UN EBOLA RESPONSE Multi-Partner Trust Fund
for the period January to December 2015
The Office of the Special Adviser on the 2030 Agenda for Sustainable Development and Climate Change Multi Partner Trust Fund Office, UNDP http://mptf.undp.org/ebola STEPP Strategy
Strategic Objective 1: STOP the outbreak
Mission Critical Action 1: Identify and Trace People with Ebola Mission Critical Action 2: Safe and Dignified Burials
Strategic Objective 2: TREAT the infected
Mission Critical Action 3: Care for Persons with Ebola and Infection Control Mission Critical Action 4: Medical Care for Responders Provision
Strategic Objective 3: ENSURE essential services
Mission Critical Action 5: Provision of Food Security and Nutrition Mission Critical Action 6: Access to Basic (including non-Ebola Health) Services Mission Critical Action 7: Cash Incentives for Workers Mission Critical Action 8: Recovery and Economy
Strategic Objective 4: PRESERVE stability Mission Critical Action 9: Reliable Supplies of Materials and Equipment Mission Critical Action 10: Transport and Fuel Mission Critical Action 11: Social Mobilization and Community Engagement Mission Critical Action 12: Messaging
Strategic Objective 5: PREVENT outbreaks Mission Critical Action 13: Preventing Outbreaks Other: Enabling Support to all Objectives
RECOVERY Strategy
RECOVERY Objective 1: RS01
Health, Nutrition, and Water, Sanitation and Hygiene (WASH)
RECOVERY Objective 2: RS02
Socio-Economic Revitalization
RECOVERY Objective 3: RS03
Basic Services and Infrastructure
RECOVERY Objective 4: RS04
Governance, Peace Building and Social Cohesion 03 Foreword 04 Executive Summary 06 Report Structure 08 Situation Update: Guinea, Liberia and Sierra Leone 09 Achievements of the Ebola Response MPTF 11 Guinea 15 Liberia 18 Sierra Leone 23 Operations and Governance Structure 26 Contributions 25 Guinea; Mission Critical Actions and Recovery Strategy Objectives 49 Liberia; Mission Critical Actions and Recovery Strategy Objectives
59 Sierra Leone; Mission Critical Actions and Recovery Strategy Objectives 81 Regional; Mission Critical Actions 87 Stories from the Field 91 Financial Information
Cover Photo: QIPs Project (UNMEER) West Point School Rehabilitation © MPTF Office UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Recipient ORGANISATIONS CONTRIBUTORS
AUSTRALIA, Government of LATVIA, Government of FAO
Bahrain Royal Charity ORG LUXEMBOURG, Government of
ICAO BELGIUM, Government of Malaysia, Government of
Bolivia, Government of MALTA, Government of ILO
BRAZIL, Government of Mauritius, Government of
IOM CANADA, Government of MONTENEGRO, Government of
CHAD, Government of NEW ZEALAND, Government of UNDP
CHILE, Government of NORWAY, Government of
UNESCO CHINA, Government of Peru, Government of
COLOMBIA, Government of Philippines, Government of UNFPA
CYPRUS, Government of PORTUGAL, Government of
UN HABITAT CZECH Republic, Government of REPUBLIC of KOREA, Government of
DENMARK, Government of ROMANIA, Government of UNHCR
SWEDISH INTERNATIONAL ESTONIA, Government of DEVELOPMENT COOPERATION
UNICEF SWISS AGENCY FOR FINLAND, Government of DEVELOPMENT & COOPERATION
GEORGIA, Government of The Russian FederatioN, Government of UNMEER
GERMANY, Government of TOGO, Government of
UNOPS Guyana, Government of TURKEY, Government of
HOLY SEE UNITED KINGDOM, Government of UN WOMEN
INDIA, Government of VENEZUELA, Government of
WFP IRISH AID Volvo Group
PRIVATE SECTOR ISRAEL, Government of WHO
JAPAN, Government of
Kazakhstan, Government of 2 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
FOREWORD
While the threat from Ebola to global public health was completely clear the infection. The emergence of these cases, declared over on 29 March 2016, the epidemic left a reported though anticipated, underscores the importance of raising 11,310 people dead, nearly all in West Africa. As of 19 May awareness of the risks of flares, of educating, screening and 2016, the World Health Organization (WHO) reported 28,616 treating survivors, studying the effectiveness of a vaccination confirmed, probable and suspected cases, with Guinea, program to prevent the transmission of Ebola from survivors, Liberia and Sierra Leone bearing the worst of the epidemic. restoring maternal health services in the most affected areas, To date, 11,349 survivors struggle with Ebola-related health and maintaining the capacity to detect and rapidly respond to problems and the difficulties of integrating back into society.1 new cases. Thus far, every flare-up has been quickly contained, Many thousands more suffered the loss of friends, family and owing, in part, to the human and physical capacity put in their support networks to the virus. The World Bank estimated place by the Response, including by Ebola Response MPTF that these three countries lost approximately $2.8 billion in funded projects that focused on, for instance, reinforcing Gross Domestic Product (GDP) due to the Ebola outbreak health infrastructure and logistics, and growing local capacity - $600 million in Guinea, $300 million in Liberia and $1.9 for vigilance and rapid treatment. With an estimated 11,349 billion in Sierra Leone - losses that undermined important survivors in need of continued health care and screenings, and development gains.2 many more, including orphans and widows, left vulnerable by the outbreak, Ebola Response MPTF projects will continue to In addition to a wake-up call to the international community, the have an important role to play in 2016. Ebola epidemic was also a testament to the strength of these West African countries. It was their people and communities, With the Ebola epidemic under control, it is possible to reflect who along with leadership from their Governments and the on and garner the many lessons learned from the Response, unprecedented support of the international community, which can be used to strengthen emergency planning and including from the United Nations Ebola Response Multi- preparedness for public health threats, regardless of where Partner Trust Fund (MPTF), who fought tirelessly and in the world they might occur. The experience of the Ebola successfully to end the outbreak. The first two phases of the Response MPTF can help inform pathways of response and Response to stop and treat the outbreak and bring Ebola readiness that could minimize loss of life and the devastating transmission to zero have successfully concluded, with Ebola impacts of disease outbreaks in the future. To this end, an Ebola Response MPTF funded projects making a number of lasting Response MPTF Lessons Learned Exercise will be undertaken contributions. Guinea, Liberia and Sierra Leone are now epi- with the key objectives of identifying best practices and centers of global expertise in Ebola response. providing greater insight on the design and operation of an effective and efficient UN pooled funding instrument that can Yet, there is no room for complacency. As expected, flares be applied in the future. of Ebola have been caused by the reintroduction of the virus from survivors, who need nine to twelve months to
Dr. David Nabarro
Special Adviser to the UN Secretary-General on the 2030 Agenda for Sustainable Development and Climate Change
1 World Health Organization (WHO) Ebola Situation Report, 19 May 2016. 2 http://www.worldbank.org/en/news/press-release/2016/05/21/world-bank-group-launches-groundbreaking-financing-facility-to-protect-poorest-countries-against-pandemics
3 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Executive Summary
The UN Secretary-General established the Ebola Response organizations. WFP also performed 56 medical evacuations of Multi-Partner Trust Fund (MPTF) in September 2014 to Ebola-symptomatic personnel of humanitarian actors and the support the UN System’s Ebola Response. The Fund achieved UN. its priority objective – to offer all phases of the Response a In addition to supporting logistics, infrastructure and supply fast, collaborative and strategic financial mechanism to meet chain operations, Ebola Response MPTF funded projects unfunded needs. Since its inception, the Fund provided grants bolstered human and institutional capacity for surveillance, to eleven UN entities, inclusive of UNMEER, WHO, UNICEF, contact tracing, safe burials and monitoring, activities critical WFP, UNDP, UNFPA, UNOPS, UN WOMEN, ILO, UN-HABITAT to stopping the outbreak. Grants from the Fund, for instance, and ICAO. It financed projects contributed to 11 out of 13 supported the employment of over 340 epidemiologists, Mission Critical Actions (MCAs), the guiding principles of the infection prevention and control (IPC) experts, logisticians and UN system STEPP strategy for Response: Stop the outbreak; social mobilization officers in the three countries. The Ebola Treat the infected; Ensure essential services; Preserve stability; Response MPTF enabled WHO, UNDP and UNFPA to recruit and Prevent outbreaks in countries currently unaffected. over 17,000 Contact Tracers, Active Case Finders, and District Designed to mobilize funding from a wide-variety of Monitors to strengthen surveillance. In Guinea, the United stakeholders and to distribute it in response to high quality Nations Children’s Fund (UNICEF) improved capacity for rapid spending proposals through its Response and Recovery isolation and case management of patients with infectious finance windows, the Ebola Response MPTF had one of the diseases by constructing six Community Care Centers and highest levels of donor engagement ever seen in a UN trust by establishing six epidemiologic units within these health fund. It received contributions from 43 UN Member States, facilities. two foundations, three businesses, and many individuals, Through the Ebola Child Protection project implemented including school children. Ebola Response MPTF funded in five counties in Liberia, UNICEF in collaboration with projects had rapid and enduring impacts across Guinea, development partners, reached 17,318 persons with mental Liberia and Sierra Leone, the three countries most affected by health and psychosocial support, alternative care, and case the Ebola outbreak. As of May 2016, contributors deposited management for Ebola-affected children and families. US$161,948,573 million in support of the Fund. The Fund Increased human resource and technical capacities of social disbursed US$154,602,761 million, and its expenditure as of workers, child welfare officers, mental health clinicians and 31 December 2015 was US$127,607,069 million. data clerks enabled 9,060 Ebola-affected children to access Throughout the Response, the Ebola Response MPTF, case management; psychosocial support and reintegration through its funding to the World Food Programme (WFP), follow up services. Some 7,000 child orphans and survivors provided a range of common services that enabled rapid received a one-time cash grant to support family-based care response mechanisms and effective containment of new and return to school across the country. Ebola outbreaks. At the onset of the crisis, WFP’s operational Social mobilization and health promotion were key pillars of readiness helped meet urgent requests and needs across the Ebola response, especially in Guinea. Social mobilizers the three focus countries. From January to June 2015, the contributed to the facilitation of contact tracing, safe and WFP-led logistics coordination mechanisms facilitated the dignified burials and behavior change communications. transportation of over 54,000 m3 of cargo in the three affected Community radios supported by UNICEF were used to countries. WFP also supported the construction of logistical sensitize large numbers of people. In Guinea Forest Region, bases and health facilities throughout the three countries at where community reticence was a challenge, Ebola Response the request of national Governments. The agency established MPTF funded projects mobilized all religious denominations four staging areas, three main logistics hub, and nine forward as well as community leaders to spread awareness and logistics bases (FLBs) across the region. In addition, WFP initiate behavior change. Ebola Response MPTF funded supported the construction of seven Ebola Treatment Units projects supported 652,258 household visits and continued (ETUs). participation of 4,641 members of 663 of Community Watch With regard to air services, as of 31 December 2015, 31,777 Committees (CWCs). In Guinea, funded projects, for example, passengers were transported across the three affected also helped maintain zero transmission at the country’s countries, Senegal and Ghana. Twenty-eight strategic airlifts borders, where partnership with the Manu River Union (MRU) were organized, which transported relief items of behalf of 37 reached 139,928 people.
4 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Executive Summary
Other projects closed gaps in the Response with regard to With the epidemic under control, emphasis turned to healthcare worker payments. With the support of the Ebola supporting recovery in the region, and to meeting the needs Response MPTF, the United Nations Development Program of the estimated 11,349 Ebola survivors, as well as those (UNDP) supported the accurate and timely payment of wages, left destitute and vulnerable by the outbreak. The Fund’s including danger pay, to thousands of Ebola Response Recovery Window, established in April 2015, commenced Workers (ERWs) in all three countries, preventing strikes and finance to projects supporting the achievement of the four assuring the continuity of care and operations. Recovery Strategic Objectives (RSOs): Health, Nutrition, and Water, Sanitation and Hygiene (WASH); Socio-Economic On 29 March 2016, the World Health Organization (WHO) Revitalization; Basic Services and Infrastructure; and pronounced the end of the Ebola threat to global public Governance Peacebuilding and Social Cohesion. Projects health. The Ebola Response MPTF successfully contributed to funded under the Recovery Window focused on meeting this outcome as well as to the successful conclusion of the the healthcare and socioeconomic needs of survivors, as well first two phases of the Response and the pronouncement that as supporting their reintegration into society; maternal and each of Liberia, Sierra Leone and Guinea were Ebola-free. neonatal health; and the restoration of livelihoods – elements While the virus expectedly reemerged in all three countries - critical to a successful third and final phase of UN Ebola- due to its persistence in some survivors - these flares were all related operations. quickly contained. This was a testament to the capacity and infrastructure put into place by the Response. Ebola Response The Ebola Response MPTF helped to strengthen the national MPTF funded projects not only helped countries to reach health system in Liberia. The UN Population Fund (UNFPA) the milestone of zero transmission, but their lasting impacts supported project, ‘Restoring Midwifery Services in Post helped communities to stay there. Ebola Most-Affected Counties,’ was to reach nine pilot health facilities in Liberia. Sixty-six staff were trained on integrated,
Cultural and Sports activities, Dubreka © Mano River Union (MRU) 5 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Executive Summary
essential reproductive, maternal health and new born care survivors and those left destitute by the epidemic. UNICEF services and infection prevention and control. These facilities and WHO supported the Government of Sierra Leone with the were being equipped with medical equipment and supplies. registration of Ebola survivors, the provision of psychosocial support by training survivors advocates and the enhancement In Guinea, 68 midwives trained by UNFPA were deployed of capabilities of Ministry of Social Welfare, and with the set- in health facilities to ensure quality maternal and neonatal up of a system of free medical services to survivors in five services. In addition, live-saving commodities were procured districts. for distribution in 20 health facilities in the districts of Kindia and Nzérékoré. In summary, the Ebola Response MPTF successfully contributed to meeting the urgent unfunded needs of Ebola-affected In Liberia, a UNICEF-led joint project with UN-HABITAT and countries and their partners working to stop the outbreak. The the International Labour Organization (ILO) was set to upgrade Fund assured fast and flexible finance from the very beginning water and sanitation systems, and incorporate skills-based of the Response, reinforcing collaboration and coordination training and employment for youth in Ebola-affected slum among UN agencies and all stakeholders. It contributed to communities in Clara Town and Greater Monrovia. The project the rapid growth of capacity and infrastructure needed to aimed to reach about 50,000 people, granting access to stop transmission, and to maintain zero transmission once water. An Integrated Solid Waste Management (ISWM) System it was achieved. Throughout the duration of its scheduled was to be adopted to give access to solid waste services. In operations, the Fund will continue supporting urgent under- addition, groups of youths were to be trained to implement funded priorities with regard to response and recovery in the these activities to build skills for future employment. region. In Sierra Leone, Ebola Response MPTF financed projects focused on supporting the livelihoods of Ebola workers,
Handover ceremony UNDP to Guinean Red Cross © UNDP Guinea 6 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Report Structure
This report presents the progress of the UN Ebola Response MPTF and the implementation of projects approved for Multi-Partner Trust Fund (MPTF) since its inception in funding as of 31 December 2015. In line with the Memorandum September 2014. After providing a brief situation update for of Understanding (MOU), the report is consolidated based the region, inclusive of Guinea, Liberia and Sierra Leone, the on information and data contained in the individual progress report details how the Ebola Response MPTF has supported reports and financial statements submitted by Recipient the UN Ebola Response and the achievement of Mission Organizations to the MPTF Office. It is neither an evaluation Critical Actions (MCAs) as well as Recovery Strategic Objectives of the Ebola Response MPTF nor an assessment of the (RSOs) in these three countries. The report demonstrates performance of the Participating Organizations. However, how Ebola Response MPTF funded projects contributed to the report does provide the Ebola Response MPTF Advisory bringing Ebola transmission to zero and ending the global Committee with a comprehensive overview of achievements public health threat. It details Fund contributions towards and challenges associated with projects funded through the prevention, response and recovery in the region. UN Ebola Response MPTF, enabling it to make strategic decisions. The report also summarizes the operations of the Ebola Response MPTF, highlighting the work of its Advisory Committee. It presents a financial analysis, detailing Fund disbursements to close critical financing gaps in the Ebola response across the three most affected countries and expenditures as of 31 December 2015. This consolidated progress report on activities implemented under the Ebola Response MPTF builds on previous Interim Reports. It covers the operations of the UN Ebola Response
FLB in Port Loko, Sierra Leone © MPTF Office 7 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT EBOLA RESPONSE MPTF at A Glance RESPONSE 164 million 47 donors Contributed Including Private Sector Stop TREAT ENSURE PRESERVE PREVENT 36 million 55 million 15 million 20 million 19 million 149 million 11 UN Entities RECOVERY Allocated RS01 RS02 RS03 RS04 Health, Nutrition and Socio-Economic Basic Services and Governance, Peacebuilding 11 MCAs 4 RSOs WASH Revitalization Infrastructures and Social Cohesion Supported Supported 1.55 million 0.75 million 1 million 0.25 million Where the funds CAME from
Europe North America $100,456,604 $7,154,056 Oceania $9,924,400
Asia $39,081,742 Africa South America $38,174 $7,101,687
40 Member States Contributors *Note: Individuals and Foundations not included in the map
Funding per Country as of 31 Dec2015 Funding per MCAs and RSOs as of 31 December 2015
1% Guinea MCA01 - Identify and Tracing 20.62% MCA02 - Safe and dignified burials 3.66% Total 37% Liberia 35% Allocation MCA03 - Care for persons Sierra Leone $149 m MCA04 - Medical care for responders 2.81% Regional MCA05 - Food security and nutrition 0% MCA06 - Basic Services 3.26% 27% $149,158,949.06 MCA07 - Cash Incentives 4.18% MCA08 - Recovery and Economy 2.74% Funding per Strategic Objectives Recovery and Response MCA09 - Materials and Equipment 5.51% as of 31 December 2015 2.41% MCA10 - Transport and Fuels 0.59% for Recovery under four Strategic Objectives RSO1 Health Nutrition WASH MCA11 - Soc.Mob & Community 7.09% 13% RSO2 Socio-Economic Revitalizn MCA12 - Messaging 0% 24% RSO3 Basic Service & Infrastr MCA13 - Preparedness 12.69% 13% Total RSO4 Govern PeaceBldg Cohesion RSO1 - Health, Nutrition and WASH 1.04% Allocation SO1 STOP the outbreak RSO2 - Socio-Economi Revitalisation 0.50% $149 m 10% SO2 TREAT the infected RSO3 - Basic Services and Infrastructure 0.70% SO3 ENSURE essential services RSO4 - Governance, Peacebuilding and 0.17% 37% SO4 PRESERVE stability Social Cohesion SO5 PREVENT
8 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Situation Update: Guinea, Liberia and Sierra Leone
On 29 March 2016, based on the advice of the International and suspected cases of Ebola were reported across Guinea, Health Regulations (2005) Emergency Committee and Liberia and Sierra Leone, the countries hardest hit by the her own assessment of the situation, the WHO Director- epidemic. Over 11,000 people died (reported deaths), the General declared the end of the Public Health Emergency of majority between April and December 2014, including over International Concern regarding the Ebola outbreak in West 800 healthcare workers. Africa. At the time of declaration, 28,510 confirmed, probable
Figure 1: Confirmed, probable, and suspected EVD cases worldwide
3,811 Guinea 2,543 10,675 Liberia 4,809 14,124 Sierra Leone 3,956 Italy 1 Case 0 Deaths Mali 8 Cases 6 Deaths Data up to 27 March 2016 Nigeria 20 Cases 8 Deaths Cases Deaths Senegal 1 Case 0 Deaths Spain 1 Case 0 Deaths United Kingdom 1 Case 0 Deaths United States 4 Cases 1 Death 28,646 TOTAL 11,323
To end the public health threat, an unprecedented global were confirmed in the country in mid-January 2016. On 17 effort to stop the spread of virus was launched in the fall March 2016, a cluster of two confirmed and three probable of 2014, at a time when the numbers of newly diagnosed cases of Ebola were reported from the prefecture of N’Zerekore were doubling every three weeks. To support the UN Ebola in south-eastern Guinea, and similarly, a case on 1 April 2016, Response, the Ebola MPTF was launched in September 2014. marked a third such flare-up in Liberia. The initial response to the outbreak, to which MPTF projects These clusters of cases, while quickly contained, served as were aligned, focused on rapidly growing capacity to track and stern reminders of the importance of constant vigilance and diagnose cases, offer treatment, isolate and triage infections, the mechanisms and infrastructure put into place to enable and change behaviors, including unsafe burial practices, which detection, treatment and contact tracing to contain outbreaks. were fostering transmission. With this global effort, and into The capacity to deploy rapid-response teams following the 2015, case incidence began to fall across West Africa. detection of new cases continues to be a cornerstone of the Throughout 2015, the Response looked to reinforce and national response strategy in all three countries, and is why, broaden the surveillance, contact tracing, and community as the disease re-emerges, transmission has been quickly engagement interventions that were working, in order to brought to zero. drive case incidence towards zero. As the epidemic waned, it Since the start of the epidemic, substantial progress, through became characterized by limited transmission across smaller MPTF funded projects, among others, has been made to geographic areas. Progress was uneven, but caseloads strengthen local and national health systems and to establish reduced thanks to the diligent efforts of thousands of the human capacity, logistics and infrastructure that enable volunteers, Governments, multilateral agencies and an array quick, on-the-ground responses to disease alerts. Many of other partners implementing and coordinating various communities, initially wary of the response, have now taken elements of the fight against the disease. Eventually, WHO the lead in surveillance, education and awareness raising, declared all three countries Ebola-free: Liberia on 9 May and this behavior change, especially knowledge of safe burial 2015; Sierra Leone on 7 November 2015; and Guinea on 29 practices, hygiene and the use of health facilities, has been December 2015. critical to cutting transmission and ending the outbreak. There Despite these milestones, these countries have each are now thousands of trained responders ready to deploy to experienced expected pockets of Ebola re-emergence, owing stop outbreaks, and their effectiveness has been demonstrated mainly to the persistence of the virus in survivors. Before throughout the early months of 2016, as all three countries Sierra Leone could complete its 90 day period of enhanced have effectively contained clusters of Ebola re-emergence. surveillance following its November declaration, two cases
9 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Situation Update: Guinea, Liberia and Sierra Leone
Through the response effort, advances have also been made and destitute women and families have become priority in diagnostics and in vaccines. Diagnostic tools and services, targets for a number of recovery interventions. Projects and which initially took days to use, can now provide test results in partners are also focused on providing psychosomatic and hours. To date, at least 15 vaccines are under development, other support to the thousands of volunteers that must now with four in varying advanced stages of human testing reintegrate into everyday life, and return to their jobs and (possibly the fastest vaccine roll-out in history). The response schooling. to the latest outbreak in Guinea, for instance, employed a Going forward, the response and the projects that support vaccination cerclage of contacts. it will maintain a focus on rehabilitation and recovery, while As the outbreak has been brought under control, attention has transitioning from emergency operations to surveillance and turned more acutely to the rehabilitation and recovery of the vigilance with a view to sustaining zero transmission. While communities hardest hit by Ebola. Across Guinea, Liberia and the health infrastructure for response and preparedness has Sierra Leone there are an estimated 11,349 survivors. Many been strengthened in West Africa, there remains a great deal continue to face severe, Ebola-related health issues, as well of space for further capacity building and improvement, with as serious mental health issues arising from the loss of many the lessons learned from the Ebola outbreak informing the family members, as well as community-based stigmatization way forward. and discrimination. Efforts are underway to increase clinical care for survivors, including mental health and monitoring, as well as to ease their reintroduction into society, end discrimination, and restore their livelihoods. Ebola-orphans
Logistical support in Liberia © MPTF Office 10 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Achievements of the Ebola Response MPTF
Response Window detection campaign in Ebola-affected areas by constructing and dismantling remote camps for humanitarian responders. Logistics Operations In Sierra Leone, in light of the recent outbreak in Tonkolili, WFP deployed two prefabs to create office space for WHO Throughout the emergency and early recovery phases of the field teams within the framework of the WHO-WFP Joint Response, the Ebola Response MPTF, through its funding Collaboration and provided connectivity services for the to the World Food Programme (WFP), provided a range of Response. To scale-up logistics networks and infrastructure common services that enabled rapid response mechanisms for the protection of healthcare workers, WFP rehabilitated and effective containment of new Ebola outbreaks. At the two UN Clinics for humanitarian responders, one in Conakry onset of the crisis, WFP’s operational readiness helped meet (Guinea) and one in Freetown (Sierra Leone), which now offer urgent requests and needs across the three focus countries. routine care 40-hours per week and emergency care services From January to June 2015, the WFP-led logistics coordination 24-hours a day. mechanisms facilitated the transport of over 13,000 m3 of In order to consolidate and sustain all logistics premises and cargo in Guinea, 30,000 m3 in Liberia, and 11,000 m3 in Sierra storage facilities across the three countries, WFP built the Leone. WFP also supported the construction of logistical capacity of the national counterparts with regard to logistics bases and health facilities throughout the three countries at and supply chain management, thereby enabling their the request of national Governments. The agency established preparedness for future health emergencies. For instance, two staging areas, one main logistics hub, and five forward WFP, as part of its transition plan, bolstered the capacity of logistics bases (FLBs) in Liberia; one staging area, one main the cross-ministerial General Services Agency (GSA), to which logistics hub, and two FLBs in Guinea; and one staging the agency handed over the management and operation of area, one main logistics hub, and four FLBs in Sierra Leone. the logistics bases, the backbone of the Ebola response in In addition, WFP supported the construction of two Ebola Liberia. Similarly, in Sierra Leone, WFP continues to provide Treatment Units (ETUs) in Liberia (Samuel Kanyon Doe Sports medium and long-term support by managing the logistics hub Stadium, Ministry of Defense) with a total bed capacity of in Port Loko. It provides logistical services for partners, thereby 400, and rehabilitated the Island Clinic with an additional 100 maintaining basic logistical preparedness in the country. beds. In Guinea, WFP supported the construction of five ETUs (Nongo, Coyah, Nzérékoré, Kérouané and Beyla), with a total The Ebola Response MPTF also financed the supply operation capacity of 520 beds. of the UN Children’s Fund (UNICEF), which sent more than 8,000MT of life-saving supplies between August 2014 and With regard to air services, through the WFP-managed United June 2015, and maintained a steady stream of airlifts and Nations Humanitarian Air Services (UNHAS), as of 31 December sea shipments across Guinea, Liberia and Sierra Leone. The 2015, 5,473 take-offs were performed and 31,777 passengers shipments included tents, tarpaulins and supplies, including and 202MT of light cargo were transported across the three personal protective equipment (PPE), gloves, medicine and affected countries, Senegal and Ghana. Some 28 strategic body bags – supplies that supported over 60 Community Care airlifts were organized, which transported 770MT of relief Centers (CCC). The supply operation also: provided nutritional items of behalf of 37 organizations. UNHAS also performed support for over 7,000 Ebola patients and 2,000 children 56 medical evacuations of Ebola-symptomatic personnel whose families were affected by Ebola; provided drinking of humanitarian actors and UN personnel in Guinea, Liberia water and sanitation materials for 1,700 non-Ebola health and Sierra Leone. The Emergency Telecommunications (ET) facilities; and provisioned families in quarantined households Cluster provided internet service to 80 humanitarian facilities with the support they needed for the 21-day isolation period. and radio service in 17 towns across Guinea, Liberia and UNICEF supplies ensured the continued delivery of vaccines Sierra Leone, which allowed more than 3,300 humanitarian for routine immunizations; and education materials and responders to remain connected, including in “red zones.” infection prevention and control (IPC) supplies to support the Since the beginning of the operation, more than 3,300 users safe return of 1.8 million children to school. have employed the internet service set up by the ET Cluster. WHO, with the support of the Ebola Response MPTF, WFP also responded to ad-hoc requests for logistical support. strengthened the capacity of Liberia’s Ministry of Health For example, in July 2015 in Liberia, WFP technicians to run logistical operations across and within all of the assembled four tents for UNICEF staff that had arrived in an country’s districts. This assured the flow of essential materials area of Margibi County where new cases were appearing and and supplies for a multi-dimensional response. Some 105 the local community needed support. WFP also re-assembled containers, 14,896 boxes and 23 pallets, which totaled 116 air six Rapid Isolation Treatment of Ebola (RITE) kits at SKD Main and sea shipments of mostly IPC supplies, were dispatched to Logistics Hub as a preparedness measure. In Guinea, the over 700 health facilities in Liberia. agency supported the Government’s sensitization and early
11 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Achievements of the Ebola Response MPTF
Strengthened Surveillance Ebola Response MPTF funded projects helped reestablish the country’s IDSR system and support the rapid containment of In addition to supporting logistics, infrastructure and supply Ebola outbreaks. chain operations, Ebola Response MPTF funded projects bolstered human capacity for surveillance, contact tracing, Support to Orphans safe burials and monitoring, activities critical to stopping the outbreak. The Fund supported the training and retention Through the Ebola Children Protection project implemented of essential staff, critical at the height of the outbreak. In in five counties in Liberia, UNICEF in collaboration with Guinea, WHO, with the support of the Ebola Response MPTF, development partners reached 17,318 persons with mental deployed 95 national and international epidemiologists, 37 health and psychosocial support (MPHSS), alternative care, IPC experts, over 1,500 contact tracers, 66 supervisors, and and case management for Ebola-affected children and 74 district monitors. Between September 2014 and the end of families. Out of these, 16,093 children received mental this reporting period, contract tracers traced 27,639 people. health and psychosocial support, and case management In July 2015 alone, in Guinea, contract tracers registered 2,285 through one-on-one meetings with social workers, structured people, representing 99% of the total number of people who recreation for resilience activities facilitated by trained staff had come into contact with Ebola victims. and case management services. In Liberia, WHO provided technical assistance through the Increased human resource and technical capacities of social deployment of 35 epidemiologists across 15 counties. The workers, child welfare officers, mental health clinicians and agency recruited and trained over 10,090 contract tracers/ data clerks enabled 9,060 Ebola-affected children to access active case finders (ACFs) and built capacities of the County case management, psychosocial support and reintegration Health Teams with regard to surveillance and contact tracing, follow up services. Some 7,000 child orphans and survivors IPC, social mobilization and community engagement. WHO’s received a one-time cash grant to support family-based care technical assistance in the deployment of 14 IPC experts and return to school across the country. helped stop Ebola transmission and contain the outbreak. The development of healthcare workers’ (HCW) Precautionary Social Mobilization Observation Standard Operating Procedure (SOP), IPC minimum standards assessment tool and the training of HCWs Ebola Response MPTF funded projects also met critical needs in the ‘Safe and Quality Health Services’ (SQS) package and with regard to social mobilization and behavior change, the ‘Keep Safe - Keep Serving’ (KSKS) IPC package resulted activities that helped empower communities to take action in a 15% increase in healthcare facilities’ (HCFs) adherence to against the virus and to assume monitoring and surveillance selected minimum IPC standards during 2015. activities. WHO deployed social mobilization experts to Sierra Leonean districts (three funded from the MPTF), and Strengthened capacities at the district level were also recruited, trained and deployed 32 nationals across all 14 instrumental in bringing Ebola transmission to zero in Liberia. districts to assure the sustainability of social mobilization Over 8,000 healthcare workers were trained in IPC and 728 efforts. Community engagement activities were held at least health care facilities were stocked with IPC commodities. twice in all 149 chiefdoms with intensified efforts during Ebola messaging and sensitization campaigns improved operational surges, including 52 activities as part of the community education and actively engaged leaders and the Tonkolili surge. Furthermore, the enhanced social mobilization wider community by building trust, ownership, and capacity to and surveillance was supported by the Quick Impact Projects take decisions and stop behaviors that spread Ebola. reaching out to more than 80,000 people in the end 2015, In Sierra Leone, the deployment of 65 epidemiologists and when many international partners started reducing their 35 IPC experts boosted the capacity of hundreds of contact presence in the country. tracers and over 12,000 healthcare workers on IPC measures. Social mobilization and health promotion were key pillars of It also improved IPC protocols implementation in 476 health the Ebola response in Liberia, with the overall goal of raising centers in the country. Projects also bolstered human capacity community awareness, fostering community participation in in the Sierra Leone NERC Secretariat and supported Rapid the Response, and strengthening community engagement Response Stabilization Teams (RRSTs) that conducted at least in planning, implementation, monitoring and evaluation of fourteen surge operations. agreed Ebola response activities. The Ebola Response MPTF was catalytic in its support of the In December 2014, UNICEF partnered with the City Integrated Disease Surveillance and Reporting (IDSR) system Corporations of Monrovia and Paynesville to carry out social in Sierra Leone. The establishment of the ISDR enabled state mobilization and community engagement activities through institutions to monitor and quickly react to the epidemiological a three month ‘Operation Stop Ebola Campaign.’ The situation in the country. Weekly information on diseases is now campaign targeted two of Liberia’s most populated cities in provided by most hospitals in the country. Similarly, in Liberia, Montserrado County, with a population of 1.4 million, close to
