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ACTION PLAN TO ADDRESS CHOLERA / ACUTE WATERY DIARRHEA AND CHIKUNGUNYA VIRUS OUTBREAKS ON THE KENYA – ETHIOPIA – SOMALIA BORDER

EXECUTIVE SUMMARY


This report was developed by IGAD and UN agencies following the concurrent outbreaks of Chikungunya, Dengue, Cholera/AWD and Measles in Mandera, Kenya in May 2016 with similar trends reported in neighboring regions in Ethiopia and Somalia. It aims to draw attention on this highly vulnerable border region and proposes strategic interventions for the immediate, medium and longer term for sustained disease surveillance, water and sanitation and Vector control - It does not duplicate comprehensive operational requirements outlined by country level response strategies through national development plans, UNDAFs and humanitarian response plans.


While governments in the region together with humanitarian partners have been able to significantly reduce the number of cases over the past months through targeted interventions, the region remains highly vulnerable to recurrent disease outbreaks. Its population’s vulnerability is compounded by high levels of multi-dimensional poverty, low immunization levels, weak access to social services, and high levels of population movements given the nomadic nature of the border communities – who move from place to place in search of water and pasture for their animals. Implementation of a disease preparedness and response plan could catalyze further development investments for this priority IGAD cluster for durable solutions to address chronic humanitarian needs and implement sustainable risk management practices.


This multi-agency sub-regional action plan seeks to fundraise to address the Cholera and Chikungunya virus outbreaks and their risk factors in the Mandera Triangle (Mandera Kenya, Belet Haawo Somalia and Dollo Ado Ethiopia) from August 2016 to August 2019 through immediate term, medium term and long term multi-sectoral approach. These activities will be implemented at an estimated cost of US$21,603,738 (IGAD: 2,475,980, IOM: 3,750,950, UNICEF: 8,386,808, WHO: 6,290,000 and OCHA: 700,000) whose breakdowns by agencies are detailed in this document. The joint action plan for responding to Cholera/AWD and Chikungunya outbreaks in the Mandera region, as well as other possible future epidemics, consists of:

  • Immediate response focusing on scaling-up to effectively respond to cases and contain any further spread (3 months starting August 2016) in order to prevent additional morbidity and mortality related to the outbreak;
  • Mid-term response focusing on strengthening WASH activities (12 months starting August 2016) with the objective of addressing the root causes of the cholera outbreak in the community and building the resilience of communities and systems to respond to outbreaks.
  • Overall coordination focusing on leveraging existing regional coordination mechanisms where possible to strengthen cross-border information sharing, surveillance, preparedness and response with a focus on the border areas of the three countries (3 years starting August 2016).