proposal to unicef

ANNEX A: Project Plan[This is a sample template to be used as a generic guide for preparing project proposal documents. It can be adapted and amended as necessary. In addition to assisting UNICEF and partners with preparing proposals, the following outline is used by the UNICEF PCA Review Committee when reviewing proposals]. Project Title:

1. Background and Rationale for the ProjectAn introductory narrative that refers to the causes and context on the problem including, as appropriate, geographical, historical, and socio-political circumstances. An introduction to the plan to improve the situation and to advance the application of rights. Refer to the UNICEF AWP (programme, project and activity) with which this initiative is linked.

Provision of Immunization and ANC Services to Women and Children at UNMISS Tomping and Awerial aims to address some of the tremendous healthcare needs at IDP camps in Juba and Awerial. It will focus specifically on:

- providing EPI to children under the age of one who have not been vaccinated, or whose vaccinations have been interrupted by the current crisis,

- offering antenatal care to pregnant women who have been displaced, and - providing outreach to the community, specifically through supporting the ambulance service in

Awerial, one of the areas that has been hardest hit by the country’s ongoing crisis.

South Sudan, the world’s youngest and one of its poorest, most fragile countries has been in a spiraling crisis since violence exploded in the capital on December 15 th, and rapidly spread throughout the rest of the country. In less than one month, according to UN estimates, approximately 10,000 people have died, more than 400,000 have been internally displaced and over 70,000 have fled to neighbouring countries.

There has been tremendous human suffering. Women and children have borne the brunt of it. Many people have simply lost everything. This project aims to meet a small part of the needs of thousands of people who have suddenly found themselves displaced in Awerial and Juba – UNMISS Tomping. Specifically, we will offer vaccination and ANC services and outreach, specifically for women with complicated pregnancies

UNMISS Tomping:The situation at UNMISS Tomping in Juba is grim. In recent weeks, more than 19,000 people, primarily women and children, have crammed into this limited space. There is severe overcrowding. There are currently fewer than 200 latrines, with a total of just over 400 planned – well below SPHERE standards, due to a sheer lack of space. Sanitation levels are horrific and over 60 babies have been born into this environment. There is an extremely serious risk of water and airborne diseases.

While an emergency measles campaign was conducted, over 40 cases have since been detected. The MOH has just started offering ongoing vaccination services, however, there is just one vaccination post for 20,000 people. . We propose to fill that gap. We will offer ongoing vaccinations every day for three months, alongside high-quality antenatal care.

Awerial : We will also provide vaccination and ANC in Awerial. Even before the current crisis, the people of Awerial were living under extremely difficult circumstances. Healthcare services were poor, malnutrition and food insecurity rates high. Awerial is located in the greater Yirol region, an area with a poverty prevalence rate of 49 per cent, a massive lack of infrastructure and huge unemployment. Prior to this current crisis, children under five in the area were commonly exposed to health and nutrition emergencies, due to poor PHC service coverage, including EPI, scarce hygiene practices and cultural barriers. The region’s pre-crisis maternal mortality rate was 2,3340/100,000 with a neonatal mortality rate of 114/100,000 (GOSS, 2011)

In the past few weeks, over 84,000 internally displaced people have arrived in this area. Many of them arrived with just the simple belongings on their backs and have been depending on the local population for

Annex A, Version 4th July 2007

virtually everything. The scale of the displacement, combined with limited local resources and incredibly poor infrastructure have combined to produce a disaster.

An unspecified number of children have died, due to exposure. The nights are cold in Awerial, and infants are particularly exposed. The area’s limited number of boreholes are running dry by early in the morning, so people are drinking untreated water from the Nile, exposing themselves to waterborne diseases, and armed groups traveling by the river. The government’s medicine stocks are vritually depleted. These people have lost everything and are terribly at risk, with children under the age of one and pregnant women being even more so.

We can’t solve this crisis, however, one of the most powerful weapons organizations wield is that of preventative healthcare.

