1. health and fitness
2. disease
3. epidemic

Youths in Kissidougou involved in the construction of the CCC
Guinea
Ebola
Situation Report
*All Ebola statistics in this report are drawn
from the Ministry of Health and Social Welfare
(MoHSW) Ebola SitRep #165, which reports
cumulative cases as of 27 October 2014 (from
23 May to 27 October 2014).
24 Dec 2014
SITUATION IN NUMBERS
HIGHLIGHTS

Since last week, 176 new cases (169 confirmed) have been
reported, bringing the total cases in Guinea to 2,606 (2,309
confirmed; 267 probable and 30 suspected cases).
As of 22 DECEMBRE 2014*

UNICEF has deployed a Rapid Response team to Kissidougou,
where 38 Ebola cases and 616 contacts have been registered since
last week; UNICEF has set up 111 Community Watch Committees
in Kissidougou and prepositioned 21,000 hygiene kits for
distribution; through community and youth strong involvement
UNICEF has built a new CCC.
Cases of Ebola
(2,309 confirmed)



UNICEF and the National Red Cross signed a Project Cooperation
Agreement to provide referral teams for the CCCs.
2,606
1,630
Deaths (1,363 confirmed Ebola)
521
UNICEF in partnership with CNOCS, the largest Civil Society
Network in the country has launched a social mobilization
campaign in the Conakry Catchment area, involving 250
Community Watch Committees, 120 social mobilizers with the
objective of stopping the spread of the epidemic in Conakry
Children and youth 0-20 infected
The epidemic has spread to area such as Labe (05 cases) in the
North that had not notified cases until now.
139
4,105,926
Children living in affected areas
Cases and 72 deaths among
health care workers
UNICEF funding needs until June
2015
USD 93,514,000
UNICEF funding gap
USD 57,209,837
Situation Overview and Humanitarian Needs
In addition to Kissidougou with increased cases, the epidemic is far from being controlled in the prefectures of Conakry,
Lola, Macenta, Dubreka, Coya , Kerouane; the epidemic is threatening larger cities such as Conakry, Kindia and Labe.
In addition Ebola Treatment Units in Conakry, Gueckedou and Macenta have reached their maximum admissions
capacity;
UNICEF is gearing up its efforts to build 10 CCC by the end of the year as well as providing support to 1,400 Community
Watch Committees (CWC); 2 CCCs ( Kouremale, Kissidougou) have been completed with secured referral systems in
place.
In order to better control the epidemic, UNICEF and its partners are rolling out a “district planning” targeting 12
prefectures at high risks: Lola, Macenta, Nzerekore, Kissidougou, Telimele, Dubreka, Siguiri, Coya, Matoto, Dixin,
Matam, Kaloum, Forecariah.
UNICEF and partners district planning will strengthen area of surveillance, contact tracing as well as scaling social
mobilization and foster community dialogue toward greater community engagement.
Summary Analysis of Programme response
WASH





The WASH section coordinated and facilitated more than 10 Cluster meetings. The WASH Cluster is now
housed at the Office of Coordination Nationale with Government partners, WHO and other local partners.
94% representing 49 out of 52 water points in Kindia region have been rehabilitated to benefit 14,100 persons.
13 new water points were constructed in Faranah region providing improved access water to more than 4,000
persons.
13 out of 15 villages in the forest region have been identified for the construction of new water points.
UNICEF is providing technical support to the Division of Prevention Lutte contre les Maladies (DPLM) by giving
technical support to “Sites Sentinelles” to reinforce surveillance and preparedness for potential Cholera
outbreak.
Communication for Development (C4D)

UNICEF facilitated the completion of the training package for the Community Watch Committees (CWC) which
includes: a finalized road-map and the Ebola Image box printed in 150,000 copies.

A study is ongoing to understand the root causes of resistances in Conakry and several remote areas. Findings
from the study will support better policy making for Ebola response at the national and local level.

UNICEF has signed an agreement with the two largest universities in the Country (Gamal Abdel Nassr and
General Lansana Conte) to conduct studies and KAP surveys related to Ebola; in addition these universities will
provide training to UNICEF NGOs partners and participate in social mobilization campaigns.
Child Protection




