Temporary Direct Support

(TDS)
Operations Manual

Ministry of Agriculture
Addis Ababa

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TABLE OF CONTENTS

SECTION 1: ABOUT THIS MANUAL .................................................................................. 3

1.1. Overview of the PSNP Operations Manuals ......................................................... 3
1.2. Organization of Temporary Direct Support (TDS) Operational Manual..................... 5
1.3. MIS use in Targeting, Registry and Enrolment processes implementation ................ 5
SECTION 2: TDS POLICIES AND PARAMETERS ................................................................... 7
2.1. Eligibility Criteria to Participate in Temporary Direct Support................................ 7
2.2 Value and type of benefits ............................................................................... 7
2.3 Co-responsibilities and basis for payment ........................................................... 8
SECTION 3: TDS ENROLMENT AND EXIT ........................................................................ 11
3.1. About this section ........................................................................................ 11
3.2. Enrolment and exit of pregnant women and mothers ........................................ 11
3.3. Enrolment and exit of a caregiver of a malnourished child under 5 ...................... 11
3.4. TDS Status Management in MIS...................................................................... 12
SECTION 4: VERIFICATION OF CO-RESPONSIBILITIES AND PAYMENT OF TDS ..................... 13
4.1. Verification of co-responsibilities in the first year.............................................. 13
4.2. Verification of co-responsibilities in the second year .......................................... 14
4.3. Payments..................................................................................................... 14
4.4. Seqota Pilot ................................................................................................. 15
SECTION 5: CASE MANAGEMENT.................................................................................. 16
5.1. Identify available services and clients’ needs .................................................... 16
5.2. Roll out linkages to social services................................................................... 16
5.3. Monitor linkages to social services .................................................................. 17
SECTION 6. ROLES AND RESPONSIBILITIES IN TDS IMPLEMENTATION ............................... 18

INDEX OF TABLES AND FIGURES

Figure 1. Criteria to join TDS Programme .......................................................................... 7

Figure 2. Examples of Labour Cap for TDS......................................................................... 8

Table 1. Co-responsibilities for Temporary Direct Support Clients ........................................ 9

Table 2. Roles and Responsibilities in TDS Implementation................................................ 18

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Acronyms

BCC Behaviour Change Communication

DA Development Agent
ESMF Environmental and Social Management Framework
FSD/P Food Security Desk
GMP Good Manufacturing Practice
GRM Grievance Redress Mechanism
HEP Health Extension Programme
HEW Health Extension Worker
HH Households
MIS Management Information System
NGO Non-Governmental Organisation
OA Operational Annex
PDS Permanent Direct Support
PSNP Productive Safety Net Programme
PW Public Work
PWLM Pregnant Women and Lactating Mothers
TDS Temporary Direct Support
TSF Targeted Supplementary Feeding
WAO Woreda Agricultural Office
WHO Woreda Health Office

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SECTION 1: ABOUT THIS MANUAL

1.1. Overview of the PSNP Operations Manuals

The PSNP 5 operational procedures are described in a series of Operations Manuals and
Operational Annexes. Operations Manuals and Operational Annexes constitute a set of policies,
rules and procedures that implementers must follow. Audits and spot-checks are conducted
with the goal to ensure that these rules and procedures are properly complied with by
implementers.

The complete list of manuals and annexes is as follows:

Operations Manuals

Vol 1: General PSNP Manual

This is an Introduction section introducing the PSNP’s background, context, goal, and outcomes.
The introduction section also presents the PSNP’s outputs and how they relate to the various
components, along with a discussion of programme principles, scale and scope, safeguards, and
an overview of what is new in this phase of the PSNP.

Vol 2: PW Operations Manual

The Public Works (PW) Operations Manual describes the policies and processes that rule the
programme for the public works component, in order to efficiently and effectively implement
the programme. The volume starts with a description and the document i sub-divided into three
Sections:

• Programme Policies and Parameters

• Programme Entry and Exit
• Public Work Implementation and Attendance

Vol 3: TDS Operations Manual

The Temporary Direct Support (TDS) Operations Manual describes the policies and processes
that rule the programme for the TDS component, in order to efficiently and effectively
implement the programme. The volume starts with a description and the document is sub-
divided into three Sections:

• TDS Programme Policies and Parameters

• TDS Enrolment and Exit
• Verification of Co-responsibilities and Payment of TDS

