Liberia Red Cross Society Appeal 2005 Logical Framework Planning Matrix Health and Care

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Goal: The Health of vulnerable people in 1. There is sustained access to safe drinking water, excreta disposal and improved sanitary measures which has reduced the incidence of water and sanitation related diseases among the targeted of four chapters: Grand Bassa, Margibi, Bong and Rivercess. 1.1 The targeted participate in the site identification of the water and sanitation facilities. 1.2 Both men and women are consulted on the design of both the institutional and family latrines. 1.3 Comparative analysis from the Ministry of Health between pre and post Red Cross intervention within the targeted indicates a decrease of reported water and sanitation related cases. 1.4 Testing of water facilities once every 6 months show 0-10 coliform per 100 ml. 1.5 The community based management committees reports on the maintenance of the WatSan facilities and sanitary activities are reviewed on a monthly basis. 1.1 There is a willingness from the leadership and members to fully participate in the planning and implementation of WatSan construction. 1.2 There is easy recruitment of the appropriate community volunteers to assist in the construction of the WatSan facilities. 1.3 Other agencies appreciate the 1.1 Conduct a six day ToT workshop for six Red Cross volunteers from each of the four chapters on the construction techniques of handdug wells with pump and latrines in Buchanan 1.2 Meet with targeted community leaders to sensitize them on the planned implementation of the WatSan program. 1.3 Train 5 community volunteers each from a maximum of 15 each of the four chapters (total 300 community volunteers) in the effective maintenance of pump and latrines during the period of the WatSan facilities construction. 1.4 Establish a maximum of 15 community based management committees (CBM) within each f the selected four chapters. 1.5 Construct 6 hand dug wells with 05AA022HW.doc

need for regular liaison. 1.4 The situation remains stable. 1.5 Health centers staff accurately record all the WatSan related cases reported. 1.6 The weather is favorable and there is easy access. pumps approved by Ministry of Rural Development (MoRD) per chapter (total 24) within the selected chapters (Margibi, Bomi, Grand Bassa and Rivercess). 1.6 Rehabilitate 10 existing damaged wells per chapter (total 40). 1.7 Construct 10 new institutional latrines for schools, health centers, orphanages and other institutions per chapter (total 40). 1.8 Rehabilitate 4 existing damaged institutional latrines each in three chapters and 3 existing damaged institutional latrines in the other chapter (total 15). 1.9 Provide implements such as shovels, wheel barrows, cutlasses, whippers, rain gear, axes, pingalins, gloves, buckets, brooms, rakes and nose masks to the targeted 15 in the four selected chapters for garbage collection and drainage clearing purposes. 1.10 Construct 125 simple family latrines in each of the 15 05AA022HW.doc 2

per chapter within the four selected chapters for the most vulnerable. 1.11 Liaise with the Health and Hygiene program to complement the WatSan program using PHAST approaches within the four selected chapters. 1.12 Carry our water testing of the waste facilities in the four chapters after every six months of construction. 1.13 Meet with site supervisor once a month. 1.14 Conduct monitoring at 15 per month on WatSan activities within the for selected chapters. 1.15 Conduct mid-year and year end evaluation with chapters WatSan officers and volunteers, community committees and community leaders. 1.16 Support to the four selected chapters in stationeries and vehicles. 1.17 Recruit three WatSan monitors at headquarters to assist with the supervision and provide technical inputs to chapters when necessary. 05AA022HW.doc 3

2. Each of the 15 LNRCS chapters has a map showing existing water facilities and pump and well apron repairs are carried out in all 15 LNRCS chapters. 2.1. Trained community members are now able to repair both pump and well aprons effectively 2.1 Plans and training materials for WatSan ToT are reviewed by the ICRC and the WatSan coordinating committees. 2.2 The developed questionnaire is clearly understood by chapters WatSan volunteers participating in the assessment on the water facilities. 2.3 Testing of water points show 0-10 coliform per 100 ml and <5 NTU and a PH of 6.5-7.5. 2.4 The water committees reports on the maintenance of the repaired pumps and well aprons are reviewed on a monthly basis. 2.1 The, where the pump and well apron repairs are carried out, are keen to cooperate fully during the implementation 2.1 Conduct 2 C 5 day workshops for 2 participants from each of the 15 chapters mapping of existing water facilities, minor pump and well apron repairs, hygiene promotion and chlorination held in Monrovia. 2.2 Conduct assessment and mapping of water facilities in the 15 chapters by the chapters WatSan officers and volunteers assisted by the headquarters staff (the monitors and WatSan Coordinator) for the WatSan unit. 2.3 Train selected community members in minor pump and well apron repairs, hygiene promotion and chlorination by chapters WatSan officers and supervise the monitors. 2.4 Implement 190 pump and well apron repairs of broken pumps and well aprons in 15 chapters (each chapter will do a maximum 13 pumps and well apron repairs) carried out by the chapters watsan officers and supervisors.. 2.5 Establish water committees within 05AA022HW.doc 4

