Rhino Camp Refugee settlement. Health & Nutrition

Transcription

1 Rhino Camp Rfug sttlmnt Halth and Nutrition updats-wk 2 (4 th to 1 th January 218). Halth & Nutrition Halth Partnrs: UNHCR, UNFPA, UNICEF, ADLG, Mdical tams intrnational (MTI), Sav th Childrn Intrnational (SCI), Global Rfug Intrnational, TPO, MMC, AMREF, CARE Uganda intrnational, CUAMM Doctors with Africa, Uganda Rd Cross Socity (URCS). Total OPD/ IPD Consultations Morbidity Priority disas A F P OPD consultations: 4,78 (2,992 rfugs and 1,161 nationals) nw OPD consultations wr mad in wk 2 compard to 3,141 in wk 1 (34% incras). Of th consultations 63% wr to rfugs and 37% to nationals. Mntal Halth and Psychosocial Support (MHPSS): 16 nw and rvisit clints rcivd MHPSS in wk 2 compard to 9 in wk 1. Nw IPD admissions: 112 (53 rfugs and 59 Nationals) nw IPD admissions wr mad in wk 2 compard to 13 in wk 1. Nw rfrrals: 33 (22 rfugs and 11 nationals) nw rfrrals wr mad to Arua rgional rfrral hospital in wk 2 compard t 27 in wk 1. Whil 2 rfrrals from th community wr srvd by halth facilitis within th sttlmnt. Expandd programm on immunization /EPI updats: Proportional Morbidity: 367 individuals vaccinatd in wk Anim al bits 943 (2%) Malaria confirmd cass 1,48 (22%) Acut RTI 224 (5%) Watry Diarrhoa 27 cass of dysntry. cas of typhoid fvr Chol ra Bloo dy diarr ha Watr y diarrh a G ui n a W or m Malari a Mdical scrning, Vaccination; Dworming; Vitamin A M A S l s Mnin gitis 2 compard to 314 in wk individuals rcivd Vitamin A supplmntation in wk 2 compard to 7 in wk mothrs and girls of rproductiv ag wr vaccinatd against TT in wk 2 compard to 92 in wk individuals dwormd in wk 2 compard to 67 in wk 1. Yllo w Fv r N N T V H F Ty ph oid MDR TB cass Daths Human Influn za sampl s Suspct cholra Cass Idntifid in th Day Suspct cholra Cass Undrgoing Tratmnt 1

2 Suspct Human anthrax Cass Idntifid in th wk Suspct human anthrax Cass Undrgoing Tratmnt Suspctd Acut Flaccid Paralysis cass Suspctd Acut Flaccid Paralysis cass undrgoing tratmnt Mortality Daths: 3 (2 rfugs and 1 nationals) dath was rportd. 2 dath from halth cntr s and 1 from th community. Thr was no () matrnal dath and dath among nonats and 1 prmatur. Crud mortality rat (CMR):.4 daths/1,/day in wk 2 compard to.1 daths/1,/day in wk 1. Undr Fiv Mortality (U5MR):.1/daths/1,/day in wk 2 compard to. daths/ 1,/ day in wk 1. Halth Workrs pr 1, Population Total # skilld staff= 14 (mdical officrs, clinical officrs, nurss and midwivs). This translats to 12/1, population. Givn th currnt population of undr 118,251 (96,17 Rhino Camp, 19,174 Omugo and 56,657 nationals (Total 172,1), childrn <5 yars 24,362 as at 31 st Novmbr 217. Antnatal Car: Total ANC: 262 (15 rfugs and 157 nationals) total ANC visits wr mad in wk 2 compard to 199 in wk 1. First ANC Visit: 74 (4 rfugs and 34 nationals) attndd ANC1 in wk 2 compard to 37 in wk 1. Fourth ANC visits: 49 (27 rfugs and 22 nationals) attndd ANC4 in wk 2 compard to 28 in wk 1. Rproductiv Halth Mortality / HIV, TB car Labour and dlivry car: 52 (3 rfugs and 22 nationals) dlivris wr conductd by skilld halth workrs in wk 2 compard to 54 in wk 1. Post-natal Car (PNC)/ 14 (71 Rfugs and 69 Nationals) mothrs attndd PNC in wk 2 compard to 116 in wk 1. Family planning srvics: individuals rcivd modrn contracptivs in wk 2 compard to 7 in wk 1. Elimination of mothr to child HIV transmission (MTCT) srvics: HIV and AIDS srvics: 1 ( rfugs and 1 national) individual was nwly idntifid HIV positivs. 21 (139 rfugs and 71 nationals) individuals wr offrd HIV tsting srvics. 1 nw HIV positivs was initiatd on HIV car and support. 6,592 pics of condoms wr distributd for HIV prvntion in th community. TB car and tratmnt: 2

