COVID-19PREPAREDNESS ANDRESPONSE MONTHLY REPORT

OCTOBER 2020

YEMEN

SITUATION OVERVIEWIn October, 29 new confirmed cases of COVID-19 were reported, 13 deaths and 79 recoveries, bringing the total number of reported cases to 2,067 with 601 deaths and 1,367 recoveries. The numbers of reported cases have fallen from 76 new confirmed cases reported in September and 230 new cases reported in August to 19 in October.. Health partners remain concerned that under-reporting continues for various reasons and that the official epi-curve underestimates the extent of COVID-19 in Yemen.

Other factors that have had a negative impact on the COVID-19 response include a lack of adaptive behaviour by the population to reduce transmission, severe funding shortages for health workers and personal protective equipment (PPE) and long delays in importing COVID-19 response supplies. Partners continued working towards increasing surveillance; deploying dedicated COVID-19 staff within agencies; tracking the impact of the virus on routine priority health programmes; refining messaging to encourage behavioural change; and boosting intensive care unit (ICU) capacity. Partners have begun to prepare for a second wave of COVID-19, including engaging with excluded and vulnerable groups to keep them safe and supporting essential health facilities to ensure they function throughout winter. The fuel and funding crisis risked exacerbating the COVID-19 and broader humanitarian response.

HUMANITARIANCOUNTRY TEAM

Number of COVID-19 Cases, Deaths, and Recoveries in Yemen

1,367ReportedRecoveries

26%Female

74%Male

601ReportedDeaths

2,067Total Reported COVID-19 Cases

COVID-19 Cases by Sex and Age

Reported Cases by Age

Number of COVID-19 Cases (Cumulative)

COVID-19 Cases by Governorate

COVID-19 Funding Status

Female Male

Reported Deaths by AgeFemale Male

60+

45 - 59

30 - 44

15 - 29

Others

8.6%

6.7%

6.6%

3.5%

0.5%

19.9%

24.2%

19.9%

7.6%

2.5%

60+

45 - 59

30 - 44

15 - 29

5 - 14

12.5%

8.8%

3.8%

0 %

31%

%26.3

13.8%

3.8%

Confirmed cases Deaths Recovered

1 6 7108

327358

848 1,162

1,194 1,530 1,732 1,734 1,862 1,962 1,966 2,020 2,043 2,038 2,057 2,067

16 81 85209

2

313 319 434 494 529 567 571 584 588 588 597 601495

1,367

10

APRIL 2020 MAY 2020 JUNE 2020 JULY 2020 AUGUST 2020 SEPTEMBER 2020 OCTOBER 2020

30 30151 30151 30151 30151 3015130151

$385.7MFUNDING REQUIRED

$304.5MREQUIRED FOR HEALTH

92%$354.2MRECEIVED

* Age disaggregation for cases and deaths is based on available data to WHO.

* Lab confirmed cases of COVID-19 are limited due to testing capacity and thus absolute numbers are more likely a reflection of surveillance artifact and should not be interpreted as severity of transmission in any particular governorate

