Health and Nutrition cluster meeting minutes
Venue: PHD Hall Date: 5th Dec.2017 Time: 10:30 Chaired by: Dr. Ibrahim Tofiq Baban/ DOH Focal Point for Humanitarian Programs Co-chair: Dr. Najmaddin Ahmed/ Public Health Officer/ WHO Iraq- Sulaymaniyah Hub Minutes: Dr. Saya Mustafa, Polio Eradication Officer, WHO Iraq- Sulaymaniyah Hub
Attendees: # Name Agency Email address 1 Dr. Adil Othman DOH [email protected] 2 Dr. Rizgar Ali PHD-DOH [email protected] 3 Dr. Heshu M. Sa’ed PHD-DOH [email protected] 4 Dr. Ibrahim Tofiq PHD-DOH [email protected] 5 Dr. Rozhgar Saleem PHD-DOH [email protected] 6 Dr. Awaz Kamal Maulud PHD-DOH [email protected] 7 Ibrahim Ahmed PHD-DOH [email protected] 8 Kamil Ahmad Hama DOH Raparin [email protected] 9 Soran Abdulla DOH Garmian [email protected] 10 Awat M Babakr DOH [email protected] 11 Mohammed S. Hassan DOH [email protected] 12 Dr. Najmaddin H. Ahmad WHO [email protected] 13 Dr. Saya Mustafa WHO [email protected] 14 Karzan Rafiq UNICEF [email protected] 15 Lavin Dhyaalddin PWJ [email protected] 16 Dr. Hersh Raof KSC [email protected] 17 Safia Wasfi Archenova [email protected] 18 Megan Mckinley SP [email protected] 19 Antonio Nicolini EMERGENCY [email protected] 20 Vesna Nestorovic EMERGENCY [email protected] 21 Rebecca Gaspari EMERGENCY [email protected] 22 Dr. Ayman Ibrahim IOM [email protected] 23 Dr. Nabaz Mirani DAMA [email protected] 24 Aryan Hamawande UNAMI [email protected] 25 Chiman Salih Saeid JCCC [email protected] 26 Naz Hoshiyar UNFPA [email protected] 27 Rebaz Noori WVI [email protected] 28 Goran Qaradaghi WVI [email protected]
1
Health and Nutrition cluster meeting minutes
Meeting agenda: 1- Introduction of partners and endorsement of previous meeting minutes. 2- Review of Last meeting’s action points. 3- Updates by Directorate of Preventive Health of Sulaymaniyah. 4- Cluster members’ updates on response to the earthquake of 12th Nov. 5- Cluster members’ updates on response to IDPs from Kirkuk and Duzkhurmatu. 6- Annual review & DOH plans for next year. 7- AOB.
1- Introduction of partners and endorsement of previous meeting minutes. The meeting was started by introduction of attendants. The last meeting minutes reviewed and endorsed.
2- Review of Last meeting’s action points. Previous meeting’s action points status
DOH to provide Surdash camp manager with an official letter Still Pending to prevent distribution of bottle milk for children in the camp.
DOH to liaise with war zone medical team to provide an Still Pending ambulance to Shahid Hameed PHCC in Darbandikhan.
DoH to follow up possibility of identifying a small room for RH Done service in new location in Darbandikhan.
DOH to coordinate with DAMA to provide vaccination service Done in Zenana PHCC.
Arrange a meeting with IOM, WVI, DOH and WHO to clarify Still Pending (waiting for IOM decision) health service providing in Barzinjah in favor of avoiding duplication of services.
