DOCSLIB.ORG

WEEKLY BULLETIN on OUTBREAKS and OTHER EMERGENCIES Week 14: 30 March to 5 April 2020 Data As Reported By: 17:00; 5 April 2020

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
WEEKLY BULLETIN on OUTBREAKS and OTHER EMERGENCIES Week 14: 30 March to 5 April 2020 Data As Reported By: 17:00; 5 April 2020 WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES Week 14: 30 March to 5 April 2020 Data as reported by: 17:00; 5 April 2020 REGIONAL OFFICE FOR Africa WHO Health Emergencies Programme 6 105 100 11 New events Ongoing events Outbreaks Humanitarian crises 1 251 130 Algeria 4 1 343 0 6 1 Gambia 9 0 184 10 Mauritania 14 7 20 0 14 0 39 2 Senegal 304 1 29 0Eritrea 226 2 Niger 6 251 35 Mali 7 1 Burkina Faso 41 7 1 0 Guinea Chad 1 251 0 Cabo Verdé 345 17 53 0 43 1 4 690 18 4 1 232 5 26 0 Nigeria 111 3 Côte d’Ivoire South Sudan 1 873 895 15 9 0 186 3 85 4 Guinea-Bissau Ghana 943 187 555 9 3 970 64 44 3 139 0 2 0 1 0 Central African 22 0 Liberia 214 5 21 0 1 0 Benin Cameroon 4 732 26 Ethiopia 18 0 152 5 Republic 1 618 5 14 138 83 Sierra léone Togo 352 14 2 1 1 449 71 Uganda 39 17 Democratic Republic 637 1 169 0 14 0 22 0 142 4 6 0 of Congo 15 5 202 0 Congo 45 0 Gabon 3 453 2 273 Kenya 1 0 253 1 Legend 13 3 9 0 38 0 37 0 21 1 42 143 527 Rwanda Measles Humanitarian crisis 102 0 45 5 5 930 69 Burundi 4 0 10 0 Hepatitis E Monkeypox 8 892 300 3 294 Seychelles Sao Tome 161 18 110 0 16 0 Tanzania 640 0 Yellow fever and Principe 22 1 2 0 Lassa fever 79 0 Dengue fever Equatorial Cholera Guinea Angola 1 471 18 Ebola virus disease Comoros Rift Valley Fever 4 0 131 0 2 0 Chikungunya 218 0 cVDPV2 Malawi 14 2 Zambia Mozambique Leishmaniasis 35 1- COVID-19 3 0 Plague Zimbabwe 313 13 Madagascar Anthrax Crimean-Congo haemorrhagic fever Namibia 286 1 Malaria 5 1 169 7 Botswana 77 0 Floods Meningitis 16 0 Mauritius Cases 7 063 59 10 0 Deaths Countries reported in the document 4 1 Non WHO African Region Eswatini N WHO Member States with no reported events W E 3 0 Lesotho9 0 1 655 11 South Africa 20 0 S South Africa Graded events † 48 15 1 Grade 3 events Grade 2 events Grade 1 events 40 22 20 31 Ungraded events ProtractedProtracted 3 3 events events Protracted 2 events ProtractedProtracted 1 1 events event Health Emergency Information and Risk Assessment Overview This Weekly Bulletin focuses on public health emergencies occurring in the WHO Contents African Region. The WHO Health Emergencies Programme is currently monitoring 111 events in the region. This week’s main articles cover key new and ongoing events, including: 1 Overview Coronavirus disease 2019 (COVID-19) in the WHO African Region 2 New events Ebola virus disease in Democratic Republic of the Congo Measles in Democratic Republic of the Congo 3 - 5 Ongoing events Yellow fever in Ethiopia 6 Summary of major For each of these events, a brief description, followed by public health measures issues, challenges implemented and an interpretation of the situation is provided. and proposed actions A table is provided at the end of the bulletin with information on all new and 7 All events currently ongoing public health events currently being monitored in the region, as well as being monitored recent events that have largely been controlled and thus closed. Major issues and challenges include: Cases of COVID-19 are rising rapidly and spreading geographically across the WHO African Region, with 45 (96%) of the 47 countries in the Region now reporting cases. South Sudan and Sao Tome and Principe are the latest to confirm cases, leaving only Comoros and Lesotho. The cumulative number of confirmed COVID-19 cases in the WHO African Region has surpassed 6000 and mortality figures are steadily growing, standing at 242. Eight countries (Cameroon, Nigeria, Algeria, Senegal, Burkina Faso, Ghana, Cote d’Ivoire and South Africa) have recorded an exponential increase in confirmed cases in the past week. Most countries in the region are now experiencing local transmission in addition to the initial sporadic importation of cases. However, with local transmission still relatively limited, it is still possible to change the trajectory and impact of the COVID-19 pandemic in the continent through continuing to take all necessary and proven public health measures, especially finding cases, providing care, contact tracing and isolation. In addition, all countries need to widely inform their populations to practice physical distancing, hand washing and cough etiquette. The ongoing, large and complex measles outbreak in Democratic