Emergency Plan of Action (EPoA) Lebanon, Jordan & Iraq: Population Movement
Emergency appeal n° MDR81003 GLIDE n°OT-2012-000135-LBN/JOR/IRQ Revised appeal n°4 4 July, 2014
Appeal target (current): This revised regional Appeal seeks a total of CHF 49.2 Mil to support the Lebanese Red Cross, Palestine Red Crescent – Lebanon Branch, Jordan Red Crescent, and Iraq Red Crescent in delivering assistance to over 479,350 people in Lebanon, Jordan and Iraq. With some CHF 12m of multilateral contributions received, and CHF 9.9m that reflects the value of the Emergency Response Unit (ERU) bi-lateral component, the net request amounts to a total of CHF 27.2 Mil. The timeframe is extended from 1 July 2014 to 30 September 2014. A Final Report will be made available by 31 December, 2014
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Appeal history CHF 3.7 m CHF 4.6 m CHF 27.2 m CHF 33.6 m CHF 49.2 m 3 revised Preliminary Emergency Revised Emergency Revised Emergency Revised Emergency Revised Emergency Emergency Lebabon Appeal launched to Appeal for winter to Appeal launched to Appeal launched to Appeal launched to Appeals to be Jordan assist 55,000 people assist 62,000 people assist 258,465 people assist 300,000 people assist 479,350 people launched for Iraq for six months for six months for six months for eight months for one year individual (until Jan 2013) (until June 2013) (till Dec 2013) (until June 2014) (until Spet 2014) countries
2012 2013 2014 aug jan may nov jan jun sep
This revised appeal requests the net amount of CHF 27.2 Mil covering Lebanon (and Palestinian Red Crescent activities in Lebanon), Jordan and Iraq covers the period from end June until 30 September, 2014. This includes a three month extension to the current regional appeal, and the text of this plan will focus on the activities of this three month period. This will give the MENA Zone time to transition from this regional appeal to three targeted and specific country plans and appeals for Jordan, Lebanon (and Palestinian Red Crescent activities) and Iraq, which will cover the period from October 1, 2014 to December 31, 2015.
The transition to country appeals is being made to reflect a stronger country focus and the specific situation in each case and responds to recommendations made at the Movement Advisory Platform (MAP) meeting that took place in May 2014. 2
Partners and donors are requested to focus their support on the ongoing operations and plans of action in each country and to support the response beyond this current appeal Appeal and into the new Country Plans and Appeals. Any contributions to the appeal will, once agreed with the donors, betransferred to the appropriate country appeal as of October 1, 2014. The IFRC will aim to ensure that the process and the transfer of funds is as seamless as possible and is a purely administrative process that will not affect the operations on the ground. Activities under this Population Movement appeal will therefore be continued and scaled-up under the three new country based appeals, through to end of December 2015.
Summary: The conflict in Syria continues to fuel a devastating humanitarian crisis, both within Syria and its Salwa is in her mid 30s, a mother of 5 girls and surrounding countries and is now seriously affecting one boy holds her son’s hand who accompanied over 10 million people. Over the three years since the her to the distribution. “I was very happy when I beginning of this crisis , the Red Cross and Red received the phone call from the Lebanese Red Crescent Movement has, through appeals totaling Chf Cross volunteers yesterday. They asked me to 338m, brought food, non-food, water, medical come today for the distribution”, said Salwa. “It’s assistance, cash grants, shelter and support for over not the first time I come here; we have received 4 million people through the work of our member before food aid from the Lebanese Red Cross. National Societies, the Syrian Arab Red Crescent These people are making a big difference in our (SARC), Lebanese Red Cross (LRC), Jordan National lives”, said Salwa. “I am eager to learn how my Red Crescent (JNRC), Turkish Red Crescent (TRC), daughters and I can benefit from this women’s kit”. Iraqi Red Crescent (IRC) and Palestinian Red She added. Crescent (PRC) in Lebanon. (Read more on: http://ifrc.org/en/news-and- media/news-stories/middle-east-and-north- With no end of the crisis in sight , the need for the africa/lebanon/protecting-women-and-girls-dignity- sustained and scaled up engagement of the is-a-life-saving-need-66028/) Movement (“the Red Pillar”) is paramount and there is acollective need for the Movement to continue its commitment to the ongoing alleviation of human suffering. With the ongoing fighting in Syria, the pressure on population movement to the neighbouring countries has increased, with the number of people entering Lebanon (the most affected country) well over one million (see table below.
*Note: These are only registered refugees. The estimated number of refugees awaiting registeration in the surrounding countries are 55,646 as of 04th of July 2014.
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Operations to date
The International Federation of Red Cross and Red Crescent Societies 270,500 (IFRC) and Partner National Societies (PNS) have contributed to people with food assistance the response operations of the National Societies in the 590, 000 neighbouring countries and have people wth essential household helped them to provide assistance to affected people. items
To date, in Jordan, Lebanon and 133,790 Iraq, the National Societies have people supported with health support provided the following support assistance with support from the wider Federation. That assistance 27,000 has been provided in the people provided with cash programming areas below and has reached more than 1,021,290
Major Gaps and Areas of Priorities
Targeted Area to be Funding Country Planned Interventions Beneficiaries supported Prioritization Safe water, hygiene parcels, hygiene promotion, 100,500 WASH awareness on floods and water scarcity, High distribution of tool boxes
125,000 Winterization Blankets, stoves, heating fuel High Lebanon No. of 50,000 Relief Food distribution, Cash assistance refugees: Medium Disaster Prepositioned contingency stocks, coordination , 1,092,272 26,000 Longer-term Preparedness operational costs First Aid, Blood donation, Medical treatment, 37,950 Health (LRC) Longer-term Community health, Psychosocial support Secondary health care, Ambulances, operational 2,000 Health (PRCS) costs High
20,000 Shelter Through Cash transfer High Secondary emergency health, CBHFA, 70,200 Health Psychosocial support, medical care High Jordan Disaster Prepositioned contingency stocks , SPHERE No. of 10,000 preparedness and training refugees: DRR Medium 599,408 Livelihood activities, cash grants, training to 1,200 Livelihood develop skills for employment Medium Capacity Building Support to operational capacities High Medical equipments, capacity building, 5,000 Health psychological support Medium Iraq No. of 10,500 Relief Bi-monthly food distribution refugees: High 225,409 20,000 WASH 4 water purification units Longer-term
1,000 Shelter Installation of tents High
Total: 479,350 Beneficiaries to be supported
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IFRC Strategic Approach to the Crisis As shared in the Movement Advisory Platform (MAP) Meeting in Beirut (May 17-18, 2014), the IFRC has a twin-prong strategic approach towards addressing this crisis, particularly noting the nature of the conflict, its spread and the protracted nature of this crisis. For the IFRC, it is important to both:-
1.) Enhance and sustain host National Society capacities to be the lead, first-line responders 2.) Ensure that services are delivered in a relevant, efficient, timely manner and are well received by beneficiaries, both now and for the months to come.
ENHANCE AND SUSTAIN NATIONAL SOCIETIES’ CAPACITY AND PROGRAMME SERVICES AND SUPPORT 1 To recognize that capacity enhancement and sustenance are not “tradi- tional activities” related to development but rather life-saving means.
Humanitarian Diplomacy Communications Financial management Reporting Information management Scaling-up operational infrastructure
Operational capacities
DIRECT SUPPORT TO AFECTED POPULATION 2 To harmonize Federation-wide resources efforts and to ensure that resources are used in the most efficient way and made available for Host National Societies to respond to the growing needs.
Cash Transfer Programme Relief (Food and NFI) Gender diversity Contingency planning Health WASH Community-based health and first aid Violence prevention Psychosocial Support Resilience Logistics
The IFRC also has a key role to continue to facilitate coordination amongst the partner National Societies in each country, and particularly in Lebanon, where there are about 20 National Societies present, to support the host National Societies to harmonize RCRC efforts and create synergies and cost efficiencies to improve the efficiency of the Red Pillar engagementin this protracted crisis. Good coordination is underpinned by good information collection, collation and dissemination. For this reason, the IFRC took the innovative step about a a year ago, to set up the Four Ws (What, Where, When, Why) - an infographic tool to collect information from Federation members. The elevation of the 4Ws to the Movement Wide Reporting System (MWRS) is an initiative which was outlined in the recent MAP meeting and the IFRC is keen to take forward this initiative within the next six months, with the support of Movement partners.
To improve coordination and cohesion, the IFRC MENA Zone has developed a positiong paper that outlines four 4 Enabling Actions to support a more strategic approach to Federation-wide communication and coordination.
• Enabling Action One: To have a common framework and plan, led by Host National Societies. This, acknowledges that the crisis is country based (with regional aspects and effects) and
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supports the move from a regional appeal to country based plans and appeals. With a common country-level plan, resource allocation (both for capacity building and programming) should be easier and more efficient and it is expected that all Federation-wide supportshould contribute to this common plan. • Enabling Action Two: Promote a culture of Transparency and Accountability. Specifically, to a.) establish operational forums for sharing and analyzing information on progress and achievements b.) ensure quality monitoring and reporting on activities is shared to inform decision-making and enhance accountability c.) roll out MWRS d.) establish collaboration to enhance NSs’ capacities on results-based emergency planning and reporting. • Enabling Action Three: Act with one voice. The Tripartite Meeting on the Syria Crisis held during the Statutory Meetings in November 2013, stressed the need for a “single entry point” to “channel funds and goods in a consolidated way”. As such and to support the Movement to act with one voice, stronger Movement positioning should be established to support each National Society in its own context. • Enabling Action Four: Adapt to changing trends and evolving contexts towards investing for future rebuilding of affected communities. While the current focus is on supporting NSs in their response efforts, a sustainable and flexible capacity building and programming work has to be facilitated to enable the plan and programming efforts to the recovery and rehabilitation activities as the situation allows and needs require.
Lebanon The situation Since the beginning of the crisis in Syria, affected communities have been seeking refuge in Lebanon. According to UNHCR data base, as of end of May 2014, over 1,087,967 Syrian refugees are registered (48.3% male and 51.7% female). Refugees are spread all over the Lebanese territories; Bekaa 36%, Beirut 27%, North Lebanon 26%, South Lebanon 12%.
However, the Lebanese authorities estimate that the number of refugees from Syria is much higher and could surpass the one million with thousands of refugees crossing the Lebanese border every week.
Lebanon: number of Syrian refugees from 2012 to 2014 1,200 s nd
sa 1,000 hou T 800
600
400
200
0 Jan 2012 Jan 2013 Jan 2014
Source:UNHCR
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In addition to Syrian Refugees, there are also 53,070 Palestine refugees from Syria (PRS) who have registered with UNRWA. Of the total UNRWA response plan, only 22% is budgeted for support in Lebanon which increases the concern on the needs of Palestine refugees coming from Syria in the country. Lebanon is already host to approximately 440,000 Palestinian refugees, who were exiled from 1948 onwards. The Palestine Red Crescent in Lebanon provide support to these refugees but are particularly vulnerable due to the lack of support they receive from both national and international organizations.
Also, based on the Lebanese High Relief Commission (HRC) and International Organization for Migration (IOM) registrations, a total of 50,000 Lebanese returnees were registered across the country. The conditions of these returnees are broadly similar to those of Syrian refugees - most came to Lebanon without their belongings, are unemployed and are either renting accommodation or being hosted by Lebanese families, while some are living in collective centres and tents. This burden is likely to increase over time.
This makes a total of 1,191,037 (27% of Lebanon’s pre-crisis population - 1,087,967 Syrian refugees, 53,070 Palestinian refugees, and 50,000 Lebanese returnees) ) all seeking refuge in Lebanon and has led to the largest humanitarian emergency operation of its kind for many years. Projections for future influxes are subject to uncertainty which increase the complexity of this crisis. The increased number of refugees creates several concerns regarding their living conditions and the situation of the vulnerable Lebanese population hosting Syrian families, knowing that Lebanon has the highest per capita concentration of refugees worldwide. This situation has also influenced the economic situation of the Palestine refugees in Lebanon, who are already facing economic problems. The humanitarian needs have been assessed by many humanitarian actors including the Red Cross Movement. Below is a brief summary of these needs: • Economic Repercussions in Lebanon: The Syria crisis has had serious economic repercussions in Lebanon which adds to the strains the country is experiencing. Based on a rapid Economic and Social Impact Assessment of the Syrian conflict on Lebanon for the 2012-2014 undertook by the World Bank, these repercussions may be summarized as following: • Cut GDP growth by 2.9% each year, with losses in wages, profits, taxes, private consumption and investment; • Approximately 170,000 Lebanese pushed into poverty, with over 1 million already below the poverty line; • Double the unemployment rate to above 20%, mostly unskilled youth; • Government revenue collection down by USD1.5 billion, while government expenditure is up by USD1.1 billion due to the surge in demand for public services, bringing the total fiscal impact to USD2.6 billion.
Shelter/Settlements: No formal refugee camps have been established in Lebanon due to political reasons. Based on a shelter survey done by The Assessment Capacities Project (ACAPS) in March 2014, around 15% of the refugee and returnee population is residing in around 1,000 informal tented settlements (ITS) while another 25% live in other substandard shelters, including worksites, unfinished houses, and one-room structures. Refugee families renting shelters are facing a heightened risk of being evicted, due to an inability to pay rents and the growing discontent of host communities. This has led to the augmentation of hundreds of ITS in areas such as Bekaa and North Lebanon, which are the poorest areas of the country.
The Palestinian refugees are already living in run-down refugee camps and one of the most immediate concerns for PRS is shelter, due to a housing shortage, high rents and the government's reluctance to authorize new camps. Refugees are dependent on UNRWA to provide support for rental assistance.
WASH: Water and sanitation services are under enormous strain, with 27% of registered Syrian refugees in Lebanon lacking adequate access to potable water, 29% in need of improved sanitation facilities, and 70% in need assistance to maintain personal and household hygiene. Based on the survey done by Solidarité International, water testing results show that 80% of the water points used for drinking water are contaminated and only 3% of the refugees interviewed are treating water before using it, revealing a high prevalence of diarrhoea cases (27.8%) among the target population.
Access to sanitation facilities is inadequate for most ITS, with the toilets used being overcrowded (65.6% of the households share one toilet for 15 people) and the majority are unhygienic (75%). This is in addition to the lack of showers and of drainage systems There is also a high risk of flooding.
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Also, based on an assessment done by ANERA, there is an acute shortage of potable and service water among almost half of the Palestinian refugee population, which suggests high health risks. Toilets that are shared by large numbers of people and an estimated 2,700 refugees have to leave their shelters to use an external toilet, raising the chance of health problems, especially for young children and women. There is also an acute shortage of hygiene items, which further exacerbates the problem.
Health: Health facilities have low capacity to respond to the local population and increasing numbers of refugees. A severe shortfall in international support has left many Syrian refugees in Lebanon unable to access crucial medical care. Amnesty International has just published a report focusing on the consequences for Syrian refugees in Lebanon of not being able to access adequate health care.The situation is so desperate that in some cases refugees have resorted to returning to Syria to receive the treatment they need. The health system in Lebanon is highly privatized and expensive, leaving many refugees reliant on care subsidized by UNHCR. However, due to a shortage of funds, UNHCR has been forced to introduce a restrictive set of eligibility criteria for people in need of hospital treatment. Even when refugees meet the tight criteria, they most must pay 25% of the costs themselves. Some refugees have missed treatment or resorted to negative coping mechanisms to pay for care. At the same time, hospitals have accumulated significant unpaid bills and some have resorted to severe methods to collect payments, such as detaining patients or bodies , requesting upfront payment, and confiscating registration documentations.
Many sources note the increasing number of deaths in areas where Syrian refugees are residing, especially among the elderly and babies, due to the spread of diseases in ITS, where there is a lack of minimum health and safety conditions. Some cases that are initially relatively straightforward to treat have become life threatening due to complications caused by lack of treatment. According to UNHCR, among the refugee population to have sought medical attention, over 70% of patients are women and nearly one quarter is children under five.
In addition to the challenges to secondary health care, the workload in primary health centres is also vastly increasing, with physical access to health centres a challenge for refugees, especially those in remote locations. The current supply of medicines for acute and chronic diseases is insufficient to cover the rising demand. The prevention of disease control presents a challenge in crowded living conditions, with the onset of summer. The presence of mobile teams should be increased to enhance screening and referral and access to primary and secondary health must be considered as a top priority.
UNRWA is still the main healthcare provider for Palestinian refugee families in Lebanon, in addition to the Palestinian Red Crescent Society (PRCS/L). However, the dramatic increase in the number of patients, without a proportionate increase in their organizational and financial capacities, makes the situation worse. This means that families either have to pay out of their own pockets or refrain from seeking care for their acute and chronic conditions.
