UNITED NATIONS Angola Inter-Agency Contingency Plan Updated in February 2010 Country Date Updated Date Produced Period Covered Version Number List of Participants in Inter-Agency Contingency Planning SNPCB SPPCB HDI MICS CNIDAH LIS NCTF PCTF RC/HC UN DMT Angola February 2010 October 2008 2010 / 2011 1 Food and Agriculture Organization (FAO) International Organisation for Migration (IOM) United Nations Development Programme (UNDP) United Nations Children’s Fund (UNICEF) United Nations Population Fund (UNFPA) UN High Commissioner for Refugees (UNHCR) World Health Organisation (WHO) Acronyms Serviços Nacionais de Protecção Civil e Bombeiros - National Civil Protection and Fire fighting Services Serviços Provinciais de Protecção Civil e Bombeiros - Provincial Civil Protection and Fire fighting Services Human Development Index Multiple Indicator Cluster Survey National Cholera Task Force Provincial Cholera Task Force UN Resident / Humanitarian Coordinator UN Disaster Management Team 2 Table of Content 1. Executive Summary................................................................................................. 4 2. Introduction ………………………………………………………………………………. 6 3. Context Analysis and Risk Assessment ………………………………………………. 7 3.1. Natural disasters.......................................................................................... 8 3.1.1. Floods.................................................................................................... 8 3.1.2. Drought.................................................................................................. 9 3.1.3. Scenarios............................................................................................... 9 3.1.4. Planning Assumptions........................................................................... 10 3.1.5. Early Warning and Monitoring............................................................... 10 3.1.6. Assessments – Impact by Sector........................................................... 11 3.2. Epidemics.................................................................................................... 3.2.1 Cholera............................................................................................ 3.2.2 Viral Hemorrhagic Fever.................................................................. 3.2.3 H1N1 Influenza................................................................................ 3.2.4 Measles………………………………………………………………….. 3.2.5 Polio................................................................................................. 3.2.6 Malaria............................................................................................. 12 12 12 12 12 13 13 3.3 3.3. 3.5 3.6 13 13 14 14 Scenarios..................................................................................................... Planning Assumptions................................................................................. Early Warning and Monitoring..................................................................... Assessments - Impact by Sector................................................................. 4. Coordination and Response.................................................................................... 15 4.1. 4.2. Roles and Responsibilities........................................................................... 17 Immediate Response Mechanisms.............................................................. 22 5. Strategies and Impact.............................................................................................. 24 5.1. Monitoring and Evaluation............................................................................ 24 5.2. Weaknesses, opportunities and threats....................................................... 24 6. Annexes................................................................................................................... 25 6.1. SNPCB Organigram................................................................................ 26 6.2. Matrix of Available Stocks............................................................................ 27 6.3. Who does What Where – Field Presence.................................................... 29 6.4. TORs of the UN Disaster Management Team............................................. 31 6.5. Hydrographical Map..................................................................................... 33 6.6. Map of Mined Areas..................................................................................... 34 6.7. Provincial Profiles......................................................................................... 35 6.8. CERF Request form and reporting requirements......................................... 37 3 Executive Summary Twenty seven years of civil war, which ended in 2002, had a profound impact on all aspects of social and economic life in Angola, leaving significant parts of the country with very difficult access, destroyed infrastructure, and fractured human resource capacity. The large slums in and around urban centres have put considerable pressure on housing and access to basic social services. High urban unemployment, in particular with regard to women and youth, is still one of the biggest obstacles to stabilizing Angola. Several logistical constraints in rural areas remain obstacles to socio-economic recovery and to the free movement of people and goods. Access is greatly hampered by poor roads, deficient telecommunications and landmine infestation. Despite the recent rapid economic growth in major urban settlements throughout the country and significant wealth in natural resources, Angola’s social indicators have been consistently among the worst, with 68% of the population living below the poverty level, of which 28% live in extreme poverty. In the 2007/8 Human Development Index, Angola ranked 162nd out of 177 countries. Access to basic social services is some cases impossible due to the limited and unbalanced distribution of services across the country, which often lack equipment and technical staff. Only 66% of the population in urban areas and 38% in rural areas have access to safe water, while only 69% of the urban population and 22% of rural dwellers have access to sanitation facilities. The 2001 Multiple Indicator Cluster Survey (MICS) showed that Angola had a very high infant mortality rate of 250 deaths in children under five per 1,000 live births, with indicators of chronic malnutrition of 45 percent. Water and power supply systems are deficient in most provinces including in the capital. This difficult socio-economic context poses serious risks to the life and coping mechanisms of the most vulnerable populations, particularly in times of epidemic outbreaks or natural disasters. Angola is prone to epidemics, of which cholera and viral hemorrhagic fever have been the most frequent ones. Cholera has been ongoing since February 2006 as a result of heavy rains and floods, with 67,256 cases treated and 2,722 deaths in 2006; 18,390 cases and 515 deaths in 2007; and lastly 8,097 cases and 191 deaths in 2008. 2,019 cases and 88 deaths were reported in 2009 . An outbreak of viral hemorrhagic fever occurred in 2005 in the province of Uíge, with 252 cases and 227 deaths reported. The country has also been affected by three Wild Polio Virus (WPV) importations from India. It is worth noting that the second importation of WPV1 persisted for more than 24 months. Since January 2009, 29 WPV cases type 1 have been confirmed. Other outbreaks reported to the Ministry of Health and WHO were Measles, Meningitis, Rabies and Influenza A H1N1. Drought in the southern and south-western parts of the country has destroyed the livelihoods of rural communities and increased food insecurity. Floods pose an additional and even greater threat to life in the Angolan context because they move away (or completely remove) demarcations of mined areas, and may bring to surface unexploded ordnances and mines. Coincidently, some of the most landmine infested provinces (Moxico, Uige, Cuando Cubango, Cunene) are the most frequently affected by floods. Response to epidemics and natural disasters has been coordinated since 2005 by the National Civil Protection Service (SNPCB / Serviço Nacional de Protecção Civil e Bombeiros) within the Ministry of the Interior. At the requests of the GoA, the UN provided support during the last floods and epidemics through the Ministry of Health, the National Civil Protection Services (SNPCB) and the Ministry of Social Affairs and Reinsertion (MINARS). The GoA has the means and capacity to respond to emergencies and has taken the lead in coordinating emergency response. Following a revision of the Constitution and reshuffling of the cabinet in January 2010, the mandate of the SNPCB within the Ministry of the Interior in the overall coordination of, and response to natural disasters, came out reinforced through the appointment of a Vice-Minister of the Interior. The overall objective of this Contingency Plan is to ensure that the UNCT / UN DMT Angola is prepared to technically support the GoA in the response to emergencies and natural disasters in a timely, effective 4 and well coordinated manner. This support will be based on jointly identified needs in 2010 and 2011, with the aim of minimising the humanitarian consequences and support the early recovery of affected communities and vulnerable populations. The Contingency Plan will be updated every year and as required, by the UN Disaster Management Team (DMT)1, and adapted to the scenarios and planning assumptions stated in the future National Contingency Plan and provincial plans as soon as available. Key Social Indicators Population Neo-natal mortality rate (children <1) Infant mortality Child mortality (children <5) Maternal mortality rate Moderate malnutrition among children <5 Chronic malnutrition among children <5 Access to health services Access to potable water Access to sanitation Life expectancy Brutto per capita income Population movement Human Development Index (HDI) HIV/AIDS prevalence Population living below poverty line Adult literacy 17 million (53% in urban areas) 54 per 1,000 154 / 1,000 250 per 1,000 1,400 per 100,000 31 % 45 % ??? 66% in urban areas, and 38% in rural areas 69% in urban areas, and 22% in rural areas 41 years USD 1,980 Refugees abroad: 100,000 Returnees in country: A total of 479,104 Angolan refugees returned home spontaneously between 2003 and 2007 (410,000), in 2008 (12,770) and 2009 (2,334), whereas 54,000 others were expelled from DRC in 2009. At the same time, tens of thousands of irregular migrants are being drawn to the country by its diamond fields, and the security forces are engaged in continuing expulsions of such foreigners. 162 out of 177 countries 3.9% 68% 66.8% Source: HDI 2007-08, MICS, WHO, UNICEF, UNAIDS, UNHCR 1 The TORs of the UN DMT are part of this document. 