National Health Cluster Coordination Meeting

5th May 2021 Meeting Agenda • Introduction/Action Point follow up • Updates from other Fora • Flood Update • YHF‐1st SA,2021 • Financial Support Steering Committee ‐ Update • Conflict Escalation situation Updates; in • Epidemiological updates of Communicable diseases/outbreak • Alert Measles cases • Updates of TWGs‐Leads • AOB Health Cluster Quality Initiative (HC‐QCI)‐Yemen‐2021 # Action Points/ Subjects to Follow Up Responsibility Status 1 HC to share the updates on HCWs financial support with the On Track , 6 meetings has been partners Health cluster conducted (3 Sub‐groups) 2 Ongoing/ Call the Partners to cover 217 HFs Fuel support shortage‐WHO Funding shortage HC/HC Partners the Gap 3 Partners seeking MHPSS medication have to refer to the MHPSS (WG) Lead –M.WG MoH directly and keeping MHPSS WG in the loop to facilities. 4 Re‐establishment MHPSS working group –(Sana’a) MHPSS (WG) Lead –M.WG 5 HRP 2021; workshop conducted Completed / Health Cluster Indicators cleaning in process linking with HPC 2022 Indicators cleaning in process; Updates from other Fora (YHF, Steering Committee )

• Flood Update

YHF‐1st SA, 2021 & CERF

HCWs Financial Support Steering Committee; 6th meeting Yemen Flood SITUATION OVERVIEW

• Torrential rains and flooding which started in mid‐April continued into May; intensified rainfall over the past few days causing damage to infrastructure, destroying homes and shelter and causing deaths and injuries.

• Multiple large‐scale damage in , Abyan, Al Dhale’e, Lahj, Hadramaut, Ma’rib and Ta’iz governorates.

• Assessments of the damage caused by heavy rains and flooding are ongoing: • Initial field reports indicate that thousands of families have been affected and the majority of them are in areas occupied by internally displaced persons (IDPs). • Yemen’s rainy season runs from April to August. • Needs assessments are ongoing, but initial reports indicate HUMANITARIAN that some 3,730 families (22,380 people) have been affected by the rains and flooding, the majority of whom are IMPACT AND NEEDS internally displaced people (IDPs). HUMANITARIAN RESPONSE • Humanitarian partners are now operationalizing the nationwide Flood Preparedness Plan and are mobilizing to step up flood response.

• In areas where affected people are accessible, humanitarian partners are initiating response.

• In partners have drained flood water from the main roads to improve access and movement. • Local authorities have also desludged flood water from areas in Crater, Shiekh Othamn and Dar Saad districts.

• Fog spraying campaign to prevent mosquito breeding was also conducted. • In Tarim District, Hadramaut Governorate, partners have completed verification of 150 families to receive RRM kits.

• Preparations are underway to distribute 300 food baskets and NFI kits once assessments are completed.

• In Ibb, Marib and Governorate, efforts by humanitarian partners and local authorities are underway to relocate IDPs to higher ground. YHF‐1st SA 2021 YHF‐1st SA 2021

• Between now and 9/10 May: Clusters asked to consult with their consistencies and each other to develop a strategy responding to the parameter set out by the YHF Advisory Board meeting which took place on 15 April 2021.

• On 16/17 May: there will be a peer review meeting with all clusters to collectively prioritize interventions as a preparation for the YHF Advisory Board Cluster Defense.

• Prior to the AB meeting on 20 May: Cluster coordinators are kindly requested to submit their prioritization overview no later than 10 May.

• On 20 May: YHF Advisory Board Cluster presentation. • Each Cluster Coordinator is asked to present its strategy (around 2‐3 minutes). • A template will be shared to reflect the strategy. • Clusters to focus on impact of previous projects, partners performance, funding, gaps and criteria/justification for the proposed priorities and requested amounts. 1st SA Expected Operational Modalities • Partners can submit up to three project proposals ‐ which could be single cluster and/or multi cluster proposals and/or consortia.

• It is advised that partners factor in comparative advantage for single and/or multi‐cluster interventions: i.e. type of interventions, complimentary, north‐south interventions and potential delays.

