Palestine - ACT: 02-Apr-01
Action by Churches Together (ACT)
Appeal - Palestinian Territories
Emergency Relief for Victims of Conflict - MEPL11 (Revision 1)
Appeal Target: US$ 475,177
Geneva, April 2, 2001
The casualty toll in the Palestinian territories is increasing as the
on-going violence dominates the lives of the civilian population. Besides
this, restricted freedom of movement and loss of jobs are only
contributing to a rapid economic decline that is pushing larger sectors of
the population below the poverty line.
The most vulnerable group, however, remain refugees in Gaza and the West
Bank.
This revision is issued to accommodate a new comprehensive emergency
relief project by International Orthodox Christian Charities/IOCC. In
response to the ever increasing large-scale human needs, IOCC tailored
their new project so as to reach out to the most vulnerable (including
women, children and elderly) living at the minimum of living conditions
and in fear. In parallel, IOCC will continue to support local NGOs and
grassroots networks as well as civil society programs in rural areas of
the Palestinian territories.
At the same time, ACT local member, Middle East Council of Churches/DSPR
is preparing a combined emergency relief project to be included in the ACT
appeal when complete.
Project Completion Dates:
LWF 30 September 2001
IOCC 31 December 2001
Summary of Appeal Targets, Pledges/Contributions Received and Balance
Requested (US$)
Appeal Anticipated Balance requested
Target Income to ACT Network
LWF 241,027 0 241,027
IOCC 234,150 0 234,150
TOTAL 475,177 0 475,177
Thor-Arne Prois
ACT Coordinator
REQUESTING ACT MEMBER
Lutheran World Federation (LWF)
IMPLEMENTING ACT MEMBER AND PARTNER INFORMATION
The Lutheran World Federation (LWF), through the Augusta Victoria Hospital
(LWF-AVH) and Village Health Clinics (LWF-VHC) in Jerusalem, has been
providing health care services to refugees and other Palestinians for the
past fifty years. During this time, the Hospital has responded to
critical emergency situations as they have occurred between the Israelis
and the Palestinians. The Hospital has an emergency response capability
including an Emergency Room, Medical and Nursing Staff and inpatient and
Outpatient care facilities. AVH serves all patients regardless of race,
gender, religious belief, nationality, ethnic origin or political
persuasion.
The Village Health Clinics continue to try to overcome the West Bank
closure on a daily basis to bring Primary Care and Home Care services to
villages and individuals that cannot access health services from any other
source. Most of the home care patients are either handicapped or
terminally ill and use the VHC services for nursing care, family training,
pain control and medication. This is a very critical need.
This program anticipates the continuation of the Palestinian Intifada and
that Jerusalem will be a focal point for conflicts relating to unresolved
contentions such as the Right of Return, continuing construction of
Israeli settlements, status of Jerusalem, etc.
DESCRIPTION OF EMERGENCY SITUATION
Since the beginning of the Palestinian "Al-Aqsa" Intifada, which started
on 29 September 2000, light and heavy weaponry from land, air and sea have
been used in the conflict, resulting in hundreds having been killed, as
well as thousands injured and disabled. Hundreds of houses have been
demolished and huge areas of agricultural land bulldozed. In addition,
three million Palestinians have been living under siege, which isolates
Palestinian communities from each other and prevents people from receiving
food, medical care and other basic needs. Closing borders and the
Palestinian airport in Gaza, has cut Palestinians off from the outside
world. As a result, unemployment and poverty rates have increased
dramatically in the Palestinian areas. Israel controls sources of water,
electricity and fuel, and have recently prohibited fuel supplies from
getting into the Gaza Strip.
AVH has continued to provide emergency services and emergency standby
services whenever there appears to be the possibility of injuries coming
to the Hospital. The Hospital sends medical transport, physicians and
nurses to trouble spots in and around Jerusalem. At the same time, AVH
has medical personnel at the Hospital and allocates emergency areas and
operating room capacity to serve patients that come to the Hospital.
This has increased the operating expenses at AVH because of the overtime
paid to staff and the reduction in access to clinic and operating rooms.
Another major response to the crisis has been the implementation of a "go
and serve" program. Since many of the refugees and other Palestinians
cannot access Jerusalem, AVH has coordinated with UNRWA to send doctors
and nurses to the Refugee Camp clinics and to supply needed specialists to
the UNRWA hospital in the north. By matching the AVH medical and nursing
staff resources with the area of need for the Refugee Camps, AVH has been
able to utilize West Bank staff that live near to the clinics as well as
the Hospital that needs additional support. This does not generate
patient income for the AVH and increases staff expense. It is, however, a
program that has increasing relevance.
Since the Refugees and others who need medical treatment often cannot come
to AVH, the Hospital is going to the patients. AVH is also proposing to
provide transportation for the chronically/seriously ill patients who
cannot access or have a difficult time accessing AVH services (e.g.
pediatric Dialysis patients). A transport van will provide this service
when necessary and provide medical transport to the refugee and village
clinics.
