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UNICEF ETHIOPIA COUNTRY OFFICE TIGRAY PREPAREDNESS AND RESPONSE PLAN March – September 2021 SITUATION OVERVIEW Ethiopia’s humanitarian crisis in the north of the country has moved into th 1 its 5 month. According to the HNO the conflict in the Tigray Region Total population affected: has prompted a major displacement within the region and outside, with 12.7 millionmillion, (150,083 refugees) a large part of the regions 5.7 million inhabitants in need of emergency assistance and protection. Total children affected: Total children affected: 1,334,185 children: UNICEF has seen greater access to the region and as such have revised 1,334,185 children, (84,797 its response plan to match the greater and upcoming needs of the refugees) population. This plan seeks to increase the capacity of UNICEF to sustain Total people to be targeted existing support to the already existing vulnerable population in Tigray, Total2,676,021 people to be targeted to advocate for protection, freedom of movement, ensure 2,826,104, including 1,334,185 unhampered, safe and equitable access to goods, services, and the childrenTotal children to be targeted protection of the civilian population. 1.34 million Total children to be targeted The plan also seeks to respond to the protection and assistance needs 1.34Total million estimated cost: of an additional caseload of people that are likely to be affected in $31.49 million Amhara and Afar regions by the on-going crisis in the next six months Total estimated cost: (March 2021 to September 2021). $ 47.0 million

HUMANITARIAN CONCERNS

The security situation in Tigray remains volatile and unpredictable. Displaced people moving across Tigray continue to be verified and are growing. A complete communication blackout was experienced again in February 2021 again affecting the humanitarian operations, and limiting the ability to collect, assess, and share information on emerging humanitarian needs. With better access for humanitarian actors, serious allegations of violence and atrocities are being reported2.

Even though two refugee camps located in the northwestern part of the region remain inaccessible by any partner or the UN, the relocation of refugees from Hitsats and Shimelba to May-Ayni and Adi-Harush camps is ongoing with a high number of refugees remaining unaccounted for, including unaccompanied and separated children (UASC).

The UN High Commissioner for Human Rights, in a statement published on the 4th of March, informed that its Office has been receiving information about ongoing fighting across the region, incidents of looting by various armed actors, indiscriminate shelling, mass killings, more than 136 cases of rape, indicating that there are many more such unreported cases3. According to the draft HRP only 77,000 people in Mekelle and its surroundings, and nearly 300,000 people in areas of Eastern Tigray have received food support from humanitarian partners.

1https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/files/documents/files/ethiopia_2021_humanitarian_needs_overview_hn o.pdf 2 https://www.dw.com/en/ethiopia-un-officials-allege-war-crimes-in-tigray/a-56777495 3 https://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=26838&LangID=E 1

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According to NDRMC the Government of Ethiopia has reached 2,007,882 people with emergency food distribution in Tigray as of Feb 8/2021.

As noted, and while the actual impact and the humanitarian consequences of the conflict continue to evolve and become clearer, below are some of the impacts expected to be tackled:

▪ loss of life, widespread destruction and a subsequent dramatic increase in the humanitarian caseload, including mass displacement; ▪ increased exposure of already vulnerable populations4, particularly children, women, IDPs, refugees, migrants, safety net clients, the elderly and the disabled to exploitative conditions as well as various forms of abuse, who in the absence of access to essential services, may also likely resort to negative coping mechanisms, that would further endanger their wellbeing; ▪ overall inability of the humanitarian community to meet the new as well as the existing humanitarian needs, financially as well as operationally ▪ impact of the conflict on COVID-19 preventative efforts, abandonment of preventive measures, shortage of PPE, disruption of preventive/curative health services, disruption of WASH services, leading to an increase in infections and morbidity/fatalities.

