Health Cluster Coordination Meeting Friday December 4, 2015, Kiev
Agenda Polio vaccination update Humanitarian Response Plan 2016 Partners updates MHPSS update TB/HIV/AIDs and OST AOB
BACKGROUND On 28 August, the WHO notified of 2 vaccine-derived poliovirus strains from the stool of 2 paralyzed children from Zakarpattya oblast in Ukraine. On 1 September, the Minister of Health (MoH) in Ukraine publicly announced the cases, classified the event as an outbreak and informed the media and public that at least three rounds of nationwide vaccination response would begin. On 7 November, Round 1 of three planned nationwide rounds of vaccination targeting all children aged 2 months to 6 years with OPV was completed. MoH reported that 1,468,403 children, or 64.7% of the 2,269,109 target population, had been vaccinated.
Coverage Round 1
Rounds 2 & 3 Round 2 started on 30 November. It targets the same 2,269,109 children under 6 years Round 3 will target 4.75 million children under 10 years 95% coverage is required
HNO-2016 Humanitarian Need Overview (HNO) reflect the critical health and nutrition needs of the affected population. Disease surveillance and response strengthening and expansion Essential medicines and supplies Specialized care: Life-saving treatment of communicable diseases (such as TB, HIV, STI) and non-communicable disease (cardiovascular illness, diabetes, acute respiratory and chronic diseases, cancers, etc). Deployment of additional mobile teams where health services are unavailable, including referral services for effective service delivery The health needs of Pregnant and lactating women -RH support (antenatal, deliveries and postnatal care) More than 500000 children need vaccination for polio and other vaccine preventable diseases. Total population in need is more than 3.1 million, Health & Nutrition target is 2.3 million people. 7
HRP-2016: Strategic Objectives To advocate and respond to the protection needs of conflict-affected people with due regard to International norms and standards Provide emergency assistance and ensure nondiscriminatory access to quality essential services for population in need Improve conflict-affected people s resilience, prevent further degradation of the humanitarian situation and promote recovery and social cohesion 8
Cluster Objectives 2016 1. To fill critical gaps in health services delivery for conflict affected population and enhance access to essential quality health care services. 2. Strengthen and expand disease surveillance and response, including enhance laboratory capacities and technical guidance on priority public health issues and risks 3. To prevent excessive nutrition-related morbidity and mortality of vulnerable groups including acutely malnourished children pregnant and lactating women (PLW) and elderly. 4. Provide technical support through targeted interventions for restoring disrupted health services and basic rehabilitation/restoration of health facilities in the affected areas. 9
Humanitarian Caseload Numbers (affected/in need) Contact line: 750,000 all of them in need NGCA: 2.7mln all of them in need. However, main needs are in WASH, Health and Protection GCA: IDPs 831,000 affected. 30% (249,300) in need of assistance. due to dynamic nature of the situation the numbers could be reviewed depending on the outcome of upcoming assessments. Population in need: 3.1 million Health & Nutrition target: 2.3 million Target coverage: 74% of population in need Prioritization 3 main criteria for prioritization: Geographic (Where) Vulnerability (Who) Seasonality (When) /Time critical interventions 10
Cluster Priorities and Needs 1. Access to and utilization of quality primary health care services (including MEPUs) and medical care at secondary and tertiary level, including NCD, CD, TB, HIV & AIDs, STIs, SRH, SGBV, MHPSS; 2. Polio vaccination for children up to 10 years of age (1.7 million doses of OPV) to control the outbreak in Ukraine 3. Trauma care & rehabilitation 4. Early warning, alert and response system (EWARS) 5. Medicines, supplies and equipments (maintenance) 11
Cluster Priorities and Needs.. 6. Human Resources for Health with capacity building for treatment, diagnostic and referral 7. Health Information Management System (HIMS) 8. Rehabilitation/restoration of health system & facilities 9. Nutrition support supplies for acute malnutrition and relevant capacity building 10. Coordination & partnership building 12
Geographical priorities 2016 13
HRP-Projects Summary Project based approach Total projects: 11 Budget: 33 million US$ (17m US$ high priority) WHO 18 million with 5.5 million for medicines and supplies (10 million for high priority activities) Organizations: 4UN Agencies, 4 INGOS, 2 NNGOs Coverage: GCA IDPs, Contact Line and NGCA Vulnerable groups: elderly, chronically ill, PLW, people with disability, roma communities, IDPs 14
Prioritization of projects Geographical coverage - projects along the Contact Line and NGCA Activities - more frontline or rapid response activities (PHC, HIV & AIDS and treatment of other chronic diseases, NCDs) Urgent gaps filling and prioritized needs quick support through MEPUs, immunization campaigns, RH etc. Supplies, medicines and equipments quick delivery to the affected areas (humanitarian conveys, delivery through government system/ Ukrainian Red Cross) Partners capacity and access to the area (partnership with NON- CLUSTER Partners ICRC, MSF plus service delivery through local NGOs) 15
Mental Health and Psychosocial Support (MHPSS) Sub-cluster 16
MHPSS sub-cluster Re-established Aug after period of inactivity Support from IMC as co-chair and through admin assistance Increasing support from partners via shared responsibilities ie interpreting, feedback from other meetings 17
MHPSS sub-cluster Current priorities: Engaging partners, establishing core, cohesive group with common objectives Capacity building to ensure partners are carrying out appropriate, evidence-based activities Establishing model for regional coordination Collecting 4Ws, buy-in from partners 18
4Ws Preliminary mapping - 9 active partners delivering almost 100 programs or activities Incomplete information, follow up required to clarify details Little information provided about number and type of beneficiaries
Types of MHPSS activities provided
Mental health v Psychosocial Support
Percentage of activities by Oblast
TB/HIV/AIDs and OST Subgroup TB/HIV OST facilitated the Emergency funding grant of GF to cover 8000 HIV infected in Donetsk and Luhansk ARV drugs and reagents, including PMTCT children prisons adulta (not full lsit) are finally reached Luhansk from Donestk. The distibution to the sites and prisons is in process. The next shipment should be delivered (drugs and reagents are imported partially) UNICEF has the next problem of delivery. UNICEF is responsible for monitoring but as of today we did not see any monitorings form. De facto authority should monitor the optimization of ART prosess and the use of drugs. OST is terminated in all sites of Donetsk, Luhansk, Crimea
TB/HIV/AIDs and OST MDR-TB drugs the delivery to Donetsk is one of the issue on piplilne. 130 MDR-TB regimens to be delivered. The negotiation on delivery is in process. WHO contributed into negotiation but drugs still are not delivered. The pre XDR-TB adn XDR-TB are not covered. the 1st quarter of the 2016 is covered by TB diagnosis reagents in civil sector. in the April the shortage is expected The prison TB programme particulary (MDR-TB and XDR-TB ) is unders the question. The shortage is expected from the beginning of the 2016. 167 patients baclklog plus who received treatment are without future now. MSF is not in the region anymore. The discussion in Subgroup was to ask th GF to give the 150 MDR-TB regimens for the hall 2016 year to the prison but the organization of medical care (DOT, infection control, adherence) is unders the question.