Download - South Sudan Shelter NFI Cluster

INTERNATIONAL ORGANIZATION FOR MIGRATION

RAPID RESPONSE FUND SOUTH SUDAN AND ABYEI 2016-2017 GUIDELINES

RRF GUIDELINES 2016-2017

CONTENTS

2

3

1. BACKGROUND

4

2. OBJECTIVE

5

3. APPLICATION PROCEDURES

5 5 6 6

3.1. 3.2. 3.3. 3.4.

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4. GUIDELINES FOR THE SECTORS OF INTERVENTION

ELIGIBILITY SELECTION OF GRANTS TRIGGERS FOR ACTIVATING THE RAPID RESPONSE FUND PROPOSAL REQUIREMENTS

9 10

SECTOR 1 LOGISTICS SUPPORT, RELIEF COMMODITIES

13 15 15

SECTOR 2 HUMANITARIAN COORDINATION AND INFORMATION MANAGEMENT

16 17 19 20

SECTOR 3 WATER, SANITATION AND HYGIENE (WASH)

22 25 26 26 27 27

SECTOR 4 HEALTH

29 31 32 32

SECTOR 5 NUTRITION

34 35 37

SECTOR 6 SHELTER AND SETTLEMENTS

39 40 42 43

SECTOR 7 PROTECTION

44 45 47

SECTOR 8 ECONOMIC RECOVERY AND MARKET SYSTEMS

48

NOTES ON BUDGET PREPARATION

SUB-SECTOR 1.1 NON-FOOD ITEMS (NFIS) SUB-SECTOR 2.1 COORDINATION SUB-SECTOR 2.2 INFORMATION MANAGEMENT

SUB-SECTOR 3.1 WATER SUPPLY INFRASTRUCTURE SUB-SECTOR 3.2 SANITATION INFRASTRUCTURE SUB-SECTOR 3.3 HYGIENE PROMOTION SUB-SECTOR 4.1 COMUNICABLE DISEASES SUB-SECTOR 4.2 REPRODUCTIVE HEALTH SUB-SECTOR 4.3 NON-COMMUNICABLE DISEASES SUB-SECTOR 4.4 COMMUNITY HEALTH EDUCATION / BEHAVIOR CHANGE SUB-SECTOR 4.5 MEDICAL COMMODITIES INCLUDING PHARMACEUTICALS

SUB-SECTOR 5.1 MANAGEMENT OF MODERATE ACCUTE MALNUTRITION (MAM) SUB-SECTOR 5.2 MANAGEMENT OF SEVERE ACUTE MALNUTRITION (SAM) SUB-SECTOR 5.3 INFANT AND YOUNG CHILD FEEDING AND BEHAVIOR CHANGE SUB-SECTOR 6.1 EMERGENCY / TRANSITIONAL SHELTERS SUB-SECTOR 6.2 CAMP DESIGN AND MANAGEMENT SUB-SECTOR 7.1 CHILD PROTECTION SUB-SECTOR 7.2 PREVENTION AND RESPONSE TO GENDER BASED VIOLENCE (GBV) SUB-SECTOR 7.3 PSYCHOSOCIAL SUPPORT SERVICES

SUB-SECTOR 8.1 MARKET SYSTEM REHABILITATION SUB-SECTOR 8.2 TEMPORARY EMPLOYMENT

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1. BACKGROUND With the aim of enabling a rapid humanitarian response to new aspects of the ongoing crisis, both natural and man-made disasters in South Sudan and Abyei, and through the support of USAID/OFDA, IOM is implementing the Rapid Response Fund: South Sudan and Abyei (RRF – SS). This is to be done through the provision of sub-grants to allow for immediate access to funds for emergency humanitarian activities. The activities related to these grants will maintain a delivery-oriented and needs-based relief support focus in the below listed sectors during the critical early stages or in the course of emergencies: 1. LOGISTICS SUPPORT, RELIEF COMMODITIES 2. HUMANITARIAN COORDINATION AND INFORMATION MANAGEMENT 3. WATER, SANITATION AND HYGIENE (WASH) 4. HEALTH 5. NUTRITION 6. SHELTER AND SETTLEMENTS 7. PROTECTION 8. ECONOMIC RECOVERY AND MARKET SYSTEMS Within the framework of this project IOM will be in charge of the administration and management of grants to be selected to humanitarian organizations in order to provide a rapid response to humanitarian emergencies. The objective of the RRF – SS is to meet emergency humanitarian needs of the most vulnerable populations, namely those affected by new aspects of the ongoing crisis, either natural and/or man-made disasters, by providing a flexible, effective and need-based funds disbursement mechanism to humanitarian actors operating in multiple sectors of the emergency response.

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2. OBJECTIVE The RRF – SS will target agencies and organizations that are working in emergency-affected areas of South Sudan and Abyei and have the capacity to swiftly implement specific emergency interventions that meet immediate needs of people affected by new aspects of the ongoing crisis, either natural or manmade disasters. Selected organizations, in close coordination with IOM and local communities, will serve beneficiaries that are identified as the most vulnerable individuals in the affected communities, be they IDPs, host communities, or returnees or others in need of direct life-saving assistance and will work to achieve the following results: -- life-saving humanitarian assistance to people affected by new aspects of the ongoing crisis, both natural disasters such as flooding or man-made disasters; -- distribution of NFIs and ES material; -- rapid assessments to support planning and inter-agency co-ordination; -- implementation of water and sanitation interventions; -- emergency health care; -- emergency nutrition services; -- emergency responsive protection support mechanisms; -- economic recovery measures to support market systems. Please note that the following activities are not supported through the RRF: Ongoing development programming, Government salaries, Sub-sub-partners, Office start-up costs, Education, Livelihoods, Food Security, Peace-building, Food, HIV/AIDS programming, and large-scale or wholly new permanent Construction activities.

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3. APPLICATION PROCEDURES In order to be considered eligible to receive RRF-SS grants, prospective organizations should complete the RFF General Application (Annex I). the RFF Proposal and Reporting Form (Annex III) , the RRF Work-plan Template (Annex V) RRF Budget with Budget Notes Template (Annex VI) and any required Waivers (Annex IX). These should be submitted in word or excel formats to [email protected].

3.1. ELIGIBILITY

To be eligible as a recipient of funds from the RRF-SS, applicants must meet the following basic conditions: a. Registered, locally or internationally as a humanitarian organization; NGOs, charities, and CBOs; b. Established sectorial competence in the area of potential intervention to be supported by the sub-grant; c. Established geographical presence in area of operation, or established capacity to mobilize over a short period of time; d. Able to meet standards of financial probity acceptable to RRF; e. Capacity to meet monitoring, evaluation and reporting requirements established by RRF; f. Sub grant recipients will be required to agree to restrictions and conditions relating to ineligible goods, restricted goods, suppliers as set out in Annex IV, the 2012 OFDA ’Guidelines for Proposals’.

