Psychosocial activity in Gueckedou with orphans GUINEA * Ebola Situation Report 14 Janvier 2015 HIGHLIGHTS As of 13 January 2015* 2,820 Cases of Ebola The Ebola Treatment Center (ETC) of Coyah (the first sub-prefecture (2,525 confirmed) at the entrance of Conakry) is now functional with 100 beds, and is serving its purpose of “shield” to prevent Ebola cases from inland to reach Conakry. As a result, the Donka (Conakry) ETC which was completely overloaded the last week of December only has 8 1,823 patients, all from Conakry, at the moment. Deaths (1,539 confirmed Ebola) The “Zero Ebola in 60 days” campaign was officially launched in Coyah on Saturday 10 January, with eleven joint teams from 564 Government and partners deployed throughout the country, to Children and youth 0-20 infected support the decentralized and integrated Ebola response planning at prefecture level. The Government has announced reopening of schools in Guinea on 4,105,926 January 19, 2015. Children living in affected areas 171 Cases and 94 deaths among health care workers UNICEF funding needs until June 2015 USD 96.5 million UNICEF funding gap USD 73.0 million Situation Overview and Humanitarian Needs As mentioned in the highlights (and as in the graphic below), the decrease of the epidemic curve seems to be confirming itself since December 2014. However, the Case Fatality Rate (CFR) for the two first weeks of January is very high (at 76%) compared to the average of the past months. Summary Analysis of Programme response Communication for Development (C4D) 2,326 Community Watch Committees (CWCs/CVVs) have been established, of which 1,938 were established by UNICEF and its implementing partners. Community/family/individual resistance/refusal to collaborate is decreasing (27 sub-prefectures with cases of resistance this week, compared to 31 last week) UNICEF has established partnerships with 23 rural radio network for awareness campaigns and behavioural change communication, delivering daily messages to 28 prefectures Health and Nutrition UNICEF continue to provide all Ebola treatment centers and Ebola transit centers with high nutrient foods (ready-to-use-therapeutic food – RUTF: plumpy-nut and BP100). To date, the cumulative number of persons infected by Ebola who have received RUTF stands at 1,568. In addition, 120 children under 24 months from mothers suspected and mothers who are confirmed to have Ebola as well as orphans under the age of 23 months, have received ready-to-use infant formula milk, as breast milk substitution. Construction is completed for 5 (Kouremale, Kissidougou, Kouroussa, Koropora and Friguiagbe) of the 10 planned CTComs. Completion of the construction has been delayed at the remaining sites primarily due to reasons related to either the need for further community dialogue to ensure full acceptance and ownership or constraints related to building the water points. However, apart from Pamelap which might require identification of a new location/site, all remaining centers are expected to be completed in a week time. So far, engaging local administrative authorities, religious and traditional leaders to lead the community dialogue process, and involving associations of women and the youth as well as representatives of traditional brotherhoods (e.g. traditional hunters and healers) has been instrumental in ensuring community acceptance and ownership. Actual operationalization of the centers has started in Kouremale and Kissidougou. This includes making available required equipment, drugs and other supplies, identification of the staff under the leadership of the local coordination and in partnership of the Guinean Red Cross Society, and simulation and mentorship. WASH To strengthen local capacity and inter-sectorial coordination, UNICEF is actively: Engaging local and international NGOs such as ACF, Relief International, CECI and the National Association of Scouts Guinea in partnership cooperation agreements (PCA) to accelerate the WASH Ebola response plan and cover gap areas in the distribution of Kits as well as in community mobilisation efforts. Coordinating and facilitating WASH Cluster meetings. More than 12 meetings have now been held to date. Supporting the WASH Cluster online platform which contains harmonized tools, strategies, mappings as well as tools for communication for development (https://sites.google.com/site/washguinee/). Creating a sub-WASH Cluster at the local level in the N’zérékoré region; to date, 3 meetings have been held with Government partners and 28 other local partners. To increase the number of beneficiaries with improved access to water and sanitation, An additional 10 new water points (to date 30 already constructed) were constructed this week in the Kankan region providing improved access water to more than 12,000 persons. 2 boreholes are currently in construction in the village of Boffossou in Macenta and in Koropara in N’zerekore. 