PREPAREDNESS AND RESPONSE PLAN FOR COVID- 19 - SCENARIO 3 - RVO
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EPRP for COVID-19
PREPAREDNESS AND
RESPONSE PLAN FOR COVID-
19
SCENARIO 3
1EPRP for COVID-19
Introduction
Coronaviruses are a large family of viruses that cause illness ranging from common cold to more severe
diseases such as Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome
(SARS). A novel coronavirus was identified in December 2019 in Wuhan City, China among people who
had exposure to seafood market. This is a new coronavirus that has not been previously identified in humans.
This virus has been named by the World Health Organization (WHO) as COVID-19.
The disease has affected many countries and territories in Western Pacific, South-East Asia, Americas,
Europe and Eastern Mediterranean regions. The number of people infected and those who die of it, is
increasing every day. It has infected more people and already killed more as compared to the 2002 SARS.
On 30 January 2020, the WHO declared the 2019 novel coronavirus outbreak as a Public Health Emergency
of 1nternational Concern (PHEIC) with recommended actions for countries.
The Director General of WHO declared COVID 19 a global pandemic on 11th of March after the epicenter
moved from Wuhan China to rest of the globe and the number of cases increased 13-fold.
As the virus is new, there are many things that are not clear. It can be propagated in the same cells that are
useful for growing SARS-CoV and MERS-CoV, but notably, COVID-19 grows better in primary human
airway epithelial cells than in standard tissue-culture cells, unlike SARS-CoVor MERS-CoV.
Globally several pharmaceutical companies have embarked on research to develop vaccines/ treatments for
COVID -19. So far there are no licensed treatments or vaccines for the COVID-19 virus.
Rationale of the plan
Since 13th of march when the first Covid-19 case was announced in Ethiopia, several cases have been
identified most of whom were imported, and the rest linked to imported cases (clusters). Ethiopia has also
been classified as one of the high-risk countries. All neighboring countries have also reported the confirmed
case.
2EPRP for COVID-19
The number of expected cases for the response 34,068 per month and was calculated. The assumptions taken
were:
• 21% of the population is an urban population of whom are all considered at risk;
• 50% of the rural population was at risk given the sparse population distribution;
We then assumed that the total 66.5 million and assuming the herd immunity (R0 − 1)/R0 is 60%, 39m people
were expected to be infected with COVID 19.
In addition to this, according to a lancet publication, the risk of infection decreases by 60% if measures
including social distancing are put in place. Ethiopia has implemented a series of measures including
avoidance of mass gathering social distancing, and risk communication, including the advocacy for
handwashing, reduces the risk to 60%. However, since the measures are not stringent it was assumed that
the risk was 30%.
This plan was developed assuming that the expected number of COVID-19 cases amounted to on Average
34,000 confirmed case per months or approximately 102,000 cases within the next three months. With the
Estimation of 20% severe case 3.4% death.
2. Situation Analysis
As of 25th March 2020, a total of 414,179 confirmed cases, including 18,440 deaths (case fatality ratio
4.5%), were reported globally. The 10 countries with the highest number of cumulative cases included China
(81,848), Italy (69,176), United States of America (51,914), Spain (39,673), Germany (31,554), Iran
(Islamic Republic of) (24,811), France (22,025), Republic of Korea (9,137), Switzerland (8,789) and the
United Kingdom (8,091).
In the Africa, there has been a significant upsurge in the past week; the highest number of cases were
reported in South Africa 554 (0 deaths), Algeria 264 (17), Burkina Faso 114 (3), Senegal 8(0) deaths. In
Ethiopia, at the time of this update, the total number of confirmed cases recorded was 12; with a total of 342
contacts.
During the preparation Phase the following challenges were observed. Suboptimal coordination among
different Stakeholder in the overall Covid-19 preparation. In adequate preparation in contact tracing and
follow up team, challenge in training cascading to regions and lower level. Poor and un linked surveillance
3EPRP for COVID-19
reporting system from lower level to higher level. in availability of isolation and treatments sites and in
adequate availability of supplies And Medical equipment. Poor Ambulance management system, shortage
of storage facility and poor supply chain management. Lack of information exchange and data
communication mechanisms from lower level to the central EOC at all Pillars.
