HEALTH CLUSTER BULLETIN January - June 2020 COVID-19 Response of the Ministry of Health and Sports, Myanmar

Virtual discussion on COVID-19 led by the State Counsellor Daw Aung San Suu Kyi on 28 July 2020. Photo: Ministry of Health & Sports

On 31 December 2019, the Chinese Chief Ministers of the States and Moreover, the central level, State/ authorities notified WHO regarding Regions, Vice Union Ministers of key Region and township levels of the cluster of pneumonia cases of Ministries. Furthermore, the outbreak the MoHS are collaborating with unknown etiology from Wuhan, of coronavirus disease was declared health partners to conduct the Hubei Province, China. As early as 5 by the WHO as a pandemic on 11 public health measures such as early January 2020, available information March 2020. The Central Committee detection, active case finding, referral and technical advice was exchanged is elevated to a national-level Central of suspected cases to designated between the Ministry of Health and Committee for COVID19 Prevention, hospitals, management of cases, Sports and WHO. MoHS rapidly Control and Treatment, headed by the stockpiling of essential medicines organized coordination meetings State Counsellor from 16 March 2020. and non-pharmaceutical supplies, and preparatory actions including The first COVID-19 case was detected personnel deployment and infection enhanced surveillance following this in Myanmar on 23 March 2020. control at healthcare settings. exchange. During the night of 30 January 2020, coronavirus disease The Ministry of Health and Sports The MoHS developed Health Sector (COVID-19) was declared as a Public activated the incident management Contingency Plan for COVID-19 in Health Emergency of International system to respond to the COVID-19 collaboration with the WHO and other Concern (PHEIC) by the WHO Director outbreak. The Union Minister of key partners. This plan is adapted from General under the International Health MoHS lead coordination meetings the best practices around the world to Regulation (IHR). Within hours of WHO within the MoHS as well as with the Myanmar context, for all the healthcare declaring the public health emergency health partners. The Central Command professionals. Furthermore, MoHS of international concern, Myanmar Center was established with a group developed a guideline on COVID-19 government set up the inter-sectoral of experts including epidemiologists, prevention and control in IDP camps. data analysts, public health specialists, central committee to prevent and treat The Health Emergency Operations novel coronavirus, chaired by Union logistic specialists, risk communication experts and IT specialists. Centers (HEOC) at the central level Ministers of International Coordination and States/Regions play a critical role as well as Health & Sports, comprising continue to page 2

Health Cluster Bulletin: January - June 2020 1 MoHS ... 1 COVID-19 Response of the Ministry WHO ... 3 of Health and Sports, Myanmar National | UNFPA ... 5 continue from page 1 National | Humanity and Inclusion ... 6 in coordinating the response among various departments of MoHS. The HEOCs are also used for virtual meetings and Rakhine SHD ... 7 capacity building webinar sessions. In addition, the HEOCs Rakhine State | MERCY ... 8 serve as a coordination platform among the central level, States/Regions and health partners through virtual meetings. Rakhine State| Malteser International ... 8 National Health Laboratories and other designated laboratories in Myanmar tested a total of 74,978 samples Chin State | CCERR/Christian Aid ... 9 as of 29h June 2020. The MoHS prepared the hospitals Kachin SHD ... 10 with facilities of intensive care units and isolation units. The MoHS made forecasting for personal protective equipment, Kachin State | Best Shelter ... 11 diagnostic equipment, biomedical equipment, essential drugs and medical supplies in different type of healthcare facilities. Kachin State | IOM ... 11 The COVID-19 surveillance dashboard was created, and Kachin State | Medecins du Monde ... the real time information is easily accessible. Through this 12 platform, the important information including guidelines and Kachin State | Health Poverty Action procedures to the general public and health care workers ... 13 are being distributed and the key activities taken by MoHS are informed to the public in timely manner. A variety of Kachin State | Population Services guidelines and SOPs in response to COVID-19 are publicly International ... 14 available on the MOHS website https://bit.ly/336glLs. Kachin State | Asian Harm Reduction Regarding to risk communication, the MoHS developed the Network “framework for health literacy promotion against COVID-19. Kachin State | Myanmar Medical This framework includes development of key messages to Association, Adolescent Sexual and specific targeted audiences using simple, short and straight Reproductive Health Project ... 15 forward messages. Messages can be found in different formats such as posters, stickers, pamphlets, vinyl posters, Kachin State | Alliance ... 14 billboards and video key messages. All key messages can Kachin State | Kachin Back Pack Health be found in MoHS website: www.mohs.gov.mm and posted Worker Team ... 16 almost daily and timely basis in the MoHS Facebook Page: https://bit.ly/30dELRg Kachin State | Kachin Baptist Convention ... 16 The national Health Cluster meetings give opportunities to discuss strategic and operational issues among development Kachin State | Myanmar Health and humanitarian health partners on COVID-19 response in Assistant Association ... 17 Myanmar. Four National Health Cluster Meetings were held Kachin State | Kachin Development during January through June 2020. The MoHS is continuing Group (KDG) ... 17 efforts in fighting against the COVID-19 in collaboration with Table of Contents Table WHO and partners. Northern Shan SHD ... 18

Northern Shan State | UNICEF ... 19 For more information, please contact: Dr Kyaw Khine San, Disaster and Public Kayin | Premiere Urgence International Health Emergency Response Division, ... 20 Department of Public Health, Ministry of Health and Sports (DPHERD), Kayin State | Community Partners [email protected] International ... 20

2 Health Cluster Bulletin: January - June 2020 WHO information management and coordination support: backbone for humanitarian health coordination, Covid19 response, monsoon preparedness and development-humanitarian nexus

11th partners coordination meeting for Covid19, virtual meeting, 01 Apr 2020 (Photo/WHO Myanmar)