Vol 4: PDS Operations Manual

The Permanent Direct Support (PDS) Operations Manual describes the policies and processes
that rule the programme for the public works component, in order to efficiently and effectively
implement the programme. The volume starts with a description and the document is sub-
divided into three Sections:

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 • PDS Programme Polices and Parameters
• PDS Entry and Exit
• Case Management of PDS Clients

Vol 5: Livelihoods Operations Manual

The Livelihoods (LH) Operations Manual describes the policies and processes that rule the
programme for the livelihoods component, the volume is sub-divided into:

• Livelihoods Programme Polices and Parameters

• Livelihoods Programme Implementation
• Livelihoods Related Analysis

Vol 6: Shock Responsiveness Operations Manual

The Shock Responsiveness Operations Manual describes PSNP’s response to shock and the
impacts of disasters through the establishment of a comprehensive and integrated shock
responsiveness system.

Operational Annexes

OA 1: Targeting, registry and enrollment

The Targeting, registry and enrolment Operational Annex describes processes that the targeting
of households to become PSNP beneficiaries. It complements the two following operations
Manuals: The Public Works operations Manual, and the Permanent Direct Support operations
manual.

OA 2: Payment

The payments Operational Annex describe the payment processes for permanent direct support
and for public works beneficiaries.

OA 3: Annual Planning

The Annual Planning Operational Annex describes the various planning activities that needs to
take place prior to commencing programme implementation.

OA 4: Resource Management

The Resource Management Operational Annex describes management of PSNP resources and is
divided into the following five chapters:

• Financial management
• Food management
• Procurement
• Physical resource management

OA 5: Grievance Redress Management (GRM)

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The Grievance Redress Mechanism annex describes the means by which programme clients and
community members can raise grievances with different aspects of programme implementation
and get these grievances resolved.

OA 6: Monitoring, Evaluation and Learning (MEL)

The Monitoring and Evaluation Operational Annex describes the monitoring and reporting
processes for the programme along with a number of monitoring and evaluation tools.

OA 7: Capacity Development (CD)

The CD OA provides the systematic approach to annual programming of CD support for PSNP. It
covers the critical procedures and standards which must be applicable for the whole programme
and across all implementing agencies.

OA 8: Environmental and Social Management Framework (ESMF)

The ESMF OA describes the potential environmental and social issues arising from PW and the
livelihoods component and identifies mitigation actions on how to address these issues. In
addition, certain technical aspects may be covered by guidelines. Guidelines are documents
aiming at providing guidance on certain technical aspects of programme implementation and
are not binding in the same way as are OMs and OAs. Guidelines must not contradict procedures
described in manuals and annexes.

1.2. Organization of Temporary Direct Support (TDS) Operational Manual

The TDS Operations Manual describes the policies and processes that rule the programme. It is
complemented by the following operations manuals, operational annexes and guidelines: The
Public Works operations Manual, Temporary Direct support operations manual, the Permanent
Direct Support operations manual, the Management Information Systems (MIS) user’s manual,
among others.

The main users of the TDS Operations Manual are:

• Ministry of Agriculture (Federal and regional)

• Ministry of Health (Federal and regional)
• Ministry of Labour and Social Affairs (Federal and regional)
• Social Welfare Development Directorate
• Woreda Food Security Desk
• Woreda Health Office
• Kebele Food Security Task Force
• DAs and Health Extension Workers
• Social workers
• NGOs

1.3. MIS use in Targeting, Registry and Enrolment processes implementation

PSNP 5 programme operations are MIS-based; all programme operations involving beneficiary
data (e.g. targeting, PW attendance monitoring, payment, etc.) are carried out by programme

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staff by their accessing, editing/updating, or viewing the required data through the MIS, which
is customized software developed based on PSNP operational processes.

The MIS can be accessed down to the Woreda level. Data used in current programme operations
below the Woreda, at the Community or Kebele level, is returned to the Woreda for entry into
the MIS.

However, until the MIS is rolled out woredas will continue to use the RPASS

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SECTION 2: TDS POLICIES AND PARAMETERS
Temporary Direct Support is a sub-component under the PSNP where pregnant women and
lactating mothers (up to two years after birth) and primary caregivers of malnourished children
are exempted from public works and transit to TDS. This means that at least one-person transfer
is provided to their household without a public works requirement. The identification of
temporary direct support client transition will be carried out throughout the year in addition to
the targeting and annual updates periods.

