08 september 2020 national health cluster meeting aden · 09-08-2020  · operationalising lyon hub...

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08 September 2020 National Health Cluster Meeting Aden

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  • 0 8 S e p t e m b e r 2 0 2 0

    National Health Cluster

    Meeting

    Aden

  • Agenda

    1) Introduction and welcome remarks

    2) Review of previous action points

    3) WHO Academy

    4) Epidemiological updates

    - COVID 19 Update

    - Cholera Update

    4) RCCE Update

    5) HRP Prioritization

    6) AOB

    - ORS/Aquatab

  • Action Points

    # Action Point Status

    1 MOH to update health cluster regarding the focal point of westcoast

    Pending

    2 Health partners to share their current response to the floods done

    3

    4

    5

  • WHO Academy

  • ACADEMYRevolutionizing lifelong learning for

    health impact

    8 September 2020

    [email protected] | #WHOAcademy | academy.who.int

  • Health Lifelong Learning Gap

    234M jobs in the health economy today, 120M

    additional created by 2030

    1,400+ courses provided by WHO reaching 700,000+ people in 2018.

    4 million+ enrollments in 2020.

    It takes over 10 yearsto implement evidence-

    based guidance

    Less than 5% of countries are on track to achieve 11 health targets by 2030

    Current lifelong learning market and capacities do not adequately address competency gaps.

  • Academy ApproachThe WHO Academy is about more than just building health competencies globally,

    it’s about transforming the way we learn and change behaviors, policies and systems for impact.

    State of the Art Inputs Process Outcomes

    Hybrid and digital learning technologies

    Human performance science & systems thinking

    Global health expertise & evidence-based guidance

    Adult learning science

    Research and Innovation

    Immersive individual & social learning experience

    Quality management & stackable micro-credentials

    Learning

    Engagement

    Impact

    Behavior

  • Learning Modalities

    Onsite learningDigital learning Portable learning lab

    Onsite immersive learning experiences such as cutting-edge health emergency simulations will be facilitated at the WHO Academy campus network including a new Hub in Lyon, France and regional spokes (to be established with partner instiututions).

    Accessible via laptop, mobile phone or tablet and once downloaded, can be used offline.

    Designed for contexts where participants cannot travel or access the digital learning platform, such as in health emergencies and hard-to-reach areas with limited connectivity. May 2020: Academy app

    launchedMultilingual one-stop-shop for health workers on

    COVID-19: technical resources, training, virtual classroom environment, peer learning

  • How We DifferA single platform for learning, globally accessible, and offline capable—perfect for remote areas.

    Targeted and immersive lifelong learning for WHO workforce and external audiences. For individuals and teams.

    Measurable impact based on outcomes and learning analytics, adapting courses to improve over time.

    Competency-based courses ensure quality with verifiable credentials.

    Co-created courses built in tandem with users based on specific needs.

    Multilingual learning built to scale—WHO reach can ensure global access for millions of people.

    1.

    2.

    3.

    4.

    5.

    6.

  • Establishment Blueprint

    1. Set-up (2019-2021) 2. Start-up (2021-2022) 3. Scale-up (2023-2025)Creating and transforming internal structures,

    capacity, platform, courses and systems.

    Agile approach. Consultation on strategies

    and standards. Building networks and

    stakeholder engagement. Lyon Hub

    infrastructure development.

    Operationalising Lyon Hub and regional

    spoke infrastructure and systems. Expanding

    operational systems for targeted scale and

    sustainability.

    Prototype

    July 2019 –

    June 2020

    Ideate and test prototypes, standards and systems

    Beta-test

    July –

    December

    2020

    Develop and test courses, standards and systems

    Evolve

    January –

    April 2021

    Review and refine courses, standards and systems

    Launch

    May 2021

    Live launch of the first10 digital courses

    Lyon Hub infrastructure construction

    Improve

    June –

    December

    2021

    Real-time analytics, tests and quality improvement

    Scale

    January –

    December

    2022

    Build coverage across target audiences in all regions

    Establish

    January –

    December

    2023

    Establish hub and spokes campuses and systems.

