HEALTH SECTOR FIELD DIRECTORY

Republic of Chechnya Republic of Ingushetia Russian Federation

June 2004

World Health Organization Nazran, Republic of Ingushetia

TABLE OF CONTENTS

ORGANIZATION

1. Agency for Rehabilitation and Development (ARD/Denal) 2. CARE Canada 3. Centre for Peacemaking and Community Development (CPCD) 4. Danish Refugee Council/Danish Peoples Aid (DRC/DPA) 5. Hammer FOrum e. V. 6. Handicap International 7. International Committee of the Red Cross (ICRC) 8. International Humanitarian Initiative (IHI) 9. International Medical Corps (IMC) 10. Islamic Relief (IR) 11. International Rescue Committee (IRC) 12. Medecins du Monde (MDM) 13. Medecins Sans Frontieres – Belgium (MSF-B) 14. Error! Reference source not found. 15. Medecins Sans Frontieres - Holland (MSF-H) 16. Medecins Sans Frontieres - Switzerland (MSF-CH) 17. Memorial 18. People in Need (PIN) 19. Polish Humanitarian Organisation (PHO) 20. Save the Generation 21. SERLO 22. UNICEF 23. World Vision 24. World Health Organization (WHO)

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Agency for Rehabilitation and Development (ARD/Denal)

Sector: Health; Food; Non-Food Items; Education Location: Chechnya and Ingushetia Objectives: To render psychosocial support to people affected by the conflict; to provide specialised medical services for women and medical aid for the IDP population; to support education and recreational activities; to supply supplementary food products to vulnerable IDP categories with specific nutritional needs; to provide basic hygienic items and clothes for new-born; to help the IDP community to establish a support system for its members making use of available resources. Beneficiaries: IDP children, youth, women and men in Ingushetia and residents in Chechnya Partners: UNICEF, SDC/SHA

CONTACT INFORMATION: INGUSHETIA Moscow Karabulak, Evdoshenko St. 56 Mrs. Luba Archakova, Programme Director Mrs. Zulikan Nikaeva, Co-ordinator of Psychological Project Tel: (8734) 44 42 90; 44 49 97 E-mail: [email protected]

PROGRAMME ACTIVITY:

ARD/DENAL is engaged in medical, psychosocial and educational programmes in 24 spontaneous settlements of Ingushetia and 8 mountainous locations in Chechnya. ARD/DENAL is largely involved into community work, mine awareness education and protection of IDP rights and interests. As such, larger degree of emphasis and focus are put on ARD maintained number of tents hosting schools, sport activities, IDP information and psychological medical support centres.

After closure of “Sputnik” camp ARD moved its health post’ gynaecological services to the remaining “Satsita” IDP tent camp. It also operates one mobile medical unit (1 general physician, 1 paediatrician and 1 nurse) in selected settlements of Sunzha and Nazran districts in Ingushetia (see Table N1).

ARD/DENAL counsellors provide daily psychological assistance along with the medical aid in 8 rural areas of Chechnya. Organised group work with children and their parents, teachers take place.

ARD/DENAL hospital counsellor works with wounded patients of city hospital N9 (Grozny) assisting with psychological help, provision of required drug and referral, if required, to out-of-town treatment.

The organisation plans to phase out of Chechnya and concentrate on implementation of more psychosocial and educational projects for Chechen IDPs in Ingushetia. ARD/Denal has a team of 76 people, including 2 doctors, 32 teachers and 23 counsellors.

There are 14 people working in psychotherapy. Staff practices home visits. There are 32 project groups, each consisting on average of 12 people with on place follow up mechanisms.

3 LOCATIONS:

• Health post – 1 in “Satsita” IDP camp (Gynaecology) • Mobile Medical Unit (MMU)– 1 (Physician, Paediatrician, Nurse) (see Table N1) • Psychosocial Rehabilitation Centre – 12 (6 in Ingushetia and 8 in Chechnya) (See Table N2)

Table N1 Location (Sleptsovskaya) Location (Karabulak) MRO ZhBI RPK Kar’er Ingushhimservice Promzhibaza Detsky dom Neftebaza MTF-4 and “Rassvet” Burploshadka Oksanov garage Souyzgaz Konservny zavod MTF-1 Location (Troitskaya) MTF-1 and “Saturn” Stroiuchastok MTF-2 Yandare STF Barsuku Torgovi Dom Plievo

Table N2 Area covered by ARD Rehabilitation Centres Ingushetia Chechnya 1. Promzhilbasa (Karabulak) 1. Shali 2. MTF-1 (Karabulak) 2. Shatoi 3. Kar’er (Karabulak) 3. Serzhen-Yurt 4. Ingushhimservice 4. Chechen Aul 5. Duba-Yurt 6. Elistanzhi 7. Tevzanai 8. Khattuni

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CARE Canada

Sector: Health and Psychosocial Location: Chechnya and Ingushetia Objectives: To provide community-based psychosocial support to vulnerable groups, to enhance their psychosocial well being. Beneficiaries: Children, Youth and Adults Partners: BPRM, UNICEF, ECHO, Ministry of Education (MoE)

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Kunaev street 38 Moscow, Krasina street 24/1/19 Ms. Christiane Tremblay, Country Representative Ms. Nadezhda Figurina, Ms. Christine Ash, Program Coordinator Administrative Office

Tel/Fax: (8732) 22 16 60 Tel/Fax: (095) 254 59 96 Email: [email protected]; [email protected] Email: [email protected]

PROGRAMME ACTIVITY:

Since October 2000, CARE has been implementing projects in the psychosocial arena and is an implementing partner of UNICEF, Bureau of Population, Refugees and Migration (BPRM) and the European Commission Humanitarian Aid Office (ECHO).

CARE’s specific programming strategy in the North Caucasus focuses on community mobilisation and local capacity building in the psychosocial arena. Projects include vocational and adult learning programmes, pro-social promotion, small income generation support, and life skills training. It is expected that this approach will strengthen local people’s own resources for their return to Chechnya in the reconstruction and peace-building phase. ƒ Opportunities for youth to resume or complete their education. ƒ Increase the employability and self-sufficiency of youth who chose not to return to formal education. ƒ Enhance the capacity of youth to plan for more satisfying and productive futures within their society. ƒ Promote youth leadership and community participation through life skills education and structured social activities. ƒ 35,000 IDPs based in six locations

Mental health and educational professionals using their experience and skills can render qualified assistance in reducing negative stress reactions in children through a community- based approach to intervention with severely traumatized children, which builds on family strengths and community involvement.

LOCATIONS:

• Psychosocial Rehabilitation Centre: MTF – Ingushetia and Grozny (see Table 1)

Table N1 Area covered by CARE Canada Ingushetia Chechnya 1. MTF (Karabulak) 1. TAC Michurin street 11

5 2. Aki-Yurt 2. TAC Ponyatkova street 11 3. TAC Mayakovskogo 119 4. TAC Mayakovskogo street 140 5. Children’s Centre (Library for Blind People) 6. School in Pervomaiskaya village 7. Technical College #2 (vocational training) 8. Medical College (vocational training)

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Centre for Peacemaking and Community Development (CPCD)

Sector: Food; Health; Education; Mine Action Location: Chechnya, Ingushetia, North Ossetia, Dagestan, Karachai-Cherkessia and Kabardino-Balkaria Objectives: To address food needs of displaced and vulnerable people; to provide psychosocial support to war-affected children; to support education and training and the rehabilitation of schools; to help build local capacities for conflict resolution and peacebuilding in the North Caucasus; to provide gynaecological, psychosocial and complementary medical assistance to displaced women; to raise awareness among young people of the dangers of landmines and UXO, drugs and alcohol. Beneficiaries: Displaced and local populations; vulnerable individuals and groups Partners: UNICEF, WFP, WarChild Netherlands

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Tenistaya street 66 Suschevskaya ul. 8/12, office 515 127030 Moscow Ms. Sophia Pugsley, Programme Co-ordinator Ms. Marina Baisangurova, Administrator Adlan Adaev, Executive Director Tel/Fax: (8732) 22-62-12 Tel: (095) 775 48 67 E-mail: [email protected]; [email protected] Fax: (095) 775 48 66 E-mail: [email protected]

PROGRAMME ACTIVITY:

CPCD was founded in 1995 in response to the needs of suffering civilians during the 1994-1996 Chechen war. CPCD now works in Chechnya, Ingushetia and across the North Caucasus. Programmes include psychosocial assistance to traumatised children in Chechnya and Ingushetia via “Little Star” centres, provision of gynaecological and psychosocial help to pregnant IDPs in Malgobek, an education programme in IDP camps in Ingushetia, reconstruction/repair of war-damaged schools in Chechnya, distribution of humanitarian aid, a vocational training programme for IDP youth, mines awareness and conflict resolution initiatives across the North Caucasus.

The psychosocial rehabilitation centre ‘Little Star’ carries out group work and individual consultations with young people aged 7-23 affected by the war in Chechnya. Sixty counsellors work at thirty locations: five in IDP camps in Ingushetia, seventeen in Grozny and eight elsewhere in Chechnya. On average, each point targets 20 children (divided in two groups) over two months, totalling around 600 children every two months.

CPCD conducts training sessions for Little Star staff and also organises a retreat outside the North Caucasus region every year. The Little Star co-ordination group conducts monthly internal seminars for the Little Star counsellors themselves and for teachers in Chechnya and Ingushetia.

The Women’s Support Centre in Malgobek, established in November 2002, has a gynaecologist, two nurses, a social services consultant, a psychologist, a masseuse and a nanny. The women coming to the centre receive gynaecological treatment, basic medication, hygienic kits and psychosocial assistance. They are also given an opportunity to gain theoretical and practical

7 knowledge on how to keep themselves and their children in good health. Other fields of activity are social services consultations, massages and raising awareness on HIV/AIDS.

LOCATIONS:

• Health Post - Women’s Support Centre - in Malgobek, (ulitsa Gogolya, 32/38) • Psychosocial Rehabilitation Centre – in Ingushetia and Chechnya (see Table N1)

Table N1 Area covered by Little Star points Ingushetia Chechnya 1. Rassvet – 2 points 1. Sernovodsk, school N1 2. Yandare, Farm – school “Omega” 2. Urus-Martan, school 2 and 3 3. Slepstovskaya – school “Omega” 3. Alpatovo, school 4. Satsita – 2 points 4. Komsomolskoye, school 5. Alkhan-Yurt, school N1 6. Valerik, schools N1 and N2 7. Grozny: Schools NN 11, 33, 56, 49, 60, 15, 50, 57, 39, 8, 1, 47, 41, 9 TAC, Mozdokskaya street Orgtekhnika Chechen State University

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Danish Refugee Council/Danish Peoples Aid (DRC/DPA)

Sector: Protection; Food; Shelter; Non-Food Items; Mine Action; Economic Recovery. Location: Chechnya, Dagestan, Ingushetia, Kabardino-Balkaria, Karachaevo- Cherkessia, Krasnodar Kray, North Ossetia, and Stavropol Kray Objectives: To assist in the establishment of durable solutions to the problems of refugees and IDPs in the region through humanitarian assistance; to protect the conflict-affected population in the region; to integrate former refugees and IDPs wishing to settle permanently in areas other than those of their habitual residence, mainly in Ingushetia, North Ossetia and Dagestan; to reintegrate returnees in Chechnya from outside of the republic and from other areas within the republic into areas of previous residence; to enhance peaceful interethnic coexistence in areas otherwise marked by ethnic conflict and tension Beneficiaries: IDPs, refugees, and vulnerable local population Partners: UNHCR, UNICEF, OCHA, WFP, ECHO, governments of Denmark, Norway, The Netherlands, and of the Russian Federation

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Chechenskaya 2 Moscow, Granatny per. 9/56 Mr. Per Albert Ilsaas, Country Director Mr. Dimitry Medlev, head of office Ms. Olga Pavlova, Psychosocial Co-ordinator Tel/Fax: (8732) Tel/Fax: (095) 203 35 80 E-mail: [email protected], [email protected] E-mail: [email protected]

PROGRAMME ACTIVITY:

In North Caucasus DRC/DPA has been mainly involved in provision of food relief aid, non-food assistance and shelter activities for both Ingushetia and Chechnya.

