Expanding the opportunities of the in achieving sustainable development and socio-economic modernization MPTF OFFICE ANNUAL PROGRAMME NARRATIVE PROGRESS REPORT REPORTING PERIOD: 1 JANUARY – 31 DECEMBER 2015

Country, Locality(s), Priority Area(s) / Strategic Programme Title & Project Number Results • Programme Title: “Expanding the opportunities , Mangystau region of the Mangystau region in achieving sustainable Priority area/ strategic results development and socio-economic • Reduction of inequities and disparities in social modernization” well-being for the vulnerable populations, • Programme Number: increase of employment, improving key health • MPTF Office Project Reference Number: indicators • Enhancement of the capacities of local government to plan for diversified and balanced local economic growth and expansion of income generation opportunities and local self- governance development • Formation and use of sustainable development practices in response to the current problems caused by climate change, natural and man-made aspects of development Participating Organization(s) Implementing Partners UNDP, UNESCO, UNFPA, UNHCR, UNICEF, • The Ministry of National Economy of the

UN Women, and WHO Republic of Kazakhstan and the Akimat of Mangystau Region Programme/Project Cost (US$) Programme Duration Total approved budget as per project document: Overall Duration $8,259,333 30 months JP Contribution Agency Contribution: UNDP ($700,000); UNICEF ($306,500); WHO Start Date

($250,000); UNHCR ($90,000); UNFPA ($70,000); 8 July 2014 UN WOMEN $40,000; UNESCO ($33,000) Government Contribution: $6,769,833 Original End Date 31 December 2016 Other Contributions (donors): Current End date 31 December 2016 TOTAL: $8,259,333 Programme Assessment/Review/Mid-Term Eval. Report Submitted By Assessment/Review o Name: Norimasa Shimomura Yes No o Title: UN Resident Coordinator and UNDP Mid-Term Evaluation Report Resident Representative in Kazakhstan Yes No o Participating Organization (Lead): UNDP o Email address: [email protected]

Page 1 of 69 CONTENTS

LIST OF ABBREVIATIONS ...... 3

EXECUTIVE SUMMARY ...... 4

PURPOSE ...... 5

NARRATIVE REPORTING ON RESULTS ...... 6

Objective 1: By the end of 2016, inequities and disparities in social well-being for the vulnerable populations are reduced, employment is increased, key health indicators are improved ...... 6

Objective 2: By the end of 2016, the capacities of local government to plan for diversified and balanced local economic growth are enhanced and income generation opportunities are expanded and local self-governance developed ...... 22

Objective 3: By the end of 2016, 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 ...... 28

INDICATOR BASED PERFORMANCE ASSESSMENT ...... 34

SPECIFIC STORIES ...... 52

ANNEX 1. BUSINESS PROJECTS SUPPORTED WITHIN THE JOINT PROGRAMME ...... 55

ANNEX 2. THE LIST OF ACTIVITIES IN 5 DISTRICTS OF MANGYSTAU REGION ...... 57

Page 2 of 69 LIST OF ABBREVIATIONS

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

Page 3 of 69 EXECUTIVE SUMMARY

In September 2015 at the UN Summit, the Member States of the United Nations adopted the 2030 Agenda for Sustainable Development with a set of Sustainable Development Goals (SDGs) for 2016-2030 at its core that aim to end extreme poverty, promote equity and opportunity for all, and protect the planet, in close partnership among the nations. Kazakhstan presents a unique case of development in Eastern Europe and the CIS region. It has reached at least half of Millennium Development Goals (MDGs) and even set more ambitious MDG+. The country is an example of a forward-looking state, which is proved by its national strategies and sectoral programmes, its achievements and the roles it has played in the global arena. Yet the regional disparities continue to be a challenge for Kazakhstan. In light of economic slowdown, the regional development in Kazakhstan is becoming even more important as the country moves towards sustainable and regionally balanced growth. At his latest address to the people of Kazakhstan “Kazakhstan in the Global Reality: Growth, Reforms and Development” in November, 2015 the President Nazarbayev urged for a need to revisit the expenses for the regional development programmes, in order to combat the inefficient use of budget funds.

This local development programme was developed at the request of the to address widening social and regional disparities using the Mangystau oblast as a pilot. The programme brings the best UN can offer in economic, social and environmental sectors such as ensuring equitable access to public goods and services; piloting innovative approaches in health and social services provision; strengthening self-governance, and application of sustainable environmental practices. The present report outlines what has been accomplished and learned and what challenges have been encountered in 2015.

This Consolidated Annual Narrative Report on activities implemented under the Joint Programme covers the period from 1 January to 31 December 2015. This report is in fulfilment of the reporting requirements set out in the Standard Administrative Arrangement (SAA) concluded between the Administrative Agent (UNDP MPTF Office) and the Donor. In line with the Memorandum of Understanding (MOU), the Report is consolidated based on information and data submitted by Participating Organizations. The report provides a comprehensive overview of achievements and challenges associated with the Joint Programme, enabling to make strategic decisions and correction measures where required.

The UN agencies’ work as one front and in close collaboration with the regional authorities and civil society, complementing each other’s expertise are moving towards the Joint Programme’s targets has resulted in notable changes. More children, elderly, PWDs, oralmans, stateless persons receive better social and other services with less people, including children, living under the subsistence level. The process of obtaining the required documents for persons with undetermined nationality was simplified ensuring their adaptation. There are increased opportunities for patients to voice their concerns over health care, engage with health providers and participate in their own well-being. The specific actions have been taken to preserve heritage of the region and a significant number of economic opportunities have been created by applying innovative technologies for green energy and economy. Innovative thinking and gender mainstreaming have created new economic opportunities and improved access to information has created novel opportunities to engage and participate in governance, increasing full inclusion into society for many vulnerable people in Mangystau.

The capacity building on local self-government has ensured more opportunities for rural development, better compliance to the legislation and introduction of innovations in remote rural areas. This rural development is also reflected in the improvement of the Ginni coefficient that reflects income disparities. Inclusive projects supported by UN have ensured new jobs for local people including for PWD. Irrigation activities of more than 10 thousand hectares of desert lands have created better economic and ecological conditions for local farmers. Green and other energy efficient technologies piloted at many social objects have not only demonstrated opportunities, but also provided budget savings. New instruments and institutions including in the civil sector and housing and communal sphere have ensured better services and transparency, while green technologies introduced have allowed for budget savings.

Page 4 of 69 PURPOSE

The Joint Programme is based on the 2010-2015 UNDAF, aimed at supporting the Government of Kazakhstan in addressing priorities for social-economic modernization in the oil rich region which is exposed to severe climatic conditions. Considering the development challenges identified in the economic, social and environmental dimensions, the programme pursues the following objectives, each corresponding to the identified problem phenomenon in the respective sector:

Objective 1: By the end of 2016, inequities and disparities in social well-being for the vulnerable populations are reduced, employment is increased, key health indicators are improved

1.1 Support to formulation of policies stimulating productive employment 1.2 Innovative approaches to providing health and special social services to women, children, youth, elderly, PWDs, repatriates, etc. are piloted in rural areas 1.3 Regional health policies development, responsive to the needs of the population at the primary health care level 1.4 Increased capacity of local decision makers on application of "Health in all policies" approach in regional development strategy 1.5 Capacities of local government and local service providers to plan, budget, implement programmes for protection of the most vulnerable groups of society, including youth and children their families are strengthened 1.6 Awareness of the local population on best practices of child care and new participatory mechanisms are enhanced 1.7 Principles of sustainable development, including the protection natural and cultural heritage, are mainstreamed into local government programmes and plans

Objective 2: By the end of 2016, the capacities of local government to plan for diversified and balanced local economic growth are enhanced and income generation opportunities are expanded and local self-governance developed

2.1 Support to formulation of policies diversified economic growth, support the development of small and medium- sized enterprises (SMEs) in key non-extractive sectors and income generation. 2.2 Increasing the quality of local public administration and local self-governance in rural areas

Objective 3: By the end of 2016, 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.

3.1 Sustainable environmental and disaster risk reduction practices are modelled for its potential wider replication 3.2 Principles of sustainable development are mainstreamed into local government programmes and plans.

Page 5 of 69

NARRATIVE REPORTING ON RESULTS

Objective 1: By the end of 2016, inequities and disparities in social well-being for the vulnerable populations are reduced, employment is increased, key health indicators are improved

Output 1.1. Support to formulation of policies stimulating productive employment

The research on labour market initiated in 2014 was finalized in spring 2015 with recommendations for balancing labour supply and demand. The team of young researchers under the public fund “Zhastar Zhetistektiri” provided suggestions for the regular monitoring of the effectiveness of regional development programmes, justified the need for career guidance programs for adolescents and a single free labour information database. They also identified tourism and agricultural development as an important source for productive employment. The recommendations laid the basis for many of the grant projects developed by local NGOs.

As part of a joint work with educational institutions, a seminar "Modern Ways of Effective Job Search" was conducted for the seeking employment youth, representatives of Oblast Division for Coordination of Employment and Social Programs, employees of city and district Employment Centres, Youth Resource Centers, NGOs and online centres. Trainers from HeadHunter (hh.kz) - a successful, fast growing recruitment company presented modern and simple methods in finding a Picture 1. Publication of Labor Market job. As the result 25 trainees learned how to apply modern and simple job search Research techniques which was very useful for the employment centres that currently use the hh.kz and other Internet resources for finding jobs for their clients rather than their one database only1.

Picture 2-3. Seminar "Modern Ways of Effective Job Search Oralmans of the region represent one of the most vulnerable categories of citizens and many of those that came even from the former Republics and have common education and historic background and have economically settled are still not fully excepted by the society and not socially integrated. Though the major immigration flows of oralman happened in late 2000s, they still continue to come to the region with 169 families arrived in 2015. Most of them Picture 4. Awarding participants are former citizens of and , 65 came from Iran. One of the reasons for poor integration of repatriates to the society is the lack of language skills, especially oralmans from Iran. To change the situation, UNDP works Picture 5. Meeting of the UNICEF closely with the Center for rehabilitation and integration of repatriates in . representatives with Social Protection In cooperation with the Oblast Division for Coordination of Employment and department Social Programs UNDP organized computer courses and language ( and

1 For more information please see А. Pokatilov. Modern ways of the Jobe Search.//Newspaper Ogni Mangystau, 10.09.2015 . www.ogni.kz Page 6 of 69 Russian) courses for 10 and 20 repatriates respectively. The majority have passed the courses successfully, 2 persons received jobs immediately after the courses, 10 received guidance on business set-up and development

A comparative study was undertaken by UNICEF to assess the role of local authorities in regulating, financing and administration of social protection measures to children and their families in East-Kazakhstan, Kyzylorda and Mangystau oblasts. The results of the study showed that the social protection system in Kazakhstan is complex and centralized. Despite the ongoing decentralization processes, local authorities have limited regulatory authority, and level of the locally initiated social protection is limited. Although social assistance programmes are implemented by local bodies, standards, norms and rules of assignment and payment of social benefits and social services are defined at the national level. The current regulatory framework does not allow making amendments at the regional level. Regardless of the specific features of a particular region of Kazakhstan, the only thing that can vary is (also legislated) regional subsistence level or territorial norm used to calculate the per capita income in the calculation of targeted social benefits. At the same time, capacities of local administrators responsible for benefits and services, as well as means-test methodology, and application process requirements applied by local administrators play significant role in ensuring access to social protection programs for local population.

In Mangystau region the number of targeted social assistance (TSA) recipients is equal to or less than the number of state child allowance (SCA) recipients and the number of disability allowance (DA) recipients is the lowest. has a smallest number of TSA recipients and the largest number of SCA and DA recipients than the other two areas. However, in terms of the total amounts of payments on the number of recipients the picture is different. The average size of TSA payments is higher in the (see chart 1 below), that may mean that the gap between per capita income and 40% of the subsistence minimum is higher in East Kazakhstan region than in Kyzylorda region.

Chart 1. Targeted social assistance amounts Targeted social assistance amounts in 2014 (KZT (KZT mln.) mln.) 483.9

335.9 283.8 235.1 181.5 119.1 86.6 235.1

125.4 39.4 77.8 36.1 119.1 2011 2012 2013 2014 39.4

Kyzylorda Mangystau East Kazakhstan Kyzylorda Mangystau East Kazakhstan

Final report and findings, as well as recommendations for improvement of social protection measures were presented to the oblast Akimat. It was also discussed to pilot the integrated social protection mechanisms in Mangystau oblast with introduction of case management and establishing a community center to work with applicants of social assistance by providing information on available benefits/services, referral to social and employment programs funded by the government as well as to outreach families in poverty. The Employment coordination and social programs department proposed to start the pilot project in Munaily rayon in 2016.

With a view to prepare to the pilot project UNICEF organized a study tour to Armenia for Deputy Akim of Mangystau oblast and Head of the Department for employment coordination and social programs to familiarize with the experience of the country in introducing the Integrated Social Protection system and implemented reforms in this area. During the tour the participants visited the integrated social center, learnt about institutional cooperation between the services, local social planning, application of case management and had a discussion about data and analysis on poverty, statistics of effectiveness of social assistance allowances, systems of family allowances and monitoring and evaluation within ISP system. The participants from Kazakhstan also shared their experience in the area of social protection.

Page 7 of 69 Output 1.2. Innovative approaches to providing health and special social services to women, children, youth, elderly, PWDs, repatriates etc. are piloted in rural areas

Social workers facilitate social cohesion and the empowerment of people by providing most vulnerable groups assistance in overcoming personal and social difficulties through the support, protection, compensation and rehabilitation. They also act as intermediaries between the state and the consumers of social services. Thus improving the quality of their work is one of the important instruments of the state social policy. There are 192 social workers in Mangystau region, which is low in comparison with other regions and therefore the quality of their work and attitude to work is even of greater importance. Therefore UNDP together with the Oblast Division for Coordination of Employment and Social Programs organized a seminar "Prospects of Social Modernization", aimed at capacitating of 30 specially selected social workers from Aktau and rural districts of Mangystau region.2

Pictures 6-7. A seminar for the Social workers

Creation of barre-free environment for people with disabilities has become an important task for UNDP in Mangystau region and its partners. While physical barriers are important, the soft infrastructure should also be “friendly” to those who are less advantaged. There was an official request from the Culture Division of Oblast Akimat with the request to provide training on sign language for the librarians, workers of the History Museum, Puppet Theatre, Musical and Drama Theater and social workers Aktau. The course started in December 2015 and was successfully completed on February 19, 2016. To commemorate the importance of the training, the official completion of the course was attended by the Oblast Akimat representative, heads of various cultural institutions and the regional Association of the Deaf. Students demonstrated the knowledge and practice obtained during the training to about 40 attendees, and received positive feedback from those with hearing impairments.

NGOs play an important role in provision of special services, by implementing state orders, conducting monitoring or simply introducing best practices. Out of 373 officially registered non-commercial organizations, only 50 are active. At least half of the latter is involved in the social inclusion of the most vulnerable groups of population, such as people with disabilities, elderly, oralmans, unemployed youth and women. At the same time these organizations have no history or sustainable practice of working with international organizations. Most of them take part in the “social orders” distributed by Akimat. Some implement projects sponsored by extracting companies. Most of the NGOs noted the lack of their experience in developing project proposals, Picture 8. 2 days training for NGOs or ensuring sustainable operations of their organization. Therefore, a special trainer from was invited to hold a 2 day training "Strengthening the capacity of NGOs" devoted to identification of community needs, planning and development of inclusive projects, monitoring and evaluation. All 20 participants of the training noted the importance of such educational events and appreciated the opportunity to be taught in Kazakh.

UNDP small grant programme for NGO aiming at solution of social problems and capacity building of NGOs have led to implementation of 7 successful projects. The implementing organizations were selected out of local NGOs by the special commission that included representative of the Oblast Akimat, independent NGO leader and UNDP. Among them the public funds Rada-Aktau, Zhas Dauren, Sport Club for PWD, Hazret, School of Women’s Leadership, Civil Initiative of , Azhar-Ai.

2 Publication at http://mangystautv.kz/ru/news/society/obuchayushchii-seminar-dlya-socrabotnikov Page 8 of 69

Rada-Aktau implemented a project devoted to social tourism for the children with disabilities. 7 tourists routs were adjusted to be accessible for people with special needs. 140 children took part in the specially organized excursions around the region and learned its history and attractions. The interesting feature of the project was the involvement of regular kids that went on the tour together with the children with disabilities. The former informed that the project had changed their attitude for people with disabilities and their perception of own life. There was a Round Table devoted to Picture 9. “Rada-Aktau” project the project to attract attention of the authorities, tourist operators and educational institutions to the need for development of social tourism. The event was supported by the Department of Tourism of the Ministry of Investment and Development. It also resulted in partnership relations between “Rada Aktau” and Tourism College and its students.

"Zhas Dauren" Public Fund within "Improving the livelihoods of rural women felting and development of female entrepreneurship" project held a training of 10 unemployed women of Munaily District on felting technique and basics of business. Among several trainers attracted were those that initially were trained by UNDP by the successful Kazakh felt-maker, business lady and designer Aigul Zhanserikova. (). Most of the trained ladies have mastered the process well and successfully sold their products at the fare-exhibition in Aktau. Currently craftswomen of Munaily District upon invitation of the local school management train high school girls and continue their development as artisan.

