Pheoc Ims Weekly Brief # 130

WAR RELATED PUBLIC HEALTH EMERGENCIES,
CHOLERA, MALARIA, AND DROUGHT SITUATION

UPDATES
REGIONAL IMS WEEKLY MEETING #130
AMHARA REGION PUBLIC HEALTH EMERGENCY OPERATION

CENTER AMHARA PUBLIC HEALTH INSTITUTE
Bahir Dar | Ethiopia

December 21,2023
© Amhara Region PHEOC @ APHI
Outline
IMS Sections Reporting Status
Last Week IMS Meeting action point status update
 Regional PHEs Situation Updates (Cholera outbreak, Malaria,

Drought, War-related health Emergency and Sudan refugee & returnee )
Partner Supports
 Gaps / Challenges
© Amhara Region PHEOC @ APHI 2

Reporting status of the IMS sections
Sections Reporting Status
 Diseases/Conditions Surveillance and Response Reported
 Medical Services Reported
 Essential Health Services Reported
 RCCE Reported
 IPC/WaSH Reported
 Logistics Reported
Status of previous week action points
Responsible
# Action points/Suggested solutions Status
section
Identify potential source of infection and conduct case area targeted Surveillance Partially
1 intervention (CATI) section Done
Finalize OCV campaign at Janamora and conduct the campaign Surveillance
2 Operation in North Wollo (Alamata and Kobo) section Done
Closely follow EPHI supported EDKs availability by respective hubs & Logistics Ongoing
3 ensure last mile delivery for the prioritized sites section
Nutrition
4 Map potential partners and Conduct drought related consultative meeting team Done
Monitor and support each collective ID sites health service provision Planning
5 status by ZHD & WoHO Section Ongoing

Responsible
section
Conduct onsite malaria outbreak investigation in high burden

6 woredas particularly in Bahir Dar city Malaria team Done
7 Conduct Inter-Action Review for cholera outbreak Planning Section Done

Strengthen emergency nutrition response in drought
8 affected areas by Communicating affected zones and Nutrition team Ongoing
responsible stakeholders

Responsible
section
Mobilize blood collection in Bahir Dar and Gondar cities to Medical

9 support Debre Markos and Debre Tabor cities Service Ongoing
Advocate MHNT gaps and emergency public health

response needs for Recent 11 Ethiopian Humanitarian Fund UNOCHA
10 (EHF) implementing Partners with coordination of and DIM Done
UNOCHA
Communicate Gondar EPSS hub and RHB to get routine Planning
11 Vaccine for Sudan refugees Section Ongoing
Request potential partners to dislodge latrine in IDPs

12 having a problem WaSH section Done

Action point 2 Finalize OCV campaign at Janamora and conduct the
campaign Operation in North Wollo (Alamata and Kobo)
5- 14 5- 14 >=15 >=15
1-4 years 1-4 years
years years years years
Planned Vaccinated Vaccinated Vaccinated Vaccinated Vaccinated Vaccinated
Woreda OCV Total Coverage
vaccinated (%)
dose
M F M F M F
Janamora 50,000 2932 3186 7303 7627 12761 14673 48482 97
Raya
150,284 10706 11214 22919 23012 35410 38163 140291 93
Alamata
Kobo
50,539 2450 2349 5118 5791 7868 8760 32295 64
town
© Amhara Region PHEOC@ APHI 7

Action point 7: Conduct Inter-Action Review for cholera
outbreak

Action point 9: Strengthen emergency nutrition response in drought
affected areas by Communicating affected zones and responsible stakeholders
 Ethiopian Customs
Commission supported
more than 40.3 million
in-kind support of
Waghimera zone

Action point 11: Advocate MHNT gaps and other public health response needs for Recent 11
Ethiopian Humanitarian Fund (EHF) implementing Partners with coordination of UNOCHA.
 Ethiopian Humanitarian Fund (EHF)

implementing Partners were communicated.
 Current MHNT relocation
 WHO team from Assenga, Abuarie,
Tsitsika, will ready to move to other priority
IDP/ Hf
 Humedica team will move to cover Abuarie
IDP site
 AAH team from Neurake will move to
Tsitsika/ Dildeye Hc
 MTI team ready to cover Metema PoE
 MSI team will move to Feyele Wuya

Action point 13: Request potential partners to dislodge latrine in
IDPs having a problem
928$ (51,968birr) in going to be transferred for South Wollo zone for

dislodging activities from RHB. The Transfer letter is already written!
Desludging of four stances latrines in Shoa Robit secondary school by

COOPI

CHOLERA OUTBREAK
RESPONSE UPDATE
48
Cholera weekly update Epi week 50, 2023
In this week;
 A total of 03 cholera cases were reported from Wofla woreda
 No cholera Death
 No sample collected

Cholera Surveillance Update as of December 20, 2023
Total cholera CFR Total cholera CFR
Zone Woreda cases deaths (%) Zone Woreda cases deaths (%)
Quara 2309 36 1.6 Dera 124 6 4.84
Ebinat 8 0 0.0
Metema GH 45 1 2.2 Libokemkem 11 1 16.7
West
Gondar Kumer Refugee 455 8 1.8 South Gondar Simada 1 0 0.0
Metema 79 1 1.3 Estie 1 0 0.0
Fogera 48 0 0.0
Gendawuha 12 0 0.0
Woreta 14 0 0.0
Dabat 11 0 0.0 Bahir Dar Zuria 376 2 0.53
North Gojjam
North Debark Town 3 0 0.0 Yilmana Densa 17 0 0.0
Gondar Janamora 155 7 4.6 Bahir Dar City Bahir Dar town 223 4 1.8
Debre Birhan City Debre Birhan town 37 0 0.0
West Telemt 2 0 0.0 Asagirt 6 0 0.0
Alefa 19 0 0.0 North Shewa Berehet 3 0 0.0
East Dembia 30 0 0.0 Mojana Wodera 4 0 0.0
Jawi 1 0 0.0
Chilga 1 10 0 0.0
Central Awi Chagni 1 0 0.0
Gondar Tach Armachiho 6 0 0.0 Ankasha Guagusa 1 0 0.0
West Belesa 62 2 3.3 East Gojjam Hulet Eju 5 1 20.0
Gondar Zuria 2 0 0.0 Gondar City Gondar town 126 8 6.4
Takusa 29 1 3.8
Cholera Surveillance Update as of December 20, 2023
Total CFR Total CFR
Zone Woreda/Hospital/ cases Deaths (%) Zone Woreda cases Deaths (%)
Alamata town 140 2 1.4
Woldia Town Woldia Hospital 46 1 2.7
Raya Alamata 84 0 0.0
Angot 12 0 0.0 Korem Hospital 105 0 0.0
Dawunt 4 0 0.0 Sekota town 9 0 0.0
Meket 34 1 3.0 Sekota Zuria 8 0 0.0
Lalibela town 2 0 0.0 Wag Himera Gazgibla 88 1 1.2
North Raya Bala 2 0 0.0 Zata 5 0 0.0
Wollo Wadila 33 3 9.1 Ziquala 2 0 0.0
Kobo town 63 0 0.0 Dehana 9 0 0.0
Gidan 9 0 0.0
Wofla 40 4 12.9
Gubalafto 6 0 0.0
South Wollo Delanta 23 0 0.0
Gazo 8 0 0.0
Lasta 3 0 0.0 Dessie City Dessie town 1 0 0.0
Raya Kobo 11 0 0.0 Region 4983 90 1.81
Cholera outbreak status as of December 20, 2023
# of Days since last
Zone/City List of Woredas Last Reporting Date Current date Outbreak Status
case
Bahir Dar City Bahir Dar Town 29-11-23 20/12/2023 21 Active
Alefa 3/10/2023 20/12/2023 71 Controlled
Chilga 1 24/8/2023 20/12/2023 107 Controlled
East Dembia 25/10/2023 20/12/2023 57 Controlled
Central Gondar Takusa 10/14/2023 20/12/2023 67 Controlled
Gondar Zuria 3/10/2023 20/12/2023 78 Controlled
West Belesa 3/10/2023 20/12/2023 78 Controlled
Tach Armachiho 8/13/2023 20/12/2023 122 Controlled
Debre Birhan City Debre Birhan Town 12/11/2023 20/12/2023 37 Active
East Gojjam Hulet Eju Enese 28/8/2023 20/12/2023 107 Controlled
Gondar City Gondar Town 2/10/2023 20/12/2023 72 Controlled
Bahir Dar Zuria 28/11/2023 20/12/2023 22 Active
North Gojjam
Yilmana Densa 26/8/2023 20/12/2023 109 Controlled
Dabat 30/9/2023 20/12/2023 74 Controlled
Janamora 23/10/2023 20/12/2023 58 Controlled
North Gondar Debark Town 7/20/2023 20/12/2023 153 Controlled
West Telemt 29/8/2023 20/12/2023 113 Controlled
North Shewa Mojana Wedera 24/8/2023 20/12/2023 118 Controlled

