Preliminary Emergency Appeal PRCS 2014
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Preliminary Emergency AppealOccupied Palestine Territory (opt): West
Bank &Gaza Crises
Palestine Red Crescent Society (PRCS)
Emergency Appeal operation startup date:14.07.2014
Appeal Time Frame: 6 months
Appeal Budget: 14,570,915 USD
No. of people to be assisted: 316,700 persons.Host National Society: Palestine Red Crescent Society (PRCS), founded in 1968,is mandated by the Palestinian Authority to provide National Ambulance and Pre-Hospital Emergency Medical Services in oPt and Health Service in the Diaspora.
The PRCS is a full member of the International Movement of the Red Cross andRed Crescent and is adhering to its Fundamental Principles .
This Preliminary Emergency Appeal seeks (14,570,915 USD) to enable thePalestine Red Crescent Society (PRCS) respond to some immediate and mediumterm effect on population of oPt following the Conflict and clashes between Israeland the Palestinians in the Gaza Strip and the West Bank
The planned response reflects on general assessment and information currentlyavailable. The plan might be adjusted based on further developments and detailedassessment.
A. The Context
After the outbreak in 2000 of the second Intifada, the population in the West Bank and Gaza
Strip has experienced a constant deterioration of the economic, humanitarian, security, and
political situation in the oPt, leading to an increased growing rate of unemployment among
population and a constant fight against poverty, thus leaving communities completely dependent
on external aid, and in some areas on the brink of starvation.
While the Gaza Strip is totally under siege and almost completely isolated from the rest of theworld, the people of the West Bank is facing ever-growing problems with their life, as movement
restrictions imposed on them through a travel permit system, and roadblocks and checkpoints
create huge obstacles for social and economical normal development.
Thus, in the West Bank, movement restrictions for the entire population and the separation wall
are leaving the Palestinian Government and the population in general with few alternatives. The
continuation of building the separation wall and the increasing number of settlements are
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leading to more land fragmentation on West Bank. At the same time the raise of settlers
violation against the Palestinian civil population as well as the alarming escalation of house
destruction in the area C precede a higher deterioration in the Palestinian humanitarian
challenges particularly among the most vulnerable. .
The situation is more acute in Gaza Strip, where the economy has almost completely collapsed,
with more than 80 per cent of the population dependent on financial or other kind of support, thissupports includes RCRC Movement, United Nations agencies and other few international
organizations still being able to operate under the tight blockade of the area. The situation is
causing a shortage of all possible commodities. With very limited import of fuel, spare parts,
building material, or even the most basic goods, the people in Gaza and the humanitarian actors
are struggled to cope with the huge challenges while international concern for the short and
long-term consequences is growing rapidly.
In the frame of the current situation, the Palestine Red Crescent (PRCS) is urged to respond to
the most urgent and long-lasting needs of the Palestinians communities with provision of many
emergency and social programs. Nevertheless, the adverse conditions posed by the social,
political and economical context, are not enabling the PRCS to mobilize locally the necessary
economical resources to carry out its every day increasing demand of humanitarian programs
and therefore the PRCS is forced to be dependent on financial support from its many RCRC
and external partners.
B. Situation Analysis
The latest escalation came as a result of the increase of the settlers violation against
the Civil Palestinian population, the killing of the two Palestinian youths on first of May,
the hunger strike of the detainees, and the last Israelis occupation power military mass
operation on West Bank on 13th of June after the disappearance of the three settlers
as well as the burning and killing of the Palestinian boy in Jerusalem by the settlers.
Accordingly the Israeli Government launched a huge military operation on the whole of
West Bank especially in Hebron and announced closure of the Gaza Strip which led totense confrontation between civil Palestinian and occupation forces. By the time of
writing the appeal clashes are ongoing in different parts of West Bank which has more
intensity in Hebron, Jerusalem, Ramallah where 14 Palestinians were killed, more
than 1700 injured, and around 1000 arrested.
On July 7th 2014, the Israeli army launched a large military operation in the Gaza Strip,
codenamed Protective Edge.
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As of 14 of July, more than 173 Palestinians killed in Gaza since the operation began,
among them women and children and more than 1150 injuries. According to OCHA
70% of the affected are civilians with 30% being children.
