Zaatri Health Information System Annual Report 2017
Summary Key Points:
In 2017, 183 mortalities were reported from Zaatri camp with a Crude Mortality Rate (CMR) of (0.2/1,000 population/month; 2.3/1,000 population/year) which is slightly higher than the reported CMR in the 2016 (0.2/1,000 population/month; 2.0/1,000 population/year) and 2015 (0.2/1,000 population/month; 2.8/1,000 population/year). This is also lower than both the reported CMR in Syria prior to the conflict in 2010 (0.33/1,000 population/month; 4.0/1,000 population/year)1 and the reported CMR in Jordan in 2015 according to the Department of Statistics (0.5/1,000 population/month; 6.0/1,000 population/year)2.
Among the 183 deaths, 48 were neonatal deaths with a (26%) of all deaths and (73%) of under 5 mortalities. This resulted in neonatal mortality rate (NNMR) of 13.8/1,000 livebirths which is lower than Jordan’s NNMR of 14.9/1,000 livebirths, but is higher than that reported NNMR in 2016 (10/1,000 livebirths) Neonatal deaths. It cannot be compared with that of 2015 since the NNMR for 2015 (14.5/1,000 livebirths) was likely to be overestimated as reporting of neonatal mortalities improved and became more accurate in 2016 and 2017 taking into consideration age in terms of days.
Ischemic heart disease, cardiovascular disorder and cancer accounted for approximately 36% of all reported mortality cases.
CMR is influenced by the size of the population. Thus, despite the fact that CMR was calculated based on the median population in Zaatari in 2017 which was 80,079, it should be kept in mind that there may have been some fluctuations through the year due to people moving in and out of the camp as well as refugees leaving the camp. Furthermore, the cases of deaths reported in Zaatari are the cases that took place inside the camp as well as cases referred to health facilities outside the camp.
Nevertheless, this system does not capture death cases that take place outside the camp who have not followed the usual referral procedures; i.e. cases that by themselves directly approached health facilities outside the camp and have not been reported by their family members back in the camp.
Taking the two above mentioned factors into consideration, the calculated CMR for Zaatari in 2017 might be underestimated or overestimated.
There were 58 full time clinicians in Zaatri camp during 2017 covering the outpatient department (OPD) with 61 consultations/clinician/day on average which is almost double than that of 2016 (31 consultations/clinician/day) and is slightly higher than the acceptable standard (<50 consultations/clinician/day).
Fifty six alerts were investigated during 2017 for diseases of outbreak potential; watery diarrhea, bloody diarrhea, acute jaundice syndrome, acute flaccid paralysis, suspected measles and suspected meningitis. No outbreak declared in Zaatari Camp in 2017.