2nd IAWG on RH in Crises MENA Regional Conference –Cairo March 19-21, 2012 HUMANITARIAN INTERVENTION IN RESPONSE TO THE LIBYAN CRISIS EGYPT SALLOUM Dr. Ahmed Malah - UNFPA Egypt Dr. Ashraf Azer – UNHCR Egypt

OVERVIEW  Egypt was the first country hit by the crisis stemming from Libya at the end of February, receiving large numbers of Migrants and Egyptians  At end of September, IOM, in cooperation with the border authorities, has recorded 226,200 persons, including 140,642 Egyptians (62%) and 85,558 TCNs (38%) crossing the border  Nationals from countries benefitting from a regime of free movement with Egypt (mainly nationals from Middle East countries) did not have to wait for visa processing at the Sallum border crossing point.

 Large numbers of Egyptians among the fleeing population and at one point, over 12,500 Egyptians crossed the border on a single day with an estimated total of 166,000 Egyptians have returned home directly through the border but also by air, ground and sea evacuation  By the end of September, IOM has repatriated from Egypt more than 38,000 persons. Most of the TCNs evacuated from Egypt were Chadians (45%) or Nigerians (23%) OVERVIEW (Cont’d)

 UNHCR, IOM, UNFPA, UNICEF, OCHA, WHO, ICRC, IMC and Egyptian Scouts were among the first UN agencies, INGOs, NGOs establishing needed Protection, Shelter, Health, Water, Sanitation, Food, Psycho-social support responses for the stranded population at the Port land site  WHO and IOM, in coordination with MOHP in Matrouh governorate supported the Quarantine Port land clinic to provide PHC services to the stranded TCNs and PoCs OVERVIEW (Cont’d)

 Earlier in the crisis, the MoHP deployed its mobile specialized clinics for TCNs and PoCs  Salloum and Matrouh hospital were rendered accessible for referral health care services  Libyans were granted access to Alexandria and Cairo referral hospitals and received a WHO and UNHCR complementary 2ry and 3ry care health services addressing injured Libyans and those suffering from life threatening chronic illnesses inclusive of TCNs and PoCs OVERVIEW (CONT’D)

RESIDUAL POPULATION CURRENTLY AFFECTED AMONG PERSONS OF CONCERN TO UNHCR- January 2012 MaleFemaleTotal Total Population Number of women yrs99 Number of infants < 1yr Number of children <5yrs

 WHO called for regular coordination meetings among all humanitarian actors for sustaining health care responses including SRH response for Libyans, TCNs and PoCs to UNHCR  As a key SRH response 4,000 dignity kits (3,000 for males and 1,000 for females) were procured by UNFPA and transported and stockpiled by ERC at the border  30 baby kits were procured by UNFPA and stockpiled in coordination with UNHCR  Most of the RH kits were procured internationally by UNFPA and transported inside Libya by the Egyptian and Libyan Red Crescent KEY SRH INTERVENTIONS & COORDINATION

 Salloum Port land also benefited from Kits related to contraception and HIV/STI prevention  UNFPA, UNHCR and FHI in coordination with MoHP and Matrouh health district organized a MISP training with focus on STIs, Protection and HIV prevention, support and treatment responses  Referral services for women among TCNs and PoCs including for Emergency obstetric care has been also made available through the PHC clinic at the Port land KEY SRH INTERVENTIONS & COORDINATION

MoHP Mobile clinics fleet deployment at Salloum & UNFPA procured Dignity kits

 Partnerships between UN and Humanitarian NGOs actors contributed to enhancing Health and SRH interventions to the stranded population for the immediate Crisis situation  Coordination with the MoHP at the district level and with other local NGOs (ERC) in delivering RH and Dignity kits was key for an effective SRH intervention for the stranded population  While RH and baby kits were provided for women, modifying Dignity kits to meet the need of stranded population (mostly males) was an example of evidence based programming SRH RESPONSES STRENGTH

SRH RESPONSES WEAKNESSES  Ongoing monitoring, assessment, surveillance and responses to SRH needs in the Post crisis phase did not receive sustained attention by all Humanitarian actors  Setting a monitoring, evaluation and reporting system at MoHP Salloum clinic and at district level on the use of, stock management and replenishment of RH and Dignity kits, did not receive needed focus to accurately measure impact on reducing morbidities and mortalities  Post crisis surfacing SRH issues including unprotected sex among stranded vulnerable women involved in sex work and effectively addressing the gender based violence and power dynamics with incriminated men, did not receive a needed comprehensive responses by all concerned actors

SRH in Crisis and Post crisis situations Regional support  Compiling and disseminating a “Best practices and lessons learnt” document on MENA Arab spring countries and other regions examples of SRH comprehensive responses in Crisis and Post crisis situations  Developing a Regional guidelines subject to a country by country contextual adaptation and adoption of a National M&E systems on SRH in Crisis and Post crisis situations  Developing a Regional guidelines that can best guide MENA national responses on operational research, surveillance and surveys studies in SRH Crisis and Post crisis situations

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