Health Cluster Bulletin No 19-Final

8/7/2019 Health Cluster Bulletin No 19-Final

1/13

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2/13

ituationoverviewandcurrentscaleofdisaster

he situation has been stable over the past with no new flooded areas except for Lake Manchar in Southern Sindh

evertheless, large areas, especially in southern Sindh, are still underwater andmany people remain displaced. Relief

perations continue in severaldistricts. InKhyberPakhtunkhwa (KP)andPunjab, the situation continues to stabilize.The

ealth coordinator inMultan reports that almost all internally displaced people (IDPs) in the area have returned home

agnantwater,lackofsanitationandpooraccesstohealtharethemaincausesofconcern.

ccordingtoPakistan'sdisastermanagementauthorities,thenumberofpeopleaffectedbythefloodsstandsat20.25million

78districtsacrossthecountry,withover1.9millionhousesdamagedordestroyed.Accordingtoprovincialgovernments

14healthfacilitiessofarhavebeenaffected(280partiallydamaged(PD)and234fullydamaged(FD).

Partiallydamaged Fullydamaged

Baluchistan 117 35

Punjab 14 40

KP 123 46

Sindh 26 113

here are currently threedistinct targetpopulation groups,eachofwhich requiresadifferentapproach:1) IDPs2) IPDs

turninghomewhereservicesareavailable;3)IDPsreturninghomewhereservicesarenotavailable.Humanitarianagencies

econcernedthatthewidespreaddispersalofthesereturneesmaycreatedifficultiesinprovidingthenecessaryservices.ItouldbenotedthatsomeIDPshadbetteraccesstohealthcareinthesettlementsthanbeforethefloods,whenonlyaround

3%oftheruralpopulationhadaccesstohealthcarewithin5km.Healthcareaccessis,therefore,likelytodecreaseupon

turntotheoriginalareas.

Healthimpact

cute diarrhoea, acute respiratory infections (ARI), skin infections and suspected malaria remain the leading causes for

ekinghealthcareinthefloodaffectedareas.

Basicstatisticsupdate(reportingperiod1824September)

Since29 July,6243723patient consultationshavebeen reported to theDiseaseEarlyWarningSystem (DEWS)DEWSisinplacein64ofthe78floodaffecteddistricts(82%)andreportsarereceivedfrom50ofthese64districts

(78%)

In KP, ARI has increased from 13% to 18% while acute diarrhoea continues to decline. Diarrhoea remainsproportionallyhigherthantthesameperiodofthelastyear.


3/13

InPunjab,ahigherproportionofsuspectedmalariawasreportedthisweek(1%to8%),butdecreaseinunexplainedfeverhasbeennoted(17%to7%).EpidemiologistsinWHOrecommendcautionininterpretingtheincreaseinrates

ofmalaria.

OneoutoffivestoolsamplescollectedfortestingbyWHOinSukkurturnedouttobepositiveforcholera.

ForamoredetailedEpidemiologicreportkindlygotohttp://www.whopak.org

Upcomingissues

ealthconcernsareevolvingaswinterapproaches.Diarrhoeaislessreportedinthenorth,asexpectedwiththechangeof

eather,butremainshigh inthesouthernareasofPakistan.ARIontheotherhand isexpectedtorise inKPandnorthern

unjabwiththecoldandtheinadequateshelter.

alaria still remains a potential threat. Areaswhere vivaxwas endemic are now reporting falciporum,which is more

angerous.Theseasonforfalciporumisapproaching;epidemiologistsanticipateoutbreaksinthecomingweeks.

alnutritionisincreasinglyaconcern.Foodinsecuritywillcontinuetobeveryhighinthecomingmonths,mainlyasaresult

disruptionofcanalizationand lossofseeds. Increasingnumbersofchildrenareexpected todevelopacutemalnutrition

ombined

with

infectious

diseases

(which

can

be

life

threatening

in

malnourished

children).

GovernmentResponse

ThefourthmeetingoftheNationalSteeringCommitteeonHealthEmergencieswasheldon23September2010at the National Health Emergency Preparedness and Response Center (NHEPR), Islamabad, under the

chairmanshipofSecretary,FederalMinistryofHealth,MrKhushnoodLashari.RepresentativesofallProvinces

participated.

Theprovinceswereaskedtoprovideconsolidatedrequirementsfortheearlyrecoveryphase. Four teams from theMoH'sNational Health Volunteer Programme (NHEPRN), comprisingmale and female

doctors,nursesanddispensers,providedmedicalcaretofloodvictimsinCharsaddaandNowshera.Additiona

medicalteamswillbedeployedtoRazzakabadCamp,KarachiandSwatinearlyOctober.

