Humanitarian partners’ support to the Somali Regional State’s 90-day response plan for acute watery diarrhoea
Goal To reduce avoidable morbidity and mortality due to acute watery diarrhoea (AWD) in the Somali region
Strategic objectives Increase people’s access to essential AWD health care services Improved AWD health care service provision Strengthen surveillance and health/nutrition information, including cross-border Prevent and control further outbreaks Increase resilience and capacity/capability of the health system Strengthen coordination and operations support
Operating principles Evidence-based decision making: Resources will be concentrated on the greatest areas of need/risk based on the latest available epidemiological information.
Partnership: Partners will work towards collective results in support of the Regional Government.
Integrated approach: The plan will be delivered in an integrated manner - health, WASH and nutrition - to ensure improved health outcomes.
Action and results oriented: Partners commit to decisive action and clear deliverables and outcomes, and will hold themselves accountable to these commitments.
'One UN' approach: UN partners will work as one to maximize efficient use of resources and to promote and better manage predictable response.
Operations and performance management Operational review (daily): The Regional Health Bureau (RHB) command post meetings will review and monitor routine work against the plan and provide guidance on any immediate corrective actions required.
Tactical review (weekly): The Head of the RHB and the Head of Regional Water Bureau (RWB) with leads and co-leads of pillars will meet (location to be decided but ideally out in the hotspot areas) to review roles and responsibilities, performance against the plan, ground truth, and resourcing needs (allocation and additional requirements). Corrective actions will be taken to ensure high performance against plan.
Strategic review (monthly): Senior colleagues from across the UN and key partner organizations will come together with the Federal Ministry of Health, RHB, RWB and other parts of the Regional Government to take stock of the AWD situation and review progress against the plan, altering the plan as appropriate. Critical gaps or weaknesses that might lead to unacceptable levels of risk or performance will be analysed and addressed. This review will help ensure the plan remains fit for purpose and the One UN approach continues to work effectively to deliver its collective ambitions in controlling and closing down the AWD outbreak in support of the Government.
DRAFT
CASE MANAGEMENT
Area of Intervention Objective Activity Indicator 30 days 60 days 90 days Partner Organization Budget USD
Reclassify treatment units (3 categories) and define a priority package for N/A Done N/A N/A Case management team interventions for each - Map existing resources (shelter, HR, med supply, WASH) and identify immediate Mapping completed 20 priority 1 CTC/Us 20 Priority 2 CTC/Us All Case management team Ensure that Priority 1 and 2 needs - Work with MSF, SCI, UNICEF and WHO to rapidly address gaps in all CTC's CTU's Priority 1 and 2 centre centers have adequate staff, # of CTCs/CTU gaps addressed 10 CTC/CTUs 10 CTCs/CTUs 5 CTCs/CTUs RHB, UNICEF, WHO resourcing equipment, and water supply including procure resources 200,000 and sanitation Deploy HC providers from the Region and FMoH to all affected Woredas # of HC providers deployed 600 300 100 FMoH/RHB/EPHI 850,000
Repurpose health workforce to cover needs in Priority 1 and 2 centres # of HC providers repurposed 20 Priority 1 CTC/Us 20 Priority 2 CTC/Us All CTCs/CTUs RHB - Recruit 20 Public Health Officers (nursess) to conduct CTC monitoring # Public Health Officers recruited 20 PHOs 20 PHOs 20 PHOs WHO 90,000 Establish a team of CTC/CTU Conduct a 4 day training with ICDDRB and 2-day training on MSF sites for initial # trainings conducted 20 PHO 20 PHOs 20 PHOs WH0/MSF monitors and trainers (nurse, PHOs 5,000 doctors) at Zonal/Woreda level to On-site training and supervision HW focusing on screening, rehydration and IPC # of onsite trainings conducted # of Priority 1 and 2 centre 20 Priority 1 CTC/Us 20 Priority 2 CTC/Us All CTCs/CTUs CTC monitors, WHO strengthen Priority 1 and 2 measures supervisions conducted 22,000 strengthening and surge support centers; Establish a team of doctors to provide rapid CTC/U Recruit 6 clinical case management sepcialists for each zonal hub # CM recruited 6 N/A N/A GOARN - set up support and surge support Recruit 6 IPC specialists - one for each zonal hub # IPC recruited 6 N/A N/A GOARN - Set up systematic MUAC screening of U5 children in all treatment units and proportion of MUAC screening done for U5 Improve screening and 20 Priority 1 CTC/Us 20 Priority 2 CTC/Us All CTCs/CTUs Nutrition team RHB/WHO SAM screening and establish a protocol for AWD treatment of SAM children 10,000 management of SAM in AWD management centers Develop an algorithm for use of RDTs in U5 and implement in CTCs/CTUs proportion of RDT done for U5 children 20 Priority 1 CTC/Us 20 Priority 2 CTC/Us All CTCs/CTUs WHO - Link with surveillance team and develop a data base for information related to Daily inter-pillar meetings 20 Priority 1 and 20 priority 2 All N/A RHB/WHO/CDC Strengthen data management CTCs/CTUs - Data management and analysis and analysis of information Define monitoring indicators List of Indicators defined and reported Done N/A N/A RHB/WHO - reported by CTCs/CTUs Develop a weekly report with updated information on CTCs/CTUs capacity and # weekly reports issued 4 reports 4 reports 4 reports RHB/WHO/CDC resources - Plan and implement training of trainerswith ICDDRB # trainers trained 20 PHOs, 40 doctors 20 PHOs 20 PHOS RHB/WHO 11,000
