P-ZW-IBE-003

Project Details
ID: P-ZW-IBE-003 Name: EMERGENCY ASSISTANCE FOR TO SUPPORT EFFORTS TO CONTROL & AVERT ANOTHER CHOLERA OUTBREAK Status: Completed Country: Zimbabwe
Sector: Social Approval date: 09-mar-2010 Task Manager: DEMISSIE Eskendir Alemseged, RDGS4
Total cost: 652930
Currency: UAC
Source(s) of financing
SRF: 652929.04
Implementing Agency: WHO/AFRO-WORLD HEALTH ORGANISATION Location: CHOLERA AFFECTED DISTRICTS

Objectives

The project objective is to strengthen the national cholera preparedness to contain the emerging outbreak and to consolidate the achievements of the past and strengthen the national cholera preparedness to contain the emerging outbreak as an intermediate measure whilst long term measures are implemented. Support will therefore be directed to further implement the cholera response plan for Zimbabwe through the following activities; (i)Procurement and distribution of water disinfectant tablets, cholera personal protection equipment and materials, medical supplies (cholera kits, IV fluids, ORS, giving sets, chlorine, drugs, etc), fuel to support transport logistics, disinfectants and detergents for use at CTCs, water purification tablets and field water quality monitoring kits and reagents and support to government's analyst laboratories. (ii)Capacity building among health workers and communities through focused trainings to health workers and community volunteers and provision of IEC materials and community education for improved hygiene and sanitation.

Description

The general objective is to consolidate the achievements of the past and strengthen the national cholera preparedness to contain the emerging outbreak as an intermediate measure whilst long term measures are implemented. Support will therefore be directed to further implement the cholera response plan for Zimbabwe through the following activities; (i)Procurement and distribution of water disinfectant tablets, cholera personal protection equipment and materials, medical supplies (cholera kits, IV fluids, ORS, giving sets, chlorine, drugs, etc), fuel to support transport logistics, disinfectants and detergents for use at CTCs, water purification tablets and field water quality monitoring kits and reagents and support to government's analyst laboratories. (ii)Capacity building among health workers and communities through focused trainings to health workers and community volunteers and provision of IEC materials and community education for improved hygiene and sanitation.

Rational

The purpose of the present proposal is in response to the GOZ request for assistance submitted to the Bank on 17 December 2009. The request seeks further support to consolidate the past year achievements and strengthen the national system to control and avert the outbreak of cholera which is emerging in some parts of the country.The current situation is still fragile and the humanitarian situation requires attention. The death toll from the first cholera outbreak was very high because the response was not rapid and the national health system was weak. The current emergency situation is beyond the capacity of the government and its own agencies to handle without significant support from the international community. The United Nations consolidated appeal for Zimbabwe for 2010 amounts to US$378 million, of which US$64 million is for health and US$46 million for WASH. Given the country's GDP contraction by 48% during the last eight years and severe shortage of foreign currency, this is a huge demand on the country which it cannot meet without external support. This proposal for emergency assistance is justified because the failure to control the emerging outbreak could escalate if we don't further strengthen the national preparedness. The proposal can be implemented expeditiously within short period. WHO AFRO is experienced in implementing similar kind of emergency operations. In terms of addressing longer solutions, with support of partners and GOZ's effort, rehabilitation of water and sanitation systems in small towns/growth and large urban centres are being implemented or preparations are on the way to mobilise resources. The AWF is supporting Chitungwiza town, the epicentre of the previous year's Cholera epidemic, to rehabilitate its water and sanitation systems. The ADB is preparing an intervention in five cities with resources mobilised from donors and Fragile State Facility complementing it with capacity building. Other major players such as UNICEF and GTZ have already commenced rehabilitation programmes. While the investments for the rehabilitation of water supply and sanitation systems in the country takes time and requires huge investments, it is critical that the Bank supports the emergency response plan as a short term measure focused on reducing mortality and morbidity due to cholera. The support will complement the Government's effort and assistance provided by other development partners to avert 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 present Emergency Assistance proposal 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 request falls under emergency criteria item (i) emergency situation arising from Natural Disasters - droughts, earthquakes, floods, hurricanes, landslides, volcanoes, and crop pest invasions.