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REPUBLIC OF MALAWI
2018/2019 LEAN SEASON FOOD INSECURITY
RESPONSE PLAN
The Republic of Malawi
Office of the President and Cabinet
Department of Disaster Management Affairs
ii
Executive Summary The third round of crop estimates assessment for the
2017/2018 season conducted by Ministry of Agriculture,
Irrigation and Water Development indicated a maize
production of 2,697,959 metric tons, 28.4% drop from
3,464,139 metric tons of 2016/2017 growing season.
The 2018 Malawi Vulnerability Assessment Committee
(MVAC) Annual Assessment, using the Integrated Food
Security Phase Classification (IPC), has projected that
3,306,405 people are falling in IPC Phase 3 or worse and
would require humanitarian assistance ranging from 2 to 6
months period during the 2018/2019 consumption year in 27
districts, most of which are in the Southern Region.
This Lean Season Food Insecurity Response Plan (LS-FIRP),
developed by the Government of Malawi in collaboration
with its humanitarian partners leveraging the architecture of
the humanitarian cluster system, identifies Food Security and
Nutrition clusters as the key priority clusters to address
immediate needs and avoid eroding hard-won development
gains. About 100,000 children aged 6-59 months, 34,000
pregnant and lactating women and 45,000 people leaving
with HIV and AIDS are at risk of food insecurity and
malnutrition.
The plan will address the needs of the affected communities
and meet gaps in food security and nutrition. The plan
outlines a mechanism for coordination and regular
monitoring to ensure the needs of the affected people are
adequately addressed and possible critical gaps or hotspots
are acted upon in a timely manner. While providing relief
from food insecurity, the lean season support is anchored in
the National Resilience Strategy (NRS) to ensure that the
cycle of food and nutrition insecurity is broken in the long
run.
November, 2018 THE REPUBLIC OF MALAWI
PERIOD October 2018 – March 2019
3.3 million People in need of lean
season support
3.3 million People targeted for lean
season support in this
plan, provided through in-
kind food distribution for
all the cereals with
possibility of cash transfer
for the non-cereals and
those already on ongoing
support through cash
transfer
REQUIREMENTS (US$) 105,977,622.78
Confirmed pledges–
US$ 33,296,305.78 million
Resource Gap –
US $ 72,681,317 million
100,000 children,
34,000 Women and
45,000 people living
with HIV and AIDS in
need of nutrition
assistance
27 districts affected and in need of
assistance from October
2018 to March 2019
iii
The Government of Malawi, using the existing structures with support from its
humanitarian partners, will champion the whole response programme.
The whole response programme will be anchored on the humanitarian principle of
Do No Harm while protecting the rights of the vulnerable groups in children,
women, the elderly, the chronically ill and the minority groups.
LS-FIRP Strategic Objectives
Strategic Objectives Activities
SO1: Save lives and prevent deterioration of
malnutrition among the affected population
Reducing the number of
people in food insecurity;
SO2: Ensure improved and equitable access to and
use of life saving nutritional services for vulnerable
children (boys and girls) and pregnant, lactating
women (PLW) and People Living with HIV and
AIDS (PLHIV) at the community and facility level
that meet national and internationally
recommended minimum standard of care for a
population affected by an emergency.
Preventing excess
mortality and morbidity
associated with acute
malnutrition and poor
feeding practices amongst
children under five;
iv
Table of Contents Executive Summary ...................................................................................................................... ii
Acronyms and Abbreviations ...................................................................................................... v
1. Background ............................................................................................................................ 1
2. Needs Assessment .................................................................................................................. 1
2.1 Food security ........................................................................................................................ 1
2.2 Nutrition ............................................................................................................................... 2
3. Lean Season Food Insecurity Response Plan ...................................................................... 4
3.1. Strategic Objectives of the Plan .................................................................................... 4
4. Cluster Response Plans ......................................................................................................... 5
4.1. Food Security Cluster .................................................................................................... 5
4.1.1. Response Design ...................................................................................................... 5
4.1.2. Targeting and beneficiary registration: ................................................................ 6
4.1.3. Response Modality: ................................................................................................. 6
4.2. Resource Requirements ................................................................................................. 7
5.0. Nutrition.............................................................................................................................. 7
5.1. Nutrition Cluster Response Plan Objective ................................................................. 8
5.2. Nutrition sector response strategy ................................................................................ 8
5.3. Nutrition Response Plan Resource Requirements .................................................... 10
6.0. Monitoring and Evaluation ............................................................................................. 10
7.0. Summary Resource Requirements ................................................................................. 11
Annex 1: Overview of the JEFAP Targeting Process .............................................................. 12
Annex 2. Cluster Budgets ........................................................................................................... 13
Annex 3. Monthly Resource Requirements .................................................................................. 16
v
Acronyms and Abbreviations
ADMARC Agricultural Development and Marketing Cooperation
APES Agricultural Production Estimates Survey
ARI Acute Respiratory Infection
ASWAP Agriculture Sector Wide Approach
CBCC Child Based Care Centres
CBT Cash Based Transfers
CHD Child Health Days
CMAM Community Management of Acute Malnutrition
CTC Cholera Treatment Centres
DADO District Agriculture Development Office
DAPP Development Aid from People to People
DC District Commissioner
DCCMS Department of Climate Change and Meteorological Services
DNHA Department of Nutrition, HIV and AIDS
DoDMA Department of Disaster Management Affairs
EMIS Education Management Information System
FAO Food and Agriculture Organization
FEWSNET Famine Early Warning Systems Network
LS-FIRP Lean Season Food Insecurity Response Plan
GAM Global Acute Malnutrition
GBV Gender Based Violence
HSA Health Surveillance Assistant
IDP Internally Displaced Persons
IHS Integrated Household Survey
IPC Integrated Food Security Phase Classification
IYCF Infant and Young Child Feeding
JEFAP Joint Emergency Food Aid Programme
MAM Moderate Acute Malnutrition
MDG Millennium Development Goals
MGDS Malawi Growth and Development Strategy
MoAIWD Ministry of Agriculture, Irrigation and Water Development
MoH Ministry of Health
MUAC Mid-Upper Arm Circumference
MVAC Malawi Vulnerability Assessment Committee
NRU Nutrition Rehabilitation Units
OTP Outpatient Therapeutic Programme
PDNA Post Disaster Needs Assessment
PLHIVA People Living with HIV AIDS
PLW Pregnant and Lactating Women
RUTF Ready to Use Therapeutic Food
SADC Southern Africa Development Community
SAM Severe Acute Malnutrition
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SBCC Social Behavioural Change Communication
SCT Social Cash Transfers
SFP Supplementary Feeding Programme
UNDP 7United Nations Development Programme
UNFPA United Nations Population Fund
UNICEF United Nations Children’s Fund
WFP World Food Programme
1
1. Background
For close to ten years now, Malawi has been supporting an average of about 1.8
million people each year with emergency food assistance. This is in part driven by
consecutive climatic shocks. With a low capacity to cope, and little time to recover,
households are slipping further into chronic poverty every year. Malawi has been
registering escalating humanitarian food and nutrition needs.