KEY SECTORAL HUMANITARIAN NEEDS HEALTH ▪ Tigray region had a well decentralized primary health care (PHC) system with a network of 919 health facilities; today, only a few hospitals and health centers are confirmed functional and accessible, though severely damaged and looted. ▪ So far, the number of health facilities confirmed to have resumed their services with medicines and supplies delivered has reached 88 in all five zones of Tigray. ▪ Out of 263 health facilities (40 hospitals and 223 health centres) in the region, 205 have been assessed and 162 (79%) have infrastructure not damaged; 24 partially damaged (12%) and 19 fully damaged (9%). However, equipment is fully damaged in 104 (51%) due to attacks and conflict. ▪ Out of 186 health facilities assessed in terms of functionality, 40 health facilities are fully functional (22%), 36 partially (19%), while 110 (59 %) are non-functional. Major cause for non-functionality are lack of supplies (31%), staff (25%) and equipment (26%). WASH ▪ Damages to WASH facilities in Tigray have been identified by the Regional Water Bureau (RWB). Based on the assessment conducted and estimated in hard-to-reach areas, around 2 Billion ETB (US$ 51 million) is required to fix the damages and resume functionality of WASH facilities, including both water and sanitation. ▪ Recent assessments in 13 towns have revealed that 57 per cent of the boreholes are not functional, namely 47 boreholes in Adigrat, Wukro, Mekelle, Adaga-Harmus, Agulae, Negash, Tsigereda, Hagereselam, Adigudom, Samre, Gilet Fanruba and Dengolat. The HeRAMS assessment has further revealed that out of 53 assessed health facilities, most have water sources from piped supply network (42 per cent); tanker truck (17 per cent); unprotected springs (13 per cent); boreholes (11 per cent) and

4 The fact that Tigray has been one of the worst-affected regions by the ongoing desert locust infestation, and the current threats of new swarms arriving in the coming weeks damaging crops, pasture and rangeland, is likely to make a dire situation even worse as far as food security and livelihoods are concerned. Furthermore, another key humanitarian concern as highlighted by UNOCHA is the possible interruption of COVID-19 prevention and control activities, in the connection to the Tigray conflict. According to an internal situational update from UNICEF Tigray Field Office, as of October 29, a total of 85,809 COVID-19 tests had been conducted in the region, with a total of 6,666 confirmed positive cases and 45 deaths in total and 1,233 cases under treatment centers. Similarly, the Ethiopian Public Health Institute Sitrep No. 277 of October 31, had put the region as third in terms of its COVID-19 caseload, while its daily testing capacity has been challenged by shortage of reagents and testing kits, a trend that was already noticeable across the country even before the conflict erupted. 2

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unprotected dug wells (9 per cent). In terms of sanitation, among 70 assessed facilities, 63 per cent have pit latrines or improved latrines; while 27 per cent have flush/pour-flush to piped sewer system or septic tanks. Uncovered pit latrines are used in 6 per cent of the facilities and 4 per cent use flush pour-flush without water. ▪ Most water supply infrastructure has been damaged or looted, and information from 10 sites assessed by UNICEF, shows that over 700,000 people are facing severe water supply shortages and though bill of quantities and prices being finalized, it is estimated that up to $5mill will be required to restore water supply services in the 10 towns alone.

NUTRITION ▪ Even before the beginning of the crisis in November 2020, Tigray had higher rates of stunting than the rest of the country (48.7 % as compared to 39.3% as the national average) and the rate of wasting was 2% above the national average. ▪ Prior to the crisis according to the 2019 mini EDHS, the wasting prevalence (GAM) in Tigray was 9.2 % (2% higher than the national average of 7.2%). ▪ After the crisis 5 partners screened in February 7,039 under five children in multiple locations with 168 (2.4%) SAM and 950 (13.5%) MAM. ▪ In February 2021 week 3 alone, the nutrition situation of children under-five based on malnutrition screening indicated the following: out of 984 children under five screened in 3 accessible woredas in Tigray, the analysis showed 7.2% moderate acute malnutrition and 4.1% severe acute malnutrition giving an approximate wasting rate of 11.3%, which is considered high. ▪ SAM admissions are projected to be even higher in 2021 according to the different scenarios: i) 15,761 children (54% increase of 2020 admissions), ii) 22,065 children (double of 2020 admissions). ▪ With a conservative 3% SAM estimate (1.3 % pre-crisis, according to the 2019 TSA Nutrition Survey), UNICEF has already mobilized resources from CERF-RR and FCDO to meet the needs. However, if we reach 7% of SAM an additional USD 2.4 million would be required to procure the necessary supplies. In addition USD 4.5 million is required to support partnership with CSOs for nutrition interventions and set up 22 Mobile Health and Nutrition Teams (MHNT) in all seven Zones in Tigray . ▪ In terms of nutrition the HeRAMS5 assessment has so far revealed that among 76 facilities there is Middle Upper Arm Circumference (MUAC) screening only in 14 of them (18 per cent; partially available in 36 health facilities (47%) and in 14 health facilities MUAC screening not available (17%). Major barriers to MUAC services: lack of health staff in 43%; lack of supplies in 38%. ▪ Infant and Young Child Feeding (IYCF) related services data shows that out of 60 assessed facilities, in 40 per cent of them such services are only partially available and only in 10 facilities they are available. ▪ Growth monitoring and/or screening of acute malnutrition is relatively well covered, in that in 30 facilities it is fully available, in another 23 partially available and only in seven not availably or not normally provided. ▪ Integrated management of acute malnutrition is also relatively well covered in 47 facilities out of 60, with 19 indicating full availability and 28 partial availability.

