STANDARD OPERATING PROCEDURES (SOPs) COVID-19 …nhnpakistan.org/wp-content/uploads/2020/04/PDMA-KP-SOPs-for-CO… · 3.1.1 Financial resources ... PDMA has existing SOPs covering

STANDARD OPERATING PROCEDURES

(SOPs)

COVID-19 RESPONSE

Provincial Disaster Management Authority

Khyber Pakhtunkhwa

March 2020

CONTENTS

ACKNOWLEDGEMENTS ................................................................................................................................................... 4

FOREWORD ......................................................................................................................................................................... 5

Section 1 ................................................................................................................................................................................. 7

1.1 INTRODUCTION ........................................................................................................................................................ 7

1.2 PURPOSE AND SCOPE ............................................................................................................................................. 7

Section 2 ................................................................................................................................................................................. 9

2.1 Preparedness & Operational Readiness ........................................................................................................................ 9

2.2 Institutional Arrangements: ........................................................................................................................................ 10

2.2.1 Setting up of emergency operations centre (EOC) ............................................................................................ 10

2.2.2 Setting–up Operations Room ............................................................................................................................. 11

Section 3 ............................................................................................................................................................................... 15

3.1 PROCEDURES .......................................................................................................................................................... 15

3.1.1 Financial resources .................................................................................................................................................. 15

3.1.2 Human resources ..................................................................................................................................................... 15

3.1.3 Administrative procedures ...................................................................................................................................... 15

3.1.4 Logistics support ..................................................................................................................................................... 15

3.1.4.1 Transport: ............................................................................................................................................................. 15

Section 4 ............................................................................................................................................................................... 17

4.1 Assistance/ Response: ................................................................................................................................................ 17

4.1.1 Need Assessment and Risk Analysis: ............................................................................................................... 17

4.1.2 Risk Communication and Community Engagement ...................................................................................... 17

4.1.3 Provincial-level Coordination, Planning, and Monitoring ............................................................................ 18

4.1.4 Surveillance, rapid response teams, and case investigation ........................................................................... 19

4.1.5 Point of Entry .................................................................................................................................................... 20

4.1.6 Infection prevention and control ................................................................................................................. 20

4.1.7 Operational support and logistics .................................................................................................................... 21

Section 5 ............................................................................................................................................................................... 23

5.1 Instructions for Staff ................................................................................................................................................... 23

5.2 Distribution of Food/Packages/Commodities: ................................................................................................... 24

5.2.1 Specific Instructions for PDMA Staff at distribution SITES: ....................................................................... 25

5.3 Information management ........................................................................................................................................... 26

5.4 Communication and Media Coverage ........................................................................................................................ 26

5.5 Hygiene & Sanitation ................................................................................................................................................. 27

5.6 Quality Assurance of the inputs: ................................................................................................................................ 27

Annexure 1: Declaration of Emergency ............................................................................................................................... 28

Annexure: 3: Precautionary Measures against Coronavirus ......................................................................................... 29

Annexure: 4: Closure of Educational Facilities: .............................................................................................................. 31

Annexure: 5: private gatherings Postponement .................................................................................................................. 32

Annexure: 6: Information regarding preventive measures and other cognate matters ................................................ 33

Annexure: 7: eneral Precautionary Measures at Facilities that cannot be vacated: .................................................... 34

Annexure: 8 : Closure of Offices and General public gathering facilities ..................................................................... 36

Annexure 9: Support of the Families Of Coronavirus Confirmed Individuals Placed In Isolation ........................... 38

Annexure 10: Extension of notification for closure of educational institutes: ..................................................................... 39

Annexure 11: Notification regarding NON-COOPERATING, OBSTRUCTING HALLS etc. .......................................... 40

Annexure 13: Notification regarding Public offices/shops/spots/recreational facilities ....................................................... 42

Annexure 14: Guidelines for Quarantine Measures ............................................................................................................. 43

Annexure 15: Notification Regarding Essential Services offices ......................................................................................... 49

Annexure 16: Exemption of KPPRA Act. For procurement .......................................................................................... 50

Annexure 17: Notification regarding Dead Body Management ........................................................................................... 51

Annexure 18: Notification regarding use of cell phones ...................................................................................................... 53

Annexure 19: Notification regarding Exemption of activities from closure ........................................................................ 54

Annexure 20: Notification regarding conditions on Materialization of Exemption of activities from closure .................... 55

Annexure 21: Notification regarding Extension of closure of educational institutes ........................................................... 57

Annexure 22: Notification regarding non applicability of Holidays notification for govt. essential services departments . 58

Annexure 22: Notification regarding operations of Industrial Units .................................................................................... 59

Useful links: ......................................................................................................................................................................... 60

Bibliography: ....................................................................................................................................................................... 60

ACKNOWLEDGEMENTS

The development of these SOPs were led by the National Humanitarian Network with the guidance

and contributions of the NHNKP FATA chapter in particular and over all guidance by the HNH Central

Secretariat. I would also like to acknowledge the free resources of the Communication and Community

Engagement Working Group on COVID-19, WHO, IFRC, OCHA and NDMA and also Inter agency

standing committees’ (IASC) guidelines which provided valuable guidance in the formulation of these

SOPs. The contributions of the NHN member organizations in drafting, providing valuable inputs and

finalization within a very limited time are commendable in such fluid environment. The document is

dedicated to the disaster management and the untiring efforts of the response organizations and a

gesture of cooperation and contribution towards the govt. efforts of responding to the disasters as a

front line organization.

FOREWORD

In the current COVID-19 Scenario and its rapid and continuous global spread with an unpredictable

behaviour presents a severe growing risk to all stakeholders at all level. In the circumstances where the

entire world including Pakistan has been caught un-prepared and unplanned to combat with this type

of public health disaster, Since the situation is evolving and there is hardly no systematic and scientific

tools available to predict or plan for the timeframe or determine the phases of this disaster.

PDMA has existing SOPs covering all type of natural and man-induced disasters including public

health risk for their operations and staff. This additional guidance derived from WHO, IASC (Inter-

Agency Standing Committee), Ministry of Health, Government of Pakistan is required to support and

strengthen the existing scope and procedures laid down in SOPs to effectively plan, manage and

implement its due role in response strategy and action in this disaster.

The national disaster Management Act designates Provincial Disaster Management Authority to

respond to disasters in the province. Develop policies and plans to prepare and respond to situations

that poses significant harm. The Act support PDMA’s central role in managing events of potential

concern. The disaster management entities at federal and provincial level have been mandated to

effectively set up a system to look after disasters and calamities whether natural or human induced. The

Government of Khyber Pakhtunkhwa has established a Provincial Disaster Management Commission

PDMC) as well as a Provincial Disaster Management Authority (PDMA) on 27 October 2008, to

promote enhanced disaster preparedness and management within the province. The establishment of

PMDC and PDMA is based on the National Disaster Management Ordinance (NDMO) of 23rd

December 2006 which forms the legal basis for the implementation of the National Disaster

Management Fame work (NDMF) provided by the National Disaster Management Authority (NDMA).

Previously the Provincial Relief Commissionerate had been responsible for the relief, compensation

and rehabilitation of people affected by natural disasters. With the establishment of PDMA, the

functions of the Relief Commissionerate have been incorporated into the new Organization. The role

requires that the organization upholds the emergency systems, Policies, plans, linkages and

collaborations with the other departments and have the necessary tools to rapidly identify, verify and

assess the needs and respond accordingly. PDMA’s ability to meet these requirements relies on the

operational readiness and responsiveness at all levels to respond in timely and effective manner.

As PDMA is entrusted with the mandate of saving lives and property, and to provide relief to people

in distress in the event of a natural / man-made disaster, all PDMA officials are expected to exhibit a

high standard of professional excellence during routine office functioning which shall enable them to

meet the challenges in any disaster situation.

Standing Operating Procedures (SOPs), separately for major routine aspects of PDMA have been

prepared and compiled after due consultations. These SOPs come into effect without delay. All officials

of PDMA are required to familiarise themselves well with these SOPs in order to ensure their

implementation in letter and spirit. These SOPs are by no means exhaustive and may be viewed as a

first step in streamlining various processes and procedures and shall be reviewed as and when thought

applicable.

The purpose of the Standard Operating Procedures for Coordinating Covid-19 is to assist PDMA

operations and its staff in framing best response strategy and action. The primary purpose of the SOPs

is to designate the steps that should normally be followed to facilitate the activities with regards to the

prevention, detection and response to Covid-19.Although the focus is on Covid-19 in the current

scenario but the SOPs cover all the communicable disease response, given their importance in the

country, the funding, administrative, logistics and coordination mechanisms described are equally

applicable to other acute public health events. The methods, policies and procedures for preventing and

controlling infectious disease outbreaks and other acute public health events develop and change over

time. In order to ensure that these SOPs keep pace with such changes, they are being published

electronically with references and links to other procedures and guidelines for those requiring more

details. Users of the SOPs are encouraged to share the lessons learned during the application of the

procedures for possible incorporation into future revisions of the document. Finally, while the SOPs

are based on standard practices, there will be situations that may require an adaptive response based

on learnings attained while implementing this SOP.

All the notifications issued in relevance to the COVID-19 response by the GOVERNMENT OF

KHYBER PAKHTUNKHWA RELIEF REHABILITATION & SETTLEMENT

DEPARTMENT stands part of these SOPs attached as annexures to this document.

SECTION 1

1.1 INTRODUCTION

An acute public health situation is any outbreak or other rapidly evolving situation that carries

consequences for human health, requires immediate assessment and action. This includes potential to

cause become epidemic through exposure to infected person or contaminated food, water, animals,

manufactured products or environments. The WHO International Health Regulations (2005) define a

“public health risk” as “the likelihood of an event that may adversely affect the health of human

population, with an emphasis on one which may spread internationally or may present a serious and

direct danger.”

On 31 December 2019, the World Health Organization (WHO) China Country Office was informed of

cases of pneumonia of unknown cause detected in Wuhan City, Hubei Province of China. On 7 January

2020, the causative pathogen was identified as a novel coronavirus (2019-nCoV). Coronaviruses

belong to a large family of viruses causing a wide spectrum of illness, ranging from very mild to severe.

Some cause illness in people; numerous other coronaviruses circulate among animals, including camels

and some bat species. Rarely, some animal coronaviruses can evolve to cause illness in people.

Sometimes coronaviruses may develop the ability to spread from person to person, for example the

Middle East respiratory syndrome coronavirus (MERS-CoV), first reported from Saudi Arabia in 2012,

and the severe acute respiratory syndrome coronavirus (SARS-CoV), first recognized in China in 2002.

1.2 PURPOSE AND SCOPE

A Standard Operating Procedure is a document which describes the standard operations to ensure that

the processes are carried out correctly (quality) and always in the same manner (consistency).

Since we are faced with a situation which presents a unique public health risk therefore, the

management of Covid-19 requires swift, drastic and measured response to tackle the issue and reduce

the spread. Additionally the response requires assistance to the affected communities to identify and

address their needs which might require interventions in various sectors. Since the crisis requires

specialized interventions conforming to the technical advice and latest scientific knowledge

implemented in accountable and transparent manner, These SOPs will provide guidance on the

processes that should be followed to ensure coordinated and timely response. The SOPs are thus for

use by PDMA to install and implement a coordination system that enables the right actions at the

appropriate time before, during, and after any such event. The SOPs elaborate on the roles,

responsibilities and functions at the various levels of response to the Covid-19 in the province of

Khyber-Pakhtunkhwa.

The SOPs have been developed with a focus on infectious disease outbreaks given their importance in

the current situation, however, in the early stages of acute PHEs, risk assessment and outbreak

investigation require an “all hazards” approach, and many of the procedures described in these SOPs

are relevant to infections or medical conditions caused by other hazards as well and may be used for

other communicable diseases alike.

This revised documents will focus on the way how PDMA, NGO partners and associated organizations

plan and make its effective response. This response mechanism may cover the prioritization of villages

and communities based on its vulnerability and accessibility at the first phase of relief response. This

may include villages initially quarantined/isolated where more cases were reported. People affected by

humanitarian crises, particularly those displaced and/or living in camps and camp-like settings, are

often faced with specific challenges and vulnerabilities that must be taken into consideration when

planning for readiness and response operations for the COVID-19 outbreak. They are frequently

neglected, stigmatized, and may face difficulties in accessing health services that are otherwise

available to the general population. In the context of this guidance, the people in humanitarian situations

affected by this disaster may include internally displaced persons (IDPs/TDPs), host communities and

returnees, Afghan refugees when in similar situations.

The SOP covers the five phases of disaster management for effective and efficient response to the

situation arising due to Covid-19.

(i) Preparedness – This phase will include taking all necessary measures for planning, capacity

building and other preparedness so as to be in a state of readiness to respond. This Stage will also

include development of response Teams, mobilization of resources and taking measures in terms of

preparing, providing training, conducting mock drills/exercises etc.

