Oct 1, 2020 — KEY ISSUES. • Libya continues to witness an increase of. COVID-19 cases. • Preparation of the COVID-19 National.

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1 HEALTH SECTOR BULLETIN October 2020 Libya Emergency type:Complex Emergency Reporting period: 01.10.2020to31.10.2020 Total populationPeople affected Peo ple in needPeople in acute need 6.7 million1.8 million 900,000 300,000 IDPReturnees Non-displacedMigrants Refu gees216,000 74,000 278,000 276,000 48,000 Target Health Sector People in need Health Sector Required (US$ m) Funded (US$ m) Covera ge (%) 203,137 525,992 28 (non-COVID) 16.7 (COVID) 13.1 and 9.1 46.7 and 54.6 KEY ISSUES Libya continues to witness an increase of COVID-19 cases. Preparation of the COVID-19 National Response Plan meeting in Tripoli. Libya has signed COVAX Facility agreement. Health sector identified 1,195,389 people in need of health assistance (health PIN and target and affected population), including nearly 1,016,839 people in acute and immediate humanitarian needs (in 72 municipalities, classified as 3 or above on the severity scale Πmeaning that people living in thes e areas have acute and immediate humanitarian needs (58 municipalities classified as 3, 12 municipalities as 4 and two municipalities as 5). Health sector narra tive for 2021 HRP is developed. Proposed health sector envelope for 2021 is 40 mln USD. 2020 PMR (Periodic Monitoring Report) related indicators(Se ptember) Number of medical procedures provided (including outpatient consultations, referrals, mental health, trauma consultations, deliveries, physical rehabilitation ) 35,131 Number of public health facilities supported with health services and commodities 76 Number of mobile medical teams/clinics (including EMT)41 Number of health se rvice providers and CHW trained through capacity building and refresher trainin g523 Number of attacks on health care reported 4 Percentage of EWAR N sentinel sites submitting reports in a timely manner 60% Percentage of disease outbreaks responded to within 72 hours of identification 80% Number of reportin g organizations 10 Percenta ge of reached districts 82% Percentage of reached municipalities 41% Percentage of reached municipalities in areas of severity scale higher than 3 41%

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HEALTH SECTOR BULLETIN October 2020 PAGE 2 SITUATION OVERVIEW Despite all the efforts made on the international and local levels, both LNA and GNA remained on high alert for any possible escalation. Acting Special Representative of the UN Secretary-Genera l and Head of the United Na tions Support Mission in Libya Stephanie Williams anno unced the resumption of incl usive intra-Libyan talks, based on Security Council resolution 2510 (2020), which endorsed the conclusions of the Berlin Conference on Libya. The EU Council imposed targeted restrictive measures on one person engaged in and providing support for acts that threaten the peace, security or stability of Libya, including through violations of the UN arms embargo. The Office for the Coordination of Humanitarian Affair s says humanitarian partners are concerned about the fragile situation and a possible humanita rian disaster should the current es calation and mobiliza tion around Sirte lead to military operations. The lives of more than 12 5,000 people in and around Sirte remain at great risk. Lavrov accuses US of hindering appointment of new UN envoy to Libya. The internationally recognized Libyan government based in Tripoli discussed the draft public budget proposed by the Ministries of Finance and Planning for the year 2020-2021. A Libyan armed group is ho lding hostage at least 60 migrants, incl uding two dozen child ren, in fiappallingfl conditions after abducting them almost tw o weeks ago, MSF i ssued a statement. The United Nations High Commissioner for Refugees (UNH CR) announced that it has secured, in coordination with the Libyan authorities, the release of 141 refugees in Libya who were being held at the Souq Khamis Shelter. Tripoli Revolutionaries Brigade arrested the Head of the Libyan Media Foundation Mohammed Bayo who was appointed by the Head of the Presidential Council Fayez Al-Sarraj. UNSMIL deplores the recent unlawful arrest of the Head of the Libyan Media Corporation, Mr Mohamed Omar Baaio. The Mission calls for his immediate and unconditional release. UNSMIL Convenes First Virtua l Session of the Libyan Political Dialogue Forum. ‚5+5™ Joint Military Commissi on Agrees on Permanent Countrywide Ceasefire. The members of the Security Council