consolidated results report - palestine children and women ... fileconsolidated results report -...

Consolidated Results Report - Palestine Children and Women Programme – APD 2011-2013 (extended to 2014)

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CONSOLIDATED RESULTS REPORT

State of Palestine:

1. Key Results

Expected

2. Key Progress

Indicators

3. Description of Results Achieved 4. Constraints and facilitating

factors

1.1. By 2013, high

risk new-borns,

pregnant women

and sick children

have full access to,

and utilize quality

basic maternal,

newborn, and child

health services.

1.1.1. National costed child health policy and plan endorsed and being implemented -Baseline: No costed child health policy and plan exists. Target: By the end of 2012, a costed policy and plan is endorsed

This indicator is partially fulfilled. The first step, the situation analysis, is completed for the health status of Palestinian children.

Constraints: Turnover of ministry’s administration three times during the programme cycle slowed progress. The continuation of the political separation between Gaza and West Bank has affected implementation as well as the instability in Gaza and the 2011 aggressions leading to mobility restrictions especially in Gaza.

1.1.2: % coverage of

DPT3_Hib

vaccination Baseline:

98.7% oPt-wide

(Palestinian Family

Health Survey, 2006);

77% in UNRWA Area

C survey, 2009

Target: 95% of

children survived at

age of 6 months.

99.8% coverage of DPT3_Hib vaccination for 6 months old children was achieved by 2012. The report of 2013 is in process by Ministry of Health. The Ministry is now at a capacity level where it can take over the full management of the Expanded Programme for Immunisation with minor support of UNICEF. UNICEF has started phasing out its support to vaccination.

Facilitating factors: UNICEF has invested in the capacity of the MoH and local experts are available to refer to and consult. There is high level of commitment among policy makers and health professionals to maintain the high coverage and reaching the marginalized.


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1.1.3. Proportion of

pregnant women 15-

49 years who receive

ANC at least four

times Baseline: 90.2%

(Palestinian Family

Health Survey, 2006);

proportion in

vulnerable areas TBD

Target: 98%

UNICEF shifted its area of interventions to post natal care development as WHO is working on the ANC and UNFPA is working on the delivery component of the continuum of care. UNICEF´s focus on post natal care services fill the gaps in services and ensures the continuum of care of high risk mothers and/or new-borns, by compensating the early discharge of the mother and new-born from maternity wards. UNICEF supported the Post-natal Home Visits (PNHV) Program in Gaza, reaching 4,610 at risk mothers/new-borns with 4.5% of mothers and or new-borns referred for specialized care. The average delay of the first visit decreased from 3.1 days in 2012 to 2.41 in 2013. The data for Exclusive Breast Feeding (EBF) showed good progress in adoption of EBF as a practice, since 78.7% of mothers visited immediately after birth were exclusively breastfeeding.

Facilitating factors: The SoP neonate health care manual was used to unify the care procedures among health care givers. Other initiatives and partnerships provided complimentary work such as the Baby Friendly Hospital Initiative (BFHI) and the Patient Friendly Hospital Initiative. In the exit strategy adopted by UNICEF for the coming cycle, the PNHV programme will be fully institutionalised within the ministry and with full running cost covered by MoH by the end of 2017.

1.2 By 2013, undernourished children and high risk pregnant women in vulnerable districts have access to, and utilize appropriate micronutrient supplementation.

1.2.1 % of girls and

boys aged 9-12

months (Rural/Urban,

by district) who are

anaemic.

Baseline: 57.2% of

girls and boys aged 9-

12 months are

anaemic (NNSS report

2009) Target: By end 2013, % of girls and boys aged 9-12 months (Rural/Urban, by

Reported anaemia levels were at around 57% for children between 9-12 months in 2011. The indicator was reviewed and changed in 2012 and the new age group approved and reported in the surveillance system is 12-15 months. Reported anaemia levels were at 51.6% among girls (50.7%) and boys (52.3%) aged 12- 15 months (National Nutrition Surveillance System 2013).

Facilitating factors: The conduct of the Palestinian Micronutrient Survey in SoP was a mile stone in confirming and assessing the micronutrient status of children, lactating and pregnant women. Constraints: Lengthy coordination and clearance processes hindered the timely delivery of supplies especially to Gaza. Delays in receipt of supplies needed to perform the tests of the


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district) who are anaemic reduced to < 40% (by end of 2012, anaemia among children (boys and girls) aged 12-15 months reduced by 15%.)

Palestinian Micronutrient survey were also experienced.

1.2.2 % of boys and

girls up to six months

of age who are

exclusively breastfed.

Baseline: 24% of

children up to six

months of age are

exclusively breastfed;

Palestinian Family

Health Survey 2006.

Target: 55% of girls

and boys up to six

months of age are

exclusively (by end of

2012, 10% increase in

exclusively

breastfeeding among

boys and girls.)

Exclusive Breast Feeding rate is at 28.9% among girls and boys up to six months of age (26.1% for boys, 31.7% for girls) (29.6% WB; 27.8% Gaza) – MICS 2010.

Facilitating factors: The existence and licensing of the Community Health Workers syndicate, is a facilitating factor, for outreach to community and grass root levels. They can be cost-effective extensions of the healthcare system. Ministry of Health complementary work through supporting and implementing the BFHI not only in hospitals but at Primary Health Care clinics aided progress as well and the high commitment of MoH officials toward the implementation of the BFHI policy.

