ICRC South Sudan Essential Healthcare Support Project Social Assessment ICRC South Sudan Social Assessment Essential Health Services Project December 2018 1 ICRC South Sudan Essential Healthcare Support Project Social Assessment 1 Contents List of Acronyms......................................................................................................................................4 1 Executive Summary .................................................................................................................................5 2 Methodology ...........................................................................................................................................6 3 Background information..........................................................................................................................6 4 Purpose and Objectives ...........................................................................................................................7 5 Description of the Proposed Project........................................................................................................7 5.1 High-impact Primary Healthcare Services in South Sudan for the Most Vulnerable and Affected Communities...................................................................................................................................7 5.2 Mental Health and Psycho-social Support in ICRC Supported Health Facilities .............................8 5.3 High-impact Secondary Healthcare Services at the Community Level...........................................8 6 Context ....................................................................................................................................................8 6.1 6.1. Socio-cultural Context..............................................................................................................8 6.1.1 Jonglei State........................................................................................................................9 6.1.2. Upper Nile State ...............................................................................................................10 6.1.3. Secondary areas of intervention.......................................................................................10 6.1.4. IDPs ...................................................................................................................................11 6.2 Institutional Context .....................................................................................................................12 6.2.1 Ministry of Health.............................................................................................................12 6.2.2 Ministry of Gender, Culture, and Social Welfare..............................................................12 6.2.3 Civil Society.......................................................................................................................13 6.2.4 ICRC...................................................................................................................................13 6.3 Historical Context..........................................................................................................................13 6.4 Political Context ............................................................................................................................13 6.5 Legislative and Regulatory Considerations ...................................................................................14 5.5.1. Stockholm Convention, 2001............................................................................................14 5.5.2. Basel Convention, 1989 ....................................................................................................15 5.5.3. African Union Convention for the Protection and Assistance of Internally Displaced Persons in Africa (Kampala Convention), 2009 ..............................................................................15 5.5.4. The Transitional Constitution of 2011 ..............................................................................15 5.5.5. Public Health Act of 1975 .................................................................................................15 5.5.6. Public Health (Water and Sanitation) Acts (2008) for South Sudan .................................15 5.5.7. Environmental Policy of South Sudan, 2010.....................................................................15 5.5.8. The Environmental Protection Act, 2001 .........................................................................16 5.5.9. Local Government Act, 2009 ............................................................................................16 5.5.10. South Sudan Health Policy, 2015......................................................................................16 5.5.11. South Sudan Water Policy, 2007 ......................................................................................16 2 ICRC South Sudan Essential Healthcare Support Project Social Assessment 5.5.12. The Labor Act, 2017..........................................................................................................16 5.5.13. General Education Act, 2012 ............................................................................................17 5.5.14. The Child Act, 2008 (Act No. 10 of 2008)..........................................................................17 5.5.15. The Southern Sudan Human Rights Commission Act, 2009 .............................................17 5.5.16. The South Sudan National Gender Policy, 2012...............................................................17 5.5.17. World Bank, Operational Policy 4.10 – Indigenous Peoples.............................................18 5.5.18. The Geneva Conventions..................................................................................................18 5.5.19. ICRC Headquarters Agreement.........................................................................................18 7 Stakeholder Participation and Consultations ........................................................................................19 7.1 Broader Framework ......................................................................................................................19 7.2 Community Protection..................................................................................................................20 7.2.1 CBP Workshops.................................................................................................................21 7.3 Staffing and Hiring.........................................................................................................................22 7.4 Acceptance and Access.................................................................................................................22 7.5 Project-specific Consultations and Community Engagement.......................................................22 8 Key Social Issues, Risks and Mitigation Measures .................................................................................23 8.1 Social Diversity and Gender ..........................................................................................................23 8.2 Institutions, Rules and Behavior ...................................................................................................24 8.3 Social Risks and Mitigation Measures...........................................................................................24 8.4 Grievance Redress.........................................................................................................................27 9 Strategy, Planning, Implementation and Monitoring............................................................................29 10 Annex 1 – ICRC Code of Conduct ...........................................................................................................32 11 Annex 3 – Note on Community-based Protection.................................................................................37 12 Annex 4 – Note on Diversity in ICRC Operations ...................................................................................37 13 Annex 5 – Selected Economic Activity Indicators – Jonglei and Upper Nile..........................................37 3 ICRC South Sudan Essential Healthcare Support Project Social Assessment List of Acronyms AAP Accountability to Affected People CBP Community-based Protection CHC Community Health Committee CHD Community Health Director CoC Code of Conduct GBV Gender-based Violence GoSS Government of South Sudan HCiD Healthcare in Danger ICRC International Committee of the Red Cross IDMC Internal Displacement Monitoring Center IDP Internally Displaced Person IHL International Humanitarian Law IOM International Organization for Migration MHPSS Mental Health and Psychosocial Support NGO Non-governmental Organization NIIHA Neutral, Impartial, Independent Humanitarian Action OCHA Office for the Coordination of Humanitarian Affairs PfR Planning for Results PHC Primary Healthcare PMT Planning and Monitoring Tool PoC Protection of Civilians UNDP United Nations Development Program UNHCR Office of the United Nations High Commissioner for Refugees UNICEF United Nations Children’s Fund UNMISS United Nations Mission in South Sudan WB World Bank 4 ICRC South Sudan Essential Healthcare Support Project Social Assessment 1 Executive Summary Present in Juba since 1980, the International Committee