Strengthen case management Training designed, lead recruited, 1st Develop custom training for new PHOs and identify training lead 10th May N/A N/A Skills strengthening skills of health staff working on course delivered. CTCs/CTUs 10,000 Roll out on-site bedside training for health staff working on Priority 1 and 2 # of onsite trainings conducted 20 Priority 1 CTC/Us 20 Priority 2 CTC/Us 5 trainings in Priority 2 Woredas RHB/WHO/MSF centers 5,000
50 HWs from Priority 3 Woredas 50 HWs from Priority 3 Woredas Identify and train 100 HWs (10 MDs, 20 HO,60 nurses, 10 Env’T) # HWs identified and trained N/A RHB/WHO/MSF Establish a stand by capacity to r r Treatment unit resourcing resource new treatments units 20,000 (staff and material) Preposition CTC - CTU - ORS kits at the zonal level # CTC kits prepositioned 30 CTC kits - 7 CTUs - 97 ORP kits 20 CTC - 10 CTU - 18 ORP N/A WHO/UNICEF/SRHB 550,000
Pillar budget 1,773,000
Funding gap 1,493,000
SURVEILLANCE
Area of Intervention Objective Activity Indicator 30 days 60 days 90 days Partner Organization Budget USD
Map current workforce and reallocate at zonal and woreda level according to Surviellance pillat team (FMoH, List of workforce mapped and reallocated By 8 May N/A N/A priorities RHB, WHO, CDC) -
Define a package of interventions for RRTs (investigation, prevention, soc mob, Surviellance pillat team (FMoH, Strengthen rapid response teams Package of intervention produced By 28 April N/A N/A Rapid response team etc...) RHB, WHO, CDC) deployed by the FMoH (~600 strengthening PHO) - Recruit and train 30 Surveillance officers from the Polio surveillance network (in Number surveillance officers recruited and addition to the existing 22) to be based at Zonal level for support/monitoring of 30 N/A N/A WHO, CDC trained RRTs 5,000 Strengthen rapid response teams Rapid response team deployed by the FMoH (~600 strengthening PHO) DRAFT
% of supervisory field visits done by Establish and roll out a training plan for current workforce surveillance pillar to establiched and rolled 75% N/A N/A FMoH, RHB, WHO, CDC, UNICEF out training plan 1,000 Set up a system at woreda level to conduct field investigations of new alerts and % of field investigations of new alerts 100% 100% 100% FMoH, RHB, WHO, CDC, UNICEF initiate preventive measures conducted by woredas Early warning, data and Strengthen early warning system 1,250,000 reporting and data collection and reporting % of treatment units/surviellance officers Ensure line list is reported daily from all existing treatment units reporting daily line lists supported by Phone 90% 90% 90% FMoH, RHB, WHO, CDC, UNICEF credit 5,870 % of supportive supervisions conducted to ensure AWD case definition is understood Ensure AWD case definition is understood and applied at existing and new and applied at treatment units supported 75% 75% 75% FMoH, RHB, WHO, CDC, UNICEF treatment units by operational cost (transport for surveillance officers /driver, vehicle, and Strengthen case detection and Case detection and laboratory petrol) laboratory confirmation 406,000
Systematic collection and transport of samples from all new affected sites to % of new samples collected and 100% per new woreda 100% per new woreda 100% per new woreda FMoH, RHB, WHO, CDC, UNICEF reference lab (RDTs and culture) transported for testing
5,500 Number of hotspots identified for Surviellance pillat team (FMoH, Define criteria to identify hotspots for priority interventions Ongoing Ongoing ongoing prioritization using the defined critera RHB, WHO, CDC) - Improve use of surveillance data Number of data managers and Surviellance pillat team (FMoH, Use of surveillance data to guide and prioritize Strengthen data management and analysis capacity at RHB 6 8 8 epidemiologist under surviellance pillar RHB, WHO, CDC) multisectoral interventions - Define and develop information products to provide regular feed back on epi number of daily/weekly information 30 daily/4 weekly information 30 daily/4 weekly information 30 daily/4 weekly information Surviellance pillat team (FMoH, situation to Zones and partners products produced and shared products products products RHB, WHO, CDC) -
Pillar budget 1,673,370
Funding gap 1,553,370
NUTRITION
Area of Intervention Objective Activity Indicator 30 days 60 days 90 days Partner Organization Budget USD
