ADDIS ABABA QUARANTINE

CENTERS ASSESSMENT REPORT

A multi-cluster rapid assessment tool was developed by the ECC in cooperation

of line ministries and humanitarian partners.

Assessment Report

1

Table of Contents

Executive summary ................................................................................................................. 2

Summary key findings and recommendations ...................................................................... 3

Annex 1: Report and data from the two teams ........................................................................ 7

Annex 1.1 Key Assessment findings of Sidist Kilo and Civil Service University ................... 7

Annex 1.2: Key Assessment findings of AASTU Quarantine Site...........................................12

Annex 1.3: Key Assessment findings of University Lideta ......................................................17

Annex 2: Assessment teams ..........................................................................................................21

Team 1 Assessment Team Members .......................................................................................21

Team 2 Assessment Team Members .......................................................................................21

Annex 3: Checklist ......................................................................................................................23

Comments on the checklist ........................................................................................................29

2

Executive summary

One of the mandates of the Nation Emergency Coordination Center (ECC) is to coordinate the support to Ethiopian

return migrants. Since March 20th, 2020, the government of Ethiopia has imposed a mandatory quarantine of 14

days to all people coming to Ethiopia.

In Addis Ababa, as well as in all the regions and point of entries, health screening as well as mandatory quarantine

have been implemented. The ECC in cooperation with line ministries and humanitarian partners has been

coordinating the support to migrants from their arrival at a point of entry, their accommodation at quarantine centers

and their transport, when needed, to their area of origin after the completion of the mandatory 14 days.

In Addis Ababa, seven sites (Addis Ababa University 4kilo, 5kilo, 6kilo, Lideta and FB campuses, Civil Service

University and Addis Ababa Science and Technology University) have been used to accommodate the migrants

arriving mostly through Bole airport. The sites have a capacity to accommodate approximately 3,500 people.

A multi-cluster rapid assessment tool was developed by the ECC in cooperation of line ministries and humanitarian

partners. The assessment was conducted on 7th and 8th May 2020 at four sites in Addis Ababa to determine the

structural adequacy, functionality and service capacity in the sites. Recommendations and directions on how to

improve the sites was established. These recommendation and lessons learned will not only improve the sites in

Addis Ababa but will also support the improvements of quarantine sites in the country. This report reflects the result

of the assessment.

Significant improvements have been done in the last few weeks to improve the sites in terms of coordination and

services provided. The assessment report shows these improvements but also highlights some of the gaps in the

sites. The major gaps and recommendations are:

- Improve the coordination link between the quarantine sites and the ECC

- Address the lack of proper waste management in most sites

- Mobilize adequate number of social workers and MPHSS professionals

- Improve the support to Unaccompanied Migrant Children

- Implement Uniform package for all sites on Risk communication

- Provide adequate training/support and personal protective equipment to all staff working at the sites.

3

Summary key findings and recommendations

The table below summarize the main findings, gaps and the recommendations given by the assessment teams.

Thematic areas Key Findings Gaps Recommendation

Coordination • Most sites are coordinated by ECC and

overall managed by Ministry of Peace

• Ad-hoc taskforce coordination mechanism

is established in all the sites

• Some key agencies not represented

• Well structures site management or

incident command post structure is

not implemented well

• Most of the organizations operating

in the quarantine site lacks awareness

on the current coordination structure

and reporting lines

• Establish formal ICP

coordination mechanisms in all

facilities.

• SOPs established by ECC to be

implemented in all the

Quarantine facilities including

standardized registration with

clear roles and responsibilities.

Infrastructure setting • Rooms have adequate space and good

sanitation conditions in most sites

• Separate buildings or floors for Male and

Female

• Although water supply is available in all

sites, there are key challenges such as

interruption, availability on all floors

• Adequate latrines in most sites

• No isolation centers in the site expect 2 of

them (AASTU, Civil service)

Most sites provide accommodation for staff

working in the sites.

• Waste management is lacking or

inpatriate in all facilities. No facility

to dispose medical waste

Ledeta site does not have water

supply (already assessed by MoWEI),

AASTU has challenge in water lifting

up to 2nd floor.

• Electricity interruption and poor

internet network specially in AASTU

• Hygiene in latrines are inadequate.

• Waste management system

needs to be improved

• Address issue of electricity

interruption (generator)

• Water supply issues need to be

fixed ASAP mainly in Ledeta

and AASTU

4

Human resources • All sites have assigned doctors, nurses,

sanitation personnel and security forces,

cooks.

• Some sites have MPHSS and Social

workers assigned. They joined the sites late

and there are no enough.

• Comprehensive COVID-19 training (IPC,

PPE use, epidemiology, risk

communication) was given to medical staff

• In most sites general orientation was given

to supporting staff

• ECC representatives and site oversite

personals are assigned

• Lack (or not enough) of social

workers and MPHSS professionals

in some sites

• Orientation and proper training to all

staff

• Some key agency respective

personals are not exist at the site

• Mobilize and deploy adequate

number of social workers (well

trained in special care of

unaccompanied and separated

children)

• Mobilize and deploy adequate

number of MPHSS

professionals

• Provide adequate COVID-19

training to ALL staff at the

sites

• Formal orientation for returnees

to be provided

NFI • NFI was provided by NDRMC and partners

in all sites

• NFI (such as PPE) is provided to all support

staff but not enough (such as heavy-duty

gloves)

There is NFI stock in most sites (left over

from the last response)

• lack of some NFI kits in some sites

(such as dignity kits, shortage of

soap)

• Enough PPE for all staff in some sites

• Maintain minimum NFIs in the

quarantine sites including staff

• Finalize and implement

minimum requirement standard

(on going)

• Immediate inventory of

supplies by quarantine sites

(already started by NDRMC)

Food and drinking safety • University is providing food in all sites

• No adequate PPEs (Mask) among most staff

and social distancing not observed in the

kitchen

• Weak IPC measures noted from the

kitchen staff.

• No adequate PPEs (Mask) among

most staff and social distancing not

observed.

• Gap in tracking the available stock at

site level

• Need to device ways of

ensuring IPC measures among

kitchen staff and

physical/social distancing by

quarantine residents during

meals.

• Assigning a team that takes

Temperature of all staffs on

daily basis (for both facilities).

5

Protection & MPHSS • Male and female returnees were residing in

separate blocks with security provided by

federal police.

