Rapid Assessment - ReliefWeb

Rapid Assessment

Municipality COVID-19 Preparedness

(Baseline)

Municipality Briefs

This activity is part of the collaborative Libya Programme COVID-19 response, which is

supported by the EU and the German Government.

As a federally owned enterprise, GIZ supports the German Government

in achieving its objectives in the field of international cooperation for

sustainable development.

Published by:

Deutsche Gesellschaft für

Internationale Zusammenarbeit (GIZ) GmbH

Registered offices

Bonn and Eschborn

GIZ Libya Programme

Rue De Dinar, Immeuble Youssef, 3ème Étage

Les Berges du Lac II, 1053 Tunis, Tunisia

E [email protected]

I https://www.giz.de/en/worldwide/75106.html

Project description:

Improving Primary Health Care Provision in Libya

Author/Responsible/Editor, etc.:

GIZ

Design/layout, etc.:

GIZ

Maps:

The maps printed here are intended only for information purposes and in no

way constitute recognition under international law of boundaries and territories.

GIZ accepts no responsibility for these maps being entirely up to date, correct

or complete. All liability for any damage, direct or indirect, resulting from their

use is excluded.

On behalf of

German Federal Ministry for Economic Cooperation and Development (BMZ)

GIZ is responsible for the content of this publication.

Tunis, 2020

Table of Contents

List of Abbreviations and Acronyms ............................................................................................... I

Introduction ........................................................................................................................................ II

Map of GIZ Partner Municipalities ................................................................................................ III

1. Al-Jufra ....................................................................................................................................... 1

2. Al-Shargia .................................................................................................................................. 2

3. Alshweyrif .................................................................................................................................. 3

4. Al-Zintan..................................................................................................................................... 4

5. Edri El Shati (Brak) ................................................................................................................... 5

6. Garabulli..................................................................................................................................... 6

7. Ghadamis .................................................................................................................................. 7

8. Hay-Alandalus ........................................................................................................................... 8

9. Jadu ............................................................................................................................................ 9

10. Janzour ................................................................................................................................ 10

11. Misurata ............................................................................................................................... 11

12. Msallata ................................................................................................................................ 12

13. Nalut ..................................................................................................................................... 13

14. Tarhouna ............................................................................................................................. 14

15. Wadi Al-Bawanis ................................................................................................................ 15

16. Zliten ..................................................................................................................................... 16

External Annex: Hospital and Isolation Sites per Municipality

I

List of Abbreviations and Acronyms

CSO Civil Society Organisation

EWARN Early Warning Alert and Response Network

GIZ Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH

HSWG Health Sector Working Group

ICU Intensive Care Unit

LNA Libyan National Army

MEC Medical Emergency Committee

MoH Ministry of Health

NCDC National Centre for Disease Control

NP swabs Nasopharyngeal swabs

PCR Polymerase Chain Reaction

PHCC Primary Health Care Centre

PPE Personal Protective Equipment

PHCC Primary Health Care Centre

SARA Service Availability and Readiness Assessment

ToR Terms of References

II

Introduction

The purpose of the rapid assessment is to gain an overview of the COVID-19 preparedness

status of GIZ´s sixteen partner municipalities (see map below) and to discern the gaps and

needs as identified by the municipalities. The data reflected in this report was largely obtained

through semi-structured interviews with key municipality representatives (mayors, health

representatives, district health managers), who were interviewed by GIZ officers by phone

between 12-26 March 2020.

Key findings of the assessment include:

• The municipalities have already formed Municipality Emergency Committees (MECs).

• The South of Libya is coordinating its response regionally with one committee

representing 16 municipalities and their sub-committees.

• No information is available for Tawergha Camps.

• Coordination and reporting structures around the MECs vary widely across the

different municipalities.

• Some municipalities are inspecting cafes, slaughterhouses, bakeries and hairdressing

salons to ensure that hygiene measures are in maintained.

• Many municipalities have started awareness campaigns and some municipalities have

prohibited public gatherings.

• Several municipalities have indicated that they have identified isolation sites, and some

municipalities are already preparing these for the clinical management of COVID-19

patients.

• The main concern raised by the municipalities is the overall unpreparedness of health

facilities to manage patients with severe or critical COVID-19 disease due to shortage

of medical staff trained in COVID-management, lack of ICU equipment, PPE supplies

and isolation units.

The information regarding the preparedness of hospitals and isolation sites in the

municipalities gained during the assessment varies in comparison with other sources. For this

baseline report, the following sources were therefore used to gain a better insight on the

current preparedness status of the hospitals in the municipalities.

1. Health Sector Working Group (HSWG) COVID-19 Situational Reports from April 11

and April 15, 2020 regarding the number of isolation and ICU beds per hospital/site in

the municipalities. As this information is officially shared with core stakeholders, the

respective dataset is used as the basis of information for this report (and the respective

information is not marked in any colour).