• The project duration should be maximum 12 months. • Proposed interventions/funding should be realistic given the current operational environment. • Unit costs –as per earlier YHF projects

• Partners will be asked to confirm that MoPHP/National Cluster Coordinators have pre‐approved the proposed intervention.

• This means that a National Cluster Coordinator in consultation with the Sub‐Cluster Coordinator confirms that an applicant organization is covering a particular type of intervention in specific geographical areas in line with the most prioritized needs for this allocation and has the technical capacity to implement this intervention.

• Multi‐cluster projects are expected to receive pre‐endorsement from all relevant Cluster Coordinators. Proposed priorities & Partners’ Eligibility:

• Priority 1: Improving the living conditions and access to assistance and protection to specific groups needs

• Priority 2: Lifesaving integrated support to people in HTR, Conflict lines & underserved area= OCHA will identified the criteria and approved the list of districts

• Priority 3: Emergency live‐saving assistance and protection to vulnerable as IDP needs

• Priority 4: Provision of life‐sustaining services and protection to the most vulnerable people in acute needs to improve their resilience.

• Priority 1, 2, 4: Clusters will identify the districts; prefer for multi‐cluster response • All to be confirmed (draft), for Clusters‐YHF‐AB discussion • Partners Eligibility: To communicate with YHF‐UFU on this regards • Health Cluster Partners, with valid registration with authorities. • Health, Nutrition & WASH cluster have started the coordination for priority district for multi‐cluster response (P3,P4) 1st SA 2021; Timeline

Step Date 1Advisory Board approves allocation priorities 29 April 2 Clusters develop their strategies and presentations 29 April –9/10 May 3HFU further discussions with Cluster Coordinators/peer review 16/17 May 4Package sent to Advisory Board 18 May 5 Cluster presentations to Advisory Board (HRP model) 20 May 6 Allocation strategy finalized 20‐21 May 7 Allocation shared and approved by Advisory Board 23‐24 May 8 Allocation Launch 25 May • Strategic and Technical Review Committees – Around 20 June or slightly before: • Once the proposals are submitted, proposals will be reviewed by the Strategic and Technical Review Committees, co‐chaired by the national Cluster Coordinator and the YHF. • Prior to the review: • Cluster Coordinators will be asked to identify the members for Strategic and Technical Review Committees representing each constituency (i.e. or 1 UN, 1 INGO and 1 NNGO representatives). Central Emergency Response Fund (CERF)‐Updates • $6.8 Million for Mareb & $3 Million for Al Jawf. • UN ceiling has been shared with YHF

• UN agencies currently preparing proposal for support • Ongoing: YHF & UN agencies (UNFPA, IOM, UNICEF & WHO) communication to be finalized the process

• YHF will share timelines and guiding notes with UN agencies • Health Cluster provided guidance to each UN agency on priority & emergency interventions • Based on the operational plans Questions and comments? HCWs Financial Support Steering Committee (SC) – in progress • If/when salary payments resume: • Reduce HA financial support to “top‐up” amounts only, for critical profiles of HWs required to provide essential health services in priority areas identified by implementing partner based on humanitarian need • Advocacy with Ministries of Health to ensure that payroll lists are updated to reflect actual, current HWs • Advocacy with IRG for transparency on salary payments • Sensitization with authorities

• Immediate Adaptations (in advance of salaries being paid) • Continue current approach to HA financial support to HWs, but with revised grid that shifts closer to likely best‐ case scenario salary + top‐up amounts • Health cluster to analyze last MoH payroll scale, reasonable increase for inflation, and potential “top‐up” amounts (defined above) and compare to current financial support grid to propose reduction to HA grid • Rationalize supplementary payment targeting • Health cluster to agree methodology for identifying “remote” and conflict‐affected locations warranting flat top‐up amount • Refine supplemental payments away from percent top‐up to flat top‐up • Sensitization with authorities Questions and comments? Conflict Escalation situation Updates; Update on Marib

3rd April, 2021 Health Gaps & Needs for Marib Hub:

• Currently, the situation is stable in conflict area .