Cholera outbreak status by woreda as of December 20,
2023
Zone/City List of Woredas Last Reporting Date Current date # of Days since last case Outbreak Status
Fogera 4/12/2023 20/12/2023 16 Active

Libokemkem 10/9/2023 20/12/2023 65 Controlled
Woreta Town 27/11/2023 20/12/2023 23 Active
South Gondar Dera 30/10/2023 20/12/2023 51 Controlled
Ebinat 25/8/2023 20/12/2023 117 Controlled
Estie 8/15/2023 20/12/2023 120 Controlled
Simada 8/18/2023 20/12/2023 117 Controlled
Delelo (Metema) 24/10/2023 20/12/2023 57 Controlled
Genda Wuha Town 12/10/2023 20/12/2023 62 Controlled
Kumer Refugee Camp 20/9/2023 20/12/2023 84 Controlled
West Gondar
Metema 25/10/2023 20/12/2023 57 Controlled
Metema GH 13/9/2023 20/12/2023 98 Controlled
Quara 2/10/2023 20/12/2023 79 Controlled
Ankasha Guagusa 7/21/2023 20/12/2023 152 Controlled
Awi Chagni 8/2/2023 20/12/2023 140 Controlled
Jawi 7/17/2023 20/12/2023 156 Controlled
North Shewa Asagirt 8/23/2023 20/12/2023 112 Controlled
North Shewa Berehet 8/20/2023 20/12/2023 115 Controlled

Cholera outbreak status by woreda as of December 20, 2023
Zone/City List of Woredas Last Reporting Date Current date # of Days since last case Outbreak Status
Alamata town 29-11-23 20/12/2023 19 Active
Angot 14-11-23 20/12/2023 36 Active
Dawunt 07-11-23 20/12/2023 36 Active
Gazo 11-11-23 20/12/2023 39 Active
Gidan 11-11-23 20/12/2023 39 Active
Gubalaftu 16-11-23 20/12/2023 34 Active
Kobo Town 7-12-23 20/12/2023 25 Active
North Wollo
Lalibela Town 2-11-23 20/12/2023 48 Controlled
Lasta 03-11-23 20/12/2023 47 Controlled
Mekiet 15-11-23 20/12/2023 35 Active
Raya Alamata 11-11-23 20/12/2023 39 Active
Raya Bala 08-11-23 20/12/2023 35 Active
Raya Kobo 2-12-23 20/12/2023 25 Active
Wadila 17-11-23 20/12/2023 33 Active
outh Wollo Delanta 23-11-23 20/12/2023 27 Active
Dehana 06-11-23 20/12/2023 44 Controlled
Gazgibla 5-12-23 20/12/2023 20 Active
Korem Town 3-12-23 20/12/2023 17 Active
Wag Hemra Sekota Town 18-12-23 20/12/2023 2 Active
Sekota Zuria 27-11-23 20/12/2023 23 Active
Wofla 17-12-23 20/12/2023 3 Active
Zata 05-11-23 20/12/2023 45 Controlled
Wag Hemra Ziquala 01-11-23 20/12/2023 50 Controlled
Woldia town Woldia town 10-12-23 20/12/2023 15 Active
Dessie City Dessie town 06-11-23 20/12/2023 44 Controlled

RCCE Weekly status update Health Education given Dec 20,2023
Service No of Issue/ Place
Delivery Point Participants Topic
Cholera North wollo, woldia,Central Gondar, West Gondar,Bahir Dar city, North shewa,
HF 16,931 Deber Tabour,Awi, Deber Markose,Waghimera ,South Gondar,North Gondar,
889 Measles West Gondar, Central Gondar , Gondar City

912 WASH Central Gondar, Gondar City
HH 2142 Cholera Central Gondar, West Gondar,Deber Tabor, North Wollo, Waghimera
Religious 8,325 Cholera West Gondar, Central Gondar, South Gondar, North Wollo, Woldia, Gondar
organization City, Awi
Holly site 10,956 Cholera South Gondar,Deber Birhan, North wollo, Awi ,N orth Shewa,Central Gondar
10,890 Cholera North Wollo , Deber Birhan , West Gondar,Gondar City
IDP West Gondar, Ddeber Birhan, North wollo
3,130 Wash
2,856 North Wollo,Deber Diberhan, Gondar City ,
Scabies
School Community 8,120 Cholera North Wollo,Central Gondar,Woldia,West Gondar,Waghimera, Gondar City
Investment corridor 2,500 Cholera West Gondar
Total HE = 43,277 (Cholera: 38291, WaSH: 3130, Scabies: 2856)
© 2022 APHI-PHEOC 19
RCCE Weekly status update on Cholera outbreak Response
Dec 20,2023
 Distributed 1500 Brochures for school community on cholera
prevention and control methods (Wag)
Daily communication with respective persons from cholera hotspot
area to strengthen RCCE intervention especially in health facilities,
schools and holly water sites
RCCE Weekly status update Dec 20,2023
 Influenza Alert
letter written
and shared to
concerned
bodies
WaSH/IPC update for Cholera response…
Maintenance of two blocks latrine is completed at Koha and Dibbahir HPs in Debark Woreda by
IMC
Three sessions environmental cleaning campaign conducted at Metema PoE by the support of IOM
 Construction of 14 seats semi-permanent Latrine has been under construction for Golmassa kebele of
Dabat, North Gondar by IOM
 Rehabilitation of borehole is ongoing for Bohoro Kebele of Raya Kobo in North Wollo by ZOA
 WaSH NFIs (Soap, Jeri-can & bucket) and dignity kits distributed for 300 HHs at Angot, Gidan,
wadela and Laseta Woredas by Save the Children.
Surrounding of HDW areas rehabilitation completed in Sakura kebele, Aberegele woreda by Save
the Children.
Water system rehabilitation at Tsata HC which includes 5000 lit Roto installation at Tasgbeji woreda
Save the Children.
One block latrine rehabilitations of ventilated improved pit latrine @Zarima health center is
ongoing by PIE
WaSH/IPC update for Cholera response…
 Four HTH Chlorine drum 45 kg 70% were provided to metema woreda by IOM
 Two sessions of sanitation campaigns were conducted at China and woynishet

