Libya

HEALTH SECTOR FIELD DIRECTORY

LIBYA

Final edition November 2020

TABLE OF CONTENTS

NAME OF THE HEALTH SECTOR ORGANIZATION NN 1 ACF (Action Against Hunger) 2 AICS (Italian Agency for Development Cooperation) 3 CEFA (The European committee for training and Agriculture) 4 Chemonics International Inc. 5 Emergenza Sorrisi 6 Expertise France 7 GIZ (Deutsche Gesellschaft für Internationale Zusammenarbeit) 8 Handicap International – Humanity & Inclusion 9 Helpcode 10 IFRC (International Federation of Red Cross and Red Crescent Societies) 11 IMC (International Medical Corps) 12 IOM (International Organization for Migration) 13 IRC (International Rescue Committee)

14 LPFM (Libya Public Financial Management Program) 15 MSF France 16 MSF Holland 17 PUI (Premiere Urgence Internationale) 18 TdH (Terre des Hommes – Italy) 19 UNFPA (United Nations Population Fund) 20 UNHCR (United Nations High Commissioner for Refugees) 21 UNICEF (United Nations Children’s Fund) 22 WeWorld-GVC 23 WHO (World Health Organization) Action Against Hunger (ACF)

Sector: Health/Mental Health Objectives: Continuity of primary health care services • Capacity building of MoH staff • Support to health facilities to improve Infection prevention and control (IPC) • Contribute to the RCCE response with activities focusing at the community level

Empowerment of communities and public health services to promote access to quality MHPSS and care practices support, while improving services users’ well-being and resilience. • Capacity building of MoH and community-based organizations related to mental health and care practices • Staff care of health workers during epidemics, crisis and conflict • Awareness raising, psychoeducation and brief direct counselling and support on care practices (care for women, IYCF, psychosocial care of children), on MHPSS and protection for adults, adolescents and children in public health services facilities and/or at community level Beneficiaries (key groups): IDPs, non-displaced, local communities, migrants Implementing and other partners: N/A Donors: SDC: Swiss Development Cooperation Funding required (USD): N/A Funding received (USD): 271,000 EUR

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: -Libya Street: Immeuble Sarray du Lac, rue du Lac Huron, Lac 1, 1053 Tunis, Contact person: Khaleel Alabar/Base Manager Samy Guessabi/ Country Representative Zainab Basiuni /program manager Tel: +218 924169493 +216 278 04 307 +218 920 414 751 Email: [email protected] [email protected] [email protected]

OPERATIONAL RESPONSE: Action Against Hunger has successfully completed registration with respective authorities in and Benghazi.

The mission is now working on needs assessment to determine priority areas and sectors of intervention aimed at supporting the efforts of the entire Libyan community and to reinforce the failing health system.

AAH starts on 1st November a 5-months project in Benghazi, which aims at reducing the impact of the spread of Covid- 19 and its psychological and psychosocial consequences, through strengthening the capacities of community members and frontline workers to face the psychological and psychosocial distress related to COVID-19 risk and to adopt appropriate behavior to avoid contamination from COVID-19. Through this project AAH target 3000 individuals including 50 Health workers/CBO workers and 2000 Vulnerable people in need of psychosocial and psychological services. Activities are as follows: 1. Mental health care, psychosocial support and protection are ensured for the most vulnerable people directly and indirectly affected by Covid-19 a. Train and supervise health workers, hygiene promotors, community volunteers and CBOs on psychosocial, protection and care practices impact of Covid-19, on psychological first aid (PFA), on identification of persons at risks and on appropriate referral pathways b. Provide Covid-19 psychoeducation sessions, brief psychological interventions and care practices counselling for the most vulnerable people in health facilities and communities c. Provide staff care (psychological support) to health workers and helpers in need d. Provide training to ACF staff and partners on ACF’s policy on Prevention of Sexual Exploitation and Abuse (PSEA) and Gender and Protection 2. Community members receive adapted and relevant information about risks associated with COVID 19. a. Conduct assessment to identify misconception toward COVID-19 and main barriers to access and to seek health behaviours b. Design a Risk Communication and Community Engagement strategy (RCCE) c. Provision of trainings to AAH staff, volunteers and CBOs workers and Health Workers on RCCE d. Deliver RCCE campaigns to most vulnerable and most in need population e. Distribution of COVID-19 motivation kits (soap, hand sanitizer).

COVERED LOCATIONS: Benghazi: Under the COVID-19 project AHH will be localized at Benghazi in the urban areas and peri-urban areas. AAH will conduct a rapid MHPSS/WASH needs and gaps assessment, including mapping of existing services, and gender and protection risks assessment, to identify the most vulnerable and at-risk groups. Accordingly, the locations will be defined.

Italian Agency for Development Cooperation (AICS)

Sector: Health Objectives: • Stability and recovery of local communities, including migrant populations on the move and returnees, • Provision of health basic services at local level and increasing access for most vulnerable groups Beneficiaries (key groups): Vulnerable population living in the selected locations, including migrants, refugees, IDPs, returnees and host communities. Implementing and other partners: Libyan Ministry of Local Governance, Libyan Ministry of Planning INGO Consortia Leaders: International Medical Corps (IMC), European Committee for Training and Agriculture (CEFA), Help Code, International Rescue Committee (IRC) Donors: EU Emergency Trust Fund for Africa, North of Africa Window Funding required (EURO): Funding received (EURO): EUR 16,262,270.90 - out of 22,000,000 total budget for EUTF AICS component

AICS Regional Office in AICS EUTF RSSD Programme AICS EUTF RSSD - Tunisia – also covering Libya Management Unit Office Liaison Office in Libya City/Town: Tunis Tunis Tripoli Street: 1, Rue de Florence, Mutuelleville

Contact Flavio Lovisolo Erminio Sacco Othman Bensasi person: Tel: Email: [email protected] [email protected] [email protected]

OPERATIONAL RESPONSE: The three-year programme Recovery, Stability and Socio-economic Development in Libya (RSSD – Libya) is jointly implemented by AICS (22 million euros), UNDP (18 million euros) and UNICEF (10 million euros) in the framework of the EU Emergency Trust Fund for Africa, North of Africa Window.

The programme aims at strengthening the capacities of local public authorities and administrations in providing basic and social services and improving the access of the population to those services, in key sectors of work as health, education, and water & sanitation. Specific interventions in the 24 municipalities were technically assessed and prioritised through bilateral and multilateral consultations with Libyan central and local authorities.

In this framework, AICS works with selected INGOs to implement the rehabilitation of basic service facilities, mostly in the health sector, through the provision of medical equipment and light rehabilitation works. AICS and INGO implementing partners are also responsible for providing technical assistance and capacity building to the Libyan municipal authorities on inclusive service provision, and specific training courses for technicians from each targeted health facility.

COVERED LOCATIONS:

Amount Amount Total Amount subcontracted to contracted with INGO IPs subcontracted to INGO Intervention Location INGO IPs in health EUTF for Africa IPs sector

Zawya (Center, South and International Medical Corps Upgrading of hospital departments/town health 2,240,000.00 2,240,000.00 West) and Ghat/Tahala (IMC) / CESVI centers and related facilities municipalities

Help Code / Organization of Janzour and 1,690,000.00 1,690,000.00 Upgrading of village hospitals/rural health Development Pioneers (ODP) Zuwara municipalities centers and related facilities

European Committee for Upgrade of health facilities through Training and Agriculture 488,069.80 488,069.80 rehabilitation, maintenance and provision of Zawya municipality (CEFA) /Fondazione L' albero equipment and supplies della Vita onlus (FADV) International Rescue Committee (IRC) Provision of equipment and supplies in health 1,000,000.00 1,000,000.00 municipality Inc./Association Federation facilities Handicap International (HI) 22,000,000.00 International Rescue Upgrade of health facilities through , Benghazi and Committee Inc. (IRC) 1,545,000.00 1,545,000.00 rehabilitation, maintenance and provision of Kufra/Ribyana municipalities /ACTED equipment and supplies International Rescue Upgrade of health facilities through Al Bayda and Committee Inc. (IRC) 1,505,000.00 1,505,000.00 rehabilitation, maintenance and provision of municipalities /ACTED equipment and supplies International Rescue Provision of equipment and supplies in health Bani Walid and Khoms 2,915,000.00 2,232,049.00 Committee Inc. (IRC) facilities municipalities International Rescue Upgrade of health facilities through Committee Inc. (IRC)/ We Maya/Mamoura, Sorman and 2,503,000.00 2,121,000.00 rehabilitation, maintenance and provision of World GVC ONLUS Sabratha municipalities equipment and supplies (WWGVC) European Committee for Training and Agriculture Upgrade of health facilities through Brak al Shati, Murzuk, (CEFA )/ Cooperazione per lo 3,441,152.10 3,441,152.10 rehabilitation, maintenance and provision of Quatrum, Sebha and Shawerif sviluppo dei Paesi Emergenti equipment and supplies municipalities (COSPE)

Italian Agency for Development Cooperation Sector: Health Objectives: Beneficiaries (key groups): Population of Implementing and other partners:  Ongoing project: WWGVC  A Call for proposals for Italian and international CSOs is currently open. Deadline for submission: 28 of January Donors: AICS Funding required (EURO): Ongoing project cost: 377,061 EUR Call for proposals amount: 2,000,000 EUR Funding received (EURO):

AICS Regional Office in AICS Tunis - Libya Desk AICS Libya - Tripoli Office Tunisia – also covering Libya City/Town: Tunis Tunis Tripoli Street: 1, Rue de Florence, Mutuelleville Contact Flavio Lovisolo Giulia Straccamore Roberto Caponera person: Andrea Cascella Tel:

Email: [email protected] [email protected] [email protected] [email protected]

OPERATIONAL RESPONSE: AICS Tunis Office is currently funding a 4 months project, implemented by the CSO WWGVC in Sebha.

The project started the 15 September 2020 and will conclude its activities the 15 January 2021. The activities are targeting 7 healthcare centers and 1 triage center, all of them located in the Municipality of Sebha. The CSO WWGVC is planning to distribute 230 kits containing individual protection devices (IPDs) in the 7 healthcare centers and 390 kits with IPDs in the Covid-19 triage center, plus other 35 kits for severely acute COVID-19 affected patients. Moreover, specific medical equipment shall be distributed to the target facilities training activities involving the medical personnel of the target facilities have also been planned. The training mainly focuses on the use of IPDs contained in the kits, as well as on the procedures to apply when treating COVID-19 affected patients.

In addition, a Call for proposals for CSOs has been launched on the 16th of November, with the objective of tackling health and protection needs targeting the overall Fezzan region. Deadline for the submission is 28th of January 2021. Selection will be conducted throughout the month of February.

COVERED LOCATIONS:

Implementing Program title Project title Budget Location Period partners Improving healthcare services Emergency program to and effective protection of improve health care and 8 healthcare vulnerable groups for an 15 September 2020 protection services for WWGVC 377,061 Euro facilities in integrated response to - 15 January 2021 the most vulnerable Sebha COVID-19 pandemic in groups (AID 11042) Sebha Municipality Emergency programe for the improvement of basic Italian and CSOs Projects Fezzan health and protection international To be selected 2,000,000 Euro starting date: region services for the most CSOs Spring 2021 vulnerable (AID 12031)

The European committee for training and Agriculture (CEFA) – the seed of solidarity

Sector: Health, and direct humanitarian assistance (WASH, Shelter & NFI, Food) Objectives: • Increase access to life-saving and life-sustaining health assistance, with an emphasis on the most vulnerable throughout the provision of medicines, medical equipment and light rehabilitation’s centers

• Strengthen health system capacity to provide the essential health service assistance throughout professionalizing trainings

• 3) Strengthen health and community (including IDP, migrants and refugees) resilience to absorb and respond to shocks with an emphasis on protection to ensure equitable access to quality health care services Beneficiaries (key groups): People in need: All population (IDPs, returnees, refugees, migrants, non-displaced) Implementing and other Local: International Organization for consulting and services (IOCS); Fondazione partners: Albero della vita (FADV); COSPE Donors: The Italian Agency for Development and Cooperation (EU Trust Fund) Funding required (USD): Funding received (USD):

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Street: Alsareem Street 19, rue Ibn Mandhour, Notre Dame - Mutuelleville Contact person: Mohamed Nasser Abdulati Silvia Cappelli Tel: +218 913882455 +216 94511327 Email: [email protected] [email protected]

OPERATIONAL RESPONSE: Cefa is operating in Libya since 2017, mainly in the cities of Sebha, Tripoli and Zawiya. Within the framework of 2 projects financed by the Italian Cooperation, CEFA has been previously operating in 2 DCs under the DCIM, seeking to assist the detained population through the distribution of essential NFIs and food complements to specific vulnerable groups (mainly breastfeeding women and children). Thanks to the activities carried out by CEFA, the detained population accessed at least basic services (WASH and Health), essential goods (NFIs, food and hygiene kits) and to access the identification and monitoring system (through referrals) implemented by the UN agencies in charge of the management of refugee and migrant communities in Libya. Thank to frequent visits to the detention centers, it was possible to identify the needs of migrants also from a psychological point of view. So, moments and spaces have been negotiated with the authorities to carry out recreational activities for mothers and children. Also, complements of food distribution have been ensured for extremely vulnerable groups such as pregnant women and children. WASH interventions have been implemented in the center of Tarek El Sikka through the support of partner Weworld-GVC (disinfestation, maintenance of toilets and showers - without making structural interventions). Daily hygiene kits were distributed and regularly monitored the quantity and quality of water available to migrants within the center. Medical materials (medicines but also medical equipment) were also provided to clinics in the centers so that access to minimum care could be guaranteed.

