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720FDA20GR00163 1 Improving COVID-19 IPC and WASH

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720FDA20GR00163 1 Improving COVID-19 IPC and WASH Improving COVID-19 IPC and WASH Preparedness and Response in Health Care Facilities in Ethiopia Semi-Annual Program Performance Report Submitted to: USAID/BHA Washington, D.C. Organization: Food for the Hungry, Inc. Date: 30 October 2020 Headquarters: Ethiopia: Anthony Koomson Trisha Okenge Sr. Director, Public Resource Development Country Director 1001 Connecticut Ave, Suite 1115 Bole Sub City, Woreda 02, House Number Washington, DC 20036 5268, Opposite to Bole Airport Leadership [email protected] School, adjacent to Skylight Hotel [email protected] Program Title: Improving COVID-19 IPC and WASH Preparedness and Response in Health Care Facilities in Ethiopia Grant No: Agreement 720FDA20GR00163 Country/region: Ethiopia/Amhara Region Reporting period: July 20, 2020 – January 19, 2021 Total No of beneficiaries: 38,839 1. Executive Summary In Ethiopia, the first COVID-19 case was reported on March 13, 2020. As of September 30, Ethiopia reported a total of 75,368 cases and 1,198 deaths.1 The frontline health care workers (HCWs) are at risk due to a lack of proper personal protective equipment (PPE) and infection prevention and control (IPC) measures in their health care facilities (HCFs). The project is strengthening HCWs’ IPC protocols and supporting 134 under-resourced HCFs through the provision of hygiene supplies, maintenance and support for water, sanitation, and hygiene (WASH) services for effective COVID-19 risk-mitigation, and prevention and response measures. This includes the repair of existing water supplies, installation of water storage tanks at vulnerable HCFs, placement of hand hygiene facilities, procurement of hygiene supplies and PPE, training, production and distribution of social and behavior change communication (SBCC) materials, and messaging on COVID-19 risk communication. 1 https://www.covid19.et/covid-19/ FH Semi-Annual Report- 720FDA20GR00163 1 2. Security and Humanitarian Context The humanitarian needs in Ethiopia have significantly increased in 2020 due to the compounding effects of COVID-19 outbreaks, the desert locust invasion, conflict, and floods. While rainfall has been largely favorable in 2020, heavy rainfall led to flooding and at least 151,828 people were affected by recent floods (July and August), including 100,176 people displaced as of mid-August, of which 40,731 people were displaced in Afar, 20,868 people displaced in Somali, 1,125 people displaced in Oromia (excluding the 141 people displaced by landslide in East Wollega zone), 25,703 people displaced in SNNP and 11,749 people displaced in Gambella2. Throughout August, desert locusts were reported moving into Ethiopia from Yemen and moving between Somalia and Ethiopia. Control measures are ongoing, including aerial measures in Afar and eastern areas of Somali and Oromia. As per the Food Security and Nutrition Working Group (FSNWG) regional desert locust impact assessment in June/July 2020, more than a third of impacted cropping respondents and roughly half of impacted livestock-rearing respondents reported high or very high losses to their crops and rangeland. The desert locust swarm has damaged more than 600 hectares of agricultural products out of the 13.8 million hectare cultivated land in the rainy season. According to the Ministry of Agriculture, the lush foliage has created a favorable condition to the locust swarm.3 There have been 75,368 cases of COVID-19 identified in Ethiopia as of September 30, 2020. While the number of cases continues to increase, testing has also improved. The current number of positive cases has decreased relative to the previous month due to a shortage of test kits.4 Additionally, the Government of Ethiopia made a campaign for mass testing by mobilizing most HCWs for COVID-19 but the assigned HCWs have now returned to their normal work. Project Overview The project has been implemented in 134 HCFs in Sasiga and Diga woredas of Oromia region, Bambasi and Assosa Towns of Benishangul Gumuz Region, and Nefas Mewcha, Arbe Gebeya, and Wogeda woreda towns of Amhara region. Project Goal The primary goal of the project is to strengthen the capacity of at-risk, front-line HCWs on IPC and support under-resourced HCFs through the provision of supplies and sustainable WASH services for effective COVID-19 risk-mitigation, prevention and response. Coordination FH’s COVID-19 response activities have been coordinated by aligning with national government directives, guidelines, and strategies for timely and efficient resource utilization and project implementation. In the targeted locations, FH has been coordinating with respective regional/zonal/woreda level COVID-19 task forces for timely response, new cases reporting, PPE and hygiene supplies distribution, and sharing of vital information regarding risks and mitigation interventions. 