Nigeria

Northeast Nigeria Response (Borno State): Health Sector Bulletin #2, 7 October 2016

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Situation Report
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  • 3.7 MILLION IN NEED OF HEALTH ASSISTANCE
  • 2.2 MILLION INTERNALLY DISPLACED PERSONS
  • 2.6 MILLION TARGETED BY THE HEALTH SECTOR
  • 3 152 745 CHILDREN VACCINATED AGAINST POLIO IPV & OPV

**HIGHLIGHTS **

  • FHI360, through the PEPFAR/USAID funded Strengthening Integrated Delivery of HIV and AIDS Services (SIDHAS), supported the Borno State Government with laboratory equipment, reagents, medical consumables and national monitoring and evaluation tools to strengthen provision of comprehensive HIV/AIDS services in 10 hospitals in seven LGAs and 15 IDP camps in Maiduguri City Municipality (MCM).

  • The World Health Organization (WHO) through the State Ministry of Health delivered essential medicines and medical supplies to Mafa and Dikwa IDP camps, two of the 15 areas liberated this year. The supplies are sufficient to treat 15,000 people for three months.

  • UNFPA has established mobile outreach teams to deliver sexual and reproductive health (SRH) services for communities in newly liberated areas in Borno State that have limited or no available primary health care services.

  • UNICEF procured and distributed 20 Passive Vaccine Storage Devices (ARKTEK) to newly liberated LGAs of Monguno, Bama, Gwoza, Dikwa,
    Kukawa, Ngala and Kalabalge.

Situation Update

  • Although many areas of Borno State remain insecure, the past month has seen an increase in the number of IDPs returning to their places of origin. With the continued insecurity, very weak infrastructure and lack of resources to re-establish livelihoods, even in LGA centres in Borno state, this will be a challenge that will require increasing attention by humanitarian actors in coming months.

  • On 27 September, WHO participated in a Joint UN Security Risk Assessment Mission to Dikwa and Mafa, newly liberated Local Government Areas in Borno State. WHO used the opportunity as scoping mission to assess the health needs, gaps and available health services for the IDPs and host communities. A follow up joint WHO-SMOH mission was conducted on 5th October. Findings:

  • Dikwa town has an estimated population of 72,444 internally displaced people (IDP), 48,982 of whom live in 14 IDP camps within the town. One Maternal and Child Health Clinic (MCH) and 2 satellite clinics, run by 16 health workers on 2 week rotation, is serving the needs of the IDPs. These services were supported by UNICEF and ICRC.

  • An estimated 175 to 250 consultations are recorded in the clinics each day, many of the patients presenting with conjunctivitis, malaria and Acute Respiratory Infections (ARI).

  • The clinic conducts an average of 35 to 40 deliveries per week. Complicated cases are referred to Maiduguri using a military escort. An estimated 60 ANC follow consultations are conducted and up to 150 children with malnutrition are attended every day.

  • There are 14 mobile health teams, each with three health workers report on average, 120 medical consultations per day. Malaria, diarrhoea, ARI and severe malnutrition represent the leading causes of morbidity. An urgent need for more supplies, especially anti-malarial drugs, was observed.

  • In Mafa LGA, there is only one health worker available to provide basic health services (SMOH supported) to an estimated 2,972 IDPs. Malaria, malnutrition and diarrhoea are the leading causes of morbidity.

  • Malaria, respiratory infections and watery diarrhoea remained the leading causes of morbidity in the camps as shown by the Weekly surveillance reports from IDP camps. In Epi Week 38, a total of 6,528 consultations were recorded from 23 IDP camps: 42% of these are cases of malaria, 14% are respiratory infections and 9% are cases of diarrhoea. The cumulative number of consultations recorded since Epi Week 1 (from 23 IDP surveillance reporting camps in Borno State) has reached 643,381. Malaria accounted for 33% of the overall number of these cases.