Republic of the Congo is of particular concern in the face of rising case incidence and mortality since week 7 of 2020. The outbreak has affected every province in the country, with seven provinces particular badly affected, one of which is South Kivu, which is only just starting to recover from the Ebola virus disease outbreak. Challenges continue around the rapid organization of the immunization response, lack of free care for measles cases and inadequacy in managing complicated cases. In addition, some vital response measures may be disrupted by the lockdown measures across the country and particularly in Kinshasa Province. As focus shifts towards COVID-19 response measures, this serious and long-lasting outbreak must not be neglected. 1 Health Emergency Information and Risk Assessment Health Emergency Information and Risk Assessment New events 157 6 194 242 3.9% Coronavirus disease 2019 WHO African Region Cases Deaths CFR EVENT DESCRIPTION Epicurve of confirmed cases of COVID-19 in the WHO African Region, Since week 9 2020 (25 February 2020), the WHO African Region has been 25 February – 5 April 2020. experiencing a marked increase in number of confirmed cases as well as geographical expansion of the coronavirus disease 2019 (COVID-19) global pandemic. In week 14 (week ending 5 April 2020), six countries, namely, Burundi, Botswana, Eritrea, Malawi, Sao Tome and Principe and South Sudan reported their first confirmed cases of COVID-19, which means that a total of 45 countries in the WHO African Region have reported confirmed cases of COVID-19. During week 14, a total of 2 977 new confirmed cases of COVID-19 was reported, a 20% increase compared to 2 477 cases reported in the previous week. As of 5 April 2020, the WHO African Region had passed 6 000 confirmed COVID-19 cases with a cumulative total of 6 194 cases and 242 associated deaths (case fatality ratio 3.9%) reported from 45 countries. These countries include: South Africa (1 655), Algeria (1 251), Cameroon (555), Enhanced surveillance for COVID-19 is ongoing in all countries in Burkina Faso (302), Cote d’Ivoire (261), Mauritius (227), Senegal (222), the African Region, including at the Points of Entry to ensure rapid Ghana (214), Nigeria (208), Niger (184), Democratic Republic of the Congo detection of alerts and cases, immediate isolation and identification (161), Kenya (142), Guinea (111), Rwanda (102), Madagascar (77), Uganda and follow-up of contacts. (48), Republic of Congo (45), Togo (44), Ethiopia (43), Zambia (39), Mali (39), Benin (22), Eritrea (29), United Republic of Tanzania (22), Gabon (21), WHO and partners are supporting countries to enhance early Guinea-Bissau (18), Equatorial Guinea (16), Namibia (16), Angola (14), epidemiological and clinical investigation of COVID-19 cases through Liberia (13), Mozambique (10), Seychelles (10), Central African Republic the First Few Cases (FFX) protocol. (9), Chad (9), Eswatini (9), Zimbabwe (9), Mauritania (6), Sierra Leone Up to 42 countries in the WHO African Region have acquired laboratory (6), Cape Verde (5), Botswana (4), Gambia (4), Malawi (4), Sao Tome and diagnostic capacity for SAR-CoV-2, when previously only two Principe (4), Burundi (3) and South Sudan (1). laboratories in Senegal and South Africa had the ability to test at the Of note is the exponential increase in confirmed cases registered in eight beginning of the pandemic. countries in the past week since our last report on 22 March 2020; Cameroon Treatment facilities are being set up in all countries in the region for 391% (555 vs 113), Nigeria 220% (208 vs 65), Algeria 176% (1251 vs 454), clinical management of cases. WHO has provided guidance to all Cote d’Ivoire 58% (261 vs 165), Senegal 56% (222 vs 142), Ghana 41% countries in the region on the clinical management of COVID-19 cases. (214 vs 152), Burkina Faso 36% (302 vs 222) and South Africa 29% (1 655 vs 1280). Cape Verde and Eswatini did not record any new cases this week. SITUATION INTERPRETATION The 242 deaths in the region were reported from Algeria (130), Democratic As COVID-19 geographically spreads to more countries in the African Republic of Congo (18), Burkina Faso (15), South Africa (11), Niger (10), Region, with an associated upsurge in the number of cases and deaths, Cameroon (9), Mauritius (7), Ghana (5), Republic of Congo (5), Kenya (4), rigorous efforts are needed to bring the situation under control. Many of Mali (4), Nigeria (4), Liberia (3), Togo (3), Senegal (2), Angola (2), Botswana the