LIBYA HEALTH EMERGENCIES

AND HUMANITARIAN UPDATE Health Sector Monthly Bulletin November 2018

Health facilities Detention Beneficiaries from benefit from centers reached PHC medicines and 32 medical supplies 17 by PHC services 10.9 K consultation 21.7 K supplies provision s K Number of beneficiaries from Medical Supplies Trend of Acute Lower Respiratory Infections cases Murzuq 500 400 Sebha 300 Ubari 200 Wadi Ashshati 100 Al Jabal Al Gharbi 0 Almargeb

0 2,000 4,000 6,000 8,000 10,000

1-Dec-18

1-Nov-18 3-Nov-18 5-Nov-18 7-Nov-18 9-Nov-18

28-Oct-18 30-Oct-18

13-Nov-18 15-Nov-18 17-Nov-18 19-Nov-18 21-Nov-18 23-Nov-18 25-Nov-18 27-Nov-18 29-Nov-18 11-Nov-18

Number of beneficiaries from PHC services Bani Waleed Sabrata

Misrata HEALTH SERVICE DELIVERY Sirt Tripoli Sebha World Health Organization AlJabal AlGharbi Azzawya In order to respond to severe cases of Cutaneous Almargeb Leishmaniasis (CL), the World Health Organization (WHO) Wadi Ashshati Zwara deployed an emergency medical team to Tawergha that Ejdabia operated in the field between November 6 and 12 with the Alkufra Almarj financial support of the Office of the United states Foreign AlJabal AlAkhdar Disaster Assistance (OFDA) and the Italian Agency for 0 500 1000 1500 2000 2500 3000 3500 4000 Development Cooperation (AICS). 142 patients have

benefited from the emergency health services provided by EARLY WARNING SURVEILLANCE the team with different specialties. Management of CL cases was one of the key priorities of the team. In October 2018, 109 sentinel sites submitted their weekly reports through Early Warning and Alert Response Network International Medical Corps (EWARN), generating 96 suspected alerts. International Medical Corps (IMC) provided healthcare services including 3,527 primary health care (PHC) Trend of Cutaneous Leishamaniasis cases consultations consisting of care for communicable and

120 non-communicable diseases, urgent medical care, 100 maternal and neonatal care as well as child health care 80 services. Beneficiaries were internally displaced persons 60 40 (IDP), host communities, migrants and refugees in Al Jabal 20 Al Gharbi, Al Kufra, Al margeb, Az zawya, Benghazi, 0 , Sebha, Tripoli, Wadi Ashshati, and Zwara. Two

different grants funded this project: the United Nations

1-Dec-18

3-Nov-18 5-Nov-18 7-Nov-18 9-Nov-18

1-Nov-18 Refugee Agency (UNHCR) and OFDA.

28-Oct-18 30-Oct-18

11-Nov-18 13-Nov-18 15-Nov-18 17-Nov-18 19-Nov-18 21-Nov-18 23-Nov-18 25-Nov-18 27-Nov-18 29-Nov-18

Tawargha Bani Waleed Al-khums Under UNHCR-funded grant, IMC provided 2,196 consultations in 11 Detention Centers (DC): Abu-Issa, Azzawya Al-Nasr, 1