12 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Achievements of the Ebola Response MPTF half of the population of the entire country. By January 2015, communities and their surveillance measures. 990 commissioners, community, zonal, and block leaders Social mobilization was a key activity in Guinea. Social were trained and equipped with message dissemination mobilizers contributed to the facilitation of contact tracing, safe tools (Ebola flip book and megaphones) within Monrovia and and dignified burials and behavior change communications. Paynesville to raise awareness on Ebola at the household Community radios supported by UNICEF were used to sensitize level. For wider coverage, UNICEF partnered with 22 FM large groups of people, for instance, in Boffa and Dalaba. In radio stations in and around Monrovia and Paynesville, which addition, one mobile radio “Radio Santeyah” supported by covered a population of approximately 400,000 individuals. the International Federation of Red Cross and Red Crescent The campaign was effective in bridging the linkages between Societies (IFRC) through Ebola Response MPTF funding, was the Ministry of Health (MoH) community health volunteers and used to overcome community reticence in Forécariah. community leadership structures. In Guinea Forest Region, where community reticence was a WHO, in collaboration with Global Communities, the challenge to the Response, a project mobilized all religious Montserrado Response Team, the Centers for Disease Control denominations as well as community leaders to spread and Prevention (CDC) and UNICEF, supported community awareness and initiate behavior change. Sensitization dialogue meetings to mobilize communities to address safe initiatives reached 22 districts of the city of N’Zérékoré, and burial practices. The communities developed action points members of all faiths gathered 3,500 people to participate to promote safe burials and steps to strengthen surveillance in an awareness building campaign. In Kissidougou, one of of dead body management. In Liberia, through an Ebola the most Ebola-affected areas, five rural communes and 10 Response MPTF funded project, some 500 community leaders, villages were targeted. Door-to-door visits reached 3,300 active case finders and district surveillance teams participated people. Assuring safe and dignified burials was also a lynchpin in orientation meetings to strengthen their collaboration with
Operation Safeguard Children Sierra Leone © UNMEER - UNOPS 13 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Achievements of the Ebola Response MPTF
to the Response in Guinea, as traditional practices of washing the existing payment mechanism including the information the dead advanced transmission. Given this context, 14,254 management system. The agency supported the Government, safe and dignified burials (SDBs) were provided and 10,760 which by December 2015, paid an average of 10,000 Ebola places, such as houses, were disinfected. To meet the urgent Response Workers (ERWs) per payment cycle (for a total of 5 need for community education and outreach, Ebola Response payment cycles), ensuring that more than 95% of ERWs were MPTF funded projects supported 652,258 household visits and registered and linked to a payment mechanism. In addition, assured compensation to, and thus continued participation UNDP paid an average of 495 ERWs working for the central of, 4,641 members of 663 of Community Watch Committees Incident Management System directly over two payment (CWCs). In Guinea, funded projects also helped maintain cycles. It also supported the Government of Liberia in its efforts zero transmission at the country’s borders, where partnership to harmonize pay scales, installed a complaint mechanism with the Manu River Union (MRU) reached some 139,928 with a call center, and deployed 17 UN Volunteers in the field people. In addition, the Ebola Response MPTF funded the to support Ministry of Health teams with the collection, sorting procurement of hand washing kits to prevent the transmission and verification of payment complaints. of Ebola during the presidential elections. 17,500 kits were In Guinea, UNDP, funded by the Ebola Response MPTF and purchased and made available to the Electoral Commission the World Bank, paid incentives to ERWs working in Ebola for distribution. Treatment Units. Approximately, 26,712 ERWs were paid through Government systems and 959 ERWs were paid Incentives for Ebola Response Workers through a UNDP contingency plan. Other projects closed gaps in the Response with regard to In summary, the Ebola Response MPTF has achieved critical healthcare worker payments. Ebola Response MPTF funded results, contributing significantly to the success of the first two projects supported the accurate and timely payment of phases of the Response and the pronouncement that each wages, including danger pay, to thousands of Ebola Response of Liberia, Sierra Leone and Guinea were Ebola-free. While Workers (ERWs) in all three countries, preventing strikes and the virus has expectedly reemerged in all three countries - assuring the continuity of care and operations. In Sierra Leone, due to its persistence in some survivors - these flares have an Ebola Response MPTF funded project supported the all been quickly contained. This has been a testament to the coordination of the payment process, which included setting capacity and infrastructure put into place by the Response. up a payment list, and coordinating with transferring agents, Ebola Response MPTF funded projects have not only helped fiduciary agents, donors, and Government institutions, for countries to reach the milestone of zero transmission, but their over 150,000 individual transactions. lasting impacts are helping communities to stay there. In Liberia, the UN Development Programme (UNDP) facilitated payments to Ebola Response Workers and strengthened
14 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Achievements of the Ebola Response MPTF
Recovery Window services to survivors in five districts. In addition, UNDP has commenced implementation of a project that supports the Support to Survivors reintegration of 800 Safe and Dignified Burial (SDB) team volunteers into society. It provides psychosocial counselling With the epidemic under control, emphasis has turned to and develops employment and livelihoods options for them. supporting recovery in the region, and to meeting the needs In Guinea, Quick Impact Projects (QIPs) projects have of the 11,349 estimated Ebola survivors, as well as those left supported the creation of a National Ebola Survivors’ Platform, destitute and vulnerable by the outbreak. Ebola Response with additional activities ongoing to identify survivors, assess MPTF Recovery Window-funded projects are now contributing their needs for assistance, and provide legal assistance for the to meeting survivors’ healthcare and socioeconomic needs, formation of survivor associations. Thirteen associations that the restoration of livelihoods and to maternal and neonatal were provided Ebola Response MPTF support are now ready healthcare. to advocate for survivors. In Sierra Leone, Ebola Response MPTF financed projects have focused on supporting the livelihoods of Ebola workers, Revival of Reproductive Health Services survivors and those left destitute by the epidemic. Ebola survivors in the Western Area and Bombali have been identified The UN Population Fund (UNFPA) supported project, and a project has commenced to support livelihoods of 2,500 ‘Restoring Midwifery Services in Post Ebola Most-Affected survivors in the country. UNICEF and WHO have supported Counties’ is reaching nine pilot health facilities in three counties the Government of Sierra Leone with: the registration of Ebola in Liberia. Some 66 staff, about three per facility, were trained survivors; the provision of psychosocial support by training on integrated, essential reproductive, maternal health and survivors advocates and enhancing capabilities of Ministry new born care services and infection prevention and control. of Social Welfare; and the set-up of a system of free medical In addition, 70 Community Health Volunteers were trained to
UNFPA Team Liberia © UNFPA 15 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Achievements of the Ebola Response MPTF
identify danger signs, make timely referrals of maternal and technical assessment was conducted in Clara town on the new born complications and in the promotion of health care design, status, access and management of infrastructural services. In collaboration with the Chief Nursing Officer and facilities for WASH and Sanitation across the slum settlement. the Liberia Board of Nursing and Midwifery, eight midwives The project aims to reach about 50,000 people, granting were deployed to assist in skilled deliveries at the facility access to at least 20 liters of water per day and reducing level. Nine facilities are being equipped with instruments and the distance from household to water point. It also aims to medical supplies, including reproductive health kits and other build 20 additional latrines and to spread good handwashing IPC supplies. In addition, five facilities are receiving delivery practices among the slum communities. An Integrated Solid beds; and the Foya Bormah Hospital received an operating Waste Management (ISWM) System will be adopted to give table, additional hospital beds, as well as medical instruments, access to solid waste services to at least 5,000 households. In supplies and delivery kits to improve the quality of antenatal addition, groups of youths will be trained to implement these and post-natal care services. activities to build skills for future employment. In Guinea, 68 midwives trained by UNFPA have been deployed Overall, throughout the duration of its operation, the Ebola in health facilities to ensure quality maternal and neonatal Response MPTF has successfully contributed to meeting services. Life-saving commodities were procured and will be the most urgent needs of Ebola-affected countries and distributed in 20 health facilities in the districts of Kindia and their partners working to stop the outbreak. The Fund has Nzérékoré. assured fast and flexible financing from the very beginning of the Response, reinforcing collaboration and coordination Support to Livelihoods among UN agencies and all stakeholders. It contributed to the rapid growth of capacity and infrastructure needed to Also in Liberia, a UNICEF-led joint project with UN-HABITAT stop transmission, and to maintain zero transmission once and the International Labour Organization (ILO) was launched it was achieved. Throughout the duration of its scheduled in March 2016 to upgrade water and sanitation systems, and operations, the Fund will continue supporting urgent under- incorporate skills-based training and employment for youth in funded priorities with regard to response and recovery in the Ebola-affected slum communities in Clara Town and Greater region. Monrovia. In collaboration with the local population and Government partners, Liberia Water and Sewer Corporation (LWSC) and Monrovia City Corporation (MCC), a rapid
UNFPA Staff Nurses in Guinea © UNFPA 16 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Operations and Governance Structure
The Ebola Response MPTF is guided by the five strategic legal agreements with UN Entities and donors, administration objectives of the UN Response STEPP strategy: Stop the of donor contributions, fund disbursement and consolidated outbreak; Treat the infected; Ensure essential services; reporting. The Fund Secretariat provides support to the Preserve stability; and Prevent outbreaks in countries currently Advisory Committee; supports the fund mobilization efforts unaffected. In addition, the Fund’s Recovery Window, led by the Chair; organizes calls for and appraisal of proposals; established in April 2015, commenced finance to projects and monitors and reports on the Fund’s programmatic supporting achievement of the four Recovery Strategic performance to the Chair and Advisory Committee. The Objectives (RSOs): Health, Nutrition, and Water, Sanitation Advisory Committee provides guidance to the Chair in the and Hygiene (WASH); Socio-Economic Revitalization; Basic management of the Fund, and its views are sought on the Services and Infrastructure; and Governance Peacebuilding allocation of donor resources. The Committee also serves as a and Social Cohesion. The funding priorities for the Trust Fund forum for discussing strategic issues and sharing information are defined by three variables: i) the latest assessment of the on key issues. The UN Resident Coordinators in each country evolving epidemiology of the outbreak (from WHO and other prioritize and endorse proposals prior to submission to the sources); ii) priority needs in the Ebola Response, as assessed Chair and the Advisory Committee. by regular interaction with all stakeholders in the Response; and iii) the comparative advantage of the UN System, as Advisory Committee assessed by the Chair of the Advisory Committee and through his interactions with the UN agencies, funds and programmes. The Advisory Committee is a unique facet of the Trust Fund that supports and facilitates the dialogue needed to make Governance Structure and Procedures informed, fast and strategic decisions on how funds should be allocated. It is composed of the Special Envoy on Ebola The Ebola Response MPTF has a transparent structure, (as Chair), three representatives of contributing donors, one which includes the UN Special Envoy on Ebola3 serving as a representative from each of the three most affected countries, Chair of the Advisory Committee, an Advisory Committee, and the Special Representative of the Secretary- General for a Fund Secretariat, Recipient Organizations and a Fund UNMEER (serving as an observer). Administrator. The Chair articulates the Ebola Response The Advisory Committee met when there was an operational MPTF funding priorities and makes fund allocation decisions need to do so, in order to evaluate and fund projects as quickly in consultation with the Advisory Committee. Recipient as possible. It has met ten times since the inception of the Fund Organizations include UNMEER, UN organizations and and has allocated over US$149 million for 66 projects. Each departments, the International Organization for Migration meeting provided an opportunity for substantial discussion on (IOM) and NGO Implementing Partners. The UNDP Multi- the comparative value of the projects with all the members of Partner Trust Fund Office (http://mptf.undp.org/) acts as the the Committee, including the Permanent Representatives of Trust Fund Administrator and is responsible for Fund design, Guinea, Liberia and Sierra Leone to the United Nations.
1 As of 1 January 2016, the new title of the Chair of the Advisory Committee is Special Adviser to the UN Secretary-General on the 2030 Agenda for Sustainable Development and Climate Change
17 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Summary of project approval
Meeting 1 – 30 October 2014 Meeting 2 – 13 November 2014 Endorsement of Fund’s TOR and Rules of Procedure Approvals: Approval: WFP “Common Services for the Health Response” US$32,023,716 WFP “Common Services for the Health Response” US$8,000,000 UNDP “Payment Programme for Ebola Response Workers” US$6,235,957 UNMEER “Quick Impact Projects” US$3,000,000 UNMEER and UNOPS “Rapid Response Stabilization Teams” and Meeting 3 – 5 December 2014 “Support to NERC Secretariat, Sierra Leone” US$8,323,122* Approvals: ICAO “Regional Aviation Ebola Action” US$1,000,000 UNICEF and UNDP “Social Mobilization in Guinea” US$3,948,364 UNDP “Support to Detention Centers in Sierra Leone” US$1,201,725 Meeting 4 - 17 December 2014 WHO/UNDP/UNFPA “Interruption of Transmission in Liberia” Approvals: US$11,603,212 WHO “Epidemiology. District Management” US$30,010,04 UNICEF “Ebola Charters” US$877,718 UNICEF “Community Transit Centers in Guinea” US$9,813,619 UNICEF “Outreach and Awareness Campaign in Liberia” US$283,088
Meeting 5 - 16 January 2015 Approvals: UNDP/UN WOMEN “Payments to EVD Survivors and Destitute Meeting 6 – 9 April 2015 and e-approval* Families” US$2,055,470 Approvals: UNDP/UNICEF/UNFPA “Support to Mano River Union” GRC/UNDP/WHO “Reinforcement of the Guinean Red Cross” US$2,836,072 US$1,000,000 WHO “Sensitization Campaign in Guinea” US$400,000 UNICEF “Social Mobilization in Guinea” US$999,915* Meeting 7 - 8 July 2015 Approvals: UNDP “UN Medical Clinics in Guinea and Sierra Leone” US$1,219,800 UNFPA “Restoring Mid-wifery Services in Liberia” US$1,000,000 Meeting 8 - 14 August 2015 Approvals: WHO – Regional “Ebola Response Interagency Stewardship” US$119,000 UNDP – Guinea “Preventing EVD Spread during the Electoral Meeting 9 - 24 September 2015 and e-approval* Process” US$991,467 Approvals: UNDP/UNFPA – Guinea “Strengthening Community Recovery and Resilience” US$748,728 UNDP – Guinea “Establishment of a Financial Mechanism for Meeting 10 - 15 December 2015 and e-approval* Ebola Recovery” US$247,915 Approvals: WHO/UNICEF –Sierra Leone “Ebola Survivors: Needs, Assessment, UN-HABITAT/UNICEF/ILO – Liberia “Water and Sanitation Systems in Psychosocial Support and Reintegration” US$1,047,396 Ebola-affected Slum Communities” UNICEF – Guinea “Social Mobilization for Achieving and UNDP – Guinea - Sierra Leone US$1,810,733 “Support to the UN Sustaining a Resilient Zero” US$909,500 Resident Coordinators for Ebola Response Phase 3” UNDP – Guinea “Psychosocial and Economic support for Survivors” US$1,500,000
* Proposals approved via e-approval procedure 18 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
CONTRIBUTIONS
UNITED KINGDOM US$31,884,000 SWEDEN $13,217,001 GERMANY $11,606,933 CHINA $11,000,000 INDIA $10,000,000 REPUBLIC of KOREA $10,000,000 BELGIUM $8,964,918 FINLAND $8,824,590 AUSTRALIA $8,755,000 ISRAEL $8,750,000 CANADA $7,154,056 JAPAN $5,940,000 DENMARK $5,042,695 VENEZUELA $5,000,000 SWITZERLAND $4,927,079 NORWAY $2,061,147 PHILIPPINES $2,041,742 TURKEY $1,500,000 IRELAND $1,233,100 NEW ZEALAND $1,169,400 BOLIVIA $1,000,000 RUSSIA $1,000,000 LUXEMBOURG $902,060 BRAZIL $602,845 CHILE $300,000 CZECH REPUBLIC $205,052 COLOMBIA $100,000 MALAYSIA $100,000 MALTA $62,295 GUYANA $50,363 ESTONIA $50,216 KAZAKHSTAN $50,000 Total: LATVIA $48,876 $163,756,663 PERU $48,479 ROMANIA $40,000 Private Sector & Foundations PORTUGAL $30,293 Volvo Group 1,307,360 GEORGIA $25,000 Royal Charity Org. Bahrain 1,000,000 HOLY SEE $20,000 UN Foundation/UN Partnershp Office 290,682
MAURITIUS $20,000 Non-profit Organization 20,000 CHAD $16,593 PRIVATE SECTOR 10,350 CYPRUS $6,350 TOTAL 2,628,393
MONTENEGRO $5,000 TOGO $1,580
19 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
20 23 MCA 1 - Identify and Trace People with Ebola
25 MCA 2 - Access to Basic Services
27 MCA 3 - Care for Persons with Ebola and Infection Control
29 MCA 4 - Medical Care for Responders
31 MCA 7 - Cash Incentives for Workers
32 MCA 9 - Reliable Supplies of Materials and Equipment
34 MCA 11 - Social Mobilization and Community Engagement
36 MCA 13 - Preventing Outbreaks
39 RSO 02 - Socio-Economic Revitalisation
40 RSO 04 - Governance, Peacebuilding, and Social Cohesion UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT at A Glance
GUINEA 54.9 million 51 million Contributed Expenditures SENEGAL MALI
GUINEA- Proposals Entities BISSAU 18 6 UN Labé Boké RESPONSE Mamou Kankan S01 S02 S03 S04 S05 Kindia Faranah Stop TREAT ENSURE PRESERVE PREVENT Conakry 12 million 22.5 million 2 million 13 million 4 million SIERRA RECOVERY LEONE Nzérékoré RS01 RS02 RS03 RS04 ATLANTIC Governance, OCEAN Health, Nutrition and Socio-Economic Basic Services and Peacebuilding and CÔTE WASH Revitalization Infrastructures LIBERIA D’IVOIRE Social Cohesion 50 km n/a 0.75 million n/a 0.25 million
Map Sources: ESRI, UNCS. The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Map created in Sep 2013.
Funding as of 31 December 2015* Funding per Mission Critical Actions & Recovery Strategic Objectives
MCA01 - Identify and Tracing 12.21% MCA02 - Safe and dignified burials 9.94% 36.85% 37% MCA03 - Care for persons MCA04 - Medical care for responders 3.98% MCA05 - Food security and nutrition Total 0% MCA06 - Basic Services 0% Allocation MCA07 - Cash Incentives 4.01% $149 m MCA08 - Recovery and Economy 0% MCA09 - Materials and Equipment 6.57% MCA10 - Transport and Fuels 0.50% MCA11 - Soc.Mob & Community 16.87% MCA12 - Messaging 0% MCA13 - Preparedness 7.25% RSO1 - Health, Nutrition and WASH 0% Guinea Sierra Leone $54,930,971 RSO2 - Socio-Economic Revitalisation 1.36% Liberia Regional RSO3 - Basic Services and Infrastructure 0% RSO4 - Governance, Peacebuilding and 0.45% * Allocations are based on approved budget Social Cohesion
22 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 1
COVERAGE: MCA 1 $6.71 million Allocated High case load districts:10 Identify and trace people with Ebola Other districts: 19
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093251 #16 Epidemiology District Management 19-Dec-2014 $6,308,640 6-Feb-2015 00094960 # 35 – Campaign of sensitization and early 8- May- 2015 $400,0001 detection of Ebola suspected cases PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES 1,511 Contact Tracers 1,511 Contact Tracers Staff Deployment 66 Supervisors 66 Supervisors WHO 74 District Monitors 74 District Monitors 95 National and Epidemiologists deployed 25 International Staff WHO International Staff2
Number of households visited 565,026 117,606 WHO
Number of suspected cases 3,717 79 WHO
1 in addition to the contribution of the Ebola MPTF, this project was funded by UNICEF, CDC, and French Cooperation 2 As of 31 December 2015
Achievements and Results
Contract tracing was a key factor contributing to the end of the Project #35, “Campaign of Sensitization and Early Detection Ebola outbreak in Guinea. It encompassed the identification, of Ebola Suspected Cases,” responded to the difficulty assessment and management of people who had come into of ending Ebola transmission in Lower Guinea, especially contact with Ebola and their rapid isolation were they to given the persistence of rumors, reticence to care and the become symptomatic. At the height of the outbreak, WHO, continuation of unsafe burial practices. In light of that situation, through Project #16, “Strengthen District Level Case Finding, the Government of Guinea, on 28 March 2015, enforced Case Management, Reporting, Logistics Management, an emergency health declaration. The declaration put in Community Mobilization and Engagement,” deployed place measures to assure that proper reporting, treatment, 1,651 people in the field to conduct contract tracing. Since isolation, infection prevention and control (IPC) and safe burial September 2014, they have traced more than 27,639 people practices were undertaken. To support the implementation who came into contact with the virus. of these measures, an awareness campaign for people living in zones with active cases and a sweep for suspected During this reporting period, contact tracers worked mainly at cases were organized between 28 March and 12 May 2015. the community level in Ebola hot spots (including Conakry and The recommended strategy was door-to-door campaigning Forécariah), and were involved in mini-cerclage campaigns. by mobile teams in the prefectures of Forécariah, Coyah, These campaigns focused on small areas where Ebola Dubréka, Conakry (five municipalities), Kindia (urban commune remained intractable and where cases continued to emerge and sub-prefecture Friguiagbé) and Boffa (sub-prefectures of even after the outbreak had ended in many other parts of the Koba Tamita and Douprou). This comprised a total population country. During these campaigns, the population’s movement of 3,390,155 (565,026 households) that needed to be made was restricted for a period of 21 days and health workers aware of the emergency measures. actively searched for the sick. People who were identified as having been in contact with Ebola victims were given food Awareness campaigns and early detection were conducted in and cash during the period of the mini-cerclage. The contact Forécariah, Coyah, Dubreka and Dixinn. In addition, quarantine tracers interviewed the local population twice daily about strategies were used in localities (Boké and Ratoma in Conakry) the state of their health, took their temperature and filled that had more than one case over the course of 21 days. The out reports, which were sent to supervisors. Using Ebola main objective was to break the chains of Ebola transmission Response MPTF financing, WHO was also able to hire national and bring transmission to zero within 45 days of implementing Guinean epidemiologists who supervised contact tracers and the measures outlined in the emergency health declaration. conducted active searches for undiagnosed Ebola victims Activities centered around nine specific objectives: (1) Identify at health facilities. International epidemiologists played a any areas that may contain suspected cases of Ebola; (2) supervisory role at the prefectural and national levels. Empower and mobilize individuals, families, households and
23 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
GUINEA Mission Critical Action 1
communities in the notification of cases (patients, alerts, through 610 teams comprised of 1,830 awareness campaigners contacts, suspected cases, and deaths); (3) Identify and notify who conducted door-to-door visits in the three sub-prefectures households with all cases (patients, alerts, contacts, suspected and the urban commune of Coyah. Supervisory teams were cases, and deaths); (4) Strengthen active surveillance networks also deployed. A total of 366,030 soap bars were distributed. in communities; (5) Facilitate the identification of suspected Several meetings were held in the municipalities with mayors, cases in isolated areas (more than six kilometers away from the heads of sub-prefectures, heads of districts and religious health facilities); (6) Strengthen the capacity of integrated leaders. In addition, several community meetings were held supervision teams; (7) Improve active surveillance and IPC on the subject of advocacy, which boosted support for door- in health facilities (public and private), including traditional to-door campaign activities. practitioners; (8) Disseminate information on prevention and how to deal with suspected cases, linked to the distribution Local radio, Bamboo, also lent support to the awareness of kits, and disseminate information on the emergency health campaign. The station, from 8:00am to 9:00pm, aired spots, declaration; and (9) Identify and manage suspected cases of roundtables and interactive programs with the population. Ebola in homes, and strengthen community participation in This messaging helped inform households with regard to monitoring the potential cases around them. upcoming outreach visits, fostering the work of door-to-door campaigners. In Dubreka, 13,117 people were visited by 86 During the campaign, in Forécariah, 294,150 people were teams. The teams in Dixinn visited 3,859 people. visited by 506 teams throughout the prefecture. Radio, local elected officials and the Community Watch Committees Quarantine strategies were used in localities that had more (CWCs) played a leading role in the dissemination of the than one case over the course of 21 days. The quarantine in different messages. A survey conducted after the campaign Ratoma, Conakry involved 154 contacts across 33 households. demonstrated that the campaign was successful, with 92% of The surveillance team deployed 18 doctors and performed households indicating they would continue to raise awareness contact tracing (two visits per day to monitor the temperature, on Ebola. signs and symptoms and reporting). A logistics operation distributed fish, meat and rice, as well as soap and chlorine to In Coyah, the campaign reached 57,627 households, the quarantined households. representing a total of 375,037 people. This was achieved
GRC distributing soap © UNDP 24 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 2
COVERAGE: MCA 2 Allocated Safe and Dignified Burials $5.46 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00095447 #30 - Reinforcement of the Guinean Red Cross in 27 May 2015 $1,000,000 the National Response against Ebola (UNDP-WHO) 00095944 # 32 - Ensuring Safe and Dignified Burials in 2 July 2015 $4,458,330 Guinea (IFRC) PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of meetings organized by GRC team per region per month 15 20* WHO
Number of SDB trainings organized by WHO 33 25 WHO
Number of adequate safe burials/body management event per region 33 31 WHO
% of unsafe burial within reported community death 4% 0% IFRC/UNDP Number of Districts with trained SDB Teams which are properly 8 8 IFRC/UNDP equipped Number of training, workshops and refreshing sessions on IPC 18 15 IFRC/UNDP
% of SDBs conducted within 24 hrs of death notification 100% 99.5% IFRC/UNDP
Number of regional/ cross border meetings 2 3 IFRC/UNDP
* 15 health districts (Fria, Dubréka, Coyah, Forécariah, Kindia, Dabola, Faranah, Kissidougou, Kankan, Siguiri, Boké, Lola, Nzérékoré, Macenta et Guéckédou) and 5 municipalities in Conakry (Kaloum, Dixinn, Matam, Ratoma, Matoto)
Achievements and Results
Project #30, “Reinforcement of the Guinean Red Cross in the Siguiri, Boké, Lola, Nzérékoré, Macenta and Guéckédou) and National Response against Ebola,” was initiated to reinforce a particular area of Conakry. the logistics, coordination and human resource capacities of Ensuring that burials were conducted safely was one of the the Guinean Red Cross (GRC) to enable the organization to most urgent priorities of the Ebola Response and the GRC. carry out activities requested by the National Ebola Response WHO worked with communities to help them adapt burial Coordination, including safe and dignified burials (SDBs) and ceremonies so as to minimize the risk of mourners contracting community education. Ebola. Drawing on its expertise in burial management, WHO The project procured and handed over to the GRC: four also deployed logisticians to support trainings on safe and vehicles, one truck, 15 motorbikes and helmets, 15 generators, dignified burials (SDBs). The trainings given to GRC staff 15 inverters, 15 computers and printers, 15 copy machines, 50 consisted of eight days of theoretical sessions and seven mobile telephones and 40,000 liters of fuel. days of practical sessions. Trainings were conducted in 20 localities throughout the country’s eight regions. The sessions Given the challenges of the Ebola response in Guinea, used: brainstorming; illustrated PowerPoint presentations; especially the need for education to improve community group work, including discussions and restitution at plenary; engagement and address reticence, and the need for question and answer sessions; practical work and simulations; improved IPC measures for response workers, the WHO presentation of modules; case studies and field trips; the and the GRC collaborated to strengthen national capacities exchange of experiences; technical workshops; opening and at both the central and peripheral levels. Main objectives closure evaluations of sessions; and education on personal included strengthening the technical capacity of GRC teams protective equipment, disinfection of information, education by recruiting specialists to coordinate the response in key and communication (IEC) materials, and communication geographic areas, and strengthening the early warning system, equipment and logistics. including through alert teams. In addition, specialists were employed under the supervision of the Ebola coordination of The trainings helped strengthen the organizational capacity the GRC and in their respective districts (Fria, Dubréka, Coyah, and response of the GRC. In the final week of July 2015, Forécariah, Kindia, Dabola, Faranah, Kissidougou, Kankan, just three unsafe burials were reported to have taken place
25 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
GUINEA Mission Critical Action 2
in Guinea out of 525 reported community deaths, reflecting deployed. During the Ebola response, more than 126 vehicles not only the success of the safe burial teams in responding were also deployed in the field. Each prefecture had at least quickly to reported deaths, but the subtle shift in the attitudes one SDB field supervisor, one WASH delegate and one zone of communities towards the adaptation of traditional practices coordinator. Between 29 June 2015 and 31 December 2015, a in the context of the outbreak. total of 9,825 swabs were taken to monitor for Ebola, 10,769 places such as houses were disinfected and 14,254 SDBs were In addition to these activities and outcomes, 15 field undertaken. supervisors and six logisticians were deployed for six months (July-December 2015) to oversee activities, ensure the quality The International Federation of Red Cross and Red Crescent of reported data, reduce the risks of community reticence and Societies (IFRC) collaboration with the GRC continued to to mentor teams. These activities led to achievements that maintain operational capacity for response in Ebola hotspots, included: while the IFRC worked on a new “Community driven biosafety Approach” for SDB Teams. The aim was to reduce reticence 52 teams trained in SDB; in sensitive areas through community empowerment. The 21 GRC technical managers trained in IPC and new approach, piloted in hotspot areas in June and July 2015, standardized protocols; proved successful. 15 district supervisors and six logisticians deployed for With the declaration of the end of the outbreak in Guinea, SDB/IPC activities; the country entered into 90 days of heightened surveillance, 9,904 SDBs performed (in the context of systematic SDB); until March 2016. During this time frame, swabbing and rapid 9,787 salivary samples post mortem collected; diagnostic tests (RDTs) were employed as a monitoring tool 7,442 places disinfected; and to quickly detect any case resurgence. SDB teams remained on stand-by. Throughout the project’s duration, the average 99% of community death alerts covered during the project number of volunteer SDB teams was maintained, though the period. number of volunteers varied from quarter to quarter due the Project #32 focused on “Ensuring Safe and Dignified Burials” variations in community deaths throughout the year. in Guinea. Country-wide across the prefectures, to address the epidemic, there were 63 SDB teams and 536 SDB volunteers
PERIOD Average SDB Teams No. of Volunteers in the Teams Jan-Mar 2015 69 549 Apr-Jun 2015 69 574 Jul-Sept 2015 69 555 Oct - 29 Dec 2015 59 432 Jan 2016 and onward 0 0
The number of SDB teams was significantly reduced in the last With regard to communications, 30 Red Cross volunteers quarter of the year (October - December), with active teams from Conakry, Forécariah and Boké were trained in radio cut by 21.4%. SDB teams shifted from 69 teams (with 549 broadcasting techniques to provide communities with quality volunteers) to 59 teams (with 432 volunteers) by 29 December information on epidemics. This was reinforced with the use 2015, and then down to zero teams by January 2016. of a mobile radio unit and the distribution of solar radio sets in areas where communities were particularly reticent. The joint IFRC-GRC operations in the country also focused The project also supported nine trainings for SDBs, and six on strengthening the Guinean Surveillance National System trainings on hygiene promotion and sanitation. through the “community event based report surveillance approach” in cross border areas (mainly Forécariah and The Guinean Government decided to strengthen the country’s Boké), which share the border with Sierra Leone and Guinea health system, especially in regard to epidemiological Bissau respectively. The goal was to build capacity in local surveillance, and the Red Cross, leveraging its large communities to quickly detect and respond to new Ebola volunteer network, aligned with this health policy in order to cases and to address behaviors that could contribute to its strengthen community surveillance, community-based health spread. Cross-border monitoring was reinforced through the programmes, outbreak alert mechanisms and continued installation of information kiosks in the Forécariah and Boké support to survivors. Districts; community event based surveillance (CEBS); and hygiene promotion with a focus on hand washing.