NHEPRN iscoordinating thedeploymentof foreignmedical teamsand fieldhospitals inallprovinces.A teamfromSpain(whicharrivedonTuesday)willbeassignedtoJhalMagsi,Baluchistan.AttherequestofKP'shealth

department, the field hospital donated by Italy will be deployed at Swat and Dasu, Kohistan instead of

CharsaddaandNowshera.

NHEPRNwillshortly installthreewaterpurificationunitsatCivilHospitalAkoraKhattak,EDOOfficeandMianESSAcampatNowsheradistrict.

Ahandover ceremony for 250 000 longlasting insecticidetreatedbednetsdonatedbyWHO andUNICEF isplannedfor1October.

Donor

Response

heHealth Clusterwould be unable to carry out its lifesavingwork in the floodaffected areas ofPakistanwithout the

eneroussupportof itsdonors.Thesectionbelowhighlights theworkand contributionsofsomeof thesedonors. (Note

ereisnotenoughspaceinthebulletintoacknowledgeallcontributionsfromalldonors.Therefore,pleasenotethatthelist

elowisnotexhaustive:itincludestextreceiveddirectlyfromsomedonorsaswellasabriefsummaryofsomeoftheHealth

uster'smaindonors).

ashcontributions

AUSAIDisplanningtodonateAus$2millionforthefloodresponse.(Seealsounderinkindcontributions.)


4/13

CANADA:Pakistan isoneofCanada's20countriesof focus.CanadahasdonatedoverUS$4million forhealthsecto

floodresponseactivities.

CENTRALEMERGENCYRESPONSEFUND(CERF)hasallocatedoverUS$4millionforthehealthresponse.

EISAICO.LTD.(Japan)hascontributedUS$100,000.

EUROPEANCOMMISSIONHUMANITARIANAIDDEPARTMENT(ECHO)hasallocated70milliontoaddresstheimpact

of the floods, ofwhich overUS$12million is for health. ECHO's rationale is to support partnerswhowere already

working in the conflictaffected areas andare thereforeable to integrate the flood response into themoregenerasupporttotheconflict affectedpopulation.ECHOalsosupportspartners'effortstocoverevolvinghealthneedsinthe

floodstruck areas. As the situation evolves, health and WASH activities must be expanded to encompass newly

accessibleareasaswellas thosewhere the floodwatershavenot fullyreceded.Moreover,earlyrecoveryneedsare

hugeintheareasofreturn,wherethepopulationisconfrontedwithalackofbasichealth,waterandsanitationservices

andsystems.

ECHO is supporting PHC services, including themanagement of acutemalnutrition, andWASH activities. It aims to

maintainitscurrentlevelsofsupporttohealthoperationswhileatthesametimebeingpreparedforemerginghealth

threatsincludingmalaria,malnutritionandacuterespiratoryinfections.

ECHO'shealthandWASHpartnersincludeActed,Alliance2015,DCA,GermanRedCross,Hope87,IRC,Merlin,Oxfam

SavetheChildren,Solidarite,andWHO.

FINLANDhasdonatedalmostUS$800000forthehealthresponse.

GERMANYhasdonatedalmostUS$2millionforthehealthresponse.

ITALYhasdonatedoverUS$600000,inadditiontoitsinkinddonations(seenextsection).

JAPANhasdonatedalmostUS$1.5millionforthehealthresponseinadditiontoitsinkinddonations(seenextsection).

MONACOhasdonatedjustunderUS$130000forthehealthresponse.

NEWZEALANDhasdonatedoverUS$400000forthehealthresponse.

NORWAYhasdonatedoverUS$3millionforthehealthresponse.

PACKARD FOUNDATION has allocatedUS$887 778 for flood relief, ofwhichUS$700 000 has been awarded to the

NationalRuralSupportProgramme(NRSP),theHealthandNutritionDevelopmentSociety(HANDS),andtheSocietyo

ObstetriciansandGynecologistsofPakistan (SOGP).NRSP 'sactivities include theprovisionof food,shelter,clothing

livestock care, and medical services. SOGP is providing medical outreach services, including maternal health care

through teams of doctors,midwives anddispensers/vaccinators.HANDS has over 1200 staff and 10 000 volunteers

workingtomeetimmediatereliefneedsindifferentdistricts.ThePunjabRuralSupportProgramme,ShirkatGahandthe

IndusResourceCentrereceivedthebalanceofthefundsallocatedbythePackardFoundation.

UNITEDKINGDOMDEPARTMENTFOR INTERNATIONALDEVELOPMENT (DFID)has committed134million for flood

relief inPakistan,ofwhich64million (including 22.5million forhealth and/orwater and sanitationprojects)has

alreadybeenallocated.Themoneywillbeusedtoprovidesafedrinkingwater,hygienekitsand latrines;monitorthe

qualityofdrinkingwater;andsupporthygieneawarenesscampaigns,sewageclearanceandwasteremoval.Itwillalso

beused to scaleup the geographic coverageof the country's disease earlywarning system (DEWS) and strengthen

immediate and essential primary health care services, including obstetric care and the treatment of communicable

diseasesinchildrenunderfive.DFIDhasalsodeployedexpertstosupportitsofficeinPakistanonafulltimebasis.(Fo

moreinformationonDFID'ssupporttothefloodresponse,seeunderinkinddonations.)