welcomed the permanent ceasefire ag reement signed by the 5+5 Joint Military Commission on 23 Octobe r in Geneva following talks f acilitated by the United Nations. UNSMIL continues to receive reports on violations and ab uses against migrants and asylum-seekers arrested from smugglers™ locations or intercepted/rescued at sea and handed over to detention centres (DCs) under the Directorate for Combatting I llegal Migration (DCIM). As of 25 October, 9,389 refugees and migrants have been registered as rescued/intercepted at sea by the Libyan Coast Guard (LCG) and disembarked in Libya. Currently, ov er 2,500 persons are held in DCs, out of whom 713 are persons of concern (POCs) to UNHCR. Libya’s High Council of State, Tripoli-based Parliame nt urge Al-Sarraj to delay resignation. The General Authority of Searching for the Missing has discovered four more mass graves in the city of Tarhuna UNSMIL welcomes the National Oil Corp oration announcement of 23/10 lifting force majeure on Sidra and Ras Lanouf ports. This decision is a re sult of the confidence building measures agreed and implemented through the Joint Military Commission. PUBLIC HEALTH RISK S, PRIORITIES, NEEDS AND GAPS: Libya has witnessed a 22% increase in the number of cases of COVID-19 over the past two weeks. Under WHO™s transmission scenarios, Libya remains classified as ficommunity transmissionfl. Since the first case of COVID-19 was reported in Libya on 24 March 2020, a total of 57,975 people have been infected with the virus (28 October). Of this number, 24,910 people remain actively infected, 32,253 people have recovered, and 812 people have died. The national case fatality rate (CFR) is 1.40%. Th e municipalities reporting large numbers of confirmed cases over the past two weeks include Tripoli (6,308), Misrata (885 ), Benghazi (504) and Janzour (392). Thus far, a total of 323,766 specimens have been tested. This number includes 237,319 in Tripoli, 28,287 in Misrata, 19,923 in Benghazi, 9,894 in Sebha, 10,419 in Zliten and 6,825 in Zawiya. All four designated isolation centres in the south remain closed because of shortages of staf f, PPE, equipment and supplies. A temporary isolation facility has been opened in the respiratory clinic in Sebha.

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HEALTH SECTOR BULLETIN October 2020 PAGE 3 The results of a recent WHO/UNICEF/National Centre for Disease Control (NCDC) assessment of vaccines in Libya showed that supplies of BCG vaccines ran out five months ago and supplies of hexavalent vaccines were forecast to run out by the second week of November 2020. Similarly, OPV and measles vaccines were forecast to run out by the end of December 2020. WHO has classified all four vaccines as critical. Although national and regional warehouses have buffer stocks of these vaccines, the country is likely to face a huge shortfall in vaccines if no immediate measures are taken to procure and distribute additional supplies. This will be Libya™s second vaccine stockout in 2020 and the third in two years. This means that many children have missed or may miss their scheduled vaccine doses, which increases the risk of outbreaks of vaccine-preventable diseases. Overview of COVID-19 case manage ment health facilities in Tripoli There are 8 health facilities in Tripo li assigned for COVID-19 case manage ment. 7 out of 8 health facilities are reported as functional. 4 out of 8 facilities are public hospita ls. Overall capacity for case isolation is 277 beds (177 functional). Overall ICU bed cap acity is 129 beds. 7 out of 8 health fac ilities have the required HR personnel. 7 facilities are reported for trea tment of severe patient (129 beds). 5 facilities are reported for treatment of critical patients (107 beds). At least 1 he alth facility (Tripoli university hospital) is classified as 1 st, 2nd, 3rd level COVID-19 facility. Municipality Facility name Facility type Bed capacity isolation Bed capacity ICU Human Resources status COVID Lab Ain-Zara Tripoli university hospital Public hospital + Triage center 12 14 Available HR Functional GeneXpert Tripoli center Ophthalmology hospital Tripoli Public hospital 35 15 Available HR Functional No Tripoli center Souq-Altulataa isolation center Adapted building 20 10 Available HR Functional No Tripoli center Central Tripoli hospital Public hospital 20 10 Available HR Functional GeneXpert Souq-Aljumma Mitiga isolation center Adapted building 60 60 Available HR Functional GeneXpert Souq-Aljumma Ibn-Aouf battelship Adapted battelship for quarantine 100 0 Pending for HR Ready No Souq-Aljumma Mitiga general hospital Public hospital 20 12 Available HR Functional No Abuslim Mowasafat Private (service payed by MoH) 10 8 Available HR Functional No Review and update of the COVID-19 National Response plan (Invitation from House of Representatives and the Ministry of Health (ICO)

