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LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 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.

LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

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Page 1: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD

Version of 2nd January 2015

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.

Page 2: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

99.8%

Social mobilisation

Required social mobilizers recruited

68/ 510

Case management

Occupied beds vs current bed

capacity

30%

Psychosocial

Required psychosocial

workers recruited

70%

Epi laboratory

Available spare capacity

27%

Non-Ebola healthcare

Triages at regular health facilities open

5 out of 15

Contact tracing

Counties with inadequate

contact tracing

Summary 1 of 3: Medical Response

Key outstanding actions

1. Coordinated efforts to ensure active case finding, contact tracing and community engagement Urgently needed in G/ Cape Mount- New

2. Workshop for 91 Laboratory personnel in the safe sample collection, packaging and transportation pending-New

3. Survivors registration started. Need partners to provide survivors kit

4. Provide awareness (training ) for funeral homes to reduce unsafe burial at the community level

5. 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. Speed up opening of Interim Care Center (ICC) in Bong County

8. Need to release funding for Psychosocial activities

9. Develop supply plans for all facilities to allow planning by Logistics (ETU, CCC, regular health facilities)

10. Accelerate roll out plan for triages at regular health facilities

92%

Body management

Bodies collected within 24 hours

Cemetery operational

Tren

d on

la

st w

eek

Training almost

complete

Scale Up Still Awaiting

Release of Funding

Need to focus on 5 counties

with poor coverage

Ok Cemetery opened

Data still poor on

clinic status

Ok, RITE Implement

ation ongoing

Page 3: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

5 out of 19

Medical planning

Key medical supplies with less

than 1 week stock/pipeline

80%

Finance of ebola

response

Of Ebola Funding

Requirement Committed

Summary 2 of 3: Non-medical Support Response

Key outstanding actions

1. 5 categories of medical supplies needed immediately

2. Need comprehensive picture of who is supplying

what, critical for log cluster forecasts and dispatch

plans

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

5. Launch package of interventions for desloging of

latrines and sceptic tanks at ETUs in Greater Monrovia

6. Airport processes to allow faster dispatch of incoming

commodities

7. Address Guinea border problems for ebola cargo

8. Log Cluster to provide county maps showing ETUs,

CCCs, and other facilities served by each FLB

9. LogCluster to send information on availability of

donated Maersk containers for partner use.

10. There is an urgent need to dispatch more cargo from

the Main Hub to the rest of the country

5 out of 5

Logistics

Forward Logistics Bases have land

allocated

18%

WASH

Percentage of Planned WASH

activities completed

Epi-Data

Awaiting indicator

Page 4: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

3 out of 7

Border controls

Regular Airlines Operating

33%

Education system

Teachers trained in EVD

1

Development projects

Health care facility for international

project and concession workers

24

Communication

Targeted Ebola Daily Press

Briefings Held

100%

Economic impact

Markets allowed to be

open

Summary 3 of 3: Response to the Consequences of Ebola

Stable

Security

Security Situation

Key outstanding actions

1. Food and livelihood assistance needed for EVD affected

2. Identify health support (e.g scale up Aspen Clinic support) needed to encourage concession workers & development project contractor

3. Funding needed for budget shortfall to support short term stimulus activities

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

10. Re-open schools by January 2015

23%

Food security

Increase in price of rice since August

Page 5: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

Annex 1. Social mobilization & communicationsPlan for achieving objective Current Status and Actions UnderwayEstablish robust, evidence-based strategic framework for all social mob efforts

KAP study conducted in all 6 planned counties has been completed, results will be ready by January 2015.

Establish ‘single source’ information platform accessible to all partners

Airing of Ebola Messages in 6 local languages on community radio station; Health Promoters Network conducted Ebola Prevention workshop for community station managers in 3 counties Lofa , Nimba & Bong.

Establish coordinated network of at least 10,000 trained social mobilizers

15,175(chiefs, elders, religious leaders, youth groups, woman groups CHVs, peer educators, motor cyclists, survivors including gchvs) have been trained in social mobilization activities in 83 districts in 14 counties.

Establish supervisory, reporting & monitoring system

Reports from the various communities, towns, villages are being collected by the DHO and submitted to the CHT on a weekly basis. There is a need for central level supervision and monitoring of those activities.

