Guinea CO SITUATION REPORT 12 November 2014

Guinea CO

Ebola Situation Report 12 November 2014

Since last week, 184 new cases of Ebola have been reported, bringing the total cases in Guinea to 1,928 (1,609 confirmed; 208 probable and 61 suspected cases).

99 new cases were reported in Nzerekore region only, the epicenter of the epidemic.

In order to get closer to the epicenter of the epidemic, UNICEF is reinforcing its presence in Macenta with the opening of a sub-office within the Prefectural Health Direction premises.

After initial resistance and hesitation in the village of Dandano, sub-prefecture of Kouankan in Macenta prefecture, a large-scale social mobilization campaign involving 172 men and 28 women was organized last week, under the leadership of UNICEF and WHO, with the participation from representatives of eight government sectorial departments. This mobilization has led to the identification of 35 suspected cases sent to the Ebola Treatment Centre (ETC).

However, resistance of some communities continues to be a major challenge, especially in Forécariah and Coyah prefectures, resulting in unsafe burials and hostile position towards humanitarian workers. The major concern of the families is related to the conditions of admission and care of patients at the Donka ETC in Conakry.

The Ebola related death of an imam in Kerouane, Kankan region, followed by unsafe burial practices and contamination of several of his family members is particularly worrying, considering that there is no ETC nor transit center in Kankan and in Faranah region, thus delaying the transfer of sick people to the existing ETCs of Gueckedou or Conakry. 76 contact cases are currently being followed up in Kankan commune by seven health workers equipped with motorbikes provided by UNICEF.

A Concept Note on geolocation of Ebola cases in Conakry was finalized and shared with the Ebola National Coordinating body, and a preparatory meeting held to discuss the project.

1,928 Total cases of Ebola in Guinea (1,609, confirmed cases - WHO, 12 Nov. 2014)

1,174 Deaths (of which 966 confirmed Ebola)

390 Total children 0-18 years infected

53% of total cases are women.

8.9 million Total population in the affected

prefectures (out of 10.6 million national

population)

4.3 million Total children in the affected prefectures

UNICEF funding needs until March 2015:

USD 55,130,866

UNICEF current funding gap:

USD 31,395,655

SITUATION IN NUMBERS HIGHLIGHTS

Guinea CO SITUATION REPORT 12 November 2014

UNICEF’s Response with Partners

*WASH: Only 4 ETCs and Transit Centers have been setup so far in the county. UNICEF WASH support was only required for the Transit Center of Forecariah, and the need has been fully satisfied. **Education: Cluster - target: 68,619 (67,108 teachers + 1511 Trainers of teachers); cumulative result 17,452 Trainers; UNICEF – target: 15,941 (15,416 teachers + 525 Trainers of teachers); cumulative result 15,941.

Situation Overview & Humanitarian Needs Although the number of total cases is still increasing, particularly in the epicentre of the epidemic in Macenta/Nzerekore, and in Kerouane (Kankan region), nine prefectures initially “red” (i.e. active) with Ebola cases are considered “green”, after 42 days without any new case of Ebola, and therefore considered Ebola free (see below map from the WHO sitrep of 12 Nov 2014).

UNICEF

Sector/Cluster

UNICEF Target Cumulative results (#) Cluster Target

Cumulative results (#)

C4D: Households receiving Inter-Personal Communication on Ebola prevention messages 742,230

528,000 N/A N/A

WASH: Ebola care centres are provided with essential WASH services 20 1* 27 4

Education: Teachers trained on psycho social support, Ebola prevention, and safe and protective learning environments 15,941** 15,941 68,619 17,452

Health: Health facilities in targeted areas receiving supplies of essential commodities for maternal , new-born and child health (MNCH) care 270

270 (gloves and chlorine) N/A N/A

Nutrition : Infants and young children 0-12 months who cannot be breastfed and who received replacement feeding

15

166 49 N/A N/A

HIV/AIDS : HIV positive women (including pregnant women) continuing to receive ARTs 21,367 14,265 N/A N/A

Guinea CO SITUATION REPORT 12 November 2014

However, since the beginning of the epidemic (in March 2014), 24 prefectures and the capital city of Conakry have been affected, representing a total population of 8.9 million (83 percent of the total national population estimated at 10.6 million – see details below).

