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Multisectoral Aid (Health, Nutrition & WASH) for conflict- and climate-affected refugees, IDPs, returnees & host communities in the Sudan Crisis
Monitoring and EvaluationWater Sanitation Hygiene
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Full Description
**TERMS OF REFERENCE**
**Consultancy Assignment for**
**End of Project Evaluation of the following project:**
**Multisectoral aid (health, nutrition and WASH) for conflict- and climate-affected refugees, IDPs, returnees and host communities in Ethiopia, Eastern Sudan and South Sudan**
**Implemented by ForAfrica in South Sudan, WeDCO in Sudan and humedica Country Office in Ethiopia & Funded by the German Federal Foreign Office**
1. **BACKGROUND AND CONTEXT**
humedica e.V. is a German humanitarian organization, established in 1979 with the mandate of responding to medical and non-medical relief and disaster emergencies in the world.
In collaboration with the German Federal Foreign Office (GFFO), humedica has implemented the project “Multisectoral aid (health, nutrition and WASH) for conflict- and climate-affected refugees, IDPs, returnees and host communities in Ethiopia, Eastern Sudan and South Sudan” through the partner organizations ForAfrica (South Sudan), WeDCO (Sudan) and humedica Country Office (Ethiopia) since 01.08.2022 with project end of 30.09.2026.
The background of the project is the following:
**Ethiopia (Tigray, Amhara, Afar):** According to UN OCHA, there is a serious shortage of food and humanitarian relief goods due to the conflict in Tigray. More than 83% of the approximately 5 million inhabitants are in urgent need of help, at least 400.000 of whom are said to be at risk of famine. About 3.9 million people in Tigray need medical assistance. About 10 million people in the Amhara region need medical assistance. There is lack of medicines, medical supplies and equipment to resume basic medical care in the damaged and looted health facilities. In Afar, malnutrition is increasing in the conflict-affected border areas, but humanitarian aid for the new IDP-areas is limited and there is a lack of medical care.
Large-scale looting and destruction of public facilities and infrastructure, including health and education facilities, agricultural land, shelters, and water and sewage systems, and maintenance/rehabilitation of these facilities are reported from all over Northern Ethiopia.
Host communities are under increasing strain, heightening vulnerability and social tensions, while violence has destroyed schools, health centres and religious facilities. Humanitarian needs remain severe, with widespread demand for safe water, sanitation, hygiene supplies and life-saving food assistance. The crisis has intensified gender inequalities, placing women, girls and other vulnerable groups at greater risk of food insecurity and limiting their ability to cope and recover.
**Eastern Sudan (Al-Quadaref State, River Nile State, Northern State, El Gazira State, Sennar State, Kassala State, Red Sea State):** Eastern Sudan is in both a political and economic crises that is affecting access to social services and social protection systems. The violent clashes and escalations in Sudan in April 2023 caused more than 2 million people to flee their homes, placing further strain as IDPs on the health care system, WASH and food security in Eastern Sudan. Due to the declining economic output, the government´s capacity to support refugees from Tigray, IDPs and host communities is significantly impaired. Water scarcity and lack of clean water have been great challenges for areas hosting IDPs and refugees and they have remained exposed to high risks connected to environmental and human hygiene.
**South Sudan (Northern Bahr el Ghazal):** Northern Bahr el Ghazal is facing extreme severity of humanitarian needs. The situation has become more worse since start of the civil war in Sudan 2023 when many refugees and returnees entered South Sudan across the border from Sudan. Vulnerable groups need necessity items, nutrition and education support to facilitate self-sustenance, adequate protection due to the insecurity and access to WASH services.
**PROJECT OBJECTIVES**
The outcome of the current project is the improved and wider access to health facilities and services for IDPs, refugees and vulnerable host communities in Tigray, Amhara and Afar and to WASH facilities and services in Tigray in Ethiopia. The outcome will also be improved availability of health, nutrition, protection and WASH services and practices and referral options for refugees, returnees, IDPs and host communities in Al-Quadaref State, River Nile State, Northern State, El Gazira State, Sennar State, Kassala State, Red Sea State in Sudan and in Northern Bahr el Ghazal in South Sudan.
Under this project:
Humedica Country Office Ethiopia
- improved access to high-quality primary and secondary health care including the rehabilitation of facilities, and the provision of medicines and medical supplies,
- provided capacity-building training for healthcare professionals and deployed additional Mobile health and Nutrition teams,
- treated children of acute malnutrition as well as pregnant and lactating women,
- improved access to adequate and appropriate sa
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