Azzawya Al-Nasr, Dhahr Al-Jabal, , AlKufra Jawf, Diarrhea (AWD) cases by Ghat hospital, WHO facilitated Alkhums, Suk AlKhums, Karareem, Zliten, Abu Saleem, the activation of Rapid Response Teams (RRT) for further and Zwara. Moreover, 910 health care consultations were case investigation and rapid response. WHO also provided to urban refugees and migrants in the coordinated with the National Centre for Disease Control community day centers located in Tripoli, and 34 health (NCDC) and Sabha Medical Center to fast-track the care consultations were provided to survivors of the delivery of Oral Rehydration Salts (ORS) to contain the rescue at sea operations in the disembarkation points in situation and coordinated with MSO to send IV Azzawya and Al-Khums. Fluids. Under OFDA-funded grant, IMC mobile medical teams Following the terrorist attack in Tazerbu, WHO provided 1,331 consultations within the local polyclinics coordinated with MSO to respond to the acute needs of and inside the IDP camps for the host communities and the two hospitals in Ejdabia and Tazerbu that received IDPs in Tripoli, Misurata, Benghazi, Wadi Ashshati and casualties. Consequently, surgical kits, Intravenous (IV) Sebha. Furthermore, 3,532 people benefited from Fluids and essential medicines reached both hospitals. community health promotion through the community CAPACITY BUILDING: health workers. Training of Trainers for campaign vaccination supervisors for National Measles/Polio campaign A Training of Trainers (TOTs) workshop was conducted by WHO from 31 October to 05 November 2018 in Tunis in collaboration with Ministry of Health and UNICEF for second group campaign vaccination supervisors for national Measles and Rubella (MR), Polio and Vitamin A supplementation. 45 vaccination supervisors were trained on Micro planning preparation, Implementation Figure 1. Community health awareness session provided by IMC. Source: IMC and Monitoring of MR, OPV and Vitamin A. Furthermore, a capacity building on advocacy, communication and International Rescue Committee social mobilization, reporting and monitoring tools, With the financial support of European Commission’s Civil injection safety, waste management were conducted and Protection and Humanitarian Aid Operations (ECHO) and campaign micro plan logistics requirements for vaccines, Swedish International Development Agency (SIDA), the human resource, Vitamin A, cold chain, were developed. International Rescue Committee (IRC) continued to deliver preventive and curative medical consultations in pre-existing health facilities in Misrata, as well as in Tripoli through mobile medical teams and in Al-Sikka road DC in Tripoli. In November 2018, 4,910 PHC consultations including general medical care as well as reproductive and child health care were provided. SUPPORT TO EMERGENCY RESPONSE Subsequent to the reported food poisoning cases in Al Gatroon, WHO coordinated with the Medical Supplies Office (MSO) in Al Baida to respond to the acute needs.

Intravenous (IV) fluids and other essential medicines Figure 2. A group work during the TOT for campaign vaccination reached Taraghen Hospital to treat some of the cases. supervisors - from 31 October to 05 November 2018 - Tunis. Subsequent to the detection of 200 Acute Watery Source: WHO

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Cascade training on implementation of the family Training workshop on Tuberculosis case practice approach in Libya management WHO in collaboration with the Libyan Ministry of Health, WHO organized a comprehensive training workshop on and with the financial support of the UK Department for Tuberculosis (TB) case management between 5 and 10 International Development (DFID) organized a cascade November 2018. The workshop, held in Tunis was the first training from 7 to 10 November 2018 in Tunis, to to be organized since the conflict began in Libya, focused disseminate knowledge for the introduction and on diagnosis, drug management, reporting, and patient implementation of the family practice approach in the tracking and included field visit to the main hospital that country. The course was attended by 40 participants, provides specialized TB treatment in Tunis. The workshop including managers and health workers from the Ministry was attended by 25 trainees from NDCD’s TB centres in of Health at national and regional level, and from six Libya under the umbrella of the national TB programme. selected PHC facilities in the West, South and East regions of Libya.

Figure 5. Training workshop on Tuberculosis case management - from 5 to 10 November 2018. Tunis. Source: WHO Libya

Rapid Response Team training Figure 3. Cascade training on implementation of the family practice approach in Libya - from 7 to 10 November 2018 – Tunis. WHO conducted a Rapid Response Team (RRT) training Source: WHO Libya for 15 teams of 74 members in two groups from the Introduction of District Health Information System-2 Libyan NCDC in Tunis from 12 to 23 November 2018. Each week-long training focused on responding to emergency WHO in collaboration with the Libyan Ministry of Health crises and disease outbreaks. The trainees went through organized a 4-day training workshop between November intensive theoretical and practical sessions that covered 3 and 6 in Tunis on the introduction of District Health the different elements of the RRT Concept. This project is Information System 2 (DHIS-2) in six selected PHC part of WHO’s intensified efforts to strengthen the facilities of Hay El-Andalus, Janzour, Sabha, Edri, capacity of Ministry of Health in emergency preparedness and Al-Bayda municipalities. Strengthening health and response planning in order to minimize the impact of information has a pivotal role in health sector and it is public health emergencies in Libya. globally recognized as an eminent constituent of family health practices approach.

Figure 4. Introduction to the DHIS.2 in 6 selected PHC facilities - from 3 Figure 6. Rapid Response Team training workshop - from 12 to 23 to 6 December 2018 - Tunis. Source: WHO Libya November 2018 - Tunis Source: WHO Libya

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For Further Information

Dr. Hussein Yunis Hassan Health Sector Coordinator & Health Emergency Team Lead [email protected]

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