Overview of the International Health Sector Support to public health facilities | January to July 2021

Health Sector Libya, September 2021

Contents

1) Introduction ...... 2

2) Nation-wide analysis ...... 2

2.1) Kinds of support ...... 4

3) District based analysis: ...... 5

3.1) Support by Organization ...... 6

3.2) Kinds of support ...... 7

Annex-I | List of Organizations per their supported public health facilities: ...... 9

Annex-II | List of provided support by type, at a district level ...... 10

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1) Introduction

This report provides analysis of the delivered assistance by international health sector partners to the MoH public health facilities in Libya, from January to July 2021.

A standardized template was designed and shared with sector partners to assess different types of interventions / provided assistance at health facility level including (assistance with Medicines, Consumables, Medical equipment, Rehabilitation, Capacity building support, assistance with mobile medical teams/fixed health posts, assessments, and any other type of support)

Out of a total 22 international health sector organization, 18 (82%) has participated in the assessment.

2) Nation-wide analysis

The following section provides analysis for the overall provided support by partners at a national level, and per specific categories of Health Facilities (i.e., Hospitals, Primary Health Centers, and other facilities).

Of note, the partner’s provided support is overlapping between facilities, same facility could receive more than one type of assistance by a partner, and multiple partners could provide assistance for the same facility (i.e., capacity building activities, donation of medicines…).

Based on the reported information, a total number of 361 public health facility has received direct assistance by different health sector partners, which represents 22% of the total public health facilities in Libya (1,656); Figure-1.

Figure-1: Public health facilities received any kind of support by health sector

1355

64 97 271 26 204

Hospital Primary Health Center Other facilities Supported HFs Total HFs

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At a health facility level and between Jan to Jul 2021, the sector partners have supported 271 (20%) primary health care centers, 64 (66%) hospitals, and 26 (13%) other health facilities out of the total existing of each category, Figure-2.

Figure-2: Public health facilities receiving any kind of support by health sector

Primary Health 271 1084 20% Center

Other facilities 26 178 13%

Hospital 6433 66%

Supported HFs Not Supported HFs

By looking closer at the partners’ delivered assistance to the health facilities, the most reported interventions were assessments (264), consumables (245), capacity building (225), followed by medicines (210), and medical equipment (169). More details are shown in Figure-3.

Figure-3: Proportion of provided assistance by type Other type of Medicines, 210, support, 141, 9% 13%

Assessments, 264, 16% Consumables , 245, 15%

Mobile medical teams or fixed health posts, 89, 5% Medical equipment, 169, Capacity building 10% support, 225, 14% Rehabilitation, 85, 5%

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2.1) Kinds of support

The following section provides analysis of the different kinds of support delivered by the health sector partners broken-down by types of public health facilities (Hospitals, Primary Health Centers, and other facilities).

By looking deeper at the delivered support by category, it is found that hospitals are more covered in terms of partners’ support (56% hospitals in average have received Medicines and Consumables) compared to 12% (in average) Primary Health Centers received Medicines and Consumables. More details are presented in Figure-4 below. Of note, the same facility could receive multiple support.

Figure-4: Number and Percentage of Public health facilities received support by health sector

60% 58 52% 50

39% 38 31% 29% 30 28

16% 15% 14% 14% 15 11% 13% 213 14 172 10% 186 9% 7% 7% 6% 155 4% 5% 130 5% 5% 122 7 2% 15 3% 13 2% 9 11 1% 72 71 5 6 3 5

Hospital Other facilities Primary Health Center

Medicines Consumables Medical equipment Rehabilitation Capacity building support Mobile medical teams or fixed health posts Assessments Other type of support

Out of the total existing public health facilities (1,656):

• 210 (13%) public health facilities received support with medicines. • 245 (15%) public health facilities received support with consumables • 169 (10%) public health facilities received support with medical equipment. • 85 (5%) of public health facilities received support with rehabilitation. • 225 (14%) of public health facilities received support with capacity building. • 89 (5%) of public health facilities received support with mobile medical teams or fixed health posts. • 264 (16%) of public health facilities received support with assessments. • 141 (9%) of public health facilities received other types of support (not listed above).

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3) District based analysis:

The following section provides analysis of the supported public health facilities at a district level, by number of interventions, organizations, and kind of provided support (i.e., intervention), including: medicines, consumables, medical equipment, rehabilitation, capacity building, support with mobile medical teams or fixed health posts, assessments, and any other kinds of support.

Misrata District in Western Region has received the highest number of interventions, followed by , and Al Jabal Al Gharbi.

The distribution of supported public health facilities per number of interventions at a district level, is shown in Figure-5, while the distinct number of health facilities received support per district, is shown in Figure-6.

Figure-5: Number of interventions provdied by health sector (at least 1 intervention out of 8 listed)

Sirt 33 Nalut 38 Azzawya 59 Almargeb 63 Zwara 65 West Aljfara 79 Al Jabal Al Gharbi 155 Tripoli 199 259 Aljufra 23 Ubari 39 Wadi Ashshati 41

South Ghat 59 Murzuq 63 Sebha 144 Almarj 10 34 Derna 39 Alkufra 49 East Ejdabia 59 121 Al 30

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Figure-6: Number of public health facilities received support by health sector

Sirt 9 Nalut 11 Azzawya 12 Almargeb 17 Zwara 15 West Aljfara 17 Al Jabal Al Gharbi 27 Tripoli 46 Misrata 53 Aljufra 9 Ubari 8 Wadi Ashshati 10

South Ghat 9 Murzuq 15 Sebha 23 Almarj 3 Tobruk 7 Derna 6 Alkufra 8 East Ejdabia 18 Benghazi 29 Al Jabal Al Akhdar 9

3.1) Support by Organization

The total reported organizations that provided support to public health facilities 18, out of a total Health Sector partners (22). Distribution of organizations per district is shown in Figure-7.