The VHC continue to provide health services in the villages to the West of
Ramallah. The primary difficulty is the access to the clinics and to the
home care patients that rely on this medical team. A trip that normally
took one hour, can now take two to two and half hours each way. This has
significantly increased personnel time on the road and the overall costs
of this program.
Access to essential medical treatment and medicines continues to be
difficult as the Israelis have blockaded the West Bank and Gaza. Augusta
Victoria Hospital has been co-ordinating its resources with the VHC Team
and available medical transport to pick up chronic patients (dialysis)
from outlying areas.
Location for Proposed Response
One aspect of care at AVH at this time is providing emergency care for the
wounded and injured. This care is provided on site during emergencies
(for instance, at Al-Aqsa Mosque on Fridays). Emergency treatment and
surgery are provided as well as inpatient intensive and general hospital
care. As the crisis continues, patients who would normally come to the
Hospital for their care (dialysis, etc.) have difficulties in accessing
Jerusalem, due to lack of transport and military closures. The
checkpoints and roadblocks are very strict and travelling around them
takes hours. This creates problems for patients that are also referred to
the Hospital for non-emergency treatment. Many of these patients simply
do not come while others with chronic illness only manage to access the
Hospital with great difficulty. Another aspect is that AVH and VHC health
services are being provided where they are needed, in the Refugee Camps
and in the West Bank villages. This has expanded the access to medical
services which are needed in this crisis. This has also helped to
alleviate some of the issues from chronic patients and other patients that
need to have access to specialists.
GOALS & OBJECTIVES
The goal is to continue to provide emergency and health services to the
wounded and injured in this current conflict as well as to provide health
services to treat patients that normally need primary care and specialty
services, but do not have access during the crisis period.
Objectives
Provision of emergency care to the critically wounded.
Maintain the emergency and surgery units in a state of readiness.
Provide access to health services for refugees and other West Bank
Palestinians.
Provide services to housebound patients as well as other patients needing
regular medical treatment who do not have access to these services.
Provide kidney dialysis treatments for the increased number of kidney
failure patients who are being treated at AVH.
Provide patient pick up from the West Bank for serious, chronic cases
(i.e. Pediatric Dialysis patients) also transportation of staff to refugee
and village clinics.
TARGETTED BENEFICIARIES
Although the majority of the injured are young men, older men, women and
children have also been wounded or injured in this conflict and been
treated at AVH. There are approximately 180,000 Palestinians in Jerusalem
and over 2 million in the West Bank. The beneficiaries will ultimately be
those who are in need of care at AVH, in the Refugee Camps or in the
Palestinian villages that are served. The ACT funding will help to assure
that AVH and the VHC have the wherewithal to provide that care where it is
needed.
Criteria for Beneficiary Selection
All patients who are wounded or injured or in need of care along with
patients who cannot access medical care will be treated. The basic
criteria is the need for medical care.
PROPOSED EMERGENCY ASSISTANCE & IMPLEMENTATION
This proposal is to continue to provide medical assistance to those
patients needing emergency and inpatient treatment at Augusta Victoria
hospital and to assist in the programs to "go and serve' in the Refugee
camps and villages. This medical assistance includes all the Hospital
services, including, but not limited to, emergency preparedness, primary
care, dialysis, home care, intensive care, surgery, diagnostics,
medication, physician and nursing care and general inpatient care. This
assistance will pay for the cost of emergency preparedness at AVH as well
as all pre-hospitalization emergency treatment both at the site of the
emergency and in the AVH treatment areas.
This assistance also covers the additional cost of sending staff to
Refugee camps and villages which need AVH and VHC resources. This
includes primary care and specialty medical services both in the clinics
and in other West Bank Hospitals. The LWF Jerusalem has medical resources
that can be of service in the West Bank but without the ability to send
these staff, there are patients that will not receive care.
Implementation
Since these programs are already operational, they will continue to be
functional as long as there are casualties and needs that AVH and the VHC
can meet in the Refugee Camps or the West Bank. Clinical support by AVH
and the VHC for the clinics and the hospitals on the West Bank needs to be
continued and expanded because these patients cannot get to health
services. Financial viability is a need in order to provide continuity to
these programs.
Transition from the Emergency
ACT funding will help to maintain special services during the present
emergency. Once there is peace, the Hospital and VHC will transition back
to their normal program of providing care for the Refugees and other
patients.
ADMINISTRATION, FINANCE, MONITORING & REPORTING
Administration
Augusta Victoria Hospital and the Village Health Clinics are fully
functional and staffed to provide inpatient, outpatient and emergency
care. The Chief Executive Officer (LWF Representative) is responsible for
the overall operation of the Hospital and the Village Health Clinics.
The Chief of Operations is responsible for the administrative function,
and the Chief of Clinical Services is responsible for the medical
functions of the Hospital. The Medical Director of the Village Health
Clinic coordinates these activities.
