Sudan

WHO Country Office in Sudan: Darfur Weekly Progress Report, 10 - 16 Jul 2005

Format
Situation Report
Source
Posted
Originally published


Highlights
Acute Respiratory Infections was reported as the major cause of morbidity and mortality in Greater Darfur last week.

No reported deaths last week from diseases commonly causing fatality among IDPs, such as malaria, measles, meningitis, acute jaundice syndrome, and injuries.

The overall attack rate for Bloody Diarrhoea has increased from 14/10,000/week to 15.9/10,000/week.

An additional polio vaccination campaign was carried out in Darfur between 12 and 15 July.

WHO has initiated the installation of a field team in Zalingei, sharing with UNICEF, to closely support, coordinate and respond promptly to the health needs of approximately 493,913 IDPs and war affected population in the localities of Zalingei, Jabel Mara, Wadi Salih and Mukjar.

WHO tasks and programmes

Improved access to hospital care and referral systems

Comparison between the available statistics on the number of total patients and percentage of IDPs for the month of June 2005 from the hospitals in Darfur show large differences between the percentage of IDPs treated at Out Patient Departments of the total number of patients (17% in El Fasher Teaching Hospital against 55% in El Geneina) and the In Patient Departments (35% in El Fasher, 81% in El Geneina Hospitals).

North Darfur

Rehabilitation of hospitals

In the ongoing rehabilitation works of the Out Patient Department at El Fasher Teaching Hospital, the focus lies on enhancing the quality of the labour.

Action point

WHO is looking into the enhancement of the Maternity Department at El Fasher Teaching Hospital.

West Darfur

Rehabilitation of hospitals

Action point

WHO is planning a needs assessment at Zalingei rural hospital, to consider WHO support to the hospital. After withdrawal of the International Committee of the Red Cross (ICRC), the Netherlands Red Cross is presently doing rehabilitation works.

South Darfur

Rational Use of Drugs

Drug supplies required for Kass and Elddain Hospitals arrived at the WHO Warehouse in Nyala, and delivery of the drug supplies for Nyala Teaching Hospital was carried out.

Rehabilitation of hospitals

The X-ray machine has been delivered to the Nyala Teaching Hospital after preparation works of the building were completed. The X-ray machine will be transferred to its final destination at Kass hospital after Nyala Teaching Hospital receives their own machine.

Action point

WHO is following up on the results of an assessment done on the intensive care unit (ICU) and the new pharmacy at Nyala Teaching Hospital.

Communicable disease control and surveillance & outbreak response

North Darfur

Acute jaundice syndrome

The decrease pattern of acute jaundice syndrome cases that has been observed during the previous five weeks, is persisting. 18 new cases were recorded this week.

Action point

WHO is following up on the sample of one suspected meningitis case that has been sent for laboratory verification to the National Public Health Laboratory.

Case investigation is being carried out into one suspected case of Neonatal Tetanus.

West Darfur

Cholera

The Cholera Outbreak Forum, lead by UNICEF and WHO and comprising of the State Ministry of Health (SMoH) and the Water and Environmental Sanitation department (WES), and the NGOs SC-US, OXFAM, Medair and CONCERN, elaborated a draft microplan on cholera outbreak management and control. The plan includes all elements of diarrhea outbreaks needs at both State and camp level. Cholera kits were prepositioned in those IDP camps selected as focal centers for Cholera Outbreak Control because of their high population density, morbidity and mortality of water related diseases, as well as water and sanitation indicators.

Action point

An outbreak investigation will be carried out in close collaboration with UNICEF and SMoH to verify an increased number of severe malnutrition cases in El Geneina, Morni and Fur Baranga IDP camps.

Case investigation into the increasing numbers of Bloody Diarrhoea in Al Ryad, For Baranga and Morni IDP camps will be carried out in joint collaboration with WHO, SMoH and the respective NGOs working in the camps.

South Darfur

Acute Jaundice Syndrome

A sharp decrease in cases of acute jaundice syndrome has been observed this week: from 380 cases in the previous week to 280 cases.

Bloody Diarrhoea

The number of bloody diarrhoea cases was 989 recording a slight increase compared to last week. On the other hand, the total population slightly decreased mainly due to missing reports from 6 units.

Malaria

Due to effective vector control measures applied in the camps in the previous weeks, the malaria incidence decreased this week in all sites.

Measles

One case of measles was reported from El- Jeer IDP camp.

Action point

WHO is following up on the sample of one suspected meningitis case reported from Eddalfursan locality that has been sent for laboratory verification to the National Public Health Laboratory in Khartoum.

Improved access to primary health care and environmental health

North Darfur

Access to Primary Health Care

Assessment visits to 11 health facilities in major IDP camps and El Fasher Town were carried out to follow up on and monitor the availability of manpower and use of drugs/supplies and Health Information Systems tools.

The hand-on-training on Standard Case Management (SCM) of Integrated Management of Childhood Illness (IMCI) for 40 medical assistants is scheduled for next week. This activity will be conducted by facilitators of SMoH.

The training course on ‘Clinical Management of Rape Survivors’ for 50 health professionals (doctors, medical assistants and midwives) who work in IDP camps, organized by WHO and UNFPA together with SMoH, is scheduled for next week.

Environmental health Action point

WHO is supporting SMoH in the preparation for insecticide spraying against mosquitoes in IDP camps.

West Darfur

Access to Primary Health Care

Two modified training sessions for a total of 42 medical assistants on IMCI/SCM will be conducted next week.

The training session on counseling for HIV/AIDS prevention and Gender Based Violence (GBV) for 25 health professionals (nurses, midwives and medical assistants) and community health workers from the major IDP camps will be conducted soon by WHO and SMoH in collaboration with UNFPA.

Environmental health

WHO donated Deltamithrene and Hudson sprayers to the NGO SC-US to carry out spraying campaigns against mosquitoes in Habilla.

WHO will support the NGO Norwegian Church Aid (NCA) in vector control activities in Hamsadagig, Hamadiya and Hasa Hisa IDP camp, specifically with larviciding, Indoor Residual Spraying and impregnating of bed nets as part of the Roll Back Malaria program.

South Darfur

Access to Primary Health Care Action point

WHO is looking into a pilot project together with the NGO MDM to set up a community-based mortality reporting system through MDM’s network of community health promoters.

WHO and the Federal Ministry of Health (FMoH), together with SMoH have started a follow up program for the 32 medical assistants trained in modified IMCI/SCM.

Environmental health

Results from water tests from Nyala show no traces of the toxic artesunates.

Action point

WHO and CARE are trying to advance the 3rd round of spraying Deltamethrin to control mosquitoes in Kalma IDP camp. According to a survey report, considerable numbers of flies and probably mosquitoes still exist because breeding sites are scattered all over the sectors. Efforts to attack the vectors at their larval stages are compromised by the shortage of insecticides. However, additional quantities of insecticides have been requested and are expected to be available shortly.