WASH Cluster Ukraine Alert Bulletin 4 March 2021 Issue 15 WASH Cluster Coordinator: COVID-19 WASH CLUSTER RESPONSE IN 2020 IN UKRAINE Mark Buttle The COVID-19 pandemic changed the nature of the humanitarian response in the Eastern Conflict Area (ECA) in [email protected] 2020, in Ukraine. As many WASH activities would help to prevent the spread of COVID-19, the WASH Cluster estab- lished, very early in the response, a WASH response strategy, focused on reducing the spread of the virus thorough: WASH Cluster IMOs: a) Improving hygiene and Infectious Prevention Control (IPC) at Health Care Facilities (HCF) and other institutions, Volodymyr Kalinin and within communities, prioritizing older people; and [email protected] b) Communicating clear coronavirus risks to the population, through hygiene promotion or mass communication. Stas Dymkovskyy Key Achievements [email protected] Overall, in 2020, over 930,000 people received WASH assistance as a part of a COVID-19 response. Three quarters of those people live in Government-Controlled Areas (GCA), of Luhansk and Donetsk oblasts, while one quarter live in Non-Government-Controlled Areas (NGCA), which has been considerably more difficult to access. WASH partners implemented 800 separate IPC activities at health facilities, assisting 110 secondary hospitals and over 600 other institutions, such as schools, orphanages, kindergartens, old people’s homes or social centres. COVID-19 RESPONSE Government Controlled Areas NUMBERS At the start 2021 partners have provided cleaning kits at least once, to cover a 3-months period, to 31 of 36 COVID-designated hospitals • 932,936 people received in Donetsk and Luhansk oblasts. However hospitals were designated WASH-related help during in three waves (the last being added only at the end of 2020) are the COVID-19 response. targeted for support in Q1 of 2021. • All 18 COVID hospitals from the first wave (13 in Donetsk ob- • 110 secondary hospitals last and 5 in Luhansk oblast) received at least one cleaning kit received improved hygiene covering needs for three months. Six received assistance twice support. 71 in GCA areas (either through kits or vouchers). and 39 on NGCA. • In September 2020 two more hospitals were added and were • 14 hospitals in GCA also assisted by partners before the end of 2020. received improved access • The third wave of COVID-designated hospitals included ten to water and sanitation hospitals in Donetsk oblast and six in Luhansk. Eight received • Over 600 other institutions cleaning kits support in Q4 2020. Just five of these newly added received improved hygiene locations did not yet receive WASH support. support (schools, nursing • 314 primary health care facilities received hygiene support homes etc.). Around 500 in receiving comprehensive cleaning kits. GCA and 100 in NGCA. Outside of the Eastern Conflict Areas (ECA) no facilities received School in Stantsya Luhanska (UNICEF/2021/ Filippov ) a full approach to improve IPC, however 58 secondary health care facilities, received lighter, mainstreamed, hygiene • Over 43,000 individual support in other oblasts. vulnerable people bene- fitted from hygiene kit dis- WASH partners also improved water and sanitation access in 14 secondary health care facilities and 12 primary HCF tributions at household in the Eastern Conflict Area (ECA). level (28,000 in GCA areas Non-Governmental Controlled Areas and 15,000 in NGCA) WASH partners provided IPC support to 16 out of 20 COVID-designated hospitals in Donetsk NGCA, through the pro- vision of comprehensive cleaning kits, and in total assisted 39 secondary health care facilities. Sadly, due to extreme access issues, no secondary HCF in Luhansk NGCA has received full IPC support at all in 2020! Significant, costed, assistance is already planned in Q1 of 2021, for this area, however lack of registration for humani- CONFLICT RESPONSE tarian agencies was the main issue in 2020, and it remains a significant risk in 2021. NUMBERS Additionally in NGCA, 67 secondary HCF received lighter hygiene support, 42 in Luhansk and 25 in Donetsk. 32 prima- • 720,000 people were ry Health Care Facilities (HCF) received hygiene support (Donetsk NGCA only) and 7 primary HCF received only lighter reached by “normal” WASH hygiene support in Luhansk NGCA (not a full package). activities: 54 % from the HRP target for 2020. Other COVID-19 actions 450,000 people on GCA and Outside of work at health facilities WASH Cluster partners distributed cleaning kits to schools, kindergartens and nurs- 265,000k people on NGCA ing homes, covering over 500 separate institutions on GCA side and almost 100 on NGCA. 48 institutions have im- proved access to water and sanitation (32 on GCA and 16 on NGCA). Over 43,000 people benefitted individually from • 350,000 people received household hygiene kits distributions, mainly old people, the most at risk from COVID-19. Around 28,000 were based in recovery-related WASH GCA, and more than 15,000 in NGCA. support (GCA areas only) WHAT ABOUT THE WASH RESPONSE TO THE CONFLICT? • 87,000 people received improved access to sanita- Alongside the COVID-19 response, WASH partners continued providing support to conflict-affected people. More than tion through improved 720,000 people were reached in this way, in 2020, more than half were actually assisted before the start of the COVID centralized sewerage and -19 response. Further, in 2020, for the first time since the beginning of the humanitarian response in Ukraine, a signifi- Washrooms at institutions cant number of WASH beneficiaries were assisted through recovery activities. 