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Somalia: COVID-19 Impact Update No. 14 (November 2020)

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Somalia: COVID-19 Impact Update No. 14 (November 2020) SOMALIA COVID-19 Impact Update No. 14 November 2020 This report on the Country Preparedness & Response Plan (CPRP) for COVID-19 in Somalia is produced monthly by OCHA and the Integrated Office in collaboration with partners. It contains updates on the response to the humanitarian and socio-economic impact of COVID-19, covering the period from 25 October to 25 November 2020. The next report will be issued in early January 2021. Highli ghts Locations of functional isolation sites Source: OCHA • Somalia’s informal economy, based on remittances, foreign imports and agriculture, has been heavily impacted by COVID-19. Reflecting gender inequalities in the country, women-owned Hargeysa Somaliland businesses were especially hard-hit, with 98 per cent reporting Puntland reduced revenue. • The COVID-19 pandemic has exacerbated mental distress as Gaalkacyo people living in vulnerable circumstances, including the elderly and Galmudug Galgaduud persons with disabilities, are separated from their caregivers due to State Since March 2020: quarantine and isolation requirements. 4662 reported cases Hir-Shabelle State 124 deaths • The US$256 million humanitarian component of the Somalia COVID-19 CPRP launched in April is only 38 per cent funded, South West Mogadishu negatively impacting effective cluster responses. State Jubaland 14 State isolation units and one quarantine facility were Kismaayo supported during the "second wave" of COVID-19 pandemic Situation overview Confirmed cases by age and gender COVID-19 CASES ECONOMY AT RISK GROWTH CONTRACTION Source: MoH, WHO Over 4,662 confirmed According to the GDP growth estimated cases since 16 March, Heritage Institute of to contract to 2.5% in Age 83% 17% and 124 related deaths. Policy Studies’s report1, 2020 (from 2.9% of 100 Case fatality rate: 2.7% Somalia's economic previous year) and 0 20 40 60 80 People 20 - 60 ys: 83% recovery is still at risk related issues: declining 20 - 60 years (with a median age of 33 but on the way to escape remittances, reduced < 60 years ys, ranging 1 - 110 ys). a recession thanks to the aggregate demand, Male cases: 74% limited number of disrupted supply chains Source (MoH, WHO) infections and mitigation and reductions in labor Gender 74% 26% measures. supply. 0 20 40 60 80 100 Male Female CPRP funding still shows significant underfunding MENTAL DISTRESS NEGATIVE IMPACTS FUNDING CHALLENGE Source: OCHA Mental distress The pandemic has also Only $87 million (38%) exacerbated and had an especially has been provided, out of separation of the negative impact on the US$226 million required elderly and persons aviation sector, trade for the humanitarian with disabilities from and fiscal revenue, and component of the 38% funded their caregivers, due moderately increased COVID-19 Preparedness to quarantine, isolation inflation in the first half and Response Plan requirements and of 2020. (CPRP). 62% unmet restrictions on movement. http://www.heritageinstitute.org/wp-content/uploads/2020/11/The-economic-impacts-of-Covid-19-on-Somalia.pdf1 http://www.heritageinstitute.org/wp-content/uploads/2020/11/The-economic-impacts-of-Covid-19-on-Somalia.pdf The mission of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) is to Coordinate the global emergency response to save lives and protect people in humanitarian crises. We advocate for effective and principled humanitarian action by all, for all. www.unocha.org The mission of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) is to Coordinate the global emergency response to save lives and protect people in humanitarian crises. We advocate for effective and principled humanitarian action by all, for all. www.unocha.org Country Emergency Situation Report No. 14 | 2 Responses to COVID-19 1. HEALTH FIRST Emergency support to the COVID-19 related health response Risk Communication and Community Engagement (RCCE) • During the reporting period, 1,118,964 people were reached through house-to-house visits, health facility awareness sessions, community meetings, SMS messages, mosque announcements and sound truck announcements. Besides radio spots, Information Education and Communication (IEC) materials for mass media engagement and social media channels were used to convey similar messaging. • The awareness raising campaign “Clerics vs. COVID-19” led by the Office of the Prime Minister (OPM) and the Ministry of Endowment and Religious Affairs (MoERA) successfully concluded in Hirshabelle (Jowhar, Balcad, Belet Weyne and Warsheikh), Jubaland (Kismayo, Bardhere, Bula Haawo and Garbaharey) and Galmudug (Dhuusamareeb, Aaabuwaaq, Guriceel and Adaado) states. The campaign engaged 172 imams, sheikhs, madrassa