UNICEF Guinea Ebola SitRep 8 July 2015
GUINEA
Ebola Situation Report 8 July 2015
HIGHLIGHTS SITUATION IN NUMBERS
The total number of confirmed cases of Ebola rose this week As of 05 July 2015 from 3,269 to 3,287, with 18 new confirmed cases from prefectures of Forecariah (11); Boke (6) and the Town of 3,748 Conakry (1) (WHO, Ebola Situation Report, 8 July 2015). Cases of Ebola (3,287 confirmed)
The number of confirmed deaths rose from 2,039 to 2,049 this past week, with a total count of 2,499 confirmed and probable 2,499 deaths. Deaths (2,049 confirmed)
UNICEF is the lead agency in social mobilization and community engagement and has been most active in 626 prefectures of Boke, Forécariah, Dubréka and Benty, in close Cases among children 0-17 collaboration with the National Ebola Coordination. A (confirmed) monitoring initiative aiming at strengthening community and local authority engagement, and a stronger active case finding has been ongoing in targeted villages of Kolotoyah in 373 Forécariah, Kigbaly in Benty, Tamaranssy in Boke and Dubréka. Deaths of children and youth aged 0-17 (confirmed) Strengthening surveillance in border areas continues to be the focus of the response. In partnership with the Scouts, 535 people were reached through mass sensitization at the 4,350,633 harbour in Kamsar (Boké), which is visited by fishermen from Children in affected areas since the islands bordering Guinea Bissau. In Forécariah, which the beginning of the epidemic borders Sierra Leone, 26 social mobilizers were trained.
Nutrition data collection, following the Standardized 191 Monitoring and Assessment of Relief and Transition (SMART) Cases among health workers with survey method, is ongoing nationwide, now reaching more 96 deaths (confirmed) than 1,000 households (approx. 1/8 of targeted households for the survey).
UNICEF Guinea Ebola SitRep 8 July 2015
Leadership and Coordination UNICEF is leading social mobilization and community engagement in the most active prefectures of Boké, Forécariah, Dubréka and Benty, in close collaboration with the National Ebola Coordination body. In Dubréka, door-to-door active case finding started on 1 July, targeting 460 households in Bamba and Kawonso villages with UNICEF providing hand washing kits and latrines to households. The strategy, with a combined surveillance team of medical workers, social mobilisers and social anthropologists, involves door- to-door sensitization and free medical care at temporary health posts.
Door-to-door active case finding and its subsequent package of assistance (free food, medical care and water) will be extended to Kigbaly village in Benty Prefecture for 200 households beginning on July 7 2015, with the overall aim of breaking the transmission chains stemming from Sierra Leone border areas. UNICEF and partners will support the provision of basic social services to those targeted households for a duration of 21 days, along with sensitization sessions.
In Boké, 19 households are being closely monitored at Tamarassy village. WASH kits continue to be distributed as well as sensitization carried out in several areas of the prefecture. All people who have fallen ill will be referred to health centres for necessary care.
WASH UNICEF has recruited a new WASH Cluster Coordinator to support the Ebola response. UNICEF and partners distributed 1,114 household WASH kits (bucket with a tap and soap) benefitting 7,954 people in Ebola-affected areas in Forécariah, Dubréka and Boké. The distributions were accompanied by sensitization about good hygiene habits. This brings the total number of household WASH kits distributed nationwide to 320,919 and UNICEF beneficiaries to 2,291,362 people. UNICEF, in partnership with Community Village Committees (CVV), distributed 836 household WASH kits in Tanéné, one of the hotspots of the Ebola virus in the prefecture Dubréka. UNICEF, in partnership with WFP, distributed 140 household WASH kits to people who had come in contact with Ebola victims and who are under surveillance in Forécariah, Dubréka and Boké. UNICEF, in partnership with the Scouts, conducted door-to-door visits to promote hygiene and hand washing as a way of preventing the spread of Ebola in Forécariah and Boké. During this campaign, more than 2,141 people were reached including 936 women and 652 children and distributed 138 household WASH kits. Of the 60 water points rehabilitated in the region of NZérékoré, 34 have been fixed, including 17 over the last week, benefitting 5,100 people. UNICEF continued the rehabilitation of 35 boreholes and the digging of five new boreholes in Boké and Kindia. To date, the results achieved are: rehabilitation (100 per cent) and digging (33 per cent). UNICEF, in partnership with the NGO Search for Common Ground, used mobile cinema to promote better hygiene in schools. 1,081 students were reached, including 550 girls in the prefectures of Forécariah, Kindia and Boffa. Moreover, there have been 34 screenings of a special film and cartoon on three TV channels: RTG Koloma, RTG Boulbinet and Evasion Guinée.
