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2018 final report to the Government of Japan

for Assistance through Supplementary Budget
Madagascar

Report Cleared by: Marie Dimond, UNDP Deputy Representative (Programme)

PROJECT SUMMARY
Country Madagascar
Project Title Support to humanitarian response and early recovery activities for
the most vulnerable people in a situation of severe food insecurity
affected by the drought in the Androy region (“Grand Sud” of
Madagascar)
Duration March 22, 2017 – September 30, 2018
Total Contribution US$ 2,095,000

Mapping of the Municipalities covered by the joint project in the Androy region

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TABLE OF CONTENTS

1) Background/Issues
2) Results
a. Objectives
b. Achieved results
3) Partnership and Coordination
4) Challenges and lessons learned
5) Monitoring
6) Visibility of the funding from the Government of Japan
7) Financial implementation (in line with budget table in the proposal)
8) Contacts
9) Annexes

Executive Summary

The joint project is part of the emergency response plan and the early
recovery/resilience plan in response to the drought situation in the South
(Grand Sud) of Madagascar where over 1.61 million people live. These plans
cover the period from February 2016 to June 2019. Priority was given to the
Androy region which has been the most affected by the humanitarian crisis.

The joint project effectively started in September 2017 although some

Agencies starting pre-financing the implementation of activities from May 2017.
Implementation was somewhat delayed in part by the outbreak of a pulmonary
plague epidemic from September to November 2017 which affected a large
part of the country in an unprecedented manner, including major urban areas,
and led to restrictions in movement and activities.

Despite these constraints, due to a six month No-Cost Extension which was
requested at the end of 2017 and subsequently approved, efforts jointly
conducted by UN Agencies allowed to attain all the achievements by the
September 2018, while also ensuring the visibility of the project. 100% of the
overall funding was committed and 100% of the targeted objectives were
reached. In total, 7,000 households (35,000 persons) benefited from
assistance whereas all the population in the Androy region has indirectly
benefited from the outputs of the future Early warning system and Data
Tracking Matrix.

A monitoring mechanism in line with the UN joint project approach has been
fully put in place both at the national and local levels.

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1. Background/Issues

The joint project is based on the priority needs resulting from the effects of two years of cumulated
erratic rainfall aggravated by the El Nino phenomenon, affecting 978,000 people in the three
regions in the Grand Sud (Androy, Anosy and Atsimo Andrefana) according to the Integrated Food
Security Phase Classification (IPC) analysis conducted published in October 2016. This
humanitarian situation represented the worst case over the 35 past years. In total, the national
emergency response plan required $US154.9 million for six clusters including education, health,
food security and livelihoods, nutrition, protection, and WASH.

The project was concentrated in the Androy region, the most affected, due to the following
reasons.

o In addition to the severe effect of the drought, the region of Androy, where 700,000 people
live, is the poorest region in the “Grand Sud”. Seventy per cent live more than 5 km away
from the nearest health facility and Androy has the highest prevalence of diseases in
children under five (prevalence of pneumonia is 16% against the national average of 10%,
prevalence of diarrhoea is 14% against 11% nationally). Of those sick children, only 29%
and 20% received appropriate treatment for pneumonia and diarrhoea, respectively. This
high prevalence of illnesses paired with lowest attendance at health facilities puts the
population at higher risk of mortality. In Androy region, 74% of the 63 basic health facilities
are managed by only one staff member. Deliveries at health facilities occur only in 20% of
all pregnancies, compared to the national average of 40%.

o In Androy, only 31.2% of the population has access to improved drinking water; and less
than 15% have access to proper hygiene. Figures from this survey indicate that rates for
the consumption of surface water in the south are above the national average: Androy
23.3% compared to 19.6% nationally. Similarly, the prevalence of open defecation in
Androy 88% is above the national average of 43.6%. During the height of the crisis, for
some rural areas the price of one liter of water increased substantially from pre-drought
levels when a liter cost 10 MGA. Fifty per cent of deaths related to malnutrition are
associated with diarrhoea or repeated infections of intestinal nematodes due to unsafe
water, inadequate sanitation or insufficient hygiene. Furthermore, women and girls are
affected disproportionately by this crisis. Lack of access to clean water means that girls
must spend hours every day accessing water instead of going to school; boys spend hours
every day leading cattle to water instead of going to school; and children with diarrhoea
struggle to recover from dehydration.

o Recovery at the household level is difficult due to the problems of non-availability or

restricted access to quality seeds, but also to the non-availability of water for irrigation in
agriculture due to a lack of infrastructure or adequate equipment even in areas where
water supplies are available (shallow groundwater, rivers, etc.).

o As a result of bad weather conditions due to the rainy season, accessibility to the area
most affected by the humanitarian response was very difficult due to very bad conditions
of National Roads 10 and 13 and inter-communal roads. These are partially impracticable
including trucks. The immediate impact of these very damaged roads were: some affected
areas were not accessible or only with great difficulty, the cost of transport increased as a

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result of the additional time and toll payments required which reduced the amount and type
of resources available. If roads were not repaired, some of the most vulnerable populations
in need of humanitarian assistance could not be reached or would be reached much later
than anticipated. This could contribute to aggravating the already severe humanitarian
crisis. As a result of reduced flow of goods, market prices would also increase; based on
past experience in some locations this could lead to a threefold increase which most
populations cannot afford. Furthermore, some pregnant women cannot reach health
facilities in time for their delivery, as during the context of crisis, they wait until the last
moment to go to the health facilities to save money. Therefore, in case of any complication
requiring caesarean, lives of the babies and/or mothers could be lost.

o In the absence of a functioning Early Warning System in Madagascar since 2012 after
fifteen years of prior existence, and the absence of a monitoring mechanism to detect
population movement caused by the drought, only the data from the three different
assessments available in March 2016 allowed for the determination of the scope and the
magnitude of the situation, resulting in a delayed start of the humanitarian response.