The chronic food insecurity has led to the creation of the ‘breaking the cycle of food
and nutrition insecurity’ agenda, which has led to the development of a National
Resilience Strategy, which, in alignment with the Malawi Growth and Development
Strategy (MGDS III), serves as a “common programming framework to guide key
programmes and investments to better work together to tackle the chronic food
insecurity and poverty by actively reducing chronic vulnerability and risks, while
also strengthening opportunities for households to embark on pathways out of
poverty.”1
This Lean-Season Food Insecurity Response Plan (LS-FIRP) acknowledges this
context, and is anchored in and aligned to the National Resilience Strategy (NRS).
Driven by the results from the IPC, this plan aims to address lifesaving needs as one
pillar of the wide resilience strategy and approaches to shock-sensitive social
protection in Malawi. The LS-FIRP is implemented using the government structures
with support from the humanitarian system as a well-established coordination
structure to ensure the most vulnerable are supported over the lean season.
2. Needs Assessment
2.1 Food security
Household food security over the 2017/18 lean season has been undermined by a
combination of factors including:
1) The inability of the affected households to recover from successive prolonged
dry spells;
2) Low farm gate prices from alternative cash crops that have forced households
to sell more of their produce (especially pigeon peas in the South) to realize
the income they need to buy other essential commodities, and
3) Fall army worm attack on maize (both the rain feed and winter crop) with
varying intensity
The 2018 MVAC Assessment Report has identified 3,306, 405 people as being in
Phase 3 or worse of the IPC food security assessment in 27 districts mostly in the
Southern Region of the country – see Table 1, and Figure 1. These people will
require lean season food assistance for a period ranging from 2 to 6 months from
1 GoM (2017) National Resilience Strategy: Breaking the cycle of food insecurity in Malawi
2
October 2018. Women and children are at higher risk of food and nutrition
insecurity.
Table 1: Food insecurity in Malawi, according
to the MVAC IPC assessment.
District
Total
Affected
Population
% of IPC
Affected
Population
Balaka 166,036 38
Chikhwawa 210,438 35
Nsanje 108,999 35
Salima 151,258 33
Neno 56,260 31
Mangochi 350,727 31
Mulanje 181,116 30
Mwanza 33,162 30
Blantyre 131,113 30
Phalombe 113,107 28
Zomba 195,618 28
Chiradzulu 92,819 28
Machinga 187,105 28
Dedza 181,285 23
Ntcheu 124,014 20
Nkhotakota 72,988 18
Ntchisi 55,282 18
Thyolo 121,086 18
Lilongwe 219,679 16
Kasungu 139,132 16
Mzimba 147,057 16
Dowa 123,499 15
Mchinji 81,930 13
Karonga 42,594 12
Chitipa 7,044 4
Nkhata bay 7,409 3
Rumphi 5,648 3
Total 3,306,405
With exception of Salima, Dedza and Ntcheu, all the districts that have affected
population over 20 percent of the district population are in the Southern Region, see
Fig 1.
2.2 Nutrition
The SMART survey results in February 2018 have shown overall nutritional status
of under-five children was within acceptable ranges per WHO global standards
Mzimba
Kasungu
Lilongwe
Mangochi
Rumphi
Dedza
Dowa Mchinji
Zomba
Machinga
Neno
Chitipa
Chikwawa
Ntcheu
Karonga
Nkhotakota
Nkhata Bay
Balaka
Salima
Nsanje
Mulanje
Ntchisi
Blantyre
Thyolo
Phalombe
Mwanza Chiradzul
u
Likoma
Districts with affected population less than 10%
Districts with affected population between 10% and 19%
Districts with affected population more than 20%
Fig. 1. Distribution of affected population across the country
3
(prevalence <5%) and better compared to results of the last two assessments. Overall
weighted Global acute malnutrition (GAM) prevalence was 1.3% (0.9-1.9), down
from 4.1% in the lean period of December 2016 and lower than the post- harvest
period of May 2017 (2.2%). Prevalence of GAM ranged from 0.6% in the
Karonga/Chitipa/Rumphi/Mzimba (KCRM) livelihood zone to 2.4% in the Thyolo-
Mulanje Tea Estates (TMTE) livelihood zone. The greatest change was observed in
the Lower Shire livelihood zone (2.2%) from 6.6% in May 2016; 6.2% December
2016; and 4.3 in May 2017 surveys which continues to register a downward trend at
every assessment period. However, with an emerging food insecurity situation in the
country with 22% of its population facing sever hunger, will deteriorate the nutrition
situation among most vulnerable groups i.e. children, women and People living with
HIV and Aids.
