EVD Response in West AfricaSierra Leone Experience

Rajan Gengaje, OCHA

EVD Response in West AfricaSierra Leone Experience

Outline

1 Ebola Response Coordination (Pre-UNMEER, Through UNMEER)

2 OCHA Support

3 EVD Response Challenges & Risks

4 Lessons for other regions

Sierra Leone: EVD cases distribution by district: 6 Oct – 7 Nov, 2014

CRISIS MANAGEMENT CELL

Lead Technical Direction: WHO Country Representative a.i. Lead UN System Coordination: UN Resident Coordinator

Lead Financial mobilization: World Bank Country Manager

E.O.C. Thematic Areas (Co-Chairs)

Case Management / Infection Control / Lab (WHO)Surveillance / Contact Tracing (WHO/UNFPA)

Social mobilization / Public Information (UNICEF)Logistics (WFP)

Food Security and Nutrition (WFP/FAO)

The Gender Dimension (UNWOMEN)

Recovery activities and Macro-Economic Support (World Bank and UNDP)

[Education (UNICEF) – TBA]

Sub-unit: OCHA / RCOINFORMATION PLANNING and MONITORING FUNCTIONSOutbreak ProgressForecastingResults Framework and Planning Tracking of Finance Monitoring Activities Demonstrating progress

Sub-Unit: OCHA / RCOCOMMUNICATIONSMessaging for different audiencesMedia briefings and coordination

EBOLA RESPONSE PLATFORM – Sierra Leone

Sub-Unit: OCHA / RCOPARTNER ENGAGEMENTPartner CoordinationWho does what whereContact and Meeting ListsMobilization of supportReporting

Coordination Unit Leads: Humanitarian

Officer (OCHA) Strategic Planning Advisor

(DOCO)

District Management Teams implementing responses and solving problems

National Emergency Management System (Ebola)

Emergency Operations CentreNational Emergency Management

(Coordinator)(Co-Chairs: WHO-MHS)

Emergency Operations CentreNational Emergency Management

(Coordinator)(Co-Chairs: WHO-MHS)

Technical Response

Surveillance and Case Tracking

PRESIDENTIAL TASK FORCE

Inter-Ministerial Committee

Case Management

Social Mobilization

Child Protection and Psychosocial Behavior

General Staff(Staff Coordinator)

Operations Section

Planning Section

Logistics Manager

Finance and Procurement Section

District Coordination Section

Partner and Cluster Manager

Partner Organizations and International Clusters

Communications and Public Information

Case Management/Infection Control/Lab (WHO)

Case Management/Infection Control/Lab (WHO)

Social mobilization/Public Information (UNICEF)

Logistics (WFP)

Food Security and Nutrition (WFP/FAO)

The Gender Dimension (UNWOMEN)

Recovery activities and Macro-Economic Support (World Bank and UNDP)

[Education (UNICEF) – TBA]

CRISIS MANAGEMENT CELL

Lead Technical Direction: WHO Country Representative a.i. Lead UN System Coordination: UN Resident Coordinator

Lead Financial mobilization: World Bank Country Manager

CRISIS MANAGEMENT CELL

Lead Technical Direction: WHO Country Representative a.i. Lead UN System Coordination: UN Resident Coordinator

Lead Financial mobilization: World Bank Country Manager

Logistics

OCHA Support in Sierra Leone..1

• Support RCO for coordination of Ebola response, partner engagement and info sharing

• Liaise with donors present in Sierra Leone (DFID, JICA, Germany, Ireland, ECHO, USAID/OFDA)

• Advice on coordination challenges and solutions

• Facilitate resource mobilization by agencies (CERF grants and Appeal)

• Identify coordination challenges in discussion with lead agencies/partners

• Support the EOC Operations Group to address operational issues and work out solutions

• Develop SOPs and Guidelines for Pillar activities and roll out through EOC

OCHA Support in Sierra Leone..2

• Support partner initiatives in tracking contributions and mapping response initiatives

• Advise Pillar actors/participants on coordination structures, tools and support available

• Consolidate information from UN and partners on regular basis for further wider sharing

• Collect/Collate/Feed input for refining 3Ws, Contact Lists, Meeting Schedules

• Support UNMEER for coordination, reporting/communication and Info Management

7%

58%

6%

5%

24%

Contributions by Pillar

Coordination, Finance and LogisticsCase Management and Infection Prevention Control; Psychosocial SupportEpidemiology and LaboratorySocial Mobilisation Other/not specified

Funding Tracker

14

UNMEER Mission: Sierra Leone

Ebola Crisis Manager – ECM (ASG) + Spec Asst (1) & Pers Asst (1)

Please NOTE: This structure remains indicative and is shared for planning purposes only

Management & coordination• Partner support &

management (3)• Logistics (1)