Therefore, the project has focused on the main areas of intervention as summarized below.

o Continuing to support WASH interventions, including construction of mid-scale water

systems or connections with existing pipelines.
o Providing quality health services to the most affected populations in Androy region (pregnant
women, children under five and newborns) and promoting life-saving healthy behavior, with
a special focus on the most vulnerable such as those in the communities who cannot reach
any health facility.
o Continuing to support the agriculture relaunch by producing seeds and promoting income
diversification.
o Strengthening early recovery and resilience to support and capitalize on the humanitarian
activities results through essential basic infrastructure rehabilitation in the areas most
affected by the ongoing humanitarian crisis, namely primarily some segments of National
Roads 10 and 13 and inter-communal roads which are partially impracticable even for
trucks. This is to allow immediate access to humanitarian assistance and arrival of goods
otherwise significantly delayed by the very bad road conditions and therefore undermining
urgent humanitarian response. This action was implemented through cash for work
schemes in order to improve the income of 3,000 households, selected from among the
most vulnerable affected by the crisis.
o And finally, as a cross-cutting issue, improving vulnerable populations targeting and
information management through the rolling out of the Displacement Tracking Matrix (DTM)
tools by stabilizing communities affected by migration through targeted resilience-building
initiatives; and ensuring the relaunch and institutionalization of the Early Warning System
(EWS) for drought, combining with the reinforcement of information management and
coordination.

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2. Results

2.1. Objectives

The main objectives are to provide continued support to basic services targeting the most
vulnerable people, to reinforce their livelihood activities and ensure monitoring of the post-acute
emergency situation.
Specific objectives are:
o Reduce food insecurity of smallholder farmers exposed to drought and ensure their early
recovery.
o Prevent/reduce excess maternal, and new-born morbidity and mortality as a complement
to WASH, nutrition and food program activities by supporting the implementation of high
impact Maternal and Child Survival activities and by providing access to quality preventive
and curative health services in health infrastructures and in the community.
o Prevent water-borne diseases, malnutrition and food insecurity by providing access to safe
drinking water through infrastructure development, management involving private
operators and community mobilization which will be locally driven, maintained and
sustainable.
o Monitor the evolution of humanitarian indicators on a regular basis in order to detect early
on any deterioration of the situation by putting in place an early mechanism, strengthening
data collection, information management and coordination.

These objectives will contribute to the following SDGs: zero hunger (2), good health and well-
being (3), gender equality (5), and clean water and sanitation (6). Furthermore, they will contribute
to the following Sendai Disaster Risk and Reduction Framework 2015-2030 priorities of action:
understanding disaster risk (priority 1), investing in disaster risk reduction for resilience (priority
3), and enhancing disaster preparedness for effective response, and to “Build Back Better” in
recovery, rehabilitation and reconstruction (priority 4).

2.2. Achieved Results

In order to achieve best possible results in response to the priority needs resulting from the
prolonged drought in the Androy region, all involved UN Agencies agreed to provide a coordinated
assistance to the same areas and beneficiaries. This approach led to the development of a joint
project implemented by eight UN Agencies based on their respective comparative advantages.

The project started effectively in September 2017 but encountered delays as a result of the three
month plague epidemic which led to restriction in movements and activities. A six month no-cost
extension was therefore requested and subsequently approved.

By the end of September 2018, despite the constraints listed above, project implementation
reached 100% of funds committed and 100% of objectives achieved. A mapping of the activities
shows clearly that activities have been more concentrated in the most affected districts in the
Androy region (see reference map in the page 2).

Six projects have been implemented in total, key achievements are summarized below.

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o IOM implemented a component related to the tracking of local populations displaced by

the drought through the roll out of a context-specific Displacement Tracking Matrix (DTM)
set of tools to Disaster Risk Management (DRM) stakeholders in Madagascar. This set of
tools and the resulting reports (DTM reports) from the data collection rounds, was aimed
at informing key DRM and development stakeholders in the Androy region and at national
level, of existing pockets of vulnerability in the Androy region in relation to human mobility
and forced population displacement. This set of tool is designed to give data and statistics
about the levels and trends of displacement at a given point, and in comparison to previous
times, as well as to make available information on multisectoral vulnerabilities which may
result from displacement itself, or from living in a community affected by displacement.
From the results of the DTM reports, it was also expected that communities most affected
by displacement would be identified, and that these would be the communities where the
community stabilization initiatives would be implemented.
IOM has trained a total of 62 actors on DTM tools through the project life-cycle (46 DRM
actors trained at the local level in the Androy region, and 16 DRM actors trained at the
central level – consisting in a total of 27 Females and 35 Males).
IOM has collected five DTM data collection rounds, in coordination with local stakeholders
and trained DRM actors; and has produced and released five DTM reports (July 2017,
October 2017, February 2018, November 2018, and September 2018). Only four reports
were initially foreseen to be released, but the NCE granted by the Government of Japan
and residual funding available under the relevant budget lines allowed for IOM to conduct
a fifth DTM collection round, and to release a firth DTM report towards the end of the
project. Through the five reports, IOM and partners have covered a total of 48
municipalities out of the Androy region’s total of 54.
Throughout the project duration, IOM has continued to provide coaching and capacity
development so that local stakeholders can assume data collection and handling
responsibilities themselves by the end of the project.
IOM has procured and handed over IT equipment to the BNGRC, notably 15 tablets –
already uploaded with programs and data collection forms – which will sustain the technical
capacity of the BNGRC to continue conducting data collection rounds, after the end of the
project.[RR1]
The DTM – which through the project was rolled out in Madagascar for the first time – has
received praise from the BNGRC, regional authorities and from a range of humanitarian
and development stakeholders. The BNGRC has expressed its ambition to extend the roll
out of the tools nation-wide, to track and collect information on various trends of population
displacement within the country.
As regards to community-stabilization initiatives, based on the first DTM reports, IOM and
local authorities have identified a total of eleven communities most affected by migration,
and community-based dialogues with heads of households were held in coordination with
local authorities in the eleven communities (Angondongondo, Etsoa Marofoty, Andaza,
Ankazomagitse, Bevaro Patia, Zambe Centre, Namandriha, Anjamalanjary, Manakompy
Centre, Sihanamena Marolava, and Behavoa Nord). Community-based dialogues were
consultative and discursive in nature, and women were actively engaged to participate and
share their own views.
Based on the results and prioritization of needs that emanated from the community-based
dialogues in the eleven target communities, community stabilization initiatives were
identified and presented back to the communities to ensure their community consensus
and ownership. The identified initiatives were also presented to local authorities, and their
sound technicality and feasibility were also assessed by IOM through outreach and
exchanges with regional authorities in charge of water and sanitation, and in charge of
agriculture, animal husbandry, and fisheries.