Estimated Affected Population (calculated based on districts affected and total population in these districts)

Start of humanitarian response: June 2014

Total Male Female

Total Affected Population (population in the 24 affected districts+ Conakry city) 8,872,551 4,322,664

4,550,107

Children Affected (Under 18) 4,258,920 2,074,869

12,184,051

Children Under Five 1,774,550

864,529 910,021

Children 6 to 23 months 532,365

259,359

273,006

Pregnant women 399,274

N/A 399,274

Additional context specific data: Total national Population (estimated from RGPH3, 2014). 10,628,972 5,142,088

5,486,884

Humanitarian Leadership and Coordination The UN Mission for Ebola Emergency Response (UNMEER) is coordinating the response of the UN system, in collaboration with the government, under the National Ebola Coordination body. The National Coordination body is divided into several commissions, including the Commissions of Communication, Surveillance, Treatment and care, Logistics, Security, etc., and covers most sectorial clusters.

Prefectural (district) coordination mechanisms, with a Prefectural Coordinators nominated by central administration, are being setup progressively, with a structure that mirrors the national one, and with, in most cases, the same actors at national and prefectural levels (UN and NGOs field offices staff, prefectural services staff, etc.). The National Coordination body also recommends that political and administrative authorities (prefects / secretaries and health authorities at prefectural level), and local elected officials (mayors) ensure the implementation of Community Watch Committees (CWC) in communities, with technical and financial support from partners.

Humanitarian Strategy The UNMEER strategic response plan, with contribution from all UN agencies intervening in the response, is organised under the following Strategic Objectives known as STEP:

SO1. Stop the outbreak;

SO2. Treat the infected;

SO3. Ensure Essential Services ( Food, Nutrition, WASH, Logistics, Emergency Telecommunications, Education, Protection including Child Protection and GBV, Livelihoods, Early Recovery...);

SO4. Preserve Stability. UNICEF contributes to all the UNMEER SOs, with particular focus on supporting the government to set up 41 Community Care Centers (CCC) and to support 2,560 “comités villageois de veille” (Community Watch Committees - CWCs – or community surveillance and social mobilisation committees).

Summary Analysis of Programme Response UNICEF is supporting the new national strategy with the setup of an integrated approach, with:

Community Care/Transit Centers (CCCs/CTCs) - Centres de Transit Communautaires – CTComs in French;

Community Watch Committees (CWCs) – Comités Villageois de Veille (CVVs in French); and

Community mechanisms of child protection.

(see below the schematic presentation of the integrated approach):

Guinea CO SITUATION REPORT 12 November 2014

Priority areas for CCCs/CTComs are along the borders with Liberia and Sierra-Leone (see blue coloured areas in the map below), but CWCs/CVVs (and Community mechanisms of child protection) are also planned in most of the affected prefectures.

Guinea CO SITUATION REPORT 12 November 2014

Health The CCCs/CTComs model was discussed with the Ebola National Coordination body, and views of partners integrated in the final version. A teleconference was also held with Liberia and Sierra Leone to share experiences and ideas around the CCCs. One of the functions of the CCCs/CTComs will be to ensure continuity of community-based health and essential interventions for families (Community integrated management of infant and maternal health – without contact, distribution of treated mosquito nets and nutritional/food support). A meeting was organized last week with the Guinean Red Cross to discuss the terms of a partnership for training hygienists and managers of the CCCs/CTComs.

WASH UNICEF launched the tender process for drilling 15 boreholes along the border with Sierra Leone, in the prefectures of Kindia and Forécariah, and for the installation of ten drinking fountains in Conakry. Supplies for 200,000 family WASH kits are being delivered to UNICEF warehouse in Conakry by local producers, and distribution to beneficiaries will be starting soon.

Education A meeting was held with the Guinean Federation of Parents of Students and Friends of the School (FEGUIPAE), to identify axes of partnership in the perspective of the reopening of schools, as per the wish of the government. UNICEF will support FEGUIPAE for mobilizing parents around two key elements of hygiene in schools, namely:

o Supply of water for schools without water points (currently only 18 percent of primary schools have water points); o Digging of latrines for schools that do not have latrines (about 33 percent of primary schools have no latrines).

