CONSOLIDATED RESULTS REPORT. Country: ANGOLA Programme Cycle: 2009 to

Transcription

1 CONSOLIDATED RESULTS REPORT Country: ANGOLA Programme Cycle: 2009 to Key Results modified or added 2. Key Progress Indicators 3. Description of Results Achieved PCR 1: Accelerated Child Survival and Development By the end of 2013, 80% of Improved coverage of high impact children and women will have interventions (Vaccines, LLINs, Vit. A, benefited from increased access of Albendazol, Iodized salt, ORS/Zinc) at national a package of Health & Nutrition, level Current Status: 2,619,200 LLINs were WASH and HIV/AIDS services distributed to U5 and pregnant women through with particular focus to the most the routine service delivery schemes in all 164 vulnerable, for accelerating municipalities. UNICEF procured 600,000 achievement of the 11 rapid-diagnostics test kits for the National commitments for children and Malaria Control Programme. Vitamin A and MDGs 1, 4, 5, 6 and 7. Albendazol were procured for 3 national campaigns technicians were trained in IMCI/ORT & administration of Zinc in the provinces of Bié, Cunene, Huila, Luanda & Moxico. Advocacy efforts for high-impact interventions have also yielded results in the area of nutrition and resulted in the inclusion of vitamin In 2013, 5,228,758 (84%) children being supplemented with vitamin A dose and 4,572,431 (83%) with Albendazol. 4. Constraints and facilitating factors Facilitating factors: Government has the political will to eradicate polio Municipal Health System policy approved and implemented resulting in decentralization of primary health care funds to the municipal level. MoH adoption of Option B+ and task shifting of PMTCT services to nurses. 80% children aged months are fully vaccinated with Pentavalent 3 (2009: 73%), Measles (2009:77%) Current Status: 93% for Penta3 (Source: MoH Admin Data, Dec. 2013), 105% for measles (Source: MoH Admin Data, Dec. 2013) 953,993 children received Penta 3 vaccination in 16 target municipal areas ; Vaccines and vaccination materials were procured and donated to government for 18 national polio campaigns and 10 subnational campaigns; 2 Measles campaigns, 3 national Neonatal Tetanus campaigns and 1 sub national campaign. UNICEF has also supported the acquisition and distribution of cold No regional nor national quantitative surveys conducted to determine the impact of set results on child survival Delayed implementation of PMTCT strategic plan Low uptake of ANC and 1 The Angola Country programme initially run from 2009 to 2013; at the requested of the GoA it was extended of one additional year, thus ending in 2014.

2 chain equipment : Freezers 25; Solar fridges 65; Electric/Gas fridges 165; Cold Boxes 3,323, Vaccine Carriers 10,850; and Cold Rooms 3. A total of 230,000 people have been reached with access to safe water in the five target provinces of Cunene, Huila, Bié, Moxico and Luanda. Interventions included new water points, rehabilitations and extensions of the water supply network in rural and periinsufficient integration of HIV services in ANC, family planning and sexual and reproductive health. The transmission of wild polio virus is interrupted (2009: 29 new cases) Current Status: 0 cases (Source: MoH Admin Data, Dec. 2013) Angola has been free of Wild polio virus since transmission was interrupted July % population accessing safe water (2009:42%) Current Status: 53% (Source: JMP, 2013) 65% of the population having access to adequate sanitation. (2009: 60%) : 59% (Source: JMP 2013) The expansion and consolidation of the Community Led Total Sanitation (CLTS) in the four target provinces of Cunene, Bié, Moxico, Huila allowed that a total of 325,722 people are reached during the triggering of 579 communities. 37 communities where declared ODF with 19,000 people living in these communities. 19,000 latrines have been constructed an in use. As a result of the UNICEF advocacy the approach has been in implementation in other 6 provinces with the leadership of the government.

3 urban areas. Operation and management committees were established and are operational in all water points. In the same areas, 50,000 school pupils were reached in safe water and sanitation including establishment operationalization of the child to child sanitation committees. 85% of the Health Areas providing the essential package of services and supplies in the 16 selected ACSD municipalities of the provinces of Bie, Cunene, Moxico, Huila and Luanda (2009: 30%) Current Status: 75% ( 239) health areas were revitalized in the 16 municipalities Estimated beneficiary target population at 3.6 million. Across these different areas, 94 health technicians benefited M&E training on data collection. 442 Community Health workers were recruited and trained in different thematic areas. 80 doctors were trained on Integrated Management of Acute Malnutrition. 215 health technicians/midwifes were trained in maternal neonatal & infant care in Bié. A total of 124,526 children were treated for acute malnutrition from January to November 2013; 65,481 for moderate acute malnutrition and 59,045 for severe acute malnutrition 400 Health Units that offer Ante Natal Care are providing PMTCT services (2009:177) - Current Status: 355 (Source: INLS, 2012) 40% of pregnant women who tested for HIV and received results (2009: 22%) Current Status: 43% (Source: Spectrum, 2013) UNICEF developed capacity of 71 PLHIV to support expansion of PMTCT services, through task shifting to nurses. Currently 15 PLHIVs provide support to nurses at PMTCT/ANC clinics in the provinces of Luanda and Huila. UNICEF supported the National Institute of