5/13

UNITEDSTATESAGENCYFORINTERNATIONALDEVELOPMENT(USAID)hasprovidedsupportforseveraltypesofflood

responseand recoveryprograms inhealth:approximately$21.5million toUNagencies forexpansionof theDisease

EarlyWarningSystem,establishmentofdiarrhea treatmentcenters,measlesandpoliovaccinationactivities,malaria

control,andemergency reproductivehealthactivities.USAIDhasalsostrategicallyprovidedbilateralsupport toboth

international and localhealth agencies: not including support forWASH andnutrition, todate,USAID hasprovided

nearly$13.6tosupportdirectprimaryandsecondaryclinicalcareviaemergencyandmobilemedicalteams,emergency

medical transportservices, logisticssupportandmedicalsupplies,communityhealtheducation, includingsupport fo

theLadyHealthWorkerprogram,andhealthfacilityrehabilitation.

nkindcontributions

AUSTRALIAhascommittedAUD75millionforfloodreliefandearlyrecovery inPakistan.Thisassistancesupports life

savingandearlyrecoveryinterventionsdeliveredthroughUNagencies,theRedCrossandRedCrescentMovementand

Australian NGOs. On 2 September, AusAID and the Australian Defence Force established an Australian Medica

Treatment Facility (AMTF) in KotAddu, Punjab, staffed byAustralianDefence Force and civilianmedical teams and

includeslaboratoryandradiologyfacilities.

The

first

three

weeks

of

operation

treated

over

5,000

patients,

with

major

presentations

being

malaria

(includingfalciparum),diarrhoea,skinandrespiratorycomplaints.TheAMTFaresystematically treatingpatients forwormsand

arecollectingstatisticsonweightforageandarmcircumferencefortheNutritioncluster.Threesamplestakenbythe

AMTF that tested positive for Schistosomiasis have been highlighted with the relevant authorities. This is being

investigatedbytheinstituteofpublichealth.

AUSTRIAhasdonatedwaterpurificationsuppliesandoneinteragencyEmergencyHealthKit(IEHK).

CHINAhasdonatedafieldhospital,whichhasbeenestablishedinThatta,Sindh.Thehospitalhastreatedover18000

patientstodate.

DENMARK:theDanishEmergencyManagementAgencyhasdonatedalightfieldhospital,whichisoperatingintheareaofRadhan,Sindhprovince.Denmarkhasdonatedwaterpurificationsuppliesanddeployedtechnicalexperts.

FRANCEhasdonatedwaterpurificationequipmentandemergencymedicalsuppliesincludingacholerakit.

GERMANY has donatedwater purification equipment and deployed technical experts. It has also donatedmedica

supplies.

ITALYhascontributedtothehealthclusterthroughWHOanddonatedmedicalkitsandmaterials(91 IEHKsandeight

diarrhoeal disease kits) to flood affected areas. 7 Italian light fieldhospitals arebeingdispatched todifferent flood

affectedlocalitiesofPakistan.Waterpurificationsuppliesandequipmenthavealsobeendonated.

JAPAN has donated 1650 tents, 67 dewatering pumps, 20 water tanks, 25 water purifiers and 1 million wate

purificationtablets.FollowingconsultationswithPakistan'sMinistryofHealth,provincialauthoritiesandtheUN,Japan's

InternationalCooperationAgency(JICA)dispatcheda46strongmedicalteamtoMuzaffargarhDistrict(Punjab)from5

to23September. TheteamestablishedamedicalfacilityatRuralHealthCentreSinawanandexaminedatotalof3501

patientsduring theirstay. Amidwife in the teamplayedan importantrole in instructingnursingmothersoncorrect

lactationskills.


6/13

MOBILINK PAKISTAN has donated 237 prefabricated structures (each measuring 12m2) to the Health Cluster. The

structuresare intendedtoreplacedamagedordestroyedhealthfacilities incampsandotherareas.Theycanalsobe

usedasmedicalwarehousesifneeded.

SWEDENhasdonatedwaterpurificationsuppliesandsentreliefteams.

UNITEDKINGDOMDEPARTMENTFOR INTERNATIONALDEVELOPMENT (DFID)hasdonatedwaterpurificationtablets

andotherreliefsupplies.DFIDhasalsobroughtforwarda10millionprogrammetoprovidebridgesaspartoftheearly

recoveryeffort.TenprefabricatedroadbridgesfromtheUKarescheduled toarrive inKarachi inmidSeptemberfo

installationinKP,withmoretofollowinduecourse.