IDP sites by ALIGHT.
WASH/IPC training was given for Nine WASCOs in ezabaweyin

kebeles,Trameber woreda, North Shewa by COOPI

Weekly Logistic Cholera management update, Epi week 50,2023
No transaction this week for Cholera

Drought Response
update
Drought affected zones, woredas and kebeles
 In 2023 harvesting season, 429 kebeles, 43 woredas in 9 zones
affected with drought
 About 1,846,895 people affected with this drought
 An estimated 250,070 under five years children and 62,240

pregnant and lactating women are found in the drought affected
areas

Drought affected population by zones, and woredas
Affected # of # of Affected # of Drought Number affected U5 Numebr of
Affected Zones
Woredas population Kebeles affected population Children affceetd PLW
Janamora 210,344 20 128,631 17417 4335
Telemt 94,653 15 62,685 8488 2112
North Gondar Beyeda 99,607 6 55,485 7513 1870
East Telemt 103471 3 63,553 8605 2142
West Telemt 104525 6 57,737 7818 1946
Abergelie 59,737 17 36,822 4986 1241
Ziquala 61,316 15 27,307 3697 920
Sahila 33,280 13 31,394 4251 1058
Wag Himra Dahina 112,495 14 69,211 9371 2332
Tsagibji 40,976 5 33,988 4602 1145
Ofla 176278 11 46,496 6296 1567
Zata 50256 5 24,900 3371 839
Kinfaz Begele 74,610 18 38797 5253 1307
Central Gondar East Belesa 153,030 15 52453 7102 1768
West Belesa 172246 1 15000 2031 506
Drought affected population by zones, and woredas….
# of Number
Affected Affected # of Affecetd # of Drought Numebr of
Woreda affected U5
Zones Woredas Kebeles affected population affceetd PLW
population Children
South Meqetewa 55,442 6 21678 2935 731
Gondar Ebinat 163,903 7 26500 3588 893
Argoba 41,993 7 38,970 5277 1313
Tehuledere 117,038 5 21,481 2909 724
Kalu 218,791 8 34,307 4645 1156
Meqidela 180,727 10 44,920 6082 1514
Tenat 192,757 10 42,525 5758 1433
South
Wollo Mehal Saynt 87,297 6 19,192 2599 647
Saynt 180,287 10 29,010 3928 978
Worebabo 127,681 11 40,500 5484 1365
Borena 138,357 13 31,018 4200 1045
Kelala 114,457 9 36,229 4905 1221
Delanta 107,893 10 30,953 4191 1043
Drought affected population by zones, and woredas….
Affected # of Woreda # of Affecetd # of Drought affected Number affected Numebr of
Affected Woredas
Zones population Kebeles population U5 Children affceetd PLW
Raya Kobo 251,995 17 96420 13055 3249

Habiru 203,774 15 89690 12144 3023
Lasta 146,432 13 52150 7061 1757
North Wollo Bugna 97,442 8 43570 5899 1468
Meket 168,433 15 75700 10250 2551
Gubalafto 136685 7 53920 7301 1817
Bala 68150 5 26000 3520 876
Bati woreda 98,525 17 35,000 4739 1180
Oromo sp Dewe harewa 53,496 3 25,000 3385 843
zone Jilie Timuga 87,283 3 35,000 4739 1180
Artuma Fursi 92950 12 25,000 3385 843
North Shewa Berehet 46,702 6 25000 3385 843
Enbsie sarmidir 123,882 13 39,318 5324 1325
Eats Gojjam Goncha sioenesie 176,743 15 50,965 6901 1718
Enarj enawga 171,834 4 12,420 1682 419
9 43 1,856,176 153 685,153 92,770 23,090

Preparedness and response activities done to date
 Multi sectoral rapid need assessment was done
 Mass nutrition screening was done for children and pregnant and lactating women in some
drought affected zones (North Gondar, Wag Himra, and Oromo Sp. zone)
 Drought Response plan has been developed and shared
 Emergency operation center/EOC/ has been activated
 IAP has been developed
 Weekly situation report were prepared started from some zones
 Emergency nutrition consultative workshop conducted with Partners on December 20, 2023
 Zones were communicated to strengthen emergency nutrition surveillance and response activities

Emergency Nutrition Consultative workshop

Weekly Nutrition screening for <5 children in drought affected
areas, by zone week 50,2023
# of # of Total Proxy SAM SAM MAM MAM
Children SAM MAM SAM & GAM linked to linkage cases Link linkage
Zone Screened children Children MAM rate TFP rate to TSFP rate
North
Gondar 1653 89 120 209 13% 89 100% 120 100%
Waghimra 745 66 255 321 43% 63 95% 195 76%
Oromo
Special 1611 91 220 311 19% 91 100% 0 0%
North
Shewa 20314 34 558 592 3% 6 18% 0 0%
Grand Total 24323 280 1153 1433 6% 178 64% 767 67%

Weekly Nutrition screening for PLW in drought affected
areas, by zone week 50, 2023
# of PLW
# of PLW # of PLW PLW MAM Linked to
Zone Screened with MAM rate TSFP Likage rate
North Gondar 923 67 7% 43 64%
Wag Himra 187 144 77% 79 55%
Oromo Special 1741 187 11% 0 0%
N/Shewa 1756 504 29% 0 0%
Grand Total 2332 1036 44% 122 12%