4 confirmed1 death2 recovered

Al Bayda

Al Dhale’e

Abyan

Marib

Aden

Sa’ada

Sana’a

Dhamar

Hadramaut

Al Hudaydah

Taizz

Lahj

Al Mahwit

AmranHajjah

Ibb

AmanatAl Asimah

Al Jawf Al Maharah

Socotra

Shabwah

Raymah

288 confirmed33 deaths225 recovered

303 confirmed81 deaths230 recovered

135 confirmed41 deaths88 recovered

142 confirmed38 deaths104 recovered

58 confirmed15 deaths24 recovered

66 confirmed54 deaths

20 confirmed5 deaths23 recovered

49 confirmed10 deaths22 recovered

959 confirmed311 deaths618 recovered 43 confirmed

12 deaths31 recovered

0

500

1000

1500

2000

300

02 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT

SUPPRESSIONTo suppress transmission of the virus, aid agencies continued Risk Communication and Community Engagement (RCCE) support. COVID-19 RCCE approaches have been integrated into a “Back to Learning” campaign which was launched in southern and northern governorates. In the south, about 3 million people were reached through 18 community radios and 45,620 people through interpersonal communication activities, while 12,000 colouring and comic books about COVID-19 were distributed to children in IDP camps in Aden. The RCCE interventions included distribution of masks and hygiene materials in schools. Imams and female religious leaders continued to engage with people at gatherings and social events to sensitize them to COVID-19 prevention practices and physical distancing guidelines reaching 1.52 million, while over 4 million people were reached through 639,392 house-to-house visits and Mother-to-Mother sessions. Community volunteers also commemorated Global Handwashing Day this year with events in open public places to raise awareness about the importance of handwashing with soap to prevent COVID-19. To support the adoption of COVID-19 prevention measures, community volunteers and members of Mother-to-Mother clubs supported the distribution of hygiene kits to 17,400 families.

Mass Media reach by Hub

Total Mass Media reach

people reached through mass media

engaged through house-to-house visits

people engaged through Mosque events in 5,000 Mousques

students and parents reached through school health facilitators intervention at community level

copies of colouring and comic books on COVID-19 were distributed to children in the south.

people engaged through WhatsApp groups/trees created and managed by CVs,RLs,M2M members

calls to hotlines and radio phone-ins

16.5M

Al Bayda

Al Dhale’e Abyan

Marib

Aden

Sa’ada

Sana’a

Dhamar

Hadramaut

Al Hudaydah

Taizz

Lahj

Al Mahwit

AmranHajjah

Ibb

AmanatAl Asimah

Al Jawf Al Maharah

Socotra

ShabwahRaymah

0.7M

3M

3M

3.8M

6M

COVID-19 trend analysis Number of people reached

16.5 million 4 million

160,000Families received hygiene kits by community volunteers and members of Mother-to-Mother clubs

Over 17,400

refugees participated in risk communication surveys in Ibb, Hajjah & Hudaydah.

1,330

screenings were conducted at Kharaz Refugee Camp

5,000

hand-washing stations installed

2,695

water systems are being installed

17

3.5 million

Safe water: 4.1 million Hygiene Items: 319 k COVID-19 Household kits: 10.5 k

Number peoplereached in October:

3.6 million

12,000 Over 32,030

people reached in 42,500 community gatherings and women social events

1.52 million

People believe they are likely to become sick with coronavirus

People know it is a virus that can cause disease

People heard about coronavírus

80% 90%83% 97%

31% 51%

Round 1 Round 2

03 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT

SUPPLIESThe United Nations has procured more than 17,202 metric tons of medical equipment, testing kits and medicine from a highly competitive global market; 16,301 metric tons have already arrived in country and another 901 metric tons were in the pipeline at end of October. Still more is urgently needed, especially oxygen and personal protective equipment.

Arrived

> 230.7 K Sanitizers (Litres)

Djibouti

SAUDI ARABIA

Aden

Sana’a

Procured

Transport

of medical equipment and medicine

Over 17,202 M3

16,301 M3

arrived

901M3

in pipeline

Air4,110 M3 arrived

Sea12,149 M3 arrived901 M3 in pipeline

Land

42 M3 arrived

Inbound from suppliers

WHO/WFP dispatch flows

2,189Oxygen

Cylinders

> 23,438Testing kits

Interationally ProcuredLocally Procured

> 980 ICU beds

376604

> 640 Ventilators

490150

> 3.7 MFace masks

2.4 M1.3 M

> 294.4 K Face shield

241.2 K53.2K

Respiratormasks

> 1.2 M 1.1 M129.6 K Gloves

> 5 M 4.7 M309.7 K

37.6 K193.1 K

521Oxygen

concentrators

521-

9411,248

2,320 Hospital Beds

5001,820

04 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT

SAVING LIVESThe UN and partners continue to work on expanding hospital capacity in key population centres. Aid agencies scaled up the number of intensive care units (ICUs) in COVID-19 designated hospitals from 38 beginning of May, and are equipping an additional 21 ICUs, bringing the total to 59. In line with the COVID-19 strategy refresh, the focus was on triage, keeping patients and healthcare workers safe, referral pathways and capacity building.

52Isolation Units

in 22Governorates

*WHO has finalized rehabilitation works or these are in process,delivered material and equipment and conducted staff training.The main criteria for operationalization depends on staff incentives.