Health Between 28 June and 4 July 2015, the health region of Nzérékoré organized a training of trainers (TOT) for 14 persons on the complete package of Community Integrated Management of Childhood Illness (IMCI). This is part of the launch of a large programme of IMCI in the region, aimed at training and supplying medicines to more than 1,000 community health workers. In Forécariah, door-to-door active case finding was carried out, reaching 496 persons in Kolotoyah village. UNICEF provided medicine and offered free medical care to the community, reaching 221 people for medical consultations. Deworming treatment has been provided to all patients who have UNICEF Guinea Ebola SitRep 8 July 2015
received care from the mobile clinic set in the village during this period. No new suspected case of Ebola was reported during the monitoring. In Dubréka, UNICEF supported through the provision of essential drugs. This intervention provided free medical care to 348 people, including 196 men, 109 women and 43 children. 60 per cent of them were found to have malaria, and received appropriate follow up medical care. UNICEF has also supported Tanéné health facilities to host three sessions of integrated advanced outreach through immunisation (EPI), antenatal care (ANC), prevention of mother to child transmission of HIV (PMTCT) and nutrition in Dixinn Bouramaya and Dembaya villages. 45 children aged 0-11 months were vaccinated against common childhood illnesses. 178 children aged 6-59 months were screened for malnutrition and were dewormed, among which 2 children with severe acute malnutrition (SAM) with complications were referred to Tanéné Health Centre for care. In addition, 18 pregnant women attending ANC were tested for HIV, received mosquito nets, and were vaccinated for tetanus.
Nutrition UNICEF and partners have provided counselling and therapeutic food to 2,170 Ebola patients in treatment centres (out of 2,600 targeted) as well as Ready-to-Use Infant formula to 1,317 children and infants whose families have been affected by Ebola since October 2014. From January to June 2015, as a result of nationwide UNICEF sponsored health and vaccination campaigns, 1,445,969 children countrywide have received vitamin A supplementation (achieving 92.4 per cent coverage) and 1,257,710 received deworming treatment (achieving 86.1 per cent coverage). The Standardized Monitoring and Assessment of Relief and Transition (SMART) survey is ongoing nationwide and approximatively 1/8 of targeted households have already been reached. Data collection is being done simultaneously by 40 teams spread throughout the country.
Communication for Development (C4D) UNICEF continued its social mobilization activities in Conakry, Boké, Coyah, Dubréka and Forécariah – the prefectures that have reported new Ebola cases recently – including door-to-door visits to 23,618 households. Main topics of sensitization included addressing false rumours (such as Ebola is injected via vaccination), the importance of active case detection, seeking medical treatment immediately when falling ill, understand the importance of not touching the sick and the dead, ensuring safe burials, and not transporting sick and dead people by taxi, bus, or motorbike. On the last topic, UNICEF in cooperation with the Scouts, organized a meeting with the leaders of the transporters union of Boké and held a mass sensitization with 117 motorbike taxi drivers. UNICEF also played a key role in the preparation and implementation of the latest Emergency Health Campaign, which focuses on active case detection and restricting people’s movement in Ebola hotspot villages. In Kolotoyah (Forécariah), social mobilizers conducted door-to-door visits to about 70 households. Sensitization activities increased trust in the health services; 221 out of 496 people (44 per cent) sought medical care. In Tamaranssy (Boké), social mobilizers conducted door-to-door visits to some 19 households. As Tamaranssy hosts a school with children from neighbouring villages, door-to-door visits were extended to an additional 1,059 households. School attendance among children in Tamaranssy village has been extremely low; as a result of UNICEF teams’ sensitization efforts, however, attendance has been substantially increased, from 2 children one week to 99 the next. Strengthening the surveillance in border areas continued to be a priority. In partnership with Scouts, 535 people were reached through mass sensitization at the harbour in Kamsar (Boké), which is visited by fishermen from the islands bordering Guinea Bissau. In Forécariah, bordering Sierra Leone, 26 social mobilizers were trained.