Finance Management and Control
The Hospital and the Village Health Clinics are served by a fully staffed
professional financial department. Each year a certified auditing firm
audits the programs, including all donations. All money received by AVH
and the VHC is accounted for and used for the purposes for which it is
designated. Standard, acceptable accounting practices are in place and
reviewed during the annual audit.
ACT Funds will be accounted for as a separate grant and will be part of
the annual audit.
Monitoring and Reporting
ACT Funds are identified for their specific purpose. The LWF-Jerusalem
Accounting Department will be responsible for the receipt of funds,
monitoring and assuring that these funds are used properly and that there
is proper documentation. The Chief Finance Officer is responsible for the
overall monitoring and financial reporting on these ACT Funds.
LWF will report separately on funds used for this emergency. It will
adhere to the ACT Reporting Guidelines and will give updates periodically
during this time of crisis.
IMPLEMENTATION TIMETABLE
The emergency care and the "go and serve" treatment of patients has
already commenced and this ACT request will cover costs that will allow
these programs to continue to serve these patients (emergency, homebound,
dialysis, refugees, etc.) both in Jerusalem and on the West Bank. The
period of implementation will depend on the situation in this conflict,
which may last several months. However, for purposes of planning the
expected date of completion has been reset at September 30, 2001.
CO-ORDINATION
LWF-Jerusalem coordinates the AVH efforts through the East Jerusalem
Hospital Forum (EJHF), (the EJHF is the five hospitals in East Jerusalem),
the Palestinian Ministry of Health and other emergency service providers
who assist the injured during the violence. The VHC co-ordinate their
activities with the Palestinian Authority primary care network and other
primary care providers on the West Bank.
The East Jerusalem hospitals co-ordinate resources and patient allocation
during emergencies. As patients are being medically assessed, they are
sent to the hospital that can best treat that patient's injury (i.e.
kidney injury patients come to AVH, eye patients go to St John's
Ophthalmic Hospital, etc.). As this crisis continues, the providers of
health services are getting better at understanding each other's
capabilities and at coordinating their activities. In addition, the LWF
is working with DSPR which is another ACT partner in the Jerusalem area to
assure the appropriate co-ordination of activities.
BUDGET
ESTIMATED EXPENDITURE - AUGUSTA VICTORIA HOSPITAL
Description Type of No of Unit Cost Budget
Unit Units US$ US$
Additional staffing (4 days/month) including field teams (5 days/month)
for 6 months.
Nurses Nurse 3 800 2,400
Resident doctors Doctor 2 1,200 2,400
Consultants Consultant 3 2,666 8,000
Sub total 12,800
Field Team
Nurses Nurse 2 800 1,600
Doctor 1 1,600
Support 600
Sub total 3,800
Medical supplies (see attached details) 110,000
Operating Room
Nurses Nurses 2 800 1,600
Technicians Technicians 2 800 1,600
Anesthesia physician 1 2,067 2,067
Sub total 5,267
Transportation Cost Lump sum 2,160
Patient and staff transport van 29,500
Emergency crash cart 8,000
Sub total 39,660
2nd: Emergency Go & Serve (Medical Field Relief)
Nurses (5) Month 6 5,000 30,000
Surgeon Month 6 2,000 12,000
Anesthesia physician Month 6 2,583 15,500
Primary care doctor Month 6 2,000 12,000
Sub total 69,500
TOTAL ESTIMATED EXPENDITURE - LWF 241,027
Medical Supplies List
Appeal
Unit Price
Unit Price
Total Price
Total Price
in NIS
in USD
in NIS
in USD
Quantity
VAT incl.
VAT incl.
Vat incl.
Vat incl.
