LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 19 December 2014 Disclaimer: the information presented here is collected for management information purposes only and is not intended for publication. The information included does not represent official statements by either the Government of Liberia or its partners. Trend on last week Summary 1 of 3: Medical Response Social mobilisation Case management 97% 76/ 650 Required social mobilizers recruited Occupied beds vs current bed capacity Ok, training ongoing Ok, launching RITE Psychosocial 30% Required psychosocial workers recruited Scale Up Still Awaiting Release of Funding Contact tracing Epi laboratory Body management Non-Ebola healthcare 5 out of 15 66% 95% 27% Available spare capacity Bodies collected within 24 hours Cemetery opening delayed Triages at regular health facilities open Counties with inadequate contact tracing Need to focus on 5 counties with poor coverage Ok Cemetery and test feedback are issues Data still poor on clinic status Key outstanding actions 1. Roll out mouth swab to other counties 2. Survivors registration started. Need partners to provide survivors kit 3. Provide awareness (training ) for funeral homes to reduce unsafe burial at the community level 4. Provide psychosocial support services to burial teams 5. To develop food and water supply plan & secure funding for Montserrado ETUs 6. Continue integration of people doing contact tracing, social mobilisation and focus on active case finding 7. Scale up active case search and Rapid Isolation and Treat of Ebola (RITE) Strategy 8. Need a strategy, including particularly for communities, on giving feedback from dead body test results. 9. Develop supply plans for all facilities to allow planning by Logistics (ETU, CCC, regular health facilities) Summary 2 of 3: Non-medical Support Response Logistics Medical planning 5 out of 5 5 out of 19 Forward Logistics Bases have land allocated Key medical supplies with less than 1 week stock/pipeline WASH Finance of ebola response 18% 80% Percentage of Planned WASH activities completed Of Ebola Funding Requirement Committed Epi-Data Awaiting indicator Key outstanding actions 1. 5 categories of medical supplies needed immediately 2. Need comprehensive picture of who is supplying 6. Airport processes to allow faster dispatch of incoming commodities what, critical for log cluster forecasts and dispatch 7. Address Guinea border problems for ebola cargo plans 8. Log Cluster to provide county maps showing ETUs, 3. Airport runway tarmac plan critical 4. Ensure real-time information for decision making and improve dispatch plans from partners in order to provide visibility and planning of the supply chain CCCs, and other facilities served by each FLB 9. LogCluster to send information on availability of donated Maersk containers for partner use. 10. LogCluster to provide more detailed information on 5. Start using 40 DAF trucks in December casevac procedures and procedures/capacity for 6. Launch package of interventions for desludging of movement of blood samples. latrines and sceptic tanks at ETUs in Greater Monrovia 11. There is an urgent need to dispatch more cargo from the Main Hub to the rest of the country Summary 3 of 3: Response to the Consequences of Ebola Food security Border controls Education system Economic impact Development projects Security Communication 23% 3 out of 7 33% 100% 1 Stable 24 Markets allowed to be open Health care facility for international project and concession workers Security Situation Targeted Ebola Daily Press Briefings Held Increase in price of rice since August Regular Airlines Operating Teachers trained in EVD Key outstanding actions 1. 2. 3. 5. Continue to hold ebola working session for media managers 6. Ensure all community radio stations are transmitting daily ebola press conference 7. Re-launch critical development projects 8. Develop modules for airing of radio education programs 9. Train teachers in EVD prevention Food and livelihood assistance needed for EVD affected Identify health support (e.g scale up Aspen Clinic support) needed to encourage concession workers & development project contractor Funding needed for budget shortfall to support short term stimulus activities 10. Re-open schools by January 2015 Date updated: 19/12 Annex 1. Social mobilization & communications Plan for achieving objective Current Status and Actions Underway Establish robust, evidence-based strategic framework for all social mob efforts. KAP: 10-counties approached; Completed qualitative component of field work in all 6 planned counties; 5 of 6 counties-Data analysis to begin parallel; Ongoing quantitative survey work in 4 additional counties to expand understanding Health Promoters Network scaling up Anti-Ebola Regulation, Ebola Must Go Strategy, Healthy Christmas and Election Messages. Developed key Message Guidance Package covering: New Vaccine Trials, messages on the “Ebola Must Go” campaign; Safe burial practices, signs and symptoms, Prevention, Available services and treatment at ETUs, Contacts and contact tracing, survivors and stigma, and community engagements. Others include safe transportation, CCCs. Packages distributed nationwide. 1,000 video (DVD) on “Religious leaders Speak on Ebola” being distributed to video clubs through the Ministry of Information and CHTs. Messages on Elections and holidays developed on Ebola prevention. Anti-Ebola Regulation being publicized. 14,731 (chiefs and elders, religious leaders, women and youth groups, peer educators, motorcyclist, survivors including gCHVs) trained and deployed in Social Mobilisation activities in 83 districts in 14 counties. . Reports from the various communities towns and villages are being collected by the DHOs and submitted to the CHTs on a weekly basics. There is a need for central level supervision and monitoring of those activities. The national strategy “Ebola Must GO” launched and ongoing at the community level. Messages for the restoration of basic health services are ongoing. Establish ‘single source’ information platform accessible to all partners Establish coordinated network of at least 10,000 trained social mobilizers Establish supervisory, reporting & monitoring system Establish ‘near real-time’ behavioral surveillance mechanism 15400 15203 15200 15000 14800 Note: the training of GCHVs (10,000 ) is ongoing- this indicator is now gradually rising to meet the target. In the meantime the Social-Mobilisation Committee is thinking of other more suitable indicators. To do this, data management needs to be improved. 