Ukraine Consolidated Operational Plan 2014 INTERVENTION INFORMATION Implementing Secretariat body and host National Society/ies: IFRC representation for Belarus/Ukraine and Ukrainian Red Cross Geographical coverage: Budget total: Ukraine CHF 115,785 Start date: End date: Number of people to be reached: 1/1/2014 31/12/2014 745 1. Executive summary The programmes and services provided by the Ukrainian Red Cross Society are focused on the needs of vulnerable people, and these activities are responsive, sustainable and of acceptable standards in terms of performance, accountability and integrity. The Ukrainian Red Cross s mission is to protect lives, prevent and alleviate human suffering during natural disasters and technical accidents, as well as assist the health authorities and the medical services of the state. After the closure of the IFRC Office in Kiev in September 2013, IFRC support to the Ukrainian National Society is provided through the IFRC Zone Office in Budapest and the IFRC Country Office in Minsk. The Consolidated Operational Plan includes two main areas of intervention in 2014 where the IFRC will provide support to Ukrainian Red Cross: Technical assistance to the Visiting Nurses Service; Review of the Chernobyl Humanitarian Assistance and Rehabilitation Programme. The target group for these IFRC programmes in Ukraine are (1) visiting nurses providing care to the lonely elderly and disabled, (2) people who were affected by the Chernobyl disaster, as well as (3) key staff of Ukrainian Red Cross and IFRC, representatives of national and regional authorities, partner National Societies, UN agencies and other relevant external actors.
2. Background One of the largest countries in Europe, Ukraine gained independence from the Soviet Union in 1991. After a long and painful period of transition, Ukraine's economy still remains vulnerable, and its socio-economic system is in need of fundamental reforms. A weak global environment and delays in domestic policy adjustments have led to widening and unsustainable macroeconomic imbalances in 2013, says a new World Bank Economic Update for Ukraine. In particular, the World Bank highlights the urgent need to reform residential gas and heating tariffs and better target social assistance to the poor in Ukraine. Over a quarter of the population live below the poverty line and lack adequate health and social care. The most vulnerable are elderly people living alone, multi-child families, street children, people with disabilities, and marginalized people such as migrants, homeless, alcoholics, drug users and people living with HIV. Ukraine has the highest prevalence of HIV in Europe with an epidemic concentrated among vulnerable groups, particularly injecting drug users. As a major migration route between Asia and Europe, Ukraine has high rates of human trafficking, sex work and injecting drug use, all of which further fuel the epidemic. Additionally, the epidemic is growing among men who have sex with men and is quickly spreading into the general population via heterosexual transmission. Ukraine is a source, transit, and a destination country for men, women, and children subjected to forced labour and sex trafficking. Ukrainians most at risk of trafficking are from rural areas with limited access to employment opportunities and are often targeted by Ukrainian recruiters using fraud, coercion, and debt bondage. Victims of labour trafficking are exploited in construction, agriculture, manufacturing, domestic work, the lumber industry, nursing, and forced begging. Children in orphanages and crisis centres continue to be particularly vulnerable to trafficking within Ukraine. Ukraine is also prone to natural disasters such as frequent flooding, harsh winters, storms and mining accidents. Furthermore, exposure to radiation from the 1986 Chernobyl nuclear accident caused long-lasting negative environmental impacts. Explosions at a reactor in Chernobyl produced radioactive pollution 14 times greater than the 2011 Fukushima Daiichi disaster in Japan and 400 times more powerful than the 1945 atomic bomb dropped on Hiroshima. Aside health hazards related to radiation, domino socioeconomic effects have caused multiple problems in the affected regions. The National Society maintains partnership with a number of international organizations; it has joint programmes with UNHCR, IOM, and six partner Red Cross National Societies. Ukrainian Red Cross also has a good cooperation with the Ukrainian Ministry of Youth and Sports, the Ministry of Emergencies, the Ministry of Justice and Internal Affairs, and the State Penalty Committee. Ukrainian Red Cross is a member of several commissions of the government of Ukraine, such as the commission on humanitarian assistance or the commission on citizenship. It has also developed partnerships with commercial companies such as Coca-Cola and Procter and Gamble, who have donated cash and in-kind resources. The main international bilateral and multilateral partners within the Movement are the ICRC delegation in Moscow, the American, French, Italian, German, Japanese Red Cross Societies and the Israeli National Society Magen David Adom.