1.2.3 % of female and

male caregivers have

knowledge and adopt

at least 3 key family

and community

appropriate practices

The Community Integrated Management of Children Illnesses (C – IMCI) wasn’t introduced in the reporting period because WHO – EMRO didn’t release the training package. The planned intervention was not carried out due to contextual constraints.

Constraints: Political instability in Egypt affected the WHO – EMRO and hindered the release of the training package as well as the possibility to organise for a


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including breast

feeding,

complementary

feeding and feeding

sick children

Baseline: n/a. TBC

through 2011 surveys

Target: 45% of

targeted caregivers

(female and male)

have knowledge and

adopt at least 3key

appropriate family and

community practices

(by 2012, 15% of

targeted caregivers

(female and male)

have knowledge and

adopt at least 3 key

appropriate family and

community practices)

mission to State of Palestine to train and introduce the package during the reporting cycle.

1. 3. By 2013

households in

vulnerable

communities and

165 Schools have

increased access to

safe water and

sanitation, and oPt

emergency

planning and

Indicator 1.3.1 was

revised in agreement

with PWA for the

2012 work plan and

the revision reflected

in the Mid Term

Review (see table two

below).

With UNICEF support, databases at PWA and CMWU have been upgraded and PWA has established the first national Water Information System with maintenance of WASH cluster database.

Constraints: Lack of funding affected results achievement Facilitating factor: The high level of technical ability of the staff of the Palestinian Water Authority and Coastal Municipalities Water Utility


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response

mechanisms are

effective. 1.3.2 % increase in

targeted household

sewage network

connection and

maintained good

hygiene practices at

the community level.

Baseline: 64 %, N/A

Target: 85%, 25, 000

of HH

Estimated 72 % of households in Rafah are connected to sewage networks (Source PWA annual report 2011). A total of 3,373 household in Rafah in Gaza benefitted from increased sewage connection, through rehabilitation and extension of 8,700 meter of sewage networks.

Constraints: Funding delays affected implementation. Facilitating factor: High level of technical capacity at the local authority and strong presence of national and international NGO.

1.3.3 # of schools with

better Water and

Sanitation facilities

and where good

hygiene practices are

maintained.

Baseline: 500 schools

(WB 380, G 120)

Target: 165 schools

Construction or rehabilitation of WASH facilities have been completed in 205 schools (84 in WB and 121 in GS) benefitting 127,735 students (68,727 boys 59,009 girls); UNICEF’s support to water tankering to ensure safe drinking water reached 209,076 students (95,729 boys and 113,347 girls) at 151 schools in Gaza and 34 schools in West Bank. Hygiene Manual for teachers’ aid as teaching material for grade 1-4 has been finalised with MoEHE and is in use. UNICEF has provided training to 125 teachers and hygiene promoters, carried out hygiene promotion activities to sensitise 35,750 students, and distributed 3,816 school hygiene kits and 10,013 student hygiene kit.

Constraints: Strikes delayed implementation and funding constraints impeded results. Facilitating factors: The availability of good technical staff of Palestinian Water Authority, Ministry of Education and Coastal Municipalities Water Utility facilitated result achievement.

2.1 By 2013,

enhanced quality

of early childhood

and primary

education through

ECD Policy

2.1.1 Under the ECD

Policy framework, %

children in

communities with

poorly performing

Based on agreement with MOEHE, this indicator is being revised to "Gross enrolment rate in ECD services (kindergarten & pre-school)" for the last year of implementation. The Minister of Education endorsed the national ECD strategy and pre-school classes were opened in 47 schools in marginalised areas

Constraints: A Teacher’s Union strike delayed teacher training activities. Facilitating factor:


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implementation,

EMIS, and

application of CFS

is contributing to

increased learning

achievement

results.

schools enrolling in

kindergarten

Baseline: 25%

enrolment in

kindergarten (TBC)

Target: 40%

enrolment in

kindergarten

of the West Bank and Gaza. The gross enrolment rate for 2011/2012 was 45.4%

MOEHE’s efforts in mobilizing local communities led to effective community involvement in rehabilitation of the piloted pre-school classrooms in government schools.

2.1.2 % of students

passing the 4th grade

national exam

Baseline: 50% (TBC)

Target: 70% of 4th

graders

Not possible to measure change using this indicator as UNICEF's interventions do not directly affect change in this area. In addition the percentage change between the base line and target are unachievable. UNICEF is discussing with the MoE to replace this indicator with a more achievable one.

2.1.3 Number of

schools (girls’, boys’

and co-ed) supported

by UNICEF achieving

1.2 or more on MoE

CFS standards

Baseline: 190 schools

have been introduced

to CFS approach since

2003.

Target: 400 schools

(WB: 200, G: 200)

300 Schools achieved Child Friendly School status, achieving 1.2 or more on MoE CFS standards. 200 of them where in the West Bank and 100 in Gaza.

2.2 By 2013,

capacities of

national partners

2.2.1 # of adolescents

engaged in after-

school programmes

43,204 (21,107 girls) adolescents engaged in after-school programmes that offered a standardized package of services including participation in civic engagement activities to develop

Constraints: The services provided to adolescents are limited,


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and service

facilities are

developed to

promote civic

engagement,

participation,

knowledge and

skills of 135,000

boys and girls

aged 10 to 18 to

support the

transition from

childhood to

adulthood.

that offer a

standardized package

of services including

participation in civic

engagement activities

Baseline: No baseline.

52,000 participated in

non-standardized

programmes in 2009.