3. Scenario-3: Assumptions
Since 13th of March when the first Covid-19 case was announced in Ethiopia, several cases have been
identified most of whom were imported, and the rest linked to imported cases (clusters). Ethiopia has also
been classified as one of the high-risk countries. All neighboring countries have also reported the confirmed
case.
The following are working assumptions in preparing the worst-case scenario planning:
1. Ethiopia will have or already have (undetected yet) a ‘super-spreading’ event = Community transmission
2. The health system will be overwhelmed in few weeks once wide spread community happens
3. Death from other conditions will dramatically rise: After a month or two
4. Other emergencies will flare up: due to the healthcare system shifted to COVID-19 response
5. Significant number of patients with Acute Respiratory Distress Syndrome are expected which needs
admission and ICU care
6. Exploit the existing system while exploring other options
7. Ethiopia will follow an offensive strategy
8. Limited testing capacity
9. Further considerations are made to mitigate the limitation of the estimate by limiting the scope of this plan
for three months with an estimated monthly average of 34K confirmed cases per month.
Objectives and Strategies to prevent worst case scenario
General objectives
• Maximally suppress communitywide transmission of COVID 19
o Suppression is a modified form of containment as we assume unknown level of community
spread which can lead to either direction i.e. to containment or mitigation.
4EPRP for COVID-19
Specific Objectives
• Detect, isolate and treat with enhanced contact investigation and increased laboratory capacity
o Enhance Health Facility Readiness
o Community and facility mobilization for active surveillance of RTI (risk communication)
• Reduce mortality
• Enhance leadership and governance platform for whole government response for primary and
secondary prevention of COVID-19 (i.e. protect people from getting the virus and allowing the
health care system to treat infected patients)
Strategies
The strategies for the worst-case scenario in a phased manner
A) Phase I: Suppression measures
Suppression measures are steps taken to prevent the virus from spreading further or reducing the rate of
transmission in the soonest time possible so that the healthcare system can handle the circulation of the
virus for as long as possible, without overwhelming the capacity of the healthcare system. These measures
emphasize on preventing wider transmission, detecting early cases and tracing their contacts quickly
before spreading much in the community. Public health actions coupled with non-pharmaceutical
measures are expected to reduce spread of the virus and contain it to manageable size of affected people
and limited localities.
The suppression measures will inform the extent of the spread of COVID-19 in the community and inform
subsequent actions.
1. Public Health Measures to detect, isolate and treat COVID-19 cases:
The health sector needs to scale up its efforts of combating COVID-19 in both health facility and
community settings. Hence
➢ Scale up emergency response mechanisms by enhancing the incidence management system
at all level of the tier system and public health administrations
5EPRP for COVID-19
➢ Active surveillance of Respiratory Tract infection in both health facilities and community
settings (chasing the symptoms than the virus to contain the spread)
➢ Increase testing capacity significantly to test as much suspects as possible in the earlier
phases (if epidemic worsens, consider the concept of epi-link)
➢ Enhance healthcare capacity to handle moderately ill and critical cases for COVID-19 to
reduce mortality
➢ Prepare designated non-COVID-19 hospitals for other health emergencies and delivery
services
➢ Determine alert and action thresholds of moving to either of the two classical strategies i.e.
Containment or mitigation measures
i. Intensive measures in two weeks with activity, output and outcome tracking
ii. Determine alert and action thresholds and take actions accordingly
2. Non-pharmaceutical measures:
The non-pharmaceutical measures are highly important to enhance primary prevention and accelerate the
pace and effectiveness of public health measures.
• Enforcement of the Social Distancing measures being taken
• The whole of government approach in response to pandemic
• Scale up the technical as well as political commitment at all level mainly for regional level
preparedness and response
6EPRP for COVID-19
•
Response Model and Governance (implementation Arrangement)
To address a challenge as significant and rapidly evolving as COVID-19, we need to work closely together,
as one.
