National Health Cluster ... - HumanitarianResponse

National Health Cluster Coordination Meeting

21st April 2021

YEMEN

Meeting Agenda

• Introduction/Action Point follow up

• Updates from other Fora

• ICCM

• Financial Support Steering Committee - Update

• Conflict Escalation situation Updates; in Marib & Hajjah

• Epidemiological updates of Communicable diseases/outbreak : MOPHP/WHO-EOC

• Updates of TWGs-Leads

• AOB

✓CCPM Update

✓Health Cluster Quality Initiative (HC-QCI)-Yemen-2021

#Action Points/ Subjects to Follow Up Responsibility Status

1 HC to share the updates on HCWs financial support with the partners Health cluster

On Track , 4 meetings has been

conducted (3 Sub-groups)

2217 HFs Fuel support shortage-WHO Funding shortage HC/HC Partners

Ongoing/ Call the Partners to

cover the Gap3 HC SAG membership,

Call for Expression of Interest to all partnersHealth cluster /Partners

Completed

1st Meeting expected on April

20214 -Share the EPI updates for last meeting.

-Ensure EPI updates are shared on a regular basis.-HC partners to ensure sending in their registration documents in both North and South (waiting for remaining partners to share)-HC to share call for EOI on QoC initiative-Sharing Massage from WHO Regional Director for EMRO onWorld Health Day 7 April 2021

Health Cluster/Partners

Done

5 HC to share the updates and progress of CCPM with partners.

Health ClusterCompleted / Compiled for

sharing

6HC to share the progress and updates on HRP 2021 with partners Health Cluster

Completed – HRP Final

documents has been shared on

relief web.

ICCM:- Central Emergency Response Fund (CERF) request- 2022 HPC Timeline- Averting Famine Taskforce- MCLA progress updates

HCWs Financial Support Steering Committee, 4th meeting

Updates from other Fora (ICCM, Steering Committee )

Central Emergency Response Fund (CERF)-Updates

• $7 Million for Mareb & $3 Million for Al Jawf.

• UN agencies currently prepare plans for support

• YHF will share timelines and guiding notes with UN agencies

• Health Cluster is following up with each UN agency on priority & emergency interventions

• Based on the operational plans

Averting Famine Taskforce• Averting Famine Taskforce established with three workstreams and defined its roles and

responsibilities.

• OCHA Yemen has been consulting with key clusters and agencies about the most urgent programming and funding areas required to avert famine over a three-to-six-month period.

• Consultations have highlighted the need for multisectoral approach across Food Security, Nutrition, Health, WASH, Protection and Logistics clusters.

• Depending on the availability of funds, the taskforce has identified two options for way forward: 1. if funding allows, target all IPC 4 districts (154 districts and 5.1 million people) 2. if limited funding, target combination of IPC Acute Food Insecure (AFI) and Acute Malnutrition

(AMN) IPC 5 districts (84 districts).

• This is work will fall under the umbrella of the 2021 YHRP.

• Ongoing discussion and updates will be shared on upcoming HC meetings

2022 Humanitarian Program Cycle (HPC) Timeline

• OCHA shared Draft of 2022 HPC timeline for ICCM endorsement

• 2022 timeline for the upcoming HPC - aims to publish the 2022 HNO on 1 November and 2022 HRP on 15 December.

• Population Task Force to start district-level population estimations Updates of population

• Assessment timelines has been highlighted, as for MCLA & SMART.

• Final document will be shared with partners

MCLA progress updates- as a part of PHC 2022

• Southern Districts, the household listing has been completed in most governorates, household questionnaire refresher trainers have started, and Phase II data planning and collection has begun across governorates.

• Northern Districts, discussions have resumed between OCHA, IOM, SCMCHA and the Central Statistics Office (CSO) and the timeline for MCLA activities has been approved, however challenges have emerged related to a request by SCMCHA for CSO to handle all data processing.