In this regard, under this project, Magna aims to:- Sensitize the IDP populations in UNMISS Tomping and Awerial as to the need for immunization and

ANC services.- Provide immunization services for infants under the age of one in Tomping and Awerial;- Provide ANC services for pregnant and lactating women in Tomping and Awerial;- Support the referral system in Awerial.

This project will address the needs of the most vulnerable people during the most desperate part of this crisis. After three months, the project will subsequently be reevaluated.

2. General Objective – the Key Result of this ProjectThe general objective should relate to a clearly identified problem that the project intends to solve or contribute to resolving. The problem should be stated in terms of beneficiaries’ needs, not needs of the partner organisation. This should be one overall objective expressed in results/change language which clearly identifies the difference that will be made by the successful implementation of this project.

The general objective of this project is to reduce the morbidity and mortality from vaccine-preventable diseases amongst infants and pregnant women in the IDP populations of UNMISS Tomping and Awerial.

3. Immediate ObjectivesThese are the specific aims of the project that will contribute to achieving the result expressed in the general objective. Using the SMART acronym, these should be expressed in results/change language. The immediate objectives should include the expected outputs that the project will provide to the beneficiaries. Verifiable indicators (including the source of verification) should be specified to measure output achievement.

The immediate objectives of this project are:Objective 1: To increase awareness of the need for immunization and ANC amongs the IDP populations in Tomping and Awerial;Objective 2: To immunize all infants against the most common vaccine-preventable diseases; andObjective 3: To identify and manage all complicated pregnancies through comprehensive antenatal services

Expected outputs of this project are:


1) Demand increases for emergency immunization services amongst vulnerable IDP populations populations in Tomping and Awerial through social mobilization and advocacy to secure IPD population is sensitized as to the need for immunization and maternal health ;

2) Morbidity and mortality is reduced amongst infants in the IDP populations of Tomping and Awerial; and3) Morbidity and mortality is reduced amongst pregnant women in the IDP populations of Tomping and

Awerial.

Indicators:Indicators associated with this project are as follows:

- Percentage of children < 1 year (infants – disaggregated by sex, location) among the IDPs who complete the recommended schedule of immunization and are protected against vaccine preventable diseases (to be measured through BCG, DPT1,2 and 3, OPV 1,2 and 3, measles; coverage and children who are fully immunized before one year).

- Percentage of children of one year who receive Vitamin A;- Percentage of pregnant women who receive tetanus vaccination;- Percentage of pregnant women who receive ANC services;- Percentage of health workers and volunteers who demonstrate improved skills - Number of outreaches conducted

4. Activities(1) Description of activitiesList the activities related to achieving the results of the objectives. Brief descriptions of the activities should be presented in logical sequence; with clear references to time frames and deadlines; and with linkages to how the activities will achieve the objectives. Make sure planned activities can be conducted within the timeframe and resources of the project.

We will achieve these objectives through the activities outlined below. These activities are designed to complement the services provided by other actors to date. Under this project, we will aim to minimize mortality, maximize resources, reduce wastage, ensure equity, and improve accountability, to the population at risk.

1) Output 1: Increased demand for emergency immunization services amongst vulnerable IDP populations in Tomping and Awerial, through social mobilization and advocacy, in order to ensure IDP population is sensitized about the need for immunization and maternal health;

We will accomplish this as follows:

A.1.1 – Recruitment of Community Mobilizers: We will recruit and train a total of 80 community mobilizers (20 in Tomping and 60 in Awerial). They will be responsible for providing key messages to the IDPs about the need for immunization and ANC. The mobilization campaign will target men and women to increase their understanding and participation in the immunization services provision. Also the main focus will be on increasing male participation in seeking for immunization services of their children.

Strengthening the health surveillance system: Community mobilizers will also help strengthen the health surveillance system by monitoring for outbreaks. A simple checklist will be provided to monitor any possible outbreak or any cases within the camps and surrounding communities.

A.1.2 One-Day Training for Community Mobilizers: The community mobilizers will receive a one-day training session. They will receive information about the advantages of vaccination, the urgent need to vaccinate children in a congested environment, and techniques for communicating key messages. The training will be done by the team leader.