teachers and local government representatives. Through these leaders, 150,000 flyers and 27,000 masks were disseminated. In addition, 32 loudspeakers were disseminated to key focal point mosques to play the awareness-raising tapes. • With Puntland currently facing the highest number of COVID-19 cases in Somalia and a potential "second wave", the OPM Prevention and Countering Violent Extremism unit and MoERA are liaising with state authorities about dedicated "Clerics vs. COVID" activities. Surveillance, rapid response and case investigation • 504 frontline health workers (306 female / 198 male) were trained nationally by UN agencies and partners on COVID-19 triage, referral and case management and the continuation of essential health service delivery during a pandemic. • 192 community health workers (CHWs) (108 F / 84 M) were trained on COVID-19 awareness, protection and case detection. • 14 isolation units and one quarantine facility were supported. Points of Entry (POEs) • The Ministry of Health was supported to conduct COVID-19 screenings at PoEs in Doolow, Xudur, Baidoa, Hargeysa, Dhobley and Kismayo. • 27,700 people (16,724 male and 10,976 female) were screened at the above mentioned PoEs in October. • National laboratory staff were supported in three health centres. Infection, Prevention and Control (IPC) • Over 16,000 face masks were distributed in Puntland to minimize the spread of COVID-19 to students and teachers. • 57,786 people were reached in South West State, Jubaland, Banadir, Puntland and Somaliland through hygiene promotion activities. • 35,143 people were reached with COVID-19 prevention and awareness information at IOM-supported health facilities in Afgooye, Xudur, Dhobley, Baardheere, Kismayo, Baidoa, Doolow, Garowe, Hargeysa and Sanaag. • 32 handwashing stations were installed in Hargeisa. • 80 hygiene promoters were recruited (Jubaland: Baidoa: 48; Bossaso: 24; Hargeisa 1) and 125 community hygiene workers (Jubaland: 54; Bossaso: 23; Baidoa: 48). • 440 health facility staff (242 F / 198 M), including security personnel and cleaners, were trained on infection prevention control protocols by UN agencies and partners nationally. • The burial teams established in Q2-Q3 continued to establish links to the local hospitals and quarantine centres, monitor burials to ensure they were following safety protocols and engage in voluntary awareness-raising. Due to a rising concern of toxic waste due to inadequate disposal of personal protective equipment (PPE), particularly at hospitals, the burial teams are also being engaged in discussions on waste management and the safe disposal of PPE. • The Office of Puntland Human Rights Defenders (OPHRD) and the Custodial Corps distributed 320 mattresses, pillows and bedsheets to Bossaso prison, to reduce the incidence of inmates having to share bedding and allow for greater physical distancing between inmates. Gaps & Constraints • Partners have reported shortages of face masks in Puntland and large parts of south and central in communities and schools. As per WHO and UNICEF guidelines, children aged 12 years and above should use face masks. • Partners reported shortage of PPE for school children and teachers. When partners were reprogramming their projects, the plan was based on the education sector response plan, which projected the school closure to continue until December. The government decided to reopen schools in mid-August. This change has created a gap in PPE provision. • There is a need to fast track the response to ensure all school children return to schools and have access to a safe learning environment through messaging on safe reopening practices, provision of psychosocial support, improved hygiene and sanitation, and COVID-19 supplies such as face masks. United Nations Office for the Coordination of Humanitarian Affairs www.unocha.org The mission of the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) is to Coordinate the global emergency response to save lives and protect people in humanitarian crises. We advocate for effective and principled humanitarian action by all, for all. www.unocha.org Country Emergency Situation Report No. 14 | 3 Case management • Case management services were provided to 2,110 children in October, either directly through the daily field presence of caseworkers or remotely. Psychosocial Care • Health partners broadcast integrated key messages on mental health and psychosocial support (MHPSS) during the COVID-19 response during radio shows in Baidoa and Doolow on 24, 28 and 29 October, in line with World Mental Health Day. MHPSS messages on managing fear and anxiety, prevention and reduction of stigma, and promotion of psychosocial well-being were disseminated at health facilities and communities by PSS Pillar actors. A total of 96,141 people in Baidoa and Doolow were
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