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Á¦¸ñ   DPR Korea Appeal No. 01.67/2003 Programme Update No. 2
ÀÛ¼ºÀÚ IFRC (2003.12.28) Á¶È¸ 2912
ÀÛ¼ºÀÚ 1072595133_ifrc-dprk-16dec.pdf


Appeal Target: CHF 13, 370, 909 (USD 9.2 million or EUR 9.1
million.)

Period covered: June - November 2003

The Federation's mission is to improve the lives of
vulnerable people by mobilising the power of humanity. It is
the world's largest humanitarian organisation and its
millions of volunteers are active in over 180 countries. For
more information: www.ifrc.org

In Brief

Appeal coverage: 95.9%; See attached Contributions List for
details.

Outstanding needs: The Appeal is completely covered

Related Emergency or Annual Appeals: 01.38/2002; 22/2002;
11/2003

Programme Summary: The disaster preparedness/disaster
response programme received new funding from DFID for the
period June 2003 - May 2005, and the implementation of
program activities started according to plan. No major
disaster has affected DPRK so far this year and pre-
positioned relief stocks to cover the needs of 50,000
families are available. Despite some delays to the late
arrival of funding, the DPRK Red Cross' health and care
program, including the water and s anitation component was
implemented over the reporting period. The organisational
development programme has been expanded into two new
provinces due to bilateral support from the Netherlands Red
Cross.

The DPRK Red Cross is regarded as an important organisation
in the Democratic People's Republic of Korea by the
government, UN agencies and NGOs.

Operational developments

Harvests this year in the Democratic People's Republic of
Korea (DPRK) were above average, however, November's joint
report published by the UN Food and Agriculture Organization
(FAO) and World Food Programme (WFP), states that despite the
good harvests, the situation remains "especially precarious"
for young children, pregnant and nursing women and many
elderly people.

Both the International Federation and other humanitarian
agencies active in DPRK have noted the increased
understanding from government and humanitarian counterparts,
that in order to make sustainable improvements to the
humanitarian situation in DPRK, both training and relief
items will be needed for several years to come.

In the autumn, the impact of recently introduced economic
reforms became recognisable as newly established markets are
emerging as a supplementary source of food and consumer goods
for the population. There is, however, growing concern among
humanitarian agencies, that the reforms may create a more
complex socio-economic situation, with new vulnerable groups
emerging in parallel with improved conditions for other
population groups. These changes will demand an increased
amount of effort to be put into assessments and vulnerability
analyses.

An East Asia Donor Partners' Meeting was hosted by the
Federation in Geneva as the SARS epidemic made it impossible
to conduct the partnership meeting in Beijing in June. In
September, the secretary general and programme coordinator of
the DPRK Red Cross visited the Federation's secretariat in
Geneva and five partner national societies. On both of these
occasions donor societies renewed their commitment to provide
further support for DPRK Red Cross emergency response and
capacity building activities.

Further cooperation within the East Asia Region was developed
over the reporting period, materializing in: study visits to
China and Mongolia as well as other countries; visits from a
delegation from the Red Cross Society of China; as well as
continued talks between DPRK and the Republic of Korea Red
Cross regarding family visits and relief support.

Close cooperation with the UN and NGOs regarding programme
coordination has continued concerning both programming (CAP
process) and disaster response. The latter was demonstrated
through the joint implementation of a SARS prevention
programme by the WHO, UNICEF and the International
Federation/DPRK Red Cross. This program was funded through
the Federation's SARS Emergency Appeal 11/2003. The SARS
(severe acute respiratory syndrome) epidemic did not affect
DPRK this year, and the training is now focused on a more
general approach aiming at the prevention of infectious
diseases, and to raise the awareness in case of possible SARS
outbreaks in the future.

Although there were no reported cases of SARS in DPRK, travel
restrictions imposed due to the SARS epidemic affecting parts
of East Asia delayed the implementation of training sessions
planned for the summer. Travel regulations imposed by the
DPRK Government to prevent the spread of SARS into DPRK were
lifted by July 11 and programme implementation was able to
continue.

As of November 2003, DPRK had not experienced any major
flooding or typhoons.

Health and care

Distributions of basic medicine by the DPRK Red Cross to
1,762 institutions in four provinces continued over the
reporting period. The distribution of medicine to hospitals
was delayed due to lack of funding in the beginning of the
year. To ensure a continuous supply of medicines next year
new funding is needed by March 2004.

The society is continuing to manage a project to raise
awareness about the prevention of communicable diseases which
was developed in conjunction with the region's SARS
prevention project, as DPRK was not affected by the SARS
epidemic. Ongoing training in community-based first aid,
general health promotion topics and malaria prevention was
supplemented by distributions of first aid material,
stretchers and mosquito nets.

Overall Goal: Improve the health and well-being of vulnerable
women, men and children in three provinces and one
municipality (North Pyongan, South Pyongan, Jagang, and
Kaesong).