• Group counseling sessions to returnees was

provided in most sites.

• There is no special care arrangement

for (unaccompanied and separated)

boys and girls in the center

• No formal feedback and complaint or

feedback mechanism is in place for

enabling specific GBV/SEA reporting

• In most sites sperate accommodation

for UMC is not available

• Weak coordination in terms of UMC

management

• To oversee implementation of

the protection related SOPs

developed for the quarantine

and isolation centers

• Ensure BoWCY leadership in

all sites for UMC and

GBV/SEA

• Standard reporting mechanism

that includes referral and feed-

back and complaint mechanism

to be properly implemented

Health Follow-up • All individuals registered on arrival.

Missing standardized registration tools

• Some sites have given adequate orientation

to new arrivals but not all specially when a

large number of people arrived at the same

time at the site

• It takes 1 to 6 hours to take suspected cases

to isolation centers.

• 2 to 5 days to get COVID-19 test results

after sample collection

• Some returnees were quarantine more than

14 days

• OPD to non-COVID cases are not available

in some sites. Specially for pregnant and

lactating mothers and children.

• No adequate orientation for returnees

at arrival

• Delay in transferring suspected cases

to isolation in some sites

• Different registration formats/tools

used in sites

• Key message package to be

prepared for orientation

• Ensure immediate transfer of

suspected cases to Isolation

• Implementation of the data

management SOP (already

started for AAU)

6

Risk communication and

community engagement

(RCC)

• In some sites individuals briefed on arrival

on obligations and procedures.

• Posters and leaflets available in some sites

• In some sites, no formal orientation

for returnees in risk communication

given at arrival (not received

adequate message on the purpose of

the quarantine, the procedures, their

rights, duties and obligation during

the stay in the quarantine center).

• Physical distancing is not respected

by returnees in most sites

• No audio messages for those who

cannot read

• In some sites, there is no focal person

for RCCE

• Uniform package for all sites

on RCC needs to be

implemented

• Responsible focal point for

RCCE at each site need to be

assigned

• Social distancing enforcement

mechanism should be

implemented.

7

Annex 1: Report and data from the two teams

Annex 1.1 Key Assessment findings of Sidist Kilo and Civil Service University

General Sidist Kilo - AAU Civil service University Recommendation Responsible

Sector/Agency

Overview of the

Quarantine

centers

University setting with a dedicated

coordinator from the Ministry of Peace

(Ato Gezahegn), however not present at

time of the assessment. Assessment

findings provided by lead doctor in the

facility and University Focal Point.

Facility has capacity of 595. There were

no persons in quarantine at the time of the

assessment

University setting with a dedicated

coordinator from the Ministry of Peace who

was present at time of the assessment- (Ato

Mengistu). Assessment findings provided by

Coordinator and lead doctor in the facility,

and University FP. Facility has capacity of

480; 75 for isolation and 405 for quarantining.

However, only 451 rooms are in good

condition. There were no persons in the

quarantine at the time of the assessment

Repairing of the 29 rooms in CSU

to make them ready.

CSU

Coordination Overall managed by Ministry of Peace.

Other partners that have involved: Addis

Ababa University, MOH/EPHI, MOLSA,

Ministry of Women and children affairs,

Office of Attorney General, IOM, WHO,

Ministry of transport, Ministry of Water.

No partner coordination mechanism has

been established. Partners individually

contacting the coordinator.

Overall managed by Ministry of Peace. Other

partners that have been involved: Civil

Service University, MOH /EPHI, MOLSA,

NDRMC, Ethiopian Police Service College,

IOM, Red cross, Samaritan Purse, WHO,

UNICEF.

No partner coordination mechanism but daily

morning meetings of the main stakeholders.

Establish formal coordination

mechanisms like Incident

Command System (ICS) in both

facilities.

Standardize SOPs in all the

Quarantine facilities

NDRMC/ECC

together with

MoP and

MoH/EPHI

Infrastructure of

the setting

Overall, there was infrastructural

adequacy in terms of space, ventilation,

illumination and hygiene. One individual

per room is the policy; however,

individuals still shared rooms despite

being assigned single rooms. There is no

protocol in place for the housing of

Overall, there was infrastructural adequacy in

terms of space, ventilation, illumination and

hygiene except in Block 1. One individual per

room is the policy however, individuals still

shared despite being assigned single rooms.

There is no protocol in place for the housing

of children, either with an adult or guardian or

Need to device ways of ensuring

distancing within the quarantine

rooms as there was no distancing

among the occupants in both

quarantines.

Federal Police

Commission to

ensure

physical/social

distancing.

8

children, either with an adult or guardian

or unaccompanied minors. During

quarantine, cleaning is done by occupants.

No reinforcement to ensure

physical/social distancing, only risk

communication provided. Police available

but only enforce social distancing during

meals and health monitoring, not in the

quarantine rooms. All rooms in relatively

good condition, maintenance done by

University. Doors are lockable, female

and male blocks separated. The facility

has no isolation rooms unit and all

COVID-19 suspected cases were referred

to AASTU in an ambulance. A referral

linkage exists with Yekatit 12 Hospital for

management of non COVID serious

conditions. Accommodation is provided

for the staff working in the facility.

unaccompanied minors. Unaccompanied

(male) minors were housed with adult males.

During quarantine, cleaning is done by

occupants. No reinforcement to ensure

physical/social distancing inside the

quarantine blocks, only risk communication

provided. Police available but enforce distance

during meals and Temperature screening done

daily at meals, not in the quarantine rooms.

60% of the rooms have broken windows and

door locks and in need of maintenance. When

there is no power, generator is not connected

to transformer therefore quarantine rooms

have no lights. The facility has a newly

designated isolation unit (75 rooms);

previously severe suspected cases were

referred to other isolation units. A mobile

clinic exists within the facility with a referral

linkage to Minilik General Hospital for

management of other non COVID conditions.

Accommodation is provided for the staff

working in the facility; 33 for doctors, 65 for

security officers.

Closely monitor living

arrangement of minors (under the

age of 18)

Maintenance of broken windows

in CSU quarantine.

Address issue of electricity

interruption (Civil Service

university). Connect the generator

in the University to a transformer.