5 2. Introduction Angola is at a turning point after a long civil war, and progressively assuming more responsibilities towards the population and reorienting the flow of international cooperation. After decades of dependency on international humanitarian and development aid, the government of Angola (GoA) has been transforming its cooperation into funding middle-to-longer term development programmes, and reinforcing its economic cooperation with other countries. Angola has a rich soil and sub-soil, unique water resources as it is crossed by some of the major rivers in Africa, great potentials for agriculture, bio-energy, water and power supply among others, which make it an extremely important international partner. The country has the potential to easily overcome the current critical socio-economic situation created by the war, and to do better than other rich countries emerging from a war which missed the opportunity to reduce social inequalities and minimize the potential for renewed conflict. Angola is a vast and yet thinly populated territory, which will significantly increase real per capita income once transparency and wealth distribution improve, and debts from warfare are paid off. However, it will take a few years until the country can recover from the destructive consequences of the 28 year old civil war. Angola still has to rebuild and rehabilitate a number of infrastructures and social services including roads, bridges, dams, water and power supply plants, schools, hospitals, health centres, and also demine. It is one of the most mined countries in the world, after Afghanistan and Cambodia. In addition to the physical destruction, there is a need to rebuild the social tissue, address social inequalities, invest in human development and reduce vulnerability, restore free movement of people and goods, improve telecommunication and enable access to remote areas of the country. Although inflation remains steady, and despite prevailing high levels of unemployment, Luanda has become the most expensive city in the world, which on one hand hampers the recovery efforts of vulnerable populations, but on the other hand may increase their chance to become a part of the development process. The country is prone to epidemics, of which cholera and viral hemorrhagic fever have been the most frequent ones. Cholera has been ongoing in Angola since February 2006 as a result of heavy rains and floods, with 67,256 cases treated and 2,722 deaths in 2006; 18,390 cases and 515 deaths in 2007; and lastly 8,097 cases and 191 deaths in 2008. 2,019 cases and 88 deaths were recorded in 2009. An outbreak of viral hemorrhagic fever occurred in 2005 in the province of Uige, with 252 cases and 227 deaths reported. The country has also been affected by three Wild Polio Virus (WPV) importations from India in 2005 (WPV1), 2007 (WPV2, which lasted for more than two years) and 2008 (WPV3). Since January 2009, a total of 29 WPV1 cases have been confirmed in the country. Besides, there were 4,005 cases of Measles including 179 deaths, 388 cases of Meningitis including 59 deaths, rabies fatal 219 cases of rabies (CFR 100%), and 37 cases of Influenza A H1N1 37. Floods and drought have been the most frequently reported natural disasters in Angola. The annual floods have led to loss of lives, destruction of housing and other infrastructures as well as agricultural land, and also to frequent landslides, deep ravines and soil erosion. Floods usually start around midJanuary until mid-April and affect most of the 18 provinces every year, and directly impact on the lives of communities living alongside main rivers (see map). The Angolan Central Plateau is the origin of some of the biggest African rivers, which flow through neighbouring countries such as Namibia, Zambia and the DRC. In 2005 the province of Kwanza Norte was flooded, and in 2007 Luanda, Bengo, Uige, Moxico, Cuando Cubango and Cunene. In 2008, floods heavily affected the southern and south western provinces of Cunene, Cuando Cubango, Huila, Namibe and Benguela. Cunene has been the most affected of all provinces, with 75% of land under water in two consecutive years (2007 and 2008). 6 Reduced rainfall in southern and south-western parts of the country frequently lead to drought which, combined with progressive soil erosion, ravines and landslides, affects mainly rural communities with limited access to the rest of the country, destroys agriculture land and livestock, and increases food insecurity. In addition, several provinces are especially prone to soil erosion (Malange, Moxico, the Lundas, Cabinda, Benguela, Luanda, Kwanza Sul, Namibe, Cunene, Huila, Kuando Kubango). As forecasted by regional meteorological sources, Angola has been affected by heavy rains / floods in the first quarter of 2010, and could be affected by deficient rainfall / drought in southern and western parts of the country during the months to come. Outbreaks of viral hemorrhagic fever, cholera and H1N1 influenza are also likely in 2010 and 2011. In case of an Ebola outbreak in the DRC, the neighbouring provinces of Cabinda, Zaire, Uige, Malange, Moxico and the Lundas could be affected. This Contingency Plan specifies existing coordination structures, immediate response mechanisms, roles and responsibilities, available resources (stocks), and field presence (who does what where). It is based on assumptions and scenarios agreed upon during a workshop held in May 2009 by the National Civil Protection and Fire Fighting Services (SNPCB)2 under the coordination of UNDP/CPR Angola, with the support of the UN Disaster Management Team (DMT), BCPR Geneva, and OCHA Regional Office (ROSA). The workshop also had the participation of the Technical Unit for the Coordination of Humanitarian Affairs (UTCAH), IOM, IFRC and UN agencies (WHO, WFP, UNICEF, UNHCR, UNDP, OHCHR). Based on the same workshop, the SNPCB elaborated a Framework for a National Contingency Plan for Natural Disasters, which has been submitted to the Minister of the Interior, the Council of Ministers and the President for approval. According to recent information, the Framework has just been approved, and the SNPCB will develop a detailed National Contingency Plan followed by provincial plans. 3. Context analysis and risk assessment Conscious of the impact of recurrent floods, drought, cholera and other epidemic diseases in Angola during the last four years as well as of the limited capacities of provincial governments to identify needs and respond to them, one of the objectives of this Contingency Plan is to improve UNCT preparedness for 2010, 2011 and beyond, taking into account lessons learned from past response, available capacities and identified gaps. The most recurrent and devastating natural disaster in Angola is floods, caused by seasonal heavy rains which bring the numerous rivers to burst their banks and damage entire provinces. The Central Plateau (Huambo, Bie, and the Lundas) is the origin of the main rivers which divide Angola in North- and South-flowing rivers. Some of them, such as the Kwanza, Zambezi and Cunene, partly flow into neighbouring countries (DRC, Namibia, Botswana). The Central Plateau is therefore the richest agricultural area in the country. Angola also benefits from a number of lakes, ponds and dams. Flooding is seasonal, with rains arriving earlier in the North and the Centre than in the South and coastal areas. Although they start in October/November, heavy rains start in February and last until May. The most affected areas are those alongside rivers and ravines. During the past four years, 2 This five day workshop had two phases: (1) Introduction to Disaster Management and the UN’s disaster response mechanisms; and (2) Contingency planning on common risk analysis and mapping including scenario building, principles, strategies and objectives, management and coordination arrangements, response planning and gap identification, consolidation of the process, and follow-up actions. 7 flooding has become stronger and more destructive, and affected the provinces in different ways, depending on geography, level of preparedness and population agglomeration. The SADC Drought Monitoring Centre, based in Botswana, foresees for the period from January to March 2010, largely normal to above normal rainfall and floods in the northern part of SADC region. In the case of Angola, the SADC foresees that flooding is more likely to occur in the southern and south western provinces between January and March 2010, and expects below normal rainfall in southwest Angola, along the coast of Namibe province. The following main rivers usually cause floods in and outside Angola: Cuanza, the largest Angolan river with nearly 1,000 km length. It flows through the provinces of Kwanza Norte, Kwanza Sul, Malange and Bie. Cunene runs through the South-Western part of the country and makes the boundary between Angola and Namibia. Cuando flows through the province of Cuando-Cubango, forms the boundary between Zambia and Angola, and flows into Namibia. Cubango is the Angolan part of the Okavango River (the fourth-largest river system in southern Africa), which forms part of the Angola-Namibia border and flows into Botswana. Cuango flows northwards out of Angola into the Congo River, which forms the boundary between Angola and the DRC. Zambezi, the fourth-longest river in Africa, crosses Moxico at the border with Namibia, Zambia and Zimbabwe. 3.1 Natural disasters 3.1.1 Floods 2009: In March, abnormally heavy rains3 affected an estimated total of 220,000 people in Cunene, Cuando Cubango, Moxico, Malange, Bie, Huambo and Lunda Sul provinces. This caused the death of 22 people4. Cunene was the most affected province, with 920 mm of rains which caused 13 deaths and displaced 52,646 people, of whom 25,000 were living in relocation camps in Ondjiva. According to the local Government, several primary and secondary roads, access routes, bridges and water/sanitation facilities were damaged, 225,000 hectares of agricultural land destroyed, and 363,000 animals at risk of death. Second most affected province was Cuando Cubango, with 30,000 people directly affected and 12,000 displaced in Menongue, Calai, Cuangar, Dirico, Rivungo, Cushi and Mavinga, which became inaccessible due to flooded and unusable main roads and airstrips. Even with helicopters, thorough assessments are difficult /impossible due to long distances to be covered. Some areas were accessible through Namibia but not from within Angola. Regional cooperation with neighbouring countries in early warning, monitoring and evaluation of needs is therefore of paramount importance. Third most affected province was Moxico, with 44,000 people without shelter, 12,000 displaced and 1,048 houses destroyed, mainly in Luau municipality. Destructions happened along the rivers Luau, Casai, Zambezi and Cuando. 