Improving the welfare and quality of life in the region through innovative approaches to delivering economic, social and environmental services to the local population, including those most vulnerable MPTF OFFICE ANNUAL PROGRAMME NARRATIVE PROGRESS REPORT REPORTING PERIOD: 1 JANUARY – 31 DECEMBER 2014 Country, Locality(s), Priority Area(s) / Programme Title & Project Number Strategic Results  Programme Title: “Improving the welfare and Country/Region: , quality of life in the Kyzylorda region through Priority area/ strategic results: innovative approaches to delivering economic, social  Diversified economic development through and environmental services to the local population, capacitating local government to plan for diversified including those most vulnerable” and balanced economic growth and for the increase of  Programme Number: the efficiency of state policy and support to the local  MPTF Office Project Reference Number: development system and small businesses;  Reduction of inequities and disparities in social well- being and health by capacitating local authorities and civil society in addressing the negative social gradients, increase of employment opportunities;  Formation and application of sustainable development practices in response to current problems caused by climate change, natural and man-made acts, including the energy efficiency issues in housing sector and sustainable eco-management. Participating Organization(s) Implementing Partners UNDP, UNESCO, UNFPA, UNICEF, UN Women, WHO The Ministry of National Economy of the Republic of Kazakhstan and the Akimat of Kyzylorda Region Programme/Project Cost (US$) Programme Duration Total approved budget as per project document: $8,743,999 Agency Contribution: UNDP($1,500,000); UNICEF ($344,000); Overall Duration 30 months WHO ($250,000); UNESCO ($ 87,000); UNFPA ($70,000); UN Women ($40,000) Start Date 22 July 2014 Government Contribution: $6,769,833 Original End Date 31 December 2016 Other Contributions (donors): n/a Current End date 31 December 2016 TOTAL: $8,743,999 Programme Assessment/Review/Mid-Term Eval. Report Submitted By Assessment/Review - if applicable please attach o Name: Stephen Tull Yes No Date: dd.mm.yyyy o Title: UN Resident Coordinator and UNDP Resident Mid-Term Evaluation Report – if applicable please attach Representative in Kazakhstan Yes No Date: dd.mm.yyyy o Participating Organization (Lead): UNDP o Email address: [email protected]

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EXECUTIVE SUMMARY

This report outlines the work conducted within the Joint Programme “Improving the welfare and quality of life in the Kyzylorda region through innovative approaches to delivering economic, social and environmental services to the local population, including those most vulnerable” for the period of July 22 till December 31 2014. This report is in fulfillment of the reporting requirements set out in the Standard Administrative Arrangement (SAA) concluded between the Administrative Agent (UNDP MPTF Office) and the Donor. In line with the Memorandum of Understanding (MOU), the Report is consolidated based on information, data and financial statements submitted by Participating Organizations. The report provides the Programme Board with a comprehensive overview of achievements and challenges associated with the Joint Programme, enabling it to make strategic decisions.

The Joint Programme is the results-oriented collaborative programme jointly developed by the Ministry of Regional Development of the Republic of Kazakhstan, whose legal successor is the Ministry of National Economy of the Republic of Kazakhstan, and Akimat of Kyzylorda region, and six UN Agencies - UNDP, UNICEF, UNESCO, UNFPA, UN Women and WHO - to improve the wellbeing and quality of life in the Kyzylorda region through innovative approaches to delivering economic, social and environmental services to the local population, particularly for the most vulnerable. The Joint Programme takes into account the situation analysis of the region and results of the previous programmes and activities. The programme rely on the priorities of the United Nations Development Assistance Framework (UNDAF) for the Republic of Kazakhstan 2010-2015, as well as on the priorities of key national strategic documents, such as “Kazakhstan – 2050”.

The programme was officially launched on July 22, 2014. Due to the delays in arrival of funds at local level, major work started only in September. Since then participating agencies set and staffed offices in the region, and conducted a number of activities, presented at the specially created Face Book page «UN Joint programme in Kyzylorda oblast».

As it is the first year of implementation, the Programme started with review of vulnerable groups’ situation in the region and discussion of the joint plans and activities with local partners and stakeholders. Number of assessments were conducted in the areas of social cash transfers assessment that identified follow up recommendations for improved targeting of poor families with children, home visiting services to identify strengths and possible gaps in delivering quality services to vulnerable families, especially in rural areas, and assessment of suicide preventative measures in the region implemented using UNICEF methodology. The assessment confirmed the notable achievement of the region in reducing suicide among adolescents up to 5 times through strong management support and good coordination among different sectors involved in the programme. There was also a mapping of services and systems for children conducted with regards to juvenile justice and disaster risk reduction. These and other activities will lay a foundation for full roll out of planned projects and innovative approaches in the region during 2015-2016.

Development of local self-government in the two districts of the region activated citizens in the solution of social problems of the region, improvement of infrastructure of 5 social facilities and ensured substantial budget savings. 9 inclusive projects implemented by local NGOs within the Joint Programme allowed 2 socially oriented organizations to receive new equipment and improve quality of their services, create jobs and provide employment to 22 persons, 12 are persons with disabilities and 9 are women. Due to the late launch of the project and the changing of the Head of the Health department of the Kyzylorda oblast, WHO reprogrammed some activities and planned achievement of results for 2014 and 2015 by the end of 2015. In 2014, WHO set up a multi-stakeholder project implementation team

Page 2 of 35 to ensure sustainability of Project results, implement capacity building of managerial staff and prevent brain drain of quality national staff. Results achieved include: capacity built of 5 local health experts for implementation of targeted health surveys to monitor prevalence of risk factors (Global Youth Tobacco Survey, Child Obesity Surveillance Initiative (COSI) and Study on Health Behavior in School-aged Children (HBSCS). GYTS was conducted in 3 districts, 4 schools covered 307 children. COSI and HBSCS are fully prepared for implementation in 2015. Capacities for improving quality of health information have been built. This included training in use of (International Classification of Diseases – 10th revision (ICD-10) for coding of death, and use of WHO methodology on maternal mortality estimates. WHO also carried out a statistical analysis of the burden of mortality due to child trauma in Kyzylorda. This showed that the burden of trauma related deaths among 0 – 14 years old adolescents grows and warrants wide measures for prevention.

Page 3 of 35 I. Purpose

The JP has set to achieve the following three objectives:

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

Objective 2: Disparities in social well-being and health are reduced, employment opportunities are increased, access to quality health, justice, education and social services for the vulnerable families, their children and vulnerable population groups is improved. Expected outputs: 2.1 Capacities of local government and local service providers to plan, budget, implement, monitor and evaluate programmes aimed at improved social inclusion and reduced social disparities of the vulnerable groups are strengthened – UNICEF, UN Women 2.2 New participatory mechanisms are designed for effective and efficient local level planning, budgeting and management for protection of the most vulnerable groups of society – UNICEF, UNFPA, UNESCO 2.3 Innovative approaches to providing special social services to families, children and youth are introduced in rural areas – UNICEF, UNDP 2.4 Support in formulation of policies for promoting productive employment and poverty reduction – UNDP 2.5 Advanced regional health policies development, responsive to the needs of the population at the primary health care level – WHO 2.6 Increased awareness of local decision makers on application of “Health in all policies” approach in regional development strategy – WHO

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

The Programme is targeted to improve the quality of life of the population, and advance progress towards the achievement of the Millennium Development Goals in Kyzylorda region, in particular in the districts affected by the crisis. The proposed joint programme will address the following three areas:

 Diversified economic development of the region through capacitating local government to plan for diversified and balanced economic growth and for the increase of the efficiency of state policy on the formation of the economic growth focal points, support to the local development system and small businesses;  Reduction of inequities and disparities in social well-being and health by capacitating local authorities and civil society in addressing the negative social gradients, increase of employment opportunities and

Page 4 of 35 ensure availability and improved access to quality health, justice, education and social services for the vulnerable families, their children and vulnerable population groups;  Formation and application of sustainable development practices in response to current problems caused by climate change, natural and man-made acts, including the energy efficiency issues in housing sector and sustainable eco-management.

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II. Results

i) Narrative reporting on results:

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

Economic development of Kyzylorda region is heavily dependent on the mining industry, which accounts for 90% of total industrial production. UNDP and UNESCO plan to contribute to the diversification of the economy through the systematic achievement of the following outputs: 1.1 Capacities of local government to plan for diversified economic growth and partnerships with SMEs are enhanced (UNDP, UNESCO); 1.2 Citizen participation in local self-governance and local decision-making are strengthened (UNDP).

Under Output 1.1 in order to concentrate efforts and ensure synergy with the region’s akimat and in accordance with the proposal of Mr. Kusherbayev, the Akim, it was decided to focus the work in the core settlements, especially those 13 agreed with the Ministry of Regional Development. Akimat, in turn, focuses its work on 43 core settlements, which is undoubtedly taken into account within the Joint Programme. A map of the core settlements was made for the convenience, efficiency and result monitoring (Appendix 1).

Based on the experience of the Joint Program in , where 32 online centers were established at the premises of rural libraries with free Internet access in every rural district, it was decided to set up similar centers in each of the 13 core settlements. These centers will become an effective tool for the development of entrepreneurship in rural areas, allowing the villagers to get necessary information from the World Wide Web, and enjoy the benefits of e-government. In 2014, an agreement was reached with the akimats of Shieli and Zhalagash districts on creation of online centers on the premises of 4 rural libraries Akkum and Madeniet Picture1. Opening of the online center in Zhalagash (Zhalagash district) and Enbekshi and Solutobe (Shieli district). By districts, village Akkum the end of 2014, the equipment was procured and delivered to Kazakhstan and the first online centers were opened in March 2015. There is also a plan to train librarians of all settlements where online centers will be located. The capacity building activity will involve experts from National Chamber of Entrepreneurs of Kyzylorda region (hereinafter - NCE). It is envisaged that the online centers will become a link in the business support chain currently formed by the NCE which will ensure their sustainability.

In order to learn how on-line centers of East Kazakhstan operate, representatives of Kyzylorda Regional Library named after A.Tazhibaeva attended National conference of librarians in Ust-Kamenogorsk in late October.

