FINAL NARRATIVE REPORT 1 June 2018 – 31 October 2020

Total Page:16

File Type:pdf, Size:1020Kb

FINAL NARRATIVE REPORT 1 June 2018 – 31 October 2020 FINAL NARRATIVE REPORT 1 June 2018 – 31 October 2020 COMMUNITY-LED EDUCATION, AWARENESS & RESPONSE (CLEAR) PROJECT Funded by SDC and Dutch Embassy Yemen Hajja and Dhamar Governorates January 2021 Page 1 of 28 COMMUNITY -LED EDUCATION, AWARENESS & RESPONSE (CLEAR) PROJECT Final Narrative Report, 01 June 2018 – 31 October 2020 List of Acronyms DRC Danish Refugee Council SDC Swiss Agency for Development and Cooperation NAMCHA National Authority for Management and Coordination of Humanitarian Affairs SCMCHA National Authority for Management and Coordination of Humanitarian Affairs and International Cooperation MoPIC Ministry of Planning and International Cooperation GARWSP General Authority for Rural and Supply Projects LWSC Local Water and Sanitation Corporation NWRA National Water Resources Authority CSO Central Statistics Organization CWMC Community Water Management Committee CF Cleaning Fund CHVs Community Health Volunteers WASH Water, Sanitation, and Hygiene CLEAR Community-Led Education, Awareness & Response (CLEAR) Project KAP Knowledge, Attitudes, and Practices FGD Focused Group Discussion KII Key Informant Interview BCC Behavior Change Communication BoQs Bills of Quantities FWA Framework Agreement HH Household IDPs Internally Displacement Persons IEC Information, Education, and Communication IPTT Indicator Performance Tracking Table ITB Invitation to Bid MoM Minutes of Meeting MoU Memorandum of Understanding INGO International non-governmental Organization NGO Non-governmental Organization CHKs Consumable Hygiene Kits NSA National Security Agency WWTP Wastewater Treatment Plant Page 2 of 28 COMMUNITY -LED EDUCATION, AWARENESS & RESPONSE (CLEAR) PROJECT Final Narrative Report, 01 June 2018 – 31 October 2020 1. EXECUTIVE SUMMARY The CLEAR project primarily focused on infrastructure interventions relevant to water, sanitation, and hygiene (WASH) in three districts in Yemen – Hajjah and Al-Mahabishah districts in Hajjah Governorate, and Dhamar city in Dhamar governorate. The project aimed to improve access to clean and safe water, as well as functional sanitation facilities, enhancing good hygiene practices, and build WASH-related capacities to respond to humanitarian needs of the targeted communities. The project was planned to be implemented over two years from June 2018 to May 2020 in three phases – starting in Hajjah district, Al- Mahabisha district, and then ending with Dhamar city. The project was further extended 5 months until 31 October 2020 due to implementation challenges, which will be elaborated in the report. During the project period, the Danish Refugee Council (DRC) achieved the following: 1. Conducted baseline knowledge, attitudes, and practices (KAP) survey that targeted 390 HHs in two districts (156 HHs in Dhamar city and 234 HHs in Al-Mahabesha district) to assess the WASH situation before intervention, and to identify the suitable hygiene messages in each location. 2. Conducted end-line knowledge, attitudes, and practices (KAP) survey targeted 602 HHs in three districts (252 HHs in Dhamar city, 184 HHs in Al-Mahabesha district and 166 in Hajjah district) (Refer to Annex 1 for the End-line Report). 3. Conducted 31 Focus Group Discussions (FGDs) (11 in Hajjah district, 11 in Dhamar city, and nine in Al- Mahabesha district) for 274 participants. Plus, 37 Key Informant Interviews (KIIs) (14 in Hajjah district, 14 in Dhamar city, and nine in Al-Mahabesha district). The FGDs and KIIs were conducted to further understand the WASH needs of the communities and inform the activities to be implemented under this project. (Refer to annex 2 for FGD reports). 4. Rehabilitated water and sanitation facilities - in 16 sites (ten schools and six health clinics) in the three targeted districts - reaching 25,658 individuals (2,710 Men, 7,122 Women, 7,128 Boys and 8,698 Girls). This intervention contributed to the reduction of absence and dropout rates among students, and helped reduce urinary tract inflammation and diseases for 22% of school children. 5. Provided cleaning materials, and waste disposal equipment to 16 schools and health clinics. 