Ebola Situation Report - UNICEF€¦ · Ebola Situation Report North Kivu and Ituri 22 October,...

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DRC EBOLA SITUATION REPORT 22 October 2018 1 UNICEF’s Response Target Result # of at-risk people reached through community engagement and interpersonal communication approaches. (door-to-door, church meetings, small-group training sessions, school classes, briefings with leaders and journalists, other) 8,200,000++ 4,874,907 # of listed eligible people for ring vaccination informed of the benefits of the vaccine and convinced to receive the vaccine within required protocols. 22,005† 20,849 # of people with access to safe water in the affected health zones 952,946 798,150 # of teachers briefed on Ebola prevention information 7,200 3,647 # of affected families with confirmed, suspects, probable cases who received one or several kits of assistance to support their children 270* 270 † The target is dynamic as listing of eligible persons is defined *The target is estimated based on both the number of confirmed, probable and suspect case, and would be adjustment as the response matures ++ Target increased to include new affected areas 238 total reported cases (MoH, 21 October 2018) 203 confirmed cases (MoH, 21 October 2018) 155 deaths recorded (MoH, 21 October 2018) 4,792 contacts under surveillance (MoH, 21 October 2018) UNICEF Ebola Response Appeal US$ 21.8M Highlights The revised Joint Response Plan for the Ebola outbreak in North Kivu and Ituri was released on 17 October, 2018 by the Ministry of Health with an additional US$ 61.3 million to cover activities between November 2018 to January 2019. The revised plan was developed jointly by the Ministry of Health, WHO, UNICEF, World Bank and other partners, and include preparedness activities. UNICEF areas of responsibility in the new plan is estimated at additional US$ 13.0 million over the next three months. October 17: A high-level mission that included the Minister of Health, the UN SRSG and the DSRSG/RC visited Beni to re-assure the response team on existing medical and security protocol in place for the team. The mission was preceded on October 15 – 16 by a joint mission of the UNICEF Deputy Representative and the WHO Representative to review ongoing response with a focus on the implication for children. October 17: The International Health Regulations Emergency Committee met to review the Ebola outbreak in the DRC, and concluded that Public Health Emergency of International Concern (PHEIC) should not be declared at this time. But the Committee remains deeply concerned by the outbreak and emphasized that response activities need to be intensified and ongoing vigilance is critical. The Committee also noted the very complex security situation. SITUATION IN NUMBER Democratic Republic of the Congo Ebola Situation Report North Kivu and Ituri 22 October, 2018 SITUATION IN NUMBER Photo Credit: Nybo Total funding available* 42% Funding Gap 58% Ebola Response Funding Status 2018 Ebola NK and Ituri Total Funding requirements* : $ 21,830,204 * Funding requirement includes budget for phase I ($ 8,798,899) and budget for phase II ($ 13,031,305)

Transcript of Ebola Situation Report - UNICEF€¦ · Ebola Situation Report North Kivu and Ituri 22 October,...

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UNICEF’s Response

Target Result

# of at-risk people reached through community engagement and

interpersonal communication approaches. (door-to-door, church

meetings, small-group training sessions, school classes, briefings

with leaders and journalists, other)

8,200,000++

4,874,907

# of listed eligible people for ring vaccination informed of the

benefits of the vaccine and convinced to receive the vaccine

within required protocols.

22,005† 20,849

# of people with access to safe water in the affected health

zones

952,946 798,150

# of teachers briefed on Ebola prevention information 7,200 3,647

# of affected families with confirmed, suspects, probable cases

who received one or several kits of assistance to support their

children

270* 270

† The target is dynamic as listing of eligible persons is defined *The target is estimated based on both the number of confirmed, probable and suspect case, and would be adjustment as the response matures ++ Target increased to include new affected areas

238 total reported cases (MoH, 21 October 2018)

203 confirmed cases (MoH, 21 October 2018)

155 deaths recorded (MoH, 21 October 2018)

4,792 contacts under surveillance (MoH, 21 October 2018)

UNICEF Ebola Response Appeal

US$ 21.8M

Highlights

• The revised Joint Response Plan for the Ebola outbreak in North Kivu and Ituri was

released on 17 October, 2018 by the Ministry of Health with an additional US$

61.3 million to cover activities between November 2018 to January 2019. The

revised plan was developed jointly by the Ministry of Health, WHO, UNICEF, World

Bank and other partners, and include preparedness activities. UNICEF areas of

responsibility in the new plan is estimated at additional US$ 13.0 million over the

next three months.