UNICEF launched a call for tenders towards international firms for the development of a radio education programme with national broadcast, as an alternative to normal schooling, in case the school reopening (still in the plan of the government) continues to be delayed.

Child Protection Partnership agreements are in preparation with Save the Children, Plan Guinee, Enfance du Globe, Monde des Enfants (MDE) and Child Fund for the provision of psychosocial support to children orphaned by EVD and women widowed by EVD in the prefectures of Macenta, Guéckédou, Yomou, Lola, Kissidougou, Nzerekore and Conakry.

Communications for Development (C4D) Pre-positioning of CVVS is crucial for the acceptance by communities of the CCCs/CTComs. A partnership agreement with the Coalition of National Council of Civil Society Organisations (CONSCG) is being prepared to roll out the first CVVs at the locations planned for the CCCs/CTComs (see map at the top). A coordination meeting was also held with UNFPA and UNDP about the setup of the CVVs in Nzerekore In partnership with WHO, UNICEF is supporting the training of traditional healers in Macenta at the communes level. The Community Watch Committees (CWCs) initiative is receiving a positive feedback from Macenta community leaders, who are eager to see the project starting, after the regional sensitization and presentation of the initiative that was held last week. In Kankan, the first phase of the "CAMPAIGN 100 Mosques" was launched with UNICEF support. The objective is to visit 100 mosques at the moments of prayers to deliver key messages about Ebola, provide handwashing kits and liquid chlorine, and demonstrate how to use these preventive and protective materials.

Supply and Logistics During the past week, UNICEF procured and handed over 10 vehicles and 200 motorbikes to support community mobilization strategies. 66 vehicles are at the port. Since June, UNICEF handed over 81 vehicles to combat the epidemic, among which 22 ambulances and 405 motorbikes to reinforce logistics capacity of the Ebola Coordination and its partners involved in the response. These assets are supporting coordination, social mobilization and medical activities. UNICEF has ordered materials and supply for 15 CCCs/CTComs (including medicines, consumables, equipment and structural material). Technical studies and bidding documents for the construction of these CCCs/CTComs have been prepared. Shortlisted companies shall be consulted during the coming week.

Guinea CO SITUATION REPORT 12 November 2014

A logistics team has been deployed to Gueckedou to coordinate the distribution of family WASH kits transported with the

support of WFP/logistics cluster. A request was made to WFP/logistics cluster for the allocation of 1,200 m² storage capacity in the new logistics hub, at Conakry airport, to store the CCCs/CTComs supplies procured for the Government of Guinea.

Media and external communication UNICEF is informing its audiences through regular press releases and social media posts, in English and in French. UNICEF Guinea also regularly posts updates about the emergency and its response in its Twitter, Facebook, Flickr and Tumblr pages. Additionally, in coordination with the other members of the Communication Commission, a communication bulletin has been created. In synergy with the national Radio and Television agency (RTG) and rural radios, UNICEF has a daily 15-minute slot to talk about its activities related to Ebola response.

Funding Note: Plan and budget are under revision

Funding Requirements (as defined in Humanitarian Appeal of September 2014 (for 6 months)

Appeal Sector

Funding gap Requirements* Funds received**

$ %

C4D 11,081,589 5,984,569 5,097,020 46%

WASH 13,542,370 9,999,999 12,542,371 93%

Education 2,485,100 793,750 1,691,350 68%

Health (+HIV) 16,900,000 11,417,000 5,483,000 32%

Nutrition 1,988,500 1,343,176 645,324 32%

Child Protection 1,345,000 500,000 845,000 63%

Programme Support 7,788,307 1,070,811 3,674,951 77%

Total 55,130,866 23,735,211 31,395,655.00 57%

* Requirements total does not include CCCs costs ** ‘Funds received’ does not include pledges. Only Emergency grants received are considered here. Next SitRep: 19 November 2014

Who to contact for further information:

Mohamed Ag Ayoya Representative Conakry, Guinea, Tel: +224 622663452 Email: mayoya@unicef.org

Guy Yogo Deputy Representative Conakry, Guinea Tel: +224 624 151 041 Email: gyogo@unicef.org