For the promotion of economic diversification, creation of a network of business consultants in all rural districts of the region was planned within the Joint Programme. However, Entrepreneurship Development Fund “Damu” (hereinafter - EDF “Damu”) implemented such initiative just before the official launch of the Joint Programme1. Consequently, it was decided not to duplicate this work. Additionally there was a plan to select an operator of the SME support program in the form of interest-free loans to rural entrepreneurs. An

1 In 2015 the network was transferred to the National Chamber of Entrepreneur.

Page 6 of 35 appropriate competition was held, but unfortunately, none of the bidders met the necessary criteria. The work will be continued in 2015. An option being considered is to work with the Foundation for Financial Support of Agriculture. Unfortunately, the regional management of the Foundation did not express interest in cooperation, therefore the UNDP approaches the Republican office. Another option for 2015 is to reveal two operators. This will narrow the area coverage, simplifying the task for the operator and reduce risks.

2 projects were implemented aiming at the development of small businesses by vulnerable population as part of the inclusive grant projects. The first was implemented by the NGO "Support to Initiative". Within "the Business School" 25 residents of Zhalagash district were trained, resulting in preparation of 9 start-up projects, 2 of which were funded. One is in the village of Aksu: a single mother headed family opened a "Printing Center” the first one in this village. Another beneficiary is Mr. Nurlan Taskaraev, 3rd groups of disability, who established “Center for growing flower crops in the village Zhalagash”. Necessary equipment and raw materials were purchased with the grant’s funds. Today Nurlan wants to build a greenhouse and grow vegetable crops other than flowers and seedlings. At the Figure 2. The new Printing Center time of this writing, both projects have proven to be successful2.

A project of NGO "Association of the Blind", which has become another successful inclusive business initiatives implemented in Kyzylorda city. The project’s goal is to expand the sewing shop by acquisition of specialized sewing machines for the visually impaired and new sewing techniques, increasing quality. The NGO organized targeted seminars on the opportunities provided by government for people with special needs within business support programs with the support of EDF “Damu” and NCE, and a show their goods produced.

According to the Joint Programme’s priority for UNESCO in cultural sphere for safeguarding tangible and intangible heritage as a source of creative industries and strengthening national capacities for safeguarding of intangible cultural heritage, the training-workshop on "Development of crafts in the Aral region of Kazakhstan within the context the Syr-Darya and Small Aral delta conservation of bio-diversity".

Series of trainings were held on 9-11 September 2014 and aimed at the development of crafts in Kazakhstan's Aral region (Kyzylorda region). Trainings were organized by the Executive Directorate of the International Fund for Saving the Aral Sea of the Republic of Kazakhstan (ID IFAS) in collaboration with the UNESCO Cluster Office. During the trainings the master-classes on felt and fretwork were held at the Aral Regional Palace of Culture and at the territory of the State Nature Reserve (SNR) Barsakelmes itself.

Activity’s main goals: 1. Support to local initiatives in crafts development; 2. Fostering of the alternative types of employment for the local community, including women.

UNESCO Cluster Office in Almaty supported the project by involvement of the experts from the Artisans Union of Kazakhstan as the facilitators for conduction of series of trainings on various types of crafts. The project helped to adjust release of handicraft products for the Trade Fair dedicated to the 75th anniversary of the State Nature Reserve (SNR) Barsakelmes.

2 Information published in the local newspaper "Akmeshit Akshamy" #05-06 of January 28, 2015 and at https://www.facebook.com/ObsestvennoeObedineniePodderzkaIniciativy/posts/792753917429241

Page 7 of 35 The development of local public administration and local self-government supported by UNDP under Outcome 1.2 is one of the most important prerequisites for economic development in the region. Importance of the work on the development of local self-government was confirmed in the Action Plan akim of Kyzylorda region in 2015, which in turn takes into account the priorities of the Address of the President of the Republic of Kazakhstan "Nurly Zhol” - way of the future."

In October, to study the experiences of the East Kazakhstan region on the Picture 3 New furnace in Shiyeli development of local self- district government and the use of energy-efficient and water-saving technologies for the solution of local problems, representatives of 6 districts of the region took part in a trip to Abay and Ayagoz districts of East- Kazakhstan Oblast (hereinafter - EKO) and Semey city. During the trip, participants were given insights of the work of local executive bodies and district maslikhats, UNDP, and forged a Picture 4 Representatives of Kyzylorda Region in EKO partnership with colleagues from EKO.

In agreement with the regional akimat, Zhalagash and Shieli districts were identified as pilot areas for the implementation of measures for the development of local self-government. Special meetings were held and materials were presented revealing mechanisms of local government implementation, and explaining the need for community participation in decision-making on important socio-economic issues. The heads of district departments, deputies of maslikhats, active citizens of local communities, NGOs and the media were present at the meeting. 34 public gathering in 34 rural districts were held resulting in clarification of local self-government issues and determination of the list of priority issues of local importance. Akimats of aul districts provided full assistance in organizing gatherings. Based on the local communities’ Picture 5 Gathering in Zhalagash District proposals, local initiative groups developed social projects aimed at solving specified problems of the areas. During the competitive selection process for the implementation of these projects, two local NGOs were selected.

The project in Shieli district covers 5 rural sub-districts and involves the following:  installation of heating boilers in the Community House of the aul Bidaykol (the “House of Culture” is the central and the only place for the village for social, cultural events, the old boiler heating system has failed and could not been repaired, the new one was not bought due to shortage of funds in the local budget);  2 water purification filters in the kindergarten of sanatorium type in Shieli village and regular kindergarten in Kerdeli sub-district;  erecting of 2 greenhouses with energy-efficient technologies in secondary schools and village sub- districts Almali and Iirkol.

Akimat of Shieli district in addition to Tenge 9,095,000 of grant funds of the JP, provided co-financing with installment works worth Tenge 3,120,000. It also budgeted Tenge 10,099,000 for future support of these project-sites. All necessary equipment is purchased and installed, except for greenhouses, to be installed in March 2015.

Page 8 of 35 Based on the will of the population of Zhalagash sub-district 3.5 km of street lighting on the main streets and squares of Zhalagash village - regional center have been replaced with energy efficient street lamps. Approximate budget savings for 8 hour usage of lamps is 141 thousand Tenge a month. Co-financing from the district’s budget amounted to Tenge 750 thousand, spent for installation of lighting fixtures, acquired from the Joint Programme (worth Tenge 5,457,000). All equipment is transferred to the balance of regional local government offices in order to ensure the sustainability of projects and security Picture 6. Energy Efficient Street of the equipment. As a result an agreement between the supplier (LLP Lighting in Zhalagash District "Kazenergosberezhenie") and Akimat of Zhalagash district to start a shop for assembly of energy saving lamps in the district was reached.

The approach for the solution of local problems by local self-government initiative will be introduced in all the districts of the region until the end of 2016. An important part for the implementation of local government concept is the capacity building for the local government bodies, deputies of maslikhats and initiative groups and their understanding of the main provisions of the Law "On Local Public Administration and Local Self- government", budgeting issues, as well as cooperation of all stakeholders. However, due to the short time available, the training planned were not very comprehensive and was carried out mainly by UNDP staff. To enhance the quality of work for the development of local self-government, the training in 2015 will be more comprehensive and in-depth, attraction experts in this sphere and the Ministry of National Economy. Representatives of Zhalagash and Shieli districts will be trained together with Aral, Kazalinsky and Syrdarya region. The latter 3 were defined for the practical implementation of local self-government measures in 2015.

One of the important tasks for UNDP is improvement of the quality of public servants’ work. An effective tool for the improvement of the performance and quality of work at all levels is the Assessment of the effectiveness of the government agencies’ work, conducted by the Centre of Assessment of the Effectiveness of the Activities of State Bodies of the Institute of Economic Research of the Ministry of National Economy of the Republic of Kazakhstan. The Center's specialists were invited to cover the following areas: strategic planning, budgeting, use of information technology and public services provision. These areas were chosen since there were biggest changes in the methodology in 2014. The 2-day training conducted on 10-11 November was attended by representatives of seven district administrations, Kyzylorda city Figure 7 Training on Public Service administration, regional departments of Economics and Finance, the Office of Delivery Akim.

Output 2. Disparities in social well-being and health are reduced, employment opportunities are increased, access to quality health, justice, education and social services for the vulnerable families, their children and vulnerable population groups is improved

Socioeconomic inequality remains high in Kyzylorda region, notably in rural areas. In order to reduce disparities, including in the health status of the population participating UN agencies have begun work to achieve the following outputs: 2.1 Capacities of local government and local service providers to plan, budget, implement, monitor and evaluate programmes aimed at improved social inclusion and reduced social disparities of the vulnerable groups are strengthened (UNICEF, UN Women); 2.2 New participatory mechanisms are designed for effective and efficient local level planning, budgeting and management for protection of the most vulnerable groups of society (UNICEF, UNFPA, UNESCO);

Page 9 of 35 2.3 Innovative approaches to providing special social services to families, children and youth are introduced in rural areas (UNICEF, UNDP); 2.4 Support in formulation of policies for promoting productive employment and poverty reduction (UNDP); 2.5 Advanced regional health policies development, responsive to the needs of the population at the primary health care level (WHO); 2.6 Increased awareness of local decision makers on application of “Health in all policies” approach in regional development strategy (WHO).

Under Output 2.1 Kyzylorda city administration representatives improved their knowledge and skills on analysis of children’s situation and local governance through data collection within the frames of international Child Friendly City (CFC) initiative. Kyzylorda city became one the 21 cities in the country implementing this initiative dedicated to full realization of the principles of the Convention on the Rights of the Child at the local level. The city results were presented at the 5th annual meeting of Kazakhstan’s Child Friendly Cities held in Kyzylorda in May organized by Ministry of Education and Science, UNICEF and local authorities. During the meeting UNICEF international consultant familiarized city representatives with the best international experience on creating child friendly cities in countries, such as Brazil, Australia, Netherlands etc., and also with best examples of children’s participation in local decision making. She also introduced the national criteria developed for certifying cities as child friendly in Kazakhstan. Representatives of Belarus invited by UNICEF also shared their experience on ranking cities based on child friendliness index devised by them. Cities discussed challenges and opportunities in implementing the initiative and agreed on further steps and recommendations.