4 Fight against AIDS to develop a homebased care manual and training materials and to update the HIV counseling and testing protocol. UNICEF also supported the revision of national norms for ARV treatment for adults, children and pregnant women. 3 Key experiences and results are documented using evidence provided through effective monitoring and evaluation tools. (2009: 0 documentation) Current Status: Documentation was completed for one experience, at least two other experiences are in the process of being documented. WASH is in the process of implementing an evaluation of the CLTS programme to be completed in late 2014, UNICEF is also undertaking an assessment of drought-emergency response as part of UNCT joint efforts. PCR 2: Education By 2013 Angolan children, particularly the most vulnerable, will have increased equitable access to quality education and to opportunities to develop life skills and healthy life patterns. A national multi sectorial ECD policy that includes ECE services and focuses on the most vulnerable children is developed and approved by government (2009: No policy) Current Status: Draft ECD policy developed UNICEF contributed to studies on school dropouts and Free Education raising the need from the government to produce a regulation on Free Education. UNICEF continues to provide critical support in these areas. Coordination between two responsible Ministries is a challenge. However, promotion of ECD is a national goal, so there are opportunities to assist the government. 100 schools providing equitable access for all children to minimum quality standards of Primary Education based on Child Friendly Schooling principles (2009: 0 schools) Current Status: data on school progress towards full mainstreaming of CFS principles are not available, however, to date, 200 schools (close to 1000 teachers and members The CFS principle promoted by UNICEF triggered the revision of minimum standards of school construction, and specific indicators for measuring progress towards a Child Friendly School. UNICEF built 321 classrooms indirectly contributing to increased CFS concept requires time to be internalized. CFS-focal points in the provinces can be on the move to other positions. However, three are opportunities to further integrate CFS into the implementation of the National Education Plan for All ( )

5 of school committees) in 15 provinces have received training on CFS access to primary schools, in particular in rural areas (province of Cunene). 80% of children aged 6-11 years and other vulnerable populations including those in complex emergencies are accessing quality primary education. Current Status: NER for primary education is 77.2 % nationwide (Source: MED, 2012), however, data are not disaggregated by vulnerability level. A national strategy for the prevention of HIV in children and youth, especially the most vulnerable and those that frequently engage in risky behaviors is developed and approved by government. (2009: 0) Current Status: Strategic Plan to Prevent and Mitigate the impact of HIV, AIDS, Malaria and Tuberculosis in the Education Sector ( ) developed 60% population aged years with more than 1 sexual partner that used a condom on their last sexual encounter (2009:51%) - Current Status: Data on use of condoms in agegroup not available, however, 28.5% of target population has adequate knowledge about VIH/AIDS prevention measures (Source: INLS 2011) UNICEF is developing a peer education manual on prevention of HIV-AIDS and STI s for youth. A study on Risk Behavior among Adolescent and Young People in the context of HIV/AIDS was finalized (2013) to support the Ministry of Education and the Ministry of Youth and Sports (MINJUD) with strategic planning Only children (0.48% of total students in primary education) with specific needs enroll in primary education. The promotion of special education is one of the goals of the National Education Plan for All, , and momentum can be built on this policy. Weak national information and monitoring systems impose serious barriers for benchmarking and measuring progress made in terms. It has been difficult to interest MINJUD for the follow up on implementation of strategies. PCR 3: Social Policy