• October 17: A high-level mission that included the Minister of Health, the UN

SRSG and the DSRSG/RC visited Beni to re-assure the response team on existing

medical and security protocol in place for the team. The mission was preceded on

October 15 – 16 by a joint mission of the UNICEF Deputy Representative and the

WHO Representative to review ongoing response with a focus on the implication

for children.

• October 17: The International Health Regulations Emergency Committee met to

review the Ebola outbreak in the DRC, and concluded that Public Health

Emergency of International Concern (PHEIC) should not be declared at this time.

But the Committee remains deeply concerned by the outbreak and emphasized

that response activities need to be intensified and ongoing vigilance is critical. The

Committee also noted the very complex security situation.

SITUATION IN NUMBER

Democratic Republic of the Congo

Ebola Situation Report

North Kivu and Ituri

22 October, 2018 SITUATION IN NUMBER

Photo Credit: Nybo

Total funding

available*42%

Funding Gap58%

Ebola Response Funding Status 2018

Ebola NK and Ituri Total Funding

requirements* : $ 21,830,204

* Funding requirement includes budget for phase I ($ 8,798,899) and budget for phase II ($ 13,031,305)

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Epidemiological Overview

Summary Table (21.10.18):

Province Health Zone Confirmed and Probable Cases Total Deaths Recorded

Suspect Cases under

investigation Confirmed Probable Total

Nord-Kivu

Mabalako 71 21 92 67 1

Beni 96 8 104 70 8

Oicha 2 1 3 1 0

Butembo 16 2 18 9 2

Musienene 0 1 1 1 0

Masereka 4 0 4 1 0

Kalunguta 2 0 2 1 0

Ituri Mandima 9 2 11 3 3

Komanda 1 0 1 0 0

Tchomia 2 0 2 2 0

TOTAL 203 35 238 155 14

Previous Total 14 October 2018 179 35 214 139 25

Humanitarian leadership and coordination

The Crisis Management Team continued to meet daily under the leadership of the Ministry of Health with all concerned

partners and with the chairs of the different working groups providing thematic updates. UNICEF continues to participate

actively in the coordination meetings at the national level and in Beni (operational headquarters) and co-leads the

commissions on communication, WASH and psychosocial care; and active in the working groups on logistics and vaccination.

A UNICEF security specialist is also deployed in the field to support security assessment and safety of the operations.

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Beni and Butembo health zones are the most concerning areas for the response due to the high number of reported confirmed

and probable cases. At the moment, UNICEF activities in risk communication and prevention, WASH, and psychosocial care

are focused around five coordination hubs based in Beni, Butembo, Tchomia, and Mabalako Health Zone. And one sub-

coordination hub is operational in Bunia city.

The coordination of UNICEF’s response is dynamic due to the identification of confirmed cases in Makeke, Mandima Health

zone, Oicha Health Zone, Butembo, Masereka, and Tchomia Health Zone. UNICEF coordinates Makeke’s Ebola response from

the coordination team based in Mangina Health Area and the coordination response for Oicha Health Zone. A coordination

hub is put in place in Butembo Health Zone, which will also support the response in Masereka Health Zone. Due to the security

access in Oicha and Masereka Health Zone, UNICEF works through local partners to implement its activities.

The stabilisation of the epidemiological situation in Tchomia Health Zone, Ituri, has been important in the evolution of the

Ebola epidemic as the previously confirmed Ebola case was located near Lake Albert, which is in close proximity to Uganda.

This increased the risk of disease spill over to Uganda due to high movements of population across the lake and in the vicinity.

An epidemiological analysis of the Ebola outbreak indicate that the proportion of children and adolescents affected by Ebola

virus is increasing, especially in Beni town, where children aged less than 18-year account for 45% of new confirmed cases

between 1 and 14 October, 2018. Further review of the situation indicates that most of the children were identified in

Butanaka neighbourhood of Beni, and were not known contacts. Response efforts are being intensified to redress this

situation.