2. A dataset based on the SARA Libya 2017 Report, which lists the hospitals, number of

beds and numbers of ICU beds per hospital per municipality was compared with

information obtained by hospital representatives. Information drawn from this dataset

is displayed in green.

3. Further information obtained by the Health Team in conversation with respective

representatives is also displayed in green.

A more comprehensive overview of the information obtained on hospital and isolation site

preparedness as well as the overall data overview is presented in the annex.

http://www.emro.who.int/lby/libya-infocus/service-availability-and-readiness-assessment-sara-report.html

III

Map of GIZ Partner Municipalities

Most of the contact details for Health Representatives, District Health Managers and

Chairpersons of MECs are available. Due to data privacy reasons, names and contact details

may be shared upon request only.

1

1. Al-Jufra M

EC

Co

ord

ina

tio

n Responsible NCDC branch: Al-Jufra

In contact with NCDC branch: Yes

MoH orientation: No

Further information: There is another emergency medical committee

established by the District Health Office

ME

C

Co

ns

titu

tio

n

MEC members:

(no female members)

• City Manager (chairperson)

• Municipality Health representative

• NCDC representative

• Ministry of Interior representative

• Red Crescent Society representative

• Municipality representative: Deputy Mayor

MEC communication: Meeting / Phone

ToRs: Yes

Action Plan: Yes

Monitoring Plan: Yes

Aw

are

-ne

ss Community awareness about hotline: Yes

Posters displayed: No

Awareness programs on radio and TV: Yes

Ho

sp

ita

l a

nd

Is

ola

tio

n S

ite

Pre

pa

red

nes

s

Key referral hospital: Wedan Hospital (LNA-controlled)

- Triage is inside the outpatient

department 20 isolation beds ready

- 3 ICU beds ready and 3 are not fully

equipped

- 80 bed capacity

Further sites: - Al Afia Hospital - Houn: operating

hospital, but not the preferred site for

isolating COVID patients

- Quarantine centre in Houn PHC with 20

bed capacity

COVID-19 lab capacity Planned

Acti

on

s

Ta

ke

n

• Awareness raising activities

• Preparation of isolation unit

• Disinfection spraying of roads and buildings

Key

Co

nc

ern

s • Shortage of PPE and other materials (e.g. sanitizer, NP swabs)

• Ventilator does not work

• Lack of ICU equipment

• Medical professionals are not trained in the management of COVID-19

2

2. Al-Shargia M

EC

Co

or-

din

ati

on

Responsible NCDC branch: Sabha

In contact with NCDC branch: No

MoH orientation: No, MoH was informed

Further information: -

ME

C

Co

ns

titu

tio

n

MEC members:

(no female members)

• Director of the Mayor's Office (chairperson)

• Director of the Hospital

• Municipal Guard

• Head of the Ambulance Services

• Educational Services representative

• CSOs

MEC communication: Daily meetings

ToRs: No

Action Plan: Yes

Monitoring Plan: No

Aw

are

-ne


Posters displayed: Yes


Ho

sp

ita

l a

nd

Is

ola

tio

n

Sit

e P

rep

are

dn

es

s

Key referral hospital: Om Alaranib Hospital

- No ICU and isolation site available and

almost no possibility to establish such

sites

Further information: There is said to be another site for isolating

COVID19 patients outside the hospital

Acti

on

s

Ta

ke

n

• Rapid Response Team was formed

• Awareness campaigns

• Disinfection spraying campaigns

• Sterilization operations

• Curfew from 6 pm to 6 am

• No public gatherings

Key

Co

nc

ern

s • Shortage of medical equipment and supplies, e.g. ventilator, PPE, ICU equipment,

sanitizer, NP swabs


3

3. Alshweyrif M

EC

Co

or-

din

ati

on

Responsible NCDC branch: Sebha

In contact with NCDC branch: Not in contact

MoH orientation: No, but MoH was informed


ME

C

Co

ns

titu

tio

n

MEC members:

(1 female member, councillor)

• 8 members in total

• Council Member (chairperson)

• Municipal Guard

• Representative of the health sector

• Representative of a public cleaning company

• Police officer

• Two Mokhtar Mahala


ToRs: No

Action Plan: Yes

Monitoring Plan: No

Aw

are

-ne




Ho

sp

ita

l a

nd

Is

ola

tio

n

Sit

e P

rep

are

dn

es

s

Key referral hospital:

(outside municipality!)

