UN EBOLA RESPONSE Multi-Partner Trust Fund
The Office of the Special Adviser on the 2030 Agenda for Sustainable Development and Climate Change Multi Partner Trust Fund Office, UNDP http://mptf.undp.org/ebola STEPP Strategy
Strategic Objective 1: STOP the outbreak
Mission Critical Action 1: Identify and Trace People with Ebola Mission Critical Action 2: Safe and Dignified Burials
Strategic Objective 2: TREAT the infected
Mission Critical Action 3: Care for Persons with Ebola and Infection Control Mission Critical Action 4: Medical Care for Responders Provision
Strategic Objective 3: ENSURE essential services
Mission Critical Action 5: Provision of Food Security and Nutrition Mission Critical Action 6: Access to Basic (including non-Ebola Health) Services Mission Critical Action 7: Cash Incentives for Workers Mission Critical Action 8: Recovery and Economy
Strategic Objective 4: PRESERVE stability Mission Critical Action 9: Reliable Supplies of Materials and Equipment Mission Critical Action 10: Transport and Fuel Mission Critical Action 11: Social Mobilization and Community Engagement Mission Critical Action 12: Messaging
Strategic Objective 5: PREVENT outbreaks Mission Critical Action 13: Preventing Outbreaks Other: Enabling Support to all Objectives
RECOVERY Strategy
RECOVERY Objective 1: RS01
Health, Nutrition, and Water, Sanitation and Hygiene (WASH)
RECOVERY Objective 2: RS02
Socio-Economic Revitalization
RECOVERY Objective 3: RS03
Basic Services and Infrastructure
RECOVERY Objective 4: RS04
Governance, Peace Building and Social Cohesion 03 Foreword 04 Executive Summary 09 Report Structure 11 Operations and Governance Structure 13 Contributions 15 2016 Lessons Learned Exercise 19 Guinea; Mission Critical Actions and Recovery Strategy Objectives 41 Liberia; Mission Critical Actions and Recovery Strategy Objectives
53 Sierra Leone; Mission Critical Actions and Recovery Strategy Objectives 73 Regional; Mission Critical Actions 77 Stories from Communities 83 Financial Information
Cover Photo: © UN - Liberia UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
Recipient ORGANISATIONS CONTRIBUTORS
AUSTRALIA, Government of LATVIA, Government of FAO
Bahrain Royal Charity ORG LUXEMBOURG, Government of
ICAO BELGIUM, Government of Malaysia, Government of
Bolivia, Government of MALTA, Government of ILO
BRAZIL, Government of Mauritius, Government of
IOM CANADA, Government of MONTENEGRO, Government of
CHILE, Government of NEW ZEALAND, Government of UNAIDS
CHINA, Government of NORWAY, Government of
UNDP COLOMBIA, Government of Peru, Government of
CYPRUS, Government of Philippines, Government of UNESCO
CZECH Republic, Government of PORTUGAL, Government of
UNFPA DENMARK, Government of REPUBLIC of KOREA, Government of
ESTONIA, Government of ROMANIA, Government of UN HABITAT
FINLAND, Government of SWEDISH INTERNATIONAL DEVELOPMENT COOPERATION
UNHCR GEORGIA, Government of SWISS AGENCY FOR DEVELOPMENT & COOPERATION
GERMANY, Government of The Russian FederatioN, Government of UNICEF
Guyana, Government of TOGO, Government of
UNMEER HOLY SEE TURKEY, Government of
INDIA, Government of UNITED KINGDOM, Government of UNOPS
IRISH AID VENEZUELA, Government of
UN WOMEN ISRAEL, Government of Volvo Group
PRIVATE SECTOR JAPAN, Government of WFP
Kazakhstan, Government of
WHO
2 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
FOREWORD
The UN Secretary-General established the Ebola Response Multi-Partner Trust Fund (MPTF) in September 2014 to support the UN System’s Ebola Response. The Fund met its goals. It offered all phases of the Response a fast, collaborative and strategic financial mechanism that helped Guinea, Liberia and Sierra Leone, the countries hardest hit by the outbreak, to bring Ebola transmission to zero and embark on recovery. Though the World Health Organization (WHO) declared the threat from Ebola to international public health over in March 2016, the work of strengthening preparedness for health crises and rebuilding the lives of those affected by the outbreak has only just begun. There are an estimated 11,349 survivors in West Africa with many others having lost their support networks to the virus. In this regard, the Fund’s Recovery Window, established in April 2015, commenced projects to support at-risk populations. Interventions focused on providing basic health services as well as helping communities meet water, sanitation and hygiene needs. They engendered community leadership on surveillance and behavior change, and lent psycho-social, medical and livelihood support to Ebola-affected people. This past year, the Fund commissioned an independent Lessons Learned Exercise (LLE) on the Ebola Response MPTF operation. It concluded that the Fund performed exceptionally well considering the unprecedented nature of the epidemic and given the fragility of the three most affected countries. In its third year of operations, the Ebola Response MPTF built on this success, filling gaps in emergency response while also implementing projects focused on longer-term recovery. In 2016, Ebola Response MPTF-funded projects played a critical role in containing Ebola flares in Guinea, Liberia and Sierra Leone. Projects provisioned the equipment, training, community outreach and other resources needed to quickly contain these outbreaks. The Fund not only helped countries reach zero transmission, it helped communities to stay there, demonstrating the importance of flexible and fast finance during crisis situations. In addition to supporting emergency response, the Fund contributed to building and upgrading infrastructure that countries could leverage into the future. This included, for instance, the foundation for digital payments to health workers, isolation units in health facilities, water pipelines and latrines. Initiatives empowered communities to lead on health and development endeavors with the aim of ensuring their sustainability. Pilot projects, now proven, could be replicated and expanded with other sources of funding and additional country engagement. The Ebola Response MPTF made important contributions to the UN Ebola Response. Going forward, it will be important to draw on the lesson learned from the Fund and ensure that communities and Nations are better prepared for the next threat to public health.
Dr. David Nabarro
Special Adviser to the UN Secretary-General on the 2030 Agenda for Sustainable Development and Climate Change
3 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
Executive Summary
This report details the 2016 contributions of the Ebola Response Achieving a Resilient Zero Multi-Partner Trust Fund (MPTF) to the UN Ebola Response. During this reporting period and since its inception, the Fund Ending transmission and achieving a “resilient zero” meant significantly contributed to the efforts of Guinea, Liberia and bolstering surveillance, contact tracing, social mobilization Sierra Leone, the countries at the epicenter of the outbreak, and communications, especially through deep community to reach and sustain zero Ebola transmission. In 2016, funded- engagement. Ebola Response MPTF-funded projects also projects supported the rapid containment of Ebola flares in supported cross-border collaboration, financial infrastructure for all three countries through a variety of initiatives. This report digital payments, and a regional Ebola aviation plan. also describes the groundwork that projects laid to support Ebola Response MPTF-funded projects supported interventions recovery. With a view to maintaining zero transmission, that quickly contained the Koropara flare in Forest Guinea. recovery initiatives fostered community engagement, built One project trained 448 body washers and 79 mediators, and health infrastructure, met basic health and livelihood needs of prepositioned protective gear in communities. In the Macenta vulnerable populations, and bolstered preparedness for other and Nzérékoré prefectures, 19 safe and dignified burials (SDBs) health emergencies. and 83 rapid detection tests (RDTs) were completed. This project Background also supported the National Ebola Response Center (NERC), including by providing supplies to 207 families and 1,656 In September 2014, the UN Secretary-General created the Ebola people, and deploying a 16-member medical team to care for Response MPTF to support the UN System’s Ebola Response. those affected by micro-cerclage activities. This team conducted Over the past three years, the Fund provided grants to twelve 1,088 medical consultations and issued 14 alerts. UN entities, inclusive of UNMEER, WHO, UNICEF, WFP, UNDP, In addition, this project provisioned eight vehicles, including UNFPA, UNOPS, UN WOMEN, ILO, UN-HABITAT, UNAIDS and four ambulances to support the response. They also covered ICAO. It financed projects that contributed to 11 out of 13 Mission incentive payments to 272 healthcare workers deployed to 34 Critical Actions (MCAs), the guiding principles of the UN system Centers for the Treatment of Infectious Potential Epidemics STEPP strategy for Ebola Response: Stop the outbreak; Treat (CTEPIs), and helped the NERC to follow 472 survivors and the infected; Ensure essential services; Preserve stability; and 1,072 survivors or families of survivors to assure their access to Prevent outbreaks in countries currently unaffected. Beginning in health care. A separate project, focused on payments to Ebola April 2015, the Fund’s Recovery Window commenced finance to Response Workers (ERWs), provided incentives to all NERC staff projects supporting the achievement of four Recovery Strategic involved in the response. Objectives (RSOs): Health, Nutrition, and Water, Sanitation and Hygiene (WASH); Socio-Economic Revitalization; Basic Services and Infrastructure; and Governance, Peacebuilding and Social Cohesion. The Fund achieved its priority objective – to offer all phases of the Response an efficient, collaborative and strategic financial mechanism to quickly meet unfunded needs. Designed to mobilize resources from a wide-variety of stakeholders and to distribute them in response to high quality spending proposals, the Ebola Response MPTF had one of the highest levels of donor engagement ever seen in a UN trust fund. It received contributions from 42 UN Member States, two foundations, three businesses, and many individuals, including school children. As of March 2017, contributors deposited US$166,358,262 in support © UNICEF - Guinea of the Fund, and the Fund disbursed US$159,604,285. As of 31 December 2016, the Fund’s expenditure was US$144,560,210. From October 2015 to March 2016, UNICEF and partners By the beginning of 2016, public health authorities had reached 172,974 households with messaging that built pronounced Guinea, Liberia and Sierra Leone Ebola-free, but awareness, led to behavior changes and built trust in local the virus re-emerged in all three countries. These flares, active communities. The agency helped setup of 130 operational the first half of 2016, were quickly contained by the processes units across Conakry’s districts and on the islands of Loos. and capacity put in place by the Response. Ebola Response Approximately 2,530 members of these units, including 130 MPTF-funded projects thus focused on ending transmission, reporters, improved community outreach and built trust and helped Guinea, Liberia and Sierra Leone achieve a “resilient with elected local authorities. They also received 1,051 zero.” At the same time, other interventions provided healthcare image boxes to facilitate Ebola awareness sessions, and and socioeconomic support for vulnerable groups, including 139 motorbikes were made available to district councils. survivors, strengthened basic health services, and improved These units conducted 14,540 door-to-door visits, 4,381 sanitation and hygiene, enabling initial recovery in the region. educational lectures and 520 public events. Through this same 4 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Executive Summary project, UNICEF also planned activities with 780 members of 15 computers and accessories; 15 printers; 15 copy machines; Community Watch Committees (CWC) and District Watch 50 mobile telephones; 50 SIM Cards plus airtime credit; and Committees (DWC) in the prefectures of Kouroussa, Siguiri 40,000 liters of fuel for generators. Projects also engendered and in Conakry. These raised awareness on Ebola’s existence, youth social mobilizers, radio stations and transit centers prevention, acceptance of survivors, safe burials, monitoring towards the goal of stopping Ebola transmission through and treatment. education and action. Also in Guinea, to stop transmission, UNICEF set up rapid An Ebola Response MPTF project also supported a vaccination response teams that worked with 47 community platforms trial in Guinea. In May 2016, the project enrolled 48 survivors to address alerts. A base camp, built in 72 hours, brought in a study and 1,629 contacts vaccinated. together 200 people to support the micro-cerclage. To ease In Sierra Leona, Ebola Response MPTF projects also communications and information sharing, UNICEF provided accelerated efforts to stop the virus in the four districts with phones to key partners and internet access. Projects also on-going transmission and to prevent a reverse in progress in distributed 2,700 hygiene kits in 47 health facilities and areas with no active cases. Strengthened surveillance systems, provisioned 60 health centers with essential medicine and cross-border collaboration, rapid investigation and response, nutrition supplies. Also with Fund support, UNICEF built three and community mobilization and engagement activities Community Care Centers and six isolation units. through funded projects ensured that the “zero” achieved was Projects empowered communities in Guinea to lead the resilient and that capacity to promptly respond to flares was monitoring, surveillance and behavior change that would maintained. stop Ebola. Through partnership with the Guinean Red The approach was successful. Ten Ebola cases were confirmed Cross, a project trained 825 people on key interventions like in Sierra Leone during the reporting period - Kambia (6), safe burials, safe transport of the deceased, and disinfection Tonkolili (3) and Bombali (1) - from four transmission chains. of Ebola-suspected areas. The Guinean Red Cross was also With the exception of the Sella Kafta community (Kambia), provisioned with: one truck and four, 4x4 pickup trucks; 15 all the other transmission chains, including in Tonkolili and motorbikes and helmets; 15 generators; 15 power stabilizers; Bombali, were contained within the second generation,
© UNICEF - Guinea 5 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
Executive Summary
Projects also addressed transmission by improving cross-border, regional and financial preparedness. One initiative prevented cross-border Ebola transmission through the development of a bilingual form that supported joint investigation, contact tracing and easy transfer of patients with symptoms to their place of origin. In addition, WHO provided technical support to the establishment of cross-border engagement MoUs for surveillance, information exchange and coordinated responses to public health events at the borders of Sierra Leone and Guinea. WHO also worked with the regional Inter-Country Support Teams and Manu River Union to bring together stakeholders from Guinea, Liberia and Sierra Leone to develop a regional cross-border framework of cooperation on surveillance and response. Point of Entry screening was enhanced in Sierra Leone, with services set to continue © WHO - Sierra Leone indefinitely. meeting the rapid response target set by WHO. A total of 60 Regional preparedness was undertaken by the International contact tracers, supervised by 10 contact tracing mentors and Civil Aviation Organization (ICAO), which is implementing eight epidemiologists followed the 2,767 contacts that were line an Aviation Ebola Action Plan through Collaborative listed from the 10 cases during the project reporting period. For Arrangement for the Prevention and Management of Public each event, a daily average follow up rate of 98% was maintained Health Events in Civil Aviation (CAPSCA), a global program and Ebola transmission was brought to zero. to improve preparedness planning and response to public To increase case investigation, 300 surveillance officers were health events that affect the aviation sector. In 2016, ICAO trained across Sierra Leone, the majority in the Western Area held four training events, two regional training events and (200), Port Loko (25), Kambia (20) and Bombali (30). The completed 15 Assistance Visits (AVs) in Africa to improve surveillance team also developed and revised surveillance airports’ and stakeholders’ readiness for a health crisis. The and contact tracing standard operating procedures (SOPs). implementation of CAPSCA focal points for this project In silent chiefdoms, 934 village health committees were improved communication between ICAO, the WHO and State formed and supported by integrated surveillance and social representatives, as well as between the public health and mobilization teams. aviation sectors in general. By February 2016, 144 trainers (TOTs or training of trainers), 1,546 Finally, through the Payments Program for Ebola Response health workers from 1,315 health facilities and 20 clinicians were Workers (PPERW), UNDP supported progress on the trained in Integrated Disease Surveillance and Response (IDSR), implementation of electronic payments. These allowed ERWs bringing health facilities’ reporting rates up to 92% by the last to be paid accurately and on-time, helping to assure continuity week of March 2016. To further support surveillance, with Ebola of health services and care during the Ebola Response. This Response MPTF funds, WHO supported the Ministry of Health reporting period, in Guinea, this project sought to give the most and Sanitation (MoHS) to train 4,500 community health workers vulnerable populations of the country access to competitive in community-based surveillance. electronic financial services. The project provisioned software and supported training that gave the BCRG and its financial The epidemiologists and contact tracers deployed in Sierra partners tools to better regulate and support the sector. It Leone were also key in the identification of contacts for a supported MFIs progress on the development of electronic pilot administration of the Ebola vaccine in Kambia, Bombali payments. and Tonkolili. Since August 2015, a total of 433 contacts were vaccinated and monitored, which contributed significantly to the end of transmission. Basic Health Services Another project in Sierra Leone focused on convergence, The Ebola outbreak had direct and indirect effects on basic participation and equity at the community level through platforms health services. The outbreak devastated already fragile that brought various stakeholders together. With Ebola Response health systems in West Africa, leaving mothers and children MPTF support, 56 chiefdoms established rapid response teams, vulnerable to complications from other treatable conditions. and along with 426 village development committees (VDCs), In Liberia, for instance, maternal, newborn, and under-five were trained in outbreak response. In addition, this project morbidity and mortality rose in a country where the provision deployed 430 trained social mobilizers to engage communities of maternal and neonatal care and family planning services during the response and preparedness phases. Key stakeholders, was already low, and where teenagers accounted for one third especially Paramount Chiefs, ensured community support for of pregnancies. In addition to overwhelming health services, it ring vaccination in relevant chiefdoms. was realized that Ebola could be sexually transmitted for up to nine months after a survivor cleared the initial infection. 6 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Executive Summary
Ebola Response MPTF projects addressed these basic health 30 health facilities to facilitate outreach activities in the regions of service needs. In the districts of Tonkolili and Kono of Sierra Nzérékoré and Kindia. In collaboration with the Ministry of Health, Leone, a project enabled the Ministry of Social Welfare, Gender UNFPA also conducted a workshop for 68 midwives to improve and Children’s Affairs (MSWGCA), through the Sierra Leone their knowledge of BEmONC. In a separate project, the UNFPA Association of Ebola Survivors (SLAES), to verify and register collaborated with the Ministry of Health and other partners, to 239 survivors, contributing to the creation of a survivor database improve reproductive health indicators and the health system in in the country. Of these 239 survivors, 96 were men older than Kindia. The project provided reproductive health commodities, 15, and they were trained on safe sex practices and provided materials and equipment for 30 health facilities in the target area counselling on semen testing. Also in Sierra Leone, UNAIDS and deployed 60 skilled, national midwives. and WHO used Ebola Response MPTF funding to set the foundation for a project that will provide continuous supportive counseling to Ebola survivors, Ebola survivors with HIV and their partners, and Ebola-affected populations with the goal of mitigating the risk of resurgence through sexual transmission as well as preventing other sexually transmitted infections. Other projects focused on reviving neonatal and maternal health services. A project in Liberia improved Basic Emergency Obstetric and Newborn Care (BEmONC) in nine project facilities across Lofa, Grand Cape Mount and Gbarpolu counties, rehabilitating clinics and improving their BEmONC compliance. Foya Borma Hospital (Lofa County) became fully compliant. The project also recruited and trained health facility staff in BEmONC, trained 280 community health workers, © UNFPA - Guinea and improved medicine stocks, with 89% of target facilities reporting no “stock out,” up from 44%. Wash and Sanitation In Liberia and Sierra Leone, projects featured WASH interventions to reduce the risk of Ebola transmission, bolster resilience and improve livelihoods. One Liberian project presented an integrated package addressing water supply, sanitation and youth employment in Clara Town, a slum community of about 74,000 people hard hit by Ebola. Through it, 50% of the community gained access to solid waste collection and 60 youth graduated from training programs in carpentry, masonry and plumbing services. The project laid 70% of a planned 5,000-meter water supply pipe, rehabilitated 15 existing water kiosks and constructed seven more. Project achievements enabled access to at least 20 liters of water per person per day within 200 meters of homes for an estimated © UNFPA - Liberia 75% of the population, while reducing que times for water Another project in Liberia strengthened reproductive to under ten minutes. Funds also supported the completion maternal, newborn and adolescent health service delivery of five, new six-cubicle public flush latrines, and rehabilitated in Maryland County. With Ebola Response MPTF resources, five existing facilities, which increased access to toilets and three clinics were upgraded, clinic staff offered 24/7 health reduced open defecation. services, health volunteers engaged with local communities, In Sierra Leone, projects that incorporated WASH measures in and trained midwives were deployed to the clinics. As a result, school and health care facilities, along with community water the number of deliveries conducted by skilled providers in supply improvements, greatly contributed to behavior change the health facilities referred by midwives increased from 126 that prevented transmission. With Ebola Response MPTF to 384 out of 540; the number of women and newborns that support, 10 communities or an estimated 12,000 people were received home care after delivering increased by 67.3%; the declared Open Defecation Free (ODF) and an approximately number of adolescents accessing family planning increased 1,250 people (637 women) were given access to safe water from 489 to 516 on a quarterly basis; and there were less from five constructed/rehabilitated water sources in ODF reports of “stock-outs” of essential medicines. communities. Because of the projects, approximately 10,500 In Guinea, UNFPA equipped the maternity wards of 20 health people gained access to health care services from seven facilities with reproductive health kits in the three regions of healthcare facilities that were provided with comprehensive Kindia, Nzérékoré and Conakry. It also provided 30 motorcycles to 7 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
Executive Summary
WASH services, and ten primary schools gained comprehensive of psycho-social support. Just over 270 healthcare staff were child-friendly WASH services benefiting over 2,000 children. deployed to 34 health centers to implement the government’s SACEINT strategy for survivors. In addition, the project supported the broadcast of 20 radio programs on survivors’ issues and deployed 60 social workers to targeted prefectures to determine the socio-economic needs of Ebola response workers. Ebola Response MPTF funds also supported children in Guinea. With project funds, UNICEF helped create a safe environment for 7,400 children, and organized psychosocial support, including for 457 orphans. At least 15,517 people, including 4,123 community leaders participated in family and community dialogues addressing family separation and solidarity with those affected by the outbreak. Expediting the socioeconomic rehabilitation of Ebola survivors was also a priority in Sierra Leone, and projects targeted 2,317 vulnerable survivors in seven hard-hit districts (Kailahun, Kenema, Moyamba, Port Loko, Kambia, Bombali, Tonkolili and Koinadugu). Through project funds, 1,667 vulnerable survivors © UNICEF - Sierra Leone benefitted from a social safety net scheme and received Supporting the Vulnerable periodic stipend payments of up to US$153. Project partners also provided career counselling and other short-term skills Though, on 29 March 2016, the World Health Organization training programs to 1,485 beneficiaries. (WHO) pronounced the end of the Ebola threat to global In Sierra Leone, subsequent disbandment of the Safe and public health, those that were left vulnerable by the outbreak Dignified Burial (SDB) teams as the outbreak ended was met - survivors, health workers, orphans, widows, widowers, and with the development of a reintegration and reskilling program many more - were just beginning to rebuild their livelihoods by UNDP in partnership with the International Federation of and their communities. Ebola Response MPTF-funded projects Red Cross and Red Crescent Societies (IFRC). This project saw supported both the socio-economy recovery of vulnerable 800 Ebola response volunteers entered into either vocational groups, as well as their access to basic services. training, further education, business development support or In Guinea, one project aided the socio-economic recovery of career advisory and placement services. communities in Guéckédou, Macenta, Nzérékoré and Kindia, In summary, the Ebola Response MPTF successfully contributed improving the outlook for 708 Ebola-affected households to meeting the urgent needs of Ebola-affected countries as by providing US$315 for each household. Communities also they worked to end transmission and begin recovering from benefited from the project, which supported 29 social and the outbreak. In 2016, the Fund assured fast and flexible economic initiatives that restarted economic activity, including finance that helped end Ebola flares in each of Guinea, Liberia through the construction of public latrines, water pump and Sierra Leone, and helped establish the infrastructure and maintenance, agricultural equipment, health centers and the processes to assure that communities not only reached zero rehabilitation of administrative buildings. transmission, but took the lead in remaining Ebola free. Until Another project organized 412 community healing sessions to its scheduled closure, the Ebola Response MPTF will continue support the reintegration of Ebola-affected people. Through supporting the recovery, preparedness and resilience of these this project, Red Cross volunteers reached 11,991 people with focus countries. messages of inclusion and identified health workers in need
8 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Report Structure
This Annual Report highlights the achievements of the UN In line with the Memorandum of Understanding (MOU), the Ebola Response Multi-Partner Trust Fund (MPTF) in 2016, report presents a comprehensive, consolidated review of discussing operations and projects approved for funding as progress based on information and data contained in the of 31 December 2016. It describes how the Fund supported individual progress reports and financial statements submitted progress in Guinea, Liberia and Sierra Leone as well as by Recipient Organizations to the MPTF Office. The report regionally towards the Mission Critical Actions (MCAs) and serves neither as an evaluation of the Ebola Response MPTF Recovery Strategic Objectives (RSOs) of the UN Ebola nor an assessment of the performance of the Participating Response. The report also presents a financial analysis, Organizations. However, it does provide the Ebola Response detailing fund disbursements and expenditures as of 31 MPTF Advisory Committee with an overview of achievements December 2016. and challenges associated with projects funded through the UN Ebola Response MPTF, enabling it to make strategic decisions.
© UNICEF -Sierra Leone
9 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT EBOLA RESPONSE MPTF at A Glance RESPONSE 166 million 47 donors Contributed Including Private Sector Stop TREAT ENSURE PRESERVE PREVENT 36 million 57 million 19 million 20 million 19 million 159 million 12 UN Entities RECOVERY Allocated RS01 RS02 RS03 RS04 Health, Nutrition and Socio-Economic Basic Services and Governance, Peacebuilding 11 MCAs 4 RSOs WASH Revitalization Infrastructures and Social Cohesion Supported Supported 2.5 million 2.2 million 2 million 0.5 million Where the funds CAME from
Europe North America $100,436,714 $7,154,056 Oceania $9,924,400
Asia $39,081,742 Africa South America $21,581 $7,101,687
40 Member States Contributors *Note: Individuals and Foundations not included in the map
Funding per Country as of 31 Dec 2016 Funding per MCAs and RSOs as of 31 December 2016
1% Guinea MCA01 - Identify and Tracing 19.31% MCA02 - Safe and dignified burials 3.55% Total 40% Liberia 33.43% 32% Allocation MCA03 - Care for persons Sierra Leone $159m MCA04 - Medical care for responders 2.63% Regional MCA05 - Food security and nutrition 0% MCA06 - Basic Services 5.25% 27% $159,347,661 MCA07 - Cash Incentives 3.91% MCA08 - Recovery and Economy 2.56% Funding per Strategic Objectives Recovery and Response MCA09 - Materials and Equipment 5.15% as of 31 December 2016 5% MCA10 - Transport and Fuels 0.8% for Recovery under four Strategic Objectives RSO1 Health Nutrition WASH MCA11 - Soc.Mob & Community 6.64% MCA12 - Messaging 0% 12% RSO2 Socio-Economic Revitalizn 23% RSO3 Basic Service & Infrastr MCA13 - Preparedness 12.13% Total 13% RSO4 Govern PeaceBldg Cohesion RSO1 - Health, Nutrition and WASH 1.63% Allocation SO1 STOP the outbreak RSO2 - Socio-Economi Revitalization 1.41% $159m* SO2 TREAT the infected RSO3 - Basic Services and Infrastructure 1.28% 12% SO3 ENSURE essential services RSO4 - Governance, Peacebuilding and 0.31% 36% SO4 PRESERVE stability Social Cohesion SO5 PREVENT * This amount does not include refunds 10 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Operations and Governance Structure
The Ebola Response MPTF is guided by the five strategic The UNDP Multi- Partner Trust Fund Office (http://mptf.undp. objectives of the UN Response STEPP strategy: Stop the org/) acts as the Trust Fund Administrator and is responsible outbreak; Treat the infected; Ensure essential services; for Fund design, legal agreements with UN Entities and Preserve stability; and Prevent outbreaks in countries currently donors, administration of donor contributions, fund unaffected. In addition, the Fund’s Recovery Window, disbursement and consolidated reporting. The MPTF Office established in April 2015, commenced finance to projects also serves as the Fund Secretariat, providing support to the supporting achievement of the four Recovery Strategic Advisory Committee; supporting Fund mobilization efforts led Objectives (RSOs): Health, Nutrition, and Water, Sanitation by the Chair; organizing calls for and appraisal of proposals; and Hygiene (WASH); Socio-Economic Revitalization; Basic and monitoring and reporting on the Fund’s programmatic Services and Infrastructure; and Governance Peacebuilding performance to the Chair and Advisory Committee. The and Social Cohesion. Advisory Committee provides guidance to the Chair in the management of the Fund, and its views are sought on the The funding priorities for the Trust Fund are defined by allocation of donor resources. The Committee also serves as a three variables: i) the latest assessment of the evolving forum for discussing strategic issues and sharing information epidemiology of the outbreak (from WHO and other sources); on key issues. The UN Resident Coordinators in each country ii) priority needs in the Ebola Response, as assessed by regular prioritize and endorse proposals prior to submission to the interaction with all stakeholders in the Response; and iii) the Chair and the Advisory Committee. comparative advantage of the UN System, as assessed by the Chair of the Advisory Committee and through his interactions with the UN agencies, funds and programs. Advisory Committee The Advisory Committee is a unique facet of the Trust Fund Governance Structure and Procedures that supports and facilitates the dialogue needed to make informed, fast and strategic decisions on how funds should The Ebola Response MPTF has a transparent structure, which be allocated. It is composed of the Special Adviser to the includes the Special Adviser to the United Nations Secretary- United Nations Secretary-General on the 2030 Agenda for General on the 2030 Agenda for Sustainable Development Sustainable Development and Climate Change (as Chair), and Climate Change serving as a Chair of the Advisory three representatives of contributing donors, and one Committee, an Advisory Committee, a Fund Secretariat, representative from each of Guinea, Liberia and Sierra Leone, Recipient Organizations and a Fund Administrator. The the three most affected countries. The Advisory Committee Chair articulates the Ebola Response MPTF funding priorities met ten times since the inception of the Fund and has allocated and makes fund allocation decisions in consultation with over US$159 million for 79 projects. Each meeting provided the Advisory Committee. Recipient Organizations include an opportunity for substantial discussion on the comparative UNMEER, UN organizations and departments and NGO value of the projects with all the members of the Committee, Implementing Partners. including the Permanent Representatives of Guinea, Liberia and Sierra Leone to the United Nations.