DOH to check damages resulted by the earthquake in Shahid Amjad Haji Ghali PHCC in Sirwan sub-district. Not shared yet
2
Health and Nutrition cluster meeting minutes
3- Updates by Directorate of Preventive Health of Sulaymaniyah: PHD manager updated the cluster members about: Head lice among Primary School students:
The school health screening programs implemented by preventive health directorate with support of PWJ in both Arbat refugee and IDPs schools for the period of 23rd October – 15th November detected increasing number of pupils with pediculosis (hair lice) as follows:
NO. of affected Anti-lice Name of Total No. of Basic school students with head Shampoo the Camp students lice used
Surdash Surdash 100 100
Arbat Ammoda 500 50 50
Arbat Bekhood 500 50 50
Arbat Arbat 500 40 40
Ashti Rasul 500 Still under screening
Ashti Btool 500 Still under screening
Ashti Ashti 500 Still under screening
Ashti Mujtaba 500 Still under screening
- School Health teams currently has completed only four basic schools of IDPs and refugees (and only the first class), the rest of the classes and basic schools for IDPs and Refugees will be completed during the upcoming months - Currently the stock of the Directorate of Preventive Health for Anti lice Shampoo is 500 shampoo the are recently and thankfully supplied by UNICEF, while more cases of head lice is expected to be diagnosed during upcoming days and months - There are 250 basic schools and kindergartens inside Sulaymaniyah. During the reporting period from 23/10/2017 to 15/11/2017 (23 days) the school Health Teams has visited 15 basic schools and 3286 cases of head lice was diagnosed among these students and accordingly 3286 Anti-lice shampoo was given to them. - During the upcoming months the school health team will continue to screen the rest of 235 basic schools and kindergartens to complete the activity.
Water quality monitoring and Disease Surveillance projects: PHD manager announced that WHO support for these two crucial projects is about to be ended, DOH is requesting WHO to start with extending the support for these two programs for the first four months of 2018 because Water quality monitoring and Disease surveillance played an important and crucial role for prevention of
3
Health and Nutrition cluster meeting minutes cholera and other diarrheal diseases during 2017 among IDPs, Refugees and host community and through continuous monitoring of water supply; safe water has been ensured for IDPs, Refugees and host community.
PHD received complaints regarding water contamination in Bestan-sur area and Darbandikhan district. Water quality monitoring teams would take necessary action to test the water sources in Bestan-sur while the water from Darbandikhan has been already tested and found to be safe for drinking.
EMERGENCY organization is concerned about providing cholera kit by WHO as preparation for response to cholera outbreak. EMERGENCY organization has already prepared cholera treatment unit in PHCCs run by them to treat cases in first 24 hour in the camp and referral system is established (to be referred to the Medical emergency hospital in Sulaymaniyah). ------
4- Cluster members’ updates on response to the earthquake of 12th Nov. and 5- Cluster members’ updates on response to IDPs from Kirkuk and Duzkhurmatu: DOH mobile medical teams (war zone teams) is providing basic health and X-ray services in Darbandikhan district in response to the earthquake, since their start; they referred 32 cases to Sulaymaniyah. DOH mobile medical teams also available 24/7 in Surdash and Barzinjah IDPs camps to facilitate referrals from camps to other health facilities. In November, about 136 cases have been referred from mentioned camps and Darbandikhan district and about 50 anti-lice shampoo have been provided by DOH mobile teams. KSC supported two surgical operations for two children in Arbat refugee camp. Children and teenagers less than 16 years old can be referred to KSC if in need of health services beyond families’ capacity. KSC medical team with one pediatrician provided health service and medication in Surdash camp and can serve more if needed. EMERGENCY organization has contacted new IDPs families from Kirkuk and Tuzkhurmatu in Tazade IDPs camp, new arrivals have received health card, vaccination and chronic illness care have been covered within the first week of arrival and all service coverage have been ensured. DAMA in coordination with DOH is running a PHC in Zenana with catchment population of about 12,000 individual (9000 IDPs & 3000 host community) for three months with possibility of extension according to donor supply. Health cards for cases with chronic illness is provided but people are frequently moving leading to continuous change of figure and this issue is discussed with DOH in favor of finding a solution. Lack of medication is another challenge, medication has been provided from Erbil to cover three months. In coordination with DOH; DAMA is planning to provide vaccination service in Zenana PHC in coordination with DOH garmian, but there is a need of caravan for such purpose. WVI has provided medical services through their mobile team for three days in Darbandikhan in November with total consultation of 240, the mobile team can provide services in places elsewhere if requested. WVI is also providing basic health service in Barzinjah IDPs camp’s clinic, if IOM is willing to run the clinic in Barzinja camp, they can handover them the clinic and go to serve another place if requested.
