Re-establish Access to Basic Services Partnership for Recovery and Resilience Accountability and Learning Event, 13-15 November 2018 Resilient development: Resilient development means providing children and families with what they need to better prepare for and manage crises, and recover from them more rapidly. (UNICEF) Hazard: A dangerous phenomenon, substance, human activity or condition that may cause loss of life, injury or other health impacts, property damage, loss of livelihoods and services, social and economic disruption and/or environmental damage. Stress: Similar to a shock, a stress is a longer-term trend that undermines the potential of a given system and increases the vulnerability of actors within it. Shock: A sudden and potentially damaging hazard or other phenomenon. A shock can also refer to the moment at which a slow-onset process (a stress) passes its ‘tipping point’ and becomes an extreme event. Resilience: The ability of a system, community or society exposed to hazards to resist, absorb, adapt to and recover from the effects of a hazard in a timely and efficient manner, including through the preservation and restoration of its essential structures and functions. Recovery: The restoration, and improvement where appropriate, of the facilities, livelihoods and living conditions of disaster-affected communities, including efforts to reduce disaster risk factors. Vulnerability: This is defined as the characteristics and circumstances of individual children, households or communities that make them particularly susceptible to the damaging effects of a shock or stress. (Adapted by UNICEF) ©UNICEFCOUNTRY/name/YEAR

WASH & Malnutrition in South Sudan ACF and UNICEF UNICEF for every child

WHY INTEGRATED WASH AND NUTRITION PROGRAMMING IN SOUTH SUDAN? High GAM and SAM rates in most of the counties. (Gogrial West, 26.6%) To break the diarrhea - Nutrition vicious cycle Sustainable improvements in undernutrition cannot be achieved without complementary WASH interventions Integrated programming maximizes opportunities and can create efficiencies. It is in line with key national and donor priorities and strategies

Note that pathways are divided into 2 main paths 1) via disease and/or infection, 2) via high work load (mainly for women) in accessing water for the HH

WASH’ Nutrition Strategy Detailed WASH’ Nutrition country strategy developed by Action Against Hunger and validated by Cluster. Nutrition indicators are incorporated for HRP 2019. Collaborative Efforts Detailed assessment of Nutrition sites for WASH facilities availability by Nutrition and WASH Cluster. Phased Approach A phased approach towards enhanced integration between WASH and Nutrition Sectors that include services at Community and Nutrition site level, Joint planning and Monitoring, capacity building and Integrated programming

 WASH package for Nutrition Primary actions for WASH in Nutrition include ensuring WASH hardware meets SPHERE standards for health facilities with OTP or TSFP; providing WASH NFIs to families with children in TSFP (the minimum package includes only OTP).  WASH in Communities Wash services extended to communities of catchment areas of OTP/TSFP sites, considering malnutrition cases as key selection criteria.  

Local Capacity Building Training and sensitizing of local community volunteers, MtMSG for Nutrition and WASH linkages and promotion of Nutrition and Hygiene messages. WASH in Schools There are opportunities for Secondary actions for WASH Nutrition at schools which could follow a similar approach of delivering an integrated package of services and BCC. Nutrition Sensitive WASH For nutrition sensitive WASH this includes Community-Led Total Sanitation (CLTS) and School-Led Total Sanitation (SLTS) as well as potentially developing specific programmes to target Baby WASH.

Phased Implementation Integrated services at household and community level Joint Planning and Monitoring local level Capacity building & Coordination all levels Integrated WASH ‘Nutrition Programming Phased Implementation

Thank You © UNICEF/SUDA2014-XX228/Noorani