WHO continues to respond to both and community engagement, and laboratory diagnosis, and case acute and protracted humanitarian surveillance, rapid response teams, management and infection prevention health needs in Myanmar in and case investigation, support to and control groups. The surge increase collaboration with the Ministry of points of entry, national laboratories, of relevant stakeholders across different Health and Sports (MoHS) and health infection prevention and control, case pillars of interest necessitated a strong cluster partners. WHO has further management, operational support and foundation and practical tools which supported MoHS in all the key areas of logistics, and maintaining essential facilitate timely information exchange. COVID-19 pandemic preparedness and health services. Indeed, the COVID-19 Information management (IM) support response. This includes the areas of pandemic has been prioritized by the is not usually at the forefront but country-level coordination, planning, Health Cluster since early this year is a critical backbone for effective and monitoring, risk communication in order to protect the health not coordination and communication. only of the most vulnerable in areas WHO adapted its IM support in order with protracted emergency but of the to cope with the expanding demands country as a whole. through at least four avenues. WHO is actively engaged with various First, partner contact and mailing list. A stakeholders including the MoHS, UN basic tool for coordination is developing country team, diplomatic community, and maintaining an up to date contact development actors, humanitarian and mailing list. Organizing contact actors, health partners, civil society information and areas of interest to organizations, private sector, and the support delivery of relevant information media for a multisectoral COVID-19 or request action to the appropriate response in Myanmar. Furthermore, person is a meticulous task. As at there are nine different pillars of public this writing, there are 603 registered health emergency and preparedness contacts from 114 organizations response which requires concurrent in the combined COVID-19 partner attention. It is in this context that several and health cluster database. This can coordination platforms were convened be viewed online through this link, including the COVID-19 partners https://bit.ly/2zW8WCu. meeting which was later mainstreamed in the national level health cluster Second, COVID-19 resource mapping. please refer to our newsletters: On Feb 2020, MoHS communicated https://bit.ly/2EKNSRK and meetings, and three coordination factsheets: https://bit.ly/2QtFrg4 groups: the risk communication and the 2019 novel coronavirus community engagement, epidemiology preparedness and response plan flash

Health Cluster Bulletin: January - June 2020 3 proposal requesting an estimated location. Establishment of a real-time It is important to note that by using these five million USD. This is to enable 3Ws platform where partners can online platforms, partners can update implementation of priority public specify their presence by township their information when relevant, and health measures to prevent and level and which pillars are supported that such updates are automatically contain the novel coronavirus at an was facilitated. This can be viewed reflected in the dashboard view section. early stage. Establishment of a realtime online through this link https://bit. This is a useful tool that facilitates resource monitoring platform to assist ly/2yv8tGe. real-time information sharing in order resource mobilization efforts was to inform planning or decisions, and facilitated. The flash proposal was later Fourth, health cluster resource prioritize actions where needed. WHO replaced by the MoHS health sector mapping of monsoon preparedness continues to stand ready, alongside contingency plan for COVID-19 and 2020. The annual monsoon season with MoHS, UN, partners and relevant other emerging respiratory disease resents compounding risks for different stakeholders, not only in responding to outbreak response in Myanmar. Since hazards (e.g. flooding, landslide,the current pandemic and humanitarian then, several iterations were conducted cyclone) and communicable diseases health needs but also in continuously to the now improved dashboard. This (e.g. seasonal influenza, vector-borne preparing for other future health can be viewed online through this link diseases) in the context of COVID-19. emergencies in Myanmar. https://bit.ly/322QN1d. Learning from the previous year’s monsoon response, establishment of Third, COVID-19 3Ws (who is doing a monsoon preparedness resource For more information, please contact: what where). There are nine pillars of mapping platform was facilitated. This Dr Win Bo, WHO Myanmar, [email protected] public health emergency preparedness information provides an overview of and response. Having an overview which resource types relevant to of partner activities for COVID-19 monsoon response are available across the country is important and where in the country. This can for identification of priorities forbe viewed online through this link improvement, be it by pillar type or https://bit.ly/330amXc.

4 Health Cluster Bulletin: January - June 2020 Meeting Women and Girls Needs during COVID-19 National UNFPA

UNFPA distributed PPE to Kachin State Health Department for COVID-19 prevention of health workers at Myitkyina township, Kachin state on 01 May 2020 (Photo/UNFPA)

UNFPA’s response to COVID-19 personal protective equipment Application while young people are supports continuity of sexual (PPE) to four KDHW clinics and one being targeted through applications and reproductive health services, referral hospital in non-government including Love Questions Life Answers, prevention of gender-based violence controlled areas Kayin State through Baykin and circuit mobile applications. and promotes the wellbeing of women, Community Partners International or girls and young people. Women are CPI, as well as partners (Myanmar A MHPSS expert roster was activated disproportionately represented in the Medical Association or MMA, Marie to coach midwives, staff at elderly care health and social services sectors, Stopes Myanmar or MSI and Relief homes, and GBV caseworkers. With increasing risk of exposure to the virus. International or RI) operating mobile the Department of Social Welfare, case Stress, limited mobility and livelihood units in other states. UNFPA distributed managers, safe house and helpline disruptions increase vulnerability to 3,000 PPE Kits to midwives from staff were supported to adapt GBV gender-based violence (GBV) and Bago, Kayin and Mon States and will response services. Over 16,000 dignity exploitation. If health systems redirect distribute 4,800 more kits to midwives kits including menstrual hygiene resources away from sexual and and Lady Health Visitors. 1,850 PPE materials were distributed at IDP reproductive health (SRH) services, packs with gowns, N95 masks, boots, camps. Mini-dignity kits including soap, access to family planning, antenatal goggles and gloves were distributed sanitizer, flash lights and mobile phone care and other services will suffer. to state health departments in Kachin, cards will be distributed in quarantine Kayin, Mon, Shan and Rakhine States centers. UNFPA continues to support SRH and and 12,000 surgical masks, hand GBV services at 33 Women and Girls For more information, please contact: sanitizers, and face shields to the Mollie Fair, United Nations Population Centers, mobile and static clinics in Maternal Reproductive Health Division. Fund (UNFPA), [email protected] Rakhine, Kachin, Kayah, Kayin, Mon UNFPA is collaborating to incorporate a and Shan States. UNFPA has distributed COVID-19 Module into a Safe Delivery

2 meters 2 meters

Health Cluster Bulletin: January - June 2020 5 Support to hospitals, quarantine places and ambulance volunteer for COVID-19 pandemic response National Humanity & In Yangon and Mandalay, communities are using charity-based ambulances Inclusion when they need transportation to health facilities. It is crucial that these volunteers are protected and to continue providing patient transportation safely. Supporting charity-based With the support of ECHO and the ambulance volunteer to Luxembourg Ministry of Foreign Affairs, do ambulance partition in the framework of the Myanmar and sharing of health Consortium for Community Resilience education pamphlet at Wai Lu Wun monastery, Humanity & Inclusion (HI) supported Yangon region on 46 ambulances in Yangon and 40 11 May 2020 ambulances in Mandalay to ensure (Photo/Humanity and infection prevention and control Inclusion) measures for the volunteers and for safe transportation of COVID-19 suspected COVID-19 patients. Existing MoHS patients’ waiting room. Emergency patients to avoid nosocomial infections. health education pamphlets and “How medical equipment were provided to Modification measures includedto wear and remove surgical mask be used during case management in making partitions between patient and safely” were distributed to charity- the intensive care unit or ICU, along driver compartment. Plastic cover for based ambulance organization. with personal protective equipment patient seat and stretcher bed, personal (PPE). protective equipment, alcohol-based HI supported Yangon General Hospital hand rub sanitizers and infrared digital (YGH), Mandalay General Hospital Hygiene material, PPE and disinfectant thermometer were equipped in all the (MGH), and North Okkalapa General were provided to Yangon and Mandalay 86 ambulances. Moreover, Humanity Hospital (NOGH) to strengthen the Regional Public Health Department to and Inclusion organized training to infection prevention and control be used at quarantine places. 82 ambulance volunteers in Yangon measures. Three light-emitting diode and 52 ambulance volunteers for or LED boards were delivered to YGH, For more information, please contact: mode of transmission and preventive MGH, and NOGH each, for raising Pyae Phyo Aung, HI (Humanity & measures of COVID-19 and how community awareness on COVID-19 Inclusion), [email protected] to handle and transport suspected risk communication messages at