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HEALTH SECTOR BULLETIN October 2020 PAGE 4 The health and environment committee at the House of the Representatives and the International Co operation Office of the Ministry of Health are planning to organize a scie ntific workshop to evaluate the current ep idemiological situation, plans for an updated COVID-19 National Response Plan (NRP). The plan should include and clarify the roles and responsibilities assigned to all concerned par ties. The plan would be comprise d two basic directions; health and non-health measures and interventions. Health sector provided the following technical feedback to the organizers of the workshop: 1. The concept note is mainly fo cused to revise and update th e national response plan in order that the pandemic is contained. 2. It would be useful to undergo and comprehensively review the actions taken. WHO recommends an intra-action review with 4-fold objectives: a. to provide an opportunity to share experiences and collectively analyze the ongo ing in-country response to COVID-19 by identifying cha llenges and best practices; b. to facilitate consensus building among and the compiling of lessons learned by vari ous stakeholders during the response to improve the current response by sustaining best practices that have demonstrated success and by preventing recurrent errors; c. to document and apply lessons learned from the response efforts to date to enable health systems strengthening; d. to provide a basis to validate and update the Country COVID-19 strategic preparedness and response plan and other strategic plans accordingly. 3. As in any program implementation, it will be prudent the actions/interven tions taken against objectives and planned activities and not limit in revisi ng and updating national plan-let alone th ere is no officia lly endorsed plan4. The IAR tool kit for reference and guide were shared. 5. If the national response plan will be reviewed, based on the draft form made availabl e during March-April, the desk recommendations were shared for improvement of national response plan which has been communicated to the MoH and NCDC on 4 April, 2020 and subsequently a review meeting was held on 13 April. In earlier communication on 13 th April, it was also emphas ized the inclusion of 9 th pillar-maintaining essential health services. The national response plan re ferring here is the one developed by NCDC also did not include the case management strategy, where the MoH and Scientific Committee developed the clinical Case Management and IPC guidelines. 6. Another very important aspect recommended in the WHO in tra-action review (IAR) is to review the cross cutting issue of non-pharmaceutical social and public health me asures, including physical dist ancing measures, movement restrictions, business or school closures-related documents were also forwarded to MOH and NCDC separately (attached). This cross-cutting topic is linked to the discussion of no n-health (socio-economic) impact. 7. COVAX must be discussed as part of essentia l health services and comprehensive strategy. 8. The government has also been issuing several resolutions/edicts/decrees. This must also be reviewed. 9. Respective representatives of UN agencies, pillar leads, w ill be present in all proposed working groups including V (social protection, cohesion and community resilience) and VI (response to economy). 10. The national response plan should incl ude public health criteria (indicators) in 3 domains epidemiology, health system and public health su rveillance to measure and adjust public health measure and social health measures. 11. The preparedness and response plan is very much tied up with the projected mathematical/epidemiological projections of cases which is furthe r linked supplies forecasting, where the government have not been able to project-this is not about acute crisis but rather a medium to long haul intervention with second wave in place, the existing health services and economy w ill further collapse. The revised plan should include and clarify the roles and responsibilities assigned to all concer ned parties. 12. On 24 September, with U NDP, co-facilitated the C19 policymakers discus sion, participants (m ainly managers of health care facilities in the east, west and south) reviewed the initial findings of C-19 response in the country and discussed how to improved cooperation and enhance the efficiency and effectiveness of the national response. It will be important to follow up on those findings and recommendations. Signing the COVAX Facility by Libya