DRUGS
SURGISTRAIN GALLON
16
340.11
82.95
5,441.72
1,327.25
ENDOZUME HANDWASH GALLON
16
373.45
91.08
5,975.14
1,457.35
ENDOZUME MACHINE WASH GALLON
16
373.45
91.08
5,975.14
1,457.35
CLEXAN 40MG/0.4ML
120
30.08
7.34
3,609.26
880.31
FORMALIN 10% SOLUTION /LITER
50
5.95
1.45
297.41
72.54
FUSID AMP
1500
2.59
0.63
3,885.57
947.70
INSURE LIQUID
200
9.50
2.32
1,899.61
463.32
OSMOLITE LIQUID
200
8.87
2.16
1,774.89
432.90
DIST WATER AMP
5500
0.72
0.18
3,957.53
965.25
DOPAMINE HCL 40 MG/ML AML AMP
100
9.07
2.21
906.63
221.13
PRESEPT 2.5GM
32
65.14
15.89
2,084.58
508.44
CIDEX 28DAYS 5LTR
4
65.14
15.89
260.57
63.55
ROCEPHIN I.V 1GM VIAL
400
86.35
21.06
34,538.40
8,424.00
FLAGYL I.V 500 MG 100ML BAG
1200
15.40
3.76
18,478.04
4,506.84
GLYCIN 1.5% BAG 3000 ML
96
46.19
11.27
4,434.56
1,081.60
SOLUMEDROL 500 MG VIAL
120
41.46
10.11
4,974.67
1,213.33
SLOW K TAB
1200
0.12
0.03
142.13
34.67
DIST WATER 1 LITER bT
1080
10.54
2.57
11,384.88
2,776.80
DOCARD AMP 200mg/ 5ML VIAL
600
0.64
0.16
383.76
93.60
GLUCOSE WATER 10% 500ML BAG
320
8.17
1.99
2,615.25
637.87
TELEBRIX 350 100ML
35
71.07
17.33
2,487.33
606.67
ULTRAVIST 370 50ML
45
167.01
40.73
7,515.30
1,833.00
VOLUMETRIC I.V SET 150ML
300
11.25
2.74
3,375.67
823.33
AMPROLENE AMP 1-20 PKT
2
3,407.77
831.16
6,815.54
1,662.33
RUFENAL SUPP ADULT
2000
1.22
0.30
2,439.96
595.11
Sub-Total
33,086.23
MEDICAL DISPOSABLES
STERILIZATION BAG 305-381mm
3000
1.01
0.25
3,022.11
737.10
STERILIZATION BAG 75-75 cm
3000
0.67
0.16
2,014.74
491.40
STERILIZATION BAG 90-90 cm
5000
1.10
0.27
5,516.55
1,345.50
KANGAROO FEEDING BAG
30
15.97
3.90
479.22
116.88
GRANUFLEX PATCHES 10-10 cm PIECE 1-10 PKT
6
473.80
115.56
2,842.80
693.37
SUCTION CATH G14
600
0.72
0.18
431.73
105.30
SUCTION CATH G10
600
0.72
0.18
431.73
105.30
SUCTION CATH G16
400
0.72
0.18
287.82
70.20
OXYGEN NASAL CANNULA G10
300
4.08
0.99
1,223.24
298.35
MESH 30-30CM
5
1,018.59
248.44
5,092.97
1,242.19
MESH 15-15CM
5
1,137.08
277.34
5,685.40
1,386.68
VELBAND COTTON 10 CM
48
2.69
0.66
128.94
31.45
CHROMIC W4425
14
131.49
32.07
1,840.80
448.98
PROLENE W8626
20
245.17
59.80
4,903.49
1,195.97
PROLENE W626
3
253.47
61.82
760.42
185.47
PROLINE W742
10
131.49
32.07
1,314.86
320.70
SILK 327
10
104.24
25.42
1,042.39
254.24
VICRYL W9231
8
195.43
47.67
1,563.44
381.33
CHROMIC W435
4
137.39
33.51
549.54
134.04
SILK W586
4
88.84
21.67
355.36
86.67
PROLINE W621 STRAIGHT
4
163.96
39.99
655.85
159.96
PROLINE W538
10
163.43
39.86
1,634.34
398.62
LAPROTOMY SPONG 45-45
100
11.27
2.75
1,127.30
274.95
DOUBLE LUMAN CATH GDK-1120J
30
376.56
91.85
11,296.94
2,755.35
X-RAY FILM 20-25 cm IMMAGE
15
143.91
35.10
2,158.65
526.50
X-RAY FILM 35-35 cm
20
239.85
58.50
4,797.00
1,170.00
X-RAY FILM 24-30 cm
20
136.33
33.25
2,726.61
665.03
HIGH QUALITY PRONTING PAPAER UPP 110S
20
58.62
14.30
1,172.33
285.94
DEVELOPER
20
177.67
43.33
3,553.33
866.67
FIXER
20
94.76
23.11
1,895.11
462.22
BUBLE TUBE
60
88.95
21.70
5,337.11
1,301.73
DISP THICK NEEDLE G18-1.5
18000
0.10
0.02
1,790.88
436.80
Sub-Total
18,934.88
DIALYSIS SUPPLIES LIST
BICART ACID 5 LIT GALLON
1100
37.42
9.13
41,158.26
10,038.60
ALTRA FLUX 140 ( SURFLUX DIALYZER 140)
108
27.82
6.79
3,004.84
732.89
HEPARIN SODUIM
1000
16.19
3.95
16,189.88
3,948.75
DIALYZER CELL FB130T
120
72.91
17.78
8,749.73
2,134.08
DIALYZER SUREFLUX 150 E
144
110.33
26.91
15,887.66
3,875.04
DIALYZER SUREFLUX 50 E
144
56.12
13.69
8,081.99
1,971.22
DIALYZER CELL 90T
144
70.52
17.20
10,154.29
2,476.66
DIALYZER SURFLUX 110
72
72.67
17.73
5,232.57
1,276.24
HEMOPHAN DIALYZER GFS PLUS 16
80
72.91
17.78
5,833.15
1,422.72
BLOOD SET AK F5M87847
662
32.38
7.90
21,435.39
5,228.15
A LINE 5122 B6
350
45.57
11.12
15,950.03
3,890.25
V LINE 5107 X
414
45.57
11.12
18,866.60
4,601.61
BICART SODIUM POWDER
1100
35.98
8.78
39,575.25
9,652.50
DOUBLE LUMEN C.V.P HVVP0607
5
566.05
138.06