Establish ‘near real-time’ behavioral surveillance mechanism

The national strategy “EBOLA MUST GO”. Current messages on election and healthy holidays; anti Ebola regulations disseminated and printed in booklets for the public; save burial messages updated National cemetery Transition away from cremation and vaccine trials in process

Date updated: 31/12

# of gCHVs trained

# of Chiefs trained

114400

14500

14600

14700

14800

14900

15000

15100

15200

1530015175 15203

Current Target

219 570 360

912

315 797

270684

408

697

345

414

414

180 5659

225 570

180 366

180 456

270684

Training

Page 6: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

Annex 2A: Case ManagementPlan for achieving objective Current Status and Actions UnderwayEnsure a total of 29 ETUs with adequate coverage in each county

14 ETUs are functioning in the country . Sinje ETU was commissioned. SKD II was commissioned and will be used as severe infection temporary treatment unit.Montserrado beds have been reduced to 300 but can be scaled up significantly when needed; Bong 51 beds; Nimba 36; Margibi 51, MMU 22beds, Bomi 20 beds, Grand Gedeh 10 beds, Grand Bassa 10 beds, and Grand Cape Mount 10 beds total beds available in country is now 510 beds.

More ETUS are nearing completion in the counties and will be commissioned soon.Establishment of 78 CCCs, 6 CCCs are operational, 8 CCCs are currently under construction by UNICEF, and three

CCCs construction in Montserrado has been completed by eHealth. All CCCs to be completed by end of January

Identify trained staff and essential supply requirements for ETUs and CCCs

MoH/WHO– will now train 60 people per week in didactics and mock ETU Training and 40 people in actual ETU experience training. IMC trains 40 people per week.Essential supplies issues are being sorted out for ETUs and CCCs. RITE kits have been set up at central IMS and are now being prepositioned in the counties.

Conduct active case finding for hotspots RITE Strategy is being implemented, there is an ongoing assessment of counties preparedness.

Increase number of ambulances 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)

Date updated: Jan 2, 2015

02468

10121416

9

15CCCs as of Jan 02.

Constructed Priority CCCs Target Priority CCCs

CCcS

0500

1,0001,5002,0002,500

68510

1000

2,169ETU beds as of Jan 02.

Occupied BedsCurrent available ETU beds in countryInitial planned bed capacityPotential Capacity at Planned ETUs

Bed

capa

city

& n

eeds

Page 7: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information
Page 8: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

ETU data – 30th December 2014Date updated: 30/12

ETU Name Current Capacity

Total patients

Total confirmed patients

Total beds free

PartnersPotential

capacity- all wards

New admissions last 2 days

Notes

Bomi (Tubmanburg) 20 3 1 17 IOM 100 1 Bong (Suakoko) 51 5 4 46 IMC 71 2

Grand Bassa (Buchanan) 10 0 0 10 IOM 50 0

Grand Cape Mount (Sinje) 10 COMMISSIONED 12/29 IOM 50

Grand Gedeh (Zwedru) 10 No report PIH 50 Margibi (Firestone) 31 0 0 31 Firestone 31 0

