Tracking Reproductive Health in Humanitarian Funding Appeals: Preliminary Analysis

Conducted by IAWG Funding Studies Group

Mihoko Tanabe, Kristen Schaus, Sonia Rastogi

With Guidance from: Preeti Patel, Louise Lee-Jones and Catrin Schulte-Hillen

ObjectivesTo examine for the 2002-2012 period: To what extent have agencies appealed to

implement various RH activities in humanitarian health and protection appeals?

To what extent have the appeals been funded?

Methods Honed methods used in tracking of RH proposals

from the WRC/Save the Children/UNHCR/UNFPA ASRH Report.

Extracted publicly available data from OCHA’s financial tracking system: “E. List of Appeal Projects (grouped by Cluster) with funding status of each”.

Systematic review and categorization of each health and protection proposal via key word searches and analyses, especially of program activities and collected indicators.

RH Classifications

Topic MISP CRH(excluding MISP)

Non-RH

MNH Per IAFM ANC; PNC; breastfeeding promotion; training

Nutrition

FP Per IAFM Comp. FP; community education; logistics; training

N/A

STIs/ HIV

Per IAFM Comp. STIs; surveillance; comp. HIV services; training

N/A

GBV SV-focus, per IAFM DV; early marriage; FGM; male involvement; training

Justice, etc.

General RH

RH coordination, RH Kits, planning for CRH; data collection, DRR, menstrual hygiene

Training; procurement; routine RH data; cervical cancer; fistula repair; FGM treatment; other gyn. services; unspecified RH

N/A

Schematic

Cross-cutting:Adolescents (10-19 yrs)ElderlyPWDs

MNH

FP

STIs/HIV

GBV

MISP

Methods Duplicate proposals are included from revised

appeals so as not to penalize emergencies where RH programming was removed due to changing needs, and to account for program evolution.

Discretion made on activity categorization. In general, if “MISP” was mentioned, it was assumed that the agency implemented in its entirety.

While many SRH activities overlap in their thematic categories, and integrated activities are recommended, activities are mutually exclusively categorized to prevent inflated and duplicative counts.

18 conflict-affected countries

Afghanistan Angola Burundi Central African Rep. Chad Colombia, Congo Dem. Rep. Eritrea Iraq

Liberia Myanmar Nepal Sierra Leone Somalia Sri Lanka Sudan Timor-Leste Uganda

Findings for 2002 - 2012

Total # launched appeals: 324 emergencies Total # issued health and protection proposals:

10,280 Total # health proposals: 6,596 Total # protection proposals: 3,684

Findings for 2002 and 2012

2002 Total # health and protection proposals: 417 Total # relevant RH proposals: 102 Total # relevant RH proposals (health): 87 Total # relevant RH proposals (protection): 15

2012 Total # health and protection proposals: 908 Total # relevant RH proposals: 359 Total # relevant RH proposals (health): 266 Total # relevant RH proposals (protection): 93

Findings for 18 conflict-affected countries, 2002 and 20122002 Total # issued health and protection proposals: 280 Total # relevant RH proposals: 63 Total # relevant RH proposals (health): 52 Total # relevant RH proposals (protection): 11

2012 Total # issued health and protection proposals: 308 Total # relevant RH proposals: 145 Total # relevant RH proposals (health): 109 Total # relevant RH proposals (protection): 36

Proportion of RH proposals among total sector proposals, 2002 and 2012

18 Conflict-Affected Countries

All Proposals

20022012

Perc

ent

Components of RH proposals,2009-2012

2010

Perc

ent

Year

2011 2012

Full MISP proposals among total relevant RH proposals, 2009-2012

2009 2010 2011 2012

Perc

ent

Year

Partial MISP proposals among total relevant RH proposals, 2009-2012

2009 2010 2011 2012

Perc

ent

Year

Donorship for relevant RH proposals in 2002 and 2012

Amou

nt (U

SD)

18 Conflict- Affected

All 18 Conflict- Affected

All

2002 2012

31.6% funded

35.0% funded

34.1% funded

37.4% funded

Preliminary observations (Takeaways)

Appealed amounts for RH programming was much less in 2002 than in 2012.

In 2002 and in 2012, less than 40% of RH proposals were funded.

The proportion of proposals implementing the full MISP has increased from 5% in 2010 to 12% in 2012.

Increases are noted for FP services and MNH in 2009-2012, while activities for HIV/AIDS decreased from 2010-2012.

FP services least descriptive among components of RH.

Current limitations

Lack of access to detailed proposals from 2002-2008; full narratives only available from 2005.

Analysis is accurate in-so-far as agencies report their planned activities; some RH-related activities may be missing.

Inability to link donorship to exact proposals limits disaggregation of contributions per donor.

Possible over-estimation of unmet need (USD), given inclusion of original and revised appeals.

Analysis based on desk research and not a reflection of actual programming.

Next steps

Analyze data for 2003-2008; detailed analysis of RH components contingent upon data received from FTS.

Develop article for Conflict and Health, referencing ODA article.

Acknowledgements

Sandra Krause, WRC Dhabie Brown, Leah Petit, former WRC

interns Miriam Lange, Luciano Natale, OCHA FTS

Thank You!