Disaster relief emergency fund (DREF) Senegal: Yellow Fever Outbreak in Kedougou

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1 Disaster relief emergency fund (DREF) Senegal: Yellw Fever Outbreak in Kedugu DREF Operatin n MDRSN December, 2011 The Internatinal Federatin f Red Crss and Red Crescent (IFRC) Disaster Relief Emergency Fund (DREF) is a surce f un-earmarked mney created by the Federatin in 1985 t ensure that immediate financial supprt is available fr Red Crss and Red Crescent emergency respnse. The DREF is a vital part f the Internatinal Federatin s disaster respnse system and increases the ability f Natinal Scieties t respnd t disasters. CHF 72,948 has been allcated frm the IFRC s Disaster Relief Emergency Fund (DREF) t supprt the Senegalese Red Crss Sciety t supprt the natinal respnse against Yellw Fever utbreak in Kedugu regin. Unearmarked funds t repay DREF are encuraged. Summary: Accrding t the Senegalese Ministry f Health and Preventin, three cases f yellw fever were ntified n 26 Octber 2011, in Salémata, Kédugu and Saraya health districts, in the eastern part f the cuntry. The affected areas share brders with Guinea and Mali (see map) and crss brder mvements are cmmn because f gld mines. The risk f spread f this epidemic is therefre high in this subregin, prmpting the need t cnduct a targeted vaccinatin respnse. The areas affected by the Yellw Fever utbreak in the East part f Senegal. Accrdingly, the Senegalese Ministry f Health is planning t rganize a vaccinatin campaign, targeting nn-vaccinated individuals aged nine mnths and abve (excluding pregnant wmen). The Senegalese Red Crss Sciety (SRCS), which is member f the Natinal Outbreak Management Cmmittee, is planning take part in this campaign. The DREF allcatin will enable it t assist scial mbilizatin activities, with the mbilizatin f 210 cmmunity vlunteers in the 3 targeted health districts f Salémata, Kédugu and Saraya. This peratin is expected t be implemented ver three mnths and will therefre be cmpleted by 16 March, <click here fr the DREF budget; here fr cntact details>

2 The situatin Accrding t WHO, the Senegalese Ministry f Health and Preventin ntified three cases f Yellw Fever in Kédugu and Saraya health districts. The regin f Kedugu is lcated in the East f Senegal. It brders the regin f Tambacunda and the Republics f Mali and Guinea Cnakry. The health districts f Kédugu and Saraya benefited frm a preventive mass vaccinatin campaign in December 2007, where the vaccinatin cverage was 94.9% and 94.8% respectively. The Senegalese Red Crss Sciety participated t this campaign. The lw level f ppulatin immunity can be explained largely by the migratin f peple that changed the ppulatin size f the regin. Indeed, the regin is frequently visited because f the presence f gld mines. The undevelped rural envirnment has psed additinal challenges n vaccinatin effrts. The high risk that an utbreak ccurs and spreads at a sub reginal level justify the need t cnduct a targeted vaccinatin respnse. Accrdingly, the Senegalese Ministry f Health is planning t rganize a vaccinatin campaign, targeting the nn-vaccinated individuals aged nine mnths and abve. Fr safety reasns, pregnant wmen are nt targeted. The mass vaccinatin campaign aims t prtect the ppulatin living in thse areas, which appears t have increased due t recent migratin frm neighburing cuntries. A ttal f 159,626 dses f vaccine frm the GAVI-funded yellw fever emergency vaccine stckpile have been released by the Internatinal Crdinating Grup n Yellw Fever Vaccine Prvisin (YF-ICG) fr the campaign. Crdinatin and partnerships The Senegalese Red Crss Sciety (SRCS) is a member f the natinal utbreak management cmmittee chaired by the Secretary General f the Ministry f Health and Preventin and, crdinated by the Head f Medical Preventin. The Department f Immunizatin and Epidemilgical Surveillance is lcated in the Medical Preventin divisin. These units f the Ministry f Health are represented, alng with the Pasteur Institute in Dakar, the Natinal Netwrk f labratries, and ther ministries, including Educatin and Livestck. The Internatinal partners such as WHO, UNICEF and FAO are als members f the cmmittee. This cmmittee meets regularly and has successfully managed utbreaks f dengue, influenza A-H1N1 and Pli. The three main rganizatins cncerned in this Yellw Fever utbreak and their respective respnsibilities are indicated in the table belw: Organizatin The Senegalese Ministry f Health and Preventin (MH) Respnsibilities Active Case search and surveillance; Case management; Crdinate the prcurement f vaccines; Distributin f vaccines and ther lgistics Micr planning, training f health wrkers, mnitring and supervisin during implementatin f vaccinatin campaign Crdinatin and resurce mbilizatin The Wrld Health Organizatin (WHO) The Senegalese Red Crss Sciety (SRCS) Mbilizatin f technical capacities fr supprting case management Supprting peratinal cst f vaccinatin campaign (micr planning meetings, training f health wrkers, mnitring and supervisin during campaign implementatin, Distributin f vaccines and ther lgistics supplies, etc.) Mbilizatin f technical resurces t supprt the implementatin f the campaign. Supprt scial mbilizatin activities befre, during and in pst vaccinatin campaign in the 3 affected health districts. Prvide vlunteers fr cmmunity based surveillance in the 3 affected health districts. Print and distribute IEC materials in the 3 affected health districts Prvide T-shirts, jackets and capes t vlunteers and vaccinatin teams. Supprt District Task Frce meetings in the 3 affected health districts. Supprt public awareness thrugh cmmunity radis in the 3 affected health districts.

