ORIGINAL: ENGLISH
1. In paragraph 4 of its resolution 1143 (1997) of 4 December 1997, the
Security Council requested the Secretary-General to report to it, inter alia,
prior to the end of the 180-day period, on the basis of observation by United
Nations personnel in Iraq, and on the basis of consultations with the Government
of Iraq, on whether Iraq had ensured the equitable distribution of medicine,
health supplies, foodstuffs and materials and supplies for essential civilian
needs, financed in accordance with paragraph 8 (a) of resolution 986 (1995) of
14 April 1995, including in his report any observations he might have on the
adequacy of revenues to meet Iraq's humanitarian needs and on Iraq's capacity to
export sufficient quantities of petroleum and petroleum products to produce the
sum referred to in paragraph 1 of resolution 986 (1995). My 90-day report to
the Council pursuant to paragraph 4 of resolution 1143 (1997) was submitted on
4 March 1998 (S/1998/194 and Corr.1).
2. The present report provides information up to 15 May 1998 on the
distribution of humanitarian supplies throughout Iraq, including the
implementation of the United Nations Inter-Agency Humanitarian Programme in the
three northern governorates of Dahuk, Erbil and Sulaymaniyah. The delivery and
distribution of inputs under resolutions 986 (1995), 1111 (1997) and 1143 (1997)
(phases I, II and III, respectively) continue and the present report describes
developments in the implementation of the programme since my previous report and
reviews the impact of the programme as a whole. In accordance with resolution
1153 (1998), paragraph 5, the enhanced distribution plan was submitted by the
Government of Iraq on 27 May 1998. I approved the enhanced distribution plan on
29 May 1998, and a new 180-day period commenced at 0001 hours Eastern Standard
Time on 30 May 1998.
3. The last proceeds of oil sales effected under resolution 986 (1995) were
deposited into the United Nations Iraq Account on 27 June 1997. A total of 125
letters of credit were processed under phase I, representing $2,149,806,396
worth of oil.
4. The last proceeds of oil sales effected under resolution 1111 (1997) were
deposited into the United Nations Iraq Account on 2 January 1998. A total of
128 letters of credit were processed under phase II, representing $2,124,569,788
worth of oil.
5. Between 15 January and 15 May 1998, 180 letters of credit were confirmed by
Banco nationale de Paris pursuant to resolution 1143 (1997). The proceeds of
those oil sales are expected to be approximately $2,117,000,000, but they will
vary in accordance with the market price of crude oil. As at 15 May 1998,
$1,298,196,628 of oil proceeds had been received under phase III in the United
Nations Iraq Account.
6. The export of petroleum from Iraq during phase III has proceeded smoothly,
with excellent cooperation among the oil overseers, the independent inspection
agents (Saybolt), the Iraqi State Oil Marketing Organization and the national
oil purchasers. In view of the delayed resumption in petroleum sales and a
serious drop in price, the projected $400 million revenue shortfall in the first
90-day revenue objective of $1.07 billion (including the pipeline fee) and the
consequences for humanitarian supplies, the Security Council, in its resolution
1158 (1998) of 25 March 1998, decided to permit the import of petroleum
originating in Iraq, sufficient to produce a sum not exceeding a total of
$1.4 billion within the second 90-day period of phase III.
7. A total of 53 contracts, involving purchasers from 18 countries, were
reviewed by the overseers in phase III, as follows: Algeria (1), Austria (2),
Bulgaria (1), China (2), France (4), India (2), Indonesia (1), Italy (3),
Morocco (1), Netherlands (1), Russian Federation (18), Slovakia (1), Spain (4),
Switzerland (1), Turkey (3), United Kingdom of Great Britain and Northern
Ireland (4), United States if America (3) and Ukraine (1). Fifty-two contracts
were approved, and one contract was cancelled by the Iraqi State Oil Marketing
Organization because of the inability of the purchaser to present all supporting
documents. The total quantity of oil approved for export under those contracts
corresponds to approximately 184.1 million barrels for the 180 days, the highest
amount under the programme established by resolution 986 (1995). All contracts
submitted employed the pricing mechanisms approved by the Committee on the
recommendation of the overseers.
8. In the first 90-day period, 48 liftings, totalling 53.6 million barrels for
a value of $645 million, have been completed. In the second 90-day period, 80
liftings, totalling 99.2 million barrels, with an estimated value of
$1.14 billion, have been completed. Twenty-seven liftings remain for the second
quarter (as at 15 May 1998). Letters of credit opened for each of the liftings
were reviewed and confirmed by the overseers upon compliance with the terms and
conditions of the contracts approved and consultations with the parties
concerned. About 57 per cent of the liftings were made at Ceyhan in Turkey. At
current prices, total revenue for the whole phase III period is estimated at
about $2.15 billion (including pipeline fees).
9. The overseers have continued to advise the Security Council Committee
established by resolution 661 (1990) on the pricing mechanisms, contract
approval and modifications, management of the 90-day revenue objective of
$1.07 billion (including pipeline fees) and other pertinent questions related to
export and monitoring, under resolutions 986 (1995), 1143 (1997) and
1158 (1998).
10. The overseers and the independent inspection agents (Saybolt) deployed to
monitor oil loadings and transfers have worked closely to ensure the effective
monitoring of the relevant oil installations as well as the liftings. The
overseers in March 1998 accompanied to Iraq the group of experts established
pursuant to paragraph 12 of resolution 1153 (1998), to determine, in
consultation with the Government of Iraq, the capacity of Iraq to export
petroleum and petroleum products sufficient to produce the amount referred to in
paragraph 2 of resolution 1153 (1998), namely $5.256 billion.
11. Pursuant to paragraph 2 of the procedures of the Security Council Committee
(S/1996/636), 268 national oil purchasers, who are authorized to communicate
directly with the overseers, have been nominated from 45 countries.
12. Pursuant to paragraph 14 of the procedures of the Committee, the overseers
have continued to report to the Committee once a week on the contracts
considered by them relating to the sale of petroleum originating in Iraq,
including the cumulative quantity and approximate value of petroleum authorized
for export. So far, 73 such reports have been submitted to the Committee.
13. During phase III, there was a marked increase in the speed of approvals,
deliveries and authentication at the borders as all parties became more
experienced with the procedures of the programme envisaged under resolution
986 (1995), and because of the measures taken by the Office of the Iraq
Programme in compliance with the directives of the Secretary-General (S/1998/90,
paras. 53-56). In addition, improvements were noted as a result of the
decisions taken by the Security Council Committee regarding its own working
procedures. As previously occurred in phases I and II, bulk foodstuff contracts
were submitted first and therefore processed first, according to the procedures
of the Committee and the request of the Government of Iraq that applications be
processed in the order in which they are received by the Secretariat. As a
result, funds were depleted by large food contracts early in phase III and
therefore medical contracts, in particular, remained unfunded until the latter
part of the phase. This problem was exacerbated by the shortfall in available
funds owing initially to the delay in the sale of oil and then to a serious drop
in world oil prices during this phase, which meant that contract applications
approved for phase III by the Committee could not be honoured until sufficient
funds were received into the United Nations Iraq Account. On occasion during
this phase, the Government of Iraq made special requests for allocating funds on
a priority basis for specific applications; all such requests have been
honoured.
14. With respect to phase III, the current status of applications as at
15 May 1998 is found in annex I. Using dollar amounts as a basis, the approval
rate by the Security Council Committee for this phase continues to translate
into approximately 95 per cent of the total applications submitted to it.
15. As announced on 9 March 1998, the oil revenues available for the purchase
of humanitarian supplies under phases I and II have been exhausted; therefore,
those phases are considered completed. Figures relating to the status of
applications for those phases as at 15 May 1998 are also given in annex I.(1)
16. The United Nations independent inspection agents (Lloyd's Register)
continue to inspect the arrival of humanitarian supplies into Iraq. During the
course of the last 180 days, they have received goods approved in all three
phases, covering every sector of the distribution plan. Enhancement of the
Lloyd's Register information technology systems has ensured that the arrival of
goods is notified through the daily data links between the four entry points
into Iraq and United Nations Headquarters in New York. The sites differ greatly
in the type and amount of traffic handled. Currently the Trebil site is working
close to or at capacity, whereas the site at Al-Walid, geographically closest to
Trebil, has the capacity to receive a substantially increased amount of
humanitarian supplies to be authenticated. All means will be pursued, in
consultation with the Government of Iraq and with United Nations agencies and
programmes, to reduce this marked discrepancy in levels of traffic, so as to
avoid unnecessary delays.
17. The Security Council, in its resolution 1143 (1997), authorized the
Government of Iraq to export petroleum and petroleum products for another period
of 180 days, starting from 5 December 1997. As at 15 May 1998, of the
$2 billion authorized under that resolution, $1,298.2 million had been deposited
into the account for phase III, bringing total oil sales since the inception of
the programme envisaged under resolution 986 (1995) to $5,572.6 million.
18. The allocation of total oil proceeds received to date and the corresponding
expenditures are as follows:
(a) $2,772.2 million has been allocated for the purchase of humanitarian
supplies by the Government of Iraq, as specified in paragraph 8 (a) of
resolution 986 (1995). In addition, interest in the amount of $58.5 million has
accrued, while an amount of $224.9 million represents bulk purchases made by the
Government of Iraq for the three northern governorates and distributed by the
United Nations Inter-Agency Humanitarian Programme. Pursuant to resolution
986 (1995) a total of 864 letters of credit for humanitarian supplies, amounting
to approximately $1,247,595,359, have been approved or issued under phase I as
at 15 May 1998. Also as at 15 May 1998, 1,619 payments totalling $1,136,527,071
had been made to suppliers for deliveries of humanitarian goods under the terms
of their letters of credit. Pursuant to resolution 1111 (1997) of 4 June 1997,
a total of 482 letters of credit, amounting to $1,158,371,822, have been
approved or issued for phase II. As at 15 May 1998, 628 payments totalling
$766,133,952 have been made to suppliers for deliveries of humanitarian goods
under the terms of their letters of credit. Pursuant to resolution 1143 (1997),
a total of 90 letters of credit have been approved or issued under phase III.
As at 15 May 1998, 15 payments totalling $52,745,613 have been made to suppliers
for deliveries of humanitarian goods under the terms of their letters of credit;
(b) $679.5 million has been allocated for the purchase of humanitarian
goods to be distributed in the three northern governorates by the United Nations
Inter-Agency Humanitarian Programme, as specified in paragraph 8 (b) of the
resolution. Expenditures recorded for humanitarian goods approved by the
Security Council Committee amounted to $420.4 million;
(c) $1,671.6 million has been transferred directly into the United Nations
Compensation Fund, as specified in paragraph 8 (c) of the resolution. As at
15 May 1998, a total of $67.8 million had been allotted to cover the operating
expenditures of the Compensation Commission and an amount of $1,210.8 million
for payment of first, second and third instalments of "A" and "C" claims;
(d) $115.8 million has been allocated for the operational and
administrative expenses of the United Nations associated with the implementation
of resolution 986 (1995), as specified in paragraph 8 (d) of the resolution.
Expenditures for administrative costs for all United Nations entities involved
in implementing the resolution amounted to $80.6 million;
(e) $39.3 million has been allocated to the United Nations Special
Commission for its operating expenses, as specified in paragraph 8 (e) of the
resolution. Expenditures for the Commission amounted to $31.9 million;
(f) $241.9 million has been set aside for the transportation costs of
petroleum and petroleum products originating in Iraq exported via the Kirkuk-Yumurtalik pipeline through Turkey, in accordance with paragraph 8 (f) of the
resolution and in line with procedures adopted by the Security Council
Committee. Of that amount, $241.4 million has been paid to the Government of
Turkey;
(g) $52.3 million has been transferred directly to the escrow account
established pursuant to resolutions 706 (1991) of 15 August 1991 and 712 (1991)
of 19 September 1991 for the repayments envisaged under paragraph 6 of
resolution 778 (1992) of 2 October 1992, as specified in paragraph 8 (g) of
resolution 986 (1995).
19. The interest referred to in paragraph 18 (a) above has been used by Iraq to
purchase additional humanitarian supplies in accordance with the procedures
established pursuant to resolution 986 (1995). As at 15 May 1998, $58.4 million
has already been allocated for the purchase of additional humanitarian supplies.
20. For phases I to III, a combined total of $2.7 billion was allocated to the
food and nutrition sector. There have been no changes to the distribution
mechanism for the food sector under phases I to III. As at 15 May 1998, a
cumulative total of 5,458,391 tons of food and related items had arrived in the
country, accounting for 68.8 per cent of the total number of approved contracts.
For phase I, a total of 2,764,907 tons, representing 98.83 per cent of the
contracted amount of 2,797,650 tons, have arrived. Action on the final four
contracts for phase I is currently under way; the Ministry of Trade has
rescheduled arrival and expects that the goods will arrive in September 1998.
Under phase II, 2,271,133 tons, representing 85.97 per cent of the contracted
amount of 2,641,775 tons, have arrived. Under phase III, 419,674 tons,
representing 16.89 per cent of the contracted amount of 2,484,620 tons, have
arrived. Commodities for phase III began arriving in March 1998. During the
heightened security situation in February, the distribution of the March ration
was accelerated, all food agents receiving commodities by 26 February 1998.
21. As at 15 May 1998, 76 per cent of medicines and medical supplies under
phase I and 25 per cent under phase II have arrived in the country out of a
total of $210 million allocated for each phase. Under phase III, contracts with
a total value of $72,588,379 have been approved, representing 36.29 per cent of
the $200 million allocated. The pace of delivery has not changed in practical
terms, increasing from 42 per cent as reported in the last 180-day report to
76 per cent at present. The average time lag for delivery is about eight months
for contracts signed between January and March 1997. However, delivery time for
commodities contracted under phase II came down to 3.5 months for supplies
received between January and March 1998. This significant reduction in delivery
times is attributable to the accelerated approval procedures and the inclusion
of delivery time limits in contractual arrangements.
22. In the water and sanitation sector, $24 million has been allocated under
phase I in the 15 governorates in the centre and south of Iraq, and
$24.17 million under phases II and III. As at 15 May 1998, 31.6 per cent of the
total allocation under the three phases arrived in the country, representing
supplies worth $22,850,726. Under phase I, contracts worth $22,894,235 have
been approved by the Security Council Committee. Under phases II and III,
contracts worth $20,169,792 and $16,100,517, respectively, have been approved.
