healthclusterbulletin#3 june2 016 · health service provision to conflict affect and natural...

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1 HEALTHCLUSTERBULLETIN#3 June 2016 Afghanistan Humanitarian Crisis HIGHLIGHTS TOTAL PARTNERS PARTNERS REPORTED NON-BPHS ACTIVITIES FUNDING REQUIRED CLOSED BPHS HFs DUE TO INSECURITY CLOSED NON-BPHS HFs DUE TO INSECURITY POPULATION IMPACTED DUE TO CLOSED HFs IEHK BASIC UNIT IEHK SUPPLEMENTARY UNIT DIARRHOEAL DISEASES KIT (DDK) PNEUMONIA KIT A PNEUMONIA KIT B TRAUMA KIT A TRAUMA KIT B # OF BENEFICIARIES CAN BE COVERED BY AVAILABLE STOCK 283,662 TOTAL DISEASE OUTBREAK ALERTS REPORTED AND INVESTIGATED # OF CONSULTATION DUE TO DEWS TARGETED DISEASES # OF BENEFICIARIES REACHED WITH BASIC HEALTH CARE THROUGH NON-BPHS FACILITIES HEALTH SERVICES AND DISEASE OUTBREAKS 47 11 29 51 283,662 EMERGENCY MEDICAL STOCK AVAILABLE FUNDING $USD 40M 97 AHealthEmergencyRisk Assessment(HERA)wascarried outatdistrictlevel MassCasualtyManagement ExerciseconductedinKandahar withtheparticipationof317 healthworkers,firebrigadeand ANP. WHOprovidedSuppliestoblood banksin11provinceswithnecessary trainingprovidedfortechnicians Physicalimprovementstoestablish atraumacareunitandconstruction oftwotrussesinKunduzRegional Hospitalcompleted Insecuritycontinuestopose challengesforhealthcareproviders andhealthcenters—29health facilitieswereforcedtoclosein Nangarhar,Helmand,Kandaharand Uruzgan.Thismightaffectan estimated401,830peopleinthe provincesbydeprivingthemfrom accesstobasichealthservices CHF2 nd Allocation2016hasbeen launched.Healthcluster prioritizedtraumacareand establishmentofFATPsinconflict affecteddistricts. 2 638,303 12 22 22 172 7 24 882 1,857 690 HEALTH FACILITIES First Aid Trauma Post in Kunduz, Nurse providing first aid to an injured child 401,830 336,312

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Page 1: HEALTHCLUSTERBULLETIN#3 June2 016 · Health service provision to conflict affect and natural disaster ... inaccessiblea reaso ft hec ountry.I naddition,U NF PAs upportedrecruitmento

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HEALTH�CLUSTER�BULLETIN�#3 June�2016���� Afghanistan�Humanitarian�Crisis�

HIGHLIGHTS

��

TOTAL PARTNERS

PARTNERS REPORTED NON-BPHS ACTIVITIES

FUNDING REQUIRED

CLOSED BPHS HFs DUE TO INSECURITY

CLOSED NON-BPHS HFs DUE TO INSECURITY

POPULATION IMPACTED DUE TO CLOSED HFs

IEHK BASIC UNIT

IEHK SUPPLEMENTARY UNIT

DIARRHOEAL DISEASES KIT (DDK)

PNEUMONIA KIT A

PNEUMONIA KIT B

TRAUMA KIT A

TRAUMA KIT B

# OF BENEFICIARIES CAN BE COVERED BY

AVAILABLE STOCK

283,662

TOTAL DISEASE OUTBREAK ALERTS REPORTED

AND INVESTIGATED

# OF CONSULTATION DUE TO DEWS TARGETED

DISEASES

# OF BENEFICIARIES REACHED WITH BASIC

HEALTH CARE THROUGH NON-BPHS FACILITIES

HEALTH SERVICES AND DISEASE OUTBREAKS

47

11

29

51

283,662

EMERGENCY MEDICAL STOCK AVAILABLE

FUNDING $USD

40M

97

• A�Health�Emergency�Risk�Assessment�(HERA)�was�carried�out�at�district�level�

• Mass�Casualty�Management�Exercise�conducted�in�Kandahar�with�the�participation�of�317�health�workers,�fire�brigade�and�ANP.�

• WHO�provided�Supplies�to�blood�banks�in�11�provinces�with�necessary�training�provided�for�technicians��

• Physical�improvements�to�establish�a�trauma�care�unit�and�construction�of�two�trusses�in�Kunduz�Regional�Hospital�completed��

• Insecurity�continues�to�pose�challenges�for�healthcare�providers�and�health�centers—29�health�facilities�were�forced�to�close�in�Nangarhar,�Helmand,�Kandahar�and�Uruzgan.�This�might�affect�an�estimated�401,830�people�in�the�provinces�by�depriving�them�from�access�to�basic�health�services��

• CHF�2nd�Allocation�2016�has�been�

launched.�Health�cluster�prioritized�trauma�care�and�establishment�of�FATPs�in�conflict�affected�districts.��

2

638,303

12

22

22

172

7

24

882 1,857 690

HEALTH FACILITIES

First Aid Trauma Post in Kunduz, Nurse providing first aid to an injured child

401,830

336,312

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93

57

In need Reached

Percent or # of conflict affected districts with at least one

FATP/HF providing specialized conflict trauma care

In need

Reached

947

910

Male

Female

Number of people served by FATP services (Conflict Trauma

Treated)

Male Female

4012

690

In need Reached

# BirthsAttended by SBA

In need

Reached

First Aid Trauma Post (FATP) providing First Aid and stabilizing conflict induced trauma patient and referring severe cases to high level facilities

Health Cluster prioritized 115 high risks conflicted affected districts to have at least one FAT or Health Facility to provide specialized conflict trauma care.

No and % of births attended by SBA in targeted areas (no existing BPHS coverage), to reduced incidence of maternal and child mortality and morbidity

882 children immunized in white areas (received PENTA3 vaccination)

Stock Details:

Beneficiaries�are�calculated�for�these�items:�

• Diarrheal�Disease�Kit�(DDK)�

• IEHK�(Interagency�Emergency�Health�Kit)�Basic�Unit��

• IEHK�(Interagency�Emergency�Health�Kit)�Supplementary�Unit��

• Pneumonia�Kit�A+B�

• Trauma�Kit�A+B�

• Miscellaneous�(Antibiotics)�

450432

Number of Children Received PENTA3 vaccination

Male

Female

Availability�of�Stock�and�Potential�Gaps:��

Available�stock�as�of� 16th�August�2016� including�Emergency� Items�(Trauma�Kit�A,�Trauma�Kit�B,�IEHK�Basic�Unit,�IEHK�Supplementary�Unit,� Pneumonia� Kit� A,� Pneumonia� Kit� B,� DDK� Kit� and�Miscellaneous)�can�cover�845,155� individuals.� �The�stocks�are�pre-positioned� from� central� warehouse� located� in� Kabul� to� all� 7�regional� warehouses.� � As� per� HMIS� morbidity� rates� of� (Acute�Diarrheal� Diseases,� Pneumonia� and� Weapon� Wounded� cases)� in�2015,� there� is� gaps� identified� in� anticipated� caseloads� of� two�months�in�East,�North,�North�East�and�South.��Total� 147,128�people�anticipated� to� be� in� need� of� assistance� are� remained� in� gaps� of�Health�cluster�medical�supplies.�

Health�Cluster�Response/Achievement��

Source: health cluster partners’ monthly activity report outside EPHS/BPHS. Health service provision to conflict affect and natural disaster affected population through humanitarian fund for emergency response. Partners Reported activities in June 2016:

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Second�CHF�Allocation�in�2016:��In�view�of�increasing�conflict�and�war�trauma�incidents�in�the�country,�the�health�cluster�prioritized�effective�trauma�

care�through�establishment�of�FATPs�and�strengthening�the�trauma�care�units�(TCU)�at�hospitals�and�assisting�in�mass�

casualty� management� planning� at� the� provincial� level.� These� activities� will� be� complimented� by� replenishment� and�

procurement� of� essential� medicines� and� emergency� medical� kits,� in� order� to� prepare� for� and� respond� to� emerging�

health�needs�in�the�face�of�continuing�conflict�and�recurrent�natural�disasters.�

Health�Cluster�Partners�Updates��

World�Health�Organization�(WHO)�

• Household� water� filters,� safe� storage� items� and� hygiene� promotion� materials�were� distributed� to� communities� as� part� of� an� emergency� WASH� project�implemented� by� ARCS� with� the� sup-port� of� WHO.� The� project� reached� over�41,000� beneficiaries,� targeting� households� with� pregnant� and� lactating� women�and� children� under� 2� in� provinces� affected� by� high� rates� of� malnutrition� and�diarrheal�diseases.��

• An� Emergency� Operations� Centre� (EOC)� has� been� constructed� with� WHO�support� in�the�Kunduz�Provincial�Public�Health�Directorate�to�coordinate�timely�response�to�emergencies�in�the�Northeastern�Region��

• EOCs� established� in� Kabul,� Kandahar,� Balkh� and� Kunduz� will� facilitate� data�collection� and� analysis,� reporting,� coordination,� decision� making� and� response�before,�during�and�after�emergencies��

• Physical�improvements�to�establish�a�trauma�care�unit�and�construction�of�two�trusses�in�Kunduz�Regional�Hospital�completed��

• The� first� phase� of� Health� Emergency� Risk� Assessment� (HERA)� for� Afghanistan�has� been� initiated� by� WHO� in� collaboration� with� the� Ministry� of� Public�Health,�ANDMA�and�other�relevant�stakeholders�

• Supplies� provided� to� blood� banks� in� 11� provinces� with� necessary� training�provided�for�technicians—WHO�also�supplied�20�electricity�stabilizers�and�wiring�extensions�with�high�capacity�electricity�to�enable�blood�banks�to�safely�use�the�new�equipment��

• WHO�conducted�a�mass�casualty�management�(MCM)�simulation�exercise�in� Kandahar� for� 122� community� health� workers,� 152� staff� from� Kandahar�Regional�Hospital�and�43�staff�from�the�fire�brigade�and�Afghan�National�Police�

UNFPA�

• UNFPA�with�the�support�of�Afghan�Red�Crescent�Society�(ARCS)�supplied�2�sets�of�Emergency�Reproductive�Health�(ERH)�kits�to�Jalalabad� regional� hospital.� Total� 77� ERH� kits� including� clean� delivery� kits� distributed� to� pregnant� women� who� live� in�inaccessible�areas�of�the�country.�In�addition,�UNFPA�supported�recruitment�of�seven�midwives�in�MHTs�run�by�ARCS.��

• UNFPA�conducted�two�batches�of�Minimum�Initial�Services�Package�(MISP)�Training�and�41�HWs�are�trained�in�MISP.��

• UNFPA�conducted�two�batches�of�Clinical�Management�of�Rape�survivor’s�training�for�health�workers� in�Kunduz�province�and�train�40�HWs.�

• UNFPA�with�the�support�of�ARCS�distributed�1,400�dignity�kits�to�families�affected�by�conflicts�in�Kunduz,�Takhar�and�Baghlan�provinces.����

Challenges:��

• Emergency�reproductive�health�services�are�not�prioritized�to�be�funded�by�humanitarian�community�to�address�reproductive�health�needs�of�people�affected�by�conflicts.�

• Limited�access�of�pregnant�women�to�improved�obstetric�newborn�care�services�in�the�conflict�affected�areas�of�the�country.���

SAVE�THE�CHILDREN��In� the� month� of� June� 2016,� 417� patients� received� health� services� from� FATPs� and� Rapid� Response� Teams� (RRTs).� Out� of� 417� cases� 44�

clients�were�children�<�5�,�155�cases�were�affected�by�conflict,�288�cases�were��not�affected�by�conflict,�14�conflict�affected�and�20�non-

conflicted�affected�cases�were�referred�to�higher�level�health�facilities�for�advance�health�care.��

Nabi, who was hit by shrapnel in Helmand province, receives treatment at WHO�supported Emergency Surgical Hospital for War Victims in Lashkargah

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Challenges:�

• Unstable�security�situation�in�Kunduz�Province�that�limit�accessibility�to�conflict�affected�areas.�

• Fear�of�misusing�the�ambulances�by�the�armed�groups/influential�people�in�the�districts.�

• Challenges�in�conducting�regular�monitoring�of�the�project�due�to�security�conditions�(in�worse�case).�

• High�expectation�of�the�local�communities/beneficiaries�from�the�FATP/RRT�teams/activities�in�terms�of�treatment.�

• Lack�of�transport�companies�for�taking�quotation�for�the�FATPs�and�RRTs�needed�ambulances.��

PU-AMI�Is� implementing� emergency� humanitarian� project� in� Kunar� and� Nangarhar� provinces� of� Afghanistan� through� ECHO� fund� and� is� providing�

lifesaving�health�care�services�in�underserved�and�white�areas�of�Kunar�through�OCHA�fund.�

• EHCO� project:� Through� this� project� PU-AMI� is� providing� lifesaving� trauma� care� in�conflict�affected�areas�of�Kunar�and�Nangarhar�province.�All�the�health� facilities�of�Kunar�is�supplied�with�emergency�drugs�and�equipment’s�and�trainings�are�provided�to� health� providers� to� manage� effectively� conflict� affected� trauma� cases.� In�Nangarhar� province� a� second� MHT� is� established� to� provide� primary� health� care�services�especially�to�the�conflict�affected�IPDs�of�Kot�district.��

• During�the�month�of�June�2�MHTs�in�Nangarhar�province�provided�PHC�services�to�676�female,�343�males�and�519�children�to�conflict�affected� IPDs�of�Kot�and�other�districts�of�Nangarhar.�In�Kunar�442�conflict�affected�trauma�cases�treated�and�40�conflict�trauma�cases�were�stabilized�and�referred�by�the�ambulances�of�the�project�from�the�conflict�affected�areas.�

• CHF�project� funded�by�OCHA:� � During�June�2016�total�OPD� was� 7913� among�them�2204� clients� were� children,� 14� Deliveries� were� conducted,� 136� pregnant� women�received� TT� vaccines,� 114� children� were� received� P3� vaccines,� 91� pregnant� women�received�ANC1,�and�one�health�facility�director�trained�in�common�diseases.�During�June�2016�solar�panel�system�was�supplied�to�three�health�facilities�(Aret,�Shurek,�and�Dewoz). ��

MOVE�Welfare�Organization�with�financial�support�of�UNFPA�is�implementing�delivery�of�health�services�and�promotion�of�

sustainable�livelihood�projects�in�Bamyan�and�Daikundi�provinces,�the�main�aim�of�this�project�

is;� improving� access� and� utilization� of� Reproductive� Health� Services� in� underserved�

communities/� remote� areas� which� are� not� under� the� coverage� of� BPHS� and� promoting�

women’s� empowerment.� This� project� provides� RMNCH� services� through� 82� FHHs� (Family�

Health� House),� 6� MSTs� (Mobile� Support� Team),� 82� Health� Posts,� 100� FHAGs� (Family� Health�

Action� Group)� and� 82� Health� Shura’s� to� 222000� populations� in� both� Bamyan� and� Daikundi�

provinces.� Full� staffing� of� FHHs� and� MSTs,� 24� functionality� of� FHHs,� availability� of� enough�

essential� medicines� along� with� consumable� medical� materials� in� all� FHHs� and� MSTs� in� both�

mentioned�provinces�were�our�main�achievement�and�success�during�the�month�of�June�2016�

beside�of�the�these�successes,�difficult�geographical�and�insecurity�of�some�areas�in�Bamyan�

province�was�a�little�challenge�during�June�2016.��

CONTACT:�Dr�Mohammad�Dauod�Altaf,�Health�Cluster�Coordinator,�[email protected]��Phone:�+93�782200342�

Dawran�Safi,�IMO,�[email protected]��Phone:�+93�782220832�

See�also�the�Health�Cluster�website:�https://www.humanitarianresponse.info/en/operations/afghanistan/health

Nurse providing health services in Shurek HSC, Kunar Province

Screening (Growth Monitoring) of children under 5 by FHH Midwife in Daikundi (Jun 2016)