Weekly MHNT Supported Nutrition Activity Report Week 50,
2023
• 10,177 children and 3,408 PLW were screened for
malnutrition;
Screening for • 167 SAM and 593 MAM children were identified (proxy
GAM of 7.5%)
Malnutrition • 487 (14.3%) MAM PLW were found.
Treatment of Acute • 167 children suffering from SAM admitted to TFP (153
malnutrition and OTP and 14 SC).
micronutrient • 195 children and 123 PLW were admitted to TSFP/BSFP
supplementation; a total • 961 children 6-59 months supplemented Vitamin A.
of 8,849 children and • 901 children 24-59 months dewormed.
mothers reached during • 718 mothers received IFA, and 1,840 caretakers of children
the week (2,265 ) are 0-23 received IYCF counseling
children).
Nutrition supplies stock assessment and gap identification report
for Oromo Sp.zone, December 12,2023
Total number of Supplies
Quantity / SAM/MAM Supplies stock on Supplies
ተ. ቁ. Zone Nutrition supply item Unit beneficiary cases required hand gap
1 Oromo sp. zone Amoxicillin 250mg dispersible of 20 tablet PK 0.2 2208 441.6 0 441.6
2 Oromo sp. zone F100 of 24 tin Carton 0.143 29 4.147 15 -10.853
3 Oromo sp. zone F75 of 24 tin Carton 0.13 29 3.77 0 3.77
4 Oromo sp. zone OTP record card (Amharic) Each 1 2208 2208 0 2208
5 Oromo sp. zone TFU Multichart Each 1 2208 2208 0 2208
6 Oromo sp. zone ResoMal of 1000 sachets carton 0.005 2208 11.04 0 11.04
7 Oromo sp. zone RUTF of 13.8kg Carton 1.2 2208 2649.6 40 2609.6
9 Oromo sp. zone Vit -A 200,000 IU of 1000 capsule Tin 0.008 2237 17.896 0 17.896
10 Oromo sp. zone Albedazole 400mg of 100 Tab pk 0.02 2237 44.74 0 44.74
11 Oromo sp. zone SC kit Each 0.02 29 0.58 0 0.58
metric
12 Oromo sp. zone RUSF tone 0.0138 12320 170.016 0 170.016
metric
13 Oromo sp. zone CSB++ tone 0.03 7999 239.97 0 239.97

Nutrition supplies stock assessment and gap identification report
for Waghimera zone, December 12,2023
Total Total Supplies
Quantity / number of suppies stock on Supplies
Zone Nutrition supply item Unit beneficiary cases required hand gap
Wag Himra Amoxicillin 250mg dispersible of 20 tablet PK 0.2 3388 678 4763 -4085
Wag Himra Amoxicillin Susp. In bottle Bottle 1 3388 3388 3492 -104
Wag Himra F100 of 24 tin Carton 0.143 508 73 0 73
Wag Himra F75 of 24 tin Carton 0.13 508 66 103.4 -37
Wag Himra ResoMal of 1000 sachets carton 0.005 508 3 0.1 2
Wag Himra RUTF of 13.8kg Carton 1.2 3388 4066 1931 2135
Wag Himra Vit -A 200,000 IU of 1000 capsule Tin 0.008 104387 835 414 421
Wag Himra Albedazole 400mg of 100 Tab pk 0.02 68848 1377 255 1122
Wag Himra SC kit Each 0.02 508 10 0 10
Wag Himra RUSF metric tone 0.0138 26482 365 0 365
Wag Himra CSB++ metric tone 0.03 14925 448 0 448
Wag Himra High energy Biscut metric tone 0.0138 26482 365 206 159
MALARIA OUTBREAK
SITUATION UPDATE

Report Completeness Epi-Week # 49
Report completeness (%)

Status
This week 74.7%
Increased by 3.9% from last week
Government
HFs Decreased by 21.3% as compared to
Last year similar week (96.0%)
last year similar week
Decreased by 3.2% compared last
This week (73%)
week
Private HFs Decreased by 23.2% compared to last
Last year similar week (96.2 %) year similar week
©Amhara Region PHEOC @ APHI 39

Malaria Situation, 2016 EFY, Epi Weeks 28-49
• A total of 38,509 malaria cases were reported in week 49

Decreased by 1,234 cases (3.1%) from week 48
Increased by 1,234 cases (3.3%) from last year similar week.
• From Epi week 28-49, a total of 644,125 cases were reported

Increased by 95,576 cases (17.4%) with average report completeness of
68.6 % as compared to same period of 2015

Malaria Trend in Amhara Region 2012-2016 EFY

Threshold Vs this year malaria cases, 2016 EFY
60,000
Threshould 2016
50,000
Number of Cases
40,000
30,000
20,000
10,000
0
28
30
32
34
36
38
40
42
44
46
48
50
52
10
12
14
16
18
20
22
24
26
2
4
6
8
Epidemiological Week

Proportion of Malaria Cases as of Week 49

Malaria TPR as of Week 49

Number of Malaria Case Increment in Selected
Woredas, Week 48 Vs Week 49
586
478
number of malaria cases
242
214
213
146
116
111
110
92
86
84
75
72
65
62
57
55
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Top 30 districts in the Region from Epi week 28-49
Cases Report
S.No. Woreda Total Malaria cases
Contribution(%) Completeness(%)
1 Bahir Dar Town 41,136 6.4 97.1
2 East Dembia 35,172 5.5 100
3 Gondar Zuria 33,562 5.2 87.5
4 Libokemkem 28,765 4.5 93.7
5 Quara 27,561 4.3 97.3
6 Metema 27,266 4.2 96.8
7 Dera 26,262 4.1 100
8 Kafta Humera 23,329 3.6 86.3
9 West Dembia 23,104 3.6 76
10 Fogera 20,350 3.2 100
11 West Armachiho 18,370 2.9 92.8
12 Bahir Dar Zuria 16,869 2.6 51.1
13 Gondar Town 15,974 2.5 96.2
14 Woreta Town 13,817 2.1 100
15 Tegede 13,013 2.0 96.6
Total

Top 30 districts in the Region from Epi week 28-49
Total Malaria Report
S.No Woreda Case Contribution %
Cases Completeness %
16 West Belesa 10,531 1.6 82
17 Jawi 10,289 1.6 82.8
18 East Belesa 10,054 1.6 78.1
19 Wolkait 9,450 1.5 100
20 Ayehu Guagusa 9,262 1.4
21 Tach Armachiho 9,011 1.4 96.9
22 Ebinat 8,706 1.4 30
23 Tegedie 7,772 1.2 100
24 Farta 7,035 1.1 90
25 Abergelie 6,907 1.1 100
26 Ziquala 6,693 1.0 100
27 Takusa 6,334 1.0 62.1
28 Chagni 6,246 1.0
29 Estie 6,180 1.0 98.3
30 Adi'Arkay 5,705 0.9 100
Total 484,725 75.3

Malaria Situation, 2016 EFY, Amhara Region
• 30 woredas accounted for 75.3% of regional malaria cases
• 82 woredas surpassed the 5 years threshold on week 49

LSM Activities Conducted on week 49 by zone
Total
LSM_Environmenta LSM_Larveciding_ch LSM_Population LSM_Population
Zone Population
l Management in M2 emical spray in M2 participated_Male participated_Female
Participated
Awi 6,603 0 51 40 6,694
Bahir Dar City 8,220 141 38 203 8,602
Central Gondar 7,241 3,294 500 291 11,326
Debre Tabor City 2,376 0 107 108 2,591
Kombolcha City 4,475 0 398 487 5,360
North Gondar 3,236 889 848 830 5,803
North Shewa 2,188 0 127 133 2,448
North Wollo 1,358 518 891 579 3,346
Oromo Special
Zone 4,575 235 672 681 6,163
South Wollo 795 0 148 64 1,007
West Gondar 4,966 1,529 269 459 7,223
Wolkait Tegedie
SH 22,385 0 516 1,221 24,122
Total 68,925 6,606 4,696 5,208 85,435