countries in the region are still experiencing sporadic imported or local (1), Cape Verde (1), Cote d’Ivoire (1), Ethiopia (1), Gabon (1), Gambia cases, thus providing a window of opportunity for governments to move (1), Mauritania (1), Senegal (1), Tanzania (1), Zambia (1) and Zimbabwe swiftly to prevent widespread community transmission of the disease. In (1). Furthermore, six countries among those with a high case load in the countries experiencing local transmission with clusters reported in several region have shown very high case fatality ratios; Algeria 10.4 (130/1 251), locations, swift mitigation measures should be adapted to reduce the Democratic Republic of Congo 11.0 (18/161), Niger 5.4 (10/184), Burkina impact of the pandemic.
Load more

Recommended publications
  • East and Central Africa 19
    Most countries have based their long-term planning (‘vision’) documents on harnessing science, technology and innovation to development. Kevin Urama, Mammo Muchie and Remy Twingiyimana A schoolboy studies at home using a book illuminated by a single electric LED lightbulb in July 2015. Customers pay for the solar panel that powers their LED lighting through regular instalments to M-Kopa, a Nairobi-based provider of solar-lighting systems. Payment is made using a mobile-phone money-transfer service. Photo: © Waldo Swiegers/Bloomberg via Getty Images 498 East and Central Africa 19 . East and Central Africa Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo (Republic of), Djibouti, Equatorial Guinea, Eritrea, Ethiopia, Gabon, Kenya, Rwanda, Somalia, South Sudan, Uganda Kevin Urama, Mammo Muchie and Remy Twiringiyimana Chapter 19 INTRODUCTION which invest in these technologies to take a growing share of the global oil market. This highlights the need for oil-producing Mixed economic fortunes African countries to invest in science and technology (S&T) to Most of the 16 East and Central African countries covered maintain their own competitiveness in the global market. in the present chapter are classified by the World Bank as being low-income economies. The exceptions are Half the region is ‘fragile and conflict-affected’ Cameroon, the Republic of Congo, Djibouti and the newest Other development challenges for the region include civil strife, member, South Sudan, which joined its three neighbours religious militancy and the persistence of killer diseases such in the lower middle-income category after being promoted as malaria and HIV, which sorely tax national health systems from low-income status in 2014.
    [Show full text]
  • Physicians' and Nurses' Attitudes Towards
    GLOBAL HEALTH ACTION, 2017 VOL. 10, NO. 1, 1270813 http://dx.doi.org/10.1080/16549716.2017.1270813 ORIGINAL ARTICLE Physicians’ and nurses’ attitudes towards performance-based financial incentives in Burundi: a qualitative study in the province of Gitega Martin Rudasingwaa and Marie Rose Uwizeyeb aInstitute of Health Economics and Clinical Epidemiology, University Hospital of Cologne, Faculty of Medicine, University of Cologne, Cologne, Germany; bCompany for Research in Social, Behavior and Health, Kigali, Rwanda ABSTRACT ARTICLE HISTORY Background: Performance-based financing (PBF) was first implemented in Burundi in 2006 as Received 11 August 2016 a pilot programme in three provinces and was rolled out nationwide in 2010. PBF is a reform Accepted 5 December 2016 approach to improve the quality, quantity, and equity of health services and aims at achiev- RESPONSIBLE EDITOR ing universal health coverage. It focuses on how to best motivate health practitioners. Objective: To elicit physicians’ and nurses’ experiences and views on how PBF influenced and Ingela Krantz, Skaraborg Institute for Research and helped them in healthcare delivery. Development, Sweden Methods: A qualitative cross-sectional study was carried out among frontline health workers such as physicians and nurses. The data was gathered through individual face-to-face, in- KEYWORDS depth, semi-structured interviews with 6 physicians and 30 nurses from February to March Performance-based 2011 in three hospitals in Gitega Province. A simple framework approach and thematic financing; incentives; analysis using a combination of manual technique and MAXQDA software guided the analysis physicians; nurses; attitudes; of the interview data. Burundi Results: Overall, the interviewees felt that the PBF scheme had provided positive motivation to improve the quality of care, mainly in the structures and process of care.