Food Security/Nutrition/Livelihood: Lack of sustainable livelihoods, food and nutrition represent some of the main risks for Syrian refugee families. Since the implementation of targeted distribution of aid by UNHCR, whereby food and NFI assistance is targeted to around 70% of registered individuals, over 30,000 households have appealed against their exclusion. WFP highlighted that even among WFP beneficiaries who receive food support, food coping strategies have deteriorated, with an increase in the number of households resorting to buying low quality food, limiting portion sizes and reducing the number of meals oer day. 72% households reported buying food on credit and close to 50% of households indicated that they were reducing essential expenditure to cover their food needs (UNHCR 2014/02/27, WFP 2014/03/07). Based on the Amnesty International Report, an estimated 2,000 children under the age of five are at risk of dying from malnutrition; with over 50% suffering from severe acute malnutrition. Between 5% and 10% of children under 5 years in Bekaa and north Lebanon suffer from acute malnutrition.
Interpersonal Violence and Gender: There is no quantitative data in respect to violence against women, but many displaced Syrian women and girls report having experienced violence, in particular rape. Based on a rapid assessment conducted by the International Rescue Committee, many forms of violence were identified including rape and sexual violence; intimate partner violence (IPV); early marriage and survival sex. Many newly arrived women and girls are living in unplanned and overcrowded refugee settlements, with minimal privacy and compromised safety, particularly among those refugee populations inhabiting
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abandoned public buildings. Survivors are reluctant to report Sexual Gender Based Violence (SGBV) or seek support due to the shame, fear and ‘dishonour’ to their families. Women risk further physical and sexual violence, including death, often from their own families, when reporting GBV.
Some national and international service providers are reluctant to be associated with response to SGBV and are unwilling to expand their programme to provide specialized care for survivors. Utilization of services for survivors of SGBV is also limited due to distance to these services, restricted freedom of movement imposed by family members and cultural pressures. Syrian Refugees are often isolated from the rest of the population and lack information on their rights andof the support they could receive. Major humanitarian actors recognize these gaps, but have limited capacity due to current commitments and rely on local partners to deliver needed assistance. Having access to first-aid and protection skills, to health and hygiene good practices and to mitigation measures is the best way to empower communities to protect themselves to better cope with their current difficult living situation.
Coordination and partnerships Lebanon Red Cross Red Crescent Movement Partners of LRC: There are 20 Movement partners now present in Lebanon and working either regionally or directly with LRCS. There is a major focus on coordination and cooperation from LRCS as well as from other partners and coordination mechanisms are constantly being reviewed and improved. LRCS holds a monthly coordination meeting for information sharing and analysis which all Movement actors take part in.
In addition, to strengthen sector coordination, a lead PNS has been appointed by LRCS for each sector: Health – Norwegian Red Cross; Psycho-social Support – Danish Red Cross; Disaster Risk Reduction (DRR) and Disaster Management (DM) – German Red Cross; Relief - Netherlands Red Cross; Logistics – British Red Cross; Volunteering – Spanish Red Cross; NS and Blood Banks – Swiss Red Cross.
The below diagram shows how the sectors in which RCRC Movement partners present in Lebanon are involved. Please refer to Annex 1 for a more detailed explanation on the RCRC Movement coordination in Lebanon. These sectors and programmes supported by Movement partners are components of the LRCS Syria Crisis plan, which is regularly updated to cope with pressing needs, priorities and available support.
Austrian RC Belgian RC Canadian RC British RC Danish RC German RC German RC Kuwait RC Food security/ IFRC* Netherlands RC Nutrition/ Livelihoods Health Italian RC Qatar RC Netherlands RC Norwegian RC Qatar RC
Austrian RC British RC French RC Belgian RC German RC Shelter/ French RC Settlement/ Capacity building IFRC* NFI/ German RC Iranian RC WASH ICRC Iraqi RC IFRC* Netherlands RC Netherlands RC Qatar RC Spanish RC UAE RC Swiss RC
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* IFRC Support includes contributions from: American Red Cross, Australian Red Cross, Australian Government British Red Cross, German Red Cross, German Government, Icelandic Red Cross, Icelandic Government, Italian Red Cross, Japanese Government, Japanese Red Cross Society, Korea Intern. Coop. Agency (KOICA) Republic of Korea Government, Norwegian Red Cross, Red Cross of Monaco, Spanish Red Cross, Swedish Red Cross, The Canadian Red Cross Society, Canadian Government, The Netherlands Red Cross, Netherlands Government, UNDP - United Nations Development Programme, Chile Government, United States Government, Finnish Red Cross, Red Crescent Society of Islamic Republic of Iran, Swiss Red Cross.
Outside of the RCRC Movement, LRCS coordinates with a variety of humanitarian actors including:
1. Norwegian Refugee Council (NRC) and LRCS share database, which the LRCS uses for the distribution of Women Emergency Kits. NRC also provides LRCS with information on the implementation of emergency family plans to deal with water scarcity for ITS in Tripoli and Baalbek. 2. Danish Refugee Council (DRC) provides the LRCS with information on locations where soft WASH is needed. LRCS teams implement Hygiene Promotion sessions based on this information, such as in the collective center in West Bekaa. 3. UN Agencies: LRCS and UN agencies coordinate to share beneficiary lists to identify beneficiaries with the most urgent needs and to avoid duplication of humanitarian support. 4. UNICEF: LRCS attends the WASH technical working group and Hygiene Promotion technical working group co-led by UNICEF. UNICEF also provides LRCS with in-kind donations. 5. ARCO (Arab Red Crescent Organisation): provided LRCS with stoves and fuel to be distributed to Syrian refugees. 6. UNHCR: leads the Shelter, NFI and Newcomers technical working group which LRCS attend. 7. Lebanese Ministry of Energy and Water: LRCS is a member of the Water Scarcity Task Force and has been identified as a key partner for HP sensitization for the eight DM teams already trained.
IFRC regularly attends the inter-sectorial coordination mechanism established by the Humanitarian Country Team (HCT) and Syrian International NGO Regional Forum (SIRF). The RCRC Movement continues to liaise with stakeholders active in the concerned sectors and geographical areas, and/or in the more global support to the Syrian refugees, in order to share information, to avoid duplication and to identify potential areas of cooperation. IFRC through its newly appointed Lebanon Operations Coordinator will facilitate and support LRCS to strengthen Movement coordination to ensure a better utilization of partners’ resources in responding to the increasing needs of both refugees and host communities. This includes a close coordination with PRCS branch in Lebanon ensuring that Palestinian refugees are targeted also.
PRCS Lebanon Branch cooperation with RCRC Movement partners Belgian RC British RC Canadian RC Danish RC Food security/ German RC Nutrition/ IFRC* Livelihoods Health Norwegian RC Spanish RC Swedish RC Swiss RC
Shelter/ Settlement/ Capacity building NFI/ WASH
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Red Cross Red Crescent Movement Partners: IFRC, Danish Red Cross, Spanish Red Cross, German Red Cross, Netherlands Red Cross, Swiss Red Cross and Belgian Red Cross have all been providing support through bilateral agreements with PRCS/L. While Canadian Red Cross and British Red Cross have been providing multilateral support through IFRC. During the crisis period, PRCS/L has organised several coordination meetings with Movement Partners in order to coordinate the response. PRCS/L has also been working closely with UNRWA to coordinate ongoing efforts to assist Palestinian/Lebanon refugees as well as the Palestinian/Syria refugees. In addition to that, several bilateral meetings take place to discuss the needs, challenges, and plans to have synergy between all projects supporting PRCS/L during the crisis. PRCS/L, in cooperation with all partners, is trying as much as possible to reach new refugees arriving in Lebanon because of the crisis and partners are supporting PRCS/L in providing medicines, medical supplies, medical equipment, and infrastructure rehabilitation.
Red Cross and Red Crescent action
1) Lebanese Red Cross Society: As the Syrian conflict started to spill over to Lebanon, security along the border has started to deteriorate. Humanitarian actors face strong security constraints such as direct clashes against them and among different communities. This makes it difficult if not impossible for most humanitarian actors to reach people in need . Many international partners have called for the LRCS to play a bigger role in the response, due to its access through its branches and volunteer network, which is spread all over Lebanon and as its members come from all socio- economic, political and religious backgrounds and are well accepted by all communities in the country. This is also linked with strict application of fundamental Red Cross principles: Humanity, Impartiality, Neutrality, Independence, Volunteering, Unity and Universality. LRCS has been mandated by its Government to lead emergency interventions and provide Emergency Medical Services (EMS) and coordinate all private or associative medical evacuation activities across the country. In addition to that, LRCS is part of the National Response Plan (contingency plan). LRCS with the support of the RCRC Movement has the capacity to be the national civil society counterpart of international humanitarian actors to support people affected by the Syrian crisis in Lebanon. During the period December 2013 to January 2014, the RCRC Movement partners present in Lebanon conducted multi-sectorial field assessments to identify emergency medical, relief, WASH, disaster management and protection needs, as well as gaps in the humanitarian response to the Syrian crisis. The selected areas hosted large numbers of refugees who have so far received little assistance because of security issues or access constraints, namely the area around Halba in Akkar district, with a special focus on Wadi Khaled and Macharih Al Qaa; the area around Arsal in Baalbek and Hermel districts, with a special focus around Ras Baalbek, the area around Zahle, and the area around Hasbaya, with a special focus on Chebaa and Tyre. A report was prepared with findings and LRCS action framed accordingly. Please refer to https://www- secure.ifrc.org/DMISII/Pages/02_Disaster_tracking/0203_operations/OT2011000025SYR.aspx for this report. Based on its mandate and the priority needs and the gaps in humanitarian assistance, LRCS supported by Movement partners and other humanitarian actors has provided emergency life-saving assistance to a total of 314,775 Syrian women, men, girls and boys including 5,837 individuals from the host communities, as of end of May 2014. 1 The LRCS response so far has provided the technical services which are considered to be the main expertise of the LRCS in Lebanon the those assessed as most vulnerable. For detailed information on the achievements of LRCS, please refer to List of LRCS Achievements on: https://www-secure.ifrc.org/DMISII/Pages/02_Disaster_tracking/0203_operations/OT2011000025SYR.aspx or see summary below
1 In some cases beneficiaries could be counted twice for receiving different types of support.
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• s During the period, LRCS, supported by Movement partners, has responded to the winterization needs of a total of 25,275 Syrian refugees under this sector by distributing winterization items needed to protect the most vulnerable during cold weather. These items are: blankets and fuel vouchers for heating. • In addition, LRCS also responded to the livelihood needs of 2,234 Syrian women and girls through the distribution of women’s emergency kits, providing 2,234 women with much needed items. Livelihood
• LRCS also provided urgent assistance for 350 children through giving them winter clothes. • The shelter needs were not responded to by the LRCS as many other humanitarian actors have been trying Shelter/Settleme nts/ (27,859 Syrian Syrian (27,859 refugees)
to respond to this need, while LRCS focus its intervention under different areas.
• During the period, LRCS supported by Movement partners has responded to the most urgent needs of 15,940 Syrian refugees under this sector, by distributing hygiene parcels, raising awareness on hygiene and providing garbage bins for the most vulnerable in order to improve their living conditions and help prevent the outbreak of disease in the overcrowded areas, where diarrhoea and head lice are prevalent. • In addition to that, LRCS also has recently started a new project distributing water filters and aqua tabs. 890 WASH WASH (19,645 Syrian refugees) Syrian refugees have already benefited from this, in order to improve household water quality and reduce diarrhoeal disease in users. • LRCS has recently started raising awareness among Syrian refugee families in 3 ITS and 1 unfinished building in Central Bekaa, on the risk of flooding and how to cope with them, in addition to mitigation works in 3 ITS in Central Bekaa in which 2,815 Syrian refugees have benefited. DRR DRR (2,815 Syrian refugees) Disaster Management Mobile Units (DM MU): The creation of Disaster Management Mobile Units (DM MU) is in response to continuous requests from INGOs, UN agencies, ICRC, and LRCS EMS, seeking support for the critical medical and living conditions of Syrian refugees. DM MU and other LRCS teams work closely with humanitarian actors in order to offer a coordinated and holistic assistance including the distribution of food parcels, bread bags, household kits and winter clothes. LRCS coordinates with UN agencies and other actors by sharing lists of refugees who are not supported by food aid. Based on this information, LRCS has been able to provide food, meat portions and bread to 172,620 Syrian refugees. This support will continue to be provided. In
Food Security/Nutritio n/Livelihood Syrian (180,120 refugees) addition, LRCS with the support of Movement partners has recently started a new project in which 7,150 Syrian refugees benefited from the distribution of household kits for rapid deployment. • First Aid and EMS: (18,074) Refugees arriving in Lebanon often need emergency first-aid or transportation to hospital. Most lack financial resources to pay for medical fees, which are not always covered by the existing assistance system and turn to LRCS for support. Technical services of the LRCS in rescue and first-aid is provided free of charge for whoever lives in Lebanon. Throughout period, LRCS has responded to the most urgent medical needs of 18,074 Syrian refugees, including the deceased and medical evacuations. Most of these are wounded in need of primary health care and transportation to and from difficult areas. In addition, LRCS teams have also been providing primary health care to disabled refugees who are not able to be transported to hospital or other medical centres, at home or at the EMS stations. LRCS has a hotline where any person who is in need of emergency medical care and transportation to secondary health services can call. The number of the hotline is being disseminated to Syrian refugees by all LRCS volunteers and other humanitarian actors. • Community Based Health and First Aid: In line with UN Health Working Group (WG) guidance on outreach, some refugees are trained by LRCS
teams on first-aid and community-based health to properly assist wounded within affected communities before EMS teams are reached. These first-aid community members are selected through a process involving LRCS mobile-clinic social workers and DM mobile units. • Mobile Clinics: (57,272 Syrian refugees and host communities) Mobile Clinics are equipped mini-vans consisting of one doctor, one nurse, one mid-wife, one social assistant, one Red Cross volunteer and a driver. The LRCS Mobile Clinic is on duty 5 days a week from 8a.m until 2p.m in areas where the majority of
Health Health host and refugees Syrian (87,501 communities) Syrian refugees reside in Akkar, Bekkaa, Chouf and Tyre. The LRCS Mobile-Units provide health services
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free of charge for whoever lives in Lebanon. Based on continuous visits and consultations, the Mobile Clinic teams were able to build a data base for the health condition of most refugees and host communities and this data base is used to improve the health support provided by the LRCS and the referral system in place. Here are some of the findings of this data:-: • The profile of patients of Mobile Clinics is as follows: 68% female and 44% children under 15 years old. • Based on the health information system of LRCS, the most frequent diseases of Syrian Refugees are: 22% different infectious diseases, 11% cardio vascular, 10% digestive system diseases, 9% gynecological diseases and others. • 4 to 5% of the beneficiaries of Mobile Clinics receive immunization and 13 to 20% of these beneficiaries are receiving health promotion messages, including messages on how to prevent diseases related to bad hygiene conditions, how to care for children in difficult conditions, pregnancy and child birth. • 51,545 Syrian refugees and 5,727 individuals from host communities have been supported by the Mobile Clinics and have an increased access to primary health care, vaccination, immunisation, health promotion and social support, including providing seasonal and chronic disease medicines to those in need. In addition to that, an average of 50 patients identified by the LRCS Mobile Clinics are referred monthly to secondary level hospitals.
• Psycho-social Support and Referrals: (5,231 Syrian refugees and 110 from host communities) Psycho-social support completes the medico-social care provided by Mobile Clinics and develops LRCS volunteers' skills to emotionally deal with critical situations and take care of vulnerable people concerned by protection situations. Patients are referred by the medical team to social workers or vice versa. The social workers provide patients with information about access to services, as well as individual guidance and follow up. Social workers respond to patients’ consultations, manage their cases and refer them to other needed services. LRCS volunteers and workers are trained on Psychological First Aid (PFA) and violence prevention in order to cope with the difficulties they witness on a daily basis. And also to be enabled to respond better to the needs, so they can adapt their responses to the affected population i.e. knowing how to listen and respond to an anguished caregiver. They also help prevent burn out and provide volunteers with an understanding of the risks of secondary traumatization. They are introduced to peer support so they have knowledge about strategies to support one another. Psycho-social support activities target children, adolescents and caregivers. • LRCS activities for refugee children: play groups, structured workshops, remedial classes, camp days, excursions and individual counseling. These activities take place in a safe environment where they interact and connect, have stress relief and are supported psychologically. • LRCS activities for refugee adolescents: Adolescents participate in support groups on how to protect themselves, prevention of early marriages, how to manage stress, and build good relationships with parents. • LRCS activities for caregivers: in support groups caregivers learn about children’s reactions to crisis and how to handle these, understanding and handling their own reactions of distress and loss, child protection and early marriage. These activities take into consideration the importance of interaction between refugee and host communities in order to create mutual understanding of life circumstances and reactions to crisis events as a means to reduce tensions between refugees and host community members of all ages. So far LRCS medico-social teams have responded to the urgent Psycho-social needs of 4,470 Syrian men, women, girls and boys and 110 children and adults from host communities. A referral system is in place in which cases of sexual gender based violence and interpersonal violence are being referred to other organizations such as UNHCR, IMC and Terre des Hommes. So far 761 cases of Syrian men, women, girls and boys have been referred. • Blood Banks: (6,814 Syrian refugees) There are 12 LRCS Blood Banks in Lebanon including: LRCS Head Quarters in Beirut, Zahle, Jounieh, Jemaizeh, Antelias, Tripoli, Beit Eddine, Saida, Nabatieh, Tyr, Halba and Jbeil. Blood banks provide: Whole Blood, Red Blood Cells, Fresh Frozen Plasma and Cryo precipitate. The 12 blood banks are connected through a database network, where the technicians share up-to-date information i.e. available blood units in stock in which beneficiaries are easily informed where blood units of blood types are available. LRCS Blood Bank Department covers more than 50% of the blood needs of Lebanon, in addition to the needs of refugees. Additionally, the LRCS has 16,405 potential donors who are ready to give blood in emergency cases. The treatment of the blood donated is under the safety and security standards established by the World Health Organization (WHO) and the Lebanese Ministry of Public Health (MPH). LRCS blood transfusion centres are equipped with sophisticated medical devices to check the safety of the blood donated. These tests include: determination of the blood type, hepatitis B and C and HIV (AIDS) virus – VDRL (Syphilis). As of end of April, 6,814 blood units saved the lives of 6,814 Syrian refugees.
