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Un and Partners Covid-19 Response Plan Djibouti

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Un and Partners Covid-19 Response Plan Djibouti UN AND PARTNERS COVID-19 RESPONSE JUNE - DECEMBER 2020 DJIB UTI PLAN DJIBOUTI in support of the National Solidarity Pact DJIBOUTI Overview Map ERITREA ETHIOPIA OBOCK Masagara Migrant Site Migrant Response Center Obock Hospital Medical Centre Markazi Refugee v® TADJOURAH Village (2,260) P! Obock Migrants: 255 Tadjourah Hospital Medical Centre Djibouti TadjouraP!v® GULF OF ADEN Migrants: 210 P!\ Refugees in Djibouti town Arta Hospital v® (5,240) DIKHIL Medical Centre Migrants: 150,000 v® DJIBOUTI ALI SABIEH Hol-Hol Refugee Village (6,360) SOMALIA Quarantine site (532) Ali Sabieh Hospital Dikhil Medical Center District v® Hospital Ali sabieh P! Ali Addeh Refugee Village (15,340) Dikhil P!v® Migrants (313) Djibouti \ \ Capital City Number of Refugees !P Major Town Migrants location Refugee Village / Migrant Site (Number of people) (*1,00 distributed in Major Road different locations and 10k in Djibouti town Lake International Boundary Provincial Boundary Health Facility v® Hospital / Medical Center Population Density (People Per 10,000 Square Metres) 120 0 The designations employed and the presentation of material in the report do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. COVER PHOTO Posters with messages on COVID-19 prevention measures are displayed at a health centre in Djibouti town. Photo: IOM 2 UN AND PARTNERS COVID-19 RESPONSE PLAN in support of the National Solidarity Pact Table of Contents 04 Foreword by the Resident Coordinator 20 Health First 05 Government Priorities 23 Social Measures 24 Food Security 07 Emergency Plan at a Glance 26 Education 28 Protection 08 Djibouti before the COVID-19 Pandemic 31 Water Sanitation & Hygiene (WASH) 10 Overview of the Crisis 33 Immediate Economic Response 34 Livelihooh and Employment Promotion 15 Response Approach 36 Logistics 15 Health First 38 Immediate Multi-Sectoral Development-Related Support 15 Social Measures 16 Immediate Economic Response 40 Annexes 16 Planning Scenario 41 Funding Needs by Pillar/Sector 17 UN Socioeconomic Response Framework 42 Monitoring & Evaluation Framework 18 Leaving No-One Behind 48 Assessments (carried out & forecasted) 19 Response Capacity 19 Monitoring 3 DJIBOUTI Foreword by the Resident Coordinator The COVID-19 pandemic is severely impacting the lives of people living economic measures. The measures identified are of urgent nature in Djibouti, and on the country’s trajectory towards the achievement of and accompanied by estimated financial needs until the end of the the 2030 Agenda and Sustainable Development Goals (SDGs). It has year 2020. Echoing the “Pact”, this document is organized around triggered emergency needs, particularly in the health but also across three interlinked and complementary pillars of the response: Health; all other sectors, particularly amongst the most vulnerable. It also Emergency requirements; and a set of initial, immediate development started having a toll on the socio-economic fabric of the country, and measures to address the Socio-Economic Impact of the crisis, in line on the most vulnerable swath of the population in particular. with the April 2020 UN framework for the immediate socio-economic response to COVID-19, based on evidence available to date. The UN country team (UNCT) is working with the authorities and with other partners, and the World Bank in particular, to assess the socio- While acknowledging that COVID-19 is a primarily public health economic impact of the pandemic. Additional studies are required emergency, the United Nations System in Djibouti remains attentive to better understand the impact on the country’s SDG achievement to the protection dimensions of this crisis. Hence, the document pathway, and financing that will be required to achieve the 2030 highlights the pressing needs to provide protection lenses to the agenda from the post-pandemic baseline. Vulnerabilities are likely to overall emergency prevention and response efforts, and immediate be further compounded by extreme climate-related events, including development action by all stakeholders. flash floods, droughts and locust infestations, which are could occur This Plan will run from May to December 2020; and will be revised between now and the end of the year. Any such occurrence during the and/or extended as the situation evolves and as results of key COVID-19 emergency will further weaken the population’s conditions, assessments become available, considering that the impact of the jeopardize access to services, heighten risks of water- and vector- pandemic is expected be felt well into 2021. borne disease outbreaks and will affect the