Ebola Situation Report 29 April 2015
HIGHLIGHTS SITUATION IN NUMBERS
As of 29 APRIL 2015 The total number of confirmed cases of Ebola rose to 3,158 this
week, according to WHO’s Epidemiological Situation Report. The total number of confirmed, suspected and probable cases 3,584 climbed to 3,584. Cases of Ebola (3,158 confirmed) The number of confirmed deaths from Ebola rose to 1,964, with a total of 2,379 confirmed, suspected and probable deaths. 2,379 Unfortunately, some cases continue to be identified after post Deaths (1,964 confirmed) mortem testing or arisen from non-contacts, suggesting the need to reinforce surveillance and community engagement. 596 The Government-led four-day emergency health campaign with Cases among children 0-17 partners continued this week from 24 to 27 April 2015 in the (confirmed) prefecture of Coyah to end the Ebola outbreak. UNICEF and partners organized community and health workers into 610 teams reaching over 286,314 people (57,267 households) with 349 information on how to protect themselves against the disease Deaths of children and youth aged and provided them with soap. 0-17 (confirmed) Since the beginning of the Ebola outbreak, UNICEF constructed
and rehabilitated more than 209 water points in the most affected regions of Guinea. This brings the total number of people 4,350,633 with improved access to water to more than 62,700. In 2015, Children in affected areas more than 250 water points are planned to be constructed or rehabilitated. This will be the highest result achieved under the UNICEF Guinea Country Programme 2013-2017 aiming at drilling 187 or rehabilitating 400 boreholes. Cases among health workers with This week, UNICEF and partners distributed 27,528 household 94 deaths (confirmed) hygiene kits (bucket with tap and soap) benefitting 196,550 people in Ebola-affected areas bringing the total number of household hygiene kits distributed to 268,054 and UNICEF USD 93,514,000 beneficiaries to 1,913,906 people. UNICEF funding needs until June UNICEF distributed long-lasting insecticide-treated mosquito nets 2015 (LLINs) to 130 breastfeeding women, 57 pregnant women and 103 children aged 0 to 59 months in Kerouane. 884 health workers were trained in psychological first aid in USD 8,486,019 Conakry to conduct door-to-door sensitization activities. This UNICEF funding gap (9.07%) brings the number of health workers trained on psychosocial support to 2,229.
Leadership and Coordination UNICEF and partners continued this week organizing the social mobilization component of the Government-led four-day door-to-door awareness campaign running from 24 to 27 April 201 5in the prefecture of Coyah. UNICEF and partners organized community and health workers into 610 teams equipped with approximately 343,602 bars of soap to benefit more than 286,314 people (57,267 households).
WASH WASH Cluster and partners are conducting WASH assessments in health facilities. To date, 276 WASH assessments have been conducted in approximately 212 hospitals and health centres and 64 in the health posts. There are ongoing activities and others planned in 226 health structures out of the 276 that have been assessed. Preventing the transmission of Ebola remains a key element of the national response. To this end, UNICEF and partners distributed this week 27,528 household WASH kits (bucket with tap and soap) benefitting 196,550 people in Ebola-affected areas. This brings the total number of household WASH kits distributed to 268,054 and UNICEF beneficiaries to 1,913,906 people. UNICEF, in partnership with the Scouts: o Conducted door-to-door visits to promote hygiene and hand washing as a way of preventing the spread of Ebola. A film explaining good hygiene habits in the five communes of Conakry was also shown. During this campaign, more than 16,800 people were reached including 4,863 women and 7,219 children. o Distributed 113 household WASH kits in Dubréka and explanation was given on how frequent washing of hands with soap can help prevent the spread of Ebola. UNICEF, in partnership with AGIL, an NGO that promotes good governance, distributed 18 additional kits in public places (markets, health posts, restaurants) in the urban commune of Boffa. UNICEF, in partnership with Centre d'Ecoute, Conseil and Orientation des Jeunes and Community Watch Committees (CWCs/CVVs), distributed 18,803 household WASH kits in the urban commune of Kindia. UNICEF provided 200 hand washing kits to the NGO Search For Common Ground as part of their training activities in hygiene promotion that target women associations in the Coastal area. UNICEF, in partnership with Plan Guinée, distributed 8,394 household WASH kits in Koyama, Prefecture of Macenta. UNICEF has started its project to rehabilitate 35 boreholes and drill 5 new ones, funded by Government of Netherlands (DGIS). In Friguiagbé (Prefecture of Kindia) 4 boreholes were rehabilitated and are now functional allowing access to water to over 1,200 people. UNICEF, in partnership with Plan Guinée, drilled 1 borehole in the Bolodou health center, Prefecture of Guéckédou.