3 4 Above 800 mm of rain compared to an average of 500-600 mm. Mostly by drowning, but also by falling houses, by crocodiles and hippos. 8 Upon GoA request for assistance, the UNCT used funds provided through the CERF to provide support in health, water and sanitation, and shelter. A UN / USAID / Civil Protection delegation visited locations in Cunene and Menongue in Cuando-Cubango province5 and made the following recommendations: (1) food assistance to those populations directly and indirectly affected by floods and drought in remote areas of Cunene province, and support to increase livestock (restock, vaccination) as a way to improve food security; (2) more shelter material and other NFIs; (3) support to the WASH sector including rehabilitation of sanitation facilities; (4) support to livelihoods recovery for rural households through targeted cash-forwork to generate income; (5) support DRR beyond post-flood recovery through early warning systems, flood risk-mapping and community preparedness; (6) strengthening national early warning for food security. These recommendations have so far not been implemented, although the National Civil Protection Services (SNPCB) have been working on mapping of flood-prone areas in Luanda and Benguela. From November 2009 to February 2010, an estimated total of 7,500 people were affected by floods and landslides in 11 provinces. As a result, 18 people were killed, 24 wounded, 3,538 families (14,451 individuals) temporarily displaced, nearly 800 houses and other infrastructures completely destroyed, an additional 188 houses damaged, and 230 crop fields submerged. The most affected provinces were Moxico (Luena), Cuando Cubango (Menongue), Cunene, the Lundas, Bie and Uige. So far no assistance has been provided to the affected population. However, the GoA has promised to build 2,700 houses for the victims. In some cases this is the fourth year in a row that these areas are being flooded. Repeated floods can only increase the needs identified during previous crises, and further deplete the populations of their remaining coping mechanisms. In all affected provinces, crops have been destroyed for two years in a row (2008 and 2009) due to a combination of floods, soil erosion and drought. The food security situation will be exacerbated in case of heavy floods again in 2010 and 2011. In Cunene province, cases of malnutrition were reported in 2009 in connection with recurrent floods and drought. 3.1.2 Drought The areas likely to be most affected by drought in 2010 and beyond are those covered by the Kalahari desert. But climate change may increase the possibility of drought in other dry areas. Drought is also seasonal in Angola and affects mainly the southern and southwestern provinces and regions. The dry season starts in mid May and continues until mid September. 3.1.3 Scenarios The preparations for the response to floods and drought are based on the following three scenarios: Best case scenario: Flooding caused by heavy but short rains, affect 100,000 people (20,000 households). People are temporarily evacuated but return to their homes shortly after the rains. No significant damage to infrastructures. In case of drought, 20,000 households would leave their places in search of water sources for people and cattle, and arable land. They would put a stress on receiving communities and require assistance from the local government in the form of shelter, food and non-food items particularly seeds, tools and arable land. Civil Protection (SNPC) supports the local governments and communities, and does not require external assistance. Worst case scenario: Heavy rains with landslides over several weeks cause the main rivers to burst their banks and flood entire cities and villages, including mine contaminated areas. 500,000 (100,000 families) people are evacuated and need assistance. Outbreaks of meningitis, measles, increased malaria, cholera 5 Access constraints prevented the mission from visiting other municipalities besides the capital of Cuando Cubango. 9 and other water borne diseases due to water and soil contamination, and lack of basic and routine health services. Widespread drought in the southern and south-western provinces (Cunene and parts of Namibe) leads to massive population displacement in search of water sources and arable land, coping mechanisms and immediate assistance. Civil Protection (SNPC) provides support to local governments but requests international assistance. International aid would include the provision of heavy equipment, shelter material, water and sanitation, health and nutrition services, demining, mine awareness, support to the rehabilitation of homes and social infrastructures, and the provision of food and non-food items including seeds, tools and arable land. Most likely scenario: Heavy rains over more than two weeks cause localised simultaneous flooding in several provinces, displace 300,000 people (60,000 families) in urban and rural areas, and lead to waterborne diseases including a significant increase in malaria and cholera cases. People are evacuated to temporary shelter. Based on previous experience, urban areas most affected by floods would be Luanda, Cabinda, Benguela, Huila, Namibe and Cunene. Most affected rural areas would be Kwanza Norte (Dondo), Bengo, Uige, Moxico (Cazombo, Luau) and Cuando-Cubango. In the dry season (June to September), slow onset drought affects 300,000 people in the southern provinces of Cunene and parts of Namibe and lead to loss of cattle. Civil Protection (SNPC) provides support to local governments and communities, but requests additional support from international partners to assist the affected population in the form of shelter material, water supply, sanitation, health and nutrition services, agriculture, rehabilitation of homes and public infrastructures, and support to other early recovery activities. 3.1.4 Planning assumptions In case of natural disasters, the National Civil Protection Service (SNPC) maintains a presence in each province and has the technical and human resources capacity to provide immediate response. It may request international assistance in case of a major emergency like the floods in March/ April 2009. The SNPC may also liaise with the CNIDAH with regard to demining or demarcation of mined flooded areas. Nearly 300,000 people (60,000 families) could be affected by floods in 2010, and the same number by drought. The UN would support GoA leadership in coordination, assessment and emergency assistance, monitoring and strengthening early warning mechanisms. For details, please refer to the chapter on Coordination below. 3.1.5 Early warning trigger and monitoring Natural disasters: Based on national early warning mechanisms and meteorological services (INAMET), the National Civil Protection Service (SNPC) and its provincial bodies inform the UN DMT operational lead6 about floods, landslides, storms, heavy rains, drought and their impact on populations. The UN DMT operational lead monitors UNOSAT and other international satellite and imagery systems to anticipate any natural disaster in the region which could affect Angola. Provincial MINADERP and “Estações de Desenvolvimento Agrário” inform UN food security focal point (FAO) on impending drought and its impact on local population, food security, nutrition and environment, and supports national early warning mechanisms for food security. UN and NGO field offices report on floods, drought and disease outbreak. Disease outbreak: 6 The DMT operational lead in 2010-2011 is UNICEF, supported by UNDP/CPR. 10 National or provincial Governments request UN support in disease investigation and treatment (e.g. viral hemorrhagic fever) through UN health focal point (WHO). MINSA detects cases of H1N1 Influenza in Angola, informs UN focal point (WHO) and requests support. National Cholera Task Force reports significant increase in cholera cases and requests UN technical assistance (WHO). Monitoring: SNPC is in the process of strengthening cooperation in early warning and monitoring with neighbouring countries (ROC, DRC, Botswana, Namibia) with regard to natural disasters and epidemics. The UN could support this process through UNOSAT and DRR expertise (UNDP / CPR). FAO will assist MINADERP’s Food Security Cabinet (GSA) in revitalizing existing, or establishing new Early Warning System facilities (EWS), and MINADERP’s Institute of Vet Services in putting in place a preventive system against H1N1 of animal origin. 3.1.6 Assessments – Impact by sectors Protection: Potential loss of lives, displacement of populations, risk of mine accidents due to the movement of people into new, unfamiliar areas which may be mined. Emergency demining and mine awareness campaigns as well as immediate demarcation of mined areas would be required. IDP locations should be checked against the LIS and the national database (CNIDAH). Sexual abuse in temporary shelter, gender based violence, and loss of income for women involved in agriculture and small business. Water and sanitation: In case of floods, breakdown of water and sanitation facilities, damage of sewage systems and water treatment facilities, disruption of water and power supply services, and contamination of water sources by debris, landslides, sewage and decomposition of corpses. In case of drought, lack of access to water and sanitation facilities, increased risks of illness and significant population movement in search of water. Health/nutrition: Increase occurrence of epidemic prone diseases such as cholera, dysentery, diarrhoea, malaria, measles, meningitis, hepatitis, eye and skin diseases, acute respiratory infections, and increased spread of HIV/AIDS. Damaged health facilities, loss of medical equipment and drugs, disruption of health, HIV/AIDS, child immunization and other public health services, and increased complicated deliveries due to lack of access to health facilities. Shelter: Destruction of housing and community infrastructures, population displacement, and need to move affected households to temporary shelter. Food security and agriculture: Loss of crops and livestock, disrupted or destroyed household food supply, erosion of arable land, food shortage, disruption of school feeding programmes, food insecurity and increased malnutrition among the most vulnerable populations, soaring food and fuel prices, and reduced coping mechanisms. Infrastructure: In addition to damaged shelter, health posts and centres, school buildings and water supply systems, destruction of housing and public infrastructure such as bridges, roads, power supply and communication plants. Use of public institutions (classrooms, health centres) for temporary shelter. Need to build back better (early recovery activities). 11 3.2. Epidemics 3.2.1 Cholera A cholera outbreak has been ongoing in Angola since February 2006, and is now on a downwards trend. 