RAPID ASSESSMENT OF RH SERVICES. RH-SUBCLUSTER 4 th May 2015
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1 RAPID ASSESSMENT OF RH SERVICES RH-SUBCLUSTER 4 th May 2015
2 Format for assessment developed based on the MISP
3 MNH Services : 12 most affected +3 districts Partners: UNFPA, UNICEF, NHSSP,PSI, MSI, FPAN, ADRA Districts Services RH Response Sindhupalchowk No services IOM distributing CDK from UNFPA. Norwegian team providing RH services in Chautara (FMT). C-Section capability yes Melamchi Nepal army Rasuwa No services Canadian Red Cross providing RH services (has C-section capacity)in Dhunche (FMT), UNFPA provided RH kits Nuwakot Hospital building damaged, CEONC building used for orthopedic surgeries, can provide services if OT available, currently referring cases for C-section to Kathmandu. ANC, PNC & BEONC services available UNICEF supplied tents.
4 MNH Services Districts Services RH Response Dhading BEONC, referrals to Kathmandu & Bharatpur for CEONC UNFPA/CARE providing RH services. Chinese team in more remote than DH (name?) Makwanpur CEONC services available (2 C-section after earthquake) Sindhuli (5SN & 40 ANMs working) CEONC services available, all 15 BC functional (ANC, delivery & PNC), maternity patients in tents
5 MNH Services Districts Services RH Response Kavre Dhulikhel & Scheer memorial providing CEONC Norwegian team providing RH services in Chautara (FMT). IPPF/FPAN providing RH response with UNFPA s support including distribution of RH kits. Unicef provided tents. Dolakha Ramechhap NO BEONC or CEONC services; All referrals now but BEONC services being set up
6 MNH Services Districts Services RH Response Okhaldhunga (7 HF damaged. 3 SN & 15 ANMs for EmONC services.) Mission hospital providing CEONC services; 3BC damaged but all 34 BC & both BEONC providing EmONC, ANC & PNC services UNFPA to provide CDK. Gorkha Chitwan (10 SN & 32 ANMs providing services) Hospital building okay. Providing BEONC, can perform C-sections CEONC from 4 hospitals, 24 BC IOM supplying CDK from UNFPA, UNICEF provided tents
7 MNH Services Districts Services RH Response Tanahu Parbat Palpa Syangja DH and all except 3 BC functioning DH and all but 1 BC functional DH providing BEONC, Mission hospital & medical college providing BEONC 3 HF damaged but BEONC at the Dh & all 26 birthing centers functional
8 Other RH Services Districts FP GBV STI&ART RH response Sindhupalchowk Rasuwa Nuwakot Dhading Makwanpur Available Available Available Sindhuli Kavre Dolakha Ramechhap Available, contraceptive shortage Available No No No UNFPA will provide contraceptives
9 Other RH Services Districts FP GBV STI&ART Need RH Response Okhaldhunga Available from most HF No, No cases reported No Limited contraceptives UNFPA will supply contraceptives. Gorkha Yes Chitwan Available Yes, No cases reported Available Palpa Available Available Available Syangja Available Available Available
10 Public Sector CEONC sites willing to take referrals from affected & adjoining districts Districts Kavre Kathmandu Bhaktapur Kaski Chitwan Rupandehi Hospitals Dhulikhel Hospital Maternity Hospital, Thapathali Civil Hospital, Kathmandu Bhaktapur District Hospital Gandaki Zonal Hospital Bharatpur Hospital Lumbini Zonal Hospital
11 Private Sector CEONC sites willing to take referrals from affected & adjoining districts Districts Kavre Kathmandu Bhaktapur Lalitpur Kaski Chitwan Hospitals Scheer Memorial Hospital Nepal Medical College Kathmandu Medical College Teaching Hospital Model Hospital, Kathmandu Madhyapur Timi Hospital Nagairik Hospital Ibamura Hospital Kist Medical Hospital Alka Hospital Fishtail Hospital Gandaki Medical College Manipal Hospital Fewa City Hospital Chitwan Medical College Bharatpur Medical College Nagarik Samudayik Hospital (CEOC only)
12 NGO & private sectors providing RH services MSI: operating most centers except in Chuchepati (Kathmandu) FPAN: All clinics operational
13 Summary EmONC services remain disrupted in most districts- CEONC in only 4/11 districts, 3 districts (Sindhupalchowk, Rasuwa & Ramechap) have none. Services on ART, STI, FP and Clinical management of GBV remain suspended. Functionality of OSCMC unknown. Maternity tents and shelter tents for waiting cases and postpartum mothers - an urgent need.
14 Next Steps Expand RH response in the affected districts, including RH camps, integrated mobile service and maternity camp. Expedite procurement of maternity tents, prefabricated maternity units, RH kits, drugs and commodities. Orientations for RH in medical camps and psychosocial services to be provided as well.
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