UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND for the Period October 2014 to May 2015 The Office of the UN Special Envoy on Ebola and 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 Foreword by the UN Secretary-General’s Special Envoy 3 on Ebola, Dr. David Nabarro 4 Executive Summary 5 Report Structure 8 Achievements of the Ebola Response MPTF Ebola Response MPTF Operations and Governance 9 Structure 11 Contributions to the Ebola Response MPTF 15 The Way Forward 17 Country Data - Guinea 35 Country Data - Liberia 59 Country Data - Sierra Leone 79 Country Data - Regional 87 Financial Information UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT RECIPIENT ORGANISATIONS FAO ICAO IOM UNDP UNESCO UNFPA UNHCR UNICEF UNMEER UNOPS UN WOMEN WFP WHO CONTRIBUTORS AUSTRALIA, Government of GUYANA, Government of PHILIPPINES, Government of BAHRAIN ROYAL CHARITY ORG INDIA, Government of PORTUGAL, Government of BOLIVIA, Government of IRISH AID REPUBLIC of KOREA, Government of BRAZIL, Government of ISRAEL, Government of ROMANIA, Government of SWEDISH INTERNATIONAL CANADA, Government of JAPAN, Government of DEVELOPMENT COOPERATION SWISS AGENCY FOR CHAD, Government of KAZAKHSTAN, Government of DEVELOPMENT & COOPERATION THE RUSSIAN FEDERATION, CHILE, Government of LATVIA, Government of Government of CHINA, Government of LUXEMBOURG, Government of TOGO, Government of COLOMBIA, Government of MALAYSIA, Government of TURKEY, Government of CYPRUS, Government of MALTA, Government of UNITED KINGDOM, Government of DENMARK, Government of MAURITIUS, Government of VENEZUELA, Government of PRIVATE SECTOR ESTONIA, Government of MONTENEGRO, Government of FINLAND, Government of NEW ZEALAND, Government of GEORGIA, Government of NORWAY, Government of Volvo Group GERMANY, Government of PERU, Government of 2 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT FOREWORD The UN Ebola Response Multi-Partner Trust Fund (Ebola Response MPTF or “the Fund”) has been an important funding instrument in the global fight against Ebola. Funded projects have lent strong support to the reduction of Ebola transmission across Guinea and Sierra Leone, to the end of the outbreak in Liberia, and to an increase in emergency health preparedness across the West African region. To date, Ebola has infected over 27,000 people and claimed the lives of over 11,000, including over 800 healthcare workers. The Fund was established by the UN Secretary-General to enable flexible, fast financial support to the Ebola Response, and to finance projects that would meet urgent needs on the ground in the three most affected countries of Guinea, Liberia and Sierra Leone. This report details the contributions that the Ebola Response MPTF has made with regard to containing the outbreak and supporting recovery. The Fund has, by design, been able to strategically fill funding gaps in the United Nations’ response, support collaboration across the UN System as well as governments and a range of key actors, and help assure the efficient and strategic use of critical resources. Despite the achievements of the Fund, it remains important to underscore that the outbreak is not over. Transmission continues in Guinea and Sierra Leone and the rainy season has started. Liberia was pronounced free of Ebola on 9 May 2015 but at the end of June the Government reported that a person had died of Ebola in Margibi county. The necessary responses have been implemented. With transmission ongoing in the region, continued investment in community engagement, intensified contact tracing and earlier case identification and action are required. The Ebola Response MPTF will continue to serve as an instrument through which resources can be transferred as these actions are undertaken. Comprehensive descriptions of transmission chains call for contact identification and tracing to be both reliable and effective. If this is not done the outbreak can increase again, undetected. There is no room for mistakes: the numbers of people newly diagnosed must be reduced to zero and zero must be maintained – as is happening in much of the affected region. Special efforts are underway now to ensure the safe provision of essential services that are accessible as society returns to normal – and to make things better than they were, as markets and borders reopen, children return to school and livelihoods resume. Surveillance, education and monitoring are increasingly important as case incidence approaches and reaches zero. Achieving and maintaining zero also involves supporting the region’s efforts to rebuild the progress lost to the epidemic, as well as strengthening the basic infrastructure and essential services critical to preventing future outbreaks. It will not be sufficient to return to the status quo. Stronger healthcare delivery systems and more robust human and institutional capacity – all of which have been supported by the Ebola Response and the Fund - must continue to be put in place to help countries be more prepared and more resilient to the next shock or health emergency. With three funding windows focusing on response, preparedness and recovery, the Ebola Response MPTF is well positioned to continue supporting the efforts needed to reach and keep case incidence at zero, as well as to help countries rebuild with a view to greater health security, preparedness and resilience in the future. David Nabarro The UN Secretary-General’s Special Envoy on Ebola 3 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT EXECUTIVE SUMMARY In September 2014, as the numbers of people newly diagnosed the response in all three of the most affected countries. Some with Ebola doubled at three weekly intervals, the UN Secretary- 22,000 Ebola Response Workers (ERWs) have received their General established the Ebola Response MPTF to support the payments from governments thanks to the support of UNDP, UN System’s Ebola Response. The Response needed a nimble, which also used these same means to ensure that payments collaborative and strategic means to enable collaboration reached 26,500 ERWs in Guinea and 3,400 ERWs in Liberia. across different parts of the UN family of organizations and The Fund also enabled UNDP to implement a Contingency Plan to meet essential needs. Nine UN Entities - UNMEER, WHO, that benefited over 1,200 ERWs per payment cycle in Guinea UNICEF, WFP, UNDP, UNFPA, UNOPS, UN WOMEN, and and 410 ERWs in Liberia. Governments were helped with ICAO – have received grants from the Trust Fund for projects the removal of duplicate records, identification of fraudulent that have boosted coordination, efficacy and impact of the ERW details, and the establishment of help desks for workers UN Response, slowed transmission and supported those most anxious about accessing payments they had earned. affected by this crisis. The Ebola Response MPTF is also working to help communities The Trust Fund was designed to mobilize funding from a that are reticent about involvement in the Ebola response to wide-variety of stakeholders and to distribute it in response become engaged, especially in Guinea. UN entities and partners to high quality spending proposals. The Fund has three are receiving funds to increase their ability to reach out to financing windows: Response, Preparedness and Recovery. communities, to educate and engage women in the response, The disbursement of funds is guided by the UN system to work with Ebola survivors and to increase the confidence of STEPP strategy: Treat the infected; Ensure essential Services; local leaders. These actions are not only increasing community Preserve stability; and Prevent outbreaks in countries currently participation, but they are also increasing the degree of local unaffected. The STEPP strategy encompasses thirteen Mission trust in responders. With Ebola Response MPTF support, Critical Actions (MCAs). 2,120 community health workers were organized to visit some 60,000 houses in Forécariah, Guinea, through UNICEF. In Since its establishment, the UN system Ebola Response MPTF December 2014, in Montserrado County, Liberia, also with has attracted resources from a wide spectrum of donors. It had Fund support, the ‘Operation Stop Ebola’ campaign, which the highest level of donor engagement ever seen in a UN trust reached 1 million people, was launched. The Fund has also fund during its first six months of operation. Contributions have enabled the deployment of midwives to 25 health facilities in been received from 40 UN Member