Ebola Virus Disease (EVD) - Regional Emergency Health Response Plan 2020-2022

Ebola Virus Disease (EVD) - Regional Emergency Health Response Plan 2020-2022

Regional Plan
Last updated: April 27 2021
$29,500,000
Funding required
1,801,920
People Targeted

IOM Vision

In line with the International Health Regulations (IHR 2005) and the Global Health Security Agenda (GHSA), IOM aims to contribute to the prevention, early detection and response to Ebola Virus Disease (EVD) within the region from a human mobility-centred perspective.

Aligned with priorities outlined in the EVD Strategic Response Plan 4 (SRP4), IOM’s Health Border and Mobility Management, the GHSA and IHR (2005), IOM seeks to contribute to the continued containment, recovery and future health system preparedness for EVD by prioritising enhanced active disease surveillance through supporting technical and operational capacity in health screening and contact tracing, and risk communication and community engagement at Points of Entry (PoE) and among border communities in order to save lives and prepare for future outbreaks. In strengthening the capacities of relevant stakeholders, IOM aligns its priorities with the Sustainable Development Goal (SDG) for early warning, risk reduction and management of national and global health risks. IOM invests in training frontline workers on early detection, prepositioning of medical supplies to support any immediate response and prevention of disease spread including infection prevention and control in the case of an outbreak.


Objective
Save lives and respond to needs through humanitarian assistance and protection

$13,900,000
Funding required
1,801,930
People Targeted
4
Entities Targeted
Internal migrant, Internally displaced person, International migrant, Local population / community, Refugee
Primary target groups
Description of People and Entities Targeted

Beneficiaries will include Ministry of Health staff supported by IOM, mobile population passing through the POE/ Point of Control POC and communities living in the surroundings of the POE/POC). Travellers and other mobile populations will benefit through accessing handwash and sanitation facilities at the POE/POCs. Border officials will also be trained on infection prevention and control.

Health support

Democratic Republic of Congo:
IOM will provide direct support to strategic POE/POC activities in Equateur and North Kivu provinces including the 90-day transition period (27 POE/POC) and enhance the surveillance along mobility routes. Activities will include:

  • Facilitate coordination/communication with the surveillance commission to ensure prompt investigation of alerts at POE/POC.
  • Implement community event-based surveillance (CEBS) in the communities surrounding the POE/POC in line with the surveillance commission enhanced surveillance strategy.
  • Organize workshops, trainings, and tabletop exercises with national, provincial and local health authorities to transfer competencies and ensure technical autonomy to set up first emergency response in the future.
  • Donate materials and equipment to the Ministry of Health authorities in Equateur to set up and operate new POE/POC.
  • Maintain surge capacity and first response teams to promptly react in the event of the resurgence of cases.

South Sudan:
IOM will continue to support four health facilities to prepare for the referral of suspected cases of EVD, if any. Activities include:

  • Provide medical supplies, training and establishment of referral mechanism for cases identified in the field.
  • Strengthen the capacity and readiness of the four primary health care facilities to identify, isolate and complete referrals of EVD suspect cases.
Funding required
$5,200,000
Plan types

Provision of water, sanitation and hygiene in emergencies

IOM will provide support to migrant and border communities who face several challenges constituting barriers to safe and dignified living conditions, for instance the lack of basic services, including clean water and sanitation facilities, which can lead to life-threatening sanitary and health problems. IOM will ensure that migrants at the border/ POE have access to handwashing or use of alcohol-based sanitisers as a means of infection prevention and control. The provision of all activities with the potential of mass gatherings (e.g. hygiene promotion, distributions etc.) will follow national/WHO guidelines on COVID-19 preventive measures, such as physical distancing, to promote public health and safety. In addition, activities will include:

Uganda:

  • Improve access to safe water and reduce the risks of water-borne diseases.
  • Contribute to strengthening the capacities of communities and promoting improved hygiene practices among the supported households and communities.