A.1.3 Community Mobilization : Community mobilization will occur every day in both locations for three months. There will be 20 community mobilizers in Tomping and 60 in Awerial. The community mobilizers will be divided into teams of two and, in each site, will be overseen by a mobilization supervisor. They will deploy each


day (Monday – Friday) from 9 AM to 4 PM and will deliver key messages to primary caregivers, community leaders and temporary school in Tomping and Awerial.

The mobilization supervisor will conduct assembly meetings at the beginning of each day to review any issues from the day before and will then hold a wrap-up meeting at the end of each day. Attendance will be monitored at all meetings.

Output 2 Morbidity and mortality from vaccine-preventable diseases is reduced amongst infants in the IDP populations in Tomping and Awerial.

We will accomplish this as follows:A.2.1 Recruitment and Training of Vaccinators and Midwives: A total of 70 vaccinators and ten midwives will be recruited as follows:- UNMISS Tomping – 28 vaccinators and four midwives will be recruited and trained; and- Awerial – 42 vaccinators and six midwives will be recruited and trained.

Training: Improve the skills of health workers and volunteers. They will be trained on infection control practices, including the use of non-touch technique, safe disposal of medical waste, the need to ensure that vaccines are not kept longer than six hours after reconstitution, safety of injections, safe disposal of injection material, record keeping, individual vaccination cards provision, other activities (eg. Nutritional supplements, Vitamin A, treatment of complications, general health education). The training will be done by the team leader.

A.2.2: Establishment of Fixed and Outreach Vaccination and ANC Posts:Fixed and mobile vaccination and ANC posts will be established and continue to run throughout the duration of the project. All posts (fixed and mobile) will operate five days a week for three months. These fixed and mobile posts will ensure that children under one year of age (infants) amongst IDPs are protected against six vaccines preventable diseases, through procurement and distribution of routine EPI vaccines.

Fixed Posts: There will be a total of ten fixed Vaccination and ANC posts, as follows:- UNMISS Tomping – four fixed posts;- Awerial – six fixed posts.

Each vaccination team at a fixed post will consist of six individuals:i) One registrar at the “entry” point to register all women and children;ii) Two vaccinators to administer vaccinations;iii) One registrar at the “exit” point to ensure all women and children have been vaccinated and it has

been noted;iv) One midwife for provision of ANC services; andv) One security guard.

Mobile Posts: The objective of the outreach vaccination services will be to reach the hardest-to-reach people – those who are most vulnerable and in need. There will be a total of ten outreach teams (four in Tomping and six in Awerial) This will be located within and around the camps. The camps leaders and the local leaders will help MAGNA in identifying the outreach post locations, and they can be in the shops, markets, churches etc. Each team will consist of three individuals – two vaccinators and one registrar. When they find pregnant women, these teams will strongly encourage the woman to seek out the ANC services provided at the fixed posts.

Provision of safety measures and environmental impact. Safety injection practices using non-touch technique will be observed, All mixing syringes will be discarded in safety boxes supplied at all posts, vials will be disposed into polythene bags and destroyed as per the UNICEF guidelines, and proper waste management will be ensured.

A.2.3 Ongoing Vaccinations: Ensure that selected beneficiaries among the IDPs are protected against 6 vaccine preventable disease through procurement and distribution of additional routine EPI vaccines.


Vaccinations at mobile and fixed points will continue every day for three months. At the end of this period, the project will be reevaluated.

Daily Replenishment of Vaccines in Tomping: There is no space for cold chain in UNMISS Tomping. As a result of this, every morning, we will pick up the vaccinations from an established point and every evening remaining vaccinations will be returned.

Output 3: Morbidity and mortality is reduced amongst pregnant women:We will identify and manage all complicated pregnancies within UNMISS Tomping and Awerial IDP camps as follows:

A.3.1: Screening, assessment and registration of all pregnant and lactating women in the camps: Pregnant and lactating women will be identified by both the community mobilizers and the midwives. Those identified by the mobilizers will be referred to the fixed vaccination posts where the midwives will be working. There, the women’s condition will be assessed, pregnant and lactating women will be examined for any physical conditions, as well newborns will be examined and routinely monitored for growth and any nutritional problems.