Wedan Hospital (in Al-Jufra) is the key referral

hospital, followed by Brak General Hospital (in

Edri El Shati (Brak))

Further hospitals:

(within municipality)

Small Alshweyrif Hospital is operating but there

is almost no possibility to establish isolation sites

and ICU (medical personnel are not trained in the

management of COVID and shortage of medical

equipment and supplies)

Acti

on

s

Ta

ke

n

• An emergency committee was formed

• From 25 March onwards, all shops will be closed off for 24 hours

Key

Co

nc

ern

s • Lack of medical equipment and supplies, e.g. ventilator, PPE, ICU equipment,

sanitizer, NP swabs

• No ICU beds

4

4. Al-Zintan M

EC

Co

or-

din

ati

on

Responsible NCDC branch: Tripoli


MoH orientation: Tbc


ME

C

Co

ns

titu

tio

n

MEC members:

(? Female members)

• Tbc

MEC communication: Daily meeting / Phone

ToRs: Yes

Action Plan: Yes


Aw

are

-ne


Posters displayed: Yes, but limited


Ho

sp

ita

l a

nd

Is

ola

tio

n

Sit

e P

rep

are

dn

es

s

Key referral hospital: 1. Al-Zintan isolation centre (adapted building)

- 18 isolation beds (ongoing preparation)

- 4 ICU beds (ongoing preparation)

2. Trauma Hospital & Surgery Teaching

Hospital

- MoH equipped hospital with 40 ICU beds

- MoH lists them as target isolation site

Further Hospital: No further information available on Al Al-Zintan

Hospital

Acti

on

s

Ta

ke

n

• Equipping the isolation room in Al-Zintan accident hospital

• Plans to close municipal outlets

Key

Co

nc

ern

s • Lack of medical equipment

• Shortage of NP swabs and PPE


5

5. Edri El Shati (Brak) M

EC

Co

or-

din

ati

on

Responsible NCDC branch: Sabha


MoH orientation: Yes


ME

C

Co

ns

titu

tio

n

MEC members:

(no female members)

• Combination of Crisis Committee and Health

Committee

• Head of the Crisis Committee (chairperson)

• Health Committee representative

• Municipal Guard

• Food Control representative

• Scouts


• Director of Security

• Environmental Sanitation representative

MEC communication: Phone calls, WhatsApp group, Facebook and

meetings

ToRs: No

Action Plan: Yes

Monitoring Plan: No

Aw

are

-ne

ss Community awareness about hotline: No



Ho

sp

ita

l a

nd

Is

ola

tio

n S

ite

Pre

pa

red

nes

s

Key referral hospital: - Isolation centre in Bergan Hospital

- Isolation centre in student housing with 25

bed capacity

- Respiratory clinic in Girah hospital

- Quarantine centre in Qirah, Zelwaz,

Mahroogha, Wanzireek Bergen PHCC.

Further Hospitals: No further information available on:

- Brak Hospital (second key referral

hospital for Alshweyrif municipality)

- Adri Hospital

Acti

on

s

Ta

ke

n

• Facebook for awareness and cooperation with the media

Key

Co

nc

ern

s • Medical professionals are not trained in the management of COVID-19

• Lack of equipment, e.g. ventilator, PPE, ICU equipment, sanitizer, NP swabs

6

6. Garabulli M

EC

Co

or-

din

ati

on





ME

C

Co

ns

titu

tio

n

MEC members:

(2 female members)

• Mayor

• Members of the Municipal Council

• Director of Health Services Administration

• Security Directorate representative

• Head of the Environmental Sanitation Office

• Head of the Municipal Guard Office

• Director of the Dialysis Centre

• CSOs


ToRs: Yes

Municipal Council Resolution (1) 2020 re:

formation of the emergency committee to combat

COVID-19

Action Plan: In process

Monitoring Plan: No, monitoring during regular meetings

Aw

are

-

ne

ss

Community awareness about hotline: Yes, announced on the municipality's Facebook,

public social media pages, TV and radio



Ho

sp

ita

l a

nd

Iso

lati

on

Sit

e

Pre

pa

red

nes

s Key referral hospital:

(outside municipality!)

Cases are sent to isolation sites in Tripoli (near

Metiga hospital)

Further hospital:

(within municipality)

Al Qarabouli Hospital (small), no information

available

Acti

on

s

Ta

ke

n

• Equipping isolation room in the local medical centre

• Limiting foreign workforce and raising their awareness on COVID-19

• Precautionary measures: The Municipal Guard has decided to close cafes and

restaurants

• A team representing the Security Directorate and the Internal Security Agency inspect

cafes, slaughterhouses, bakeries and hairdressing salons in the city to ensure that

food and health security measures are maintained

Key

Co

nc

ern



7

7. Ghadamis M

EC

Co

or-

din

ati

on

Responsible NCDC branch: Ghadamis


MoH orientation: No


ME

C

Co

ns

titu

tio

n

MEC members:

(no female members)

• NCDC representative

• Head of the Quarantine Office

• Mayor

• Municipal Council Member

• Director of Ghadamis General Hospital


ToRs: Yes

Action Plan: Yes

Monitoring Plan: No

Aw

are

-ne




Ho

sp

ita

l a

nd

Is

ola

tio

n

Sit

e P

rep

are

dn

es

s

Key referral hospitals: 2. Ghadamis Hospital

- MoH equipped 15 beds

- 2 ICU beds with 2 ventilators

- Listed as target isolation site from MoH

3. Adapted Building, unknown name

- 13 isolation beds (in preparation)

- 2 ICU beds (in preparation)

Po

E Status Closed

Staff training on screening No

Isolation space available No

Acti

on

s

Ta

ke

n

• An emergency committee was formulated.