Under phase I, supplies worth $19,413,084, representing 81 per cent of the
allocation, have been delivered and under phase II supplies worth $3,437,642,
representing only 14.2 per cent of the allocation, have arrived. It is
anticipated that most of the commodities ordered under phases I and II will be
delivered before the end of 1998. As at 15 May 1998, no supplies under
phase III have arrived.
23. Of the $36 million allocated for the electricity sector under phase I,
$36.2 million has been submitted and approved by the Security Council Committee;
12 applications worth $4.3 million were blocked. Equipment worth $15.9 million
of approved orders has been received. All items received for use in the four
thermal power stations have been distributed. Power grid cable and transformers
for the distribution network have arrived and been distributed to the four
facilities of the General Establishment for Electricity Distribution in Baghdad
and central, northern and southern Iraq. According to the Ministry of Industry,
the remaining equipment under phase I is expected to arrive during
September 1998. A further $36 million has been allocated for this sector under
phase II, under which 28 applications worth $43.3 million, out of the total
$44.9 million submitted to the Security Council Committee, have been approved.
No application under phase II is blocked. Goods worth $1.1 million from
phase II have arrived. A further $35.5 million was allocated to this sector for
phase III. As at 15 May 1998, applications worth $24.5 million have been
submitted to the Committee and $13.6 million have been approved. Six
applications worth $6.3 million are pending. Three applications worth
$4.6 million are on hold and nine applications worth $7.2 million are being
processed. No phase III commodities had arrived as at 15 May 1998. Most of the
commodities ordered under phases I and II are expected to arrive during 1998.
Implementation programmes have started at the power plants and distribution
network.
24. The total amount allocated to the agricultural sector for phases I to III
was $144.15 million. For the sector, rates of submission and approval have
increased considerably compared to phase II. Applications valued at a total of
$64.6 million have been submitted to the Security Council Committee under
phases I to III, 83 per cent of their value being approved. Phase I submissions
exceeded the allocation, as additional contracts were submitted in substitution
of blocked contracts. In phase II, competitive bidding between suppliers
lowered the purchase price for animal health supplies by 30 per cent. The
resulting funds (some $700,000) were approved by the Committee for the purchase
of an additional 76 tractors and animal health supplies. Phase I delivery has
almost reached its completion. The first phase II deliveries have been made,
and the remaining 47 per cent of supplies are expected in the coming months.
Phase III supplies, submitted for approval between February and April 1998, are
yet to arrive, with 56 per cent of the allocation approved. Supplies for over
79 per cent of phase I deliveries have been distributed to the governorates and
22 per cent of these have been released to end-users and implemented.
25. In the education sector, $12 million has been allocated under each phase in
the 15 governorates in the centre and south of Iraq. As at 15 May 1998,
26 per cent of the total allocation under the three phases had arrived in Iraq,
representing supplies worth $9,366,329. Under phase I, contracts worth
$10,950,428 have been approved by the Security Council Committee and, under
phases II and III, $10,682,424 and $7,552,569, respectively, have been approved.
To date, supplies worth $5,735,454, representing 47.8 per cent of the phase I
allocation, have been delivered to the Ministry of Education. It should be
noted that some phase I applications were placed on hold for extended periods
and that under phase II there were similar difficulties. Under phase II,
supplies worth $3,630,875, representing 30.3 per cent of the allocation, have
been delivered. It is anticipated that most of the commodities ordered under
phases I and II will be delivered before the end of 1998. The Committee has
approved the majority of phase III applications, but they have not yet been
executed, as funds have not been available. No supplies ordered under phase III
have been delivered as yet.
Approval, arrival and distribution of humanitarian supplies in Dahuk, Erbil and
Sulaymaniyah
26. Commodities purchased by the Government of Iraq for the three northern
governorates of Dahuk, Erbil and Sulaymaniyah continued to arrive at the two
World Food Programme (WFP) transit warehouses in Mosul and Kirkuk. By
15 May 1998, WFP indicated that a total of 622,359 tons had arrived,
representing 97 per cent of requirements. Only 50 per cent of the required
amount of pulses has been received for the northern governorates, owing to late
arrival in the country, and certain districts have outstanding requirements
dating from February 1998.
27. Supplementary food commodities purchased by WFP with funds allocated for
nutrition began arriving in January 1998. For phases I to III, a total of
$20 million has been allocated to WFP and the United Nations Children's Fund
(UNICEF) to address nutrition needs, particularly of groups in the northern
governorates, such as malnourished children under five years of age, pregnant
and nursing mothers, those in hospitals and social institutions, and internally
displaced persons. As at 15 May 1998, a cumulative total of 5,835 tons had
arrived under phase I, 11,176 tons under phase II, and 2,305 tons under
phase III. The arrival of these commodities in January 1998 was designed to
coincide with the depletion of the stocks already purchased by WFP for
vulnerable groups. The caseload for the nutrition programme is approximately
225,000 beneficiaries with a requirement of 1,750 tons per month. On average,
the distribution of nutrition commodities was 1,589 tons to 261,444
beneficiaries each month. The caseload fluctuates as beneficiaries enter and
are discharged from the programme.
28. The distribution plan under phase I allocated $28.8 million for medicines
and medical supplies for the three northern governorates. As at 15 May 1998,
medicines and medical supplies worth $16,540,000 have been delivered to the
three northern governorates, representing 57.43 per cent of the funds allocated
under phase I. Under phase II, of the $29 million allocated, some $323,746 or
1.1 per cent of the allocation was received in the three northern governorates.
Medical equipment received under phase I represents a value of $8,769,235 or
84.3 per cent of the allocated funds. Some 69.73 per cent have been distributed
and, when required, installed by the World Health Organization (WHO) experts who
also provided the necessary training. For water quality control and nursing
education, supplies equivalent to 3 per cent and 6 per cent respectively have
been received. Given delivery times, it is expected that the pace of arrivals
will accelerate. Observation activities were conducted regularly, covering an
average of 91 health facilities per week, to check the use of supplies and to
provide support to staff in charge of drug dispensing, most of whom were medical
assistants inexperienced in drug management. A training programme for 630 staff
has been initiated, covering all three governorates.
29. In nursing education, WHO fielded a nursing expert and, after situation
analysis, launched a series of workshops on the form and content of nursing
training. Appropriate training materials have been identified and are being
printed. Other training and learning materials are being acquired. A
rehabilitation plan for three of the six nursing schools is being finalized and
will start soon. For water quality control, WHO has fielded a sanitary engineer
working on a long-term approach to quality control development. A training
programme has been developed on methodologies and procedures for both
bacteriological and chemical testing of water, for which part of the equipment
ordered under phase II has arrived, including three vehicles, which will
facilitate logistics. Provision has been made under the next phase to improve
the collection of water samples and to rehabilitate laboratory facilities.
Shipments have been made on a weekly basis to the three northern governorates.
Commodities are released by the central warehouse in response to WHO requests.
WHO and warehouse staff are checking storage and distribution of supplies
received at health facilities.
30. Under phase I, $20.2 million has been allocated to the water and sanitation
sector in the three northern governorates. As at 15 May 1998, all contracts,
worth $18,481,537, submitted to the Security Council Committee have been
approved. Under phase II, applications worth $18,946,618 have been submitted
and approved. Applications under phase III amount to $14,205,653, all of which
have been approved. To date, 53.06 per cent of supplies contracted under
phase I have arrived and 38.29 per cent have been distributed. Under phase II,
4 per cent and 2.33 per cent of equipment has arrived and been distributed,
respectively. To date, there have been no arrivals under phase III.
31. The implementation of the programme for the electricity sector is the
responsibility of the United Nations Development Programme (UNDP) and the
executing agency is the Department of Economic and Social Affairs of the
Secretariat. UNDP and the Department are responsible for assessing the needs of
the sector in cooperation with the local authorities, purchasing all the spares
and electrical equipment on a priority basis, assisting the local electricity
authorities in implementing the project, observing the implementation process to
ensure equitable distribution, and assessing the adequacy and efficiency of
implementation and its impact. Under phase I, applications worth $20.6 million
out of a total allocation of $23.27 million, including an additional
$10.1 million allocated from the funds for winter heating fuel, have been
approved by the Security Council Committee. Under phase II, applications for
$17.6 million worth of equipment have been approved. Against the phase III
allocation of $26 million, $24.6 million worth of applications have been
submitted and approved. Items under phase I with a total value of $2.7 million
have been delivered to the three UNDP/Department of Economic and Social Affairs
warehouses in the three northern governorates. Although some supplies have
already been installed, routine maintenance programmes have delayed full
installation. Most of the remaining phase I commodities are expected to arrive
by September 1998, while phase II equipment is expected to arrive in the first
quarter of 1999. Since April 1998, a joint task force of UNDP/the Department of
Economic and Social Affairs and the Office of the Iraq Programme has met
regularly to review and assist the progress of implementation in this sector in
the three northern governorates.
32. The objective of the first three phases in the agricultural sector has been
to provide the three northern governorates with the basic, highest priority
inputs, aimed at overcoming some of the major constraints impeding domestic food
production, and to respond to the basic needs of small-scale farmers. The first
phase I consignments were delivered in June 1997, which allowed for the timely
implementation of the winter season inputs, while summer inputs were stored over
the winter. These are currently being distributed with the phase II summer
inputs. The Food and Agriculture Organization of the United Nations (FAO)
continues to tender for phase III inputs. Distribution consists of inclusive
campaigns, jointly planned with the technical departments of local authorities
and farmers' unions. Implementation activities have covered the areas of crop
and vegetable production, plant protection, animal health, irrigation and
agricultural mechanization. Activities in the crop and vegetable production
sub-sector aimed to restore productivity through the provision of fertilizers
and improved seed. Of the phase I allocation of $20.15 million, 88 per cent has
been delivered, and 56 per cent distributed to end-users. Of the phase II
allocation of $26 million, 41 per cent has been delivered and is being
distributed according to seasonal requirements. During the 1997/98 winter
season, 48,554 farmers received seeds and fertilizer assisting the cultivation
of 43,547 hectares of arable land. The 1998 summer season has seen the
distribution of vegetable and legume seed together with fertilizer, benefiting
30,988 farmers and covering an area of 4,000 hectares. The plant protection
sub-sector was allocated 50 per cent of the total agricultural allocation under
phase I. Plant pest and disease control campaigns during the 1997/98 winter and
1998 summer agricultural season benefited 80,000 farmers in 4,000 villages,
providing coverage of 250,000 hectares of land. Activities also addressed the
bee-keeping sub-sector, in an attempt to increase rural income and improve diet
through enhancing honey production. Distributed inputs included production
tools and equipment and hive-protection chemicals. In the animal health
sub-sector, the programme included livestock disease control activities,
reactivation of small and medium-sized poultry farms, and enhancement of
backyard poultry production. All animal vaccines, veterinary pharmaceuticals
and most veterinary equipment and poultry feed concentrate under the phase I
allocation have been delivered. The complete supply of animal vaccines and
parasiticides have been used in the vaccination and treatment of 90 per cent of
the animal population against enterotoxaemia, rinderpest, black leg, sheep and
goat pox, foot and mouth disease, and internal and external parasites. Phase II
deliveries continue and inputs are being distributed together with phase I
inputs as required.
33. $15,150,000 has been allocated to the education sector under phase I. As
at 15 May 1998, contracts worth $12,748,131 million have been submitted to and
approved by the Security Council Committee. Under phase II, applications worth
$12,953,131 have been submitted and $12,243,131 have been approved, all of them
submitted by UNICEF; no applications had been submitted by the United Nations
Educational, Scientific and Cultural Organization (UNESCO). Applications under
phase III amount to $10,429,838, of which $6,629,838 have been approved. To
date, 50.1 per cent of supplies contracted under phase I have arrived and
34.8 per cent have been distributed. Under phase II, 1 per cent of the
allocation has arrived. To date, there have been no arrivals under phase III.
34. After a very slow and difficult start to the programme, considerable
progress has now been made. Phase I recruitment, training and deployment of
demining teams and medical staff have been completed in the three northern
governorates. Field training operational bases have been established at Choman
in Erbil and at Maidan in Sulaymaniyah. Ninety-two per cent of all equipment
under phase I has arrived. Training and recruitment under phase II has also
begun. As at 15 May 1998, 22 per cent of all equipment under this phase has
arrived. Materials, equipment, building refurbishment and operating expenses
have been provided to facilitate the recommencement of operations in prosthetic
workshops that were previously closed in Erbil and Sulaymaniyah. An
international consultant has conducted an assessment of the requirements for a
minefield and mine victims database. Planning is currently under way to conduct
a region-wide survey and establish a more accurate, up-to-date and comprehensive
database to show minefield maps and data on victims.
35. All contracts under phase I in the settlement rehabilitation sector have
been submitted to and approved by the Security Council Committee, while
85 per cent and 100 per cent of contracts under phases II and III have been
submitted and approved, respectively. Supplies under phase I worth $320,000,
representing 9 per cent of the allocation, have recently arrived in the country
and have not yet been delivered to the end-user. No supplies have arrived under
phase II or III, but phase II projects worth $0.83 million are in progress. A
range of projects is being implemented by the United Nations Centre for Human
Settlements (Habitat) covering family shelters, water and sanitation systems,
health centres, primary schools, village access roads, and bridges and
irrigation channels.
36. In my reports to the Security Council pursuant to paragraph 11 of
resolution 986 (1995) and paragraph 3 of resolution 1111 (1997) (S/1997/419 and
S/1997/685, respectively), I outlined the three tiers of the United Nations
observation process in the food and health sectors. In my report to the
Security Council pursuant to paragraph 3 of resolution 986 (1995) (S/1995/935),
I described the details of the tracking mechanism as a general feature of the
observation process and described the dual character of technical assistance and
spot checks in the northern governorates, where the United Nations is
responsible for the implementation of the programme.
37. Observation activities by United Nations personnel during part of the
reporting period were restricted to day trips only, because of the general
rationing of fuel in Iraq during the heightened security situation in
February 1998. During that period, the Geographical Observation Unit covered
food facilities, and food and flour agents and clients in Baghdad and the
neighbouring governorates.