14731 14600 14400 Social Mobilizers Current Target Date updated: 18/12 Annex 2A: Case Management Plan for achieving objective Current Status and Actions Underway Ensure a total of 29 ETUs with adequate coverage in each county 14 ETUs are functioning in the country . Zwedru ETU opened last weekend. Two ETUs are planned to open next week. Montserrado beds have been scaled down to 430; MSF pulled out of Lofa; Bong 51 beds; Nimba 36; Margibi 51, MMU 22beds, Bomi 20 beds, total beds scaled down to 650, excluding Zwedru, the first in the Southeast of the country. Establishment of 78 CCCs, starting with 15 new priorities (UNICEF) Identify trained staff and essential supply requirements for ETUs and CCCs Conduct active case finding for hotspots Increase number of ambulances Many beds will be available in the counties soon given many ETUs are coming online soon. 5 CCCs are operational, 8 CCCs are currently under construction by UNICEF, and three CCCs will soon be opened in Montserrado by eHealth. MoH/WHO/DoD-- 240 staff being trained per week in cold training, 40 hot training per week at MOD1, 20 hot training at IMC per week. Essential supplies issues are being sorted out for ETUs and CCCs. RITE kits have been set up at central IMS and will now be prepositioned in the counties. Preparations for active case findings in hotspots are underway: RITE Strategy has been launched. One rapid response center has been set up in Rivercess by MSF and is functional. 43 ambulances have been deployed in the response as at November 28. ( Bomi-5, Gbarpolu-2, Grand Bassa-1, Capemount-5Grand Gedeh-3, Lofa-1,Margibi-2, Maryland-1, Montserrado-15, Nimba-2 , Rivercess-2, Rivergee-1, Sinoe-2; Grand kru-1) ETU beds as of Dec 17. 20 2,169 76 0 15 15 TARGETS UNDER REVIEW 650 1000 Occupied Beds Current available ETU beds in country Initial planned bed capacity Potential Capacity at Planned ETUs CCcS Bed capacity & needs 5,000 Priority CCCs as of Dec 17. 10 6 5 0 Constructed Priority CCCs Target Priority CCCs Annex 2B: Case Management Map NB: One Sinoe location now changed ETU data – 18th December 2014 Total Total Total beds confirmed patients free patients Partners Potential capacity- all wards New admissions last 2 days 18 IOM 100 0 46 IMC 71 9 MSF -> SP 140 closed 36 Firestone 31 15 IMC 70 8 22 USPHS 25 No report 0 28 MOHSW 96 2 2 0 46 Chinese FMT 100 0 100 6 0 63 MOHSW/WHO 100 2 Montserrado (ELWA 3) 60 26 19 MSF 250 9 Montserrado (Island Clinic) 150 12 8 142 WHO/MOHSW 100 2 Montserrado (MoD) 40 14 2 26 AU / Cuban FMT / MOHSW / MSB 100 2 Nimba (Ganta United Methodist Hospital) 36 1 0 35 Nimba CHT / PCI 36 1 Total 650 73 43 477 Uneven distribution across the country 1219 35 ETU Name Current Capacity Bomi (Tubmanburg) 20 2 2 Bong (Suakoko) 51 7 8 Lofa (Foya) 40 closed Margibi (Firestone) 31 0 0 Margibi (Kakata) 20 1 4 Margibi (Monrovia Medical Unit) 22 Monsterrado (Unity Conference Centre) 30 2 Montserrado (Chinese ETU) 50 Montserrado (ELWA 2) No report No report Annex 2D: CCC Status as of 16th Dec Date updated: 18/12 CCC Name Total Total confirm Total Current patien ed beds Capacity ts patient free s Grand Cape Mount (Jene Wonde RRC) 8 Margibi (Dolo's Town Clinic) 30 0 Margibi (Wohrn Clinic) 30 River Gee (Fish Town Hospital) 15 Partners 8 MTI, eHealth 8 0 30 Save The Children 30 3 1 1 29 Save The Children 30 1 0 0 15 Samaritans Purse 15 0 River Cess (Gozohn RCC) MSF Gbarpolu (Chief Jallah Lone Clinic) TBC Grand Bassa (Quewein) 15 Total 98 Number Potential triage in capacity- all the last 2 wards days 15 1 1 97 MSF 15 98 4 Notes CCC team working on reporting system CCC team working on reporting system CCC team working on reporting system CCC team working on reporting system CCC team working on reporting system CCC team working on reporting system CCC team working on reporting system Date updated: 18/12 Annex 2E: ETUs Planned Planned Date Construction Planned Finished Open date Partners Maximum bed Initial capacity beds No Location County Partners construction 1 Bopulu Gbarpolu DoD/AFL 25/12/14 TBC PAE/Aspen 10 50 2 Buchanan Grand Bassa DoD/AFL 06/12/14 07/12/14 IOM 10 50 3 Sinje Grand Cape Mount DoD/AFL 06/12/14 15/12/14 IOM 10 50 4 Zwedru Grand Gedeh GAA 01/12/14 07/12/14 PIH / PAE 10 60 5 Barclayville Grand Kru DoD/AFL 26/12/14 TBC PAE / Aspen 10 50 6 Zorzor Lofa DoD/AFL 16/12/14 TBC PAE/Aspen 10 50 7 Voinjama Lofa DoD/AFL 14/12/14 TBC WAHA /GOAL / PAE / Aspen 10 50 8 Kakata Margibi Save the Children Completed 22/11/14 IMC /USAID 10 70 9 Harper Maryland GAA 20/12/14 21/12/14 PIH / PAE 10 50 10 MoD 2 Montserrado WFP Completed TRAINING SITE TRAINING Letter of Intent from MSB Sweden SITE 100 11 SKD 1 Montserrado WFP TBC 03/12/14 IRC / USAID 10 100 12 SKD 2 Montserrado WFP TBC 25/11/14 German Red Cross/Army 20 100 13 SKD 3 Montserrado PLA Completed 03/12/14 PLA 50 100 14 Unity Conference Centre Montserrado ALPHA Completed 18/11/14 MOHSW 10 96 15 Ganta Nimba DoD/AFL 09/12/14 TBC PCI 10 50 16 Tappita Nimba DoD/AFL 08/12/14 TBC Heart to Heart / PAE / Aspen 10 50 17 Gbediah Town River Cess DoD/AFL 25/12/14 TBC PAE / Aspen 10 50 18 Fishtown River Gee GAA 14/12/14 22/12/14 ARC / USAID 10 50 19 Greenville Sinoe GAA 10/12/14 TBD PAE/MSB 10 50 Date updated: 18/12 Annex 2F: CCCs Planned Planned Date Construction Planned Finished Open date Partners - management Maximum bed Initial capacity beds No Location County Partners construction 1 Beh Town Clinic Bomi UNICEF 14-Dec-14 TBC Plan 15 TBC 2 Haindi Bong UNICEF 14-Dec-14 TBC PCI 15 TBC 3 Kpayeakwelleh Clinic Gbarpolu UNICEF 15-Jan-15 TBC Samaritan's Purse 15 TBC 4 Chief Jallah Lone Hospital Gbarpolu UNMIL/CHT 14-Dec-14 TBC Samaritan's Purse 15 TBC 5 Kongbor Clinic Gbarpolu UNICEF 14-Dec-14 TBC Samaritan's Purse 15 TBC 6 John Logan Town Grand Bassa UNICEF 15-Jan-15 TBC Concern Worldwide 15 TBC 7 Keita Grand Cape Mount UNICEF 24-Dec-14 TBC MTI 15 TBC 8 Gbarzon Health Center Grand Gedeh UNICEF 31-Dec-14 TBC PIH 15 TBC 9 Niplikoi Clinic Grand Kru UNICEF TBC TBC Samaitans Purse 15 TBC 10 Konia health Center Lofa Samaritans Purse TBC TBC Samaritan's Purse 15 TBC 11 Pleebo Maryland UNICEF 22-Dec-14 TBC PIH 15 TBC 12 Mount Barclay Cinic Montserrado eHealth TBC TBC Concern Worldwide 15 TBC 13 Louisiana Clinic Montserrado eHealth TBC TBC Plan Int. 15 TBC 14 Koon Town Clinic Montserrado eHealth TBC TBC Concern Worldwide 15 TBC 15 Bensonville Hospital Montserrado eHealth TBC TBC Plan Int. 15 TBC 16 Saclepea Comprehensive Nimba UNICEF 24-Dec-14 TBC