Health UNICEF distributed long-lasting insecticide-treated mosquito nets (LLINs) to 130 breastfeeding women, 57 pregnant women and 103 children aged 0 to 59 months in Kerouane. The second round of the measles immunization campaign taking place from 18 to 27 April 2015 reached 1,290,331 children in the 13 most affected districts: six districts in N’Zérékoré region, four in Kankan region, one in Labe region, one in Faranah region and one in Kindia region. This campaign also integrated Vitamin A supplementation for 974,187 children 6-59 months and deworming with mebendazole for 772,970 children 12 months-10 years. During week 16, 11 suspect cases of meningitis and two deaths were notified in Kankan and Kouroussa. Since the beginning of the year, 167 cases were notified. There has been a notable decrease in the number of reported cases related to the timely management of cases in health facilities and sensitization of the population on preventive measures. UNICEF and partners are currently visiting health centres to verify the maternal and child care in order to accelerate activities related to their care including the prevention of mother-to-child transmission (PMTCT) of HIV.
Nutrition For the first quarter 2015, 167,460 children under five have been screened in the eight regions of Guinea of which 8,373 were diagnosed severely malnourished and received care and treatment within a therapeutic feeding program nutrition center CRENAS (outpatient care) or CRENI (inpatient care). A SMART survey is planned to update nutrition indicators and assess the impact of Ebola on nutrition status. The recruitment of a national consultant is ongoing to assist the planning of the survey. UNICEF and its partners have supported families affected by Ebola with counseling and therapeutic food distribution to nearly 1,967 beneficiaries and 1,306 children who have lost one or both parents have received nutrition support. The nutrition sector is currently designing communication tools to strengthen community skills in communication for nutrition behavior change to prevent malnutrition. A Knowledge Aptitude and Practice (KAP) survey supported by Helen Keller International (HKI) and UNICEF is underway in the Kankan region to serve as a baseline for the implementation of a three-year integrated nutrition and health project. Nutrition and food security cluster continue to meet every two weeks gathering all implementing partners and UN agencies that are incumbent on nutrition and food security. The cluster has completed the mapping of interventions (3W) and has now a venue to advocate to harmonize interventions for better impact and synergy. The Nutrition Regional Technical Group, acting as sub-clusters, have been launched in the regions of Labé and N’Zérékoré.
Communication for Development (C4D) Four-day emergency health campaign in Coyah, 24 to 27 April 2015 The official launch of the four-day door-to-door emergency health campaign, community engagement and early detection of cases in the prefecture of Coyah was kicked off by the Prime Minister. UNICEF led the social mobilization and communications activities of the campaign. UNICEF also organized community and health workers into 610 teams that made door-to-door visits, reaching more than 286.314 people (57,267 households) in the prefecture. The health workers were drawn from a variety of organizations including the Community Watch Committees, the Ministry of Youth, the Scouts, the Red Cross, Centre d'Ecoute, Conseil et Orientation des Jeunes and the Centre Africain de Formation pour le Développement. Ebola survivors, traditional healers and religious leaders were also involved. Other Ebola response activities Through the affected areas in Guinea, UNICEF and partners delivered 513 educational talks, conducted 202 mass sensitizations and 6,213 awareness sessions reaching a total of 84,546 people. The rural radio stations continued with interactive programming on the importance of the vaccination campaign against measles and meningitis in the Forest region, which has now concluded. Other radio broadcasts continued in Fria, Boke region, on stigmatization, contact tracing, and how Ebola is treated in Forecariah, Kindia region. 85 trainers benefited from a Training of Trainers (ToT) on social mobilization, awareness and early detection of suspected cases of Ebola in the prefecture of Coyah. Training was also conducted for 314 agents (91 men and 223 women) from a health centre in Matoto town hall on the psychosocial care of those affected by Ebola.