• OCHA noted that this raises serious concerns about data protection and transparency and represents a major change from previous agreements.

Yemen Humanitarian Fund – Annual Monitoring Report 2020 • This report provides an overview of the YHF monitoring activities from 1 January to 31 December 2020,

analyses monitoring results and provides a summary of key recommendations shared with partners

• Despite access challenges, COVID-19-related restrictions and other constraints, the YHF conducted 165 monitoring visits in 2020, thereby fulfilling all its 2020 monitoring requirements.

• 56% of monitoring missions assessed YHF-funded projects as performing well,

• 35% as underperforming but for reasons beyond the partners’ control, and

• 8% as underperforming, without an adequate justification.

• The YHF reached 12,508 people through remote call Beneficiary Verification Surveys (BVS), which supplemented selected monitoring missions.

• YHF made 914 recommendations from 2020 monitoring missions, shared them with implementing partners, and followed up on the actions taken by partners to address them to ensure efficient and effective project delivery.

• The Fund provided timely updates to cluster coordinators and hub managers with key monitoring findings upon review of monitoring reports to ensure that the findings of YHF monitoring can be used by the broader humanitarian community.

• Report is available on Relief Web : Yemen Humanitarian Fund 2020 Annual Monitoring Report - Yemen | ReliefWeb

https://reliefweb.int/report/yemen/yemen-humanitarian-fund-2020-annual-monitoring-report

Yemen Humanitarian Fund – Annual Monitoring Report : Health cluster specific findings:

• The YHF monitored 53 projects with Health components in 2020.

• The key findings were communicated to the implementing partners and Health cluster for improvements.

• According to the findings, • 53% of monitored projects with Health components performed well and

• 38% underperformed but for reasons mostly beyond the partner’s control.

• 9% of projects with Health components underperformed for no good reasons.

• The proportion of monitored projects with Health components that performed well decreased from 76 per cent in 2019 to 53 per cent in 2020.

• However, the proportion of projects with Health components that underperformed for no good reasons decreased from 14 per cent in 2019 to 9 per cent in 2020.

• The most common findings were: • Incentive amount sharing among all cadres.

• Lack of medical registers and vaccine cards created poor recording and tracking services

• Medical supplies were stored in a poor and unsafe manner in some health facilities.

• Some health workers and community health volunteers did not receive adequate training.

• There were issues with the operational support provided to some heath facilities. • Health facilities receiving medical supplies when they were not fully functional.

• Receiving support to cover operational costs for fewer months than planned.

• Received damaged or dysfunctional medical equipment and receiving equipment that could not be used due to lack of electricity. (no back-up plans/assessments)

• Water and sanitation facilities in some health centres were out of use.

Yemen Humanitarian Fund – Annual Monitoring Report : Overview of cluster specific findings: HEALTH

HCWs Financial Support Steering Committee (SC)• Three meetings were held on 16th ,23rd March, 7th April & 20 April.

• SC divided in to 3 Groups, 2 for Short term approach (Humanitarian & Transitional) and one for long term approach (developmental):

• G1: Aimed Analyze recent experiences of NGOs that have negotiated lower “grids” and WHO negotiations for “flat” COVID-19 Hazard Pay--both accepted by authorities and enabling continued provision of services--to inform any change in approach (i.e., identify lessons and articulate pro/cons to applying as a broader cluster approach).

• G3: Aimed to reach common understanding on key immediate questions related to salaries that affect the short-term (6-12 months) approach to financial support, recognizing that salary payments are a broader long-term issues.

• G1 to feed to G3 with lesson learned, analysis & documents for New lower Grade & Payment framework

• G3 has identified 2 scenarios which humanitarian will support HCW payment (With salary payment from the Government & With no salary payment) and to suggest the medium grade per category and other characteristics.

Questions and comments?