Timothy La Rose Chief of Communications Conakry, Guinea Tel: +224 622 350 251 Email: tlarose@unicef.org

Twitter: @unicefguinea Tumblr: http://unicefguinea.tumblr.com Facebook: http://facebook.com/unicefguinea Flickr: http://flickr.com/unicefguinea Instagram: unicefguinea Google+: unicefguinea

Guinea CO SITUATION REPORT 12 November 2014

Annex A SUMMARY OF PROGRAMME RESULTS

Cluster Response UNICEF and IPs

Oct 2014 – March 2015 Target

Total Results

Oct 2014 – March 2015 Target

Total Results

CUMMUNICATION FOR DEVELOPMENT (C4D)

Radio stations airing daily messages on Ebola N/A N/A 30 30

Districts where all radio stations air Ebola content every day

N/D N/A 28

23

Households receiving Inter-Personal Communication on Ebola prevention messages

N/A N/A

742,230 528,000

WATER, SANITATION & HYGIENE

Ebola care centres are provided with essential WASH services

27 (4 to date) 4

20 (4 to date) 1*

Non-Ebola Health centres in Ebola affected areas provided with Hand washing station 800 N/A 600

People benefiting from hygiene kits in Ebola affected areas 4,666,667 0** 3,500,000 0

Children benefiting from hand washing facilities at schools in Ebola affected areas (schools not yet opened). 1,044,000 N/A 783,000 N/A

EDUCATION

Reopened schools in Ebola-affected district equipped with a minimum package for Ebola prevention 8,829*** N/A 3,843 N/A

Teachers trained on psycho social support, Ebola prevention, and safe and protective learning environments 68,619**** 17,452 15,941 15,941

HEALTH

Health Structures in Ebola affected areas provided with essential commodities package

N/A N/A

270 0

Health facilities provided with supplies and commodities for maternal, new-born and child health (MNCH) care

N/A N/A

270

270 (gloves and chlorine)

Health Care Agents trained in no touch /presumptive Integrated Community Case Management (iCCM) and community-based maternal, new-born and child health (MNCH) care

N/A N/A

1 000

N/D

Health Care Agents provided with supplies of essential commodities for maternal, new-born and child health (MNCH) care

N/A N/A

3 000

N/A

NUTRITION

Provision of nutrition support to Ebola patients (Ebola CTE)

N/A N/A 2 400 650

Infants and young children 0-12 months who cannot be breastfed and who received replacement feeding

N/A N/A

166 49

Guinea CO SITUATION REPORT 12 November 2014

* WASH: Only 4 ETCs and Transit Centers have been setup so far in the county. UNICEF WASH support was only required for the Transit Center of Forecariah, and the need has been fully satisfied. **WASH kit as: 1 bucket of 20L (+ cover + tap) + 5 bars of soap (140g each) + 5 bottles of chlorine 1.3 % (250 ml). Counting of “People benefiting from hygiene kits in Ebola affected areas” will be reviewed as soon the distribution of the new defined kitsstarts. ***Education: Reopened schools in Ebola-affected district equipped with a minimum package for Ebola prevention: school reopening has not yet been declared, therefore no result is achievable in this, so far. Although all schools of the country are targeted by the national strategy, the 8,829 only represent primary schools (of which 3,843 targeted by UNICEF). ****Education: Cluster - target: 68,619 (67,108 teachers + 1,511 Trainers of teachers); cumulative result: 1,511 Trainers; UNICEF – target: 15,941 (15,416 teachers + 525 Trainers of teachers); cumulative result: 525 Trainers. *****HIV: revised targets, based on more accurate data received from MoH. N/A: Not Available.

Children 6-59 months screened for SAM and referred for treatment

N/A N/A 7 250

N/A

CHILD PROTECTION

Children provided with psychosocial support. 120 000 N/A 120 000 N/A

Separated and unaccompanied children (including orphans) identified and receive appropriate care and support 2 000

N/A

2 000

N/A

HIV and AIDS

HIV positive women (including pregnant women) continuing to receive ARTs

N/A N/A 21,367***** 14,265

HIV positive children continuing to receive ARTs

N/A N/A 1,333***** 807