A.3.2: Tetanus vaccinations, deworming and Vitamin A: Tetanus vaccinations, deworming tablets will be provided to all women of reproductive age and Vitamin A will be provided to all pregnant and lactating mothers within the camps:. This will be managed by the midwives, and will take place at the fixed vaccination and ANC posts.

A.3.3: Distribution of Clean Delivery Kits: Clean delivery kits will be provided to all pregnant women who 28 weeks pregnant and above. MAGNA will ensure that the mothers are examined and registered so that the kits are given to the rightful women.

A.3.4: Counseling and guidance to the pregnant and lactating women: MAGNA Midwives and other health workers will sit closely with the mothers and discussed their current situation in detail and give them special guidelines on their health and the health of their unborn or newborn babies. This will be in terms of nutrition, hygiene, and psycho-social support during the time in the camp.

A.3.5 Reinforcement of Referral System in Awerial: We will provide high-quality ANC services to the most vulnerable women, including those who may require referral and transportation to hospital. In this regard, in Awerial, we will give support to the region’s ambulance service, through providing staffing, providing maintenance, driver incentives and fuel.

(2) Implementation strategyIndicate how communities, especially women and children, will participate in the project; how partner organisations will collaborate with other actors working in proposed location; and how the results will be sustained.

.Our implementation strategy will focus on community mobilization and passing key messages about the importance of vaccination and ANC to the IDPs, as well as providing both fixed and mobile vaccination and ANC services in UNMISS Tomping and Awerial.

Implementation Strategy in Tomping:Our implementation strategy in Tomping is as follows:

Mobilization: Our strategy will involve the daily deployment of a team of community mobilizers, a total of ten people, divided into ten teams of two, who will circulate throughout the camp, meeting with community leaders, families, temporary schools and other relevant entities. Their goal will be to pass key messages about the vital importance of immunization and ANC. A Mobilization Supervisor will ensure the continued quality of their work. The team will meet daily with their supervisor at 8 AM, and will deploy at 9. They will spend six hours a day passing their messages to the community (with a one-hour break) and will hold a daily wrap-up session with


their supervisor every day at 4 PM. At the start of the project, all community mobilizers will receive a one-day training course, and after six weeks, will receive a one-day refresher course.

Vaccination and ANC: Our vaccination and ANC campaign will be two-pronged, using both outreach and fixed vaccination centers. Prior to the start of vaccination, all vaccinators will receive a one-day training course, designed to update or upgrade their skills and focused on issues such as infection control practices, safe disposal of medical waste and the need to ensure vaccines are not kept longer than six hours after reconstitution, amongst others. The initial training will be followed by a one-day refresher course after six weeks.

Outreach – Our four outreach teams will have three members each – two vaccinators and one registrar. Their objective will be to complement the services offered by the fixed teams, as they circulate in the camp and focus on the most vulnerable, marginalized and hardest-to reach families who are least likely to come to the fixed vaccination posts.

Fixed - We will have four fixed vaccination points in Tomping. Each point will be staffed by six individuals – - two vaccinators;- two registrars;- one midwife to provide ANC services; and- one security guard.

Vaccination /ANC will be overseen by a supervisor, and all work at Tomping will be overseen by a Team Leader, whose responsibility will be to oversee the overall quality of the project.

Implementation Strategy at Awerial:Our strategy for vaccination and ANC in Awerial will be similarly two-pronged. However, it will include a stronger outreach component, due to the local conditions:Community Mobilizers: A total of 40 mobilizers, divided into 30 teams of two people, will be responsible for spreading the message about vaccination and ANC. They will report to a supervisor and will receive a one-day training course on community mobilization and key messages, as well as a half-day refresher course.