PCI 15 TBC 17 Bahn Health Center Nimba UNICEF 24-Dec-14 TBC PCI 15 TBC 18 St.Francis Hospital River Cess UNICEF 24-Dec-14 TBC PIH 15 TBC 19 Gbeapo Health Center River Gee UNICEF 22-Dec-14 TBC Samaritan's Purse 15 TBC 20 Karquekpo Clinic Sinoe UNICEF TBC TBC MTI 15 TBC 21 Juaryen Clinic Sinoe UNICEF 31-Dec-14 TBC MTI 15 TBC 22 Nyehn Health Center Montserrado MOHSW TBC TBC MOHSW 15 TBC pdated: Dec. 17, 2014 Annex 3. Mental Health/Psychosocial (MH/PSS)1- Plan for achieving objectives Current Status and Actions Underway Provision of Mental Health/Psychosocial services to individuals and communities Current: MHPSS services provided for all patients in ETU and 5 communities in Tubmanburg in Bomi county. Held meeting with 25 survivors, screened and counselled 20 clients, with 3 survivors showing symptoms of anxiety in Bong County. Provided pycho-education to 362 people in 15 communities, reintegrated 64 quarantined individuals in 5 communities in Grand Cape Mont. 28 patients received mhpss services in Ganta ETU. Action: WHO currently training 36 MHCs and social workers on mhpss support services. Current: 50 MHCs and 60 SWs in 10 counties; and 15 County SW Supervisors. UNICEF committed to additional 10 social worker in 5 counties. Action: Expand services to burial team. STALLED Currently: 583 affected children identified in December. Total of 2,664 affected children (1,264 males and 1,400 females) currently receiving support either through their families and/or are placed at home/or in transitional home. Actions: UNICEF one time grant of $150 USD/child reeived by 385 EVD affected children in 7 counties (Bong 30, Grand Gedeh 18, Nimba 9 and Bomi 33, Bassa 15, Margibi 50, Lofa 230). 130 children from ETUs and ICCs reunified with their families. ICC opening in Bong still pending. Current: Proposed funding for 600 Mental health and Psychosocial workers from World Bank. Proposal developed and submitted. Action: Agreement signed. Release of funds still pending. Current: New system for patients and family feedback whilst in the ETU implemented in Montserrado County. Action: Expand system to other counties. Began initial distribution of 1000 phones donated by UNICEF for ETUs across the country. Current: Reunified 5 survivors in Bomi. UNICEF commits to support for survivors coordination. CDC conducted photo voice TOT for survivors. Margibi local chapter of Survivors’ Network elections held Action: Survivors registration started. Final survivors’ meeting for 2014 to be held on Dec. 18. Database has line listed 1328 survivors In community: increase mental health/psychosocial workers focused on affected, hcws, first responders Identify and appropriately place and support children separated from their families Team needs 1,000 available Psychosocial workers overall. (Timing: asap.) Working with partners on provision of quality care Implement plan to address survivor needs 1328 EVD Survivors by age Distribution 1500 1000 500 14% 19% 21% 20% 21-30 yrs 31-40 yrs 12% 5% 41-50 yrs 51-60 yrs 3% 695, 52% 2% 0 0-10 yrs 11 - 20 yrs 60 yrs and Missing age above Sex Distribution of EVD Survivors total 633, 48% Male Female Update: 19/12 Annex 4A. Contact Tracing Plan for achieving objective Current Status and Actions Underway Identified and follow up all persons who came in contact with a case 334 new cases, 1,807 new contacts and 171 new deaths were reported December 1-13, 2014 A daily average of 28 cases, 151 contacts and 14 deaths were reported, 82% of new cases were found in Montserrado (49%), Grand Cape Mt (13%), Grand Bassa (11%) and Bong (9%) 5,044 contacts are currently under follow-up 97.4% of current contacts are found in Montserrado (72.6%), Margibi (17.9%) and Grand Cape Mt (6.8%) Counties Two-thirds of the counties do not have a confirmed case and contact under follow-up There are 5,919 contact tracers and active case finders nationwide. Contact tracers are found throughout the country at County, District (zonal) and community level . Follow-up every ‘contact’ in person, on a daily basis, for 21 days, to check for signs of symptoms. Recruit and train contact tracers at County, District (zonal) and community level responsible for conducting tracing and reporting Mobilize resources to expand the number of contact tracers Approaches • Train and deploy contact tracers (World Bank 500; WHO south east) Has kicked off • Introduce mobile technology (mobile phone) to facilitate timely reporting and mapping of contacts and cases (UNFPA and UNMEER ) • Engage communities to facilitate active case finding and quarantining • Introduce performance incentive for active case findings Number of Contact Tracers and Active Case Finders per county #County 1Bomi 2Bong 3Gbarpolu 4Grand Bassa 5Grand Cape Mount 6Grand Gedeh 7Grand Kru 8Lofa 9Margibi 10Maryland 11Montserrado 12Nimba 13Rivercess 14River Gee 15Sinoe Total Contact Tracers and Active Case Finders 150 350 121 400 247 42 179 138 500 96 3,201 1, 574 82 150 263 5,919 Update: 5/12 Annex 4B: Cases and Contacts Cases and Contacts Trends (July –November, 2014) EVD Cases July - November, 2014 EVD Contacts July - November, 2014 4000 12000 3500 10000 3431 3000 8000 2500 6000 2000 4000 1500 1000 500 4063 2000 1404 1264 9840 1012 0 707 330 0 July August September October November EVD Reported Deaths Trends 1200 1088 1000 800 745 636 600 546 400 200 169 0 July Aug Sept Oct Nov 5102 5302 Annex 4C. Required # of Contact Tracers & Active Case Finders Number of Contact Tracers and Active Case Finders # County 1 Bomi 2 Bong 3 Gbarpolu 4 Grand Bassa Grand Cape 5 Mount 6 Grand Gedeh 7 Grand Kru 8 Lofa 9 Margibi 10 Maryland 11 Montserrado 12 13 14 15 Nimba Rivercess River Gee Sinoe Total Current Number of Contact Tracers and # that are Active Case Finders Paid 147 99 Gap 48 350 111 400 156 53 236 194 58 164 247 42 179 138 500 96 3172 150 25 79 125 309 96 3172 97 17 100 0 191 0 0 1, 574 50 150 263 5845 1, 402 20 121 20 4661 172 30 29 243 1343 Partners that are responsible to pay UNFPA, IOM & Bomi Citizens Global Community, Save the Children, AFRICARE & World Bank Global Community & LNRC World Bank, WHO & AFRICARE UNFPA World Bank WHO and World Bank UNICEF ZOA & World Bank WHO and World Bank ACF, WHO & UNDP WHO, PCI, Africare/AML, World Bank DCI, LNRC & World Bank WHO & World Bank World Bank Date competed: 10/12 Annex 5A. Epi Laboratory Plan for achieving objective Current Status and Actions Underway Run other tests along with Ebola increase Health care delivery during the phase of excluding Ebola, All Labs