38. During that period also, WFP international observers continued to visit all
the governorates except Basra, Missan, Ninevah and Salah al Deen. For those
governorates, special permission was obtained from the Ministry of Trade for
senior WFP national staff to collect statistics from the relevant facilities,
which were subsequently verified by international observers. Observations by
FAO were restricted and UNICEF activities were also curtailed to the extent that
no observation was undertaken in the three northern governorates or in Basra,
Missan and Thi-Qar. Visits by international observers were suspended altogether
during the security-related relocation of United Nations personnel from 19 to
26 February. When normal observation activities were resumed on 2 March, all
observation units had taken the necessary measures to account for the gap in
observation. FAO and UNICEF intensified activities in the governorates that
they had not been able to cover. WHO continued its observation, mostly in
governorates that could be covered within a day, and also focused observation on
warehouses and health facilities in Baghdad. Similarly, the Geographical
Observation Unit intensified its activity in the following fortnight, so as to
account for the one week in which observation was suspended as well as for the
period in which no outlying governorates were visited. This involved observing
all food facilities and interviewing 154 food and flour agents. United Nations
observers have reported that the distribution of supplies continued without
disruption and that there were no irregularities during the period in which
observation activities were limited and suspended.
39. In my previous report to the Security Council (S/1998/194), I noted the
expansion of the Geographical Observation Unit's role into the water and
sanitation, electricity and agricultural sectors, and that its role was being
reviewed by its management in consultation with the Multidisciplinary
Observation Unit. In accordance with the need for a strengthened observation
mechanism in view of the enhanced distribution plan, a new observation strategy
has been formulated for this Unit involving training by, and joint observations
with, United Nations sectoral agencies. This will allow the Unit to utilize its
observation capacities to cover all governorates simultaneously, providing the
sectoral agencies with additional nationwide information on the status of a
selected number of commodities. Greater involvement in a growing number of
sectors entails an increasingly cross-sectoral and analytical approach to the
observation process in general; in addition to existing observation activities,
an increasing number of issues are investigated in depth and the findings are
analysed in special reports. Focal points take on specific tasks in addition to
regular observation activities, such as preparing and carrying out of pilot
projects and drafting background papers in consultation with the
Multidisciplinary Observation Unit and the sectoral agencies. These changes
have served to maximize the degree of coordination and eliminate unnecessary
duplication among the three tiers of the observation mechanism.
40. During February and March 1998, the Geographical Observation Unit collected
information on end-user registration statistics for 1997 in the 15 governorates
in the centre and south of Iraq. Apart from providing a clearer picture of
changes in population entitled to the ration, this information will enable the
Unit to conduct comparative observations in the food sector. Registration
figures can be compared with available stocks, expected needs and actual
disbursement for each distribution cycle. This will focus observation on
possible discrepancies rather than expending efforts in repeated, monthly visits
to all facilities. The Unit also conducted a comprehensive observation of basic
intravenous fluids in March 1998 as part of its analytical functions. The
exercise included elements of simple tracking but also involved gathering
information on needs assessment, buffer stocks, quality control, delivery
schedules, and utilization pace at end-user level. Allocation patterns and
criteria were also reviewed. Data on contract submission and approval will be
incorporated to give an overall picture. Such an integrated and comprehensive
approach to observation will enhance efficiency of the observation process
itself and allow for more focused readings and analysis of the effectiveness,
adequacy, and equity of commodities provided for under resolution 986 (1995).
41. Furthermore, a three-month plan for observation is being finalized whereby,
in consultation with the sectoral agencies, all United Nations observation
activities undertaken are planned and coordinated more effectively.
42. During the period under review WFP observers undertook 11,320 observation
visits. WFP international observers also participated in the Nutrition
Assessment Survey conducted by the Ministry of Health and UNICEF in March 1998.
The survey was designed to assess the nutritional situation of children under
five and mothers of children under two years of age. WFP observers were present
at 90 per cent of the health facilities used in the survey to observe that the
methodology was applied consistently. WFP training sessions were designed to
improve the skills of international and national observers and to standardize
and enhance accuracy in data collection. Quality checks on the work of
observers and data entry personnel were also conducted periodically.
43. As at 30 April 1998, WHO observation teams have conducted a total of 919
visits to the 15 governorates of the centre and south of Iraq, with an average
of approximately 230 visits per month. In the course of each visit, items
selected for tracking are verified physically and against the relevant
documentation. In February 1998, WHO introduced changes to its observation
procedures and adopted methods designed to maximize its analytical assessment of
the effectiveness and adequacy of the programme. Analysis of observation
findings continues to be followed up by meetings with the relevant health
authorities, at which corrective measures concerning stock management,
distribution and logistical problems are discussed. WHO has also sought to
identify and eliminate bottlenecks which restrict distribution from the central
warehouses of the Iraqi State Company for Importation of Drugs and Medical
Supplies (Kimadia).
44. In the water and sanitation sector, UNICEF undertook 742 visits to various
project sites in the 15 governorates. Observers visited water and sewage
treatment plants, sewage pumping stations, compact units, water boosting
stations and warehouses to track the delivery, distribution and utilization of
liquid chlorine gas, spares and equipment. Observers have reported that
100 per cent of the chlorine gas received by the water authorities was observed
at the warehouse and project site level. Observers also visited 70 per cent of
the 500 sites in the centre and south that received other commodities. The
distribution and utilization of liquid chlorine gas is monitored daily by UNICEF
observers and the relevant details are entered into a database that provides a
routine profile for all commodities entering the country under this sector.
45. Owing to the low level of implementation in the electricity sector,
observation visits continue to consist of pre-installation visits to facilities
that are designated to receive commodities under the programme, namely power
plants, distribution and transmission substations, warehouses and selected
implementation sites. UNDP and the Department of Economic and Social Affairs
have finalized the necessary criteria and methodology for observing the
implementation of the programme in the three northern governorates. The system
is designed to ensure that appropriate measures are adopted for tracking items.
Pre-installation visits are undertaken to confirm the need and appropriateness
of the requested commodity. Post-installation visits are made to ensure that
installed equipment meets the intended purpose and is functioning reliably
within the electrical network. Discussions have been held between the United
Nations and the Government of Iraq, both in New York and Baghdad, on the survey
of Iraq's electricity sector as required by resolution 1153 (1998). The
Government of Iraq has maintained that its Central Planning Office is fully
aware of the problems of the electricity sector and has stated that such a study
in the 15 governorates is unnecessary. Therefore, to date, I have been unable
to fulfil the Security Council's request, contained in paragraph 11 of
resolution 1153 (1998), to report to it on the state of Iraq's electricity
sector and requirements. Nevertheless, the provisions for electricity under the
enhanced distribution plan explain the Government's objectives and how these
match the anticipated increase in power generation capacity/output (680
megawatts). The Government has stressed that actual procurement will be carried
out with a view to the most urgent requirements at the time. With regard to the
three northern governorates of Dahuk, Erbil and Sulaymaniyah, a study is being
undertaken and its results will be reviewed with the Government.
46. In the agricultural sector, FAO has carried out 225 observations during the
reporting period, covering all the storage facilities in Baghdad and the 15
governorate capitals, and a 30 per cent sample of all district stores. The
observation mechanism tracks all delivered supplies through records and physical
count checks. Spare parts are tracked using a selection of high-value items of
critical significance within the sector, as tracking each spare part is
impossible because of the volume and range of spare parts involved. A total of
826 end-users have been interviewed as part of a FAO rapid assessment survey in
the four indicator governorates of Baghdad, Kerbala, Missan and Ninevah.
47. In the education sector, UNICEF and UNESCO observers have maintained full
coverage of all commodities delivered to the four central warehouses of the
Ministry of Education. UNICEF observers conducted 24 observations at warehouse
and school levels within Baghdad. UNESCO has made 60 observations of
warehouses, schools and transformation centres.
Effectiveness
48. An analysis of the programme in the food sector has indicated an increase
in the efficiency of implementation. Performance indicators have shown that the
length of time required for the approval of contracts has been reduced.
According to figures provided by the Ministry of Trade, this has been reduced
from 68 days for contracts under phase I to 26 days for contracts under
phase II. Similarly, with regard to the distribution system in Iraq, arrival
figures obtained from the independent inspection agents indicate that the length
of time required for commodities to be delivered from the points of entry to
governorate warehouses has also been reduced, with deliveries of wheat flour, by
far the largest commodity in both volume and tonnage, taking between three and
four days. Of a total 2,613,595 tons of wheat grain that have arrived at
Umm Qasr, about 500,000 tons have been transported by rail. United Nations
observers note that handling and processing losses remain within the acceptable
limit of 2 per cent at all points on the distribution chain. This acceleration
in the arrival of food supplies has seen the distribution of a more complete
ration basket (see annex III). Record keeping by food and flour agents was
noted to be generally satisfactory.
49. Despite an increase in the effectiveness of the food sector, the erratic
supply of commodities has continued, resulting in missing, delayed or reduced
items. Pulses and infant formula have been most affected by delays in arrival
and reduction in quantities distributed since the beginning of the programme.
As a result, warehouses have supplies for certain commodities covering more than
one distribution cycle but face shortages of other items. This continues to
make efficient planning difficult at each level of the food distribution chain.
Warehouses cannot plan their distribution schedules effectively and food agents
continue to make more than one trip to warehouses to complete their allocation.
The greatest hardship due to erratic supply of food commodities continues to be
borne by the poorest beneficiaries, many of whom do not have the means to
supplement their food rations by buying in the market place and say that they
plan to make their ration last 30 days. Warehouse commodity shortages were
sometimes met by drawing on government stocks, as was the case for infant
formula in March and rice in April.
50. In the first week of March, geographical observers visited all 20 silos in
the 15 governorates and reported that two of them experienced delays and
stoppages due to frequent power cuts and a lack of spare parts. Those stoppages
did not affect the schedule of distribution to the mills, however. Observers
also visited 81 per cent of all mills in the centre and south and reported that
33 per cent had experienced similar mechanical and power supply problems.
Furthermore, 27 per cent had suffered a two- to six-day delay in flour
production. Ten per cent reported that those delays resulted in a three- to
four-day delay in the distribution of flour. The lack of spare parts meant that
many existing parts had to be replaced by locally manufactured, modified or
second-hand spare parts, all of which have short life spans and reduced milling
capacities. Two mills in the Babylon governorate and one mill in Baghdad,
designated under the programme to receive flour, have had to close down
indefinitely because of such mechanical problems.
51. The Geographical Observation Unit continued to receive complaints about the
quality of infant formula. Owing to the insufficient stock of infant formula,
warehouses were forced to issue the required quantity divided evenly between
Formula 1, meant for children under six months of age, and Formula 2, meant for
children over six months of age, regardless of the number of infants in each age
group.
52. The Geographical Observation Unit's analysis of ration registration
statistics showed that the registered adult population had increased by 511,140
beneficiaries in the 15 governorates over 12 months. The relative annual
increase was 2.8 per cent on average. The increase was highest in Missan
(5.4 per cent) and lowest in Diyala (1.68 per cent). The average monthly
increase was 0.25 per cent. These percentages also reflect an average annual
increase based on monthly increase in demand for items comprising the food
basket. The infant population registered for rations has increased at the
average monthly rate of 10.8 per cent for the period from June to December 1997.
This high increase is partially a reflection of the decision by the Ministry of
Trade that, from May 1997 onwards, the infant formula ration would be mandatory
for all children under one year of age. After the initial steep increase caused
by this administrative change, the trend now follows the natural increase of the
population.
Equitability
53. Tracking by United Nations observers from the port of entry to the
governorate warehouses has confirmed that available in-country stocks were
distributed equitably to the population. The methodology used by WFP to
determine this is based on monthly visits to an average of 640 households
randomly chosen in each governorate to conduct spot checks at the end-user
level. No anomalies have been reported by any United Nations observers. Close
attention continues to be paid to any notable changes in registration patterns
and the impact of administrative orders. On 14 May 1998, the Office of the
United Nations Humanitarian Coordinator was informed that Iraqi citizens who had
moved from the three northern governorates of Dahuk, Erbil and Sulaymaniyah to
new domiciles in the 15 governorates in the centre and south will henceforth be
eligible to receive the ration provided for under resolution 986 (1995) upon
completion of the established registration procedures and having proved
residence in the new location for at least six months.
54. Since, prior to March 1998, insufficient supplies in the WFP warehouses in
the three northern governorates were not complemented by national reserves as in
the 15 governorates in the centre and south, geographical observers noted
instances of unequal or incomplete distribution of certain commodities in some
districts, which were in particularly short supply because of delayed arrival.
Distribution by WFP is undertaken by district and some recipients have still not
received their full entitlements of pulses.
Adequacy
55. During the reporting period, owing to a shortage of in-country stock, only
in March 1998 did the food basket contain the full ration for all commodities
other than infant formula, whose shortfall was made up from stocks purchased
independently by the Government of Iraq. In December 1997 and April 1998, while
the food basket was supplemented by the Government, a reduced ration was
distributed. As from March 1998, the Government has made available to the three
northern governorates national stocks to supplement shortages in the food
basket. Previously, reduced rations had been distributed in the three northern
governorates, causing major concern.
56. Household spot checks conducted by observers indicate that for more than
half of the households checked, depending on the commodity, the ration lasts for
an average of 20 days. The general effect on household and nutritional
requirements can be seen in the fluctuation of market prices for commodities
provided in the ration basket. These prices have been found to decline when the
full ration is distributed. Beneficiaries continue to complain about the
inadequacy of the food basket, requesting an increase in the quantity provided
and the addition of animal proteins, such as meat and milk for adults. There
was, however, general satisfaction with the quality of commodities provided in
the ration basket. International observers received complaints regarding
dermatological problems caused by one brand of soap provided in the first three
months of the reporting period but none has been reported since March 1998.
57. Preliminary results of a nutritional status survey of 15,804 children
conducted by the Ministry of Health, UNICEF and WFP during the Polio National
Immunization Days of 16 to 18 March 1998 indicate that the nutritional situation
of children under five remains unchanged since the previous survey, in
March 1997. The most recent data collected indicate that approximately
27 per cent of children were suffering from chronic malnutrition, 9 per cent
suffering from acute malnutrition and 24 per cent were underweight. Results
from the survey in 1997 showed that 27.5 per cent of children were suffering
from chronic malnutrition, 8.9 were suffering from acute malnutrition and
24.7 per cent were underweight. It should be noted that these results are
extrapolated from data on children presented for immunization, most of whom were
under one year of age.