HealthClusterResponse

CARE

Reportingperiod:11to17September)

KP

CAREtreated772patients(including277womenand356children)viafourbasichealthunits(BHUs)inupperSwat.In

Charsadda,15mobileclinicsmanagedbythreemobileteamstreated2416patients(including725womenand977

children).CAREalsoconducted41healthandhygienesessionsthatwereattendedby738people. InNowshera,anothe

12mobileclinicsmanagedbyfourteamstreated1833patientsincluding588womenand788children.Atotalof1158

peopleattended44healthandhygienesessionsconductedbyCAREinNowshera.

PUNJAB

CAREtreated1203patients(including436womenand706children)via12mobileclinicsinRajanpur.

SINDH

CAREprovidedprimaryhealthcare(PHC)servicesto897patients(including298womenand423children)via17mobile

medicalcampsindistrictsSukkur,KashmorandShikarpur.

CENTREOFEXCELLENCEFORRURALDEVELOPMENT(CERD)KP

InNowshera,CERD isprovingPHCservices includingmotherandchildhealth (MCH)andnutritionalservices (initially

throughmobile clinics and now through theMCH centre) inUC PashtunGharee. InDir Lower,CERD ishelping the

ExecutiveDistrictOfficerforHealth(EDOH)toprovidemedicalandnutritionservicesinUCBaduwaan.

HURCHWORLDSERVICE(CWSP/A)

KP

CWSP/AmobileandfixedhealthunitsareoperatinginMansehra,Kohistan,SwabiandSwatdistricts.CWScarriedout

10402consultationsandexamined1527childrenunderfive.Ladyhealthvisitors(LHVs)registeredandgavemedicines

to240ante and67postnatalwomen.CWSP/Aalsoheld293educationsessionsattendedby2936people(1661

womenand1275men).ItisplanningtoexpandoperationstoincludeShangladistrict.

MainneedsandchallengesreportedbyCWSP/Aincludedamagedhealthinfrastructures,alackofhumanresources,

andshortagesofmedicinesandmedicalequipment.

ELPINGHANDFORRELIEFANDDEVELOPMENT(HHRD)


7/13

eportingperiod:29Julyto23September)

Todate,morethan75000patientshavebeentreatedinHHRD'sfreemedicalcampsinKP(Charsadda,Nowshera,Dir

Swat,Buner),Punjab(Mianwali,Muzaffargarh,Layyah,D.G.Khan)andSindh(Nawabshah,Sukkur,KarachiandLarkana)

Majordiseasesobservedincludediarrhoea,scabies,eyeandskininfections,andmalaria.

TERNATIONALMEDICALCORPS(IMC)

eportingperiod:18to24September)

KP

IMCtreatedatotalof822patientsindistrictsPeshawar,CharsaddaandNowshera,andprovidedpsychosocialsupport

to254people.

PUNJAB

IMChassignedamemorandumofunderstandingwithPunjab'sHealthDepartmentcoveringtheprovisionofemergency

health care services.Most field staffhavenowbeen recruited, and four teamshavebeendeployed to ruralhealth

centre (RHC)RohillanWala,andbasichealthunits (BHUs)AludayWali,Umerpur JanobiandMahra.More teamsare

beingdeployed invariousgovernmenthealth facilities inRajanpur,Multan,Rahimyarkhan,Muzaffargarhand Layyah

districts. Diarrhoea Treatment Centres (DTCs) are being established in RHCs Jampur (Rajanpur), Rohila wala

(Muzaffargarh),andLalisanCrore(Layyah).

SINDH

IMC is recruiting staff and deployingmedical teams to THQRatoDhero,RHCsNodhero,Banguldhero,Gerello,BHU

Areeja inLarkanaDistrictandBHUs JehangirTahim,NimandNabiShahWagan inShikarpurdistrict.DTCs arebeing

establishedinRHCsDhokri(Larkana),Khanpur(Shikarpur)andQambarShahdatkot.

TERNATIONALORGANIZATIONFORMIGRATION(IOM)

eportingperiod:20to24September)

PUNJAB

IOMtreated1262patientsinMuzaffargarhandRajanpurdistricts.Italsoorganizedsevenoutreachmedicalcampsin

Ameer Abad, Basti Bandu Sandela and BHUUmer Kot that reachedmore than 1000 internally displaced people

(IDPs).

SINDH

IOMtreated772patientsindistrictThatta.

MALTESERINTERNATIONAL

10,698patientshavebeentreatedby5MSTs/MMTs,overthelasteightweeksofourintervention.During2monthlong

provisionofPHCServicesin3healthfacilitiesthetotalof6,498patientshasbeentreated;withaveragenumberof60

patients/perday,perfacility.