26 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 3
MCA 3 COVERAGE: Care for Persons with Ebola and Infection $22.93 million Allocated Country, including district areas Control MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093219 #23 Rapid Isolation and Case Management 19-Dec-2014 $9,813,619 through establishing Isolation Units within health centres 00093254 #16 IPC District Management 6-Feb-2015 $1,990,380 00092644 #1 Transportation of Essential Items 26-Nov-2014 $3,780,000 00092847 #1 Storage Capacity 23-Dec-2014 $ 658,902 00092450 #1 Air Services 07-Nov-2014 $4,000,000 00092529 #1 Establishment of ETUs 12-Nov-2014 $2,687,375 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES IPC Experts 10 37 WHO
FLBs Forwarding Logistics Bases 1 2 WFP
ETUs - Ebola Treatment Units 5 ETUs 2 520 capacity of beds WFP Jan 2015 - 2,745 m³ Feb 2015 - 2,764 m³ Mar 2015 - 3,091 m³ Transportation - Essential Items 1,000 m3 WFP Apr 2015 - 2,261 m³ May 2015 - 1,390 m³ June 2015 - 1,251 m³
Strategic Airlift 12 28 Covering three countries Covering three countries WFP Jan 2015 - 1,950 passengers Feb 2015 - 2,094 passengers 1,300 Mar 2015 - 2,271 passengers Air Services Passengers/months WFP Apr 2015 - 2,718 passengers (all three countries) May 2015 - 2,743 passengers Jun 2015 - 2,887 passengers
Number of CCC Built 10 6* UNICEF
Number of Isolation Units 6 In Progress UNICEF
Ambulances - 13 Ambulances - 13 Transportation 4x4 Vehicles - 9 4x4 Vehicles - 9 UNICEF Motorcycles - 112 Motorcycles - 112 * The project was revised to additionally build 6 epidemiologic units
Achievements and Results
Against the backdrop of reaching and sustaining zero Ebola contexts to provide a highly dedicated rapid response cases during the last months of 2015 and to meet its partners’ mechanism to deal with potential small-scale outbreaks, while changing needs, WFP, through Project #1, “Common Services further increasing and enhancing the readiness and recovery for the Health Response to the Ebola Virus Disease Outbreak activities of partners. in West Africa,” adjusted the provision of services to enable WFP also prepared those on the ground for an orderly and rapid response mechanisms to quickly and efficiently stop new effective transition of assets and capacities put in place outbreaks as well as assure surveillance. While the regional to support the Government of Guinea’s Ebola response, Special Operation ended at the close of 2015, WFP continued thereby improving the ability of the national government and to leverage the recently established infrastructure and logistics humanitarian partners to respond to future emergencies using capacity. It ran country-specific operations tailored to national the capacity built during the Ebola operation.
27 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
GUINEA Mission Critical Action 3
Throughout the Ebola response, WFP implemented an the number of qualified staff available to work in medical adaptable approach to provide optimal support, while facing facilities and provide care to Ebola victims; and it increased unprecedented demands and an evolving epidemic. The fear among the local population, making them less inclined agency met critical needs and responded to priority activities to seek proper medical treatment in health facilities. It was identified by health partners. imperative to protect health workers and to provide them with the best medical care possible to improve patient survival. It In Guinea, from January to June 2015, the WFP-led logistics was critical that health workers improve their understanding coordination mechanisms facilitated the transport of over of the disease and adhered to best practices of infection 13,000 m3 of cargo. It also established one staging area, one prevention and control (IPC) at all times (both during and after main logistics hub, and two forward logistics bases (FLBs), disease outbreaks). and supported the construction of five Ebola Treatment Units (ETUs) for a total capacity of 520 beds across Nongo, Over the course of 2015, WHO, through Project #16, Coyah, Nzérékoré, Kérouané and Beyla. While no funds were “Strengthen District Level Case Finding, Case Management, specifically allocated by the Ebola Response MPTF to build Reporting, Logistics Management, Community Mobilization ETUs in Guinea, WFP prioritized the funding received to and Engagement,” deployed IPC experts who trained 3,136 respond to urgent requests from the Government. In February people at government-run and private health facilities and and March 2015, WFP in collaboration with the Government hospitals in Kindia, Telimele, Gaoual, Mamou and Conakry. In and UNICEF supported the safe reopening of schools by November 2015 alone, WHO trained about 1,090 people. The dispatching 30,000 WASH kits to 89 villages across the agency also recruited a total of 37 IPC experts who worked at Macenta, Nzérékoré and Lola prefectures. the district level and supported community care centers and hospitals in all aspects of IPC, including training, on-the-job In addition, the WFP-managed United Nations Humanitarian Air mentoring and day-to-day supervision. Ebola Response MPTF Service (UNHAS) ensured humanitarian access by transporting funds also contributed to the purchase of 20 vehicles used passengers and light cargo across Ghana, Guinea, Liberia, by IPC staff. WHO also procured $7 million worth of personal Senegal and Sierra Leone. As of 31 December 2015, UNHAS protective equipment (PPE), including 16 million pairs of performed 5,473 take-offs, transporting 31,777 passengers gloves and 1.9 million disposable gowns. and 202 MT of light cargo. This was made possible thanks to the overall coordination of air activities through a regional cell Once the country began to implement initiatives to promote and the set-up of a temporary air terminal (terminal H) in Dakar the recovery of the healthcare system, WHO looked to build out of which inter-capital flights were operated. Additionally, on IPC programmes started during the Ebola outbreak to in view of the potential deterioration of road conditions during ensure that all medical workers continued to take proper the rainy season, new helicopter routes were established standard precautions to protect themselves from infectious between Conakry and some of the areas most affected by diseases during the course of their work. Ebola in Guinea, notably Forécariah, Boffa, Fria and Kindia. UNICEF, through Project #23, “Community Care Centers: Care Twenty-eight strategic airlifts were organized, nine of which for Persons with Ebola and Infection Control,” constructed six took place in January and February 2015 and transported 770 Community Care Centers (CCCs) to ensure care for suspect MT of relief items of behalf of 37 organizations. Airlifts were cases and triage at the community level. Full implementation usually conducted out of staging areas such as the one set up of the health sector recovery agenda shed light on the critical at Cologne Bonn Airport by the WFP-led Logistics Cluster in importance of constructing six epidemiologic units in Yomou, cooperation with UNHAS and UNICEF. Diguiraye, Madiana, Dalaba, Tougue and Fria, which were Through the Emergency Telecommunications (ET) Cluster, also supported by this project. In Fria, all work was completed WFP provided internet set up, equipment and services to and technical acceptance granted. In Yomu, Dinguiraye 80 humanitarian facilities across Guinea, Liberia and Sierra and Mandiana, major work related to foundations, masonry, Leone, allowing more than 3,300 humanitarian responders to carpentry, roofing and plastering was completed. In Dalaba remain connected at all times. In Guinea, locations included and Tougue, the following steps were completed: building of two FLBs and four ETUs. These services helped to ensure that the walls in chipboard; roughcasting of walls and substructures; blood sample results were communicated quickly from testing electric system installation and sheathing of electrical wiring; labs to treatment centers and that patient information was piping for drinking water and disposal of wastewater; and transmitted without risk from within the ETU ‘red zones.’ metallic roof framework works. The building companies were slightly behind the estimated schedule of construction for At the start of the Ebola outbreak, many health workers had these two sites. The construction of the epidemiologic units insufficient equipment and training to prevent infection and will be completed in 2017. they quickly became ill. The infection of health workers and the fear of more infections had serious ramifications: it reduced
28 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 4
COVERAGE: MCA 4 Allocated Medical Care for responders $2.18 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093284 #1 Rehabilitation of Responders Clinic 6-August-2015 $608,518 00096294 #40 Essential Service Capability UN Medical Clinics 23-Dec-2014 $1,577,030 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Rehabilitation of Responders Clinic (Level 1) 1 1 WFP
Number of hours per week the clinic is open for routine care 40 40 UNDP
Number of hours per week the clinic is open for emergency care 168 168 UNDP
Achievements and Results
Throughout the Ebola crisis, a key challenge was ensuring Further, to ensure that the implementation and monitoring the safety and security of humanitarian responders, given of the emergency response was done in a manner that was the nature of the disease and the limited and inadequate safe for staff and beneficiaries alike, WFP, jointly with WHO, facilities available in Guinea. At the onset of the outbreak, developed safe distribution measures that were put in place the UN medical facility in Conakry consisted of a single room with the support of health advisors. Health advisors developed with limited equipment located inside the UN compound. the guidelines for the safe distribution of relief items and In addition, there were limited international agreements, door–to–door guidelines for Post Distribution Monitoring protocols and procedures addressing the medical evacuation surveys. They also trained incoming staff specifically on Ebola of Ebola Response Workers (ERWs) to adequately equipped awareness. medical facilities elsewhere in the world. With one specially equipped helicopter for Medevac in WFP and partners scaled-up logistics networks and Guinea, WFP was the only humanitarian actor to provide this infrastructure to, inter alia, protect healthcare workers. service from remote areas to Conakry through UNHAS. In this Supported by Project #1 “Common Services for the Health framework, simulation trainings were undertaken to familiarize Response to the Ebola Virus Disease Outbreak in West responders, the crew of the dedicated helicopter and staff Africa,” WFP established a level 1 UN clinic in Conakry. with the Standard Operating Procedures (SOPs) required to Following a decision to create the facility in a larger structure, perform this type of technically-specific Medevac. Trainings WFP identified a venue and transformed it, by adding electric, on medical evacuation procedures were also provided to the plumbing, a water tank and sewage systems, a high-power humanitarian community in Guinea, including for the isolation generator and technical support, into a full-fledged UN bubble for the safe air transportation of humanitarian workers clinic. The UN clinic now has standard amenities including with Ebola-like symptoms, and for regular health emergencies. a waiting room, diagnostic block, examination rooms, sick WFP aimed to ensure that these complex procedures were bay emergency/treatment room, beds ward, pharmacy and correctly and efficiently replicated to facilitate the hand-over a waste treatment and an incineration area. The facility was to national health authorities. further expanded to accommodate Ebola contact cases with Other training provided included a basic first aid course, a dedicated container set up for triage and isolation. It met security awareness training, security and safety briefings, minimum operating security standards. basic and advanced security in the field trainings, which cover In addition, complementary activities were put in place common safety and security scenarios, and preparation of to ensure that health responders would alternate in the staff to respond to such scenarios using the right procedures. workplace to limit the risk of transmission. To achieve this goal, With the support of the Ebola Response MPTF, Project #40, connectivity, telecommunications equipment and networks “Maintaining Essential Service Capability UN Medical Clinics were made available to ensure operational continuity, and in Guinea,” boosted medical capacity and ensured the minimum security standards were respected. preparedness of UN System personnel.
29 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
GUINEA Mission Critical Action 7
COVERAGE: MCA 7 Allocated Cash Incentives for Workers $2.2 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092904 #7 Payment for Ebola Workers 04-Dec-2014 $2,204,200 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES
Number of payments made to ERWs (Ebola Response Workers) through N/A 165,7561 UNDP Government systems with UNDP support
Number of contingency payments made to ERWs through UNDP 500 5,8593 UNDP Contingency Plan2
1 Paid in cycles. 2 Please note that the Government is in the lead in paying ERWs. UNDP provides support, either by supporting payments through government systems or through UNDP’s Contingency plan, when requested by the government. There are payments, especially for pay rolled health workers in the Ministry of Health, that are paid directly by the government with no UNDP support. 3 Paid in cycles.
Achievements and Results
Project #7, “UNDP Programme for Payments for Ebola of December 2015, with the outbreak declared over on 29 Response Workers (PPERWs) in Guinea,” aimed to harmonize December 2015. incentives and assure timely payments to Ebola Response The project was scheduled to run until the end of June 2016, Workers (ERWs) throughout the crisis. Over the course of with UNDP maintaining the possibility of disbursing incentive the outbreak, the eligibility criteria for incentives for ERWs payments quickly in response to any new outbreaks, as evolved. At first, the project had to provide the same requested by the National Coordination Cell. incentives to frontline ETU workers from NGOs as to Ministry of Health employees in order to prevent strikes or health Also towards the end of the crisis, the UNDP PPERW team services interruptions. The PPERW team made regular visits dedicated more resources to strengthening current national to the ETUs to communicate eligibility criteria and solve issues payment systems. The team held consultations with main or complaints from the ERWs to avoid strikes. Throughout financial actors to evaluate the impact of the crisis on cash the entire crisis, not a single day was reported without health transfers as well as to consider early recovery actions to be services. taken that would support the financial sector, in particular, the transition from physical to electronic money transfers. As the outbreak ended in the Forest Guinea Region and in Lower Guinea (Conakry, Forécariah and Coyah), the National The Central Bank of Guinea and the Micro Finance Institutions Coordination Cell, in agreement with all partners, decided to (MFIs) signed an agreement to support the national strategy reduce the eligibility for incentives to those ERWs working for the transition to electronic payments by providing training inside ETUs only, and empowered the PPERW team to directly to key employees at the Central Bank and supporting MFIs manage all payments until the official end of the epidemic. in their financial data management with a view to assuring a These payments were managed by UNDP until the end more interoperable and secure financial system.
Beneficiaries Ministry of Health Workers ERWs Community (Indemnity of motivation paid in addition to (CTUs, ETUs, Burial Teams, Coordination Cell and Community Engagement Beneficiaries salary) Contact Tracers) 4,939 3,810 17,963
30 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 9
MCA 9 COVERAGE: Reliable Supplies of Materials and $3.61 million Allocated Country, including district areas Equipment MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096648 #42 - Prevent EVD Spread in the Electoral Process 18-Sep-2015 $991,467 00093526 # 16 – District Logististical Capacity 22-Jan-2014 $2,618,660 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Logisticians deployed 15 17 WHO
# of sanitary control kits purchased and distributed 7,500 17,500 UNDP
# of polling stations with sanitary control equipment 7,500 17,500 UNDP
Achievements and Results
As was reported previously, WHO, through Project #16, cerclage” campaigns, the logisticians erected tents for use as “Strengthen District Level Case Finding, Case Management, dormitories and offices and installed toilets. Reporting, Logistics Management, Community Mobilization The work done by the logisticians not only benefitted WHO and Engagement,” recruited 17 logisticians to ensure that staff in the field, but also the staff of partner organizations, Ebola response operations ran smoothly at the prefecture NGOs, and other national and international responders. level. Every logistician oversaw activities in two, three or four prefectures (depending on the size of the prefecture or Given the possibility of Ebola spreading as large masses the complexity of the response), and performed a variety of people assembled to vote in Guinea’s general election, of roles. Logisticians tracked vehicles involved in the Ebola Project #42, “Preventing EVD Spread During the Electoral response, with some responsible for managing fleets as large Process,” was initiated. In line with the rigor established at as 25 vehicles, including fuel needs. They also tracked staff the onset of the epidemic, the project assured that voters as they moved by land and air, booked accommodation for along with members of the electoral commission and security teams coming into the field, performed supply inventories, officers sanitized their hands and had their temperatures taken and accepted the delivery of generators provided by WFP, upon entering polling stations. The aim was to both reduce conducting maintenance as necessary. Logisticians also any risks of an outbreak as well as to reassure the public of accepted delivery of the prefabs/containers that were their safety while participating in the electoral process. With converted to office space for response workers, assuring that Ebola Response MPTF funds, the project procured 14,500 these spaces had electricity and internet connectivity, as well thermo-flash thermometers and 17,500 sanitary kits used to as office furniture and computer equipment. During the “mini- successfully prevent Ebola transmission in polling stations.
31 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
GUINEA Mission Critical Action 11
MCA 11 COVERAGE: Social Mobilization and Community $9.26 million Allocated Country, including district areas Engagement MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093105 # 3 – Stop Ebola through Social Mobilization and 12-Dec-2014 $3,948,364 Community Engagement in Guinea 00093970 # 16 – Social Mobilization 6-Feb-2015 $570,788 00094442 # 29 - Support to the Confidence Building Unit 13-Mar-2015 $2,836,072 (CBU) from Mano River Union in the national response against Ebola 00095292 # 36 – Stop Ebola through social mobilization and 15 May 2015 $999,915 community engagement in Guinea 00096724 #47 – Social Mobilization for achieving and 23-Oct-2015 $909,500 sustaining a resilient zero PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Recruitment and deployment of midwives 30 68 UNFPA Reproductive Health Kits (including Hospital Delivery Kits, C-Section 175 175 UNFPA Kits, Blood Transfusion Kits, STI Kits, etc.) Hospital beds 70 70 UNFPA
Gynecologic tables 20 20 UNFPA Number of maternal deliveries assisted by skilled health professionals N/A 24,046 UNFPA in affected areas
CBU (Confidence Building Units) fully functioning 30 17 UNDP/UNFPA/UNICEF
% of targeted reticence localities that accept Ebola prevention activities 75% 90% UNICEF/UNFPA /UNDP
# of social activities (including sports events, gatherings, village 360 370 UNDP/UNFPA/UNICEF meetings) including EVD sensitization
# of radio debates held at rural and prefectural radios including EVD 200 242 UNDP/UNFPA/UNICEF sensitization
30 broadcasts in 30 days Radio broadcasts devoted to Ebola response 500 broadcasts in three prefectures in the UNDP intervention area PDLG3
Number of volunteers trained on EVD 12,800 17,213 UNICEF
Number of the 663 CWCs members paid 4,641 members 100% UNICEF
Door to door sensitization on EVD 1 million 1,982,366 UNICEF Number Of Hot Spots Reporting and Managing Events/Alerts on a daily 11 7 UNICEF basis
32 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 11 Achievements and Results
Bringing social mobilization closer to the population various organizations operating at the prefectural level. One- and getting community members directly involved in hundred twenty-eight Community Watch Committees (CWCs) neighborhood sensitization and surveillance, early alert that had regrouped 640 people, were operational in 12 towns and referral of suspected Ebola cases and contacts were of the prefectures of N’Zérékoré, Macenta and Lola. These identified as some of the most critical factors in fighting the CWCs were equipped with 1,000 handwashing devices, soap virus. Yet, these measures were challenging to achieve in and chlorine, and they helped popularize preventive measures Guinea, where weak health systems, entrenched socio-cultural against Ebola in the villages covered. The work of CWCs practices (washing of the dead), the frequent movement of contributed significantly to community engagement against people, inadequate understanding and fear, and community Ebola in the forest area. reluctance to monitoring and care accelerated the spread of Also through the project, UNICEF supported the creation of Ebola throughout the country. Community reticence, fueled two new rural radio stations in Forécariah and Yomou and by rumors and the late arrival of safe burial teams, continued provided Radio Mano River in Lola with the equipment it to pose a significant challenge to social mobilization efforts needed to operate. The aim was enable the radio stations to as community members continued to refuse monitoring become operational as quickly as possible and to broadcast and contact tracing. Project #3, “Stop Ebola through Social messages to sensitize the population to Ebola – particularly in Mobilization and Community Engagement in Guinea,” the most affected areas of Guinea along the border. sought to address these challenges and assure additional and increased community outreach and mobilization efforts to In the early stages of the outbreak, through the Ebola Response fight the disease. MPTF Project #16, “Strengthen District Level Case Finding, Case Management, Reporting, Logistics Management, Over the course of 2015, social mobilization and community Community Mobilization and Engagement,” WHO focused engagement helped cut chains of Ebola transmission and heavily on social mobilization and community engagement. stop the epidemic in Guinea. Behavior change seen across At that stage, it was essential that communities accepted the all communities, including regular hand washing, greater need for safe and dignified burials; identified potential cases awareness, use of health facilities, and collaboration with of Ebola; and helped trace the contacts of potential cases. response workers, was observed in all communities and was a WHO community engagement teams organized a series of critical project achievement. Strong reluctance in urban areas, community dialogues to help boost awareness and knowledge including the municipality of Matoto (Conakry) gradually of the virus. In collaboration with CDC Atlanta and UNICEF, changed, given action on the ground to address concerns and WHO also supported the Communication Sub Committee at provide education. Community police, for instance, integrated the National Coordination for the Ebola Response in Guinea awareness raising and monitoring into their daily routine. to develop the overall concept and vision for the community In Guinea Forest Region, the project mobilized all religious engagement plan as well as to identify more detailed denominations as well as community leaders to spread objectives and priority interventions. awareness and initiate behavior change. It carried out WHO helped reshape the social mobilization strategy in the sensitization initiatives in 22 districts of the city of N’Zérékoré, country from one of community sensitization to community and members of all faiths gathered 3,500 people (including engagement. As the outbreak evolved, part of the community 2,000 women) to participate in an awareness campaign. engagement strategy involved “mini-cerclage” campaigns in In Kissidougou, one of the most Ebola-affected areas, the Ebola hot spots. These campaigns limited the movement of project targeted five rural communes and 10 villages around community members to a specific area within which teams the urban commune, reaching approximately 3,300 people intensified their search for the sick. WHO teams, which included (1,980 women) with door-to-door outreach efforts. social anthropologists, helped build support for these “mini- With Ebola Response MPTF support, UNICEF and partners cerclage” campaigns by gaining the trust of communities and aimed to create 2,560 Community Watch Committees (CWCs) convincing them of the importance of adopting safe burial linked to both Community Care Centers (CCCs) and community practices and engaging in door-to-door case finding. WHO mechanisms of child protection. The CWCs strengthened local worked with many local groups in these communities as part communication, contact tracing, and notification of authorities of the trust-building process, including traditional leaders and of suspected cases of Ebola and community deaths. UNICEF healers, members of youth and women’s groups, religious also helped develop communication plans in Dubréka and leaders and representatives from schools and the transport Conakry, which ensured better coordination of activities of the sector.
33 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
GUINEA Mission Critical Action 11
Executed jointly between UNDP, UNFPA and UNICEF, and in drugs, equipment and family planning commodities to 34 collaboration with government partners, Project #29, “Support health facilities in 14 Ebola-affected districts and deployed 68 to the Confidence Building Unit (CBU) from Mano River Union qualified midwives. in the National Response against Ebola,” supported the This project led to great improvements in reproductive health Ministry of Health’s efforts to boost reproductive, maternal indicators, such as use of a skilled birth attendant, overall and neonatal health (RMNH) services and assure that pregnant utilization of health facilities by women, and decreases in women had access to safe, Ebola-free environments. The maternal and infant morbidity and mortality in targeted health collaboration assured the supply of essential life-saving facilities.
No. of Births Attended by Skilled Health Personnel No. Receiving Antenatal Care Coverage Total No. Receiving Date No. Caesarean Sections (Midwives) (including 1 of the 3rd trimester) Antenatal Care
May 1,244 1,945 6,318 51
Jun 1,402 2,255 6,676 57
Jul 1,701 2,555 8,096 63
Aug 1,723 2,549 8,874 111
Sep 1,750 2,575 9,264 186
Oct 2,260 2,681 7,763 186
Nov 1,820 2,828 8,891 156
In addition, the Manu River Union (MRU) carried out social In July 2015, there was a dramatic drop in Ebola case numbers and political elements of the project. The MRU supported the and a reduction in the geographical spread of cases to Conakry organization of community social and educational activities, and surrounding prefectures, leading to the declaration on including sports events, workshops, trainings and TOTs, 29 December 2015, of the end of the outbreak. Community village meetings, radio spots, social gatherings and house by outreach and education activities were critical in bringing house visits, to promote understanding and educate on Ebola transmission down to zero and achieving this milestone. transmission and prevention. The project enabled a number of The process of helping communities understand the causes capacity building workshops. of Ebola and how to protect themselves, involved intensive social mobilization and community engagement activities that Overall, in the field, the MRU, in close alliance with UN relied on thousands of individuals and many organizations agencies and government actors, promoted social cohesion, across the country. positive attitudes and behavioral change in communities. In September and October 2015, the MRU supported local In early April 2015, in order to address ongoing transmission, NGOs in organizing workshops in the 33 prefectures of Guinea the Government, with support from partners, launched an and the five communes of Conakry. The MRU organized two acceleration plan with the aim of bringing transmission to national workshops on Ebola prevention in Conakry, one for zero. The plan identified social mobilization and community traditional communicators and the other focused on traditional engagement as priority, yet chronically underfunded action healers. areas. In response, Project #36, “Stop Ebola through Social Mobilization and Community Engagement in Guinea,” was The MRU was also key in garnering political leadership and developed to support the National Coordination’s social support, preventing political strife and coordinating efforts at mobilization and community engagement pillar. parliament and cabinet levels. In addition, it raised recovery funds for the Ebola Recovery Pledging Conference, held 9-10 Specifically, the project aimed to strengthen interpersonal July 2015 in New York, US; organized international conferences communication through door-to-door visits and increase to share lessons and prevention strategies; organized two cross community engagement by assuring payments to members border meetings in Kindia and Gueckedou; and supported the of the CWCs. Ebola Response MPTF funding was crucial to organization and funding of a Regional Meeting and national continuing the CWC strategy throughout the country as it met crisis meetings in Conakry. the need for continued support to help stop the epidemic. Without Ebola Response MPTF funding, the previous plan to As part of the fight against Ebola in the cross-border end all payments on 30 April 2015 would have gone forward. regions and while still working to maintain trade, economic Instead, 4,641 members of 663 CWCs were paid and 652,258 activities and cross-border movement, the MRU installed households received door-to-door visits, over and above the three new Confidence Building Units (CBUs) in the prefecture target of 450,000 planned visits. Though August saw the of Gueckedou. In addition, 17 CBUs were equipped with return of Ebola to Conakry, these achievements coincided with motorbikes and ICT equipment, which increased their significant progress on the indicator, “Zero Ebola Notification: efficiency. No Confirmed Cases.”
34 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 11
Ebola Response MPTF funds also supported Phase III of use of an early warning system based on new technologies the Ebola Response. As transmission fell in Guinea, so (Rapid pro and U Report), which gathers data and supports did surveillance indicators, which showed a decrease in real-time monitoring. The youth were to be deployed in notifications of febrile, suspect cases and community deaths. 2016 to the eight prefectures of Boke, Boffa, Fria, Télimélé, Given the need for continued surveillance, Project #47, “Social Dubréka, Coyah, Kindia and Forécariah. Mobilization for Achieving and Sustaining a Resilient Zero,” In addition, the Ministry of Transport identified 99 transport focused on strengthening community-based surveillance to trade unions in the four prefectures of Conakry, Forécariah, increase community awareness and developing community- Coyah and Dubrécah. Fifty of the unions were to be trained based early warning mechanisms. to report suspected cases to health authorities and support UNICEF had an agreement with the Ministry of Youth, which Phase III community awareness building at the border between aimed to involve youth at the frontline of communication Guinea and Sierra Leone. campaigns during Phase III of the Ebola Response. This partnership strengthened the communication and community engagement system for early warning and rapid control of all potentially epidemic diseases in borders and villages. In December 2015, the Ministry of Youth identified and trained 750 youth mobilizers in community-based monitoring and the
Nurses © UNFPA 35 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
GUINEA Mission Critical Action 13
COVERAGE: MCA 13 Allocated Preventing the Spread of EVD $2.0 million Country, including district area
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092649 #11 Quick Impact Project 3-Dec-2014 $1,000,000 16-Apr-2014 $1,000,000
LIST OF QIP PROJECTs IMPLEMENTED IN GUINEA...
Implementing organization District Project title Budget Project title
The project provided 6 maize and rice Nutritional support to children Administrative processing machines and 42,000 kg Centre Régional de Recherche and pregnant and breastfeeding region of $46,823 of maize to EVD affected communities Agronomique de Bordo (CRAB) women affected by Ebola in 6 rural Kankan to improve nutritional conditions of communities of Kankan region breastfeeding women and Ebola orphans
This partner assisted Ebola survivors in the two communities of Forecariah Association des Scouts Catholiques Coyah and Economic recovery of Ebola survivors, $38,537 and Coyah to run income-generating de Guinée (ASCG) Forécariah orphans and widows activities. It also sensitized communities on good ways to prevent Ebola.
Centre d’Ecoute de Conseil et Social mobilization for the prevention The partner ran sensitization campaigns Coyah, Dubréka d’Orientation des Jeunes of Ebola in the prefectures of Coyah, $47,335 in the three communities of Coyah, and Forécariah de Coyah (CECOJE) Dubreka and Forecariah Dubreka and Forecariah.
The project sensitized activities with Prevention of Ebola among hunters Direction Régionale de Administrative hunters, and additionally it provided and women local organizations in the l’environnement, eaux et forêts region of $46,986 alternate income-generating activities as prefectures of Kankan, Kerouane and (DREEF) Kankan a way to minimize risks of contamination Mandiana of EVD through illegal hunting.
Boke region: Sansale, The partner ran sensitization and social Koumbia, Support to the community response to mobilization in localities across the Club des amis du Monde (CAM) Foulamori, $47,597 the Ebola virus in Boke border with Guinea Bissau in the efforts Wendoubour, to prevent cross-border contaminations. Kanfarande and Sareboydo
The NERC purchased the hand wash kits Cellule nationale de coordination Provision of soaps and lotion to the Conakry $47,597 that it distributed to sanitary facilities EBOLA (CNCE). NERC across the country.
The NERC purchased the hand wash kits Cellule nationale de coordination Provision of soaps and lotion to the Conakry $42,837 that it distributed to sanitary facilities EBOLA (CNCE). NERC across the country.