3 74 (4 rfugs and 34 nationals) prgnant mothrs who attndd ANC1 wr offrd HIV tsting srvics in wk 1 compard to 37 in wk 1 and all wr found HIV ngativ. No () HIV positiv dlivry, thrfor, 1% MTCT covrag. No () individual tstd TB positivs Achivmnts and Impact OPD Consultations: 4,78 (2,992 rfugs and 1,161 nationals) nw OPD consultations wr mad in wk 2 compard to 3,141 in wk 1. 63% of th consultations to rfugs and 33% to nationals. Uppr rspiratory infctions toppd th most common ailmnts among th consultations with 22% and Malaria was scond with 2% of th consultations and acut watry diarrhoa was among 5% of th OPD consultations. Thrfor malaria, URTI and AWD contributd to 46% of th ovrall consultations as blow. Th incidnc of malaria and watry diarrhoa is stimat at 8 cass/1 prsons/wk, RTI 9 cass/1 prsons /wk and AWD 2 cass/ 1/ wk rspctivly. Mortality and Morbidity: Wkly OPD consultations and Morbidity trnds in Rhino Camp sttlmnt 6 Wkly Mortality trnds in Rhino camp sttlmnt WK 1 WK 2 Wk 3 Wk 4 OPD Malaria URTI AWD Wk 1 Wk 2 Wk 3 Wk 4 Crud daths < 5 yr daths > 5 yr daths 3 (3 rfugs and 1 nationals) daths wr rportd from Imvpi sttlmnt. 2 wr among individuals abov 5 yars and 1 among individuals lss than 5 yars. 3 daths wr rportd from halth cntrs and 1 from th community. Howvr, thr was 1 prmatur dlivry, nonatal daths/< 28 days old daths, and matrnal daths. Thrfor, Crud Mortality Rat (CMR) was.4 daths/1,/day and undr-5 yar mortality ratio (U5MR) was at.1 daths/1,/day blow th mrgncy thrshold of 1 and 2 daths/1,/day rspctivly. 3

