MISSION UPDATE #9 COVID-19 Preparedness and Response 17 May - 23 May 2020

SITUATION OVERVIEW 1,689 The humanitarian crisis in Somalia, characterized by both natural and man-made CONFIRMED CASES1 factors, is one of the most complex and longstanding emergencies in the world. Somalia is currently facing Locust crisis, whilst simultaneously entered the Gu rainy season, with many areas recording more than twice their average rainfall, causing floods across Somalia affecting a million people and displacing over 400,000 people. With 2.6 million displaced persons, COVID-19 poses an additional challenge in already fragile context where it may further hinder access to basic services, leaving 2.6 million the population highly vulnerable. DISPLACED PERSONS2

As a key source, transit and, to some extent, destination country for migratory flows, Somalia continues to have an influx of migrants from neighboring countries through irregular migration routes, especially from Ethiopia. Hundreds of migrants are stranded in Bossaso as a result of border and sea-crossing closures brought on by the 400,000 COVID-19 pandemic. IOM data show that migration in the Eastern route is still taking NEWLY DISPLACED DURING place despite the new border restrictions in the region. While more people continue GU RAINY SEASON to arrive in Bossaso, higher number of Ethiopian migrants are stranded in the city. IOM estimates that nearly 400 migrants are currently hosted by members of the Ethiopian community living in informal settlements around the city. Recognizing that 11 March 2020 mobility is a determinant of health and risk exposure, there is a need to urgently adopt innovative, systematic, multisectoral and inclusive responses to mitigate, prepare for WHO declared COVID-19 a pandemic and respond to COVID-19 amongst the migrant population.

The number of COVID-19 cases in Somalia is increasing rapidly. As of 25 May, Somalia has confirmed 1,689 COVID-19 cases in the country, 66 reported fatalities and 235 16 March 2020 recovered cases. Somalia has the highest death rate in East-Africa. Most of the new cases are through community transmission and are reported from several regions of First confirmed case in Somalia Somalia. WHO reports that urban cities with high population density are a challenge, and suspension of all international flights as an increasing number of elderly people are affected through active transmission within households.

IOM SOMALIA COVID-19 APPEAL 8 April 2020 3,500,000 TOTAL: 4.3M (As of 23 May) First reported fatality New funds Re-purposed 850K $18 M funds 23 May 2020 *This is in line with 1,689 cases confirmed IOM Somalia’s Preparedness and Response Plan

1 As of 23 May 2020. 2 Somalia Humanitarian Response Plan 2020. (cumulative by all units during the reporting period)

SOMALIA MISSION UPDATE COVID-19 Preparedness and Response 17 May - 23 May 2020

40 HEALTH FACILITIES 3,261 PEOPLE Over 500,000 PEOPLE 1,672 PEOPLE reached with screening patients for were screened at Doolow and reached with COVID-19 COVID-19 information at COVID-19 symptoms Dhobley PoEs information (No suspected cases were recorded) (cumulative) 7 FLOW MONITORING POINTS (FMP)

23IOM - 27 March SOMALIA 2020 COVID-19IOM PREPAREDNESSSOMALIA | COVID19 PREPAREDNESS AND RESPONSE AND RESPONSE OPERATIONS

As of 23 May 2020 PUNTLAND

Bossaso Bossaso Airport Seaport Lowyacado Flow Elayo Flow Monitoring Point Monitoring Point Bossaso Flow Monitoring Point AWDAL Migration Reception BERBERA Centre (MRC) Bossaso

DHARAR Harirad Flow Migration Reception BARI Monitoring Point SANAAG Centre (MRC) Gebiley GARADAG Wajaale TOGDHEER Egal Int’l Airport WOQOOYI Burco GALBEED Airport