58. The results of the most recent survey reinforce the importance of water and
sanitation for the nutritional status of the population. Substantial
improvements in nutritional status cannot be expected until there is a
corresponding improvement in related areas that have an effect on nutrition. An
area of concern remains the distribution of infant formula, which has replaced
breastfeeding. Water supplies used to prepare the infant formula are often
untreated, drawn from wells, streams and dams, and are found to contribute to
diarrhoeal disease, one of the most important contributing factors to
malnutrition in children. This was confirmed in the UNICEF Multiple Indicator
Cluster Survey in August 1996, which indicated that 50 per cent of rural
households draw water from untreated sources. The results of these surveys
demonstrate the need for a multisectoral approach to the problem of malnutrition
and the need for the enhanced humanitarian programme to reduce concentration on
food intake, and spread limited resources to other sectors requiring urgent
attention if further deterioration in the nutritional status of the population
is to be prevented.
59. A random sample household survey was conducted in the three northern
governorates by the regional health and social welfare authorities with UNICEF
support in November and December 1997. A total of 30 clusters per governorate
were included, each cluster including 25 households. The survey included an
assessment of the nutritional status of 2,328 children under five years of age.
Results have shown that the nutritional status of this age group continues to be
serious, with 30.3 per cent of children interviewed suffering from chronic
malnutrition, 3.1 per cent suffering from acute malnutrition and 15.9 per cent
underweight.
60. The distribution of commodities under the nutrition programme implemented
by WFP and UNICEF in the three northern governorates effectively began in
January 1998. Two projects are being implemented, one for children under five
and one for pregnant and nursing women. Although it is too early to assess
fully the impact of these programmes, the number of people who have already been
drawn into the health care system indicates the potential of such programmes.
In April 1998, in the 15 governorates, WFP began to implement a programme for
malnourished children under five in cooperation with the Iraqi Red Crescent
Society. This project, which replicates that in the northern governorates, is
dependent on donations from the international donor community.
Effectiveness
61. An analysis of 2,096 items in the health sector under phase II indicates
that contracts have been approved within an average of 11 days from the date of
submission. A similar study of 62 items under phase III indicated that this
figure has been reduced to seven days. Delays in delivery have been reduced
significantly under phase II also. Under phase I commodities contracted in
January 1997 were delivered within an average of 265 days, while those
contracted in April 1997 were delivered within an average of 207 days. Under
phase II supplies delivered in January 1998 arrived within an average of 101
days from the date of signing the contract. The delay was within the same order
of magnitude until the end of April 1998. Through the introduction of better
contracting procedures, including time limits for suppliers, contract approval
has been speeded up. The number of batches has been dramatically reduced under
phase II and for items received to date there has been an average of two batches
per contract. However, the central quality control laboratory suffers from
shortages of laboratory animals and biological reagents, as well as the failure
of suppliers to include reference substances and instructions on test and
analysis procedures. The laboratory also faces a shortage of specialized
equipment that has yet to be approved, as well as an insufficient number of
trained staff. Efforts are being made to accelerate approval of the required
equipment. In phase III, the time required for quality control testing has
remained stable, notwithstanding equipment deficiencies. According to WHO
assessments, this has not affected the distribution of supplies with the
exception of the initial release of intravenous fluids. Further efforts are
under way to expedite quality control testing.
62. Bottlenecks in distribution remain despite the Ministry of Health's removal
of the requirement that supplies which have passed quality control must obtain
approval from a weekly drug committee before release. These problems relate to
poor logistics, the absence of proper warehousing, inadequate management tools
and a lack of staff support and training. In May 1998, a United Nations survey
of 10 per cent of health facilities, including 114 health centres and 47
hospitals, showed that there has been a consistent increase in the number of
drug and medical supply items over the past three months. However, distribution
continues to be hampered by lack of communication facilities between central
warehouses, governorates and health facilities. To date, WHO has established
electronic links with some central warehouses and is planning to establish
comparable links with governorates, where feasible, in order to facilitate the
flow of information on arrivals. This is expected to streamline the
distribution of commodities.
63. Analysis of orders under phase III shows that smaller quantities of general
medical equipment and disposable supplies have been ordered than in previous
phases and that greater attention has been given to cytotoxic drugs and
radiology supplies. There has been no obvious change concerning general drugs.
It is extremely difficult for the Ministry of Health to implement prioritized
drug procurement practices in the prevailing situation; a number of dilemmas
confront the Ministry, including the lack of buffer stocks which could make
alternative drug choices possible. WHO has made efforts to establish a database
for the Ministry of Health which would provide a cumulative analysis of phases I
to III, thereby giving a firmer basis for policy decisions on procurement. WHO
continues to stress that even in the present situation with limited funds
available, while the choice for the Ministry of Health between the essential and
the necessary is difficult, it should be attempted nevertheless.
64. To identify the quantity and range of drugs required for cancer, chronic
diseases and communicable diseases, Kimadia uses information from the Ministry
of Health Statistics Department, programme managers and governorate departments
of health. However, this has not proved to be effective because of poor
diagnostic capability, lack of support to the data collection system, under-
reporting of cases (partly linked to the fact that the burgeoning private health
sector has ceased to report any epidemiological data to the Ministry of Health)
and the mismatch between reported requirements and available funds.
65. As part of the effort to obtain more reliable statistics on distribution,
the Geographical Observation Unit conducted a special observation which
established the average distribution time for three types of intravenous fluids.
This was estimated at 43 days per distribution cycle within the country. There
have been seven such cycles from the beginning of the distribution of supplies
under the programme until February 1998. The average time per cycle includes
quality control procedures (17 days on average), as well as time required for
transport and distribution at different levels in the distribution chain to the
end-user facility in all governorates (26 days on average). Contract approval
time for one of the applications for basic intravenous fluids was 10 days.
Actual delivery to the country after contract approval, including production
time, took an additional 88 days. The same observation established that the
emergency stock for the three types of intravenous fluids was below the expected
total quantity received.
66. Rationing is now rarely reported in the three northern governorates for
most drugs, although shortages remain for specific items. However, in the 15
governorates in the centre and south, the practice of drug rationing is still
widespread because of the limited quantity or range of drugs available at any
given time. Outpatients in hospitals and health centres are allocated a daily
ration of whatever is available in the facility. Once this ration is
distributed, the dispensation of drugs stops until the following day
irrespective of needs. An adequate supply of drugs for chronic diseases is
ensured through the chronic disease ration card system. In general, the
distribution system has not returned to the pre-1990 state of supply and demand.
Distribution is still based on a quota of whatever supply arrives and according
to periodicity of use. Warehouses receive neither advance information on
arrivals in the country nor feedback from health facilities on their state of
drug consumption or stock available. All these constraints mitigate against
improvements in drug prescription. Moreover, training needs have not been
addressed and there is no access to new medical knowledge or drug information.
Mechanisms to remedy this situation are being developed. WHO observers have
started to share information with warehouses and health facilities visited on
the availability of at least those drugs which they are tracking. In due
course, warehouses at the governorate level and health facilities will be
informed of expected arrival dates.
67. The current buffer stock, consisting of a 5 to 10 per cent reserve, has
been designed to cope with emergencies and has assisted in ensuring the
availability of needed items. However, its use has been hampered by limited
communication capabilities in the public health sector and by Kimadia's lack of
modern inventory management and data-processing tools. In addition, given
uncertainties on arrivals, the buffer stock is increasing but individual stock
levels continue to vary. While it would eventually help in meeting needs while
replacements for depleted items arrive, WHO has indicated that a more
substantial reserve is the only practical solution to the procurement cycle with
a delay of some four to five months before the start of arrivals.
Equitability
68. For each item received, the Ministry of Health issues a distribution plan
for all governorates using a variety of parameters. For general-use items,
population is given the highest weight. By contrast, some items are distributed
only where used, such as cancer drugs or supplies for cardiac surgery,
orthopaedic surgery and intensive-care units. United Nations observers have not
identified discrepancies between governorates or health facilities of the same
type at any given time. However, one exception is the situation of health
centres located in remote areas, which usually suffer from major communication
problems. These centres do not receive or collect supplies on a regular basis
and are usually one month behind distribution elsewhere, owing to the acute lack
of transport. Furthermore, because they are not staffed by doctors, they do not
receive special drugs and supplies needed in emergency cases, such as road
traffic accidents.
69. A similar situation applies to health centres close to roads with heavy
traffic. They are faced with increased shortages since they deal with a larger
number of emergencies. Because of the lack of ambulance services, these centres
are often the only source of first aid. They receive their supplies according
to a standardized list and they are not allocated supplies on the grounds that
they deal with emergencies. The recent survey of health facilities showed that
road traffic accidents rank third in the top five emergencies. WHO has raised
the question of the need for appropriate supplies and training with the Ministry
of Health but it seems that any change in the relevant regulations is unlikely
at this time.
70. The situation with regard to the supply of drugs for chronic diseases is in
general much better than that for drugs for general use, though the May survey
indicated a 25 per cent increase in the number of consultations related to
chronic diseases. There are satisfactory quantities of drugs for some diseases
but not for others. The quantity of insulin ordered under phases I and II meets
only 76 per cent of the needs for one year, based on an average of 20 IU
per patient per day; hypoglycaemia tablets ordered under phase II meet about
25 per cent of the annual needs of non insulin-dependent diabetics; five
anti-epilepsy drugs ordered under phases I and II meet annual needs ranging from
9 per cent to 87 per cent, depending on prescription habits.
71. With regard to communicable diseases, initial assessment of the adequacy of
medical supplies is inconclusive. The quantity of chloramphenicol imported
under phases I and II for specific typhoid treatment covers more than
250 per cent of needs based on the number of reported cases, bearing in mind
that this is almost certainly under-reported. Since March 1998, United Nations
observers have reported a shortage of this drug. However, after checking, it
was found that the total quantity of chloramphenicol which arrived only in April
had not yet been distributed. One reason for the under-reporting of cases is
that only cases confirmed by specific laboratory testing are reported. On the
other hand, the general shortage of all types of reagents has limited the public
health sector's ability to undertake regular testing. Private clinics do not
report all cases and activities.
72. Since the first distribution of supplies to private sector pharmacies in
August 1997, the allocation of general drugs has been based on a defined quota
according to population density and the number of pharmacies. The quota or
shares are allocated on a monthly basis and according to the availability of
items. Officials of the Ministry of Health and the Syndicate of Iraqi
Pharmacists state that retail pricing is under control, as may be evidenced by
the fact that more than 400 out of 2,650 pharmacies had their licences revoked
for a month in 1997 for overcharging. In January 1998, the allocation criteria
were restricted to the number of pharmacies. This has led to an increase in the
proportion of supplies allocated to Baghdad. Whereas, hitherto, private
pharmacies in Baghdad received 32.9 per cent of supplies for approximately
29 per cent of the Iraqi population, this has now increased to 40 per cent. The
Ministry of Health is aware of this and will review allocation criteria.
73. Under phase I, the private sector has to date been allocated supplies worth
about $14 million, as calculated from Kimadia allocation plans, and, under
phase II, it has been allocated about $3 million worth of drugs. On average,
the sale price to the private sector is 18 per cent of the procurement cost and
medicines are sold to the public at 25 per cent of their actual cost. In
January 1998, the Ministry of Health attempted a rationalization of pricing and,
from a sample of products distributed through the private sector, prices rose
between 128 per cent and 3,400 per cent. This rather extreme increase reflects
the fact that prices had previously been based on the official pre-1990 exchange
rate and that the correspondingly low prices were unworkable because they were
frequently below the lowest denomination note (25 Iraqi dinars) in use. A
recent survey revealed no significant level of discontent, only 5 per cent of
pharmacists being prepared to complain about the price increases. It should be
noted that the price of medicines is rather symbolic in public clinics and in
health insurance clinics and is considerably below their real market value.
However for certain items such as some very expensive injectable antibiotics,
Government policy seeks to discourage their inappropriate use when locally
produced alternatives are available (provided either free or at minimal cost)
and to ensure that they are available only through hospitals. The yields from
sales to the private sector are used to pay incentives for staff or for urgent
maintenance of hospitals and other health facilities.
74. The first distribution of medicines to the private sector in August 1997
included nine items. In March 1998 the share distributed included 147 items.
From October to December 1997, there was a three-month break in the supply of
items to private pharmacies as available quantities were provided only to public
and health insurance clinics. A sample survey covering 126 (10 per cent)
private pharmacies in the five urban districts of Baghdad was conducted at the
end of April 1998 to assess the situation in this private sector. The survey
showed that 90 per cent received their share of March items. About 50 per cent
of the pharmacies declined to receive one or more items, mostly because they had
enough stock (confirmed by review of their records) or because the items were
not frequently prescribed by doctors in their area. The most important finding
was the correlation between shortages in the public and private sectors. Of the
pharmacies surveyed, 95 per cent were keeping proper records for supplies
provided for under resolution 986 (1995).
Adequacy
75. To date, observers have reported that most items were not available in
adequate quantities, so that patients were left either without prescribed
medicines or, worse, received only part of the recommended treatment. The
practice of drug rationing continues throughout the 15 governorates,
particularly in health centres and hospital outpatient departments, but hospital
inpatient and emergency services are not practising drug rationing. This
indicates a positive change. An analysis of the adequacy of antibiotics in
January 1998, at eight hospitals in four governorates, shows that, on average,
only 20 per cent of patients received the prescribed antibiotics. A similar
analysis for the period from January to March 1998 showed adequacy at an average
level of about 26 per cent for intravenous fluids in hospitals and about
15 per cent for antibiotics in health centres. However by the end of April an
improvement of the situation was noticeable in observation reports.
76. The impact of the increased flow of drugs and medical supplies into Iraq is
varied. The number of laboratory tests and hospital admissions in the second
half of 1997 is greater than that in the first half of the year. Similarly, the
May survey showed a 13.8 per cent and a 28.4 per cent increase, respectively, in
medical and surgical admissions as compared to the same period in 1997. On the
other hand, quantities of surgical supplies and equipment have continued to
reach hospitals but the limited range of available items is still a restricting
factor for surgical procedures, which require dependable and diverse support
systems. From 1993 onwards, the average monthly number of surgical operations
has not significantly changed, only a small decrease in the first quarter of
1997 being linked to a decrease in the flow of international aid in anticipation
of the implementation of resolution 986 (1995). This has been confirmed by the
May survey which did not show any increase in the number of major surgical
procedures over the same period. The 52,382 surgical procedures performed in
1997 were largely emergencies, while routine work was deferred, that is, there
was no significant change from 1996. It seems that the shortage of surgical
supplies in the public sector has encouraged some patients to seek treatment in
the private sector, in spite of the relatively high costs. In WHO's assessment,
any real increase in capacity for surgical procedures will depend on significant
additional support for the health sector. Nevertheless, the May survey found a
114 per cent increase in health centre attendance in the three northern
governorates; in the 15 governorates in the centre and south of Iraq there was
an 11 per cent increase compared with the same period in 1997. In medicine and
health, increased attendance generally reflects greater satisfaction. The May
survey showed that 50 per cent of those interviewed received the full prescribed
treatment as compared with 39 per cent in November 1997. The percentage of
patients leaving a health facility without any of the prescribed drugs dropped
from 28 to 15 per cent. On average, 74 per cent of patients felt there had been
an increase in the availability of drugs over the last three months. However,
physicians in these facilities stated that, on average, they had only
34 per cent of the drugs they needed to prescribe for the 10 most common
diseases.