DRC/DPA has been implementing a complex programme of psychosocial rehabilitation of war- affected children and adolescents. Upon closure of IDP camps in Ingushetia DRC/DPA moved its Centre of Psychosocial Rehabilitation to 2 spontaneous settlements. The target group of the programme is children and adolescents aged 6 to 25 and their parents.

In Chechnya the programme includes the following directions: a. Individual/Group counselling/ training of teachers and parents, including school meetings, psychosocial consultations, creation of women group, general awareness information distribution. b. Mobile team operation, including organisation of open group discussions with children of 6-9 years old in schools, preparation of events and public activities, monitoring. In here all activities are carried out by a team of social worker and psychologist. c. Psychosocial support of drugs addicts and their family members: training of local human resources, preventive campaigns and programmes, informational activities among youth. d. Set up and organisation of festivals and events with mass children participation, including 5 festivals in each schools.

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e. Youth leader school/summer camp, including organisation of summer camps for the most active 100 schoolchildren from Chechnya. f. Social support to Chechen orphans and handicapped children. Target group of 300 children.

There are 10 people working in psychotherapy. 2 staff members have diploma in psychology. Staff practices home visits. There are 10 project groups, with on place follow up mechanisms.

LOCATIONS:

• Psychosocial Rehabilitation Centre – “Ptitsefabrika” and “Konservny zavod” settlements (Sleptsovskaya, Ingushetia) • Counselling/Mobile team; Psychosocial Rehabilitation; public awareness – schools N 8, 44,49, 51, Orphan houses in Chechnya

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Hammer FOrum e. V. (HFO)

Sector: Health Location: Chechnya and Ingushetia Objectives: To provide basic medical care to the Chechen population (mainly children), to train young mothers on healthcare issues Beneficiaries: Chechen and Ingush civilians, mainly children and young mothers Partners: MoH of Chechnya

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Naberezhnaya street 40 Mr. Frederik Coene, Head of Mission Mr. Joerg Henneboehl, Medical Co-ordinator Ms. Tamara Uzhakhova, Office Manager Tel/Fax: (8732) 22 23 60 E-mail: [email protected]; [email protected]; [email protected]

PROGRAMME ACTIVITY:

Hammer FOrum e.V. was WHO implementing partner from 1 May to 31 October 2002 in realisation of its Basic Medical Health Care project in Chechnya. It has become ECHO operational partner since 1 November 2002 and signed the Framework Partnership Agreement with ECHO in January 2004. With this funding, HFO is providing assistance to 5 state medical structures in Grozny and medical points in 2 TACS in the village Sernovodsk. HFO provides regular drug/medical equipment assistance to all these locations. Additionally it carries out minor building repair works in the covered children polyclinics of Grozny. It will also deliver equipment for the ICU of city hospital N4.

As part of the support of all medical points, HFO provides essential and specialised drugs and consumables, basic equipment for the physiotherapy, laboratory and intensive care, focusing in drugs assistance to children in critical conditions, public awareness literature on health issues.

In addition, supporting PIN “Cellar people” project HFO provides necessary drugs for the needs of one of the most vulnerable citizen categories, homeless and jobless people.

Hammer Forum implements a small-scale project in Ingushetia and Chechnya, funded by UNICEF on organisation of learning sessions on mother empowerment for women among IDPs in TACs.

Apart from it, Hammer Forum regularly supports the Endocrinology and Derma-venerological dispensaries in Nazran with medicines and essential medical equipment. It furthermore handed over its two Mobile Medical Units to the Ingush Ministry of Health.

LOCATIONS:

• Hospital Supply – in Chechnya and Ingushetia (see Table N1)

Table N1 Place Location • Children polyclinic N4 including Aldy Branch Grozny

11 • Children polyclinic N1 Grozny • City Hospital N4 (ICU) -rehabilitation Grozny • City Hospital N3 (Paediatric Ward/department) Grozny • City Hospital N2 (children) Grozny • City polyclinic N5 Grozny • Medical point, TAC 1 Sernovodsk • Medical point, TAC 2 Sernovodsk • Republican Skin-Venereal Dispensary Nazran, Ingushetia • Republican Endocrinology Dispensary Nazran, Ingushetia

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Handicap International

Sector: Health Location: Chechnya and Ingushetia Objectives: To assist disabled people with mobility aid devices and various items according to their needs; to strengthen health and social services supporting disabled persons in Chechnya; to improve the rehabilitation of injured persons in surgical departments by providing training and equipment; to refer amputees to relevant orthopaedic workshops to fit them with prostheses; to develop socio-economic projects with the Chechen branch of the All-Russia Society of Disabled Persons (VOI); to promote the social integration of people with disability in Chechnya. Beneficiaries: People with disability Partners: Society of Invalids of Chechnya, WHO, Swiss Cooperation

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Targim, Mashinostroitelei Street 6 Moscow, Semoyunovskaya nab 2/1 Herve Gonsolin, North-Caucasus Co-ordinator Ms Gistam Sakieva , Project Officer Ms Khava Gadieva, Office Manager Tel/Fax: (8732) 22 64 19; 22 85 80 Tel: (095) 711-713 E-mail: [email protected]; E-mail: [email protected] [email protected] CHECHNYA Grozny, Leonova Street, 8 Ms. Zargan Temirkhanova, Project Co-ordinator, Chechnya Tel/Fax: (8711) 22 34 81

PROGRAMME ACTIVITY:

HANDICAP INTERNATIONAL (HI) main goal is to minimise the impact of the conflict in Chechnya on the lives of society’s most vulnerable people and their caregivers HI has developed activities in the Northern Caucasus since 1998 to improve functional rehabilitation of war victims and disabled people. In March 2001, HI opened sub-offices in Nazran and Grozny; Team is staffed of 22 persons including 2 expatriates (Physiotherapist and Project Co-ordinator)

In close collaboration with other NGOs and under the co-ordination of WHO (partner from Nov 2002 to March 2003), HI implements the following activities: 1. Direct support to PWD/I:

• Distribution of wheelchairs and walking aid devices to regain a certain level of mobility and autonomy. • Referral of amputees in relevant orthopaedic workshop outside Chechnya (Nalchik) for fitting with prosthesis. • Provision of various items adapted to individual needs of persons with severe disabilities, (Catheter, anti pressure sores mattress, urodochium, bed sheets, buckets, and blankets…). • Socio-economic project to involve PWD/I in productive and occupational activities in collaboration with the Society of Disabled Persons (SOI) of Chechnya (Sewing workshop, bakery…) 13 2. Strengthen local capacities in medico-social care for war injured and disabled persons in Chechnya.

• Donation of basic surgical equipment to trauma departments to enhance the quality of care provided. • Setting up and support of rehabilitation services by donation of appropriate equipment and training. • Provision of intensive internship training outside Chechnya in rehabilitation of PWD/I. • Provision of training seminars for staff from government social services and local associations in working with people with people with injures and disabilities.

HI physiotherapist in Grozny started training sessions for parents of children with Cerebral Palsy. HI is preparing seminar on rehabilitation practices for children with DCP and seminar on “home care for disable people”

3. Publication and dissemination of materials related to PWD/I.

• To facilitate communication between health and rehabilitation professionals throughout the region. • To assist disabled people to look after their health care and rehabilitation needs • To communicate a positive images of PWD and promote their autonomy and dignity.

Other: HI distributed 500 agricultural kits (seeds and tools) in Nozhai-Yurt; Vedeno, Urus-Martan and Shatoi districts to households with disable members. HI plans to provide computer equipment to the local Chechen NGO “Save the Generation” to set up a computer class for mine victims. HI plans to fund “Save the Generation” to rehabilitate in equip a sport ground for disable people in Grozny upon relocation of StG new office.

LOCATIONS:

• Work with individual cases - Direct support to individual people with disability in throughout the whole territory of Chechnya, and to IDP in Ingushetia in partnership with NGOs (ARD, VESTA, MSFB), the Society of Invalids, Government Ministries, and health and social institutions. • Hospital supply - training/traumatology equipment/rehabilitation equipment- Chechnya and Ingushetia (see Table 1)

Table N1 Place Location • Republican Orthopaedic Workshop Grozny • Psycho Neuro Child Home N2 Grozny • Republican Veteran Hospital Grozny • Republican Clinical Hospital Grozny • Polyclinic N2 Grozny • Old people Home Grozny • Puoscept Hospital Grozny • City Hospital N9 Grozny • Children Hospital N2 Grozny • City Hospital N1 Argun • Children Rehab Centre Argun • City Hospital N1 Argun • Central District Hospital Urus-Martan • Goity District Hospital Urus-Martan • Central District Hospital Urus-Martan • Central District Hospital Gudermes • Samashki Psycho Hospital Achkhoi-Martan

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International Committee of the Red Cross (ICRC)

CONTACT INFORMATION:

INGUSHETIA / CHECHNYA / NALCHIK/DAGHESTAN Moscow Nazran, Nuradilov Street 49 Moscow, Grokholsky pereulok Grozny, Yanvarskaya Street 83 13/1 Nalchik, Mechiev Street 207 Khassavyurt, Volchanovsky sad

Mr. Georg Cunz, Head of Mission (Nalchik) Mr. Marco Altherr, Head of Ms. Elena Polygalova, a.i. Medical Co-ordinator (Nalchik) Delegation (Moscow)

Tel/Fax: (8732) 22 84 98, 2-24-15 – in Nazran Tel: (095) 926 54 26 Tel/Fax: (8712) 22 31 28 – in Grozny Fax: (095) 564 84 31 Tel: (8662) 95 34 14, 95 45 74 – in Nalchik E-mail: [email protected] Tel: (8662) 44 23 43, 44 23 41, 44 23 81 – in Nalchik Fax: (8662) 44 23 07 – in Nalchik Tel: (8722) 67 55 34 – in Khassavyurt Tel: (8723) 103426 – in Khassavyurt E-mail: [email protected] Internet: www.icrc.org

PROGRAMME ACTIVITY:

In Ingushetia the ICRC renders monthly assistance to trauma and surgical departments of the Ingush Republican Hospital in Nazran.