The project addressed issues of lack of Prefecture hygiene and knowledge on Ebola in of Siguiri: Social mobilization to maintain « zero mining zones and borders with Mali. Commune Rurale de Doko Niagassola, $41,874 Ebola » in Doko (Haute Guinée) Sensitization campaigns were held and Bankon, Doko hygiene kits were installed in covered and Kourémalé areas.
Through this project, an IPC unit was built Ignace Deen Women and Health Alliance Support to the triage system at Ignace and maintained at Ignace Deen Hospital Hospital $44,016 International (WAHA) Deen National Hospital in Conakry to prevent risks of infections at (Conakry) the hospital.
36 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA Mission Critical Action 13
Implementing organization District Project title Budget Project title
Sensitization campaigns on good Sustainability of good hygiene Administrative practices of hygiene, as well distribution ONG-DHD (Développement practices and fight against stigma region of $39,390 of food items to most vulnerable Ebola Humain Durable) in the post Ebola phase in 6 rural Kankan affected populations were conducted in communities of Kankan 6 localities.
The project contributed to the Appui aux Initiatives Improvement of hygiene among Prefecture of improvement of hygiene by availing 4 Communautaires pour le population affected by Ebola in $44,382 Nzérékoré public latrines with running water in 4 Développement (AICD) N’Zerekore public places.
Prefecture of The project reinforced hygiene and Consortium des ONG de Forécariah Promotion and reinforcement of assisted EVD survivors through income- Mobilisation Communautaire $38,709 and 9 rural hygiene practices generating activities. It also distributed (COMC) municipalities school kits to school aged orphans.
The project addressed issues of lack of Groupe d’Encadrement et de hygiene by putting in place 14 hygiene Revitalization of hygiene practices in Recherche en Milieu Associatif et Lola $42,970 committees to sensitize on good practices Lola Communautaire (GERMAC) and also provided hygiene kits to communities.
Reinforcement of women social Coalition des Femmes Leaders de Kindia, Coyah Door-to-door sensitization and educative mobilization in response to resistance $47,527 Guinée (COFEL) and Forécariah activities by women’s associations in communities and schools
The project assisted in the reinsertion of EVD survivors by availing 4 reinsertion Establishment of an information and centers where income-generating are Unité Conjointe de l’Union du insertion centre for Ebola direct and Lola $37,249 conducted by EVD survivors while the rest Fleuve Mano indirect victims in the most affected of the community join in for social events areas of Lola such as educative programs on EVD watched on TV sets offered by the project.
EVD widows and orphans were supported Reinforcement of social mobilization in the production of vegetables to Commune urbaine de Macenta Macenta against Ebola and community recovery $40,704 supplement their income and improve in the urban community of Macenta their living conditions.
The project consisted of renovating the Fédération internationale de la Renovation of the mortuary of Kindia morgue of Kindia regional hospital croix rouge et du croissant rouge Kindia $47,597 ALPHA OUMAR DIALLO in order to minimize the risks of EVD –FICR contaminations.
20 affected The project toured the country to visit Secrétariat Exécutif du Comité prefectures and 5 Support to 1000 Ebola survivors and Ebola survivors and organize them in National de Lutte contre le SIDA en $47,597 municipalities of 1000 Ebola orphans in Guinea legal structure for a better advocacy about Guinée - SE/CNLS Conakry their post-recovery needs.
Reduction of Ebola Transmission With this activity, three hand wash Conakry, Kankan SOS Villages d’Enfants Guinée through hygiene promotion in SOS $43,426 stations and water fountains were built in and Nzérékoré schools the 3 SOS orphans’ villages.
37 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
GUINEA Mission Critical Action 13 Achievements and Results
Project #11, “Ebola Response Quick Impact Projects,” was organize platforms to improve coordination between recovery transferred to UNDP Guinea in July 2015 after the closure projects focused on them. Thirteen associations that were of UNMEER. As of 31 December 2015, a total of 39 Quick lent support became ready to advocate for Ebola survivors. Impact Projects (QIPs) proposals were received by UNDP In addition, legal assistance was given to help survivors form and 19 were considered for funding, with a total amount of associations, where applicable. $875,222 disbursed in grants. By the end of December 2015, The project also funded two QIPs aiming to provide nutritional sixteen QIPs successfully completed their activities while the support to vulnerable and affected communities. Four partners remaining three were set to complete them in mid-January proposed in their projects income-generating activities to 2016. The availability of this flexible funding allowed all assist the most vulnerable survivors. Training sessions on benefiting partners to achieve quick results in a short period small business management were offered before small grants of time (from one to three months), while also allowing UNDP were given out to eligible beneficiaries. The funds enabled to fill some interventional gaps in some areas of the Ebola beneficiary families to secure some of their basic living needs. Response. In addition, 60 Ebola orphans who had abandoned school With regard to social mobilization, six implementing partners because of the outbreak were given school supplies that were involved in social mobilization campaigns and their assisted in their return to the education system. interventions reduced community reticence, mistrust and Further, eight projects supported hygiene practices such as stigmatization of survivors. Their work contributed to a better education on good hygiene (hand washing), installation of hand understanding of the virus and reinforced social cohesion. washing kits, and the distribution of soap, as best practices in Funds also supported the creation of a National Ebola Survivors’ the prevention of infectious disease. Overall, these projects Platform. Two additional projects conducted activities to help were estimated to have benefited 46,219 people. identify Ebola survivors, assess their needs for assistance and
EVD Sensitization Activities Kissidougou © Mano River Union (MRU) 38 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
GUINEA RECOVERY STRATEGY OBJECTIVE 02
COVERAGE: RSO 02 Allocated Socio-Economic Revitalisation $0.75 million Conakry, Kindia and N’zerekore
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096705 #43 Strengthening the Community Recovery and 21-Oct-2015 $ 748,728 Resilience in Post Ebola in Guinea PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of households economically reintegrated through an income 450 250 UNDP generating activity Number of community recovery initiatives launched 20 57 UNDP Number of community consultations and orientation sessions on the 20 (1,000 persons) 11 UNDP post recovery strategies and community action plan Number of thematic training sessions on income generating activities, 20 (1,000 persons) 33 UNDP business and financial literacy, creation of jobs Percentage of pregnant women who conducted four antenatal visits, 85% 73% UNFPA including one in 9th month Number of health workers trained in health related topics like reproductive health, HIV, Ebola virus disease, gender – based violence 40 68 UNFPA etc. Achievements and Results
Project #43, “Strengthening the Community Recovery and small grants were awarded. Two-hundred sixty-six households Resilience in Post-Ebola,” supported activities that generated were selected in two prefectures (N’Zérékoré and Lola) for income in Ebola-affected communities and households. It project support and 57 recovery initiatives, individually or in sought to sensitize communities and local authorities on association, were granted. project objectives, including the criteria to select income With regard to access to reproductive health services, family generating activities as well as ending discrimination and planning and social protection plans, UNFPA, in collaboration encouraging the reintegration of Ebola survivors. As an initial with the Ministry of Health (MoH), trained 68 midwives step, the project registered affected households and applied in November 2015 with the goal of strengthening their vulnerability criteria to select households for support. Through knowledge of and skills in obstetric and neonatal emergency the project, targeted households were given information on care (EmONC), use of Partogram, HIV prevention, Ebola local markets and how they could generate income. Based on prevention and treatment, addressing gender-based violence the International Labour Organization (ILO) TRIE (trouver votre and the management and control of infection. In addition, idée d’entreprise) approach, targeted households selected life-saving commodities were procured for distribution in 20 business activities to pursue individually or in association, and health facilities in the districts of Kindia and N’Zérékoré.
Atelier des Femmes © Mano River Union (MRU) 39 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
GUINEA RECOVERY STRATEGY OBJECTIVE 04
RSO 04 COVERAGE: Governance, Peacebuilding, and Social $0.25 million Allocated Country Cohesion MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096708 #44 Support to the government to setup and 21-Oct-2015 $247,915 manage a dedicated financial mechanism to capitalize on New York pledging Conference commitments PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Number of Staff trained from Secretariat and the Thematic Groups 30 8 UNDP
Training of Technical Core Team* 4 2 UNDP
Thematic Groups (TG) and Delivery Units (DU) fully operational 4 TG and 4 DU 2 TG UNDP
Achievements and Results
Project #44, “Support to the Government to Setup and including the draft architecture design of the mechanism, the Manage a Dedicated Financial Mechanism to Capitalize on concept note, the action plan for set-up of the mechanism, New York Pledging Conference Committee,” was approved and the terms of reference (TORs) for the preparation of to help better coordinate the multiplicity of financing streams the Manual of Operations. Initial consultations with partners pledged at the International Ebola Recovery Conference held such as the World Bank, the European Union, the French in July 2015. It aimed to reinforce the capacity of the Guinean Development Agency, Belgium and Germany helped identify Government to establish a dedicated financing mechanism perceptions of key issues and bottlenecks. that would offer coherent, fast, flexible and transparent The Country Office (CO) also assisted the Technical Cell of the funding in support of the country’s national recovery strategy. Permanent Secretariat with the preparation of an operational Extensive consultations with government officials ensured budget and the exploration of additional avenues of support. commitment to this dedicated mechanism. The CO also shared “donor intelligence” with the Permanent Secretariat on feedback from countries and signed pledges. A number of key documents were prepared and shared with the Permanent Secretariat and with major donors in-country,
* Trainings focused on the following activities: Project Management, Monitoring and Evaluation and Resource Mobilization Strategies
40 43 MCA 1 - Identify and Trace People with Ebola
45 MCA 3 - Care for Persons with Ebola and Infection Control
46 MCA 6 - Access to Basic Services
48 MCA 7 - Cash Incentives for Workers
50 MCA 9 - Reliable Supplies of Materials and Equipment
51 MCA 11 - Social Mobilization and Community Engagement
52 MCA 13 - Preventing Outbreaks
57 RSO 01 - Health, Nutrition, and Water, Sanitation and Hygiene (WASH) UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT at A Glance
LIBERIA 40.5 million 36.9 million Contributed Expenditures
SIERRA Voinjama GUINEA LEONE 10 Proposals 7 UN Entities
Bopolu Saniquellie RESPONSE Tubmanburg CÔTE S01 S02 S03 S04 S05 D'IVOIRE Kakata Stop TREAT ENSURE PRESERVE PREVENT Monrovia Buchanan 17 million 10 million 6 million 4 million 1.5 million
River Cess Fish RECOVERY Town Greenville RS01 RS02 RS03 RS04 ATLANTIC Governance, OCEAN Health, Nutrition and Socio-Economic Basic Services and Peacebuilding and WASH Revitalization Infrastructures Harper Social Cohesion 25 km 1.5 million n/a n/a n/a
Map Sources: ESRI, UNCS. The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Map created in Sep 2013.
Funding as of 31 December 2015* Funding per Mission Critical Actions & Recovery Strategic Objectives
MCA01 - Identify and Tracing MCA02 - Safe and dignified burials 0% 41.75% MCA03 - Care for persons 26.12% MCA04 - Medical care for responders 0% Total MCA05 - Food security and nutrition 0% Allocation MCA06 - Basic Services 9.89% $149 m MCA07 - Cash Incentives 5.54% MCA08 - Recovery and Economy 0% MCA09 - Materials and Equipment 6.35% MCA10 - Transport and Fuels 0.80% MCA11 - Soc.Mob & Community 27% 2.06% MCA12 - Messaging 0% MCA13 - Preparedness 3.65% RSO1 - Health, Nutrition and WASH 3.84% Guinea Sierra Leone $40,521,447 RSO2 - Socio-Economic Revitalisation 0% Liberia Regional RSO3 - Basic Services and Infrastructure 0% RSO4 - Governance, Peacebuilding and 0% * Allocations are based on approved budget Social Cohesion
42 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 1
COVERAGE: MCA 1 Allocated Identify and trace people with Ebola $16.9 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093218 #10 Interruption of Transmission 23-Dec 2014 $11,603,212 00093252 #16 Epidemiologist District Management 19-Dec-2014 $5,312,789 6-Feb-2015 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES 10,090 Contact Tracers 10,090 Contact Tracers 1,300 Active Case Finders 1,300 Active Case Finders Contact Tracers 2,017 Supervisors 2,017 Supervisors UNFPA, UNDP, WHO 106 District Monitors 106 District Monitors 30 County Coordinators 30 County Coordinators Epidemiologists deployed 21 35 WHO
Vehicles 22 27 WHO, UNDP
Achievements and Results
Through Project #10, “Accelerating Progress Towards Through the project, UNDP supported the payment of July Interruption of Ebola Virus Transmission,” WHO, UNFPA and incentives to 4,171 active case finders in Montserrado. UNDP collaborated to support the Government of Liberia in It provided refresher trainings, community engagement implementing activities across the country’s 15 counties. As activities and operational costs. After a reduction of about a Lead agency, WHO supported contact tracing and active 50% in the number of active case finders (AFCs) from 4,171 to surveillance in the eight counties of Grand Bassa, Grand 2,146, WHO assumed support for them from August through Gedeh, Grand Kru, Margibi, Maryland, Rivercess, River Gee to December 2015. Also via the project, UNFPA supported and Sinoe. WHO recruited, trained and provided incentives incentive payments to 123 response teams in Montserrado, for 2,877 contact tracers, 575 supervisors, 50 district monitors and provided operational support to four response teams. and 16 county coordinators and provided data processing UNFPA also supported active case finding in the six counties equipment in these eight counties. It also ensured monitoring of Bomi, Bong, Gbarpolu, Grand Cape Mount, Lofa and and supportive supervision and overall compliance Nimba, and continued giving incentives to 656 active case throughout all 15 counties. UNDP supported contact tracing finders, 176 supervisors, 42 monitors and 14 coordinators, and active surveillance in Montserrado County. It provided for as well as providing training and operational costs through the recruitment, training and the provision of incentives for December 2015. 3,246 contact tracers, 649 supervisors, 22 district monitors Specific project achievements, such as the recruitment, and two county coordinators, along with data processing training and deployment of over 10,090 ACFs, helped stop equipment and high quality monitoring and supervision. the transmission of Ebola in Liberia. The number of cases fell UNFPA supported contact tracing and active surveillance in from over 150 per day to zero across the country. The project the six counties of Bomi, Bong, Gbarpolu, Grand Cape Mount, also aided in the rapid containment of outbreaks, (including Lofa and Nimba. Its efforts supported the recruitment, training the suspected case in Nedowein community and the prompt and the provision of incentives for 3,967 contact tracers, 793 support provided by the Project Team to the Margibi County supervisors, 34 district monitors and 12 county coordinators, Health Team), which was critical in containing the spread of and provided data processing equipment for these six target Ebola. In addition, and another important accomplishment, the counties. Following the detection of a new outbreak in Margibi Liberian Government maintained a high level of surveillance County in June 2015, after Liberia had been declared Ebola- through the Incident Management System (IMS), and through free, the Ebola Response MPTF released funds to support ACFs, while working towards strengthening the country’s Liberia’s response, in line with the Government’s priorities. health delivery system. This continued, even after the Liberia Project #10 was extended until December 2015 with the was declared Ebola-free. primary goal of early case detection and rapid identification of the sick and dead, and their visitors. Community involvement was also critical. Community and religious leaders helped identify the sick, safely bury the The revised project included support for response activities dead, and successfully ran contact tracing and quarantines. in Montserrado (active case finders, community engagement, Their involvement also reduced the level of stigmatization and cash incentives for response teams and operational funds).
43 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
LIBERIA Mission Critical Action 1
enhanced openness in reporting on Ebola cases. Community community event based surveillance (CEBS), covering all engagement interventions for sustained surveillance that priority diseases and events. WHO engaged with the MoH to were started as part of the project’s exit strategy, concluded promote curriculum development and training for community with community inception meetings, community structure health services and county and district level coordination of mappings and community mobilization and support activities community health service activities. meant to enhance community-led disease surveillance in In addition to project activities in direct response to the Ebola the counties going forward. Overall, community outreach outbreak, Ebola Response MPTF funding provided support to activities and cooperation in the fight against Ebola through the MoH in building national and district level capacity and the ACFs and other field personnel raised the awareness of re-establishing the IDSR system. As a result, IDSR guidelines approximately 1.5 million people in the country. were redeveloped in a more practical and usable fashion and These efforts gave rise to a critical mass of experienced youth nearly 1,500 health care workers were trained to recognize the community volunteers (for instance, over 10,090 AFCs), who signs and symptoms of diseases as well as how to report and were successfully recruited and trained under the project, and respond to them. This work was undertaken in partnership who remained as backup human resources for the country. In with MoH Disease Prevention and Control (DPC) department order to sustain the project’s interventions, WHO along with as well as US Centers for Disease Control and Prevention other development partners, supported the Government (CDC). Further, WHO and the MoH co-led successful working of Liberia in streamlining the health care workforce under groups for IDSR implementation at the community level, and the country’s “Investment Plan for Building a Resilient designed, developed and rolled out an electronic platform for Health System.” The revised policy aimed to help develop reporting on priority diseases in four pilot counties. To date, all an incentivized community health workforce to improve counties collected IDSR data (except Montserrado) for most community-based health care service delivery. The 2,146 priority diseases, with some limitations regarding retrospective members of the trained workforce supported by the project data collection. Finally, the WHO and MoH also supported the were to be subsumed under the broader Integrated Disease development of a toolkit to enable MoH and WHO field teams Surveillance and Response (IDSR) system and work as general to work with counties to develop county specific epidemic Community Health Volunteer (gCHV) to track and respond to preparedness and response plans. All of these outcomes were 15 priority diseases at the community level. Under the IDSR meant to speed future responses to epidemic prone diseases, roll-out, the Ministry of Health (MoH) and partners facilitated with a view to minimizing their spread and impact. community-level trainings for gCHVs on IDSR, including
UNFPA Contact tracers © MPTF Office 44 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 3
MCA 3 COVERAGE: Care for Persons with Ebola and Infection $10.58 million Allocated Country, including district areas Control MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093255 #16 IPC District Management 19-Dec-2014 $1,212,945 00092643 #1 Transportation of Essential Items 26-Nov-2014 $3,780,000 00093282 #1 Storage Capacity 23-Dec-2014 $1,592,796 00092448 #1 Air Services 07-Nov-2014 $4,000,000 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES FLBs Forwarding Logistics Bases 3 5 WFP
Jan 2015 - 3,055 m³ Feb 2015 - 3,074 m³ Mar 2015 - 9,484 m³ Transportation - Essential Items 4,000 m3 WFP Apr 2015 - 8,291 m³ May 2015 - 3,279 m³ June 2015 - 2,789 m³
Strategic Airlift 12 28 Covering all three countries Covering all three countries WFP Jan 2015 - 1,950 passengers Feb 2015 - 2,094 passengers 1,300 Mar 2015 - 2,271 passengers Air Services Passengers/months WFP Apr 2015 - 2,718 passengers (all three countries) May 2015 - 2,743 passengers Jun 2015 - 2,887 passengers
IPC Experts 6 International Staff 14 WHO
Vehicles 10 10 WHO
Achievements and Results
WFP, through Project #1, “Common Services for the Health Response to the Ebola Virus Disease in West Africa,” supported the set-up of five Forward Logistics Bases (FLBs) in Liberia. Between January and June 2015, 29,972 3m of essential items were delivered in the country. WHO, through Project #16, “Strengthen District Level Case Finding, Case Management, Reporting Logistics Management, Community Mobilization and Engagement,” deployed 14 infection, prevention and control (IPC) experts and purchased 10 vehicles to support IPC activities and interventions in Liberia.
FLB and Transportation © MPTF Office 45 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
LIBERIA Mission Critical Action 6
COVERAGE: MCA 6 Allocated Access to Basic Services $4.0 million Montserrado, Margibi, Lofa, Bong, and Bomi
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093136 #4 Ebola Children Protection 15-Dec-2014 $4,007,578 30-Apr-2015 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES 1 Increased children’s access to basic services 12,600 16,093 UNICEF Nationwide
ICCs (Interim Care Centres) 3 2 ICCs and 1 Transit UNICEF Center 6,834 Number of families who received one-off cash transfers support for 7,500 Nationwide UNICEF caring for orphaned/abandoned children due to Ebola 5,083 per the five Counties
Number of children receiving mental health and psycho-social support 2 10,000 16,093 UNICEF (MHPSS) Nationwide
Number of Ebola survivors trained and employed as child carers, foster 1,200 1,200 UNICEF parents, working with social mobilization teams Ebola Survivors Nationwide
1 Nationwide: 16,093 (7,277m, 8,816f) - Per the five counties: 13,950 (6,284m, 7,666m), Bomi 257 (131m,126f), Bong 528 (317 m, 211 f), Lofa 2,303 (950 m, 1,353 f), Margibi 4,436 (1,830 m, 2,606 f), Montserrado 6,426 (3,056 m, 3,370 f) 2 Nationwide:16,093 children receiving MHPSS (7,277 m, 8,816 f) - Per the five counties: 13,950 (6,284 m, 7,666 f), Bomi 257 (131m,126 f), Bong 528 (317 m, 211 f), Lofa 2,303 (950 m, 1,353 f), Margibi 4,436 (1,830 m, 2,606 f), Montserrado 6,426 (3,056 m, 3,370 f)
Achievements and Results
Under Project #4, “Supporting the Well-being and Protection FTR and case management services to children orphaned by of Ebola Affected Children in Liberia,” UNICEF, through Ebola, in order to avoid their institutionalization. The Hawa partners, reached 17,318 persons, of whom 16,093 were Massaquoi Transit Center continued to provide shelter and children, with psychosocial support (PSS), alternative care, protection for 25 separated and unaccompanied children as and case management for Ebola-affected children and family tracing and reunification services progressed. families. The project targeted the five counties of Lofa, Bong, A total of 16,093 children received case management and PSS Bomi, Montserrado and Margibi with some services offered through one-on-one meetings with social workers, structured nationwide as the epidemic spread. recreation for resilience activities facilitated by trained staff, The project helped the Ministry of Gender, Children and Social and case management services. Out of the 16,093 children in Protection (MoGCSP) and the MoH increase the capacity and the five counties, 6,314 were registered as orphans and out technical skills of 50 new social workers, 15 child welfare officers of this number, 5,083 benefitted from one-time emergency and 65 mental health clinicians and 20 data clerks through cash assistance. All have been placed in family based care. several trainings on case management, child protection and Payments continued for 166 children in Montserrado and participation, PSS, alternative care, data base management, Margibi. family tracing and reunification and basic social welfare skills. The project helped revitalize and support the National Child This brought the total number of social workers to 120 and the Protection Information Management System, which currently total number of human resources supporting Ebola-affected stores the data of all children in need of child protection children to 220. Standard Operating Procedures (SOPs) were services, especially children affected by Ebola. Records for written for the care of children in contact with Ebola, and more than 4,000 Ebola-affected children were entered into Ebola survivors were trained to provide the care. the database. In addition, ten vehicles, five motorbikes, Through the project, two Interim Care Centers (ICC) and 124 rain gear sets and 100 bicycles were provided to the one Transit Center (TC) were opened and equipped. During MoGCSP to help facilitate the work of the social workers in the epidemic, they served 146 children. Family tracing and the counties and to fast track the registration of children in reunification (FTR) services helped to reunify 143 children from remote communities. the ICC and TC during the epidemic. Social workers provided
46 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 6
Further, bi-weekly technical supervision and coaching sessions for the MoGCSP helped enhance the skills of the supervisors and social workers delivering case management, psychosocial care and reintegration visits to Ebola-affected children. Across the five counties, 143 national junior volunteers continued to provide sensitization and awareness activities on Ebola prevention and on the prevention of sexual and gender based violence. Some also served as volunteer teachers and nurses, and provided guidance for decision-making on children in their communities. Further, 150 adolescent girls and boys in Grand Gedeh continued to conduct awareness and sensitization campaigns to prevent the stigmatization of Ebola-affected children. They also promoted messaging against sexual exploitation and abuse, and promoted the importance of remaining in school. It was expected that these exercises would be replicated in other counties.
© UNICEF 47 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
LIBERIA Mission Critical Action 7
COVERAGE: MCA 7 Allocated Cash Incentives for Workers $2.25 million Full, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092903 #8 Payments for Ebola Workers 04-Dec-2014 US$1,532,616 21-Jan-2015 US$713,216
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES
Number of payments made to ERWs (Ebola Response Workers) through N/A 33,3941 UNDP Government systems with UNDP support
Number of contingency payments made to ERWs through UNDP 449 8173 UNDP Contingency Plan2
1 Paid in four cycles. 2 Please note that the Government is in the lead in paying ERWs. UNDP provides support, either by supporting payments through government systems or through UNDP’s Contingency plan, when requested by the government. There are payments, especially for pay rolled health workers in the Ministry of Health, that are paid directly by the government with no UNDP support. 3 Paid in two cycles. Achievements and Results
Project #8, “UNDP Programme for Payments for Ebola grievances from ERWs, and an in-depth financial diagnostic of Response Workers (PPERW)-Liberia,” was established in the digital payment sector in Liberia that were underway at the December 2014 to ensure that all workers received payments end of December 2015, the project was extended. Overall, for performing essential duties. By the end of December 2015, the project is estimated to have reached 10,798 beneficiaries. UNDP had supported government payments to an average The project had a number of other important outcomes. of 10,000 Ebola Response Workers (ERWs) per payment It strengthened the capacity of the MoH to manage payroll cycle (for a total of five payment cycles), ensuring that more and personnel management. It provided for two liaisons than 95% of ERWs were registered and linked to a payment (embedded at the MoH) that helped reduce the lag time mechanism. In addition, UNDP paid an average of 495 ERWs between payments and build capacities within the Ministry. working for the central Incident Management System, directly, An E-Billboard was also set-up in the MoH to support over two payment cycles. communication on payment related problems and other Through this project, UNDP also helped support the related health issues. Payments to all 822 IMS workers through harmonization of pay scales, installed a complaint mechanism the PPERW contingency plan were made and funds were used with a call center and installed 17 UN volunteers in the field to finance a study for the interoperability of the MoH Human to support MoH teams in collecting, sorting and verifying Resource (HR) system with the Civil Service and Ministry of payment complaints. By August 2015, a total of 578 complaints Finance human resource systems. were reported by UN volunteers deployed across the country, The project also sought to analyze and grow capacity that with 414 of the complaints addressed by the County Health would support financial services functions. Project funds Teams. Approximately 164 complaints were elevated to the supported a PPERW-held workshop that updated the MoH MoH central office and resolved. and paying organizations on the payment mechanism To increase the ability of the Ministry of Health and Social available in the context of the challenging banking footprint Welfare (MoHSW) to pay workers in remote areas and to in the counties. The PPERW commissioned an initial financial strengthen payment mechanisms in Liberia, UNDP forged a diagnostic review of the financial infrastructure in Liberia partnership with USAID to reduce the risk, via a public-private and made recommendations. Finally, the PPERW hired a partnership, for a digital payments aggregator, Splash Cash, consulting firm to run a diagnostic of the financial systems. A to enter the Liberian market. feasibility study analyzing the introduction of a third party cash management partner was ongoing. Because there were a number of residual activities under the project, such as outstanding payments, outstanding
48 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 9
MCA 9 COVERAGE: Reliable Supply of Materials and $2.57 million Allocated Full, including districts Equipment MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093527 #16 District Logistical Capacity 22-Jan-2015 $2,574,893
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Deployment of logisticians 15 14 WHO
Achievements and Results
At the height of the outbreak, the regular public health supply established a fleet management system, developed SOPs chain in Liberia was not robust enough to provide essential for the management of fleet, recruited drivers and repaired personal protection equipment (PPE) to health facilities, dozens of broken vehicles that were then deployed to the and before Ebola, most of the health facilities did not have field and equipped with tools and first aid kits. The project essential IPC supplies. Thus, a supply chain for Ebola response supported County Health Teams, assuring improved resource in Liberia was established to organize the management of management and the utilization of available resources, incoming supplies and to ensure that the right quality and especially in regard to transport. A sample transport system quantity of PPEs and IPC supplies were provided to all health was setup to transport the semen samples of Ebola survivors care workers in a timely manner. The goal was to protect them from Redemption Hospital in Montserrado County and while they performed their duties in the fight against Ebola. Phoebe Hospital in Bong to Tappita Lab in Nimba. The WHO Logistics Team was appointed by the MoH to act as Other specific project outputs included the completion of the focal point in handling all IPC requests from partners and several distributions throughout the year, with more than 700 ensuring its timely fulfilment. MoH along with WHO and other health facilities receiving IPC commodities through last mile partners (WFP & John Snow Inc.) developed a coordination distribution efforts. Fourteen Mobile Storage Units (MSU) group to launch a “last mile” distribution exercise in February were installed to improve storage capacity in 14 counties. 2015. The project also removed expired medical commodities from supply chains. A supply chain management orientation Through the project, incoming air and sea shipments (105 workshop was provided for 17 supply chain coordinators, 15 containers, 14,896 boxes and 23 pallets), which totaled county pharmacists and 12 hospital pharmacists. The project 116 shipments of mostly IPC supplies were received and also assessed ELWA 3 Lab, assured compliance with required dispatched. operational standards and supported the cold chain logistics In addition, the supply chain management team conducted and infrastructure needed for all vaccination campaigns a “supplies needs analysis” for Liberia, and forecasted and carried out in the country. procured IPC through 2015. An IPC supply chain transition Figure 8: IPC commodities distributed in 2015 task force was set-up with the leadership of IMS, and a plan was developed to ensure the smooth transition from an Ebola County 1st 2nd 3rd 4th 5th 6th 7th response emergency supply chain to a regular supply chain Bomi 22 21 22 22 22 22 22 system. The goal was to assure continuity of IPC/PPE supplies Bong 43 41 44 44 38 44 44 for the health system. An IPC quantification task force was also Gbarpolu 15 14 15 15 15 15 15 established, led by a MoH IPC team, and was responsible for Grand Bassa 29 27 27 27 25 27 29 revising the IPC commodities item list as well as quantifying G. Cape Mount 31 31 32 32 32 32 32 IPC commodities based on consumption data. Grand Gedeh 0 23 24 24 16 24 24 Due to unplanned donations from several partners and Grand Kru 20 20 19 19 18 18 18 countries, medical supplies not relevant to IPC activities Lofa 60 58 59 59 59 59 59 accumulated. The supply chain management team (WHO, Margibi 14 20 20 20 23 26 25 WFP, John Snow Inc. and MoH) worked along with other Maryland 0 24 25 25 25 25 25 partners and County Health Teams (CHT) in each county. They Montserrado 66 36 256 243 264 250 284 identified the needs in other areas and health sectors, and Nimba 69 69 71 75 75 75 75 distributed these supplies to hospitals and health facilities. Rivercess 18 17 19 19 19 19 19 These actions prevented the waste of valuable medical Rivergee 20 19 20 20 20 20 20 supplies and helped meet needs in other areas, in addition to Sinoe 35 35 37 37 37 37 37 the Ebola response. Total (number) 442 455 690 681 688 693 728 With regard to vehicles and transport, the logistics team also Total (%) 58% 60% 90% 89% 90% 92% 100%
49 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
LIBERIA Mission Critical Action 11
MCA 11 COVERAGE: Social Mobilization and Community $0.84 million Allocated Country, including district areas Engagement MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093220 #25 Outreach and Awareness Monrovia and 19-Dec-2014 $283,088 Paynesville* 00093971 #16 Social Mobilization 6-Feb-2015 $552,963 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Social Mobilization Experts 3 5 WHO
* The project is operationally closed as of April 2015. For the indicators of this project refer to 2nd Interim Report of the Ebola Response MPTF. Achievements and Results Through Project #16, “Strengthen District Level Case Finding, Through the project, 500 community leaders, active case Case Management, Reporting Logistics Management, finders and district surveillance teams participated in Community Mobilization and Engagement,” WHO worked in orientation meetings to strengthen their collaboration with collaboration with the MoH, Ministry of Education, UNICEF, communities and their surveillance measures. Additional CDC, the UN Mission in Liberia (UNMIL), UNMEER and outcomes included provisions to 96 block leaders in other partners to strengthen social mobilization coordination Montserrado to strengthen their participation in community and partnerships; develop guidelines and training response. They were provided rain boots, scratch cards and materials; develop messaging and information, education refreshments. A community engagement session was held and communication(IEC) materials; promote community with community leadership and other stakeholders to discuss mobilization engagement; and strengthen social mobilization triage at the Louisiana Community Health Clinic. Meetings capacity at all levels. The re-emergence of Ebola on two were also held with community leaders in New Kru town and separate occasions after Liberia was initially declared Ebola- Island Clinic community on the decommissioning of Ebola free demonstrated the importance of maintaining community Treatment Units (ETUs); and about how to pass community vigilance to prevent outbreaks and to control behaviors that concerns onto government counterparts. Zonal coordination could enable the reemergence of the virus. meetings were held regularly through which community leaders committed to address community health issues such Project #25, “Operation “Stop Ebola Transmission in Monrovia as unsafe burial practices, body swabbing and early disease and Paynesville,” supported the Montserrado County response reporting. team and the Montserrado IMS community engagement pillar to plan, implement and coordinate partners in response The project also supported a MoH analysis and monitoring to the Ebola outbreak. In collaboration with communities, report for county-level social mobilization activities in Ebola the Montserrado response team, CDC and UNICEF, WHO response; and updated a standard messaging guide to supported community engagement and dialogue meetings to include communications on post-Ebola vigilance advocacy for mobilize communities on the issue of safe burial practices and ongoing campaigns, including Ebola immunizations. Ebola prevention. The communities developed action points to promote safe burials and to strengthen the surveillance of dead body management.