11 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SUMMARY OF PROJECT APPROVAL
Meeting 1 – 30 October 2014 Meeting 2 – 13 November 2014 Endorsement of Fund’s TOR and Rules of Procedure Approvals: Approval: WFP “Common Services for the Health Response” US$32,023,716 WFP “Common Services for the Health Response” US$8,000,000 UNDP “Payment Programme for Ebola Response Workers” US$6,235,957 UNMEER “Quick Impact Projects” US$3,000,000 UNMEER and UNOPS “Rapid Response Stabilization Teams” and Meeting 3 – 5 December 2014 “Support to NERC Secretariat, Sierra Leone” US$8,323,122* Approvals: ICAO “Regional Aviation Ebola Action” US$1,000,000 UNICEF and UNDP “Social Mobilization in Guinea” US$3,948,364 UNDP “Support to Detention Centers in Sierra Leone” Meeting 4 - 17 December 2014 US$1,201,725 WHO/UNDP/UNFPA “Interruption of Transmission in Liberia” Approvals: US$11,603,212 WHO “Epidemiology. District Management” US$30,010,04 UNICEF “Ebola Charters” US$877,718 UNICEF “Community Transit Centers in Guinea” US$9,813,619 UNICEF “Outreach and Awareness Campaign in Liberia” US$283,088
Meeting 5 - 16 January 2015 Approvals: UNDP/UN WOMEN “Payments to EVD Survivors and Destitute Meeting 6 – 9 April 2015 and e-approval* Families” US$2,055,470 Approvals: UNDP/UNICEF/UNFPA “Support to Mano River Union” GRC/UNDP/WHO “Reinforcement of the Guinean Red Cross” US$2,836,072 US$1,000,000 WHO “Sensitization Campaign in Guinea” US$400,000 UNICEF “Social Mobilization in Guinea” US$999,915* Meeting 7 - 8 July 2015 Approvals: UNDP “UN Medical Clinics in Guinea and Sierra Leone” Meeting 8 - 14 August 2015 US$1,219,800 UNFPA “Restoring Mid-wifery Services in Liberia” US$1,000,000 Approvals: WHO – Regional “Ebola Response Interagency Stewardship” US$119,000 UNDP – Guinea “Preventing EVD Spread during the Electoral Process” Meeting 9 - 24 September 2015 and e-approval* US$991,467 Approvals: UNDP/UNFPA – Guinea “Strengthening Community Recovery and Resilience” US$748,728 UNDP – Guinea “Establishment of a Financial Mechanism for Ebola Meeting 10 - 15 December 2015 and e-approval* Recovery” US$247,915 Approvals: WHO/UNICEF –Sierra Leone “Ebola Survivors: Needs, Assessment, UN-HABITAT/UNICEF/ILO – Liberia “Water and Sanitation Systems in Psychosocial Support and Reintegration” US$1,047,396 Ebola-affected Slum Communities” US$1,000,000 UNICEF – Guinea “Social Mobilization for Achieving and Sustaining UNDP – Guinea - Sierra Leone US$1,810,733 “Support to the UN a Resilient Zero” US$909,500 Resident Coordinators for Ebola Response Phase 3” UNDP – Guinea “Psychosocial and Economic support for Survivors” US$1,500,00
2016 projects e-approvals*
UNFPA/WHO/UNICEF – Liberia US$1,000,000 “Reproductive maternal/ UNICEF – Guinea US$1,000,000 “Prevent new infections through delivery of neonatal/adolescent health” integrated basic social services” WHO – Guinea US$1,499,150 “Vaccination Cohort Study-Phase I and II” WFP – Guinea US$400,000 “Ebola flare up travel and fuel expenses coverage” UNFPA – Liberia US$999,998 “Emergency maternal and neonatal health UNFPA/WHO/UNICEF – Liberia US$1,499,980 “Reproductive maternal/ services” neonatal/adolescent health - Todee and Careysburg (Montserrado County) UNDP – Sierra Leone US$ 250,000 “Support Government of Sierra Leone for UNAIDS/WHO – Sierra Leone US$594,920 “Positive Health, Dignity and SLERF Secretariat” Prevention” UNDP – Guinea US$1,000,000 “Prevention on new Infections Nzérékore Area” WHO – Liberia US$249,952 “Case Study Community Perception”
* Proposals approved via e-approval procedure 12 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
CONTRIBUTIONS UNITED KINGDOM US$31,884,000 SWEDEN $13,217,001 GERMANY $11,606,933 CHINA $11,000,000 REPUBLIC of KOREA $10,000,000 INDIA $10,000,000 BELGIUM $8,945,028 FINLAND $8,824,590 AUSTRALIA $8,755,000 ISRAEL $8,750,000 CANADA $7,154,056 JAPAN $5,940,000 DENMARK $5,042,695 VENEZUELA $5,000,000 SWITZERLAND $4,927,079 NORWAY $2,061,147 PHILIPPINES $2,041,742 TURKEY $1,500,000 IRISH AID $1,233,100 NEW ZEALAND $1,169,400 RUSSIA $1,000,000 BOLIVIA $1,000,000 LUXEMBOURG $902,060 BRAZIL $602,845 CHILE $300,000 CZECH REPUBLIC $205,052 MALAYSIA $100,000 COLOMBIA $100,000 MALTA $62,295 GUYANA $50,363 ESTONIA $50,216 KAZAKHSTAN $50,000 Total: LATVIA $48,876 $163,720,180 PERU $48,479 ROMANIA $40,000 Private Sector & Foundations PORTUGAL $30,293 Volvo Group 1,307,360 GEORGIA $25,000 Royal Charity Org. Bahrain 1,000,000 MAURITIUS $20,000 UN Foundation/UN Partnershp Office 300,371
HOLY SEE $20,000 Non-profit Organization 20,000 CYPRUS $6,350 PRIVATE SECTOR 10,350
MONTENEGRO $5,000 TOTAL 2,638,082 TOGO $1,581
13 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
14
UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
2016 LESSONS LEARNED EXERCISE
The Ebola Response was a learning experience for governments, civil society, and development partners including UN agencies. A major learning was that pooled financing instruments, such as UN Trust Funds supported by Member States, encourage efficiency, cooperation, and joint delivery, all of which is necessary for responding to complex health emergencies. While the context of the Ebola outbreak was unique, many of the following best practices and lessons learned from the Response can potentially be can be applied and adapted to other contexts. Key actions and critical outcomes of UN Ebola Response MPTF operations, as highlighted in the 2016 Lessons Learned Exercise, draw from structural elements and operative mechanisms of the fund as well as what was learned through collaborative implementation of projects on the ground.
Structural Elements and Operative Mechanisms of the Fund – Key Actions and Outcomes
1. Fund operations focused the UN system’s response on a simple and clearly defined common goal guided by a results framework that all stakeholders agreed upon from the onset of the operation. 2. the fund signaled political will and commitment from the highest level of the UN system, which helped attract support from an array of donors and brought the necessary political weight to the funding mechanism. 3. the fund increased the credibility of UN agencies by ensuring that they could rapidly access funds and take an active, timely and visible role in achieving results. 4. the fund infused rapid and flexible resources into UN agencies, enabling them to adapt to evolving contexts and unpredictable needs while also creating incentives for critical synergies. 5. By providing the UN with resources for logistics and infrastructure, such as for transport, storage facilities, safe water and the construction of Ebola Treatment Centers, the fund strengthened the effectiveness of the UN’s logistical platform. 6. A lean and responsive governance structure, including an active Advisory Committee, benefited from a small, competent, committed and responsive fund Secretariat. 7. For the fund Secretariat, Monitoring and Evaluation officers on the ground in each country provided consistent and high-quality Monitoring and Evaluation as well as support for proposal preparation, field assessments and coordination. 8. the Secretariat’s ability to engage and adapt to a broad range of donor interests and various UN agency needs, demands and modus operandi contributed to the fund’s effectiveness as well as donor satisfaction with the trust fund mechanism. 9. Regular interaction with and briefings to donors by the Special Envoy and the UN MPTF Office at the technical level facilitated transparent communication and effective operations. This, reinforced by regular and high-quality reports on the Fund’s performance, strengthened the fund’s visibility.
Lessons Learned through Collaborative Implementation of Projects on the Ground
10. Engage with governments early, even if country systems for procurement or financial management are not in place. It is critical to be inclusive, and to listen to and to recognize local leadership. The Ebola Response MPTF successfully balanced the need for effectiveness and rapid action with respect for country leadership. 11. Encourage Inter-agency cooperation that accounts for technical capabilities, resources, field presence, leadership and past performance; and engage in partnerships with other donors and non-public actors such as NGOs and the private sector, whenever feasible. 12. Recognize that communities own the response. Once communities took leadership of the response, reticence and in some cases, violence against response workers, was replaced with action that stopped transmission. Through training, education and outreach, community members, local and traditional leaders, women and youth groups became essential partners and leaders in case detection, surveillance, referrals, education and infection control campaigns, and, critically, in safe burials, which went against most traditional beliefs and practices.
16 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
2016 LESSONS LEARNED EXERCISE
13. Infectious disease outbreaks like Ebola present country leaders with a set of politically difficult circumstances: a situation beyond their control; the need for external assistance; and devastating threats to economic development. Recognizing the socio-cultural, economic and political implications of a health crisis can foster effective response by helping country leaders come to terms with the need for rapid recognition and response. 14. The fund showed the importance of building on existing structures as much as possible, even if a unified command chain must be temporarily created under severe circumstances. 15. Communicate frequently, clearly and transparently about the health situation as well as on what and how resources need to be mobilized and used. 16. Although it may be challenging given an unprecedented and unpredictable epidemic like the Ebola outbreak, start planning for recovery early. The donor community and governments need to devise recovery projects focused on survivors, the restoration of basic health and education services and livelihoods as early as possible. 17. Share and disseminate lessons learned. According to the Lessons Learned Exercise, the fund needs to assure that affected countries have the support they need to exchange experiences and share best practices - mechanisms that will improve coordination as well as collaboration. 18. Disaster preparedness and pandemic response plans need to be tested and resourced. Most countries have developed pandemic preparedness plans or are engaged in their preparation, but preparedness goes beyond the writing of a plan, no matter how well-crafted and aligned with guidelines issued by technical agencies. Preparedness requires, among other things, the ability to quickly access emergency funding, maintenance of a critical mass of trained respondents, diagnostic/laboratory capacity, and well performing surveillance and health information systems.
17 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
18 21 MCA 2 - Access to Basic Services
23 MCA 3 - Care for Persons with Ebola and Infection Control
25 MCA 6 - Access to Basic Services
26 MCA 7 - Cash Incentives for Workers
27 MCA 9 - Reliable Supplies of Materials and Equipment
28 MCA 10 - Transport and Fuel
29 MCA 11 - Social Mobilization and Community Engagement
33 MCA 13 - Preventing Outbreaks
35 RSO 02 - Socio-Economic Revitalization
38 RSO 03 - Basic Service & Infrastructure
40 RSO 04 - Governance, Peacebuilding, and Social Cohesion UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT at A Glance
GUINEA 64 million 60 million Allocated Expenditures SENEGAL MALI
GUINEA- Proposals Entities BISSAU 25 6 UN Labé Boké RESPONSE Mamou Kankan S01 S02 S03 S04 S05 Kindia Faranah Stop TREAT ENSURE PRESERVE PREVENT Conakry 12 million 27 million 3 million 13 million 4 million SIERRA RECOVERY LEONE Nzérékoré RS01 RS02 RS03 RS04 ATLANTIC Governance, OCEAN Health, Nutrition and Socio-Economic Basic Services and Peacebuilding and CÔTE WASH Revitalization Infrastructures LIBERIA D’IVOIRE Social Cohesion 50 km n/a 2 million 1 million 0.25 million
Map Sources: ESRI, UNCS. The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Map created in Sep 2013.
Funding as of 31 December 2016* Funding per Mission Critical Actions & Recovery Strategic Objectives
MCA01 - Identify and Tracing 10.48% MCA02 - Safe and dignified burials 8.84% 38.78% 40% MCA03 - Care for persons MCA04 - Medical care for responders 3.41% MCA05 - Food security and nutrition 0% Total MCA06 - Basic Services 1.56% Allocation MCA07 - Cash Incentives 3.44% $159 m MCA08 - Recovery and Economy 0% MCA09 - Materials and Equipment 5.64% MCA10 - Transport and Fuels 1.06% MCA11 - Soc.Mob & Community 14.47% MCA12 - Messaging 0% MCA13 - Preparedness 6.85% RSO1 - Health, Nutrition and WASH 0% Guinea Sierra Leone $64,017,044 RSO2 - Socio-Economic Revitalization 3.51% Liberia Regional RSO3 - Basic Services and Infrastructure 1.56% RSO4 - Governance, Peacebuilding and 0.39% * Allocations are based on approved budget Social Cohesion
20 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 2
COVERAGE: MCA 2 $2 million Allocated 15 Prefectures + 5 Communes of Conakry Safe and Dignified Burials Nzérékore Region
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00095447 #30 - Reinforcement of the Guinean Red Cross in 27 May 2015 $1,000,000 the National Response against Ebola (UNDP-WHO) 00101174 #58 Strengthening the Ebola Response Mechanism 7 July 2016 $1,000,000 00101175 in High Risk Areas of Nzérékoré Region** 00101176 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of meetings organized by GRC team per region per month 15 20* WHO
Number of SDB trainings organized by WHO 33 25 WHO
Number of adequate safe burials/body management event per region 33 31 WHO
Number of GRC field office fully functional and equipped 15 15 UNDP
* 15 health districts (Fria, Dubréka, Coyah, Forécariah, Kindia, Dabola, Faranah, Kissidougou, Kankan, Siguiri, Boké, Lola, Nzérékoré, Macenta et Guéckédou) and 5 municipalities in Conakry (Kaloum, Dixinn, Matam, Ratoma, Matoto) **Project #58 is funded under MCA2 - MCA3 - MCA13
Achievements and Results
Project #30 - Reinforcement of the Guinean Red Cross trained 825 people on key interventions like safe burials, safe in the National Response Against Ebola transportation of the deceased, cleaning and disinfection of Ebola-suspected areas, and community education. The The project “Reinforcement of the Guinean Red Cross (GRC) project helped build trust between the GRC and communities, in the National Response Against Ebola” aimed to strengthen reducing transmission and improving the safety and efficacy of the operational capacities of the GRC. It built GRC human GRC workers in the communities. capacity by adding team leaders, recruiting more volunteers, and providing refresher courses (through WHO) to existing Through project funds, UNDP procured for the GRC: staff in the 15 prefectures or 33 districts. It also sought to one truck and four, 4x4 pickup trucks; 15 motorbikes and improve logistics and communications (through UNDP) by helmets; 15 generators; 15 power stabilizers; 15 computers providing GRC teams with facilities and transport. and accessories; 15 printers; 15 copy machines; 50 mobile telephones; 50 SIM Cards plus airtime credit; and 40,000 liters On human capacity, WHO facilitated the recruitment and of fuel for generators. training of two project managers and their assistants as well 15 team leaders in the most affected districts. It also
21 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA Mission Critical Action 2
Project #58 - Strengthening the Ebola Response women) in communication techniques. The training given to Mechanisms in High Risk areas of the Nzérékoré body washers and mediators helped alleviate doubts and Region suspicions, and improved community acceptance of the tools used during SDBs, and finally, encouraged ownership and Public health officials declared Ebola over in Guinea on 29 involvement in the SDB process. After the training, participants December 2015, a date that also marked the beginning of reported a minimum of 15 deaths per month and protective an active surveillance phase of 90 days. Towards the end of gear was prepositioned in the communities. In the Macenta this period, a new flare occurred in Koropara sub-district, and Nzérékoré prefectures, the project completed 19 SDBs prefecture of Nzérékoré, in Forest Guinea. The project and 83 Rapid Detection Tests (RDTs). “Strengthening the Ebola Response Mechanisms in High Risk areas of the Nzérékoré Region” supported a comprehensive The project also supported NERC multifaceted preparedness. response to the resurgence of Ebola in Forest Guinea through The project provided a supply of non-food items and food community engagement, infection prevention and control, products (fish and sauce condiments) to 207 families and and care of Ebola survivors. 1,656 people. It helped deploy security forces on the ground for 100 days to ensure safety during the micro-cerclage. Ebola Specifically, the project aimed to: through the International Response MPTF resources also supported the deployment Federation of Red Cross and Red Crescent Societies (IFRC), of a 16-member medical team to care for people affected by reinforce local capacities for surveillance to ensure the reporting micro-cerclage activities and to help end transmission. This of suspected cases and deaths, and safe and dignified burials; team conducted 1,088 medical consultations and issued 14 through the Alliance for International Medical Action (ALIMA), alerts. In addition, logistical support was provided through ensure treatment capacity for suspected cases and support the deployment of eight vehicles, including four ambulances, to the national health system in infectious disease detection for the evacuation of suspected cases to the nearest Ebola and treatment; and through the National Ebola Response Treatment Center. Cell (NERC), keep micro-cerclage capacity and support the launch of the Center for the Treatment of Infectious Potential The project covered incentive payments to 272 healthcare Epidemics (CTEPI) in Nzérékoré. workers deployed in 34 CTEPIs. The NERC followed 472 survivors and 1,072 survivors or families of survivors to assure As the outbreak evolved, new strategies in phase III of the their access to health care. The project contributed to the Ebola Response were adopted, and the flexibility of the UN costs of running the CTEPI through January 2017, and it and relief organizations, including through this project, helped was mutually agreed that resources initially planned for the the NERC end the Koropara flare and strengthen response running costs of the Nzérékoré CTEPI would be used to staff mechanisms to mitigate the risk of Ebola re-emergence the CTEPIs, to provide health services for Ebola survivors and countrywide. communities at risk. To overcome the unwillingness of communities to report ALIMA requested a no cost extension and proposed a Ebola-related deaths, the project involved communities in readjustment of the project scope to strengthen the Guinean the process of early-warning and in safe and dignified burials authorities’ response capacities to epidemics by providing (SDB) to foster ownership and build confidence. The project them efficient and innovative tools through the establishment trained 448 body washers (170 women) and 79 Mediators (25 of the CTEPI model.
22 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 3
MCA 3 COVERAGE: Care for Persons with Ebola and Infection $11.31 million Allocated 9 Prefectures in the 3 Regions Control Region of Basse Guinea MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093219 #23 Rapid Isolation and Case Management 19-Dec-2014 $9,813,619 through establishing Isolation Units within health centres 00098865 #54 and #57 Vaccination Cohort Study: Preventing 23-Feb-2016 $299,547 00099916 Late Transmission of Ebola from Survivors to Close 5-Apr-2016 $1,199,603 Contacts Phase I and Phase II PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of CCC Built 4 3* UNICEF
Number of Isolation Units established** 6 6 UNICEF
Number of participants recruited for vaccination program 1,500 2,047 WHO % of blood samples of selected participants systematically collected and 100% 73% WHO analyzed over 28-day period % of contacts of survivors that consented and received the rVSV vaccine 100% 100% WHO
*The project scope was revised given the change in the epidemiological situation. The remaining funds were used to construct requested isolation units in six health regions in Yomou; Dinguiraye; Madiana; Dalaba; Tougue; Fria. **The isolation units were established with quality WASH services and with effective involvement of communities aligned with Global SOPs or according to norms established in the country. Achievements and Results
Project #23 Rapid Isolation and Case Management program involving rVSV-ZEBOV (Merck) to prevent the through Establishing Isolation Units within Health transmission of Ebola from survivors to close contacts. To ready Centers for the study, a clinical training on protocols and Standard Operating Procedures was held 11-13 February 2016. Project Previously through the project, “Care for Persons with Ebola participants were specifically trained on counseling and and Infection Control in Guinea.” UNICEF was requested interacting with survivors. to build 10 Community Care Centers (CTComs). UNICEF delivered three functional CTComs, with the others either In May 2016, the project recruited survivors, enrolling 48 in the destroyed by the community or cancelled by the government. study, each of which gave blood samples. A total of 133 rings In February 2015, the National Committee for the Ebola were established, leading to the recruitment of 2,051 participants Response instructed UNICEF to stop construction on the and the vaccination of 2,047 contacts of Ebola survivors. Each remaining four CTComs because the epidemiological situation ring had an average of 15.3 participants. For 28 days, 84.5% was changing and rapid isolation centers were being used. of participants were monitored following vaccination to ensure Remaining project funds were therefore used (by request) for their wellbeing and to document adverse effects. Laboratory the construction of six isolation units within six health regions results are expected in June 2017, and a scientific paper will be in Yomou, Dinguiraye, Madina, Dalaba, Tougué and Fria. They submitted for publication in September 2017. were delivered to the Ministry of Health in December 2016. A representative of the study team attended weekly coordination Project #23 - Read the article here: meetings organized by the National Coordination Cell against Ebola and by WHO, as well as in ad hoc meetings organized http://bit.ly/2s0pVKr regularly with stakeholders. Representatives from the study teams were also invited to participate in scientific meetings on Project #57 - Vaccination Cohort Study: Preventing clinical trials for Ebola vaccines in Monrovia and Geneva. Late Transmission of Ebola from Survivors to Close The project “Vaccination Cohort Study: Preventing Late Contacts Transmission of Ebola from Survivors to Close Contacts” The project “Vaccination Cohort Study: Preventing Late supported a study to test the effectiveness of a vaccination Transmission of Ebola from Survivors to Close Contacts” program involving rVSV-ZEBOV (Merck) to prevent the supported a study to test the effectiveness of a vaccination transmission of Ebola from survivors to close contacts. To ready
23 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA Mission Critical Action 3
for the study, a clinical training on protocols and Standard their wellbeing and to document adverse effects. Laboratory Operating Procedures was held 11-13 February 2016. Project results are expected in June 2017, and a scientific paper will be participants were specifically trained on counseling and submitted for publication in September 2017. interacting with survivors. A representative of the study team attended weekly coordination In May 2016, the project recruited survivors, enrolling 48 in the meetings organized by the National Coordination Cell against study, each of which gave blood samples. A total of 133 rings Ebola and by WHO, as well as in ad hoc meetings organized were established, leading to the recruitment of 2,051 participants regularly with stakeholders. Representatives from the study and the vaccination of 2,047 contacts of Ebola survivors. Each teams were also invited to participate in scientific meetings on ring had an average of 15.3 participants. For 28 days, 84.5% clinical trials for Ebola vaccines in Monrovia and Geneva. of participants were monitored following vaccination to ensure
© UNICEF
24 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 6
COVERAGE: MCA 6 Allocated Access to Basic Services $1 million 8 Prefectures of the Forestière Region
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00101177 #59 Prevent New Infections through Delivery of 7-Jul-2016 $1,000,000 Integrated Basic Social Services PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of health centers/health posts with WASH installation 60 47 UNICEF Number of households in affected area receiving hygiene kits/soap and 100,000 190,907 UNICEF related services Number of health centers/health posts provided with essential medical 60 60 UNICEF and nutrition supplies Number of people benefiting from UNICEF outreach community health 1,500,000 1,663,582 UNICEF interventions
Achievements and Results Project #59 - Prevent New Infections through Delivery of Integrated Basic Social Services in Ebola-Torn Regions in Guinea The 2016 Ebola flare in Guinea further deteriorated the country’s health indicators. All types of medical consultations decreased by 58%: assisted deliveries decreased by 11%; hospitalizations decreased by 54%; and immunizations decreased by 30% countrywide. That the epidemic was controlled within three months demonstrated the critical importance of maintaining surveillance systems and rapid response capacity. In Nzérékoré region (Koropara), where the flare occurred, UNICEF set up rapid response teams working in coordination with 47 community platforms to address new alerts. The base camp, built in 72 hours, housed teams and brought together © UNICEF 200 people from WHO, WFP, UNOPS, IOM, Red Cross, local and Lola prefectures. The project also distributed 2,700 rural radio, and social mobilization NGOs such as AGIL, CEAD hygiene kits in 47 health facilities to promote safe practices, and AACG. The camp supported a micro “containment” or and provisioned 60 health centers with essential medicine and micro-cerclage, which involved closed monitoring in the nutrition supplies. The involvement and equipping of youth epicenter of the affected area to limit population movements with the kits helped build community trust and engagement. of possible cases for 21 days. To ease communication and An important indicator of success, attendance rates at local information sharing, UNICEF provided phones to key partners healthcare facilities increased by 5%. and internet access with the installation of a VSAT (Very Small Aperture Terminal). In Ebola-free areas, UNICEF maintained basic social services in WASH to capitalize on existing efforts to reach zero In the hotspot area, the project sensitized 190,907 people transmission. The agency reinforced community health (93,872) women through face-to-face communication interventions targeting more than 1.6 million people living in explaining hygiene, infection prevention, immunizations health districts (Nzérékoré, Macenta, Guéckédou, Kissidougou, and birth registrations. In addition, a mass communication Kérouané, Beyla, Yomou and Lola) that could potentially campaign in local languages reached 1,663,582 people, experience flares. Access to water and hygiene services including 871,536 women. Ten magazines, also in local were key components in the community health strategy. The languages, were produced and broadcasted through rural project also set up 47 youth community platforms for nine radios, which involved the identification of youth. The months of community-based surveillance, and approximately UNICEF funded NGO, PRIDE, trained and deployed 560 6,500 additional people benefitted from safe drinking water youth, including 101 girls, 282 female volunteers, and 98 systems. Funds also supported the distribution of 115,006 social educators from the Ministry of Youth across Nzérékoré, bottles of chlorine to 38,000 households that were trained to Macenta, Guéckédou, Kissidougou, Kerouane, Beyla, Yomou use home-based water treatment kits.