MoWCYA

CSU

Ethiopian Electric

Power

Corporation

Human Resource

& COVID-19

Trainings

Facility has 12 doctors, 15 nurses, 10

cleaners, 66 security forces, 3 social

workers, 25 food handlers, 4 psychiatrists,

5 environmental health workers and 58

food handlers. On COVID- 19 related

trainings only 1 doctor has received

comprehensive training and 10 cleaners

trained on IPC.

Facility has 23 doctors, 133 security forces, 3

social workers, 40 food handlers, 1 NDRMC,

1 MOP, MOLSA 2. On COVID- 19 related

trainings, only 2 doctors received

comprehensive training.

Staff of all cadres must receive

COVID-19 trainings tailored to

their areas of operation.

MoH/EPHI

NFIs All centrally managed from NDRMC

common storage. 125 pairs of shoes are

available.

350 laundry soap and 400 bathing soaps

available. Other items centrally managed from

NDRMC common storage

Maintain minimum NFIs in the

quarantine sites

NDRMC/ECC

9

Food and

Drinking safety

Centre staffs prepare food for occupants.

Kitchen has adequate cleaning materials

and utensils. Plate and cup are distributed

to each resident which they are

responsible for cleaning and maintaining

with at site. Food is served near dormitory

area – social distancing is not maintained.

No IPC measures noted from the kitchen

staff. No adequate PPEs (Mask) among

most staff and social distancing not

observed. Temperature is not taken of

kitchen staff upon arrival. Running water

available except Mondays and Fridays.

Estimated cost of meal per person: 15

Birr/day

Centre staffs prepare food for occupants.

Kitchen has adequate cleaning materials. Food

served in plastic bags and water in plastic

bottles, later burnt in incinerators or well dug

specifically for this purpose. Kitchen staff not

trained on COVID-19. Most staff have mask

and were wearing them in kitchen area.

Physical/Social distancing not observed.

Though the government allocated budgets in a

rate of 15 birr per day per person, the

university is using estimated cost of meal of

30 birr per day per person through

compensating from subsidies.

Need to device ways of ensuring

IPC measures among kitchen staff

and physical/social distancing by

quarantine residents during meals.

Adequate PPEs be availed to

staff, (AAU, Sidist Kilo).

Assigning a team that takes

Temperature of all staffs on daily

basis (for both facilities).

Federal Police

Commission and

MoH/EPHI

MoH/EPHI

MoH/EPHI

WASH

Safe water supply The University water supply is piped in

but scheduled interruption occurred

frequently and water supply has also been

interrupted due to unknown causes for

some days. Water trucking is available

when water supply interruption occurred

provide that it is immediately reported. To

have access to during interruptions, two

water tankers with 5 Meter cubic capacity

have been installed (but not completed at

the time of visits)

The University water supply is piped in but

scheduled interruption. Some of the ground

reservoirs of the water tankers were washed so

as to be used for drinking.

To avoid contamination or contact, drinking

cups were distributed; however quarantined

residents faced challenges fetching water from

the source.

Address issues of water shortages

(for both facilities)

MoWIE

Continuous water

Supply

No Maintain continuous water supply MoWIE

Availability of

running water

Yes

Water quality

check

It is treated water as it is municipal water,

but frequent check of water storages

should be ensured

It is treated water as it is municipal water, but

frequent check of Water storages should be

ensured

10

Adequate latrine Adequate Adequate

Latrine for staff

only

Adequate Adequate

Shower service Adequate Adequate

Shower service

for staffs

NA NA Provide shower facilities MoWIE

Waste collection Perforated plastic waste collection bins

are available in each room (it is not

advisable to have perforated plastic, rather

solid bins with lids and foot press are

preferred)

Very good waste collection: They use plastic

bin with Foot press for each room and big bin

to collect rooms’ waste (from smaller bins)

Provide foot press plastic dust bin

than perforated plastic bins for

each room and big bin to collect

rooms’ waste (for AAU Sidist

Kilo)

NDRMC

Final waste

disposal site

Using UNIVERSTY's waste disposal site Using UNIVERSTY's waste disposal site

GBV /MHPSS/Protection

Reports of SGBV There were no reports of GBV incidents

inside the quarantine center. One rape

case was reported that had occurred prior

to coming to the center. GBV service

(shelter outside the center) was offered

during the final days, however, the

individual refused to get assistance.

All returnees were male; however,

unaccompanied minors were housed with

adult males.

There were no reports of SGBV.

Standard reporting mechanism

that includes referral and

reporting mechanism for GBV

and SEA

MoWCYA, IOM

Risks of GBV Male and female returnees were residing

in separate blocks. These buildings were

guarded by federal police officers and

cross passing was strictly prohibited.

PSS counseling Group counseling sessions to returnees

was provided by Police Institute staff.

Group counseling session to returnees was

provided by Police Institute staff.

Continues PSS service; Individual

counseling

Ethiopian Police

Institute

Complaint and

Feedback

Mechanism for

GBV/SEA case

management

There is no strong CFM in place for this

purpose.

There is no strong CFM in place for this

purpose.

Interventions on GBV awareness

raising up on arrival to the site. A

need to establish proper GBV

reporting, comprehensive

assistance and referral service

linkage.

MoWCYA, IOM

11

Dignity material Sanitary pads were provided by IOM,

MWCYA and UNICEF and distributed to

returnees. There are remaining items in

the store.

Hosted male occupants. None prepositioned. Allocate additional resources to

ensure availability of dignity kits

that includes sanitary materials to

ensure steady supply of menstrual

products for future reserve in both

sites.

NDRMC,

UNICEF, IOM

Psychiatric care Existing referral mechanism for cases that

need psychiatric care

A psychiatrist is available in the mobile clinic

at the site.

Health follow up

Admission and

Surveillance

All individuals registered on arrival.

COVID- 19 briefing provided

immediately on arrival. Daily temperature

monitoring done at a designated area.

All individuals registered on arrival. COVID-

19 briefing provided immediately on arrival.

Daily temperature monitoring done at a

designated area.

Standardize registration

templates- As different sectors

have different format, the

personnel from EPHI recommend

the EPHI and Lab registration

form to be uniform to facilitate

update of lab result.

MoH/EPHI,

NDRMC/ECC

Isolation Suspected cases always transferred in an

ambulance to isolation centers, takes

about 1 to 2 hours for suspect to be

transferred from time of notification.