4
Health and Nutrition cluster meeting minutes
IOM mobile medical team is providing health services in Warmawa sub-district in Sharazur 2 days/ week and in Sangaw sub-district in Chamchamal one day/week. IOM also provided instruments to Darbandikhan health facilities. RH services: RH medications (including oxytocin) provided by UNFPA were delivered to Darbandikhan and Halabja districts. RH kit-4 (contraceptive kit) delivered to Surdash camp clinic, currently one gynecologist and 2 staffs are available in RH unit in Surdash camp and on job training are proposed to the staffs. The gynecologist is asking for reusable equipment and sterilization methods to be able to put IIDs. The mobile RH clinic provided by UNFPA remained non-functional in Darbabdikhan, that is why it is decided to be returned to Garmiyan area to serve IDPs of Duzkhurmatu. Samaritan’s purse (SP): SP’s community center in Shorish sub-district in Chamchamal is continuing providing health services in terms of reproductive health and dental care, while the GP service will be stopped by the start of new year. Health education activities are planned to cover whole Shorish community and education sector in the same area in coordination with DoE.
------
5- Annual review & DOH plans for next year: Annual review similar to what was done in January 2017, a presentation of achievements in 2017 and plan for 2018 with DOH, NGOs and agencies were suggested in order to identify gaps and avoid duplications of services. ------
6- AOB: Maternity hospital of Rania: WHO has circulated BOQ received from JCC FP of Raparin which was for Maternity and pediatrics hospital in Rania costing $72,000, this hospital serves IDPs and refugees with host community in the area and is affected by both earthquakes in 15th August and 12thNovember. Handover of Arbat camps’ clinics: EMERGENCY organization mentioned that both Arbat refugee and IDPs camps’ PHCCs will be officially handed over by the end of the year keeping only preventive services. The Arbat refugee camp PHC will be handed over to DOH supported by UNHCR, while for Arbat IDPs camp, it is not clear who is going to support. From 2018, EMERGENCY will only run Ashti and Tazade IDPs camps’ clinics. Service mapping: a service mapping for 2018 is requested from all cluster members. DOH mobile medical teams (war zone teams) are volunteers responding to humanitarian needs during crisis and worked hardly to reach needs of IDPs with local community suffering from the earthquake consequences. In order to extend their activities DOH mobile teams are in need of support from agencies and NGOs in terms of incentives.
Health gaps in Tazade camp: - Mental health gap in Tazade camp: during Garmian coordination and inter agency meeting, mental health gap in Tazade camp is highlighted especially after the influx of new IDPs from Tuzkhurmatu, EMERGENCY organization updated health cluster that a team from DHRD local NGO is currently supporting MHPSS service in mentioned camp.
5
Health and Nutrition cluster meeting minutes
- Midwife: Only one midwife is present in Tazade camp, a candidate is available to be recruited. Charmu PHC: Complaints been raised that Charmu PHC in Chamchamal is not receiving IDPs patients, DOH followed up the issue and found that the PHC is overcrowded, and the problem raised due to shortage in medical personnel and language barrier. WVI clinics in Raniya, Qaladze and Dukan have been handed over. Currently WVI is working in Anfalakan and Takiya. Garmian health issues: The operation theater in Garmian is not fully functioning due to payment issues to medical staffs. Support from NGOs is requested by DOH Garmian. DOH Garmian is also facing lack of medications. Salahaddin governor is expected to visit Sulaymaniyah camps to meet IDPs.
Action points:
# Action points Who When
1. Availability of anti-TB drugs beside DOH to be ASAP DOH/WHO checked. Sharing BOQ of renovation of Rania maternity 2. ASAP and pediatrics hospital with possible WHO supporting agencies.
3. Circulate service mapping template with WHO ASAP cluster members to be filled.
4. DOH to share a proposal to support DOH Mr. Awat M. Babakr/ Next meeting medical mobile teams (war zone teams). DOH MMT
5. DOH MMT (WZT) to share their activities with Mr. Mohammed S. Next meeting health cluster by a presentation. Hassan/ DOH MMT
Garmian DG of Health to be communicated for 6. Mr. Soran Abdulla/ the need of caravan for vaccination service in ASAP Garmian FP Zenana PHC
7. RH mobile clinic to be relocated from UNFPA ASAP Darbandikhan to Nawjul area.
Note: Next Health Cluster Meeting is scheduled for December 19th 2017.
6