More than 4,500 people have been displaced in Gaza following the ongoing massive
house destruction which is estimated at more than 800 houses. However, this figure is
expected to increase as the military operation continues. The house destruction has
been attributed as the main cause of civilian casualties and deaths. Social
infrastructure has also been widely affected including destruction of health facilities,
schools, sewage system and power plants.
The last announcement by the Israeli occupation army regarding the ground military
operation will lead to more killing, injuries and displaced people.
The PRCS has suffered destruction through its infrastructure, ambulances as well as
staff and volunteers injured in cause of duty.The PRCS therefore seeks funds to
enable it respond to affected population needs both current and emerging.
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C. The Disaster
West Bank figures from 13thJune 2014No. killed
14No. injured
1700No. familiesevacuated
30
Gaza figures from 7thJuly 2014No. Killed
173More than
1150injured
More than800 houses
affectedtotally orpartially
Settlers violation24 cases
Violation against PRCS25 violations including branchdestruction in Jabaliya, staff andvolunteer injuries and damage toambulances
D. The Response
Since 13th of June, PRCS activated the operation rooms in Gaza Strip and West Bank in
Hebron, Jerusalem and the Central operation room in Ramallah. All PRCS teams from
emergency medical services, disaster management, volunteers, hospitals, psychosocial,
rehabilitation and PHC staff were also activated. The first priority of PRCS is aimed at ensuring
the EMS is ready to respond with ambulances, staff and volunteers with first aid background.
The second priority is to make sure the hospitals and PHC centers are ready and equipped with
medicines, disposables and surgical instruments in order to provide the backup for MOH. The
Ministry of Health hospitals are first line facilities that receive casualties, with PRCS hospitals in
Gaza and Khan Younis providing back up as well as assist with needed diagnostic services.
ICRC has supported the MOH hospitals with 4 weapon wounded kits. With an increased
number of injured people, PRCS facilities have started receiving cases referred for further
management.
The National Response Disaster Team (NRDT) and DM volunteers were mobilized for providing
relief assistance, other departments were also activated e.g. logistics, maintenance,
administration and finance. More than 700 volunteers and 1000 plus staff were mobilized and
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involved in response to the immediate needs of the affected people.122 ambulances were
activated both in Gaza and West Bank; although due to shelling in Gaza Strip, 5 ambulances
were damaged and not functional. Despite the drawback, the PRCS continued with its effort to
evacuate the injured and the dead from the destroyed buildings. Some of the damaged
ambulances will require full maintenance, although spare parts are not readily available in Gaza
Strip, while some will need to be replaced completely.
PRCS continue to provide pre-hospital services to most of the injured and killed as well as
PRCS hospitals and PHC centers providing services to the affected. PRCS provided shelter and
Non-food items (NFIs) to 4 families in West Bank while in Gaza Strip joint assessment is
ongoing despite the difficulties to conduct comprehensive assessment due to shelling.
Response and distribution when possible will be conducted with ICRC support. The
management team in Ramallah continued to support the Ops room through coordination with
partners and other actors.
Since 7th of July, the PRCS operation rooms have been operating on 24/7 basis with daily
bulletin on the evolving situation and its response. Thus frequent Operational Updates are
shared with partners. Since the emergency started, PRCS have and continue to conduct
assessments of the current conditions of the population and the evolution of the emergency.
Changes and revision to the preliminary appeal is therefore expected depending on new needs
identified. DREF through IFRC was launched on 14 th July 2014. The estimated amount is
227,000 CHF for 3 months. The DREF seeks to support the immediate pressing needs of
medical assistance.
It is important to mention that coordination is taking place with Egyptian Red Crescent (ERC) in
regards of in-kind donations of medical supplies, food items and nonfood items coming through
the Rafah border.
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Expected scenarios:
Scenario Impact PRCS Action ICRC & IFRC action PNS Action
1. Mass casualties and
homeless or affected
people due to fully or
partially damagedhomes
and military operations
- Increased load onexisting health structuresincluding PRCShospitals.
- Difficulty treating
/coordinating the massiveinflux of injured.
- Homeless people withoutany possibility to providerelief itemsdue to unsafesituation for staff.
- Homes were partiallydamaged withoutassistance.
- Shortage of safe water.- Communication cut off.- Plans and budget for
early recovery and postcrisis rehabilitationprograms.