EDUCATION ▪ There are 2,492 government schools, primary (2,221) and secondary (271) in Tigray and all have been closed since 8 March 2020. ▪ An estimated 1.3 m children are out of school (1.1 million primary, and 200 thousand secondary) in Tigray.

5 The Health Resources and Services Availability Monitoring System (HeRAMS) is a collaborative approach aimed at ensuring that core information on essential health resources and services is systematically shared and readily available to decision makers at country, regional and global levels. The HeRAMS TWG set up in Mekelle are also gathering the data on the assessment of the functionality health facilities in the region. 3

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▪ Findings from Ministry of Education needs assessment estimated that 25% of schools are damaged and need renovation and or construction; 1,174 schools need furniture and equipment and over 48,500 teachers need psychosocial support. Total recovery cost for education US$ 124 million according to MoE estimation.

CHILD PROTECTION ▪ Concerns over child protection and gender-based violence (GBV) in Tigray, Amhara and Afar regions continue to be reported by partners. Reports refer to GBV, particularly against women and girls, unaccompanied and separated children (UASC), abductions of refugee children, exploitation of children and serious mental health and psychosocial support needs affecting all (adults and children, frontline workers, humanitarian workers etc) related to the conflict and displacement. The Ethiopian Human Rights Commission is one of the agencies reporting on cases of GBV. The Minister of Women, Children and Youth (MoWCY), also highlighted that “rape has taken place conclusively and without a doubt”, referring to the findings of the MoWCY and Federal Attorney General (FAG) Tigray Taskforce. ▪ The HeRAMS findings in relation to protection facilities indicate that among the 59 facilities assessed, 56 per cent do not have clinical management of rape survivors. This service is fully available in one assessed facility and partially available in 16, while it is not normally provided in nine. With respect to psychological first aid (PFA), 46 per cent of the assessed facilities show lack of PFA while another 36 per cent indicate only partial availability of PFA. The main barriers for PFA provision are lack of health care staff and lack of training for them. Regarding the management of mental disorders, 25 facilities have no such service, while another 19 only partially provide this service. ▪ There is only one one-stop center providing GBV services in Mekelle which has assisted as of mid-February 51 survivors (1 boy, 27 girls, 23 women) of GBV (mainly rape) with medical support. ▪ 724 Unaccompanied and Separated Children (UASC) were identified and registered by BOLSA and protection partners in Mekelle, Adigrat and Aksum as of 18 February. These children are receiving case management support while family tracing is under way. ▪ IDPs of all ages are reporting to go through severe psychosocial distress.

SOCIAL PROTECTION ▪ Overall in Tigray 1.1 million people were benefitting from the national Productive Safety Nets Programme social protection scheme (PSNP). ▪ Within the Productive Safety Nets Programme (PSNP), cash payments began after some of the Woredas became accessible and ready for cash distribution. A total of 123,955 total beneficiaries in 6 Woredas received 2 months transfers as of 17 February 2021. The distribution is to both PSNP and non-PSNP clients (a horizontal expansion to include increasingly vulnerable people). ▪ With support from its partners, UNICEF is planning to support the PSNP programme through the Emergency Contingency fund of up to USD 880,000 to augment the on-going cash response when additional Woredas become accessible and banks in those Woredas are reopened.

UNICEF’S RESPONSE The UNICEF response is aligned with the UN OCHA Preparedness Plan, December 2020, endorsed by the Ethiopian Humanitarian Country Team on December 2020.