2) Palestine Red Crescent Society/Lebanon Branch: Since the start of the Syria Crisis, the PRCS/L has been supporting the health needs of Palestine Refugees coming from Syria free of charge responding to the critical health needs of these refugees. This support has been provided through 5 hospitals of the PRCS/L:
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Al Hamshari Hospital/Sidon; Al Nassrah Hospital/ Bar Ilias / Beqaa Valley; Balsam Hospital/ Al Rashidiya camp/ Tyre; Haifa Hospital/ Burj al Barajneh camp/ Beirut; Safad Hospital/ Al Baddawi camp/ Tripoli.
And Nine Medical Centers: Al Bared Clinic, located in Nahr el Bared refugee camp; Akka Clinic, located in Beer Hassan; Shatila Clinic, located in Shatila refugee camp; Mar Ilias Clinic, located in Mar Ilias refugee camp; Sa’id Sayel Clinic, located in Ein el Hilwa refugee camp/Sidon; Al Jalil Clinic, located in Burj el Shamali refugee camp; Al Booss Clinic, located in Al Booss refugee camps; Al Kassimiyeh Clinic, located in Al Kassimiyeh refugee camp; Wavel Clinic, located in Wavel refugee camp, Baalbek
The total number of patients admitted to the 5 PRCS/L hospitals has been noticed to be increasing each year, in which 5% increase was measured in 2010, 6% in 2011 and 13% in 2012 and even dramatically increased in 2013 and 2014. With the prolongation of the Syria Crisis and the remarkable increase in the influx of Palestinian/Syrian refugees into Lebanon, PRCS/L faced challenges in order to continue providing the needed treatment. However, with the generous and significant support from the RCRC Movement Partners (bilaterally or through the IFRC appeal) has provided PRCS/L some assistance to cope with the crisis is still seeking for more. Due to the priority needs and the gaps in the humanitarian assistance, the PRCS/L supported by Movement partners and other humanitarian actors has provided emergency life-saving assistance to a total of 49,255 Palestine refugees in Lebanon, Syrian and Palestine refugees coming from Syria as of end of June 2014. Progress towards outcomes 1) Lebanese Red Cross Society:
Health in Lebanon Outcome 1: Target refugees have access to basic health care and lifesaving pre-hospital services Outputs Progress towards Outcome 50,000 Syrian refugees are provided Throughout the LRCS Medico-social clinics urgent medical care with seasonal & chronic disease has been provided to Syrian refugees and host communities to medicines ensure access to basic health services out of which: • 51,545 Syrian refugees and 5,727 individuals from host communities have an increased access to primary health care, vaccination, immunisation, health promotion, and social support out of which: - 29,669 Syrian refugees were provided with seasonal disease medicines. - 1,581 Syrian refugees were provided with chronic disease medicines. LRCS Mobile Clinics & EMS • The access to wounded (especially over difficult terrain), ambulances running costs are sick, disabled and deceased Syrian refugees has reached covered to enable meeting the a total of 69,031 Syrian refugees and 5,727 of the increasing numbers of patients Lebanese host communities throughout increasing the number of ambulances of the LRCS EMS by 50 (11 ambulances under this appeal) and the number of Mobile Clinics by 1 functioning in Saida and Chouf area (total Mobile Clinics are now 4), and through covering their running costs. • 289 LRCS ambulances are fully equipped and kept maintained filled in fuel and on duty. Out of these 40 ambulances are used to transport wounded Syrian refugees only in difficult terrains. • A health referral system is now functioning at the Mobile
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Clinics service in which an average of 50 Syrian patients are referred to secondary level hospitals per months making the estimated total of 300 cases referred. • One operation room at the Lebanese Red Cross Hazmieh EMS station has been fully equipped to strengthen the smooth operations of the emergency services.
Health clinic staff and volunteers from Under this sector, LRCS has a functioning Gender program all governorates are trained on including different components: interpersonal and gender-based - Interpersonal Violence including Sexual Gender violence prevention and response Based Violence protocols and safe referrals - Psycho-social program • 15 LRCS health staff and volunteers were provided with Training of Trainers (ToT) trainings who have already trained a total of 100 LRCS volunteers from different LRCS departments on Interpersonal violence including SGBV and response protocols in order to be able to identify cases of SGBV and to know how to deal and refer these cases and to gather data to be used by other service providers. • A referral system was put in place in September 2013 by LRCS in which a total of 761 cases between Syrian men, women, girls and boys were referred to other organisations since the beginning of the program.
Interpersonal violence (including • Assessments on the potential adverse impacts and tension SGBV) prevention and response between refugees and host community, needs on psycho- support including psychosocial and social support and Interpersonal violence in Akkar, Baalbek health services are available to and Tyr took place and appropriate interventions of the refugees as needed LRCS teams are being provided according to numeric methodologies. • 2,550 Syrian parents and caregivers have improved their adaptation mechanisms and their relationships with their children through activities such as awareness sessions for women, consultations on PSS, etc… • 759 Syrian children refugees (410 girls and 349 boys) and 23 children from host communities by end of May 2014 have increased and sustained interactions and community communication including public institutions and local associations throughout participating in the LRCS open days and festivals. • 157 Syrian adult refugees (98 women and 59 men) by end of May 2014 have increased and sustained interactions and community communication including public institutions and local associations throughout participating in the LRCS open days and festivals.
Outcome 2: The psychosocial well-being of 1,000 families is improved through provision of psychosocial and preventive health services. Outputs Progress towards Outcome Psycho-social Support is provided to • 100 LRCS volunteers from departments of EMS, Youth, refugee families Medico-social and Blood Banks are trained on PSS in order to handle their own psychosocial reactions and that of injured individuals and better provide services to Syrian refugees. • 976 Syrian children refugees (576 girls and 400 boys) and 75 children of host communities by end of May 2014 were provided with health and psycho-social support through strengthening their ability to interact with their peers and their caregivers, promote acceptance and endurance, trust
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one another, deal with concerns and reduce the level of tension. • 28 Syrian adult refugees (16 women and 12 men) and 12 from host communities by end of May 2014 were provided with health and psycho-social support through strengthening their ability to interact with their peers and their caregivers, promote acceptance and endurance, trust one another, deal with concerns and reduce the level of tension.
Outcome 3: LRC readiness in Blood Banks is enhanced Outputs Progress towards Outcome Blood test kits are provided to LRC • The 12 blood banks of the LRCS are better equipped as blood banks in the areas hosting per the International Standards through equipping them Syrian refugees with blood test kits and other needed equipment. • 6,814 blood units saved the lives of 6,814 Syrian Refugees since November 2011 out of which 1,600 blood units were provided in 2014 (Jan-April).
Food security, nutrition and livelihoods in Lebanon Outcome 1: Immediate food needs of 16,000 Syrian families are met Output Progress towards Outcome 2,000 food parcels distributed per month for a • Since July 2013, an estimated total of 13,250 of most period of 8 months targeting refugees living in vulnerable Syrian refugees (2650 families) have benefited host communities from the distribution of food parcels for twelve month based on rapid emergency needs assessments conducted by LRCS DM unit (32.5% increase in implementation than initially planned due to the increased funds than initially expected). • Food distribution follows a targeting strategy and registration system which was developed by LRCS in order to organize the process of relief support and registration of the most vulnerable. • A monitoring and evaluation mechanism is in place in which each distribution of food is accompanied with a monitoring and evaluation approach using tools such as post monitoring, distribution lists, check lists, reports templates, etc… • In addition to food parcels, and in order to enhance the daily nutrition of most vulnerable Syrian refugees by end of April 2014, 1,890,000 bread bags were distributed to 31,500 Syrian family refugees (157,500 Syrian refugees) in which each family benefits from 2 bread bags per day for 30 days out of which 720,000 were distributed in 2014. • In addition to that 375 Syrian refugee families benefited from the distribution of 375 meat portion during Ramadan. Distribution staff and volunteers are provided • 70 LRCS staff and volunteers were trained on relief with the skills and tools to conduct safe distributions in order to conduct safe distributions to Syrian distributions that protect dignity and promote refugees. safety • Out of these, 6 LRCS staff and volunteers are now provided with the Training of Trainees training (ToT) who are ready and in place to train other volunteers. • Logistics trainings are still in progress. Outcome 2: Immediate Winterization and other urgent needs of 34,989 Syrian refugees are met Output Progress towards Outcome 10,755 high thermal blankets distributed Additional NFIs were also distributed by LRCS meeting the targeting refugees living in host communities urgent needs of the most vulnerable Syrian refugees following
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the cold wave that hit Lebanon in December 2013, including: - 10,755 Syrian refugees benefited from the distribution of 10,775 high thermal blankets. 2,500 stoves distributed targeting refugees in - 12,500 Syrian refugees benefited from the distribution of host communities 2,500 stoves 18,000 fuel vouchers distributed for heating - 2,000 Syrian refugees benefited from the distribution of targeting refugees living in host communities 18,000 fuel vouchers for heating. 350 bags of winter clothes distributed to - 350 Syrian children refugee benefited from the distribution of Syrian children refugees 350 bags of winter clothes by end of April 2014. Each bag includes a sports suit and 6 socks. 5,000 household kits distributed to 5,000 - 7,150 Syrian refugees benefited from the distribution of Syrian refugee families (25,000 Syrian 1,430 household kits out of which 450 were distributed by refugees) end of April 2014 5,300 Women Emergency Kits distributed to - 2,234 Syrian women refugees benefited from the distribution Syrian Women refugees of 2,234 Women Emergency kits as of end of May 2014.
Water and Sanitation in Lebanon Outcome 1: Immediate hygiene needs of 16,000 Syrian families are met. Outputs Progress towards Outcome 2,000 hygiene parcels distributed per • An estimated total of 12,406 of most vulnerable Syrian month targeting refugees living in host refugees living in host communities have benefited from communities taking into account gender the distribution of 19,850 hygiene parcels based on and diversity (8 months). rapid emergency needs assessments conducted by LRCS DM unit (24% increase in mplementation due to the increased funds than initially expected). Distribution took place as follows: Bekaa: 1,500 families Mount Lebanon: 708 families South: 300 families North: 2,245 families • Distribution of hygiene parcels followed a targeting strategy and registration system which was developed by LRCS in order to organize the process of relief support and registration of the most vulnerable. • A monitoring and evaluation mechanism is in place in which each distribution is accompanied with a monitoring and evaluation approach using tools such as post monitoring, distribution lists, check lists, reports templates, etc… • In addition to distribution of hygiene kits, 2,047 Syrian refugees were sensitized on hygiene promotion by the LRCS volunteers in 2014. 4 garbage bins distributed in different • 1,487 Syrian refugees in 4 locations in Central Bekaa locations benefited from the distribution of 4 garbage bins for collecting garbage 178 water filters and aqua tabs distributed • 178 Syrian refugees benefited from clean water in 3 in camps in Zahle camps in Zahle through the distribution of 178 water filters and aqua tabs
Emergency Shelter in Lebanon Outcome 1: Immediate livelihood including shelter needs of 2,500 vulnerable host and refugee families are met through cash transfers Outputs Progress towards Outcome Unconditional cash grant provided to • A detailed feasibility assessment on the needs of the 2,500 (estimate) families per month to cash programme was conducted by the LRCS volunteers enable them to pay monthly apartment supported by a Household Economic Security (HES) rent and some other most essential delegate aiming to provide cash support for the most
17 household items for 6 months (75,000 vulnerable. Syrian refugees) • A report was the result of this assessment which led to the next integration of CTP activities (cash for First Aid training for 500 beneficiaries in Akkar as a first step) to the new LRCS DM strategy.
• The designing and establishing of the cash programme to the most vulnerable families including deployment outputs, targeting of beneficiaries, identifying the most appropriate disbursement mechanism and modality of programming are still in progress preparing for the Cash pilot project.
Disaster Preparedness & Capacity Building in Lebanon Outcome 1: LRC’s operational readiness to respond urgently to an influx of refugees or other emergency is strengthened Outputs Progress towards Outcome 150 LRCS staff and volunteers are well • 12 LRCS volunteers from different 8 branches and HQ trained and ready to respond to an influx attended a total of 5 trainings on Logistics and of refugees or any other emergency warehouse management in 2014 • 55 LRCS volunteers from 8 branches and HQ attended a total of 7 trainings on relief in 2014 out of which 6 volunteers are now Trainers of trainees and are ready to provide these trainings to other volunteers • 83 LRCS volunteers from 8 branches and HQ attended a total of 9 trainings on hygiene promotion in 2014 out of which 6 volunteers are now Trainers of trainees and are ready to provide these trainings to other volunteers • 70 LRCS volunteers from 8 branches and HQ attended a total of 9 trainings on DM Introduction in 2014 out of which 6 volunteers are now Trainers of trainees and are ready to provide these trainings to other volunteers. To keep a contingency stock for the • With the support of IFRC, LRCS now keeps a LRCS in order to be able to respond to contingency stock to meet the urgent needs of 25,000 the needs of 25,000 beneficiaries beneficiaries. This include: 10,000 blankets, 10,000 jerry cans, 10,000 tarps and 5,000 Household kits. • 1,430 household kits were already distributed in which 7,150 Syrian refugees benefited from this for rapid deployment. Due to severe winter conditions in • With the support of IFRC, LRCS now keeps additional Lebanon in December 2013, LRCS keeps contingency stock of 12,600 blankets to meet the urgent additional 12,600 blankets for needs of 12,600 beneficiaries. contingency To rent 4 warehouses to keep the stock of • With the support of IFRC, LRCS has rented 4 items ready for distribution and those kept warehouses in Zahle, Hasbiah, Sour, and Luaizeh in for contingency order to keep the stock of items ready for distribution and those kept for contingency. These warehouses are rented and covered until October 2014. To procure 5 vehicules and make • With the support of the IFRC, LRCS DM unit has now available for the LRCS DM unit to support increased its DM cars with 5 vehicles for easier access to in easier access to areas where Syrian areas where Syrian refugees reside. refugees reside.
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To raise awareness of 302 Syrian refugee • 302 Syrian refugee families (1,510 Syrian refugees) in 3 families in central Bekaa on risks of floods ITS and 1 unfinished building in Central Bekaa are and how to cope with them sensitized on the risk of floods and are able to cope with them using Emergency Family Plan tool. To provide mitigation works for 261 • 261 Syrian refugee families (1,305 Syrian refugees) Syrian refugee families benefit from mitigation works in 3 ITS in Central Bekaa
2) Palestine Red Crescent Society:
Health - Palestine Red Crescent (Lebanon Branch) Outcome 1: Outcome: Refugees and Wounded persons’ health needs for emergency and health care are effectively and efficiently met. Output Progress towards Outcome Target beneficiaries (2,000 affected • 43,630 inpatients (including host communities) were persons) are provided with rapid supported by the 5 PRCS/L branch in Lebanon since medical treatment of injures and the onset of the Syria crisis out of which 8,963 were diseases Palestine and Syrian refugees coming from Syria. 2,125 Palestine and Syrian refugees coming from Syria were supported in 2014. These inpatients were provided with health needs through the PRCS five hospitals and Medical centers and they were selected as per specific criteria for new refugees approaching PRCS – Lebanon branch. The number of beneficiaries coming from Syria has exceeded the initially planned target due to the increasing needs of refugees coming from Syria and residing in Palestinian camps in Lebanon. • 5,625 beneficries (including host communities) were provided with essential community based health and first aid (CBHFA) support out of which 1,875 were Palestine refugees coming from Syria including strengthening their awareness on hygiene and health issues. These beneficries were supported since the beginning of the crisis until June 2014.