SOOL Buuhoodle Flow Garoowe Monitoring Point Airport NUGAAL

Galkacyo Airport GALMUDUG Cabudwaaq Airport ADADO

Cabudwaaq Flow MUDUG Monitoring Point HIRSHABELLE GALGADUUD SOUTH WEST Ferfer IOM PRESENCE PER UNIT Ceel Barde JUBALAND BAKOOL CCCM - Camp Coordination and Camp Management Doolow XUDUR Doolow Flow Monitoring MHD - Migration Health Division HIRAAN Belet xaawo Point Luuq Baidoa SNFI - Shelter and Non-Food Items Baidoa Airport WASH - Water, Sanitation and Hygiene

MIDDLE SHABELLE GEDO DTM - Displacement Tracking Matrix

BAY AFGOOYE BARDERE IBM - Immigration and Border Management Baardheere Aden Abdulle Intl Airport Seaport PORTS OF ENTRY (PoEs) IOM SUPPORTS:

MIDDLE JUBA LOWER SHABELLE Landpost Seaport Airport Dhobley Afmadow Dhobley Flow RDS - Recovery and Durable Solutions Monitoring Point DHOBLEY LOWER JUBA MPA - Migrant Protection and Assistance Kismaayo Airport LHD - Labour Mobility and Human Development Kismaayo Seaport Main Office Field Offices Ras Kamboni Satellite Offices

* For theIOM purpose SOMALIA of reporting, Elayo | COVID-19and Bossaso are consideredPreparedness as one FMP. and In total, Response IOM supports 7 flow monitoring points. For more information contact Programme Support Unit: [email protected] Not to be disseminated further without prior IOM approval. iom.int/countries/somalia

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PROGRAMME UPDATES

In coordination and partnership with relevant actors at the national, regional and global levels, IOM will contribute to the overall objective of the National Preparedness and Response Plan for COVID-19, UN COVID-19 Country Preparedness and Response IDPs reached: Plan (CPRP), as well as the IOM and WHO Global Strategic Preparedness and Response Plans to halt further transmission of COVID-19, and mitigate the impact of the outbreak, including the socio-economic impact. To ensure that IDPs, migrants, 285 INDIVIDUALS communities in hard to reach locations, returnees and vulnerable populations are reached in Doolow assisted, IOM will build its response on existing partnerships with relevant actors including 11 IDP leaders at global, regional, national and sub-national levels. IOM will address cross-cutting Indirect beneficiaries: 2,935 humanitarian and development needs through expansion of its programmes designed to engage directly with communities. 74 INDIVIDUALS During this reporting period, IOM handed over Personal Protection Equipment, reached in Kismayo including thermometers, gloves, face masks, gowns and disinfectants, to the Ministry Indirect beneficiaries: 7,781 of Health in Baidoa, Doolow, Kismayo and Garowe, to be used by staff screening at PoEs. IOM started COVID-19 screening for officials and health staff working at PoEs. The first training was organized in Hargeisa, where 21 participants were 291 INDIVIDUALS trained. Screening at PoEs continued in Doloow, Dhobley and Hudur. At seven Flow reached in Baidoa Monitoring Points across the border, IOM reached 1,672 people entering and exiting including 90 IDP leaders Somalia with COVID-19 awareness information. Furthermore, IOM conducted Indirect beneficiaries: 17,450 COVID-19 awareness and information campaigns and reached 1,028 people from migrant communities in Bossaso and 1,208 people living in districts with a high Joint activities of CCCM, MHD and WASH number of returnees in Mogadishu.