RHB, R-ENCU, UNICEF,WHO, Encourage all nutrition partner organizations to attend the nutrition cluster Mercy Corps, CDC, SCI, IRE, WFP, # partners attending cluster meetings done N/A N/A meetings RDPPB, ENCU, , MSF-Spain, IMC, IRC, ACF, GOAL - Hold regular Nutrition AWD Pillar Circulate a letter to absent partners Letter sent By 21 April N/A N/A RHB - meetings for strategic direction RHB, R-ENCU, UNICEF,WHO, Weekly Nutrition Cluster meeting Weekly Nutrition Cluster meeting Weekly Nutrition Cluster meeting ENCU shall ensure coordination and information sharing of nutrition partners, Weekly Nutrition Cluster meeting held and Mercy Corps, CDC, SCI, IRE, WFP, held and minutes with clear held and minutes with clear held and minutes with clear including nutrition data reporting minutes with clear action point shared RDPPB, ENCU, , MSF-Spain, IMC, action point shared action point shared action point shared IRC, ACF, GOAL Effective nutrition cluster 12,000 leadership RHB, R-ENCU, UNICEF,WHO, as of 21 April, compiled SAM as of 21 April, compiled SAM as of 21 April, compiled SAM Report quality data in a timely, Mercy Corps, CDC, SCI, IRE, WFP, RHB and partners to send reports from Epi weeks 11-14 to ENCU for analysis # weekly reports reports produced for AWD reports produced for AWD reports produced for AWD complete fashion on weekly basis RDPPB, ENCU, , MSF-Spain, IMC, affected areas, on weekly basis affected areas, on weekly basis affected areas, on weekly basis IRC, ACF, GOAL - * recruitment and deployment by Establish sub-regional Nutrition * Sub-national Nutrition cluster first week May Weekly sub-national Nutrition Weekly Nutrition Cluster meeting Cluster coordination platforms coordination platform establish * Weekly sub-national Nutrition Cluster meeting held and Recruit and deloy 4 zonal nutrition cluster coordinators held and minutes with clear R DPPB and ENCU (Afder, Dollo, Nogob and * Weekly operational nutrition cluster Cluster meeting held and minutes with clear action point action point shared Korahey) meeting held minutes with clear action point shared shared 18,000 Develop an easy-to-use SAM detection, triage, and case Approval FMoH and approval and endorsement from Nutrition Cluster Algoritm and protocol on AWD treament in FMoH, RHB and nutrition management algorithim for 19/04/2017 - done N/A N/A members SAM partners CTCs/CTUs regarding SAM case presentation with AWD - Work with case management pillar to incorporate SAM + AWD RHB to selected health worker of Nutrition pillar to attend the ToT for facilitar # of selected health worker 24 Apr- 2 May N/A N/A UNICEF /RHB case management into on Case Management for AWD healthcare worker training - 1-6 May * 15 Health worker from Support and monitoring of the RHB, UNICEF and WHO Standard Operating Procedures Master ToT on SAM in AWD affected areas (Jigiga) - 30 Facilitators # ToT trained in Jigiga Stabilisation Centers in AWD more health worker if needed trained health worked on early and SCI Priority 1 areas are trained in detection of AWD in SAM AWD case management - Capacity building of professional health staff Standard Operating Procedures DRAFT
Capacity building of professional 10 -16 May health staff * # health worker in Stabilisation Centre * 20 Health workers from Support and monitoring of the trained on AWD case management Stabilisation Centres trained in RHB, UNICEF and WHO 4 Cascade down training in 4 affected zones (Jarar, Dollo, Nogob and Korahey) more heaéth worker if needed trained health worked on early * # AWD detected in SAM case and timely AWD case management in and SCI detection of AWD in SAM referred Priority 2 areas in AWD case management 81,782 Monitoring of case manegement # additional health worked trained on Support Monitoring and on the Support Monitoring and on the Support Monitoring and on the Support Monitoring and on the job training in SCs and CTC RHB, ENCU and cluster partners and reporting manegement of SAM in AWD affected areas job training in SCs and CTC job training in SCs and CTC job training in SCs and CTC 25,000 Work with the surveillance pillar to incorporate a way to capture # Community Extension Orentation for surveillance officers to report SAM case in the line list 24-Apr-17 N/A N/A RHB, ENCU and cluster partners SAM cases and persons from IDP Workers/Surveillance Officers trained sites in AWD line list data 10,000 * By mid-May an appropriated Strengthen TFP data collection By end April, an appropriate referral pathway established in # SAM cases of AWD referred and admitted # of Referred cases reported on and reporting through CMAM monitors to collect weekly TFP and submit to RHB referral parth established in the Priority 2 areas RHB, UNICEF to closest SC weekly basis deployment of CMAM monitors Prioriy 1 areas * # of Referred case reported on weekly basis Collection of TFP data from 36,000 CTCs/CTUs and IDP sites CTC/SC and OTP are mapped and referral Mapping of CTC/CTUs and health facilities in relation to stabilization centers and pathway established at woreda and kebele Updated regularly Updated regularly Updated regularly RHB, ENCU and cluster partners OTPs Develop a referral mechanism for level - SAM cases with AWD: 1. from the CTCs/CTUs to OTPs or SCs Health and Nutrition services delivered By end April, and regularly Weekly updates on main Weekly updates on main Attain map of where the mobile health and nutrition teams are working RHB, ENCU and cluster partners 2. from OTPs or SCs to CTCs/CTUs through MHNT mapped updated morbidity morbidity 3. from IDP sites to CTC/CTUs - # identfied SAM cases referred to OTP/SC Continue Monthly Screening and Continue Monthly Screening and Conduct Monthly Screening among 67 P-1 woredas by end May RHB /WHO servcie delivery sites Referals Referals 212,792