3.2. SELECTION OF GRANTS

Proposals will be selected based on their match with the RRF Funding Matrix (Annex II) according to the eight key sectors and associated activities and the requirements set forth in this RRF Guideline document. A Proposal template is attached as Annex III. -- Funding is granted based on proposals (including adherence to Funding Matrix and Guidelines): -- The proposals do not duplicate existing activities implemented by the same applicant or by other organizations and the grantee applicant must provide written evidence of communication with the relevant cluster(s), as well as proof of the clusters’ expression of endorsement for the project’s intentions before approval can be finalized; this is to ensure that RRF activities fit within the larger sector strategy and to are part of a coordinated response. -- The proposed activities assure the maximum coverage of regions and population, as well as the different target beneficiaries; -- Grants are allocated taking into consideration the needs of each region and the target population; -- Cost-effectiveness;

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RRF GUIDELINES 2016-2017 -- Promotion of proposals to build synergy with existing community resources; -- Proposals respond to immediate humanitarian needs caused by a new aspect of the ongoing crisis, an external shock; -- Proposals should establish clear connections between the needs identified and the activities proposed; -- Proposals should clearly outline goals and objectives that are achievable within a short (usually three month) timeframe; -- Proposals should outline a viable exit or transition strategy. Transition strategies should describe planned transition of activities; and steps planned, if any, to continue the program after RRF funding ends. While the Fund will prioritize emergency activities that do not last for more than 3 months, consideration will be given to longer implementation periods, should there be a clear need and where the intervention is unlikely to lead to protracted reliance on aid.

3.3. TRIGGERS FOR ACTIVATING THE RAPID RESPONSE FUND

In general, the RRF-SS will be activated in the event of a new development in the ongoing crisis:

3.4. PROPOSAL REQUIREMENTS

CROSS-CUTTING ISSUES

a. a man-made emergency such as inter- and intra- state conflict and interand intra-ethnic violence; b. a natural disaster such as flooding or drought; c. areas experiencing acute emergencies that need urgent support due to, for example, lack of water supplies, food shortage, disease outbreak and large-scale return of population as a result of a sudden external shock.

-- Conflict Resolution: To support peace and stability in a continually fragile environment, conflict resolution and peace-building should be interwoven into activities as possible (e.g. equitable provision of emergency water and sanitation activities). Care will also be taken to ensure the provision of NFIs does not add to tension or increase resentment in communities. -- Environment: Activities should respect environmental considerations. Special attention will be placed on avoiding depletion of natural water resources. NFI kits will be as environmentally-friendly as possible. -- Gender: Activities should equally benefit women and men. -- Data Protection: Any information gathered during activities should follow strict data protection protocols in compliance with IOM’s Data Protection Guidelines. PROTECTION MAINSTREAMING To maximize the efficacy of humanitarian distributions, sub-grantees will be required to be guided by principles of humanitarian protection, in particu-

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RRF GUIDELINES 2016-2017 lar through the targeting of vulnerable populations (i.e. pregnant or lactating women, single female headed households, children, the telderly, sick or disabled) and through ensuring that distributions or services provided by the sub-grantee do not negatively impact the health and safety of the beneficiaries or community relations. Protection concerns occurring though RRF-SS activities should be handled in coordination with specialized protection agencies, and reported and monitored with the protection cluster. Where IOM has a particular concern, or upon the request of the sub-grantee or other agency, IOM South Sudan’s Displacement Tracking and Monitoring Department will provide sub-grantees with assessment/monitoring and advisory support services where practicable. Monitoring and reporting Grant recipients will be required to provide progress and final reports (narrative and financial) based on SMART indicators to ensure reporting on: -- Relevance, the extent to which the objectives of a program or project have been met/changed/need revision, owing to changing circumstances within the immediate context and external environment of that program or project. -- Sustainability, indicating the success of an intervention in providing a bridge to more protracted support (if appropriate). -- Impact, the immediate and long-term consequences of an intervention on the place in which it is implemented, and on the lives of those who are assisted or who benefit from the program. -- Effectiveness, the extent to which a program has been successful in achieving its key objectives. -- Efficiency, how well a given intervention transformed inputs into results and outputs. Grantees will be required to submit mid-term and final narratives and financial reports to IOM. The final narrative and financial report will be submitted to IOM according to indications in any signed agreement. Following the grant disbursement, IOM’s Program Manager or delegate will monitor and evaluate the implementation of the project. Field visits will be conducted to monitor project activities against stated targets within the framework of the Funding Matrix and the grantees Project Proposal. The section below outlines the criteria that must be in place before interventions can be initiated, the sectors of intervention, and how the need for the intervention can be verified.

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4. GUIDELINES FOR THE SECTORS OF INTERVENTION

8

SECTOR 1

LOGISTICS SUPPORT, RELIEF COMMODITIES

9

SECTOR 2

HUMANITARIAN COORDINATION AND INFORMATION MANAGEMENT

13

SECTOR 3

WATER, SANITATION AND HYGIENE (WASH)

16

SECTOR 4

HEALTH

22

SECTOR 5

NUTRITION

29

SECTOR 6

SHELTER AND SETTLEMENTS

34

SECTOR 7

PROTECTION

39

SECTOR 8

ECONOMIC RECOVERY AND MARKET SYSTEMS

44

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SECTOR 1

LOGISTICS SUPPORT AND RELIEF COMMODITIES OBJECTIVE

To provide material support (Non-Food Items, emergency WASH items and hygiene kits) to address the immediate needs of victims of conflicts, displaced persons and other affected populations (including large influx of IDPs to their place of origin or chosen place of return).

BENEFICIARIES

Primary beneficiaries will be: individuals, women, men, girls, and boys, who have lost basic shelter and/or essential household items as a result of natural or man-made disaster; host communities where individuals move to and where basic items and services are missing. Particular attention will be paid to the needs of vulnerable populations such as single female headed-household (SFHH), elderly, young or sick or disabled.

GEOGRAPHIC AREA (S)

Throughout South Sudan and Abyei

SECTOR LEVEL COORDINATION

The sub-grantee will ensure full coordination of activities with NFI and Emergency Shelter cluster lead, IOM, and UN OCHA and will participate in relevant working groups and coordination meetings. At state level, the sub-grantee will liaise with the designated emergency response focal point.

Confirm equitable access to commodities by all targeted individuals; Target PROTECTION MAINSTREAMING most vulnerable groups and individuals according to need; Provide timely in-

formation in a way that can be understood by illiterate and literate people on distributions especially about what commodities will be distributed; Manage potential conflicts between recipients and non-recipients; Encourage beneficiaries not to send children to receive items at time of distribution; Provide staff/volunteers to assist those with special needs to carry distributed items and take measures to reduce risk of them being robbed; and Ensure orderly distributions that do not place vulnerable people at risk of physical injury. Sub-grantees will be prioritized on the basis of having existing stocks to ensure rapid deployment.

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SECTOR 1 LOGISTICS SUPPORT AND RELIEF COMMODITIES


SUB SECTOR 1.1

NON-FOOD ITEMS (NFIS)

TECHNICAL DESIGN

Due to IOM’s predominance in the field of NFI supply in South Sudan, within the framework of the RRF-SS IOM will directly implement the procurement and transportation through the common transport system of NFI. As such, IOM will provide the NFI to the sub-grantee as an in-kind contribution and the sub-grantees will be requested to conduct the following activities: -----

Needs/gaps assessment Beneficiaries’ identification Distribution of commodities Coordinate with IOM and other partners regarding distribution of NFIs taking into consideration priority needs and community approaches and avoiding duplications.