25 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA Mission Critical Action 7
COVERAGE: MCA 7 Allocated Cash Incentives for Workers $2.2 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092904 #7 Payment for Ebola Workers 04-Dec-2014 $2,204,200 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES
% of registered Ebola workers linked to a payment mechanism 100% 100% UNDP
% of registered Ebola workers paid in full, on-time 100% 100% UNDP
Achievements and Results
Project #7- Payment Program for Ebola Response conducted a MM/BB digital financial services diagnostic for Workers the country and organized an audit of the main microfinance institutions (MFIs), which typically serve rural populations. The In November 2014, the UNDP Payments Program for project provided the BCRG with technical support, including Ebola Response Workers (PPERW) project was created to technical training on the shift to electronic money, which was support Ebola Response Workers (ERWs) and avoid strikes a 2016 priority. Working with the L’Association Professionnelle (through accurate and timely incentive payments) during the des Institutions de Microfinance (APIM-G), UNDP provided epidemic. The project had three main outputs, all of which electronic equipment and tailor-made software to improve were achieved leading up to the 2016 reporting period: (1) the management of MFIs. The provisioned software enabled set up an Information Management System to track ERWs; an online platform where MFIs could input their data and key (2) support and strengthen national payments mechanisms indicators could be automatically calculated, an upgrade from as well as cover any failure of the financial system during the manual entry. The equipment and training gave the BCRG crisis; and (3) establish an operational contingency plan to and financial partners tools to better regulate and support the ensure payments were made in case of partial failures. sector, and allowed MFIs to progress towards the development Into 2016, this project worked to give the most vulnerable of electronic payments. populations of Guinea access to competitive electronic The project’s third output, which established a contingency financial services, and to give the Central Bank of the Republic plan for payments, supported containment of the 2016 Ebola of Guinea (BCRG) the capacity to define and implement a flare. The contingency plan provided incentives to all NERC clear strategy of financial inclusion for the country. staff involved in the response and in supporting survivors. Project funds supported the development of safe and secure mobile money/branchless banking (MM/BB). UNDP
26 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 9
MCA 9 COVERAGE: Reliable Supplies of Materials and $0.99 million Allocated Country, including district areas Equipment MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096648 #42 - Prevent EVD Spread in the Electoral Process 18-Sep-2015 $991,467 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of sanitary control kits purchased and distributed 7,500 17,500 UNDP
Achievements and Results
Project #42 - Prevent Ebola Spread in the Electoral Process in Guinea The project “Prevent Ebola Spread in the Electoral Process in Guinea” was part of a larger project that provided support to the electoral cycle in Guinea from 2015 through to 2017 (Project d’Appui au Cycle Electoral de la Guinée or PACEG). This included support for the 2015 presidential elections. With Ebola Response MPTF funds, the project procured 14,500 thermo-flash thermometers and 17,500 sanitary kits (consisting of a bucket with a tap, a simple bucket, tissues and a chlorine solution called sûr’eau) used to prevent Ebola transmission. These resources were used during voting operations for the 2015 presidential elections. Voters, along with the members of the electoral commission and security officers, sanitized their hands and had their temperature taken upon entering © UNDP polling stations. This helped prevent transmission and assure the populace that the election process was safe.
27 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA Mission Critical Action 10
COVERAGE: MCA 10 Allocated Transport and Fuel $0.4 million Conakry and the Forestière Region
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00101347 #61 - Ebola Flare-up Expenses Coverage 21-Jul-2016 $400,000 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of passengers transported 770 709 WFP
Number of cargo transported (kg) 2,998 4,445 WFP
Number of medevac 3 1 WFP
Number of hours flown 80 108 WFP
Achievements and Results
Project #61- Ebola Flare-up Expenses Coverage to all requests for air transport submitted by humanitarian operators between Conakry and the Ebola-affected areas. When Ebola flared in Koropara in 2016, the emergency Additional flights were added and special flights chartered response mechanism had to be entirely reactivated, which on short notice. There were no delays or flight cancellations included UNHAS flights for rapid deployment of response during the emergency response period despite risks of bad teams and equipment to the outbreak. This project met weather, and the project helped contain the outbreak. the need for a massive increase in flight requests, covering expenses at a time when UNHAS’s budget was already The UNHAS staffing structure, the development of local exhausted and set to end in July 2016. capacity and its smooth operation in Guinea was a major project achievement. A WFP international aviation expert Ebola Response MPTF project funds that covered UNHAS developed the capacity of national UNHAS staff, including: flights allowed for quick access and deployment of response one air transport officer (international), five air movement teams to Nzérékoré, an area that was otherwise a two-day trip assistants (local staff), one administration assistant (local staff), by road from Conakry. Through the project, UNHAS responded and two drivers (local staff).
© WFP
Stories from communities - Project #61 “I really wonder how this could be done if I had to spend two days on road in order to reach Nzérékoré. I have been using this flight for the last three weeks now and I am happy I am able to get here quickly and safely. Thanks to UNHAS.” A humanitarian expert at his arrival in Nzérékoré in early May 2016. 28 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 11
COVERAGE: MCA 11 14 Prefectures, border districts, mining and transit region Social Mobilization and Community $3.74 million Allocated Nzérékoré; Kankan; Kindia; Yomou; Dinguiraye; Madiana; Engagement Dalaba; Tougue; Fria MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00094442 #29 - Support to the Confidence Building Unit 13-Mar-2015 $2,836,072 (CBU) from Mano River Union in the national response against Ebola 00096724 #47 – Social Mobilization for achieving and 22-Oct-2015 $909,500 sustaining a resilient zero PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Recruitment and deployment of midwives 30 68 UNFPA Reproductive Health Kits (including Hospital Delivery Kits, C-Section 85 85 UNFPA Kits, Blood Transfusion Kits, STI Kits, etc.) Hospital beds 70 70 UNFPA
Gynecologic tables 20 20 UNFPA
CBU (Confidence Building Units) fully functioning 30 33 UNDP/UNFPA/UNICEF
% of targeted reticence localities that accept Ebola prevention activities 75% 100% UNDP/UNFPA/UNICEF
# of social activities (including sports events, gatherings, village 360 370 UNDP/UNFPA/UNICEF meetings) including EVD sensitization
# of radio debates held at rural and prefectural radios including EVD 200 242 UNDP/UNFPA/UNICEF sensitization Number Of Hot Spots Reporting and Managing Events/Alerts on a daily 11 11 UNICEF basis % of suspected cases using public transport reported to health 100% 100% UNICEF authorities Number of functional community engagement platforms delivering 443 443 UNICEF phase Interventions including supports to survivors Number of villages using early warning and report systems 450 450 UNICEF Number of rural radio stations conducting infection prevention and 33 23 UNICEF control campaigns Achievements and Results Project #29 - Support to the Confidence Building of Guinea, Liberia and Sierra Leone. The project enabled the Units (CBU) from Mano River Union in the National MRU to strengthen the capacity of four grassroots NGOs on Response against Ebola Ebola awareness, supporting the organization of communal, regional, prefectural and national workshops. UNICEF also The project titled, “Support to the Confidence Building scaled-up social mobilization activities, working closely with Units (CBU) from Mano River Union in the National Response traditional healers, religious leaders, teachers and health workers against Ebola,” implemented in partnership with Mano River to raise awareness. Public awareness campaigns took place in Union (MRU) via the Ministry of International Cooperation, markets, border posts and bus terminals. Mass communication supported the MRU in coordinating initiatives in the Guinean activities through radio and TV spots were carried out, and large frontier regions. It addressed the consequences of Ebola in numbers of communication materials (flyers and banners) were the region, including disruptions at the community level such distributed. UNICEF gave training on the use of and distributed as trade and flows of people over the border. It also worked protective equipment to improve infection prevention and to reduce the stigmatization of survivors and their families control measures. These activities reached 33 prefectures, five through Community Watch Committees (CWC). communes of Conakry and 50,000 households. Ebola Response MPTF funds were used to strengthen Project #29 - Read the article here: communication and community engagement at the borders http://bit.ly/2s4M7mH 29 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA Mission Critical Action 11
Project #47 - Social Mobilization for Achieving and coordinators, eight regional supervisors and a national Sustaining a Resilient Zero coordination team. From October 2015 to March 2016, these entities and activities reached 172,974 households with Given the risks of Ebola flares, the Ebola Response MPTF messaging that built awareness, led to behavior change and provided additional funds to UNICEF and its partners to ensure built trust in local communities. the operational excellence of all response interventions. Reaching and maintaining zero Ebola transmission, especially given the flare in Koropara, required a more targeted approach in Guinea. This meant addressing every case, contact quarantine and burial through deeper community engagement and social mobilization tailored to different segments of the population. This project helped meet these needs through several outputs and achievements.
Community engagement
UNICEF also partnered with the NGO Zero Poor in Africa (ZPA) to revitalize operational cooperation frameworks, collaboration, and coordination between local actors within the districts. This resulted in the setup of 130 operational units across Conakry’s districts and on the islands of Loos. Approximately 2,530 members of these units, including 130 reporters, improved community outreach and built trust with elected local authorities and the unit members. The project held 130 consultations for implementation of the operational units in the five Conakry communes and Loos Islands, and From October 2015 to March 2016, in each of the 28 prefectures all 130 units were functional. The project also identified and of the country, plus the five communes of Conakry, UNICEF set listed 16,613 “big crowd” locations, along with 1,335 agents up 443 Community Engagement platforms, decentralized to the and 669 health actors from informal structures in Conakry, district and village level. These prefectural and sub-prefectural Coyah and Dubréka. Approximately 200 health workers from platforms regrouped the Community Watch Committees, the informal sector were engaged in social mobilization and including local leaders, youth and women’s groups, traditional they conducted 3,200 proximity awareness sessions on Ebola. healers, and other local stakeholders. In hot spots, rapid response teams worked in coordination with the platforms The members and project managers of the operational units to address alerts. The enhanced community engagement received 2,600 raincoats, 2,600 pairs of boots, 3,200 t-shirts strengthened surveillance, the investigation of cases, safe burials and 3,200 caps. They also received 1,051 image boxes to and information flow. In Ebola free areas, social mobilization facilitate Ebola awareness sessions, and 139 motorbikes were platforms capitalized on existing and reliable community-based made available to district councils. The operational units organizations from the village up to prefectural level. In each distributed 22,479 hand washing devices, including large of the 28 prefectures of the country, plus the five communes capacity buckets for crowded sites and small capacity buckets of Conakry (Ratoma, Matam, Dixinn, Matoto, Kaloum). One of for households, as well as 14,069 soap boxes and 4,256 UNICEF’s major achievements was contributing to the end of chlorine C boxes. transmission through these activities. The operational units made 1,606 alerts; and they conducted: 823 actions, to, inter alia, reduce reluctance, support Rapid response teams managing alerts through preparatory missions, facilitate the transfer of the suspected facility or community-based rapid intervention cases to an Ebola Treatment Center, facilitate partners’ field actions and facilitate contact monitoring. The units also With Ebola Response MPTF funding, UNICEF worked in conducted 19,565 actions focused on community outreach. partnership with the African Training Centre for Development These included 14,540 door-to-door visits, 4,381 educational (CENAFOD), a national NGO that had communication lectures and 520 public events. Through these, the units structures set up in Kindia, Coyah, Forécariah, Dubréka, reached 172,974 households with door to door visits, which Boffa, Boke, Fria and the five communes of Conakry. meant their messaging reached 1,334,947 persons and over CENAFOD implemented communications and a monitoring 118,890 children. system through 48 C4D (Communication for Development)
30 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
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Transport Unions engagement for sensitization and Early warning and report systems using new community-based surveillance technology With MPTF Ebola Response funding, UNICEF implemented a project with the Ministry of Transport in four locations: Conakry, Forécariah, Coyah and Dubréka. The project contributed to the setup of an effective communication system and social mobilization to support early warning and rapid control of epidemic diseases like Ebola. The project produced and distributed audio messages to 33 bus stations of targeted communities, which were provisioned with 33 generators, 33 music channels and 44 USB keys containing the radio spots in multiple languages. Funds also supported the training of 99 agents that monitored the bus stops and generated alerts. The project also produced and distributed 5,000 folders and 5,000 stickers on key messages of the third phase of Ebola response. The involvement of 27 trade union agents in bus stations of nine sub-prefectures and in Conakry reached 318,602 people UNICEF also worked with the Ministry of Youth and Youth riding public transport. The project also generated a mapping Employment (MJEJ) to foster additional community of the maritime border on Guinean territory. engagement. This collaboration identified, trained and deployed 750 youth social mobilizers in their communities. Community engagement platforms The youth engaged in community watches and sent alerts through Rapid Pro, a UNICEF invention that supports basic mobile phone data and analysis in real time. The youth also conducted awareness raising sessions and anti-stigma activities in Conakry, Coyah, Forécariah, Dubréka, Fria, Boké, Kindia, Boffa, Siguiri, Macenta and Lola. In the Forécariah prefecture, UNICEF trained 536 youth social mobilizers in communications, early warning and rapid control techniques for epidemic prone diseases.
Sensitization through rural radio Radio Rurale de Guinea is called the “voice of voiceless” and its programs provide education, awareness, information and entertainment throughout the country. The project supported seven radio stations with the production and broadcast, UNICEF partnered with the Conseil National des Organisation in local languages, of 25 micro-programs, 148 interactive de la société Civile Guinéenne (CNOSCG) to strengthen productions, 18 roundtables and 120 reports and interviews. community participation and household access to information These helped inform rural communities on all aspects of on Ebola. The collaboration planned activities with 780 Ebola, and the response, including survivor reintegration. members of Community Watch Committees (CWC) and District Watch Committees (DWC) in the prefectures of Kouroussa, Social mobilization to support infection prevention Siguiri and in Conakry (Matoto and Dixinn). Together they and control in formal and traditional health systems raised awareness on Ebola’s existence, prevention, acceptance of survivors, safe burials, monitoring, treatment and treatment UNICEF partnered with the national NGO, Association facilities, and taught how to manage suspect cases. With Ebola for the Promotion of Governance and of Local Initiatives Response MPTF funding, and through these interventions (AGIL) to engage traditional healers who are trusted by that included collaboration with district heads and elected their communities in response measures. The project set representatives, communities were better informed and more up watch sites and deployed 118 healers, along with 118 accepting of response measures. radios, to reinforce community-based surveillance. At least 461 community platforms around some 450 health centers were set up and supported monitoring. These structures and the involvement of healers and other religious leaders strengthened advocacy, reduced stigmatization of survivors and strengthened community-based monitoring, all of which were key to reaching zero transmission.
31 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA Mission Critical Action 11
Psychosocial support to orphans and survivors Also with Ebola Response MPTF funds, UNICEF helped create a safe environment for 7,400 children, and organized psychosocial support for them, including for 457 orphans. At least 15,517 people including 4,123 community leaders participated in family and community dialogues addressing family separation and solidarity with Ebola-affected people. Project funds also supported the establishment of 15 foster families in the Lower Guinea and Guinea Forest areas headed by women who survived infection. The families took care of 10 unaccompanied/separated children (UASC). The project also supported AGIL, which worked with the Association of People Cured of Ebola to gather information on survivors and implement income-generating activities benefitting 12 small groups of survivors. Photos project #47 © UNICEF
32 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 13
COVERAGE: MCA 13 Allocated Preventing Outbreaks $2.0 million Country, including district area
MPTF Project No: Title: AMOUNT: 00092649 #11 Quick Impact Project $2,000,000
List of qip projects implemented in Guinea; the first phase of the qips implemented by unmeer was reported in the second and third interim report.
Implementing organization District Project title Budget Project title
The project provided 6 maize and rice Nutritional support to children Administrative processing machines and 42,000 kg Centre Régional de Recherche and pregnant and breastfeeding region of $46,823 of maize to EVD affected communities Agronomique de Bordo (CRAB) women affected by Ebola in 6 rural Kankan to improve nutritional conditions of communities of Kankan region breastfeeding women and Ebola orphans
This partner assisted Ebola survivors in the two communities of Forecariah Association des Scouts Catholiques Coyah and Economic recovery of Ebola survivors, $38,537 and Coyah to run income-generating de Guinée (ASCG) Forécariah orphans and widows activities. It also sensitized communities on good ways to prevent Ebola.
Centre d’Ecoute de Conseil et Social mobilization for the prevention The partner ran sensitization campaigns Coyah, Dubréka d’Orientation des Jeunes of Ebola in the prefectures of Coyah, $47,335 in the three communities of Coyah, and Forécariah de Coyah (CECOJE) Dubreka and Forecariah Dubreka and Forecariah.
The project sensitized activities with Prevention of Ebola among hunters Direction Régionale de Administrative hunters, and additionally it provided and women local organizations in the l’environnement, eaux et forêts region of $46,986 alternate income-generating activities as prefectures of Kankan, Kerouane and (DREEF) Kankan a way to minimize risks of contamination Mandiana of EVD through illegal hunting.
Boke region: Sansale, The partner ran sensitization and social Koumbia, Support to the community response to mobilization in localities across the Club des amis du Monde (CAM) Foulamori, $47,597 the Ebola virus in Boke border with Guinea Bissau in the efforts Wendoubour, to prevent cross-border contaminations. Kanfarande and Sareboydo
The NERC purchased the hand wash kits Cellule nationale de coordination Provision of soaps and lotion to the Conakry $47,597 that it distributed to sanitary facilities EBOLA (CNCE). NERC across the country.
The NERC purchased the hand wash kits Cellule nationale de coordination Provision of soaps and lotion to the Conakry $42,837 that it distributed to sanitary facilities EBOLA (CNCE). NERC across the country.
The project addressed issues of lack of Prefecture hygiene and knowledge on Ebola in of Siguiri: Social mobilization to maintain « zero mining zones and borders with Mali. Commune Rurale de Doko Niagassola, $41,874 Ebola » in Doko (Haute Guinée) Sensitization campaigns were held and Bankon, Doko hygiene kits were installed in covered and Kourémalé areas.
Through this project, an IPC unit was built Ignace Deen Women and Health Alliance Support to the triage system at Ignace and maintained at Ignace Deen Hospital Hospital $44,016 International (WAHA) Deen National Hospital in Conakry to prevent risks of infections at (Conakry) the hospital.
33 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA Mission Critical Action 13
Implementing organization District Project title Budget Project title
Sensitization campaigns on good Sustainability of good hygiene Administrative practices of hygiene, as well distribution ONG-DHD (Développement practices and fight against stigma region of $39,390 of food items to most vulnerable Ebola Humain Durable) in the post Ebola phase in 6 rural Kankan affected populations were conducted in communities of Kankan 6 localities.
The project contributed to the Appui aux Initiatives Improvement of hygiene among Prefecture of improvement of hygiene by availing 4 Communautaires pour le population affected by Ebola in $44,382 Nzérékoré public latrines with running water in 4 Développement (AICD) N’Zerekore public places.
Prefecture of The project reinforced hygiene and Consortium des ONG de Forécariah Promotion and reinforcement of assisted EVD survivors through income- Mobilisation Communautaire $38,709 and 9 rural hygiene practices generating activities. It also distributed (COMC) municipalities school kits to school aged orphans.
The project addressed issues of lack of Groupe d’Encadrement et de hygiene by putting in place 14 hygiene Revitalization of hygiene practices in Recherche en Milieu Associatif et Lola $42,970 committees to sensitize on good practices Lola Communautaire (GERMAC) and also provided hygiene kits to communities.
Reinforcement of women social Coalition des Femmes Leaders de Kindia, Coyah Door-to-door sensitization and educative mobilization in response to resistance $47,527 Guinée (COFEL) and Forécariah activities by women’s associations in communities and schools
The project assisted in the reinsertion of EVD survivors by availing 4 reinsertion Establishment of an information and centers where income-generating are Unité Conjointe de l’Union du insertion centre for Ebola direct and Lola $37,249 conducted by EVD survivors while the rest Fleuve Mano indirect victims in the most affected of the community join in for social events areas of Lola such as educative programs on EVD watched on TV sets offered by the project.
EVD widows and orphans were supported Reinforcement of social mobilization in the production of vegetables to Commune urbaine de Macenta Macenta against Ebola and community recovery $40,704 supplement their income and improve in the urban community of Macenta their living conditions.
The project consisted of renovating the Fédération internationale de la Renovation of the mortuary of Kindia morgue of Kindia regional hospital croix rouge et du croissant rouge Kindia $47,597 ALPHA OUMAR DIALLO in order to minimize the risks of EVD –FICR contaminations.
20 affected The project toured the country to visit Secrétariat Exécutif du Comité prefectures and 5 Support to 1000 Ebola survivors and Ebola survivors and organize them in National de Lutte contre le SIDA en $47,597 municipalities of 1000 Ebola orphans in Guinea legal structure for a better advocacy about Guinée - SE/CNLS Conakry their post-recovery needs.
Reduction of Ebola Transmission With this activity, three hand wash Conakry, Kankan SOS Villages d’Enfants Guinée through hygiene promotion in SOS $43,426 stations and water fountains were built in and Nzérékoré schools the 3 SOS orphans’ villages.
34 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA RECOVERY STRATEGY OBJECTIVE 02
COVERAGE: RSO 02 Allocated Socio-Economic Revitalization $2.25 million Nzérékore and Kindia Region
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096705 #43 Strengthening the Community Recovery and 21-Oct-2015 $ 748,728 Resilience in Post Ebola in Guinea 00099263 #52 GIN Psycho-social and Economic Recovery 21-Mar-2016 $1,500,000 Support for Ebola Survivors and Affected Communities PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of households economically reintegrated through an income 450 708 UNDP generating activity Number of community recovery initiatives launched 20 29 UNDP Number of community consultations and orientation sessions on the 20 (1,000 persons) 20 UNDP post recovery strategies and community action plan
Number of thematic training sessions on income generating activities 20 (1,000 persons) 72 UNDP
Percentage of pregnant women who conducted four antenatal visits, 85% 86% UNFPA including one in 9th month 23,029 women Number of health workers trained in health related topics like reproductive health, HIV, Ebola virus disease, gender – based violence 40 68 UNFPA etc. Number of community healing dialogue (CHD) sessions conducted for 400 412 UNDP survivors living in 20-subprefectures 24 Number of individual psychosocial counseling sessions done after 40 people identified in need beneficiaries in need of specific and close UNDP community healing dialogue specific and close follow up follow-up 80% 118% % of the population sensitized about EVD survivors situation to decrease of target groups Note: 13,000 people Note: 11,000 direct sensitized; 20 radio UNDP stigmatization beneficiaries sensitized are sessions broadcasted in expected the target area
at least 20 projects 60% Number of community economic projects implemented identified for implementation of the activities planned for the UNDP implementation identified projects
80% Number of implementation of the project financed and implemented at least 10 -15 projects identified for implementation of the UNDP through the civil society platform activities planned for the implementation identified projects
Number of prefectural ministry branches supported (rehabilitation, 4 4 UNDP trainings, support to running costs)
*Activity scheduled for February 2017
Achievements and Results Project #43 - Strengthening Community Recovery and implemented by UNDP through partnership with one national Resilience in Post Ebola Guinea NGO, Association des animateurs communautaires de Guinée (AACG), was to improve the living conditions of 20 Ebola- The project “Strengthening Community Recovery and affected communities or 1,000 people in three regions, giving Resilience in Post Ebola Guinea “ contributed to the socio- them financial autonomy to support their families. The second economic recovery of the communities affected by the Ebola output, implemented by UNFPA and the Ministry of Health epidemic in the prefectures of Guéckédou, Macenta, Nzérékoré decentralized services, gave vulnerable people, especially and Kindia. This project had two main outputs. The first, those in rural areas, access to reproductive health services.
35 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA RECOVERY STRATEGY OBJECTIVE 02
The project identified and provisioned 708 Ebola-affected Communities also benefited from the project, which supported households with cash assistance (US$315 per household) in 28 social and economic initiatives in 19 targeted communities. the prefectures of Guéckédou, Macenta and Nzérékoré. This These activities addressed access to basic services and restarted figure included 320 women and 110 survivors. The US$315 was economic activity, including through the construction of public divided into two parts. Half of the US$315 was paid directly to latrines, water pump maintenance, agricultural equipment, health households to meet immediate needs, while the other half went centers and the rehabilitation of administrative buildings. to the community to support recovery initiatives. Community On the second output, UNFPA equipped the maternity wards committees managed the grants and this enabled achievement of 20 health facilities with reproductive health kits in the three of community initiatives at reasonable costs. regions of Kindia, Nzérékoré and Conakry. It also provided 30 After the beneficiaries were selected, the project trained them in motorcycles to 30 health facilities to facilitate outreach activities small scale business planning and basic accounting to support in the regions of Nzérékoré and Kindia. In collaboration with the their income generating activity (IGA). At the conclusion of the Ministry of Health, UNFPA conducted a workshop for 68 midwives project, across the 708 households, recipients had undertaken from 9-13 November 2015 to improve their knowledge of Basic 155 individual initiatives and 94 associative income generating Obstetric and Neonatal Emergency Care (BEmONC) as well as the activities. Most of the project’s beneficiaries showed significant management of infectious diseases and gender-based violence. improvement of their living conditions.
© UNDP © UNFPA
Stories from communities - Project #43 My name is Kolikolo Loua, mother of three children, including a boy and two daughters. I have been a widow for four years now, and after the death of my husband, I have been supporting my children with difficulties. I fell ill with Ebola in 2014. I was waiting for my death at any moment knowing that any person who was ill of Ebola at that time was condemned to death. It was said everywhere that any patient infected with Ebola should be killed in the treatment center as there is no available medical treatment. Thank God, I have recovered from the disease after four weeks of hospitalization at the treatment center. But, back to the village, I was stigmatized and marginalized. The UNDP project came to the village to identify the Ebola survivors and all those who have lost a family member. Thanks to the project, I have received 500.000 GNF for my immediate needs and then 1000.000 GNF for income generating activity. This was a lot of money for me. I opened Ms Kolikolo Loua, Gbouo village, N’Zerekore Prefecture a restaurant in the village, business that I was doing before my husband died. Through this economic activity, I can earn I am now well integrated into my community and I have a between 25,000 to 40,000 GNF of profit per day, 4 to 5 peaceful life. I thank UNDP and all the project staff for their days a week. I was able to enroll my daughter and my boy assistance. at school.
36 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA RECOVERY STRATEGY OBJECTIVE 02
Project #52 - Psychosocial and Economic Recovery survivors and for surveillance; actions to fight discrimination and Support for Ebola Survivors and Affected Communities stigmatization of Ebola affected people; support for rebuilding livelihoods; and strengthening the capacity of the Ministry of A project focused on “Psychosocial and Economic Recovery Social Action. The project was undertaken in partnership with the Support for Ebola Survivors and Affected Communities” Guinean Red Cross (GRC) through the International Federation of supported the integration of Ebola survivors and those that Red Cross, the National Agency of Sanitary Surveillance (ANSS) worked in the Ebola response back into their communities. It and the Ministry of Social Action. boosted community resiliency by making Ebola-affected people key project partners. The five main project objectives included: Project #52 - Watch the video here: psycho-social support (PSS) and clinical reference; support to http://bit.ly/2r2dHU8
Psychosocial support through community healing the broadcast of 20 radio programs on survivors throughout Radio Nzaly Liberte FM in Forest Guinea. During these radio dialogue for survivors in Forest Guinea programs, 19 calls from auditors were registered. Also with Ebola Response MPTF funding, the project produced a documentary on the PSS project achievements, which was disseminated through social media.
Socio-economic support for survivors The project set in motion 20 projects to improve socio- economics in Forest Guinea. The projects’ cost totaled GNF 3,062,639,200 (US$346,251). At the time of reporting, approximately 60% of planned activities under these projects were achieved, with the remainder to be finalized by March 2016. Social workers completed 4,548 surveys to determine how best to support frontline workers. Based on these surveys, © UNDP UNDP and partners worked on a training program called “Dare to Innovate,” which aimed to cover the gaps detected, especially for basic skills training, specific skills trainings and Through the project, 412 community healing sessions were support for income generating activities by frontline workers. held, which allowed Red Cross volunteers to reach 11,991 people. Red Cross volunteers identified 19 people in need of special follow up for PSS support due to psycho-social Strengthening the Ministry of Social Affairs, the trauma. In Guéckédou and Nzérékoré, the project trained 66 Advancement of Women and Children’s Affairs GRC volunteers. (MASPFE) Supporting survivors Administrative measures taken under the project also strengthened operations of the MASPFE. In preparation for Through a collaboration with the UNDP and National Agency activities to commence in 2017, the project completed the of Sanitary Surveillance (ANSS), between August 2016 and terms of reference (ToR) to recruit an accountant and was set February 2017, approximately 272 healthcare staff were to recruit an external cabinet to improve data management. deployed to 34 health centers to accomplish goals laid out In addition, the MASPFE deployed 60 social workers to in the government’s SACEINT strategy for survivors. The targeted prefectures. These social workers worked closely staff focused on strengthening epidemiological control for with Red Cross volunteers and local Red Cross Committees survivors and their communities, including the provision of to undertake the socio-economic baseline survey and collect enhanced healthcare services. data on frontline workers’ training needs. Fighting stigmatization To fight the stigmatization of survivors, their families and those who worked in the response, the project supported
37 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA RECOVERY STRATEGY OBJECTIVE 03
COVERAGE: RSO 03 Allocated Basic Service & Infrastructure $1 million Region of Kindia
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00100017 #55 Improving Access to Emergency Maternal and 13-Apr-2016 $999,998 Neonatal Health Services in the Context of Ebola and Recovery in Guinea PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of health facilities reinforced 30 30 UNFPA
Number of community health workers involved in the project 100 150 UNFPA Number of national staff trained and deployed at the health facility 40 60 UNFPA level (midwives) Number of youth-friendly centers involved in the social mobilization 20 5 UNFPA
Number of health facilities equipped 30 30 UNFPA Number of antenatal care performed (four visits, including one at the 24,588 28,139 UNFPA ninth month) Number of safe deliveries 17,190 22,365 UNFPA
Number of rape treatment 150 72 UNFPA
Achievements and Results Project #55 - Improving Access to Emergency Maternal and Neonatal Health Services in the Context of Ebola and Recovery in Guinea The UNFPA in collaboration with the Ministry of Health and other partners, worked to improve reproductive health indicators and the health system in Guinea, focusing on Kindia, one of the areas hardest hit by Ebola. Their project improved access to quality reproductive health services through the provision of reproductive health commodities, materials and equipment for 30 health facilities in the target area. It also deployed one international UN volunteer on medical logistics to ensure that reproductive health commodities and kits were available in the targeted health facilities. To support pregnant women and newborns, the project recruited 60 skilled, national midwives and deployed them throughout these 30 facilities. One international UN volunteer, a senior midwife, was recruited to provide field supervision and coaching to the national midwives. © UNFPA To strengthen the health information management system, the project set up a mobile phone application system (Track- community-based activities that raised awareness on the SR), which enabled timely data collection and data sharing. services and helped identify and refer women to the health Approximately 150 villages benefited from project-related facilities.