currently have the capacity and are performing to some extend other test but need a request from the Government of Liberia to proceed on a large scale. The deceased samples are now been tested by LIBR , BONG ,and Island and the sensitivity is high. Training of 100 laboratory Practitioner on the safe phlebotomy and sample transportation approved. To start soon Planning additional workshop for 91 Laboratory personnel in the safe blood collection, sample packaging and transportation. LIBR has capacity to train and serve as a training facility. Explore with partners needed resources to expand capacity Conduct a training Workshop for Medical Laboratory Practitioners on safe blood collection, packaging and transportation. Bring in additional staff and resources to maximise laboratory capacity especially for LIBR and to increase the number of phlebotomists Review practice to ensure it meets required specifications New desk officers to submit Lab SOPs for review – to confirm labs operate to minimum centralised safety standards (10/10) Total number of samples tested in Ebola diagnostic laboratories during November, 2014 (3-day rolling average) Table showing current laboratory capacity Daily Capacity LABS Etu served Current Projected 40 Average LIBR 8 120 180 40 ELWA 2 75 90 52 LOFA 1 80 90 6 ISLAND 3 80 100 60 BONG 2 80 100 25 TOTAL 16 395 560 183 Tested samples 35 30 25 LIBR Total 20 Bong Total 15 Island Total 10 Lofa Total 5 ELWA Total 0 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Day of November Annex 5B. Current Laboratories and Possible Relocation Relocation to Sinje, Cape Mount approved LBIR 17 Current Ebola Diagnostics and Technical Capabilities Laboratory Ebola ELWA: CDC – NIH PCR LIBR: CDC-NIH PCR Bong: Navy PCR Island clinic: Navy PCR Sanniquellie –Nimba PCR Zwedrou - Grand Gedeh PCR Tapita (Nimba) PCR Green Ville (Sinoe) PCR Current Malaria Yellow Fever Lassa Malaria PCR Technical Capability but not performing Others Date competed: 5/12 18 16 Annex 6. Body Management Plan for achieving objective Current Status and Actions Underway Train & deploy sufficient safe burial teams across the country to conduct safe collection and burial. Ensure adequate supplies and storage facilities for body management teams through dedicated warehouse. Develop sufficient crematorium and burial capacity Current status: 20 IFRC teams ready to deploy + 6 GC teams in Monts; 51 GC teams across other counties. 8-12 Montserrado teams currently being used and doing training refresh. Plan for expansion: IFRC/GC able to quickly train additional 10 -15 in Monts. 98% body pickups within 24 hours. Have had problem with body bags /other ad hoc supplies and the ordering/collection system. 19th warehouses still being made operational. Inventory tracking and assistance required. Cemetery plan underway however still awaiting MoJ verification of deed ownership. Draft social mobilisation/messages have been finalised for agreement. Undertake actions (e.g. testing, identification etc) to ensure all collections and burials are happening safely. Swabs being collected by IFRC teams but feedback is a problem. CDC have developed draft guidance but the final feedback and comms strategy needs to be agreed. GC teams being trained in swab testing and will support in all counties. Total Collection by Response Time Montserrado >48 hrs 24 - 48 Hrs 14 < 24 Hrs No. of Bodies 12 10 8 6 4 2 0 Burial Teams – by County Bomi Bong Gbarpolu Grand Bassa Grand Cape Mount Grand Gedeh Grand Kru Lofa Margibi Maryland Montserrado Nimba Rivercess RiverGee Sinoe Total Maximum Teams 2 3 2 6 2 1 1 7 3 1 35 5 2 1 1 72 Percent of Maximum Date of Collection Target/ Percent of Target 65 23-Nov GC IFRC 2 3 3 7 3 2 1 7 3 2 6 16 4 2 1 2 48 16 29-Nov GC IFRC 2 5 1 8 3 1 1 7 3 2 6 16 4 2 1 2 48 16 06-Dec GC IFRC 2 3 3 7 3 2 1 7 3 2 6 16 4 2 1 2 48 16 89% 89% 89% 98% 98% 98% 15/10/2014 16/10/2014 17/10/2014 18/10/2014 19/10/2014 20/10/2014 21/10/2014 22/10/2014 23/10/2014 24/10/2014 25/10/2014 26/10/2014 27/10/2014 28/10/2014 29/10/2014 30/10/2014 31/10/2014 01/11/2014 02/11/2014 03/11/2014 04/11/2014 05/11/2014 06/11/2014 07/11/2014 08/11/2014 09/11/2014 10/11/2014 11/11/2014 12/11/2014 13/11/2014 14/11/2014 15/11/2014 16/11/2014 17/11/2014 18/11/2014 19/11/2014 20/11/2014 21/11/2014 22/11/2014 23/11/2014 24/11/2014 25/11/2014 26/11/2014 27/11/2014 28/11/2014 29/11/2014 Date competed: 5/12 Annex 6b. Body Management Burials outside Montserrado 25 20 > 48 hrs 24 - 48 hrs 15 < 24 hrs 10 5 0 50 45 40 25 Weekly burials by county outside Montserrado 2 35 10 30 1 10 11-Oct 2 6 20 7 15 2 18-Oct 25-Oct River Cess 1 3 1 7 14 10 13 1 8 9 1-Nov 8-Nov 2 Grand Bassa 6 11 12 5 0 15-Nov Gbarpolu Cape Mount Bomi Date completed: 5/12 Annex 7. Status of Essential Health Services Non-ETU Health-workers names submitted to MDFP for Hazard Pay Hospitals open 131 out of 141 hospitals open (new data submitted this week) 93% 7,679 out of 8,162 health workers 95% Some health workers have now received payment – see next slide Health facilities open Data being worked on but many geographical challenges 150 out of 869 facilities checked 139 facilities open; 11 closed; 719 unknown TRIAGE system established in health facilities 182 out of 657 facilities (up 7% since 8 Nov) 27% Update on health worker pay: • 379 health workers have been placed GOL payroll between October and November 2014 Challenge on hazard pay: • Validation of HW lists submitted by counties for hazard payment (Duplication of acc numbers) Action: • Fast-track joint MFDP and MOH validation processes Other Challenges: • FARA reimbursement ( 2.6 Mil) and Y4 budget support still pending • Still awaiting transfer of the 6 million US dollars to MOH for support to partners for restoration activities in the 5 highly affected counties Updated on: 05/12 Annex 7B. Update on triage: process and next steps Processes involved with preparation for Triage Set Up in Health Facilities a) Conduct practical IPC Training for all HF staff b) Deliver IPC supplies after the training c) Identify IPC Focal point in facility to ensure adherence to IPC standards and protocols for staff and patient safety d) Safeguard HF : ensure 1 entry and 1 exit point in the facility e) Construct and furnish temporary/permanent structure for screening (triage) f) Setup a holding station for isolation of suspected cases g) Set in place safe medical waste disposal system Challenges: • Infrastructural challenges for single entry and exit points within the facility • Behavior change • Inconsistent IPC practices • Inadequate IPC supplies leading to poor adherence to IPC protocols and standards and waste disposals Action: • Supportive supervision, mentoring and coaching of staff in health facilities • Assessment by WASH Consortium to be conducted soon to address waste disposal • Address infrastructural challenges in some facilities where needed Updated on: 17/12 Annex 8A: Logistics Cluster Main Discussion Points • Humanitarian Passenger flights – following a user needs survey with partners, and a UNHAS user group meeting (to be held Thursday 18 December) a new schedule will be drafted and once approved, will be published on the Logistics Cluster website. • Forward Logistics Base (FLB) Updates- All 5 FLBs are operational. 