At the heart of this initiative, we must have one response that is integrated initially across the health sector,
and ultimately feeds into one single multi-sectoral response including all relevant actors. This will ensure
we are unified in responding to the challenges we face – maximizing the value of our resources, avoiding
duplication of effort, and allowing all of us to play to our strengths and respective roles.
This is enabled by one plan,with an integrated view of all activities across the response. Both MoH and the
EOC have complementary roles to play in this – EOC will be the execution leader, and the MOH will
provide the strategic guidance and support.
This will all be enabled by one team. Regardless of where we sit in the system currently, we will all work
in a closely combined manner. The pillar structure of the EOC’s response is and remains the focal point of
our efforts – and across the MoH, EPIH the EOC, and other partners who are helping in this fight against
7EPRP for COVID-19
COVID-19, we must all be aware and connected with the activities taking place within each pillar to avoid
duplication and ensure we make the most of the available resources.
Federal/Regional
Government
MOH/RHB
EOC (EPHI)
The Ministry of Health leadership task force (Covid 19 command post) will provide overall guidance and
strategic support to the response execution led by the EOC.
The following are major activities of the MOH Covid 19 command post.
• Liaising with EOC for aligned decision making – providing a faster linkage between the EOC and
decisions required at the MoH, with a strongly-empowered team in the command post driving
decisions at pace
• Integration – ability to play a strategic role in ensuring there is one response and one plan, ensuring
a cohesive response across the various pillars in the EOC
• Troubleshooting – providing an escalation channel from the EOC to the MoH as required with a
view to faster resolution of issues and blockers
• Linkages –representing the MoH with partners and interventions across the health sector, and into
wider disaster management fora (such as the Disaster Risk Management Commission)
8EPRP for COVID-19
Estimated cost per pillars
Pillar Total Cost (ETB) Total Cost (USD)
Coordination and Leadership 214,286,960 6,533,139
Surveillance and contacting tracing 5,887,513,272 179,497,356
Laboratory 714,489,755 21,783,224
Case management and IPC 6,104,335,558 186,107,791
Points of Entry (POEs) 174,314,436 5,314,465
Risk Communication and Community Mobilization 895,242,000 27,293,963
Evidence generation and operational research (1% of
total budget) 139,901,820 4,265,299
Grand Total 14,130,083,802 430,795,238
See Annex I for detailed Activities Budget, breakdown by pillars.
9EPRP for COVID-19
Annex I
Operational plan for scenario 3
1. Coordination and leadership pillars
S/No. Proposed Intervention Activities
Revise stakeholders mapping
Conduct biweekly meeting with stakeholder
Conduct EOC inter-pillar weekly meeting
1 Strengthen national coordination Complete and disseminate operation plan
Disseminate national guidelines and SOPs
Conduct regular risk analysis (venerability
Interface with NDRMC EOC
Conduct regional capacity assessment
Support regional coordination Review and support the preparation of regional EPRP and operational plan
3
Conduct simulation exercise
Support reginal EPRP activation/operationalization/ sub- regional PHEM structure
Strengthen resouce mobilization Conduct gap analysis interns of resource/forecasting
Develop strategy for resource mobilization and disseminate it
Map trained health workforce
Health workers capacity building
Develop a surge roster
Conduct training and orientation
Cheek the Deployment of health workforce
Develop KPIs strategy/plan
Disseminate KPI plan to relevant stakeholder
M&E framework
Develop and monitor reporting dashboard
Prepare and disseminates periodic reports to relevant stakeholder
Conduct need assessment for ICT interventions
Help coordinate the selection of relevant technology and implement it/ Elaborate it
10EPRP for COVID-19
2. IPC case management and facilities readiness
S/No. Proposed Intervention Activities
Expand isolation, treatment and Establish and support 300 Isolation centers with bed capacity of 200 for each
quarantine sites Establish and support 34 Treatment centers with bed capacity of 400 for each
Train and deploy adequate Establish and support 100 quarantine centers with bed capacity of 500 for each
number of IPC and clinical team
Develop and share IPC,CM and Train and deploy adequate number of physicians (1360), critical care specialists (204), and nurses (2720)
Facility Readiness support plan to Train and deploy adequate number of IPC experts (10000)