(ii) Early Warning– This phase will include all necessary procedures to provide timely warnings

to the authorities and public to enable them to take anticipatory actions for preventing loss of life and

eliminating the risk of losses to the assets. On the incidence of a disaster arising from the situation n

hand, all the concerned Agencies will be informed and notified for initiating immediate necessary

actions

(iii) Response – This phase will include all necessary measures to provide immediate help to the

affected people by undertaking search, rescue and evacuation measures.

(iv) Relief - This phase will include all necessary measures to provide immediate relief and

assistance to the affected people in terms of their essential needs of food, drinking water, health &

hygiene, quarantine and isolation facilities etc.

(v) Recovery – This phase will include all necessary measures to stabilize the situation and restore

the services and lives back to normalcy.

SECTION 2

2.1 PREPAREDNESS & OPERATIONAL READINESS: These procedures laid down here are to ensure that PDMA responds to crisis and emergency in a timely,

consistent and effective manner.

PDMA responsibilities for the current Covid-19 response include:

1. Coordinating with all the relevant department and authorities in appropriate way for observation

and assessment of significant public health risks and disseminating public health information

to the general public and other stake holders.

2. Developing and recommending measures and tools in collaboration with NGOS and UN

agencies for assessment of needs and measures for prevention and control of serious public

risks arising due to the disease outbreak. The assessment needs very specialized tools and

approach to get adequate information of the people in need (Virtual methods, capitalizing on

existing data with various government and non-government institutions/departments) etc.

3. Supporting partner organizations/ relevant provincial departments to assess their existing

infrastructure and capacities, map resources, and strengthen capacities to respond.

4. Preparing for and responding to the situation in collaboration and coordination with the local

organizations/ NGOs and CSOs for effective and coordinated response.

5. Establishment of PDMA alert and response functions that include disease tracking, assessment,

risk communications, field operations, resource mobilization, logistics, information

management and monitoring and evaluation of the response.

6. To collaborate closely with national authorities to support efforts targeted at disease

surveillance, risk assessment, preparedness and response processes.

7. Establishment of emergency desk and focal points and provincial and district level for

information management and coordination as central point of contact.

8. Establish communication protocols where all the relevant decision making bodies should be

kept in loop in all the communication.

9. Formation of Multidisciplinary teams by the Core Group in collaboration with the UN agencies

and INGOs/NGOs.

10. The PDMA should take lead in all the need and risk assessment and management of the crisis

and the response. Local actors like the NGOs and other relevant govt. bodies may be included

if deemed necessary.

11. Help coordinate providing essential trainings and provision of protective gears for the PDMA

and humanitarian organizations staff with adequate safety protocol for staff and all stakeholders

working with communities to ensure Do-No-Harm Principles.

12. Manage external resources required after prior approval of the competent authority for resource

pooling and response and where the organization lack the technical expertise or relevant

qualified human resource for specific area or sector of response. UN agencies having

specialised filed of operations i.e. WHO, UNICEF, WFP etc. can be consulted where deemed

necessary for effective response.

2.2 INSTITUTIONAL ARRANGEMENTS:

The Disaster Management Act, lays down three layer institutional arrangement for disaster

management at the national, provincial and district levels in the form of NDMA, PDMA and DDMUs.

National Policy on Disaster Management has further specified the roles and responsibilities of various

organizations for disaster response.

At this stage the PDMA in line with the NDMA standard operating procedures will establish separate

designated setup to respond to the current situation arising from the Covid-19 pandemic at provincial

level. Following steps will be taken to accomplish the desired objectives:

2.2.1 SETTING UP OF EMERGENCY OPERATIONS CENTRE (EOC)

A receptive emergency response approach has remained the major way of dealing with any disaster. It

is therefore imperative to establish a dedicated response centre to manage the entire situation in the

province. PDMA through the emergency operations centre will monitor the situation to enable early

warning to the affected communities and disaster management authorities in timely manner.

In case of a disaster or stress the Emergency Operations Centre (EOC) at Provincial and District levels

(Concerned District) under the supervision of PDMA and respective DDMA(s) will start functioning

round the clock. Following are the main functions of the EOC.

Due to the prevailing situation where the community is encourages to stay at home and maintain social

distancing, the Centre can function remotely and staff should be provided online access. A minimum

staff of one to two persons can be maintained at the centre physically who will also take precautionary

measures for their safety and safety of others.

The EOCs will be responsible for coordination and management of relief operations in affected

areas.

The EOCs will also be responsible to coordinate relief activities with Civil Defence, Armed Forces,

NCMC, Fire Services, Police, Ambulance Services, UN agencies, Red Crescent, Edhi Foundation

and other related agencies/NGOs in their area of responsibility.

PDMA (EOC) will maintain close liaison with concerned federal department and other concerned

departments and services providers.

EOC will issue warnings to the communities at risk through media / federal/provincial/ local

authorities. Following will be included in these warnings:-

I. Information to communities about precautionary measures to be taken to prevent loss of life

and property from the impending hazard.

II. Inform the public about the risks / hazards associated with the impending disaster.

III. Inform the public about actions being taken by authorities to save lives and property.

IV. Advise the public about actions to be taken during the emergency period; e.g. Isolation/social

distancing, establishment of facilities/quarantine centres and health care arrangements for

infected.

V. Arrangements to meet needs of affected people to make sure that all groups of people affected

by the disaster receive appropriate aid, without any discrimination.

VI. EOCs will ensure that concerned departments initiate requisite precautionary measures to

minimize effects of the disaster.

PDMA will constitute a core groups for the response planning and assessment of the needs. The core

group will be on standby 24/7 to respond and meet (in current situation virtually) in case of emergency

situation and would ideally call within first four to 6 hours of the occurrence of a situation that could

have the potential for disaster.

Proposed Composition of the Core Group is given below:-

1. PDMA Staff

2. Ministry of Interior

3. Ministry of Health

4. PHED

5. Civil Defence

6. Cantonment Board

7. NCMC

8. ERC

9. NLC

10. NHA & FWO

11. WAPDA

12. WSSP

13. Utility Stores Corporation

14. Pak Red Crescent

15. UN agencies

16. INGOs & NGO’s

Core group shall call on meeting (remotely/virtually) (once / twice a day depending upon the severity

of the situation) under the chairmanship of DG PDMA. Core group virtual meetings shall discuss

following issues:-

(1) Daily situation by PDMA representatives including effects of disaster / current situation.

(2) Update on situation / relief effort by each member.

(3) Coordination required between various agencies.

(4) Implementation status of previous decisions.

(5) Decisions required / future contingency in view prevailing situation.

5. Follow-up on action points and decisions

After initial actions have been coordinated and initiated by various agencies / departments, and the

effects of disaster have been contained / subsided / controlled, the follow-up stage will commence.

During this stage, EOC will not be manned round the clock. It will be manned during routine office

timings through Operations Wing of PDMA and respective officers in concerned PDMA/DDMA.

During this stage, decisions on all actions in progress related to the Covid-19 Response will be made

by PDMA accordingly and the case will be monitored / supervised till its completion.

2.2.2 SETTING–UP OPERATIONS ROOM

Setting-up of PDMA’s Operations Room shall be the responsibility of Operations Wing of PDMA).

This Operations Room will be activated immediately.

In addition to Core Group, the main departments in the Operations Room/EOC during a disaster

situation will be operations, services, resources, infrastructure, health care, logistics, and

communication and information management. Each department will have specific tasks to perform

with a branch officer of the BPS -17 and above. In case of shortage of officers/staff, other Government

departments of Government having specific specialised skills and qualification can be requested to

provide officers/staff for EOC. The same request could be extended to the UN agencies or international

and national NGOs to facilitate the operations.

The DG PDMA will spell out the priorities and policy guidelines, while coordination of services of

various departments and agencies including national and international aid agencies, and central

government agencies will be done by PDMA Staff.

The EOC in its expanded form will continue to operate as long as the need for emergency relief

operations continues till the long-term plans for rehabilitation are finalised.

Round the clock contact/coordination will be maintained with following departments / agencies

1. PDMA Staff

2. Ministry of Interior

3. Ministry of Health

4. PHED

5. Civil Defence

6. Cantonment Board

7. NCMC

8. ERC

9. NLC

10. NHA & FWO

11. WAPDA

12. Utility Stores Corporation

13. Pak Red Crescent

14. WSSP

15. UN agencies

16. INGOs & NGO’s

Table 1. KEY FUNCTIONS OF VARIOUS ACTORS IN RESPONSE

PDMA Office Function Response

EOC Staff,

Core Group

Preparation

and response

Develop and maintain Preparedness Plan and assist

the National Authorities in preparing a national response

plan;

Establish and maintain communications with the UN,

Line departments, Ministry of Health and other partners

Maintain situational awareness of the age-specific

incidence, prevalence and geographical distribution of

diseases relevant to the local context and the Case

Fatality Rates

Support and facilitate the need assessment and risk

communications

Develop and maintain a list of staff and local experts

and NGOs that could form part of a Core group or

response team

Maintain expertise in the use of the information

management system and monitor information for early

warning of potential risks

Support in resource mobilization through identify

local resources existing institutional response ability and

forecasting

Coordinate and co-chair relevant Clusters and

organize partners for outbreak response coordination and

planning; Mobilize staff or local experts to respond to the

request for assistance

Facilitate establishment of a functional Emergency

Task Force

at District levels preferably headed by the Deputy

Commissioner .

Facilitate the development and implementation of

national policies and response plan

Monitor the situation, and provide situation reports

and analyses on a regular basis

Document action points and maintains records of

actions taken and decisions made in joint coordination

meetings at various forums.

Facilitate the work of the Rapid Response Team by

orienting the

team to the national counterparts, partner NGOS and

coordination forum and mechanisms, dealing with the

media and managing administrative, logistical and

political issues that may arise during the course of time

EOC staff &

Core Group

Planning 1. Develop and maintain strategic plans, documents and

tools for the rapid response

2. Provide a communications channel through the

Contact Point;

3. Develop and maintain a roster of Rapid Response

Team experts

4. Identify and earmark funds to support response;

5. Elaborate administrative and financial SOPs to

facilitate rapid deployment of PDMA staff and external

consultants

6. Maintain regional stockpiles and pre-position critical

supplies for outbreak response, and develop emergency

procurement SOPs;

National &

international

NGOs and Core

Group

Support 7. Support PDMA in technical support in the resource

mobilization and response, coordination; logistics,

networking and the development of response plans, and

through the elaboration of standards, awareness,

community outreach and provision of training in

prevention, detection, risk assessment, risk mapping and

response.

SECTION 3

3.1 PROCEDURES

The following actions will be undertaken to develop and maintain operational readiness to respond

to PHEs:

3.1.1 FINANCIAL RESOURCES

PDMA has been allotted funds by the govt. to respond to the situation and already has established

financial management system in place to facilitate the resource management. In case of additional

needs, PDMA will approach the relevant quarters i.e. NDMA, Government Ministries, Aid

Agencies and private sector for funding to meet its requirements.

3.1.2 HUMAN RESOURCES

1. The roster of experts will be developed and updated with current contact information,

CVs, and an indication of availability for deployment.

2. PDMA staff will be deployed to support response.

3. Terms of reference for staff will be developed.

4. All PDMA staff will be provided orientation in the current scenario to ensure their safety

and security.

3.1.3 ADMINISTRATIVE PROCEDURES

1. Administrative procedures for emergency deployment of staff and external consultants

will be developed and agreed upon by Human Resource Management department in line with

the PDMA human resource policy.

2. The procedures to expedite deployments will be developed with HRM and will cover

authorization/approval processes, contract types, travel arrangements and per diems, initial

payments, medical clearance, security clearance and insurance etc.

3.1.4 LOGISTICS SUPPORT

The objectives of logistics support are to provide operational assistance in the management of

logistics required for response and to ensure rapid deployment of required supplies transport,

communications etc.

1. Procure supplies for response.

2. Pre-position the supplies

3. Maintain an updated inventory of the supplies

4. Develop, and agree with the procurement department on emergency procurement

procedures. ). Further instructions can be found at Annexure 16: Exemption of KPPRA Act. For

procurement

3.1.4.1 TRANSPORT:

The objective of SOPs for transport is to define the duties of various appointments of

mechanical transport for efficient functioning. PDMA has set of protocols and SOPs for

fleet management in place and the same will apply to the existing situation of Covid-19

response. The only addition would be the use of protective gear (face mask and sanitizers

and disinfecting the vehicle after use). Further instructions can be found at Annexure: 3:

Precautionary Measures against Coronavirus

SECTION 4

4.1 ASSISTANCE/ RESPONSE:

Keeping in view the situation arising from the Covid-19 pandemic, conventional assistance modalities

cannot be adopted for community outreach and assistance.

