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1 SETTING UP COMMUNITY QUARANTINE FACILITIES (CQFs) I. Rationale From a public health emergency of international concern to a pandemic, the coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 has continuously crossed intercontinental borders and has infected millions of people around the world. In four months, the United States has overtaken Europe as the pandemic’s epicenter. As of May 11, US has recorded the highest number of deaths at 76,916, followed by the United Kingdom at 31,855 and Italy at close 30,560. The global death toll has reached 280,000 while confirmed cases have surged to 4 million worldwide. 1 The pandemic has hit global north countries the worst despite their relatively functional healthcare systems and medical infrastructures. The United States confirmed the highest number of cases at 1.2 million followed by Spain (225,000), the Russian Federation (221,000), UK and Italy (219,000). 2 Meanwhile, emerging, underdeveloped, and developing countries with dysfunctional healthcare systems have struggled to cope; analysts said the African continent is a ticking time bomb with its underfunded health programs and medical infrastructures. 3 Governments around the world have sent millions of people into lockdowns and have forced tens of thousands of businesses and livelihoods to close indefinitely. The World Economic Forum projected that in the least developed countries, 900 million people are at risk from the COVID-19. 4 In the Philippines, just two months after Taal Volcano had spewed ashes in a phreatic eruption that paralyzed the Southern Tagalog Region, the authorities reported the first local transmission of COVID-19. President Rodrigo Duterte then imposed a 30-day Metro Manila lockdown, limiting travel in and out of the capital region until April 14. 5 The rising number of cases and death toll resulted in a national state of calamity and an extended, enhanced community quarantine for high-risk areas until May 15, including the capital region. 6,7 The government suspended all classes, mass transport systems, public gatherings, and other social activities to reduce transmission. The executive branches continued operations on skeleton staff and work-from-home arrangements; several sectors and other organizations followed suit. In March, the Senate passed the Republic Act 11469 or the Bayanihan to Heal as One Act, authorizing the president to have additional emergency powers and access to funding in dealing with the pandemic, including accreditation of testing kits and facilities,

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    SETTING UP COMMUNITY QUARANTINE FACILITIES (CQFs)

    I. Rationale

    From a public health emergency of international concern to a pandemic, the

    coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 has continuously

    crossed intercontinental borders and has infected millions of people around the world.

    In four months, the United States has overtaken Europe as the pandemic’s epicenter.

    As of May 11, US has recorded the highest number of deaths at 76,916, followed by

    the United Kingdom at 31,855 and Italy at close 30,560. The global death toll has

    reached 280,000 while confirmed cases have surged to 4 million worldwide.1

    The pandemic has hit global north countries the worst despite their relatively functional

    healthcare systems and medical infrastructures. The United States confirmed the

    highest number of cases at 1.2 million followed by Spain (225,000), the Russian

    Federation (221,000), UK and Italy (219,000).2 Meanwhile, emerging,

    underdeveloped, and developing countries with dysfunctional healthcare systems

    have struggled to cope; analysts said the African continent is a ticking time bomb with

    its underfunded health programs and medical infrastructures.3 Governments around

    the world have sent millions of people into lockdowns and have forced tens of

    thousands of businesses and livelihoods to close indefinitely. The World Economic

    Forum projected that in the least developed countries, 900 million people are at risk

    from the COVID-19.4

    In the Philippines, just two months after Taal Volcano had spewed ashes in a phreatic

    eruption that paralyzed the Southern Tagalog Region, the authorities reported the first

    local transmission of COVID-19. President Rodrigo Duterte then imposed a 30-day

    Metro Manila lockdown, limiting travel in and out of the capital region until April 14.5

    The rising number of cases and death toll resulted in a national state of calamity and

    an extended, enhanced community quarantine for high-risk areas until May 15,

    including the capital region.6,7 The government suspended all classes, mass transport

    systems, public gatherings, and other social activities to reduce transmission. The

    executive branches continued operations on skeleton staff and work-from-home

    arrangements; several sectors and other organizations followed suit. In March, the

    Senate passed the Republic Act 11469 or the Bayanihan to Heal as One Act,

    authorizing the president to have additional emergency powers and access to funding

    in dealing with the pandemic, including accreditation of testing kits and facilities,

  • 2

    distribution of cash aid, and deployment of added military interventions, among

    others.8 Near mid-May, 726 Filipinos have died and 11,086 have tested positive.9

    As of now, there are only 11 accredited subnational laboratories for testing in the

    country. The government admitted that limited testing centers pose challenges in

    determining the actual number of cases. To address this, 60 more laboratories are yet

    to be accredited by the government, which targets 13,000 to 20,000 testing a day

    starting on April 27.10 The testing will prioritize suspect and probable cases of COVID-

    19.

