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Health Sector Bulletin, May 2020 Pdf, 1.55Mb Health Sector Bulletin May 2020 Launch of the heroes campaign strategy to demystify coronavirus stigmatization Northeast Nigeria Humanitarian Response COVID-19 Response 5.0 Million 4.0 Million 1.9 Million * 2.0 million people People in need targeted by the IDPs in the reached in 2020*** of health care Health Sector three States HIGHLIGHTS Health Sector • The Health Sector’s response to COVID-19 in Nigeria has 45 HEALTH SECTOR PARTNERS built on existing multi-sectoral efforts to address the (HRP & NON-HRP) ongoing humanitarian crisis affecting the north-eastern HEALTH FACILITIES IN BAY STATE** region. The Joint Support Framework takes a whole-of- 1529 (58.1%) FULLY FUNCTIONING society and a whole-of-government approach to bring 268 (10.2%) NON-FUNCTIONING together all sectors and partners operating in NE Nigeria’s 300 (11.4%) PARTIALLY FUNCTIONING COVID-19 response from the national governmental 326 (12.4%) FULLY DAMAGED authorities, non-governmental organizations, UN CUMULATIVE CONSULTATIONS agencies, academic and training institutes, donor agencies, 4.9 million CONSULTATIONS**** and the affected population. 1490 REFERRALS 320,898 CONSULTATIONS THROUGH HARD TO • The threat of the COVID-19 pandemic looms, particularly REACH TEAMS for more than 1.8 million Internally displaced persons EPIDEMIOLOGICAL WEEK 2020 (IDPs) in the three states, and even more for the 413,271 EARLY WARNING & ALERT RESPONSE IDPs living in the 51 highly congested camps (28 in Maiduguri metropolitan area and 23 in deep field 273 EWARS SENTINEL SITES locations) with an average of 12 m2/person. Decongestion 204 REPORTING SENTINEL SITES of camps and improvement of camp infrastructure are one 939 TOTAL ALERTS RAISED***** of the critical strategies required to reduce the risk of large-scale community transmission of COVID 19 among the camps population. SECTOR FUNDING, HRP 2020 • The protection and safety of frontline health workers and 2.30% FUNDED also other humanitarian workers is paramount in this GAP: 84.2M USD situation as there are reports of many health workers infected with the virus as they are more exposed to the virus while working in health facilities and communities. • Construction of quarantine infrastructure will be repurposed to serve as a safe quarantine space such as schools and abandoned buildings will improve the reception capacity for new arrivals and enable self- quarantine of IDPs before proceeding to the camps. * Total number of IDPs in Adamawa, Borno and Yobe States by IOM DTM XXX. **MoH/Health Sector BAY State HeRAMS September/October 2019/2020. ***Number of health interventions provided by reporting partners as of May 2020. **** Cumulative number of medical consultations from Hard-To-Reach Teams. ***** The number of alerts from Week 1 – 22, 2020.. 1 Situation update Multi-sector collaboration in Nigeria’s COVID-19 Response The Health Sector’s response to COVID-19 in Nigeria has built on existing multi-sectoral efforts to address the ongoing humanitarian crisis affecting the north-eastern region. The Joint Support Framework takes a whole-of- society and a whole-of-government approach to bring together all sectors and partners operating in NE Nigeria’s COVID-19 response from the national governmental authorities, non- governmental organizations, UN agencies, academic and training institutes, donor agencies, and the affected population. This framework aims to formalize the ongoing multi-sectoral work happening to address the protracted humanitarian crisis and leverage these collaborations for an effective response to the COVID-19 pandemic. The strategic objectives of the Joint Support Framework directly align COVID-19 training of burial teams with those of the COVID-19 Global Humanitarian Response Plan (GHRP) – contain the spread of the COVID-19 pandemic and decrease morbidity and mortality; decrease the deterioration of human assets and rights, social cohesion and livelihoods; and protect, assist and advocate for refugees, internally displaced people, migrants, and host communities particularly vulnerable to the pandemic. Based on these objectives, the plan prioritizes preventing the spread of COVID-19 in IDP camps and camp-like settings. Although there are very few cases in IDP camps, the density and conditions in camps create a high risk setting for rapid spread so there is a need to work proactively on prevention. Camp Coordination and Camp Management (CCCM) Sector, Water Sanitation and Hygiene (WASH) Sector, and the Shelter Sector came together with the Health Sector to build a response based on their complementary areas of expertise. The first outcome of their collaboration is the Decongestion Strategy targeting the over 400,000 individuals living in highly congested camps or sites. The plan calls for the acquisition of 1,207 hectares of land in order to prioritize decongestion as a precondition to implementing social distancing recommendations. The Joint Support Framework recognizes the existing assets and resources present in the country, encouraging local-level sector partners to contribute in their areas of expertise for a flexible