Child Protection As a contribution to the preparation of the Ebola outreach and early detection campaign ongoing in Lower Guinea, 884 health workers were trained in psychological first aid in Conakry to conduct door to door sensitization activities. This brings the number of health workers trained on psychosocial support to a total of 2,229. 208 community volunteers were identified and are being trained in Boffa and Coyah to conduct psychosocial support sessions with children in 52 new affected villages identified. This brings the total number of community volunteers in place to support affected children to 2,005. 52 members of village councils for child protection (CVPE) in Kindia were trained during a two-day training on child protection and psychosocial support. 124 play and recreational activities were conducted this week with the participation of 4,204 new children including orphans. This brings the number of children who underwent psychosocial support to 78,682 (65 per cent of the 120,000 targeted). 12 new village councils for child protection (CVPE) were set up in Kissidougou, Beyla and Lola and trained bringing the total number of active CVPE to 598. Community volunteers and social workers organized 105 community dialogue sessions nationwide, as well as making 1028 follow-up visits to families taking care of children who have lost one or both parents due to Ebola.
Education Teachers training on psychosocial support in N’Zérékoré region was completed last week with the last cohort of 1,859 trained teachers from N’zérékoré prefecture making a total of 6.424 teachers trained in all 6 prefectures of N’Zérékoré region (Beyla, Gueckedou, Lola, Macenta, N’Zérékoré and Yomou). Ms. Josephine Bourne, Associate Director for Education from UNICEF HQs in New York, visited Guinea from 22 to23 April, 2015. She paid a visit to primary school Lanséboundji in Conakry. The school has 1,140 pupils out of which 655 girls with 37 teachers and Ebola prevention measures were observed. Prior to the field visit, Ms Josephine Bourne paid a courtesy visit to the Minister of Education.
Supply and Logistics 3 x 10 KVA generators were delivered to Ratoma, Matam and Matoto Communal Health Directorates in Conakry. 10,000 WASH family kits were distributed in Conakry and 20,400 in Kindia, for distribution by the NGO platform. 366,240 bars of soap donated by UNICEF were distributed during the four-day emergency health campaign in Coyah.
Human Resources UNICEF Guinea has 64 international staff of whom 20 are currently deployed in field offices. Of the 124 national staff employed, 64 are working in field offices to coordinate and support social mobilization and C4D activities. Through its partnerships with various national and international NGOs, UNICEF Guinea in coordinating the work of more than 16,810 people, of whom 16,657 are working in the field.
Location Category Conakry In the Field Total International staff 44 20 64 National staff 60 64 124 Staff on surge and SBP 11 5 17 Outsourced third party/Government staff for CCC 153 16,657 16,810
Media and External Communications UNICEF continues to inform its audiences through regular press releases and social media posts, in English and French. UNICEF Guinea frequently posts updates about the emergency and its response on Twitter, Facebook, Flickr and Tumblr pages.
Local media coverage Mobilisation sociale à Coyah With support from UNICEF, Research Triangle International (RTI) led social mobilization sessions and awareness from "door to door" against Ebola virus disease in the prefecture of Coyah. « J’ai compris que c’est une maladie grave » "I realized that this is a serious disease". Mama Aissata Touré, aged 9, residing in the district Mokhorady, in Forecariah, testified as the awareness campaign and distribution of soap in households by UNICEF continued. http://aminata.com/les-orphelins-debola-sont-une-priorite-pour-lunicef/ Les enfants handicapés reçoivent des appareils orthopédiques "Disabled children received orthopedic devices". Since 2010, almost 300 disabled children aged 3-18 years received braces through UNICEF. A number of them had the opportunity to get repaired and renewing apparatus. Some children had their device adjusted according to their motor development. http://aminata.com/caravane-de-projection-dans-les-ecoles/ http://aminata.com/une- campagne-de-vaccination-est-en-cours-pour-3-millions-denfants-dans-les-pays-touches-par-ebola The ongoing measles vaccination campaign in countries affected by Ebola". The campaign aims to protect 3 million children against preventable but potentially deadly diseases. In Guinea, a national campaign against measles was launched on 18 April 2015 to immunize 1.3 million children aged six months to nine years. Nearly 100 000 children were vaccinated during the first round following an outbreak in February 2015.
