COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT

HUMANITARIAN COUNTRY TEAM NOVEMBER 2020

SITUATION OVERVIEW

In November, 20 new confirmed cases of COVID-19 were reported, 6 deaths and 18 recoveries, bringing the total number of reported cases to 2,087 with 607 deaths and 1,385 recoveries. Health partners remain concerned that under-reporting continues for various reasons and that the official epi-curve underestimates the extent of COVID-19 in Yemen. Other factors that have had a negative impact on the COVID-19 response include a lack of adaptive behaviour by the population to reduce transmission, severe funding shortages for health workers and personal protective equipment (PPE) and long delays in importing COVID-19 response supplies. Partners continued working towards increasing surveillance; deploying dedicated COVID-19 staff within agencies; tracking the impact of the virus on routine priority health programmes; refining messaging to encourage behavioural change; and boosting intensive care unit (ICU) capacity. Partners have begun to prepare for a second wave of COVID-19, including engaging with excluded and vulnerable groups to keep them safe and supporting essential health facilities to ensure they function throughout winter. The fuel and funding crisis risked exacerbating the COVID-19 and broader humanitarian response.

Number of COVID-19 Cases, Deaths, and Recoveries in Yemen

COVID-19 Cases by Governorate

Amanat 20 Al Asimah Total Reported COVID-19 Cases 4 confirmed 51 confirmed 1 death 10 deaths Saada 2 recovered 22 recovered Hadramaut Al af 9 confirmed Al Maharah Amran 31 deaths 30 recovered 43 confirmed 1 0 Haah 11 deaths Reported Reported 32 recovered Recoveries Deaths Al Mahit Shabah Sanaa 143 confirmed COVID-19 Cases by Se and Age Raymah Dhamar 3 deaths 104 recovered Al Bayda confirmed 54 deaths 305 confirmed Al Dhalee Female Male 1 deaths Tai 5 confirmed 2 4 223 recovered 15 deaths Abyan 24 recovered 292 confirmed 20 confirmed 13 confirmed Lah 34 deaths * Lab confirmed cases of COVID-19 are limited due to testing capacity Reported Cases by Age 41 deaths deaths 235 recovered 23 recovered and thus absolute numbers are more likely a reflection of surveillance 90 recovered artifact and should not be interpreted as severity of transmission in Female Male any particular governorate 60+ 8.6% 19.9% 45 - 59 6.7% 24.2% Number of COVID-19 Cases Cumulative Confirmed cases Deaths Recovered 30 - 44 6.6% 19.9% APRIL 2020 MAY 2020 JUNE 2020 JULY 2020 AUGUST 2020 SEPTEMBER 2020 OCTOBER 2020 NOVEMBER 2020 15 - 29 3.5% 7.6% 1,962 1,966 2,020 2,038 2,043 2,057 2,0 2,067 2,072 2,0 2000 1,734 1,862 1,732 Others 0.5% 2.5% 1,530 1500 1,194 1,162 1,35 1000 Reported Deaths by Age 848 500 567 571 584 588 588 597 601 601 604 0 358 313 494 495 529 Female Male 327 319 434 300 108 209 6 7 85 60+ 1 16 81 12.5% 31% 0 2 10 30 1 15 30 1 15 30 1 15 30 1 15 30 1 15 30 1 15 30 1 15 30 45 - 59 8.8% 26.3 %

30 - 44 3.8% 13.8% COVID-19 Funding Status 15 - 29 0 % 3.8%

5 - 14 * Age disaggregation for cases and deaths is based on 35M 322M 9 3045M available data to WHO. FUNDING REQUIRED RECEIVED REQUIRED FOR HEALTH 02 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT

SUPPRESSION To suppress transmission of the virus, aid agencies continued Risk Communication and Community Engagement (RCCE) support. Community volunteers and members of Mother-to-Mother clubs continued interpersonal communication interventions, reaching 4.14 million people through 664,974 house-to-house visits and Mother-to-Mother sessions. Imams and female religious leaders continued to engage with people at gatherings and social events to sensitize them to COVID-19 prevention practices and physical distancing guidelines reaching 1.6 million people. Imams also facilitated sessions in mosques especially during Friday (Jumma) Prayers. About 3.6 million people are reached regularly in over 5,000 mosques with messages on how to protect themselves and their families from COVID-19, and to seek care for the sick. Calls to the Ministry of Public Health and Population hotlines continued with 19,201 people calling in with questions on COVID-19, while about 19,491 calls were received through radio call-in programmes where health experts answered callers’ questions and responded to their concerns on COVID-19.