IRS Operation status by Zone as of week 49
Targeted Number of Coverage Population Coverage
US US Population
Zone Kebeles for Kebele's from Plan planed to be from plan
planed sprayed Protected
IRS sprayed (%) protected (%)
Awi 25 4 5609 4858 86.6 15861 14327 90.3

Central Gondar 162 79 144308 131353 91.0 404320 436993 108.1
Gondar City 4 4 8414 7682 91.3 25684 23138 90.1
North Shewa 1 1 1245 1252 100.6 3571 3620 101.4
North Gondar 11 4 7246 6157 85.0 20237 18071 89.3
North Wollo 4 1 848 620 73.1 2863 2083 72.8
South Gondar 15 6 12226 11925 97.5 35056 34201 97.6
South Wollo 4 5 15918 16101 101.1 37119 40274 108.5
West Gojjam 22 11 15699 15868 101.1 45005 44393 98.6
Waghimra 23 14 9545 10321 108.1 27763 29349 105.7
WTSH 17 16 9486 9486 100 29169 29169 100
Total 288 145 236817 215623 91.1 681580 675618 99.1
Major Activities Performed
Frequent communication has been done with regional EPSS and zones and districts about
anti malaria commodities.
Larviciding chemical application and LSM follow up
Malaria sensitization workshop conducted for HCPs in B/Dar Zuria Woreda, B/Dar City
& Dera Woreda
Malaria Advocacy workshop conducted in 30 malarious woredas
Malaria Vector Control Training Conducted for HCPs in B/Dar Zuria Woreda and B/Dar
City

RCCE Weekly Heath education given on Malaria
Items No of Place
Participants
HF 3321 South Gondar, Central Gondar, West Gondar , Bahir Dar
city, North Wollo, North Gondar
HH 715 West Gondar, North Wollo, Woldia, and Waghimra

School 4,229
North Wollo, Gondar City ,West Gondar, North Gondar,
Community
and Awi
Investment 3,560 West Gondar

corridor
Total 11825

RCCE Weekly Status update on Malaria
 ARHB and APHI in
collaboration with partners
conducted malaria week
celebration with 148 participants
from malaria hot spot zones and
woredas, different regional sector
offices and religious institutions

RCCE Weekly Status update on Malaria
 In collaboration with HDAMA handbook on
malaria prevention and control was
prepared and distributed for participants of
malaria week celebration (148 hand book)

For Malaria-Antimalarial commodities Status as of December
20, 2023
Qty at Qty at Qty at Potential number of
S.no Item Description Unit TOTAL
Bdr Gondar Dessie cases to be treated
1 Coartem 6*1 30 68 220 0 288 8,640

2 Coartem 6*2 30 2 114 0 116 3,480
3 Coartem 6*3 30 252 60 0 312 9,360
4 Coartem 6*4 30 3,915 2,970 2,413 9,298 278,940
5 Artusinate inject. Amp 10,920 1,230 246 12,396
6 Chloroquine 250 mg tab 10*10 1,261 1,050 95 2,406 24,060
7 Premaquine 7.5 mg tab 100 4,065 1,530 1,469 7,064
8 RDT of 25 test 25 9,945 3,360 3,356 16,661 416,525
The available stock can manage 324,480 Malaria Cases

WAR-RELATED HEALTH
EMERGENCY RESPONSE

Internally Displaced Persons in the Amhara region
December 20, 2023
7
• New Arrivals 7 birth (Woldya city1, Jari 1, M/Eyesuse 1, Jara 2,
China kamp 2)
3,123,762
• Displaced so far
2,312,247
• Returnees so far
• No returnees by the week.
811,515
• IDPs Currently living in Amhara region
• 88,601 (11%) are living in 39 collective sites
Current IDPs per zone in the region December 20, 2023
Total IDPs in Total IDPs in the Host Total IDPs currently Current IDP
Zones collective sites Community (Collective + Host) Percentage
Awi 0 70,842 70,842 8.7%
Bahir Dar city 0 5,568 5,568 0.7%
Debre Berhan city 30,477 22,000 52,477 6.5%
Dessie city 670 126 796 0.1%
East Gojjam 0 35,571 35,571 4.4%
Gondar city 2,769 2,756 5,525 0.7%
North Gondar 2,022 5,923 7,945 1.0%
North Shewa 9,990 146,721 156,711 19.3%
North Wollo 12,568 21,981 34,549 4.3%
Woldia town 391 1,132 1,523 0.2%
Oromo Zone 15,492 47,488 62,980 7.8%
South Gondar 0 42,347 42,347 5.2%
South Wollo 13,636 28,155 41,791 5.1%
Waghimra 467 97 564 0.1%
West Gojjam 0 240,133 240,133 29.6%
West Gondar 118 1,570 1,688 0.2%
Wolkayt-Tegedie-SH 0 50,504 50,504 6.2%
Region 88,601 722,914 811,515 100.0%
Amhara Region PHEOC @ APHI 58

EHS provision for IDPs at Collective site , Epi week 50, 2023
 In this week, 4,055 (848 under five ) IDPs have received free health
services. And also 26 individuals developed mental health illnesses
 So far
 About 567,536 (141,422 under five) IDPs have received free health
services.
 Of which who get access to healthcare a total of 19,376 individuals
developed mental health illnesses due to war.

EHS provision for IDPs at Collective site Epi week 50, 2023
Weekly Weekly To date Weekly Weekly

Main Indicators Target Ach. Ach. Main Indicators Target Ach To date
ANC 1st 53 34 11,169
Ach.U5 MUAC screened 2,700 3099 541,981
ANC 4th 53 19 6,178
U5 SAM cases 14 19,853
Skilled Delivery 53 7 3,692
PNC services 53 7 2,964 U5 SAM linked to SC/OTP 14 17,313
U5 MAM cases 71 44,195
Family Planning 371 166 37,422
U5 MAM cases linked to
Pentavalent 1 46 23 6,839 TSFP 54 35,537
Pentavalent 2 46 14 5,301
PLW MUAC Screened 1,058 901 195,176
MCV 1 dose 46 19 6,845
MCV 2 dose 46 17 5,898 PLW with <23 cm 22 30,462
Vitamin A 277 175 18,285
Dewormed 92 14,512 PLW linked to TSFP 19 17,532
48
Collective IDP sites report status Epi week 50, 2023
SN Zones # of Expected reporting # IDPs Percentage (%)
IDP Site Reported
1 Gondar City 1 1 Reported
2 Dessie Town 1 1 //
3 North Gondar 1 1 //
4 South Wollo 12 12 //
5 North Wollo 5 5 //
6 Oromo special 5 5 //
7 Debrebirhan City 3 3 //
8 Waghimra 1 1 //
9 North Shewa 8 8 //
10 West Gondar 1 0 Not reported
11 Woldya City 1 1 reported
Total 39 38 97 %