Target: 54,000

adolescents per year

are engaged in after-

school programmes

and 20% are

participating in civic

engagement activities.

their capacities, skills and knowledge and provide psychosocial support. With increased capacities, adolescents engaged with peers and community members challenging social norms and issues affecting them

especially in marginalized areas and for girls from 15-18 years old. The reasons are a mix of social norms leading to social restrictions, restriction of movement, and long distances.

2.2.2 # of adolescents

that have correct

knowledge of HIV and

AIDS.

Baseline: KAP survey

being conducted in

2010

Target: 75% of the

oPt adolescent

population (405,000).

48 facilitators (32 females) from 36 adolescent-friendly spaces (AFS) in WB and Jerusalem were provided with life skills education training on HIV/AIDS prevention including stigma reduction. In 2014 training sessions on HIV prevention will be provided to the adolescents by the trained life-skills facilitators through the life skills corners in the AFSs The second KAP survey was planned to be carried out by UNFPA in 2013 but it has been postponed. As a result data on knowledge is not available.

2.2.3 The Youth

Strategic Plan is

endorsed and being

implemented.

The Higher Council of Youth and Sports (HCYS) is in the process of revising the 2011-2013 strategy that was developed by the previous Ministry of Youth and Sports.

Constraint: High turnover of staff in HCYS constrained progress.


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Baseline: The Youth

Strategic Plan is

drafted and budgeted.

Target: The Youth

Strategic Plan is

endorsed and being

implemented by

MOYS with planned

budget allocations.

With support from UNICEF, the HCYS finalised the National Standards for Youth and Adolescents Centres which will be incorporated into the national youth strategy, currently being revised by the HCYS.

Facilitating factor: UNICEF has had continued cooperation with the Higher Council of Youth and Sports and built a good relationship with the Council.

3.1 By 2013,

MOSA is further

developed to

implement and

monitor the

National Plan of

Action for Child

Protection.

Together with

humanitarian

partnerships, this

will ensure that

children who are at

risk of, or subject

to, all forms of

violence,

exploitation, and

abuse, benefit

from improved

services.

3.1.1 Integrated child

protection system are

in place including

policies, by-laws,

standards and referral

protocols in MoSA,

MoEHE, MoH and

MoI –Police.

Baseline: Child

protection system

including policies, by-

laws, standards and

referral protocols,

where they exist or

preliminary exist, are

informal and

fragmented.

Target: Integrated

Child Protection

system including

policies, by-laws,

standards and referral

The Amended Child Law was launched and enacted in the official gazette in 2013 and two relevant by-laws have been finalized and presented to the Cabinet for endorsement. The Juvenile Protection Law (JPL) was endorsed by the Cabinet and the Legal Department of the President’s Office; anticipating Presidential endorsement early 2014. The Juvenile Justice Strategic Framework was endorsed by Cabinet and launched at national level. The Amended Child Law sets out the social, economic, health, cultural and civic rights of children and is compliant with the CRC. It provides a guiding legislation for the child protection system and one immediate benefit of the new law is that it raised the age of criminal responsibility from nine to 12 years of age and banned enforced child marriage. The Child Protection Strategic Framework and Ministry Of Social Affairs’ three year Plan of Action and relevant institutional reform were endorsed The national CRC agenda and 40 national child right / child protection indicators were endorsed to be used for monitoring and reporting purposes.

Constraints: The political divide and the suspension of the Palestinian Legislative Council were a significant constraint and delayed the endorsement of legislations. A lesson learned is that building national consensus for a Presidential decree is possible through nationally acknowledged forums at different levels. Facilitating factor: The restructuring of child related departments in Ministry of Social Affairs provided a strategic opportunity to bring greater attention and commitment to child protection issues of the most vulnerable children. The recently announced integrated system approach of the Police Juvenile


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protocols are being

implemented in

MoSA, MoEHE, MoH

and MoI-Police

The Child Protection Networks were expanded from seven to 13 governorates and the Policy of Nonviolence and Discipline in Schools was launched at national level.

Justice Sections and Family Protection Units will provide a similar opportunity to raise the profile of children vulnerable to violence.

3.1.2 Number of beneficiaries (disaggregated) of child protection services provided by Psychosocial Teams and Family Centres across Gaza and the West Bank. Baseline: In 2009, an

estimated 36,000

children and 19,500

caregivers received

diverse psychosocial

support services in

WB and Gaza

including through

Family Centres; no

standardised

assessment of

psychosocial services. Target: 31,000 girls and boys and 13,000 female and male caregivers are informed and benefit from gender sensitive child protection

In 2013, 192,921 children (51% girls), 36,963 caregivers (33% male) and 3,945 professionals (59% female) benefitted from child protection services. In 2012, 41,988 Children (48% girls) and 19,730 caregivers (85% female) benefitted from child protection services. In 2011, 40,000 children (50% girls) and around 8,000 caregivers (50% female) benefitted from child protection services.

Facilitating factor: The benefit of having a mechanism in Gaza in place which could be scaled up in the event of a crisis, was clearly evident following the escalation of hostilities in November 2012. UNICEF supported partners to scale up this mechanism to reach 149,849 children (50% girls) and 19,986 caregivers (35% male).


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services, including quality psychosocial care through CPN referral, and an additional 60,000 girls and boys and 30,000 caregivers benefit directly or indirectly from Family Center services.

3.1.3 Number of

finalised reports

analysing trends in

grave violations

against children in the

Israel/oPt conflict

context including

Global Horizontal

Notes, input to the

SGs Annual Report on

Children and Armed

Conflict, Public

Information Notes and

other ad-hoc reports.