Sub-grantees must include information about the anticipated duration of the assessed population’s need for NFI items. Proposed interventions should correlate to the anticipated duration of displacement and corresponding needs. If needs are anticipated to last beyond the three-month project duration, the exit strategy must specifically state how the needs will be met in the future, who will take over distribution or how needs are anticipated to be met through alternative means. For example, a sub-grantee is proposing to distribute soap (250 grams per person per month according to Sphere standards) in an area experiencing an acute emergency; one months’ worth of soap will be distributed alongside the monthly food distribution; concurrently, throughout the project period the hygiene promoters will emphasize the use of ash for handwashing at critical times to transition from use of soap distributions after the acute emergency phase. Sub-grantees will follow internationally recognized guidelines and standards applicable to NFI such as Sphere, and will provide notification in the RRF-SS sub-grant proposal when it is not possible to comply with the guidance indicated explaining, reasons for non-compliance. Sub-grantees will be required to be guided by principles of humanitarian protection, in particular through the targeting of vulnerable populations (i.e. women, SFHH, children, the elderly, sick or disabled) and through ensuring that distributions or services provided by the sub-grantee do not negatively impact the health and safety of the beneficiaries or community relations. The NFI kit will be distributed to individuals affected by conflict or natural disasters and might contain clothing, bedding and household Items, personal hygiene items, cooking and eating utensils, etc. As an indication, the kit will contain a combination of the following:

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! WAIVER REQUEST REQUIRED FOR LONG LASTING INSECTICIDE TREATED MOSQUITO NETS (LLINS)

GENERAL NFI ITEMS1 -- WHO-approved Long Lasting Insecticide Treated Mosquito Nets (LLINs)* (waiver request required to be submitted with proposal; please note that this requirement also applies to LLINs purchased through sub-grantees funds or received as Gift-in-Kind (GIK); see below) -- Cooking set -- Fleece blankets -- Sleeping mat -- Plastic Sheet (1sheet, 4x5 meters, at $12 per sheet; all sheeting material is consistent with international standards adopted by IFRC, USAID/OFDA, and UNHCR) for ground cover or emergency shelter -- Plastic sack with zip -- Kangas (1m x 3m) *LLINs are considered restricted goods and the procurement, transportation, distribution or use of such materials must follow applicable USAID guidelines and procedures stipulated in the USAID Environmental Regulations 22 CFR 216.3 (b), Pesticide Procedures. Sub-grantees must submit a formal written request with their proposal (see Annex IX Waiver Request Templates) to obtain prior approval for procuring, transporting, distributing, or using the LLINs. RRF-SS funds can only be used to support the following brand / manufactured LLINs: Dawa Plus® 2.0 - Tana Netting; DuraNet®LN - Clarke Mosquito Control, Shobikaa Impex Private Ltd; Interceptor® - BASF; LifeNet® - Bayer; Olyset® Sumitomo Chemical; Olyset Plus® - Sumitomo Chemical; PermaNet 2® - Vestergaard Frandsen; and PermaNet 3® - Vestergaard Frandsen. RRF-SS funds cannot be used to purchase Netprotect LLIN brand nets. Proposals that include the purchase or distribution of LLINs must include the sub-grantees’ mitigation procedures, training and communications plans (covering how to use LLIN, how to handle and wash LLIN properly, safe alternatives for re-use of LLINs at end of life, and disposal), information about how sub-grantees will monitor the effectiveness of use throughout the project, and how the partner will report information about potential insecticide resistance. The letter must be written on company letterhead using a prepared LLIN approval request template which is made available to all prospective applicants. The letter must adequately address all requirements as outlined in the template. EMERGENCY WASH ITEMS -----

Chlorine tabs Aluminum Sulfate Calcium Hypochlorite India Mark Hand Pump Fast-Moving Spare Parts Kits²

1 In 2016, the Emergency Shelter / NFI cluster is moving towards a needs based kitting system where partners

can request specific items needed. The list of items is indicative of those in the NFI Core Humanitarian Pipeline.

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HYGIENE KITS ---------

One gallon zip-lock bag Tooth brush Toothpaste Face towel Nail cutter Combination of mirror, hair brush, afro-comb Soap bars Sanitary towels.

Additional specific items might be added according to the circumstances and the needs on the ground.

REQUIRED INDICATORS -- Total # of NFIs distributed, by type (e.g., plastic sheeting, flash tarpaulin, blankets, hygiene kits, kitchen sets, water containers, other) FOR THE LOGICAL -- Per item USD cost of NFIs distributed, by type (e.g., plastic sheeting, flash FRAMEWORK

tarpaulin, blankets, hygiene kits, kitchen sets, water containers, other) -- Total # of cash/vouchers distributed for NFIs, by type (e.g., plastic sheeting, flash tarpaulin, blankets, hygiene kits, kitchen sets, water containers, other) -- Per item USD value of cash/vouchers distributed for NFIs, by type (e.g., plastic sheeting, flash tarpaulin, blankets, hygiene kits, kitchen sets, water containers, other) -- Total number of households receiving each type of NFIs, (e.g., plastic sheeting, flash tarpaulin, blankets, hygiene kits, kitchen sets, water containers, other)

2 The majority of hand pumps in South Sudan are India Mark (IM) either type II or III, based on the design original-

ly commissioned by the Government of India and UNICEF in the 1970s for durability and ease of installation and manufacturing. Therefore, the WASH Cluster recommends the use of the IM HP Fast-Moving Spare Parts Kits for repair or rehabilitation of hand pumps in South Sudan. Kits contain the following (listed by quantity, item name and specifications in parenthesis): 4 Hexagonal Bolts (Specification: M1*1.75*40; 8 Hexagonal Nuts (M12*1.75); 8 Hexagonal Bolts (M10*1.50*40 – High Tensile); 1Nylon Nut (M10); 1 Handle Axle; 1 Washer (4mm thick) for Axle; 2 Single Side Shielded Bearing (6204Z); 1 Spacer Bearing; 1 Chain with Coupling; 1 Bolt for front cover (M12*1.75*20); 4 Pump Buckets (Nitrile Rubber); 6 Sealing Rings (Nitrile Rubber); 1 Rubber Seating (Big – Upper Valve); 1 Rubber Seating (Small-Lower Valve); 2 M.S. Hexagonal Coupling (M12*1.75*50); 2 G.I. Pipe sockets (32mm medium grade, hot dipped galvanized, manufactured from heavy series seamless pipe or from solid bar as per IS:9301/90 paragraph 5.4).

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SECTOR 2

HUMANITARIAN COORDINATION AND INFORMATION MANAGEMENT OBJECTIVE

To facilitate effective and responsive targeting of humanitarian assistance by local and international NGOs through monitoring, coordination of services, and information collection and management.

BENEFICIARIES

Agencies in need of fast, initial assessments of humanitarian problems in order to better target and coordinate the relief interventions benefiting vulnerable households, women, men, girls, boys, mainly IDPs, returnees, IDPs returning to place of origin or choice and displaced - with limited access to basic services.

GEOGRAPHIC AREA (S)



The sub-grantee will ensure full coordination of its activities with UN OCHA and other relevant sector leaders; it will participate in relevant working groups and coordination meetings.