6 Health Cluster Bulletin: January - June 2020 Standardization of mobile clinics in Rakhine State Rakhine SHD

Mobile teams and clinics evaluation workshop in Rakhine state health department on 14-15 Feb 2020 (Photo/ MoHS)

Health care services are being delivered service package which are in line with team members and minimum services through mobile clinics in conflict- essential package of health services is scheduled to commence on 01 Jan affected areas of Rakhine state. A from National Health Plan. State 2021. total of 38 mobile teams from health Health Department also recognized partners are providing primary health that some of the mobile clinics’ areas For more information, please contact: Dr Sai WIn Zaw Hlaing, Rakhine State care services, reproductive health care, in Sittwe IDP camps are very close to Health Department, saiwinzawhlaing@ and nutrition services in eight townships each other including with government mohs.gov.mm up to 2020. In order to become more fixed health facilities. Remapping of systematic and improve effectiveness clinics sites in Sittwe IDP camps is to of health care service delivery through be considered in a follow-up workshop mobile clinics, it is important to have together with other important factors a standardized mobile team with such as catchment population and minimum standard team members patient caseload. For capacity building and minimum service package. To this of mobile clinic team members, State end, Rakhine State Health Department Health Department will arrange for the organized an important workshop participation of health care partners for standardization of mobile clinics in some of the relevant trainings done on 14-15 Feb 2020 chaired by Dr by government. Follow-up workshop Sai Win Zaw Hlaing, Rakhine State was planned to be conducted in May Health Director, and participated by for discussion of standard operation colleagues from Rakhine State Health procedures, guidelines, reporting forms, Department, township medical officers monitoring plans and capacity-building from six townships and health partners for mobile team members. However implementing mobile clinic activities. due to COVID-19 pandemic, it was According to the discussion from the postponed and completed on 17-18 Jul workshop, there are three types of 2020. After conducting that workshop, mobile clinic categories: (a) primary Rakhine State Health Department will health care mobile clinic, (b) sexual and submit the final report to Union level reproductive health /nutrition/mental Ministry of Health and Sports, Rakhine health mobile clinic, and (c) static clinic. State Government and will share the For each category, the participants final report to all health partners to be discussed together and agreed on the followed. Actual implementation with minimum team members and minimum the agreed standardized mobile clinic

Health Cluster Bulletin: January - June 2020 7 Continuation of Health Services during the COVID-19 pandemic The COVID-19 pandemic has strained health services throughout the world with healthcare resources being diverted to combat the disease. Rakhine MERCY Malaysia in Myanmar with Partners the support of Myanmar Humanitarian Fund continues to provide health care services to displaced people, including the newly displaced due to armed Medical Doctor from conflict, in Sittwe, Rakhine State in MERCY Malaysia doing the midst of COVID-19 pandemic. By consultation to the following the guideline and instruction patient from Payarmyar concerning COVID-19 from Ministry Thein Monastery new displacement site of Health and Sports Myanmar, the at Sittwe township, following services are provided: Rakhine state on 1. Primary Health Care 17 Jun 2020 2. Maternal and Child Health Care (Photo/Mercy Malaysia) 3. Health Education session and Persons with Disabilities at 9 am, taken steps to ensure that other health 4. Non-communicable disease care children at 10 am, adults at 11 am, services such as our maternal and child 5. Immunization activity collaboration etc.) to avoid crowding in the clinic and health care services can still continue with township health department to allow our services to continue with with proper social distancing and 6. Contraceptive service the proper social distancing measures. safety measures. Clinics are frequently 7. Delivery care sanitized to prevent potential cross 8. Emergency patient referral For patients with existing non- contamination and health staffs communicable diseases such as We are mindful on how health facilities are provided with suitable personal diabetes, hypertension, etc. an protective equipment. can become potential hotspots for the increased supply of medication is given virus to spread. Steps were thus taken to the patients so that they will not need to protect the communities and health For more information, please contact: to come to the clinics as frequently, Mr Shah Fiesal Hussain, MERCY (Mercy staff at the Primary Health Care clinics, especially since these groups have Malaysia), [email protected] with specific clinic times being put been found to be especially vulnerable into place for different groups (Elderly to the virus. MERCY Malaysia has also Malteser International celebrated Global Handwashing Day 2019 in Buthidaung Township, Rakhine State To promote hygiene practice among students, Malteser International has celebrated the Global Handwashing Day on 15 October 2019 at Basic Education High School in Buthidaung Township, Rakhine State. Malteser International is contributing to the achievement of the national strategic goal which states “All schools provide a healthy physical learning environment through the provision, operation and maintenance of safe water supplies, adequate toilet facilities and handwashing facilities, and solid waste disposal facilities for all students and staff, together with promotion of safe hygiene practices”. A total of 80 students participated in the Global Handwashing event. Mr. Maung Maung Oo, Deputy Township Education Officer from BHS from the Township Health Department is Township Education Department including Basic Health Staff from demonstrating hand washing during Global Township Health Department were present in the event. The event Handwashing Day at No.2 Basis Education High was supported by the German Ministry for Economic Cooperation and School, Buthidaung township, Rahine State on 15 Oct 2019 (Photo/Malteser International) Development. For more information, please contact: Mostak Ahmed, MInt (Malteser International), [email protected]

8 Health Cluster Bulletin: January - June 2020 Emergency health support in Chin

Chin Partner

CCERR health team attending to patients at mobile clinic, Chin State on 30 Jun 2020 (Photo/Christian Aid)