regions and key stakeholders Develop coasted plan with indicators
Share the plan with all relevant stakeholders
Support and monitor the implementation
Develop and implement M&E
framework including digitization Develop and implement standardized data capturing and reporting formats
Procure and distribute computers with database
Develop and implement electronic data registration, monitoring and reporting system
Support the ME and Supplies Support forecasting, distribution, and management of medical supplies and medical equipment
forecasting, procurement and Monitor and report consumption of medical supplies and medical equipment
distribution task of the EOC
Provide the required medical Distribute all the procured supplies and equipment based on need
equipment, supplies and IPC Improve efficiency of supply utilization and management
materials Provide emergency biomedical technical supports through deploying a team of biomedical experts
Provide biomedical technical
supports
Conduct ambulance need assessment and develop plan of action
Procure and deploy 300 ambulances equipped with basic life support materials
Strengthen ambulance Distribute procured ambulance for regions based on their need
management Strengthen ambulance management system
Develop and implement health Hire, train and deploy personnel (sprayers (300), nurses (600)) working in ambulances
professional safety and support
Develop health professional safety and support protocol
protocol
Support and monitor implementation of health professional safety and support protocol
11EPRP for COVID-19
3. Surveillance and laboratory Pillars
S/No. Proposed Intervention Activities
Have trained contact tracing Establish 33,334 contact tracing teams (each team with 2 people)
team Training for 66,668 contact tracing experts
1 Avail vehicles for each contact tracing team (33,334)
Avail logistics and PPEs for
Face mask for contact tracing team (
contact tracing team
Hand sanitizer for contact tracing team and driver (600,012 bottle)
Expand laboratory to peripheral
Expanding the testing capacity to 19 sites throughout the country
level
2 Capacity building to facilitate Establishing sample transportation system at each woreda level
sample Collection and
Training for laboratory technicians/technologists at least one from each woreda
transportation
Expanding call centers to Establish call center for 11 regions and city administration at least with a capacity of 20 lines
regional level Avail 1320 call center experts for 11 regions and City Administrations
3
Enhance the capacity of EPHI's Avail additional 24 call center lines in EPHI
call center Avail total of 288 experts for call center (EPHI level)
Establish 24000 rapid response team? For 4000 RRT per health facilities and 2000 RRT
Have trained rapid response per/10000 woredas
team Training for 28,000 RRTs (16,000RRT members in health facilities, 4000 RRT supervisor
4
recruited per facilities and, 8000 RRT members per woreda)
Avail 2000 Ambulances and accompanying vehicles
Avail logistics and PPEs for RRTs
Avail all PPEs used to manage 100,000 cases
35,334 tablets/smart phone for RRTs and contact tracing and follow up trams
Use electronic reporting system
Avail one server at each region and one additional at EPHI (a total of 12)
Avail 1182 computers for woredas and zones
6
Improve data management Assign 1116 data managers
system Supportive supervision
Regular data analysis and feedback
12EPRP for COVID-19
4. Point of Entry
S/No. Proposed Intervention Activities
Notify regional PHEM office via official letter to strength screening activities at land crossing POE
Engagement of regional higher administrative organs to Give orientation/training for 68 land crossing POEs screeners & 18 domestic airports
1
give attention on the regional PoEs screening activities Give training/orientation for all stake holders at POEs
Conduct supportive supervision for all POEs weekly
Engagement of Telecommunication higher administrative Design a reporting mechanism from POEs to EPHI using ODK(avail tablet which can take Sim card) or
2
Official to solve the problem using Wifi modem
Enforcement of the establishing of TIU and screening post Establish 05Temporary isolation center at POE using fiber material as per design
at all PoEs (at Togo wuchale, Dawale, Lugdi, Moyale, and
Equip established temporary isolation unit with necessary supplies and equipment
Kumruk) on the 1st phase
Arrangement of the Ambulance linkage between PoEs and Assign at least 2- ambulance at international airports per shift for 24hrs POEs & 1-per domestic airport
Treatment Units through discussion with Regional Heath Assign at least 2- ambulance at international airports per shift for 24hrs POEs & 1-per domestic
Bureau airports
