preliminary emergency appeal prcs 2014

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    Preliminary Emergency AppealOccupied Palestine Territory (opt): West

    Bank &Gaza Crises

    Palestine Red Crescent Society (PRCS)

    Emergency Appeal operation startup date:14.07.2014

    Appeal Time Frame: 6 months

    Appeal Budget: 14,570,915 USD

    No. of people to be assisted: 316,700 persons.Host National Society: Palestine Red Crescent Society (PRCS), founded in 1968,is mandated by the Palestinian Authority to provide National Ambulance and Pre-Hospital Emergency Medical Services in oPt and Health Service in the Diaspora.

    The PRCS is a full member of the International Movement of the Red Cross andRed Crescent and is adhering to its Fundamental Principles .

    This Preliminary Emergency Appeal seeks (14,570,915 USD) to enable thePalestine Red Crescent Society (PRCS) respond to some immediate and mediumterm effect on population of oPt following the Conflict and clashes between Israeland the Palestinians in the Gaza Strip and the West Bank

    The planned response reflects on general assessment and information currentlyavailable. The plan might be adjusted based on further developments and detailedassessment.

    A. The Context

    After the outbreak in 2000 of the second Intifada, the population in the West Bank and Gaza

    Strip has experienced a constant deterioration of the economic, humanitarian, security, and

    political situation in the oPt, leading to an increased growing rate of unemployment among

    population and a constant fight against poverty, thus leaving communities completely dependent

    on external aid, and in some areas on the brink of starvation.

    While the Gaza Strip is totally under siege and almost completely isolated from the rest of theworld, the people of the West Bank is facing ever-growing problems with their life, as movement

    restrictions imposed on them through a travel permit system, and roadblocks and checkpoints

    create huge obstacles for social and economical normal development.

    Thus, in the West Bank, movement restrictions for the entire population and the separation wall

    are leaving the Palestinian Government and the population in general with few alternatives. The

    continuation of building the separation wall and the increasing number of settlements are

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    leading to more land fragmentation on West Bank. At the same time the raise of settlers

    violation against the Palestinian civil population as well as the alarming escalation of house

    destruction in the area C precede a higher deterioration in the Palestinian humanitarian

    challenges particularly among the most vulnerable. .

    The situation is more acute in Gaza Strip, where the economy has almost completely collapsed,

    with more than 80 per cent of the population dependent on financial or other kind of support, thissupports includes RCRC Movement, United Nations agencies and other few international

    organizations still being able to operate under the tight blockade of the area. The situation is

    causing a shortage of all possible commodities. With very limited import of fuel, spare parts,

    building material, or even the most basic goods, the people in Gaza and the humanitarian actors

    are struggled to cope with the huge challenges while international concern for the short and

    long-term consequences is growing rapidly.

    In the frame of the current situation, the Palestine Red Crescent (PRCS) is urged to respond to

    the most urgent and long-lasting needs of the Palestinians communities with provision of many

    emergency and social programs. Nevertheless, the adverse conditions posed by the social,

    political and economical context, are not enabling the PRCS to mobilize locally the necessary

    economical resources to carry out its every day increasing demand of humanitarian programs

    and therefore the PRCS is forced to be dependent on financial support from its many RCRC

    and external partners.

    B. Situation Analysis

    The latest escalation came as a result of the increase of the settlers violation against

    the Civil Palestinian population, the killing of the two Palestinian youths on first of May,

    the hunger strike of the detainees, and the last Israelis occupation power military mass

    operation on West Bank on 13th of June after the disappearance of the three settlers

    as well as the burning and killing of the Palestinian boy in Jerusalem by the settlers.

    Accordingly the Israeli Government launched a huge military operation on the whole of

    West Bank especially in Hebron and announced closure of the Gaza Strip which led totense confrontation between civil Palestinian and occupation forces. By the time of

    writing the appeal clashes are ongoing in different parts of West Bank which has more

    intensity in Hebron, Jerusalem, Ramallah where 14 Palestinians were killed, more

    than 1700 injured, and around 1000 arrested.

    On July 7th 2014, the Israeli army launched a large military operation in the Gaza Strip,

    codenamed Protective Edge.

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    As of 14 of July, more than 173 Palestinians killed in Gaza since the operation began,

    among them women and children and more than 1150 injuries. According to OCHA

    70% of the affected are civilians with 30% being children.