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The 11 community stabilization initiatives involved work around the rehabilitation of water
wells (4 locations); the handover of water kits (2 locations); technical capacity building on-
and the setting up of community-managed poultry farming (4 locations); and capacity
building on- and handover of fishing and fish conservation equipment (1 location). The
work was spearheaded and monitored by IOM while direct implementation was conducted
by local non-governmental organization (NGOs) and service providers providing the
necessary range of technical expertise and understanding of local socio-economic and
cultural dynamics.
Towards the close of the project, a wrap-up community-based evaluation dialogue was
conducted in each of the eleven target communities where community stabilization
initiatives had been implemented. The objective was to assess – with the perspectives of
the beneficiaries themselves – the methodology (how the initiatives were identified and the
implemented), the impacts (what were the challenges in implementation, and what were
the effects on the community in relation to forced displacement), in order to inform a
possible future scaling up of community stabilization initiatives in the Androy region.
The community stabilization initiatives have benefited directly 165 households in the 11
communities across the region’s 4 Districts.

o In complementarity with the DTM, the relaunch of the Early Warning System (EWS) for
drought was technically co-launched with the DTM in June 2017 and effectively started in
November 2017, jointly with OCHA, UNDP and WFP.

The first activity, under the responsibility of WFP, was the formal launch of tender and the
award of contract for conducting the initial steps of the process, which consists of a series of
studies, analysis and training as a pre requisite to allow the proper implementation of a
sustainable, cost effective EWS within the National Disasters and Risks Management Office
(BNGRC). This first study consisting of a Livelihood Zoning and Mapping, will define the EWS
units of analysis and data collection that will allow the identification of the ideal warning trigger
indicators, the modality of data collection related to these indicators, and the update of their
reference data.

UNDP has continued the next steps from May 22 until September 30, 2018. The first step is
to recruit a consulting firm to set up a technical and institutional framework of the « Early
Warning System ». That framework includes the followings: definition of warning threshold,
development of the methodology process (collection, processing, analysis, approbation and
dissemination of the products), development of a Standard Operating Procedures for data and
information flow and identification and formalization of all potential resources for
data/information collection and products analysis and dissemination.
Then, another firm was recruited to ensure: the development of a data treatment and
processing software, the development of the software specifications as well as the user
manual of the Web application and the software for “Early Warning System”and the training of
the board members and other users of the application on data management and web
application settings. Finally, sensitization and information workshops on the "Early Warning
System" (SAP) held in the Anosy, Androy and Atsimo Andrefana Regions have been entrusted
to a Communication Agency.

o The Food and Agriculture Organization of the United Nations (FAO) has provided
households with the necessary support to relaunch the 2017/18 agricultural campaign.
During the implementation period of the project, two cropping seasons were covered: the
counter-season 2017 (April to July 2017) and the main season 2017/18 (October 2017 to

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July 2018). FAO has supported 7,500 vulnerable households in four (04) districts in Androy
region. During these two campaigns, 93 MT of certified seeds, 130,000 linear meters (ML)
of cassava cuttings, 41 MT of maize, 9 MT of peas, 8 MT of rice, 7 MT of groundnuts,
14,250 kits of small agricultural equipment (shovels, rakes, watering cans) units were
distributed to the targeted farmers. In addition, 32 technicians from implementing partners
and 316 farmer leaders benefited from capacity building through field training in more
efficient agricultural techniques and the benefits of crop diversification (post-harvest and
storage techniques). 50 seed multiplier farmers and implementing partner technicians
were trained on standards and techniques for seed production. In total, 36 ha of area were
planted, divided into: 15 ha of peanut variety F11, 15 ha of maize CIRAD 412. 01 ha
sorghum, 2.5 ha of Cassava cuttings, 2.5 ha of sweet potato. Finally, staff from the
Regional Meteorological Office and the Regional Agriculture and Livestock Department
have benefited from capacity building in the adequate use of meteorological information
related to agricultural production.

o UNICEF has benefited from several sources of funding totaling USD 5 million, of which
USD 2.3 million from other Japan funds and USD 178,000 from the UN joint project.
Thanks to the support from the Government of Japan through the Supplementary budget
and other funding from the GoJ, UNICEF has been able to advance with the rehabilitation/
extension of the Ampotaka pipeline. The pipeline project is part of the long-term solution
and allows people to have sustainable access. This water transfer project also solves the
problem of very limited feasibility for certain water point such as boreholes, wells…, due
to the insufficiency or lack of underground resources and / or the quality of the water.
According to respondents of population which were largely very clear and articulate as to
the benefits to their lives of having access to clean drinking water: less childhood illness
and death, more money available for schooling and household expenses. UN joint project
helped to achieve the following results:

i) More than 7,469 people out of planned on which 3,660 women and 3,809 men have
to safe water thanks to the five medium-scale water systems rehabilitated/ constructed
with contribution of SB funds along the Ampotaka pipeline because the strategy is to
start the work in the most populated and vulnerable sites. These works consisted of
water supply ramification (water tank, fountain).
ii) Only 2 private operators were identified and trained to manage the 5 water supply
systems to serve 12 villages for the Ampotaka pipeline and all existing hand pumps in
the communes under their responsibility due to lack of local private sector. The project
could start the management of 5 water supply with 2 private operator by grouping the
sites
iii) More than 4,649 students (2,523 girls, 2,126 boys) and 75 teachers were reached and
are now learning in 15 One Star certified schools thanks to the funding from Japan,
reaching 155% of the planned target. The promotion of the “Star Approach”
complemented water system construction. The “Star Approach” helps schools meet
the essential criteria for a healthy and protective learning environment for children by
taking simple steps to make sure that all students wash their hands with soap, have
access to drinking water, and are provided with clean, gender-segregated and child-
friendly toilets at school. The intervention is divided in three components and all 15
schools can promote healthy habits in daily routines at school (daily supervised group
hand washing, use and cleaning of toilets and use of filtered water for drinking).

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o For health project jointly implemented by WHO, UNFPA and UNICEF, key achievements
are detailed below.

