Sudan

WHO Country Office in Sudan: Darfur Weekly Progress Report, 3 - 9 Jul 2005

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Highlights

Acute Respiratory Infections remains the major cause of morbidity while Severe Malnutrition still is the most commonly reported cause of death in Darfur.

The attack rate of Bloody Diarrhoea shows a stabilizing trend towards previous levels throughout Greater Darfur. However, 49% of all cases from South Darfur are reported from Kalma IDP camp.

The weekly attack rate of Hepatitis E cases has remained the same this week compared with the previous week.

In spite of the stabilised number of measles cases, the urge for a mass measles vaccination campaign for Greater Darfur needs to be stressed.

An additional polio vaccination campaign will be conducted from 12 to 15 July.

The Cholera Preparedness Plan and the Malaria Preparedness Plan for Greater Darfur have been finalized and will be disseminated soon.

WHO tasks and programmes

Improved access to hospital care and referral systems

North Darfur

Rational Use of Drugs

WHO supplied El Fasher Teaching Hospital with the necessary amount of drugs. Rehabilitation of hospitals

Action point

WHO is planning to supply the maternity department of El Fasher Teaching Hospital (130 beds) with drugs and consumables, as recommended after a needs assessment was conducted this week. El Fasher Teaching Hospital is the only health facility providing obstetric care in El Fasher town.

WHO is supporting El Fasher Teaching Hospital with the elaboration of the Technical Coordination Agreement for the period from July to December 2005.

South Darfur

Rational Use of Drugs

The patch of drug supplies has reached the WHO's warehouse in Nyala

Rehabilitation of hospitals

The X-ray room in Nyala Teaching Hospital is being prepared. The new X-ray machine is expected to function within 2 weeks.

Action point

WHO is resolving reported delays in the delivery of construction materials for the rehabilitation of Elddain Hospital, after 75% of the activities have been completed.

WHO is looking into the possibility of supporting the laboratory services in the outpatient department of the Nyala Teaching Hospital after the NGO AMDA will leave in September 2005. WHO's support will be focusing on the provision of reagents, consumables and equipment, as well as on training.

Communicable disease control and surveillance & outbreak response

North Darfur

Acute jaundice syndrome

A decreased number of acute jaundice syndrome cases has been reported.

Bloody Diarrhoea

The weekly attack rate of bloody diarrhoea cases decreased from 11.9 to 10.6 per 10,000.

Meningitis

Two cases of suspected meningitis were reported from Abu Shoak and from El Fasher town. The significant decrease in meningitis cases is consistent with the start of the rainy season.

Action point

WHO is following up on the samples of suspected meningitis that have been sent for laboratory verification to the National Public Health Laboratory in Khartoum.

Case investigation into one suspected death of Acute flaccid paralysis (AFP) will be carried out promptly.

West Darfur

Severe Malnutrition

A Food Security Assessment was conducted by OCHA, UNICEF, WHO, WFP, the State Ministry of Health (SMoH) and the NGOs SC-US and Medair to verify an increased number of cases of severe malnutrition in Saraf Jedad in Serba. Conclusions were that communities in Saraf Jedad have not received General Food Distribution (GFD) and have developed coping mechanism that may not be sufficient to cover food needs for the entire population, such as own food production and the eating of wild plants called Abusabi.

Action point

WHO and SMoH in collaboration with all health partners are working together to improve the collection of data to be reported on a weekly basis through the Early Warning Response and Surveillance (EWARS) system.

An outbreak investigation will be carried out to verify an increased number of bloody diarrhoea cases from Fur Baranga and Jemaza Babker.

WHO will follow up on the plans to establish a monitoring and evaluation tool for the weekly health coordination meetings.

South Darfur

Bloody Diarrhoea

A significant decrease in weekly attack rate of bloody diarrhoea cases was reported: from 22.2 to 15.2 cases per 10,000 this week. However, 49% of all cases come from Kalma IDP camp.

Measles

Two cases of measles were reported from El Seref Camp.

Neonatal Tetanus

A suspected death of neonatal tetanus in the Nyala Hospital was investigated; the mother was reportedly unvaccinated against tetanus.

Action point

WHO is following up on laboratory confirmation of one suspected case of Acute flaccid paralysis (AFP) in Kalma IDP camp. Improved access to primary health care and environmental health

North Darfur

Access to Primary Health Care

WHO and UNICEF in coordination with SMoH are assessing and providing the drugs/supplies to the health facilities that are implementing Integrated Management of Childhood Illness (IMCI) in the major IDP camps and in El Fasher town.

Action point

WHO and the Federal Ministry of Health (FMoH) and SMoH are preparing a follow up program for the 42 medical assistants who were trained in last month.

WHO and UNFPA together with SMoH are preparing a training program on 'Clinical Management of Rape Survivors' for 50 health professionals (doctors, medical assistants and midwives) who work in IDP camps. The training curriculum and materials are based on the WHO's manual.

Environmental health

UNICEF has provided SMoH with 1,500 litres of ancothrin for residual spraying in IDP camps.

West Darfur

Environmental health

Conclusions of an environmental health assessment in Kerenik are that water quantities are sufficient to meet the needs of the community. However, besides the daily chlorine testing, there is further need for sanitary inspection, maintenance, and additional chlorination activities.

An environmental health assessment done in Umtajok found that the available water sources do not provide the population with sufficient quantity of drinking water. Training on chlorination, the testing of residual chlorine and sanitary inspection is needed.

Recommendations from the interagency mission to Saraf Jedad are related to the provision of sufficient latrines as well as to their appropriate use.

Action point

WHO is following up on the recommendations made in the environmental health assessments in Kerenik, Umtajok and Saraf Jedad.

South Darfur

Access to Primary Health Care

WHO, UNICEF and SMoH are supporting IMCI implementing health facilities with drugs and supplies in Kalma, Otash and Derig IDP camps and Nyala town.

Action point

WHO and FMoH/SMoH are preparing a follow up program for the 32 medical assistants trained in IMCI.

Environmental health

Action point

WHO is programming the recommendations resulting from a Vector-control Survey, such as the enhancement of hygiene promotion among IDPs; launching of regular waste management campaigns; and the application of insecticides and larvicides in household pit latrines.

WHO and CARE are preparing to launch a 3rd round application of Deltamethrin to control mosquitoes in Kalma IDP camp.

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