health cluster (pht)

18
Health Cluster (PHT) Gender and Humanitarian Training (UN WOMEN) 14 March 2012 WHO and UNICEF

Upload: zytka

Post on 14-Jan-2016

35 views

Category:

Documents


0 download

DESCRIPTION

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 - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: Health Cluster (PHT)

Health Cluster (PHT)

Gender and Humanitarian Training (UN WOMEN)

14 March 2012

WHO and UNICEF

Page 2: Health Cluster (PHT)

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

Page 3: Health Cluster (PHT)

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.

Page 4: Health Cluster (PHT)

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.

Page 5: Health Cluster (PHT)

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

Page 6: Health Cluster (PHT)

Main focus areas for Nutrition

Coordination Preparedness,

Assessment and Monitoring

Capacity Development

Supply

Page 7: Health Cluster (PHT)

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

Page 8: Health Cluster (PHT)

Platform of agreed mechanism

The Inter-agency standing committee (IASC) has given their blessing for the PHT cluster approach in the Pacific

Page 9: Health Cluster (PHT)

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

Page 10: Health Cluster (PHT)

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.

Page 11: Health Cluster (PHT)

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

Page 12: Health Cluster (PHT)

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

Page 13: Health Cluster (PHT)

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.

Page 14: Health Cluster (PHT)

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

Page 15: Health Cluster (PHT)

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

Page 16: Health Cluster (PHT)

APPENDIX A:

RECOMMENDED Food Baskets meeting SPHERES Standards

Fiji Food basket

Page 17: Health Cluster (PHT)

The food basket: full ration

Page 18: Health Cluster (PHT)

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