WHO has focused on strengthening access to health care for the population, improving the quality
of care through capacity building of providers and strengthening electronic integrated disease
surveillance (e-IDSR)) for the all 4 health district in the Androy region. This system has allowed
for a prompt detection of epidemic.
In term of capacity building of providers, 223 trained health workers are able to offer the Integrated
Management of Childhood Illness at health facility level; all health workers in the region have been
trained on Infection Prevention and Control in health care settings and at community level.
To support the fight against malaria outbreak in Bekily District, WHO has provided emergency
drugs and inputs to the most affected health facilities: 600 doses of ACT, 3,000 units of RDT, 8
boxes of incineration, 3,200 units of syringes and 500 units of injectable Artesunate. [RR2]
Furthermore, 60 health facilities were provided with drugs for the free care of children, pregnant
women and the elderly. As results, 149,800 children under 5 received free quality health care,
36,718 pregnant women had access to prenatal care. Mobile clinic missions were carried out by
4 teams to provide local health care to people living in remote areas. 38,916 children were
supported by the 4 mobile clinic teams. The 4 public hospitals of the 4 districts of the region were
also provided with equipment and drugs. As results, 11,645 deliveries of which 315 obstetrical
complications were managed.
As activities to strengthen integrated disease surveillance and response, all health facilities 76/76
which were previously provided with electronic tablets in the region, were provided with power
bank for ensuring correctly data collection and transmission. Completeness and timeliness of
reporting are always above 80%.
Among activities related to vaccine-preventable disease surveillance and EPI management, WHO
provided vaccine and input transport for routine immunization and SIAs. WHO has technically and
financially supported the PRSP and the SDSPs in the planning, implementation and monitoring of
activities to strengthen the availability of health services in general, and vaccination in particular
(SSME, SIAs). WHO provided technical assistance to the region to strengthen data quality. 90%
of health facilities were supervised as part of improving indicators for vaccine-preventable disease
surveillance and EPI management.

07 mobile clinics deployed has allowed to provide preventive and curative care for 34,200 people
living more than 10km away from the nearest health facilities. During the mobile clinics visits
14,500 cases of under 5's diseases were managed, 2,900 pregnant women received antenatal
care and 1,700 aged 0 to 11 months’ children vaccinated. At community level, 70,200 simple
cases of under 5 children's diseases such as diarrhea, acute respiratory infection and malaria
were managed by the community health workers trained on ICCM, and provided on drugs and
equipment. At health center, was provided free of charge 5 930 birth attendance and newborn
attendance, 409 cases of obstetric emergencies managed , 200 cesareans section performed,
105 cases of obstetric fistula repaired , 40 386 antenatal care carried out and 20 517 Regular
users of family planning.This was achieved through the provision of medical equipment and
medicines for 39 basic health centers and 2 level 2 referral hospitals. The population served by
these facilities has been sensitized on the use of free reproductive health services offered to
them.To reinforce the quality of service, two maternal services (Regional hospital of Ambovombe
and the district hospital of Beloha) were rehabilitated; health staff and administrative responsible
received capacity building and provided with protective kits and other control means. 47 health

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workers were trained on IMCI and 07 on BEmONC. 27 Health Centers provided on midwifery kits
can manage obstetrical complication. The main challenges were the delay of data reporting from
the health centers, and the lack of medical staff at all level.

o UNDP supported the rehabilitation of 50 km of badly damaged rural roads in Beloha district
connecting different localities using a Cash For Work approach, combined with a savings
scheme implemented in collaboration with a local micro finance institution. An initial cash
allocation was accorded to some 1,700 direct beneficiaries during the period that the
rehabilitation work was underway which gave vulnerable families the opportunity to cater
towards their immediate needs such as food or health care. The savings component at
the end was used to help them start a longer-term income generating activity (most opted
for poultry or small livestock) so that they would build household resilience and so that
their families would be less vulnerable should the overall situation deteriorate again. The
technical guidance and supervision of the road rehabilitation work was provided by the
relevant local authorities. Thanks to the improved access, there is now more frequent
service, including with minibuses, between the key locations which further helps stimulate
economic activity.

The details of these key achievements are presented in the table provided in the Annex VII.

3. Partnership and Coordination

The joint project is part of the joint Government-HCT emergency response plan and the early
recovery and resilience response plan to the El Nino for the “Grand Sud” of Madagascar.
Therefore, the joint project is placed at the national level under the global coordination
mechanisms within the Humanitarian Country Team and the National Humanitarian Plat-form,
both of which include representation from Japan (JICA).

Coordination meetings through bilateral manner have been encouraged between Agencies in
order to ensure coherence and complementarity of activities.

At the local level, an OCHA staff was recruited and based at the BNGRC office in Ambovombe,
the capital of Androy, to facilitate the coordination of the project’s implementation. Coordination
meeting is held on monthly basis.

4. Challenges and lessons learned

Institutional level
Challenges Lessons learned

o Insufficient human resources at the local Local authorities and the community’s
level of administration (for example one involvement are important during the
single staff per Basic Health Center), implementation of the activities and
which renders very difficult capacity especially for the sustainability of all actions.
building through training sessions or

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organization of training supervision (given

absence of staff at the center).
o Ensuring good maintenance of roads Work with local authorities, especially
once rehabilitation works have been mayors, in the localities through which the
completed road passes to ensure that a self-sustaining
maintenance system is put in place
o Lack of funding for completion of all lots of Advocacy and research funding to donor and
works to complete funding for Japan government implication

Operational level and environment parameters

Challenges Lessons learned
o The insecurity prevailing within the area
with restrictions to take certain routes to
reach certain communities, slowing the
implementation of planned activities

o For the agriculture sector in particular, o Continue and extend the collaboration
the success depends on the availability of with suppliers to meet seed availability on
seeds required and the planting in line time.
with the agricultural calendar.
o This prevision and purchase planning
should be kept as an exercise in advance
to properly support agricultural recovery.

o For each agriculture support, ensure the

phytosanitary protection aspect to
mitigate the negative impacts of crop
pests on production.
o Delay of work due to revision and o Recruitment of an international expert for
adjustment during the implementation of the revision of design and
the works caused by incapacity of the coaching/technical support to national
office study and national company of work office of studies and company of work
o Delay of material purchase (solar pump, o Procurement direct by company
pipes….)