    More than 4,500 people have been displaced in Gaza following the ongoing massive

    house destruction which is estimated at more than 800 houses. However, this figure is

    expected to increase as the military operation continues. The house destruction has

    been attributed as the main cause of civilian casualties and deaths. Social

    infrastructure has also been widely affected including destruction of health facilities,

    schools, sewage system and power plants.

    The last announcement by the Israeli occupation army regarding the ground military

    operation will lead to more killing, injuries and displaced people.

    The PRCS has suffered destruction through its infrastructure, ambulances as well as

    staff and volunteers injured in cause of duty.The PRCS therefore seeks funds to

    enable it respond to affected population needs both current and emerging.

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    C. The Disaster

    West Bank figures from 13thJune 2014No. killed

    14No. injured

    1700No. familiesevacuated

    30

    Gaza figures from 7thJuly 2014No. Killed

    173More than

    1150injured

    More than800 houses

    affectedtotally orpartially

    Settlers violation24 cases

    Violation against PRCS25 violations including branchdestruction in Jabaliya, staff andvolunteer injuries and damage toambulances

    D. The Response

    Since 13th of June, PRCS activated the operation rooms in Gaza Strip and West Bank in

    Hebron, Jerusalem and the Central operation room in Ramallah. All PRCS teams from

    emergency medical services, disaster management, volunteers, hospitals, psychosocial,

    rehabilitation and PHC staff were also activated. The first priority of PRCS is aimed at ensuring

    the EMS is ready to respond with ambulances, staff and volunteers with first aid background.

    The second priority is to make sure the hospitals and PHC centers are ready and equipped with

    medicines, disposables and surgical instruments in order to provide the backup for MOH. The

    Ministry of Health hospitals are first line facilities that receive casualties, with PRCS hospitals in

    Gaza and Khan Younis providing back up as well as assist with needed diagnostic services.

    ICRC has supported the MOH hospitals with 4 weapon wounded kits. With an increased

    number of injured people, PRCS facilities have started receiving cases referred for further

    management.

    The National Response Disaster Team (NRDT) and DM volunteers were mobilized for providing

    relief assistance, other departments were also activated e.g. logistics, maintenance,

    administration and finance. More than 700 volunteers and 1000 plus staff were mobilized and

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    involved in response to the immediate needs of the affected people.122 ambulances were

    activated both in Gaza and West Bank; although due to shelling in Gaza Strip, 5 ambulances

    were damaged and not functional. Despite the drawback, the PRCS continued with its effort to

    evacuate the injured and the dead from the destroyed buildings. Some of the damaged

    ambulances will require full maintenance, although spare parts are not readily available in Gaza

    Strip, while some will need to be replaced completely.

    PRCS continue to provide pre-hospital services to most of the injured and killed as well as

    PRCS hospitals and PHC centers providing services to the affected. PRCS provided shelter and

    Non-food items (NFIs) to 4 families in West Bank while in Gaza Strip joint assessment is

    ongoing despite the difficulties to conduct comprehensive assessment due to shelling.

    Response and distribution when possible will be conducted with ICRC support. The

    management team in Ramallah continued to support the Ops room through coordination with

    partners and other actors.

    Since 7th of July, the PRCS operation rooms have been operating on 24/7 basis with daily

    bulletin on the evolving situation and its response. Thus frequent Operational Updates are

    shared with partners. Since the emergency started, PRCS have and continue to conduct

    assessments of the current conditions of the population and the evolution of the emergency.

    Changes and revision to the preliminary appeal is therefore expected depending on new needs

    identified. DREF through IFRC was launched on 14 th July 2014. The estimated amount is

    227,000 CHF for 3 months. The DREF seeks to support the immediate pressing needs of

    medical assistance.

    It is important to mention that coordination is taking place with Egyptian Red Crescent (ERC) in

    regards of in-kind donations of medical supplies, food items and nonfood items coming through

    the Rafah border.

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    Expected scenarios:

    Scenario Impact PRCS Action ICRC & IFRC action PNS Action

    1. Mass casualties and

    homeless or affected

    people due to fully or

    partially damagedhomes

    and military operations

    - Increased load onexisting health structuresincluding PRCShospitals.

    - Difficulty treating

    /coordinating the massiveinflux of injured.

    - Homeless people withoutany possibility to providerelief itemsdue to unsafesituation for staff.

    - Homes were partiallydamaged withoutassistance.

    - Shortage of safe water.- Communication cut off.- Plans and budget for

    early recovery and postcrisis rehabilitationprograms.

