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Somalia Ncc Rationlization Plan

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Somalia Ncc Rationlization Plan SOMALIA NUTRITION CLUSTER Contents Overview and Background ................................................................................................................... 2 Challenges with previous rationalization ............................................................................................ 2 Functions of the cluster ........................................................................................................................ 4 Accountability to the affected population (AAP) ............................................................................... 4 Objectives of the revision of the rationalization plan II .................................................................... 4 Conceptualization ................................................................................................................................. 5 Principles of rationalization plan II (as outlined and endorsed by SAG) ........................................ 5 Steps in the planning process ............................................................................................................... 6 Partners’ Eligibility Criteria; .............................................................................................................. 6 Timeline, implementation and participants ........................................................................................ 6 Results by region as per order of the meetings held .......................................................................... 7 Bay and Bakool regions ........................................................................................................................ 7 A. Suggestions brought forth; ...................................................................................................... 7 B. Agreed actions/revision made ................................................................................................. 7 C. Pending issues for further bilateral discussion & respectively agreed follow up action ... 8 Banadir, Lower Shebelle and Middle Shebelle .................................................................................. 8 A. Suggestions brought forth; ...................................................................................................... 8 B. Agreed actions/revision made ............................................................................................... 10 C. Pending issues for further bilateral discussion & respectively agreed follow up action . 10 Gedo, Lower and Middle Juba .......................................................................................................... 10 A. Suggestions brought forth; .................................................................................................... 10 B. Agreed actions/revision made ............................................................................................... 11 C. Pending issues for further bilateral discussion & respectively agreed follow up action . 12 Hiran, Galgadud and Mudug ............................................................................................................. 13 1. Suggestions brought forth; .................................................................................................... 13 2. Agreed actions/revision made ............................................................................................... 14 3. Pending issues for further bilateral discussion & respectively agreed follow up action . 15 Overall remarks .................................................................................................................................. 15 Annexes ................................................................................................................................................ 15 Rationalized cluster members logo ..................................................................................................... 15 Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel : +254-20-7628400 United Nations, Block Q, Nairobi, Kenya Fax : +254-20-7623989 1 http://somalia.humanitarianresponse.info/clusters/nutrition For more information, contact; Samson Desie-Nutrition Cluster Coordinator: [email protected] Page SOMALIA NUTRITION CLUSTER Overview and Background Following the 2011 famine many partners responding had created a rapid scale up in geographic coverage of nutrition services in Central South Somalia. Because of the time critical lifesaving nature of the response, opening of new service delivery points was driven by need and access opportunities rather than a strategic planning process with a clear rational basis for planning of the geographic coverage for both facility based and mobile/outreach nutrition services. While the goal for expansion of coverage of treatment services was attained during the famine response, however geographic coverage was not adequately optimised and inefficiencies in service provision were noted in a number of areas while cases of duplication and overlap of services were also quite widespread. As a result of this, the nutrition cluster and its partners undertook a rationalisation exercise of IMAM services in Central South Somalia (CSZ) during the last quarter of 2012 in order to ensure that the geographic coverage of services was applied in a rational fashion with a clear planning basis for establishing baseline IMAM service provision requirements at the district level with provisions for potential scale up in the event emergency programmes are required. However few challenges remain unsolved besides emerging realities, new developments, change in programming and/or new issues that need further consideration such as risk management and related issues. Below is few challenges of Rationalization Plan I; Challenges with previous rationalization (mainly related to IMAM Service planning challenges); 1. Vertical programming within the health sector with no clear strategy for integration of health and nutrition primary health care services. Clear direction in EPHS areas and Integration in non EPHS regions/districts is an issue that needs some attention in the rationalisation plan II. 2. Lack of a clear planning basis and blueprint for health and nutrition service planning in Central South Somalia. Most of the districts/regions in CSZ have their unique dynamic such as clan dynamics, access issues etc... This remains a challenge and rationalization plan would handle in carefully while maintaining the critical need of delivering services over claiming territory. 3. Lack of a clear planning basis for EPHS and guidance on how to account for other programmes / funding streams like SNS and IOC initiatives in the planning process. 4. Lack of standardisation/uniformity in OTP and TSFP criteria led to discordance and lack of alignment in the OTP/TSFP service delivery sites in some districts during the planning exercise besides prevailing absence of integration in service delivery. 5. Lack of clear guidance / criteria for defining mobile OTP/TSFP sites led in some cases to arbitrary application of criteria in defining mobile sites. 6. Development of IMAM Service plans in inaccessible / partially accessible districts was a challenge because of lack of adequate planning information. Nutrition Cluster Coordination UNICEF Somalia Support Centre (USSC) Tel : +254-20-7628400 United Nations, Block Q, Nairobi, Kenya Fax : +254-20-7623989 2 http://somalia.humanitarianresponse.info/clusters/nutrition For more information, contact; Samson Desie-Nutrition Cluster Coordinator: [email protected] Page SOMALIA NUTRITION CLUSTER Similarly, Resource mobilization, flexible long term funding, and risk management related issues surfaced that needs further consideration in the review of rationalization plan. Accordingly as a follow up of the first consultative meeting held in Nairobi with all cluster partners during 12 th – 13 th January, 2015; that lay foundation for the cluster road map plan besides outlining an action point for rationalization plan II states; “Revision of the rationalization plan in the context of available funds versus the needs and in the context of improving accessibility …”. This has subsequently strengthened the need for finalizing rationalization plan II by the end of May 2015 on the cluster wide quarter one action review meeting held in Nairobi on 30 th March – 2nd April 2015. This meeting had also given the mandate for the cluster coordination (as part of cluster core function) and it’s SAG to lead the process alongside MoH. Hence total of ten consultative meetings held during the months of April and May 2015 in various locations including at regions in Somalia (two SAG, four consultative, and four bilateral negotiation meetings) in finalizing the rationalization plan II. In all the meetings aforementioned background and challenges have been discussed in-depth besides core functions of the cluster; objectives, principles and concepts for rationalization plan II; planning steps and process; eligibility criteria’s and finally joint revision and endorsement of proposed partners per district in each region in all the meetings. there was full representation all relevant stakeholders at all levels, including MoH officials officially nominated by HE the Deputy Minister of MoH and decisions for the rationalization plan II were made jointly by all relevant parties. Similarly series of bilateral meetings held in Mogadishu and Nairobi between the cluster and OIC (Organizations of Islamic Cooperation) on how
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