3 FLBs have all 6 planned Mobile Storage Units (MSU) erected. Buchanan FLB has now all 4 planned MSUs completed and Harper FLB has 5 out of 6 MSUs completed. • Dispatch plans and the Main Logistics Hub – 90% of the storage space in the Main Hub is full. There is an urgent need to dispatch more cargo from the Main Hub to the rest of the country. • Rapid Isolation Treatment of Ebola (RITE): WFP has supported the humanitarian community in response to 2 different outbreaks, and so far has provided 3 RITE kits of supplies by air (Grand Cape Mount and 2 X Greenville) • Detailed CCC and ETU Mapping: The logistics cluster is consolidating data from all its members to update the Please find in annex a list of zoomed- in maps of ETUs and CCCs for each relevant county. Update on Action Items. Logistics Cluster: • Logcluster provided detailed casevac/medevac information for non-Ebola procedures for non-UN staff and all necessary documents are now available on the logistics cluster website. • The logistics Cluster proposed an allocation plan for the 20 container donation of Maersk. • The logistics Cluster has informed the Swiss government of all received requests regarding their donation of generators and lighting and handling equipment. Outstanding actions: • Logistics Cluster to follow up with the distribution of the allocated Maersk containers • Logistics Cluster to enquire Maersk if any additional containers can be donated • Partners to offer more &detailed dispatch plans to the logistics Cluster to free the main logistics main hub from cargo. • Partners interested in OFDA stock on hand should contact DARTEbola_Logs@ofda.gov • Partners to share with the Logistics Cluster their storage locations and capacities across the country. • Partners to share any valuable country and county level information for GIS mapping purposes. Updated: Nov 28 2014 Annex 8C. Quality of Roads Updated on: 10/12 Annex 8B: Logistics Support by Cluster For each Facility (ETU, CCC, regular health facility), need comprehensive picture of who is supplying what. This is critical for our forecasts and dispatch plans. An excerpt of information we are trying to collect is listed below: Location County Partners - Management PPE Medical Supplies Non-Medical Supplies Drugs Chlorine ELWA 2 Montserrado MOHSW/WHO MOHSW MOHSW MOHSW MOHSW MOHSW ELWA 3 Montserrado MSF MSF-B MSF-B MSF-B MSF-B MSF-B Island Montserrado WHO/AU/MOHSW MOHSW MOHSW MOHSW MOHSW MOHSW Suakoko Bong IMC IMC IMC IMC IMC MOHSW Foya Lofa MSF MSF-B MSF-B MSF-B MSF-B MSF-B Ganta Nimba Nimba CHT/ Methodist Church Firestone Margibi Firestone Firestone Firestone Firestone Firestone Firestone Tubmanburg Bomi Bomi CHT MOHSW MOHSW MOHSW MOHSW MOHSW MoD Montserrado AU / Cuban FMT / MOHSW MOHSW MOHSW MOHSW MOHSW MOHSW MOD 2 Montserrado Letter of Intent from MSB Sweden SKD 1 Montserrado IRC IRC Updated: Dec 05 2014 Annex 8D. Logistics Hub & Forward Logs Bases Updated on: 4/12 Annex 8F .Regional Port Restrictions Updated as of: December 13, 2014 Annex 9. Medical Planning: Supplies Gap ONLY Includes requirements and days of stock for facilities using the MOHSW Supply Chain Tremendous amount of PPE in country and in the pipeline for ETUs and CCCs; currently, the proportion of supplies in country for IPC is a constraint KEY: <1 week (7 days) supply <2 week (14 days) supply Product Description Unit Body Bags (L) Chlorine Powder (HTH 70%) PPE Suit - Hooded Coverall PPE Hood Examination Gloves x100 Face Mask (N95) Face Mask - Surgical Impervious Gown Face Shield - Flexible (Disposable) Face Shield - Hard (Re-usable) Goggles Apron - Heavy Duty Plastic Reusable Heavy Duty Plastic Gloves Rubber boot Hand Sprayer (1 - 2L) Backpack Sprayer (12-16L) Anti Fog Cleaner (12 fl Oz) Scrubs piece Kg piece Piece Box piece each piece piece Piece Piece each pair pair piece piece Bottle set Scenario 1: Current Status Scenario 2: Current Sites, Full Capacity Current Stock Available for MOHSW facilities Stock in Pipeline for MOHSW facilities (1 month) 4,095 164,023 257,854 84,600 41,546 1,439,294 500,936 238 940,720 4 45,777 2,891 227,598 44,832 1,879 395 171 50 5,600 30,000 450,000 91 450,000 195,000 540,000 540,000 102,685 50,000 92,650 328,350 81,590 4,720 - Scenario 1 Current Sites, Current Capacity Forecast Days of Stock (1 month) (Current) 10,170 65,230 24,196 171,148 38,535 26,950 108,590 568,211 579,860 1,109 11,590 15,683 24,491 6,697 825 103 11,512 2,640 12.3 76.7 325.0 15.1 32.9 1,628.9 140.7 0.0 49.5 0.1 120.5 5.6 283.4 204.2 69.5 117.3 0.5 0.6 Scenario 2 Current Sites, Full Capacity Days of Stock (Current + Pipeline) Forecast (1 month) Days of Stock (Current) Days of Stock (Current + Pipeline) 29.1 90.7 892.3 15.1 33.0 2,138.2 195.5 29.0 77.9 2,825.3 252.1 185.8 692.4 575.8 69.5 1,519.1 0.5 0.6 11,379 89,404 108,346 274,125 46,524 111,100 121,915 638,061 691,785 1,245 29,161 33,254 67,370 8,280 924 187 38,370 19,470 11.0 56.0 72.6 9.4 27.2 395.1 125.3 0.0 41.5 0.1 47.9 2.7 103.0 165.2 62.0 64.5 0.1 0.1 26.0 66.2 199.3 9.4 27.3 518.7 174.1 25.8 65.3 2,515.7 100.2 87.6 251.7 465.7 62.0 834.9 0.1 0.1 52 ETU beds filled (at MOHSW-supplied facilities), 6 operational CCCs, 585 non-ETU facilities Existing ETUs at full capacity (426 beds), 6 operational CCCs, 657 non-ETU facilities open Date updated: 18/12 Annex 10: WASH for Ebola Humanitarian Response Two Sludge trucks from US-DART team will be handed over to UNICEF and Liberia Water and Sewer Corporation (LWSC) this week to start transporting liquid sludge being overflowed in Septic tanks in two ETUs to the Fiamah (Monrovia) waste water treatment plant to store and treat infectious liquid waste. These septic tanks were emptied and temporarily stored in UNICEF provided poly tanks. With the funding assistance of USAID, UNICEF will get