Rwanda:

  • Implement water, sanitation and hygiene (WASH) operation and maintenance (O&M) activities at the POE facilities and in refugee camps (i.e. maintenance of existing latrines and water points).
  • Conduct awareness-raising sessions for community leaders and members, distributing context-appropriate information, education and communication (IEC) materials in local schools, markets and the main areas around the selected POEs to promote EVD awareness and other related risks communication and prevention messaging. The distribution will aim to ensure access for women and girls, persons living with disabilities, the elderly and other vulnerable populations.​​​​​​

South Sudan:

  • Maintain EVD infection prevention and control (IPC) measures at all screening sites through the provision of personal protective equipment (PPE), hand hygiene, training of border officials at the POE on IPC measures and risk communication and waste management at the POE.

Democratic Republic of Congo:

  • Provide water, sanitation and hygiene (WASH) facilities at POE, including renovation of POE structures to allow easy control of crowds, construction/rehabilitation of latrines, or water points, installation of additional handwashing stations, that are close to POE.
  • Conduct water trucking to priority POE and continue to advocate for a more sustainable water supply.
Funding required
$8,700,000
Plan types
Passengers arriving at Juba International Airport screened for coronavirus. IOM 2020 / Liatile Putsoa
Passengers arriving at Juba International Airport screened for coronavirus. IOM 2020 / Liatile Putsoa

Objective
Strengthen preparedness and reduce disaster risk

$12,600,000
Funding required
1,801,930
People Targeted
7
Entities Targeted
Internal migrant, Internally displaced person, International migrant, Local population / community, Refugee
Primary target groups
Description of People and Entities Targeted

Direct beneficiaries will include the Ministries of Health and Port Health staff at POEs and border provinces that will be trained and supported by IOM, as well as the travellers along the border mobility continuum where IOM’s intervention will take place. 

Indirect beneficiaries will include the communities living in the surrounding of the POE targeted.

Health components of preparedness and risk reduction

IOM will contribute to strengthening preparedness and mitigate disaster risk with the aim of mitigating the risk of transmission of EVD and other health threats to beneficiaries through enhancing prevention, detection and response efforts. The beneficiaries include travellers, migrants and refugees and the host communities where the interventions are implemented.

Burundi:

  • Rehabilitate POEs based on epidemiological trends and population mobility patterns to improve their ability to detect and manage EVD suspected cases.
  • Set up community event-based surveillance in all cross-border communities for early detection and referral of suspected cases crossing through unofficial PoEs.
  • Support cross border coordination mechanisms between Burundi and neighbouring countries to strengthen information management, surveillance and response capacity to EVD and emerging health threats, such as through the coordination of district level and national level cross border meetings.

Democratic Republic of Congo:

  • Strengthen the technical and operational capacity on disease surveillance and management of the Ministry of Health and develop IHR 2005 competencies at the national, provincial and local level.
  • Map existing POE and main mobility routes.
  • Develop and pilot a Community Based Surveillance (CBS) and Risk Communication and Community Engagement (RCCE) strategy for mobile populations crossing international and provincial borders (i.e. informal traders).
  • Develop EVD related tools and guidelines (including screening, surveillance, notification, infection prevention and control (IPC), case management, contract tracing, risk communication to improve alertness and case detection at POEs/POCs.

Uganda: 

  • Undertake risk assessment and readiness to respond to health emergencies at POE/POCs, including updating information related to preparedness (staffing, infrastructures and referrals).
  • Implement capacity building of health and non-health workers on integrated border management (health and humanitarian border management) including conducting screenings.

Rwanda: 

  • Distribute EVD preparedness posters and awareness-raising materials in Kinyarwanda at the main POEs, hotels, refugee camps, churches, markets, bus stations and health facilities.

Tanzania:

  • Train frontline workers including port and border health officials on Surveillance, Infection Prevention and Control (IPC) and Risk Communication and Community Engagement (RCCE) taking into account perceptions among the population of transmission, treatment, preventive measures. and how this may differ between groups (youth, elderly, males, females, etc.) in order to better target messaging and address any disease-related stigma, as well as strengthen screening of travellers and response capacities at the points of entry.
  • Procure and provide the necessary equipment and supplies meeting quality standards to each PoE, according to the caseload screened.
  • Orient community health workers, volunteers, community leaders, traditional healers, NGOs volunteers on surveillance, IPC and RCCE.
  • Train multi-sectoral local government authorities from high risks districts on disease preparedness and prevention.
  • Conduct risk communication, community engagement and social mobilization activities on EVD preparedness and prevention.
  • Undertake EVD awareness-raising and WASH activities in Bukoba MC, Kigoma DC, Kasulu TC, Kibondo, Bukoba DC, Karagwe, Ngara, Uvinza districts.
  • Distribute relevant Information, Education and Communication (IEC) materials, ensuring the materials are appropriate and accessible for all (e.g elderly persons, youth, persons living with disabilities, women, men. etc.).