77. From 2 to 12 November 1997, in consultation with the Ministry of Health,
WHO conducted a survey on the availability of medicines and medical supplies
provided under the terms of the Memorandum of Understanding. A total of 54
health facilities in eight governorates were covered (five in the centre and
three in the north). At the time of the survey it was estimated that
approximately 30 per cent of the items that had arrived in the country under
phase I had been distributed.
78. Another survey with similar objectives was conducted in April 1998. A
joint programme by WHO and the Geographical and Multidisciplinary Observation
Units was agreed upon and the survey, undertaken in consultation with the
Ministry of Health, covered all governorates. A total of 165 health facilities
were visited, including 47 hospitals, 69 health centres with doctors and 49
public and health insurance clinics. The facilities were randomly selected to
cover both rural and urban areas. At each facility, a questionnaire answered by
medical staff provided data on, inter alia, patient attendance, supplies of
medicine and services provided as well as details of utilities. In addition, at
each unit, 10 outpatients were interviewed.
79. Medicines and supplies are now arriving with increasing frequency. It is
likely that this will continue given the improvement in contractual arrangements
which set time limits on deliveries. However, in a constrained resources
environment, it is unlikely that the requirement for basic medicines and
supplies will be met, particularly because under the present arrangements there
will always be a four- to five-month gap between the approval and the
availability of supplies. The system suffers from a fragile information base
and is weak in terms of logistical, administrative, organizational and
communication support. These are serious constraints in the task of
rationalizing and prioritizing procurement and distribution, both fundamental in
the provision of basic medicines.
80. Drug rationing is no longer regularly practised in the northern
governorates of Dahuk, Erbil and Sulaymaniyah. However, while neither the
entire range nor quantity of required drugs is yet available, other items are
overstocked. There continues to be no coordination by the local authorities
with regard to the direct distribution by non-governmental organizations to
health facilities although local authorities are seeking to encourage such
organizations to bring in only drugs that are required. For specialized
treatment, a large number of patients are referred to Baghdad, which is usually
the only centre in the country for a wide range of specialized services. Some
hospitals have reached their maximum storage capacity and are now being
selective in the items they require. Many health facilities have stocks of
certain items, often because they receive donations directly from other sources.
WHO encourages these facilities to send their surplus to the warehouse and order
only items needed. A problem of over-consumption of medicines has been noted
and the level of attendance varies with the arrival of drugs. To alleviate
this, WHO has encouraged authorities to adopt the use of drug cards as a control
on drug prescription and use. This measure will be implemented during the next
quarter. Nevertheless there are still shortages in many single drugs and
medical supplies.
Effectiveness
81. UNICEF reports that all of the equipment delivered to the water authorities
has arrived at the warehouses undamaged. However, items worth over $300,000
from three orders, including electrical motors and bleaching powder, were not
delivered in accordance with the specification agreed upon between the
Government and its contractors. This matter is being followed up by the
Government of Iraq with the United Nations.
82. As at 15 May 1998, 22 contracts, representing supplies worth $19,414,063,
had arrived in Iraq under phase I. On average, it took 57 days for those
contracts to be approved by the Security Council Committee after submission,
whereas it took 175 days for the supplies to reach Iraq after Committee
approval. Under phase II, a marked reduction in the length of the approval
procedure was noticed: on average, it took 23 days for the Committee to approve
contracts after their submission. It is not yet possible to estimate the time
between the approval and the delivery of supplies under phase II, as only
8 per cent of the supplies under the approved contracts have reached Iraq so
far.
83. Only 29.6 per cent of the supplies ordered under the three phases have been
delivered to Iraq so far, 12.3 per cent of which have reached the water project
sites in the 15 governorates of the centre and south; no supplies have yet
arrived for phase III. The remaining supplies ordered under phase II are
expected to arrive by the end of November 1998; phase III supplies are not
expected to arrive before March 1999. The rate of distribution and installation
of supplies varies from one governorate to the other. For example, in Tameem
and Salah al Deen governorates, only 18 per cent of the supplies delivered have
been distributed to project sites, whereas in Wasit and Thi-Qar governorates
almost 90 per cent of the supplies delivered have been distributed. On average,
for the 15 governorates including Baghdad city, 58 per cent of the supplies
delivered to local warehouses have been distributed to project sites.
84. Of the 2,750 tons of liquid chlorine gas ordered by the water authorities
under phase I, 2,082 tons, representing 76 per cent, have been delivered so far,
and 630 tons utilized. The complete shipment of 1,250 tons ordered by the
General Establishment for Water and Sewerage was delivered and distributed
throughout the 15 governorates in accordance with the allocation plan over a
period of 137 days, representing an average of nine days per consignment. For
the remaining 1,500 tons ordered by the Baghdad Water and Sewerage Authority
only 830 tons, representing 55 per cent, have been delivered to date since the
first shipment in September 1997.
85. The chlorine utilization rate of the Baghdad Authority is higher than that
of the General Establishment for Water and Sewerage; it has already used half of
the chlorine delivered, compared with the General Establishment's utilization of
only 20 per cent. This is largely due to the technical characteristics of the
Baghdad network, which supplies some 5.5 million inhabitants (29 per cent of the
population). The network draws water directly from the river and uses
chlorination both to treat the water and to clean the network itself. Its major
plant, serving 3.5 million inhabitants, uses a pre-chlorination system which
increases chlorine utilization by 50 per cent but saves on maintenance required
by plants that are not designed to operate in this way. Chlorine consumption
varies between governorates. Of the 69 chlorine cylinders delivered to Kerbala
governorate, 49 have already been used (71 per cent). In Babylon governorate,
of the 96 cylinders delivered, only 7 have been used so far (7 per cent). In
part, differences can be attributed to the existence or lack of alternative
supplies. For example, treatment plants in Babylon had received chlorine
supplies from the regular UNICEF programme and from inputs obtained through
Jordan which are still being utilized. Kerbala, however, has used all previous
supplies.
86. The very poor condition of the water network, which suffers from frequent
breaks and leaks, especially in southern Iraq, can result in contamination after
disinfection of the water, which reduces the efficiency of the service.
87. Assessment indicators were developed to evaluate the impact of the
programme on the quality and quantity of water produced. On the basis of
figures provided by the Ministry of Health and WHO, UNICEF is undertaking a
monthly comparison between the level of water contaminated in each governorate
and Baghdad city both before and after the delivery of disinfectants and
coagulants (chlorine gas and alum sulphate). So far, the assessment has shown
that the contamination level of the water produced in Baghdad city decreased
substantially (from 8 to 3 per cent in five months), which can be linked to the
high utilization of chlorine gas by the Baghdad Authority. The most substantial
decrease is noticed in Thi-Qar governorate, namely, a fall of 40 per cent in
contamination between October 1997 and February 1998: this also appears to be
linked to the high level of distribution in Thi-Qar. However, these water
quality results should be regarded as indicative of trends rather than as
absolute results because, as with other aspects of the water treatment network,
the monitoring service faces a range of operating difficulties which adversely
affect the reliability of the results.
88. UNICEF observers and engineers reported an increase of 10 to 30 per cent in
the quantity of water produced in some water treatment plants where pumps have
already been installed. However, it is too early to provide a country-wide
assessment as the level of implementation of the programme is still very low.
89. Obstacles which limit the impact of supplies delivered to date relate to
staffing problems, resource constraints and technical problems of the network
itself. There is a serious lack of qualified staff, following the loss of a
significant, skilled foreign workforce at the time of the Gulf war and further
losses since then. Although Baghdad retains many of the more qualified staff,
the water authorities generally suffer from shortages of the required range of
technical expertise, special tools needed to install equipment, and sufficient
cash allocations for the water and sewerage directorates in the governorates.
The Government has reported that it has taken measures to provide Salah al Deen
governorate with the financial support needed to complete the installation of
equipment, as the General Establishment for Water and Sewerage is self-financing. As reported previously, the majority of the pumps are not yet
installed in the water treatment plants because of this limited implementation
capacity. Under phase I, the water authorities estimate that the Baghdad
Authority needs 500 million dinar to ensure an effective installation of
supplies ordered and the General Establishment for Water and Sewerage needs
650 million dinar. Currently the water authorities appear to be operating on
less than 10 per cent of their 1990 budget.
90. The water network itself suffers from systemic problems caused by the
difficulty of maintaining pressure in the network when householders use domestic
water pumps to draw water up to retaining tanks, thereby creating negative
pressure which permits cross-contamination from floating sewage. The network
suffers from a range of breaks; while the major ones can be generally
identified, tertiary ones are extremely difficult to locate. The presence of
many surface breaks is also a cause of cross-contamination in the system. In
Baghdad at present losses from these breaks constitute 50 per cent of
production; unauthorized connections to the network represent a further
10 per cent loss. Systematic repairs and planned maintenance have been
impossible with the limited volume of supplies delivered to date.
Equitability
91. In general, commodities delivered to the governorates and Baghdad city have
been distributed in accordance with the distribution plan. Several items were
distributed to project sites which were not originally in the distribution plan,
but UNICEF was informed by the relevant water authorities as required by the
Memorandum of Understanding. These changes were directly linked to delays in
delivery. Some water project sites, designated 18 months ago, have already
received urgently required equipment from alternative sources.
92. The requirements listed in the distribution plans for phases I to III were
based mainly on surveys conducted by UNICEF and its implementing partner, CARE
Australia, at all 1,700 water and sanitation project sites throughout the 15
governorates in the centre and south of Iraq and Baghdad city. The UNICEF and
CARE Water and Sanitation Coverage Survey conducted in 1997 provides detailed
information for each governorate, district and sub-district in rural and urban
areas, such as the number of people served by water, and the water supply in
cubic metres per day and in litres per capita per day. The survey also
identified and prioritized equipment required by projects, classified them in
order of importance and entered the results into a database developed by UNICEF.
Adequacy
93. For the 15 governorates, UNICEF estimates that a minimum of $500 million is
required to restore the existing water and sanitation sector to an acceptable
operational level. Consequently, only 12 per cent of the overall immediate
requirements are covered by phases I to III. The primary objective has been to
enhance the quality of water produced by the existing plants. Preliminary
analysis suggests that this has been achieved in Baghdad city and several
governorates by improved water treatment using coagulants such as alum sulphate
and effective disinfection through the use of chlorine.
94. It is too early to assess the improvement of production performance at
water project sites because of low installation rates for equipment and spares
delivered to date. However, in the water treatment plants where pumps have
already been installed, an increase in production of some 10 per cent was
reported.
95. The third objective, an 8 per cent improvement in water distribution, could
not be achieved because 96 kilometres of pipes and fittings have only recently
been delivered and have not yet been distributed to governorates.
96. The distribution plan also sought a 7 per cent improvement in the sewage
disposal system through the provision of 47 sewage tankers and 12 jetting
vehicles; this has not been fully met because the sewage tankers have not yet
been delivered to the water authorities. Nevertheless, a rapid assessment of
the impact of the jetting vehicles delivered to date to the Baghdad Water and
Sewerage Authority showed that obstruction of the network decreased by
20 per cent in Baghdad. The vehicles were used seven days a week. Two vehicles
were given to the Baghdad Directorate for Sewerage, and one vehicle to each of
the nine municipalities of Baghdad, except Saddam City which received two
vehicles because it has the highest population and faces considerable sewage
problems. Although further improvements are expected in unclogging the sewers,
the Baghdad Authority intends to purchase more vehicles under the enhanced
distribution plan to remove all sewer obstructions. However, it should be noted
that this will only prevent sewage from building up in residential areas.
Rehabilitation of the sewage treatment system is urgently needed to stop the
widespread current practice of dumping untreated sewage into rivers.
97. The inputs provided under phases I to III have not halted the overall
deterioration of the water network. Numerous breaks and leaks are largely
responsible for the fact that improvements in water quality and quantity
reported at project site level are not always experienced by end-users.
Moreover, frequent power cuts prevent equipment from functioning optimally.
However, UNICEF estimates that the enhanced distribution plan's proposed
$200 million allocation focused on the maintenance of the network will halt
further deterioration of the sector.
Effectiveness
98. The distribution plans under phases I to III have, to a limited extent,
addressed the immediate needs of the electricity sector to prevent further
deterioration of power generation and associated transmission lines, and to some
extent the distribution network. The distribution network merits the most
urgent assistance, since many consumers are connected to it and it lacks
adequate expansion planning. However, this priority is outweighed by the need
to increase generating capacity, since the network is able to distribute the
power generated, albeit with difficulty.
99. In the 15 governorates in the centre and south of Iraq, spare parts,
equipment and materials representing 42 per cent of the allocation for phase I
and only 2 per cent of the allocation for phase II have arrived. The slow rate
of arrival is often linked to unavoidably long lead times required for the
manufacture of supplies and the finalization of numerous technical issues with
suppliers and manufacturers. On receipt at the central warehouse, commodities
are delivered immediately to their destination after being checked. Supplies
for the repair of distribution lines and other general-purpose materials, such
as power cables and transformers, are distributed in accordance with plans drawn
up by the General Establishment for Electricity Distribution. These allocations
are usually in response to emergency requirements. To date, the uncoordinated
arrival of supplies has disrupted planned maintenance schedules in power plants.
Items such as cables for distribution networks have been delivered but have not
been utilized because complementary items such as cable joints have not been
approved by the Security Council Committee. Similarly, boiler tubes for thermal
power plants have arrived but the required condenser tubes have been blocked.
Without these, it is difficult to ensure the efficient use of the boiler tubes
as system pressure cannot be increased.