PDMA along with the Local and national civil society organisations have a critical role to play in the

response to this pandemic. This all the more so because drastically reduced international travel and

supply lines make large scale international mobilization impossible. Many international actors are also

dealing with their own operational disruptions and domestic COVID-19 crisis. The impact will not only

be on the public health, but can also lead to a large scale an economic and social crisis. It is important

to mention that the situation would need to be tacked holistically covering all demotions as it may also

lead to a rise in ethnic, gender based and domestic violence, and may cause social unrest among daily

wage earners and people working in informal sector faced with loss of jobs, income and food security.

All local and national capacities need to be mobilized to mitigate these impacts as much as possible.

PDMA strive to respond to the needs of the community in dignified and effective manner taking into

account al the dimensions of different interventions and response. Due to the situation arising from the

COVID-19 the conventional ways of assistance can do more harm than benefiting the communities in

need, it is therefore imperative to adopt ways and means that can reduce the risk for the PDMA and

other humanitarian actors.

The interagency standing committee guideline can also be used as a reference document for guidelines

https://interagencystandingcommittee.org/covid-19-outbreak-readiness-and-response

4.1.1 NEED ASSESSMENT AND RISK ANALYSIS:

PDMA depends upon the information from credible sources, primarily coming from the Provincial

Health Department and the district administration/DDMUs within the province for situation updates

while taking into account the market access and availability of the essential supplies and the

commodities.

4.1.2 RISK COMMUNICATION AND COMMUNITY ENGAGEMENT

It is critical to communicate to the public what is known about COVID-19, what is unknown, what is

being done, and actions to be taken on a regular basis. Preparedness and response activities should be

conducted in a participatory, community-based way that are informed and continually optimized

according to community feedback to detect and respond to concerns, rumors and misinformation.

Changes in preparedness and response interventions should be announced and explained ahead of

time, and be developed based on community perspectives. Responsive, empathic, transparent and

consistent messaging in local languages through trusted channels of communication, using

community-based networks and key influencers and building capacity of local entities, is essential to

establish authority.

Step Actions to be Taken


1 Implement Provincial risk-communication and community engagement plan for COVID-

19, including details of anticipated public health measures (use the existing procedures for

pandemic influenza if available)

Conduct rapid behaviour assessment to understand key target audience, perceptions,

concerns, influencers and preferred communication channels

Prepare local messages and pre-test through a participatory process, specifically targeting

key stakeholders and at-risk groups

Identify trusted community groups (local influencers such as community leaders, religious

leaders, health workers, community volunteers) and local networks (women’s groups,

youth groups, business groups, traditional healers, etc.)

2 Establish and utilize clearance processes for timely dissemination of messages and

materials in local languages and adopt relevant communication channels

Engage with existing public health and community-based networks, media, local NGOs,

schools, local governments and other sectors such as healthcare service providers,

education sector, business, travel and food/agriculture sectors using a consistent

mechanism of communication

Utilize two-way ‘channels’ for community and public information sharing such as

hotlines (text and talk), responsive social media such as U-Report where available, and

radio shows, with systems to detect and rapidly respond to and counter misinformation

Establish large scale community engagement for social and behaviour change approaches

to ensure preventive community and individual health and hygiene practices in line with

the national public health containment recommendations

3 Systematically establish community information and feedback mechanisms including

through: social media monitoring; community perceptions, knowledge, attitude and

practice surveys; and direct dialogues and consultations

Ensure changes to community engagement approaches are based on evidence and needs,

and ensure all engagement is culturally appropriate and empathetic.

Document lessons learned to inform future preparedness and response activities

4.1.3 PROVINCIAL-LEVEL COORDINATION, PLANNING, AND MONITORING

Provincial Public Health Emergency Management mechanisms should be activated with engagement

of relevant ministries such as health, education, travel and tourism, public works, environment, social

protection, and agriculture, to provide coordinated management of COVID-19 preparedness and

response.


1 Activate multi-sectoral, multi-partner coordination mechanisms to support

preparedness and response

Engage with national/provincial authorities and key partners to develop a

provincial-specific operational plan with estimated resource requirements for

COVID-19 preparedness and response, or preferably adapt, where available, an

existing Influenza Pandemic Preparedness Plan

Conduct initial capacity assessment and risk analysis, including mapping of

vulnerable populations

Begin establishing metrics and monitoring and evaluation systems to assess the

effectiveness and impact of planned measures

2 Establish an incident management team, including rapid deployment of

designated staff from provincial and partner organizations, within a public health

emergency operation centre (PHEOC) or equivalent if available

Identify, train, and designate spokespeople

Engage with local donors and existing programmes to mobilize/allocate resources

and capacities to implement operational plan

Review regulatory requirements and legal basis of all potential public health

measures

Monitor implementation of CPRP based on key performance indicators in SPRP

and produce regular situation report

3 Conduct regular operational reviews to assess implementation success and

epidemiological situation, and adjust operational plans as necessary

Conduct after action reviews in accordance with IHR (2005) as required

Use COVID-19 outbreak to test/learn from existing plans, systems and lesson-

learning exercises to inform future preparedness and response activities

4.1.4 SURVEILLANCE, RAPID RESPONSE TEAMS, AND CASE INVESTIGATION

In areas with high-risk of imported cases or local transmission, surveillance objectives will focus on

rapid detection of imported cases, comprehensive and rapid contact tracing, and case identification. In

a scenario in which sustained community transmission has been detected, objectives will expand to

include monitoring the geographical spread of the virus, transmission intensity, disease trends,

characterization of virology , and the assessment of impact on healthcare services. Robust COVID-19

surveillance data are essential to calibrate appropriate and proportionate public health measures.


1 Disseminate case definition in line with WHO guidance and investigation

protocols to healthcare workers (public and private sectors)

Activate active case finding and event-based surveillance for influenza-like

illness (ILI), and severe acute respiratory infection (SARI)

Assess gaps in active case finding and event-based surveillance systems

2 Enhance existing surveillance systems to enable monitoring of COVID-19

transmission and adapt tools and protocols for contact tracing and monitoring to

COVID-19

Undertake case-based reporting to NDMA and other counter-part entities within

24 hours

Actively monitor and report disease trends, impacts, population perspective to

global laboratory/epidemiology systems including anonymized clinical data, case

fatality ratio, high-risk groups (pregnant women, immunocompromised) and

children

Train and equip rapid-response teams to investigate cases and clusters early in the

outbreak, and conduct contact tracing within 24 hours

3 Provide robust and timely epidemiological and social science data analysis to

continuously inform risk assessment and support operational decision making for

the response

Test the existing system and plan through actual experience and/or table-top or

simulation exercises, and document findings to inform future preparedness and

response activities

Produce weekly epidemiological and social science reports and disseminate to all

levels and international partners

4.1.5 POINT OF ENTRY

Efforts and resources at points of entry (POEs) should focus on supporting surveillance and risk

communication activities


1 Develop and implement a points of entry public health emergency plan

2 Disseminate latest disease information, standard operating procedures, equip and

train staff in appropriate actions to manage ill passenger(s)

Prepare rapid health assessment/isolation facilities to manage ill passenger(s) and

to safely transport them to designated health facilities

Communicate information about COVID-19 to travellers

3 Regularly monitor and evaluate the effectiveness of readiness and response

measures at points of entry, and adjust readiness and response plans as

appropriate

4.1.6 INFECTION PREVENTION AND CONTROL

Infection prevention and control (IPC) practices in communities and health facilities should be

reviewed and enhanced to prepare for treatment of patients with COVID-19, and prevent transmission

to staff, all patients/visitors and in the community


1 Assess IPC capacity at all levels of healthcare system, including public, private,

traditional practices and pharmacies. Minimum requirements include functional

triage system and isolation rooms, trained staff (for early detection and standard

principles for IPC); and sufficient IPC materials, including personal protective

equipment (PPE) and WASH services/hand hygiene stations

Assess IPC capacity in public places and community spaces where risk of

community transmission is considered high

Review and update existing national IPC guidance: health guidance should

include defined patient-referral pathway including an IPC focal point, in

collaboration with case management. Community guidance should include

specific recommendations on IPC measures and referral systems for public places

such as schools, markets and public transport as well as community, household,

and family practices

Develop and implement a plan for monitoring of healthcare personnel exposed to

confirmed cases of COVID-19 for respiratory illness

Develop a provincial plan to manage PPE supply (stockpile, distribution) and to

identify IPC surge capacity (numbers and competence)

2 Engage trained staff with authority and technical expertise to implement IPC

activities, prioritizing based on risk assessment and local care-seeking patterns

Record, report, and investigate all cases of healthcare-associated infections

Disseminate IPC guidance for home and community care providers

Implement triage, early detection, and infectious-source controls, administrative

controls and engineering controls; implement visual alerts (educational material

in appropriate language) for family members and patients to inform triage

personnel of respiratory symptoms and to practice respiratory etiquette

Support access to water and sanitation for health (WASH) services in public

places and community spaces most at risk

3 Monitor IPC and WASH implementation in selected healthcare facilities and

public spaces using the Infection Prevention and Control Assessment Framework,

the Hand Hygiene Self-Assessment Framework, hand hygiene compliance

observation tools, and the WASH Facilities Improvement Tool

Provide prioritized tailored support to health facilities based on IPC risk

assessment and local care-seeking patterns, including for supplies, human

resources, training

Carry out training to address any skills and performance deficits

4.1.7 OPERATIONAL SUPPORT AND LOGISTICS

Logistical arrangements to support incident management and operations should be reviewed. Expedited

procedures may be required in key areas (e.g. surge staff deployments, procurement of essential

supplies, staff payments).


1 Map available resources and supply systems in health and other sectors;

conduct in-country inventory review of supplies based on WHO’s a) Disease

Commodity Package (DCP) and b) COVID-19 patient kit, and develop a

central stock reserve for COVID-19 case management

2 Assess the capacity of local market to meet increased demand for medical

and other essential supplies, and coordinate international request of supplies

through regional and global procurement mechanisms

Prepare staff surge capacity and deployment mechanisms; health advisories

(guidelines and SOPs); pre- and post-deployment package (briefings,

recommended/mandatory vaccinations, enhanced medical travel kits,

psychosocial and psychological support, including peer support groups) to

ensure staff well-being

Review supply chain control and management system (stockpiling, storage,

security, transportation and distribution arrangements) for medical and other

essential supplies, including COVID-19 DCP and patient kit reserve in-

country

Review procurement processes (including importation and customs) for

medical and other essential supplies, and encourage local sourcing to ensure

sustainability

3 Identify and support critical functions that must continue during a

widespread outbreak of COVID-19 (e.g. water and sanitation; fuel and

energy; food; telecommunications/internet; finance; law and order;

education; and transportation), necessary resources, and essential workforce

SECTION 5

5.1 INSTRUCTIONS FOR STAFF

Although PDMA will allow the staff to work from home in the current situation but due to the nature

of the services and the role of PDMA, there is essential staff required to perform the response activities

both at office and at filed level. It is advised to all the staff to Stay aware of the latest information on

the COVID-19 outbreak, available on the NIH website, PDMA, NDMA, WHO websites and through

your national and local public health authority. Most people who become infected experience mild

illness and recover, but it can be more severe for others. The staff is required to take precautionary

measures and comply with the instructions for their own safety and the safety of others. Further

instructions can be found at Annexure: 3: Precautionary Measures against Coronavirus

Wash your hands frequently:

Regularly and thoroughly clean your hands with an alcohol-based hand rub or wash them with soap

and water. Washing your hands with soap and water or using alcohol-based hand rub kills viruses that

may be on your hands.

Maintain social distancing

Maintain at least 1 metre (3 feet) distance between yourself and anyone who is coughing or sneezing.

When someone coughs or sneezes they spray small liquid droplets from their nose or mouth which

may contain virus. If you are too close, you can breathe in the droplets, including the COVID-19

virus if the person coughing has the disease.

Avoid touching eyes, nose and mouth

Hands touch many surfaces and can pick up viruses. Once contaminated, hands can transfer the virus

to your eyes, nose or mouth. From there, the virus can enter your body and can make you sick.

Practice respiratory hygiene

Make sure you, and the people around you, follow good respiratory hygiene. This means covering

your mouth and nose with your bent elbow or tissue when you cough or sneeze. Then dispose of the

used tissue immediately. Droplets spread virus. By following good respiratory hygiene you protect

the people around you from viruses such as cold, flu and COVID-19.

If you have fever, cough and difficulty breathing, seek medical attention promptly. Stay home if you

feel unwell inform your supervisor in timely manner. If you have a fever, cough and difficulty

breathing, seek medical attention and call in advance. Follow the directions of your local health

authority. National and local authorities will have the most up to date information on the situation in

your area. Calling in advance will allow your health care provider to quickly direct you to the right

health facility. This will also protect you and help prevent spread of viruses and other infections.

