CGPP Kenya and Somalia Bi-Weekly Project Implementation Updates Week 25 (March 18 24, 2019)

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1 CGPP Kenya and Somalia Bi-Weekly Project Implementation Updates Week 25 (March 18 24, 2019) Key Highlights No new VDPV2 or Sabin 2 isolated from environmental surveillance sites in HOA this week. No Sabin Like 2 isolates from ES in Last avdpv2 from environmental surveillance sample isolated from Egyptian Hospital site in Mogadishu, Somalia. Date of sample collection was 3 February Somalia No cvdpv-2 or cvdpv-3 isolated from AFP cases and contacts or from the environmental samples in 2019 A total of 58 AFP cases reported in 2019 of which 46 are discarded and 12 are in lab. There are no PV-2 or PV-3 isolated from AFP cases or contacts in 2019 A total of 16 Environmental Surveillance (ES) samples were collected in 2019 from four (4) ES sites and sent to the lab for processing. Eight (8) samples were negative, three (3) had EV, one (1) was positive for avdpv2, and four (4) are pending PCR processing in the lab. Kenya A total of 130 AFP cases reported in 2019, 95 cases during similar period in 2018.National Non-polio AFP rate is at 3.10 & Stool adequacy of 88.0%; both meeting recommended targets. Of 47 counties 43(91.5%) have detected an AFP case. Nineteen (40.4%) counties have Non-polio AFP rate of >=2/100,000 and Stool adequacy of >=80%. Partnerships and coordination of Polio and GHSA activities during the week; The CGPP Secretariat conducted a joint a field support supervision visit to Turkana of Kenya and Gedo region in Somalia. CGPP provided technical and logistic support for Measles mop-up campaign in Wajir county, Kenya. CGPP provided technical and logistic support for bopv SIA planning and implementation in Lower Juba and Gedo region border districts of Somalia. Collaborated with WHO on the social mapping of the high-risks border district/sub-counties in Kenya and Somalia Supported the monthly partner's coordination meeting in Lower Juba, Somalia. SIA sensitization session at Kulbiyow border villages in Lower Juba, Somalia Photo Credit: Daud Shimbir- ARC

2 Strengthening routine immunization systems: Outreaches services to hard to reach border, nomadic pastoralist # children reached (Defaulter tracing) # FIC (F) # FIC (M) # < 1yrs FIC (F) # < 1yrs FIC (M) # < 1yrs OPV3 vaccinated (F) # < 1yrs OPV3 vaccinated (M) # Birth dose < 1 yr. OPV (F) # Birth dose < 1 yr. OPV (M) # Zero dose (F) # Zero dose (M) # < 1yrs Reached # Outreach by CGPP # outreach conducted /Region Garissa Lamu Lower Juba Gedo Mandera Marsabit Turkana 4 0 Community mobilizers administering OPV during an 98 immunization 0 outreach 0 session 0 in Eymole 0 along Kenya 6 Ethiopia border. Photo by: Mohamed - ADRA Wajir Total

3 Social Mobilization # of social mobilization at the Border areas # of group meetings conducted # of one on one Contact made # < 5 yrs. Covered # of families covered # Community Social Mobilizers # of HH visited # Villages visited Garissa Gedo Lamu Lower Juba Mandera Turkana Wajir Total Dakane, PO SomaliaAI Dconducts a Polio SIA sensitization eeting at IKabasa IDP camp in Dollow, Somalia. Photo credit : Ahmed Cross Border Coordination Activities # of new linkages with health system # of vaccination transit route # of functional special vaccination # of special vaccination # of vaccination border # CB meeting attended by CGPP partners # CB meeting held Garissa Gedo Ahmed, CGPP Secretariat Director on a tour Luuq District Hospital during a project support supervision in Gedo region of Somalia Lamu Lower Juba Mandera Turkana Wajir Total Abdullahi, CM conducts an active case search at a watering site in t Damajaley in Daadab sub-county of Garissa, Kenya

4 AFP surveillance: Active Case search # of CMs trained (M) # of CMs trained (F) # reached (M) # reached (F) # of Silent areas # of AFP cases among nomadic #. of unreported AFP Cases # of AFP cases reported (F) # of AFP cases reported (M) #. of AFP Cases Reported # of HH visited # of community mobilizers involved Garissa Gedo Lamu Lower Juba Mandera Marsabit Nairobi Turkana Wajir Graph: Priority sites visited by districts. One hundred and three (103) health facilities visited by the joint support surveillance team in Kenya & Somalia. Twenty-five (24%) of the health facilities visited were prioritized as High, fortytwo (41%) medium while 25 (24%) are low priority. Total Map: Priority sites visited in Kenya & Somalia

5 Challenges High movement in of nomadic pastoralist due to drought affecting project implementation in Northern Kenya Counties Insecurity in Turkana East is affecting the implementation of the project activities due to cattle rustling activities. Planned activities (March 25 31, 2019) CGPP-HOA Secretariat Africa CDC Africa workshop on harmonization of CBS tools in Nairobi Somane 2019 USAID Family Health Symposium in Nakuru-Ahmed GIS training in Nairobi-Yussuf GHSA Inception Stakeholder Forum in Garissa-Yusuf Africa CDC/USAID/IFRC meeting in Nairobi-Ahmed CGPP-HOA Partners Project field teams Conduct/Support routine EPI outreaches in hard to reach areas (All partners). Support active case search for AFP and zoonotic priority diseases (All partners) Support Community mobilizers monthly review meeting in Marsabit (CRS) Monthly CHV meeting in Eastleigh North CU- Kamukunji (CRS) Support social mobilization during SIA in Gedo Region (SomaliAID) Joint support supervision in Turkana West (IRC) Conduct joint support supervision in Diff, lower Juba region (ARC) Monthly cross border health committees are meeting Diff, Lower Juba region (ARC). GHSA inception stakeholder forum in Garissa (ARC) Cross border health committee meeting in Mandera (ADRA) Support community dialogue meetings (ADRA) Cross-Border coordination meeting between the CGPP-Ethiopia (SC) team and CGPP Somalia team at the border town of Dollow, Ethiopia A Community Mobilizer conducts a M2M sensitization session at Belet Hawa in Somalia. Photo credit: Ahmed