3. Programme and Projects Business Line 2 To grow Red Cross Red Crescent services for vulnerable people Ukrainian Red Cross has sufficient capacity and experience to address eventual disaster relief needs. For large scale disaster response IFRC will support the National Society in its application for DREF. During the 22 years of Chernobyl Humanitarian Assistance and Rehabilitation Programme (CHARP), IFRC and the National Societies of Belarus, Russia and Ukraine have acquired a unique experience of responding to the nuclear disaster. In 2014, IFRC will support a review of CHARP in order to ensure that this unique experience is captured and capitalised on. Project title Project Code Targets for 2014 Review of CHARP P67007 Capture the experience and practices of responding to the Chernobyl nuclear disaster in order to preserve an institutional memory and to contribute to the global strengthening of the RC/RC nuclear accident response capacity and of our role in humanitarian aspects of technological disasters, including their prevention Provide recommendations, based on the review outcomes, to the IFRC and national societies, which may contribute to further actions to strengthen preparedness for the nuclear and other technological disasters Business Line 3 To strengthen the specific Red Cross Red Crescent contribution to development IFRC programme support under Business Line 3 aims at further strengthening the capacities of Ukrainian Red Cross visiting nurses service through training and supply of nursing kits. Project title Project Code Targets for 2014 Technical assistance to visiting nurses service (VNS) PUA029 Support a refreshment workshop on home-based care for 25 nurses Procure, supply and distribute 615 nursing kits 4. Capacity building and sustainability Ukrainian Red Cross is the largest voluntary humanitarian organisation in Ukraine with a clearly defined mandate and scope of multilateral humanitarian activities and social services in addressing the needs of the most vulnerable. Ukrainian Red Cross consists of its headquarters (National Committee), 24 oblast (regional) branches, as well as the Red Cross branch of the Autonomous republic of Crimea, Kiev and Sevastopol City branches. Red Cross branches are separate legal entities and have separate bank accounts. The National
Society has 665 town and rayon (district) branches and 42,406 primary organizations. A total of 838 staff are working at the headquarters and branches, along with 3,200 visiting nurses nationwide. Ukrainian Red Cross has 60,000 volunteers actively involved in its programmes and services and there are 1.5 million Red Cross members in the country. With this potential the National Society is well prepared to effectively run the activities supported by IFRC and other partners. The Ukrainian National Society`s Strategy for the period until 2020, which is aligned to the IFRC`s Strategy 2020, is focused on strengthening the disaster management system, health education, and improving the quality of life of people with disabilities and people living with HIV and TB. The Ukrainian Strategy 2020 supports the National Society`s pandemics preparedness and builds the nursing and health care capacity by improving the quality of services offered by the Red Cross Visiting Nurses Service. It is underpinned by sustainability actions aiming at increased local fund-raising capacity, and the improvement of governance and management. While the National Society carries the responsibility for the implementation of its own strategic and income generation plans, the IFRC ensures the support to Ukrainian Red Cross by providing technical advice, tools and standards, facilitating organizational development and knowledge-sharing. 5. Monitoring and evaluation Monitoring and evaluation are essential to ensure proper implementation, data collection and evaluation of the programme outcomes and impact. Monitoring will be carried out during the whole programme period by developing and using programme monitoring tools to track the progress and achievements of the planned activities. In this regard IFRC has established and maintains standard monitoring and reporting procedures. The planned CHARP review will cover Ukraine, Belarus and Russia and will focus on collecting and analysing existing documentation and interviewing key staff in the National Societies, IFRC and other stakeholders. It is expected that this review will result in capturing all learning and practical models created by the response action, will look into aspects of preparedness, and will develop specific recommendations for IFRC and its member national societies on measures to enhance their preparedness to effectively respond following nuclear and other technological disasters. For each country, it will look at the impact of the CHARP programme, the change in nuclear accident management capacity of each National Society as a result of its own capacity development initiatives in the last 22 years. 6. Budget Summary Project code Confirmed budget for 2014 Total budget for 2014 BL 2. Grow services for vulnerable people Outcome 1: CHARP review P67007 90,785 BL 3. Contribution to development Outcome 1: Technical assistance to VNS PUA029 25,000 Total Budget 115,785
