ukr-pui wash need assessment report fv

UKRAINE WASH NEEDS ASSESSMENT

Contact line, Donetsk oblast

July 2016

Première Urgence Internationale 2

TABLE OF CONTENTS

1. Acronyms

2. Executive summary

3. Justification

4. Area description 4.1 Exit & Entry Check Point 4.2 Other locations

5. objective of assessment

6. Methodology

7. Assessment findings

7.1 Exit & Entry Check Point

7.1.1 EECP Zaitceve/Mayorsk 7.1.2 EECP Maryinka 7.1.3 EECP Novotroitske 7.1.4 EECP Pischevik

7.2 Contact Line – Cities & villages

7.2.1 AREA OF Zaitceve/Mayorsk 7.2.2 AREA OF Maryinka 7.2.3 AREA OF Novotroitske 7.2.4 AREA OF Pischevik 7.2.5 AREA OF Toretsk 7.2.6 AREA OF Avdiyivka

8. General conclusions and recommandations

9. Annexes


1. ACRONYMS

⇒ GCA: Government Controlled Area ⇒ NGCA: Non--‐Government Controlled Area ⇒ EECP: Entry and Exit Check Point ⇒ CP: Check Point ⇒ ACF: Action Contre la Faim ⇒ IDPs: Internally Displaced Persons ⇒ INGO: International Non--‐Governmental Organisation ⇒ NGO: Non-Governmental Organisation ⇒ ADRA: Adventist Development and Relief Agency ⇒ ICRC: International committee of the red Cross ⇒ NFIs: Non-food Items ⇒ FAP: First Aid Point ⇒ OSCE SMM: Organization for Security and Cooperation in Europe, Special Monitoring

Mission ⇒ OCHA: Office for the Coordination of Humanitarian Affairs ⇒ UNICEF: United Nations Children's Emergency Fund ⇒ MSF: Medecins Sans Frontieres ⇒ SES: Security Emergency Service

2. EXECUTIVE SUMMARY Conflict broke out in Ukraine in early 2014, following a series protests across major cities in the east of the country. Despite two successive ceasefires in September 2014 and February 2015, the humanitarian situation has continued to worsen through the breakdown of law and order, separation of families and communities, the destruction of infrastructure and disruption to essential services. The humanitarian crisis is continuing to deteriorate as the number of people in need of assistance has now reached a total of five million people. The lack of a political solution means that insecurity, humanitarian and protection needs are not going to decrease in 2016. Humanitarian access to certain areas remains very limited, particularly in zones where armed hostilities are taking place, and hampering the delivery of humanitarian assistance to the most vulnerable people who are in need of humanitarian aid due to the combined impact of conflict, displacement and extreme poverty. Since the start of the conflict, population face shortages in food, health services, water & sanitation facilities, basic household items and shelter and suffer of psychological distress.


3. JUSTIFICATION The rationale behind Premiere Urgence Internationale (PUI) WASH assessment is to look into the needs of the population living along the contact line in GCAs in Donetsk Oblast, with a specific focus on Exit and Entry Check points. The purpose of the assessment is to allow identifying the key priorities for PUI in term of WASH strategies, and to produce a set of recommendation for future activities. The population of Ukraine had water and sanitation problems before, but the armed conflict has aggravated these problems. According to the last survey of ACF, both quality and quantity of water are inadequate for maintaining personal hygiene and environmental sanitation. People use unimproved drinking water sources like: unprotected (open) dug wells, unprotected spring, surface water and plastic bottles refilled by a large part of the population. The quality of piped water is threatened as well when available. The causes of most problems in the field of water supply existed long before the outbreak of armed conflict. With the outbreak of hostilities was difficult to perform routine repairs of water supply systems and cannot be capital. It should be stated that water supply company “”Voda Donbassa” lost its half reservoir with beginning of conflict.1 The repair works of water pipelines started in 2015 and continue until now with the support of OSCE Special Monitoring Mission (SMM).2 Another reason for the deterioration of the situation in the field of water supply is a violation of economic ties. This leads to the inability to deliver to some areas of water treatment chemicals. More acute and urgent needs in term of WASH were identified by PUI and as well reported by other stakeholders where people’s reduced access to money, financial services, and social assistance limit their purchasing power while they are simultaneously faced with increasing prices due to market restrictions and currency devaluation. Access restrictions limit the amount of humanitarian assistance provided to the remaining population and damage from heavy shelling reduced people’s quality of life within their own homes. The persistent and pervasive presence of armed actors is creating stress, tension, and difficulties in accessing basic services and markets. Lastly, heavy infrastructure damage throughout the assessed areas interrupted water supplies and damaged health facilities. Another huge concern is the provision of WASH services at checkpoints. Both water supply and sanitation facilities are inadequate at all GCA checkpoints. Ongoing set up and maintenance of the facilities that are installed is also a concern for people travelling across the ‘contact line’ through Exit/Entry Check points (EECP) in order to visit relatives, buy food and other goods, receive social payments and look after property. Despite increased violence and the difficulties of movement, the number of people crossing the ‘contact line’ increased month after month. According to OCHA (Humanitarian snapshot – 17th of August 2016) more than 5.1 million people crossed the ‘contact line’ through the five operational checkpoints since the beginning of the year, while under the threat of an increased number of shelling and shootings in the vicinity of checkpoints. In June 2016, OCHA launch a singular appeal regarding the humanitarian situation along the contact line is of severe concern as parties to the conflict moved positions closer to one another and violence increased. Summer temperatures and long queuing time further affect civilians, as they continue to cross in high numbers to access basic services and visit relatives. 1 OSCE SMM making success in restoring running water in Donetsk Oblast - http://www.osce.org/ukraine-smm/177611 2 OSCE SMM Daily Monitoring Report, June 3, 2016 - http://www.osce.org/ukraine-smm/244766


Measures put in place at each EECP are intermediary in nature and assist to mitigate risks and alleviate the difficulties of thousands of Ukrainian citizens crossing meet on a daily basis. The current system needs a thorough revision to ensure that queues and waiting times are substantially reduced, also considering existing security and safety concerns.

Checkpoints Humanitarian Snapshot – OCHA – 28/06/20 16

OCHA recommended in emergency to all humanitarian stakeholders, to increase the provision of water, basic medical and sanitary services at checkpoints. UNICEF conducted as well in May 2016 an assessment at EECPs in the Government controlled areas (GCA) of Donetsk and Luhansk oblasts in order to assess the existing WASH needs and provide recommendations on how to improve the response. In an attempt to improve the humanitarian situation inside the contact line crossing mechanism of eastern Ukraine, UNICEF recommended to:

⇒ Improve the WASH response at CPs ⇒ Make effective repair and maintenance mechanism for the equipment already installed

(latrines/ water point) ⇒ Make cooperation agreement with an INGO or NGO to purchase/install more equipment

Following these recommendations and observations, PUI decided to launch a WASH need assessment to gather more information about water, sanitation, hygiene in all EECP in Donetsk Oblast as well as in PUI targeted area in the current project in GCA to inform and increase the PUI’s future response program. PUI team launch the WASH need assessment from 18th to 30 of July 2016 in Donetsk Oblast (GCA), by a water/ sanitation and hygiene evaluation as well as health need assessment mainly at 4 EECPs in Donetsk Oblast and cities and villages surrounding in order to identify the gaps and the key priorities to design PUI future response based on the needs of the affected populations.


