April 27, 2020

WASH Sector Meeting

Agenda:

• Opening (Rittick with focus on Preparedness)

• JRP update integrating Covid-19 (Julien 20min)

• WASH in Health Care facilities (Mariangela 20min)

• Hygiene items Distribution during covid-19 (both in communities

and health facilities) (Mariangela 15 min)

• 4W Reporting updates (Niaz – 10 min)

• Water quality test results and dashboard (Tanvir – 10 min)

• Feedback from SAG (Julien – 10 min)

• AOB

Quick updates before we start:

• Shielding of elders -> not approved (ISCG+HOSO)

• On-going discussions about multisectorial approach to support

elders as vulnerable population

• No specific guidelines to access host’s communities (DC) – only

critical activities as identified by government.

• No COVID-19 cases in camps. Discipline in accessing the camp

(mask, good health, critical activities only).

JRP Addendum on COVID-19 response

JRP Update – Why? How?

- Under the lead of ISCG and sector coordinator (Julien leading for WASH)

- To facilitate our collective planning and resource mobilization for the COVID-19 response (budget)

- The COVID-19 Response Plan will describe the impact of the current situation on the JRP 2020. Can we continue activities as usual? Should we focus on new type of activities?...

- 20 April: email sent to JRP partners to revise their project template including Covid-19 needs

- 26 April: Sectors submit revised response plan narrative and monitoring framework to ISCG

- 29th April: Project template (excel) deadline for partner submission of any new COVID-19 related projects in excel to Sector Coordinators.

- 5th May: Approval of project by review committee for project templates (BRAC, OXFAM, UNICEF)

- 7th May: WASH sector to provide consolidated version to ISCG

JRP Update - Agenda

JRP Update – Objectives and TargetObjectives1. Ensure regular, sufficient, equitable and dignified access for women, girls, men and boy

refugees living in camps and affected host communities to safe water for drinking,

domestic needs and medical purposes.

1. Ensure women, girls, men and boy refugees living in camps, host communities oraffected by Covid-19 have adequate, appropriate and functional sanitation facilities toallow rapid, safe and secure access at all times.

1. Ensure the change of potentially risky behaviors through hygiene promotion and

distribution of hygiene items with strong focus on highly contagious diseases, for all

refugees, affected and vulnerable communities of the district.

Overall people in need of Sector assistance 1.284.000 people (JRP) + 400.000 (Covid-19)

Overall People targeted (individuals – by sex and age) 1.420.000 people

- People targeted – existing JRP 2020 caseload 1.120.000 people

- People targeted - new COVID-19 response caseload 300.000 people

Adjustments to the JRP 2020Identify the JRP 2020 priorities

that need to go ahead, and how

they have been adjusted or

modified to allow the new

situation

95% of WASH priorities has identified within JRP will continue.

Some activities will require some adjustment to focus on covid-19

(e.g: Key hygiene messages and methodologies, to take into

consideration social distancing measures)Identify the JRP 2020 activities

that will not take place at this

time due to COVID-19

- New WASH construction in host’s community can be put on-hold

Identify the new Covid-19

response activities that were not

costed in the JRP 2020

- Provide soap, hygiene kits, aquatabs both in camps and Host’s communities

- Organise disinfection of WASH facilities and common spaces- Provide adequate WASH facilities in health care facilities and

isolation centers - Increase coverage and operationalisation of hand-washing

stations both in camps and host’s communities.- Strengthen hygiene promotion focusing on Covid-19 - Capacity building and protection (PPE) of staff, community

volunteers to work in Covid context- Back up capacity by enrolling and orienting 2nd line volunteers

and care & maintenance workers for lockdown context.