38 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA RECOVERY STRATEGY OBJECTIVE 03
Stories from communities - Project #55 for my second child, I only came here once. I gave birth The following is the testimony of a 28-year-old woman who at home with my mother-in-law, but I suffered a lot. Once came for post-natal consultations at the Farmoriah Health again, I got pregnant with my third, I did not want to come Center, Forecariah District, which is among the health here again until a colleague of mine who had just given centers supported by project funds. birth at this health facility and who knew my bad experience “I knew this center before it was renovated and equipped. I before told me that now things have changed. used to come here to follow up on my previous pregnancies. She forced me to come. And when I came, I was With my first birth, when I came here, nobody had taken impressed by the quality of the hospitality I received, care of me the same way they do today. When I went to the midwives deployed by UNFPA in collaboration with the staff who were present, they could hardly answer me. In the government took care of me so much, availability of addition, they used to ask to pay too much for the services medicines, cleanliness, free services and above of that I and even when I came to give birth, I still remember there repeat the quality of the warm welcome we received has was not enough staff to look after me. I gave birth almost made me to come even before my appointments. You find alone on the floor, because it was nearly at the end that the comfort whether in the delivery room with beds or in the health technician came to assist me. When I got pregnant hospitalization room. Anyway, things have really changed”
39 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
GUINEA RECOVERY STRATEGY OBJECTIVE 04
RSO 04 COVERAGE: Governance, Peacebuilding, and Social $0.25 million Allocated Country Cohesion MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096708 #44 Support to the government to setup and 21-Oct-2015 $247,915 manage a dedicated financial mechanism to capitalize on New York pledging Conference commitments PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of Staff trained from Secretariat and the Thematic Groups 30 24 UNDP
Training of Technical Core Team 4 4 UNDP
Thematic Groups (TG) and Delivery Units (DU) fully operational 4 TG and 4 DU 3 TG UNDP
Achievements and Results
Project #44 - Support to the Government to Setup Through the project, Ebola recovery financing options were and Manage a Dedicated Financial Mechanism shared within the government and with donors, notably to Capitalize on New York Pledging Conference through conference calls, South-South cooperation, and Commitments capacity building sessions. Based on the most suitable architecture and international best practices for a national An Ebola Response MPTF-funded project strengthened financing mechanism for Ebola Recovery within the Guinean the capacities of the Government of Guinea to establish a context, the Guinean Post Ebola Resilience and Recovery financial mechanism to mobilize resources pledged to the National Trust Fund (PERRNTF) was designed. An agreement country during the International Ebola Recovery Conference, between Guinean Government and MPTF Office on the held 9-10 July in New York, US. components of the finance mechanism (Steering Board, Regarding structure, the consultation framework between Trustee, implementing entities) and finalization of the the government and the donor community is called the membership and responsibilities of Steering Board and Cadre de Concertation et de Coordination or CCC. It is Trustee was signed. An Operations Manual of PERRNTF and meant to become the permanent National Coordination and final standard operating procedures (SOPs) for each financing Consultation Framework in the country. The CCC is co-chaired window were established and endorsed. by the Prime Minister and the UN Resident Coordinator in In addition, coordination mechanisms emerged that could Guinea and oversees the implementation of the Post Ebola support recovery efforts and be efficiently used by the Priority Action Plan while ensuring coordination between the Coordination Framework and its Permanent Secretariat. government and development partners. The CCC is supported Nationally owned, bankable programs were formulated by a Permanent Secretariat that ensures the consolidation of and set for presentation under the National Trust Fund. the contributions from the sectoral planning units and the Finally, a Technical Cell was built to support the Permanent Cluster Thematic Groups covering the different sectors of the Secretariat, especially in strategic planning, programming and Post Ebola Priority Action Plan. The Permanent Secretariat monitoring. This support included the recruitment and finance is chaired by the Special Advisor of the Prime Minister with of three national experts and one administrative assistant for membership of the Ministry of Finance. six months starting June 2016.
40 43 MCA 6 - Access to Basic Services
45 MCA 7 - Cash Incentives for Workers
46 MCA 13 - Preventing Outbreaks
50 RSO 01 - Health, Nutrition, and Water, Sanitation and Hygiene (WASH) UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT at A Glance
LIBERIA 43 million 40 million Allocated Expenditures
SIERRA Voinjama GUINEA LEONE 13 Proposals 8 UN Entities
Bopolu Saniquellie RESPONSE Tubmanburg CÔTE S01 S02 S03 S04 S05 D'IVOIRE Kakata Stop TREAT ENSURE PRESERVE PREVENT Monrovia Buchanan 17 million 10.5 million 8.5 million 3.5 million 1.5 million
River Cess Fish RECOVERY Town Greenville RS01 RS02 RS03 RS04 ATLANTIC Governance, OCEAN Health, Nutrition and Socio-Economic Basic Services and Peacebuilding and WASH Revitalization Infrastructures Harper Social Cohesion 25 km 2 million n/a n/a n/a
Map Sources: ESRI, UNCS. The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Map created in Sep 2013.
Funding as of 31 December 2016* Funding per Mission Critical Actions & Recovery Strategic Objectives
MCA01 - Identify and Tracing MCA02 - Safe and dignified burials 0% 38.92% MCA03 - Care for persons 24.35% MCA04 - Medical care for responders 0% Total MCA05 - Food security and nutrition 0% Allocation MCA06 - Basic Services 14.97% $159 m MCA07 - Cash Incentives 5.17% MCA08 - Recovery and Economy 0% MCA09 - Materials and Equipment 5.92% MCA10 - Transport and Fuels 0.74% MCA11 - Soc.Mob & Community 27% 1.92% MCA12 - Messaging 0% MCA13 - Preparedness 3.40% RSO1 - Health, Nutrition and WASH 4.60% Guinea Sierra Leone $43,466,090 RSO2 - Socio-Economic Revitalization 0% Liberia Regional RSO3 - Basic Services and Infrastructure 0% RSO4 - Governance, Peacebuilding and 0% * Allocations are based on approved budget Social Cohesion
42 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 6
COVERAGE: MCA 6 $2.5 million Allocated South Eastern Liberia, Maryland County Access to Basic Services Careysburg District and Todee District, Montserrado County
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00100247 #53 Strengthening Reproductive Maternal, 28-Apr 2016 $1,000,000 Newborn and Adolescent Health Service Delivery, Death Surveillance and Response in Southeastern Liberia 00102805 #62 Improving Maternal and Newborn Health 31-Oct-2016 $1,499,980 through the Delivery of a Standard Package of Maternal Newborn Interventions in the Remotely- Located Todee and Careysburg Districts of Montserrado County PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of health facilities that provide complete ASRH services 3 3 UNICEF/UNFPA/WHO Proportion of health facilities achieving targeted number of ANC 4 100% 33.3% UNICEF/UNFPA/WHO visits Proportion of BEmONC facilities providing services according to 100% 100% UNICEF/UNFPA/WHO guidelines Proportion of health facilities reporting no stock-out of tracer 100% 66.7% UNICEF/UNFPA/WHO commodities for RMNCAH Proportion of community health workers reporting no stock-out of 100% 96.3% UNICEF/UNFPA/WHO commodities including contraceptives Number of new-born and mothers who received two home visits from 630 424 UNICEF/UNFPA/WHO the CHVs within two days of delivery Number of skilled deliveries in facilities referred by CHVs/TTMs 540 384 UNICEF/UNFPA/WHO
Proportion of maternal and new born deaths notified by health facilities Maternal deaths = 0 100% Neonatal deaths = UNICEF/UNFPA/WHO that were investigated 100% (1/1) Number of targeted health facilities that have standards of care for 3 3 UNICEF/UNFPA/WHO RMNCAH available * Project #62 is recently funded Achievements and Results
Project #53 - Strengthening Reproductive Maternal, Maternal, Newborn, Child, and Adolescent Health (RMNCAH), Newborn and Adolescent Health Service Delivery, ensure infection prevention and control for Ebola and other Death Surveillance and Response in South Eastern transmittable diseases, and make sure that pregnant women Liberia could safely deliver their babies. The Ebola outbreak devastated already fragile health The project, which focused specifically on Maryland County, systems in Liberia, leaving thousands of mothers and children had several important outcomes. First, there were zero vulnerable to complications from other treatable conditions. cases of Ebola transmission in health facilities from April to Consequently, maternal, newborn, and under-five morbidity December 2016. and mortality rose in a country where the provision of maternal Access to and utilization of basic emergency obstetric and and neonatal care and family planning services was already low, neonatal care (BEmONC) services improved through project and where teenagers accounted for one third of pregnancies. activities that upgraded the capacity of three clinics, in Karloken, The WHO/UNICEF/UNFPA Joint Program on “Strengthening Glofarken and Fish Town, to provide BEmONC services. The Reproductive Maternal, Newborn and Adolescent Health clinics were given access to standards of care for RMNCAH Service Delivery, Death Surveillance and Response in South in line with national guidelines as well as technical support Eastern Liberia” worked to address these issues and improve at all levels to enhance the use of data driven information.
43 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
LIBERIA Mission Critical Action 6
Even though the Ministry of Health (MoH) regulation on health by skilled providers in the health facilities referred by TTMs care service provision hours was 8am to 4pm, the incentives increased from 126 to 384 out of 540. The project improved provided to health workers motivated them to provide 24/7 the provision of adolescent friendly RMNCAH services, and as service in all three clinics. a result, the number of adolescents accessing family planning increased from 489 to 516 on a quarterly basis, with clients With Ebola Response MPTF resources, the project improved also benefitting from HIV prevention and safe motherhood skilled deliveries at health facilities and supported emergency services. obstetric and neonatal care, as well as emergency referral for pregnant women. It also enabled outreach to communities The project enhanced the supply of essential commodities, through trained Community Health Volunteers (CHVs) and five including contraceptives and drug stocks, at the clinics and Trained Traditional Midwives (TTMs) deployed to Karloken (1), available to communities. With support from UN agencies, Glofarken (2), and Fish Town clinics (2). The CHVs and TTMs clinic healthcare workers were trained on managing essential encouraged pregnant women to access antenatal care and to medicines and supplies, and logistical support for the deliver in health facilities, and gave home visits to pregnant distribution of essential commodities was provided. As a women and newborns. No maternal deaths were recorded in result, the supply chain at the county and health facility the three health facilities, but one neonatal death and one level improved. Two of the three health clinics reported stillborn in the catchment communities in Karloken Clinic were timely access to essential maternal and new born medicines reported. and contraceptives. However, during the rainy season, road conditions impeded the delivery of essential items to certain The project also strengthened community health structures facilities and communities. Despite these challenges, 24 out of so that they could provide RMNCAH services in all targeted 26 community healthcare workers (an increase from 16 out of health facilities’ catchment communities. Communities in the 26) reported no “stock-out” of essential medicines. catchment area of the targeted health facilities organized monthly Health Facility Development Committee (formerly Project activities also assured that the coordination and Community Health Development Committee) meetings with monitoring of RHMNCAH services (including maternal death action plans. Six out of nine targeted meetings were held surveillance and response systems) were improved across during the reporting period. Maryland County. It led to enhanced and integrated HMIS at county, district and health facility and community levels. The recruitment and deployment of professional midwives A revised data reporting tool was developed based on the with incentives, along with community engagement activities, project results framework, in collaboration with the Ministry turned out to be a best practice yielding significant results of Health (MoH). It proved to be a best practice. The tool and an increase in deliveries in facilities. In catchment areas, disaggregated data by age, enabling interventions to be 424 (an increase from 139) out of 630 mothers (and newborns) tailored to different age groups, specifically youth. The project received at least two home visits from trained CHVs within also saw improvement in the functional and results-based two days of giving birth. The number of deliveries conducted coordination mechanisms at county and district levels.
© UNFPA 44 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 7
COVERAGE: MCA 7 Allocated Cash Incentives for Workers $2.25 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092903 #8 Payments for Ebola Workers 04-Dec-2014 US$1,532,616 21-Jan-2015 US$713,216
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES
% of Ebola Response Workers linked to a payment mechanism 100% 95% UNDP
Achievements and Results
Project #8 - Payment Program for Ebola Response The PPERW project also financed a study for the interoperability Workers (PPERW) of MoH HR system with the Civil Service and Ministry of Finance HR systems to manage payroll more efficiently and increase The Payment Program for Ebola Response Workers (PPERW) the speed of payments to health workers in the counties. was established in December 2014 to ensure that all Ebola response workers (ERWs) received payments for performing To increase communication and transparency of payments, UNDP their essential duties. The three components of the project in collaboration with the MoH, installed an electronic billboard at were: information management; strengthening existing the Ministry to provide payment information publicly to workers. payment mechanisms; and establishing an operational To increase the ability of the government to pay workers in remote contingency plan to ensure payments could be made in case areas and to strengthen payment mechanisms in Liberia, UNDP of partial failures. forged a partnership with USAID to reduce the risk, via a public- private partnership, for a digital payments aggregator, Splash By the end of December 2015, UNDP had supported the Cash, to enter the Liberian market. At the end of the project, government to pay an average of 10,000 Ebola Response an in-depth financial diagnostic of the digital payment sector in Workers (ERWs) per payment cycle (for a total of 5 payment Liberia was completed and findings were expected to feed into cycles), ensuring that more than 95% of them were registered discussions on the introduction of a third-party cash aggregator in and linked to a payment mechanism. By the end of the project, Liberia with a view to strengthening existing payment mechanisms UNDP supported government efforts to pay all 822 Incident and developing digital financial services in the country, especially Management System (IMS) workers through the PPERW improved mobile payment efficiency for G2P and D2P payments. contingency plan. Throughout the program, only ERWs from Montserrado County, about 1000 workers were paid on time. A terminal evaluation of the project conducted in April 2016 The remaining ERWs in the counties experienced an average concluded that the PPERW project contributed significantly to of an eight to 12 week delay due to the lack of identification the payment of ERWs and helped end the epidemic in Liberia. and poor coordination with the central office and the county The allowances paid to ERWs were used as source of income health teams. and helped recipients meet basic needs in a very difficult situation. The evaluation also concluded that the program The media did not report ERWs striking, but there were helped to strengthen the capacity of the MoH to manage demonstrations requesting salary increases. In response, 17 health worker payroll, with systems and process put in place UN Volunteers were deployed to the field and a call center that will support cash transfer payments during other crises. was established to voice and help resolve ERW complaints.
45 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
LIBERIA Mission Critical Action 13
COVERAGE: MCA 13 Allocated Preventing Outbreaks $1 million Monserrado
MPTF Project No: Title: AMOUNT: 00092648 #11 - Ebola Response and recovery positioning $1,000,000 Community Quick Impact Projects (C-QIPs) for Montserrado County Liberia
List of Qip projects implemented in Liberia; the first phase of the IQ Ps implemented by UNMEER was reported in the second and third interim report.
Community Based Organization County Project Value(USD) Project Title and brief description of activity Community Help Insight Liberia Building the capacity of primary and secondary school teachers in Ebola Monserrado $3,923 (CHIL) prevention, infection and control in District #2 Johnsonville City.
Sean Devereux Children’s Construction of elevated poly tank water supply facility for use by children Education And Agriculture Monserrado $4,374 and students to properly maintain hygiene in Sean Devereux School Toile Programme. and provide safe source of water for school and community dwellers
Babylon Congress For Monserrado $2,300 Sanitizing school campuses and providing anti-Ebola hygiene materials Development (BCD)
Ebola Prevention & Care for Deaf students (EPCaDS), providing specialised Total Dignity Institute, Inc. (TDI) Monserrado $5,000 services for persons with disabilities
Back to School Assistance to Ebola Orphans and Survivors, providing Survivors Aid International Liberia Monserrado $4,800 counseling support for return to school along with ebola preventive (SAIL), INC materials
Paynesville SDA Women Ministry Teaching basic Hygiene in the Schools and Communities to say ‘farewell’ to Monserrado $1,000 Department Ebola targeting women and children
Ebola Survivors Reintegration Programme 1st phase (ESRP); focused Women of Change Monserrado $4,877 primarily on women creating awareness and prevention of Ebola to stay at zero while at the same preventing the resurgence of disease Enhancing good sanitary condition to schools (Construction of hands Integrated Livelihood Promotors pumps, hands washing center , renovation of Toilet at the TEEBEY, Monserrado $ 4,509 Inc (ILIP) Memorial high school, point Four, Bushrod Island, Monrovia, Montserrado County) Restoring Trust in the Health Care Delivery System; focused on a United For Humanity (UH) Monserrado $ 4,075 multifaceted preparedness to preserve stability of the gains made in the Ebola response Taking stigma and complacency out of minds towards a win against New Liberia Media Initiative Monserrado $ 4,900 Ebola in Liberia - tackled stigma, denial through direct engagement with survivors and families Global Vision for women and Engaging communities, especially women on stigmatization and Monserrado $ 4,705 children complacency on the prevention of Ebola Child Equip unites to fight Ebola - focused on preventive care support, Child Equip Inc Monserrado $ 4,450 messaging, enhanced community engagement & provision of essential equipment and materials and supplies
Devcorps Inc. Monserrado $ 4,327 Strengthening PTA and school partnerships to make schools EVD free zones
Initiative for female development Back to school recreation - targeted mobilization at the household level in Monserrado $ 2,885 (INFED) the context of schools re-opening to preserve stability of the gains made National Federation of women Initiative to Reduce complacency and fatigue among market women - employees and allied workers Monserrado $ 4,531 focused on preventive care support, messaging, enhanced community (NAFWEA) engagement, provision of essential equipment and materials and supplies Community Organization for Community action for sustained Zero Tolerance of EVD in Todee district - Reconstruction and development Monserrado $ 4,688 community mobilization with preventive messages and behaviour change ( CORD) with an objective of preventing the disease from re-occurring
46 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 13
Community Based Organization County Project Value(USD) Project Title and brief description of activity United Youth Social Symposium Sustaining and accelerating EVD prevention Interventions to achieve Zero for Education and Development Monserrado $ 4,954 New Case in Liberia - focused primarily on preventive behaviour change (UYSSED) messages Creating Rapid awareness on the spread of the deadly Ebola virus; God’s Anointed Children Club Monserrado $ 2,750 focused on preventive care support, messaging, enhanced community (GACC) engagement, provision of essential equipment and materials and supplies. Rural Effective Agriculture Program Installation of hand pumps in Ebola affected communities and households Monserrado $ 4,980 (REAP) within Paynesville area
Women and Children Development Re-enforcing compliance to the Health Protocol to achieve zero infection Monserrado $ 5,000 Association of Liberia rate in communities - focused on teaching behaviour change
National Empowerment program Taking action against Ebola Stigma and discrimination - focused primarily Monserrado $ 5,000 for Women and children (NEP) on fighting stigma especially amongst survivors and familiies Post Ebola rapid assessment of community need to improve quality of Montserrado County Sector 3 IMS Monserrado $ 4,500 life and reduce the transmission infectious diseases - behaviour change education National Health and Prmomoters Kick Ebola beyond border - focus was on preventive care support, Association of Liberia NGOs Monserrado $ 3,774 messaging, enhanced community engagement, provision of essential (NAHPLAN) equipment and materials and supplies. Strengthened capacity for positive guardians - focused on a multifaceted Children Empowerment for Future, Monserrado $ 4,925 preparedness, especially in the context of schools re-opening to preserve Inc stability of the gains made in the Ebola response Prevention of further Ebola virus diseasse outbreak in Liberia through the Secure Liberia Monserrado $ 4,975 provision of water for handwashing, sensitization and awareness creation in schools Focused on stopping stigmatization against Ebola virus disease survivors Shaul Foundation Monserrado $ 3,740 and promote livelihood for female headed household survivors project
Liberian International Foundation Restoration of Dixville Public School - provided support in the form of hand Monserrado $ 4,818 for Education (LIFE) pumps, sanitary wares and and other preventive materials and supplies
Youth for Education and Agriculture Formation and maintenance of Water,sanitation and Hygiene (WASH) Monserrado $ 4,420 International Liberia (YEAI-Liberia) clubs in ten high schools Conducted IPC TOT training to 15 private schools in Caldwells with the National Public Health NGO Monserrado $ 4,593 objective of building knowledge and skills to fight ebola and other Network (NAPHNET) epidemics Sporting awareness against spread of Ebola - capitalizing on the popularity of football, this project sought to use its platform to mobilize communities bringing people together particularly the youth to fight the virus and to 18ners Social and Athletics Club Monserrado $ 2,501 help those living in affected communities. In particular, it used sports and entertainment community stars in spearheading positive message to fight stigma. Reducing stigma and improving hygiene in Freeman Reserved community Afro-medical Community Health Monserrado $ 4,996 - this was done through provision of engagement and provision of and welfare services (ACHWS) preventive materials
Focused on mobilizing and monitoring implementation of safe health and Bethel National Youth Ministry Monserrado $ 2,233 hygiene practices
Hygiene promotion in schools and its environs via drama this was Urban Community Empowerment Monserrado $ 2,635 considered a platform to mobilize communities particularly the youth to fight the virus and to help those living in affected communities.
Bilingual Community based Monserrado $ 5,000 Improving livelihoods and income generation for Ebola survivors organization
47 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
LIBERIA Mission Critical Action 13
Community Based Organization County Project Value(USD) Project Title and brief description of activity Health Department of Seventh day Adventist Church Psychosocial training Health Department of Seventh day Monserrado $ 2,000 on Ebola - this focused on communities and households especially those Adventist Church known to have suffered most “Wait Small more(Ya)”; Liberian colloquial - this was a palave hut type Student Reform Initiatives Monserrado $1,995 strategy bringing the youth together to discuss openly and find solutions towards fighting ebola and supporting community recovery Young Adults Volunteers Four rooms toilet facility for 2 schools in the community - focused on WASH Monserrado $ 3,480 Association as one of the key areas of improvement in general hygiene Water for health in Block B and H of Soul Clinic - preventive care support, Soul Clinic Community Monserrado $ 5,000 messaging, enhanced community engagement, provision of essential Development Association (SCCDA) equipment and materials and sup Yarcooper Elementary and Junior Yacooper Elementary and Junior High School safe drinking water project - Monserrado $ 1,067 High School construction of water pump and hand washing points
Strengthening the fight against new outbreak of Ebola through nightclubs Actions for Humanity Monserrado $ 2,693 and entertainment centres
Increasing awareness to reintegrate EVD survivors in the communities and Edusport Liberia Monserrado $ 4,556 schools without discrimination through sporting events and psychosocial
Preventing further Ebola virus outbreak through community water and Manja Catering and Charity Monserrado $ 4,443 awareness programmes
Right to play: Construction of a recreational facility for orphans at Taffi Taffi Dollar Child Welfare Centre Monserrado $ 5,000 Dollar Child Welfare Centre Back to school awareness on Ebola WASH -using faith a platform, the focus Islamic Guidance Organization Monserrado $ 5,000 was on encouraging a back to school message and how to ensure safety and security even in doing so
Equipping Youth to Help One Strengthening Relationship between Ebola survivors and host community Monserrado $ 4,312 Another dwellers through psycho-social counseling and sports
Campaign against Stigmatization of Ebola affected people through Women Protecting Female Inmates Monserrado $ 5,000 community Engagement working with community mobilizers, counselors & welfare (WOPROFIW) Inc. and psycho-social providers. Nurturing Hygiene Practices to avoid probable illness among Children and Youth Crime Watch of Liberia Monserrado $ 4,820 Youth in 6 paynesville communities Raising awareness on Ebola for Upper Caldwell Nursery and Elementary Youth Looking After Community School children - strategy was preventive care support, messaging, Monserrado $ 4,315 Affairs enhanced community engagement, provision of essential equipment and materials and supplies
Liberians for development and Ebola Prevention awareness to farmers - this focused on farmers, and Monserrado $ 4,980 progress passed prevention messages at the farms without interrupting their work
Reaching out to the unreachable to stop Ebola - focus on most affected communities and households with preventive care support, messaging, Agape Hill Youth Association Monserrado $ 2,553 enhanced community engagement, provision of essential equipment and materials and supplies Construction of 4-compartment modern pit latrine with wash pan- Concerned Women Monserrado $ 4,937 primarily WASH with a focus on women and girls
Common Heritage Foundation Community engagement with emphasis in compliance with prevention Monserrado $ 5,000 Liberia protocols, as well as fighting denial and stigmatization
Women and Adolescent Girls Promoting citizens participation to council, educate and prepare Monserrado $ 4,410 empowerment program communities to prevent the spread of Ebola virus in Liberia
48 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 13
Community Based Organization County Project Value(USD) Project Title and brief description of activity Women Unite to create awareness Psychosocial in Schools and Women Unite Monserrado $ 5,000 communities within Mount Barclay area and Johnsonville
Reaching Zero infection level through drama in school - preventive United Youths for Development Inc. Monserrado $ 3,533 messages using IEC and targeting schools
Swine Producers Association of Training swine producers to overcome losses sustained from EVD within Monserrado $ 2,920 Liberia the Mount Barclay-Lower Johnsonville area
Safe school environment in the Ebola outbreak in 18 schools located at the Sisters in Action Monserrado $ 5,000 Peace Island community and its environs
Community Youth Empowerment Spreading Ebola Messages through custom made copy book - targeted Monserrado $ 2,568 Initiative young people who can read and write
Friends of Success Monserrado $ 3,865 Psychosocial intervention - mainly to fight stigmatization and denial
Global Assistance for All People Monserrado $ 4,996 EVD awareness and prevention project- a school environment approach
Education on Ebola in schools and communities in Montserrado county Kriterion Monrovia Monserrado $ 3,617 - emphasis on making the school environment safe and secure from epidemics with basic knowledge and education Social stigma reduction and Ebola WASH Project - focus on young people Reform Youth network Monserrado $ 2,990 through mini cash for work programme building latrines and washing areas
Deaf people Anti-Ebola Education project - special focus on people with Sharpe Home Care Services Monserrado $ 4,250 disability
Youth Health Initiative Monserrado $ 2,500 Promoting Community Health through grassroots participation
Federation of Chocolate City Youth Monserrado $ 4,772 Wash your hands, save your health- Zero Ebola cases
Livelihood support for Ebola survivors - preventive care support, Conscious youth for the Monserrado $ 2,775 messaging, enhanced community engagement, provision of essential transformation of Liberia (COYTOL) equipment, materials and supplies
Women Empowerment for self Mobilizing Women for Sustanable Ebola Prevention Practices - specific Monserrado $ 5,000 Employment focus on women and girls within the Rehab, Paynesville community
Counselling the Orphans in the disabled community - focus on people with Barkarjoe Youth Association Monserrado $ 1,200 disability
Ensuring safe school; building synergy to end Ebola in Liberia - focus Sisters Aid Liberia Monserrado $ 4,825 on behavious chanfe education and counseling along with provision of preventive materials and supplies
Ebola messaging with a focus on preventive care and support enhanced Liberian Polio Association Monserrado $ 5,000 community engagement focusing on people with polio induced disability as well as provision of essential ebola preventive materials and supplies
49 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
LIBERIA RECOVERY STRATEGY OBJECTIVE 01
COVERAGE: RSO 01 $2 million Allocated Gbarpolu, Grand Cape Mount, Lofa Counties Health, Nutrition and WASH Clara Town, Montserrado County
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096703 #33 Restoring Midwifery Services in Ebola most- 19-Oct-2015 $1,000,000 affected counties 00097566 #46 - Upgrading Water and Sanitation Systems in 18-Dec-2015 $1,000,000 Ebola-Affected Slum PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of national midwives newly recruited, trained and deployed 15 15 UNFPA
% of households gaining access to solid waste management services 50% 38% UNICEF/ILO/UN-Habitat
# of latrines constructed or rehabilitated 20 10 UNICEF/ILO/UN-Habitat
% of target group accessing at least 20 liters of water/day/person 85% 80% UNICEF/ILO/UN-Habitat
Number of water kiosks constructed or rehabilitated 23 22 UNICEF/ILO/UN-Habitat Number of youth directly engaged in the construction of WASH 250 250 UNICEF/ILO/UN-Habitat facilities
Achievements and Results
Project #33 - Restoring Midwifery Services in Ebola they served, increasing awareness on family planning services Most-Affected Counties and the services available to pregnant and post-partum adolescent girls, women and their babies. As a result, more This project improved Basic Emergency Obstetric and women sought care at project facilities. Newborn Care (BEmONC) in nine project facilities across Lofa, Grand Cape Mount and Gbarpolu counties. In partnership with Through the provision of various maternal health drugs, County Health Teams (CHTs), it expanded and rehabilitated equipment, including delivery beds, instruments and an four of these facilities in Grand Cape Mount and Gbarpolu operating table, and other medical supplies in addition to the counties. Three were complete, while at the time of reporting, training of care providers, Foya Borma Hospital in Lofa County the fourth was 80% complete. (the only hospital in the project) became BEmONC compliant. Foya Borma Hospital could provide all nine signal functions BEmONC is a package of medical interventions or “signal of Comprehensive Emergency Obstetric and Newborn Care functions” to treat life-threatening complications during Services (CEmONC). pregnancy and childbirth. Signal functions include, inter alia, administration of drugs to treat infection and hemorrhage, At the level of the clinics and health centers, compliance for instrumental vaginal delivery and neonatal resuscitation BEmONC improved, although it remained below 100%. During the baseline assessment, clinics and health centers missed Also in collaboration with the three CHTs, 15 health facility three to four signal functions, averaging 42.8% compliance. staff were trained in key BEmONC and deployed across the Through the project period, BEmONC monitoring revealed nine facilities. Experienced midwives from UNFPA, Jhpiego that seven facilities improved their BEmONC compliance with (an affiliate of Johns Hopkins University), the Liberia Midwives only one signal function missing, while the remaining facility Association (LMA) and the CHTs mentored and supervised lacked two signal functions compared to four during the these staff, along with others. Though the project was unable baseline assessment. to recruit international obstetricians as planned, through the Ministry of Health (MoH) it recruited, trained and deployed 20 Other accomplishments included reactivating the tracking of additional skilled health practitioners. maternal neonatal health (MNH) indicators and strengthened maternal neonatal death surveillance and response (MNDSR) Funds also supported the training of 280 Community Health mechanisms at the county, district and community levels, in all Workers (CHWs) and Trained Traditional Midwives (TTMs) three project counties. The project also successfully addressed who were then linked to the facilities. This strengthened the the lack of essential drugs and supplies. With project support, connection between health facilities and the communities 89% of target facilities reported no “stock out,” up from 44%.