Only suspected cases with severe symptoms

were transferred to isolation centers, Mild

cases waited in the QC for samples to be

taken. Takes about 1 to 2 hours for suspect to

be transferred from time of notification.

Testing Individuals tested on Day 14 with results

received 10 days later. Individuals

quarantined for 24 days.

Test results of suspected cases received in

3-4 days

Individuals tested on Day 14 with results

received 10 days later. Individuals

quarantined for 24 days.

Test results of suspected cases received in 3-4

days.

Testing individuals on the date

WHO recommends

MoH/EPHI

12

Non COVID-19

Health

conditions/

pregnant women

care.

Referred to nearby hospital for treatment

in an ambulance. Facility has basic drugs

for emergency.

Mobile clinic staff available to treat or refer to

nearby hospital for treatment in an ambulance.

Facility has few basic drugs for emergency.

Need support

Risk

communication

Quarantined individuals briefed on arrival

on obligations and procedures. Posters

available, IOM provided audio messages

for last batch. However, no messages

tailored for the deaf, not all able to read.

Pictorial materials preferable. No child

friendly IEC materials. No key messages

on protection and GBV. Most health

workers not trained on Risk

communication.

Quarantined individuals briefed on arrival on

obligations and procedures. Posters and

leaflets available. However, most could not

read. Preferable to have pictorial/audio

messages. However, no messages tailored for

the deaf, not all able to read. Pictorial

materials preferable. No child friendly IEC

materials. No key messages on protection and

GBV. Only 2 physicians received

comprehensive training inclusive of RC.

Ongoing trainings for other Health workers

Risk communication need to be

strengthened. Provide applicable

IEC materials, tailored to meet

different groups of people.

MOH/EPHI/ECC

E/ERCS

Annex 1.2: Key Assessment findings of AASTU Quarantine Site

General Key findings AASTU Quarantine Site Recommendation Responsible

Sector/Agency

Overview of the

Quarantine

centers

• The university has allocated 18 buildings to accommodate returnees for the purpose

of quarantine and isolation: two buildings have been set aside for isolation with

symptomatic cases and the rest 16 for quarantine. Three buildings have been

reserved for the people serving the quarantine and isolation centers: one for police,

one for medical staffs and one for food catering staffs, cleaners, launders etc.

• The total beds in the center is 2000 people (one per room), however, the coordinator

of the center Mr. Henok Hailu informed us that the actual capacity of the site is

1,600 as two buildings are dedicated for women (which will potentially run under

capacity as the number of returnees are less compared to men and still separate

arrangement need to be made) and 1 building for isolation centers.

• There are no separate accommodation arrangements for unaccompanied and

separated children. Irrespective of their age, boys will be accommodated with adult

males and girls will be accommodated with adult females.

The rooms, latrines and bathing

areas should be adequately

disinfected and cleaned

AASTU university

13

• The university authorities have allocated their ambulance services, car, and other

transport services. The telephone network in the center is very weak and therefore

communications sometimes are very difficult.

• Currently, there are no returnees hosted in the compound (except 2 returnees with

medical cases) as the first batch of returnees have already completed their

quarantine period and returned to their place of origin.

• Among the previous 1,585 quarantined returnees 3 found positive for COVID

Separate accommodation

arrangement for unaccompanied

and separated children

MOWCY

Coordination • Recently the center has established at taskforce led by MOP. The active members

are MOH/EPHI, MOP, MOLSA, AASTU university administration, and NDRMC.

• The existing taskforce is not well structured (no incident command post) and lacks

linkage with the national ECC and lacking relevant members like the Ministry of

Women, Children and Youth (MoWCY), MoWEI, and IOM

• This technical working task force holds meeting every other day.

Strengthening of the

coordination mechanisms should

be put in pace with full ICP

structure having the full

representation of relevant

clusters /sectors

MOP/NDRMC/ECC

together with Clusters

Infrastructure of

the setting • The center has adequate rooms (one room/person) with communal latrine

and bathrooms

• Rooms have good ventilation. The hygiene condition of visited rooms is fair but

the latrine bathrooms are not well cleaned

• There are no backup generators in the buildings

• The quarantine site has referral linkage with the nearest Tirunsh Beijing Hospital

• Isolation rooms are available in a separate building and far from the quarantine

buildings

• Have accommodation for the staffs

• The coordinator mentioned that there was no adequate enforcement to keep

physical distancing among the returnees (it was a challenge)

• Tape water is available but not lifted or pumped to 2,3 and 4th floor; this has been

assessed by the MOWEI, but no solution has been put in place so far

• They have also a problem of disposing solid wastes: wastes are placed in a pit that

was dug in the compound after a certain attempt of disinfection, but you see wastes

like gloves and highlands littered everywhere near the pit. One incinerator has now

been installed and is about to start functioning over few days.

Address issue of electricity

interruption. Backup Generator

to be installed

Improve telephone and intermate

connection

Immediate solution for lifting

the water up to 2,3 and 4 floors

Waste disposal system need

immediate attention

AASTU/ MOP to

discuss with Ethiopian

Electric Power

Corporation

AASTU/ MOP to

discuss with

Telecommunication

Authority

MOWEI/WASH

cluster

MOH and site

management partners

Human

Resource & • The quarantine center has 27 medical doctors (female 11 and male 11) and 43

nurses (female 36 and male 7) available; 34 cleaners, 107 security forces, 6 social

workers (all male) from the Ministry of Peace, 7 psychologists/psychiatrist from

Number of cleaners is not

enough, and they are not having

adequate PPE (heavy duty

AASTU, MoH/EPHI

14

COVID-19

Trainings

MSF for both the quarantine and isolation centers. 41 more health professionals

are being hired.

• Most of the health workers, the doctors and nurses have been trained on

epidemiology of COVID 19, IPC, use of PPE, Risk communication. However, the

support staffs like the cleaners, cooks and security forces are not well trained on

risk communication and use of PPE. They have been trained on general IPC

• The social workers have not been trained on child protection, gender-based

violence or case management.

• The University staffs needs further training on IPC, use of PPE and risk

communication

gloves and cleaning materials):

There are only 34 Janitors for

the whole quarantine buildings

which are not adequate

Supporting staff must receive

IPC, RCCE, use of PPE

trainings.

