GUINEA May 2002 This Annual Report is intended for reporting on the Federation's Annual Appeals only. Appeal No. 01.03/2001 Appeal Target: CHF 6,158,432 (USD 3,793,937 or EUR 4,212,313)

Operational Developments

Since 1990, has played host to hundreds of thousands of Sierra Leonean and Liberian refugees fleeing civil war in their countries. At one point 500,000 refugees were estimated to be in the country, and as recently as the year 2000, some 350,000 were still in Guinea, many scattered along the border areas, others in villages or in refugee camps. In 2001 a significant change occurred in the refugee situation. Owing to the prevailing insecurity on the border areas and repeated attacks by rebel groups on Guinean villages, particularly in the Parrot’s Beak and Guéckédou areas, the Guinean government insisted that all refugees be moved to refugee camps in the interior. For the Sierra Leoneans, these transfers took place from March to August. Refugees were located in four new camps, three of which were established in and one in the Dabola area. However, of an estimated 200,000 refugees slated for transfer, only 62,000 did in fact leave. Sembakounia camp in Dabola received 8,000 while Albadaria in Kountaya housed 27,000, Boréah 13,500 and Telikoro 13,500. The camps located in the Forécariah area were closed and refugees who refused to be transferred to the new camps no longer received assistance. Estimates indicated that refugees numbered approximately 10,000 in Forécariah while figures for those who remained in Parrot’s Beak ranged from 20,000 to 60,000.

In the N’Zérékoré area, where the majority of Liberians were accommodated, a second camp, Kola, opened in August with a capacity of 6,000 while the already existing camp at Kouankan saw its refugee population swell from 10,000 to 13,500.

The peace process in resulted in mass repatriations and by the end of the year an estimated 250 refugees were returning to Sierra Leone weekly. Some refugees however, preferred to wait for elections to be held in their country.

The situation in was quite different. Over the past year and particularly in the last quarter, tensions rose and most of the Liberian population was on the move. Thousands massed on the frontiers with Guinea, Sierra Leone and the Ivory Coast. Although the Guinean authorities closed the border, some particularly vulnerable refugees were allowed in. Whereas plans for the repatriation of the Sierra Leoneans accelerated, in contrast, plans for an influx of thousands of Liberians were in full swing. 2

In 2001, the Federation together with the Guinean Red Cross provided social assistance support to 81,500 refugees in Sembakounia, Kountaya, Telikoro, Boréah, Kouankan and Kola camps, organized health care for 19,500 Liberian refugees in the N’Zérékoré camps of Kouankan and Kola and managed the Kountaya and Boréah camps for 40,500 refugees in Albadaria.

Objectives, Achievements and Constraints

Disaster Response

Objective 1 To prevent and decrease the incidence of infectious and epidemic disease among the local and refugee population through a programme to promote community health, schooling and human rights.

Activities Constraints a) Weekly sensitization sessions on hygiene and community health were carried out in the two camps (Kola and Kouankan in the N’Zérékoré districts) where the Red Cross provided health care. Sessions in Kouankan began in April when the Federation/Guinean Red Cross took over health care in the camp. Sessions in Kola started in September following the opening of the camp in August and the training of the Red Cross Guinean and refugee volunteers. b) Follow-up visits to patients discharged from the health post or the hospital were carried out by trained refugee volunteers and health post staff. c) A one-month sensitization and sanitation programme on cholera prevention was carried out in the N’Zérékoré prefecture in September following an outbreak of the disease in four villages. d) Red Cross volunteers carried out a two-week sensitization programme against water borne diseases in the Kankan prefecture following severe flooding in the area in September and October. The evaluation of the disaster, the distribution of non-food items to the victims, the training of Red Cross volunteers and the programme itself was a cooperative effort between the ICRC, the Federation and the national society. e) A six-week sensitization and sanitation programme was organized in Conakry in November and December by Red Cross volunteers following an outbreak of yellow fever in the city. f) Guinean Red Cross volunteers were trained to provide assistance to the most vulnerable refugees in the six camps and to the most vulnerable among the refugee and local population in the villages. A total of 42 counsellors were trained and an equal number of refugee volunteers were recruited and trained to assist the counsellors. g) Hand driven wheelchairs were provided to 43 refugees in the six camps enabling them to be more independent. h) Red Cross volunteers constructed 399 individual houses for the most vulnerable (handicapped and elderly) in Kouankan, Kountaya f) Income generation and Boréah camps. The houses enabled these individuals to live projects were not independently while still having the support of family close by. implemented due to the i) 9,700 hygiene kits for women were distributed in the camps as movement and resettlement well as 600 baby kits. of refugees from camp to 3

j) Under Red Cross camp management, cleanup campaigns were camp that went on until the organized monthly in Boréah and Kountaya. Garbage containers end of the year. were installed and emptied three times a week. h) 187 houses in Kouankan were not completed owing to the onset of the rainy season.