Key

Co

nc

ern

s • Because Tunisia closed its borders, several Libyans return to Libya via Algeria through

the border in Ghadamis. Most of these returnees come from Europe.

8

8. Hay-Alandalus M

EC

Co

or-

din

ati

on



MoH orientation: No, by the municipality


ME

C

Co

ns

titu

tio

n

MEC members:

(2 female members)

• Mayor

• City Manager

• Health Office representative

• Ambulance and Emergency Office

representative

• Economy Office representative


• Education Office representative

• CSOs

MEC communication: Weekly meetings by phone

ToRs: No

Action Plan: Yes

Monitoring Plan: No, Monitoring during regular meetings

Aw

are

ne

ss Community awareness about hotline: Yes, announced on the municipality's Facebook,

public social media pages, TV and radio


Awareness programs on radio and TV: Yes, via Libyan and Almadar messages (Zero

Case campaign)

Ho

sp

ita

l a

nd

Is

ola

tio

n

Sit

e P

rep

are

dn

es

s

Key referral hospital: Cases are sent to isolation sites in Tripoli (near

Metiga Hospital) as it is close by

Further hospitals: No further official information available on:

- Psychiatric Disease Hospital in Tripoli

- Abi Sitta Chest Disease Hospital

Further information:

- Hay-Alandalus is prepared for quarantine

but not for isolation

- There is a private clinic in Hay-Alandalus for

medical check-up and the referral to Metiga

Acti

on

s

Ta

ke

n

• The ambulance and emergency office in the municipality of Al-Andalus began its

campaign of sterilization and disinfection at several health centres, public places and

mosques

• Preventing foreign labour gatherings in the streets

• Zero Case campaign is continuing in cooperation with the municipality of Al-Andalus,

the Municipal Guard, the Information Office of the municipality and accompanied

doctors to inform food shops, bakeries and cafés on how to protect oneself and others

from covid-19 infection

Key

Co

nc

ern

s • Overcrowding in the meat market in Hay Alaslami area

• Safety of displaced people

• Lack of medical equipment


9

9. Jadu M

EC

Co

ord

. Responsible NCDC branch: Tripoli



ME

C

Co

ns

titu

tio

n

MEC members:

(no female members)


• Mayor

• Member of the Municipal Council

• Internal Security representative

• Health Office representative

• Jadu Security Directorate representative

• Jadu General Hospital representative

• Environmental Sanitation Office

representative

• Economy Office representative

• General Services Office representative

• Financial Services Office representative

• Zakat and Endowments Affairs Office repres.

• Culture and Media representative

• National Safety Authority representative

• Water and Sanitation Centre representative

• Social Affairs representative

• Civil Society Commission representative

• Aljomhoria Bank representative

• 2 heads of Mahalas


ToRs: Yes, Municipal Council Resolution (1) 2020 re:

formation of emergency committee to combat

COVID-19

Action Plan: No


Aw

are

-ne




Ho

sp

ita

l a

nd

Iso

lati

on

Sit

e

Pre

pa

red

nes

s Key referral hospital: Isolation site is not on the site of Jadu General

Hospital

- MoH supported with 12 ICU beds but only 2

ventilators

- 2 ventilators were provided by the hospital

Further Hospital: Jadu General Hospital, no further information

Acti

on

s

Ta

ke

n

• Equipping the isolation room in Jadu General Hospital

• Limiting foreign workforce and raising their awareness on COVID-19

• Providing emergency numbers for the citizens

• A team from the Security Directorate, the Internal Security Agency, Jadu Branch, and

the Jadu Economy Office are inspecting cafes, slaughterhouses, bakeries and hair-

dressing salons in the city to ensure that food and health security measures are

maintained

Key

Co

nc

ern

s • Lack of equipment, e.g. shortage in NP swabs, PPE, ventilators, no oxygen supplier in

the municipality


10

10. Janzour M

EC

Co

-

ord

ina

tio

n Responsible NCDC branch: Tripoli



Further information: There is another emergency medical committee

under the Health Office.

ME

C

Co

ns

titu

tio

n

MEC members:

(1 female member)

• Mayor



• Director General of the General Services

Company


• Director of Food Control Janzour



• Director of the dialysis centre

• CSOs


ToRs: No, the committee was formed with reference to

Law 59 to form the emergency committee

Action Plan: No


Aw

are

ne

ss Community awareness about hotline: Yes, announced on the municipality's Facebook,

social media pages, TV and radio

Posters displayed: No, they believe that posters and flyers may

spread the infection


Ho

sp

ita

l a

nd

Is

ola

tio

n

Sit

e P

rep

are

dn

es

s

Key referral hospital: - There is a private clinic for medical check-

up and then referral to Mitiga Hospital,

Tripoli.

- Isolation sites will be prepared within

municipality but there is no equipment

Further information: - The local clinic complex is under

maintenance so it can be used for

quarantine.

