Turkmenistan Consolidated Development Operational Report January – June 2013

MAATM001 31 July 2013

This report covers the period from 1 January 2013 to 30 June 2013.

1. Executive summary Based on the funding received by the Red Crescent Society in the first half of the year 2013, the main focus areas fit Business Line Three of the Long-Term Planning Framework to strengthen the specific Red Cross / Red Crescent contribution to development. They were as follows.  Reaching some 20,000 people a year with key messages and education that aim at decreasing the risks of HIV, sexually transmitted infections (STIs) and drug abuse through peer education, community mobilization and advocacy;  Controlling the spread of tuberculosis in Turkmenistan and reducing the incidence of tuberculosis through providing direct support to 520 most vulnerable TB patients to help them complete the treatment and reaching out to 32,000 people with key messages on tuberculosis and the harm of stigma associated with TB;  Equipping 28,000 people living in rural communities with the essential knowledge and skills on the prevention of communicable diseases and practicing healthy behaviours. According to the programme data outlined in Annexes 1-7, the Turkmenistan National Society is on track with the health projects implementation.

People reached during the reporting period Direct recipients Total Total people Male Female Total Indirect people covered Planned Actual Planned Actual Planned Actual recipients reached n.a. n.a. n.a. n.a. n.a. 38,903 n.a. 38,903 n.a.

MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 2 I Turmenistan Consolidated Development Operational Report

Volunteers during reporting period Male Female Total n.a. n.a. 768

2. Situation/Context Analysis Turkmenistan is a young independent state on the territory of the post Soviet space. Turkmenistan is located in Central Asia and has a population of 6.2 million. The territory of Turkmenistan is 488,100 square kilometres, of which approximately 80 percent is desert and only 5 percent of the country’s land is classified as arable. Turkmenistan has a highly specialized economy, which largely depends on the export of natural gas, oil and cotton. No recent estimates of poverty levels are available. Turkmenistan is to a large extent isolated from the direct effects of global financial turbulence and the euro zone crisis. However, it is affected by price movements in global commodity markets. The state retains a dominant role in all sectors, and continues to rely on subsidies, price controls and the free provision of utilities. However, there is evidence that the availability of the benefits is not always guaranteed. As a result of a presidential decree signed in mid-2012, state employee salaries and pensions increased by 10 percent, and social benefits rose by 15 percent, both effective from 1 January 2013. State social spending and centrally financed construction are supporting economic growth, which will accelerate as gas exports pick up in the second half of 2013.1 The country is prone to natural disasters like earthquakes, mudslides, hurricanes, dust storms and floods; hot climate increases the risk of wildfires and hot waves. It also faces the problem of land desertification, much of it caused by the salination of the soil. The desiccation of the Aral Sea poses problems for public health: the quality of drinking water in the Dashoguz region is extremely poor and leads to higher than average rates of infant mortality and diseases. The water resources of Turkmenistan take a special place among natural resources that determine the socio-economic development of the society and are currently one of the most vulnerable components of the environment, able to change due to human economic and domestic activities. The incidence rates of tuberculosis (TB) and viral hepatitis are high in Turkmenistan. No official data on HIV is available in Turkmenistan other than the fact that the number of registered people with HIV stands at zero. The data provided by the UNAIDS, WHO and UNICEF indicated that the HIV prevalence among adult population in Turkmenistan is within 0.1%. The number of road traffic accidents in Turkmenistan is on the rise. Bad roads, poor driving practices, nearly complete rejection of wearing seat belts and an increased level of traffic result in a sharp increase in road crashes, often with fatalities.

Coordination The health and care programmes of the Turkmenistan Red Crescent Society that are implemented with the financial support of the British Red Cross are aligned with the global aims of the International Federation`s Strategy 2020 to save lives, protect livelihoods, and strengthen recovery from disasters and crises; enable healthy and safe living; and promote social inclusion and culture of non-violence and peace. The Red Crescent Society is a member of the State Committee on HIV Prevention. It has developed strong partnerships with UN agencies, AIDS Centres, schools and boarding schools, inspectorates of “Troublesome Adolescents”, workplaces, including state and commercial enterprises. The National Society has a specific role assigned within the National Strategy on TB Prevention and Control 2008-2015 and is also a member of the Inter-Agency Committee on TB in Turkmenistan.