50 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA RECOVERY STRATEGY OBJECTIVE 01
Project #46 – Upgrading Water and Sanitation Systems Through a Direct Cash Transfer to the Liberia Water and Sewer Incorporating Skills-Based Training and Employment Cooperation (LWCS), the project completed 70% of a planned for Youth in Ebola-Affected Slum Communities of 5,000-meter water supply pipe network with corresponding Liberia. branch connections to water kiosks. It rehabilitated 15 existing water kiosks and constructed seven of eight new kiosks, which A project focused on upgrading water and sanitation systems were to provide space for vendors to stock and sell groceries, in Clara Town, a slum community of about 74,000 people hard mobile phone call cards and other fast going commodities. hit by Ebola and located on Bushrod Island in Monrovia. The These achievements enabled access to at least 20 liters of project presented an integrated package of interventions water per person per day within 200 meters of homes for an addressing water supply, sanitation and youth employment, estimated 75% of the population. It reduced que times to with the overall aim of strengthening resilience and improving under ten minutes at peak fetching times. The project also saw livelihoods. UNICEF took over coordination, oversight and the completion of five, new six-cubicle public flush latrines, reporting on the project after UN-HABITAT scaled down its and it rehabilitated five existing facilities, increasing access to operations in the country. toilets and reducing open defecation.
© UNICEF/ILO/UN-HABITAT © UNICEF/ILO/UN-HABITAT The project trained five Community Management Teams The project achieved a number of outcomes. It trained five (CMTs) and Community Base Enterprises (CBEs) on how to Community Base Enterprise (CBEs) in solid waste collection source funds, manage CBEs, and ensure sustainability of solid and provided tools and equipment for this activity. The ILO waste collection in urban settings. Agreements were finalized and the CBEs signed contracts, effective 1 June 2016 to 31 with two CBES and water vendors to maintain and run the January 2017, for implementation of solid waste management water kiosks and latrine, ensuring their sustainability. activities. These actions resulted in at least 50% of the community gaining access to solid waste collection. The Monrovia City Corporation (MCC) received four garbage collection bins to receive solid waste from project communities. In consultation with community authorities, the project The project also procured three tricycles for the CBEs to use, selected and trained 60 youth in carpentry, masonry and while an additional one was allocated to the Clara Township plumbing services. They graduated in January 2017, were Community Leadership to aid with solid waste management. given tool kits (60 provided) and are currently working with select CBEs.
Stories from communities - Project #46 “Without any system for the collection and disposal of garbage, Clara Town have been heavily littered with garbage, which added to our many problems of water and sanitation caused by the widespread practice of open defecation. Today we are grateful for your intervention which have reduced our problems through the construction and rehabilitation of toilets, showers and water kiosks” - Assistant Township Commissioner, Mr. Varney Kiowon
51 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
52 55 MCA 1 - Identify and Trace People with Ebola
58 MCA 6 - Access to Basic Services
60 MCA 7 - Cash Incentives for Workers
61 MCA 8 - Recovery and Economy
64 MCA 13 - Preventing Outbreaks
68 RSO 01 - Health, Nutrition, and WASH
69 RSO 03 - Basic Services and Infrastructure
71 RSO 04 - Governance, Peace Building and Social Cohesion UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT at A Glance
SIERRA LEONE 50 million 43 million Allocated Expenditures GUINEA
17 Proposals 8 UN Entities
Makeni RESPONSE S01 S02 S03 S04 S05 Stop TREAT ENSURE PRESERVE PREVENT Freetown 7 million 20 million 6 million 3 million 12.3 million Bo Kenema RECOVERY
RS01 RS02 RS03 RS04 ATLANTIC Governance, LIBERIA Health, Nutrition and Socio-Economic Basic Services and OCEAN Peacebuilding and WASH Revitalization Infrastructures Social Cohesion
25 km 0.6 million n/a 1 million 0.25 million
Map Sources: ESRI, UNCS. The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Map created in Aug 2012.
Funding as of 31 December 2016* Funding per Mission Critical Actions & Recovery Strategic Objectives
MCA01 - Identify and Tracing 14.21% MCA02 - Safe and dignified burials 0% 35.56% MCA03 - Care for persons MCA04 - Medical care for responders 3.99% MCA05 - Food security and nutrition Total 0% 32% MCA06 - Basic Services 1.70% Allocation MCA07 - Cash Incentives 2.51% $159 m MCA08 - Recovery and Economy 8.13% MCA09 - Materials and Equipment 4.04% MCA10 - Transport and Fuels 0.55% MCA11 - Soc.Mob & Community 0.94% MCA12 - Messaging 0% MCA13 - Preparedness 24.59% RSO1 - Health, Nutrition and WASH 0% Guinea Sierra Leone $50,221,226 RSO2 - Socio-Economic Revitalization 0% Liberia Regional RSO3 - Basic Services and Infrastructure 2.09% RSO4 - Governance, Peacebuilding and 0.50% * Allocations are based on approved budget Social Cohesion
54 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE Mission Critical Action 1
COVERAGE: MCA 1 Allocated Identify and trace people with Ebola $2 million All 14 districts of Sierra Leone
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096318 #17 Strengthening Ebola Surveillance through 10-Aug-2015 $2,073,205 Integrated Disease Surveillance and Response (IDSR) PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES IDSR system is in place (>80% of Health units report weekly on 80% 89% WHO epidemic situation in Sierra Leone) Number of districts that fully implemented cross-border cooperation 4 4 WHO mechanisms (including regular exchange of information) Number of communication events 30 45 WHO
Achievements and Results
Project #17- Strengthening Ebola Surveillance, origin with contact tracing. This coordination and collaboration Community Engagement and Response for Getting to helped prevent cross border Ebola transmission during the and Sustaining Zero Ebola Cases in Sierra Leone project period. Most cross-border meetings and exchange visits stopped in November after the declaration of the end A project commenced on 10 August 2015 with the aim of the outbreak. of reaching and sustaining zero Ebola transmission in the country through strengthened surveillance systems, cross- Ten Ebola cases were confirmed during the reporting period border collaboration, rapid investigation and response, and (Kambia (6), Tonkolili (1), Bombali (1), Tonkolili flare (2) from community mobilization and engagement activities. It was four transmission chains. For the Ebola flare in Bombali in implemented under the leadership of the Ministry of Health January 2016, there were only two cases, the index case, and Sanitation (MoHS). which was not a contact, and one other case that came from the contact list. With exception of Sella Kafta in Kambia, all With Ebola Response MPTF funding, this project accelerated the other chains (Tonkolili, 2015 and Bombali, 2016) were efforts to stop Ebola in the four districts with on-going contained within the second generation, meeting the rapid transmission as of August 2015 and to prevent a reverse in response target set by WHO. progress in areas with no active cases. It also allowed for implementation of the lessons learned from previous phases A total of 60 contact tracers, supervised by 10 contact tracing of the Ebola response. Through the project, surveillance and mentors and eight epidemiologists followed the 2,767 contacts preparedness activities ensured that the “zero” achieved was that were line listed from the 10 cases (4 events). For each event, resilient and that capacity to promptly respond to future flares a daily average follow up rate of 98% was maintained. During was maintained. One flare, a new case, detected in January this period, no deaths occurred in quarantine houses largely 2016, was successfully contained at its source with only one because of the early detection and treatment of symptomatic secondary case. contacts by contact tracers. Furthermore, no quarantined contacts were absconded during the project period. This is The project made a number of other important contributions a testament to the work of the community engagement staff to the Ebola response. and the efforts of local communities. Consequently, all those reported as missing contacts were those who left before Ebola transmission and monitoring contacts investigation and quarantine. In October 2016, several meetings were held to address the To strengthen the resilience of communities and enhance lack of exit screening on the Guinean side of the border with community-based surveillance, village health committees Sierra Leone; the lack of joint investigations of suspects found were formed in silent (zero transmissions) chiefdoms in Kambia at the border that led to unilateral transfer decisions without and Port Loko. A total of 934 committees were formed, support from the opposite side of the border; and lapses in supported by integrated surveillance and social mobilization the primary and secondary screening procedures and suspect teams to report community deaths, refer sick people and to transfer/referral mechanisms. The project supported the monitor visitors to the chiefdom. These committees increased development of a bilingual form to support joint investigation death reporting and improved the surveillance and detection and easy transfer of patients with symptoms to their place of capacity of the response.
55 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE Mission Critical Action 1
A total of 300 surveillance officers were trained across Sierra capacity for CBS and was the first of the three targeted levels Leone with the majority in the Western Area (200), Port Loko of CBS training: district level TOTs; training of facility-based (25), Kambia (20) and Bombali (30). This enhanced case community health workers; and training of community health investigation capacity. The surveillance team also developed workers. WHO trained approximately 2,700 community health and revised surveillance and contact tracing standard workers in three districts by end of May 2016 and an additional operating procedures (SOPs) to facilitate understanding 1,800 from two other districts by end of June 2016. of epidemiological terminology by the different response workers, improve case investigation and strengthen contact Cross-border surveillance tracing. Cross-border engagement activities consisted of both point The epidemiologists and contact tracers were also key in the of entry (PoE) screening and information exchange for identification of contacts and their contacts (ring definition) coordinated planning and response activities. Both were for a pilot administration of the Ebola vaccine (rVSV-ZEBOV- developed through this project, but in different border districts replication-competent vesicular stomatitis virus-based vaccine and with different rates of implementation. expressing a surface glycoprotein of Zaire Ebolavirus) in Kambia (Sella Kafta), and subsequently in Bombali (Robuya) WHO provided technical support to the establishment of and Tonkolili (Matsanga, Yele and Magburaka). They cross-border engagement MoUs for surveillance information monitored those vaccinated to watch for adverse effects. exchange and coordinated response to public health events Since August 2015, a total of 433 contacts were vaccinated, between cross-border districts in Sierra Leone and their which contributed significantly to ending Ebola transmission. respective prefectures in Guinea. In total, the districts held 11 officially recognized cross-border meetings with their Functional IDSR system counterparts from September 2015 to March 2016. During the meetings, information and experiences were shared, joint By February 2016, 144 trainers (TOTs or training of trainers), response coordinated and monthly plans developed. Through 1,546 health workers from 1,315 health facilities and 20 such meetings, information exchanged on missing contacts clinicians were trained in Integrated Disease Surveillance was used by respective teams to coordinate the search for and Response (IDSR). The project also trained personnel contacts. The Guinean prefecture of Forécariah also used from partner organizations, which helped establish a unitary such opportunities to develop a better understanding of the operational IDSR system that uses standard case definitions quarantine strategy used in Kambia, while the Kambia team for case detection in the country. WHO, in cooperation with learned how ring vaccination was undertaken in Forécariah. the MoHS and partners, developed the full set of reporting Cross-border engagement enabled lessons learned to be tools, response procedures and protocols. The training of all implemented and this improved response strategies and District Surveillance Officers (DSOs) and critical members of supported coordination of activities between the countries. the district teams and health workers from all health facilities Drawing from experience during the Ebola outbreak, WHO made it possible for all districts to have functional IDSR provided technical support to the development of a national systems with case detection, documentation, reporting and cross-border surveillance and response framework, and coordinated response. SOPs guided the formation of cross-border structures and At the commencement of this project, the weekly IDSR engagement in the remaining cross-border districts by June reporting rate was just above the target 80%, but declined 2016. WHO also worked with the regional Inter-Country sharply due to the establishment of and insistence on Support Teams and Manu River Union to bring together procedures and processes for reporting. However, by the end stakeholders from Guinea, Liberia and Sierra Leone to of the project, the average weekly health facility reporting rate develop a regional cross-border framework of cooperation on for the month of March was 89%. The reporting rate for the last surveillance and response. This led to the establishment of an week of March was 92%. There was therefore a tremendous MoU permissive of inter-district engagement. increase in the quantity and quality of the weekly health facility Out of the need to triage travelers through established points reporting rates over the project implementation period. of entry (PoE), screening was enhanced at Pujehun, Kailahun and Kambia district border points. Lungi International Airport Community-based surveillance (CBS) and Queen Elizabeth Quay also continued to screen travelers. Community-based surveillance (CBS) compliments hospital- These five PoEs were equipped to monitor travelers and based indicator surveillance in the detection and notification conduct PoE screening. These PoE services were intended to of outbreaks and other events of public health concern that continue indefinitely. occur in communities. Based on experiences during the Ebola response, it was realized that, if fully implemented, CBS could Community engagement through communication more than double the chances of detecting and reporting The WHO Crisis Communications function served as a regular health events. Thus, with Ebola Response MPTF support, guest on radio stations, engaging with listeners to discuss WHO supported the MoHS to train 42 CBS TOTs drawn their concerns related to Ebola and its reemergence as well as from six districts in December 2015. TOT trainings created
56 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE Mission Critical Action 1 pervasive issues of denial and mistrust. An important strategy, Study” for media, the general public, study participants and this direct unmediated access to listeners allowed the WHO health workers. This ensured that the public received clear Crisis Communications function to listen to concerns and messaging on risks posed while emphasizing that survivors understand perceptions as well as to communicate evidence should be celebrated and welcomed by communities instead based facts that maintained WHO’s technical leadership on of ostracized. The function also developed advocacy material Ebola. for various social media platforms such as Twitter and Facebook (in English and Krio). The materials gave examples The WHO Crisis Communications function was heavily of the importance of community engagement, including with involved in preparations for the WHO announcement on 7 survivors, and the importance of heightened surveillance. November 2015 that the Ebola outbreak had ended. This was a particularly important message that had to balance the On all the messaging, the WHO Crisis Communications function achievement of the Government in ending the outbreak with worked closely with WHO’s community engagement team to the need to remain vigilant, sustain capacity and prepare for ensure that, in addition to media broadcasts and interviews, future flares. As part of this new strategy, the function compiled the messaging was delivered directly to communities. One interagency crisis communications SOPs and checklists to of the key lessons learned during the response was that the prepare for responding to a new Ebola event or flare. These messenger was often just as important as the message itself. materials were used to inform the interagency communication Consequently, WHO community engagement staff focused response to the Ebola flare on 14 January 2016. on working with trusted members of the community such as paramount chiefs, traditional healers, and religious leaders to Furthermore, the WHO Crisis Communications function enhance the power and effectiveness of its messaging. compiled a communications strategy for engaging with survivors, and developed messaging on the “Virus Persistence
57 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE Mission Critical Action 6
COVERAGE: MCA 6 Allocated Access to Basic Services $0.86 million Bombali, Kambia districts
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096725 #48 Social Mobilization and Provision of WASH 06–Nov-2015 $856,000 Services for Achieving and Sustaining a Resilient Zero PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES 7 7 healthcare facilities Number of healthcare facilities supported with an estimated healthcare facilities UNICEF population of 10,500 people 10 Number of schools with WASH facilities as per Government of Sierra primary schools 10 with over 2,000 children primary schools UNICEF Leone guidelines benefiting from WASH facilities Number of chiefdoms with established and functional Rapid Response 75 56 UNICEF Teams
Achievements and Results
Project #48 – Sierra Leone Social Mobilization and For the Tonkolili case and others, integrated rapid response Provision of WASH Services for Achieving and teams comprised of social mobilizers and surveillance officers Sustaining a Resilient Zero were deployed and cross-border meetings were conducted with Liberia. In Kailahun district, mobile teams were assembled Guided by the national strategy on getting to zero transmission and assigned for community engagement, especially around and the national recovery strategy, the project “Social bordering communities. As part of district preparedness, high Mobilization and Provision of WASH Services” integrated risk community members, were reoriented and mobilized. community engagement as an inherent component on reaching and maintaining zero Ebola transmission. It promoted Ebola Response MPTF funds supported the response to convergence, participation and equity at the community the Ebola events in Kambia and Tonkolili and preventive level through platforms that brought various stakeholders and preparedness interventions in Port Loko, Bombali and together. The project’s provision of comprehensive WASH Kailahun. A comprehensive mapping of village development services, including community sanitation and WASH in school committees (VDCs) across the country was completed and over and health care facilities as well as community water supply 75% of mapped VDCs met monthly. A total of 56 chiefdom improvements, greatly contributed to behavior change. taskforces and 426 VDCs were trained for outbreak response and preparedness. Over 430 trained social mobilizers were Community engagement achievements deployed across districts to engage communities during the response and preparedness phases. In addition, community Project funds strengthened community engagement as part health workers were included as a member of the VDCs along of the rapid response initiated after the Tonkolili case in early with a representative from the PHU Facility Management 2016. As a result, 56 chiefdoms established rapid response Committees, and together they helped bridge health services teams for outbreak response and preparedness. The project and communities. As part of the outbreak response, the supported mass mobilization using media and engagement of VDCs played a crucial role in identifying challenges to rapid over 30 key stakeholders, especially Paramount Chiefs, local response, like the lack of handwashing buckets, thermometers, council members and religious leaders, which also ensured phones and torch lights, for those quarantined and for security community support for ring vaccination in relevant chiefdoms. personnel. The project also provided vehicles for the social In addition, chiefdom-level community dialogues were mobilization and national teams supporting the Tonkolili held across the districts to ensure community support and district case response. These vehicles also served as mobile behavior change. Through the project, 150 social mobilizers public address units. and 100 community health workers (CHWs) were deployed in all 11 chiefdoms. In addition, information, education and Youth engagement was an integral part of the community communication (IEC) materials were pre-positioned and made engagement process for rapid response and community level available at the district level. action planning. In partnership with Restless Development, UNICEF mobilized and engaged youth. They conducted
58 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE Mission Critical Action 6 theatre performances to raise awareness and served as special An estimated 10,500 people were given access to health mobilizers for cross border monitoring. UNICEF also engaged care services from seven PHU facilities that were provided youth through its SMS-based youth and civic engagement with comprehensive WASH facilities through the project. platform, U-Report, to gauge community perceptions and These facilities met the new WASH in health standards, which guide messaging. included mandatory provision of running water, construction of sanitation facilities and waste management options such WASH achievements as incinerators in every health care facility. All water sources were motorized by a solar system and piped to a reservoir Through the project, 10 communities consisting of an tank elevated on a tower with a capacity of 3,000 liters. In estimated 12,000 people were declared Open Defecation addition, hygiene education was provided to reinforce the use Free (ODF). In addition, the program trained 20 leaders (two and sustainability of these facilities. It is estimated that 10,500 per community) and 10 facilitators on quality triggering, and people from the catchment area benefited and continue to all communities received hygiene awareness messaging. benefit from improved WASH services. To support longevity, the project mainstreamed sanitation activities into district health management team activities, with The project also addressed primary schools. It provided ten an environmental health superintendent as the focal point to primary schools with comprehensive child-friendly WASH continue supporting post OD monitoring. services benefiting at least 2,000 children (1,020 girls). The WASH package included water supply facilities (infrastructure), An estimated 1,250 people (637 women) were given access to school sanitation, and health education/school-led total safe water from five constructed/rehabilitated water sources in sanitation. Ten school management committees (90 people), ODF communities. Again, to assure sustainability, the project six school health clubs and 20 school focal teachers were trained ten caretakers and five hand pump mechanics on trained to support the management of school WASH services operations, maintenance and management of water sources, and safe behavior. and linked them to the VDCs.
© UNICEF 59 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE Mission Critical Action 7
COVERAGE: MCA 7 Allocated Cash Incentives for Workers $1.26 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092905 # 9 Payment for Ebola Workers 04-Dec-2014 $1,261,625 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES % of Ebola Response Workers registered in the Information 100% 100% UNDP Management System
Achievements and Results
Project #9 - Payment Program for Ebola Response The PPERW project was further revised and extended to 31 Workers (PPERW) July 2017 with the provision of allowances to a decreasing number of Ebola Response Workers (ERWs) for 0+42+90 days. The National Ebola Response Centre (NERC) mandate ended At the project’s conclusions, all incentive payments to ERWs on 31st December 2015, and its functions were handed over ended, and Ebola related activities became part of the regular to the Emergency Operations Center supervised by the responsibilities of healthcare staff. Offices of the National Security and the Ministry of Health and Sanitation (MoHS). Due to new threats of Ebola (flares) in From January to June 2016, the UNDP project team continued January 2016, the government, in consultation with relevant providing technical and advisory support to the MoHS. stakeholders and donors, adopted the Ebola Heightened Six additional cycles (6 monthly) payments were made to Surveillance Policy, which spanned from January to 5 February ERWs. Over this period, up to $973,037 amounting to 3,707 2016. transactions were channeled through the regular banking system using the automated clearing house (See Table).
MONTH CYCLE MALE FEMALE # OF ERWS PAID
January CYCLE 17 826 278 1,104
February CYCLE 18 341 275 616
March CYCLE 19 385 63 448
April CYCLE 20 389 52 441
May CYCLE 21 509 40 549
June CYCLE 22 509 40 549
The project also successfully maintained a centralized micro the Government of Sierra Leone, MoHS, World Bank, the UK grievance resolution team to respond to and resolve payment Department for International Development (DFID), the African complaints logged by district Ministry officials. This approach Development Bank (AfDB), WHO and other UN agencies. It led to a consistent decline in payment complaints reported. The maintained oversight of the management of hazard pay and project continued coordination of the technical group, Cash risk allowance policy. Transfer Steering Committee/Board, which was comprised of
60 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE Mission Critical Action 8
COVERAGE: Western Area Urban (Freetown), Port Loko, Bombali, MCA 8 Allocated Recovery and Economy $4.1 million Moyamba, Kailahun and Kenema; National MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00094514 # 15 Social Rehabilitation and Payments to EVD 12–Mar–2015 $2,108,011 Survivors and Destitute Families 00095545 #38 Reintegration of Sierra Leone Red Cross 23–Jun–2015 $1,975,640 Society (SLRCS) Volunteer Burial Teams PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of survivors and destitute families that received a solidarity 500 500 UNDP / UN WOMEN package
Number of survivors covered by social safety net arrangements 2,500 1,667 UNDP / UN WOMEN
Number of survivors that received skills development services 2,500* 2,144 UNDP / UN WOMEN
Number of survivors receiving psycho-social, sanitation and hygiene 250 250 UNDP / Pink Cross** support
Number of SLRCS volunteers undertaking counselling sessions 800 800 UNDP
Number of SLRCS volunteers returning to tertiary studies 108 108 UNDP
Number of SLRCS volunteers receiving vocational training 225 223*** UNDP
Number of SLRCS volunteers receiving business development training 405 405 UNDP
* This figure was the estimated number reported during the peak of the response that included the most affected districts in 2014-2015. ** Pink Cross project on social rehabilitation of Ebola survivors through psycho-social, hygiene and sanitation support for Ebola. *** Two volunteers that worked in Bombali district during the Ebola response could not be reached at the start of the project.