Baseline: 2009: 6

finalised reports

Target: 10 finalised

reports annually

The following reports were finalized; 16 Global Horizontal Notes, submitted, 16 Children and Armed Conflict Bulletins were released and three inputs to Secretary Generals' Annual Report on Children and Armed Conflict submitted on time. One UNICEF paper on Children in Military Detention was published in March 2013 and one Update Bulletin was issued in October 2013.

4.1 Though

advocacy

supported by

evidence based

research and

4.1.1 % increase in

budget allocation for

the implementation of

programmes targeting

Programme priorities changed to focus on social protection policy development. The social protection sector strategy was developed, approved and is now being implemented. The data for the budget allocation is not available.


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policy analyses,

there is increased

budget allocation

and appropriate

programmes for

children in

vulnerable

communities.

children in vulnerable

communities.

Baseline: Aid

management unit in

MoPAD or MoF.

Target: 10%

4.1.2 No. of line

ministries which have

M&E systems

consistent with

MoPAD’s Monitoring

and Evaluation by

early 2011

Baseline: No. of line

ministries which have

M&E systems in place

consistent with

MoPAD’s NM&E by

early 2011.

Target: MOPAD and

line ministries are

effectively using the

National Evaluation

and Monitoring

System to track

progress towards

achievement of

national development

priorities

A national monitoring system has been developed and is currently being finalized by Palestinian Central Bureau of Statistics (PCBS). The system is expected to go on line by the end of 2014.

Facilitating factor: Good capacity of the PCBS abled the national authorities to take the lead and champion the M&E system.


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4.1.3 Number of

analytical and

quantitative studies

summarised and

reproduced as

advocacy documents

targeted at the media,

general public and

policymakers.

Baseline 2009: Zero

studies produced for

general audiences

Target: At least three

substantive products

annually.

Eleven advocacy reports were produced 2011-2013. With partners, UNICEF also published the bi-monthly CAAC bulletins as well as annual CAAC reports since November 2010. UNICEF core advocacy work focused on the launch of the briefing paper on “Children in Israeli military detention”, and on the first progress report. Also, with partners, UNICEF carried out 25 advocacy events to highlight the situation of children across the State of Palestine, with special focus on most vulnerable and marginalized. To provide children with a platform to make their voices heard, UNICEF produced 28 human interest stories, 10 videos and wide set of professional photos.

Facilitating factor: UNICEF expertise in the rights of children and in communication and advocacy; quality evidence-based reports Constraint: The unique and complex political situation creates delays.

1. Key Results

modified or added

2. Key Progress

Indicators


factors

1. 3. By 2013

households in

vulnerable

communities and

165 Schools have

increased access

to safe water and

sanitation, and

oPt emergency

planning and

response

1.3.1 # of additional families with water and sewage connections Baseline:

155,608 families from 441 communities receiving less than 60/l/c/d and 56,878 families from 113 not connected to water network

A total of 6,000 households in Dhahiriya, Burqin and Rujeeb in West have improved water connections through installation of 8,200 meters of pipes. Also a total of 11,538 families have access to safe water through installation of four small and one medium well water desalination plant in Gaza. A total 1,184 families in Gaza have increased water storage capacity through installation of household water tanks.

Constraints: Lack of funding affected results achievement Facilitating factor: The high level of technical ability of the staff of the Palestinian Water Authority and Coastal Municipalities Water Utility


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mechanisms are

effective.

Target: 65,000

families (9,000

families in 2012)

benefited from 6

water networks in

WB and 3 sewage

networks in Gaza

A total of 3,373 household in Rafah, in Gaza benefitted from new connection through rehabilitation and extension of 8,700 meter of sewage networks.

Lebanon:

1. Key Results

Expected

2. Key Progress

Indicators


factors

1.1. Infant and child mortality reduced.

1.1.1. Infant mortality rate Baseline: 26/1000 Target: 20/1000

The infant mortality rate was reduced to 15 per 1,000 live births

compared to target of 20 per 1,000;

The infant mortality rate in the Palestinian camps is higher among boys

(15 per 1,000 live births) than among girls (14 per 1,000 live births). The

under-five mortality rate is also higher among boys (19 per 1,000 live

births) compared to girls (16 per 1,000 live births). In 2013, UNICEF

contributions to UNRWA health interventions assisted in reducing infant

and child mortality amongst Palestine refugees in Lebanon:

1.1.2. Under five mortality rate Baseline: 31/1000 Target: 25/1000

The U5 mortality rate was reduced to 17 per 1,000 live births compared

to target of 25 per 1,000;

1.1.3. Immunization coverage rate Baseline: 95%

Child immunization rates in Palestinian camps and gatherings in

Lebanon have improved. According to the MICS survey, 96 per cent of

children between the ages of 12 – 23 months received the first dose of

polio vaccine before reaching 12 months. In general, Palestine refugee

By the end of November, 53,000

Palestine Refugees from Syria

(PRS) had fled to Lebanon. The

continuous arrival of additional


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Target: maintained at least at 95%

children receive higher coverage of early childhood vaccinations than

Lebanese children according to the MICS survey.

UNRWA remained UNICEF’s main partner providing primary and

secondary health services to more than 330,000 Palestine refugees

(280,000 from Lebanon and 50,000 from Syria) through 27 UNRWA

health centres. UNICEF continued to support UNRWA with Expanded

Program on Immunisation (EPI) requirements (vaccines, syringes,

needles, cold chain supplies, needle destroyers, refrigerators, ORS) and

Vitamin A.