88% of these cases were reported in the provinces of Uige, Malange, Huambo, Benguela, Huila and Namibe. Year 2006 2007 2008 2009 2010 (January only) Total Cases 67,256 18,390 8,097 2,019 179 Deaths 2,722 515 191 88 8 95,931 3,524 3.2.2 Viral Hemorrhagic Fever The most significant viral hemorragic fever outbreak occurred in the province of Uíge in 2005, with 342 cases and 298 deaths. Viral Hemorrhagic Fever (MHF) outbreaks do not follow a specific season. However, the risk of outbreak is high due to population movement along the border with the DRC, where cases of MHF and Ebola have been recorded. Like Ebola, the disease needs to be detected and diagnosed on time in order to reduce the risk of spreading to other areas. It does not have any proper treatment and therefore needs to be carefully handled. 3.2.3 H1N1 influenza During the period from June to October 2009, 37 cases of H1N1 influenza were identified in three provinces and successfully treated according to WHO guidelines. Of these, 33 cases were recorded in Luanda, 2 in Huila, and 2 in Bengo. While H1N1 pandemic has been decreasing worldwide, new cases were reported in West Africa in January 2010, with 18 confirmed in Kenya, 14 in Senegal, one in Cameroun, some in Mauritania, and one case in South Africa. This could mean the beginning of the spread of the disease in the African Continent. Angola shares borders with five African countries and could be exposed to the spread of the disease. For details on preparedness, prevention, treatment, stocks and surveillance mechanisms, please refer to the UN Contingency Plan on Influenza Pandemic which was updated in 2009. 3.2.4 – Measles From May to October 2009, 4,005 cases and 179 deaths were reported to the Ministry o Health and WHO in 14 provinces. The most affected ones were Benguela (729 cases, 98 deaths), Huambo (557 cases, 12 deaths), Bié (485 cases, 19 deaths) and Cunene (843 cases and 22 deaths). It is worth noting that in Cunene, the most affected age groups were adults aged 20 to 29 years, with an average of 4 cases per 1,000 inhabitants, while the infection rate among children under five years of age was lower, at 3.2 per 1,000. All districts were affected, particularly rural communities in Kwanhama, Kuroca and Namacunde (4, 3 and 2 cases per 1,000 inhabitants respectively). The campaign carried out in September did not result in good coverage, mainly because instead of dealing only with the recommended target group of children from six months to five years, vaccination was expanded last minute to all children under fifteen years of age. As a result, Kahama and Kuroca achieved only 57% and 43% of the results respectively, instead of more than 90% in other districts. 12 3.2.5 – Poliomyelitis Since 2005 there have been three Wild Polio Virus (WPV) importations from India: the first in 2005 (WPV1) the second in 2007 (WPV1), and the third in 2008 (WPV3). 29 WPV1 cases have been confirmed since January 2010. The health facility network is insufficient to adequately cover all the population, especially in rural areas and highly populated urban slums. While the need for routine OPV3 coverage has declined from 75% in 2007 to 66% in 2009, this is still too low to prevent importations. 3.2.6 - Malaria During the floods in Cunene and the massive return of Angolans from the DRC in 2009, the Ministry of Health requested UN support for Malaria prevention and treatment. The package included rapid distribution of long lasting, insecticide treated mosquito nets by UNICEF; provision of rapid diagnostic test kits (RDT); drugs for treatment of complicated Malaria; and refresher training on management of Malaria in emergency situations. Given the potential epidemic risk in the region during the second quarter of the year, the national health authorities decided to integrate Malaria indicators in the epidemics rapid alert system of the Southern African Region. 3.3 Scenarios Best case scenario: The number of cholera cases remains stable or decreases during 2010 despite floods and inadequate access to safe water, sanitation and hygiene conditions outside capitals. Improvements in epidemic prone diseases surveillance, in particular vaccination and acute respiratory diseases. No outbreak of viral hemorrhagic fever and H1N1 Influenza. Worst case scenario: Significant increase in cholera cases to more than 15,000 particularly in rural areas, due to heavy rains and floods over several weeks in several provinces, which contribute to the contamination of main water sources, damage of water treatment facilities, disruption of fresh water supply, and breakdown of health services and sanitation facilities. Occurrence of outbreak of viral hemorrhagic fever and of a second wave of H1N1 Influenza at border areas (DRC, Namibia, South Africa). Ministry of Health and Civil Protection (SNPC) provide support to local governments, and request international assistance in disease surveillance and treatment. Most likely scenario: Increased number of cholera cases (5,000) as a result of heavy rains and floods over several weeks, which damage water and sanitation facilities in several provinces. Increased number of hospitalized severe cases of acute respiratory diseases, malaria, outbreak of viral hemorrhagic fever and H1N1 Influenza at the border with the DRC and Namibia. Ministry of Health and Civil Protection (SNPC) provide support to local governments and communities, but request UN support for disease confirmation, surveillance and monitoring, treat water sources and water storage systems, and rehabilitate sanitation facilities. 3.4 Planning assumptions In case of a major disease outbreak, the Ministry of Health and the National Civil Protection Service (SNPC) have the technical and human resources capacity on the ground to provide immediate response. They may request international assistance in case of a major emergency such as an outbreak of viral hemorrhagic fever, H1N1 Influenza, or a significant increase in cholera cases. The UN would need to support GoA leadership in coordination, assessment and provision of assistance, but also in monitoring and strengthening disease surveillance and treatment. 13 3.5 Early warning and monitoring The National Civil Protection Service (SNPC) is in the process of strengthening cooperation in early warning and monitoring with neighbouring countries (DRC, Namibia) with regard to epidemics. SNPC and its provincial bodies inform the UN DMT operational leader / focal point about the outbreak of new diseases or an increase in cholera cases. UN and NGO field offices report disease outbreak or an increase in cholera cases. Ministry of Health and provincial Governors request UN support in disease investigation and treatment (e.g. viral hemorrhagic fever, H1N1 pandemic influenza) through UN health focal point (WHO). National Cholera Task Force reports significant increase in cholera cases and requests UN technical assistance (WHO for health, UNICEF for WASH). FAO will contribute to reinforce the existing early warning system mechanisms or assist in setting up such mechanisms in the framework of MINADERP operations. The intended early warning system would apply to both agriculture and livestock sub-sectors. 3.6. Assessments – Impact by Sectors Protection: Loss of lives. The UN would need to support national communication and information campaigns as a cross-cutting issue, in order to raise awareness of the population on the risks of a massive spread of contagious diseases. Water and sanitation: Need to improve the provision of safe water and sanitation services to the population, reinforce contingency stocks, and undertake an intensive social mobilisation campaign. Special attention is required to improve cholera treatment, as the water and sanitation situation has not improved since the last cholera epidemic (breakdown of water and sanitation facilities, damage of sewage systems and water treatment facilities, disruption of power supply services, contamination of water sources). This also requires the timely preposition of supplies, and hygiene awareness campaigns. The treatment of cholera and other epidemic diseases is also directly connected to the relatively high prevalence of HIV/AIDS cases in Angola, as they are more vulnerable to epidemics and diseases in general. Health/nutrition: WHO would need to support the GoA in detecting and monitoring cases causing concerns to the public health, containing them to a limited geographic area, set up effective case management infra-structure and logistics, and educate the population on risks and precautions to take. The Government has reportedly identified a referral hospital in Luanda, which needs to be adequately equipped and staffed for this purpose. Shelter: An outbreak of viral hemorrhagic fever or H1N1 influenza would require referral hospitals and dedicated personnel in order to contain the spread of the disease. Food security: Increased food insecurity and malnutrition of affected families due to isolation, disrupted household food supply, and reduced access to school feeding programmes. 14 4. Coordination and Response SNPCB The National Civil Protection Service (SNPCB) is the lead body in the coordination and provision of emergency assistance in Angola. Upon request, the UN DMT provides technical support and complements the activities of the SNPCB to implement national emergency response actions. Supplies provided by the UN are transported through the SNPCB or its provincial bodies. SNPCB was founded in 2003 and is led by the Vice-Minister of the Interior, who reports directly to the President of the Republic. SNPCB is a service of the Civil Protection Commission of the Ministry of the Interior, which is an inter-ministerial body made up of representatives of the key line ministries including Defence, Social Affairs and Reinsertion. It is represented at the provincial level by the Provincial Civil Protection and Fire Fighting Services (SPPCB), which is led by the Vice-Governors for Social Affairs, and constituted by the key line provincial departments. For more details see organigramme of the SNPCB Directorate General below. MINADERP / FAO Regarding the response to food, agriculture and livestock crises, coordination is under the leadership of MINADERP with FAO assistance. A specific coordination mechanism is still to be put in place by MINADERP and FAO, and should be linked to an Early Warning mechanism that is currently being established. NCTF The National Cholera Task Force (NCTF) is a multi-ministerial body led by the Ministry of Health (MINSA), and the lead body in the response to a cholera outbreak. It is composed of MINSA, Luanda Municipal Health Administrators, the Ministry of Energy and Water (MINEA), Civil Protection (SNPCB), the Armed Forces, the Luanda Water Company (EPAL), the Luanda Sanitation Company (ELISAL), UNICEF, WHO, NGOs and other bodies involved in cholera response. MINSA and WHO are responsible for epidemiological surveillance, recording