MOH/EPHI/WHO

NFIs • There are generally inadequate stocks of sheets, canvasses, and other NFIs

• Some of the returnees is arriving with very old clothes. Need immediate delivery

of clothes

• Left over stocks from the last response is not well tracked/captured and registered

Maintain minimum NFIs in the

quarantine sites.

Distribution of clothes for up on

arrival for those who need

immediate support

Conduct inventory of left-over

stock

NDRMC/ECC

IOM and shelter and

NFI cluster

NDRMC/IOM (the

inventory is started)

Food and

Drinking safety • The returnees were provided with three meals a day cooked in the university

cafeteria and served in plastic packs to the quarantine center. They were serviced

with two liters of drinking water a day. This has been organized by the university

authorities, diverting the funds allocated for student catering services

Need to device ways of ensuring

IPC measures among kitchen

staff and physical/social

distancing by quarantine

residents during meals.

Adequate PPEs be availed to

staff,

Federal Police

Commission and

MoH/EPHI

MoH/EPHI

Protection and

MHPSS

• There is no special care arrangement for unaccompanied and separated boys and

girls in the center, considering their needs for protection and care including

gender-based violence. The staffs (including doctors, nurses, and social workers)

have not been provided any raining on protection, gender-based violence or on

prevention of sexual exploitation and abuse.

• The Ministry of Women, Children and Youth does not have any involvement

whatsoever in the management and service delivery for the returnees for so far in

this quarantine center. The Ministry of Health or the management of the

quarantine/isolation center have not put any special attention on the Mental

Health and Psycho-social Support (MHPSS) for the returnees or for the staffs

The MoWCY should be

engaged: -

to take care of the

unaccompanied and separated

children at the point of entry and

during quarantine throughout the

family tracing and reintegration

MoWCY

15

working in the center. There is no MHPSS protocol established, and all the social

workers deployed in the center are males.

• No formal feedback and complaint or feedback mechanism has been put in place

for enabling specific GBV/SEA reporting and response mechanism or for

initiating relevant case management once the cases are reported. As most of the

staffs in the management are medical staffs, they only understand specifically

only medical case management. During discussion, however, they informed the

assessment team that they found few GBV cases and returnees with mental health

issues. These cases (two during the previous quarantine period) were referred to

Sefre Selam hospital but now the hospital is closed. For GBV case one stop center

is available in the nearest Tirunash Bejjing hospital

following the SOP (being

finalized)

to mobilize and deploy adequate

number of social workers to

provide special care required for

the unaccompanied and

separated children during their

stay in the quarantine and to

steer the FTR process

to Provide training to the social

workers on case management

and along with MOH and

partners MHPSS training and

support for the staff and

returnees

To oversee implementation of

the protection related SOPs

developed for the quarantine and

isolation centers

It is important to put in place a

complaint/feedback mechanism

for the returnees and

orientation/training and

mechanism to deal with cases of

SEA

16

Health Follow-

up

• The registration of returnees is not well structured and the health screening upon

arrival was very poor. They said this might be because of the absence of facilities

at the airport to deal with these huge number of returnees there was no timely

planned notification ahead of time to organize the logistics.

• Daily temperature monitoring was done at the center during the stay of the

returnees in the quarantine center

• The average time to transfer a suspected case of COVD19 from the quarantine

center to the isolation center was about six to eight hours from the point of

identification of symptoms

• The sample collection for testing after suspicion and to prepare for departure from

the center took about six hours to one day and it may take two days to two weeks

for getting the results of the tests

• The AASTU site established an OPD to follow up other non-COVID medical

cases. However, the complicated cases used to be referred to the nearest hospital.

• Emergency drugs and medical supplies are available in the site but not in

adequate quantity

• Children and pregnant and lactating women were treated in the normal OPD, but

they are now planning to establish a separate one probably at the new center that

is being installed by Tirunesh Bejing hospital medical team

• There are six social workers deployed by the Ministry of Peace and there no

specialized MHPSS staffs for the center. The MSF has recently mobilized seven

psychologist/ psychiatrists which will ease the pressure a bit for the next batch of

returnees.

• Tirunesh Bejing hospital medical team has almost completed installing a medical

center for clinical non COVID case management at the quarantine compound:

they are planning to handle almost every medical problem including ANC and

delivery services, ultrasound, etc. They have also prepared a new isolation area

within the new center for clinical suspects of COVID 19 infections.

Ensure well organized

orientation (prepare orientation

package) during arrival of

returnees with temperature

screening

Avail adequate quantity of

emergency drugs and medical

supplies

Deploy adequate number of

staffs with specialization on

MHPSS

MOH/EPHI/health and

WASH cluster

MOH/EPHI/ health

cluster

MOH/EPHI and health

and Protection clusters

RCCE • There was no formal orientation for returnees in risk communication during

arrival (not received adequate message on the purpose of the quarantine, the

procedures, their rights, duties, and obligation during the stay in the quarantine

center). No focal person for RCCE in the compound

• No adequate risk commination materials distributed and displayed for the

returnees in the center

• Shortage of PPE for security staffs, cleaners, and other supporting staffs

Strengthening RCCE:

Responsible agency needs to be

assigned

MOH/EPHI/ RCCE/

ERCS

17

Annex 1.3: Key Assessment findings of University Lideta

General Key findings AA University Lideta Campus Quarantine Site Recommendation Responsible

Sector/Agency

1 Overview of the

Quarantine

centers

• The Addis Ababa University Lideta campus quarantine site has a capacity to

accommodate 123 people (one person per room but common birth room

facilities). The quarantine site has no isolation room for clinical suspects of

COVID 19; the RRT will take these cases to AASTU site for isolation if there are

any symptomatic/confirmed cases.

• As of 08 May 2020, there were 30 people including 11 returnees from

Mozambique (including one 17-year-old boy and one person with visual

disability) remaining from the initial 35. The group include 11 travelers from the

United States of America, 11 from India and 2 from Canada all accommodated in

one building while 5 of the returnees were referred or transferred to Yekatit

hospital because of a significant illness by the St Paul hospital mobile clinic; one

of the cases was referred due to DKA.

• The center was not provided with any guidance or template for registration;

however, they have developed their own registration forms to track the people

accommodated in the center

Ensure all returnees to

registered with new

template

MOLSA/EPHI/IOM

(already started)

2 Coordination • Organization responsible for the overall management of the center is the Lideta

university and organizations involved in providing services to the people under

quarantine include Lideta university, EPHI, IOM, NDRMC, MOP, MOLSA.