• Heavy rain affected the IDPs in camps and led in infrastructure damage. • This situation calls to increase communicable diseases response focusing on ARI, waterborne and vector borne diseases.

• The immediate support needed: • Cholera RDTs and Cholera Kits to support the early detection and case management in the existing DTCs (#3) • Dengue fever RDTs and supportive medicines as (Paracetamol infusion and IV fluid). • Malaria RDTs and antimalaria drugs. Need of IDPs – linked with CERF/YHF Needs of IDPs who live in district camps are still standing out.

 Urgent need of emergency response from partners to Al‐Rawdah health unit to face the capacity are: • 2 –4 Caravans to expand the unit with four bathrooms in so need. • An Electrical Generator for enabling functioning the lab and equipment 24 hours. • Supporting the health Unit with • oxygen cylinder ,Ward beds, IV fluid holders, Furnitures desk, Cupboards and Chair.

Provision of caravans with Bathrooms for the establishment of a health unit in Al‐Ark, along with equipping them to provide service to the displaced Sirwah Support Al‐Sowyidah field hospital with maintenance medical equipment and medicines. Preparedness & Need (Covid‐19) Marib There are 428 suspected cases of COVID‐19 and 104 confirmed positive COVID‐19 test and 16 confirmed dead cases and 17 suspected cases death .

The main needs of isolation center in Rawda for continuity the work there: • Provision of medicines, medical supplies, personal protective equipment and cleaning materials. (list shared with partners). • A need for oxygen regulators. • Provide incentives for health workers (WHO is paid only hazards incentives this is made issue to find doctor or specialist work in isolation center so the GHO shared list with partners to support incentives for health workers).

• Need for an ambulances for referral • Training of rapid response teams on how to collect samples of COVID‐19 and follow up on patients at home.

Need to support isolation center at Al‐Jobah district with monthly running cost and incentives the budget the same budget of main isolation center

MOPHP/GHO, SNHC & WHO team meeting was held on 3rd May to discuss the way forward for support Needs in Marib – as per GHO

1. Needs to establish and equip a specialized center for the rehabilitation and treatment of psychological and neurological diseases of the displaced and the host community ‐ MHPSS

2. Needs a center specialized in diagnosing and treating malignant cases ‐ NCDs

3. Need to establish an emergency warehouse to store medications/medical supplies –Logistics

4. Strengthen referral system and referral of the patients.

5. Arranging an online scientific seminar to discuss the causes and mechanism for treating cases of COVID‐19 with a group of consultants (YMC is committed to prepare invitation and coordination with consultant). Questions and comments? Updates on Communicable diseases/ outbreak

Cholera, DF, Diphtheria & Other CDs. Current situation, Challenges & Way forward

MoPHP–EOC Yemen Cholera Deep Dive Overview- June 2021

National HC Meeting, Wednesday 5th May 2021 Cholera Deep Dive- June 2021

 The Deep Dive of the Cholera outbreak in Yemen is a follow‐up of two previous Regional review meetings held in 2018 and in 2019  Will analyze the three main sections of the preparedness and response undertaken by WHO, UNICEF, WORLD BANK, the Ministry of Health, Health Clusters, and other Health Partners: 1. Leadership and coordination (Intersectoral collaboration, Partner coordination, Technical working groups, EOC management) 2. Planning (Risk Assessments, Hotspot Mapping, Risk Factors, Resource planning/mobilization, DTC/ORC GAP analysis, Procurement, OSL, HSS, Capacity building, Case management, Emergency WASH) 3. Implementation (Surveillance and Reporting, OCV, WASH, Community Engagement)  The purpose of Deep Dive is to review, identify and prioritize the immediate, medium and long‐term interventions for preparedness and response to Cholera in Yemen , considering  Added effects of other outbreaks, including COVID‐19  Reduction in resources and constraints in donor support Series of review presentations that will cover the period from Mid‐2019 to present (2021) Participation by 3 Levels of WHO/UNICEF and Major Donors (WB) First week of June 2021 28 Apr –22 May 2021 23 May –27 May 2021 Process (TBC) and STEP 1 STEP 2 STEP 3 Timeline Preparation Rehearsals Deep Dive Questions and comments? Working groups and Taskforce ‐ Updates