As the conflict between Tatmadaw in violence and travel restrictions in times in four weeks) in the IDP camps and the Arakan Army intensified, the Paletwa township. However, in March and have reached 1, 378 people as of emergency needs on health increased 2020, clashes in Paletwa led to the Jun 2020. in the affected areas. Christian Aid movement of more than 2,000 people and its partner, CCERR (Community to Samee town. CCERR’s health Part of health support is the referral Care for Emergency Response and team was able to access areas in of medical cases to hospitals which Rehabilitation), endeavours to respond Samee where people have fled. With saw an increase during the peak of to the health needs of the communities considerable health needs, the medical the fighting. Of the 27 cases referred affected by the conflict in Paletwa and team initiated the health response. to Matupi Hospital, 25 patients were Samee in Chin State. injured from mine explosion while two There are currently 11 mobile clinics in were severe Hepatitis C cases. Financial Through a project funded by the Paletwa and Samee townships ran by aid for travel, meals, accommodation Myanmar Humanitarian Fund or MHF CCERR’s health team in cooperation and health expenses form part of the in consortium with Triangle Generation with township health department support. Humanitaire and its Chin-based where consultations are held and partner, health support through mobile medicines for common diseases like The project is providing critical clinics and health referrals are made cough, cold, fever and diarrhea are emergency health support in this available to the people in this conflict provided four times a week in the critical moment. affected area. camps. Health education is also given to the displaced population. The mobile For more information, please contact: Joana Villaflor, CA (Christian Aid), The project could not be implemented clinics have made 16 rounds (four fully in late 2019 due to the escalation [email protected]

Health Cluster Bulletin: January - June 2020 9 Maximizing opportunities during COVID-19 tragedy in Kachin State Kachin SHD

Kachin State Health Director, supportive supervision on thermal scanner installation at Kan Pa Ti point of entry, Kachin State on 04 Feb 2020 (Photo/MoHS)

As of 30 Jun 2020, Myanmar had 299 etc.) complemented each other for activities especially with dengue COVID-19 confirmed cases, of which an improved health operations. hemorrhagic fever control activities. two cases had been detected in Kachin Installation of thermal scanners in all State. Though COVID-19 situation was three official ground crossings and Kachin State Health Department relatively stable in Kachin State in terms Early Warning, Alert and Response provides risk communication and of number of confirmed cases, it has its System or EWARS strengthen disease community engagement through own inherent challenges: presence of surveillance systems. Weekly virtual various platforms, including using official ground crossings and illegal coordination meetings were organized its social media page (Facebook). ground crossings along the Myanmar- and used as a venue for technical Timely information sharing through China boarder, protracted conflictsupport provision, information sharing, transparent, publicly accessible resulting to over 100 IDP camps in timely reporting, monitoring and platforms contribute towards government and non-government- evaluation. Overall, these contribute improvement in accountability controlled areas, geographical barriers, to a comprehensive collaboration and to the affected population and migrant populations working in mining resilient health system. raising community awareness. The and banana plantation sites, and virtual meeting practice is likewise others. The pandemic context itself, In addition, 1,777 volunteers who implemented which may be used to even with a low number of cases, partook in COVID-19 response adapt to the new normal situation. presents many obstacles to execute activities, have strong commitment to continue supporting in public health Guided by improved leadership skills, even routine health service provision. these are just some of the opportunities The supportive guidance of MoHS, which have been maximized during the remarkable leadership of Kachin this COVID-19 context which could State Government and the upmost last beyond the pandemic. commitment of every health staff are the foundations of preparedness and response, in addition, the health cluster coordination mechanism is one of the windows of opportunities in Kachin. For more information, please contact: Dr Aye Thein, Kachin State Health The logistics and operation assistances Department, [email protected] supported by MoHS, health and non- health partners, different donors (Chinese authorities, private donors,

10 Health Cluster Bulletin: January - June 2020 Leadership of peers critical in reducing drug use related harms in communities in Shan and Kachin Kachin Partners A patient consulting Nurse Counselor at Khat Cho IDP camp, Waingmaw township, Kachin State (Photo/Best Shelter)

Best Shelter was setup by a group of 2. Social reintegration of drug users peer drug users, registered in 2010 as a through income generation and non-government organization, and the microfinancing group gained the trust of their peers 3. Primary prevention of drug use in Lashio. The support group has been 4. Ensuring enabling environment for part of ongoing medical and social drug users activities by the Asian Harm Reduction 5. Health care activities (overdose Network (AHRN) in Northern Shan, management, HIV/AIDS, viral Kachin and Sagaing. hepatitis, TB, malaria a.o.) 6. Consultancy and trainings on the Since Dec 2019, Best Shelter in harm reduction cascade partnership with AHRN implements two projects with support from German In response to the COVID-19 pandemic, virtual training for mental health and Agency for International Cooperation or Best Shelter closely coordinates psychosocial support and cross cutting GIZ and Myanmar Humanitarian Fund with State Health Departments in themes such as disability inclusion, or MHF. Respectively, “Drug Policy and humanitarian work in IDP camps in prevention of sexual exploitation and Community Acceptance in Myanmar” Kachin and Shan States, produced abuse and accountability to affected and “Emergency response to improve COVID-19 awareness posters and population. From Jan to May 2020, our Primary Health Care and Mental provided health education and mobile clinics in Hpakant, Waingmaw, Health Services to address substance messaging in Hpakant, Bhamo and Bhamo in Kachin and Laukkai in use and related psychological-social- Waingmaw Townships. Ensured Northern Shan State reached 2,637 medical consequences for the most continued essential health care patients (IDPs head count) with its marginalised populations in IDP camps services, ART/TB treatment, mental service delivery. in Kachin and Shan State”. health care and non-communicable diseases (hypertension/DM) through For more information, please contact: The core activities of Best Shelter: mobile clinic operations with strict Dr Linn Aung Thu, Best Shelter, 1. Advocacy with communities and infection control. [email protected] influencers to promote Harm Reduction Best Shelter conducted a series of Starting a new journey

IOM started partnership with Kachin Health Department for COVID-19, Baptist Convention to support primary IOM participated in coordination & health care services in Kachin State partnership activities, and contributed since 2019. With funding from the 29 testing booths, renovated the Government of Japan, IOM provided isolation ward, provided logistics primary health care services to 25,458 and commodities support for fever beneficiaries, health education tosurveillance at points of entry along 7,612 and emergency referral support border areas. to 336 cases in 14 IDP camps across Kachin State. Currently, IOM is planning to support capacity building through training to In its assistance to strengthening both basic health staff and youths in 11 emergency preparedness, control and additional IDP camps and disseminate Testing booth donation to Kachin response plan of Kachin State Public sexual and reproductive health and State Public Health Department at Myitkyina Township, Kachin State continue to page 12 on 29 Apr 2020 (Photo/IOM) Health Cluster Bulletin: January - June 2020 11 Support, Don’t Punish 2020 Amid Covid-19