JRP Update – Activities

Only JRP partners – submission by 29th of April

Deadline for submission 29th of April COB – ONLY JRP partners

- Budget requirement 2020 – JRP 2020 priorities

115.5 million USD (for 12 months)

- Budget requirement for new COVID-19 requirements (not costed in JRP 2020) + 10% to +15% of JRP (for 9 months)

JRP Update – Budget

WASH in Health Care facilities

Health centers

- At the moment, no SARI yet operational

- List of isolation/SARI unit is updated every 2 weeks: a lot of fluctuations in the number of beds according to the progress (HR, structure, supplies…)

- Isolation units: some of those will become SARI

- If the numbers will go up, probably all the isolationunits will become SARI.

SARI Guidelines from WHOPublished in March 2020

- Link here:https://drive.google.com/open?id=1AR09jmm5jW-XtysE-amNVmaKqHgNmwuU

Water quantity- 250 liters/staff/day + 2 days backup- 100-200 liters/bed capacity/day + 2 daysbackup

https://drive.google.com/open?id=1AR09jmm5jW-XtysE-amNVmaKqHgNmwuU

Health centers

- WASH Sector did not receive request of support from health centers in camps and managed by UN agencies or MSF or NGO

- WASH Sector received request from GovernmentHospitals in host communities

- Complete list in the next slide

UID Name Facility type Location Active beds # Standby beds Planned beds # hygiene kits

HF_359 MSF OCA DTCRubber Garden, Camp 7 60 0 150 200

HF_087 MSF OCA PHC Camp 9 10 0 0 20

HF_331 MSF OCA FH KTP 20 10 0 60

HF_495 MSF OCB PHC Camp 14 0 5 5 25

HF_151 MSF OCB PHC Camp 15 10 0 10 25HF_618 MSF OCBA DTC Camp 26 0 0 50 0HF_531 MSF OCBA PHC Camp 16 10 0 0 20HF_543 MSF OCBA DTC Camp 22 0 20 0 40HF_068 MSF OCP FH Camp 8W 10 0 0 20

HF_023 IOM PHC Camp 2W 2 0 16 40HF_200 IOM PHC Camp 24 15 0 80 30HF_034 IOM PHC Camp 3 2 0 0 4

HF_093 IOM PHC Camp 9 2 0 0 4

HF_605 SCI PHC / DTC Camp 21 4 0 56 8IRC Isolation unit Camp 23 0 0 60 120

HF_197 ICDDR'B DTC Leda / Camp 24 8 8 0 32HF_566 GOB Teknaf 10 0 20 20HF_311 GOB Ukhiya 5 0 25 10

GOB Isolation unit Mokeshali 29 58GOB Isolation unit Chockoria 50 100GOB Isolation unit Ramu 50 100GOB Isolation unit Pekhua 20 40GOB Isolation unit Sadar 50 t.b.c.

218 43 472 976Total: 683

Health centers in host community- Teknaf: ICRC and BDRCS

- Ukiya: ICRC and BDRCS

- Sadar: MSF, UNHCR, ICRC, CARE + MSF medical waste (+WHO)

- Mokeshali: ACF (assessment done last week) + ICRC medical wastet.b.c.

- Pekhua and Chockoria: CARE + ICRC medical waste

- Kutubdali: NGOF will assess this week, pending possibility to reachthe island

- Ramu: CARE and ACF + ICRC medical waste

Further discussions will take place this week, with WHO, ICRC and UNDP, regarding solid and medical waste management

No additional

WASH needsatm

For your information: WASH-FIT mini-series(WHO and UNICEF)

https://www.washinhcf.org/latest_news/wash-fit-training-mini-series-2020-launches-9-april/?fbclid=IwAR23iV9hcQBl7rzEU_IB3EB2FdOQqu_mBWNfNkj3zNXmY3RrmVfl9ahjMA8

Environmental cleaning: Tuesday 28th AprilSanitation: Thursday 30th April. Time: from 5 to 6 pm BDT

https://www.washinhcf.org/latest_news/wash-fit-training-mini-series-2020-launches-9-april/?fbclid=IwAR23iV9hcQBl7rzEU_IB3EB2FdOQqu_mBWNfNkj3zNXmY3RrmVfl9ahjMA8