of cases reported per municipality at the national level, disease case management and health units. A sub-working-group on water and sanitation meets once a week at the national level. MINSA has formed a unit for cholera logistics which provides essential items nationwide, including those from UNICEF and WHO. At provincial level, the Provincial Cholera Task Force (PCTF) is based in, and coordinated by the Governor’s Office. UN DMT The UN Disaster Management Team is chaired by the RC/HC and composed of all Heads of agencies involved in emergency and natural disaster coordination / UN Country Team: FAO, IOM, UNAIDS, UNDP, UNDSS, UNFPA, UNHCR, UNICEF and WHO. The DMT meets twice a year, ideally before and during the rainy season, in September and February, to discuss modalities of cooperation with, and technical support to Civil Protection (SNPCB / SPPCB); overall UN emergency preparedness and response capacity; and need to update the UN Contingency Plan. In the event of a significant humanitarian crisis, other emergencies or natural disaster, the RC/HC convenes the DMT at least twice a month, to agree on the level of support to be provided to the Government at national and provincial levels. At the technical level the DMT is led by a UN agency focal point and made up of all UN agency focal points for emergencies and natural disasters. The operational leader is designated on a rotational basis for two years, and supported by another agency focal point. UNICEF will be the operational leader in 2010 and 2011, with the support of UNDP / CPR. Partners meeting During the floods in 2009, a co-ordination body made up of UN, NGOs and CSOs met over the duration of the emergency to manage the response and the support provided to Civil Protection (SNPCB / SPPCB) in Cunene and Cuando Cubango provinces. In the event of an emergency, this group would be 15 convened by the National Committee of the Red Cross, although any member of the group can call such a meeting. Civil Protection will be invited to all meetings as the lead body in national emergency response. Clusters Although Angola has not formally adopted the Cluster approach, it has identified six key sectors/clusters, led by the respective line ministries (Cluster Leads) which are relevant for UN operations in the country: health (MINSA + WHO), WASH (Ministry of Energy and Water / MINEA + UNICEF), protection (UNHCR), food security and agriculture (MINADERP + FAO), shelter and camp management (IOM), and early recovery (UNDP). Thematic groups In addition to the above and to the usual UN coordination structures, there are specific thematic group meetings coordinated by several partners in cooperation with donors / member states. They include food security and agriculture (FAO), demining (UNDP / CPR), health (WHO), water and sanitation (UNICEF), education (UNICEF), human rights (Netherlands), poverty reduction (UNDP), private sector (UNDP), and vocational training (Norway). 16 4.1. Roles and Responsibilities Natural Disasters – Floods and Drought Cluster Health Agency Lead Specific Areas of Intervention Field Presence Implementing Partners Contact / Focal Point 1st lead agency (WHO) 1. 2. 3. 4. 5. Epidemiological surveillance Emergency and surveillance health worker training Provision of health and diarrheal kits Bio-security (laboratory and health units) Monitoring Case Management procedures National Provincial Officers in 18 provinces EHA: Medicus Mundi (Luanda) Dr Balbina Félix – DPC Officer Office Phone: 222 322398 Mobile Phone: 924 32 9606 2nd lead agency (UNICEF) 1. Support the establishment or restoration of essential primary health-care services; provide outreach services and homebased management of child/neonatal illnesses and emergency obstetric care services, including commodities for malaria, diarrhoea and pneumonia. Luanda, Zaire, Uige, Huila, Bie, Moxico, Cunene. MOH, Provincial Directors of Health and NGOs (CUAMM, MSF, ADPP, OXFAM, Mentor, ACF, Medicos do Mundo) bco@unicef.org 2. 3. Immunization: ensure that all children between 6 months and 14 years of age are vaccinated against measles, and that all children from 6 months through 59 months are immunized against Poliomyelitis. Ensure that vaccines and critical inputs such as cold-chain equipment, training and social mobilization expertise, and financial support for advocacy and operational costs are provided. 4. Vitamin A supplementation with Zinc for children from 6-59 months. 5. Provide essential drugs, emergency health kits, delivery kits, family hygiene kits, post-rape-care kits where necessary, low osmolal oral rehydration mix, RUTFs, fortified nutritional products and micronutrient supplements. 6. Based on rapid assessments, provide infant, child and maternal feeding guidelines, including breast feeding and complementary feeding guidelines: support the setting up of community therapeutic and supplementary feeding programmes with WFP and NGO partners. 7. Introduce health and nutritional monitoring and surveillance sagbo@unicef.org agostinho.lutumba@gmail.com lutumbaagostinho@yahoo.com.br laide67@hotmail.com aldamorais@yahoo.com.br paulina_semedo@hotmail.com luisafatima@hotmail.com system. 3rd lead agency (UNFPA) 8. Train health providers and social mobilization actors, and equip health facilities with basic essential newborn and obstetric equipment. 1. Provision of emergency reproductive health services (prevention of maternal and neo-natal morbidity and mortality) Prevention of HIV infection Provision of dignity kit Manage the consequences of sexual violence None Provision of household-level water/hygiene kits (chlorine tablets, bucket with lid and soap) Water treatment at source, and local water storage systems Drilling of bore wells and equipment with hand pumps Promotion of safe hygiene practices (hand washing, use of safe water, use of latrines) Support construction of adequate sanitation facilities (household or community/collective systems), promotion of household toilets. Luanda, Malange, Huambo, Huila, Moxico, Cunene. SEA, MINAMB, OXFAM, CVA Luanda, Benguela, Bie SEA, MINAMB, CVA, UNICEF 2. 3. 4. WASH 1st lead agency (UNICEF) 1. 2. 3. 4. 5. 2nd lead agency (OXFAM ??) (Pls check with OXFAM) Francisco Kapalo Ngongo Tel: 922-909-181 ngongo@unfpa.org Antero de Pina apina@unicef.org Manuel Eduardo meduardo@unicef.org Gabriel de Barros GDeBarros@oxfam.org.uk Erna van Goor EVanGoor@oxfam.org.uk Protection 1st lead agency (UNHCR) 1. 2. 3. 4. 1. 2. Shelter/camp management Agriculture and food security 2nd lead agency (UNFPA) 1st lead 1. agency (IOM) FAO 1. 2. 3. Transport/ IOM Monitoring of individual cases and prevention of incidents; Ensure protection from sexual and gender based violence or other types of violence Security and safety Child protection (with UNICEF) Prevent gender based violence Ensure that pregnant women have access to professional medical care Provides shelter material Distribution of agricultural seeds and tools Veterinary assistance for poultry and small ruminants Provision of technical assistance 18 None Luanda, Uige, Moxico IDA/EDA extension workers, and FAO project teams IDA/EDA, veterinary services, PESA, SANGA and NGOs Jorge.Panguene@fao.org Tel: +222 325-757 +222 327-108 +912 328-801 +924158-440 Logistics/ Comms Early Recovery UNDP / CPR 1. 2. Early Warning FAO, UNDP / CPR Provision of surge capacity to RC’s Office, UN DMT and UNCT, to augment emergency coordination capacity. Support spontaneous recovery initiatives by affected communities, and establish foundations for longer-term recovery. James Martin, CPR Unit Manager james.martin@undp.org Susete Ferreira, CPR Advisor Susete.Ferreira@undp.org Early Warning, Disaster Risk Reduction, Environmental Security: Regional project, Kawango river (floods monitoring) Paulo Vicente paulo.vicente@fao.org James Martin, CPR Unit Manager james.martin@undp.org Susete Ferreira, CPR Advisor Susete.Ferreira@undp.org UNICEF WHO Civil Protection / UNDP Stocktaking of facilities, mapping and training of technical staff: (technical assistance, monitoring and evaluation in health and education) Disease surveillance, stocktaking, mapping; staff deployment in 18 provinces for disease surveillance; Service Availability Mapping project, funded by EU in 5 provinces Monitoring rivers (monitoring stations along rivers) bco@unicef.org James Martin, CPR Unit Manager James.martin@undp.org Susete Ferreira, CPR Advisor Susete.Ferreira@undp.org Capacity Building EU IFRC Regional monitoring – Zambezi river (Zambia based) Regional monitoring – Zambezi river valley FAO, OCHA Namibia Civil Protection EU Regional monitoring – Zambezi river valley Regional geo-spatial monitoring IFRC + National Red Cross Italy Capacity building of provincial authorities Portugal UNDP /CPR Zambia based Project in 5 countries In planning stage In planning stage Information Management: Interest in funding information management system Cunene province Capacity building National Civil Protection Services: 2 SNPC staff trained in Switzerland Technical support to SNPC: Cooperation agreement Capacity building: Contingency Planning (May 2009) 19 UNICEF IOM Mine Action UNDP Training of Civil Protection staff on operations: 4 sessions of one week each Training on HIV/AIDS in an emergency context: Planned workshops at provincial level National and international team providing technical and advisory support / capacity development to National Institute of Demining and support to Mine Action Database (CNIDAH) All 18 provinces INAD, CNIDAH Luke Atkinson, PM Mine Action Stephen.Atkinson@undp.org James Martin, CPR Unit Manager james.martin@undp.org Epidemics – Cholera, Viral Hemorrhagic Fever, H1N1 Influenza and others Cluster Health Agency Lead 1st lead agency (WHO) Areas of Intervention 1. 2. 3. 2nd lead agency (UNICEF) 1. Epidemic Prone Diseases surveillance, prevention & case management Social mobilization for detection & early treatment (communities and schools) with NGO/CSO) Coordination Mechanism at central and provincial level Implementing Partners National Provincial Officers in 18 provinces Laboratory surveillance: CDC Contact Dr Balbina Félix – DPC Officer Office: + 224 - 222 322398 Mobile: +244 - 924 32 9606 Malaria: RTI - Huíla and Namibe (2007) Conduct rapid assessment to determine the number of cases, population, existing capacity and access to health facilities and health workers. 2. Provide cholera treatment supplies such as oral rehydration mix. 3. In the event of an outbreak of cholera, ensure that essential drugs and medical supplies are provided along with other critical inputs and financial support for advocacy and operation costs (following the ‘Checklist for Cholera Response’) 4. Field Presence Luanda, Zaire, Uige, Huila, Bie, Moxico, Cunene. MOH, Provincial Directors of Health and NGOs (CUAMM, ADPP, OXFAM, MSF, Mentor, ACF, Medicos do Mundo) bco@unicef.org sagbo@unicef.org agostinho.lutumba@gmail.com lutumbaagostinho@yahoo.com.br laide67@hotmail.com aldamorais@yahoo.com.br Support the establishment of essential health-care services, including by providing outreach services (such as CTCs) paulina_semedo@hotmail.com 5. Provide cholera treatment supplies. luisafatima@hotmail.com 6. In coordination with WHO provide technical support to MOH/DPSN to monitor situation and coordinate response actions. 