PREPAREDNESS AND RESPONSE PLAN FOR COVID- 19 - SCENARIO 3 - RVO

Page created by Zachary Williams
 
CONTINUE READING
PREPAREDNESS AND RESPONSE PLAN FOR COVID- 19 - SCENARIO 3 - RVO
EPRP for COVID-19

   PREPAREDNESS AND
RESPONSE PLAN FOR COVID-
           19
             SCENARIO 3

                            1
EPRP for COVID-19

Introduction
 Coronaviruses are a large family of viruses that cause illness ranging from common cold to more severe
diseases such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome
(SARS). A novel coronavirus was identified in December 2019 in Wuhan City, China among people who
had exposure to seafood market. This is a new coronavirus that has not been previously identified in humans.
This virus has been named by the World Health Organization (WHO) as COVID-19.
The disease has affected many countries and territories in Western Pacific, South-East Asia, Americas,
Europe and Eastern Mediterranean regions. The number of people infected and those who die of it, is
increasing every day. It has infected more people and already killed more as compared to the 2002 SARS.
On 30 January 2020, the WHO declared the 2019 novel coronavirus outbreak as a Public Health Emergency
of 1nternational Concern (PHEIC) with recommended actions for countries.
The Director General of WHO declared COVID 19 a global pandemic on 11th of March after the epicenter
moved from Wuhan China to rest of the globe and the number of cases increased 13-fold.
As the virus is new, there are many things that are not clear. It can be propagated in the same cells that are
useful for growing SARS-CoV and MERS-CoV, but notably, COVID-19 grows better in primary human
airway epithelial cells than in standard tissue-culture cells, unlike SARS-CoVor MERS-CoV.
Globally several pharmaceutical companies have embarked on research to develop vaccines/ treatments for
COVID -19. So far there are no licensed treatments or vaccines for the COVID-19 virus.

Rationale of the plan
Since 13th of march when the first Covid-19 case was announced in Ethiopia, several cases have been
identified most of whom were imported, and the rest linked to imported cases (clusters). Ethiopia has also
been classified as one of the high-risk countries. All neighboring countries have also reported the confirmed
case.

                                                                                                             2
EPRP for COVID-19

The number of expected cases for the response 34,068 per month and was calculated. The assumptions taken
were:

    •   21% of the population is an urban population of whom are all considered at risk;
    •   50% of the rural population was at risk given the sparse population distribution;

We then assumed that the total 66.5 million and assuming the herd immunity (R0 − 1)/R0 is 60%, 39m people
were expected to be infected with COVID 19.

In addition to this, according to a lancet publication, the risk of infection decreases by 60% if measures
including social distancing are put in place. Ethiopia has implemented a series of measures including
avoidance of mass gathering social distancing, and risk communication, including the advocacy for
handwashing, reduces the risk to 60%. However, since the measures are not stringent it was assumed that
the risk was 30%.

This plan was developed assuming that the expected number of COVID-19 cases amounted to on Average
34,000 confirmed case per months or approximately 102,000 cases within the next three months. With the
Estimation of 20% severe case 3.4% death.

2. Situation Analysis

As of 25th March 2020, a total of 414,179 confirmed cases, including 18,440 deaths (case fatality ratio
4.5%), were reported globally. The 10 countries with the highest number of cumulative cases included China
(81,848), Italy (69,176), United States of America (51,914), Spain (39,673), Germany (31,554), Iran
(Islamic Republic of) (24,811), France (22,025), Republic of Korea (9,137), Switzerland (8,789) and the
United Kingdom (8,091).

In the Africa, there has been a significant upsurge in the past week; the highest number of cases were
reported in South Africa 554 (0 deaths), Algeria 264 (17), Burkina Faso 114 (3), Senegal 8(0) deaths. In
Ethiopia, at the time of this update, the total number of confirmed cases recorded was 12; with a total of 342
contacts.