The updated targets for UNICEF are based on total affected population, being all of Tigray population, and the total population of zones that border Tigray in Amhara and Afar. The total affected population, including refugee caseloads in Tigray and Afar is 12,229,771 (150,083 refugees), including 6,331,738 children (84,797 are refugees).

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The total target population is 2,826,104 people including 1,334,185 children. The Plan is currently costed at US$$ 47,683,002 (up till the end of September 2021). There is currently a 64 percent funding gap.

Since the onset of the conflict and commencement of the response to the Tigray crisis, UNICEF has delivered 853.4 metric tons of multi-sectoral supplies to eight partners (including regional bureaus) with a value of US$2,136,690. In total, at least 370,000 vulnerable people have been reached in six locations in Mekelle, Mai-Tsebri, Shire in Tigray, Semera in Afar, and Abdurafi and Bahirdar in Amhara. Supplies with a value of more than US$10 million are in the pipeline and they include mosquito nets, emergency drug kits, RUTF, household water purification chemicals, school-in-a-carton kits and early childhood development (ECD) kits.

In collaboration with its partners, UNICEF has provided emergency water services to a total of 279,298 vulnerable people including Internally Displaced Persons (IDPs), refugees and host communities in Tigray. Some 31,901 IDPs have been reached with WASH Non-Food Items (NFIs) in Tigray and Amhara regions. In addition, 13,142 IDPs, refugees and people from host communities have benefitted from hygiene promotion activities in Tigray and Afar. Around 4,554 children with Severe Acute Malnourished (SAM) in Tigray, Afar and Amhara regions have been admitted for treatment.

Psychosocial support (PSS) activities have been started in Adi-Harush and Mai-Ayni refugee camps reaching 115 women and girls. Community sensitization is being undertaken in Adi-Harush and May-Ayni camps on the available case management and PSS services to mitigate Gender-Based Violence (GBV) and encourage survivors to report incidents and seek support. Sessions to raise awareness on GBV, sexual exploitation and abuse (SEA) and where and how to report cases and available support to survivors have also been conducted through mini-media and home-to-home visits. Both of these activities have so far reached 667 refugees (345 women, 136 girls, 128 men and 58 boys). 5,459 women and adolescent girls have been provided with dignity kits in Tigray and Amhara.

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UNICEF andMarch IPs 16, 2021 Summary of Programme Results) (as of March 15, 2021)

Sector Target Total results

Nutrition Children under 5 years with SAM admitted to therapeutic care programmes 15,000 4,554 Number of primary caregivers of children 0-23 months receiving with IYCF 200,000 191,899 counselling Number of children benefiting from the distribution of HEBs 6,000 2,700 Health Number of children and women accessing primary healthcare in UNICEF supported 284,800 9,300 facilities Number of people with access to health care facilities stocked with emergency 346800 10,207 drugs and supplies. Number of health care staff provided with PPE 720,000 146 WASH Number of people reached with critical WASH supplies (including hygiene items, 750,000 77,381 NFI and household water treatment chemicals) and services Number of people reached with key messages on hygiene practices 700,000 58,622 Number of people accessing a sufficient quantity of safe water for drinking, cooking and personal hygiene. Principally through durable, long lasting infrastructural 650,000 487,174 investments Number of people accessing appropriately designed and managed latrines 180,000 45,480 Child Protection Number of children and caregivers accessing MHPSS 35,000 361 Number of unaccompanied and separated accessing family-based care or a suitable 2,000 14 alternative Number of GBV survivors provided with case management services 2,500 455 Number of women and girls who receive dignity kits and material support 35,000 8,399 Number of women, girls and boys accessing GBV risk mitigation, prevention or 220,000 667 response interventions Number of girls and boys who have experienced violence reached by health, social 3,000 - work or justice/law enforcement services Education Number of children accessing formal and non-formal education, including early 150,000 - learning PSEA Number of people with access to safe channels to report SEA 92,000 667

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RESPONSE STRATEGY In line with our Core Commitments to Children in Humanitarian Action, UNICEF Ethiopia will deliver life-saving services for children and families who have been affected and displaced by the conflict. This response plan will address and reduce the vulnerabilities of those already in situations that make them potentially more vulnerable, including IDPs, returnee migrants and refugees and deliver to new caseloads, displaced or affected by the conflict. The response plan will foster multisectoral / integrated programming and geographic convergence as best as possible, based on needs.

