SUB NATIONAL HEALTH CLUSTER ONLINE MEETING MINUTES Yemen, Al Hudaydah Hub 30 September 2020 Venue: Virtual Online Sub National Health Cluster Meetings, Using Zoom application. Date: 30, September 2020. Facilitator: Dr. Abdullah Zohairy; The Sub-National Health Cluster Coordinator of Al Hudaydah Hub, (SNHCC). Meeting Agenda: 1. Welcome & Introduction & Review and Follow Up the Previous Action Points. 2. Health Cluster Matters. 3. Outbreaks Status; Response & Needs & Gaps. 4. GHOs Health Needs 5. Partner’s Updates & Challenges. 6. RH Working Group Updates. Previous Meeting Action Points No Action Points Status 1 Prioritization of Health activities: Health Cluster to share a file with the cluster objectives with partners for Done their inputs. 2 UNICEF or WHO to give their feedback for the possibility to cover the gap of the 3 DTCs that were supported Pending by SCI. 3 UNCIFE to give their feedback for the payment of incentive for health workers which hasn’t paid since the Pending beginning of 2020. 4 Partners to continue their support to the primary healthcare services through MSP and other activities. Pending 5 Health partners are requested to report any impact continuously to the Health Cluster. Pending Meeting Minutes: Meeting Agenda Discussion Action Points Introduction of • Sub-National Health Cluster Coordinator (SNHCC), Dr. Abdullah Zohairy • Virtual Online Sub-National Health Partners & Review of welcomed all partners to this first virtual online meeting using teleconference the previous action Cluster Meetings will be held on Points: technology (Zoom). biweekly basis. • An introduction was done with partners introducing them self’s as well as their For more information, please visit the Health Cluster Website: http://yemenhc.org/ position within their organization though SMS in the chat Box of Zoom. • The previous action points of the Last SNHC Meeting have been reviewed and endorsed. The Modality of the Due to COVID-19 current situation and not allowing • SNHCC to share Zoom guide with HC Upcoming Online any gathering and in light of the increased need for Partners who need to install Zoom SNHC Meetings: online collaboration; application in their laptops and • The Health Cluster will organize and conduct a virtual online meetings using activate a Zoom account to Zoom. participate in the upcoming online SNHC Meetings. • SNHC Partners have to activate a Zoom account allowing SNHCC to invite HC Partners to online meetings and schedule one on a desired date and time, and share the link in advance. Health Cluster Registration: Information Management: - Active Health Cluster Members: To join the Yemen Health Cluster list: https://forms.gle/cjBRNhjTgGRHusgy6 - Non Health Cluster Members!!: To meet with Yemen Health Cluster Membership Criteria. Regular Reporting – DHIS (District Health Information System): - Monitoring & Updating: - Matrix prepared. - Non-reporting partners after 60 days will be withdrawn from Health Cluster. IM Products: - Availability through dedicated websites: Health Cluster & OCHA website: http://yemenhc.org/ https://www.humanitarianresponse.info/ Health Cluster The Health Cluster team emphasized on the health cluster membership Membership requirements and criteria that should be met by all new NGOs who are requesting to join the cluster. Noting that joining the cluster meeting doesn’t mean by any way that the NGO has been granted the membership. This is because we need to make sure that partners have good capacity and capable to save people lives. Encouraging all Local NGOs who are attending the SNHC Meetings to focus their efforts to establish partnerships with UN agencies and international NGOs to start implementing health projects and activities, and that this partnership is the best way through which they can build and develop their capabilities in the way of obtaining the Health Cluster Membership or the OCHA Eligibility. Health Cluster • Health Cluster will share the drafted Matters 1: Prioritization of Health Activities: Cluster Objectives and programs With many thanks to those partners who have shared their inputs and feedback sequencing with partners for final For more information, please visit the Health Cluster Website: http://yemenhc.org/ on the cluster objectives and programs, Health Cluster will collate all those comments. feedbacks received. The Health Cluster: The Health Cluster continue to consult the Health Cluster SAG, health partners and cluster team to finalize the requested steps from the cluster side on prioritizing the health activities and program. As per the Consultation with the SAG, the Health Cluster team has been working on twofold directions: 1) Revise the PIN and severity analysis Cluster will focus on priority districts fall under 4, 5 and 6 severity scores taking into account the deadline. This will be done by IM. 2) Once PIN and priority is finalized, the capacity analysis will be done that will include access, partner presence and 4W -Drafting the cluster objectives and programs sequencing. As a result of those consultations, the Health Cluster team presented the drafted