USAID/OFDA Semi Annual Program Performance Report Program Title: IDP and Returnee WASH, Basic Needs and Mental Health Assistance Project Dates:July 01, 2017 - June 30, 2018 Organization: Date of Report: 04/27/2018 Tearfund HQ Contact: HQ Mailing Address: Telephone: +44 (0) 20 3906 3451 Tearfund Email: [email protected] 100 Church Road Field Contact: Teddington Telephone: +964 (0) 750 027 7394 TW11 8QE Email: [email protected] United Kingdom Report Author: Country/Region: Kirkuk, Dohuk, Salah-al-Din and Ninewa Governorates, Iraq OFDA Grant Number: AID-OFDA-G-17-00215 Type of Disaster Conflict Time Period covered by report : October 01, 2017 - March 31, 2018

EXECUTIVE SUMMARY During the reporting period, there were significant territorial shifts as Iraqi Security Forces (ISF) reclaimed land both from ISIS and Kurdish forces, including Hawiga district and Kirkuk city. As access to Hawiga opened up, Tearfund conducted security assesments, rapid needs assessments and also a market assessment to establish the needs and identify the priority locations and areas of remainees and returns. From these findings and co-ordination with other agencies, Tearfund has determined the villages of intervention, and both WASH and cash implementation are being established in these new areas. Activities through sub-awardee Jiyan Foundation for Human Rights are currently underway from their Alqosh and Dohuk offices.

As well as other NFI and water kit distributions in Ninewa and Dohuk, Tearfund conducted a seasonal NFI distribution in Daquq IDP camp in Kirkuk governorate, being the first organization to use a voucher-based methodology. This was well received by beneficiaries and by the Shelter & NFI cluster. Tearfund has also continued the voucher-based clothing distributions in Garmawa Camp and Haji Ali Camp in Ninewa governorate.

All planned Multipurpose Cash activites in Ninewa and Kirkuk were completed in this quarter as scheduled, reaching 6,939 individuals. As per Tearfund’s notification to OFDA/W of April 18, 2018, further Multipurpose Cash Assistance (MPCA) activities will now be undertaken following the re-allocation of funds from the Shelter and Settlements to the Logistics and Relief Commodities Sector (from Sealing off/Shelter Repair Kits and Cash for rent activities to MPCA activities). This will be reflected in the final report.

WASH response was targeted at two main groups, new Internally Displaced Persons (IDPs) in Zakho district and returnees in Bashiqa Sub district. The response included water trucking and hygiene promotion, with a special event in Barima for World Water Day 2018 which also saw the completion of the Lot 7 borehole providing water to Barima town for the first time since the liberation of the area. Three schools and 461 households (HH) were supplied with water tanks. Constructions in Zakho, responding to the new IDPs displaced after the referendum in 2017, included latrines, bathing facilities and communal water tanks. WASH projects in Kirkuk were planned to focus on Hawiga and have experienced delays due to access issues, however currently projects are underway.

AWARD LEVEL BENEFICIARIES Total Number of People Targeted Total Number of IDP Beneficiaries (Individuals) Targeted (Individuals) as subset of total number of people targeted

Page 1 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 Cumulative Period Targeted (from 37,334 19,056 project start to project end)

Reporting Period Reached 16,486 6,585

Cumulative Period Reached 16,486 6,585

SECTOR 1: Logistics Support and Relief Commodities

Objective 1: Enable extremely vulnerable households to meet their critical needs through provision of NFIs, multi- month cash transfers and to facilitate referral linkages for ongoing support. Sector Level Beneficiaries - Cumulative PeriodTargeted?Total: 23,750. IDP: 14,825. - Reporting Period Reached?Total: 11,419 individuals including 6,041 IDPs - Cumulative Period Reached?Total: 11,419 individuals including 6,041 IDPs Table 1: Summary of project activities planned and executed October 1, 2017 - March 31, 2018

Activity Progress/Achievement

Sub sector 1: Non-Food Items (incl. Multi-Purpose Cash Assistance)

Conduct Market Tearfund has continued its involvement in the Joint Price Monitoring Initiative and Assessments and Price conducted market price monitoring activities monthly during the reporting period in Monitoring Bashiqa, Kirkuk City,(insecurity prevented activities to be completed in September) and Hawiga district (from March 2018).