SGBV survivors reported by health facilities/OSC in war-affected areas,
week 50, 2023
OSC/Hospitals Total SGBV survivors Emergency PEP STI Tested Tested HIV
<18 yrs. >18 yrs. This contraceptive for Rx HIV positive after
Female Female week HIV positive 12 weeks
Debark Hospital 0 3 3 3 3 3 0 0
Dessie OSC 2 8 10 3 3 7 0 0
Kombolcha Hospital 1 1 2 2 2 2 0 0
Lalibela Hospital 0 1 1 1 1 1 0 0
Debre Tabor Hospital 1 0 1 0 0 0 0 0
Tefera Hailu Hospital 0 6 6 5 5 5 0 0
Debre Birhan Hospital 2 2 4 2 2 2 1 0
Felege Hiwot Hospital 3 5 8 5 6 5 0 0
Metema hospital 1 0 1 1 1 1 0 0
Este Hospital 0 1 1 0 0 0 0 0
Mekane Selam Hospital 1 0 2 1 0 1 0 0
Grand Total 11 27 39 23 23 27 1 0
SGBV survivors reported by health facilities/OSC in war-affected
areas, from July 25-Dec 17, 2023
OSC/Hospitals Total SGBV survivors Emergency PEP STI Tested HIV Tested HIV
<18 yrs. >18 yrs. Female Total contraceptive for Rx positive positive after 12
Female HIV weeks
Akasta Hospital 6 4 10 6 6 7 0 0
Debark Hospital 5 20 25 22 21 24 1 0
Dessie OSC 30 42 74 24 26 34 0 0
Kombolcha Hospital 9 8 17 15 15 15 0 0
Lalibela Hospital 3 6 9 7 7 9 0 0
Woldia Hospital 25 19 44 14 21 21 0 0
Debre Tabor Hospital 14 28 43 27 27 27 0 0
Tefera Hailu Hospital 15 34 49 23 23 24 1 0
Debre Birhan Hospital 13 26 41 17 17 17 1 0
Felege Hiwot Hospital 10 19 29 13 14 13 0 0
Gondar university Hospital 17 36 53 43 44 50 0 0
Metema hospital 7 6 13 13 13 13 0 0
F/selam Hospital 0 3 3 0 0 0 0 0
Dembecha Hospital 2 1 3 0 0 0 0 0
Injibara Hospital 6 2 9 6 6 6 0 0
Dabat Hospital 1 5 6 5 6 5 0 0
Addis Alem Hospital 0 3 3 2 2 2 0 0
Enat Hospital 0 0 2 0 2 0 0 0
A/zemen hosp 0 1 1 0 0 1 0 0
Debre markose OSC 4 13 18 11 11 11 1 0
Tibebegion Hospital 0 4 4 4 4 4 0 0
Este Hospital 0 1 1 0 0 0 0 0
Mekane Selam Hospital 1 0 2 1 0 1 0 0
Grand Total Region PHEOC @ APHI
© Amhara 168 281 459 253 265 284 4 67 0
IDP-WaSH response update
Zones IDP S.permanent Hand DrinkingSolid Waste Liquid Water
Latrine washing Water disposal Waste reservoir/
(seat) Availability Source site disposal site Rotto
Exp Avai Exp Ava Ex Avai Exp Avail Exp Avai Exp Av
p l ail
D/Tabor 431 9 5 13 2 2 2 1 3 1 2 1 3
D. birihan 30,427 511 99 775 16 10 6 27 5 27 4 40 10
Gondar T. 2711 54 55 82 45 5 2 3 1 3 10 10 2
Oro-Sp/Z 24031 481 4 728 4 1 2 24 4 24 4 36 4
Waghimira 314 6 8 10 0 1 1 1 0 1 0 1 1
W. Gondar 131 3 15 4 9 2 2 1 1 1 1 1 1
N-Shewa 5859 117 20 177 3 8 4 8 3 8 2 8 1
N-wollo 2307 46 38 70 25 6 6 6 5 6 5 4 2
NB: No New WASH facilities completed in this week at collective sites

Medical Service Causality update as of December 19, 2023
New Total New Total S.N New Total
S.No Hospital case Cases S.No Hospital case Cases o Hospital case Cases
1 Denbecha PH 0 970 32 Woreta PH 0 23
2 Adet PH 0 159 18 Ayira GH 0 45 33 Metema GH 0 96
3 Woldia CSH 0 409 19 Injibar GH 0 155 34 Debark GH 0 119
4 Siant PH 50 108 20 Deber Markose CSH 0 323 35 TGCSH 0 604
5 Enat GH 211 791 21 DBCSH 0 74 36 Shebel Bereta PH 61
6 Deber Elias PH 0 566 22 UoGCSH 0 218 37 Lumammie PH 0 283
7 Dangilla PH 0 87 23 Burie PH 0 117 38 Mertolemariam PH 0 160
8 Akasta GH 0 94 39 Shahura PH 0 232
24 Addis Alem PH 0 68
40 Woreta HC 0 41
9 Mekane Eyesus PH 0 102 25 DTCSH 0 338
41 Liben PH 9 92
10 Dabat PH 0 10 26 Mekane Selam GH 0 667 42 Quara PH 0 251
11 Dessie CSH 26 953 27 Deber Work PH 1 224 43 Wogeda PH 0 89
12 Motta GH 0 277 44 Ayikel PH 2 192
13 Fenote Selam GH 0 302 28 Ebinat PH 0 431
45 Mekidela PH 0 19
14 Feres bet PH 0 314 29 Addis Zemen PH 4 121 46 Haik PH 0 174
15 Merawi PH 0 707 47 Debreberhan CSH 264
16 St Lalibella GH 0 367 30 Durbetie PH 0 174
Regional Total 104 12330
17 FHCSH 0 337 31 Bechena PH 0 122
Medical Service: Blood collection and Oxygen Distribution as of
19,2023 Oxygen Distribution
S.no Blood Bank Collec Stock on S/NO Hospital Name No of Cylinder (50 Price in
Liter) Birr
tion hand
1 Kemissie 0 8 1 Anbesamie PH 10 1835
2 Bure PH 8 1850
2 Gondar 21 419
3 N/Mewcha PH 5 1130
3 Dessie 351 275 4 Adisalem PH 10 2500
24 5010
4 Deber Tabore 1 3 5 Woreta PH
Arebaya PH 25 6020
6
5 Deber Markos 53 0 Dr Ambachew PH 8 2000
7
6 Seqota 95 0 Wogeda PH 20 5000
8
7 Woldia 67 152 9
Sanja PH 55 12760
10 F/Selam GH 40 9100
8 Metema 154 0
12 Han HC 2 400
9 Bahirdar 268 130 13 FHCSH 275 53135
14 Kemisie GH 39 7214
10 Deber Birhan 14 65 15 Kombolcha GH 13 2410
16 Haiq PH 9 2010
Total 1024 1052 Total 543 112374
Logistic update for casualty Management, Epi week 50,2023
 For Causality
 174 line items (Pharmaceuticals, Medical supplies and equipments) were
received by RHB from ICRC
 In this week, Ethiopian Emergency drug kits and medical equipments
which costs 1,327,523.10 ETB were issued to Sekela and Bibugn
WoHos, Bibugn and Shegaw Motta Hospitals for Causality management.
 For Mertolemariam and Bibugn hospitals 119 line items (for each) were
issued from ICRC supported commodities
Logistic update for IDP, and Drought , Epi week 50,2023
No transaction this week for IDPs & Drought
Response