The overall minimum acceptable diet estimated at 10.7% down from 19% in May
2017 but slightly higher than 6% achieved December 2016 is problematic for the
children to meet their nutrient requirements.
Morbidity remained high across the livelihood zones (55.7%). The highest morbidity
rate was recorded in Kasungu-Lilongwe Zone (59.9%), and the lowest was recorded
in Karonga-Chitipa (49.7%). Overall morbidity rate remained high when comparing
to the Dec 2016, May 2017 and Jan/Feb 2018 results i.e. 50.5%, 59.1% and 55.9%
respectively
Despite an improvement in Acute Malnutrition rates, the anticipated food insecurity
will compromise the nutrition status of vulnerable children, women and those living
with TB, HIV and AIDS.
4
Figure 1. SMART survey Dec 2016, May 2017 and Feb 2018
3. Lean Season Food Insecurity Response Plan
This plan, developed by the Government of Malawi in collaboration with the
humanitarian partners leveraging the architecture of the humanitarian cluster system,
identifies food security and nutrition clusters as the key priorities to address
immediate needs and avoid deterioration of the food insecurity and the nutrition
status among the affected communities.
3.1. Strategic Objectives of the Plan
The overall objective of the Lean Season Food Insecurity Response Plan is to
provide lifesaving relief assistance to the food insecure households in order to
prevent deterioration of the food insecurity and the nutrition status among the
affected communities. Table 2 is summarizing the two main strategic objective of
the Lean Season Food Insecurity Response Plan.
Table 2. Strategic objectives of the Lean Season Food Insecurity Response Plan
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Strategic Objectives Activities
SO1: Save lives and prevent deterioration of malnutrition
among the affected population while making sure rights
of the vulnerable groups are protected
Reducing the number of
people in food
insecurity;
SO2: Ensure improved and equitable access to and use
of life saving nutritional services for vulnerable children
(boys and girls) and pregnant and lactating women
(PLW) and People Living with HIV and AIDS (PLHIV)
at the community and facility level that meet national
and internationally recommended minimum standard of
care for a population affected by an emergency.
Preventing excess mortality and morbidity associated with acute malnutrition and poor feeding practices amongst children under five;
While providing relief from food insecurity, the lean season support is anchored in
the newly developed National Resilience Strategy (NRS) to ensure that the cycle of
food and nutrition insecurity is broken in the long run.
4. Cluster Response Plans
The main sectors in the plan are Food Security and Nutrition. The plans are provided
below, detailed objectives, activities, indicators, and the budget can be found in
Annex 2.
4.1. Food Security Cluster
The Food Security Plan aims to save lives and prevent deterioration of malnutrition
among the affected population and is informed by the recommendations by MVAC
food security assessment report released in October 2018. The plan focuses on the
provision of food assistance to 3.3 million people identified as under IPC Phase 3
or worse classification across the 27 districts.
4.1.1. Response Design
The Food Security Plan aims to save lives and prevent deterioration of malnutrition
among the affected population and is informed by the recommendations by MVAC
food security assessment report released on 5th October 2018. Key points include:
• The plan focuses on the provision of food assistance to 3.3 million people
identified as under IPC Phase 3 or worse across the 27 districts;
• Government of Malawi will provide relief maize to all the food insecure
household in all the 27 districts throughout the whole response period;
• All the resources mobilized by all humanitarian partners will target to provide
non-cereal food commodities, i.e. pulses, vegetable oil and corn-soya blend. This
can be provided in-kind or through cash based transfers;
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• In line with Government priorities to build resilience, and the scaling up of
resilience interventions, households receiving comparable support to the lean
season response from other interventions will not be targeted.
• The Shock-Responsive Social Protection ash Transfer will provide cash for top
up for the non-cereal commodities
• Implementation of the response plan will start in November 2018, with Balaka,
Chikwawa, Blantyre, Chiradzulu, Machinga, Mangochi, Salima, Kasungu,
Mzimba and Nsanje, scaled up to the other affected districts through to March
2019. The once-off distributions by the government in late September/early
October will cover the needs for October. However, retargeting will commence
for November-March distributions.
4.1.2. Targeting and beneficiary registration:
• In 2017/18, the Food Security Cluster reviewed the Joint Emergency Food
Assistance Programme (JEFAP) guidelines for the provision of food assistance
in Malawi, with a focus on the targeting processes at sub-national levels. These
guidelines will be used to target households requiring the food support.
• The JEFAP taskforce, led by DoDMA, will facilitate the training of district
council officers. Implementation (registration and verification) will be done by
Government officials, supported by partners.
• The use of Complaints and Feedback Mechanisms, and monitoring exercises will
be led by the Government and supported by partners.
4.1.3. Response Modality:
• Transfer: Households will be provided with an in-kind transfer of a 50kg bag
of maize, for an average household size of 5. Development partners will support
provision of pulses, vegetable oil and nutrition commodities in-kind or cash-
equivalency.
