Minutes Meeting Health Cluster Wednesday 24 May 2017, Duhok

Participants:

DoH Duhok IMC STLI DoH Ninewa Shingal Azad MSF-Swiss UNHCR PUI MEDAIR WHO MdM PWJ WFP UNFPA ICRC STEP IN Capni IOM Heevie Organization Malteser International GIZ UNDP Dorcas Elise Care BRHA

DoH Ninewa: Dr. Laith: The bridge in is repaired. In the old city of Mosul 200.000 are trapped. Expectation is that they will need a lot of services. TSP is needed near the bridge. There is a need to create a plan how to regulate the flow of IDPs o camps. This bridge can be used for the transferring displeased people to Duhok’s area because as he said may there will be displeased people or patients if the liberation starts from all the cities, the nearest hospital (Al- Khansaa) only have 150 beds and it’s not enough, so we have to prepare to increase the capacity of the in- patients and to establish a TSP near the bridge. The Mosul DG’s requests is that there is only 14 beds in Al- Khansaa hospital so we want to increase the capacity of ICU by the help of the partners. Regarding PHCs we need sonar and ECGs Machines, also we have a shortage of X- Ray films and syringe.

Dr. Laith is explaining that the letter of the minister of Health in Bagdag regarding the recall of staff is being discussed with the deputy of MoH Bagdad. The content of the letter is not implemented at this moment by DoH Ninewa

DoH Duhok: Dr. Nezar is explaining different kind of scenarios for the influx of IDPs to possibly Nargazlia (Duhok), Hassan Sham () and Hammam Ali (Mosul). A request to BRHA is made to provide more information about the possibilities receiving IDPs to camps in Duhok.

Cholera committee will be activated. It is chaired by the governor office. All partners active in cholera prevention and control can participate. DoH Ninewa is also welcome to attend. The committee is for early detection and prevention of infectious diseases.

Clarification from DoH Ninewa requested regarding the recall of DoH Ninewa staff. This will create problems in Duhok and with partners.

There are problems ensuring the incentives of ambulance drivers in IDP camps. More support is requested from partners. If support is not founded then emergency referral can be a problem.

DoH Duhok is asking partners to find more support in continuing and expanding their activities in Duhok in camps and non-camps related health facilities.

OCHA: There is no explanation at this moment why people are going to Hammam Ali. Different information is been received. One of the reason is that people are not receiving proper information about the capacity for hosting IDPs in . This is one of the reasons that IDPs in certain areas are moving to Hammam Ali

WHO: Lot of support is needed for Ninewa. Collaboration with DoH Duhok is good. There are 3 field hospitals in Ninewa. A 4th field hospital is been discussed with DOH Ninewa to be established. Countrywide there is lack of medication. The Humanitarian response plan only received 22 percent of the amount that is request. More support is requested and needed.

WFP: For Distribution of food in Domiz 1 & 2, World Vision has finished the batch distribution for May. World Vision will finish today the distribution in Duhok and . The Food distribution in Nargazlia and Qaymawa are ongoing. Cash distribution for IDPs and refugees are finished in Akre. 22 camps and 45 districts are supported this month by WFP. WFP is continuing their activities. There is no 50% reduction in activities as mentioned in the previous cluster.

Preventive Health Department Duhok (PHD): About 2403 children under 5 are vaccinated in three days as an emergency campaign in the reception center and Nargazlia camp. Funds are available for activities in the camps in Ninewa. The problem is with not finding enough human resources. A spraying campaign is started in Rabeea and Zummar. There is also a discussion with Mentor Initiative to support the treatment of Leismaniasis. Request to DoH Ninewa to support the DoH Ninewa vaccination teams more.

There are reports from 76 sites Ninewa and Duhok Governorate. Measles are more reported in Makhmor and Gayara. In Duhok there are only a few alerts. There is an increase in acute diarree in Makhmor and Gayara. In Al-Hamdanya, Telkaif and there is also an increase of acute diarree in the last weeks. In Duhok, Bardarash and Shekhan the same observation is been made. Acute diarree reportings in Duhok needs further investigation (Shekhan).

There are no reports of suspected cases of Cholera in whole . There is an increase in diarree. In the cases are doubled. Actions are taking. There is a cholera preparedness plan. Each 2-4 years there is an outbreak in Iraq. There is not enough information regarding Cholera in Ninewa. The situation is alarming. People are making wells in the backyard. There is a lack of drink water in some areas. In Mosul the risk is high. We should expect it because it is endemic in Iraq. From Salahadin governorate there is also no data.