Assessments and selection Assessments were conducted in 695 HH in Tes Kharab and 1,044 HH in Bartella and for MPCA surrounds with a total of 894 HH being selected. Kirkuk household assessments were reported in the previous semi-annual report. Tearfund plans to carry out further HH assessments in Hawiga district of Kirkuk goverorate and Bashiqa and Wana sub districts during April 2018. Provide single or multiple Ninewa: 63 HH (267 individuals, all host/returnee),in Hamdanya and 736 HH (3,559 month- assistance of $400 individuals; 90% returnees, 10% IDPs) in Bartella recieved first-line assistance each per HH receiving a total of $400 USD per HH, a combination of cash from two different sources: $298 from USAID/OFDA and $102 USD for the food portion of the Survival Minimum Expenditure Basket (SMEB) provided by Iraq Humanitarian Pooled Fund (IHPF) in Hamdanya and the World Food Programme (WFP) in Bartella. 113 HH (667 individuals 100% returnees) recieved one payment of second-line assistance throughUSAID/OFDA in Tes Kharab each receiving a total of $400 USD per HH; a combination of cash from two different sources:$298 USD from USAID/OFDA and $102 USD for the food portion of the SMEB provided by IHPF. The other two installments were covered by other funding sources.198 HH (1118 individuals, all host/returnee) in Salamiya recieved one installment of second-line assistance, and 190 recieved the second and third installment of the second-line assistance. All payments are made in the local currently Iraqi Dinar (IQD) based on the exchange rate at the time of distribution. Kirkuk: 203 HH (1,340 individuals) received second-line assistance between October and December 2017 of $400 USD per month over 3 months. 2 HH received two payments and 1 HH received one payment, meaning 200 HH (1,329 individuals) received all three payments. $102 USD from each transfer, representing the food portion, was covered by Dutch Government funding, with USAID/OFDA funding $298 USD of each transfer. Mobile money was also used as a pilot modality for a portion of this funding. Mobile money will continued to be used in areas where access is limited. Conduct Post Distribution Ninewa/Dohuk: PDM was conducted among HHs who received first-line assistance in Monitoring (PDM) Tes Kharab (95 HH) and Bartella (253 HH). In Zakho Judi school, PDM was carried out among 21 HH and in other Zakho locations, PDM was conducted among 84 HH who received hygiene kits, top-up-hygiene items and water kits. Kirkuk: 383 PDM were conducted in Kirkuk city between November 2017 and January 2018 for the 203 HH that received MPCA assistance.

Page 2 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 Conduct Analysis on PDM Ninewa: PDM analysis for both cash and NFI distribution has been completed. Data Kirkuk: PDM analysis has taken place for PDMs completed to date, with full details to be provided at the final report stage once all MPCA activities have been completed. Referrals from vulnerability 46 individuals were referred by Tearfund in Kirkuk to Jiyan Foundation for Human Rights assessments for ongoing to receive mental health and psychosocial support. All individuals were identified support through Tearfund household assessments and consented to their information being shared. 13 of these individuals went on to receive longer term support from Jiyan. During household vulnerability assessments under this project Tearfund also identified and referred 3 households with members with disabilities to Handicap International for further support. Through the free hotline number the Dohuk Beneficiary Accountability Officer referred an SGBV case to support through the Protection cluster leading to legal representation and safe house accommodation for 1 case. IDPs living in unfinished buildings in Zakho were referred to the Shelter cluster for assistance. Provide hygiene kits or Dohuk: 32 HH (164 individuals 100% IDPs) in Zakho Judi School and 235 HH (1390 top-up hygiene items individuals 100% IDPs) in other locations in Zakho received hygiene kits and top-up hygiene items: a total of 364 hygiene kits, 247 toilet cleaning kits and 107 baby-kits. Further distribution is planned in the final quarter. Kirkuk: N/A Provide household water Dohuk: 32 HH (164 individuals 100% IDPs) in Zakho Judi School and 235 IDP HH (1390 storage (water kits) individuals 100% IDPs) in other locations in Zakho received water kits. A total of 267 water kits. Further distribution is planned for Q4. Kirkuk: N/A Provide household water Needs assessments were conducted in locations within Hawiga district. It was confirmed purification filters that some villages do not have access to water systems and live in areas of high salinity and unsafe water. It is planned to distribute water filters in the Q4. Provide clothing assistance Ninewa: Garmawa camp 371 HH (1937 individuals 100% IDPs) were supplied with clothing. Clothing distribution also started in Haj Ali camp for thousands of beneficiaries, however this is still ongoing at the time of this report and will be reported in the final report. Provide seasonal NFI Ninewa: Garmawa camp: 186 blankets for 54 HH (100% IDPs); and 69 solar lamps for assistance 61 HH (100% IDPs) were distributed. These families also all received clothing during this distribution. Kirkuk: 215 HH (979 individuals) were provided with winter NFI assistance in Daquq camp, Kirkuk governorate. Tearfund piloted a voucher modality to provide individualized NFI kits based on the specific preferences and priorities of each household.