• Delivery Mechanisms: In-kind assistance maize provided through district
councils and cash or in-kind for non-cereal commodities provided by partners,
monitored and supervised by government and well synchronized with the maize
distributions.
- Protection activities within the emergency response: ‘Do no harm’
principle will remain an integral principle of the LSR. The cluster will strive
to strike an acceptable balance between ensuring that dignified life-saving
LSR is provided to all the affected people while ensuring that these
distributions do not create any pull/push factor towards aid dependency.
During the LSR, some activities will be implemented to protect beneficiaries
and reduce protection threats for affected populations and to protect all
vulnerable groups from violence, sexual violence, exploitation, abuse and
7
neglect during the response. These activities will focus on awareness, setting
up Complaint and Feedback Mechanisms (CFMs), orientation of key partners
involved in emergency responses and ensuring that protocols for referral,
service provision and confidentiality for victims of violence are adhered to by
all stakeholders.
4.2. Resource Requirements
The lean season food support in the 27 districts will require a total of
US$94,112,440.78 which covers the food/cash transfers and implementation
associated costs, including monitoring. Of the US$ 94.1 million required to deliver
the food assistance, the Malawi Government has already confirmed a total of US$
33.3 million leaving a gap of US$ 60.8 million still to be mobilized.
Table 3. Requirements for the Food Security Response Plan
Food Item Quantity Procurement
Costs
Logistics
Costs
Total Costs
Cereals (Maize) 138,488 28,456,341.78 4,839,964.00 33,296,305.78
Pulses 27,698
63,558,871.002 63,558,871.00 Vegetable oil 5,540
CSB 6,647
96,855,176.78
5.0. Nutrition
Lead agency: Lead agency- Department of Nutrition HIV and AIDS
(DNHA)
Co-Lead Agency- United Nations Children Fund- UNICEF
Contact information: Mr. Felix Phiri- Director Nutrition
Muhammad Shahid Hanif – Nutrition Cluster Coordinator
Funding
Required
2 This is to be delivered either through in-king or cash transfer
8
People Targeted 179,000
Including
35,000 SAM children
65,000 MAM children
34,000 MAM PLW
45,000 MAM and SAM adults with HIV and TB
8.82 million
USD
5.1. Nutrition Cluster Response Plan Objective
The overall objective of the Malawi Nutrition Cluster is to ensure improved and
equitable access to and use of life saving nutritional services for vulnerable children
(boys and girls) and pregnant, lactating women (PLW) and People Living with HIV
and AIDS (PLHIV) at the community and facility level that meet national and
internationally recommended minimum standard of care for a population affected
by an emergency.
5.2. Nutrition sector response strategy
During Response plan period (October 2018 to March 2019) approximately 35,000
children 6-59 months will be provided with lifesaving treatment of Severe Acute
Malnutrition (SAM) and 65,000 children 6-59 months will be provided with
lifesaving treatment of moderate acute malnutrition (MAM); similarly 34,000
pregnant and lactating women (PLW) and 45,000 People living with HIV and AIDS
(PLHIV) and TB will be targeted for the Moderate and Severe malnutrition. The
targeted groups are to be considered in need for immediate assistance.
The proposed nutrition interventions will be coordinated through the Malawi
National Nutrition Cluster with DNCCs and other relevant clusters including Food
Security and will be led by the District Health Offices with support from I/NGOs
partners. Implementastion will prioritize activities which complement or help to fill
gaps identified by the government or priority areas that the government has
identified to meet the needs of targeted populations.
The cluster plans to establish and provide response as below:
(1) Continuation of life saving nutrition services for acutely malnourished children
(boys and girls) aged under five, pregnant and lactating Women (PLW) suffering
from acute malnutrition and People Living with HIV (PLHIV), through
community and facility based nutritional management approach i.e. CMAM
(Community Management of Acute Malnutrition) approach as well as Nutrition
Care Support and Treatment (NCST) comprising of the following four
components:
(a) Community Outreach and mobilization:
Community Care Groups and other community based health structures, will
integrate the active case finding through MUAC in to the community health and
nutrition package, Health Surveillance Assistants (HSAs) will also continue
screening at community level using mid-upper-arm circumference (MUAC), and
9
will be responsible for referring identified children to health centers. In addition to
the identification of acutely malnourished children, Care group promoter, lead
mothers and HSAs will communicate promotion messages on health and nutrition,
will follow-up with defaulters, and will identify pregnant and lactating women for
SFP and care during pregnancy and in the immediate postnatal period.
Simultaneously, HSAs will identify cases of acute malnutrition in the community
through active case findings.
(b) Infant and Young Child Feeding in Emergencies (IYCF-E):
In each area at village level a care group of Volunteers and Mothers will be trained
on IYCF-E, package. Behavioral change communication through health, hygiene
and nutrition promotion is the vital component for sustainability. This endeavor is
designed to promote Infant Young Child Feeding (IYCF) practices with more
emphasis on exclusive breastfeeding and proper complementary feeding.
(c) Outpatient Therapeutic Program (OTP):
Children with severe acute malnutrition (SAM) with appetite and without
complications will be treated with ready-to-use therapeutic foods (RUTF) and
symptomatic outpatient medications in the fixed health centers (OTPs). The severely
malnourished child will come to the health center every week for a medical
examination and treatment, and to receive RUTF. Children without appetite and/or
with complications will be referred immediately to inpatient care in NRUs until they
are stable to be discharged. These children then continue treatment at home in the
OTP with RUTF. On discharge from the OTP, children will be referred to the SFP
as moderately malnourished children.
