Sudan

Situation Report

Sector Status

COVID-19 Response Pillar 3: Surveillance, Rapid Response Teams, and Case Investigation

90%
states with trained RRTs (16 out 18)
$3.5M
required

Needs

  • Improvement in contact tracing and scaling up the rapid response teams.

  • Production and distribution of guidelines, contact tracing, and case definition formats.

  • Enhance existing surveillance system to enable monitoring and reporting of COVID-19 transmission.

  • Contact tracing through health promotion and rapid response teams and training of surveillance officers on case definition and contact tracing

  • Support RRT through operational costs, subsidies, material and supplies and capacity building in order to strengthen surveillance, case detection and early action.

Response

The Federal Ministry of Health/Directorate General of Emergency and Epidemic Control produces daily COVID-19 updates. The updates show total new confirmed cases and cumulative and total deaths by state.

64 per cent of total confirmed cases were reported during weeks 20 and 21 of the epidemic. By the end of week 21, North Darfur and Central Darfur states have the highest case fatality rates (CFR) with 42.9 per cent and 50 per cent, respectively. The Federal Ministry of Health (FMoH) Directorate General of Emergency and Epidemic Control is producing daily COVID-19 updates. The updates show total new confirmed cases as well as cumulative and total deaths by state.

WHO has trained Rapid Response Teams (RRT) in 16 states. A total of 218 teams are ready to respond to alerts. The rapidly evolving COVID-19 situation in Khartoum and Gezira states has prompted WHO to provide additional RRTs in both states. In Khartoum State, 35 RRTs were trained on 9 May 2020. An additional 43 RRTs will be trained in Gezira state starting from 13 May 2020. Training in North Kordofan continues.

COVID-19 contact tracing and active search in Khartoum State will be implemented engaging resistance committee volunteers to identify and report alerts to RRT. The project is supported by UNICEF and WHO.

WHO has updated interim guidelines on surveillance and standard reporting forms in Arabic. In addition, other templates and standards such as close contacts forms, line-lists and a data dictionary have been shared with the FMoH in order to streamline and standardise reporting.

A surveillance system on COVID-19 has been set up in all refugee camps. UNHCR worked with the MoH to make sure all the health partners, outreach workers and community volunteers along with UNHCR staff are trained on how to identify a potential case so that they can advise on self-isolation and inform the health authorities for further checks. Should they confirm the transmission of the virus through a test, the surveillance protocol foresees that the information is reported up to the national level.

UNICEF supported the development of a community-based active search and contact tracing guideline, which aims at deploying trained and equipped community volunteers to conduct house-to-house visits for active search and contact tracing. The first national training of trainers was conducted for 13 medical professionals in Khartoum State. Training of 250 community volunteers is planned to start this week. FMoH plans to scale this up to other states in the coming weeks.

Gaps

The Ministry of Health Epidemiology Surveillance at all levels is using WHO standard COVID-19 cases definition. However, the application of the WHO case definition at the clinical level is not always followed, which may have led to supposed misclassification and loss of suspected cases.

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