Final Report 
                                                                                      
                                Emergency Humanitarian Nutrition and Health 
                           Response for Vulnerable Children in the Gaza Strip 
                                                                                      
                                                                                                                                                          
                                                                                      
                                                                                      
                                                              th                                                             st
                              September 16  2010 through October 31  2011 
                                                                                      
                                                                      November 2011 
                                                        Table of Contents 
                     Content                                                                    Page number 
                     List of Abbreviations                                                            3 
                     List of Tables                                                                   4 
                     List of Figures                                                                  5 
                     Executive Summary                                                                6 
                     Background and Project Justification                                            11 
                     National context and problem analysis                                           13 
                     Project description                                                             20 
                     Key Indicators                                                                  20 
                     Outcomes                                                                        20 
                     Target Population                                                               21 
                     Project Strategy and Methodology                                                22 
                     Timeframe                                                                       24 
                     Preparations                                                                    24 
                     Key achievements                                                                25 
                     Recruitment of project staff                                                    25 
                     Health education materials                                                      26 
                     Procurement of equipment, disposables, milk and drug                            27 
                     Mapping                                                                         27 
                     Design of work                                                                  28 
                     Training of NECC and the project team                                           29 
                     Project monitoring plan                                                         29 
                     Baseline                                                                        30 
                     Coordination and integration                                                    31 
                     Program management and control                                                  32 
                     Community acceptance                                                            33 
                     Results according to the project indicators                                     34 
                     Rafah area                                                                      34 
                     Beneficiaries targeted                                                          34 
                     Children enrolment status                                                       38 
                     Anaemia status                                                                  41 
                     Malnutrition status                                                             45 
                     Follow up in Shijaia and Darraj areas                                           51 
                     Health education                                                                56 
                     Staff training                                                                  58 
                     Drugs and formula distribution                                                  60 
                     Laboratory tests                                                                61 
                     Referral                                                                        62 
                     Summary of the Project Indicators Results                                       62 
                     Challenges                                                                      67 
                     Deviation from the work plan                                                    68 
                     Visibility                                                                      68 
                     Sustainability                                                                  69 
                     Lessons learned                                                                 70 
                     References                                                                      72  
                      
                                                                                                       | P a g e 2
                                                                                                                
                                                                                List of Abbreviations 
                                
                               CBC                               Complete Blood Count  
                               D                                 Darraj Clinic  
                               DCA                               DanChurch Aid  
                               EHN                               Emergency Humanitarian Nutrition  
                               FAO                               Food and Agriculture Organization 
                               GS                                Gaza Strip  
                               Ht                                Height  
                               IDA                               Iron Deficiency Anaemia  
                               MOH                               Ministry of Health 
                               MOSA                              Ministry of Social Affairs 
                               NECC                              Near East Council of Churches  
                               NGOs                              Non Governmental Organizations  
                               NIS                               New Israeli Shekels  
                               Q                                 Quarter  
                               R                                 Rafah Clinic  
                               S                                 Shijaia Clinic 
                               SD                                Standard Deviation  
                               UNICEF                            The United Nations Children's Fund 
                               UNRWA                             United Nations for Refugees Work Agency  
                               WFP                               World Food Program 
                                                                  
                               WHO                               World Health Organization  
                               Wt                                Weight 
                                                                                                                                                     
                                                                                                                                                          | P a g e 3
                                                                                                                                                                       
                                                        List of Tables 
                                                                 
                    Table                                                                    Page number 
                    Table 1: Distribution of screened families according to certain                38 
                    demographic characteristics  
                    Table 2: Distribution of the enrolled cases by their status                    39 
                    Table 3: Classification of severity of anaemia                                 41 
                    Table 4: Distribution of the surveyed children by anaemia and its              42 
                    severity 
                    Table 5: Change in the status of anaemia cases per enrolment                   44 
                    period   
                    Table 6: Distribution of the surveyed children by malnutrition                 46 
                    related factors  
                    Table 7: Change in the status of malnourished cases admitted to                49 
                    the program per period of enrolment   
                    Table 8: Distribution of recovered malnutrition cases by type and              51 
                    central tendency measurements by days    
                    Table 9: Change in the status of children assessed in the first                52 
                    project/s  
                    Table 10: Beneficiaries of Shijaia and Darraj health centres visiting          54 
                    well baby clinic  
                    Table 11: Change in cases enrolled in Darraj and Shijaia treatment             55 
                    program  
                    Table 12: Distribution of health education activities                          56 
                    Table 13: Effect of health education on mothers’ knowledge as                  57 
                    demonstrated in the pre post tests    
                    Table 14: Distribution of training days by topics and dates                    59 
                    Table 15: Distribution of drugs and therapeutic food dispensed                 60 
                    Table 16: Distribution of lab tests conducted                                  61 
                    Table 17: Referral to other organizations                                      62 
                    Table 18: Summary table illustrating indicators status                         62 
                     
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                 
                                                                                                   | P a g e 4