South Sudan

  • Maintain coordination with government and partner agencies through national forums, particularly National Task Force- NTF and its constituent working groups.
  • Train multi-sectoral partners working at the POE (migration officers, security personnel, port health officers and local government authorities) from high risks districts on disease preparedness and prevention.
  • Support cross border coordination meetings on POE surveillance and capacity buildings especially on standard operating procedures and harmonization of guidelines. 
Funding required
$5,100,000
Plan types

Points of entry

Burundi:

  • Refer/isolate suspected cases, conduct secondary screening and refer suspected cases to Ebola treatment centres or health facilities.
  • Supervise POEs, and train border, security and health personnel in the DRC on screening, health border and mobility management, surveillance, risk communication and community engagement (RCCE), and referral, including sensitization on pathways for Gender-Based Violence, Protection, Mental Health and Psychosocial Support (MHPSS) and cross-border notification.
  • Provide necessary equipment to POEs to support border health surveillance, including essential supplies such as infrared thermometers, personal protective equipment (such as gloves, masks, aprons and gumboots), infection prevention and control supplies (such as chlorine, soap, alcohol-based rub, and sprayers), visibility items, data collection tools, and stationery. This also includes ICT equipment, alongside water, sanitation and Hygiene (WASH) and other infrastructure.

Uganda:

  • Provide necessary equipment and supplies including infrared thermometers, personal protective equipment (such as gloves, masks, aprons and gumboots), infection prevention and control supplies (e.g chlorine, soap, alcohol-based rub and sprayers), visibility items, data collection tools, and stationery. This also includes ICT to POEs to support border health surveillance.
  • Undertake capacity building of health and non-health workers including border agencies on integrated border management such as preventive measures, IPC, conducting screening and training on health and mobility border management.
  • Train health workers and screeners on EVD screening including the POE toolkit that includes the screening tools.

Tanzania:

  • Conduct health screening based on the EVD Response case definition for Event/Community Alerts (before the outbreak) as per SOPs.
  • Deploy 10 mobile teams to 6 high risks districts (Kigoma Ujiji MC, Kasulu DC, Buhigwe, Misenyi, Kyerwa and Tunduma districts) to assess population movement and mobility trends in areas that might be at high risk of transmission, initiate POE surveillance and prevention measures, assist in the recruitment and capacity building of local staff and train them, establish and equip the POE, and supervise the initiation of activities.

Rwanda:

  • Support POE authorities with prepositioning the necessary equipment and supplies including infrared thermometers, personal protective equipment (such as gloves, masks, aprons and gumboots), infection prevention and control supplies (e.g chlorine, soap, alcohol-based rub and sprayers), visibility items, data collection tools, and stationery. This also includes ICT to POEs to support border health surveillance.
  • Undertake capacity building of health and non-health workers including border agencies on integrated border management such as preventive measures, IPC, conducting screening and training on health and mobility border management.

South Sudan:  

  • Undertake EVD screening at key POEs, including body temperature check, secondary screening, and alert raising where required.
  • Train health workers and screeners on EVD screening including the POE toolkit that includes the screening tools.