    In recent weeks, resource-challenged hospitals and medical facilities have

    encountered many gaps and challenges in fighting the coronavirus. Death among

    healthcare professionals and the infected ones’ inability to function during a mandatory

    quarantine period aggravate the long-existing shortage of healthcare manpower in the

    country. The scarce supply of personal protective equipment and other logistical needs

    exacerbate the crisis. Saturated COVID-19 centers cannot cater to the increasing

    number of suspect and probable cases, resorting to home quarantines. In urban

    settings with relatively high population densities, physical distancing and isolation

    seem almost impossible. At the community levels, health workers struggle to monitor

    the conditions of suspect cases due to a lack of facilities for the mandated self-isolation

    procedures. Besides myths and disinformation, social stigma has also aggravated

    problems on early detection, monitoring, and treatment. Family members’ prejudice

    and discrimination towards their presumptive positive relatives also add a burden to

    the position of the latter.

    Given the context of continuously rising cases and the immediate need to address the

    hospitals’ surge capacity, the Moving Urban Poor Communities Toward Resilience

    (MOVE UP) Project, with its success in piloting and replicating alternative temporary

    shelter (ATS) systems as an urban resilience strategy, aims to propose solutions that

    will help address current gaps in providing adequate facilities for self-isolation and

    quarantine. The ATS System, originally intended to address the lack of dignified space

    and shelters for internally displaced families affected by disasters, can serve as base

    models for designing Community Quarantine Facilities (CQFs). MOVE UP, together

    with its technical partner for shelter United Architects of the Philippines - Emergency

    Architects (UAP-EA), intends to present replicable models built on practical design

    criteria (robustness, affordability, scalability, range of application, and speed of

    construction) for local government units (LGUs) and communities that need facilities.

    II. Objective

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    The setting up of Community Quarantine Facilities (CQFs) strives to complement the

    government’s effort to address the increasing need for isolation facilities for suspect

    and probable cases of COVID-19. The intervention specifically aims to translate the

    existing ATS models into quarantine facilities in a community setting, utilizing open

    areas and indoor spaces.

    Based on Department Memorandum No. 2020-0123 (March 2020) on Interim

    Guidelines on the Management of Surge Capacity through the Conversion of Public

    Spaces to Operate as Temporary Treatment and Monitoring Facilities for the

    Management of Persons Under Investigation and Mild Cases of Coronavirus Disease

    2019 (COVID-19) issued by the Department of Health (DOH), auditoriums,

    gymnasiums, classrooms, vacant hotels, courts, open fields with tents, are identified

    as possible temporary treatment and monitoring facilities.

    Moreover, the Department of the Interior and Local Government also issued

    Memorandum Circular No. 2020-018 (January 2020) or the Guides to Action against

    "Coronavirus", where all LGUs are enjoined to effectively intensify information,

    education, and communication (IEC) campaigns against the coronavirus and

    implement programs, projects, and services that will promote the health and well-being

    of every Filipino. With this, the intervention also wishes to contribute to risk

    communication activities regarding COVID-19, including information dissemination,

    hygiene promotion, and social preparation and people’s participation.

    III. Implementation Strategy

    Despite mobility constraints and physical distancing measures in effect, the

    intervention will employ a systematic, participatory, and community-centered

    implementation strategy.

    A. Consultation and Coordination with Partners

    Along with continuous situation monitoring, MOVE UP will assess the needs,

    capacities, and gaps through consultation and coordination with relevant partners at

    different levels of implementation. Assistance and Cooperation for Community

    Resilience and Development (ACCORD), as a co-lead convener of the Disaster Risk

    Reduction Network Philippines, participates in national Inter-Agency Task Force

    (IATF) meetings as a focal representative of civil society organizations (CSOs) in the

    National Disaster Risk Reduction and Management Council (NDRRMC). The

    organization keeps track of issuances and plans of the national government. MOVE

  • 4

    UP staff have also been coordinating closely with partner communities, and barangay

    and city LGUs, across project phases, including knowledge of their local plans and

    mitigation efforts, to see possible areas of complementation. These official sources

    and reliable channels shall feed into the needs assessment and risk analysis that will

    be the basis for the planned intervention.

    B. Planning and Designing

    The planning and designing stage has involved experts from various fields of public

    health, humanitarian response, engineering and architecture, DRRM, and governance.

    UAP-EA led the designing of the proposed CQFs. The health professionals provided

    medical perspectives and recommendations to incorporate facility structure and

    systems based on infection prevention and control (IPC) protocols. Through CSO

    platforms, humanitarian and development organizations that seek collaboration and

    cooperation in advocacy also contributed to the facility design. For area-specific

    contexts, key officials from partner LGUs (DRRM, engineering, and health offices) and

    barangay level decision-makers shared and reported their insights and observations.

    The planning and designing team likewise referred to official guidelines on establishing

    CQFs to ensure adherence to state-recommended specifications and standards. The

    continuous consultation amongst stakeholders helped address other equally important

    challenges on the water, sanitation, and hygiene (WASH) aspect, logistical and

    technical needs, and other systems. More so, the intervention applies a progressive

    designing approach to continue in refining the CQF plans. Refer to Annex A for the Menu of CQF Designs.