Temporary Treatment Centers in Establish temporary SC in IDPs sites close to functional CTCs in prioritize areas 5 Temporary SC by mid-May in Additional 10 Temporary SC by Additional 10 Temporary SC by RHB, NGO partners/ UNICEF and # of Temporary SC established in IDPs sites IDPs sites close to CTC with high AWD attack cases Priority 1 areas mid-June mid-July WHO
25,000 * Nutrition service package for Nutrition Nutrition Rapid Response Teams RRT defined (6 currently operational in: Mapping of the Nutrition RRT and defining nutrition services package in support 6 Nutrition RRT functioning by 4 additional Nutrition RRT 10 Nutrition RRT operatioanl by * # Nutrition RRT delivering Nutrition Goal Ethiopia Warder (3), Danot, Gashamo, to SAM treatment and referrals from CTC to communities mid -May deployed by mid-June mid July service package Galidi) * # SAM under OTP and referred 90,000 * 24/04/2017 mapping to be Supplementary Feeding Map of TSF supported by partners monthly completed Weekly reporting on TSF Weeky reporting on TSF Geographical mapping of the TSF programme and partners RHB programme updated * Weekly reporting on SFP implementation implementation implementation - 24/04/2017 mapping to be Mapping all MHNT Monthly MHNT geographically updated and completed Weekly reporting on medical and Weeky reporting on medcial and SCI geographical locations (32 from RHB & 24 from NGOs) disseminated * Weekly reporting on medical nutrition services provided nutrition services provided and nutiriion services provided -
Mobile Health and Nutrition Deployment of 6 MHNT # of teams deployed 6 teams 6 teams 6 teams SCI Teams 250,000
Health and Nutrition Services package 24/04/2017 mapping to be Agreed service delivery package N/A N/A RHB, UNICEF, ENCU and partners defined completed
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Continous process but system by * Monthly procurement and * Monthly procurement and Stock consumption and management 30 April distribution of Therapeutic distribution of Therapeutic UNICEF to monitor the Therapeutic Feeding product for SAM Management monitoring system established UNICEF * Monthly procurement and feeding products updated and feeding products updated and distribution update shared with nutrition partners shared with nutrition partners - Continous process but system by * Montly updates on second line Stock consumption and management * Monthly procurement and WHO support procurement of second line drugs supplies for management 30 April drugs supplies for SAM with monitoring system established distribution updated and shared WHO medical complication among SAM cases (mSAM kits) * Monthly procurement and medical complication Strengthen the supply chain with nutrition partners management distribution update management distribution for July 100,000 WFP to obtain screening data from RHB on monthly base and to use this for Monthly data on beneficiaries reached. Nutritional supply chain allocating food commodities for addressing acute malnutrition Malnutrition (children 6-59m and PLW) Monthly food delivery and Monthly food delivery and Quarterly progress report with WFP, RHBP, DPPB & NGOs. management distribution report distribution report trends in malnutrition rates 750,000 Strengthen the supply chain management
Nutritional supply chain management DRAFT
Continous process but system by * Monthly procurement and * Monthly procurement and RHB to ensure stock checking and balance assuring demand and supply are 30 April Stock and Balance system established distribution updated and shared distribution updated and shared RHB available * Monthly procurement and with nutrition partners with nutrition partners distribution update -
WFP to put in place arrangements to manage procurement, storage and Quartely dispatch and delivery Dispatch and delivery updates Montyly dispatch updates Montyly dispatch updates WFP, DPPB and NGOs Logistics to deliver transport of nutrition products to the distribution points report. supplementary feeding program 490,000 (TSFP) in priority 1 woredas Regional DPPB to follow with the delivery of SFP food to all P1 woredas and 30 Apr 2017 * Monthly SFP food distribution * Monthly SFP food distribution Monthly SFP food distribution updated R DPPB report on the distribution status of these woredas to priority 1 woredas to priority 1 woredas - Pillar budget 2,100,574 Funding gap 1,306,000
WATER, SANITATION AND HYGIENE
Area of Intervention Objective Activity Indicator 30 days 60 days 90 days Partner Organization Budget USD
Covered under Identify 100 HEWs and provide hands on training on water quality testing with 100 in Jijiga, 60 HEWs in priority UNICEF/WHO trainer for RHB, # HEWs trained in FRC monitoring for CTCs 200 in hotspot areas N/A health training focus on FRC and IPC (WASH in CTCs) CTCs/CTUs Oxfam, OWDA, IRC, and NRC staff budget Covered under ToT training for 20 RHB staff to cascade to CTCs # ToTs trained 20 N/A N/A UNICEF/WHO health training budget Oxfam, OWDA, NRC, IRC, SCI in WASH partners to rapidly assess WASH in CTCs # CTC/CTUs assessed 100 N/A N/A 12,000 respective areas of operation