The ICRC medical programs in Chechnya currently include support to hospitals and orthopaedic assistance to the civilians, together with the reconstruction and support of regional healthcare structures. The ICRC supplies monthly all functioning departments in 10 hospitals (except the Republican Paediatric hospital and Achkhoy-Martan regional hospital where the Resuscitation and the surgical departments are supported respectively) (see Table N1). In the frame of this program the hospitals get medical equipment, drugs and consumables while the laboratories are provided with equipment, reagents and consumables. Individually physical rehabilitation of the hospital/department takes place (e.g. Gudermes District Hospital). In September 2003 the ICRC started regular support to the Grozny Blood Bank providing tests, consumables and necessary medical equipment.

In Dagestan the ICRC provides monthly supplies to the Khassavyurt Central hospital trauma and surgical departments.

The assistance is provided according to the hospitals’ monthly requests from the ICRC standard list for regular assistance, which includes 144 items.

Several hospitals received AD HOC assistance in connection with emergency situations. The ICRC standard kit including 81 items is provided in this case.

Within the framework of the orthopaedic assistance program the ICRC provides disabled people with crutches and wheelchairs supplies equipment to Grozny Orthopaedic centre and arranges training for the technicians. Eight Chechen technicians are being trained in the Orthopaedic centre in Sochi, Grozny and Saint-Petersburg Social College to become qualified prosthesists. 15

ICRC supports regular participation of local doctors in various training courses and workshops held in Russian Federation.

LOCATIONS:

• Hospital/Drug supply – in Ingushetia, Dagestan and Chechnya (see Table N1)

Table N1 Hospitals monthly supplied by ICRC Ingushetia Chechnya 1. Ingush Republican Hospital in Nazran 1. City Paediatric hospital No 2 (Grozny) 2. City Hospital N9 (Grozny) Dagestan 3. Republican Paediatric Hospital (Grozny) 1. Khassavyurt Central hospital 4. Gudermes Regional Hospital 5. Shali Regional Hospital 6. Achkhoy-Martan Regional Hospital 7. Urus-Martan Regional Hospital 8. Argun City Hospital N1 9. Nadterechny Regional hospital 10. Kurchaloi Regional hospital 11. Blood Bank (Grozny)

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International Humanitarian Initiative (IHI)

Sector: Protection; Food; Shelter; Non-Food Items; Health; Water and Sanitation; Education Location: Chechnya and Ingushetia Objectives: To provide direct medical emergency assistance; to provide access to specialised health care for civilian victims of hostilities in Chechnya; to conduct health and emergency trainings; to provide specialised medical assistance for hospitals, medical and social aid for most vulnerable individuals. Beneficiaries: Depends on the programme Partners: Secours Populaire Français (SPF)

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Gairbek Khadzi, 3 Ms. Maria Gozdecka, Field Co-ordinator Mr. Jacek Ksiazak, Emergency Co-ordinator Ms. Taya Irbaieva, Medical Co-ordinator RC Ms. Larisa Kaisumova, Medical Co-ordinator RI Tel/Fax: (8732) 22 14 52; 22 90 86 Tel: 903 6607378 hot line E-mail: [email protected]

CHECHNYA HEAD OFFICE Grozny, Gudermeskaya 100 Poland, 02-622 Warsaw, Malczewskiego str. 38/5 Ms. Raisa Elmurzaeva Emergency Assistant Mrs. Dorota Cholewa International Department Telephone/Fax/e-mail contact through Tel: 48 (22) 844 68 46 Nazran Office Fax: 48 (22) 646 20 04 E-mail: [email protected]; [email protected]

PROGRAMME ACTIVITY:

At present time IHI in co-operation with SPF & the financial support of ECHO runs a programme of improving access to the specialised healthcare and quality treatment for the civilian victims of the conflict in the North Caucasus. In the same time with support of SDC/HA IHI continues the individual assistance to children from Chechnya & IDP children in other territories of North Caucasus, who are in critical situation and in need of immediate medical and emergency intervention. Both programmes are co-ordinated locally through IHI Nazran Emergency Centre at Gairbek Khadzhi, 3 (near Central Hospital in Nazran) & IHI Grozny Emergency Centre located at the Republican Children Clinical Hospital) & cover beneficiaries from all regions of Chechnya & IDPs in Ingushetia. Organisation has necessary information of access to specialised healthcare, emergency prevention in all regions in Chechen & Ingush Republics. The programme has following components:

• Referral to specialised treatment of civilians who suffered war related trauma, and drastic camp-site accidents in co-operation with the network of hospitals (mostly in Moscow) • Protection (mediation of documentation to access governmental support for disabled IDPs) • Financing some aspects of the emergency medical treatment (purchases of medicines) • Evacuations of sick, elderly with no family support from Chechnya to institutions in safe areas • Psychological consultation & physical rehabilitation of the war related trauma victims

17 • Training courses in accident prevention measures, first aid and emergency response for spontaneous settlements, camps & TACs in Ingushetia & Chechnya. Distribution of first aid kits.

As of today, a number of complicated health conditions were forwarded for medical treatment to various towns of Russian Federation and more were assisted in North Caucasus region.

MEDICAL AID: Outside of these programmes IHI also helped to organise some medical assistance and equipment for: Hospital #1, Hospital #3, Hospital #4, Central Maternity Hospital in Grozny, Children Republican Hospital in Grozny, Hospital #9 in Grozny, Psychiatric Hospital in Darbanhi, Hospital #2 in Gudermes all in the Chechen Republic and Republican Hospital in Nazran. The assistance includes medicines, medical beds & furniture, incubators, wheelchairs, some elements for surgeries/prosthesis.

MEDICAL SURVEYS: IHI to date was also involved in following medical surveys: • Primary Health Care in 5 Regions in Chechnya (on request of IMC) • Survey on Tuberculosis and Existing System of Prevention its Epidemic in Chechnya (all Regions of Chechen Republic covered).

A number of emergency & first aid training were earlier carried out in Ingushetia (camps/spontaneous settlements). IHI also organises

LOCATIONS:

• Work with war related trauma cases & some emergency individual cases: - Chechnya & Ingushetia (most of the regions through mobile emergency teams) • Psychological consultation & rehabilitation – one in Ingushetia and one in Chechnya + site visits

SCHEDULE (WHEN AND WHERE TO GO FOR HELP)

IHI Emergency Centre is located in front of the Central Hospital in Nazran (Gairbek Khadzi, str., 3) 9:30-12:30 reception for adults with war related trauma 12:30-14:00 reception of children in emergencies 14:00-18:00 reception by trauma specialist & rehabilitation Psychological consultations Monday, Tuesday, Thursday 14:00 - 18:00 Wednesday, Friday Saturday 9:30 - 13:00

The emergency centre is opened Monday through Saturday 9:30-18:00

IHI Emergency & Information Centre in Grozny is located in the building of the Republican Clinical Children Hospital, 2nd floor. Medical consultations for war related trauma civilian victims and consultations on access to specialised medical care are provided from Monday to Friday.

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International Medical Corps (IMC)

Sector: Health; Shelter; Non-Food Items; Water and Sanitation Location: Chechnya and Ingushetia Objectives: To improve the accessibility and quality of primary, mother and child, and preventative health services for IDPs by provision of medical care, equipment and supplies, medical training and rehabilitation of local structures; to improve community living conditions by implementing capacity-building micro-grants projects, supplying household garden resources, and distributing winterisation materials. Beneficiaries: IDPs living in temporary settlements and private accommodations Partners: WHO, FAO

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Gvardeyskaya Street 1 Moscow, Starokonyushenny per. 19, # 98 Ms. Lia Tavadze, Medical Director Ms. Sally Wirsching, Country Director Ms. Aset Batalova, Program Manager Ms. Galina Kartasheva, Mobile Teams Leader in RI Mr. Vaha Dudaev, Mobile Teams Leader in RC Tel: 8 (8732) 22 15 58; 22 10 70 Tel/Fax: (095) 241-74-49 E-mail: [email protected]; E-mail: [email protected]; [email protected] [email protected]

PROGRAMME ACTIVITY:

14 medical mobile teams, each of which consists of one doctor, a nurse and a driver, implement IMC programmes in Ingushetia Republic.

1. Provision of PHC:

7 medical mobile teams are engaged into rendering of primary health care to IDPs of all age groups (about 22 000), residing in 47 SS of Nazranovsky and Sunzhensky districts. Patients are being examined (identification of haemoglobin, glucose in blood, urine inspection, oto- and ophthalmoscopy). Patients are provided with essential drugs. If necessary, patients are referred to specialists of MoH RI medical facilities.

1. Preventive work:

Antenatal aid is rendered to pregnant women in 47 SS and 5 VHCs–Ali-Yurt, Kantyshevo, Plievo, Surkhakhy, and Yandare out of the local population and IDPs. All pregnant received iron- containing drugs and vitamins with preventive as well as curative aim; mother and baby kits are being distributed for mothers and newly born babies. 3 mobile medical teams are observing under 5 children in 47 SS and 5 VHCs- Ali-Yurt, Kantyshevo, Plievo, Surkhakhy, Yandare out of the local population and IDPs: - Monitoring of physical and psychomotor development - Conducting of work on children’s immunisation. - Vaccination of children under 7 who hasn’t been immunised in age - Vaccination of children is conducted on the base of immunisation rooms of MoH RI medical facilities where children are delivered by IMC transport in accompanied by IMC team members after preliminary paediatric examination.

19

Organisation of joint activity with volunteers out of IDPs is so called sanitary teams. Volunteers are conducting events on observation of sanitary norms and hygiene in SS. There are twenty-four hour stations of pre-doctoral aid in 12 SS.

Volunteers from IDP population having middle special education have received medical education, tonometers, and pharmaceutical sets for first aid.

2. Construction of health clinics:

IMC has built 26 clinics in SS of Nazranovsky and Sunzhensky districts where IMC doctors accept patients.

3. Educational programme:

• Four IMC medical mobile teams participate in training on medical issues in the sense of provision first medical aid. Medical professionals of 24 VHCs and obstetrical stations of MoH RI of 3 districts – Malgobeksky, Sunzhensky, Nazranovsky participate at the training. • IMC jointly with Moscow Medical Academy has completed training on speciality “General medical practice (family medicine) “C”, held by Moscow Medical Academy. 12 IMC doctors and 2 MoH RI doctors have completed the course and have received certificates. At present preparation is arranged for the conducting of CPR and First Aid in order to promote self- reliance and sustainability during life-saving situation.

4. Support of medical facilities of MoH RI:

Assessment of medical equipment and drugs needs is carried out with further necessary delivery to the state medical structures of MoH RI.

5. Resource Centre:

IMC and MoH RI have conducted joint up-to-date information in the sphere of medical care. IMC has provided the Centre with computers and other essential equipment on free basis.

6. IMC activity in Chechnya:

Four mobile medical teams are providing PHC to residents of Naursky, Nadterechny districts. IMC clinics are located on the base of medical facilities of MoH of Chechen Republic.