Malteser has also organized tenMedical Camps,where over 4,200 patients treated by our 2MMTs,while severa

hundredsofchildrenhasbeenvaccinated(EPIprotocol+Influenza)bytheEDOHealthOfficeVaccinationTeam;these

medical campswere organized inUCs remote areas, Transitional Camps of IslampurUC, and Tahirabad quarter o

MingoraTown.

OurMMTsarealsoprovidingintensivehygieneawarenesscampaignsintheareawithsuspectedAWD(Cholera)cases

namelyinareasofBarikot,MargazalandAhunbabaofIslampurUCandMingoraTown.Everyweek,severalhundredso


8/13

familieshavebeen enrolled,hygieneprintedmaterialsdisseminated, aswell asAquaTabs, soap andORS sacs.Ou

MSTs/ MMTs also distributed 3,000 jerrycans, 800 kg of soap, and several hundreds of thousands of AquaTabs

donatedtousbyWHO,UNICEFandOxfam.

Since10August2010,wearealsoprovidingcleanwatertothepopulationofIslampur,KokarayandDangramUCs;10

m3,perday foreachof these twoareas.150NFI/Hygiene FamilyKitswillbedistributed inKokaraiUCof the Swat

District.850willbedistributedthroughourimplementingpartnerLasoona,NationalNGOfromSaiduSharif.

MERLIN

Reportingperiod:2223September)

Merlinisscalingupoperationsandmobilizingitsentirestafftomeettheneedsofagrowinghumanitarianemergency

Since5August2010,Merlinhasconductedatotalof227545consultations.

KP

Merlin isworking throughhealth facilities,mobilehealthunitsandDTCs toprovidehealthandnutritionservicesand

healthpromotionsessionsinNowshera,Swat,BunerandCharsadda(approximatecatchmentpopulations:153000,590

000,338000and172000respectively).

InNowshera,whereMerlinisprovidinghealthandnutritionservicesthroughsixmobilehealthunits(MHUs)insixUnionCouncils(UCs)andsix24/7staticclinics inJalozai, ithelda totalof3827consultationson22and23September,and

distributedmultimicronutrients tablets,micronutrientsachets,andAmunuts. Italsoconducted55healthpromotion

sessionsfor423beneficiaries,andheldanother266consultationsinaDTC.

In Swat,whereMerlin is providing health services through nineMHUs and 11 health facilities, it conducted 5249

consultations on 22 and 23 September, and carried out 337 health promotion sessions. It conducted another 144

consultationsattheDTCinTHQMatta.Merlinteamsalsodeliveredseventeenbabiesandreferredfourpatients.

InBuner,whereMerlin isprovidingPHCservices(includingreproductivehealth)through10healthfacilitiesandthree

MHUs, itconducted2592consultationsandcarriedout52healthpromotionsessions. Itheldtwentyconsultationsat

the

DTC

in

THQ

Pachakalay.

It

also

delivered

21

babies

and

referred

four

patients.

InCharsadda,Merlin conducted135 consultationsat thenewlyestablishedDTC inDHQCharsaddaandanother307

consultationsattheDTCinCHShabqadar.

PUNJAB

Merlincarriedout153consultationsatthenewDCTinDHQMuzaffargarh.MerlinwillbeginprovidingPHCandnutrition

servicesthroughfivestaticandmobilehealthfacilities,andwillexpandservicestoanothertwohealthfacilitiesinthe

comingweeks.

MOTHERHELPAGE

Mother

Helpage

is

taking

care

of

critically

injured

patients

and

vulnerable

groups.

It

has

set

up

maternal

and

child

healthmedicalcampsandcommunicationcentres,andisofferingtraumacounseling.IthassetupmedicalcampsinMakriand

Pateekavillages(AzadJammu&Kashmir)andplanstosetupothercampsinNeelumandShonthervalley,Punjab,Sindh

andKPK.Itisalsoconstructingchairliftairbridgesatseverallocations.

MUSLIMAIDUK

KP

InCharsadda (BHUGulabAbad,UCAgra),MuslimAid treated207women,299childrenand81men,distributed320

hygienekitsand17800sachetsofaquatabs,andconducted18hygieneandpublicawarenesssessions.TheBHUhas

beenrehabilitated,cleanedandpainted,andanewwellhasbeendug.


9/13

MuslimAidalsoassessedwater,sanitationandhygieneneeds in25villages (10 inUCMirzaDher,12 inTarnab and

threeinHisarDheri).InNowshera(MohibBanda,BandaMalaKhanandAmanKot),MuslimAiddistributed6600aqua

tabsand conducted16hygiene sessions.The rehabilitationofBHUsAmanKot,BandaMulaKhanandMohibBanda

continues.