50 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 13
MCA 13 COVERAGE: Multi-faceted approach to Prevent the $0.34 million Allocated Monserrado Spread of EVD MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092648 Ebola Response and recovery positioning 22-Jul-2015 $344,277 Community Quick Impact Projects (C-QIPs) for Montserrado County Liberia Community Based Organization County Project Value(USD) Project Title and brief description of activity Community Help Insight Liberia Building the capacity of primary and secondary school teachers in Ebola Monserrado $3,922.62 (CHIL) prevention, infection and control in District #2 Johnsonville City. Sean Devereux Children’s Construction of elevated poly tank water supply facility for use by children Education And Agriculture Monserrado $4,374.16 and students to properly maintain hygiene in Sean Devereux School Toile Programme. and provide safe source of water for school and community dwellers Babylon Congress For Monserrado $2,300.00 Sanitizing school campuses and providing anti-Ebola hygiene materials Development (BCD)
Ebola Prevention & Care for Deaf students (EPCaDS), providing specialised Total Dignity Institute, Inc. (TDI) Monserrado $5,000.00 services for persons with disabilities Back to School Assistance to Ebola Orphans and Survivors, providing Survivors Aid International Liberia Monserrado $4,800.00 counseling support for return to school along with ebola preventive (SAIL), INC materials Paynesville SDA Women Ministry Teaching basic Hygiene in the Schools and Communities to say ‘farewell’ to Monserrado $1,000.00 Department Ebola targeting women and children Ebola Survivors Reintegration Programme 1st phase (ESRP); focused Women of Change Monserrado $4,877.00 primarily on women creating awareness and prevention of Ebola to stay at zero while at the same preventing the resurgence of disease Enhancing good sanitary condition to schools (Construction of hands Integrated Livelihood Promotors pumps, hands washing center , renovation of Toilet at the TEEBEY, Monserrado $ 4,508.60 Inc (ILIP) Memorial high school, point Four, Bushrod Island, Monrovia, Montserrado County) Restoring Trust in the Health Care Delivery System; focused on a United For Humanity (UH) Monserrado $ 4,075.00 multifaceted preparedness to preserve stability of the gains made in the Ebola response Taking stigma and complacency out of minds towards a win against New Liberia Media Initiative Monserrado $ 4,900.00 Ebola in Liberia - tackled stigma, denial through direct engagement with survivors and families Global Vision for women and Engaging communities, especially women on stigmatization and Monserrado $ 4,705.00 children complacency on the prevention of Ebola Child Equip unites to fight Ebola - focused on preventive care support, Child Equip Inc Monserrado $ 4,450.00 messaging, enhanced community engagement & provision of essential equipment and materials and supplies
Devcorps Inc. Monserrado $ 4,327.15 Strengthening PTA and school partnerships to make schools EVD free zones
Initiative for female development Back to school recreation - targeted mobilization at the household level in Monserrado $ 2,885.00 (INFED) the context of schools re-opening to preserve stability of the gains made National Federation of women Initiative to Reduce complacency and fatigue among market women - employees and allied workers Monserrado $ 4531.45 focused on preventive care support, messaging, enhanced community (NAFWEA) engagement, provision of essential equipment and materials and supplies
Community Organization for Community action for sustained Zero Tolerance of EVD in Todee district - Reconstruction and development Monserrado $ 4,687.67 community mobilization with preventive messages and behaviour change ( CORD) with an objective of preventing the disease from re-occurring
51 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
LIBERIA Mission Critical Action 13
Community Based Organization County Project Value(USD) Project Title and brief description of activity United Youth Social Symposium Sustaining and accelerating EVD prevention Interventions to achieve Zero for Education and Development Monserrado $ 4,954.00 New Case in Liberia - focused primarily on preventive behaviour change (UYSSED) messages Creating Rapid awareness on the spread of the deadly Ebola virus; God’s Anointed Children Club Monserrado $ 2,750.45 focused on preventive care support, messaging, enhanced community (GACC) engagement, provision of essential equipment and materials and supplies. Rural Effective Agriculture Program Installation of hand pumps in Ebola affected communities and households Monserrado $ 4980.85 (REAP) within Paynesville area
Women and Children Development Re-enforcing compliance to the Health Protocol to achieve zero infection Monserrado $ 5,000.00 Association of Liberia rate in communities - focused on teaching behaviour change
National Empowerment program Taking action against Ebola Stigma and discrimination - focused primarily Monserrado $ 5,000.00 for Women and children (NEP) on fighting stigma especially amongst survivors and familiies Post Ebola rapid assessment of community need to improve quality of Montserrado County Sector 3 IMS Monserrado $ 4,500.00 life and reduce the transmission infectious diseases - behaviour change education National Health and Prmomoters Kick Ebola beyond border - focus was on preventive care support, Association of Liberia NGOs Monserrado $ 3,774.96 messaging, enhanced community engagement, provision of essential (NAHPLAN) equipment and materials and supplies. Strengthened capacity for positive guardians - focused on a multifaceted Children Empowerment for Future, Monserrado $ 4,925.00 preparedness, especially in the context of schools re-opening to preserve Inc stability of the gains made in the Ebola response Prevention of further Ebola virus diseasse outbreak in Liberia through the Secure Liberia Monserrado $ 4,975.00 provision of water for handwashing, sensitization and awareness creation in schools Focused on stopping stigmatization against Ebola virus disease survivors Shaul Foundation Monserrado $ 3,740.00 and promote livelihood for female headed household survivors project
Liberian International Foundation Restoration of Dixville Public School - provided support in the form of hand Monserrado $ 4,818.00 for Education (LIFE) pumps, sanitary wares and and other preventive materials and supplies
Youth for Education and Agriculture Formation and maintenance of Water,sanitation and Hygiene (WASH) Monserrado $ 4,420.20 International Liberia (YEAI-Liberia) clubs in ten high schools Conducted IPC TOT training to 15 private schools in Caldwells with the National Public Health NGO Monserrado $ 4592.78 objective of building knowledge and skills to fight ebola and other Network (NAPHNET) epidemics Sporting awareness against spread of Ebola - capitalizing on the popularity of football, this project sought to use its platform to mobilize communities bringing people together particularly the youth to fight the virus and to 18ners Social and Athletics Club Monserrado $ 2,501.00 help those living in affected communities. In particular, it used sports and entertainment community stars in spearheading positive message to fight stigma. Reducing stigma and improving hygiene in Freeman Reserved community Afro-medical Community Health Monserrado $ 4,996.10 - this was done through provision of engagement and provision of and welfare services (ACHWS) preventive materials
Focused on mobilizing and monitoring implementation of safe health and Bethel National Youth Ministry Monserrado $ 2,233.00 hygiene practices
Hygiene promotion in schools and its environs via drama this was Urban Community Empowerment Monserrado $ 2,635.00 considered a platform to mobilize communities particularly the youth to fight the virus and to help those living in affected communities.
Bilingual Community based Monserrado $ 5,000.00 Improving livelihoods and income generation for Ebola survivors organization
52 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 13
Community Based Organization County Project Value(USD) Project Title and brief description of activity Health Department of Seventh day Adventist Church Psychosocial training Health Department of Seventh day Monserrado $ 2,000.00 on Ebola - this focused on communities and households especially those Adventist Church known to have suffered most “Wait Small more(Ya)”; Liberian colloquial - this was a palave hut type Student Reform Initiatives Monserrado $1,995.00 strategy bringing the youth together to discuss openly and find solutions towards fighting ebola and supporting community recovery Young Adults Volunteers Four rooms toilet facility for 2 schools in the community - focused on WASH Monserrado $ 3,480.00 Association as one of the key areas of improvement in general hygiene Water for health in Block B and H of Soul Clinic - preventive care support, Soul Clinic Community Monserrado $ 5,000.00 messaging, enhanced community engagement, provision of essential Development Association (SCCDA) equipment and materials and sup Yarcooper Elementary and Junior Yacooper Elementary and Junior High School safe drinking water project - Monserrado $ 1,067.00 High School construction of water pump and hand washing points
Strengthening the fight against new outbreak of Ebola through nightclubs Actions for Humanity Monserrado $ 2,693.00 and entertainment centres
Increasing awareness to reintegrate EVD survivors in the communities and Edusport Liberia Monserrado $ 4,556.06 schools without discrimination through sporting events and psychosocial
Preventing further Ebola virus outbreak through community water and Manja Catering and Charity Monserrado $ 4,443.00 awareness programmes
Right to play: Construction of a recreational facility for orphans at Taffi Taffi Dollar Child Welfare Centre Monserrado $ 5,000.00 Dollar Child Welfare Centre Back to school awareness on Ebola WASH -using faith a platform, the focus Islamic Guidance Organization Monserrado $ 5,000.00 was on encouraging a back to school message and how to ensure safety and security even in doing so
Equipping Youth to Help One Strengthening Relationship between Ebola survivors and host community Monserrado $ 4,312.10 Another dwellers through psycho-social counseling and sports
Campaign against Stigmatization of Ebola affected people through Women Protecting Female Inmates Monserrado $ 5,000.00 community Engagement working with community mobilizers, counselors & welfare (WOPROFIW) Inc. and psycho-social providers. Nurturing Hygiene Practices to avoid probable illness among Children and Youth Crime Watch of Liberia Monserrado $ 4,820.00 Youth in 6 paynesville communities Raising awareness on Ebola for Upper Caldwell Nursery and Elementary Youth Looking After Community School children - strategy was preventive care support, messaging, Monserrado $ 4,315.00 Affairs enhanced community engagement, provision of essential equipment and materials and supplies
Liberians for development and Ebola Prevention awareness to farmers - this focused on farmers, and Monserrado $ 4,980.00 progress passed prevention messages at the farms without interrupting their work
Reaching out to the unreachable to stop Ebola - focus on most affected communities and households with preventive care support, messaging, Agape Hill Youth Association Monserrado $ 2,553.00 enhanced community engagement, provision of essential equipment and materials and supplies Construction of 4-compartment modern pit latrine with wash pan- Concerned Women Monserrado $ 4,937.55 primarily WASH with a focus on women and girls
Common Heritage Foundation Community engagement with emphasis in compliance with prevention Monserrado $ 5,000.00 Liberia protocols, as well as fighting denial and stigmatization
Women and Adolescent Girls Promoting citizens participation to council, educate and prepare Monserrado $ 4,410.00 empowerment program communities to prevent the spread of Ebola virus in Liberia
53 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
LIBERIA Mission Critical Action 13
Community Based Organization County Project Value(USD) Project Title and brief description of activity Women Unite to create awareness Psychosocial in Schools and Women Unite Monserrado $ 5,000.00 communities within Mount Barclay area and Johnsonville
Reaching Zero infection level through drama in school - preventive United Youths for Development Inc. Monserrado $ 3,533.00 messages using IEC and targeting schools
Swine Producers Association of Training swine producers to overcome losses sustained from EVD within Monserrado $ 2,920.00 Liberia the Mount Barclay-Lower Johnsonville area
Safe school environment in the Ebola outbreak in 18 schools located at the Sisters in Action Monserrado $ 5,000.00 Peace Island community and its environs
Community Youth Empowerment Spreading Ebola Messages through custom made copy book - targeted Monserrado $ 2,568.00 Initiative young people who can read and write
Friends of Success Monserrado $ 3,865.00 Psychosocial intervention - mainly to fight stigmatization and denial
Global Assistance for All People Monserrado $ 4,996.16 EVD awareness and prevention project- a school environment approach
Education on Ebola in schools and communities in Montserrado county Kriterion Monrovia Monserrado $ 3,616.60 - emphasis on making the school environment safe and secure from epidemics with basic knowledge and education Social stigma reduction and Ebola WASH Project - focus on young people Reform Youth network Monserrado $ 2,989.87 through mini cash for work programme building latrines and washing areas
Deaf people Anti-Ebola Education project - special focus on people with Sharpe Home Care Services Monserrado $ 4,250.00 disability
Youth Health Initiative Monserrado $ 2,500.00 Promoting Community Health through grassroots participation
Federation of Chocolate City Youth Monserrado $ 4,772.00 Wash your hands, save your health- Zero Ebola cases
Livelihood support for Ebola survivors - preventive care support, Conscious youth for the Monserrado $ 2,775.00 messaging, enhanced community engagement, provision of essential transformation of Liberia (COYTOL) equipment, materials and supplies
Women Empowerment for self Mobilizing Women for Sustanable Ebola Prevention Practices - specific Monserrado $ 5,000.00 Employment focus on women and girls within the Rehab, Paynesville community
Counselling the Orphans in the disabled community - focus on people with Barkarjoe Youth Association Monserrado $ 1,200.00 disability
Ensuring safe school; building synergy to end Ebola in Liberia - focus Sisters Aid Liberia Monserrado $ 4,825.00 on behavious chanfe education and counseling along with provision of preventive materials and supplies
Ebola messaging with a focus on preventive care and support enhanced Liberian Polio Association Monserrado $ 5,000.00 community engagement focusing on people with polio induced disability as well as provision of essential ebola preventive materials and supplies
54 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA Mission Critical Action 13 Achievements and Results
The expected results of Project #11, “Ebola Response and Nine CBOs were involved with WASH activities . In five of Recovery Positioning Community Quick Impact Projects the target communities, the WASH activities included the (C-QIPs),” initiative included: enhanced capacity of the construction of hand pumps, a water reservoir and stations. communities to prepare and respond to Ebola and other Four of the CBOs targeted schools and other community diseases; and strengthened capacities of community-based facilities where hand washing stations were also established. organizations (CBOs) to design, implement and report on One of the CBOs managed an orphanage for Ebola-affected project interventions through education, WASH, and Ebola children. Here, WASH and playground facilities were related messaging and multifaceted response/preparedness. constructed to strengthen psychosocial support for these This initiative was part of the broader post- Ebola recovery children, especially those from the most remote and poorest effort focused on enhanced community awareness, ensuring sections of the counties. that Liberia stayed at zero transmission and that survivors, orphans and health workers were protected from discrimination Approximately 15 of the CBOs worked on sensitizing and treated with respect. target communities to prevent the stigmatization of and discrimination against Ebola survivors in the Robert Field Among the 70 approved C-QIPs CBOs, 46 focused on High Communities, one of the epi-centers of the disease. The preventing resurgence in approximately 62 communities in CBOs engaged community leaders who were able to ensure Montserrado County, while 15 focused on Ebola education that Ebola survivors were accepted and integrated into normal in schools. Around nine CBOs were involved with WASH community activities. The involvement of the community activities, such as the construction of hand washing stations leaders was to help sustain information sharing and the and water towels in designated community centers and protection of survivors. Of the four highly populated sectors school facilities. One of the CBOs also focused on Ebola of Montserrado, three were covered by project activities. survivors and their integration into communities, spreading messages to bolster their acceptance and eliminate all forms In the area of knowledge and capacity building, CBOs also of stigmatization and discrimination. leveraged community leaders as well as youth groups that were given psychosocial training to assist in preparedness Initial implementation was slow, with activities commencing for any resurgence of Ebola. The trainings focused on the in October 2015. By the year end, 76% or 55 of the CBOs impacts of Ebola on survivors and on families as well as on successfully completed their activities and submitted their prevention through hygiene and sanitation. The trainings reports. During the period under review, the Mother Patern were delivered across schools, religious groups and other College of Health Sciences (MPCHS) C-QIPs applied to UNDP community structures such as women’s groups, youth groups for a no cost extension of the project. The request resulted and groups of people with disabilities. Most of the CBOs mostly from the CBOs that were delayed in submitting their employed nationals who also served as social workers to work reports, and 15 CBOs that had defaulted. as facilitators as well as national trainers, certified through the The projects had numerous important outcomes and results. MoH. Due to the intervention of the CBOs with funding through the The project was estimated to have reached 210,000 C-QIPs Project #11, approximately 175 speech and hearing beneficiaries. impaired children were educated on Ebola and equipped with preventive measures.
55 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
LIBERIA RECOVERY STRATEGY OBJECTIVE 01
COVERAGE: RSO 01 Allocated Health and Nutrition and WASH $2 million Gbarpolu, Grand Cape Mount, Lofa Counties
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096703 #33 Restoring Midwifery Services in Ebola most- 20 Oct 2015 $1,000,000 affected counties 00097566 #46 - Upgrading Water and Sanitation Systems in 18 Dec 2015 $1,000,000 Ebola-Affected Slum - UNICEF* PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES International obstetric teams trained and deployed 6 0 UNFPA
National midwives trained and deployed 18 8 UNFPA
* The project is recently funded
Achievements and Results
With the overarching goal of reducing maternal mortality in and medical supplies, as well as those staff skills in need of Liberia, the UNFPA implemented Project #33, “Restoring improvement with regard to maternal and newborn health Midwifery Services.” It aimed to support government efforts services. As a result of the assessment, a procurement and to restore and strengthen essential reproductive maternal and recruitment plan was drafted for implementation. In addition, neonatal health (RMNH) services, assuring that women and discussions were initiated to increase existing human resources their families had access to quality life-saving maternal health in each facility in collaboration with the MoH. services, including family planning. It paid particular attention Eight national midwives were deployed to health facilities to adolescent girls, given the high number of adolescent in Cape Mount and Lofa Counties. In collaboration with the pregnancies (32%) among girls between 14 and 19 years old MoH, contracts were being completed to ensure that new in Liberia. staff was paid through the existing MoH incentive/salary Situated in three border counties, the project also sought payment mechanism. This approach facilitated a smooth and to ensure linkages between community and health facility sustainable transition of staff remuneration into the national surveillance activities. It aimed to strengthen health and system through the MoH. related services relevant to the collection of quality data, UNFPA was also in the process of distributing medical including on maternal deaths, which could be used to inform supplies and equipment to health facilities in seven counties, decisions on how to improve services. including Lofa and Gbarpolu, which benefited from the The project aimed to achieve, through health facility and distribution exercise. As a result of the critical needs assessed, community interventions, an increase in access to quality, UNFPA prioritized three health facilities in Gbarpolu for the equitable maternal and new born health services that would initial phase of supply distribution, namely: Chief Jallah Lone significantly contribute to maternal and new born survival. It Hospital, and Gbarnway and Kungbor clinics. These facilities also sought to increase access to reliable data on maternal were to receive delivery beds and other essential supplies to deaths, which could inform actions to reduce mortality through ensure that the procurement of items using project funds was community engagement and response systems. The project implemented during the first quarter of the year. Other health aimed to strengthen information dissemination in order to facilities in Lofa and Cape Mount were expected to receive increase knowledge and potential utilization of sexual and medical supplies from February to March 2016. reproductive health services among adolescents in districts In late 2015, the MoH with support from UNFPA trained 12 and communities in Maryland County. skilled birth attendants in basic life-saving skills. The attendants In early January 2016, UNFPA conducted a rapid needs came from five health facilities from within Cape Mount and assessment of the facilities. It determined their status and Gbarpolu Counties. Existing staff in project health facilities gathered baseline data to support realistic target setting. also received training in family planning service provision. It also informed the procurement of required equipment
56 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
LIBERIA RECOVERY STRATEGY OBJECTIVE 01
With regard to future outcomes, the selection of a suitable urban slums where the vulnerable communities were severely vendor to refurbish targeted facilities commenced, with affected during the Ebola outbreak due to poor hygiene and renovation anticipated to be underway by February 2016. sanitation. During the implementation that will be completed Also into 2016, international staff was being recruited to by the beginning of 2017, youth will be trained and engaged mentor local staff, and additional trainings and deployment of in construction of WASH systems to develop skills for future national health care providers in collaboration with the MoH employment. was ongoing. UNICEF, via Project #46, “Upgrading Water and Sanitation Systems Incorporating Skills-Based Training and Employment for Youth in Ebola-Affected Slum Communities,” prioritized hygiene promotion with a special emphasis on hand washing with soap or chlorine solution as a key strategy for infection prevention at community and household levels. The focus of this project is to work on improving the living conditions in the
UNFPA Maternal Health © UNFPA 57 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
58 61 MCA 1 - Identify and Trace People with Ebola
63 MCA 3 - Care for Persons with Ebola and Infection Control
65 MCA 4 - Medical Care for Responders
66 MCA 6 - Access to Basic Services
67 MCA 7 - Cash Incentives for Workers
69 MCA 8 - Recovery and Economy
71 MCA 9 - Reliable Supplies of Materials and Equipment
72 MCA 11 - Social Mobilization and Community Engagement
73 MCA 13 - Preventing Outbreaks
79 RSO 03 - Basic Services and Infrastructure UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT at A Glance
SIERRA LEONE 52 million 39 million Contributed Expenditures GUINEA
15 Proposals 7 UN Entities
Makeni RESPONSE S01 S02 S03 S04 S05 Stop TREAT ENSURE PRESERVE PREVENT Freetown 7 million 22.5 million 6 million 3 million 12.3 million Bo Kenema RECOVERY
RS01 RS02 RS03 RS04 ATLANTIC Governance, LIBERIA Health, Nutrition and Socio-Economic Basic Services and OCEAN Peacebuilding and WASH Revitalization Infrastructures Social Cohesion
25 km n/a n/a 1 million n/a
Map Sources: ESRI, UNCS. The boundaries and names shown and the designations used on this map do not imply official endorsement or acceptance by the United Nations. Map created in Aug 2012.
Funding as of 31 December 2015* Funding per Mission Critical Actions & Recovery Strategic Objectives
MCA01 - Identify and Tracing 13.71% MCA02 - Safe and dignified burials 0% 39.46% MCA03 - Care for persons MCA04 - Medical care for responders 3.85% MCA05 - Food security and nutrition Total 0% 35% MCA06 - Basic Services 1.64% Allocation MCA07 - Cash Incentives 2.42% $149 m MCA08 - Recovery and Economy 7.84% MCA09 - Materials and Equipment 3.89% MCA10 - Transport and Fuels 0.54% MCA11 - Soc.Mob & Community 0.91% MCA12 - Messaging 0% MCA13 - Preparedness 23.72% RSO1 - Health, Nutrition and WASH 0% Guinea Sierra Leone $52,063,681 RSO2 - Socio-Economic Revitalisation 0% Liberia Regional RSO3 - Basic Services and Infrastructure 2.01% RSO4 - Governance, Peacebuilding and 0% * Allocations are based on approved budget Social Cohesion
60 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE Mission Critical Action 1
COVERAGE: MCA 1 Allocated Identify and trace people with Ebola $7.14 million All 14 districts of Sierra Leone
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093253 #16 Epidemiology District Management 19-Dec-2014 $5,065,084 6-Feb-2015 00096318 #17 Strengthening EVD Surveillance through IDSR 10-Aug-2015 $2,073,205 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Proportion of suspect cases investigated within 24 hours of notification 100% 100% WHO
Epidemiologists deployed 21 65 WHO
Vehicles delivered 21 48 WHO IDSR system is in place (>80% of Health units report weekly on 1 1 WHO epidemic situation in Sierra Leone) Districts involved into cross-border cooperation 7 2 WHO
Communication events 30 41 WHO
Achievements and Results
With persistently high numbers of new cases and cases support of the District Health Management Team (DHMT) occurring outside of contact lists throughout the first half of response to specific events. 2015, there was a clear need to expand and improve case Towards the end of the project, as case numbers began investigation and contact tracing activities. Ebola Response to fall with improved contact tracing, rapid isolation and MPTF funding enabled WHO to increase the deployment treatment, Ebola-free districts focused on developing more of personnel to the field and to focus on addressing the robust district surveillance systems. This helped enable rapid quality of contact tracing. Through Project #16, “Strengthen response to and containment of future flare ups. The project’s District Level Case Finding, Case Management, Reporting, achievements also laid the foundations for Integrated Disease Logistics, Management and Community Mobilization and Surveillance and Response (IDSR) for a broad range of health Engagement,” epidemiologists, Infection Prevention and issues going forward. Control (IPC) experts, and social mobilization experts were deployed to work closely with the District Ebola Response Project #17, “Strengthening EVD Surveillance Community Centre (DERC), harmonizing the efforts of the Government, Engagement and Response for Getting to and Sustaining Zero WHO and other international and domestic partners, while Ebola Cases in Sierra Leone,” commenced in August 2015, building local capacity. with the goals of revitalizing and building technical capacity for the IDSR system, including revision of the IDSR integrated Based on the challenges identified, some districts went supportive supervision checklist and book, and development beyond the Standard Operating Procedures (SOPs) for of an e-IDSR; enhancing Community Based Surveillance contact tracing and brought in thermometers to assist with (CBS) integration of the International Health Regulations (IHR) active engagement and to complement self-reporting and 2005; strengthening cross-border surveillance; and building observation assessment techniques. Improvements in the awareness through weekly epidemiological bulletins. identification and monitoring of contacts led to a reduction in the number of deaths in quarantined homes and to rapid The project contributed to the establishment of the robust detection and treatment of new cases from contact lists. IDSR system in Sierra Leone. By the end of December 2015, most of the hospitals in Sierra Leone reported on the dynamics Since June 2015, most epidemiologists have doubled as of monitored diseases. IDSR technical guidelines, training, Field Coordinators with oversight for burials, contact tracers documentation and reporting materials were developed and and strategic direction. District teams started using an “event validated. manager model” led by epidemiologists with responsibility for ensuring coordination with partners and across pillars in
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IDSR technical guidelines, training and other materials Other specific outputs
144 national and district mid-level managers from all 13 districts trained as TOTs in Technical guidelines printed and distributed 2,000 IDSR Participants modules printed and distributed 1,442 health workers from health facilities and partner agencies trained in IDSR during cascade training 200 Facilitators’ modules were printed and used in training Clinician training materials developed; and 12 clinicians from Connought Hospital in Western area district were trained during the piloting process
Case based reporting forms printed and distributed CBS Standard Operating Procedures, reporting tools and training materials validated 1,500 Weekly reporting forms printed and distributed and approved Line-listing forms printed and distributed An initial CBS implementation framework developed
CBS TOT training conducted for participants from six districts 1,350 Rumor log books printed and distributed IDSR integrated support supervision checklist and book were reviewed and validated
Standard case definition posters printed and distributed IHR (2005) desk review completed. The 2016 – 2017 IHR work plan under 3,000 IHR decision-making instruments printed and distributed development A cross-border surveillance working group established under MoHS leadership, with WHO technical support Draft RRTs guidelines developed and will be validated. National and district RRT members nominated and will be trained.
e-IDSR user requirements developed.