Vaccination and ANC:

Fixed Vaccination Centers: We will have six fixed vaccination centers, staffed by two vaccinators, two registrars, one midwife and one security guard. ANC services will be provided by the midwife.Outreach: We will have eight outreach teams of three people, with two vaccinators and one registrar.

Reinforcement of referral system in Awerial: In both Tomping and Awerial, we will provide high-quality ANC services, focused on the most vulnerable women. As these women may require transfer to hospital, in Awerial we will also support the local ambulance for three months.

Monitoring and Evaluation:

Monitoring and evaluation will be an extremely strong component of this project. Community mobilizers, vaccinators and midwives will receive training both at the beginning and mid-way through the project. They will be overseen on a twice-daily basis by a supervisor, who will be responsible for holding meetings at the beginning and end of the day. Attendance will be taken at all meetings. All teams will be required to submit weekly and monthly reports. In the case of community mobilizers, these reports will contain details of the number of people who have been sensitized about the value of immunization and ANC. In the case of mobile vaccinators, they will detail how many children were vaccinated, while those at fixed posts will detail number of children vaccinated, and number of pregnant women receiving ANC. All vaccinators will also detail any adverse reactions reported.

Community Participation in the Project:


Community participation is also important to this project. Our primary asset in the effort to secure community participation and support for this project will be our community mobilizers who will focus on conveying key messages about the need for vaccination and ANC. They will receive training at the start of the project in order to sharpen their ability to talk about the advantages of vaccination and answer questions. They will communicate the following key messages to the community:

Vaccination:- children living in congested areas must be vaccinated quickly to prevent illness;- measles vaccination and Vitamin A in particular protect children from dangerous diseases;- Vitamin A helps children fight infections and malnutrition;- If a child has a fever, cough, rash, runny nose, or red eyes for three days or more, they should see a

healthcare workers- Children who are sick or recovering from illness are at risk of dehydration and need food and water.

ANC:- ANC is essential for all pregnant women;- The need for tetanus vaccination;- Education about STIs;- Danger signs in pregnancy; and- The need for an emergency plan, in case the woman has complications

Community mobilizers will pass these messages on to primary caregivers, pregnant women and will visit any temporary schools that have been established in order to target the principals, teachers and students. In UNMISS Tomping, they will also ensure IDPs are aware of the informative radio programs the UN is running.

Our Collaboration with Other Actors: MAGNA will work in strong collaboration with other actors in the implementation of this project. We plan to work in conjunction with UNICEF and will actively seek to collaborate as fully as possible with CCM, the lead NGO in Awerial, as well as ACTED, the NGO responsible for management of Tomping. In particular in Tomping, we will ensure that all our workers are fully aware of all safety measures being implemented by ACTED. Meanwhile, we will participate fully in all cluster meetings related to immunization, RH, Tomping and Awerial.

5. Time Line of ActivitiesPartner workplan, including planned start and end dates of the project as well as specific activity completion dates.

Please find our timeline of activities on the following page.


Activities Timeline

MAGNA Children at Risk Activities Week

1 2 3 4 5 6 7 8 9 10 11 12Result 1: The IDP populations in Tomping and Awerial are sensitized as to the need for immunization and ANC

A.1.1:: Recruitment of Community Mobilizers

X

A.1.2: One-day training session for community mobilizers and follow-up session

X X

A.1.3: Ongoing community mobilization X X X X X X X X X X XResult 2: Morbidity and mortality from vaccine-preventable diseases is reduced amongst infants in the IDP populations in Tomping and Awerial

A.2.1: Recruitment and training of Vaccinators and Midwives

X X

A.2.2: Establishment of fixed and outreach vaccination and ANC posts

X

A.2.3: Ongoing vaccinations at fixed posts and through mobile teams

X X X X X X X X X X X

A.2.4: Daily replenishment of vaccines in Tomping, due to lack of coldchain facilities


Output 3: Morbidity and mortality is reduced amongst pregnant women

A.3.1: Screening, assessing and registering of all pregnant and lactating women in the camps:


A.3.2: Tetanus vaccinations, deworming and Vitamin A


A.3.3: Distribution of Clean Delivery Kits


A.3.4: Counseling and guidance to pregnant and lactating women


A.3.5 Reinforcement of referral system X X X X X X X X X X X


6. BeneficiariesBasic data (including the source) on the expected number of beneficiaries. This should be disaggregated by adult/child, and male/female.