3 CTCom in Kouremali, Kissidougou and Friguiagbe are now fully equipped with WASH services including boreholes, small water supply network, latrines and showers. Distribution of more than 27,000 WASH household kits to nearly 190,000 beneficiaries living in the most affected areas. The key results for this week and overall are: o More than 10,269 WASH households kits distributed to 71,883 people in Ebola affected areas. o 100 sites were identified for the rehabilitation/construction of water points in 75 villages and 25 health care centres in the Faranah and N’Zérékoré regions. o UNICEF has distributed more than 25,800 WASH school kits to 1,467,252 pupils (see map below) o Through its partner ACF, UNICEF has distributed WASH Kits in 54 health care centers in Labe; o A Request for Proposal (RfP) has been announced for rehabilitation and construction of 40 water points in 25 villages and in 15 health centers in two regions: Boke and Kindia; o 28 persons from various local NGOs in N’Zérékoré are now trained on WASH interventions in the fight against Ebola. Child Protection 6,650 children including 2,843 girls were provided with psychosocial support through 594 community sessions. 1,044 children who have lost one or two parents benefited from 170 home based observations conducted by 17 social workers. 6 educational talks were held on child protection and Ebola with 147 parents/caregivers (78 female) and 7 community dialogue sessions on stigma and promotion of solidarity with 231 people including 91 women. 127 community volunteers were trained on psychosocial support in Kindia and Dabola. 5 child protection coordination structures at prefecture level (CCPE) developed their Ebola response plan. 1,087 community volunteers provided psychosocial support to 16,044 affected children, among whom 2,598 children who have lost one or both parents, and 174 ‘contact’ or ‘survivor’ children assisted with family kits (food or clothes and/or hygiene material), cash transfer (657) and/or home visits (1,044). 348 families/care givers of children who lost one or both parents benefited from home based psychosocial assistance. The number of children who lost one or both parents identified by implementing partners currently stands at 4,113 (with 1,515 orphans identified this week by IPs) in 22 prefectures (out of 27 prefectures affected). Education January 19,2015 is the date announced by the Government for the reopening of school 80,657 teachers are trained on safe school opening protocol (100% teachers from preschool to higher education). 19% were funded by UNICEF. • The training of 310 trainers on psycho-social support provision will start on Thursday 15th January at N’Zérékoré center. Supply and Logistics 37 vehicles and 300 motorbikes have been received and are ready for delivery to the Ebola coordination. New orders for 49 vehicles, among which 37 ambulances, have been placed to reinforce Ebola response logistics capacities. Orders of supplies for 10 additional CTComs are in preparation (equipment; drugs and PPE). The distribution campaign of WASH family kits continues in Siguiri; Kissidougou; Gueckedou and Macenta prefectures. 80 000 kits are in stock and ready for distribution (60 000 in Conakry / 20 000 in Gueckedou). The distribution in the region of Gueckedou and Macenta have only reached 20% of the target due to partner capacity constraints. Accelerating the efforts to complete the distribution is a priority for the Country Office. Delays have also been reported in the construction of 10 water points in Conakry and 15 boreholes in the forest region. A meeting with the company is scheduled by end of this week. The construction of 15 boreholes in the coastal region will start in the coming week. The supply team is preparing for the end of year inventory in a challenging context of permanent supplies movements. Partial inventories will be conducted in a rotating manner, starting next week to complete the exercise in a period of one month. Human Resources Number of Number of Personnel In Type of staff Personnel In the Field Capital (Ckry) Staff Member (FT, TA for IP and Nationals) 61 56 Surge (UNICEF Staff on mission & Staff through Standby Partners) 10 4 Outsourced (UNV/Third Party Contract/Government Staff for CCC) 2 709 6-Jan-15 73 769 Staff needs by sector STATUS EBOLA SURGE C4D H&N WASH* EDU CP PME** OPS S&L COMS SEC EME TOTAL Requirement 16 13 4 5 9 2 18 7 6 3 3 86 Filled 13 5 4 3 4 2 15 4 2 2 2 56 % 81% 38% 100% 60% 44% 100% 83% 57% 33% 67% 67% 65% * Only staff on deployment and SBP ** One post on hold The surge is rapidly increasing capacity in UNICEF in January. Health and Communication require special support. Media and External Communications UNICEF is informing its audiences through regular press releases and social media posts, in English and French. UNICEF Guinea also regularly posts updates about the emergency and its response in its Twitter, Facebook, Flickr and Tumblr pages.