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Recipient Organization(S) Title: #66 Support to Multi-Hazard

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UN EBOLA RESPONSE MPTF FINAL PROGRAMME1 NARRATIVE REPORT DATE: 15 JANUARY 2019 Project Number(s) and Title(s) Recipient Organization(s) Title: #66 Support to multi-hazard preparedness RUNO(s): FAO, IOM, UNDP and WHO and response for Liberia Project Focal Point: Name: Dr Alex Gasasira Gateway ID (Project ID): 00106849 E-mail: [email protected] Strategic Objective & Mission Critical Action(s) Implementing Partner(s) SO (STEPP) – SO5 PREVENT Republic of Liberia ministries and agencies; • Ministry of Health (MoH) MCA 13 – Multi-faceted preparedness • Ministry of Agriculture (MOA) • Ministry of Internal Affairs (MIA) • Disaster Management Agency (DMA) Location: Sub-National Coverage Area: Liberia, African region Project activities implemented in all the 15 counties of Liberia (Montserrado, Margibi, Bong, Bomi, Nimba, Lofa, Gbarpolu, Grand Cape Mount, Grand Bassa, Grand Kru, Grand Gedeh, River Cess, River Gee, Mary Land and Sinoe) Programme/Project Cost (US$) Programme Duration Total approved US $ 2,500,000 of which; Overall budget as per FAO: 212,166 US$ 30th August 2017 Duration project proposal IOM: 600,000 US$ (7 months original project Project Start document: UNDP: 650,000 US$ duration) Date3 MPTF2 WHO: 1,037,834 US$ US $: 1,512,166 of which; Agency FAO: 212,166 Originally Contribution IOM: 350,000 Projected End 30th March 2018 (Financial UNDP: 650,000 Date4 Commitments) WHO: 600,000 Actual End 30th November 2018 (15 months Government date5 actual project duration) 100,000 USD $ (For Contribution Agency(ies) renovation of national EOC) (if applicable) have Yes No operationally 1 If there has been an extension, then the revised, approved end date should be reflected here. If there has been no extension approved, then the current end date is the same as the originally projected end date. The end date is the same as the operational closure date, which is the date when all activities for which a Participating Organization is responsible under an approved project have been completed. As per the MOU, agencies are to notify the MPTF Office when a programme completes its operational activities. Please see MPTF Office Closure Guidelines. 2 Financial Closure requires the return of unspent funds and the submission of the Certified Final Financial Statement and Report. 3 Project can choose to contribute to all MCA or only the one relevant to its purpose. 4 Assuming a ZERO Baseline 5 If data is not available, please explain how it will be collected. Page 1 of 16 closed the programme in its(their) system Other Contributions None (donors) Expected Financial Closure date6: 30th January 2019 (if applicable) TOTAL: Programme Assessment/Review/Mid-Term Eval. Report Submitted By Evaluation Completed o Name: Dr. Monday Julius Rude Yes No Date: dd.mm.yyyy o Title: Epidemiologist-Epi surveillance Team Lead o Date of Submission: 15 January 2019 Evaluation Report - Attached o Participating Organization (Lead): World Health Yes No Date: dd.mm.yyyy Organization (WHO) o Email address: [email protected] [email protected] Signature: Dr.Monday Julius Rude Report Cleared By o Name: (Head of Agency): Dr.Mesfin Zbelo – Acting WHO Country Representative. o Date of Submission: 15 January 2019 o Participating Organization (Lead): World Health Organization (WHO) o Email address: [email protected] Signature: Dr. Mesfin Zbelo 6 Page 2 of 16 Project Proposal Title: Strengthening Liberia’s Multi-Hazard preparedness and response capacity Strategic objectives to which the project contributed: • Finalize multi-hazard preparedness and response and establish mechanism for multi-disciplinary and multi-sectoral monitoring mechanism. • Increase laboratory capacity for specimen collection, processing and timely confirmation to contain outbreaks. • Ensure functional Rapid Response Teams (RRTs) and preposition emergency preparedness and response supplies. • Strengthen national capacity for detection, early warning and sensitive surveillance in all counties. • Enhance early detection of zoonotic diseases at high risk spots (Live Bird Markets - LBM, Slaughterhouse). • Strengthen IHR capacities at PoE and cross border surveillance. • IHR focal point reporting and monitoring strengthened. MCA : 13 – Multi-faceted preparedness Output Indicators Baseline Means of Respon and Final achèvements Cumulat verification sible Geograph Target since Project ive Organi Indicator Budget ical Area (as per commencement delivery zation results (quantitative) Rate (%) matrix) Output 1: Finalize multi-hazard preparedness and response and establish mechanism for multi-disciplinary and multi-sectoral monitoring mechanism Multi-hazard Plan Baseline: 0 $ 47,896.5 The finalized plan 100% Validated UNDP preparedness prepared was validated