Assessing the gap and assignment of required man power Assign a minimum of 2-screeners at each land crossing POEs, Gate/entrance of Regions, Industrial
at all PoEs& Gate/entrance of Regions, Industrial park, park, refugee camp, Gate/Entrances of major cities & 4-at domestic airports
refugee camp, major cities & domestic airports Assign min of 30 staffs at BIA per shift
Procurement of more infrared thermometer for land Procure 286 infrared thermometer
crossing and Thermal camera for all International airports Procure 20 thermal camera for airports
Strengthen filling of traveler’s health declaration form by
Strictly follow the implementation of filling traveler’s health declaration form on board
passengers on board
Engagement of Ethiopian Airports enterprise higher Continue virtual meeting with COVID-19 BIA command post members to solve all issues related with
officials & other stake holders at POEs to solve weak Screening activities and implement mandatory quarantine at hotel for passengers coming from
coordination between POEs and other stakeholders at all abroad
POEs Activate command meeting with stake holders at land crossing POEs stake holders
Identification of illegal PoEs and establishing of new
Work with legal enforcement bodies (Federal police/army) to prevent illegal arrivals
PoEsby setting priority based on its potential risks.
Establish 4-screening sites and TIU at Addis Ababa main Gate /entrance in four direction of AA
Establish Entry and exit screening and site at all regions
Strengthen screening and establishing TIU activities Establish screening sites and TIU at major industrial parks
different place Establish screening site and TIU at all domestic airports
Establish screening site and TIU at refugee’s camp
Establish screening site and Tiu at Major farms
13EPRP for COVID-19
5. Risk Communication and Community Engagement
S/No. Proposed Intervention Activities
Map community volunteers for training and deploy them to reach
Map key stakeholders working with volunteers to reach key population (vulnerable and at-risk
communities)
Train volunteers and link them to health and social
1 To customize BCC materials to target the key population
services
key population
Adapt RCCE strategy for scenario 3 to reach a key population
mobilize communication aids such as megaphones, mobile vans, etc.
Partner with key stakeholders at zonal and woreda level to sensitize their existing networks
Engaging and supporting regional health bureaus
2 Provide RCCE guide orientation for various sectors and regional leaders
with a multi-sectoral approach
All developed guides should be signed and officially communicated
have a regional visit to promote trust and Establish a telegram group communication platform with regional RCCE to increase collaboration
information sharing Conduct support supervision/ field visit to regional RCCE
Communicate ground feedback to the government
for strict action Communicate ground feedback to the government for strict action
Revision of community engagement guide to reflect the current COVID-19 situation
Revision of COVID-19 Government, Non-pharmaceutical intervention (NPI) community guide
Intensify public awareness and campaigns to
Customize, produce and disseminate NPI messages to target audience
various group
Customize messages for targeted communities to Undertake perception assessment among the public
engage them
Develop short educational messages to reach communities
train volunteers to reach targeted community groups
Empower community volunteer with information on
Mobilize communication aids such as megaphones, mobile vans, etc
how to reach targeted community groups
Equip volunteers with job guides/aids
14EPRP for COVID-19
6. Logistics
S/No. Proposed Intervention Activities
Organize quantification exercise and follow procurement process by
Commodity Planning/Forecasting for COVID-19
ESCM/Logistic team at EPHI
Resource mobilization for procurement of COVID -19 Supplies …at EPHI.
Consolidation of Donation supplies in items/ in kind from different
1 partners.
Commodity Planning/Forecasting for COVID-19
Procurement orders follow up of COVID -19 Supplies …at EPHI.
Develop Distribution protocols/Strategy
Establish Emergency Distribution work process flow
Guide Self procurement protocol/strategy by Facilities
Developing Distribution protocols, and execute Distribution to National Stock status monitoring excel sheet
3 Emergency sites(COVID-19 Trt centers, Isolation centers, quarantine ODK Mobile application for prioritized selected National stock monitoring
centers Conduct Weekly partner forum
Organize quantification exercise and follow procurement process by
Logistics Data Visibility ESCM/Logistic team at EPHI
Resource mobilization for procurement of COVID -19 Supplies …at EPHI.