4. AREA DESCRIPTION

4.1 Exit/ Entry Check points: The need assessment was set up in 4 Entry and Exit Check points of Donetsk Region (GCA): EECP “Zaitceve” – EECP “Marinka” – EECP “Novotroitske” – EECP “Pyschevyk”

4.2 Others locations: The Need assessment was also conducted in Toretsk and Avdiyivka cities and all villages/ Settlements around the check points of Zaitceve/ Mayorsk, “Marinka”, “Novotroitske” and “Pyschevyk”

Assessed

Area


5. OBJECTIVE OF ASSESSMENT

The overall purpose of the PUI WASH Needs Assessment was to gather information from facilities, institutions, government administrators and conflict-affected populations to identify critical WASH problems and needs in order to inform the PUI’s response strategy according to geographic areas and sectors. It was also meant to provide comparative information that will be used to measure the needs as well as pointing out areas where there are gaps which should be addressed in future proposals and programs.

6. METHODOLOGY The assessment was conducted by PUI staff under the overall supervision of the Program Coordinator. An induction workshop for the team was held on July 18th, 2016 and the content covered during this one day workshop pertained general introduction to needs assessment process, scope and objective of the assessment, exploration of the methodology used, agreements on timeline, deliverables and communication lines as well as issues of safety and security of teams in the field. In order to collect data, the assessment was conducted through a combination of field visits, face- To-face and telephone interviews and questionnaire (Refer to Annex 1) with:

• Authorities’ interview and data collection on WASH needs • Health & social facilities questionnaires administrated to directors & doctors • Individual with questionnaire • Several partners/ stakeholders meeting and discussion

PUI team used open-ended questionnaires administered to both key informants and conflict-affected people to collect the data needed to meet the objectives and answer the core questions outlined above. In order to complement this formative information on basic Wash needs, PUI conducted interview with health authorities to provide key information within the assessed areas. A total sample for the assessment consisted of 55 individual interviews. (Refer to Annex 2)


7. ASSESSMENT FINDINGS

7.1 AT EXIT/ENTRY CHECK POINTS (EECP) 7.1.1 EECP Zaitceve/ Mayorsk Entry and Exit Check-Points (EECP) “Zaitceve” and Check Point (CP) “Mayorsk” are main check-points of the road “Bakhmut – Horlivka”. They are operating between 6 am and 8 pm for a daily capacity of the EECP is 7,000 people and 1,000 vehicles. One of the distinctive features of the EECP is the distance between Zaitceve CP and Mayorsk CP. No other transit area has a distance of 16.7 km between these two points, which makes it the longest EECP in Donetsk Oblast.

Zaitceve EECP is a transit point for vehicles while Mayorsk is overcrowded with pedestrians, using public transport to approach the contact line and cross it by foot. Because of this overload people have to queue at the checkpoints for up to 40 hours to cross the line which has a strong impact upon their medical condition due to the changing weather conditions (average temperature in this area in summer is +30 degrees, while in winter it can be fluctuating between -5 and -30 degrees) and impossibility to walk away from the queue because of the mined fields. The state Ministry of Emergency Situations tried to support those individuals by setting up a few heating and drinking points at checkpoints; however, these facilities are usually located far from the queues, making them impractical for persons with special needs or the elderly, which comprise more than 28 per cent of the people addressing for health care service, according to MSF epidemiological statistic from January to June 2016.


According to official information from Ukrainian government, EECP “Zaitceve” will be relocated to Mayorsk, and CP “Mayorsk” will be relocated further in no man’s land, near 1 km from NGCA check-point. The immediate proximity of governmental controlled area (GCA) and non-governmental controlled area (NGCA) check-points can increase risks for civilian people in crossing check-points. As well, all WASH facilities, like latrines, garbage drums, tanks with water and health points will have to be relocated. Following the statement of these very long queues formed in the crossing points between governmental controlled area (GCA) and non-governmental controlled area (NGCA), in summer of 2015 the international medical organization «Médecins sans Frontières» (MSF) has opened the first aid point that included the latrine service, distribution of safe water and heating point during winter, at the checkpoint in Zaitseve (GCA- Donetsk region), and a second one in Mayorsk in December 2015. This decision was taken due to many acute health problems happening with people in the queue, mentioned above. Starting from August 1st 2016, Première Urgence Internationale (PUI) took over the two first aid points (FAPs) as well as the overall management of WASH facilities.

Structure of EECP “Zaitceve/Mayorsk”

Security Shelling of CP “Mayorsk” is quite frequent. Few times it was closed for some days’ time. Shelling in the night is almost daily. Due to shelling, in June 2016 MSF FAP and water tank were damaged. Mayorsk village is regularly shelled as well as it is located near EECP. No civilian casualties were reported in Zaitceve and Mayorsk, though in July 2016 in village Kodema of Bakhmut rayon (neighboring to Zatseve) 1 civilian was killed. Regular exchange of fire, landmines and explosive remnants of war are also responsible for civilian casualties in Zaitceve/ Mayorsk CP. Check-points WASH Water: At EECP1 “Zaitceve” there are 2 tanks with technical water (capacity 750 L) and 3 tanks with drinking water (capacity 500 L) on one side of EECP as well as 2 tanks with technical water and 3 tanks with drinking water on another side of EECP. At CP0 “Mayorsk” there is 1 tank with technical water and 1 tank with drinking water. 1 tank with drinking water, located at stationery health point of PUI between CP0 and CP1, was shelled in June 2016 and is non-operating now. All tanks with water are operated by Premiere Urgence Internationale (PUI).


The water (technical and drinking water) is supplied through water trucking by two different local companies contracted by PUI. Water trucking is done 6 days per week, with a 2000L/trip capacity each.

Potable and technical water at EECP Zaytceve 1 Shelled water point at CP 0 - Mayo rsk Latrines: At EECP1 “Zaitceve” there are 2 chemical latrines and 8 pit latrines (before and after EECP). Between CP0 “Mayorsk” and PUI health point there are 6 pit latrines and 5 chemical latrines, but one of chemical latrines was destroyed in July due to shelling. Sanitation inside all toilets was found to be satisfactory. 2 PUI cleaners at both check-points clean toilets 4 times each day. The latrine’s decommissioning is implemented through a cleaning service company contracted by PUI and is done on regular basis through on-call system

Pit latrines at EECP 1 “Zaitceve” Chemic al latrines and garbage drum at CP 0 “Mayorsk” Garbage: At CP0 “Mayorsk” garbage is being removed in the big pit by PUI cleaners, local citizens and militaries. Pit is almost full, and new one should be dig soon by militaries. Near benches at CP0 there is a lot of garbage on the ground. At CP0 PUI cleaners remove only their 2 drums with garbage into big pit. At EECP1 PUI cleaners collect garbage in big packs, and Garbage Company removes it regularly.


Garbage near benches at CP0 drum with burnt garbage at CP1 Recommendations

• Taking into account problem with garbage disposal at CP0 “Mayorsk”, it is recommended to negotiate with authorities on the opportunity to send a garbage collection company.