Margibi (Kakata) 20 3 1 17 IMC 70 3 Margibi (Monrovia

Medical Unit) 22 3 1 19 USPHS 25 2

Montserrado (Unity Conference Centre) 30 5 1 25 MOHSW 96 2

Montserrado (Chinese ETU) 50 12 3 38 Chinese FMT 100 9

Montserrado (ELWA 2) 50 No report MOHSW/WHO 100

Montserrado (ELWA 3) 60 14 13 46 MSF 250 5

Montserrado (Island Clinic) 50 19 13 31 WHO/MOHSW 100 6

Montserrado (MoD) 40 8 3 32 AU / Cuban FMT / MOHSW / MSB 100 0

Montserrado (SKDII) 20 COMMISSIONED 12/23 German Red Cross / Army 100

Nimba (Ganta United Methodist Hospital) 36 1 0 35 Nimba CHT / PCI 36 0

Total 510 73 40 347 Uneven distribution across the country 1329 30

Page 9: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

Total patients using ETUs over time

0

50

100

150

200

250

300

350

400

Total patients

Date updated: 23/12

Page 10: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

CCC data – 30th December 2014Date updated: 30/ 12

CCC Name Current Capacity

Total patients

Total confirmed patients

Total beds free

PartnersPotential

capacity- all wards

Number triage in the last 2 days

Grand Cape Mount (Jene Wonde RRC) 8 0 0 8 MTI, eHealth 8 0

Margibi (Dolo's Town Clinic) 30 2 1 28 Save The Children 30 3

Margibi (Wohrn Clinic) 30 0 0 30 Save The Children 30 1

River Gee (Fish Town Hospital) 15 0 0 15 Samaritans Purse 15 0

Lofa (Zorzor) 10 0 0 15 Samaritans Purse 10 0

Lofa (Foya) 10 Temporarily closed 10 Samaritans Purse 10

River Cess (Gozohn RCC) MSF

Gbarpolu (Chief Jallah Lone Clinic) TBC

Grand Bassa (Quewein) MSF

Total 103 2 1 98 103 4

Page 11: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

ETUs PlannedDate updated: 30/12

No Location CountyPartners - construction

Planned Date Construction Finished Planned Open date Partners

Maximum bed capacity

Initial beds

1 Bopulu Gbarpolu DoD/AFL 12/25/2014 Week of 1/10/15 PAE / Aspen 50 10

2 Barclayville Grand Kru DoD/AFL 12/30/2014 Week of 1/3/15 PAE / Aspen 50 10

3 Zorzor Lofa DoD/AFL 12/19/2014 Week of 12/28/14 PAE / Aspen 50 10

4 Voinjama Lofa DoD/AFL 12/20/2014 Week of 12/20/14 WAHA / GOAL / PAE 50 10

5 Harper Maryland GAA 12/29/2014 Week of 1/2/15 PIH / PAE 50 10

6 MoD 2 Montserrado WFP Completed TRAINING SITE MOHSW / MSB 0 0

7 SKD 1 Montserrado WFP 12/15/2014 TBC IRC / USAID 100 10

8 Ganta Nimba DoD/AFL 12/18/2014 Week of 12/25/14 PCI 50 10

9 Tappita Nimba DoD/AFL 12/19/2014 Week of 12/20/14 HHI / PAE / Aspen 50 10

10 Gbediah Town River Cess DoD/AFL 12/25/2014 Week of 1/10/15 PAE / Aspen 50 10

11 Fishtown River Gee GAA 12/20/2014 Week of 1/11/15 ARC 50 10

12 Greenville Sinoe GAA 12/20/2014 Week of 12/29/14 PAE / MSB 50 10

Page 12: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

CCCs PlannedNo Location County

Partners - construction

Planned Date Construction Finished Planned Open date Partners - management

Maximum bed capacity

Initial beds

1 Beh Town Clinic Bomi UNICEF 14-Dec-14 TBC Plan 15 TBC2 Haindi Bong UNICEF 14-Dec-14 TBC PCI 15 TBC3 Kpayeakwelleh Clinic Gbarpolu UNICEF 15-Jan-15 TBC Samaritan's Purse 15 TBC4 Morlaquila Gbarpolu UNMIL/CHT 14-Dec-14 TBC Samaritan's Purse 15 TBC5 Kongbor Clinic Gbarpolu UNICEF 14-Dec-14 TBC Samaritan's Purse 15 TBC6 John Logan Town Grand Bassa UNICEF 15-Jan-15 TBC Concern Worldwide 15 TBC

7 KeitaGrand Cape Mount UNICEF 24-Dec-14 TBC MTI 15 TBC

8Gbarzon 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 LofaSamaritans Purse TBC TBC Samaritan's Purse 15 TBC

11 Pleebo Maryland UNICEF 22-Dec-14 TBC PIH 15 TBC12 Mount Barclay Cinic Montserrado eHealth TBC TBC Concern Worldwide 15 TBC13 Louisiana Clinic Montserrado eHealth TBC TBC Plan Int. 15 TBC14 Koon Town Clinic Montserrado eHealth TBC TBC Concern Worldwide 15 TBC15 Bensonville Hospital Montserrado eHealth TBC TBC Plan Int. 15 TBC

16Saclepea Comprehensive Nimba UNICEF 24-Dec-14 TBC PCI 15 TBC

17 Bahn Health Center Nimba UNICEF 24-Dec-14 TBC PCI 15 TBC18 St.Francis Hospital River Cess UNICEF 24-Dec-14 TBC PIH 15 TBC19 Gbeapo Health Center River Gee UNICEF 22-Dec-14 TBC Samaritan's Purse 15 TBC20 Karquekpo Clinic Sinoe UNICEF TBC TBC MTI 15 TBC21 Juaryen Clinic Sinoe UNICEF 31-Dec-14 TBC MTI 15 TBC22 Nyehn Health Center Montserrado MOHSW TBC TBC MOHSW 15 TBC

Date updated: 23/12

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Annex 3. Mental Health/Psychosocial (MH/PSS)1-Updated: Dec. 31, 2014

Plan for achieving objectives Current Status and Actions UnderwayProvision of Mental Health/Psychosocial services to individuals and communities

Current: 860 persons received mh/pss services in Bomi, Montserrado, Grand Kru, Nimba, and Grand Bassa including group counseling and individual counseling.Action: WHO trained 14 MHCs and social workers on mhpss support services in Gbapolu and Cape Mont County from Dec. 27-30, 2014.

In community: increase mental health/psychosocial workers focused on affected, hcws, first responders

Current: 50 MHCs and 60 SWs in 10 counties; and 15 County SW Supervisors. Supported drafting of MHPSS plan for Cape Mont County. Action: Need to fund Cape Mont MHPSS plan

Identify and appropriately place and support children separated from their families

Currently: 744 affected children identified in December. Total of 2,825 affected children (1,338 males and 1,487 females) currently receiving support either through their families and/or are placed at home/or in transitional home. Joint monitoring and supervision visit conducted by UNICEF and MOHSW in Cape Mont, Bomi and Gbapolu.Actions: UNICEF one time grant of $150 USD/child received by 572 children (Bong-30, Grand Geddeh-18, Nimba-9, Bomi-33, Bassa-15, Margibi-50, Lofa-230, Montserrado-162 and Cape Mont-25. 154 children from ETUs and ICCs reunified with their families. ICC opening in Bong still pending.