Revised plan The LRCS is currently one of the only organizations which have the ability to intervene to meet refugees and host population’s urgent needs along the border where security and access are difficult, if not impossible, for other actors. Should the situation further deteriorate, LRCS will be the coping and exit strategy for many humanitarian actors and should therefore be prepared to absorb such demands. LRCS already received an increased number of requests for delivering aid instead of international partners who used to intervene in these areas. Additionally, LRCS can count on permanent staff and volunteers already present in the area within a structure that is operational and accepted. LRCS is not relying on “remote control” strategies as they are present in the field. This allows more quality and monitoring because of trained staff already present. It also allows more sustainability of the action as the built capacity will remain in a pre-existing structure and will continue to exist in the coming years.
The IFRC revised appeal Lebanon plan is designed to provide a comprehensive response to identified humanitarian needs, gaps and constraints linked with the presence of numerous Syrian refugees within Lebanon. The rationale for RCRC’s intervention with the Lebanese Red Cross is based on the volatile security context which is increasingly leaving vulnerable people outside the scope of humanitarian assistance. Activities in the sectors of Emergency health, relief, disaster management and DRR, capacity building and hygiene promotion and
19 water supply in emergency will continue to empower and save the lives of over 524,511 2girls, boys, men and women during the period August 2012 – September 2014. This is a 38% scale up for this revision of the appeal in comparison to what was planned previously.
Selection of beneficiaries: • Emergency health interventions: beneficiaries are selected on medical needs, according to LRC’s first-aid mandate. • Cash for training component: beneficiaries will be selected based on the criteria that they have to be unregistered with the UNHCR data base and/or excluded Syrian refugees, referred by EMS, Medical- Social departments and DM Units, with at least 2 of the following: - 1 family member with health related problems, - Extreme economic vulnerability - Poor living conditions and/or proximity to Syrian border • For DM activities: beneficiaries will be those not covered by the coordinated assistance system and who are affected by weather events. Below is the revised Master Plan under IFRC appeal to include the new developed DM strategy of LRCS in response to Syria Crisis. This wide Plan includes cumulative figures of what has been achieved so far in addition to what is planned for the coming period July 2014 – September 2014, under each activity, the gap is mentioned:
Hygiene Promotion and Water Supply (revised) Outcome 1: Reduced risk of waterborne and water related diseases in Halba, Baalbek, Tripoli, Hermel, Zahle, Rachaya and Hasbaya Outputs Activities Planned 2,800 Syrian refugee families - Provide access to safe water to total of 2,800 families in ITS, collective (14,000 refugees) in Halba, centres and unfinished buildings in case of water shortage alerts confirmed Baalbek, Tripoli, Hermel, Zahle, and intervention is needed. Rachaya and Hasbaya have The water supply will be done considering acceptable manners without emergency water supply raising any risk of conflict between refugees and hosting communities. The modality of water supply will be emergency based, according to the situation either through water trucking or voucher modalities. This activity will last for 3 months. (IFRC will support in July-September 2014) - Distribute basic water items i.e. collective water tanks, ceramic filters, aqua tabs and jerry cans for Syrian refugees assessed where needed. (IFRC will support in July-September, 2014 ) 5,000 most vulnerable Syrian - Continuously conduct rapid emergency needs assessments to identify refugee families (25,000 the most vulnerable Syrian refugee families refugees) benefit from the - Continuously develop the targeting strategy and the registration system distribution of 1 hygiene parcel - Distribute 15,000 hygiene parcels for 5,000 most vulnerable Syrian each for 3 months refugee families. (IFRC will support in July-September, 2014) - Monitor and evaluate the hygiene parcels distribution activities and provide reporting on distributions 2,481 most vulnerable families - Provide 12,406 of most vulnerable Syrian refugees living in host living in host communities communities have benefited from the distribution of 19,850 hygiene provided with hygiene kits for 8 parcels based on rapid emergency needs assessments conducted by months LRCS DM unit (already achieved) 2,000 Syrian refugee families - Conduct hygiene promotion sessions for 2,000 Syrian refugees families (10,000 refugees) in Halba, (10,000 refugees) at family and community level in ITS, unfinished Baalbek, Tripoli, Hermel, Zahle, building and collective centres focusing on Personal Hygiene, hand Rachaya and Hasbaya have Washing, waste management, grey water management, black water improved hygiene practices management and hygiene practices this might including household visits and focus group discussions. - Implement recreational events for 10,000 Syrian women, men and children refugees focusing on hygiene practices and cleaning campaign. (July-September, 2014 gap is 7,953 Syrian refugees and will be
2 Targetted beneficiaries could be provided with more than one kind of support. Also beneficiaries who already received support during the previous implementation period could be also targeted again in the coming period and therefore are counted only once.
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supported by IFRC) - Organize cleaning days in ITS based on community participation and according to the needs assessment. (IFRC will support in July- September, 2014)
Relief and Winterization (revised)
Outcome 1: Immediate food needs of the most vulnerable Syrian refugees are met Outputs (expected results) Activities planned 7,650 most vulnerable Syrian - Continuously conduct rapid emergency needs assessments to refugee families benefit from the identify the most vulnerable Syrian refugee families distribution of 1 food parcel each (38,250 Syrian refugees) - Continuously develop the targeting strategy and the registration system
- Distribute 31,800 food parcels for 2,650 most vulnerable Syrian refugee families (13,250 Syrian refugees) during 12 months (already acheived)
- Distribute 15,000 food parcels for 5,000 most vulnerable Syrian refugee families (25,000 Syrian refugees) during 3 months (IFRC will support July-September, 2014)
- Monitor and evaluate the food distribution activities and provide reporting on distributions 31,500 most vulnerable Syrian - Distribute to 31,500 Syrian family refugees in which each family refugee families benefit from 2 benefits from 2 bread bags per day for 30 days (already achieved) bread bags per day for 30 days (157,500 Syrian refugees) 375 Syrian refugee families benefit - Distribute 375 meat portions to 375 Syrian refugee families during from meat portions during Ramadan (already achieved) Ramadan (1,870 Syrian refugees) Outcome 2: Immediate relief items during winter for the most vulnerable Syrian refugees are met *This contributes to other organization winterization efforts Outputs (expected results) Activities planned 125,000 of most vulnerable Syrian - Coordinate with other humanitarian actors and put in place an refugees have their immediate assistance system in the targeted areas: Halba, Tyre, Baalbek, winterization items procured and Tripoli, Hermel, Zahle, Rachaya and Hasbaya... ready to be distributed in order to - Implement Emergency Assessments upon humanitarian and local cope with the cold weather (5,000 actor’s alerts in response to unmet needs and/or inaccessible families per month for 5 months). vulnerable people. - Procure and distribute Winterization Kits for 5,000 most vulnerable Syrian refugee families per month (for five month) based on the needs assessment, humanitarian actors´ feed-back and coordinated assistance strategy). Coordinated assessments and procurement starts during the time- frame of this appeal while the distribution will be completed during the time-frame of the next appeal. (Please refer to the executive summary at the beginning of this appeal) The winterization assistance package consists of: one high thermal blanket or quilt for each person, a stove for each household, and Heating fuel through vouchers enough to cover the monthly needs per family for each of the five winter months (November 2013 to March 2014). - Procure and distribute Tarpaulins for 5,000 most vulnerable Syrian refugee families per month (for five months) based on the needs assessment, humanitarian actors´ feed-back and coordinated assistance strategy).
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Emergency health (revised) Outcome 1: Improved access to basic health, first aid, emergency treatment and transport of Syrian refugees and Lebanese host population and the capacity of 48 EMS stations is increased Outputs (expected results) Activities planned 20,674 wounded who are out of - Provide EMS services including transportation of wounded reach due to security constraints, (especially in areas of difficult terrain), sick, disabled and deceased sick, disabled or deceased Syrian and evacuation of civilians to a total of 20,674 Syrian refugees refugees are provided emergency (July-September, 2014 expected gap: 2,300 Syrian refugees) medical services and transported - Raise awareness on the emergency phone number among target as needed groups already provided with medical service (continuous). - Provide running costs, equipment, consumables and recruitment of additional teams for 9 EMS stations that are not covered by other Movement partners in Zahle and Qoubaiyat (support the Akkar area), Hasbaya and Marjaayoun (supporting wounded from Shebaa), Bolonia, Qornet Chahouane and Baabda (supporting wounded from Hermel and Rashaya), Batroun (supporting wounded from Tripoli) and Bekaata (supporting refugees in the mountain) (July-September, 2014 gap: 9 EMS stations while other EMS stations are supported by other Movement partners). - Equip the Shebaa, Qob Elias, Hermel and Halba (El Arida and Abadieh boarders) EMS stations with emergency items for boarder evacuation missions (July-September, 2014: 3 stations). - Increase the capacity of the LRCS EMS by 11 four wheel drive equipped ambulances and make them available to be used in difficult terrains (100% achieved by IFRC) - Increase the capacity of the LRCS EMS by 2 equipped regular ambulances for the transportation of sick. (July-September 2014 gap: 2 ambulances) - Cover the maintenance costs of the above mentioned fleet and/or others. (July-September, 2014 gap: 13 ambulances) - Increase the capacity of EMS on monitoring and information management in order to better promote and share qualitative data on achieved medical services including providing volunteers’ perdiems and flyers, stickers.... (July-September2014.) Outcome 2: Improved access to safe blood among Syrian refugees and vulnerable host populations and the 12 LRCS blood banks readiness to provide blood services is enhanced Outputs (expected results) Activities planned 8,239 Syrian refugees and - Provide 8,239 Syrian refugees and vulnerable host population in vulnerable host populations in need of blood transfusion with 8,239 blood units. (July-September, need of blood transfusion are 2014 gap: 1,425 refugees) provided with 8,239 blood units - Increase the number of blood collection campaigns in the 12 Blood through the 12 LRCS existing Banks by 20% by increasing the communication capacity including blood banks number of campaigns to 1. (July-September,2014 gap: 1 campaign) - Provide medical equipment to the 12 blood banks as needed in order to sustain the support of Syrian refugees and vulnerable host population (100% achieved) - Provide equipment and trainings to maintain the LRCS Blood Bank’s data base system operational including ensuring sex and age disaggregated data is collected and analysed. (planned for July- September, 2014) - Enhance blood collection capacity by reinforcing technicians’ presence in 5 Blood Banks: Tripoli, Halba, Zahle, Antelias, Saida and Beirut (Spears). (gap of July-September, 2014) - Purchase the needed consumables i.e. needle for the production of blood units in Tripoli, Halba, Zahle, Antelias, Saida and Beirut (Spears) blood banks. (gap July-September 2014)
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Outcome 3: Increased access to medical services among vulnerable Syrian refugees and Lebanese host communities Outputs (expected results) Activities planned 55,045 vulnerable Syrian refugees - Identify 55,045 vulnerable Syrian refugees and Lebanese host and Lebanese host communities communities who are most in need for medical assistance in Akkar, received medical assistance Bekaa, Tyre, Chouf and Tripoli (3,500 expected gap: July- September, 2014) (IFRC will continue to support the Chouf MMU while other MMUs are supported by other Movement partners) - Plan and coordinate regular medical visits with municipalities and stakeholders in targeted areas - Examine vulnerable Syrian refugees and Lebanese host communities and provide medical treatment with focus on acute diseases and prevention action (vaccination and health education) (3,500 Syrian refugees planned to be supported when needed) (IFRC will continue to support the Chouf MMU while other MMUs are supported by other Movement partners) - Provide medicines and laboratory tests to 2,081 of most vulnerable patients with chronic diseases (diabetes, cardiac diseases, handicapped) (500 patients expected gap: July-September, 2014) - Provide seasonal disease medicines to 29,669 Syrian refugees (already achieved). - Raise awareness on dangerous health conditions and importance of proper hygiene practice by MMU social worker during the visits to targeted areas (IFRC will continue to support the Chouf MMU while other MMUs are supported by other Movement partners) - Facilitate the referral of emergency cases when identified (an average of 50 cases were referred per months and will continue as needed). - Procure and equip two Mobile Medical Units for Chouf and Tripoli. (Chouf MMU already achieved, Tripoli MMU is a gap) - Deploy mobile medical team including: medical doctor, nurse, midwife, social worker, volunteer and driver for Tripoli MMU (planned for July-September, 2014) - Establish a 3 months stock of medicines for all 4 existing Mobile Clinics in health centres serving as bases for MMU (already achieved) - Upgrade the existing medicine consumption monitoring system (planned for July-September, 2014 ) - Establish MMU health data collecting system, monitoring of field work and reporting (already achieved)
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- Outcome 4: Increased awareness and recognition of basic health knowledge amongst Syrian refugees living in communities Outputs (expected results) - Activities planned 125 vulnerable Syrian refugees - Identify 125 vulnerable Syrian refugees who are mostly in need for have increased knowledge on health and first aid awareness in different areas of Syrian refugee basic health influx. (planned by IFRC for July-September, 2014 ) - Provide these 125 vulnerable Syrian refugees with CBHFA trainings and health awareness. (planned by IFRC for July-September, 2014 ) - Procure 125 first aid kits for the participants of the CBHFA trainings and on successful completion of the course these kits are distributed. (planned by IFRC for July-September2014 ) - Cover costs associated with transport and the participation of Syrian refugees in the training (planned by IFRC for July-September, 2014 ) - Outcome 5: Living environment is enhanced for the most vulnerable refugees from Syria and their host communities and the psychological distress is minimized Outputs (expected results) - Activities planned 2,095 vulnerable refugee children - Develop a continuous open club with children activities such as from Syria and host communities hand craft, theatre, painting…for 847 refugee children from Syria has enhanced resilience through and host communities (expected gap:200 July-September, 2014) participation in child protection and psychosocial activities - Provide counselling and individual psychotherapy for 100 refugee children from Syria and host communities. (expected gap:50 July- September, 2014) - Conduct early adolescent activities for 433 refugee adolescents from Syria and host communities between 10 and 12 years old. (expected gap:96 July-September,2014) - Conduct adolescent girls’ activities for 181 refugee adolescents’ females from Syria and host communities between 15 and 19 years old. (expected gap:96 July-September, 2014) - Recruit 74 Syrian young refugee females to carry out children activities (expected gap:10 July-September, 2014) - Provide psychological and educational sessions and lectures for 460 refugee young women and men. (expected gap:200 July- September, 2014 ) - Provide Psychological First Aid (PFA) and Community Based Psychological First Aid training for 30 LRCS frontline workers in order to take into consideration the psychological factor while providing first aid. (planned to be supported July-September, 2014) - Ensure supervision and monitoring of PSS activities mentioned above. (continuous) 3,305 vulnerable parents and - Identify victims in need of protection through conducting needs caregivers refugees from Syria and assessments in areas where there is an influx of Syrian refugees. host community members have - Refer cases where needed with their consent through the existing improved adaptation mechanisms referral system. and their relationships with their - Provide awareness sessions for 402 Syrian refugee children is enhanced women/caregivers through focus group sessions. (expected gap: 96 July-September, 2104) - Recruit 80 Syrian refugee women to carry out kids’ activities. (expected gap:80 July-September,2014) - Provide counselling and individual psychotherapy for 59 refugee adults from Syria and host communities. (expected gap: 20 July- September, 2014) - Provide psychological and educational ssessions and lectures for 311 refugee women and men from Syria and host communities. (expected gap:208 July-September,2014) - Provide social psychological counselling for 2,422 refugee women and men from Syria and host communities. (expected gap:360
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July-September,2014) - Manage and intervene in 31 psycho-social cases of refugee women, men and children and from Syria and host communities (expected gap:20 planned to be supported July-September, 2014) 2,087 vulnerable refugees from - Conduct community activities such as open days, workshops, Syria and host communities have community festivals etc... 1,838 women, men, girls and boys their interaction and the degree of refugees attend (expected gap:520 July-September,2014) communication with the - Conduct a summer camp in which 149 girls and boys refugees community, public institutions and attend. (expected gap:60 July-September,2014) local associations and other beneficiaries improved and sustained
Disaster Risk Management and DRR (revised) Outcome: Capacity and awareness of Syrian refugees on floods and water scarcity is enhanced Outputs (expected results) Activities planned 7,500 vulnerable Syrian refugees - Continue raising awareness of 7,500 vulnerable Syrian refugees on have increased their capacities floods and/or water scarcity using the Emergency Family Plan tool in and basic awareness on how to ITS and extend this activity to unfinished buildings, collective centres cope with sudden onset disasters and vulnerable Lebanese within the neighbourhood. (IFRC will support in July-September, 2014) Implement mitigation works for an estimation of 2,500 vulnerable Syrian refugees of targeted group i.e. gravel, improve soak pits at household level, improve channels and drainage with geotextile and stones, include cement pipes where needed. (IFRC will support in July-September, 2014) Distribute an estimation of 7 tool boxes at ITS level for mitigation works implementation. (IFRC will support in July-September, 2014) 302 Syrian refugee families (1,510 302 Syrian refugee families (1,510 Syrian refugees) are raised awareness Syrian refugees) are raised on risks of floods and how to cope with them in central Bekaa (already awareness on risks of floods and achieved) how to cope with them in central Bekaa 261 Syrian refugee families are 261 Syrian refugee families are provided with mitigation works provided with mitigation works (1,305 Syrian refugees) (already achieved) (1,305 Syrian refugees)
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Disaster Preparedness and Capacity building (revised) Outcome 1: LRCS operational readiness to respond urgently to an increase in influx of refugees or any emergency situation is strengthened Outputs Activities planned 20 LRCS DM staff and volunteers - Conduct 1 Disaster Management trainings for 20 LRCS DMU staff and have their skills and knowledge volunteers (IFRC plans to support for July-September, 2014) enhanced in order to better respond to the needs of refugees - Conduct 1 safety training for 60 LRCS DMU staff and volunteers (IFRC plans to support July-September, 2014)
- Conduct 5 trainings on Logistics and warehouse management for 12 LRCS volunteers from different 8 branches and HQ (already achieved)
- Conduct 7 trainings on relief for 55 volunteers including TOT in order to provide these trainings to other volunteers (already achieved)
- Conduct 9 trainings on hygiene promotion for 83 volunteers including TOT in order to provide these trainings to other volunteers (already achieved)
- Conduct 9 trainings on DM Introduction for 70 volunteers including TOT in order to provide these trainings to other volunteers (already achieved) LRCS volunteers are equipped with - Preposition and dispatch of 3,000 first aid kits for LRCS volunteers (already first aid kits for immediate response achieved) when needed and also for training use LRCS DM Units are equipped with Preposition of stocks enough for 200 families at 8 DM Units: relief tools and items in order to be 8,000 blankets capable to respond better to 1,600 hygiene kits identified needs of 200 families 8,000 mattresses (1,000 refugees) 175 collective water-tanks 16 emergency tents (relief activities) 8 tents (emergency shelter) (procurement during July - September, 2014) To keep a contingency stock for the - Preposition of contingency stocks at central level: LRCS in order to be able to 42,600 blankets (gap: 32,000 blankets procurement during July 2014) respond to the needs of 25,000 10,000 jerry cans (already achieved) beneficiaries 10,000 tarpaulins (already achieved) 5,000 household kits (already achieved)
LRCS keeps additional 12,600 - Procure and keep additional contingency of 12,600 blankets to meet the blankets for contingency urgent needs of 12,600 beneficiaries during winter 2014 (already achieved)
Make available 5 warehouses to - Continue leasing 4 warehouses in Zahle, Hasbiah, Sour, and Luaizeh in keep the stock of items ready for keep the stock of items ready for distribution and those kept for contingency. distribution and those kept for (Gap: 2 months rent November and September 2014) contingency - Rehabilitate and equip one LRCS warehouse in North Lebanon (IFRC plans to support during July-September, 2014) 8 cars are procured for the LRCS - Purchase 8 cars for DM for easier access to areas where Syrian refugees DM unit and DM Task Force for reside. (Gap: 3 cars July-September, 2014) easier access to areas where Syrian refugees reside.