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HEALTH SECTOR BULLETIN October 2020 PAGE 5 As of 23 September 2020, Libya has signed commitment agreem ent to the COVAX Facility and has submitted non- binding confirmation of intent to partic ipate in the COVAX Facility. 64 higher income economies have now joined the COVAX Facility, with a further 38 economies expected to si gn in the coming days. These self-financing economies, which include 29 from ‚Team Europe™ participating as part of an agreement with the European Commission, join 92 lower income economies eligible for financial support through the Gavi CO VAX Advance Market Commitment. This means a total of 156 economies, representing nearly two- thirds of the global population, are now committed to or eligible to receive vaccines through the Facility. WHO informed Libyan authorities on the next steps to be completed to ensure Li bya is able to fully participate in COVAX. Following this, Libya complete d the upfront payment to GAVI. This will allow vaccine manufacturers to calculate advance purchase commitment s as well as cover their risk mitiga tion and operating costs. WHO™s country office in Libya will continue to support the Libyan national authorities in preparing guide lines, policies and tools such as the attached country readiness assessment tool which has the following 10 components: Planning and coordination Resources and funding Regulatory Prioritization, targeting an d COVID-19 surveillance Service delivery Training and supervision Monitoring and evaluation Vaccine, cold chain and logistics Safety surveillance (adverse event followi ng immunization) Demand generation and communication The Libyan authorities are expected to assign focal points for each of the above components, under the coordination of a central body. The necessary documents were shared with the MoH. Key points for Libya to take action to ensure the safety and health of migrants and refugees: Access to diagnostic, treatment and follow for migrants, re fugees, people detained in fiformalfl detention centers, prisons and smuggling facilities. Author ities are advised to advance the provi sion of universal health coverage, including for migrants, and to provide timely and a ccurate disaggregated data on migration status. Thousands of migrants™ health status and needs are to be assessed and there is pressing requirement to ensure their access to basic and essential health services. E.g. call for access to blood donation services for refugees and asylum-seekers without regard to status and residency permit. The health condition of migrants is also used to support their depo rtation. Any government should create the necessary conditions for migrants and return ees to be able to seek health care withou t fear of legal repercussions, including deportation, so they can pr otect themselves, their community and the host community from infection. Many migrants and displaced people live in crowded c onditions where physical distancing and access to clean water, sanitation and hygiene are luxuries, creating a ripe environment for COVID-19 outbreaks. The pandemic is also exacerbating threats to migrants™ mental and psychosocial health, as many have now lost their jobs and are unable to provide for themselves or their families back home. The health and livelihood of migrants and displaced people continue to be affected by border closures, travel restrictions and internal lockdowns. They are also often subject to discrimination and stigmatization. Sexual exploitation and abuse remain high among female temporary contractual workers, and displaced populations, while their access to support services for gender-based violence is very limited. It is recommended that during the COVID-19 pandemic, migrants and displaced people have voluntary access to testing as well as isolation and trea tment, in the case of positive diagnos is, with full respect for their dignity, human rights and fundamental freedoms. To avoid the furthe r spread of the disease, a ll migrants set to return should be tested prior to their depa rture and, if foun d positive for COVID-19, treat ed. Only once a patient no longer tests positive should they be sent to their country of origin.