    C. Community Engagement and Risk Communication

    While pandemics have historically affected poor populations the worst, the

    participation of communities remains one of the foundations of a standard health crisis

    management. The continuous efforts of the government together with the participation

    of the communities in hard-hit cities will contribute to the collective undertakings to

    slow down the spread of the disease. Community-centered responses were proven

    excellent in strengthening the community response to infectious disease outbreaks

    and other health emergencies as seen in the Ebola outbreak in Liberia.

    The implementation strategy on setting up CQFs shall include community engagement

    to support the construction of facilities, including the identification of appropriate sites,

    and the organization of corresponding systems. Ensuring participatory and systematic

    intervention shall employ activities like social preparation, public awareness, and

    advocacy, on top of other existing IEC campaigns.

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    To ensure the effectiveness of site plans, the engagement of barangay health workers,

    and other community leaders and volunteers within the barangay DRRMCs, can factor

    in the establishment of facility systems, including roles, responsibilities, and policies.

    Moreover, community engagement is of utmost importance to address public stigma.

    Risk communication activities such as the conduct of IEC campaigns and the

    distribution of visual and written materials shall be used to deliver to the community

    the significance and objective of the intervention. This strategy will also provide room

    for consultation and feedback on the facility systems and design. Refer to Annex B for the Risk Communication and Community Engagement (RCCE) Plan of the intervention.

    D. Deployment of the CQFs and Establishing Systems

    The LGUs, having the primary role to manage the CQFs, shall facilitate the rollout of

    the intervention. The local health authorities will lead in the operations of the CQFs

    while other LGU offices/departments will assist in the security and maintenance.

    MOVE UP and UAP-EA will provide technical support in the designing and setting up

    of the structures.

    The deployment of facility structures will pave for the improvement of systems.

    Systems should include complying with standards indicated in World Health

    Organization and DOH guidelines, such as minimum space allocation per

    probable/suspect case, WASH provision, dedicated number and type of personnel

    deployed per facility, the proximity of the facility to official COVID centers, and other

    standard safety measures, among others. Refer to Bibliography and References.

    WASH plans and IPC protocols implementation play an integral part of the whole CQF

    plan. Along with ensuring the active involvement of the local health offices in crafting

    these plans and systems, the intervention will provide additional support through

    linking the LGUs and communities with other humanitarian organizations and

    institutions who have experience and expertise in health emergencies.

    E. Synergy with other Initiatives

    The intervention will be done in complementation with other projects in the target

    localities. Other existing actions such as the Czech Republic Humanitarian Aid project

    on Shelter and WASH, the Partners for Resilience Project on Integrated Risk

    Management funded by the Dutch Ministry of Foreign Affairs, and other related

    resilience initiatives of partner LGUs, CSOs, and community-based people’s

  • 6

    organizations, shall complement the implementation of the intervention in covered

    areas.

    Furthermore, the strategy and activities of the intervention can be incorporated in the

    continuous improvement of contingency plans, formulation of worst-case scenarios,

    crafting of camp coordination and camp management plans, and development of

    incident action plans for complex emergencies.

    IV. Activities

    In setting up the CQFs, the intervention will undertake the following activities:

    Activity Timeframe In-charge

    Preparatory Activities

    Consultation meetings with LGUs on existing needs,

    capacities, and gaps

    March 16 –

    present

    MOVE UP

    Consultation meetings with technical partners

    including UAP-EA, local engineering offices, health

    clusters, and CSOs

    March 16 –

    present

    MOVE UP

    Bi-lateral coordination activities with IATF/NDRRMC

    and DOH

    March 16 –

    present

    ACCORD,

    UAP-EA

    Consultation meetings with medical professionals who

    have expertise on public health and IPC

    March 27 –

    April 2

    MOVE UP

    Designing workshops on possible CQFs models and

    systems

    March 28 –

    April 5

    UAP-EA

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    Planning for risk communication activities (formulation

    of key messages, material development, identification

    of dissemination strategies)

    April 13 –

    present

    MOVE UP,

    LGUs

    Refinement of CQF designs, bill of materials, and

    WASH plan

    April 22 –

    27

    UAP-EA

    Planning meetings with LGUs of identified CQFs-

    area/s

    April 21 –

    present

    MOVE UP

    Community engagement (social preparation and

    community consultations, public awareness and

    advocacy activities, IEC campaigns)

    TBD MOVE UP,

    LGUs

    Procurement of CQF materials for installation ongoing MOVE UP,

    LGUs

    CQF Deployment

    Actual deployment of CQFs in identified locations and

    establishing of operation systems

    TBD MOVE UP,

    LGUs

    Functioning of the CQFs including provision of other

    services such as clinical consultations and

    psychosocial debriefing, along with continuous IEC

    activities

    TBD LGUs

    Post-deployment Activities

    Post-deployment assessment and regular monitoring

    and evaluation of the intervention

    TBD LGUs,

    MOVE UP

  • 8

    Bibliography

    1. "WHO Coronavirus Disease (COVID-19) Dashboard," World Health Organization, accessed at 9

    p.m. on May 11, 2020. https://covid19.who.int/

    2. "WHO Coronavirus Disease (COVID-19) Dashboard," World Health Organization, accessed at 9 p.m. on May 11, 2020. https://covid19.who.int/