    Construction completed

    Expand

    January –

    December

    2024

    Scale operations, systems and coverage

    Sustain

    January -

    December

    2025

    Achieve financial self-sustainability

    3 prototypes 10 courses 30 courses 60 courses 100 courses 140 courses 180 courses

    Consolidating the operational model.

    Operationalising course development,

    delivery and quality improvement systems.

    Lyon hub infrastructure development.

  • Epidemiological updates

  • Updates on COVID-19 - Yemen

    WORLD HEALTH ORGANIZATION

    COUNTRY OFFICE - YEMEN

    07 September 2020

    07.9.2020 GLOBAL Cumulative Confirmed: 27,032,617Total deaths: 881,464 (3.3%)

    USA: 6 189 488 India: 4 204 613 Brazil: 4 123 000 Russia: 1 030 690

    07.9.2020 Eastern Mediterranean Region Confirmed: 2,020,815Total deaths: 53,332 (2.6%)Iran: 388 810KSA:321 595Pakistan:298 903Iraq: 264 604

  • Number of confirmed COVID-19 cases, by date of report and WHO

    region, 30 December through 07 September

    Date of Reporting

  • Daily distribution of COVID-19 cases and cumulative CFR% in EMR countries

    29 January – 07 September 2020 (n= 2 020 815) Source: WHO EMRO Dashboard

  • Yemen – COVID-19

    Main Figures as of 07 Sep 2020 Time: 22.00hrs

    1,993Confirmed Cases

    574Deaths

    29%CFR%

    (11/22) (50%)Governorates affected

    1,203Recovered

    2Last reported cases

    Last reported deaths 1

  • Yemen – COVID-19

    Daily Trend of Confirmed Cases as of 07 Sep 2020 Time: 22.00hrs

    1

    51 3 2

    10

    49

    11

    75

    95

    15

    21 1

    86

    23

    71

    31

    3 127

    10

    11

    16

    72

    25

    27

    13

    31

    45

    20

    34

    16 1

    32

    12

    28

    36 3

    14

    17

    32

    31

    16

    41

    17

    71

    03

    19

    26 25 23

    61

    13

    14

    15 1

    03

    03

    2 311

    98

    17

    19

    13

    21

    38

    24

    97

    63

    31

    81

    02

    6 245

    25

    13 1

    01

    11

    42

    07

    10

    12

    81

    52 2 4

    26

    3 52

    81

    72

    25

    10

    61

    11

    11

    37

    37 7

    14 5

    8 63

    10

    37 5 4

    14

    3 4 4 2

    0

    20

    40

    60

    80

    100

    120

    140

    10-Apr 17-Apr 24-Apr 1-May 8-May 15-May 22-May 29-May 5-Jun 12-Jun 19-Jun 26-Jun 3-Jul 10-Jul 17-Jul 24-Jul 31-Jul 7-Aug 14-Aug 21-Aug 28-Aug 4-Sep

    Date of reporting

    1,993Confirmed

    Cases

    11Governorates

    Affected

  • Yemen – COVID-19

    Daily Trend of Deaths as of 07 Sep 2020 Time: 22.00hrs

    2 1 2 1 2 1 1 1 23 3 2

    82 3

    63 2

    5 4 48

    12

    3 4 38 8 8

    11

    52

    73

    21

    44

    46

    30

    4 3 3 2 14

    13

    14

    53

    62

    86 7

    10

    2 17

    3 31

    03

    15

    27

    5 4 52 3 2 2

    92 3

    85 5 4

    1 1 26

    13 2

    72

    4 3 35 5

    25

    2 2 2 14

    72 2 3 2 1 1 2

    41 1 1

    0

    10

    20

    30

    40

    50

    60

    10-Apr 17-Apr 24-Apr 1-May 8-May 15-May 22-May 29-May 5-Jun 12-Jun 19-Jun 26-Jun 3-Jul 10-Jul 17-Jul 24-Jul 31-Jul 7-Aug 14-Aug 21-Aug 28-Aug 4-Sep