Verify that protection information is gathered, analyzed, and disseminated to PROTECTION MAINSTREAMING field personnel and decision makers; Integrate protection personnel and pro-

tocols into planning, implementation, monitoring, and evaluation; Validate that sensitive information is properly coded and safeguarded; and Encourage the disaggregation of humanitarian data by gender and vulnerable group.

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SECTOR 2


HUMANITARIAN COORDINATION AND INFORMATION MANAGEMNET

TECHNICAL DESIGN

Coordination is vital to ensure all agencies know who is working where and doing what to avoid overlap. Coordination also includes fast, initial assessments of humanitarian problems to support interventions and tracking of population movements to provide early warning about large scale movements. With the aim of improving information collection, management and flow between humanitarian organizations, UN and authorities, the sub-grantees selected to operate in this sectors will have to implement a set of the following activities: -- Collation of all available data, working with other humanitarian coordinating bodies (UN OCHA, South Sudan Relief and Rehabilitation Commission) on most effective approaches and interventions; -- Mapping of all the gaps and needs in the affected and surrounding areas; -- Where appropriate conducting/coordinating fast, standard form-based assessment of humanitarian conditions in affected areas and in the surrounding areas; in addition to WASH, Health, Shelter/NFI, nutrition information, data will also be collected basic information on food security to support field-related interventions; -- Interpretation, presentation and dissemination of reports to UN OCHA, WFP, FAO, etc. and GRSS institutions in order to avoid duplications, fill gaps in relief operations, and utilize the most effective provider/s; -- Attend interagency and GRSS coordination meetings; participation in the review and analysis of assembled needs at coordination meetings; -- Monitoring of ongoing activities, particularly of sub-grant recipients, to feedback into coordination mechanisms and amend grants as required; -- Conduction of monitoring and evaluation activities to ensure appropriate delivery and improve program performance. Issues of humanitarian protection, are to be particularly highlighted within this sector, and where possible protection assessments are to be included within the overall assessment process in order to ensure the targeting of vulnerable populations (i.e. women, SFHH, children, the elderly, sick or disabled) and to ensure that distributions or services provided will not negatively impact the health and safety of the beneficiaries or community relations.

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SECTOR 2


SUB SECTOR 2.1

HUMANITARIAN COORDINATION AND INFORMATION MANAGEMNET

COORDINATION

REQUIRED INDICATORS -- # of humanitarian organizations actively coordinating; -- # of humanitarian organizations actively participating in the Inter-AgenFOR THE LOGICAL cy coordination mechanisms (e.g., Humanitarian Country Team, clusters, FRAMEWORK etc.); -- # of humanitarian agencies participating in joint inter-agency assessments; -- % of humanitarian agencies participating in joint inter-agency assessments -- # of other key humanitarian actors (e.g., private sector, military) actively participating in humanitarian coordination mechanisms.

SUB SECTOR 2.2

INFORMATION MANAGEMENT

REQUIRED INDICATORS -- # of humanitarian organizations utilizing information management services; FOR THE LOGICAL -- % of humanitarian organizations utilizing information management serFRAMEWORK

vices; -- # of humanitarian organizations directly contributing to information products (e.g., situation reports, 3W/4W, digital tools); -- % of humanitarian organizations directly contributing to information products (e.g., situation reports, 3W/4W, digital tools); and -- # of products made available by information management services that are accessed by clients.

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SECTOR 3

WATER, SANITATION AND HYGIENE (WASH) OBJECTIVE

To establish basic hygiene standards and provide clean water to under-served women, men, girls, boys, especially IDPs, IDPs returning to their place of origin or chosen place of return³ , returnees and vulnerable persons in areas affected by conflict, natural disasters and prone to disease outbreaks.

BENEFICIARIES

Under-served populations (less than ten liters of water per person per day), women, men, girls, boys, especially returnees and vulnerable populations in areas affected by conflict, flood, drought, prone to disease outbreaks and where hygiene items and awareness are lacking.

GEOGRAPHIC AREA (S)

Throughout the region of South Sudan and Abyei


The sub-grantees will work with a wide range of partners including UNICEF, the Ministry of Health, the Ministry of Water Resources and Irrigation, RRC, the relevant authorities at State level and humanitarian and local organizations operational in the area of intervention.

Consult beneficiaries regarding safe locations for water points and latrines; PROTECTION MAINSTREAMING Separate men’s and women’s latrines, washing and bathing facilities; Organize local communities to accompany women and children to water collection points and latrines as necessary; Build latrines away from unmonitored peripheries and supply lighting at night, if possible; Construct latrines that are culturally appropriate; Make provisions for individuals with physical disabilities, children and the elderly; Conduct education for proper use of facilities, and develop procedures for maintenance and cleaning of latrines to encourage appropriate use; Verify appropriate durability and security of latrines during design and construction; and Ensure access to WASH facilities for all target beneficiaries.

3 Additional considerations should be taken when proposing support to IDPs returning to their place of origin or

chosen location. IDP returnees are likely to return to former conflict areas where boreholes are in need of repairs or rehabilitation in order to access safe water. Sanitation and hygiene conditions in such areas are likely to be lacking and could lead to water-borne diseases if hygiene promotion including messages about handwashing with ash and safe disposal of excreta are not available. Emergency latrines would only be considered in situations where large numbers of IDPs have returned, begun practicing OD causing diseases highlighted by health actors and where a long term development partner is in place to assist with latrines construction at the end of the project and is willing to take on the decommissioning of the emergency latrines.

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SUB SECTOR 3.1

WATER SUPPLY INFRASTRUCTURE

TECHNICAL DESIGN

The main objective of water supply and sanitation interventions is to reduce morbidity and mortality associated with diseases and hazards resulting from deficient health conditions as a consequence of conflict, natural disasters and/or structural weakness of the water supply services in the area. Under the RRF-SS fund, the sub-grantees will target individuals and communities with inadequate access to water, sanitation, and hygiene as a result of natural disaster, conflict and displacement. The groups mostly at risk in Southern Sudan are displaced and returnees populations. Particularly vulnerable among these groups are women, children, older people, and people with disabilities. However, host communities will be equally eligible for assistance where there is a need. Interventions will be supported in temporary settlements of returnees and displaced populations affected by natural or man-made disasters where existing water resources have been contaminated (e.g. due to floods), water resources have been damaged by conflict and/or water supplies do not exist in the quantity necessary to serve the entire population. High-density settlements/camps which have received a large influx of returnees and where all the basic facilities are over-burdened will be prioritized. In general, disasters require a combination of approaches. In the context of this fund the sub-grantees who can provide adequate justification for their proposed activities will be supported in creating hand dug wells, developing water catchment systems, maintaining, operating and rehabilitating existing boreholes, purifying water and distributing water through tankers. Construction of new water points will only be considered under exceptional circumstances. Sub-grantees will be required to be guided by principles of humanitarian protection, in particular through the targeting of vulnerable populations (i.e. women, SFHH, children, the elderly, sick or disabled) and through ensuring that distributions or services provided by the sub-grantee do not negatively impact the health and safety of the beneficiaries or community relations. Before starting the implementation of the activities, the sub-grantee will conduct a needs assessment and conduct consultation with the beneficiaries/ host community and involved authorities in order to better define the strategy. The awardees will subsequently provide as required: -- Rehabilitation of existing water points -- Emergency water purification (or filtration) systems