j) Latrine construction and maintenance were the responsibility of other partners (with the exception of the health posts operated by the Red Cross

Objective 2: To provide special assistance to extremely vulnerable individuals, estimated to number 25,000 and comprising elderly, sick and disabled persons, amputees and urban refugees.

Activities Constraints a) Red Cross volunteers were trained to carry out home visits in the camps and in the rural areas where refugees were located. In the N’Zérékoré area 381 extremely vulnerable refugees were identified and provided with medical assistance and non-food items. In the camps, a total of approximately 8,500 extremely vulnerable refugees were also identified. Assistance was provided in the form of counselling, housing, wheelchairs and crutches and special medical assistance. b) The following activities were carried out in the six camps: Refugee cooperatives were Ÿ For women - a total of 16 committees were established with at not formed owing to the least two committees in each camp. Sensitization sessions on length of time it took to personal and environmental hygiene, cooperation and project establish refugees on a more management were carried out on the social project while the or less permanent basis in health workers conducted sensitization sessions on HIV/AIDS, the camps. the importance of family planning, the use of condoms and education for children, especially girls. Ÿ For the elderly - the following activities were carried out in each camp: an association of senior citizens was created; various activities for income generation to be implemented in 2002 were identified; sensitization sessions to encourage people to help each other; home visits; and the identification of elderly persons still able to function independently. Ÿ For the handicapped - an association for handicapped people was created in each camp; sensitization to encourage mutual aid and the importance of self-help; identification of special projects to be carried out in 2002; home visits for those needing special assistance. Ÿ For youth - a youth association was created, some revenue generating projects such as hair dressing for men and women and painting were established; sport and craft activities were implemented in each camp with monthly football tournaments. 4

c) 35,000 refugees and the extremely vulnerable among the local population received blankets, mats, soap and used clothing during the year. All non-food items were distributed before December with the exception of a few used clothes. d) 104,200 meals were served to refugees convalescing in the three transit houses managed by the Red Cross and to refugees in hospitals in N’Zérékoré, Dabola and Kissidougou.

Objective 3 To provide social and medical services to refugees entitled to free care among the population of 27,000 in six health posts, five prefectoral hospitals and one specialist hospital.

Activities Constraints a) The Red Cross operated a health post in Massakoundou camp, The number of health posts seven kilometers from Kissidougou, until the closure of the camp in was reduced from six to two May 2001. Health posts were operational in two camps for Liberian for the following reasons: refugees in the N’Zérékoré district. By the end of the year Massakoudou camp, which Kouankan camp had 13,500 refugees while Kola, opened in August, had two health posts, was had reached its capacity of 6,000. closed in May; Nyadou camp Ÿ A total of 23,663 consultations were carried out in three health was also closed in April. posts with 3,417 in Massakoundou and 20,246 in Kouankan and Kola. In Kouankan and Kola the dominant pathologies were malaria (36 per cent), acute respiratory infections (19.5 per cent), helminthises or verminoses (worms)(11 per cent), skin infections (7 per cent), non-bloody diarrhea (6.5 per cent), and sexually transmitted diseases (STDs) (6 per cent). Ÿ 1,640 infants under age one and 516 children over a year old received the full vaccination programme. Measles vaccinatations were administered to 2,897 children between 6 months and 15 years in Kouankan camp and to 2,845 children in Kola, who also received vitamin A. Ÿ 720 pregnant women and 190 other women received the tetanus vaccine. Ÿ 980 prenatal consultations were carried out in Kola and Kouankan while staff assisted with 306 births at the two health posts. Of these there were 294 live births and 12 stillbirths. Ÿ 2,340 women attended family planning sessions and 1,447 were given oral contraceptives while 893 were administered injectable contraceptives Ÿ 23,670 condoms were distributed. Ÿ two cases of sexual violence were reported and treated at the reference hospital in N’Zérékoré. Ÿ 1,255 cases of STDs were treated at the health posts and 11 cases of HIV/AIDS were identified. Ÿ 2,036 refugees were hospitalized and 28 of these were transferred to Conakry for special treatment. Ÿ 221 deaths were recorded; 14 from Dabola hospital, 129 from Kissidougou hospital and 78 from N’Zérékoré hospital. Ÿ A total of 268 children received nutrition supplements in the camps while 96 children were treated for serious malnutrition at 5