Table 2: Impact Indicator Progress - Logistics Support and Relief Commodities

Indicators Base Target Progress this Cumulative COMMENTS line quarter Progress to date Sub-Sector 1 : Indicator Total number and per item USD costs of NFIs distributed, by type 1 Hygiene Kits 0 1,100 -$30 Dohuk: 364 - $14.50 All kits were 364 - $14.50 each distributed to each IDPs in Hygiene 0 400 -$12 Dohuk: 107 baby kit unfinished consumable kits 107 baby kit $9.10 each buildings $9.10 each 247 toilet 247 toilet cleaning kit $9.30 cleaning kit $9.30 each each Unique - 247 Unique - 247 Water kits 0 1,100 - $6 267 - $6.98 each 267 - $6.98 each Water Filters 0 252- $80 0 0 Basic NFI kits 0 600 - $260 Dohuk: Dohuk: 69 - solar lamp - 69 - solar lamp - $9.50 $9.50

Page 3 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 Seasonal NFI top up 0 2,500- $85 Kirkuk: 215, 215, $186.25 TF used a kits $186.25 USD USD voucher modality to implement Dohuk: Dohuk: winter NFI 186 - blanket - 186 - blanket - activities in $9.50 each $9.50 each Daquq camp in Kirkuk. Voucher amounts varied based on HH size, the average voucher amount was $186.25. Seasonal clothing 0 6,500- $35 Dohuk: 910 Clothing $35 910 Clothing $35 pre adult; per adult; 1,027 Clothing 1,027 Clothing $25 per child $25 per child Indicator Total number of people receiving NFIs, by sex and type 2 Unique total 4470 (2166 male, 2304 female) Hygiene Kits 0 5,500 (2,250 Dohuk:1,554 Dohuk:1,554 Individuals female, individuals (768 individuals (768 counted may 2,250 male) male, 786 female) male, 786 female) have recieved hygiene consumable kits also Hygiene 0 Dohuk: baby kits Dohuk: baby kits Individuals consumable kits 491 (male 254 491 (male 254) counted may female 237) female 237) have recieved more than one kit toilet cleaning kits toilet cleaning 2,000 (1,000 1,554 (male 773 kits 1,554 (male female, and female 781) 773 and female 1,000 male) 781) Total unique : toilet cleaning kits Total Unique: 1,554 (male 773 toilet cleaning kits and female 781) 1,554 (male 773 and female 781) Water kits 0 Dohuk: 267 water Dohuk: 267 water Same individuals 5,500 (2,250 kits - 1,554 kits - 1,554 as recieved female, individuals (773 individuals (773 hygiene 2,250 male) male, 781 female) male, 781 female) consumables Water Filters 0 0 0 No water filters 1,260 (630 were distributed female, 630 in this reporting male) period. Planned for later quarters. Basic NFI kits 0 Solar lamps Solar lamps Garmawa camp 3,000 (1,500 61HH 61HH female, 334 individuals 334 individuals 1,500 male) (163 male, 171 (163 male, 171 female est.) female est.) Seasonal NFI top up 0 12,500 Kirkuk: 979 Kirkuk: 979 Individuals kits (6,250 individuals (535 individuals (535 counted for female, female, 444 male) female, 444 male) Garmawa camp 6,250 male) may have

Page 4 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 Dohuk: Dohuk: recieved more Garmawa camp Garmawa camp than one NFIi 54 HH 303 54 HH 303 Individuals (male Individuals (male 148 and female 148 and female 155 est.) 155 est.) Total : 1282 Total : 1282 individuals (male individuals (male 592, female 690) 592, female 690)

Seasonal clothing 0 Ninewa: Ninewa: 6,500 (3,250 Garmawa camp: Garmawa camp female, 1,937 (949 male, 1,937 (949 male, 3,250 male) 988 female est.) 988 female est.)