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LRCS Operational Capacity is - IFRC will continue to support the operational capacity of LRCS supported by staff and needed through: mechanism Operational running costs for the DM Units (July-September 2014) Setting up Information Management and Reporting Systems of DM Unit at HQ and branch levels Conduct 2 training workshops on epidemic control for volunteers, Community mobilisation and DRR Cover the costs of the following key positions: • Under Secretary General for Operations • 1 Relationship Management Officer for the Coordination Cell • 1 Information Management Officer for the Coordination Cell • 1 Reporting Officer for the Coordination Cell • DMU Reporting Officer at HQ level • DMU Information Management Officer at HQ level
In Lebanon – Palestine Red Crescent (Lebanon Branch) This below Master Plan includes cumulative figures of what has been achieved so far by the PRCS/L in addition to what is planned for the coming period July 2014 – September 2014, under each activity, the gap is mentioned. Under this master plan the total number of benefiaciares of PRCS/L is 62,755 Palestine refugees in Lebanon, Syrian and Palestine refugees from Syria.
Health - Palestine Red Crescent (Lebanon Branch) ( Revised) Outcome 1: Outcome: The immediate health risks of the Refugees are reduced and prevented through the provision of emergency basic health care services by filling the gaps in health service provision. Output Activities planned 56,130 Palestine refugees in • Support the health needs of 56,130 Palestine refugees in Lebanon Lebanon, Syrian and Palestine (PRL), Syrian and Palestine refugees from Syria including medical refugees from Syria are provided with supplies, equipment and other operational costs through the PRCS/L rapid medical treatment of injures and five hospitals. The selection of these beneficiaries should meet the diseases both in and out patients agreed selection criteria for new refugees approaching PRCS/L branch. (12,500 refugees including host communities PRL out of which 3,125 Syrian and Palestine refugees coming from Syria will be supported during July-September 2014) • Provide 2 fully equipped Ambulances to support PRCS hospitals in Bekaa and Sour • Support part of the rehabilitation of PRCS hospital in Sour and provide the necessary equipment for the functioning of the hospital including replacing old broken beds, fixing elevator, procuring adult beds and food trays. 6,625 Palestine refugees in Lebanon, • Support 6,625 Palestine refugees in Lebanon, Syrian and Palestinian Syrian and Palestinian refugees refugees coming from Syria with community based health and first aid coming from Syria will be provided activities targeting both refugees and host communities with focus on with hygiene promotion activities and hygiene promotion (1,000 refugees will be supported during July – September 2014) kits • Support 200 families (1000 refugees) with hygiene kits.
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National Society Capacity 1) Lebanese Red Cross Society: Current LRCS services have been overstretched due to efforts to meet the needs of the “day-to-day” Lebanese population and to the growing refugee population in Lebanon. This could be easily noticed providing some figures: • Since 2011, 90% of LRCS mobile-clinics’ patients are Syrian refugees; • Accordign to statistics, during the first quarter of 2014, approximately 25% of blood units provided by the 12 blood banks are for Syrian refugees • In 2013, 400% increase in the EMS missions was noticed in comparison to 2012 due to the increase number of missions for Syrian refugees. In order to maintain quality services and free access for both Syrian refugees and Lebanese hosting communities, additional support to the LRCS is needed in order to: • Enable the LRCS to fulfill its mandate of support to the whole population in times of crisis by providing assistance to both refugees and nationals. As such, LRCS has participated in mitigating the risks of increased tensions between these two communities, but should it fail to do so, these tensions will further increase. • Enable the LRCS to keep good acceptance levels and safe-access which is highly needed in these critical times. In that regard, the response is tailored to the needs of beneficiaries that are not assisted yet due to security and accessibility constraints. It is tailored to the deteriorating security context. It is also aligned with the needs of the wider humanitarian community looking for local and well-accepted organizations. • The LRCS is already an existing organization with considerable capacities and a large network of well experienced and trained volunteers. Therefore, this appeal is much cost efficient as it doesn't aim at funding a whole structure but just at supporting the extra push needed to enhance LRCS’ capacity of response to face the increasing needs. Such a scale-up plan can also be considered as an investment as it will contribute to enhance the capacity of a strong local organization in Lebanon which capacity will be essential considering the security context as well as the various exit strategies of international actors.
• LRCS will develop or review their policy guidelines and implement them for various sectors of its support including Blood banks, health and social services and EMS.
2) Palestine Red Crescent Society/Lebanon Branch: With the prolongation of the Syria Crisis and the remarkable increase in the influx of Palestinian/Syrian refugees into Lebanon, PRCS/L faced some challenges providing the needed treatment to PRS and host communities. PRCS/L is always working on improving the quality of services provided by its facilities to meet the quality standards of services provided. The current situation and to be able to accommodate with any new upcoming situation that may occur, PRCS/L seeks to maintain a good quality of services to the most vulnerable. However, PRCS capacities with the expected funding of this appeal will be enhanced through procuring the needed ambulances and covering the running costs of the 5 hospitals including technicians and equipment and this will strengthen PRCS/L service delivery.
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Jordan
The situation
The influx of Syrian refugees into Jordan continues through February and March with a 40% increase in new arrival from Syria. The current daily average arrival is around 450 refugees these days. According to UNHCR, approximately 49% of registered refugees in Jordan are originally from Dar’a in South of Syria. According to the latest figures in the first week of May the total number of registered refuges in Jordan is over 593,000. Out of the total active registered Syrian refugees, 81.9% are living in urban settings and 18.1% are living in camps as Zaatari, Hallabat, King Abdullah Park and Cyber City in Ramtha. UNHCR Registration data shows that Amman (26.2%) and the northern Governorates of Irbid (23.2%) and Mafraq (11.8%) are the ones hosting the majority of the refugees. Jordan: number of Syrian refugees from 2012 to 2014
s 700 nd a s
u 600 o h T 500
400
300
200
100
0 Jan 2012 Jan 2013 Jan 2014
Source:UNHCR Children constitute about 52,2% of the total refugees population while refuges with over sixty years old are 3.5%. http://data.unhcr.org/syrianrefugees/country.php?id=107 see the Internal statistical report on active registered Syrians as 26 April 2014, some fact and figures graphics could be added. The greatest challenge faced by refugees is still the access to livelihood opportunities in order to have access to cash. This cash is mainly used for rent purposes. The limited access to livelihood opportunities has provoked an increase in negative coping strategies. The increase in prices of rent, food and services make the living conditions and vulnerabilities of the refugees more acute.
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Sector Achievement The Azraq camp has been opened during last week of April and they have started to receive Syrian refugee families. This camp has an expanded capacity that could reach 130,000 refugees. • The Red Cross Red Crescent Hospital in Azraq will be operating as per the camp reaches
a critical mass that is expected to be on by the end of June 2014. • The first quarter of 2014 saw the completion of the hospital structure. The tented ERU field hospital, erected in September 2013 when the Camp was originally meant to open, Healtth was therefore dismantled. • The hospital is due to start serving the secondary health care needs of the camp population once it has reached a critical mass (estimated to take place a by mid June 2014 June 2014. Cash Transfer Programming (CTP) has proved to be an effective response to the needs of the most vulnerable Syrian refugees and maintenance of this approach is moving ahead smoothly and cash distribution are taking place regularly and they would be maintained. • Household assessment of each of the Syrian refugee families will be done during the 6 months and 1 year of CTP assistance to secure that vulnerability conditions are still there and the support is provided to the most in need. The CTP ensures a quick and secured
transfer of the allocated cash to the targeted beneficiaries, provides dignity and flexibility as well. Post distribution monitoring visits and focus group discussions are conducted to find out uses of the given cash and beneficiary satisfaction to the program. IFRC is under discussion with the implementing partners in order to add new technology in parallel to the ATM cards. • During the first quarter of 2014, the activities have been focused in the post monitoring distribution to 2,990 families who received supplementary winterization cash assistance, added to the regular cash received, to enable them to cover their accommodation, to pay for utilities and heating, fuel cost or/and other winter items to cope with the severe climatic condition during December 2013 (280 JoD one off). The monitoring shows the recipients used this winterization top up for winter items as well as for accommodation as the regular cash is not enough to cover the monthly rent, following by debts as the average time that families have been in Jordan is over year and all the savings and jewellery are exhausted, therefore one of the main coping strategies to cope with the Cash Transfer Programming (CTP) Programming CashTransfer harder periods is borrowing money from the Syrian community. • Within the months of February and March as well it was distributed the replacements of the ATMs which were coming to the expired date at the end of February 2014. Therefore, 14 distributions were conducted to reach all the families with pending payments in Amman and Ajloun. These distributions were also used to inform to the beneficiaries that the support period was extended from 6 months to 8 months.
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First ToT in CBHFA, Community Based Health and First Aid in Action Master Facilitators’ Training was held in Amman 25-30 January 2014.
• 27 JRCS staff and volunteers from 8 out of the 10 branches attended and fully participated in this training. Recruitment of a CBHFA project officer for JRCS and planning has been undertaken to start the roll out of CBHFA in 5 northern governorates: Irbid, Jerash, Mafraq, Ajloun and Amman. • Health committees will be established in 20 communities targeting 200 beneficiaries per community.
• Access to information is being challenging and still a paramount for the Syrian Refugees living mainly in Host Communities. The information related to procedures on how to access to basic services and their rights can jeopardize their protection leading to increase vulnerability. By delivering information to communities who need it most, would help to enable affected population to channel critical data about their situation and needs This revised appeal aims to study the feasibility and explore alternatives in order to Aid First and Health Based Community develop an appropriate system to facilitate a proper access to information that could lead to a better access to services by the vulnerable Syrian families. .
Coordination and partnerships Coordination between JRCS, IFRC and other Movement partners (Danish Red Cross, Swiss Red Cross, French Red Cross, Italian Red Cross, Iraqi RC and ERU consortium manager (Finish Red Cross, Canadian Red Cross, Norwegian Red Cross, German Red Cross) is taking place on a regular basis to ensure that planning for the current response, implementation, and contingency planning, in case of an increased influx of Syrians into the country, are carried out in close cooperation. Operational Movement coordination meetings, led by the JRCS with the support of IFRC, is set up every 15 days, with monthly health Movement meetings also taking place with the objective of sharing information about health activities. Regular bilateral meeting is also taking place between IFRC and ICRC to discuss about on-going activities and future plans. Other ad-hoc meetings focused on more strategic meeting at senior level (to provide an overall strategic element to the operation) are done according to the needs. Operational coordination is underway between IFRC and PNSs present in the country. Coordination in particular with the Swiss Red Cross who is implementing a cash programme alongside the IFRC, has allowed the pooling of resources, sharing of information and the development of a joint delivery mechanism that is maximizing the effectiveness minimize the strain on JRCS resources. There is also coordination between IFRC, JRCS and the German Red Cross with regard to the planning and implementation of community based health and first aid (CBHFA) activities. At the interagency level, members of JRCS and IFRC regularly attend coordination meetings with UNHCR, WHO, government authorities and other agencies. Inter-sectorial Coordination mechanism Humanitarian Country Team (HCT) and the Syrian International NGO Regional Forum are regularly attended. Other Coordination Mechanism in places that the JRCS and IFRC through the PNS or the delegates are attending are: Cash working group, Host Community Support Platform, Health Working Group (including subsectors as Reproductive health working, Polio and immunisation working group, Psychosocial and GBV) , RELIEF working group, AZRAQ Camp coordination meetings. The IFRC/JRCS are leading the Inter – agency Community Health Task Group (CHTG) at Country level in Jordan. Regular agency meeting are held every month with the presence of UNHCR, MSF, IMC, MDM, IRC and other local and international NGOs that work in the community health sector. These meetings are to coordinate activities, share resources and to standardise community health volunteer/worker roles and responsibilities. This group is a sub group of the health sector meeting with a specific focus on the health of the refugees living in urban and rural communities either with or alongside the host population. Community based health and first aid (CBHFA) is the Red Cross Red Crescent’s approach to empowering communities and volunteers to take charge of their health and therefore it includes all members of the community. IFRC/JRCS coordinate the meeting and
31 communication with agencies attending the CHTG and feedback to the UNHCR and at the health sector meeting. The JRCS has been working closely with local authorities such as the Ministry of interior, Ministry of Health, Ministry of Social Development, Royal Jordanian Medical Services and other Jordanian humanitarian actors in the course of providing needed relief services to the Syrian refugees. The JRCS has been working closely with some of the National Societies in the region as the Qatar RC, The Kuwait RC, the Saudi Arab RC, the Emirates RC, Iraqi RC, and Iranian RC. Some of the National Societies of the region have been heavily involved in the operation and coordinating their support and relief distributions to Syrian refugees in Jordan. Several process are on-going for 2014 at Inter-Sector Working Group Level, some of them are: vulnerability targeting, mainstreaming gender, Coordinated Needs Assessment System, Referral Networks, Contingency Planning, 5Ws and Development of Activity Info, Monitoring and Reporting, Government Engagement on Project Approvals, Donor engagement at the sector/inter-sector level, Advocacy, Informal Tented Settlements, Capacity Building of Sector Coordination, Inter-Agency Information Management Capacity. IFRC will participate on Ad-hoc bases.