Conflict Escalation situation

Updates;

18 April, 2021

Update on Marib

• As reported by ExU

Functional Mobile medical team in MaribMobile medical team in Marib

No District Number of Mobile medical team Partners Status Comment1 Sirwah 1

BFDFunctional

2 Marib 1 Functional

3 Marib city 3 IOMFunctional

Functional4 Marib 25 Marib city 1

MSFFunctional

6 Marib 1 Functional7 Marib city 1

Human Access

Functional8 Marib 1 Functional9 Harib 1 Functional

10 Al-Jubah 1 Functional11 Marib 1 YFCA Functional12 Marib city 2

UNICEF via GHO

Functional13 Marib 1 Functional14 Al-Jubah 1 Functional15 Harib 1 Functional16 Gabal Murad 117 Raghwan 1 Functional18 Marib city 1 Tawasoul Functional

Total 22

National health cluster and partners response for Marib – updated 18 April

• WHO : delivered 3 surgical kits to Marib central HospitalBlood bags and anesthesia drugs

150 IEHKs (Basic) and blood bags are delivered to GHO and distribute them to scale up health services providers

• YFCA: delivered 3 SSK to Marib Governorate Central Hospital (receiving most of the injuries.

Scale up health services in Al-Shaheed hospital support with health workers and operational one Mobile clinics in Al-Waddi sites

• MSF Holland: has intervention in 8 IDPs camps with two mobile clinics and support with surgeons and health workers in the ER and OT in General Marib Hospital

• MSF France: run the OT in General Kara Hospital.• The Yemeni Red Crescent: Supporting the Rawdah Health Center with

staff and medicines through ICRC support• Human Access has 4 mobile teams operational in Harib, Al-Jubah, Marib

city and Al-Waddi. And receive 20 IEHKs from national HC and distrubated on Mobile clinics and health facilities one of the kits delivered to Al-Rowadah health unit.

• BFD/UNFPA provides PHC services in Al Rawdah through One mobile team and second mobile clinics in Al-Waddi and Marib city sites.

• 2 CEmONC hospitals ,2 BEmONC HF through BFD and 51 RH kits

• IOM 5 MMTs functioning in Marib• Scale up in Al Shaheed Hospital esp. in

emergency unit• IOM supported with medical equipment to scale up health services in:

• Al-Shaheed Hospital (Electrolyte laboratory machine, Abd U/S machine, two incubators, two monitors, nebulizer and pulse oximeter)

• Al-Wahdah hospital and its mobile clinic hospital (CBC, biochemistry, ECG, Autoclave 100 lit, electrosurgical unit, crash card, Infant Radiant warmer, DC shock, Syringe & infusion pump, Oxygen cylinder, D & C Equipment, cardiotocography material supplies, cleaning equipment and furniture)

• ICRC supporting trauma hospital with 2 trauma kits, additional 2 kits will be supplied in wk 10; 1 trauma kit to Kara Hospital;

• 700 body bags for dead bodies and renovate the mortuary; • 2 PHC centres with bi-monthly medicines and supplies; • 3 YRCS ambulances for war wounded for Marib General Hospital

• UNICEF: Transportation of supply to 80 OTPs and the supportive supervision for all the OTPs in Marib.

• Have plan to resume their project at Marib with 7 mobile clinic and support some of health facilities.

Health Gaps & Needs for Marib Hub:

Need of emergency response from partners to Al-Rawdah health unit to face the capacity are: • 2 – 4 Caravans to expand the unit with four bathrooms.

• Electrical Generator for enabling functioning the lab and equipment 24 hours.

• Supporting the health Unit with

• Oxygen cylinder ,Ward beds, IV fluid holders, Furnitures etc.

• Provision of caravans with Bathrooms for the establishment of a health unit in Al-Ark, along with equipping them to provide service to the displaced Sirwah

Urgent need for displaced from AL-Khair Al-Tawasul and Al-Mail to Al-Swyida and AL-Aml camps.