Later in the year Deputy Akim of Kyzylorda city with the support of UNICEF regional coordinator held a CFC Commission meeting on the issues of city development in the best interests of children. It was decided to assess the access and quality of education, sport and leisure facilities for children, including those with disabilities in 2015 with a follow up meeting on results. Due to UNICEF advocacy, local education department budgeted a tender for organization of consultations with children in Kyzylorda city and some rural areas in 2015 to facilitate children’s and communities’ views on city improvement in line with international standards. The head of regional education department in Kyzylorda participated in international forum in Denmark end of September where he learnt about the latest researches and good practices for creating child friendly cities, top class presentations made by leading practitioners and academia, participated in a trade show on child friendly environments, and visited innovative initiatives in Odense city made for children’s education, play and participation.

In September UNICEF delegation met with the Kyzylorda region administration to review the children’s situation in the region, with a special focus on vulnerable groups, and discussed the areas of cooperation under the UN Joint Program. UNICEF experts presented the programmes, plans and highlighted the areas that require the support of local authorities. As a result of the meeting, annual work plan for 2014-2015 was agreed between Akimat and UNICEF and signed.

Within its component of JP focused on building capacity of local government to plan, budget and implement programs aimed at improved social inclusion and reduced social disparities of the vulnerable groups, UN Women and Crisis Center “Podrugi” is aiming to ensure effective implementation and enforcement of the Law on “Domestic Violence”, increase public allocations for establishment of state-run crisis centers as well as to support non-state services for victims of violence against women and girls. The strategy targets improved inter-sectoral cooperation, ensuring gender responsive budgeting, and developing social services for the victims of DV, technical support to police and awareness raising campaigns on prevention of gender based violence, as well as developing a concept for a rehabilitation center.

UN Women selected and contracted NGO Crisis Center “Podrugi” in order to ensure implementation of activities planned in 2015 and achievement of the outlined results related to increasing the capacity of local

Page 10 of 35 government to implement the Law on Domestic Violence for protection of vulnerable women and girls. The NGO has extensive expertise in advocacy on Ending Violence against Women issues, including conducting policy dialogues and promotion of legislation enforcement.

In November 2014, UN Women concluded the preparatory stage of the project implementation, which included developing detailed budget and implementation plan, and signature of a Project Document in addition to Joint Programme ProDoc. The capacity assessment conducted by UN Women also aimed at ensuring sustainability of the organization and results.

To facilitate implementation of the Project and foster cooperation between local government, Responsible Party and Civil Society Sector, and to achieve the Agency related results, UN Women MCO sent an introductory letter to Akimat of Kyzylorda region requesting for cooperation with Crisis Center “Podrugi” within the RP modality.

During 2014 UN Women within its Core activities jointly with Crisis Center “Podrugi” developed a curriculum and guidance for capacity building of prosecutors and judges on application of CEDAW with a focus on domestic violence in Kazakhstan, which would be utilized in capacity building activities aimed at district judges and prosecutors in Kyzylorda region.

In line with the 2014 work plan, RP developed needs assessment methodology with a plan to present it and utilize in focus group discussions in January 2015. These tools aim to identify gaps in current protection mechanism and will provide recommendations for further improvement of inter-sectoral cooperation of various Akimat departments. Moreover, results of the needs assessment will allow tailoring existing work plan to address the most critical areas. The implementation of major activities under the UN Women component of the JP was postponed to January 2015 due to late official launch and delays in funding, as well as financial closure of the year. Therefore, the first visit to Kyzylorda region was postponed to January 2015.

Despite the delay in implementation of the activities, UN Women is on track to achieving the agency related results. During the reported time, UN Women took steps in ensuring successful operation of the Project: performed selection process and capacity assessment of a Responsible Party for the Component of the Joint Programme, and developed detailed implementation plan

Under Output 2.2 UNICEF launched a study that examined the effectiveness of social transfers for children and their families in Kazakhstan, drawing on quantitative data at the national level and qualitative data collected from urban and rural regions. In particular, it assessed the extent to which the existing social cash transfers support poor and vulnerable children and their families and discussed policy options for improving social assistance to address their needs more effectively. The findings of the research showed that the majority of the extreme poor (i.e. individuals below 40% of the subsistence minimum) do not receive minimum income support to address their basic Figure 1: Analysis of social transfers for children needs, even though they are and their families, UNCIEF 2014 eligible for it based on their household income. Social transfers appear to have various effect on poverty, with state social allowances having the biggest effect but with targeted social transfers and housing assistance - which are mainly aimed at tackling poverty - having fairly small effects. With a view to further look into social protection system and services at the local level, a follow up study was undertaken to assess the role of local authorities in Picture 8. Children in baby house in regulating, financing and administration of social protection measures to Kyzylorda region

Page 11 of 35 children and their families in Kyzylorda region. The results of the study and recommendations for improvement of the social protection system are planned to be presented in 2015.

To establish the Justice for Children programme in Kyzylorda region, in September UNICEF experts

made a mapping of justice system and services available in the region for children in contact with the law, including victims and witnesses of the crime. The experts met with children’s court, police, prosecutor, local education department, specialized school for children with deviant behaviours, centre for adaptation of minors and NGOs to review the situation of children in this group and discuss joint plans. The representative of the children’s court in Kyzylorda region took part in high-level conference in Astana in October where he was introduced to the main results of the review of the juvenile system in the country and recommendations on how to improve the work of children’s courts. UNICEF professional photographer made a photo-documenting of children and families vulnerable to crime, violence or poverty, as well as children living in residential institutions and children with disabilities. He visited the baby house for children at the age of 0-3, children’s court, children’s section at a police station, families in difficult life situations in Kyzylorda region to take high quality pictures of children, with permission from their parents or guardians, for better communication and visibility of joint programme in the region.

Under Output 2.2 UNFPA established collaboration with the Department of Youth Policy under the Akimat of Kyzylorda oblast on improvement the awareness of civil society and young people on issues of sexual and reproductive health (SRH) protection, including STI/HIV prevention, ensuring reproductive rights of adolescents and young people and their access to related information and quality sexual and reproductive health services.

The extended selection process among the local youth NGOs to define the Implementing Partner for UNFPA’s working plans in the region took place and resulted in selection of the local youth NGO “Orkennietty Kazakhstan” based on its experience, collaboration with local CSOs and Akimat authorities. Further plan of actions for 2015-2016 was developed, discussed and agreed with NGO “Orkennietty Kazakhstan” and Department of Youth Policy. The Memorandum of Understanding on implementation of UNFPA’s working plan was signed with NGO “Orkennietty Kazakhstan” in its capacity of implementing partner (IP) of UNFPA.

The project management capacities of NGO “Orkennietty Kazakhstan” were improved during the annual UNFPA reporting meeting with national and implementing partners who shared with the newly selected IP their experience on implementation of national and regional projects, modalities of working with adolescents and young people, particularly from vulnerable groups, on SRH protection issues, including STI/HIV prevention. NGO “Orkennietty Kazakhstan” was trained on modes of implementation and financial reporting for UNFPA. The young activists from the national Y-Peer network increased the knowledge of IP on working with volunteer networks on leadership, volunteering, peer-to-peer education on SRH protection and changing unsafe behaviour trend among adolescents and young people.

Page 12 of 35 Under this Output UNESCO implemented Access to information training for media outlets in Kyzylorda. 25-27 September 2014 Minber foundation in cooperation with UNESCO Almaty Office conducted the Journalists who writes training workshop for 12 media outlets in can on Access to Information issues in really assist in finding Kyzylorda, Kazakhstan. The workshop is of the necessary organized in the framework of information for people Kyzylorda Joint Programme between in Kyzylorda oblast. and UN by Picture 9. Training assignment in Kyzylorda, UNESCO Almaty Picture 8. Android Application logo UN Ms Yesengul Kap, Calendar of Observances and access Trainer, Head of straightening social services to code to App download page in Google Minber Public population. 9 journalists and 3 chief Play, UN DPI in Kazakhstan jointly with UNESCO Almaty Foundation

editors of print and electronic media from Kyzylorda, Kazalinsk and Aralsk gained knowledge and skills on writing articles related to accessing governmental information, based on services provision for local population. Training delivered presentations, discussions and practical exercises in Kazak language bearing in mind, the lack of information for Kazak speaking region. The UNESCO reading materials on Access to Information principles in Kazak language used for the training. Series of Picture 90. Peer review of the draft article, articles related to public services UNESCO Almaty written by local newspapers and bloggers as follow up to the training. This training is the first to prepare the population in gaining local sources of reliable information on governmental and municipal services. UNESCO’a Media and Information literacy actions as well as using mobile applications will facilitate the access to information to support human rights in Kyzylorda oblast.

UNESCO Almaty strengthen access to human rights information by various methods: capacity building of information professionals, media and information literacy and using digital libraries and mobile ICTs. In October 2014, UNESCO Almaty assisted to UN DPI in Kazakhstan to develop two global mobile multilingual applications UN News reader and UN Calendar of Observances. Both are functional under Android platform. UN Calendar of Observances supports Kazakh language apart from official six UN languages.

Applications provide media and rural population especially women and girls access to UN global campaigns and observances. These easy to use mobile tools provide reliable sources and strengthening citizen’s digital literacy skills for participation in UN global campaigns as well as municipal self-governance.