• There is altogether no health or humanitarian coordination among the various

agencies at all except that the coordinator there has had informal calls from the

govt or other sectors

Coordination meetings

among government and

other humanitarian actors

should be regularly held to

launch a concerted response

to the public health demands

and all the associated gaps

and challenges ranging from

logistics to technical issues.

ICP to be established with

standardize SOPs in all the

Quarantine facilities

NDRMC/ECC

together with MoP

and MoH/EPHI

3 Infrastructure of

the setting • Accommodation is provided on a one person per room basis. However, they use

common toilet and bathroom facilities.

• The hygiene conditions of the rooms visited are fairly adequate and there is

enough ventilation in the rooms.

• There is water shortage in the compound due to interruptions in supply and does

not pump beyond the second floor when it becomes available

• The Center faces Intermittent electricity failure and has no backup generators

The ensure the availability

of piped water

Improve the hygiene and

sanitation in the latrine and

bathing areas and deployed

additional cleaners

MOWEI and WASH

cluster

AASTU, site

management cluster

18

• However, almost all the toilets and bathrooms are hygienically bad as the

returnees used common toilets and bathrooms at each floor and because of poor

water supply

• The waste disposal system in the center is not good. No incinerator for managing

hazardous waste

• The center has accommodation for staffs including for doctors.

Improve the waste disposal

system

Avail backup electric

generator

Eth. Electric Power

Corporation

4 Human

Resource &

COVID-19

Trainings

• There are five doctors (4 female and 1 male), 11 nurses (9 female and 2 male), 9

clearers (all female), 41 members of security forces from federal police. There are

2 psychologists in the center, both males. There is no social worker in the center.

• While most of the doctors and health workers received 3-day trainings on

Epidemiology, IPC, risk communication, other staffs (cleaners, cook and

members of security forces) were given only a few hours of orientation on risk

communication and use of PPE.

• There has been no orientation on protection or gender-based violence including

PSEA for the on-site staffs.

Supporting staff must

receive IPC, RCCE, use of

PPE trainings.

There is a need for

orientation on child

protection and PSEA for all

the staffs deployed in the

center and a complaint

mechanism should be

established

MoH/EPHI

Protection

cluster/IOM

5 NFIs • The quarantine site has almost been depleted in its stocks: it has 1 bedsheet and 8

single blankets; every room has its own mattress; the rest of the materials are very

inadequate

Maintain minimum NFIs in

the quarantine sites

This center requires basic

medical supplies and PPE

for the medical

professionals and other

frontline staffs for their

personal safety

NDRMC/ECC

6 Food and

Drinking safety • Center staff prepare food on site for occupants using the university kitchen; water

supply gets interrupted sometimes; there are soaps and detergents for cleaning and

sanitation

Protection and

MHPSS

• There is no provision of MHPSS and protection related services. The coordinator

mentioned that there were two psychologists provided by IOM. (not confirmed)

• There are no social workers in the center (on site or remote) and no child

protection case management. There is only one 17-year boy, rest of the people

quarantined are adults.

• There is no complaint mechanism or feedback mechanism in the center on any

issues including reporting SEA. The doctors however, said people complained

There is a need for on

demand social worker and

MHPSS specialists (not

necessarily stationed in the

center) who could be called

upon when required and

19

about the quality of services when then visited them for regular temperature and

health check.

• The female returnees do not have adequate sanitary pads; returnees from

Mozambique do not have extra clothes to wear. IOM has been informed on the

site for arranging dignity kits (which UNICEF provide through IOM for the

centers for returnees)

• So far, no cases of GBV and mental health issues reported in the center. There is

referral mechanism established with any of the facilities working on GVB, such

as stop center for referring GBV case

• There have been no messages distributed among the staffs and the people being

quarantined in the center addressing child protection and gender-based violence

issues.

become available for remote

services.

The center should ensure the

provision of adequate

supply of dignity kits for

girls and women in the

quarantine site.

Health Follow-

up

• They take regular temperature and check symptoms for COVID 19. They take

sample for testing after 10 days to enable them to facilitate the provision of

COIVID certificate for /before discharge. It usually takes five days to get the

report of test results.

• There is no medical equipment like infrared thermometer, BP apparatus, white

gowns for the medical staffs except that they borrowed these materials from

elsewhere. Even the medical staffs have no proper personal protection gears

• There are only few antipains and antibiotics at the small clinic in the quarantine

site; these medications have not been provided to them by any institution but have

been brought by the coordinator there from elsewhere.

• There are no provisions of psycho-social and mental health support in the center.

Recently two psychologists have been deployed by IOM, in the center now. There

are no complaint mechanisms for these services

• No treatment center/OPD and referral linkages have been established for critical

patients. The health workers lack essential medical equipment

• There is no separate set up for follow up of children, pregnant and lactating

women

• The quarantine site has no referral linkage with the hospitals or any isolation

facilities. However, they are using the mobile health team to refer critical patients

to other hospitals and the suspected/confirmed COVID 19 cases to AASTU

through the mobile health team

To set up referral linkages

with nearest hospitals for

treating non COVID cases

should be made; temporary

clinic in the site should be

established to address

regular health issues of the

people being quarantined in

the center.

A close multisectoral

monitoring and evaluation

mechanism of all the

activities at the quarantine

sites should be regularly

conducted for early

corrective measures to be

put in place.

MOH/EPHI

ECC/ all partners

20

RCCE • No formal orientation was given for returnees on risk communication upon arrival

at the port of entry: did not receive adequate message on the purpose of the

quarantine, the procedures and their rights, duties and obligations during their stay

in the quarantine center

• They have been provided a short briefing by the one-site doctors on the

procedures during their stay in the quarantine center. The center has not also

distributed risk commination materials among the returnees and has not at all

displayed them in the center.

• There is no focal person for RCCE in the compound

RCCE should be

strengthened; there should

be a responsible agency to

be assigned in the sites

MOH/EPHI/ECCE/E

RCS

21

Annex 2: Assessment teams

Team 1 Assessment Team Members

No. Name Organization

/Agency/cluster E-address Phone Remark

1 Dr. Temesgen

Tadesse NDRMC temesgentadesse36@gmail.com 0918667422

Team

Leader

2 Luna Habtamu EPHI/ PoE lunahabtamu403@gmail.com 0913775592

Asst.