Regarding Leismaniasis there is a 20 day vector control activity in 30 villages and 3 town supported by WHO with technical support of DoH Duhok. Most of the cases are in Makhmor.

DORCAS: Ongoing activities. Dorcas is requesting the PHD to share which villages are vaccinated and which not and if PHD can provide support.

List of villages vaccinated according PHD in collaboration with DoH Ninewa: Aby Wajina Ein Hilwa Ahtahtani Jisah Tel Mark Ahtahtani Msifnh Ein Hilwa Fawkani Salimih Fiqirok Tayibh Ariyah Ein Ajehisha Tel Reem Alsonh Sahil Hamad Khter Maco Shikah Kahraz

WHO: The support for the referral services for 10 teams of 122 was ongoing for 3 months till the 15 of this month (May). For Heevie Organization the support for the mobile medical clinic and community health houses is ongoing. The activities of the MMT at Nargazlia RC are ongoing. The support for the secondary services at Azadi & Emergency hospitals are contentious. Vaccination programs support by WHO is ongoing. As well as the support for leishmaniasis. The support for the intensive care unit at the maternity hospital with collaboration of both AISPO and DoH Duhok is ongoing.

CAPNI: No updates.

UNFPA: Ongoing support for services in 3 refugees and 15 IDPs camps until the end of this year. UNFA is also continuing their support for the emergency RH mobile teams.

MDM: Activities are ongoing.

PUI: No updates. PUI is planning to do assessments in Mosul.

Shingala Azad: They finished a water well. They will also start a establishing two new ones. Their water cleaning project is until the end of this month.

IMC: 2 MMT activities in Baybought are ongoing. Regarding Kaberto 1 and 2 camps IMC is discussion with GIZ to ensure funding to continue their activities.

Elise Care: Activities in Darkar camp are ongoing. This week they will have their 4th acupuncture training. The are supporting the ambulance drivers from February this year. For providing RH services UNFPA has successfully equipped Darkar. The only problem is with human resources.

UNDP: Has provided an X- Ray machine for Shekhan T.B center last week, but there is no medical staff. DoH Ninewa is requested to provide staff. Planning to rehabilitate and providing medical equipment to PHCs in Ninawa as well as in Hamdanya, Bashiq, Ali- Rash, and in Sinjar. UNDP has provided both Sinooni, and Zummar hospital with second batch of medical equipment.

Heevie Organization: Heevie is starting a project to support Duhok center for rheumatologic diseases and medical rehabilitation. The support of Community Health Houses and mobile medical clinics by WHO & DoH Duhok is continuous. Heevie is running the Health clinic in both Sharya and MamRashan camps. The issue of shortage of medication in both camps has been solved by the support of GIZ till the end of this month. The support of Hudhaima PHC near Mosul dam is ongoing. The project of registration and treatment of patients with congestive Heart diseases is ongoing. Heevie takes the opportunity of supporting 3 PHCs in the liberated area in Zummar near Mosul dam.

STEP- IN: Activities are ongoing in Dawodya’s camp. STEP- IN has registries 1100 people. And there are 3 doctors working. The laboratory is working (general blood examination, pregnancy, and other tests are done). Regarding nutrition, vaccination and emergency services the support is continuous from DOH. For now, we are waiting DoH to confirm a training program for staff on nutrition. Step In is also providing health care services at Amedy Villages through mobile clinics. STEP- IN is planning to establish a new clinic in ’s village.

IOM: Ongoing support in Nargazlia, Shekhan, and Rabeaa. In Nargazlia IOM extended the working hours to 24 hours covering through 3 shifts including doctors, nurses, and ambulances. In the morning 3 days a week, the dentists and laboratory unites are available. IOM is supporting the ambulance drivers. Regarding the T.B program IOM supports the national T.B program through transportation, and diagnosis and providing the full package. In this month IOM has conducted 2 trainings of T.B provided by Dr. Abdulrahman.

MEDAIR: Ongoing activities in Musul and Sinjar area.

PWJ: School health programs activities for 2016-2017 are finished in Shekhan, and Qadya’s camps for IDPs and refugees. 4900 students received services, 2580 students received dental treatment, 818 students received glasses as well as 170 teachers, and 2769 students received dermatological treatment. This is done in collaboration with dr. Noradeen of the Zanin School Health Center.

GIZ: Ongoing support to DoH Duhok . Other activities are ongoing.

MSF-CH: For Domiz, Zummar, and Telmark activities are continuous.

Next Health Cluster Meeting will be on Wednesday, 21 Jun 2017.