With the outbreak of the COVID-19 pandemic, CEFA was able to shape its activities to better adapt to the needs of the migrant population. During the months of April, May and June 2020, distributions of personal protective equipment and hygiene kits were carried out both inside the center of Tarek El Sikka, both outside the structure, in the suburbs of Tripoli. During the distributions, information material was distributed, and an attempt was made to assist the migrant population to adopt measures to contain the virus. The improvement of the living conditions of women and children has been and is one of the main objectives of CEFA in the country and maternal and child health remains one of the main sector of intervention.

The context of national instability created by the 2011 revolution and then the emergency resulting from the intensification of the internal conflict that began in 2014, have led to the deterioration of the living standards of the most vulnerable groups, including women and children, especially migrants. In the context of the traditionally conservative communities in the country, women’s health already had historical cultural and technical shortcomings. Recent political dynamics in the country have exacerbated inequalities and further restricted adequate access to basic health services.

Since 2017, CEFA has renovated and equipped 4 health facilities in Sebha and two health facilities in Tripoli, the Tripoli Medical Center and the Jala'a Hospital specialized in maternal-child health. Intervention in public health facilities means ensuring better access to services for Libyan citizens belonging to the most vulnerable groups of the population, and certainly ensure basic access for migrant women who could hardly afford visits and care in private clinics.

Currently CEFA is implementing the project "Health - Heightened and Enhanced Access of Libyans and migrants to Health Services in the Municipality of Zawiya" and “Hand in Hand for a better health care in the South West” which aim to increase access to health services for people in need and to improve services to ensure better health care for the Libyan and migrant population. Within the framework of the initiatives, the department of public hospital and basic health centers will be restructured and will be equipped with medical equipment and medicines. The medical and paramedical staff of the departments of these health facilities will be trained in professionalizing paths and several awareness campaigns for greater inclusiveness will be carried out to reach the sensitization of the most wage population .

Chemonics International

Sector: Democracy and Governance Objectives: Equipping two local clinics with delivery rooms Beneficiaries (key groups): Women Implementing and other partners: Sabha Municipal Council Donors: USAID Funding required (USD): $400,000 Funding received (USD): $400,000

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tunis Street: Feuille D’erable Contact person: Philip Hindmarsh Tel: +216 29 949099 Email: [email protected]

OPERATIONAL RESPONSE: Chemonics will establish two labor rooms in two public clinics in Sabha, located in the Gurda and Al Jadid neighborhoods. This activity aims to increase the health sector preparedness and accessibility to health services for residents during armed conflicts when the medical center is inaccessible or overloaded. Chemonics support included:

Equipment Qty Delivery table - Manual 2 CTG (Cardiotocography) 2 Ultrasound Machine 2 Electric vacuum extractor (for assisted delivery) 2 Radiant warmer 2 Autoclave 2 Infant Incubator 2 Delivery tool Set (drape, kidney dish, mayo scissors, hemostatic forceps, sponge forceps, bowl, and episiotomy scissors) 4 Suction apparatus with pump 2 Bed for newborns 4 Examination latex gloves (20 packs of 100 each) 6 Standing lamp 4 Standard surgical scissors - Straight. 8 Umbilical cord clamp (pack of 500) 4 Episiotomy scissors 4 Sterilizable suction bulb 8 Needle holder 12 Gauze External-use medical cotton roll (10cm diameter) 1000 Suction catheter (pack of 100) 40 Thermometer (Graded in Celcius) 12 Surgical chromic catgut (suture) 600 Scalpel blade 40 Scalpel handle, No.3 100 Syringes 5ml 400 Sewing kit (swabs, poly tray, needle holder, scissors, dissecting forceps) 4 Tissue Forceps 4

All equipment have been delivered. A training on how to use the machines for clinic staff is underway.

COVERED LOCATIONS:

• Gurda neighborhood in Sabha • Al Jadid neighborhood in Sabha

Emergenza Sorrisi – Doctors for Smiling Children

Sector: Health Objectives: • Medical assistance, surgery assistance, medical training of trainers. • COVID-19 diagnosis, treatment by local doctors and medical staff. Beneficiaries (key groups): Libyan population with a special attention to children; IDPs, migrants, refugees; People affected by burns sequels, facial malformation, plastic surgery needs; Local medical staff (doctors and nurses) Implementing and other partners: Donors: Italian Agency of International Cooperation for Development, private funds Funding required (USD): Funding received (USD):

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Zawiya Tunis and Rome Street: Contact person: Aladdin Betro Barbara Bugliosi (Tunis and Rome) Doha Zendah Tel: Aladdin Betro +218 922279051 +39 329 0777653 Doha Zendah +218 914125207 Email: [email protected] [email protected] [email protected] [email protected]

OPERATIONAL RESPONSE: Emergenza Sorrisi concluded its project in Tripoli last July 2020, after organizing a humanitarian corridor from Libya to Italy to give special medications to two selected children. The project, funded by Italian Agency of Development Cooperation, focused on medical assistance to migrants and refugees hosting in El Nasser DC in Zawiya and to give surgery assistance to Libyan children affected by facial malformations, burns sequels and special needs. In February 2020 27 Libyan children accompanied by a parent or tutor came to Tunis form Libya by ground to receive surgery assistance in Tunis by Italian medical equipment. Emergenza Sorrisi trained 14 Libyan doctors. Libyan surgeons received special training by on job shadowing methodology.

In October 2020 Emergenza Sorrisi organized a COVID-19 Training Course online devoted to all health centers and hospitals working with all around the world (Benin, Burkina Faso, Congo, Somalia, Libya, Afghanistan, Pakistan, Iraq. In Libya we have been involved National Center of Disease Control and medical staff which have been worked with us in Tripoli, Misurata, Zawiya and Fezzan. The online course mail goal:

• Provide to medical staff useful tools to face the SARS CoV-2 health care emergency to limit the transmission. • Define the role of prevention and control and infectious care in preparedness and readiness phase. • Provide useful elements to train medical staff, which works in public health care structure and in prevention phase, operating in public health and prevention contexts on the procedures to be implemented for contact tracing, and diagnostic and clinical framework in order to ensure a homogeneous approach on the national territory. Identification, isolation, diagnosis & management of Covid-19 cases. Prevention rules in medical rooms and in operational surgery room.

Methodology: Teaching method used is through the active methodology, inspired by the principles of problem learning, problem-based Learning (PBL), in which the individual participants are activated through the definition of their own

learning goals and the solution of a problem, inspired by your professional context delivery via platform and anaesthesiology video lessons.

Beneficiaries: The course consists of video lessons accompanied by in-depth teaching materials and aims to train the highest number of healthcare professionals who are involved in patient care and management, as well as the staff responsible for the management and maintenance of the hospital. It will also affect all health professionals who work on the territory.

• Training devoted to all medical staff (doctors, nurses, administration staff) on the hygiene bases and space decontamination, instruments decontamination, hand hygiene and hygiene, prevention in infectious transmission, COVID-19 infectious, correct use of protection disposals. • More specific training for medical and nursing staff on the general information of the disease, transmission and contagion routes, management of the respiratory patient from COVID, prevention and treatment of the disease, management of various types of isolation, contact tracing. • Training of health personnel in health education for the community as prevention of infections and treatment of mild cases at home.

Video lessons taken by our infectious diseases’ doctors working in COVID-19 Hub Hospitals in Italy will be produced and online to transfer best practices learnt by Italian situation.

Special video lessons are being producing by our surgeons focusing on surgeon security procedures to follow in surgical operational rooms. The video lessons are going to be recorded in Italian hospitals, uploaded online platform and shared with attendees.

Special online discussion forum will be taken to have a direct dialogue among Italian doctors and international ones in December 2020.

Online platform to be used: Google Classroom and GoToWebinar.

We are collecting funds to provide Protective Personal Equipment (PPE) for medical staff.

COVERED LOCATIONS: Tripoli, Misurata, Zawiya Online training attended by doctors from Fezzan (Sebha, Sathi, )

Expertise France

Sector: Health Objectives: • Improve Blood Transfusion Services Beneficiaries (key groups): General population of Libya, SHC patients Implementing and other partners: Ministry of Health Donors: EU - France Funding required (USD): 2,000,000 Funding received (USD): 2,000,000

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tunis Street: Rue du lac Victoria Contact person: Fabrice Bossolini Tel: - Email: [email protected]

OPERATIONAL RESPONSE: Expertise France is the French public agency for international technical assistance. It operates one project in Libya in the field of Blood Safety/Blood Transfusion. It seeks to contribute to build the capacity the Libyan National Blood Transfusion System to enable it to provide blood and blood products of appropriate and consistent quality and in sufficient quantity. It has three (3) objectives:

1. Support step-wise implementation of uniform production processes in two Blood Establishments and selected hospital blood banks, including blood donations and testing samples reception, laboratory testing for transfusion-transmissible infections, (including HIV, hepatitis B, hepatitis C and syphilis), confirmatory testing of the results of all donors screen-reactive for infection markers, blood grouping and compatibility testing, and processing blood into blood components in appropriate amount and quality to meet requirements on a sustainable basis. Target => Approximately 200 staff in 8 blood banks. 2. Support stepwise implementation of appropriate clinical use of blood and blood components in two Blood Establishments and in Selected Hospital Blood Banks. Target => 3 hospitals. 3. Strengthen systems for collection of blood and blood components from low-risk, regular, voluntary unpaid donors improved donation systems and effective donor management, including care and counseling, in selected Blood Establishments and hospitals. Targets => 1 research study, 1 national strategy, 1 national campaign.

COVERED LOCATIONS:

City Blood establishment Hospital Sabratha Central Blood Bank Central Blood Bank Tripoli University Hospital Tripoli Hospital Blood Bank Tripoli Central Hospital Misratah Central Blood Bank Sabha Central Blood Bank Benghazi Central Blood Bank Benghazi Medical Centre El- Central Blood Bank Tobruk Central Blood Bank

Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ)

Sector: Health Objectives: • Improve Primary Health Care Provision in Libya • Procurement, technical support and training for hospitals and laboratories to support the fight against COVID-19 in Libya Beneficiaries (key groups): Vulnerable population groups, including women and girls, older people, people in need of psychosocial support, people with disabilities, internally displaced persons (IDPs) and migrants Implementing and other partners: Ministry of Health Tripoli, International Medical Corps (IMC), GFA Consulting Group, Bila Hadoud, Common Sense, Primary Care International Donors: German Ministry for Economic Cooperation and Development (BMZ) Funding required (USD): Funding received (USD): EUR 11,298,000 (2018-2022)

CONTACT INFORMATION:

GIZ Libya Office GIZ Liaison Officer at MoH GIZ Libya Office in Tunisia City/Town: Tripoli / Hay Al Andalus Tripoli Tunis / Lac II Street: Tower Road University Road Rue De Dinar, Immeuble Youssef, 3ème Étage Contact Hazem Samra, Taher Emahbes, Maria Manuela Peters, Project person: Health Advisor Health Advisor Leader Tel: +218 (0) 918192772 +218 (0) 912119132 +216 (0) 58238410 Email: [email protected] [email protected] [email protected]

OPERATIONAL RESPONSE: In cooperation with the Libyan Ministry of Health (MoH), GIZ promotes the provision and development of primary health care (PHC) services in Libya. The aim of the project is to expand and enhance the quality of PHC services so that these are accessible for vulnerable population groups, including women and girls, older people, people in need of psychosocial support, people with disabilities, internally displaced persons (IDPs) and migrants. The focus is on 10 selected municipalities with the greatest PHC needs in GIZ partner municipalities in the northwest, southwest and east of Libya.

The project´s intervention areas are 1) improving the functionality of 7 selected PHC Centers (PHCCs), 2) improving the clinical, technical, and administrational competencies of PHC staff, and 3) improving the capacity of hospitals to provide COVID-19 testing and treatment in 8 municipalities. Within the framework of the first intervention area, the project, furthermore, builds the capacity of 8 additional PHCCs to provide essential services for vulnerable population groups and promotes community engagement to enhance their access to the services The project activities are aligned with MoH priorities and national strategies, including the Family Practice Approach (FPA) and the National COVID-19 Preparedness and Response Plan, towards supporting the development process of a national PHC strategy.

COVERED LOCATIONS:

Municipality Health Type of intervention Status Implementing institution partner Al Bawanis Tamanhant Improve overall functionality Completed IMC PHCU Al Jufra Hun PHCC Maintain essential services Planned IMC Wadan PHCC Maintain essential services Planned IMC Al Zintan Al Kawassim Improve overall functionality Completed IMC Western PHCC

Zintan General Improve the capacity of referral Procurement of essential tbd (for Hospital hospital in COVID-19 testing equipment and supplies in capacity and treatment progress building) Benghazi Bengazi Medical Improve the capacity of referral Procurement of essential tbd (for Centre hospital in COVID-19 testing equipment and supplies in capacity and treatment progress building) Brak Shate Brak Medical Improve the capacity of referral Procurement of essential tbd (for Centre hospital in COVID-19 testing equipment and supplies in capacity and treatment; Provision of progress building) Edri Shate mobile lab for COVID-19 testing. Garabulli The Polyclinic Improve overall functionality Completed IMC PHCC Western Rawajeh Maintain essential services Planned IMC PHCC Garabulli Improve the capacity of referral Procurement of essential tbd (for General Hospital hospital in COVID-19 testing equipment and supplies in capacity and treatment progress building) Ghadamis Ghadamis PHCC Maintain essential services Planned IMC Janzour Abduljalil Improve overall functionality Completed IMC Martyrs PHCC Msallata Al Qassabat Maintain essential services Planned IMC PHCC Sidi Khalifa Improve overall functionality Completed IMC PHCC Nalut Central Improve the capacity of referral Procurement of essential tbd (for Hospital hospital in COVID-19 testing equipment and supplies in capacity and treatment progress building) Tarhouna tbd Maintain essential services Planned IMC Tarhuna Improve the capacity of referral Procurement of essential tbd (for Teaching hospital in COVID-19 testing equipment and supplies in capacity Hospital and treatment; Provision of progress building) mobile lab for COVID-19 testing Tobruk Tobruk Medical Improve the capacity of referral Procurement of essential tbd (for Centre hospital in COVID-19 testing equipment and supplies in capacity and treatment; provision of progress building) mobile lab for COVID-19 testing Zliten Zliten Medical Improve the capacity of referral Procurement of essential tbd (for Centre hospital in COVID-19 testing equipment and supplies in capacity and treatment progress building) Two PHCCs in the East of Libya (in Benghazi, Ajdabiya, Brega or Tobruk) will be supported with the objective to improve their overall functionality and two PHCCs in maintaining essential services– the Health Needs Assessment forming the basis for the selection of the PHCCs is to be concluded in Q4 2020.

