Sudan

WHO Country Office in Sudan: Darfur Weekly Progress Report, 29 May - 4 Jun 2005

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Highlights

Mortality Survey Special

As all three WHO Sub Offices in Greater Darfur have prioritized their work to the implementation of the 2nd Crude Mortality Survey, many activities that were planned during this period, have been postponed until after the finalization of the survey.

The survey started on the 28th of May.

Mortality Survey Highlights

At the moment, 10 international supervisors, 20 national supervisors and 48 local interviewers are in the field, questioning the target respondents (IDPs living in camps, IDPs living in settlements, outside of camps, and affected communities).

At the same time, the data are being entered in a specifically for this mortality survey developed screen from the epidemiological software Epi Info™.

Up to June 4, the amount of clusters finalized reached 30%: 50% in North Darfur and 19% in South and West Darfur respectively. The total amount of clusters to be completed is 270: 90 per State. (Up to June 6, more than 40% of the clusters were finalized)

It is expected that the interviews and data processing will be completed by the end of June.

WHO tasks and programmes

Improved access to hospital care and referral systems

North Darfur

Rational Use of Drugs

A drug use survey was carried out at El Fasher Teaching Hospital, focusing on the prescription and dispensing habits amongst health workers in the hospital in relation to the recommended standard practice as laid down in the Sudan National Essential Drugs list, and the availability and utilisation of the list.

All the management tools provided for efficient pharmaceutical inventory of drugs and medical supplies are being fully utilised.

Rehabilitation of hospitals

The new Technical Cooperation Agreement (TCA) for El Fasher Teaching Hospital covering the period April 1st to June 30th, 2005 has been approved for implementation.

West Darfur

Rehabilitation of hospitals

The Saudi Red Crescent has started the rehabilitation of the post medical wards at El Geneina Hospital. The work is expected to take 45 days.

Mercy Malaysia completed the physical rehabilitation of the Obstetrics and Gynaecology operating theatre and ward at El Geneina Hospital.

South Darfur

Rehabilitation of hospitals

The NGO AMCOR is willing to implement feeding programme for in-patients in Edaen hospital, with support of WFP.

WHO is supporting Nyala Teaching Hospital in finalising the monthly drugs inventory and consumption report.

Action point

- WHO is ensuring that both treatment and drugs for IDPs are waiver free, as agreed in the TCA with Nyala Teaching Hospital.

Communicable disease control and surveillance & outbreak response

North Darfur

Meningitis

Two new cases of suspected meningitis were reported.

Action point

- Rapid field investigation as well as laboratory confirmation of suspected cases is being followed up for prompt response.

West Darfur

Action point

- WHO is following up on an increased number of cases of Acute Jaundice Syndrome in Mukjar area, which is directed towards preventing transmission into other areas.

- WHO is planning in close collaboration with State Ministry of Health (SMoH) to review and update the Meningitis outbreak control plan.

South Darfur

Bloody Diarrhoea

Mainly thanks to the environmental efforts, the bloody diarrhoea cases are still decreasing, for the 5th week running.

Action point

- Preventive environmental health interventions are being reinforced in all high risk camps to stop transmission.

- Trend analyses of bloody diarrhoea cases are continuing to better understand the epidemiology and transmission pattern in IDP camps.

Measles

Four suspected measles cases were reported this week, one from Kass and three from Kalma camp.

The localized measles vaccination campaign in Kalma camp has been completed. The coverage report is expected soon.

Action point

- WHO is focusing on laboratory confirmation of measles cases. As per the WHO/FMoH measles surveillance guidelines for early detection of measles outbreaks.

Improved access to primary health care and environmental health

North Darfur

Access to Primary Health Care

An assessment of reproductive health facilities has started in Zam Zam, Abu Shoak and Kassab camps.

A crash training on Integrated Management of Childhood Illness (IMCI) Standard Case Management for 20 medical assistants of El Fasher hospital started this week.

West Darfur

Access to Primary Health Care

The NGO Medair and the SMoH started refresher training for midwives.

Environmental health

All is set for the cleaning-up campaign for El Geneina town and surrounding IDP camps starting on June 5. The campaign is a good example of inter-institutional coordination, between UN agencies, NGOs, SMoH and the locality.

WHO supplied SMoH with 8 water sampling bottles to collect water samples from the IDP camps and from the town's water sources.

South Darfur

Access to Primary Health Care

The first five-day "crash" training on IMCI Standard Case Management was finalized: 18 medical assistants from 5 localities of Reheddalbirdi, Idalfursan, Kass, Buram and Tulus were trained in diagnostic and management skills to effectively take care of children. The second group of 19 medical assistants and 2 doctors from Kalma and Ottash IDP camps around Nyala, have commenced their training this week. The training is facilitated by the Federal and State Ministry of Health (FMoH and SMoH) and WHO.

WHO, in collaboration with SMoH and UNFPA, carried out a joint assessment of health facilities for quality services in 3 IDP camps and one host community around Nyala town.

Recommendations are to strengthen the following areas: reproductive health, laboratories, record-keeping and the Health Information System (HIS).

The report of the Knowledge, Attitudes and Practices (KAP) survey of the IMCI program in Gereida community was finalized. The recommendations from the report will be reflected in community volunteer's training program.

Programme management

The MERT clinics have been closed and have been taken over by the UNMIS clinics per the 1st of June.

Further information: Sacha Bootsma, Communication Officer bootsmas@sud.emro.who.int

WHO Country Office in Sudan - Othman Digna Street, Nile Avenue side - P.O. Box 2234 - Khartoum, Sudan Tel. + (249) 183 - 776 471; 780 190; 760 406 Fax: + (249) 183 - 776 282 www.emro.who.int/sudan