Democratic Republic of Congo:

  • Support health screening, hand washing and risk communication activities at POE/POC.
  • Foster a multisectoral approach to the management of POEs.
  • Develop and pilot a zonal approach to mobile population health, integrating POE disease surveillance within the existing health zone structure.
  • Support renovation of POE/POCs structure and supply related health screening materials including Infection Prevention and Control - IPC supplies: personal protective equipment, EVD diagnostic equipment and infrared thermometers.
Funding required
$7,500,000
Plan types

Objective
Contribute to an Evidence Based and Efficient Crisis Response System

$3,000,000
Funding required
At risk communities
People Targeted
7
Entities Targeted
Internal migrant, Internally displaced person, International migrant, Local population / community, Refugee
Primary target groups
Description of People and Entities Targeted

IOM will target the main relevant ministries, the Office of the Prime Minister and frontline as well as healthcare workers. This group will benefit from access to essential information and data to allow them to better prepare and respond to outbreaks of Ebola, as well as capacity building to collect and analyse mobility-related data through population mobility mapping and Displacement Tracking Matrix (DTM) flow monitoring.

Displacement tracking

IOM will contribute to enhancing the capacity of its Member states and relevant stakeholders to collect and analyse mobility-related data through population mobility mapping and Displacement Tracking Matrix (DTM) flow monitoring to inform prompt and targeted disease preparedness and responses efforts. Activities will include:

Uganda:

  • Analyze mobility data and EVD epidemiological reports to produce situation reports, infographics, maps, spatial and geographic information including regional-level analysis leading to the identification of key intervention areas, alongside informed and targeted public health interventions at local, national and regional levels that can help mitigate the spread of EVD. The analysis takes into consideration sex and age disaggregation. Conduct population mobility mapping (PMM) and flow monitoring in priority locations to better understand mobility pathways and volume in order to target and inform public health interventions at the national and regional levels.
  • Draft and share monthly reports on the population mobility in the high-risk districts bordering Uganda and the DRC.

Tanzania:

  • Establish 10 flow monitoring points (FMP) to identify mobility-affected priority locations for priority public health interventions. The locations for FMP will include Kigoma-ujiji, Kagunga, Manyovu, Mabamba, Mwangongo, Rusumo, Kabanga, Murusagamba, Mtukula and Murongo.

Burundi:

  • Conduct population mobility mapping (PMM) exercises and flow monitoring at the local level through participatory meetings in key border locations of the high priority districts that border the DRC and Rwanda to understand mobility pathways and volume in order to target and inform public health interventions at the national and regional levels.
  • Share critical epidemiological and mobility information widely to support inter-agency coordination, including the mapping, updating and sharing of information at local, national and regional levels, leading to a more informed response to limit the spread of EVD. The analysis will take into consideration sex and age disaggregation.
  • Analyze mobility data and EVD epidemiological reports to produce situation reports and maps, including regional-level analysis leading to the identification of key intervention areas, alongside informed and targeted public health interventions at local, national and regional levels that can help halt the spread of EVD.

Rwanda:

  • Conduct population mobility mapping (PMM) exercises in the selected high-risk districts to enable a better understanding of the mobility dynamics in the country at the borders. PMM data, along with other public health risks assessments, will result in the identification of mobility-affected priority locations, as well as priority public health interventions, which supports technical, material and managerial capacity building for disease surveillance and response.
  • Conduct monitoring support missions with the Ministry of Health to assess the effectiveness of screenings at the borders in terms of procedures applied and human resources capacities.

South Sudan: 

  • Strengthen awareness of volume, profile and mobility trends of population movement at select PoEs.

Democratic Republic of Congo:

  • Conduct population mobility mapping (PMM) exercises and flow monitoring at the local level through participatory meetings in key border locations of the high priority districts that border Uganda, South Sudan, Tanzania, Central African Republic, the Republic of Congo and Rwanda to understand mobility pathways and volume in order to target and inform public health interventions at the national and regional levels.
  • Integration of collected data on health and mobility to improve existing surveillance mechanisms. Analyse mobility data and EVD epidemiological reports to produce situation reports and maps, including regional-level analysis leading to the identification of key intervention areas, alongside informed and targeted public health interventions at the local, national and regional levels that can help halt the spread of EVD. The analysis takes into consideration sex and age disaggregation.
Funding required
$3,000,000
Plan types
Operational presence in

Burundi, Democratic Republic of the Congo, Rwanda, Uganda, South Sudan, United Republic of Tanzania, Central African Republic, Congo

 

Figures are as of 31 December 2020. For more details of IOM's operational capacity in country, please see the IOM Capacity section.