PUNJAB

In Jampur (DistrictRajanPur)aMuslimAidmedical teamhas treated161women,183childrenand172men. Itwil

begin offeringmedical services inUC KotalMughaln nextweek.Muslim Aid has conducted 20 hygiene awareness

sessionsin10villages,andhasdistributed50000aquatabsand2400sachets.

SINDH

InShikarpur,MuslimAidtreated75women,155childrenand31men,andreferredthreepeopletohospitallevel.Italso

conducted21hygieneandgeneralhealthawarenesssessionsanddistributed200mosquitonets. InQambarShehdad

Kot, itdistributed320mosquitonets,conductedeightawarenesssessions,andtreated616women,517childrenand

289men. In Thatta, it treated282women,75 children and69men.Diseases includedbloodydiarrhoea, suspected

malaria,acuterespiratoryinfections(ARI)andskininfections.Italsodistributed1000aquatabsandtreated1252000

litersofwater through itswaterpurificationplant. InSukkur,wherehealthactivitieswere slower thanusualdue to

illness

among

the

medical

team,

Muslim

Aid

treated

20

women,

58

children

and

nine

men

for

malaria,

ARI

and

skininfections.Italsoconducted15hygiene/healthylivingsessions.

NATIONALRURALSUPPORTPROGRAMME(NRSP)

NRSPisrunningmedicalcampsinKP(districtsCharsaddaandNowshera),Punjab(districtsDGKhan,Rajanpur,Mianwal

andBhakkar)andSindh (districtsThattaandBenazirabad). It isalsorehabilitatinghealthfacilities inPunjab(Rajanpu

andDGKhan).

NCHD

KP

NCHDisrunningmedicalcampsinseveraldistrictsinKP.Ithastreatedatotalof163694patientstodate.

SUPPORTWITHWORKINGSOLUTION(SWWS)

KP

SWWSisprovidingmedicalcareatBHUSherigle,DirUpper,whereithassofartreated9867people,ofwhom57%have

been children. It has also organized threemedical camps at District Charsadda,with philanthropists and voluntee

doctorswhoprovidedmedicalcareto450patientsatKatukhailNowshera.

UNFPA

(Reportingperiod:1Augustto23September)

KP

UNFPAhasestablished12servicedeliverypoints,includingamobileunit,inNowshera,D.I.Khan,Tank,SwatandLowe

Dir. Ithasprovidedwomenshygienekits to1791 families,distributed1103newbornkits tonewmothers,andpre

positionedenoughreproductivehealth(RH)kitsinPeshawarwarehousetocaterfor600000peopleforthreemonths.It

hasprovidedRHandPHCservicesfor36513patients,delivered2137babies,conducted4678ante and1266postnata

consultations,providedpostabortion care for195women, referred149patients forCaesarean section, treated415

sexually transmitted infections, and held 1185 family planning consultations. UNFPA's PHC services included 5692

consultationsforgastroenteritis,1543forscabies,3369foracuterespiratorytractinfections,3652forfeverand11838

forminorailments.


10/13

PUNJAB

UNFPAhasestablished11servicedeliverypoints,includingthreemobileunits,inMuzaffargarh,Rajanpur,Layyah,D.G.

KhanandRahimYarKhan. IthasprovidedRHandPHCservices for14622patients,delivered310babies,held2707

ante and499postnatalconsultations,providedpostabortioncarefor63women,referred29patientsforCaesarean

section, treated 186 sexually transmitted infections, and held 179 family planning consultations.Moreover, it has

donatedwomen'shygienekitsto1500familiesanddistributed600newbornkitstonewmothers.UNFPAhasalsopre

positionedenoughRHkitsinMultanwarehousetocaterfor1.2millionpeopleforthreemonths.UNFPA'sPHCservices

included 2235 consultations forgastroenteritis,942 for scabies,1537 foracute respiratory tract infections,1970 fo

feverand2858forminorailments.

SINDH

UNFPAhas established 31 servicedeliverypoints, including23mobileunits, in Jaccabad, Thatha, Shikarpur, Sukkur

Larrkana,Khairpur,Qamber Shahdadpur,KashmorandGhotki. Ithasdonatedwomenshygiene kits to724 families

distributed1400newbornkitstonewmothers,andprepositionedenoughRHkitsinSukkurandHyderabadwarehouses

tocaterfor1.1millionpeopleforthreemonths.IthasprovidedRHandPHCservicesfor67147patients,delivered370

babies,conducted8288ante and1392postnatalconsultations,providedpostabortioncarefor301women,referred

41 patients for Caesarean section, treated 377 sexually transmitted infections, and held 609 family planning

consultations.UNFPA'sPHCservicesincluded13775consultationsforgastroenteritis,12189forscabies,9379foracute

respiratorytractinfections,12637forfeverand6331forminorailments.