• EPI/Vaccination • Mental Health & Psychosocial Service Support (MHPSS) • WASH in Health Facilities • Nutrition Surveillance System –WHO Nutrition Team • Reproductive Health IAWG

• No new update: as 2100 hrs. 4 May, 2021 – Quality of Health Care Task Team Alert: Measles Cases in Yemen, 5 May 2021 Description • Increase in suspected measles cases observed in Yemen since week Epi‐Curve of suspected measles cases 03, 2021. (WK 1 –WK 15), 2020– 2021 • 2020 A total of 3,426 cases reported countrywide from week 1 to week 2021 15, 2021, out of which lab samples were taken from 1,890 cases (16% positivity). • 24 suspected deaths reported from week 1 to 15, 2021, compared to 13 deaths from week 1 to 52, 2020. • Sa'ada governorate is the most affected due to low immunization coverage • No immunization activities was taking place in Sa'ada in the past years. − An Integrated Outreach round conducted in Dec 20 in response to cVDPV1 outbreak that included MR vaccine for children 6 months –15 years of age with reported coverage of 71%. − Another round partially conducted in the most affected areas for cVDPV1 which is usually same for Measles in Feb 2021, while for the remaining parts is yet to be conducted Alert: Measles Cases in Yemen, 5 May April 2021

Epi‐Curve of suspected measles cases WK 1 –WK 15, 2021

3,426 cases reported with 24 deaths Alert: Measles Cases in Yemen, 5 May 2021

Distribution of suspected measles cases by governorate WK1 to Wk 15, 2021 Alert: Measles Cases in Yemen, 5 May 2021 Results of measles/rubella cases, 2021

Measles Lab confirmed 16%

Measles Epi‐linked cases 3%

Measles Clinically diagnosed 24%

Rubella Lab confirmed 3%

Rubella Epi‐linked cases 1%

Rubella Clinically diagnosed 20%

Excluded cases 18%

Measles/Rubella Lab confirmed 6%

Pending result 9%

0% 5% 10% 15% 20% 25% 30% Alert: Measles Cases in Yemen, 5 May April 2021

Age group distribution of suspected measles cases and deaths, 2021

% of suspected cases by age group % of death cases by age group

1% 2% 4% 5% 14% 17%

Under 9 months Under 9 months 7% 19% 9 months ‐ 1 yr 9 months ‐ 1 yr 1 ‐ <5 yrs 1 ‐ <5 yrs 5 ‐ <10 yrs 17% 5 ‐ <10 yrs 10 ‐ <15 yrs 10 ‐ <15 yrs 15 ‐ <20 yrs 15 ‐ <20 yrs >= 20 yrs 63% >= 20 yrs

52%

92% of suspected Measles cases <10 years All deaths of suspected Measles cases <10 years Alert: Measles Cases in Yemen, 5 May April 2021 Vaccination status of suspected measles cases , 2021

0 Dose 1 Dose >=2 Doses Vaccination status of measles suspected cases (Wk1‐WK15, 2021)

2000

1800 17% 0 dose 1600 6% 1 dose 1400 2 doses 1200

1000 77% 800

600

400

200 83% of suspected Measles cases 0 Under 9 months 9 months ‐ 1 yr 1 ‐ <5 yrs 5 ‐ <10 yrs 10 ‐ <15 yrs 15 ‐ <20 yrs >= 20 yrs not adequately vaccinated >=2 Doses 04272224557 1 Dose 1401299322 0 Dose 439 190 1383 427 87 20 67 Alert: Measles Cases in Yemen, 5 May 2021

Actions Taken/planned • Detailed investigations carried out in most of the outbreak areas with limited vaccination response and Vitamin A administration. • EPI team in coordination with UNICEF mobilizing funds for vaccine procurement and operational cost to cover the measles campaign • Measles, campaign to be conducted soon in Sa’adah governorate together with Polio and Diphtheria campaigns • Measles campaign to be conducted in the rest of the governorates as soon as the resources are available • Planning for a nationwide MR campaign early next year for which recruitment of International/national consultants in process • Social mobilization activities ongoing Alert: Measles Cases in Yemen, 5 May 2021 Main Challenges • Lab data not shared timely as Lab staff busy with testing of covid cases • The vaccination status of the cases and other variables such as epidemiological link, not routinely collected • Non availability of Operational costs, vaccines and trained workforce