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1 1 1 1 people reached through engaged through people reached in engaged through mosque students and parents reached mass media house-to-house visits community gatherings and events at mosques through school health women social events facilitators intervention at community level

Number people O 1 1 O 9 reached in November: Community volunteers provide copies of colouring and calls to hotlines and radio people engaged through Safe water: 1 hygiene kits to families and comic books on COVID-19 phone-ins WhatsApp groups/trees members of Mother-to-Mother were distributed to children created and managed by Hygiene Items: clubs in the south. CVs,RLs,M2M members

M M H 1 refugees participated in risk 1M communication surveys in Ibb, Total Mass Media reach & Hudaydah.

A A A screenings were conducted at Kharaz Refugee Camp M S H A A M A H 9

M hand-washing stations installed A M M S M R D S 1 A H M A I water systems are being installed A D A T S

M L A 03 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT

SUPPLIES The United Nations has procured more than 20,372 metric tons of medical equipment, testing kits and medicine from a highly competitive global market; 17,902 metric tons have already arrived in country and another 2,470 metric tons were in the pipeline at end of November. Still more is urgently needed, especially oxygen and personal protective equipment.

Inbound from suppliers SAUDI ARABIA A WHO/WFP dispatch flows

9 376 490 ICU beds 604 Ventilators Interationally Procured 150 Locally Procured

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9 241.2 K M 2.4 M Testing kits Face shield 53.2K Face masks 1.3 M

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1 M 1.1 M M 4.7 M 37.6 K Respirator Gloves 309.7 K Sanitizers (Litres) 193.1 K masks 129.6 K P

19 arrived

O M 500 of medical equipment M 1 521 19 941 and medicine in pipeline Oxygen Oxygen Hospital Beds 1,820 concentrators - Cylinders 1,248

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A S L

M arrived 1 M arrived M arrived M in pipeline 9 M in pipeline 04 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT

SAVING LIVES The UN and partners continue to work on expanding hospital capacity in key population centres. Aid agencies scaled up the number of intensive care units (ICUs) in COVID-19 designated hospitals from 38 beginning of May, and are equipping an additional 21 ICUs, bringing the total to 59. In line with the current COVID-19 strategy, the focus was on triage, keeping patients and healthcare workers safe, referral pathways and capacity building.

A I P

I I 9 IC V are in the north health in the south in districts in districts (1,665 staff)

11 with COVID-19 testing capacity PPE in the south (Aden, Al , refilled each month items delivered Seyoun & ) in the north ( city/ Al Hudaydah & Ibb city)

UN to provide per diem and danger pay to E O of entry points (22 of 26) have C 9 screening capacity - repurposed for COVID-19

0 in 22 I Governorates

*WHO has finalized rehabilitation works or these are in process, delivered material and equipment and conducted staff training. The main criteria for operationalization depends on staff incentives.

AMANAT AL ASIMAH

SA'ADA " SANA'A " " " " " AL JAWF " HADRAMAUT AMRAN HAJJAH " AL MAHARAH " " " " " " " MARIB " " " SANA'A SHABWAH " " " DHAMAR AL HUDAYDAHRAYMAH " " " " AL BAYDA IBB " Isolation Unit " " AL DHALE'E ABYAN " " Governorate Boundary TAIZZ " LAHJ " " " " " " LAHJ " " " " SOCOTRA " ADEN 05 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT

SAFEGUARDING THE PUBLIC HEALTH SYSTEM Safeguarding the public health system at more than 4,300 non-COVID health care facilities to ensure available facilities are not overwhelmed by COVID-19 cases remains a priority for humanitarian partners. These facilities continue to provide non-COVID health care services to prevent deaths from other deadly diseases and causes, including cholera, diphtheria, dengue and malaria, and to provide nutrition treatment to pregnant women and malnourished children. In August, 2,779 health facilities continued to provide health services for malaria, and 956 health facilities provided cholera response services.

Throughout the COVID-19 crisis, Health Cluster partners and the private sector continue to safeguard the public health system by:

• Triaging acute and chronically ill people and treating them outside the 4,300 non-COVID health facilities. • Maintaining provision of the Minimum Service Package in non-COVID health facilities. • Providing essential medicines and vaccines to the people who need them the most, including cancer patients and children. • Maintaining routine immunization activities and containing and responding to deadly disease outbreaks including cholera, diphtheria, dengue and malaria. • Providing nutrition treatment to pregnant women and malnourished children.

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5,049 health facilities (suggest deleting this) 9 1 9 1 2,528 fully functioning health facilities health facilities fully functioning health partially functioning health health facilities providing health facilities providing 1,865 partially functioning health facilities facilities facilities health services for malaria cholera response services 2,779 health facilities providing health services for malaria 1,257 health facilities providing cholera response services

4,966 50% 35% 15% in 22 H H HFs fully functional* HFs partially functional HFs non-functional Governorates

*Fully functioning HFs may have some lack of services

Functioning HFs per Governorate A and per 100,000 people A A > 30 20 - 30 15 - 20 5 - 15 S 2 - 5 H A A M A H

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S S D R

A H A I

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