    [Show full text]
  • World Bank Document
    The World Bank Burundi Health System Support-Additional Financing (P166576) Public Disclosure Authorized Public Disclosure Authorized Combined Project Information Documents / Integrated Safeguards Datasheet (PID/ISDS) Appraisal Stage | Date Prepared/Updated: 01-May-2019 | Report No: PIDISDSA27011 Public Disclosure Authorized Public Disclosure Authorized May 03, 2018 Page 1 of 15 The World Bank Burundi Health System Support-Additional Financing (P166576) BASIC INFORMATION OPS_TABLE_BASIC_DATA A. Basic Project Data Country Project ID Project Name Parent Project ID (if any) Burundi P166576 Burundi Health System P156012 Support-Additional Financing Parent Project Name Region Estimated Appraisal Date Estimated Board Date Health System Support Project AFRICA 01-Nov-2018 29-Mar-2019 ("KIRA") Practice Area (Lead) Financing Instrument Borrower(s) Implementing Agency Health, Nutrition & Population Investment Project MINISTRY OF FINANCE Ministry of Health, Financing Ministry of Health, Ministry of Health, Ministry of Health Proposed Development Objective(s) Parent To increase the use of quality Reproductive, Maternal, Neonatal, Child and Adolescent Health services, and, in the event of an Eligible Crisis or Emergency, to provide immediate and effective response to said Eligible Crisis or Emergency. Components Use of Performance-based Payments to Support the Recipient's Free Health Care (FHC) Program Implementation Support for the FHC program-related activities Strengthening of Newly Integrated FHC Program Service Providers through financing of minor
    [Show full text]
  • Reproductive and Maternal and Child Health (RMCH) Advisor
    Solicitation No. SOL-695-16-000006 1. SOLICITATION NO.: SOL-695-15-000006 2. ISSUANCE DATE: August 30, 2016 3. CLOSING DATE/TIME: September 30, 2016 at 5:30 p.m. (Kigali Time) 4. POSITION TITLE: Reproductive, Maternal and Child Health (RMCH) AdvisoR 5. MARKET VALUE: Position is classified at GS-13 with annual salary range of $73,846 to $96,004. The actual salary will be negotiated based on qualifications, work experience and previous salary history of the successful candidate. 6. PERIOD OF PERFORMANCE: Two Years. Level of effort is full time (40 hours per week) 7. PLACE OF PERFORMANCE: Bujumbura, Burundi 8. SUPERVISION: Contractor will report to the USAID Country Representative 9. SECURITY ACCESS: US Citizen - Secret Level; Third Country Nationals - Employment Authorization 10. MEDICAL CLEARANCE: The apparently successful applicant shall be required to obtain a Department of State Medical clearance to Live and/or work in Burundi as a pre-condition for employment and/or residence in Burundi. 11. WHO MAY APPLY: U.S. Citizens and Third Country Nationals (TCNs) 12. HOW TO SUBMIT: Electronic submission is authorized and the most preferred method of submission. Electronic application packages should be submitted by email to: [email protected]. Please quote the solicitation number and position title of this solicitation on the subject line of your email application. Be sure to include the solicitation number at the top of each of the additional pages. Point of contact: Human Resources Office, Tel: 0252 596 400; Ext. 2605 13. ONLINE POSTING: https://www.fbo.gov/index?s=opportunity&mode=form&id=7613690c91ec5d378 635c883dd4cbd6b&tab=core&_cview=0 Please note that currently only adult dependents employed at the Embassy are authorized at post.