Suggested Decision: • External support is required to contain the outbreak • Laboratory capacity is required in the country to allow laboratory confirmation of the outbreak Questions and comments? MHPSS Technical Working Group Yemen ‐ Updates

5 May 2021 Updates: • HRP / Health Cluster workshop: Worked with partners to review and update the MHPSS indicators taking into consideration the level of partners’ reporting. • Final version to be shared with the partners by the HC. • Mental Health Strategy: On May 2nd, an Introductory meeting was conducted with number of national experts, representatives of national organisations, MoPHP key staff and WHO to draft an action plan for updating the National Mental Health strategy. • Psychotropic drugs: new batch of 3 medications arrived and will be arriving at Sana’a airport that will be delivered directly to MoPHP. • Rehabilitation: • Rehabilitation works at Al‐Amal Hospital are ongoing. • Assesment of the psychiatric ward at Al‐Thawra hopsital is on going. Rehabilitation works to be completed before the end of 2021. • Discussions are ongoing to secure funds for the rehabilitation of Aden psychiatric hospital. Updates Cont’d: • IASC Reference Group: the IASC RG regular meeting for MHPSS TWG chairs was held on May 4th.

• IASC Technical Note on Linking DRR and MHPSS : https://interagencystandingcommittee.org/iasc‐reference‐ group‐mental‐health‐and‐psychosocial‐support‐emergency‐ settings/technical‐note‐linking‐disaster‐risk‐reduction‐drr‐ and‐mental‐health‐and‐psychosocial‐support‐mhpss

• WHO Executive Board stresses need for improved response to mental health impact of public health emergencies: https://www.who.int/news/item/11‐02‐2021‐who‐ executive‐board‐stresses‐need‐for‐improved‐response‐to‐ mental‐health‐impact‐of‐public‐health‐emergencies WHO/NUT action in Marib

4 TFCs Supported by WHO (In partnership with BFD) 26 September, Harib, Kara, and Al Shaheed Mohamed Hail Hospitals.

Support provided • Essential drugs, Medical equipment, Medical supply and Lab solution. • Operational cost (stationary, water, fuel, gas, oxygen, ). • Service delivery cost to workers. • Equipment for IYCF corners for counselling sessions and emotional stimulation . • Treatment of SAM with medical complication cases • Admission kits and WASH kit. • Transportation cost round trip of caregivers and three meals per day during the stay in the TFC. • Continuous capacity building of health workers through supervision visits and on the job training. • Generator to AlShaheed‐Mohamed‐Hael Hospital to ensure activities continue.

Achievements since January 2021 : – 184 cases of SAM/MC (96 girls and 88 boys) treated in the 4 TFCs – 1893 caregivers and PLWs received IYCF counselling YEMEN: Nutrition TCS Achievements in Marib Gov Jan – March 2021

# of Admitted Children in Marib Gov Jan ‐March 2021 # of Admitted Children in Marib Gov Jan ‐March 2021 per Key Figures District 80 71 58 30 Admitted Children 60 25 25 40 30 25 25 20 21 21 0 – 59 Month 20 20 17 0 184 15 Marib Marib City Harib Al Jubah 99 10 7 Rate of Cured and 4 5 Main Performance indicators Jan –Mar 2021 per Districts 5 105% Recovered to OTP) 0 100% Jan Feb Mar 96% 3% 3% 95% Al Jubah Harib Marib Marib City 6% 100% 100% Rate of Deaths 90% 97% 91% 1% 85% WHO SAM CaseLoad with Complications Target Vs Achievements in Al Jubah Marib City Harib Marib Marib Gov Jan ‐ March 2021