5. Monitoring

Despite the fact that the joint project is part of an overall response plan funded by several donors,
the joint project has its own monitoring mechanism and tool.

Firstly, a monitoring framework has been developed to monitor the project achievements on a
monthly basis, both for the financial and technical sides. UNDP, supported by OCHA, ensures the
collection and consolidation of information provided by Agencies.

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Secondly, joint monitoring visits are planned

and conducted at the strategic and technic
levels.

A first monitoring visit was conducted in

August 2017 jointly by the UN Resident
Coordinator, the Japan Embassy Advisor
and the Chief of National Disaster and Risk
Management Office, with the participation of
Heads of UN Agencies and other donor
(Norway) involved in humanitarian
interventions in the “Grand Sud”. This visit
aimed to appreciate the initial achievement First joint monitoring visit, August 2017
Location: local coordination office in Ambovombe
of the joint project, discuss with the
community beneficiaries of the joint project and collect their point of views, and finally raise the
visibility of the joint-project both at the national and local levels.

Successively at the end of 2017 and in May 2018, OCHA conducted a technical monitoring visit
with the BNGRC in line with its support role in coordination. The main objective is to ensure that
all field staff have a common understanding
of the project, activities are implemented in
coherence with the joint project approach,
and field staff are fully aware of the project
targets and expected achievements based
on the monitoring framework of the project.

Finally, in August 2018 (one month prior to

the project end-date), a second high level of
strategic monitoring visit was conducted by
the UN Resident Coordinator, the Japan
Final joint monitoring visit, August 2018
Ambassador, all UN Head of Agencies, and Location: visit of the rehabilitated road between Ambonaivo
Representative of the National Disaster and and xxx, discussion with the women beneficiaries
Risk Management Office.

This last visit was jointly conducted by the

Government, especially with the Minister of
Economy and Planning. The main objective is
to have a clear view of the final achievements
of the project, exchange on lessons learned
with local Authorities, direct beneficiaries and
implementing partners. This last high level of
visit was simultaneously an opportunity to
inaugurate some key achievements of the
project in the presence of the President of the Final joint monitoring visit, August 2018
Location: Inauguration of the health productive equipment
Republic and the UNFPA Regional Director donated to the CHRR Androy,
for Southern Africa during the celebration of
Young International Day.

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In addition to the overall inter-sector monitoring, some UN Agency promoted a sectoral monitoring,
such as the case of the WASH project. The UNICEF WASH Regional technical assistants worked
closely with the Regional Directions to implement and supervise the activities in target districts.
Together, they conducted at least one joint mission every month, and one support mission every
three months together with the UNICEF WASH Officer from the central level. Also, UNICEF and
the Regional Water Direction participated regularly in the interagency evaluation exercises in the
South such as the lesson learnt. During the implementation period of this project, 6 evaluation
mission were carried.

6. Visibility of the funding from the Government of Japan

Visibility is one of the main priority areas of the project, which is under the coordination of OCHA.
Three kinds of visibility tools were developed during the implementation of the project.

6.1. Brochure and banner (models in Annex).

These supports are always used for any
events related to the project both at the
national and local level. The brochures are
shared with all audiences such as the
authorities, media, community
representatives, etc. The brochure contains
not only information related to the project but
also all information regarding Japan’s
humanitarian funding to the “Grand Sud”.
Once feasible, some activities are officially
launched with the presence of Government
and involved Ministers, media, local beneficiaries and partners to raise the visibility of the joint
project. This was the case for the following activities:
o Official launch of the Displacement Tracking Matrix (DTM) by OIM and the Early Warning
System jointly by OCHA, UNDP and WFP in June 2017
o Official launch of the anti-fistula campaign (March 2018) which targeted young girls
affected by early marriage
o Final joint high level of visit in August 2018
o Official announcement of the relaunch of the Early Warning System (September 2018) in
Taolagnaro and Toliara.

6.2. Press releases

In total, four press releases were published for the visibility of the project: i) two during the joint
high level monitoring visit in August 2017; ii) one during the official launch of the Displacement
Tracking Matrix in June 2017 in Antananarivo; iii) and one during the final high level of visit and
the inauguration of some key achievements in August 2018.

6.3. Video
Towards the end of the project, a video showing the key achievements of the joint project is
produced. In addition, IOM produced a short video clip highlighting the contribution from the
Government of Japan and its use for DTM and Community Stabilization activities implemented.
Both video can be respectively downloaded in the following links:

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xxxx and

https://l.facebook.com/l.php?u=https%3A%2F%2Fvimeo.com%2F294356883%3Ffbclid%3DIwA
R1uLjMfXV1JDI4W8NYPZ-8sUeQIercy-
SCda5VePZCdMjCei1qQdY_88is&h=AT35oj_WfoXFWIyLQSxikQGLu3uCtXRQpKMow4lndd8E
EsvpIrtPoh5w9CgnCR-uEPJ0GFck016vNUSzvp0bd6PvcZ6qfPmSWazGyIElNB1tEHCknS-jm0-
wwGWxCiNlrg.

7. Financial Implementation (in line with budget table in the proposal)

As of the 30 September 2018, the financial delivery reached 100%, each agency has respected
in general the planned budget lines in the proposal without significant change. The details of the
financial implementation are provided in the table below.

Amount allocated Amount finally

Sector Agency
($US) disbursed ($US)
AGRICULTURE FAO 341 550 341 550
WASH UNICEF 178 200 178 200

EARLY RECOVERY PNUD 247 500 280 340

UNFPA 283 140 283 140

HEALTH UNICEF 221 760 221 760
OMS 202 950 202 950
PAM 173 250 173 250
EARLY WARNING SYSTEM
PNUD 198 000 165 160

DTM OIM 178 200 178 200

COORDINATION AND VISIBILITY OCHA 49 500 49 500

Total $2 074 050 $2 074 050

*Funds utilization amounts in the report are only interim figures, the official financial statement will
be made available in the financial report provided by the HQ.