Picture 10. “Zhas Dauren” project "Sport Club Zhiger for disabled" PF within the project "Sport in the life of children with disabilities” attracted children and youth with disabilities of of to engage in specially adjusted sport sections. The latest sport equipment, acquired within the project allowed for improvement of the overall physical condition of the children and youth with disabilities attending rural sports club. Twi groups of the sportsmen with disabilities (12 children and 12 adults) actively attending the gym were formed. First results came with Agiev Nurgeldy, a visually impaired boy, who won bronze medal at the Athletics Republican Competition. District Akimat will continue to support the initiative of" Sport Club Zhiger for disabled" in order to attract even more youth and children with disabilities into sports of the whole Karakiya didtrict.

Pictures 11, 12, 13. “Project "Sport in the life of children with disabilities". The project, implemented by "Hazret" Public Foundation ensured opening of 3 massage rooms in the of Bautino, Taushyk, Akshukur of , home to a 380 persons with disabilities. 3 unemployed women with medical degree were trained classical massage at special courses. Massage services are now provided to all residents of these villages, as are free of charge for children with disabilities.

Project aimed at prevention of domestic violence against women "Do not Become Next" was implemented in Kuryk village of Karakiya district by "Azhar-ai" PF. The project led to the formation of the club "Women's Voice" aiming at provision of social, legal and psychological aid and further assistance in employment. Seminars on legal issues and workshops with psychologists, lawyers have been conducted. Field consultations were organized in all 7 villages of Karakiya district. 10 women-victims of domestic violence received specially tailored legal and psychological counseling. In addition, they receive training on felting by local craftswomen Ainur Kilybaevfa, a UNDP beneficiary. The idea was not only provide legal and psychological support but also ensure their social and economic adaptation which was very well received by the 10 beneficiaries.

Page 9 of 69 "Women's Leadership School" Public Union implements a project called "Theatre without Borders" aiming at creation special conditions to enable people with hearing impairments to attend theater and to explore the world of art. To achieve this task, the small hall of the regional musical-drama theater with a capacity of 200 seats, was equipped with monitors for sign language featuring and special ramps for the sits of the first 6 rows. The water closets were also adjusted for the needs of PWD. The performances with special invitation of hearing impaired audience are also envisaged by the project.

The “Civil Initiative of Mangystau District” Public Union set up a Health Centre for the disabled and the elderly called "Amanat" in the Shetpe village of Mangystau district. Akimat of the district provided space at the premises of the house for elderly. The grant ensure purchase of special equipment for the center. Special lectures for healthy diet for elderly were organized as well as volleyball games and competition for 3 teams: civil servants, youth and elders. 50 senior persons became part of the project. Currently the NGO and Akimat are planning a conference "Longevity is in our Hands".

The full-fledged program on suicide prevention among adolescents is planned to be implemented in Mangystau region with the support of UNICEF in 2016 in accordance with the joint order of ministries of health and social development, education and science, and internal affairs “On phased implementation of suicide prevention project”. In 2015 in preparation for this program an experience sharing event was organized with Kyzylorda oblast representatives where the program is being implemented. The coordinators of the suicide prevention program in Kyzylorda oblast visited Mangystau region to explain about the main phases of program implementation and challenges they faced during the implementation and the preliminary results. They also talked about the details of involving psychologists in schools, general practitioners and psychiatrists in primary health care, screenings of children, work with parents and communication campaigns. The participants found the experience sharing exercise very useful and expressed their readiness to introduce the program in Mangystau oblast.

Under Output 1.2 UNPFA’s technical assistance to Mangystau region in 2015 was focused on strengthening of local managers’ and health provider’s capacity in effective introduction of perinatal technologies based on WHO recommended approaches and tools. Up to the moment a critical mass of regional health providers of maternities of the Mangystau region have been trained at basic courses on effective perinatal care. Nevertheless, the results of conducted Assessment of routine practices demonstrated a need for improvement of local quality management of perinatal care directly at the levels of health facility. Thereupon, the basic training course was adapted by national experts taking into consideration current needs of the region and specially was focused on strengthening of those practices that were seen as most difficult for introduction by the trained health providers. This Advanced Course trained 24 health providers from three key regional maternities - Oblast Perinatal Center, Aktau City Perinatal Center and Zhana Ozen City Maternity. Moreover, to improve routine practices an analysis of critical obstetrician complications – auditing of Near-Miss Cases Review – was also introduced in the three above-mentioned key maternities of the region. In August 2015. The teams of specialists of these maternities were trained on auditing methodology and there were demonstrational auditing sessions organized for each of the maternity under overall guidance of UNFPA national expert. Further support to the process of introduction of effective perinatal technologies would include quality assessment of perinatal care after the Advanced Training Course and additional visit of National expert for providing necessary technical support to the maternities, as well as review of progress on introduction of NMCR and additional training on auditing of maternal deaths in key maternities.

To support cascade training on Effective Perinatal Technologies for health providers of Mangystau region there was a Regional Training Centre established at the Oblast Perinatal Center in Aktau City. The Centre was equipped by office equipment (2 notebooks, LCD projector, screen, 2 printers/scanner) and set of mannequins for obstetric care services and family planning counselling, such as advanced childbirth simulator, advanced delivery mechanism, birth stimulator “Mama Natalie”, female and male contraception simulator, IUD manipulation simulator. Moreover, UNFPA organized a Study Tour for two leading regional experts to Tallinn, Estonia where they get acknowledged about advanced experience on organization of family planning services at primary health care level, youth friendly centres, including contraceptive supply and monitoring and Picture 14. Near-Miss case review of severe obstetric complication. evaluation system of programme efficiency. Additionally Auditing session conducted under leadership of national expert

Page 10 of 69 with the aim of strengthening of regional capacity of NGOs there was a 5-days training course conducted for 20 representatives of local NGOs on mobilization of financial resources and development project proposals as well as for informational and educational campaigns on family planning. In relation to initial measures on strengthening antenatal care services for pregnant women UNFPA jointly with a team of WHO international consultants took part in conducting assessment of quality of antenatal and postpartum care in selected urban and rural primary health care facilities of Mangystau region.

UNFPA provides the technical assistance to strengthen capacities of local government specialists on Population and Development interlinkages and effective socio-economic planning and monitoring of regional development programs, taking into account needs of vulnerable population groups. In 2015 UNFPA conducted the 5 days seminar- training for civil servants of Mangystau region jointly with civil servants of Kyzylorda region on Population and Development interlinkages and integration of demographic data in the socio-economic planning and monitoring of development programs (Aktau city, 7-th to 12 of July 2015). The training was facilitated by international consultants: Mr. Mikhail Denissenko, Deputy Director of Institute of Demography, Head of the Department of Demography, National Research University - Higher School of Economics (Moscow) and Mr. Valeriy Elizarov, Head of Center for population studies under the Faculty of economics of Moscow State University named after M. Lomonosov. Capacities of 30 social-sector regional stakeholders (15 from each region) strengthened to formulate and implement of rights-based policies that integrate evidence on population dynamics to sustainable development. Participants of the training were representatives of the local government – akimat, namely senior staff of the departments of Economy and Budget planning, Labor and social programms, Healthcare, Education, Youth and Internal policies, regional departments on statistics, and members of local parliament bodies - maslikhats.

The training was conducted under the leadership of the National Commission on women affairs and family- demographic policy under the president of the Republic of Kazakhstan, and headed by Ms. Saltanat Turlybekkyzy, Head of Secretariat of the National Picture 15. Civil servants of Kyzylorda and Mangystau regions participated in Commission. a training session on Population and Development issues

During the training representatives of the local government familiarised on the following issues: - demographic analysis of population size, structure and dynamics, - demographic analysis of fertility, mortality and Life Expectancy - demographic analysis of reproduction of population - migration and development - reproductive health and reproductive rights - gender equality as development factor - demographic transformations and their economic and social implications - long term tendencies and changing of population structure, - evolution of fertility and mortality in Kazakhstan, - population ageing, economic and social implications of changes of population structure - demographic dividend, - demographic and family policies, integration of demographic data in the socio-economic planning and monitoring of development programs - demographic projections

During the training consultants provided sessions using demographic data of Kazakhstan and that supported the participants’ clearer understanding of demographic issues in the country. Special interest of training participants called issues of reproductive health and reproductive rights and gender equality as a factor of development. They were informed on findings of studies conducted by UNFPA on SRH status and needs of such vulnerable populations as adolescents and young people

Page 11 of 69 and people with different disabilities. Most of SRHR issues of these populations appeared as unknown by the local government. The GBV issues, specifically, issues of early and forced marriages among them, were also a subject of the great interest of participants and taken into the consideration for further monitoring of regional development programmes.

Output 1.3 Regional health policies development, responsive to the needs of the population at the primary health care level

The main objective of the Justice for Children program being introduced in Mangystau oblast is the work with the children who are victims and witnesses of crime, to promote their protection, care and reintegration into society. For this purposes a pilot center will be launched in the city of Aktau in cooperation with a local NGO. Besides, child friendly rooms will be equipped at a police station, juvenile court, and internal affairs division’s premises.

Preparation works to launch the pilot center to work with children in contact with law started with arrangement of a Coordination council meeting in Aktau with the participation of all the relevant state bodies’ representatives and “Meirim” NGO, which was chosen to implement the project. At the meeting UNICEF international expert attracted attention of the participants to the issue of children in contact with law, especially, the parties of crime besides the delinquents (i.e. victims, witnesses), who usually are left behind the whole procedure. NGO “Phoenix” from Ust-Kamenogorsk shared their experience in establishing diversion center (replacement of criminal liability for child offenders with alternative measures) with the support of UNICEF. All the Picture 16. Coordination meeting participant were unanimous in the necessity and importance of having similar center in Aktau.

In December 2015 UNICEF International expert met with local authorities to discuss about social services for children in in contact with the law. The visit aimed at rendering assistance to the oblast Akimat in developing new social services for children in contact with the law (such as diversion, alternative programs for protection of victims and witnesses of crime and their reintegration into society), inventory and analysis of profiles of the children in special institutions and providing recommendations for the modernization of special organizations of education for children with deviant behavior and adaptation center for minor. Mangystau oblast Akimat expressed its readiness to support the Picture 17. Expanded Session of the Commission on program by providing a venue for the pilot center. minors' issues with participation of UNICEF expert.

With a view to strengthen the capacities of specialists in child protection and justice for children systems, representatives of Mangystau oblast participated in a coordination seminar on «An Integrated Approach to Training and Developing Specialists to Work in child right protection» organized for akimat and law enforcement specialists, educational centres and universities in Ust-Kamenogorsk in February 2015. The seminar was attended by representatives of the General Prosecutor’s Office, the Ministry of Internal Affairs, the Ministry of Education and Science, the Institute for Justice of the Academy of Public Administration under the President of Kazakhstan, East-Kazakhstan State University, Eurasian National University and UNICEF national and international experts. The seminar focused on coordinating the national system of training and developing specialists for work in child protection. During the seminar, participants exchanged experience on existing training approaches to child rights protection, both at undergraduate and postgraduate level, and discussed the competencies needed for child protection specialists. The also discussed the possibility of establishing a methodical council for training specialists in child rights protection. During the seminar, participants visited the Centre for Proficiency Qualification, the Psychophysiological Laboratory and child-friendly consultation rooms in East-Kazakhstan State University as well as the Centre for Alternative Justice for Children managed by NGO Phoenix.

The head of education department of Mangystau oblast participated in a study tour to Germany organized by UNICEF for Kazakhstan delegation, including the representatives of education sector, child protection, law enforcement bodies, police, court, NGOs and others. During the study tour the participants learnt about the organizational structure and tasks of the police in field of juvenile delinquency; preventive measures for minors, introduction of facilitated investigation of cases involving minors, protection of youth rights, judicial assistance to youth, a system of punishment measures for minors,

Page 12 of 69 structures for coordination of juvenile justice at local and federal levels, coordination of the work with children with deviant behavior, legal basis for penitentiary system with regards to minors, types of the crimes, institution staff structure, education and professional courses in the institution.

Mass Media can play a significant role in highlighting child rights protection and justice for children issues. Representatives of media in Mangystau region participated in a workshop "Children in the justice system and the role of mass media in Kazakhstan” held in Bororvoye in February 2015. The workshops was attended by representatives of the Supreme Court, the General Prosecutor’s Office, the Ministry of Internal Affairs, the Committee for Protection of Children’s Rights under the Ministry of Education and Science of Kazakhstan, as well as international and national experts. The experts presented international standards on highlighting child issues in media and discussed national legislation on media coverage of crimes with participation of children in conflict with law, child victims and witnesses. During the workshop experts also made a review of the activities of mass media in justice for children taking into account best practices in European countries and discussed role of NGOs in child-related issues. In addition, the participants were introduced to ethical norms and principles in highlighting child issues in mass media. Particular attention was paid to practical advice on preparing reports, interviews and investigations. Within the workshop, the participants visited the Center for Adaptation of children of Akmola Oblast which is a temporary place for children in difficult life situations, children without parental care as well as adolescents sent by juvenile courts to special educational organization for children with deviant behavior.

UNICEF professional photographer visited Aktau to conduct a Photo Seminar for the children from the local orphanage (Children’s village of a family type). 20 children from the village participated at the seminar. The phtographer explained about the art of photography, taught main rules for taking pictures, trying to inure skills and motivate children to engage in photography. Some children declared their interest in becoming a photographer in future. Also the photographer visited special institutions of education for children with deviant behaviour, vulnerable families in and beyond the city to take pictures for communication campaigns and Picture 18. Seminar on photography at Children's messages. village of family type

WHO efforts targeted the following three levels: governance/decision makers, service providers and the population in order to ensure that key stakeholders are empowered, and have appropriate capacities for designing a new regional health policy that will respond to the specific needs of the Mangystau population. The following challenges were in particular addressed: appropriate management of health facilities in order to appropriately plan and organize resources to respond to the growing needs and expectation of the population; capacity of health service providers to adopt national protocols and apply them in practice ensuring that the patient compliance with the recommendations grows; empower the population to provide constructive feed back to health service providers on their needs and expectations and to take responsibility for behavior change needed for achieving better health outcomes.

1.3.1. Optimization of PHC services and adaptation for provision of integrated, people centred health services, using analysis of socio-economic determinants, to identify most vulnerable populations, strengthening ambulatory care including antenatal care, care for NCDs, Mental Health care at PHC level, provision of care for IDUs and persons with HIV and for improving health of workers etc

WHO has synergized efforts with other UN agencies to better capture the needs and wishes of the local population. This is particularly relevant with regard to health services. A patient satisfaction survey in Aktau and Fort Shevchenko, for adult population suffering from arterial hypertension, heart diseases and diabetes. In addition mothers and pregnant women in both urban and rural areas of Mangystau were asked about their experiences in contact with primary health care doctors and nurses. The surveys provided valuable inputs on current gaps in quality of service, and problems that lead to the population not changing their behavior which is a crucial part of prevention. Based on these results further focus groups with health providers detected both problems and gaps related to communication with population but also problems related to resources, shortage of staff, need for more trainings and of course material problems such as access to running water, lack of equipment or high burden of

Page 13 of 69 paper work. A draft communication strategy was prepared and shared with the regional health department for comments. Specific training of health care providers was planned for 2016.

WHO and UNFPA joined forces for improving the quality of health services for women and newborns, WHO carried out an Assessment of Quality of ante-natal and post-natal care in primary health care facilities, The assessment provided immediate recommendations for urgent improvements needed at the primary health care level, and contributed to the overall findings relevant for Mangystau and entire Kazakhstan. The gaps and problems identified, such as the inadequate knowledge of midwives to calculate the date of expected birth, inadequate knowledge and use of national protocols for care of pregnant women with hypertension and adequate urgent treatment and referral, ineffective communication that results in insufficient level of exclusive breast- feeding lack of appropriate hygienic practices in health facilities were discussed with the management and staff and specific action plans for improvement were developed. The overall results were presented to the regional health department and to the Ministry of Health and Social Development and the overall report has been shared with the regional authority (deputy akim and health of regional health department).

The assessment of quality of health services for adult population was reviewed in the pilot facilities, training for the relevant staff has been carried out as well as on site coaching and on-line support. As a result plan for improvement of quality of services at the facility level has been developed. Quality indicators were developed by the quality improvement teams which were nominated by each primary health centre. In December a joint mid- term review of the component for quality of care was carried out analyzing problems in implementing the “quality assurance” approach, and identified key problems: lack of understanding and a formal (“filling in the paperwork”) approach to quality by managers of health facilities, resistance to changes due to lack of understanding and lack of knowledge of health providers. The quality improvement surveillance and actions are planned to continue in 2016 with scaling the training on quality improvement to wider rayons, using the pilot facilities as models for change.

Qaulity improvement of health services for better results of treatment of non- communicable diseases

Picture 19. Mangystau and KO quality Quality teams from Mangystau and Kyzilorda improvement Teams initiating and reviewing the pilot primary health care facilities worked quality improvement Plans for Urban and rural together from July – December under guidance policlinics. July 2015. and support from WHO to prepare plans for quality improvement. After 5 months of piloting, the review of first results was made in in December 2015 to prepare plans for 2016.