Indicator Total number and 0 200 In Ninewa/Dohuk In Ninewa/Dohuk More people were 3 per item USD value households In Bartella and In Bartella and able to be served of cash/vouchers receive 1 Hamdanyia 799 Hamdanyia 799 through MPCA distributed for NFIs installment HH 1st line HH 1st line then originally by type - and Total valued at received 1 received 1 planned. Value of Cash $400 installment valued installment valued Displaced and assistance provided at $400 at $400 destitute families continue to show In Kirkuk 200 HH In Kirkuk 200 HH 450 an overwhelming received 3 received 3 preference for households installments of installments of receive 3 cash assistance. $400, 2 HH $400, 2 HH As mentioned in installments received 2 received 2 valued at the Humanitarian installments, 1 installments, 1 Response Plan $400 each. HH received 1 HH received 1 2018, 25 per cent installment. installment. of all humanitarian programming In Ninewa/Dohuk In Ninewa/Dohuk channeled In Tes Karab 113 In Tes Karab 113 through the HRP HH received 1 HH received 1 will be cash installment of 2nd installment of 2nd programming. line (other 2 line (other 2 installments were installments were covered by other covered by other funding funding resources) resources)

In Salamyia 190 In Salamyia 190 HH received 2 HH received 2 installments of installments of 2nd line 2nd line 8 HH received 8 HH received only 1 installment only 1 installment of 2nd line of 2nd line Total Value Overall: Overall: of Cash 799 HH received 799 HH received assistance 1 installment of 1 installment of provided: 1st line 1st line $619,840 200 HH received 200 HH received 3 installments of 3 installments of 2nd line 2nd line

Page 5 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 192 HH received 192 HH received 2 installments of 2 installments of 2nd line 2nd line 122 HH received 122 HH received 1 installments of 1 installments of 2nd line 2nd line The total value of Total value of Total value of cash assistance cash assistance cash assistance is the sum of all provided: provided: assistance $633,977 $633,977 provided in both Ninewa/Kirkuk/ Dohuk

Indicator Total number of 0 20,500 Kirkuk: Kirkuk: 4 people receiving (10,250 2,319 (1,167 2,319 (1,167 NFIs, by type and male, female, 1,152 female, 1,152 sex* (*Total number 10,250 male) male) of people receiving female) cash for purchase of This consists of This consists of 1,340 (708 male, 1,340 (708 male, NFIs, by sex) 632 female) for 632 female) for MPCA, and 979 MPCA, and 979 (535 female, 444 (535 female, 444 male) for male) for seasonal NFI. seasonal NFI. Dohuk/ Ninewa: Dohuk/ Ninewa: 9,100 (4716 9,100 (4716 female, 4384 female, 4384 male) male) This consists of This consists of MPCA : 5609 MPCA : 5609 individuals (2947 individuals (2947 female, 2662 female, 2662 male) male) NFI: Zakho 1,554 NFI: Zakho 1,554 (773 male and (773 male and 781 female); 781 female); Garmawa camp Garmawa camp 1,937 (949 male, 1,937 (949 male, 988 female est.) 988 female est.) Total: 11,419 Total: 11,419 (4114 female, (4114 female, 5536 male) 5536 male) Indicator Percentage of 0 70% 0 0 Will be reported 5 households in the final report spending the cash to meet basic needs, as defined by the SMEB

Indicator Percentage 97% 10% 0 0 Will be reported 6 decrease of in the final report households report utilization of a negative coping mechanism

Page 6 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 SECTOR 2: Shelter and Settlements.

Objective 2: Enable extremely vulnerable households to meet their shelter needs Sector Level Beneficiaries - Cumulative PeriodTargeted?Total: 6,250. IDP: 3,325 - Reporting Period Reached?Total: 6,939. IDP: 1,571 - Cumulative Period Reached? Total: Total: 6,939. IDP: 1,571 Table 3: Summary of project activities planned and executed October 1, 2017 - March 31, 2018

Activity Progress/Achievement

Sub sector 1: Emergency/Transitional Shelter

Sealing off/Shelter Repair As per Tearfund’s notification letter to OFDA/W on 04/18/2018, USD 112,000 previously Kits envisaged for sealing off/shelter repair kits will be moved to MPCA activity. This will be reflected in the final report.