• Need to support field hospital in Al-Sowyida with medicines and maintenance medical equipment

Need for Sirwah displaced Need to support of field hospital at Al-sowyidacamp

• Supporting Field Hospital with medicines to provide and scale up health services. staff is

available.

• Supporting and maintenance field hospital medical equipment in the laboratory and Blood Bank

to operate them.

• Prepare and installation of radiological room to operate X-Ray machine in field hospital.

• Construction of incinerators,

• Need to support field hospital with personal productive equipment and hand sanitizer.

• Training the staff on international trauma life support.

• Training the staff on COVID-19 case definition and management has been done.

Preparedness and Response for COVID-19 -Marib

• There are 408 suspected cases of COVID-19 and 85 confirmed positive COVID-19 test and 13 confirmed dead cases and 17 suspected cases death .

• On Monday, the isolation center at Al-Rawdah started working. • need still an existing for supporting with monthly running cost, health workers incentives and Oxygen refill, patients and staff meal, diesel,

maintenance, and consumable cleaning material, etc, ) to continuous the working.

Monthly running cost for isolation center

No Discription Estimated cost per Month YER Esimatec cost per Month USD

1Nutrition for patient and HWs(three meals+water) 2,000,000 2500

2 Oxygen refile 5,000,000 6250

3Consumable(cleaning material, printing, Water,….) 1,500,000 1875

4 Personal protective equipment and matrials 2,000,000 2500

5 medicines and material supply 3,500,000 4375

6 Maintanance 1,500,000 1875

7 Fuel (diesl and Paterloium) 1,000,000 12508 cost of grave(post death) and referral 1,000,000 12509 Rental the isolation center and for HWs 1,700,000 2125

10 other 1,600,000 2000

YER 20,800,000.00 $ 26,000.00

Preparedness and Response for COVID-19 -Marib

• Need to support isolation center at Al-Jobah district with monthly running cost and incentives the budget the same budget of main isolation center

• Call on WHO to quick prepare and equipment main isolation center at Al-Huzmah hospital which has already been assessed

• Essential to support ICU in several hospitals as there are about 70 ICU beds with ventilators in hospitals, but only around 30 beds are functional which doesn't match the needs specially in current situation requirement for support with incentives for health workers and materials supply.

• Last week ,the training about COVID-19 vaccination have been done for DHO managers and vaccination supervisor in all districts.


April,2021

Update on Hajjah

• Situation is stable as reported from SNHC

• No new updates


Updates on Communicable diseases/ outbreak

Cholera, DF, Diphtheria & Other CDs.

Current situation, Challenges & Way forward

MoPHP–EOC

Epidemiological Situation of Diphtheria in YemenFrom WK1 to WK13 ,2021

Summary of Diphtheria indicators

During 2019 ,2020 and 2021

Indicator المؤشر Year2019 WK1-WK13 Year2020 ,WK1-WK13 Year2021 , WK1-WK13(North Gov)

Probable Cases

الحالات المحتملة

Death Cases

حالات الوفيات

%CFR

معدل الاماتةConfirmed cases 65 111 13الحالات المؤكدة بالمختبر 42%from total tested(152) 46%from total tested(239) 19.7%from total tested(66)

Confirmed Death 3 12 4

الوفيات المؤكدة بالمختبر 30% from total tested deaths(10) 54% from total tested deaths(22) 80% from total tested deaths(5)

Number of cases given Antitoxin 182 261 109

عدد الحالات التي أعطيت مضاد السموم 40% from total suspected 43% from total suspected 38.5% from total suspected

Affected Governorates

المحافظات المتأثرة

Affected Districts

المديريات المتأثرة

Indicators (From Week 1 to Week 13 )

454 612 283

29 40 17

120 Dist.(36%) 137 Dist.(41%) 97 Dist.(46%)

6.4% 6.5% 6.0%

19 Gov.(83%) 22 Gov.(96%) 14 Gov.(100%)

Epidemiological Curve of Probable Diphtheria Cases

(Cumulative from WK1 ,2020 to WK13 ,2021)

