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Health Cluster (PHT)
Gender and Humanitarian Training (UN WOMEN)
14 March 2012
WHO and UNICEF
Health and Nutrition Cluster
Globally - 2 separate clusters for Health and Nutrition
Pacific: PHT – combined Health and Nutrition cluster as one with two co- leads
Rationale: clear linkages between Health & Nutrition; limited nutrition actors on the ground
The Health Cluster : GOAL
To serve as a mechanism for participating health organizations to work together in partnership to harmonise efforts and use available resources efficiently within the framework of agreed objectives, priorities and strategies, for the benefit of the affected populations.
Key objectives
1. Coordination and Capacity, Advocacy: To strengthen coordination and active participation with health partners especially with UN agencies and regional/international partners.
2. Preparedness: To strengthen disaster risk management (DRM) for Ministries of Health as requested by Pacific Health Ministers.
3. Response and mainstreaming: To respond to specific requests made to the Health cluster:
Development of mental health and psycho-social support (MHPSS) capacities in emergencies and early recovery in PICs.
Support the use of the manual – interagency field manual on reproductive health in humanitarian setting (MISP)
To support the development of plans to ensure the availability of food supplies and consumer access to safe and nutritious food – using gender lens.
The Nutrition Cluster: Goal At the global level… seeks to strengthen system-wide
preparedness, and technical capacity to respond to humanitarian emergencies through… a broader partnership that engages in…
Enhanced standard setting
Establish surge capacity
Securing access to appropriately
trained staff
Establishing or improving material
stockpiles
Improved response capacity through
pooling and complementarity of efforts
and resources
At the country level…
… ensure a more effective response capacity by mobilizing cluster of agencies … specifically to …
o Identify gaps and ensure well identified
leadership
o Create partnerships between NGOs,
UN and non-Un Agencies
o Strengthen the accountability of cluster
leads to the HC
o Improve strategic country level
coordination and prioritization
Main focus areas for Nutrition
Coordination Preparedness,
Assessment and Monitoring
Capacity Development
Supply
Members
WHO is Heath Cluster lead with UNICEF the lead for nutrition.
UNFPA, UNDP, UN Women, IFRC, World Vision, ADRA, OXFAM, SPC, AusAid and NzAid’, + others.
NDMO and MoH are the key partners for coordination on the ground during a response. MoH part of contingency planning and DRM
Platform of agreed mechanism
The Inter-agency standing committee (IASC) has given their blessing for the PHT cluster approach in the Pacific
Human capacity – Who are involved?
WHO South Pacific [Suva Office] Kamal Khatri (temp), environmental
health, emergency focal point Dr Eric Nilles, epidemiology Peter Hoejskov, food safety/food
security
WHO offices also in:
o Port Moresby: WHO Representative, Papua New Guinea (WR/PNG)
Apia: WR/Samoa (American Samoa, Cook Is, Niue, Samoa & Tokelau)
Nuku'alofa: WHO Country Liaison Officer (CLO/Tonga)
Honiara: CLO/Solomon Islands Port Vila: CLO/Vanuatu Tarawa: CLO/Kiribati Pohnpei: CLO/Northern Microsesia
(for FSM, RMI, CNMI & Palau)
UNICEF Pacific [Suva Office] – Ms. Seini Kurusiga - Nutrition
lead – Dr Ingrid Hilman -EPI
UNFPA –
Dr. Wame Baravilala, Maha Muna
Joint Presence Offices [UNICEF/UNFPA/UNDP] Vanuatu Solomon Islands Kiribati Samoa FSM RMI Palau Nauru
Activities - Health No dedicated Emergency & Humanitarian Action (EHA) staff
based in WHO Pacific, but an EHA focal point and experienced team in Suva (as above) plus specialist skills including disease control, immunology and vector control within seven (7) other WHO offices in the Pacific;
WHO has a strong, on-going role with partners including UNICEF in the WASH coalition and Fiji WASH cluster including the on-going response to typhoid in Fiji;
Feedback on UN OCHA joint proposal for cluster strengthening;
Timely response provided to major disasters including Jan 2009/2011 flooding in Fiji, tsunami events in Samoa, Tonga 2009. Concerns over lack of water in Tuvalu and Tokelau in 2010 were addressed coordinated through the WHO SP Office and WPRO disaster response.