100. Under phase I, supplies have been procured to prevent further deterioration
of the four thermal power stations and to maintain the distribution network. In
the thermal power plants, the installation of items such as air heater baskets,
air compressors for control systems, spare parts for automatic control
mechanisms, flame scanners and chemicals for water treatment has reduced the
frequency of plant shutdowns and has added marginally to plant production
availability (by 2 to 3 per cent), raising it to a total of 40 to 45 per cent.
This remains well below normal expected standards of 80 per cent or higher, and
no increase in generation is envisaged. Automatic control systems and
protection equipment make the plant safer to operate. The installation of some
300 low-voltage transformers and associated protection equipment in residential
areas, including public service utilities, has reduced overloading and burning
of transformers. It has also partially lessened the problem of low voltage to
consumers and has improved the quality of power supply.
101. In the three northern governorates of Dahuk, Erbil and Sulaymaniyah, the
programme aims to improve the status of the distribution and transmission
networks and to rehabilitate the two hydro power plants at Dokan and
Derbandikhan, which remain the only source of power generation in the north.
Because arrivals to date constitute only 3 per cent of phase I allocation, it is
not possible to comment in detail on the effectiveness of the implementation
thus far. My previous report (S/1998/194) explained the range of difficulties
experienced since implementation of resolution 986 (1995) began. To ensure more
effective response from the United Nations, as noted in paragraph 31 above, a
joint task force is now addressing the problems related to implementation in the
electricity sector in the three northern governorates.
102. To date, some 30 per cent of the equipment delivered has been utilized,
mainly replacing failed distribution transformers with new ones. Other items
such as transformer oil will be used during planned maintenance next autumn.
However, with respect to power transformer oil in Dahuk, the arrival of the
required oil means that the governorate is now able to process all electrical
power supplied by Ninevah governorate. As in the 15 governorates in the centre
and south, some delays in arrivals in the north are related to manufacturers'
production schedules, technical clarifications and transportation difficulties.
Similarly, implementation has been delayed to an extent by the non-arrival of
complementary items. Where possible, electricity authorities have used existing
stocks of complementary items to proceed with the installation of new equipment.
However, urgent procurement of required supplies is under way; when the supplies
arrive, attention will be given to serving essential services and rural areas.
103. A consultancy firm surveyed the structural integrity of the Dokan and
Derbandikhan dams in order to identify required repair work. Subsequently, safe
water levels for Derbandikhan dam were calculated and the relevant authorities
authorized the opening of the spillway gates so as to bring the water level down
to an acceptable maximum. The Government's technical experts have also assessed
the state of the dam, which represents an essential source of downstream
irrigation water in summer, and have concluded that the integrity of the dam is
in no immediate danger.
104. A second consultancy firm is surveying urgently required repairs to the
power generation units at Dokan. Engineering consultants are expected to start
work on repairing the Derbandikhan hydrogeneration system by next month. In
Erbil governorate, the installation of four diesel generating sets is expected
to be completed by September 1998 to provide emergency standby power generation
in hospitals and water pumping stations. A further 14 power transformers are
also expected to arrive during September and October 1998.
Equitability
105. Equipment and supplies allocated under the distribution plans for phases I
to III are meant to cover the whole electrical system in the 15 governorates.
Eighty per cent of these allocations are devoted to the generation and
transmission systems and the remaining 20 per cent to the distribution network.
Commodities for power generation have been utilized in the four plants
designated under phase I. Supplies for the distribution network are distributed
to the four electricity distribution establishments according to population
(Baghdad, 30 per cent; central Iraq, 30 per cent; northern Iraq, 20 per cent;
southern Iraq, 20 per cent), the complexity of the network and urgent needs. It
should be noted that because of the very limited volume of materials involved,
the General Establishment for Electricity Distribution intends to use these
supplies to meet emergency requirements, rather than in any systematic manner.
106. For phases II and III, the total amount of funds allocated for the
electricity sector was shared between the three northern governorates on a per
capita basis (Dahuk 23 per cent, Erbil 33 per cent, Sulaymaniyah 44 per cent),
Erbil redirecting 1 per cent of its share to Sulaymaniyah as compensation for
generation expenses. Equipment on order is shared out accordingly.
Adequacy
107. A total of $176 million was allocated under phases I to III to procure
equipment for the electricity sector for all of Iraq's 23 power plants,
including the two hydro power plants in Sulaymaniyah, and their associated
transmission and distribution systems. As at 15 May 1998, supplies worth
$90.6 million, out of a total $104.6 million for the 15 governorates in the
centre and south, have been approved. Commodities from 47 contracts worth a
total value of $15.9 million have arrived under phases I and II. United Nations
observers estimate that the installation and utilization of these supplies will
reduce the rate of deterioration in the power generation system, decrease the
number of plant shutdowns and improve safety margins. A very small increase can
be expected in the output of power stations which have received supplies. It is
expected that the resubmission and authorization of equipment under phase III
that is currently placed on hold or was blocked by the Security Council
Committee under previous phases will continue to increase output further.
However, over the last year, the recorded shortage of power reached 1,600
megawatts and it is expected to remain the same or increase. While consumer
demand is increasing, generation is deteriorating and, therefore, any small
increase would be marginalized by the annual growth in demand. It is to be
expected that power outages during 1998 will continue, and worsen over the
summer as climatic conditions, including ambient air temperature, reduce the
efficiency of power stations. A larger allocation is required to meet the most
immediate needs of power generation. Under the enhanced distribution plan,
provision has been made for an additional 460 megawatts. With regard to power
distribution, it should be noted that, while 300 transformers are to be provided
for the 15 governorates, the Ministry of Industry has estimated that 8,000
transformers need to be replaced on an emergency basis.
Effectiveness
108. The rate of contract approval by the Security Council Committee for the
agriculture sector has significantly improved, to an average of less than 30
days between submission and approval, including the time necessary to provide
technical clarifications required by the Committee for specific items such as
ground sprayers and irrigation pumps. Under phase II, tendering of supplies was
delayed, the majority of contracts being signed in October and November 1997.
The first phase III contracts were signed as early as January 1998, allowing for
the first contracts to be approved in March 1998. Following the approval of
applications, shipment times have taken between two and four months, including
the time necessary for the issuance of the letters of credit. Therefore, it has
still not been possible to procure agricultural inputs in time for the summer
and winter seasons commencing within the phase. As a result, seasonal supplies
have been used in the cropping seasons of the following phases. There has been
a delay in the arrival of phase I ground sprayers when compared to the
agrochemicals procured for the 1997/98 winter spraying season. Phase I
helicopter spare parts for aerial spraying had been placed on hold, and were
approved only in November 1997; they were delivered during the first week of
April 1998, respecting contracted shipment times. FAO, as the implementing
agency for these dual-purpose items, monitored their immediate release. This
allowed six grounded helicopters to pass airworthiness tests by the third week
of the same month. Since then, the aircraft have been involved in the aerial
spraying of wheat and barley against Sunn pest, and date palms against Dubas and
Humeirra pests, in the governorates of Basra, Missan, Ninevah and Thi-Qar. They
will cover an estimated 150,000 hectares by the end of the spraying season.
109. The rapid assessment survey by FAO of the impact of supplies in the
agriculture sector provided for under resolution 986 (1995) was carried out in
the four indicator governorates of Baghdad, Kerbala, Missan and Ninevah, on a
sample population of 583 direct beneficiaries and 243 non-beneficiaries.
Together with the analysis of data collated through the observation tracking
mechanism, the survey has given indications of the effectiveness of supplies
provided under resolution 986 (1995). The distributed inputs, even though
minimal in comparison to overall needs, have resulted in an increase in
productivity for the recipient farmers. A total of 95 per cent of sampled
beneficiaries stated that the inputs had had a positive impact, with increases
of 71 per cent in yields, 7 per cent in the area cultivated, 56 per cent in the
quality of produce obtained, and 75 per cent in net profit return. A variety of
crops were sprayed with the agrochemicals. A total of 43 per cent of sampled
beneficiaries sprayed wheat and barley, 21 per cent vegetables, 16 per cent
fruits and 20 per cent legumes, potatoes and onions. The spare parts allowed
11.8 per cent of benefiting interviewees to repair combine harvesters,
10.8 per cent tractors and 4.3 per cent irrigation pumps. The utilization of
these spares and agricultural machinery has resulted in an additional 11,000
hectares of land brought under cultivation, 44,526 hectares of crop sprayed, and
104,905 hectares of arable land irrigated by water pumps throughout the 15
governorates of the centre and south of Iraq.
110. A total of 1,315 irrigation pumps were delivered in four consignments to
Iraq between October and December 1997. Distribution began within eight days
following the receipt of the last consignment. A total of 1,300 pumps have been
distributed to the governorates; 90 per cent of these have been released to end-users for installation and are currently in use.
111. Farmers currently have a number of options for the purchase of agricultural
inputs. State stores offer quality subsidized inputs provided under resolution
986 (1995) and supplies from other sources authorized by the Government. All
veterinary pharmaceuticals sold through these outlets are required to undergo
quality control testing. However, it should be noted that there is also a
substantial private market offering locally produced agricultural supplies and
items imported with Government permission as well as through unregulated border
trade. The quality, integrity and price of supplies obtained through these
different channels vary considerably. State-supplied items have the same
pricing, usually between 10 and 30 per cent of their purchase price. Private
market items vary greatly in price and quality. FAO's recent comparison of
subsidized prices of items provided for under resolution 986 (1995) against
analogous market items showed that even the lower-quality items are generally
more expensive than the state supplies. Prices of inputs provided for under
resolution 986 (1995) are considered to be cheaper than market items by
81 per cent of the persons interviewed in the rapid assessment survey, while
12 per cent indicated that cheaper, but lower-quality, tractor and combine
harvester spare parts are available in the market. The quality of the inputs is
satisfactory, 91 per cent of the beneficiaries indicating that agrochemicals and
animal health supplies are of good quality. The limitations of the private
sector should be recognized. Restricted to sales outlets for agricultural
supplies and veterinary pharmaceuticals of varying quality, the private sector
is not known to offer any services in respect of animal health clinics or
hospitals.
112. Following indications from FAO that animal health products provided for
under resolution 986 (1995) are priced within the same range as what is
available on the market, the Ministry of Agriculture is lowering its price so
that farmers will not opt for lower-quality market products.
113. United Nations observers have not detected any improvement in the
efficiency of the distribution of veterinary supplies. Although FAO has
assisted in rehabilitating cold storage facilities in Baghdad, the State
Veterinary Board has said that distribution to the 15 governorates in the centre
and south continues to use 200 iceboxes in the absence of proper refrigerated
transportation. Among all 15 governorate animal hospitals, only Diyala's
refrigeration is sufficiently functional. Although farmers are required to
provide both icebox and transportation before the governorate veterinary
authorities will vaccinate their animals, it remains highly doubtful whether
there is any effective cold chain for this stage of distribution. As a result,
vaccines may well have decreased in potency before utilization. Under phase III
and the enhanced distribution plan, the Government has responded by allocating
considerable funds for the procurement of generators, refrigerators, voltage
stabilizers, cold-chamber spare parts and refrigerated transportation. This
will allow for the rehabilitation of the distribution cold chain,
re-establishing the cold storage capacity throughout the 15 governorates.
114. Similarly, in respect of diagnostic services, there has been no discernible
improvement. Large-scale farmers will generally possess both the experience and
resources to identify which diseases are affecting their livestock but many, if
not most, small-scale farmers have no access to diagnostic services. It has
been very difficult to date to assess how the procurement of veterinary products
relates to actual requirements. This is compounded by the lack of accurate
baseline data on the livestock population. In the absence of any official
census, estimates range from 6.5 million (FAO) to 10.5 million (State Veterinary
Board). The issue is further complicated by transhumance and changes in grazing
patterns, particularly the reduction in the use of summer pasture in the three
northern governorates of Dahuk, Erbil and Sulaymaniyah by farmers in central
Iraq. This uncertainty inevitably limits the reliability of any assessment of
the issues of equitable distribution and adequacy of supplies. A comprehensive
survey of prescription practices in response to demand by farmers will also be
needed before safe conclusions can be ventured.
115. It should also be borne in mind that agricultural inputs provided for under
resolution 986 (1995) are part of a complex food production chain which depends
on many other components. Each stage of the production process needs quality
and timely inputs and support in order to yield the increased output intended.
With the limited sums available under phases I to III, it will be difficult, if
not impossible, to attribute specific results to the parts of the process
provided for under resolution 986 (1995), but results may be indicative over a
longer period of time.
116. In the three northern governorates of Dahuk, Erbil and Sulaymaniyah, a
total of 1,102,776 sheep, 15,230 goats and 406,333 cattle, which constitute
90 per cent of the total animal population, benefited from vaccination and
parasite treatment campaigns. These included enterotoxaemia, sheep and goat
pox, rinderpest, black leg, and food and mouth disease vaccinations,
endo-parasite drenching and therapeutic dipping against ecto-parasites. The
distributed animal protein concentrate encouraged the reactivation of 77 small-scale poultry farms with a total capacity 0.5 million broiler chickens per
annum. This has had a marked impact on the availability of poultry products in
the market. Animal health pharmaceuticals and supplies have been distributed to
veterinary clinics and dispensaries, and have greatly contributed to raising the
efficiency of the veterinary services provided to the livestock sector
throughout all three governorates.
117. In the irrigation sub-sector, a total of 940 irrigation pumps and 26
kilometres of irrigation water conveyance pipes were received under the phase I
allocation. These have been distributed to end-users, covering a total
irrigated area of 2,500 hectares. Under the phase II allocation, emergency
irrigation infrastructure maintenance units were established and are operational
in each governorate, in addition to the provision of the basic inputs for the
maintenance and reactivation of surface and tube well irrigation
infrastructures.
118. In the agricultural mechanization sub-sector, for the phase I allocation,
$1,130,560 worth of tractor and combine harvester spare parts has been received
and distributed. The repaired and refitted tractors and combine harvesters have
increased land preparation and harvesting operations by 200,000 and 150,000
hectares, respectively.