Response Strategy

The joint response plan of the government and partners is currently under review, to identify key progress, challenges and

modifications to upscale the response and respond to the current epidemiology.

In support of the joint response plan, the UNICEF response strategy will continue to focus on communication, WASH, and

Psycho-social care, nutrition and cross-cutting education sector response.

• Risk communication, social mobilization and community engagement with the aim to (1) proactively engage with

affected and at risk communities, (2) provide timely and accurate health advice to encourage positive health seeking

behaviors and (3) address community concerns and rumors. The strategy is implemented through 5 pillars that

include (i) community engagement; (ii) promotion of preventive behaviors; (iii) responding to resistance; (iv)

advocacy and capacity building of actors and (v) communication in support of ring vaccination.

• The WASH strategy, as part of the Infection Prevention and Control (IPC), aims to stop the spread of the disease

through the availability of 1) WASH in health care facilities, which includes providing water and WASH kits, 2) hygiene

promotion and the provision of WASH kits in schools, including handwashing station and soap/temperature check

points, and 3) WASH in communities, through mass outreach on hygiene promotion to vulnerable communities and

the setup of handwashing stations/temperature control in strategic transit locations.

• The child protection and psycho-social support to EVD survivors and family members of EVD cases as well as contact

families seeks to (1) provide psycho-social support; (2) establish or re-establish social and community networks and

support systems; (3) provide social kits to EVD affected families (4) identify and provide appropriate care to orphans

and unaccompanied children due to the Ebola epidemic. The key element of the strategy includes (i) psychosocial

support activities for children and their families; (ii) material assistance to affected families to better support children;

(iii) facilitation of professions help to children and families with more severe psychological or social problems / needs;

(iv) coordinate mental health and psychosocial support (MHPSS); (vi) psycho-social assistance, appropriate care and

research of long-term solution to orphans and unaccompanied children.

• The nutrition component will focus on provision and pre-positioning of Ready for Use Therapeutic Food (RUTF),

therapeutic milk and other drugs for systematic treatment of severe acute malnutrition (SAM) cases to the six health

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zones affected by Ebola or in situation of nutritional alert in North Kivu province. In addition, address young child and

infant feeding practice that is impacted by the increasing number of women affected by the Ebola epidemic

• The cross-cutting education sector strategy involve key EVD prevention measures on the school premises, include:

(i) mapping of schools to identify its proximity with a confirmed case and the identification of schools in the affected

health areas (ii) training of educational actors (students, teachers, inspectors, school administration agents, head of

educational provinces) on Ebola including WASH in school, psychosocial support and against discrimination, (iii)

provision of infrared thermometers and handwashing facilities, clean water, soap, and capacity reinforcement on

hygiene behaviours in schools (iv) provision of specific documentation and protocol for prevention, guidance and

management of suspected cases in school1 (vi) provide key messages on Ebola prevention to families.

Summary Analysis of Programme Response

Overview of the key elements in the response, with a special emphasis on UNICEF’s response in the affected health zones, is

detailed below.

Communication and social mobilization (C4D)

During the reporting period in Beni town, a radio survey was conducted to better understand the listening habits of the

population and assess the effectiveness and retention of Ebola prevention messages. There are 15 local radio stations in the

Beni area, all engaged in the fight against Ebola. The survey will help us improve our media strategy and planning. Relevant

results include:

• 95% of listeners said they learned new information on Ebola from local radio stations and 82% of listeners said local radio

has been their key source of information on Ebola (6% Social Media). 47% listened to the radio via their cell phones.

UNICEF Action: Popularity of local radio is high and we must continue our focus on using this medium with more creative

and updated messages that address current concerns and events.

• 90% acknowledged that due to radio messages, their behavior towards Ebola has changed. UNICEF Action: Continuous

broadcasts and affirmation of positive and model behaviors must be increased and reinforced.

• 57% of radio listeners are ages 26 and up, 39% ages 16-25. UNICEF Action: Youth listened to local radio less, and we must

therefore focus more on other means to reach youth. Radio however remains effective in influencing social norms and

promoting an enabling environment for youth to engage.

• Among the 16 radio stations, only 4 are the most listened to. UNICEF Action: The less popular radio stations have been

clearly identified, and will soon be approached to further analyze and take action to train and monitor.