    Date of reporting

    574Deaths

  • Yemen – COVID-19

    Weekly Trend of Covid Week 15 to Week 37 - 2020 as of 07 Sep 2020

    0%

    33%

    14%

    15%

    23%

    38%

    20%21%

    43%

    26%24%

    40%

    20%

    45%

    34%

    26%23%

    55%

    26%24%

    50%

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    0

    50

    100

    150

    200

    250

    300

    350

    15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

    CFR

    (%

    )

    # o

    f ca

    ses

    and

    # o

    f d

    eath

    s

    Title

    Cases Death CFR

  • Yemen – COVID-19

    Summary By Governorate as of 07 Sep 2020 Time: 22.00hrs

    New Lab Tests

    Governorate Cases Deaths Cases Deaths Recovered

    Per 100,000

    People

    Both 66 54 0 -

    Al Bayda 0 0 66 54 0 -

    North 4 1 2 -

    Amanat Al Asimah 0 0 4 1 2

    South 2 1 0 1,923 519 1,201 -

    Hadramaut 2 1 912 290 493 -

    Aden 0 0 279 33 214 -

    Taizz 0 0 303 81 227 -

    Lahj 0 0 132 38 80 -

    Shabwah 0 0 141 37 98 -

    Al Dhale'e 0 0 55 15 24 -

    Marib 0 0 42 10 15 -

    Al Maharah 0 0 39 10 27 -

    Abyan 0 0 20 5 23

    Socotra 0 0 0 0 0 -

    Total 2 1 0 1,993 574 1,203 -

    New Total

  • RCCE Update

  • RCCE Update

  • HRP Prioritization

  • In light of significantly reduced funding, the 2020 HRP is being prioritized; the process will be transparent and inclusive

    Example of a Strategic Objective:Reduce outbreaks of infectious diseases by helping tosuppress the factors that lead to epidemics, upgradingtreatment capacities, safeguarding as manycomponents of the existing health system as possibleand expanding epidemiological surveillance

    Example of a Strategic Objective:Help millions of destitute Yemenis overcome hungerby providing food and nutrition assistance, increasinghousehold incomes and advocating for measures thatbring economic stability

    Example of a Strategic Objective:Reduce the risk of violence against civilians andfacilitate recovery of people traumatized by theconflict by advocating for adherence to internationalhumanitarian law and providing specialized servicesand support

    Step One: Reset Strategic Objectives

    Starting 9 August: The HCT will: 1) review progress inachieving the five core HRP strategic objectives; 2)analyze the operating environment and humanitariancapacities; 3) possibly reduce and adjust the direction ofthe objectives to achieve highest impact. The results ofHCT consultations will be validated by the AdvisoryBoard.

    Step Two: Reset Cluster Objectives

    Starting 16 August: Clusters will: 1) analyze the currentfactors impacting vulnerabilities; 2) use new assessmentsto validate vulnerabilities and needs; 3) review thecluster objectives in the HRP against each of the revisedstrategic objectives; 4) adjust the direction of clusterobjectives to achieve each strategic objective.

    Health cluster objectives

    Education cluster objectives

    WASH cluster objectives

    Protection cluster objectives

    Health cluster objectives

    Education cluster objectives

    WASH cluster objectives

    Protection cluster objectives

    Health cluster objectives

    Education cluster objectives

    WASH cluster objectives

    Protection cluster objectives

    Step Three: Order Cluster Programmes

    Starting 23 August: Clusters will: 1) review, in aconsultative process, the status of eachprogramme based on clear ICCM criteria; 2) groupeach programme into one of the three categories--URGENT, NECESSARY or DESIRED. Clusters willdefend their portfolios with the Advisory Board.