Weekly epidemiologic bulletins were produced and circulated widely
WHO Training on Integrated Disease and Surveillance Response (IDSR) © MPTF Office 62 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
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MCA 3 COVERAGE: Care for Persons with Ebola and Infection Allocated $17.8 million All 14 districts of Sierra Leone Control MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093256 #16 IPC District Management 19-Dec-2014 $1,302,584 00093283 #1 Storage Capacity 23-Dec-2014 $658,902 00092528 #1 Transportation of Essential Items 12-Nov-2014 $11,052,470 00092527 #1 Air Services 12-Nov-2014 $4,675,724 00092530 #1 Communication Equipment 12-Nov-2014 $167,547 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES IPC Expert Infection & Prevention Control deployed 7 35 WHO
FLBs Forwarding Logistics Bases 1 4 WFP
Jan 2015 - 2,344 m³ Feb 2015 - 2,937 m³ Mar 2015 - 1,836 m³ Transportation - Essential Items 2,000 m3 WFP Apr 2015 - 1,396 m³ May 2015 - 1,132 m³ June 2015 - 1,673 m³
Strategic Airlift 12 28 Covering all three countries Covering all three countries WFP Jan 2015 - 1,950 passengers Feb 2015 - 2,094 passengers 1,300 Mar 2015 - 2,271 passengers Air Services Passengers/months WFP Apr 2015 - 2,718 passengers (all three countries) May 2015 - 2,743 passengers Jun 2015 - 2,887 passengers
Achievements and Results From September 2014 through 31 December 2015, WFP indicators, including, the provision of connectivity to seven rolled out a major system-wide common services platform Ebola Treatment Units (ETUs) in Freetown, Makeni, Moyamba for the first time in its history, using its significant in-house and Port Loko. The agency also provided construction support logistics capacity to support the Ebola Response and to to refurbish and equip over 20 ETUs across the country through become an enabling partner for health responders across the provision of assets, temporary or prefabricated facilities, affected countries. The agency, through Project #1, “Common logistics and/or engineering support. A decontamination Services for the Health Response to the Ebola Virus Disease unit was also constructed in Freetown for emergency service Outbreak in West Africa,” helped maintain a high level of vehicles. To fight continued transmission in the north of Sierra multidisciplinary services. These included: passenger and light Leone (Kambia and Port Loko), the Government launched cargo air transport capacity through the WFP-managed UN the Northern Push campaign, which WFP supported with Humanitarian Air Service (UNHAS); the setup of emergency the deployment of light vehicles. WFP also provided support telecommunication services; the construction and provision to UNICEF in setting up tents in Kambia as emergency of logistics and health facilities; the provision of access to air, coordination offices. sea and surface transport capacity; and storage capability The WFP-managed UNHAS ensured humanitarian access to ensure the uninterrupted supply of relief items across the by transporting passengers and light cargo across Ghana, region and to the most remote locations in Sierra Leone. Guinea, Liberia, Senegal and Sierra Leone. As of 31 December Through logistics coordination mechanisms, cargo transport, 2015, UNHAS performed 5,473 take-offs, transporting 31,777 handling and storage services as a “provider of last resort” were passengers and 202 MT of light cargo. Throughout the Special facilitated as required. In Sierra Leone, from January to June Operation, 28 strategic airlifts were performed, nine of which 2015, the WFP-led logistics coordination platform facilitated took place in January and February 2015 and transported 770 the transport of over 11,000 m3 of cargo. In the country, WFP MT of behalf of 37 organizations. established one staging area, one main logistics hub, and Through the Emergency Telecommunications (ET) Cluster, four forward logistics bases (FLBs). With Ebola Response WFP provided internet services to 80 humanitarian facilities MPTF funds, WFP implemented activities beyond its planned across the three affected countries, allowing more than 3,300 63 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
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humanitarian responders to use a reliable internet connection, deployed in each of the 14 districts in addition to the team at enabling communication in and out of “red zones.” the country office, and an IPC advisor to the newly established Ministry of Health and Sanitation (MoHS) National IPC Unit During the last months of 2015, the provision of common (NIPCU). This international team of experts provided technical services to the humanitarian community and national support and mentoring to national staff and to NIPCU. Through governments was adapted to the evolution of the outbreak monitoring work, 28 Ebola Care Centers (ECCs) improved and partners’ needs. Against the backdrop of reaching and their quality; and 12,215 Health Care Workers (HCWs) were sustaining zero Ebola cases, WFP adjusted the provision of trained on IPC for Ebola. services to enable rapid response mechanisms to control new outbreaks and/or pockets of reemergence. While the regional In collaboration with the MoHS, WHO developed an Special Operation ended at the end of 2015, WFP continued assessment tool to strengthen the screening and triage to leverage the recently established infrastructure and process, which was then implemented by the IPC experts logistics capacity through country-specific operations tailored and national IPC counterparts in the districts to identify gaps to national contexts. It provided a rapid response mechanism and challenges. To date, 476 facilities, PHUs and hospitals for potential small-scale outbreaks, working to boost partners’ have been assessed, 62 more than once, with a total of 558 readiness and the recovery efforts. assessments for screening and triage completed. WHO also played an important role in developing the standards for WFP also prepared the ground for an orderly and effective decommissioning Ebola Treatment Centers (ETCs). transition of Ebola Response assets and capacities to the Government of Sierra Leone, with a view towards improving the As the outbreak subsided, the focus shifted to sustaining a ability of the national Government and humanitarian partners resilient zero and initiating early recovery. WHO supported to respond to future emergencies. To augment national the MoHS in the development, review and roll out of national capabilities to prepare for and respond to future emergencies, IPC policy and guidelines, setting standards against which WFP started to carry out a series of trainings to build the all health care providers needed to act. The team facilitated capacity of ONS, supporting government ministries and two workshops with the MoHS and partners to validate the development partner staff. The first of a series of trainings took guidelines and their roll out. The printing of 300 copies of place between 18 and 21 April 2016 in WFP’s training facility at the national IPC policy and 5,000 copies of the national IPC the Main Logistics Base (MLB) in Port Loko. The training, which guidelines in HCFs was scheduled to begin, with copies to was facilitated by WFP staff, combined classroom lessons, be distributed across the country. To consolidate this work, hands-on exercises and practical simulations on supply chain, WHO IPC experts conducted a two-day training of IPC logistics planning and assessment, sea and port operations, technical trainers from non-governmental organizations engineering services, emergency ICT and telecommunications (NGOs) and District Health Management Teams on the provision and humanitarian air services. new national guidelines. This training of trainers (TOT) was cascaded through the districts. Two senior managers trainings Through Project #16, “Strengthen District Level Case Finding, undertaken included District Medical Officers, DHS and MoHS Case Management, Reporting, Logistics, Management and program directors, covering their roles and responsibilities to Community Mobilization and Engagement,” WHO aimed to support implementation of the IPC practices and to strengthen improve epidemic surveillance and IPC. An IPC expert was patient safety.
WFP - UNHAS services © MPTF Office 64 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
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COVERAGE: MCA 4 Allocated Medical Care for responders $2 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093285 #1 Responder Clinic Built 23-Dec-2014 $1,392,970 00096306 #40 UN Medical Clinic Capacity 06-Aug-2014 $609,900
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Rehabilitation of Responders Clinic (Level 1) 1 2 WFP UN Clinic is open for emergencies on 24/7 basis 100% 100% UNDP (168 hours per week planned)
Achievements and Results
At the height of the Ebola outbreak, WFP, through Project the only humanitarian actor equipped to provide helicopter #1, “Common Services for the Health Response to the Ebola Medical evacuations in the country, from remote areas to Virus Disease Outbreak in West Africa,” rehabilitated the Freetown, through UNHAS. Trainings to staff were conducted UN clinic in Freetown to treat and care for Ebola Response accordingly. healthcare workers. At the request of WHO, WFP also With support from the Ebola Response MPTF, Project #40, rehabilitated a hospital in Kambia to be used as a holding “Maintaining Essential Service Capability UN Medical Clinics center with a capacity of 40 beds. Specific health safety and in Sierra Leone,” ensured medical capacity and a level of sanitation measures were put in place to limit the risk of Ebola preparedness for UN System personnel. transmission to healthcare workers. The agency was also
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COVERAGE: MCA 6 Allocated Access to Basic Services $0.86 million Bombali, Kambia districts
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096725 # 48 Social Mobilization and Provision of WASH 06–Nov-2015 $856,000 Services for Achieving and Sustaining a Resilient Zero PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Health care facilities supported 7 Recently funded UNICEF
Schools with WASH facilities 10 Recently funded UNICEF
Chiefdoms with established and functional Rapid Response Teams 75 Recently funded UNICEF
Achievements and Results
On 7 November 2015, WHO declared the end of the Ebola With regard to WASH, the following activities were undertaken: outbreak in Sierra Leone. Although a positive development, Engagement with implementing partners (IPs) working in rigorous and continued vigilance and at the community level Kambia and Bombali districts, who carried out assessments remained key to maintaining zero cases and ensuring that and identified health and school facilities with WASH subsequent flare-ups were quickly contained. Project #48, facilities in need of improvements to be IPC compliant, as “Social Mobilization and Provision of WASH Services For set out in the new standards and guidelines for WASH in Achieving and Sustaining a Resilient Zero,” implemented PHUs. by UNICEF, aimed to build rapid response capacities at the Prioritization of seven health facilities and 10 public schools chiefdom/ward level through capacity building of the Village with the most critical needs to start the implementation of Development Committees (VDC). It also aimed to establish WASH activities at the schools and PHUs by the end of WASH infrastructure in service institutions such as schools, January 2016. healthcare centers and ECCs. UNICEF commenced preparatory activities for project implementation in November 2015, with the community engagement strategy serving as top priority. At the national level, the agency collaborated with authorities to advocate for the operationalization of the community engagement strategy.
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COVERAGE: MCA 7 Allocated Cash Incentives for Workers $1.26 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092905 # 9 Payment for Ebola Workers 04-Dec-2014 $1,261,625 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES
Number of payments made to ERWs (Ebola Response Workers) through N/A1 149,2452 UNDP Government systems with UNDP support
ERWs (Ebola Response Workers) registered on the Information 100% 100% UNDP management system (36,000 ERWs)
1 15,000 ERWs was used as a planned figure during the height of the EVD epidemic. Starting from April 2015 due to the decreasing number of cases, the total number of ERWs responsible for EVD response in Sierra Leone was estimated up to 10,000. 2 Paid in 16 cycles.
Achievements and Results
Project #9, “Payment Programme for Ebola Response Workers over the last 12 months in order to adjust it to the changing (PPERW) - Sierra Leone,” ensured that 100% of Ebola Response epidemiological situation. Workers (ERWs), the cornerstone of the Response that The project assured that payment services were harmonized brought transmission to zero, received timely compensation across agencies in accordance with the National Policy. To for their work, including danger pay. During the initial stage raise awareness of key messages in the National Policy, it of the outbreak, the lack of incentives for ERWs risking their produced 40,000 leaflets and 18,000 posters, which were lives was a critical bottleneck in the Response. To address complimented by radio spots and town hall meetings with this challenge, this project built a system for establishing and district coordinators and ERWs. verifying a list of eligible beneficiaries, coordinated the chain of organizations responsible for payments, assured payments The transition from direct cash payments to the more efficient and provided for grievance resolution. and effective electronic delivery payment system through mobile wallet, which hitherto was considered a luxury, became From November 2014 to December 2015, UNDP, through an important achievement of the project. It provided for a the National Ebola Response Centre (NERC) facilitated better, reliable and transparent method of funds transfer. In 16 cycles (14 monthly) payments to ERWs through the the final stage of the project, ERWs were able to open bank electronic delivery system-(mobile money operators) and accounts and their allowances were credited via the automated Banks via the automated clearing house. The project also clearing house. This was the first time such technology was created an innovative information management system and used in the country. In addition, the project supported the an online case management database inclusive of 36,000 registration of almost 15,000 ERWs for National Identity ERWs. Between February and March 2015, the project team Cards, which were a prerequisite for opening a bank account. conducted nation-wide biometric verification exercises to remove ghost workers. It set up a grievance mechanism using The National Ebola Response Centre (NERC) mandate ended trained graduate interns (two per district) deployed in each on 31st December 2015, and its functions were handed over to of the 14 districts who could resolve compensation issues on the Emergency Operations Centre supervised by the Offices of the spot. the National Security and the MoHS. After the declared end of the outbreak, the payment policy was revised from the “EVD The project also set up a technical coordination group (Cash Zero Resilient Allowance Policy” to the “EVD Heightened Transfer Steering Committee/ Board) comprised of the Surveillance Policy,” which spanned from 1 January through Government, NERC, World Bank, DFID, AfdB, WHO and other 5 February 2016. UN agencies. The Board revised and oversaw the hazard pay/ risk allowance policy and its successful implementation, and reduced ERW complaints. The policy was reviewed four times
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CASE STUDY
A report titled, ‘Saving Money, Saving Lives: A Case Study involved in each strike, the case study concludes that the on the Benefits of Digitizing Payments to Ebola Response PPERW project prevented the loss of around 800 working days Workers in Sierra Leone,’ published by the Better Than from Sierra Leone’s Ebola response workforce. By assuring Cash Alliance (BTCA), summarizes the important impacts of the continuity of care and service provision when it was most the Ebola Response MPTF funded ‘Payments Programme needed and most dangerous, the case study estimates that for Ebola Response Workers (PPERW)’ project. The BTCA, digitized payments helped save 2,095 lives in Sierra Leone. hosted by UNCDF, supported UNDP’s work with authorities It also concludes that digital payments delivered a total cost to implement the PPERW in Guinea, Liberia and Sierra Leone. saving of $10.7 million over 13 months from December 2014 The PPERW coordinated payments for thousands of Ebola to January 2016 – savings that came from greater efficiency treatment center staff, lab technicians, contact tracers and in making payments and the prevention of double-payments burial teams at the height of the outbreak. and payments to fraudulently registered recipients. ERWs also benefited as they did not have to travel long distances to In Sierra Leone, the PPERW project brought together public designated cash payment centers to be compensated. and private sector partners to introduce and implement digital payments to Ebola Response Workers. According to the Overall, the case study concludes, based on its analysis case study, the PPERW digitized payments, including hazard of PPERW’s impacts in Sierra Leone, that “the capacity of payments, to over 15,000 Ebola Response Workers (ERWs) digital payments to improve response outcomes is highly in Sierra Leone over the course of just two weeks during the compelling,” and it emphasizes the importance of having a height of the crisis in December 2015, eventually expanding digital payments infrastructure in place prior to a crisis. The to 26,600 by the end of March 2015. report also features challenges and lessons learned from PPERW implementation that can support the development The project, according to the analysis, substantially improved of digital payments infrastructure in other countries, in the security, transparency, and efficiency of paying ERWs preparation for future public health emergencies. in Sierra Leone. It estimates that the transition from cash to digital payments reduced ERW strikes from an average of eight per month to zero. With an average of 100 ERWs
Saving Money, Saving Lives A Case Study published by the Better Than Cash Alliance (BTCA), summarizes the important impacts of the Ebola Response MPTF funded ‘Payments Programme for Ebola Response Workers (PPERW)’ project.
In Sierra Leone, digital payments implemented through Project #9, “Payment Programme for Ebola Response Workers (PPERW)” reduced payment times, improved accuracy, generated cost savings, prevented strikes and saved lives during the crisis. ERW strikes reduced from eight per month to zero. The loss of 800 working days prevented. 2,095 lives saved. Cost savings of $10.7 million between December 2014 and January 2016 delivered.
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COVERAGE: #15: Western Area Urban (Freetown), Port Loko, Bombali, MCA 8 Allocated Recovery and Economy $4.1 million Moyamba, Kailahun and Kenema); #38 All districts of Sierra Leone MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00094514 # 15 Social Rehabilitation and Payments to EVD 12–Mar–2015 $2,108,011 Survivors and Destitute Families 00095545 #38 Reintegration of Sierra Leone Red Cross 23–Jun–2015 $1,975,640 Society (SLRCS) Volunteer Burial Teams PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Survivors and destitute families received solidarity package 500 500 UNDP / UN WOMEN
List of Survivors and Social safety net arrangements 2,500 destitute families UNDP / UN WOMEN established
Skills development and livelihoods support 2,500 Ongoing1 UNDP / UN WOMEN
Social reintegration for survivors with psychosocial, hygiene and 250 148 UNDP / Pink Cross2 sanitation measures
The psychosocial Psychosocial support provided for the former members of Burial Teams 800 assessment conducted UNDP
Reskilling and livelihood restoration for the SLRCS volunteers (former Preparatory activities and 800 market assessment on UNDP/SLRCS Burial Teams member) the way
Promote financial inclusion and engagement with the financial sector Preparatory activities 800 UNDP / SLRCS for the SLRCS volunteers carried out
1 Comprehensive list of Survivors and Destitute families established, coordination and payments mechanism defined and implementing partners identified and market assessment to define viable livelihood options underway. 2 Pink Cross project on Social rehabilitation of EVD Survivors through psychosocial, hygiene and sanitation support for EVD
Achievements and Results
Project #15, “Social Rehabilitation and Payments to EVD Ebola survivors in the Western Area have been identified Survivors and Destitute Families,” focused on supporting and the project commenced in the Bombali district, however, the livelihoods of Ebola survivors and destitute women and full livelihood and social rehabilitation activities were not families through a combination of entrepreneurship training, scheduled to start until a complete and verified list of survivors increased access to extension services, organization of group was finalized. In addition, a standard template was shared with savings and loans associations and hands-on training in viable the UNDP Help Desk Staff in the five target districts to cross agricultural and small business activities. It gave beneficiaries check between the Social Welfare Gender and Children’s technical skills, motivation and material support to aid in their Affairs Ministry’s list of survivors and that of other organizations rehabilitation and reintegration into the economic landscape. implementing health related projects for survivors. Local communities and beneficiaries have hence commenced UNDP and the Ministry of Education Science and Technology a process of building and strengthening good relations that were working to access the national database of educational assure collaboration and common economic and social institutions to determine which skills trainings could be offered support. to survivors. With various stakeholders, including civil society organizations Appreciable progress was also made in implementing that served women, the Ministry of Gender and Children’s entrepreneurship and other life skills training modules, Affairs Ministry held a consultative meeting to discuss and with one of the districts completing the training using an agree on the criteria for determining destitution and for adapted module. Entrepreneurship training for twenty-seven inclusion into the assistance program. In six chiefdoms in the volunteers (10 women from CSOs and 17 female survivors) Kenema district, local authorities committed resources, such was also completed. In addition, the Pink Cross, a local non- as land, for use by the project and its beneficiaries and were governmental organization, launched a workshop on psycho- working to support local ownership of the project. social counselling, trauma healing, hygiene and sanitation
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for 148 Ebola survivors in five communities in Freetown. The Following the training, teams composed of one PSS Officer organization also mapped and registered 131 Ebola survivors and SDB team leader, conducted one-on-one assessments of and destitute families. all 800 volunteers nationally. The assessment included overall questions on mental health, challenges and/or traumas faced With the declaration of the end of the Ebola outbreak in and their respective coping mechanisms. The assessment Sierra Leone on 7 November 2015, the Red Cross and other itself was seen as a form of intervention to offer support and agencies, including the MoHS, drastically reduced the number comfort to each volunteer individually while giving them an of Safe and Dignified Burial (SDB) teams from 143 to 28. Project arena to voice their concerns and struggles. The results of these #38, “Reintegration of Sierra Leone Red Cross Society (SLRCS) assessments were analyzed to provide a better understanding Volunteer Burial Teams,” aimed to support the reintegration of the psychological state of the 800 volunteers, and to inform of these teams into society. the design and provision of individual and community based With regard to a livelihood and reskilling assessment, a survey psychosocial interventions to aid in the reintegration of the was completed for 800 SLRCS volunteers. The data obtained volunteers. indicated that the majority of volunteers were interested in During the PSS assessments, the teams took the opportunity starting a business or returning to their tertiary studies. The to begin discussing the upcoming reskilling and reintegration employment skills and vocational training streams were component of the project. The assessment teams completed the two least popular streams. In order to gain additional assessments in all of the 14 districts and were in the process of information, one-on-one career counselling sessions were held analyzing the results to identify the key PSS issues facing the and communication materials were developed to sensitize volunteers and how to address them. and manage the volunteers’ expectations and to provide information on each reskilling stream. As a result, the roles and In the first quarter of 2016, the project focused on discussing responsibilities of the volunteers in each stream were clarified emergent issues and rectifying any gaps identified in and counseling was provided to aid in their decision making. the assessment; and on ensuring that PSS Officers made appropriate referrals and were doing the necessary follow- In the area of psychosocial support (PSS), a psychosocial up for volunteers identified as requiring additional PSS assessment training was conducted for PSS Officers and support. Though the burial teams were predominantly male, SDB team leaders, to help prepare for the entry of 800 gender mainstreaming was to be incorporated through the beneficiaries into the programme. The trainings focused on Community Based Psychosocial Support (CBPSS) component data collection and assessment of the level of stress and/ of the project, and was to be offered to the families and or trauma experienced by the volunteers as well as their community members of the burial team members. The gender respective coping mechanisms. component was meant to reduce stigma and discrimination as well as to promote gender equity.
Distribution of hygiene materials to Ebola survivors in Freetown © MPTF Office 70 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
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MCA 9 COVERAGE: Reliable Supply of Materials and $2.0 million Allocated All districts of Sierra Leone Equipment MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093528 #16 District Logistical Capacity 21–Jan–2015 $2,026,848
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Deployment of logisticians 14 14 WHO
Achievements and Results
With the support of Project #16, “Strengthen District Level On procurement, at the beginning of August 2015, WHO Case Finding, Case Management, Reporting, Logistics, centralized the procurement of goods at the country-office Management and Community Mobilization and Engagement,” level to assure accountability. With reduced demand for a WHO logistics and procurement team grew its capacity emergency acquisitions, the procurement of services was to to adequately support all 14 districts in Sierra Leone. Each be handed back to unit teams. In comparison, procurement district was equipped with a logistician, through which WHO of goods for all districts remained centralized. WHO also continued to support the daily needs and requirements of managed the procurement process for MoHS lab units, and teams across the country, ensuring the transportation of managed the procurement of swabs and reagents throughout personnel and the availability of goods and equipment. The the year to assure that the labs could support critical response logistics team supported WHO awareness raising and training efforts and heightened surveillance work. The agency was events in Freetown and in the districts, including personal to continue to work closely with the MoHS, UNICEF and the protective equipment (PPE) trainings, IPC workshops and National Public Procurement Unit as a key partner in PPE Campaigns for World Hand Washing Day. Additionally, the procurement. Overall, the agency’s focus on monitoring goods project helped enable the establishment of a National IPC received, facilitating custom clearance and ensuring supplies Unit at the MoHS through a preliminary needs assessment and were received by the Central Medical Store for storage and the provision of office equipment. distribution helped create better accountability records for the MoHS and ensured availability of PPE supplies in the country. As a pilot programme, WHO and WFP worked together in four districts to build WHO logistics capacity as part of a Leading up to the end of the Ebola outbreak in Sierra global collaborative venture. The project continued through Leone, pronounced 7 November 2015, preparations for the 31 December 2015, and the process of handover from WFP transition of national Ebola Response institutions (National to WHO commenced. This project equipped WHO to provide Ebola Response Centre and District Ebola Response Centres) rapid quality logistics support going forward. commenced. They were completed by the end December 2015. In May 2015, the logistics and procurement team undertook a pilot study on the procurement, consumption and monitoring The project completed its operations in September 2015, of hand sanitizer automatic dispensaries in the main hospitals which coincided with the period when the last patient was of five districts. Based on the results, WHO logistics and IPC discharged from an Ebola Treatment Centre (ETC). WHO was teams were to support MoHS with the roll out of automated to continue to provide logistical support from other financial dispensers across the country, including the monitoring and resources. distribution of the sanitizer solution.
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MCA 11 COVERAGE: Social Mobilization and Community $0.47 million Allocated Country, including district areas Engagement MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093972 #16 Social Mobilization and Community 6–Feb–2015 $473,469 Engagement PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Social Mobilization Experts 3 3 WHO
Achievements and Results
Project #16, “Strengthen District Level Case Finding, Case DHMTs and other partners, also focused on recruiting Management, Reporting, Logistics, Management and community leaders (paramount chiefs, traditional healers, Community Mobilization and Engagement,” supported the religious leaders, town chiefs and councilors) who shared deployment of social mobilization experts to meet needs at the same sociocultural beliefs and values as the communities the district level and to ensure community engagement in the and were deemed credible and trustworthy by community Ebola Response. This was extremely important to the success members. This approached enabled tens of thousands of of the Response, which was hindered by harmful practices Sierra Leoneans to be reached with important messages and behaviors that compounded a continually high case rate. on, inter alia, Ebola prevention, safe burial practices and Social mobilization and community engagement activities reporting on deaths. Community engagement activities were were adapted to target behavior change and emphasize held at least twice in all 149 chiefdoms with intensified efforts interpersonal communication through face to face dialogue. during operational surges, including 52 activities as part of It was realized that the messenger was as important as the the Tonkolili surge. message. Community engagement and social mobilization officers also In this context, WHO deployed at least two social mobilization worked in partnership with the other pillars of the Response experts for each Sierra Leonean district and recruited, trained and were an essential element of successful case investigation, and deployed 32 national officers across all 14 districts to contact tracing and quarantine activities. Throughout the assure the sustainability of social mobilization efforts. WHO year, they supported epidemiologists, worked to dispel fear community engagement staff, in collaboration with UNICEF, around quarantine homes and engaged survivors.
Meeting with community leaders in Moa Wharf raising awareness on EVD © WHO Sierra Leone 72 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
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MCA 13 COVERAGE: Multi-faceted approach to Prevent the $9.52 million Allocated All districts of Sierra Leone Spread of EVD MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092907 # 17 RRSTs (Rapid Response Teams) 04-Dec-2014 $$7,145,038 ESTABLISHMENT 21-Jan-2015 00092908 #18 SLE NERC SECRETARIAT 04-Dec-2014 $1,178,084 00093086 #5 SUPPORT TO DETENTION CENTERS 04-Dec-2014 $1,201,725 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES RRST deployment after Surveillance Trigger 6 11 UNMEER / UNOPS
Small, Medium and Full Surge Interventions 14 15 UNMEER / UNOPS
23 Pick-ups, Vehicles 100% UNOPS 9 Ambulances, 9 Hearses
60 tents, mattresses, Equipment pillows, beds, etc. 100% UNOPS provided and installed in two camps NERC Staff 32 salaries for NERC 100% UNMEER staff paid 59 laptops,32 Mobile NERC ICT Infrastructure phones, District reporting 100% UNMEER to NERC
Ebola Holding Units for prisons 4 4 UNDP
Detention centres staff trained on EVD 170 201 UNDP
Cases handled by legal aid lawyers for prison decongestion 350 469 UNDP
Achievements and Results
Focusing on enhancing national response capacities, Project The project duration was extended to enable the RRST #17, “Establishing Rapid Response and Stabilization Teams surge capability for another five months and also to enable (RRSTs) in the National Ebola Response Centre Secretariat surveillance, isolation and treatment. (NERC),” enabled UNMEER and UNOPS to deliver fast, flexible Over the first six months, project deployed-RRSTs saw results. financial support to the Ebola Response. Funds helped close Assessments led to surges in target locations that prevented human resource gaps in the NERC and supported district-level Ebola transmission. Over six months, with the assistance of operational surges to fight transmission. Using the fund to UNMEER, the project deployed RRSTs in Kono, Western build more national human and institutional capacity proved Area, Kambia, Moyamba, and Port Loko, which led to seven successful, as the NERC’s coordination, data management, full surges and two medium surges. Main support went to and overall response capabilities improved dramatically the DERC, NERC personnel to enable activities such as case over 2015. The surge operations in the districts were equally investigation and contact tracing; active case searching; successful, educating and providing tools and material support implementation of community-based surveillance events; to local leaders and communities, and enhancing surveillance border health screenings; and local healer support and alert and preparedness in rural areas that remained at risk. Deep programs. Complementary support was also offered through engagement and education towards the end of 2015 enabled the provision of team leaders, working tools, vehicles and increased community vigilance. tents for team members. Forty-one vehicles (23 pick-ups, nine The Rapid Response Stabilization (RRST) project, headed by ambulances, and nine hearses) were procured by UNOPS to UNOPS and UNMEER, supported the NERC and contributed enable rapid response and to fill critical gaps in sub-districts/ to at least fourteen surge operations and several trainings. Chiefdoms. The vehicles were also used for surveillance
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activities, especially contact tracing. With the support Strengthened information-sharing: set-up of laboratory provided, assessments of hot spots were conducted efficiently and bed management coordination cells linked to the and IPC activities were identified for surges. “Situation Room;” The second half of the year saw seven RRST funded surges: Strengthening of data gathering and analysis; one in Kambia; two in the Western Area; two in Tonkolili, Enhanced information management: setting up guidelines Bombali, Koinadugu; and an enhanced safe and dignified and procedures for information flow from the Situation burial operation. Additional workshops and trainings were Room to the Field Operations Directorate and to the conducted for all District Coordinators, District Medical pillars. Officers and other stakeholders to support the “Ebola in silent UNMEER worked with the NERC Secretariat to coordinate time” transition, to effectively prepare all “silent” district plans and enable decision making-processes to successfully halt and reduce the risk of complacency in the fight against the outbreaks of Ebola in most of the 10 out of 12 affected districts. virus. The goal was to ensure coherence between the seven pillars In addition, UNMEER Sierra Leone aligned its plans with the that formed the basis of the NERC’s response plan. Currently, Government’s national framework to work diligently in assisting and due in part to the project, all the pillars are functional and the NERC’s response to new events as they emerged, and to an integral part of the NERC. prevent larger outbreaks. To this end, UNMEER developed a The project also increased information availability and flow new approach based on existing approved funds. UNMEER from the DERCs to the NERC. All documentation and pillar Sierra Leone called this project the Rapid Response Surge decisions were made available and posted on the NERC Fund (RRSF). RRSF projects supported NERC in assisting Website. Performance indicators were collected, and all districts’ responses to disease spikes and emergency events. national key performance indicators (KPIs) were reported A first $500,000 drawdown was paid to the NERC account to on a daily basis. Information Management Officers (IMOs) enable faster distribution to the districts when required for were deployed to all 12 DERCs in the country. With regard a rapid response. Pre-allocating funds to the NERC ensured to strengthened information sharing, all districts were money was immediately available when a rapid response electronically reporting to the NERC. All data collected at the proposal was approved. At that point in the Response, time district level and used at the NERC were secured by DERC was of the essence, and getting financial support to districts personnel who were trained by UNMEER/NERC IMOs. The more quickly to contain an outbreak before it spread was an data were collected through web and mobile technology, essential component of the “Getting to Zero” strategy. which brought consistency, removed human transcribing The NERC Secretariat was supported by UNMEER and errors, and added automatic validation. As a result, it allowed UNOPS to coordinate and enable decision making-processes aggregation of the data into a database. This mechanism to successfully stop Ebola outbreaks, including through the became operational in January and was propagated to all the coordination of joint cross-border activities with Guinea. districts. Initially, the Emergency Operations Centre (predecessor of The project was also crucial in providing pivotal operational the NERC) at the national level in Sierra Leone, faced human, hardware and ICT support to the NERC Situation Room and technical and financial capacity challenges in responding Plans Secretariat. swiftly and efficiently to the Ebola crisis. With phase two of the Response, Project #18, “Strengthening the National Ebola With a view to the next phase of operations, UNMEER Sierra Response Centre (NERC) Secretariat,” enabled the NERC Leone partnered with Catholic Relief Services (CRS) to increase to hire over 30 core personnel to urgently man the NERC the timeliness of support to District Centers and to ensure Secretariat and Plans Directorate and to provide support for: administrative structure and oversight. To this end, CRS was allocated $671,013 from the project budget to fulfil the NERC implementation: support for the identification of request made by the District Officials to fast-track any request needs and gaps and consequent review and adaptation of that would directly support the DERCs. With the support of plans in collaboration with pillar working groups; this project, the operational support was thoroughly managed, Monitoring of NERC implementation: continuation of while providing an accelerated provision of funding to the establishment and monitoring of key performance DERCs in a non-duplicative manner. indicators;
74 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE Mission Critical Action 13
With UNMEER’s operational closure date of 31 July 2015, and screened before they were introduced to main prison UNOPS Sierra Leone acted as a financial service provider and populations. Three Ebola isolation units were built and one support system in the role previously provided by UNMEER. fully refurbished in four of the country’s most over-crowded Funds were available for UNOPS to support the NERC in three facilities, and 201 prison staff was equipped with the skills and key aspects after UNMEER’s departure: salaries for the NERC; knowledge needed to help prevent or identify an outbreak. operational support; and financial support for surges. Each of 17 prisons was provided with necessary hygiene and other materials to prevent an Ebola outbreak in their facilities, Project #5, “Support to Detention Centers,” played an including simple WASH facilities. essential role in preventing the spread of Ebola in prisons, which housed an unprotected and neglected group. Given The SLCS is now better equipped to respond to any future conditions characterized by extreme overcrowding and a lack disease outbreaks, and as a result of the project, has trained of sanitation and medical facilities, prisons were a potential staff and basic IPC equipment. Through the project, UNDP hotspot for Ebola contagion and inmates were vulnerable to emerged with a deeper understanding of the issues facing an Ebola outbreak. the SLCS and has entered into a longer term, post-Ebola partnership with the SLCS to support the transformation of The project worked closely with Sierra Leone Correctional prisons from punitive to rehabilitative facilities and to drive up Services (SLCS) to ensure that new inmates were separated standards of detention.
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SIERRA LEONE Mission Critical Action 13
COVERAGE: MCA 13 Allocated Preventing Spread $1.5 million Country, including district areas
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092650 #11 Quick Impact Project 03-Dec-2014 $1,500,000. 16-Apr-2015
LIST OF QIP PROJECTs IMPLEMENTED IN SIERRA LEONE SINCE THE PROJECT WAS TAKEN OVER BY UNDP IN JULY 2015; THE FIRST PHASE OF THE QIPs IMPLEMENTED BY UNMEER WAS REPORTED IN THE 2ND INTERIM REPORT Implementing organization District Project title Budget Project title Monitor the Human Rights situation of Community Action for Human Sustaining the fight against the EVD Discharged quarantined People, provide Bombali $42,662 Security (CAHSEC) and crossing the last line psychosocial counselling and monitor Health screening at security checkpoints.