    - PRCS launched Emergencyappeal to ensure andcontribute in enablingPalestinians to obtainhumanitarian health and

    relief assistance andservices.

    - PRCS is calling for its sisterRed Cross and RedCrescent societies and forother health providersaround the world to sendhealth teams into the GazaStrip; PRCS urges warsurgeons, neurovascularsurgeons, and traumasurgeons, as well as ICU,anesthetic and OperationTheater nurses to join thehealth teams in Gaza.

    - Ensure the readiness of thelogistic system of PRCS.

    - Provide relief items.- Plans and budget for early

    recovery and post crisisrehabilitation programs.

    - Carry out theirresponsibilitiesthrough using theirgood offices tofacilitate/ provide

    neededhumanitarianassistance andprotection forcivilians.

    - ICRC shouldstrengthencoordination toensure effectiveevacuation of theinjured.

    - IFRC should alertthe ERUs forurgentdeployment.

    - Secure the fundfor PRCSEmergencyappeal.

    - Support PRCSwith relief itemsneeded.

    - Alert medicvolunteers and staff tsupport healfacilities in Gaza.

    - Support PRC

    emergency appeal.- Plans and budget fo

    early recovery anpost crisrehabilitationprograms.

    2. Displaced People:

    According to Israeli

    declarations, military

    ground operations are

    - Large number ofpopulation near the GazaStrip border areaswithout shelter, medicalcare, safe water and

    - Alert Health andwater/Sanitation ERUs forpossible rapid deploymentto boarder areas.

    - ICRC shouldcoordinate forgetting the goodsand personnel toGaza.

    - Alert andeployHealth,water/Sanitation, anrelief ERUs accordinto needs.

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    expected to take place

    soon; this will lead to

    massive population

    movement to the Gaza

    Strip borders.

    sanitation sources.- Difficulty coordinating the

    massive influx ofassistance from differentorganizations andindividuals.

    - Increased burden on theeconomy of border areas.

    - Shortage of safe water.

    - Communication cut off.

    - In coordination with ICRCconduct tracing andrestoring family links.

    - Ensure the readiness of thelogistic system of PRCS.

    - Plans and budget for earlyrecovery and post crisisrehabilitation programs.

    - Provideemergency shelterand campmanagement

    - Mobilize ICRCsupport andresources

    - Mobilizeemergency

    response units(field hospitals,health services,including psp,water andsanitation, relief) tobe deployed uponthe request ofPRCS.

    - IFRC Logistic unitin Dubai to beprepared fordeployment andprovide neededrelief items.

    - Plans and budget

    for early recoveryand post crisisrehabilitationprograms.

    - Support PRCemergency appeal.

    - Plans and budget foearly recovery anpost crisrehabilitationprograms.

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    E. Operational Strategy and plan

    With ongoing conflict in Gaza it has been very difficult to conduct assessments, the initial

    assessments are information received through different sources including;

    - PRCS staff and volunteers involved in the response

    - PRCS stock update

    - PRCS/ICRC assessments and updates

    - OCHA and UNRWA updates

    - MOH and other partners assessments

    - Needs assessment by different PRCS services

    Following the initial needs assessment by the different services the following areas were

    identified for interventions and support taking into consideration that the MOH and WHO

    launched a Joint preliminary emergency appeal with amount of 40 million USD.

    PRCS operation focuses on the imm ediate needs of the wounded and people directly

    affected by the clashes, conflict and military actions and families and individuals whose

    houses and livelihoods have been directly affected in West Bank and Gaza Strip.

    a. Emergency stocks of essential drugs and disposable, together with emergency

    surgical kits, both for PRCS health facilities and to support other health providers

    mainly MoH.

    b. Continuation of provision of Emergency Medical Services by PRCS both to directvictims of the hostilities, and to chronic patients who are impeded under

    hostilities to access lifesaving health care. Additional ambulances are needed to

    extend coverage under present clashes and hostilities and replace damaged

    ones. Spare parts for existing ambulances are also needed.

    c. Basic non-food items such as blankets, heaters, hygiene kits, mattresses, for the

    families whose houses have been damaged or destroyed.

    d. Emergency psycho social support to victims of the conflict, especially children of

    the affected families, building on the extensive work by PRCS in the domain andaccording to PRCS specific contingency plan

    e. Reinforcing existing capacities in logistics to ensure a sustained flow of goods

    and aid inside Gaza and from outside Gaza

    f. Emergency renovation of PRCS damaged premises.

