HEALTH Quarter 1 Dashboard - Stories from Syrian Refugees - UNHCR

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Apr 12, 2016 - Number of PHCs within the MoPH network. 214 ... mobile medical units across the country at subsidized cos
HEALTH Quarter 1 Dashboard The quarterly dashboard summarizes the progress made by partners involved in the Lebanon Crisis Response and highlights trends affecting people in need. The Health Sector in Lebanon is working to: OUTCOME 1) improve access to primary health care (PHC) services; OUTCOME 2) improve access to hospital and advanced referral care; OUTCOME 3) improve outbreak control; OUTCOME 4) strengthen key institutions; and OUTCOME 5) ensure transparency and accountability of health partners.

Targeted Population groups

2016 Funding Status as of 12 April 2016

Received

Population reached by cohort

2.5 m (People in Need)

43.4 m

Reached

Required $260.9 m

220,215

290.9 m

166,736 23,129 27,647 2,702

Syrian Lebanese PRS PRL

220,215 people

1,602,000 Targeted

Progress against targets Activities

Outputs

reached / target

reached / target

# of children reached through Polio vaccination campaign (Source: MOPH)

293,147 / 306,894

# of primary health care consultations

# of children who received routine vaccination as per MoPH vaccination calendar (Source: MOPH)

164,752 / 572,500

# of persons receiving hospital and diagnostic services

# of patients who received medication for chronic diseases (Source: YMCA)

146,904 / 125,000

# of staff receiving salary support at central, peripheral and primary health care level

100%

0%

406,994 / 3,204,000

16,718 / 128,500

55/ 283 100%

0%

Analysis Patients who received medication for chronic diseases by population cohort versus targets

% of targeted population reached with PHC consultation

(Source: YMCA)

Syrian

172%

140,000

Lebanese

120,000

18%

100,000

27%

60,000

PRL

82%

40,000

13%

34%

target

80,000

PRS

3%

66%

97%

87%

20,000 0

Syrian 12,772 reached 47,000 targeted

300,582 reached 1,680,000 targeted

Lebanese 134,128 reached 78,000 targeted

Age distribution of Syrian females in access to PHC

Age distribution of Syrian males in access to PHC

46,259 reached 1,400,000 targeted

55,114 reached 84,000 targeted

5,364 reached 40,000 targeted

Gender distribution of Syrians in admission to referral care

87,957

41,993

44,799

40,314

37,032

41% 34,784

5-17

18-59

60+

Female

5,667

8,036 0-4

59%

Male

0-4

5-17

18-59

60+

Prepared by the Inter-Agency Information Management Unit | For more information contact Inter-Agency Coordinators Margunn Indreboe [email protected] and Kerstin Karlstrom, [email protected]. Published April 2016- includes data from Jan-March 2016

Sector Progress As of the end of March 2016, LCRP health partners have received a total of 43.4 million USD equivalent to 15 % of the LCRP 2016 health sector’s financial requirements of 290 M USD. Funding received has allowed Syrian refugees, vulnerable Lebanese, Palestine refugees from Syria and Lebanon to access primary health care services through some 130 fixed outlets (PHCs, SDCs, health clinics, etc.) or mobile medical units across the country at subsidized cost or free of charge. From January to March, the total number of consultations provided by LCRP partners was 406,994 representing 13% of the annual target of 3,204,000 consultations. Although the majority (71%) of these consultations were at fixed centers, an important number of consultations (29%) continue to be delivered through mobile medical units. In addition, the distribution of consultations across different governorates indicates a geographic disparity; proportionately to the distribution of Syrian refugees, the North and Mount Lebanon governorates appear to be underserved in terms of support to primary health care whereas the Bekaa and Baalback el-Hermel governorates appear to be over- served. Health partners are currently providing an average of 135,000 consultations /month. This reflects the maximum capacity that centers can achieve per month. A concern of the sector is that if health partners continued providing consultations at the same rate, only 50% of the annual target will be achieved and a limited number of vulnerable refugees will receive support in access to primary health care.