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IBB

ABYAN

AL BAYDA

AL JAWF

AL HUDAYDAH

AL DHALE'E

AL MAHWIT

AL MAHARAH

TAIZZ

HAJJAH

DHAMARRAYMAH

SHABWAH

SA'ADA

SANA'A

AMRAN

LAHJ

MARIB

HADRAMAUT

SANA'A

AMANATAL ASIMAH

SOCOTRA

LAHJ

ADEN

IBB

ABYAN

AL BAYDA

AL JAWF

AL HUDAYDAH

AL DHALE'E

AL MAHWIT

AL MAHARAH

TAIZZ

HAJJAH

DHAMARRAYMAH

SHABWAH

SA'ADA

SANA'A

AMRAN

LAHJ

MARIB

HADRAMAUT

SANA'A

AMANATAL ASIMAH

SOCOTRA

LAHJ

ADEN

Governorate Boundary

Isolation Unit

Activities and Items Provided

29 are in the north23 in the south21 of these are new ICUs

in 63 districts in 52 districts

health rapid response teams (1,665 staff)

of entry points (22 of 26) havescreening capacity

UN to provide per diem and danger pay to

9,000frontline health-care workers

26Emergency Operations Centresrepurposed for COVID-19

52 IsolationUnits (IU)

refilled each month

11,7koxygen cylinders

675ICU Beds

259Ventilators

333

items delivered

300kPPE

4 in the south (Aden, Al Mukalla, Seyoun & Taiz) 2 in the north (Sanaa city & Al Hudaydah)

6 laboratorieswith COVID-19 testing capacity

85%

05 COVID-19 PREPAREDNESS AND RESPONSE MONTHLY REPORT

SAFEGUARDING THE PUBLIC HEALTH SYSTEMSafeguarding the public health system at more than 4,300 non-COVID health care facilities to ensure available facilities are not overwhelmed by COVID-19 cases remains a priority for humanitarian partners. These facilities continue to provide non-COVID health care services to prevent deaths from other deadly diseases and causes, including cholera, diphtheria, dengue and malaria, and to provide nutrition treatment to pregnant women and malnourished children. In August, 2,779 health facilities continued to provide health services for malaria, and 956 health facilities provided cholera response services.

5,049health facilities

2,528fully functioning health

facilities

1,865partially functioning health

facilities

2,779health facilities providing

health services for malaria

1,257health facilities providing cholera response services

50%HFs fully functional*

35%HFs partially functional

15%HFs non-functional

4,966Health Facilities (HFs)

in 22Governorates

*Fully functioning HFs may have some lack of services

Functioning HFs per Governorateand per 100,000 people

> 3020 - 3015 - 205 - 152 - 5

Al Bayda

Al Dhale’e

Abyan

Marib

Aden

Sa’ada

Sana’a

Dhamar

Hadramaut

Al Hudaydah

Taizz

Lahj

Al Mahwit

Amran

Hajjah

Ibb

Al JawfAl Maharah

Socotra

Shabwah

Raymah

Al Bayda

Al Dhale’e

Abyan

Marib

Aden

Sa’ada

Sana’a

Dhamar

Hadramaut

Al Hudaydah

Taizz

Lahj

Al Mahwit

Amran

Hajjah

Ibb

Al JawfAl Maharah

Socotra

Shabwah

Raymah

AmanatAl Asimah

Support Provided for

5,049 health facilities (suggest deleting this)

2,528 fully functioning health facilities

1,865 partially functioning health facilities

2,779 health facilities providing health services for malaria

1,257 health facilities providing cholera response services

Throughout the COVID-19 crisis, Health Cluster partners and the private sector continue to safeguard the public health system by:

• Triaging acute and chronically ill people and treating them outside the 4,300 non-COVID health facilities.• Maintaining provision of the Minimum Service Package in non-COVID health facilities.• Providing essential medicines and vaccines to the people who need them the most, including cancer patients and children.• Maintaining routine immunization activities and containing and responding to deadly disease outbreaks including cholera, diphtheria, dengue and malaria.• Providing nutrition treatment to pregnant women and malnourished children.