    As for the long-term needs, they will be assessed and in cooperated in the revised

    emergency appeal since the situation is still evolving and not predictable.

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    Sector Needs assessment Beneficiary selection

    Health The hospitals and basic health careare overstretched as the result innumber of people injured. This hasresulted in diversion of routinesupplies to the emergency. Mostaffected are the medicaments,

    disposable supplies, surgicalsupplies. Additionally someequipments will need to be replacedor procured to better respond to themedium term effect on the health ofthe population.

    The National Societyenvisages to target up to30,000 with its hospital andPHC health care includingpatients with chronic disease

    DM As consequences of massive housedestruction through military operationhas led to either total destruction orpartial and displacement of people.The call for evacuation of the areascontinues as such more destructions

    are expected. The PRCS plans tosupport in provision of shelter andNFIs to the affected population.

    The DM service plan to reach50,000 persons

    PSP The PRCS staff and volunteers whohave been working round the clockproviding services and going throughthe daily psychological trauma willrequire debriefing and long termsupport through psychosocial supportgroups. The population includingchildren at large has been exposedthrough continuous bombardment and

    has witnessed close relatives eitherinjured or died will need psychosocialsupport. This will require re-orientation of the PSP activities in the6 months period to focus on stressmanagement.

    The PRCS plans to debriefstaff/volunteers involved.Train staff/volunteers on PSSand support the staff throughpsychosocial support groups.The PSP envisages coveringat least 25,000 peopleconcerning PSSactivities/training.

    Management support For the successful implementation ofthe operation the PRCS activated itsstaff and volunteers who are workinglong hours and will require salary andincentives. Additionally the logisticand finance departments were

    activated to support the operation.Management costs to run theoperation is expected to be coveredunder the appeal.

    1,700 persons (staff andvolunteers) will benefit.

    EMS Providing emergency medical andrelief services is considered asbedrock for the PRCS since itsinception. The PRCS undertake thisservice through a national 101telephone number. Throughout theemergency phase only PRCSambulances could be seen providing

    60,000 persons will benefitfrom the service

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    the evacuation to the injured andremoval of dead bodies. Despite thisimportant service to the affectedpopulation PRCS was victim of theIsrael airstrike whereby 5 of itsambulances were damaged throughthe shelling.

    Infrastructure The PRCS experienced damage to itsbranch in Jabaliya which alsodamaged office equipments andfurniture

    PRCS plans to renovate andequip the damaged branch inJabaliya.150,000 persons will benefitfrom the service

    Overall objective:

    Health risks of affected population are reduced and the resilience of the community to disaster

    is increased both in West bank and Gaza strip.

    Proposed strategy:

    Further to addressing the immediate needs through the DREF the PRCS would like to be

    prepared to respond to the medium term needs of the affected population. The strategy is aimed

    at reducing the population suffering during and aftermath of the conflict/clashes and military

    operation.

    The preliminary appeal will be a live document; changes are expected as detailed assessments

    are conducted. The appeal will cover the needs identified in West Bank and Gaza strip.

    Operational support services

    Human resources

    The PRCS has deployed 700 volunteers that will be running the operation together with 1,000

    technical staff from Disaster Management, Logistic and Health.

    Logistics and supply chain

    Logistic support to the intervention will be provided following PRCS procedures to source and

    procure relief items and medicines and to ensure the efficient and timely delivery to the

    hospitals and primary health centres.

    Information technologies (IT)

    The cost of communications is included in the running cost of the operation.

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    Communications

    Information on the operation will be done in coordination with the IFRC, ICRC and Movement

    partners in order to highlight the response to the humanitarian needs and the evolving and

    emerging humanitarian concerns. The current operation contemplates the development of

    frequent operational updates, press releases and beneficiary stories.

    Security

    In order to undertake the planned activities the PRCS will coordinate with ICRC and evaluate

    evolving security situation as well as in terms of coordination.

    Planning, monitoring, evaluation, & reporting (PMER)

    PMER will be crucial to the delivery of the planned operation to ensure evidence-based

    reporting, upholding accountability and compliance with the established standards. In this

    regards monitoring is required regularly to track the effects and impact of response actions,

    track progress of activities and the delivery of outputs.

    The PRCS will conduct regular field visits to the target locations for monitoring purposes given

    that mobilization table and appeal updates/reports will be shared regularly.