This revised plan builds on UNICEF’s Tigray response plan released late last year in November 2020 covering until end of February 2021. This plan builds on established inter-agency partnerships, collaboration with the national and regional Governments, and sustained presence of partners. The response strategy will also build on and expand the significant investments which have been made to support essential services and systems in Tigray and 7

March 16, 2021 surrounding Regions through our regular annual workplan commitments, especially for the most vulnerable communities and groups identified to be at high risk.

The response will ensure conflict sensitivity and link humanitarian and development programming that builds and strengthens national and local capacities and systems from the start of humanitarian action to reduce needs, vulnerabilities of and risks to affected populations; and contribute to social cohesion and peace, where relevant and feasible to build sustainability to what might become a protracted crisis. The response is also built on the partnerships that UNICEF has with NGOs that are present across the regions of Amhara, Afar, and Tigray and through whom we will be able to reach large numbers of children.

Our support will be based on UNICEF’s comparative advantage and areas of expertise with children, women and their communities at the centre of the response, taking into consideration also our capacity to deliver with consideration for restricted movement of staff, and Business Continuity practices currently in place.

Integrated services will be delivered through common platforms, cross-referrals and communication for development strategies that capitalize on UNICEF’s field presence and leverage its cluster leadership roles in WASH, nutrition and child protection and co-leadership in education. b

Protection has been mainstreamed across the response and UNICEF will prioritize the protection of civilians and displaced people, as well as child rights monitoring. UNICEF is also committed to the prevention of sexual exploitation and abuse (PSEA) and has strengthened its reporting mechanisms in this regard; UNICEF is also contributing to inter-agency efforts in this regard.

Annex A provides detailed planned activities and targets per sector. OPERATIONAL CONSIDERATIONS DELIVERY MODALITIES, INCLUDING ADDITIONAL HUMAN RESOURCES IN THE FIELD AND PARTNERSHIPS UNICEF has conducted a thorough mapping of existing partners in the regions to identify which partners are able to rapidly scale up to respond. These include current and prospective partners. Extension of existing programme agreements and the initiation of new ones were pursued from the onset of the conflict to ensure a rapid, relevant response. Rapid Response Mechanisms, principally for WASH have been activated to meet WASH needs within the affected communities and amongst the displaced. UNICEF will also coordinate with other response mechanisms to avoid duplication of efforts and maximize impact of humanitarian WASH response. Direct financial support through government bureaus in Tigray were put on hold, however UNICEF is working to disburse quarter 3 request to government IPs. The liquidation of Q1 and Q2 direct cash transfer to sectoral counterparts and BOFED is underway. UNICEF has provided supplies valued at $900,000 to Afar, Amhara and Tigray regional bureaus.

As of the 8th of March, there are 12activated partnerships with I/LNGOs and 2 are in the pipeline for finalization. We have a coverage of the accessible areas including Mai Ayni and Adi Harush refugee camps through our partnership with CSOs covering all sectors and providing humanitarian assistance on the ground.

UNICEF, through its co-lead responsibilities in WASH, Nutrition, Education and the Child Protection Area of Responsibility is scaling up and supporting the sub-regional clusters to enable more effective local coordination of actors, data collection and prioritisation of needs.

Human Resources On the 3rd of March the office of the Prime Minister had announced that in order for humanitarian agencies to mobilize and operate within Tigray region the government has put in place a notification system as opposed to

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March 16, 2021 the earlier authorization procedure for staff movement. UNICEF has and continues to place staff in Tigray in our two hubs of Mekelle and Shire for our wider response in the region. Over the coming weeks we will have already or will be placing the following additional staff:

Mekelle:

• International Emergency Coordinator • International Child Protection/GBVIE Specialist • International WASH Specialist • International Education Specialist • International Nutrition Specialist

Shire: • International Emergency Coordinator (already placed) • National WASH Officer • International WASH Specialist • National CP Officer • National Health & Nutrition Officer

The staff will be in addition to the existing complement of national and international staff already in Mekelle and Shire that will significantly enhance our operational imperatives.

MONITORING/THIRD PARTY MONITORING AND EVALUATION The senior management team of UNICEF Ethiopia has the oversight of the implementation and monitoring of this plan. The sectoral interventions and activities will be closely monitored and regularly reported on, as per established mechanisms, through the focal persons, at sections and field offices. The identified high frequency indicators will be regularly assessed, and corrective measures and technical recommendations will be provided as required.

