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IOM through Indonesia geological disasters emergency response has contributed to the recovery process of tsunami-affected population in Mentawai Islands by providing immediate emergency relief to affected populations/IDPs, including logistic support, medical assistance and psychosocial support as well as basic hygiene/ disease prevention training. Following three months after the emergency response, IOM continues to provide assistance to the tsunami affected population as through a project called “Preparedness and Control of Communicable Diseases with Epidemic and Life Threatening Potential IDP Setting, West Sumatra”.

The project funded by European Commission Humanitarian Aid and Civil Protection (ECHO). The eight months project aims to contribute in reducing morbidity among IDP and surrounding communities by early detection of communicable diseases events of epidemic or life threatening potential IDP setting

IOM - SUMATRA BARAT FACT SHEET

UPDATE AND PROGRAM SUMMARY

IOM - West Sumatra fact sheet I Update and Summary Program Page 1

INTRODUCTION

Humanitarian Aid and Civil Protection

TARGETED COMMUNITY:Locations

North Pagai sub-district

South Pagai sub-district

Sikakap sub-district

Sipora sub-district

ACTIVITIES Result 1: A robust early warning system that involves primarily health care workers and communities is established

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Conduct coordination meetings

Conduct an initial technical evaluation of the existing

surveillance system

Establish Community Health Volunteer Team (CHVT) in 18 sub-

villages

Conduct training of 180 volunteers in EWARN principles to

enable basis case detection, reporting and referral

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Conduct a community health needs assessment

Provide technical assistance local health authorities to

develop/update guidelines on how to record population medical data

Conduct training of 20 medical staff on clinical

management

Conduct health promotion activities

Result 2: Coordinate with village governments and community

PREPAREDNESS AND CONTROL OF COMMUNICABLE DISEASES WITH EPIDEMIC AND LIFE THREATENING POTENTIAL IDP SETTING

IOM - West Sumatra fact sheet I Update and Program Summary Page 2

MAIN CONTRIBUTIONS OF THE PROJECTAn initial technical evaluation of the existing surveillance system

Community Health Volunteer Team (CHVT ) established in 19 sub-villages Community Health Needs Assessment

Cross dissemination of Information and Lessons L e a r n e d t o E n h a n c e S y n e r g i e s a n d Complementarities

Training on clinical management of communicable Community Health Volunteers (CHVs) trained on diseases basic case detection, reporting and referral

(EWARN); overview of communicable disease occurrences and endemic disease conditions; description, of symptoms, signs, transmission of communicable diseases; diarrhoea contamination patterns; and personal hygiene.

The initial technical evaluation of the existing surveillance system is conducted to identify system points for system to be strengthened in order promotes the best use of effective and efficient surveillance systems. IOM used a combination of key informant interviews and a desk review of existing literature. The elements considered during the evaluation of surveillance system included the importance of public health, objectives and usefulness of surveillance system, operation of system, qualitative and quantitative attributes, and cost.

Community Health Volunteer Team (CHVT) are established in 18 The information on health needs was collected across South

sub-villages. The community health volunteers consisted of ten Pagai, North Pagai, Sikakap, Sipora sub-districts to attain

to eleven community members in which the head of sub-information from the community on the health status,

villages act as board of trustee. In addition, most of CHVT’s availability of health facility and access, health Knowledge, and

structure included mid-wives and/or traditional birth community needs. The recommendations drawn from the

attendants (TBA) as these individuals have been playing a health needs assessment is shared to other aid agencies

significant role in providing maternal and child care in the working in Mentawai Islands for allowing for cross-

absence of medical doctor and/or paramedics in the village. dissemination and filling the gaps on health needs of the community.

Cross-dissemination of information will be held on regular basis not only during the health cluster meeting but also health-related stakeholders for enhancing synergies and complementarities.

The training on basic case detection, reporting, and referral will Clinical management training for primary health care staff, allow the health volunteers established in each sub-village to health offices staff (both district and provincial) is provided to detect basis case, reporting communicable diseases, and refer improve professional health workers’ capacity and quality on to the existing referral system. One full day training included clinical management of communicable diseases as well as to topics: basic principles of early warning response system train professional health workers in planning, executing and

6 OM IMOI

Humanitarian Aid and Civil Protection

IOM MENTAWAI EPIDEMIC RESPONSE PROJECT

IOM - West Sumatra fact sheet I Update and Program Summary Page 3

evaluating of communicable diseases outbreak. The three-day potential to stop significant morbidity and mortality. training was conducted in partnership with SEAMEO Regional The activities were designed by IOM in partnership with the Center for Food and Nutrition/SEAMEO RECFON in Padang, health practitioners who have been trained in clinical West Sumatra for three days. management of communicable diseases and also in

collaboration withy the newly established Community Health Volunteer Teams (CHVT). The health promotion activities will target all community members residing in relocation sites or surrounding communities and elementary school children.