    Group of health programmes

    Group of education programmes

    Group of WASH programmes

    Group of protection programmes

    Each cluster will review their objectives

    Group of health programmes

    Group of education programmes

    Group of WASH programmes

    Group of protection programmes

    Group of health programmes

    Group of education programmes

    Group of WASH programmes

    Group of protection programmes

    Each cluster will group their programmes

  • Prioritization

    Reduce outbreaks of infectious diseases by helpingto suppress the factors that lead to epidemics,upgrading treatment capacities, safeguarding thenational systems that deliver public goods andservices and expanding epidemiological surveillance

    Help millions of destitute Yemenis overcome hungerby providing food and nutrition assistance,increasing household incomes and advocating formeasures that bring economic stability

    Reduce the risk of violence against civilians andfacilitate recovery of people traumatized by theconflict, including displaced people, by advocatingfor adherence to international humanitarian law,promoting inclusive community-based initiativesand providing specialized services and support

    Step 1: Reset Strategic Objectives Step 3: Reset Cluster Objectives Step 4: Group Cluster Programmes

    Each cluster will review and if requiredadjust their objectives. Objectives willneed to be directly aligned with one ofthe three strategic objectives. Clusterswill describe the impact if theobjective is not reached

    On the basis of cluster-specific criteria, andusing the analysis produced under step 2, eachcluster will group their programmes into one ofthree categories:

    Describe impact if this objective is not reached

    Step 2a: Reconfirm Cluster Vulnerabilities

    Using recent assessments, each cluster willconfirm: a) the people worst impacted in theircluster; b) areas worst impacted in their cluster

    Step 2b: Reconfirm Cluster Access and Capacity

    Each cluster will confirm: a) which areas theycannot access (this could vary by cluster); b)how much actual capacity exists within thecluster for each vulnerable group and (a above)and each hard-hit area (a above)

    Step 2c: Map highest priority areas and populations groups across all clusters

    Using cluster information provided under step2a, the ICCM will produce a composite mapshowing highest priority areas and populationgroups for each of the three strategic objectives

    Step 2d: Overlay highest priority areas and population groups with information on access constraints and actual capacity

    Using cluster information provided under step2b, the ICCM will produce composite mapsshowing priority areas and groups and theaccess and capacity constraints in reachingthese

    Describe impact if this objective is not reached

    Describe impact if this objective is not reached

    Group 1URGENT PROGRAMMES

    Group 2NECESSARY PROGRAMMES

    Group 3IMPORTANT PROGRAMMES

  • STEP ONE: RESET STRATEGIC OBJECTIVES

    25

    Reduce outbreaks of infectious diseases by helping to suppress the factors that lead

    to epidemics, upgrading treatment capacities, safeguarding the national systems that

    deliver public goods and services, and expanding epidemiological surveillance

    Help millions of destitute Yemenis overcome hunger by providing food and nutrition

    assistance, increasing household incomes and advocating for measures that bring

    economic stability

    Reduce the risk of violence against civilians and facilitate recovery of people

    traumatized by the conflict, including displaced people, by advocating for adherence

    to international humanitarian law, promoting inclusive community-based initiatives

    and providing specialized services and support

    Strategic Objective One: Infectious Disease

    Strategic Objective Two: Famine

    Strategic Objective Three: Protection

  • STEP TWO: CLUSTER ANALYSIS

    26

    STEP 2A: Reconfirm Cluster Vulnerabilities

    Using recent assessments, each cluster will confirm: a) the people worst

    impacted in their cluster; b) areas worst impacted in their cluster

    Output Inputs Required Action Needed

    Cluster PiN

    map

    Updated cluster PiN at district level

    with SADD breakdown

    Clusters to update PiN

    Cluster severity

    map

    Updated cluster severity scale;

    updated cluster severity ranking at

    district level

    Clusters to confirm

    severity scales and

    severity analysis

  • STEP TWO: CLUSTER ANALYSIS

    27

    STEP 2B: Reconfirm Cluster Access and Capacity

    Each cluster will confirm:

    a) which areas they cannot access (this could vary by cluster);

    b) how much actual capacity exists within the cluster for each vulnerable group and