Picture 20. Mangystau and KO quality improvement Teams initiating and reviewing the quality improvement Plans for Urban and rural policlinics. December 2015.

1.3.2. 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

Page 14 of 69 diseases with highest burden on public health such as: maternal and child conditions treatable at PHC, non- communicable diseases and TB care in PHC

Managerial capacity for budgetary and human resource planning and management was also identified as a key problem and a draft methodology has been prepared with specific tools to enable the health managers to apply modern managerial knowledge for better patient satisfaction and better efficacy of the health service.

Representatives from Mangystau participated in major WHO flagship courses aimed at improving capacities for applying international standards, for Primary health care and for human resources in the health sector.

In order to improve quality of services WHO carried out patient satisfaction and preferences survey in the period April – June 2015. The objective of this survey was to provide independent qualitative information on patient satisfaction with health services and their preferences for service organization. This complemented information obtained through monthly satisfaction surveys carried out by health services. Findings of the patient satisfaction surveys were included into development of quality improvement plans of the primary health care.

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

Assessment and analysis of the use of diagnostic and treatment protocols and guidelines was carried out and training of health providers for better use and local adaptation of protocols and their wider use at primary and specialized health care services was implemented. Ongoing assistance for fine-tuning of the health service performance assessment methodology and for wider use of the model of peer-review of cases, in order to improve quality of care for the four diseases: hypertension, stroke, diabetes and asthma. A special training on implementing WHO Protocols on Essential Non-communicable diseases has been carried out linking it with provision of quality of services to chronic patients. The workshop enabled doctors to review their implementation of national protocols for treatment of hypertension, asthma, heart disease and diabetes and to prepare concrete strategies on how to ensure better implementation at primary health care level, including better cooperation of patients.

Output 1.4 Increased capacity of local decision makers on application of "Health in all policies" approach in regional development strategy

1.4.1 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;

WHO carried out assessment of health behavior of school children and a survey of health status of 8 and 9 years old school children. These two surveys will enable targeted preventive measures to school children and adolescents but also to model the future burden of non-communicable diseases, diabetes, heart disease in the oblast. The surveys already revealed results that cause concern: almost 20 % of children in each age group are overweight, with % of children who are obese is quickly growing from year to year, especially among boys. This is visible as 6 % of boys are obese at age of 8, while 10 % are obese at age 9. Having in mind that as an initial problem was identified the rapidly growing number of persons with Diabetes type 2 in Mangystau, the trend of obesity which is one of the main risk factors for Diabetes type 2 in adults, but also among children as WHO evidence shows that a growing number of children and adolescents are diagnosed with Diabetes type 2. This result will enable the Health department, local health promotion center to develop targeted campaign addressing the burden of risk factors for diabetes. As a minimum such a regional campaign needs to be multisectoral, including health, education, culture and sport, but also the industry. Based on the survey findings specific campaign will be developed and carried out in 2016 with plans for its continuation over future years.

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WHO also assessed the quality and effectiveness of screening programmes in Mangystau region with specific focus on cancer and CVD screenings. A training workshop was held for GPs and specialists helping them to understand the gaps, especially in coverage of population that is likely to be in pre-symptomatic phase of diseases, when they are still reversible if prevention and early diagnoses and treatment is applied.

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

WHO also addressed the high burden of child and adolescents mortality due to road traffic injuries. Together with the regional centre for healthy lifestyles, the regional health department, representatives of the ministry of interior – Aktau branch traffic police, and with the NGO “common road” WHO carried out a round table to identify key problems related to child injury and mortality from external causes and carried out in Aktau an awareness raising campaign for improving the safety of children pedestrians especially on their way to and from schools and while playing. The model “safety car” was used to identify drivers with aggressive driving, speeding in the city especially around schools, and drinking and driving. The action was carried out with the local police. Another awareness raising was carried out with School No. using the final school ceremony for raising the awareness of parents and children of classes 1 – 4 on the high number of children injured on the roads in summer months. Drivers in Aktau were warned about speeding by a campaign under the name “Junior traffic policeman” with children in uniforms standing next to a main street in Aktau which hundreds of children need to cross when going to school or the sport playgrounds and showing indicators of speed limit. Every 3rd driver didn’t show any interest and continued speeding and was then stopped by the police and warned, including the dangers such driving poses for children.

1.4.3 School health services assessment to improve standards of care, including conducting of a Health Behavior survey among school-age children as a pilot for a nation-wide follow up and informing the public health services for strengthening health promotion activities among youth

Health Behavior of School Children and Child Obesity Surveillance surve were carried out in school children and interviews of parents, to assess the health of adolescents, identify key risks for mental and physical health. The methodology used was the WHO methodology and the questionnaire has been adapted to the local language and sensitivities. The training of the interviewers has been carried out centrally with participation of WHO experts at the Republican Centre for Healthy Lifestyles. The survey revealed habits that are in line with the findings of the Children Obesity Surveillance physical measurement, i.t. children and adolescents eat on daily basis food with high concentration of sugar, salt and fats, and consume sweetened soft drinks, which is the cause that 20 % of children aged 8 and 9 and even higher figures among 11, 13 and 15 years old are overweight. The level of physical activity is reduced with age among girls, as well as the number of real social contacts with friends, while the time in front of the TV, time spent on social networks and in front of the computer grows. This is happening in parallel with “worse personal feeling of health” and with significantly decreasing ability to “talk openly with parents” for both sexes especially with the parent of the opposite sex. The survey identified key risk factors for physical health (NCDs) and mental health, and it is worth mentioning that Mangystau is a region where also a high level of suicides/suicide attempts among adolescents and youth has been recorded. The aggressive behavior as a pattern has also been identified, both among boys and girls almost equally. The survey will be a baseline for development of a concept for “healthy schools” projects and for development a wider concept for a regional policy for health of school children that needs to be multi-sectoral in nature. The development of the regional concept is planned for 2016.

Page 16 of 69 In response to the series of adverse effects following immunization that were reported during the supplementary immunization of adolescents 15 – 18 years of age, in Mangystau, WHO provided continued support with epidemiological investigation of cases, clinical review of all the cases of affected children and massive support for strengthening knowledge of health workers on immunization, contraindications investigation of possible adverse effects and communication skills with parents and adolescents needed to ensure that vaccination is accepted as one of the most effective preventive measures which saves lives and health of children. A series of workshops was held in Astana, and on-line video and teleconferences for health workers. WHO together with UNICEF planned to carry out a survey on the knowledge, attitudes and practices related to immunizations in Mangystau in order to identify reasons for parents hesitation or fear from vaccines and to prepare targeted communication and awareness raising campaigns for health workers, parents and children. Picture 21. WHO Experts, D. Sulaberidze and B. Akkazieva visiting a city policlinic to review organization of patient flow.

Output 1.5 Capacities of local government and local service providers to plan, budget, implement programmes for protection of the most vulnerable groups of society, including youth and children their families are strengthened

Under this output, UN Women through the partnership with the Crisis Centre “Podrugi” implemented the following activities aimed at capacity building and technical support to local authorities in the implementation of the law On Prevention of Domestic Violence. In January and February 2015, in order to assess the current situation and determine problems pertaining to domestic violence prevention in the region in the context of the implementation of the law On Prevention of Domestic Violence, an assessment developed within the project framework of the methodology was conducted to determine the needs and requirements of the region. Taking into account that the provision of help to victims of domestic violence is a complex task (Fig. 1), in assessing the situation on the implementation of the law On Prevention of Domestic Violence based on empirical data evaluation, representatives of authorities, law enforcement bodies and NGOs/crisis centres were present.

The evaluation revealed the following challenges: • as of today, in the Mangystau region there is a shortage of staff tasked with domestic violence prevention in the district’s Department of Internal Affairs. The powers of the unit for the

Fig. 1 Assistance chart to victims of domestic violence protection of women against violence (UPWAV), have been transferred to the police for juvenile offenders, especially at the district level; • lack of awareness of the implementation of the law "On Prevention of Domestic Violence; • the general public expresses a significant level of doubt that the problem of domestic violence can be resolved, and is poorly informed about the UPWAV; • the Kazakh law On Prevention of Domestic Violence does not clearly spell out the responsibilities of domestic violence prevention actors; only the responsibilities for the law enforcement bodies are clearly specified. The wording of the legislation is vague, which poses a significant obstacle to the everyday work of the police officers, especially the UPWAV; • the precinct inspectors have been faced with situations when the domestic violence prevention legislation does not correspond to specific cases of domestic violence;

Page 17 of 69 • the Red Thread assessment explored the idea of opening a state shelter for victims of domestic violence; • there is a lack of direction in prevention of domestic violence; • at the regional level, there is only a handful of NGOs working to help victims of domestic violence. The activity of such organisations largely depends on funding from the local budget, as per the state social order; • as of today, in the healthcare system the reports of domestic violence cases are not analysed. The capacity of the healthcare staff in the context of implementing the law On Prevention of Domestic Violence needs to be increased through training.

In February, based on the results of the gap assessment for the actors of domestic violence prevention, the following activities were carried out: • cooperation with the leadership of the Department of Internal Affairs was established with the view of conducting activities to build the capacity of police officers in implementation of the law On Prevention of Domestic Violence; • an agreement with the administration of the Healthcare Department was reached on increasing the level of preparedness of the healthcare staff for joint development of teaching materials on the implementation of the law On Prevention of Domestic Violence for wide dissemination also at the regional level; • a discussion was initiated on promoting the idea of opening a shelter for victims of domestic violence; • a network of project partners was created. Fig.2 Meeting with a senior police precinct inspectors from Aktau

From 2 to 5 February 2015, the project experts organised a meeting with a total of 20 senior police precinct inspectors from Aktau. This allowed to expand the scope of the previously planned project activities aimed at building the capacity of the law enforcement bodies (Figure 2). During the meeting, the participants shared problems they face in the application of administrative and procedural measures, in particular, in the process of preventive debates, as well as the application of preventive measures such as collecting the domestic violence perpetrator under warrant and detaining him.

On March 31, 2015 in the town of Aktau, a round table was held in order to Picture 22. Meeting with a senior police precinct discuss the results of evaluation carried out earlier, and an action plan for inspectors from Aktau implementation of the project, developed on the basis of evaluation results. The regional level roundtable was attended by domestic violence prevention actors and relevant agencies: representatives of the Department of Internal Affairs, and senior staff from the following sectors: coordination of employment and social programs, internal policy, health management, economy and budget planning, NGOs and the media. Project experts presented the results of evaluation with a focus on the identified problem areas in the context of the implementation of the law On Domestic Violence Prevention. In their opinion, the problem of domestic violence today is very relevant for the region, and it is necessary to pay closer attention to this problem, both from the side of the law-enforcement bodies, and other actors relevant to the law On Prevention of Domestic Violence.

On April 1 - 2, 2015, training seminars on Warning and Prevention of Domestic Violence were held in Aktau for a total of 37 police officers. The training seminar was a combination of theoretical sessions on the prevention of domestic violence and practical tasks for various police units working directly with domestic violence: a unit to protect women from violence, juvenile police and district police inspectors. The methodology of this workshop and relevant methodological developments was handed over to the Ministry of Internal Affairs of Kazakhstan and the Department of Internal Affairs of the Mangystau Region for later use in training activities. The proposals and recommendations made during the discussion at the workshop Picture 23. Training seminars for police officers formed the basis for the development of additions and amendments to certain legislative and regulatory acts in the field of warning and prevention of domestic violence. These proposals were prepared in the form of a table comparing the existing and proposed norms of the Administrative Violations Code of the Republic of Kazakhstan, and the law On Prevention of Domestic Violence, with justifications, and sent to the Ministry of Internal Affairs of the Republic of Kazakhstan and the General Prosecutor's Office of the Republic of Kazakhstan.

Page 18 of 69 On April 3, 2015 in the town of Aktau in the Mangystau Region, a seminar on Domestic Violence: A Review and Dynamics was held. The seminar was attended by a total of 23 psychologists from the city and regional clinics. During the seminar, participants were presented with theoretical and methodological data relevant to all forms of domestic violence. The learning module of this seminar consisting of diverse theoretical materials, including international and national documents and standards governing the process of warning and prevention of domestic violence was handed over to the Health Department of the Mangystau Region.

Said seminars revealed problems in the implementation of procedural activities in cases of domestic violence during the filing of criminal cases and materials. In particular, there is no clear procedure for the collection of paperwork and evidence at the locus of the offense. To solve this problem, the following handbooks have been developed and published under the supervision of the coordination group at the Ministry of Interior: ‘Matters of concern in the implementation of procedural activities in cases of domestic violence’ and ‘Draft of preventive control measures for individuals included in the police domestic violence register’. 174 copies of these handbooks were distributed to all district police stations in the Mangystau Region and Aktau town.

In March 2015, a teaching manual ‘Improving the mechanisms for the implementation of the law on Prevention of Domestic Violence: theoretical aspects and practice’ was developed. The manual aims to improve theoretical and practical skills of the law enforcement bodies in prevention of domestic violence, and in the adoption of preventive measures towards potential domestic violence offenders in the context of current amendments and changes in the national legislation. 174 handbook copies were distributed to all districts police in the Mangystau Region and Aktau town.

On September 15, during the meeting with head of the Education Department of the Mangystau Region, it was agreed to hold a training workshop in February and April 2016 for school psychologists and school inspectors for juvenile offenders on the warning and prevention of domestic violence. On the initiative of the authorities, the project experts developed guidelines for support child victims of domestic violence. The guidelines will be presented at the aforesaid workshop for school psychologists and school inspectors for juvenile offenders. At the meeting, parents’ lack of awareness of the problem of domestic violence was noted. Taking this into account, training activities for parents have been planned for February and April 2016 to inform them of all types of domestic violence, and to form response procedures.

On September 16, 2015 together with the Office for Internal Policy of the Mangystau Region and the Commission for Women’s Affairs, Family and Demographic Policy under the Mangystau Region, a round table was held on the monitoring and evaluation mechanisms for gender-sensitive budgeting at the local level for warning and prevention of domestic violence. The monitoring and evaluation system is a methodological tool to track the progress of achieving programme indicators.

In cooperation with the Ministry of Internal Affairs of Kazakhstan and the Department for Internal Affairs of the Mangystau Region, a regional consultation meeting on ‘Improving Mechanisms for Warning and Prevention of Domestic Violence: Problems and Solutions’ was held on September 17. The participants discussed improving mechanisms for the warning and prevention of domestic violence, in the light of the new codified legislation. Suggestions were made to have a thorough revision of the approach to the process of warning and prevention of domestic violence, and on strengthening the coordination between the Directorate of Internal Affairs and prosecutors in the context of legal grounds and terms in relation to the collection and detention of domestic violence offenders.

The practical part of the regional meeting was a competition between the teams of city and regional law enforcement bodies on the knowledge of family and domestic law, and the ability to respond to reports of domestic violence cases. After the regional consultation, the Ministry of Internal Affairs of Kazakhstan and the district Department for Internal Affairs proposed to conduct such competition between the two districts – the Mangystau and Kyzylorda regions.

The regional centre for healthy lifestyle held a training on types of domestic violence using the cascade method developed by the project experts. The participants were psychologists and social workers from the towns of Aktau and , and from the Munaily District – a total of 11 psychologists and 22 social workers at the Emergency Health Services. Also, the centre issued a resource note developed by the project experts for doctors and medical staff in emergency rooms and clinics, to help health professionals identify victims of domestic violence. With the support of the project experts, the centre developed a questionnaire through which the staff of mobile medical clinics (vehicles) Densaulyk Zholy in the countryside, and the doctors performing TB screening and mammography scans were able to identify victims of domestic violence. In

Page 19 of 69 general, from June to August 2015, during a medical examination of 15,226 women, 180 (3.2 per cent) showed signs of physical violence. 9.2 per cent of these women were from the urban areas, and the remaining ones - from the countryside.

Completing the first year of the project activities, the project team, following repeated requests from the partners in the region, has started collating publications on domestic violence developed under the project, both in Kazakh and Russian, as an informational and training source. This type of assistance to partners in the region will enable them to carry out project activities independently and on a regular basis, after the project has finished. They will also be able to use the methodological trips generated by the project in their work on warning and prevention of domestic violence.

Increasing capacity of the civil society In April, the project experts consulted the NGO Ray (Paradise) that works with the problems of domestic violence about the mechanisms of interaction between the actors of domestic violence prevention, and about the method that had been developed by the project experts on sensitising the domestic violence prevention actors to the dynamics of domestic violence. Publications on warning and prevention of domestic violence, gender, and international instruments in both Russian and Kazakh, hard copies and electronic versions were handed over to the library of the Paradise Centre. In addition, the Centre of Emergency Social Care Paradise received advice on the structure and contents of the seminar programme for psychologists at clinics and healthcare professionals.

During meetings with the management of the Healthcare Department and the district centre for healthy lifestyle, the project experts discussed joint activities to promote prevention of domestic violence among the population, and developing bids for the NGO. With the support of this project, the bid number 7 ‘Prevention of suicide - providing legal and psychological help to the population on the prevention of suicide attempts and domestic violence’ was submitted for the competition on social protection in 2015 by the Centre for healthy lifestyle of the Mangystau Region. The value of the bid was 1,188,000 tenge. This bid was won by the NGO Paradise, the key partner of the project.