6. Carried out solid waste clean-up campaigns in Dhamar and Al-Mahabesha districts, benefitting 10,603 households (77,439 individuals). DRC also collected and disposed 5,073 m3 of solid wastes in one community in Dhamar divided over the following areas (Al-Dairy Al-Janoobi, Al-Sakaniya Al-Olia, Al- Sakaniya Al-Sufla, Roma, Al-Dairy Al-Gharbi, Herran). Moreover, solid wastes were also disposed of in 2 communities in Al-Mahabesha. First community in Al-Mahabesha include the following areas: (Al- Mahabesha City, and Jabal Al-Mahbashi). Second community includes (Al-Mashan – Hajar Market, Al- Dhola’a, and Al-Dahen). 7. Conducted 2,625 hygiene promotion sessions that reached 15,095 individuals, (3,072 HHs) through 52 trained Community Health Volunteers (CHVs) in the three targeted districts. 8. Distribution of 7,500 Consumable Hygiene Kits (CHKs) to 10,829 individuals, 1,500 HHs. 9. Distribution of 8,350 CHKs reached 10,829 individuals, 1,500 HHs under COVID-19 response. 10. Installation of a water network in Al-Sharaqi area - Hajjah district - with provision of water meters to 64 villages, reaching 1,591 HHs, (An equivalent of 11,140 individuals). 11. Improvement of water supply system in Azzan area - Dhamar district - including a water network of Page 3 of 28 COMMUNITY -LED EDUCATION, AWARENESS & RESPONSE (CLEAR) PROJECT Final Narrative Report, 01 June 2018 – 31 October 2020 8,500 meters in length, and a complete solar system solution. This intervention benefitted 2,361 HHs, 16,527 individuals. 12. Conducted capacity building training for 52 CHVs. There were two separate trainings; the first one was knowledge training, including voluntarism work, WASH aspects, and key hygiene messages. The second one was skills training, including active communication, reporting, success stories writing, and time management. 13. Conducted institutional capacity building training on “designing and operating of solar water supply systems” which was attended by 26 individuals from the water authorities such as GARWASP, Local Water and Sanitation Corporation (LWSC), Ministry of Water and Environment (MOWE) and the National Water Resource Authority (NWRA) in Hajjah, Dhamar and Amanat Al-Asimah, and from DRC staff in both north and south. 14. Establishment of the Community Water Management Committee (CWMC) in Al-Sharaqi area, Hajjah district, which included 14 members who were trained on maintenance, management, and operation of the water supply system. This was done to build on the community’s capacity, ensure community engagement and ensure sustainability of the project as the CWMC is responsible for the management of the water supply system in Al-Sharaqi area. 15. Water quality testing was carried out in the three targeted districts. All water wells tested were clean, and met the World Health Organization (WHO) and Yemeni standards, but only two wells in Al- Mahabesha were contaminated with E-coli. DRC addressed the General Authority for Rural and Supply Projects (GARWSP) office to take an action and chlorinate the water sources, although it was not one of the locations that DRC was directly implementing in. The key challenges faced during the project period was COVID-19 restrictions, which led to delays in implementation of some activities, and prevented key technical staff from traveling to conduct monitoring and supervisory activities. Additionally, the construction of the sewage network and wastewater treatment plant in Al-Mahabesha district, in Hajjah governorate, was delayed due to community-political conflict. Moreover, hygiene promotion sessions were suspended by the local authorities, in addition to preventing DRC’s team from registering beneficiaries for distribution of hygiene kits. Given these challenges, DRC submitted a budget revision and a modified work plan to donor, requesting a 5-months No Cost Extension (NCE) request. 2. COORDINATION WITH STAKEHOLDERS: DRC began coordination efforts with the Ministry of Planning and International Cooperation (MoPIC) in Aden, and the Supreme Council for the Management and Coordination of Humanitarian Affairs (SCAMCHA) - at a central level (Sana’a) - to facilitate approval for the project and sign an agreement. DRC held several meetings with the local authorities at governorate and district’s levels in both Hajjah and Dhamar, including the governors, water authorities (GARWSP, Local Water and Sanitation Corporation LWSC), education and health offices, Cleaning Fund (CF), local councils, community leaders, and other related parties such as security departments. The coordination efforts also included the WASH Cluster and other relevant actors to avoid any duplication of interventions. Accordingly, an agreement was signed