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Figure-7: Number of Organization per district

Zwara 7 Tripoli 11 Sirt 3 Nalut 4 Misrata 10 West Azzawya 7 Almargeb 8 Aljfara 8 Al Jabal Al Gharbi 9 Wadi Ashshati 6 Ubari 5 Sebha 9

South Murzuq 7 Ghat 6 Aljufra 3 Tobruk 5 Ejdabia 6 Derna 3 Benghazi 7 East Almarj 2 Alkufra 4 Al Jabal Al Akhdar 4

3.2) Kinds of support

The following graph (Figure-8) illustrates the scale of provided support at district level (i.e., total number of supported public health facilities per kind, at a district level)

Same information is presented in Annex II, in a tabular format.

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Figure-8: Kind of support received by health sector by district

18

34

22 15

41 53 20 17 16 11 30 9 26 27 31 4 21 8 9 28 11 25 7 13 23 7 49 16 7 7 4 12 10 18 4 9 12 8 3 10 1 13 9 12 14 11 8 12 4 35 5 20 11 34 1 24 7 9 6 4 2 5 4 13 13 26 3 6 12 2 11 4 8 1 11 14 28 6 7 13 5 4 3 5 2 8 4 45 17 2 8 4 3 4 3 24 7 6 23 41 6 5 5 7 5 7 51 13 6 7 3 4 7 29 2 3 24 10 8 8 22 8 9 9 6 10 32 62 4 10 7 10 6 13 17 16 4 6 4 5 6 8 13 5 7 8 6 7 7 4 6 3 7

Sirt Ghat Derna Nalut Sebha Tripoli Ubari Zwara Aljfara Aljufra Alkufra Almarj Ejdabia Misrata Murzuq Tobruk Almargeb Azzawya Benghazi Wadi Ashshati Al Jabal Al AkhdarAl Jabal Al Gharbi Other type of support Assessments Mobile medical teams or fixed health posts

Capacity building support Rehabilitation Medical equipment

Consumables Medicines

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Annex-I | List of Organizations per their reported number of supported public health facilities:

Total number of supported Participated # Organization Name health facilities per (Yes/No) Organization 1. CEFA (The European committee for training and agriculture) YES 19 2. Chemonics International Inc. NO - 3. Emergenza Sorrisi NO - 4. Handicap International – Humanity & Inclusion YES 8 5. Helpcode YES 5 6. ICRC (International Committee of the Red Cross) YES 93 7. IFRC (International Federation of Red Cross and Red Crescent Societies) NO - 8. IMC (International Medical Corps) YES 51 9. IOM (International Organization for Migration) YES 4 10. IRC (International Rescue Committee) YES 56 11. LPFM (Libya Public Financial Management Program) YES 48 12. LRC (The Libyan Red Crescent Society) NO - 13. MSF France YES 2 14. MSF Holland YES 6 15. PUI (Premiere Urgence Internationale) YES 12 16. TdH (Terre des Hommes – Italy) YES 17 17. UNDP (United Nations Development Programme) YES 4 18. UNFPA (United Nations Population Fund) YES 5 19. UNHCR (United Nations High Commissioner for Refugees) YES 27 20. UNICEF (United Nations Children’s Fund) YES 58 21. WeWorld-GVC YES 20 22. WHO (World Health Organization) YES 65

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Annex-II | List of interventions per type, by number of supported facilities, at a district level

Mobile Capacity Medical medical teams Other type District Medicines Consumables Rehabilitation building Assessments equipment or fixed health of support support posts Al Jabal Al Akhdar 4 7 5 1 3 3 5 2 Al Jabal Al Gharbi 24 24 18 7 28 4 30 20 Aljfara 10 13 12 7 11 4 16 7 Aljufra 5 6 6 2 4 Alkufra 6 10 7 4 4 9 8 1 Almargeb 8 8 6 3 13 5 13 7 Almarj 1 3 1 1 1 3 Azzawya 5 8 7 5 13 12 9 Benghazi 22 26 12 7 13 11 21 9 Derna 7 8 3 2 3 2 8 6 Ejdabia 8 9 4 1 8 1 19 8 Ghat 6 9 7 4 11 11 9 3 Misrata 44 48 26 11 52 22 33 18 Murzuq 16 16 5 3 4 4 10 4 Nalut 7 6 4 5 14 2 Sebha 16 28 12 12 25 8 26 17 Sirt 7 10 5 2 6 3 Tobruk 4 4 3 2 7 8 6 Tripoli 29 35 23 9 31 16 41 15 Ubari 6 6 2 2 7 4 7 5 Wadi Ashshati 3 6 4 3 5 3 13 4 Zwara 6 10 8 4 12 1 13 10 Grand Total 244 300 180 87 260 109 319 156

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