Team needs 1,000 available Psychosocial workers overall. (Timing: asap.)

Current: Proposed funding for 600 Mental health and Psychosocial workers from World Bank. Proposal developed and submitted. UNICEF to provide additional funding for 10 SWs and 2 supervisors for 3 months.Action: Agreement signed. Release of funds still pending.

Working with partners on provision of quality care

Current: New system for patients and family feedback whilst in the ETU implemented in Montserrado County. Developed plan with Montserrado County to second a MHPSS lead to work with the SW Supervisor to infuse in contact tracing.Action: Expand system to other counties. Began initial distribution of 1000 phones donated by UNICEF for ETUs across the country. Need ID for case investigation teams. Working to finalize PSS coordination report.

Implement plan to address survivor needs

Current: UNICEF pick up funding for 2 coordinators of Survivors Network Dec-Feb. Action: Survivors registration started. Database has line listed 1,367 survivors. (see analysis on next slide) Seeking funding for Survivors ID. Currently developing proposals and MOU for action.

0-10yrs 11-20yrs 21-30yrs 31-40yrs 41-50yrs 51-60yrs 61-70yrs 71-80yrs 81-90yrs yrs Unknown0

100200300400

19814.48%

26319.24%

34325.09% 278

20.34%168

12.29% 654.75% 26

1.9%7

0.51%0

0%1

0.07%18

1.32%

EVD Survivors by age

Page 14: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

EVD SURVIVORS ANALYSIS

Male47%Female

53%

EVD Survivors by sex

BomiBong

Gbarpolu

Grand Bass

a

Grand Cap

e ...

Grand Ged

eh

Grand Kru Lo

fa

Margibi

Marylan

d

Montserra

doNim

ba

River G

ee

Riverce

ssSin

oe

Sierra

Leone

0200400600800

1000

8,0.59%

106,7.90% 13,

0.95%18,

1.39%22,

1.61%1,

0.07%0,

0.00%

133,9.73%

203,14.85%

1,0.07%

794,58.89%

34,2.49%

1,0.07%

1,0.07%

2,0.29%

14,1.02%

EVD Survivors by County of Residence

Bong17%

ELWA 216%

ELWA 336%

FJ Grant0%

Island17%

Lofa11%

MMU1%

MOD 11%

Quenwein1%T-Burg

0%

EVD Survivors by ETU of discharge

Bong ELWA 2 ELWA 3 FJ Grant Island Lofa MMU MOD 1 Quenwein T-Burg

Annex 3.1 Mental Health/Psychosocial (MH/PSS)1-

Page 15: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

Annex 4A. Contact TracingPlan for achieving objective Current Status and Actions UnderwayIdentified and follow up all persons who came in contact with a case

• 591 new cases, 3,251 new contacts and 280 new deaths were reported • A daily average of 22 cases, 120 contacts and 10 deaths were reported daily• 24.2% (143/591) of EVD cases were confirmed and an average daily confirmed cases of

5.3• 55% of confirmed cases were reported from Montserrado County

Follow-up every ‘contact’ in person, on a daily basis, for 21 days, to check for signs of symptoms.

• 4,441 contacts are under follow-up• 97.1% of current contacts are found in Montserrado (65.4%), Margibi (26.8%) and

Grand Cape Mt (4.9%)• 84% of new cases were found in Montserrado (51%), Grand Cape Mt (13%), Margibi

(11%) and Bong (9%)• Case to contact ratio is 5.5

Recruit and train contact tracers at County, District (zonal) and community level responsible for conducting tracing and reporting

There 5,845 contact tracers and active case finders nationwide

Mobilize resources to expand the number of contact tracers

Approaches • Commence contact temperature monitoring this week in Montserrado• Introduce the use of mobile phone for contact tracing

Update: 29/12

Indicators Baseline (Status) Targets

1 Percent of suspected cases with contact list 59%* 95%

2 Percent of confirmed and probable cases with contact list N/A 100%

3 Percent of cases and contacts reported within 48 hours 59%* 75%

4 Percent of contacts traced daily 92% 95%

5 Percent of contacts completing 21 days of follow-up 74% 80%

6 Percent of cases not listed on contact tracing list 33%** <5%

7 Percent of contacts that became cases, reported by tracers 6%*** <5%

8 Average number of contacts per case 5.4 10

Page 16: LIBERIA COMPREHENSIVE EBOLA RESPONSE DASHBOARD Version of 2 nd January 2015 Disclaimer: the information presented here is collected for management information

