Conclusions and Next steps

Conclusions and Next stepsEVD Preparedness Meeting: 14-16 January 2015

Summary of discussions Proactive engagement of governments, WHO and partners

for EVD Preparedness Good assessment of the situation thanks to an agreed

checklist, the joint missions and the publication of the reports.

Need to maintain the holistic view that EVD preparedness builds on IHR core capacities and contributes to health systems strengthening

Common agreement that gaps remain especially Multi-sectoral coordination Engagement of communities Infection prevention and control Contact tracing Logistics

Some countries benefit from more support than others

Gaps & Progress in 14 CountriesConsolidated checklist – Status after each mission

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1 Overall Coordination 0% 0% 20% 0% 0% 0% 0% 0% 0% 15% 20% 25% 0% 0% 0% 0% 50% 0% 30% 100% 0% 45% 20% 25% 20% 20% 0% 0%

2 Rapid Response Teams 0% 0% 0% 0% 0% 0% 0% 20% 30% 20% 100% 0% 40% 20% 0% 0% 0% 0% 0% 20% 20% 0% 0% 0% 70% 60% 0% 0%

3Public Awareness and Community Engagement 25% 0% 0% 0% 0% 75% 50% 0% 75% 75% 0% 50% 100% 25%

4 Infection Prevention and Control 0% 0% 0% 0% 0% 0% 0% 100% 40% 100% 70% 100% 0% 100% 0% 0% 30% 0% 30% 100% 0% 100% 0% 0% 0% 0% 0% 0%

5a Case Management 0% 0% 0% 0% 0% 0% 0% 0% 50% 75% 50% 100% 50% 25% 50% 0% 15% 0% 0% 0% 0% 75% 0% 0% 25% 75% 25% 0%

5b Safe and Dignified Burials 0% 0% 0% 0% 0% 0% 0% 0% 0% 65% 50% 70% 0% 0% 0% 0% 0% 0% 50% 35% 0% 0% 0% 35% 50% 70% 0% 0%

6 Epidemiological Surveillance 20% 0% 20% 0% 0% 0% 0% 0% 60% 0% 80% 60% 40% 100% 0% 0% 0% 0% 60% 30% 20% 0% 0% 0% 80% 60% 20% 0%

7 Contact Tracing 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 50% 0% 50% 50% 0% 0% 0% 0% 50% 0% 0% 0% 0% 0% 0% 0% 0% 0%

8 Laboratory 0% 100% 50% 75% 0% 25% 50% 0% 0% 75% 50% 50% 100% 100%

9 Capacities at Points of Entry 35% 0% 15% 0% 0% 0% 0% 0% 15% 0% 100% 100% 0% 0% 35% 0% 0% 0% 70% 50% 0% 0% 0% 50% 45% 50% 15% 0%

10 Budget 0% 0% 20% 0% 20% 0% 30% 50% 0% 0% 20% 0% 0% 0% 0% 0% 0% 0% 70% 100% 70% 0% 0% 0% 0% 0% 20% 0%

11 Logistics 10% 0% 0% 0% 0% 0% 50% 60% 10% 0%

7% 0% 19% 0% 6% 0% 10% 17% 17% 28% 64% 46% 24% 29% 7% 0% 15% 0% 46% 43% 16% 22% 12% 11% 55% 40% 21% 0%

No activities within the functional area yet started

One or more activity started

75% or more of agragated activities within a functional area comlpeted

Mail Mauritania Niger Senegal TogoGhana The GambiaGuinea Bissau

Agrageted Total Indication of Level of Preparedness

Benin Burkina Faso C.A.R Cameroon Cote d'Ivoire Ethiopia

Not yet assessed Not yet assessed Not yet assessed Not yet assessed

11%22%16%Indication of combined Country level of Preparedness 48%55%4% 10% 3% 4% 7% 44%14% 23% 27%

Not yet assessedNot yet assessedNot yet assessed Not yet assessed Not yet assessed

WHO and Partners fully engaged with countries

Built on the achievements of the 8 Oct. Brazzaville meeting and the consolidated checklist during the Preparedness assessment missions 14 missions of 5-7 days with 10-15 people in 12 weeks Dashboard for monitoring developed Efforts underway to revise and cost national plans and coordinate

among partners Documentation, guidelines, training available from WHO

Redeployment of staff in countries Provision of material Financial committment Strong commitment to principles of effective development

cooperation

WHO commitmentContinue leading health coordination and supporting the steering role and ownership of governments Maintain accountability, monitoring, and evaluation, through the

dashboard Continue to develop guidance materials and training together

with partners Including training on EOC, logistics, rapid response teams, contact

tracing…

Ensure supply of PPE for countries Coordinate with partner UN agencies through regular conference

calls, meetings. Maintain list of technical partners for well prepared missions

WHO Commitment

In collaboration with the national authorities: Build capacity Immediately and effectively use resources currently committed Leverage all available technical resources (consultants, global

staff pool) Strengthen coordination of partners at country level

Next stepsBy February: Share worksheet with participants for the provision of

updated information from regional and country offices Share dashboard with WHO Country Offices for

information of national authorities and update based on last activities

Recruit one person in each office to support preparedness coordination

Map partner contributions and intentions shared during the meeting

Next stepsIn the next three months: Implement recommendations from this meeting,

provide technical support to operationalize country plans

Organize PST follow-up missions with a minimum of 2 weeks notice

Conduct simulations/exercises involving partners Complete provision of PPE to all 14 countries Convene another ‘Take stock’ meeting in approximately

3 months to measure what has been done

Next stepsLonger term perspective Partners to maintain their commitments and align with national

plans through: Technical assistance Financial assistance Attempt to support all priority countries Coordinate the huge array of activities presented through

the meeting, with national plans Provide information to highlight in the dashboard

Carry on building IHR core capacities and strengthening health systems in all countries

Questions?