CAMP COORDINATION AND CAMP MANAGEMENT CLUSTER (CCCM)

CCCM cluster produced a map of IDP sites at high risk IOM community centers across displacement sites are equipped with solar for COVID-19 transmission in Banadir and an eviction charges to ensure the continuation of operations during current mobility alert map for Baidoa IDP sites. restrictions. © IOM Somalia 2020

CAMP COORDINATION AND CAMP MANAGEMENT (CCCM)

IOM continued to disseminate information to ensure IDPs are aware of the risks, signs In coordination with: and symptoms and mode of transmissions of COVID-19 and know the appropriate HEALTH CLUSTER MINISTRY OF HEALTH mitigation measure to reduce the risks. Awareness raising sessions were conducted at the information centres, marketplaces or during community meetings, with a highlight WHO PARTNERS IDP LEADERS on how to practice social distancing. IOM continued to distribute portable solar IDP COMMISSION OFFICES chargers to IDP leaders in Baidoa, Kismayo and Doloow to ease communication during IDP GROUPS & COMMITTEES COVID-19 restriction of movements. FRONTLINE STAFF RELIGIOUS LEADERS CCCM continues to conduct IDP COMMISSION trainings on COVID-19 prevention to different stakeholders LOCAL NGO STAFF SITE LEADERS

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MIGRATION HEALTH DIVISION (MHD)

2,226 PEOPLE entering Dhobley from Kenya were screened at PoEs 1,035 PEOPLE entering Doolow from Ethiopia were screened at PoEs No suspected cases were reported

*IOM also screens at Hudur PoE. No new entries during the reporting period.

IOM and the Ministry of Health, through 40 health facilities, continued to screen patients for COVID-19 symptoms and to conduct awareness sessions about COVID-19 preventive measures. IOM donated Personal Protection Equipment (PPEs) to the Ministry of Health (MoH) in Baidoa, Kismayo, Dhobley and Garowe, to be used at Point of Entries (PoEs) and supported health facilities. Furthermore, IOM started to roll out trainings for screeners at PoEs. The first training was held in Hargeisa in collaboration with the Ministry of Health and Development. A two-day training was organized on COVID-19 screening IOM health staff screens a patient in Hudur Health clinic, South and infection, prevention and control measures. A total of 21 West State of Somalia. © IOM Somalia 2020 health workers were trained, who will be deployed at Woqooyi Galbeed, Sahil and Awdal border regions in Somaliland. In Sanaag region, 25 MoH staff were trained on COVID-19 screening. WATER, SANITATION

& HYGIENE (WASH) COVID-19 awareness raising sessions in health facilities and IDP sites reached: IOM continued its community mobilization and sensitization sessions on good community hygiene and sanitation practices to 397 through HUDUR STATIC CLINIC IDP community leaders in coordination with MHD and CCCM. 482 through HUDUR MOBILE TEAM 780 IN DHOBLEY 800 HOUSEHOLDS provided with IN DOOLOW Qansaxley Health Center HYGIENE KITS in Doolow 532 456 IN DOOLOW Kabasa Health Centre 3,009 HOUSEHOLDS reached with HYGIENE PROMOTION activities in Kismayo, 120 IN KISMAYO Doolow, Bardhere, Luuq, Baidoa and Wajale 681 IN BAIDOA 6 HYGIENE PROMOTORS trained 731 IN BARDHERE in Wajale 753 IN AFGOYE 50 HANDWASHING POINTS installed Activities are closely coordinated with the Ministries of Health 10 in Baidoa, 10 in Doolow, 30 in Wajale at Federal and Member State level and with local authorities.

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LABOUR MOBILITY AND MIDA23 - 27 March HEALTH2020 EXPERTSIOM SOMALIA | COVID19 IN SOMALIAPREPAREDNESS AND RESPONSE HUMAN DEVELOPMENT (LHD) PUNTLAND

SOMALILAND Through IOM’s Migration for Development in Africa (MIDA) AWDAL programme, health advisors are contributing to the COVID-19 Berbera Ceerigaabo Borama SANAAG BARI preparedness and response. A health advisor attached to the

Gebiley Hargeysa TOGDHEER Ministry of Health and Development in Mogadishu, is strengthening WOQOOYI Burco GALBEED the National Laboratory for quality and timely diagnostic services Buuhoodle Laas Garoowe CaanoodSOOL by providing guidance on standard operating procedures, especially NUGAAL to adequate the facility for COVID-19 testing.