Support, Don’t Punish Campaign 2020, Mission at Myitkyina Township, Kachin State on 26 Jun 2020 (Photo/Médecins du Monde)

As of 30 Jun 2020, Myanmar had 299 etc.) complemented each other for virtual meeting practice is likewise COVID-19 confirmed cases, of which an improved health operations. implemented which may be used to two cases had been detected in Kachin Installation of thermal scanners in all adapt to the new normal situation. State. Though COVID-19 situation was three official ground crossings and relatively stable in Kachin State in terms Early Warning, Alert and Response Guided by improved leadership skills, of number of confirmed cases, it has its System or EWARS strengthen disease these are just some of the opportunities own inherent challenges: presence of surveillance systems. Weekly virtual which have been maximized during official ground crossings and illegal coordination meetings were organized this COVID-19 context which could last ground crossings along the Myanmar- and used as a venue for technical beyond the pandemic. China boarder, protracted conflictsupport provision, information sharing, For more information, please contact: resulting to over 100 IDP camps in timely reporting, monitoring and Dr Minn Thit Aung, MDM (Médecins du Monde), fieldlpco.kachin.myanmar@ government and non-government- evaluation. Overall, these contribute medecinsdumonde.net controlled areas, geographical barriers, to a comprehensive collaboration and migrant populations working in mining resilient health system. and banana plantation sites, and others. The pandemic context itself, In addition, 1,777 volunteers who partook in COVID-19 response even with a low number of cases, Starting a new journey presents many obstacles to execute activities, have strong commitment to even routine health service provision. continue supporting in public health continue from page 11 activities especially with dengue rights information to marginalized The supportive guidance of MoHS, hemorrhagic fever control activities. population in camps complementing the remarkable leadership of Kachin Kachin State Health Department the existing health system. Moreover, State Government and the upmost mental health and psychosocial commitment of every health staff are provides risk communication and community engagement through support was integrated in health the foundations of preparedness and education sessions to prevent gender- response, in addition, the health cluster various platforms, including using its social media page (Facebook). based violence challenges in IDP coordination mechanism is one of the camps amidst COVID-19 situation windows of opportunities in Kachin. Timely information sharing through transparent, publicly accessible and response. The logistics and operation assistances platforms contribute towards supported by MoHS, health and non- improvement in accountability For more information, please contact: Dr Htet Lwin Win, IOM (International health partners, different donors to the affected population and Organization for Migration), htwin@ (Chinese authorities, private donors, raising community awareness. The iom.int

12 Health Cluster Bulletin: January - June 2020 True Story on Improvement of Immunization service in hard to reach areas, Kachin State

Community Awareness Session at In Gum La village, Injayang township, Kachin state (Photo/Health Poverty Action)

Health Poverty Action (HPA), Myitkyina is implementing preventable diseases. She and other mothers also discussed primary health care services especially building successfully two ways with health care providers about immunization bridge linkage between MOHS and EHO to implement including adverse events following immunization, the value immunization program in hard to reach areas of non- of vaccines, misbeliefs, and their incorrect concepts. government control area (NGCA) in Kachin State since 2014. HPA provides technical and budget support to ethnic After the session, she realized the importance of health organization based technical, vaccine and logistic immunization and the dangers of vaccine-preventable supports from Kachin State Health Department, MoHS. diseases. She decided that she must bring her children to immunization sessions to get the full dose. She asked to During crash immunization, 2020, HPA could interview a health care providers when they will conduct immunization mother with two children, in N Gum La village, In Ja Yang sessions and which vaccines should be received by their Township, NGCA, on experience of immunization service. children in relative age. She cordially shared her experience that previously she did not know the importance of immunization or where Ethnic health care providers immunized children for diseases to get immunization services. She thought her children did including polio, diphtheria, pertussis, tetanus, hepatitis not need immunization as other children in her hard to B, haemophilus influenza B, pneumococcal disease, TB, reach village. When she partook in community awareness measles, rubella, Japanese encephalitis and pregnant session, she received health education about immunization women for neonatal tetanus. Nutrition supplement is also from ethnic health care providers supported by HPA. combined with the immunization sessions. The providers explained to the community using flip For more information, please contact: Dr Myo Min Kyaw, HPA charts about immunization to understand its importance (Health Poverty Action), [email protected] including morbidity, mortality, and disability due to vaccine-

Health Cluster Bulletin: January - June 2020 13 Restraining burden of malaria outbreak by strengthening the collaboration during COVID-19 pandemic When the first confirmed case of COVID-19 was reported in March 2020, Myanmar had been trying to control the transmission and bring down the impact of pandemic situation of COVID-19. Meanwhile, other health problems especially malaria continued to grow especially in Kachin. This Conducted reactive case detection at Khayan situation caused the healthcare workers village under Gwyay putting the additional workload in Htu rural health centre, responses to COVID-19 and Malaria Waingmaw township, case management. Kachin state on 26 June 2020 (Photo/Population As COVID-19 response activities, Services International) PSI collaborated with NMCP and stakeholders by participating in awareness raising, assisting the distribution and IRS activities with Since Myikyina is included among transportation of testing booths, technical support from Kachin NMCP. the malaria elimination townships, donation of face masks and hand PSI continues to serve as a key As a result, 1,145 people were tested sanitizers; and proactively involved as implementing partner for malaria with RDTs. Of these, 375 cases were a volunteer in facility quarantine sites. case management, timely notification, found positive and treated according investigation and foci investigation, In the midst of COVID-19 pandemic, to the national guidelines at Khan LLIN distribution and other measures some PSI’s private outlet providers Yan and Si Pant village, Waimaw such as RACD in collaboration with from Waimaw township reported township. Moreover, two antiretroviral local NMCP and partners; for the the dramatic increase of malaria therapy (ART) Clinic, run by Sun Quality purpose of reducing malaria burden confirmed cases. In response to this, Health Care providers in Myitkyina and contributing to the goal of malaria PSI collaborated with NMCP and and Bhamo townships, successfully elimination. actively participated in active case managed in providing 6 months of ART detection, management of positive drugs to all the currently ART receiving clients (over 40 clients). Therefore, the For more information, please contact: cases, behavioral change activities, Dr Soe Khaing Linn, PSI (Population long lasting insecticidal nets (LLIN) patients have enough ART drugs up to Services International), sklinn@ September 2020. psimyanmar.org Integrated Health Project in Kachin State Alliance Myanmar works and liaises with Township health departments of Kachin State (Myit Kyi Na, Mogaung, Mohnyin and Tanai Townships), Ethnic community-based health organizations (ECBHOs) and community-based organizations (CBOs). Alliance Myanmar serves some of the most remote and isolated villages of Kachin State. It leads the consortium by taking the coordination role with township health department and supports the respective township health departments to provide integrated maternal and child health, nutrition, and sexual and reproductive health services, improve the capacity With state and township health departments during and coordination of basic health staff and volunteer health Department for International Development or DFID’s workers and strengthen the Township Health Department’s visit to Man Hkring and Man Hkring rural health centers at Kachin State on10 Mar 2020 monitoring and supervision mechanisms. (Photo/Alliance Myanmar) continue to page 15

