UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 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 09 Report Structure 11 Operations and Governance Structure 13 Contributions 15 2016 Lessons Learned Exercise 19 Guinea; Mission Critical Actions and Recovery Strategy Objectives 41 Liberia; Mission Critical Actions and Recovery Strategy Objectives 53 Sierra Leone; Mission Critical Actions and Recovery Strategy Objectives 73 Regional; Mission Critical Actions 77 Stories from Communities 83 Financial Information Cover Photo: © UN - Liberia UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL 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 CHILE, Government of NEW ZEALAND, Government of UNAIDS CHINA, Government of NORWAY, Government of UNDP COLOMBIA, Government of PERU, Government of CYPRUS, Government of PHILIPPINES, Government of UNESCO CZECH Republic, Government of PORTUGAL, Government of UNFPA DENMARK, Government of REPUBLIC of KOREA, Government of ESTONIA, Government of ROMANIA, Government of UN HABITAT FINLAND, Government of SWEDISH INTERNATIONAL DEVELOPMENT COOPERATION UNHCR GEORGIA, Government of SWISS AGENCY FOR DEVELOPMENT & COOPERATION GERMANY, Government of THE RUSSIAN FederatION, Government of UNICEF Guyana, Government of TOGO, Government of UNMEER HOLY SEE TURKEY, Government of INDIA, Government of UNITED KINGDOM, Government of UNOPS IRISH AID VENEZUELA, Government of UN WOMEN ISRAEL, Government of Volvo Group PRIVATE SECTOR JAPAN, Government of WFP KAZAKHstan, Government of WHO 2 2016 ANNUAL REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND FOREWORD The UN Secretary-General established the Ebola Response Multi-Partner Trust Fund (MPTF) in September 2014 to support the UN System’s Ebola Response. The Fund met its goals. It offered all phases of the Response a fast, collaborative and strategic financial mechanism that helped Guinea, Liberia and Sierra Leone, the countries hardest hit by the outbreak, to bring Ebola transmission to zero and embark on recovery. Though the World Health Organization (WHO) declared the threat from Ebola to international public health over in March 2016, the work of strengthening preparedness for health crises and rebuilding the lives of those affected by the outbreak has only just begun. There are an estimated 11,349 survivors in West Africa with many others having lost their support networks to the virus. In this regard, the Fund’s Recovery Window, established in April 2015, commenced projects to support at-risk populations. Interventions focused on providing basic health services as well as helping communities meet water, sanitation and hygiene needs. They engendered community leadership on surveillance and behavior change, and lent psycho-social, medical and livelihood support to Ebola-affected people. This past year, the Fund commissioned an independent Lessons Learned Exercise (LLE) on the Ebola Response MPTF operation. It concluded that the Fund performed exceptionally well considering the unprecedented nature of the epidemic and given the fragility of the three most affected countries. In its third year of operations, the Ebola Response MPTF built on this success, filling gaps in emergency response while also implementing projects focused on longer-term recovery. In 2016, Ebola Response MPTF-funded projects played a critical role in containing Ebola flares in Guinea, Liberia and Sierra Leone. Projects provisioned the equipment, training, community outreach and other resources needed to quickly contain these outbreaks. The Fund not only helped countries reach zero transmission, it helped communities to stay there, demonstrating the importance of flexible and fast finance during crisis situations. In addition to supporting emergency response, the Fund contributed to building and upgrading infrastructure that countries could leverage into the future. This included, for instance, the foundation for digital payments to health workers, isolation units in health facilities, water pipelines and latrines. Initiatives empowered communities to lead on health and development endeavors with the aim of ensuring their sustainability. Pilot projects, now proven, could be replicated and expanded with other sources of funding and additional country engagement. The Ebola Response MPTF made important contributions to the UN Ebola Response. Going forward, it will be important to draw on the lesson learned from the Fund and ensure that communities and Nations are better prepared for the next threat to public health. Dr. David Nabarro Special Adviser to the UN Secretary-General on the 2030 Agenda for Sustainable Development and Climate Change 3 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2016 ANNUAL REPORT EXECUTIVE SUMMARY This report details the 2016 contributions of the Ebola Response Achieving a Resilient Zero Multi-Partner Trust Fund (MPTF) to the UN Ebola Response. During this reporting period and since its inception, the Fund Ending transmission and achieving a “resilient zero” meant significantly contributed to the efforts of Guinea, Liberia and bolstering surveillance, contact tracing, social mobilization Sierra Leone, the countries at the epicenter of the outbreak, and communications, especially through deep community to reach and sustain zero Ebola transmission. In 2016, funded- engagement. Ebola Response MPTF-funded projects also projects supported the rapid containment of Ebola flares in supported cross-border collaboration, financial infrastructure for all three countries through a variety of initiatives. This report digital payments, and a regional Ebola aviation plan. also describes the groundwork that projects laid to support Ebola Response MPTF-funded projects supported interventions recovery. With a view to maintaining zero transmission, that quickly contained the Koropara flare in Forest Guinea. recovery initiatives fostered community engagement, built One project trained 448 body washers and 79 mediators, and health infrastructure, met basic health and livelihood needs of prepositioned protective gear in communities. In the Macenta vulnerable populations, and bolstered preparedness for other and Nzérékoré prefectures, 19 safe and dignified burials (SDBs) health emergencies. and 83 rapid detection tests (RDTs) were completed. This project Background also supported the National Ebola Response Center (NERC), including by providing supplies to 207 families and 1,656 In September 2014, the UN Secretary-General created the Ebola people, and deploying a 16-member medical team to care for Response MPTF to support the UN System’s Ebola Response. those affected by micro-cerclage activities. This team conducted Over the past three years, the Fund provided grants to twelve 1,088 medical consultations and issued 14 alerts. UN entities, inclusive of UNMEER, WHO, UNICEF, WFP, UNDP, In addition, this project provisioned eight vehicles, including UNFPA, UNOPS, UN WOMEN, ILO, UN-HABITAT, UNAIDS and four ambulances to support the response. They also covered ICAO. It financed projects that contributed to 11 out of 13 Mission incentive payments to 272 healthcare workers deployed to 34 Critical Actions (MCAs), the guiding principles of the UN system Centers for the Treatment of Infectious Potential Epidemics STEPP strategy for Ebola Response: Stop the outbreak; Treat (CTEPIs), and helped the NERC to follow 472 survivors and the infected; Ensure essential services; Preserve stability; and 1,072 survivors or families of survivors to assure their access to Prevent outbreaks in countries currently unaffected. Beginning in health care. A separate project, focused on payments to Ebola April 2015, the Fund’s Recovery Window commenced finance to Response Workers (ERWs), provided incentives to all NERC staff projects supporting the achievement