3 Red Crss and Red Crescent actin The Natinal Sciety cntacted the MH immediately after having gt the infrmatin fr a cnfirmatin. It updated infrmatin frm the gvernmental surces. The SRCS assessed its capacities in the zne and cntacted its staff in Kedugu t keep them alerted and ask them t take cntact with lcal health authrities. The Senegalese Red Crss Sciety tk part t meetings and briefings at any level f decisin. The Internatinal Federatin thrugh its Sahel Reginal Representatin, has been clsely mnitring the situatin, and with agreement amng key stakehlders and the MH. The current DREF resurces are being released t supprt the SRCS as per its request fr the mentined activities. The needs Fllwing the rapid assessment carried ut, the field team has identified the fllwing immediate needs: Emergency Health: The scial mbilizatin activities f SRCS will be targeting 30,695 husehlds. Thus the Natinal Sciety will be cnducting awareness activities at cmmunity level and targets t reach a ttal f 153,476 cmmunity dwellers in 3 districts using IEC materials, radi jingles and huse-t-huse visits strategy Districts t vaccinate Estimated ttal Ppulatin in 2011 The targeted ppulatin fr the vaccinatin Needs f vlunteers fr the scial mbilizatin Needs f vlunteers fr the vaccinatin Needs f cmmunity supervisrs Needs f districts supervisrs Kédugu 84,166 78, Salémata 24,249 22, Saraya 45,061 42, Ttal 153, , T carry ut the abve interventin, the Senegalese Red Crss Sciety (SRCS) will need a ttal f 3 districts supervisrs,18 cmmunity supervisrs (trainers), 180 vlunteers trained n the use f the IFRC Epidemic Cntrl manual fr vlunteers (ECV) tlkits fr the scial mbilizatin activities. Furthermre, a number f 82 vlunteers will be supprting the vaccinatin campaign. Crdinatin: Within the Red Crss Mvement and alng with the lcal and central gvernment authrities and ther actrs, crdinatin meetings will be cnducted regularly t ensure cmplementary effrts in implementing the utbreak respnse. The prpsed peratin Emergency health Outcme: T help reduce the spread f Yellw Fever and related mrbidity and mrtality thrugh scial mbilizatin activities carried ut by SRCS vlunteers. Expected results Planned activities (Outputs) Increased public awareness n Yellw Fever as well as the risk factrs fr its transmissin, preventin and cntrl measures. Train 18 supervisrs and 3 supervisrs at departmental level frm 3 health districts in Epidemic Cntrl fr Vlunteers (ECV) tlkit during 3 days. Train 180 cmmunity vlunteers in Epidemic Cntrl fr Vlunteers (ECV) tlkit fcusing in Yellw Fever in 1 day. Prduce and disseminate IEC messages (5,000 psters, 10,000 flyers, 1,000 T-shirts and 1,000 capes and 50 jackets) in the 3 affected health districts and neighburing at-risk districts. Shipment f 110 cpies f ECV manuals and tlkits. Cnduct media campaigns t prmte public awareness n Yellw Fever (36 radi talk shws (1 per week fr each health district, in 3 mnth) n 4 lcal FM radi statins that will reach an estimated number f 153,476 peple in the 3 heath districts).