Annex 1 INTERVENTION INFORMATION Review of Chernobyl Humanitarian Assistance and Rehabilitation Programme (CHARP) Implementing Secretariat Geographical Type of intervention body and host National coverage (sector/area): Society/ies: Country representation for Belarus and Ukraine, Seven regions in Belarus, Ukraine and Grow services for vulnerable people National Societies of Belarus, Ukraine and Russian Federation Russian Federation Expected start date: Expected duration: Number of people to be reached: March 2014 40 days 245 Project Manager: Project Code: Budget: P67007 CHF 90,785 Partner National Societies Japanese Red Cross Other partner organisations involved in the implementation Ministries of Health in Belarus, Ukraine and Russian Federation Background The Chernobyl nuclear power plant, situated in the Kiev region in the north of Ukraine close to the Ukrainian-Belarusian border started producing power in 1977. The fourth of a planned six reactor unit began operation in 1983. On 26 April 1986 the explosion of the fourth reactor of the nuclear power plant triggered the worst disaster ever of the civil nuclear industry. The accidental explosion during a safety test destroyed the core of the unit and resulted in a massive fire, which lasted for about ten days. This led to the dispersion of millions of radioactive nuclides. For more background information please refer to ample available information, including The Human Consequences of the Chernobyl Nuclear Accident: A Strategy for Recovery 1, 2005 findings of the UN Chernobyl Forum 2 and other sources 3. The Chernobyl nuclear accident of 1986 had devastating consequences for people living in the vast territories touched by radioactive fallout. Hundreds of thousands of people were evacuated, and millions of people are still living in areas officially classified as contaminated by radiation. Those who were children at the time of the accident suffer from thyroid cancer at elevated rates. The three countries most affected by the accident Belarus, the Russian Federation, and Ukraine have spent vast sums to address the needs of the local communities. Ukraine, in addition, has assumed the burden of ensuring that the damaged reactor poses no further threat (UN Action Plan on Chernobyl to 2016, Final Version approved in Vienna in November 2008, p.1) 4. These activities of support to the affected populations are continuing today. At the end of 1989 the then common Red Cross organization called The Soviet Alliance of Red Cross and Red Crescent Societies formally approached the International Federation with a request for support. In January 1990 the International Federation deployed a team of 1 http://chernobyl.undp.org/english/docs/strategy%20for%20recovery.pdf 2 http://chernobyl.undp.org/english/docs/chernobyl.pdf 3 http://en.wikipedia.org/wiki/chernobyl_disaster at the end of this link there is a lot of suggested reading materials 4 The UN Action Plan on Chernobyl to 2016 is annexed to the TOR as a separate document.
international experts who, together with the Alliance, conducted a survey and came up with recommendations for the intervention 5. Since 1990 the International Federation, together with the National Societies of Belarus, Russia and Ukraine have been implementing the long-term Chernobyl Humanitarian Assistance and Rehabilitation Programme (CHARP). During the 22 years of CHARP, the International Federation and at least three National Societies of Belarus, Russia and Ukraine had acquired a unique experience of responding to the nuclear disaster. This experience represents a dynamic and innovative programme development process with its major components being regularly modified to adapt to the newly acquired knowledge, emerging priorities and changing external environment. The development and implementation of the CHARP was possible due to the solidarity of a number of National Societies and the International Federation as well as due to the existing strong cooperation and support from the Governments and other donors. The CHARP programme has become an excellent example of innovation, determination, commitment and capacity of the RC / RC Movement to adapt to, and respond to, the most complex emergencies. In order to ensure that this unique experience is captured and capitalised on, there is a pressing need to study, analyse and document what has been developed, before it is lost. Therefore through this review it is proposed to conduct a profound analysis of the lessons learnt and to draw recommendations on the potential scope of preparedness and activities which could be undertaken in similar situations by National Societies. There have been several attempts by the International Federation and National Societies to make an analysis with recommendations for further improvement of CHARP. In 1993, 1996 and 1999 6, IFRC carried out extensive evaluations which modified the programme and put greater focus on thyroid gland screening and psycho-social support. Also in 1996 an external evaluation to assess ECHO funded activities was conducted 7. In 2002, in response to the alarming funding situation, the IFRC Secretariat in Geneva commenced an evaluation of the programme 8. In 2003 and in 2005 the Netherlands RC 9 conducted programme reviews which took account of the 2002 recommendations and findings. In 2003 with support from the International Federation an analysis of data generated over the years was done and an extensive report was produced, although it has never been published 10. Yet, this experience, lessons learned, both positive and negative, and models that were created and re-created over time are not captured in an easily accessible format and hence, can not add greater value to the RCRC Movement work on preparedness to technological disasters and the RC role in responding to these. With the progress of technological developments and involvement of many States in nuclear activities as well as an increase in the number of technological accidents and disasters, including a nuclear emergency in Japan in 2011, the International Federation and a number of National Societies aspire to review and strengthen the Movement s preparedness to respond to technological and nuclear disasters. The experience from the RC response to the Chernobyl disaster, including created practices and lessons learnt will become one of the most valuable contributions towards the thinking, the practical preparedness and response tools of the IFRC to technological, notably chemical and nuclear, disasters. 5 Please see Annex 1, Report of the Survey 6 Annexes II, III, V, respectively 7 Annex IV 8 Annex VI, Evaluation of CHARP, July 2002, including TOR for the evaluation 9 Annexes VII and IX 10 Annex VIII, Report on medical screening data analysis