    [Show full text]
  • Defeating Malaria Through Pharmaceutical Systems Strengthening Results from the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program
    DEFEATING MALARIA THROUGH PHARMACEUTICAL SYSTEms STRENGTHENING Results from the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program Seydou Doumbia, Aubrey Clark, and Andwele Mwansasu Acknowledgements The authors would like to thank the 70+ in-country staff, partners, and stakeholders who shared their insights through in-depth interviews, without which this report would not have been possible. Photos taken by Aubrey Clark (MSH/SIAPS) unless otherwise noted. ABOUT SIAPS | The Systems for Improved Access to Pharmaceuticals and Services (SIAPS) program works to ensure access to quality pharmaceutical products and effective pharmaceutical services through systems-strengthening approaches to achieve positive and lasting health outcomes. SIAPS is funded by the US Agency for International Development (USAID) and implemented by Management Sciences for Health. For more information, visit www.SIAPSprogram.org. The information provided in this document does not reflect or represent the position or views of the US Agency for International Development or the US Government. ACRONYMS ACT artemisinin-based combination therapy APTS Auditable Pharmacy Transactions and Services CRMS Continuous Results Monitoring System DNPL Direction Nationale de la Pharmacie et des Laboratoires DRC Democratic Republic of the Congo DTC drug and therapeutics committee EML essential medicines list EUV End Use Verification GFATM Global Fund to Fight AIDS, TB, and Malaria IPTp intermittent preventive treatment in pregnancy LMIS logistics management information
    [Show full text]
  • Impact of Social Support on Malaria Management by Burundian Community Health Workers Bonaventure Bazirutwabo Walden University
    Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2018 Impact of Social Support on Malaria Management by Burundian Community Health Workers Bonaventure Bazirutwabo Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Epidemiology Commons, and the Public Health Education and Promotion Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Health Sciences This is to certify that the doctoral dissertation by Bonaventure Bazirutwabo has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Tolulope Osoba, Committee Chairperson, Public Health Faculty Dr. Xianbin Li, Committee Member, Public Health Faculty Dr. Mehdi Agha, University Reviewer, Public Health Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2018 Abstract Impact of Social Support on Malaria Management by Burundian Community Health Workers by Bonaventure Bazirutwabo MPH, Institute of Tropical Medicine, Antwerp, 2005 MD, University of Burundi, 1994 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University May 2018 Abstract Malaria is the main cause of mortality for children under the age of 5 in Burundi. The access to malaria diagnostics and treatment is hampered not only because of logistical issues, but also due to the lack of qualified human resources and their inequitable distribution across the country.
    [Show full text]
  • Burundi's Health Sector
    BURUNDI’S HEALTH SECTOR www.ahb.co.ke 1 2 Contents 1. Country Overview The Republic of Burundi is a landlocked country bordering Rwanda to the north, Tanzania to the 1. Country Overview 2 east, Lake Tanganyika to the southwest, and the 1.1. Key Country Statistics 2 Democratic Republic of Congo to the west. Its capital city is called Bujumbura. Burundi has a population of 2. COVID-19 3 11.6 million [1]. 3. Health Overview 3 The main communities are the Hutu and Tutsi, with 3.1. Key Health Statistics 4 the Hutu being more dominant. Inter-ethnic rivalry has affected the country since the independence 4. Challenges facing the private health sector 5 of Burundi in 1962 [1]. Burundi faced civil wars from 5. Opportunities for the private health sector 5 1993 to 2005. The Arusha Peace and Reconciliation Agreement, also known as the Arusha Accords, 6. References 7 played a major role in ending the civil war. The negotiations of the agreement were facilitated by the late presidents Nelson Mandela and Julius Nyerere [2]. However, the political crisis in 2015 diminished the growth experienced since the signing of the agreement. The economy thrives on agriculture, accounting for 40.7% of the GDP and 80% of labour. The economic recovery strengthened in 2019 with a 3.3% growth in real GDP. Close to two- thirds of the population live below the poverty line with the youth unemployment rate at 65%. Human capital is low due to an underperforming education system and gaps between skills and labour market demand [3].
    [Show full text]
  • Population Coverage of Maternal, Newborn and Child Health
    POPULATION COVERAGE OF MATERNAL, NEWBORN AND CHILD HEALTH INTERVENTIONS: THE IMPACT OF DONOR FINANCING, COVERAGE CHANGE METRICS AND PREDICTORS OF MATERNAL HEALTH SERVICE UTILIZATION. By Anuli N. Nwaohiri A dissertation submitted to Johns Hopkins University in conformity with the requirements for the degree of Doctor of Philosophy Baltimore, Maryland December 2013 ©2013 Anuli Nwaohiri All Rights Reserved Abstract Background Donor financing in conjunction with national policies works through the existing health system to impact the uptake of MNCH interventions. However within countries, other key factors such as individual and household behaviors, the political economy, and the macroeconomic environment also influence the uptake of interventions. Demonstrating the relationship between increased financing and increased coverage can provide a platform for policymakers and other stakeholders to refine and appropriately target their health programs. Methods This complex relationship between financing and coverage was analyzed on a global level among multiple countries: 1) A multi-country analysis examining the impact of official development assistance on the change in coverage levels of MNCH interventions; 2) To further contextualize the results of the multi-country analysis, a systematic review was performed to identify the different metrics used in computing coverage change; and 3) Individual-level factors related to utilization of maternal health services was examined among women of varying socioeconomic status in Nigeria. Results The multi-country analysis examining the impact of official development assistance (ODA) on coverage levels of MNCH interventions positive associations. The systematic review found that the method of computing change is important in coverage change ii estimates; and this can impact findings and future research directions.