During the preparation Phase the following challenges were observed. Suboptimal coordination among
different Stakeholder in the overall Covid-19 preparation. In adequate preparation in contact tracing and
follow up team, challenge in training cascading to regions and lower level. Poor and un linked surveillance
                                                                                                             3
EPRP for COVID-19

reporting system from lower level to higher level. in availability of isolation and treatments sites and in
adequate availability of supplies And Medical equipment. Poor Ambulance management system, shortage
of storage facility and poor supply chain management. Lack of information exchange and data
communication mechanisms from lower level to the central EOC at all Pillars.

   3. Scenario-3: Assumptions
Since 13th of March when the first Covid-19 case was announced in Ethiopia, several cases have been
identified most of whom were imported, and the rest linked to imported cases (clusters). Ethiopia has also
been classified as one of the high-risk countries. All neighboring countries have also reported the confirmed
case.

The following are working assumptions in preparing the worst-case scenario planning:

   1. Ethiopia will have or already have (undetected yet) a ‘super-spreading’ event = Community transmission

   2. The health system will be overwhelmed in few weeks once wide spread community happens

   3. Death from other conditions will dramatically rise: After a month or two

   4. Other emergencies will flare up: due to the healthcare system shifted to COVID-19 response

   5. Significant number of patients with Acute Respiratory Distress Syndrome are expected which needs
      admission and ICU care

   6. Exploit the existing system while exploring other options

   7. Ethiopia will follow an offensive strategy

   8. Limited testing capacity

   9. Further considerations are made to mitigate the limitation of the estimate by limiting the scope of this plan
      for three months with an estimated monthly average of 34K confirmed cases per month.

Objectives and Strategies to prevent worst case scenario

General objectives
   •    Maximally suppress communitywide transmission of COVID 19

           o   Suppression is a modified form of containment as we assume unknown level of community
               spread which can lead to either direction i.e. to containment or mitigation.
                                                                                                                      4
EPRP for COVID-19

Specific Objectives
     •   Detect, isolate and treat with enhanced contact investigation and increased laboratory capacity
            o Enhance Health Facility Readiness
            o Community and facility mobilization for active surveillance of RTI (risk communication)
     •   Reduce mortality
     •   Enhance leadership and governance platform for whole government response for primary and
         secondary prevention of COVID-19 (i.e. protect people from getting the virus and allowing the
         health care system to treat infected patients)

Strategies
The strategies for the worst-case scenario in a phased manner

     A) Phase I: Suppression measures

Suppression measures are steps taken to prevent the virus from spreading further or reducing the rate of
transmission in the soonest time possible so that the healthcare system can handle the circulation of the
virus for as long as possible, without overwhelming the capacity of the healthcare system. These measures
emphasize on preventing wider transmission, detecting early cases and tracing their contacts quickly
before spreading much in the community. Public health actions coupled with non-pharmaceutical
measures are expected to reduce spread of the virus and contain it to manageable size of affected people
and limited localities.

The suppression measures will inform the extent of the spread of COVID-19 in the community and inform
subsequent actions.

1.   Public Health Measures to detect, isolate and treat COVID-19 cases:

     The health sector needs to scale up its efforts of combating COVID-19 in both health facility and
     community settings. Hence

            ➢ Scale up emergency response mechanisms by enhancing the incidence management system
                at all level of the tier system and public health administrations

                                                                                                            5
EPRP for COVID-19

           ➢ Active surveillance of Respiratory Tract infection in both health facilities and community
              settings (chasing the symptoms than the virus to contain the spread)
           ➢ Increase testing capacity significantly to test as much suspects as possible in the earlier
              phases (if epidemic worsens, consider the concept of epi-link)
           ➢ Enhance healthcare capacity to handle moderately ill and critical cases for COVID-19 to
              reduce mortality
           ➢ Prepare designated non-COVID-19 hospitals for other health emergencies and delivery
              services
           ➢ Determine alert and action thresholds of moving to either of the two classical strategies i.e.
              Containment or mitigation measures

              i. Intensive measures in two weeks with activity, output and outcome tracking

              ii. Determine alert and action thresholds and take actions accordingly

2. Non-pharmaceutical measures:
The non-pharmaceutical measures are highly important to enhance primary prevention and accelerate the
pace and effectiveness of public health measures.