• Taking into account the increasing number of people crossing on daily basis, it is

recommended: ⇒ To remove the 14 pit latrines as it will be full very soon and to replace them by 14

chemical latrines. ⇒ To increase the number of latrines (chemical latrine since it feet better to old people and

disable) from 2 to 4 in Zaitceve and from 4 to 6 in Mayorsk.

⇒ To increase the number of hand washing points (technical water) from 5 to 7 in both Zaitceve and Mayorsk CPs

⇒ To increase quantity of water tank for drinkable water from 6 to 8 in both Zaitceve and

Mayorsk CPs.

• Taking into account that one chemical latrine is out of order, it is recommended to replace it.

• Taking into account that water tank are installed since more than one year, it is recommended to replace water tanks for technical and drinking water.

7.1.2 - EECP “MARYINKA”

Check-points General Entry and exit check-points (EECP) “Maryinka” are main check-points of the road “Kurahove – Donetsk”. They are operating between 6 am and 8 pm. Daily capacity of the EECP is 5000 people and 1200 cars. Due to very instable security, Maryinka check-point is often being closed. At nights it can be shelled very often, though a lot of cars with civilian passengers wait in queue through the night.


Structure of EECP “Maryinka”

Security EECP “Maryinka” is the most dangerous corridor in terms of security. Taking into account its location in the open field, far from the villages and trees as well as its geographical proximity to Donetsk, check-points are often shelled and closed. As well, along the road there are a lot of mines. In February 2016 between GCA and NGCA check-points a minibus with civilians was destroyed by detonation of unidentified explosive device, and 3 people inside were killed. Though the village Maryinka is located quite far from EECP, there is still shelling sometimes which causes damages of civilian buildings and injures of civilian people. Check-points WASH Water: At the moment of assessment visit 1 water tank (500 L capacity) of ADRA with drinking water was detected before CP1, and 1 water tank (500 L capacity) of ADRA was detected after CP1. Tanks were empty. At CP0 no tanks with water were detected. ADRA is committed to provide 2 more tanks for drinking water at check-points. Volnovakha rayon authorities are responsible for regular filling of the tanks with water through municipality water trucking company.


Latrines: 7 metallic blocks of 2 latrines are available at CP1. 2 metallic blocks of 2 latrines were detected near the Security Emergency Service (SES) tent. Sanitation inside metal toilets is terrible and totally unacceptable. Definitely they were not cleaned and decommissioned for a month at least. There are a lot of flies around CP, and there is high risk of infections. NGOs inform that latrines are under the responsibility of Volnovakha rayon municipal administration for their cleaning and decommissioning and according to ADRA, 6-7 blocks of metallic toilets are still not installed in Maryinka CPs, and they are kept in stock by Maryinka municipal authorities.

Terrible sanitation inside of the toilets

Garbage: Few metal drums with garbage were detected at CP1, and they were empty. Militaries pay for removal of garbage by themselves. A lot of garbage was still detected on the ground with many flies around, and the area is not cleaned.

Garbage and broken latrine Garbage near shed and benches Recommendations

• Taking into account terrible and totally unacceptable sanitation of toilets at the check-points, it is recommended to establish systems for proper and regular cleaning, desludging and maintenance of latrines (set up a cleaning brigade of 4 environmental cleaners, cleaning latrines 4 time per day)

• Taking into account lack of technical water, it is recommended to provide, install and maintain 7 water tanks as hand washing facilities furnished with soap nearby blocks of latrines.


• Taking into account lack of safe drinking water, it is recommended to provide, install and

maintain 3 new water tanks as drinking point facilities furnished with disposable plastic glasses.

• Taking into account problem with garbage disposal, it is recommend to install more

garbage metallic drums along the road between CP 0 and CP1 and to implement a waste collection system with Maryinka municipal authorities.

7.1.3 EECP “NOVOTROITSKE” Check-points General Entry and exit check-points (EECP) “Novotroitske” are main check-points on the highway “Mariupol – Donetsk”. They are operating between 6 am and 8 pm, though closing time can be extended to 9.30 pm in case of need. Daily capacity of the EECP is 7000 people and 2500 cars, and it is the biggest check-point in terms of capacity. Distance between EECP1 and CP0 is equal to 3,6 km.

Structure of EECP “Novotroitske”


Security EECP “Novotroitske” is the most stable check-point in terms of security. In the end of April 2016 it was closed due to incident in Olenivka NGCA, when NGCA authorities reported on shelling of their check-points and deaths of 3 civilians who were in queue at this time. However, normally the check-point is open and functioning smoothly. In June and July 2016 residential area of Novotroitske and few other villages of Volnovakha rayon was shelled few times. Check-points WASH Water: At EECP1 there are 4 tanks with drinking water and 1 empty tank with technical water near the toilet with MSF visibility. At CP0 there are 2 MSF tanks with drinking water. 1 tank was empty. Water should be provided by Novotroitske municipal authorities. SES tent has stock of 200 liters of drinking water. No other tanks with technical water were detected at check-points, so there is no opportunity to wash hands after toilet for civilians. ADRA promised to provide few tanks with technical water, and municipal authorities will be responsible for their regular filling.

Empty water tank and toilet at CP1 Chemical toilets of “Ukrainian Frontiers” at CP1 Latrines: There are 3 chemical latrines near main CP1, with visibility of "Ukrainian Frontiers”. Sanitation inside is satisfactory. 5 wooden latrines at CP1 are in bad sanitation condition. They are dirty and with holes near entrances due to rain. Those toilets should be cleaned and decommissioned by SES and/or municipal authorities, however, there is still no state funding for this. Mayor of Novotroitske village confirmed that sometimes he organizes decommissioning of the toilets. 2 more wooden latrines were detected near SES tent. 12 chemical latrines were installed between CP1 and CP0 by ICRC each 100 meters one from another. Pedestrians normally use only 1 latrine closer to CP0, because then they move by bus to CP1. Military authorities asked to move this latrine closer to CP0 for pedestrians. Other latrines between CPs can be used by car passengers. As well, some ICRC latrines were visible between Ukrainian CP0 and separatist CP0 in no man’s land. Sanitation in ICRC chemical latrines was found to be satisfactory. Military authorities confirmed that ICRC toilets are being cleaned and decommissioned regularly.


Dirty pit latrines ICRC toilets between CP1 and CP0

Garbage: Near 8 bags with garbage were detected at CP1. As well, some metal drums with burnt garbage inside were detected. Head of Novotroitske Village Council confirmed that sometimes he organizes removing of garbage, when militaries ask him and pay to him, but it is not regularly. Recommendations

• Taking into account absence of technical water for washing hands after toilet, it is recommended to install and maintain 3 hand washing points (water tank 500 L capacity) with regular monitoring of availability of water there

• Taking into account not satisfactory sanitation inside pit toilets at CP1, it is recommended to establish systems for proper and regular cleaning and maintenance of latrines (set up a cleaning brigade of 2 environmental cleaners, cleaning latrines 4 time per day)

• Taking into account problem with garbage disposal, it is recommend to install more

garbage metallic drums along the road and to implement a waste collection system with Novotroitske Village Council

7.1.4 EECP “PISCHEVIK” Check-point General Entry and exit check-points (EECP) “Pyschevyk” is located at the south of Donetsk oblast’, and it is operating between 6 am and 8 pm. EECP was open 4 months ago. Daily capacity of the EECP is 3000 people and 1200 cars. According to OCHA, average number of cars crossing this check-point is near 40-100 private vehicles. Check-point is located at the very narrow road, and in comparison to other corridors between NGCA and GCA is the least overloaded with people.