1 Based on the information of The Economist Intelligence Unit MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 3 I Turmenistan Consolidated Development Operational Report

3. Financial status

http://www.ifrc.org/docs/LTPF%20Process/Development%20Operational%20Plans/2013/MA ATM001_13DOPmyf.pdf

4. Analysis of implementation 3.1 Business Line 1 - “To raise humanitarian standards” Actual status at 30 June 2013 e.g.: completed on… / Project title Project Code Remarks in progress until… / cancelled / funding expected LTPF Output 1.2.1: Information about fundamental Turkmenistan RC promotes principles and humanitarian fundamental principles and values is provided to N/A humanitarian values of the In progress new staff and volunteers as

Movement part of the work briefing or relevant training within the specific programme. LTPF Output 1.4.1: The RC is planning to update Framework and principles for the FDRS with information for building strong national the year 2013. In progress societies are promoted to ensure RC uptake and active participation.

3.2 Business Line 2 – “To grow Red Cross Red Crescent services for vulnerable people” Actual status at 30 June 2013 E.g.: completed on…/ in Project title Project Code Remarks progress until… / cancelled/ funding expected LTPF Output 2.2.1: Turkmenistan RC has increased institutional capacity PTM006 to support community disaster cancelled risk reduction, preparedness and response.

LTPF Output 2.3.1: Turkmenistan RC provides PTM006 cancelled regular update to the disaster management database.

LTPF Output 2.6.1: The RC is implementing Disaster preparedness and community preparedness response capacities of target PTM006 projects in cooperation with cancelled communities in the most American RC and IOM disaster-prone areas have (DIPECHO-VII). strengthened through RC DRR MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 4 I Turmenistan Consolidated Development Operational Report

activities. LTPF Output 2.7.1: Turkmenistan RC has PTM006 cancelled promoted IDRL at the national level.

3.3 Business Line 3 – “To strengthen the specific Red Cross Red Crescent contribution to development” Actual status at 30 June 2013 E.g.: completed on…/ in Project title Project Code Remarks progress until… / cancelled/ funding expected LTPF Output 3.1.1: Non-discrimination, tolerance Turkmenistan RC enhances and non-violence are ability of communities to promoted through TB and HIV combat discrimination, N/A In progress prevention programmes. intolerance and violence and to promote respect for diversity. LTPF Output 3.2.1: Two complementing projects Turkmenistan RC scaled up were under way over the HIV programming by PTM009 In progress period with funds from the introducing additional services. BRC and PSI, for details see Annex1 and Annex 2. LTPF Output 3.2.2: The TB prevention project was Control the spread of implemented with funds tuberculosis in Turkmenistan PTM007 In progress provided by the BRC, for and reduce the incidence of details see Annex 3. tuberculosis. LTPF Output 3.3.1: The CBHFA project was Rural communities have implemented with funds essential knowledge and skills provided by the BRC, for on prevention of PTM008 In progress details see Annex 4. communicable diseases and first aid and accept proper attitude to their health. LTPF Output 3.5.1: Strengthened regional and Cancelled local branches of the National Society. LTPF Output 3.5.2: Relevant training is provided Volunteer capacity improved through programmes. In progress through relevant training and participation in core activities.

MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 5 I Turmenistan Consolidated Development Operational Report

3.4 Business Line 4 – “To heighten Red Cross Red Crescent influence and support for our work” Actual status at 30 June 2013 E.g.: completed on…/ in Project title Project Code Remarks progress until… / cancelled/ funding expected LTPF Output 4.2.2: The NS has been working to Support NS in promotion of promote the implementation of In progress the Red Crescent Law and its the Red Crescent law adopted implementation. in the end of 2012. LTPF Output 4.2.1: Closer country integration with In progress

Turkmenistan RC is ensured. LTPF Output 4.5.1: The NS hired a staff Increased National Society’s responsible for fundraising. sustainability and diversified The NS actively increases the In progress domestic income sources for number of members and addressing vulnerabilities. provides paid “first aid” courses.