(d) Nutrition Rehabilitation Unit (NRU):
Children without appetite and with medical complications will be treated as
inpatients at Nutritional Rehabilitation Units established within the districts. Health
center staff will refer clients and will ensure they are treated in the NRUs. To the
fullest extent possible discharged children will be referred to an OTP once they are
stabilized. Nutrition Supplies [F-75, F-100 Milk ResoMal for NRUs will be provided
by UNICEF while all medicines will be provided by MoH.
(e) Supplementary Feeding Program (SFP) and NCST:
Children with moderate acute malnutrition (MAM) identified through community
outreach will be registered with SFPs and will be provided super cereal + to take
home. Every two weeks children in the SFP will present to the nutrition center;
where they will have their nutritional status checked, and where they will be
provided with Super Cereal plus. Pregnant and lactating women will also be included
in the SFP, as per CMAM guidelines. Moreover, PLHIV will be provided with
10
supplementary feeding. Malnourished PLWs will be provided with CSB and
Vegetable Oil. Moreover moderately acute malnourished PLHIV and TB will be
provided with supplementary feeding under nutrition care support and treatment
(NCST). Malnourished PLWs will be provided with CSB and Vegetable Oil. The
SFP supplies component will be implemented with support from WFP.
i. continuation of services for prevention of malnutrition in early childhood
through protection and promotion of appropriate infant feeding practices by
strengthening skills/knowledge of health workers, and conducting regular
nutrition and hygiene education sessions for mothers and caregivers of children
under five years of age;
ii. Prevention and treatment of micronutrient deficiency disorders in children and
women through provision of Vitamin A and deworming campaigns during child
health days (CHDs)
iii. Strengthening technical capacity of the MoH for effective implementation of
nutrition interventions; ensure effective and timely implementation of nutrition
interventions including CMAM and IYCF Approach.
iv. Continue and strengthen nutrition cluster coordination, including formulation and
implementation of strategy and plan, capacity development of members through
orientations/trainings and monitoring trends and address critical nutritional gaps,
and contingency strategy with supplies and distribution plan for emergency
nutrition interventions.
v. Conduct district specific nutrition surveys in the target districts using SMART
Methodology to establish district specific baseline information for various
nutritional indicators and conduct nutrition services coverage surveys using
SQUEAC to identify barriers and boosters for enhancing coverage and improving
quality of care.
5.3. Nutrition Response Plan Resource Requirements
The implementation of the Nutrition Cluster Response Plan will require
USD8,822,446 for the entire period of 6 months.
6.0. Monitoring and Evaluation
Throughout 2018/2019 lean season food assistance, government, in collaboration
with the activated clusters and its humanitarian partners, will closely monitor the
situation and interventions to ensure that staff, supplies and services are deployed
where they are needed most, and wherever possible, based on the views of people
affected by the crisis. Stakeholders will continue to strengthen accountability of the
assistance delivered through monitoring and reporting of the impact and reach of the
response.
11
The district councils where the response interventions will be implemented will be
technically and financially supported to enable them lead the monitoring and
supervision of all the response interventions.
Of note, M&E will include:
• Strengthened process and outcome monitoring: Progress against the
objectives and outcomes of the response plan will be monitored.
• Strengthened community-level monitoring systems and engagement:
This will be undertaken through capacity building (training) and complaints
and feedback mechanisms to ensure that the voice of the affected is heard.
• Strengthened lessons learned exercises, including on targeting: At the
end of the response, the clusters will take stock of how the response will have
been implemented through lessons learnt exercise that will bring on board
all key actors, including beneficiary representatives.
• Strengthened protection of all vulnerable groups from violence, sexual
violence, exploitation, abuse and neglect during the response and ensure that
their rights are respected
The M&E process will require USD300,000 for the whole response period.
7.0. Summary Resource Requirements
Activity Description Cost
USD MK
Distribution of cereals Commodity cost 28,456,341.78 20,773,129,499.40
Logistics costs 4,839,964.00 3,533,173,720.00
Top up for non-cereal food
commodities (CBT)
Transfers and
logistics 63,558,871 46,397,975,830.00
Nutrition cluster activities 8,822,446.00 6,440,385,580.00
Monitoring and Evaluation 300,000.00 219,000,000.00
Total 103,234,886.78 77,363,664,629.40
Government has provided a total of USD33,296,305.78 which is towards provision
of relief food (USD 28,456,341.78 for maize and USD 4,839,964 for logistics);
leaving a total gap of USD 69,938,581.00 with USD 63,558,871.00 as a gap for the
provision of non-cereal relief food items, USD 8,822,446 for Nutrition Cluster and
USD300,000 for supervision, monitoring and evaluation.
12
Annex 1: Overview of the JEFAP Targeting Process
STEP A: DEC
STEP B: DCPC
STEP E: VCPC
STEP F: Community
STEP G/H: Registration and household-level verification
STEP D: ACPC
STEP C:
Full Council Not mandatory
Which GVHs
# per GVH
# per village
VCPC pre-list
Community list &
endorsement
Registration and verification
Week 1
Week 2
Week 3
Week 4
Week 5
Outcomes: 1) JEFAP partner introduced by DEC 2) DEC sensitized on JEFAP response (including objectives,
process, criteria, and CFMs), and approval to implement the response granted.