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

0

10

20

30

40

50

60

70

80

90

W1

W2

W3

W4

W5

W6

W7

W8

W9

W1

0W

11

W1

2W

13

W1

4W

15

W1

6W

17

W1

8W

19

W2

0W

21

W2

2W

23

W2

4W

25

W2

6W

27

W2

8W

29

W3

0W

31

W3

2W

33

W3

4W

35

W3

6W

37

W3

8W

39

W4

0W

41

W4

2W

43

W4

4W

45

W4

6W

47

W4

8W

49

W5

0W

51

W5

2W

53

w1

w2

w3

w4

w5

w6

w7

w8

w9

w1

0w

11

w1

2w

13

Epidemiological Curve of Probable Diphteria Cases(from WK1,2020 to WK13 ,2021)

Diphtheria probable cases death Case Fatility Rate %

Summary of Diphtheria indicators During last 3

Weeks WK11 -WK12-WK13,2021

Indicator المؤشرDuring last 3 Weeks WK11-

WK12-WK13,2021

Suspected Cases

حالات الاشتباه

Death Cases


%CFR

معدل الاماتة

AR/10,000

معدل الهجمة/10,000

Number of cases given Antitoxin 20

اجمالي الحالات التي أعطيت مظاد السموم 35%from total Suspected



Affected Districts

المديريات المتأثرة30 Dist.(14%)

57

4

7.0%

0.03

11 Gov.(79%)

الجمهورية اليمنيةوزارة الصحة العامة و السكانقطاع الرعاية الصحية الأولية

صد الوبائ الإدارة العامة لمكافحة الأمراض و التر

للإنذار المبكر للأمراض و الاستجابة وئ صد الالكتر التر

Summary of Cholera indicators During 2019 ,2020

and 2021

Indicator المؤشر Year2019 WK1-WK13 Year2020 ,WK1-WK13 Year2021 , WK1-WK13(North Gov)

Suspected Cases


Death Cases


%CFR


AR/10,000


Total RDTs 71547 8407 2180

اجمالي الحالات المفحوصة بالفحص السريع 42%from total Suspected 8.2%from total Suspected 14.2%from total Suspected

Confirmed cases 2790 73 2

الحالات المؤكدة بالمختبر 7%from total positive RDTs(38793) 1.8%from total positive RDTs(3903) 0.4%from total positive RDTs(476)

Proportion of severe cases 27186 11712 3199

الحالات شديدة الجفاف 16% from total suspected 11% from total suspected 20% from total suspected



Affected Districts


Indicators (From Week 1 to Week 13)

166,777 101,366 15,417

367 26 2

0.2% 0.03% 0.01%

55.5 33.7 6.3

22 Gov.(95%) 22 Gov.(96%) 14 Gov.(100%)

278Dist.(83%) 291 Dist.(87%) 177 Dist.(84%)

Epidemiological Curve of Suspected Cholera Cases

(Cumulative from WK1 ,2020 to WK13 ,2021)

Summary of Cholera indicators During last 3 Weeks WK11 -

WK12-WK13,2021

Indicator المؤشرDuring last 3 Weeks خلال الثلاثة الأسابيع

WK11-WK12-WK13,2021 الاخيرة

Suspected Cases


Death Cases


%CFR


AR/10,000


Total RDTs 495

اجمالي الحالات المفحوصة بالفحص السريع 14%from total Suspected

Confirmed cases 0

الحالات المؤكدة بالمختبر 0%from total positive RDTs(104)

Confirmed Death 0

الوفيات المؤكدة بالمختبر 0% from total deaths

Proportion of severe cases 688

الحالات شديدة الجفاف 19.5% from total suspected



Affected Districts

المديريات المتأثرة132 Dist.(63%)