Activities - Nutrition
UNICEF has a dedicated Emergency Specialist – recent addition. Nutrition Specialist provides leadership and technical support to the cluster
Provision of technical support to i] messaging to safeguard nutrition – importance of BF in emergencies and health of pregnant and lactating mothers etc. ii] determination of food needs re food assistance based on Spheres Standards iii] optimum use of food in an emergency food basket iv] Ensure donations of BMS not accepted as food relief ([Code of Marketing BMS] v] developed a nutrition surveillance tool [to be reviewed]
UNICEF Multicluster Emergency training – introduction to Cluster approach and the role of the nutrition cluster in emergencies
Gender support available MISP –
Minimum Initial Service Package training has been provided to MoH and key NGO focal points across the Pacific. Those trained would be the focal point persons for SHR, HIV and GBV responses.
Gender Advisor (Maha Muna) at UNFPA main focal point from the Health cluster to participate in UN Women Surge capacity group; key entry point for UN Women and the UN Gender Group to help strengthen cluster effectiveness.
Gender Task Force [UNICEF] – seeks to ensure attention given to gender issues in UNICEF emergency activities.
Minimum Gender Readiness – Tonga Sample
Issues and Future plans
Issues:Lack of dedicated staff in WHO SP office, inadequate funding support when required. Limited no. of nutrition actors on the groundCross-cutting issues mean that substantial number of staff need to be involved in “response”.
Future plans:Advocate on health response funds for proposals on disaster management to ensure appropriate capacity for response. Mainstreaming WHO efforts with ISDR, UNICEF and relevant agencies to ensure safer health facilities, lesser casualties during emergencies.Establish country-level nutrition clusterContinue development of nutritional monitoring and surveillance tools and trainingPilot selected nutrition interventions e.g. prevention and treatment of micronutrient deficiencies.
Strengths Weaknesses Multi-agency group Good working relationship (internal and external) Good system for communicationDiversity of approachesStrong political commitmentDefined boundaries
Staff turnover Agencies are not represented in all countries Lack of adopted national standards Low engagement with churches, NGOs and grassrootCluster monitoring in-country Lack of gender balance in medical staff on the ground
Opportunities Constraints
Good donor relationshipEngage more with SPC and other relevant agenciesImprove ability to work together towards a common goal
Unclear information received from MoH Political and religious agendas in-country Loss of staff in cluster agencies Unavailability of staff to undertake detailed planning
Cluster workplan 2012 Employ inter-agency Standing Committee (IASC) Gender Training tip
sheets for health and nutrition cluster activities Provide letter of support from head of agencies to accompany the
regional PHT proposal Recruit multi-skilled health cluster coordinator Engage with potential DRM project design and donors specific to
health Engage with World Vision Australia in their planned Mental Health
and Psychosocial Support (MHPSS) capacity building training workshop
Support the use of inter-agency field manual (IAFM) on reproductive health in emergencies
Encourage food safety emergency planning Support the work of the Food Secure Pacific Working Group to assist
countries in establishing multi-sectoral food security coordination mechanisms
Develop TOR for nutrition cluster regionally/country level Establish minimum SOPs for cluster esp. MoH partners
APPENDIX A:
RECOMMENDED Food Baskets meeting SPHERES Standards
Fiji Food basket
The food basket: full ration
Sample food basket - FijiFood Items
adult/week(2100kcals)
1 adult/month (4 wks)
Supplementary ration (1500kcal)/week
Rice 2kg 8kg 1kg
Flour/sharps 1kg 4kg 1kg
Dhal 1/2kg 2kg 1/4kg
Tinned fish 2 tins 8 1 tin
Milk 1/4kg 1kg 1/4kg
Sugar 1/2kg 2kg 1/4kg
Oil 210mls 750mls 1/4bottle
Preschoolers/week: (distribution by Red Cross only)• Full cream milk powder 1kg or 1 500g pack; • Tinned baby food for infants under 12 months - 2 tins daily