➢ For vulnerable populations (children, mental health. Women)
S/No. Proposed Intervention Activities
Develop tailored messages to the various groups
Tailored risk communication
Communicate the messages using various channels including patient associations and help groups
Establish quarantine and isolation Establish adequate number of child friendly centers
centers considering vulnerable groups Have separate quarantine and isolation centers for TB- COVID 19 co-infection and people with disabilities
Consider comorbidity in the Consider the number of people with comorbidity in estimating the number of ICUs and ICU beds
development of case management Have a special treatment protocol for people with comorbid conditions
Coordinate with relevant sectors to
Identify the relevant sectors and organizations to work with
address the disabled
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Performance Monitoring
The key performance indicators will be used to monitor the implementation of the Plan. Planning monitoring and Evaluation team will
assess the overall performance national and subnational levels, and with partners to monitor key performance indicators on a regular
basis.
1. Leadership and coordination
Key performance indictors Frequency of data Source of
S/No.
collection data
Number of sitreps disseminated Daily
% resource mobilize Monthly
% resource Utilized Monthly
Proportion of stakeholders mapped Monthly
Number of risk Assessment conducted
Number of capacities Assessment Monthly
Number of stakeholder meeting conducted
16EPRP for COVID-19
2. Surveillance and laboratory pillars
Key performance indictors Frequency of data Source of data
S/No.
collection
Daily
Number of alerts/rumors reported Daily
Number of Alerts investigated Daily
Number of Alerts discarded Daily
Number of Alerts pending Investigation Daily
Number of new suspected cases Daily
Number of deaths among suspected cases Daily
Number of confirmed cases Daily
Number of deaths among confirmed cases Daily
Contacts registered Daily
Contacts completed Follow-up Daily
Contacts lost to follow up Daily
Contacts symptomatic Daily
Contacts test positive Daily
Symptomatic contacts tested negative Daily
Number of samples collected Daily
Number of samples pending lab result Daily
Negative Daily
Positive Daily
Inconclusive Daily
Proportion of alerts/rumors investigated(verified) within 2 hrs Weekly
Proportion of suspected cases investigated within 2 hrs Weekly
Proportion of suspected cases isolated within 6 hrs Weekly
Proportion of suspected cases with sample collected within 6 hrs Weekly
Proportion of suspected cases with lab result within 6 hrs of specimen collection Weekly
Proportion of suspected cases discharged within 6hrs of a negative lab result Weekly
Number of regions with local transmission Weekly
% of death reported among reported case Weekly
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3. POE performance indictors
Key performance indictors Frequency of data Source of data
S/No.
collection
Number of Travelers screened Daily Reports
Number of Travelers under follow-up Daily
Number of symptomatic travelers transferred to isolation facility Daily
Number of Personnel (staff) conducting health screening Daily
Proportion of land crossings & airports (excluding BIA) with screening sites
Proportion of refugee camps & industrial parks with screening sites Bi weekly Reports,
Proportion of land crossings & airports (excluding BIA) with TIU Bi weekly Reports,
Proportion of refugee camps & industrial parks with TIU Bi weekly Reports,
#proportion of screening sites with at least one infrared thermometer Monthly Reports,
Proportion of international airports with at least one thermo scanner Monthly Reports,
Number of screening sites equipped Monthly Reports,
# of with full IPC as per the national guidelines
# of POEs with hand washing and waste management facilities on site
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4. IPC Case management
Key performance indictors Frequency of data Source of data
S/No.