25,500 U5 Palestine children were provided with oral polio vaccine by

UNRWA during the first round of the nationwide vaccination campaign

from 8 to 12 November 2013. UNICEF supported UNRWA with the

vaccines and equipment to implement the campaign.

refugees has increased the burden

on Palestine refugee communities

and UNRWA's already stretched

services.

1.2. Growth and nutritional status of children improved.

1.2.1. Proportion of children (1-13 yrs) and lactating mothers who receive a high dose of vitamin A supplement twice a year Baseline: 25% Target: 95%

The proportion of children (1-13 yrs) and lactating mothers who

received a high dose of Vitamin A supplement twice a year exceeded

target of 95 per cent to 96 per cent (UNRWA 2013).

2.1. Students at UNRWA schools successfully complete primary schooling.

2.1.1. Drop-out rates of UNRWA primary cycle students Baseline: 1.3% (elementary), 13.5% (preparatory), 42.4% (secondary) Target: 1.0% (elementary), 10% (preparatory), 30% (secondary)

No data available. UNICEF undertook a number of initiatives:

1) Back to School: for the fourth consecutive year, UNICEF supported

33,000 Palestinian students and 7,000 PRS students in 69 UNRWA

schools across Lebanon with Back-to-Learning kits containing uniforms,

bags and stationery.

2) Remedial education: UNICEF supported the remedial education

initiative and worked closely with UNRWA partners to recruit learning

support advisors for grades two and three in UNRWA schools. UNICEF

also supported the production of improved educational materials for

remedial classes. A total of 25 remedial education classes were


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established at UNICEF-supported NGO centres in ten camps and eight

gatherings benefiting more than 500 UNRWA students at risk of failing.

UNICEF also supported summer learning programmes for more than

7,000 children attending Mathematics, Arabic, English and Science

classes.

3) Pre-school: In September 2013, UNICEF signed agreements with

three local Palestinian partners to provide pre-school education and

psychosocial support to around 1,500 Palestine children, including more

than 500 children from Syria.

2.1.2. Repetition rates of UNRWA primary cycle students Baseline: 15% (elementary), 35% (preparatory), 50% (secondary) Target: 10% (elementary), 25% (preparatory), 35% (secondary)

No data available for this indicator. Initiatives taken to improve primary school completion rates as above.

3.1. Mechanisms protecting children and women from violence, exploitation and abuse are established in four camps.

3.1.1. Number of

listening centres and

hotlines established in

the camps

Baseline: 2

Target: 5

Two listening centers were established; one in Ein el Helweh Camp and the other in Beddawi camp.

3.1.2. Standards for

psychological support

and social support to

Under the response to the Syria crisis UNICEF has rolled out a mass

programme for psychosocial support (PSS) across Lebanon. This is

based upon a strategy of reaching children through community gateways

such as Child Friendly Spaces and Social Development Centres. Since

There is no disaggregation of the

groups of children reached through

PSS, PLS are reached as part of


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children exist

Baseline: None

Target: The standards

exists and are agreed

upon by all

stakeholders

2011 560 UNRWA and NGO staff have been trained on Child

Protection and PSS including psychological first aid. With this support

UNRWA has included a project on inclusive education which includes

the recruitment of psychologists and psychiatrists to support schools in

identifying and responding to the diverse psychosocial needs of

students.

In 2013 UNICEF reached 4,000 PRS children and adolescents with PSS.

the general cohort reached through

PSS interventions.

3.1.3. Referral

mechanisms for

children victims of

violence,

abuse/exploitation exist

Baseline: None

Target: Referral

mechanisms exist are

operational

Under the Syria response referral systems for child victims of violence, abuse and exploitation are being reinforced.

While indicators on the number of children referred for specialised services (psychosocial, health and/or legal) were not tracked in before 2014, this is now included as one of the key humanitarian indicators. However the reporting on this indicator does not yet include a disaggregation for how many PRS are referred.

3.2. Violence in UNRWA schools reduced.

3.2.1. Action plan to address violence in UNRWA schools exists Baseline: None Target: Action plan developed and agreed by key stakeholders – members of a Joint UNICEF/UNRWA/NGO working group

No progress on this action plan Since the outset of the refugee crisis in Lebanon, some of the priorities have shifted to also include Palestinians from Syria in Lebanon who are amongst the most vulnerable populations.

3.2.2. System to monitor the rate of violence and occurrence of corporal

To improve the quality of data and data collection mechanisms,

UNICEF commissioned the Palestinian Central Bureau of Statistics

(PCBS) to conduct a survey on domestic violence in the Palestinian

camps and gatherings in Lebanon.


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punishment exists - Baseline: None - Target: System established in UNRWA schools and UNRWA clinics

After the influx of Palestine refugees from Syria (PRS), UNICEF

activated the existing statistical system within the Palestinian camps and

gatherings to collect regular information and updates on PRS. Public

sensitization materials were developed and widely disseminated.

UNICEF supported INGO Witness to conduct an assessment of the

needs of the PRS and determine the areas of interventions. The results of

the assessment were made available to UN agencies, donors, local and

international NGOs and the media in order to mobilize human and

financial resources.

3.3. Opportunities for adolescents and young people to participate and contribute to the lives of their communities expanded, especially for those out of school.