4 Cnduct 2,000 sessins f husehld health prmtin activities in affected villages by using ECV tlkits. Cnduct 50 interpersnal cmmunicatins/advcacy meetings with key lcal leaders, religius leaders and cmmunity representatives in 3 health districts. Cnduct 87 grup talks in each gld washing site in the 3 health districts in Kedugu regin. Cnduct infrmal sessins at msques, churches, markets, and ther public places t spread Yellw Fever preventin. infrmatin Imprved early detectin, Reprting and referral f suspected cases thrugh active surveillance. Imprved awareness fr increased uptake f Yellw Fever emergency vaccinatin campaign leading t at least 99% cverage in the 3 health districts Train 180 cmmunity based vlunteers and 18 supervisrs at cmmunity level and 3 supervisrs at departmental level fr active case and pst-immunizatin adverse events search. Prcure and distribute 18 bicycles fr facilitating vlunteer s supervisin in cnducting husehld visits and referral f suspected Yellw Fever cases. Train 82 SRCS vlunteers in 3 health district n vaccinatin campaign. Mbilize target cmmunities (143,807 persns) t turn up fr vaccinatin. Cnduct gd public awareness f vaccinatin pst lcatins. Assist in at-site and dr t dr vaccinatin campaign activities. Assist in the rganizatin f the immunizatin pst lcatins. Tick names f vaccinatin beneficiaries n pre-registratin lists. Cnduct hme fllw-up visits. Supprt pst vaccinatin data cllectin. Supprt waste management in immunizatin pst lcatins. Participate in pst vaccinatin campaign meetings fr evaluatin activities with MH and ther partners. Cntact infrmatin Fr further infrmatin specifically related t this peratin please cntact: Senegalese Red Crss Sciety: Mamadu Snk, Secretary General, phne: (ffice) ; (Mbile) ; snkmala@yah.fr IFRC Sahel Reginal Representatin: Mmdu Lamin Fye, Reginal Representative,Dakar phne:(office) ; (Mbile) ; mmdulamin.fye@ifrc.rg, Per Becker, Reginal Disaster Risk Management Crdinatr phne:(office) ; (Mbile) ; per.becker@ifrc.rg,; Dr Aissa Fall, Reginal Health Manager phne:(office) ; (Mbile) ; aissa.fall@ifrc.rg IFRC Zne: Daniel Blans, Disaster Management Crdinatr, Africa; phne: +27 (0) , mbile: +27 (0) ; daniel.blans@ifrc.rg Geneva: Pabl Medina, Senir Officer, Operatins Quality Assurance; phne: ; pabl.medina@ifrc.rg Reginal Lgistics Unit (RLU): Kai Kettunen, Reginal Lgistics Delegate, phne , kai.kettunen@ifrc.rg Fr Resurce Mbilizatin and Pledges: IFRC Zne: Pierre Kremer, Acting Head f Resurce Mbilizatin; phne: ; pierre.kremer@ifrc.rg Fr Perfrmance and Accuntability (planning, mnitring, evaluatin and reprting) IFRC Zne: Rbert Ondrusek, PMER/QA Delegate, Jhannesburg; phne: ; rbert.ndrusek@ifrc.rg

5 Click here 1. DREF budget belw 2. Click here t return t the title page Hw we wrk All IFRC assistance seeks t adhere t the Cde f Cnduct fr the Internatinal Red Crss and Red Crescent Mvement and Nn-Gvernmental Organizatins (NGOs) in Disaster Relief and the Humanitarian Charter and Minimum Standards in Disaster Respnse (Sphere) in delivering assistance t the mst vulnerable. The IFRC s visin is t inspire, encurage, facilitate and prmte at all times all frms f humanitarian activities by Natinal Scieties, with a view t preventing and alleviating human suffering, and thereby cntributing t the maintenance and prmtin f human dignity and peace in the wrld. The IFRC s wrk is guided by Strategy 2020 which puts frward three strategic aims: 1. Save lives, prtect livelihds, and strengthen recvery frm disaster and crises. 2. Enable healthy and safe living. 3. Prmte scial inclusin and a culture f nn-vilence and peace.

6 DREF OPERATION Senegal: Yellw Fever (MDRSN006) Budget Grup CHF Shelter - Relief 0 Shelter - Transitinal 0 Cnstructin - Husing 0 Cnstructin - Facilities 0 Cnstructin - Materials 0 Clthing & Textiles 5,540 Fd 0 Seeds & Plants 0 Water, Sanitatin & Hygiene 0 Medical & First Aid 0 Teaching Materials 0 Utensils & Tls 0 Other Supplies & Services 0 Emergency Respnse Units 0 Cash Disbursements 0 Ttal RELIEF ITEMS, CONSTRUCTION AND SUPPLIES 5,540 Land & Buildings 0 Vehicles Purchase 2,880 Cmputer & Telecm Equipment 0 Office/Husehld Furniture & Equipment 0 Medical Equipment 0 Other Machinery & Equipment 0 Ttal LAND, VEHICLES AND EQUIPMENT 2,880 Strage, Warehusing 0 Distributin & Mnitring 0 Transprt & Vehicle Csts 1,200 Lgistics Services 0 Ttal LOGISTICS, TRANSPORT AND STORAGE 1,200 Internatinal Staff 0 Natinal Staff 4,000 Natinal Sciety Staff 15,620 Vlunteers 21,840 Ttal PERSONNEL 41,460 Cnsultants 0 Prfessinal Fees 0 Ttal CONSULTANTS & PROFESSIONAL FEES 0 Wrkshps & Training 4,236 Ttal WORKSHOP & TRAINING 4,236 Travel 0 Infrmatin & Public Relatins 7,380 Office Csts 1,400 Cmmunicatins 400 Financial Charges 2,000 Other General Expenses 2,000 Shared Supprt Services 0 Ttal GENERAL EXPENDITURES 13,180 Prgramme and Supplementary Services Recvery 4,452 Ttal INDIRECT COSTS 4,452 TOTAL BUDGET 72,948

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