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-- Provision of water storage facilities, tanks or bladders incl. chlorination systems -- Catchments of springs or of other surface water sources (rivers, ponds etc.) -- Provision of additional water points including hand dug wells. -- Emergency water distribution using water tankers (as last resort). As per Sphere guidelines, the sub-grantee shall provide at least 15 liters per person per day and will do its best to ensure that the maximum distance of the water points is less than 500 meters from any household / shelter. Anticipated inability to meet these standards shall be explained in the RRF-SS subgrant proposal with justification provided. Where existing water supplies are insufficient for the consumption requirements of the population, water point rehabilitation, provision of storage tanks and provision of additional water points will be provided. Water trucking of safe water will be undertaken as a last resort where the existing water supplies are inadequate to meet the initial demand or in cases of immediate need such as a transit camp. In cases where water trucking is allowed, sub-awards which include water trucking will develop a strong transition and / or exit strategy. Activities will be conducted in order to ensure that water resources are provided within the context of meeting short-term emergency needs and to avoid creating conditions on the ground that may lead to protracting displacement. RRF-SS will not support the drilling of new wells to address chronic lack of access to safe water. Drilling of new wells will only be supported to address acute needs. Similarly, RRF-SS will not support the rehabilitation or repair of boreholes in areas where there has not been an acute shock due to a manmade or natural disaster. Sub-grantees will be required to be guided by principles of humanitarian protection, in particular through the targeting of vulnerable populations (i.e. women, SFHH, children, the elderly, sick or disabled) and through ensuring that distributions or services provided by the sub-grantee do not negatively impact the health and safety of the beneficiaries or community relations.

REQUIRED INDICATORS -- # of people directly benefitting from this water supply infrastructure program; FOR THE LOGICAL # of men directly benefitting from this water supply infrastructure proFRAMEWORK -----

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gram; # of women directly benefitting from this water supply infrastructure program; # of household water supplies with 0 coliform bacteria per 100ml; % of household water supplies with 0 coliform bacteria per 100ml; Average water usage of target population in liters per person per day

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prior to interventions -- Average water usage of target population in liters per person per day after interventions -- # of water points with measurable chlorine residual exceeding 0.2mg/l -- % of water points with measurable chlorine residual exceeding 0.2mg/l

SUB SECTOR 3.2

SANITATION INFRASTRUCTURE

TECHNICAL DESIGN

Implementation of sanitation programs will be sensitive to ongoing community led programs and will ensure that only critical assistance will be provided in full consideration of the impact the emergency measures on normally functioning systems. The sub-grantees selected to operate in this sector will apply the Sphere guidelines or provide notification in the RRF-SS sub-grant proposal when it is not possible to comply with the guidance indicated, explaining reasons for non-compliance. Interventions will include: --------

Needs assessment and consultation with beneficiaries/host community Rehabilitation of existing sanitation facilities, including drainage Provision of drainage in emergency settlements or camps Provision of emergency shower stations Provision of hand washing facilities Construction of communal/institutional latrines Solid waste management (household)

The sub-grantee will also ensure the provision of the material for the maintenance and cleaning of the facilities, technical assistance and will guarantee appropriate design and placement. It must be noted that communal/institutional latrines will be supported only in the following cases: -- During the initial phase of a disaster relief response; -- In temporary camps where the sub-grantee (or other trusted entity) is continuously present and where the sub-grantee can guarantee cleanliness and maintenance, oversee use and establish an agreement between the sub-grantee and beneficiaries that ensures that the communal/institutional latrines will be maintained following the end of the project concerned; -- Where space is prohibitive for household or family latrines. Accordingly, communal hand stations will only be approved in conjunction

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with communal latrines. The sub-grantee will ensure that appropriate drainage is constructed as appropriate to each site, waste management pits are dug and that rubbish removal is organized. Sub-grantees must include information about their decommissioning strategy for the construction of emergency latrines. For latrines that will continue to function after the end of the project, it must be clear who will be responsible for the decommissioning and that the responsible party has the tools and capacity to complete the decommissioning.

REQUIRED INDICATORS -- # of communal/institutional latrines completed that are clean and in use in compliance with Sphere standards; FOR THE LOGICAL % of communal/institutional latrines completed that are clean and in FRAMEWORK -------------

use in compliance with Sphere standards; # of beneficiaries benefiting from communal/institutional latrines; # of women benefiting from communal/institutional latrines; # of men benefiting from communal/institutional latrines; # of communal/institutional hand-washing facilities completed and in use % of communal/institutional hand-washing facilities completed and in use # of households disposing of solid waste appropriately % of households disposing of solid waste appropriately # of emergency showers stations constructed # and type of sanitation facilities rehabilitated # of people directly benefitting from the sanitation infrastructure program # of women directly benefitting from the sanitation infrastructure program # of men directly benefitting from the sanitation infrastructure program

SUB SECTOR 3.3

HYGIENE PROMOTION

TECHNICAL DESIGN

Hygiene promotion activities to be conducted through hygiene leaders identified among the disaster-affected community’s members and in collaboration with water and sanitation committees with the aim of developing good hygiene practices, thereby preventing diseases and encouraging positive attitudes towards good health practices. Hygiene promoters will be trained in line with WASH Cluster hygiene promotion standards and recommendations. Given the short duration of RRF-SS interventions, sub-grantees should specify

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three to five hygiene promotion messages (such as the importance of handwashing with ash or soap at critical times, proper disposal of human excreta) that will be the focus of the project. Clearly state the reason for selecting the messages.

! THIS FUND WILL PRIORITIZE HYGIENE PROMOTION ACTIVITIES CARRIED OUT IN PARALLEL WITH WATER AND SANITATION INTERVENTIONS

The need for hygiene promotion will be demonstrated by the overall sanitation conditions, meaning, if a major lack of sanitation infrastructure is observed and a response undertaken, parallel hygiene promotion activities will be conducted automatically to complement the infrastructure and distribution of WASH-related NFIs. Hygiene promotion necessity will also be evident by simple observation of common practices within the environment in question, and can be further supported by consulting the available morbidity statistics concerning hygiene-related illness such as cholera, typhoid, diarrhea, and dysentery. This Fund will prioritize hygiene promotion activities carried out in parallel with water and sanitation interventions (see above sub sectors); hygiene promoters will be trained as per WASH Cluster standards and the activities will be carried out in camps and host communities and will include focus group discussions/training sessions on household water management, sanitation management, water treatment, hand washing and appropriate waste disposal. The sub-grantee will support the active participation of women and will also support specific trainings for female as hygiene promoters. The sub-grantees selected to operate in this sector will follow WASH Cluster guidelines, as well as Sphere guidelines, and shall provide notification in the RRF-SS sub-grant proposal when it is not possible to comply with the guidance indicated, explaining reasons for non-compliance.

REQUIRED INDICATORS -- % of target population demonstrating good hand-washing practices -- % of target population demonstrating correct water usage and storage FOR THE LOGICAL -- # of clean water points functioning three months after completion FRAMEWORK ------

% of clean water points functioning three months after completion # of people trained as hygiene promoters # of women trained as hygiene promoters # of men trained as hygiene promoters # of people receiving direct hygiene promotion (excluding mass media campaigns and without double-counting)

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SECTOR 4

HEALTH

OBJECTIVE

To provide emergency health services to address immediate needs of victims of conflicts, displaced persons and other affected populations residing in areas with insufficient access to health care

BENEFICIARIES

Internally displaced persons, returnees and host communities with insufficient access to health care.