- PRCS launched Emergencyappeal to ensure andcontribute in enablingPalestinians to obtainhumanitarian health and
relief assistance andservices.
- PRCS is calling for its sisterRed Cross and RedCrescent societies and forother health providersaround the world to sendhealth teams into the GazaStrip; PRCS urges warsurgeons, neurovascularsurgeons, and traumasurgeons, as well as ICU,anesthetic and OperationTheater nurses to join thehealth teams in Gaza.
- Ensure the readiness of thelogistic system of PRCS.
- Provide relief items.- Plans and budget for early
recovery and post crisisrehabilitation programs.
- Carry out theirresponsibilitiesthrough using theirgood offices tofacilitate/ provide
neededhumanitarianassistance andprotection forcivilians.
- ICRC shouldstrengthencoordination toensure effectiveevacuation of theinjured.
- IFRC should alertthe ERUs forurgentdeployment.
- Secure the fundfor PRCSEmergencyappeal.
- Support PRCSwith relief itemsneeded.
- Alert medicvolunteers and staff tsupport healfacilities in Gaza.
- Support PRC
emergency appeal.- Plans and budget fo
early recovery anpost crisrehabilitationprograms.
2. Displaced People:
According to Israeli
declarations, military
ground operations are
- Large number ofpopulation near the GazaStrip border areaswithout shelter, medicalcare, safe water and
- Alert Health andwater/Sanitation ERUs forpossible rapid deploymentto boarder areas.
- ICRC shouldcoordinate forgetting the goodsand personnel toGaza.
- Alert andeployHealth,water/Sanitation, anrelief ERUs accordinto needs.
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expected to take place
soon; this will lead to
massive population
movement to the Gaza
Strip borders.
sanitation sources.- Difficulty coordinating the
massive influx ofassistance from differentorganizations andindividuals.
- Increased burden on theeconomy of border areas.
- Shortage of safe water.
- Communication cut off.
- In coordination with ICRCconduct tracing andrestoring family links.
- Ensure the readiness of thelogistic system of PRCS.
- Plans and budget for earlyrecovery and post crisisrehabilitation programs.
- Provideemergency shelterand campmanagement
- Mobilize ICRCsupport andresources
- Mobilizeemergency
response units(field hospitals,health services,including psp,water andsanitation, relief) tobe deployed uponthe request ofPRCS.
- IFRC Logistic unitin Dubai to beprepared fordeployment andprovide neededrelief items.
- Plans and budget
for early recoveryand post crisisrehabilitationprograms.
- Support PRCemergency appeal.
- Plans and budget foearly recovery anpost crisrehabilitationprograms.
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E. Operational Strategy and plan
With ongoing conflict in Gaza it has been very difficult to conduct assessments, the initial
assessments are information received through different sources including;
- PRCS staff and volunteers involved in the response
- PRCS stock update
- PRCS/ICRC assessments and updates
- OCHA and UNRWA updates
- MOH and other partners assessments
- Needs assessment by different PRCS services
Following the initial needs assessment by the different services the following areas were
identified for interventions and support taking into consideration that the MOH and WHO
launched a Joint preliminary emergency appeal with amount of 40 million USD.
PRCS operation focuses on the imm ediate needs of the wounded and people directly
affected by the clashes, conflict and military actions and families and individuals whose
houses and livelihoods have been directly affected in West Bank and Gaza Strip.
a. Emergency stocks of essential drugs and disposable, together with emergency
surgical kits, both for PRCS health facilities and to support other health providers
mainly MoH.
b. Continuation of provision of Emergency Medical Services by PRCS both to directvictims of the hostilities, and to chronic patients who are impeded under
hostilities to access lifesaving health care. Additional ambulances are needed to
extend coverage under present clashes and hostilities and replace damaged
ones. Spare parts for existing ambulances are also needed.
c. Basic non-food items such as blankets, heaters, hygiene kits, mattresses, for the
families whose houses have been damaged or destroyed.
d. Emergency psycho social support to victims of the conflict, especially children of
the affected families, building on the extensive work by PRCS in the domain andaccording to PRCS specific contingency plan
e. Reinforcing existing capacities in logistics to ensure a sustained flow of goods
and aid inside Gaza and from outside Gaza
f. Emergency renovation of PRCS damaged premises.