2,830.23
690.30
DUAL LUMEN CATH GDK510P
5
1,218.44
297.18
6,092.19
1,485.90
A.V FISTULA G16
400
3.50
0.85
1,400.72
341.64
A.V FISTULA G17
400
3.50
0.85
1,400.72
341.64
DUAL LUMEN CATH PEDIATRIC GMB7412
5
681.17
166.14
3,405.87
830.70
OPSITE 15-28
790
15.99
3.90
12,632.10
3,081.00
Sub-Total
58,019.87
Grand Total
110,040.98
REQUESTING ACT MEMBER
International Orthodox Christian Charities, Inc. - IOCC Jerusalem/West
Bank/Gaza Program
EXECUTIVE SUMMARY
Title of Project: Palestinian Crisis Relief
Locations of Project:
East Jerusalem
Ramallah Region, West Bank
Bethlehem Region, West Bank
Gaza
Target Group: Victims of Violence in the Palestinian Territories
Direct Beneficiaries: 3,500 families with 24,500 persons
Indirect Beneficiaries: Unlimited
Project Duration: 9 months (Subject to ongoing needs assessment)
Project Commencement: 01 April 2001
Project Financing:
Project Total Value: US$ 234,150
Funding Requested from ACT: US$ 234,150
Implementing Organization(s): IOCC, Local NGO Partners, Local Medical
Service Partners, Charitable Societies, Community Grassroots Groups,
Village Councils.
Monitoring: IOCC
Evaluations: IOCC, Working in Conjunction With Local Academic & NGO
Professionals
Project Reports: Quarterly Reports & Final Project Report In Accordance
With ACT Policy.
DESCRIPTION OF THE EMERGENCY SITUATION
The rural areas of the West Bank and Gaza Strip (WBGS) comprise 75% of the
Palestinian Territories. The total area consists of 6,170 km^2, with
5,800 km^2 in the West Bank and 365 km^2 in the Gaza Strip (one of the
most densely populated areas in the world). The watershed area consists
of only 438 km^2, and is under severe strain due to use by Israeli
settlers combined with the traditional Palestinian residents and lack of
rainfall. The conflicts of the past 35 years have forced significant
changes on the face of the Palestinian Territories and transformed the
mode of life for the Palestinian people. Following the signing of the
Declaration of Principles (DOP) and the Oslo Peace Accords in 1993, the
Palestinian National Authority (PNA) was established and approximately 60%
of the occupied land was given back for Palestinian Autonomy. At present,
40% of strategic land remains under the 'B Status' (Joint
Israeli-Palestinian responsibility), or 'C Status' (Complete Israeli
responsibility).
Despite the Oslo Peace Accords signed in 1993, Israeli settlements
continue to expand, with a remarkable growth in the number of settlers.
The Palestinian population has reached 3,150,056 persons, at a population
growth rate of 3.63% according to the Palestinian Central Bureau of
Statistics (PCBS). During the final stages of the Barak government, the
Israeli Central Bureau of Statistics confirmed a 7.5% growth rate of
settler population in the WBGS. This contrasts with the overall
population of Israel, which increased by 2.4% during the same period.
Israel's structural planning for the year 2020 forecasts a continued
increase in the West Bank settlement population, which is projected to
reach 310,000 persons.
Strict policies, violence and conflict have significantly worsened the
situation of the Palestinian people during the continuing Al-Aqsa
Intifada. The most severely affected group comprises young Palestinians
(0-14 years) who constitute 47% of the population whose average median age
is 16 years. The number of victims and disabilities (over 14,000 persons)
grow daily as the conflict continues. The conflict has exacerbated the
hatred, violence and disregard for the value of human life, seriously
impacting and further transforming the Palestinian society. The current
situation continues to lead towards a fundamental degradation of values,
social and behavioral changes, distrust, domestic violence and the
strengthening of a tribal system.