    [Show full text]
  • Evaluating Health Care Financing Reforms in Africa
    Uitnodiging Evaluating Health Care Financing Reforms in Africa Reforms Financing Care Health Evaluating Africa is experiencing steady economic growth but trends in U bent van harte uitgenodigd voor the health status of the population are lagging behind. This het bijwonen van de openbare verdediging van het proefschrift: provides an opportunity for health care financing reforms to improve equitable access to good quality health care. The aim Evaluating Health Care of this thesis is to provide evidence about the effectiveness Financing Reforms in Africa of health care financing reforms, such as health insurance door Igna Bonfrer and performance based financing, implemented in different African countries over the last decade. This evidence can help op donderdag 11 juni 2015 om policy makers to take well informed decisions about reforms 15.30u precies in de Senaatszaal necessary to achieve Universal Health Coverage by 2030. (Erasmus gebouw) van de Erasmus Universiteit Rotterdam, Campus Woudestein, Burgemeester Igna Bonfrer is currently a researcher at the institute of Health Oudlaan 50 te Rotterdam. Policy and Management, Erasmus University Rotterdam. De verdediging zal in het She will do her post-doctoral research at Harvard University, Engels zijn. funded through a NWO Rubicon fellowship. In this research she plans to evaluate the effects of Obama Care, specifically aspects related to performance based financing. Na afloop van de verdediging bent U van harte welkom op de receptie in de foyer van het Erasmus Paviljoen. Igna Bonfrer Igna
    [Show full text]
  • Review of Pay for Performance - Overview and Key Findings
    Review of Pay for Performance - Overview and Key Findings This report was completed for the inSCALE project by Meredith Moore & Lesong Conteh September 2010 Draft working paper - Do not cite inSCALE – Innovations at Scale for Community Access and Lasting Effects The inSCALE programme, a collaboration between Malaria Consortium, London School of Hygiene and Tropical Medicine (LSHTM) and University College of London (UCL), aims to increase coverage of integrated community case management (ICCM) of children with diarrhoea, pneumonia and malaria in Uganda and Mozambique. inSCALE is funded by Bill & Melinda Gates Foundation and sets out to better understand community based agent (CBA) motivation and attrition, and to find feasible and acceptable solutions to CBA retention and performance which are vital for successful implementation of ICCM at scale. The key inSCALE team comprises of: Malaria Consortium: Sylvia Meek, Program Director James K. Tibenderana, Principal Investigator Karin Källander, Programme Coordinator Barbara Musoke, Communication Specialist Edmound Kertho, Project Coordinator Uganda Maureen Nakirunda, Research Officer Social Sciences Uganda Agnes Nanyonjo, Research Officer Public Health Uganda Stella Settumba, Research Officer Health Economics Uganda Ana Cristina Castel-Branco, Project Coordinator Mozambique Abel Muiambo, Research Officer Public Health Mozambique Aurelio Miambo, Research Officer Social Sciences Mozambique Cícero Salomão, Mozambique Data Management Officer Juliao Condoane, Research Officer Health Economics Mozambique London School of Hygiene and Tropical Medicine: Betty Kirkwood, Professor of Epidemiology & International Health Guus ten Asbroek, Lecturer in Intervention Research, Project Evaluation Coordinator Anna Vassall, Lecturer in Economics University College of London, Institute of Child Health: Zelee Hill, Lecturer in International Child Health Daniel Strachan, Research Fellow in International Child Health 1 Draft working paper - Do not cite Preface This document was prepared for an internal meeting of the inSCALE project.