Structure of EECP “Pyschevyk”

Security In 2016 security situation in Pyschevyk remains more or less calm, though military clashes sometimes occur in the evening and night time. Check-point WASH Water: Stock of bottled drinking water is kept in SES tent. Near latrines at CP1 there is place for washing hands with technical water available. Tanks with drinking water should be provided soon by ADRA under responsibility of municipal authorities of Telmanovo rayon which supervises EECP “Pyschevyk”. No technical and potable was detected at CP0. Drinking water is really needed at CPs due to very high summer temperatures at south of Donetsk oblast’.


Hand washing point near SES tents at CP1 Garbage drum and toilets near SES tents Latrines: 3 pit latrines are located near SES tent at CP1. 3 chemical latrines are located after CP1, and 3 other pit latrines are located at CP0. Chemical latrines were slightly damaged by shelling. Sanitation is found to be satisfactory. SES staff regularly cleans latrines by themselves. No need in additional toilets was observed.

Chemical toilet at CP1 inside Damages of toile ts by shelling Garbage: 5 garbage drums are located at CP1, and they are available for civilians. Garbage is being delivered regularly. Territory is clean. Recommendations

• Taking into account absence of drinking and technical water at CP0, it is recommended to install water points for drinking water (2 water tanks – 500 l capacity) and technical water (2 water tanks – 750 L capacity) with regular monitoring of availability of water there.

• Taking into account damaged latrines, it is recommended to replace them with new ones.


7.2 CONTACT LINE CITIES AND VILLAGES

7.2.1 AREA OF ZAITCEVE & MAYORSK Settlements General Zaitceve is a big village subordinated to Bakhmut rayon which is located near Entry & Exit Point (EECP) “Zaitceve” at the contact line. Northern part of Zaitceve is located between Ukrainian and so called “DPR” check-points (no man’s land), and the southern part is controlled by Ukrainian government. However, according to Bakhmut rayon authorities, northern part of Zaitceve soon will be attached to Bakhmut rayon under Ukrainian control. Mayorsk is located near Ukrainian check-point “Mayorsk”, and officially it is not subordinated to any municipal authorities for almost 2 years. Last month population of the city voted for their official representative who can provide basic information about situation in the village.

Population group Number of

population in Zaitceve

Number of population in

Mayorsk Total population in Zaitceve* and Mayorsk 1450 300 Number of children under 5 year old 60 5 Number of elderly people (65 years and more) 268 90 Number of disabled children 2 0 Number of disabled people 1 group 9 3 Number of disabled people 2 group 15 7 Number of families with 3 and more children 1 n/a Number of families with single parents n/a n/a Number of IDPs individuals (official figures) 450 n/a Number of IDPs individuals (real approximate figures) 30 n/a

* Number of population in Zaitceve include population of south of Zaitceve GCA (1030 persons), population of village Vesela Dolyna (70 persons and 330 patients of Psychoneurological (Mental) Clinic and Vershyna village (20 persons). * 2014 national census Settlements WASH Zaitceve: Population of Zaitceve GCA currently has access to water. People use piped water and water from dug wells. In 2015 regular lack of piped water was observed, but now situation is being stabilized. Piped water is available 6 hours per day. In dug wells and pipes water is technical, non-potable one. Most of people boil piped and well water for cooking and drinking (60% of interviewed ones), and some people use technical water for drinking without boiling (40%). Garbage is being disposed twice per month. Hygienic items are accessible in the market. No humanitarian assistance was provided to people in terms of hygiene, what was confirmed by interviewed local citizens. Mayorsk: Population of Mayorsk has irregular access to piped technical water (few hours per day), and 2 dug wells are located in the settlement. Quality of water is not being monitored. Garbage is not disposed from the settlement for last 2 years. At first people burnt it, but later militaries banned them to do it. Now people remove garbage to the pit dig in the ground which is already full. There is one shop where people can buy hygienic items. ICRC distributes hygienic and food items to all local population once per month. Soon ICRC is going to distribute only cash instead of kits.


Recommendations

• Taking into account huge problem with garbage disposal in Mayorsk village, it is recommended to negotiate with authorities on the opportunity to send a garbage collection company.

• Taking into account absence of drinking water in Psychoneurology (mental) clinic in Vesela Dolyna, it is recommended to provide water filters and water tank (500 L capacity) for keeping drinking water in the institution.

7.2.2 - AREA OF MARYINKA

Settlements General Maryinka is the rayon center of Donetsk oblast’ which has near 2, 3 square km of geographical area. After military clashes in the city the administrative municipal authorities were relocated to Kurakhovo, though health authorities are still based in Maryinka. Before the conflict more than 10 000 of population lived in the city, and now approximately 6 500 people stay there. Maryinka rayon includes 3 cities (Maryinka, Krasnohorivka and Kurahove) and near 30 village settlements. Part of Maryinka rayon is under non-government control of so called “DPR” authorities.

Population group Number of population Total population of Maryinka 6500 Number of children under 5 year old 230 Number of elderly people (65 years and more) 653 Number of disabled children 22 Number of disabled people 1 group 30 Number of disabled people 2 group 22 Number of families with 3 and more children 21 Number of families with single parents 38 Approximate number of IDPs 1000

* 2014 national census Settlements WASH People have access to technical piped water which is not appropriate for drinking. This statement was confirmed by both authorities and local citizens: While most local people boil it for cooking and drinking (60% of interviewed people), some of them do not (40%). For half a year in 2016 more than 20 cases of gastro-communicable diseases were detected in Maryinka rayon. Social institutions, like hospitals in Krasnohorivka and Maryinka and institutions for elderly and disabled people (50 persons permanently living), are in crucial need of water filters for canteens. As well, in available water boreholes water pressure is really low, so additional water pumps are needed. ADRA distributed hygienic different kits for adults, children and vulnerable families in Maryinka Rayon. 80% of interviewed people confirmed that they received hygienic kits from ADRA. ICRC provided 3 water filters for Krasnohorivka and 4 filters in Maryinka, and each filter has 500 litres of daily capacity. No water tanks were provided for stocking. Drainage system is on place both in Maryinka and Krasnohorivka, but there are no cleaning system, so all sewage goes to lake. There are social institutions for elderly people in Novomykhaylivka where 50 people permanently live. Other shelters for elderly people operated by churches are located in Kurahove, Dachne and Katerynivka.


Damaged by shelling and sh ooting, gates of private houses in Maryinka Recommendations

• Taking into account lack of drinking water and problems with technical water, it is recommended to provide water filters for health and social facilities in Maryinka rayon as well as water pumps in the city.