The economic situation on both sides has undergone a seemingly unending
downward spiral. The prolonged Israeli closure on the WBGS since the
outbreak of the current Intifada, combined with the permanent imposition
of a siege policy on population centers has devastated the fledgling
Palestinian economy, which according to the UN Special Coordinator and
European diplomats is about to collapse. The closure has had a serious
negative effect upon the environment, as purification and chlorination of
water from the Fawwar area, the main watershed for the West Bank, and the
cessation of regular garbage collection has led to a serious health
crisis. These factors, when coupled with the collapse of the Health and
Education Systems and the cessation of vaccinations, offer a dire
potential threat of diseases. Approximately 400 residential areas have
been isolated by the siege, with no primary or secondary health care or
access to hospitals. Demolitions have gone apace with 2,760 buildings
destroyed, 773 houses, 29 mosques, 12 churches and 44 wells. 25,000 olive
and citrus trees, a major source of income and sustenance in the WBGS,
have been uprooted and 11,000 donums of land have been expropriated (one
donum being ¼ of an acre). It is in this context that the World Bank
estimates that the 2001 shortfall in GNP will reach US$ 1.15 billion,
which is 20% of the projected GDP for the year 2000, and the per capita
income will decrease by 27%. Poverty rates are estimated to reach 43.7%
with the highest unemployment and poverty rates projected for the Gaza
Strip, where it is expected to reach over 50%.
A third of the Palestinian population, or approximately one million
persons, are now living below the poverty line, defined at less than NIS 9
(US$ 2.10) per day. 316,000 Palestinians are now unemployed according to
the Palestinian Central Bureau of Statistics (PCBS), and the European
Union has warned against the possible collapse of Palestinian Institutions
and economy in the absence of income and revenues. The United Nations
Relief and Works Agency (UNRWA) made an SOS call to help the Palestinian
refugees suffering as a result of the closure of the WBGS, and the
International Red Cross Committee has begun a year long emergency relief
program, beginning in February, which targets 35,000 Palestinians in 60
West Bank villages hard hit by the current crisis. All this has had its
toll on the physical, neurological and psychological well being of the
Palestinians. Professionals are reporting an increase in the number of
patients suffering from trauma, nervous breakdowns or fear, especially
among children, women and elderly.
IOCC BACKGROUND INFORMATION
International Orthodox Christian Charities Inc. (IOCC) was established by
the Standing Conference of Canonical Orthodox Bishops in the Americas
(SCOBA) as the official humanitarian aid agency of Orthodox Christians to
work in cooperation with the Orthodox Churches worldwide.The mission of
IOCC is to respond to the call of our Lord Jesus Christ, to minister to
those who are suffering and are in need throughout the world, sharing with
them God's gifts of food, shelter, economic self sufficiency and hope. In
carrying out this mission, IOCC assumes the highest professional standards
and renders itself fully accountable to the public and its donors.
Assistance is provided solely on the basis of need.
In response to the large-scale human needs of persons affected by the
political crisis in the Occupied Territories, IOCC established a program
office in Jerusalem in May of 1997. IOCC initially focused its assistance
on vulnerable groups including women, children and the elderly.
Currently, IOCC has expanded their efforts to prioritize institutional
strengthening, institutional development and capacity building with local
NGOs and partners, as well as civil society programs in rural areas of the
Palestinian territories of WBGS.
During the recent outbreak of violence, IOCC initiated an ACT supported
emergency relief program in the WBGS (MELP01) working in partnership with
29 local NGOs and grassroots networks to provide assistance to vulnerable
persons and families. Despite difficult working conditions and restricted
travel, IOCC staff continues to implement these relief and development
efforts.
The IOCC Program in Jerusalem/WBGS is officially registered as a
humanitarian NGO with the government authorities. IOCC Representative,
Ms. Nora Kort, directs all IOCC projects and activities from an
established office in East Jerusalem. Ms. Kort has extensive knowledge
and contacts throughout the area, as well as close working relations with
the Middle East Council of Churches (MECC) and the MECC Department for
Support to Palestinian Refugees (DSPR).
2000-2001 projects funded by IOCC, ACT International and the Greek
Government include:
Nazareth Youth Education Program (NYEP)
IOCC, in cooperation with the Nazareth Orthodox Council (NOC), implements
a program to provide educational opportunities for youth and training to
become leaders of civil society.
The Palestinian Society in the Process of Nation Building
With funding received from the Ministry of Foreign Affairs (MFA) of
Greece, IOCC improved the educational infrastructure and environment in
three local schools operated by various NGOs, thus providing safety and
proper study environment for the youth of Palestine.
Palestinian Youth Computer and Internet Training (PYCIT)
IOCC, in cooperation with the Arab Orthodox Society (AOS), began a
computer and internet training center in the Old City of Jerusalem to
provide cutting edge technology training to underprivileged urban youth
and thus prepare them well for the employment market.
Civil Society in Rural Palestine (CSRP)
IOCC, with funding from MFA of Greece, is working with grassroots
committees in rural areas across the West Bank, in creating a model for
community education and recreation centers. A pilot project was
initiated, which has led to further funding in 2001 for expansion to
additional West Bank villages.
Emergency Relief Aid
IOCC, working as an implementing member and partner of ACT International,
initiated a relief program in the West Bank and Gaza, working in
partnership with 29 local NGOs and grass roots networks to provide
assistance to vulnerable persons and families.