Facts and Figures 214 Number of PHCs within the MoPH network

3,000-5,000 LBP (US$2-3.30) Cost of a subsidized PHC consultation

PCV13 (Pneumococcal conjugate vaccine) New vaccine added to MoPH EPI (Expanded Programme on Immunization) calendar for 2016

April 20th, 2016 Lebanon switch date from tOPV (trivalent oral polio vaccine) to bOPV (bivalent oral polio vaccine)

5,400 Average hospital admissions/month (UNHCR only)

51% % of total admissions that are deliveries (UNHCR only)

With regards to vaccination, 293,147 children (96% of the target) were reached as part of a polio vaccination campaign aiming at maintaining Lebanon’s polio-free status.

33%

In terms of hospital and referral care, around 5,400 Syrian refugees per month have been supported with access to life-saving and obstetric hospital care by UNHCR at a network of 56 contracted hospitals across Lebanon. Some partners have also supported hospitalizations not covered by UNHCR on a limited case by case basis. Another concern of the sector is that if health partners continue to support access to hospital care at the same rate and with the same coverage criteria, only 50% of the annual target will be achieved and an important number of refugees will not receive needed hospital care.

135,665

Funding received has also contributed to strengthening the MoPH primary health care system through the procurement and provision of both acute and chronic medication as well as vaccines, the provision of salaries for 55 health staff at MoPH central and PHC level , the provision of material such as vaccinations cards, awareness material etc.) and technical assistance provided relating to the polio vaccination campaign and preparation for the global switch from trivalent oral polio vaccine (tOPV) to bivalent oral polio vaccine (bOPV) among others.

% of C-sections in Q1 out of total deliveries (UNHCR only)

Average number of consultations/month

97,000 LBP or 64 USD Syrian refugee average monthly household health expenditure (Data from Q1 HH profiling questionnaire)

13% % of Syrian refugee monthly household health expenditure out of total expenditure (Data from Q1 HH profiling questionnaire)

56 Number of hospitals contracted by UNHCR (through Medivisa)

Changes in Context - First Quarter The first quarter of 2016 was marked by 2 important changes: -UNRWA announced that as of 1 January, changes to its hospitalization policy in Lebanon will be implemented, the purpose of which is to increase tertiary coverage for patients, align the health coverage more closely with Lebanon’s policy in general and with the agency’s overall hospitalization policy in specific, and manage the rising costs related to the health program in Lebanon within the framework of available resources at UNRWA. The announcement and the implementation of the policy led to community protests and forced the closure of a number of UNRWA installations. This in turn led to the suspension of the policy implementation for a month (March 21- April 21) pending the outcome of ongoing negotiations. -As of 18 March, UNHCR increased its hospital coverage to 90% for Syrian refugees in need of life-saving and obstetric hospital care for neonatal and pediatric intensive care admissions, patients with severe burns as well as refugees assessed as severely vulnerable based on the results of the household profiling questionnaire. Coverage for all other conditions remains at 75%. This change in policy provides an extended safety net to the most vulnerable and those facing very high medical expenses.

Organizations The achievements described in this dashboard are the collective work of the following 27 organizations: AMEL, AVSI, Beyond, CLMC Lebanon, FPSC-Lebanon, HI, Humedica, IMC, INARA, IOM, IRW, Makassed, Makhzoumi, MAP-UK, MDM, MEDAIR, Medical Teams International, MoPH, PCPM, PU-AMI, QRC, RESTART Lebanon, RI, UNHCR, UNRWA, URDA, WHO Prepared by the Inter-Agency Information Management Unit | For more information contact Inter-Agency Coordinators Margunn Indreboe [email protected] and Kerstin Karlstrom, [email protected].