7. Provide technical oversight and coordination on the messages for cholera awareness; training of activists and distribution of posters and leaflets. 20 WASH 1st lead agency (UNICEF) 1. Provision of household-level water/hygiene kits (chlorine tablets, bucket with lid and soap) 2. Water treatment at source and local water storage systems 3. Drilling of bore wells and equipment with hand pumps 4. Promotion of safe hygiene practices (hand washing, use of safe water, and use of latrines) 5. Support construction of adequate sanitation facilities (household or community/collective systems). 2nd lead agency (OXFAM??) Cunene, Huila, Moxico, Huambo, Luanda, Malange SEA, MINAMB, OXFAM, CVA Antero de Pina apina@unicef.org Manuel Eduardo meduardo@unicef.org Luanda, Benguela, Bie CEA, MINAMB, CVA, UNICEF Gabriel de Barros GDeBarros@oxfam.org.uk Erna van Goor EVanGoor@oxfam.org.uk Protection 1st lead agency (UNHCR) Shelter/camp management Agriculture and food security 1st lead agency (IOM) 1st lead agency (FAO) Transport/ Logistics/ Comms Early Recovery 1st lead agency (IOM) 1st lead agency (UNDP / CPR) 1. Monitoring of individual cases and prevention of incidents; 2. Ensure protection from sexual and gender based violence or other types of violence 3. Security and safety 4. Child protection (with UNICEF) 1. Animal vaccination against recurrent epizootics, and H1N1 prevention against animal diseases, monitoring and evaluation 2. Distribution of kits for specimens’ collection 3. Traditional poultry monitoring 4. Distribution of seeds and working implements Inst Vet Services, FAO project staff, Livestock Service Providers, IDA/EDA, NGOs Vet Services, IDA/EDA, PESA, NGOs Jorge.Panguene@fao.org 222 325-757 222 327-108 912 328-801 / 924158-440 1. Provision of surge capacity to RC’s Office, UN DMT and UNCT, to augment emergency coordination capacity. 2. Support spontaneous recovery initiatives by affected communities, and establish foundations for longer-term recovery. Luanda UNCT, line ministries James Martin, CPR Unit Manager james.martin@undp.org 21 Susete Ferreira, CPR Advisor Susete.Ferreira@undp.org 4.1. Priority 1 2 Immediate Response Mechanisms Activity Responsible First 24 hours SNPCB through UN DMT focal point informs RC and UNCT on natural disasters; WHO informs RC and UNCT in case of disease outbreak or significant increase in cholera cases. SNPCB liaises with INAD, CNIDAH and UNDP / CPR regarding possible need to demine flooded areas and others affected by landslides. Timeframe WHO Rep + UN DMT focal point Immediately UNDP / SNPC Immediately Focal Point WHO Rep + designated UN DMT focal point UNDP Mine Action focal point 3 RC liaises with relevant ministries regarding outcome of initial assessments done by the GoA RC Within 12 hours RCO Coordinator 4 RC liaises with UN Regional Office as well as with Geneva (BCPR, ISDR) for exchange of information and to request deployment, if required, of a Regional Disaster Response Advisor, a DRR specialist, or an Early Recovery Advisor, to support UNCT and Government. RC Immediately RCO Coordinator 5 RC calls for special Humanitarian Country Team / DMT meeting (including UNDSS) to agree on appropriate action and internal division of tasks RC Within 12 hours RCO Coordinator 6 First Sitrep in cooperation with Regional Office – inform HQs, donors, NGOs, other relevant stakeholders RC Within 12 hours RCO Comms Officer 7 Agencies brief all staff in case of major events /epidemics UN Cluster leads Within 24 hours Cluster focal points RC + Vice-President + GoA Cluster Leads Within 48 hours RCO Coordinator + + UN Cluster Focal Points RC + GoA Cluster Leads RC Within 48 hours Within 48 hours UN Cluster Focal Point RC Comms Officer + UN Cluster Focal Points 9 First 48 hours Vice-President calls for meeting with RC, concerned Ministries and other relevant partners including donors, NGOs and civil society, and agree on way forward (joint needs assessments, GoA interventions, available resources, need for an Emergency Response Plan and UN technical support) RC and GoA issue joint press statement and announce response strategy 10 RC requests CERF funds if required 8 22 11 UN Cluster Focal Points monitor evolution of situation and brief RC UN Cluster Focal Points Daily 12 GoA + UN issue Emergency Response Plan if required RC + GoA Within 48-72 hours 13 GoA and UN prepare joint needs assessment to affected areas 14 UN issues second Sitrep on evolution of the situation RC + GoA Cluster Leads RC Within 48 hours Within 48 hours 15 Second Week GoA and Humanitarian Country Team undertake joint needs assessments RC + GoA Cluster Leads UN Cluster Focal Points RC Within 6-8 days Within 10 days Weekly Within 12 days 16 17 18 Humanitarian Country Team supports GoA in analyzing, evaluating and sharing results of needs assessment Revision of Emergency Response Plan if required (depending on outcome of joint assessments and GoA contributions) UN supports GoA in holding weekly Cluster coordination meetings with concerned partners 19 Third Sitrep in cooperation with Regional Office RC +GoA Cluster Leads + UN Cluster Focal Points RC 20 Response Plan published (Reliefweb through Regional Office) RC 23 Within 12 days Weekly RC Coordinator + UN Cluster Focal Points RCO Coordinator + UN Cluster Focal Points + UN Regional Office RC + UN Cluster Focal Points RC Comms Officer RCO + UN Cluster Focal Points RCO + UN Cluster Focal Points UN Cluster Focal Points RCO + UN Cluster Focal Points RCO Comms Officer RCO Coordinator + RCO Comms Officer + agencies emergency focal points 5. Strategies an Impact 5.1. Monitoring and evaluation Proposed measures to strengthen monitoring and evaluation of response provided: 5.1. - Agreement between the UN and the Government on the formal establishment of the cluster approach to strengthen coordination among partners including donors, NGOs and other members of civil society. - Weekly meetings held by Government cluster leads (Government, UN, donors, NGOs, IFRC, Red Cross) in case of an emergency or natural disaster (see matrix of immediate response). - Close cooperation between UN DMT, the national Red Cross and Civil Protection (SNPCB): regular exchange of information; SNPCB / UN DMT meetings twice a month; participation of the DMT focal point in operational meetings of the SNPCB and vice-versa; joint field / evaluation missions. - WHO: Sharing of information on emergency and adverse health events according to the implementation in Angola of the International Health Regulation (IHR 2005) - FAO: Support national early warning, monitoring and evaluation systems for agriculture and food security. Weaknesses, opportunities and threats Telecommunications: Radio communication will not be operational because not all UN focal points have a VHF radio or know how to use the frequencies. The telephone network is not functional in most provinces. Besides, lack of a mobile net service keeps Cunene, Cuando Cubango, Moxico and Namibe provinces to some extent isolated from the rest of the country. Infrastructures and services: Health centres and hospitals in the provinces are not sufficiently equipped and prepared to deal with new epidemics and keep patients isolated (viral hemorrhagic fever, H1N1 Influenza). There is no information about the status of preparedness of referral hospitals in Luanda and other provinces. Water and sanitation services are inadequate to cope with sudden epidemics. There is no information about the availability of seeds and tools for distribution during the rainy season, and there is limited distribution capacity. National preparedness: National response mechanisms for natural disasters are in place at central and provincial levels, and the Framework for Contingency Planning has just been approved. However, the National Contingency Plan is yet to be prepared. The UN DMT could support the preparation of the Plan and ensure that UN recommendations are taken into account. Public information and awareness: The National Contingency Plan should include a public communication and information strategy to keep the population informed about risks, early warning and preparedness measures, sudden onset emergencies / epidemic outbreaks / natural disasters, and assistance provided to affected populations. Communication and information sharing between the Government and other national and international partners is also week and needs to be developed. Provision of assistance: There are major gaps in the provision of assistance to victims of natural disasters due to: (1) weaknesses in coordination between the central Government and provincial actors; (2) delay in mobilising internal and external assistance; (3) access constraints due to destroyed infrastructures (roads, bridges, landing strips), security threats (mines), and insufficient logistics capacity (trucks, airplanes/helicopters); (4) insufficient human resources for delivery of assistance; (5) deficient evaluation of needs and coping mechanisms of affected communities. Some Ministries may have specialised services, but lack dedicated capacities to assess needs according to minimum international standards and deliver recovery / rehabilitation assistance accordingly. 6. Annexes 6.1. 6.2. 6.3. 6.4. 6.5. 6.6. 6.7. 6.8. SNPCB Organigramme Matrix of Available Stocks Who does What Where Terms of Reference of the UN DMT Hydrographic Map Mined Areas Provincial Profiles CERF Request form and reporting requirements 25 6.2. Cluster Matrix of Available Stocks Lead Stock Items WHO 1. Support to Cholera Task Force + Cholera Treatment Centre: Location Beneficiaries HHs Individuals Luanda, Nova Angomedica Warehouse 2,000 10,000 Luanda: UN clinic and Ministry of Health 2,000 20,000 Duration Obs 3 months National Cholera Task Force has stockpiles of health and WASH kits, through Ministry of Health (MINSA) + Ministry of Energy and Water (MINEA). 2 Kits IEHK 2006 (Inter-agency Emergency Health Kit); TAMIFLU (1,054 blisters in UN clinic; 20,600 blisters in the Ministry of Health) Health + Nutrition 2. Support to Influenza A H1N1 Task Force and Inter-ministerial Commission: WHO provides drugs, vaccines, guidelines and tools for Pandemic Influenza A (H1N1) surveillance, case management, monitoring and evaluation, to be adapted at country level Provides Ringer lactate and ORS UNICEF UNFPA UNAIDS Angolan Red Cross Provides volunteers nationwide 27 In 2010 UNICEF PSI WASH Distribution of water treatment solution “Certeza” Red Cross UNHCR Protection UNICEF Agricult. +Food Security Education FAO FAO will be involved along with other UN agencies to address impending situation. Luanda, Huambo, Bié, Huíla, Namibe, Cunene, Kuando Kubango UNICEF IOM Logistics + Transport 28 20102011 Establish a minimal preventive stock pile for cholera and H1N1 for both national staff and FAO project staff in the field. 