2.1. Eligibility Criteria to Participate in Temporary Direct Support

Within PW beneficiary households, certain individuals may be exempted from participating in

the Public Works on a temporary basis while continue receiving their benefits for a specific
period of time.

• The TDS component is particularly designed to address the needs of pregnant women
and mothers with children under 2 years old and primary caregivers of malnourished
children.

Criteria to join the TDS programme are as follows:

• The individual must belong to a household enrolled in PSNP

AND
• Be a pregnant woman; or
• A mother with a child under two years; or
• A caregiver (male or female) of a child under the age of five identified as suffering from
moderate or severe malnutrition

Figure 1. Criteria to join TDS Programme

The Individual must Be a pregnant A mother with A caregiver of a child

belong to a household woman a child under under the age of five
enrolled in PSNP two years identified as suffering
from moderate or
severe malnutrition

2.2 Value and type of benefits

When a household member is enrolled as TDS, she continues to receive the same amount of
benefits she was getting previously while participating in public works. No other household
member is expected to work on her behalf to earn that transfer. Transfer for a TDS beneficiary
will be provided without participation in public works. Prior to transitioning to TDS, if the client
was covering the PW days for other members in the household, the husband or any other able-

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 bodied household members should cover the days. However, she will be entitled for full benefits
if there are no able-bodied members within the household.

If the husband or other able-bodied household members have reached their maximum days cap,
the client is entitled for the remaining benefits without being required to participate in PWs for
the additional household member. For example, if the household has 5 members i.e. husband,
wife and 3 dependents and the wife transitions to TDS, the husband can only cover for himself
and 2 dependents while they are still entitled for the benefit of the remaining household
member.

In the case of households where the PWLM had been the only able-bodied adult, all household
member’s benefits will be paid without being required to participate in public works.

Below are four examples of how to apply the labour cap to households where a woman has
temporarily transitioned to TDS

Figure 2. Examples of Labour Cap for TDS

HOUSEHOLD 1 HOUSEHOLD 2 HOUSEHOLD 3 HOUSEHOLD 4

Comprised of husband and Comprised of husband and Comprised of husband, wife, Comprised of a PWLM as the
wife and young child. The wife wife and 3 young children. one able bodied son or only able-bodied adult where
becomes pregnant with her The wife becomes pregnant daughter and two young all the household member’s
second child and transitioned with her fourth child and children. The wife becomes benefits will be paid without
to TDS. She is still entitled for transitioned to TDS. She is still pregnant with her fourth child being required to participate
the transfer amount she used entitled for the transfer and transitioned to TDS, the in public works
to receive while participating amount she used to receive husband and the able-bodied
in PW. The husband continues while participating in PW. The son/daughter will split the 20
to participate in PWs to earn a husband continues to days of work among
safety net transfer for himself participate in PWs to earn a themselves and the remaining
and the child. The labour safety net transfer for himself 5 days are considered as
requirement in this case is 10 and his two children as this is exemption for the TDS client
days, falling below the labour the maximum he can work
cap. under the labour cap. A
payment is still received for
the third child, but this
becomes a TDS payment.

2.3 Co-responsibilities and basis for payment

2.3.1. Co-responsibilities of PWLM and caregivers of a malnourished child

Co-responsibilities vary depending on the type of TDS beneficiary.

For pregnant women and lactating mothers (PWLM) of a child less than 2 years old: the
programme facilitates linkages with health and nutrition services, particularly antenatal care and
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nutrition-related co-responsibilities. PWLM are required to attend services where they exist,
and which are provided within a 5km distance from where they are staying. In areas where
access to health services and the health extension programme are more limited, PWLM are
encouraged to attend any service that is available and nearby and/or a reduced number of ante-
natal counselling consultations, regardless of whether provided by the government, an NGO or
other partners.

Childcare Centres

The childcare centres are a safe, caring, and stimulating environment for young children aged 1-
5, to foster their development in sensory-motor, cognitive, language, and social and emotional
skills, and develop and promote good parenting practice. It will provide tailored services based
on a curriculum developed by an NGO that is coupled with BCC (nutrition and other health
related counselling) sessions that focus on the holist ECD approach. The centres will be attended
by trained women beneficiary on a rotation basis based on their caps.