In September 2015, the plan for the campaign 16 Days Without Violence Against Women was developed together with the local administration of the Mangystau Region for the year 2015. The slogan for the campaign was Happy Family - Happy Country. For the campaign a logo, slogan, and promotional materials were developed: 434 T-Shirts, 95 bags, and 1,000 flyers in Kazakh and Russian. This, according to the project partners in the region, improved the quality of the campaign and attracted the attention of not only the participants, but also of the population of the region.

Pictures 24-25. The information campaign against domestic violence in the Mangystau District

On November 25, 2015, in the town of Aktau in the Youth House “Arman”, a press conference for the beginning of the 16 Days campaign was held. The participants of the press conference were the representatives of local authorities, law- enforcement bodies, heads of public organizations, ethnic centres and the media.

On November 28, 2015 on the Aktau waterfront, a flash mob took place showing three generations of the family. The message of the flash mob was ‘We are a happy family - we are a happy country.’

On December 2-3, 2015 in the Munaylinski and Tupkaragan districts training seminars ‘Types and Prevention of Domestic Violence’ were conducted. The participants of these seminars were rural women and girls. On December 4, 2015 in the Youth House “Arman”, a family contest took place in order to strengthen family values and traditions. The theme of the contest was ‘Keep the family happiness in your hands!’ According to the organisers, the goal of the contest was to foster mutual respect, understanding, and desire to create a happy and successful family. During the campaign, the office of the NGO Paradise served as a consultation point on prevention of domestic violence. Page 20 of 69 In April, within the project implementation framework the project experts developed standards for the provision of social services to victims of domestic violence, taking into account the specifics of the region and aspects of gender budgeting. The draft standard was handed over to the Working Group of the Ministry of Health and Social Development, and to representatives of the relevant agencies and institutions in the region. In their recommendations, the project team focused on the need to ensure continued financing of social services for victims of domestic violence from the local budget. This would allow for a continued provision of these services, and at the same time strengthen interaction between all actors in prevention of domestic violence, which in turn would enhance the effectiveness of implementing the law On Prevention of Domestic Violence.

It should be noted that this project has revealed that one of the biggest challenges to improving the quality of public services is the lack of inter-agency cooperation between actors of domestic violence prevention. In this context, the project partners recommended that the focus be on improving the referral system in providing assistance to victims of domestic violence, starting from the UPWAV officer to police inspector to a healthcare professional, to a social worker and a psychologist. In line with the assessment of UN Women – the project partner, this system will ensure the sustainability of the process of providing a range of services to victims of domestic violence. Strengthening the mechanisms of interaction between domestic violence prevention actors is the key to successful implementation of the state policy on of violence against women. In this context, it is planned to discuss these suggestions during planned activities for 2016. The expected result should be recommendations for promotion the mechanisms for effective policy on warning and prevention of domestic violence in the region.

Output 1.6 Awareness of the local population on best practices of child care and new participatory mechanisms are enhanced

UNICEF in order to increasing awareness of the families and local community on best practices of child care (health, inclusion, and youth) attracted an international expert assisted local authorities in communication campaigns about the benefits of vaccination against children’s diseases, such as measles. The expert met with target population and informed the public about evidence-based arguments on the benefits and importance of the vaccination. The Expert visited local schools and colleges in the city of Aktau and Zhanaozen and participated in the press conference dedicated to this issue in the oblast Akimat. The information provided by expert on Picture 26. Press conference of the Mangystau oblast vaccination was also spread among public via SMS messages to 20 000 Akimat on the measles vaccination campaign mobile phone numbers through GSM provider). As a result, 100% coverage was achieved for the target population with vaccination against measles.

The event was widely covered by mass media: http://www.lada.kz/aktau_news/society/32449-v-Mangystau-vakcinaciey-protiv-kori-ohvacheno-25-procentov- podlezhaschego-kontingenta.html http://bnews.kz/ru/news/post/299421/ http://ogni.kz/rubrika/zdravookhranenie/vaktsinatsiya-eto-pravo-vashego-rebenka-na-zdorove.html http://tumba.kz/meditsina/27-meditsina/11987-vakcinaciya_neobhodima.html http://mangystautv.kz/kz/news/society/kyzylshadan-saktanudyn-zholy-vakcina

With a view to strengthen the capacities of mass media on highlighting child issues, a workshop was organized by UNICEF on “Ethical principles of highlighting the child issues”. Local Mass media and NGO representatives (22 persons) who participated at the training did a row of practical exercises on the topic. Highlighting different events involving children requires a delicate approach where the interests of children should be considered higher than a sensationalism. The trainers introduced example of different journalists’ reports which led to a negative consequences especially in the behavior of minors and conducted situational games to improve the skills of the participants in the issues of Picture 27. Seminar on Ethical principles of highlighting the child issues highlighting the events involving children and making mass media more child friendly.

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UNICEF also provided the Akimat with a number of video spots on prevention of child abandonment and early child care and development to be shown on local TV.

Output 1.7. Principles of sustainable development, including the protection natural and cultural heritage, are mainstreamed into local government programmes and plans

Preparation of Nomination of Underground Mosques of Mangystau to the UNESCO World Heritage List is underway. The nomination process and preparation of the nomination file was discussed within the National Committee on the World Heritage under the National Commission of Kazakhstan for UNESCO and ISESCO and the Archaeological Expertise Scientific Research Organization had been chosen as the reliable and competent partner for this activity.

During 2015 UNESCO put efforts in supporting crafts and in particular in the creation of Crafts Resource Center to be established on the basis of the Historical Museum of the Mangystau Oblast and strengthening national capacities for safeguarding of intangible cultural heritage. The Public Foundation “Our Heritage” has already started their discussions with the Historical Museum of the Mangystau Oblast on the matter of support of the Crafts Resource Center for Mangystau Oblast and conduction of series of master-classes.

Support of the Aktau Center of Federation of UNESCO Clubs of Kazakhstan was also provided. The outcome of these efforts is the agreement that the Kazakhstan National Federation of UNESCO Clubs as the main coordinating organization to all of the UNESCO Clubs in Kazakhstan will especially support all ongoing and future activities of the Aktau Center of Federation of UNESCO Clubs of Kazakhstan.

Objective 2: By the end of 2016, the capacities of local government to plan for diversified and balanced local economic growth are enhanced and income generation opportunities are expanded and local self- governance developed

Output 2.1 Support to formulation of policies diversified economic growth, support the development of small and medium-sized enterprises (SMEs) in key non-extractive sectors and income generation.

UNDP continues its work on improving conditions for diversified and inclusive economy development by providing support to rural entrepreneurship and free access to information in the Internet and various online services. 2 new online centers were opened in May 2015 providing consulting and information services to the rural population in Zhetybai village of Karakiya region and Akshukur village of Tupkaragan district. Later in September 2015 2 additional online centers were opened in Zhynkayldy village of Mangystau region and Borankol village of Beineu district. To improve the qualification of librarians involved in the online centers operations a two-days seminar "Information and Training Centers for Rural Entrepreneurship" was organized in March. Miss B. Shagiyeva, deputy director of the East Kazakhstan Regional library named after A.S Pushkin who has extensive experience in working with UNDP on-line centers, was specially invited to conduct the training. After the training it has become clear that rural librarians have low computer literacy. In order for the on-line centers to be operational a series of capacity building seminars were organized in late May for the employers of rural libraries, where on-line centers were opened or plan to be opened in 2016. After the training the librarians started providing consultation on the access to public service in the e-government system and information on business support programmes available on-line. Over 150 visitors benefited from the consultations and services.

UNDP continued support small rural businesses within its interest free loans of up to 1.5 mln tenge for start-ups and existing businesses. The 9 business projects financed in 2014 by the programme administrated by "Mangystau Industrial Chamber” Public Fund resulted in creation of 12 new jobs for rural citizens. The funds returned allowed supporting additional 5 business projects. The organization also provided over 90 consultations to potential businesses which were especially beneficial for those businesses that possess no knowledge of Russian language.

A new operator for the similar programmes was chosen among local NGOs in 2015. This times the focus was made on green projects and those developing eco-tourism. As the result 9 business projects were financed. In addition, the selected grantee “the Eco-Mangystau” Public Fund organized a School for Young Entrepreneurs "Business Ideas and How to Implement Them", where 20 persons with ideas for start-ups took active participation.

Page 22 of 69 In order to support women’s entrepreneurship, especially those from rural areas, a fare-exhibition of crafts and fine arts of Mangystau region called “High-tech style Products of Artisans”. 46 craftswomen from all over the Mangystau region took place in the event. The event promoted traditional Kazakhs culture and application of innovations in the art to ensure new opportunities for advancing artisan business. The event was enriched by the fashion show of local Fashion Home “Tarbiya” and 2 master classes: on felting by a local master and fashion business promotion by an established young designer and business lady originated from Aktau, Assel Abdrakhmanova. 40 people have participated at the master classes, while over 500 people attended the fair.

Pictures 28-30. Fare exebition of crafts “High-tech style Products of Artisans”

It is clear that in order to promote sustainability of the regions and resilience of the population, the efforts should be put in making them entrepreneurial. It is not enough to focus on crafts development. Business skills and knowledge are needed for the entrepreneurs. A seminar "Enhancing Women's Entrepreneurship in the Mangystau region" specifically tailored for women was organized in cooperation with National Chamber of Entrepreneurs in November, followed by special consultations provided by the Council of Business Women. The events were attended by 25 unemployed women, 15 of whom were craftswomen.

In order to support the further enhancement of the skills of local felt makers previously tought within UNDP various projects a special 5 day design course was organized at the premises of the Fashion House “Assyl Design” and college “Aspara” in Taraz. The course was conducted by the technologist and designers from Assyl Desighn Fashion House and Aidarkhan Kaliyev, famous fashion designer. The felt master from Kyrzyzstan was specially invited to make the course on general rules of design and cloth combination more applicable for felting. 9 craftswomen from rural areas of Mangystau region participated in the course.

Aktau city Akimat representatives raised their skills and knowledge on Child friendly city initiative through participating in several workshops and activities throughout the year.

In March 2015 was the representatives of Aktau Akimat participated in the training on the principles and fundamentals of data collection and analysis based on CFC methodology for monitoring and evaluation of child friendliness of cities and rayons. The training also involved discussions on ways to integrate key elements of the initiative in local administration system to ensure its future sustainability. In addition, representatives of the regions shared their good practices and challenges in implementation of CFC initiative. In particular, the participants noted the need to strengthen the coordination mechanism for implementation of the initiative in cities and to improve cross-sectoral cooperation within Akimats (administrations). As a result of the seminar, cities and districts agreed on a number of activities, including the review of experience in Picture 31. Child Friendly City Initiative Seminar implementation of CFC initiative in Kazakhstan, communication campaigns to involve local populations and improving planning and budgeting activities to create child friendly environments.

In June 2015 the representatives of Aktau city Akimat increased their skills and knowledge on urban space planning in the seminar held with participation of children, national and national experts in Ust-Kamenogorsk. They were introduced to key methods on how to involve children in urban planning and design and gained practical experience on improvement of play spaces. During the workshop children had an opportunity to create their own concepts and layouts for play spaces and present them to decision-makers.

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Output 2.2. Increasing the quality of local public administration and local self-governance in rural areas

One of the important tasks that UNDP sets for itself when working in the regions is the capacity building of local authorities at all levels. Therefore a 2-day seminar "Algorithm of PPP projects preparation" was organized addressing Public-Private Partnership mechanisms as a new model of interaction between the state and business attracting investments that would contribute to socio-economic development of the region. The seminar was attended by 60 people, including the top management of the region, district administrations, and representatives of business community.

Pictures 32-34. 2 days seminar "Algorithm of PPP projects preparation" with participant of Akim of Mangystau region In order to ensure the quality participation of the region in the decision making process and their contribution to the legislative process at the national level a training on regulatory impact analysis (RIA) was organized. The representatives of regional and district akimat, regional maslikhat, NGOs participated in the training. It became obvious during the training that RIA is still very complicated task and a lot more to be done to ensure its effective implementation, yet, the 20 participants managed to provide their comments for the working group at the Parliament of the Republic of Kazakhstan on the draft law "On Amendments and Additions to the Legislative acts of the Republic of Kazakhstan on Housing Issues”.

The are gradually provided with more and more powers. Development of local self-government corresponds to the Programme for Development of Mangystau region for 2011-2015. At the same time, this empowerment needs to be coupled with the capacity building and therefore UNDP pays important attention to the training in the area of local self-government, especially at the times when the legislation is still under formation. In July a seminar specifically devoted to the issues that rural governors face especially in the area of filling and using cash control accounts was organized in the Kuryk village of Karakiya region. The representatives of the Department on Regional Policy and Local Self- Government of the Ministry of National Economy, the Department for Economy and Budget Planning of Mangystau region provided thorough explanations of the innovations in the legislation to 70 rural akims.

In 2015, the local self-government development continued in Beineu and Mangystau districts with 11 and 8 gatherings organized respectively. The important part of the application of local self-government is implementation and monitoring of the projects selected from those suggested by the population. The Mangystau District maslikhat decided to support the decision of the residents of Ushtagan village to rehabilitate and equip the central park. The project ensured installing of energy efficient street lighting in the village’s main street, as well as construction of a pool and putting drip irrigation for watering trees. "Paths of Health" out of natural materials to accommodate retirees and people with disabilities are also under construction.

The Beineu district chose to support an ambitious project of recycling plastic waste which was developed by an initiative group from Beineu village, together with the local “Civil Initiative of Beineu region" NGO. The washing and drying complex for processing of plastic bottles was constructed. To ensure the materials for processing special containers for collection of plastic bottles were set in Beineu village. To increase the production chain, and ensure profitability of the project the NGO together with the District Akimat are trying to purchase equipment for the production of plastic bottles and attract investors.

Page 24 of 69 In 2015, UNHCR’s legal partner provided legal assistance to 1330 stateless persons (289 of them in Mangystau), who were either stateless, or had undetermined nationality and are at risk of statelessness in several regions of the country. Legal assistance was provided in the form of consultations on the situation of documentation, assistance in filling in the required by legislation forms, submitting documents for determination procedure, facilitating in obtaining required documents from relevant embassies of other countries and appropriate state authorities of Kazakhstan, and representation of stateless persons’ interests in the court. 196 cases (6 of them in Mangystau) were resolved and documented by the end of 2015 where persons were either confirmed as citizens of Kazakhstan, received stateless person status or confirmed nationality of third countries. UNHCR agreed with several embassies of the relevant CIS countries to simplify the process of obtaining required documents Picture 35. Information campaign on reduction of for persons with undetermined nationality who were released from the statelessness requirement of personal presence in the embassies and their requests were allowed to be processed by UNHCR’s partner. This significantly eased the procedure to obtain the necessary documents from the embassies and facilitated the documentation of undocumented persons.

In 2015, a Working Group for the amendment of the national legislation related to citizenship and statelessness was created under the auspices of Mangystau region Administration. The main objective of the Working Group was to identify and propose amendments to the provisions in the national legislation that led to statelessness. The gaps analysis is to be shared with the relevant Ministries in early 2016. A Round Table on Statelessness was conducted in Aktau where the Working Group presented the preliminary findings of the analysis of national legislation related to citizenship and proposed recommendations for legislative amendments. The gaps analysis is to be shared with the relevant Ministries at the central level in the beginning of 2016. During the reporting period, 1330 persons (289 of them in Mangystau) with undetermined nationality received legal assistance and 196 persons (6 of them in Mangystau) were documented. UNHCR agreed with several embassies of the relevant CIS countries to simplify the process of obtaining required documents for persons with undetermined nationality who were released from the requirement of personal presence in the embassies and their requests were allowed to be processed by UNHCR’s partner. As a result, the processing of documents eased and accelerated. Meetings were conducted with 66 local officials throughout the region to raise awareness on the issues facing stateless persons and inform on the assistance provided by UNHCR and partners. UNHCR and legal partner conducted two trainings for local authorities on statelessness as part of its capacity building and to support an identification campaign.

In 2015, UNHCR and partners conducted meetings with the local government officials in four districts of Mangystau region, namely Munalinsky, Karakiyaksky, Shepte, Zhanaozen districts and Aktau city. The meetings aimed at building the capacity of the State officials in the field of statelessness and raising awareness about the assistance provided to stateless persons by UNHCR and partners. The Participatory Assessments conducted with undocumented persons showed that the reasons for lack of documents were different, including lack of time and negligence, loss of documents, long bureaucratic procedures of documentation and financial inability to travel and/or to provide required documents. The results of the Participatory exercises informed UNHCR and partner’s programming for 2016.

UNHCR and partners conducted three trainings for local authorities on statelessness. More than 70 articles were published on the issues of statelessness. In addition, UNHCR organized a media trip for a journalist to cover statelessness issues. Two movies and five short awareness raising videos (two of them referring specifically to Mangystau) about statelessness in Kazakhstan were produced to raise awareness among the Government and general public about the situation of stateless persons, as well as to disseminate information on assistance available to stateless persons at the Government and NGOs level.