Cured_Rate(%) Defulted Rate (%) Deaths_Rate 68 66 Rate of Defaulters 66 65 65 65 Main Performance indicators Jan –Mar 2021 per Month 64 3% 102% 100% 62 98% 4% 6% 60 96% 60 2% 58 94% 2% 100% 58 Rate of Relapse 92% 94% 93% 90% 56 4% 88% January February March 54 Jan Feb Mar Rate of Cured and Deaths_Rate Defulted Rate Recovered to OTP Target Achievements YEMEN: Nutrition Surveillance Achievements in Marib Gov Jan – March 2021

Key Figures Screened Children in from Jan ‐ March 2021 Screened Children per Month Per Districts 1400 Screened Children 1400 1201 464 1200 1200 0 – 59 Month 1058 1000 338 256 2918 1000 800 409 399 800 393 GAM (WHZ) 659 600 600 400 282 (6 - 59 months) 165 212 16% 400 200 0 200 Stunting Jan Feb Mar 0 Al Jubah Bidbadah Marib City (6 - 59 months) Bidbadah Marib City Al Jubah

20% Proporon† of Malnutrion (SAM and MAM) by MUAC in Marib Gov Per Dis Proportion of Malnutration by MUAC Jan ‐ March 2021 30.0% 16.0% 14.1% 13.5% Anemia 25.0% 7.2% 14.0% 12.3% 12.0% (6 - 59 months) 20.0% 13% 10.0% 15.0% 2.6% 8.0% 6.0% 10.0% 21.2% 4.5% 4.0% Exclusive Breastfeeding 2.9% 12.8% 4.0% (0 - 6 months) 5.0% 1.3% 2.0% ) 3.6% 0.0% 0.0% 24% Marib City Bidbadah Al Jubah January February March

Proportion MUAC_MAM ProportionMUAC_SAM Proportion MUAC_MAM ProportionMUAC_SAM Questions and comments? WASH in Health Facilities Updates WASH FIT adopted to COVID ‐19

Water, Sanitation and Hygiene in Health Care Facilities – Global Action Plan (2015 – 2030) and Progress The Global Action Plan, consisting of five change objectives ‐ focusing on four areas in the first phase including:  Advocacy, Action and Leadership  Monitoring  Evidence and Operational Research  Policies, Standards and Facility‐based Improvement

A global baseline report on Water, sanitation and hygiene in health facilities 2019 was launched by WHO and UNICEF. Yemen was one of the contributed country and the finding was: The Yemen’s profile highlighted the dire need for national health authorities to undertake comprehensive national assessments of WASH services in HCFs in the region as an integral part of a situational analysis. Then the Data generated though the comprehensive assessment will bridge the knowledge gap, providing the foundation for identifying needs, developing national standards, delineating improvement plans and mobilizing action for enhancing the WASH services in HCFs. The objective was to get the detailed information on Methodology: status of WASH in healthcare facilities. These findings Standardized WASH FIT tool was adopted to COVID19 will be used to support advocacy initiative with the pandemic situation, health facilities readiness and response to relevant stakeholders i.e. MOPHP, INGO’s, UN agencies, COVID‐19 in terms of WASH service in health care facilities was NGO’s, Ministry of water and environment etc assessed using WASH FIT tool. Components: • Water • Sanitation • Hygiene • Environmental Cleaning • Waste management

Results: • The detail has been presented in the previous meeting and the most one are: • Water: 131 healthcare facilities are relying on water trucking, 40 health care facilities are connected to the public network, 15 have their own dug wells, 2 health facilities are using rainwater harvesting tank as a water sources and 26 are connected to the private network. • Sanitation: 50% of the healthcare facilities have functional toilets but not sufficient for all three categories (staff, visitors). 20 % of has at least one toilet meeting the needs of people with reduced mobility. 55% of the health centers have clean toilets but there is no record. • 60% of the health facilities assessed are manually disposing off their fecal sludge, 20 % is connected to the sewerage network

• Hygiene: 95 % of the health facilities have hand washing facilities near the treatment areas however, alcohol and soaps was not available at the washing facilities. Environmental Cleaning: The assessment also highlighted the importance of the health facilities cleanliness as the floors of the toilets were not clean in 50% of the assessed health facilities