    3. Linda Nordling, "' A ticking time bomb': Scientists worry about coronavirus spread in Africa,"

    Science Magazine, April 6, 2020. https://www.sciencemag.org/news/2020/03/ticking-time-bomb-

    scientists-worry-about-coronavirus-spread-africa#

    4. Duncan Maru and Sabitri Sapkota, "Coronavirus is coming for the world's poor." World Economic

    Forum, March 23, 2020. https://www.weforum.org/agenda/2020/03/coronavirus-least-developed-

    countries-response/

    5. Rambo Talabong, "Metro Manila to be placed on lockdown due to coronavirus outbreak," Rappler,

    March 12, 2020. https://www.rappler.com/nation/254101-metro-manila-placed-on-lockdown-

    coronavirus-outbreak

    6. Malacañan Palace, Proclamation No. 929, Declaring a State of Calamity Throughout the

    Philippines due to Coronavirus Disease 2019.

    https://www.officialgazette.gov.ph/downloads/2020/03mar/20200316-PROC-929-RRD.pdf

    7. Virgil Lopez, “Duterte extends enhanced community quarantine in NCR, other 'high-risk' areas,”

    GMA News, April 24, 2020. https://www.gmanetwork.com/news/news/nation/735382/duterte-

    extends-enhanced-community-quarantine-in-ncr-7-other-high-risk-areas/story/

    8. Congress of the Philippines, Republic Act No. 11469, AN ACT DECLARING THE EXISTENCE OF

    A NATIONAL EMERGENCY ARISING FROM THE CORONAVIRUS DISEASE 2019 (COVID-19)

    SITUATION AND A NATIONAL POLICY IN CONNECTION THEREWITH, AND AUTHORIZING

    THE PRESIDENT OF THE REPUBLIC OF THE PHILIPPINES FOR A LIMITED PERIOD AND

    SUBJECT TO RESTRICTIONS, TO EXERCISE POWERS NECESSARY AND PROPER TO

    CARRY OUT THE DECLARED NATIONAL POLICY AND FOR OTHER PURPOSES, March 24,

    2020. https://www.officialgazette.gov.ph/downloads/2020/03mar/20200324-RA-11469-RRD.pdf

    https://coronavirus.jhu.edu/map.htmlhttps://covid19.who.int/https://coronavirus.jhu.edu/map.htmlhttps://covid19.who.int/https://www.sciencemag.org/news/2020/03/ticking-time-bomb-scientists-worry-about-coronavirus-spread-africahttps://www.sciencemag.org/news/2020/03/ticking-time-bomb-scientists-worry-about-coronavirus-spread-africahttps://www.weforum.org/agenda/2020/03/coronavirus-least-developed-countries-response/https://www.weforum.org/agenda/2020/03/coronavirus-least-developed-countries-response/https://www.rappler.com/nation/254101-metro-manila-placed-on-lockdown-coronavirus-outbreakhttps://www.rappler.com/nation/254101-metro-manila-placed-on-lockdown-coronavirus-outbreakhttps://www.officialgazette.gov.ph/downloads/2020/03mar/20200316-PROC-929-RRD.pdfhttps://www.officialgazette.gov.ph/downloads/2020/03mar/20200316-PROC-929-RRD.pdfhttps://www.gmanetwork.com/news/news/nation/735382/duterte-extends-enhanced-community-quarantine-in-ncr-7-other-high-risk-areas/story/https://www.gmanetwork.com/news/news/nation/735382/duterte-extends-enhanced-community-quarantine-in-ncr-7-other-high-risk-areas/story/https://www.officialgazette.gov.ph/downloads/2020/03mar/20200324-RA-11469-RRD.pdf

  • 9

    9. University “COVID-19 Information,” University of the Philippines, accessed on April 12, 2020.

    https://endcov.ph/dashboard/#

    10. CNN Staff, “PH now has 11 accredited labs for testing,” CNN, April 7,

    2020. https://cnnphilippines.com/news/2020/4/7/accredited-laboratories-coronavirus-testing.html

    References

    IATF Releases

    1. Resolution No. 18, Recommendations Relative to the Management of the Coronavirus Disease

    2019 (COVID-19) Situation https://www.covid19.gov.ph/wp-content/uploads/2020/04/IATF-Reso-

    No-18.pdf

    2. Resolution No.16, Additional Guidelines for the Enhanced Community Quarantine

    http://www.covid19.gov.ph/wp-content/uploads/2020/03/Resolution-No.-16-Additional-Guidelines-

    for-ECQ.pdf

    3. Resolution No.15, Resolutions Relative to the Management of the Coronavirus Disease 2019

    (COVID-19) Situation http://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-Reso-No-