Achievements and Results
Project #15 - Social Rehabilitation and Payment to Loko, Kambia, Bombali, Tonkolili and Koinadugu). Customizing Ebola Survivors and Destitute Families the experienced gained from the Payment Program for Ebola Response Workers project (PPERW project), this project made A project titled “Social Rehabilitation and Payment to Ebola digital payments to project beneficiaries living within hard to Survivors and Destitute Families” supported the Government reach areas. of Sierra Leone in expediting the socioeconomic rehabilitation of Ebola survivors. It focused on survivors struggling to To date, 1,667 vulnerable survivors benefitted from the maintain their livelihoods, and those who needed technical project’s social safety net scheme and received periodic and financial resources to improve their standard of living both stipend payments of up to US$153. In addition, a market immediately and long-term through strengthened economic assessment was conducted and used as a foundation on which self-reliance. specialized livelihood implementing partners provided career counselling and other relevant short-term (within one year) Since available project resources could not adequately cater skills training programs to 1,485 project beneficiaries. to every survivor (approximately 4,000 in the country), in consultation with the Ministry of Social Welfare, Gender and The project also created a mini-database of validated, Children Affairs (MSWGCA), the project team developed vulnerable survivors that contains individual photos and copies eligibility criteria that gave survivors within operational districts of survivors’ discharge certificates for further confirmation. a fair chance to qualify for project benefits. Within the review It also developed manuals covering a complaint resolution period, the project supported 2,317 vulnerable survivors, procedure, frequently asked questions and a SOP, which were which included 1,418 women, 521 men and 385 children in used to inform beneficiaries, Implementing Partners and the seven hard-hit districts (Kailahun, Kenema, Moyamba, Port public of the project. 61 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE Mission Critical Action 8
Project #38 - Reintegration of Sierra Leone Red Cross Society (SLRCS) Volunteer Burial Teams Within Sierra Leone, the Red Cross Society (SLRCS) mobilized, trained and deployed 54 safe and dignified burial (SDB) teams, which conducted approximately 50% of Ebola-related burials in the country. Subsequent disbandment of the SDB teams as the outbreak ended was met with the development of a reintegration and reskilling program by UNDP in partnership with the International Federation of Red Cross and Red Crescent Societies (IFRC) in 2015/2016. The resulting project targeted 800 SDB burial team members under the auspice of the SLRCS, and addressed a key priority of the Government of Sierra Leone’s post-Ebola response and recovery plan - to stimulate the economy by supporting livelihoods and the recovery of economic activities. © UNDP The project achieved impressive results regarding target The project also helped volunteers further their livelihood delivery. All 800 SLRCS volunteers entered either TVET options. To achieve increased retention and participation in the courses, further education options, business development project, a nationwide sensitization campaign was conducted support or career advisory/placement services. In tandem by SLRCS and IFRC. It provided detailed information on the with the psycho-social support (PSS) provided by trained project and implementation strategy to each of the 13 SLRCS SLRCS staff, both in individual and group therapy sessions, district branch units (not including headquarters branch the project considerably alleviated socio-economic challenges in Freetown). In total, 13 district branch managers, 14 Safe faced by the volunteers and increased income generating and Dignified Burial (SDB) district officers, and eight PSS opportunities for this low-income cohort. focal officers attended a one-day workshop on the project. These SLRCS staff/volunteers then disseminated information The project’s fiscal savings allowed for an expansion of the on the project to the 800 SLRCS volunteers, which informed initial target number of SLRCS beneficiaries from 800 to participants on pending project activities and reskilling/ 1,300, with the additional 500 beneficiaries who volunteered livelihood training options as well as available PSS support. during the Ebola crisis partaking in the livelihood support section of the project. Support kits were provided to all 1,300 From these activities, the SLRCS identified vulnerable SLRCS volunteers to bolster the training component of their individuals in need of PSS while compiling the total figures packages. of volunteers appointed per reskilling/training option. From this exercise, the following numbers of SLRCS volunteers were The project reported achievements in 2016 against two main registered: 405 business development training (BDS); 62 Career outputs, the first addressing the mental health of SLRCS Development (CAPS); 225 Vocational Skills Development; and volunteers and the second addressing their ability to pursue 108 Continuing Education. All 800 volunteers completed income generating activities. their training. In addition, Career Advisory Placement Services During the reporting period, the SLRCS trained its core branch (CAPS) reported that 55 SLRCS volunteers undertook career staff in psycho-social first aid (PFA), coping skills and stress advisory training that included CV drafting and interview management and community-based psycho-social support skills building. IFRC is currently planning for these individuals (CBPSS). It upskilled 60 district SLRCS staff and volunteers in to participate in a two-month paid internship within various PFA and trained 14 branch health officers and 14 PSS branch employment sectors of the country. coaches in both CBPSS and stress management. With the support of the SLRCS during the reporting period, To improve the treatment and management of stress and /or 108 volunteers resumed their studies. A one year tuition fee trauma related disorders among the 800 SLRCS volunteers, for all the volunteers was provided for this stream. Like the the SLRCS established 105 counselling groups to undertake vocational stream and business development stream, SLRCS individual (2,783; 2 sessions per month per beneficiary) and will provide these volunteers with start-up kits. group counselling sessions (420) across the 14 SLRC district The project also improved the inclusion of SLRCS volunteers branches within Sierra Leone. The sessions were facilitated in the financial sector. With support from Eco Bank, 800 by the trained PPS volunteers, branch health officers and volunteers across 14 districts were educated on how to PSS branch coaches. To support the mental health system make prudent financial decisions regarding savings and provided by the SLRCS, the project arranged trainings for lending schemes with a view to encouraging their long-term 26 mental health nurses and 14 PSS focal persons across the engagement with banking and microcredit institutions. All the 14 districts. It aided the PSS focal persons and nurses in the volunteers had access to banking services and bank accounts. identification of cases requiring referral within the existing A second round of financial inclusion trainings was arranged health care system. for the additional 500 volunteers for April 2017.
62 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE Mission Critical Action 8
Highlight 1: Giving a family a home After contracting Ebola from a patient she treated at the hospital, and later losing her husband to the virus, Francess desperately looked for a safe place to stay. She was alone with her four children. With support from the Ebola Response MPTF-funded project, “Social Rehabilitation and Payment to Ebola Survivors and Destitute Families,” Francess began building a house, started sending her children to school and started a business.
Highlight 2: Keeping dreams alive (safeguarding our future) Abibatu (right) and Haja (left) lost their father and two brothers, including their eldest, who was a medical surgeon, to Ebola. While both girls also became infected, they survived the virus. To aid their socio-economic recovery, the Ebola Response MPTF helped support the sisters. As a result, Haja now runs a small business, which funds her college education, and the sisters hope to open an orphanage for homeless children in their community.
Highlight 3: Economic Empowerment to Women in rural areas Saio Jalloh of Kumala, Nieni Chiefdom is a subsistence farmer who learned about saving her money through an Ebola Response MPTF-funded project that provided financial literacy and training. As a result, Saio now puts her profits in a local savings scheme. Despite her many challenges – Saio is five hours away by car from the nearest commercial bank and was the first Ebola survivor in her village - with Ebola Response MPTF support, she is championing the village women’s osusu scheme to help other women achieve their dreams.
63 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE Mission Critical Action 13
COVERAGE: MCA 13 Allocated Preventing Outbreaks $1.5 million Country, including district areas
MPTF Project No: Title: AMOUNT: 00092650 #11 Quick Impact Project $1,500,000.
List of qip projects implemented in Sierra Leone; the first phase of theq ips implemented by unmeer was reported in the second and third interim report.
Implementing organization District Project title Budget Project title Monitor the Human Rights situation of Community Action for Human Sustaining the fight against the EVD Discharged quarantined People, provide Bombali $42,662 Security (CAHSEC) and crossing the last line psychosocial counselling and monitor Health screening at security checkpoints.
Strenghtens the Death and Sick Alerts from EVD hIgh risk communities, provide Intensifying the Death and Sick alert United for the Protection of Human support and basic livelihood assistance Port Loko in the fight against the EVD AND $41,565 Right (UPHR) to EVD Survivors, monitor Health REACHING THE LAST LINE screening at Security Checkpoints and Human rights situation of EVD Survivors
Sensitization of Community Bye- Laws, Pyschosocial support activities, Port District Children’s Advocacy Media Campaign on scaling down to Port Loko $24,120 Strategic Pillar engagement in Radio Zero case Ebola Infection Information sharing, Key messaging and strenthening of referrals pathways.
Enhance free access of human and vehicle movements in and out of EVD ABC-Development Kambia Sella Kafta Emergency road Repairs $47,624 affected communities whithin the chiefdom.
Contract a local contractor to construct Improving access, Layout and mobility Lion Heart Foundation Tonkolili $28,792 concrete walk paths and contract covered of the EVD of the Holding Centre walk ways within the hospital.
Monitor the Human Rights situation of Archdiocese of Freetown/Caritas Western Area Sustaining the fight against the EVD Discharged quarantined People, provide $43,314 (ADDO) Rural Districts and crossing the last line psychosocial counselling and monitor Health screening at security checkpoints.
Re-identification of target communities volunteers , Enhance effective Community Sensitization to increase The Needy Today (TNT) Kambia $43,435 community engagement., Focus attendance at Health Centres (PHUs) group discussion and house to house engagement,
Capacity Training for community volunteers, community stakeholders, Re-enforcing safety practices to Humanist Watch Sierra Leone Kenema/ Orientation meetings for youths, maintain a resilient zero EVD case in $44,889 (HUWASAL) Kailahun community outreach sessions for remote communities. secret societal heads, Radio discussion programs for community residents.
Community engagement with stakeholders, Conduct training on Mama Cara Pikin Program Western Area Strengthen community engagement community outreach/SoC. Mob for $44,983 (MACAPP) Rural Districts to end Ebola the prevention and eradication of EVD, Radio Discussions, House to house sensitization.
64 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
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Implementing organization District Project title Budget Project title Community Dialogue forum with stakeholders on Ebola and peaceful Chiefdom level dialogue forum on coexistence among survivors, Training of Movement opposed to Violence Ebola and strenghen Stakeholder’s leadership and monitring skills, establish Bombali $36,885 &Exclusions (MOVE-SL) commitment to enforcing chiefdom and train peer group educators on Ebola by-laws and other disease prevention measures, conduct Radio Panel discussions with relevant Social Mobilization actors Capacity traning for Border Monitors , community Health committee members, Foundation for Dev. Democracy & Border Monitors and Capacities for interactive dialogue sessions , Radio Kailahun $36,317 Human Right (FoDDHR) EVD Prevention discussions to re-enforce safe and healthy messages, messaging on sick and death alerts and emergency regulations. Theater for development sensitization / performance in schools communities, Collective Initiative for Theater for Development on held radio programmes with stakeholders Port Loko $32,445 Development SL (CIFD S/L) improving on access to health and school pupils and authorities, identify and rehearse training team on improving access to health facilities. Improve eleven (11) damaged road spots Community Action for the Welfare Kambia Road Repairs - Samu Chiefdom $30,358 along Samu Road towards Maportolon of Children (CAWeC) and Kychum Axis. Training of 60 survivors on Ebola EVD Survivors Engagement in Social AIDSIERRALEONE Kailahun $32,916 messages especially on EVD transmission Mobilization through semen.
Reinforcing Health Screening Maintaining the health screening on 5 Bombali DERC Bombali $14,966 Checkpoints key checkpoints in the district.
65 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE Mission Critical Action 13
MCA 13 COVERAGE: Preventing Outbreak / Other Enabling $7.14 million Allocated National Support to All Objectives MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092907 # 17 RRSTs (Rapid Response Teams) establishment 04-Dec-2014 $7,145,038 21-Jan-2015 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES RRST deployment after Surveillance Trigger 12 12 UNMEER / UNOPS
Small, Medium and Full Surge Interventions 15 15 UNMEER / UNOPS
Achievements and Results
# 17 Establishing Rapid Response and Stabilization • The procurement of the nine ambulances supported the Teams (RRSTs) in the National Ebola Response Center prompt transfer of Ebola-affected persons to health centers Secretariat (NERC) and aided case management. A project focused on rapid response stabilization had separate • Sixty tents were installed in two camps and furnished to areas of activity managed by UNOPS and UNMEER. The project support the rapid response teams. These items remain the was established as part of the National Ebola Response Center property of the MOHS and are available for future rapid (NERC) and contributed to a number of major and minor surge response needs. operations. The present report covers the activities managed • Increased community engagement and ownership by UNOPS only. A separate report covering UNMEER Activities generated through chiefdom and section level meetings, in was issued during an earlier period. collaboration with Paramount Chiefs and other traditional rulers, helped achieve a resilient zero. Activities under the UNOPS included the procurement of vehicles, satellite phones, furniture, tents and ambulances, among other • Increased community engagement in the district enhanced resources to support the rapid response capabilities of the community ownership and early warnings, and reduced the NERC and to fill critical gaps in sub-districts/chiefdoms. UNOPS risk of complacency. also supported the payment of salaries for the NERC, and the • Increased community engagement involving local taskforces, project offered support to medical teams and NERC personnel security checkpoints, survivors and okada (motor bike) in districts with new outbreaks. This support consisted of funds riders helped establish multi-pillar teams for surveillance, for approved surges, the provision of vehicles and tents, the social mobilization and psychosocial interventions. They contracting of NERC personnel and salary payments. raised alert levels, increased community engagement in the district, and enhanced social mobilization. The project had several key achievements. These included: • Nine hearses were procured, which enhanced safe and • Under operation Northern Push, 945 mobile phones, dignified burials and offered the possibility of a cemetery CUG and chargers were procured, which improved alert burial. Grave diggers were incentivized in the Western Area reporting and surveillance in Kambia. and proper PPE disposal burning pits were constructed in • Under operation Safeguard, 906 mobile phones, CUG and all cemeteries to prevent Ebola transmission from used PPE chargers were procured, which enhanced communications materials. and timely reporting of suspected cases by surveillance • Payment of salaries to NERC and NEOC personnel enabled officers and community volunteers. the efficient and effective coordination of response • With the surge set-up in Tonkolili, funds covered the mechanisms. payment of hazard allowances for 125 quarantined nurses • A “quality assurance and preparedness” meeting and other medical staff in Masanga Hospital that treated sick brought approximately 130 participants together (all the people under quarantine. The intervention of the Tonkolili District Coordinators, District Medical Officers and other surge increased community awareness and ownership in stakeholders) for a two-day training and information the district, which contributed to ending Ebola transmission sharing meeting on “Ebola and in silent time.” The meeting in the district. facilitated the preparation of all silent district plans, which • To fill critical gaps in rapid response sub-districts and aid in aimed to reduce the risk of complacency in the fight against surveillance pillar activity, 23 Ford vehicles and 24 satellite Ebola. phones were procured.
66 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
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• A District Coordinators’ workshop facilitated information conducted needs assessments, while developing approaches sharing to help them mitigate the risk of complacency and based on existing approved funds to pre-allocate funds to achieve zero cases nationally. the NERC. This process ensured resources were available Project implementation started slowly because resources were immediately when a rapid response proposal was approved. made available by other partners responding to Ebola in the When the proposal was submitted, the NERC was still country, and because the district-to-district planning process being established, and it identified the key actions needed was launched. The complex landscape demonstrated the for rapid response and to actively anticipate and contain need for sound coordination mechanisms to mitigate against Ebola transmission. By the time the proposal was approved, overlaps and ensure that gaps in programming were identified preparation for one of the rapid assessments in Western Area and filled swiftly. (where Freetown, the capital is located) already indicated the The project successfully supported the NERC in all its critical benefit of deploying assessment teams and proposing surge interventions. As the situation evolved, UNOPS aligned its actions. Additionally, daily Ebola data from different districts plans with the government’s framework to work diligently in indicated the need for stepping up different Ebola response assisting the NERC to quickly respond to new Ebola events actions based on the core cause of transmission. Many as they emerged, and prevent wider outbreaks. To this end, partners also joined the response and resources for the NERC UNOPS continuously consulted with the NERC and collectively and the DERCs increased.
67 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE RECOVERY STRATEGY OBJECTIVE 01
COVERAGE: Western Rural, Western Urban (Western Area); RSO 01 $0.6 million Allocated Kambia, Port Loko, Bombali, Koinadugu (Northern Province); Health, Nutrition, and WASH Bo, Bonthe (Southern Province); Kailahun, Kenema (Eastern province). MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00102292 #63 Positive Health, Dignity and Prevention 28-Sep-2016 $594,920 Project*
* Project #63 is recently funded
Achievements and Results
Project #63 - Positive Health, Dignity and Prevention As part of the PRC process, an executing agency, Christian Aid Project Sierra Leone (CASL), was chosen. CASL met three times with UNAIDS, and they collaborated to ensure that the National UNAIDS and WHO collaborated on a project that aimed to: Aids Secretariat (NAS) and the leadership of the National Aids provide continuous supportive counseling for Ebola survivors Control Program were onboard and ready to play an oversight (EVDS) with HIV, EVDS, and their partners and Ebola-affected role for the project. All project partners were informed of populations; and (2) mitigate the risk of an Ebola resurgence expectations. through sexual transmission as well as prevent the spread of HIV or other sexually transmitted infections (STI). CASL also provided mentoring and capacity building for partners on planning, reporting and general accountability The distribution of project funds to the national level required in project implementation. Reporting systems and tools were that the project pass through UNAIDS’ Program Review clarified, created and tested. A MPTF Steering Committee Committee (PRC) to ensure strong financial and programmatic and Technical Committees were established to support accountability and quality. UNAIDS Sierra Leone received the oversight. Situation Room meetings were held to create a funds in 2017 after completion of the PRC. Achievements in structured reporting mechanism in line with Ebola Response 2016 were therefore preparatory. MPTF proposal commitments.
68 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE RECOVERY STRATEGY OBJECTIVE 03
COVERAGE: RSO 03 $1 million Allocated Bo, Kailahun, Kenema, Koinadugu, Kono, Moyamba, Basic Services and Infrastructure Pujehun and Tonkolili
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096723 #45 Ebola Survivors – Database Creation; Needs 13-Nov-2015 $1,047,396 Assessment & Screening; Psychosocial Support & Reintegration into Society
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of trained survivor advocates in case management, patient 100 152 WHO advocacy and field screening
Number of trained health workers and community health workers in 80 health workers 10 health workers WHO CPES and survivor screening 150 Community Health 226 Community Health workers workers
Number of strengthened or established survivor clinics 13 104 Public health units WHO
239 (M: 112, F: 127) A database of Establish a comprehensive fully functional, verified and user-friendly Ebola survivors were 943 Ebola survivors registered and verified in UNICEF database on Ebola Survivors in 8 districts Tonkolili and Kono districts through Ebola Response MPTF funding 160 60 Number of Ebola survivors and survivors’ advocates with increased Ebola survivors Ebola survivors were UNICEF capacity in psychological first aid (PFA) and psycho-social support (PSS) plus selected survivor trained as helpers in advocates Tonkolili and Kono 239 Number of survivors and community members provided with Ebola survivors were 943 verified in the two districts UNICEF psychosocial counselling that participated in at least one PFA session
Achievements and Results
Project #45 - Database Creation; Needs Assessment and Screening; Psycho-social Support and Reintegration into Society Together with funds from other donors, the roll-out of the Comprehensive Package on Ebola Survivors (CPES) and Project Shield enabled the Ministry of Social Welfare, Gender and Children’s Affairs (MSWGCA) to establish a national database of survivors to guide policy and program design, including facilitating survivors’ access to basic services. Because Ebola could be sexually transmitted for up to nine months after a survivor cleared the initial infection, Project Shield, initiated by the government in August 2015, aimed to identify all male Ebola survivors over the age of 15 to provide them with counselling on safe sex and test their semen. © UNICEF The registration and verification of the Ebola database (phase social support; 3) the assessment of survivor needs/mapping two of Project Shield) was led by the MSWGCA with support of services; and 4) the training of survivor advocates on PFA. from UNICEF. In the context of implementation of CPES and It also contributed to the update of the CPES through survivor Project Shield, through an Ebola Response MPTF-funded verification and registration, a process that was only complete project, UNICEF supported: 1) the identification, verification in seven out of the 14 districts. and registration of Ebola Survivors; 2) the provision of psycho-
69 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE RECOVERY STRATEGY OBJECTIVE 03
In the districts of Tonkolili and Kono, the project enabled the survivors were identified, and when possible, survivors were MSWGCA, through Sierra Leone Association of Ebola Survivors referred for service provision and support, often for health, (SLAES), to verify and register 239 (M: 112, F: 127) survivors. livelihoods and access to education. Ninety-six out of the 239 survivors registered in Tonkolili and A total of 60 survivors (including from the Tonkolili flare) were Kono were men older than 15, and they were trained on safe trained as helpers/advocates and were taught to provide PFA sex practices and provided counselling on semen testing. A and psycho-social support to their peers identified during total of 2,408 (M: 1,039, F: 1,369) survivors were verified and the registration exercise. The project provisioned limited registered since the start of Project Shield in September 2015 financial support (approximately US$10 per day, for a 2-3- in seven districts (Western Rural, Western Urban, Bombali, week period) to these trained survivors. This covered their Port Loko, Kambia, Tonkolili and Kono). daily needs and facilitated their outreach and field activities The 239 registered survivors from the Tonkolili and Kono during the registration and verification exercise, which lasted districts participated in at least in one PFA session each. approximately 14 to 21 days in each district. Project funds also These included one-to-one meeting/counselling sessions or enabled UNICEF to mobilize and train survivors to conduct group meetings facilitated by trained survivors with support outreach activities in support of children in quarantined from social workers from the MSWGCA. Through the PFA and households and their families. counselling sessions, the individual needs and challenges of
Stories from communities - Project #53 (TTMs) improved, which was evinced by their increased referrals to the clinic. TTM referrals for ANC and facility Patience was one of the midwives and Officer-in-Charge at deliveries increased to 79% (158/200) and 81% (109/135) the Glofarken Clinic. Her story expresses her gratitude for respectively in 2016, as opposed to 36% (71/168) and Ebola Response MPTF support that strengthened the link 41% (46/112) in 2015. Patience expressed her appreciation between the community and the clinic. and pledged that she and the other facility staff would Patience said the clinic began regaining the trust of the do their best to provide quality services to the catchment communities it served. She specifically mentioned how the communities to improve their health, especially for women, cordial relationship with the trained traditional midwives children and adolescents.
70 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE RECOVERY STRATEGY OBJECTIVE 04
RSO 04 COVERAGE: Governance, Peace Building and Social $0.25 million Allocated Freetown Cohesion
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00103816 #56 Support to the Government of Sierra Leone to 22-Dec-2016 $250,000** Set-up and Operationalize a Dedicated Secretariat for the Sierra Leone Ebola Recovery Fund (SLERF)*
* Project #56 is recently funded. ** Based on approved budget. The actual transfer was $239,695 due to I.C. calculation.
71 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
72 75 MCA 7 - Cash Incentives
76 MCA 13 - Preparedness UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT at A Glance
WEST AFRICA - Reference Map 1.6 million 1.26 million M O R O C C O
La’Youn L I B Y A N Allocation Expenditures A R A B J A M A H I R I Y A W E S T E R N S A H A R A A L G E R I A 3 Proposals 3 UN Entities
M A U R I T A N I A NOUAKCHOTT M A L I RESPONSE
Tombouctou Gao N I G E R Kaédi Senegal Niger
DAKAR S01 S02 S03 S04 S05 SENEGAL Tambacounda C H A D GAMBIA NIAMEY Lake BANJUL Gambia OUAGADOUGOU Chad Stop TREAT ENSURE PRESERVE PREVENT BAMAKO Birnin Kebi Kano N'DJAMENA BISSAU BURKINA FASO GUINEA GUINEA Bobo-Dioulasso BISSAU BENIN Kankan Tamale Gombe n/a n/a 0.5 million n/a 1.1 million CONAKRY ABUJA C Ô T E TOGO FREETOWN D ' I V O I R E N I G E R I A SIERRA Benue LEONE YAMOUSSOUKRO GHANA Lagos RECOVERY Kumasi MONROVIA PORTO- LIBERIA LOMÉ NOVO Port Harcourt ACCRA Bight of Benin Sassandra ABIDJAN C A M E R O O N Douala MALABO Gulf of YAOUNDÉ RS01 RS02 RS03 RS04 Guinea EQUATORIAL Atlantic Ocean Campo GUINEA Bight of Biafra Governance, SAO TOME Health, Nutrition and Socio-Economic Basic Services and LIBREVILLE Peacebuilding and 0 500 1,000 SAO TOME WASH Revitalization Infrastructures AND PRINCIPE G A B O N Social Cohesion km
Elevation (meters) C O N G O BRAZZAVILLE n/a n/a n/a n/a 5,000 and above Atlantic Ocean 4,000 - 5,000 KKIINNSSHHAASSAA 3,000 - 4,000 2,500 - 3,000 2,000 - 2,500 Legend Funding as of 31 December 2016* 1,500 - 2,000 National capital 1,000 - 1,500 Populated place LUANDA 800 - 1,000 International boundary 600 - 800 Disclaimers: The designations employed and the 1% 400 - 600 presentation of material on this map do not imply the expression of any opinion whatsoever on the part of the A N G O L A 200 - 400 Secretariat of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. 0 - 200 Map data sources: CGIAR, United Nations Cartographic Below sea level Section, ESRI, Europa Technologies, UN OCHA.
Funding per MCAs and RSOs as of 31 December 2016
MCA07 - Cash Incentives Total 32% Allocation $159 m MCA13 - Preparedness 68%
Guinea Sierra Leone $1,643,300 Liberia Regional
* Allocations are based on approved budget
74 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
REGIONAL Mission Critical Action 7
COVERAGE: MCA 7 Allocated Cash Incentives for Workers $0.52 million Regional
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092902 #6 Payment for Ebola Workers 04–Dec-2014 $524,300
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Provided until March Support to the 3 country-led technical programmes Provided UNDP 31, 2016 Provided Digital Financial Services Regional contractual services and standardization Provided Diagnostics for the 3 countries UNDP End of Project Evaluation for all components of PPERW
Support during shift from crisis to early recovery and design Communication events of follow-on programme in Provided UNDP consultation with Governments
Achievements and Results
Project #6 - Payments Program for Ebola Response The regional team provided support for digital financial services Workers (PPERW) workshops as well as to the Central Bank of Sierra Leone, which hosted a ‘Regional Mobile Money Workshop’ supported This project remained operational until 31 March 2016. During by the country team and attended by representatives from this reporting period, the regional team based in Freetown Guinea and Liberia. consisted of one member, the regional technical specialist, who also served as the program manager. To maximize synergies and realize economies of scale, two important contractual services were procured regionally: end During its 2016 operations, the project provided technical of project evaluation of the PPERW; and a digital financial assistance to the UN country team. Its achievements included services (DFS) diagnostic in support of the ‘Early Recovery the provision of technical inputs for the development of Program’ in all three countries. With a budget of $14.4 million, 2016 workplans. This process also explored synergies the recovery program (UNDP/UNCDF West Africa Digital among countries for regional contractual services and Financial Inclusion Program (WA-DFIP) for Fragile & Conflict standardization. The team also led weekly technical assistance Affected States: Guinea, Liberia and Sierra Leone) responds calls and bi-weekly conference calls between team leaders to challenges identified in country DFS diagnostics. Recovery in Guinea, Liberia and Sierra Leone. Through these calls, it program goals include: 300,000 low-income people gaining advocated peer-to-peer information sharing and knowledge access to technology driven, affordable financial services; dissemination that resulted in a Sierra Leonean private sector 150,000 people gaining access to a savings account; 100,000 partner expanding operations to Liberia. The team also micro-, small- and medium-enterprises (MSMEs) gaining engaged with technical teams at the World Bank, African access to financial services; and 15% of customer program- Development Bank and with other partners to connect them supported branchless/mobile banking solutions becoming to PPERW country work streams. active,1 among other financial inclusion and educational objectives.
1 Active defined as per the following: for MNOs as per GMSA, and for Bank-led accounts, as per UNCDF’s MicroLead 75 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
REGIONAL Mission Critical Action 13
MCA 13 Preventing Outbreak / Other Enabling $1.12 million Allocated COVERAGE: Regional Support to All Objectives MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093085 #2 Aviation Ebola Action Plan 12-Dec-2014 $1,000,000
00096704 #41 Ebola Response Interagency Stewardship 21-Oct-2015 $119,000
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Training Events 4 4 ICAO / WHO
State / Airport Assistance Visits 18 18 ICAO / WHO
Stakeholders contribute to the formulation of Ebola Response Country 70% 70% participation relevant WHO Operational Plan meetings
70% Cross border, regional and international coordination maintained 70% participation relevant WHO meetings
Achievements and Results
Project #2 - Aviation Ebola Action Plan personnel, the unavailability of either WHO or state Civil Aviation Authority key personnel, delays in state acceptance, The year through to December 2016 saw progress in the or delayed state membership of CAPSCA. With the decline implementation of the project focused on implementation of in the public health threat from Ebola, State interests shifted an Aviation Ebola Action Plan. The project held two regional other problems with perceived higher priority. Despite this, training events, four training events in Dakar, Nairobi, Cairo the need for further training and assistance was identified by and Budapest, and completed 15 Assistance Visits (AVs) in States during an ICAO State survey as well as during the AVs Africa. Follow-up visits to Guinea, Liberia, Mali and Sierra and regional meetings. The Africa regional meeting, which Leone are scheduled for July 2017. will be hosted in July 2017, will partly address the need for The implementation of CAPSCA focal points for this project assistance, including through a training workshop. improved communication links not only between the International Civil Aviation Organization (ICAO), the WHO and State representatives, but also between the public health Project #41 - Ebola Interagency Stewardship and aviation sectors in general, enabling personnel from On 1 August 2015, the Interagency Collaboration on Ebola each sector to better understand the different operational (ICE), led by WHO, took over the task of coordinating the environments and to collaborate more efficiently. overall Ebola response from the UN Mission on Emergency The development of an on-line CAPSCA training course for Ebola Response (UNMEER). By 29 December 2015, following technical advisors (a combined ICAO/ WHO project) scheduled a declaration by Guinea on the end of transmission, all three for completion in July 2017 was very well accepted by all countries had broken human-to-human transmission, but there stakeholders and will address the training needs identified in remained the risk of outbreaks caused by reemergence of the African States. virus from survivors. Although, all three affected countries have had to respond to different flares between November The CAPSCA strategy for the period 2017-2019 was developed 2015 and August 2016, ICE ensured that the outbreaks were in consultation with member States and their needs and rapidly detected and contained. were well received by the States with many expressing their commitment to the CAPSCA project. This response was only possible due to the clear delineation of roles established by ICE and the adherence to interagency Most planned events were successfully completed, but some response plans developed through ICE mechanisms. WHO activities were postponed to 2017 because of the triennial lifted the international public health threat from Ebola on 29 ICAO Assembly held in October 2016 that occupied key March 2016.