3) Roles and next steps presented & key contacts obtained
Outcomes:
1) JEFAP partner introduced by DEC
2) DCPC (incl. DSWO and/or Social Welfare Officers) sensitized on JEFAP
response
3) GVHs identified (by DADO and JEFAP partner)
4) Other resources from other partners identified
5) Specific considerations of certain populations considered
6) Roles and next steps presented & key contacts obtained
Outcomes
1) JEFAP partner introduced by DCPC
2) ACPC sensitized on JEFAP response, and MVAC allocation
per GVH (using a mathematical formula determined by AEDC
and JEFAP partner so GVHs will receive an MVAC allocation
proportional to the population size versus the overall caseload
at TA level.)
3) Public declaration of accountability made by the ACPC and
traditional leaders
4) Roles and next steps presented & key contacts obtained
Outcomes
1) JEFAP partner introduced by ACPC 2) VCPCs sensitized on JEFAP response, including numbers per GVH
and per village (using a mathematical formula determined by AEDC and JEFAP partner so villages will receive an MVAC allocation proportional to the population size versus the overall caseload at GVH level.)
3) Completion of a pre-list of suggested households for humanitarian assistance by the VCPC (with support from community leaders and groups)
4) Public declaration of accountability made by the VCPC and traditional leaders
5) VCPC identified members of the complaints committee 6) Roles and next steps presented & key contacts obtained
Outcomes:
1) JEFAP partner introduced by VCPC
2) Villages sensitized on JEFAP response, including numbers
per GVH and per village
3) Public declaration of accountability made by the VCPC and traditional leaders
4) Village identified households for MVAC by proposing names
and discussing
5) Village list compared with VCPC list.
6) HH on both lists are endorsed; HH not on both lists will be
presented to the village for final prioritisation Outcomes:
1) HH registered
2) HH verified (ongoing)
13
Annex 2. Cluster Budgets
1. Budget for the Food Security Cluster
Distrct To
tal
Aff
ect
ed
Po
pu
lati
on
To
tal
Aff
ect
ed
Ho
use
ho
lds
De
fici
t
Mo
nth
s
Mai
ze
req
uir
em
en
t (M
t)
Co
st o
f
Mai
ze
Mai
ze
Logi
stic
s
Pu
lse
s
Re
qu
ire
me
nt
(mt)
Co
st o
f P
uls
es
(MK
)
Pu
lse
s Lo
gist
ics
Oil
Re
qu
ire
me
nt
Co
st o
f O
il
Oil
Logi
stic
s
CSB
Re
qu
ire
me
nt
Co
st C
SB
CSB
Logi
stic
s
To
tal
Balaka
166,036
33,207
6
9,962
2,047,019
307,053
1,992
1,965,138
196,514 398
553,732.33
55,373.23
478.18
655,046
65,505
3,173,917
Blantyre
131,113
26,223
6
7,867
1,616,462
242,469
1,573
1,551,803
155,180 315
437,263.65
43,726.37
377.61
517,268
51,727
2,506,335
Nsanje
108,999
21,800
6
6,540
1,343,823
201,573
1,308
1,290,070
129,007 262
363,513.16
36,351.32
313.92
430,023
43,002
2,083,607
Chikwawa
210,438
42,088
5
10,522
2,162,034
324,305
2,104
2,075,553
207,555 421
584,844.68
58,484.47
505.05
691,851
69,185
3,352,249
Chiradzulu
92,819
18,564
5
4,641
953,620
143,043
928
915,475
91,548
186
257,960.53
25,796.05
222.77
305,158
30,516
1,478,594
Kasungu
139,132
27,826
5
6,957
1,429,438
214,416
1,391
1,372,261
137,226 278
386,672.60
38,667.26
333.92
457,420
45,742
2,216,354
Machinga
187,105
37,421
5
9,355
1,922,312
288,347
1,871
1,845,419
184,542 374
519,998.12
51,999.81
449.05
615,140
61,514
2,980,557
Mangochi
350,727
70,145
5
17,536
3,603,360
540,504
3,507
3,459,225
345,923 701
974,732.79
97,473.28
841.74
1,153,075
115,308
5,587,033
Mzimba
147,057
29,411
5
7,353
1,510,860
226,629
1,471
1,450,425
145,043 294
408,697.59
40,869.76
352.94
483,475
48,348
2,342,598
Salima
151,258
30,252
5
7,563
1,554,021
233,103
1,513
1,491,860
149,186 303
420,372.92
42,037.29
363.02
497,287
49,729
2,409,519
Dedza
181,285
36,257
4
7,251
1,490,014
223,502
1,450
1,430,413
143,041 290
403,058.64
40,305.86
348.07
476,804
47,680
2,310,276
Lilongwe
219,679
43,936
4
8,787
1,805,581
270,837
1,757
1,733,358
173,336 351
488,421.65
48,842.16
421.78
577,786
57,779
2,799,565
Mulanje
181,116
36,223
4
7,245
1,488,625
223,294
1,449
1,429,080
142,908 290