UNICEF and NRC in Korahey; OWDA and IRC in Dollo, Save the Ensure regular quality monitoring # borewell attendants trained in Children in Adadle, Gashamo, Water quality monitoring in CTCs and in AWD hotspot 50 100 N/A 18,000 chlorination Nogob, and Errer; Oxfam in areass Gashamo, Korahey, Kebreyiha, and Harshin Organize and conduct woreda level capacity building for 50 government staff Oxfam in Gashamo, Korahey, on water quality testing with focus on FRC # borewell attendants provided incentives Kebreyiha, and Harshin; OWDA 95 95 95 171,000 for chlorination of water trucking for 18 attendants, IRC for 10 attendants, SCI NRC in Korahey and Dollo, 20 RWB monitors in Korahey and # chlorine monitors monitoring FRC at UNICEF with EHF funding (??), Dollo, 6 UNICEF monitors, 70 N/A N/A 144,000 borewells and distribution points NRC in Jarar and Errer with EHF WASHCos under Oxfam funding (??) Conduct risk assessment of water points and households in affected community. # RRT members mobilized from RWB 60 N/A N/A RWB/RHB/WHO 162,000
Populations in AWD affected Water trucking to 200,000 AWD affected areas with 5 L/per/day critical water # population reached with emergency Oxfam, OWDA, Islamic Relief, areas have a minimum of 5 200,000 200,000 200,000 3,112,364 supply water supply NRC, SCI, PC L/per/day of critical water supply # priority CTC/CTUs with emergency water Oxfam in Shilabo, OWDA in Included in budget CTCs have adequate water supply Water trucking to priority CTCs/CTUs 20 40 40 supply Dollo, SCI above OWDA (7) in Dollo, Save the CTCs have adequate water # CTC/CTUs with water storage and Children (2), Oxfam (10) in Jarar Installation of 25 water storage and taps in CTCs lacking storage 17 8 N/A 75,000 storage pumping on site (2 m3 storage tanks) and Korahey, PW in Errer, UNICEF for gaps Emergency water supply NRC (10) in Korahey and Dollo, OWDA (10) in Dollo, Oxfam (80), Installation of 226 water storage tanks for distribution points for water trucking # 10 m3 water storage tanks installed for 100 76 10 SCI (26) in Hamro, Fik, Yahoob, 1,053,160 (10 m3) water trucking distribution points Gashamo, and Daror; UNICEF Populations in AWD affected (60), RWB (40) areas have a minimum of 5 L/per/day of critical water supply Installation of check valves on borewells used for water trucking % of borewells with check valves installed 60% 100% RWB 21,000
No funding gap Rehabilitation of 100 water points # borewells rehabilitated 30 30 40 UNICEF/RWB/MMTs because covered under MMT NRC (20) in Korahey and Dollo, # drums of HTH supplied to woreda level 300 155 N/A Oxfam (35) in Korahey and Jarar, 78,100 High risk populations have access Supply of 255 HTH chlorine drums for water trucking, IDP sites, and AWD UNICEF (300) for all zones, SCI to safe emergency water supply affected areas Same drums as line # drums of HTH supplied to borewll level 80 135 135 RWB above Water treatment DRAFT
Water treatment High risk populations using open Well attendants trained and supplied with chlorine products for bucket # open wells with attendants treating water water sources have access to 100 100 100 RWB 270,000 chlorination at the jerrycan level treated water
High risk populations have access Procurement and distribution of HTH scales, pooltesters, and DPD tablets for # of FRC monitoring kits (pooltesters, DPD 116 N/A N/A UNICEF (116) 16,609 to safe emergency water supply 100 filling stations and water points tablets, spoons) supplied to woreda level
Gap - need to identify; SCI (12) in CTCs can safely dispose of CTC latrine construction: Construction of 12 latrines in CTCs # of latrines constructed in CTCs N/A 12 N/A Hamro, Fik, Yahoob, Gashamo, 80,000 excreta Daroor and Shegosh Sanitation NRC (72) in Korahey and Dollo, High risk IDP populations in AWD Construction of 600 emergency latrines in IDP settlement areas in AWD affected # emergency latrine chambers construced in Oxfam (72) in Gashamo and affected areas have access to 132 100 372 272,727 areas IDP sites Elbahay, Oxfam/OWDA (60) in sanitation facilities Dollo and 400 in Dollo
High risk households understand # Community Health Volunteers trained in how to properly use household Training for Community Health Volunteers (1 person per 10 HHs) AWD messaging and household water N/A 69 200 343,072 water treatment chemicals treatment use Hygiene Promotion Health care workers are able to Training for 100 heath extension workers in CTCs on hygiene promotion, AWD provide hygiene promotion for # ToTs trained 20 N/A N/A UNICEF/WHO 40,000 awareness, and HH water treatment chemical use CTC patients # of HHs provided with HH water treatment UNICEF, NRC, SCI, Oxfam, Islamic Households using open water Distribution of Aquatabs for HHs using low turbidity open water sources 150000 150000 150000 810,000 chemicals Relief, SCI sources have access to HH level water treatment chemicals # of HHs provided with HH water treatment Distribution of HH turbid water treatment chemicals 150000 150000 150000 UNICEF 1,080,000 chemicals Hygiene Supplies High risk households receive SCI in Hamro, Fik, Yahoob, Distribution of household hygiene materials # of HHs provided with hygiene materials 10,000 N/A N/A 80,000 hygiene materials Gashamo, Daror High risk households receive # AWD hygiene kits provided to CTCs for AWD prevention and hygiene Distribution of 4,000 AWD kits for households of patients released from CTCs 4000 4000 4000 UNICEF/RWB 144,000 patients materials Pillar budget 7,983,032 Funding gap 5,398,214
