Biweekly health sector Libya operational updates 1-15 March 2021 Ongoing activities, accomplishments, issues and challenges for the reported period and Name of organization upcoming plans (1-15 March 2021) ACF Not provided AICS Not provided CEFA Not provided Chemonics Not provided Common Feedback Please see a separate report. Mechanism (ETS sector) Emergenza Sorrisi Not provided Expertise France Not provided GIZ Ongoing: Improve functionality of 5 PHC centres (PHCCs) through IMC in Garabulli (Algarabouli Polyclinic) and Janzour (Abduljalil Martyrs PHCC), Nalut (Sidi Khalifa PHCC), Al Bawanis (Tamanhant PHCU), Zintan (Al Kawassim Western PHCC). Based on an assessment on the functionality of PHCCs in Brega and Ajdabiya that was conducted by IMC in Feb 2021, MoH East selected Brega Eljadeda PHCC in Brega and Elshahid Mohammed Eldora PHCC in Ajdabia that will be supported to improve their functionality through IMC. In cooperation with Health Information Centre, 9 DHIS2 trainings were conducted Zliten, Msallata and Nalut with a total of 71 participants (5 women). Trainings in Al Sharguia, Al Bawanis and Al Jufra will continue from the 20th of March until the 8th of April. Support to National COVID-19 Response Plan: Pillar 2: Risk Communication and Community Engagement - Preparations to introduce Municipal COVID-19 Emergency Committees in 16 partner municipalities* plus Brak and Tawergha to the revised national COVID-19 preparedness and response plan are underway – Workshops in Hay-Alandalus, Janzour and Misrata are scheduled for End of March and Beginning of April. - The MHPSS Focal Person network met to discuss the Promotion of MHPSS and Social Cohesion at municipality level. Pillar 3: Surveillance, RRTs and case investigation - Biosafety Level 2 containerized laboratories for Tarhuna, Tobruk und Brak Shate for COVID-19 testing are expected in April. Pillar 6: IPC: - Ongoing support to Women Training and Development Centres in production of PPEs Pillar 7: Case management: - Equipment and supplies for COVID-19 testing and treatment for hospitals in Benghazi, Tobruk, Al Zintan, Brak Shate, Garabulli, Zliten and Nalut are expected to arrive in Libya in April. Pillar 9: Maintain Essential Services - 5 PHCCs (Al Qassabat PHCC Msallata , Hun and Wadan PHCC in Al Jufra, Western Rawajeh PHCC in Garabulli and Ghadamis PHCC) supported by IMC in the provision of essential services and IHEKs – online and face-to-face trainings on Family Practice Nursing continued. * 16 municipalities: Nalut, Ghadamis, Al Zintan, Jadu, Hay-Alandalus, Garabulli, Msallata, Janzour, Zliten, Misurata, Tarhouna, Al Jufra, Al Bawanis, Al Shargia, Edri El Shati, Al Shweyrif ** 8 municipalities: Nalut, Ghadamis, Al Zintan, Garabulli, Msallata, Janzour, Al Jufra, Wadi Al Bawanis Handicap International Not provided Helpcode Within the framework of the EUTF/AICS funded project “Restoring quality health care services in Zawya and Ghat District in Libya” the following activities were implemented: • Rehabilitation work for the Health Centers in Tahala and Awainat in Ghat district reached 95% and the health facilities will be handed over to the Municipality and the communities by early April. • Rehabilitation work for the Health Center in Ghat were initiated. • Tender for medical equipment for selected health facilities in Zawya were awarded and delivery will take place during April. • Training on the Job Medical Team in Ghat conducted the last sessions in Tahala and Awainat Health Center. • Trainings for medical staff in Zawya and Ghat under organization and will be starting in late March. Assessments were conducted on unsupported PHC facilities in Ghat and Ubari. ICRC PHCC: • Monthly donation of drugs and consumables to PHCCs: Agar PHCC, Al Jadid PHCC, Zuwilla PHCC, Bergen rural hospital, Al Ghurayfah rural hospital, Alkhoms Polyclinic. • Medical donation delivered to Sabha Diabetic Center. Mobile Health Unit In coordination with the LRCS, the MHU activities Benghazi began on 1rst of March/2021. Hospitals: • Finalizing Yefren in Nafusa mountain, ER assessment. • A remote health assessment was conducted for Wazen rural hospital/Nafusa mountain. • Field visit with Wat Hab FO to assess and estimate generator size for the Oxygen plant in Al Thanawiya isolation center- Sabha Ad Hoc Donation delivered to Al Wahda Hospital. Ad hoc donation of ER items delivered to Sabrathah teaching hospital. First Aid and prehospital Care: • A refresher FA TOT for the LRCS participants had been conducted in the LRCS HQ. PRP: • A two-day training on the Multidisciplinary Approach and clinical assessment was conducted by PRP team to 10 BPRC staff. • Nomination of candidates from BPRC & JPRC management for ICRC Scholarship 2021 • Beneficiaries Feedback and Technical Assessment (BFTA) was completed at JPRC. IFRC Not provided IMC COVID -19 Preparedness Ongoing Activities and Updates Pillar 1: Country-level . Coordination with relevant authorities such as the NCDC, coordination, planning, and PCHI and MOH are ongoing monitoring Activities pertinent to COVID-19 preparedness and response are supported through the support of BHA, EUTF, GIZ and UNFPA. IMC continue to provide information dissemination with regard Pillar 2: Risk communication to C-19 in its target locations through community health workers and community engagement and mobile medical units. IMC continue to participate in national disease surveillance Pillar 3: Surveillance, rapid system, submitting C-19 alerts through the EWARNs response teams, and case As of the last 2 weeks, 13 cases of suspected COVID-19 were investigation reported (3 - Misrata, 4 - Tripoli, 6 – Benghazi) Pillar 4: Points of entry Not applicable Procurement of laboratory equipment and supplies are currently ongoing to support the Tripoli Central Hospital laboratory as well Pillar 5: National laboratories as the Tripoli NCDC central laboratory to increase their laboratory capacity . IMC continue to provide and ensure PPEs are available to supported health facilities Pillar 6: Infection prevention In each of the supported hospitals, IMC deploys an infection and control prevention and control nurse who assists in ensuring that universal precautions and additional infection prevention and control measures are adhered to Pillar 7: Case management . IMC is supporting 5 health care facilities with C-19 isolation and Therapeutics units, namely Tripoli Central Hospital and Ophthalmology Hospital (Tripoli), Oncology isolation center (Misrata), Respiratory Isolation center (Sabha), Alamal Benghazi Medical center (Benghazi) . Services supported within the health facilities include provision of additional clinical staff to conduct triage, case management and infection prevention and control The support for this pillar is largely provided by BHA and EUTF Pillar 8: Operational support IMC continue to rely on 2 sources for the procurement of PPEs – and logistics local pre-qualified vendors and international suppliers . IMC currently deploys 13 medical mobile teams covering 26 primary health care centers and 5 temporary locations offering primary health care services including C-19 screening. The operational areas for these mobile teams include Sabha, Tripoli, Benghazi and Misrata . As much as possible, mitigation measures to ensure the continuation of regular health care services such as provision Pillar 9: Essential Health of PPEs are supported by the donor of each project. Primary Systems and Services health care services are funded by BHA, EUTF and UNFPA Update – Services in Al Ghararat Primary Health Care Center is expected to be phased out as of April 1st due to funding constraints as UNFPA will not be supporting Reproductive Health Care Services beyond March 31st. IMC will be mobilizing other resources to cover current services for the PHCCs in Al st Qadasiya (Tripoli) and Al Jadeed (Sabha) as of April 1 2021. Coordination IMC have participated in the REACH MSNA Health Sector Kick off call on March 8th as well as the PHC Technical Working group call convened by the PHCI on March 9th Primary Health Care Services IMC is currently deploying 13 medical mobile teams to 26 primary health care centers and 5 temporary service delivery points in IDP and migrant locations. Services offered include general medical consultations, maternal and childcare, provision of essential medications as well as disease surveillance. Within the period reported, there were 2,098 medical consultations and 149 antenatal consultations conducted. In addition to facility-based services, community health activities are also provided by community health workers who conduct home visits and primary health care center awareness sessions. Within the period reported, there were 2,641 community members reached for key health messages. ***Group activities are limited to 10 -15 participants with mandatory wearing of face masks, physical distancing and frequent hand-sanitation*** IMC continue to support screening and active case finding for beneficiaries that may be suffering from tuberculosis through its partnership with the NCDC in Tripoli. In Misrata, these services have been initiated in two PHCs in Misrata (Al Aswak PJCC and Ras Freidekh PHCC). Within the period reported, there were 27 beneficiaries screened for Tuberculosis and 12 referred for laboratory confirmation and enrolled for treatment while 92 patients with provided with free laboratory services which includes liver profile, complete blood count as well as blood chemistry to facilitate further management. Support to Secondary Health Care Facilities