NEEDSANDCHALLENGES

Themain challenges faced byUNFPA include a lackof funds and skilled human resources to reestablish basic and

comprehensive RH services in areas affected by the floods. Limited information management resources are also

hampering theHealthCluster'sefforts togainacomprehensiveoverviewofneedson thegroundsand theactivities

beingimplemented.

UNICEF

BALUCHISTAN

Acutediarrhoea(12%),acuterespiratorytractinfections(12%)andsuspectedmalaria(23%)remaintheleadingcauses

ofseekinghealthcareinfloodaffecteddistricts,withhighernumbersofsuspectedcasesofmalariainNasreeabadand

Jaffarabadascomparedtootherdistricts.

UNICEF'smainactivities inBaluchistan includevaccinationcampaignsagainstpolio,measles,BCGandTT,Motherand

ChildDays,thedistributionofemergencyfoodrationsandsupplements,aswellashygieneandotherkits,andhealth

andhygieneawarenesssessions.

KP

UNICEF, in collaborationwith theMoH,WHOandotherpartners, is conductingmass vaccination campaignsagainst

polioandmeaslesin15districts,andcontinuingroutineimmunizationactivitiesinschoolsandcampsinfloodaffected

areas. Inphase1 so far, the followingnumbersof childrenhavebeenvaccinated:measles:335460;polio:384,397

Pentalentvaccine:13669;BCG:3,410;TT:9,474women.UNICEF isalsoprovidingspecializedobstetrics,gynaecology

and paediatric care through mobile units, and supporting medical teams at six static health facilities, as well as

specializedpaediatricservicesatDHQD.I.Khan.

UNICEF'sMother andChildDays (being conducted in 11Union Councils of Swat) include vaccinations, deworming

blanketdistributionofMMsachetsandaquatabs,anddistributionofnonfooditemsincludingcleandeliverykits,jerry


11/13

cans, buckets, newborn and hygiene kits. UNICEF has also distributed highenergy biscuits, fortified blended food

micronutrientsachetsandtablets,andPlumpy'Doz.

PUNJAB

Routineimmunizationofchildreniscontinuinginschoolsandcampsinfloodaffectedareas.

SINDH

UNICEFisconductingroutinevaccinationactivitiesinschools,campsandfloodaffectedareas,andprovidingantenatal

natal,neonatalandpostnatalhealthservicesthroughmobileandstaticmother,neonatalandchildhealthservices.

UNICEFisalsoconductingroutinevaccinationactivitiesinfloodaffectedareasofAzadKashmirandGilgitBaltistan.

USAID/PAIMAN

USAID/PAIMANfieldstaffattendedlocallevelhealthclustercoordinationmeetingsandparticipatedinmassvaccination

campaignsinallprovinces.

BALUCHISTAN

USAID/PAIMAN has donated 1140 jerry cans and 566 water tanks to Sibi and Jaffarabad. Its local NGO partnersconductedeightmobilehealth campsand threehealthandhygienepromotion sessions,usingmaterialsdonatedby

UNICEF.

KP

USAID/PAIMANdonated21744jerrycansand1578watertankstoSwat,CharsaddaandDIKhan.Italsoorganized10

mobilehealthcamps,conducted10healthandhygienepromotionssessions,anddonated2000insecticidetreatedbed

netstoSwatandCharsadda.

PUNJAB

USAID/PAIMANdonated16293jerrycansand1524watertankstoMSDMultan(handoverceremonyattendedbythe

MinisterofHealth)andDCODGKhan.Italsoorganizedeightmobilehealthcampsandconductedsixhealthandhygiene

promotionsessions.

SINDH

USAID/PAIMAN donated 36 504 jerry cans and 3361water tanks to Sukkur (handover ceremony attended by the

MinisterofHealth)andKhairpur.USAID/PAIMANorganizedaspecializedmedicalcampintheGovernmentAttaHussain

DegreeCollegeRohri;512patientsweretreated.Italsosupported27mobilehealthcampsand15healthandhygiene

promotionsessions.

WHO

WHOisfinalizingthe"WhoDoesWhat,Where"(3W)tablemappingallpartners'activities.Theupdatedmatrix,revised

tomake itmoreuserfriendly,hasbeensenttoallhealthpartnersforreviewandcompletion.WHOwillusethedata

submittedbypartnerstocreatedetailedmapsshowingHealthClusterpartners'presenceontheground.WHO isalso

workingtoanticipatethehealthneedsofdisplacedpeopleinareasofreturn.

SomeDTCsreport thattheyworkingat lessthanfullcapacity.As IDPsreturnhome,theremaybeaneedtorelocate

someDTCs.IndependentlyofthenumberofpatientsinDTCs,aslongastheriskfactorsremain(stagnant,contaminated

water,poorhygiene, insufficient latrines),WHOwillmaintaintheDTCs inastateofreadiness.Therearecurrently18

DTCsinKP,12inPunjab,seveninBaluchistan,seveninSindh(includingthreeopeninginthreedays)andtwoinGilgit.