Equitability
119. In terms of matching resources provided for under resolution 986 (1995) in
the 15 governorates in the centre and south of Iraq to the type of cultivation
and livestock production, initial observation suggests that distribution has
been both equitable and, in most cases, pragmatic. The Ministry of
Agriculture's allocation of phase I inputs reflects the distribution of crops
and rainfed or irrigated land, as well as the relative density of agricultural
machinery and livestock in the 15 governorates. In the three northern
governorates of Dahuk, Erbil and Sulaymaniyah, agricultural machinery spare
parts, irrigation pumps, and ground sprayers are allocated on the basis of the
existing machinery inventory in each governorate. In the 15 governorates of the
centre and south, two thirds of the tractor spare parts are allocated to the
five governorates with the highest density of tractors. The largest wheat-producing governorates of Diyala, Ninevah, Salah al Deen, Tameem and Wasit will
receive 82 per cent of the 1,000-litre and 400-litre ground sprayers as well as
spare parts for wheat and barley combine harvesters. The three major rice-
producing governorates of Diyala, Najef and Qadisiyah are allocated 96 per cent
of the rice combine harvester spares. The smaller 100-litre and 16-litre
knapsack sprayers are allocated on the basis of farmer distribution, whereby
each governorate will receive between 4 and 10 per cent of the stock. The five
most irrigated governorates, Missan, Qadisiyah, Salah al Deen, Thi-Qar and
Wasit, are allocated 54 per cent of irrigation pumps. Agrochemicals are
allocated according to area cropped; animal health vaccines and veterinary
pharmaceuticals are allocated according to estimated livestock per governorate.
120. FAO observers routinely inspect all central and governorate storage
facilities. The Geographical and Multidisciplinary Observation Units also
undertake a variety of tracking and analysis activities. Comprehensive coverage
of all governorate warehouses and a random selection of 30 per cent of state
district stores by FAO has confirmed that actual distribution followed
allocations to the 15 governorates.
121. In the three northern governorates, FAO reports that it has made
agricultural inputs under this programme equitably available to all farmers in
the region. Animal disease control activities and epidemic plant disease and
pest campaigns covered the entire region and provided service free of charge.
Nominal prices are levied on some inputs, such as irrigation pumps and pipes,
agricultural machinery spare parts, pesticides and drugs for non-epidemic
disease, seed and fertilizers to enhance equitable distribution. The funds
generated are used to support further investments that will benefit small
farmers. Budget allocation to governorates is based on population, and
equivalent input relevant to the specific requirement of the respective
governorates is provided. To achieve equity, a lottery system is used to
allocate most inputs when there is insufficient quantity to meet total needs.
Mobile distribution teams were deployed for seed and fertilizer distribution, to
reach the poorer farmers in the remote mountainous areas that would otherwise
have limited access to the distribution system.
Adequacy
122. The overall adequacy of agricultural inputs supplied under resolution
986 (1995) is low. However, the rapid assessment survey on the sample
population of 583 recipients and 243 non-beneficiaries indicated that spare
parts had been received by 40.3 per cent of sampled beneficiaries for knapsack
sprayers, 6.7 per cent for combine harvesters, 7 per cent for tractors and
1 per cent for irrigation pumps, whereas 40 per cent had received sprayers of
different sizes. Most of the interviewees expressed satisfaction with regard to
the inputs provided for under resolution 986 (1995), stating nevertheless that
quantities were insufficient to cover their needs. A total of 81 per cent of
the beneficiaries in the sample believed that the agricultural inputs received
covered less than 50 per cent of their needs, 56 per cent stating that adequacy
was below 25 per cent.
123. In the three northern governorates, owing to excessive requirements of the
sector, the overlap of summer agricultural inputs under phases I and II did not
greatly enhance coverage, as the interventions required to cope with the sector
are far from being met even by the combined allocation under the three phases.
Inadequate inputs will continue to be a major constraint on the enhancement of
agricultural production on a wider scale. However, the cumulative impact of the
inputs supplied under the previous phases, as well as the proposed activities
and allocations under the enhanced programme, will significantly contribute to
domestic food production in the three northern governorates and hence the
improvement of food security in the region.
Effectiveness
124. With regard to the education sector in the 15 governorates in the centre
and south of Iraq, there has been a significant reduction in the time between
submission and approval of contracts and also between the issuance of the
approval letter by the Chairman of the Security Council Committee and the
delivery of supplies. The importance accorded to the rehabilitation of school
infrastructure is matched by the early submission of applications for building
materials, some of which have been delivered nearly in full.
125. This reduction in the time between approval and arrival also applied to
supplies for the three northern governorates of Dahuk, Erbil and Sulaymaniyah.
UNESCO notes that the non-arrival of complementary items was mainly the result
of differences in the delivery performance of suppliers. Commodities began to
arrive rapidly in the first week in March 1998 following greater attention to
tracking, using an international consultant. UNESCO expects its implementation
rate to reach 50 per cent by the end of May 1998 for phase I. To date,
1 per cent of supplies have been received under phase II.
126. However, with regard to the other aspects of Government suppliers' contract
performance, there have been serious shortcomings. Poor packaging of
commodities resulted in losses of up to 6 per cent, especially for some ceramic
and glassware items such as latrines and fluorescent tubes. Other supplies,
particularly water and sanitary fittings, did not conform to specification.
Despite Government requests for improvements in the packaging of ceramic
equipment and television sets, no improvement has been noted to date. However,
suppliers have offered compensation for the damaged commodities.
127. The education sector has also suffered from the non-arrival of
complementary items due to poor coordination of contract applications and delays
in approval. This has delayed production of school furniture because sufficient
welding wire was not ordered in time. The production of 7 million school
textbooks has also been delayed because of holds placed on printing press
components. Consequently, school desks and textbooks may not be available for
distribution at the start of the 1998/99 school year. For the past seven years,
approximately 70 per cent of all textbooks given to pupils had been used
previously.
128. The distribution system used by the Ministry of Education has experienced a
range of difficulties. Record keeping at warehouses has been cumbersome without
the necessary ledgers, or the computers blocked in phase II, which were
designated for use in the documentation of supplies as well as computer
education. There is an acute shortage of fork lifts and inappropriate manual
handling has resulted in unnecessary breakages. Trucks to transport supplies
from Baghdad to governorate warehouses are also in very short supply. The
Ministry is relying on the arrival of 40 trucks ordered under phase III for
effective distribution of supplies from phases I to III.
129. While $9.3 million worth of educational supplies have reached the 15
governorates in the centre and south of Iraq to date, only some $4.3 million
worth have been distributed to governorates as a result of these logistic
difficulties. Vocational and teaching aids have been distributed among the
2,250 schools in the 15 governorates designated to receive supplies under the
Memorandum of Understanding. However, with regard to school infrastructure
supplies, there has been little implementation because of the education
authorities' shortage of funds to purchase items such as sand, mortar and
electrical fittings. The impact of the Ministry's request for local fund-raising to finance school rehabilitation projects is not yet apparent.
130. In the northern governorates of Dahuk, Erbil and Sulaymaniyah, UNESCO has
completed the production of 18,000 school desks out of the target of 38,000
under phase I, 14,000 of which have been distributed. UNESCO has also been
designated to produce 25,000 desks from material supplied by UNICEF under
phase I. To date, 7,000 have been completed and 6,200 distributed to schools
throughout the three northern governorates. All of the materials ordered for
desk production under phase I have now arrived and similar commodities for
phase II production are expected to arrive in June 1998. Some 90 per cent of
school rehabilitation will be close to completion. Work will be in progress at
81 out of 90 schools. To date, 42 per cent of the schools under rehabilitation
are complete. The distribution by UNICEF of phase I student, classroom and
recreation kits has been fully completed and reached all 2,019 primary schools
with supplies for students for the 1997/98 school year. More than 500,000
children benefited from these school supplies, as did an additional 27,000
students from intermediate schools. During the reporting period, printing
presses for installation in Erbil and Sulaymaniyah have arrived and will be used
for the annual production of 4.5 million textbooks. Funds for this project are
being provided from all three phases of the operation, the overall cost of
which, including consumable items, is $9.2 million. Upon completion of this
project, the press will have enough supplies and consumables for the production
of almost 15 million textbooks. Renovation of school buildings began recently;
the rehabilitation of 14 schools in Dahuk, 19 schools in Erbil and 21 schools in
Sulaymaniyah is in progress, as is the rehabilitation of water and sanitation
facilities in 37 schools. After distribution of school supplies, enrolment
initially increased significantly in primary schools at the beginning of the
school year. A comprehensive school survey is currently being conducted to
provide more specific information.
Equitability
131. The distribution of school supplies was based on a combination of
population and school density, and this was reflected in detailed allocation
plans. This naturally favours urban and semi-urban areas where the number of
pupils and the concentration of school infrastructure is higher. According to
UNICEF, priority in distribution was given to schools in most urgent need of
blackboards, desks, teaching aids and sanitation. However, transportation
difficulties meant that most distribution appears to have occurred within and
around Baghdad. This imbalance should be redressed when the Ministry of
Education receives the 40 trucks already approved under phase III. As an
interim measure, the Ministry is hiring trucks for this purpose but the capacity
remains insufficient because of limited funds.
Adequacy
132. To date, only 20.7 per cent of the $36 million allocation under phases I
to III has arrived in Iraq and only half has been distributed. No supplies
approved under phase III have arrived yet. According to the Ministry of
Education, a total input of $130 million is required to halt further
deterioration of the dilapidated schools of Iraq. The entire allocation under
all three phases would therefore meet only 27 per cent of immediate
requirements. The imbalanced spending by different sectors under phases I and
II means that the actual allocation amounted to $21.7 million. However,
although pre-implementation visits by United Nations observers to a sample of
schools confirmed in detail the range of decayed school infrastructure, to date
it has not been possible to undertake a comprehensive survey to establish the
extent of the problem. This is scheduled for the start of the next school year.
133. The Ministry of Education has stated that there has been no increase in
school attendance following the arrival of supplies. Although untested, this
probably reflects the fact that, despite the increased pace of deliveries,
effective implementation is still at a very early stage.
Effectiveness
134. The effectiveness of the settlement rehabilitation programme is being
enhanced through a series of surveys designed to allow better targeting of the
needs of the population in both rural and urban areas. The surveys indicate
extensive needs for settlement rehabilitation, emphasizing the urban and
semi-urban areas, where up to 70 per cent of the population currently resides.
The demands there for infrastructure and service rehabilitation are evidently
immense. Furthermore, continuing support is provided to resettlement activities
in a more systematic and cost-effective manner, on the basis of experience
gained during the implementation of previous phases. The community
participation component is being developed continuously and promoted at the
inception, definition and implementation stages of each integrated resettlement
project.
135. The humanitarian efforts of external support agencies and local communities
in the implementation of settlement rehabilitation programmes in recent years
have focused mostly on immediate physical needs, such as emergency shelters. As
a result, the United Nations Centre for Human Settlements (Habitat) has
identified and undertaken complementary humanitarian rehabilitation, promoting
productive activities in such areas as water supply, sanitation, and the
construction of health and education facilities.
136. The development of the economic network has been identified as another way
of improving the overall effectiveness of the programme. Habitat creates a
maximum number of jobs among the most needy communities through its
implementation mechanism by sub-contracting to local contractors for the
execution of projects. This has had an impact in stimulating the economy in
each governorate.
Equity
137. The programme focuses primarily on the most vulnerable sector of the
population. There are four broad categories which are being targeted under
Habitat activities, namely, the most vulnerable groups of the population in
cities and towns that do not have access to essential infrastructure and
services; old caseloads comprising persons moved from their villages to
collective towns in the northern governorates during the 1970s and 1980s, and
who are willing to return to their villages; persons wanting to stay in
collective towns and who require better access to infrastructure and services;
and a recent caseload of persons who do not have the option of returning to
their places of origin. The plan designed by Habitat addresses equitably the
needs of these different groups, subject to the priority areas as identified
through surveys.
Adequacy
138. There are approximately 500,000 persons in need of assistance for permanent
resettlement either in their places of origin or in new locations. It is
estimated that there are approximately another 300,000 persons remaining in
collective towns in need of assistance. Finally it is estimated that
approximately 500,000 persons, representing the most vulnerable groups of the
population in cities and towns, do not have access to essential infrastructure
and basic services.
139. The resources provided under phases I to III will assist only 50,000
families, reaching no more than 20 per cent of the most needy families. The
basic needs of urban populations require more systematic consideration, which is
being started at present for phase III in the water and sanitation sector.
140. It is estimated that the total funds necessary for settlement
rehabilitation in rural areas in the northern governorates of Dahuk, Erbil and
Sulaymaniyah amount to $210 million. Broken down by component, this would
include $70 million for rural settlement rehabilitation, $85 million for
rehabilitation of infrastructure and services in villages and growth centres,
and $55 million for infrastructure assistance to internally displaced persons.
Furthermore, infrastructural work in cities and urban areas will require major
inputs. It is estimated that the budget requirements in the three main cities
and largest collective towns for water and sanitation activities alone could
reach $200 million. Additionally, the scope of work for other urban settlement
rehabilitation activities has still to be surveyed.
Effectiveness
141. In general there are no problems or undue delays between contract
application and approval times. Likewise, the time between contract approval
and equipment arrival in the region is satisfactory. However, there are
unacceptable delays between the time the equipment arrives in the region and the
time it is delivered. These are due to a combination of factors, which are
being addressed through the deployment to Baghdad of a full-time international
staff member of the United Nations Office for Project Services (UNOPS) to manage
the movement of equipment and personnel.
Equitability
142. Operational areas are determined according to criteria and priorities
established in conjunction with the local authorities. Minefields with high
casualty rates are the highest priority, followed by mined areas identified for
construction and/or resettlement, mined agricultural and grazing lands and other
mined areas presenting obstacles to daily life such as mined water points and
roads. In phase I the programme provided one team for each of the three
northern governorates of Dahuk, Erbil and Sulaymaniyah. In subsequent phases
the programme has identified a concentration of mines in Erbil and Sulaymaniah
and extra teams will be deployed only to those areas. High priority minefields
which cannot be cleared immediately will receive priority for demarcation and
these areas will also be targeted for an intensive mine awareness campaign.
Adequacy
143. Owing to the fact that demining operations are at a very early stage, the
wider impact of the UNOPS mine action programme has yet to be felt in the three
northern governorates. Recent mine accident statistics indicate a drop in mine-related accidents, however, no doubt due mainly to the very successful mine
awareness campaign, which reached the bulk of the population during the past
12 months. The UNOPS integrated programme of demining, survey, demarcation,
victim assistance and database development will facilitate the return of the
population to their original villages.