Handicap International – Humanity & Inclusion

Sector: Health, Protection (Incl. Humanitarian Mine Action) Objectives: • Global Objective: to enhance the safety and well-being of vulnerable, conflict affected populations in Libya • Health & Rehabilitation Services. To mitigate critical health risks of vulnerable men, women, boys and girls affected by conflict with a focus on persons with disabilities, and/or signs of psychosocial distress, in order to prevent long-term functional and/or psychosocial disabilities Beneficiaries (key groups): Persons with Disabilities / injuries, persons living with chronic diseases and other vulnerable persons. All Status: IDPs, returnees, refugees, migrants, non-displaced in Tripoli, Misrata and Benghazi areas Implementing and other Nebras (Tunis), Libyan Ministry of Health (Directorate of Primary Health Care, partners: Mental Health hospitals / departments); University of Tunis (Faculty of Medicine) & University Hospital of Tunis; Libyan Ministry of Education; Libyan Board of Medical Specialties; IRC Donors: EU-DevCO, DG ECHO, OFDA, UNHCR, UNDP, CDCS, MoFA Luxembourg, AICS (in consortium with IRC) Funding required (USD): 4,000,000 USD (2020) Funding received (USD): 4,000,000 USD (2020)

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Street: Aljala Road – Boussita 10 bis rue du Brésil, 1002 Le Belvédère Behind the Mediterranean bank Contact person: Thomas CALVOT – Head of Mission Thomas CALVOT – Head of Mission Tel: +21651020610 +21651020610 Email: [email protected] [email protected]

OPERATIONAL RESPONSE: HI has been operational continuously in Libya since 2011, and up until the end of 2014 delivered a large-scale Humanitarian Mine Action (HMA) programme from bases in Tripoli, Misrata and . During that period, HI teams protected countless civilians from the risk of death and injury due to explosive hazards through the clearance of over 302 km of land, including schools, agricultural land, beaches and residential areas; removing and destroying over 112,000 mines and ERW in the process. More than 1,000 people were trained to deliver mine/ERW/SALW risk education; whilst HI teams reached more than 110,000 civilians with life-saving risk education messaging.

With the outbreak of renewed violence in 2014 and the delocalisation of international staff to Tunisia, HI redesigned it programme in support of persons injured by mines, ERW and SALW, as well as persons with disabilities more widely. In the last three years, HI has delivered health and protection services including physical therapy, provision of assistive devices and mobility equipment and psychosocial support to over 4,000 persons directly impacted by the ongoing crisis, as well as targeting health and rehabilitation centres in Western and eastern Libya with technical capacity development and donations of much needed and otherwise depleted equipment. In 2017 HI relaunched risk education activities in the Nafusa Mountain region, south of Tripoli for returning populations displaced since 2011.

In the same year HI initiated support to the LibMAC for enhancing assistance to victims of explosive hazards, through bringing together national authorities and civil society to raise awareness of the collective responsibility towards persons directly affected by conflicts. At the end of 2018 HI opened a new office in eastern Libya, in Benghazi where it developed also Health and protection activities in synergy with the West part of Libya. HI has also developed a longer- term strategy of support to Mental Health for Libyan institutions, professionals, CSOS and populations suffering from more severe mental health disorders, in an effort to contribute to a better resilience of Libyan population.

EMERGENCY HEALTH & VICTIM ASSISTANCE

• Physical & functional rehabilitation and psychosocial support (PSS) services & guidance to people with functional limitations due to injury or disability and/or with psycho-social distress; guidance, advice and PSS to their caregivers and family members • Provision of assistive & mobility devices and guidance to people with functional limitation due to injury or disability • Basic rehabilitation equipment to supported health facilities • Awareness to community focal points and service providers (public or private) on identification of vulnerable persons, inclusion of persons with disabilities, identification of persons with psychological distress and referral mechanisms • Referral to local and international actors supported by transport allowance for persons with disabilities and/or injuries and their caregivers • Mapping of available services (focusing on free of charge services provided by public structures, local and international NGOs) to enhance the referral capacity of humanitarian actors, including a specific assessment of rehabilitation and MHPSS services • Awareness raising on mental health and psychosocial issues through social media and campaigns • Provision of non-technical training to health care providers on early rehabilitation and inclusion of persons with functional limitations due to injury or disability, and on psychosocial support.

STAND-ALONE MHPSS ASSISTANCE

• Awareness campaign and awareness sessions about the risks and manifestations of mental illness and substance abuse • Delivery of mental health services through outreach teams, primary health clinics, psychiatric departments of general hospitals and/or psychiatric hospitals • Training & Upskilling of mental health staff (including ToT and university diploma in mental health for several categories of specialized as well as non-specialised staff.

Helpcode

Sector: Health Objectives: • Improve health status of people living in Libya Beneficiaries (key groups): General population (nondisplaced, refugees, migrants, IDPs) Implementing and other partners: ODP – Organization of Development Pioneers Donors: EUTF, AICS Funding required (USD): 2,000,000 Funding received (USD): 2,000,000

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli/Al-Andalus Tunis/Marsa Street: N° 12 rue Zahraoui Contact person: Alessandro Guarino Alessandro Guarino Tel: +216 56722269 Email: [email protected] [email protected]

OPERATIONAL RESPONSE: Improving quality and access to primary health care services in Ghat and Zawya through: 1) Rehabilitation of the target health facilities 2) Provisioning of medical equipment 3) Training for medical and non-medical staff 4) Mentoring of medical staff through training on the job 5) Community awareness

COVERED LOCATIONS: In Ghat:

• Awainat Health Center • Tahala Health Center • Ghat Health Center

In Zawya:

• Abu Sorrah village Hospital (Z.Central) • Bir al Ghanam Village Hospital (Z.South) • Disable Rehabilitation Center (Z.South) • Al Harhsa Health Center (Z.West)

International Federation of Red Cross and Red Crescent Societies (IFRC)

Sector: Health (others: WASH, Protection) Objectives: • To support the Libyan Red Crescent Society (LRCS) with capacity building, technical and financial support to better respond to the needs of the vulnerable people all around Libya. Beneficiaries (key groups): Local communities, IDPs, migrants Implementing and other partners: The Libyan Red Crescent Society (LRCS) Donors: Swiss Red Cross, Danish Red Cross, Canadian Red Cross, British Red Cross Funding required (USD): CHF 1,126,655 Funding received (USD): CBH: CHF 915,000 COVID-19: CHF 539,358

CONTACT INFORMATION:

LIBYA TUNISIA (temporary presence) City/Town: Les Berges du Lac Street: Rue du Lac Huron Contact person: Sandra Arbid Tel: +21658510808 Email: [email protected]

OPERATIONAL RESPONSE: Throughout 2020, the IFRC supported the LRCS in the implementation of community-based health (CBH) project. The project aimed to contribute to improving the health and well-being of vulnerable populations in affected areas in Libya, through:

• Assisting the LRCS in providing the community with services to identify and reduce health risks, and that is by

• Supporting the National Society in developing the capacity to assess and provide relevant long-term health care support to vulnerable households. The support included:

• The conducting of a community assessment for the identification of key health issues of importance to the community was conducted by LRCS branch volunteers, guided by secondary analyses and needs assessments conducted by partners in the field. The community assessment led to the prioritization of the health issues in these areas and thus the focus of the health promotion activities of the volunteers and their specific target populations. The health topics are: Safe Motherhood, prevention of Non-Communicable Diseases (NCDs), Prevention of Infectious Diseases. It is to be noted that with the onset of the COVID-19 pandemic, the teams had to prioritize health and hygiene promotion relevant to the prevention of transmission of the virus. • The building of community health teams at branch level through a series of Training of Trainers and the roll-out of these trainings to identified Community Health Volunteers (CHVs). • The implementation of health promotion activities through household visits and seminars. • The formation of committees of relevant stakeholders mobilised by the LRCS that can engage in the planning of the health promotion activities. • The establishment of referral mechanisms in some areas in an effort to link health promotion at community level with the healthcare system and the available primary health care services, CHVs referred cases to the relevant health care

facilities cooperating with the LRCS at branch level. The deployment of medical convoys with a number of specialties also took place for this purpose. • Migrants in Detention Centres also received individual hygiene kits as part of this project. In addition to the CBH project, the IFRC is supporting the LRCS in its response to the COVID-19 pandemic through:

• A series of online rapid trainings was provided to staff and volunteers from the community health teams and the Psychosocial Support (PSS) teams on COVID-19, Risk Communication and Community Engagement (RCCE), Epidemic Control for Volunteers (ECV) and PSS with a focus on COVID-19. • Supporting the LRCS in conducting an online and face-to-face rapid assessment to identify population at risk, barriers to healthy behaviours and cultural and contextual factors that could support or deter an effective response. • Supporting the LRCS in developing the COVID-19 Standard Operating Procedures (SOPs). • Providing PPEs for the LRCS response. • Supporting health promotion activities. • Reinforcing peer to peer support capacities in selected branches. • Supporting CBH trainings in selected branches. • Distribution of relief items to migrants and vulnerable local community members. • Setting up safe points for migrants.

COVERED LOCATIONS: 1. Under the CBH program, IFRC is currently supporting LRCS branches in the following locations: • Benghazi, Derna, Zuwara, Alkufra, Ajdabya

In addition, Medical convoys are deployed based on identified needs (e.g. in Alkufra and in Sabha).

2. Under the COVID-19 project, IFRC is supporting LRCS branches in the following locations: • Benghazi, Derna, Zuwara, Alkufra, Tobrok, Zaouia, Sebha, Tripoli, Tarhuna, Bani Waleed, Ubari, Sebrata, Ghat, Sirte, Houn.

International Medical Corps (IMC)

Sector: Health Objectives: • To respond to major health and humanitarian needs with contextually adapted and flexible interventions and a focus on maximizing opportunities to access the most vulnerable populations (IDPs, migrants/refugees, and affected Host Community members). • To respond to COVID-19 outbreak in Libya and strengthen protection and resilience of vulnerable groups in COVID-19 emergency Beneficiaries (key groups): IDPs, refugees, migrants, host communities Implementing and other partners: MoH, NCDC, PHCI Donors: OFDA, GIZ, EUTF, AICS, UNFPA Funding required (USD): 14,000,000 USD Funding received (USD): 13,522,213 USD

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Street: Seyaheya Area, behind the Oil Institute Rue de l’Ile de Sibele 18 Contact person: Claudio Colantoni Claudio Colantoni Country Director – Libya Country Director – Libya Tel: +218 91 989 56 67 +216 20 515 868 Email: [email protected] [email protected]

OPERATIONAL RESPONSE: International Medical Corps (IMC) has continued focusing on provision life-saving interventions for the vulnerable population including local populations, Internally Displaced Persons (IDPs), refugees and migrants through the provision of emergency medical services, training for local health workers and delivery of vital medicines and supplies. IMC continued to provide health services in Benghazi, Misrata, Zliten, Khoms, Tripoli, Janzour, Algarabouli, Jfara, Zawiyah, Zwara, Zintan, Nalut, Sabha, Albuwanis and Brak Ashati.

In 2020, IMC in cooperation with the Ministry of Health (MoH), National Center for Diseases Control (NCDC), and Primary Health Care Institute (PHCI) implemented ten major projects in Libya, targeting vulnerable populations in which three of them were completed while seven projects are currently ongoing. IMC currently manages 12 Mobile Medical Units providing basic primary health care including visiting 26 IDP camps, polyclinics and hospitals in Libya on a regular basis, targeting host communities, IDPs, refugees and migrants in Tripoli, Janzour, Jfara, Benghazi, Misratah, Zliten, Brak Al-Shati and Sabha. The provided services also include essential reproductive health, mental health and psychosocial support services. Regarding capacity building and support to the health facilities, IMC focuses on improving quality primary healthcare services through tailor-made support programs for the primary health care units, including training and provision of medication and medical equipment as well as community outreach in Algarabouli, Alzintan, Nalut, Albuwanis and Janzour. IMC also focuses on supporting Janzour Hospital and the warehouse of Almarsa Hospital in Zwara with equipment, facility renovation and training of health facility staff. In cooperation with the NCDC, IMC is working to decentralize testing and treatment for tuberculosis in Tripoli while also providing a higher level of psychiatric care in Misrata.

The following are the key performance indicators with the program achievements as of November 2020: • 82,751 individuals reached through awareness-raising campaigns on health, • 24,634 health consultations provided, • 1,040 individuals received health and vocational training, • 8,563 individuals received health education messages,

• 370 individuals participated in psychosocial support services, • 1,566 people received hygiene promotion messages, • 4,827 individuals had access to multi-sectoral GBV services.