HEALTH Quarter 1 Dashboard Organizations per district The achievements described in this dashboard are the collective work of the following 27 organizations: AMEL, AVSI, Beyond, CLMC Lebanon, FPSC-Lebanon, HI, Humedica, IMC, INARA, IOM, IRW, Makassed, Makhzoumi, MAP-UK, MDM, MEDAIR, Medical Teams International, MoPH, PCPM, PU-AMI, QRC, RESTART Lebanon, RI, UNHCR, UNRWA, URDA, WHO

Tripoli Beyond, CLMC Lebanon , HI, IMC, MoPH, QRC, RESTART Lebanon, RI, UNHCR, WHO

El Koura Beyond, CLMC Lebanon , HI, MoPH, QRC, RI, UNHCR, WHO

Akkar Beyond, Akkar HI, IMC, MAP-UK, Makassed, MoPH, PCPM, PU-AMI, RI, UNHCR, UNRWA, WHO

North

Zgharta Beyond, HI, MoPH, QRC, RI, UNHCR, WHO

El Batroun Beyond, HI, MoPH, QRC, RI, UNHCR, WHO

Beirut Beyond, IMC, INARA, Makassed, Makhzoumi, MoPH, RESTART Lebanon, RI, UNHCR, UNRWA, URDA, WHO

Kesrwane Beyond, CLMC Lebanon , MoPH, UNHCR

El Hermel Beyond, MoPH, UNHCR, WHO

El Minieh-Dennie Beyond, HI, IMC, MAP-UK, MoPH, QRC, RI, UNHCR, WHO

Bcharre

Jbeil Beyond, IMC, Makhzoumi, MoPH, RI, UNHCR, WHO

Baalbek-El Hermel Baalbek AMEL, Beyond, HI, IMC, MDM, MEDAIR, MoPH, QRC, UNHCR, URDA, WHO, MoPH

El Meten Beyond, CLMC Lebanon , IMC, Makhzoumi, MoPH, RI, UNHCR Zahle Baabda Beyond, FPSC - Lebanon, AMEL, Beyond, CLMC HI, Humedica, IMC, IOM, Lebanon , IMC, MDM, MEDAIR, Medical MoPH, UNHCR, WHO Teams International Aley , MoPH, RI, UNHCR, Beyond, IMC, MDM, UNRWA, URDA, WHO Makhzoumi, MoPH,

Beirut

Mount Lebanon

PU-AMI, RI, UNHCR, URDA, WHO Chouf Beyond, CLMC Lebanon , IMC, IRW, Makhzoumi, MoPH, PU-AMI, RI, UNHCR, WHO Saida Beyond, CLMC Lebanon , IMC, IOM, IRW, MAP-UK, MoPH, PU-AMI, UNHCR, UNRWA

South

Sour AMEL, Beyond, IMC, IOM, IRW, MAP-UK, MoPH, UNHCR

Jezzine Beyond, IRW, MoPH, UNHCR El Nabatieh IMC, IOM, MoPH, PU-AMI, UNHCR, UNRWA, WHO

El Nabatieh Marjaayoun AMEL, AVSI, Beyond, MoPH, UNHCR, WHO

West Bekaa AMEL, Beyond, HI, IMC, MDM, MEDAIR, Makassed, Medical Teams International , MoPH, RI, UNHCR, WHO Rachaya Beyond, IMC, MoPH, RI, UNHCR

Bekaa

L egend G overnorate Dis rtict 0 1-5

Hasbaya AVSI, Beyond, Makassed, MoPH, UNHCR

6-8 9 - 10 11 - 15

Bent Jbeil IMC, MoPH, UNHCR

Note: This map has been produced by UNHCR based on maps and material provided by the Government of Lebanon for UNHCR operational purposes. It does not constitute an official United Nations map. The designations employed and the presentation of material on this map do not imply the expression of any opinion whatsoever on the part of the Secretariat of the United Nations concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Prepared by the Inter-Agency Information Management Unit | For more information contact Inter-Agency Coordinators Margunn Indreboe [email protected] and Kerstin Karlstrom, [email protected].