Annex 4B: Confirmed Cases in DecemberUpdate: 29/12

1-Dec

2-Dec

3-Dec

4-Dec

5-Dec

6-Dec

7-Dec

8-Dec

9-Dec

10-Dec

11-Dec

12-Dec

13-Dec

14-Dec

15-Dec

16-Dec

17-Dec

18-Dec

19-Dec

20-Dec

21-Dec

22-Dec

23-Dec

24-Dec

25-Dec

26-Dec

27-Dec

0

2

4

6

8

10

12

14

16

18

20

1

9

19

6

4

7 7

4 4

15

4

2

7

10

7

2

5

34

2

13

76

3

01

EVD Confi rmed Cases (Dec 1-27, 2014)

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Annex 4C: EVD Confirmed Cases by County (Dec 1-27)Update: 29/12

BomiBong

Gbarpolu

Grand Bassa

Grand Cape Mt

Grand Gedeh

Grand Kru Lofa

Margibi

Maryland

Montserra

doNim

ba

Rivercess

River Gee

Sinoe0

10

20

30

40

50

60

70

80

90

0

8

0

16

28

0 0 03

0

78

40 0

6

EVD Confirmed Cases by County (Dec 1-27, 2014)

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1Laboratory confirmed cases (Alive and Dead) by Countyover the past 21 days 11-31 Dec. total 66 cases

0

5

2

11

0

0

0

00

01

0

45

Legend- New Cases 11-31 DEC 2014

1 Data from daily confirmed cases reports of aggregated data by County

• 0 cases

• 1-9 cases

• 10-49 cases

• 50 cases and more

Clusters in remote areas

2

0

Update: 31/12

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Annex 4D. EVD Confirmed Cases in Grand Cape Mt

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New confirmed cases (Alive & Dead) the past 21 days 11-31 Dec in Greater Monrovia and Rural Montserrado totally 45 cases

Legend

0 cases

1-3 cases

4-6 cases

7-9 cases

10 or more cases

1

1

7

00

1

01

4

2

4

0

8

23

7

Clara Town• Struggle Community• Doe Community

New Kru Town

Paynesville (A1)• Barnard Farm• Soul Clinic

1

1

St Paul River: 0Todee: 0

Careysburg: 0Commonwealth: 2

Annex 4E. EVD Confirmed Cases in Montserrado

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Annex 4F. New Cases

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Annex 5A. Epi LaboratoryPlan for achieving objective Current Status and Actions UnderwayRun 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 extent other tests 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.

Conduct a training Workshop for Medical Laboratory Practitioners on safe blood collection, packaging and transportation.

40 out of 100 Laboratory Practitioners trained on the safe phlebotomy and sample packaging and transportation . Begin second phase January 6Over 70 burial team members and Laboratory technician trained in swab collection in Bong, Jan 2.2015Working with restoration on training of Laboratory technicians for 8 referral Hospitals ( JFK, Redemption, Phebe, Tellewoyan, Martha Tubman, JJ Dossen, FJ Grant, ELWA)Planning additional workshop for 91 Laboratory personnel in the safe blood collection, sample packaging and transportation. Pending

Bring in additional staff and resources to maximise laboratory capacity especially for LIBR and to increase the number of phlebotomists

Capacity to train is improving with the arrival of additional Laboratory equipment

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)

Date completed: 1/2/15

Table showing current laboratory capacity

3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 2305

10152025303540

Total number of samples tested in Ebola diagnostic laborato-ries during November, 2014 (3-day rolling average)

LIBR TotalBong TotalIsland TotalLofa TotalELWA Total

Day of November

Test

ed sa

mpl

es Daily Capacity

LABS Etu served Current Projected 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

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Laboratory Ebola Malaria Yellow Fever Lassa Others

ELWA: CDC – NIH PCR Malaria 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 Ebola Diagnostics and Technical Capabilities

Current Technical Capability and performing on limited scale

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Annex 6. Body ManagementPlan for achieving objective Current Status and Actions UnderwayTrain & deploy sufficient safe burial teams across the country to conduct safe collection and burial.

Current status: 12 IFRC + 6 GC teams in Montserrado; A case investigator is imbedded with each Montserrado based team

48 GC supported teams across other counties plus additional 4 teams at the National Cemetery giving a total of 52 GC teams (Outside Montserrado).

91% body pickup within 24 hours in Montserrado and 92% response rate across the other 14 counties.

Ensure adequate supplies and storage facilities for body management teams through dedicated warehouse.

19th street warehouses now operational.