into an operational plan with Liberia Water and Sewer Corporation (LWSC) to continue emptying and transporting liquid infectious waste from ETUs. UNICEF, in consultation with infection prevention and control (IPC) experts from WHO and ICRC, is organizing a practical training session on handling of Waste by Operators and Drivers of sludge trucks of LWSC Subnational coordination has to be reinforced, and partners working in the EVD response should engage with the WASH cluster coordinators at county level. The WASH Cluster Coordination group conducted a day long capacity building workshop on Integrated WASH assessment and monitoring for County level WASH Coordinators and other technical staff of MOPW. The main objective of the workshop was “Technical and coordination capacity development of WASH team at sub-national level in support to Ebola response using RITE (Rapid Isolation and Treatment of Ebola) approach”. A total of 35 participants attended including MOH environmental health staff and few NGO staff. Major focus of this workshop was on assessment and monitoring of WASH facilities, before and after installation, by MOPW county technical teams with available INGOs support. It was facilitated by MOPW Assistant Minister, National Cluster Coordinator, MOPW WASH Engineer, Public Health Engineer from OXFAM, UNICEF Cluster Coordinator and two UNICEF WASH specialists. WASH Cluster organized this workshop with financial, logistical and technical support of UNICEF Liberia. WASH Cluster members have agreed to form five technical working groups (TWGs) in its last weekly meeting with a focal person as chair with an alternative to steer working group work and to report their activities to the Cluster meeting. The TWGs are: ETU/CCC; waste management; Integrated WASH assessment, Hygiene promotion and social mobilization and sub-national coordinator. Each TWGs will draft its major tasks in relation to Ebola response. The Ministry of Public Works with support from WASH cluster members at county level have begun monitoring the distribution of hygiene promotion kits and their use at household levels. One of the Ebola hard hit communities of Telbormai in Voinjama was monitored during the last week. The first subnational level coordination meeting for the WASH Ebola Away Response was also initiated during this period Out of 13 incinerators brought in the country 12 were installed. ICRC is leading the training and technical support for the assembly of these 13 incinerators to be used for bio-med waste at the ETUs in and around Monrovia. UNOPS and WHO organized training for operators from Government counterpart and NGOs who have taken operational responsibility. WHO, MOHSW, IMC, IOM and MSF are operating and maintaining WASH facilities in ETU for 750 beds capacity in the country (Lofa, Bong, Montserrado, Bomi, Nimba and Margibi counties). IMC with the support of Save The Children open a new ETU in Margibi, and IOM in Tumaburg with the support of USAID/AFL. The construction of the WASH system for additional ETUs in the country with 16 ETU’s under construction (beds) (Actors: UNICEF, WFP, WHO, AFL, WHH, USAID and WB). These are being assessed by WASH cluster assessment teams to ensure fulfilling minimum WASH requirements with their technical advice and recommendations. As of now 9 of these were assessed for WASH by the Cluster organized teams and schedules for the remaining are being worked out with operating entities. The assessment teams of the cluster also assessed three CCCs in Margibi, Fishtown and in Lofa counties. As part of UNICEF’s continued support to rehabilitation of the water supply system and sanitation facilities in ETUs, UNICEF provided 12 units of poly tanks and 3 submersible pumps to the unity Centre ETU to pump out waste water from the overflowing tank with proper drainage. Rehabilitation and upgrade of the water supply system and sanitation facilities in ELWA-2 ETU is almost halfway to complete. The work involves construction of 2 toilets, 2 showers and a storm water drainage system and rehabilitation of pipelines for water supply. Date updated: 09 Dec Annex 10b: WASH for Ebola Date completed: 15/11 Annex 11. Finance & Donation coordination Plan for achieving objective Current Status and Actions Underway Communicate the role of donations coordination to potential donors & establish information & donation point. Currently several donations are made outside the structure and information is not always shared with the donations coordination team • To hold a public service announcement with information on where and how to make donations • Need for a comprehensive list of immediate needs to share with potential donors • Need for a dedicated website for the National Ebola Command Center to facilitate dissemination of donations information • There are currently two separate accounts for donations (Ebola Trust Fund and MoHSW Ebola Account). • Ad hoc submission of various requests from different agencies/organizations for duty waivers, airport handling fees and transportation from airport. • Relationship with Liberia Revenue Authority (LRA) established to expedite duty waivers. • The new organization of the logistics cluster will address other challenges. Collate and communicate relevant information (transport, duty and fees) to potential donors Collect, compile and report donation information to relevant stakeholders Donation database currently updated on a daily basis. Reports are produced weekly. Meeting with Ministries of Finance & Development Planning and Ministry of Foreign Affairs and Ministry of Health and Social Welfare to reconcile and harmonize donations. Ebola Response Funding for Liberia, US$ million Total commitment 701 303 Disbursed 244 - 100 200 *This excludes General Budget Support commitments and includes in-kind donations. 