7.2.3- AREA OF NOVOTROITSKE Settlements General Novotroitske is the village of city type, subordinated to Volnovakha rayon. Distance to Volnovkha city is 21 km. It is located on the route “Mariupol – Donetsk – Slovyansk”, near EECP “Novotroitske”. Village mayor provides the following figures:

Population group Number of population Total population of Novotroitske 7000 Number of children under 5 year old 400 Number of elderly people (65 years and more) 2000 Number of disabled children 22 Number of disabled people 1 group 46 Number of disabled people 2 group 64 Number of families with 3 and more children 34 Number of families with single parents 150 Real approximate number of IDPs 1000

* 2014 national census Besides, in the village near 50 people of Roma community permanently live and 27 children are without official parental care. 3 houses of family type are based in Novotroitske.


Settlements WASH Population of Novotroitske has irregular access to piped water since shelling water pipes are often damages and leaking. Currently some pipes are in need of rehabilitation. Garbage disposal and drainage system are in place. No humanitarian organization distributed hygienic kits for vulnerable population in the city. Needs are huge since majority of the population have no access to hygiene items due to lack of money. ICRC provided food kits, People in Need provided coal in winter, and DRC provided building materials for the houses which were damaged by shelling. Volnovakha rayon authorities currently have negotiations with ADRA about installing of 2 water boreholes in the city. Disinfectants and bactericidal lamps are needed for local kindergartens. Few days after assessment (since 24.07) in Volnovakha rayon piped water supply was stopped due to damages of pipes. Municipal authorities sent the request to provide emergency bottled water, and after few days ADRA informed that bottled water was provided to Volnovakha rayon. Type of damages is still not identified, but ADRA monitors the situation and ready to support rehabilitation of water pipes in the area. Recommendations Taking into account hygiene and sanitation needs of the most vulnerable population it is recommended:

• To distribute hygiene kits to vulnerable groups 7.2.4 - AREA OF PISCHEVIK

Settlement General Before the conflict village Pyschevyk belonged to Novoazovskyi rayon. Due to military clashes at this territory, till the end of 2015 Pyschevyk was in grey zone, not controlled by any forces. From 2016 village is officially under control of Ukrainian militaries, and 2 months ago it was adjoined to Volnovakha rayon. According to Head of Telmanovo rayon, currently near 50 people permanently live in Pyschevyk, and disaggregation numbers on vulnerable groups are not available in Volnovakha rayon authorities. Settlement WASH There is no access to piped water in village Pyschevyk. People use their own dug wells with technical water. Most of them drink this water as it is, due to inability to boil it each time (there is no gas in the village). ICRC distributes hygienic kits to all local population on monthly basis. 100% of interviewed local people confirmed that they received hygienic kits from ICRC. Recommendations

• Taking into account lack of drinking water, it is recommended to provide water filters for families living in village of Pyschevyk.


7.2.5 - AREA OF TORETSK General information Toretsk is the city subordinated to Donetsk oblast’ which has 50 km radius of geographical extent. It includes a number of villages, like Kirovo, Leninskoye, Shumy, Druzhba, Artemovo, Novhorodske, Suhaya Balka, Zheleznoye, Scherbinovo and Valentinovka. Novhorodske village was assessed additionally, because it is quite big settlement of city type located 5 km to the contact line. Toretsk City Department of Labor and Social Protection provided the following figures:

Population group Number of

population in Toretsk

Number of population in Novhorodske

Total population in Toretsk and Novhorodske 86000 12800 Number of children under 5 year old 4250 520 Number of elderly people (65 years and more) 10700 3500 Number of disabled children 253 29 Number of disabled people 1 group 383 117 Number of disabled people 2 group 1497 200 Number of families with 3 and more children 336 274 Number of families with single parents 851 397 Number of IDPs individuals (official figures) 15847 n/a Number of IDPs individuals (real approximate figures) 3000 200

As well, in Toretsk area near 1000 people of Roma community permanently live. * 2014 national census Security Military clashes are quite regular in the area, but they normally take place between north of Horlivka (NGCA) and south-eastern part of Toretsk in the evening and night time. Civilian casualties are not frequent, but few of them were still reported in 2016.

WASH general According to cities authorities, in Toretsk, Novhorodske and villages around there are irregular access to piped technical water and set of public dug wells. In 2016 access to piped water for local population has been very limited, because Toretsk is located in the end of the pipe route from Slovyansk to Horlivka. While daily need of population is 25 000 cubic meters of water, population receives only 16-18 000 cubic meters per day. Interviewed people confirmed that there is irregular access to piped water. 50% of people told that piped water is not appropriate for drinking and cooking, so they boil it. 10% purchase bottled water in the shop. ICRC is committed to help with restoring of water system in this area being damaged due to shelling. In Zheleznoye village there is no piped water and boreholes at all, only private dug wells are available there. Since last month in Kirovo village the water is absent at all. Toretsk municipal authorities regularly organize delivery through water trucking to those villages, but there is still lack of it. UNHCR supported digging of water borehole in Novhorodske. UNICEF through ADRA supported digging of borehole in Suhaya Balka where piped water was not available, but it is still non-functioning due to technical reasons. One year ago People In Need provided big water tanks for stocking drinking water in the city bomb shelters. In terms of hygiene humanitarian assistance, ICRC is committed to distribute multifunctional cash to vulnerable population who was affected by the conflict (people who lost their jobs, got injuries


and whose buildings were damaged by shelling). As well, ICRC distributed hygienic kits to vulnerable population in social facilities in winter 2016. “Ukrainian Frontiers” distributed 230 hygienic kits, funded by UNICEF, monthly to vulnerable population for last 5 months. International Organization for Migration together with PCPM Ukraine now accepts applications from vulnerable population (single mothers and families with children under 5) for distribution of hygienic kits through local Department of Labor and Social Care. Save the Children and People In Need distributed cash for local vulnerable population. However, 90% of locals told that they did not received hygienic kits, what could be linked to specific vulnerability criteria which they did not fit. At the same time 70% of people confirmed that in their families there are no enough hygienic items due to their high prices and lack of money.

Toretsk hospital: Shortage of water and electricity is permanent in the city as well in the hospital. For those reasons, hospital is in crucial need of generators and boilers. Drinking water is not available in the hospital due to absence of filters for piped technical water. Toilets and showers are in of need rehabilitation due to unsatisfactory sanitation condition. Showers are available, but there are specific hours when patients can take the shower due to lack of water and lack of boilers.

Ceiling of shower of the hospital Toilet in the h ospital .

Social facilities

Name of social institution Number of vulnerable people

Toretsk territorial center of social care (elderly and disabled people in need of home-based care) 320

Toretsk state social center (shelter) for elderly and disabled people 70

Toretsk boarding school for children from dysfunctional families 355

Toretsk center of psychosocial rehabilitation for children (orphanage) 23

Novhorodske boarding school for children with mental disabilities 102

* PUI data collection

• Toretsk territorial center of social care (elderly and disabled people in need of home-based care). Social workers and nurses of the facility make regular patronage home visits to 320 elderly and disabled people who are in need of home-based medical and non-medical care. Basic items are highly needed by elderly people who live in very bad unsanitary conditions, like tooth paste, soap, shampoo etc. No humanitarian assistance was provided to people since the beginning of the conflict. Staff of the center is ready to distribute kits to people at homes.