Acti

on

s T

ak

en

• The Ministry of Security and the Municipal Guard were given permission to close

cafes, Rakila cafes, the Others Park and sports halls

• In coordination with the Islamic Affairs Friday prayers in mosques were put on halt

• Municipal Council issued Janzour Resolution No. 7 of 2020 regarding the curfew within

the municipality from 17:00 to 06:00.

• It is strictly forbidden to receive foreign workers who recently entered Janzour and

reside in the municipality. Those who provide housing will bear all the legal deterrent

measures.

Key

Co

nc

ern

s • Lack of equipment, e.g. ventilator, PPE, ICU equipment, sanitizer


11

11. Misurata M

EC

Co

or-

din

ati

on

Responsible NCDC branch: Misurata




ME

C

Co

ns

titu

tio

n

MEC members:

(no female members)

• Municipal Shura Council Head

• Director of Majoob Hospital

• Director General of Gasser Hamed Hospital


• Other representatives


ToRs: Yes

Action Plan: Yes


Aw

are

-ne




Ho

sp

ita

l a

nd

Is

ola

tio

n S

ite

Pre

pa

red

nes

s

Key referral hospitals: 1. Al Kreshginie (private hospital)

- A businessman donated the hospital

building and MoH equips it

- 40 ICU beds already delivered by MoH;

target is 100

- There is a PCR device, but it lacks

operational materials

- MoH has listed the hospital as a target

isolation site

2. Misurata Medical Centre / Misurata Hospital

- 14 isolation beds ready

- 4 ICU beds ready

3. Adapted centre (duplication to Al

Kreshginie?)

- 66 isolation beds planned

- 24 ICU beds planned

Further Hospitals: No further information available on:

• Chest Disease Hospital

• Oncology Centre

Po

E

Status • Airport: Closed

• Port: Open



Acti

on

s

Ta

ke

n

• A businessman donated a private hospital with a capacity of 500 beds, all equipped for

COVID-19 cases

• A complete curfew of 24 hours after the first case discovered in Misurata

• Spray campaigns and sterilization of public places and streets

• A local company that manufactures medical masks is completely booked by the MoH

Key

Co

nc

ern

s • There are many prisoners and there is a need to implement infection prevention

measures at the prison centre

• Lack of medical equipment


12

12. Msallata M

EC

Co

-

ord

ina

tio

n Responsible NCDC branch: Tripoli

In contact with NCDC branch: not directly in contact with their local NCDC

branch but report via their EWARN Focal Point



ME

C

Co

ns

titu

tio

n

MEC members:

(0 female members)

• Mayor

• Municipal Council members


• Director General of the General Services

Company




• Head of the Education Office


ToRs: Yes

Action Plan: Yes


Aw

are

-ne




Ho

sp

ita

l a

nd

Is

ola

tio

n

Sit

e P

rep

are

dn

es

s

Key referral hospital: The internal department of the Nutrition College

is equipped for isolation COVID-19 cases, which

is located close to the hospital; adapted site:



- 1 ventilator

Further Hospital: No further information available on Msallata

Hospital

Acti

on

s

Ta

ke

n

• Awareness campaign

• Preparation of isolation unit

• Spraying of roads and buildings with chemicals

Key

Co

nc

ern

s • Shortage of equipment and supplies, e.g. ventilators, PPE, ICU equipment, sanitizer,

NP swabs


13

13. Nalut M

EC

Co

or-

din

ati

on

Responsible NCDC branch: Nalut




ME

C

Co

ns

titu

tio

n

MEC members:

(1 female member)

• Combination of Crisis Committee and Health

Committee


• Central Hospital representative

• Director of Security


• The mayor is the key contact person

MEC communication: By mobile phone

ToRs: Yes

Action Plan: Yes

Monitoring Plan: No

Aw

are

-ne


Posters displayed: Yes, but limited

Awareness programs on radio and TV: Yes, media and local radio

Ho

sp

ita

l a

nd

Is

ola

tio

n S

ite

Pre

pa

red

nes

s

Key referral hospital: 1. Adapted building, unknown name

- 14 isolation beds ready

- 26 isolation beds planned

- 1 ICU bed ready

- 19 ICU beds planned

2. Nalut Medical Health Care Centre

- MoH equipped 15 isolation beds

3. Nalut Hospital

- MoH equipped 25 isolation beds

Further information MoH lists the above as target isolation sites

Po

E State Closed



Acti

on

s

Ta

ke

n




• Temporary peasants’ detention

• Patients’ detention camp is under preparation

• Closing of Tunisian border

• Closing of the entire the city through check points

• Preventing foreigners from entering the city

Key

Co

nc

ern

s • Shortage in NP swabs and PPE

• The hospital does not have sufficient respiratory systems and, no PCR devices and

kits for detection of COVID-19.

• The hospital is district hospital and serves many towns in the west of Libya.