3.5 Business Line 5 – “To deepen our tradition of togetherness through joint working and accountability” Actual status at 30 June 2013 E.g.: completed on…/ in Project title Project Code Remarks progress until… / cancelled/ funding expected LTPF Output 5.1.1: Promote National Society In progress participation in regional and international dialogue and cooperation. LTPF Output 5.2.1: DD initiative and strengthening of internal and external Cancelled communication is scaled-up in the NS Branches. LTPF Output 5.4.1: The NS carried out work Accountability system has meetings and sessions for been developed in the NS. staff and volunteers to promote In progress the concept on accountability towards beneficiaries adopted in 2012. LTPF Output 5.5.1: HR management development NS has effective and Cancelled is supported on a bilateral transparent human resources basis, with the help of the management system. British RC. LTPF Output 5.5.2: The NS shared a letter of Proper and effective financial intention to carry out an In progress management in the NS. external audit with its partners, seeking support.

MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 6 I Turmenistan Consolidated Development Operational Report

5. Capacity building and sustainability A number of capacity-building activities have been implemented within the health and care programme of the Turkmenistan Red Crescent Society. In February 2013, the USAID Dialogue on HIV and TB Project2 conducted Winter School for Outreach Workers in . A total of 36 people, operating in the sphere of HIV/AIDS prevention in Turkmenistan, Kazakhstan, Kyrgyzstan, Tajikistan, and Uzbekistan participated in the workshop. During the four-day workshop, participants improved their understanding of outreach work in the area of drug abuse prevention and received information on principles of harm reduction programmes tailored to changing client behaviour. The participants also learned how to organize support groups for people who inject drugs (PWID) in order to provide them with added social support during treatment. The participants also shared their experience in working with Project clients and improved knowledge and practical skills for conducting outreach activities among PWID. The assistant and the trainer of the HIV prevention programme implemented in cooperation with IFRC participated in the Winter School. At the beginning of April 2013 the coordinator of the HIV programme attended the training for trainers entitled «Teaching Adults and Interactive Methods of Teaching Earthquake Preparedness» organized by the American RC within the frames of the bilateral earthquake preparedness project. The participants of the training learnt skills of teaching adults including interactive teaching, trainers’ skills and ways to evaluate trainers’ work. In May 2013 the coordinator of the HIV programme participated in the three-day training named «Modern Methods of Social Work among Users of Psychoactive Substances» conducted within the frame of the UNODC3 project realized in the country. The training`s participants discussed the impact of psychoactive substances on the individual and the society, factors influencing the use of substances, social work, roles and duties of social workers, experience of the neighbouring countries and whether social workers were required in Turkmenistan.

6. Budget summary

Confirmed budget for BASED ON THE FUNDING PLAN Project code 2013 Total BL 1. Humanitarian Standards Outcome 1: Information and 52,983 PTM010 0 Communication BL 2. Grow services for vulnerable people Outcome1: DR Teams & Prepositioned PTM006DR Teams & Prepositioned stocks 0 0 stocks

Outcome 2: DRR (road safety, fire safety) PTM006 0 91,241

Outcome 3: IDRL Promotion PTM006 0 0

BL 3. Contribution to development Outcome 1: HIV Prevention PTM009 182,198 244,922 Outcome 2: TB Prevention & Control PTM007 128,686 132,346 Outcome 3: Community Based Health PTM008 71,000 Promotion 200,110 BL 4. Heighten influence and support Outcome 1: Country representative PTM010 0 150,000 BL 5. Joint working and accountability

Total Budget 510,994 742,492

2 In Turkmenistan the Project was implemented by the Turkmenistan Red Crescent Society between June 2011 and May 2013 and was funded multilaterally by PSI. 3 United Nations Office on Drugs and Crime MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 7 I Turmenistan Consolidated Development Operational Report

Annex 1

PROJECT INFORMATION NO. 1 Implementing Secretariat Geographical Type of intervention body and host National coverage: (sector/area): Society: EZO and Turkmenistan RC Abadan, Ashgabat, Mary, health and care/ HIV prevention Dashoguz, Turkmenabat and Turkmenbashi cities Actual start date: Actual end date / Number of people reached: expected duration: 01/01/13 31/12/13 9,594 Project Manager: Project Code: Budget:

PTM009 121,476 CHF Partner National Societies: British Red Cross Other partner organisations involved in the implementation

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

Goal: To enable healthy and safe living and promote social inclusion and a culture of non-violence and peace in Turkmenistan.  Percentage of 85% 85% 100 people reached with education who are able to tell the correct Outcome 1: answer on the To decrease the risks following of HIV, STDs and drug matters: abuse through peer  Describe 3 ways in which HIV is education, community transmitted mobilization and  2 myths & advocacy. misconceptions about HIV transmission  Where to go for HIV testing, STI treatment MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 8 I Turmenistan Consolidated Development Operational Report

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

 How HIV transmission can be prevented  2 examples of how discrimination can affect lives of patients living with HIV & their families  Assess & recognize situations in which they may be vulnerable to HIV infection  Manage situations in which they may be vulnerable to HIV infection Output 1.1: - Percentage of 100 100 100 Capacity of HIV team BOs who to implement targeted developed branch work HIV interventions is built. plans based on the logframe by March  Number of people reached 20,000 9,594 48 with messages on HIV, STDs and drug abuse prevention Output 1.2:  HIV aspect is N/A Included 100 HIV programme is included in work integrated into existing plans of health and youth health programmes. programmes  Number of staff and volunteers of the health 40 0 The training is planned for and youth the 3rd quarter, because programmes 80 branch staff were reached with training on HIV reached with sessions in prevention and October 2012. peer education standards  Joint health committees work in the sites MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 9 I Turmenistan Consolidated Development Operational Report

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

where no less than Operate in 100 programme fits 3 sites 3 sites with other health programmes and carry out joint activities for the population Output 1.3:  Number of new 100 youth 0 The programme is below Scaled-up HIV peer PEs and including the target in regard to the education programme outreach adolescents number of youth peer workers from courses, using a life 50 SWs and 20 40 educators and military Ashgabat and 4 skills approach, regional centres DUs, men (delayed registration through further trained over the 75 military 25 33 of project with local recruitment and year authorities) but will catch development of peer  Percentage of up in the second half of educators (PEs). outreach the year. workers (SWs, DUs, truck and taxi drivers) in at least 75% 76% 100 Ashgabat, Turkmenbashi, Turkmenabat, Mary and Dashoguz that have knowledge & developed skills related to HIV, STDs & drug prevention after training Output 1.4:  Number of 1,500 375 25 In the second half of the Increased awareness military, SWs military, year the programme will among SWs, IDUs, and DUs, taxi 800 SWs and 464 58 focus on military men and and truck drivers, military, truck and taxi DUs, 800 taxi drivers. youth trained by drivers and the youth PEs/outreach drivers and 315 39 through relevant HIV workers from truck drivers, awareness raising these target 5,000 young actions. groups people

5,315 More than

100 − Percentage of at least 60% participants in peer education programme 80% 62% 100 discussing HIV & STDs with their peers MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 10 I Turmenistan Consolidated Development Operational Report

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

− Percentage of participants in peer 75% 94 education programme aged 15-49 that show a tolerant attitude 7% toward target risk groups − Percentage of participants in peer education 7% 100 programme who at least 60% become RC volunteers  Percentage of participants in 52% 86 peer education programme who had sexual contacts with more than one partner or with irregular partners over the last 12 months reporting consistent use of condoms Output 1.5: More campaigns are Information about HIV, planned for the second STDs, drug abuse half of the year Number of people prevention and other 3,000 1,000 33 reached with related issues through information through public campaigns 6 campaigns linked to global action is provided to the general public. Output 1.6: Number of 30 15 50 Advocacy mechanism meetings with is developed in representatives of cooperation with law enforcement internal and external agencies and local stakeholders. authorities over the year

MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 11 I Turmenistan Consolidated Development Operational Report

Annex 2

PROJECT INFORMATION NO. 2 Implementing Secretariat Geographical Type of intervention body and host National coverage: (sector/area): Society: EZO and Turkmenistan RC Ashgabat, Dashoguz Health and care/ HIV prevention Actual start date: Actual end date: Number of people reached:

01/10/12 31/05/13 1,286 Project Manager: Project Code: Budget:

PTM009 60,722 CHF (2013) Partners: Population Services International (PSI) Other partner organisations involved in the implementation

The National Red Crescent Society of Turkmenistan (NRCST) has been implementing the USAID Dialogue on HIV and TB Project in Turkmenistan since June 2011. The Project was sub-awarded to the IFRC by PSI. The comprehensive USAID Dialogue on HIV and TB Project is a strategic response to reduce the HIV and TB epidemics among most-at-risk populations (MARPs) in five Central Asian countries. The programme is implemented by a consortium of partner organizations led by PSI. The overall goal of the programme is to reduce the HIV and TB epidemics among MARPs in five Central Asian countries: Kazakhstan, Kyrgyzstan, Tajikistan, Uzbekistan, and Turkmenistan. This goal is achieved by reaching the following purpose and activity level goals: Purpose Level Goals  Reduction in risk behaviours associated with HIV transmission;  Increased use of evidence-based HIV prevention and TB treatment services by MARPs;  Improved TB case detection among selected MARPs; and  Improved adherence to and decreased default rate from TB treatment among MARPs. Activity Level Goal  Increased number of MARPs in Central Asia reached with high-quality outreach services to prevent HIV and the spread of TB. In Turkmenistan USAID Dialogue on HIV and TB Project activities target most-at-risk populations for HIV and TB infection: people who inject drugs (PWIDs). The achievements of the Project against the indicators are presented in the table below.

MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 12 I Turmenistan Consolidated Development Operational Report

INDICATOR ANNUAL ACHIEVED OVER CUMULATIVE % ANNUAL TARGET4 SIX MONTHS ANNUAL TOTAL5 TARGET ACHIEVED # of PWID 0 Referred: 514 Referred: 1106 referred and Redeemed: 119 Redeemed: 277 tested for VCT N/A # of PWID 30 Referred: 186 Referred: 196 referred for Redeemed: 29 Redeemed: 29 drug Value over treatment 100% # individuals 15 Total: 56 Total: 56 trained to promote HIV prevention through other (target all Male: 29 Male: 29 behaviour MARPs) Female: 27 Female: 17 change (among Value over PWID) 100% # of PWID 1 000 Total: 792 Total: 1286 reached with individual and/or small group interventions that are based on Male: 510 Male: 820 evidence Female: 282 Female: 466 and/or meet minimum Value over standard 100% # of PWID 245 Referred: 258 Referred: 415 referred and Redeemed: 119 Redeemed: 224 tested for TB via community- level referral system 91% New TB Cases Detected Using Referral Vouchers 11 13

4 The current Project Year Four is from October 2012 to September 2013, which is different from the IFRC practice of a calendar year planning/reporting. For Turkmenistan the targets were set for the period of Project implementation, which after the extension was from October 2012 to May 2013. 5 For the period October 2013 – May 2013. MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 13 I Turmenistan Consolidated Development Operational Report

Annex 3

PROJECT INFORMATION NO. 3 Implementing Secretariat Geographical Type of intervention body and host National coverage: (sector/area): Society: EZO and Turkmenistan RC Ashgabat, Dashoguz, Health and care/ TB prevention Mary, and Turkmenabat cities Actual start date: Actual end date / Number of people reached: expected duration: 01/01/13 31/12/13 12,551 Project Manager: Project Code: Budget:

PTM007 128,686 CHF Partner National Societies: British Red Cross Other partner organisations involved in the implementation

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

Goal: Сontribute to the reduction in the incidence of tuberculosis through encouraging adherence to treatment and raising awareness of the population.  % of people Below 5 2.9 100 under RC supervision who defaulted Outcome 1:  Treatment Increase in number of success rate TB patients adhering in TB clients 85% 94% 162 to treatment during the under RC continuation phase of supervision treatment.  Number of ex- TB patients willing to join 40 10 25 self-help group Output 1.1:  Number of TB 520 219 42 MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 14 I Turmenistan Consolidated Development Operational Report

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

Targeted TB clients patients receive support in monitored for order to complete treatment treatment. completion