8. CONTACTS

Marie Dimond, UNDP Deputy Representative (Programme), Tel: +261 32 11 109 35,
Email: [email protected]
Rija Rakotoson, OCHA Humanitarian Affairs Officer, Tel: +261 33 15 076 93, Email:
[email protected]

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ANNEX I. Banner of the joint project

ANNEX II. Press release during the strategic joint monitoring visit in August 2017

15
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ANNEX III. Press release during the technical launch of the Displacement Tracking Matrix
and the Early Warning System implementing process in June 2017

16
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ANNEX IV. Press release during the final strategic joint visit in August 2018

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ANNEX V. Photos showing some key final achievements in September 2018

Agriculture

Agriculture diversification : peanut farming in Antalatanosy Agriculture diversification: sorghum in Marovato commune,
commune, Ambovombe district. FAO Tsihombe district. FAO
Coordination and Monitoring

First high level of joint monitoring visit, August 2017, Final high level of joint monitoring visit, August 2018,
Androy region OCHA Presentation of the key achievements of the project,
Local coordination office, Ambovombe. OCHA
Displacement Tracking Matrix

Training of DTM enumerators and supervisors with IOM and Household DTM survey, site assessment in Bekily district,
BNGRC teams, Ambovombe district, August 2017 November 2017. OIM

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Early recovery

Rehabilitation of rural road, Ambovombe. UNDP Women head of households, specific target of “Income
Generating Activities”, Ambovombe. UNDP
Early Warning System

Local workshop to update baseline and identify early warning

indicators, Ambovombe WFP/OCHA
Health

Health mobile team, Androhodroho. WHO Woman of childbearing age in consultation at mobile health
space. UNFPA
Water, hygiene and Sanitation

Water point (fountain) in Nikoly village, middle water supply and Water Tank IN Nikoly village, middle water supply and
ramification to Sampona pipeline, Tsihombe district. UNICEF ramification to Sampona pipeline, Tsihombe district. UNICEF

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ANNEX VI. Brochure of the joint project

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ANNEX VII. Mapping of the activities implemented through the joint project

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ANNEX VIII. Achievements based on the project framework

Sector Agency - Effective

% of final
Coordinator Project title Expected outcomes Planned activities Indicators Final target achievement in 30
achievement
Sept 2018
FAO
AGRICULTURE

Reduce food Small farmer’s seed security is Conduct awareness / community mobilization activities Number of accomplished awareness /
95 95 100%
insecurity for improved. community mobilization activity
smallholders Identify target vulnerable households at the level of
exposed to intervention Municipalities Number of identified vulnerable households 7,000 7,500 107%
drought and
ensure early Implement the structuring activities of agricultural
recovery in households to facilitate agricultural recovery and Number of groups set up for diversification 316 296 106%
the Androy supervision for the transfer of adapted techniques and
region sustainability
Number of identified, trained and operational
296 316 94%
peasant leaders
Acquire seeds and tools
Quantity of acquired seed (kg) 93,000 93,000 100%

Quantity of acquired agricultural tool kits

14,250 14 250 100%
(Spade, shovels, rakes)
Train and mentor agricultural households in the
improvement and adoption of appropriate farming Number of trained agricultural households 7,000 7,500 107%
techniques
Quantity of distributed seed (kg) 93,000 93,000 100%
Distribute seeds and tools
Quantity of distributed agricultural tool kits
14,250 14 250 100%
(Spade, shovel, rakes)
Follow-up of production and culture
Existence of monitoring plan 1 1 100%

Updated monitoring dashboard 11 2 36%[RR3]

Number of memorandums of understanding with
DRAE on performance assessments at the 2 1 50%
beneficiaries’ level

Harvesting agronomic data Number of surveyed specimens in the 4 districts 7 - 0%

Up-to-date monitoring tables of agronomic data 7 2 28%[RR4]

Early recovery and resilience Conduct awareness / community mobilization activities

are reinforced through adapted
local quality seed production Number of accomplished awareness,
95 95 100%
community mobilization meetings

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Sector Agency - Effective

% of final
Coordinator Project title Expected outcomes Planned activities Indicators Final target achievement in 30
achievement
Sept 2018
Identification of PMS according to speculations
Number of identified PMS according to
50 50 100%
speculation
PMS training in collaboration with DRAE on technical
Number of PMS trained on technical standards
standards and itineraries 50 50- 100%
and itineraries

Quantity of starting seeds distributed to PMS 2,000 2,000 100%

Activities of seed production implementation
Areas planted for seed production (Ha) 30 36,01 120%

Evaluation and collection of agronomic data

Quantity of produced seeds (kg) 25,000 26 121 104%
Improvement of water Conduct awareness / community mobilization activities
Number of accomplished awareness meeting /
availability through appropriate 75 25 33%[RR5]
community mobilization
irrigation systems.
Identify and target vulnerable households at the level
of intervention Municipalities Number of targeted vulnerable households 7,000 7,500 107%

Put in place at community level the Pumping and

Irrigation Kits Number of set up pumping and irrigation kits 150 100 67%

Training on the technical cultural itineraries and

community management Number of training on technical cultural
316 316 100%
itineraries and community management
WATER, HYGIENE AND SANITATION

UNICEF

Water, Drinking water services within

Hygiene and targeted communities, health Set up a technical study Available APS/APD and DAO study 21 100%
Sanitation centers and schools are
provided. Construct and / or rehabilitate medium-scale water Number of rehabilitated/constructed medium-
5 5 100%
systems scale water systems
Training of private operators in charge of water system Number of trained private operators in charge of
management, water points and school committees water systems management
5 5 100%
Number of established and trained water point
committee
Expansion of STAR approach in schools
Number of one STAR certified schools 15 15 100%
Monitoring
Number of project monitoring and evaluation 6 6 100%
Reporting
Number of submitted report 1 2 100%

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Sector Agency - Effective

% of final
Coordinator Project title Expected outcomes Planned activities Indicators Final target achievement in 30
achievement
Sept 2018
EARLY RECOVERY

UNDP
Road Vulnerable groups contribute to Identify infrastructures to be rehabilitated
rehabilitation: the rehabilitation of Identified Infrastructures to be rehabilitated 1 1 100%
Cash for infrastructure of public and/or
Work community interest Establish the cost estimate for the works with
schemes with authorized decentralized services
a savings Established Quote 1 1 100%
component