Red Cross and Red Crescent action
The Swedish RC, Norwegian RC, British RC, American RC, Netherland RC, Canadian RC, British RC, Spanish RC, ECHO, and Australian RC, Japanese Government has contributed to the Jordan project through unearmarked and/or earmarked funding,
The JRCS, with partners support, until the end of March 2014 JRCS had distributed 103.600 food parcels, 22.500 bread rations, 211,829 blankets, 57,500 hygiene parcels, 35,600 floor mats, 125.988 kg of dates, 4.047 jerry cans, 6.000 mattresses, 3.750 kg of rice and 2.000 heaters. Medicines and medical services valued at around USD 1.8 million were also provided to Syrians. In addition, with the support of the Kuwait Red Crescent, 2kg of fresh bread has been provided to 10,500 Syrian families for 30 days. Spanish Red Cross, Iran RCS, Norwegian RC, Finish RC, Canadian RC, and German RC has contributed with in kind donation to the Mobilization Table for Jordan. There are plans to continue with the relief efforts in 2014, as the German Red Cross is supporting the JRCS, for the distribution of Baby kits and Women’s Emergency Kits for 4600 families during the first semester of 2014. During the first quarter of 2014, also 4619 Hygiene kits
Food security/NFI Food and 18.206 blankets has been distributed by JRCS.
JRCS with the support from the IFRC (3,000 families in Amman, Ajloun), ICRC (1,000 families in Mafraq) and the Swiss Red Cross (1.600 families in Irbid and Jarash) is continuing implementing the cash transfer program to support a targeted total of 5,600 Syrian refugee families for six months for monthly rental payment and other household basic necessities. ICRC is planning to expand their cash transfer program in the coming months in several Governorates in the Country. Cash Transfer Cash
In addition, the JRCS are providing psychosocial support (PS) to Syrian men, women, boys and girls in its Al Hashme development centre, supported by Danish Red Cross, Italian Red Cross. The activities are continuing during 2014. Psychosocial support
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UNICEF has also partnership with JRCS for the PS Centre. JRCS has also established a clinic, supported by Iraqi Red Crescent, at the JRCS hospital in Amman which is providing treatment to Syrian and Iraqi refugees and the local community. The UAE RC manages a refugee camp in Hallabat that currently hosts approximately 4,000 Syrian refugees but that can be expanded to accommodate up to 30,000 refugees in future. It has
also deployed a field hospital in Mafraq, which includes outpatient care, paediatrics and surgery. For its part QRCS medical experts based in Jordanian hospitals continue to provide emergency surgeries to wounded Syrians from border areas (mainly spinal and optical injuries). Health In Zaatari camp, ICRC, Qatar Red Crescent Society (QRCS) and the UAE Red Crescent Society (UAERCS) have delivered services to Syrian refugees travelling to or residing in Zaatari camp in northern Jordan. Notably, the ICRC established an office for Restoring Family Links (RFL), and
RFL QRCS is providing psychosocial support to residents of Zaatari camp. The ICRC established an RFL office in Zaatari camp in the northern governorate of Mafraq. Since this became operational, some 20,000 people have benefited from the ability to contact their families inside Syria and in neighbouring countries. Trained JRCS RFL volunteers are now working with ICRC in the field to support RFL activities and to further build the JRCS capacities. The ICRC will increase its support to the JRCS in the coming months to enhance the JRCS capacity building in areas relief, vocational training, logistics and emergency first aid training for
Capacity Building Capacity the JRC volunteers.
Progress towards outcomes The proposed operation in Jordan focusses on three key areas:
- Support to Syrian refugees - Support to Jordanian host families/communities - Capacity Building of the Host National Society for enhancing and sustaining capacities in five key areas:
1. Shelter and settlement support to refugees residing in host communities, including unconditional cash assistance through ATM cards and/or biometric Iris Scan. 2. Medical assistance, including secondary health care and First Aid, and support for preventing terpersonal violence. 3. Strengthening JRCS’ capacities in disaster preparedness and risk reduction through contingency stocks. 4. Livelihoods support for vulnerable Jordanian host families, including for income and job generation. 5. Training, human resource and capacity-building support for JRCS at HQ and branch level to enhance and sustain their emergency response efforts.
This plan proposes to provide, through cash assistance, support to 4000 families leaving in Amman for 15 months. This cash assistance, according to our post-distribution monitoring mechanism has been used by more than 90% of the Syrian families totally or partially for rent purpose. As the vulnerabilities conditions of Syrian refugees have not changed, at the contrary they are now more severe, due to lack of access to cash and livelihood, it is important to consider that the period to support the families have been extended from 6 months initially to 15 months. Assessment of the vulnerability conditions of the Syrian families during the length of this Cash activities will be critical as it is crucial to ensure that the support is received by those more vulnerable. This activity is still one of the priorities of this appeal. The cash support would be also complemented during November, December of this year and January and February 2015 with winterization top up unconditional cash.
It is expected, in coordination with UNHCR, that IFRC with JRCS with transfer the technology from ATM Cards distribution to IRIS Scan, which would be an innovative technology that would be more secure and efficient in terms of resources and time and no more ATM cards would be distributed. The iris scan would work as follows:
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- JRCS/IFRC and the bank would go through an iris registration of the beneficiaries. - The bank is finalizing the set up of iris scanner in most of the ATM machines in Amman. - Once beneficiaries initially register through the initial iris biometric scanning process and data is crosschecked with our database and the data from UNHCR, they will be include in our program. - Beneficiaries will withdraw the cash monthly in the ATM Machine without using the plastic card. - To those beneficiaries that due to their mobility conditions will not be able to move to the ATM Machines, they will be assessed case by case and possibly provide them with the ATM card.
Due to the high increase in demand for public health service, the potential increase in the disease burden, the increase strains in health system delivery system and capacities, also this plan proposes also to provide a secondary level health care facility for Syrian refugees living in the newly opened camp in Azraq. The hospital would be open once the camp reaches a certain population, which is expected to be by the beginning of June. To also contribute to decrease the burden of the public health services and in order to Strengthen and support preventive programmes within the National Health System, especially in the prevention of communicable and non-communicable diseases and strengthen national capacities to apply and maintain behavioural changes that improve health outcomes; it is planned in this revised appeal to implement the Community-based Health and First Aid (CBHFA) and Psychosocial Support to meet the urgent and increasing health-related needs of local communities in Jordan. By strengthening the skills of JRCS volunteers and staff to deliver services to local communities through psychosocial support, First Aid, disease and epidemic control/prevention and violence prevention There is a need to try to address some of the most pressing host community concerns and to ensure support is provided to local Jordanians as well as the refugee community. The appeal therefore recognises the need to engage with vulnerable families and to economically empower them through support to develop various small scale livelihood and skill training projects. As Jordan meets the challenges of the current refugee crisis it is putting enormous strain on the very limited capacity of the Host National Society. Both JRCS headquarters and branches are not yet as well developed as they could potentially be, and lack required staff, volunteers, infrastructure and resources to carry out many of the Red Cross Red Crescent mandated activities. As a national volunteer network and its ability to access communities effectively and rapidly is one of the strengths of the Movement, all of the components of the Jordanian Red Crescent national network i.e. branches, units, volunteers must be developed, strengthened and aligned with national headquarters. As more than half of the Syrian refugees are children, it is pertinent to give special focus to the psychosocial wellbeing of this particularly vulnerable group. The volunteer networks of Jordanian Red Crescent are well positioned to take care of children in difficult circumstances, looking at how children react to crisis and how to help them. It is therefore essential that this proposed plan focuses on JRCS capacity building through the provision of support for programme management, operational systems support, HR system set up, volunteers’ recruitment and / retention, infrastructure development, branch development, and the creation and training of national disaster response teams and volunteers training, etc. Access to information is being challenging and still a paramount for the Syrian Refugees living mainly in Host Communities. The information related to procedures on how to access to basic services and their rights can jeopardize their protection leading to increase vulnerability. By delivering information to communities who need it most, would help to enable affected population to channel critical data about their situation and needs This revised appeal aims to study the feasibility and explore alternatives in order to develop an appropriate system to facilitate a proper access to information that could lead to a better access to services by the vulnerable Syrian families.
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Specific activities planned in Jordan under each sector are given below: Shelter & Settlements and NFIs Outcome 1.1: The immediate shelter and settlement needs of 4,000 refugee families (20,000 persons) living outside camps within host communities are met. Outputs Activities planned 4,000 Syrian refugee families • Develop an efficient and accurate beneficiary targeting strategy to (20,000 people) living in host enable interventions to meet the needs of the most vulnerable. communities in Amman receive • Distribute cash to 4000 most vulnerable Syrian refugee families unconditional cash grant for during the winter season, from November to February 2014 and essential winterization from November to February 2015 • Conduct pre and post distribution monitoring of the cash program. 4,000 Syrian refugee families • Distribute cash to 4,000 most vulnerable Syrian refugee families (20,000 people) receive cash grants once per month over 15 months. for rent and other most essential • Conduct pre and post distribution monitoring of the cash program. household items JRC’s capacity to implement the • Train 20 JRC volunteers and staffs in cash transfer programming cash transfer program effectively (CTP); case work and home visits, program monitoring, psychosocial and efficiently is strengthened support, safe referral mechanisms for child protection and interpersonal violence cases, etc. • Deploy a CTP support delegate/Staff on Loan, if required, to support the program implementation in time. Health in Jordan Outcome 1.1: The secondary health needs of 55,000 Syrian in Azraq Camp are met (8 months) Outputs Activities planned 55,000 Syrian refugees have access • Running of a 60 beds field hospital (a modified referral ERU to secondary health care and hospital) in camp Azraq for 8 months with the option to expand to services for 8 months in Azraq 130 beds. camp. • Provide secondary level health care to 55,000 Syrian refugees. This number could increase to 130,000 if the camp population is expanded to its maximum capacity. • Provide ambulance service to resident refugees for safe transport form the Azraq camp to public hospitals when needed.
Outcome 1.2: Community awareness and skills on community-based health and first aid increased through the implementation of CBHFA program. Outputs Activities planned At least 10.000 people are reached • Support the contracting of a Health Focal Point at the JRCS to through Community based health manage CBHFA training and development. and first aid activities • Conduct CBHFA training of trainers with JRCS. • Conduct CBHFA training to Red Crescent volunteers in all 10 JRC Red Crescent volunteers and staff branches. are trained in Community Based • Form CBHFA committee in at least 40 communities. Health and First Aid to reduce • Develop, adapt and translate CBHFA material for Jordan. vulnerability to emergencies through • Conduct at least 5 CBHFA sessions in each community within the increased community resilience. timeframe of the operation. Outcome 1.3: Women, men, girls and boys have improved access to safer support services and assistance that promote dignity and psychosocial well-being. Outputs Activities planned At least 5,000 people, (including • Train 30 staff and volunteers of JRCS on interpersonal violence 2,000 refugee children and their principles, techniques and SGBV and psychosocial support and families) in the most affected children’s resilience programme. Governorates have access to • Community activities to promote peace and non-violence. psychosocial health services for • IEC materials/publications on GBV. improved psychosocial well-being. • Facilitate guided workshop for children associated with life skills, trust, playfulness, tolerance and child protection for different ages of Staff and volunteers are provided children and adolescents. with the skills and tools to prevent • Conduct at least 2 CRB sessions in each community within the abuse of power and/or interpersonal timeframe of the operation. violence and to make safe referrals • Rehabilitate and equip several Child and Family Protective Spaces
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for survivors of interpersonal (CFPSs) of the Northern Governorates for socializing, playing, violence including gender-based learning and psychosocial support. violence. Outcome 1.4: Critically ill Syrian refugees get access to medical care. Output Activities planned 3 200 critically ill Syrian refugees get • Conduct rapid assessment and identification of most needy financial support for the needed beneficiaries. treatment. • Provide financial grant, based on medical prescription, to enable them to get required medical treatment. • Post support monitoring of use of fund and recovery condition. Disaster Preparedness & Risk Reduction in Jordan Outcome 1.1: JRCS’s readiness to respond urgently, appropriately and safely to an increase in the influx of refugees or other emergency is strengthened. Outputs Activities planned JRCS is equipped with • Pre-position the following contingency stock to increase JRCS prepositioned contingency stocks for capacity to assist 2,000 families urgently, in case of a sudden need an enhanced response capacity for support to Syrian refugees. 10,000 blankets 2000 Hygiene kits JRC staffs and volunteers are • Organise 2 NDRT field trainings. equipped with tools and knowledge • Provide SPHERE training to staffs and volunteers. on disaster response based on sphere standards Outcome 1.2: JRCS’s capacity to deliver effective and efficient response to an emergency is strengthened. Outputs Activities planned JRCS are equipped with logistics • Reinforce distribution and monitoring capacity of JRCS HQ by one technical support, provision of 4WD vehicle and one pick-up for support and transport and training, logistics tools and distribution of relief items. equipment • Provide 1 minibus for JRCS for staff transportation and distribution. • Provide 300 staff and volunteers Red Crescent vests and uniforms Food security, & livelihood in Jordan Outcome 1.1: Livelihood activities of poor Jordanian families are improved through small scale income generating activities at household level. Outputs Activities planned The household income level of the • Support a gender-sensitive market and livelihood analysis to inform most vulnerable Jordanian families potential livelihood planning for men and women. targeted is increased, and a • Deploy delegate/specialist to support JRCS to develop livelihood sustainable means of livelihood activities, assessment and project design. established. • Develop a design for small scale livelihood projects to target economically vulnerable Jordanian families. • Provide cash grant for up to 200 households to engage in proposed livelihood projects. • Provide livelihood project related training to households. • Monitoring and evaluation of projects. Skill based training is provided to • Support a job market and opportunity analysis to inform potential 200 unemployed people in host skills based training. communities to increase their • Provide skill trainings on trade skills/areas highly in demand in employability and support target community/vicinity. sustainable income generation. • Target young Jordanians for training to develop skills for employment/self-employment. • Establish post training monitoring of incomes of those trained to assess impact and effectiveness of project interventions.
3 This critically ill are Syrian refugees who are not able to access Jordanian public medical services or other support due to legal or other reasons such as expiry of the UNHCR certificate which is renewal every 6 months. Regular monitoring will be done in order to ensure that this criterion is met.
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National Society Capacity Building in Jordan Outcome 1.1: The response capacity of the host NS is enhanced through strengthened capacity of NHQ and branches. Outputs Activities planned An appropriate HR system is set up • Set up Human Resource Department (HRD) at the JRCS HQ and at the JRCS HQ and necessary staff develop staff policies and procedures, grading system and salary policies/procedures are in place. scales, benefits and allowances, recruitment procedure, performance appraisal and evaluation system, training and development. JRCS has a well-equipped, self- • Undertake a feasibility study to establish the cost, support and sustaining training center for investment required to develop the JRCS building in Madaba as a emergency response, capacity National Training Centre building and income generation. • If applicable, support connection of utilities (electricity, water and drainage system), and equipment to facilitate effective use of the building. • Develop a sustainable business plan for the training centre, to include training calendar and rental opportunities for income generation. JRCS has an effective, well- • Renovate existing building, identified at National Headquarters, to equipped National First Aid training provide a small self-contained First Aid Training Centre. facility at their Headquarters in • Provide necessary first aid training equipment to support Training of Amman. Trainers and small-scale volunteer and commercial training activities. • Support the developing of a first aid training program in coordination with ICRC and a National Health Focal Point to provide First Aid Training of Trainers to staff and volunteers.
JRCS branches are active, regularly • Assist branches in volunteer recruitment & retention by providing involved in RC activities, and are appropriate facilities and range of activities. effectively providing support to • Support the construction/renovation of branch office buildings to vulnerable people when needed by provide a base for activities and opportunities for sustainable increasing trained volunteers at income generating activities (2 branches in the first phase) branch level. • Provide basic office equipment to branches, to increase capacity and support development. • Provide training and support on fundraising, project planning and monitoring to branch officials and volunteers. The Host National Society is • Support JRC in developing/finalising 5 year strategic plan. supported to develop a long-term • Support JRC in organising planning workshops to share / strategic plan to ensure all programs disseminate strategic plan to all members, staff, movement partners and activities meet the needs of the and other relevant stake holders. most vulnerable. • Support two annual planning and review meetings involving all branches and RCRC partners in Jordan. JRCS national HQ is adequately • Recruit a Health Programme Coordinator and a CBHFA Coordinator staffed to support the branches in at the JRCS Headquarters health programs. • Support in preparing an annual work plan for the health sector. • Support in making a resource mobilization plan for health programs. - Increase the emergency health • Design and set up an improved efficient ambulance service system capacity of JRCS by the in JRCS to support the Azraq RCRC Hospital including monitoring procurement of 2 fully equipped and information management to better promote and share the ambulances and build an information of service provided. improved and efficient • Procurement of 2 fully equipped ambulances. ambulance service system. • Training of at least 20 volunteer on paramedic skills and ambulance services, • Deploy an emmbebed delegate to support the process of building a functional system.