GEOGRAPHIC AREA (S)



The sub-grantee will design and implement its interventions in close coordination with the Ministry of Health and the health sector lead organization, the UN World Health Organization (WHO).

Provide services for survivors of sexual violence and Gender Based Violence PROTECTION MAINSTREAMING (GBV); Create protocols to protect the privacy of victims of violence; Establish

safeguarded systems in health care centers to collect information on sexual violence cases, for possible use in future legal action; Develop protocols that are GBV-survivor friendly, with clear standards for the care and treatment of children and women survivors; Address reproductive health issues including medical services that are culturally appropriate, for example, train and employ female doctors; Enhance the capacity of Community Health Workers to monitor, report, and offer provider referrals on protection issues; Provide mental health services that are culturally appropriate and ethically sound for populations affected by violence and trauma; Create referral procedures for violence cases whose complications cannot be addressed within the local health system; Enable issuance of birth and death documentation; and Secure access to services for all in need.

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SECTOR 4 HEALTH


TECHNICAL DESIGN

! SUB-GRANTEES REQUESTING TO PURCHASE MEDICINES MUST COMPLY WITH USAID/ OFDA’S WAIVER REQUIREMENTS FOR THE PURCHASE OF PHARMACEUTICALS

! LLINs: SEE SECTOR 1.1 NFIs

Through this Fund community-based prevention and management of common illnesses by community-level health providers will be strongly supported. However, as the emergencies that South Sudan will confront will likely result in displacement of population into areas and communities where if present health services are already weak and scarce, the sub grantee will be requested to also implement emergency health interventions. Prior to any intervention, the sub-grantee will also conduct a rapid formbased health assessment and shall document the identified necessary interventions. The validity of the assessments shall be coordinated with the Health Cluster and State Focal Points, and triangulated with RRC officials where possible and/or appropriate. Data shall indicate types and levels of morbidities, mortality figures, vulnerability factors such as pregnancy, and will focus on prevalence. Ideal assessments will be in the form of Inter-Agency Standing Committee assessments (IASC), or Initial Rapid Needs Assessments (IRNA), though it will be noted that the content of these assessments will depend upon the participating organizations. Primary medical healthcare to displaced populations and host communities will be provided according to the rapid health assessment. Following the needs assessment, possible health care services will include: -- Treatment of patients and distribution of essential medicine and medical supplies through mobile clinics and / or static clinics in IDP camps; -- Sub-grantees requesting to purchase medicines will comply with USAID/ OFDA’s waiver requirements for the purchase of pharmaceuticals at the time of the proposal submission; see below paragraph on rules pertaining to pharmaceuticals in Sub sector 4.5: Medical Commodities Including Pharmaceuticals below; -- Sub-grantees requesting to transport, distribute and/or purchase LLINs⁴ should follow the requirements in Sector 1.1 NFIs (see above) as well as include the sector and indicators in the proposal/logframe, please note that this requirement also applies to LLINs purchased through sub-grantees funds or received as Gift-in-Kind (GIK); -- Reproductive health: separate consultations with midwife for pregnant women and mothers with babies, and / or Clinical Management of Rape (CMR); -- Distribution of UNFPA reproductive health kits⁵ for safe and clean delivery; 4 RRF-SS funds can only be used to purchase or distribute the following brands / makes of LLINs: Dawa Plus®

2.0 - Tana Netting; DuraNet®LN - Clarke Mosquito Control, Shobikaa Impex Private Ltd; Interceptor® - BASF; LifeNet® - Bayer; Olyset® Sumitomo Chemical; Olyset Plus® - Sumitomo Chemical; PermaNet 2® - Vestergaard Frandsen; and PermaNet 3® - Vestergaard Frandsen. Waiver requests must be submitted with the proposal as per recommendations listed in Sector 1.1 NFIs. 5 Note that the contents of any kits must be fully described and if consisting of any pharmaceuticals, must follow the same procurement procedures as outlined above for general purchase and procurement of pharmaceuticals and medical commodities. Sub-grantees will be assisted to contact UNFPA to access the core humanitarian pipeline stock of UNFPA reproductive health kits; USAID/OFDA funds will not be used to procure condoms or other routine contraceptives for reproductive health.

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SECTOR 4 HEALTH


-- Distribution of WHO interagency emergency health kits⁶ ; -- Separate health education to promote breast feeding and child nutrition; -- Establishment of epidemic surveillance system incl. weekly reports to the Ministry of Health and WHO to monitor and respond to outbreaks. -- Conduct health and hygiene education sessions on HIV & Aids Awareness, hygiene promotion, malaria prevention, symptoms and treatments, promotion of vaccinations, water borne and diarrheal diseases prevention and treatments. Education sessions shall be designed with the following criteria in consideration: numbers of intended beneficiaries disaggregated by age and sex; number of sessions provided and location, noting whether sessions are conducted for large group audiences or if in some cases, narrowed down to particular smaller groups if justifiable and cost-effective; training curricula utilized and whether these are MoH-approved, field tested, and provided in an appropriate language; level of training of the education session facilitators. -- Small scale support to rehabilitate disaster damaged or looted clinics and hospitals to ensure their operability (for example: cleaning and disinfecting rooms (due to either occupation or flood debris), repainting, clearing areas between buildings). In addition, for contexts characterized by insecurity and the risks of violence, abuse, harassment or exploitation, the sub-grantees will be required to incorporate protection into their programs. Sub-grantees will be required to be guided by principles of humanitarian protection, in particular through the targeting of vulnerable populations (i.e. women, SFHH, children, the elderly, sick or disabled) and through ensuring that distributions or services provided by the sub-grantee do not negatively impact the health and safety of the beneficiaries or community relations. UNFPA REPRODUCTIVE HEALTH KITS (SOURCE: HTTP://WWW.RHRC.ORG/RESOURCES/RHRKIT.PDF)

---------

Toilet soap Plastic draw sheet Disposable razor blade Umbilical tape Plastic bag Cotton cloth Latex gloves Pictorial instruction sheet

6 Same as ⁵, referring to the contents of any kits. 7 Sub-grantees will be assisted to contact UNFPA to access the core humanitarian pipeline stock of UNFPA repro-

ductive health kits; USAID/OFDA funds will not be used to procure condoms or other routine contraceptives for reproductive health.