In response to the COVID-19 in Libya, IMC has been supporting five hospitals in Tripoli, Sabha, Benghazi and Misrata with isolation units medical specialists to extend the physical and operational capacity of their intensive care units and for effective medical management of COVID-19 cases. In cooperation with NCDC, IMC distributed Personal Protective Equipment (PPE) to Rapid Response Teams (RRTs) and supported facilities in conjunction with the provision of COVID- 19 emergency response and case management training programs for RRTs and frontline health workers and responders including several topics as the symptoms, prevention, transmission and treatment, how to conduct contact tracing and how to use PPE. Furthermore, health messages and awareness through Community Health Workers continued with a focus on informative COVID-19 messages. With regards to the mental health and psychological support, IMC trained primary health care workers and Municipality Emergency Committees (MECs) in the majority of supported municipalities on psychological first aid with an emphasis on coping with the stress caused by the mental impact of the COVID-19 crisis.

The following are the key COVID-19 performance indicators with the achievements as of November 2020: • 26,627 patients screened for COVID-19 in IMC supported facilities • 119 patients identified as suspected COVID-19 cases in IMC supported facilities • 2,406 front line staff trained, by type of training, modality, sex and staff • 773,675 critical PPE and IPC items distributed • 23,887 community members reached through COVID-19 awareness-raising activities

COVERED LOCATIONS:

No Location Health Facilities Intervention Fashloum PHCC Primary Health Care Almadina Alqadima PHCC MHPSS Gharghour PHCC Capacity Building 1 Tripoli Al Fallah 1 IDP Camp COVID-19 Response Al Fallah 2 IDP Camp Community Awareness and Outreach Aldehmani Hospital Tripoli Centeral Hospital Primary Health Care Janzour Naval Academy IDP Camp MHPSS Shuhada Abd Aljalil Polyclinic 2 Janzour Capacity Building Sedi Masoud Polyclinic COVID-19 Response Janzour Village Hospital Community Awareness and Outreach Primary Health Care MHPSS 3 Hai Alandulus Alqadessia PHCC Capacity Building COVID-19 Response Community Awareness and Outreach Algheran Polyclinic Primary Health Care Tommina Polyclinic MHPSS AlShuhada HC Capacity Building 4 Misrata Zerouq Field Polyclinic COVID-19 Response Almahjoub Village Hospital Community Awareness and Outreach Oncology Hospital Garyounis Camp Primary Health Care LRC Camp MHPSS 5 Benghazi Benina Village Hospital COVID-19 Response Benghazi Medical Center Community Awareness and Outreach Primary Health Care Tawergha Tawergha Central Hospital MHPSS Community Awareness and Outreach

Primary Health Care AlGurda Polyclinic MHPSS 6 Sabha Aljadeed Polyclinic Capacity Building Sabha Medical Center COVID-19 Response Community Awareness and Outreach Primary Health Care 7 Zliten Zliten IDP Camp Misrata MHPSS Community Awareness and Outreach Primary Health Care MHPSS 8 Albuwanis Temenhent PHCU Capacity Building COVID-19 Response Community Awareness and Outreach Primary Health Care Capacity Building 9 Alzintan Alqawasim Algharbi PHCC COVID-19 Response Community Awareness and Outreach Primary Health Care Capacity Building 10 Nalut Sidi Khalifa PHCC COVID-19 Response Community Awareness and Outreach Primary Health Care Capacity Building 11 Algarabouli Algarabouli Polyclinic COVID-19 Response Community Awareness and Outreach Capacity Building 12 Zwara The Medical Warehouse Renovation (planned) Primary Health Care 13 Brak Alshati Brak Polyclinic Community Awareness and Outreach Multiple locations: COVID-19 Response 14 Msellata, Jufra, N/A Ghadamis

International Organization for Migration

(IOM) Sector: Health To promote and deliver comprehensive preventive and curative health programmes which are beneficial, accessible, and equitable for migrants, IDPs and host communities, through Objectives: • Migration health assistance for crisis-affected populations • Migration health assessments and travel health assistance • Health promotion and assistance for vulnerable population Migrants (including returning migrants, resettling refugees, immigrants, Beneficiaries (key groups): temporary migrants and labour migrants), IDPs and host communities

Implementing and other partners: MoH, NCDC, relevant UN agencies (WHO and UNICEF) EU, OFDA/BHA, PRM -US, Germany, Italy, Finland, France, Switzerland, Donors: CERF, DFID, Netherland, Sweden Funding required (USD): 8,900,000 (for 2020) 3,457,000 (2020) Funding received (USD): 7,615,000 (2020-2022)

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Street: Basset Str Near Gurnata Village, Hay El Rue du Lac Windermere, Andalos Prestige Building Les Berges du Lac Mr. Federico Soda, Chief of Mission Mr. Federico Soda, Chief of Mission +2189100224821 +21658601023 Contact person: Dr. Syed Arif Hussain, Migration Health Dr. Syed Arif Hussain, Migration Health Coordinator Coordinator + 218 910024816 +216 29289550 [email protected] [email protected] Email: [email protected] [email protected]

OPERATIONAL RESPONSE: 1. Provision of disease screening, treatment, vaccination, counselling and fitness to travel for voluntary humanitarian return (VHR) 2. Provision of migrant-sensitive primary health care services (including ANC/PNC, MHPSS and TB screening/referral/registration/follow-up), case referral and health promotion in following settings: a. Clinics in IOM offices/service points b. PHC clinics c. Urban and remote areas, through mobile outreach activities (also included in other IOM established mechanism, like MRRM) d. Detention centres (DCs): health assistance including vaccination for children, health risk assessments, prevention/screening campaigns, like anti scabies campaigns 3. Support in public health facility rehabilitation and procurement of medical supplies and equipment 4. Enhancement of national health system through the provision of capacity building training to the national health authorities and relevant stakeholders 5. Promotion of the advocacy and policy dialogues for migrant-inclusive health policies

6. Event-based surveillance for migrants in the communities in coordination with NCDCDelivery of multi-sectoral and life-saving humanitarian assistance including healthcare, nutrition, WASH, shelter, NFIs and protection in following settings: a. Detention centres (DCs) b. Disembarkation points (DPs): including rapid health screening and triage

COVID-19 response Aligning with the Global Preparedness and Response Plan for COVID-19 and IOM Strategic Response Plan, IOM is contributing to all 9 pillars of COVID-19 planning and response mainly through the following activities: • Coordination o Regular bilateral meetings with MoH, NCDC, HIC, PoE officials as well as regular participation to the health sector meetings

• Risk Communication and Community Engagement (RCCE) o Development, translation (, English, French, Hausa, Tigrinya and Amharic) and donation of the Information, Education and Communication (IEC) materials: distributed over 150,000 materials o Awareness raising sessions and distribution of hygiene kits in Tripoli, Misrata, Zwara, Benghazi, Sebha, Ubari, Alkufra, Azzawya and Tobruk: reached over 10,000 people o Contribution to the RCCE WG behavioural assessment: conducted face-to-face interviews with over 150 migrants

• Points of Entry (PoE) o Rapid assessment conducted in 3 PoEs (Ras Jedir, Wazin and Misrata) o Procurement and supply of necessary PPE, medical equipment (including high resolution thermal cameras) and medical consumables for 5 PoEs (Misrata, Benina, Emsaed, Ras Jedir and Wazin) o Provision of human resources (medical doctors to support screening) at 3 PoEs (Ras Jedir, Wazin and Misrata) o Support in establishment of prefabricated isolation spaces to set up health screening stations and isolation units in 5 PoEs (Ras Jedir, Wasin, Mitiga, Benina and Emsaed) o 6 capacity building training conducted for 70 PoE workers o Publish of weekly event-based surveillance reports

• Surveillance, rapid response teams and case investigation o Rolled out event-based surveillance for migrants in the communities in coordination with NCDC, reported under the weekly epidemiologic bulletin o 5 capacity building training conducted for 99 RRT members

• National Laboratory o 3 capacity building training conducted for 45 laboratory workers o Procurement of PCR machines, test kits, swabs transport media in process

• Infection Prevention and Control (IPC) and Case Management o Provision of PPEs to Detention centres, Disembarkation points, health facilities and municipalities o 16 capacity building training targeting frontline health care workers working at DCs, DPs and public health facilities: trained 279 healthcare workers o Support in establishment of prefabricated isolation rooms/wards in 6 hospitals/isolation centers in progress (Zletin, Khumes, Tajoura, Zulton, Nalut, Gharian) o Supplies and equipment for these selected hospitals o Trainings on health staff on case management, spaces to set up health screening stations and isolation units

• Essential Services o IOM has enhanced the health assistance to migrants, IDPs and host communities during the current pandemic o Extended to more service points/locations

Key performance indicators (1 January – 31 October 2020)

• 68,299 primary health care consultations provided to the migrants, IDPs and host communities, out of which 895 were referred to private and public secondary and tertiary health care facilities. • 1,071 migrants and IDPs received the MHPSS services. A MHPSS helpline established and responded to 78 calls. • 682 migrants in the DCs and community settings were screened for TB; 210 TB cases are supported with diagnosis, treatment/management and follow up, including hospitalization. • 8 weekly reports published for event-based surveillance. • 6 public hospitals in process of support with prefabricated isolation units (Zliten, Tajoura, Gharian, Zulten, Khums and Nalut). • 5 Point of Entries (POEs) being support with equipment, supplies and prefabs for temporary quarantine • 493 personnel across Libya trained through 30 training sessions on IPC measures, lab diagnostics and COVID-19 case management.

COVERED LOCATIONS:

• 10 detention centres • 5 disembarkation points • 5 points of entries • 8 public PHC clinics • 3 IOM medical offices • 20 migrant communities covered through mobile teams

Location Category Location District Region Type of Activity DC Abu Essa DC Azzawya West Primary Health Care DC Sabratha DC Azzawya West Primary Health Care DC Shuhada Alnasr DC Azzawya West Primary Health Care DC Ganfoda DC Benghazi East Primary Health Care DC Kufra DC Kufra South Primary Health Care DC Alkhums DC Murqub West Primary Health Care DC Tokra DC Tokra East Primary Health Care DC Trig Alsikka DC Tripoli West Primary Health Care DC Dahr Aljabal DC Zintan West Primary Health Care DC Zwara DC Zwara West Primary Health Care DP Benghazi Port Benghazi East Primary Health Care DP Alkhums Port Murqub West Primary Health Care DP Abusitta DP Tripoli West Primary Health Care DP Tripoli Port Tripoli West Primary Health Care IOM Medical Office MRRM Baniwaleed Baniwaleed West Primary Health Care IOM Medical Office MRRM Gatroun Murzuq South Primary Health Care IOM Medical Office MRRM Zwara Zwara West Primary Health Care PHC Abduljaleel PHC Janzour West Primary Health Care PHC 17 Feb PHC Tajoura West Primary Health Care PHC Alserraj PHC Tripoli West Primary Health Care PHC Alabyad, Ubari PHC Ubari South Primary Health Care PHC Alawenya PHC Zintan West Primary Health Care Primary Health Care PHC Zwetina PHC Alwahat East Donation of Supplies and equipment Primary Health Care PHC Benina PHC Benghazi East Donation of Supplies and equipment Primary Health Care PHC Nalut PHC Nalut West Donation of Supplies and equipment

Primary Health Care PHC Zwara PHC Zwara West Donation of Supplies and equipment POE Benina Airport Benghazi East POE Support POE Amsaed POE Butnan East POE Support POE Misrata Airport Misrata West POE Support POE Wazin POE Nalut West POE Support POE Ras Jedir POE Zwara West POE Support Urban Area Zwetina Urban Alwahat East Primary Health Care Urban Area MRRM Baniwaleed Outreach Baniwaleed West Primary Health Care Urban Area Janzour Community Janzour West Primary Health Care Urban Area MRRM Janzour Outreach Janzour West Primary Health Care Urban Area MRRM Gatroun Outreach Murzuq South Primary Health Care Urban Area Alghuryfa Urban Sebha South Primary Health Care Urban Area MRRM Sebha Outreach Sebha South Primary Health Care Urban Area Tajoura Community Tajoura West Primary Health Care Urban Area Abuslim Community Tripoli West Primary Health Care Urban Area Alsabaa Migrants Community Tripoli West Primary Health Care Urban Area Alserraj ATD Community Tripoli West Primary Health Care Urban Area Ghot Alshaal Tripoli West Primary Health Care Urban Area MRRM Tripoli Outreach Tripoli West Primary Health Care Urban Area Souq Aljuma Migrants Community Tripoli West Primary Health Care Urban Area Sudanese Shelter Tripoli West Primary Health Care Urban Area Surbana Shelter Gargarish Tripoli West Primary Health Care Urban Area Tripoli Urban Tripoli West Primary Health Care Urban Area Ubari Urban Ubari South Primary Health Care Urban Area MRRM Zwara Outreach Zwara West Primary Health Care Urban Area Zwara Urban Zwara West Primary Health Care

Official web sites: https://www.iom.int/migration-health https://www.iom.int/covid19 https://libya.iom.int/

Social media links: https://www.facebook.com/IOMLibya https://twitter.com/IOM_Libya

International Rescue Committee (IRC)

Sector: Health Objectives: • Strengthening of essential package of health services at the PHCs • Piloting of NCD care services at PHCs • Support deployment of mobile medical teams • Support medical referral to secondary and tertiary hospitals • COVID-19 preparedness and response • Basic services upgraded through supply of equipment and building rehabilitation and maintenance • Service providers’ personnel capacity built in efficient and inclusive management, operation and maintenance of the upgraded health care facilities • Awareness raised among the target population on inclusive access to basic services and key protection information Beneficiaries (key groups): Libyan local and IDPs, refugees, migrants and non-displaced Implementing and other PUI, PCI; Libyan Red Crescent (LRC), Handicap International (HI) partners: Donors: European Union Emergency Trust Fund, European Union Neighborhood Instrument (ENI), SIDA, Italian Cooperation for Development Agency (AICS), UNHCR, IRC Emergency grants Funding required (USD): Funding received (USD):

CONTACT INFORMATION: LIBYA TUNISIA City/Town: Tripoli Tunis Street: El Neofilin - Ali Bin Maatouq Bin Sarar Street Rue de l’argent, Immueble Rubis Appartement B.1.1 1er etage Contact person: Thomas Garofalo, Country Director Thomas Garofalo, Country Director Tel: +218 92 8987851 +216 95574118 Email: [email protected] [email protected]

OPERATIONAL RESPONSE: The IRC implements health program through a hybrid approach of health system strengthening and direct service delivery model to improve overall health system in Libya while maintaining capacity to respond to emergencies through MMTs; Targeting vulnerable Libyans (Local and IDPs), migrant and refugees, CSOs, health facility staff, MOH and municipality members. Selection of health facilities and targeted beneficiaries is based on a joint in-depth need assessment carried out by IRC and MOH where IRC looks at access and availability of health services to vulnerable groups. In addition, the IRC complement health facility-based activities with community-based outreach approach through a network of Community Health Workers from Libyan communities and Community Outreach Volunteers from migrant and refugees’ communities.

