Report of the WFP-UNHCR Joint Assessment Mission 15 th -24 th June 2008 Bangladesh WFP-UNHCR Joint Assessment Mission 2008: Bangladesh Mission members Mr Gerald Daly Senior Regional Programme Advisor Team Leader WFP Regional Bureau for Asia, Bangkok Dr Herve Isambert Senior Regional Public Health and Nutrition Coordinator Co-Team Leader UNHCR Kathmandu, Nepal Dr Zahid Jamal Health and Nutrition Coordinator UNHCR Cox’s Bazar Mrs Mary Flomo-Hall Community Services Officer UNHCR Cox’s Bazar Mrs Susana Camacho Associate Programme Officer UNHCR Cox’s Bazar Mr Siddiqul Islam Khan Senior Programme Officer WFP South Coordination, Chittagong Mr El-Fatih Bakhiet Head of Logistics and Procurement WFP Dhaka Mr Abdul Quddus Head of Nutrition and Fortification WFP Dhaka Ms Lindy Hogan Programme Officer WFP Cox’s Bazar Mr Muhammed Ahsanul Jabbar Head of Myanmar Refugee Cell Ministry of Food and Disaster Management, Dhaka Mr ANM Nazim Uddin Camp-in-Charge, Nayapara Refugee Camp Ministry of Food and Disaster Management, Cox’s Bazar Grateful Thanks The JAM members would like to express their gratitude to the Government of Bangladesh, particularly officials from the Ministry of Food and Disaster Management, including the Refugee Relief and Repatriation Commissioner (RRRC), Myanmar Refugee Cell officials, local government officials and the Camp-in-Charges (CICs) for their co- operation and assistance. The assistance was not only valuable in terms of technical inputs but also highly appreciated in terms of the hospitality they provided. The JAM members would also like to acknowledge the hard-working staff of different government Ministries, UNHCR, WFP and all the NGO's and organisations that provide assistance to Rohingyas. We would like to especially thank the members of the refugee community who met with the JAM mission and especially those who allowed us into their homes and shared their personal stories. JAM members August 2008 2 WFP-UNHCR Joint Assessment Mission 2008: Bangladesh Table of Contents 1. Main Findings of the 2008 JAM ........................................................................................................................... 5 Main achievements since the 2006 JAM ....................................................................................................... 5 2. Background ........................................................................................................................................................... 6 3. Operational Context .............................................................................................................................................. 6 4. Objectives and Methodology ............................................................................................................................... 7 5. Refugee Demographics ........................................................................................................................................ 8 6. Health ..................................................................................................................................................................... 9 6.1 General Health Services .......................................................................................................................... 9 6.2 Mortality and Morbidity ........................................................................................................................... 10 6.3 Out-Patient and In-Patient Departments ................................................................................................ 10 6.4 Reproductive Health .............................................................................................................................. 11 6.5 Child Health ........................................................................................................................................... 11 6.6 Communicable Disease Control ............................................................................................................ 12 6.7 Infection Prevention in Healthcare Centres ........................................................................................... 12 6.8 Health Recommendations...................................................................................................................... 12 7. Nutrition .............................................................................................................................................................. 13 7.1 Kitchen Gardening ................................................................................................................................. 13 7.2 Growth Monitoring and Promotion ......................................................................................................... 13 7.3. Selective Feeding Programmes ............................................................................................................ 13 7.3.1. Supplementary Feeding Programme ................................................................................................. 14 7.3.2. Therapeutic Feeding Programme ...................................................................................................... 14 7.4 Food Basket Composition ...................................................................................................................... 14 7.5 Nutrition Recommendations................................................................................................................... 15 8. Water, Sanitation and Shelter ............................................................................................................................ 16 8.1 Water Supply ......................................................................................................................................... 16 8.2 Sanitation ............................................................................................................................................... 16 8.2.1 Toilets.................................................................................................................................................. 16 8.2.2 Bathing Cubicles ................................................................................................................................. 16 8.2.3 Drainage ............................................................................................................................................. 16 8.2.4 Waste Disposal System ...................................................................................................................... 16 8.3 Shelter .................................................................................................................................................... 17 8.4 Water, Sanitation and Shelter Recommendations ................................................................................. 17 9. Self Reliance ........................................................................................................................................................ 17 9.1 Livelihoods: Men .................................................................................................................................... 18 9.2 Livelihoods: Women ............................................................................................................................... 18 9.3 Skills Training ......................................................................................................................................... 19 9.4 Self Reliance Recommendations ........................................................................................................... 19 10. Food ................................................................................................................................................................... 20 10.1 Food Security ....................................................................................................................................... 20 10.2 Food Procurement and Delivery .......................................................................................................... 21 10.3 Food Distribution .................................................................................................................................. 21 10.4 Food Basket Monitoring ....................................................................................................................... 22 10.5 Warehousing ........................................................................................................................................ 22 10.6 Food Management and Commodity Control ........................................................................................ 23 10.7 Scooping and Packaging ..................................................................................................................... 23 10.8 Pipeline Breaks .................................................................................................................................... 23 10.9 Food Recommendations ...................................................................................................................... 23 11. Non-Food Items ................................................................................................................................................. 24 3 WFP-UNHCR Joint Assessment Mission 2008: Bangladesh 11.1 Non-Food Item Recommendations .....................................................................................................