Purpose of assessment:

This mission was done to assess the possibly of having IOM mobile medical team (MMT) to provide health services in the Rabia’ city, Tal-Smer and Abulkhashab villages according to the needs/gaps.

General Information:

Rabia’ : it is a district of Ninawa, located in the North-East, 76 villages are belong to it, needs around 2 hours by car to reach there from Duhok, it is regarded as liberated area, the city is currently about 15,000 individuals.

It has one functioning PHC center which is running by government,: its resources( 1 oncology specialist works as GP; 1 ultrasonography specialist ; 1 community

medicine specialist; 3 nurses, 2 pharmacy assistance, 2 lab technician) Providing an average of 150 PHC consultations per day. Simple basic lab investigations are available such as GUE, FBS, Widal and Brucella. The building has good space with good division of departments

Just beside the Rabia’ PHCC, there is a semi fixed clinic that runs by IMC (international medical corps): 6 days per week, The staffs are coming from Duhok every day and going back at the same day. Providing around 150 PHC consultations per day It is separate completely from public PHCC, regarding resources, medication…..etc.

Both public and IMC medical units proving services for 15,000 individuals of the city and some near by villages.

Tal-Smer village : It is far around 15-20 minutes from Rabia’ by car Has population around 1,800 individuals. One Pre-Primary health care is available:

It runs by 1 nurse 3 days per week/ previously 2 nurses 6 days a week. Before the crisis was ran by nurse as of now, as it is not complete PHCC.

Assessment mission report

Visit sites: Rabia’ district and its nearby two villages (Tal-Smer & Abukhashab)

Mission members: Nicola Hill (Duhok SO coordinator); EH team (Sangar Perdawed, Luqman Ali, Shivan Hafthallah, Rezan Namr) and Hussien ( CAP).

Time: Monday 28th March 2016

Prepared by: Sangar Perdawed

30-35 consultations by a nurse per day Abulkhashab village:

It is far around 15-20 minutes by car Has population around 2000 individuals. One Pre-Primary health care is available:

It runs by 1 nurse and 1 lab assistance, 6 days a week. Before the crisis was ran by nurse as of now, because it is not complete PHCC. 35-40 consultations by a nurse per day

Needs/Gaps:

Rabia’ PHCC:

1. Obgyn specialist at least two days per week.2. Pediatric specialist at least two days per week.3. Capacity building for the PHCC:

a. Repair the x-ray machine b. Some lab equipment like hematology, chemistry analyzer devices….c. Ultrasound deviced. Dentist unit( resource is an issue)e. Medicationsf. Water with sanitation is a concerng. General practitioner doctor if no IMC available

Tal-Smer PHCC:

1. Basic medications.2. Extra nurse.3. I think no need to doctor as before crisis there was no doctor and now we are in the crisis so everybody is

expecting to have less services than before.

Abulkhashab PHCC:

1. Basic medications.2. Extra nurse.3. I think no need to doctor as before crisis there was no doctor and now we are in the crisis so everybody is

expecting to have less services than before.

Recommendation from medical team:

1. Due to big number of population living in Rabi’a city and surrounding villages, difficulty in access to Duhok/Zakho and far away from Duhok, 24/7 health services provision for emergency cases is recommended and to increase capacity of Rabi’a PHCC due to big load of daily patients( 250-300 based on PHCC director ad IMC coordinator) .

2. DoH Ninawa had formally requested IOM to support Rab’a PHCC since IMC has announced that they are living the PHCC by the end of May 2016 and chain of hope with non-health project of IOM are coordination with Ninawa DoH to establish a surgical unit for basic and emergency surgery so that it is highly recommended from emergency health unit of IOM to respond to the Ninawa DoH.