Biweekly health sector Libya operational updates 1-15 January 2021 Ongoing activities, accomplishments, issues and challenges for the reported period and upcoming plans Name of organization (1-15 January 2021) ACF Not reported AICS Not reported CEFA As CEFA started working on its transfund project “Hand in Hand for better healthcare in the south west” in September 2020 to contribute to promoting more inclusive and more accessible health care services in Sebha, Shawerif, Brak al Shati, Murzuk and Quatrum municipalities. The project aims at a) upgrading 13 Health facilities through the supply of medical equipment and rehabilitation, repair and maintenance works; b) strengthening the knowledge and skills of health personnel (medical and paramedical) to provide good quality and inclusive health services. This will be achieved by training and coaching the hospitals’ staff. The Action aims also promoting social cohesion and inclusion through the collaboration between local actors in order to foster better public health services. This will be achieved by establishing a local multi-stakeholder group to assess the community needs, set up local strategies for more inclusive Health services and foster vulnerable groups integration. In last couple of weeks, CEFA is preparing the process of Technical need Assessment for the needs in the targeted health facilities of medical equipment, rehabilitation and maintenance, and training. In CEFA transfund project at Zawia city, the rehabilitation works of the pediatric ward are on-going in Zawia teaching hospital. In addition, CEFA is working on the plan to implement three campaigns in the community of Zawia: Awareness and Prevention of Covid-19 for vulnerable people; Awareness and Prevention of Covid-19 for parents and families; Awareness and Prevention of Covid-19 for children. Chemonics Not reported Common Feedback The ETS-managed Common Feedback Mechanism addressed more than 19,160 calls for more than 10,652 individuals (28% of whom were Mechanism (ETS sector) female), of which 68% were COVID-19 related. The remaining (32%) were related to humanitarian services,66% from refugees, 14% from IDPs and 14% were from non-displaced and 3% from Migrant, 1% from Asylum seekers, and 2% from Returnee and others combined. Those calls were mostly about cash (32%), protection services (24%), food assistance (19%), health sector (10%), ETC sector (6%), Shelter & NFIs sector (7%) and (2%) of the WASH, GBV & Child Protection and education combined. Emergenza Sorrisi Not reported Expertise France Not reported GIZ Improve functionality of 5 PHC centres (PHCCs) through IMC in Garabulli (Algarabouli Polyclinic) and Janzour (Abduljalil Martyrs PHCC), Nalut (Sidi Khalifa PHCC), Al Bawanis (Tamanhant PHCU), Zintan (Al Kawassim Western PHCC). The intervention was concluded in November – an end line assessment is conducted in Jan. 2021. The support to 2 PHCCs in the East (Brega and Ajdabiya) is in preparation. A Health Needs Assessment looked at the overall health needs (phase I) in Brega, Ajdabiya, Benghazi and Tobruk. In phase II, the functionality and service availability of the PHCCs in Brega and Ajdabiya (identified with ICO as most in need) will be assessed. GIZ agreed terms with the Health Information Center of the MoH to roll out DHIS2 trainings and IT equipment to PHC and hospital staff of 10 municipalities (Msallata, Al-Shargia, Nalut, Wadi Al Bawanis, Jadu, Hay-Al Andalous, Zliten, Tawergha, Tahuna and Al Jufra). Trainings will start in Hay Alandanlous from the 19th and in Zliten (with participants from Tawergha) from the 26th of January. Support to National COVID-19 Response Plan, a collaborative GIZ Libya Programme COVID-19 response, which is supported by the EU and the German Government. Pillar 2: Risk Communication and Community Engagement - An introductory meeting in Tripoli was held on 16.12. to introduce the revised national COVID-19 preparedness and response plan to the municipal level together with the MECs of the 16 partner municipalities* plus Brak and Tawergha. Starting from February, workshops in the respective municipalities commence to adapt the plan to the municipal level. Pillar 3: Surveillance, RRTs and case investigation - Procurement of three mobile laboratories for Tarhuna, Tobruk und Brak Shate for COVID-19 testing. Delivery is expected between February and April. Pillar 6: IPC: - Ongoing support to Women Training and Development Centres in production of PPEs Pillar 7: Case management: - Procurement for required essential equipment and supplies for COVID-19 testing and treatment for hospitals in Benghazi, Tobruk, Al Zintan, Brak Shate, Garabulli, Zliten and Nalut is processed. Delivery is expected between February and April. Pillar 9: Maintain Essential Services - 5 PHCCs (Al Qassabat PHCC Msallata , Hun and Wadan PHCC in Al Jufra, Western Rawajeh PHCC in Garabulli and Ghadamis PHCC) were selected by MoH to be supported by IMC in the areas of NCDs management, MCH, and mental health services and provision of IHEKs – online trainings will start end of December and procurement of essential medicine and equipment was initiated. * 16 municipalities: Nalut, Ghadamis, Al Zintan, Jadu, Hay-Alandalus, Garabulli, Msallata, Janzour, Zliten, Misurata, Tarhouna, Al Jufra, Al Bawanis, Al Shargia, Edri El Shati, Al Shweyrif ** 8 municipalities: Nalut, Ghadamis, Al Zintan, Garabulli, Msallata, Janzour, Al Jufra, Wadi Al Bawanis Handicap International Not reported Helpcode Within the framework of the EUTF/AICS funded project “Restoring quality health care services in Zawya and Ghat District in Libya” the following activities were implemented: • Training on the Job Medical Team deployed and operating in Ghat district covering Ghat, Tahala and Awainat; • Rehabilitation works at Al Harsha Health Center in Zawya were completed • Rehabilitation work for the Health Centers in Tahala and Awainat started; Tender for provisioning of medical equipment for Zawya selected health facilities under evaluation ICRC Not reported IFRC Not reported IMC BHA funded activities: IMC’s BHA supported mobile medical teams provided 688 medical consultations at 14 different facilities during the first 2 weeks of January. The most common morbidities seen were urinary tract infections (23% of all provided consultations). Our team serving Garyounis IDP Camp near Benghazi provided the highest number of consultations during this period. 615 patients were triaged, of which 400 were females and 215 males. IMC’s specialized doctors continued supporting COVID-19 response in 4 hospitals in Misrata, Benghazi, Sabha, and Tripoli. Despite previous donations from IMC and other outside sources, these hospitals continue to face shortages in critical PPE. IMC, with the involvement of our community health workers, who are part of the mobile medical units, carried out regular health awareness sessions for the patients at the primary health care centers. These awareness sessions are held in groups but still taking the threat of COVID into consideration. Topics are not only decided by IMC staff but also by wishes of the beneficiaries. The range is from general hygiene to communicable diseases including the current threat of COVID-19 related issues. GIZ funded activities During the month of January 2021, IMC continued activities with the support of GIZ aiming to improve the provision of primary health care in Libya. In the Eastern region, the second phase of our three-phase assessment is going through final revision and its results will be shared with the Ministry of Health in the second half of January. 8 Primary Health facilities were assessed during this study, 3 health facilities in Brega and 5 health facilities in Ajdabiya. Once the study is finalized, the results will be used to select 2 Primary Health Care facilities for support: one in Ajdabiya municipality and a second one in Brega municipality. This support will take the form of improving provision of medical commodities, capacity building trainings, and improving provision of health care services through on-site mentoring, as well as community health outreach activities. In the western region, IMC’s team of specialists are preparing for the family practice trainings that will target both nurses and doctors at the primary healthcare level to provide basic services under the essential package of health services. This will be preceded by a one-week orientation and starter session online targeting nurses that will take place starting from the 17th of January. This session will be similar to the online orientation and starter sessions on family practice that targeted medical doctors in December-2020. UNFPA funded programs In the first half of January, IMC’s medical teams continued to provide medical consultations, seeing 540 patients (446 females and 94 males) at the supported health facilities during this period. Along with the provision of medical consultations, IMC conducted several on-job trainings for healthcare providers at the Al Qadessia and Al Jadeed PHCCs on Reproductive Health. 15 healthcare providers were trained through these sessions. As COVID-19 is also a main concern in the medical activities, IMC staff screened 749 patients for signs and symptoms in the first two weeks of January. One suspected case was found and referred to secondary care. IMC carried out health awareness sessions on various health topics during this period. 468 people received health awareness education while waiting for their consultations. 231 female and 237 male patients were reached through these