Objective 1: Strengthened capacity of at least 1,762
institutions (provincial, county, city, industrial, Ri
hospitals and clinics, poly-clinics) in three provinces and
one municipality with provision of medical relief items so
that the vulnerable have access to basic health care
services.

Expected Result: By the end of 2004, all supported health
institutions are able to provide basic medical services to
their catchment populations, including provision of essential
drugs and improved diagnostic and monitoring capacity.

Progress/Achievements to date:

Three hundred and sixty seven (367) supplementary health
kits, purchased with support from the Federation arrived on
23 June. The kits were distributed to 157 county/city and
industrial hospitals from the end of June to mid-July to
cover needs arising during the second and third quarter of
2003. At the same time the DPRK Red Cross and the Federation
conducted monit oring activities while distributing drugs for
the treatment of malaria, chloroquine (1,100 tins) and
primaquine (1,650 tins), which had arrived together with the
supplementary kits.

Mosquito nets and screens donated by the Finnish Red Cross
arrived between 25 May and 27 June in three shipments. In
total, 16,000 items were distributed to 8,000 families in 128
distribution sites from the middle of June through July. The
distribution was monitored by representatives of the
Federation and the DPRK Red Cross who provided on-site
training regarding the use of the items.

Five thousand and seventy (5,070) basic health kits donated
by ECHO, the Japanese Red Cross and the New Zealand Red Cross
to meet needs arising during the third quarter of 2003
arrived at Nampo port on 25 July. The basic health kits were
distributed along side 1,215 kits provided from the buffer
stock. The kits contained twice as much aluminum hydroxide
and ferro sulphate than normal, to compensate for substandard
items which were removed from previous distributions. At the
same time, 5,482 tins of aluminum hydroxide and 782 tins of
ferro sulphate arrived. Monitored distributions of the kits
and replacements of aluminum hydroxide and ferro sulphate
took place in August. All third quarter basic health kits
were marked with an ECHO sticker to ensure visibility as well
as kits donated by the Japanese Red Cross.

On 22 September, 6,200 basic health kits provided by the
Norwegian Red Cross arrived to meet the needs arising during
the fourth quarter of 2003. On 22 September, 85 kits from the
buffer stock were added to complete the distribution, which
was conducted from the end of September until mid-October. At
the same time, 650 basic health kits were distributed to ten
remote counties to be consumed during the first quarter of
2004 as a precautionary measure in the event that the roads
are blocked during the winter. Monitoring of the distribution
was conducted from the middle of October until the beginning
of November.

Basic health kits funded by ECHO and the Danish Red Cross
arrived in the early part of November.

Three hundred and sixty seven (367) supplementary health kits
for the fourth and first quarter and 26 orthopaedic kits are
being procured by the Netherlands Red Cross and are expected
to arrive in January 2004. Household doctors' kits, safe
delivery kits, autoclaves and more supplementary kits are
also being procured. The first batch of household doctors'
kits are expected to arrive in late December.

So far this year, institutional monitoring has been
undertaken in 171 institutions.

The printing of an updated drug manual is in progress in co-
operation with WHO and UNICEF, the manuals are expected to be
ready by the end of the year. The Federation will buy and
distribute 10,000 copies.

UNICEF is printing an updated version of the Facts for Life
brochure, and the Federation will procure a sufficient number
of copies to distribute in the provinces covered by the
Health and Care programme.

Impact:

The supply of these drugs and equipment is enabling the
health facilities to provide basic medicine to those people
who would otherwise have no access to basic health care. The
medicine received over the reporting period has all been of
good quality.

Constraints:

Some of the packages containing supplementary kits were
damaged from getting wet and needed to be replaced.
Replacements for damaged items were ordered and are expected
in December/ January. The supplementary kits also arrived
behind schedule, due to lack of funding. Supplementary kits
for the second and third quarter were not distributed until
the beginning of the third quarter. Due to a delay in the
approval from the Netherlands' government the next supply of
kits for the fourth and first quarter are expected to arrive
by the end of February.

Household doctor kits provided by the German Red Cross are
expected to arrive at the end of December.

The printing of drug use manuals was delayed for several
reasons including changes being made without approval, so the
printing had to be postponed.

Objective 2: Improved capacity of the national society to
increase the knowledge of its health workers and volunteers
in prevention and care related to community primary health
care priorities.

Expected Result: By the end of 2004, 2,180 trained health
professionals, community health worke rs and volunteers of
the Red Cross are conducting health promotion in their
communities for prevention and care of water-borne diseases,
acute respiratory infections and TB, malaria, HIV/AIDS
control, aseptic and rational drug use, and safe
delivery/breast feeding.

Progress/Achievements to date:

The expected result set forth in the appeal was revised. In
2003, one thousand health professionals, community health
workers and volunteers of the Red Cross will be trained in
conducting health promotion activitie s; and, 180 health
professionals, community health workers and volunteers of the
DPRK Red Cross will be trained in the community-based first
aid (CBFA) program.

Six two-day workshops covering malaria prevention through the
use of bed nets and screens were conducted during June and
July for 128 DPRK Red Cross volunteers from the villages,
where the materials had been distributed. The volunteers were
present during the distribution in their villages to instruct
the population.