LOCATIONS:

• Mobile Medical Unit - 10 (7 medical teams - PHC, antenatal aid, 2 mobile teams – rendering of aid to under 5 children in 47 SS. 1 medical teams – rendering of antenatal aid, monitoring of development of under 5 children in 5 VHCs) (see Table N1). • Mobile Medical Unit - 4 medical teams in 12 settlements of Chechen Republic (see Table N4). • Health Post in SS – 26 in SS in Ingushetia (see Table N2). • Medical Training - the staff of VHCs and FAPs (see Table N3).

Table № 1 Spontaneous settlement Settlement Nazran district: Nazran district: 1. Cafe "Druzhba", Barsuky 1. Ali-Yurt-VHC 2. Milk farm, Nasyr-Kort 2. Kantyshevo-VHC 3. Farm "Mayak" Surkhakhy 3. Plievo-VHC 4. Metalshop, (Farfor). Nazran 4. Surkhakhy-VHC 5. "Erzy", Nazran 5. Yandare-VHC 6. Centre -"KAMAZ", Nazran 20 7. Avtovaz "Erzy-Lada"(Firm "Terek"), Nazran 8. Kindergarten №3, Nazran 9. Cafe "Tanzila", Nazran 10. «Uchkhoz», Yandare 11. Internationalnaya, Nazran 12. URS, Nazran 13. MTF, Altievo 14. «Maslozavod», Altievo Karabulak 15. MTF, Karabulak 16. Finance department, Karabulak 17. "Kolos", Karabulak 18. "Daymokhk" Karabulak 19. "Ingavto", Karabulak 20. Promyslovaya №1, Karabulak 21. «Karyer», Karabulak 22. Promzhilbaza, Karabulak 23. Samanny Gorodok, Karabulak 24. Maslozavod, Karabulak Sunzha district 25. Dom Byta, Sleptsovskaya 26. SMU-4, Sleptsovskaya 27. Marketing Service, Sleptsovskaya 28. SMU-5, Sleptsovskaya 29. "Bogatyr", Sleptsovskaya 30. Kindergarten Red Army, Sleptsovskaya 31. Restaurant "Sunzha", Sleptsovskaya 32. DRSU-14, Sleptsovskaya 33. "Polonia", Sleptsovskaya 34. MTF-1, Sleptsovskaya 35. PMK, Sleptsovskaya 36. UMS, Sleptsovskaya 37. "Salamov", Sleptsovskaya 38. Iman, Sleptsovskaya 39. Raypishekombinat (Konservny zavod), Sleptsovskaya 40. Bread-bakery (JSC «Tigr»), Sleptsovskaya 41. Konservny zavod, Sleptsovskaya 42. Poultry farm, Sleptsovskaya 43. MTF Complex, Nesterovskaya 44. Sausage shop, Nesterovskaya 45. Leskhoz, Nesterovskaya 46. MTF-2, Nesterovskaya 47. MTF-4, Nesterovskaya

Table № 2. IMC clinics built in SS in RI Nazranovsky district Sunzhensky district Milk –Farm , Nasyr-Kort Consumer House, Sleptsovskaya Farm "Mayak" Sourkhahi СМУ-4, ст. Sleptsovskaya Metal-Shop, (Farfor). Nazran Read Army Kindergarten, Sleptsovskaya Kamaz-Centre , Nazran MTF-1, Sleptsovskaya Cafe "Tanzila", Nazran Bread bakery plant JSC “Tigr”, Sleptsovskaya

Uchkhoz, Yandare Chicken farm, Sleptsovskaya MTF, Altievo Leskhoz, Nesterovskaya Ulitsa Internatsionalnaya,37 Nazran MTF-2, Nesterovskaya 21 URS, Nazran MTF , Karabulak "Kolos", Karabulak Maslozavod, Karabulak Sausage plant, Nesterovskaya MTF-4, Nesterovskaya Kar’er, Karabulak Promzhilbaza, Karabulak Iman, Sleptsovskaya RPK (Konservny Zavod), Sleptsovskaya

Table № 3. IMC educational teams in rural medical facilities of MoH RI 24 VHCs, FAPs Nazran district Sunzha district Malgobek district 1. Ali-Yurt 1. Alkhasty 1. Verkhniye Achaluky 2. Yandare 2. Nesterovskaya 2. Sredniye Achaluky 3. Kantyshevo 3. Troitskaya 3. Nizhniye Achaluky 4. Surkhakhy 4. Zyazikov-Yurt 5. Dolakovo 5. Novy Redant 6. GaziYurt 6. Sagopshy 7. Ekazhevo 7. Inarky 8. Altievo 8. Yuzhny 9. Nasyr-Kort 9. Psedakh 10. Gamurzievo 11. Barsuky 12. Plievo

Table № 4. IMC programmes on provision of medical aid in Chechnya (4 mobile medical teams). Catchment area Settlement Naursky district 1. Alpatovo, VHC 2. Isherskaya, VHC Nadterechny district 3. Znamenskoye (PMK), school 4. Gvardeyskoye, Central District Hospital 5. Beno-Yurt, Hospital 6. Nizhni Naur, Central District Hospital 7. Verkhny Naur, FAP 8. Bankin-Yurt (Nizhny Kalsus), FAP 9. Bratskoye (Nogamirzin – YURT),VHC 10. Goragorsk, Hospital 11. Novy Gorodok, FAP 12. Komarovo, FAP

22

Islamic Relief (IR)

Sector: Food; Shelter; Non-Food Items; Health; Water and Sanitation; Economic Recovery and Infrastructure Location: Chechnya and Ingushetia Objectives: To address food needs (food parcels, hot meals, sweet buns) of displaced persons; to ensure that basic health needs of IDPs are met; to improve sanitary conditions in camps and ensure the provision of water; to send occasional convoys to IDPs in Ingushetia and Chechnya; to start development projects in Ingushetia and Chechnya. Beneficiaries: IDPs, vulnerable population, and school children Partners: WFP, UNICEF

CONTACT INFORMATION:

INGUSHETIA Head Office Nazran, Altievo, Stroiservice KBR, Nalchik, Kuliev street 12 Ms. Amina Bokova, Medical Co-ordinator Mr. Mohammad A. Ammar, Country Director Ms. Natasha Malsagova, Assistant Mr. Azamat Ulbashev, Officer in Charge Tel: (873 22) 2 16 81; 6 15 23; 6 09 43 Tel: (8662) 40 44 22; Fax: (873 22) 2 16 80 Fax: (8662) 40 64 55 E-mail: [email protected]; [email protected]

PROGRAMME ACTIVITY:

Islamic Relief (IR) is an international British non-governmental charitable organisation acting to alleviate the sufferings of vulnerable people around the world. In the North Caucasus, Russian Federation, IR has been operating since 1995, delivering humanitarian aid (inside Chechnya) to the victims of the first military conflict. At present the programme runs:

• IR-WFP School Feeding Projects: - Sweet buns distribution project - Hot Meal Project - IR’s Complementary Food Programme

• IR-WFP Joint Projects - Relief distribution

• Potable Water distribution

• Hygiene parcel distribution

IR Healthcare Programme has been implemented in Ingushetia since 2000 and until April 2004 with running health posts in 3 IDP camps. Following closure of tent camps in Ingushetia and a result of series of monitoring missions IR plans to start its direct health program in Chechnya

23

International Rescue Committee (IRC)

Sector: Shelter, Water and Sanitation; Education; Psychosocial; Economic Recovery and Infrastructure Location: Chechnya and Ingushetia Objectives: The mission of the IRC-North Caucasus programme is to increase the quality of life of the conflict-affected population of the North Caucasus while promoting self-sufficiency within the local communities. This is achieved through the provision of emergency relief projects such as water, sanitation, shelter and education projects, and through the provision of longer-term projects such as infrastructure reconstruction and economic recovery. Beneficiaries: Partners: UNHCR, UNICEF

CONTACT INFORMATION:

INGUSHETIA MOSCOW Nazran, Kartoeva street 148 Moscow, Sushevskaya street 8/12, #515 Mr. Antoine Duplouy, Country Director Ms. Irene Danysh, Education Project Co-ordinator Ms. Ulla Morgensen, Infrastructure Coordinator Ms. Bella Ekazheva, Public Health Officer Tel: (8732) 22 11 37, 22 90 68 Tel: (095) 775 48 65 E-mail: [email protected] [email protected] [email protected]

PROGRAMME ACTIVITY:

IRC psychosocial programme started in July 2003 and now operates in both Republics of Chechnya and Ingushetia. The education and community team aims to provide a well-rounded learning experience for children through the combination of formal education and a variety of sport and recreational activities. To do this, IRC distributes education and recreational materials, train teachers, and help to maintain school facilities. It also organises, supports and monitors various youth clubs, parent meetings, performance groups and therapy sessions. Psychosocial support is offered to children through counsellor-led group and individual therapy sessions. Youth leadership is promoted through leadership trainings and students governments organised with much success in each IRC-supported school In Ingushetia, vocational training and out-of-school youth programs continue to target especially needy youth.

In Ingushetia IRC supports daily activities of psychosocial centres opened at each of 14 IRC schools where providing formal education in Nazran, Karabulak, Plievo and Sleptsovskaya (see Table N1). In Chechnya similar activities are taken place in 5 schools of Grozny.

IRC employed two psychologists and 15 counsellors provide various individual and group sessions to more than 250 enrolled children in Ingushetia and 200 in Chechnya.

Within further planning and psychosocial programming IRC conducted lately a full-scale evaluation of its programme under which focused groups were questioned, individual psychological profile testing, interview with teachers, parents realised.

24 In addition, IRC newly introduced public health programme foresees conduct of learning sessions and training courses for schoolchildren, parents and teachers in all of IRC assisted schools.

LOCATIONS:

• Psychosocial/Rehabilitation Centre – in Ingushetia and Chechnya (see Table N1)

Table N1 IRC supported psychosocial projects Ingushetia Chechnya • Logovaz, Nazran • School N 23 • Tanzila, Nazran • School N25 • Maslozavod, Nazran • School N34 • Finotdel, Karabulak • School N48 • Burploshadka, Karabulak • School N53 • IngAvto, Karabulak • Raduga, Plievo • Gazi-Yurt • Dom-Byta, Sleptsovskaya • Teremok, Sleptsovskaya • SMU-4, Sleptsovskaya • Pobeda, Sleptsovskaya • Bogatyr, Sleptsovskaya • Sunzha, Sleptsovskaya

25

Medecins du Monde (MDM)

Sector: Health Location: Chechnya Objectives: To provide equipment, medical and surgical kits to hospitals in Chechnya; to support primary and secondary health care in Nozhay-Yurt district in Chechnya; to organise training sessions for medical staff from Chechnya. Beneficiaries: Displaced and resident population Partners:

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Targim, Naberezhnaya Street 27 Moscow, Armyanski Pereoulok 9/1/1 kom.301 (metro: Kitay-Gorod) Ms. Zarema Albastova, Co-ordinator Mr. Samuel Marie-Fanon, General Co- Mr. Mourat Doudaev, Medical Co-ordinator RC ordinator Mr. Soip Solsaev, Assistant Medical Co-ordinator Ms. Cecile Du Colombier, Administrator Tel/Fax: (8732) 22 23 61 Tel: +7 095 207 88 83 E-mail: [email protected] Fax: +7 095 208 01 93 E-mail: [email protected]

PROGRAMME ACTIVITY:

MDM used to render its medical assistance in two IDP camps: “Bart”/Karabulak (staffed with: 2 physicians, 2 paediatricians and 2 nurses) and “Sputnik”/Sleptsovskaya (staffed with: 2 physicians, 2 paediatricians and 2 nurses) in Ingushetia. The services are provided on daily basis in the tents. In addition, MDM also renders daily psychological services in two tents (1 for children and 1 for adults) with a psychiatrist and clinical psychologist. Following closure of the tent camps, MDM suspended its medical programme in Ingushetia and focused on Chechnya. MDM earlier operated health posts in 3 TACs Chechnya: two in Grozny and one in Argun were closed down by May 2004.