350,000 people, were assisted in 2020, well exceeding the target of 100,000. WASH INCIDENTS ANALYSIS FOR 2020: TRENDS AND DEVELOPMENTS Fighting in the EasternINCIDENTS Conflict Area ANALYSIS (ECA) of Ukraine FOR 01continued JAN — to31 haveAUG: a TRENDShuge negative AND effect DEVE onLOPMENTS water supply systems,with repeated major risks to safe drinking water provision to more than 5 million people living in the area. The WASH Cluster recorded 61 incidents on both sides of Inthe the Line first of nineContact months in 2020 of 2019. Most the happened number ofin theWASH first Incidents half of shows the year, an unstablehowever, situation in November with frequentand December flare thereups near were critic alagain water some infra- violent structure.incidents. BetweenStaff continue January to and suffer June from 2020 the there conflict were and48 incidentsthose who affecting work along waterthe Line and of wastethe Contact, water infrastructure continued into Donetskput their lives and and Luhansk health ob- atlasts, risk a on little a daily les thanbasis. the same period in 2019 when there were 58 incidents. In the27 Julybeginning 2020, fightingof the 2019 sides three reached workers a new of Vodaceasefire Donbasa agreement water company which has were been attacked the most while effective clearing since snow the on start the ofsmall the confl roadict. Justto the before Firstthe ceasefire, Lift Pumping the totalStation number of the of South incidents Donbass was 9,Water with Way,notable which water is located stoppages on Line resulting of Contact. (there Suspected were almost grenade 5 million launcher people fire-d aysleft of one water workerstoppages badly in July).injured Notably, and two then, with tlesshe totalserious number injuries of including incidents concussion. for the second All three half were year taken is only to 13,Yasinuvata and only hospital four of imm toseedi occurredately, howev- after the erceasefire. the vehicle This they is almost used for10 timestransport less wasthan left Q3 destroyedand Q4 of 2019,by fire, when blocked there the were road 30 forincidents. some time after the incident. Hopefully, dramatic trend ofTwo injuries geographical started zones2018 has seemed not been to be repeated the most latter. affected, However, receiving risks repeated are still violent extremely incidents high. in For2020. Voda Donbasa alone there were 9 injured workers during 4 separate incidents in 2018. • 27 incidents affected water and waste infrastructure in the vicinity of between Horlivka from NGCA side and Toretsk from GCA side. Main- For nine moths 2019, the WASH Cluster recorded 70 incidents with water infrastructure in Donetsk and Luhansk oblast on both sides of the ly has been affected Golmivskyi Waste Water Treatment plant (WWTP), Horlivka WWTP, Sieverskyi Donets-Donbas channel and etc. Line of Contact. There was a increase in the number of incidents from 66 for the same period in 2018 , however, the geographical hot spots, around• Secondlythe Donetsk between Filter Station,Avdiivka andGCA nearbyand Yasynuvata 1st Lift Pumping NGCA, 24Station, incidents as affectedwell as near the to DonetskPetrovskyi Filter Well Station Field remained(DFS), and consta thent. 1stThanks Lift Pump to ing harvest Stationceasefire of theagreed South by theDonbas TCG waterwayat Minsk level(SDWW). and entered into force on July 21, 2019, the number of incidents drop down on July– Au- gust2020 with was minorthe first exceptions. year since However,2016 when in recorded September incidents WASH nearCluster Horlivka already city identified exceeded those8 incidents, in the Avdiivkawhich is area.comparable In total, to the the sum pre-ce ofasefire these two situation.zones was 51 incidents: 84% from the total. In 2020Regardless the most the factbadly that affected number singleof incidents location didn ’t change significantly, however, the number of stoppages of water and wastewater facilitieswas Golmivskyi decrease Waste in almost Water 3 times Treatment from 25 Plantin Jan–, Aug 2018 to 9 in 2019 with the cumulative total duration of stoppages actually decreased fromnear 184Horlivka, days inwhich 2018 sufferedto 37 days 15 in incidents.2019. Nevertheless The smaller facilities were stopped for longer periods like previous year: the average numbersecond affectedof people facility,affected by by numbereach day of of incidents, stoppage in Jan—Aug 2018 was less than 1, 751, 028 people/days compared to around 3,928,990 peoplewas the / daysDonetsk for theFilter same Station period (DFS) in 2019.