Develop sufficient crematorium and burial capacity

National Cemetery open and operational. As of 12/30, 57 burials total at the National Cemetery since opening on the Dec. 24, 2014. Social Mobilization ongoing. National stakeholders forum planned for Saturday, January 3rd.

Undertake actions (e.g. testing, identification etc) to ensure all collections and burials are happening safely.

Swabs collected by IFRC and GC teams but feedback is a problem. CDC has developed draft guidance but the final feedback and communication strategy to be agreed upon. GC teams trained in swab testing and will support in all counties, including transportation of swabs to appropriate laboratories for testing.

Date competed: 30/12

Current "Burial Teams" for All Counties in Liberia Disinfection

27-Dec Teams

Counties 27 -Dec 27-DecGC IFRC GC

Bomi 2 2Bong 3 2Gbarpolu 5 3Grand Bassa 8 4Grand Cape Mount 6 2Grand Gedeh 2 1Grand Kru 1 1Lofa 7 6Margibi 3 2Maryland 2 1Montserrado 6 12 7Nimba 4 4River Cess 2 2RiverGee 1 1Sinoe 2 1Disco Hill 4 4

Total 58 12 43

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Hospitals open 131 out of 141 hospitals open(new data submitted this week) 93%

Non-ETU Health-workers names submitted to MDFP for Hazard Pay

8,162 out of 8,162 health workers

Some health workers have now received payment – see next slide

100%

Health facilities openData being worked on but many geographical challenges

150 out of 869 facilities checked139 facilities open; 11 closed; 719 unknown

TRIAGE system established in health facilities

52%348 out of 657 facilities (Source: IPC partners mapping, 4 DEC 2014)

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 account numbers) Action: • Fast-track joint MFDP and MOH validation processesOther 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

Annex 7. Status of Essential Health ServicesDate completed: 5/12

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Processes involved with preparation for Triage Set Up in Health Facilities • 15 embedded TAs (health workers) dispatched to 13 counties to strengthen IPC practices at health

facilities • 22 national supervisors sent to the 10 counties to conduct supportive supervision on service

delivery areas in 20% of health facilities• Joint monitoring visit with Liberia Medical & Dental Council (LMDC) on IPC practices in selected

clinics & ETUs ongoing in Bong, Nimba, Margibi & Lofa counties• Comprehensive IPC monitoring visit at all health facilities in Montserrado county by LMDC• Conducted and established Improvement Collaborative Teams at eight (8) major hospitals in

Grand Bassa, Bomi, Grand Cape Mount, Gbarpolu, Margibi, Bong, Nimba, Lofa to support quality of care

• MFDP has disbursed 6million to the MOH to support restoration of essential health services in the five (5) highly affected counties. Contracts to be signed next week

• Received 2.1MIL from MFDP for FARA re-imbursements for year 4 budget• Micro plans developed and approved for Long Lasting Insecticide Nets distribution in February

2015• Received distribution plan for 2800 IPC posters from Unicef to be distributed to health facilities

upon receipt of the materials• Distributed assorted IPC materials including 15 Toyota Hardtop Double Cabin pick-ups to 15

counties;• Trained 164 out of 530 vaccinators in Mont (107) & Lofa (57) counties on intensified routine

immunization to conduct round 3 within 3 months

Annex 7B. Update on triage: process and next stepsUpdated on: 05/12

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Annex 7 C. Restoring Health Services- Planned Activities (Dec 22-26, 2014)

•Collect non-ETU health workers list from 15 counties health teams to submit to MFDP for hazard payment (October-November) •Ongoing training of 366 vaccinators to provide intensified routine immunization •INGO contract signing

Challenges1. Could not deployed embedded TAs in Sinoe & Maryland due to broken

bridge2. Compliance to MOH IPC practices due to behavioural change3. INGO mapping on restoring health services

Proposed Solution(s)4. Identify other transportation means (flight)5. Continuous supportive supervision & intense monitoring visit6. Independently collect information from partners during regular NGO

partners meeting

Updated: Dec. 29 2014

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Annex 8A: Logistics ClusterMain 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 [email protected]• 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 on: 17/12

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Annex 8B. Quality of RoadsUpdated: Nov 28 2014

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Annex 8C: Logistics Support by Cluster

Location County Partners - Management PPE Medical SuppliesNon-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

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:

Updated on: 10/12

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Annex 8D. Logistics Hub & Forward Logs BasesUpdated: Dec 05 2014

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Annex 8E .Regional Port RestrictionsUpdated on: 4/12

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Annex 9. Medical Planning: Supplies GapUpdated as of: December 28, 2014

KEY: <1 week (7 days) supply <2 week (14 days) supply

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

Product Description UnitCurrent Stock Available for

MOHSW facilities

Stock in Pipeline for

MOHSW facilities

(1 month)

Forecast (1 month)

Days of Stock (Current)

Days of Stock (Current + Pipeline)