Presently, in Chechnya, MDM provides regularly monthly supply of surgical disposable and drugs to 7 hospitals for the surgical and trauma wards, and intensive care unit (see Table N1). MDM also provides hospitals with equipment, based on need assessment. In the framework of its equipment donation program (ECHO funded) to hospitals in Chechnya, MDM donated in July/August 2003: Seven petrol generators (6kwt) to the following hospitals: (Hospital #9 of Grozny, Hospital #4 of Grozny, Hospital of contaminated surgery in Grozny, Maternity Hospital #1 IN Grozny, The Vedeno Hospital, The Central Hospital of Gudermes, The Central Hospital of Shatoi, The Central Znamenskoye Hospital). MDM also donated apparatus for artificial lung ventilation and anaesthesia apparatus/gas analyser (GKM-07) to the following hospitals: Hospital #9 in Grozny and Central Hospital of Urus-Martan. MDM also set up in the above-mentioned hospitals surgical libraries and donated recent specialized books. Eventually MDM organises medical training seminars for surgeons, traumatologists, general physicians and paediatricians from Chechnya.

Apart from it, starting from May 2004, MDM has selectively targeted healthcare structures in Nozhai-Yurt district of Chechnya and started implementation of the monthly regular supply program with drugs, consumables, basic equipment, supporting the primary and secondary health care in this district.

LOCATIONS:

26 • Hospital Supply – 7 in Chechnya, monthly (see Table N1) • Hospital Supply – 14 in Nozhai-Yurt (see Table N2)

Table N1 Supported Hospitals in Chechnya Supported health care facilities in Nozhai-Yurt district • City Hospital N9 in Grozny • District Hospital in Zandak • Republican Children Hospital • District Hospital in Benoi • Argun District Hospital • District Hospital in Sayasan • Gudermes District Hospital • FAP Baitarki • Nozhai-Yurt District Hospital • FAP Dattah • Urus-Martan District Hospital • FAP Bulgat Irzu • Kurchaloy District Hospital • FAP Aiti-Moth • FAP Balansu • FAP Zamai-Yurt • FAP Alkhan-Hutor • FAP Benoi-Vedeno • FAP Bas-Gordali • Ambulatory Mesketi • Ambulatory Galaiti

27

Medecins Sans Frontieres – Belgium (MSF-B)

Sector: Shelter; Non-Food Items; Health; Water and Sanitation Location: Ingushetia (Malgobek District) Objectives: To ensure and improve the health status of the target population and prevent epidemics by providing access to primary health care, child health care (free consultations and medications) and reproductive health care (gynaecological care, family planning, prenatal and antenatal care, paediatric care); to improve the living conditions and public health of IDPs by improving the water and sanitation situation in settlements and camps, by improving shelter and by providing general and targeted relief items; public health information through the community health workers. Beneficiaries: IDP population in Malgobek District, Ingushetia Partners:

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Gozdiev Street 81 Moscow, Shmitdovski proezd 3/3 Ms. Marina Khachukaeva, Project Co-ordinator Mr. Mathias Granqvist, Head of Mission Ms. Luiza Dzhabrailova, Field Medical Co-ordinator Tel/Fax: (8732) 22 87 11 Tel: (095) 775 29 65 E-mail: [email protected]

PROGRAMME ACTIVITY:

MSF-Belgium continued assistance to the IDPs from Chechnya, located in Malgobek district, Ingushetia providing PHC and RHC through four mobile teams. Two mobile teams (2 General Practitioners, 2 Obstetric–Gynaecologists, 2 paediatricians, 2 Nurses) worked in the existing medical structures and Aki Yurt village and the other two mobile teams worked, through mobile clinics (bus) one for PHC (1General Practitioner, 1 Nurse) services and the other one for RHC (1 Obstetric-Gynaecologist, 1 Nurse).

A total of 16 locations are covered. The doctor (GP and Obstetric Gynaecologist) provided consultation to the patients and the nurse assisted with the registration, nurse care and delivery of the drugs and delivery and baby modules. The consultation and drugs are provided for free. The difficult cases further examinations by the concern specialist and deliveries are referred to Malgobek Central District Hospital.

Also the organisation created a medical pool composed of 1 gynaecologist and 1 nurse ready for short delay responses, for I.E.C. (information, education, communication) and replacement.

The Reproductive, Mother Health Care included examinations, gynaecological consultations family planning, Antenatal and Postnatal consultations and treatment of STI’s (syndrome approach). To the pregnant women after the 32nd week at gynaecological consultations a delivery module is given.

The module has been separated in a delivery kit (delivery items only) and a baby kit (baby items only). The first part is given to all pregnant women coming for ANC from the 32nd week of pregnancy. The baby part is given to the mother who comes with her baby for postnatal consultation and who is IDP in Malgobek district. The gynaecologist visited once a week the maternity wards of Malgobek District Hospital and checked the IDP women deliveries and

28 condition. This helps to establish a better contact and collaboration with the doctors of the hospital.

The programme of Community Health Workers (26 CHWs) have been developed and improved. The teams obtained interesting information regarding IDPs’ living conditions and their most vital needs. They played and continued to play an important role on identifying the vulnerable IDP families, which are included then latter on target distribution of relief items. They received continuously refreshing training on different topics. The distribution of leaflets in parallel with oral messages was well appreciated from the IDP community. Leaflets on: TB, communicable diseases, diarrhoea, Hepatitis A, B, immunisation, mines, scabies, lice were prepared. These leaflets were distributed also in medical structures through our medical teams working there. With the kind support of UNICEF and in co-operation with WHO and SES chlorine was passed to Community Health Workers to use for disinfecting of different IDPs settlements.

For improvement of living conditions in the settlements target distribution of relief item: hygienic kits, tool kits, beds, bed linen, mattress, blanket, gas and electric stoves, underwear, jerry can, iron and plastic buckets, was implemented during the previous years. On the other hand the organisation installed latrines and banya and rehabilitated the floors and ceiling in some of the IDPs settlements. MSF-Belgium is co-ordinating its activities with other NGOs and organisations working in Malgobek region and the Republic of Ingushetia.

The official training courses for our Nazran medical staff in Moscow was organised in a very good schedule without creating problems on their medical activities. The organization conducts a series of refreshing courses for its own staff. The medical teams participated dynamically in training organised by WHO, other NGOs and international organisation.

LOCATIONS:

• Health Post – 1 in “Aki-Yurt” (Physician and Gynaecology) • Mobile Medical Unit – 2 (Physician, Gynaecology, Paediatrician) (see Table N1) • Mobile Medical Unit – 1 (Gynaecological bus) (see Table N1) • Mobile Medical Unit – 1 (Therapy bus) (see Table N1)

Table N1 Area covered by MMU Day Vezhari/Kartofelny uchastok – FAP Monday Psedah – FAP Tuesday Psedah Wednesday Aki-Yurt – tent Thursday Zyazikov-Yurt – FAP Friday V.S.N. Achaluki – FAP Monday Voznesenskaya – District Hospital Tuesday N. Redant – FAP Wednesday Sagopshi – FAP Thursday Inarki – FAP Friday Gynaecological team Aki-Yurt Monday Voznesenskaya Tuesday 36 uchastok, ORS/Malgobek “Ukon” Wednesday 6 uchastok / Radiozavod Thursday Sr. Achaluki / N. Achaluki Friday Physician team Radiozavod / ORS Monday 6 uchastok, 3 gorodok/ Aki-Yurt Tuesday Ukon/5-6 balka Wednesday Sr. Achaluki / MP Voshod Thursday N. Achaluki Friday

29

Medecins Sans Frontieres – France (MSF-F)

Sector: Shelter; Non-Food Items; Health; Water and Sanitation Location: Chechnya and Ingushetia Objectives: To improve health assistance to people in Chechnya by providing medicines, medical materials and equipment, and watsan resources to medical structures in Chechnya; to improve prenatal, gynaecological, paediatric and psychological care to IDPs in Ingushetia; to improve the living conditions and public health of IDPs in Ingushetia by improving the watsan situation in settlements and camps, and improving shelter by carrying out winterisation programmes. Beneficiaries: Displaced and resident population Partners: MoH of RI and RC

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Targim, Naberezhnaya Street 32 Moscow 10306, 10Ulitsa Pakrovka 28/6 Str. 3 Ms. Manana Anjaparidze, Medical Co-ordinator Mr. Duccio Staderini, Head of Mission Ms. Zareta Agasieva, Local Medical Co-ordinator Tel/Fax: (8732) 22 52 02 Tel: (095) 917 44 56; 916 32 54; 959 05 69 E-mail: msff-nazran@paris.msf.org E-mail: [email protected]

PROGRAMME ACTIVITY:

MSF-F provides medical assistance in 3 IDP camps in Ingushetia: “Rassvet”, “Promjilbaza”, and “Logovaz”.

In “Rassvet” IDP camp the health post provides ante natal and gynaecological services and staffed with gynaecologist and nurse (working days: Monday- Friday). The clinic annually accepts 7140 patients, including 4181 pregnant women. Some statistics: first –time pregnancy – 1179 women; gynaecological character – 2517 women, after delivery – 442, family planning – 1113. The clinic serves population of Sunzha and Sleptsovsk neighbouring districts of Chechnya. Paediatrician sees children 3 days/week (Monday, Tuesday, and Wednesday) in the camp.

In “Promjilbaza” IDP camp the health post provides antenatal and gynaecological services, and staffed with a gynaecologist and a nurse (working days: Monday- Friday). The clinic annually accepts 5844 patients, including 2742 pregnant women.

In “Logovaz” IDP camp the health post provides also antenatal and gynaecological (Monday, Wednesday, Friday) and antenatal (Tuesday, Thursday) services. The clinic annually accepts 4308 patients, including 2303 pregnant women. Some statistics: gynaecological character – 2848 women, after delivery – 219, family planning – 621. Paediatrician sees children 2 days/week in the camp (Thursday, Friday).

MSF-F supports the maternity department of the Ingush Republican Hospital with drugs and medical supplies (mainly, antibiotics, solutions and dressing material), distributes kits to mothers in the above-mentioned maternity hospitals. It also provided assistance to the maternity department of the District Hospital in Sleptsovskaya village, children intensive care unit of the Ingush Republican Hospital.

30 In Chechnya MSF-F supplies monthly and/or regularly drugs/medical consumables/equipment to 8 medical facilities of Chechnya (see Table N1). The organisation monitors all covered medical structures with regular visits of the team comprised of the doctor and logistician.

