For every child Health, Education, Equality, Protection ADVANCE HUMANITY

PROPOSED PROGRAMME OF COOPERATION DPRK - UNICEF MARCH 2003

PRIMARY CONSIDERATIONS Humanitarian needs will continue but the end of the emergency can only come through extensive development co-operation. UN cooperation must maintain a minimal humanitarian safety net and, with its limited resources, should focus on building human and institutional capacities for development.

ROLE OF UNICEF COOPERATION Aims to assure the foundation for human development by ensuring the survival, growth and development of the youngest children in a holistic and focused manner.

ROLE OF UNICEF COOPERATION Preventive & curative health care Enhanced physical growth & psychosocial development Improved physical environment Improved position & condition of women Enhanced quality of early, primary and continuing learning Improved capacity for analysis, planning and implementation Mobilization of financial, human and institutional resources

RESULTS GOAL Children and women’s health and nutritional status is improved, boys and girls are well educated TARGETS BY 2006: Infant, under-five and maternal mortality are reduced from year 2000 levels, in line with MDG targets Stunting in young children and maternal malnutrition are reduced by one third of their 2002 levels (level to be refined further). All girls and boys complete kindergarten, primary and secondary schooling and achieve minimum learning levels.

COUNTRY PROGRAMME STRATEGY Maintain essential humanitarian safety net. Move forward towards development and achievement of key MDGs / WFFC goals and organizational priorities of UNICEF’s global medium-term strategic plan. Collaborative programming with UN agencies and other partners.

COUNTRY PROGRAMME STRATEGY NATIONWIDE Assure delivery of most essential supplies needed for operation of basic health and education services, including development and implementation of emergency preparedness plans. Improve quality of planning and services for children and women in preparation for longer- term development.

COUNTRY PROGRAMME STRATEGY IN 10 FOCUS COUNTIES/DISTRICTS Pilot convergent development approaches to feed into national policy and to be taken to scale once sufficient resources are available. All programmes will have both nationwide and focus county components.

RESULTS PURPOSE Support and strengthen national capabilities to meet essential humanitarian needs of children and women and to develop sustainable strategies for the progressive realization of their rights. TARGETS: Annual humanitarian action plans are developed and implemented covering the essential needs of children and women in the areas of health, nutrition, water and sanitation and education. Longer-term multisectoral development initiatives are formulated and implemented in 10 focus counties/districts with the results feeding into overall national sectoral development policies.

RESULTS OUTCOME 1 Feeding and care of young children and quantity and quality of care for women, including pregnant and nursing mothers, improved. TARGETS: By 2006, ten focus counties / districts will operate new strategy for improved family and instiututional care of young children and pregnant/nursing mothers with a sustained reduction in malnutrtion and a plan to go to national scale developed. By 2005, all households use iodised salt.

RESULTS OUTCOME 2 Preventive, promotive and curative health services for children and women strengthened. TARGETS: By 2006, immunisation coverage raised to above 90%; vitamin A supplementation maintained at above 95% and other such periodic interventions are operational nationwide. During , all provincial paediatric hopitals correctly provide rehabiliation for severely malnourished children: by 2006, referal from county hospitals fully functioning.

RESULTS OUTCOME 2 (continued) Preventive, promotive and curative health services for children and women strengthened. TARGETS: During , all health institutions nationwide correctly and adequately treat diarrhoea and acute respiratory infections. By 2006, maternity hospitals in six provinces / two cities provide adequate emergency obstetric care; stabilisation and referal is operational in ten focus county / district hospitals and a plan to go to national scale developed.

RESULTS OUTCOME 3 Planning, implementation, maintenance and quality control of sustainable drinking water supply and environmental sanitation systems strengthened. TARGETS: By 2006, 80% of households and all child care institutions in ten focus counties/districts have access to drinking water of adequate quantity and quality By 2006, proper sanitation facilities installed in all child care institutions in ten focus counties By 2006, provincial WES improvement plans developed in six provinces.