Team

leader

3 Dr. Endalamaw

Abera

Health Cluster –

WHO aberae@who.int 0984623786 Member

4 Dr. Alexandra

Priebe WFP alexandra.priebe@wfp.org 0973820231 Member

5 Carolyne Kipsang IOM cakipsang@iom.int 0944295813 Secretary

6 Getnet Bayih EPHI/MOH/Risk

communication gechmoh2004@gmail.com 0912642929 Member

7 Tesfa Aklilu WASH Cluster

UNICEF/MoWIE taklilu3@gmail.com 0910199699 Member

8 Mekhon Afework CARE Gender

Specialist ekhon.afework@care.org 0911009934 Member

9 Mr. Milun

Jovanovic IOM mjovanovic@iom.int; Member

10 Dr. Simret Kelile IOM skelile@iom.int 0911479292 Member

11 Lemlem Abraha UNDP Lemlem.abraha@undp.org 0911021349 Member

12 Tesfaye Tilaye WHO tilayet@who.int 0911677055 Member

Team 2 Assessment Team Members

No. Name Organization

/Agency/cluster E-address Phone Remark

22

1 Girma Abate EPHI/ PoE girmaabate06@gmail.com 0975977979

Team

Leader

2 Wondesen Nigatu WHO/

Quarantine/Risk

communication

Wondesen.nigatu@moh.gov.et 0912642929 Member

3 Tesfaye Adamu Shelter/NFI

Cluster –NRC

tesfaye.adamu@nrc.no Member

4 Filippo Dibari WFP filippo.dibari@wfp.org Member

5 Emana Alemu

EPHI/WaSH

and IPC

ema271978@gmail.com Member

6 Maria Kjersem PSEA Network

- UNWOMEN

maria.kjersem@unwomen.org Member

7 Dr. Seifu Shewatatek IOM sshewatatek@iom.int Secretary

8 Meselech Damtew

MoLSA damtewam@gmail.com Member

9 Melaku Erjabo NDRMC malaku.121998@gmail.com

0911078295 Member

10 Aminul Isam

UNICEF aislam@unicef.org Member

11 Antonio Salanga

IOM asalanga@iom.int Member

12 Gebregziabher Lemma

UNICEF glemma@unicef.org Member

23

Annex 3: Checklist

Checklist for quarantine settings

I. General information

1. Setting name___________________________________________

2. Setting type 1. Hotel 2, School 3. College/ University. 4. Residential Houses 5. Others (Specify

others) ___________________________________

3. Address: _______________________________________________

4. Is there a dedicated focal (coordinator) person to oversee the setting?

A. Yes B. No if yes, Cell phone _______________________________

5. Potential Capacity of the site (how many people can be quarantined) _________________

6. No of persons currently quarantined in the site _______________________

County

of Origin

Disaggregation of persons in quarantine

Boys

under 5

Girls

under 5

Boys 5 -

17

Girls 5 -

17

Male

18-59

Female

18-59

Male

60+

Women

60+

Eg. KSA

E.g.

Kenya

….

7.

# of Unaccompanied and separated children:

# of persons with disabilities

# of pregnant and lactating women

II. Coordination

8. Which organization is responsible for the overall management of the center?

___________________________________________

9. Which organizations are involved in providing services to the people under quarantine?

___________________________________________

10. Is there a coordination mechanism for partners involved in this center?

___________________________________________

11. Provide short description of the coordination arrangement

III. Infrastructure of the setting

1. Adequacy of physical spaces/rooms for quarantined individuals (adequate means one room for one person)

staffs

A. Adequate B. Inadequate C. Any other observations ----------------------------------

24

2. Are there rooms shared by quarantined individuals

A. Yes B. No C. Any other observations -----------------------------------------------

3. Ventilation status of rooms

A. Good B. Poor C. Any other observations -------------------------------------------------

4. Illumination of rooms

A. Good B. Poor C. Any other observations ------------------------------------------------

5. Hygiene conditions of rooms

A. Good B. Poor C. Any other observations ------------------------------------------------

6. Hygiene of the immediate environment (hallways, stairs, compound)

A. Good B. Poor C. Any other observations ------------------------------------------------

7. Space adequacy of immediate environment

A. Adequate B. Inadequate C. Any other observations ----------------------------------

8. Availability of electric supply

A. Yes B. No C. Any other observations ---------------------------------------

9. Are sleeping arrangements safe

A. Yes B. No C. Any other observations ---------------------------------------

10. Do rooms have working locks?

A. Yes B. No C. Comment-------------------------

11. Are there rooms that need minor repairs? E.g. Window and doors not functioning or need locks.

A. # Number of affected windows or doors ----------------------

B. Roof is leaking ----------------------

12. Availability of clothing, protection for baggage and other possessions,

A. Yes B. No C. Any other observations ---------------------------------------

13. Availability of site clinic or referral linkage for other conditions than COVID-19

A. Yes B. No C. Comment ---------------------------------------

14. Availability of isolation room for suspected COVID-19 cases?

A. Yes B. No c. comment

15. Did the quarantine have accommodation for staffs?

A. Yes B. No C. Any other observations ---------------------------------------

16. Is there reinforcement to control movement of the persons in quarantine to ensure physical/social distancing?

A. Yes B. No C. comment ___________________-

17. Does the quarantine have facilities for rest and residential homes accommodation for staffs?

A. Yes B. No C. Any other observations ---------------------------------------

IV. Human Resource

Category Male Female

25

Doctors

Nurses

Cleaners

Security forces

Social worker

Other staffs (specify)

18. How many of the quarantine site staff are trained on the following topics (please write number trained)?

Epidemiology

of COVID-19

IPC Use of

PPE

Risk Communication Other topic

(specify)

Doctors

Nurses

Cleaners

Security forces

Social worker

Other staffs (specify)

V. Food and NFI

19. Current Stock status of NFIs

Current Stock

Item Quantity

Blanket:

Bedsheets:

Mattresses:

Sleeping mats:

Mosquito nets:

Towel (Foto)

Flip flops:

Clothing sets:

26

Multi-purpose soap

Plates

Cups

Cooking pots

Mops

VI. Food and Drinking Safety

20. Food preparation (check

all that apply)

1. No cooking possible in the center.

2. Food must be brought from outside.

3. Kitchen available on site for occupants to use.

4. Center staff prepare food on site for occupants.

5. Other:

20. Only if kitchen is

available

1. Detergent/soap is available

2. Sponge is available

3. # of communal plates: ____

4. # of communal cups: ______

# of communal cooking pots: _____

21. Availability of running

water all the time

A. Yes B. No

VII. Protection and MHPSS

22. Are there children?

A. Yes B. No C. Comment

If Yes, are there unaccompanied children? ----------------------

23. If Yes,

A. Share rooms with adult B. In separate room

24. Is there a functional Complaints and Feedback Mechanism (CFM) in place enabling specific GBV/SEA cases

management?