Page 25 of 69 2.3 Strengthening community nursing/home-visiting services in addressing inequities at community level for better counselling of parents and caregivers for children under 5 to reduce morbidity and mortality of children under 5 from preventable causes.

Picture 36. Meeting of UNICEF national and Picture 37. Seminar on the integrated Picture 38. Assessment of the pediatric care international experts with the Health management of the childhood illnesses quality at Munaily region hospital's children's Department Authority to discuss the upcoming division medical institutions' assessments

Pediatricians and community nurses in Mangystau oblast (Aktau city polyclinics and hospitals in selected rayons) strengthened their skills and knowledge in the patronage training aimed for medical care of children 0-2 months. They increased their knowledge on ensuring a basic care to the newborns – temperature control and its role in preventing childhood illnesses, classification of newborns illnesses and their evaluation. Also the trainees exercised clinical practices in role games, resolution of the situational tasks, in treatment of children and consulting parents. As a result of the training the pediatricians developed a plan of action for their hospitals the implementation of which will be monitored in 2016.

With a view to improve skills and knowledge of parents and caregivers proper feeding and preparing baby food two resource centers were opened by UNICEF on the basis of children divisions of Munaily Central Regional Hospital and Zhanaozen City Hospital No. 2. UNICEF purchased equipment and all the necessary facilities for the centers, and Picture 40. Seminar for pediatricians and Picture 39. Grand opening of a resource provided with methodological and learning center for a proper nutrition and introduction nurses on a proper nutrition and of the timely and adequate supplementary introduction of the timely and adequate materials. The personnel of the medical baby food of babies in Munaily region supplementary baby food of babies at facilities and some parents (10 medical hospital Munaily region hospital workers, 10 mothers) were trained on how to consult mothers and caregivers on preparing adequately diversified baby food depending on age of children on the basis of the resource centers. The trainees were explained about the importance of the proper nutrition to both mental and physical health of children. The coach demonstrated in practice methods of cooking and preparing meals for children at each stage of their growth to ensure the adequate use and sustainability of the centers.

The event was widely highlighted by the local Mass Media: http://www.lada.kz/aktau_news/society/31286-v-munaylinskom-rayone-otrylsya-resursnyy-centr-dlya-roditeley.html http://dsb.mangystau.kz/ru/news/novosti_goroda/?title=v_munaylinskom_rayone_otryilsya_resursnyiy_tsentr_dlya_rodite ley_po_pravilnomu_pitaniyu_detey_rannego_vozrasta_164#title http://dsb.mangystau.kz/ru/news/novosti_goroda/?title=resursnyiy_tsentr_dlya_roditeley_416#title http://dsb.mangystau.kz/ru/news/novosti_goroda/?title=obuchenie_spetsialistov_v_resursnom_tsentre_688#title http://mangystautv.kz/kz/news/society/mangystau-oblysy-munaily-audanynda-balalarga-kamkorlyk-ortalygy-ashyldy http://mangystautv.kz/kz/news/society/zhanaozen-kalasynda-resurstyk-ortalyk-ashyldy http://www.unicef.org/ceecis/media_28264.html http://ogni.kz/rubrika/region/dlya-uspeshnogo-razvitiya-detey.html

UNICEF also printed out and distributed for the medical institutions the developed methodical guides (7000 exemplars of “Individual cards for growth and development of a child” and 1500 exemplars of a publication “Physical and psycho-

Page 26 of 69 social development of children at early age”). Also the electronic versions of the publications were given to the local health department which further printed them out and keeps distributing to parents.

2.4 Improving antenatal care in the region to increase the coverage of pregnant women and reduce anemia prevalence with a focus on the most vulnerable groups in rural areas, including affected by Aral sea devastation, with the aim to reduce perinatal mortality.

Picture 41. Meeting of UNICEF national and Picture 42. Assessment of the perinatal care Picture 43. Assessment of the perinatal care international experts with the Health quality at the Zhetibai hospital's birth quality at the Oblast perinatal center Department Authority to discuss the upcoming division medical institutions' assessments

UNICEF international and national experts conducted assessments of perinatal and pediatric care in three perinatal centers and maternity hospitals in the oblast. The main aim of the assessments was to review the quality of the services provided and identify the strengths and weaknesses of the system for further improvement and recommendations. During the assessment the experts has discussions with the personnel, observed birth giving procedures and tested the staff skills in baby reanimation and others. Upon the results of the assessment, advanced training was conducted on effective perinatal care based on the problems identified during the assessment and ways to solve them. In total, 19 medical workers were trained from the city birth center of Zhanaozen, 25 – from the oblast perinatal center and representatives of rayons, and 22 – from the Aktau city birth center). The trainings were dedicated to teach safe Picture 44. Strengthened training on the Picture 45. Strengthened training on the maternity practices, effective perinatal effective perinatal care at the Oblast perinatal effective perinatal care at the Zhanaozen birth care and evidence-based medicine. center center The trainees were divided into several groups according to their specific areas of work and each group improved their skills in different areas such as – birth delivery by doctor, follow up care by nurse using partogram, examination of newborn baby right after the birth and the principals of a newborn care, afterbirth care (mother and newborn), newborns reanimation, infections during pregnancy, birth and afterbirth period, arterial hypertension, obstetric bleeding, consultation skills in mother and child care, etc. A special part of trainings were dedicated to improving the existing practices and development of plans of actions according to which the medical institutions will be monitored in 2016.

Page 27 of 69 The assessment results, information on conducted trainings and the plans of actions for further monitoring the improvement in practices of medical facilities were presented to Deputy Akim of oblast and management of health department for information and discussion of follow-up plans.

Picture 46. Presentation to the Mangystau oblast Akimat authorities the results of assessments and trainings

2.5 Increasing the capacities of local authorities, Youth Resource Centers (YRC) and NGOs working for/with adolescents and youth, as well as promoting youth participation.

The representatives of youth policy department and some heads of YRC in Mangystau oblast participated in a cycle of trainings organized by UNICEF in East-Kazakhstan oblast. The training were focused on strengthening the skills and knowledge of youth specialists on basic youth work skills, types of youth work, concepts and principles, identifying target groups (including young people with vulnerabilities), educational methodologies, needs analysis and planning, implementation, monitoring and evaluation of youth programs, attracting volunteers and involving young people with vulnerabilities in accordance with best international practices.

Deputy Akim of the oblast and representative of internal policy department participated in an international study tour to Great Britain where they were introduced together with other participants of Kazakhstan delegation to European experience of promoting youth policy and developing youth work, especially with vulnerable groups. The study tour provide the participants with a fresh view, inspiration and profound understanding of how national youth policy, service providers for the youth and the education and training system for preparation of youth workers can be developed together. During the study tour the participants discussed the strengths and weaknesses of the youth policy system in Kazakhstan at the national, regional and local levels and how to adapt some of the demonstrated good practices to the context of country.

Objective 3: By the end of 2016, 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 Sustainable environmental and disaster risk reduction practices are modelled for its potential wider replication

Several pilot projects aimed at improving energy efficiency of housing and public utilities objects have been implemented in in Aktau and Fort-Shevchenko in order to demonstrate social, economic and environmental benefits for the population through the modernization of housing and communal sector. Within the heat supply sector the following activities performed in close cooperation with the municipal authorities worth mentioning: • Installation of an automated system of commercial metering, regulation and control of resources of heating, electricity and water in school #3 that allows substantial energy savings and creates comfortable working conditions; • The boiler was automatized, LED fixtures together with other equipment and devices were installed at secondary school named after Umirbayev in Fort-Shevchenko improving the microclimate of classrooms, saving energy, reducing greenhouse gas emissions and reducing sicknesses among students3. Activities for prudent use of water positively complemented ecological education of children;

3 After the heating period is over, it will be possible to calculate the economic effect of these activities which will be provided in the next report.

Page 28 of 69 • As an experiment a simplified automated heat point system was installed in the apartment block 9 of microdistrict 9.

Even partial modernization of lighting system of two schools will provide annual savings of 7848 kW/year, or 120 800 tenge (in case of operating time of about 2000 hours per year, and the rate is 15.39 tenge per kW/hour). At the same time the light comfort (according to the required standards) combating conditions of pupils vision sense worsening is much harder to estimate.

Pictures 47, 48. Modernized lighting systems in classroom of Umirbayev secondary school, Fort-Shevchenko

Fort-Shevchenko is characterized by lack of water for domestic and industrial usage. The city municipal services fill the special school water tank with water every three days. In general, the water is used at the school kitchen, for domestic use and for hand washing. In order to safe water, three-segment washer for dishes has been installed in the kitchen as the previous plate washer was pretty worn out and did not allow any water saving. In addition, sensor taps with photocells for washing hands next to the school canteen have been installed.

Picture 49. Three segment plate washer Picture 50. Sensor taps with photocells for washing hands

Another serious problem that the school had faced was poor ventilation, since fixed plastic windows were no allowing for proper ventilation. In order to ensure sanitary conditions, window structures were reconstructed and vent panes were installed in each class.

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Picture 51. 50 window structures were Picture 52. Modernized gas boiler and operator reconstructed to provide air exchange in the control console at Umirbayev secondary school classrooms

The system of mercury lamps has been established in close cooperation with Mangystau region Akimat, who allocated 55 million tenge for the collection and recycling of mercury-containing fixtures.

On 22 October 2015, UNDP held a special seminar devoted to the recycling of mercury-containing fixtures (hereinafter - MCF) taken from population and environmental security of the region, since information campaign is crutial in such activities. 10 containers in Aktau city were installed by UNDP while the Akimat installed 17 additional containers. According to regional environmental department, 31 thousand MCF have been collected within the first month ensuring prevention of environmental pollution with mercury-containing pollutants, maintaining population health.

Pictures 53, 54. Improvement of housing and public utilities management

For representatives of Akimat offices, utility companies and Aktau city condominium administration, the «Summer School» was held on «Reforms in the housing sector and improvement of housing and public utilities capacity» to study nationwide and international experience. Attended by 55 people, the School was held in three stages: 1) national; 2) international; 3) study-tour to Germany.

Pictures 55, 56. Summer school

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Picture 57. Meeting with representatives of the Ministry of Picture 58. Participants of the event at IVO, Germany Constructions and public Utilities of Germany

As a part of program, web resource «Transparency System of Housing and Public Utilities Activity» have been developed, which is aimed at improving the transparency and efficient operation of utilities, including condominium management authorities and utilities administration in Aktau. U.S. Bisakayev, Deputy Akim of the city, participated in Round Table «Web-resource: «Transparency System of Housing and Public Utilities Activity» - a tool for increasing the efficiency, reliability and transparency of the utilities structures of Aktau». The Aktau city Akimat is currently working at establishing a Call-center to launch the Web-resource «Transparency System of Housing and Public Utilities » for public use.

The dispatch station is installed at the office of supply manager, school experts and personnel of urban heat point service provider are trained to manage those systems.

Picture 59. Training for the management of Automated system of commercial metering, regulation and control of Picture 60. AHP installation training energy resources

In spite the fact, that many scientists believe that the agriculture development has no potential, UNDP in cooperation with local farmers test pilots to create conditions for sustainable farming. In 2015 a project creating green oasis in the desert area at "Buck Daulet” farm of Karakiya district was launched. The idea is to demonstrate the model of cattle grazing at pastures and feed production in desert conditions. The project addressed the issue of water supply of pastureland (a borehole is drilled, watering facilities installed). This also improved living conditions of breeders together with purchased wind-solar power plant of 4 kW. In order to improve the productivity of 10 ha forage land, UNDP provided seeds of forage crops, which are to be planted in the spring 2016. Picture 61. Solar power plants

Page 31 of 69 To improve living conditions of those living on remote pastures (e.g. "Baghdat", "Uldana", "Ernar", "Tukіbay", "Tylepy") and forestry workers living in forest cordons (Municipal Government Agency State Regional Natural Park "Kyzylsai", cordon "Manata" and cordon "Zhabaishkan") seven solar power plants with a power of 1 kW have been installed. The alternative energy devices provide 10 families living in remote rural areas of Mangystau region access to clean and "green" electricity for their livelihood.

In the desert landscapes of the Mangystau region, irrigation work ensured to more than 10 thousand hectares of land. Akimat of Mangystau region and UNDP joined efforts to subsidize irrigation of pastures on the example of 8 pilot farms, where 20% of cost is covered by UNDP and 80% covered by the state. 8 pilot sites received drilling works and wells for sustainable watering of desert pastures. The state program for water pasturing that has not been operational for almost 3 years has finally started to bring benefits to the region. Picture 62. A drilled borehole Twelve government representatives of Mangystau region in order to get acquainted with the "shifting sands" technology of irrigated land and pasture management participated in training, which took place in Turkmenistan giving yet another example of efficiency of South-South cooperation.

With a view to help schools and pre-schools to adapt Disaster risk reduction program Picture 63. Sand Retention in Turkmenistan in Mangystau region UNICEF provided them with the following at the initial stage: 1) Equipment ( i.e. VHF low-power portable radios, megaphone, helmets, sanitary bag (with stacking), rescue stretcher, safety vest, dielectric gloves, canvas gloves for rescuers, whistle (referee), facemasks, first aid kit, fabric asbestos cloth). The equipment is meant to be used at the lessons on emergency situation so that children know how and in which cases a safety facility should be applied. http://tumba.kz/obrazovanie/14-obrazovanie/10524-snizhenie_riska_bedstvii.html 2) Books with DVDs for pupils from 4th up to 11th grade on how to act in cases of emergency and also manual for school teacher on disaster risk reduction (DRR) issues. The books are aimed at improving children’s knowledge on the ways Picture 64. DRR Doorplate at the entrance of the of adequate and safe reactions to the emergencies. Baimyrzayev secondary school at Tupkaragan 3) “Riskland” is an educational board game that deals with disaster rayon prevention. The game conveys messages that help understand how some actions can reduce the impact of disasters, while others can increase the vulnerability. The game also includes question cards the answers to which are intended to help in learning about disaster risk reduction.

In May 2015 the representative of Mangystau region participated in a study tour to Armenia to familiarize with the country’s experience in DRR. The trip consisted of visits to the local state bodies responsible for DRR issues and also to a city of Stepanavan city to learn how DRR is translated into action.

The end of the year 2015 was marked by a round table named “The vulnerability of children in the emergency situations”. The event aimed at presenting the results of the disaster risks analysis focused on the vulnerability of children which was held in Zyryanovsk rayon of East-Kazakhstan oblast. The round table discussed the issues of further approbation and improvement of the disaster risk analysis methodology and vulnerability of children to include it to the system of DRR management in the Republic of Kazakhstan.

Describe any delays in implementation, challenges, lessons learned & best practices:

Lack of accurate baseline information on the number of persons with undetermined nationality and their location were the major obstacles in implementation of the planned activities. UNHCR Partner also faced difficulties to reach out to the population of concern in remote areas. Before the agreement was reached with the Embassies on simplified processing of documents, the POCs faced challenges to reach the Embassies in Astana or Almaty as they had no identity documents to allow their travel. As a result, it took longer time for documentation of persons than it was initially expected.

Page 32 of 69 Lessons learned: • UN is well suited to serve as knowledge/management/best practices depository and programme management excellence centre; • Frequent updates and contacts with the Akimat departments and national stakeholders are critical; • Greater cooperation with civil society and private sector is a factor of success and efficient mean to ensure public outreach, yet at lot of capacity building is needed; • Working with communities to develop knowledge and awareness on issues related to the JP is critical for its success; • Joint planning, implementation and monitoring is preferable

Qualitative assessment: Provide a qualitative assessment of the level of overall achievement of the Programme. Highlight key partnerships and explain how such relationships impacted on the achievement of results. Explain cross-cutting issues pertinent to the results being reported on. For Joint Programmes, highlight how UN coordination has been affected in support of achievement of results.

Overall, the programme was implemented successfully. Good working relations with partners have been established. Media is very active in Aktau ensuring good information outreach of most activities. The assistance from UN team is well received and less and less beneficiaries review the development assistance as charity even compared to 201 4.

The provision of legal assistance to stateless persons and persons with undetermined nationality identified in 2015 will be continued in 2016. The gaps analysis of the national legislation related to nationality and statelessness will be shared with the Parliament in 2016.

UNHCR programme to address the issues of statelessness at national level is implemented by its legal Partner Kazakhstan International Bureau for Human Rights and the Rule of Law (BHR) and in close cooperation with the Migration Police Department of the Ministry of Internal Affairs of the Republic of Kazakhstan and its territorial branches throughout the country, as well as with the Akimat of Mangystau region.

While it is early to assess the implementation it can be said that there is a good overall achievement, capacity improvement and preparations are all in place, and it is expected that the preparations and the partnership approach will enable delivering of results planned initially for two years in a much shorter time frame, without compromising quality and sustainability.