Stay informed and follow advice given by your healthcare provider

Stay informed on the latest developments about COVID-19. Follow advice given by your healthcare

provider, your national and local public health authority or PDMA on how to protect yourself and

others from COVID-19.National and local authorities will have the most up to date information on

whether COVID-19 is spreading in your area. They are best placed to advise on what people in your

area should be doing to protect themselves.

Protection measures for persons who are in or have recently visited (past 14 days) areas where

COVID-19 is spreading or have been in contact with any patient:

Stay at home if you begin to feel unwell, even with mild symptoms such as headache and slight runny

nose, until you recover. Avoiding contact with others and visits to medical facilities will allow these

facilities to operate more effectively and help protect you and others from possible COVID-19 and

other viruses.

If you develop fever, cough and difficulty breathing, seek medical advice promptly as this may be

due to a respiratory infection or other serious condition. Call in advance and tell your provider of any

recent travel or contact with travellers. Calling in advance will allow your health care provider to

quickly direct you to the right health facility. This will also help to prevent possible spread of

COVID-19 and other viruses (WHO, 2020).

5.2 DISTRIBUTION OF FOOD/PACKAGES/COMMODITIES:

Most of the interventions carried out by the PDMA include distribution of relief goods and items and

cash assistance which makes it very essential to devise strategies to conduct these activities effectively

without any harm to the community and the staff itself. PDMA in line with the international

recommendation will adhere to the safety protocols and recommendations. Following are the key point

of consideration in the interventions that involves distribution. The following recommendations can be

adopted for all kind of food commodities, supplies and material distribution in the sectors of food

security, Water Sanitation and Hygiene, Shelter/NFIs and camp coordination. Additionally due to the

recent situation the recommendations for emergency cash distribution clearly calls for electronic

transfer of the cash assistance through agents/banks.

To comply with the do-no-harm principle and to mitigate the possibility of further spreading of the

diseases among the communities, the distribution must be contextualized. For example preference shall

be given to distribute the relief items/materials at household level so that people are getting together.

In the case of difficulties in reaching out the communities through house to house due to certain

logistical and operational challenges and operating environment, following steps and guidelines needs

to be adhered with high precautions:

1. Organize and clearly mark the allocated spaces at the distribution site and Reception point, (identity)

verification point, collection point and exit to channel off traffic and allow for personal space of at

least one meter between each beneficiary.

2. Set up hand washing area at distribution points with adequate supply of hand washing solution

(0.05% bleach solution).

3. Coordinate with the health department to ensure their presence at the points and allocate areas for

body temperature checks by health officials.

4. Establish sheltered/covered area for beneficiaries that do not receive clearance at the body

temperature check point. The allocated area should be spacious enough to allow beneficiaries to

sit/stand at least one meter apart from each other’s.

5. Ensure that there are clearly marked entrance and exit points in the distribution area.

6. Organize items ahead of the scheduled distribution. If not already prepositioned, offload the

supplies into the temporary storage and organize ahead of the scheduled distribution.

7. Separate storage from the collection points where possible

8. Do not allow crowding around the distribution point

9. Instruct beneficiaries to maintain a distance of one metre from each other throughout the

distribution process

10. One-meter area around the desk to be cordoned off (with a rope or tape) at the collection point if

possible. This will ensure that the collection point is accessible to only one beneficiary at a time.

11. Manage the flow of traffic at the distribution site

12. Upon arrival at the distribution site, direct beneficiaries to the hand washing area and then to the

temperature check area to have their body temperature assessed using a non-invasive thermometer.

Ideally, the temperature check should be conducted by a medical or health professional endorsed

by government authorities.

13. If a beneficiary is detected to have a fever, they should be directed to the specified sheltered/covered

area for a follow up by the local government or health official. CPs to inform identified beneficiaries

that they will receive rations irrespective of the results of the temperature test.

14. Beneficiaries cleared at the temperature check area are to be directed to the (identity) verification

checkpoint.

15. Beneficiaries should not pass through the distribution point more than once.

16. Consider hygiene and sanitation measures

17. There should be no physical contact between CP staff and beneficiaries or between beneficiaries.

18. Distribution staff at the collection point should place the items on the tarpaulin/table at the

distribution point and step back, permitting the beneficiary to collect the items.

19. Following the collection of the items, beneficiaries are to be directed to exit the collection site and

encouraged to depart the distribution site.

5.2.1 SPECIFIC INSTRUCTIONS FOR PDMA STAFF AT DISTRIBUTION SITES:

1. Monitor the entry of beneficiaries into the distribution point channel.

2. Instruct beneficiaries to maintain a distance of one-meter at all points during distributions.

3. Ensure that the hand washing point is supplied with appropriate quantities of hand wash solution

4. Ensure that all beneficiaries wash their hands at the hand washing point and have body

temperature checks before approaching the identity verification checkpoint.

5. If a beneficiary presents high temperature, they must be directed to the sheltered/covered area

and referred to the relevant health authorities.

6. Oversee and assist with offloading and organising package before distributions are scheduled

to start.

7. Step back from the items and direct the beneficiary to collect the items/package and leave via

the marked exit route.

8. Instruct the beneficiaries to leave the distribution site immediately after the collection of rations.

9. On completion of distribution, ensure that the distribution point (room/ area/ tarpaulin) is swept

clean and sprayed with disinfectant (0.5% chlorine solution). Once dry, the tarpaulin should be

folded away for storage/transportation. The broom may be used again after bleach spraying to

remove any debris.

10. Remove all tapes, ropes and signage.

11. Clear hand wash station and remove/store hand washing solution.

12. It is mandatory that all staff at the distribution site perform hand sanitation and follow general

hygiene practices.

5.3 INFORMATION MANAGEMENT

The MIS and IT section of PDMA will manage all the online information management including

updating the official website with up to date information, keeping the servers and IT equipment

functional and provide trouble shooting when needed. The MIS section will be responsible for all the

electronic data management that could include meeting minutes, recordings, snap shots and pictures,

database of the beneficiaries while maintaining the confidentiality of the information. The IT section

will be vigilant in tackling any technical issue or keep the sites and servers protected from any

intrusion and malware.

5.4 COMMUNICATION AND MEDIA COVERAGE

Deputy Director Media (PRO) who will also be the focal person for the Covid-19 response, shall be

responsible for handling all affairs related to the media ensuring that proper media coverage is planned

for all the important events of PDMA. In doing so he / she shall follow the guidelines appended below.

a. Information is disseminated by Deputy Director.

b. DD have close liaison with the Press Information Department of the govt.

c. A directory of telephone/cell/fax no of all important print and electronic media agencies /

personnel shall be made and kept available.

d. DD media ensures that main news (related to disasters) of reputed newspapers/channels both at

national and international level are made available on line.

e. Keeping the severity and the sensitivity of the situation, Standard protocols for media

engagement will be followed and no interview by any official in electronic or print media will

be permitted unless authorized.

f. Ensure that PDMA’s policies / instructions on disaster mitigation and preparedness are

publicized in media

g. Responsible for preparation and issuance of press releases duly vetted by the DG / Senior

Member.

h. Responsible for making required arrangements with regard to conduct of Press Conferences /

briefings.

i. Provide adequate and ample media coverage to all major events conducted by PDMA.

j. During a Disaster, it is ensured that daily updates are provided to media duly vetted by the

Chairman / Senior Member, latest by 1700 hours.

k. Keep close watch on all news being published or aired regarding PDMA and its activities to

guard against publication/airing of any detrimental news. Any such news i promptly be

responded to after approval of DG.

l. All PDMA related news (audio, video and clippings) shall be catalogued and kept separately.

5.5 HYGIENE & SANITATION:

Hand wash solution (0.05% bleach solution) and can be made from a variety of chlorine bases available

in the market. Washing hands with clean water and soap is mandatory for all PDMA personnel,

beneficiaries as well as any other party involved in the process/present at the distribution site. Please

beware that concentrated chlorine and bleach are highly toxic substances that can cause irritation and

inflammation to eyes, throat and nose. When mixing and using 0.5% disinfecting solution, appropriate

PPE (including impermeable coverall, apron, N95 mask, goggles and double glove i.e. inner disposable

latex gloves and outer heavy-duty latex gloves) must be worn.

5.6 QUALITY ASSURANCE OF THE INPUTS:

Since this public health disaster is unique in its nature, therefore, the materials (food, NFIs, IPCs or

PPEs) as per needs are highly technical and therefore a technical review and quality assurance is

required before distribution. PDMA and the designated technical experts from the Civil Society or

private institutions for quality assessment and quality assurance of such materials ensuring safety and

security protocol will conduct the quality inspection of all materials before reaching out the affected

community. PDMA must develop quality inspection guidelines/protocol for these items and make sure

that each partner implement and comply such protocol regardless of its nature directly distributing

materials within the community. Due to the nature of the response the standardised kits. Packages

should be modified with the inclusion of hygiene and sanitation material on priority as part of the

package in line with the WHO guidelines.

ANNEXURES:

ANNEXURE 1: DECLARATION OF EMERGENCY

No. SO (Estt:) RR&SD/3-5/2019

Dated Peshawar the 3rd February, 2020

WHEREAS, the Health Department, Khyber Pakhtunkhwa has declared a state of Health Emergency

under sub-Section (1) of Section 6 of the Khyber Pakhtunkhwa Public Health (Surveillance and

Response) Act, 2017 for measures against the anticipated outbreak of Novel Corona Virus (2019-

nCoV) vide its notification dated 03.02.2020 based on, among other reasons, the emergency declared

by the Secretary Federal Ministry of National Health Services vide his order dated 31.01.2020;

AND WHEREAS, the virus originating from Wuhan China since 31.12.2019 has affected 18 countries

with 4581 confirmed cases and 106 deaths as shown by the data in International Reports, WHO

bulletins on official website as well as NIH reports;

AND WHEREAS, the virus transmits rapidly due to human interaction and contact;

AND WHEREAS, China is in proximity with Pakistan, and human travel from China to Pakistan has

taken place, including such travel by passengers coming to Khyber Pakhtunkhwa with potential risk of

cross border transmission of the virus;

AND WHEREAS, measures need to be set in place for the preparedness, prevention, control and

response of the spread of the disease throughout the province of Khyber Pakhtunkhwa due to its high

rate of spread and non-availability of treatment at the moment leading to significant casualties;

NOW THEREFORE, in exercise of powers conferred under section 16(A)(1) of National Disaster

Management (Khyber Pakhtunkhwa), Act [as amended from time to time], I as, Secretary Relief,

Rehabilitation and Settlement Department, Khyber Pakhtunkhwa, hereby declare an emergency

throughout the province of Khyber Pakhtunkhwa for 30 days effective from 03.02.2020 to enable the

Health Department Khyber Pakhtunkhwa and its subordinate bodies, offices and institutions to take

necessary measures for preparedness, prevention, control and response of 2019-nCoV as deemed fit.

Secretary

Relief, Rehabilitation and Settlement

Department

Endst: No. & Date Even

Copy forwarded to the:

1. Principal Secretary to Chief Minister, Khyber Pakhtunkhwa

2. Secretary Health Department, Khyber Pakhtunkhwa.

3. Director General Provincial Disaster Management Authority

4. Director General Health Department, Khyber Pakhtunkhwa

5. Principal Staff Officer to Chief Secretary, Khyber Pakhtunkhwa

Section Officer (Estt:)

Dated Peshawar the 5th March, 2020

NOTIFICATION:

No. SO (Estt:) RR&SD/3-5/2019: In pursuance of the declaration of Health Emergency by

Chairperson PHC under Section 6(1) read with section 3 of the Khyber Pakhtunkhwa Public Health

(Surveillance and Response) Act, 2017 vide Notification No. E&A(Health)4 -1/2019 dated 02-03-

2020, wherein a request for extension of Emergency already declared under National Disaster

Management Act of Khyber Pakhtunkhwa vide this Department Notification of even No. dated 3rd

February, 2020 is made and in continuation of the said notification vide which an Emergency regarding

Novel Corona Virus (2019-nCoV) was declared for 30 days, the emergency thus declared is hereby

extended wef: 04.03.2020 to 01.06.2020 (90 days) in exercise of powers conferred under section

16(A)(1) of National Disaster Management (Khyber Pakhtunkhwa), Act [as amended from time to

time].

-sd-

Secretary


Department





3. Director General Provincial Disaster Management Authority

4. Director General Health Department, Khyber Pakhtunkhwa


Section Officer (Estt:)

ANNEXURE: 3: PRECAUTIONARY MEASURES AGAINST CORONAVIRUS


NOTIFICATION:

No. SO (Admn) RR&SD/2-49/2019: As precautionary measures against Coronavirus, the

Chief Secretary Khyber Pakhtunkhwa has been pleased to order that the following preventive measures

may be adopted in the premises of the Secretariat with immediate effect:

i. Politely direct the staff that there should not be traditional greetings- hugs and

handshakes.

ii. For the moment, all biometric attendance must be stopped immediately.

iii. Side railings, door knobs must not be touched. Officers/officials may leave the doors

ajar to avoid anyone touching the door knobs for opening them.

iv. Similar action may be taken for joint use apparatus- like computer key boards, fax

machines, telephones- where operators can wear disposable gloves while using such

apparatus.

v. Offices must ensure that if a person is suffering from flu, he/she must wear a mask. The

use of one mask should not be for more than a day, and it should be replaced with a

fresh one.

vi. All towels from all bathrooms must be removed and replaced with paper towels, where

required.

vii. Any official showing symptoms of temperature, flu etc should be taken to hospital

straight away.

viii. Washing of hands by all staff, with soap, must be made compulsory every 3-4 hours.