    •   Enforcement of the Social Distancing measures being taken

    •   The whole of government approach in response to pandemic

    •   Scale up the technical as well as political commitment at all level mainly for regional level
        preparedness and response

                                                                                                           6
EPRP for COVID-19

    •

Response Model and Governance (implementation Arrangement)

To address a challenge as significant and rapidly evolving as COVID-19, we need to work closely together,
as one.

At the heart of this initiative, we must have one response that is integrated initially across the health sector,
and ultimately feeds into one single multi-sectoral response including all relevant actors. This will ensure
we are unified in responding to the challenges we face – maximizing the value of our resources, avoiding
duplication of effort, and allowing all of us to play to our strengths and respective roles.

This is enabled by one plan,with an integrated view of all activities across the response. Both MoH and the
EOC have complementary roles to play in this – EOC will be the execution leader, and the MOH will
provide the strategic guidance and support.

This will all be enabled by one team. Regardless of where we sit in the system currently, we will all work
in a closely combined manner. The pillar structure of the EOC’s response is and remains the focal point of
our efforts – and across the MoH, EPIH the EOC, and other partners who are helping in this fight against

                                                                                                                7
EPRP for COVID-19

COVID-19, we must all be aware and connected with the activities taking place within each pillar to avoid
duplication and ensure we make the most of the available resources.

                                           Federal/Regional
                                             Government

                                              MOH/RHB

                                             EOC (EPHI)

The Ministry of Health leadership task force (Covid 19 command post) will provide overall guidance and
strategic support to the response execution led by the EOC.

The following are major activities of the MOH Covid 19 command post.

   •   Liaising with EOC for aligned decision making – providing a faster linkage between the EOC and
       decisions required at the MoH, with a strongly-empowered team in the command post driving
       decisions at pace
   •   Integration – ability to play a strategic role in ensuring there is one response and one plan, ensuring
       a cohesive response across the various pillars in the EOC
   •   Troubleshooting – providing an escalation channel from the EOC to the MoH as required with a
       view to faster resolution of issues and blockers
   •   Linkages –representing the MoH with partners and interventions across the health sector, and into
       wider disaster management fora (such as the Disaster Risk Management Commission)

                                                                                                             8
EPRP for COVID-19

         Estimated cost per pillars

Pillar                                                    Total Cost (ETB)                   Total Cost (USD)
Coordination and Leadership                                                    214,286,960                6,533,139
Surveillance and contacting tracing                                          5,887,513,272              179,497,356
Laboratory                                                                     714,489,755               21,783,224
Case management and IPC                                                      6,104,335,558              186,107,791
Points of Entry (POEs)                                                         174,314,436                5,314,465
Risk Communication and Community Mobilization                                  895,242,000               27,293,963
Evidence generation and operational research (1% of
total budget)                                                                 139,901,820                 4,265,299
Grand Total                                               14,130,083,802                         430,795,238

         See Annex I for detailed Activities Budget, breakdown by pillars.

                                                                                                         9
EPRP for COVID-19

         Annex I

         Operational plan for scenario 3

         1. Coordination and leadership pillars

S/No. Proposed Intervention                                       Activities
                                                                  Revise stakeholders mapping
                                                                  Conduct biweekly meeting with stakeholder
                                                                  Conduct EOC inter-pillar weekly meeting
1     Strengthen national coordination                            Complete and disseminate operation plan
                                                                  Disseminate national guidelines and SOPs
                                                                  Conduct regular risk analysis (venerability
                                                                  Interface with NDRMC EOC
                                                                  Conduct regional capacity assessment
      Support regional coordination                               Review and support the preparation of regional EPRP and operational plan
3
                                                                  Conduct simulation exercise
                                                                  Support reginal EPRP activation/operationalization/ sub- regional PHEM structure