Output 1.2:  % of patients 80 84 105 Mutual support is attending available to TB support groups  Number of patients and members of their families support groups through support functioning 5 5 100 groups. Number of people receiving 416 183 44 psycho-social

support

Output 1.3:  MoU with a bilateral Collaboration with relevant N/A plan of N/A Health authorities and authorities action other organizations to signed with  Evidence of follow-up TB patients the Ministry other mutual and provide social support of Health support. Outcome 2: 80 86 107  % of To improve treatment community seeking behaviour and members who reduce stigma know correctly associated with TB signs of TB, its through awareness transmission and raising work. preventative measures  Number of community 10,000 6,620 66 members who take active

part in TB prevention campaigns in their communities Output 2.1:  Number of 22,000 12,332 62 Information about TB people covered – signs, transmission, by education activities treatment and  % of people prevention is covered by disseminated widely. education 80 89 111 MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 15 I Turmenistan Consolidated Development Operational Report

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

activities who know correctly 4 key symptoms of TB  % of people covered by education 65 62 95 activities who express

tolerance to people with TB  Number of educational activities  Number of 1,100 285 26 campaigns 5 2 40 Output 2.2:  Number of 65 0 Training for volunteers Training of key volunteers who was postponed until the volunteers in outreach received third quarter. training activities.  Number of volunteers 55 65 118 engaged in outreach work

MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 16 I Turmenistan Consolidated Development Operational Report

Annex 4

PROJECT INFORMATION NO. 4 Implementing Secretariat body Geographical coverage: Type of intervention and host National Society: (sector/area): EZO and Turkmenistan RC Baharly, Etrek, Esenguly, Yolatan, Health and care/ CBHFA , Serhetabad, Atamurat, Turkmenbashi, Koytendag, Magdanaly and Kunya-Urgench Actual start date: Actual end date / expected Number of people reached: duration: 01/01/13 31/12/13 15,472 Project Manager: Project Code: Budget:

PTM008 200,110 CHF Partner National Societies: British Red Cross Other partner organisations involved in the implementation

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

Goal: Contribute to Information on this improved % of those trained 5 indicator will be collected health status of the who demonstrate later in the year. population through ability to apply First diseases prevention, Aid skills health promotion, trauma reduction and first aid. % of people 89 87 98 reached who know basic symptoms of the most common

Outcome 1: diseases and prevention Targeted communities measures in 11 % of people rural areas have reached who required 89 87 98 practice personal skills and means to and domestic practice hygiene healthy behaviour. % of people reached who can 37 38 102 apply FA skills correctly % of covered MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 17 I Turmenistan Consolidated Development Operational Report

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

pregnant and breast feeding 80 81 101 women who know and apply basic rules of behaviour and nutrition during pregnancy and in early post-natal period

Level of There is an agreement governmental reached with the Ministry support and N/A of Health and the Ministry participation in the of Education on project educational sessions in

schools and other educational institutions this year. Output 1.1: No. of people 28,000 15,472 55 Some 28,000 people reached with health received training and promotion messages information on communicable No. of skillful and diseases and trained RC trainers 13 13 100 in First Aid. in CBHFA techniques No. of peer educators trained No. of peer 150 45 30 educators promoting healthy 500 540 108 living No. people trained in first aid No. of active 28,000 15,472 55 volunteer-based health committees 11 11 100

Output 1.2: No. of volunteers- 150 52 35 Some 12,500 people educators trained in are 11 project sites No. of male and reached with information female peer and education about educators 500 540 108 reproductive health, No. of men reached safe reproductive and with messages sexual behaviour, about major risks in 5,000 1,998 40 reproductive health, healthy practices, skills and products. and STIs No. of women using reproductive health MXXXXXMAATM001 International Federation of Red Cross and Red Crescent Societies 18 I Turmenistan Consolidated Development Operational Report

Objectives Indicators Achievements in the first half of 2013 Remarks (e.g. explain variances over 10%) Target Actual % of target

services 1,300 1,233 95

Output 1.3: No. of people and The NS conducted villages who 1,100 1,100 100 participatory participated in the 11 assessment assessment of water-related situation and No. of key 1,100 developed relevant stakeholders who interventions aimed at took part in the promoting access to assessment safe drinking water. Proposal which is relevant to the local N/A The proposal needs and to the development is planned NS capacities, for the second half of the knowledge and year. mandate (developed by December 2013)