the N’Zérékoré hospital. In addition 614 pregnant women and 1,079 lactating mothers received special food supplements.

Objective 4 To strengthen the capacities of the Guinean Red Cross in the areas of human and material resources and management to ensure that humanitarian activities were carried out effectively.

Activities Constraints a) Red Cross volunteers were recruited to carry out social No training took place at the assistance activities in the camps and to operate the health posts in local branch level nor at Kouankan and Kola camps. A total of 42 volunteers were trained as headquarters level. counsellors in the social assistance services and posted in the six camps. An additional 14 Red Cross nurses were sent to the two health posts and received training in management and operations.

Disaster Preparedness

Objective 1 To assist the Guinean Red Cross in monitoring the vulnerability and capacity of the local population, in order to be better prepared in the event of further disasters.

Activities Constraints a) Training for VCA trainers and plans The DP delegate arrived in Guinea at the end of for carrying out VCAs throughout Guinea March. Since his arrival, major efforts began to train were formulated. volunteers in CBFA in strategic Red Cross branches in b) 362 Red Cross volunteers were trained the country, particularly those bordering Liberia and in CBFA. Sierra Leone, and to providing training in DP planning for the national society. VCA training was slated to take place in December. However, the referendum on 11 November and the legislative elections scheduled for 27 December but postponed indefinitely, meant that training projects had to be re-scheduled for January and efforts diverted to supporting the Red Cross in their preparations for these events.

Objective 2 To establish regional and national intervention plans, in coordination with local communities and public authorities.

Activities Constraints a) Meetings were held with the Guinean There are at least three separate government authorities to confirm the role of the Red Cross departments responsible for responding in the in the National Disaster Plan. A National event of a disaster in Guinea. Efforts this past Disaster Plan does exist but it is not operational year focused on finding a way to coordinate and the Red Cross does not figure in the plan. these efforts and to clarify the role of the Red b) A four-day training session on a planning Cross in the plan. module for DP was held for members of the Red Cross; participants included government representatives. 6

Objective 3 To increase the capacities of the population and the national society to cope with possible emergency interventions, by making the necessary arrangements to alleviate the effects of disasters.

Activities Constraints a) From April onwards 362 Red Cross A training seminar for 25 trainers in CBFA did volunteers (including 133 women) were trained not take place as planned. Trainers already in CBFA. Four ICRC drivers were also trained. trained were identified and, based upon this b) CBFA manuals were distributed in each Red information, candidates for the next Train the Cross branch in which the training was Trainer session were selected. organized. A total of 126 manuals for trainers and 153 manuals for participants were purchased and distributed.

Organizational Development

Objective 1 To improve the knowledge and skills of management with regard to good governance within the Guinean Red Cross.

Activities Constraints a) The Guinean Red Cross’s elected national officials visited all 38 Red a) Neither Federation Cross committees (33 prefectoral committees and five Conakry representatives nor committees) over the year. The purpose of these visits, as outlined by the members of the CDN (Comité de Direction National) was to hold information sessions executive secretariat of on good governance. the Guinean Red Cross b) The statutes of the Guinean Red Cross were revised and sent to the were invited to these joint commission for the revision of statutes in Geneva. The joint meetings. commission, the regional delegation and the Federation’s country delegation all sent their recomendations. C) The third general assembly, scheduled for November, was postponed to January.

Objective 2 To strengthen the Guinean Red Cross’s management capacities by developing its human and material resources.