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HEALTH SECTOR BULLETIN October 2020 PAGE 6 Consideration for COVID-19 Vaccine: ensure access of IDPs and refugees, asylum-seekers to COVID-19 vaccine once available Any migrants detained wit hout sufficient legal basis are released immediately. There is a need for recognition of UNHCR issued certific ates to facilitate access to government health facilities. Support access of refugees and asylum seekers to health services issuing fifit to workfl certificates required for the purpose of employment and call for the use of UNHCR certificates for this purpose. (Instances are recorded when PoCs are required to demonstrate that they have a residency permit to access these services). Establishing a health screening system at disembarkation points with the presence of Libyan health authorities working in cooperation with humanitarian organizations. Sign a blanket waiver for all COVID-19 supplies arriving at Libyan ports. Access in health In health, access is defined by capabilities to reach a spec ific area by different mean s and modalities, including a) direct presence of UN and INGO staff (i nternational staff); b) capabilities to de liver health supplies by any means; c) presence of field coordinators and focal points; c) presence of implementing partners Health sector reaches all 22 districts; 40-50% of 100 municipalities; 35-40% of reached municipalities are in areas of severity scale classified 3 or above. Health sector response involves an esti mated of 28 different type of activities. 46 communities in 3 districts (Al Jufra, Misrata, Sirte) remained non-accessible due to a mix of reasons. The nature of restrictions has been changing througho ut 2020: security related; COVID-19 related; and governance related. 2021 HRP Strategic Objectives and 2021 HR P Health Sector Strategic Objectives 2021 HRP Strategic Objectives: 2021 HRP Health Sector Strategic Objectives: Strategic Objective #1- Physical and Mental Wellbeing: Prevent disease, reduce risks to physical and mental well- being, and strengthen the protection of civilians in accordance with international humanitarian law, human rights laws and other international legal frameworks. Strategic Objective #2- Living Standards: Facilitate safe, equitable and dignified access to critical services and livelihoods to enhance people™s resilience and ensure they meet their basic needs. 1) Increase access to life-saving and life-sustaining humanitarian health assistance, with an emphasis on the most vulnerable (including IDPs, migrants, refugees and returnees) and on improving the early detection of and response to disease outbreaks. 2) Strengthen health system capacity to provide the essential package of health services and manage the health information system. 3) Strengthen health and community (including IDP, migrants and refugees) resilience to absorb and respond to shocks with an emphasis on protection to ensure equitable access to qualit y health care services. Affected population (inter -sector pin and health sector pin), 2021 HRP Population group Affected population Inter-sector PIN Health PIN Health % Migrants 538,264 303,740 301,026 25%Returnees 273,756 228,084 180,482 15%IDPs 392,241 172,871 168,728 14%Refugees 46,245 46,245 46,245 4%Nondisplaced 1,224,935 501,939 498,908 42%Total 2,475,441 1,252,879 1,195,389 100% Health sector identified 1,195,389 people in need of health assistance (health PIN and target and affected population), including nearly 1,016,839 peop le in acute and immediate humanitarian needs (in 72 municipalities, classified as 3 or