Define the selection criteria of beneficiaries

Defined selection criteria 1 1 100%

Sensitize the public on the project and select the

beneficiaries Selected beneficiaries 1 1 100%
Make needed materials available for the work
Available materials 1 1 100%
Conclude partnership agreements with microfinance
institutions that will be in charge of the management of Concluded partnership agreement 1 1 100%
allowances and savings
Impelement the work.
Completed works 1 1 10%[RR6]
Ensure follow-up and reception of the works
Handed over work 1 1 10%[RR7]
Vulnerable groups have a Educate selected beneficiaries for the work on the
revenue generating activity advisability of creating and/or improving their revenue- Sensitized beneficiaries 1 1 10%[RR8]
generating activity

Train beneficiaries on financial management and

project planning Trained beneficiaries 1 1 10%[RR9]

Coach the beneficiaries in the business plan

Coached beneficiaries 1 1 10%[RR10]
Monitor the realization of AGR
Available monitoring report 1 1 10%[RR11]
UNFPA.
HEALTHCARE

Access to free quality health Rehabilitation of maternity hospitals in healthcare Number of maternity hospitals in rehabilitated
2 maternity
services in the most vulnerable facilities healthcare facilities 2 100%
hospitals
neighborhoods of Androy has
increased Capacity building of health providers on BEmONC Number of healthcare providers trained on
100 Service
services (basic emergency obstetric and neonatal BEmONC and SR integrated care services 100 100%
providers
care) within Level 2 referral maternity hospital
Nutritional rehabilitation and surgical repair of 100 Number of women with repaired obstetric fistula
cases of fistula
100 FVFO 100 105%

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Sector Agency - Effective

% of final
Coordinator Project title Expected outcomes Planned activities Indicators Final target achievement in 30
achievement
Sept 2018
Establishment of a referral and counter-referral system Number of referral maternity hospitals with a 4 connected
to reference maternity hospitals within 4 health referral and counter-referral system in maternity
4 100%
districts (Ambovombe, Bekily, Tsihombe and Beloha) Ambovombe, Bekily, Tsihombe and Beloha hospitals
SONUB/SONUC
Procurement and distribution of BEmONC and Number of beneficiaries of BEmONC and 3,000 pregnant •5 930 birth and
obstetric kits, dignity kits, essential drugs to address obstetric kits, dignity kits, essential drugs to women and newborn attendance
obstetric and neonatal complications, skilled address obstetric and neonatal complications, 2,500 newborn free of charge at
attendance at birth, Family planning, fistula repair, skilled attendance at birth, Family planning, that will be health center
GBV and STI/AIDS issues, fistula repair, GBV and STI/AIDS issues, delivered at • 409 cases of
health facilities, obstetric emergencies
as well as on managed free of
the 450 charge in health
complicated facilities
deliveries that • 200 cesareans
More than 100%
may need section free of charge
emergency are performed
measures • 105 cases of
obstetric fistula
repaired free of charge
• 40 386 antenatal
care free of charge
• 20 517 Regular
users of family
planning
Social mobilization to increase disease control Number of health facilities whose population 40 health 39 basic health
measure behavior and health service utilization has been sensitized to use the free and quality centres centers and 2 level 2 More than 100%
services offered referral hospitals.
Recruitment of a SR field-based coordinator in
1 recruited Coordinator 1 100% 100%
Ambovombe
1 Japanese-made equipped ambulance is
Purchase of a Japanese-made equipped ambulance 1 100%- 100%
purchased and available

Joint supervisory missions Number of joint supervisory carried out 4 4 100%

Support districts to prepare emergency and resilience Number of emergency and resilience plan
1 100% 100%
plans available
UNICEF

Number of mobile clinic visits to remote

Mobile strategy for remote populations 16 visits 100% 100%
population levels

Supply and distribution of BEmONC and obstetric kits,

Number of purchased BEmONC and dignity
essential drugs to treat obstetric and neonatal 27 CSB1 (BHC) 100% 100%
obstetric kits
complications

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Sector Agency - Effective

% of final
Coordinator Project title Expected outcomes Planned activities Indicators Final target achievement in 30
achievement
Sept 2018

Capacity building of health providers on BEmONC

Number of healthcare providers trained on
services (basic emergency obstetric and neonatal 07 AS 100% 100%
BEmONC services
care) in level 2 referral maternity hospitals (CSB2)

Purchase and distribution of equipment and essential

Number of Level 1 healthcare facilities provided
drugs (Basic medical kit for pregnant women and 27 CSB1 100% 100%
with equipment and essential drugs
newborns) within level 1 healthcare facilities

Purchase and distribution of medical kits and essential Number of purchased and distributed medical
drugs for the treatment of diarrhea, pneumonia and kit and essential medicines for the treatment of 27 CSB1
malaria among children under five (ORS Zn diarrhea, pneumonia and malaria among 47 CSB2 50% 100%
amoxicillin, RTD and ACT) for healthcare facilities and children under five years within health centers 2,048 CHW
Community health workers and CHW.

Capacity building of health workers regarding

provision of health care within ICCM (integrated
Number of health workers trained in IMCI Clinic. 47 HA 100% 100%
management and treatment of pneumonia and
diarrhea due to malaria)
Social mobilization to increase the control of diseases,
Number of households with children under 5 81,920
and to measure the behavior and use of health 100% 100%
visited by AC for 02 months. households
services
WHO

The disease surveillance and 4 district

Providing a reliable source of energy (solar chargers) Proportion of CSB with a reliable source of
reporting system is hospitals 50% 50%
for basic health centers energy for transmission of monitoring data
strengthened 76 CSB
Proportion of basic health centers reporting on
4 district
Ensure real-time reports on diseases and health diseases and health events through data
hospitals 80% 80%
events through data connection within health centers connection (Completeness rate of surveillance
76 CSB
reports)

Proportion of health facilities with staff members 4 district

Capacity building of health personnel on monitoring
trained on monitoring and disease notification hospitals 70% 70%
and diseases notification system
system 76 CSB (BHC)
Governance, leadership and
Recruitment of a SR field-based coordinator in
coordination of health and 1 recruited Coordinator 1 100% 100%
Ambovombe
partners’ interventions are
supported
1 Japanese-made equipped ambulance is
Purchase of a Japanese-made equipped ambulance 1 - 0%
purchased and available

