Montserrado Update

MONTSERRADO IMS
WEEKLY UPDATE
5TH JANUARY 2015
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We can’t get complacent, but the epi picture
in Montserrado appears to be improving
Roughly 6
confirmed
cases per day
at the start of
December…
To around
1-2
confirmed
cases per
day now
2
There were 47 new confirmed EVD cases in Montserrado for
the past 21 days between Dec 11 -2014 and Jan 1 -2015
The 35 new confirmed cases (Alive & Dead) in the past 21 days
(14th Dec - 3rd Jan; date of lab test) divided pers EPI zone in Greater Monrovia and Rural Montserrado.
Rural districts = Rural EPI Zone
New Kru Town
1
1
5
0
1800 Todee:
0
0
1600 Commonwealth: 2
1700 Careysburg:
2
0
1900 St Paul River:
2
3
Paynesville (A1)
• Barnard Farm
• Soul Clinic
1
0
4
1
1
Legend
6
0
4
0
1
0 cases
1-3 cases
4-6 cases
7-9 cases
10 or more cases
1
Confirmed cases 1st week of December (1-6)
26
Confirmed cases 2nd week of December (7-13)
27
Confirmed cases 3rd week of December (14-20)
8
Confirmed cases 4th week of December (21-27)
19
Confirmed cases 5th week of (December 28-1 Jan 2015)
7
This emerging epi situation is part of the
reason we’re moving to a “Sector Approach”
This shift also allows us to:
• Hunt down the disease
• Deliver a more granular and localized
response
• Balance the benefits of a centralized and 22
zone approach
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SECTOR 1 JFK
Sector Coordinator 1 and DQM 1
Zones 400, 500, 600, 700,
800, 900, 1000
Case detection and Epi/Surveillance
(CI, CT, ACF, ERT and others)
SECTOR 2 Redemption
Sector Coordinator 2 and DQM 2
Zones 100, 200, 300, 1600,
1500B, and 1900
(CI, CT, ACF, ERT and others)
SECTOR 3 JDJ
Sector Coordinator 3 and DQM 3
Zones 1100A1, 1100A2,
1100B1, 1100B2, 1700,
1800, 1500A
(CI, CT, ACF, ERT and others)
SECTOR 4 Duport
Sector Coordinator 4 and DQM 4
Zones 1200, 1300, 1400
(CI, CT, ACF, ERT and others)
LEGEND:
ACF – active case finding, CI – case investigation; CT – contact tracing; ERT – Epi response team; DQM – data quality manager (deputy
coordinator)
Planned Division of Epidemiological Surveillance in Montserato County (4 Jan):
Case Investigation: CI-Sectors 1
2 3 4 Boarder:
Contact Tracing :
CT-Teams
2 3 1 4 5 6 7 Boarder:
Epi-zones (shown in colours): Totally 22, numberd from 100 to 1700 with 1500 divided into A1, A2; B1 & B2
1 CI-Sector 2
Careysburg
1700
CT-Team
St Paul 1900
CT-Team
New Kru
Town 100
CT-Team
7
Redemption
CI-Sector 4
Duport
4
1300
Logan Town
200
Clara Town
300
400
CT-Team
5
3
JDJ
1200
CI-Sector
500
600
CT-Team
700
3
800
1100 B2 1100 A1
Pipeline Duport Rd
CI-Sector 4
Duport
900
CI-Sector 1 JFK 1000
CT-Team
Zones
Todee
1800
2
CT-Team
1100 A2
ELWA
CT-Team
6
St Paul
CI
1900
Redemtion
CI JDJ
2
3
Careysburg
1700
CI
CI
1 JFK
7
4 Duport
This has big implications for how the response
is organized in Montserrado
• Activities will be centered at the sector level
• Sectors will be semi-autonomous but seek approval
and guidance from M-IMS as appropriate
• Each sector will have a mini office located in its
coverage area
• We’ll need to hire and deploy staff to fill key roles in
the sectors
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We’ve had some successes and challenges in
the last few weeks since we last updated you
Issue
How it’s
going
Moved towards a shared understanding and implementation
of the Sector Approach

Developed a plan for using AU technical support (M-IMS and
CHT – Support to restoration of health care services)

Quality of our epi team’s work continues to improve and is
providing actionable

Still have not finalized the M-IMS budget (though thanks to the
WHO for providing support to this)

Vehicle / fleet management remains a significant problem

Development of an integrated supervision and monitoring
tools - on-going

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Formal asks of the National IMS
• We need your support: We continue to need a Montserrado IMS
core support team or else urgent problems hampering the response
(e.g. fleet management) won’t get solved
• Help us move into Sectors: To get the Sector approach off the
ground we need partners’ support to a) operationalize Sector offices
and b) provide Co-Coordinators in the four Sectors
• Work with us: Government (National Pillar Leads) and partners still
organize Montserrado-focused response activities without engaging
the M-IMS. Please be in touch with the M-IMS when you’re
planning to make sure we’re harmonizing our activities.
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M-IMS priorities for the upcoming week
• Finalize implementation plan for the Sector approach including
identifying key staff and partners
• Get AU TA working with the M-IMS and with the County Health Team on
restoration of health services
• Finalize our budget
• Put in place better ways of working with the local authorities
(Superintendent , Mayors, Commissioners, Governors’ Offices)
• Development of an integrated supervision and monitoring tool
• Address some operational / other issues
•
•
•
•
•
Delay in food distribution
Continued challenges with DBM
Vehicles need
Case Detection (Contact Tracing, Case Investigation and Active Case Finding)
Community Engagement / Social Mobilization: Religious Leaders (Christians and
Muslims) – Meeting with Networks; Mapping and humanization of works with
number of NNGOs, FBOs and Community-based Task Force –EVD related at
sector and zonal level for more unified /cohesive response but localize to areas
specifics
• Engagement with the WASH Cluster and working with Oxfam – community led
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total sanitation
Montserrado County –Incident
Management System (M-IMS)
Your support is needed as we close in some
of the gaps identified in getting to zero!
Question(s)?
Thanks
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