• Toretsk state social center (shelter) for elderly and disabled people. Currently 70 elderly and disabled people live in the shelter, 13 of them are disabled people of 1 group, 7 – of 2 groups, and others are elderly people deprived of home-based care. 23 people are bed-bound, and they are in regular need of diapers. ICRC provided hygienic items for patients in winter 2016, and People In Need provided diapers for adults, however, this aid was not sufficient.

• Toretsk boarding school for children from dysfunctional families. 355 children study at Toretsk boarding school now, and before the conflict near 500 children studied there. Most of them live in the school. Of 355, 197 children are from single-parent families, 100 children are from families with 3 and more children, 13 children are deprived of parental care, 8 children are orphans, 15 children are from Roma community, 6 children are disabled and 6 children are IDPs. 82% of children are in need of psychosocial support. UNICEF provided water filters for canteen of the school, so facility has access to safe drinking water.

Toilets for children of Toretsk boarding school

School has big basement near 600 m2. After the conflict the facility’ staff cleaned it, and now they use it as a bomb shelter. However, its premises need basic rehabilitation, benches, heating points and water stocks. Currently only 1 room for smallest children has few benches and old stove for heating which was presented to them by militaries. 12 liters of drinking water are available there. When shelling starts, bomb shelter is used by children from kindergarten which is located at the same building, by 350 students of neighboring college and by people from resident buildings around. 9 toilets and 2 showers for children are in need of rehabilitation, because sanitation is found to be not quite satisfactory. Children who live in the school did not receive any hygienic items as humanitarian assistance.

Corridor of the bomb shelter Water stock in the bomb shelter


Room for the youngest children Empty room of the bomb shelter with benches and heating stove

• Toretsk center of psychosocial rehabilitation for children (orphanage). At the center today 23 children from Toretsk, Kostiantynivka and Avdiyivka permanently live and study. 16 of them are orphans, and 2 of them are IDPs. Technical piped water is available, for drinking needs water is being boiled. No filters and no stock of drinking water are in the facility. There are 5 toilets and 5 showers in very bad sanitary condition. 2 toilets are now in the process of rehabilitation, and others are still in need of rehabilitation due to unsatisfactory sanitation inside. Boilers in the showers are available. UNICEF and Polish Humanitarian Action provided some hygienic items to the institution in 2016.

• Novhorodske boarding school for children. Today 102 children with mental disabilities study

in the school. Of them 19 children are physically disabled, 6 children are orphans and 4 children are IDPs. Technical piped water is available, for drinking needs water is being boiled. No filters and no stock of drinking water are in the facility. No humanitarian assistance was received since the beginning of the conflict.

Recommendations

• Taking into account lack of drinking and technical water in Toretsk area, it is recommended: o To provide water filters for local social institutions; o To provide water tanks for keeping drinking water in social institutions, including

their canteens and bomb shelters; o To make closer assessment of local needs and technical opportunities to build new

water boreholes and/or public dug wells in the area where piped water is not available (Zheleznoye and Kirovo villages);

• Taking into account hygiene and sanitation needs of the most vulnerable population of

Toretsk area, it is recommended: o To distribute hygiene kits and diapers to vulnerable groups in Toretsk territorial

center of social care (elderly and disabled people in need of home-based care), Novhorodske boarding school, Toretsk boarding school for children from dysfunctional families, Toretsk center of psychosocial rehabilitation for children (orphanage), Toretsk state social center (shelter) for elderly and disabled people.

o To support rehabilitation works in toilets and showers of Toretsk center of psychosocial rehabilitation for children (orphanage) and Toretsk boarding school for children from dysfunctional families.


7.2.6 AREA OF AVDIYIVKA General information Avdiyivka is the city subordinated to Donetsk oblast’ which has 25 km of radius of geographical extent. It includes 6 villages subordinated to the city (Novoselivka, Lastochkine, Opytne etc), located at the contact line. Avdiyivka City Department of Labor and Social Protection provided the following figures:

Population group Number of population Total population of Avdiyivka 33400 Number of children under 5 year old 3800 Number of elderly people (65 years and more) 4798 Number of disabled children 80 Number of disabled people 1 group 131 Number of disabled people 2 group 439 Number of families with 3 and more children 109 Number of families with single parents 171 Real approximate number of IDPs n/a

* 2014 national census

Security Security situation in the city remains unstable. Since March 2016 Avdiyivka industrial zone is a epicenter of military clashes and regular shelling. Recently Avdiyivka cox chemical plant was shelled. While military casualties at Avdiyivka’s industrial zone are regular, civilian casualties are not so frequent in 2016 as a year before, however from time to time they occur.


Settlement WASH In the city and hospital there are regular shortages of water in the city, because water pipes are regularly being damaged by shelling. Partially water pipes were being replaced by new ones, other are leaking. For example, since the beginning of the conflict, piped water was absent in Verhnetoretske and Krasnyi Partizan villages where almost 4000 people live. In the end of July 2016 the damaged water pipe was restored. Interviewed local citizens of Avdiyivka confirmed that for drinking and cooking they either boil piped/well water or drink it directly without boiling. Garbage disposal and drainage system are in place in the city and around. ICRC is committed to help with restoring of water system in this area being damaged due to shelling. According to Avdiyivka city department of labor and social protection, some NGOs collected information on needs in hygienic items for vulnerable population, but items were not still distributed to people. 100% of interviewed local confirmed that they did not receive hygienic items or kits. According to WASH cluster information, People In Need did distribute hygienic kits in Avdiyivka, ending the project in spring 2016. ICRC is committed to distribute multifunctional cash to vulnerable population who was affected by the conflict (people who lost their jobs, got injuries and whose buildings were damaged by shelling) soon. Avdiyivka Hospital: At the secondary health care level Avdiyivka City Hospital provides services to all population of the city, including 8688 women of childbearing age and 3800 children under 5 years old live in the city. Number of institutional deliveries in 2015 was equal to 45 of them 6 were caesarian ones. Number of children hospitalized was 250 in 2015. Number of surgeries per year is 278, and number of hospitalizations was equal to 2465.

Broken windows and shell crater near non-functionin g laundry and sterilization units

Before the conflict the health facility had 3 buildings: 5-floors main hospital building with most health units, 3-floors hospital building with emergency and primary units and 1-floor building with canteen, laundry, sterilization and stock units. By shelling in summer 2014 few direct hits fell on the roof of main 5-floors building. All windows of the front wall were broken. A lot of medical equipment was damaged by shards of shelling which hit directly windows. Currently in the main 5-floors building all windows are broken, heating system is damaged, and the roof and walls has localized cracks. As well, 1-floor building with canteen, laundry, sterilization and stock units was damaged by shelling. Most of units from other building were relocated to 3-floors building which doesn’t have enough capacity for all medical staff and patients. Medical staff who registers patients sits at the corridors, because there is no enough space. In-patient department is overcrowded with patients, and sanitation is found to be not satisfactory at all. Sterilization equipment was damaged by shelling, and now only 2 autoclaves are in use what is not enough for the whole hospital.