• Lack of specialized doctors and well-trained medical staff to manage cases

14

14. Tarhouna M

EC

Co

or-

din

ati

on

Responsible NCDC branch: East

In contact with NCDC branch: East

MoH orientation: East


ME

C

Co

ns

titu

tio

n

MEC members:

(1 female member)

• Mayor







• CSOs


ToRs: Yes

Action Plan: Yes

Monitoring Plan: No

Aw

are

-ne




Ho

sp

ita

l a

nd

Is

ola

tio

n S

ite

Pre

pa

red

nes

s

Key referral hospital: 1. University complex building


2. Italian comp.


Further hospital: No further information available on Tarhouna

Hospital

Further information: - MoH has difficulties in sending support to

Tarhouna

- There is a place for isolation of COVID-19

cases about 3 km from the Tarhouna

hospital with a capacity of 25 beds

Acti

on

s

Ta

ke

n

• Equipping the isolation room in the Central Hospital

• Precautionary measures: Municipal Guard has decided to close cafes and restaurants

• A team from the Security Directorate, the Internal Security Agency, inspect cafes,

slaughterhouses, bakeries and hairdressing salons in the city ensure that food and

health measures are maintained.

Key

Co

nc

ern

s • Lack of equipment and supplies, e.g. ventilators, monitors, PPE, ICU equipment,

sanitizer


15

15. Wadi Al-Bawanis M

EC

Co

-

ord

ina

tio

n Responsible NCDC branch: Sabha

In contact with NCDC branch: not directly in contact with their local NCDC

branch but report via their EWARN Focal Point

MoH orientation: No, but MoH was informed


ME

C

Co

ns

titu

tio

n

MEC members:

(0 female members)


• Council Member (chairperson)

• Municipal Guard

• Academic staff

• Director of the Planning Office


• CSO representatives

• Various public employees


ToRs: No

Action Plan: Yes

Monitoring Plan: No

Aw

are

-ne




Ho

sp

ita

l a

nd

Is

ola

tio

n S

ite

Pre

pa

red

nes

s

Key referral hospital: Sabha Medical Centre, 40 km away from Wadi

Al-Bawanis as there is no local hospital.

- Triage at Respiratory Clinic in Thanawiyah Isolation Center in a student housing with 50 bed capacity

- Quarantine centre in the 2nd and 3rd floor of a student housing with 100 bed capacity.

Al-Bawanis, isolation center in Al Zeegen PHC

with 15 bed capacity.

Respiratory clinic - not decided yet.

Referral Municipality: Sebha, but fear of conflict when referring patients

to Sebha municipality

Acti

on

s

Ta

ke

n

• MEC was formed

• Training medical staff



• Sterilization operations

• Curfew from 18:00 to 06:00


Key

Co

nc

ern

s • A shortage of medical equipment

16

16. Zliten M

EC

Co

or-

din

ati

on

Responsible NCDC branch: Zliten




ME

C C

on

sti

tuti

on

MEC members:

(0 female members)

• Mayor

• Municipal Council members





• CSOs

• Local Development Plan Committee

representative


ToRs: Yes

Action Plan: Yes


Aw

are

-ne




Ho

sp

ita

l a

nd

Is

ola

tio

n S

ite

Pre

pa

red

nes

s

Key referral hospital: 1. Zletin Teaching Hospital

- 7 isolation beds (in preparation) and 93

isolation beds planned

- 11 ICU beds (in preparation) and 5 ICU

beds planned

2. Isolation site near Zliten Hospital,

businessman donated to prepare a place

located close to the hospital

- MoH equipped 40 ICU beds (plus 30

additional ICU beds?)

- MoH lists them as target isolation site

Further information According to District Health Manager, support is

not needed.

Acti

on

s

Ta

ke

n

• From 25 March onwards, all shops will be closed off for 24 hours

Key

Co

nc

ern



COVID-19 PreparednessHospitals and Isolation Sites per Municipality

GIZ municipalities Hospital nameHospital nameArabic

Key Referral Hospital

Adapted/ Additio-nal facility

Facility type# of all

established inpatient beds

# of ICU # of beds

in ICUIsolation beds

Isolation BedsStatus

ICU bedsICU Beds

StatusPreparadeness Status for COVID 19 managment Comments

Support from other partners

Planned for COVID patients?