3.3.1. % of UNRWA’s sectoral plans targeting particular needs of adolescents and young people and scaling up the initiatives (youth clubs, libraries, listening centers) piloted by UNICEF

112 adolescents and youths received training on basic statistics, field

investigation skills and SPSS software through a partnership between

UNICEF and the Palestine Central Bureau of Statistics. Engaging

adolescents and youth in capacity-building and creative and artistic

media enables them to build on their strengths and to turn challenges

into opportunities for creative problem solving, growth and learning.

The Janana Network is the core component of this activity, comprising

Lebanese and Palestinian NGOs, youth clubs, libraries and social clubs.

The network came together during the Janana festival, with 82

Palestinian NGOs and UNRWA libraries, up from 56 in 2010. This

substantially improved interaction among NGOs and creates a platform

for knowledge sharing. This is one of few networking experiences in

Lebanon and the network’s members are increasing every year.

Within the framework of a joint UNICEF, ILO and UNRWA

programme funded by the Peacebuilding Fund (PBF), UNICEF

supported initiatives in literacy education, youth empowerment and job

creation programmes and the setting up of micro-loan facilities. 122

youths and special hardship families, especially girls (70 female/ 52

male), benefited from micro-loans. 280 out-of-school adolescents and

youth received literacy education.

Other results included:


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4,726 adolescents accessed youth clubs supported by UNICEF;

650 youths benefited from peer education training focusing on

conflict resolution.

3.3.2. Number and estimated % of adolescents and young people effectively involved in community governance structures and decision-making on issues affecting their lives

See narrative under 3.3.1

More than 4,000 adolescents accessed UNICEF-supported clubs in 2013

4.1. Knowledge on the situation of Palestinian children and women consolidated, systematized and available for decision-makers

4.1.1. DevInfo adopted by UNRWA and the Palestinian Central Bureau of Statistics (PCBS) as a data management platform -Baseline: DevInfo is established in UNICEF Office but not widely used -Target: DevInfo customized for UNRWA and PCBS use

The 2011 MICS for the Palestinian camps and gatherings was

conducted. The final report was launched in December 2012, the first in

the Middle East and North Africa region specifically for the Palestinian

community. The survey provided up to date information on the situation

of children, women and adolescents amongst Palestine refugees, one of

the most disadvantaged populations in Lebanon. The survey was carried

out by the Palestinian Central Bureau of Statistics (PCBS) with technical

and financial support from UNICEF. The survey findings were widely

disseminated in early 2013.

Due to the crisis, adoption of DevInfo as a tool has been delayed.

Syrian Arab Republic:

1. Key Results

Expected

2. Key Progress Indicators 3. Description of Results Achieved 4. Constraints and facilitating

factors


19

1.1 Standards for

quality early

childhood

education (ECE)

and basic education

adapted / improved

and disseminated

1.1.1. Enrolment rates in

Kindergarten among under-fives in

neediest camps - Baseline: 6.4 -

Target: 20%

There is no data available at end 2013 on the number/ per cent

of Palestinian refugee children in Basic Education or ECE.

However, UNICEF remains committed to supporting

Palestinian children in Syria through not only supply delivery

but also alternative education in coordination with various

partners. The plan for 2014 is to expand ECD services through

capacity development for community based ECD services

including psychosocial support and risk education.

With the conflict ongoing since

2011, the scale of UNICEF

education interventions for

Palestinian children under the age

of 6 was relatively limited.

In 2013 the UNICEF education

response focused on the most

vulnerable in the conflict-affected

areas. The prioritization process

ensured education resources for

internally displaced and out-of-

school children in the most under-

served areas.

1.1.2. % of schools with improved

ECE/basic education standards -

Baseline: 0 -Target: 50%

As part of the Back to Learning (BTL) campaign, UNICEF

reinforced its partnership with UNRWA and the General

Administration for Palestine Arab Refugees to reach 17,200

Palestinian children through provision of school bags and

stationery. As part of this campaign UNICEF has reached

8,550 (68%) of the 12,500 target Palestinian pre-school

children.

Due to the conflict in Syria,

UNICEF has had to shift its

programming to respond to

emergency needs in schools such

as through provision of supplies.

With the current increased

logistical challenges in Syria there

is a need for earlier

procurement. This experience is

being built upon in 2014.

1.2 Nutrition status

of under-five

Palestinian children

improved

1.2.1. Stunting rate among the

under-fives -Baseline: 27% -Target:

9%

There is no new data on nutrition inside Syria since the onset

of the emergency.

When the programme for

Palestinians was drafted the

concern was principally on chronic

malnutrition. Issues of

malnutrition, particularly in areas

such as Yarmouk now include

acute malnutrition related to food

insecurity.


20

1.2.2. Exclusive breastfeeding rate -

Baseline: 16.2 -Target: 30 %

There is no new data on nutrition inside Syria since the onset

of the emergency.

While not specific to the

Palestinian refugees, surveys have

provided indications of high rate of

infant formula use in Syria since

the onset of the crisis, infant

formula use is reported including

with other foods such as animal

milk. At the same time, the

unavailability and rising cost of

infant formula are evident.

1.2.3. % of UNRWA health system

that integrate mechanisms for

prevention of common diseases’

among Palestinian children -

Baseline: 2.5 % -Target: 50%

To address the changing needs of Palestine refugees, UNRWA

introduced the Family Health Team (FHT) approach in our

primary health facilities (PHFs), offering comprehensive

primary health care services. By 2015, UNRWA plans to roll

out the FHT approach in all 139 health centres across the five

countries of operation.