      Strengthen resouce mobilization                             Conduct gap analysis interns of resource/forecasting
                                                                  Develop strategy for resource mobilization and disseminate it
                                                                  Map trained health workforce
      Health workers capacity building
                                                                  Develop a surge roster
                                                                  Conduct training and orientation
                                                                  Cheek the Deployment of health workforce
                                                                  Develop KPIs strategy/plan
                                                                  Disseminate KPI plan to relevant stakeholder
      M&E framework
                                                                  Develop and monitor reporting dashboard
                                                                  Prepare and disseminates periodic reports to relevant stakeholder
                                                                  Conduct need assessment for ICT interventions
                                                                  Help coordinate the selection of relevant technology and implement it/ Elaborate it
                                                                                                                                                        10
EPRP for COVID-19

          2. IPC case management and facilities readiness

S/No.   Proposed Intervention                Activities
        Expand isolation, treatment and      Establish and support 300 Isolation centers with bed capacity of 200 for each
        quarantine sites                     Establish and support 34 Treatment centers with bed capacity of 400 for each
        Train and deploy adequate            Establish and support 100 quarantine centers with bed capacity of 500 for each
        number of IPC and clinical team
        Develop and share IPC,CM and         Train and deploy adequate number of physicians (1360), critical care specialists (204), and nurses (2720)
        Facility Readiness support plan to   Train and deploy adequate number of IPC experts (10000)
        regions and key stakeholders         Develop coasted plan with indicators
                                             Share the plan with all relevant stakeholders
                                             Support and monitor the implementation
        Develop and implement M&E
        framework including digitization     Develop and implement standardized data capturing and reporting formats
                                             Procure and distribute computers with database
                                             Develop and implement electronic data registration, monitoring and reporting system
        Support the ME and Supplies          Support forecasting, distribution, and management of medical supplies and medical equipment
        forecasting, procurement and         Monitor and report consumption of medical supplies and medical equipment
        distribution task of the EOC
        Provide the required medical         Distribute all the procured supplies and equipment based on need
        equipment, supplies and IPC          Improve efficiency of supply utilization and management
        materials                            Provide emergency biomedical technical supports through deploying a team of biomedical experts
        Provide biomedical technical
        supports
                                             Conduct ambulance need assessment and develop plan of action
                                             Procure and deploy 300 ambulances equipped with basic life support materials
        Strengthen ambulance                 Distribute procured ambulance for regions based on their need
        management                           Strengthen ambulance management system
        Develop and implement health         Hire, train and deploy personnel (sprayers (300), nurses (600)) working in ambulances
        professional safety and support
                                             Develop health professional safety and support protocol
        protocol
                                             Support and monitor implementation of health professional safety and support protocol

                                                                                                                                                         11
EPRP for COVID-19

    3. Surveillance and laboratory Pillars

S/No. Proposed Intervention                  Activities
      Have trained contact tracing           Establish 33,334 contact tracing teams (each team with 2 people)
      team                                   Training for 66,668 contact tracing experts
1                                            Avail vehicles for each contact tracing team (33,334)
      Avail logistics and PPEs for
                                             Face mask for contact tracing team (
      contact tracing team
                                             Hand sanitizer for contact tracing team and driver (600,012 bottle)
       Expand laboratory to peripheral
                                             Expanding the testing capacity to 19 sites throughout the country
       level
2      Capacity building to facilitate       Establishing sample transportation system at each woreda level
       sample Collection and
                                             Training for laboratory technicians/technologists at least one from each woreda
       transportation
       Expanding call centers to             Establish call center for 11 regions and city administration at least with a capacity of 20 lines
       regional level                        Avail 1320 call center experts for 11 regions and City Administrations
3
       Enhance the capacity of EPHI's        Avail additional 24 call center lines in EPHI
       call center                           Avail total of 288 experts for call center (EPHI level)
                                             Establish 24000 rapid response team? For 4000 RRT per health facilities and 2000 RRT
       Have trained rapid response           per/10000 woredas
       team                                  Training for 28,000 RRTs (16,000RRT members in health facilities, 4000 RRT supervisor
4
                                             recruited per facilities and, 8000 RRT members per woreda)
                                             Avail 2000 Ambulances and accompanying vehicles
       Avail logistics and PPEs for RRTs
                                             Avail all PPEs used to manage 100,000 cases
                                             35,334 tablets/smart phone for RRTs and contact tracing and follow up trams
       Use electronic reporting system
                                             Avail one server at each region and one additional at EPHI (a total of 12)
                                             Avail 1182 computers for woredas and zones
6
       Improve data management               Assign 1116 data managers
       system                                Supportive supervision
                                             Regular data analysis and feedback