by MOPIC/SCAMCHA on the 1 September 2018, which was the actual start date of DRC’s intervention. The works began in Hajjah district as the first phase, in Dhamar Page 4 of 28 COMMUNITY -LED EDUCATION, AWARENESS & RESPONSE (CLEAR) PROJECT Final Narrative Report, 01 June 2018 – 31 October 2020 city as a second phase, and then in Al-Mahabesha district as a third phase. DRC technical team met the local authorities, and conducted an overview meeting that discussed the project’s interventions in each district, including the role of each related governmental entity before, during, and after the implementation. A Memorandum of Understanding (MoU) was signed between DRC and Dhamar governorate. Also, the Minutes of Meeting (MoM) was signed by
Recommended publications
  • Humanitarian Update
    YEMEN HUMANITARIAN Covering 12 March – 18 March UPDATE 2018 | Issue 7 DIPHTHERIA VACCination CAMPAIGN targetS 2.7 MILLION CHILDREN National and international partners have completed a large-scale vaccination campaign with the aim to control the spread of diphtheria in Yemen. Targeting nearly 2.7 million children aged six weeks to 15 years in 11 governorates, the campaign focused on locations reporting suspected cases of diphtheria and areas at high risk of spread of the infectious respiratory disease. On the west coast where violence has recently escalated, 835,775 children were targeted in Al Hudaydah, Hajjah, Al Mahwit and Raymah governorates. The campaign, supported by WHO and UNICEF, is part of a larger response plan that includes strengthening surveillance and case detection, enhancing laboratory testing capacity, procuring and distributing diphtheria anti-toxins to health facilities, and training and deploying rapid response teams to trace contacts and provide preventive treatment in communities. Health education and awareness campaigns were conducted to teach people how to protect themselves against diphtheria and other infectious diseases. First reported in October 2017, diphtheria has spread rapidly, infecting more than 1,300 people and killing over 70. Almost 80 per cent of the caseload are children and young adults below 25 years of age. The rapid spread of the disease highlights major gaps in routine vaccination coverage in recent years and signifies a collapsing health system where only half of all health facilities are partially or fully functioning. In November and December 2017, WHO and UNICEF vaccinated almost 450,000 children under 7 years of age against diphtheria in Ibb – the worst affected governorate accounting for nearly 35 per cent of all reported cases.
    [Show full text]
  • Download File
    Yemen Country Office Humanitarian Situation Report ©UNICEF Yemen/2019/Mahmoud Fadhel Reporting Period: 1 - 31 October 2019 Highlights Situation in Numbers • In October, 3 children were killed, 16 children were injured and 3 12.3 million children in need of boys were recruited by various parties to the conflict. humanitarian assistance • 59,297 suspected Acute Watery Diarrhoea (AWD)/cholera cases were identified and 50 associated deaths were recorded (0.08 case 24.1 million fatality rate) in October. UNICEF treated over 14,000 AWD/cholera people in need suspected cases (one quarter of the national caseload). (OCHA, 2019 Yemen Humanitarian Needs Overview) • Due to fuel crisis, in Ibb, Dhamar and Al Mahwit, home to around 400,000 people, central water systems were forced to shut down 1.71 million completely. children internally displaced • 3.1 million children under five were screened for malnutrition, and (IDPs) 243,728 children with Severe Acute Malnutrition (76 per cent of annual target) admitted for treatment. UNICEF Appeal 2019 UNICEF’s Response and Funding Status US$ 536 million Funding Available* SAM Admission 76% US$ 362 million Funding status 68% Nutrition Measles Rubella Vaccination 91% Health Funding status 77% People with drinking water 100% WASH Funding status 64% People with Mine Risk Education 82% Child Funding status 40% Protection Children with Access to Education 29% Funding status 76% Education People with Social Economic 61% Assistance Policy Social Funding status 38% People reached with C4D efforts 100% *Funds available includes funding received for the current C4D Funding status 98% appeal (emergency and other resources), the carry- forward from the previous year and additional funding Displaced People with RRM Kits 59% which is not emergency specific but will partly contribute towards 2019 HPM results.
