FINAL version 24 July 2018 SHF Reserve: Response in northern Somalia (Bari, Nugaal, Sool, Sanaag) 1. Allocation summary This document lays out the approach to allocating funds from the Somalia Humanitarian Fund (SHF) Reserve for response in the north of Somalia, specifically Bari, Nugaal, Sool and Sanaag, The SHF allocation of up to US$ 7.5 million will focus on priority life-saving humanitarian interventions in the priority areas with the most worrying food security outlook that have recently also received very limited SHF funding. 2. Context The overall humanitarian situation in Somalia remains fragile due to residual impact of drought, ongoing displacement, conflict, critical malnutrition, Cyclone Sagar and seasonal floods. While the above average Gu (April-June) rains in many parts of Somalia have significantly improved the food security situation, extreme water and pasture shortages have been reported in rainfall deficit areas of Bari, Nugaal, Sool and Sanaag regions, specifically Northern Inland Pastoralist (NIP), Nugaal Valley and parts of Golis and Coastal Deeh livelihood zones. These largely pastoralist communities that already lost up to 70 per cent of their livestock due to four consecutive seasons of below normal rains, as well as due to the impact of the cyclone Sagar, are at risk of slipping to crisis (IPC 3) if humanitarian assistance is not provided or sustained.1 The conditions also remain harsh in the north-western parts of Somalia (Awdal/Guban Pastoral).2 Malnutrition rates remain high. FSNAU’s February to April 2018 report projected critical nutrition situation (GAM rates of 15-30 per cent) in parts of Sanaag, Sool, Bari and the entire Nugaal region with internally displaced people (IDPs) mainly in Sool and Bari bearing the brunt of the burden, as both regions host the largest number of IDPs in the North. Findings from the WASH and Nutrition rapid assessment conducted in March 2018 in Garowe, Galkayo, Qardho and Bossaso IDPs settlements, identified poor WASH and health conditions in the IDP settlements as the main underlying cause of the prevalent high malnutrition rates among IDPs.3 Recent OCHA field visits to Jowle, for example, identified that 50 per cent (350) of the existing latrines in use are in poor condition. In Bari, preliminary findings of OCHA field monitoring mission indicate prevailing health, nutrition and WASH needs and gaps among rural and IDP communities visited. About 12 health and reproductive health centres in Bari region don’t have Outpatient Therapeutic Programme (OTP) services. Similarly, there is no support for Qardho hospital stabilization centre, the only stabilization centre in the region.4 In addition, there are many settlements lacking health facilities such as Biyogaduud and Qundheed in Benderbayla district and Qormo-Buurcad, Misir and Cambaar Hoose in Qardho district. The negative impacts of the cyclone Sagar in 1 FSNAU/FEWSNET Somalia Food Security Outlook June to January 2019: FSNAU climate update June 2018. 2 The people in Guban pastoral, Somaliland, are already in emergency stage and lost most of their livestock due to cyclone Sagar. The current urgent needs of these communities in Awdal region (Baki, parts of Borama, Lughaya and Zaila districts) and Berbera district include life-saving assistance, rehabilitation/restoration of water systems and support to individual farmers affected by the cyclone. Some $3.5 million has recently been received from the SHF for these areas, which are thus not prioritized during this allocation. 3 Only three out of 21 IDP sub-settlements in Jowle, Garowe (Nugaal) have fully-functional and regular access to clean water. Of the 61 water points in the settlements, only 44 are properly functioning in all of the 21 settlements leading to high costs of water with IDPs purchasing water between 2,000 to 5,000 Somali Shillings per jerrycan (20 litres). Similarly, there is limited access to sanitation facilities. 4 Source: Health Cluster, Bari region. SHF Reserve: North (Bari, Nugaal, Sool, Sanaag), July - August 2018 1 FINAL version 24 July 2018 the coastal areas in the North, especially around Bossaso and Qandala, and the limited to no rainfall have further aggravated the situation. The instability in the Tukaraq area is likely to increase the number of people displaced, should the situation escalate further. While humanitarians are responding to the recently displaced, major gaps remain with the provision of basic services, shelter and protection. In the coming weeks and months, the humanitarian situation across the North and the four priority regions, in particular, could worsen should if the assistance is not sustained. 