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Support services in Jordan Outcome 1.1: The planned operation is effectively implemented through the provision of adequate human resources and other required support services Outputs Activities planned Support the retention/recruitment of • Recruit/support necessary staff in JRCS to support the planned required staff to support on-going operations under this appeal. and planned operations. • Recruitment/salary support for DM Director, 2 DM officers, 1 Warehouse Manager, 1 Logistics Officer and 1 Finance Assistant. • Program specific personnel will be hired as needed based on budgetary provision in respective programs. • IFRC delegation will be further strengthened with required local and expatriate staff as needed in order to ensure the timely and effective implementation of planned activities. • Support the hire of other professionals/consultants as and when needed to support on-going operations.
All the outcomes, outputs and specific activities under each sector in this regional appeal will continue its implementation until 2015 and they will be also under the plan of the Jordan Country appeal to be published in October 2014.
In Jordan, a beneficiary satisfaction surveys in Jordan for the cash transfer programme are planned to be carried. The survey provides an opportunity to evaluate the effectiveness of the CTP operation in meeting beneficiary needs and to provide learning to improve accountability towards beneficiaries.
In Jordan, in order to support in better communicating and disseminating the work of the Red Cross Red Crescent hospital, the ERU Consortium Steering Committee (SC) has created a Communications Working Group (CWG) which includes also communications from IFRC MENA and IFRC Secretariat meets on a weekly basis and reports back members of the IFRC Communications team in MENA and in an advisory capacity. The CWG will assist the ERU Consortium SC in ensuring multilateral support for the operation in the area of communications and facilitating cooperation among the four ERU Consortium partner societies, the IFRC and the JRCS in the area of communications.
The Jordan Red Crescent Society focuses its work on disaster response and management, Community Based Health First Aid (CBHFA), peace building and social development. JRCS is the lead agency for relief in the event of a major disaster and is a member of the country’s High Council for Disaster Response. It has played a vital role dealing with the influx of refugees during past conflicts including running relief operations, organizing camps for evacuees and providing humanitarian assistance. JRCS’s headquarters are based in Amman, with branches in 10 governorates of the country. Some of the key teams in HQ, including Disaster Management, Relief and Logistics, have salaried Heads, with teams of volunteers, as well as employing manual labour as required. JRCS has approximately 600 volunteers nationwide, with 200 of these active. Numbers of volunteers vary between branches. But still there is a need to increase the number of volunteers and staffs in order to manage the increasing programs and new challenges.
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Iraq
The situation More than two million Syrians seeking safety in Turkey, Lebanon, Jordan and Iraq, and 80% of the estimated 8.7m Syrians deemed to be in a situation of humanitarian need. This has massively affected the entire political, social and the economy in the region.
In Iraq the total number of Syrian refugees registered by end of April 2014 stood at 207,441 individuals including 44,000 women and girls of reproductive age and 3,000 pregnant women. The vast majority (104,416 individuals) were registered in the Duhok Governorate, particularly within the Domiz. While Erbil had 73,914, Sulaymaniyah 21,694, Anbar 4,711, Mosul 1,210, Kirkuk 506 and 990 Syrian refugees spread in other part of Iraq including Baghdad.
Iraq: number of Syrian refugees from 2012 to 2014
s 250 nd sa 200 hou T 150
100
50
0 Jan 2012 Jan 2013 Jan 2014
Source:UNHCR
The Al Qaim, border remains closed since 29 March 2013, however Syrians with a valid visa can cross into Iraq after obtaining prior approval from Iraqi authorities. Medical cases of Syrians are allowed to seek assistance at the Iraqi border clinic, but patients should return back to Syria the same day after receiving the appropriate treatment. Peshkabour Border crossing point in Kurdistan Region, side remains open. However, the Semalka border crossing border point on the Syrian side remained closed since 10 April 2014. Therefore, there have been no movements between the KR-I and Syria at the Peshkabour-Semalka border points.
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Distrbution of Syrian Refugees in Iraq April 2014
120
100
Thousands 80
60
40
20
0 Sulay Duhok Erbil Anbar Mosul Kirkuk Other mania Individuals 104,416 73,914 21,694 4,711 1,210 506 990
Iraq is not only receiving large numbers of Syrian refugees, but is also seeing the return of many Iraqi refugees Tens of thousands of Iraqis who sought refuge in Syria between 2003 and 2011 are returning home, bringing the number of Iraqi internally displaced persons (IDPs) to roughly 2.8 million. Internally displaced Iraqis are extremely vulnerable, with limited access to shelter, food, and basic services. Despite the fact that Iraq is not a signatory to the 1951 Refugee Convention and its 1967 Protocol, the country is a host to over 200,000 Syrian Refugees. A new refugee law has been drafted, and is pending with the Iraq Parliament and the Shura Council. As a result of the growing number of refugees and the presence of the camp, the government has increased spending, in addition to the amount allocated in the general budget for the Bureau of migration and displacement, and the Kurdistan Regional Government has allocated $ 10 million extra to keep up with the growing number of refugees and try to meet their requirements. If the pace continues the same displacement, the economy of the region could be impacted by: the possibility of importing more to meet the inability of domestic production; and the possibility of price changes, generally upward and thus influence the purchasing power of the citizens of the province on the one hand, and displaced Syrians on the other hand. Given that the majority of refugees will remain outside camps, the concentration of Syrian refugees in areas along the border and in certain towns is placing strains on services such as schooling and housing. Workers complain that Syrians have driven down wages – and Syrians complain that they are exploited by employers. All of these problems are expected to worse if there is no end in sight to the conflict, or no prospect of mass return as numbers of refugee are still rising. The burden on host states, host communities and refugees themselves will therefore grow heavier. It is unlikely that the war in Syria will end soon, and when it does it is equally unlikely that refugees will immediately return to an unstable country ravaged by conflict. The Syrian refugee crisis will be a serious long-term challenge to the humanitarian system The need for local and international response to the Syrian refugee crisis Iraq is paramount to ensuring that camps are secure and the refugees have access to humanitarian assistance.This requires much more coordinated effort and attention than is currently being afforded to the Syrian crisis Coordination and partnerships IRCS has been responding to the most urgent needs of Syrian refugees in Iraq since the beginning of the Syrian crisis in parallel to other partners. Therefore, coordination was vital for the national society in order to coordinate with other stakeholders including humanitarian actors. This coordination occurs at different levels as summarized below: - The Syrian Refugee Operation Coordination Committee:
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This committee constitutes of Red Cross Red Crescent Movement in order to make sure that the Red Cross Red Crescent action responding to the most vulnerable is well coordinated as per the IRCS mandate and plan. IRCS leads the committee in which several movement partners are part of: IFRC, ICRC, Qatar RC, Swedish RC, Norwegian RC, German RC and French RC. The Syrian Refugee Operation Coordination committee analyses, plans and coordinates response to the Syrian refugees as well as strengthen coordination and partnership with Internal and external stakeholders. The committee members support Iraq Red Crescent Society to identify ideal locations along the Iraq-Syrian, border where relief supplies can be pre-positioned for rapid response in the event of influx of refugees, plan the timely provision of relief supplies to affected populations, advise on continuous improvement mechanisms for responding to disasters, preparedness/mitigation measures to reduce the impact of Syrian refugees on host Communities, early Warning information collection and analysis, organizing joint monitoring and evaluation. - External Coordination: A coordination meeting shared by UNHCR also takes place, in which ICRC and other non RCRC partners attend. ICRC makes sure to inform the movement partners of the committee about future plans and meeting updates. Other forms of external coordination also takes place, IRCS coordinates with partners outside the movement such as the Ministry of Migration and Displacement, which leads meetings involving UNHCR, Ministry of Health, the Ministry of Education and others to discuss the needs and the response to Syrian refugees’ needs. The cluster system is activated now in Iraq for different sectors of humanitarian support, IRCS and IFRC are already involved in the WATSAN cluster and started to closely coordinate with UNICEF.
Red Cross and Red Crescent action The IRCS was the first humanitarian organisation to respond to the needs of Syrian refugees at the beginning of the influx. Despite the lack of funding through the IFRC Appeal, the IRCS mobilized resources locally as well as support in WatSan from French Red Cross and provided assistance as follows .
Progress towards outcomes Sector Achievement • The IRCS conducted 821 Psychosocial support training in Duhok, Erbil, Anbar targeting 16,420 Individual Syrian Refugees
• A total 26 FA training 780 Syrian Refugee were conducted in Duhok , Erbil, Anbar
Health • The Society established 6 medical centres (2 in Jordan, 2 in Lebanon, 2 in Syria).A total of 11,000 Syrian refugees including medical consultation, deliveries, dialysis, surgical procedures, physiotherapy)
• Since the beginning of the Syrian Refugee influx in Iraq the IRCS distributed a total of 59,869 Food Parcels to 11,659 families in Duhok Erbil, Sulaymaniyah , Mousel, Baghdad ,Anbar, Kirkuk, Karbala, and Najaf Each parcel consists of of (4.5 kg rice, 200g pasta, 1 litre oil, 900g sugar, 450g tea, 900g lentils, 900g beans, 830g tomato paste, 200g spaghetti) • In Syria the IRCS together with Syrian Arab Red Crescent Society, distributed 50,000 Food Parcels. Each parcel consists of (9 kg rice, 2 litres olive oil,1800 gm sugar,160 gm tea,3600 gm lentil, 1800
Food Items Food check- pea, 3600 gm beans,1660 gm tomato paste ,750 gm salt, 4 litres vegetable oil )
• The IRCS also distributed a total of 11,659 parcels of Non Food Items to 11,659 families in Duhok, Erbil, Sulaymaniyah, Mousel, Baghdad, Anbar, Kirkuk, Karbala, and Najaf. Each parcel consists of a Stove,4 blankets, 1 lantern, 1 kitchen set, 2 jerry can , and a thermos flask ) • In Syria the IRCS together with Syrian Arab Red Crescent Society, distributed a total of 14,000 mattresses ,130,000 blankets, 1,500 kerosene heaters , 4,500 hygiene kit, 7,890 clothes, 2,500 school Non Food NonFood Items(NFI) bags, 3,500 litres of fuel for heating
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Rapid sanitation facilities, initial and final KAP surveys • In February, the WASH Technical Group launched a common WASH Baseline in all the camps in Kurdistan with the involvement of partners. FRC and IRCS were strongly involved in the preparation and the design of this WASH Baseline, and implemented it in Transit 3, Transit 4, Transit 5, Transit 6, Transit 7, and Phase 5 of Domiz Camp. In total, French Red Cross and IRCS staff and volunteers conducted 250 household surveys and 12 focus groups among the Syrian refugees. • This joint survey has allowed getting useful information in terms of the main issues regarding the level of facilities proposed in the different emergency refugee camps, the type of water supply or toilets…. • The results of the survey enabled to design a global WASH response as well on a technical as on expressed needs perspectives. Household survey for WASH baseline in Domiz camp • IRCS and FRC have launched an important survey regarding the latrines pits/ tanks. Designing a specific baseline, focused on pits/ tanks conditions and filling stage, will allow us to properly monitor our interventions regarding pits/ tanks rehabilitation and the desludging efficiency. This review will also be useful and helpful to feed the thoughts
about black water management, to build a comprehensive strategy for sanitation in Domiz, and to define the priorities for beneficiaries. We collected technical information regarding 522 pits/ tanks in Shorash, Khabat, Hivi, Sarbasti, Media, Shahidan, and Sarhildan. Sanitation facilities Improvement • This project plans the construction of permanent tanks in order to reduce the de-sludging needs and to allow better living conditions. These sustainable tanks will be completed with the construction or rehabilitation of toilets, according to the technical assessment Water andSanitation Water done before the field intervention. One sample of holding tank has been completed with a layout of holding tank in order to check and review the bill of quantities. • The implementation of tanks has been postponed to an unknown date due to a pending decision regarding the management of the black and grey waters in the camp, which has direct consequence on the construction of tanks and latrines. Desludging activities • In the first quarter, IRCS/FRC has kept a capacity of desludging in Domiz Camp with 2 or 3 trucks with a close coordination with other desludging stakeholders, allowing the IRCS/FRC to cover a larger area than initially planned. Information and accountability to targeted population • Through this project, IRCS and FRC have already started to involve the Community Leaders –WASH Camp Committees and Mokthars - in the management and the decision-making process regarding the sanitation activities in Domiz Camp. Several discussions with International Rescue Committee (which has created and led the Camp Committees since 2013) have allowed getting more information about these groups and their functioning. IRC is interested to reinforce the capacity of their WASH Committees and volunteers through dedicated trainings offered by IRCSlFRC regarding WASH and how to carry on field surveys.
Overview The proposed operation in Iraq focuses on delivering support to Syrian refugees and service providers and volunteers of the Iraqi Red Crescent Society for enhancing and sustaining capacities in four key areas: 1. Health, First Aid and psychosocial support services to Syrian refugees and IRCS service providers and volunteers 2. Food and non-food support for Syrian refugees living outside the camps.
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3. Water and sanitation services to Syrian refugees. 4. Shelter support to Syrian refugees.
Health in Iraq Revised Outcome 1: 5000 Syrian refugees living inside and outside in Al Anbar , Sulaymaniyah , Duhok and Erbil governorates and IRCS service providers and volunteers have access to psychosocial support. Outputs Activities planned 400 IRCS Staff and Volunteers are • Provide psychosocial training and support to 400 IRCS Staff & equipped with knowledge and skills on volunteers in Al Anbar, Sulaymaniyah , Duhok and Erbil branches PSS for refugees • A training will be held for IRCS’ branches operating in Northern Iraq and providing services to Syrian refugees and Iraqi returneres on gender diversity. 4,600 refugees receive PSP training and • Conduct 8 basic PSP training for 160 Syrian Refugees (men and service, targeting vulnerable male, female, women) each from Al Obaidy, Domiz, Dara Shakran and Arbat children and physically handicapped camps (160) • Provide psychosocial support to 640 refugees in Al Obaidy, Domiz, Dara shakran and Arbat camps(2560) • Conduct 16 PSP group discussions each in Al Obaidy, Domiz, Dara shakran and Arbat camps(480) • Organize recreation activities for children, youth and women on psychosocial support projects for people affected by the conflict, with particular focus on girls and boys(distributing gifts for 1000 child in each camp) • Provide medical equipment 400 wheel chair in Al Obaidy, Domiz, Dara shakran and Arbat camps (400) Revised Outcome 2: Al Obaidy, Domiz, Dara shakran and Arbat refuges inside camps have access to first aid services. Outputs vities planned First Aid (FA) capacities are enhanced in • Procure and provide 200 large FA kit in each (4) camps Al Obaidy, Domiz, Dara shakran and • Procure and provide 2,000 small FA Kit in each (4) camps Arbat camps • Train 480 Syrian Refugees in First Aid by conducting 24 FA trainings targeting 20 men and women in each (4) camps Iraq Outcome 1.3: Risks of outbreak of communicable disease is reduced through public health education. Outputs Activities planned Pregnant and lactating women have • Train 200 volunteers on communicable disease surveillance and increased awareness and medical support coordination with other Health authorities/NGOs in each (4) camps related to communicable disease • Provide MCH Support to pregnant and lactating women in each of the four camps Food security, and livelihoods in Iraq Revised Outcome 1: Immediate food needs of 2,100 Syrian families (10,500 people) living outside the camps in Al Anbar , Sulaymaniyah , Duhok and Erbil governorates Outputs Activities planned 2,100 families benefit from bi-monthly • Bi-monthly distribution of 800 food parcels in Duhok food aid • Bi-monthly distribution of 300 food parcels in Al Anbar • Bi-monthly distribution of 500 food parcels in Sulaymaniyah • Bi-monthly distribution of 500 food parcels in Erbil • Monitor and evaluate the relief activities and provide reporting on distributions Progress achieved since the last revision:
Challenges: The region has a long history of absorbing and integrating, as well as marginalizing and expelling, displaced groups. The Syrian displacement crisis and its response involve political, social and economic consequences with deep historical significance. The fact that past experiences often determine contemporary responses. While resources in emergencies are always limited, in terms of both finances and time available, an investment in understanding past experience should be considered essential by anyone
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wishing to develop effective responses to the needs of people affected by conflict.