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HEALTH SECTOR BULLETIN October 2020 PAGE 8 Nalut Baten Aljabal 1102132 0 0Almar geb Alkhums 1365422 1 1Almar geb Msallata 1141163 1 7 8Almargeb Qasr Akhyar 132153 13 13Almargeb Garabolli 1193233 1 15 16Almar geb Tarhuna 1512543 1 15 16Tripoli Suq Aljumaa 2232273 1 8 9Tripoli Tajoura 2181213 1 12 13Tripoli Ain Zara 2132173 1 10 11Tripoli Tripoli 6134233 1 10 11Tripoli Abusliem 216183 1 5 6Tripoli Hai Alandalus 1192223 1 6 7Aljfara Sidi Assa yeh 223 2 2Aljfara Suq Alkhamees 1673 1 6 7Aljfara Qasr Bin Ghasheer 553 5 5Aljfara Espeaa 1563 1 5 6Aljfara Swani Bin Adam 14143 14 14Aljfara Janzour 193223 5 5Aljfara Al Azizi ya 171183 5 5Aljfara Al Maya 10103 7 7Aljfara Azzahra 1173212 0 0Azzaw ya Azzaw ya 1377452 1 1Azzawya Surman 1146213 1 7 8Azzawya Gharb Azzawya 14143 14 14Azzaw ya Janoub Azzaw ya 333 3 3Misrata Misrata 42911443 1 15 16Misrata Zliten 1277352 1 1Misrata Abu Qurayn 664 6 6Misrata Bani Waleed 1173214 1 17 18Zwara Al Ajaylat 1241262 0 0Zwara Sabratha 2213262 1 1Zwara Zwara 274132 1 1Zwara Aljmail 1182212 0 0Zwara Rigdaleen 773 7 7Zwara Ziltun 7292 0Al Jabal Al Gharbi Nesma 1672 1 1Al Jabal Al Gharbi Azzintan 2185252 1 1Al Jabal Al Gharbi Alasabaa 1211233 1 10 11Al Jabal Al Gharbi Al Qalaa 4153 4 4Al Jabal Al Gharbi Yefren 2113162 1 1Al Jabal Al Gharbi Ghiryan 1533572 1 1Al Jabal Al Gharbi Kikkla 112133 5 5Al Jabal Al Gharbi Arra jban 101113 5 5Al Jabal Al Gharbi Jadu 1103142 0 0Al Jabal Al Gharbi Arrhaibat 663 6 6Al Jabal Al Gharbi Arrayayna 553 5 5Al Jabal Al Gharbi Ashshgega 3143 3 3Al Jabal Al Gharbi Ashshwa yrif 113 1 1Al Jabal Al Gharbi Thaher Al jabal 5163 5 5Aljufra Aljufra 2143194 1 14 15Wadi Ashshati Brak 1123 1 1Wadi Ashshati Edri 223 2 2Wadi Ashshati Algurdha Ashshati 3373433 1 15 16Sebha Sebha 22111342 1 1Sebha Albawanees 663 6 6Ubari Bint Bayya 13133 13 13Ubari Alghra yfa 11113 11 11Ubari Ubari 16183 1 6 7Ghat Ghat 1132164 1 13 14Murzuq Alsharguiya 11114 11 11Murzuq Algatroun 7184 7 7Murzuq Taraghin 113144 1 13 14Murzuq Murzuq 1294344 1 29 30Murzuq Wadi Etba 13134 13 13 971355204165650 600 650 HEALTH SECTOR ACTION/RESPONSE Daily and weekly COVID-19 updates are being produced by WHO Libya.

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HEALTH SECTOR BULLETIN October 2020 PAGE 9 AFP updates: Weekly AFP updates ar e being published. Bi-weekly operational updates : Regular biweekly (1-15 October) health se ctor operational update was produced. Bi- weekly COVID-19 operational updates (17 and 18) were produced by WHO Libya. Operational assessment of selected municipalities was conducted across Libya. Migrant health: an overview of health response to migrants and refugees in Libya was produced. Coordination meetings: Sub-national health sector meeting was conducted in Al Baida. Health Information Management materials produced: Health sector Libya, 4W snapshot, September 2020 Map, health sector Libya operational presence in Libya, January Œ September 2020 Operational presence/response of health sector organizations by municipal ity level (based on 4W inputs, January Œ September 2020) Link for interactive dashboard: Health sector interactive analysis for the 4Ws Draft COVID-19 interac tive dashboard is shared with WHO and NCDC. Health Sector 2021 HRP materials produced: Final narrative of Health Sector HRP 2021 Final list of districts and municipalities ranked by Health Sector Severity Scale (disaggregated by population groups) Health sector inputs to inter-sect or operational monitoring framework Health sector costing (per activity/per unit) Current HDP-nexus developments The first draft of fiHDPN for Health Profile: Libyafl was produced. The following are proposed recommendations for advancing the HDPN for health in Libya: Strengthen existing health coordination mechanisms Conduct joint, comprehensive health system assessments Define health sector developmen t objectives and identify HDPN for health collec tive outcomes Shift towards multi-year strategic planning Bolster monitoring and evaluation mechanisms Create HDPN-related resource and financing records Mainstream conflict analysis an d peacebuilding prioritization Health sector planning and response includes both, fihumanitarianfl and fidevelopmentfl partners. The existing reporting and coordination platforms enable the required synergy. UPDATES FROM PARTNERS GIZ: Supporting the COVID-19 response of Hospit als and Laboratories in eight municipalities In light of the rapid