    [Show full text]
  • HUMANITARIAN UPDATE Covering 7-21 March 2019 | Issue 5
    YEMEN HUMANITARIAN UPDATE Covering 7-21 March 2019 | Issue 5 KEY ISSUES: • Suspected cholera and acute watery diarrhea cases increased; 108,889 suspected cases were reported between 1 January and 17 March. • According to local authorities, more than 9,700 families were recently displaced to 18 districts in Hajjah Governorate; most live in open spaces and public buildings. • Yemen’s economic situation continues to disintegrate due to the ongoing conflict; GDP has contracted by an estimated 39 per cent since 2014. • The Protection Cluster reports that more than 4,800 civilian deaths and injuries occurred during 2018, an average of 93 civilian casualties per week. • UNICEF paid incentives to 97,000 out of a target of 136,000 teachers who had not received their salary in two years. INCREASE IN SUSPECTED CHOLERA CASES Two years after Yemen suffered its worst cholera Amanat Al Asimah, Al Hudaydah, Sana’a, Ibb, Amran outbreak, the number of reported suspected cases of and Dhamar—which together account for nearly two cholera and acute watery diarrhoea spiked in recent thirds of reported cases. weeks. Data collected by the Ministry of Public Health and Population with the support of WHO indicates that The recent increase in suspected cholera cases is 108,889 suspected cases and 190 associated deaths possibly linked to early rains, increased awareness were recorded between 1 January and 17 March. among the population and therefore a willingness to About one third of the cases are children under age 5. seek testing and treatment, and enhanced disease surveillance. The situation is exacerbated by poor Cholera is endemic in Yemen.
    [Show full text]
  • Livelihoods Assistance – Active Partners Reporting for January 2021
    Partners Monthly Presence (4W Map): Livelihoods Assistance – Active Partners 6 6 6 6 6 6 6 6 1 1 1 1 1 1 1 1 N Amran Reporting for January 2021 <Sadjhg 0 0 0 0 0 0 0 0 E 2 2 2 2 2 2 2 2 r r r r r r r r Saáda 4 partners M e e e e e e e 4 partners Amanat Al asimah 2 partners e Amran A E b b b b b b b b Partners by type & volume of response SFD, UNDP/SFD, WFP/Oxfam 7 partners Y Sana'a m m m m m m m SFD, UNDP/SFD, UNDP/SFD m e e e e e e e WFP/Oxfam e UNDP/SFD, WFP/IRY, WFP/RI Partner Type Volume of Response c c c c c c c c e e e e e e e e 30% INGOs D D D D D D D D FAO/Ghadaq - - - - - - - - NNGOs 4% s s s s s s s s e e e e e e e Hajjah 8 partners e i i i i i i i i t t t t t t t t Amran UN Agencies and partners i i i i i i i i 66% v v v v v v v CARE, HAY, SFD, UNDP/SFD, v i i i i i i i i t t t t t t t WFP/RI t c c c c c c c c Sa'ada a a a a a a a CARE, FAO/RADF a r r r r r r r r e e e e e e e Ale Jawf st st st st st st st st u u u u u u u u l l l l l l l Al Mahwit 5 partners Al Jawf l 2 partners Al Maharah C C C C C C C C CARE, UNDP/SFD, WFP/Care, e e e e e e e SFD, UNDP/SFDe Hadramaut WFP/SDF r r r r r r r r u u u u u u u Hajjah u Amran 9 partners t t t t t t t Amran t Hadramaut l l l l l l l CARE l u u u u u u u u UNDP/SFD, WFP/BCHR, c c c c c c c c i i i i i i i 6 partners i WFP/FMF r r r r r r r Dhamar r Amanat g g g g g g g SFD, UNDP/SFD, g YLDF A A A A A A A A ! WFP/IRY, WFP/SDF Al Asimah .