300 400 Date competed: 4/12 Annex 12. Food security Current status of Ebola impact and potential risks From WFP VAM Nov 2014 “Special Focus Ebola”: • Estimate current 480,000 food-insecure people in Liberia with Ebola-driven accounting for 80,000. • Predict under Low Ebola Scenario * number of Ebola-driven food-insecure people rises to 380,000 by March 2015 (and total of 840,000). • Would see food security worsening in Gbarpolu, Bong, Margibi and Grand Cape Mount in particular. *disease continues to spread at the average rate observed in the previous 42 days and then begins to slow down by January 2015 Objectives Current Status / Actions Required / Issues to be escalated Provision of Food to • In the week 20– 26 Oct WFP Liberia distributed 1,196.22 mt of assorted food commodities to 73,355 affected people beneficiaries in the country. [needs updating] • By 26 Oct 5,549.359 mt of assorted food commodities distributed to 356,469 EVD effected in Liberia since July. Understand situation FAO Rapid Food Security Assessment (Nov 13), for most affected counties: Bomi, Bong, Lofa, Margibi,and Nimba: • Rice harvest yield reduction expected. decrease of 10 -15% , and up to 25% in most affected districts (because of limited markets not production problems) • Limited supply of food to markets, main traders not coming, household income reduced, lack cash to buy food. Current needs / • Continued food and livelihoods assistance for people affected by EVD; challenges • Limited inclusion of local cassava products (gari) in food aid support to ebola affected patients and hhs • Need to revitalise Village Savings and Loans Associations (mostly Women) through injection of cash • Need Balance between longer-term food/economic security interventions and ebola-related food actions Liberian Dollar Prices for Imported Parboiled Rice in selected Markets Graph ofData keySource: indicator e.g. food/ commodity prices to be Liberia Price Monitor and FAO field data for month of Sept 2014 added 13-Mar 14-Apr 14-Sep % Change Mar13 to Apr-14 % Change Apr14 to Sep-14 Bo‐Waterside 2,658 2500 -5.94% Buchanan 2733 3200 17.09% Foya 2801 3000 7.10% Pleebo 2704 2900 7.25% Red Light 2,531 2250 3045 -11.10% 35.33% Saclepea 2307 2550 3350 10.53% 31.37% Tubmanburg 2465 2250 3,150 -8.72% 40.00% Voinjama 2967 2750 3000 -7.31% 9.09% Zwedru 3,521 2750 -21.90% Updated: 20/11 Annex 13. Borders Border Status Sierra Leone: Bo Waterside Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Sierra Leone: Foya./Kailahun Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Guinea: Foua/Gueckedo Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Guinea: Voinjama/Macenta Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Guinea: Ganta Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Guniea: Yekepa Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Cote d’Ivoire: Loguatuo Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Cote d’Ivoire: Janzon Town Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Cote d’Ivoire: Tempo Town Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Cote d’Ivoire: Harper Closed, except for ebola cargo (request via IMS) or trade cargo (request via MoJustice) Senegal (sea) Open Updated: 27/11 Annex 14. Development Projects What is the impact of ebola on major development projects? Which major projects have been critically impacted? Most of the crucial development projects have stalled – potential major impact and losing dry season. Contractors and supervising engineers have pulled out. Required financing from GoL budget is at risk due to forecast Budget shortfall. Current status Actions Required & by whom? RIA runway: project delayed (6 months?) as not confident quality companies will tender for the contract now Mount Coffee: on-site construction works suspended until Ebola situation under control; manufacturing, procurement, and other project management activities continue as planned HFO (JICA, WB, GoL): all stalled no work ongoing. Risk of 1 year delay Red light to Gbarnga road: Contractors have envoked force majeure. Risk of loss of dry season and one year delay Fish Town to Harper: Progress has been ongoing to enable works to begin without major further delay Feasibility study for Ganta – Tappita: cannot tender for consultant as quality companies will not bid in current circumstances Agriculture: ? Need to identify criteria required for contractors, consultants to return to sites. Some indicators include: - lifting of the State of Emergency, - resumption of service of more than one international airline - positive assessment of healthcare risks (e.g. an acceptable hospital is Ebola free and able to treat non-Ebola emergencies) - reduction of the new cases rate to an acceptable percentage of peak (if not 0 new cases), Updated: Dec. 11, 2014 Annex 15. Immediate economic issues What is the status of most critical impacts on the economy from the ebola crisis (e.g. concession operations, investment, cross-border trade, government finances etc) - Current growth rate projects are down to 1% (initial estimate of 8.7% at the start of the year) 17 percent increase in prices of essential commodities on year on year basis. Tax revenues expected to contract by 19% Hardest hit relating to the labor market: agriculture, fisheries, mining Montserrado, Grand Kru, Sinoe, and Maryland are the most economically impacted counties according to UNMIL data. There is a disproportionate number of women affected by the loss of livelihoods according to Liberia’s Association of Marketers - Overall, Ebola is driving communities into higher levels of poverty Specific Objectives to mitigate impact The Ebola Private Sector Management Group (EPMSG) are developing a private sector engagement plan that will identify their strengths and abilities as implementing partners for the Ministry of Finance and Development Planning’s Economic Stabilization and Recovery Plan. Current Status and Actions Required & by whom? Ministry of Finance and Development Planning are consolidating the Economic Stabilisation and Recovery Plan into a project by project synopsis and lining up potential partners. Six NGOs and UN agencies have initiated a national social-safety net programme that is led by the Ministry of Gender, Children and Social Protection. Initial ideas and geographic coverage have been proposed and the Ministry and UNDP (co-chair) will evolve the plan. There is strong donor interest. Final mapping of initial proposals needs to be completed to provide an initial picture of social safety net coverage for Liberia in 2015 and how it links into re-investment and livelihoods opportunities for sustainability. The World Bank has confirmed the its interest in supporting social safety net programmes. USAID has also shown significant interest. Both agencies are keeping in close contact with the Ministry and UNDP as the co-chair of the Technical Working Group on Social Safety Net Cash Transfers. The banking infrastructure and mechanisms for making payments is under stress. UNDP is working with the banks and mobile money networks to help them function better in areas outside Monrovia. Longer-term interventions will be needed to overcome the problems that are faced, but