ZRCS 2017 PROGRAMME DEVELOPMENT ANNUAL REPORT DOCUMENT INFORMATION Version number 01 Individual responsible: Nambuka Patricia as at 31 December 2017 INTERVENTION INFORMATION Implementing host Geographical coverage Type of intervention (sector/area): National Society: Zambia Red Cross Sesheke District OVC Care and Support Society Mongu District WASH/ HIV Prevention Limulunga District Maternal Neonatal Child and Health Limulunga, Luampa, Kalabo Districts Pneumonia Reduction Project Lusaka District Epidemic Control (Cholera Prevention Nchelenge/ District Solwezi, Kaoma, Kalumbila Restoring Family Links Nchelenge, Chienge, Mpulungu, Kaputa, Emergency Population Nsumbu, Kakoma and Kipushi Districts movement/Restoring Family Links Chipata, Kapiri Mposhi, Kasama, Petauke Field dissemination of safe access framework Choma, Mpongwe Petauke Districts Branch Development Chavuma, Kabompo Zambezi Districts Emergency preparedness and Risk Reduction activities (RP2) Various parts of the country Commercial/Traditional First Aid Partner National Societies Netherlands Red Cross, Japanese Red Cross, IFRC, Belgium RC, ICRC, OFID Other partner organisations Disaster Management and Mitigation Unit, Ministry of Health, Ministry of Community Development, UNICEF, Ministry of Education, TDH, UNICEF, UNHCR, UNFPA, District Administration Offices. ZRCS 2017 Annual Report 1. In Brief Programme Purpose: In line with the International Federation of Red Cross and Red Crescent Societies’ (IFRC) Strategy 2020, the expected outcome of the 2017 support programs was that communities are resilient to disasters and public health emergencies, with protected livelihood and strengthened capacity to recover from disasters and crises, with health and safe living, social inclusion and a culture of non-violence and peace. Programme(s) summary: The main health and care developmental projects implemented under the period under review were those started between 2014 and 2016. 1 new project was embarked on within 2017. These projects are: Extension of the Maternal, Neonatal and Child Health (Resilient Babies Project) in Limulunga – Western Province, Extension of 3FM Diarrhoea Reduction Project in Limulunga – Western Province, OFID – Diarrhoea Reduction Project and HIV Prevention in Limulunga and Mongu in and HIV/AIDS - Orphan and Vulnerable Children Support Project in Sesheke in Western Province The above mentioned projects were implemented with the aim of reducing risk of Diarrhoea among under 5 children through improved water and sanitation coverage, hygienic behavior, health seeking behavior and improved access to community health services in selected villages in Limulunga District, improving access to water, sanitation, hygiene (WASH) and HIV services in selected villages of Limulunga District, improving Maternal Neonatal and Child Health (MNCH) - reducing maternal and neonatal mortality, reducing morbidity and mortality rates in under 5 children due to Pneumonia and contributing to the reduction of the impact of HIV among Orphans and Vulnerable Children (OVCs). Implementation of these projects under Health within the targeted communities resulted in the following: Improved health seeking behavior, Increased Community knowledge and health seeking behavior on Safe Motherhood issues, Increased access to toilets (from 51% to 76%), Increased access to safe drinking water from 35% to 76%, Decreased incidence of diarrhea, increased knowledge on HIV prevention that would ultimately help reduce HIV new infections, increase on the utilization of available Safe Motherhood facilities and services by the communities, e.g., increased institutional deliveries, reduced Maternal deaths, improved awareness on OVC care and support, improved school attendance by OVCs and improved school performance by 40% at grade 9 Under the Disaster Management Department, ZRCS focus during the reporting period was the refugee’s operation in North of the Country. Refugees from DRC mainly crossing into Zambia through the Mpulungu, Nsumbu and Chienge border points. The role of ZRCS was to provide food, shelter, water and clothing to the new arrives. To achieve this, the National Society trained 210 volunteers in each district in Emergency Response Preparedness and designated a Reception Centre in each District with the support of UNHCR and Commissioner for Refugee (COR). Under the reporting period a total of 13, 540 refugees were reached by the Red Cross through this operation. In Chavuma, Kabompo and Zambezi the NS is working with district authorities and communities to build the resilience of the communities in Disaster Preparedness with the funding and technical support of the NLRC. Under the reporting period the NS trained a total of 270 Satellite Disaster Management Committee (SDMC) members