collection
Total number of deaths related to COVID 19 in treatment center Daily Health facility log books
Total number of discharged cases from treatment center Daily Health facility log books
Total number of newly admitted confirmed cases in treatment center Daily Health facility log books
Total number of critical patients on mechanical ventilator in treatment centers Daily Health facility log books
Total number of critical patients in treatment centers Daily Health facility log books
Total number of available (empty) beds in treatment center Daily Health facility log books
Number of suspected COVID 19 cases admitted in isolation center Daily Health facility log books
Number of discharged cases from isolation unit Daily Health facility log books
Total number of available (empty) beds in isolation center Daily Health facility log books
Total number of health professionals who tested positive for COVID 19 in isolation center Daily Health facility log books
Number of suspected COVID 19 cases admitted in isolation center Daily Isolation centers log books
Number of quarantined individuals in the quarantine center Daily Isolation centers log books
Number of quarantined individuals who developed COVID-19 specific symptoms Daily Isolation centers log books
Number of beds available in the quarantine center Daily Isolation centers log books
5. Logistics
Key performance indictors Frequency of data Source of data
S/No.
collection
Logistic accuracy rate Monthly Logistics logs books
Emergency Procurement lead time Monthly Logistics log books
Line fill rate Monthly
Utilization of emergency Supplies Monthly Report
Emergency Vital Supplies Availability Monthly
Refill processing time Monthly
Average Delivery Time for Emergency Supplies Monthly
19EPRP for COVID-19
SUMMARY BUDGETS
Coordination and Leadership
Activity Total Cost (ETB) Total Cost (USD)
PHEOC Functionalization at National Level 38,809,200 1,183,207
PHEOC Functionalization at Regional Level 99,768,600 3,041,726
Virtual Coordination Meetings -
Media briefing -
Monitoring and Evaluation 1,941,720 59,199
Provision of trainings 71967440 2,194,129
Production cost for virtual training materials 1800000 54,878
Sub-total 214,286,960 6,533,139
Surveillance and contacting tracing
Activity Total Cost (ETB) Total Cost (USD)
Printing, and dissemination of surveillance materials 19,764,072 648,261,553
Call center establishment and expansion 398,545,200 13,072,282,560
Contact tracing and follow up 2,669,580,000 87,562,224,000
Rapid response teams and health facility PHEM 2,580,990,000 84,656,472,000
Electronic surveillance and information management 218,634,000 7,171,195,200
Sub-total 5,887,513,272 193,110,435,313
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Laboratory
Activity Total Cost (ETB) Total Cost (USD)
Lab consumables 560,704,816 17,094,659
Laboratory HR Need 477,439 14,556
Sample transport/shipping 153,307,500 4,674,009
Sub-total 714,489,755 21,783,224
Case management and IPC
Activity Total Cost (ETB) Total Cost (USD)
PPE for isolation and quarantine centers (300 Isolation Centers of 200 beds,) 512,183,332 15,615,345
Hand sanitizer 1,082,400,000 33,000,000
Medical Equipment 278,861,205 8,501,866
Medications 47,642,342 1,452,510
Procurement and Supply Management 490,153,860 14,943,715
WASH in isolation, quarantine, and treatment centers 2,488,661,000 75,873,811
Train and deploy adequate number of IPC and clinical team 610,920,460 18,625,624
Provide biomedical technical supports 4,050,000 123,476
Strengthen ambulance management 477,500,000 14,557,927
Develop and implement health professional safety and support protocol 4,050,000 123,476
Strengthen IPC practices at community level 60,000,000 1,829,268
Customize isolation centers to accommodate children (EPRP for COVID-19
Points of Entry (POEs)
Activity Total Cost (ETB) Total Cost (USD)
Procurement of IPC materials 97566936.2 3200195507
Operational cost at POEs 76747500 2517318000
Sub-total 174,314,436 5,717,513,507
Risk Communication and Community Mobilization
Activity Total Cost (ETB) Total Cost (USD)
Volunteer mobilization (assuming 45 active work days in the 3 month period) 237,000,000 7,773,600,000
Interactive message communication targeting HEWs 162,800,000 5,339,840,000
1-day orientation of religious leaders and other key community figures like traditional healers
(in 3 to 1 HEW group) 34,000,000 1,115,200,000
Print and distribute risk communication material 461,292,000 15,130,377,600
Risk communication targeted towards populations with limited abilities 150,000 4,920,000
Sub-total 895,242,000 29,363,937,600
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