cluster objective that align with the HRP SO 1 under the outbreak and infectious diseases. Also, the cluster team suggested to add one cluster objective under the SO 3 for the protection and specialized care that should cover the need for specialized care of chronic diseases. The programs sequencing was also drafted for final check with SAG, CLA and partners. There was a suggestion by WHO to add the utilization data to the severity analysis. The paper of draft cluster objectives and programs grouping will be shared with all partners along with the minute for any final comments. Health Cluster • Health Cluster will send an email to Matters 2: Data & Information Sharing: all partners to indicate the MoPHP Impact of MoPHP directives to stop sharing information and data with partners at health facilities: request and share the feedback with Regarding the last MoPHP (North) circular that instructing GHOs and facilities the MoPHP. not to share the data, information and statistics with INGOs and NNGOs; 1) Health Cluster Team at the national level highlighted and discussed this • Health Cluster will share the list of issue during the last Health Cluster Meeting. indicators that all partners are 2) The Health Cluster has initiated an immediate discussion with MoPHP collecting data to meet those seniors to understand the reason behind this and how to work together on indicators, for this it is recommended this. to have a consultative meeting with 3) Where the Health Cluster focal point mentioned that this should be centralized and MoPHP should have all information and data and then to partners and SAG to agree on the share with partners. indicators. 4) Health Cluster Team mentioned that during the discussion with deputy • All the information products that IM minister, it was highlighted the importance of having this regular updates from partners to the cluster and also the donors. team of Health Cluster are prepared 5) As partners are using all relevant MoPHP approved forms and registries in will be shared with MoPHP. the health facilities and they only extract summaries from those registries for the reporting purposes while all forms and registries are kept at health For more information, please visit the Health Cluster Website: http://yemenhc.org/ facility. 6) This is also will be addressed by the CLA representative in the coming meetings with the Minister of MoPHP. The SNHCC as follow up with the last circular that shared by MoPHP instructing all GHOs and HFs not to share any data with health partners, clarified the following; Many series of meetings and discussions that has been initiated by the CLA with the Minister of health. The Health partners were briefed on the latest updates on this issue based on the fruitful meeting conducted last Tuesday 29th September 2020 with DG of IM and Research department at MoPHP and DG of technical cooperation department at MoPHP. With this, the DG of IM and Research has kindly joined the meeting and highlighted on the importance of coordination with the MoPHP in terms of collecting data from HFs and show support of MoPHP. As the aim of this circular was to ensure all collected data by partners are unified and collected to serve the humanitarian purposes. Therefore, for this the MOH is requesting health partners to indicate the following; 1) What type of tools that are being used for the data collection at HFS level? 2) When those tools started to be used, and description of the collected data? 3) Ensure that all partners apply the same information tools to avoid multiple parallel systems and fragmentation of information, and allow aggregation and joint analysis of data across different areas of operations, ensuring that the process is coordinated under the Ministry of Health, or by the Health Cluster. 4) Agree on and use the same sets of geographical and administrative denominators and demographic estimations, leading towards harmonized information that is easier to integrate. 5) Include the use of national or common standardized data collection and management systems in a memorandum of understanding between agencies, donors and health authorities. 6) Agree on health facility reporting tools, information technology platforms for uploading data, their interoperability, and processes for reporting. The SNHCC opened the floor for the discussion on this important challenge: Several participants offered reflections, insights and advice and many different ideas have been suggested and put forward in this regard, below is a short overview of the speaker’s statements as the following: Dr Baleigh Comment: Dr Baleigh has supported the idea of sharing the data centrally through the Ministry of Health, but on the other hand, he indicated that, at the present time, they are facing many difficulties when compiling monthly reports at the For more information, please visit the Health Cluster Website: http://yemenhc.org/ health facility level. From his own experience, he stated that they were intending to conduct a training session for health workers on the collection, analysis and use of relevant public health data.