Forecast (1 month)

Days of Stock

(Current)

Days of Stock

(Current + Pipeline)

Body Bags (L) piece 9,704 3,734 10,594 27.9 38.7 11,412 25.9 35.9 Chlorine Powder (HTH 70%) Kg 164,574 - 67,838 74.0 74.0 89,854 55.9 55.9 PPE Suit - Hooded Coverall piece 701,205 250,000 25,051 853.7 1,158.1 111,676 191.5 259.8 PPE Hood Piece 15,400 210,000 178,804 2.6 38.4 277,455 1.7 24.8 Examination Gloves x100 Box 128,123 302,100 40,246 97.1 326.0 46,664 83.7 281.2 Face Mask (N95) piece 1,442,557 1,140,000 27,805 1,582.4 2,832.9 114,430 384.5 688.4 Face Mask - Surgical each 1,553,454 650,000 113,404 417.8 592.6 121,915 388.6 551.2 Impervious Gown piece 15,472 1,800,000 593,444 0.8 93.3 638,061 0.7 86.8 Face Shield - Flexible (Disposable) piece 2,339,802 1,080,000 606,061 117.8 172.1 693,990 102.8 150.3 Face Shield - Hard (Re-usable) Piece - 5,250 1,158 - 138.3 1,245 - 128.6 Goggles Piece 32,056 50,000 11,837 82.6 211.4 29,635 33.0 84.5 Apron - Heavy Duty Plastic Reusable each 31,377 127,000 16,986 56.3 284.4 34,784 27.5 138.9 Heavy Duty Plastic Gloves pair 363,285 161,700 25,749 430.3 621.9 69,575 159.3 230.1 Rubber boot pair 62,306 35,355 6,573 289.1 453.1 7,913 240.2 376.4 Hand Sprayer (1 - 2L) piece 1,285 2,186 861 45.5 123.0 924 42.4 114.6 Backpack Sprayer (12-16L) piece 21,794 4,720 102 6,486.6 7,891.5 189 3,515.2 4,276.5 Anti Fog Cleaner (12 fl Oz) Bottle 3,046 - 11,512 8.1 8.1 38,370 2.4 2.4 Scrubs set 50 - 2,645 0.6 0.6 19,970 0.1 0.1 Scenario 1: Current Status 51 ETU beds filled (at MOHSW-supplied facil ities), 7 operational CCCs, 611 non-ETU facil itiesScenario 2: Current Sites, Full Capacity Existing ETUs at full capacity (436 beds), 7 operational CCCs, 657 non-ETU facil ities open

Scenario 1 - Current Sites, Current Capacity

Scenario 2 - Current Sites, Full Capacity

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Annex 10a: WASH for EbolaDate updated: 30/12

Operational Constraints According to financial reports submitted by WASH partners to the cluster as of 12th December, only 12.3 million dollars has been received

for the EVD response against a cluster need of 85 million, leaving a gap of 72.5 million requirement. There is a need to reinforce the subnational coordination at county level to increase the response capacity to the new affected

communities and ensure the implementation of the integrated WASH national package per county, including the restoring of basic services.

Operation and maintenance of WASH facilities in Ebola Care Center including solid infected waste management sludge treatment, monitoring of WASH services, testing chlorine concentration is a challenge for the cluster to organize with the support of partners especially concerned departments in Monrovia and country administration in each county.

Assessment and provision of WASH facilities in Health Centers to support the essential health services in the country and ensure that Infection Prevention and Control procedures can be implemented safely. This will support also the rapid response mechanisms.

Solid Infectious Waste Management projects in urban and rural areas, to ensure that waste is handling safely until its final disposal. Assessment and provision of WASH facilities in schools to support the reopening of the school when happening. Ensure that the WASH services provided by actors met WASH minimum requirement.

Funding by Donor & Organisation as Reported by Partners on 12th Dec

LOCAL COMMUNITY

UNFPA

NARDA NETWORK

LWI

WATER AID

INT'L. COMMUNITY

NETHERLANDS

SWEDEN

CANADA

UNICEF

DEC

OFDA

0 1 ,0 0 0 ,0 0 0 2 ,0 0 0 ,0 0 0 3 ,0 0 0 ,0 0 0 4 ,0 0 0 ,0 0 0 5 ,0 0 0 ,0 0 0 6 ,0 0 0 ,0 0 0 7 ,0 0 0 ,0 0 0 8 ,0 0 0 ,0 0 0 9 ,0 0 0 ,0 0 0

2,600

3,000

3,058

30,000

104,748

129,828

156,915

325,000

404,000

592,932

2,300,000

7,996,526

The Local Community in Liberia includes individuals who have been donating funds to Local NGOs to support the EVD response. The Int’l Community includes private individual’s donations VIRDEMA

