator 3.3.1: On track and partially achieved Suggestions to the Strategy on sustainable agriculture Regional planning process is accepted in relations to substitution of hygrophilous decentralized and allows engagement types of rice by perennial forage crops and development of broader public. of distant pasture cattle tending. Baseline: Regional planning process is https://www.facebook.com/projectbiodiversity?pnref=st very centralized and does not allow for ory engagement of broader public. Planned Target: Regional planning process includes public, farmers, scientific research agricultural institutions, apartment owners’ cooperatives, green technology associations. Indicator:3.3.2 On track and partially achieved A Public Council established at the Barsa-Kelmes Establishment of the system of reserve. This lead to a decision of the Ministry of regional planning providing integrated Agriculture to establish public councils at every reserve development targets in economic, all over the country. social, and environmental dimensions. https://www.facebook.com/projectbiodiversity?pnref=st Baseline: The existing system of ory planning does not ensure integrated development targets in these three The project on creation of nursery-garden for forestation equally important dimensions. at Aralsk forest protecting government institution Target: Approbation of at least 1 allowed for solution of employment issues (social) project demonstrating successful provides additional income to the organization and the integration of three development targets region (economic), fights forest devastation and into one project (at least 1 during the desertification (ecological). project).

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