6.3 Who does What Where – Field Presence (To be added by RCO) 29 6.4. UN Disaster Management Team (DMT) - Terms of Reference Partners The National Civil Protection and Fire fighting Services (Serviço Nacional de Protecção Civil e Bombeiros – SNPCB) have the overall mandate to coordinate emergency preparedness and response to natural disasters in Angola. Their role has been reinforced by the recently revised national Constitution, which created the post of Vice Minister of the Interior for Civil Protection and Fire fighting Services7. In this capacity, the Vice-Minister reports directly to the President of the Republic. The SNPCB are made up of representatives of all ministries and have a permanent Secretariat. The Provincial Civil Protection Services (SPPCB) have a similar structure and report to the Provincial Governors. The SNPCB is adequately equipped with human and financial resources to deal with emergencies and natural disasters. However, national early warning and disaster risk reduction mechanisms need to be further developed. The SNPCB are the formal partner of the UN Disaster Management Team in Angola (DMT), which has been established to promote the implementation of good practices in emergency preparedness, disaster response and risk reduction. Upon request, the UN will provide technical expertise to complement SNPCB / SPPCB intervention in case of a major emergency, and strengthen their early warning, disaster preparedness, response and risk reduction capacity. Structure Policy level: The DMT is chaired by the RC/HC and made up of the Heads of UN agencies involved in emergency and natural disaster coordination: FAO, IOM, UNDSS, UNDP, UNFPA, UNHCR, UNICEF, WHO and UNAIDS. The RC/HC will convene the DMT twice a year, ideally in February and September, to discuss overall UN emergency preparedness and response capacity, and the need to update the UN Contingency Plan. Operational level: One UN agency assumes the operational leadership of the DMT on a rotational basis for two years, supported by another agency which will act in its absence. UNICEF is the operational leader for 2010 and 2011 with the support of UNDP / CPR. The DMT operational leader liaises on a regular basis with the SNPCB for updates on the emergency or natural disaster situation in the country, and briefs the RC/HC accordingly. The operational leader is supported in his/her daily work by a network of emergency / early recovery focal points of each agency based in Angola. The network of focal points advises the DMT operational leader on all matters related to preparedness and response to emergencies and natural disasters, as well as on recovery and rehabilitation needs of affected populations. In case of a major emergency, the RC/HC will convene the DMT at the level of Heads of agencies twice a month to agree on the level of support to be provided to the Government at national and provincial levels. The RC/HC may also need to convene an expanded DMT with representatives of the SNPCB, the Angolan Red Cross, IFRC, OXFAM, World Vision and other civil society representatives. The DMT will convene at the operational level twice a month to discuss response and preparedness measures. Activities Liaise with the SNPCB on a regular basis for updates on the emergency and disaster situation, concerns and capacity building needs, and brief the RC/HC accordingly. 7 Vice-Ministro do Interior para o Serviço de Protecção Civil e Bombeiros. Advise the RC/HC on a strategic plan to strengthen Government’s response in case of a major emergency or natural disaster. This may include resource mobilization (CERF request, local fundraising), establishment of a Crisis Centre, deployment of surge capacity (health experts, public information managers, coordination support, search and rescue teams / UNDAC / Virtual OSOCC), and other technical support. Identify existing early warning, disaster risk reduction and preparedness arrangements within the Government, and advise the RC/HC on the kind of support that is likely to be requested by the Government in case of a major emergency. Ensure that the UN Contingency Plan is updated on an annual basis and as required. Strengthen national disaster preparedness, risk reduction and response capacity of the SNPCB to reduce the impact of emergencies and natural disasters on the most vulnerable populations. Support the preparation of the National Contingency Plan, ensure consistency between the National and the UN Contingency Plans regarding coordination, early warning and response strategies. Participate in joint needs assessments led by the Government, donors or other partners, support SNPCB in analyzing the situation, evaluating the outcome of assessments, determining priority needs and adequate response. Provide strong support to the SNPCB / SPPCB with regard to monitoring and evaluation of response to emergencies and natural disasters. Support the SNPCB in establishing links with neighbouring countries and regional meteorological institutions to strengthen early warning, disaster risk reduction, preparedness and information sharing in country as well as with regional partners. 31 32 33 6.7. Provincial Profiles Luanda has an area of 2,257 km² and a population of approximately 5.18 million in 2008. Luanda is the Angola’s capital and is divided into 9 municipalities: Cacuaco, Cazenga, Ingombota, Kilamba Kiaxi, Maianga, Rangel, Samba, Sambizanga and Viana. Bengo has an area of 33,016 square kilometres, and a population of approximately 250,000 in 2008. Municipalities are Ambriz, Bula Atumba, Dande, Dembos, Icolo e Bengo, Nambuangongo, Pango Aluquem, and Quissama. The province is bordered by the provinces of Zaire to the North, Uige to the Northeast, Kwanza Norte to the East, and Kwanza Sul to the South. It has two western coastal stretches along the Atlantic Ocean, and forms an enclave around the national capital's province of Luanda. The province has a number of lakes, most of them are in the municipalities of Dande and Icolo and Bengo. There are lagoons at Panguila and Ibendoa, Cabiri and Ulua do Sungui. Benguela has an area of 39,826.83 km2 and a population of approximately 3 million in 2008. Municipalities in the province are Baia Farta, Balombo, Benguela, Bocoio, Cambambo, Chongoroi, Cubal, Ganda, and Lobito. The province is in the Centre-West of Angola, has the Atlantic Ocean to the West, and is bordered by Kwanza Sul to the North, Huambo to the West Huila to the South-East, and Namibe to the South. Altitude: 1,200 m (max); average 800 m. Water resources – hydro-geographic basins (water drainage) Cubal; Hanha; Catumbela; and Coporolo. Benguela is crossed by valleys and rivers, many of which are dry but which collect water in the rainy season. Average annual rainfall is 300 mm/year in the West and 800-1,300 mm/year in the East. Desertification is advancing in the peripheral areas particularly in the south and north. This process has been accentuated recently by the use of trees for fuel, without related reforestation programmes. Bié has an area of 70,314 km² and a population of approximately 1.3 million in 2008. The capital is Kuito, and municipalities area Andulo, Camacupa, Catabola, Chinguar, Chitembo, Cuemba Cunhinga, Kuito and Nharea. Bie is bordered by Malange, Lunda Sul, Moxico, Kuando Kubango, Huila, Huambo and Kwanza Sul provinces. High rainfall leads to cultivation of corn, sugar canes, rice, coffee and peanuts. The ground is among the most fertile in Angola and it is furrowed to the East and North by the Kwanza river, and to the South-West by the Cuchi, and Cubango rivers. Cabinda has an area of 7,283 km² in area, and has a population of approximately 500,000 inhabitants in 2008. Cabinda is an exclave and province of Angola, a status that has been disputed by many political organizations in the territory. The capital city is also called Cabinda, and the province is divided into four municipalities - Belize, Buco Zau, Cabinda and Cacongo. About one third of Cabindans are refugees living in the Democratic Republic of the Congo (DRC). Cabinda is separated from Angola by a narrow strip of territory belonging to the DRC, which bounds the province on the South, and East. Cabinda is bound on the North by the Republic of the Congo, and on the West by the Atlantic Ocean. Adjacent to the coast are some of the largest oilfields in the world, with extensive petroleum exploration. 8 All population estimates come from the Ministry of Health, Expanded Programme for Immunisation 2008 working population estimates. 34 Cunene has an area of 87,342 km² and a population of approximately 440,000. Ondjiva is the capital of the province, and the municipalities are Cahama, Cuanhama, Curoca, Cuvelai, Namakunde, and Ombadja. Cunene lies north of the Cunene River that forms the border between Angola and Namibia. Huambo has an area of 34,270 km², and an estimated population of 1.33 million people in 2008. Huambo is situated in the centre of the country, and is divided into 11 municipalities: Bailundo, Caala, Ekuna, Huambo, Katchiungo, Lunduimbali, Longonjo, Mungo, Tchicala Tcholohanga, Tchindjenje, and Ukuma. Huambo borders the province of Kwanza Sul to the North-west, Bie to the North-East, Benguela to West, and Huila to South. Huambo is the richest agricultural province in Angola. As a result of deminining areas used for cultivation in the Province have increased during the past years to about 500 km². The principal cereal crops are maize, millet and sorghum, with grain production also significant. Fresh fruits and vegetables are available year round, and there is local meat production. Huíla has an area of 75,002 km² and a population of approximately 1.63 million. Lubango is the capital of the province, an the Municipalities are Chibia, Chicomba, Chipindo, Gambos, Humpata, Jamba, Kuvango, Lubango, Matala, Quilengues, and Quipungo. Huíla province is situated on the Huíla Plateau in South-Western Angola, 150 km North-East of Namibe port, and 280 km South of Lobito port. Kuando Kubango has an area of 199,049 km² and a population of approximately 400,000 people in 2008. Menongue is the capital of the province, and the municipalities are Calai, Cuangar, Cuchi, Dirico, Kuito Kuanavale, Mavinga, Menongue, Nankova and Rivungo. The name of the province derives the rivers Cuando and Cubango rivers, which make the Eastern and Western borders of the province respectively. Roads remain heavily mined hampering access. Kwanza Norte has an area of 24,110 km² and a population of approximately 390,000 in 2008. The capital is N'Dalantando, and the municipalities are Ambaca, Banga, Balongongo, Cambambe, Cazengo, Golongo