• 76% listened to the radio between 5-7 am, and 72% listened between 19-23:00 pm. UNICEF Action: Media planning

should focus mostly on these time schedules.

These mass media approaches have reached 4,874,907 (59% coverage) at risk persons with Ebola prevention messages since

the beginning of the response, of which 240,000 persons were reached during the reporting period.

During the reporting period, 411 members of influential groups and community leaders were reached to promote community

engagement and interpersonal activities, reaching a total of 8,095 (72% coverage) leaders since the beginning of the response.

In addition, 503 frontline workers (RECOs) were mobilized on the Ebola response and initiated participatory community

engagement approaches, reaching a total of 5,140 (66% coverage) since the beginning of the response. To further upscale

and reinforce established community alert systems in Butembo and Masereka Health Zone, 255 telephones were additionally

distributed this week to Community Chiefs and Civil Society influencers in each of the 87 at-risk communities. To reinforce

their collective commitment, weekly meetings are held with all community leaders to evaluate and discuss potential threats

or issues. With these new phones and credit, community chiefs continued to conduct auto-surveillance and make daily calls

to both the surveillance and communications teams. Two journalists were hired to monitor and report on all telephone calls.

1 Ebola concept note for Ebola prevention in schools was approved and will be presented to the national committee this week.

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During the first day, 13 serious alerts were recorded, including two community deaths, two suspect cases and two resistance

cases.

In three Ndindi neighborhoods in Beni Health Zone, Kanzuli, Butsili and Kasagatua, 133 telephone calls were reported by

members of the Community-alert system this week, including one reported death in Kasangatua, for which a Signified and

Dignified Burial (SDB) was carried out. According to community reports, most of these alerts were negative.

In relation to youth engagement, a resistant youth group was reported in the village of Musimba. The group approached a

Safe & Dignified Burial team and wanted to see for themselves the corpse inside the bag. As they approached the SDB team

unprotected, they were stopped by village elders and were shortly after convinced that it was too risky to open the bag. Upon

further discussions with the communications team, the youth group accepted to participate in a briefing on SDB and were

invited to visit an Ebola Treatment Unit (ETU) the same day. As they technically became contacts for approaching the SDB

team unprotected, the group accepted to receive the Ebola vaccine. During the reporting period, 3,816 eligible people were

informed of the benefits of the vaccine and convinced to receive the vaccine within required protocols, reaching a total of

20,849 (95% coverage) eligible persons since the beginning of the response. Furthermore, 474 (76% coverage) households

presenting reluctance on Ebola vaccination, treatment in ETCs, or refusal of secure and dignified burials were reached since

the beginning of the response.

Despite high security issues in Beni town, other important interventions were conducted in the Health Zone. 163 traditional

healers were briefed over a period of 3 days, and collectively engaged themselves to refer all Ebola suspects to the closest

ETU, 25 media professionals were accompanied to an ETU visit, 2 survivors were accompanied back home by the

communications team, 311 no-case suspects were visited in their homes and many of their testimonies recorded for

broadcast on local radio. In Mahili school district, were one of their students became an Ebola victim, several community

dialogue sessions were organized for 75 teachers and 253 parents to address their concerns. This was carried collectively out

by the Education, Communications and Psycho-Social teams.

Water, Hygiene and Sanitation (WASH)

During the reporting period, UNICF has scaled up interventions in health centers in the areas with most cases in Beni town.

In collaboration with World Health Organisation (WHO) and World Food Programme (WFP), 79 Health Centers were equipped

with WASH/IPC kits. Training of staff in these facilities was completed last week.

As of 19 October, 86 new health facilities in the affected health zones in North Kivu and Ituri provinces benefitted from

essential WASH activities; these include the provision of handwashing points, briefing of staff on hygiene promotion, and

disinfection, and the installation of chlorination points, reaching a total of 240 (75% coverage) out of the 320 targeted2 since

the beginning of the response.

This week, training of WASH and Communications partners continued on dialogue, health promotion and community

engagement. The trainings ensure that teams can work with community health workers to better answer rumours and

facilitate treatment seeking at health centres.

