MALI CONSOLIDATED APPEAL – PRIORITY ACTIONS <strong>11</strong> <strong>March</strong> 2013Food securityPriority NeedsMali remains affected by a “triple crisis”: (1) the acute food security and nutritional crisis of 20<strong>11</strong>, which continues into 2013 for the most vulnerablehouseholds which have benefited poorly from the good harvest and still need assistance; (2) crisis linked to recurring shocks, chronic food insecurityand malnutrition and (3) internal and cross border displacement of people as a result of the conflict in northern Mali.Overall in the country, despite the good harvest season 2012-2013 and the fact that newer crops are available on the market, the consumer prices ofcereals are barely decreasing. Compared with the recent five year average, prices remain high. It is urgent to build up stocks for households andcommunities.The closing of the Algerian border, the increase of border checks at the Niger and Mauritanian borders, restriction of cereal export (particularly byNiger) as well as disturbance of the flow of goods between the north and the south, increase the fragility of food security as well as the livelihoods ofpeople still living in the northern part of Mali. The challenges presented by movement of herds and merchandise strongly enhance this fragility.The following are urgent needs : Emergency humanitarian assistance and prevention of malnutrition Restoration of food stocks. Support to the on-going agricultural campaign (off season) and the cereal campaign 2013-2014. Reinforcing resilience, and building the capacity of farmers and vaccinating herds.Gaps Lack of financing, especially compared with 2012 (in which the Food Security cluster received 84% of required funding).Constraints Difficulty of access in the concerned areas.Priority Response Priority actions focus on :Priority ProjectsOperational PartnersEstimated CostEmergency food assistance: food distribution to displaced populations as well as vulnerable residents, blanket feeding, money transfer andsupport for income generating activities for the most vulnerable households.Nutritional assistance for preventing and treating acute moderate malnutrition, school canteens.Restoring food stocks (particularly cereal and rice stocks).Reinforcing resilience and crop production: seed and agricultural tools distribution, veterinary and auxiliary training in care for livestock, andsupport in creating vegetable smallholdings.Seven priority projects (MLI-13/A/52703/123, MLI-13/A/530<strong>11</strong>/13883, MLI-13/A/53422/6919, MLI-13/A/57744/R/6075, MLI-13/F/57888/R/15749, MLI-13/F/53341/561, MLI-13/F/53408/561).WFP, FAO, ACTED, Africare, CRS, AVSF, Care, ENDA Mali, AKF, CISV, WHH, Solidarités, World Vision, CSA, Save the Children, AGD Bonkoré,ICCO, OXFAM, UNWOMEN$82 million total amount immediately required to fund the priority projects8
MALI CONSOLIDATED APPEAL – PRIORITY ACTIONS <strong>11</strong> <strong>March</strong> 2013HealthPriority Needs Build capacity of health structures, including for WASH. This is urgently needed to restore essential health services Medical equipment and medical units (emergency kits, dignity kits, sexual reproductive kits and hygiene kits) for the health centres Ensuring availability of safe blood to meet emergency medical requirements linked to the conflict Expanding vaccination coverage in affected regions and wherever vaccination activities were interrupted Make financial grant in order to provide free health care for vulnerable groups. Step up epidemiology surveillance and the response to epidemicsGaps Limited access to care as a result of infrastructure looting and/or destruction, lack of functioning of several health structures and NGO staffand health centres personnel fled the areas of conflict. Identification of non-functioning health structures. Care fees exemption barrier for the most vulnerable.Constraints Lack of access and lack of needs assessment Limited presence of service providers in affected area.Priority Response Gao, Timbuktu, Kidal, Mopti (partially) and Bamako: medical inputs (emergency kits, trauma kits type A and B, surgical kits, cholera kits,malaria kits, sex and reproduction kits). Putting in place/Reinforcement of the blood bank Bamako, Mopti and Ségou: medical units (emergency kits, trauma kits type A and B, surgical kits, cholera kits, malaria kits, sex andreproduction kits and anti-diabetics). Evaluating the capacities of the health structures in order to face the demand of the populations Kayes, Koulikoro and Sikasso: ensuring availability of safe blood Reinforcing the capacities of the health structures to restore essential care (SIMR, malaria, meningitis, chronic diseases, and neglectedtropical diseases, follow-up of pregnancy and childbirth) Support in assisting the people wounded during the combats (training and deployment of staff, equipping the regulation centres(telecommunication/IT). Reinforcing the implementation of the Minimum Activity Packages in all health Areas (reinforcement of essential care in the community:Community Health Centres) Put in place and ensure the functioning of the different working groups in the sub regions (Mopti and Ségou) Support the supervision of activities in health districts in the different regions Reinforce medical evacuation system especially for serious medical emergencies such as badly wounded people, complicated pregnanciesand difficult child deliveries Reinforce the vaccination coverage in the regions affected by the crisis using catch-up campaigns Raise standards of hygiene, water cleanliness and sanitation provided through health structures. Provide a financial grant to accompany the free care service system. Apply information management system for data collection, particularly at regional and district level. Create a database and initiate an institutional support system for the Health ClusterPriority ProjectsOperational PartnersSix priority projects (MLI-13/H/52686/14658, MLI-13/H/53647/122, MLI-13/H/53744/122, MLI-13/H/53746/122, MLI-13/H/53806/122, MLI-13/H/53867/122)WHO, UNFPA, UNICEF, UNAIDS, UNWOMEN, FENASCOM, GP/SP, MDM-B, MDM-F, ALIMA, SADEVE, CARE, GP/SP, Save the Children,multidisciplinary medical and surgical team9