                                                                                                                                                 12
EPRP for COVID-19

          4. Point of Entry

S/No.   Proposed Intervention                                             Activities
                                                                          Notify regional PHEM office via official letter to strength screening activities at land crossing POE
        Engagement of regional higher administrative organs to            Give orientation/training for 68 land crossing POEs screeners & 18 domestic airports
1
        give attention on the regional PoEs screening activities          Give training/orientation for all stake holders at POEs
                                                                          Conduct supportive supervision for all POEs weekly
        Engagement of Telecommunication higher administrative             Design a reporting mechanism from POEs to EPHI using ODK(avail tablet which can take Sim card) or
2
        Official to solve the problem                                     using Wifi modem
        Enforcement of the establishing of TIU and screening post         Establish 05Temporary isolation center at POE using fiber material as per design
        at all PoEs (at Togo wuchale, Dawale, Lugdi, Moyale, and
                                                                          Equip established temporary isolation unit with necessary supplies and equipment
        Kumruk) on the 1st phase
        Arrangement of the Ambulance linkage between PoEs and             Assign at least 2- ambulance at international airports per shift for 24hrs POEs & 1-per domestic airport
        Treatment Units through discussion with Regional Heath            Assign at least 2- ambulance at international airports per shift for 24hrs POEs & 1-per domestic
        Bureau                                                            airports
        Assessing the gap and assignment of required man power            Assign a minimum of 2-screeners at each land crossing POEs, Gate/entrance of Regions, Industrial
        at all PoEs& Gate/entrance of Regions, Industrial park,           park, refugee camp, Gate/Entrances of major cities & 4-at domestic airports
        refugee camp, major cities & domestic airports                    Assign min of 30 staffs at BIA per shift
        Procurement of more infrared thermometer for land                 Procure 286 infrared thermometer
        crossing and Thermal camera for all International airports        Procure 20 thermal camera for airports
        Strengthen filling of traveler’s health declaration form by
                                                                          Strictly follow the implementation of filling traveler’s health declaration form on board
        passengers on board
        Engagement of Ethiopian Airports enterprise higher                Continue virtual meeting with COVID-19 BIA command post members to solve all issues related with
        officials & other stake holders at POEs to solve weak             Screening activities and implement mandatory quarantine at hotel for passengers coming from
        coordination between POEs and other stakeholders at all           abroad
        POEs                                                              Activate command meeting with stake holders at land crossing POEs stake holders
        Identification of illegal PoEs and establishing of new
                                                                          Work with legal enforcement bodies (Federal police/army) to prevent illegal arrivals
        PoEsby setting priority based on its potential risks.
                                                                          Establish 4-screening sites and TIU at Addis Ababa main Gate /entrance in four direction of AA
                                                                          Establish Entry and exit screening and site at all regions
        Strengthen screening and establishing TIU activities              Establish screening sites and TIU at major industrial parks
        different place                                                   Establish screening site and TIU at all domestic airports
                                                                          Establish screening site and TIU at refugee’s camp
                                                                          Establish screening site and Tiu at Major farms

                                                                                                                                                                      13
EPRP for COVID-19

            5. Risk Communication and Community Engagement

S/No.   Proposed Intervention                                  Activities
                                                               Map community volunteers for training and deploy them to reach
                                                               Map key stakeholders working with volunteers to reach key population (vulnerable and at-risk
                                                               communities)
        Train volunteers and link them to health and social
1                                                              To customize BCC materials to target the key population
        services
                                                               key population
                                                               Adapt RCCE strategy for scenario 3 to reach a key population
                                                               mobilize communication aids such as megaphones, mobile vans, etc.
                                                               Partner with key stakeholders at zonal and woreda level to sensitize their existing networks
        Engaging and supporting regional health bureaus
2                                                              Provide RCCE guide orientation for various sectors and regional leaders
        with a multi-sectoral approach
                                                               All developed guides should be signed and officially communicated
        have a regional visit to promote trust and             Establish a telegram group communication platform with regional RCCE to increase collaboration
        information sharing                                    Conduct support supervision/ field visit to regional RCCE
        Communicate ground feedback to the government
        for strict action                                      Communicate ground feedback to the government for strict action