Washing should be at least for 20 seconds.

ix. All the traffic entering Secretariat may be monitored for any indicated symptoms by

deployment of staff at gates to continuously check each pedestrian and people in

vehicles with hand held thermal scanners (Rescue-1122 will do this).

x. Meetings, where essentially required, may be held in spacious and airy rooms with cross

ventilation, exhaust arrangements. Length of time of meetings may be kept to bare

essential. Longer meetings may have a break of 10-15 minutes after every 30 minutes

for fresh air flow.

xi. Preferably, sanitizers be provided at entrance or at the entrance of meeting rooms.

xii. Flow of fresh air may be ensured in all government offices through cross ventilation of

air. Windows may be kept open or regularly opened for this purpose.

xiii. Bathrooms may be kept sanitized and dry.

xiv. Preferably, dedicated cups of tea etc and plates of food should be kept. These should be

self-cleaned instead of office help doing it.

xv. Vehicle doors and steering should be either single person use or touched with cloth or

gloves.

2. Furthermore, every Department shall appoint a Focal Person for the said purpose to ensure that

the instructions are properly implemented. Focal person should regularly inspect premises for

compliance.

SECRETARY

RELIEF, REHABILITATION AND

SETTLEMENT DEPARTMENT



1. Principal Secretary to Governor, Khyber Pakhtunkhwa.


3. Inspector General of Police, Khyber Pakhtunkhwa.

4. All Administrative Secretaries, Khyber Pakhtunkhwa


6. PSs to Provincial Ministers, Advisors, and Special Assistants to Chief Minister, Khyber

Pakhtunkhwa.

DEPUTY SECRETARY

RR&SD

Copy forwarded for information:

1. Registrar Peshawar High Court, Peshawar

2. Secretary, Provincial Assembly, Khyber Pakhtunkhwa

3. All Divisional Commissioners, Khyber Pakhtunkhwa

4. All Deputy Commissioners, Khyber Pakhtunkhwa

DEPUTY SECRETARY

RR&SD

ANNEXURE: 4: CLOSURE OF EDUCATIONAL FACILITIES:


NOTIFICATION:

No. SO (Admn) RR&SD/2-49/2020: In pursuance of decisions taken by the Provincial Cabinet

in its emergency meeting dated 13.03.2020 regarding implementation of preventive measures against

the spread of Corona virus in conjunction with the declaration of emergency in exercise of powers

conferred under Section 16 (A) (1) in respect of Corona Virus, and in exercise of powers conferred

under Section 16 sub section 2(c) read with sub section 2 (g), and Section 16(A) (2)(a), the Secretary

Relief, Rehabilitation and Settlement Department being chairperson of Provincial Disaster

Management Authority is pleased to order as follows with immediate effect in the public interest:

(a) All educational institutes including schools, colleges, universities, academies, tuition centers,

coaching and training institutes, and any other teaching institutes (public and private) shall

remain closed for period of 15 days with immediate effect.

(b) All hostels (public or private) shall be vacated and students/trainees shall be asked to go home.

(c) Board examinations or any other internal exams/assessment in schools shall be postponed with

immediate effect, until further notice.

(d) All official gatherings (including seminars, sports events, cultural events) stands banned. Any

such gatherings already planned stands postponed till further notice.

(e) Derajat Festival for which preparation has been undergoing for last two months stands

postponed.

(f) Entry of visitors’ to Jails stands temporarily banned to avoid spread of infection in confined

places.

-sd-

Secretary


Department



1. Principal Secretary to Governor, Khyber Pakhtunkhwa







Pakhtunkhwa.



Section Officer (Admn)

ANNEXURE: 5: PRIVATE GATHERINGS POSTPONEMENT


NOTIFICATION:







Management Authority is pleased to order that the District Administration shall proactively interact

with the organizers of all types of private gatherings to convince them to postpone the events to a later

date in the public interest.

-sd-

Secretary


Department










Pakhtunkhwa.




ANNEXURE: 6: Information regarding preventive measures and other

cognate matters


NOTIFICATION:







Management Authority is pleased to order that information regarding preventive measures and other

cognate matters shall be shared through the platform of Minister Health, Advisor on Information,

Secretary/DG Health only to ensure provision of clear and non-contradictory information to the public.

-sd-

Secretary


Department










Pakhtunkhwa.




ANNEXURE: 7: ENERAL PRECAUTIONARY MEASURES AT FACILITIES THAT

CANNOT BE VACATED:

No. SO(Admn)/RR&SD/2-49/2020

Dated Peshawar the 14th of March, 2020

To

1. All Administrative Secretaries Govt: of Khyber Pakhtunkhwa



Subject: GENERAL PRECAUTIONARY MEASURES AT FACILITIES THAT CANNOT

BE VACATED (ORPHANAGES, WOMEN CRISIS CENTRES, FOREIGN

STUDENTS HOSTELS ETC)

Dear Sir,

I am directed to refer to this department notification of even number dated 13.03.2020 (copy

enclosed) regarding measures to be complied with for implementation of actions against the spread of

Corona Virus, and to forward the following clarifications, explanations and actions for institutions etc. that

cannot be vacated of their inmates due to the purpose of their utility like orphanages, women shelter homes,

women crises center, foreign students hostels and other such facilities, as guidelines for the safety of

occupants, staff and service providers:-

General Precautionary Measures

i. Increasing Social Distance – Minimum or no activity be allowed in the play grounds, TV

Rooms and community hall.

ii. Occupants may be informed politely about the hazards of handshake, hugs and traditional

gatherings in the prevailing fear of spread of corona virus alongwith an explicit advice of

avoiding the same.

iii. Similar action may be taken for joint use apparatus and facilities such as washrooms,

ablution points, TV room, Mess and community hall etc.

iv. For the moment, all biometric attendance if applicable, must be stopped immediately.

v. Doors and windows may not be touched without using gloves, tissue papers or handkerchief

(chadar) etc. The doors and windows wherever possible may be kept open so that contact

is reduced.

vi. Any person showing symptoms may be immediately shifted to isolation ward.

vii. All towels from all bathrooms must be removed and replaced with paper towels, where

required.

viii. Washing of hands by all, with soap, must be made compulsory every 3-4 hours. Washing

should be at least for 20 seconds.

ix. For Mess mechanism of shifts for breakfast, lunch and dinner may be adopted. Each shift

may comprise of 5-10 individuals only.

x. Temperature checking on movements, where randomly possible

xi. Provision of essential items to remain open during particular hours, but to be strictly

regulated to ensure everyone keeps out of touch-contact.

xii. Deployment of appropriate types of trained professionals with necessary skill sets to

regularly check on them

xiii. Ensure regular monitoring of all staff deployed for the purpose for symptoms

xiv. Gloves and masks should be provided.

xv. Administration must ensure each such individual is identified, with duty hours and where

off-duty hours are spent

xvi. All conditions of individual Quarantine will apply to them at the facility, or of Groups if

residing in a hostel, or a joint-living accommodation with other workers, or individuals

xvii. A vigorous system of monitoring during duty hours / shifts towards development of

symptoms

xviii. Where required, provision of sanitized transport to and from work to the staff

Specific Precautionary Measures at the Facilities that cannot be vacated:

i. All the staff or persons that are in contact with the kitchenware shall be briefed by the

supervisor of the facility

ii. Such staff or persons may wash hands before handling any kitchenware or kitchen equipment

iii. The use of polythene bags may be discouraged, and wherever such use is inevitable, it may be

brought from outside to a specific point in such facility

iv. Remote Control of television, or the keys of television may be used after washing or

sanitizing hands. These may be properly covered, and the cover may be replaced daily.

v. Books, toys, and bags may be used only after hands are washed in prescribed manner.

vi. Anything brought into the facility from outside may be first washed, sanitized, cleaned, and

afterwards used. Such things may be brought to one specified point with great care in the facility

and afterwards that point may be sanitized properly.

2. Kindly ensure these are communicated to management of all such institutions/premises (which

are in limited numbers) and their compliance is checked on daily basis till present situation exists.

Kindly also maintain proper tally of all such individuals separately.

Yours Faithfully,

Deputy Secretary (Admn)

ANNEXURE: 8 : CLOSURE OF OFFICES AND GENERAL PUBLIC GATHERING

FACILITIES


NOTIFICATION:

No. SO (Admn) RR&SD/2-49/2020: In continuation to this department Notification of even

No. dated 13th March, 2020 and in pursuance of decisions of the meeting held by Chief Secretary

Khyber Pakhtunkhwa on 16-03-2020 regarding preventive and precautionary measures to control

spread of Corona Virus and attended by Minister Health Khyber Pakhtunkhwa, the following

instructions are hereby notified for strict compliance:-

(1) Further clarity on the social distancing being created through closure of educational institutions

would be communicated that all the teaching as well as administrative staff will not attend the

institutions, except the medical colleges and KMU staff which are required for clinical,

pathological and radiological purposes connected with patient care. Here also the administrative

and non-clinical staff will not be in attendance.

For Govt: Offices:-

(1) Secretaries of departments will identify for temporary closure of 15 days, the non-essential and

non-critical directorates, attached institutions and submit the same to the Chief Secretary for

orders.

(2) Secretaries will also identify non-essential and non-critical staff within the departments, in

Directorates, attached departments, authorities, semi-autonomous bodies and district offices, and

such staff may be allowed to not attend office for the next fifteen days.

(3) Where an office is considered essential, bare minimum/skeletal staff will be retained to carry out

essential work.

(4) Employees having more than 50 years of age and a serious co-morbidity, such as cardiovascular

diseases, diabetes etc will be granted leave for the next 15 days.

(5) Female employees in the family way, will also be granted leave for the next fifteen days.

(6) All official visitors will first be urged to discuss the matter on phone, and if extremely essential,

come in person.

(7) All non-official visitors will preferably be dealt at the reception desks. And, Information

Department will inform the general public that a ban on visiting offices for the next fifteen days is

in the offing.

For other matters:

(1) Private ceremonies including weddings and other festivities are already banned in wedding halls,

marques etc. However, a ban will also stand imposed on all such functions in open areas or spaces.

(2) Processes of all tests and interviews for all recruitments except essential services and first

responders will stand deferred.

(3) Administration Department through Assembly Secretariat to issue advisory to all the Members of

the Provincial Assembly to avoid social gatherings at the residences, hujras etc.

(4) Establishment Department will issue instructions to all the provincial government employees to

ensure social distancing, advocate the same to the people around them, and also to avoid all such

gatherings in their private lives where there is a risk of not ensuring social distancing.

-sd-

Secretary to Govt: of Khyber Pakhtunkhwa

Relief, Rehabilitation and Settlement Department










Pakhtunkhwa.



Deputy Secretary

RR&S Department

ANNEXURE 9: SUPPORT OF THE FAMILIES OF CORONAVIRUS CONFIRMED

INDIVIDUALS PLACED IN ISOLATION


NOTIFICATION:

No. SO (Admn) RR&SD/2-49/2020: The Chief Minister Khyber Pakhtunkhwa, with the

view to Support The Families Of Coronavirus Confirmed Individuals Placed In Isolation, has

been pleased to direct that the families of those individuals who have tested positive for Coronavirus

and have been placed in isolation in government facilities in the Province may be provided ration as a

support gesture of the Government in trying times, as per the following package:

1. Atta 20 x kg.

2. Rice 10 x kg.

3. Milk (Litre packs) 1 x carton.

4. Sugar 10 x kg.

5. Pulses 5 x kg.

6. Tea black 5 x boxes.

2. The Health Department, through the Home Department, will communicate the exact addresses

and contact details of the individuals placed in Isolation to the concerned Deputy Commissioner(s),

who will make arrangements of delivery of the above package to the family at its place of residence,

and provide a proper receipt for financial & administrative record. Compiled record will be maintained

at the Home Department.

3. In pursuance of the declaration of emergency under Section 16(A)(1) of the National Disaster

Management (Khyber Pakhtunkhwa) Act 2010 in respect of Corona Virus, and as directed by the

competent authority, this will be considered a valid charge on the Relief Account with the Deputy

Commissioners.