plan, and response for the Target: 1 through regional consultation plan country and national meetings available workshops for minutes and adaptation and validation training on usage. workshop report Availability National Baseline: 0 $ 178,025 Multi-sectoral 100% ToRs, UNDP of multi- level Coordination composition sectoral Target: 1 Platform re- of coordination configured, setup, membership platform, D- ToRs developed Minutes of IMIS and and platform meetings Communicati functionalized. available on hubs Availability National Baseline: 0 $ 119,439 Procured EOC 90% Availability UNDP of National level Target :1 equipment. EOC of Emergency equipment functional Operation installation yet to NEOC at Center be finalized. NDMA Availability National Baseline: 0 $ 61,590.5 SOP developed and 100% Availability UNDP of Standard level County Disaster of the SOP Operation Target: 1 Management and manual Page 3 of 16 Procedures Committees that were and Manual (CDMCs) trained developed for the on usage and in use NDMA Availability National Baseline: 0 $ 113,220 Procured 3 motor 100% Inventory UNDP of equipment level bikes, 1 Toyota and delivery and Target: 2 land cruiser, I reports/ note transportatio Vehicles, 3 Toyota double n for CDMC Motorcycle curbin and handed and NDMA s them over to NDMA. Rehabilitatio National Baseline: 0 $ 100,000 NDMA offices 100% Assessment UNDP n of NDMA level Rehabilitated and NDMA offices Target: 1 rehabilitatio supported n report reports available Output 2: Increase laboratory capacity for specimen collection, processing and timely confirmation to contain outbreaks. Number of All 15 Baseline: 0 $ 100,000 91/91 (100%) 100% Laboratory WHO outbreaks Counties Target: All outbreaks (46 results timely outbreaks measles, 28 confirmed by requiring shigelloses 13 Laboratory Laboratory Lassa fever, 2 confirmatio meningitis, 1 n scabies, 1 yellow fever) confirmed by the laboratory within 48 hours of alert Percentage of All 15 Baseline: 0 $ 100,000 National animal 100% Laboratory FAO zoonotic and Counties Diseases public results animal Target: All laboratory set up, diseases animal equipped and detected outbreaks functional. requiring 3 Rabies in animals Laboratory ,2 Foot and mouth confirmatio disease outbreaks n confirmed by the laboratory within 48 hours of alert Proportion of 5 Baseline: 0 $ 108,000 5/5 clinical 100% Microbiolog WHO clinical Counties laboratories y laboratory laboratories Target: 5 (cumulatively, results with clinical 1,287 tests microbiology laboratories conducted) testing in 5 capacity counties Output 3: Ensure functional Rapid Response Teams (RRTs) and preposition emergency preparedness and response supplies. Page 4 of 16 Proportion of 5 Baseline: 0 $ 45,000 3 hazard specific 100% Contingenc WHO counties that Counties diseases y plans and conducted Target: 5 contingency plans: simulation simulation Lassa Fever, Ebola exercise exercises and Cholera reports prepared, 5 counties full scale simulation exercises and 1 Global EOC functional simulation exercise (participation)were conducted Functional National Baseline: 0 $ 5,000 National RRT 100% Report WHO National level oriented and present level Rapid Target: 1 supported to Response supervise 15 Team (RRT) counties RRTs Hand All Baseline: 0 $ 47,000 A total of 48 high 100% Health WHO Hygiene hospitals Target: 15 priority Health facilities (HH) Self- in 15 Counties facilities (Hospitals quarterly Assessment Counties and Health centers) Hand Frame Work in 15 counties four hygiene Compliance (4) quarters HH audit reports rate (%) assessments/audits and Health workers mentorship conducted in all 15 counties with overall HH self- assessment frame work compliance rate is 84% Availability 15 Baseline: 0 $100,000 Assorted 100% Inventory/ WHO of emergency Counties Target:15 emergency medical delivery medical Counties supplies notes supplies (Laboratory IDSR sample collection materials IPC supplies, Benzyl Benzoate and other emergency drugs) procured and supplied to15 counties Output 4: Strengthen national capacity for detection, early warning and sensitive surveillance in all counties Number of 91 Health Baseline: $ 102,834 94 outbreaks and 94.9% Outbreak WHO outbreaks districts 75% other public health investigatio investigated Target: events reported n reports within 48 100% investigated and available Page 5 of 16 hours of responded to; of surpassing these 94.9% were alert investigated and threshold responded to within 48 hours Number of 5 Health Baseline: 0 $ 100,000 13 outbreaks (Lassa 100% Daily alerts WHO human and districts Target: 5 fever 3 measles 7 & weekly zoonotic (health and shigellosis 3) Epidemiolo disease districts) were reported gical early outbreaks through eIDSR warning reported from Margibi summary using eIDSR County and Grand reports, platform Cape Mount SMS alerts Number of 7 Baseline:
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