PROJECT GOALS AND OBJECTIVES
Goal: To provide humanitarian relief assistance for Palestinians affected
by the current violence and its related trauma, closure and unemployment
in Jerusalem and the WBGS.
Objectives
To provide emergency assistance in the sector of public health and
environmental hazard reduction/prevention through sanitation maintenance
projects in rural and urban WBGS villages, while providing family economic
support by employment of local village workers.
To provide trauma counseling and psychological interventions through
professionals and other therapeutic methods, for victims of the violence
including youth and their families, children, women and elderly persons.
To provide institutional and material support for health and medical
services and individuals.
To provide food for vulnerable persons and families living in the areas
under siege.
PROJECT IMPLEMENTATION
IOCC will implement the proposed four-sector emergency relief program in
both the West Bank and Gaza Strip. IOCC has previously cooperated with a
number of Palestinian NGOs, grassroots committees, hospitals, village
councils and municipalities in implementing development and emergency
relief activities, which extended to remote villages and poor communities
and enjoyed tremendous impact.
The IOCC Program in Jerusalem/WBGS will cooperate with the following
hospitals, clinics, organizations and village councils to implement the
current emergency relief program:
Ahli Arab Hospital and its Outreach Clinics, Gaza
ATFALUNA Center for the Deaf and the Community Development Association for
the Hearing Disabled, Gaza and the West Bank (CDA with 20 member
organizations)
Missionaries of Mother Theresa, Gaza
Gaza Mental Health Society, Gaza
Bethlehem Arab Society for Rehabilitation and its Community Based
Rehabilitation Committees
The Arab Orthodox Society and its outreach programs, Jerusalem and West
Bank
St. Benedictos Medical Center, Old City, Jerusalem
Palestinian Counselling Center, Jerusalem and West Bank
Child and Family Consultation Center, Jerusalem and West Bank
Friends of the Patients Societies, Abu-Rayya, Ramallah and Bethlehem
Hamilat Al-Tib, Bethlehem
Al-Makassid Hospital, Jerusalem
Emergency Committee, Beit Sahour Municipality, Beit Sahour
The Children's Center, Beit Jala
The Orthodox Charitable Society, Beit Jala
Bible College, Bethlehem
Beita Charitable Society, Nablus
Kufur Dan Charitable Society, Jenin
Assira Al-Qiblia Charitable Society, Nablus
Tell Charitable Society, Nablus
Seilat Al-Harithia Charitable Society, Jenin
Al-Yamoun Charitable Society, Jenin
Te'enek Charitable Society, Jenin
Jenin Charitable Society, Jenin
16 Village Councils and Community Centers in the Ramallah, Nablus and
Jenin Regions
Aid to the Aged and its supportive networks in the West Bank
IOCC Jerusalem/WBGS has concluded all activities funded through ACT Appeal
MEPL01, which provided US$ 20,000 for emergency relief activities in the
WBGS. Five Palestinian partner NGOs and three grassroots committees in
Jerusalem and the West Bank were involved. The beneficiaries were 175
poor families totaling 1,315 persons, as well as numerous local clinics,
hospitals and medical rehabilitation centers in the WBGS.
TARGETED BENEFICIARIES
This multi-sector project will benefit the Palestinian victims of the
on-going crisis.
Estimated to be a minimum of 5000 families (35,000 persons) in the
following areas:
Ramallah City and 10 villages NW-17km north of Jerusalem. Population:
58,151
No
City/Village
Population
Distance
1
Ramallah City
28,351
17km north of Jerusalem
2
Rantis
2,800
35km
3
Lubban Al-Gharbi
1,300
33km
4
Shukba
3,500
34km
5
Qibia
4,000
36km
6
Budros
1,200
33km
7
Al-Tira
2,000
21km
8
Deir Ballout
2,500
38km
9
Rafat
1,500
40km
10
Al-Zawiya
6,000
42km
11
Kufur Al-Deik
5,000
43km
Nablus Region 7 villages E of Nablus City - 82km north of Jerusalem.
Population: 19,700
1
Beita
7,000
17km
2
Odala
1,000
15km
3
Ossarin
1,800
23km
4
Assira Al-Qiblia
1,900
16km
5
Tell
4,000
8km
6
Sarra
2,500
14km
7
Madama
1,500
12km
Jenin Region 132 km north of Jerusalem. Population: 19,750
1
Kufur Dan
4,000
2
Zbouba
2,000
3
Seilat Al-Harithia
6,500
4
Rumanna
2,750
5
Te'enek
1,000
6
Al-Hashimia
1,500
7
Al-Yamoun
2,000
Jerusalem and West Bank Cities Population: 67,531
1
Old City, Jerusalem
32,488
2
Bethlehem
21,437
3
Beit Jala
12,325
4
Beit Sahour
1,281
Gaza Strip Population: 483,500
1
Gaza City
292,567
2
Jabalia Camp
52,498
3
Khan Younis
88,820
4
Rafah
49,615
PROJECT TIMELINE
Commencement Date: 01 April 2001 (Subject to Funding & Support)
Initial Period: 9 Months
PROJECT MANAGEMENT, REPORTING, MONITORING
IOCC program supervision is directed from IOCC headquarters in Baltimore,
MD, where the Director of Operations oversees the IOCC Representative for
IOCC Programs in Jerusalem. The IOCC Representative will supervise all
aspects of the ACT program and operations in the Palestinian territories.