During the first year of exemption, PWLM are linked to health and nutrition services which are
the only co-responsibilities. In the second year of exemption, mothers will receive coaching and
training on the basics of early childhood development and will work in the PSNP childcare
centres as care takers, where such centres are available. In areas where childcare centres are
not in place mothers of children under two years will be exempted from these duties.

Primary caregiver of a malnourished child under five years old during treatment also has a
number of co-responsibilities and must visit health and nutrition facilities on a regular basis.

Once eligible clients are identified, they should be referred to the appropriate services and
informed of their co-responsibilities. The key co-responsibilities for different categories of
temporary direct support clients are as follows:

Table 1. Co-responsibilities for Temporary Direct Support Clients

Categories of TDS clients Co-responsibilities

Pregnant Woman • Attendance of four ante-natal consultations

• To participate in BCC (nutrition and other health related
counselling by the HEWs or HEP) sessions
• Attend Nutrition and health relation information session
• Tailored counselling or BCC (nutrition and other health related
counselling)to TDS clients using nutrition champions and CFs

Mothers on the first year as TDS • Attendance of one post-partum health facility visit
• Attendance of growth monitoring and promotion/BCC (nutrition
and other health related counselling by the HEW or HEP) sessions
• Uptake of routine immunisation on behalf of the child as informed
by the HEW (the child should finish the complete immunization
before or on her/his first-year birthday)
• Attend Nutrition and health relation information session
• Tailored counselling or BCC (nutrition and other health related
counselling) to TDS clients using nutrition champions and CFs

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 Mothers on the second year as TDS • Attendance of one post-partum health facility visit
• Attendance of growth monitoring and promotion/behavioural
change communication sessions as informed by the HEW
• Uptake of routine immunisation on behalf of the child as informed
by the HEW
• Attend coaching and training on the basics of early childhood
development
• Work as caretakers in childcare centers
• Attend Nutrition and health relation information session
• tailored counselling or BCC (nutrition and other health related
counselling) to TDS clients using nutrition champions and CFs

Primary care giver of a • Monthly check up of the child at the closest health facility
malnourished child under five • Attendance of BCC sessions (nutrition and other health related
years old during treatment counselling) provided by HEW or the health development army as
informed by the HEW
• Participation in treatment (e.g. community management of acute
malnutrition or targeted supplementary feeding) as advised by
the HEW
• Attend Nutrition and health relation information session

Although close monitoring and follow up of co-responsibilities is made by HEWs, attendance is

not a hard condition and transfers are not deducted for lack of participation in any of the
services.

The above co-responsibilities which relate to services that are part of the health extension
programme are not duplicated by PSNP, but rather promotes the utilisation of the available
services by temporary direct support clients.

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SECTION 3: TDS ENROLMENT AND EXIT
3.1. About this section

This section of the manual describes the processes for identifying beneficiaries eligible for the
TDS programme. It describes how beneficiaries are enrolled in the TDS programme and how
they exit (and subsequently join the PW programme again).

3.2. Enrolment and exit of pregnant women and mothers

Beneficiaries who are pregnant and mothers of children under 2 years are enrolled into the TDS
programme.

Pregnant women should report their pregnancy to the DA supporting PWs in their area along
with evidence of her pregnancy. Evidence includes:

• An appointment card stating the date of her first or second ante-natal counselling
session (most common)

OR

• A letter from a health extension worker (HEW) stating her name and confirming her
pregnancy and participation in an ante-natal counselling session (if an appointment card
is not available)

Women who bring proof of pregnancy from a medical centre, should be exempted from public
work immediately. If a medical centre is not available in the area; a woman can declare she is
pregnant and will be exempted from public work.

Pregnant women and mothers remain as TDS for the duration of their pregnancy and until the
child is 24 months (provided the household is a PWs beneficiary until that date). Beneficiaries
will exit from TDS at the end of the second year after birth and return back to their public works
engagement.

In NGO-supported woredas, the DA and NGO workers prepare a list of TDS clients.

3.3. Enrolment and exit of a caregiver of a malnourished child under 5

If a child is identified as moderately or severely malnourished by a health extension worker

(maybe in the course of routine growth monitoring or as a result of targeted supplementary
feeding screening) and requiring treatment, the primary care-giver of the child (usually the
mother) will be enrolled as TDS during the period of treatment.