Revised Outcome 2: Immediate needs of non-food items of 2,100 Syrian families (10,500 people) living outside the camps in Al Anbar, Sulaymaniyah, Duhok and Erbil governorates are met with respect for gender and diversity. Outputs Activities planned 2,100 Syrian families(10500People) • Distribution of 800 NFI in Duhok living outside the camps are supported • Distribution of 500 NFI in Sulaymaniyah with from NFI • Distribution of 300 NFI in Al Anbar • Distribution of 500 NFI in Erbil • Monitor and evaluate the relief activities and provide reporting on distributions 1,000 vulnerable Syrian refugee • 40 tailoring trainings provided to 25 women per training women and youth are equipped with • 40 tailoring trainings provided to 25 male and female youth life skills tools per training. Water, Sanitation & Hygiene promotion in Iraq Revised Outcome 1: 20,000 Syrian refugees Al Obaidy, Domiz, Dara shakran and Arbat camps have access to safe water and Sanitation. Output Activities planned 20,000 refugees are provided with safe • 4 Water Purification Units are procured and installed in Al water access Obaidy, Domiz, Dara shakran and Arbat camps Shelter in Iraq (New) Outcome 1: 1,000 Syrian families Al Obaidy, Domiz, Dara shakran and Arbat camps have access to shelter. Output Activities planned 1,000 vulnerable Syrian refugee • Installing 700 tents in Erbil governorate families provided with temporary shelter • Installing 300tents in Duhok governorate
National Society Capacity The IRCS is investing in build a reputation on its ability to deliver quality and consistent services to the vulnerable communities in Iraq through well designed, cost effective, innovation and responsiveness programmes implementation. The strategy was vital to the IRCS, as it reposition itself after years of wars, internal conflicts and international sanctions. This strategic direction is also part of the Better Programming Initiative (BPI), as required under the Framework agreement between the Federation and PNS that was signed by the Heads of the institutions in July 2011 IRCS has a staff establishment of over 3000 staff and over 4000 volunteers, between the Headquarters and 18 Branches spread in all the 18 Governorates
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Regional Preparedness for Response (RPR) Initiative In addition to the country-specific operations detailed above, the IFRC Secretariat will implement a multi-pronged, region-wide initiative focused on enhancing and sustaining Host National Societies’ abilities to respond to the longer-term needs of refugees, while also supporting the IFRC’s regional support functions. The RPR initiative will act as an umbrella initiative divided into three core areas across the region, including Disaster Preparedness, Humanitarian Diplomacy and Communications, and IFRC support services. • Disaster Preparedness
Disaster Preparedness for response and Capacity-Building - Regional Revised Outcome 1: The capacity of IFRC is enhanced through strengthening of the regional response tools. Outputs Activities planned National Societies’ Staff and • Organize a PMER in emergencies TOT for Staff and volunteers technical skills are volunteer enhanced • Support NS with monitoring and reporting tools National Societies affected by the • Organize one recovery training and activities. Syria crisis have recovery capacity Revised Outcome 2: National Societies are able to better respond to disasters. Outputs Activities planned • Secure and store WATSAN kits (No. 5) for emergency deployment • Provide National Societies with IT tools and equipment for RDRT deployment
• Humanitarian Diplomacy and Communications The IFRC and National Societies of the region if well-resourced can play an important role in policy dialogue with various stakeholders including governments, international institutions, private sector etc. The role of IFRC is to support national societies in this engagement but also to engage in this dialogue on the global level on behalf of the national societies. This appeal proposes setting up of a regional Humanitarian Diplomacy function responsible for developing, advising and (where agreed) implementing strategies for engaging external actors and promoting a harmonised image and position of Movement in close coordination and consultation with the national societies of the region. The humanitarian diplomacy function would provide necessary region-wide support function to host National Societies and Movement partners to ensure smooth coordination of key messages, advocacy tools, and communications outputs highlighting Movement response in Syria’s neighbouring countries, while also coordinating policy dialogue, stakeholder mapping and resource mobilisation actions.
Humanitarian Diplomacy – Regional Outputs Activities Outcome 1: IFRC MENA Zone continues to scale-up its Humanitarian Diplomacy support to host National Societies and ensures effective representation of the humanitarian assistance provided by national societies of the region IFRC MENA Zone provides region • Recruit Humanitarian Diplomacy Coordinator focusing wide humanitarian diplomacy support on delivering targeted humanitarian diplomacy support to host national societies and ensures in the neighbouring countries. well-coordinated global representation. • Supports travel/roaming function of the Humanitarian Diplomacy coordinator to ensure flexibility to travel across the region to address neighbouring countries communications needs.
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Communications – Advocacy and Public Information
Public communications The IFRC will continue to highlight the humanitarian needs in the neighboring countries and raise the visibility of the National Societies in Iraq, Jordan and Lebanon through highlighting the ongoing their response and activities. Since the Emergency Appeal was launched in January 2013, the IFRC has worked closely with the National Societies in the region to communicate the needs of local and refugee communities. Content generation and information-sharing processes were enhanced targeting external audiences and Movement partners with a specific focus on the CTP support in Jordan and the provision of support to winterization needs, relief work in Iraq and Lebanon, and the health activities carried ot by PRCS in Lebanon. Stories and materials can be found onError! Hyperlink reference not valid.and http://ifrc.org/en/news-and-media/news- stories/middle-east-and-north-africa/ . Audio Visual materials are available on IFRC image library. The outcomes and recommendations of the Movement Communications Strategy on Syria crisis, which were endorsed in the second meeting held in Beirut earlier this month, were put into action while communicating the needs in the region. To speak in one voice and communicate strongly, communication activities were linked to global campaign and events aiming at creating a larger impact, i.e: The 3 year anniversary campaign for Syria crisis has focused on a collection of beneficiary stories and testimonies from the neighboring countries.
IFRC continues to coordinate closely on a weekly basis with the ERU Consortium Communications Working Group to ensure a strong communications support is available for the launch of the hospital. The IFRC is currently finalizing with the consortium a publication intended to be used with key stakeholders and the media to better promote the hospital contribution to the health services provided to the. Q&As on the ERU hospital are available and a community of practice has been established where information on media activities and updates are shared amongst the working group. Relevant information and publicity materials will continue to be channelled through the IFRC’s public website, www.ifrc.org, as well as engaged National Societies websites in addition to external media engagement in the region to position the National Societies as first responders to the crisis. Specifically, public communications activities will include: • Production of news and content targeting major needs highlighted in the revised appeal and the launching of the ERU hospital for promotion via IFRC online platforms including; news stories, and beneficiary testimonies. • Audio-visual material, including photographs and video material for distribution to National Societies and the media • Strengthening the regular production of communications materials and online resources, including key messages and facts and figures available on FedNet https://fednet.ifrc.org/syria-crisis
Considering the limited human resources, additional funds are needed to outsource freelancing services to enhance content generation mainly to support the operation in Iraq in coordination with the Iraqi Red Crescent and
Beneficiary communications Access to information is being challenged and still a paramount for the Syrian Refugees living mainly in host communities. The information related to procedures on how to access to basic services and their rights can jeopardize their protection leading to an increased vulnerability. By delivering information to communities who need it most, would help to enable the affected population to channel critical data about their situation and needs. This revised appeal aims to study the feasibility and explore alternatives in order to develop an appropriate system to facilitate a proper access to information that could lead to a better access to services by the vulnerable Syrian families.
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Communications and Advocacy – Regional Outputs Activities Outcome 1: The communications capacities of National Societies in times of emergencies are enhanced The technical skills of Communications • Oganize emergency Communications Training for Staff and volunteers at National branch and HQ representatives at JRCS, IRCS, LRC Societies’ HQ and branches are and PRCS to enhance the capacity of the NSs enhanced Communication focal points National Societies’ Communications • Facilitate peer-to-peer coaching between staff and volunteers receive targeted Communications focal points in host National Societies support to enhance beneficiary and Partner National Societies in the area of beneficiary communications capacities communications • Provide National Societies’ Communications focal points with necessary tools and materials to strengthen beneficiary communications • Provide support to National Societies’ Communications focal points to travel within the country (where necessary) to reach beneficiaries. Outcome 2: IFRC MENA Zone can continue and scale-up its Communications support to host National Societies IFRC MENA Zone Communications • Recruit Communications coordinator focusing on team provides better services and delivering communications support in the neighbouring ensures support to neighbouring host countries. countries • Support travel/roaming function of Communications Coordiantor to ensure flexibility to travel across the region to address neighbouring countries communications needs. • IFRC support services: Logistics The Zone DM Unit (temporarily covering logistics), in close coordination with the four National Societies and Dubai GLS, has set up a supply chain using GLS existing structures, in order to ensure best sourcing strategy in the provision of supplies required for beneficiaries (such as relief items, medicines, equipment and vehicles). This support may include, but will not be limited to: - Mobilizing relief items pre-positioned in IFRC’s Global Logistics Service Office in Dubai for emergencies and on-going operations; - Coordinating between IFRC, ONS programme managers, zone logistics unit and Dubai office, for timely and cost-efficient sourcing option for items required in the operation; - Coordinating mobilization of goods and reception of incoming shipments; - Utilizing existing warehousing facilities and vehicles for storage and efficient dispatch of goods to the final distribution points; - Supporting ONS in securing adequate storage solutions; - Ensuring that local procurement of goods, services and transport is in line with IFRC procurement standards and procedures; - Liaising and coordinating actions with other key actors so that that the IFRC logistics operation processes use all information to be as efficient and effective as possible
The setup and sourcing strategy will be continually assessed in order to adapt to the changing situation in the three countries. Human resources The current on-going operations are supported by different technical teams and functions. IFRC will work together with the host national societies and partners to ensure that enough capacity is in place under different thematic areas. All new postions will be published and announced on IFRC website: http://ifrc.org/en/who-we-are/working-with-us/current-vacancies/
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Information and communication technologies (IT) IFRC MENA Zone ICT department already developed an ICT plan which will involve all National Societies targeted through agreed activities, where part of them is becoming more important with the increase of demand; especially the Information Technology and Telecommunication ERU Training, and the Regional ICT Consultation and Training.
In alignment with the outcomes listed under the activities of each country, Lebanon, Jordan and Iraq, MENA ICT unit will continue its work by supporting the NSs by providing consultancies and the support required to strengthen their capacities.
In addition to that ICT Unit will support the national societies in different manners according to their requests and needs.
Humanitarian Diplomacy and Resource Mobilization IFRC continues through its Humanitarian Diplomacy and Resource Mobilization teams to strengthen IFRC representation, donor and government relations and mapping, develop targeted advacy activities, develop evidence based positioning materilas, support and organize partners and Movement meetings, facilitate partners communication in regards to the Syria Crisis. In addition to ensuring strong partnership stewardship and to systematically communicate funding needs and gaps through out the operational time-frame.
Security The security advisor will continue supporting the field teams providing security advices, field assessments to ensure that the MSR is in place and to help mitigating the potential risks and having up-to-date security plans. Reporting, monitoring and evaluation To ensure IFRC and HNSs operational quality standards; monitoring, evaluation and Reporting mechanisms will be strengthened and implemented with focus on enhancing the capacity of both National Societies and IFRCfield teams. The MWRS will be introduced and the required capacity will be developed.
Finance The ZFU together with the field finance staff will ensure proper support to project managers for financial management and budgeting. Also ensures that all financial commitments are in line with approved budgets. The finance staff will support also meeting the pledges conditions and follow up with the NSs finance counterparts to ensure smooth cash flow and reporting.
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Contact information For further information specifically related to this operation please contact: In the National Societies In Lebanon: Georges Kettaneh, Secretary General, Lebanese Red Cross, Tel: + 961 5955992/3, fax: + 961 5955994, E-mail: [email protected]
In Jordan: Rad Al Hadid, Director of Disaster Management Unit, Jordan Red Crescent, P.O. Box: 10001 Amman 11151 Jordan. Tel: 962-6-4773141.Email: [email protected]
In Iraq: Dr. Yassin Abbas, President of the Iraqi Red Crescent Society; phone: +964 790 1111185; Email: [email protected]
• Palestine Red Crescent Society (PRCS): Dr Khaled Joudeh. Director General, Tel: +972 22406515/6/7, Fax: +972 2 2402108, Mobile: +972 599601123. Email: [email protected]
In the MENA Zone In MENA zone Office: Azmat Ulla, Head of Operations, Mobile +961 71 802 791, Email [email protected]
In MENA zone Office: Dr Hosam Faysal, DM Coordinator, Phone: +961 (0)5956058; mob+961 71 802 916; Email: [email protected]
In Jordan: Mohamed BABIKER, Regional Representative, Amman; Mob: +962 79 507899 Email: [email protected]
In Iraq: Farid Aiywar, Federation Representative, Iraq Representation; phone: Mob: +964 7901922416; Email: [email protected]
In Lebanon: Shail Shrestha, Lebanon Operations Coordinator; phone: Mob: +961 70 120725; Email: [email protected]
In Geneva Office In Geneva: Cristina Estrada, Operations Support, Phone: +41.22.730.4260, Email: [email protected]
For Resource Mobilization and Pledges: In IFRC MENA Zone: Samah Hassoun, Senior Resource Mobilization Officer, Phone: + 961 70 480 488, Email: [email protected]
For In-Kind donations and Mobilization table: In IFRC Global Logistics Services - Dubai office: Marie-Laure de Quina Hoff Senior Logistics Officer Logistics Coordinator, Phone: +971 4 4572993 ext. 23 Email: [email protected]
For Performance and Accountability (planning, monitoring, evaluation and reporting enquiries) In IFRC MENA Zone: Nadine Haddad, Senior PMER Officer, Mobile +961 70 802 775, Email: [email protected]
Click here 1. Revised Emergency Appeal budget (if needed) below 2. Click here to return to the title page
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How we work All IFRC assistance seeks to adhere to the Code of Conduct for the International Red Cross and Red Crescent Movement and Non-Governmental Organizations (NGO’s) in Disaster Relief and the Humanitarian Charter and Minimum Standards in Disaster Response (Sphere) in delivering assistance to the most vulnerable. The IFRC’s vision is to inspire, encourage, facilitate and promote at all times all forms of humanitarian activities by National Societies, with a view to preventing and alleviating human suffering, and thereby contributing to the maintenance and promotion of human dignity and peace in the world.
The IFRC’s work is guided by Strategy 2020 which puts forward three strategic aims: 1. Save lives, protect livelihoods, and strengthen recovery from disaster and crises. 2. Enable healthy and safe living. 3. Promote social inclusion and a culture of non-violence and peace.
EMERGENCY APPEAL 30/06/2014 MDR81003 Lebanon, Jordan & Iraq - Population Movement Inter-Agency Bilateral Multilateral Response Appeal Budget CHF Budget Group Shelter Coord. Response
Shelter - Relief 614,413 614,413 Shelter - Transitional 9,407,265 9,407,265 Construction - Housing 0 0 Construction - Facilities 24,600 24,600 Construction - Materials 0 0 Clothing & Textiles 1,237,715 1,237,715 Food 1,269,828 1,269,828 Seeds & Plants 0 0 Water, Sanitation & Hygiene 789,577 789,577 Medical & First Aid 632,623 632,623 Teaching Materials 645,348 645,348 Utensils & Tools 13,589,502 13,589,502 Other Supplies & Services 294,886 294,886 Emergency Response Units 0 9,964,048 9,964,048 Cash Disbursements 300,000 300,000 Total RELIEF ITEMS, CONSTRUCTION AND SUPPLIES 28,805,759 0 9,964,048 38,769,807
Land & Buildings 49,283 49,283 Vehicles 985,908 985,908 Computer & Telecom Equipment 19,950 19,950 Office/Household Furniture & Equipment 3,804 3,804 Medical Equipment 0 0 Other Machinery & Equipment 0 0 Total LAND, VEHICLES AND EQUIPMENT 1,058,945 0 0 1,058,945
Storage, Warehousing 133,271 133,271 Distribution & Monitoring 399,429 399,429 Transport & Vehicle Costs 136,231 136,231 Logistics Services 114,133 114,133 Total LOGISTICS, TRANSPORT AND STORAGE 783,065 0 0 783,065
International Staff 1,763,617 1,763,617 National Staff 175,882 175,882 National Society Staff 439,264 439,264 Volunteers 179,472 179,472 Total PERSONNEL 2,558,234 0 0 2,558,234
Consultants 66,022 66,022 Professional Fees 108,011 108,011 Total CONSULTANTS & PROFESSIONAL FEES 174,033 0 0 174,033
Workshops & Training 496,476 496,476 Total WORKSHOP & TRAINING 496,476 0 0 496,476
Travel 140,160 140,160 Information & Public Relations 164,945 164,945 Office Costs 288,062 288,062 Communications 29,444 29,444 Financial Charges 130,410 130,410 Other General Expenses 5,938 5,938 Shared Office and Services Costs 336,087 336,087 Total GENERAL EXPENDITURES 1,095,045 0 0 1,095,045
Partner National Societies 1,831,933 1,831,933 Other Partners (NGOs, UN, other) 0 0 Total TRANSFER TO PARTNERS 1,831,933 0 0 1,831,933
Programme and Services Support Recovery 2,392,227 0 2,392,227 Total INDIRECT COSTS 2,392,227 0 0 2,392,227
Pledge Earmarking & Reporting Fees 85,160 85,160 Total PLEDGE SPECIFIC COSTS 85,160 0 0 85,160
TOTAL BUDGET 39,280,878 0 9,964,048 49,244,926
Available Resources Multilateral Contributions 12,063,969 12,063,969 Bilateral Contributions 9,964,048 9,964,048 TOTAL AVAILABLE RESOURCES 12,063,969 0 9,964,048 22,028,017
NET EMERGENCY APPEAL NEEDS 27,216,909 0 0 27,216,909
EMERGENCY APPEAL BUDGET V2012.06