IRAQ MONTHLY UPDATE - SEPTEMBER 2017. HEALTH. 196,259. 10,952. 10. 223. 17,056. 88 ... Total Assisted. Planned Response,
IRAQ MONTHLY UPDATE - SEPTEMBER 2017
HEALTH
Overview:
• UNICEF provided Infant and Young Child Feeding (IYCF) counselling assistance on appropriate breastfeeding to 758 pregnant and lactating women (PLW). Nutrition services were provided to 907 children.
Curative: • Patient Consultations: 19,676 consultations were conducted in PHCCs in nine camps . The health utilization rate (visit/person/year) was 2.8 which lies within the expected range of 1 to 4.
Promotion: • In Akre settlement/Duhok, IOM emergency health team continued providing awareness sessions on health topics including general personal hygiene, diarrhea, respiratory and skin diseases, focus on signs and symptoms, modes of transmission, treatment and preventive measures on communicable diseases. IOM reached 71 beneficiaries (26 male, 45 female).
• Referrals: 972 patients were referred from the camp PHCC to secondary and tertiary health facilities for further investigations and/or hospitalization. • Mental health services: 407 patients received mental health services. • With financial support from UNHCR, the Directorate of Health (DoH) in Erbil procured and distributed medicines for Erbil refugee camps (Darashakran, Kawergosk, Qushtapa, and Basirma). A total of 40 items were distributed to camp PHCCs including antibiotics, painkillers and medicines for chronic diseases... etc. Prevention: • Routine vaccinations and growth monitoring services are accessible in all the 9 camps. Directorates of Health (DoHs) in KRI, with UNICEF’s support, have vaccinated 237 children against measles, 575 children against Polio, together with 368 children who received vitamin-A supplementation.
Main Diseases per Month 12,000
10,344
9,216
10,000
9,081
Watery Diahrrea
6,225
6,697
JAN
856
1388
970
937
800
767
APR
MAY
JUN
JUL
AUG
SEP
1,120
Capacity Building: In Sulaymaniyah, Arbat refugee camp, mhGAP training was successful, and one candidate (PHC doctor) out of two now is able to assess and manage mental health conditions under the supervision of the psychiatrist. Reproductive Health (RH): Anti-natal care and family planning services are available in all camps. They are provided by DoH with the support of UNFPA. In September, 492 women attended their first ante-natal care session in the nine camps.
Lack of medicines: Shortage of medicines remains a key concern in public facilities, particularly for patients with chronic diseases due to the high number of refugees and displaced people. As a result, the health system is overstretched. Public health facilities: Continued support to the Ministry of Health is required for health care facilities in urban areas either through rehabilitation/renovation, or provision of medical equipment. Health staff: Irregular payment of salaries due to the ongoing financial crisis in the KR-I has affected the provision of health services at public health facilities.
1,050
515 MAR
857
823
477 FEB
1,107
779
607
1,160
836
0
7,408
4,806
6,000 4,000
Coordination: Health coordination meetings between DoH, UN agencies and health partners were conducted in Erbil, Duhok and Sulaymaniyah governorates in order to enhance coordination and collaboration between health partners.
Needs analysis: 8,098
8,000
2,000
Skin Infection
1,113
14,000
Upper Respiratory Tract Infection
13,118
Health awareness by IOM in Akre settlement, Duhok
• In Arbat camp/Sulaymaniyah, EMERGENCY continued providing health education on different topics including breastfeeding, oral health and dental hygiene, chronic diseases control, diarrheal disease and common skin diseases.
Disease surveillance: Control and prevention of communicable diseases need to be strengthened in close cooperation with other sectors (e.g. WASH, Camp Management).
IRAQ RESPONSE INDICATORS: SEPTEMBER 2017
Utilisation rate
5
Monthly Health Care Utilisation Rates 2016/2017 4.2
# of service delivery units providing SRH services
4.3 3.6
4
3
3.7
3.3
2.9
3.3
Health utilisation rate 2016
3.0
2.6
2.8
Health utilisation rate 2017
2.4
Normal range (min.)
0 JAN
FEB
MAR
APR
MAY
JUN
88
# of children immunized ( including measles and polio vaccinations) # of health care staff trained
# of health facilities supported
74
74
17,056
52,000
34,944 223
10
150 110
110
JUL
AUG
SEP
OCT
NOV
DEC
# of referrals of target population to secondary or tertiary healthcare services # of consultations for target population in primary health care services
10,952
1,048
20%
40%
60%
80%
12,000 310,000
113,741
196,259 0%
Leading Agencies: Ministry of Health (MoH - KRI) UNHCR, Dr. Mohammed Marzoog,
[email protected] WHO, Dr. Muhammad Fawad Khan,
[email protected]
End-Year Target
Planned Response, by end-2017
Normal range (max.)
1.9
1
3.6
2.8
2.9 3.2
3.9
3.6
3.4
3
3.9
2
Total Assisted
100%