Access to UNRWA health centres

has become increasingly difficult

and dangerous. UNRWA reports

that of their original 23 health

centres, 14 remain open as of

March 2014 (9 in Damascus and 1

each in Homs, Hama, Latakia,

Neirab and Aleppo). In Damascus

and Aleppo areas with high

concentrations of displaced

Palestine refugees, we are using

new health points.

2.1. Education

system ensures skill

transfer to

adolescents for

improved transition

from education to

labor market and

access to

sustainable

livelihood

2.1.1. Number of schools that

provide career guidance to students

enrolled in Cycle 2 -Baseline: 0 -

Target 100

There is no report on this indicator in the programme cycle

due to the ongoing conflict.


21

2.1.2. Number of UNRWA schools

with participatory monitoring

system for school children

parliaments -Baseline: 0 -Target:

100

There is no report on this indicator in the programme cycle

due to the ongoing conflict.

UNICEF is working with UNRWA and community

institutions to minimize the disruption including through

school rehabilitation, self-learning materials, summer

programmes, access to examinations and psychosocial support.

Before the outbreak of the conflict,

UNRWA was operating 118

primary and secondary schools in

Syria for around 67,300

Palestinian students. As of March

2014 there are 41,500 Palestinian

students enrolled in the 42

remaining operational UNRWA

schools, and the 39 government

schools. Many of the UNRWA

schools now operate triple shifts,

and the government schools are only available in the afternoons.

2.2. Palestinian

adolescents are

empowered to take

an active role in

their communities

as agents of

positive change

2.2.1. # of adolescent groups

empowered to conduct counselling

training for peers most at risk of

violence, abuse and exploitation -

Baseline: 0 -Target: 5

There is no report on this indicator in the programme cycle due to the ongoing conflict.

Yarmouk camp, where about a

third of the Palestinian refugees

live, is significantly affected by the

conflict.

2.2.2. Number of adolescent

involved as partners in awareness

raising on preventive health and

promotion of healthy life styles -

Baseline : 300 -Target: 1500

Palestinian Youth and adolescents in all camps and

particularly in Yarmouk camp who participated in UNICEF

supported life skills activities were the first to respond to the

Emergency needs of the affected people. They actively helped

people to relocate, participated in distribution of relief items

and provided Psych-social support even in the most difficult

times.

2.2.3. % of adolescents with correct

knowledge of risky health

behaviors -Baseline: NA -Target:

20%

In 2013, 19,500 adolescents have been reached in different

camps, gatherings and shelters across the seven Governorates

of Damascus, Rural Damascus, Homs, Hama, Aleppo,

Lattakia and Dara'a. Adolescents were provided with a range

of activities including life skills training, raising awareness on

Some of the locations reached in

this programme are among the

most affected areas by the conflict.


22

adolescents’ health, first aid, resilience, Psychosocial Support,

art, sport, vocational training, volunteerism, support for

adolescent-led initiatives and out-reach activities.

2.2.4. Number of adolescents

initiatives for networking, exchange

of knowledge and skills -Baseline:

0 -Target: 20

Due to the conflict there is no report on this result in 2013.

3.1 Knowledge

management for

evidence based

planning

institutionalized

3.1.1. DevInfo system in place and

sustainable -Baseline: No -Target:

Yes

Due to the conflict there is no report on this result.

3.2 Partnerships for

Palestinian children

expanded

3.2.1. Communication and media

plan developed yearly and acted

upon with partners -Baseline: No -

Target: yes


3.2.2. Number of camp

development plans supported by

NGOs and/or private sector actors -

Baseline: 0 -Target: 5


Jordan:

1. Key Results

Expected

2. Key Progress Indicators 3. Description of Results Achieved) 4. Constraints and facilitating

factors

1.1. Per cent of children under five benefiting from improved health and nutrition care services in all

1.1.1. % of Primary Health Care facilities implementing infant and young child feeding counselling and promoting relevant practices

50% as of 2012; however, due to high staff turnover more investment in capacity building for service providers is required to ensure proper implementation. Protocol was signed with MOH to include UNRWA service providers in the specialized training on IYCF.

UNICEF and MoH agreed and singed the protocol to include UNRWA service providers in the specialized training on IYCF and IMCI. Although the target of 80% of facilities implementing IMCI


23

camps in Jordan increased by 40%.

Baseline: 0 / Target: 40 percent

was reached in 2012, high turnover of doctors and nurses require a renewed effort to train the incoming doctors and nurses.

1.1.2. % of Primary Health Care facilities implementing IMCI approach. Baseline: 60% of HC with at least one trained doctor / Target: 90% of HC with at least on trained doctor

80%. In progress- Protocol was signed with MOH to include UNRWA service providers in the specialized training on IMCI Due to delay in signing of the protocol only one workshop on IMCI for 18 doctors include 4 from UNRWA held on Nov 2013.

1.1.3. % of infants < 6 months who are exclusively breastfed. Baseline: 22% / Target: 32%

23% according to DHS 2012 report.

1.2. Increase by 25 per cent of children benefiting from Early Childhood Development (ECD) services, that promote early learning through community-based, family focused and child-friendly approaches and services.