Purpose and scope Purpose The purpose of the review is two-fold: To capture the experience and practices of responding to the Chernobyl nuclear disaster in order to preserve an institutional memory and to contribute to the global strengthening of the RCRC nuclear accident response capacity and of our role in humanitarian aspects of technological disasters, including their prevention. To provide recommendations, based on the review outcomes, to the International Federation and national societies, which may contribute to further actions to strengthen preparedness for the nuclear and other technological disasters. Scope The scope of the review is also two-fold and concentrates on the field work as well as on the work at the level of Europe Zone Office (EZO). The review will cover 3 countries affected by Chernobyl nuclear accident and will concentrate on collecting and analysing all existing documentation and interviewing key staff in the National Societies, the International Federation and those staff members who are no longer responsible for this area but nevertheless were instrumental in the programme development process. This will result in capturing all learning and practical models created by the response action, will look into aspects of preparedness, and will develop specific recommendations for the International Federation and its member national societies on measures to enhance their preparedness to effectively respond following nuclear and other technological disasters. For each country, it will look at the impact of the CHARP project, the change in nuclear accident management capacity of each NS as a result of its own capacity development initiatives in the last 22 years. At the level of the EZO, the review will look at the overall nuclear environment in Europe, including a mapping of response capacity to this type of disaster. Within the frameworks of this review, information will be collected from other National Societies in Europe that have the capacity and a set-up to respond to nuclear and technological disasters both within their countries and outside. Objectives of the Review 1. Provide a comprehensive analysis of the unique RC actions and experience in response to the Chernobyl nuclear accident, including developed good practices, lessons learnt, positive and negative experiences 2. Describe a model of response that was created and dynamically changed and adapted in response to the Chernobyl nuclear accident and that could be applied to similar situations 3. Provide recommendations for the International Federation of potential areas of intervention during the early recovery/recovery phases the programme based on experiences from the CHARP scenario and the complementarity to activities from other actors (authorities, UN agencies, NGOs, etc.) 4. Provide a snapshot analysis of technological threats in Europe and capacities of NS across Europe to respond to these types of disasters and provide recommendations on Europe-wide approach to preparedness to technological disasters.
Review methodology The major part of the review will be desk-based primarily in Kiev with support from key resource persons who have been coordinating CHARP. They will assist in collecting and providing all documentation, in making appointments and with other logistical and administrative support as and when required. The desk-based review will include: Collecting and studying all background documents on CHARP, including all reports, documentation, agreements, evaluations, reviews, proposal documents, created tools and practices and all other relevant information that could be found in the archives and elsewhere. Identifying all key people who were instrumental in the early stages of the CHARP development and implementation process and who no longer cover this particular area and interviewing these people (Skype, phone, WebEx) to capture their experiences and reflections. Collecting and analysing information that relates to the nuclear and other major technological threats in Europe, identifying key National Societies in Europe that could be interviewed, developing a questionnaire and analysing the results. Field visits to the project implementation sites, possibly, in three country locations to undertake interviews with key NS staff and volunteers, IFRC, PNSs, Government representatives and external organizations, including those listed in the UN Action Plan for Chernobyl. The requirement for travel will be determined by the desk-based study of the documentation. In addition, from the DM perspective in order to make relevant recommendations for an enhanced preparedness capacity for nuclear and other technological disasters, meetings with OCHA, EU MIC, National Civil Protection, MoES will be required. Additional research will be conducted during all field visits of available materials, needs, interventions and current practice in relation to response and preparedness to respond to technological disasters. Visit to the Europe Zone Level to undertake a mapping on the technological issues in Europe and NS respective capacities Ensure that this exercise is closely linked with the Nuclear Preparedness Centre in Tokyo Support to the Team in the preparation of the review and all other logistical and administrative matters will be provided through IFRC Regional and Country Representations and offices in Moscow, Kiev and Minsk and through the EZO Admin Manager. Reporting Line: The review team leader will report to the Head of Operations in Europe zone office in Budapest Deliverables/outputs The Consultant Team will produce the following outputs: I. A report of maximum 30 pages including an executive summary and excluding annexes. The report shall contain the following information: 1. Lessons learnt, positive and negative, in nuclear interventions from National Societies and external organisations active in the affected area. 2. A model of response that was created and that could be replicated in other similar situations.
