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27 July 2020 - News

KENYA COVID-19 RESPONSE WEEKLY UPDATE #6 May 15, 2020

SITUATION UPDATE

Kenya has reported 781confirmed cases of COVID-19 and 45 deaths from the virus. In his Friday presser, the Chief Administrative Secretary (CAS) Rashid Aman announced that over the last 24 hours 2100 samples were tested.
Also, at least 237 people have lost their lives and 800,000 people were displaced due to floods across Kenya. The flooding in Kenya raises fears of a cholera outbreak and adds to the desert locust invasion that are also wreaking havoc in the country. The United Nation’s Food and Agriculture Organization (FAO)said the current desert locust invasion situation remains extremely alarming in East Africa, where it is an unprecedented threat to food security and livelihoods, since it coincides with the current growing season.

Save the Children Kenya Response

Save the Children Kenya office is responding to the impact of the COVID-19 pandemic focusing on urban informal settlements, arid and semi-arid counties and the Daadab Refugee camp. We are implementing interventions focused on preparedness and response in health, nutrition, Water Sanitation and Hygiene (WASH), child protection, education in emergency and food security and livelihoods.

Key Achievements this Week
Risk Communication and Community Engagement (RCCE)

We conducted community sensitization on COVID-19 during health and nutrition outreaches in Wajir, Mandera and Turkana counties; using public address systems along the highways and within communities in Bungoma and Mandera counties respectively; and through door to door by community workers during their regular monitoring activities in Dadaab Refugee Camp. Community workers in Dadaab shared information on social distancing and observing personal hygiene/hand washing with soap at all times during their normal monitoring visits.

In Garissa county hygiene kits distribution was conducted along side hand washing demonstration. Also, radio messages on child protection and the COVID-19 pandemic were provided for children and caregivers through radio Gargar in Dadaab. The programs covered topics such as: the pro-active coping strategies for children and caregivers during the pandemic, Psychological First Aid (PFA) for children and parents, and mental health education during COVID-19.
In Bungoma and Busia counties, we supported two COVID-19 community response committee virtual meetings.

In Mandera county, our teams distributed 1,700 pieces of IEC materials. We also conducted stakeholder awareness creation meetings with participation of among others County Executive Committee Member for Special programmes, Officers Commanding Stations (OCS), sub-county administrators, chiefs, religious leaders, women leaders, and youth leaders. The purpose was to create awareness on COVID-19 and seek their support in the reporting and tracing of the people who crossed over from the neighboring Somali and Ethiopia borderlines.
We also collected views of 26 children in Wajir regarding COVID-19.

Health and Nutrition

At the national level
We held national level discussions on;
•Adaptation of Reproductive and Maternal Health IEC materials in the context of COVID-19
•The need to have the public health department under Ministry of Health as an autonomous institute (Semi-Autonomous Government Agencies – SAGAs) with an objective of strengthening global health security.

•Emergency Nutrition Advisory Committee meeting – to develop a roadmap and technical guidelines for scaling up Family MUAC; IMAM surge adaptation.

•Reviewing the Kenya Nutrition Information Systems guidelines and protocols with aim of adapting to the COVID-19 context in line with global guidance. These include SMART, Coverage, IYCF-E, KAPs, IMAM routine data.
•Finalizing the IYCF-E operational guidance and planning in response to floods and landslides.
•We supported the virtual coordination platform for the Division of Neonatal and Child Health to hold the Neonatal and Child Health taskforce meeting 12 May 2020.
•We supported two virtual meetings to finalize the development of the County Readiness assessment tool for Counties to use to assess their level of preparedness in managing and ensuring continuum of New-born and Child Health (NCH) routine services in this time of COVID-19 pandemic

At the community level

•In Wajir county we provided logistical support for distribution of COVID- 19 equipment, we also distributed vaccines.