GALMUDUG MIGRANT PROTECTION MUDUG

HIRSHABELLE GALGADUUD SOUTH WEST AND ASSISTANCE (MPA)

BAKOOL JUBALAND IOM continues to provide direct assistance to stranded HIRAAN Ethiopian migrants in in Bossaso and Hargeisa through Migration Baidoa Response Centers (MRCs) and Ethiopian Community Centers MIDDLE SHABELLE GEDO (ECCs). Both centers provide essential services, including health BAY Mogadishu assistance, psychosocial support and provision of Non Food

MIDDLE JUBA LOWER SHABELLE Items (NFIs). During the reporting period, IOM supported the following activities: LOWER JUBA

Kismayo 300 MIGRANTS from 2 informal settlements in Bossaso RECEIVED WATER

260 MIGRANTS in 3 locations in Bossaso IOM SOMALIA | COVID-19 Preparedness and Response received INFORMATION ON SERVICES available For more informationDISPLACEMENT contact Programme Support Unit: [email protected] TRACKING in MRCs Not to be disseminated further without prior IOM approval. iom.int/countries/somalia MATRIX (DTM) 2,331 PEOPLE reached with COVID-19 AWARENESS INFORMATION; 1,123 in Bossaso IOM continues to raise awareness among migrants crossing and 1,208 in Mogadishu the border at seven Flow Monitoring Points (FMPs). During the reporting period, 2,758 people, entered and exited Somalia. MPA partnered with WASH in the distribution of handwashing COVID-10 information was shared with 1,627 individuals, who facilities to two selected Ports of Entry in Somaliland region reported to be unaware of the COVID-19 situation. (Tog-Waajale and Bali Gudable) and for the donation of two handwashing stations to the Ethiopian community and the MRC FMP INCOMING OUTGOING TOTAL in Hargeisa. Bossaso 439 168 607 Buuhoodle 168 32 200 Cabduwaq 636 0 636 Harirad 338 0 338 Lowyacado 92 92 184 Dhobley 230 204 434 Doolow 211 148 359 IOM distributes COVID-19 information in Bossaso to migrants and GRAND TOTAL 2,114 644 2,758 and vulnerable groups. © IOM Somalia 2020

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DONORS TRAINING HEALTH STAFF AT BORDER POINTS TO COMBAT COVID-19 IN SOMALIA

Health staff attend a COVID-19 diagnosis, transmission and prevention training in Hargeisa to apply the skills at Points of Entry in Somaliland. © IOM Somalia 2020

IOM, through funding from CERF, conducted a two-day training for health staff working at various Points of Entry in Somaliland region. The participants were trained on COVID-19 diagnosis, transmission and prevention and received guidelines for responsible and effective use of the Personal Protective Equipment (PPE). Through a practical demonstration and role play, the health workers were able to practice the procedures. The health staff will be deployed at , Berbera port and several land border posts.

IOM GLOBAL INITIATIVES The current outbreak of COVID-19 has affected global mobility in the form of various travel disruptions, restrictions and blockages. To better understand how COVID-19 affects global mobility, the International Organization for Migration (IOM) has been working to map the impacts on human mobility, at Global, Regional and Country level. Subsequently, the IOM globally have initiated the following activities:

COVID 19 Travel Restriction Monitoring;

COVID 19 Country Points of Entry (POE) Status Baseline Assessment.

The different products (Interactive Dashboards, Reports, Static Maps, Databases), along with the different methodologies can be foundhere.

The data from Somalia is based on input provided by IOM Somalia's DTM team.

CONTACT IOM SOMALIA

COVID19 PREPAREDNESS AND RESPONSE Irfan Hameed - Coordinator for COVID 19 Preparedness and Response [email protected]

PROGRAMME SUPPORT UNIT Yuko Tomita - Programme Support Coordinator [email protected] http://www.iom.int/countries/Somalia

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