The health promotion activities are provided to strengthening of preventive measures and education of the IDPs as it had the

Health Promotion activities across North Pagai, South Pagai, and Sikakap sub-district

ACHIEVEMENTS TO DATE Component 1: A robust early warning system that involves primarily health care workers and communities is established

Focus group discussion with community at sub-village levels for establishment of Community Health Volunteer Team (CHVTs) was undertaken.

Community Health Volunteer Teams (CHVT) were established in 21 sub-villages. The community health volunteers consisted of ten to eleven representatives of community members including religious leaders, community leaders, youth and women association, mid-wives, and/or traditional birth attendants (TBA), and the existing health volunteers.

6 meetings

21 FGDs

21 teams

6 meetings

1 package

180 Community Health Volunteers

Conduct an initial technical evaluation of the existing surveillance system. This activity will be completed in August 2011. The dissemination of the results through mini-workshop with the relevant stakeholders (surveillance officers from various health offices) will take place in September 2011.

Health Cluster coordination meetings in Sikakap on monthly basis led by Surf Aid

IOM has provided Early Warning and Response (EWARN) principles for 180 Community Health Volunteer Teams (CHVT) at 21 sub-villages. One-day full training provided by IOM public health specialist and nurses and in collaboration with health practitioners of the local health offices (Puskesmas) included topic such as: basic principles of early warning response system (EWARN); basic concept of communicable diseases occurred; symptom, sign, and transmission of communicable diseases; diarrhoea contamination patterns; and personal hygiene.

An additional training targeted for community health volunteers on strengthening diseases surveillance will take place November 2011 in collaboration in specialized training agency of Bandung (Rumah Solusi Consulting).

Coordination meetings with Mercy Corps, Provincial and District Health Offices to aimed at socializing the new project, seeking for input from Provincial and District Health Office, and discussing the areas of intervention and possible for collaboration and synergies are conducted.

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Humanitarian Aid and Civil Protection

IOM MENTAWAI EPIDEMIC RESPONSE PROJECT

7 villages

21 sub-villages

19 participants

12 events/schools

Component 2: The primary health care and referral mechanism is strengthened

GOVERNMENT INSTITUTIONS AND AGENCIES INVOLVED: BPBD Kepulauan Mentawai – District Disaster District Health Office (DHO)§ §Management Agency SEAMEO Regional Center for Food and Nutrition §Sekretaris Daerah – SEKDA Mentawai Islands District (SEAMEO RECFON), Jakarta§Provincial Health Office (PHO) Rumah Solusi Consulting, Bandung § §

DOCUMENTATIONS

IOM - West Sumatra fact sheet I Update and Summary Program Page 4

For further information, please contact :

Ni Komang WidianiNational Project ManagerIOM - Sumatra Barat, Indonesia

Community health needs assessment conducted in 21 sub-villages across three sub-districts, with a total 520 community members interviewed. The results will be shared with other aid agencies, particularly with Mercy Corps as IOM counterpart for Mentawai response.

A three-day clinical management training has been conducted on 21-23 July in collaboration with SEAMEO Center for Food and Nutrition (formerly known as SEAMEO Tropical Medicine and Public Health/TROPMED Regional Center in Community Nutrition/RCCN). The participants were representatives from District Health Office and Primary Health Care/puskesmas’s staff coming across Mentawai Islands. A total 19 out 20 participants invited attending three-day training. Among them, 15 (79%) were female and 4 (21%) were male.

IOM team has organized “a happy day: brushing teeth and washing hands event” as part of health promotion activities. The events took place at the 12 elementary schools in Sikakap, South Pagai, and North Pagai. To date, close to 1,400 school children (age 10 to 12 years) participated in events.

Coordination meetings with sub-districts, villages and sub-village leaders across Pagai Utara, South Pagai, and Sikakap sub-districts. The villages are: Bulasat, Malakopa of South Pagai; Betumonga, Silabu, Somanganya of North Pagai; Taikako of Sikakap; and Bosua of Sipora.

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Humanitarian Aid and Civil Protection

IOM MENTAWAI EPIDEMIC RESPONSE PROJECT

Jl Gunung Semeru 1No 5, Gunung Pangilun, PadangPh : +62 751 419 01 m : +62 811 286 106e : nkwidiani@iom.int www.iom.or.id

9 sub-village clean-ups/

environmental clean ups

IOM continues to facilitate the community to conduct village clean-ups at the various relocation sites. The field team continues to insert ‘health messages’ on how to manage solid waste and the importance of clean the surroundings areas on regular basis. IOM has provided cleaning tools (e.g., broom sticks, shovels) and gloves for this activity.

Socialization on ‘open defecation free’ at four sub-

villages

IOM has facilitated a series of community meetings for the community at three sub-villages in order to promote ‘open defecation free’. The meetings aim at encouraging the villagers to use the existing of public toilets and start building a simple and affordable toilet (e.g. closed pit toilet). The rates of community members to use the public toilets are very low due to unavailability of water and/or limited access to water at the public toilets.