The caregiver has to present to the DA a reference card from the Health Extension Worker or
other health professional, with the expected time that the treatment will require. The primary
caretaker will remain in TDS until the Kebele Food Security Task Force (KFSTF) determines based
on the recommendation from a health professional that a return to PW will not be harmful to
the child.

In NGO-supported woredas, NGO workers will compile a list of TDS clients by closely work with
DAs and HEW.

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3.4. TDS Status Management in MIS

The TDS Status Management module allows the Woreda to add and remove eligible individuals
from beneficiary households in the TDS component, and supports the Woreda to provide TDS
beneficiaries with advance notice of the end of their eligibility period and transition back to PW.

The MIS overrides PW attendance monitoring for these individuals while they are TDS
beneficiaries.

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SECTION 4: VERIFICATION OF CO-RESPONSIBILITIES AND
PAYMENT OF TDS
4.1. Verification of co-responsibilities in the first year

Verification of co-responsibilities is a combination of the below steps:

• Clients and their caregivers take up the required services

• HEWs verifies compliance to co-responsibilities
• HEWs, Das, Community Facilitators (CFs) and nutrition champions follow up with and
counsel households who are not complying with co-responsibilities. Social workers
where available should support the follow up of co-responsibilities.

The implementation of these stages largely follows core Health Extension Programme
processes, but with some additional verification and enhanced follow-up of households who do
not comply with co-responsibilities.

The use of ‘family folders’ is core to the delivery of the Health Extension Programme and plays
a key role in the monitoring of co-responsibilities for the PSNP. Services that a household is using
and the regime of services they are expected to use are all laid out in the folder (which contains
a separate, relevant card for each household member). Folders are complemented by health
cards for individuals requiring a regime of services (family planning, antenatal care or
vaccinations). These cards are filed using a ‘tickler system’ (cards are filed according to the date
the next action is required), making it easy to schedule follow-up.

In order that this system be used to facilitate strengthened support to, and monitoring of, PSNP
temporary direct support clients, the following steps are required:

Step 1: When a PSNP client is referred to temporary direct support (either because the client
has attended her first ante-natal counselling session or because she has informed the DA that
she has reached her third month of pregnancy), the HEW should mark the family folder with a
sticker or stamp indicating they are a temporary direct support client; and their names and serial
numbers are added to the list of temporary direct support clients maintained in the health post.
The same sticker or stamp should also be put on any associated health cards. The DA should also
inform the woreda (and NGO staff, in woredas supported by NGOs) of all TDS clients and the list
should be marked in the MIS/RPASS.

Step 2: The HEW then creates a checklist of co-responsibilities to be met for the client and
provide an appointment card to the temporary direct support client in order that she be aware
of what is expected of her and the appointments that are due. The required appointments will
vary depending on the reason why the household member was selected for temporary direct
support (because of pregnancy, or malnutrition of a child), the stage of their pregnancy (or post-
birth), and the services they have already completed

(see Table 1 above for the co-responsibilities)

Step 3: There is then normal use of the family folder and tickler system to register household
use of services and to follow-up with households any missed appointments.

Step 4: At the end of each month, the HEW creates a list of any households who have missed
appointments. This can be done by reviewing any cards marked with a sticker or stamp
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remaining in the tickler box for a specific month. The HEW visits any households that have
missed appointments and counsels them in the importance of meeting these appointments, and
reminds them of their commitment to do so when they transitioned to temporary direct
support.

Step 5: At the end of each quarter, the HEW reviews compliance of each household against its
co-responsibilities and produces a tracking reporting that details which co-responsibilities have
been met and which have been missed and submits this report to the Woreda Health Office for
their monitoring and for onward submission to the woreda Food Security Desk (and NGOs, in
woredas supported by NGOs).”.

The HEW and the social worker where available flags to the DA any households that have missed
multiple appointments to allow the DA to visit these households and further emphasise the
importance of adhering to co-responsibilities.

Step 6: The FSD/P enters the uptake information into the relevant register and uses the
information to complete the quarterly report on safety net activities. However, no payments
will be deducted if the TDS clients have not adhered to these provisions. The uptake information
will be used to strengthen the follow up engagement of the nutrition champion and community
facilitator.