Programme Results
UNICEF and Pillar/Sector Results for EVD response
Guinea, 29 April 2015
Pillar / Sector UNICEF Indicators Target Actual % Achieved Target Actual % Achieved EPIDEMIOLOGY Children 0-17 years affected by 4,350,633 Ebola
Cases among children 0-17 years 596
Registered Ebola children who lost one or both parents or primary 5,596 caregivers COMMUNICATION FOR DEVELOPMENT Households reached with interpersonal communication on 1,004,106 1,103,384 110% Ebola prevention messages Sub prefectures reporting resistance/reticence to 0 4/342 cooperating with Ebola responders in past week Ebola-related resistance/reticence incidents reported in the past 0 4 week Proportion of population surveyed 3% who rejected alternatives to <3% 44/1,458* traditional burials/funerals CCC/CTCOM Status of UNICEF supported CCCs for Ebola a) Established 6 6 100% b) Functional 6 3 50% WASH Ebola community, treatment and holding centres with essential 27 27 100% 27 27 100% WASH services Non-Ebola health centres in Ebola- affected areas provided with hand 800 187 23% 600 116 19% washing station and/or WASH support
People benefiting from household 4,666,667 2,752,311 59% 3,500,000 1,913,906 55% WASH kits in Ebola-affected areas
Population benefitting from water 67,500 63,900 95% points rehabilitated/constructed
CHILD PROTECTION EVD affected children provided with minimum package of PSS 120,000 78,682 66% services
Registered children who lost one or both parents or primary 6,000 5,457 91% caregivers to Ebola who received a minimum package of support
HEALTH Health structures in Ebola-affected areas provided with essential 800 723 90% commodities package Community Health Workers trained in Ebola prevention, case management and community- 3,000 429 14% based maternal , new-born and child health (MNCH) care Children 6-59 months immunized against measles during the 1,389,807 1,303,123 94% measles campaign HIV/AIDS HIV positive pregnant/breast feeding women receiving antiretroviral therapy (ART) for the 6,608 3,961 60% prevention of mother-to-child transmission (PMTCT)
Exposed new born provided with 6,608 1,214 18% antiretroviral (ARV) for the prevention of mother-to-child transmission (PMTCT)
NUTRITION Ebola patients receiving nutrition 2,600 1,974 76% support Children suffering from severe acute malnutrition (SAM) referred 7,250 773 11% for treatment Infants 0-6 months who cannot be breast fed, receiving ready to use 2600 1,306 50% infant formula EDUCATION Schools equipped with minimum hygiene package for Ebola 12,455 12,455 100% 7,176 7,176 100% prevention Teachers trained in providing 27,510 10,060 37% psycho social support Children in school benefitting from 1,228,950 374,578 30% psychosocial support Teachers trained in Ebola 82,168 80,657 98% 15,931 15,931 100% prevention Children in school benefitting from 100,000 110,165 110% learning kits Children in school benefitting from 2,704,477 2,704,477 100% 1,437,648 1,437,648 100% minimum hygiene package * KAP survey, February 2015
Next SitRep: 06 May 2015
Mohamed Ag Ayoya Who to contact Guy Yogo Timothy La Rose Representative for further Deputy Representative Chief of Communications Conakry, Guinea Conakry, Guinea Conakry, Guinea information: Tel: +224 622663452 Tel: +224 624 151 041 Tel: +224 622 350 251 Email: [email protected] Email: [email protected] Email: [email protected]
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