4 Th caus/ probabl causs of mortality bing 1 svr anamia/malaria, 1 pnumonia, 1 TB and 1 prmatur dlivry. Community Disas survillanc and control of Outbraks No () rports of suspctd disass of outbrak potntial was rportd. In th sttlmnt out of th 269 traind VHT s 194 ar activly involvd in rporting cass from th community to halth facilitis. Howvr, du to rumours of viral hamorrhagic disas outbrak in nighbouring South Sudan w conductd CME s and distributd cas dfinitions to all halth facilitis. Othrs activitis and highlights in th wk SCI continud to conduct daily outrachs in Omugo xtnsion and Ofua I halth post. SCI rachd 1,65 (842 rfugs and 223 nationals) with mdical consultations in th community in wk 2 compard to 735 in wk 1. MTI, GRI and SCI continud to carryout routin static and outrach activitis in th 7 zons of Rhino Camp sttlmnt and othr partnrs most notably Arua district local govrnmnt at Siripi, GRI at Odoubu HCII, MTI at Ofua, Olujobo and Oca and Omugo I halth post. Idntifid Nds and Rmaining Gaps In Siripi HCIII, thr was stock out of Emrgncy contracptiv pills and oral contracptiv pills during th wk. This has bn communicatd to th District halth offic, CARE Uganda and UNFPA. Thr is gnral outcry from all facilitis on th national warhous systm of not rciving bin-linrs for wast managmnt in th rcnt dlivry cycl. Som facilitis lik Oduobu HCII with support from GRI hav bought ths supplis on th local markt. Nutrition Partnrs: World Food Programm (WFP), UNHCR, ADLG/DHO, Andr Foods Intrnational (AFI), Pntcostal Assmblis of God (PAG), Sav th Childrn Intrnational (SCI), Mdical Tams Intrnational (MTI), Global Rfug Intrnational, ADLG, CUAMM Doctors with Africa, WHH, AMREF Ovrall Rhino Camp Sttlmnt wkly activ cas finding Childrn lss than 5 yars Scrnd for nutritional status 3,174 (34 MAM and 3 SAM). Olujobo Scrnd for nutritional status 682 scrnd (4 MAM and SAM) 1.2%.6% Kuluba Nw arrival Wkly proxy Global Acut Malnutrition among childrn 6-59 months, MUAC (< 125 mm and/or odma 44 scrnd (1 MAM SAM). Prgnant and lactating scrnd 22 scrnd, <23 cm and 22 wr >23 cm wr 34 Ofua Scrnd for nutritional status 61 (4 MAM and 1 SAM) 2.2%.8% Siripi Scrnd for nutritional status 329 scrnd (8 MAM and 1 SAM) 2.7% Oduobu Scrnd for nutritional status 889 (1 MAM and 1 SAM).2% Omugo zon Scrnd for nutritional status 447 scrnd (16 MAM and SAM) 3.6% Oca Scrnd for nutritional status 226 (1 MAM and SAM).4% Gnral Food Distribution Rhino Camp (kilocaloris/prson/day) N/A Nw arrivals ration (kilocal /prson/day) N/A 4

5 Narrativ Achivmnts and Impact 44 childrn < 5 yars and 22 prgnant and lactating womn wr scrnd for thir nutritional status at Kuluba transit cntr with a proxy GAM rat of 2.2% in wk 2 as was in wk 1. In th Rhino sttlmnt, 3,174 childrn lss than 5 yars wr scrnd for thir nutritional status in wk 2 compard to 2,266 in wk 1. Thrfor, th wkly proxy Global acut malnutrition in Rhino Camp sttlmnt is 1.2% in wk 2 compard to.9% in wk 1. Th proxy GAM rat wr distributd as follows with Siripi at 2.7%, Omugo zon at 3.6%, Ofua at.8%, and Olujobo at.6%, Oduobu.2%, and Oca.4%. 34 childrn lss than 5 yars wr nrolld in targtd supplmntary fding program in wk 2 compard to 19 in wk 1. Similarly, 481 mothrs wr nrolld in matrnal child halth nutrition program in wk 2 compard to 87 in wk bnficiaris wk xitd from th TSFP, of which only 35 had curd, transfrrd out, 1 transfrrd to OTP/ITP, 14 dfaultrs, and 1 non rspons. Ovrall for Rhino Camp sttlmnt rcovry rat in wk 2 was 7%. Othr prformanc % dath rats, 1 (2%) non rspons rat, dfaultr rats 14 (28%) within accptabl standards of lss than 15%. Othr nutrition activitis during th wk Halth Education and IYCF snsitization: AFI rachd 928 individuals with matrnal IYCF-E mssags in wk 2 compard to 649 in wk 1. IYCF through mothr baby aras: During th wk SCI continud to run 3 MBA s in Edn and in Rhino Camp and 3 in Omugo. Idntifid Nds and Rmaining Gaps High dfaultr rats in TSFP abov 15% of th UNHCR standard. Th partnrs ar working togthr to train all VHT s in nutrition assssmnt and tracking of th malnourishd individuals. 5