Health and Nutrition highlights – October 2019

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Key updates & activities

A joint monitoring mission was conducted in October by the Public health section of UNHCR and partners and other UN agencies such as UNICEF, WHO, WFP, UNFPA also participated in it. All refugee settlements were visited and a one days meeting was held in Hoima to share the findings and ways forward.

ECHO, with support from UNHCR, WFP, UNICEF, partners and Lamwo DLG went on a nutrition field mission in Palabek and Adjumani from the 23rd to the 25th October. The objective of the mission was to observe delivery of health services in both settlements, with major focus on the nutrition situation in Palabek refugee settlement. Mission included visits to Lokung Reception Center, Padibe HCIV, and Palabek refugee settlement (Paluda HCIII and static community outreaches). Before the mission, a stakeholder meeting was held on 22/Oct/2019 with ECHO, Ministry of Health, partners, and UN agencies.

UNHCR and WFP health and nutrition partners, and the Ministry of Health (MoH) participated in a training on Infant and Young Child Feeding (IYCF) in emergencies from 28th Oct to 1st Nov 2019. The training is part of our annual work plan to strengthen capacity of our partners through refresher trainings, mentorships and couching etc. The training implemented by MoH with support from UNICEF.

24th October 2019 Participated in the National level Reproductive Health Coordination meeting held at and UNFPA offices where partners (implementing and operating) providing Reproductive health services in the settlement met to share challenges, best practices, lessons learnt and recommendations for implementation of Family planning Services. A monthly coordination meeting was held for the month of October 2019 and this was chaired by Ministry of health and UNHCR.

Measles Rubella campaign was conducted nationwide and all refugee settlements were reached and a total of 523,017 children were vaccinated against measles with a coverage of 100% and 187063 against polio with a coverage of 91%. The under achievement was due to inadequate supply of vaccines in some settlements like Oruchinga and Palabek.

Health service delivery

• A total of 257,938 consultations were made in all the refugee serving health facilities in the refugee settlements in Uganda compared to 272,865 in September 2019. 81% of the consultations were Refugees and 19% were the host populations. Top morbidity causes were Malaria at 43.3%, skin diseases at 6.9%, watery diarrhoea at 4%, URTI at 12.6%, LRTI at 8.3%, and intestinal worms at 2%.

▪ 10,545 admissions were made in October compared to 12,824 in September in the patient wards in the health clinics of which 68% were refugees and 32% were the host population

▪ 42,891 (72% Refugees) children under 5 years were vaccinated against measles and 4,536 (75% Refugees) completed the polio vaccination in the routine Expanded Programme Immunization

▪ A total of 4,277 deliveries were registered in October compared to 3,694 in September of which 65% were refugees and 35% were nationals

• 14,320 people were tested for HIV of which 67% were refugees and 33% host population. All those who tested positive for HIV were enrolled into HIV care and treatment. The total number of patients on ART by end of October stood at 15822 of which (36%) are refugees and (64%) are host population.