    [Show full text]
  • Humanitarian Update
    HUMANITARIAN UPDATE Issue 02 / February 2020 Credit: BBC/ Lyse Doucet Medical airbridge launched On 3 February, a group of six In a joint statement, senior UN HIGHLIGHTS chronically ill children and their officials indicated that, “Many carers were flown from Sana’a to United Nations entities and several Medical airbridge launched Amman, Jordan for treatment; governments in the region and P 01 a second plane carrying 23 sick around the world have collaborated men, women and children and to get these patients the treatment UN calls for protection of their companions followed on 8 they need abroad, and we are civilians as war casualties February. The flights are part of grateful to them all. The United spike in Marib, Al Jawf and a United Nations/World Health Nations will do what it can to Sana’a governorates Organization (WHO) medical ensure the continuation of the P 02 airbridge operation transporting medical airbridge as a temporary chronically ill Yemenis who cannot solution to reduce the suffering of Humanitarian community get the treatment they need within the Yemeni people until a more reaffirms commitment to country . Many suffer from different sustainable solution is reached in the Yemen amid concerns on types of cancers, kidney disease, near future.” shrinking operating space congenital anomalies and other Patients for the flights were selected conditions that require specialist P 03 based on need, and their medical treatment. Aid agencies brace to files were reviewed by the High contain cholera ahead of the The launch of the operation was Medical Committee, a group of rainy season welcomed in a joint statement by medical doctors that work with senior UN leadership in Yemen, local health authorities to guide the P 04 including UN Special Envoy, selection process, and by a global YHF allocates a record Mr.
    [Show full text]
  • Amran, Al Mahwit, Hajjah and Sa'ada
    YEMEN - Amran, Al Mahwit, Hajjah and Sa'ada governorates For Humanitarian Use Only The lowest temperatures recorded between December and February (1970-2000) Production date : 04 October 2017 Final District Final District Governorate District Governorate District Priority Priority Al Mahwit Al Khabt Medium Sa'ada Al Dhaher Low or none Al Mahwit Al Mahwait Medium Sa'ada Al Hashwah High Al Mahwit Al Mahwait City Critical Sa'ada As Safra Critical Al Mahwit Ar Rujum Medium Sa'ada Baqim Critical Qatabir Baqim Al Mahwit At Tawilah High Sa'ada Ghamr Medium Al Mahwit Bani Sa'd Critical Sa'ada Haydan Medium Al Mahwit Hufash High Sa'ada Kitaf wa Al Boqe'e Critical Al Mahwit Milhan Medium Sa'ada Majz Critical Al Mahwit Shibam Kawkaban Medium Sa'ada Monabbih Medium Kitaf wa Amran Al Ashah Critical Sa'ada Qatabir Medium As Safra Al Boqe'e Majz Amran Al Madan Critical Sa'ada Razih Medium Monabbih Amran Al Qaflah Critical Sa'ada Sa'adah Critical Amran Amran Critical Sa'ada Sahar Critical Ghamr Amran As Sawd High Sa'ada Saqayn Critical As Safra Sa'ada Amran As Sudah Medium Sa'ada Shada'a Low or none Razih Sa'adah Amran Bani Suraim Medium Amran Dhi Bin Critical Shada'a Saqayn Al Hashwah Amran Habur Zulaymah High Sahar Amran Harf Sufyan Critical Amran Huth Critical Amran Iyal Surayh Critical Amran Jabal Iyal Yazid Critical Al Dhaher Haydan Amran Khamir Critical Amran Kharif Critical Amran Maswar Critical Amran Raydah Critical Bakil Al Mir Harf Amran Shaharah High Sufyan Amran Suwayr Critical Al Ashah Amran Thula High Haradh Qarah Hajjah Abs Critical Hajjah
    [Show full text]
  • YEMEN Food Security Outlook October 2019 to May 2020 Large-Scale Assistance Needs and Risk of Famine (IPC Phase 5) Likely to Persist As War Nears Five Years
    YEMEN Food Security Outlook October 2019 to May 2020 Large-scale assistance needs and risk of Famine (IPC Phase 5) likely to persist as war nears five years KEY MESSAGES • Ongoing conflict continues to disrupt livelihoods, reduce Current food security outcomes, October 2019 incomes, and drive very poor macroeconomic conditions including significantly high prices of food and non-food commodities. It is estimated that approximately 17 million people are in need of humanitarian assistance, representing the largest food insecure population in the world. Crisis (IPC Phase 3) and Emergency (IPC Phase 4) outcomes are widespread. A risk of Famine (IPC Phase 5) persists under a worst-case scenario in which conflict significantly disrupts port operations or cuts off food supply for a prolonged period of time. • Fuel shortages since September have impacted humanitarian operations in Sana’a and other Houthi-controlled areas in northern and central Yemen. This has negatively impacted livelihoods and exacerbated logistical challenges already faced Source: FEWS NET in delivering assistance. Despite these and conflict-related FEWS NET classification is IPC-compatible. IPC-compatible analysis constraints, humanitarian assistance has scaled-up in 2019, follows key IPC protocols but does not necessarily reflect the consensus driving some food security improvements. Assistance deliveries of national food security partners. are expected to continue during the projection period, though delays and pipeline breaks remain possible. • Conflict and flooding in western areas of Yemen have increased displacements and led to access constraints. In September, increased conflict was observed in Al Hudaydah and Hajjah. In Aden, conflict subsided in September after high levels in August.