The established office of IOCC in Jerusalem will undertake day-to-day
management of the program. All financial, logistics and related controls,
systems and procedures carried out in field operations are governed and
reviewed by IOCC's international headquarters in Baltimore.
For all components of the project, IOCC will apply standardized monitoring
processes and criteria that will facilitate ongoing information gathering
and reporting as stipulated by ACT. IOCC conducts monitoring for a
three-fold purpose: to ensure that the project is developed according to
plan, to confirm that assistance is reaching the targeted beneficiaries
and achieving the desired project objectives, and to determine future
needs. Monthly progress and financial reports will be submitted to IOCC
headquarters in Baltimore, and will be available to ACT. Two quarterly
narrative and financial reports will be submitted during the period of
appeal activities. IOCC's external auditors as part of IOCC's annual
audit will audit the project.
ACT COORDINATION
IOCC will practice close coordination and cooperation with the Middle East
Council of Churches (MECC) Department of Service to Palestinian Refugees
(DSPR). The General Secretary of International Christian Committees (ICC)
in Jerusalem, Mr. Ramzi Zananiri, has already initiated this coordination
and cooperation. The IOCC Representative in Jerusalem has long-standing
and close working relations with the MECC staff and structures. In
addition, IOCC will coordinate provision of health care assistance with
the LWF Augusta Victoria Hospital in Jerusalem. IOCC will also fully
coordinate all appeal activities and assistance with the ACT Coordinating
Office in Geneva.
BUDGET
Description Type of No. of Unit Cost Total Budget
Units Units USD USD
DIRECT ASSISTANCE
Emergency Food Distribution: Vulnerable Families West Bank-Gaza
Family Food Parcels: Vulnerable Families Each 1,500 40 60,000
Pharmaceuticals, Medical Supplies, Medical Equipment
Hospitals, Clinics, Rehab. Center in West Bank/Gaza Each 10 3,000 30,000
Public Health/Environmental Clean-up
Sanitation Services, Environmental/Public Health Month 9 4,800 43,200
Clean-up in 4 Villages
Trauma/Psychological Counseling & Intervention
Services In 4 West Bank/Gaza Villages Month 9 6,750 60,750
(Average Population 6000)
Sub total Direct Assistance 193,950
SHIPPING, HANDLING, WAREHOUSE, TRANSPORT
Distribution Vehicle Rental
Local Vehicle Rental: Distrib. Vehicle With Driver Month 9 700 6,300
Sub total Shipping, Handling, Warehousing, Transport 6,300
CAPITAL EQUIPMENT (Over US$500)
Office and Computer Equipment
Computers, Peripherals, Software Unit 1 2500 2,500
Sub total Capital Equipment 2,500
PERSONNEL, ADMIN, OPERATIONS, SUPPORT
Project Staff Salaries/Benefits: IOCC Jerusalem - West Bank/Gaza
IOCC Jerusalem - West Bank/Gaza Representative Month 9 4000 7,200
IOCC Emergency Project Assistant Month 9 1,800 8,100
IOCC Administrative Assistant Month 9 1,200 5,400
Staff Travel: IOCC Jerusalem - West Bank/Gaza
In Country Local Transportation (Bus, Car, Taxi, Etc) Month 9 100 900
Office Operations: IOCC Jerusalem - West Bank/Gaza
Office Rental Month 9 600 2,700
Office Utilities Month 9 200 900
Office & Computer Expendable Supplies Month 9 200 900
Communications: IOCC Jerusalem - West Bank/Gaza
Phone, Fax, Email Month 9 800 3,600
Postage, Express Mail Month 9 100 450
Other Costs
Representation: IOCC Jerusalem - West Bank/Gaza Lumpsum 1 250 250
Audit & Evaluation
IOCC Annual External Audit Lumpsum 1 1,000 1,000
Sub total Personnel, Admin, Operations, Support 31,400
TOTAL EXPENDITURE - IOCC 234,150
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Action by Churches Together (ACT) is a worldwide alliance of churches and
their related agencies, meeting human need through co-ordinated emergency
response. The ACT Coordinating Office is based with the World Council of
Churches (WCC) and the Lutheran World Federation (LWF) in Switzerland.
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Ecumenical Centre Phone: ++41-22-791.60.33
150, route de Ferney Fax: ++41-22-791.65.06
P.O. Box 2100 E-Mail: act@wcc-coe.org
1211 Geneva 2 Telex: 415 730 OIK CH
Switzerland http://www.act-intl.org
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