Strenghtens the Death and Sick Alerts from EVD hIgh risk communities, provide Intensifying the Death and Sick alert United for the Protection of Human support and basic livelihood assistance Port Loko in the fight against the EVD AND $41,565 Right (UPHR) to EVD Survivors, monitor Health REACHING THE LAST LINE screening at Security Checkpoints and Human rights situation of EVD Survivors
Sensitization of Community Bye- Laws, Pyschosocial support activities, Port District Children’s Advocacy Media Campaign on scaling down to Port Loko $24,120 Strategic Pillar engagement in Radio Zero case Ebola Infection Information sharing, Key messaging and strenthening of referrals pathways.
Enhance free access of human and vehicle movements in and out of EVD ABC-Development Kambia Sella Kafta Emergency road Repairs $47,624 affected communities whithin the chiefdom.
Contract a local contractor to construct Improving access, Layout and mobility Lion Heart Foundation Tonkolili $28,792 concrete walk paths and contract covered of the EVD of the Holding Centre walk ways within the hospital.
Monitor the Human Rights situation of Archdiocese of Freetown/Caritas Western Area Sustaining the fight against the EVD Discharged quarantined People, provide $43,314 (ADDO) Rural Districts and crossing the last line psychosocial counselling and monitor Health screening at security checkpoints.
Re-identification of target communities volunteers , Enhance effective Community Sensitization to increase The Needy Today (TNT) Kambia $43,435 community engagement., Focus attendance at Health Centres (PHUs) group discussion and house to house engagement,
Capacity Training for community volunteers, community stakeholders, Re-enforcing safety practices to Humanist Watch Sierra Leone Kenema/ Orientation meetings for youths, maintain a resilient zero EVD case in $44,889 (HUWASAL) Kailahun community outreach sessions for remote communities. secret societal heads, Radio discussion programs for community residents.
Community engagement with stakeholders, Conduct training on Mama Cara Pikin Program Western Area Strengthen community engagement community outreach/SoC. Mob for $44,983 (MACAPP) Rural Districts to end Ebola the prevention and eradication of EVD, Radio Discussions, House to house sensitization.
76 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
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Implementing organization District Project title Budget Project title Community Dialogue forum with stakeholders on Ebola and peaceful Chiefdom level dialogue forum on coexistence among survivors, Training of Movement opposed to Violence Ebola and strenghen Stakeholder’s leadership and monitring skills, establish Bombali $36,885 &Exclusions (MOVE-SL) commitment to enforcing chiefdom and train peer group educators on Ebola bye-laws and other disease prevention measures, conduct Radio Panel discussions with relevant Social Mobilization actors Capacity traning for Border Monitors , community Health committee members, Foundation for Dev. Democracy & Border Monitors and Capacities for interactive dialogue sessions , Radio Kailahun $36,317 Human Right (FoDDHR) EVD Prevention discussions to re-enforce safe and healthy messages, messaging on sick and death alerts and emergency regulations. Theater for development sensitization / performance in schools communities, Collective Initiative for Theater for Development on held radio programmes with stakeholders Port Loko $32,445 Development SL (CIFD S/L) improving on access to health and school pupils and authorities, identify and rehearse training team on improving access to health facilities. Improve eleven (11) damaged road spots Community Action for the Welfare Kambia Road Repairs - Samu Chiefdom $30,358 along Samu Road towards Maportolon of Children (CAWeC) and Kychum Axis. Training of 60 survivors on Ebola EVD Survivors Engagement in Social AIDSIERRALEONE Kailahun $32,916 messages especially on EVD transmission Mobilization through semen.
Reinforcing Health Screening Maintaining the health screening on 5 Bombali DERC Bombali $14,966 Checkpoints key checkpoints in the district.
Achievements and Results
Overall, Project #11, “Quick Impact Projects in Sierra Leone,” With its grant, the Lion Heart Foundation eased the movement supported 61 projects (46 by UNMEER and 15 micro-projects of patients in a clinic (which had an Ebola isolation unit) by by UNDP) to improve local capacities to respond to the building three walking paths/ramps and one covered ramp. Ebola outbreak. The second phase of Quick Impact Projects This enhanced the smooth flow of patients and minimized (QIP), which was implemented by UNDP, was the focus of this tendencies for body contact and contagion. The facility and reporting period. services were to be sustained at this health facility over a longer period of time. The QIP programme was taken over by UNDP in July 2015, and by August 2015, 35 QIP proposals were received and CAHSeC, in Bombali, engaged ten community-based reviewed by both the UNDP QIPs team and the Project Review mobilizers to conduct house-to-house checks, reaching 700 Committee. Of these, 15 projects from seven districts were households in three Ebola-affected villages. During these visits, funded. Currently, 70% of the Implementing Partners (IPs) mobilizers provided psychosocial counseling and collected completed projects, with both final narrative and financial data on the sick as well as on deaths. As a result, communities reports submitted for review by UNDP. The QIPs team was were better prepared to respond to future outbreaks. to plan a final monitoring, evaluation and closure visit to all UPHR, in Port Loko, established 20 community structures in implementation sites, to meet with beneficiaries and verify 20 communities and conducted stakeholder meetings in 10 project impacts against activity reports.
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communities, educating a total of 1,200 beneficiaries on safe sessions were given to 120 men, 88 women and 255 youths on health practices to fight Ebola. Livelihoods support in the form how to raise sick and death alerts in their communities. of solidarity packages were given to 50 vulnerable families and Advocacy Radio, a media house, hosted 47 recorded radio survivors. A wider community stakeholder social mobilization discussions, aired 20 jingles and produced 40 episodes of programme commenced in four chiefdoms, targeting about radio dramas on IPC, which reached 80,000 listeners across 1,000 beneficiaries. the Port Loko District and beyond. The radio discussions, HUWASAL conducted capacity building training for 20 which were hosted on a daily bases with Ebola pillar heads, Community Volunteer Monitors (CVMs) (10 men and 10 women) had a lasting impact on communities in diverse ways. Some of all identified from beneficiary communities. The trained CVMs the discussions brought hope to victims and survivors of the worked with HUWASAL Community Engagement Officers disease, while others created awareness among communities to educate 25 communities and monitor the maintenance on how to uphold the best health practices. of safe health practices, including sick and death alerts. Overall, five QIP Implementing Partners (MOVE-SL, Mama A total of 208 community stakeholders including town Care Pikin, Collective Initiative, AID-SL and The Needy Today) chiefs, religious leaders, women leaders, youth leaders and undertook social mobilization activities meant to have a long- community headmen completed training on how to follow the term impact on communities’ behavioral practices. best practices for safe and dignified burials. Four orientation
78 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
SIERRA LEONE RECOVERY STRATEGY OBJECTIVE 03
COVERAGE: RSO 03 $1.05 million Allocated Port Loko, Tonkolili, Western Rural, Kono and Kambia Basic Services and Infrastructure districts
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00096723 #45 Ebola Survivors – Database Creation; Needs 13-Nov-2015 $1,047,396 Assessment & Screening; Psychosocial Support & Reintegration into Society
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Train advocates in case management , patient advocacy and field 100 Recently Funded WHO screening Senior Advocates
Train Health workers and community health workers in CPES and 80 health workers and Recently Funded WHO survivor screening 150 Community Health workers
Strengthen survivor clinics 10 Recently Funded Survivor Clinics WHO Establish a comprehensive fully functional, verified and user-friendly 1 list Recently Funded UNICEF database on EVDS (496 survivors) Survivors and community members provided with psychosocial 496 Recently Funded UNICEF counselling
Achievements and Results
Through the joint UNICEF-WHO Project #45, “Ebola Survivors practices and semen testing in these districts, to address the – Database Creation, Needs Assessment and Screening, risk of Ebola resurgence. Psychosocial Support and Reintegration into Society,” WHO To advance the recovery Ebola survivors, WHO supported the continued to provide technical assistance to the MoHS and MoHS with its plans for improving access to care for all survivors implementing partners with regard to the clinical care of by reducing financial, logistical and psychosocial obstacles. Ebola survivors. During the month of February 2016, WHO Key barriers to care identified included: the distance to clinic; assisted the MoHS and partners in the design of a Clinical cost of transport to clinic; fees at clinic; fear of re-engaging Training Programme on Comprehensive Programme for with the healthcare system; and the lack of knowledge on the Ebola Survivors (CPES) for Health Care Workers (HCWs). The need for/availability of care. WHO specifically worked with programme was to enable healthcare workers at community, the MoHS to conduct consultations, and review the status of primary, secondary and tertiary care facilities, case managers, survivor care, standing capacity of services, and identification and survivor health advocates to provide clinical and other of service gaps. Additionally, WHO worked to define referral care to Ebola survivors. The project was to also establish a pathways between levels of healthcare and to identify the programme of mentorship and supervision by the MoHS and most operationally effective referral mechanisms. In order partners to provide continuous support as it integrated into to achieve comprehensive service delivery at proximal care the national health care system. facilities for survivors, discussions were underway regarding The CPES training programme’s curriculum, part of the broader the design and implementation of referral transport systems Clinical Training Programme, was designed to introduce health and reimbursements. care workers to the CPES. It reviews the history and structure WHO also continued to support the MoHS and partners in of CPES as designed by the Government of Sierra Leone the development of a Partners’ Consortium for national scale- as well as the clinical processes that are unique to survivor up of health service delivery for the 3,466 registered Ebola health care. It also presents the structure of a growing national survivors in the country. The following working sub-groups referral pathway system, inclusive of clinical and community advanced tasks in that direction: resources. In February, WHO met with ‘clinical care for survivors’ implementing partners to validate both the Clinical Training and mentorship for CHOs nursing and medical Training Programme on CPES and the associated curriculum. personnel; WHO continued to provide technical support on clinical care Referral pathways; protocols to partners that were operating clinics. Monitoring and evaluation of CPES; Also during February, Survivor Advocates in the Tonkolili, Human resources; Kono and Kambia districts received training on peer-to- Supply chain solutions for essential supplies and peer Psychological First Aid (PFA) from UNICEF. With WHO’s medications for free care for Ebola survivors. support, the MoHS was to roll out counselling on safe sexual
79 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
80 81 MCA 7 - Cash Incentives
82 MCA 10 - Transport and Fuel
83 MCA 13 - Preparedness UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT at A Glance
WEST AFRICA - Reference Map 2.1 million 1.36 million M O R O C C O
La’Youn L I B Y A N Contributed Expenditures A R A B J A M A H I R I Y A W E S T E R N S A H A R A A L G E R I A 3 Proposals 3 UN Entities
M A U R I T A N I A NOUAKCHOTT M A L I RESPONSE
Tombouctou Gao N I G E R Kaédi Senegal Niger
DAKAR S01 S02 S03 S04 S05 SENEGAL Tambacounda C H A D GAMBIA NIAMEY Lake BANJUL Gambia OUAGADOUGOU Chad Stop TREAT ENSURE PRESERVE PREVENT BAMAKO Birnin Kebi Kano N'DJAMENA BISSAU BURKINA FASO GUINEA GUINEA Bobo-Dioulasso BISSAU BENIN Kankan Tamale Gombe n/a n/a 0.5 million n/a 1.1 million CONAKRY ABUJA C Ô T E TOGO FREETOWN D ' I V O I R E N I G E R I A SIERRA Benue LEONE YAMOUSSOUKRO GHANA Lagos RECOVERY Kumasi MONROVIA PORTO- LIBERIA LOMÉ NOVO Port Harcourt ACCRA Bight of Benin Sassandra ABIDJAN C A M E R O O N Douala MALABO Gulf of YAOUNDÉ RS01 RS02 RS03 RS04 Guinea EQUATORIAL Atlantic Ocean Campo GUINEA Bight of Biafra Governance, SAO TOME Health, Nutrition and Socio-Economic Basic Services and LIBREVILLE Peacebuilding and 0 500 1,000 SAO TOME WASH Revitalization Infrastructures AND PRINCIPE G A B O N Social Cohesion km
Elevation (meters) C O N G O BRAZZAVILLE n/a n/a n/a n/a 5,000 and above Atlantic Ocean 4,000 - 5,000 KKIINNSSHHAASSAA 3,000 - 4,000 2,500 - 3,000 2,000 - 2,500 Legend Funding as of 31 December 2015* 1,500 - 2,000 National capital 1,000 - 1,500 Populated place LUANDA 800 - 1,000 International boundary 600 - 800 Disclaimers: The designations employed and the 1% 400 - 600 presentation of material on this map do not imply the expression of any opinion whatsoever on the part of the A N G O L A 200 - 400 Secretariat of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. 0 - 200 Map data sources: CGIAR, United Nations Cartographic Below sea level Section, ESRI, Europa Technologies, UN OCHA.
Funding per Mission Critical Actions
MCA07 - Cash Incentives Total Allocation $149 m MCA13 - Preparedness
Guinea Sierra Leone $$1,643,300 Liberia Regional
* Allocations are based on approved budget
82 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
REGIONAL Mission Critical Action 7
COVERAGE: MCA 7 Allocated Cash Incentives for Workers $0.52 million Regional
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00092902 #6 Payment for Ebola Workers 04–Dec-2014 $524,300
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Support to the 3 country-led technical programmes Provided On-going UNDP
Regional contractual services and standardization Provided On-going UNDP
2 for Region; 2 for Region; Communication events UNDP 3 for Countries 3 for Countries
Achievements and Results
At the height of the Ebola epidemic, the nature and Several important results were achieved by this regional distribution of effective workforces inclusive of contact tracers, project. First, PPERW Regional’s work with PPERW Country staff working in Ebola treatment units (ETUs), and burial teams, components directly contributed to ensuring that all frontline among others, were highly dynamic. Personnel grew at 25% workers risking their lives to fight Ebola were paid on time every two weeks during this time, while also experiencing a and paid the right amounts in full. Secondly, PPERW’s 20% turnover rate. None of the countries had an information successful experimentation with digital payments during management system (IMS) that could be easily decentralized the crisis contributed to the broader global discussion on to track workers in real time and ensure the delivery of correct how to implement digital payments quickly and effectively, payroll based on eligibility, functional roles, differential with a preference for the use of systems and processes that contract types, the duration of employment, hiring institutions promote sustainable financial inclusion (without interfering and national policy specifications. with response times). Thirdly, PPERW’s lesson learned experience with payments advanced regulatory changes that Project #9, “The Regional Component of the Payments supported the use of sustainable and secure digital payments Programme for Ebola Response Workers (PPERW),” was and longer-term digital financial services (DFS) systems. This established to address these challenges. It provided technical outcome ensured an effective response and contributed to assistance and coordination support to the Guinea, Liberia future resiliency. and Sierra Leone Payments Programmes so that the UN could assist governments with the timely delivery of incentives to over Through the set-up of the Technical Assistance Units (PPERW 72,000 Ebola Response Workers (ERWs). The project aimed country components) in the three countries and the provision to bridge gaps in government capacity through “last mile” of technical oversight and capacity inputs, the PPERW digital technology, policy advocacy and the implementation Regional project facilitated timely and correct payments to of more transparent and accountable payment systems. 72,712 ERWs.
Project Outcomes Indicator Baseline Guinea Sierra Leone Liberia
100% 98% 100% 70% (26,712 ERWs) (35,000 ERWs) (11,000 ERWs) Registered Ebola response workers paid on time (%) 100% 98% 100% 80% (26,712 ERWs) (35,000 ERWs) (11,000 ERWs)
The % indicated as baseline in the initial ProDoc were 70% and 80% respectively.
83 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
REGIONAL Mission Critical Action 10
COVERAGE: MCA 10 Allocated Transport and Fuel $0.88 million Regional, covering Guinea, Liberia and Sierra Leone
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093226 - Guinea #22 Ebola Charters 19-Dec-2014 $276,262 00093189 - Liberia $322,898 00093223 - Sierra Leone $278,558 PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES
183MT Flight cargo 56MT Guinea UNICEF 60MT Liberia 100% 67MT Sierra Leone
Achievements and Results
With support of Ebola Response MPTF funds through Project continued delivery of vaccines for routine immunizations; #22, “Ebola Charters,” 300 metric tons of Ebola-related and education materials and infection prevention and control supplies were sent to Guinea, Liberia and Sierra Leone. supplies to support the safe return of 1.8 million children to This supply response was viewed as one of UNICEF’s most school. successful contributions to the fight against Ebola. The nature of the emergency posed a number of challenges This project contributed to an intense UNICEF supply operation for supply and logistics efforts that required flexible and that sent more than 8,000 metric tons of life-saving supplies pragmatic solutions. To ensure efficiency, UNICEF established between August 2014 and June 2015 and maintained a steady an air coordination cell that consolidated cargo and offered stream of airlifts and sea shipments. The shipments included more than 160 relief agencies space on charter flights. tents and tarpaulins to establish over 60 Community Care The agency helped ensure there were enough supplies by Centres (CCC) and other care facilities that offered high levels convening partners and industry to transparently coordinate of infection prevention and protection for family members demand during periods of rapid scale-up and great and health workers. The shipments also included supplies for variation. The agency worked with the vaccine, diagnostic the safe operation of such facilities, including Ebola-resistant and pharmaceutical industries as a part of the coalition that personal protective equipment, gloves, medicine and body aimed to ensure an appropriate pipeline of IPC supplies and bags. medicines for prevention, treatment and diagnosis of Ebola. The supply operation also provided nutritional support for An effort to document the good practices and the lessons over 7,000 Ebola patients and 2,000 children whose families learnt from the project, in order to inform future responses to were affected by Ebola. It provisioned 1,700 non-Ebola health health-related emergencies, is underway. facilities with drinking water and sanitation materials and provisioned supplies to families and households that were quarantined for 21 days. UNICEF supplies also ensured the
84 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
REGIONAL Mission Critical Action 13
MCA 13 Allocated COVERAGE: Regional Preventing Spread $1.12 million
MPTF Project No: Title: TRANSFER DATE: AMOUNT: 00093085 #2 Aviation Ebola Action Plan 12-Dec-2014 $1,000,000
00096704 #41 Ebola Response Interagency Stewardship 21-Oct-2015 $119,000
PRIORITY INTERVENTION PLANNED ACHIEVED RESPONDING AGENCIES Training Events 4 2 ICAO / WHO
State / Airport Assistance Visits 25 14 ICAO / WHO
Stakeholders contribute to the formulation of Ebola Response Country 70% 70% participation relevant WHO Operational Plan meetings
70% Cross border, regional and international coordination maintained 70% participation relevant WHO meetings
Achievements and Results
Much progress was made throughout 2015 with regard to travel; management of an unwell passenger onboard an implementation of Project# 2, “Aviation Ebola Action Plan.” aircraft and on arrival at destination; personal protective Two regional training events were held and fourteen Assistance equipment for cabin crew and post-flight cleaning crew; Visits (AVs) were completed in countries’ international and improved integration of national aviation and public airports. Air transport links were, for the most part, restored health organizations and their preparedness plans. Improved to the three most Ebola-affected countries. While the majority communication links between the public health and aviation of planned activities were successfully executed, some were sectors in general would, at least, enable personnel from each postponed to 2016 given the length of time and number sector to better understand the different viewpoints. of actors involved in organizing them. Given the decline in With the phasing out of United Nations Mission for Ebola Ebola cases as the year progressed, some States reduced Emergency Response (UNMEER), the World Health the priority allotted to Assistance Visits, resulting in some Organization (WHO) was tasked through Project #41, “Ebola scheduling delays. Response Interagency Stewardship,” to ensure the effective While the reduction to virtually zero in the number of Ebola coordination of agencies involved in the Response at all cases was welcomed, the need for the aviation sector of many levels. WHO took on the former UNMEER leaders both within countries to be better prepared for a public health emergency countries and regionally in order to ensure: the seamless and and to create inter-sectoral communication links was made successful transition of responsibilities from UNMEER to WHO; evident from the training events and AVs that were undertaken. and continued strengthening of national capacity to end the In addition, the levels of implementation of the International present outbreak and to respond to any reemergence. Ebola Health Regulations (IHR) core capacity requirements for Response MPTF support covered the period of this activity airports designated by States as Points of Entry, both routine from August to December 2015. and for emergencies, were observed during AVs to be much The Regional Inter-Agency Ebola Crisis Lead (RIECL), lower than those self-reported by States and included in the oversaw coordination across the region, and two Ebola Crisis annual report presented to the WHO World Health Assembly. Managers (ECMs) focused on Guinea and Sierra Leone. This It cannot be assumed that these countries would be ready work was referred to as Interagency Coordination on Ebola to respond to another threat to public health in an efficient (ICE). The main functions of the RIECL and ECMs were to multi-sectoral manner involving the aviation sector. Some ensure that the actions of stakeholders contributed to the key issues requiring further consideration include: aspects of overall Response and were coordinated with Ebola Response health screening at airports, procedures and legal basis for Country Operational Plans. The RIECL and ECMs worked in denial of boarding of a contact; notification procedures of the cooperation with the UNCT whose capabilities and capacities airport and airline of contacts identified prior to attempted were essential both to stopping the outbreak and addressing
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REGIONAL Mission Critical Action 13
its broader socio-economic impacts. The RIECL and ECMs Over the course of the five months, ICE staff focused on worked closely with all actors in the Response, including improving coordination between agencies and support for: national and regional organizations, in-country partners and addressing the services required by survivors and seeking international non-governmental organizations to ensure to harmonize policies and practices and increase availability overall coordination of responses to the Ebola outbreak in of services; strengthening rapid response capacity in Ebola- country, as well across the region. affected countries and ensuring strong international support; helping to assure the smooth transition of responsibilities for The ECMs chaired weekly meetings of the UN agencies at coordinating early recovery from WHO to UNRCs in 2016; and local and national levels, convened meetings with donors and working with all stakeholders towards a smooth transition of partners, and represented the UN in national Ebola response responsibilities for addressing Ebola related issues within each coordination meetings. The RIECL chaired the monthly government. meetings of the Ebola Response Coordination Board: together with the ECMs, he participated in the weekly meetings of the Global Ebola Response Coalition to brief the international community.
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UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT GUINEA
It is the first time that we have such a threshing machine in our community. With UNDP help, our kids will be able to have a rich and varied meal made of couscous and milk or sauce instead of rice that we were used to in the past”. This is a testimony from a resident of Tinti-Oulen in Kankan region whose community benefited from the QIP Program. The site was visited by the QIP team on November 9th, 2015.
We are very grateful to UNDP for having thought of us. Before this project, we were isolated and discriminated by the rest of the community. Now we have this reintegration center where we will be sharing with other neighbors about our past experiences. Now we feel supported, empowered and understood as any other human being.” An EVD survivor of Gbakore village in Lola (Nzerekore region) testified during the site visit by the QIP team on November 13th, 2015.
Because of this project, we are now working together as EVD survivors on some income-generating activities. We are hoping that the vegetables that we intend to grow here will increase our revenue and help improve our living conditions”. This story was shared by a group of women survivor of EVD in the urban community of Macenta during the QIP team visit on November 14th, 2015.
We only used to see many visitors coming here to assess our needs but nothing was given to us. But this particular partner came with the help in hands, which is unusual and very good surprise to us. We thank UNDP for creating this opportunity for us. Now our association has a field where we intend to grow corn and sell it to gain some revenue.” A story from an EVD survivor of Wonkifong village in the Prefecture of Coyah where a QIP partner implemented an income-generating activity for local survivors.
© UNMEER 88 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND LIBERIA Contact Tracer Helps Pregnant Woman Access Care
Yabayah is a small, hard to reach community in Fuamah her community that were more receptive to maternal health district, Bong county and in late 2015, one of the sixty services. During one of their community meetings, she went UNFPA supported contact tracers operating through the into labor and with her consent, community members rushed REDEP (Reach Every District and Every Pregnancy) system in her to a nearby Handii clinic in Fuamah. Unfortunately, she Fuamah identified a pregnant woman in one of his gazetted could not deliver naturally, but the community, including the households. As required by his training, he offered her supportive pregnant women, managed to take her to Phebe counselling on need to attend ANC and encouraged her to Hospital where she later underwent a C-section and gave deliver at a health facility when the time came. The contact birth to a set of healthy twins. To date, this mother of twins is tracer had noticed hesitation from the pregnant woman, but grateful to the contact tracer for not having given up on her he persisted and continued visiting her household from time because she realized that she could have lost her life with a to time. home delivery of the twins. The contact tracer also made an effort to influence her decision to attend ANC through other pregnant women in
Bendu Sheriff: Age: 9 years: Status: EVD survivor, Student
Ma Bendu Sheriff is a nine year old orphan who lost both of her was worried I wouldn’t go to school because my grandmother parents to the Ebola outbreak in Liberia. After the death of her does not have any helper. I used to sit at home and see all my parents there were no known adult relatives willing to care for friends going to school and I felt bad and cried for my parents her. Through the support of the Ministry of Gender Children because they always made sure that I was ready for school. and Social Protection social workers, she was reunified with Then the IRCL worker came and visited my grandmother to her grandmother who is currently caring for her and was later ask about my wellbeing. I told them that I wanted to go back referred to the IRCL for further support. to school. I am now in school and I am grateful to God for the IRCL people who paid my school fees. I am so happy now that “I was infected by the same Ebola that killed my ma and pa but I can now join my friends in school. I survived. Only my grandmother is now caring for me. She is old and doing her best to care for me. When schools opened I
© MPTF Office 89 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT SIERRA LEONE Mabinty Bangura, EVD Survivor, Sierra Leone
I contracted the virus in November 2014. On 18 November, I received confirmation that I was Ebola Positive. The next day, I was taken to the Kenema Treatment centre where I stayed for two weeks before recovering. I was discharged on the 28th of the same month. I’m grateful to God for saving my life and also grateful to Pink Cross and UNDP for coming to our help when we needed it most. The psychosocial counselling has inspired me to feel like I belong once again, and to have confidence in myself and to move forward instead of giving up. Similarly, the sanitation and hygiene material has helped me to maintain a clean environment that is good for public health and everyone around me, and also for my own personal hygiene.
Salifu L Suma - RRST Lead NERC
Going to the field would look like a picnic, but upon arrival the grim outfit of the quarantined homes would provoke your emotions. The people forced to stay at their homes would look at you as a savior whilst your inner self would keep reminding you of the dangers should you fail in observing basic IPC. People still remained distrustful. In some instances, we were seen as conspirators pushing an agenda of a Western plot, and security personnel had to be present to prevent tensions with angry and traumatized communities. Other times, I felt so empowered to help people to prevent the further spread of the deadly epidemic. Some communities were open so much that they even relied on us as arbiters both in socio- economic and political issues, as well as in fighting a common enemy – Ebola.
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UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
INTRODUCTION This Consolidated Annual Financial Report of the Ebola contributions, and disburses these funds to the Recipient Response MPTF is prepared by the United Nations Organizations. The Administrative Agent prepares and Development Programme (UNDP) Multi-Partner Trust submits annual consolidated financial reports, as well as Fund Office (MPTF Office) in fulfillment of its obligations as regular financial statements, for transmission to contributors. Administrative Agent, as per the terms of Reference (TOR), This consolidated financial report covers the period 1 January the Memorandum of Understanding (MOU) signed between to 31 December 2015 and provides financial data on progress the UNDP MPTF Office and the Recipient Organizations, and made in the implementation of projects of the Ebola Response the Standard Administrative Arrangement (SAA) signed with MPTF. It is posted on the MPTF Office GATEWAY (http://mptf. contributors. undp.org/ebola). The MPTF Office, as Administrative Agent, is responsible The financial data in the report is recorded in US Dollars and for concluding an MOU with Recipient Organizations and due to rounding off of numbers, the totals may not add up. SAAs with contributors. It receives, administers and manages
2015 FINANCIAL PERFORMANCE This chapter presents financial data and analysis of the Ebola Response MPTF using the pass-through funding modality as of 31 December 2015. Financial information for this Fund is also available on the MPTF Office GATEWAY, at the following address: http://mptf.undp.org/ebola. 1. SOURCES AND USES OF FUNDS As of 31 December 2015, 46 contributors have deposited US$ 160,287,891 in contributions and US$ 76,089 has been earned in interest, bringing the cumulative source of funds to US$ 160,363,980 (see respectively, Tables 2 and 3). Of this amount, US$ 149,158,949 has been transferred to nine Recipient Organizations, of which US$ 127,607,069 has been reported as expenditure. The Administrative Agent fee has been charged at the approved rate of one percent on deposits and amounts to US$ 1,602,879. Table 1 provides an overview of the overall sources, uses, and balance of the Ebola Response MPTF as of 31 December 2015.
