Guinea CO SITUATION REPORT 12 November 2014 Guinea CO Ebola Situation Report 12 November 2014 HIGHLIGHTS SITUATION IN NUMBERS 1,928 Since last week, 184 new cases of Ebola have been reported, Total cases of Ebola in Guinea (1,609, bringing the total cases in Guinea to 1,928 (1,609 confirmed; 208 confirmed cases - WHO, 12 Nov. 2014) probable and 61 suspected cases). 99 new cases were reported in Nzerekore region only, the epicenter of the epidemic. 1,174 Deaths (of which 966 confirmed In order to get closer to the epicenter of the epidemic, UNICEF is Ebola) reinforcing its presence in Macenta with the opening of a sub- office within the Prefectural Health Direction premises. 390 After initial resistance and hesitation in the village of Dandano, Total children 0-18 years infected sub-prefecture of Kouankan in Macenta prefecture, a large-scale social mobilization campaign involving 172 men and 28 women 53% was organized last week, under the leadership of UNICEF and of total cases are women. WHO, with the participation from representatives of eight government sectorial departments. This mobilization has led to 8.9 million the identification of 35 suspected cases sent to the Ebola Total population in the affected Treatment Centre (ETC). prefectures (out of 10.6 million national However, resistance of some communities continues to be a major population) challenge, especially in Forécariah and Coyah prefectures, resulting in unsafe burials and hostile position towards 4.3 million humanitarian workers. The major concern of the families is related Total children in the affected to the conditions of admission and care of patients at the Donka prefectures ETC in Conakry. The Ebola related death of an imam in Kerouane, Kankan region, followed by unsafe burial practices and contamination of several UNICEF funding needs until March of his family members is particularly worrying, considering that 2015: there is no ETC nor transit center in Kankan and in Faranah region, USD 55,130,866 thus delaying the transfer of sick people to the existing ETCs of Gueckedou or Conakry. 76 contact cases are currently being UNICEF current funding gap: followed up in Kankan commune by seven health workers USD 31,395,655 equipped with motorbikes provided by UNICEF. A Concept Note on geolocation of Ebola cases in Conakry was finalized and shared with the Ebola National Coordinating body, and a preparatory meeting held to discuss the project. Guinea CO SITUATION REPORT 12 November 2014 UNICEF’s Response with Partners UNICEF Sector/Cluster Cluster Cumulative results UNICEF Target Cumulative results (#) Target (#) C4D: Households receiving Inter-Personal Communication on Ebola prevention messages 742,230 528,000 N/A N/A WASH: Ebola care centres are provided with essential WASH services 20 1* 27 4 Education: Teachers trained on psycho social support, Ebola prevention, and safe and protective learning environments 15,941** 15,941 68,619 17,452 Health: Health facilities in targeted areas receiving supplies of essential commodities for maternal , new-born and child 270 (gloves and health (MNCH) care 270 chlorine) N/A N/A Nutrition : Infants and young children 0-12 months who 15 cannot be breastfed and who received replacement feeding 166 49 N/A N/A HIV/AIDS : HIV positive women (including pregnant women) continuing to receive ARTs 21,367 14,265 N/A N/A * WASH: Only 4 ETCs and Transit Centers have been setup so far in the county. UNICEF WASH support was only required for the Transit Center of Forecariah, and the need has been fully satisfied. **Education: Cluster - target: 68,619 (67,108 teachers + 1511 Trainers of teachers); cumulative result 17,452 Trainers; UNICEF – target: 15,941 (15,416 teachers + 525 Trainers of teachers); cumulative result 15,941. Situation Overview & Humanitarian Needs Although the number of total cases is still increasing, particularly in the epicentre of the epidemic in Macenta/Nzerekore, and in Kerouane (Kankan region), nine prefectures initially “red” (i.e. active) with Ebola cases are considered “green”, after 42 days without any new case of Ebola, and therefore considered Ebola free (see below map from the WHO sitrep of 12 Nov 2014). Guinea CO SITUATION REPORT 12 November 2014 However, since the beginning of the epidemic (in March 2014), 24 prefectures and the capital city of Conakry have been affected, representing a total population of 8.9 million (83 percent of the total national population estimated at 10.6 million – see details below). Estimated Affected Population (calculated based on districts affected and total population in these districts) Start of humanitarian response: June 2014 Total Male Female Total Affected Population (population in the 24 affected districts+ Conakry city) 8,872,551 4,322,664 4,550,107 Children Affected (Under 18) 4,258,920 2,074,869 12,184,051 Children Under Five 1,774,550 864,529 910,021 Children 6 to 23 months 532,365 259,359 273,006 Pregnant women 399,274 N/A 399,274 Additional context specific data: Total national Population (estimated from RGPH3, 2014). 