3,533

0

0.00%

1.4

13 Gov.(93%)




Summary of DF indicators During 2019

,2020 and 2021

Indicator المؤشر Year 2019 Year 2020 Year 2021

Suspected Cases

حالات الإشتباة

Death Cases


CFR%

معدل الإماتة

Attack rate /10,000

معدل الهجمة / 10,000

Affected Governoate


Affected Districts


13

34.2% from total tested

(38)%from total tested

Positive RDT (IgM) 208 969


(505)


(2878)


6759 36828 1558

20 119 1

0.3% 0.3% 0.1%

2.2 12.3 0.5

20 Gov.(87%) 22 Gov.(96%) 10 North Gov.(71%)

120 Dist. (36%) 193 Dist. (58%) 47 North Dist. (22.3%)

EPI-Curve of DF Cases with CFR%

(Cumulative from WK1 - WK53 ,2020 to WK1-WK13,2021)

Summary of DF indicators During Last 3 Weeks WK11-

WK13,2021

During Last 3 Weeks خلال الثلاث الأسابيع الأخيرة

WK11-WK13,2021

Suspected Cases


Death Cases


CFR%


Attack rate /10,000


Affected Governoate


Affected Districts

المديريات المتأثرة28 North Dist. (13.3%)

Indicator المؤشر

354

0

0%

0.1

6 North Gov.(42%)




Summary of SARI indicators During 2019

,2020 and 2021

Indicator المؤشر Year 2019 Year 2020 Year 2021

Suspected Cases


Death Cases


CFR%


Attack rate /10,000


Connfirmed Cases 129 48

الحالات المؤكدة بالمختبر 30.9% from tested (417) 18.4% from tested (260)

Connfirmed Deaths 29 11

الوفيات المؤكدة بالمختبر 47.5% from tested (61) 24.4% from tested (45)

Affected Governoate


Affected Districts

المديريات المتأثرة57 North Dist. (27%)

1499

66

4.4%

0.5

13 North Gov.(92.8%)

0

0

7.0% 5.3%


2234 2374

156 125

52 Dist. (16%) 54 Dist. (16%)

0.7 0.8

15 Gov.(65%) 15 Gov.(65%)

EPI-Curve of SARI Cases with CFR%

(Cumulative from WK1,2020 to WK13,2021)

Summary of SARI indicators

During Last 3 Weeks (11-12-13,2021)

During Last 3 Weeks خلال الثلاث الأسابيع الأخيرة

WK11- WK13,2021

Suspected Cases


Death Cases


CFR%


Attack rate /10,000


Affected Governoate


Affected Districts


Indicator المؤشر

44 North Dist. (18.1%)

574

39

6.8%

0.2

12 North Gov.(85.7%)


Working groups and Taskforce - Updates

• Mental Health & Psychosocial Service Support (MHPSS)

• No new update: as 2100 hrs. 20 April, 2021

– Reproductive Health IAWG

– WASH in Health Facilities

– EPI/Vaccination

– Nutrition Surveillance System –WHO Nutrition Team

– Quality of Health Care Task Team

MHPSS Technical Working Group Yemen -Updates

21 April 2021

Basic services and security

Community and family supports

Clinical

services

Focused psychosocial

supports

Strengthening community and family

supports

Social considerations in basic

services and security

Advocacy for good

humanitarian practice:

basic services that are safe,

socially appropriate

and that protect dignity

Activating social networks

Supportive child-friendly

spaces

Basic emotional and practical

support to selected individuals or

families

Clinical mental health care (whether

by PHC staff or by mental health

professionals)

Intervention pyramid (Adapted from IASC 2007)

Examples:

IASC Guidelines: Inclusive framework - mental health and psychosocial support covers both

Composite definition

• protecting or promoting psychosocial well-being

and/or

• preventing or treating mental disorders.