COMMUNITY MOBILIZATION
Area of Intervention Objective Activity Indicator 30 days 60 days 90 days Partner Organization Budget USD
Conduct twice a week meeting of SM committee (inclusive of partners) at each Cost covered under Bi-weekly updates and action points 15 (twice/a week) 30 (twice/a week) 45 (twice/a week) RHB, UNICEF level (Region, Zone, Woreda) monitoring Cost covered under To strengthen the coordination Develop integrated plan (with inputs from other pillars in C4D) Integrated plan developed Once N/A N/A RHB,C4D partners Coordination and strengthening monitoring of C4D emergency response of social mobilization TWG Mapping matrix (who, what, where, when, Cost covered under activities Mapping of social mobilization partners 30(once/day) NA NA RHB, FMoH, UNICEF how) developed and updated monitoring Oversight of field work and feedback to all command posts (regional, zonal, Update & feedback to each command post Update & feedback to each Update & feedback to each Update & feedback to each Cost covered under RHB, UNICEF woreda) at each level command post at each level command post at each level command post at each level monitoring Proportion of HW at CTC,CTU and HF, HEW, 412 participants (health facility Conduct orientation for health staff at the CTC and CTU, health staff, support support staff and volunteers ( Targt: at least 320 (health workers suportive stafs, Woreda health offices and N/A RHB, UNICEF, WHO staffs and volunteers on interpersonal communication for AWD 80% in identified hotspot and high risk staff working at CTU and CTCs) Cost covered under partner staffs) areas) monitoring Proportion of identified new hotspot Proportion of identified new Proportion of identified new Proportion of identified new To increase awareness and Conduct a rapid assessment of knowledge, attitude and practices in hotspot kebele/woredas where rapid KAP has been hotspot woredas where rapid hotspot woredas where rapid hotspot woredas where rapid RHB, UNICEF and other partners address misconceptions on AWD kebeloes/woredas identified by surveillance and case management pillars Cost covered under conducted (100%) KAP has been conducted (100%) KAP has been conducted (100%) KAP has been conducted (100%) facts monitoring Proportion of hotspot woredas where KAP Based on the results of the rapid assessment, tailor and deliver awareness was conducted reached with twice daily 100% 100% 100% RHB, UNICEF 39,913 creation messages to that community daily by two people for 3 months tailored messages (public service anouncements in 98 woredas)(100%) 560 (community volunteers at Conduct orientation for community volunteers at pastoralist settlements and 280(community volunteers at pastoralist settlements and rural # of trained by category N/A RHB, UNICEF Capacity building rural areas of most affected zones and woredas on AWD prevention and control woreda and kebale level) areas of most affected zones and woredas) 7,560 Clan leaders orientation on AWD messages around prevention and control # of clan leaders trained in 34 hotspot areas 100 70 N/A RHB 2,210 1050(religious leaders at kebales 1050(religious leaders at kebales Organize and conduct orientation sessions for religious leaders on AWD 750 religious leaders at affected # of religious leaders trained and rural pastoralist kebales and and rural pastoralist kebales and RHB, UNICEF To improve the knowledge and message around prevention and control woredas and at risk woredas) settlements) settlements) 1,500 ensure engagement of key community players (gatekeepers) Capacity building
DRAFT To improve the knowledge and ensure engagement of key community players (gatekeepers) Organize and conduct orientation sessions for school students, PTAs, and 200 (schools in jarar, Qorhay, 250 (schools in jarar, Qorhay, # schools reached with AWD messages N/A RHB, UNICEF, ERB, SCI, quranic schools students on AWD message around prevention and control Dollo, Fafan zones ) Dollo, Fafan zones ) 10,000 Organize and conduct eleven on site orientation session for police / Special # of sessions organized 100% At least 80% At least 80% RHB forces military in (one session per zone) - Organize and conduct On site orientation for Water trucks' drivers targeting Cost covered under Proportion of drivers reached at least 80% at least 80% at least 80% RWB, WaSH cluster identified hotspot woredas/kebeles monitoring Conduct orientation session for Media professionals on AWD outbreak # media personel oriented NA 25 media staffs NA RHB, UNICEF communication at regional and zonal levels 260 Organize and facilitate Community meetings including social mobilization # kebeles having community meetings on Cost covered under NA once/month once/month RHB, UNICEF committees in hot-spot kebeles AWD monitoring
Conduct mobile audio video road shows on AWD prevention and control To improve information folow to # of session conducted 20 kebeles 20 kebeles NA RHB messages a targeting 20 kebeles in Jijiga Community engagement and from affected and at risk communities 12,000