14 Health Cluster Bulletin: January - June 2020 Adolescent Sexual and Reproductive Health (ASRH) Project (Achievement in 2019)

Youth Initiative Activity, Myanmar Medical Association, Adolescent Sexual and Reproductive Health Project at Jaw Ma Sat IDP Camp, Myitkyina Township, Kachin State (Photo/Myanmar Medical Association)

Adolescent Sexual and Reproductive activities, happy and health melody and Thanbyuzayat Townships) and Health (ASRH) Project of Myanmar of life, edutainment program, events, Shan State (Taunggyi, Hopong, Lashio Medical Association is one of the leadership development training and and Muse Townships) where young leading programs that give health mass communication using social people are more vulnerable to the promotion knowledge on adolescent media (Talk & Solve Facebook Page, health problems since they have risky sexual and reproductive health Adolescent and Youth Friendly Health behaviors such as exposure to risk sex information to the vulnerable youth Services Network Facebook Page), and drugs and mobility. (aged between 15 to 24 years). The counseling phone lines (White Lines project promotes access to youth- and Pink Lines) and radio program During 2019, more than 217,000 friendly sexual and reproductive (Padamyar FM). young people were reached through health services to marginalized and different approaches of the project vulnerable adolescents as well as All the above activities were done activities informing ASRH messages the general population of young in the project areas (Yangon Region, including HIV and GBV. Also, more people. In order to promote access to Kachin, Kayin, Mon, and Shan States). than 200,000 young people reached adolescent sexual and reproductive In Yangon Region (Hlaingthayar, through Facebook page. health information, Myanmar Medical Shwepyitha, South Dagon and Dagon Seikkan Townships), Kachin State For more information, please Association, Adolescent Sexual and contact: Dr Than Htaik Aung, MMA Reproductive Health Project went (Myitkyina, Mohnyin, and Mogaung (Myanmar Medical Association), through interpersonal communication Townships), Kayin State (Hpa-An, [email protected] which includes peer education session, Kawkareik, and Myawaddy Townships), half-day training, youth-initiative Mon State (Mawlamyine, Mudon,

Integrated Health Project in Kachin State continue from page 14 Community feedback mechanism is mask, infrared thermometer, exam SRHR awareness activities at the most being implemented in Myitkyina and glove and Dettol to THD of Alliance remote and isolated villages of Kachin Bamaw Townships with coordinate and implementation townships but also State were carried out by the Alliance collaborate with community networks. referral cost of COVID-19 suspected Myanmar and its partners, ECBHOs cases under Access to Health Fund. As mainly State Health Department and CBOs. already organized for control and With the partnership with SARA, harm prevent COVID-19 response, Alliance For more information, please contact: reduction activities are implemented Myanmar supported not only non- Dr Nyein Chan Mg, Alliance (Alliance pharmaceutical supplies such as Myanmar), nyeinchanmg009@gmail. in Myit Kyi Na, Namatee, Lwegel and com Mansi townships. PPE, hand gel, surgical and N95

Health Cluster Bulletin: January - June 2020 15 Kachin Back Pack Health Worker Team COVID-19 Response With support from the Myanmar Humanitarian Fund, Community Partners International (CPI) is working with the Kachin Back Pack Health Worker Team (BPHWT) to safeguard internally-displaced persons (IDPs) and conflict-affected communities in Kachin State, Myanmar, from COVID-19. Under this initiative, Kachin Kachin Back Pack Health Worker Team distributes BPHWT equipped mobile health handmade mask in workers serving around 9,000 people Nawng Nang 10 Miles sheltering at 15 IDP sites in Myiktyina, Market at Kachin state Waingmaw and Hpakant townships on 19 Apr 2020 (Photo/Kachin Back with packages of essential medicines Pack Health Worker and supplies. Kachin BPHWT expanded Team) the activities of a general clinic at an IDP site in Myitkyina Township to the Kachin State COVID-19 Prevention weeks, Kachin BPHWT members have include COVID-19 prevention and Network. These volunteers are produced 3,200 cloth face masks which response. This clinic is now conducting supporting fever screening and vehicle they have distributed at eight IDP sites COVID-19 awareness and fever disinfection at COVID-19 checkpoints and nearby villages in Myitkyina and screening and referring suspected and assisting at quarantine facilities Hpakant Townships. COVID-19 cases to quarantine in Myitkyina Township. Kachin BPHWT For more information, please contact: facilities. Kachin BPHWT is providing also launched a mask-making initiative Dr Arkar Linn Naing, BPHWT (Kachin medical services to the volunteers of with CPI’s support. In the last few Backpack Health Worker Team), [email protected] Kachin Baptist Convention for the Health of Kachin State Kachin Baptist Convention (KBC) is reproductive, maternal, newborn and and HIV/AIDS awareness raising providing health services and filling the child health program, mental health program. These services are supported gaps based on the needs, feedbacks assistance program, nutrition program, by a combination of external and and voices of the local communities. primary health care and patient referral internal funding including donation The health programs of KBC are support program, Christian Health from church members. internally displaced persons support Worker training, herbal medicine program, malaria control program, promotion program, blood donation During the last quarter of 2019, KBC provided primary health care services to 12,908 patients through Christian Health Workers, nurses and medical doctors through both fixed and mobile clinics. KBC also provided support for 212 patient referrals to ensure further management at secondary and tertiary hospitals. KBC will continue provision of humanitarian and developmental health assistance in reducing the financial burden of the community for health. For more information, please contact: Dr Malut Naw Tawng, KBC (Kachin Baptist Health Education Awareness Session at Trinity IDP camp, Convention), malutnawtawng@gmail. Kachin state (Photo/Kachin Baptist Convention) com

16 Health Cluster Bulletin: January - June 2020 Reaching Equitable Health Care Service to Vulnerable Community

Health Package Tour with basic health staff at RCM Camp 2, Man Wein Gyi rural health center, Mansi township, Kachin state (Photo/Myanmar Health Assistant Association)