                                                               Revision of community engagement guide to reflect the current COVID-19 situation
                                                               Revision of COVID-19 Government, Non-pharmaceutical intervention (NPI) community guide
        Intensify public awareness and campaigns to
                                                               Customize, produce and disseminate NPI messages to target audience
        various group
        Customize messages for targeted communities to         Undertake perception assessment among the public
        engage them
                                                               Develop short educational messages to reach communities
                                                        train volunteers to reach targeted community groups
        Empower community volunteer with information on
                                                        Mobilize communication aids such as megaphones, mobile vans, etc
        how to reach targeted community groups
                                                        Equip volunteers with job guides/aids

                                                                                                                                                        14
EPRP for COVID-19

          6. Logistics

S/No.   Proposed Intervention                                                     Activities
                                                                                  Organize quantification exercise and follow procurement process by
        Commodity Planning/Forecasting for COVID-19
                                                                                  ESCM/Logistic team at EPHI
                                                                                  Resource mobilization for procurement of COVID -19 Supplies …at EPHI.
                                                                                  Consolidation of Donation supplies in items/ in kind from different
1                                                                                 partners.
        Commodity Planning/Forecasting for COVID-19
                                                                                  Procurement orders follow up of COVID -19 Supplies …at EPHI.
                                                                                  Develop Distribution protocols/Strategy
                                                                                  Establish Emergency Distribution work process flow
                                                                                  Guide Self procurement protocol/strategy by Facilities
        Developing Distribution protocols, and execute Distribution to            National Stock status monitoring excel sheet
3       Emergency sites(COVID-19 Trt centers, Isolation centers, quarantine       ODK Mobile application for prioritized selected National stock monitoring
        centers                                                                   Conduct Weekly partner forum
                                                                                  Organize quantification exercise and follow procurement process by
        Logistics Data Visibility                                                 ESCM/Logistic team at EPHI
                                                                                  Resource mobilization for procurement of COVID -19 Supplies …at EPHI.

              ➢ For vulnerable populations (children, mental health. Women)

S/No. Proposed Intervention                      Activities
                                                 Develop tailored messages to the various groups
        Tailored risk communication
                                                 Communicate the messages using various channels including patient associations and help groups
        Establish quarantine and isolation       Establish adequate number of child friendly centers
        centers considering vulnerable groups    Have separate quarantine and isolation centers for TB- COVID 19 co-infection and people with disabilities
        Consider comorbidity in the              Consider the number of people with comorbidity in estimating the number of ICUs and ICU beds
        development of case management           Have a special treatment protocol for people with comorbid conditions
        Coordinate with relevant sectors to
                                                 Identify the relevant sectors and organizations to work with
        address the disabled

                                                                                                                                                        15
EPRP for COVID-19

          Performance Monitoring
          The key performance indicators will be used to monitor the implementation of the Plan. Planning monitoring and Evaluation team will
          assess the overall performance national and subnational levels, and with partners to monitor key performance indicators on a regular
          basis.

             1. Leadership and coordination

        Key performance indictors                                                                           Frequency of data         Source of
S/No.
                                                                                                            collection                data
        Number of sitreps disseminated                                                                      Daily
        % resource mobilize                                                                                 Monthly
        % resource Utilized                                                                                 Monthly
        Proportion of stakeholders mapped                                                                   Monthly
        Number of risk Assessment conducted
        Number of capacities Assessment                                                                     Monthly
        Number of stakeholder meeting conducted