As of 19 October, 770 (86% coverage) community sites (ports, market places, local restaurants, churches) out of the targeted

900 were provided with handwashing facilities for Ebola infection control in Beni, Mandima, Mabalako, Butembo and Tchomia

Health zones in partnership with Oxfam, Programme de Promotion des Soins de Sante Primaire (PPSSP) and Centre de

Promotion Socio-Sanitaire (CEPROSSAN).

Since the beginning of the response, a total of 798,150 (84% coverage) persons have gained access to safe water in the

affected health zones, out of the targeted 952,946.

2 UNICEF target only, calculation based on the number of targeted areas affected by Ebola, prioritised by the WASH/IPC commission.

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Key activities in the last seven days:

• In Beni town, UNICEF continued distribution of WASH package in 6 schools and 79 Health Centers most of each private

centers. These centers benefited from WASH and IPC package provided by UNICEF and WHO. The kits were prepared by

WFP as part of a multi-agency response plan.

• In Tchomia Health Zone, UNICEF continued distribution of WASH package in 4 Health Centers and WASH kits in 4 Schools.

Also, 27 handwashing stations were installed in public areas bringing the total number to 152 since the beginning of

activities.

• During the reporting, WASH/C4D conducted a community analysis on the use of private and public health centers in

Rwangoma where there have been multiple cases of Ebola not transferred to the ETC (Ebola Treatment Centers) from

private healthcare. The analysis identified a positive influence of recent WASH/IPC distributions of triage and prevention

items.

WASH preparedness

As part of the Ebola preparedness plan, WASH strategy includes pre-emptively strengthening access to WASH services in

communities, schools and health centers on the areas affected by the Ebola Virus Disease (EVD) outbreak. The strategy aligns

with the infection prevention and control guidelines to stop the spread of Ebola through access to water, sanitation and

hygiene services, and includes:

• Following the methodology established by UNICEF and GoDRC, a sustainable / community approach to providing WASH

infrastructure in health facilities including incinerators, latrines and water facilities;

• Provision and construction of water points, latrines, hand washing stations and temperature control in schools

• Hygiene promotion, installation of hand washing stations and temperature control in public places and major transport

road axes.

Education

19 October, with technical and financial support from UNICEF, the Ministry of Education (MoE) organized a workshop for the

validation of EVD prevention protocol in Kinshasa. With the endorsement of this protocol, DRC MoE will have a strategic

document to guide and inform the standards for school functioning during EVD epidemics, including strict rules for access,

and referral of children and adults with symptoms to health facilities.

UNICEF and the MoE are monitoring the implementation of EVD prevention measures in 20 schools located in Butembo,

Tchomia, and Kasenyi. Children from visited schools demonstrated their capacity for capturing main prevention measures

given by their teachers during classes.

As of the reporting period, 326,190 children (80% of last year’s attendance), of which 156,571 girls, resumed classes in 1,623

schools located in EVD highly affected health zones in North Kivu and Ituri provinces. All 248 schools in Beni are still closed

due to security issues. UNICEF EVD preventive messages reached 72,058 (24% coverage) school children, of which 34,750

girls. A total of 695 school children, of which 330 girls, were reached during the reporting period and a total of 3,647 (51%

coverage) teachers, of which 1,275 women, were briefed on Ebola prevention measures.

During the reporting period, 10 schools in high risk areas were provided with handwashing facilities, reaching a total of 400

(67% coverage) schools since the beginning of the response.

Psychosocial and Child Protection

During the reporting period, 38 children (11 confirmed, 27 suspects cases) went through Ebola Treatment Centers and

received an individual psychological assistance. Among them, 29 children (9 confirmed, 20 suspects cases) were in the ETC of

Beni Health Zone. Adapted recreational kits have been distributed for the children in the ETC.

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81 new affected families by EVD received psychosocial support and/or material assistance3 in seven health zones in North

Kivu Province and three health zones in Ituri Province. 39 hygiene kits have been distributed to discharged and cured patients,

18 families received funeral kits, 4 families received newborn kits, 49 families received food assistance and 6 families received

Non-Food Items (NFIs) kits.

335 affected families by EVD (previously identified) received a continuous psychosocial support through regular visits of

psychosocial agents in their communities.