144. I am pleased to note that, since the adoption of Security Council
resolution 1153 (1998) endorsing the observations and recommendations contained
in my supplementary report (S/1998/90), the positive effects of which were
further enhanced by the measures taken by the Security Council Committee and by
the Office of the Iraq Programme, there has been substantial progress in the
expeditious processing and approval of applications. Further improvements to
the whole process are under consideration both by the Committee and by the
Office of the Iraq Programme pursuant to my directives to the Secretariat and my
recommendations to the Committee, outlined in paragraphs 53 to 58 of my report.
145. I welcome the decision taken by the Security Council Committee on my
recommendation to consider and approve applications even in advance of the
availability of funds in the United Nations Iraq Account, on the understanding
that letters of approval will be released by the Secretariat only after
confirmation that sufficient funds are available in the account. Unfortunately,
however, the much quicker rate of approval by the Committee has been offset by a
substantial drop in oil prices, so that at times there have been more than
200 applications approved, but letters of approval could not be released because
of lack of funding.
146. It should be noted that, as a result of shorter processing and approval
time under phase III and improved contractual arrangements between the
Government of Iraq and its suppliers, there has been a general increase in the
range and volume of humanitarian supplies reaching Iraq. Nevertheless, arrivals
of supplies continue to be erratic, the greatest impact being felt in the food
and health sectors. I am concerned that, during phase III, a full basket was
delivered only once to the recipients (in March 1998). It is essential to
improve further coordination between the Government of Iraq and the United
Nations and its agencies and programmes so as to ensure that applications are
submitted and processed in the order of their relative priority and providing
the Security Council Committee with the relevant information, as indicated in
paragraph 53 (b) of my report.
147. It is of serious concern to me that a survey carried out by the Ministry of
Health, UNICEF and WFP in March 1998 has detected no measurable difference in
the nutritional status of infants under five since the survey they conducted in
April 1997. I note, however, that the latest survey has also indicated that the
implementation of the humanitarian programme has at least arrested further
deterioration in the nutritional status of infants.
148. The extension of a targeted feeding programme in the enhanced distribution
plan (S/1998/446) to the 15 governorates in the centre and south of Iraq
represents the Government's first attempt within the scope of resolution
986 (1995) to tackle the serious problem of child malnourishment with an
appropriately focused programme, and should be welcomed. Moreover, the
Government has responded favourably to my request for an additional $8 million
allocation under the health sector, for targeted feeding programmes for pregnant
women and nursing mothers, which will also promote child health. The United
Nations observers will monitor how effectively these programmes are implemented.
Other improvements envisaged in the enhanced distribution plan in respect of
food, health, water and sanitation should bring about greater nutritional
security.
149. United Nations observers have reported a marked improvement in the
availability of drugs in the three northern governorates, which has led to an
end to drug rationing. Both this development and the efforts of WHO to
encourage more rational prescription practices are most welcome. In the 15
governorates of the centre and south of Iraq, medicines and medical supplies are
now arriving with increasing frequency, although differences remain in the
availability of drugs in different categories. It should also be noted that
health centres, which have to respond to a disproportionate share of emergency
cases, are not always appropriately staffed or supplied. I expect that the work
of the United Nations observation mechanism in assessing procurement for the
health sector will enable the Ministry of Health to ensure that basic medical
supplies are given due priority in procurement. In the water and sanitation
sector, notwithstanding the extensive problems outlined in my report, the
utilization of supplies provided for under resolution 986 (1995) has begun to
improve the quality of water produced by treatment plants, at least in Baghdad
and certain other governorates. United Nations observers will continue to share
with the relevant Iraqi authorities their findings on this sector, which has a
substantial impact on the health and nutritional status of the population, so as
to increase the impact of all rehabilitation work undertaken. I welcome the
fact that the effective utilization of most of the inputs is now resulting in
increased food production throughout the country. United Nations observers will
continue to assess how this translates into greater food security, in particular
for those most in need.
150. Effective 0001 hours Eastern Standard Time on Saturday, 30 May 1998, we
have before us a new 180-day period, pursuant to paragraph 1 of resolution
1153 (1998). Given the Council's endorsement of the need for a major increase
in the humanitarian inputs authorized under the programme, it is essential to
ensure that the momentum behind the positive developments referred to above is
not only sustained but further accelerated. Accordingly, in order to ensure the
generation of oil revenues essential for the implementation of the enhanced
distribution plan (S/1998/446), it is essential for the Security Council to take
early action on my recommendations submitted on 15 April 1998 (S/1998/330 and
Corr.1) regarding oil spare parts and equipment required by Iraq to achieve the
revenue target.
151. After my approval of the enhanced distribution plan on 29 May 1998, five
oil loadings, totalling an estimated $60 million, which for technical reasons
could not be carried out prior to that date, were lifted from 30 May to
1 June 1998. The contracts relating to those liftings were signed and approved
prior to 29 May 1998 in anticipation of the revenues produced being utilized for
humanitarian supplies under phase III. It is therefore my intention to allocate
the funds from those loadings to phase III to provide the revenues foreseen in
approving those contracts and avoid unnecessary disruptions in the delivery of
humanitarian supplies.
152. I take this opportunity to express my appreciation for the dedication and
commitment of all staff members of the United Nations system involved in the
implementation of the programme, under complex and, at times, difficult
conditions. I also wish to express my appreciation to the Government of Iraq
for its continued cooperation.
Phase I | Phase II | Phase III | |
Applications received by the Secretariat | 957a | 611
b |
512
c |
Applications submitted to the Security Council Committee | 879 | 537 | 422
d |
Approved | 835 | 536 | 371
e |
Blocked | 44 | 1 | - |
On hold | - | - | 19 |
a Includes 78 applications which were subsequently cancelled.
b Includes 74 applications which were subsequently cancelled.
c Includes 8 applications which were subsequently cancelled, and 82 not yet
circulated.
d Includes 32 applications pending "no objection" deadlines.
e Funds not yet available for all approved applications.
Commodity | Cumulative arrivals in Iraq | Quantity distributed in governorates | Stock balance available | Quantity
required for
distribution
under
resolution
986 (1995) in May 1998 |
Wheat | 3 497 797 | 3 110 179 | 387 618 | 229 966 |
Rice | 713 414 | 626 095 | 87 319 | 34 495 |
Vegetable ghee | 258 181 | 249 901 | 8 280 | 14 373 |
Pulses | 207 188 | 208 352
a |
-1 164
b |
3 449 |
Iodized salt | 30 283 | 27 463 | 2 820 | 0 |
Infant formula | 13 389 | 12 982 | 407 | 878 |
Sugar | 539 072 | 492 657 | 46 415 | 45 993 |
Tea | 34 294 | 31 013 | 3 281 | 2 300 |
Toilet soap | 64 587 | 57 639 | 6 948 | 5 749 |
Detergent | 100 186 | 81 389 | 18 797 | 8 049 |
Total | 5 458 391 | 4 897 672 | 560 719 | 345 251 |
a Including 7,985.01 tons of white beans which had not been authenticated because
there was a problem with the quality, but has been distributed to the governorates in
the meantime.
b Because of distribution to two governorates of unauthenticated goods, the stock
balance shows an artificial deficit.
Sectoral observations | |||||||
Agency | Food | Health | Agriculture | Electricity | Water and sanitation | Education | Total |
FAO | - | - | 132 | - | - | - | 132 |
UNDP/Department of Economic and Social Affairs | - | - | - | 95 | - | - | 95 |
UNESCO | - | - | - | - | - | 60 | 60 |
UNICEF | - | 162 | - | - | 786 | 116 | 1 064 |
WFP* | 100 320 | - | - | - | - | - | 100 320 |
WHO | - | 2 223 | - | - | - | - | 2 223 |
Geographical
Observation
Unit |
3 307 | 475 | 67 | 10 | 19 | - | 3 878 |
Total | 103 627 | 2 860 | 199 | 105 | 805 | 176 | 107 772 |
* Includes 97,923 observations by WFP's national observers.
Phase I | ||||||
Sector | Budget allocation
|
Arrivals in country
| ||||
15 governorates | 3 northern governorates | Country-wide total | 15 governorates | 3 northern governorates | Country-wide total | |
Food | 783 480 000 | 122 530 000 | 906 010 000 | 766 081 074 | 120 899 552 | 886 980 626 |
Nutrition | - | 5 000 000 | 5 000 000 | - | 4 591 430 | 4 591 430 |
Medicine | 181 200 000 | 28 800 000 | 210 000 000 | 113 265 000 | 16 540 000 | 129 805 000 |
Health | - | 10 400 000 | 10 400 000 | - | 9 698 234 | 9 698 234 |
Water/
sanitation |
24 000 000 | 20 200 000 | 44 200 000 | 19 413 084 | 10 717 469 | 30 130 553 |
Electricity | 36 000 000 | 23 270 000 | 59 270 000 | 15 900 000 | 2 700 000 | 18 600 000 |
Agriculture | 24 000 000 | 20 150 000 | 44 150 000 | 20 005 356 | 17 737 000 | 37 742 356 |
Education | 12 000 000 | 15 150 000 | 27 150 000 | 5 735 454 | 7 590 525 | 13 325 979 |
Resettlement | - | 12 000 000 | 12 000 000 | - | 7 900 000
* |
7 900 000 |
Demining | - | 2 500 000 | 2 500 000 | - | 2 300 000
* |
2 300 000 |
Total | 1 060 680 000 | 260 000 000 | 1 320 680 000 | 940 399 968 | 200 674 210 | 1 141 074 178 |
Phase II | ||||||
Sector | Budget allocation
|
Arrivals in country
| ||||
15 governorates | 3 northern governorates | Country-wide total | 15 governorates | 3 northern governorates | Country-wide total | |
Food | 783 470 000 | 122 530 000 | 906 000 000 | 642 358 812 | 89 132 077 | 731 490 889 |
Nutrition | - | 10 000 000 | 10 000 000 | - | 6 476 665 | 6 476 665 |
Medicine | 181 000 000 | 29 000 000 | 210 000 000 | 6 406 379 | 95 000 | 6 501 379 |
Health | - | 10 000 000 | 10 000 000 | - | 8 813 233 | 8 813 233 |
Water/
sanitation |
24 170 000 | 20 000 000 | 44 170 000 | 3 437 642 | 774 597 | 4 212 239 |
Electricity | 36 000 000 | 19 300 000 | 55 300 000 | 1 100 000 | - | 1 100 000 |
Agriculture | 24 000 000 | 26 000 000 | 50 000 000 | 12 832 726 | 10 586 000 | 23 418 726 |
Education | 12 000 000 | 15 300 000 | 27 300 000 | 3 630 875 | 165 576 | 3 796 451 |
Resettlement | - | 6 000 000 | 6 000 000 | - | 4 940 000
* |
4 940 000 |
Demining | - | 2 670 000 | 2 670 000 | - | 600 000
* |
600 000 |
Total | 1 060 640 000 | 260 800 000 | 1 321 440 000 | 669 766 434 | 121 583 148 | 791 349 582 |
* Including cash component values.
Phase III | ||||||
Sector | Budget allocation
|
Arrivals in country
| ||||
15 governorates | 3 northern governorates | Country-wide total | 15 governorates | 3 northern governorates | Country-wide total | |
Food | 783 480 000 | 122 530 000 | 906 010 000 | 72 118 433 | 1 374 958 | 73 493 391 |
Nutrition | - | 10 000 000 | 10 000 000 | - | 1 500 000 | 1 500 000 |
Medicine | 180 000 000 | 20 000 000 | 200 000 000 | - | - | - |
Health | - | 10 000 000 | 10 000 000 | - | 6 755 505 | 6 755 505 |
Water/
sanitation |
24 170 000 | 20 000 000 | 44 170 000 | - | - | - |
Electricity | 35 500 000 | 26 000 000 | 61 500 000 | - | - | - |
Agriculture | 24 000 000 | 26 000 000 | 50 000 000 | - | - | - |
Education | 12 000 000 | 15 000 000 | 27 000 000 | - | - | - |
Resettlement | - | 11 000 000 | 11 000 0000 | - | 600 000
* |
600 000 |
Demining | - | 1 000 000 | 1 000 000 | - | 829 000
* |
829 000 |
Total | 1 059 150 000 | 261 530 000 | 1 320 680 000 | 72 118 433 | 11 059 463 | 83 177 896 |
* Including cash component values.
Phase | Sector | Reporting
period |
Date
reimbursed |
Amount reimbursed (United States dollars) |
I | Food | April/May 1997 | 16 July 1997 | 14 539 097 |
May/June 1997 | 16 August 1997 | 26 724 307 | ||
July 1997 | 29 August 1997 | 14 142 854 | ||
August 1997 | 18 September 1997 | 18 075 275 | ||
September 1997 | 27 October 1997 | 19 907 936 | ||
October 1997 | 1 December 1997 | 15 169 603 | ||
November 1997 | 23 December 1997 | 7 227 105 | ||
December 1997 | 6 February 1998 | 2 358 046 | ||
January 1998 | 27 February 1998 | 413 755 | ||
Total Phase I food | 118 557 979 | |||
I | Medicine | May-July 1997 | 19 November 1997 | 230 614 |
August 1997 | 19 November 1997 | 643 503 | ||
September 1997 | 23 December 1997 | 972 103 | ||
October 1997 | 20 January 1998 | 1 842 923 | ||
November 1997 | 31 March 1998 | 1 876 572 | ||
December 1997 | 31 March 1998 | 2 724 618 | ||
January 1998 | 30 April 1998 | 2 633 440 | ||
Total Phase I medicine | 10 923 773 | |||
II | Food | November 1997 | 23 December 1997 | 5 724 129 |
December 1997 | 6 February 1998 | 21 401 127 | ||
January 1998 | 27 February 1998 | 21 185 127 | ||
February 1998 | 17 March 1998 | 6 628 833 | ||
February 1998 | 19 March 1998 | 9 282 655 | ||
March 1998 | 23 April 1998 | 7 080 879 | ||
March 1998 | 27 April 1998 | 10 211 031 | ||
Total phase II food | 81 513 782 | |||
II | Medicine | (None) | ||
III | Food | March 1998 | 23 April 1998 | 182 202 |
Total Phase III food | 182 202 | |||
III | Medicine | (None) | ||
Total food reimbursement, Phases I, II and III | 200 253 963 | |||
Total medicine reimbursement, Phases I, II and III | 10 923 773 | |||
Total reimbursement, Phases I, II and III | 211 177 736 |
1. The 15 May 1998 data somewhat under-represent the volume of phase III processing. For technical reasons, a large number of contracts were submitted to the Committee, and most were subsequently approved, during the week of 18 May 1998.