Activities Constraints a) Upon arrival in Guinea, each delegate was assigned a The delegation was counterpart. unsuccessful in integrating b) The delegation assumed responsibility for 16 national Red Cross Federation staff into the staff members and one resource person in governance. structure of the national c) A four-day planning session was held in Conakry for all members society. Efforts were made to of governance and management including the national society field locate and purchase staff and presidents of Kissidougou and Conakry. The session was permanent headquarters for developed by the DP delegate and facilitated by the Federation’s the Guinean Red Cross, so 7

representative in Dakar. Discussions focused on the Federation’s that that the delegation’s Strategy 2010 and on the separation of governance and structures could be integrated management. The outcome of the four days was extremely positive into those of the national with the members of the governance and management of the society. national society agreeing to align their structures with the priorities outlined in Strategy 2010. Ongoing national society programmes fell under the following departments: health and relief; youth; social welfare; and the department of information and dissemination. The new structure is as follows: disaster response; health and community support; disaster preparedness; and humanitarian values. Support was strong for the separation of governance and management. d) The Guinean Red Cross’s headquarters received five desktop computers from the delegation as well as a photocopier. New radios were installed in their two vehicles. Other furnishings, materials and supplies were provided as outlined in the appeal budget.

Coordination and Management

Objective 1 To strengthen the delegation’s human resources so as to guarantee appropriate support to the Guinean Red Cross in the area of management.

Activities Constraints a) Job descriptions were established for all local The new salary scale was implemented. staff. b) A staff salary scale was revised and aligned with that of the Guinean Red Cross.

Objective 2 To strengthen and promote the visibility of the Guinean Red Cross through effective operations and infrastructure (office, telecommunications and car pool).

Activities Constraints a) As of October 2000, the Guinean Red Cross and the Although premises were shared, Federation shared the same premises. the delegation and the Guinean Red Cross occupied offices in separate buildings.

However, financial management systems were not shared.

b) There was a marked improvement in the accounting of funds provided to the national society by the Federation during the year.

c) Major efforts were made during the year to ensure an effective communications system throughout the delegation’s operations and with the Guinean Red Cross. Radio communication was put in place with wave mail capacity in N’Zérékoré, Kissidougou and Conakry. Base radios were 8

established in Boréah and Kountaya camps where the Red Cross was responsible for camp management. In addition, a base radio was set up in Albadaria where the delegation and the local Red Cross occupy a newly constructed office and residence building. All vehicles were equiped with VH and UFH communication with ICRC frequencies as well as the Federation/national society frequency.

d) A logistics delegate arrived in Guinea in November and immediately began setting up logistics procedures for the delegation and the national society.

Conclusions

While the objectives directly related to the relief operations in Kissidougou and N’Zérékoré were almost fully met, those concerning the development of the national society were, in the main, left unmet. The assignment of counterparts for all delegates upon their arrival in the country was very important as it provided the impetus for a sharing of expertise and knowledge from the outset. In the relief operations in Kissidougou and N’Zérékoré, local Red Cross volunteers did a very good job and developed a commendable expertise in the areas of camp management, social assistance and health. At the institutional level, the Guinean Red Cross took some very positive steps towards its development, including, after a four-day planning session in November, agreeing to adopt Strategy 2010 and the concept of separation of governance and management.

For further details please contact: Anne Kirsti Vartdal; Phone: 41 22 730 4485; Fax: 41 22 733 03 95; email: [email protected]

All International Federation Operations seek to adhere to the Code of Conduct and are committed to the Humanitarian Charter and Minimum Standards in Disaster Response (SPHERE Project) in delivering assistance to the most vulnerable.

For support to or for further information concerning Federation operations in this or other countries, please access the Federation website at http://www.ifrc.org.

This operation sought to administer to the immediate requirements of the victims of this disaster. Subsequent operations to promote sustainable development or long-term capacity building will require additional support, and these programmes are outlined on the Federation’s website.

John Horekens Bekele Geleta Head Head Relationship Management Department Africa Department INTERNATIONAL FEDERATION OF RED CROSS AND RED CRESCENT SOCIETIES

Interim report Annual report X Final report

Appeal No & title: 01.03/2001 Guinea Period: year 2001 Project(s): GN001, GN160, GN505, GN506, GN509, GN517 Currency: CHF

I - CONSOLIDATED INCOME 2001, CASH, KIND, SERVICES

CASH KIND & SERVICES TOTAL FUNDING Contributions Reallocations Goods/Services Personnel INCOME