Page 33 of 69 INDICATOR BASED PERFORMANCE ASSESSMENT

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

Output: Achieved Indicator Reasons for Variance Source of Verification Targets with Planned Target (if any) Social-economic Development of the Region and Employment Increase Outcome 1: By the end of 2016, inequities and disparities in social well-being for the vulnerable populations are reduced, employment is increased, , key health indicators are improved

Output 1.1 Support to formulation of policies stimulating productive employment

Indicator 1.1.1: Quality Achieved This report and the research itself at labor market research and http://www.kz.undp.org/content/kazakhstan/ru/home/library/democratic_governance/ recommendations on employment increase

Baseline: 0 Target: 1 research

Indicator 1.1.2: Quantity On track. The Center This report and Mangystau JP Facebook Page. and quality of adaptation currently does not services of Center of provide any cervices Adaptation and except for shelter. Integration of Oralman in Language and Aktau computer literacy Baseline: TBD courses were provided Target: Increase of the to 20 and 10 quality and quantity of Oralmans respectively adaptation services of the Center

Indicator 1.1.3: Number Partially achieved for This report, Mangystau JP Facebook Page, http://ogni.kz/rubrika/munaylinskiy/trening- of jobs created including 2015. 17 persons po-voylokovalyaniyu-dlya-selskikh-zhenshchin.html for PWD including 2 PWD : http://www.aktau-business.com/2015/08/19/trening-po-voylokovalyaniyu-dlya-selskih- Baseline: 0 zhenschin.html Target: 2014 - 10 and 5 http://tumba.kz/zhizn-regiona/11-zhizn-regiona/10754-obuchenie_voilokovalyaniyu.html for PWD, 2015 – 15 and : http://aikyn.kz/ru/news/show/12313-auyl_ielder_ltty_nerd_ol_a_aldy 7, 2016 – 20 and 10

Page 34 of 69 Indicator 1.1.4: Number Achieved. 7 projects. This report, Mangystau JP Facebook Page, http/m.inform.kz/ru/article/2810246,: Zh. of implemented inclusive Berdymuratuly, «Мүмкіндігі шектеулі жандармен жұмыс жанбак». Newspaper projects solving problems Kaakiya, № 63(690) 1 October 2015г, «Әйелдер белсенділік танытты», Newspaper of those most vulnerable; Karakiya, № 69(696) 12 November 2015 Target: 2014 – 5, 2015 – 7, 2016 – 10 Baseline: 0

Indicator 1.1.5: Number Achieved for 2015 Centre working with disabled kids, Musical-Drama Theatre, Sport Club Zhiger, 3 massage of social objects that rooms in 3 rural counties of Tupkaragai District, Centre of Health’Amanat”, Public Club benefited from the “Women voice”. In addition 2 public schools within the third component and waste implementation of processing plant under local self-government development. inclusive projects; Baseline: 0 Target: 2014 – 3, 2015 – 5, 2016 - 6.

Indicator 1.1.6: Achieved One Participatory Assessment was conducted with stateless persons, five social Number of activities for advertisements and two movies on situation of stateless persons were produced to raise stateless and availability awareness on statelessness in Kazakhstan (two of them referring specifically to the of its correct number situation in Mangystau region). identified, categorization of their registration and documentation problems. Baseline: 0 Little or no knowledge of or advocacy for stateless persons and their legal and social rights. Planned Target:

Output 1.2 Innovative approaches to providing health and special social services to women, children, youth, elderly, PWDs, repatriates etc. are piloted in rural areas

Page 35 of 69 Indicator 1.2.1: Under question. Only This report and Mangystau JP Facebook Page. In 2015 7 successful projects implemented NGOs’ capacity to 15 quality projects (2 inclusive, 1 business support and 1 local self-government). 2 trainings for NGO’s provide quality service have been conducted. and advocacy implemented by Baseline: NGOs with UNDP Low capacity of NGO’s support in 2014-2015. according to the survey conducted Target: At least 30 quality projects implemented by NGOs within the Joint Programme

Indicator 1.2.2: Under question. Extensive training on social modernization for 30 social workers was conducted in close Creation of a centre for Capacity building is cooperation with the Division of Employment coordination and social protection. In social workers on the way, yet the addition 8 social workers together with other service providers mastered sign language Baseline: Center itself is under and a training on conducting needs assessment in Borovoye organized by the partner No special center for question. UNDP project, covering all the regions with participation of 10 Mangystau social workers exists representatives. Target: Creation of 1 center for social workers

Indicator 1.2.3: Achieved. 30 persons This report, Mangystau JP Facebook Page, Number of social “http/m.inform.kz/ru/article/2810246 workers that increased their potential Baseline: 0 Target: 30 people

Indicator 1.2.4: On track 1330 stateless persons received legal assistance (289 of them in Mangystau), 196 cases Number of stateless were resolved (6 of them in Mangystau). persons, as well as undocumented persons of Kazakh nationality or third countries, process of registration and documentation of whom, was initiated with local authorities. Baseline: No data available.

Page 36 of 69 Indicator 1.2.5: Achieved Women support center – “Women’s voice created” This report, Mangystau JP Facebook Support center for Page, «Әйелдер белсенділік танытты», Newspaper Karakiya, № 69(696) 12 November victims of domestic 2015 violence created and functions Baseline: No support center for victims of domestic violence

Indicator 1.2.6: On track No data is available so This is the figure from 2011 MICS. The update will be made by end of 2016 from 2015 Unmet women needs to far, expected in 2016 Kazakhstan MICS report. 45 young people were empowered to advocate behaviours to contraceptives. Baseline: prevent unwanted pregnancies and HIV transmission and the latter provided Peer-Peer 10.4 training that covered over 200 young people

Indicator 1.2.7: Not yet achieved Number of service providers trained on ensuring universal access to sexual and reproductive health (including family planning) with special focus on most vulnerable women and young people and number of staff who provides counselling on SRH and family planning. Baseline: 0 24 health providers of three key maternities (Oblast Perinatal Centre, Aktau City and Indicator 1.2.8: Number Achieved Zhana Ozen City Perental Centres) were trained. of staff of regional health system trained on EPT and Confidential Maternal Audit Baseline: 3 (TBD)

Indicator 1.2.9: Not yet achieved Planned for 2016 Y-Peer training reports Y-Peer Network on increasing awareness of young people on Sexual

Page 37 of 69 and Reproductive Health established in Mangystau. Baseline: TBD

Indicator 1.2.10: Not yet achieved The training is planned Rate of empowerment of for the June 2015 young people to advocate behaviors to prevent unwanted pregnancies and HIV transmission. Baseline: TBD

Indicator 1.2.11: Rate of Not yet achieved compliance of students education on sexual and reproductive health, including HIV and AIDS issues with UNESCO standards. Baseline: TBD

Indicator 1.2.12: Achieved 15 local governments specialists were trained on Population and Development Number of local interlinkages and effective socio-economic planning and monitoring of regional government specialists development programs, taking into account needs of vulnerable groups of the population trained on Population and Project reports Development interlinkages and effective socio-economic planning and monitoring of regional development programs, taking into account needs of vulnerable groups of the population Baseline: TBD

Indicator 1.2.13: 1,602 (Department of Department of Social Protection Number of children in Social Protection) low income families:

Page 38 of 69 Baseline: 10,359 children (2013) Education department data 1,142 (in 2013) according to Social Protection department data Planned target: decrease by 20% by 2017

Indicator 1.2.14: 2 representatives of Project report. Decree of the local government on introduction of the suicide prevention Suicide prevention the local Health programme. programme introduced to department and 2 Special questionnaires to measure the level of suicide ideation decrease suicidal representatives of the behaviour among local Education adolescents. department were Baseline: 0 programme shared experience on Planned Target: Suicide the implementation of prevention programme the suicide prevention introduced to decrease project in Kyzylorda suicidal behaviour among adolescents

Indicator 1.2.15: 23/77 Data of Children’s rights protection committee of the Ministry of education Ratio of children in residential institutions with accommodation and children in alternative forms of devices in the home / community Baseline: 28/72 Planned Target: 20/70

Indicator 1.2.16: 0/139 in 2015 National statistics Ratio of juveniles 0 juveniles diverted to diverted to alternative alternative services services at the pre-trial 139 crimes stage to the number of committed against committed crimes in children pilot sites

Page 39 of 69 Baseline: 0 children diverted to alternative services Planned target: 150

Indicator 1.2.17: 29% (2 out of total 7) Ombudsman annual and monitoring reports including under National Preventive % of child closed and mechanism residential facilities monitored by independent bodies Baseline: 0 institutions Planned Target: 70% Output 1.3 Regional health policies development, responsive to the needs of the population at the primary health care level

Indicator 1.3.1: % of Partially achieved – In 2015 the PHC facilities in 10 % implementation remained Mangystau develop at pilot facilities only. institutional action plans based on assessment of local population needs

(epidemiological assessment; preferences of population; specific socio-economic profile of the sub-area)

Base-line: 0

Target: 30 % of PHC facilities in the oblast, out of which 50 % in rural areas. Process indicator:

% of PHC facilities

(management

/responsible staff) covered by WHO trainings; Baseline: 0.

Target: 2014 (20 %);

2015 (20 %); 2016 (10%)

Inter-sectoral plan Indicator 1.3.2: Inter- Not achieved – will be delayed due to late sectoral plan for reducing developed in 2016 due adoption of new State

Page 40 of 69 child injury and mortality to delay of national health programme and developed in line with plan; preparations development of WHO “Violence and finalized concept for inter- Injury prevention” – sectoral action on road reduced number of traffic accidents only in serious child injuries and 2016 mortality due to accidents at home and in traffic. Baseline: no plan. Target: 2 2-year plans developed (15-16 developed by December 2014); (17-18 plan – developed by September 2016)

Indicator 1.3.3: To be measured at end Mortality of children Mortality of children of project – no due to accident at home under 5 in Mangystau due availability of and in traffic reduction to accidents at home and mortality data per is expected by the end in traffic reduced by 10 rayon and per detailed of the Project period. %. Baseline: TBD ICD-10 coding prevented establishment of baseline. Output 1.4 Increased capacity of local decision makers on application of "Health in all policies" approach in regional development strategy

Indicator 1.4.1: 6 trainings Limiting factor: due to Mangystau regional change of structure of health development republican centre for policy includes objectives health care and targets on reduction development there are of burden of non- no more branches. communicable diseases Therefore training was and related risk factors – conducted for staff of linked to the overall health care department. national NCD monitoring structure enabling monitoring inequities. Baseline: 0 indicators on NCD included in any

Page 41 of 69 plan. Target: at least 3 objectives included with relevant number of indicators. Process indicator: number of workshops held for training staff of: branch offices of Republican Centre for Health Care development, branch offices of healthy lifestyles institutes and of the Mangystau Health care department on the NCD global action plan and 9 objectives and 25 voluntary indicators. Output 1.5 Capacities of local government and local service providers to plan, budget, implement programmes for protection of the most vulnerable groups of society, including youth and children their families are strengthened Indicator 1.5.1: CFC Achieved. Coordination council was created on 27.10.2015 by the Decree of the Akim of Aktau Coordination group is CFC portfolio of city Akimat established within the city Akimat Baseline: not established (2014) Planned Target: CFC Coordination Commission is established and operational with annual reports produced on the situation of children in the city and action plans.

Indicator 1.5.2: Number n/a Approved by decision of the Steering Committee of child well-being indicators disaggregated by sex, location and age Baseline: 0 (2014)

Page 42 of 69 Planned target: child well-being indicators selected and agreed

Indicator 1.5.3: % of Not achieved Due to decision of the Approved by decision of the Steering Committee patronage nursing/home- Ministry of Health and visiting services provided Social Development it to mothers and children was decided to pilot the in rural settlements progressive universal Baseline: TBD model of patronage Planned target: TBD nursing system in Kyzylorda region only.

Indicator 1.5.4: Number 4 heads (out of 8) of Project reports and monitoring framework for rural youth centers of approaches introduced the local YRCs were and proven as effective in participated in 3 YRC the framework of rural seminars held in youth centers. Oskemen in 2015 and Baseline: 0 introduced to YRC Planned Target: framework Organizational framework for youth resource centers developed and introduced in the region.

Indicator 1.5.5: Local On track Project report public allocation for implementation of Law on prevention of domestic violence in relation to support to survivors of domestic violence increased by 15% by 2016 Baseline: 0 Output 1.6 Awareness of the local population on best practices of child care and new participatory mechanisms are enhanced

Page 43 of 69 Indicator 1.6.1: 21 representatives of Media content analysis, reports, media articles Indicator: Increased the local mass media awareness of the families and NGOs were and local community on trained. TV good practices of child broadcasted social care (health, inclusion, video created by and youth); UNICEF on different Baseline: Poor topics knowledge on child care Planned Target: Improved knowledge on child care

Indicator 1.6.2: 21 representatives of Quality of C4D materials Indicator: strengthened the local mass media capacities of state, NGOs and NGOs were and media in trained Communication for TV broadcasted social Development (C4D) for video created by addressing critical child- UNICEF on different related issues; topics Baseline: poor knowledge and understanding of C4D principles. Planned Target: State, civil society and media understand and apply C4D principles for communicating messages to households

Indicator 1.6.3: No of 2 mother resource Partnership agreements, acceptance of child-focused CSR by the corporate sector child-focused local centers created on the Health Department initiatives promoted to basis of outpatient’s enhance opportunities for clinics cooperation towards better child care and child protection systems. Baseline: 0

Page 44 of 69 Planned Target: 4 partnership initiatives on child-focused Output 1.7 Principles of sustainable development, including the protection natural and cultural heritage, are mainstreamed into local government programmes and plans

Indicator 1.7.1: 2015 activities The delays in project Mission report; draft TORs; Link to the Fund in Trust (FIT) n°9613: Expanding the Implementation of negotiated with local implementation were opportunities of the Mangystau region in achieving sustainable development and socio- ratified conventions, partners; caused because economic modernization in the System of Information on Strategies, Tasks and the notably the 1972 (World installation of the Evaluation of Results for the 37 C/5: Heritage) and 2003 project in the UNESCO http://sister37c5.hq.int.unesco.org/ActivityForm.aspx?id=9613 (Intangible Cultural HQ took a longer time. Heritage). Baseline: Ratified conventions are not implemented or partially implemented.

Indicator 1.7.2: TORs drafted and Operating environment agreed; for artisans improved, production and distribution capacities enhanced; Baseline: poor quality and marketing of craft products compare to other regions of Kazakhstan, limited access to international market.

Indicator 1.7.3: One mission of the Sustainable local Culture Programme framework for Specialist conducted. safeguarding intangible heritage established. Baseline: 2003 Convention (Intangible Cultural Heritage) recently ratified, no local

Page 45 of 69 implementation mechanisms elaborated. Economic Development and Effective Governance Outcome 2: By the end of 2016, the capacities of local government to plan for diversified and balanced local economic growth are enhanced and income generation opportunities are expanded and local self-governance developed. Output 2.1 Support to formulation of policies diversified economic growth, support the development of small and medium-sized enterprises (SMEs) in key non- extractive sectors and income generation.

Indicator 2.1.1: Achieved. 17 projects http://www.mipaktau.kz, this report, FB page of UN Mangystau Joint Programme The number of successful business projects implemented aimed at diversifying the economy Baseline: 0 Target: 2014 – 5, 2015 – 10, 2016 – 10.

Indicator 2.1.2: Partially achieved. It was decided not to This report (please see Annex) Number of beneficiaries, form the network of served by business business consultant consultants/ on-line since the project was centers implemented by fund Baseline: 0 “Damu” and later by Target: 2014 – 40/40, NCE. 2015 – 1000/1000, 2016 - 1000/1000.

Indicator 2.1.3: Almost achieved 4 on- FB page of UN Mangystau Joint Programme Number of successfully line centres served operating on-line centers over 900 visitors Baseline: 0 Target: 2014- 2, 2015 – 6, 2016 -10.

Page 46 of 69 Output 2.2 Increasing the quality of local public administration and local self-governance in rural areas

Indicator 2.2.1: On track. About 40% Survey conducted in February-March 2016 in 2 districts, 30 respondents Awareness of rural of respondents population on the possibilities provided by local self-government Target: high (over 80% of respondents) Baseline: low (less than 20% of respondents;

Indicator 2.2.2: The Achieved for 2014. 19 This report and Mangystau JP Facebook Page. number of conducted gatherings community gathering and number of local citizens – member of initiative groups participated in the self-governance pilots Target for 2015: 19 gatherings (11 in Beineu, This report and Mangystau JP Facebook Page. 9 in Mangystau districts) Target for 2016: 14 gatherings (7 in Tupkaragan and 7 in Munalilinsky) Baseline: 0

Indicator 2.2.3: Number Partially achieved 2 This report and Mangystau JP Facebook Page. of successful projects large infrustructre implemented within self- projects (Baineu and governance scheme Mangystau) Target: 2014 – min 3, 2015 – min 6, 2016 – min 2

Page 47 of 69 Indicator 2.2.4: Number Achieved in 2015, all Mangystau JP Facebook Page. of districts covered by projects are covered information complain on by information the local self-government campaign. projects Target: 2014- 1, 2015 – 2, 2016 – 1 Baseline: 0

Indicator 2.2.5: Rating Achived http://www.zakon.kz/4681175-rejjting-kachestva-raboty-akimatov.html of the Regional Akimat . https://kapital.kz/gosudarstvo/26445/v-rk-sostavili-rejting-kachestva-raboty- in the achievement of akimatov.html strategic goals and tasks Target: 20% improvement by 2016 Baseline: 7th place (2013)

Indicator 2.2.6: The On track Five trainings were conducted with 66 local officials throughout the region to raise number of local awareness on the issues facing stateless persons and inform on the assistance provided by authorities’ UNHCR and partners. representatives trained Baseline: 0 Little or no knowledge of or advocacy for stateless persons and their legal and social rights among stateless persons, general population and local authorities. Environmental Sustainability, Energy Efficiency and Housing and Communal Sphere

Outcome 3: By the end of 2016, 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 Sustainable environmental and disaster risk reduction practices are modelled for its potential wider replication

Indicator 3.1.1: Number Achieved, 6 “Green: solutions demonstrating energy efficiency of housing and public utilities objects of “green solutions” in Aktau and Fort-Shevchenko: proposed and tested.