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SECTOR 4 HEALTH


WHO INTERAGENCY EMERGENCY HEALTH KIT (SOURCE: HTTP://WHQLIBDOC.WHO.INT/PUBLICATIONS/2011/9789241502115_ENG.PDF)

--------------

SUB SECTOR 4.1

Albendazole Aluminium hydroxide + magnesium hydroxide Amoxicillin Benzyl benzoate Chlorhexidine gluconate Ferrous sulfate + folic acid Ibuprofen Miconazole Oral rehydration salts Paracetamol Polyvidone iodine Tetracycline Zinc sulfate

COMMUNICABLE DISEASES

REQUIRED INDICATORS -- Incidence and prevalence of high-morbidity rates by type (e.g., diarrhea, ARI, measles, and other), by sex and age (0-11 months, 1-4 years, 5-14 FOR THE LOGICAL years, 15-49 years, 50-60 years, and +60 years); FRAMEWORK

-- # of cases diagnosed and treated per standardized case management protocols, by sex and age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, and +60 years); -- % of cases diagnosed and treated per standardized case management protocols, by sex and age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, and +60 years); -- Case fatality rates for diarrhea, ARI, measles, and other, by sex and age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, and +60 years) -- # of health care facilities supported and/or rehabilitated by type (e.g., primary, secondary, tertiary); -- # of female health care providers trained by type (e.g., doctor, nurse, community health worker, midwife, and traditional birth attendant); -- # of male health care providers trained by type (e.g., doctor, nurse, community health worker, midwife, and traditional birth attendant); -- # of health facilities submitting weekly surveillance reports; -- % of health facilities submitting weekly surveillance reports; -- # of consultations with female beneficiaries, disaggregated age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, 60+ years), per quarter. -- # of consultations male beneficiaries, disaggregated by age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, 60+ years), per quarter.

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SECTOR 4 HEALTH

SUB SECTOR 4.2


REPRODUCTIVE HEALTH

REQUIRED INDICATORS -- # of pregnant women who have attended at least two comprehensive antenatal clinics; FOR THE LOGICAL -- % of pregnant women who have attended at least two comprehensive FRAMEWORK --------

SUB SECTOR 4.3

antenatal clinics; # of women and newborns that received postnatal care within three days after delivery; % of women and newborns that received postnatal care within three days after delivery; # of pregnant women in their third trimester who received a clean delivery kit; % of pregnant women in their third trimester who received a clean delivery kit; # of pregnant women who deliver assisted by a skilled (not traditional) birth attendant by type (e.g., midwife, doctor, nurse) and location (e.g., facility or home); % of pregnant women who deliver assisted by a skilled (not traditional) birth attendant by type (e.g., midwife, doctor, nurse) and location (e.g., facility or home); # of cases of sexual violence treated.

NON-COMMUNICABLE DISEASES

REQUIRED INDICATORS -- Incidence of chronic and other diseases (e.g., trauma), by sex and age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, and +60 FOR THE LOGICAL years); FRAMEWORK

-- Prevalence of chronic and other diseases (e.g., trauma), by sex and age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, and +60 years); -- # of people treated for mass-casualty or violence-related injuries, by sex and age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, and +60 years); and -- % of people treated for mass-casualty or violence-related injuries, by sex and age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, and +60 years) -- # of health care facilities supported and/or rehabilitated by type (e.g., primary, secondary, tertiary); -- # of female health care providers trained by type (e.g., doctor, nurse, community health worker, midwife, and traditional birth attendant); -- # of male health care providers trained by type (e.g., doctor, nurse, com-

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-----

SUB SECTOR 4.4

munity health worker, midwife, and traditional birth attendant); # of health facilities submitting weekly surveillance reports; Percentage of health facilities submitting weekly surveillance reports; # of consultations with female beneficiaries, disaggregated by age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, 60+ years), per quarter. # of consultations male beneficiaries, disaggregated by age (0-11 months, 1-4 years, 5-14 years, 15-49 years, 50-60 years, 60+ years), per quarter.

COMMUNITY HEALTH EDUCATION/BEHAVIOR CHANGE

REQUIRED INDICATORS -- # of CHWs trained and supported (total and per 10,000 population within project area), disaggregated by sex; FOR THE LOGICAL -- # of female CHWs trained and supported (total and per 10,000 populaFRAMEWORK ------

tion within project area); # of male CHWs trained and supported (total and per 10,000 population within project area); # of CHWs specifically engaged in public health surveillance; % of CHWs specifically engaged in public health surveillance; and # of community members utilizing target health education message practices % of community members utilizing target health education message practices.

SUB SECTOR 4.5

MEDICAL COMMODITIES INCLUDING PHARMACEUTICALS

TECHNICAL DESIGN

While RRF-SS recommends for partner organizations to receive emergency health kits containing essential medicines from the Health Cluster Core Humanitarian Pipeline managed by WHO, UNICEF, UNFPA and the Ministry of Health, in emergency situations pharmaceutical purchases can be allowed. Vaccines must be requested from the Health Cluster Pipeline. Partners proposing to distribute or purchase LLINs must follow the vv request procedures noted in Sector 1.1 NFIs above. Pharmaceuticals and medical supplies are considered to be restricted items, and must adhere strictly to USAID’s procedures on procuring pharmaceuti-

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SECTOR 4 HEALTH


cals (including ORS) and medical commodities, described on page 107 under sub-section Medical Commodities including Pharmaceuticals in the 2012 OFDA Guidelines for Proposals. Any restricted good to be purchased with RRF funds must be separated according to item (pharmaceutical, medical equipment, medical supplies), and expressed in detail in an items list (Annex D). This purchase must be justified with the submission of a request letter (Annex C), as per the Agency’s Automated Directives System 310 (ADS 310).The request letter should be on formal letterhead and identifies the pharmaceutical supplier and cost of pharmaceuticals only, and should be supported by any required attachments as indicated in the form. Procurement should be enacted through a pre-qualified wholesaler as specified in Annex G. In the case that pre-qualified wholesalers are not available in-country, a separate annex is provided to initiate an approval process. Health interventions that do not request pharmaceutical approval (either because the pharmaceuticals are inkind through an outside agency or because no pharmaceuticals are being provided) should specifically state that no pharmaceuticals will be procured with OFDA funds. RRF-SS funds cannot be used to purchase vaccines; supplies, cold chain equipment, transport and vaccine procurement should be done by the Ministry of Health, WHO or UNICEF for the core humanitarian pipeline.

REQUIRED INDICATORS -- # of supplies distributed by type (e.g., medical kits, equipment, consumables) FOR THE LOGICAL -- # of people trained in the use and proper disposal of medical equipment FRAMEWORK and consumables -- # of women trained in the use and proper disposal of medical equipment and consumables -- # of men trained in the use and proper disposal of medical equipment and consumables -- # of health facilities, supported by USAID/OFDA, out of stock of selected essential medicines and tracer products for more than one week -- % of health facilities, supported by USAID/OFDA, out of stock of selected essential medicines and tracer products for more than one week

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SECTOR 5

NUTRITION

OBJECTIVE

To support emergency nutrition programs that focus on the treatment of moderate acute malnutrition (MAM), severe acute malnutrition (SAM), and infant and young child feeding practices as the result of an external shock, as malnutrition levels remain high throughout the country, in order to address immediate needs of victims of conflicts, displaced persons and other affected populations residing in areas where there are acute emergency nutrition needs.

BENEFICIARIES

Children between 6-59 months of age and Pregnant and Lactating Women (PLW), the elderly, disabled, and infants 0-5 months in areas where GAM rates are identified as being above expected standards the result of an external shock and reaching critical levels.

GEOGRAPHIC AREA (S)

Throughout the region of South Sudan and Abyei


The sub-grantee will design and implement its interventions in close coordination with the Ministry of Health, the nutrition sector lead organization, the U.N. Children’s Fund (UNICEF) and the health sector lead organization, the U.N. World Health Organization (WHO).