LOCATIONS:

Health Post – 1 in “Promjilbaza” IDP camp (ante natal & Gynaecology) Health Post – 1 in “Rassvet” IDP camp (ante natal & Gynaecology, Paediatric) Health Post – 1 in “Logovaz” IDP camp (ante natal & Gynaecology, Paediatric) Hospital Supply – 2 location in Ingushetia and 7 locations in Chechnya

Table N1 Drugs/medical consumables/equipment supply to hospitals/locations Ingushetia Chechnya Ingush Republican Hospital (maternity, children Central Maternity Hospital, Grozny intensive care unit) Sleptsovsk District Hospital (maternity) Burning Centre, Grozny Chiri-Yurt District Hospital Starye Atagi District Hospital

Shatoi District Hospital Sharoi District Hospital Itum-Kale District Hospital

31

Medecins Sans Frontieres - Holland (MSF-H)

Sector: Health Location: Chechnya and Ingushetia Objectives: To facilitate free access to basic medical care in Ingushetia and Chechnya by providing essential medicines, dressing materials, and medical equipment to selected medical facilities; to ensure the correct amount of supply strengthening the data collection and monitoring; to continuously monitor the humanitarian situation in able to ensure timely response to critical situations; to respond to the comprehensive need for psychosocial health care, counsellors have been deployed to assist with beneficiaries in both Chechnya and Ingushetia, and along side medical personal in the Temporary Accommodation Centres, hospitals and in dedicated counselling facilities; to reduce the transmission of TB by starting up a programme aimed at the treatment of TB patients. in three facilities in Chechnya, including necessary rehabilitation works and waste management. Beneficiaries: Affected population Partners: MoH of RI and RC. ECHO and WFP (for food assistance to TB patients)

CONTACT INFORMATION:

MOSCOW NALCHIK – KBR (Coordination Russia) (Coordination Northern Caucuses) Moscow 2/24 Kaloshin pereulok, Moscow, 270 Kirova street, Nalchik 119002 360000 tel:/+7 095/101-47-82 tel:/ +7 8662/ 95-51-50 fax:/+7 095/241-81-39, fax:/+7 8662/ 44 04 29 Mr. Andrew John Cunningham, Head of Mission Mr Matthew Everitt, Team Leader Mb. Tel: 8 910 465 30 66 Mb. Tel: 8 928 265 93 20 E-mail: [email protected]; E-mail: [email protected] E-mail: [email protected] E-mail: [email protected]

INGUSHETIA CHECHNYA Nazran, Kravchuk Street 11 39, Slavyanskaya str., Grozny, Chechnya, RF Mr. Bisultan Borziev Head of Office Dr Movsar Idalov Head of Office Tel/Fax: (87322) 27198; 28013; 22392 Tel/Fax: (8712) 22 25 76 E-mail: [email protected] [email protected]

PROGRAMME ACTIVITY:

A. Drug distribution program:

Ingushetia

MSF-H currently provides monthly drug and medical supply to 13 medical facilities in Ingushetia (Sunzhensky, Nazran and Malgobek districts: see Table N1). Migrated from kits, to a needs based system with an emphasis on monitoring systems and the collection of morbidity data. The programme includes training sessions on the rational prescription and use of essential drugs. The focus is on the areas of the high concentration of IDP’s and large number of spontaneous collective centres in this region.

MSF-H three mobile teams consisting of psychologist and counsellors who visit on a fixed schedule 27 settlements (20 locations in Sleptsovskaya area, 4 – in Nesterovskaya and 1 – in each Karabulak and Troitskaya). The organization operates a psychosocial clinic in the building next to the Sunzha District Hospital (Monday, Tuesday, and Wednesday). The counsellors provide

32 therapeutic/counselling support to the clients individually or in groups as appropriate. Councillors are supported by a team of volunteer community workers

Chechnya

MSF-H provides assistance to 25 medical intuitions, hospitals, polyclinics and dispensaries, distributing medical material, equipment and drugs. in 6 districts of on a monthly basis (Grozny, Grozny Selsky, Nadterechny, Naursky, Vedensky, Achkhoy Martan, see Table N2) The focus has changed from a Kit based system, to one driven by need. with an emphasising on monitoring and morbidity data collection. MSF-H runs once weekly clinics in 5 of the Temporary accommodation Centres for IDPS, providing both medical consultations and psycho social support.

B. Psychosocial programme:

MSF-H operates counselling consultation centres in 6 locations in Chechnya (City Hospital N9 and Achkhoi-Martan District Hospital), and to 5 temporally accommodation Centres (TAC) The programme assessed the psychosocial status in Chechen population and the needs in term of psychological counselling and social activities. Started in April 2002. and temporally suspended due to the kidnapping of Arjan Erkel. the program continues to expand including community workers assisting and promoting the available resources. Counselling services is also assisting the TB program in Chechnya, as an immediate support and to stimulate the completion of the DOTS program. Training is an essential component of this programme for upgrading the quality of services to the affected population.

TB program

MSF-H has recently started the TB program in Gudermes and Nadterechny in Chechnya. The program is set to run in three TB facilities (Shali will be included after the renovation is finished in it).

The rehabilitation of facilities has been completed. TB labs are renovated, equipped and supplied. Incinerators and soft and sharp pits for waste management set up. TB physicians, nurses, TB educators and TB counsellors have been trained on DOTS. TB lab technicians have been trained on DSSM. The system has been set up to ensure the accurate diagnostics and treatment control by sputum smear microscopy. QC for three TB labs has been established in Nalchik TB Dispensary as a reference Lab. 160 TB patients will be treated according to the WHO recommended DOTS treatment protocol. Monitoring and evaluation system will be established. Patients will receive the supplementary food from the WFP and distributed and monitored by MSF. Psychosocial support and TB education will be provided in order to ensure the treatment completion. Individual safety and waste management system implementation to be followed up.

LOCATIONS:

• Hospital Supply – 13 locations in Ingushetia (see Table N1) • Hospital Supply - 25 locations in Chechnya (see Table N2) • Psychosocial Rehabilitation Centre – 1 in Ingushetia and 2 in 2 locations in Chechnya (see Table N3)

Table N1 Drugs supply to Hospitals in Ingushetia 1. Nasyr-Kort, Medical Dispensary 2. Yandare, Medical Dispensary 3. Ekazhevo, Medical Dispensary 33 4. Kantyshevo, Medical Dispensary 5. Altievo, Medical Dispensary 6. Plievo, Medical Dispensary 7. Galashki District Hospital 8. Nesterovskaya Ambulatory 9. Galashki Ambulatory 10. Troiskaya Ambulatory 11. Karabulak City Polyclinic 12. Malgobek Central District Polyclinic 13. Voznesenovskaya Medical Dispensary

Table N2 Drugs supply to Hospitals in Chechnya Grozny 1. Republican Clinical Hospital 2. Republican Polyclinic 3. City Hospital N9 4. City Polyclinic N9 5. Polyclinic N7 Grozny-Selsky District 6. Central District Polyclinic 7. Pobedinskaya District Hospital 8. Gikalo District Hospital 9. Starye Atagi District Hospital 10. Vinogradnoe Ambulatory 11. Petropavlovskoe Ambulatory Naursky District 12. Central District Hospital 13. Central District Polyclinic 14. Kalinovskaya Ambulatory 15. Novo-Solokushino Ambulatory Nadterechny District 16. Central District Hospital 17. Central District Polyclinic 18. Znamenskoe Polyclinic 19. Nogamirzin Ambulatory Achkhoi-Martan District 20. Central District Hospital 21. Central District Polyclinic 22. Katyr-Yurt Ambulatory 23. Zakan-Yurt Ambulatory Vedensky District 24. Central District Hospital 25. Mahkety District Hospital

Table N3 Area of Psychosocial programme Ingushetia • Sunzha District Hospital • 26 settlements Chechnya • City Hospital N9 • Achkhoi-Martan District Hospital

Area of TB program Chechnya • Gudernmes • Nadterechnaya • Shali (later 2004))

Clinics / Temporary Accommodation Centres (TACs) Chechnya • 17 Novatorov street • 24 Chaikovsky street • 28 Chaikovsky street • 7 Dudaev street

34

Medecins Sans Frontieres - Switzerland (MSF-CH)

Sector: Health; Water and Sanitation Location: Chechnya and Dagestan Objectives: To ensure primary health care and socio-educational support for IDPs; to provide reference hospitals with medicines and medical equipment; to provide medical consultations at PHC centres and mobile clinics; to improve sanitary conditions in hospitals and medical centres; to improve the quality of hospital facilities in affected areas. Beneficiaries: Displaced and resident population Partners:

CONTACT INFORMATION:

DAGESTAN Moscow Makhachkala, Gorky 15A Moscow, Pyatnitskaya 6/1 Mr. Arjan Erkel, Head of the Mission Ms. Stephen Cornish Tel: (78722) 68 30 19, 68 26 26 Tel/Fax: (095) 953 10 32 E-mail: [email protected] E-mail: [email protected]

PROGRAMME ACTIVITY:

MSF-CH Mission in Dagestan has suspended all activities since August 12, 2002, following the abduction of the Head of Mission, Arjan Erkel. Arjan was freed on April 11, 2004.

In March 2000, MSF Switzerland undertakes a preliminary mission to Dagestan. Despite the potential risk, in particular that of hostage taking, it appears that no significant operations can be run efficiently without permanent presence of the expatriate staff.

From 2001 up to present day MSF-Swiss is the only foreign humanitarian organisation in Dagestan with permanent presence of 4 expatriates strictly abiding by the tight security regulations.

The programmes includes: • Medical activities by means of the mobile clinic for the IDP population in the Collective Centres (CC) of Khasavyurt, in close proximity to Chechen border (5 reception centres that embrace the population of 14 centres). • Medical activities of the same mobile clinic in FAPs (small medical structures with paramedical personnel in villages) of the Khasavyurt and Novolakh regions. • Medical activities by means of the mobile clinic for the population of the Tsumada region. • Essential drugs and medical material supply to the medical structures of the four regions (4 regional hospitals, 3 municipal hospitals and 3 outpatient departments). • Relief activities (blankets, hygienic kits, rehabilitation and security installations in the CC) • Socio-educational activities for the same population. • Medical activities in Chechen Republic • Rehabilitation and sanitation in Dagestan and Chechen Republic

Collecting epidemiological information and analysis for an adequate early warning and disease surveillance system with rapid curative care to main diseases and early warning system response for possible epidemics.

LOCATIONS:

35 Dagestan

1) Mobile Medical Unit -MMU (estimated number of population) a) MMU for 4000 IDPs in Collective Centres in Khassavyurt district The same MMU provides quality health care for the following 4 villages in Novolak and Khassavyurt districts – Sovetskoy (1450), Gamiakh (2650), Chapaevo (1300), Douchy (700), Gagatly (2700). b) MMU for 15 FAPs

2) Community health care Facilitate access to essential drugs by distribution of medical supplies and equipment for Districts Hospitals and Clinics of Khassavyurt, Novolak, Botlik and Tsumada. Population: Novolak – 20000; Khassavyurt – 115000; Tsumada – 18500; Botlik – 35000.