    15.pdf

    4. Resolution No.14, Resolutions Relative to the Management of the Coronavirus Disease 2019

    (COVID-19) Situation http://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-20200320-

    Reso-No-14.pdf

    5. Resolution No.13, Recommendations for the Management of the Coronavirus Disease 2019

    (COVID-19) Situation http://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-13.pdf

    6. Resolution No.12, Recommendations for the Management of the Coronavirus Disease 2019

    (COVID-19) Situation http://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-12.pdf

    7. Resolution No.11, Recommendations for the Management of the Coronavirus Disease 2019

    (COVID-19) Situation http://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-11.pdf

    8. Resolution No.10, Recommendations for the Management of the Coronavirus Disease 2019

    (COVID-19) Situation http://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-10.pdf

    9. Resolution No. 9, Recommendations for the Management of the Coronavirus Disease 2019

    (COVID-19) Situation http://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-9.pdf

    National and International Standards

    file:///C:/Users/ACCORD%20INC/Downloads/%20https:/endcov.ph/dashboard/file:///C:/Users/ACCORD%20INC/Downloads/%20https:/endcov.ph/dashboard/https://cnnphilippines.com/news/2020/4/7/accredited-laboratories-coronavirus-testing.htmlhttps://www.covid19.gov.ph/wp-content/uploads/2020/04/IATF-Reso-No-18.pdfhttps://www.covid19.gov.ph/wp-content/uploads/2020/04/IATF-Reso-No-18.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/Resolution-No.-16-Additional-Guidelines-for-ECQ.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/Resolution-No.-16-Additional-Guidelines-for-ECQ.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/Resolution-No.-16-Additional-Guidelines-for-ECQ.pdfhttps://d.docs.live.net/f45039657f420457/Documents/%C2%A0http:/www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-Reso-No-15.pdfhttps://d.docs.live.net/f45039657f420457/Documents/%C2%A0http:/www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-Reso-No-15.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-20200320-Reso-No-14.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-20200320-Reso-No-14.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-13.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-12.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-11.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-10.pdfhttp://www.covid19.gov.ph/wp-content/uploads/2020/03/IATF-RESO-9.pdf

  • 10

    1. Infection prevention and control during health care for probable or confirmed cases of Middle East

    respiratory syndrome coronavirus (MERS-CoV) infection: interim guidance, updated October 2019.

    Geneva: World Health Organization; 2019 (WHO/MERS/IPC/15.1 Rev. 1;

    https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-

    novel-coronavirus-(ncov)-infection-is-suspected-20200125

    2. Sphere Association. The Sphere Handbook: Humanitarian Charter and Minimum Standards in

    Humanitarian Response, fourth edition, Geneva, Switzerland, 2018.

    https://spherestandards.org/wp-content/uploads/Sphere-Handbook-2018-EN.pdf

    3. Department of Health. Memorandum No. 2020-0123, "Interim Guidelines on the Management of

    Surge Capacity through the Conversion of Public Spaces to Operate as Temporary Treatment and

    Monitoring Facilities for the Management of Persons Under Investigation and Mild Cases of

    Coronavirus Disease 2019 (COVID-19)," March 16, 2020.

    https://drive.google.com/file/d/1s0ZOCWu9TTojXo9woIIco1qmutytgXcH/view

    4. Department of the Interior and Local Government. Memorandum No. 2020-018, "Guides to Action

    against "Coronavirus," January 31, 2020.

    http://region5.dilg.gov.ph/dilg-memorandum-circular-no-2020-018-guides-to-action-against-

    coronavirus/

    Annex A: Menu of CQF Designs

    The proposed intervention in the present emergency of the CoViD19 scenario utilizing

    the introduced ATS system attempts to incorporate DOH-WHO guidelines to convert

    large indoor and outdoor space to address lack of community care facilities especially

    in the vulnerable and far flung areas while at the same time prepositioning for the

    LGUs such vital alternative temporary shelters that can be redeployed during other

    emergency events

    https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125https://spherestandards.org/wp-content/uploads/Sphere-Handbook-2018-EN.pdfhttps://drive.google.com/file/d/1s0ZOCWu9TTojXo9woIIco1qmutytgXcH/viewhttp://region5.dilg.gov.ph/dilg-memorandum-circular-no-2020-018-guides-to-action-against-coronavirus/http://region5.dilg.gov.ph/dilg-memorandum-circular-no-2020-018-guides-to-action-against-coronavirus/

  • 11

    The implementation strategy shall include community engagement to support the construction of facilities and establishing of systems. Activities such as social preparation, public awareness and advocacy, among other existing information, education and communication campaigns, will contribute in ensuring an efficient and participatory intervention. For instance, working with other departments/offices aside from the CHOs and DRRMOs within the City LGUs can possibly help to address the challenges on WASH and other logistical needs. At the barangay-level, engagement of BHWs, and other community leaders and volunteers within the BDRRMCs, can factor in the establishment of facility systems, including roles, responsibilities, and policies, contributing to the efficiency of site plans. (ACCORD)

  • 12

  • 13

    A practical option of providing common WASH facilities for each quarantine zone is adaptable

    in most public spaces specially those with existing augmentable WASH facilities.