2 https://addisstandard.com/news-at-least-151828-people-affected-by-recent-floods-in-ethiopia/ 3 https://www.ena.et/en/?p=17541 4 National media press conference held on September 14, 2020 FH Semi-Annual Report- 720FDA20GR00163 2 General Project Activities Through the end of this reporting period, a number of activities have been implemented at the target HCFs. This includes provision of hygiene materials including liquid soaps, alcohols, hand sanitizers, and PPE supplies. Seven hand hygiene facilities have been installed, and 295 (M:122, F:173) HCWs have been trained on COVID-19 prevention and risk communication and community engagement. In addition, recorded messages have been disseminated to HCWs and patients on COVID-19 prevention and mitigation measures. Along with other technical training for HCWs, gender and inclusion training have been integrated to accommodate different priorities and interests in delivery of services. Gender capacity building is also a priority for HCWs who serve those who are more at risk (pregnant and lactating women) and those in need of special care. 4.1 Sector 1: Health Objective: Strengthen COVID-19 IPC preparedness and response of frontline HCWs and fragile, under-resourced HCFs Beneficiaries Targeted Cumulative: 38,839 Beneficiaries Served for Reporting Period: 13,278 Geographic Areas Covered: Sasiga and Diga woredas of Oromia region; Bambasi and Assosa Towns of Benishangul Gumuz Region, and three woreda towns of Amhara region (Nefas Mewcha, Arbe Gebeya and Wogeda town administrations. Map: Project Intervention Locations FH Semi-Annual Report- 720FDA20GR00163 3 Table 1: Performance on Health Indicator Achieved During Achieved Cumulative Target Reporting Period Sub-sector Public Health Emergencies of International Concern and Pandemics Ind 1 Number of health care Total: 295 Total: 295 63 staff trained Male: 122 Male: 122 Nurse: 49 Nurse: 49 Midwife: 3 Midwife: 3 Other: 70 Other: 70 Female: 173 Female: 173 Nurse: 79 Nurse: 79 Midwife: 7 Midwife: 7 Other: 87 Other: 87 Ind 2 Percentage of target 53% (37% male and 63% 53% (37% male and 63% 80% population who can female) female) recall two or more protective measures Ind 3 Number of outpatient 24 24 3 health facilities supported Ind 4 Number of inpatient 3 3 3 health facilities supported Ind 5 Number of Total: 10,717 Total: 10,717 2,431 individuals screened Male: 2,695 (352 are under Male: 2,695 (352 are under or triaged for the age of 5 years and all are the age of 5 years and all are COVID-19 at outpatients; 2,343 are aged 5 outpatients; 2,343 are aged 5 supported/target and above out of which and above out of which health facilities 126 are inpatient 2,217 are 126 are inpatient 2,217 are outpatients outpatients Female: 8,022 (601 under Female: 8,022 (601 under the the age of 5 years and all are age of 5 years and all are outpatients; 7,421 are aged 5 outpatients; 7,421 are aged 5 and above out of which 878 and above out of which 878 are inpatients and 6,543 are inpatients and 6,543 outpatients outpatients Ind 6 Number of people Non-mass media: 9,743 Non-mass media: 9,743 Non- reached through risk mass communication media: activities by channel 19,029 4.1.1 Sub-Sector - Public Health Emergency of International Concern For the first indicator, 295 staff from HCFs were trained during the reporting period. The staff trained (M:122, F:173) included 128 clinical nurses, 10 midwife, 4 laboratory technicians, 4 pharmacists, 73 health extension workers, 50 health officers, 2 environmental health staff, 24 hygiene and sanitation focal persons, and 52 task force members. The baseline data reflected that six staff were being trained and so FH had set a target of 63. Training was conducted twice at each of the six project locations. As the needs became more apparent and with government recommendations, FH focused more of its resources towards training staff, which led FH to surpass FH Semi-Annual Report- 720FDA20GR00163 4 the target. The source of information to measure this indicator is training attendance registration forms. During this reporting period, 53% (37% male and 63% female) were able to recall two or more protective measures. During the baseline data collection, the percentage was 31% and FH set a target of 80% by activity end. In order to meet the target by activity end, FH will continue to disseminate infection prevention and mitigation measures through recorded messages through mini media, leaflets and posters. The source of information to measure this indicator is in-depth case interviews conducted with key informants (health officers and HCF administration staff) at the HCFs. For the number of outpatient health facilities supported, the target is three and the baseline value is one. However, 24 outpatient facilities have been supported throughout the reporting period. During activity design, the intent was to address the needs of three hospitals, yet it was expanded to an additional 21 HCFs based on additional identified needs and requests from the respective health offices. For the fourth indicator, the target number of inpatient health facilities supported was set at three based on the baseline data of one.
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