the that have the repaired water facilities. 2.6 Conduct monitoring and evaluation in the selected as follow-up in the. 2.7 Water points that have been repaired will be tested every six months for PH, turbidity and coliform. 3. The capacity to prevent and respond effectively to cholera outbreaks is strengthened within the targeted. 3.1 During the cholera outbreaks, testing of water points once every three days show 0-10 coliform per 100 ml. 3.2 Training plans and materials for emergency response to cholera outbreaks are reviewed and approved by WatSan technicians at the ICRC, WHO, MoH and MRD prior to the training sessions. 3.3 Water points are fenced. 3.4 Comparative analysis from the Ministry of Health between pre and post Red Cross intervention to cholera outbreaks indicates a decrease of reported cholera cases. 3.5 Water point attendants clean the 3.1 Appropriate community volunteers to carry out the campaigns are available. 3.2 Targeted perceive cholera outbreaks as a problem. 3.3 Targeted want to know how to prevent and respond to cholera 3.1 Preparation and printing of training module on coping mechanisms in cholera outbreaks. 3.2 Liaison with MoH and the WatSan coordinating committees to identify cholera prone throughout their respective counties. 3.3 Chlorination campaigns conducted during cholera outbreaks within targeted. 3.4 Train the 60 targeted in cholera coping mechanisms 3.5 Red Cross volunteers test water points during cholera outbreaks. 3.6 Teach targeted simple cost effective means to improve the 05AA022HW.doc 5

water point sites at least once a day. 3.6 Targeted continue the home chlorination practice six months after they have been taught. 3.7 Communities wash hands and water containers before collecting drinking water for storage. 3.8 Communities place lids over their drinking water containers. 3.9 Targeted ensure water point sites are maintained consistently as required. outbreaks. 3.4 Targeted want to adopt safe home chlorination practices. condition of their hand-dug wells. 3.7 Liaise with the health and hygiene program to complement the cholera response in the targeted. 3.8 Conduct monitoring and evaluation in the cholera prone. 4. Data obtained from baseline survey is realistic and accurately reflects the targeted knowledge, attitude, practice and behavior (KAPB) in reference to health and hygiene. 4.1 Questionnaires are clearly understood and interviewees feel comfortable with the interview. 4.2 Questionnaires are field tested by the MoRD and the WatSan coordinating committees. 4.3 Red Cross volunteers are tested during the training on the appropriate delivery of questions and accurate note taking of the interviewees responses. 4.1 The committees targeted are accessible. 4.2 The leadership of the targeted allow the survey to be conducted. 4.3 The targeted cooperate with 4.1 Liaise with Health/Hygiene and HIV/AIDS units four the preparation and implementation of KAPB baseline surveys in the four selected chapters of Margibi, Bong, Grand Bassa and Rivercess. 4.2 Prepare and print the KAPB baseline survey questionnaire. 4.3 Conduct field testing for the survey questionnaire. 4.4 Train volunteers in the baseline 05AA022HW.doc 6

4.1 Households with children under five years are surveyed. 5. The WatSan unit has collaborated with other LNRCS departments which has increased safe access to water supply and improved sanitation among CAR, CAPS, Food Security and Disaster Management beneficiaries. 5.1 WatSan unit has information on the support needs of each of the other departments. 5.2 WatSan carried out joint assessments with each of the other departments. 5.3 WatSan unit knows exactly what other departments program strategy looks like. survey volunteers during the exercise. 4.4 The security situation remains stable. 4.5 The weather is favorable during the course of the survey exercise. survey for two days. 4.5 Conduct one baseline survey throughout the four selected chapters in close collaboration with the Health and Hygiene program. 4.6 Enter data, analyze and write report on results. 4.7 Incorporate survey findings into WatSan program. 5.1 Conduct joint assessments with CAR, CAP, Food Security and Disaster Management to determine the WatSaan needs. 5.2 Construct two new wells, latrine and provide clean-up implements for CAR, CAP, Food Security and Disaster Management. 5.3 Share the joint assessment findings with the WatSan coordinating committees during its meetings. 5.4 Meet with program heads, chapter officers, chapters watsan officers and volunteers to sensitize the implementation strategy of the 05AA022HW.doc 7

watsan program. 5.5 Meet with program heads, chapter officers, chapters watsan officers and volunteers separately to determine the 2006 plan. 6. The LNRCS WatSan unit has developed a reputation of being technically competent and leads into long lasting WatSan solutions and provides useful and relevant inputs at the WatSan coordinating meetings. 6.1 Carried out successful program implementation. 6.2 Strong working ethics. 6.3 Reports are timely. 6.4 Well prepared WatSan modules and other organizations requests to use them. 6.5 Beneficairies testify to the WatSan units effective work. 6.1 The situation remains stable. 6.1 Liaise with ICRC to strengthen collaboration and support to volunteers. 6.2 Participate in two external training courses to strengthen the watsan coordinator and monitors managerial and technical skills. 6.3 Conduct supervisory meetings once a month. 6.4 Place an article on World water day or Federation website. 6.5 Write lessons learned and share with all agencies. 6.6 Meet chapters watsan officers monthly and volunteers quarterly to assess progress. 6.7 Make monthly, quarterly, mid year and year end reports. 6.8 Liaise with key watsan actors in the project sites. 6.9 Conduct mid year and year end 05AA022HW.doc 8

evaluation. 6.10 Submit articles to newspapers quarterly in close collaboration with CID and provide articles for CID s newsletters on a quarterly basis. 05AA022HW.doc 9