Non-functioning hospital canteen Non-functioning children outpatient h ospital Hospital’s laundry equipment was damaged by shelling. Some small washing machines were taken from local hotel which was partially destroyed due to shelling. Those machines now are located in surgery unit of hospital, though it’s prohibited according to standards. As well, their capacity is enough only to wash bedding after surgeries. At the hospital high risk of epidemics is present, due to insufficient sterilization, shortage of water, overcrowded and dirty in-patient department and lack of laundry means. Avdiyivka Social facilities:

Name of social institution Number of vulnerable people

Avdiyivka territorial center of social care (elderly and disabled people in need of home-based care) 218

Avdiyivka state social center (shelter) for elderly and disabled people 15 Avdiyivka center for rehabilitation of disabled children “Iskorka” 30 Avdiyivka non-government organization for disabled people “Pereborennia” 1100

* PUI data collection

• Avdiyivka state territorial center of social care. Social workers and nurses of the facility make regular patronage home visits to 218 elderly people who are in need of home-based medical and non-medical care. Basic items are highly needed by elderly people who live in very bad unsanitary conditions, like tooth paste, soap, shampoo etc, according to the staff of facility. However, director of institution is not quite open for cooperation. According to her, a few NGOs visited the center and collected a lot of information about it and vulnerable people, including home addresses, but relevant support still was not provided.

• Avdiyivka state social center (shelter) for elderly and disabled people. At the facility near 15 people permanently live. The staff of institution asked for diapers for adults which are regularly needed for bed-bound people. Institution uses piped water, but it is technical. For drinking water should be boiled. No filters were provided to institution.

• Avdiyivka center for rehabilitation of disabled children “Iskorka”. 10 disabled children

regularly live at the center, and 20 disabled children are on home-based care under supervision of center’s staff. 1 bed-bound child regularly needs diapers. No hygienic items and other humanitarian assistance were provided to the institution and children, though this kind of help would be much appreciated and needed. Institution uses piped water, but it is technical. For drinking water should be boiled. No filters were provided to institution. Stock of technical water is kept in the kindergarten which is located at the same building. Toilets and showers are in good sanitary condition, except of 1 toilet. In the building of institution there is a basement, but it’s not appropriate for using as a bomb shelter. While shelling, children and staff stay in corridors.


• Avdiyivka non-government organization for disabled people “Pereborennia”. There are near

1100 disabled people in the organization, including 49 children, 3 IDPs and 40 bed-bound people in need of home-based care. Organization can distribute humanitarian assistance to disabled people who can come to the office, but it has no opportunity to distribute them to home-bound people. In the beginning of 2016 INGO “People In Need” brought very small number of hygienic kits, and only few disabled people could receive them.

Recommendations

• Taking into account regular damages of water pipes in the city due to shelling and lack of drinking water, it is recommended to provide water filters and water tanks for keeping drinking water to social institutions of the city, like Avdiyivka center for rehabilitation of disabled children “Iskorka” and Avdiyivka state social center (shelter) for elderly and disabled people.

• Taking into account lack of support of the most vulnerable population living in the city in terms of hygiene, it is recommended to distribute basic hygienic items and diapers to disabled adults and children, elderly people in need of home-based or stationery care, through social institutions.

8. GENERAL CONCLUSION AND RECOMMENDATIONS

1. Expanding water access at settlements: Regular shelling of the contact line area

causes regular damages of water infrastructure in Donetsk Oblast. Authorities and local population of all assessed locations informed about irregular access to piped water due to shelling and damages of pipes as a result. Staff of municipal company “Voda Donbassa” covering most of the area of Donetsk oblast’ with water infrastructure, is made to repair damaged water pipes in quite dangerous conditions. At the same time they are not able to repair some pipes and damages due to security issues. Population of some villages, for example, Zheleznoye and Kirovo of Toretsk area, have no access to piped water, and no boreholes are present there. Today, funded by UNICEF, ADRA supports recovery of water infrastructure of Mariupol, Volnovakha, Maryinka, Volodarsk, Krasnoarmiysk, Velyka Novosilka and Pershotravneve rayons. UNICEF supports water infrastructure at north of Donetsk oblast’, including provision of chlorine to “Voda Donbassa”. Both of them provide water pipes, water pumps and other water materials to municipal authorities, support building of water boreholes where there is no access to piped water. As well ICRC is committed to support water infrastructure in cooperation with “Voda Donbassa” through provision of water pumps, pipes and electromechanical water equipment, repair and building of waterholes etc. The area includes Avdiyivka, Toretsk and Bakhmut rayon.

According to individual survey of local population at the assessed area, most of people have access to piped water, but they do not use it for drinking and cooking. 45% boil piped water for drinking. 38% of interviewed people drink piped water without boiling due to lack of gas, though they are quite sure that it is not appropriate for drinking. 13% use their own private resources, mostly dug wells, and according to them this water is not appropriate for drinking. Only 4% are able to purchase bottled water in the shops for drinking. Besides, in cooperation with ICRC, ADRA and UNICEF in order to avoid duplication, it is recommended to extend area of support of restoration and building water infrastructure damaged by shelling, with special focus on Toretsk and Avdiyivka areas.


2. Expanding access to drinking water at social institutions: There are a lot of social and health institutions with canteens which are in crucial need of water filters and water tanks for keeping water stocks at canteens and bomb shelters. All of them boil water for drinking and cooking. UNICEF already provided water filters and/or water tanks at some institutions, like Toretsk boarding school for children from dysfunctional families, Avdiyivka City Hospital and others. However, these activities should be definitely extended to other social and health institutions, located at the contact line, in cooperation with ICRC, ADRA and UNICEF in order to avoid duplication. Namely, it is recommended to provide water filters and water tanks to the following social and health institutions: o Avdiyivka center of rehabilitation of disabled children "Iskorka" (2 water filters,

1 water tank 500 L + 10 Jericans 20 L for storage) o Avdiyivka state social shelter for elderly and disabled people (1 water filter,

1 water tank 500 L + 3 jericans 20 L for storage) o Toretsk state social shelter for elderly and disabled people (2 water filters,

1 water tank 500 L + 10 Jericans 20 L for storage) o Toretsk center of psychosocial rehabilitation for children (orphanage) (1 water filter,

1 water tank 500 L + 3 jericans 20 L for storage) o Novhorodske boarding school for children with mental disabilities (3 water filters,

1 water tank 500 L + 10 Jericans 20 L for storage) o Psychoneurology (Mental) Clinic at Vesela Dolyna (5 water filters,

2 water tank 500 L + 20 Jericans 20 L for storage) o Novotroitske City Hospital (10 water filters and 2 water tanks for storage) o Novomykhaylivka: social institutions for elderly people (1 water filter, 1 water tank

500 L + 3 jericans 20 L for storage) o Maryinka institutions for elderly and disabled people (1 water filter, 1 water tank 500

L + 3 jericans 20 L for storage) o Pyschevyk village (10 vulnerable households): (10 water filter, 20 jericans 20 L for

storage)

*The filters proposed are called the Grifaid® Family Filter and the Grifaid® Community Filter and they remove all biological pathogens down to 0.01 microns. They are designed to last for a minimum of 6 years, requiring no spare parts, cartridges, or electricity. They produce safe drinking water on demand, at a rate of 90 litres/hour and 300 litres/hour respectively.