some quick fixes may be possible. UNDP is engaged with USAID, NetHope and others that have had this issue on the radar for some years. Date updated: 27/11 What is the impact of school closures? Annex 16. Education Increase in young children involved in street selling; teen age pregnancy; over aged students; child labor Extreme hardship on private schools teachers due to no salary; condition of school facilities are deteriorating Unavailability of resources for text books, establishment of laboratories, libraries and other items to promote learning The situation may likely have considerable impact on quality and performance of school administrator Objectives to mitigate impact Current Status and Actions Required to & by whom? Strengthen epidemic preparedness and response measures in all schools and communities in 98 Education Districts •Completed Ebola Prevention training for 15 CEOs, 98 District Education Officers, 6600 School Principals and Teachers; •Completed Awareness in 98 Education Districts by 6600 teachers (each teacher reached over 100 households) over 2 million persons were reached •Mobilizing resources for the following: (no committed funded yet) a. payment of teachers for community awareness process b. to conduct additional trainings for up to 6000 teachers and principals c. to assist communities establish Ebola Prevention Structures d. to conduct psycho-social counseling in communities •Modules for the airing of radio programs developed •Programs are being aired on National Radio Stations •Mobilizing resources to engage private & community radios for airing of programs in all counties •Received support from GoL for minor renovation of 500 schools in 15 counties starting December •Mobilizing resources to: (no committed funded yet) a. renovate additional 1500 schools in 15 counties; b. clean and disinfect school environment nationwide; c. rehabilitate / construct WASH facilities where needed; d. chlorinate 25,000 wells and hand pumps on school premises and ; e. establish hand washing facilities in all schools Prepare students & teachers to resume regular schooling Improve Physical learning environment to prevent the spread of EVD and other diseases Teachers trained in EVD awareness 6,600 Current Needed 20,000 0 5000 10000 15000 20000 25000 Update: 5/12 • Annex 17A. ETU Threat Assessment Violence targeting ETU/CCC is extremely low. Most agitation comes when family members are seeking information about their loved one in the facility and the personnel fail to provide an update. As long as facilities are briefing the family members on the condition of their family member, tensions should remain low. • Recent demand for dignified burial for victims. Many in the community have expressed concern over cremating the remains and not having a place to go, nor grieve. Reports of affluent members of the community successfully retrieving their loved ones and taking their remains from the facilities to a burial site. • Petty crimes and theft are expected around the facilities like any other location. Update: 5/12 Annex 17B. Security Assessment • The overall security situation in Liberia remains calm but fragile. • The border situation with Cote-d’Ivoire (CDI) remains calm. The Government of Liberia (GoL) issued a directive to close all Border Crossing Points (BCP) to contain the Ebola outbreak until further notice. • Cancellation of the State of Emergency, markets are reopened in Liberia and the curfew is midnight to 0600 local. • The National Election Committee (NEC) submitted a recommendation for Senatorial Election to be held December 16, 2014 and the date was approved. • Civilian education began on 17 Nov 14 and campaigning started on 20 Nov 14 and will continue until 15 Dec 14 (24 hours prior to the election). Date updated: 4/12 Annex 18. Wider Communications What is being done to use communications to help fight ebola? • NATIONAL CAMPAIGN: “EBOLA MUST GO! STOPPING EBOLA IS EVERYBODY’S BUSINESS~ LAUNCHED 8 DECEMBER • Launched in New Georgia by President with partners and UNMEER • Campaign will now focus weekly on the 5 priority areas – burials, isolation, reporting, contact tracing, quarantining Implementation: • National roll-out of social mobilization materials through IMS and partners (ECAP) – Priority • National roll-out of media messaging – national and local radio, GSM and PSAs • Media training and message packs • Local radio training • National roll-out of visual materials – billboards, buttons, bumper stickers • Social Media Campaign – Facebook and twitter • Ministry of Information briefings focusing on community and traditional spokespeople • Presidential activities to promote campaign • Media monitoring to track message fidelity Campaign emphasizes Pledge taken by President at the launch: “I, _________________, pledge to protect myself, my family and community, because Ebola Must Go, and stopping Ebola is everybody’s business.” Joint Communication Committee (MICAT) Media and major advertising publicity Partners IMS Social Mobilization Leading dissemination and community-level engagement Partners Key Messages and materials Communities and behaviour Key actors on whom zero-case success depends Date updated: 4/12 Annex 18. Wider Communications What is being done to use communications to help fight ebola? • NATIONAL CAMPAIGN: “EBOLA MUST GO! STOPPING EBOLA IS EVERYBODY’S BUSINESS~ LAUNCHED 8 DECEMBER • Launched in New Georgia by President with partners and UNMEER • Campaign will now focus weekly on the 5 priority areas – burials, isolation, reporting, contact tracing, quarantining Implementation: • National roll-out of social mobilization materials through IMS and partners (ECAP) – Priority • National roll-out of media messaging – national and local radio, GSM and PSAs • Media training and message packs • Local radio training • National roll-out of visual materials – billboards, buttons, bumper stickers • Social Media campaign – Facebook and twitter • Ministry of Information briefings focusing on community and traditional spokespeople • Presidential activities to promote campaign • Media monitoring to track message fidelity Campaign emphasizes Pledge taken by President at the launch: “I, _________________, pledge to protect myself, my family and community, because Ebola Must Go, and stopping Ebola is everybody’s business.” General Communications: • Continuing regular Information Ministry briefings and engagement with International Media • Addressing concerns about Holiday period and elections