Five two-day workshops for one hundred nurses and midwives
were conducted throughout June and July covering safe
delivery practices. One-day workshops on safe-delivery were
also conducted for 100 volunteers working in the same areas.
Midwives, who were participants in the two-day workshop
facilitated lectures on antenatal and postnatal care during
the one day workshops for volunteers.

Between the middle of August and the beginning of November,
ten two-day workshops on rational drug use were conducted for
200 nurses and midwives.

In September ten one-day workshops on acute respiratory
infections were held for volunteers and community health
workers.

In October the Federation, WHO, UNICEF and UNDP organised a
two-day workshop for DPRK Red Cross national staff on
HIV/AIDS. One of the society's doctors also attended this
workshop.

In November, four two-day workshops on hospital infection
control were conducted for 70 doctors and nurses from county
and provincial hospitals. Five more workshops on the subject
will take place during December.

In October two of the societies' health staff went on a study
tour to Malaysia, Thailand and Mongolia to learn from
experiences with health programs in those countries.

The Federation's health coordinator attended the WHO's
Malaria Vivax workshop in November.

Impact:

As discussed during the 2003 health review, current
operational conditions in the country make it extremely
difficult to assess such an impact at the community level.

Constraints:

The decision regarding the new ECHO program was made later
than planned, so training of volunteers from the villages
will now commence in the spring.

As there were not enough trainers in the national society,
only a limited number of trainings can be conducted.

To date no clear program has been established regarding
HIV/AIDS, although the implementation of the jointly
sponsored workshop in October was a step forward. This
workshop was initiated by the WHO together with the Ministry
of Public Health with Red Cross participation.

Expected Result 2: By the end of 2004, 80 per cent of the
targeted community-based first aid (CBFA) posts (510) are
functional (basic supplies and manual available and at least
two staff) and conducting at least three health education
activities per month.

Progress/Achievements to date:

Eleven training sessions for volunteers (ToV) were conducted
in August and September by trainers from 11 counties trained
during the spring with 1,020 volunteers representing 51
counties trained since the beginning of the program. Newly
trained volunteers from 11 counties received a backpack with
supplies at the end of their training for their first aid
posts.

Ten first aid posts are being run in each of the counties by
two trained volunteers each, making basic first aid services
readily available to communities. Medical supplies were
replenished at 400 first aid posts in 40 counties in June.

Supplies to refresh existing stocks were distributed to 200
first aid posts in 20 remote counties together with the
fourth quarter basic kits distributed durin g the beginning
of October during the first part of 2003. Of the 1,020 new
refresher supplies for 2004 which arrived in November, 310 of
them will be distributed to the remaining 31 counties
together with the firstt quarter basic kits. One hundred and
ten locally procured, stretchers for the newly included
counties will be distributed at the same time.

Constraints:

The planned refresher training for trainers who were trained
in previous years had to be postponed, since the materials
were not ready in time. The timely half yearly distribution
of the materials to the first aid posts has been problematic
sometimes.


¹øÈ£Á¦¸ñÀÛ¼ºÀÚÆÄÀϵî·ÏÀÏÁ¶È¸
20 UNICEF Master Plan of Operations 2004 UNICEF
2004.02.15 2874
19 CARITAS - APPEAL dprk -2004 CARITAS
2004.02.15 2928
DPR Korea Appeal No. 01.67/2003 Programme Update No. 2 IFRC
2003.12.28 2912
17 Analysis of the situation of children and women in DPRK UNICEF
2003.11.28 2948
16 Seoul to give food donations to N. Korea KOIS   2003.11.13 2890
15 UN CHRÀÇ ¼¼°è ÀαÇħÇØ º¸°í UN CHR   2003.11.13 3026
14 UN hails South Korean support for aid programmes in North Korea UNICEF   2003.11.13 2669
13 WFP Emergency Report No. 13 of 2003 WFP   2003.11.13 2560
12 ACT appeal DPRK Target : 835,000$ ACT   2003.11.13 2735
11 DPR Korea OCHA Situation Bulletin Feb 2003 OCHA   2003.11.13 2949
10 North Korea Urges Married Women to Bear More Babies KHN   2003.11.13 2533
9 MSF pushes for rights of fleeing North Koreans MSF   2003.11.13 2425
8 Nutritional survey of DPRK(2002) KHN
2003.11.13 2845
7 Child nutrition survey shows improvements in DPRK, but UN agencies con... KHN   2003.11.13 2390
6 Starvation lingers in impoverished North Korea AFP   2003.11.13 2558
5 North Korean economy plunging towards sub-Saharan status AFP   2003.11.13 2649
4 Lives being lost in North Korea as public health care crumbles AFP   2003.11.13 2527
3 Starving North Korea pleads for aid amid nuclear standoff KHN   2003.11.13 2588
2 Report of the Third International NGO Conference kHN   2003.11.13 2777
1 Nutrition Survey of The Democratic People's Republic of Korea (1998) kHN
2003.11.13 2595

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