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Somaliland Cyclone Emergency Response

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Somaliland Cyclone Emergency Response Modality 2: Life Saving intervention and stabilisation. Somaliland Cyclone Emergency Response 1. Relevance, appropriateness and timeliness of the intervention The timeliness of the proposed intervention Somaliland experienced the worst Cyclone named Sagar with heavy rains that has left devastating human death cases, injuries, distruction of houses, hospitals, Health Centers (HCs), schools, and loss of animals and farms. The Cyclone has seriously affected Awdal and Sahil regions of Somailand, especially Lugahaya, Gargaarab-bari, Baki and Zeila districts, where most of the communities who lived there lost everything they had before. This situation for the above mentioned districts calls for very urgent humanitarian responses to save human lives. According to Somaliland authorities, the extent of the impact for the cyclone Sagar, shows the high level of destruction left by the storm in its wake. The Government estimates the number of people affected around 670,000, including hundreds of thousands of children. According to the local authorities, Lughaya district of Awdal, with a combined population of just over 100,000 people, is the most affected zone. Zaylac district, in the same region, with an estimated population of 77,000 people, was also seriously affected and, just like Lughaya, have been cut off from transport and communications by the cyclone. At least 52 people have been killed and over 1500 were injured. The winds and floods had a severe impact on the livestock and farms, and also damaged key infrastructure, such as schools, ports, roads and airstrips, and washed away many shelters in IDP settlements. Supply stores and food markets have been damaged and in some cases washed away. The government estimates that at least 80 per cent of livestock in some of the most affected areas were killed and some 700 farms have been devastated. Due to the heavy cyclone Sagar hit in Awdal/Selel region which lost human lives and wept out their properties has impacted some people who have developed post traumatic stress disorder. It was reported that some individuals in Gaargaara bari and Lughaya remain on the dead bodies of their animal while others are still searching to find their animals which was wept out by the heavy floods through the flood river to sea. A rapid assessment done by the Ministry of Health indicated that MCH, health posts, health centers in Lughaye, Gargaarabari and zaylac were completely destroyed by the cyclone and need immediate rehabilitation. The facility based medical services stopped due to facility destruction and swept all NFI, drugs and nutrition by the heavy wind flowed in the cyclone. At the same time, several cases of AWD outbreaks have been report in Baki district and there is a fear of other affected areas in other districts affected by the cyclone. In this regard, This proposed intervention has been selected due to the complex and multi dimensional nature of the humanitarian needs in Somaliland and the interlinks between the various needs which has been brought on by the cyclone crisis. Particularly, we will give focus on the prevention/treatment of the health related crised impacted by the cyclone inlcuding AWD, post DANISH EMERGENCY RELIEF FUND (DERF), Emergency Relief Interventions, June 2018 1 traumatic stress disorder and other infections diseases through provision of outreach health services, counselling and awareness raising campiangs in Gargaara-bari, Lughaye and Zelylac. This communities resides hard to reach area and had an inadequate health intervention due to geographical locations but SHiFAT had an experience to implement a programme in hard to reach communities including Selel/Awdal peripheral district where there no any other health intervention. Currently, there are other NGOs implanting nutrition and livelihood programme in above communities which we have interlinked to integrate and provide mulitiple mobile medical services outreach programme among the communities. Integrated Mobile Medical services to affected communities in lughaye, Gargaarabri and Zaylac in Awdal/selel region 1. Mobile medical services To deliver mobile medical services to the communities. The general OPD clinic treats patients with basic ailments and refers those with more complicated problems to diagnostic centers and the government hospital. The patients will undergo follow ups to ensure that they complete their prescribed treatment. Additionally, mobile medical services deliver preventive health care and education to all communities including children, adults and youth. 2. Psychosocial support To stabilise the target group beyond immediate needs and towards early recovery, we propose to deploy trained psychosocial agents to the cyclone affected area to provide basic counselling and other psychosocial support. 