Under Output 2.3 home visiting system was assessed in Kazakhstan based on the qualitative data collected from Kyzylorda and other regions to better understand how the patronage services for families with children are functioning and how to make it better – more efficient, sustainable and equitable. The research showed that while the patronage services are highly demanded and valuable with well-developed primary healthcare network and available social workers, the system cannot provide high quality services to families with children due to absence of professional standards, clear operation procedures and job aids, incentives for quality and efficiency; inefficient work process organization, and lack of access to patient information system. Based on the results of the study, it is planned to introduce in Kyzylorda region pilot

Page 13 of 35 universal progressive model of home visiting in line with best international experience that would also inform policy making at the national level. Kyzylorda has been very active in suicide prevention measures from the outset of the programme. While UNICEF was implementing such a programme in East-Kazakhstan region during 2013, Kyzylorda region faced an unexpected increase in suicide among adolescents. Therefore, the local authorities approached UNICEF for advice and showed strong support for implementing suicide preventative activities in Kyzylorda. The evidence-based materials from UNICEF during the project in East Kazakhstan were implemented in Kyzylorda based on their own initiatives. Key strategies that have proven to work on the global level were utilized. These included promoting awareness of suicide prevention and providing education on suicide prevention to school and health sector psychologists. In 2014 UNICEF assessed the situation on suicide prevention in East-Kazakhstan and Kyzylorda regions with the help of international experts. It became apparent that the suicide preventive programmes in Kyzylorda appeared to work more smoothly there and general acceptance of suicide among school personnel, psychologists and psychiatrists was higher than in East-Kazakhstan region. This was achieved mostly due to leadership and support on the regional level by the deputy governor and good collaboration among education, health, police sectors and the former department of child rights protection. A training programme was created for educational psychologists establishing a system of early recording of suicide attempts. A total of eight groups closely monitored each case of suicidal Picture 102. UNICEF report behaviour as such systematising the work and learning lessons from each individual suicide case. As a result, Kyzylorda region could decrease suicide cases among adolescents in schools up to five times.

The results of the study and work on prevention of suicide among adolescents in East Kazakhstan and Kyzylorda regions were presented in September at the meeting of the Mazhilis, lower chamber of Parliament of the Republic of Kazakhstan, devoted to reducing suicidal behaviour and traffic accidents among adolescents and youth. UNICEF recommendations were incorporated into the National plan of activities for strengthening family relationships, ethical, spiritual and moral values in the Republic of Kazakhstan for 2015 - 2020 and will be jointly implemented with the government as a phased project on suicide prevention throughout the country.

The effectiveness of the Joint program largely depends on the involvement of the population into the solution of its own problems. Therefore, UNDP works closely with local NGOs and their potential not only through education, but also through provision of funds for gaining practical experience in the solving of social problems in the region. NGOs participated in the competition for the implementation of inclusive projects in Kyzylorda region, 9 projects were selected and funded with grant funds out of 22 applications 3. NGOs from Aral, Zhalagash districts and Kyzylorda city successfully implemented their projects despite tight deadlines. The areas of intervention include the following: social and economic adaptation of vulnerable groups, youth, social adaptation and rehabilitation of the elderly and people with disabilities, and employment promotion.

PF "Zhardem Sodeistviye" implemented a project aimed at training and employment of disabled women and women from low-income families to transfer them from those depending on public transfers to breadwinners by sewing. 16 women with disabilities, selected from 74 applicants were trained within 3 months. The goal to ensure employment of 5 women with disabilities has been successfully achieved. In the course of the project, partner NGOs such as "Aruana" (widow of Afghans and Chernobyl), PF "Kokzhiek" (mothers of children with disabilities), NGO "Batyr Ana" (poor mothers with many children) were involved. Trainers, Ms. A. Turbaeva, and Ms. R. Sarymsakova, acknowledged sewing masters, are also disabled women.

3 7 of the projects are presented here, while 2 that have clear business support nature were described in output 1.1.

Page 14 of 35 PF «IZET» implemented a project called "Distinguished old age" in the Oblast House of Veterans in Kyzylorda. The House was equipped with physiotherapy room, a massage chair, equipment for oxygen cocktails and other devices necessary for the provision of quality health support services. There also was a training held on certification of accessibility of social infrastructure (buildings) for people with disabilities. It is expected that the participants (public authorities dealing with of social protection, education, entrepreneurship, culture, architecture and construction) will take into account the standards providing real access to the public facilities for people with disabilities when constructing ramps. The administration of the House of Veterans issues a letter of appreciation to UNDP Picture 113. Veterans benefit from the project for this project. "Distinguished old age" in the Oblast House of Veterans in Kyzylorda. PF "Zhalagash Veteran Organization" ensured the appearance of five new businessmen from among persons with disabilities living in rural areas and the opening of five new small business facilities (in Zhalagash village and 2 rural sub-districts): a canteen, hairdresser salon, shoe repair shop, incubator for poultry farming, sewing studio. The facilities were opened immediately after the project’s beneficiaries passed special business trainings on starting and doing business. As the result, 12 people were employed. For the sustainability, all necessary materials for the new businesses were acquired. PF "Kamystybas" of opened a repair shop of the equipment for the disabled (wheelchair, crutches, etc.). An expert from Tajikistan was invited to Kamystybas village for the training of the repairmen. He is skilled with Japanese technology of the repayment of the disabled equipment. The equipment is being fixed and adjusted to the special physiological needs of users, and even small- scale production of such equipment is possible in the shop. Currently the shop, which is the only shop of this kind in the region, employees 3 rural inhabitants. The NGO donated 4 strollers and "walkers" of their own production to the Rehabilitation Center for Disabled Children "Shapagat" located in Kazalinsky Picture 124.Wheelchair produced district. by PF “Kamystybas”

PF "Kelis" from Astana trained 85 people on the basics of mediation. 40 participants were enrolled in the register of mediators and can work as a professional mediators. A large information campaign informing citizens of the benefits of mediation was also a part of the project.

“Medical-educational Charity Shelter for Children of Preschool Age "Umai" implemented project called "School for Parents of Children with Disabilities" addressing a serious problem of low capacity of parents who have disabled children. At the same time their correct engagement is an important condition for social adaptation and integration of the children into the society. Parents received practical skills in childcare, specialized equipment for psychosensory development of children with disabilities was purchased and a video on the social role of the family in the socialization of children with disabilities was recorded.

Center of artisans "Karlygash" trained 12 unemployed women from low- income households on felting at its own premises. Experienced artisans from national handicraft center were invited to train skilled workers to apply advanced techniques of felting using different materials such as leather and silk. The training participants, whose works have been presented at a special exhibition in Kyzylorda, have ambitious goal to demonstrate their products at "Expo - 2017".

Picture 135. Exhibition prepared by “Karlygash” PF

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UNDP works closely with the NGOs in the field, whose representatives have repeatedly expressed the need to strengthen the request of legal literacy of the civil sector in the region. In this regard, two events were organized specifically for representatives of civil society: a seminar on the experience of successful projects of civil society implemented in the framework of the Joint Program in East Kazakhstan region, as well as the requirements for grant of the UNDP projects and training on human rights. UNDP staff from Astana, Kyzylorda and Semey city conducted the seminar in September. As a result, despite the short time frame for submission 22 project proposals were received from local NGOs. Two-day training devoted to Picture 146. Trained social workers human rights was held in November. The coaches were a President of PF "International Legal Initiative" Ms. Ainash Ormambaeva, a known human rights activist and expert Mr. Amangeldi Shormanbaev and the Fund’s expert Ms. Kyzgaldak Bayzhnova. This was the first time for Kyzylorda region when training on human rights was held in Kazakh, resulting in great interest from and high appreciation of 25 representatives of NGOs attending the training.

Social workers in Kazakhstan perform important functions, providing care services, social adaptation, learning to people with disabilities and elderly and help their wards to cope with their problems. UNDP has made efforts to improve the quality of such services through the training of social workers. So, on 24-26 November a training for trainers from among 17 social workers was organized. The participants are now able to train their colleagues to apply European standards of social care for the elderly and people with disabilities.

Paying great attention to employment issues, and in order to identify key directions for its productivity improvement, UNDP under Output 2.4 launched a study of the labor market of Kyzylorda region. The final version of the research was submitted in February 2015. The study showed that Kyzylorda region is well placed to exploit the potential of people with disabilities who have a higher level of education compared to the national average; as well as highest level of women, rural youth unemployment categorized as "NEET"4. A shortage of staff of technical agricultural specialties (including those of new economic clusters), and underutilized potential of people approaching retirement age, including ex-military workers, which could take leading administration positions in rural areas.

UNDP is actively assisting the Supreme Court of the Republic of Kazakhstan on implement of mediation institute in the country. It should be noted that mediation is not only an effective tool for resolving disputes out of court, but also an opportunity to earn additional income. To introduce rural citizens to the opportunities provided by mediation, a series of trainings "Fundamentals of mediation for non-professional mediators" was conducted in November 27-30 in Shieli, Kazalinsk, and Aral districts. The trainings, conducted by Mr. Zhangeldy Zhakupov, President of the International Human Rights Centre, were attended by 71 villager. The first results of the training were featured in Aral district where a potential lawsuit was settled by one of the trained mediators.5

UNDP actively promotes the interests of persons with special needs, defending their rights and promoting their social inclusion. At the same time, a lot of attention is paid to ensuring the economic independence of people with disabilities by promoting their employment. Thus, in November 2014 - January 2015 there was a project implemented by Youth public fund "Damu" providing training opportunities for occupations allowing to work on distance: "site admin", "translator", "accountant", "journalist", "designer" in three . 10 people were trained in Kyzylorda region; each received a computer for the future profession.

4 Not in employment, education or training. 5 Additional information at http://bnews.kz/ru/news/post/255031

Page 16 of 35 At the time of writing the report, three cadets were employed. The Public fund continues searching for employment opportunities for the rest of its trainees.

Under Output 2.5 WHO conducted introduction meetings with key leadership of oblast health department and medical organizations and discussed key goals and objectives of the Joint Program, defined key questions in frame of upcoming partnership. Main acidities were conducted in July 4 2014 in Kyzylorda and in December 2014 in Astana where a 2-day workshop was held to discuss similarities between Kyzylorda and Mangystau project. Kyzylorda was presented by 5 experts, who in addition to participating in planning also received a wider overview on WHO package of interventions available for strengthening health system and health services to reduce burden of non-communicable diseases, child mortality due to trauma and improvement of services for tuberculosis outcomes. Both discussions with the health care department and health institution representatives and with representatives from the epidemiological surveillance services were held.