and decentralized response. This can only be achieved by leveraging our partnerships and building off existing structures in place." The Health Sector engaged with the OCHA community mobilization working group, community teams in the WASH Sector, and community healthcare workers in the Polio eradication programs to leverage their networks and skills in community outreac h. As a result, a public service campaign was produced celebrating discharged COVID-19 patients as heroes for having defeated the disease. Partners are also working closely with local influencers such as community and religious leaders to provide Temperature checks for refugees and returnees at clear messaging on COVID-19 prevention and treatment. Point of Entry locations Taking a triple nexus approach, the Joint Strategic Framework allows development, humanitarian, and peace actors to contribute to a coordinated COVID-19 response in NE Nigeria. Coordination at this level brings to light cross-cutting operational challenges in the COVID-19 response that require ongoing collaboration to solve. The closures and international market fluctuations have also made personal protective equipment (PPE) procurement difficult and unpredictable in terms of cost. The Health Sector is working with the supply chain coordination cell to identify partners to fill immediate needs for supplies and collaborating 2 with the Logistics Sector to adapt the Humanitarian Cargo Movement Notification Form (HCMNF) process to serve the evolving needs. Shortages due to restricted movement pose a significant operational challenge, so the Heath Sector continues to advocate for longer term solutions to address shortages. Sex-Age Distribution of COVID-19 Confirmed Cases Borno Adamawa No Age No Age Elderly 60+ Years Elderly 60+ Years Children 6-17 Years Children 6-17 Years Adults 18-59 Adults 18-59 -80.00%-60.00%-40.00%-20.00%0.00%20.00%40.00%60.00% -60.00%-40.00%-20.00%0.00% 20.00%40.00%60.00% Male Female Male Female Yobe Elderly 60+ Years Children 6-17 Years Adults 18-59 -100.00% -50.00% 0.00% 50.00% 100.00% Male Female Jointly addressing endemic malaria and pandemic COVID-19: As the COVID-19 pandemic spreads rapidly around the globe, there is an urgent need to aggressively tackle the novel coronavirus while ensuring that other killer diseases, such as malaria, are not neglected. The WHO Global Malaria Programme is leading a crosspartner effort to mitigate the negative impact of the coronavirus in malaria-affected countries and, where possible, contribute towards a successful COVID-19 response. The work is being carried out in close collaboration with colleagues based at WHO headquarters, regional offices and country level. Malaria is a widespread endemic disease that causes illness in approximately 230 million people and kills approximately 430 000 people each year. Over the past two decades, ministries of health (MoHs), national malaria control programmes (NMCPs), district health offices, health facilities and community health workers (CHWs) have done substantial work to dramatically control the disease, and progress is tangible and visible in communities. Currently, there are effective and affordable prevention measures for malaria. Tests and highly effective drugs that clear the parasite can be used in health facilities or in the community. Trained health staff and CHWs provide interventions to prevent, diagnose and cure malaria. Together, these assets have led to significant success in reducing the morbidity and mortality of malaria over the years. The rapid emergence and spread of COVID-19 across the world has created 3 massive global disruptions that are impacting people’s lives and well-being. There is an urgent need to aggressively tackle COVID-19. Remarkable work is already underway to discover better tests to identify who has the disease and to find preventive and treatment tools to stop the infection. As this work continues, we will need to slow and stop the spread of the disease , provide care for COVID-19 patients, and minimize the impact of the epidemic on health systems, social services and economic activity. Actions to limit transmission from one person to another include reductions in social movement, physical distancing, handwashing and the use of personal protective equipment (PPE) in high-risk settings. While taking these measures, it is essential that other killer diseases, such as malaria, are not ignored. We know from the recent Ebola outbreak in west Africa that a sudden increased demand on fragile health services can lead to substantial increases in morbidity and mortality from other diseases, including malaria. The COVID-19 pandemic could be devastating on its own – but this devastation will be substantially amplified if the response undermines the provision of life- saving services for other diseases. The response to the COVID-19 pandemic must utilize and strengthen the infrastructure that has helped health programmes to address malaria and other infectious diseases around the world. If supported, these health systems will help to curb the impact of the COVID-19 epidemic and maintain essential health services.
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