UNICEF Guinea Ebola SitRep 8 July 2015
Child Protection UNICEF and partners trained 70 community leaders in child protection and psychosocial support, bringing the total of community leaders trained to 5,431. UNICEF and partners identified and registered 12 additional children (9 girls) who have lost one or both parents in Boké, bringing the total number of orphans registered so far to 6,104 (up from 6,092 previously). UNICEF and partners organized 849 play and recreational sessions in which 1,766 children (including 840 girls) who had not previously participated were included. Among the new children, there were 140 orphans, 85 of whom are girls. This brings the total number of children that have received psychosocial support to 99,912 (83 per cent of the 120,000 targeted). Community volunteers and social workers organized follow-up visits to families taking care of 1,482 children who have lost one or both parents due to Ebola (764 girls). UNICEF and partners set up 11 new Council villages for Child Protection (CVPE) and trained their members, bringing the total number of active CVPEs to 692. UNICEF’s partners distributed individual hygiene kits to 36 new registered children who have lost one of both parents. This brings the total number of Ebola-affected children who have received kits to 7,590 (including 5,853 children who have lost one or both parents to the disease).
Education Radio education continued to be broadcast through 22 stations countrywide on key Ebola prevention messages, stories on civic education, etc. In Forécariah, the current epicentre of Ebola, UNICEF provided 224 radios to 101 schools in Moussaya, Sikhourou, Farmoriah and Kalia sub prefectures. More than 9,168 pupils, including 3,771 girls, were targeted by the program. Similarly in Tanéné (Dubréka Prefecture), with some contact villages under quarantine, Radio Santeya continued to broadcast education programs targeting over 6,000 pupils. A monitoring visit conducted last week in approximately 20 schools of Forécariah showed that the use of handwashing and thermo-flash is effective in all of them. Replenishment of minimum hygiene package (essentially soap for handwashing) in schools is ongoing, with priority given to current hotspots of the epidemic. In these areas, UNICEF has already distributed around 60 per cent of the targeted 3 million bars of soap. The Ministry of Education is actively working on the preparation of end-of-school exams countrywide scheduled to take place from 20 July to 7 August, 2015.
Supply and Logistics UNICEF continues the implementation of its 2015 regular and emergency supply plans (USD 5,250 000 for emergency supplies and USD 4,627,000 for non-emergency supplies), with a peak of inbound supplies for health and nutrition since June 2015. 50 containers are expected by the end of July 2015. UNICEF provided 4,460 boxes of vitamin A to the eight regional health departments and Conakry for distribution and received seven containers of therapeutic food in Kankan (USAID donation). UNICEF distributed 325,000 bars of soap to Coyah, Mandiana and Kindia Prefectoral Directions for Education with the objective to promote hygiene in all public schools in these areas. UNICEF supplied 258 mobile phones with solar chargers to the NGO RTI-StopPalu as part of a joint program to collect and monitor health data. UNICEF provided drugs for the monitoring campaign in Forécariah and Benty, plus logistics support for the on-going campaigns in Forécariah, Dubréka and Boke. UNICEF distributed 264 recreation kits to four NGOs implementing psycho social activities for the Protection program. UNICEF supplied the NGO platform in Kamsar with C4D material (flyers, posters, stickers, T-shirts and caps). UNICEF received a first batch of five containers of 783 medical kits (out of 2602 kits ordered) to be UNICEF Guinea Ebola SitRep 8 July 2015
distributed to 1,607 medical facilities in the country. UNICEF provided support to the EPI for the planning and ordering of supplies for the immunization campaigns (meningitis, IPV, measles) taking place from July to November 2015. UNICEF initiated the technical studies and solicitation process for the construction of six Epidemiologic Treatment Centres.
Human Resources UNICEF Guinea has 63 international staff of whom, 35 are currently deployed in field offices. Of the 128 national staff employed, 75 are working in the field to coordinate and support social mobilization and C4D activities.
Through its partnerships with various national and international NGOs, UNICEF Guinea is coordinating the activities of 2,427 social mobilizers and C4D specialists, of whom 2,409 are working in the field.