Among them, 53 persons cured of EVD were visited by psychologists. Some of them suffered from psychological and sexual

disorders. An individual psychotherapy plan has been developed for each person. Stigmatization also remains an important

issue. For example, a 17 years old cured boy received a specific psychosocial support due to the stigma he is subjected to in

his school.

The Psycho-Social Commission continues to conduct psycho-education in the communities to reduce stigmatization of the

affected families. In this regard, a session was organized with parents of students of a primary school in the Mandima health

zone.

10 new orphans and 10 separated children due to the Ebola epidemic has been identified and received appropriate care,

reaching a total of 204 out of the targeted 300. They received material assistance which includes: 4 NFI kits, 3 school kits, 7

newborn kits, 4 food assistances. All the new orphans are from Beni health zone. 54 orphans previously identified received a

follow up visit by psycho-social agents and 46 benefited from additional school support (especially for the purchase of

uniforms).

A total of 876 contacts families4; 553 in Beni health zone, 34 in Tchomia health zone, and 289 in Butembo health zone,

received a psycho-social support, reaching a total of 3356 out of the targeted 47985.

Nutrition

During the reporting period, 97 people, including pregnant and lactating women, were sensitized on infant feeding and young

children in emergency (IYCF-E) keys practices by nutritionists in 3 ETCs, Mangina, Beni and Butembo health zone, reaching a

total of 982 (10% coverage) persons since the beginning of the response.

The Ministry of Health (MoH) and UNICEF reinforced capacities in affected health zones to ensure adequate case

management of acute malnutrition. During the week, 70 health workers have been trained on community management

concerning acute malnutrition national protocol in the health zones of Mabalako (31) and Kalunguta (39). In addition to this

figure, 44 community workers, including community health workers and psychosocial community actors, received training on

screening and referral of acute malnutrition cases to health facilities.

One nutritionist was re-deployed in Beni ETC to strengthen nutrition activities during the reporting period as bed occupation

has reached 83% (34 out of 41). Nutritionists and psycho social community workers are monitoring 16 orphaned children

under the Powdered Infant Formula (PIF).

Supply & Logistics

Since the beginning of the response, a total value of supplies amounting US$2,724,920.34 composed of WASH, C4D, Child

Protection, Health, Education and finally ICT supplies have been procured for the Ebola response in Ituri and North Kivu

province.

3 Directly affected families (a family which a member has died of Ebola/ or among which a member went through a care center can receive material assistance, on a case by case basis, according to the specific needs of the family. Assistance can be composed of different kits 1) food assistance (systematically distributed to affected families) 2) hygiene and dignity kits (systematically distributed to cured or discharged patients) 3) newborn kits 4) school kits 5) assistance to organize funerals (cash or food assistance) 4 UNICEF provides psychosocial assistance to contacts of contacts. Contacts receive food assistance from WFP. 5 http://www.who.int/csr/don/18-october-2018-ebola-drc/en/

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Offshore procurement represents a total value of US$1,005,847.08 (37%) and local procurement represents a total value of

US$1,719,073.26 (63 %). US$169,163 of the total of value of $2,724,920.34 was used for the purchase of ICT equipment for

staffs.

Human Resources

As of 22 October, 58 UNICEF staff members have been deployed to the affected health zones in North Kivu and Ituri provinces.

In addition, UNICEF is reviewing the HR strategy for a sustained response to the epidemic.

External Communication

The CO issued 10 press releases on the impact of the Ebola-crisis and UNICEF’s response since the declaration of the epidemic

early August, and shared video and photo material via WeShare. New press coverage during the reporting period included

VOA, CGTN Africa, ADIAC, All Africa, Radio Okapi, Digital Congo, Media Congo, Congo Actuel, UN News, UN multimedia and

Relief web.

Since the beginning of the outbreak, CO published in total 35 articles on its blog www.ponabana.com, as well as 33 Facebook

posts, 23 Instagram posts and more than 200 tweets.

Funding

Based on the Joint Response plan of the Ministry of Health and partners, the total funding required for the response is

estimated at USD 105 million (i.e. USD 43.8 million for August to October, 2018; and USD 61.3 Million for November 2018 to

January 2019). As part of the joint response plan, UNICEF response strategy focused on Communication, WASH and Psycho-

social care, nutrition and cross-cutting education sector response is estimated at US$21.8 Million.