The following experts from Kyzylorda participated in the meeting: Aina Mukhambetova, chief of mother and child health protection unit, Oblast health department Kyzylorda, Ulmeken Sarieva, deputy chief doctor of Kyzylorda oblast TB dispensary, Rakhima Seralieva, chief doctor of policlinic #1, Kyzylorda, Aliya Abdikarimova, head of the TB surveillance unit, and Aliya Idrisova, head of the unit on infection and parasitic diseases.

2.5.1. Improvement of PHC services and their adaptation for provision of integrated, people centred health services, using analysis of socio-economic determinants to identify most vulnerable populations, incl. antenatal care at ambulatory level, NCD care, MH care, provision of care for IDUs and persons with HIV, TB services and for improvement of health of workers

In order to improve health services and target vulnerable populations, good quality health information system is needed to enable assessment of health status, determining of key health problems and monitoring of the impact of interventions. As maternal and child health are highest priority and have a strong impact on life expectancy at birth, and on the overall health and demographic development WHO put special focus on improvement of quality of health information. This is an activity that needs to be carried out both on central and local levels.

In July 2014, WHO carried out a national training for improvement of quality of health statistics: Special attention was given to ensure participation of health experts who are responsible/involved in using ICD-10 coding for causes of death. The representative from Kyzylorda (who participated in this 5-day training will be tasked in 2015 with further training of coders in Kyzylorda. Representatives of Kyzylorda also participated in international training and national consultation on maternal mortality estimates presenting WHO methodology. Participant from Kyzylorda was the deputy head of the department for maternal and child health of Kyzylorda health care department, Dr. Kozharipova Zhanat.

Page 17 of 35 Application of ICD-10 for coding of causes of death enables authorities to have an accurate analysis of the health situation. Based on it appropriate policy decisions can be made. WHO carried out training for trainers to use ICD-10 in a better way, and improve reporting on maternal and child deaths. In addition a training on methodology for maternal mortality estimates was carried out in November. In follow up an a review of all causes of death at oblast level is carried out. It will identify problems and eventual under-reporting. Figure 15 WHO training on ICD-10 use for local health authorities, July 2014

As a result of capacity building for oblast level experts, and introduction of new methodology, the National Statistics Office is reviewing the mortality statistics. A report will be prepared for Kyzylorda to identify areas for improvement and further training needs of gynecologists and pediatricians for accurate registration of causes of maternal and infant death. This will enable local and central politicians and health authorities to have an accurate picture of mortality in Kyzylorda, and planning of necessary interventions. Kyzylorda has a relatively high % of reported of still births while correction of miss-coded cases (11 % currently) and a more realistic picture regarding peri-natal mortality figures (due to a relatively high % of reported still-births).

Following the consultation meeting in December, including receiving of necessary data on health service structure in Kyzylorda oblast WHO has reprogrammed activities for 2015. Assessment of the health service organization in Kyzylorda (18-20 February 2015) to identify key priority problems, districts and facilities to be included in the pilot phase and full intervention, target audiences, and key activities that will be implemented in 2015. A rapid assessment methodology and SWOT analysis will be carried out for key facilities through locally organized workshops. A detailed plan for optimization of primary health services has been developed under the title: “Responsive primary health care for sustainable and equitable health outcomes”.

2.5.2 Improved management capacity to apply quality assurance mechanisms at primary health care facilities including supportive supervision, mentoring, monitoring of quality of care indicators for better outcomes of treatment of conditions and diseases presenting the highest burden on public health (communicable and non- communicable diseases and diseases related to EH exposure)

In 2015 WHO will implement the following activities:

Flagship course on Health system strengthening focus on Transforming health services in accordance to 21 century goals. (Almaty: 10-14 February 2015). This course will provide training on specific methodology for analysis of performance of health services, focusing on integrated care, patient centered care and continuity of care, starting from primary health care.

In order to improve quality of services WHO will carry out a patients’ satisfaction and preferences survey based on the plan of activities agreed in December 2014. The objective of this survey is to provide independent qualitative information that will complement information obtained through monthly satisfaction surveys carried out by health services. Findings of the patient satisfaction surveys should be used by health managers to adjust performance and tailor plans for health services, responding to patient needs and preferences. These activities can include: more detailed information on services provided by their health facility, provision of “patient navigation” service that will enable easier movement of patient through the health system, improvement of communication by health providers with the aim to improve quality, reorganizing services so that they are people-centred – i.e. that the “system moves around the patient and not patient around the

Page 18 of 35 system”. In addition the survey will provide information to policy makers: oblast health departments, so that specific piloted changes can be evaluated and used for changes of services at Oblast level. The survey results and pilot results will also be provided to the Ministry of Health and Social development and to the relevant republican institutions for adaptation of quality indicators and including into system patient-feedback on service provision with positive proposals rather than criticism and complaint based system of feed –back. The survey and results are scheduled for the period April-June 2015.

2.5.3 Improved disease-case management of selected most actual diseases (cardio-vascular diseases, diabetes; mental health) through reinforcement of national guidelines and integration of primary and specialized services

Reprogrammed for 2015: Assessment and analysis of use of protocols and recommendations and patient paths in the health service will be carried out. Based on findings of this assessment, trainings for health providers will be held to improve and locally adapt the protocols and their use at primary health care and at specialized health care. Assistance will be provided for adjusting quality indicators for assessment of PHC performance and use of peer-review of cases for improvement of care of main non-communicable diseases (hypertension, ischaemic heart disease, diabetes, asthma).

Under Output 2.6 WHO is working in the following directions.

2.6.1 Increased awareness of local decision makers and key professionals on risk factors of non- communicable diseases posing the highest burden on sustainable regional development

Health statistics shows that the new cases of main non-communicable diseases are growing in all oblasts in Kazakhstan, including Kyzylorda. There is ample evidence that these diseases are linked with several risk factors. Understanding these risk factors and starting prevention at early ages is the most effective way of preventing the epidemic of non-communicable diseases. The key risk factors are: tobacco smoking, alcohol, high BMI, lack of physical activity and low consumption of fruit and vegetables, hypertension, high sugar in blood and high cholesterol. In order to identify the potential for action WHO has included Kyzylorda in implementation of specific health surveys that will provide information on the prevalence of tobacco smoking and obesity among adolescents.

In 2014 WHO carried out preparatory activities, training of local staff and preparation for implementation of specific surveys. Participation of local health experts from the oblast ensures that the main risk-factors will be not only identified in national survey but also used for local planning of activities. The three surveys are: Global Youth Tobacco Survey (GYTS), Child Obesity Surveillance Initiative (COSI) and Health Behavior in school children study (HBSCS).

In 2015 WHO will: based of analysis of NCD burden for Kyzylorda and information on the prevalence of risk factors for NCDs, carry out information seminars for Oblast authorities, health facility and school directors, business managers and civil society on the Health 2020 principles and possibilities for addressing the burden of NCDs through an “all society approach”.

In preparation specific information will be prepared with a profile of Kyzylorda health status and possible interventions by and beyond health sector to reduce mortality and morbidity. Specific workshops and consultations will be held to enable oblast and local/district authorities to develop tailored action plans with the aim to reduce absenteeism, disability and direct health costs and to improve health of economically productive population.

Based on findings of the survey, local health statistics analysis and priorities of the new national health programme 2016 – 2020, WHO will provide technical support for development of oblast health plan of action.

Page 19 of 35 2.6.2 Improved inter-sectoral coalition of all government and non-government sectors in the region to improve prevention of non-communicable diseases that pose the highest burden on regional development

Reprogrammed for 2015 – 2016. Based on environmental risks analysis and trend of NCDs including specific actions by health system, specific recommendations will be made for inter-sectoral actions for reducing mortality and morbidity in particular stroke in relation to extreme weather events/heat waves.

2.6.3 Facilitate setting up an integrated system of non-communicable diseases surveillance in line with the national surveillance framework, support its operation and use of information for local action plans adaptation and strengthening

Training on GYTS was carried out in August 2014, and the GYTS field work was carried out in Kyzylorda in period November – 20th December 2014. Global Youth Tobacco Survey included 4 schools, 17 classes, 305 adolescents aged 13 – 15 years Survey results will have a specific report for the Kyzylorda oblast enabling use for further oblast-specific planning, implementation and monitoring of impact. The report is scheduled to be finalized in May, 2015.

Training on implementation of Child Obesity Surveillance Initiative, COSI: 19 - 23 August 2014

WHO carried out training in partnership with the National Center for Healthy Life Style on Survey of prevalence of obesity and survey on health behavior of school aged children. Trainers of training were Dr. Joao Breda (program manager on nutrition, physical activity and obesity, WHO EURO) and Dr. Iveta Pudule (WHO external expert – senior analyst on Health, Center of disease prevention and control, Latvia).

Goal of the training was to discuss and review organizational and implementation issues, using WHO methodology and research technologies recommended by WHO. This included standardized epidemiological surveillance instruments, as part of the recommendation of the European Surveillance for obesity. Training of researchers (supervisors and interviewers) was conducted for quality standardized use of tools for anthropological measurement of children, and application of survey on life style and socio-economic of health. Piloting of the questionnaire for COSI (Child Obesity Surveillance Initiative) was carried out in autumn 2014. The full survey will be implemented in 2015. Two experts from Kyzylorda who were trained: 1 supervisor and 1 interviewer, both coming from Kyzylorda Oblast Center for healthy life-style. In 2015 WHO planned activities such as:

 Piloting a set of health information and indicators under the national programme for monitoring interventions for reducing NCDs.  Central and local training, consultative meetings with local health providers, and advice to central level for piloting information system for surveillance for NCDs in Kyzylorda region.