Organize and conduct On site orientation for leaders, women groups, informal # /proportion of temporary settlements 50% 100% NA RHB, UNICEF, partners schools targeting all identified temporary setelemts reached by messages Cost covered under monitoring # of job aids distributed to highlly affected Develop and distribute Job aids for community mobilizers 1200 job aid (flip chart) N/A N/A RHB, UNICEF waradas and kebales 21,600 10,000 posters Produce IEC materials (Posters, Stickers, brochures) and dissiminate to end- # of posters, stickers, brossures produced 300 stickers NA NA RHB, UNICEF users and distributed 3000 Brochures 16,400 Reproduce and distribute Audio materials for different target groups through radio, megaphones # of radio spots deliverd 240 spots 240 spots 240 spots RHB Materials development and To improve multi-channel 23,400 messgaes Delivery delivery of AWD messages Development of Fact sheets and talking points for Package of factsheets and talking points - 1050 religious leaders and developed for religious and tribal/clan Full package available NA Na RHB, UNICEF Cost covered under - community mobilizers leaders monitoring Package of factsheets and talking points Printing of1050 factsheets and talking points Full package available 100% N/A N/A printed for religious and tribal/clan leaders 1,260 Procure 980 megaphones for public announcements in 98 woredas # of procured megaphones 500 714 NA UNICEF 19,600 Translation of 37 messages # of messages 100% N/A N/A RHB, UNICEF 500 Cost covered under Conduct monthly data analysis and progress reports Monthly analytical reports monthly report monthly report monthly report RHB, UNICEF monitoring To strengthen accountability and # of hotspot kebales visited by ZCCs per Monitoring Conduct weekly monitoring field visits within zones targeting hotspot kebeles 18 field visits per week 18 field visits per week 18 field visits per week RHB, UNICEF, C4D partners interventions performance week 133,709 Rapid assessments, monitoring # of monitoring visits 5 days per month 5 days per month 5 days per month RHB 30,000 Contengency and unforseen costs 31,991 Pillar budget 491,989 Funding gap 351,903
LOGISTICS AND SUPPLIES
Area of Intervention Objective Activity Indicator 30 days 60 days 90 days Partner Organization Budget USD
Ensure adequate level of supplies on ground and in pipeline to cope with Monitor and plan dispatches As below emergency needs that may arise in coming three months
# of planned supplies dispatched 100% 100% 100% UNICEF, WHO
Strengthen capacity of RHB by having proper inventory Build capacity of RHB by providing on-the-job training on warehouse management system that will management and develop different formats used in warehouse management for As below help them in tracking supplies RHB/RWB, i.e. stack cards, bin cards and monitoring consumptions Proportion of RHB staff trained on warehouse management 25% 25% 25% UNICEF, WHO,RHB Support the Regional Health Bureau to coordinate Develop and implement inventory management system for RHB and RWB As below dispatches. WIP on going on going on going UNICEF, WHO,RHB Ringer Lactate (bags) # of Ringer Lactate for a 30 days period 25,218 50,436 75,654 UNICEF, WHO,RHB 680,884 ORS sachets (sachet) # of ORS for a 30 days period 136,597 273,194 409,791 RHB, WHO 40,979 IEHK2006,KIT,SUPPL.3-RENEWABLE & Basic # of IEHK for a 30 days period 5 6 5 WHO, UNICEF Doxycycline capsules 100 mg, 1000 per pac (pac) # of doxycycline for a 30 days period 69 138 207 UNICEF, WHO,RHB 2,029 Health supplies
Review, procure, tranport, store and distribute sufficient health supplies to treat AWD DRAFT
Erythromycin tablets 250 mg, 500 per Box (box) # of Erythromycin for a 30 days period 6 5 6 UNICEF, WHO,RHB 170 Health supplies Amoxacillin 250mg/dis.tabs/PAC 100 (bottle) # of Amoxacillin for a 30 days period 5,854 11,708 17,562 UNICEF, WHO,RHB 24,587 Pediatric NG tube (pc) # of P. tube for a 30 days period 164 328 492 UNICEF, WHO,RHB 1,082 Adult NG tube (pc) # of tube for a 30 days period 1,355 2,710 4,065 UNICEF, WHO,RHB 5,285 IV Cannula (pc) # of Cannula for a 30 days period 7,602 15,204 22,806 UNICEF, WHO,RHB 75,260 Scalp vein # of Scalp for a 30 days period 194 388 582 UNICEF, WHO,RHB 1,048 RDT (Kit of 10) # of RDT for a 30 days period 333 666 999 UNICEF, WHO,RHB - CTCs kit # of CTC kits enough all patients 51 101 152 UNICEF, WHO,RHB 3,280,464 Examination Gloves (Medium size) # of glove for a 30 days period 18,000 36,000 54,000 UNICEF, WHO,RHB 1,620 Review, procure, tranport, store Syringes 10 ml of 100pcs #of Syringe for a 30 days period 666 1,332 1,998 UNICEF, WHO,RHB 39,960 and distribute sufficient health Cotton Roll (500g) # of cotton for a 30 days period 1,500 3,000 4,500 UNICEF, WHO,RHB 9,000 supplies to treat AWD Adhesive Plasta 12.5cmx5m # of plasta for a 30 days period 3,000 6,000 9,000 UNICEF, WHO,RHB 22,500 Zinc 20mg tablets (children), pac -100 # of Zinc for a 30 days period 1,800 3,600 5,400 UNICEF, WHO,RHB 6,480 Paracetamol 500 mg tablet of 100x10 # of paracetamol for a 30 days period 1,204 2,408 3,612 UNICEF, WHO,RHB 5,779 # of Cannula,IV short, 18G, for a 30 days Cannula,IV short,18G,ster,disp period 16,000 32,000 48,000 UNICEF, WHO,RHB 12,000 # of Cannula,IV short, 24G,for a 30 days Cannula,IV short,24G,ster,disp period 16,000 32,000 48,000 UNICEF, WHO,RHB 12,000 # of Cannula,IV short, 18G, for a 30 days Cannula,IV short,22G,ster,disp period 16,000 32,000 48,000 UNICEF, WHO,RHB 12,000 # of Cannula,IV short, 20G, for a 30 days Cannula,IV short,20G,ster,disp period 16,000 32,000 48,000 UNICEF, WHO,RHB 12,000 Gauze Banadage 12.5cm X5m # of Gauze Bandage, for a 30 days period 300 600 900 UNICEF, WHO,RHB 2,250 Dextrose 40% of 20 ampoules # of Dextrose for a 30 days period 300 600 900 UNICEF, WHO,RHB 12,600