76 78 Sierra Leone – MCA7 - Project #9
79 Sierra Leone – MCA8 - Project #15
79 Sierra Leone – MCA1 - Project #17
80 Guinea - MCA2- Project #58
81 Sierra Leone - MCA8 - Project #48
82 Sierra Leone - MCA6 - Project #38 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE Mission Critical Action 7 Project #9 - Mobile pay for thousands of Ebola workers
12 May 2015: Isatu Bangura (25) joined the fight against Ebola in August 2014. As a ‘screener,’ she took people’s temperature and checked for symptoms of Ebola as they moved in and out of Sierra Leone’s capital, Freetown. On top of the risk, fear and stigma often associated with anti- Ebola work, even getting paid was tough in the early stage of the outbreak. Hundreds had to travel long distances, often waiting overnight in far-off cities to collect their cash the next day. “We had to fight to queue for a long time in the scorching sun and rain, just to get our hard-earned money,” Bangura says. Yet with help from the United Nations Development Programme (UNDP), by December 2014, a new system ensured that payment was sent directly to the workers, mainly by mobile phone. “Removing the need for cash makes payment quicker, safer “What pleased me most is the way the staff sent to help spoke and far easier to keep good records” says Ghulam Sherani, to me, it was lovely,” says Bangura. UNDP’s Payment Programme Manager in Sierra Leone. According to Stephen Gaojia, National Coordinator of “Many Ebola workers have literally risked their lives to help Sierra Leone’s National Ebola Response Centre, “With other others, so we’re proud to be helping pay 23,000 people partners, UNDP has been a great help in improving how we across the country” he says. track payments. Their support has helped stop the duplication Of all payments across the country, 80% are now made of pay, so the right people get the right pay, every time.” through mobile phone network operators, with the rest With the UNDP support, the Sierra Leonean team is aiming to directly through banks. make all payments directly by bank transfer, to remove risks In support of the Sierra Leone’s National Ebola Response related to mobile networks. Centre, the payment system builds on UNDP’s experience UNDP has helped pay over 60,000 Ebola response workers in in Mali, Tajikistan and South Sudan, as well as “large-scale the three countries hardest-hit by Ebola - Guinea, Liberia and emergency programmes in the Central African Republic and Sierra Leone. Haiti” says Sherani. The World Bank and the African Development Bank fund the Ms. Bangura says she likes the mobile pay system “because Programme in Sierra Leone. UNDP and the UN Mission for it saves time,” but hit a problem when she lost her phone Emergency Ebola Response (UNMEER) through the UN Ebola recently. “I thought I lost my hazard pay for the month,” she Response MPTF as well as the UN Capital Development Fund says. (UNDCF) implement the programme and provide technical To help fix problems like Ms. Bangura’s on the workers’ home assistance. turf, UNDP quickly trained and deployed two-person teams to each of Sierra Leone’s 14 districts.
78 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE Mission Critical Action 8 Project #15 - Livelihood restoration for Ebola survivors
9 September 2016: The Kallons are a brave family. They were all infected by Ebola at the peak of the outbreak in Daru town, 36 miles from Kailahun, the eastern-most district of Sierra Leone. They fought courageously and survived the disease. Ebola is known to be a very traumatic illness both in terms of symptom severity and mortality rate. What many do not know though, is the shame, guilt and perhaps the difficulties survivors often endure, over and above severe economic hardships after they leave a treatment center. The Kallon family’s nightmare began in August 2014 when the mother, Jattu Kallon, took part in the burial ceremony of her father, who succumbed to the virus in Malema, a village adjacent to Daru town. A day after her return, she became symptomatic. Within three days, the disease had spread to every member of a UN Development Programme (UNDP) initiative that sought to the family. sustainably restore the livelihoods of Ebola survivors in Kailahun, Kenema, Moyamba, Port Loko, Bombalili, Tonkolili, and Thirty-three year old, primary school teacher, Mr. Lahai Kallon, Koinadugu districts. The project, funded by the Ebola Response heads the Kallon family. MPTF and titled, “Social Rehabilitation and Payment to Ebola “When the ambulance came for us that day, we had to hide in Survivors,” sought to restore and improve the livelihoods of Lahai the ceiling for fear that if they took us to the hospital we would Kallon and 2,500 other Ebola survivors. It provided cash and skills never come back alive,” Mr. Kallon said. training in micro-entrepreneurship, farming, livestock, carpentry and tailoring as well as a start-up grant upon completion of Battling Ebola was horrific, but more terrifying was the participants’ training. economic hardship after having lost everything. Further, after being discharged from a treatment center, the Kallon family The Kallon family plans to use the cash to meet school expenses encountered new challenges in their community; they were for their daughters and to support Mrs. Kallon in starting a small stigmatized and rejected by people they thought would rejoice business in their recovery from the deadly disease. They were excluded from community activities and branded as “the survivors.” Read the full story here: Fortunately, the Kallon family were one of many beneficiaries of http://bit.ly/2r3N0MV
SIERRA LEONE Mission Critical Action 1 Project #17 Strengthening EVD Surveillance, Community Engagement and Re- sponse for getting to and sustaining at Zero Ebola cases in Sierra Leone
In Sierra Leone, after confirmation that a young woman in Tonkolili District died from Ebola on 12 January, Sierra Leonean health authorities, WHO and other partners rapidly identified dozens of people who were in contact with her when she was ill and placed them under medical monitoring. Just over a week later, the young woman’s aunt was confirmed positive for Ebola. For the contacts of the two women, all of whom have since been discharged from medical monitoring, the three weeks of isolation were an uneasy period of fear and uncertainty. “I had sleepless nights and worried a lot about my health and the situation for my whole family,” said Ya Marie Kanu from
79 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE Mission Critical Action 1
Magburaka Town in Tonkolili District, who was considered a On the day the contacts were discharged from isolation facilities high-risk contact because she helped prepare the body of the and home quarantine, including Amadu Jalloh, the father of the index case for burial. “Now that I have been discharged, my young woman who died on 12 January, residents in and around heart feels really at rest.” Magburaka Town came out to celebrate and dance. Her daughter, Abibatu Conteh, said the 21 days her mother And there was another reason for celebration and relief. On was in a voluntary quarantine facility felt like it would never end. 4 February, the aunt of the woman who had died was also released from an Ebola treatment center after testing negative “We thought we would not be reunited with our mother again,” for Ebola. said Abibatu. “We have witnessed a lot of horrors and seen how families have been devastated by the disease, so my whole “The response to this latest flare-up underscores the importance family was fearful that our mother might have contracted the of quickly identifying contacts of a person infected with or who disease and would soon fall ill.” died from Ebola and separating them from the community in order to prevent further transmission,” said Dr. Anders But Ya Marie did not fall ill. She was one of 214 contacts, and Nordstrom, WHO country representative in Sierra Leone. “It contacts of contacts, who received a dose of the experimental illustrates the capacity now in place in Sierra Leone to manage Ebola vaccine as a means of containing the flare-up. such emergencies should Ebola resurface in the future.”
GUINEA Mission Critical Action 2 Project #58 Strengthening the Ebola response mechanisms in high risk areas of Nzerekore region This is the testimony of Simon Gbanamou, who worked She was his only daughter. He said, “if my daughter dies then as an ALIMA community counselor in the high-risk areas of I will die with her.” The father was already vaccinated. Nzérékoré region. Simon supported the management of Once at the ETC, the Protocol has made their separation patients in the community, their entry into Ebola Treatment difficult, he could not enter the red zone. The girl said that Centers (ETCs), the management of psychosocial support in before leaving the village for the ETC, people told her she was ETCs, contacts with families, ETC cemetery management, going to be cut in pieces, and that her organs will be torn off. maintenance of links with families, and the reintegration of She was also told not to eat or drink because they were going survivors into their communities. to take her blood. Following the first night in the ETC, the This story is about Tohon, a little girl of 10 years in Koropara, little girl was calm and reassured that there was nothing true and a patient released from the ETC. The girl lived with in all that had been told her. Simon, the community counselor, her grandmother, her parents were divorced. She has been asked her every day what she wanted to eat. She then ordered contaminated by the virus through her mother. Informed of large quantities of cassava leaves and chicken feet. Every day, her illness, her father desperately rushed to pick her up and her supervision was optimal. take her with him in Koropora centre where he lived. She Once cured, a gathering was organized at the exit of the ETC had headaches and once at the entrance of the village, the to welcome her and she asked for the microphone to speak flashing revealed a high temperature requiring that she be (usually the testimony came from the parents or neighbors). immediately directed to the ETC. It was around 10:00 and the She then asked to thank ALIMA because “when I left home ETC has been notified. The father of the little girl was reticent I was told that they were going to kill me. But that’s not the despite his involvement in Koropara youth outreach activities case, I was in good hands, do not trust the hearsay. Do not as president. Indeed, he suspected that her child would die. listen to what people say.” She subsequently participated in A lot of people got involved to convince him, including the outreach activities. Prefet. He finally accepted and while the ambulance was driving them to the ETC he kept crying, just as the prefect.
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SIERRA LEONE Mission Critical Action 6 Project #48 Social Mobilization & Provision of WASH Services For Achieving & Sustaining a Resilient Zero Two things immediately strike you when you arrive in the village of Thigbonor in Lokomasama chiefdom: the place is extremely tidy, and the high street is almost deserted. After a four-hour drive from Sierra Leone’s capital, Freetown, we park under a large banana plant, and follow people’s indications to the outskirts of the village. I’ve been caught out before in West Africa when villagers promise “a short walk” under a hot sun, but in this case within two minutes the trees have given way to large open grassland and we quickly find much of the village digging, weeding and planting the rich brown soil. If it wasn’t already apparent that this is one organized village, a cardboard sign next to the road spells out what’s going on. With the help of the men, women and youth actively at work, this patch of land is being transformed into a village © UNICEF okra and pepper garden under the guidance of the Village Development Committee (VDC). religious and traditional leaders, school teachers, health workers, and youth representatives. “This sort of VDC thing wasn’t existing before,” the village headman and chair of the VDC, Aboubakar Kamara, tells me A short drive away in the village of Kambia, another VDC has during a short break from hoeing. He says it was during the made the village’s main road a priority to boost local industry. Ebola outbreak, which was declared over on 7 November As we arrive, the entire community appear to be armed with 2015, that the community started to work together. shovels and pickaxes as they work to improve the road. This village of around 700 people was a hotspot for Ebola The male youth representative on the Kambia VDC, Abdul infections, with at least 25 confirmed deaths. During the Majid Kamara, tells me the Ebola outbreak taught them what quarantine period imposed on the village, crops ripening in they could achieve as a team. “We mobilized all the youth the fields went to waste because villagers weren’t allowed to to organize the community and protect our village from sick leave their homes. strangers,” he told me. “If we’ve now defeated Ebola, it’s thanks to our working together.” Now, through the VDC, they are getting back on their feet. The villagers work together on Thursdays and Sundays to A nearby school project shows the power of community implement the community action plan they have drawn up, mobilization. The village members decided to construct their which is proudly displayed on a notice board in the center of own school building without waiting for support. Once the the village. Their initial priorities are the agricultural project to foundations were laid and the structure was three bricks high, re-launch food production, a toilet block, and also, a scheme they received the support of the local MP, and the building to encourage the continual practice of hand-washing as a is now almost complete. The abrupt change in brick color safe-guard against Ebola and other deadly diseases. Each from the initial local construction is testament to how the home has a hands-free ‘tippy tap’ hand-washing station made community started the project themselves before it received within the village from a jerry can, string and a wooden frame. backing from the authorities. Community groups - like development committees, Back in Thigbonor village, just as I’m leaving, I meet 19-year- neighborhood watch groups, and village taskforces - were a old Yeanor Kamara, who lost her father and mother to Ebola, key part of the successful response to the Ebola outbreak. which she recovered from herself. The government and agencies like UNICEF hope to build “As a survivor, I am optimistic and glad about the Village upon the achievements of the past 18 months. Chiefdom and Development Committee,” she told me. “The whole village village development groups have existed in Sierra Leone in has come together. There are some things that we can do various forms since colonial times, though many are no longer ourselves. We continue washing hands because we don’t in operation. A mapping exercise commissioned by UNICEF in want Ebola to return. It doesn’t cost us a thing and it stops 2015 found that 31% of over 1,200 VDCs were active (meeting illnesses. But we’re only subsistence farmers, so we can’t do at least once a month) across the country. everything.” A UNICEF partner in Port Loko district, OXFAM, is working She adds as we head off. “I miss my family, but these things to revive the VDCs as a way for communities to gain more give me courage.” control and say over their development. Each VDC has around 11-13 members including the village headman, a chairwoman,
81 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
SIERRA LEONE Mission Critical Action 8 Project #38 Reintegration of Sierra Leone Red Cross Society (SLRCS) Volunteers Burial Teams This is the testimony of Millicent N. Ggangbay. Millicent, age 24, is a former volunteer of the Safe and Dignified Burial (SDB) team in Pujehun, Southern Sierra Leone. She is one of the eight hundred beneficiaries of the UNDP/Red Cross re-skilling and integration project for SDB and Infection Prevention and Control (IPC) volunteers who were the front-line fighters against Ebola in Sierra Leone. Millicent opted for a one-year computer software and hardware package at the Growth Vocational Training Centre, amidst numerous options available at the Centre. Reminiscing her time as an SDB volunteer, she discussed the valuable role she played as a female volunteer in the burial process. “As a female volunteer, I played a very unique role during the Ebola crisis in the burial team. Whenever there was any community female death I was always the first to enter and placed corpse in a dignified position before my male colleagues can proceed with the collection procedures. I was application software as a skill.” Appreciating the support, she a petty trader before I joined SDB of the Sierra Leone Red noted the market need for computer skills in the economy. She Cross Society” She revealed, “Collecting dead bodies in Ebola said, “I chose the computer course because the prerequisite epidemic operations is a very risky job, but I took the venture for all advertised jobs today is tied on an individual’s basic in order to give honor to the dead and to further draw the knowledge in computer software applications.” attention of the world to Red Cross humanitarian activities.” “I am very grateful to the SLRCS and UNDP for all that I have Disclosing the ordeal, she encountered in her community, she achieved and the capacity development I am going through. said, “Initially, when I joined the SDB my family and community I am currently living an independent and respectable life. I members shunned me. I took refuge at a friend’s house, but am not very rich, but living an average life of my own and am they too turned against me and finally threw me out. I ended more than sure that this will be an advantage to my career.” up renting a room where I stayed alone.” She sobbed as she Concluding, she said, “I am pleading to UNDP through the reflected on the past. She added, “My monthly incentive from SLRCS to kindly extend this opportunity to colleagues who the Red Cross really salvaged my situation.” were in other pillars during the Ebola response like social Explaining her personal view of the UNDP/SLRCS re-skilling mobilization, contact tracing and psycho-social support that and integration program she said, “The re-skilling project have not benefited from this scheme, so that we all have equal is a very good package for us and I have chosen computer opportunity for an independent and sustainable life.”
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UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
INTRODUCTION This Consolidated Annual Financial Report of the Ebola Organizations. The Administrative Agent prepares and Response MPTF Fund is prepared by the Multi-Partner Trust submits annual consolidated financial reports, as well as Fund Office (MPTF Office) in fulfillment of its obligations as regular financial statements, for transmission to contributors. Administrative Agent, as per the terms of Reference (TOR), This consolidated financial report covers the period 1 January the Memorandum of Understanding (MOU) signed between to 31 December 2016 and provides financial data on progress the UNDP MPTF Office and the Recipient Organizations, and made in the implementation of projects of the Ebola Response the Standard Administrative Arrangement (SAA) signed with MPTF. It is posted on the MPTF Office GATEWAY (http://mptf. contributors. undp.org/ebola). The MPTF Office, as Administrative Agent, is responsible The financial data in the report is recorded in US Dollars and for concluding an MOU with Recipient Organizations and due to rounding off of numbers, the totals may not add up. SAAs with contributors. It receives, administers and manages contributions, and disburses these funds to the Recipient
2016 FINANCIAL PERFORMANCE This chapter presents financial data and analysis of the Ebola Response MPTF using the pass-through funding modality as of 31 December 2016. Financial information for this Fund is also available on the MPTF Office GATEWAY, at the following address: http://mptf.undp.org/ebola. 1. SOURCES AND USES OF FUNDS As of 31 December 2016, 47 contributors deposited US$ 166,358,262 in contributions and US$ 149,231 was earned in interest. The cumulative source of funds was US$ 166,507,494 Of this amount, US$ 154,691,583 has been net funded to 12 Recipient Organizations, of which US$ 144,560,210 has been reported as expenditure. The Administrative Agent fee has been charged at the approved rate of 1% on deposits and amounts to US$ 1,663,583. Table 1 provides an overview of the overall sources, uses, and balance of the Ebola Response MPTF Fund as of 31 December 2016.
Table 1 Financial Overview, as of 31 December 2016 (in US Dollars) Annual 2015 Jan-Dec 2016 Cumulative Sources of Funds Contributions from Donors 34,434,964 6,070,371 166,358,262 Fund Earned Interest and Investment Income 56,656 73,143 149,231 Interest Income received from Recipient Organizations - - - Refunds by Administrative Agent to Contributors - - - Fund balance transferred to another MDTF - - - Other Income - - - Total: Sources of Funds 34,491,620 6,143,514 166,507,494 Use of Funds Transfers to Recipient Organizations 48,706,682 10,371,007 159,529,956 Refunds received from Recipient Organizations (3,974,274) (864,099) (4,838,373) Net Funded Amount to Recipient Organizations 44,732,408 9,506,909 154,691,583 Administrative Agent Fees 344,350 60,704 1,663,583 Direct Costs: (Secretariat M&E) 1,000,000 300,000 1,300,000 Bank Charges 506 405 1,316 Other Expenditures - - - Total: Uses of Funds 46,077,264 9,868,018 157,656,482 Change in Fund cash balance with Administrative Agent (11,585,644) (3,724,504) 8,851,012 Opening Fund balance (1 January) 24,161,160 12,575,516 - Closing Fund balance (31 December) 12,575,516 8,851,012 8,851,012 Net Funded Amount to Recipient Organizations 44,732,408 9,506,909 154,691,583 Recipient Organizations’ Expenditure 104,443,785 16,953,141 144,560,210 Balance of Funds with Recipient Organizations 10,131,374 84 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
2. PARTNER CONTRIBUTIONS Table 2 provides information on cumulative contributions received from all contributors to this Fund as of 31 December 2016. Table 2 Contributors’ Deposits, as of 31 December 2016 (in US Dollars) Deposits Prior Years Current Year Contributors Total Commitments as of 31-Dec-2015 Jan-Dec 2016 Total AUSTRALIA 8,755,000 8,755,000 - 8,755,000 BELGIUM 8,945,028 4,545,028 4,400,000 8,945,028 BOLIVIA 1,000,000 1,000,000 - 1,000,000 BRAZIL 602,845 602,845 - 602,845 CANADA 7,154,056 7,154,056 - 7,154,056 CHILE 300,000 300,000 - 300,000 CHINA 11,000,000 11,000,000 - 11,000,000 COLOMBIA 100,000 100,000 - 100,000 CYPRUS 6,350 6,350 - 6,350 CZECH REPUBLIC 205,052 205,052 - 205,052 DENMARK 5,042,695 5,042,695 - 5,042,695 ESTONIA 50,216 50,216 - 50,216 FINLAND 8,824,590 8,824,590 - 8,824,590 GEORGIA 25,000 25,000 - 25,000 GERMANY 11,606,933 11,606,933 - 11,606,933 GUYANA 50,363 50,363 - 50,363 HOLY SEE 20,000 20,000 - 20,000 INDIA 10,000,000 10,000,000 - 10,000,000 IRISH AID 1,233,100 1,233,100 - 1,233,100 ISRAEL 8,750,000 8,750,000 - 8,750,000 JAPAN 5,940,000 5,940,000 - 5,940,000 KAZAKHSTAN 50,000 50,000 - 50,000 LATVIA 48,876 48,876 - 48,876 LUXEMBOURG 902,060 902,060 - 902,060 MALAYSIA 100,000 100,000 - 100,000 MALTA 62,295 62,295 - 62,295 MAURITIUS 20,000 20,000 - 20,000 MONTENEGRO 5,000 5,000 - 5,000 NEW ZEALAND 1,169,400 1,169,400 - 1,169,400 NON-PROFIT ORGANIZATION 20,000 20,000 - 20,000 NORWAY 2,061,147 2,061,147 - 2,061,147 PERU 48,479 48,479 - 48,479 PHILIPPINES 2,041,742 2,041,742 - 2,041,742 PORTUGAL 30,293 30,293 - 30,293 PRIVATE SECTOR 10,350 10,350 - 10,350 REPUBLIC OF KOREA 10,000,000 10,000,000 - 10,000,000 ROMANIA 40,000 40,000 - 40,000 ROYAL CHARITY ORG. BAHRAIN 1,000,000 1,000,000 - 1,000,000 RUSSIAN FEDERATION 1,000,000 1,000,000 - 1,000,000 SWEDISH INTERNATIONAL DEVELOPMENT COOPERATION 13,217,001 13,217,001 - 13,217,001 SWISS AGENCY FOR DEVELOPMENT & COOPERATION 4,927,079 4,927,079 - 4,927,079 TOGO 1,581 1,581 - 1,581 TURKEY 1,500,000 - 1,500,000 1,500,000 UN FOUNDATION/UN PARTNERSHIP OFFICE 300,371 130,000 170,371 300,371 UNITED KINGDOM 31,884,000 31,884,000 - 31,884,000 VENEZUELA 5,000,000 5,000,000 - 5,000,000 VOLVO GROUP 1,307,360 1,307,360 - 1,307,360 Grand Total 166,358,262 160,287,891 6,070,371 166,358,262 85 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
3. INTEREST EARNED Interest income is earned in two ways: 1) on the balance of funds held by the Administrative Agent (Fund earned interest), and 2) on the balance of funds held by the Recipient Organizations (Agency earned interest) where their Financial Regulations and Rules allow return of interest to the AA. As of 31 December 2016, Fund earned interest amounts to US$ 149,231. Table 3 Sources of Interest and Investment Income, as of 31 December 2016 (in US Dollars) Prior Years Current Year Interest Earned as of 31-Dec-2015 Jan-Dec 2016 Total Administrative Agent Fund Earned Interest and Investment Income 76,089 73,143 149,231 Total: Fund Earned Interest 76,089 73,143 149,231 Recipient Organization Total: Agency earned interest Grand Total 76,089 73,143 149,231 4. TRANSFER OF FUNDS Allocations to Recipient Organizations are approved by the Chair of the Advisory Committee and disbursed by the Administrative Agent. As of 31 December 2016, the AA has transferred US$ 159,529,956 to 12 Recipient Organizations (see list below). Table 4 and Figure 1 provide additional information on the refunds received by the MPTF Office, and the net funded amount for each of the Recipient Organizations. Table 4 Transfer, Refund, and Net Funded Amount by Recipient Organization, as of 31 December 2016 (in US Dollars)
Recipient Prior Years as of 31-Dec-2015 Current Year: Jan-Dec 2016 Total Organization Transfers Refunds Net Funded Transfers Refunds Net Funded Transfers Refunds Net Funded ICAO 1,000,000 1,000,000 1,000,000 1,000,000 ILO 284,620 284,620 284,620 284,620 UNAIDS 165,850 165,850 165,850 165,850 UNDP 28,179,870 28,179,870 2,739,695 2,739,695 30,919,565 30,919,565 UNFPA 6,470,929 6,470,929 2,169,858 (366,814) 1,803,044 8,640,787 (366,814) 8,273,973 UNHABITAT 246,100 (192,600) 53,500 246,100 (192,600) 53,500 UNICEF 23,126,594 23,126,594 1,805,164 1,805,164 24,931,758 24,931,758 UNMEER 8,321,632 (3,974,274) 4,347,358 8,321,632 (3,974,274) 4,347,358 UNOPS 4,501,490 4,501,490 4,501,490 4,501,490 UNWOMEN 472,673 472,673 472,673 472,673 WFP 40,023,716 40,023,716 400,000 400,000 40,423,716 40,423,716 WHO 37,062,045 37,062,045 2,559,720 (304,685) 2,255,035 39,621,765 (304,685) 39,317,080 Grand Total 149,158,949 (3,974,274) 145,184,675 10,371,007 (864,099) 9,506,909 159,529,956 (4,838,373) 154,691,583 Figure 1: Net funded amount by Recipient Organization for the period of 1 January to 31 December 2016
86 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
4.1 TRANSFER BY STRATEGIC OBJECTIVE Table 4.1 shows the total Net Funded Amount by Strategic Objective. The Ebola Response MPTF has five Strategic Objectives under the Response Window and four Recovery Strategic Objectives under the Recovery Window. In 2016, the Strategic Objectives receiving the largest share of transfers were: SO3 ENSURE essential services (37%), SO2 TREAT the infected (20%), and RSO2 Socio-Economic Revitalizion (16%). Table 4.1 Cumulative net funded amount by Strategic Objective as of 31 December 2016 (in US Dollars)
Strategic Objective Cumulative Net Funded Amount SO1 STOP the outbreak 35,752,153 SO2 TREAT the infected 57,457,782 SO3 ENSURE essential services 18,683,164 SO4 PRESERVE stability 20,059,748 SO5 PREVENT 15,360,083 RSO1 Health Nutrition WASH 2,594,920 RSO2 Socio-Economic Revitalization 2,248,728 RSO3 Basic Service & Infrastructure 2,047,394 RSO4 Govern Peace Building Cohesion 487,610 TOTAL 154,691,583
5. EXPENDITURE AND FINANCIAL DELIVERY RATES All final expenditures reported for the year 2016 were submitted by the Headquarters of the Recipient Organizations. These were consolidated by the MPTF Office. Project expenditures are incurred and monitored by each Recipient Organization, and are reported as per the agreed upon categories for inter-agency harmonized reporting. The reported expenditures were submitted via the MPTF Office’s online expenditure reporting tool. The 2016 expenditure data has been posted on the MPTF Office GATEWAY at http://mptf.undp. org/ebola.
5.1 EXPENDITURE REPORTED BY RECIPIENT ORGANIZATIONS In 2016, US$ 9,506,909 was net funded to Recipient Organizations, and US$ 16,953,141 was reported in expenditure. As shown in table below, the cumulative net funded amount is US$ 154,691,583 and cumulative expenditures reported by the Recipient Organizations amount to US$ 144,560,210. This equates to an overall Fund expenditure delivery rate of 93 percent. The agencies with the three highest delivery rates are: WFP (100%), UNWOMEN (98%) and WHO (97%).
Table 5.1 Net Funded Amount, Reported Expenditure, and Financial Delivery by Recipient Organization, as of 31 December 2016 (in US Dollars)
Recipient Current Year TOTAL Organization Net Funded Amount Expenditure Net Funded Amount Expenditure Delivery Rate % ICAO 673,847 1,000,000 673,847 67.38 ILO 284,620 155,053 284,620 155,053 54.48 UNAIDS 165,850 165,850 0 UNDP 2,739,695 7,112,332 30,919,565 27,076,868 87.57 UNFPA 1,803,044 2,442,343 8,273,973 7,329,863 88.59 UNHABITAT 53,500 21,619 53,500 21,619 40.41 UNICEF 1,805,164 3,473,165 24,931,758 22,782,006 91.38 UNMEER 247 4,347,358 3,818,390 87.83 UNOPS 42,922 4,501,490 3,767,139 83.69 UNWOMEN 388,441 472,673 462,539 97.86 WFP 400,000 400,000 40,423,716 40,423,716 100.00 WHO 2,255,035 2,243,172 39,317,080 38,049,169 96.78 Total 9,506,909 16,953,141 154,691,583 144,560,210 93.45
87 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
5.2 EXPENDITURE REPORTED BY CATEGORY Project expenditures are incurred and monitored by each 2012 CEB Expense Categories Recipient Organization and are reported as per the agreed 1. Staff and personnel costs categories for inter-agency harmonized reporting. Table 2. Supplies, commodities and materials 5.2 reflects expenditures reported in the UNDG expense 3. Equipment, vehicles, furniture and depreciation categories. 4. Contractual services 5. Travel 6. Transfers and grants 7. General operating expenses 8. Indirect cost
Table 5.2 Expenditure by UNDG Budget Category, as of 31 December 2016 (in US Dollars)
Expenditures Prior Years Current Year Percentage of Total Approved Amount as of 31-Dec-2015 Jan-Dec 2016 Total Programme Cost Staff & Personnel Costs 6,690,462 3,274,323 9,964,785 7.38 Supplies, Commodities and Materials 8,504,027 1,211,621 9,715,649 7.19 Equipment, Vehicles, Furniture, and depreciation 20,326,618 889,685 21,216,303 15.71 Contractual Services 51,337,406 5,080,222 56,417,628 41.77 Travel 8,672,507 1,044,912 9,717,419 7.19 Transfers and Grants 13,333,339 1,963,833 15,297,172 11.33 General Operating 10,369,807 2,374,115 12,743,922 9.43 Programme Costs Total 119,234,166 15,838,712 135,072,877 100.00 Indirect Support Costs Total 1 8,372,903 1,114,429 9,487,333 7.02 Total 127,607,069 16,953,141 144,560,210
1 Indirect Support Costs charged by Recipient Organizations, based on their financial regulations, can be deducted upfront or at a later stage during implementation. The percentage may therefore appear to exceed the 7% agreed-upon for on-going projects. Once projects are financially closed, this number is not to exceed 7%.