-sd-

Secretary to

Govt: of Khyber Pakhtunkhwa


Endst: No. & Date Even:


1. Principal Secretary to Chief Minister, Khyber Pakhtunkhwa.

2. Secretary Home Department.

3. Secretary Health Department.

4. Secretary Finance Department.

5. All Divisional Commissioners, Khyber Pakhtunkhwa.

6. All Deputy Commissioners, Khyber Pakhtunkhwa.

7. PSO to Chief Secretary, Khyber Pakhtunkhwa.


RR&S Department

ANNEXURE 10: EXTENSION OF NOTIFICATION FOR CLOSURE OF EDUCATIONAL

INSTITUTES:


NOTIFICATION:

No. SO (Admn) RR&SD/2-49/2020: As per this department Notifications of even No. dated

13th and 16th March, 2020 the following instructions were hereby notified for strict compliance:-

(1) All educational institutes including schools, colleges, universities, academies, tuition centers,


remain closed for period of 15 days with immediate effect.

(2) All hostels (public or private) shall be vacated and students/trainees shall be asked to go home.

(3) All official gatherings (including seminars, sports events, cultural events) stands banned. Any

such gatherings already planned stands postponed till further notice.

(4) Derajat Festival for which preparation has been undergoing for last two months stands

postponed.

(5) Private ceremonies including weddings and other festivities are already banned in wedding

halls, marques etc. However, a ban will also stand imposed on all such functions in open areas

or spaces.

(6) Processes of all tests and interviews for all recruitments except essential services and first

responders will stand deferred.

Under section 33 “Punishment for obstruction, etc. of NDM Act, 2010 states that

“whoever, without reasonable case,-

(a) Obstructs any officer or employees of the Federal Government or a Provincial Government,

or a person authorized by the National Authority or Provincial Authority or District Unit in

the discharge of his functions under this Act; or

(b) Refuses to comply with any direction given by or on behalf of the Federal Government or

Provincial Government under this Act;

Shall be punishable with imprisonment for a term which may extend to one year or with fine,

or with both, and if such obstruction or refusal to comply with such directions results in loss of

lives or imminent danger thereto, shall be punishable with imprisonment for a term which may

extend to two years, or with fine, or with both”

It is therefore, directed that individuals who are not complying with directive issued by

this Department may be dealt under the above section of NDM Act, 2010 accordingly.

-sd-

Secretary to Govt: of Khyber Pakhtunkhwa











Pakhtunkhwa.



Deputy Secretary

RR&S Department

ANNEXURE 11: NOTIFICATION REGARDING NON-COOPERATING,

OBSTRUCTING HALLS ETC.

No. SO (Admn) RR&SD/2-49/2020


To,

1. All Divisional Commissioner, Khyber Pakhtunkhwa

2. All Deputy Commissioner, Khyber Pakhtunkhwa

Subject: ISSUE OF NOTICE U/S 33 OF NDM (KHYBER PAKHTUNKHWA), 2010 TO

THE NON-COOPERATING, OBSTRUCTING HALLS ETC

Dear Sir,

I am directed to refer to the subject noted above and to state that various instructions

have been issued by the Department on behalf of Provincial Government regarding adaptation of

measures for prevention and halting the spread of Corona Virus vide notifications of even No. dated

13th and 16th March, 2020.

2. Keeping in view, the social and cultural norms, it is essential that the cognizance of

cases where there are issues in implementation are also communicated. Section-33 of National Disaster

Management (Khyber Pakhtunkhwa) Act, 2010 is reproduced below for guidance:

33- whoever, without reasonable case,-

(c) Obstructs any officer or employees of the Federal Government or a Provincial

Government, or a person authorized by the National Authority or Provincial

Authority or District Unit in the discharge of his functions under this Act; or

(d) Refuses to comply with any direction given by or on behalf of the Federal

Government or Provincial Government under this Act;

shall be punishable with imprisonment for a term which may extend to one year

or with fine, or with both, and if such obstruction or refusal to comply with

such directions results in loss of lives or imminent danger thereto, shall be

punishable with imprisonment for a term which may extend to two years, or

with fine, or with both.

4. In the light of above, you [all Deputy Commissioners] are therefore requested to please,

where deemed essential, give notice under the above mentioned Section of the said Act.

Your’s faithfully,


RR&S Department







14. PS to Secretary, RR&S Department.

15. Master File, 2020.


RR&S Department

ANNEXURE 13: NOTIFICATION REGARDING PUBLIC

OFFICES/SHOPS/SPOTS/RECREATIONAL FACILITIES


NOTIFICATION

No. SO (Admn)/RR&SD/2-49/ 2020: In continuation to this Department Notification of even

no. dated 16th March, 2020, and in pursuance of decisions of the meeting held by the Chief Minister,

Khyber Pakhtunkhwa on 18-03-2020 regarding the preventive and precautionary measures to control

spread of Corona Virus and attended by the Provincial Ministers, Chief Secretary and concerned

Secretaries, the following decisions are hereby notified for strict compliance and required actions:

i. Entry of General Public to all Secretariat, Directorates, District Offices (except District

Administration) has been stopped forthwith as it is for their protection and social distancing, as a

preventive measures.

ii. All private ceremonies in homes, closed compounds shall stand banned.

iii. Grocery, medicine and essential items shops shall remain open 24/7. All other shops shall remain

open only from 10:00 am to 07:00 pm. An appeal is made to the public to avoid making rush in

bazaars during these hours.

iv. All tourist spots will be vacated, including in upper parts of the Province, aside rivers and other

spots. Further, Information Department will inform the intending tourists through media to

forewarn them to avoid visiting tourist destinations for time being, as the schools and colleges were

closed off due to increase social distancing, which is the most suitable way for reducing and curbing

the spread of Corona Virus.

v. Timings of all government offices has been revisited. From Monday to Thursday essential offices

shall remain open from 10:00 am to 04:00 pm. On Friday, the offices shall close at 12:00 hours.

Secretaries shall ensure on-call availability after these timings of staff for urgent work.

vi. All official meetings of more 5 people have been suspended. Meetings will preferably be held on

Videocon, speaker-phone or other electronic methods.

vii. Offices of all Ministers, Advisors, Special Assistants shall be closed except for Minister Health and

Advisor Information.

viii. All Restaurants, eateries, fast food joints have been closed till 5th April – Home delivery & take

away has been allowed.

ix. Barbers, Beauty Parlours will remain closed for next 15 days.

x. All the banks shall be intimated that installation and availability of sanitizers at the ATM machines

must be ensured.

Secretary

Relief, Rehabilitation & Settlement Department

ENDST: NO. & DATE EVEN

Copy forwarded for information to the:




4. Inspector General of Police, Khyber Pakhtunkhwa

5. All Divisional Commissioner, Khyber Pakhtunkhwa


7. PSO to Chief Secretary, Khyber Pakhtunkhwa

8. HQ 11 Corps

9. Master File.

Deputy Secretary

RR&S Department

ANNEXURE 14: GUIDELINES FOR QUARANTINE MEASURES


NOTIFICATION

No. SO(Estt)RR&SD/3-5/2019: In pursuance of the declaration of emergency throughout the Province of Khyber

Pakhtunkhwa due to Corona Virus (COVID19), vide this Department Notification of even No. dated 3.5.2019 read with

powers conferred on the Khyber Pakhtunkhwa Provincial Disaster Management Authority under clauses (c), (g) and (i) of

sub-section (2) of Section 16 of the National Disaster Management Authority (Khyber Pakhtunkhwa) Act, 2010, the

Authority is pleased to lay down the following Guidelines for Quarantine Measures:

Purpose

Guidelines for individual and community level containment measures – Quarantine. Purpose is to aid

administrative action.

Target of Document

Divisional & District Administrations, Health Staff and all other related Departments, including

Enforcement

Limitations

In absence of any previous specific guidelines for Corona Virus (COVID19), these guidelines base on

already available material on SARS and other documents dealing with Quarantine. Errors and

Omissions are therefore excepted.

Quarantine is the separation and restriction of movement or activities of persons who are not ill but who are believed to

have been exposed to infection, for the purpose of preventing transmission of diseases. For purpose of ease, such individuals

will henceforth be listed as “Qs”

Types of Quarantine covered in this Document

Quarantine (A) – Individual (Home)

Quarantine (B) – Individual (not possible in Home), Groups of Travelers

Quarantine (C) – Community (Close/higher risk contacts of laboratory confirmed cases be quarantined

for 14 days from the last point of exposure to the confirmed patients)

Quarantine (D) – Working, Occupational Hazard

Quarantine (A) – Individual (at Home)

1. Identification of Qs including his/her telephone number, age, medical history, contacts when

placed at home for Quarantine

2. Identification of Home including complete address, GPS coordinates, a rough design of the

residence, its PoEs, access to outside leading to where etc.

3. Placement of monitoring mechanism outside home to ensure 24/7 Quarantine – must ensure it

is least invasive

4. Infrastructure at Home:

a. Functioning telephone

b. Electricity

c. Running water

d. Bathroom with commode and sink

e. Waste and sewage disposal (septic tank, community sewage line)

5. Accommodation at Home

a. Separate bedroom for Qs for sleeping & eating

b. Dedicated bathroom for Qs (where not possible, contacts around him may be advised

on how to sanitize the bathroom after each use)

6. Resources at Home

a. Separate meal preparation, utensils, laundry, masks, tissues, hand hygiene products

b. Full Medical Education to others residing at home, and in vicinity on how to take care.

This should include use of mask when in room with others.

7. Regular visit by Health authorities to check on symptoms, carry out tests etc

8. Mechanism to deliver prescriptions and special needs

9. Household members may go to school, work, etc., without restrictions unless the quarantined

person develops symptoms. or is a confirmed case. in case of confirmation all the house hold

members may also be quarantined in the same house but in a separate room.

10. Committee comprising Enforcement & community reps to ensure restrictions placed are

followed, and if not, to trace out the Qs

Quarantine (B) – Individual (not possible in Home), Groups of Travelers

1. Determination of Designated Facility (called DF hereafter)

a. Preferably not in congested area but with proper road access and as close to PoE as

possible

b. Stay arrangements of at least 200 Qs and support staff

c. Extra care for old age people, females and co-morbid persons

d. Separate cooking place, laundry, accommodation of staff

2. Placement of monitoring mechanism outside DF to ensure 24/7 Quarantine

3. Basic infrastructure requirements

a. Functioning telephone system

b. Electricity

c. Running water

d. Air conditioning / heating where required and possible

e. Bathroom with commode and sink

f. Waste and sewage disposal (septic tank, community sewage line)

g. Multiple rooms for housing Qs

h. Ventilation capacity

i. Preferably, rooms with individual ventilation systems (e.g., room or window fan

coil units that do not recirculate to other parts of the building)

ii. Alternatively, facility with a non-recirculating ventilation system that permits

redirection of the air flow from corridors and staff areas into patient rooms.

i. Access considerations

i. Proximity to hospital

ii. Parking space

iii. Ease of access for delivery of food and medical and other supplies

iv. Handicap accessibility (where possible)

j. Space requirements

i. Administrative offices

ii. Offices/areas for clinical staff

iii. Holding area for contaminated waste and laundry

iv. Laundry facilities (on- or off-site)

v. Meal preparation (on- or off-site)

4. Social support resources

a. Television and radio (where possible as Qs will be there for considerable time)

b. Reading materials

5. Monitoring of health status of staff working at such DFs is covered under Working,

Occupational Hazard.

6. Resources

a. Separate meal preparation, utensils, laundry, masks, tissues, hand hygiene products,

disinfectants, IEC material

b. Full Medical Education to staff, with directions to use PPE and masks on premises.

7. Regular visit by Health authorities to check on symptoms, carry out tests etc

8. If the quarantined person develops symptoms, he/she may be removed to a designated Isolation

health facility by trained and protected health staff, and the carriage vehicle may be sanitized

after every trip.

9. Psycho-social support

10. Mechanism to deliver prescriptions, special needs

11. Dedicated Health focal person/staff and ambulance (not necessarily on premises)

Quarantine (C) – Working, Occupational Hazard

(Applicable to healthcare workers or other essential personnel who have, or may likely to as part of their duties, come in

contact with Person Under Investigation for COVID-19 or confirmed cases but are needed to continue to work as

occupational hazard. These also include those deployed on Points of Entry (PoE), Law Enforcement Personnel including

defense personnel, essential officers on duty or coming in contact with Person Under Investigation for COVID-19. Such

individuals should consider themselves Qs either at home, wherever they reside, or at DFs during off-hours.

1. Administration must ensure each such individual is identified, with duty hours and where off-

duty hours are spent

2. All conditions of individual Quarantine will apply to them at Home, or of Groups if residing in

a hostel, or a joint-living accommodation with other workers, or individuals

3. A vigorous system of monitoring during duty hours / shifts towards development of symptoms

4. Where required, provision of sanitized transport to and from work

Quarantine (D) – Community

1. Standards for such Quarantine (number of confirmed cases, number of Person Under Investigation for COVID-

19, or Surveillance indicators) to be part of plan of Health Department

2. Identification of area deemed fit for Quarantine (based on Health Department thresholds) and all PoEs

3. Enforcement – Control Points on all PoEs 24/7

4. Increasing Social Distance – Closure of all institutions where people gather including educational institutions, non-

essential offices, courts, religious places, shopping centers etc. Transport (Buses and Railways) is to be limited.