• Waste management: 30% of the health facilities being supported by partners have functional incinerators and 45 % of the health facilities are open burning or using stove burners with limited capacity Updates: • Report on WASH FIT tool analysis has been endorsed • WASH/IPC in response to C19 –SOPs for EHS ( IPC TOT on IPC conducted in collaboration with WHO regional office EMRO for master trainers nominated by MOPHP from Sana’a and Aden) • Strategy of IPC including WASH –(Completed and endorsed by MOPHP) • Lessons learnt from first wave‐(to be confirmed) WAY forward: • Training on WASH in HFs • Budget for training • Hand hygiene compliance to be endorsed and united to all partners • To form subgroup or via group to include the high‐risk people and follow their need to be included • To discuss the proper waste managements Questions and comments? Reproductive Health Updates RHIAWG Updates Developing midwives strategy: Meeting conducted at population Sector to discuss the outline and technical needs to develop the national midwifery strategy ‐ 15 days of in‐service training conducted on nursing and essential newborn care for nurses from the targeted facilities in Dhamar, Al‐Mahweet and Taiz. ‐ 12 external participants and 6 internal participants participated in this training which is held at Al‐Thawra hospital ‐Sana’a supported by WHO.

‐ The second patch of the training is expected to take place after EID for nurses from the targeted hospitals at Al‐Mahweet and Al‐Hodeidah.

‐ Distribution for PPE for Health Facilities and isolation unit through MOH.

‐ Continue supporting the one year diploma training for EmONC teams by UNICEF.

‐ Voucher programme supported RH services by YAMAN in 5 governorates: • Sana’a, Ibb, Lahj, Taiz, and Dhamar. Challenges

 In Mareb; Partners are facing challenges in supplies.  Large‐scale displacement continues to result in an increasing number of women requiring emergency reproductive health services and surrounding areas.  Need for Mobile reproductive health teams (currently 2 operational and 4 HFs)

 Postponed implement activities after Eid holiday.

 Continues shortage of fuel affects the RH services. Services Utilization (2021 vs 2020 vs 2019)

MEDICAL CONSULTATIONS REPRODUCTIVE HEALTH

2019 2020 2021 600,000

500,000 2,410,000 2,210,000 400,000 2,010,000 300,000 1,810,000 1,610,000 200,000 1,410,000 100,000 1,210,000 1,010,000 0 JAN FEP MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEP MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

MENTAL HEALTH SERVICES CHILD HEALTH SERVICES 16,000 160,000

14,000 140,000

12,000 120,000

10,000 100,000

8,000 80,000

6,000 60,000

4,000 40,000

2,000 20,000

0 0 JAN FEP MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEP MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Services Utilization (2021 vs 2020 vs 2019)

NCD MEDICAL SUPPORT 70,000 35,000

60,000 30,000

50,000 25,000

40,000 20,000

30,000 15,000

20,000 10,000

10,000 5,000

0 0 JAN FEP MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEP MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

CAPACITY BUILDING OPERATIONAL SUPPORT 18,000 50,000,000

16,000 45,000,000

14,000 40,000,000 35,000,000 12,000 30,000,000 10,000 25,000,000 8,000 20,000,000 6,000 15,000,000 4,000 10,000,000 2,000 5,000,000 0 0 JAN FEP MAR APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEP MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Questions and comments? AOB Health Cluster Quality Initiative (HC‐QCI)‐Yemen‐2021

• Call has been shared with partners, • Orientation meeting, Next week & way forward including training timeline • Interest Received from 17 partner – BFD, – CARE – DEEM, – FMF – Human Access – IMC – IOM – IR‐Y – IYCY – NFDHR – PAH – PU‐AMI – QRCS – RI – SCI – YDN – YFCA Health Partners Registration • Registrations is one of the essential requirements for Health cluster membership;

• Registration with authorities is Mandatory for 1st SA,2021 application. • HC has shared the request for all partners to share the registration documents and to fill out the excel sheet (already shared) • 28 partners has shared their feedback THANK YOU

Next National Health Cluster meeting  19th or 26 May 2021