                                                                                                                                            16
EPRP for COVID-19

              2. Surveillance and laboratory pillars

        Key performance indictors                                                           Frequency of data   Source of data
S/No.
                                                                                            collection
        Daily
        Number of alerts/rumors reported                                                    Daily
        Number of Alerts investigated                                                       Daily
        Number of Alerts discarded                                                          Daily
        Number of Alerts pending Investigation                                              Daily
        Number of new suspected cases                                                       Daily
        Number of deaths among suspected cases                                              Daily
        Number of confirmed cases                                                           Daily
        Number of deaths among confirmed cases                                              Daily
        Contacts registered                                                                 Daily
        Contacts completed Follow-up                                                        Daily
        Contacts lost to follow up                                                          Daily
        Contacts symptomatic                                                                Daily
        Contacts test positive                                                              Daily
        Symptomatic contacts tested negative                                                Daily
        Number of samples collected                                                         Daily
        Number of samples pending lab result                                                Daily
        Negative                                                                            Daily
        Positive                                                                            Daily
        Inconclusive                                                                        Daily
        Proportion of alerts/rumors investigated(verified) within 2 hrs                     Weekly
        Proportion of suspected cases investigated within 2 hrs                             Weekly
        Proportion of suspected cases isolated within 6 hrs                                 Weekly
        Proportion of suspected cases with sample collected within 6 hrs                    Weekly
        Proportion of suspected cases with lab result within 6 hrs of specimen collection   Weekly
        Proportion of suspected cases discharged within 6hrs of a negative lab result       Weekly
        Number of regions with local transmission                                           Weekly
        % of death reported among reported case                                             Weekly

                                                                                                                          17
EPRP for COVID-19

              3. POE performance indictors

        Key performance indictors                                                      Frequency of data   Source of data
S/No.
                                                                                       collection
        Number of Travelers screened                                                   Daily               Reports
        Number of Travelers under follow-up                                            Daily
        Number of symptomatic travelers transferred to isolation facility              Daily
        Number of Personnel (staff) conducting health screening                        Daily
        Proportion of land crossings & airports (excluding BIA) with screening sites
        Proportion of refugee camps & industrial parks with screening sites            Bi weekly           Reports,
        Proportion of land crossings & airports (excluding BIA) with TIU               Bi weekly           Reports,
        Proportion of refugee camps & industrial parks with TIU                        Bi weekly           Reports,
        #proportion of screening sites with at least one infrared thermometer          Monthly             Reports,
        Proportion of international airports with at least one thermo scanner          Monthly             Reports,
        Number of screening sites equipped                                             Monthly             Reports,
        # of with full IPC as per the national guidelines
        # of POEs with hand washing and waste management facilities on site

                                                                                                                 18
EPRP for COVID-19

              4. IPC Case management

          Key performance indictors                                                                       Frequency of data   Source of data
S/No.
                                                                                                          collection
          Total number of deaths related to COVID 19 in treatment center                                  Daily               Health facility log books
          Total number of discharged cases from treatment center                                          Daily               Health facility log books
          Total number of newly admitted confirmed cases in treatment center                              Daily               Health facility log books
          Total number of critical patients on mechanical ventilator in treatment centers                 Daily               Health facility log books
          Total number of critical patients in treatment centers                                          Daily               Health facility log books
          Total number of available (empty) beds in treatment center                                      Daily               Health facility log books
          Number of suspected COVID 19 cases admitted in isolation center                                 Daily               Health facility log books
          Number of discharged cases from isolation unit                                                  Daily               Health facility log books
          Total number of available (empty) beds in isolation center                                      Daily               Health facility log books
          Total number of health professionals who tested positive for COVID 19 in isolation center       Daily               Health facility log books
          Number of suspected COVID 19 cases admitted in isolation center                                 Daily               Isolation centers log books
          Number of quarantined individuals in the quarantine center                                      Daily               Isolation centers log books
          Number of quarantined individuals who developed COVID-19 specific symptoms                      Daily               Isolation centers log books
          Number of beds available in the quarantine center                                               Daily               Isolation centers log books

