WFP - UNICEF Joint Programme on Social Protection in Uganda 2019-2024
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WFP in cooperation with UNICEF has applied to Sida for 477 000 000 SEK (49 499 474 USD) to support implementation of the programme "Child-Sensitive Social Protection in Refugee-Hosting Districts of West Nile, Uganda" during the period 2019-2024. The programme aims to achieve increased resilience and social protection, improved health and nutrition for vulner...
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- B03 - Contributions to specific-purpose programmes and funds managed by international organisations (multilateral, INGO)
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WFP in cooperation with UNICEF has applied to Sida for 477 000 000 SEK (49 499 474 USD) to support implementation of the programme "Child-Sensitive Social Protection in Refugee-Hosting Districts of West Nile, Uganda" during the period 2019-2024. The programme aims to achieve increased resilience and social protection, improved health and nutrition for vulnerable children and mothers in West Nile. It has a focus on the nexus between humanitarian support and long-term development cooperation through strengthening the inclusion of refugees in existing national systems for health and social protection. The overarching philosophy of the programme is to not create new programmes and systems, but to strengthen and complement existing, national social protection and health programmes and systems with a strong focus on making such systems more efficient and effective and more child- and nutrition-sensitive. This approach seeks not only to make program results sustainable, but also to help leverage the efforts and resources of these national programmes, services and systems to achieve enhanced results, in particular in terms of resilience, health and nutrition.The programme objectives are improved economic inclusion of households, improved maternal and child nutrition and improved maternal and child health. Programme outcomes are pursued at two levels; the level of direct beneficiaries of programme activities and the level of systems. The programme aims to affect the systems level through achieving more efficient, transparent, child- and nutrition-sensitive social protection systems as well as more efficient child- and nutrition-sensitive health systems. The systems-strengthening support will link to ongoing social protection programmes (such as SAGE, Social Assistance Grants for Empowerment, NUSAF3, Northern Uganda Socail Assistance Fund, DRDIP, Development Response to Displacement Impacts Project) and will cover essential gaps in current health care and social protection systems.Behavioural change communication directed to beneficiaries will support increased demand for services and changed behaviour that improves resilience, health and nutrition.The outcomes for targeted beneficiaries will be:- Increased or more secure income, through cash transfers- Improved access to markets, with lower prices and higher diversity - Improved dietary diversity- Improved access to quality health services- Improved health-seeking behaviourThe new aspect of the programme is the social protection component with direct cash transfers to beneficiaries. This component is expected to add to efficient poverty reduction for vulnerable households and to provide an improved situation for both refugees and the refugee hosting population which can decrease tension in these societies where the risk for conflicts over insufficient resources and services has increased after the refugee influx. The programme also aims to affect markets to achieve increased availability and diversity of essential goods at lower prices.The gender perspective is clearly integrated in the programme and an in-depth analysis will be undertaken during the first year of the linkages between gender, disability, health and nutrition in the selected districts. The programme will be implemented through a flexible approach, where implementation will be developed and adapted in close collaboration with key actors in existing government structures at national and local level to ensure sustainability. The integrated approach combining efforts of WFP and UNICEF is also expected to improve efficiency, quality and long-term sustainability.
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Total aid 495,000,000 SEK distributed on 0 activities
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Result
Component 1: Social Protection (WFP-led) The first component of the programme includes two areas: 1) the ChildSensitive Cash Plus Transfer Programme (NutriCash) (cashbased transfers, social behaviour change communication, financial literacy, and backyard gardening) and 2) Social Protection Systems Strengthening (cash transfer mechanisms, beneficiary information & assistance management systems, national feedback and complaints system, links with other programmes as well as operational research). NutriCash was rolled out in 2022 and is built on the precursor emergency cash transfers carried out in 20202021 in response to the COVID19 pandemic. It targets the eight refugee hosting districts of West Nile and has to date disbursed cash based transfers of UGX 48,000 per month to 12,793 beneficiaries out of the planned target of 13,500 beneficiaries, of which 76 percent were nationals and 24 percent refugees, with the aim to prevent malnutrition in the first 1,000 days of life. Overall, the findings from the RMS, together with results from Post Distribution Monitoring and the Food Security and Nutrition Assessment, indicate improvements in key food security and nutrition indicators, including an increase in proportion of households with acceptable food consumption score, an increase in consumed vitamin A and protein as well as a reduction in anaemia prevalence among women of reproductive age and young children. Findings from the RMS also indicate increased knowledge of key financial literacy concepts as well as increased levels of knowledge of agricultural techniques and management of backyard gardens. Component 2: Health systems strengthening (UNICEF-led) UNICEF has continued to support district health systems in order to improve access and availability of services and strengthen planning and accountability under the three areas improved coverage and quality of essential health, HIV, and nutrition services improved care practices and demand for health, HIV, and nutrition services as well as better and more efficient health systems. Overall improvements in quality of maternal, neonatal, child and adolescent health interventions can be observed. This includes noticeable progress in proportion of health facilities implementing Quality of Care standards as well as in proportion of low birth weight babies receiving Kangaroo Mother care. Moreover, the strengthening of High Dependency Units has resulted in increased admissions which, according to UNICEF, have likely saved the lives of more than 1,000 mothers with critical obstetric conditions. There is also a noticeable increase in admissions to Newborn Intensive Care Units accompanied by improvements in survival rates as well as significant improvements in terms of proportion of children exclusively breastfed under the first six months. Although a decrease in the number of children admitted for treatment of severe acute malnutrition (SAM) can be observed, this seems to follow a general decline in the prevalence of malnutrition in the West Nile and it is hence not clear to what extent improvements in this area is a result of activities under this particular intervention or due to other factors.
The overall objective of the programme is to achieve improved community and household resilience among refugees and host populations in refugee-hosting districts of West Nile. The overall objective is broken down into three specific programme objectives: - Improved economic inclusion of households - Improved maternal and child nutrition - Improved maternal, neonatal and child health These objectives are broken down in a number of outcomes on both beneficiary and system levels: Outcome 1.1 - Increased or more secure incomes Outcome 1.2 - Improved access to markets Outcome 1.3 - Improved dietary variation of households Outcome 1.4 - Improved access to health services Outcome 1.5 - Improved health seeking behaviour Outcome 2.1 - More efficient, transparent, child- and nutrition-sensitive social protection systems. Outcome 2.2 - More efficient, transparent, child- and nutrition sensitive health services The programme will deliver a number of results on output level in order to achieve the outcomes and overall objectives. - Support links with on-going Social Protection Programmes - Provide child sensitive household transfers - Support cash transfer mechanisms - Support beneficiary information and assistance management (BIAM) - Support retail markets - Support to feedback and complaints systems - Health system strengthening and support - Social Behaviour Change Communication for increased demand for health services There is also a component on operational research for continuous learning and improvement of social and health services.
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