. 3. Provision of hygienic items. There are a set of organizations which distributed hygienic

items and kits at the assessed locations, like ICRC, People in Need, ADRA, Ukrainian Frontiers etc. Though most of those projects are ended, there are still organizations that are going to continue those activities. Namely, ADRA will distribute hygienic kits to vulnerable population in Maryinka, Krasnohorivka, Berdiansk, Mariupol, Volnovakha and Selidovo. Additionally in Mariupol and Berdiansk ADRA will distribute vouchers for hygiene in cooperation with network shop “Prostir”. ICRC is going to continue distribution of hygienic kits only at the settlements were population has no access to items in the market. In all other cases ICRC will distribute cash, by covering all population at small villages located near shelling area at the contact line and population affected by the conflict at other locations (those who lost jobs, got injuries or whose buildings were damaged). Hygienic items and kits for social institutions. As well, ICRC is going to distribute hygienic items at health and social institutions.

According to individual survey of local population at the assessed areas, most of people do not have enough hygienic items in their families (76%). High prices and lack of money are the most important reasons for it. 35% of people received free hygienic kits from organizations, including ICRC, ADRA and People in Need.


Most of the assessed social institutions did not receive humanitarian assistance in terms of hygiene. Only Toretsk state social center (shelter) for elderly and disabled people and Toretsk center of psychosocial rehabilitation for children (orphanage) confirmed that they received hygienic kits. Some institutions received diapers for bed-bound people; however, there is permanent lack of them. Taking into account lack of hygiene assistance at and through the social institutions, located at the contact line, for the most vulnerable population, it is recommended to provide hygienic kits (items) for the following social institutions: o Avdiyivka center of rehabilitation of disabled children "Iskorka" : 50 hygiene kits o Avdiyivka territorial center of social care for elderly and disable people in need of

home-based care: 300 hygiene kits o Avdiyivka state social shelter for elderly and disabled people: 20 hygiene kits o Avdiyivka non-government organization for disabled people “Pereborennia”: 1200

hygiene kits o Toretsk boarding school for children from dysfunctional families: 400 hygiene kits o Toretsk territorial center of social care for elderly and disable people in need of

home-based care: 100 hygiene kits o Toretsk state social shelter for elderly and disabled people: 500 hygiene kits o Toretsk center of psychosocial rehabilitation for children (orphanage): 30 hygiene

kits o Novhorodske boarding school for children with mental disabilities: 120 hygiene kits o Psychoneurology (Mental) Clinic at Vesela Dolyna: 350 Hygiene kits

4. Monitoring of WASH at the check-points. Because there are already committed organizations and authorities who should be in charge of WASH at all check-points in Donetsk oblast’, it is recommended to monitor situation on promotion of WASH activities there. Special focus should be given to cleaning and decommissioning of toilets in Maryinka check-point (ICRC commitment), accessibility of water in EECPs “Novotroitske” and “Pyschevyk” (ADRA and municipal authorities’ commitment), garbage cleaning and disposal system in Maryinka check-point (municipal and military authorities’ commitment) and at CP “Mayorsk”.


9. ANNEXES ANNEX 1: ASSESSMENT FORM FOR LOCAL AUTHORITIES Date: ______________________________________________________________________________ Province:__________________________________________ ________________________________ Town/Village: _____________________________________ __________________________________ Person interviewed (name and title) : _____________ ______________________________________ I. Basic Information What is the geographic extent of the areas? How many households are there in the areas? |___| households How many peoples are there in the areas? |_________|_________|_________| Total Males Females How many children under five are there in the areas? |_________|_________|_________| Total Boys Girls How many women 15-49 years are there in the areas? |_________| women How many peoples aged 60 years and above in the areas? |_________|_________|_________| Total Males Females How many disabled persons in the areas? |_________|_________|_________| Total Males Females How many health facilities in the areas? ___ hospitals ____ FAP ____HP _____others III. Displacement Are there displaced people? Yes |__| No |__| How many families displaced? |_________| families What is the pattern of IDPs movement? Increase |___| Decrease |___| Stable |___| V - Health Are health facilities functioning in the areas? Yes |__| No |__| What types of health facilities functioning in the areas? Hospital |__| FAP |__| HP |__| Others |__| Have there been any reports or rumours of any outbreak of the following : Measles/AWD/others (please specify) What types of health problems in the affected areas? Are there barriers to access health facilities? Yes |__| No |__| Don’t know |__| If yes, what are the barriers? Transport |__| Security |__| No space |__| Others |__| VII - Water and Sanitation Does population have access to water? Yes |__| No |__| Don’t know |__|


What are sources of water supply? Piped water |__| Tubewell/borehole |__| Dug well |__| Water from spring |__| Surface water |__| Others |__| Is the water supply reliable? Yes |__| No |__| Don’t know |__| Is water quality monitored? Yes |__| No |__| Don’t know |__| Are hygienic items available for families? Bathing soap |__| laundry soap |__| baby napkins |__| sanitary napkins |__| others |__| Is there a garbage disposal system in place in the areas? Yes |__| No |__| Don’t know |__| Is there drainage system in the affected areas? Yes |__| No |__| Don’t know |__| Annex 2- Results of individual survey:

Toretsk

Novhorodske

Zaytsevo

Mayorsk Avdiyivka Maryinka Novotroitske Pyschevyk Total

Total number of

individuals interviewed10 10 10 10 10 5 55

20-30 1 0 1 0 1 0 3

31-50 3 5 4 3 5 0 20

Over 50 6 5 5 7 4 5 32

Male 3 4 5 6 5 1 24

Female 7 6 5 4 5 4 31

1 member 1 0 0 2 1 3 7

2 members 3 4 3 2 2 2 16

3 members 4 4 5 3 5 0 21

4 members 2 1 2 1 2 0 8

5 members 0 1 0 2 0 0 3

0-5 km 9 4 7 8 10 4 42

6-16 km 1 3 3 2 0 0 9

16-25 km 0 3 0 0 0 1 4

More than 25 km 0 0 0 0 0 0 0

State hospital 7 4 8 10 9 0 38

Private clinic 0 0 0 0 0 0 0

Village health point

(FAP)2 6 0 0 0 5 13

Pharmacy 1 0 1 0 0 0 2

Friends/relatives 0 0 1 0 1 0 2

Yes 3 2 2 3 4 0 14

No 7 8 8 7 6 5 41

Lack of money, high

prices7 8 8 7 6 5 41

No 9 5 10 2 10 0 36

Yes 1 5 0 8 0 5 19

ICRC 0 2 0 1 0 5 8

ADRA 0 0 0 7 0 0 7

PIN 0 1 0 0 0 0 1

Piped water at home 4 4 5 3 3 2 21

Private water resource 0 0 1 1 2 3 7

Bottled water from shop 1 0 0 0 1 0 2

Boiling piped water 5 6 4 6 4 0 25

No 10 10 10 10 10 5 55

Yes 0 0 0 0 0 0 0

Annex 1: Results of individual survey made during needs assessment,

August 2016

Premiere Urgence Internationale

If yes, from which NGO? (some people did not remember name of NGO)

Where do you take drinking water?

Did you receive any help in access to drinking water

Where do you go for health care first of all?

Do you have enough soap and other hygiene items in your family?

If no, why?

Did you already receive free hygienic kits?

How old are you?

Sex

How many members live in your family?

What is the distance to the closest health care facility from your home?

ukr-pui wash need assessment report fv

Documents