Describe what measures you will take to ensure that nutrition facilities and PROTECTION MAINSTREAMING staff are safely accessible for all affected populations. For example, facilities

must be located in areas that beneficiaries can safely access. Nutrition workers should be balanced in terms of gender and ethnicity in order to facilitate access to services for diverse populations in an area. Describe how nutrition workers are or will be trained in knowledge and skills relevant to working with children at the HF. For example, nutrition workers should know how to refer children who may be separated from their parents or experiencing exploitation or abuse to Child Protection partners in the area. Describe how you will make nutrition services accessible to persons with disabilities, including any outreach activities that may target this group. Describe any measures to be put in place to prevent sexual exploitation and abuse of people seeking nutrition services.

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SECTOR 5 NUTRITION

TECHNICAL DESIGN

! THE RRF RECOMMENDS THAT PARTNERS APPLYING IN THE NUTRITION SECTOR REQUIRING NUTRITION SUPPLIES HAVE EXISTING AGREEMENTS WITH THE NUTRITION CORE HUMANITARIAN PIPELINE MANAGERS


Through this Fund the sub-grantee will be required to use evidence-based approaches that decrease morbidity and mortality from malnutrition as a result of an external shock. Nutrition interventions that fill gaps in emergency nutrition programs, and integrate with already-existing health systems and build system capacity to deal with acute malnutrition in a sustainable manner will be strongly supported. County health department staff, health workers, community nutrition volunteers, home health and hygiene promoters should also benefit from training and capacity building in nutrition in emergencies, provided by RRF-supported nutrition partners. RRF-supported projects should not support the start-up of new treatment programs for severe and moderate acute malnutrition. However, as the emergencies that South Sudan will confront will likely result in displacement of populations into areas and communities where nutrition services are already weak and scarce, the sub grantee will be requested to also implement emergency nutrition interventions. The RRF recommends that partners applying in the nutrition sector requiring nutrition supplies (such as RUTF) have existing agreements with the Nutrition Core Humanitarian Pipeline managers (FLA with WFP or PCA with UNICEF). Prior to any intervention, the sub-grantee will conduct a rapid form-based nutrition assessment and identification of the necessary interventions. Proposed nutrition interventions should be based on assessed needs through nutrition and mortality surveys in consultation with PHCCs, PHCUs and other health partners when possible. The proposal should include an analysis of available information as well as factors aggravating the nutritional status of the population including: SMART surveys, IPC rating, IRNA information, and/or other surveillance data. As per the USAID Guidelines, proposals must include clear data on mortality and malnutrition and description of how the data were collected. All data must be sex-disaggregated when relevant, baseline data, estimates of GAM and SAM prevalence based on weight for height, stunting and underweight prevalence, Mid-upper arm circumference (MUAC), confidence intervals, and details on methodologies used for assessments, already undertaken or planned. Sub-grantees should specify which beneficiary populations they will target with clear explanations about how each population will be treated, i.e. specify what type of treatment is appropriate for infants 0-5 months, what type of treatment is appropriate for PLW, elderly or disabled persons. Nutrition sub-grantees must clearly state in the proposal whether they have the capacity to, or name the health actor(s) in the area with the capacity to, ensure testing and treatment of malaria and diarrheal diseases, deworming and vitamin A treatment. Should the intervention require the provision of micronutrient supplementation to a population suffering from severe micro-

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SECTOR 5 NUTRITION


nutrient deficiencies, such activities should be implemented in a complementary fashion alongside PHCC/PHCU services. Sub-grantees will be required to be guided by principles of humanitarian protection, in particular through the targeting of vulnerable populations (i.e. women, SFHH, children, the elderly, sick or disabled) and through ensuring that distributions or services provided by the sub-grantee do not negatively impact the health and safety of the beneficiaries or community relations.

SUB SECTOR 5.1

MANAGEMENT OF MODERATE ACUTE MALNUTRITION (MAM)

TECHNICAL DESIGN

Possible activities include: -- Targeted supplementary feeding programs; -- Community-based management of MAM without complications, through mobile clinic services; -- Community-based management of MAM with complications, through inpatient care; -- Provide nutrition training to county health department staff, health workers, community nutrition workers, community health workers, and community members;

REQUIRED INDICATORS -- # of sites managing MAM; -- # of male beneficiaries admitted to MAM services, by age (0-5 months, FOR THE LOGICAL 6-11 months, 12-23 months, 24-35 months, 36-47 months, 48-59 monFRAMEWORK --------

ths); # of female beneficiaries admitted to MAM services, by age (0-5 months, 6-11 months, 12-23 months, 24-35 months, 36-47 months, 48-59 months); # of Pregnant and Lactating Women (PLW) admitted to MAM services, by age (12-14 years, 15-49 years, 50-60 years); # of elderly or disabled women admitted to MAM services, by age (12-14 years, 15-49 years, 50-60 years); # of elderly or disabled men admitted to MAM services, by age (12-14 years, 15-49 years, 50-60 years); # of health care providers and volunteers trained in the prevention and management of MAM; # of male health care providers and volunteers trained in the prevention and management of MAM; # of female health care providers and volunteers trained in the prevention and management of MAM.

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SECTOR 5 NUTRITION


SUB SECTOR 5.2

MANAGEMENT OF SEVERE ACUTE MALNUTRITION (SAM)

TECHNICAL DESIGN

Possible activities include: -- Community-based management of SAM without complications, through mobile clinic services; -- Community-based management of SAM with complications, through inpatient care; -- Provide nutrition training to county health department staff, health workers, community nutrition workers, community health workers, and community members;

REQUIRED INDICATORS -- # of male health care providers and volunteers trained in the prevention and management of SAM, by age (15-49 years, 50-60 years, and +60 FOR THE LOGICAL years); FRAMEWORK

-- # of female health care providers and volunteers trained in the prevention and management of SAM by age (15-49 years, 50-60 years, and +60 years); -- # of sites established/rehabilitated for inpatient and outpatient care -- # of male beneficiaries treated for SAM, by age (0-5 months, 6-11 months, 12-23 months, 24-35 months, 36-47 months, 48-59 months); -- # of female beneficiaries treated for SAM, by age (0-5 months, 6-11 months, 12-23 months, 24-35 months, 36-47 months, 48-59 months); -- Rates of admission, default, death, cure, relapse, nonresponse-transfer, and length of stay.

SUB SECTOR 5.3

INFANT AND YOUNG CHILD FEEDING AND BEHAVIOR CHANGE

TECHNICAL DESIGN

Given the limited time periods for RRF-SS projects, use of the IYCF-Emergency strategies and toolkits are recommended. IYCF-E aims to protect and support appropriate feeding practices for infants and young children that will prioritize their needs and enhance their chances of healthy growth, development and survival despite the emergency environment. Possible activities include: -- Disseminate information, Education and Communication (IEC) materials focusing on malnutrition prevention and treatment; -- Conduct nutrition education sessions to families of malnourished child-

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SECTOR 5 NUTRITION


ren, individuals accessing Primary Health Care Unit (PHCU)/ Primary Health Care Centre (PHCC) services, and other vulnerable populations, on promotion of breast feeding, and nutrition in children.

REQUIRED INDICATORS -- # of infants 0-