Implementation of the Child Protection (CP) response is being intensified with a progressive diversification
and/or extension of CP partnerships with international NGOs such as ‘Child Fund’ and ‘Plan’ for the
implementation of a network of families for unaccompanied/separated children near CTCOMs. The NGO
‘Terre des Hommes’ will work for the extension of CP/ psychosocial response in Conakry. Some local NGOs
such as ‘Aime’, ‘Enfance du Globe’ or ‘Monde des Enfants’ are involved in the implementation of cash transfer
projects in 18 affected prefectures. The CP and psychosocial response plan is now being rolled in 20 affected
districts out of 24.
995 community volunteers trained on Psychosocial Support (PSS) provided psychosocial Support to 5055
affected children through 410 PSS community sessions.
2190 children having lost one or both parents and 174 contacts or survivor children benefitted from family
kits (food or clothes and/or hygiene material). 249 orphans are now receiving cash transfer.
209 villages have their ‘Village Counsel for Child Protection’ (VCCP). These VCCP were provided with non-food
items and are involved in child protection services delivery to affected children.
Education
Following the Education cluster meeting held on 19th, December 2014, partners agreed to preposition hand washing
kits in schools prior to school reopening planned by MoE for January 6, 2015.
The situation of kits ordered and prepositioned is as follows:
Quantity Needed
48 664
Pre-positioned
16 538
Being procured
30 566
A newly reassigned Education Cluster Coordinator arrived in Conakry last Thursday. He will reinforce the coordination
mechanism and will support efforts of the government and partners for the reopening of schools in early January 2015.
A high level meeting to reinforce collaboration among key ministries (Education, Health and Administration) in view
of the reopening of schools is scheduled to be held on December 24, 2014.
UNICEF is developing a partnership with NGO Search for Common Ground (SFCG), for the elaboration and
implementation of a contingency program for children living in remote high risk areas where the reopening of schools
might be delayed. SFCG with work jointly with the National Institute of Research and Educational Actions (INRAP) of
the Ministry of Education.
UNICEF and Save the Children have been working closely with the INRAP to develop psychosocial support activities in
favor of students and teachers, in Ebola affected areas.
Supply and Logistics