    The more ideal yet challenging individualized personal provision may be attained by the use

    of commode supported by a wash basin. Vital to this is capacitating local health workers and

    support workers in proper waste disposal and observance of infection control measures.

  • 14

  • 15

  • 16

    ANNEX B:

    RISK COMMUNICATION AND COMMUNITY ENGAGEMENT (RCCE) PLAN FOR THE SETTING UP OF COMMUNITY QUARANTINE FACILITIES (CQFs)

    I. Goal

    The setting up of Community Quarantine Facilities (CQFs) strives to complement the

    government’s effort to address the increasing need for isolation facilities for the suspect

    and probable cases of COVID-19. The intervention specifically aims to utilize the existing

    Alternative Temporary Shelter (ATS) models and translate these into quarantine facilities

    for communities.

    Following this general objective for CQFs, this RCCE Plan aims to help safeguard public

    health by raising understanding and awareness among stakeholders of the risks

    associated with COVID-19, the importance of quarantine and self-isolation facilities, and

    how MOVE UP through ATS can help address current gaps in self-isolation and

    quarantine facilities. Specifically, this document serves as guidelines for communication

    and engagement strategies particular and specific to all the phases of Section III:

    Implementation Strategy of the intervention–preparation, deployment, and evaluation.

    II. Actors & Audience

    Policy-Makers (Subnational and National Level)

    Local Government Units (LGUs)

    Communities

    Civil Society Groups (CSOs) and other humanitarian organizations

    Project Staff

    III. Specific Objectives

    1. To inform the audiences of the impact of COVID-19 pandemic so they can protect not just themselves, but their families, organizations, livelihoods, and communities;

    2. To establish mutual, two-way communication strategies that value the peoples’ right to information and the right to expression;

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    3. To contribute to the knowledge-building of the actors and audience for their field-

    specific learnings;

    4. To advocate the roles of isolation and quarantine facilities to allay fears and

    suspicions, stigmatization and discrimination, myths and misinformation;

    5. To campaign and raise awareness for psychosocial resilience among actors and audiences.

    IV. Actions

    The intervention’s implementation strategy is systematic, participatory, and community-

    centered. Thus, it is only befitting to act on specific goals by making all actors and

    audiences proactive. The Actions shall,

    Involve and engage actors and audiences in all the phases of the intervention—

    preparation, deployment, and evaluation;

    Uphold the right to communication by delivering localized, relevant, and

    comprehensible information, education and communication campaigns (IECs)

    materials while concurrently upholding the right to expression by creating feedback

    mechanisms, complaint desks, and other channels;

    Promote knowledge-building among actors and audience in terms of policy-

    making, improvement of plans and programs, and other avenues to develop each

    field of expertise;

    Set up actual CQFs to aid the understanding and appreciation of isolation and

    quarantine facilities;

    Incorporate psychological resilience by partnering with government agencies,

    academe, health institutions, and Civil Society Organizations that specialize in

    mental health and psychosocial support; create free, simple, and accessible

    channels like hotlines for counseling and guidance, instructional materials, and

    other forms of support; create IECs and other strategies that recognize and

    consider socio-economic barriers to effectively give realistic and attainable mental

    health support to marginalized sectors.

    V. Key Messages

    Overarching messages reinforce actions; thus, the intervention shall deliver messages

    that can be seen and heard throughout the project.

    1. The government leads the national response for COVID-19. The intervention strongly holds that the national government is the chief responsible for COVID-19

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    responses: It should direct the creation of synergies and collaboration among

    different sectors of the society.

    2. Public health response shall uphold human rights. Local and international Civil

    Society Organizations (CSOs) and other humanitarian organizations complement

    the government’s effort in combating the effects of the pandemic, cascading relief,

    and assistance to vulnerable sectors such as the elderly, women and children,

    urban poor, indigenous peoples (IPs), and more. The joint initiative of these

    humanitarian formations shall capitalize on its number, capacities, and strengths

    to fast track and harmonize holistic response to the people—banking on the basic

    principle of every individual’s right to safe and dignified assistance.

    3. The health crisis necessitates synergies of dignified and scientific interventions. While the health crisis requires research-based, proven, and holistic pharmaceutical and nonpharmaceutical response—assistance and relief

    that caters to people shall still embody core principles of human rights. The right

    to health shall not infringe on the dignity of any individual.

    In addition, communities are a crucial part of the synergies: Actors and audiences

    in the area can refine and enhance institutional interventions through their

    knowledge, skills, and abilities (KSAs) that have developed through the years.

    Intervening bodies have institutional blind spots that can only be solved by area-

    specific and contextualized KSAs.