Appeal budget 6,158,432 less Cash brought foward -95,546

TOTAL ASSISTANCE SOUGHT 6,253,978

Contributions from Donors

American Government PRM (DGUSPRM) 1,151,500 1,151,500 American Government (DGUS) 273 273 British Red Cross (DNGB) 229,291 229,291 Canadian Red Cross (DNCA) 32,741 32,741 Danish Govt.via Danish Red Cross (DGNDK) 183,940 183,940 Danish Red Cross (DNDK) 37,740 37,740 ECHO-Health Care Liberia&Sierra Leon (DE8004)380,104 380,104 Finnish Govt.via Finnish Red Cross (DGNFI) 513,982 513,982 Norwegian Govt.via Norwegian Red Cro (DGNNO)309,160 309,160 Norwegian Red Cross (DNNO) 34,351 34,351 Swedish Govt.via Swedish Red Cross (DGNSE)231,075 231,075 Swedish Red Cross (DNSE) 251,494 251,494 Swiss Red Cross (DNCH) 8,175 8,175 UNHCR Contract No.1 (DH0201) 387 387 UNHCR Contract No.4 (DH0204) 356,136 356,136 UNHCR Contract No.7 (DH0207) 208,920 208,920 UNICEF (DH06) 5,442 5,442

DENMARK 45,667 45,667 GERMAN RC 7,500 7,500 GREAT BRITAIN 54,373 54,373 NETHERLANDS 14,620 14,620 NORWAY 3,450 3,450 SWEDEN 66,201 66,201 SWEDISH - RC 16,850 16,850 SWISS - PRIVATE/RC 163,506 163,506 SWITZERLAND 65,544 65,544

TOTAL 3,934,711 180,356 257,355 4,372,422

II - Balance of funds

Opening balance -95,546 CASH INCOME Rcv'd 3,934,711 CASH EXPENDITURE -3,704,229 ------CASH BALANCE 134,936 Appeal No & title: 01.03/2001 Guinea Period: year 2001 Project(s): GN001, GN160, GN505, GN506, GN509, GN517 Currency: CHF

III - Budget analysis / Breakdown of expenditures

Appeal CASH KIND & SERVICES TOTAL Description Budget Expenditures Goods/services Personnel Expenditures Variance

SUPPLIES

Shelter & Construction 464,288 281,402 281,402 182,886 Clothing & Textiles 61,983 5,246 16,850 22,096 39,887 Food/Seeds 12,253 25,295 25,295 -13,042 Water 251 251 -251 Medical & First Aid 649,997 151,282 151,282 498,715 Teaching materials 1,110 1,110 -1,110 Utensils & Tools 2,286 2,286 -2,286 Other relief supplies 111,885 110,786 163,506 274,292 -162,407 Sub-Total 1,300,406 577,658 180,356 758,014 542,393

CAPITAL EXPENSES

Land & Buildings Vehicles 328,354 254 254 328,100 Computers & Telecom equip. 202,057 176,639 176,639 25,419 Medical equipment 59,437 1,031 1,031 58,406 Other capital expenditures 89,644 41,987 41,987 47,656 Sub-Total 679,492 219,911 219,911 459,581

TRANSPORT & STORAGE 327,386 429,992 429,992 -102,606

Sub-Total 327,386 429,992 429,992 -102,606

PERSONNEL

Personnel (delegates) 1,409,458 800,736 257,355 1,058,091 351,366 Personnel (local staff) 1,207,726 749,620 749,620 458,106 Training Sub-Total 2,617,184 1,550,356 257,355 1,807,711 809,472

GENERAL & ADMINISTRATION

Assessment/Monitoring/experts 109,322 60,084 60,084 49,238 Travel & related expenses 64,810 94,754 94,754 -29,944 Information expenses 75,284 27,673 27,673 47,611 Administrative expenses 286,622 337,671 337,671 -51,049 External workshops & Seminars Sub-Total 536,037 520,182 520,182 15,856

PROGRAMME SUPPORT

Programme management 436,743 218,836 218,836 217,907 Technical services 123,843 65,520 65,520 58,323 Professional services 137,341 72,682 72,682 64,659 Sub-Total 697,927 357,038 357,038 340,889 Operational provisions 49,091 49,091 -49,091 Transfers to National Societies

TOTAL BUDGET 6,158,432 3,704,229 180,356 257,355 4,141,940 2,016,493

Consumption rate: Expenditures versus income 95% Expenditures versus budget 67%