It is difficult to estimate exact numbers who will benefit from this project, due to the fluidity of the situation. While numerous needs assessments have been done in both areas, the situation is changing daily and is likely to continue to do so. However, we estimate the beneficiaries of this project will be as follows:

- 2,000 infants under the age of one in UNMISS Tomping;- 5,000 infants under the age of one in Awerial;- 1,000 pregnant or lactating women in Tomping;- 3,000 pregnant or lactating women in Awerial;- 84,000 IDPs in Awerial who will receive education about immunization and vaccination;- 20,000 IDPs in UNMISS Tomping who will receive education about immunization and vaccination;- 50 individuals who will be recruited and trained as community mobilizers and will thus gain valuable

skills;- 70 vaccinators who will benefit from having their skills upgraded; and- Ten midwives who will benefit from having their skills upgraded.

7. Budget EstimationsTo indicate the context in which UNICEF resources will be utilized, list summary inputs (personnel, supplies, cash) from beneficiary, partner organisation and UNICEF. If UNICEF is not funding the entire Project, confirm that other funding has been mobilized or secured. Include a brief narrative to justify budget items as necessary. A detailed budget of UNICEF resources for the project is provided in Annex B.

The total budget for this project is $154,391. The detailed budget breakdown can be found in the attached budget template. However, it includes:

- $15,000 on monitoring and implementation visits;- $8,000 for hygiene kits and medical documentation.- $4,000 in training costs; - $84,645 in personnel costs (including midwives, community mobilizers and vaccinators).

Supply and EquipmentThe supplies and equipment, including vehicles and any other means of transport, if any, to be provided by UNICEF to the partner organization should be listed.

Under this project, we will request UNICEF to supply the following:- Vaccines;- Equipment for vaccination/ANC posts (vaccine carriers, cold boxes, desk, chairs, banners, ,

stethoscopes, fetoscopes, syringes, cotton, referral cards) ;- IEC materials;- Clean delivery kits;- Storage at Tomping (as required).

8. Roles and Responsibilities – Implementation and MonitoringA brief description of the roles and responsibilities of the beneficiary community, the partner organisation, and UNICEF. Specify the nature and frequency of UNICEF’s monitoring. Specify names and titles of the partner and UNICEF officers immediately responsible for the project.

The responsibilities for this project will be divided as follows:MAGNA Children at Risk:We will be responsible for the following in both locations:- Ensuring the project is implemented in a timely fashion;


- Mobilizing funding, carrying out the training on time, conducting social mobilization, conducting immunization five days a week for three months, cold chain, logistics and transport.

- Conducting ANC amongst pregnant women five days a week for three months;- Reinforce outreach services and referral through support of the ambulance in Awerial and assisting the

MOH as it reassumes responsibility for this function.We will also be responsible for all monitoring and evaluation of the project, which will be conducted on an ongoing basis.

UNICEF Responsibilities:UNICEF will be responsible for procuring and supplying the vaccines, injection safety materials, support, distribution of injection safety materials, and other immunization supplies to the districts, purchase of vaccine carrier. UNICEF will also provide technical support in planning and implementation and monitoring of activities. UNICEF will secure a storage at Tomping if required.

9. ReportingIndicate the schedule for both narrative and financial reports.

This project will have a strong monitoring and evaluation component, which will be reflected in its reporting. Daily meetings will take place between the mobilizers and their supervisors and attendance will be taken at all meetings. All mobilization and vaccination teams will be required to produce weekly and monthly reports, which will be carefully monitored and any required changes made to the project. These reports will be forwarded to both county health departments and UNICEF. Responsibility for the timely production of reports, as well as their accuracy will lie with both team leaders and MAGNA’s project coordinator. We will submit a final report after three months of operation.