3. An overview of the current situation, future prognosis and priority areas, in regard to nuclear prevention needs across the affected area. 4. CHARP programme implementation history and capacity of NSs working in this area in the future without IFRC support but with support brought in from within respective countries and Governments. 5. Recommendations to the International Federation regarding its role and future approach to the CHARP as well as required further actions to strengthen preparedness for the nuclear and other technological disasters. II. A case-study to be used internally within the International Federation and for its external distribution during meetings and other high level events, and for resource mobilisation purposes. The focus of the case-study will be agreed during the process of the Review. III. A PowerPoint Presentation of key findings, the model of response, the lessons and key recommendations for preparedness for response, response operations, and for the programme going forward. IV. A Session for key stakeholders to present the outcomes of the review. The review team should draw upon and incorporate all relevant multi-media forms of communication to convey the findings of the study. Creativity and imagination are encouraged to develop documentation that is as appealing and meaningful for as diverse audience as possible. All products arising from this evaluation will be owned by the IFRC. Proposed schedule Considering the scale and scope of the exercise it is proposed that the overall process of conducting the review and producing the outputs should be up to working days 40 days. The following is suggested schedule: Preparation of the Review methodology and initial itinerary, up to 3 days, including travel 30 days for the continued desk-review, field visits, preparation of the deliverables, including travel; 5 days for the Europe-wide analysis and mapping 2 days to finalise the outputs, including taking on board recommendations and comments The schedule is provisional and will change based on the Recommendations of the Review Team. Provided the funding is secured, it is proposed that the Review starts by mid October 2012. Review team competencies and qualifications The Review Team will be comprised of three members: a Team Leader, a Health expert with radiological health background and a DM specialist with an expertise in technological disasters. The team will be drawn from internal and external resources to ensure appropriate consideration of both RCRC and external nuclear response experiences.
The Team leader will have the responsibility to lead and manage the three member team; he/she will have responsibility for leading a debriefing of the field mission and final report, drafting the report and finalizing the report and consultancy. The Team Leader will be responsible for the relationship management with National Societies and external agencies during the mission, ensuring him/her as well as the other team members are acting in accordance with the best interests of the International Federation and the Red Cross Red Crescent Code of Conduct. The 2 experts will be responsible to provide the Team Leader with relevant and accurate analysis, information and content for the completion of the study. The Team will be provided logistics and administrative support through the Federation s Europe Zone Office (Budapest) and the Federation`s representation in Belarus (Minsk). Experienced professional staff which has been engaged in the programme since its start will be available to help with getting access to the relevant documentation and agencies. Budget Description Unit cost No. of units Total, CHF Team Leader Fee 700.00 40 28,000 Health Expert Fee 600.00 25 15,000 DM Expert Fee 600.00 15 9,000 MSA 65.00 80 5,200 Local Staff Support 2,000.00 3 6,000 Sub-Total Personnel 63,200 Return Travel to Duty Station 1,200.00 3 3,600 Accommodation Team Leader 100.00 80 8,000 Internal Travel 1,000.00 3 3,000 Visa and admin. related expenses 1,000.00 1 1,000 Sub-Total Travel Related 15,600 Feedback session 1,000.00 1 1,000 Materials printing and dissemination 1,000 Contingency 3,000.00 1 3,000 Sub-Total General Expenses 5,000 Sub-Total 83,800 PSSR 5,447 Pledge reporting fees 700 Pledge coding fees 838 GRAND TOTAL 90,785