              5. Logistics

        Key performance indictors                                                                     Frequency of data        Source of data
S/No.
                                                                                                      collection
        Logistic accuracy rate                                                                        Monthly                  Logistics logs books
        Emergency Procurement lead time                                                               Monthly                  Logistics log books
        Line fill rate                                                                                Monthly
        Utilization of emergency Supplies                                                             Monthly                  Report
        Emergency Vital Supplies Availability                                                         Monthly
        Refill processing time                                                                        Monthly
        Average Delivery Time for Emergency Supplies                                                  Monthly

                                                                                                                                                      19
EPRP for COVID-19

                                                             SUMMARY BUDGETS

                                                     Coordination and Leadership
Activity                                                                            Total Cost (ETB)      Total Cost (USD)
PHEOC Functionalization at National Level                                                    38,809,200             1,183,207
PHEOC Functionalization at Regional Level                                                    99,768,600             3,041,726
Virtual Coordination Meetings                                                                                              -
Media briefing                                                                                                             -
Monitoring and Evaluation                                                                     1,941,720                59,199
Provision of trainings                                                                           71967440           2,194,129
Production cost for virtual training materials                                                    1800000              54,878
Sub-total                                                                                  214,286,960              6,533,139

                                                 Surveillance and contacting tracing

Activity                                                                Total Cost (ETB)             Total Cost (USD)
Printing, and dissemination of surveillance materials                                 19,764,072                 648,261,553
Call center establishment and expansion                                              398,545,200              13,072,282,560
Contact tracing and follow up                                                      2,669,580,000              87,562,224,000
Rapid response teams and health facility PHEM                                      2,580,990,000              84,656,472,000
Electronic surveillance and information management                                   218,634,000               7,171,195,200
Sub-total                                                                      5,887,513,272            193,110,435,313

                                                                                                                           20
EPRP for COVID-19

                                                              Laboratory
Activity                                                                        Total Cost (ETB)          Total Cost (USD)
Lab consumables                                                                            560,704,816               17,094,659
Laboratory HR Need                                                                             477,439                    14,556
Sample transport/shipping                                                                  153,307,500                4,674,009

Sub-total                                                                               714,489,755               21,783,224

                                                      Case management and IPC
Activity                                                                        Total Cost (ETB)          Total Cost (USD)

PPE for isolation and quarantine centers (300 Isolation Centers of 200 beds,)               512,183,332              15,615,345
Hand sanitizer                                                                            1,082,400,000              33,000,000
Medical Equipment                                                                           278,861,205               8,501,866
Medications                                                                                  47,642,342               1,452,510
Procurement and Supply Management                                                           490,153,860              14,943,715
WASH in isolation, quarantine, and treatment centers                                      2,488,661,000              75,873,811
Train and deploy adequate number of IPC and clinical team                                   610,920,460              18,625,624
Provide biomedical technical supports                                                         4,050,000                 123,476
Strengthen ambulance management                                                             477,500,000              14,557,927
Develop and implement health professional safety and support protocol                         4,050,000                 123,476
Strengthen IPC practices at community level                                                  60,000,000               1,829,268
Customize isolation centers to accommodate children (
EPRP for COVID-19

                                                                Points of Entry (POEs)
Activity                                                                                           Total Cost (ETB)         Total Cost (USD)
Procurement of IPC materials                                                                                   97566936.2              3200195507
Operational cost at POEs                                                                                        76747500               2517318000
Sub-total                                                                                                  174,314,436           5,717,513,507

                                       Risk Communication and Community Mobilization
Activity                                                                                           Total Cost (ETB)         Total Cost (USD)
 Volunteer mobilization (assuming 45 active work days in the 3 month period)                                  237,000,000           7,773,600,000
 Interactive message communication targeting HEWs                                                             162,800,000           5,339,840,000
 1-day orientation of religious leaders and other key community figures like traditional healers
(in 3 to 1 HEW group)                                                                                          34,000,000           1,115,200,000
 Print and distribute risk communication material                                                             461,292,000          15,130,377,600
 Risk communication targeted towards populations with limited abilities                                           150,000                4,920,000
Sub-total                                                                                                  895,242,000          29,363,937,600

                                                                                                                                               22
You can also read