10.VisibilityIndicate how UNICEF’s support to this project will be visible at project sites and acknowledged in public reporting.

UNICEF’s collaboration will be strongly and continually acknowledged throughout the project. Magna Children at Risk South Sudan will ensure all mentions of UNICEF collaboration occur in-line with UNICEF’s ethical and brand guidelines, as outlined in the UNICEF Brand Toolkit. Specifically:

- We will feature the UNICEF logo on all communications materials: The UNICEF logo will feature alongside the MAGNA logo on all communications materials associated with this project, including letters to any officials, and signs and banners posted at all fixed vaccination points. We will always respect the guidelines outlined in the UNICEF Brand Toolkit for use of the UNICEF logo;

- We will use the tagline “Unite for Children” along with the UNICEF logo. This tagline is a strong reflection of this project’s philosophy.

- We will respect UNICEF’s philosophy with regards to photographing program participants: Magna shares UNICEF’s philosophy that all photos should respect the dignity, privacy and personality of the person portrayed. At the same time, we strive to ensure that all our communications materials illustrate the reality of our participants’ lives.

Our community mobilizers will also encourage people to listen to UN radio program that’s being directed at the IDPs in UNMISS Tomping.

11.Risks and AssumptionsA brief narrative on the risks and assumptions that could possibly affect the successful implementation of the project (both within and beyond the project’s control).

There are a number of risks and assumptions associated with this project. They include:


Risks: Security: Ongoing poor security in the country is a risk to this project. However, at the time of writing, both locations where this project will take place are considered to be low-risk Specifically, camp management in Tomping is facilitated by ACTED, who has established strict security protocols, an evacuation plan with assembly points and safe rooms for humanitarian workers. In Juba, as well as in Awerial, we will fully respect all security protocols.

Closure of Juba-Awerial Road: The Juba-Awerial road is currently open, and UNICEF is examining that possibility of using it. There is the risk of the road being closed due to insecurity. However, the potential impact of this on the project is limited as the project will be staffed and managed by those within the immediate vicinity of the camp. In addition to this, UNHAS is currently offering three times weekly helicopter flights from Juba to Awerial (Monday-Wednesday-Friday).

Expansion of Bor Conflict: Currently, distance and the Nile are serving as a barrier between the conflict and where IDPs are located, however, this could change. We will remain extremely flexible and the project will move if required.

Movement of IDPs at Tomping Camp: As the conflict continues and more IDPs arrive in Tomping, the UN is examining the possibility of moving some of them. However, this is not really a risk to this project as the initiative will simply be relocated.

Lack of Healthcare Workers: A potential human resources issue we face with this project is a lack of healthcare workers. We will mitigate this risk by recruiting healthcare workers amongst the IDPs and amongst former healthcare workers in the area who may have been laid off due to the government’s inability to pay. We will also offer a one-day training course to help upgrade their skills.

Assumptions: There are a number of assumptions associated with this project:

- We are assuming that the campaign will be accepted by the target population. We will help ensure this by employing and training community mobilizers to educate the target population about the benefits of immunization and through use of UNICEF IEC materials. We will ensure their acceptance continues by providing high-quality services that are continually monitored and evaluated.

- The local community will continue to accept the IDPs in Awerial: IDPs in Awerial have been very dependent on the local community, as they have been arriving with often just the clothes on their backs. We are assuming this acceptance will continue.

- Availability of safe drinking water: We are assuming safe drinking water will be available to IDPs. This is particularly a concern in Awerial, as boreholes have been running dry and people have been drinking unsafe water from the Nile.

12.Relevant Reference DocumentationFor example: site map, community approval letter, Bill of Quantity, technical drawings and specifications, etc. attached as Annexes.

1. Maps:

The following map shows the location of IDPs in Tomping (Juba) on December 31st.


Map showing location of IDPs in Tomping.


Map showing locations of IDPs in Juba.


Map of Awerial


proposal to unicef

Documents