UNICEF has prepositioned 21,000 hygiene kits in Kissidougou; 5,600 have been distributed this week
UNICEF has provided support to preposition and distribute 48,664 hygiene kits for school
Partnership and Humanitarian Coordination
UNICEF has signed PCAs with PLAN, CARITAS, and CNOCS to organize a consortium of Civil Society Organization, Youths
and Women Groups to support the Community Watch Committees activities; the cost of the three PCA is 3.2 Million
USD:
Community Watch Committee and Youth Group key Interventions
1) Social mobilization on Ebola
2) Information and sensitization on the purpose and importance of Ebola Treatment Units
3) Facilitation of interactions with external actors in the context of the Ebola epidemic
4) Identification and notification of suspected cases
5) Identification and notification of deaths occurring in the community
6) Identification of contacts and facilitation of contact tracing
7) Facilitation of safe burials
8) Facilitation of transfers to Ebola Treatment Unit
9) Provision of community-based health services (no touch iCCM; Nutrition; distribution of LLINs)
10) Referrals to existing mechanisms/structures for the protection of children
Media and External Communications
UNICEF is informing its audiences through regular press releases and social media posts, in English and French.
UNICEF Guinea also regularly posts updates about the emergency and its response in its Twitter, Facebook, Flickr
and Tumblr pages.
Opening of a care center for children in Gueckedou on 7 december 2014. Aims at providing shelter for children
affected by the epidemic (whose parents are admitted in the center, who were cured from Ebola, who are not Ebola
orphans, …) while awaiting family and community reintegration. (http://aminata.com/ebola-ouverture-dun-centredaccueil-pour-enfants-a-gueckedou/)
“Thousand Mosques” campaign in progress in Kankan targeting thousands of people who daily attend mosques in
the region, with a focus on Friday weekly Muslim sermons mentioning Ebola prevention measures.
(http://www.mosaiqueguinee.com/index.php/actu/politique/3465-lutte-contre-ebola-la-campagne-1000mosquees-en-cours-a-kankan)
Posing of the foundation stone of the transit community center in Pamelap. (http://actuelguinee.com/pose-de-lapremiere-pierre-dun-centre-de-transit-communautaire-pamelap/)
Featuring of four stories of Ebola fighters in Guinea: a doctor, a chlorine factory worker, a nun and a religious leader
(http://blogs.unicef.org/2014/12/16/the-ebola-fighters-of-guinea/)
Ban Ki-moon ended Saturday his tour in countries affected by Ebola in West Africa. During the step of Conakry, the
UN Secretary-General stressed the importance of increased vigilance and appealed for an end to discrimination
against patients and their families. (http://www.rfi.fr/afrique/20141221-ebola-7000-morts-combien-victimesindirectes-orphelins-ban-ki-moon-guinee/)
Funding
Appeal Sector
C4D/ Social Mobilization
Nutrition
Ebola
Requirements
(USD) until June
2015
15,307,000
5,100,000
Health + HIV/AIDS
WASH
Child Protection
Education
Cross-Sectoral
Total
Funds received
(USD)
% received
Funding gap
3,413,700
279,267
22%
5%
11,893,300
4,820,733
35,233,000
8,787,369
25%
26,445,631
15,639,000
8,192,676
52%
7,446,324
3,620,000
8,869,000
9,746,000
93,514,000
540,000
3,010,187
12,080,964
36,304,163
15%
34%
124%
39%
3,080,000
5,858,813
-2,334,964
57,209,837
Programme Results
UNICEF and Pillar/Sector Results for EVD response
(24 Dec 2014)
Indicators
Pillar / Sector
Target
Results
UNICEF
Target
Percentage of EVD cases with onset
0%
7%
0%
in the past week
Percentage of EVD cases with onset
in the past week due to contact at
community level, within the health
0%
ND1
0%
sector, or during funeral / burial
procedures
COMMUNICATION FOR DEVELOPMENT
Percentage of county Social
Mobilization taskforces (SMT)
100% (38/38) 86% (33/38)
100% (25/25)2
reporting on the dashboard each
week
Percentage of counties with list of
identified key religious leaders
(including priests, imams, pastors,
tribal leaders) or community groups
100%
72% (27/38)
100% (25/25)
who promote safe funeral and burial
practices according to standard
guidelines
Results
NA
ND
100% (25/25)
100% (25/25)
1 % EVD cases with onset in the past week due to contact at community level, within the health sector, or during funeral/ burial procedures: this
indicator is not yet systematically measured by WHO and the Surveillance Commission. However, discussions are ongoing to ensure systematic
measurement in the future.
2
% District, County or Village Social Mobilization taskforces (SMT) reporting on the dashboard each week: UNICEF target represents the 25
districts/prefectures (out of a total national of 38) where the C4D coordinators have been deployed.
Number of CVVs setup and functional
Percentage of counties with at least
one security incident or other form of
refusal to cooperate in past week
2,560
1,824 (107
operational)3
1,400
1,290 (71
operational)
0%
6% (20/340)
0%
(same as
Pillar/sector)
CCCs/CTComs
Percentage of CCCs established after
a community dialogue process
aligned with Global SOPs or
according to norms established in
country
Percentage of patients who present
at a CCC within 48 hours of becoming
ill with any symptoms that could be
EVD
Percentage of Community Care
Centers (Community Care Centers
(CCCs), Rapid Isolation Treatment for
Ebola (RITE), Interim Care Centers
(ICC) and Transit Centers (TC))
functional against target set for the
current reporting period
100% (63/63)
100% (2/2)
100% (41/41)
100% (2/2)
100%
N/A (CCCs
are not yet
functional)
100%
N/A (CCCs are
not yet
functional)
100% (70/70)
10% (7/70)
100% (41/41)
0% (0/41)****
WASH
Percentage of all Ebola community
treatment and holding centers with
essential WASH services
27/27 (100%)
100%4
People benefiting from hygiene kits
in Ebola affected areas
4,666,667
16,037
1,044,000
1,037,042
800
0
Children benefiting from hand
washing facilities at schools in Ebola
affected areas
Non-Ebola Health centres in Ebola
affected areas provided with Hand
washing station
20/27 (74%)
3,500,000
33,654
783,000
686,452
600
0
70%
4.21%
(5055/120000)
70%
102%
(2190/2000)5
PROTECTION
Percentage of EVD-affected children
provided with care and support,
including psychosocial support
Percentage of children who have lost
one or both parents/caregivers or
who are separated from their
parents/caregivers reintegrated with
their families or provided with
appropriate alternative care.
HEALTH AND VIH
3 Number of CVVs setup and functional: among the 1,824 CVVs already established by UNICEF (1,290) and other actors (584), only 107 are operational,
due to delays in the validation process of the training manual by the National Ebola Coordination.
4 **WASH: Only 5 ETCs and Transit Centers have been setup so far in the county. UNICEF WASH support was only required for the Transit Center of
Forecariah,and one CTCom in Koulémali - the need has been fully satisfied.
5
1841 enfants qui ont perdus l’un ou les 2 parents ou séparés des parents ont bénéficiés de soutien pour une cible de 2000 enfants
Percentage of patients admitted to
CCCs with a provisional diagnosis of
possible EVD who receive a
confirmatory positive or negative test
(rapid or laboratory test) within 36
hours of admission to treatment
facility
N/D
N/D
N/D
N/D
2,400
846
2,400
130
666
60
666
60
7,250
N/D
7,250
N/D
N/D6
3,843
N/D6
15,941
15,941
NUTRITION
Provision of nutrition support to
Ebola patients (Ebola CTE)
Infants and young children 0-12
months who cannot be breastfed
and who received replacement
feeding
Children 6-59 months screened for
SAM and referred for treatment
EDUCATION
Reopened schools in Ebola-affected
district equipped with a minimum
package for Ebola prevention
Teachers trained on psycho social
support, Ebola prevention, and safe
and protective learning environments
8,829
82,168
Next SitRep: 31 Dec 2014
Who to
contact for
further
information:
Mohamed Ag Ayoya
Representative
Conakry, Guinea
Tel: +224 622663452
Email: [email protected]
Guy Yogo
Deputy Representative
Conakry, Guinea
Tel: +224 624 151 041
Email: [email protected]
Timothy La Rose
Chief of Communications
Conakry, Guinea
Tel: +224 622 350 251
Email: [email protected]
Twitter: @unicefguinea Tumblr: http://unicefguinea.tumblr.com Facebook: http://facebook.com/unicefguinea
Flickr: http://flickr.com/unicefguinea Instagram: unicefguinea Google+: unicefguinea
6 UNICEF à pré-positionné 27,061 kits et le cluster quant a lui a fait 48,664. Les kits par école est fonction de l’effectif des élevés qui sera déterminer à
l’ouverture