SUDAN REFUGEE & RETURNEE
RESPONSE UPDATE

Sudan Refugees & Returnees update as of Epi. week 50,2023
 846 returnees and refugees crossed Metema POE of which 315 were Ethiopians during the week
 90,921 returnees and refugees crossed Metema Yohannis point of entry as 19 Dec /2023
 So far 39,727 Ethiopians returned and 51,194 refugees were foreigners
 To date 37,799 cases were got free medical service of which 1,946 were treated in this week
 Top five cases of the week were URTI=195, AFI=147,AGE=89,,Community Acquire Pneumonia =71,malaria =58
 There are 5 referral cases during the week
 01 SAM cases out of 400 children screed and 02 MAM cases out of 100 PLW were screened and linked to near by
clinic.
 SRH Service were provided for 100 women in the reproductive age group (30 ANC,30 PNC,40 family planning
 Service were provided by IOM and MHNT as of 19 Dec /2023 (EPI Wks 50)

Update on Returnees and refuges…….as of Dec 19, 2023
 90,921 returnees and refugees had been screened

for different disease condition
 At transit center there are 3,150 refugees of

which 147 to other country&90 relocate to
Kumer, then 2913 remain at transit site
 More than 9,712 refugees relocated to Kumer

Refugee camp
 About 200 at MRC
 About 1800 rent dorm at Metema Yohannis town

Kumer Refugees Camp/ site
Response activities Update on Returnees & refugees…as of Epi wee
50/2023
 IMS meeting were under going every Thursday
 Awareness raising was done with mega phone in different languages like, Amharic, English, Arabic Tigrigna
and Afa Oromo and addressed for 565 individuals on mental health and related issues using mega phone in
open space at POE
 A total of 1500 individuals were reached with key awareness messages on communicable disease and SRH
0f which 05 were referred to Metema general hospital for especial evaluation
 Recreational activities through Ethiopian cultural music was done for 50 individuals
 PFA was provided for 200 with different needs and linked them with medical& social support.
 There are about 40 vulnerable women and children were got material support like diaper, women
clothes, women under wear, sanitary pads, biscuit and packed water.
 Emotional support was given for 40 individuals with psychological distress including GBV cases

IPC/WaSH response at Metema Border , Epi week 50,2023
Water trucking
For the point of entry by IOM, Red cross, and West Gondar Zone
water office (2 truck daily: 1 truck contains 18000-20,000 liters).
 For the kumer Camp and transit camp by UNHCR (2 truck daily: 1
truck contains 18000-20,000 liters).

Services provided by
MHNT
Services provided by MHNT Epi Week 50,2023
Goal Hume
Health services provided Ethiopia dica IOM PIE ACF MSIE MTI UNICEF Total
Total number of medical
consultations 1187 579 1788 2238 278 101 921 3639 10731
Total number of contraceptive
acceptors (new + repeat ) 48 120 9 92 33 70 34 131 537
ANC 1st visit 9 101 3 80 14 9 26 34 276
ANC 4th visit 5 22 1 24 6 9 12 28 107
Skilled delivery 0 21 0 30 10 2 3 11 77
Post Natal Care 1 21 0 31 10 2 5 18 88
Penta 1 0 57 14 60 16 0 4 28 179
Penta 3 0 41 8 51 6 0 3 21 130
Measles 1st dose 0 47 12 48 0 0 1 31 139
Measles 2nd dose 0 31 9 40 0 0 11 17 108
Children fully immunized 0 68 0 42 0 0 236 9 355
Nutrition Services provided by MHNT Epi Week 50,2023
Nutrition Services Goal Ethiopia Humedica IOM PIE ACF MSIE MTI UNICEF Total
Children screened for
malnutrition 1304 425 190 646 124 0 0 3392 6081
Children screened with
MAM 28 27 8 182 31 0 10 108 394
Children liked TSFP 28 4 8 90 0 0 10 33 173
Children linked to OTP 6 7 0 65 6 0 0 20 104
Children screened with
SAM 6 8 0 68 10 0 0 24 116
Children admitted SC 0 1 0 8 4 0 0 4 17
PLW screened for
malnutrition 516 197 65 403 34 0 92 1017 2324
PLW with MUAC < 23 7 23 17 167 8 0 14 65 301
PLW linked to TSFP 7 1 17 62 0 0 7 18 112
Deployed MHNTs reporting status by Partners, Epi Week
50,2023
# Organization # Deployed MHT # share report
1 Concern Worldwide 2 0
2 Goal Ethiopia 4 2
3 Humedica 3 3
4 International Medical Corps 9 0
5 International Organization for Migration 4 4
6 Marie Stoppes International Ethiopian 5 3
7 Plan International 3 3
8 World Vision 3 0
9 UNICEF 12 12
10 WHO 10 0
11 FHI 360 1 0
12 Samaritan's Purse International Relief 1 0
13 Action Against Hunger 1 1
14 Afro Ethiopia 1 0
15 Medical Teams International 3 2
Total 62 30

Partner Support

UNICEF
■ Fund support malaria day advocacy workshop was conducted at Bahir Dar city and 153
stakeholders were engaged from Malaria hot spot woredas, zones and from regional level.
■ Extended budget support for RHB on Logistic management information system capacity
building training at North Wollo and North Gondar zones and 44 health workers were participated
from both zones.
■ For health service restoration using UNICEF budget support, Debark Zuriya woreda was
conducted community score card training for 67 kebele community council members, health
extension workers and health workers.
■ 12 deployed MHNTs have continued providing services at 4 HFs, 6 IDPs and 2 refugee centers.
■ Continued technical assistance support (5 TAs) on emergency response and coordination at

RHB/APHI, Waghimra, N/Wollo and N/Gondar zones
UNFPA
■ UNFPA continued the provision of financial and technical assistance to support the provision of
maternal, newborn, child and SRH services and referral services being provided by 44 deployed
midwives implemented by Ethiopian midwives Association in 41 HFs, 9 different conflict and war
affected zones in Amhara region.
■ UNFPA continued the provision of financial and technical assistance to support the delivery of
maternal and SRH and PSS services being continuously provided by the MSI recruited static teams
operating staffs at 4 HFs and China IDP camp in six zones.
■ UNFPA started the provision of maternal, SRH and GBV and nutrition response at West Gondar
zone, Kumer camp) to reinforce the humanitarian responses at Sudan crisis through deployment of
one mobile health team comprising, GP, Midwives, clinical nurse, senior protection officer, and
response officer and over all coordinator through UNFPA Implementing partner- Medical team
International (MTI
PIE
# of persons
# Activity Description Unit Quanity Cost in Birr
benefited
Technical support and health & nutrition services
1 to Adiarkay, Tsagibji and Raya Kobo district at #of MHNT 3
437,831.00
Health center & health post.
A Follow Tsagibije Woreda SC renovation activities
B Adi Arkay
1 MAM children received RUSF Carton 31 155(71 M)
1 MAM children received CSB++ Carton 56 140(65 M)
2 PLW MAM received CSB++( 1 Carton Contain 10
Sachet) Carton 112 224
3 Printing TSFP Card for TSFP program No 10,000 10,000 160,000.00
Total estimated cost excluding TSF supplies