All IRC health activities are implemented in coordination with MOH, municipalities and health sector. In addition, with support from UNHCR and in partnership with the Libyan Red Crescent (LRC) in Tripoli provides 24/7 hotline and

ambulance transportation for emergency medical cases including COVID-19. In addition to hosting Person of Concerns (PoCs) at the shelter in Misrata managed by LRC Misrata.

IRC’s 2020/2021 focuses on the following areas:

• EPHS operationalization at PHC level including EPHS tool development, costing of EPHS services • Capacity building to healthcare workers through training, mentorship, coaching and supervision • Donation of drugs and medical supplies including PPEs to MOH clinics and hospitals • NCD piloting at PHC level • Support to HMIS roll out • Emergency response and COVID-19 preparedness and response • Support deployment of mobile medical teams to fill in gaps at existing MOH PHCCs • Support medical referral to secondary and tertiary hospitals

The IRC supports COVID-19 planning and response in six municipalities mainly on the following pillars:

• Pillar 2: Risk communication and community engagement (RCCE) • Pillar 3: Surveillance, rapid response teams and case investigation • Pillar 6: Infection prevention and control (IPC) • Pillar 7: Case management • Pillar 9: Maintaining essential health services

COVERED LOCATIONS:

Municipality Project Health Facilities Key Activities Zliten Ezdo Al-Janobia, Algwailat, Al Qusaba, Al- EPHS, NCD, COVID-19 response, capacity Mohalameen, Zliten DC building, drugs/medical supplies, MHPSS Sooq Jooma Bab Tajoura, Alharat, Arada, Hashan Aljanobi EPHS, NCD, COVID-19 response, capacity building, drugs/medical supplies, MHPSS and MMT Awlad Ben Yaqup, Gharyan, Alwasat EPHS, NCD, COVID-19 response, capacity alqwasem, Abu Zayan building, drugs/medical supplies, MHPSS South (Ubari) Ubari Hospital Deployment of MoH Medical Convoy (TBD), COVID-19 response South Sebha RCCE activities Ain Zara MMT, Community Outreach and COVID-19 Almegarief PHC response MMT, Community Outreach and COVID-19 Al-Nasab Tedkari PHC response Tripoli Zawiat Aldhmani PHC, Tareq Al Sekka DC, MMT, Community Outreach and COVID-19 Tripoli Naval Base – Disembarkation Point response Gurji- Tripoli Community Day Center (CDC) MMT, Community Outreach and COVID-19 response Misrata Sidi Embarak PHC, Aljazeera PHC, Alskirat MMT, Community Outreach and COVID-19 PHC, LRC Shelter, Dafneya Ras Toba, Al response; donation of medical equipment and Swawa – Misrata Medical Center - Qaser supplies, community outreach and capacity Ahmad Hospital - Central Blood Bank - building of clinic staff, physical rehabilitation and Almahjoub Neuroclinic in Zawiyat Almahjoub - clinic renovation Central Dental Outpatient Department Khmos Soog Alkhamees Hospital and Polyclinic, MMT and COVID-19 response, donation of Education Hospital, Souq Al Khamis DC medical equipment and supplies, clinic renovation Zawiya Al Nasr DC, Abu Issa DC, Oil Refinery – MMT, and COVID-19 response Disembarkation Point

Abu Salim Abu Salim DC MMT, and COVID-19 response Zwara Zwara DC & Disembarkation Point MMT, and COVID-19 response Bani Walid External polyclinic (Alsoog area), Emergency donation of medical equipment and supplies, unit (Bani Walid center), Jomla, Alhasna, COVID-19 response, community outreach and Elmardoum, Eshmeikh health centers, Bani capacity building of clinic staff, clinic renovation Walid General Hospital

برنامج إدارة المال العام في ليبيا LIBYA PUBLIC FINANCIAL MANAGEMENT PROGRAM (LPFM) Sector: Economic Growth Program Objectives: • Strengthen the Government of Libya’s (GoL) public financial management (PFM) systems to improve budget transparency and more equitable distribution of Libya’s energy resources • Enhance Libya’s energy efficiency, conservation, and reliability • Improve Libya’s business enabling environment to stimulate private sector growth and investment The Program’s PFM • Promote fiscal decentralization in coordination with national and local institutions Component Objectives: • Develop budget preparation capacity at the subnational level • Enhance cost-efficient services in the sectors of solid waste management, primary health care (PHC), and primary education • Under primary health care: - Identify and compute costing of essential package of PHC services (EPHS) in pilot municipalities - Adjust the EPHS for COVID-19 response supplies - Assess infrastructure needs for the EPHS in the selected (pilot) municipalities Implementing and other Ministry of Local Government (MoLG), Ministry of Finance (MoF), Ministry of partners: Planning (MoP), Ministry of Health (MoH), Ministry of Education (MoEd), GNA and non-GNA municipalities Donors: USAID Program Implementor: Pragma Corporation Program lifetime: Two years (inception date Sep 2019), with an option for up to three additional years Estimated Funding (USD): $55 million, subject to availability of funds, and a decision to exercise option years 3 to 5 Funding received (USD): $ 14.9 million

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Street: Al-Muwahedeen Street, Hai Al-Andalus, Immeuble Emeraude Center - 8th floor. Tripoli, Libya Bureau B8-1 and B8-2 - Les Jardins du Lac 2 - 1053 - Les Berges du Lac Contact person: Ross Worthington, Chief of Party Ross Worthington, Chief of Party Tel: +218 91 003 0105 +216 92 765 029 Email: [email protected] [email protected]

OPERATIONAL RESPONSE: The budget planning system in Libya requires major policy and institutional reforms at the national level to meet basic budgetary efficiency and transparency standards. The key to reforming this process is the introduction of a systematic, integrated medium-term budget process at the sectoral level, which will articulate a vision for integrated expenditure planning over a multi-year timeframe. The sector-level medium-term budget planning and implementation support will be directly reinforced by pilot implementation activities at the municipal level. This will help translate and ground-truth budgetary transparency and efficiency enhancement measures into street-level reality in the pilot municipalities.

Under the primary health care sector, LPFM’s objective is to implement a PHC operational plan, which principally works towards ensuring that a cost-efficient basic package of preventative health care services is available for the citizens in the catchment areas of selected health care clinics in the pilot municipalities. This, in turn, would be tied to longer-term improvements in health indices that are being targeted over much lengthier timeframes. In the immediate future, LPFM would also cover PHC budgeting analysis and projections for the government’s Covid-19 response by targeting the health care clinics that are the focus of LPFM’s subnational pilot programs.

All of LPFM’s primary health care activities are implemented in close coordination with MoH, the regional health directorates in the municipalities, and delegated staff in the respective municipalities who acquire the training to implement LPFM’s operational plans. The Ministry of Local Government is also engaged given its crucial role in decentralizing services to the subnational level.

LPFM focuses on the following areas:

• Assist the PHC pilot municipalities (as shown in the below table) with the implementation of the PHC operational plan. In addition to identifying and costing the EPHS—the bundle of essential PHC services, the operational plan also supports the priorities underscored in the PHC strategy developed by the USAID-funded Libya Economic Stabilization Program in collaboration with MoH in 2019. • Establish PHC task forces within the selected municipalities and assist them with launching the municipality’s PHC pilot, including establishing health offices within the municipalities and defining the roles of the offices’ key staff. The task forces and MoH staff of the regional health directorates in the respective municipalities are the major beneficiaries of the training and piloting of the operational plans. • Draft a public investment plan (PIP) for the selected municipalities to assess the infrastructure and equipment required for the effective delivery of the EPHS, including any clinics’ upgrade & rehabilitation, and supplies of equipment and machines. • Revise the operational and investment plans to reflect any expenditures adjustments that are required to counter Covid-19 at the PHC levels. • Train the municipal PHC task force and health office staff of each PHC pilot municipality on the decentralized PHC administrative and supervisory functions the municipality is to carry out to ensure the provision of an improved package of PHC services within the municipality. • Assist each PHC pilot municipality establish an effective PHC database that initially covers a select number of clinics within that municipality. • Assist PHC clinics establish a system that reports the status and consumption of medicines and supplies on a monthly, quarterly, and annual basis. • Develop funding guidelines for PHC services that meet the requirements of a demand-driven, cost-efficient, service delivery framework.

Covered Locations in Year 1 (eighteen in total):

Municipality Health Facilities (mostly PHC centers) Tripoli Center Nofliyeen, Fashloum, Elmansora Gharyan Alkmeshat, Kamoun, Aousaden Sabha AlQurda, AlJadeed, Almahdiya Misurata Merbat, Skirat, Tominah South Zawiya Nasser, Shalghouda, Beer Alghanam Brega Brega Aljadeda, Alargoub, Alageela Six municipalities Seventeen PHC Centers (Beer Alghanam in South Zawiya is a PHC Unit)

In Year 2, the LPFM plans to work with the municipalities of Souq Juma, Zuwara, Algherifa, Tajoura, Yafran, Zliten, and AlKhoms, Sabratha, Surman, Tobruk, Musaid, and Alasabaa. The PHC clinics are currently being selected.

MSF France

Sector: Health Objectives: • Delivering medical care including PHC, mental health, TB for migrants, refugees and host community Beneficiaries (key groups): IDPs, refugees, migrants, non-displaced Implementing and other partners: Donors: Funding required (USD): Funding received (USD):

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Street: Contact person: Marie Burton, medical coordinator Guillaume Barret, head of mission Tel: +218 92 771 45 76 / +216 29 17 61 61 +216 23 493 108 Email: msff-libya-medco@.msf.org [email protected]

OPERATIONAL RESPONSE: 1. Mobile clinic (PHC) services to detention center, prison, communities: a. Mobile clinic to Zinten DC, Zawia Nasser DC, Zliten DC, Misrata Nigerian community and to disembarkation points. Souq Alkhamis DC and Zwara DC: Activities suspended since the closure of the DC. b. Services: PHC and referrals, Protection monitoring, Psychological counselling, PSS activities, psychiatric referrals, protection monitoring, NFI distributions, food distributions. c. > All migrants.

2. PHC/ANC/PNC in PHC center: a. In Bani Walid, MSF is providing primary health and MH care for host communities and migrants. b. Services: OPD in Safe House, Mobile clinic in Souk Camp, El Medina-OPD, (1 GPD, 1 Nurse Aid) 09:00-14:00 From Saturday to Thursday, El Medina ANC/PNC (1 gynaecologist, 2 nurses, 1 Medical interpreter) 09:00-14:00 From Saturday to Thursday.

3. OPD for TB cases in NCDC: a. OPD for TB at NCDC Ras Ali Areal, Misrata - Sunday to Thursday: 9 AM to 2 PM. b. Services: TB diagnostic, registration, counselling and follow up. Free of charge > All target groups.

4. IPD, TB unit 17 beds: a. MSF TB Unit with 17 beds in Misrata, address: (Tripoli street, Misrata Medical Center) – 24/7/. Services: TB and MDR patients (10 Medical staff) > All target groups.

5. TB laboratories, support to NCDC: a. TB Laboratory activities: support to NCDC: TB diagnosis either for drug sensitive or drug resistant and it’s running by microscopy and by GeneXpert techniques; X-ray facility at NCDC; Biochemistry lab. b. OPD for TB at Yefren NCDC- Tuesday- 9 AM to 2 PM; Services: TB follow up. Free of charge > All target groups.

COVERED LOCATIONS:

• Misrata: support OPD in NCDC, including lab

• TB unit in Misrata • Mobile clinic in Zliten detention center • PHC, ANC/PHC in PHC El Medina, Bani Walid • Mobile clinic in Prison, Misrata • Mobile clinic in Zinten detention center • Yefren: support to NDCD (1 day/week)

MSF-Holland

Sector: Health Objectives: • Working in detention centers providing primary health care, reproductive health, mental health, TB care facilitation, and watsan activities • Reduce morbidity and mortality due to tuberculosis in the migrant and Libyan population in Tripoli. • Emergency response to COVID-19 pandemic by providing Health promotion and training MoH medical and non-medical staff on IPC, CM and MH during COVID-19. Beneficiaries (key groups): Migrants, refugees, IDPs, non-displaced. Implementing and other partners: MoH, NCDC Donors: Funding required (USD): Funding received (USD):

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Street: Appart B2-1 2eme etage de l’imm la couverture, rue Lac Huron, les Berges du lac,Tunis Contact person: Adolphe Fotso Beatrice Lau Head of mission Medical Coordinator (OCA) Head of Mission (OCA) Libya&SAR Mediterranean Libya & SAR Mediterranean Tel: +218 9122 07067 (Libya) +216 2966 6642 (Tunisia) +216 2919 7831 (Tunisia) +218.910.004.145 (Libya) Email: [email protected] [email protected]

OPERATIONAL RESPONSE:

TB Project:

The project overall objective: reduce morbidity and mortality due to tuberculosis in the migrant and Libyan population in Tripoli.

