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PERIOD: Strategic Objectives The Gambia STRATEGIC RESPONSE PLAN 2014-2016 REVISED STRATEGIC RESPONSE PLAN The Gambia August 2014 Prepared by the Humanitarian Country Team in The Gambia SUMMARY PERIOD: Strategic objectives August 2014 – December 2014 1. Track and analyse risk and vulnerability, integrating findings into humanitarian and development programming. 100% 2. Support vulnerable populations to better cope with shocks by responding earlier to warning signals, by reducing post-crisis recovery times 1.9 million and by building capacity of national actors. Total population 3. Deliver coordinated and integrated life-saving assistance to people affected by emergencies. 15.4% of total population Priority actions 289,235 • Provide food assistance, nutritional support and agricultural inputs. Estimated number of people • Restore water systems and access to sanitation facilities in in need of humanitarian aid communities, schools and nutrition facilities. • Re-establish and provide access to public health/clinical services with a focus on surveillance and early warning for diseases with epidemic 13.1% of total population potential. • Improve access to education through creation of temporary learning 245,850 People targeted for spaces and strengthening national protection capacity (including prevention of gender-based violence and child protection). humanitarian aid in this plan • Strengthening early warning systems through training of personnel, Key categories of people in need: data collection and processing and dissemination of results/findings. Parameters of the response 202,542 Food insecure 1 The Latest food security assessment of the population put the estimated Malnourished children including number of the food insecure requiring urgent food assistance at 48,627 SAM 7,859 and approximately 202, 542. Considering the number of people affected by other MAM 40,768 humanitarian conditions, it is estimated that at least 289,235 people are in 28,502 need of immediate humanitarian assistance. This estimation is corroborated Pregnant and by the Prevention and Management of Food Crises Network (PREGEC) Lactating Mothers follow-up assessment conducted in March 2014 which estimated the number 9,564 of the people in crisis and emergency food security situations at 202,542; the Refugees factors driving this deterioration in the humanitarian condition include poor harvest, increasing commodity prices, resurgence of epidemics; prevalence of US$ 18,318,686 natural disasters; chronic shortage and limited access to basic social Requested services; and the near total absence of relief support to the affected population. Photo credit: UNICEF Gambia 1 CILSS Harmonised Framework (PREGEC ) Food Security Assessment March 2014 1 The Gambia STRATEGIC RESPONSE PLAN A significantly high proportion of seriously food insecure households, well above the national average levels of 14%, are found in Lower PRIORITY HUMANITARIAN River Region (33%), southern areas of the Central River Region NEEDS (31%), northern areas of Central River Region (22%) and in North Bank Region (23%). Currently, approximately 103,000 food insecure 1 Food and Nutrition Security people targeted for support through the World Food Programme (WFP) Protracted Relief and Recovery Operation (PRRO) 2013-2015 2 Access to Basic Services are not being reached due to lack of funding. The growing incidence of global acute malnutrition (GAM) is a cause 3 Enhanced support to for concern especially in the Local Government Areas (LGA) of refugees and host family Kuntaur, Janjanbureh, Basse, Mansakonko and Kerewan whre needs prevalence rates are above the 10 % threshold (SMART 2012). The LGA of Kuntaur has the highest proportion of severely stunted 4 Strengthening Early children, at 8.2 %. Significant variations in underweight were observed Warning and Preparedness among women in urban and rural settings. The highest number of efforts to manage Crises underweight women is to be found in Janjanbureh (20.9 %) followed by Kuntaur (20.3 %) and Mansakonko (18.3 %), while the least Full HNO: affected LGA is Banjul (11.5 %). Approximately 48,627 children suffer http://wca.humanitarianresponse.inf from acute malnutrition and 28,502 pregnant and lactating women will be supported in 2014. Incidence of natural disasters and disease outbreaks is common in The Gambia. Cholera and Meningitis continue to pose major public health concerns in affected communities. There have been sporadic outbreaks of meningitis in all regions especially in the east of the country, in the Upper, Lower and Central River Regions. The risk of the Ebola virus spreading from neighboring countries into The Gambia cannot be overlooked in light of the highly contagious level of the virus and porous nature of the borders in the sub region. Furthermore, according to the National Malaria Sentinel Surveillance System (NMSSS), the Malaria Programmatic Review (MPR) and the Health Information Management Service Statistics for 2012, malaria is endemic in all the districts and therefore affect the entire population. With regards to flooding, 2013 records compiled by the National Disaster Management Agency (NDMA) indicate that at least 28,512 people are affected predominantly in the Greater Banjul Area. Diarrhoea which leaves several children malnourished accounts for 13% (Lancet) of under-five deaths. Malaria - a water related disease remain the leading cause of deaths among Gambian children -30% (Lancet 2012). Overall, WASH related diseases account for 20% of deaths among under-five. Persistent funding gaps in health has impacted the provision of adequate health service due to low supply of essentials drugs and functional laboratories at health facilities, severe disruption to the vital disease surveillance system, insufficient delivery kits and beds for Basic Emergency Obstetric Care (BEMOC) facilities, as well as failing ancillary and social protection systems. Moreover, while each of the seven regions in The Gambia has a hospital; the staffing is very poor and availability of adequate equipment limited. The health sector proposes to intervene by improving access to health services, capacity building of health personnel, life-saving drugs, disease surveillance and early warning systems, immunization and BEmOC. 2 The Gambia STRATEGIC RESPONSE PLAN CONTENTS Summary ...................................................................................................................................................................... 1 Contents ....................................................................................................................................................................... 3 Strategy ........................................................................................................................................................................ 5 Strategic objectives and indicators ............................................................................................................................... 9 Sector plans ................................................................................................................................................................ 12 COORDINATION ...................................................................................................................................................................... 13 EDUCATION ............................................................................................................................................................................ 16 FOOD SECURITY .................................................................................................................................................................... 19 HEALTH ................................................................................................................................................................................... 23 MULTI-SECTOR ....................................................................................................................................................................... 28 NUTRITION .............................................................................................................................................................................. 32 WATER SANITATION AND HYGIENE ..................................................................................................................................... 36 Annex: funding requirements ...................................................................................................................................... 40 Table I: Requirements and funding to date per cluster .......................................................................................................... 40 Table II: Requirements and funding to date per priority level .................................................................................................. 41 Table III: Requirements and funding to date per organization ................................................................................................. 41 Table IV: List of appeal projects (grouped by cluster), with funding status of each .................................................................. 43 Table V: Requirements and funding to date per gender marker score .................................................................................... 45 3 The Gambia STRATEGIC RESPONSE PLAN REFERENCE MAP 4 The Gambia STRATEGIC RESPONSE PLAN STRATEGY People in Need and Targeted The recent review of Strategic
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