    Administration and Finance

    The PRCS will be responsible for managing the funds in the opt in accordance with its policies

    and procedures. This will be based on the requirements and justifications specified in the letter

    of agreement to be signed between PRCS and its partners for the implementation of the appeal.

    Proper administration and finance staff is foreseen under this appeal in order to support the

    financial recording and reporting.

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    F. Detailed Operational Plan

    Proposed sector intervention

    Sector: Hospital and basic health care

    Outcome 1:The medium term risks to health of affected population is reduced

    Output 1.Medical, surgical materials, equipments and disposable supplies are delivered in time

    and in sufficient quantities to the hospitals and PHC centers.

    Activities planned:- Stocks are replenished and maintained- Purchase medical equipments and supplies

    Sector: EMS

    Outcome 2: Readiness to respond timely, appropriately and safely to affected injured peopleOutput 2.1 Resource mobilized for the emergency response and service provision.Output 2.2 EMS able to provide 24/7 service through its main established stations and sub

    stations in West Bank and Gaza stripActivities planned:

    - Mobilize over 1,700 staff and volunteers to provide evacuation and first aid services- Ensure adequate fuel, maintenance of ambulances in involved in the operation- Replace the damaged ambulances and procure additional to maintain and increase the

    PRCS capacity to respond to emergencies.

    Sector: DM

    Outcome 3: Target population resilience to disaster is enhancedOutput 3.1 Affected population receive NFIs

    Output 3.2 Households whose houses are destroyed or damaged are provided with emergencytemporary shelter

    Activities planned:- Purchase and distribution of nonfood items- Distribution of household kits

    Sector: PSP

    Outcome 4: Families affected by the war, in particular those who have lost family membersand/or are the most vulnerable, have access to Psycho social support, and PRCS volunteersand staff are supported in their humanitarian actionOutput 4.1 The affected persons receive psycho social support according to their needs Output 4.2 PRCS volunteers and staff can access quality psycho social support

    Activities planned:- Provide PSP to families affected by the war- Provide additional psychosocial training to PRCS staff and volunteers.- Provide Psychological Support to staff and volunteers of PRCS engaged in emergency

    response.- An emotional debriefing is organized for staff and volunteers of PRCS after the

    emergency phase.

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    Coordination and Partnerships:

    The escalation of Gaza crises, has prompted a large-scale humanitarian needs coupled with

    ongoing clashes in different parts of opt. The movement partners with their presence in

    Palestine have been pivotal in assisting the National Society respond to challenges and

    recurrent emergencies that they often have to face. Drawing from lessons learnt from previous

    emergencies of 2008/2009 and the 2012 the National society is better prepared for response to

    the current disaster.

    For the current emergency, the ICRC has been jointly with the National Society conducting

    assessment whenever possible. Besides the movement coordination the PRCS is actively

    involved in meetings with other humanitarian actors in Palestine such as MOH, UNOCHA,

    UNRWA and WHOetc

    The PRCS has and is coordinating its response with movement partners as well as other

    partners specifically MOH/WHO on health issues, Palestine Civil defence on search and rescue

    efforts and evacuation of the affected.

    Budget:

    6-Months Needs

    Item Description Total Cost USD

    Medicines and Disposables 3,286,678Equipment 3,320,000

    Relief and shelter 4,642,039

    Renovation 300,000

    Sub-total 11,548,717

    Fuel and spare parts 600,000

    Sub-total 600,000

    Management and Coordination 100,000

    Sub-total 100,000

    Local Personnel 800,000

    Sub-Total 800,000Running Cost 60,000

    Sub-Total 60,000

    Communication equipment cost 300,000

    Sub-Total 300,000

    Rehabilitation 208,960

    Sub-Total 208,960

    Administration cost 7% 953,237

    TOTAL DIRECT COST 14,570,915

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    Contact

    For more information and contributions please contact:

    Dr Khaled Joudeh, Director General, PRCS: phone: +972 22406515/6/7, Fax: +972 2

    2402108,Mobile: +972 599601123. email:[email protected]

    Dr WaelQedan, Director health services, PRCS, phone: +972 22406515/6/7, Fax:+972 22402108, Mobile: +972599251133, email: [email protected]

    Tanya Shawar, Head of PR & International Cooperation, PRCS: phone: +972 22406515/6/7,

    Fax: +9722 2402108, Mobile: +972 599254604, email: [email protected]