    [Show full text]
  • WEEKLY BULLETIN on OUTBREAKS and OTHER EMERGENCIES Week 25: 15 - 21 June 2020 Data As Reported By: 17:00; 21 June 2020
    WEEKLY BULLETIN ON OUTBREAKS AND OTHER EMERGENCIES Week 25: 15 - 21 June 2020 Data as reported by: 17:00; 21 June 2020 REGIONAL OFFICE FOR Africa WHO Health Emergencies Programme 0 114 104 10 New event Ongoing events Outbreaks Humanitarian crises 11 771 845 Algeria 37 2 1 0 485 0 2 813 108 Gambia 7 0 858 74 1 036 67 Mauritania 22 0 1 961 111 Senegal 304 1 143 0Eritrea 5 888 84 Niger 8 193 39 Mali 890 8 Burkina Faso 95 4 0 5 7 0 Cabo Verdé Guinea 901 53 53 0 Chad 4 532 74 5 644 14 4 1 20 244 518 29 0 Nigeria 4 998 27Côte d’Ivoire South Sudan 1 873 895 15 2 808 23 274 3 32 0 Guinea-Bissau Ghana 987 202 11 281 300 8 191 112 569 13 139 0 2 0 10 0 Central African 25 0 Liberia 7 492 54 22 0 1 882 34 Benin Cameroon Republic 4 732 26 Ethiopia 1 512 16 14 154 85 1 618 5 Sierra léone Togo 21 219 83 1 175 11 702 38 Uganda 120 18 Democratic Republic 817 3 593 3 14 0 765 13 4 738 123 of Congo 8 4 202 0 1 327 55 1 1 Congo 755 0 Gabon 3 463 2 280 682 6 Kenya 23 13 642 13 Legend 626 34 9 0 98 4 37 0 4 428 34 60 613 806 Rwanda Measles Humanitarian crisis 728 2 1 087 37 10 533 147 Burundi 698 10 11 0 Hepatitis E Monkeypox 144 1 5 826 129 Seychelles Sao Tome 113 0 Yellow fever Tanzania 857 0 70 0 Lassa fever and Principe 509 21 21 7 79 0 Dengue fever Cholera 1 702 47 1 043 12 Angola Ebola virus disease Comoros cVDPV2 Equatorial 730 11 247 5 123 0 2 0 Chikungunya Guinea 696 0 COVID-19 Malawi 176 9 Zambia Mozambique Guinea Worm 1 430 11 Anthrax Leishmaniasis Zimbabwe 2 625 21 Madagascar Malaria Namibia Floods Plague 303 1 Botswana 489 6 337 10 Cases Crimean-Congo
    [Show full text]
  • SSHAP Cross Border Dynanics Burundi DRC Updated August 2019
    Social Science in Humanitarian Action Skeatlivesat20A www.socialscienceinaction.org Cross border dynamics: Burundi-DRC (updated August 2019) This brief summarises key considerations concerning cross-border dynamics between Burundi and the Democratic Republic of Congo (DRC) in the context of the outbreak of Ebola in North Kivu and Ituri provinces. It is the third in a series of four briefs focusing on the at risk border areas between DRC and the four high priority neighbouring countries (Uganda, Rwanda and South Sudan).1 As of July 2019, there have been no cases of Ebola imported from the DRC into Burundi, although cross-border movement has been identified as a significant risk to transmission. This brief provides details about cross-border relations, the political and economic dynamics likely to influence them, and specific areas and actors most at risk. The brief is based on a rapid review of existing published and grey literature, previous ethnographic research in Burundi and informal discussions with in-country colleagues. The brief was developed by Jean-Benoît Falisse (University of Edinburgh), with support from Ingrid Gercama, Nadia Butler, Theresa Jones and Juliet Bedford (Anthrologica) and Oto-Asael Magerano, Louis Rivière, Shaka and Hugues Nkengurutse. Prior finalisation, it was reviewed by expert advisors from the University of Antwerp, University of Cambridge, Université Catholique de Louvain, University of Edinburgh, University of Gent, Université du Lac Tanganyika, Northwestern University, Institut de Recherche pour le Développement, and the UNICEF Country Office in Burundi. The brief is the responsibility of the Social Science in Humanitarian Action Platform (SSHAP). Key considerations and recommendations • Politicisation: The ruling party, Conseil National pour la Défense de la Démocratie – Forces pour la Défense de la Démocratie (the National Council for the Defence of Democracy – Forces for the Defence of Democracy, CNDD-FDD), is present at all levels of public (and often private) life.
    [Show full text]