402,682.89
40,268.29
347.74
476,360
47,636
2,308,122
Mwanza
33,162
6,632
4
1,326
272,564
40,885
265
261,662
26,166 53
73,730.48
7,373.05
63.67
87,221
8,722
422,613
Neno
56,260
11,252
4
2,250
462,411
69,362
450
443,915
44,391 90
125,085.25
12,508.52
108.02
147,972
14,797
716,971
Ntcheu
124,014
24,803
3
3,720
764,470
114,670
744
733,891
73,389 149
206,794.19
20,679.42
178.58
244,630
24,463
1,185,316
Phalombe
113,107
22,621
3
3,393
697,235
104,585
679
669,346
66,935 136
188,606.70
18,860.67
162.87
223,115
22,312
1,081,067
14
Distrct To
tal
Aff
ect
ed
Po
pu
lati
on
To
tal
Aff
ect
ed
Ho
use
ho
lds
De
fici
t
Mo
nth
s
Mai
ze
req
uir
em
en
t (M
t)
Co
st o
f
Mai
ze
Mai
ze
Logi
stic
s
Pu
lse
s
Re
qu
ire
me
nt
(mt)
Co
st o
f P
uls
es
(MK
)
Pu
lse
s Lo
gist
ics
Oil
Re
qu
ire
me
nt
Co
st o
f O
il
Oil
Logi
stic
s
CSB
Re
qu
ire
me
nt
Co
st C
SB
CSB
Logi
stic
s
To
tal
Zomba
195,618
39,124
3
5,869
1,205,864
180,880
1,174
1,157,630
115,763 235
326,194.35
32,619.44
281.69
385,877
38,588
1,869,701
Chitipa
7,044
1,409
2
141
28,948
4,342
28
27,790
2,779 6
7,830.61
783.06
6.76
9,263
926
44,884
Dowa
123,499
24,700
2
2,470
507,530
76,130
494
487,229
48,723 99
137,290.29
13,729.03
118.56
162,410
16,241
786,929
Karonga
42,594
8,519
2
852
175,044
26,257
170
168,042
16,804 34
47,350.52
4,735.05
40.89
56,014
5,601
271,407
Mchinji
81,930
16,386
2
1,639
336,699
50,505
328
323,231
32,323 66
91,079.22
9,107.92
78.65
107,744
10,774
522,053
Nkhata Bay
7,409
1,482
2
148
30,448
4,567
30
29,230
2,923
6
8,236.37
823.64
7.11
9,743
974
47,210
Nkhotakota
72,988
14,598
2
1,460
299,951
44,993
292
287,953
28,795
58
81,138.66
8,113.87
70.07
95,984
9,598
465,076
Ntchisi
55,282
11,056
2
1,106
227,186
34,078
221
218,099
21,810 44
61,455.41
6,145.54
53.07
72,700
7,270
352,254
Rumphi
5,648
1,130
2
113
23,211
3,482
23
22,283
2,228 5
6,278.72
627.87
5.42
7,428
743
35,989
Thyolo
121,086
24,217
2
2,422
497,614
74,642
484
477,709
47,771 97
134,607.82
13,460.78 116.24
159,236
15,924
771,553
Total 3,306,405
661,281
138,488
28,456,342 4,268,451
27,698
27,318,088
2,731,809 5,540 7,697,630.16 769,763.02 6,647 9,106,029 910,603 44,121,748
2. Nutrition Cluster Budget FIRP October 2018 to March 2019
Activities Responsibility Total Cost (USD) Total MWK
Capacity building, Monitoring and Evaluation, Implementation Support
Refresher trainings, support, supervision and mentoring of health
workers and clinicians on Management of acute malnutrition on
new CMAM protocols
MOH,
UNICEF
300,000.00
218,400,000.00
NIE TRAININGS for district managers DNHA 40,000.00 29,120,000.00
SMART Survey during lean period in 7 livelihood Zones DNHA 325,000.00 236,600,000.00
Implementation of IYCF-E activities and Active Case Finding
through MUAC screenings
DNHA,
UNICEF
1,050,000.00 764,400,000.00
15
Technical Surge to support national and field coordination,
surveillance, and implementation
DNHA,
UNICEF,
WFP
312,000.00 227,136,000.00
Sub Total $ 2,027,000.00 MWK 1,475,656,000.00
Procurement of SAM children supplies and logistics for nutrition supplies (35000 SAM Children)
Procurement of RUTF for SAM Treatment with 30% buffer stock MOH,
UNICEF
2,957,500.00 2,153,060,000.00
ResoMal, 42g Sachet/11/CAR-100 MOH,
UNICEF
2,559.00 1,862,952.00
F-75 Therap.milk CAN 400g/CAR-24 MOH
,UNICEF
36,600.00 26,644,800.00
MUAC tapes PAC/50 tapes (958,735 tapes) MOH
,UNICEF
34,100.00 24,824,800.00
F100 Therapeutic diet, can 400g/CAR 24 MOH,
UNICEF
9,750.00 7,098,000.00
Amoxicillin powder/oral sus 125g/5ml/BOT-100 MOH,
UNICEF
18,800.00 13,686,400.00
Supplies integration support and continuation of Last mile delivery UNICEF 225,000.00 163,800,000.00
Albendazole 400mg chewable tabs/PAC-100 MOH,
UNICEF
1,270.00 924,560.00
Iron and Folic acid Tablets 100 pac MOH,
UNICEF
170,000.00 123,760,000.00
Sub- total $ 3,455,579.00 MWK 2,515,661,512.00
Procurement of supplies for MAM Children, Pregnant and Lactating Women, Adults and Adolescents+ SAM Adults and adolescents
Procurement and distribution of super cereal plus for treatment of