6. COST RECOVERY Cost recovery policies for the Fund are guided by the applicable provisions of the Terms of Reference, the MOU concluded between the Administrative Agent and Recipient Organizations, and the SAAs concluded between the Administrative Agent and Contributors, based on rates approved by UNDG. The policies in place, as of 31 December 2016, were as follows: • The Administrative Agent (AA) fee: 1% is charged at the time of contributor deposit and covers services provided on that contribution for the entire duration of the Fund. In the reporting period US$ 60,704 was deducted in AA-fees. Cumulatively, as of 31 December 2016, US$ 1,663,583 has been charged in AA-fees. • Indirect Costs of Recipient Organizations: Recipient Organizations may charge 7% indirect costs. In the current reporting period US$ 1,114,429 was deducted in indirect costs by Recipient Organizations. Cumulatively, indirect costs amount to US$ 9,487,333 as of 31 December 2016.
7. ACCOUNTABILITY AND TRANSPARENCY In order to effectively provide fund administration services and facilitate monitoring and reporting to the UN system and its partners, the MPTF Office has developed a public website, the MPTF Office Gateway (http://mptf.undp.org). Refreshed in real time every two hours from an internal enterprise resource planning system, the MPTF Office Gateway has become a standard setter for providing transparent and accountable trust fund administration services. The Gateway provides financial information including: contributor commitments and deposits, approved programme budgets, transfers to and expenditures reported by Recipient Organizations, interest income and other expenses. In addition, the Gateway provides an overview of the MPTF Office portfolio and extensive information on individual Funds, including their purpose, governance structure and key documents. By providing easy access to the growing number of narrative and financial reports, as well as related project documents, the Gateway collects and preserves important institutional knowledge and facilitates knowledge sharing and management among UN Organizations and their development partners, thereby contributing to UN coherence and development effectiveness.
88 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
8. DIRECT COSTS The Chair in consultations with the Advisory Committee may approve an allocation to a Recipient Organization to cover costs associated with Secretariat services and overall coordination, as well as Fund level reviews and evaluations. These allocations are referred to as ‘direct costs’. In 2016, direct costs amounting to US$ 300,000 were approved to finance Monitoring and Evaluation Officers deployed in three affected countries and other Secretariat support. Cumulatively, as of 31 December 2016, US$ 1,300,000 has been charged as Direct Costs.
Annex 1. Net Funded Amounts and Expenditure by Country, as of 31 December 2016 (in US Dollars)
Current Year Jan-Dec 2016 Total Country / SO or RSO Net Funded Amount Expenditure Net Funded Amount Expenditure Delivery Rate % Guinea
RSO2 Socio-Economic Revitalization 1,500,000 1,282,383 2,248,728 1,447,370 64.36 RSO3 Basic Service & Infrastructure 999,998 812,633 999,998 812,633 81.26 RSO4 Govern Peace Building Cohesion 230,442 247,915 230,442 92.95 SO1 STOP the outbreak 198,395 971,848 12,365,365 12,253,996 99.10 SO2 TREAT the infected 1,896,120 2,268,461 27,011,944 26,107,261 96.65 SO3 ENSURE essential services 1,000,000 1,310,806 3,204,200 3,100,378 96.76 SO4 PRESERVE stability 396,003 1,249,743 13,547,031 13,320,109 98.32 SO5 PREVENT 404,635 925,811 3,387,866 2,867,748 84.65 Guinea Total: 6,395,151 9,052,128 63,013,047 60,139,937 95.44
Liberia
RSO1 Health Nutrition WASH 444,664 1,374,331 2,000,000 1,374,331 68.72 SO1 STOP the outbreak (618,671) 306,358 16,297,330 16,295,490 99.99 SO2 TREAT the infected 10,585,741 10,585,741 100.00 SO3 ENSURE essential services 2,499,980 675,199 8,753,390 6,712,792 76.69 SO4 PRESERVE stability 11,611 3,733,842 3,720,457 99.64 SO5 PREVENT 453,726 1,132,843 1,080,910 95.42 Liberia Total: 2,325,973 2,821,225 42,503,146 39,769,721 93.57
Sierra Leone
RSO1 Health Nutrition WASH 594,920 594,920 0 RSO3 Basic Service & Infrastructure 447,998 1,047,396 447,998 42.77 RSO4 Govern Peace Building Cohesion 239,695 239,695 0 SO1 STOP the outbreak (48,831) 203,500 7,089,458 7,088,793 99.99 SO2 TREAT the infected 218,646 19,860,097 19,859,720 100.00 SO3 ENSURE essential services 2,817,376 6,201,275 4,915,791 79.27 SO4 PRESERVE stability 261 2,778,875 2,778,578 99.99 SO5 PREVENT 615,007 9,720,374 8,299,945 85.39 Sierra Leone Total: 785,784 4,302,787 47,532,090 43,390,824 91.29
United Nations
SO3 ENSURE essential services 30,720 524,300 466,881 89.05 SO5 PREVENT 746,281 1,119,000 792,847 70.85 United Nations Total: 777,001 1,643,300 1,259,728 76.66
Grand Total: 9,506,909 16,953,141 154,691,583 144,560,210 93.45 89 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
Annex 2. Net Funded Amounts and Expenditures by Strategic Objective, as of 31 December 2016 (in US Dollars)
Participating Project Approved Net Funded Total Delivery SO or RSO / Project No. and Project Title Organization Status Amount Amount Expenditure Rate %
RSO1 Health Nutrition WASH 00096703 00096703 RSO1 #33 LBR RESTORING MIDWIFERY UNFPA On Going 1,000,000 1,000,000 923,277 92.33 00097566 00097566 RSO1 #46 LBR UPGRADING WATER ILO On Going 284,620 284,620 155,053 54.48 00097566 00097566 RSO1 #46 LBR UPGRADING WATER UNHABITAT On Going 53,500 53,500 21,619 40.41 00097566 00097566 RSO1 #46 LBR UPGRADING WATER UNICEF On Going 661,880 661,880 274,381 41.45 00102292 00102292 RSO1 #63 SLE EVD SURVIVORS SUPP UNAIDS On Going 165,850 165,850 0 00102292 00102292 RSO1 #63 SLE EVD SURVIVORS SUPP WHO On Going 429,070 429,070 0
RSO1 Health Nutrition WASH: Total 2,594,920 2,594,920 1,374,331 52.96
RSO2 Socio-Economic Revitalization 00096705 RSO2 #43 GIN STRENGTHENING COM UNDP On Going 458,651 458,651 458,632 100.00 00096705 RSO2 #43 GIN STRENGTHENING COM UNFPA On Going 290,077 290,077 281,925 97.19 00099263 RSO2 #52 GIN RECOVERY SUPPORT UNDP On Going 1,500,000 1,500,000 706,813 47.12 RSO2 Socio-Economic Revitalization: Total 2,248,728 2,248,728 1,447,370 64.36
RSO3 Basic Service & Infrastructure 00096723 RSO3 #45 SLE EBOLA SURVIVORS - UNICEF On Going 788,456 788,456 200,099 25.38 00096723 RSO3 #45 SLE EBOLA SURVIVORS - WHO On Going 258,940 258,940 247,898 95.74 00100017 RSO3 #55 GIN EMERGENCY MATERNA UNFPA On Going 999,998 999,998 812,633 81.26 RSO3 Basic Service & Infrastructure: Total 2,047,395 2,047,394 1,260,631 61.57
RSO4 Govern Peace Building Cohesion 00096708 RSO4 #44 GIN GOVERNMENT SUPPOR UNDP On Going 247,915 247,915 230,442 92.95 00103816 RSO4 #56 SLE SUPPORT TO THE GO UNDP On Going 250,000 239,695 0 RSO4 Govern Peace Building Cohesion: Total 497,915 487,610 230,442 47.26
SO1 STOP the outbreak 00095447 MCA02 #30 GIN RED CROSS REINFO UNDP On Going 454,193 454,193 407,086 89.63 00095447 MCA02 #30 GIN RED CROSS REINFO WHO On Going 545,807 545,807 545,807 100.00 00096318 MCA01 #17 SLE STRNG EVD SURVEIL WHO On Going 2,073,205 2,073,205 2,072,540 99.97 00101174 MCA2 #58 STRNG EBOLA RESPONSE UNDP On Going 198,395 198,395 159,399 80.34 00093218 MCA01 #10 LBR INTERRUPT TRANSM UNDP Operationally Closed 3,398,610 3,398,610 3,480,461 102.41 00093218 MCA01 #10 LBR INTERRUPT TRANSM UNFPA Operationally Closed 4,549,552 4,186,735 4,186,735 100.00 00093218 MCA01 #10 LBR INTERRUPT TRANSM WHO Operationally Closed 3,655,050 3,399,196 3,399,196 100.00 00093251 MCA01 #16 GIN EPIDEM DIST MNGM WHO Operationally Closed 6,308,640 6,308,640 6,290,352 99.71 00093252 MCA01 #16 LBR EPIDEM DIST MNGM WHO Operationally Closed 5,312,789 5,312,789 5,229,097 98.42 00093253 MCA01 #16 SLE EPIDEM DIST MNGM WHO Operationally Closed 5,065,084 5,016,253 5,016,253 100.00 00094960 MCA01 #35 GIN SENSITIZATION WHO Operationally Closed 400,000 400,000 400,000 100.00 00095944 MCA02 #32 GIN SAFE BURIALS UNDP Operationally Closed 4,458,330 4,458,330 4,451,351 99.84 SO1 STOP the outbreak: Total 36,419,655 35,752,153 35,638,278 99.68
SO2 TREAT the infected 00092448 MCA03 #1 LBR AIR SERVICES WFP On Going 4,000,000 4,000,000 4,000,000 100.00 00092450 MCA03 #1 GIN AIR SERVICES WFP On Going 4,000,000 4,000,000 4,000,000 100.00 00092527 MCA03 #1 SLE AIR SERVICES WFP On Going 4,675,724 4,675,724 4,675,724 100.00 00092528 MCA03 #1 SLE TRANSP ESS. ITEMS WFP On Going 11,052,470 11,052,470 11,052,470 100.00 00092529 MCA03 #1 GIN ESTABLSHMNT ETUs WFP On Going 2,687,375 2,687,375 2,687,375 100.00 00092530 MCA03 #1 SLE COMMUNCTN EQPMT WFP On Going 167,547 167,547 167,547 100.00 00092643 MCA03 #1 LBR TRANSP ESS. ITEMS WFP On Going 3,780,000 3,780,000 3,780,000 100.00 00092644 MCA03 #1 GIN TRANSP ESS. ITEMS WFP On Going 3,780,000 3,780,000 3,780,000 100.00 00092847 MCA03 #1 GIN STORAGE CAPACITY WFP On Going 658,902 658,902 658,902 100.00 90 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Annex 2. Net Funded Amounts and Expenditures by Strategic Objective, as of 31 December 2016 (in US Dollars)
Participating Project Approved Net Funded Total Delivery SO or RSO / Project No. and Project Title Organization Status Amount Amount Expenditure Rate %
SO2 TREAT the infected 00093219 MCA03 #23 GIN CCCs UNICEF On Going 9,813,619 9,813,619 9,499,673 96.80 00093282 MCA03 #1 LBR STORAGE CAPACITY WFP On Going 1,592,796 1,592,796 1,592,796 100.00 00093283 MCA03 #1 SLE STORAGE CAPACITY WFP On Going 658,902 658,902 658,902 100.00 00093284 MCA04 #1 GIN UN CLINICS WFP On Going 1,577,030 1,577,030 1,577,030 100.00 00093285 MCA04 #1 SLE UN CLINICS WFP On Going 1,392,970 1,392,970 1,392,970 100.00 00096306 MCA04 #40 SLE UN MEDICAL CLINICS UNDP On Going 609,900 609,900 609,524 99.94 00099916 MCA3 #57 GIN VACCINATION WHO On Going 1,199,603 1,199,603 1,095,782 91.35 00101175 MCA3 #58 STRNG EBOLA RESPONSE UNDP On Going 396,970 396,970 11 0.00 00093254 MCA03 #16 GIN IPC DISTRCT MNGM WHO Operationally Closed 1,990,380 1,990,380 1,975,641 99.26 00093256 MCA03 #16 SLE IPC DISTRCT MNGM WHO Operationally Closed 1,302,584 1,302,584 1,302,583 100.00 00096294 MCA04 #40 GIN UN MEDICAL CLINICS UNDP Operationally Closed 608,518 608,518 534,614 87.86 00098865 MCA03 #54 GIN VACCINATION WHO Operationally Closed 299,547 299,547 298,233 99.56 00093255 MCA03 #16 LBR IPC DISTRCT MNGM WHO Financially Closed 1,212,945 1,212,945 1,212,945 100.00 SO2 TREAT the infected: Total 57,457,782 57,457,782 56,552,722 98.42
SO3 ENSURE essential services 00092902 MCA07 #6 PAYMNT EBOLA WORKERS UNDP On Going 524,300 524,300 466,881 89.05 00092903 MCA07 #8 LBR PAYMNT EBOLA WORK UNDP On Going 2,245,832 2,245,832 2,155,756 95.99 00092904 MCA07 #7 GIN PAYMNT EBOLA WORK UNDP On Going 2,204,200 2,204,200 2,120,653 96.21 00092905 MCA07 #9 SLE PAYMNT EBOLA WORK UNDP On Going 1,261,625 1,261,625 1,085,984 86.08 00094514 MCA08 SLE #15 EBOLA SURVIVORS UNDP On Going 1,635,337 1,635,337 1,551,673 94.88 00094514 MCA08 SLE #15 EBOLA SURVIVORS UNWOMEN On Going 472,673 472,673 462,539 97.86 00095545 MCA08 #38 SLE RED CROSS EBOLA UNDP On Going 1,975,640 1,975,640 1,088,905 55.12 00096725 MCA06 #48 SLE SOCIAL MOBILIZAT UNICEF On Going 856,000 856,000 726,690 84.89 00100247 MCA6 #53 LBR STRNG MATERNAL UNFPA On Going 650,000 650,000 497,989 76.61 00100247 MCA6 #53 LBR STRNG MATERNAL UNICEF On Going 200,000 200,000 1,378 0.69 00100247 MCA6 #53 LBR STRNG MATERNAL WHO On Going 150,000 150,000 50,451 33.63 00101177 MCA6 #59 PREVENT NEW INFECTION UNICEF On Going 1,000,000 1,000,000 979,725 97.97 00102805 MCA6 #62 LBR IMPROV MATERNAL UNFPA On Going 519,860 519,860 0 00102805 MCA6 #62 LBR IMPROV MATERNAL UNICEF On Going 498,620 498,620 0 00102805 MCA6 #62 LBR IMPROV MATERNAL WHO On Going 481,500 481,500 0 00093136 MCA06 #4 LBR CHILDREN PROTECTION UNICEF Operationally Closed 4,007,578 4,007,578 4,007,218 99.99 SO3 ENSURE essential services: Total 18,683,164 18,683,164 15,195,842 81.33
SO4 PRESERVE stability 00093105 MCA11 #3 GIN SOCIAL MOB&COMMUN UNDP On Going 809,000 809,000 808,339 99.92 00093105 MCA11 #3 GIN SOCIAL MOB&COMMUN UNICEF On Going 3,139,364 3,139,364 3,136,832 99.92 00094442 MCA11 #29 GIN SUPPORT CBUs MRU UNDP On Going 1,308,752 1,308,752 1,307,757 99.92 00094442 MCA11 #29 GIN SUPPORT CBUs MRU UNFPA On Going 631,300 627,303 627,303 100.00 00094442 MCA11 #29 GIN SUPPORT CBUs MRU UNICEF On Going 896,020 896,020 896,020 100.00 00096648 MCA09 #42 GIN PREVENT EVD SPREAD UNDP On Going 991,467 991,467 789,513 79.63 00101347 MCA10 #61 EBOLA FLARE-UP EXPEN WFP On Going 400,000 400,000 400,000 100.00 00093189 MCA10 #22 LBR EBOLA CHARTERS UNICEF Operationally Closed 322,898 322,898 322,898 100.00 00093220 MCA11 #25 LBR OUTRCH&AWARNESS UNICEF Operationally Closed 283,088 283,088 278,402 98.34 00093223 MCA10 #22 SLE EBOLA CHARTERS UNICEF Operationally Closed 278,558 278,558 278,558 100.00 00093226 MCA10 #22 GIN EBOLA CHARTERS UNICEF Operationally Closed 276,262 276,262 276,262 100.00 00093527 MCA09 #16 LBR DISTRICT LOGISTICS WHO Operationally Closed 2,574,893 2,574,893 2,566,207 99.66 00093528 MCA09 #16 SLE DISTRICT LOGISTICS WHO Operationally Closed 2,026,848 2,026,848 2,026,848 100.00 00093970 MCA11 #16 GIN DISTRICT SOCIAL WHO Operationally Closed 570,788 570,788 555,555 97.33 91 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT
Annex 2. Net Funded Amounts and Expenditures by Strategic Objective, as of 31 December 2016 (in US Dollars)
Participating Project Approved Net Funded Total Delivery SO or RSO / Project No. and Project Title Organization Status Amount Amount Expenditure Rate %
SO4 PRESERVE stability 00093971 MCA11 #16 LBR DISTRICT SOCIAL WHO Operationally Closed 552,963 552,963 552,949 100.00 00093972 MCA11 #16 SLE DISTRICT SOCIAL WHO Operationally Closed 473,469 473,469 473,172 99.94 00095292 MCA11 #36 GIN SOCIAL MOBILIZATION UNICEF Operationally Closed 999,915 999,915 995,780 99.59 00096724 MCA11 #47 GIN SOCIAL MOBILIZATION UNICEF Operationally Closed 909,500 909,500 908,089 99.84 00093526 MCA09 #16 GIN DISTRICT LOGISTICS WHO Financially Closed 2,618,660 2,618,660 2,618,659 100.00
SO4 PRESERVE stability: Total 20,063,745 20,059,748 19,819,144 98.80
SO5 PREVENT 00092648 MCA13 #11LBR QUICK IMPCT PRJCT UNDP On Going 344,277 344,277 341,345 99.15 00092648 MCA13 #11LBR QUICK IMPCT PRJCT UNMEER On Going 1,000,000 655,726 625,635 95.41 00092907 MCA13 #17 SLE RRSTs ESTABLISHM UNMEER On Going 2,643,548 643,548 598,511 93.00 00092907 MCA13 #17 SLE RRSTs ESTABLISHM UNOPS On Going 4,501,490 4,501,490 3,767,139 83.69 00093085 MCA13 #2 AVIA EBOLA ACTION PLAN ICAO On Going 1,000,000 1,000,000 673,847 67.38 00097554 MCA13 #49 GIN SUPPORT TO THE UN UNDP On Going 983,231 983,231 553,613 56.31 00097555 MCA13 #50 SLE SUPPORT TO THE UN UNDP On Going 695,527 695,527 551,217 79.25 00097556 MCA13 #51 LBR SUPPORT TO THE UN UNDP On Going 132,840 132,840 113,931 85.77 00101176 MCA13 #58 STRNG EBOLA RESPONSE UNDP On Going 404,635 404,635 312,725 77.29 00092649 MCA13 #11GIN QUICK IMPCT PRJCT UNDP Operationally Closed 1,000,000 1,000,000 994,738 99.47 00092649 MCA13 #11GIN QUICK IMPCT PRJCT UNMEER Operationally Closed 2,000,000 1,000,000 1,006,672 100.67 00092650 MCA13 #11SLE QUICK IMPCT PRJCT UNDP Operationally Closed 630,000 630,000 606,708 96.30 00092650 MCA13 #11SLE QUICK IMPCT PRJCT UNMEER Operationally Closed 1,500,000 870,000 796,014 91.50 00092908 MCA13 #18 SLE NERC SECRETARIAT UNMEER Operationally Closed 1,178,084 1,178,084 791,558 67.19 00093086 MCA13 #5 SLE DETENTION CENTERS UNDP Operationally Closed 1,201,725 1,201,725 1,188,797 98.92 00096704 MCA13 #41 EBOLA RESPONSE INTER WHO Operationally Closed 119,000 119,000 119,000 100.00 SO5 PREVENT: Total 19,334,357 15,360,083 13,041,450 84.90
GRAND TOTAL 159,347,661 154,691,583 144,560,210 93.45
DEFINITIONS Approved Project/Programme particular programme or activity of the Recipient operationally completed project or programme have A project/programme including budget, etc., that is Organizations. UNDG policy establishes a fixed been settled, and no further financial charges may be approved by the Humanitarian Coordinator for fund indirect cost rate of 7% of programmable costs. incurred. allocation purposes. Net Funded Amount Project Operational Closure Contributor Commitment Amount transferred to a Recipient Organization less A project or programme is considered operationally Amount(s) committed by a donor to a Fund in a any refunds transferred back to the MPTF Office by a closed when all programmatic activities for which signed Standard Administrative Arrangement with Recipient Organization. Recipient Organization(s) received funding have been the UNDP Multi-Partner Trust Fund Office (MPTF completed. Recipient Organization Office), in its capacity as the Administrative Agent. A A UN Organization or other inter-governmental Project Start Date commitment may be paid or pending payment. Organization that is an implementing partner in a Date of transfer of first instalment from the MPTF Contributor Deposit Fund, as represented by signing a Memorandum Office to the Recipient Organization. Cash deposit received by the MPTF Office for the of Understanding (MOU) with the MPTF Office for a Total Approved Budget Fund from a contributor in accordance with a signed particular Fund. This represents the cumulative amount of allocations Standard Administrative Arrangement. Project Expenditure approved by the Humanitarian Coordinator. Delivery Rate The sum of expenses and/or expenditure reported US Dollar Amount The percentage of funds that have been utilized, by all Recipient Organizations for a Fund irrespective The financial data in the report is recorded in US calculated by comparing expenditures reported by of which basis of accounting each Recipient Dollars and due to rounding off of numbers, the totals a Recipient Organization against the ‘net funded Organization follows for donor reporting. may not add up. amount’. Project Financial Closure Indirect Support Costs A project or programme is considered financially A general cost that cannot be directly related to any closed when all financial obligations of an 92 ACRONYMS Acronym Definition Acronym Definition AACG Association des animateurs Communautaires de Guinea LWCS Liberia Water and Sewer Cooperation AfDB African Development Bank MASPFE Ministry of Social Affairs the Advancement of Women and Children’s AGIL Association for the Promotion of Governance and of Local Initiatives Affairs ALIMA Alliance for International Medical Action MCA Mission Critical Action ANSS National Agency of Sanitary Surveillance MCC Monrovia City Corporation APIM-G L’Association Professionnelle des Institutions de Microfinance MFI Microfinance Institution AV Assistance Visit MJEJ Ministry of Youth and Youth Employment BCRG Central Bank of the Republic of Guinea MM/BB Mobile Money/Branchless Banking BDS Business Development Training MNDSR Maternal Neonatal Death Surveillance and Response BEmONC basic Obstetric and Neonatal Emergency Care MNH Maternal Neonatal Health C4D Communication for Development MoH Ministry of Health CAPS Career Advisory Placement Service MoHS Ministry of Health and Sanitation CAPSCA Collaborative Arrangement for the Prevention and Management of MoU Memorandum of Understanding Public Health Events in Civil Aviation MPTF Multi-Partner Trust Fund CASL Christian Aid Sierra Leone MRU Mano River Union CBE Community Base Enterprise MSME Small and Medium Enterprise CBPSS Community-Based Psycho-Social Support MSWGCA Ministry of Social Welfare, Gender and Children Affairs CBS Community-Based Surveillance NAS National Aids Secretariat CBU Confidence Building Unit NERC National Ebola Response Cell/Coordination/Center/Centre CCC Cadre de Concertation et de Coordination NGO Non-Governmental Organization CEAD Centre d’Etude et d’Appui au Développement OD Open Defecation CEmONC Comprehensive Emergency Obstetric and Newborn Care Services ODF Open Defecation Free CENAFOD African Training Centre for Development PACEG Project d’Appui au Cycle Electoral de la Guinée CHT County Health Team PERRNTF Post Ebola Resilience and Recovery National Trust Fund CHV Community Health Volunteer PFA Psycho-Social First Aid CMT Community Management Team PHU Peripheral Health Unit CNOSCG Conseil National des Organisation de la société Civile Guinéenne PoE Point of Entry CPES Comprehensive Package on Ebola Survivors PPERWs Payment Program for Ebola Response Workers CTCom Community Care Center PRC Program Review Committee CTEPI Center for the Treatment of Infectious Potential Epidemics PSS Psycho-Social Support CWC Community Watch Committee RDT Rapid Detection Test D2P Donor to person RMNCAH Maternal Newborn Child and Adolescent Health DFS Digital Financial Service RSO Recovery Strategic Objective DSO District Surveillance Officer SDB Safe and Dignified Burial DWC District Watch Committee SLRCS Sierra Leone Red Cross Society ERW Ebola Response Worker SMS Short Message Service EVD Ebola Virus Disease SOP Standard Operating Procedure EVDS Ebola Virus Disease Survivor STI Sexually Transmitted Infection G2P Government to person TOR Terms of Reference GRC Guinean Red Cross TOT Training of Trainer HIV Human Immunodeficiency Virus TTM Trained Traditional Midwife HMIS Health Management Information System (Liberia) UASC Unaccompanied/Separated Children HR Human Resources UN United Nations ICE Interagency Collaboration on Ebola UNCDF UN Capital Development Fund IDSR Integrated Disease Surveillance and Response UNHAS United Nations Humanitarian Air Service IEC Information Education and Communication UNMEER UN Mission for Emergency Ebola Response IFRC International Federation of Red Cross and Red Crescent Societies VDC Village Development Committee IGA Income Generating Activity VSAT Very Small Aperture Terminal LLE Lessons Learned Exercise WASH Water, Sanitation and Hygiene LMA Liberia Midwives Association
Acknowledgments This report was prepared by the Office of the Special Adviser to the UN Secretary-General on the 2030 Agenda for Sustainable Development and Climate Change with the support of the Ebola MPTF Annual Report Team: Olga Aleshina (Head of the Ebola MPTF Secretariat), Lauren Anderson, (Reporting Consultant) and Cristina Bertarelli (Ebola MPTF Secretariat Officer). The Country Data Sections of the report were provided by the UN entities ICAO, ILO, UNAIDS, UNDP, UNFPA, UNHABITAT, UNICEF, UNOPS, UNWOMEN, WFP and WHO in three affected countries.
Cover Photo: © UN - Liberia Source of infographics: OCHA ([email protected]) Layout Designer: Edgar Mwakaba, [email protected]
Any queries on the report should be addressed to: The Ebola MPTF Secretariat: MPTF Office, 304 45th Street, 11th Floor, New York, 10017, USA; e-mail: [email protected].
Printed on environmentally friendly paper. The printed matter is recyclable. The Office of the Special Adviser on the 2030 Agenda for Sustainable Development and Climate Change Multi Partner Trust Fund Office, UNDP http://mptf.undp.org/ebola