As for the long-term needs, they will be assessed and in cooperated in the revised
emergency appeal since the situation is still evolving and not predictable.
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Sector Needs assessment Beneficiary selection
Health The hospitals and basic health careare overstretched as the result innumber of people injured. This hasresulted in diversion of routinesupplies to the emergency. Mostaffected are the medicaments,
disposable supplies, surgicalsupplies. Additionally someequipments will need to be replacedor procured to better respond to themedium term effect on the health ofthe population.
The National Societyenvisages to target up to30,000 with its hospital andPHC health care includingpatients with chronic disease
DM As consequences of massive housedestruction through military operationhas led to either total destruction orpartial and displacement of people.The call for evacuation of the areascontinues as such more destructions
are expected. The PRCS plans tosupport in provision of shelter andNFIs to the affected population.
The DM service plan to reach50,000 persons
PSP The PRCS staff and volunteers whohave been working round the clockproviding services and going throughthe daily psychological trauma willrequire debriefing and long termsupport through psychosocial supportgroups. The population includingchildren at large has been exposedthrough continuous bombardment and
has witnessed close relatives eitherinjured or died will need psychosocialsupport. This will require re-orientation of the PSP activities in the6 months period to focus on stressmanagement.
The PRCS plans to debriefstaff/volunteers involved.Train staff/volunteers on PSSand support the staff throughpsychosocial support groups.The PSP envisages coveringat least 25,000 peopleconcerning PSSactivities/training.
Management support For the successful implementation ofthe operation the PRCS activated itsstaff and volunteers who are workinglong hours and will require salary andincentives. Additionally the logisticand finance departments were
activated to support the operation.Management costs to run theoperation is expected to be coveredunder the appeal.
1,700 persons (staff andvolunteers) will benefit.
EMS Providing emergency medical andrelief services is considered asbedrock for the PRCS since itsinception. The PRCS undertake thisservice through a national 101telephone number. Throughout theemergency phase only PRCSambulances could be seen providing
60,000 persons will benefitfrom the service
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the evacuation to the injured andremoval of dead bodies. Despite thisimportant service to the affectedpopulation PRCS was victim of theIsrael airstrike whereby 5 of itsambulances were damaged throughthe shelling.
Infrastructure The PRCS experienced damage to itsbranch in Jabaliya which alsodamaged office equipments andfurniture
PRCS plans to renovate andequip the damaged branch inJabaliya.150,000 persons will benefitfrom the service
Overall objective:
Health risks of affected population are reduced and the resilience of the community to disaster
is increased both in West bank and Gaza strip.
Proposed strategy:
Further to addressing the immediate needs through the DREF the PRCS would like to be
prepared to respond to the medium term needs of the affected population. The strategy is aimed
at reducing the population suffering during and aftermath of the conflict/clashes and military
operation.
The preliminary appeal will be a live document; changes are expected as detailed assessments
are conducted. The appeal will cover the needs identified in West Bank and Gaza strip.
Operational support services
Human resources
The PRCS has deployed 700 volunteers that will be running the operation together with 1,000
technical staff from Disaster Management, Logistic and Health.
Logistics and supply chain
Logistic support to the intervention will be provided following PRCS procedures to source and
procure relief items and medicines and to ensure the efficient and timely delivery to the
hospitals and primary health centres.
Information technologies (IT)
The cost of communications is included in the running cost of the operation.
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Communications
Information on the operation will be done in coordination with the IFRC, ICRC and Movement
partners in order to highlight the response to the humanitarian needs and the evolving and
emerging humanitarian concerns. The current operation contemplates the development of
frequent operational updates, press releases and beneficiary stories.
Security
In order to undertake the planned activities the PRCS will coordinate with ICRC and evaluate
evolving security situation as well as in terms of coordination.
Planning, monitoring, evaluation, & reporting (PMER)
PMER will be crucial to the delivery of the planned operation to ensure evidence-based
reporting, upholding accountability and compliance with the established standards. In this
regards monitoring is required regularly to track the effects and impact of response actions,
track progress of activities and the delivery of outputs.
The PRCS will conduct regular field visits to the target locations for monitoring purposes given
that mobilization table and appeal updates/reports will be shared regularly.