MH PSS

Capacity building942 healthcare workers and frontline workers were trained d on PFA and

mhGAP

Capacity buildingTraining:

PFA: 52% mhGAP: 48%

Gender:

Females: 38% Males: 62%

/

Partners Activity

0K 5K 10K 15K 20K

MdM

DEEM

Relief International

QRCS

IOM

HI

TFD

QC

NDF

Selah

IRC

TYF

ACF

PU-AMI

INTERSOS

13.6K

9.4K

2.0K

New mental health cons Psychosocial support

Mental Health & Psychosocial Support

3,027Mental Health Consultations Psychosocial Support Sessions

26.4K

Gov_Name mental health cons Psychosocial support

AbyanAdenAl Dhale'eAl HudaydahAmanat Al AsimahAmranDhamarHadramautHajjahIbbLahjSana'aShabwahTaizz

34707

78

1,3822

1084

48366

785

22643

491

5668

401259126

4630122

359116089486

Total 3,027 26382New mental health consultations by Gender

54.84%45.16% Women

Men

Psychosocial consultations by Gender

Women 75.77%

Men 24.23%

Reporting by Month

0K

5K

10K

January February March

Psychosocial support Mental health Consultations

53Health Facility

15Partner

Type of Facility SupportedFacilities

District HospitalGeneral HospitalHealth CenterHealth Unitspecialist Hospital

92

12291

Total 53

Year, Month

2020 2021

Other updates:

• Rehabilitation of Al-Amal hospital started on the third week of March2021 and is currently ongoing.

• 3 months training is conducted to medical doctors by SAHS Project.

• MoPHP received first bacth of psychotropic medications covering 15health facilities.

• The Sub-National MHPSS TWG meetings in Aden are on hold and will beresumed as of next week hoepfully.

• The National MHPSS TWG meetings will be resumsed as soon as the newhead of National Mental Helth Programme is officially designated.

• Co-chairing modality – partners are encourged to approach the healthand proctection clusters and/or the MHPSS TWG chair.


Health Cluster Quality Initiative (HC-QCI)-Yemen-2021

• Call has been shared with partners,• Deadline 20 April 2021---=> Extension to Tomorrow 22 April 2021• Interest Received from 11 partner

– DEEM,– FMF– Human Access– IMC– IYCY– NFDHR– PAH– PU-AMI– QRCS– RI – YDN

AOB

Cluster Coordination Performance Monitoring (CCPM)

CCPM Update

• Primary results have been shared

• Discussion with Partners- Online Adhoc health cluster was conducted on Sunday 4th April.

• Discussion based on 6 HC core functions

• Recommendation for HC performance improvement from 6 groups were presented.

• All recommendations will be complied and share and will be monitored

• Compiled Recommendations follows:

All recommendations will be compiled , shared and followed for progress

Function Sub-function

Current situation

Discussion

Identified Needs Recommendation for improvement

Progress

CCPM Meeting Results4 April 2021

Function Recommendation for improvement

1. Supporting ServiceDelivery

• Partners will share the assessment tools to be standardized and validated by cluster and used by all as well as sharing all assessment results to build a database. Assessment should include accountability to affected population.

• MSP Orientation and trainings for all partners and provision of guidelines for health services such as IMNCI, Disease outbreak, MSP and others.

• Cluster should monitor duplication and waste of resources and intervene to ensure that no duplication is evident and that all resources are used in an optimal manner.

• Cluster should engage partners in the different works of the cluster and partners are encouraged to nominate themselves in the areas of their strengths and capacities. Partners should also nominate will versed focal points to the cluster.

• Training on information sharing management, sharing, protocols and confidentially for the partners.

• Partners should take part in Multi-Cluster assessments and advocate for the needs of the health sector in all forms.