In woredas where the family folder is not applied and the nutrition registry is functional; the
nutrition registry will be used to monitor co-responsibilities. In woredas where the nutrition
registry is not functional; a format to track and monitor co-responsibilities should be developed
and used. Community facilitators and social workers will be responsible to update the folder
with TDS client’s co-responsibilities every three months and provide the information to the DA.
The DA will send the information to the woreda and this will be updated into the MIS.

NGOs provide regular technical support to all stakeholders to better implement and document
the TDS co-responsibilities

4.2. Verification of co-responsibilities in the second year

The monitoring of the co-responsibilities in the second year for lactating mothers’ beneficiaries
is described as below:

Step 1: The MIS will flag the lactating mother with a child older than one year that enter the
second year. These beneficiaries will receive coaching and training on early childhood
development and nutrition at the childcare centres. Training and supervision for caregivers will
be provided by TAs/NGOs by using the training materials developed for this purpose.

Step 2: At the end of the training mothers will assume a caregiver position at the childcare
centres. The centres will be attended by trained women beneficiary on a rotation basis based
on their caps. Attendance will be recorded by the responsible person at the childcare centre.

Step 3: At the end of each month the attendance is sent to the DA where it will be incorporated
with the public works attendance.

4.3. Payments

Payments are made to Temporary Direct Support clients on a monthly basis for six months of
the year. These months may be consecutive (for example January to June) or in separate blocks
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(for example September to November and February to April). Transfer schedule is determined
for each woreda at the launch of each phase of the programme.). The transfer amount is set
annually according to the process outlined in the same chapter.

All cash and food payments will be made to clients 30 days after the end of the month.

Further details of the payment procedures is described in OA 2 “Payment procedures”.

If a TDS client is unable to collect his or her payment, for instance if he or she is unable to attend
the payment days, someone else may collect the payment on his or her behalf. This should be
agreed with the Community Food Security Taskforce in advance of the payment day. The CFSTF
then informs the KFSTF, which informs the cashier/distribution expert that this arrangementhas
been made through written confirmation. Social workers where available should facilitate this
process. On-the-spot delegation approvals (on payment days) should be avoided.

4.4. Seqota Pilot

PSNP5 puts in place a pilot to provide additional support to mothers and young children.
Community-based Childcare Centers will be developed as part of the public works programme
and the budget for construction of the centers will be from the Public Works capital budget.

During the public work season, selected PSNP clients, who are considered responsible, active
and have a child under 5 years, will serve as caregivers at the childcare centers. This work will
be considered as their contribution to public works. The number of caregivers will be based on
recommended child/adult ratios for childcare centres.

The pilot will be rolled out to all 6 Seqota Declaration woredas covered by PSNP in Amhara
regions and will target children between the age of one and five years.

A non-governmental organization (NGO) will provide technical support to public works clients
to set up and operate the community-based childcare centers. Activities in the centre will
support the age-appropriate development of early literacy and numeracy, and socio-emotional,
fine motor and gross motor skills.

Based on the outcome of the pilot the mother and child package will be scaled up to 33 woredas.

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 SECTION 5: CASE MANAGEMENT
PSNP has used a strategy to boost demand for social services by introducing some co-
responsibilities specific to the different groups of TDS clients. Thus by facilitating access to
services, clients are able to meet their soft conditionalities as well as to gain assistance for other
issues they may face through establishing a family focused functional case management system.

The focus of this component will be on linkages to social services related to health and nutrition,
including community-based health insurance (CBHI), as well as to education, and legal services.
This will require follow-ups, most importantly home visits via a referral and monitoring
mechanism as well as leveraging PSNP SBCC platforms to boost demand.
The case management of TDS clients will follow the rules of the “National Case Management
guidelines for PSNP Clients and Other Vulnerable Groups” (December 2019) of MOLSA.