Arranging health care services in happening. MHAA conducted rural the help of BHS staff who is in Kachin remote areas and IDP camps was health center coordination meeting and ethnic group. After that, screening one of the plan of Myanmar Health organized two mother support groups for NCD in 67 persons and treatment Assistant Association (MHAA). Even in and one village health committee. After their sufferings were done. Camp and Man Wein Gyi RHC in Mansi Township that, mobile clinic was arranged with six community leaders were very satisfied that is located near the border to China basic health staff (BHS) in RCM camp to MHAA and BHS for coming and kind and many non-government-controlled 2. Most of the community in this camp treatment. areas and internal conflict, health care are Kachin ethnic group. Therefore, activities including mobile clinic were explanation about our project and For more information, please contact: supported by MHAA. In November dissemination of health knowledge Aung Myo Khaing, MHAA (Myanmar 2019, MHAA went to Man Wein Gyi on non-communicable disease (NCD) Health Assistant Association), even though the internal conflict was was done in Kachin language with [email protected]

Health and COVID-19 Response to Humanitarian Crisis Kachin Development Group (KDG) is a building initiatives with the support of non-profit local development agency. It the Community Partners International has been working since the founding or CPI since 2019 in respective health Table 1. Response Fact Sheet year of 2005, and currently based centers. Target Township: in Laiza. Since 2011, KDG has been The main activities under this Wainmaw and Moemauk in engaged in humanitarian response to Kachin State promote welfare and protect the rights programme includes capacity building of the IDPs and the host community for health workers and volunteers, Target Community: in Kachin Independence Organisation renovation and upgrading of health 15 - IDPs and 7 - host community (KIO) controlled area along China facilities, provision of essential Population Covered: border in Kachin State. medicines, mothers and child health care, provision of incentives to health IDPs - 45,000; While KDG is not a specialize health workers, and sexual and reproductive Host community – 25,000 agency, efforts are made in trying to be health and rights services. For more info - instrumental in reaching health services https://kdgkachin.org to the most needed community. KDG In addition, KDG have been engaging with the collaboration of KIO’s Health in COVID-19 response in hard-to-reach Department has been providing IDP camps located in and around Laiza essential health services and capacity town and local host communities. continue to page 19

Health Cluster Bulletin: January - June 2020 17 COVID-19 response in Northern Shan State

Northern Shan SHD

Donation of Surgical masks for COVID-19 prevention in IDP camp, Namkham Township, Northern Shan State by State Health Department (Photo/MoHS)

COVID-19 is an acute respiratory illness zz Transportation of migrants speaker at community level. As of 07 caused by a novel human coronavirus returning from China to their Jul 2020, NSS has or SARS-Cov-2. On 11 Mar 2020, WHO place of origin using a designated defined the COVID-19 outbreak as a transportation system arranged by zz Tested 3,042 samples global pandemic. The first two cases State Government. zz Reported three confirmed cases for in Myanmar were detected on 23 Mar zz Fever surveillance at the ground COVID-19, and all three patients 2020. On 30 Mar, Northern-Shan-State have recovered (NSS) detected its first COVID-19 case crossing point in between townships from a migrant worker who returned zz Early diagnosis of suspected cases zz Accommodated over 5,700 people from Thailand. in the facility quarantine center zz Isolation and prompt treatment of NSS government and State Health confirmed cases zz Managed home quarantine for Department (SHD) have been on 14,000 people high alert since the beginning of zz Contact tracing and mandatory zz Performed 79,986 information the outbreak in China in Jan 2020. quarantine for all close contact dissemination sessions through On 28 Mar, the SHD activated Public hand-held speakers at the Health Emergency Operation Center Additionally, the NSS government and community level at the state level for coordination of NSS SHD jointly carry out community information and resource in response mitigation measures in order to prevent to the COVID-19 pandemic. The SHD or slow down community transmission. has deployed a series of containment These measures include: References; strategies including: zz Social distancing (1) Data sources: Northern Shan State zz Fever surveillance at the point of zz Limit social gathering to five people Health Department. entry along the border with China zz Closure of schools, religious places, (2) Donation of Surgical masks for zz Screening of migrant workers and public parks COVID-19 prevention in IDP camp, returning from China Namkham Township by NSS SHD, zz Curfew at night from 12:00 Jul 2020 zz Mandatory 21 days facility midnight to 4:00 am quarantine for migrants who returned from neighboring countries Furthermore, risk communication and For more information, please contact: and national traveler from different community engagement has been Dr Ye Nyunt, Northern-Shan-State states and regions, followed by an achieved through the dissemination Health Department, dryenyunt1975@ gmail.com additional 7 days home quarantine. of health messages using hand-held

18 Health Cluster Bulletin: January - June 2020 Supporting COVID-19 Disease surveillance, Infection Prevention and Control in Northern Shan State Northern Shan Handover ceremony of Partner 3500 N-95 masks to State Public Health Department for infection prevention and control of front line health staffs at State Public Health Department, Lashio, Northern Shan State on 22 May 2020 (Photo/UNICEF)

Health and Nutrition team of UNICEF Lashio Field Office has been providing support to COVID-19 disease In collaboration with Health Poverty ethnic language including COVID-19 surveillance and response team of Action (HPA), about 3,500 pieces of general information, cough etiquette Northern Shan State, especially in N-95 mask were handed over to State and wearing mask were provided risk communication and community Public Health Department for infection for awareness raising of COVID-19 engagement, surveillance, rapid prevention and control of frontline prevention and control for ethnic response team and case investigation, health staffs. Through HPA, about communities Namtu, Kyaukma, Hsipaw infection prevention and control 8,820 N-95 masks, 16,900 surgical and Tanyan townships of Northern Shan activities. With the funding support masks, 5,950 PPE, 2,316 goggles State (NSS). One hundred sets of hand of Japanese government, four mobile and 2,250 face shields were provided washing basins were also provided sample collection booths were to WA Ethnic Health Organization to promote hand washing especially provided, two for Lashio and two for and frontline health staffs providing in health facilities, community facility Muse point of entries. The booths were healthcare services in Kokant Self- quarantine centers and public areas of locally developed and constructed administered Zone through Shan State NSS. with standardized infection prevention Youth Capacity Building Center, which and control principles for ease and is CSO implementing development For more information, please contact: Dr Aung Naing Tun, UNICEF (United convenience of technicians taking throat activities in SSPP areas, IEC posters and Nations Children’s Fund), atun@unicef. swabs of COVID-19 suspected cases. pamphlets of health messages in Shan org