Page 48 of 69 Baseline: Local • Installation of an automated system of commercial metering, regulation and stakeholders are not well control of resources of heating, electricity and water in school #3 that allows substantial informed on the energy savings and creates comfortable working conditions; opportunities to improve • The boiler was automatized, LED fixtures together with other equipment and their livelihoods though devices were installed at secondary school named after Umirbayev in Fort-Shevchenko using “green solutions” improving the microclimate of classrooms, saving energy, reducing greenhouse gas and do not have access to emissions and reducing sicknesses among students. Activities for prudent use of water such information. positively complemented ecological education of children; Tergetfor 2015: 3 • In order to safe water, three-segment washer for dishes has been installed in the kitchen and sensor taps with photocells for washing hands next to the school canteen have Indicator 3.1.2: Number Achieved been installed. of workshops and • As an experiment a simplified automated heat point system was installed in the trainings and number of apartment block 9 of microdistrict 9; people and represented • The system of to the recycling of mercury-containing fixtures has been developed target groups participated and applied in the workshops and Training for the management of Automated system of commercial metering, regulation trainings equipped with and control of energy resources. Summer school on Housing and communal issues, that the knowledge of “green included 3 stage training comprising of the seminars, workshops and study-tour; study tour solutions”. to Turkmenistano on desertification. More than 80 people were trained. Baseline: 0 Target for 2015: at least 5 workshops and trainings

Indicator 3.1.3: Number 7 schools and 3 pre— Data of education and emergency departments, training reports of the in-service teachers’ of schools practicing schools identified for training institute, schools reports, consultants’ reports, project evaluation report emergency plans updated DRR programme with DRR components; Baseline: 0 Output 3.2 Principles of sustainable development are mainstreamed into local government programmes and plans.

Indicator 3.2.1: Local Achieved The UNDP project team participated in seminars, round tables and studio stakeholders are well discussions at the local TV channels. In addition, a seminar on the effective informed on the management of public utilities sector was held in Zhanaozen, a wide information opportunities to improve campaign on the usage of mercury lamp collecting containers was launched. their livelihoods through Mangystau JP Faceboo page. using “green solutions”,

Page 49 of 69 including energy efficiency Baseline: Local stakeholders are not informed on the opportunities to improve their livelihoods by using “green solutions” and have no access to such information. Target for 2015: at least 4 “green” solutions are applied and tested Web resource «Transparency System of Housing and Public Utilities Activity», which is Indicator 3.2.2: On track aimed at improving the transparency and efficient operation of utilities, including Regional planning condominium management authorities and utilities administration in Aktau. Users can process is decentralized provide their input, opinions directly to the web resource and the data becomes available and allows engagement to Akimat, while some analysis can be made based on the historical and statically data. of broader public. Baseline: Regional planning process is very centralized and does not allow for engagement of broader public. Planned Target: Regional planning process includes public, farmers, scientific research agricultural institutions, apartment owners’ cooperatives, green technology associations. The projects implemented within the Programme in 2015 while aiming at improvement of Indicator 3.2.3: On track energy efficiency of housing and public utilities demonstrate social, economic and Establishment of the environmental benefits for the population. Since have been conducted in cooperation with system of regional regional and cites’ authorities. Yet the final result is to be determined by external evaluation planning providing integrated development targets in economic, social, and environmental dimensions.

Page 50 of 69 Baseline: The existing system of planning does not ensure integrated development targets in these three equally important dimensions.

Indicator 3.2.4: On track Please also see Indicator 3.2.1. In 2015 a project creating green oasis in the desert area at Environmental targets "Buck Daulet” farm of Karakiya district was launched. The idea is to demonstrate the consider impacts and model of cattle grazing at pastures and feed production in desert conditions. The project benefits can be gained addressed the issue of water supply of pastureland (a borehole is drilled, watering facilities from using new installed). This also improved living conditions of breeders together with purchased wind- approaches and tools of solar power plant of 4 kW. In order to improve the productivity of 10 ha forage land, UNDP resource management provided seeds of forage crops, which are to be planted in the spring 2016. The project and techniques. clearly includes 3 dimensions (ecological, social and economic) Baseline: Absence of economic tools integrated into regional planning. Target: Approbation of at least 1 project demonstrating successful integration of three development targets into one project (at least 1 during the project).

Page 51 of 69 SPECIFIC STORIES

Story 1. Rehabilitation and socialization of elderly and people with disabilities in a remote district of Mangystau region

Problem / Challenge faced: Shetpe County, the most populated county of Mangystau district, is home for 2788 elderlies and more than 1770 people with disabilities including 180 children. Unfortunately, there is no health center for elderly and/or PWDs, while the district health center that includes district a hospital ison the outskirts of the village making it difficult for elderly people and people with disabilities to visit it. It is no secret that the elder people are the most frequent visitors of hospitals. There are cases when they attend doctors just to talk about their health status, interact with someone and get some attention and psychological support. For many years, Shetpe villages dreamed of some health club or rehabilitation center. Therefore, when "The Civil Initiative of Mangystau region" NGO came with an idea to create a health center focusing on the needs of most vulnerable groups with UNDP assistance it was fully supported by the rural Akimat and the villagers. A special list of the disabled people that are able to attend the center was compiled together with the regional department of employment and social programs.

Programme Interventions: The premises for the center were provided by the rural Akimat at the "House of Veterans". The team of "The Civil Initiative of Mangystau region" NGO made required repayments and purchased sports and medical equipment. The medical staff organized "health lessons" for elderly on health diet and safepats for health lifestyle. Specialized medical staff (health worker and an instructor) is constantly present to supervise the center visitors. A great source of energy and positive mood are the regional competitions on volleyball among pensioners’ team, Akimat and district youth that were conducted within the project. The interest to the health center from other districts lead to a conference "Longevity is in our hands" underling importance of elderly people activation and healthy lifestyle, which was attended by representatives of the regional Akimat, maslikhat, district authorities and the pensioners.

Result: It is the first time in the history of Mangystau district a systematic support to elderly and disabled people is provided. It was noted by the attendees of the center, the termination or limitation of the work when retired, seriously changes priorities, lifestyle and communication level and causes psychological problems. The center allows finding persons to communicate, provides useful and up to date information to maintain health and safe physical activities. As noted by “the aksakals”, of the village of Shetpe, they got new impetus to continue living and even more so, to have a healthy life. The villagers expressed their gratitude to Segizbaev Annes, the head of "The civil Initiative of Mangystau region" NGO in his noble endeavor to support and activate the disabled and older people.

Lessons Learned: The project is a good demonstration of a quality needs assessment, cooperation with local authorities and ensuring safety of beneficiaries (by engaging medical staff). The result of the project is a mitigation of potential socio-economic problems appearing from unhealthy life style and social non-inclusion of elderly and PWDs. While this result is hard to measure, the positive effect is clearly seen.

Story 2 Successful solution of the stateless person’s issues

Problem / Challenge faced: Gennady Chistykov, is an undocumented person residing in Zhanaozen, Kazakhstan. He was born on the territory of Soviet Ukraine. His mother died when he was very young, after

Page 52 of 69 which Gennady and his father moved to Kazakhstan. Gennady was only 13 years old when his father died and he was forced to sustain himself mainly by cleaning the streets. “I was a child at the time of my father’s death and did not think about the documents. After the death of my father and collapse of the Soviet Union I moved from one place to another and lost my birth certificate somewhere. I did not know that I had to apply for Kazakh citizenship, and did so only when it was too late. Now, due to lack of identity documents, I face many problems,” – says Gennady. Without identity documents Gennady has no access to basic rights and services, he cannot register his marriage and find official employment. On many occasions Gennady approached the Migration Police of Kazakhstan with a request to document him. The Migration Police requested Gennady to provide a certificate from Ukraine confirming that he was not a citizen of Ukraine. To get such a certificate, Gennady had to travel to the Embassy of Ukraine in Astana. However, due to lack of any identity document and also due to lack of financial means, he was not able to travel outside of Zhanaozen. In 2015, UNHCR’s Partner sent a request to the Ukrainian Embassy on behalf of Gennady. Now Gennady is waiting for an official response from the Ukrainian Embassy. If his Ukrainian citizenship is not confirmed then he will be able to apply for the status of a stateless person in Kazakhstan. Living in one of the main oil producing cities in Kazakhstan, he dreams of being an IT specialist at an oil company. “Currently, I feel as if I am between the Heaven and Earth. But I want to be useful for the society and work for the development of Kazakhstan. I do not even have a school certificate, because I could not provide necessary identity documents to obtain it, but when I get them, I want to study and get an official certificate to find a better employment. I wish to marry officially and become a citizen of Kazakhstan because it became my Motherland,” – says Gennady.

Programme Interventions: UNHCR and its legal Partner provide legal assistance to stateless persons and persons with undetermined nationality, including the assistance to obtain necessary documents from the State agencies or Embassies. In 2015, UNHCR agreed with several embassies of the relevant CIS countries to simplify the process of obtaining required documents for persons with undetermined nationality who were released from the requirement of personal presence in the embassies and their requests were allowed to be processed by UNHCR’s partner. As a result, the processing of documents eased and accelerated.

Lessons Learned: While UNHCR and its Partner work to reduce the existing number of persons with undetermined nationality, new cases of statelessness will continue to appear unless necessary amendments are introduced in the national legislation related to nationality and statelessness.

Story 3 Measles campaign fighting misinformation

Problem / Challenge faced: Measles is a disease that causes serious complications and cause death, and is highly contagious. In 2014 an increasing number of measles cases were detected in Kazakhstan. A breakdown in the health system and a shortage of vaccines in the 1990’s led to a vast number of children not being vaccinated. A mass campaign on measles immunization targeting one million adolescents was started in January 2015. In Mangystau, a series of adverse events started soon after the vaccinations had started. In two schools a pupil in each fainted after Massive media interest in roundtable briefing receiving their vaccination, causing other already vaccinated adolescents or those standing in the queu, getting a number of symptoms such as syncope, lightheadedness and difficulties breathing. Total of 83 cases of symptoms after the vaccinations were reported and some students were even admitted to a hospital and kept under care for several weeks without proper explanation to the parents or the public. Investigation later revealed that the reactions were caused by fear and anxiety, not the vaccine. However, the harm was already done with medical staff not

Page 53 of 69 communicating properly and the media having started a massive negative reporting on the issue. The vaccination campaign was put on hold. Programme Interventions: A WHO team was immediately deployed to assist in epidemiological investigation and to provide on-site assistance to the health professionals who cared for the hospitalized adolescents in Zhanaozen and Aktau. All health complaints were investigated by a high level international pediatrician, confirming that the vaccine was not the cause of the symptoms. Joint WHO and MoHSD press conferences were held in Mangystau and Astana to communicate accurate facts to the media and the public, in order to calm down the parents and to ensure that the incident will not serve as a reason for future vaccine refusals. Health A social mobilization plan being discussed professionals, children and parents received accurate information on the causes of the symptoms as well as support to prevent the adolescents being stigmatized as having mental health problems. WHO and UNICEF supported the development of a social-mobilization plan for the continuation of the campaign, including involvement of the media to spread messages on vaccination and vaccinators who carried out awareness campaigns. Training on risk communication was conducted to MoHSD and district level medical personnel on adverse effects of following immunization and joint press conferences ensured that consistent messages were sent.

Result: The campaign resumed in October 2015 proving to be successful with a high coverage. A system was created to ensure that in the future, journalists will have focal points in the medical system to get the correct information from. This will significantly reduce the chances of miscommunication from doctors to the media and from media to the public, and spread of information based on rumours. A revision of the national immunization methodology was carried out ensuring that a training for health professionals on specifics of the adolescence age, and the need to correctly inform children, adolescents and parents on medical procedures will be carried out. Lessons learned: It is of utmost importance that the medical staff at the forefront has the capacity to communicate effectively and openly with the media. It also became evident that involving journalists in vaccination campaigns from the beginning results in correct information being communicated to the public, in turn resulting in higher coverage. The capacity of the medical staff to communicate to parents who have concerns about vaccinations is significant, resulting in better informed clients with greater trust.

Page 54 of 69 ANNEX 1. BUSINESS PROJECTS SUPPORTED WITHIN THE JOINT PROGRAMME

Business-ideas which received financial support under the project "Green Business" of the Joint Program in Mangystau region by the "Eco Mangystau" non-governmental institute Entrepreneur Area of the project Brief description of the project Amount (tenge) 1. « Zhirkova Marina Mangystau oblast, Aktau Opening of the chocolate museum 1 544 127 Petrovna» PE “Dalokosh”

2. «Toktar Didar Mangystau oblast, Aktau Opening of the paintball club – a 1 800 000 Serikovich» PE service point of sports tourism

3. «Medeuova Madina Mangystau oblast, Breeding of the earthworms to 757 900 Sansyzbayevna» PE Tupkaragan region, produce vermicompost Kyzylozen village 4. «Turist» LLP. Mangystau oblast, Development of tourism in the 2 200 000 Director, Slyusareva Mangystau region, Shetpe region, opening of ethno-village I. M. village «Kogez». 5. «Kan Konstantin Mangystau oblast, Aktau Conducting the entertainment 900 000 Anatoliyevich» PE program "on the scientific show" for children of preschool and school age. 6. «Saktaganova Mangystau oblast, Munaily Cultivation of carrots and greens 1 627 000 Natalya region, Daulet village Aleksandrovna» PE 7. «Nurlybekov Mangystau oblast, Cultivation of tomatoes with drip 1 485 000 Azamat Tupkaragan region, irrigation systems Nurlybekovich» PE S.Shapagatov village 8. «Taskinbayeva Mangystau oblast, Aktau Organization of a mini-sewing shop 1 200 000 Saniya» PE for the production of women's clothes, accessories and interior items made from natural fabrics in the national (ethnic) style 9. «Demidenko E.A.» Mangystau oblast, Aktau Opening of the tourist gift shop 1 200 000 PE

10. «Abdullayeva T.B. Mangystau oblast, Purchase of equipment, » PE Mangystau region, Shetpe development and introduction of 1 500 000 village labeling, packaging and barcode on the bakery products Business-ideas which received financial support under the project "Green Business" of the Joint Program in Mangystau region by the "MIС" association of legal entities in 2015 Entrepreneur Area of the project Brief description of the project Amount (tenge)

11. «Begimkulov Marat Mangystau oblast, Mangystau Organization of the service station 1 500 000 Umirkhanovich» PE region, Zharmysh village "NurMar"

Page 55 of 69 12. «Togysova Mangystau oblast, Mangystau Organization of kindergarten 1 500 000 Nurzhamal region, Shetpe village Aituarovana» PE 13. «Togzhanov Mangystau oblast, Opening the shop for the 1 500 000 Akberdy» PE Tupkaragan region, production of meat and dairy Akshukur village products 14. «Tanatov Mangystau oblast, Aktau Opening of art workshop 1500 000 Bazarazhan Abuevich» PE 15. «Tuman-Shah» LLP Mangystau oblast, Aktau Development of the poultry 1 500 00 Director, Burabasov farming Paimkul Tulmanovich

Page 56 of 69 ANNEX 2. THE LIST OF ACTIVITIES IN 5 DISTRICTS OF MANGYSTAU REGION

District, Comp Activity # of beneficiaries with Special deliverables UN city onents aggregation by affiliation agency of the where possible JP Aktau 1.1. Training on Kazakh and Russian language 30 2 people employed UNDP city (Cyrillic letters) and computer literacy for oralmam 1.2. A group of culture institution workers and 10 culture workers and 5 Better services and better UNDP social workers with good knowledge sign social workers attitude towards PWD language 1.2 Capacity building for social workers 30 social workers A group of highly skilled UNDP social workers formed 1.2 Capacity building for NGO – 2 day 20 NGO representatives Better project management UNDP training and implementation 1.2 7 tourists routs adapted for PWD 140 children with disabilities Better understanding of the UNDP 140 were taken on a tour needs of PWD by the tourists operators 1.2 Music and drama theater (small hall) is 200 people with hearing Barrier free environment for UNDP adapted for PWD disability and 17 449 PWD of PWD Mangystau region 3.1 Public school # 3 with energy efficient Children of elementary Budget saving of 500 mln UNDP lighting and automated system of heating school whose lighting was tenge per school year changed to higher quality one 3.1 System of mercury lamps recycling (27 All citizens of Aktau of about Less pollution with mercury UNDP containers) 350 thousand 1.7. training-workshop on ICH documentation for representatives of Culture 2 people from the Culture UNESC and inventorying on 18 November 2015 in Departments from each of 14 Department of Mangystau O Almaty regions of Kazakhstan oblast were trained (including Mangystau).