3) Medical Courses for the medical staff (nurse and midwife) of Health Centres in: Khassavyurt district – 38 HC Novolak – 12 HC Botlik – 22 HC Tsumada – 26 HC

Chechen Republic

1) Mobile Medical Unit a) MMU team for 700 IDPs in 2 Collective Centres in Gudermes town. The same MMU provide quality health care for the population of 8 villages in Gudermes district; Nijni Gerzel (2500), Gerzel (2500), Koshgeldy (5200), Ishkoy Urt (3400 people.), Noviy Benoy (1500), Isty Su (2300), Kadi Urt (2800), Verkny Noybera (2800)

2) Community health care

Facilitate access to essential drugs by distribution of medical supplies and equipment for Central Hospital of Gudermes (surgery, obstetrics)

Rehabilitation of surgery and obstetrics departments

36

Memorial

Sector: Protection, Health Location: Chechnya and Ingushetia Objectives: To monitor human rights of the IDP and local population; to provide free legal consultations for IDPs from Chechnya and North Ossetia; to provide social assistance; to assist in transporting IDPs or vulnerable population to receive medical treatment. Beneficiaries: Affected population Partners: UNHCR

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Moutalieva St. 46 Ms. Liza Musaeva, Head of Centre Ms. Satsita Muradova, Lawyer Tel/Fax: (87322) 2 23 49 E-mail: [email protected]

PROGRAMME ACTIVITY:

Memorial has been funded for the project implementation on the referral patients in critical and severe conditions for out-of-town treatment covering all related expenses. The activity/information collection/patients’ monitoring and selection process took place through Memorial offices in Nazran and Grozny. There were 4 people working for the program in Chechnya and 2 in Ingushetia on the basis of the Republican clinical hospital in Nazran. WHO recommended Memorial to operate the programme in close co-operation with both Ministries of Health possessing lists of patients in need of such services.

LOCATIONS:

• Work with Individual Cases – Nazran, Grozny

37

People in Need (PIN)

Sector: Education; Psychosocial Rehabilitation; Mine Action Location: Chechnya and Ingushetia Objectives: To address food and shelter needs of the most vulnerable groups in Grozny; to engage Grozny population in food-for-work programs; to run vocational training centers in Chechnya; to provide seeds to vulnerable households in Grozny; to provide basic health care and medicine to IDPs in Ingushetia; to rehabilitate educational and health care facilities in Chechnya; to run alternative school network for IDP children in Ingushetia; to organize extracurricular activities at schools in Ingushetia and Grozny; to provide psychosocial rehabilitation support for children and adolescents in Grozny; to run AIDS and drug abuse prevention campaigns for adolescents. Beneficiaries: IDPs in Ingushetia and vulnerable population in Chechnya Partners: UNHCR, UNICEF, WFP, WHO, FAO, ECHO

CONTACT INFORMATION:

INGUSHETIA MOSCOW Nazran, Dzhabagieva 9 Moscow, Profsoyuznaya st. 11 Mr. Petr Hulec, Senior Programme Officer Ms. Livia Kusa, Educational Projects Co-ordinator Ms. Ms. Kheda Omarkhadzhieva, Psychosocial Assistant Tel/Fax: (8732) 22 94 39 Tel/Fax: (095) 330 03 95 E-mail: [email protected]

PROGRAMME ACTIVITY:

The People in Need (PIN) is a Czech non-profit, non-governmental organisation established in 1992. In the Caucasus, PINF was active in 1994-96 and again since 2000. PINF has established an efficient distribution system in Grozny with its own convoys, distributing food, non-food and shelter items, implementing programmes of four UN agencies, mainly on the Chechen territory. PIN has fully rehabilitated several educational and medical facilities in Chechnya.

PIN has been UNICEF partner in running the biggest school alternative network for junior Chechen IDP children in Ingushetia. Since the beginning of 2002, PIN has employed 2 psychologists to serve as counsellors, physicians and supports for pupils, teachers and parents related to PINF network of 22 schools in Nazran, Sunzha, Karabulak and Malgobek districts serving 1600 children.

In Ingushetia PIN provides the services of a general physician who is visiting various locations of residency (see Table N1) totally serving 3600 IDPs in Nazran and Sunzha districts. The medical unit provides special assistance to TBC patients and also assists seriously ill in receiving treatment in other towns in the Russian Federation.

In Chechnya PIN became WHO implementing partner to start Psychosocial Support and Rehabilitation Project for children affected by violence. The project covered several locations in Grozny: Schools N 7, 14, 16, 28 and 38 where professional psychologists carried out therapeutic sessions and provide individual consultations to children, parents and teachers. In addition, another 5 schools were included in the psychosocial support project.

There are 7 people working in psychotherapy. 1 staff member has diploma in psychology. Staff practices home visits. There are 7 project groups, with on place follow up mechanisms.

38 An important part of the Centres’ work is prophylactic activities on HIV / AIDS and substance abuse issues mainly targeting children and youth. PIN implemented the very first AIDS / HIV prophylactics campaign in Chechnya, which culminated on the World AIDS Day and continued in 2003-2004 period. A wide variety of general public information materials were produced and distributed. Separate campaigns and events on drug abuse and HIV prevention were carried out in 2003-2004.

In addition, PIN has fully rehabilitated Health Clinic in Duba-Yurt and polyclinic № 4 in Leninski district of Grozny.

Also in Chechnya, PIN provides on an individual basis medical assistance and home care, complemented with food and non-food distribution, to ca. 300 most vulnerable city inhabitants, so-called “cellar-people”.

OTHER ACTIVITIES:

In food sector, PINF provides monthly WFP-supplied food assistance to some 45 000 inhabitants of three Grozny districts and runs food for work activities in Grozny and Grozny-Rural districts with some 1 000 participants monthly. As UNHCR implementing partner, PINF has distributed emergency shelter material to approx. 6 300 private households in Chechnya, predominantly in Grozny. Together with UNICEF PINF runs a series of after school activities in selected schools in Chechnya, working closely with WHO-supported psychosocial centres. PINF was the first organisation, national or international agency to have rehabilitated a school in Chechnya. Since then the rehabilitation activities included seven schools, two kindergartens and two health clinics in Grozny and Duba-Yurt, which represents the largest institutional rehabilitation initiative in the republic.

LOCATIONS:

• Mobile Medical Unit – 11 in Ingushetia (see Table N1) • Psychosocial Rehabilitation Centre – 10 in Chechnya (Grozny: Schools N7, 9, 11, 14, 16, 28, 38, 50, 54 and internat) and in 22 schools in Ingushetia.

Table N1 Area covered in Ingushetia (general physician) Day Area Place/Settlements Monday Altievo 1. MTF; Tuesday Troitskaya MTF-2; Wednesday Troitskaya 1. “Saturn”; 2. Kolkhosnaya str., 3. Agrosnab, Karabulak Thursday Altievo 1. Maslozavod Friday Plievo 1. Staraya podstantsiya; 2. Novaya podstantsiya; 3. MTF Saturday Plievo 1. Ptitseferma

39

Polish Humanitarian Organisation (PHO)

Sector: Water and Sanitation Location: Chechnya (Grozny) Objectives: To ensure the provision of purified, potable water to the residents of Grozny; to improve sanitary standards by building latrines; to remove garbage and sewage from public and private locations in Grozny. Beneficiaries: Residents of Grozny, schools and hospitals Partners: UNICEF, ICRC, French Catholic Committee Against Hunger and for Development, UNHCR

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Chernomirdin street 10 Mr. Adam Styp-Rekowski, Head of Mission Mrs. Magdalena Rapinczuk, Programme Assistant Tel/Fax: (8732) 22 21 72 E-mail: [email protected]

RPOGRAMME ACTIVITY:

Production and Distribution of Potable Water in Grozny

Polish Humanitarian Organisation continues its water purification and distribution launched in October 2000. The contaminated water is being sucked from the water pipelines and purified by 4 treatment units. The potable water is being poured into 13 water trucks (7 private, 6 PHO’s), which are distributing the water to 146 service points (58 – public; 88 - private) in all Grozny’s districts (Leninsky, Oktyabrsky, Zavodskoy, Staropromyslovsky). The water is free of charge.

Responding to the raising needs of the IDPs repatriated to Temporary Accommodation Centres TAC) in Grozny PHO has installed water bladders at three locations: Yaltinskaya 24 (10m3), Mayakovskogo 140A (10m3). Two more bladders will be provided in the end of April. In March the average volume of potable water supplied daily in both private and public sectors, was 460,00 m3.

The programme is being implemented in collaboration with UNICEF (financing, treatment units, water bladders), ECHO -Humanitarian Aid Office (financing), UNHCR (water trucks, water bladders), ICRC (pumps, storage tankers, hoses), SES, Vodokanal in Grozny and WHO (construction of incinerators).

UNICEF expands its water programme realised through PHO in Grozny. The project will result in 30% rise in the increase of water supply, number of water bladders, set up of the additional water purification system and rent of more water delivery trucks.

Sanitation Programme in Grozny

1. Building of latrines

From the 16 selected locations within the framework of Sanitation Project, 11 have been already covered with the construction of new latrines. These locations are: Hospitals No 4, 5 and 9, Republic Children Hospital, Republican Clinical Hospital, House for Elderly People, Veterans and Invalids Hospital, Emergency Station, Sanepid (SES) Station, Tuberculosis Hospital and Abscess

40 Centre in Grozny. On target there are 15 Medical Institutions and one primary school -together 40 double pit latrines to be built.

UNICEF funded PHO project resulted in the construction of 45 latrines in 5 schools of Grozny.

2. Garbage removal

25 medical sites have been provided with almost 100 garbage containers of the capacity 1 m3 each. The hospitals are also to be supplied with garbage cans, garbage bags, brooms and buckets as well as the basic cleaning agents.

The garbage truck collects garbage from the hospitals on daily basis. The containers are being emptied at each site at least twice a week. Garbage is disposed at the city dump.

The sewage truck has started operating since the beginning of April both in private and public sector.

3. Incinerators construction

Supported by WHO the organisation constructed 10 incinerators on the premises of the following state medical facilities in Grozny:

• Maternity Hospital N1 • City Hospital N1 • City Hospital N3 • City Hospital N4 • City Hospital N5 • City Hospital N9 • Abcess Centre • Veterans Hospital • Republican Hospital • Children Republican Hospital

41

Save the Generation

Sector: Health; Mine Action Location: Chechnya and Ingushetia Objectives: To organise educational sessions on mine risk; to gather data on mine risk situations; to provide psychosocial assistance to IDP children. To provide vocational training. Beneficiaries: IDP children Partners: UNICEF, WHO, Memorial

CONTACT INFORMATION:

INGUSHETIA Chechnya Nazran, Fabrichnaya street 2 Grozny, Derzhavina street 134 Ms. Roza Iznaurova, Programme Co-ordinator Ms. Zarema Sadulaeva, Project Co-ordinator Tel/Fax: (8732) 22 12 35

PROGRAMME ACTIVITY:

Save the Generation –- local NGO – which main targets are protection of interests of society through humanitarian assistance to handicapped orphans and children.

The organisation is working as well under the auspices of UNICEF Mine Awareness Programme. Every Wednesday there is a visit-trip organised for children from spontaneous locations and IDP camps to the drama theatre for mine awareness play in Vladikavkaz.