Programme Results
UNICEF and Pillar/Sector Results for Ebola Response (Guinea 8 July 2015) Pillar / Sector UNICEF Indicators Target Actual % Achieved Target Actual % Achieved EPIDEMIOLOGY Children 0-17 years living in Ebola 4,350,633 affected areas
Cases among children 0-17 years 626 Registered Ebola children who lost one or both parents/primary 6,104 caregivers COMMUNICATION FOR DEVELOPMENT Households reached with interpersonal communication on 1,004,106 1,468,418 146% 1,004,106 1,468,418 146%
Ebola prevention[1]
Hotspot communities reached by social mobilizers/rapid response 100% 100% teams within 24 hours of detection of Ebola cases in the past week (8/8) Sub-prefectures, chiefdoms and/or counties reporting resistance/reticence to cooperating 0% 1/342 with frontline workers in the past week Ebola-related resistance/reticence 0 1 incidents reported in the past week Proportion of population surveyed who indicated discriminatory attitude <3% N/D towards Ebola survivors Proportion of population surveyed 3% who rejected alternatives to <3% traditional burials/funerals 44/1,458* Community Care Centres/RITES CCCs/RITES established 6 6 CCCs/RITES functional 3 3 CCCs/RITES decommissioned 0 0 UNICEF Guinea Ebola SitRep 8 July 2015
CCCs/RITES converted/transformed 0 0 into Alternate Care Centres WASH Ebola community, treatment and holding centres with essential WASH 16 16 100% 10 10 100%
services[2] Non-Ebola health centres in Ebola- affected areas provided with hand 800 233 29% 600 162 27% washing station and/or WASH support People benefiting from household 4,666,667 3,368,524 72% 3,500,000 2,291,362 65% WASH kits in Ebola-affected areas Population benefitting from water 67,500 104,600 155% points rehabilitated/constructed CHILD PROTECTION Ebola-affected children provided with minimum package of 120,000 99,912 83% 120,000 99,912 83% psychosocial support (PSS) services Registered children who lost one or both parents/primary caregivers due to Ebola and child survivors of Ebola who received a minimum package of 6,000 5,853 98% 6,000 5,853 98% support/nationally agreed package, including family tracing and reunification or placement in alternative family based care HEALTH Health structures in Ebola-affected areas provided with Infection, 800 723 90% Prevention and Control (IPC) supplies Community health workers trained in Ebola prevention and case 3,000 1,016 34% management Children 6-59 months immunized against measles during the measles 875,580 858,547 98%
campaign[3] HIV/AIDS HIV positive pregnant/breast feeding women receiving antiretroviral therapy (ART) for the prevention of 6,608 4,569 69% mother-to-child transmission (PMTCT) Exposed new born provided with antiretroviral (ARV) for the 6,608 1,579 24% prevention of mother-to-child transmission (PMTCT) NUTRITION Ebola patients receiving nutrition 2,600 2,170 83% support Children suffering from severe acute malnutrition (SAM) admitted for 7,250 4,669 64% treatment Infants 0-6 months who cannot be breast fed, receiving ready to use 2,600 1,317 51% infant formula EDUCATION Radio stations broadcasting 20 22 105% emergency learning programmes UNICEF Guinea Ebola SitRep 8 July 2015
Teachers trained in providing 27,510 11,285 41% psychosocial support (PSS) Teachers trained in Ebola prevention 82,168 80,657 98% 15,931 15,931 100% Schools equipped with minimum hygiene package for Ebola prevention 12,455 12,455 100% 7,176 7,176 100% compliant with protocols Children in school benefitting from 100,000 110,165 110% learning kits Children enrolled in schools equipped with minimum 2,704,477 2,704,477 100% 1,437,648 1,437,648 100% hygiene package Schools benefitting from replenishment of minimum hygiene 12,455 4,013 32% 7,176 1,363 19% package [1] Social mobilization is now conducted by all cluster members. The target has been exceeded because some households have been visited twice – particularly in some areas in Forécariah and Coyah where intensive door-to-door campaigns have been have been organized (twice in Forécariah). The cluster may adopt a new target figure in due course. [2] There are 10 CTEs and CDTs plus six CTComs established by UNICEF. There are no plans at this stage to build additional CTEs/CDTs/CTComs in the country. All units have been provided with water facilities.
[3] These figures correspond to children from 6-59 months, as per the indicator (actual campaign had targeted children from 6 months to 9 years).
* KAP survey, February 2015
Next SitRep: 14 July 2015
Who to contact Mohamed Ag Ayoya Guy Yogo Timothy La Rose
for further Representative Deputy Representative Chief of Communications Conakry, Guinea Conakry, Guinea Conakry, Guinea information: Tel: +224 622663452 Tel: +224 624 151 041 Tel: +224 622 350 251
Email: [email protected] Email: [email protected] Email: [email protected]
Twitter: @unicefguinea Tumblr: http://unicefguinea.tumblr.com Facebook: http://facebook.com/unicefguinea Flickr: http://flickr.com/unicefguinea Instagram: unicefguinea Google+: unicefguinea