Hygiene items distribution during COVID-19

Hygiene items for patients in isolation- This week distribution will start: average 2 kits for isolation wards

per bed

- IOM has made available 1000 kits

- To share with the Sector if you have additonal possibility to support(needs will depend on the evolution of the context), beyond the first 1000 kits (pre-identification)

- No agreement yet on the hygiene kits needed for SARI patients. Health Sector to share needs and strategy (probably no needs in case patients are in severe conditions)

- ACF and NGOF will support with some transportation (thanks) however appreciated joint contributions and internal coordination

Hygiene items for patients in isolation: content

- 1 bucket

- 1 laundry soap

- 1 body soap

- 1 toothpaste

- 1 toothbrush

Hygiene items for camps

- Soap, hygiene kits and MHM kits according to the schedule

- On-going discussions on multisectoral kit for elderly

Please do not delay MHM kits distribution!

Hygiene items for host communites- Soap distribution recommended (blanket)

- Disinfectant product (available in the market/”homologate”)

+ Disinfection of public places and buildings

4W Reporting Status in 2020

TOPCHART

• ACF• BRAC• CARE• HYSAWA• IOM (All Partners)• Nabolok• NGOF• OXFAM• Practical Action• VERC• WVI

• BDRCS• DPHE• DSK• SCI• SI• UNDP• WHH- Anando

4W Reporting Status in 2020PARTNER/ REPORTING MONTH JAN FEB MAR

ACF

BDRCS

BRAC

CARE

DSK

HYSAWA

IOM (on behalf of All Partners)

NABOLOK

NGOF (UNHCR)

NGOF (UNICEF)

NGOF-AARJ

OXFAM

PA

SCI

SI

VERC

WHH- Anando

WV

Water quality test results and dashboard

# of samples tested by different Agencies

607

633

160

153

1122

450

345

ACF

BRAC

BDRCS

IOM

NGOF

OXFAM

WVI

834

13711265

0

200

400

600

800

1000

1200

1400

1600

Jan Feb Mar

# of samples tested per Month, 2020

Handpump, 1422, 41%

Household, 842, 24%

Production borehole, 12, 0%

Water Networks Tap Stand, 1194, 35%

# of samples by type of water points

E. coli (FCU/100ml) at household and Source level, Recommended Value: 0

Household & Source Level Free Chlorine (FRC), Target Recommended Value: >=0.2mg/l to

Household & Source Level Arsenic As - (mg/l): Water samples distribution with regards to recommended value (BGD):

Water quality test results dashboard 2020 can be found here

https://public.tableau.com/profile/tanvir.ahmed#!/vizhome/WaterQualityDashboard-FieldAgenciesJan-March2020/Dashboard?publish=yes

Feedbacks from SAG

Strategic aspects discussed:- Concerns about short-term & long-term availability of funds for the

Rohingya response due to Covid-19- Request flexibility to your donors to adapt to Covid-19 (workplan,

budget…).- Need to reorganize WASH monitoring of JRP (including infrastructures

monitoring, 4W, harmonize HH survey)- Webinars / on-line meetings instead of workshop- Despite Covid-19 + drought emergency, Sector should also progress on

long-term priorities (e.g: long-term water supply for Teknaf)

Technical guidelines approved:- Covid-19 WASH sector response plan (need regular update)- Disinfection technical guidelines- Design + BoQ of bathing facilities

https://www.humanitarianresponse.info/en/operations/bangladesh/document/cxb-wash-sector-strategy-covid-19-200414https://www.humanitarianresponse.info/en/operations/bangladesh/document/cxb-wash-sector-technical-guidance-disinfection-procedures-covid-19https://drive.google.com/drive/folders/1C49_wVM8ZBdlF_vJf9rVNSsKKxwmPCqq

AOB

AOB

• Niaz: WASH sector IM – Thank you and good luck for next job

• Ramadan Mubarak

• …