• Support NTP to Diagnose, confirmation of MDRTB by Culture / DST in Tunis. • Support at NCDC/NTP OPD TB clinic and Abu seta hospital OPD screening of patients for presumptive TB. • Support and improve the inpatient care in Abu seta hospital TB department with support on developing SOP, protocols and on the job training for MDs and nurses. • Refer for Diagnostics (sputum, Chest X-rays) to NCDC. • Ensure GeneXpert diagnosis for all presumptive TB cases. • Follow up, health education and adherence counselling. • Highlight IPC as an important component of activities planning and supervision. • Provide training on IPC, collection sample, microscopy and GeneXpert testing procedure for Abu Seta hospital and NCDC TB OPD clinic. • Provide training session on management of DSTB/DRTB to medical staffs at both locations (NTP TB OPD clinic and Abu seta TB hospital). • All DSTB and DRTB case records properly documented. • Support the creation of a 4 bed DRTB ward in Abu seta hospital.

• To initiate, plan and coordinate with NTP and other NGOs a TB contingency plan to ensure of continuum of TB care. • Support awareness raising Radio/TV programs.

1. OPD for TB cases in NTP/NCDC: • 5 days /week TB follow up. The team is 2 nurses, 2 MDs 1 mental health activity manenger,1 adherence counsellor one lab technician

2. IPD/OPD in Abu seta hospital: • 5 days /week Medical wards round • OPD, OPD for TB confirmed patient and other activities

3. TB laboratories’ support: • Abu seta hospital, Training supply, renovation of Abu seta Lab – supply plan to donate microscope and GeneXpert for TB diagnostic • Support to NTP/NCDC: training, capacity building, TB diagnosis either for drug sensitive or drug resistant and it’s running by microscopy and by GeneXpert techniques; Sample to Ariana Lab in Tunisia for drug resistance patient.

Detention Centers projects:

Started in 2016 and there are two main components:

• Mobile clinic: working in detention centres providing primary health care, reproductive health, mental health, TB care facilitation, and watsan activities. • Referrals: using private clinics for secondary care, medical and surgical, in addition to the TB referrals (Abusalim and Shari-Alzawya DCs)

During mobile clinics we identified suspected cases in DCs and referred them for diagnostics and treatment. The TB cases and followed up for adherence on treatment in the DCs and community. We agreed with Abu seta Hospital that we could send specimen there and for MDRTB specimen send to Tunis.

Mental Health/Psychosocial care: The provision of group sessions includes psycho education, physical exercises and games activities.

SGVB: MSF provided the medical and psychological care needed all survivors seen after 72 hours.

Water and Sanitation Activities:

The activities are limited to three DCs: Shara Alzawiya, Abusalim and Anjila (before its closure). One distribution in Tarik al Sikka DC for fabric masks and hygiene kits for all detainees in the DC in October 2020.

Main activities: • NFI: distribution of hygiene kits on monthly and quarterly basis • Regular repair and maintenance of pumps, water treatment units, taps etc. • Sewage Truck in 1 DC (Abusalim) • Installation of surface pumps in DCs • Distribution of clothes and hygiene kits to the patients in clinics • Distribution of fabric masks to migrants in the DCs we work in

Emergency response COVID-19:

• MSF-H has delivered IPC, case definition and case management trainings to health care workers and is continuing to respond to request of MoH for training. 900 MoH medical and non-medical staff were trained in 2020 • In Zawyat Al Dahmani Polyclinic Triage center we provide daily Health promotion sessions to the visitors of the center.

COVERED LOCATIONS:

Description Tripoli Project TB Project Target Location Detention Centers or Community in Tripoli City and around Tripoli Target Population Migrants and Refugees, and IDPs in Libyan population Tripoli, Migrants ad Refugees Tripoli (4000 in DCs and unknown (1.5 million population) number in the community) Target Beneficiaries 10,000 – 99,000 324 DSTB & 24 DRTB Target Institutions Detention Centers Abusetta Hospital & National TB Program Project Nature Service Delivery Comprehensive Health System improvement support Expected Outcome Migrants, Refugees and IDPs have Improved capacity of the National TB Program and the access to Health care services Abusetta hospital to provide quality DSTB and DRTB care for Libyans, Migrants and Refugees. Types of Activities Mobile clinic, Mental Health, MOH Staff Training Referral, WASH, NFI Screening and Diagnosis equipment and reagents TB Drugs during rupture Hands on coaching Infection prevention and control Quality DSTB and DRTB Care Other HR support Information management support

Première Urgence Internationale (PUI)

Sector: Health Objectives: • To provide quality primary health care services and ensuring the continuity of care to respond the needs of the vulnerable populations Beneficiaries (key groups): Libyan and non-Libyan populations including internally displaced people (IDPs), the host communities, migrants, refugees and asylum seekers. Implementing and other partners: Libyan Red Crescent Donors: The DG ECHO, the EU Delegation (/IRC), the UNHCR, the AICS, and the Swiss Cooperation (SCDC & SAM) Funding required (USD): Funding received (USD):

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tunis Street: Contact person: Marianne THEÏS, Medical Matthieu LE GRAND, Head of Mission Coordinator Camille SAULNIER, Deputy Head of Mission for Programs Tel: +216 20 022 093 + 216 28 82 92 34 (HoM) Email: [email protected] [email protected] [email protected]

OPERATIONAL RESPONSE: Première Urgence Internationale (PUI) is a non-profit, non-political, international NGO. Its aim is to provide a global response to the basic needs of populations affected by humanitarian crises.

Since 2017, Première Urgence Internationale (PUI) has been operating in Eastern and Southern Libya, particularly in the regions of Benghazi and Al Kufra, to strengthen the resilience of the most vulnerable populations affected by ongoing crisis, to improve their access to basic services and to reinforce the health system through capacity building and support to the operational capacity of PHCCs. The organization’s activities in the country are built upon an integrated approach combining the provision of comprehensive primary healthcare services, psychosocial support interventions, WASH, NFI and protection assistance in order to promote health and well-being amongst the targeted populations. PUI intervention in Libya has enlarged from Benghazi city to include several sites in Great Benghazi, Ajdabiya, Derna and other cities in Jabal Al Akhdar and Al Marj mantikas, and more recently Al Kufra. PUI's current intervention is organized around 2 large geographical areas:

• Great Benghazi (and the coastal belt from Ajdabiya to Tobruk):

[UNHCR] PUI intervenes in 6 detention centers through a mobile health team providing a package of psychosocial support and primary health services including general medicine consultations, treatment of communicable and non- communicable diseases, sexual and reproductive health services, integrated management of Childhood Illness. When the health condition of the individual requires it, PUI ensures the referral of patients to private or public structures in order to ensure continuity of care for those who need it. Moreover, PUI teams regularly disseminate health awareness messages and hygiene good practices amongst the targeted population and stakeholders. Also, in order to improve the access to health and hygiene for migrants in the targeted detention centers, PUI distributes hygiene kits on a regular basis. During the COVID-19 Pandemic, specific Health and Hygiene promotion activities have allowed PUI to strengthen the beneficiaries’ ability to prevent the spread of the virus and to improve their knowledge regarding preventive measures and transmission pathways.

[EU-Delegation/IRC] The intervention in Benghazi municipality also includes the support to two health facilities for the development of a pilot model for the management of non-communicable diseases. This project implemented in consortium with IRC and PCI allowed the development of care pathways in order to have a better follow-up of these chronic pathologies for the patients. PUI plans to extend this model to other management structures targeting NCDs with a component of skill building and capacity building for staff belonging to the public health system and the provision of adapted tools.

[AICS/IRC] Through this project implemented in consortium, and in the continuity of rehabilitations conducted in past years, PUI will target and support with medical equipment five health care facilities in Benghazi, Al Bayda, Kufra and Rubyana in 2021. Structures will be targeted following evaluations conducted in the coming months.

• Al-Kufra [ECHO/Swiss Cooperation]

PUI intervention in the area of Al-Kufra started early 2020. A second mobile health team started its response in order to extend the geographical coverage of intervention to Rubyana and Tazirbu. The deployment of these teams helps to overcome the lack of medical resources in the area. The intervention is carried out through PHCCs that host the health activities delivered by PUI. A referral mechanism has also been put in place for medical emergencies.

Also, at community level, PUI coordinates a network of community health to implement sensitization activities, medical screening and referral services. In Al-Kufra as well, PUI offers psychosocial counselling via individual and group sessions. Through these activities, PUI delivers messages to highlight the importance of mental health to support the beneficiaries for efficient stress management especially during the COVID-19 crisis.

Furthermore, PUI has reinforced the prevention on health and hygiene related topics within the communities during the COVID-19 outbreak and supported local authorities in fighting the pandemic by providing trainings to health professionals. PUI’s capacity building component helped strengthen the health personnel’s ability to respond to the COVID-19 outbreak in the country. As the pandemic affected the procurement of some supplies especially personal protective equipment, PUI supported the COVID-19 Response Committees and health facilities through the donation of disinfection material, equipment, consumables and drugs

COVERED LOCATIONS:

Project Mantika Baladiya Muhalla Location name Type Benghazi Benghazi Qnfodah Ganfouda Detention Center Ejdabia Ejdabia Thawra Echaabia Ejdabia Detention Center Al Jabal Al Akhdar Shahhat Shahhat Detention Center UNHCR Al Jabal Al Akhdar Albayda Albayda Detention Center Al-Marj Al-Marj Al-Marj Detention Center Al-Marj Asshael Tolmitha Detention Center EU- Benghazi Benghazi Al Fuwayhat al Gharbiya Al Fouilhat PHCC Delegation/ Benghazi Benghazi Bu Atnai Bouatni PHCC IRC Al-Kufra Al-Kufra PHCC Al-Kufra Al-Kufra Lajhar PHCC ECHO/SCS Al-Kufra Al-Kufra Talaba Talaba PHCC (geographic Al-Kufra Al-Kufra Alshura PHCC extension to Al-Kufra Al-Kufra Bzimah jadida Bezima PHCC come) Al-Kufra Al-Kufra Aljadidah PHCC Al-Kufra Al-Kufra Gader Fai PHCC AICS Benghazi / Al- To be defined following assessments PHCC Kufra / Derna

.

Terre des Hommes Italy (TdH)

Sector: Health Objectives: • Support to hospitals and health care facilities o Delivering supplies and equipment o Training health care workers • Risk Communication and Community Engagement • Specialized and basic paediatric services • MHPSS activities linked to Protection and Education departments Beneficiaries (key groups): Just list any of key groups (IDPs, refugees, migrants, non-displaced). No need for figures. Implementing and other partners: Donors: AICS and CERF (IOM) Funding required (USD): 555,000 Funding received (USD): 457,858

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli, Libya Tunis, Tunisia Street: 207 A – Hai Al-Andalus Rue Omar El Khayyam 12 Contact person: Darius Alemzadeh, Head of Programmes Flavia Pugliese, Country Delegate Tunisia/Libya Tel: +218 94 538 7509 (mobile); +216 24 024 216 +216 24 285 777 (mobile) (WhatsApp/Viber) Email: [email protected] [email protected]

OPERATIONAL RESPONSE: Terre des Hommes Italy (TdH-It) has been operational in the Libyan Health Sector since 2019, and in 2020 has utilized funds from AICS, CERF and core funding to implement health activities in Aljabal Algharbi, Azzawya, Misurata, and Tripoli.

1. Support to hospitals and health care facilities: Prior to the current pandemic, TdH-It provided critical, surgical equipment and supplies to the General Hospital of Zintan, as well as training packages to staff. Currently, TdH-It has expanded this form of support to fourteen additional sites across West Libya and has developed training packages to assist in the response to COVID-19.

2. Risk Communication and Community Engagement: TdH-It is working in conjunction with its Education department to provide risk communication and hygiene promotion to children and families as school slowly resumes. Additional community engagement is also planned to reach critical demographics most in need of further risk communication.

3. Specialized and basic paediatric services: In 2020, TdH-It has provided specialized, paediatric surgical services and physiotherapy and rehabilitation to children from Azzintan, Tripoli and Sirte. Rapid assessments in West and South Libya have been completed and more comprehensive assessments are planned with Alemdad, HelpCode, and ODP with the intention of determining how to best deliver basic health care services and specialized referrals in West and South Libya in 2021.

4. MHPSS activities: TdH-It has included one training package with a PSS focus for healthcare workers in its CERF training. In addition, TdH-It has provided structured Tier 3 MHPSS activities to adolescent IDPs and is delivering integrated PSS programming via an Education project funded under the Education Cannot Wait (ECW) Consortium with Norwegian Refugee Council (NRC) and INTERSOS in Misurata and Tripoli.