2.6.4 Increased awareness of local decision makers and professionals on the issues of violence, injury prevention through series of WHO Violence Injury Prevention workshops conducted in the region

In November 2014 WHO/EURO and WHO/CO together with the national partners: Republican Medical Holding: peri-natal centre/Department for Child Trauma in Astana, Republican Centre for Electronic Health Care and NGO “Our joint road” carried out a national consultation on prevention of child mortality due to traumatism. A specific study has been commissioned to identify causes of trauma and mortality from trauma and accidents in children aged 0 – 14 in the Kyzylorda region. At first glance the analysis for Kyzylorda showed that while Kyzylorda is 11th oblast in Kazakhstan by number of population, it is on 7th place by number of children 0 – 14. This makes it very important for future demographic, health and economic development to reduce early mortality and disability of children. Data for mortality of children aged 0 – 14 who died from external causes such as traffic injuries, drowning, poisoning etc. show a worrying trend. In 2012, Kyzylorda was on the 13th place in Kazakhstan and was under the average of the Republic of

Page 20 of 35 Kazakhstan for this cause of child mortality (2386.7/100000 population) in 2013 the number of children who died from various external causes increased significantly, up to 3231.9/100000 population exceeding the average for the RK and Kyzylorda came on 9th place. As child deaths from external causes are preventable, however require inter-sectoral approach, WHO commissioned an in-depth analysis of causes of death of children 0-14 and up of young people up to 19 years of age. This analysis will be the basis for further interventions, including training of local authorities for inter-sectoral plans, training of NGOs for parental training, training of health services for appropriate assessment of risks at homes and advice to parents on effective measures for trauma prevention.

The work was not continued immediately in 2014 as traumatologists and other health representatives from Kyzylorda although invited, did not participate in the consultation and training.

Based on the detailed analysis commissioned by WHO, a central workshop will be held in Kyzylorda in 2015, to present the findings, and create a working group in the Oblast for development of an Oblast inter-sectoral plan for prevention of child trauma. WHO will provide specific training for assessment of risks of child trauma and development of necessary plans. In addition specific training on intervention packages will be developed for NGOs and for health providers for education of parents, teachers and other responsible persons. WHO will work closely with UNDP and UNICEF including use of training of patronage-nurses and training in kindergardens to enhance information on the plan for reduction of child trauma, and to ensure that out-reach services through health and social services deliver necessary interventions.

2.6.5 School health behavior study performed as a pilot for a nation-wide follow up and capacities strengthened for using the survey to promote Healthy Behavior among schoolchildren.

A series of capacity building trainings in preparation for implementation of specific surveys were carried out including health staff from Kyzylorda and Mangystau oblasts. These trainings were aimed to ensure that the three main risk-factor surveillance surveys cover the two oblasts and provide base line information for interventions. The three surveys are: Global Youth Tobacco Survey (GYTS), Child Obesity Surveillance Initiative (COSI) and Health Behavior in school children study (HBSCS).

The training of local experts for conducting HBSCS was implemented in summer 2014, based on WHO methodology. Five experts including supervisors and interviewers from Kyzylorda region were planned for training. The planning, sampling and organization of the HBSCS will be carried out in 2015, under technical leadership of the Republican Centre for Healthy Lifestyles. The work in Kyzylorda will be carried out by health experts from the Oblast Branch of the center for healthy lifestyles. Specific information for school staff and students will be developed to ensure good response rate in the study.

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

Ecology and environment issues are among the most relevant to Kyzylorda region. Such issues also include agriculture and housing and communal services. Joint Program activities are aimed at achieving the following outputs: 3.1 More extensive knowledge of local communities about the impact of environmental degradation on their well-being is increased (UNICEF, WHO); 3.2 Sustainable environmental and disaster risk reduction practices are modelled for its potential wider replication, including energy efficiency in the area of housing and communal services (UNICEF, UNESCO, UNDP); 3.3 Principles of sustainable development are mainstreamed into local government programmes and plans (UNDP, WHO).

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To improve child care and nutrition in families, especially in vulnerable ones in rural areas under Output 3.1, UNICEF handed over to local administration materials on care and nutrition of children up to 5 years for printing and dissemination among parents and staff of primary health care and maternities. Department of health budgeted 20,000 copies for printing in the coming years, and around 4300 booklets are planned for dissemination till September 2015 through outpatient’s clinics in the region.

These activities have been reprogrammed for 2015, due to only 2 effective months available for interventions in 2014.

In 2015 WHO is planning:

 Round table for awareness of local decision makers on current steps that necessary to pass to use environmental health data in order to assess and impact to population health who are under the risk;  Analysis of environmental risks for health per district;  Setting up an inter-sectoral working group who will be trained on risk assessment and risk management, based on selected risks for health;  Training of health providers to participate in environmental health risk assessment and plan specific targeted interventions to respond to and mitigate risks for health;  Assessment of climate change specific risks for Kyzylorda in particular: spread and emerging of communicable diseases and training of health workers to identify, respond to and report outbreaks of communicable diseases;  Study on women health status and quality and availability of potable water.

Under Output 3.2 with a view to support educational institutions to ensure their readiness to environmental disasters, UNICEF experts introduced to local authorities the programme on disaster risk reduction, including blocks on safety of school buildings, system and procedures for preparedness to such disasters, and training modules for school teachers and children. The emergency department of Kyzylorda identified districts in the region subject to disasters such as water-floods as a result river overflow and fires due to extremely high temperature in summer. These areas include Karmakshy, Zhalagash, Syrdarya, Shieli, and Zhanakorgan rural areas. The education department proposed 7 schools and 3 pre-schools in these areas for piloting the programme. The implementation of the pilot is planned in 2015.

UNDP prepared a report "Assessment of the potential, the identification of needs, the required action plan for different target groups for the implementation of green technologies, including energy efficiency in schools and apartment buildings in Kyzylorda region". The paper concluded that the capacity of Homeowners Associations (hereinafter - HA) /Managing companies is very low. Largely for this reason, it was decided to implement a specially designed training program: "The reforms in the housing sector: empowering homeowners associations" in 2015. The program aims to strengthen the capacity of the HA’s executives and owners of apartments of multi-family houses. In addition to seminars the programme envisages a study tour to Germany on German experience in solving housing and communal problems. The report also proposed a plan of action for different target groups in order to promote green technologies in the region. Some of the activities described below, was implemented in 2014, but for others a preparatory work has been carries out, while implementation is set for 2015.

For the solution to the housing and communal problems, special measures are undertaken. They are the development and piloting of an automated system at the consumer premises for commercial registration, regulation and energy (heat, electricity and water) control in Kyzylorda city. A social object, namely school №3 was chosen, where a preparatory work for the installation of the system has been done in 2014. The system consists of two major components: • weather regulation of heat consumption (possibility of online control/ remote access);

Page 22 of 35 • centralized control of the utilities consumption with the ability of online reading and analyzing the quantity and quality of services.

Such system is the planned for piloting in multi-family buildings (MFD) (at least in one) for 2015. There is a plan to develop proposals for Akimats to replicate this system in schools and in MFD and together with the Akimat to organize work of an independent regional operator accounting and billing utilities.

A modernization of the lighting system has been conducted in 35 rooms of 3 public schools in 2014 of Kyzylorda region. Modernization is envisaging the change of old glow lamps) to LED lamps and electronic ballasts. For that a corresponding lightning assessment has been carried out. The projects implemented in schools already bring positive results that include more comfortable working conditions for Picture 16 The classroom before the lighting was pupils, evident energy saving Picture 17 The classroom after the lighting was changed lessons and formation of new type of changed consumption behavior.

Additionally, an express energy audit (energy scanning) was conducted in schools # 4 and 173 in Kyzylorda - in order to develop recommendations on energy saving measures for taking into account during an overhaul of the schools’ buildings.

Street lighting cost is a large share of a settlement costs; the use of high-quality energy-efficient lighting will help saving budgetary funds and will offer a pleasant and safe living environment. In this regard, a pilot project for the modernization of street lighting is planned for 2015.

An agreement was reach with the regional Akimat on joint implementation of the project for recycling of used mercury-containing lamps in 2014. The special containers will be purchased for receiving mercury-containing linear and compact fluorescent lamps and batteries, and appropriate information campaign will be conducted. Location of containers was agreed with the local administrations and the Department of Public Sanitary Inspection.

Another important pilot to be implemented in 2015, is the creation of Housing Management Center (hereinafter - HMC) in Kyzylorda, a single web portal for the disclosure of information on apartment buildings management and a Call Center for housing and communal issues, serving as a one-stop-shop. This pilot has demanded a lot of preparatory work carried out in 2014, and is aimed at increasing the transparency and efficiency of housing and communal services.

HMC concept based on Kyzylorda region peculiarities was developed in 2014, it was discussed with various stakeholders at the several thematic meetings. The concept was presented to local executive authorities, energy and water suppliers, heads of cooperatives of apartment owners, non-governmental organizations. In general, the stakeholders supported the establishment of HMC with some reservations.

Under Output 3.1 WHO is working in the following areas.

Page 23 of 35 3.3.1 Hospital safety assessments to be conducted in selected health care facilities enabling identification of needs for improved resilience

WHO has reprogrammed relevant activities for 2015 and plans the following:

 Training of local authorities in the methodology for assessing safety of hospitals and health facilities and resilience for most common natural disasters and carry out an oblast risk-assessment analysis to prioritize natural disasters and districts/rayons to be included in the Assessment.  Mapping of health facilities based on risk assessment.  Assessment of safety of selected health facilities in particular hospitals and recommendations based on the risk assessment report.

In addition WHO will implement in 2015:

3.3.2 Early warning system to be tried out to prevent negative health outcomes of extreme weather events and communal infrastructure  Analysis of mortality from stroke and myocardial infarction in connection with extremely high- temperatures.  Setting up an early warning system for population under risk, and training health providers to provide specific primary and secondary preventative measures.  Assessment of water and sanitation of primary health care facilities with recommendations on priority interventions at community level to prevent negative health effects.

Agriculture is one of the leading sectors of the regional economy that provides employment for large portion of the population. However, the share of the industry in the gross regional product does not exceed 3%. Taking into account that more than 55% of the population lives in rural areas the issues of agriculture and environmental sustainability are significantly crucial. Key cooperation areas for the implementation and demonstration of "green" technologies in agriculture were identified with the Administration of Kyzylorda region. It was agreed to develop a Master Plan for the Sustainable Development of agriculture in Kyzylorda region where UNDP experts will take an active role.