597,831.00
Afro Ethiopian Integrated Development (AEID)
■ Construction of 3 blocks of Emergency Inclusive Latrines (each with 5 stances for

latrine and a shower room) at Bezawit Mariam Church, Abay Health centre and Abune
Gebremenfes Kidus Church are going on
■ Daily Water quality monitoring at Addisalem Hospital and Abunehara Dingil Church is
going on.
 There is Zero FRC (Free Residual Chlorine) below the WHO standard (0.5-1 FRC) at
Addis Alem Hospital CTC due to long time storage of water in flexible water storage
tank and exposed for direct sun light.
■ Rehabilitation of water scheme at Abune Hara Dingil Church is going on.
■ 1 drum HTH Chlorine is provided for Bahir Dar Town Water Utility
AEID…..
■ 11 cleaning campaign conducted & 935 Participants participated on it.
■ 6,916 individuals attended health education at Midre Genet, Maraki,

Teyima, Abay ras, A/Gebremenfes Kidus church, Shimbt Health
Center, Andasa, A/Hara Church, D/Tsion Laguna and Betemariam
■ on job training provided for 30 Hygiene Promoters of Andasa and

Betemariam kebeles in Bahir Dar City and Surrounding areas.

JSI
■ Provide Cholera Case Management training for 25 (8 females) Health Workers for cholera
affected woredas from North Wollo & South Wollo Zones. (Utilized finance 311,700 ETB).
■ Provide one day orientation on Oral Cholera vaccination (OCV) for 25 (3 females) participants
from North Wollo Zone, Raya Alamata & Kobo Towns. (Utilized finance 78,570 ETB).
■ Provide support for North Wollo ZHDs, Raya Alamata & Kobo Town during oral cholera
Vaccination (OCV) campaign through covering perdiam costs of 4 teams (20 people who are
vaccinators/supervisors & campaign coordinators). (Utilized finance 120,000 ETB).
■ Provide 5 days Sexual & Gender-based Violence (SGBV) training for 25 (7 female) health care
provide in conflict affected one stop centers and hospitals from E/Gojjam, W/Gojjam, N/Gojjam,
Awi, South Gondar & C/Gondar Zones. (Utilized finance 288,750 ETB).

Action Against Hunger (AAH)
 One Pipeline expansion with sanitary installation work was

completed at Gasay kebele and Deramo HC of farta woreda, South
Gondar.
 BOQ and Design of 21 water schemes and 6 VIP Latrines
construction was completed at Sekota, Abergele, Gazgibla, and
Tsagbji woredas.

Save the Children (SCI)
 Rehabilitation of four water points were completed at Aberigelle woreda
 Rehabilitation of Shallow well at Neraku HC of Abergellie woreda which
includes ROTO installation (2000 lit).
 Rehabilitation of two HDWs at Sib HC of Tsagibji woreda
 Rehabilitation of two shallow wells and one(1) Hand Dug well at beleka
kebele, Tsagibji woreda

Gaps and challenges
EPSS hubs lack adequate line items to do breakdown to IDPs sites
Shortage of Essential & Vital pharmaceuticals at RHB, ZHD, Woreda & HFs for
Public health Emergencies in the Region.
Zonal &Woreda officers unable to physical support in collective sites in Kalu,

Gubalafto, Ephirata, Minjar, Atsokiya
Shortage of anti malaria commodities (RDT,Coartem,Chloroquine) in Andabet, Estai,

Basoliben, Simada and Debre Alia Woredas

Major gaps /challenges identified
Drought situation is not advocated adequately by higher officials

 Weak inter sectoral coordination with partners for Drought Response
 Critical shortage of funds for Drought response
 Critical Shortage of nutritional supplies for SAM and MAM management
Mass nutrition screening was not done in Central Gondar, South Gondar, North
Wollo, South Wollo, East Gojjam & North Shewa
Transportation of nutrition supplies from region/zone to woredas and facilities has

interrupted by security problem

Thank You !!!

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WAR RELATED PUBLIC HEALTH EMERGENCIES,

CHOLERA, MALARIA, AND DROUGHT SITUATION

REGIONAL IMS WEEKLY MEETING #130

AMHARA REGION PUBLIC HEALTH EMERGENCY OPERATION

Bahir Dar | Ethiopia

Last Week IMS Meeting action point status update

 Regional PHEs Situation Updates (Cholera outbreak, Malaria,

© Amhara Region PHEOC @ APHI 2

 Diseases/Conditions Surveillance and Response Reported

 Medical Services Reported

 Essential Health Services Reported

© Amhara Region PHEOC @ APHI 4

Conduct onsite malaria outbreak investigation in high burden

7 Conduct Inter-Action Review for cholera outbreak Planning Section Done

© Amhara Region PHEOC @ APHI 5

Mobilize blood collection in Bahir Dar and Gondar cities to Medical

Advocate MHNT gaps and emergency public health

Request potential partners to dislodge latrine in IDPs

© Amhara Region PHEOC @ APHI 6

Janamora 50,000 2932 3186 7303 7627 12761 14673 48482 97

© Amhara Region PHEOC@ APHI 7

© Amhara Region PHEOC @ APHI 8

© Amhara Region PHEOC @ APHI 9

 Ethiopian Humanitarian Fund (EHF)

© Amhara Region PHEOC @ APHI 10

928$ (51,968birr) in going to be transferred for South Wollo zone for

Desludging of four stances latrines in Shoa Robit secondary school by

© Amhara Region PHEOC @ APHI 11

In this week;

 A total of 03 cholera cases were reported from Wofla woreda

© Amhara Region PHEOC@ APHI 13

© Amhara Region PHEOC@ APHI 16

Fogera 4/12/2023 20/12/2023 16 Active

© Amhara Region PHEOC@ APHI 17

© Amhara Region PHEOC@ APHI 18

889 Measles West Gondar, Central Gondar , Gondar City

 Distributed 1500 Brochures for school community on cholera

prevention and control methods (Wag)

Daily communication with respective persons from cholera hotspot

area to strengthen RCCE intervention especially in health facilities,

schools and holly water sites

 Two sessions of sanitation campaigns were conducted at China and woynishet

WASH/IPC training was given for Nine WASCOs in ezabaweyin

© Amhara Region PHEOC @ APHI 23

No transaction this week for Cholera

© Amhara Region PHEOC @ APHI 24

 About 1,846,895 people affected with this drought

 An estimated 250,070 under five years children and 62,240

© Amhara Region PHEOC@ APHI 26

Raya Kobo 251,995 17 96420 13055 3249

© Amhara Region PHEOC@ APHI 29

 Multi sectoral rapid need assessment was done

 Drought Response plan has been developed and shared

 Emergency operation center/EOC/ has been activated

 IAP has been developed

 Weekly situation report were prepared started from some zones

© Amhara Region PHEOC@ APHI 30

© Amhara Region PHEOC@ APHI 31

Waghimra 745 66 255 321 43% 63 95% 195 76%