Administration and Finance
The PRCS will be responsible for managing the funds in the opt in accordance with its policies
and procedures. This will be based on the requirements and justifications specified in the letter
of agreement to be signed between PRCS and its partners for the implementation of the appeal.
Proper administration and finance staff is foreseen under this appeal in order to support the
financial recording and reporting.
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F. Detailed Operational Plan
Proposed sector intervention
Sector: Hospital and basic health care
Outcome 1:The medium term risks to health of affected population is reduced
Output 1.Medical, surgical materials, equipments and disposable supplies are delivered in time
and in sufficient quantities to the hospitals and PHC centers.
Activities planned:- Stocks are replenished and maintained- Purchase medical equipments and supplies
Sector: EMS
Outcome 2: Readiness to respond timely, appropriately and safely to affected injured peopleOutput 2.1 Resource mobilized for the emergency response and service provision.Output 2.2 EMS able to provide 24/7 service through its main established stations and sub
stations in West Bank and Gaza stripActivities planned:
- Mobilize over 1,700 staff and volunteers to provide evacuation and first aid services- Ensure adequate fuel, maintenance of ambulances in involved in the operation- Replace the damaged ambulances and procure additional to maintain and increase the
PRCS capacity to respond to emergencies.
Sector: DM
Outcome 3: Target population resilience to disaster is enhancedOutput 3.1 Affected population receive NFIs
Output 3.2 Households whose houses are destroyed or damaged are provided with emergencytemporary shelter
Activities planned:- Purchase and distribution of nonfood items- Distribution of household kits
Sector: PSP
Outcome 4: Families affected by the war, in particular those who have lost family membersand/or are the most vulnerable, have access to Psycho social support, and PRCS volunteersand staff are supported in their humanitarian actionOutput 4.1 The affected persons receive psycho social support according to their needs Output 4.2 PRCS volunteers and staff can access quality psycho social support
Activities planned:- Provide PSP to families affected by the war- Provide additional psychosocial training to PRCS staff and volunteers.- Provide Psychological Support to staff and volunteers of PRCS engaged in emergency
response.- An emotional debriefing is organized for staff and volunteers of PRCS after the
emergency phase.
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Coordination and Partnerships:
The escalation of Gaza crises, has prompted a large-scale humanitarian needs coupled with
ongoing clashes in different parts of opt. The movement partners with their presence in
Palestine have been pivotal in assisting the National Society respond to challenges and
recurrent emergencies that they often have to face. Drawing from lessons learnt from previous
emergencies of 2008/2009 and the 2012 the National society is better prepared for response to
the current disaster.
For the current emergency, the ICRC has been jointly with the National Society conducting
assessment whenever possible. Besides the movement coordination the PRCS is actively
involved in meetings with other humanitarian actors in Palestine such as MOH, UNOCHA,
UNRWA and WHOetc
The PRCS has and is coordinating its response with movement partners as well as other
partners specifically MOH/WHO on health issues, Palestine Civil defence on search and rescue
efforts and evacuation of the affected.
Budget:
6-Months Needs
Item Description Total Cost USD
Medicines and Disposables 3,286,678Equipment 3,320,000
Relief and shelter 4,642,039
Renovation 300,000
Sub-total 11,548,717
Fuel and spare parts 600,000
Sub-total 600,000
Management and Coordination 100,000
Sub-total 100,000
Local Personnel 800,000
Sub-Total 800,000Running Cost 60,000
Sub-Total 60,000
Communication equipment cost 300,000
Sub-Total 300,000
Rehabilitation 208,960
Sub-Total 208,960
Administration cost 7% 953,237
TOTAL DIRECT COST 14,570,915
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Contact
For more information and contributions please contact:
Dr Khaled Joudeh, Director General, PRCS: phone: +972 22406515/6/7, Fax: +972 2
2402108,Mobile: +972 599601123. email:[email protected]
Dr WaelQedan, Director health services, PRCS, phone: +972 22406515/6/7, Fax:+972 22402108, Mobile: +972599251133, email: [email protected]
Tanya Shawar, Head of PR & International Cooperation, PRCS: phone: +972 22406515/6/7,
Fax: +9722 2402108, Mobile: +972 599254604, email: [email protected]