The frequency of monitoring and reporting will be determined by the humanitarian space enabled to deliver our response.

UNICEF has been and will continue to participate in monitoring and needs assessments as they are initiated in coordinated engagement with partners, particularly UN OCHA and while ensuring the principle of independent and unimpeded access to populations and IDPs groups in all areas.

SUPPLY AND LOGISTICS Supply forecasting will consider population movements which may increase demand for services and supplies and may create increased demand for services. In country transportation has been activated as soon as access was granted. UNICEF continues to work closely with the Logistics Cluster.

SECURITY AND ACCESS The conflict has resulted in a massive mobilization of military and para-military forces by both sides and heavy fighting has broken out across the whole Tigray region. The communication black-out and the inability to obtain accurate and reliable information of the situation on the ground makes it difficult for security colleagues to conduct well-informed security risk assessments. Access into the rural parts of Tigray region remain limited at this

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March 16, 2021 time due to the ongoing conflict on the ground. Due to lack of law and order reports of crime and felony continue to be reported including Mekelle.

There have been improvements on the deployment of staff to the region with the Government officially moving to a notification system rather than an approval process. Missions within the region continue with caution and consultation with security colleagues in Addis. UNICEF has also increased its security stance through deployment of an international security officer to its field office in Mekkele who will cover all of Tigray region.

COMMUNICATION AND PUBLIC ADVOCACY UNICEF’s communication and advocacy strategy are guided by its core commitment to advocate on behalf of children and women with governments and other partners in humanitarian situations. This entails drawing attention to the impact of the crisis on children, highlighting their critical needs and calling for unimpeded and sustained humanitarian access, and reminding all actors of their legal and moral obligation to protect children as required by international law. The UNICEF Executive Director has already issued two statements about urgent, unimpeded, and sustained access to all affected areas and protection of civilians and humanitarian workers. Those messages have also been amplified by our Regional Director.

The country office will develop communication tools that will support its advocacy and communication work. Already, key messages, Q&A, and factsheet on the Tigray Region have been developed, with DOC and EMOPS review, and distributed to National Committees.

Present access constraints and political sensitivities mean local interaction with the media has been limited. However, key information has been shared with the Regional Communication Advisor in Nairobi and the UNICEF team in Sudan which has enabled them to undertake several interviews with the international media. Stock photos and b-roll have also been shared with the UNICEF Hub in Johannesburg for distribution to the press corps.

The country office has been publishing human interest stories of children in video, text, and photo format. UNICEF is also involved in developing joint UN messaging.

BUDGET / FUNDING REQUIREMENTS AVAILABLE RESOURCES0 11_03_2021 Revised Funding gap Initial requirements Sector Funds available Requirements (as of March $ % 2021) Nutrition 3,696,559 3,845,450 3,444,253 401,197 10% Health 2,330,813 3,417,000 3,351,495 65,505 2% Wash 14,216,126 19,354,080 4,943,219 14,410,861 74% Child Protection 924,776 4,677,240 1,641,344 3,035,896 65% Education 10,360,440 10,360,440 1,666,712 8,693,728 84% PSEA 61,819 61,819 0 61,819 100% GBViE 22,896 22,896 0 22,896 100% C4D 768,281 768,281 129,600 638,681 83% SP 2,833,323 0 1,768,149 62% Monitoring / operational 576,940 2,342,473 725,880 1,616,593 69% cross-cutting costs Total 32,958,651 47,683,002 16,967,677 30,715,325 64%

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Annex A: Detailed, planned activities and targets per sector.

Tigray Response plan revised_March 17_2021.xlsx

Total required Activity description/more HAC 2021 Indicators / Total Total Sector CCC benchmark (program + detail* CCC Children Adults recovery HQ 8%) Nutrition cluster/ sector coordination and leadership Cluster coordination at functions are adequately Nutrition cluster Nutrition sub-national level staffed and skilled at national $ 57,240.00 coordination established and sub-national levels. Core leadership and coordination accountabilities are delivered. Nutrition care for wasted children Children aged under five years Treatment for SAM in three benefit from services for the regions (Afar / Amhara and # children aged 6-59 early detection Nutrition Tigray based on impact of months with SAM 15,000 $ 1,455,000.00 and treatment of severe conflict / interrupted food admitted for treatment wasting and other forms of distributions and scarcity life-threatening acute malnutrition in early childhood