6 By end of 2013, vulnerable and poorest children benefiting from a clear social protection and increased budget. 20% of vulnerable children/families accessing social protection services (2009: 0%) Current Status: The new National social assistance policy was finalized only in 2013 and its implementation on the ground has not yet started. In UNICEF supported the establishment of a national database of vulnerable children, however the database has not been fully operationalised. In UNICEF supported the development of the new National Social Assistance policy that provides the basis for the expansion of the Government s social assistance interventions. The policy was presented to the media and to stakeholders in a national social assistance conference supported by UNICEF in October It is expected that the operationalization of the Policy will start soon after its official approval by the Council of Ministries. It is expected that the policy implementation will make use of the above mentioned database system developed in with UNICEF support. Social assistance interventions scattered in several ministries with limited coordination. UNICEF will provide support to the Government in the operationalization of the main provision included in the new social assistance policy. PCR 4: Child Protection from violence, exploitation and abuse By end 2013, children will have A Child Protection Mapping system is more equitable access to birth established and functional (2009: 0) Current registration, juvenile justice, Status: A Child protection mapping conducted prevention and response to by UNICEF in 2013 and is awaiting GoA violence and unnecessary endorsement. separation, and reduction of impact of HIV/AIDS through UNICEF has completed the mapping and assessment of the current child protection system; The study identified a set of priority areas for action for strengthening the child protection system. The establishment of the SOS Child Helpline has been identified as a The approval of the Children s Act and the overall monitoring role of the National Council for Children considered to be major opportunities for strengthening the national child protection system. However, until today, it remains weak, under-

7 strengthened, evidence based and equity focused national child protection system 45% of the children aged 0-4 years are registered (2009:31%) Current Status: Latest estimate shows 59% (under 18 years old, Source: IBEPE 2008), however, figure IS expected to rise significantly within the next 3 years, as a result of the approval of new universal free registration legislation by the GoA, as well as UNICEF s successful resource mobilization efforts key entry point to the CP system, with UNICEF committing efforts to facilitate the establishment of this service both at national and local levels. Important partnerships with the GoA and international donors have been consolidated, paving the way for scaling up birth registration and for strengthening justice for children systems, through strategies aimed at tackling both institutional gridlocks and service delivery. resourced, and largely marked by isolated and discrete interventions at the grassroots level, while displaying low-levels of coordination and very limited space for civil society participation. In such context, poor programming and service delivery, as well as case management and referral mechanisms, remain major barriers for ensuring the effective protection of children. In general, the GoA needs to build sustainable systems also for Civil Registration and Vital statistics; the Africa-wide APAI CRVS provides an added value to the ongoing program of expansion of civil registration. 3 demonstration projects documented and the lessons learned used for policy formulation. (2009:0) Current Status: 2 projects documented UNICEF began documenting a noncustodial pilot model implemented in the Province of Huila through an intersectorial cooperation between the Ministries of Justice and Human Rights, Interior/Police and Welfare. UNICEF is currently working with government and non-government partners on a detailed study identifying the driving factors leading to the high incidence of child labourers in the Province of Huila. This study will A pressing concern remains is the lack of a structured social assistance framework and established social assistance policy.

8 PCR 5: Communication By the end of 2013, children, families and duty bearers have the necessary information to change behaviours and make decisions to improve equity and investment in Angola's most vulnerable children. 30% of families and childcare givers can identify at least 5 family competencies 2011: 0 % - Current Status: data not available, indictor will be measured at the end of provide evidence for the drafting of a new strategy to combat child labour. From 2012 until now, 137,678 families (17% of the expected result) in 11 provinces and 51 municipalities were reached by sensitization activities on the 12 high impact family competencies. The rapid qualitative assessment conducted in the second semester of 2013, in two municipalities, shows a slight improvement of knowledge of four high impact practices (birth registration, breastfeeding, use of bed nets and hand washing) for the holistic development of under 5 children, among the families counseled by social mobilizers, and confirms the progressively and synergic involvement of different actors of the Angolan society in the promotion of activities and themes sustained by the programme. Communication and social mobilization efforts for polio eradication have raised awareness on the benefits of vaccination as an effective means of protecting children against different illnesses. According to the independent monitoring conducted after each campaign, around 80% of mothers were informed about the vaccination campaigns against polio over the five years.

9 PCR 6: Planning, Monitoring and Evaluation By 2013, the CNAC and selected A system for certification of Child Friendly provinces and municipalities have Municipalities is established at national level the institutional capacity to plan, and tested in at least 2 municipalities, using implement and monitor equity and SICA as a monitoring tool for performance. impact of child related programs (2009: 0 system of certification) Current using data evidence. Status: The certification system was developed, but not established and tested; SICA data collection and consolidation is being led by the government and is ongoing. With the GoA s decision to lead the MAC initiative, the establishment of pilot projects in two municipalities has not advanced in line with the foreseen calendar. UNICEF worked closely with the government to develop a set of instruments and procedural documents to facilitate the institutional implementation of the MAC initiative, such as manuals and the certification system. The GoA is also leading SICA data collection efforts, which are still underway.