PSI

CET

EQUIP

CAI

CIPORD

CIS

WMI

LICH

RIDA

LWI

ZOA

ERS

OXFAM

SPIR

0 1 ,0 0 0 ,0 0 0 2 ,0 0 0 ,0 0 0 3 ,0 0 0 ,0 0 0 4 ,0 0 0 ,0 0 0 5 ,0 0 0 ,0 0 0 6 ,0 0 0 ,0 0 0 7 ,0 0 0 ,0 0 0 8 ,0 0 0 ,0 0 0 9 ,0 0 0 ,0 0 0

2,600

3,000

5,058

14,000

28,350

37,972

64,432

120,000

128,183

135,715

160,000

286,743

331,378

3,029,000

7,996,526

65%

24%

11%

1.STOP the outbreak

2.TREAT the infected

3.ENSURE essential services

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Annex 10b: WASH for EbolaDate updated: 30 Dec

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Annex 11. Finance & Donation coordinationPlan for achieving objective Current Status and Actions UnderwayCommunicate 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).

Collate and communicate relevant information (transport, duty and fees) to potential donors

• 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.

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.

Date completed: 15/11

Disbursed

Total commitment

- 100,000,000 200,000,000 300,000,000 400,000,000

244

303 701

Ebola Response Funding for Liberia, US$ million

*This excludes General Budget Support commitments and includes in-kind donations.

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Annex 12. Food security

Graph of key indicator e.g. food/ commodity prices to be added

Objectives Current Status / Actions Required / Issues to be escalatedProvision of Food to affected people

• WFP delivered food to 37,700 beneficiaries in five counties in the last two weeks: Grand Cape Mount, Lofa, Maryland, Nimba and Sinoe. Since August, WFP has provided support to care for more than 200 patients and survivors, to 15,000 isolated households and to 566,700 persons in areas of intense and widespread transmission. FAO Signed an agreement with African Development Corps (ADC) to implement the conditional cash transfer initiative with 20 women associations. Training of women associations in VSLA methodologies and governance.

Understand situation Joint Rapid Assessment at National level (MoA, WFP, FAO): The impact of EVD on Food Security is significant in most affected communities and special care should be given to them. EVD had a huge impact on rural economy through the closure of boarders and markets. Saving and loans schemes were affected as well as trading, the second source of income for 73% of affected population.

Current needs / challenges

• Continued food and livelihoods assistance for people affected by EVD;• 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

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

Date competed: 23/12

Liberian Dollar Prices for Imported Parboiled Rice in selected MarketsData Source: Liberia Price Monitor and FAO field data for month of Sept 2014

13-Mar 14-Apr 14-Sep % Change Mar-13 to Apr-14

% Change Apr-14 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%

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Annex 13. BordersUpdated: 20/11

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

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Annex 14. Development Projects

Current status Actions Required & by whom?

RIA runway: project delayed (6 months?) as not confident quality companies will tender for the contract now

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),

Mount Coffee: on-site construction works suspended until Ebola situation under control; manufacturing, procurement, and other project management activities continue as plannedHFO (JICA, WB, GoL): all stalled no work ongoing. Risk of 1 year delayRed light to Gbarnga road: Contractors have envoked force majeure. Risk of loss of dry season and one year delayFish Town to Harper: Progress has been ongoing to enable works to begin without major further delayFeasibility study for Ganta – Tappita: cannot tender for consultant as quality companies will not bid in current circumstancesAgriculture: ?

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.

Updated: 27/11

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Annex 15. Immediate economic issues

Specific Objectives to mitigate impact Current Status and Actions Required & by whom?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.

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.

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

Updated: Dec. 11, 2014

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Annex 16. Education

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

Prepare students & teachers to resume regular schooling

•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

Improve Physical learning environment to prevent the spread of EVD and other diseases

•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

What is the impact of school closures?Increase in young children involved in street selling; teen age pregnancy; over aged students; child laborExtreme hardship on private schools teachers due to no salary; condition of school facilities are deterioratingUnavailability 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

Date updated: 27/11

0 5000 10000 15000 20000 25000

Teachers trained in EVD awareness

CurrentNeeded

20,000

6,600

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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

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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).

Update: 5/12

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Annex 18. Wider CommunicationsWhat 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,

quarantiningImplementation:• 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 fidelityCampaign 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.”

Date updated: 4/12

Joint Communication Committee (MICAT)

Media and major advertising publicity

Partners

IMS Social MobilizationLeading dissemination and

community-level engagement

Partners

Communities and behaviour

Key actors on whom zero-case success

depends

Key Messages

and materials

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Annex 18. Wider CommunicationsWhat 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.”

Date updated: 4/12

General Communications:• Continuing regular Information Ministry briefings and engagement with International Media• Addressing concerns about Holiday period and elections