UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND for the period January to December 2015 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 06 Report Structure 08 Situation Update: Guinea, Liberia and Sierra Leone 09 Achievements of the Ebola Response MPTF 11 Guinea 15 Liberia 18 Sierra Leone 23 Operations and Governance Structure 26 Contributions 25 Guinea; Mission Critical Actions and Recovery Strategy Objectives 49 Liberia; Mission Critical Actions and Recovery Strategy Objectives 59 Sierra Leone; Mission Critical Actions and Recovery Strategy Objectives 81 Regional; Mission Critical Actions 87 Stories from the Field 91 Financial Information Cover Photo: QIPs Project (UNMEER) West Point School Rehabilitation © MPTF Office UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM 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 CHAD, Government of NEW ZEALAND, Government of UNDP CHILE, Government of NORWAY, Government of UNESCO CHINA, Government of PERU, Government of COLOMBIA, Government of PHILIPPINES, Government of UNFPA CYPRUS, Government of PORTUGAL, Government of UN HABITAT CZECH Republic, Government of REPUBLIC of KOREA, Government of DENMARK, Government of ROMANIA, Government of UNHCR SWEDISH INTERNATIONAL ESTONIA, Government of DEVELOPMENT COOPERATION UNICEF SWISS AGENCY FOR FINLAND, Government of DEVELOPMENT & COOPERATION GEORGIA, Government of THE RUSSIAN FederatION, Government of UNMEER GERMANY, Government of TOGO, Government of UNOPS Guyana, Government of TURKEY, Government of HOLY SEE UNITED KINGDOM, Government of UN WOMEN INDIA, Government of VENEZUELA, Government of WFP IRISH AID Volvo Group PRIVATE SECTOR ISRAEL, Government of WHO JAPAN, Government of KAZAKHstan, Government of 2 2015 INTERIM REPORT UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND FOREWORD While the threat from Ebola to global public health was completely clear the infection. The emergence of these cases, declared over on 29 March 2016, the epidemic left a reported though anticipated, underscores the importance of raising 11,310 people dead, nearly all in West Africa. As of 19 May awareness of the risks of flares, of educating, screening and 2016, the World Health Organization (WHO) reported 28,616 treating survivors, studying the effectiveness of a vaccination confirmed, probable and suspected cases, with Guinea, program to prevent the transmission of Ebola from survivors, Liberia and Sierra Leone bearing the worst of the epidemic. restoring maternal health services in the most affected areas, To date, 11,349 survivors struggle with Ebola-related health and maintaining the capacity to detect and rapidly respond to problems and the difficulties of integrating back into society.1 new cases. Thus far, every flare-up has been quickly contained, Many thousands more suffered the loss of friends, family and owing, in part, to the human and physical capacity put in their support networks to the virus. The World Bank estimated place by the Response, including by Ebola Response MPTF that these three countries lost approximately $2.8 billion in funded projects that focused on, for instance, reinforcing Gross Domestic Product (GDP) due to the Ebola outbreak health infrastructure and logistics, and growing local capacity - $600 million in Guinea, $300 million in Liberia and $1.9 for vigilance and rapid treatment. With an estimated 11,349 billion in Sierra Leone - losses that undermined important survivors in need of continued health care and screenings, and development gains.2 many more, including orphans and widows, left vulnerable by the outbreak, Ebola Response MPTF projects will continue to In addition to a wake-up call to the international community, the have an important role to play in 2016. Ebola epidemic was also a testament to the strength of these West African countries. It was their people and communities, With the Ebola epidemic under control, it is possible to reflect who along with leadership from their Governments and the on and garner the many lessons learned from the Response, unprecedented support of the international community, which can be used to strengthen emergency planning and including from the United Nations Ebola Response Multi- preparedness for public health threats, regardless of where Partner Trust Fund (MPTF), who fought tirelessly and in the world they might occur. The experience of the Ebola successfully to end the outbreak. The first two phases of the Response MPTF can help inform pathways of response and Response to stop and treat the outbreak and bring Ebola readiness that could minimize loss of life and the devastating transmission to zero have successfully concluded, with Ebola impacts of disease outbreaks in the future. To this end, an Ebola Response MPTF funded projects making a number of lasting Response MPTF Lessons Learned Exercise will be undertaken contributions. Guinea, Liberia and Sierra Leone are now epi- with the key objectives of identifying best practices and centers of global expertise in Ebola response. providing greater insight on the design and operation of an effective and efficient UN pooled funding instrument that can Yet, there is no room for complacency. As expected, flares be applied in the future. of Ebola have been caused by the reintroduction of the virus from survivors, who need nine to twelve months to Dr. David Nabarro Special Adviser to the UN Secretary-General on the 2030 Agenda for Sustainable Development and Climate Change 1 World Health Organization (WHO) Ebola Situation Report, 19 May 2016. 2 http://www.worldbank.org/en/news/press-release/2016/05/21/world-bank-group-launches-groundbreaking-financing-facility-to-protect-poorest-countries-against-pandemics 3 UN EBOLA RESPONSE MULTI-PARTNER TRUST FUND 2015 INTERIM REPORT EXECUTIVE SUMMARY The UN Secretary-General established the Ebola Response organizations. WFP also performed 56 medical evacuations of Multi-Partner Trust Fund (MPTF) in September 2014 to Ebola-symptomatic personnel of humanitarian actors and the support the UN System’s Ebola Response. The Fund achieved UN. its priority objective – to offer all phases of the Response a In addition to supporting logistics, infrastructure and supply fast, collaborative and strategic financial mechanism to meet chain operations, Ebola Response MPTF funded projects unfunded needs. Since its inception, the Fund provided grants bolstered human and institutional capacity for surveillance, to eleven UN entities, inclusive of UNMEER, WHO, UNICEF, contact tracing, safe burials and monitoring, activities critical WFP, UNDP, UNFPA, UNOPS, UN WOMEN, ILO, UN-HABITAT to stopping the outbreak. Grants from the Fund, for instance, and ICAO. It financed projects contributed to 11 out of 13 supported the employment of over 340 epidemiologists, Mission Critical Actions (MCAs), the guiding principles of the infection prevention and control (IPC) experts, logisticians and UN system STEPP strategy for Response: Stop the outbreak; social mobilization officers in the three countries. The Ebola Treat the infected; Ensure essential services; Preserve stability; Response MPTF enabled WHO, UNDP and UNFPA to recruit and Prevent outbreaks in countries currently unaffected. over 17,000 Contact Tracers, Active Case Finders, and District Designed to mobilize funding from a wide-variety of Monitors to strengthen surveillance. In Guinea, the United stakeholders and to distribute it in response to high quality Nations Children’s Fund (UNICEF) improved capacity for rapid spending proposals through its Response and Recovery isolation and case management of patients with infectious finance windows, the Ebola Response MPTF had one of the diseases by constructing six Community Care Centers and highest levels of donor engagement ever seen in a UN trust by establishing