Cash for rent As per Tearfund’s notification letter to OFDA/W on 04/18/2018, USD 96,000 previously envisaged for cash-for-rent will be moved to MPCA activity. This will be reflected in the final report. See also SECTOR 1: Logistics Support and Relief Commodities - Table 1 for updates relating to MPCA-based assistance for shelter

Table 4: Impact Indicator Progress - Shelter and Settlements Sector

Indicators Baseline Target Progress Cumulative COMMENTS this quarter Progress to date Sub-Sector 1 : Indicator Number of households in the 0 650 MPCA + 1,313 1,313 The targets 1 program area receiving 400 SOKs + MPCA (203 MPCA (203 for this emergency/transitional 200 Kirkuk, Kirkuk, indicator shelter cash/voucher 1,110 1,110 were updated for shelter Ninewa/Doh Ninewa/Doh based on the uk) uk) notification New target sent to based on OFDA, see notification: table 3 1200 MPCA above. (Cash/voucher s will no longer be distributed for shelter and sealing off kits)

Indicator Number of households in the 0 TBD 0 0 This indicator 2 program area receiving will be emergency/transitional removed shelter pursuant to Sphere based on Project standards and FOG notification to guidelines OFDA, see table 3 above Indicator Percentage of total affected 0 0.105% .117% .117% Target 3 population in the program Female - Female - revised area receiving Female .055% upwards .06 % .06 % emergency/transitional based on the Male Male total affected

Page 7 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 shelter assistance, Male .05% .057% .057% population in disaggregated by sex the following Governorates : Kirkuk, Ninewa, Erbil Indicator Total USD amount and 0 $281,952 and $190,193 $190,193 4 percent of approved budget 31% and 29% and 29% for emergency/transitional shelter spent on rent and New target shelter improvements in the based on affected host country notification: economy Target: $255,623 and 39%

SECTOR 3: WASH

Objective 3: Enable access to sufficient clean water and sanitation facilities and facilitation of improved hygiene practices amongst underserved IDPs and vulnerable host community members. Sector Level Beneficiaries - Cumulative PeriodTargeted?Total: 18,700. IDP: 5,390 - Reporting Period Reached?Total: 4,791. IDP: 545 - Cumulative Period Reached?Total: 4,691. IDP: 545

Table 5: Summary of project activities planned and executed October 1, 2017 - March 31, 2018

Activity Progress/Achievement

Sub sector 1: Hygiene Promotion Baseline and data Baseline survey conducted of 280 HH in Zakho IDP locations (Zakho Judi school and collection surveys other locations); and baseline surveys of 534 HH conducted in Barima village.

Hygiene Promotion Dohuk: 280 individuals in Zakho Judi School (IDP location) were reached with hygiene promotion (12 hygiene promotion sessions, 14 hygiene promotion volunteers trained, 3 cleaning campaigns organized); 265 beneficiaries in Zakho. Other locations (IDPs in unfinished buildings) were reached with hygiene promotion (6 hygiene promotion sessions). Ninewa: 420 individuals in Khursibat village; and 200 individuals were reached with hygiene promotion during World Water Day celebrations organized with students from Barima village boys’ primary school. In both Ninewa and Dohuk hygiene promotion activites are ongoing and further information will be included in the final report.

Sub sector 2: Sanitation Infrastructure Construction/rehabilitation Dohuk: Construction/rehabiliation of 17 latrines and 9 bathing shelters in Zakho Judi of latrines School (IDP location) benefiting 32 HH, (164 individuals). Rehabilitation of 2 latrines and Construction/rehabilitation 2 bathrooms in Zakho Rizgary school as part of Zakho. Other locations ID response, for of bathing facilities 7 HH, (45 individuals). Kirkuk: Technical assessment conducted in 8 school, BOQs confirmed with the Department for Education and procurement underway.