Director Ebola (D2) Dr Daniel Kertesz

(WHO) + Admin Asst (1)

Director Operations (D1)

+ Admin Asst (1)

EOC Support (P5)

Human Rights

Advisor (OHCHR)

Reporting (2)Strategic Comms

(P5) + Admin Asst

Director Essential (D1) Services+ Admin Asst (1)

Project (P5)Management

Chief of Staff (P5) + Admin Asst

Case Management (WHO): ETU, ECU, Burials

Surveillance: Epidemiology & Laboratory (WHO), Contact Tracing (UNFPA)

Psychosocial (UNICEF): Social mobilisation & Counselling

Training (WHO with partners): Health care workers, burial teams

Response, Planning and Monitoring Team P3/4 (2)

Address Ebola-related critical gaps

• Non Ebola Health (WHO)

• Food (WFP)• Education (UNICEF)• Protection (UNICEF)• WASH (UNICEF)

Recovery & EconomyDavid McLachlan-Karr (RC)Atto Brown (World Bank)

Preserve Sierra Leone’s economic trajectory• UNCT operations• Budgetary planning support • Investment plan to strengthen

health services• Poverty reduction• Anti-corruption• Aid effectiveness• Support to M&E (including of

UNMEER)

• Security Adviser (if D.O.)• UN Clinic

In EOC Freetown• Coordination (1)• Finance (1)• Logistics (1) • Reporting (1) • Analysis (1) In EOC Districts• Secretariat (13) • Logistics (13

RSLAF and UK?)• Medical (WHO)

LOGISTICS & ASSETS PLATFORM (including WFP, UNICEF)‘Taskable’ platform to support EOC, Projects, Ebola & Essential Services (required to also service UNMEER):

Logistics (1) Procurement (1) Movecon, Aviation and Transport (4+4+2) CITS, Engineering and Supply (2+1+1) Budget + finance (2)

GenderAdvisor

(UNWOMEN)

Mapping (OCHA)

Risk Adviser (P4)

UNMEER

Activity (Lead) NeedsCase finding & contact tracing (WHO) Volunteers associated with CCCs needed:

Lb: 14,000/SL:5,000/GN:1,000Lab services (WHO) Additional labs in Liberia. No. of shifts to be increased as

neededCase Management (WHO) 50 ETCs/Total 4,133 beds needed:

Lb: 2,740/SL:1,133/GN:260; FMTs needed:20;National Staff needed: Lb:8,600/SL:3,500/GN:800

CCCs (UNICEF) 329 CCCs, 2,453 beds (Lb:67/SL:200/GN:62)Community engagement & social mobilization (UNICEF)

Staff: 1200/Volunteers 66,245 (Lb:335/SL:415/GN:400)Volunteers: Lb:21,195/SL:22,800/Gn:22,250

Safe & dignified burials IFRC) Safe Burial Teams (SBTs): 370:Lb:220/SL:90/Gn:60Total 3,300 burial personnel needed

Operations/Logistics (WFP) Log Hubs: 5 (Lb:2/SL:2/Gn:1)Forward Log Base:28 (Lb:13/SL:10/Gn:5)

Cash Payment (UNDP) Health Care Staff/Volunteers: 110,000Lb:50,000/SL:35,000/Gn:25,000

Training (UNMEER) Staff to be trained: 110,000HR: Primary Medical Staff (UNMEER) 2,000 international medicos needed

Accra Plan for Ebola Response: 18 Oct – 1 Dec 2014*

* 15-18 Oct 2014 discussion at UNMEER HQ, Accra, Gana amongst UN-Governments-Partners-Donors

Lessons from Ebola Land for other regions

“Things fall apart,the center cannot hold;

Mere anarchy is loose upon the world”

“All unattended development problems confront one day in some

form of disaster”

Lessons from Ebola Land for other regions

• No mercy preparedness, a must

• Investment in health care: infratructure, supply chain/delivery, community awareness

• Clarity on Medevac and incentives for staff – hazard pay, provisions of PPEs, guaranteed medevac

• Regional Response Mechanisms in place

Stopping Ebola as fast as possible is ‘number one priority’ – UN envoy

Head of the UN Mission for Ebola Emergency Response (UNMEER) Anthony Banbury, on a field visit to Guinea, one of the countries most affected by the Ebola outbreak in West Africa. UNMEER Photo/Ari Gaitanis

OCHA Team – Sierra Leone

More Informationwww.un.org/ebolaresponse

: http://webtv.un.org/meetings-events/watch/dr.-david-nabarro-un-special-envoy-on-ebola-dpingo-briefing/3887877225001

http://webtv.un.org/news-features/audiovisual-library-of-international-law-avl/historic-archives/health/watch/anthony-banbury-on-ebola-response-un-news-centre-interview-11-

november-2014/3888592974001#full-text