COVERED LOCATIONS:

Region Mantika Sites 1 West Misurata Tawergha General Hospital 2 West Misurata Misruta Medical Center 3 West Misurata National Cancer Institute 4 West Misurata Misurata Hospital for Tuberculosis and Chest Disease 5 West Misurata Early Detection Center 6 West Azzawya Azzawya Teaching Hospital 7 West Aljabal Algharbi General Hospital Of Zintan 8 West Aljabal Algharbi Zintan Isolation Center مركز االستجاية السريعة غريان/West Aljabal Algharbi Gharyan Rapid Response Center 9 10 West Aljabal Algharbi Rejban Rapid Response Center 11 West Azzawya Abu Sura Isolation Center 12 West Tripoli Tripoli Children's Hospital 13 West Tripoli Tripoli University Hospital 14 West Tripoli Souq Altulataa Isolation Center 15 West Al Khoms Emhemmed Al Meqarief Health Center

United Nations Population Fund (UNFPA)

Sector: Health Objectives: • Increase access for women and girls to high quality sexual and reproductive health services, with a focus on humanitarian settings. • Improve the capacity and resilience of the health systems for the provision of integrated sexual and reproductive health services, including for the most vulnerable Beneficiaries (key groups): IDPs, refugees, migrants, non-displaced, with a focus on women and youth Implementing and other partners: Donors: Canada, European Union, France, Italy Funding required (USD): Funding received (USD):

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli – Janzour Tunis Street: OEA compound P28 Tunis, Les Berges du lac, Winderemere st Contact person: Abdulhakem Elkhamri Hafedh Benmiled Mohamad Ghaznavi Tel: +218 916485057 +216 98755435 Email: [email protected] [email protected] [email protected]

OPERATIONAL RESPONSE: UNFPA supports the Libyan health system to prevent excessive morbidities and mortalities amongst mothers, newborns and all women of reproductive age. This includes supporting the provision of high-quality sexual and reproductive health services through mobile teams of specialized health workers, medicines and equipment and by building the capacity of health care providers, including midwives and nurses.

Since the beginning of 2020, and following the alarming increase in the escalation of armed conflict in and around Tripoli, UNFPA has strived to build the resilience of healthcare institutions, health facilities and local authorities to maintain the provision of essential health services with a focus on maternal, newborn, child and adolescent health (RMNCAH) services to the vulnerable groups of population including migrants, refugees, internally displaced people, especially women, youth and newborns, to prevent maternal and newborn deaths in Libya due to the absence of skilled health providers.

UNFPA has been assisting the Ministry of Health to maintain essential reproductive services through the deployment of specialized mobile medical units to primary healthcare centers (PHCs) mostly in need, as well as the provision of training for midwives and nurses working in the PHCs to increase the resilience of healthcare institutions in the face of conflict and the COVID-19 pandemic in Libya. The mobile medical units are composed of qualified medical staff, including gynecologists and midwives. Since their deployment in 2020, they have reached over 8,900 women of reproductive age, including migrants and IDPs, through provision of regular essential reproductive, maternal ad newborn health services. Through its community-based healthcare (CBHC) interventions, with the help of community health workers (CHWs), UNFPA has disseminated healthcare awareness messages and behavior change communication, including COVID-19 risk communication, at community level, within both migrant and host communities. selected from the migrant and refugee communities, reaching over 6,563 individuals.

UNFPA has also built the capacity of healthcare providers to provide integrated SRH-GBV services amidst the outbreak of the COVID-19 pandemic in Libya. The trained service providers can perform essential integrated SRH services for women, girls, adolescents and GBV survivors and understand the referral pathways for SRH, GBV and cases with signs

and symptoms of COVID-19 contamination. A total of 537 health workers have increased knowledge on SRH and COVID-19, District Health Information System (DHIS) and HIV testing & counseling services (HTS), Minimal intital service package for RH, EmONC services trainings.

Additionally, up to September 2020, a total of 4,640 Personal Protective Equipment (PPE) supplies have been donated to targeted health facilities at the frontline of the COVID-19 response. Four types of reproductive health awareness and COVID-19 risk communication posters were distributed in AlQadesseya, Fashloum and AlJadeed PHCs and in the UNFPA WGSS in Tripoli. Also breastfeeding awareness posters were distributed to the health facilities and WGSS sites.

COVERED LOCATIONS:

City Specialty Hospital Tripoli Sexual reproductive health AlQadesseya PHC Sexual reproductive health Fashloum PHC Ghat SRH / EmONC services Ghat General Hospital Sabha Sexual reproductive health Aljadid PHC

United Nations High Commissioner for Refugees (UNHCR)

Sector: Health Objectives: • Improve access to quality primary health care programmes. • Decrease morbidity from communicable diseases and epidemics. • Improve childhood survival. • Facilitate access to integrated prevention and control of noncommunicable diseases, including mental health services. • Ensure rational access to specialist referral care. • Ensure integration into national services and explore health financing mechanisms. Beneficiaries (key groups): Refugees, IDPs Implementing and other partners: IRC, PUI, Handicap international, DRC, ACTED Donors: FCDO, Italy, Austria and EUTF Funding required (USD): 5,400,000 Funding received (USD): 7,342,462

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Street: Janzour, Palm City Residence, Villas No: 234- 20 rue des Lacs Mazuries 235, Sidi Abdul Jalil, Janzour Les Berges du Lac 1 1053 Tunis, Tunisia Contact person: Mr. Jean-Paul Cavalieri, Chief of Mission Mr. Jean-Paul Cavalieri, Chief of Mission Tel: +218912181610 +216 29 928898 Email: [email protected] [email protected]

OPERATIONAL RESPONSE: UNHCR 2020/2021 technical areas of focus are:

• Communicable diseases • Emergency-lifesaving services including triage for serious medical conditions • Non-communicable diseases • Psychological First Aid • Mental health • Reproductive Health • Child Health • Referral to secondary and tertiary health facilities • Psychosocial support and referral to specialized MH services • Pre-departure medical screening for humanitarian evacuation of refugees • Health Promotion • Support the existing health system infrastructure through quick impact projects

COVID-19 response:

• Three fully equipped ambulances provided to Hay al Andalus municipality, Tajoura municipality, and the Ministry of Health's emergency unit in Tripoli. • Five ambulances provided to Sebha, Dirj, Ghat,Wadi Al-Shati and AzZawiah LRC.

• Eleven generator provided COVID-19 response centers across the country in Benghazi, Misrata, AzZawiah, Sebha and Wadi Al-Shati. • Twelve tents were distributed to Sebha, Benghazi and AzZawiah. • Eight Hospital tents were distributed to Tripoli, Zliten, Sebha and Tobruk. • Ten Prefabricated containers distributed to Benghazi, Misrata, AzZawiah and Sebha COVID-19 centers. • 27281 soap bars, 3801 hand sanitizers and 4818 wet-wipe packages were provided to refugees and IDPs. • COVID-19 isolation facility in Misrata was supported with a generator, 500 mattresses and hygiene kits to be used by patients. • COVID-19 awareness raising campaign is ongoing in Benghazi through ACTED.

Key performance indicators, UNHCR Libya, January - October 2020:

Health service delivery: • 14,588 medical consultations provided in Tripoli, Misrata, Khoms and AzZawiah. • 5,045 mental health PSS consultations provided in Tripoli, Misrata, Khoms and AzZawiah. • 1,468 medical referrals to secondary health facilities in Tripoli, Misrata and Khoms. • 3 capacity building trainings to promote the provision of health services to refugees, IDPs and host communities.

Official web sites: Social media: https://www.unhcr.org/libya • https://www.facebook.com/UNHCRTripoli • https://twitter.com/unhcrlibya

COVERED LOCATIONS: East of Libya: • Detention centers through PUI • IDPs in urban through Handicap International • Quick impact projects

West of Libya: • Detention centers, disembarkation points through IRC • Urban areas of Tripoli and Misrata • Quick impact projects

South of Libya: • Quick impact projects

Locations of UNHCR teams

No Team Specialties Location 1 PUI Primary healthcare and referrals to Detention centers in the east secondary health care facilities

Quick impact projects Governmental health facilities in east of libya 2 IRC Primary healthcare and referrals to Detention centers and Disembarkation points in secondary health care facilities the west. Urban areas of Tripoli and Misrata Quick impact projects 3 Handicap Physiotherapy and PSS for IDPs Tripoli and Benghazi international 4 DRC Quick impact projects Governmental health facilities in west of Libya 5 ACTED Quick impact projects Governmental health facilities in east and south of Libya

United Nations Children’s Fund (UNICEF)

Sector: Health and Nutrition To provide humanitarian support and contribute in Health System strengthening for delivery of responsive Maternal, Newborn and Child Health and nutrition services focused on vulnerable population: Objectives: • Support to Service Delivery; provision of essential & lifesaving Health & Nutrition services • Strengthening Expanded Program on Immunization (EPI) • Support Data Management (DHIS-2 implementation) and evidence generation • Support competency specific training of staff • Advocacy & behaviour change communication for promotion of healthy practices • Preparedness and response to Epidemics and pandemics

Strengthening human and institutional capacities to contribute in prevention of morbidity and morbidity-focused on vulnerable population in low performing geographical areas. Beneficiaries (key groups): Libyan and Non-Libyans (Host communities, IDPs, refugees, migrants, returnees) with focus on vulnerable U5 children (girls & boys), Pregnant and Lactating Women. Implementing and other MoH, NCDC, HIC, MSO, National NGOs partners: Donors: EU, BHA, US State Department, USAID, Germany, France, Italy, Japan Funding required (USD): Funding received (USD):

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Address UNICEF Country Office, Tripoli UNICEF Country Office Libya at Tripoli Head of the office Mr. Abdul Kadir, Special Representative, Libya Country Office Tel: +218912508641 +21693237510 Email: [email protected] Contact person for Dr. Mohammad Younus, Chief Child Survival and Development, +218 910018552-Libya Health & Nutrition: and +216 98700034-Tunis; [email protected]

OPERATIONAL RESPONSE: UNICEF 2020/2021 priority areas; 1. Support to service delivery through provision of essential & lifesaving Health & Nutrition services (focused on vulnerable populations): a. Essential package (Equipment & Supplies-capacity building, data management & promotion of healthy practices) in 24 health facilities. b. Lifesaving-low cost high impact newborn package and support to data management in 670 health facilities- reaching about 50% of health facilities nationwide. 2. Preparedness and response to Epidemics and pandemics, contributing in main COVID-19 response pillars: a. Risk Communication and Community Engagement (Pillar-2). Extensive awareness creation of key precautionary measures and behaviours through all available means of communication-dissemination.

UNICEF Co-leading RCCE working group under MoH leadership-awareness creation to reach 4.8 million people nationwide. • Infection Prevention and Control in health and non-health settings (Pillar-6). Support IPC measures in Health and non-health setting, including provision of PPEs to 700 vaccination sites, triage and isolation sites and PHCs. • Maintaining Essential Health services (Pillar-9). Mitigating the negative impact of COVID-19 through continuity of health services-jumpstart package (Essential medicines and equipment, PPEs, training, behaviour change). • Contribute in National, regional and municipality level coordination mechanism (Pillar-1). • Involved in country readiness assessment for COVID vaccine through COVAX facility (delineation of roles and responsibilities of key partners and national Coordination framework are key priorities). 3. Strengthening Expanded Program on Immunization (EPI) for quality vaccination of children against vaccine preventable diseases (with focus on cold Chain equipment, quality assurance and capacity building). 4. Strengthening Integrated management of Childhood Illnesses (IMNCI). 5. Promotion on Infant and Young Child Feeding (IYCF) Practices and nutrition screening and prevention of malnutrition. 6. Training of relevant Service providers on different disciplines to ensure quality of care. 7. Support Data Management (DHIS-2 implementation), strengthening about 50% of the heath facilities nationwide. 8. Evidence generation-SMART nutrition survey, Effective Vaccine Management (EVM) Assessment (data collection, analysis and use). 9. Advocacy & behaviour change communication for promotion of healthy practices. 10. Promoting implementation of package of integrated PHC services with focus on 24 EU supported municipalities. 11. Contribute in implementation of Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH).

Key performance indicators, UNICEF, January- October 2020:

Coordination: • # of meeting attended: Participated in 24 meetings with authorities at national, regional and municipality level. • # of reports submitted: Situation report Biweekly-and monthly Triweekly produced and shared with Regional office and HQ.

Support to continuity of Health service delivery: • # of Health Facilities equipped: Provision of MNCH package in 24 health facilities (100% of targeted coverage), accessing about 120,000 population. • # of Health Centres equipped: Procurement of Lifesaving newborn package for 670 health facilities/centres (100% of targeted coverage). • # of vaccination sites equipped with Cold chain: Provision of cold chain equipment 125 Vaccination sites in 24 municipalities. • # of Vaccination sites received PPEs: Provision of PPEs (Mask and Caps) for 700 vaccination sites across the country (100% sites covered) to ensure continuity of safe vaccination services. • # of beneficiaries reached: More than 300,000 expected to benefit from IEKs and Basic kits. • # of vaccination sites assessed for cold chain inventory: One National Cold Chain inventory in progress (covering national, regional, municipality and health facility level assessment).

Risk communication and Community Engagement: • # of RCCE WG meeting held: 10 working group meetings held. • # of monthly Bulletins produced: 4 monthly RCCE Bulletin released. • # of assessment conducted: One national level behaviour assessment completed-the final report will be released in November 2020. • # of people reached with awareness messages: Extensive awareness created through production and dissemination of IEC material through different means of communication (social and mass media and mobile network-reaching to about 4.8 million clients) o Designing, development of communication material (billboard, poster, leaflets, videos. o 40 days RCCE campaign in South (30 June 2020) and ongoing RCCE campaign in East.

o Placement of RCCE consultants with NCDC, MoH and Sabha to enhance Human Resource capacity. o Contributing in National Mask Day campaign in coordination with WHO & RCCE partners.

Training of Staff: • # of staff trained on IPC: About 100 staff trained in IPC. • # of staff trained on MNCH: 200 staff from 24 municipalities planned to be trained on different disciplines.

Data Management (implementation of DHIS-2): • # of health facilities provided data collection tools: Provision of data collection tools for 670 health facilities. • # of technical support: Support to DHIS-2 server through HispIndia. • # of Staff trained on DHIS: Ongoing training of one focal person from 670 health facilities.