    4. CQFs are timely and relevant. The intervention proposes solutions that will help address current gaps in providing adequate facilities for self-isolation and

    quarantine. The ATS System can serve as base models for designing Community

    Quarantine Facilities (CQFs). MOVE UP and United Architects of the Philippines -

    Emergency Architects (UAP-EA) intend to present replicable models built on

    practical design criteria (robustness, affordability, scalability, range of application,

    and speed of construction) for local government units (LGUs) and communities

    that need facilities.

    5. Stigmatization and discrimination do not have a place in times of crisis. Just

    as the need for medical interventions arises, so too does the right to information

    and expression. Myths and misinformation contribute to national hysteria that

    foments stigmatization and discrimination to suspect and probable cases, health

    care workers, and other persons in the front lines. Communication and

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    engagement plans shall use straightforward, localized, and contextualized IECs to

    allay fears and misinformation.

    Language of the intervention should not only inform, but heals and empowers. The

    intervention shall economize and simplify its language to give communities the

    necessary access to information, while making people active and participative

    through consultations and dialogues, joint planning sessions, and other

    mechanisms. ACCORD’s RCCE Plan has the full coverage of specific key messages for every actor and audience are in

    6. Promotion of Psychosocial Resilience. The pandemic affects mental health the

    same degree it affects physical well-being; thus, public health response shall

    prioritize interventions that address issues and concerns on fear, stress, and

    anxiety. All actors and audience shall incorporate steps that promote psychological

    resilience. Furthermore, interventions around the world shall put into the equation

    realistic portrayal of socio-economic disparities and how this inequality makes

    mental health trivial to the public--especially to the marginalized ones.

    VI. Opportunities & Threats

    Current policies in effect at the subnational and national level down to community ordinances and regulations (cite policies that will affect the intervention), may

    restrain traditional communication channels like face-to-face and focused group

    discussions, seminars and fora, and other IECs. Therefore, all communication and

    engagement strategies in all the phases of the intervention shall maximize and

    explore creative ways to make digital media more effective.

    Due to limited business and commercial services, the intervention may find difficulties in acquiring and procuring necessary provisions like non-essential

    items.

    Limited accessibility and availability of transport and other forms of conveyances may also affect actors and audiences.

    Stigmatization and discrimination may also limit social engagements and voluntary participation in the community.

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    VII. Communication and Engagement Strategies (this section entails step-by-step activities from preparation to evaluation)

    A. Preparation (Preparatory Activities)

    1. Identification of sites/areas a. If the site is within a previous partner community, introduce CQFs.

    b. If not, survey and baseline.

    2. Coordination with LGUs (insert relevant sectors; e.g. DRRMO) and Barangay

    Councils (insert relevant sectors; e.g. BDRRMO)

    a. Review of COVID-19 fact sheets (death toll and numbers of and suspect,

    probable, and confirmed cases)

    b. Review policies and ordinance that may affect the intervention

    c. Review existing IECs and other communication mechanisms in the community

    d. Review the barangay contingency plan e. Introduce CQFs

    3. Production of CQFs’ Manuals and Standard Operating Procedures for the LGU,

    Barangay Council, and others in charge of operation and maintenance

    4. Production of other IEC materials a. tarpaulins

    b. information board and bulletins c. one-pager briefer

    d. project visibility materials e. IDs and name plates

    f. CQFs maps

    5. Arrangement of 24/7 hotline for operation and maintenance (health care workers,

    support staff, and security)

    6. Arrangement of 24/7 hotline for feedback mechanisms (inquiry, complaint, case reporting)

    7. Commissioning of volunteers* for mass communication (announcement through

    radio, mobiles & patrols, and sirens)

    B. Response (CQFs Deployment)

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    1. Posting of advisories in different strategic locations

    2. Posting of instructional and project visibility materials such as,

    a. CQFs maps:

    b. referral pathway: c. information board (hygiene considerations, procedure, and other IECs)

    inside each room:

    3. Information dissemination through primary communication channels like Facebook

    and Twitter of CARE, Action Against Hunger, Plan International, and ACCORD; and

    partner communication channels like the websites and social media of partner LGUs,

    communities, and other CSOs.

    a. well-timed fact sheets and bulletins updated every 4:00 p.m. every day.

    b. press releases for public information offices (PIOs), and other local and national

    media.

    C. Evaluation Monitoring (Deployment to post-Deployment)

    In evaluation of the intervention, a rubric prescribed by the World Health Organization

    (WHO) Strategic Communications Framework for Effective Communications shall be

    used. Progress report and other necessary assessment will also be documented

    throughout the project.

    a. Identify an activity or product to improve

    b. Identify a tactic to improve performance c. Create indicators to measure improvement

    d. Conduct a baseline assessment e. Refine Indicators

    f. Perform new tactics g. Measure progress

    https://www.who.int/mediacentre/communication-framework.pdfhttps://www.who.int/mediacentre/communication-framework.pdf

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    Annex C: COVID-19 Community Isolation Units Assessment Tool

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    European Civil Protection and Humanitarian Aid Operations

    The European Union and its Member States are the world’s leading donor of humanitarian aid. Relief

    assistance is an expression of European solidarity with people in need all around the world. The EU aims

    to save lives, prevent and alleviate human suffering, and safeguard the integrity and human dignity of

    populations affected by natural disasters and man-made crises. Through its Civil Protection and

    Humanitarian Aid Operations department (ECHO), the European Union helps millions of victims of conflict

    and disasters every year. With headquarters in Brussels and a global network of field offices, the EU assists

    the most vulnerable people based on humanitarian needs.

