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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
3. Description of Results Achieved 4. Constraints and facilitating
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
3. Description of Results Achieved 4. Constraints and facilitating
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
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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.
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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.
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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.
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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
Due to the conflict there is no report on this result.
3.2.2. Number of camp
development plans supported by
NGOs and/or private sector actors -
Baseline: 0 -Target: 5
Due to the conflict there is no report on this result.
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
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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
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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
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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
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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
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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.