Workshop “The Environmental Aspects of Agriculture and Sustainable Management of Ecosystems in Arid regions of Kazakhstan” was conducted with participation of national and international experts in Kyzylorda region (August, 16-17). Existing issues were reviewed and recommendations were developed on sustainable use of water and land-forest resources in Kyzylorda region during the workshop. At the end of the workshop a resolution was adopted.

To demonstrate green technologies and sustainable agricultural practices, it was decided to test them at the territory of individual farms. With this view, the current state of agricultural practice in Kyzylorda region was assessed and special criteria for the selection of pilot sites were developed. Three farms were selected for piloting following projects in 2015: 1. "Demonstration of a new model of transhumance and fodder production with the use of green technologies in the lands at “Named after MadiKadzhy” Picture 18 Field visit to Kyzylorda LLP (Syrdarya district). Five organizations are involved in the project rural areas implementation: UNDP, International Fund for Saving the Aral Sea, "Burvodstroy" LLP, "Kuat" LLP and “Named after MadiKadzhy” LLP. Forage crops was sowed on the area of 100 hectares irrigated with green technologies applications; 2. "The introduction of seasonal pasture rotation using normalized grazing and alternative energy sources in the farm "Aidaulet (Shiiliy district). Four organizations are involved in the project implementation: UNDP, “Aidaulet” farm, Department of Agriculture and West Kazakhstan Agro Technical University.

Page 24 of 35 Evidence-based schemes of seasonal pasture rotation will be implemented and living conditions for livestock breeders will be improved at distant pastures. The project proposals and project agreement are prepared; the shares of each party are agreed upon. 3. “Sound land and water usage with the application of "green "technologies” at the territory of “ShaganZher” LLP, (Syrdariya district). Three organizations are involved in the project implementation: UNDP, Rice Growing Kazakhstan Research Institute, Department of Agriculture and “ShaganZher” LLP. The project will show various types of water-saving technologies on irrigated lands aiming at amelioration and improvement of soil fertility. The project proposals and project agreement are prepared; the shares of each party are agreed upon. In order to install alternative energy sources (wind and sun electrical equipment) for two pilot farms, a necessary amount of energy was determined. The installation for both stations is planned for 2015. Capacity building in the field of aquaculture and commercial fisheries was conducted for fish breeders in Kyzylorda region on the premises of Atyrau hatchery on October 15-18. 7 participants from the region took part in the training. A practical publication was issued in order to disseminate knowledge Picture 191 Training on in the field of sustainable agriculture among the local farmers of Kyzylorda region. aquaculture in Atyrau

Page 25 of 35 ii) Indicator Based Performance Assessment:

Using the Programme Results Framework from the Project Document / AWP - provide an update on the achievement of indicators at both the output and outcome level in the table below. Where it has not been possible to collect data on indicators, clear explanation should be given explaining why, as well as plans on how and when this data will be collected.

UNDP Achieved Reasons for Variance with Planned Source of Verification Indicator Target (if any) Targets Economic Development and Effective Governance Outcome 1. Local government is capacitated to plan for diversified and balanced economic growth, local self-governance system is in place, support to SME provided Output 1.1 Capacities of local government to plan for diversified economic growth and partnerships with SMEs are enhanced

Indicator 1.1.1: Recommendations for regional Not Achieved, 0 Due to the failure in finding a suitable development and economic diversification; contractor, plan to do it in 2015 Baseline: 0 Planned Target: 1 published quality analytical report with recommendations that includes potential benefits from the transport corridor

Indicator 1.1.2: Partially Achieved but within inclusive grant Newspaper “Akmeshit Akshamy” #5-6, Jan 28, 2015 and Number of successful business projects supported achieved, 8 programme, not the one for business https://www.facebook.com/ObsestvennoeObedineniePod Baseline: 0 support. The latter has not been derzkaIniciativy/posts/792753917429241; Newspaper Planned Target for 2014: 5 implemented due to failure in finding a Halyk #48 (747), Dec 12, 2014 suitable contractor, plan to do it in 2015 Indicator 1.1.3: Not achieved, Network of business-consultants has not Number of beneficiaries served by business-consultants 0/0 been established because the state Fund of /on-line centers Entrepreneurship Development “Damu” Baseline: 0 has set its own more advanced network. Planned Target: 2014: 50/50, The first on-line centers due to the late start of the Programme have been opened only in 2015 Indicator 1.1.4: Not achieved, 0 The first on-line centers due to the late start Number of successfully operating on-line centers of the Programme have been opened only in Baseline: 0 2015 therefore no centers were operating in Planned Target for 2014: 4 2014

Indicator 1.1.5: Partially The delays in project implementation were draft TORs; Link to the Fund in Trust (FIT) n° 9621: Implementation of ratified conventions, notably the 1972 achieved, 1 caused because installation of the project in Improving the welfare and quality of life in the (World Heritage) and 2003 (Intangible Cultural Heritage) the UNESCO HQ took a longer time. Kyzylorda region through innovative approaches to ensured. Ratification of 2005 convention (Diversity of delivering economic, social and environmental services Cultural Expressions) promoted. to the local population, including those most Baseline: 0 conventions vulnerable… in the System of Information on Strategies, Tasks and the Evaluation of Results for the 37 C/5:

Page 26 of 35 http://sister37c5.hq.int.unesco.org/ActivityForm.aspx?id= 9621

Output 1.2 Citizen participation in local self-governance and local decision-making are strengthened Indicator 1.2.1 On track. Less The survey in 2 districts of Zhalagash and Shiyely (50 Awareness of rural population on the possibilities provided than 30% respondents) by local self-government Baseline: low (less than 20% of respondents; Target: high (over 80% of respondents) Indicator 1.2.2: Number of successful projects implemented Achieved. 4 There are 5 projects in Shiyeli (3 have been implemented within self-governance scheme in 2014 and 2 (green houses – will be erected in 2015) and Baseline: 0 1 project in Zhalagash districts – fully implemented – info Target for 2014 – min 4 in the report

Indicator 1.2.3: Number of districts covered by information Achieved. 2 Shiyeli and Zhalagash districts – info in the report complain on the local self-government projects Planned Target for 2014: 2 Baseline: 0 Indicator 1.2.4: Rating of the Regional Akimat in the n/a No data is available so far, expected in June achievement of strategic goals and tasks Baseline: 9th place (2013) Target: 20% improvement by 2016 Social-economic Development of the Region and Employment Increase Output 2. Disparities in social well-being and health are reduced, employment opportunities are increased, access to quality health, justice, education and social services for the vulnerable families, their children and vulnerable population groups is improved

Output 2.1Capacities of local government and local service providers to plan, budget, implement, monitor and evaluate programmes aimed at improved social inclusion and reduced social disparities of the vulnerable groups are strengthened Indicator 2.1.1: CFC CFC portfolio of city Akimat CFC Coordination group is established within the city Coordination Akimat Commission is Baseline: not established established Planned Target: Indicator 2.1.2: Approved by decision of the Steering Committee Number of child well-being indicators disaggregated by sex, location and age Baseline: not established Planned Target:

Page 27 of 35 Indicator 2.1.3:Number of local media who have improved Media reports on child issues. understanding on child rights situation and apply ethical norms in reporting on child issues. Baseline: 0 (zero) Planned Target: Indicator 2.1.4: Not yet Akimat annual local public expenditure plan/report Local public allocation for implementation of Law on achieved, on prevention of domestic violence in relation to support to track survivors of domestic violence increased by 15% by 2016 Baseline: 0 Planned Target: Output 2.2 New participatory mechanisms are designed for effective and efficient local level planning, budgeting and management for protection of the most vulnerable groups of society Indicator 2.2.1: Child protection Committee of MOES Share of local budget allocated to social protection for children Baseline: to be established Indicator 2.2.2: 15/58 (2014) Data of Children’s rights protection committee of the Ratio of children in institutional care to children in Ministry of education alternative family/ community-based care Baseline: 17/83 Indicator 2.2.3: 0 Project reports ratio of juveniles diverted to alternative services at the pre- trial stage to the number of committed crimes in pilot sites Baseline: 0 children diverted to alternative services Indicator2.2.4: 33% (2 out of total 6) Ombudsman annual and monitoring reports including % of child closed and residential facilities monitored by under National Preventive mechanism independent bodies Baseline: o% of institutions Indicator 2.2.5: Unmet needs to contraceptives n/a No data is available so far, expected in Multiple Indicator Cluster Survey 2015-2016 Baseline: 11,2 2016 Indicator2.2.6: Number of young people empowered to Not yet The Work Plan for 2015-2016 with Project reports advocate behaviors to prevent unwanted pregnancies and achieved, on planned activities to reach the indicator is HIV transmission. track under the signing process by Akimat Baseline: 0 Indicator2.2.7: Rate of compliance of students education on Not achieved The Work Plan for 2015-2016 with Project reports sexual and reproductive health, including HIV and AIDS planned activities to reach the indicator is issues with UNESCO standards. under the signing process by Akimat Baseline: 0 Indicator 2.2.8: Number of local government specialists Not yet The training is planned for the June 2015 Project reports trained on Population and Development interlinkages and achieved, on effective socio-economic planning and monitoring of track regional development programs, taking into account needs of vulnerable groups of the population Baseline: 0

Page 28 of 35 Indicator 2.2.9: On track Project report and monitoring framework, it also Number of public libraries are using human rights digital contribute to 2.3.4 and other media related indicators library (including mobile applications) Output 2.3. Innovative approaches to providing special social services to families, children and youth are introduced in rural areas Indicator 2.3.1: 0 Project reports and monitoring framework for rural youth Number of approaches introduced and proven as effective centers in the framework of rural youth centers. Baseline: 0 Indicator 2.3.2: Assessment of the Home visiting service % of patronage nursing/home-visiting services provided to mothers and children in rural settlements Baseline: to be established Indicator 2.3.3: Not established Project report. Decree of the local government on Suicide prevention programme introduced to decrease introduction of the suicide prevention programme. suicidal behavior among adolescents. Special questionnaires to measure the level of suicide Baseline: 0 ideation Indicator 2.3.4: Media content analysis, reports, media articles Increased awareness of the families and local community on good practices of child care (health, inclusion, and youth); Baseline: Poor knowledge on child care Output 2.4 Support in formulation of policies for promoting productive employment and poverty reduction