Page 57 of 69 1.7. Establishment of UNESCO Club on the First UNESCO club in National Federation of UNESC basis of the Aktau Children Art School on Mangystau region UNESCO Clubs of O January 27, 2015. Kazakhstan network expands Beineu 2.2 Plastic waste recycling plant For 40 thousand of people Plastic waste is partially UNDP with have less plastic waste in recycled the district

2.1 On-line center in Burankul village All rural citizens of Burankul Free access to Internet and UNDP e-government services Karakiya 1.2 Club “Women’s voice” – training on 10 women – victims of 2 women are just about to UNDP business management , felting (Kyryk domestic violence open their business village) 1.2 Sport club for PWD (Kuryk village) 2 groups totaling 25 children 25 people that go in for UNDP and adults sports regularly and take part in the competition. Support form district akimat 2.1 On-line center in Zhetybai village All rural citizens of Zhetyba Free access to Internet and UNDP e-government services 2.2 Greenhouse and water purifying system About 500 schoolchildren Teachers form other UNPD erected in 2014 at the premises of the districts come to study their Kyryk school. experience 3.1 Solar batteries at 5 remote farms and 2 About 10 families and Better living conditions for UNDP specially protected natural areas workers of natural resorts remote pasture farmers and natural protected areas 3.1 A pilot farm Bakdaulet with solar and All farmers of Karakiya 10 ha of abandoned land UNDP wind power batteries of 4 kWt and new district got access to knew feed crops tested technologies Mangysta 1.2 Center for rehabilitation for elderly and 2788 elderly and 180 children Regular schools on health UNDP u PWD at Shetpe village in Ardager uiyi with disabilities life, sport room is open, competitions are organized. 1 new job created. 2.1 On-line center in Zhengeldyi village All rural citizens of Free access to Internet and UNDP Zhengeldy e-government services

Page 58 of 69 1.2 Village central park “Of new technologies” 2000 rural citizens of Saving budget with energy UNDP Ushtogan village efficient lighting and water with drip irrigation Training on felting – grant project by Zhas 10 unemployed women 2 participated in the UNDP Munaily 1.2 Dauren National fare and 1 teaches children. Rose interest to children 2.2 Road signs to ensure safety of children Population of Baskudyk Safer roads UNDP village Tupkarag 1.2 3 massage rooms in Bautino, Akshukur 3 previously unemployed 3 new jobs created UNDP an and Taushuk massage masters and 400 PWD that receive massage for free and about 7000 people who can potentially receive service 2.1 On-line center in Akshukur village All rural citizens of Aksukur Free access to Internet and UNDP e-government services 3.1 School named after Omirbayev equipped All schoolchildren of the Budget savings and better UNDP with energy efficiency lighting, automated school conditions heating system and improved ventilation Munaily 2.2 Capacity building exercise for local 15 government officials Raised awareness on UNHCR authorities in Munaily district national legislation related to nationality and statelessness and the issues facing stateless persons, and informed on the assistance provided by UNHCR and partners. Mangysta 2.2 Capacity building exercise for local 17 government officials Raised awareness on UNHCR u authorities in Zhanaozen national legislation related to nationality and statelessness and the issues facing stateless persons, and informed on the assistance Page 59 of 69 provided by UNHCR and partners. Mangysta 2.2 Capacity building exercise for local 18 government officials Raised awareness on UNHCR u authorities in Shepte national legislation related to nationality and statelessness and the issues facing stateless persons, and informed on the assistance provided by UNHCR and partners. Karakiya 2.2 Capacity building exercise for local 16 government officials Raised awareness on UNHCR nsky authorities in Karakiyansky district national legislation related district to nationality and statelessness and the issues facing stateless persons, and informed on the assistance provided by UNHCR and partners. Mangysta 2.2 Round Table on Statelessness in Aktau city 20 government officials Presented gap analysis of UNHCR u the national legislation related to nationality and statelessness Mangysta 1.1 Media tour for a journalist to cover 1 journalist More than 70 articles were UNHCR u statelessness issues in Mangystau region published on the issues of statelessness Mangysta 1.2 Information campaign aimed at reducing Three billboards established 289 stateless persons UNHCR u statelessness in the regions in Aktau, 1000 information received legal assistance, by brochures for stateless the end of the reporting persons were disseminated in period, 6 persons were the region, one movie and documented either as five social videos were citizens of Kazakhstan or produced and disseminated in nationals of third countries. the region.

Page 60 of 69 The 1.7. Field works for preparation of +2 potential World Heritage UNESC whole Nominations of the and properties O Mangysta Tub-Karagan peninsula to the UNESCO u region World Heritage List Mangyst 1.5. Capacity building and technical assistance 20 senior police precinct 174 copies of handbooks au region to the local authorities in the inspectors from Aktau ‘Matters of concern in the implementation of the law On Prevention implementation of of Domestic Violence Senior staff from the procedural activities in following sectors: cases of domestic violence’ coordination of employment and ‘Draft of preventive and social programs, internal control measures for policy, health management, individuals included in the economy and budget police domestic violence planning, NGOs and the register’ were distributed media to all district police stations in the Mangystau Region 37 police officers and Aktau town

23 psychologists from the 174 teaching manual city and regional clinics ‘Improving the mechanisms for the implementation of 11 psychologists and 22 the law on Prevention of social workers at the Domestic Violence: Emergency Health Services. theoretical aspects and practice’ were distributed to all districts police in the Mangystau Region Mangysta 1.5. Building capacity of the civil society Publications on warning and The bid number 7 UNWO u region prevention of domestic ‘Prevention of suicide - MEN violence, gender, and providing legal and international instruments in psychological help to the both Russian and Kazakh, population on the hard copies and electronic prevention of suicide versions were handed over to attempts and domestic

Page 61 of 69 the library of the Crisis violence’ was submitted for Center “Paradise”. the competition on social protection in 2015 by the Centre for healthy lifestyle of the Mangistau Region. The value of the bid was 1,188,000 tenge. This bid was won by the NGO Paradise, the key partner of the project. Mangyst 1.5. Raising awareness Campaign 16 Days Without Raised awareness of local UNWO au region Violence Against Women people on implementation MEN Flash mob took place of the law "On Prevention showing three generations of of Domestic Violence the family for all citizens of Aktau Representatives of local authorities, law-enforcement bodies, heads of public organizations, ethnic centers and the media Rural women and girls Mangyst 1.5. Improving the quality of public services Standards for the provision of The draft standard was UNWO au region social services to victims of handed over to the Working MEN domestic violence were Group of the Ministry of developed Health and Social Development, Aktau Review of quality assurance mechanisms for Oblast hospital quality Base-line report WHO health services at primary health care (PHC) - management team; focus on adult population (patients/population served by Oblast hospital) Rayon central hospital/primary health care department: patients/population served by the PHC facilities Page 62 of 69 Aktau, Assessment of quality of health care at PHC; Patients (pregnant women and Overal report for Kazakhstan WHO Munaishy Interviews on quality of care and patient mothers of newborns) served by with recommendations to rayon satisfaction with pregnant women and mothers pilot health facilities MOHSD; of newborns Specific report with recommendations for management of two health facilities Aktau, Epidemiological and clinical expertise for More than 100 children with Review of cases and WHO Zhanaoze children with health complaints after adverse effects following conclusion on causality n, vaccination against measles; technical immunization assessment; technical advice assistance in reviewing diagnosis and Health professionals in and on the job training for treatment of affected children; training in risk Zhanaozen and Aktau, health paediatricians and narrow communication; department Mangistau, Ministry specialists who provided of Health and Social treatment to children; Development Aktau, Patient satisfaction survey – (adult Patients in catchment area of the Report; Presentation for health WHO Munaishy population/patients with heart diseases and pilot health facilities; and akimat authorities; , Fort diabetes) communication strategy for Shevchen better communication of ko management with health professionals Aktau Assessment of management capacities, Management of health facilities: Presentation and report on WHO budgetary planning and management of human Mangistau oblast (four health round table resources facilities providing inpatient and outpatient care; patients served by the health facilities in selected rural and urban areas) Mangista Assessment of effectiveness of screening Health professionals from all Report with recommendations, WHO u region services and training for improvement of rayons of Mangistau presentation (all cervical cancer screening rayons) Aktau Aktau Presentation of the findings of the assessment Oblast authorities and oblast Report and presentation WHO of management capacities in PHC health department

Page 63 of 69 Mangista Survey on Child Obesity Children aged 8 and 9 and their Report and recommendations WHO u region parents; overall population (all rayons) Mangista Survey on Health Behaviour of School Children aged 11,13,15 their Report and recommendations WHO u region Children parents, school authorities, (all health department, overall rayons) population Aktau, Training – Introduction of quality assurance Health professionals of the pilot Quality improvement plans for WHO Munaishy principles for health care services and setting facilities; population served by pilot facilities , Fort up quality improvement plans for pilot the pilot facilities Shevchen facilities ko Aktau, Assessment of communication skills and Health professionals in pilot Report and training plan WHO Munaishy satisfaction with work of health providers - facilities; patients using services , Fort health professionals model in the catchment area Shevchen ko Zhanaoze Training on evaluation of psychological status Zhanaozen health providers Report with recommendations WHO n of adolescents before, during and after massive were invited to Astana central immunization campaigns and and training on workshop, 5 of them had direct risk management and risk communication for opportunity to participate in the massive health events (incidents) for health master class and get specific providers recommendations for further work with adolescents in Zhanaozen. Astana Multi-stakeholder round table on road safety - Health department Mangistau, Report and inputs for national WHO inputs for national concept on road safety Education department concept on road safety; Mangistau recommendation for development of local campaign for awareness raising for safety of children on the roads Aktau 1.2 Final report and findings, as well as Mangystau Oblast authorities, Expert report UNICEF recommendations for improvement of Employment coordination and social programs department Page 64 of 69 social protection measures were presented to the oblast Akimat Aktau 1.2 Coordination council meeting on Juvenile Mangystau Oblast’s departments Expert report UNICEF justice program and divisions of education, juvenile police, police departments, court on minors’ affairs, department of prosecutor’s office in Mangystau oblast, Essenov State University of technology and engineering Aktau 1.2 Visit of the International expert on social Mangystau Oblast authorities On the result of the visit the UNICEF services for children in contact with law work will start on opening child friendly rooms at the court on minors’ affairs, juvenile police and one of the police spots in Aktau, also a center for work with children victims and witnesses of crime on the basis of the local “Meirim” NGO Yerevan 1.2 A study tour to Armenia to exchange 2 persons participated UNICEF (Armenia experience in the frame of the “Social (Mangystau Oblast authorities, ) policy in children’s interest” program Employment coordination and social programs department of the Mangystau Oblast) Aktau, 1.5 Pediatric care quality assessment Pediatricians available at the Report of the experts, UNICEF Munaily hospitals assessed (i.e. Akatu presentation to the Oblast rayon, city poly-clinic No.2, Munaily Akimat Mangysta central rayon hospital, u rayon Mangystau rayon hospital, Shetpe village) on the day of the assessment

Page 65 of 69 Aktau, 1.5 Perinatal care quality assessment Doctors available at the day of Report of the experts, UNICEF Zhanaoze assessment at the birth-centers presentation to the Oblast n, (i.e. Mangystau Oblast perinatal Akimat Karakiya center, Zhanaozen city perinatal rayon center, Zhetibay rayon hospital’s birth division) Aktau 1.5 Seminar on Integrated Management of 25 pediatricians from Aktau city Report of the experts, UNICEF Childhood Illness poly-clinics, Munaily rayon presentation to the Oblast hospital participated at the Akimat Seminar Aktau, 1.5 Strengthened trainings on the effective 19 medical workers were trained Report of the experts, UNICEF Zhanaoze perinatal care from the city birth center of presentation to the Oblast n Zhanaozen, 25 – from the oblast Akimat perinatal center and representatives of rayons, and 22 – from the Aktau city birth center Zhanaoze 1.5 Seminar on preparing adequately The personnel of the medical Report of the experts UNICEF n, diversified baby food depending on age of facilities and some parents (10 Munaily children medical workers, 10 mothers) rayon i.e. Zhanaozen city poly-clinic No.2 and children’s division of the Munaily rayon hospital Zhanaoze 1.5 Equipment and opening of two resource All the children 0-5 years of age Trainings are on a cascade UNICEF n, centers for parents and caregivers for registered at the hospitals – system (medical workers train Munaily proper feeding and preparing baby food Zhanaozen city poly-clinic No.2 parents and caregivers, rayon and children’s division of the allowing the latters to pass Munaily rayon hospital knowledge from to the other) Aktau, 1.5 Printing out and distribution for the Parents visiting hospitals UNICEF Zhanaoze medical institutions of the developed receive the guides n, methodical guides (7000 exemplars of Munaily “Individual cards for growth and rayon development of a child” and 1500 exemplars of a publication “Physical and psycho-social development of children at early age”)

Page 66 of 69 Mangysta 1.5 Video spots on prevention of child All the viewers of local TV UNICEF u oblast abandonment and early child care could see the video spots London 1.5 A familiarization trip to London on the 2 representatives of Mangystau UNICEF (UK) European model of the Youth resource Oblast authorities center (hereinafter YRC) Ust- 1.5 Trainings on YRC 4 heads of the Mangystau UNICEF Kamenog Oblast ’s YRCs orsk Ust- 1.5 Trainings on YRC 2 heads of the Mangystau UNICEF Kamenog Oblast’s YRCs orsk Berlin 1.5 Study tour to Germany on experience 1 representative of the education UNICEF (Germany exchange in the field of juvenile justice department of the Mangystau ) Oblast Astana 1.5 Training on the principles and fundamentals of 1 representative of the Aktau UNICEF data collection and analysis based on Child city Akimat’s Education Friendly City methodology for monitoring division and evaluation of child friendliness of cities and rayons Astana 1.5 Summing up meeting of the Child Friendly 1 representative of the Aktau UNICEF City initiative all over Kazakhstan city Akimat’s Education division Ust- 1.5 Seminar on urban space planning 1 representative of the Aktau UNICEF Kamenog involving children within Child Friendly city Akimat’s construction orsk City Initiative department Aktau 1.6 A workshop on “Ethical principles of 22 persons ( local Mass media UNICEF highlighting the child issues” for oblast and NGO representatives of the journalists Mangystau Oblast) Aktau 1.6 Visit of an international UNICEF expert to Mangystau Oblast authorities UNICEF support the campaign in the Mangystau Oblast and population about the benefits of vaccination against children’s diseases, such as measles Aktau, 3.1 Delivery of the following in the frame of Pilot schools (7) and UNICEF Zhanaoze the DRR project: kindergartens (3) (books and n, game only)

Page 67 of 69 Karakiya 1. Equipment ( i.e. VHF low-power rayon, portable radios, megaphone, helmets, Tupkarag sanitary bag (with stacking), rescue an rayon, stretcher, safety vest, dielectric gloves, Mangysta canvas gloves for rescuers, whistle u rayon (referee), facemasks, first aid kit, fabric asbestos cloth). 2. Books with DVDs for pupils from 4th up to 11th grade on how to act in cases of emergency and also manual for school teacher on disaster risk reduction (DRR) issues. 3. “Riskland” is an educational board game that deals with disaster prevention. Astana 3.1 A round table named “The vulnerability of 1 representative from the UNICEF children in the emergency situations” Service for management of territorial defense and ensuring the mobilized preparedness of the Mangystau Oblast Aktau 1.2 A training for local government on 15 specialists of the local Capacities of local UNFPA city Population and Development interlinkages government –senior staff of government specialists is and effective socio-economic planning and the akimat departments of strengthened to formulate monitoring of regional development Economy and Budget and implement of rights- programs, taking into account needs of planning, Labour and social based policies that integrate vulnerable population groups. programms, Healthcare, evidence on population Education, Youth and dynamics to sustainable Internal policies, regional development department on statistics, and members of maslikhat. Aktau Advanced Course on effective perinatal 24 health providers from Effective perinatal UNFPA city care (EPC) technologies based on WHO three key regional maternities technologies based on WHO recommended approaches and tools - Mangistau Oblast Perinatal recommended approaches Center, Aktau City Perinatal and tools are applying in

Page 68 of 69 Center and Zhana Ozen City three key regional Maternities. maternities Aktau Advanced training on Near Miss Case 20 specialists of three key Auditing of Near-Miss UNFPA city Review for 3 maternities (Oblast Perinatal regional maternities Cases Review introduced Centre, Aktau city perinatal center, into 3 key maternities of the Zhanaozen maternity) region to improve clinical practices on management of sever obstetrician complications Aktau Training for local NGOs on Family 20 representatives of local Capacities of local NGOs UNFPA city Planning advocacy, project design and NGOs strengthened on advocacy fund raising for Family Planning Aktau Study tour to Estonia (Tallinn) for local Two regional Health Capacities of regional UNFPA city health department on organization of Department specialists Health Department Family Planning services and effective specialists strengthened of contraceptive supply Family Planning services organization at PHC level Aktau Equipping the regional training center in Regional Perinatal Center Regional Perinatal Center is UNFPA city Aktau () on EPC and FP equipped by basic office equipment and simulation manikins on EPC and FP

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