5. Cancellation of all social events including marriage receptions, cultural & sports events and any other events where

people may gather

6. Temperature checking on all movements, where randomly possible

7. Provision of essential items to remain open during particular hours, but to be strictly regulated to ensure everyone

keeps out of touch-contact, wears gloves while interacting and picking up articles (seller-buyer), and exchanging

money or any other article

8. Travel permits for health staff, essential personnel and personnel taking food, essential items and medical

equipment, medicines across POEs.

9. It must be ensured that no individual or transport vehicle crosses PoE without Travel Permit and without proper

PPE as his / her identification is essential to check on any suspected symptoms they develop in future.

10. PPEs for all such travel permits

11. Communication – Strategy, means (through media, or mosques, or other methods)

12. Enforcement is the key in this. Although quite frustrating for the community, clarity should be there that these

measures are for the protection of public.

General measures applicable to all Quarantines

1. At least once per day monitoring for fever, respiratory symptoms, and other symptoms

2. Monitor compliance with quarantine through daily visits or telephone calls

3. A hotline number for Qs to call if they develop symptoms or have other immediate needs

4. If Qs develops symptoms, arrangements should be in place for immediate medical evaluation of the patient &

symptomatic persons should be shifted to Isolation setups isolated in a separate room

5. At the end of the designated quarantine period, contacts should have a final assessment for fever and respiratory

symptoms. Persons without fever or respiratory symptoms may return to normal activities

6. A certificate may be issued by the concerned DHO after completion of the incubation period. Persons without

fever or respiratory symptoms may return to normal activities

7. To cater to violations of restrictions, all Qs must be given a call every day. In case they do not respond, a

Monitoring Team should be activated to locate them by first visiting the place of Quarantine, and then other

probable places.

8. Government must issue official and legally binding Quarantine orders.

General Measures

1. Checking of Temperature for all PoEs of public sector buildings

2. Establish an Incident Command Structure, Establish district Disease surveillance centre (DDSRC) & Rapid

Response Team

3. Incident Command Structure & DDSRC should be headed by Deputy Commissioner with membership from Heath,

Police, LEAs and any other required members (including community influencers)

4. Rapid Response Team should include an AAC (notified by Health Dept to be headed by DHO). Team should have

a PPE protected medical team, Enforcement Team and ambulance with him/her for responding to any individual

being reported as Person Under Investigation for COVID-19

5. Communication strategy and mechanism for the public, government decision makers, healthcare and emergency

response providers, and the law enforcement community.

6. Hotline UAN for reporting, guidance, communication, psycho-social support

7. Ensure fit-testing and training in PPE for responders and providers on necessary community containment measures

8. Ensure that legal authorities and procedures are in place to implement the various levels of movement restrictions

as necessary.

9. Identify key partners and personnel for the implementation of movement restrictions, including quarantine, and

the provision of essential services and supplies & bring them to one platform (Commissioner, DC):

a. Local elected representatives – both for public communication as well as taking public pressure when

Quarantine measures are set in place

b. Law enforcement (term used in this document is Enforcement)

c. First responders (Rapid Response Unit)

d. Other government service workers required for backend support

e. Volunteers, including Razakars (to be balanced with fact they may not become part of problem)

f. Utilities

g. Transporters (Some restrictions on their movement are inevitable, besides encumbrances of sanitization

after each trip to affected area, DF, wherever required with its financial cost)

h. Local businesses – limitations or complete closure is an option on non-essential businesses

i. Masjid Committees – limitations or complete closure is an option

j. Private Schools’ Owners – limitations or complete closure is an option

k. District Judiciary – limitations or complete closure is an option

10. Daily check of all detention facilities including Jails to take action if any Person Under Investigation for COVID-

19 is noted. May even consider request to lay off inmates involved in petty nature cases to thin out detention

numbers

11. Daily check of all training facilities (across the board including LEAs) for similar check.

12. Keeping in view sensitivity, Police and LEAs may also like to have their exclusive DFs too.

Points of Entry (PoE) – First Point of Contact

(this deals essentially with International, Inter-Provincial and Inter-District PoEs, but can be extended to PoEs under

Community Quarantine. Further transport includes private 4, 3 & 2 wheel vehicles, public transport including road, water

ways or railway & goods transport)

1. Mapping of all PoEs with traffic count (estimated) to also map intensity of movement and set in place checking

mechanism accordingly. PoEs on motorway can be the exits after paying toll, and so on. PoEs for railways is the

Railway Station concerned. PoE for waterways is disembarkation point.

2. Establishment of Quarantine Stations (QS) at each POE

3. Deployment of appropriate types of trained professionals with necessary skill sets

a. Those who can monitor temperature alone

b. Those who can, in case of Person of Interest for COVID-19, take measures to transport him/her to

designated hospital

c. Those who can communicate the Quarantine measures which are now to be taken to the contacts (rest of

passengers including driver, cleaner, helper)

d. Those who then transport the contacts to DFs

e. Those who sanitize the transport vehicle under question

f. Those who sanitize the transport vehicle being used to shift contacts to DFs

4. A sanitized transport vehicle – the vehicle which was checked should NOT be used for transport of contacts to DF

5. Trained staff should ask everyone on board a transport vehicle to disembark and then take individual temperatures

as there is a chance of ripping of PPE in congested confined space. In case of car or a 2-wheeler, he/she should

take temperature standing alongside.

6. The staff should be properly housed.

7. Enforcement (polite) to ensure that all contacts and the individual with suspected symptoms comply to being

moved to Hospital or DF

8. Review manifest – there may be passengers who may have disembarked on what – In such a case, inform the

concerned Deputy Commissioner (even if in other province) with location and estimated time of disembarkation,

and if any info on the contact. Passengers include those using boats & railway as transport

9. Ensure regular monitoring of all staff deployed for the purpose for symptoms, and inform them that they are under

Quarantine in off-duty hours too (pl see Occupational Hazard)

10. Also survey if there are unfrequented routes, waterways crossings or pedestrian crossings also. In such cases ensure

same protocols as PoEs for unfrequented routes and waterways crossings (point of disembarkation can be PoE).

11. Duration of Quarantine is 14 days, but is subject to review by Health Department

Provincial Level Measures

1. A Committee under Home Secretary to coordinate these measures, especially their components with Federal

Agencies, Ministry of Railways and/or other provinces

2. Committee should also plan for ensuring transport of essential items including food, medicine etc to all Districts

incase there is a quarantine implemented on larger areas

3. An IT based tracking and monitoring of all above steps from A to Z at centrally managed and housed location.

4. Centralized report sharing mechanism – to include sharing of Person Under Investigation for COVID-19 and

persons quarantined reports with travel history and other details with areas of origin or areas from where they were

travelling and mode of travel, with federal government, Ministry of Railways, other Provincial Governments or

any other stakeholders.

2. Further to the above, in exercise of powers conferred under 16(A)(1) of the National Disaster Management (Khyber

Pakhtunkhwa) Act, 2010 and the emergency so notified, the expenditure on this account is declared a fit charge on the

Relief Account.

3. The Deputy Commissioners in Khyber Pakhtunkhwa are directed to exercise prudence and follow financial

discipline while undertaking such expenditure.

SECRETARY

RELIEF, REHABILITATION AND SETTLEMENT DEPARTMENT

Endst No & date even

Copy to:

1. Principal Secretary to Governor Khyber Pakhtunkhwa

2. Principal Secretary to Chief Minister Khyber Pakhtunkhwa

3. The Inspector General of Police Khyber Pakhtunkhwa

4. The Additional Chief Secretary P&D

5. All Administrative Secretaries – to formally extend all support where required from their Department(s)

6. All Divisional Commissioners in Khyber Pakhtunkhwa

7. All Deputy Commissioners in Khyber Pakhtunkhwa

8. PSO to Chief Secretary Khyber Pakhtunkhwa

9. HQ 11 Corps Peshawar


ANNEXURE 15: NOTIFICATION REGARDING ESSENTIAL SERVICES OFFICES

Dated, Peshawar 19th of March, 2020

NOTIFICATION

No. SO (Admn)/RR&SD/2-49/ 2020: In continuation to this department Notification of even No.

dated 16th March, 2020 and in pursuance of decisions regarding preventive and precautionary measures

to control spread of Corona Virus, the following departments of Secretariat are hereby declared as

essential and will remain open as per the timings already notified:

(a) Health Department

(b) Home Department

(c) Relief Department

(d) Finance Department

(e) E&A Department

(f) P&DD

(g) Food Department

(h) Agriculture Department

(i) E&SE Department

2. All other Departments will close their Secretariat offices & leave extremely thin staff at

Directorates. However, administrative Secretaries will remain on call & will not leave station.

3. The essential departments to remain open will cut their staff down at least 75%, & work

on skeletal staff. This is effective from 18th March, 2020 till 5th April, 2020.

-sd-

Secretary



Copy to:





5. All Administrative Secretaries –

6. All Divisional Commissioners Khyber Pakhtunkhwa

7. All Deputy Commissioners Khyber Pakhtunkhwa


9. Master file 2020.


ANNEXURE 16: EXEMPTION OF KPPRA ACT. FOR PROCUREMENT


NOTIFICATION:

No. SO (Admn) RR&SD/2-49/2020: In pursuance of decision by the Provincial Cabinet for

Agenda Item No.01 (xii), in its special meeting dated 13.03.2020 regarding Corona virus, the Provincial

Government hereby grants exemption under section 14(1) of KPPRA Act, 2012 in respect of

procurement related to Corona Virus (COVID-19) to government departments/public bodies/agencies.

-sd-

Secretary


Department










Pakhtunkhwa.


9. Director General, PDMA, Khyber Pakhtunkhwa.



ANNEXURE 17: NOTIFICATION REGARDING DEAD BODY MANAGEMENT

Dated 19th March, 2020

NOTIFICATION

No. SO(Estt)RR&SD/3-5/2019: In pursuance of the declaration of emergency throughout the Province

of Khyber Pakhtunkhwa due to Corona Virus (COVID19), vide this Department Notification of even

No. dated 3.5.2019 under clauses (c), (g) and (i) of sub-section (2) of Section 16 of the National Disaster

Management Authority (Khyber Pakhtunkhwa) Act, 2010, the Authority is pleased to lay down the

following Guidelines for Dead Body Management as per Standard Operating Procedures (SOP)

provided by Director Public Health, DG Health Services Khyber Pakhtunkhwa:

1- Key Facts:

• The main driver of transmission of COVID-19 is through droplets. There is unlikely to be an

increased risk of COVID infection from a dead body to health workers or family members

who follow standard precautions while handling body.

• Only the lungs of dead COVID patients, if handled during an autopsy, can be infectious.

2- Key Standard Precautions to be followed by the Healthcare workers while

handling dead bodies of COVID:

Standard infection prevention control practices should be followed at all times. These include:

• Hand hygiene.

• Use of personal protective equipment (e.g., water resistant apron, gloves, masks, eyewear).

• Safe handling of sharps.

• Disinfect bag housing dead body; instruments and devices used on the patient.

• Disinfect linen. Clean and disinfect environmental surfaces.

3- Training in infection and prevention control practices:

All staff identified to handle dead bodies in the isolation area, mortuary, ambulance and those

workers in the burial ground should be trained in the infection prevention control practices.

4- Removal of the body from the isolation room or area:

• The health worker attending to the dead body should perform hand hygiene, ensure proper use

of PPE (water resistant apron, goggles, N95 mask, gloves).

• All tubes, drains and catheters on the dead body should be carefully removed.

• Any puncture holes or wounds (resulting from removal of catheter, drains, tubes, or otherwise)

should be disinfected with 1% hypochlorite and dressed with impermeable material.

• Apply caution while handling sharps such as intravenous catheters and other sharp devices.

They should be disposed into a sharps container.

• Plug Oral, nasal orifices of the dead body to prevent leakage of body fluids.

• If the family of the patient wishes to view the body at the time of removal from the isolation

room or area, they may be allowed to do so with the application of Standard Precautions.

• Place the dead body in leak-proof plastic body bag. The exterior of the body bag can be

decontaminated with 1% hypochlorite. The body bag can be wrapped with a hospital sheet or

sheet provided by the family members. The body shall additionally be kept in wooden coffin.

• Now the body can be handed over to the relatives.

• All used/ soiled linen should be handled with standard precautions, put in biohazard bag and

the outer surface of the bag disinfected with hypochlorite solution.

• Used equipment should be autoclaved or decontaminated with disinfectant solutions in

accordance with established infection prevention control practices.

• All medical waste must be handled and disposed of in accordance with biomedical waste

management plan.