Number of districts with a resiliency and

Help districts to have emergency and resiliency plans 4 4 100%
emergency plan

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Sector Agency - Effective

% of final
Coordinator Project title Expected outcomes Planned activities Indicators Final target achievement in 30
achievement
Sept 2018
EARLY WARNING SYSTEM

PAM
Recovery of -The study of livelihood zoning Preparation of Zoning Study TOR/ Statistical Analysis
multi-sectoral integrating agro-socioecological Unit/Trigger Indicators/Reference Data Availability of mapping database on livelihood
early warning and topo-climatic parameters is zoning integrating agro-socioecological and 1 25% 100%
system in the completed. topo-climatic parameters
Grand Sud of - Data collection and analysis
Madagascar units are determined. TOR Consultation by EWS Committee Members
Availability of map representing collection and
- Warning (to be followed), 1 0% 100%
analysis units based on zoning
frequency and collection level
indicators (including the Launch of Call for Tenders / Service Contract
development of the Analysis Finalization
Plan) are identified. Conduct and completion of zoning study/statistical
- Reference data in relation to analysis unit /Trigger-reference data indicators List of warning indicators and their description
identified warning indicators is 1 0% 100%
and base value
updated.
Validation of zoning study/statistical analysis
unit/trigger-reference data indicators by the EWS
Committee
UNDP

Warning thresholds are defined Preparation of Warning Thresholds Study TOR TORs available and validated by the EWS
1 0 100%
Committee
Launch of Call for Tenders/ Service Contract
finalization Signed service contract 1 0 100%
Conduct and finalization of warning thresholds study
Draft report on warning thresholds available 1 0 100%
Validation workshop of warning thresholds by the
EWS Committee Valid warning thresholds 1 0 100%
The methodological process
(collection, processing, analysis,
validation and dissemination of
Validation of the methodological study by the EWS
products) is defined, data Valid methodological study 1 0 100%
Committee
sources are identified and
formalized and EWS operating
budget is established.
A SOP for data and information
flow is developed Validation of SOP by the EWS Committee SOP validated by the EWS Committee 1 0 100%

The data processing software is

elaborated Preparation of Analysis Software Development TOR Elaborated TORs 1 0 100%

Launch of Call for Tenders / Service Contract

Signed service contract 1 0 100%
finalization

Analysis software development Developed Software 1 0 100%

Test and validation of Software Function Validated software 1 0 100%

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Sector Agency - Effective

% of final
Coordinator Project title Expected outcomes Planned activities Indicators Final target achievement in 30
achievement
Sept 2018
Awareness campaign at the
community level on the start of Final validation workshop of all EWS components Validated EWS component 1 0 100%
the new SAP is carried out
Official launch workshop of EWS in Ambovombe Achieved official launch 1 0 100%

Awareness campaign to community level Achieved awareness campaign 1 0 100%

Written documentation on SAP
is available Elaborated EWS Manual Validated EWS Manual 1 0 100%
IOM
DISPLACEMENT TRACKING MATRIX

The Displacement tracking Establish the project team Number of recruited and operational staff
matrix is contextualized and 4 4 100%
deployed to help stakeholders Organize presentation and launch workshop of DTM Contextualized and ready to use DTM tools
regarding GRC in the Androy tools (Displacement Tracking Matrix) 3 3 100%
region
Organize a 1st training workshop for BNGRC, Number of trained BNGRC staff and
supervisors and investigators in the region of Androy Investigators 44 46 105%
on the use of DTM tools
Capacity of Organize a second training workshop for BNGRC, Number of trained BNGRC staff and
Humanitarian supervisors and investigators in Androy Investigators 44 46 105%
data
collection, Upgrade the computer system Number of configured and operational tablets
population 10 15 150%
movement Train supervisors and the BNGRC on the use of tablet Number of trained BNGRC staff and
monitoring, Investigators 8 16 200%
and
strengthened Regular DTM reports are Collect data from 30 Municipalities within the Androy DTM data available for identified Municipalities
information available for GRC stakeholders Region 30 48 160%
management
for an Present and share DTM reports Number of produced and shared reports
effective 4 5 120%
response
within the Implementation of a regular Displacement Tracking Number of monitoring tools adaptation and
system within the 4 Districts system setting up meetings 4 5 120%
Grand Sud of
Madagascar Operationalization of the regular displacement tracking Number of available displacement tracking
system reports (information collected from system 4 5 120%
operationalization)

At least 120 from vulnerable Identify the eight communities most affected by List of 8 identified communities and
households of the identified migration from the 1st DTM report data characteristics 8 11 137%
communities have access to
means of subsistence which Conduct community dialogues to identify community Number of completed community dialogues
support their resilience and needs 8 11 137%
stabilization

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Sector Agency - Effective

% of final
Coordinator Project title Expected outcomes Planned activities Indicators Final target achievement in 30
achievement
Sept 2018
Implement community stabilization activities Number of implemented SC activities
8 11 137%

Hold a community resilience activities restitution Number of held workshops

workshop 8 11 137%

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ANNEX IX. List of acronyms

AC Agent Communautaire
AGR Activités Génératrices de Revenu
APD Avant-Projet Détaillé
APS Avant-Projet Sommaire
BNGRC National Disasters and Risks Management Office
CIRAD Centre de coopération internationale en recherche agronomique pour le
développement
CSB Centre de Santé de Base
DAO Dossier d’Appel d’Offre
DRAE Direction Régionale de l’Agriculture et de l’Elevage
DRM Disaster and Risk Management
DTM Displacement Tracking Matrix
EWS Early Warning System
FAO Food and Agriculture Organization
HCT Humanitarian Country Team
ICCM Integrated management and treatment of pneumonia and diarrhea due to
malaria
IPC Integrated Food Security Phase Classification
IOM International Organization for Migration
JICA Japan International Cooperation Agency
Kg Kilogramme
OCHA Office for the Coordination of Humanitarian Affairs
PMS Paysans Multiplicateurs des Semences
SDG Sustainable Development Goal
SOP Standard of Procedures
UN United Nations
UNDP United Nations Development Programme
UNFPA United Nations Population Fund
UNICEF Fonds des Nations Unies pour l’Enfance
WASH Water Hygiene and Sanitation
WFP World Food Programme
WHO World Health Organization

30