10,628,972 5,142,088 5,486,884 Humanitarian Leadership and Coordination The UN Mission for Ebola Emergency Response (UNMEER) is coordinating the response of the UN system, in collaboration with the government, under the National Ebola Coordination body. The National Coordination body is divided into several commissions, including the Commissions of Communication, Surveillance, Treatment and care, Logistics, Security, etc., and covers most sectorial clusters. Prefectural (district) coordination mechanisms, with a Prefectural Coordinators nominated by central administration, are being setup progressively, with a structure that mirrors the national one, and with, in most cases, the same actors at national and prefectural levels (UN and NGOs field offices staff, prefectural services staff, etc.). The National Coordination body also recommends that political and administrative authorities (prefects / secretaries and health authorities at prefectural level), and local elected officials (mayors) ensure the implementation of Community Watch Committees (CWC) in communities, with technical and financial support from partners. Humanitarian Strategy The UNMEER strategic response plan, with contribution from all UN agencies intervening in the response, is organised under the following Strategic Objectives known as STEP: SO1. Stop the outbreak; SO2. Treat the infected; SO3. Ensure Essential Services ( Food, Nutrition, WASH, Logistics, Emergency Telecommunications, Education, Protection including Child Protection and GBV, Livelihoods, Early Recovery...); SO4. Preserve Stability. UNICEF contributes to all the UNMEER SOs, with particular focus on supporting the government to set up 41 Community Care Centers (CCC) and to support 2,560 “comités villageois de veille” (Community Watch Committees - CWCs – or community surveillance and social mobilisation committees). Summary Analysis of Programme Response UNICEF is supporting the new national strategy with the setup of an integrated approach, with: Community Care/Transit Centers (CCCs/CTCs) - Centres de Transit Communautaires – CTComs in French; Community Watch Committees (CWCs) – Comités Villageois de Veille (CVVs in French); and Community mechanisms of child protection. (see below the schematic presentation of the integrated approach): Guinea CO SITUATION REPORT 12 November 2014 Priority areas for CCCs/CTComs are along the borders with Liberia and Sierra-Leone (see blue coloured areas in the map below), but CWCs/CVVs (and Community mechanisms of child protection) are also planned in most of the affected prefectures. Guinea CO SITUATION REPORT 12 November 2014 Health The CCCs/CTComs model was discussed with the Ebola National Coordination body, and views of partners integrated in the final version. A teleconference was also held with Liberia and Sierra Leone to share experiences and ideas around the CCCs. One of the functions of the CCCs/CTComs will be to ensure continuity of community-based health and essential interventions for families (Community integrated management of infant and maternal health – without contact, distribution of treated mosquito nets and nutritional/food support). A meeting was organized last week with the Guinean Red Cross to discuss the terms of a partnership for training hygienists and managers of the CCCs/CTComs. WASH UNICEF launched the tender process for drilling 15 boreholes along the border with Sierra Leone, in the prefectures of Kindia and Forécariah, and for the installation of ten drinking fountains in Conakry. Supplies for 200,000 family WASH kits are being delivered to UNICEF warehouse in Conakry by local producers, and distribution to beneficiaries will be starting soon. Education A meeting was held with the Guinean Federation of Parents of Students and Friends of the School (FEGUIPAE), to identify axes of partnership in the perspective of the reopening of schools, as per the wish of the government. UNICEF will support FEGUIPAE for mobilizing parents around two key elements of hygiene in schools, namely: o Supply of water for schools without water points (currently only 18 percent of primary schools have water points); o Digging of latrines for schools that do not have latrines (about 33 percent of primary schools have no latrines). UNICEF launched a call for tenders towards international firms for the development of a radio education programme with national broadcast, as an alternative to normal schooling, in case the school reopening (still in the plan of the government) continues to be delayed. Child Protection Partnership agreements are in preparation with Save the Children, Plan Guinee, Enfance du Globe, Monde des Enfants (MDE) and Child Fund for the provision of psychosocial support to children orphaned by EVD and women widowed by EVD in the prefectures of Macenta, Guéckédou, Yomou, Lola, Kissidougou, Nzerekore and Conakry. Communications for Development (C4D) Pre-positioning of CVVS is crucial for the acceptance by communities of the CCCs/CTComs. A partnership agreement with the Coalition of National Council of Civil Society Organisations (CONSCG) is being prepared to roll out the first CVVs at the locations planned for the CCCs/CTComs (see map at the top).