healthclusterbulletin#3 june2 016 · health service provision to conflict affect and natural...
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HEALTH�CLUSTER�BULLETIN�#3 June�2016���� Afghanistan�Humanitarian�Crisis�
HIGHLIGHTS
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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
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• 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.��
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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
2
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.�
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Health�Cluster�Response/Achievement��
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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.�
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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�
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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.��
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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.��
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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)