A. Yes B. No C. comment

25. Are MHPSS services offered to the returnees and staff on site?

A. Yes B. No C. comment ----------------------------

26. Is there an MHPSS protocol in place to identify migrants in need of MHPSS interventions?

A. Yes B. No C. comment ----------------------------

27. Is there a referral mechanism to psychiatric care facilities?

A. Yes B. No C. comment ----------------------------

27

VIII. Health follow-up

A. Follow up

28. Are passengers/returnees/ data registered up on arrival at quarantine center

A. Yes B. no C. Comment --------------------------------

29. Availability of uniform registration template in the quarantine center?

A. Yes B. No C. comment -----------------------------

30. Are quarantined persons daily monitored for body temperature and symptoms

A. Yes, always (if yes observe the record data) B. No C. No Only sometimes D. Comments ------

---------------

31. Are suspected persons transferred to an isolation center or immediately isolated?

A. Yes, always B. Only sometimes C. Comments -----------------------------

32. On average, how long will it take to transfer suspected cases? _______________hours staffs

33. Are lab samples collected for suspected cases or isolated suspected?

A. Yes, always B. Only sometimes C. Comments ------------------------------

34. On average, how long will it take to transfer suspected cases? _______________hours

35. Are lab samples collected for people who completed the 14-days quarantine period (sample expected to be

collected at 10th day of arrival?

A. Yes, always B. Only sometimes C. Comments -----------------------------

36. How long will it take to get lab results for suspected and completed cases?

(Describe)_____________________________________________________

37. Do people with underlying health conditions and pregnant women receive required health care?

A. Yes B. No C. Comments ---------------------------------------

38. Do quarantined individuals receive psychosocial support?

A. Yes B. No C. Comment ---------------------------------------

39. Are basic drugs to for emergency (antipain, antispasmodic, antacid, etc available in the facility?

A. Yes B. No C. Comment ---------------------------------------

40. For children, are the case management tools available? Is there identification and referral mechanism for children

at risk? E.g. UASC and reunification.

A. Yes B. No C. Comment……………………………………

IX. Risk communication

41. Do Quarantined people receive information regarding COVID-19 before and after arrival?

A. Yes B. No C. Comment ------------------------------------

42. Are quarantined individuals informed about the purpose of quarantine, the procedures and their obligations

during and beyond the quarantine time?

A. Yes B. No C. Comment ----------------------------------

43. Are risk communication materials distributed or on display to the people in the quarantine (leaflets, posters,

banners, audio, etc)

28

A. Yes B. No C. Comment ----------------------------------

44. Are key messages communicated in a clear, accurate and relevant manner to people in quarantine facilities about

preventive measures with people’s local languages including deaf translation?

A. Yes B. No. C. comments

45. Is raped/violated women get special supports and referred to GBV Rehabilitation and treatment center?

A. Yes B. No C. comments

46. Are there child friendly IEC materials targeting children. As well as referral chart and list of service providers?

A. Yes B. NO C. Comment

47. Do any of the key messages include messages about protection and gender-based violence e.g.: what to do if you

feel unsafe or if you have been threatened, where to go to receive medical or psychosocial support, etc.

A. Yes, for example: ......................

B. No

C. Comment-----------------------------------------------

48. Did health workers train on risk communication?

A. Yes B. No C. comments

49. Did the quarantine people orient on pharmaceutical and non-pharmaceutical intervention of COVID 19

prevention?

A Yes B. No C Comments

29

Comments on the checklist

Q 3-7; Q 9; Definitions need to be provided for each of these indicators – what constitutes good

ventilations or poor ventilation, etc. Enumerators should not be left to guess the

parameters.

Q12 This question is unclear and needs to be rephrased – Is it asking whether they have

clothing or storage of personal items.

Q15 How is this question different from Q17? We would suggest eliminating Q15

Q 17 Reword: Does the site have separate accommodation for staffs, either for rest breaks or

residential housing?

Additional

questions after Q

21

• Kitchen staff trained in COVID-19/safe food handling A. Yes B. No;

• Kitchen staff has PPE and is observed using masks A. Yes B. No;

• Social distancing practiced during food/meal distribution (observe if possible) A.

Yes B. No;

• Average cost per meal: __________

Q22 Already captured in Q3

Q23 This should be broken out in two questions – Children with parents/guardians and

unaccompanied children being housed with adults

Q1: what is the policy for housing children with parent/guardians: A. Share room with

parent/guardian B. In separate room in adult area C. In separate room in non-adult

area D. Comment

Q2. What is the policy for housing unaccompanied minors: A. Shared room with adult B.

In separate room in adult area C. In separate room in non-adult area D. Comment

Q25 Spell out MHPSS

Q30-31, Q33-34 Change responses to: A. Yes B. Yes, sometimes C. No D. Comment

Q32 Change responses to check box that aligns with EPHI metrics:

A. Within 2 hours B. 2 to 3 hours C. Greater than 3 hours

Q35 Should be broken out in two separate questions: 1. Suspected cases 2. Compete cases

[responses should be dropdown box up to 20]

Q40 This is a double barrel question. Response should be changed to: A. Before B. After C.

Both before and after D. No E. Comment

Q43-44 Directions should be added: [Confirm through observation]

Q45 This question should be moved below Q24 and reworded: Are victims of gender-based

violence (GBV) receiving special support and referrals to GBV rehabilitation and

treatment center?

Q48 Revise questions: Did health workers receive training on risk communication

Shouldn’t this be all staff?

Q49 Definition needs to be provided on what pharmaceutical and non-pharmaceutical

interventions are.