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Caregivers of children aged 0- 23 months are supported to # primary caregivers of Appropriate Infant and adopt recommended infant children 0-23 months Nutrition young child feeding and care and young child feeding (IYCF) 100,000 100,000 $ 200,000.00 receiving with IYCF for children 0-24 months. practices, including both counselling breastfeeding and complementary feeding Children 0-59 months have improved nutritional intake and status through age- # children 6-59 months appropriate nutrient-rich receiving Vitamin A Nutrition diets, micronutrient $ 179,425.94 supplementation every six 521,000 supplementation, home- months fortification of foods and deworming prophylaxis, according to context Operational Cost Including - Nutrition Screening Mobile Health and Nutrition - # pregnant women Nutrition Teams, Incentives for Health 180,000 receiving iron and folic $1,953,784.74 workers and Third-Party acid supplementation Field Monitoring "Strengthening of health # children and women Support provision of life- systems and services accessing primary saving and essential health Children and adolescents have healthcare in UNICEF care through Mobile Health safe and uninterrupted access supported facilities Health and Nutrition Teams to health services through 170,880 113,920 $ 940,200.00 (MHNT in Afar and Somali (MHNTs) and other relevant functional health facilities, and provision of EDK in alternate strategies in school and community-based IDP and other vulnerable Tigray, Amhara and Afar activities and at the communities) household level" Children and adolescents have Procure and distribute # of people with access to safe and uninterrupted access health supplies (Emergency health care facilities to health services through Drug Kits, 20 SDDs, 100 Health stocked with emergency functional health facilities, 138,800 208,000 $ 787,000.00 vaccine carriers, 50 cold drugs and supplies for 3 school and community-based boxes, 50 fridge tags PPE) months. activities and at the including for MHNTs household level Provide operational, •At least 80% of the targeted technical, and logistic children and women receive support to plan for and routine vaccinations, including implement integrated catch- # of children under 15 in hard-to-reach areas Health up vaccination and years vaccinated against • At least 95% of the targeted 100,800 - $ 1,600,000.00 supplementary measles population are reached during immunization activities (with vaccination campaigns focus on measles and conducted to reduce risk of Cholera). epidemic-prone outbreaks Provide technical assistance, UNICEF actively contributes to facilitate coordination and the interagency and Health monitoring, and ensure - $ 90,000.00 intersectoral coordination program quality and mechanisms effectiveness WASH Sector / Cluster WASH Sector / Cluster coordination and leadership Cluster coordination at coordination and leadership established at sub-national WASH sub-national level function are adequately $ 80,000.00 level (early alert + rapid established staffed and skilled at sub- WASH assessment as part of national level RRM)

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# people accessing a sufficient quantity of safe Water supply water for drinking, Affected populations have cooking and personal Emergency water trucking, safe and equitable access to, hygiene. This includes WASH water rehabilitation in areas and use a sufficient quantity 250,000 400,000 $ 12,500,000.00 water trucking and that are impacted and quality of water to meet investments into durable, their drinking and long lasting infrastructural domestic needs investments, where applicable. Hygiene promotion and community engagement for behavior and social change # people reached with At-risk and affected critical WASH supplies populations have timely NFI and water treatment (including hygiene items, access to culturally WASH 250,000 500,000 $ 2,525,000.00 chemicals in areas impacted NFI and household water appropriate, gender- and treatment chemicals) and age-sensitive information, services services and interventions related to hygiene promotion, and adopt safe hygiene practices Sanitation Latrines and sanitation Affected populations have facilities established in # people accessing safe access to, and use WASH collective sites / refugee appropriately designed 80,000 100,000 $ 3,404,080.00 appropriate sanitation sites and other (as required and managed latrines facilities; and excreta is safely and assessed). managed Hygiene promotion and community engagement for behavior and social change At-risk and affected Promotion of key messages populations have timely People reached with key incl. COVID-19 preventative access to culturally WASH messages on hygiene 250,000 450,000 $ 845,000.00 messages in areas with NFI / appropriate, gender- and practices water interventions age-sensitive information, services and interventions related to hygiene promotion, and adopt safe hygiene practices Education Sector / Cluster Education Sector / Cluster Cluster coordination at coordination and leadership coordination and leadership Education sub-national level function are adequately $ 57,240.00 established at the sub- established staffed and skilled at sub- regional level national level Equitable access to learning # children accessing When possible, support TLS Children and adolescents has formal or non-formal Education and return to school for equitable access to inclusive 150,000 education, including early children including PPE and quality learning learning (M/F) opportunities