•All together in the last week we distributed 83 hand washing stations (58 Wajir and 25 in Nairobi), 64 cartons of soap (14 in Mandera and 50 in Nairobi); 800 hand sanitizers in Wajir, 28 thermal guns (6 in Nairobi and 22 in Wajir); 908 bottles of hand sanitizers (108 in Wajir and 800 in Mandera); liquid soap (823 bottles); gloves (100 pieces in Wajir); face masks (150 pieces in Dadaab); face masks (150 in Dadaab); Hygiene materials ( OMO, Dettol and Bar soaps) to 290 children and families in Dadaab.
•We trained 34 health care workers and,66 CHVs (42 males and 24 females)
•Our teams in collaboration with the Ministry of Health (MoH) continued to conduct nutrition outreaches in Mandera and Wajir. In Mandera we reached 4,393 people with messages on COVID-19 as well as other health and nutrition interventions. 54 outreach sites in Wajir are still ongoing and in Turkana, we reached 1,763 people through outreaches in Kibish.
•Program delivery is ongoing and our teams have used this opportunity to also pass on COVID-19 information for instance during the Kangaroo Mother Care (KMC) coordination forums with the reproductive health coordinators in Busia County.
•There is ongoing scale up of supportive supervision by various county teams
•We supported Bungoma county to print four infectious disease register for the 2 isolation centers in Bungoma and Busia. Also, our teams had virtual meetings on COVID -19 reporting status with Bungoma county HRIOs from the sub counties. As a result, now the CHRIO Bungoma is in charge of the COVID-19 data and will be giving guidance to the sub counties going forward.
•In Nairobi, our teams had three Zoom meetings on: How partners will support the informal settlements in Nairobi, Nutrition technical working group and review of COVID-19 nutrition guidelines
•OFDA project exit- Our teams in Garissa had a discussion with the MoH on the project exit plan and handover of active malnutrition cases to MoH for continued management.
•Mother led MUAC documentation is ongoing. The initiative will allow mothers to be able to identify malnutrition cases without having to involve the CHVs hence services will not be interrupted as they will be able to refer children for further management.
 
Water, Hygiene and Sanitation
•We supported the distribution of hygiene kits to 114 households, approximately 684 people in Sangailu, Hulugho sub-county. The hygiene kits consist of two 20-liter Jericans, two Save the Children branded buckets, one handwashing facility and two bars of soap. During the distribution, our teams also passed on messages on COVID-19 prevention as well as demonstration of how to wash hands and how to use the hand washing facilities.
•Provision of water- our teams supported the rehabilitation of two boreholes in Hulugho sub-counties , solarization of one borehole with hybrid solar (Diiso borehole) in Fafi sub-county, a storage water tank almost completed at Bura Hospital as well as Sangailu
 
Child Protection and Education
•We conducted case management and follow up for 68 children in Dadaab 68 and provided psychosocial support and counselling to 18 children.
•We also contunued to provide child protection messages on COVID-19 for children and caregivers through radio Gargar.
 
Food Security and Livelihood
Distribution animal feeds is ongoing in Fafi in Garissa county.
 
ADVOCACY AND COMMUNICATIONS
•Advocacy: We held a meeting with the finance and planning committee of the County Assembly of Bungoma centered on the review of plans for strengthening domestic resource mobilization in light of COVID-19.
•Our teams also submitted the memorandum of recommendations in light of Covid 19 by – Bungoma county Child Right Network (BCCRN)
•Conducted a rapid assessment “pulse check” on the views / feelings of children on the pandemic. We intend to reach out to more than 300 children in all our areas of operation.The exercise will be finalized in the month of May.
•We ran radio spots on community radio stations with messages on COVID-19 prevention and protection.
 
TOTAL REACH TO DATE
 
 
 
Knowledge, attitudes and impact of COVID 19 on children in non -formal schools in Dadaab: Results from assessment of 250 children of non- formal schools
 
98% of Children aware of COVID-19
41% are girls.
82% children are learning at home. Among those learning at home, only 41% are girls.
76% of children learn on their own.
16% listen to radio lessons run by Save the Children.
42 children called in to ask questions during two lessons run on radio- 72% boys and 18% girls
37% are assisted by their caregivers/parents
85% get information on COVID- 19 from friend
 
 
 
Recommendations:
1.Radio programs on COVID-19 are effective in reaching children, these also need to be child friendly because many children get information from such programs.
2.We need to ensure all children have the correct information since they rely on each other for information on COVID-19
3.Caregivers especially women need to be reached with correct information on COVID-19 through proper channels since children rely on them for information
4.Children’s greatest needs are learning materials, play materials and basic needs such as food, beddings, hygiene kits etc.
 
 
Knowledge Attitudes and Practice of COVID 19: Highlights of findings of an assessment in Turkana among the public
100% knowledge of COVID-19 among beneficiaries.
72.7% said everyone could be infected with COVID-19.
98% worried about dying from the virus; no cure for the disease (44%) and food shortage (39%). They also worry about loss of income/ close of business (28 %) that has affected their livelihoods
57% indicated that children are able to continue learning at home.Children mostly learn on their own or do the homework sent from school
 
Recommendations:
•Continue with radio campaigns for sensitization on COVID-19, this is an effective channel.
•Engage children to continue learning- consider supporting them to access radio and distribution of learning materials such as textbooks
•Provide cash as a safety net to households due to reported loss of income so that they can purchase food
 
In Nairobi, we shared our feedback hotline with the sub counties health teams and facilities where we distributed PPEs and other items. We conducted a survey monkey with them to get their feedback on the timeliness of our response and quality of items that had been distributed and their responses have been summarized below;
 
 
FEEDBACK FROM THE COMMUNITIES