in 3 districts above. The Branches were supported to conduct elections for new office bearers who were also inducted. ZRCS 2017 Annual Report With support from ICRC, 4 Branches benefited on practical field safe access disseminations. The target was the districts/branches that have a potential of experiencing some violence during elections and branches that have struggling leadership. This dissemination was jointly conducted with ICRC and Zambia RC staff. Plans for next 6 months. • Implementation of the NS Strategic plan 2017- 2020 • Mid-term review of the Pneumonia Reduction Project in Western Province • Implementation of OVC project in a new site • End-line evaluation of the OFID/IFRC WASH/HIV project • Draft new project proposals • Conduct the FbF National Dialogue Platform • Organize the Partnership Meeting with all ZRCS Partners (international and local) 2. Financial Status Financial status explanation: Budget and expenditure analysis (CHF) A. Annual approved budget 2, 110, 941 CHF B. Total funding to date 2, 099, 649 CHF C. Funding to date as % of annual budget (B ÷ A) 99.5% 3. Situation/Context Analysis – (Positive & Negative Factors) Zambian has continued to have a peaceful political atmosphere under the current government though during the mid-year, the country experienced a few pockets of violence in major towns, a situation that the government took serious measures to curb. Economically, Zambia seems to be relatively stable posting positive growth and reduction of inflation to a single digit. The Zambian kwacha was relatively stable against major convertible currencies such as the Euro, CHF and USD during the course of the year. Though Zambia is a lower middle-income country, economic progress has not benefitted everyone. There are large pockets of poverty and under-development among different social groups. Children and women are especially vulnerable to the devastating impact of poverty and social exclusion1. Inadequate and inequitable access to safe water and sanitation services, coupled with poor hygiene practices, 1 UNICEF: Zambia Annual Report 2016 ZRCS 2017 Annual Report continue to threaten the health and growth of children in the country. Despite a five percentage point reduction in stunting among children (from 45% in 2007 to 40% in 2014)2 chronic malnutrition remains a persistent challenge in Zambia, affecting children’s growth and intellect, and draining economic productivity. HIV prevalence has declined significantly among the adult population in Zambia but children, adolescents and women continue to be vulnerable to infection. Zambia continues to make progress in lowering its high maternal and child mortality rates but more needs to be done to strengthen the health system and increase public demand for healthcare3 Findings from the 2013-14 Demographic and Health Survey revealed that child mortality had reduced from 119 in 2007 to 75 deaths per 1,000 live births. Neonatal and infant mortality continue to represent the larger share of child mortality and immunization coverage is not improving. In the year under review, Zambia experienced an outbreak of cholera in Lusaka declared on 6th October 2017 by the Ministry of Health.; this affected business in the capital city due to embargos imposed by authorities in order to improve on sanitary situation and control the cholera epidemic. Though there were some cholera cases reported outside Lusaka, the epidemic concentrated in the capital city and projects outside Lusaka remained undisturbed by the disease outbreak and activities were implemented as planned The protracted political stalemate in the Democratic Republic of Congo (DRC), characterized by delays to hold presidential elections has spiraled into pockets of instability in some parts of the country, especially the eastern portion, where various militia groups have continued clashes with the Government forces. Though a continuous stream of DRC refugee have found international protection in Zambia for decades, the recent political instability has resulted in a humanitarian crisis that has led to an increased number of persons fleeing to neighboring countries, including Zambia. Most of the arrivals in recent months are from Haute Katanga’s Pweto areas, and Tanganyika’s Moba hinterland. While most of the new arrivals enter Zambia through the Chiengi border, some are crossing into the country through other entry points including Nsumbu, Kaputa and Mpulungu in the Northern Province, Kipushi and Kakoma in the North Western Province as well as Kasumbalesa and Sakania in the Copperbelt Province. Some new arrivals have also gone directly to Lusaka, the country’s capital. Refugees arriving through other entry points (other than the Chiengi border area) are relocated to Meheba and Mayukwayukwa Refugee