Sub sector 3: Water Supply Infrastructure Construction/rehabilitation Dohuk: Construction/rehabilitation of 1 water connection and 5 tap stands in Zakho Judi of boreholes/pipelines/ School IDP location for 32 HH, (164 individuals) Ninewa: 1 borehole rehabilitated in Al-Nawaran (Bashiqa) with construction of water standpipes. trucking standpost, and 5m3 communal water tank with tapstand with 2 taps in Barima village (Bashiqa Sub-district) as an interim measure for those without access to the

Page 8 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 existing water network. Approximately 85% of the village able to access water via the existing pipe network or through temporary connections, whilst waiting for the pipe network extension. The final data for this work will be reported in the final report. Kirkuk: Technical assessments conducted on 3 Water Treatment Plants; BOQs approved by Department of Water and procurement underway. Water tanks Dohuk: construction 6 water storage tanks in Zakho Judi School (IDP location, benefitting 32 HH, (164 Individuals) 13 water tanks in Barima and Khursibat schools; 7 in Khursibat, 3 water tanks in Barima girls primary school ; 3 water tanks in Barima boys primary school in total 1,987 individuals (661 female; 1,326 male) all in returnee locations; plus a distribution of 461 1,000 liter water tanks in Khorsibad for 446 households (2,144 individuals - 1,068 male and 1,076 female). Water trucking Ninewa: Water trucking served 547 HH 2,655 individuals (1,295 male, 1,360 female) with at least 15 liters per day in Barima village for 5 months (Oct 15, 2017 to March 08, 2018).

Table 6: Impact Indicator Progress - WASH Sector

Indicators Baseline Target Progress Cumulative COMMENTS this quarter Progress to date Sub-Sector 1 : Hygiene Promotion Indicator Number of people 0 9,200 Dohuk/Ninew Dohuk/Ninew 1 receiving direct hygiene a a promotion (excluding 1,165 ( 576 1,165 ( 576 mass media campaigns male; 589 male; 589 and without double female) female) counting)

Indicator Number of respondents 186 2101 0 0 All data will be 2 who know 3 of 5 critical (62%) included in the times to wash hands final report, including new baseline and endline, as baseline handwashing knowledge varies across Iraq and thus will be adjusted for new subdistricts. Sub-Sector 2 : Sanitation Infrastructure Indicator Number of people directly 0 4,400 Dohuk: 209 Dohuk: 209 1 benefiting from the individuals individuals sanitation infrastructure (96 male; 113 (96 male; 113 program female) female)

Indicator Number of household 0 400 Dohuk: 19 Dohuk: 19 2 latrines completed and Latrines Latrines clean

Sub-Sector 3 : Water Supply Infrastructure Indicator Number of people directly 0 15,500 Dohuk/Ninew Dohuk/Ninew 1 benefitting from the water a: 4,663 a: 4,663

1 Indicator target has been revised up (from 150-210) due to baseline findings indicating a higher baseline than expected.

Page 9 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 supply infrastructure (2,450 male; (2,450 male; program 2,513 femle) 2,513 femle)

Indicator Number of water quality 0 30 0 0 WASH endline 2 tests with Free residual to be collected Chlorine 0.2 mg/L and reported in the final report

SECTOR 4: Health

Objective 4: Improve access to Mental Health services for survivors of violence and/or Gender-Based Violence suffering from severe mental health disorders Sector Level Beneficiaries - Cumulative PeriodTargeted?Total: 400. IDP: 240. - Reporting Period Reached?Total: 46. IDP: 0 the number of IDPs will be reported in the final report. - Cumulative Period Reached?Total: 46. IDP: 0. Table 7: Summary of project activities planned and executed October 1, 2017 - March 31, 2018

Activity Progress/Achievement

Sub sector 1: Non-Communicable Diseases Referals to Jiyan 46 referrals were recieved, by self referral, referral by family and friend, and referrals Foundation from other sources. The Jiyan Foundation Offices in Alqosh and Dohuk operate in different areas than Tearfunds other projects and so Tearfund was not able to make any direct referrals; instead referral pathways were opened through the Protection Cluster and for self referrals of people to those clinics Transport Stipends 269 stipends were given for each session conducted; individuals travel from their home provided to beneficiaries locations to clinics in either Alqosh or Dohuk depending on which is the treating Jiyan Foundation Office. The funds enable the individuals to attend appointments. The cost for helping people with transport was underestimated in the budget, and more funds will need to be moved into this budget item for these individuals to complete their appointments. Mental Health 269 Individual (10 Male; 36 Female) psychotherapy sessions were conducted. On Consultations average this is 6 appoinments for each individual referred to this project. The main treatment modality for these cases is Psychotherapy. Although a target % has been set for the number of M/W/CM/CF to recieve consultations, outcomes are based on actual individuals accessing the Jiyan Foundation and who are in need of therapy, therefore gender-based targets may not be achieveable; although overal target totals are on track to be achieved and will be reported in full in the final report.