aggravation of the COVID-19 pandemic in Libya, the German Federal Ministry for Economic Cooperation and Development (BMZ) has mobilized additional funds to support the Libyan COVID-19 response. In cooperation with MoH, GIZ will suppor t eight municipalities in strengthening the capacities of their hospitals and laboratories. The eight municipa lities that were selected in consultation with MoH and WHO are Al Shate, Al Zintan, Benghazi, Garabulli, Nalut, Ta rhouna, Tobruk and Zliten. Together with the municipalities, GIZ will determine the hospitals and laboratories ´ requirements to ensure that the management of COVID-19 testing, treatment and care in their municipalities follow WHO guidelines and are accessible for those who require the services. The support to the hospitals and laboratories w ill, furthermore, comprise training and ment orship programs for doctors, nurses and

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HEALTH SECTOR BULLETIN October 2020 PAGE 10 laboratory technicians, and the provision of essential equipment and supplies, as well as capacity building in Asset Life Cycle Management. An inception me eting regarding this support was held with the mayors from Al Shate, Al Zintan, Garabulli, Nalut, Tarhouna and Z liten. The inception meeting in Beng hazi and Tobruk was conducted with representatives from the Mu nicipality COVID-19 Coordination Committees and the Medical Centres. Preliminary assessments have been conducted in all eight municipalities and the proc urement of essential eq uipment and services has been initiated. UNDP On 13 October, UNDP Stabilization Facility For Libya delivered 12 ventilators to the Ministry of Health and WHO as a support to national response to COVID-19 in Libya. Th e equipment will be further di stributed to 12 municipalities across Libya. On 22 October, UNDP Stabilization Facility For Libya delivered five COVID-19 testing machines to the National Center for Disease Control (NCDC) in Misrata. The medical equipment will be further distributed to five municipalities across Libya. On 22 October, UNDP Stabilization Facility For Libya handed over the cold chain refrigerator building to contract ors for renovation. The infrastructure was damaged during violent clashes in 2016 and is not working to its full capacity. After maintenance, more patients in Sirt and neighbouring cities will have better access to medicines an d vaccines that need cold chain. Renovation work is due to start officially on 29 October 2020. Testing machines, https://www.ly.undp.org/content/libya/en/home/presscenter/pressreleases/2018/The-National- Center-for-Disease-Control-counts-with-new-COVID-19-testing-machines.html Ventilators: https://www.ly.undp.org/content/libya/en/home/pre sscenter/pressreleases/2018/COVID-19-Response- The-Stabilization-Fac ility-for-Libya-delivers-ventilato rs-to-health-authorities.html COVID-19 cartridges: https://www.arabstates.undp.org/content/rbas/ en/home/presscenter/pr essreleases/2020/the- stabilization-facility-fo r-libya-delivers-second-batch-of-co.html Première Urgence Internationale (PUI) As part of its programs aiming at strengthening the resilience of the most vulnerable populations affected by ongoing conflicts, Première Urgence Internationale (PUI) has been operating in the East of Libya, particularly in the regions of Be nghazi and Al Kufra. PUI activities target both Libyan and non-Libyan populations including internally displaced people (IDPs), the host communities, migran ts, refugees and asylum seekers in IDP camps, Detention Centers (DCs) and urban areas. The organization™s activities in the country are based on an inclusive integrated approach and include the provision of health care services, mental health and psycho-social support, WASH, and pr otection to promote health and well-being amongst the targeted populations. PUI projects are implemented with the support of EU DG ECHO, the EU Delegation, the UNHCR, the IRC and the AICS. Through the month of October 2020, PUI provided primary h ealth care services, including medical screening, medical consultations and MHPSS services. Spec ialized health care was also provid ed for the cases needing further management through referrals to public and private hospit als. Medical screening was performed for a total number of 2,144 individuals, including 1,369 primary health care cons ultations provided through re gular and follow-up medical visits in Benghazi and Al Kufra Mantikas. The most prom inent diseases that were recorded amongst the medical