5.1. Identify relevant, available services and clients’ needs

MoLSA’s guidelines on case management further describe the case management for the TDS
client.
A guideline describing how to establish and run case management for TDS clients will be
developed for woreda and kebele level service providers. The guideline will include relevant
formats to facilitate linkage to services as well as monitor uptake of services.
Using the guideline, the available and relevant social services, including those offered by
government and by NGOs, will be identified and documented for each woreda/kebele. This
mapping exercise will include a brief assessment of the services’ capacity and limitations. The
list of services will be updated annually, or more frequently if changes in services occur.
Simultaneously, household profiling will be undertaken to identify clients’ needs for specific
social services, with priority given to TDS clients and the most vulnerable. Clients will then be
matched with the available service that meets their needs.
5.2. Roll out linkages to appropriate and available social services

Identified clients will be linked with appropriate social services using the different formats
included in the guideline. PSNP can use its multiple information sharing and communication
mechanisms, including BCC (nutrition and other health related counselling) sessions, as a
platform for raising awareness to improve social service seeking behaviour. Services may
include:
• Health and nutrition, including water, sanitation, and hygiene (WASH) services, ante-
and post-natal check-ups, nutrition counselling, GMP and child immunization, sexual
and reproductive health, community-based health insurance (CBHI), HIV counselling
• Early childhood development (ECD) and education, including literacy and basic adult
education
• Justice or legal services (e.g. for cases of child marriage and GBV) and can include
psychosocial support counselling services.

Social workers will be responsible for case management – a process whereby an individual child
is followed along a chain of interventions to ensure their follow up until the well-being of the

16
child is confirmed. This process contains a series of well-defined steps: identification, intake
screening, assessment, care planning, implementation, case review and case closure.

5.3. Monitor linkages to social services

Linkages facilitated between clients and appropriate social services will be documented and
followed up to assess clients’ uptake of and satisfaction with the services.
Major monitoring indicators of social services will be identified and linked with that of PSNP MIS
and the health sector reporting system.

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SECTION 6. ROLES AND RESPONSIBILITIES IN TDS
IMPLEMENTATION
This section details the specific roles and responsibilities under the TDS programme
implementation (implementers roles and responsibilities are described in their respective
manuals and annexes).

This component requires a multi-sectoral approach. MoA and MoLSA will have a joint primary
responsibility for coordinating and delivering roles respectively, with close engagement from
MoH, with strong participation of MoWC and MoE.
A tripartite MOU will be developed and signed by the three ministries involved in coordinating
and delivering this output, namely MoA, MoLSA and MoH. The MOU will document and describe
the roles and responsibilities and institutional arrangements for all actors at various levels of
government. MoA-FSCD as the programme coordinator will facilitate the process of jointly
developing and signing of the MoU.
PSNP platforms such as the kebele and woreda level Food Security Taskforce should serve as a
platform to promote links to social services, address bottlenecks through information sharing,
and monitor and improve the effectiveness of the referral mechanism.
Relevant community-based organizations (CBOs) and NGOs that provide social services at
grassroots level will be engaged.
A new Linkages to Social Services TC will be established at the federal level to support the
implementation of this component and the implementation of the gender, nutrition and social
development activities of the programme. The nutrition TF and Social Development TF of PSNP4
will remain and feed into the TC activities. The chair and co-chair of LSS TC will be a member of
all other TCs.
Table 2. Roles and Responsibilities in TDS Implementation

MoA –Food Security Coordination • • Lead overall coordination and governance

Directorate • Responsible for mainstreaming of Gender, Social
Development and Nutrition elements in LASS and all
other outputs of the programme
• Develop the necessary capacity building guideline
and manuals of the programme including on GSD,
Nutrition and LASS
• Coordinate and provide Capacity Development
interventions for all PSNP stakeholders on LASS, GSD
and nutrition
• Monitor and report on overall mainstreaming of
GSD, nutrition and LASS and other outputs of the
programme

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Women, Children and Youth Affairs • • Lead implementation of GBV action plan in the
Directorate (WCYAD) programme
-MoA • Coordinate and implement GBV focused capacity
development
• Monitor and report on the implementation of GBV
action plan

Food and Nutrition Coordination Office • • Oversee and monitor nutrition interventions of the
– MoA programme, with special focus for linkages to
relevant social services, in collaboration with MoH
• Engage on the Capacity Development interventions
focusing on Nutrition aspects
• Support Nutrition interventions in Seqota
Declaration woredas where PSNP overlaps
• Identify and meet any additional capacity needs
required as a result of intervention
• Jointly with MoH, monitor implementation of
nutrition interventions in PSNP woredas,

• • Responsible to conduct service mapping, HH

profiling and facilitating the linkage to social services
MoLSA
and monitoring the uptake
• Develop the necessary formats and guidelines

co-lead with MoA and MoH the implementation of the linkage

to social services component of the programme (TDS case
management) in close cooperation