    [Show full text]
  • Situation Report September 2019
    IOM YEMEN SITUATION REPORT SEPTEMBER 2019 Ethiopian migrants waiting to board a bus to participate in IOM's VHR movement from Sana’a to Addis Ababa. ©IOM 2019/ Headon 106,777 364,332 24,647 People reached through People displaced since People reached through medical consultations the start of 2019 protection activities SITUATION OVERVIEW Yemen - already the Arabian Gulf’s most underdeveloped country - has been devastated by over four years of conflict. The United Nations considers the situation in Yemen to be the world's largest humanitarian crisis, with 14 million people at risk of starvation and repeated outbreaks of deadly diseases like cholera. Over 3.6 million people have been displaced from their homes by the crisis and are in need of humanitarian protection and assistance. In September, the International Organization for Migration’s (IOM) Displacement Tracking Matrix (DTM) Rapid Displacement Tracking tool (RDT) tracked the displacement of 17,046 people, bringing the total number of people displaced in 2019 to 364,332. As a result of increased fighting, the highest new displacements were recorded in Taizz (6,888 ind), Al Hudaydah (4,410 ind) and Aden (3,199 ind). In addition to conflict, natural hazards like heavy rains and floods continue to affect Yemeni people. Displaced people already living in makeshift shelters are among those worst affected, finding themselves displaced for the second, third or fourth time. IOM supports the most vulnerable groups throughout Yemen, including displaced people, conflict-affected communities and migrants through offices in Sana’a, Aden, Al Hudaydah and Marib and satellite presence in all 22 governorates.
    [Show full text]
  • Yemen Humanitarian Situation Report May 2019
    UNICEF YEMEN HUMANITARIAN SITUATION REPORT MAY 2019 - Yemen Humanitarian Situation Report marginalized community during a cholera prevention session conducted femaleby religious leaders in in Al Hasabah district, Sana’a.in ©UNICEF Yemen/2019/Mona Adel. childA from a Highlights May 2019 • On 16 May, multiple air strikes hit various locations in Amanat Al Asimah and Sana’a 12.3 million governorates, killing children and wounding more than 70 civilians. Seven children # of children in need of humanitarian between the ages of 4 and 14 were also killed on 24 May in an attack on the Mawiyah assistance (estimated) district, in the southern Yemeni city of Taiz. This attack increased the verified number 24.1 million # of people in need of children killed and injured the escalation of violence near Sanaa and in Taiz to 27 in (OCHA, 2019 Yemen Humanitarian Needs only 10 days, but the actual numbers are likely to be much higher. Overview) • The number of Acute Watery Diarrhoea/suspected cholera cases has continued to rise 1.71 million since the start of 2019, with 312 out of 333 districts reporting suspected cases this year # of children internally displaced (IDPs) so far. Since 1 January 2019 to 31 May 2019, there have been 365,223 suspected cases 4.7 million and 638 associated deaths recorded (CFR 0.20 per cent). Children under five represent # of children in need of educational assistance 360,000 a quarter of the total suspected cases. # of children under 5 suffering Severe Acute • UNICEF continues to assess and monitor the nutrition situation in Yemen.