RESULTS OUTCOME 4 Quality of pre-primary, primary and secondary education enhanced. TARGETS: During , all girls and boys in three most vulnerable provinces receive textbooks and essential school supplies. By 2006, ten focus counties / districts implement school physical and quality improvement plans; plans are developed to go to scale. By 2006, all schools nationwide provide learning for children on child rights and prevention of HIV/AIDS.

RESULTS OUTCOME 5 Information-based planning systems, responsive to the situation of children and women strengthened. TARGETS: By 2006, children’s situation and National Plan of Action for Children targets are tracked in six provinces and two cities. In 2006, NPA targets are reviewed and updated based on progress In 2006, progress, including lessons learned, in the ten focus counties/districts is evaluated

RESULTS OUTCOME 6 UNICEF support capacities assured. TARGETS: Human resources deployment and development plan is fully implemented. Financial resources adequate to the needs of the programme are raised and provided.

PROGRAMME STRUCTURE 5 PROGRAMMES AND 1 SUPPORT PROGRAMME DPRK/UNICEF COUNTRY PROGRAMME OF COOPERATION Nutrition and Care Water and Environmental Sanitation Health Services Education Cross-Sectoral CostsPlanning and Advocacy

PROGRAMME COMPONENTS: NUTRITION AND CARE Growth monitoring and promotion of young children and pregnant and nursing mothers. Local production and use of appropriate fortified foods. Universal salt iodization. Cross-cutting programme communication on family and community care practices for children and women.

PROGRAMME COMPONENTS: HEALTH SERVICES Universal immunization and other preventive health activities (e.g. micronutrient supplementation) working towards sustainability. Integrated management of childhood illness and severe malnutrition. Safe motherhood, including emergency obstetric care. Provision of essential drugs and facilitation of appropriate local production.

PROGRAMME COMPONENTS: WATER AND ENVIRONMENTAL SANITATION Comprehensive rehabilitation of water supplies in focus counties and key child care institutions. Rehabilitation of sanitation facilities in child care institutions and communities in focus counties. Limited supply of disinfectants to urban water treatment stations. Facilitating provincial water supply and sanitation improvement plans.

PROGRAMME COMPONENTS: EDUCATION Development and tracking of National Plan on ‘Education for All’. Development and implementation of school improvement plans in focus counties. Provision of essential school supplies targeting schools in most vulnerable areas (north-east).

PROGRAMME COMPONENTS: PLANNING AND ADVOCACY Regular tracking of key indicators on the situation of children and women through ChildInfo and annual assessments of the National Plan of Action for Children. Focal programme for emergency preparedness planning. Country programme monitoring and evaluation, including mid-year, annual and end-of-cycle reviews and annual thematic evaluations. MICS national assessments in 2004 and 2006.

PROGRAMME COMPONENTS: CROSS-SECTORAL COSTS Recruitment, deployment and development of high quality human resources, with a special emphasis on capacity building of national staff. Strategic approach to funds mobilization, monitoring and reporting.

PROPOSED PROGRAMME BUDGET Regular programme budget $ 4 million per year. Annual emergency appeal (CAP) of around US$10 to12 million.

PROPOSED PROGRAMME BUDGET PROGRAMME FUNDING SOURCE AMOUNT (US$ thousands) TOTAL Nutrition & careRR500 1,500 OR500 1,500 Sub-total1,000 3,000 Health servicesRR OR1,300 3,900 Sub-total1,400 4,200 Water & environmental sanitationRR OR900 2,700 Sub-total1,000 3,000 EducationRR OR Sub-total Planning & advocacyRR OR Sub-total Cross sectoral costsRR OR0000 Sub-total Country ProgrammeRR1,0431,1161,1513,310 OR3,000 9,000 TOTAL4,0434,1164,15112,310 CAP not included

For every child Health, Education, Equality, Protection ADVANCE HUMANITY