Annexes and suggested background materials I. Movement-wide documents Radiation Risk Reduction: Observations: Contribution to a Background Document for the Secretary General Visit to Japan, March 2011 Resolution 21: Disaster Relief in case of technical and other disasters, XXVI International Conference of Red Cross and Red Crescent Societies, Geneva 1986 and Annex I on the role of RCRC in response to technological disasters IFRC Report on nuclear preparedness, June 2012, Meeting report from NS consultation meeting on nuclear disaster preparedness IFRC General Assembly (Geneva, November 2011), Background to Draft decision on preparedness to respond to the humanitarian consequences of nuclear accidents Communication pack on Fukushima Nuclear Disaster, including: a 6-minute minidocumentary, Fukushima Summer: http://www.youtube.com/watch?v=dfyqfwffktu. Facts and gigues, stories and other communication materials are also enclosed with this TOR. II. CHARP related documents Annex I, 1990 Survey Annex II, 1993 CHARP Evaluation Report Annex III, 1996 CHARP Mission Report Annex IV, 1996 CHARP Evaluation ECHO Annex V, 1999 CHARP 3rd Evaluation Mission Report Annex VI, 2002 CHARP Evaluation Annex VII, 2003 CHARP Review, Netherlands RC Annex VIII, 2003 CHARP Data Analysis, Medical screening Annex IX, 2005 CHARP Mid-term evaluation, Netherlands RC Annex X, CHARP 2016 Strategy Annex XI, CHARP Leaflet, March 2012 III. External documents The Human Consequences of the Chernobyl Nuclear Accident. A strategy for Recovery UNDP http://chernobyl.info/en-us/home/library.aspx http://chernobyl.undp.org/english/nat_rep.shtml http://en.wikipedia.org/wiki/chernobyl_disaster at the end of this link there is a lot of suggested reading materials. UN Action Plan on Chernobyl which includes IFRC activities and shows the stakeholders of CHARP Chernobyl Forum report
Annex 2 INTERVENTION INFORMATION Technical assistance to visiting nurses service (VNS) Implementing Secretariat Geographical body and host National coverage Society/ies: IFRC Country representation for Belarus and Ukraine, Ukrainian Red Cross (URCS) 27 Regional Ukraine RC branches Type of intervention (sector/area): Contribution to development Expected start date: Expected duration: Number of people to be reached: April 2014 Four months 500 Project Manager: Project Code: Budget: PUA029 CHF 25,000 Partner National Societies Not identified Other partner organisations involved in the implementation Ministry of Health in Ukraine OBJECTIVES INDICATORS MEANS OF VERIFICATION Goal: Health status of the target population groups (in particular, elderly lonely and disabled people) in Ukraine improved # of clients having received services of the VNS clients Surveys conducted by Regional RC Committees Reports from RC primary organizations ASSUMPTIONS No further worsening of social-economic situation in 2014 which could cause increase of vulnerability of VNS clients Outcome1: Quality of services provided by URCS VNS is improved Output 1. URCS VNS is better equipped to meet the needs of beneficiaries % of clients reporting of being satisfied with the quality of services provided by URCS VNS # of nursing kits purchased and utilized by the visiting nurses (target: 615) Survey among beneficiaries Reports from Regional RC Committees NS and IFRC monitoring All necessary medical components for FA kits are not available at local market
OBJECTIVES INDICATORS MEANS OF VERIFICATION Output 2. Professionalism of URCS visiting nurses has increased # of visiting nurses having participated and certified upon completion of the refreshment workshop Workshop report ASSUMPTIONS Activities Input/Resources Cost and Sources Activities to achieve project Output 1.1 Personnel CHF 23,000 Establish project team, sign an Stationery Operational Contract Training materials Discuss and approve a request and supplies for quotations, publish a tender Printing advertisement for procurement of Trainers nursing kits Training Venue Conduct a tender for purchase of 615 nursing kits Deliver and distribute 615 nursing kits to Regional RC Committees Provide social care and psychological assistance to project beneficiaries during home visits Monitor the distributions Prepare and submit final report on project implementation Activities to achieve project Output 1.2 CHF 2,000 Organize a refreshment workshop for visiting nurses