    [Show full text]
  • MSF Internal Investigation of the 15 August Attack on Abs Hospital Yemen Summary of Findings
    MSF internal investigation of the 15 August attack on Abs hospital Yemen Summary of findings 27 September 2016 About the investigation This document summarises the findings from the internal investigation of the attack on the Médecins Sans Frontières (MSF)-supported Abs rural hospital in the Hajjah governorate in Yemen. A more detailed report will be released shortly. The objective of the investigation is to ascertain the facts surrounding the attack on the hospital and to establish whether the safety and security of staff and operations can be assured on the ground in Yemen. The investigation was carried out by an MSF humanitarian affairs adviser based at the organisation’s headquarters (HQ) in Barcelona, with critical support from past and present MSF staff involved in the Yemen operations at HQ and field level. For the purpose of this internal review, 35 interviews were conducted with key MSF staff from the Yemen mission and the Abs hospital project, including direct eyewitnesses of the attack, and with patients who were at the hospital at the time of the airstrike. Additionally, relevant internal and external documentation, Yemen context analyses and photographic material were reviewed. Introduction On Monday 15 August at 3.40pm local time, the Abs rural hospital in Hajjah governorate in northwestern Yemen was hit by an airstrike killing 19 people, including one MSF staff member, and injuring 24 others. At the time of the attack, there were 23 patients in surgery, 25 in the maternity ward, 12 in paediatrics and 13 newborns at Abs hospital. The airstrike constituted the fifth and deadliest attack on an MSF-supported medical service in Yemen in the past year, amidst countless attacks on other health facilities and services all over the country.
    [Show full text]
  • Conflict Escalation in Hajjah, Yemen Anticipatory Briefing Note – 14 April 2019
    YEMEN Conflict escalation in Hajjah, Yemen Anticipatory Briefing note – 14 April 2019 Escalation of conflict in Hajjah governorate, particularly in Abs district, risks displacing up to 400,000 people IDPs are likely to move in two directions: 1) South along the Tihama plain into northern Al Hudaydah, an area heavily impacted by the conflict-related displacement 2) To eastern districts of Hajjah, which have the highest cholera rates in the governorate and poor food security. IDPs are likely to present acute needs, exceeding the capacities of the current response. Abs district, in the direct path of the offensive, hosts up to 210,000 IDPs in over 160 settlements. Most have already been displaced multiple times and have acute shelter, WASH, food, and health needs. Conflict in Abs is likely to disrupt vital WASH and health services. Abs hosts the main water source and the district hospital. With the ongoing rainy season, and cholera cases already on the rise, these services are particularly important and should be protected. Key risks and anticipated impact +400,000 new IDPs from south of Hajjah +120,000 without a primary water source +50,000 facing IPC 5 food insecurity Map created by ACAPS Yemen Analysis Hub Any questions? Please contact us at: [email protected] Conflict developments: main dynamics Anticipated crisis impact Conflict in Hajjah escalated in February 2019, with tribal conflicts in the east and pro-Hadi Escalation of violence leads to displacement and damage to vital forces advancing down the western half of the governorate. The number of reported fatalities in Q1 of 2019 increased by 300% compared to Q1 2018 (379 fatalities reported infrastructure in Q1 2018, 1,143 fatalities reported in Q1 2019) (ACLED access 9/04/2019).
    [Show full text]
  • HAJJAH FLASH UPDATE 23 February - 11 March 2019 | Issue 3
    YEMEN HAJJAH FLASH UPDATE 23 February - 11 March 2019 | Issue 3 SITUATION OVERVIEW Conflict affected districts in Hajjah Governorate Hajjah Governorate is one of the most conflict-affected governorates in Yemen. In the last six months, the Legend number of people displaced by violence across the Main Roads governorate has increased sharply from 203,000 to District Border around 420,000 people. IDPs are scattered in more ° SAUDI ARABIA than 300 settlements in different districts. 10 Km During the reporting period, violence continued, Haradh with airstrikes and shelling incidents reported in Haradh, Hayran and Midi districts. In late January, Kushar district became a new flashpoint when clashes AMRAN broke out between pro-Ansar Allah forces and the Hayran Hajour tribesmen of Kushar. In early March, following Mustaba a change in the areas of control in Kushar district, Midi fighting intensified with airstrikes reported daily along Kushar with IED attacks against local prominent figures. HAJJAH As a result, the district continues to witness very high levels of civilian impact. There is a lack of verified civilian casualty figures in the district due to access constraints. However, field reports from Hajjah Governorate indicate that scores of civilians have been killed by strikes on houses in Kushar District during the past two days. Medical sources report that 22 people AL HUDAYDAH have died, including 12 children and 10 women. As HAJJAH GOVERNORATE many as 30 people have been reportedly injured, Hajjah City including 14 children. Many of the injured children have been sent to hospitals in Abs district and in Sana’a for treatment and several require possible evacuation to survive.
    [Show full text]