12/13

WHO staff in Sukkur travelled to Islamabad to attend a "training of trainers" course on the casemanagement o

diarrhoealdiseasesandonpreventionand control strategies.Theywillbeginonsite trainingofDTCstaffnextweek

(beginningofOctober).

InSukkurWHO isdistributingmalariarapiddiagnostickits toallhealthpartners,andhasaskedpartnerstoshare the

percentageofpositivemalariacases.WHOwillalsoprovidemalariatreatmentguidelinestopartners.

A jointWHO/UNICEF/MoH immunizationcampaignpolioandmeaslesbeganon20September.The firstphaseof the

campaign

will

be

completed

by

2

October.

WORLDVISION(WV)

KP

WVcontinuestosupportfourstatichealthfacilitiesinKoto,Kandaro,MunjaiandChakdara.Duringthereportingperiod

10261peoplewereseenathealth facilitiessupportedbyWV. TheDTCatTHQChakdaraadmittedand treated138

cases of acute diarrhoea. WV has assessed health coverage gaps, and is deploying static and mobile teams in

consultationwiththeEDOHinNowsheraandCharsadda.TheteamshavebegunservicesinAmangarh,Nowsheraand

Umarabad MujikaiCharsadda, Majuki (UC MC2, UC MC4 and UC Meraprang). A total of 3378 individuals have

consultedthehealthteamstodate.InNowshera,onemobileandtwostaticunitshaveconducted2304consultations

Theteamswillshortlyexpandservicestoincludethreemorefacilities.WVhasinitiatedadetailedassessmentofhealthfacilitiesinCharsadda,NowsheraandLowerDir.

PUNJAB

WVhasprovided10trucksanddriversforonemonthtoEDOHtoensuremedicalandreliefsuppliesinMultanareable

to be distributed to the floodaffected districts. It is treating patients and conducting health education sessions via

mobileclinicsinOnttahwala(UCNusan)andShaheenNager(UCBasira).ItiscontinuingtoassessunmetneedsinAlipur

JatoiandS.Muzaffargarh.

SINDH

WVhasestablishedfourmobileteamsatKotdegiandGothAbdullahShahPanuAqil.

NEEDSANDCHALLENGES

WVreportsthattheshortageoftrainedhealthcareprovidersinPunjabisamajorconstraint.

HealthClusterCoordination

InterClusterCoordination:

MembersoftheHealth,Nutrition,WASHandFoodclustershavedevelopedajointstrategytoensureamoreintegrated

effectiveandtimelyemergencyresponseinpriorityfloodaffecteddistricts.Thestrategyaimstoaddressthefactorsthat

contributetothemainmortalityrisks(acutediarrhoea,acuterespiratoryinfections,malaria,measles,malnutrition,andmaternal and neonatalmortality/morbidity).An integrated approach is essential,with a very strong component o

communitybased interventions.Once"hotspots"havebeen identified,organizationswillneed toconsulteachothe

and comeupwithwaysofworking throughexistingprojectsandactivities (e.g.usingpolio campaigns to screen fo

malnutrition).Thestrategyneeds tobeoperationalizedatdistrictorevenUnionCouncil (orTehsil) levels.OCHAhas

assignedfulltimestaff ineachdistricttofacilitatecoordinationand implementationofthesurvival.Operationalplans

willbeestablishedina"bottomup"approach,notfromIslamabad.

Coordinationatprovincial&hublevels:

RegularHealthclustermeetingsarebeingheldinPeshawar,Multan,SukkurandHyderabad.Acoordinationsystemisin

placewithPDMA,DoH,OCHA,NGOsandotherUNagencies.


13/13

RevisionofHealthClusterProjectsunderPFERP:

TheHealthClusterhascompletedtherevisionof itsprojects inthePakistanFloodEmergencyResponsePlan(PFERP)

TherevisionwasundertakenincompliancewithNDMAguidelinestomaketheprojectsmoreelaborativeandrealistic

TheHealthCluster is seekingoverUS$200million for95projects,which coverboth reliefandearly recovery, tobe

implementedbysixUNagencies,19internationaland28nationalNGOs.

AlfredDube

HealthClusterCoordinator

email:[email protected]

Telephone:+92 03004005934

SadiaIqbal

DonorRelationsFocalPoint


Telephone:+923004005937

MariaAngueradeSojo

CommunicationsOfficer


Telephone:+92 03018551459

SyedHaiderAli

Communicationsofficer


Telephone:+92 3004005944

Health Cluster Bulletin No 19-Final

Documents

Transcript of Health Cluster Bulletin No 19-Final