3. Community mobilization/Sensitization. To establish Community mobilization to affected communities by sensitizing communities to prevents disease outbreak and hinder deterioration in hygiene and sanitation among the community. Explain how you will start your activities in 7 days and finish within the duration of the proposed intervention. Both the Governor and Regional Health/Medical Officer are on board and have been consulted in the preparation of application for this fund. Casual interviews have been conducted with some of the community members present in region (seeking medical care). The list below highlights some of the other activities and initiatives that will have to be achieved by the partnership (Guryasamo & SHiFAT) within the 3 months: 1- Within 7 days: Staff, volunteers and local stakeholder’s induction training and responsibility allocation. Procurement processes for Mobile Clinic, Medication and ER equipment. Co-ordination meetings commence with local stakeholders. Actual locations of the target DANISH EMERGENCY RELIEF FUND (DERF), Emergency Relief Interventions, June 2018 2 group(s) within the target region are identified Vulnerability assessment in consultation with the targeted groups and relevant stakeholders. END OF OF THE FIRST HALF FOR THE 3 MONTHS [PHASE ONE]. Please note that the ER equipment and Mobile clinic should arrive at the start of phase one 1- Once the mobile clinic arrives the healthcare services can expand and have more coverage. ER set up at lughaya, Gargaarabari and Zaylac with relevant training commences. 2- Coordination meetings with local and international cyclone committees will act as a yard stick and KPIs can be reviewed. 3- Mobile services continue. 4- Post traumatic stress disorder counseling and referring to public hospital where the programme will cover their basic health revovery costs. 5- The Monitoring trips at the beginning and ending of each month by Guryasamo representatives and regional stakeholders. 6- Health awareness campaigne throughout the community and step by step guidance to prevent disease outbreak and other deterioration. END OF THE SECOND HALF OF THE 3 MONTHS [PHASE TWO]. 1- 80% of lughaye, Gargaarabari and zaylac communites screen all types of diseases recording presumptive register book. 2- 90% of community will be sensitized publicly and individualy to prevent outbreak disease, will also list contact tracing register book. a. Post traumatic stress disorder counselling and referring to pschysocial center in Borama. b. Hygiene and sanitation awareness to prevent disease outbreak. c. Benefits of clinic attendance and number of diseases. A physican will treat and prevent. d. Comprehensive service available in mobile clinic in awdal/Selel region. e. Monthly statistical reporting indicating all above mentioned objectives. f. Quarter statistical and Narrative report reflecting programme performance. 3. Final activities/draw down phase, final reporting, Monitoring Evaluation and Learning (MEAL), stakeholder communications. How are you co-ordinating, and with whom? Kindly include a reflection on how this contributes towards ensuring that the target group will receive coordinated and complementary assistance We will coordinate with the Ministry of Health and the health sector focal point at a national level; we will also co-ordinate at regional level with the Somaliland ministry of health’s regional branches and the Regional Medical Officer (RMO). As already mentioned with our key stakeholders in order to make sure that we get a proper overview of the situation. We will also take part in the Office of coordination of humanitarian Affairs (OCHA) meetings in Hargeisa, to understand where and how fellow NGO’s/INGO’s are delivering services including the Humanitarian Response Plan (HRP). As well make sure we communicate our work and implementation plans to make sure other organisations are aware. DANISH EMERGENCY RELIEF FUND (DERF), Emergency Relief Interventions, June 2018 3 These activities will help in making sure that services to our target group will not overlap or duplicate other interventions. It will also help our target group receive varied complimentary humanitarian assistance which means a bigger and better impact in saving lives. What will success look like, and in what time frame? Using indicators success will be the achievement of the strategy of the intervention and its objectives within a period of 3 months. The following indicators will be used to assess the success of the project # 10800 clients will be screened and a report wil be conducted in the end of 3 months. # 17800 displaced people will be provided with health education in the end of the 3 month. # 30 patients affected by post traumatic stress disorder will
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