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COVERED LOCATIONS:

• UNICEF country office in Tripoli while Sub-office is functional at UN hub Benghazi. • UNICEF currently supporting: o 26 municipalities and 34 health facilities with package of MNCH (expanding to 10 more municipalities in south and East). o 670 Health facilities supported for DHIS implementation. o 670 Health facilities with Essential lifesaving package. o RCCE activities at national, regional, municipality and hotspots levels. o Supporting PPEs in 700 EPI sites to ensure safe vaccination.

Names of UNICEF supported targeted municipality and health facilities

# Municipality Name of targeted municipality and health facilities Donor Service Package: A). Essential package (Equipment & Supplies-capacity building, data management & promotion of healthy practices) in 24 health facilities B). Lifesaving-low cost high impact newborn package and support to data management in 670 health facilities-reaching about 50% of health facilities nationwide. 1 Albeada PHC center 6 EUTF 2 Algaraboli Ras Ghazal PHC EUTF 3 Algatroon Gaser Massoud PHC center EUTF 4 Alkhomis Sukalkhamis Maternity hospital EUTF 5 Alkufra Alkufra Maternity center EUTF 6 Shoura Alkufra Polyclinic Libya in ashoura alkofra Italian 7 Almayea Almaya-municipalities EUTF 8 Alshwerf Alshwerf Alsharkia PHC EUTF 9 Alzantan Alzantan Alsharqia PHC center EUTF 10 Alzawyea Salah Aldein PHCC EUTF 11 Baniwaleed polyclinic EUTF Baniwaleed 12 Ashmeekh PHCC Italian 13 Benghazi Sidi Younus PHC center EUTF 14 Benghazi Assabri Asharqi PHC center US 15 Brak Brak General hospital EUTF 16 Ejdabea Aldurra PHC center Italian 17 Emsead Alkhsheibat PHC center EUTF 18 Ghat Alberket PHC center EUTF 19 Janzour Janzour rural hospital EUTF 20 Merbat PHC center EUTF Misurata 21 Shuhadaa Almuqassabi US 22 Murzuk Murzuk Polyclinic EUTF

23 Alsalam PHC center EUTF 24 Ghodoa PHCC France Sebha 25 Almenshia PHCC France 26 Samno Hospital France 27 Altweila PHC center EUTF Subrata 28 Galeel PHCC Italian 29 Surman Surman polyclinic (Mojam aeadat) EUTF 30 Tahala Tahala PHC Centre EUTF 31 Tawergha Tawegha PHC unit US 32 Toubrek Almokhtar PHC center EUTF 33 Tripoli Alhani PHC center US 34 Zwara Algharbi PHC center EUTF

WeWorld-GVC (WW-GVC) Sector: Health Objectives: • Ensure and promote the adoption of WASH preventive measures to COVID-19 with direct support to Health facilities, in addition to host community, IDP’s, refugees, including the most vulnerable groups (women, children, PWD) in Sebha Mantika • Enhance the recovery of local communities, including migrant populations on the move and returnees, through inclusive access to quality basic services Beneficiaries (key groups): IDPs, refugees, migrants and non-displaced Implementing and other partners: MIGRACE Donors: EUTF, AICS, CERF Funding required (USD): Funding received (USD): 4,170,823

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli, Libya Cité les Pins, La Marsa, Tunisia Street: 2 rue de l’Histoire Contact person: Abdulwahab Elmaghrabi, National Deborah Gotti, Program Coordinator Libya Coordinator Libya Emilie Debreuille, Country Representative Tunisia and Libya Tel: +218 912111628 +216 51757594 +216 55313710 Email: [email protected] [email protected] [email protected]

OPERATIONAL RESPONSE:

WW-GVC is currently implementing health sector projects in Southern Libya, targeting Sebha Municipality, as well as Western Libya, in Maya/Maamoura, Sabratha, Sorman Municipalities

Southern Libya

Since August 2020, WW-GVC has started to implement a health emergency response to COVID-19 (funded by AICS) in Sebha. This project is part of an integrated WASH (funded by CERF) and Protection (funded by SDC) response to COVID-19 in Sebha. In the frame of the Health & WASH intervention, WW-GVC in close collaboration with its local partner, MIGRACE, is providing assistance seven primary health care facilities in Sebha by:

• refurbishing the facilities, ensuring the adequacy of the WASH infrastructures and the implementation of specific measures to prevent COVID-19 transmission (IPC) • medical waste management • providing PPE kits • providing IPC training to the targeted health facilities staff

In addition, WW-GVC and MIGRACE will support one isolation center in Sebha by providing PPE kits, medical supplies and equipment.

The rehabilitation of the targeted health care facilities will focus on water storage, handwashing stations, safe management of infectious solid waste and minor sanitation interventions – as per SPHERE standards. Hardware activities will be also integrated with dissemination of IEC material, awareness sessions and tailor-made training targeting health facility staff on prevention and minimization of risk of contagion (IPC).

The activities related to the Health Sector aim at integrating the ongoing interventions in the area and so contributing to the improvement of living conditions of the most vulnerable population and to the strengthening of health services provided by the local health care facilities in response to the COVID-19 pandemic. Together with the humanitarian assistance, these activities will foster an intervention strategy focused on the local communities and consisting of activities aimed at enhancing the resilience of the local population.

Western Libya

As part of a broader intervention funded by EUTF North Africa / AICS and implemented in consortium with other INGOs (IRC as lead applicant, PUI, ACTED), WW-GVC intervention focuses on Maya/Maamoura, Sabratha, Sorman Municipalities. WW-GVC will contribute to the recovery of Libyan and non-Libyan populations, including migrants, refugees, IDPs, returnees and host communities through improved access to inclusive and quality health services.

WW-GVC committed to restore and strengthen basic health care in Maya/Maamoura, Sorman and Sabratha through the procurement and provision of medical equipment and supplies and refurbishing seven health care facilities. Furthermore, to ensure sustainability, the action will be accompanied by a plan for maintenance.

Through a dedicated needs assessment to be conducted in November 2020, WW-GVC will confirm the equipment and rehabilitation works to be provided, as well as the list of trainings to be delivered, in collaboration with the Municipalities, the DoH.

Through training of trainers, WW-GVC will organize a series of cascade trainings for local health providers, which will be extended to the health professionals of the health facilities, supported by the proposed action. The topics of the training will be health information systems, IPC protocols, supply chain, working with migrants and refugees, protection risk analysis, responding to gender-based violence.

By strengthening community networks and local CSO’s engagement, communities will be encouraged to participate in the delivery of health services. When relevant, local CSO’s personnel will received training on 3N and protection mainstreaming, in addition protection risk analysis and responding to gender-based violence and will have a prominent role in organizing outreach activities and awareness raising events. Community mobilizers will provide health education and promotion and awareness session on inclusive access to basic services.

COVERED LOCATIONS:

Facility Location GPS Al Hejara Health care center Sebha 27°01'49.20"N 14°27'39.10"E Al Mahdya Health care center Sebha 27°02'52.96"N 14°25'42.94"E Al Qurda Health care center Sebha 27°01'35.30"N 14°25'53.40"E Al Manshya Health care center Sebha 27°02'10.80"N 14°24'56.10"E Al Tahrir Health care unit Sebha 27°02'15.46"N 14°24'28.46"E Al Tayouri Health care unit Sebha 27°00'57.80"N 14°26'44.60"E Al Jaded Health care unit Sebha 27°02'50.90"N 14°25'01.90"E Golden Polyclinic (isolation center) Sebha 27°01'42.28"N 14°26'08.33"E Almamoura Village Hospital Maamoura Need Assessment ongoing.

WORLD HEALTH ORGANIZATION (WHO)

Sector: Health Objectives: • Support to hospitals and health care facilities • Delivering medicines and supplies • Deploying emergency medical teams • Training health care workers Beneficiaries (key groups): IDPs, refugees, migrants, returnees, non-displaced Implementing and other partners: MoH, NCDC Donors: BMGF, China, DFID, Germany, France, CERF, EU, USAID, ADB, Italy, assessed contributions Funding required (USD): 30,800,000 Funding received (USD): 33,083,115

CONTACT INFORMATION:

LIBYA TUNISIA City/Town: Tripoli Tunis Street: Janzour, WHO/IOM compound El Khadra city, 1003 Tunisia, PO Box: 111 City El-Mahrajane 1092 - Tunisia Contact person: Ms Elizabeth Hoff, Country Director Ms Elizabeth Hoff, Country Director Tel: +218 91 002 5952 +218 91 002 5952 +216 71 155 600; 71 155 604 Email: [email protected] [email protected] [email protected] [email protected]

OPERATIONAL RESPONSE: WHO 2020/2021 technical areas of focus are: ➢ Coordination and health information system ➢ COVID-19 ➢ Primary and secondary health care ➢ Communicable diseases: childhood vaccination; disease surveillance and response; tuberculosis; leishmaniasis ➢ Trauma care ➢ Noncommunicable diseases (including mental health) ➢ Reproductive, maternal, newborn, child and adolescent health

WHO leads COVID-19 planning and response across the country as per 9 pillars:

➢ Pillar 1: Coordination ➢ Pillar 2: Risk communication and community engagement (RCCE) ➢ Pillar 3: Surveillance, rapid response teams and case investigation ➢ Pillar 4: Points of entry ➢ Pillar 5: National laboratory ➢ Pillar 6: Infection prevention and control (IPC) ➢ Pillar 7: Case management ➢ Pillar 8: Operational support and logistics ➢ Pillar 9: Maintaining essential health services

COVID-19 response ➢ Distributed 10,000 surgical caps, 11,397 goggles, 1,666 disinfecting materials, 2,000 body bags, 12,040 test kits, 543,720 masks, 214,800 gloves, 10,200 aprons, 13,824 swabs and VTM, 33,150 gowns, 6,835 coveralls, 36,400 face shields, 261 oxygen concentrators, 4 GeneXpert machines.

➢ 181,00 IEC materials distributed, and 3 awareness campaigns supported. ➢ Surveillance/RRT and case investigation: 104 RRT established and functional. ➢ 25 laboratories are supported.

Key performance indicators, WHO Libya, January - October 2020:

Coordination: ➢ 35 coordination meetings with authorities conducted (COVID-19). ➢ 9 coordination meetings with partners conducted (COVID-19). ➢ 236 and 18 daily and biweekly COVID-19 situation updates disseminated. ➢ 3 transmission classification and capacity assessments conducted. ➢ 43 AFP weekly updates produced. ➢ 10 health sector bulletins produced. ➢ 9 monthly 4W health sector snapshots produced. ➢ 20 WHO biweekly operational updates developed. ➢ 10 health sector biweekly operational updates developed. ➢ 15 health sector assessments conducted. ➢ 29 flash updates on attacks on health care are reported to SSA. ➢ A network of 10 field coordinators is supported. ➢ 2 Emergency Operations Centres established in Tripoli and Benghazi.

Health service delivery: • 88% of medical procedures supported by WHO are provided in areas with severity scale 3 and higher. • 73,122 medical procedures (including outpatient, referral, trauma, mental health, physical rehabilitation, delivery support consultations). • 12,511 trauma consultations. • WHO response with direct service delivery support is present in 10 out of 22 districts. • 84% of emergency medical teams (13) supported by WHO are provided in areas with severity scale 3 and higher. • 13 emergency medical teams (including 6 emergency hospital teams and 7 mobile medical teams) are supported. • 27 public health facilities are supported through 13 emergency medical teams. • A total of 169 of public health facilities receive support with health services and commodities, including 70 PHC facilities and 99 public hospitals. • A total of 1,465 standard health kits distributed across the country. • 1,338 health service providers (including community workers) are trained. • 3,350 patients supported with insulin. • 131 EWARN sentinel sites are supported.

Official web sites: http://www.emro.who.int/countries/lby/index.html https://www.humanitarianresponse.info/en/operations/libya/health

Social media links: https://www.facebook.com/WHOLIBYA/ https://twitter.com/wholibya

COVERED LOCATIONS:

• WHO operational response takes place in all 22 districts (100%). • 60 (60%) of municipalities are reached by WHO. • 27 (45%) of reached municipalities by WHO are ranked as areas with severity scale higher than 3. • Maintains two sub-offices in Benghazi and Sabha.

Locations of 13 EMTs supported by WHO:

No Team Specialties Location 1 Alzintan EHT Orthopedic Alzintan GH 2 Tarhouna EHT Anesthesia, Neurosurgery, Vascular Tarhouna GH Surgery, Internal medicine 3 Misrata EHT Anesthesia, Orthopedic, General Misrata medical Center Surgery, Vascular Surgery 4 Al Jofra EHT General Surgery Houn, Al Afia GH 5 Benghazi MMT Pediatric, Cardiology, GP, Gynecology Al Majori PC, Tawergha IDPs Camps, Sidi Khalifa polyclinic 6 Ejdabia MMT Pediatric, Internal medicine, Tawergha IDPs clinic, Abu Shaala PHC, Ejdabia Dermatology Diabetic center GP 7 Tarhouna MMT Endocrinology, Gastroenterologist, Tarhouna PC, Suk Alahad PHC, Al Khdra Gynecology, Pediatric polyclinic 8 Sabha EHT Anesthesia Sabha Medical Center 9 Ghat EHT Pediatric, Gynecology Berket PHC 10 Leishmania MMT Dermatology Tawergha GH, NCDC Misrata 11 Al Zwitina MMT Pediatric, Internal medicine, GP Al Zwitina PHC, Soltan PHC, Al Baydan PHC 12 Al Bayda MMT Pediatric, Dermatology, General Al Bayda, l Guba Rural Hospita, Al Abraq PHC, Surgery Al Gigb PHC 13 Al Sahel MMT Dermatology, Internal medicine, GP Al Sahel, Toukrah Rural Hospital, Tulmitha PHC, (diabetes) Batta Rural hospital