1. Tracking Reproductive Health in Humanitarian Funding Appeals: Preliminary Analysis Conducted by IAWG Funding Studies Group Mihoko Tanabe, Kristen Schaus, Sonia Rastogi With Guidance from: Preeti Patel, Louise Lee- Jones and Catrin Schulte-Hillen

2. Objectives To examine for the 2002-2012 period: To what extent have agencies appealed to implement various RH activities in humanitarian health and protection appeals? To what extent have the appeals been funded?

3. Methods Honed methods used in tracking of RH proposals from the WRC/Save the Children/UNHCR/UNFPA ASRH Report. Extracted publicly available data from OCHA’s financial tracking system: “E. List of Appeal Projects (grouped by Cluster) with funding status of each”. Systematic review and categorization of each health and protection proposal via key word searches and analyses, especially of program activities and collected indicators.

4. RH Classifications TopicMISPCRH (excluding MISP) Non- RH MNHPer IAFMANC; PNC; breastfeeding promotion; training Nutrition FPPer IAFMComp. FP; community education; logistics; training N/A STIs/ HIV Per IAFMComp. STIs; surveillance; comp. HIV services; training N/A GBVSV-focus, per IAFMDV; early marriage; FGM; male involvement; training Justice, etc. General RH RH coordination, RH Kits, planning for CRH; data collection, DRR, menstrual hygiene Training; procurement; routine RH data; cervical cancer; fistula repair; FGM treatment; other gyn. services; unspecified RH N/A

5. Schematic Cross-cutting: Adolescents (10-19 yrs) Elderly PWDs MNH FP General RH Non-RH GBV STIs/ HIV GBV MISP

6. Methods Duplicate proposals are included from revised appeals so as not to penalize emergencies where RH programming was removed due to changing needs, and to account for program evolution. Discretion made on activity categorization. In general, if “MISP” was mentioned, it was assumed that the agency implemented in its entirety. While many SRH activities overlap in their thematic categories, and integrated activities are recommended, activities are mutually exclusively categorized to prevent inflated and duplicative counts.

7. 18 conflict-affected countries Afghanistan Angola Burundi Central African Rep. Chad Colombia, Congo Dem. Rep. Eritrea Iraq Liberia Myanmar Nepal Sierra Leone Somalia Sri Lanka Sudan Timor-Leste Uganda

8. Findings for 2002 - 2012 Total # launched appeals: 324 emergencies Total # issued health and protection proposals: 10,280 Total # health proposals: 6,596 Total # protection proposals: 3,684

9. Findings for 2002 and 2012 2002 Total # health and protection proposals: 417 Total # relevant RH proposals: 102 Total # relevant RH proposals (health): 87 Total # relevant RH proposals (protection): 15 2012 Total # health and protection proposals: 908 Total # relevant RH proposals: 359 Total # relevant RH proposals (health): 266 Total # relevant RH proposals (protection): 93

10. Findings for 18 conflict-affected countries, 2002 and 2012 2002 Total # issued health and protection proposals: 280 Total # relevant RH proposals: 63 Total # relevant RH proposals (health): 52 Total # relevant RH proposals (protection): 11 2012 Total # issued health and protection proposals: 308 Total # relevant RH proposals: 145 Total # relevant RH proposals (health): 109 Total # relevant RH proposals (protection): 36

11. Proportion of RH proposals among total sector proposals, 2002 and 2012 18 Conflict-Affected Countries All Proposals 2002 2012 Percent

12. Components of RH proposals, 2009-2012 2010 Percent Year 2011 2012

13. Full MISP proposals among total relevant RH proposals, 2009-2012 2009 2010 2011 2012 Percent Year

14. Partial MISP proposals among total relevant RH proposals, 2009-2012 2009 20102011 2012 Percent Year

15. Donorship for relevant RH proposals in 2002 and 2012 Amount (USD) 18 Conflict- Affected All 18 Conflict- Affected All 2002 2012 31.6% funded 35.0% funded 34.1% funded 37.4% funded

16. Preliminary observations (Takeaways) Appealed amounts for RH programming was much less in 2002 than in 2012. In 2002 and in 2012, less than 40% of RH proposals were funded. The proportion of proposals implementing the full MISP has increased from 5% in 2010 to 12% in 2012. Increases are noted for FP services and MNH in 2009-2012, while activities for HIV/AIDS decreased from 2010-2012. FP services least descriptive among components of RH.

17. Current limitations Lack of access to detailed proposals from 2002- 2008; full narratives only available from 2005. Analysis is accurate in-so-far as agencies report their planned activities; some RH-related activities may be missing. Inability to link donorship to exact proposals limits disaggregation of contributions per donor. Possible over-estimation of unmet need (USD), given inclusion of original and revised appeals. Analysis based on desk research and not a reflection of actual programming.

18. Next steps Analyze data for 2003-2008; detailed analysis of RH components contingent upon data received from FTS. Develop article for Conflict and Health, referencing ODA article.

19. Acknowledgements Sandra Krause, WRC Dhabie Brown, Leah Petit, former WRC interns Miriam Lange, Luciano Natale, OCHA FTS Thank You!