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HEALTH SECTOR BULLETIN October 2020 PAGE 11 assistance beneficiaries were gastrointestinal diseas es, non-communicable diseases (mainly diabetes and hypertension), Upper Respiratory Tract Infections (URTI), Urinary Tract Infections (UTI), and skin infections. On health and hygiene promotion, PUI continued to disseminate health awareness messages amongst migrants in the targeted detention centers in Benghazi (Ganfoda, Tolmaitha, Shahat, Al Marj, Albayda, and Ajdabiya) and in the sites of intervention in Al Kufra during each medical visit conducted by PUI health teams. Besides, in order to improve access to personal hygiene, PUI distributed hygiene kits for migran ts in the detention centers of Tolmaitha, Ganfoda, Ajdabiya and Al Marj. In addition, over the mentioned period, PUI organized 473 health and hygiene promotion sessions in Al Kufra Mantika targeting 618 beneficiaries (481 women Œ 137 men) through individual and group sessions. As a component of its psychosocial su pport activities, PUI organize d an awareness campaign for migrants at Ganfoda Detention Center in celebration of the World Mental Health day. The event aimed at shedding the light on the importance of mental health and anxiety management with a specific attention to the fr agile situation imposed by the COVID-19 Pandemic. The campaign wa s organized on 15 October 2020 and benefited 103 migrants, including 77 men, 14 women and 12 children, at Ganfoda Detention center. Psychosocial support and recreational activities as well as awareness sessions on coping with the stress caused by the COVID-19 crisis were organized for children, youth and adults. Personal hygiene tips were also provided for the beneficiaries. Besides, within the specific context of the COVID-19 Pandemic, and to se nsitize the community about COVID-19 preventive measures and medical management, PUI continued to disseminate awareness messages amongst all beneficiaries and targeted co mmunities in PUI™s areas of intervention duri ng all the activities that were implemented over the month of October 2020. Helpcode Libya: courses begin with Ga slini Paediatric Hospital to train local medical staff Girls and boys in the Za wya and Ghat districts in Liby a will have access to better medical care thanks to better training for local medical and nursing staff. Doctors and nurses working in these areas ar e acquiring new skills in the management of techniques for paediatric care through training courses held by doctors from Gianni na Gaslini Paedia tric Hospital in Genoa. Gaslini Hospital is Helpcode™s tech nical partner for implementation of the project fiRestoring quality health care services in Zawya and Ghat District in Libya within the framework of the fiBaladiyati Œ Recovery, stability and socioeconomic developm ent in Libyafl program financed by the European Union through th e EU Trust Fund Œ North Africa Window and implemented jointly by AICS, UNDP and UNICEF to improve access to basic services in 24 municipalities all over Libya. Helpcode, with local partner ODP (Org anisation of Development Pioneers) an d the technical support of Gaslini Hospital, is working on this project to rehabilitate a number of medical centres in the Zawy a and Ghat districts and train local medical and nursing st aff. This will make it possible to supply qu ality healthcare services to all residents in the municipalities involved in the proj ect and in n earby marginal areas.

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