1.2.1. % children benefiting from improved ECD practices. Baseline: 21 % / Target: 46%

22.8% reached

2.1. Participation of students and

2.1.1. % of UNRWA schools that have both

All UNRWA schools have both Student Councils and Parent Teacher Associations


24

parents in the decision making process relating to the school environment is increased in all of UNRWA schools.

student parliaments and school councils participating in the decision making process relating to improving the school environment Baseline: TBD / Target: TBD

2.1.2. % of students and parents satisfied by the work of the student parliaments and school councils Baseline: TBD / Target: TBD

Information not available

2.2. Drop-out rate in the two refugee camps with the highest incidence is reduced by 5%

2.2.1. % of students

dropping out from

UNRWA schools

Baseline: 1.49%

(elementary 0.55%,

preparatory 2.86%) /

Target: reduction of

baseline by 5% these

In a study published by UNRWA in 2013 on drop out rates (2011 data), the average drop-out rates among Palestinian refugees in Jordan in primary grade is at 0.8% with a slightly higher rate for boys than girls. More recent data is not available.

3.1. Improved knowledge and practices among adolescents (especially at-risk groups) living in the 14 official and unofficial camps to lead a healthy lifestyle, including

3.1.1. % male and female

adolescents with

comprehensive and

correct knowledge on

HIV/AIDS Baseline:

TBD / Target: TBD

3,700 adolescents ( more than 60% girls) were able to acquire knowledge on healthy lifestyle and HIV/AIDs


25

prevention of HIV/AIDS and substance abuse 3.2. Improved communication between the adolescents and their parents

3.2.1. # of parents of

adolescents participating

in better parents sessions

Baseline: 6000 parents

participating in better

parenting workshops /

Target: 12000 parents

participating

5000 parents participated in better parenting sessions in 2012. Total for 2011-2012 is 6,600 parents.

Challenges included convincing parents (especially fathers) to attend the better parenting sessions and limited number of trained educators on the issue of better parenting, measuring positive change in behaviour is another as well as assessing the outcomes and the results was another challenge.

4.1. A 90 per cent reduction in teacher’s violent behaviours towards children in all UNRWA schools in Jordan.

4.1.1. % of UNRWA schools that have reduced cases of violence. Baseline: 45% / Target: 4.5%

Some reduction in physical violence was achieved, as indicated by UNRWA’s Reports from the monthly survey

UNRWA is revising their programmes and are aiming at developing strategic long-term partnership. A three year plan

for the reduction of violence in schools is being reviewed by UNRWA staff for actual start up in January 2014. Assessment of UNRWA training capacity has been conducted and will guide the

4.2. An

improvement in the

protection of

children against

violence,

exploitation and

abuse in the 14

camps through the

promotion of a

protective

environment.

4.2.1. Establishment of a functioning child abuse reporting system at UNRWA health centres. Baseline: 0 / Target: 80% of health centres having functional child abuse reporting system

Not done due to UNRWA decision to stop all new activities

4.2.2. Establishment of a functioning child abuse reporting system at

Marka camp team has been established and is operating, and the project managed to provide Case Management Services to 76


26

UNRWA centres and NGOs. Baseline: No multidisciplinary team in Marka Target: Multi Disciplinary Team supported in Marka Camp

families comprising 380 individuals in Marka Camp; for which 340 referrals were made.

capacity building of UNRWA social workers.

4.2.3. % children trained on their rights and how to protect themselves from violence Baseline: 8% / Target: 16%

Funding constraints are hampering efforts to revitalize this project and discussion are underway with CDC and UNRWA on how to reactivate the work on raising awareness on children's rights based on past years' experience

5.1. Increased availability of disaggregated data by geographic location and gender for improved planning, resource allocation better policy advocacy and monitoring of CRC/ MDGs.

5.1.1. Multiple indicator cluster survey (MICS-4) conducted in Palestinian Camps and results disseminated Baseline: N/A / Target: MICS report launched nationally

JCO has inserted two MICS modules into the DHS 2012, one on Child Discipline and the other on ECD. This survey includes disaggregated data in Palestinian camps. Final DHS report was launched in December 2013 and is being disseminated throughout 2014.

Data and analysis of situation of Palestinians in camps was included in four studies: (out of school children; DHS 2012, Child Marriage, Violence against Children). However there is still limited availability of quantitative data on Palestinians living in camps/outside camps, which in turn affects the identification of gaps.

5.1.2. DevInfo database is updated and used in UNRWA for planning and monitoring. Baseline: DevInfo database not updated Target: DevInfo

Not done, DevInfo is available at Department of Statistics and updated on regular basis


27

database functioning at UNRWA

5.2. Increased involvement of adolescents as actors of change within their communities including influencing decisions and policies that impact their lives at home, school and community level.

5.2.1. % adolescents with accessibility to adolescent friendly spaces Baseline: 6% / Target: 25%

- 200 youth and adolescents involved in interactive recreational activities which promoted self-confidence, creative learning, entrepreneurship, and physical education.

Interaction among youth from different backgrounds is promoted through interactive activities for students providing them with a variety of recreational and mind stimulating activities.

5.2.2. # of Youth-led initiatives in targeted communities that are youth developed implemented and monitored influencing decision and impacting services for adolescent. Baseline: 15 adolescent led initiatives / Target: At least 42 initiatives (1 initiative/ camp/year)

- 15 Youth initiatives were implemented increasing youth awareness providing opportunities for Palestinian youth on civic engagement and self development - 173 UNRWA schools implementing youth-led initiatives on civic engagement issues with the participation of 200 youth and service providers

Some the key challenges faced include cooperation of community leaders in the camp, social sensitivities, initiatives fundraising constraints. However, with the limited resources youth had, they have been able to demonstrate that when they are given the chance they can be active citizens and positive change agents in their community and this enhanced their self-esteem and sense of belonging.

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