MAM in children (65000 children) MOH, WFP 1,063,272.60 774,062,452.80
Treatment cost for Moderately Malnourished PLW of SC (34000
PLW) MOH, WFP 502,935.48 366,137,029.44
Treatment cost for Moderately Malnourished PLW Veg oil
estimated cost (34000 PLW +30000 adolescents and adults) MOH, WFP 133,056.00
96,864,768.00
Procurement and distribution of super cereal for treatment of
MAM+SAM in adolescents with focus on malnourished TB and AR
-Super cereal (30000 MAM+15000 adults and adolescents) MOH, WFP 665,649.90
484,593,127.20
Procurement and distribution of super cereal for treatment of SAM
in adolescents with focus on malnourished TB and ART patients-
RUTF (SAM 15000 adolescents and adults) MOH, WFP 899,953.20
655,165,929.60
16
NCST capacity strengthening MOH, WFP 75,000.00 54,600,000.00
Sub- total $ 3,339,867.00 MWK 2,431,423,307.04
TOTAL Budget Required $8,822,446.00 MWK6,422,740,819.04
Annex 3. Monthly Resource Requirements
Distrct Total
Affected Populatio
n
Total Affected
Households
Deficit Month
s
OCTOBER ALLOCATION NOVEMBER ALLOCATION DECEMBER ALLOCATION JANUARY ALLOCATION FEBRUARY ALLOCATION MARCH ALLOCATION
Maize
(Mt)
Pulses
(mt) Oil CSB
Maize
(Mt)
Pulses
(mt) Oil CSB
Maize (Mt)
Pulses
(mt) Oil CSB
Maize (Mt)
Pulses (mt)
Oil CSB Maize (Mt)
Pulses
(mt) Oil CSB
Maize (Mt)
Pulses
(mt) Oil CSB
Balaka
166,036
33,207 6
1,660
332
66
84
1,660
332
66
84
1,660
332
66
84
1,660
332
66
84
1,660
332
66
84
1,660
332
66
84
Blantyre
131,113
26,223 6
1,311
262
52
66
1,311
262
52
66
1,311
262
52
66
1,311
262
52
66
1,311
262
52
66
1,311
262
52
66
Nsanje
108,999
21,800 6
1,090
218
44
55
1,090
218
44
55
1,090
218
44
55
1,090
218
44
55
1,090
218
44
55
1,090
218
44
55
Chikwawa
210,438
42,088 5
2,104
421
84
107
2,104
421
84
107
2,104
421
84
107
2,104
421
84
107
2,104
421
84
107
Chiradzulu
92,819
18,564 5
928
186
37
47
928
186
37
47
928
186
37
47
928
186
37
47
928
186
37
47
Kasungu
139,132
27,826 5
1,391
278
56
70
1,391
278
56
70
1,391
278
56
70
1,391
278
56
70
1,391
278
56
70
Machinga
187,105
37,421 5
1,871
374
75
95
1,871
374
75
95
1,871
374
75
95
1,871
374
75
95
1,871
374
75
95
Mangochi
350,727
70,145
5
3,507
701
140
178
3,507
701
140
178
3,507
701
140
178
3,507
701
140
178
3,507
701
140
178
Mzimba
147,057
29,411
5
1,471
294
59
74
1,471
294
59
74
1,471
294
59
74
1,471
294
59
74
1,471
294
59
74
Salima
151,258
30,252 5
1,513
303
61
77
1,513
303
61
77
1,513
303
61
77
1,513
303
61
77
1,513
303
61
77
Dedza
181,285
36,257 4
1,813
363
73
92
1,813
363
73
92
1,813
363
73
92
1,813
363
73
92
Lilongwe
219,679
43,936 4
2,197
439
88
111
2,197
439
88
111
2,197
439
88
111
2,197
439
88
111
Mulanje
181,116
36,223 4
1,811
362
72
92
1,811
362
72
92
1,811
362
72
92
1,811
362
72
92
Mwanza
33,162
6,632 4
332
66
13
17
332
66
13
17
332
66
13
17
332
66
13
17
Neno
56,260
11,252
4
563
113
23
28
563
113
23
28
563
113
23
28
563
113
23
28
Ntcheu
124,014
24,803 3
1,240
248
50
63
1,240
248
50
63
1,240
248
50
63
Phalombe
113,107
22,621 3
1,131
226
45
57
1,131
226
45
57
1,131
226
45
57
Zomba
195,618
39,124 3
1,956
391
78
99
1,956
391
78
99
1,956
391
78
99
17
Distrct Total
Affected Populatio
n
Total Affected
Households
Deficit Month
s
OCTOBER ALLOCATION NOVEMBER ALLOCATION DECEMBER ALLOCATION JANUARY ALLOCATION FEBRUARY ALLOCATION MARCH ALLOCATION
Maize
(Mt)
Pulses
(mt) Oil CSB
Maize
(Mt)
Pulses
(mt) Oil CSB
Maize (Mt)
Pulses
(mt) Oil CSB
Maize (Mt)
Pulses (mt)
Oil CSB Maize (Mt)
Pulses
(mt) Oil CSB
Maize (Mt)
Pulses
(mt) Oil CSB
Chitipa
7,044
1,409 2
70
14
3
4
70
14
3
4
Dowa
123,499
24,700 2
1,235
247
49
63
1,235
247
49
63
Karonga
42,594
8,519
2
426
85
17
22
426
85
17
22
Mchinji
81,930
16,386 2
819
164
33
41
819
164
33
41
Nkhata Bay
7,409
1,482 2
74
15
3
4
74
15
3
4
Nkhotakota
72,988
14,598 2
730
146
29
37
730
146
29
37
Ntchisi
55,282
11,056
2
553
111
22
28
553
111
22
28
Rumphi
5,648
1,130
2
56
11
2
3
56
11
2
3
Thyolo
121,086
24,217 2
1,211
242
48
61
1,211
242
48
61
Total 3,306,405 661,281 4,061 812 162 206 #### 3,369 674 853 23,562 4,712 942 1,193 27,889 5,578 1,116 1,412 33,064 6,613 1,323 1,674 33,064 6,613 1,323 1,674