    (a above) and each hard-hit area (a above)

    Output Inputs Required Action Needed

    Reverse

    reach map

    Cluster 4W IMU to start mapping

    Capacity

    analysis

    Cluster capacity to reach areas with high

    PiN density and vulnerable groups (IDP,

    refugee, migrants, etc)

    Cluster capacity to reach areas of high

    severity

    Develop guidance on

    capacity mapping to

    create consistency

  • STEP TWO: CLUSTER ANALYSIS

    28

    STEP 2C: Map highest priority areas and populations groups across all clusters

    Using cluster information provided under step 2a, the ICCM will produce a

    composite map showing highest priority areas and population groups for each of the

    three strategic objectives

    Output Inputs Required Action Needed

    SO1 Map -

    disease

    COVID, cholera, health infrastructure,

    WASH infrastructure

    Discussion with health /

    WASH clusters

    SO2 Map -

    famine

    IPC and nutrition inputs Discussion with FSAC

    and nutrition clusters

    SO3 Map -

    protection

    Conflict, displacement, refugees,

    migrants

    Discussion with

    protection cluster

  • STEP TWO: CLUSTER ANALYSIS

    29

    STEP 2D: Overlay highest priority areas and population groups with information

    on access constraints and actual capacity

    Using cluster information provided under step 2b, the ICCM will produce

    composite maps showing priority areas and groups and the access and

    capacity constraints in reaching these

    Output Inputs Required Action Needed

    Inter-cluster

    PiN map

    Cluster PiN

    Inter-cluster PiN calculation methodology

    OCHA to re-confirm inter-

    cluster PiN calculation

    methodology

    Inter-cluster

    severity map

    Cluster severity

    Inter-cluster severity calculation

    methodology

    OCHA to re-confirm inter-

    cluster severity

    methodology

  • STEP THREE: RESET CLUSTER OBJECTIVES

    30

    STEP 3: Reset cluster objectives

    Each cluster will review and if required adjust their objectives.

    Objectives will need to be directly aligned with one of the three strategic

    objectives.

    Clusters will describe the impact if the objective is not reached

  • STEP FOUR – SEQUENCING CLUSTER PROGRAMMES

    31

    Operating Environment

    Operational

    Capacity

    Impact

    Cluster ProgrammeSequencing –

    (URGENT, NECESSARY, IMPORTANT)

  • STEP FOUR – SEQUENCING CLUSTER PROGRAMMES

    32

    Clusters will:

    1) consultative review the status of each programme based on clear criteria;

    2) Sequence programmes into three categories - urgent, necessary or important;

    3) Clusters will defend their portfolios with the YHF Advisory Board.

    • Sequencing will be done with support from CLAs and through a consultative process

    and transparent process

    • Joint review the appropriateness, relevance and feasibility of response interventions

    and define who should be targeted with what and where, for each specific objective,

    based on: (1) Operational Capacity; (2) Operating Environment; and (3) Impact.

    • Prioritization in this regard is then understood as:

    (i) sequencing responses so that time-critical interventions with most impact take

    place first, and

    (ii) articulating responses so that interventions are planned in a complementary

    manner.

  • YHF STANDARD ALLOCATION

    33

    YHF Standard Allocation

    $60-65M

    Aim is to provide funding for

    cluster portfolios based on

    prioritization exercise

    partners

  • NEXT STEPS

    34

    20 August Revised Strategic Objectives circulated

    30 August Cluster capacity analysis guidance developed

    6 September Clusters submit revised PiN and severity

    7 September Launch of step four - cluster programme sequencing

    13 September Submission of cluster programme sequencing inputs

    17 September First draft of HRP prioritization document shared

  • AOB

  • Shukran

    Next meeting on Tuesday 22th September 2020