P-ZW-IBE-002

Project Details
ID: P-ZW-IBE-002 Name: EMERGENCY ASSISTANCE TO SUPPORT EFFORTS TO CONTROL AND AVERT CHOLERA OUTBREAKS Status: Completed Country: Zimbabwe
Sector: Social Approval date: 19-jan-2009 Task Manager: TEKLE-HAIMANOT Shu-Shu, RDGS4
Total cost: 661800
Currency: UAC
Source(s) of financing
SRF: 661795.85
Implementing Agency: WHO/AFRO-WORLD HEALTH ORGANISATION Location: AFFECTED AREAS

Objectives

The general objective is to contribute to efforts to contain the prevailing cholera outbreak. Support will be directed to the Health Cluster for the roll out of the cholera response plan.

Description

The emergency assistance for the human aspects of disease control and prevention will be channelled through the World Health Organization (WHO) Africa Region (WHO-AFRO), which is coordinating activities under the Health Cluster. WHO-AFRO will be responsible for implementing the Bank's emergency assistance in support of the health cluster cholera response plan for Zimbabwe.The ADB support will finance the activities below, drawn from the Health Cluster Cholera Response Plan that has been agreed upon by Government and Development Partners. (i) Procurement and distribution of emergency response equipment and supplies, including: Oral Rehydration Salts, chlorine, diarrhoeal disease kits, drugs, etc;(ii)Training of staff and volunteers in infection control.

Benefits

Bank support to Zimbabwe will complement assistance by other development partners to avert a national and regional social and economic catastrophe by making it possible to prevent further deaths from cholera as well as containing its spread beyond the current affected areas. The direct impact will be reduction in the risk of infection with cholera among over 4 million Zimbabweans considered most at risk as well as a drastic reduction in the CFR to less than 1%, among up to 60,000 people infected with cholera.

Rational

The current cholera outbreak in Zimbabwe is a humanitarian crisis involving daily loss of lives as well as entailing conditions of socio-economic hardship and human suffering affecting large sections of the population of Zimbabwe and beyond. Furthermore, the emergency situation is of a scale that is beyond the capacity of the Government of Zimbabwe to respond adequately especially in the provision of needed treatment to prevent deaths. The case fatality rate (CFR) in the current epidemic at 5.3% is much higher than the 1% threshold set by the WHO, as many people in need of treatment are unable to get it. The present operation of Emergency Assistance is in accordance with the Bank Group Policy Guidelines and is consistent with the current Bank Group provisions under the Revised Policy Guidelines for Emergency Relief Assistance, and General Regulations of the Special Relief Fund (ADB/BD/WP/2008/211). The modalities for implementing the emergency assistance are appropriate, as they will ensure that the proposed activities will be carried out expeditiously to save lives and prevent further spread of cholera within the time frame of the grant.