3. SHF response strategy The following, based on the SHF principles guiding 2018 allocations, will apply for this response: • Prioritization of direct implementation through international and national non-governmental partners; • Support for local partners by channelling SHF funding directly through the eligible SHF national and local partners (if, when and where feasible); • Continue supporting integration of response across clusters and complementarity with other funding sources, bilateral funding and, when and where possible, to ensure timely and efficient prioritization in support of a stronger collective response and maximum impact of resources. The response strategy is designed to boost the ongoing life-saving assistance and will target the most vulnerable individuals and households in the worst affected-areas. The following integrated and cluster- specific interventions are prioritized. Integrated response • Integrated Health, Nutrition and WASH services through support for Guidance to IPs: fixed facilities and mobile outreach through the Integrated Emergency Response Teams (IERTs). For integrated projects • Integrated CCCM/Shelter/Protection/WASH package in and around applicants are encouraged to IDP settlements for the most vulnerable, aimed at ensuring access to submit a multi-cluster project that covers all key services through CCCM, Shelter, WASH activities while ensuring clusters / components that their protection risks are mitigated. concerned. • Integrated Food Security and Nutrition interventions to support/rebuild livelihoods of pastoral communities that have lost If the project is submitted in livestock through restocking activities, animal health services and collaboration with another provision of cash, targeting primarily women-headed households and applying partner, this needs families with children that were recently discharged from Therapeutic to be clearly indicated in both proposals. Feeding Centres (TFC). • Integrated Education/Protection (Child Protection) and WASH Partners should not apply for services using learning facilities/schools as an entry point to respond more than one integrated to priority child protection concerns and support WASH services. package. Cluster-specific response • WASH – construction of strategic priority boreholes in Sool and Sanaag, areas that have experienced five consecutive seasons of below normal rains. SHF Reserve: North (Bari, Nugaal, Sool, Sanaag), July - August 2018 2 FINAL version 24 July 2018 Table 1: cluster-specific and integrated activities Package Activity per cluster Region/District5 Modality Envelope Integrated Nutrition Bari: $1.4 million Health / • Community worker’s screening and identification of acutely malnourished children and PLWs Ishkushaban(6,882hhs), Nutrition and • Mother led MUAC, training caretakers on the identification of malnutrition and ensure early Qandala,(6319hhs) • 60% WASH services action in treatment. ($960,000) for • Treatment of children 06-59 months and pregnant and nursing women through specialized Nugal-Garrowe fixed / static • IERT food provisions (15,712hhs) mobile • Blanket supplementary feeding in prevention of acute malnutrition for children under 2 and • 40% outreach pregnant and pregnant/nursing women. Sanaag: Lasqoray ($640,000) for • Micronutrient support for vulnerable groups (Pregnant and nursing women and U5 children) (15,574hhs) mobile • Fixed sites with Vitamin A & MMN outreach / • Integrated multi-sectorial Nutrition, Health, Hygiene (NHHP) preventative, Food-Security Sool: Las Caanood IERTs and promotional support including IYCF support for care givers. (15,574hhs) Health • Consultations and treatment to all age groups for both male and female patients treating both communicable and non-communicable diseases • Children and women of child bearing age are completely immunized against vaccine preventable diseases – • Provision of health education to community members • Early detection, case management for water-borne disease • Prevent gaps in early warning and response surveillance (EWARNS) • Provide essential medications and supplies • Maintain referral pathways for health complication cases WASH • Promote the adoption of good hygiene and sanitation practices to affected communities, schools, health and nutrition facilities. • Assisting families with malnourished child with WASH package (hygiene promotion/kits, water treatment) and support distribution of hygiene kits to discharged patients. Integrated CCCM Bari $2.2 million CCCM / Shelter • Set up of CCCM coordination structures Bandar Bayle (600hhs) / Protection / • Establish/update service mapping of partners in sites Hafun (700 hhs) Sool/Sanaag: Bareda (800 hhs). • WASH in IDP • Conduct site verification quarterly $0.8 million Caluula (800hhs sites • Monitor service delivery by establishing roving CCCM teams for monitoring and community engagement Bargal