fight against the pandemic itself, including the practice of barrier measures to halt and prevent the The United Nations will continue to advocate for contributions direct virus spread. to the "Pact", in order to support efforts to respond to the crisis led by the Government. Funding requirements of the United Nations and its While the COVID-19 pandemic exposed the existing vulnerabilities of partners included in this document are a sub-sector of those indicated the society, it also presents an opportunity to build a more sustainable in the "Pact", identified on the basis of the implementation capacity world and to address critical impediments to the achievement of and comparative advantages of Nations United and its partners. the 2030 agenda. The immediate, short and medium-term country priorities will need to be revised to adapt to a post pandemic context, These needs encompass uniquely emergency actions required to to enable the country to ‘build back better’ and to take advantage address the immediate consequences of the COVID-19 pandemic, as of opportunities for accelerating processes and removing existing well as resources needed to carry out urgent assessments to better systemic bottlenecks - including around governance - which, in turn, understand the impact of the crisis to the most vulnerable. These could accelerate progress towards SDGs achievement. evaluations are crucial to adjust both immediate as well as medium to longer-term interventions. United Nations Resident Coordinator On April 22, the Government of Djibouti launched the "Pacte de Solidarité Nationale ", a reference document framing the response to the pandemic. The "Pact" highlights the impact and needs of financing of three priority sectors: health, social measures, and BARBARA MANZI United Nations Resident Coordinator 4 UN AND PARTNERS COVID-19 RESPONSE PLAN in support of the National Solidarity Pact Government Priorities Emergency Plan - United Nations and Partners NATIONAL SOLIDARITY PACT $47.7M 15.9% $302M SOCIAL FINANCIAL & ECONOMIC HEALTH REGIONAL TOTAL REQUIREMENTS REQUIREMENTS REQUIREMENTS MEASURES REQUIREMENTS $30 M $227 M $3O M $15 M On first week of February, the Government of Djibouti published time to get prepared, an approach that is less likely to happen when its health preparedness and response plan, developed with health the infection is widespread in the community. partners’ support, under WHO leadership, calling for support to provide These provisions were included in the broader government’s ‘National testing and care for a caseload of up to 15,000 COVID-19 cases in solidarity Pact’, published on 22 April. The ‘Pact’ highlights the six months as the worst-case scenario. The main goal of the Plan is impact and funding needs for three priority sectors: health, social and to contain the pandemic and mitigate it impact. Given the realities of economic measures. The measures identified are urgent in nature the health systems in Djibouti and the heightened risk of transmission and accompanied by an estimated financial requirement till the end of due to the density of populations in some neighbourhoods, the plan 2020. identified among its priorities to extend confinement measures to limit the risk of importation and limit human-to-human transmission, Health priorities include the strengthening of prevention and including reducing secondary infections among close contacts and awareness measures; the need to increase the number and capacities healthcare workers; strengthen epidemiological surveillance and of quarantine and care sites in the country and at the borders; ensure reporting; carry out proactive testing and contact tracing to ensure increased availability of equipment and of human resources of health early detection of cases to prevent transmission amplification events, facilities; and the procurement of testing kits and PPE (masks, hygiene and preventing further spread; isolate and care for patients early, and cleaning product, etc.) for 500,000 persons. The estimated cost of including providing optimized care for infected patients; communicate these priority activities amounts to USD 30 Million. critical risk and event information to all communities, and counter The urgent social measures identified include the need to widen the misinformation; and minimize social and economic impact through target population of the national solidarity fund and offer a quick multi-sectoral partnerships. help to 65,000 vulnerable families (including migrants and refugees) The current strategy for response to the COVID-19 pandemic adopted through cash transfers and emergency supplies distribution. It also by the Government of Djibouti since the beginning of the pandemic calls for support households with partial
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