Al-Jufra Al Afia hospital - Houn مستشفى العافية – هون No NoGeneral Hospital or Medical Hospital

136 1 6 not mentioned not mentioned not mentioned not mentioned not preferred site for isolating COVID19 patientsThis is an operating hospital; info from Mr Ahmed, DHM

Yes No

Al-Jufra Weddan hospital مستشفى الودان Yes No Rural Hospital 60 0 0 20 ready 6 ready

Wedan Hospital is equipped for isolation, for confirmed cases with capacity of 3 beds for Intensive care unit not fully equipped and shortage in swab tools, it lacks medical capabilities and equipment the ventilator system does not work there is no monitor there is no isolation means and the room is incomplete lack of tool to take the sample

Municipality selected this hospital according to Ahemd(DHM)

No Yes

Al-Shargia Om Alaranib Hospital newly added Yes No newly added newly added newly added newly added not mentioned not mentioned not mentioned not mentionedBaseline: Abu Azoum There is a place for isolation COVID-19 cases away from (Om al Ranb hospital)severe shortage of capabilities and medical equipmentno ICU and isolation site

almost no possibilities to establish isolation sites and ICU

Yes

Alshweyrif Al Shewarif hospital مستشفى الشويرف No No Rural Hospital 60 0 0 not mentioned not mentioned not mentioned not mentioned almost no possibilities to establish isolation sites and ICU; don't have capability; severe shortage of everything

Baseline: Abo Ozzumthey will send the cases to Al Jufra municipality (mainly) or Brak general hospital

No Yes

Al-Zintan Al Zintan hospital مستشفى الزنتان No NoGeneral Hospital or Medical Hospital

120 1 4 not mentioned not mentioned not mentioned not mentioned

Al-Zintan Zintan Trauma Hospital newly added Yes No newly added newly added newly added newly added not mentioned not mentioned not mentioned not mentioned

MoH lists them as target isolation sitesMoH equipped hospital with 40 ICU beds

with capacity of 12 beds for Intensive care unit with ventilators but shortage in swab tools and PPE

Zintan Trauma Hospital and another building that is now being prepared by the Ministry of Health to receive COVID-19 cases (source: Randa from District Health Manager).

Yes Yes

Al-Zintan Zintan Surgery Teaching Hospital newly added Yes No newly added newly added newly added newly added not mentioned not mentioned not mentioned not mentioned see Zintan Trauma Hospital, no additional information availableAl-Zintan Zintan Isolation Centre newly added Yes Yes newly added newly added newly added newly added 18 ongoing preparation 4 ongoing preparationEdri El Shati (Brak) Adri hospital مستشفى أدرى No No Rural Hospital 60 0 0 not mentioned not mentioned not mentioned not mentioned no information

Edri El Shati (Brak) Brake hospital مستشفى براك No NoGeneral Hospital or Medical Hospital

120 0 0 not mentioned not mentioned not mentioned not mentioned no information

Edri El Shati (Brak) Bergan hospital مستشفى برقن Yes No Rural Hospital 60 0 0 not mentioned not mentioned not mentioned not mentionedthis is key referral hospital for Edri Al-Shatiisolation sites planned but no preparation until now

Baseline (Abo Azum) No Yes

Garabulli Al Qarabouli hospital مستشفى القره بولى No No Rural Hospital 60 0 0 not mentioned not mentioned not mentioned not mentioned cases are sent to isolation sites in Tripoli (near Metiga hospital) Baseline (Awatef) and (DHM) No Yes

Ghadamis Ghadames hospital مستشفى غدامس Yes NoGeneral Hospital or Medical Hospital

136 1 5 not mentioned not mentioned not mentioned not mentionedwith capacity of 2 beds for Intensive care unit with 2 ventilators (department prepared inside hospital) no swab tools and mediumMoH equipped 15 beds

Baseline: DHM from MoH listed as target isolation site

No Yes

Ghadamis unknown name newly added Yes Yes newly added newly added newly added newly added 13 ongoing preparation 2 ongoing preparation no information

Hay-Alandalus Abi Sitta chest diseases hospital مستشفى ابي ستة للأمراض الصدرية No No Specialized Hospital 219 0 0 not mentioned not mentioned not mentioned not mentionedcases are sent to isolation sites in Tripoli (near Metiga (Sohar)) as it is close byThere is private clinic in Hay Andalus for med check up and then referral to Mitaga (Sohar)

No No

Hay-AlandalusPsychiatric Diseases Hospital -Tripoliname changed?

مستشفى الرازي للأمراض النفسية - طرابلس

No No Specialized Hospital 400 0 0 not mentioned not mentioned not mentioned not mentionedcases are sent to isolation sites in Tripoli (near Metiga hospital) as it is close byHay is prepared for quarantine but not for isolation

No

Jadu Jado Hospital مستشفى جادو No No Rural Hospital. 60 1 5 not mentioned not mentioned not mentioned not mentioned Isolation site not on the site of Jadu General Hospital Baseline: Soher (DHM) No No

Jadu Isolation site, unknown name newly added Yes newly added newly added newly added newly added not mentioned not mentioned not mentioned not mentionedMoH supported with 12 beds for ICU but only two ventilators2 ventilator from MoH, 2 from hospital,shortage in swab tools and transferring media

Yes

Janzour Mitiga hospital مستشفى امعيتيقة No NoGeneral Hospital or Medical Hospital

200 1 5 not mentioned not mentioned not mentioned not mentionedThe clinic complex is under maintenance, so it can be used for quarantineDHM: isolation sites will be prepared within municipality but there is no equipment yetclose to Tripoli, patients will be referred to isolation sites in Tripoli

There is private clinic in Janzour for med check up and then referral to Mitaga (Baseline: Sohar)

Yes Yes

Misurata Oncology Center Misuratha مركز علاج الأورام مصراتة No No Specialized Hospital 100 2 10 not mentioned not mentioned not mentioned not mentioned no informationMisurata Chest diseases hospital, Misuratha مستشفى الأمراض الصدرية- مصراته No No Specialized Hospital 120 0 0 not mentioned not mentioned not mentioned not mentioned no information

Misurata Misuratha hospital مستشفى مصراتة No NoGeneral Hospital or Medical Hospital

480 3 30 14 ready 4 ready no information Misrata medical centre?