Table 8: Impact Indicator Progress - Health Sector October 1, 2017 - March 31, 2018

Indicators Baseline Target Progress this Cumulative COMMEN quarter Progress to TS date

Sub-Sector 1 : Non-communicable diseases Indicator Number of mental health 0 Total: 4002 Psychotherapy; Psychotherap 1 consultation, by sex and Target % Male: y; age beneficiary 5 - 14yrs: 12 Male: breakdown: 18 - 49yrs: 35 5 - 14yrs: 12 50% women, 50 - 60yrs: 6 18 - 49yrs: 35 30% men, 50 - 60yrs: 6 10% child Female: 5 - 14yrs: 12 Female: 18 - 49yrs: 192 5 - 14yrs: 12

2This assumes a total of 50 patients, each receiving on average 8 consultations.

Page 10 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 female, 10% 50 - 60yrs: 12 18 - 49yrs: child male) 192 269 individual 50 - 60yrs: 12 consultations 269 individual consultations

SECTOR 5: Protection

Objective 5: Increase awareness of mental health and impact of traumatic events to prevent and respond to the effects of conflict and gender based violence. Sector Level Beneficiaries - Cumulative PeriodTargeted?Total: 1,050. IDP: 200 - Reporting Period Reached?Total: 231. IDP: 0. - Cumulative Period Reached?Total: 231. IDP: 0. Table 7: Summary of project activities planned and executed October 1, 2017 - March 31, 2018 Activity Progress/Achievement

Sub sector 1: Psychosocial Support Services Group Mental Health and Four psychosocial support groups were conducted with 76 attendees in total; these Psychosocial Support sessions focussed on psychoeducation and were conducted by mobile teams from either Sessions the Dohuk or Alqosh Jiyan Foundation Office into local villages and neighbourhoods near those key locations. As these sessions are ongoing and reporting is incomplete, the data will be submited in the final report. Mental Health Awareness Five (65 individuals in total attendance) mental health awareness raising sessions were Sessions held in this reporting period; with more planned in the next period. Due to the ongoing nature of these sessions and as reporting is incomplete the full report will be submitted in the final report. These sessions have been targetted in areas where the Jiyan Foundation identified that there was a protection gap for PSS and mental health awareness. Tearfund leads the process preparing communities for these sessions, however, as many of these locations are new to Tearfund we have no community relationship to draw upon for support; this can lead to low attendance at sessions. For the final period, Tearfund will be focussing more on supporting these sessions by having stronger relationship development and conducting more visits prior to sessions with Jiyan.

Table 10: Impact Indicator Progress - Protection Sector

Indicators Baseline Target Progress this Cumulative COMMENTS quarter Progress to date Sub-Sector 1 : Psychosocial Support Services Indicator Number of people trained 0 560 90 individuals 90 individuals 1 in psychosocial support*, Male:45 18- 49 Male:45 18- by sex (*Number of (169 Female: 45 18- 49 Female: people attending mental female, 49 45 18- 49 health awareness 392 male) sessions)

Indicator Percentage change in the 20 0 0 To be reported 2 proportion of conflict in final report, affected local authorities, see comments community members and above in community leaders, aware progress of protection principles, section.

Page 11 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 rights and risks faced by affected group.

Indicator Number of people 0 390 (234 141 individuals 141 3 attending group mental female, Male:73; individuals health and psychosocial 156 male) Female 68 Male:73; support sessions, by sex Female 68 and age