Work with Logistics Group to create framework to provide required fleet through suppliers on the ground, troubleshoot on issues and challenges Framework for provision of fleet Framework finalized and Timely fleet management services management services agreed upon approved by RHB N/A N/A UNOPS, with Logistics Group Fleet management services provided for health workers and Assign vehicles to health workers and response teams, coordinate use of outbreak response teams vehicles # of Vehicles deployed Up to 50 SUVs Up to 50 SUVs Up to 50 SUVs UNOPS, with Logistics Group Monitor use of vehicles and settle claims, respond to maintanace issues % of vehicle requests addressed >90% >90% >90% UNOPS, with Logistics Group 700,000 Create framework to provide required per diem payments through suppliers on Framework agreement created with Framework agreement finalized Timely per diem payments made the ground Per diem payments appropriate mobile payment supplier and signed into effect N/A N/A UNOPS to health workers Work with RHB and Command Post to collect and analyse per diem # of person who received advance per diem requirements for various missions, update on modalities and progress in priority areas 300 300 300 UNOPS, with Logistics Group 540,000 Work with RHB and other partners to identify gaps in provision of cleaning Effective cleaning services services in CTCs in priority areas Cleaning services for CTCs provided to priority CTCs, as # of CTCs supported in priority areas Up to 20 Up to 20 Up to 20 UNOPS, with Logistics Group needed Work with local suppliers to provide cleaning services and basic supplies to # of cleaners provided with basic supplies relevant CTCs to priority CTCs Up to 100 Up to 100 Up to 100 UNOPS, with Logistics Group 31,000 Pillar budget 5,530,976 Funding gap 2,357,624
INTERSECTORAL
Area of Intervention Objective Activity Indicator 30 days 60 days 90 days Partner Organization Budget USD
Advise on structure, SoPs and tools to enhance day-to-day operations # appropriate SoPs developed By 28 May N/A N/A WHO, OCHA, RHB - Set up/rehab a Command Post room Room established and equipped Completed N/A N/A WHO, RHB 30,000 Regional AWD command post is Provide technical expertise to build capacity in each of the pillars of the strengthened # pillars co-led Ongoing Ongoing Ongoing RHB, WHO, OCHA, UNICEF intervention - RHB, WHO, OCHA, UNICEF, MSF, Hold regular Strategic Advisory Group meetings per meeting schedule # meetings Per schedule Per schedule Per schedule SCI - Regional multisectoral AWD coordination Recruitment of a senior UN coordinator Incumbent recruited By 24 April N/A N/A OCHA coordination is strengthened 15,000 Strengthen existing zonal coordination mechanisms by placing inter-pillar teams WHO, UNICEF, OCHA, RHB, MSF, # of inter-pillar teams deployed 2 2 TBC Zonal and woreda multisectoral in zonal command posts SCI 300,000 coordination is strengthened Promote decentralized operational coordination at woreda level in priority WHO, UNICEF, OCHA, RHB, MSF, # support team visits to hotspot woredas 2 per hotspot woredas 2 per hotspot woredas 2 per hotspot woredas hotspot areas SCI 30,000 Implementation of joint activities Monitoring and evaluation matrix is regularly monitored and Develop a monitoring and evaluation matrix By 5 May N/A N/A WHO developed reported on - DRAFT
IM system designed, UN IM IM/GIS system set up, datasets and maps capacity embeded in Regional Data updated on 3-day basis, Set-up IM/GIS system to allow rapid and regular site-level mapping of key Data updated on 3-day basis, shared to relevant stakeholders, Command Post, responsibilities cluster IMOs and RHB staff Clusters' and Regional Command locations and activities (CTCs/CTUs, health facilities, water trucking, IDP sites, hand-over of tasks/products to OCHA, UNICEF, WHO, IOM, RHB Information updated every 3 days, to assigned, data updated on trained on data management Post's Information Management rains, etc). RHB correspond to frequency of CP meeting weekly basis. IM workshop and visualization capacity is strengthened to organized in Jijiga (02 May) AWD information management increase linkages between 5,000 health, nutrition and WASH IOM DTMs conducted every two months, Ensure that data obtained from Displacement Tracking Monitoring (DTM) is sectors, and allow real-time data shared with relevant stakeholders as Updated data shared (Round 4) Updated data shared (Round 4) Updated data shared (Round 5) IOM, OCHA integrated in situation analysis of Health, nutrition, and WASH clusters prioritization of response soon as processed - Set-up communication channels to ensure rapid sharing of surveillance Establishment of SOPs, to be OCHA, WASH Cluster, Health data/alerts between the Health, WASH and Nutrition Clusters and their SOPs established and implemented validated in IM workshop in Jijiga Regular implementation of SOPs Regular implementation of SOPs Cluster, Nutrition Cluster members, at Jijiga, Zonal and Woreda levels (2 May) - Intersectoral budget 380,000 Funding gap 380,000
TOTAL BUDGET 19,932,941
TOTAL FUNDING GAP 12,840,111