Misurata Al Kreshginie newly added Yes Yes newly added newly added newly added newly added not mentioned not mentioned not mentioned not mentioned

Businessman donated hospital building and now it is equipped by MOH; MoH lists them as target isolation siteMoH equipped the hospital with 40 ICU beds; they are targeting to reach 100 beds There is a PCR device, but it lacks operational materials

Source: Baseline (Fadil) Yes Yes

Misurata adapted centre newly added Yes newly added newly added newly added newly added 66 planned 24 planned same as Al Kreshginie?

Msallata Misslata hospital مستشفى مسلاته No NoGeneral Hospital or Medical Hospital

201 2 6 not mentioned not mentioned not mentioned not mentioned see additional site Baseline (Fadil) plus (DHM) No Yes

Msallata Nutrition College, internal department newly added Yes Yes newly added newly added newly added newly added 40 ongoing preparation 10 ongoing preparation

The internal department of the Nutrition College is equipped for isolation of COVID-19 cases near the hospitalwith capacity of 10 beds for Intensive care unit with 1 ventilator shortage in swab toolsThe ventilator and monitor devices were donated, but they in severe lack of medical capabilities and equipment

Nalut Nalout hospital مستشفى نالوت Yes NoGeneral Hospital or Medical Hospital

236 1 10 not mentioned not mentioned not mentioned not mentionedMoH equipped 25 isolation bedsMoH lists them as target isolation sitewith capacity of 6 beds for Intensive care unit with 3 ventilators and shortage in swab tools

(Baseline: Abd al menam ) and the Nalut medical health care center

No Yes

Nalut Adapted buildings newly added Yes No newly added newly added newly added newly added1426

readyplanned

119

readyplanned

no information

Nalut Nalut Health Care Centre newly added Yes newly added newly added newly added newly added not mentioned not mentioned not mentioned not mentionedMoH equipped 15 isolation beds MoH lists them as target isolation site

Tarhouna Tarhuna hospital مستشفى ترهونة No NoGeneral Hospital or Medical Hospital

201 1 9 not mentioned not mentioned not mentioned not mentioned

MoH has difficulties sending support to TarhounaThere is a place for isolationCOVID-19 cases about 3 km from the hospital with a capacity of 25 beds and there are no isolation moldsLack of medical capabilities and equipment regarding COVID-19 even in receiving suspected cases

Lack of ven lator and monitor

Baseline (Awatef) ( DHM) There is a place for isolationCOVID-19 cases about 3 km from the hospital with a capacity of 25 beds

No Yes

Tarhouna University complex building newly added Yes Yes newly added newly added newly added newly added 100 ongoing preparation none none no informationTarhouna Italian comp. newly added Yes Yes newly added newly added newly added newly added none none 8 ongoing preparation no information

Wadi Al-Bawanis Sebha Medical Center مركز سبها الطبي Yes NoGeneral Hospital or Medical Hospital

480 1 12 not mentioned not mentioned not mentioned not mentionedisolation sites in Albawanis are plannedLack of medical capabilities and equipment regarding COVID-19 even in receiving suspected cases no swap tools fear of conflict when referring patients to Sebha municipality

40 km from Albawanis (no hospitals in Albawnis) Basline (Abuazum)

No Yes

Zliten Zlitan hospital مستشفى زليتن Yes NoGeneral Hospital or Medical Hospital

480 1 87

93ongoing preparation

planned115

ongoing preparationplanned

Zlitan Teaching Hospital?Yes Yes

Zliten Isolation site near Zlitan Hospital newly added Yes Yes newly added newly added newly added newly added not mentioned not mentioned not mentioned not mentioned

According to municipality, support is not needed!MoH equipped them with 40 ICU bedsMoH lists them as target isolation siteInfo from DHM(Additional? And it will fully equip to isolate the COVID-19 cases with capasity of 30 beds for Intencive care unit and fully equipped with everything.)

Source baseline (Municipality Em. Group) Businessmen donated to prepare a place near the Zlitan Hospital

Yes Yes

Health Sector Working Group Update 10/04/2020

Further Information and Needsgathered by GIZ Health Team

General Information about Hospitalgiven, dataset from 2017 (SARA)

updated by GIZ Health Team

April 16, 2020 Page 1 of 1

Documents

Rapid Assessment - ReliefWeb