At present, the UNICEF response has a funding shortfall of USD 12.7 Million.

Funding Requirements (as defined in the UNICEF component of the Joint Ebola Response plan and aligned to the UNICEF Humanitarian

Appeal 2018)

Appeal Sector Requirements*

$

Funds available Funding gap

Funds Received Current Year**

$ %

Water, Hygiene and Sanitation - WASH / IPC 10,536,519 2,962,719 7,573,800 72%

Communication for Development (C4D) - Community engagement and Communication for Campaigns

6,097,005 3,333,405 2,763,600 45%

Child protection and Psychosocial Support 1,851,200 648,800 1,202,400 65%

Medical Care : Management of Severe Acute Malnutrition in Ebola Treatment Center

749,800 749,800 0 0%

Operations support, Security and Coordination costs and Information and Communications Technology

2,273,680 1,404,175 869,505 38%

Prepardness Plan 322,000 0 322,000 100%

Total 21,830,204 9,098,899 12,731,305 58%

* Funding requirement includes budget for phase I ($ 8,798,899) and budget for phase II ($ 13,031,305) **Funds available include reprogrammed funds from Equateur Response

Next Sitrep: October 29, 2018

Who to contact

for further

information:

Pierre Bry Chief Field Operations UNICEF DRC Tel: + (243) 817 045 473 E-mail: [email protected]

Gianfranco Rotigliano Representative a.i. UNICEF DRC Tel: + (243) 996 050 399 E-mail: [email protected]

Tajudeen Oyewale Deputy Representative UNICEF DRC Tel : +(243) 996 050 200 E-mail : [email protected]

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Ebola Response Tracking Indicators (22 October 2018) Target Total results

Change since last report ▲▼

RESPONSE COORDINATION

# of affected localities with functioning partner coordination mechanism 5 5 0

COMMUNICATION FOR DEVELOPMENT

# of members of influential leaders and groups reached through advocacy, community engagement and interpersonal communication activities. (CAC, religious /traditional leaders, opinion leaders, educators, motorists, military, journalists, indigenous group leaders, special populations, and adolescents.

11,200++ 8,095 411

#of frontline workers (RECO) in affected zones mobilized on Ebola response and participatory community engagement approaches.

7,800++ 5,140 503

# of at-risk population reached through community engagement, advocacy, interpersonal communications, public animations, radio, door-to-door, church meetings, schools, adolescent groups, administrative employees, armed forces.

8,200,000++ 4,874,907 240000

# of households for which personalized house visits was undertaken to address serious misperception about Ebola, refusals to secure burials or resistance to vaccination.

620++ 474 37

# of listed eligible people for ring vaccination informed of the benefits of the vaccine and convinced to receive the vaccine within required protocols.

22,005† 20,849 3876

% of respondents who know at least 3 ways to prevent Ebola infection in the affected communities (from Rapid KAP studies)

80% 74% 0

WATER, SANITATION & HYGIENE

# of health facilities in affected health zones provided with essential WASH services. 320 240 86

# of target schools in high risk areas provided with handwashing facilities 600 400 10

# of community sites (port, market places, local restaurant, churches) with hand washing facilities in the affected areas

900 770 195

# of people with access to safe water source in the affected areas 952,946 798,150 57,159

EDUCATION

# of students reached with Ebola prevention information in schools 297,000 72,058 695

# of teachers briefed on Ebola prevention information in schools 7,200 3,647 18

CHILD PROTECTION AND PSYCHOSOCIAL SUPPORT

# of affected families with confirmed, suspects, probable cases who received one or several kits of assistance to support their children

270* 270 56

# of affected families, including children, with confirmed, suspects and probable cases who received continuous psycho-social support in their community

270* 270 56

# of contact family members, including children, who receive psycho-social support and/or material assistance

5,518** 4916 1568

# of unaccompanied children and orphans* identified who received appropriate care and psycho-social support

300 204 20

NUTRITION

# of < 23 months children caregivers who received appropriate counseling on IYCF in emergency

9,756 982 97

† The target is dynamic as listing of eligible persons is defined ++ Target increased to include new affected areas *The target is estimated based on both the number of confirmed, probable and suspect case, and would be adjustment as the response matures ** The target is dynamic and 100% of listed contacts is the identified target