    The Moving Urban Poor Communities toward Resilience (MOVE UP) Consortium

    CARE

    CARE is a leading international humanitarian agency delivering emergency relief and long-term

    international development projects. Founded in 1945, CARE is nonsectarian, impartial, and non-

    governmental. In 2016, CARE worked in 94 countries supporting 962 poverty-fighting and humanitarian aid

    projects and reaching over 80 million people and 256 million people indirectly. In the Philippines, CARE

    worked since 1949 and is known for its disaster response, emergency preparedness, livelihood recovery,

    and integrated risk management programs.

    Action Against Hunger

    Action Against Hunger is the world’s hunger specialist and leader in a global movement that aims to end

    life-threatening hunger for good within our lifetimes. For 40 years, the humanitarian and development

    organization has been on the front lines, treating and preventing hunger across nearly 50 countries. It

    served more than 21 million people in 2018 alone. In the Philippines, AAH has helped millions of Filipinos

    in terms of nutrition and health programs, WASH interventions, and food security and livelihood programs.

    Plan International

    Plan International is an independent development and humanitarian organization that advances children’s

    rights and equality for girls. Plan strives for a just world, working together with children, young people, our

    supporters, and partners. Plan International Philippines, headquartered in Manila and with regional project

    areas, has been working in the Philippines since 1961 with a focus on child protection, youth economic

    empowerment, disaster risk management, and nutrition and responsive care.

    Assistance and Cooperation for Community Resilience and Development Inc. (ACCORD)

    ACCORD works on strengthening local capacities for managing poverty reduction and human development

    programs that have lasting results. Together with poor communities, civil society organizations, and the

    government, it focuses on innovative projects on Integrated Risk Management, food security, and

    emergency response. ACCORD is a local implementing partner of CARE.

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    With support from

    Partners for Resilience

    Partners for Resilience (PfR) is an alliance of the Netherlands Red Cross (lead agency), CARE Netherlands,

    Cordaid, the Red Cross/Red Crescent Climate Centre, and Wetlands International. The name originates in

    the fundamental belief of its five members in the central role of resilience as the way to deal effectively with

    disasters. This means they use an integrated approach to mitigate disaster risk and enhance livelihoods,

    particularly by addressing climate change and ecosystem management and restoration. The PfR program

    is supported by the Dutch Ministry of Foreign Affairs.

    Czech Republic Humanitarian Aid

    Foreign humanitarian aid is an integral part of the Czech Republic’s foreign policy. Czech foreign policy

    aspires to security, prosperity and sustainable development, human dignity, including the protection of

    human rights, serving the people, and nurturing a good reputation abroad. The Czech Republic provides

    humanitarian aid in the form of expert assistance (by sending rescue workers and other specialists), in-kind

    aid (by providing necessary material) and financial aid (e.g. by making contributions to international

    humanitarian organizations, NGOs, etc.) The Czech Republic as an EU member participates in the

    decision-making on humanitarian aid provided from the budget of the European Commission through the

    Humanitarian Aid department (ECHO).

    In partnership with

    United Architects of the Philippines-Emergency Architects (UAP-EA)

    The United Architects of the Philippines is the Integrated and Accredited Professional Organization of

    Architects (IAPOA) in the Philippines with more than 42,000 members. As one of UAP advocacy arms, the

    UAP-EA delivers lectures to raise awareness on the importance of Resilient Area Planning, Infrastructure

    Development, Disaster-Resilient Design, and Earthquake and Seismic Resiliency to various schools and

    professional organizations, within and outside of the UAP. Moreover, UAP-EA arranges seminars and

    workshops nationwide through what they call the EA Caravan, attended by architects, engineers, and

    environmental planners.

    The special committee of the Emergency Architects of the UAP has been developing alternative temporary

    shelter solutions for the past 4 years in collaboration with ACCORD and other NGOs and their partner

    LGUs. Some models got to be deployed and tested in a few emergency events in the NCR. Action Against

    Hunger distributed a number of tents and indoor folding sleeping modules in Surigao and Compostela

    Valley, becoming part of their DRRM contingency plan. While tests and demos supplement the NGO

    programs of reaching Central Visayas and Mindanao in the campaign for LGU adaptation, the ATS models

    get to be experienced and reviewed by stakeholders and improved in a progressive iterative design-

    innovate process by the UAP EA. The UAP Emergency Architects, formerly headed by Ar. Stephanie N.

    Gilles and presently chaired by Ar. Jose Miranda is composed of volunteer practicing professionals and

    students in architecture that form part of the DRRM and CSR advocacy of the UAP.