• The health staff who handled the body will remove personal protective equipment and will

perform hand hygiene.

• Provide counselling to the family members and respect their sentiments.

5- Environmental cleaning and disinfection:

All surfaces of the isolation area (floors, bed, railings, side tables, IV stand, etc.) should be

wiped with 1% Sodium Hypochlorite solution; allow a contact time of 30 minutes, and then allowed to

air dry.

6- Autopsies on COVID-19 dead bodies:

Autopsies should be avoided.

7- Transportation

• The body, secured in a body bag, exterior of which is decontaminated poses no additional risk

to the staff transporting the dead body.

• The personnel handling the body may follow standard precautions (surgical mask, gloves).

• The vehicle, after the transfer of the body to burial workers, will be decontaminated with 1%

Sodium Hypochlorite.

8- At the Burial Ground

• The burial Ground staff/workers should be sensitized that COVID 19 does not pose additional

risk.

• The staff will practice standard precautions of hand hygiene, use of masks and gloves.

• Viewing of the dead body by close relatives may be allowed through glass pane window

through the coffin only, for them to see the body for one last time.

• Religious rituals and any other last rites that does not require touching of the coffin can be

allowed.

• From public health view point, Bathing, touching and hugging of the dead body should not be

allowed

• The funeral/ burial staff and family members should perform hand hygiene after burial.

• Large gathering at the burial ground should be avoided as a social distancing measure as it is

possible that close family contacts may be symptomatic and/ or shedding the virus.

-sd-

Secretary


Department












Pakhtunkhwa.


RR&S Department

ANNEXURE 18: NOTIFICATION REGARDING USE OF CELL PHONES


NOTIFICATION:

No. SO (Admn) RR&SD/2-49/2020: In order to ensure the efficacy and efficiency for taking

the preventive measures to control the spread of corona virus and subsequent to the declaration of

Emergency by Health Department vide Notification dated 02.03.2020 and Emergency declared by the

Khyber Pakhtunkhwa Relief, Rehabilitation and Settlement Department vide Notification dated 05-03-

2020, the competent authority is pleased to order that all officers of the Government of Khyber

Pakhtunkhwa shall keep their cell phone(s) switched on at all times (on and off duty hours).

2. All Secretaries of the Departments and Heads of attached offices shall notify contact numbers

for his / her establishment till further orders.

-sd-

Secretary


Department





3. All Administrative Secretaries, Khyber Pakhtunkhwa.




7. Principal Staff Officer to Chief Secretary, Khyber Pakhtunkhwa.


ANNEXURE 19: NOTIFICATION REGARDING EXEMPTION OF ACTIVITIES FROM

CLOSURE


NOTIFICATION:

No. SO (Admn) RR&SD/2-49/2020: In continuation of this department notification No. SO

(Estt:) RR&SD/3-5/2019 dated 23.03.2020 vide which markets, shopping malls, restaurants and

eateries, and kitchens of restaurants and eateries were closed till Sunday 29th March, 2020 with

exemptions as mentioned in para-2 of the said notification, the following activities are also exempted

subject to the conditions as laid down in various instructions and notifications issued by this department

regarding preventive measures for personal hygiene and sanitization and disinfection of vehicles,

machines, kitchen ware, raw material, finished products, premises and units involved:

I. Construction activities;

II. Home delivery of medicines; and,

III. Home delivery of food.

IV. Online money transfer (Timepay, EasyPaisa etc.).

V. Immediate cargos by TCs/DHL etc.

2. Main Conditions to be Adopted for Materialization of the Exemption:

a) Raw materials for construction and cooking shall be sanitized and washed, as the case may be,

at the entry points of construction sites, home or kitchen of restaurants.

b) All vehicles transporting raw material for construction, cooking or food and medicines shall be

washed and disinfected before the start of work.

c) All the individuals operating such vehicles shall keep hand hygiene: washing of hands with

soap for 20 seconds after every hour.

d) All the individuals involved in construction and cooking shall follow hand hygiene timeline as

above alongwith use of protective gear which shall include gauze cap, surgical masks and

gloves.

e) All Home deliveries of food and medicines shall invariably follow the major principles of social

distancing while handing and taking of the same: 3 feet distance; gloves on hands; face masks;

no hand shake and hug; and washing of hands by the recipient and the deliverer afterwards.

f) All other conditions as laid down in various notifications and instructions issued by Relief

Department shall apply to the above exemptions.

-sd-

Secretary






3. All Administrative Secretaries, Khyber Pakhtunkhwa.





Section officer

ANNEXURE 20: NOTIFICATION REGARDING CONDITIONS ON MATERIALIZATION OF

EXEMPTION OF ACTIVITIES FROM CLOSURE

No. SO (Admn) RR&SD/2-49/2020


To,

1. All Administrative Secretaries Govt: of Khyber Pakhtunkhwa.



Subject: CONDITIONS TO BE ADOPTED FOR MATERIALIZATION OF THE

EXEMPTION

Dear Sir,

In continuation of this department notification No. SO (Estt:) RR&SD/3-5/2019 dated

23.03.2020 the following suggestive guidelines are communicated for working of exemptions to

closure:-

a) Raw materials for construction and cooking shall be sanitized and washed, as the case may be,

at the entry points of construction sites, home or kitchen of restaurants.

b) All vehicles transporting raw material for construction, cooking or food and medicines shall be

washed and disinfected before the start of work.

c) All the individuals operating such vehicles shall keep hand hygiene: washing of hands with

soap for 20 seconds after every hour.

d) All the individuals involved in construction and cooking shall follow hand hygiene timeline as

above alongwith use of protective gear which shall include gauze cap, surgical masks and

gloves.

e) All Home deliveries of food and medicines shall invariably follow the major principles of social

distancing while handing and taking of the same: 3 feet distance; gloves on hands; face masks;

no hand shake and hug; and washing of hands by the recipient and the deliverer afterwards.

f) All other conditions as laid down in various notifications and instructions issued by Relief

Department shall apply to the above exemptions.

Your’s faithfully,







4. PS to Secretary, RR&S Department.


ANNEXURE 21: NOTIFICATION REGARDING EXTENSION OF CLOSURE OF

EDUCATIONAL INSTITUTES


NOTIFICATION

No. SO (Admn)/RR&SD/2-49/ 2020: In continuation to this Department Notifications Nos. SO

(Admn) RR&SD/2-49/2020 dated 13.03.2020, 16th March, 2020, 18th March, 2020, 19th March, 2020,

23rd March, 2020 and No.SO(Estt)RR&SD/3-5/2019 dated 21st March, 2020 vide which necessary

measures had been taken to control the spread of Corona virus in conjunction with the emergency

declared under Section 16(A)(1) of the National Disaster Management (Khyber Pakhtunkhwa) Act,

2010, the Provincial Cabinet in its meeting held on 27th March, 2020 has approved the extension of

dates of the following measures till the dates as mentioned against each:

(a) All educational institutes including schools, colleges, universities, academies, tuition centers,


remain closed till 31st May 2020. This period of closure shall be treated as advance summer

vacations.

(b) Board examinations or any other internal exams/assessment in schools shall stand postponed

till 31st May 2020.

(c) All official gatherings (including seminars, sports events, cultural events) stands banned and

any such gatherings already planned stands postponed till 30th April, 2020.

(d) Entry of visitors’ to Jails stands temporarily banned to avoid spread of infection in confined

places till 30th April, 2020.

(e) Already identified non-essential and non-critical staff within the departments, in Directorates,

attached departments, authorities, semi-autonomous bodies and district offices by respective

secretaries shall not attend office till 15th April, 2020. Skeletal staff may be maintained in

essential offices. Essential offices include Health, Home, Relief, Finance, E&A, P&DD, Food,

Agriculture, Information & PRs, Local Government including staff of TMAs, Development

authorities including PDA, and Water Supply & Sanitation Company and E&SE Departments.

(f) Grocery, medicine and essential items shops shall remain open 24/7. All other shops shall

remain closed till 7th April, 2020.

(g) All tourist spots already vacated, including in upper parts of the Province, Aside Rivers and

other spots stands closed till 30th April, 2020.

(h) All Restaurants, eateries, fast food joints shall remain closed till 10th April, 2020. Home delivery

shall be allowed to these establishments as well as pharmacies.

(i) Barbers, Beauty Parlors will remain closed till 7th April, 2020.

2. The closure shall NOT be applicable to pharmacies, grocery stores, karyana shops, bakeries,

atta chakkies, tandoors, milk shops, auto workshops and petrol pumps, chicken and meat shops, fruit

& vegetable shops and all kinds of mandis including grain, fruit and vegetables. Above order shall also

NOT be applicable to agriculture inputs providers, such as seed, fertilizers and pesticides dealers. All

franchises of cellular service providers and all banks shall continue to implement the protocols for their

operations as enunciated in this Department notification of even No. dated 23rd March, 2020.

Construction activities, home delivery of medicines and food, money transfer facilities (Timepay,

EasyPaisa etc.) and immediate cargos by TCS/DHL etc. shall continue to work under protocols

mentioned in this Department notification of 26th March, 2020.

-sd-

Secretary



Copy to:











RR&S Department

ANNEXURE 22: NOTIFICATION REGARDING NON APPLICABILITY OF HOLIDAYS

NOTIFICATION FOR GOVT. ESSENTIAL SERVICES DEPARTMENTS


NOTIFICATION

No. SO (Admn)/RR&SD/2-49/ 2020: In continuation to this Department Notification

Nos.SO(Estt)RR&SD/3-5/2019 dated 23rd March, 2020 regarding Public Holidays, the Provincial

Cabinet in its meeting held on 27th March, 2020 has approved the extension of Public Holidays from

29th March, 2020 (Sunday) till (Sunday) 5th April, 2020.

2. The above orders shall NOT apply to essential services including, but not limited to, the

following:

(i) Health Department

(ii) Police

(iii) District Administration

(iv) Essential Secretariat Department as notified in this Department notification

of even No. dated 27th March, 2020 in Para-1(e).

(v) Information & PRs Department

(vii) Local Government Department (including staff of TMAs, Development

authorities including PDA, and Water Supply & Sanitation Company

(viii) First responders including Rescue-1122.

-sd-

Secretary



Copy to:




4. All Administrative Secretaries Khyber Pakhtunkhwa







RR&S Department

ANNEXURE 22: NOTIFICATION REGARDING OPERATIONS OF INDUSTRIAL UNITS


NOTIFICATION

No. SO (Admn)/RR&SD/2-49/ 2020: In pursuance of Guidelines for Operation of Industrial Units

during COVID-19 Emergency notified vide this Department Notification No. SO(Estt) RR&SD/3-

5/2019 dated 26.03.2020, the Provincial Cabinet in its meeting held on 27th March, 2020 is pleased to

authorize Secretary Industries to ensure that these guidelines are followed properly, and to indicate and

allow operations of individual industrial / productional units through specific notification at his end, on

case to case basis.

-sd-

Secretary



Copy to:




4. All Administrative Secretaries Khyber Pakhtunkhwa







RR&S Department

USEFUL LINKS:


https://media.ifrc.org/ifrc/document/tool-15-feedback-starter-kit

IFRC, UNICEF, WHO (2020). A Guide to Preventing and Addressing Social Stigma Associated with COVID-19.

www.communityengagementhub.org/wp-content/uploads/sites/2/2020/02/COVID19-Stigma-guide-2002.pdf

IFRC, UNICEF, WHO (2020). COVID-19 Key Tips and Discussion Points For community workers, volunteers and community

networks. www.communityengagementhub.org/wp-content/uploads/sites/2/2020/02/COVID19-Community-guidance-for-social-mobilizers-volunteers-2302_EN.pdf

Gender Handbook for Humanitarian Action. http://gihahandbook.org /

BIBLIOGRAPHY:

i. WHO Standard operating procedures for coordinating Public Health Event preparedness and Response

ii. Interagency Standing committee Guidelines on ADJUSTING FOOD DISTRIBUTION STANDARD OPERATING PROCEDURES IN THE CONTEXT OF THE COVID-19 OUTBREAK

iii. Standing Operating Procedures NDMA


https://media.ifrc.org/ifrc/document/tool-15-feedback-starter-kit

http://www.communityengagementhub.org/wp-content/uploads/sites/2/2020/02/COVID19-Stigma-guide-2002.pdf

http://www.communityengagementhub.org/wp-content/uploads/sites/2/2020/02/COVID19-Community-guidance-for-social-mobilizers-volunteers-2302_EN.pdf

http://www.communityengagementhub.org/wp-content/uploads/sites/2/2020/02/COVID19-Community-guidance-for-social-mobilizers-volunteers-2302_EN.pdf

http://gihahandbook.org/

Documents

STANDARD OPERATING PROCEDURES (SOPs) COVID-19 …nhnpakistan.org/wp-content/uploads/2020/04/PDMA-KP-SOPs-for-CO… · 3.1.1 Financial resources ... PDMA has existing SOPs covering