Health Cluster Response Plan CAP 2013 SANA”A, YEMEN October 20 th, 2012

Situation– Overview  On-going conflict, instability, disruption of social services and inadequate(access, avail., utilization) health care services, including EPI, RH and HIV  physical damage to health infrastructures, compromised environmental situation and meagre resources for health, HR  high risk/threat of endemic and emerging communicable diseases  Conflict induced morbidity and mortality (a protection issue)  High risk of morbidity and mortality from childhood vaccine preventable diseases, respiratory infections, diarrhoea, pregnancy related illnesses

 Physical and Environ. Hazards and low public awareness/risk of water-borne and vector-borne diseases,  Common morbidity and mortality: diarrhoeal diseases/ cholera, malaria, ARI and vaccine preventable diseases, eg. measles.  Outbreaks of Hemorrhagic Fever: dengue and Chickongonia  Global Acute Malnutrition rates range up-to 31% (Hodaida).  Improved access to essential health care services, including RH an EPI and HIV  Mental health and special psycho-social services to affected population Immediate needs

Strategic Priorities  Improved intra and inter- cluster coordination with WASH and nutrition clusters on joint life-saving interventions in priority districts  Improved access to essential package of PHC services for vulnerable populations, including RH/HIV and EPI services  Strengthen HS, including rehab., equip and upgrade health service delivery capacity including casualty management for affected populations  Strengthen disease surveillance, ensuring early detection and timely response to disease alerts/outbreaks.  Ensure maximum vaccine coverage: boosting the routine immunization and launching of immunization mass campaigns.

Cluster Objectives Objective 1: Ensure effective intra-cluster and inter-cluster coordination, primarily between the Health, Nutrition and WASH Clusters with a focus on joint needs assessment, programming, monitoring and evaluation. Objective 2: Improve access to quality primary and secondary (hospital) health-care services that include basic health and emergency referral services for vulnerable populations, through a focused approach on health system strengthening Objective 3: Strengthen local capacity to predict, prepare for, respond to, and manage public health risks that include communicable diseases and seasonal emergencies through establishment and strengthening of DEWS. Objective 4: Reduce in maternal and child morbidity and mortality within priority districts, focusing on safe motherhood and child survival interventions. Objective 1: Ensure effective intra-cluster and inter-cluster coordination, primarily between the Health, Nutrition and WASH Clusters with a focus on joint needs assessment, programming, monitoring and evaluation. Objective 2: Improve access to quality primary and secondary (hospital) health-care services that include basic health and emergency referral services for vulnerable populations, through a focused approach on health system strengthening Objective 3: Strengthen local capacity to predict, prepare for, respond to, and manage public health risks that include communicable diseases and seasonal emergencies through establishment and strengthening of DEWS. Objective 4: Reduce in maternal and child morbidity and mortality within priority districts, focusing on safe motherhood and child survival interventions.

 % of active cluster partners share the SRF update on monthly basis  No. and proportion of joint assessments carried out by Health, Nutrition and WASH clusters as opposed to total HC assessments during 2013  No. and proportion of joint programs implemented by Health, Nutrition and WASH clusters as opposed to HC programs implemented during 2013  Functional PHC facilities providing at least 80% of basic health care services  %IDPs living outside camps covered by outreach activities  Penta-3 immunization coverage within priority districts  Proportion of pregnant women with complications receiving EmOC services  % of disease alerts and outbreaks detected and responded to within 48 hours  % of active cluster partners share the SRF update on monthly basis  No. and proportion of joint assessments carried out by Health, Nutrition and WASH clusters as opposed to total HC assessments during 2013  No. and proportion of joint programs implemented by Health, Nutrition and WASH clusters as opposed to HC programs implemented during 2013  Functional PHC facilities providing at least 80% of basic health care services  %IDPs living outside camps covered by outreach activities  Penta-3 immunization coverage within priority districts  Proportion of pregnant women with complications receiving EmOC services  % of disease alerts and outbreaks detected and responded to within 48 hours Cluster Objectives Indicators

Target Beneficiaries Total Population4,195,690 Male (49 %)2,055,888 Female (51 %)2,139,802 Child-bearing age (20% of total population)839,138 Population below 15 years (46% of total population) 629,354 Children (Below 5 years excluding newborns) 18% of total population 784,594 Pregnant Women 3.6 % of total population151,044