2-

Informing strategy decision-making of the Humanitarian Coordinator/Humanitarian Country Team

- have the plan in place (by hub) and ensure sharing for all partners and other cluster (linked to inter-cluster coordination mechanism)

- if tools already exist, the Cluster needs to recirculate/provide orientation sessions

- to be included in the HCC workplan for 2021- you may need to go up to 2022 given the nature of the identified needs

(consensus, technical clearance)

- to be included in the HCC work-plan for 2021& 2022- to be included in the HC WP for 2021-22, but considering this is a higher level

goal that can be escalated to the rest of UNHCT and inter-cluster system

- To be included in the HCC work-plan for 2021& 2022

- To be included in the HCC work-plan for 2021& 2022

- Have an advocacy plan for the cluster as part of the 2021 work-plan (what are the core issues we face as cluster? And how we plan to advocate for them? through which channels?)

- TBD @ higher level

3-

Planning and strategyDevelopment

1- Inter Cluster Coordination: Joints meetings among the clusters (WASH, Food security, Logistics, Nutrition and Protection) are necessary to see the achievements, to improve the outcomes and it should be conducted on regular basis (monthly, quarterly) or as needed.

2- Emergency Response: • Contingency plan does not meat the global standard, and the health needs in the country. The plan

should be improved accordingly. • Increase advocacy with the international donors to improve the financial support for the health needs

in the country. • HC to explore more scenarios in the emergency context and prepare accordingly by doing some

simulation exercises with health workers and partners.• Strategy and planning of HC must be shared and discussed with MOPHP and SAMCHA/MOPIC and

throughout the year.

3- Funding requirements: Health cluster priority must be discussed with MOPHP and partners to have a unified priorities. HC to improve the feedback to the partners

4- Advocacy • Create awareness and training on core advocacy roles of Health cluster among the health partners

• Advocacy agenda on HC Meetings(At list per month) – that highlights one theme on advocacy on monthly basis – this can also be included in monthly health cluster bulletin and other HC products e.g. stronger advocacy for securing funding through donors

• Advocacy group - this group will guide advocacy role of the Health cluster

• Developing of advocacy strategy that will guide the core concern of advocacy

5-

Monitoring and reporting on implementation of cluster strategy and results

A. Program monitoring formats agreed upon and used by cluster partners:

• Standard Monitoring Tools and reporting formats in accordance with agreed minimum standards to be unified and shared/reshared through the donors, Health Cluster Partners and disseminate it with relevant sectors on regular basis.o Mode of Action: Quality of Healthcare Task Force,o Responsibility: Cluster Lead Agency (WHO), MoPHP and Task Force.

B. Information shared by partners reflected in cluster reports:

• Standard Assessment Tools to be shared and applied by partners through their implementation to ensure quality of service provided to COVID/Non COVID HFs;

1) Orientation sessions for Health Cluster Partners on monitoring and reporting.2) Develop Monitoring & Reporting tools for the assessment of quality health services at primary

and secondary health care levels.o Mode of Action: Training Sessionso Responsibilities: CLA, Health Cluster

• Third-Party Monitoring Mechanisms;1) TPM Personnel who is engaged in the different monitoring platforms/processes of the TPM it is

recommended to be well qualified health personnel to avoid any misleading monitoring reports.2) TPM agreed minimum standards to be unified and shared/reshared through the Donors, Health

Cluster Partners, and disseminate it with relevant sectors.

6.Preparedness for recurrent disasters

• All partners shall have a committed staff/resources for preparedness/ and activation of the contingency plan.

• Good logistics/operational system/capacity building for partners – to ensure timely response.

• Regular capacity building for stakeholders/partners in terms of contingency planning, implementation and monitoring.

• Involvement of stakeholders/partners during the drafting of the contingency plan.

• Advocacy for resource mobilization• Regular monitoring of the contingency plan to evaluate the mechanism of

implementation.• Identify success stories from field.


AOB

Health Partners Registration • Registrations is one of the essential requirements for Health cluster

membership

• HC has shared the request for all partners to share the registration documents and to fill out the excel sheet (already shared)

• 20 partners has shared their feedback

• REMINDER to All partners didn't shared their registration, as requested by Authorities – Cluster to follow-up

THANK YOU

Next National Health Cluster meeting →4th May 2021

Documents

National Health Cluster ... - HumanitarianResponse