Table 1 Financial Overview, as of 31 December 2015 (in US Dollars) Annual 2014 Jan-Dec 2015 Cumulative Sources of Funds Gross Contributions 125,852,927 34,434,964 160,287,891 Fund Earned Interest and Investment Income 19,433 56,656 76,089 Interest Income received from Recipient Organizations - - - Refunds by Administrative Agent to Contributors - - - Fund balance transferred to another MDTF - - - Other Revenues - - - Total: Sources of Funds 125,872,360 34,491,620 160,363,980 Use of Funds Transfers to Recipient Organizations 100,452,267 48,706,682 149,158,949 Refunds received from Recipient Organizations - (3,974,274) (3,974,274) Net Funded Amount to Recipient Organizations 100,452,267 44,732,408 145,184,675 Administrative Agent Fees 1,258,529 344,350 1,602,879 Direct Costs: (Secretariat M&E) - 1,000,000 1,000,000 Bank Charges 404 506 910 Other Expenditures - - - Total: Uses of Funds 101,711,200 46,077,264 147,788,464 Change in Fund cash balance with Administrative Agent 24,161,160 (11,585,644) 12,575,516 Opening Fund balance (1 January) - 24,161,160 - Closing Fund balance (31 December) 24,161,160 12,575,516 12,575,516 Net Funded Amount to Recipient Organizations 100,452,267 44,732,408 145,184,675 Recipient Organizations’ Expenditure 23,163,284 104,443,785 127,607,069 Balance of Funds with Recipient Organizations 17,577,606
92 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
2. PARTNER CONTRIBUTIONS Table 2 provides information on cumulative contributions received from all contributors to this Fund as of 31 December 2015. Table 2 Contributors’ Deposits, as of 31 December 2015 (in US Dollars)
Prior Years Current Year Contributors as of 31-Dec-2014 Jan-Dec 2015 Total AUSTRALIA 8,755,000 - 8,755,000 BELGIUM - 4,545,028 4,545,028 BOLIVIA - 1,000,000 1,000,000 BRAZIL 602,845 - 602,845 CANADA 3,568,879 3,585,176 7,154,056 CZECH REPUBLIC - 205,052 205,052 CHILE 300,000 - 300,000 COLOMBIA 100,000 - 100,000 CHINA 6,000,000 5,000,000 11,000,000 CYPRUS 6,350 - 6,350 DENMARK 5,042,695 - 5,042,695 ESTONIA 50,216 - 50,216 FINLAND 8,824,590 - 8,824,590 GEORGIA 25,000 - 25,000 GERMANY 11,606,933 - 11,606,933 MONTENEGRO 5,000 - 5,000 GUYANA - 50,363 50,363 HOLY SEE - 20,000 20,000 INDIA 10,000,000 - 10,000,000 IRISH AID 1,233,100 - 1,233,100 ISRAEL 8,750,000 - 8,750,000 JAPAN 5,940,000 - 5,940,000 KAZAKHSTAN - 50,000 50,000 LATVIA 48,876 - 48,876 LUXEMBOURG 248,940 653,120 902,060 MAURITIUS - 20,000 20,000 MALTA 62,295 - 62,295 MALAYSIA - 100,000 100,000 NON-PROFIT ORGANIZATION - 20,000 20,000 NORWAY 2,061,147 - 2,061,147 NEW ZEALAND 1,169,400 - 1,169,400 PERU - 48,479 48,479 PHILIPPINES - 2,041,742 2,041,742 PORTUGAL - 30,293 30,293 PRIVATE SECTOR 3,300 7,050 10,350 ROYAL CHARITY ORG. BAHRAIN - 1,000,000 1,000,000 REPUBLIC OF KOREA 5,000,000 5,000,000 10,000,000 ROMANIA 40,000 - 40,000 RUSSIAN FEDERATION - 1,000,000 1,000,000 SWISS AGENCY FOR DEVELOPMENT & COOPERATION - 4,927,079 4,927,079 SWEDISH INTERNATIONAL DEVELOPMENT COOPERATION 13,217,001 - 13,217,001 TOGO - 1,581 1,581 UNITED KINGDOM 31,884,000 - 31,884,000 UN FOUNDATION/UN PARTNERSHIP OFFICE - 130,000 130,000 VENEZUELA - 5,000,000 5,000,000 VOLVO GROUP 1,307,360 - 1,307,360 Grand Total 125,852,927 34,434,964 160,287,891 93 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
3. INTEREST EARNED Interest income is earned in two ways: 1) on the balance of funds held by the Administrative Agent (‘Fund earned interest’), and 2) on the balance of funds held by the Recipient Organizations (‘Agency earned interest’) where their Financial Regulations and Rules allow return of interest to the AA. As of 31 December 2015, Fund earned interest amounts to US$76,089. Table 3 Sources of Interest and Investment Income, as of 28 May 2015 (in US Dollars)
Prior Years Current Year Interest Earned as of 31-Dec-2014 Jan-Dec 2015 Total Administrative Agent Fund Earned Interest and Investment Income 19,433 56,656 76,089 Total: Fund Earned Interest 19,433 56,656 76,089 Recipient Organization Total: Agency earned interest Grand Total 19,433 56,656 76,089
4. TRANSFER OF FUNDS Allocations to Recipient Organizations are approved by the Chair of the Advisory Committee and disbursed by the Administrative Agent. As of 31 December 2015, the AA has transferred US$ 149,158,949 to nine Recipient Organizations (see list below). Table 4 and Figure 1 provide additional information on the refunds received by the MPTF Office, and the net funded amount for each of the Recipient Organizations. Table 4 Transfer, Refund, and Net Funded Amount by Recipient Organization, as of 31 December 2015 (in US Dollars)
Recipient Prior Years as of 31-Dec-2014 Current Year: Jan-Dec 2015 Total Organization Transfers Refunds Net Funded Transfers Refunds Net Funded Transfers Refunds Net Funded ICAO 1,000,000 1,000,000 1,000,000 1,000,000 UNDP 10,932,076 10,932,076 17,247,794 17,247,7941 28,179,870 28,179,870 UNFPA 4,549,552 4,549,552 1,921,377 1,921,377 6,470,929 6,470,929 UNICEF 16,113,789 16,113,789 7,012,805 7,012,805 23,126,594 23,126,594 UNMEER 6,678,084 6,678,084 1,643,548 (3,974,274) (2,330,726) 8,321,632 (3,974,274) 4,347,358 UNOPS 2,500,000 2,500,000 2,001,490 2,001,490 4,501,490 4,501,490 UNWOMEN 472,673 472,673 472,673 472,673 WFP 40,023,716 40,023,716 40,023,716 40,023,716 WHO 18,655,050 18,655,050 18,406,995 18,406,995 37,062,045 37,062,045 Grand Total 100,452,267 100,452,267 48,706,682 (3,974,274) 44,732,408 149,158,949 (3,974,274) 145,184,675
Figure 1: Net funded amount by Recipient Organization for the period of 1 January to 31 December 2015
UNWOMEN, 1.1%
WHO, 41.1% UNDP, 38.6%
UNOPS, 4.5% UNFPA, 4.3% UNICEF, 15.7%
1 Out of $17,247,794 net funded to UNDP in 2015, $6,433,970 were transferred to International Federation of Red Cross (IFRC) in Guinea and Sierra Leone. 94 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
4.1 TRANSFER BY STRATEGIC OBJECTIVE Table 4.1 Cumulative net funded amount by Strategic Table 4.1 shows the total Net Funded Amount by Strategic Objective as of 31 December 2015 (in US Dollars) Objective. In 2015, the Sectors receiving the largest share of transfers Strategic Objective Cumulative Net Funded Amount were: SO4 PRESERVE stability (32.5%), SO1 STOP the outbreak SO1 STOP the outbreak 36,221,260 (29.3%), and SO3 ENSURE essential services (17.1%). SO2 TREAT the infected 55,561,662 SO3 ENSURE essential services 15,183,185 SO4 PRESERVE stability 19,663,745 SO5 PREVENT 14,955,448 RSO1 Health Nutrition WASH 1,555,336 RSO2 Socio-Economic Revitalization 748,728 RSO3 Basic Service & Infrastructure 1,047,396 RSO4 Govern Peace Building Cohesion 247,915 TOTAL 145,184,675
5. EXPENDITURE AND FINANCIAL DELIVERY RATES All final expenditures reported for the year 2015 were submitted by the Headquarters of the Recipient Organizations. These were consolidated by the MPTF Office.
5.1 EXPENDITURE REPORTED BY RECIPIENT ORGANIZATIONS As shown in table below, the cumulative net funded amount is US$ 145,184,675 and cumulative expenditures reported by the Recipient Organizations amount to US$ 127,607,069. This equates to an overall Fund expenditure delivery rate of 88 percent.
Table 5.1 Net Funded Amount, Reported Expenditure, and Financial Delivery by Recipient Organization, as of 31 December 2015 (in US Dollars)
Recipient Organization Net Funded Amount Expenditure Net Funded Amount Expenditure Delivery Rate % ICAO 1,000,000 0 UNDP 17,247,794 19,652,185 28,179,870 19,964,536 70.85 UNFPA 1,921,377 4,887,520 6,470,929 4,887,520 75.53 UNICEF 7,012,805 19,289,581 23,126,594 19,308,841 83.49 UNMEER (2,330,726) 3,818,143 4,347,358 3,818,143 87.83 UNOPS 2,001,490 2,656,131 4,501,490 3,724,217 82.73 UNWOMEN 472,673 74,098 472,673 74,098 15.68 WFP 18,260,130 40,023,716 40,023,716 100.00 WHO 18,406,995 35,805,997 37,062,045 35,805,997 96.61 Grand Total 44,732,408 104,443,785 145,184,675 127,607,069 87.89
5.2 EXPENDITURE REPORTED BY CATEGORY Project expenditures are incurred and monitored by each Recipient Organizations and are reported as per the agreed categories for inter-agency harmonized reporting. Table 5.2 reflects expenditure reported in the UNDG expense categories. 2012 CEB Expense Categories 1. Staff and personnel costs 2. Supplies, commodities and materials 3. Equipment, vehicles, furniture and depreciation 4. Contractual services 5. Travel 6. Transfers and grants 7. General operating expenses 8. Indirect costs
95 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Table 5.2 Expenditure by UNDG Budget Category, as of 31 December 2015 (in US Dollars)
Expenditures Prior Years Current Year Percentage of Total Approved Amount as of 31-Dec-2014 Jan-Dec 2015 Total Programme Cost Staff & Personnel Costs 952,020 5,738,441 6,690,462 5.61 Supplies, Commodities and Materials 45,763 8,458,264 8,504,027 7.13 Equipment, Vehicles, Furniture, and depreciation 10,335,331 9,991,287 20,326,618 17.05 Contractual Services 8,242,912 43,094,495 51,337,406 43.06 Travel 569,718 8,102,788 8,672,507 7.27 Transfers and Grants - 13,333,339 13,333,339 11.18 General Operating 1,522,619 8,847,188 10,369,807 8.70 Programme Costs Total 21,668,363 97,565,803 119,234,166 100.00 Indirect Support Costs Total 1 1,494,921 6,877,982 8,372,903 7.02 Total 23,163,284 104,443,785 127,607,069
1 Indirect Support Costs charged by Recipient Organizations, based on their financial regulations, can be deducted upfront or at a later stage during implementation. The percentage may therefore appear to exceed the 7% agreed-upon for on-going projects. Once projects are financially closed, this number is not to exceed 7%.
6. COST RECOVERY Cost recovery policies for the Fund are guided by the applicable provisions of the Terms of Reference, the MOU concluded between the Administrative Agent and Recipient Organizations, and the SAAs concluded between the Administrative Agent and Contributors, based on rates approved by UNDG. The policies in place, as of 31 December 2015, were as follows: • The Administrative Agent (AA) fee: one percent is charged at the time of contributor deposit and covers services provided on that contribution for the entire duration of the Fund. In the reporting period US$ 344,350 was deducted in AA-fees. Cumulatively, as of 31 December 2015, US$ 1,602,879 has been charged in AA-fees. • Indirect Costs of Recipient Organizations: Recipient Organizations may charge 7% indirect costs. In the current reporting period US$ 6,877,982 was deducted in indirect costs by Recipient Organizations. Cumulatively, indirect costs amount to US$ 8,372,903 as of 31 December 2015.
7. ACCOUNTABILITY AND TRANSPARENCY In order to effectively provide fund administration services and facilitate monitoring and reporting to the UN system and its partners, the MPTF Office has developed a public website, the MPTF Office GATEWAY (http://mptf.undp.org). Refreshed in real time every two hours from an internal enterprise resource planning system, the MPTF Office GATEWAY has become a standard setter for providing transparent and accountable trust fund administration services. The GATEWAY provides financial information including: contributor commitments and deposits, approved programme budgets, transfers to and expenditures reported by Recipient Organizations, interest income and other expenses. In addition, the GATEWAY provides an overview of the MPTF Office portfolio and extensive information on individual Funds, including their purpose, governance structure and key documents. By providing easy access to the growing number of narrative and financial reports, as well as related project documents, the GATEWAY collects and preserves important institutional knowledge and facilitates knowledge sharing and management among UN Organizations and their development partners, thereby contributing to UN coherence and development effectiveness.
8. DIRECT COSTS The Special Envoy on Ebola in consultations with the Advisory Committee may approve an allocation to a Recipient Organization to cover costs associated with Secretariat services and overall coordination, as well as Fund level reviews and evaluations. These allocations are referred to as ‘direct costs’. In 2015, direct costs amounting to US$ 1,000,000 were approved to finance Monitoring and Evaluation Officers deployed in three affected countries.
96 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Annex 1. Net Funded Amounts and Expenditure by Country, as of 31 December 2015 (in US Dollars)
Current Year Jan-Dec 2015 Total Country / SO or RSO Net Funded Amount Expenditure Net Funded Amount Expenditure Delivery Rate % Guinea
SO1 STOP the outbreak 7,666,970 11,282,148 12,166,970 11,282,148 92.73 SO2 TREAT the infected 3,786,273 17,861,242 25,115,824 23,838,800 94.92 SO3 ENSURE essential services 1,623,653 2,204,200 1,789,572 81.19 SO4 PRESERVE stability 8,926,402 12,070,366 13,151,028 12,070,366 91.78 SO5 PREVENT 1,983,231 1,941,937 2,983,231 1,941,937 65.10 RSO2 Socio-Economic Revitalization 748,728 164,987 748,728 164,987 22.04 RSO4 Govern Peace Building Cohesion 247,915 247,915 0 Guinea Total: 23,359,519 44,944,333 56,617,896 51,087,810 90.23
Liberia
SO1 STOP the outbreak 1,812,789 15,989,132 16,916,001 15,989,132 94.52 SO2 TREAT the infected 212,945 2,039,934 10,585,741 10,585,741 100.00 SO3 ENSURE essential services 2,720,794 6,037,593 6,253,410 6,037,593 96.55 SO4 PRESERVE stability 3,127,856 3,689,586 3,733,842 3,708,846 99.33 SO5 PREVENT 132,843 627,184 1,132,843 627,184 55.36 RSO1 Health Nutrition WASH 1,555,336 1,555,336 0 Liberia Total: 9,562,563 28,383,428 40,177,173 36,948,496 91.96
Sierra Leone
SO1 STOP the outbreak 3,638,289 6,885,293 7,138,289 6,885,293 96.46 SO2 TREAT the infected (1,774,891) 12,400,853 19,860,097 19,641,074 98.90 SO3 ENSURE essential services 4,939,650 1,951,983 6,201,275 2,098,415 33.84 SO4 PRESERVE stability 2,500,317 2,778,317 2,778,875 2,778,317 99.98 SO5 PREVENT 1,340,565 6,616,851 9,720,374 7,684,937 79.06 RSO3 Basic Service & Infrastructure 1,047,396 1,047,396 0 Sierra Leone Total: 11,691,326 30,633,297 46,746,306 39,088,036 83.62
United Nations
SO3 ENSURE essential services 436,161 524,300 436,161 83.19 SO5 PREVENT 119,000 46,566 1,119,000 46,566 4.16 United Nations Total: 119,000 482,727 1,643,300 482,727 29.38
Grand Total: 44,732,408 104,443,785 145,184,675 127,607,069 87.89
97 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Annex 2. Net Funded Amounts and Expenditures by Strategic Objective, as of 31 December 2015 (in US Dollars)
Recipient Approved Net Funded Certified Expenditure Delivery Rate % SO or RSO / Project No. and Project Title Organization Amount Amount (as of 31-Dec-2015) (as of 31-Dec-2015)
SO1 STOP the outbreak 00093218 MCA01 #10 LBR INTERRUPT TRANSM UNDP 3,398,610 3,398,610 3,330,682 98.00 00093218 MCA01 #10 LBR INTERRUPT TRANSM UNFPA 4,549,552 4,549,552 4,186,735 92.03 00093218 MCA01 #10 LBR INTERRUPT TRANSM WHO 3,655,050 3,655,050 3,339,469 91.37 00093251 MCA01 #16 GIN EPIDEM DIST MNGM WHO 6,308,640 6,308,640 6,208,712 98.42 00093252 MCA01 #16 LBR EPIDEM DIST MNGM WHO 5,312,789 5,312,789 5,132,246 96.60 00093253 MCA01 #16 SLE EPIDEM DIST MNGM WHO 5,065,084 5,065,084 4,997,939 98.67 00094960 MCA01 #35 GIN SENSITIZATION WHO 400,000 400,000 400,000 100.00 00095447 MCA02 #30 GIN RED CROSS REINFO UNDP 454,193 454,193 99,905 22.00 00095447 MCA02 #30 GIN RED CROSS REINFO WHO 545,807 545,807 539,759 98.89 00095944 MCA02 #32 GIN SAFE BURIALS UNDP 4,458,330 4,458,330 4,033,772 90.48 00096318 MCA01 #17 SLE STRNG EVD SURVIL WHO 2,073,205 2,073,205 1,887,354 91.04 SO1 STOP the outbreak: Total 36,221,260 36,221,260 34,156,572 94.30
SO2 TREAT the infected 00092448 MCA03 #1 LBR AIR SERVICES WFP 4,000,000 4,000,000 4,000,000 100.00 00092450 MCA03 #1 GIN AIR SERVICES WFP 4,000,000 4,000,000 4,000,000 100.00 00092527 MCA03 #1 SLE AIR SERVICES WFP 4,675,724 4,675,724 4,675,724 100.00 00092528 MCA03 #1 SLE TRANSP ESS. ITEMS WFP 11,052,470 11,052,470 11,052,470 100.00 00092529 MCA03 #1 GIN ESTABLSHMNT ETUs WFP 2,687,375 2,687,375 2,687,375 100.00 00092530 MCA03 #1 SLE COMMUNCTN EQPMNT WFP 167,547 167,547 167,547 100.00 00092643 MCA03 #1 LBR TRANSP ESS. ITEMS WFP 3,780,000 3,780,000 3,780,000 100.00 00092644 MCA03 #1 GIN TRANSP ESS. ITEMS WFP 3,780,000 3,780,000 3,780,000 100.00 00092847 MCA03 #1 GIN STORAGE CAPACITY WFP 658,902 658,902 658,902 100.00 00093219 MCA03 #23 GIN CCCs UNICEF 9,813,619 9,813,619 8,810,141 89.77 00093254 MCA03 #16 GIN IPC DISTRCT MNGM WHO 1,990,380 1,990,380 1,965,228 98.74 00093255 MCA03 #16 LBR IPC DISTRCT MNGM WHO 1,212,945 1,212,945 1,212,945 100.00 00093256 MCA03 #16 SLE IPC DISTRCT MNGM WHO 1,302,584 1,302,584 1,300,557 99.84 00093282 MCA03 #1 LBR STORAGE CAPACITY WFP 1,592,796 1,592,796 1,592,796 100.00 00093283 MCA03 #1 SLE STORAGE CAPACITY WFP 658,902 658,902 658,902 100.00 00093284 MCA04 #1 GIN UN CLINICS WFP 1,577,030 1,577,030 1,577,030 100.00 00093285 MCA04 #1 SLE UN CLINICS WFP 1,392,970 1,392,970 1,392,970 100.00 00096294 MCA04 #40 GIN UN MEDICAL CLINICS UNDP 608,518 608,518 360,124 59.18 00096306 MCA04 #40 SLE UN MEDICAL CLINICS UNDP 609,900 609,900 392,904 64.42 SO2 TREAT the infected: Total 55,561,662 55,561,662 54,065,615 97.31
SO3 ENSURE essential services 00092902 MCA07 #6 PAYMNT EBOLA WORKERS UNDP 524,300 524,300 436,161 83.19 00092903 MCA07 #8 LBR PAYMNT EBOLA WORK UNDP 2,245,832 2,245,832 2,030,015 90.39 00092904 MCA07 #7 GIN PAYMNT EBOLA WORK UNDP 2,204,200 2,204,200 1,789,572 81.19 00092905 MCA07 #9 SLE PAYMNT EBOLA WORK UNDP 1,261,625 1,261,625 782,749 62.04 00093136 MCA06 #4 LBR CHILDREN PROTECTION UNICEF 4,007,578 4,007,578 4,007,578 100.00 00094514 MCA08 SLE #15 EBOLA SURVIVORS UNDP 1,635,337 1,635,337 299,451 18.31 00094514 MCA08 SLE #15 EBOLA SURVIVORS UNWOMEN 472,673 472,673 74,098 15.68 00095545 MCA08 #38 SLE RED CROSS EBOLA UNDP 1,975,640 1,975,640 942,117 47.69 00096725 MCA06 #48 SLE SOCIAL MOBILIZATION UNICEF 856,000 856,000 0 SO3 ENSURE essential services: Total 15,183,185 15,183,185 10,361,741 68.24
98 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND
Annex 2. Net Funded Amounts and Expenditures by Strategic Objective, as of 31 December 2015 (in US Dollars)
Recipient Approved Net Funded Certified Expenditure Delivery Rate % SO or RSO / Project No. and Project Title Organization Amount Amount (as of 31-Dec-2015) (as of 31-Dec-2015)
SO4 PRESERVE stability 00093105 MCA11 #3 GIN SOCIAL MOB&COMMUN UNDP 809,000 809,000 808,339 99.92 00093105 MCA11 #3 GIN SOCIAL MOB&COMMUN UNICEF 3,139,364 3,139,364 3,138,752 99.98 00093189 MCA10 #22 LBR EBOLA CHARTERS UNICEF 322,898 322,898 322,898 100.00 00093220 MCA11 #25 LBR OUTRCH&AWARNESS UNICEF 283,088 283,088 278,402 98.34 00093223 MCA10 #22 SLE EBOLA CHARTERS UNICEF 278,558 278,558 278,568 100.00 00093226 MCA10 #22 GIN EBOLA CHARTERS UNICEF 276,262 276,262 276,262 100.00 00093526 MCA09 #16 GIN DISTRICT LOGISTICS WHO 2,618,660 2,618,660 2,618,659 100.00 00093527 MCA09 #16 LBR DISTRICT LOGISTICS WHO 2,574,893 2,574,893 2,554,597 99.21 00093528 MCA09 #16 SLE DISTRICT LOGISTICS WHO 2,026,848 2,026,848 2,026,577 99.99 00093970 MCA11 #16 GIN DISTRICT SOCIAL WHO 570,788 570,788 549,268 96.23 00093971 MCA11 #16 LBR DISTRICT SOCIAL WHO 552,963 552,963 552,949 100.00 00093972 MCA11 #16 SLE DISTRICT SOCIAL WHO 473,469 473,469 473,172 99.94 00094442 MCA11 #29 GIN SUPPORT CBUs MRU UNDP 1,308,752 1,308,752 1,066,029 81.45 00094442 MCA11 #29 GIN SUPPORT CBUs MRU UNFPA 631,300 631,300 627,303 99.37 00094442 MCA11 #29 GIN SUPPORT CBUs MRU UNICEF 896,020 896,020 896,020 100.00 00095292 MCA11 #36 GIN SOCIAL MOBILIZATION UNICEF 999,915 999,915 995,780 99.59 00096648 MCA09 #42 GIN PREVENT EVD SPREAD UNDP 991,467 991,467 789,513 79.63 00096724 MCA11 #47 GIN SOCIAL MOBILIZATION UNICEF 909,500 909,500 304,441 33.47 SO4 PRESERVE stability: Total 19,663,745 19,663,745 18,557,529 94.37
SO5 PREVENT 00092648 MCA13 #11LBR QUICK IMPCT PRJCT UNDP 344,277 344,277 1,549 0.45 00092648 MCA13 #11LBR QUICK IMPCT PRJCT UNMEER 1,000,000 655,726 625,635 95.41 00092649 MCA13 #11GIN QUICK IMPCT PRJCT UNDP 1,000,000 1,000,000 935,512 93.55 00092649 MCA13 #11GIN QUICK IMPCT PRJCT UNMEER 2,000,000 1,000,000 1,006,425 100.64 00092650 MCA13 #11SLE QUICK IMPCT PRJCT UNDP 630,000 630,000 590,422 93.72 00092650 MCA13 #11SLE QUICK IMPCT PRJCT UNMEER 1,500,000 870,000 796,014 91.50 00092907 MCA13 #17 SLE RRSTs ESTABLISHM UNMEER 2,643,548 643,548 598,511 93.00 00092907 MCA13 #17 SLE RRSTs ESTABLISHM UNOPS 4,501,490 4,501,490 3,724,217 82.73 00092908 MCA13 #18 SLE NERC SECRETARIAT UNMEER 1,178,084 1,178,084 791,558 67.19 00093085 MCA13 #2 AVIA EBOLA ACTN PLAN ICAO 1,000,000 1,000,000 0 00093086 MCA13 #5 SLE DETENTION CENTERS UNDP 1,201,725 1,201,725 1,184,215 98.54 00096704 MCA13 #41 EBOLA RESPONSE INTER WHO 119,000 119,000 46,566 39.13 00097554 MCA13 #49 GIN SUPPORT TO THE UN UNDP 983,231 983,231 0 00097555 MCA13 #50 SLE SUPPORT TO THE UN UNDP 695,527 695,527 0 00097556 MCA13 #51 LBR SUPPORT TO THE UN UNDP 132,840 132,840 0 SO5 PREVENT: Total 18,929,722 14,955,448 10,300,625 68.88
RSO1 Health Nutrition WASH 00096703 RSO1 #33 LBR RESTORING MIDWIFERY UNFPA 1,000,000 1,000,000 0 00097566 RSO1 #46 LBR UPGRADING WATER A UNICEF 555,336 555,336 0 RSO1 Health Nutrition WASH: Total 1,555,336 1,555,336 0
99 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT
Annex 2. Net Funded Amounts and Expenditures by Strategic Objective, as of 31 December 2015 (in US Dollars)
Recipient Approved Net Funded Certified Expenditure Delivery Rate % SO or RSO / Project No. and Project Title Organization Amount Amount (as of 31-Dec-2015) (as of 31-Dec-2015)
RSO2 Socio-Economic Revitalization 00096705 RSO2 #43 GIN STRENGTHENING COM UNDP 458,651 458,651 91,505 19.95 00096705 RSO2 #43 GIN STRENGTHENING COM UNFPA 290,077 290,077 73,482 25.33 RSO2 Socio-Economic Revitalization: Total 748,728 748,728 164,987 22.04
RSO3 Basic Service & Infrastructure 00096723 RSO3 #45 SLE EBOLA SURVIVORS - UNICEF 788,456 788,456 0 00096723 RSO3 #45 SLE EBOLA SURVIVORS - WHO 258,940 258,940 0 RSO3 Basic Service & Infrastructure: Total 1,047,396 1,047,396 0
RSO4 Govern Peace Building Cohesion 00096708 RSO4 #44 GIN GOVERNMENT SUPPOR UNDP 247,915 247,915 0 RSO4 Govern Peace Building Cohesion: Total 247,915 247,915 0
Grand Total 149,158,949 149,158,949 127,607,069 87.89
DEFINITIONS
Approved Project/Programme implementing partner in a Fund, as represented by signing a Memorandum Amount approved by the Chair in consultation with the Ebola Response of Understanding (MOU) with the MPTF Office for a particular Fund. MPTF Advisory Committee for a project/programme. Project Expenditure Contributor Commitment The sum of expenses and/or expenditure reported by all Recipient A project/programme including budget, etc., that is approved by the Chair Organizations for a Fund irrespective of which basis of accounting each in consultation with the Ebola Response MPTF Advisory Committee for fund Recipient Organizations follows for donor reporting. allocation purposes. Project Financial Closure Contributor Deposit A project or programme is considered financially closed when all financial Cash deposit received by the MPTF Office for the Fund from a contributor in obligations of an operationally completed project or programme have been accordance with a signed Standard Administrative Arrangement. settled, and no further financial charges may be incurred. Delivery Rate Project Operational Closure The percentage of funds that have been utilized, calculated by comparing A project or programme is considered operationally closed when all expenditures reported by a Recipient Organization against the ‘net funded programmatic activities for which Recipient Organizations(s) received amount’. funding have been completed. Indirect Support Costs Project Start Date A general cost that cannot be directly related to any particular programme Date of transfer of first instalment from the MPTF Office to the Recipient or activity of the Recipient Organizations. UNDG policy establishes a fixed Organizations. indirect cost rate of 7% of programmable costs. Total Approved Budget Net Funded Amount This represents the cumulative amount of allocations approved by the Chair Amount transferred to a Recipient Organizations less any refunds transferred in consultation with the Ebola Response MPTF Advisory Committee. back to the MPTF Office by a Recipient Organizations. US Dollar Amount Recipient Organization The financial data in the report is recorded in US Dollars and due to rounding A UN Organization or other inter-governmental Organization that is an off of numbers, the totals may not add up. 100 ACRONYMS Acronym Definition Acronym Definition AV Assistance Visit MFI Micro Finance Institution CBO Care Based Organization Mission Critical Action MCA CBPSS Community Based Psychosocial Support MLB Main Logistics Base CBS Community Based Surveillance MoH Ministry of Health CBU Confidence Building Unit MoH DPC Ministry of Health Disease Prevention and Control CCC Community Care Center MoHS Ministry of Health and Sanitation CDC Centers for Disease Control and Prevention MoHSW Ministry of Health and Social Welfare CEBS Community Event Based Surveillance MPCHS Mother Patern College of Health Sciences CHT County Health Team MPHSS Mental Health and Psychosocial Support CO Country Office MPTF Multi-Partner Trust Fund CPES Comprehensive Programme for Ebola Survivors MRU Manu River Union C-QIPS Community Quick Impact Projects MSU Mobile Storage Units CRS Catholic Relief Services MT Metric Tonne CVM Community Volunteer Monitor NERC National Ebola Response Centre CWC Community Watch Committee NGO Non-governmental Organization DERC Distict Ebola Response Centre NIPCU National IPC Unit DFS Digitial Financial Service PFA Psychological First Aid DHMT District Health Management Team PPE Personal Protective Equipment Ebola Response MPTF Ebola Response Multi-Partner Trust Fund PPERWs Programme for Payments for Ebola Response Workers ECC Ebola Care Center PSS Psychosocial Support ECM Ebola Crisis Manager QIP Quick Impact Project ERW Ebola Response Worker RDT Rapid Diagnostic Test ET Emergency Telecommunications RITE Rapid Isolation Treatment of Ebola ETC Ebola Treatment Center RMNH Reproductive, Maternal and Neonatal Health ETU Ebola Treatment Unit RRSF Rapid Response Surge Fund EVD Ebola Virus Disease RRST Rapid Response and Stabilization Team FLB Forward Logistics Base RSO Recovery Strategic Objective FTR Family Tracing and Reunification SDB Safe and Dignified Burial gCHV general Community Health Volunteer SIM Subscriber Identification Module GDP Gross Domestic Product SLCS Sierra Leone Correctional Services GRC Guinean Red Cross SLRCS Sierra Leone Red Cross Society GSA General Service Agency SOP Standard Operating Procedure HCW Healthcare Worker SQS Safe and Quality Health Services HR Human Resource STEPP Treat the infected; Ensure essential services; Preserve stability; and ICAO International Civil Aviation Organization (ICAO) Prevent outbreaks in countries currently unaffected ICC Interim Care Center TC Transit Center ICE Interagency Coordination on Ebola TOR Terms of Reference ICT Information Communication Technology TOT Training of the Trainer IDSR Integrated Disease Surveillance and Response UN United Nations IEC Information Education and Communication UNDP United Nations Development Programme IFRC International Federation of Red Cross and Red Crescent Societies UNFPA United Nations Population Fund IHR International Health Regulations UN-HABITAT United Nations Human Settlements Programme ILO International Labour Organization UNHAS United Nations Humanitarian Air Service IMO Information Management Officer UNICEF United Nations Children’s Fund IMS Incident Management System UNMEER UN Mission for Ebola Emergency Response IPC Infection Prevention and Control UNMIL UN Mission in Liberia IP Implementing Partner UNOPS United Nations Office for Partnerships ISWM Integrated Solid Waste Management VDC Village Development Committees KPI Key Performance Indicator WASH Water, Sanitation and Hygiene KSKS Keep Safe - Keep Serving WFP World Food Programme LLE Lessons Learned Exercise WHO World Health Organization LWSC Liberia Water and Sewer Corporation MCC Monrovia City Corporation
Acknowledgments This report was prepared by the Office of the Special Adviser to the UN Secretary-General on the 2030 Agenda for Sustainable Development and Climate Change with the support of the Ebola MPTF Annual Report Team: Olga Aleshina (Head of the Ebola MPTF Secretariat), Lauren Anderson, (Reporting Consultant), Cristina Bertarelli (Ebola MPTF Secretariat Officer), and Gobo Serge Gbappa, Ellora Guhathakurta and Kurtmolla Abdulganiyev (Ebola MPTF Office Monitoring and Evaluation Officers). The Country Data Sections of the report were reported by the UN entities ICAO, ILO, UNDP, UNFPA, UNHABITAT, UNICEF, UNMEER, UNOPS, UNWOMEN, WFP and WHO in three affected countries.
Cover Photo: MPTF Office - Liberia Source of infographics: OCHA ([email protected]) Layout Designer: Edgar Mwakaba, [email protected], skype: emwakaba, +254722359331,
Any queries on the report should be addressed to: The Ebola MPTF Secretariat: MPTF Office, 304 45th Street, 11th Floor, New York, 10017, USA; e-mail: [email protected]. Printed on environmentally friendly paper. The printed matter is recyclable. The Office of the Special Adviser on the 2030 Agenda for Sustainable Development and Climate Change Multi Partner Trust Fund Office, UNDP http://mptf.undp.org/ebola