• Monitor and report on the implementation of the GBV

Social Welfare Development action plan
Directorate • Monitor and report prevalence of child labour in
programme activities, jointly with NRMD
• Develop CD programmes for case management and for
linkages to social services for MoLSA staff at regional and
woreda levels
• Follow up timely transfer for the PDS caseload – lower level

Ministry of Health (MoH) MOH in collaboration with FSCD will support PSNP beneficiaries
through linkages to social services based on the planning of
activities and prioritization of resources at woreda level.
Coordinate the implementation of the linkage to social services
component of the programme (TDS case management) in close
cooperation with MoA and MoLSA.

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 • As part of the tripartite agreement, implement and
monitor nutrition interventions and linkages to health
services
• Coordinate and lead all HEP activities including those
related to PSNP clients
• Identify and meet any additional capacity needs required
as a result of intervention
• Train HEWs in the processes and documentation required
for this sub-component

• Coordinate all HEP activities including those related to

PSNP clients
• Identify and meet any additional capacity needs required
as a result of intervention
• Coordinate all HEP activities including those related to
PSNP clients
• Train HEWs in the processes and documentation required
for this sub-component
Woreda Health Office
• Provide woreda specific BCC (nutrition and other health
related counselling) tools where needed
• Oversee health extension workers provision of the HEP and
provide technical backstopping
• Supervise implementation and monitoring of the health
sector’s support to the PSNP and suggest corrective actions
where needed
• Documentation of service uptake, integrate PSNP related
service uptakes in to the HMIS

• Support the coordination of health and nutrition activities

under the PSNP
Woreda Food Security Desk/Process • Support the training of HEW in the processes and
documentation required for this sub-component
• Enter temporary direct support entitlements in PASS/MIS

• Review implementation of the links to social services sub-

Kebele Food Security Task Force
component

• Facilitate collaboration between the DA and HEW

Kebele Manager
• Community mobilization

• Arrange and facilitate separate BCC sessions ( nutrition and

Health Extension Workers
other health related counselling) for temporary direct support
clients on regular basis

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 • Follow up temporary direct support clients to encourage
their uptake of services
• Notify the DA of temporary direct support clients who miss
multiple appointments
• Record uptake of services by PSNP TDS clients
• Provide a report on uptake on a quarterly basis to DAs
• Provide reports on use of services of all community
members to WHO

• Support follow-up with households of TDS clients,

particularly those missing multiple appointments
• Collect reports on uptake of services from HEWs and
DAs
submit to WAO
• Notify WAO who PWs participants transit to and from TDS
through attendance

Community Care Coalitions (where • Facilitate the implementation of these provisions and
available) supports the HEW and DA where needed

• Mapping of available social services

• Household profiling, coordination and linkage to
available services
• Support HEW in arranging and facilitating separate BCC
Social Workers (SWs) sessions (nutrition and other health related counselling) for
temporary direct support clients on regular basis
• Responsible for case management including
identification, intake screening, assessment, care
planning, implementation, case review and case closure

• In collaboration with HEWs and SWs, the CF will

o ensure the documentation and reporting of
nutrition and other health related
counselling participation
o monitor and report health and nutrition
services uptake by TDS
• Provide intensive support to the community level gender
Community Facilitators (CFs) and nutrition champions
• Support needs assessment, planning, implementation
and reporting of linkages of relevant programme clients
with other social services
• Provide support to HEW and DA in facilitating Co-
responsibilities
• Follow up with and counsel households who are not
complying with co-responsibilities.

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 nutrition champion should be trained by the programme
before the start of their roles. There should be 2-3 nutrition
champions in one kebele the following are their roles:-

• Inform TDS clients of their co responsibilities

• Monitor uptake of TDS client’s co-responsibilities
• Facilitate and provide Nutrition and Health related
Nutrition Champions
information sessions to TDS clients (however this
counseling should be given by a trained nutrition
champion and doesn’t include specific health counseling
given by HEWs)
• In collaboration with DAs and CF monitor women work
50% fewer hours on public works than men.

• In woredas supported by NGOs

• Provide capacity building and where required, technical
NGOs support to the management of the Links to Social Services
subcomponent
• Avail the required budgets

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