CHALLENGES AND CONSTRAINTS

Access:TF lost several key access routes following the repercussions of the Kurdish Independence Referendum in October 2017. With the closure of Erbil and Sulaymaiyah airports to international flights TF lost two key evacuation routes. With the threat of land borders closing TF had to reduce the number of international staff in-country for several weeks. The closure of key checkpoints in Ninewa and main road between Erbil and Kirkuk meant TF had to assess several new routes with longer travel times and poorer road quality. This caused delays in program delivery and has reduced the time field teams have on the ground on a daily basis. Access was further restricted with the imposition of Iraqi visa regulations to enter GoI territory - many international staff have been unable to visit field sites. This issue should now be reduced with the recent gaining of Baghdad registration, as explained below Sub-Awardee: Due to important collaboration and negotiation with the Jiyan Foundation to establish it as a sub awardee and to meet the requirements of both Jiyan Foundation and Tearfund organizational requirements, there was a delay in signing final documentation to enable the sub award to begin. Groundwork for referral processes and planning was undertaken during that period; however there was still delay untill October 2017 to start the service partnership. As such some elements of reporting are still in development phase. Due to the delayed start of the partnership the mid-term evaluation will take place in June 2018. Evaluation results will inform Tearfund’s new proposed OFDA program in Iraq which, if approved, would start July 2018. Security Context:This reporting period began with ISF taking control of disputed territory along the GoI-KRG border, including Kirkuk city, and expelling Kurdish forces. Most of TF’s program sites are within this territory which caused security concerns of further escalation for several weeks. This change in control has caused an escalation of tensions in Kirkuk with a Kurdish armed group forming to target ISF in the area. The significant change in context, security actors and procedures required a high proportion of management time, exacerbated by the resignation of several key national staff due to security concerns. Since its recapture in October, Hawija has continued to pose a significant ISIS threat. Access to Hawija was completely suspended by ISF for two weeks in January while they carried out search operations, with further search operations taking place in the Q1 2018. ISIS attacks in the area have continued to increase since the completion of these searches. TF movements to field sites in Hawija must be considered against incident ‘hotspots’, ongoing clashes and ongoing search areas. Time on the ground in Hawija is restricted, which has also impacted progress of several activities. Field movements have to be rescheduled frequently due to ongoing ISIS incidents in the area. The same situation has been experienced in Ninewa areas such as Hammam al Alil. Explosive Remnants of War:Landmines, unexploded ordance, and legacy IEDs continue to pose a threat in recpatured areas of Ninewa and Kirkuk. TF is working closely with deminers in both governorates to establish cleared areas/infrastructure and participates in discussion on clearance priorities. Water infrastructure such as Water Treatment Plants and in particular water newtorks need to be confirmed as clear before assessment and implentation. Due to the changes in territory of GOI and KGI in September/October 2017 key organizations working on mine clearance were not able to access sites and there has been a slow response by other organizations and government actors to meet the gap in those locations, including the Bashiqa Sub district. Registration Update: Tearfund managed to identify the issue that was holding up our registration, namely an error in communication from the Department of NGOs (DNGO) in Baghdad. Tearfund contracted an experienced company to assist in facilitating the registration. Tearfund finally received the long-awaited registration with the Government of Iraq on April 14, which had been signed on March 28, 2018. As the registration with GoI is becoming critical and without registration access for International staff into GoI controlled areas would become significantly limited, we are very happy this is now completed and in order. Tearfund is thankful to the NGO Coordination Committee for Iraq (NCCI) and the in-country OFDA team who contributed by advocating for continued humanitarian access and speedy resolution of the registration process. OTHER PERTINENT INFORMATION During the reporting period, Tearfund, along with other humanitarian organizations continued to face restricted road access between the Kurdistan Region governorates and IDP camps in Kirkuk and Ninewa as well as severe

Page 12 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018 obstruction to access to Kirkuk and Mosul due to territorial shifts between KRG-SF and ISF. Tearfund ensured remote monitoring and management arrangements were in place. In October, tensions between the Kurdistan Regional Government (KRG) and the federal Government in Baghdad remained high. The implication on restriction of access due to absence of Iraqi Visa and furthermore, the delay on the process of registration in Baghdad had implicated the swiftness in delivery of programme in Ninewa and Hawija. Tearfund worked closely with NCCI and others to acquire visas, however, the ad-hoc changes in the process of acquiring visa, hindered the operation of project. Tearfund utilized all the available assistance and informed in country OFDA about the status and situations. CASE STUDY - Included as annexes. EXPLANATION OF USE OF GEOGRAPHIC CODE 935 IN LIEU OF 937

Item Quantity Unit Cost Supplier Source Reason for using 935 (USD) Nationality Laptop 5 1,614 UK UK It is more efficient to achieve the project’s objectives: Tearfund purchases all its IT and communications equipment centrally for cost efficiency and to ensure consistency for effective technical support.

Page 13 of 13 Tearfund Iraq - AID-OFDA-G-17-00215 Semi-Annual PPR 04/30/2018