Alto, Gonguembo, Kiculungo, Lucala, and Samba Caju. The Capanga Dam is also located in this province. Cuanza Norte lies on the northern bank of the Kwanza River. Kwanza Sul province has an area of 55,660 km² and a population of approximately 1 million. Sumbe is the capital of the province, with municipalities of Amboim, Cassongue, Cela, Conda, Ebo, Kibala, Kilenda, Libolo, Mussende, Porto Amboim, Seles, and Sumbe. Kwanza Sul lies on the South bank of the Kwanza River. Lunda Norte has an area of 103,000 km² and a population of approximately 620,000 in 2008. The provincial capital is Lucapa, and municipalities are Capemba-Camulemba, Caungula, Chitato, Cuango, Cuilo, Lubalo, Lucapa and Xa Muteba. Lunda Sul has an area of 77,637 km² and a population of approximately 290,000 in 2008. Saurimo is the capital of the province, and municipalities include Cacolo, Dala Muconda and Saurimo. Malange has an area of 97,602 km² and an approximate population of 570,000 in 2008. The city of Malange is the provincial capital and the municipalities are Caculama, Cacuso, Cambundi Catembo, Cangandala, Kahombo, Kalandula, Kiwaba Nzogi, Kunda dia Base, Luquembo, Malange, Marimba, Massango, Quela and Quirima. Three of those municipalities remain inaccessible to UN staff by road due to landmines and poor roads. Malange is in the North-centre of Angola. Moxico is geographically the largest province of Angola, with an area of 223,023 km² and a population of approximately 590,000 in 2008. Luena is the provincial capital, with municipalities 35 Alto Zambeze,Camanongue, Léua, Luacano, Luau, Luchazes, Lumbala Nguimbo, Lumeje and Moxico. Moxico is the province that received most post-war returnees and is the heaviest mined. Namibe has an area of 58,137 km² and an approximate population of 210,000 in 2008. Namibe is the capital of the province with municipalities of Bibala, Camacuio, Namibe, Tombua and Virei. Namibe city has the third largest harbor in Angola, with potential for expansion. Fishing remains the cornerstone of Namibe's economy and the industry. Uíge province has an area of 58,580 km² and an approximate population of 1.23 million in 2008. Uige city is the provincial capital, with municipalities of Ambuila, Bembe, Buengas, Bungo, Cangola, Damba, Maquela de Zombo, Milunga, Mucaba, Negage, Puri, Quimbele, Quitexe, Sanza Pombo, Songo and Uige. Beginning in October 2004 and continuing into 2005, Uige Province was the center of an outbreak of Marburg hemorrhagic fever, a disease closely related to Ebola. It was the world's worst epidemic of any kind of hemorrhagic fever. Zaire has 40,130 km2, with an approximate population of 250,000 in 2008. Zaire is in the NorthWest of Angola, and has a tropical climate. M'Banza Kongo is the provincial capital. 36 ANNUAL REPORT OF THE RESIDENT/HUMANITARIAN COORDINATOR ON THE USE OF CERF GRANTS Country Resident/Humanitarian Coordinator 1 January 2009 – 31 December 2009 Reporting Period I. Summary of Funding and Beneficiaries (To be completed by the Office of the Resident/Humanitarian Coordinator) Total amount required for the humanitarian response: US$ Total amount received for the humanitarian response: US$ Funding Breakdown of total country funding received by source: CERF US$ CHF/HRF COUNTRY LEVEL FUNDS US$ OTHER (Bilateral/Multilateral) US$ Total amount of CERF funding received from the Rapid Response window: US$ Total amount of CERF funding received from the Underfunded window: US$ Please provide the breakdown of CERF funds by type of partner: a. Direct UN agencies/IOM implementation: US$ b. Funds forwarded to NGOs for implementation (in Annex, please provide a list of each US$ NGO and amount of CERF funding forwarded): c. Funds for Government implementation: e. TOTAL: Beneficiaries Total number of individuals affected by the crisis: Total number of individuals reached with CERF funding: Geographical areas of implementation: US$ US$ individuals total individuals children under 5 females II. Analysis (To be completed by the Office of the Resident/Humanitarian Coordinator. Please keep this portion of the report to three pages.) Briefly provide an overview of the humanitarian situation in the country that prompted each application for CERF funding and why CERF funding was sought. Please provide an analysis of the added value of CERF to the humanitarian response in your country. Particularly, what did CERF funding enable humanitarian actors to do that would not have been possible otherwise. If possible, please provide quantitative measures of the outcomes generated with CERF funding. For example: describe the additional number of beneficiaries that were served, or how many more programmes were run, or how many days earlier programmes were launched. If possible, draw on available reporting and cite any relevant examples of CERF outcomes. In writing the analysis of the added value of the CERF, please consider the following: For allocations from the Rapid Response window, for example, indicate whether/how CERF funding enabled prompt, early action to respond to life-saving needs and time-critical requirements. Specifically, consider: Did CERF funding: catalyze rapid intervention? stabilize an insecure situation? at an early stage result in less funding being required at a later stage? help to meet time critical needs? In addition: Was CERF flexible enough to meet immediate needs? How did CERF funds enable timely implementation? Was CERF the first or largest funder? In writing this, please include what percentage of funding through CAP/Flash/Pooled/etc was from CERF. For allocations from the Underfunded emergencies window, provide an analysis of how CERF funding enabled the continuation of poorly-funded, essential core elements of the overall response. Specifically, consider: Did CERF funding: strengthen overall humanitarian response? Allow humanitarian programme continuity, including prevent breaks in the pipeline or cover gaps? help mobilize other resources? Finally, please comment on how CERF improved country level coordination for each CERF application. Include details on how the Humanitarian Country Team and clusters (if overational) prioritized and initiated the CERF process and coordinated activities. III. Lessons learned: (To be completed by the Office of the Resident/Humanitarian Coordinator together with the UN Humanitarian Country Team) This section should include constructive references to difficulties or constraints encountered during the request for CERF funding and funding allocation, specifically on matters that are within the responsibility of the CERF Secretariat. Please propose follow-up actions and suggest improvements. This information will be used for internal purposes only and will not be posted to the CERF website, so be as candid as possible. Lesson learned Suggestion for follow-up/improvement 22 January 2009 - 38 - Responsible Entity IV. Results: (To be completed by participating agencies) Please fill out the table below on a project-by-project basis, grouping the projects and results by cluster/sector. Include the final number of beneficiaries as well as the actual implementing partners. List the major results achieved by CERF-funded projects, either on a project or on an aggregated sector/cluster level. Please refer to the expected results listed in the original CERF project application forms and compare to the actual outcomes. If available provide an analysis of the improvements achieved for the beneficiaries. Sector/ Cluster CERF project number and title (If applicable, please provide CAP/Flash Project Code) Amount disbursed from CERF (US$) Total Project Budget (US$) Typically, the CERF allocation is only a part of the total project budget, please indicate the total funds received for the project. Number of Beneficiaries targeted with CERF funding Please provide a breakdown of children under 5 and number of women reached. Expected Results/ Outcomes Please provide the expected results/ outcomes as specified in the original CERF application. Results and improvements for the target beneficiaries Please list the results of the project and provide an explanation of any discrepancies between what was expected and what was actually achieved. CERF’s added value to the project Monitoring and Evaluation Mechanisms Gender Equity Please explain, briefly, what was the added value of CERF funding for this project? Please describe the monitoring and evaluation mechanisms used for this project? Who benefitted from this project? Was the benefit equal among women, girls, boys and men? Rapid EXAMPLE Water and Sanitation With the connection of 07-HCR-0XX “Care and Assistance to Sudanese refugees” 500,000 1.2 million 67,000 Sudanese refugees 20,000 children 10,000 Women Increase water per person per day from 6 litres to 15 litres two water points and erection of 95 cubic meter water tanks improved quantity of water supplied to refugees from 6 litres/ day/person to 12 litres/day/person for 66,000 Sudanese refugees allocation of CERF funds allowed the project begin immediate after the needs were identified. HCR and its partners assessed the number of refugees in the camps. Weekly staff meetings were carried out to assess the project’s progress. Special attention was paid to the hygiene needs of girls and young women to ensure full participation in school activities. Separate latrines built for boys and girls. 22 January 2009 - 39 - Annex 1: NGOS and CERF Funds Forwarded to Each Implementing NGO Partner NGO Partner Sector Project Number Amount Forwarded Date Funds Forwarded Annex 2: Acronyms and Abbreviations Acronyms should be written out in full the first time they are used. Please provide a full list of all acronyms and abbreviations that are included in the report. 22 January 2009 - 40 - Instructions: Under the leadership of the Resident/Humanitarian Coordinator (RC/HC), Humanitarian Country Teams (UN agencies, IOM, and NGOs) are required to provide one consolidated9 narrative report per year. The annual report is due on 30 March, covering all the CERF allocations provided to agencies in the respective country in the prior calendar year (January-December). Inputs by these dates will help the CERF Secretariat meet reporting obligations to the General Assembly and ECOSOC. Information contained in the report will be posted on the CERF website, shared with contributors to the Fund and provided to the members of the CERF Advisory Group. Using the template below, the report should include: 1. Summary of Funding and Beneficiaries; 2. Analysis of the value added to the CERF; 3. Lessons learned; 4. Results matrix; 5. Annex 1- list of funds forward to NGOs; and 6. Annex 2- list of acronyms and abbreviations used throughout the report. Acronyms should be written out in full the first time they are used. 9 Individual agency reports will be returned to the Office of the Resident/Humanitarian Coordinator. 22 January 2009 - 41 -