Health and COVID-19 Response to Humanitarian Crisis continue from page 17 It is quite challenging for KDG to be working in the low capacity humanitarian setting to response to this COVID-19 tragedy but KDG staff have been actively participating to COVID-19 preventive actions led by COVID-19 Prevention Committee of KIO. It is humble to admit that KDG’s involvement in COVID-19 response has been limited only to some activities under four pillars – 2, 3, 6 and 8 out of WHO guided pillars. The COVID-19 response action of KDG covers seven IDP camps and three host communities in and around Laiza town. The main activities include supporting coordination by providing office supplies to central COVID-19 Prevention Committee office, training of community surveillance volunteers, distribution of IEC materials, provision of preventive materials, provision of incentive to more than Fever Surveillance at hard to reach areas at 100 community surveillance volunteers. Kachin State on 07 May 2020 (Photo/ Kachin For more information, please contact: U La Rip, KDG (Kachin Development Group) Development Group), [email protected]

Health Cluster Bulletin: January - June 2020 19 Improving access to health services and protecting livelihoods for vulnerable population in Kayin Kayin

Partners PUI medical team in Hlaingbwe township, Kayin state (Photo/Première Urgence Internationale)

Premiere Urgence International (PUI) increased pressure on the health and started working in Myanmar in 1984 livelihoods sectors. Multiple skirmishes as Aide Medical International training in the State made COVID-19 responses health workers, doctors & nurses. In difficult. Current probable scenarios April 2020, PUI commenced a Myanmar include several epidemic waves, Humanitarian Fund or MHF funded emphasizing the need for a contingency project providing a multi-sectoral plan and health system strengthening. done for children under five years of intervention to the displaced, resettled, age. To prevent and control the spread affected by flood population as well as Considering the lack of reliable and in hard-to-reach and non-government- of COVID-19, PUI is supporting the Hlaingbwe hospitals. Following this, updated data on humanitarian health controlled areas (NGCA) areas of Kayin needs in hard to reach and NGCA, State. PUI’s intervention brings health PUI deployed a mobile clinic unit in Myaing Gyi Ngu Camp to provide an analysis will be carried out to care to IDPs in Myaing Gyi Ngu Camp identify the specific needs, to improve in Hlaingbwe township, and food minimum essential health packages including COVID-19 screening as humanitarian health information and security to flood affected households in access to health services and improve Kawkereik and Kyainseikgyi townships. needed. Protection mainstreaming for specific cases of GBV and MHPSS in humanitarian response. The COVID-19 outbreak pandemic the form of emergency referrals will For more information, please contact: contributed to an influx of migrant be implemented via two local CBO Josh Kreger, PUI (Première Urgence Internationale), mmr.hom@premiere- populations from Thailand which partners. Nutrition screening will be urgence.org

Humanitarian assistance in Kayin State With the support of Myanmar stakeholders in including Kayin State Humanitarian Fund, Community Department of Social Welfare, camp Partners International (CPI) had management committees, UNICEF, launched a new humanitarian project and Ethnic Health Organizations. In in Kayin State in the last quarter of November 2019, CPI also conducted 2019. CPI is working with two local a rapid assessment in Ee Thu Hta IDP partners to delivery health and other camp in Hpa-pun Township using humanitarian assistances to displace “Multi-sector Initial Rapid Assessment” people in Hlaingbwe, Kyaukkyi, and tools. In addition, CPI supported school Hpa-pun Townships, Kayin State. furniture, and teacher salaries for pre- and lower-primary schools in Myaing Kayin project is a multi-sectoral project Gyi Ngu IDP camp in collaboration with touching seven thematic areas (Health, The “MIRA” assessment at Ee Tu Kayin Department of Social Welfare Nutrition, Food Security, WASH, Hta IDP camp, Hpa-an township, and UNICEF. It could bring about 300 Education in Emergency, Shelter, and Kayin state (Photo/Community Partners International) children (aged 5 to 10 years) back to Protection) for 13,500 IDPs in Ee Tu the class room. Hta, Myaing Gyi Ngu, and Ke Doh areas. During the inception phase, CPI For more information, please contact: Dr Si Thura, CPI (Community Partners International), [email protected] organized advocacy meeting with local

20 Health Cluster Bulletin: January - June 2020 Health Cluster Bulletin: January - June 2020 21 Early warning, alert and response system or EWARS, Rakhine & Kachin State (Jan-Jul 2020)

EWARS summary Rakhine Kachin Number of consultations, EWARS, January to July 2020 EWARS reporting 11 9 organizations weekly reports 1,708 609 received Rakhine Kachin reporting sites 157 92 State State Total consultations 111,398 22,446 verified cases 260 27

Health Cluster Work Plan overview 2020 - as at December

Activity Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Bimonthly National Health Cluster meetings (proposed as every first Tuesday of NPT Virtual Virtual Virtual Virtual Ad Virtual Virtual Virtual the month to be verified when closer to date)​ hoc Health in Complex Humanitarian Emergencies Training Health Cluster Terms of Reference review Def Def Def 3Ws (Who does What, Where) COV Public Health Situational Analysis – refocus COVID plans Def Def Def Def Def Def Def Health Cluster Strategy – refocus COVID plans Def Def Def Def Def Def Def Emergency Response Plan updating (includes Contingency planning for monsoon season and minimum preparedness action for acute watery diarrhea) Health Cluster website – refocus IMO, COVID monitoring Def Def Def Def Def Def Def EWARS (for Health Cluster website version) – COVID -> ILI Def Health Cluster Bulletin Def Def Def Def 1st Contact list updating – HC routine Mailing list updating – HC routine MHF reserve allocation for COVID MHF first standard allocation MHF second standard allocation Cluster Coordination Performance Monitoring 2020 Def HRP COVID-19 addendum 1st 2nd HRP 2020 monitoring plus COVID addendum monitoring Humanitarian Needs Overview Humanitarian Response Plan Humanitarian Response Plan 2020, (72) Myanmar Health Cluster Participated Organizations, Health Cluster funding status by type, by location people targeted, 619,000 HRP Categories Number of organizations requested, HRP 20.1m US$ International non-governmental organizations 26 requested, Health 21.6m US$ National non-governmental organizations 14 COVID-19 Donors 11 funded 4.0m US$ Others/observers 10 coverage (%) 10.0% United Nations Specialized Agencies 9 Last access: 27 Aug 2020. More information Intergovernmental organization 1 at Humanitarian Response Plan 2020: https:// bit.ly/3jid2Wx / Myanmar: Supplemental National authorities 1 Humanitarian Response Plan Financial Tracking Service: http://bit.ly/2GN51Iv Total 72

For more information on Health Cluster activities, please contact:

Dr Kyaw Khine San, [email protected] Dr Allison Gocotano, [email protected] Programme Manager/Assistant Director WHE Technical Officer, Health Cluster Coordinator Disaster & Public Health Emergency Response Division, MoHS WHO Country Office for Myanmar

22 Health Cluster Bulletin: January - June 2020