# of schools implementing safe school reopening and $ 10,303,200.00 Education operation protocols (in line with MoE and MoH Covid-9 600 prevention protocols)

Education # children receiving learning materials 20,800

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Child Protection AOR / Cluster Child Protection AOR Cluster coordination at coordination and leadership CP Coordinator is established at sub-national level function are adequately $ 57,240.00 the Sub-regional level established staffed and skilled at sub- national level Unaccompanied and Case management including # unaccompanied and separated children (UASC) for UASC, deployment and separated children Separation of children from CP surge of social workers, accessing family-based families is prevented and 2,000 $ 248,000.00 transport / care package care or a suitable responded to, and family- costs. alternative based care is promoted in the child’s best interest Provision of MHPSS services (integration of level 1 and 2 into the child protection case management framework and capacity Mental health and building of the social service psychosocial support (MHPSS) workforce in this; capacity # children [and MHPSS needs of children, building of other partners ie caregivers] accessing adolescents, and caregivers CP 35,000 $ 2,485,000.00 NGOs in MHPSS and Socio- mental health and are identified and addressed emotional learning based on psychosocial support through coordinated materials being developed) multisectoral and community including through based MHPSS services coordinated multisectoral and community based MHPSS services and based on assessments # of women and girls who CP Provision of Dignity Kits receive dignity kits and N/A for CCC benchmarks 35,000 $ 735,000.00 material support.

Capacity building of service Ending Gender-Based providers for prevention, Violence mitigation and response to # women, girls and boys GBV prevention and risk GBV and Child Protection accessing GBV risk CP mitigation for all is included in 220,000 $ 220,000.00 (including social workers) mitigation, prevention or programmes, with a focus on and; Provision of GBV response interventions the safety and resilience of services (referral and direct girls and women service provision)

Establishment of Community # of GBV survivors Complaints mechanism / provided with case 2,500 $ 310,000.00 training / referral network management services establishment

# of girls and boys who Protection from sexual Establishment of Community have experienced exploitation and abuse Complaints mechanism / violence reached by Children and affected CP 3,000 $ 372,000.00 training / referral network health, social work or populations are protected establishment justice/law enforcement from SEA by humanitarian services workers A mechanism is in place that # of community Service monitors grave violations CP Workers recruited and 200 $ 250,000.00 against children and informs assigned advocacy and programmes

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March 16, 2021

Protection monitoring, including the monitoring and Monitoring system in CP reporting of grave violations place against children (including TA and travel costs) # women, girls and boys GBV prevention ad GBV risk mitigation accessing GBV risk GBVE sensitization programmes are 287,580 measures (Cross-Sectoral) mitigation, prevention or implemented response interventions # of people reached Every child and adult in through UNICEF humanitarian contexts have supported awareness- PSEA access to safe, child-gender 111,662 $ 87,117 raising activities and sensitive reporting channel(s) PSEA risk mitigation and community mobilization to report SEA. referral interventions on PSEA # people with access to safe channels to report PSEA 91,662 sexual exploitation and abuse # of people sharing Community engagement and concerns and asking AAP Set up feedback and questions/clarifications to Communities are consulted C4D 150 150 complaints mechanisms address their needs and informed on the planning, through established design and implementation of feedback mechanisms social protection programmes $ 768,281 Community engagement and AAP # people reached through Community engagement for Communities are consulted C4D messaging on access to 667,092 670,918 social and behavior change and informed on the planning, services design and implementation of social protection programmes Access to social transfers Support national systems to Cash transfer support to Social # of households receiving address financial barriers of vulnerable PSNP 86,623 160,872 $ 2,833,322.76 Policy cash transfers the most disadvantaged and beneficiaries vulnerable families to meet their essential needs Monitoring / Rapid Assessment / operational Monitoring / Operational $ 2,342,473.00 cross- cross-cutting costs cutting costs

#N/A 0 0 $ 47,683,002.00

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