Indicator 2.4.1: Achieved for This report and several media publications Number of jobs created including those for PWD 2014. 22 and 12 Baseline: 0 for PWD Planned Target for 2014: 10 and 5 for PWD Indicator 2.4.2: On track. 17 This report Number of social workers that increased their capacity Baseline: 0 Planned Target: 30 Indicator 2.4.3: Not achieved. 0 Activities on developing business Number of beneficiaries served by business corporate corporate volunteers scheme have been volunteers moved to 2015 and later Baseline: 0 Planned Target: 50 Indicator 2.4.4 Achieved for All projects supported with UNDP grants are solving or Number of implemented projects that solve social problems 2014. 9 complemented to the solution of the problems of those of those most vulnerable most vulnerable Baseline: 0; Planned Target for 2014: 4

Page 29 of 35 Indicator 2.4.5 Achieved 7 This report and Kyzylorda JP Facebook Page. Number of objects that benefited from implementation of inclusive projects Baseline: 0 Planned Target for 2014: 7 Output 2.5 Advanced regional health policies development, responsive to the needs of the population at the primary health care level Indicator 2.5.1: 0 No target set for 2014; key list of % of PHC facilities in Kyzylorda develop institutional institutions identified. action plan based on assessment of local population needs (epidemiological assessment; preferences of population; specific socio-economic profile of the sub-area) Baseline: 0 Indicator 2.5.2: 30% Training of health managers of PHC % of PHC facilities (management/responsible staff) covered started in 2014 for pilot facilities in by WHO trainings; Kyzylorda. Indicator will be combined to Baseline: 0 be achieved by end of 2015. Target: 2014 (20 %); 2015 (20 %) 2016 (10%) Output 2.6. Increased awareness of local decision makers on application of “Health in all policies” approach in regional development strategy Indicator 2.6.1: 0 Delayed: Plan to be developed by mid Inter-sectoral plan for reducing child injury and mortality 2015 developed in line with WHO “Violence and Injury prevention” – reduced number of serious child injuries and mortality due to accidents at home and in traffic Baseline: no plan Indicator 2.6.2: 0 Indicator relevant for entire project. No Mortality of children under 5 in Kyzylorda due to accidents target for 2014 – reduction of mortality to at home and in traffic reduced by 10 % be achieved by 2016. Baseline; TBD Indicator 2.6.3: 0 Plan to be developed by July 2015 Kyzylorda regional health development policy includes Not planned for 2014 as the National objectives and targets on reduction of burden of non- Health Care plan and regional health plans communicable diseases and related risk factors – linked to exist until the end of 2015. Planned for the overall national NCD monitoring structure enabling 2015. monitoring inequities Baseline: 0 indicators on NCD included in any plan Indicator 2.6.4: 4 Staff of health care department of Number of workshops held for training staff of: branch Kyzylorda participated in 4 various offices of Republican Centre for Health Care development, workshops for understanding risk factors. branch offices of healthy lifestyles institutes and of the As the Republican Centre for Health Care Kyzylorda Health care department on the NCD global Development has been reorganized and action plan and 9 objectives and 25 voluntary indicators there are no more branch offices, the Baseline: 0 trainings of relevant staff will include No target for 2014 representatives of Health

Page 30 of 35 Environmental Sustainability, Energy Efficiency and Housing and Communal Sphere Output 3. Sustainable development practices in response to the current problems caused by climate change, natural and man-made aspects of development, including energy efficiency in the housing sector and sustainable environmental management are established and used

Output 3.1. Knowledge of local communities about the impact of environmental degradation on their well-being is increased Indicator 3.1.1: Biological Monitoring of micronutrients deficiency among % of children under 5 age with anemia children under 5, and WRA Baseline: 51.8 % (2011) Planned Target: Indicator 3.1.2 Reprogrammed for 2015 Knowledge of local health and general communities increased by 30% based on evaluation tests of educational events conducted Baseline: 0 Output 3.2 Sustainable environmental and disaster risk reduction practices are modelled for its potential wider replication, including energy efficiency in the area of housing and communal services

Indicator 3.2.1 Number of schools practicing emergency 7 schools and 3 Data of education and emergency departments, training plans updated with DRR components; pre—schools reports of the in-service teachers’ training institute, Baseline: 0 (2013) identified for schools reports, consultants’ reports, project evaluation Planned Target: 7 schools and 3 pre--schools DRR programme report

Indicator 3.2.2 Achieve. 3 This report. Schools # 3,11,173 Number of pilot projects improving microclimate and lighting conditions in the buildings Baseline: 0 Planned Target: 2014 – 3, 2015 – 2, 2016 - 1 Indicator3.2.3 : On track Capacity building assessment report Necessary recommendations on replicating sustainable green practices in the buildings (public sector and multi- family buildings) are developed and presented to stakeholders. Baseline: No recommendations Planned Target: Necessary recommendations on replicating sustainable green practices in the buildings are used by stakeholders in their work (determined by expert assessment).

Page 31 of 35 Indicator 3.2.4: On track. The This report. Official correspondence with stakeholders The system of recycling of used mercury-containing lamps agreement with is in place (in Kyzylorda) Akimat has been Baseline: No system exists reached Planned Target: Successful project on recycling of used mercury-containing lamps Indicator 3.2.5: On track Official correspondence with stakeholders Modernization of street lighting system for energy efficiency and better quality of light. Baseline: there are modernized street but there is no clear system of the selection of the equipment in place Planned target: implementation of a pilot project on street lighting system (one street) with full set of required recommendations ensuring sustainable replication of the project Indicator 3.2.6: On track UNDP expert’s report on Center for housing Awareness of the stakeholders on the application of energy management. efficient technologies and sustainable management of multi-family houses based at national and international experience Baseline:2-3% Planned target: 50% Indicator 3.2.7: On track TUNDP expert’s technical report on Center of Housing Elements of transparency and efficiency of the housing and Management communal sphere actors, namely all condominium bodies, are implemented into practice. Baseline: Low transparency of bodies managing condominiums Planned target: implement successful project on creation of the Center of Housing Management Output 3.3 Principles of sustainable development are mainstreamed into local government programmes and plans

Indicator 3.3.1: On track. Official correspondence Regional planning process is decentralized and allows Agreement to engagement of broader public. support Baseline: Regional planning process is very centralized and development of does not allow for engagement of broader public. Roadmap on Planned Target: Regional planning process includes public, agriculture was farmers, scientific research agricultural institutions, reached. apartment owners cooperatives, green technology associations.

Page 32 of 35 Indicator 3.3.2: On track. Public, Minutes from the meetings, reports. Establishment of the system of regional planning providing apartment integrated development targets in economic, social, and owner’s environmental dimensions. cooperatives, Baseline: The existing system of planning does not ensure farmers, local integrated development targets in these three equally authorities are important dimensions. actively involved Planned Target: Regional planning system includes in the discussion ecological and economical aspects. of pilot projects demonstrating ecological, economic and social efficiency of the green technology application. Indicator 3.3.3: Reprogrammed for 2015 At least 5 hospitals undergo Hospital safety assessment

Indicator 3.3.4 Reprogrammed for 2015 Main principles of health early warning systems are incorporated in local development plans Baseline -0

Page 33 of 35 iii) A Specific Story

Problem/Challenge faced: There is no specialized enterprise on wheelchair service in Kyzylorda region. A regular workshop would hardly accept a wheelchair for repair, besides such workshops are not socially oriented. The wheelchairs provided by the government are standard and are not always suitable to the specific needs of the users. Children suffer from improper size while disabled persons with considerable weight do not fit into standard wheelchairs. Mr. Issayev Aldabergen, the head of “Kamystybas Water Users” NGO from Kamystybas village, has been doing minor wheelchair repairs previously, but could not properly help everyone due to lack of experience and special equipment. At the same time, according to the Division of Social protection, there is a need for the repayment of over 160 pieces of wheelchairs and walkers annually only in two districts of the region (Aral and Kazalinsk). Programme Interventions: Mr. Issayev prepared a space for a repair shop for wheelchairs, walkers and crutches, and acquired all the necessary equipment and materials. He invited Mr. Rakhmonov Abdukholik, an engineer from Tajikistan for personal capacity building and training of two artisans (previously unemployed local people). Mr. Abdukholik (NGO “Dilshot”) was trained by Japan specialists and is proficient in installation of equipment and production of wheelchairs, walkers and treadmills. It was discovered that there are no suitable materials nor spare parts for assembly and repair of handicapped equipment in Kyzylorda region. Both masters travelled to Aktobe, and Almaty at own expenses for the acquisition of suitable material. The training lasted for a whole month, during which local craftsmen obtained necessary practical skills. Results (if applicable): The shop has no analogues in the oblast nor in Kazakhstan. Moreover, above mentioned NGOs are doing repairs and assembly of wheelchairs for free. 20 pieces of equipment for people with disabilities were repaired during the project. Five wheelchairs and walkers were donated to Kazalinsk Rehabilitation Center for Children with Disabilities "Shapagat"; there is a plan to assemble and donate another five. NGO "Dilshod" and NGO “Kamystybas” agreed for further exchange of information and consultations NGO “Kamystybas” is ready to train craftsmen from other regions. Lessons learned: When considering the application the grant committee had doubts on the possibility of the NGO to implement the project. Yet the project was successful, therefore an absence of detailed and high-quality application and good presentation skills of the applicant does not always mean a low-quality project. Mr. Issayev demonstrated good organizational and craft skills; he also received recognition and gratitude from local administration and people. This proved to be more important than nice application and attractive report.

Page 34 of 35 Annex 1

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