In Chechnya the organisation collects information about handicapped children affected by military activities. As part of the programme funded by UNICEF the organisation distributed a number of wheelchairs, crutches, etc. throughout the territory of Chechnya. In addition, the organisation distributed mattresses, bed linens in Chechnya. In co-operation with “Memorial” society the organisation rendered humanitarian assistance to “Bella” IDP camp.

Since April 2002 the organisation became WHO implementing partner and opened a psychosocial rehabilitation centre in Grozny for children with mine injuries. At present there are 40 handicapped children enrolled in the Centre in Grozny (staffed with one psychologist, traumatologist, counsellor, and masseuse, co-ordinator). The Centre organises number of performances, concerts and other activities. Traumatised children have access to reveal their talents and interests through Centre’s activities.

There are 2 people working in psychotherapy. 1 staff member has diploma in psychology. Staff practices home visits. There are 2 project groups, with on place follow up mechanisms. It is reported that 150 traumatised children participated in the activities of the Centre.

LOCATIONS:

• Psychosocial Rehabilitation Centre – 1 in Grozny, Derzhavin street 134, Chechnya

42

SERLO

Sector: Health Location: Chechnya Objectives: To provide psychosocial care to children and adolescents. Beneficiaries: Displaced and local children Partners: WHO

CONTACT INFORMATION:

CHECHNYA Grozny, Roza Luxembourg street 15/4 Ms. Zeinab Batukaeva, Director

PROGRAMME ACTIVITY:

"Serlo" is a local non-governmental organisation, which was established in December 1995 during the 1st war by a group of psychologist-counsellors and health and education workers in Grozny.

In spring 2000 the activities of the NGO were relocated to Nadterechny region (town of Znamenskoe, camp “Yuzhny”). In April 2001, "Serlo" expanded its work also to the camp “Severny” in the north of the town of Znamenskoe.

Since May 2002 "Serlo" have become a WHO implementing partner and renders psychosocial assistance in six locations in Grozny. The experienced teams consist of the director, 8 psychologists and 4 assistants. WHO works in close partnership with "Serlo" supporting in the provision of training, co-ordination, material supply, and support of Chechen children festivals.

There are 10 people working in psychotherapy. 1 staff member has diploma in psychology. Staff practices home visits. There are 9 project groups, with on place follow up mechanisms. It is reported that 442 traumatised children participated in the activities of the Centre

LOCATIONS:

A. Psychosocial Rehabilitation Centre - 6 in Grozny (see Table N1)

Table N1 Locations of Psychosocial centres in Grozny • Luxembourg street 15, apt. 4 • School –internat N1 for orphans • School N26 • School N44 • School N10 • School N20 • School N37 • School N1 (Dzhanko, Gudermes district)

43

UNICEF

Sector: Education, Health Location: Ingushetia, Chechnya Objectives: To improve health care and safe pregnancy amongst women and children in Chechnya. To improve child health and nutrition awareness amongst IDP women in Ingushetia Beneficiaries: 300,000 children under the age of 17 in Chechnya and Ingushetia

Partners: MoH of RI and RC, medical NGOs

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Targim, Naberezhnaya Street 52 Moscow, Pereulok Obukha, 6 Ms. Oyunsaihan Dendevnorov, Field Co-ordinator Mr. Tulio Santini, Emergency Programme Ms. Fatima Yandieva, National Officer, Health Co-ordinator and Nutrition Tel/Fax: (8732) 22 21 89 Tel: (095) 933 88 18; 933 88 17 E-mail: [email protected]; [email protected]

PROGRAMME ACTIVITY:

UNICEF aims to continue its support to the Expanded Programme of Immunisation (EPI) as well as to Mother and Child Health (MCH) services.

Following the introduction of vaccination cards in the Republics of Ingushetia and Chechnya and the rehabilitation of the national storage facilities for vaccines in Grozny, UNICEF continued to support the restoration of EPI in both republics in order to sustain the vaccination coverage of children under the age of five.

This support involved the supply of cold-chain and immunisation equipment as well as co- ordination and monitoring activities.

In Ingushetia UNICEF launched a “mother empowerment programme” aimed at raising the awareness of IDP mothers on issues such as immunisation, breast feeding, control of diarrhoea diseases and, in general, the role of mothers in improving their children’s health.

UNICEF, in cooperation with the Chechen Ministry of Health, identified a few MCH facilities that could fit into its planned health rehabilitation programme.

In water and sanitation UNICEF began working with the Polish Humanitarian Organisation (PHO) at the end of 2000 to start a potable water production and distribution system in Grozny, as well as a system of pit latrines for schools and medical waste disposal incinerators and garbage bins for hospitals. It is vital to keep these systems running and to further develop garbage and sewage collection systems in order to keep the risk of disease transmission at bay.

In Ingushetia UNICEF supports environmental sanitation activities in settlements by providing disinfectants for control, as well as regular allocations of hygienic supplies including anti- bacterial and anti-parasite products. Access to basic personal hygiene materials is ensured for IDPs living in settlements and host families, and disinfectants are made available both at household and at community level. The provision of basic personal and environmental hygiene products such as disinfectants and soap to health facilities in Chechnya and IDPs in Ingushetia will also continue.

44

World Vision

Sector: Health; Education; Food Location: Chechnya and Ingushetia Objectives: To provide basic health care and psychosocial care for IDPs and their children through mobile health teams; to support IDP children’s schools and kindergartens; to distribute winter clothes for IDP children in schools and kindergartens; to execute basic repairs to school kitchens, provide school feeding in Urus-Martan, school supplies and equipment; to set up a community mobilisation centre in Ingushetia. Beneficiaries: IDP children and adults Partners: WFP

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Targim, Naberezhnaya Street 10 Moscow, Kostomarovski pereulok 3/215 Mr. David Womble, Programme Manager Ms. Jitka Kubinova, Operations Manager Ms. Zura Atieva, Medical Co-ordinator Tel/Fax: (8732) 22 67 18 Tel: (095) 363 15 40 E-mail: [email protected]; [email protected]

PROGRAMME ACTIVITY:

World Vision operates 5 mobile health teams each staffed with a general practitioner, paediatrician, gynaecologist and psychologist regularly visiting selected locations in Ingushetia and Chechnya. One of the team operates in Sunzha district, providing services in settlements and for residents of private sector. Two teams are operating in healthcare structures in Grozny and two others in Urus-Martan district.

In Ingushetia the organization opened community mobilization centre “Peace and Hope” in Sleptsovskaya village, providing the following services to the IDP and local population: • Individual and group psychological consultations (full-time work strengthened by 2 mobile teams’ psychologists also receiving patients in the Centre. There is an on-going and regular process of detecting traumatised children placing them in the available play room with follow up concrete consultation process). • Gynaecological assistance and consultations to women • Diagnostic laboratory services (lab assistant and nurse provide free tests for blood, haemoglobin, sugar and urine tests) • Computer courses with basic PC knowledge and software use • English language courses. There are plans in opening similar structure in Urus-Martan district.

As part of the local capacity building network, WVI organises regular learning sessions for the local population in assisted areas. In 2004 a total of 20 separate events on health and psychosocial related issues were carried out.

There are 10 people working in psychotherapy. 5 staff have diploma in psychology. Staff practices home visits. There are 5 project groups on place with follow up mechanisms. Reported 2429 people who have received psychological consultations in 2003.

45 Following the expansion in Urus-Martan district World Vision has also concluded agreement to provide daily regular hot meals in the district’s 32 schools and 3 kindergartens.

WVI operates a play room for IDP children in spontaneous settlement MTF Karabulak, in Ingushetia. Based on this experience, a second play room for children aged 5 to 17 was opened in TAC on 28 Chaikovskogo Str. In Grozny.

WVI partially funded organisation of the health services to Chechen women through local Chechen NGO “Women’s Dignity Center” in Grozny. The NGO’s staff (physician, gynaecologist) provides prenatal care to pregnant women through one of the local polyclinics in Grozny. Also psychosocial counselling and attorney services are available for women.

LOCATIONS:

• Mobile Medical Team – 5 (1 in Ingushetia and 4 in Chechnya) • Psychosocial Assistance – in Ingushetia/Chechnya (the same locations with mobile teams)

Table N1 Area covered by MMT Chechnya Ingushetia • Novye Aldy, Vyborgskaya 117 • Community centre, Sleptsovskaya/twice week • Polyclinic N3 • MTF (1-3)/Migration Centre (2-4), Karabulak • Polyclinic N4 • Kindergarten, Troitskaya • Hospital N5 • Nesterovskaya, Mira street 1 • Polyclinic N2 • Polyclinic N5 • Polyclinic N7 • Polyclinic N4 (children) • Polyclinic N3 (children) • TAC (Khmelnitskogo street) • TAC (Kolsova 1-4) • Urus-Martan city hospital • Goiti ambulatory • Alkhan-Yurt ambulatory • Gekhi, school • Shalazhi, medical point • Alhazurovo ambulatory • Komsomolskoe ambulatory • Goiskoe ambulatory • Martan-Chu ambulatory • Tangi-Chu ambulatory • Roshni-Chu ambulatory • Gekhi-Chu ambulatory

46

World Health Organization (WHO) NC project

Sector: Health Location: Ingushetia, Chechnya Objectives: Enhancement of equitable access to quality health care; Improved capacity of preventive and curative services at primary and secondary level; Increase of health awareness and prevention campaigns for the general population. Beneficiaries: Population of Ingushetia and Chechnya

Partners: MoH of RI and RC, NGOs (health, psychosocial)

CONTACT INFORMATION:

INGUSHETIA Moscow Nazran, Targim, Naberezhnaya Street 3 Moscow, Ostozhenka 28 Dr. Ute Enderlein, Public Health Officer Dr. Corinna Reinicke, Emergency Health Co- Mr. Azret Kalmykov, National Officer ordinator for North Caucasus Ms. Irina Tarakanova, Administrative Assistant Tel/Fax: (8732) 22 62 02, 22 91 73 Tel: (095) 787 21 52 E-mail: [email protected]; E-mail: [email protected]; [email protected]; [email protected] [email protected]

PROGRAMME ACTIVITY:

WHO as lead agency in health continues in its 5th year to play the coordinating role in integrating the humanitarian response in health related issues. To reduce the burden of disease in the most vulnerable population WHO seeks to create a framework of health knowledge relevant in which the right health information is available at the right time to support informed decision - making of all interested partners.

WHO implements in three regions in Chechnya the IMCI strategy in its framework of the Mother and Child Health programme. Also ‘Making Pregnancy Safer’ and emergency obstetrical care are being introduced in Grozny.

The TB control programme continues in its third year in Ingushetia.

Mental health and psychosocial programmes in Chechnya are ongoing through WHO’s implementing partners SERLO and ‘Save the Generation’ and the opening of a state-ruled psychotherapeutic cabinet at policlinic No. 7 in Grozny.

Improving surveillance of communicable diseases is ongoing and equipment and consumables will be distributed to four laboratories in Grozny.

WHO implements in its third year the HIV/AIDS and ‘Mother to Child Transmission’ prevention programme with supplies to health facilities and health promotion and awareness activities for medical personnel and school teachers.

Locations: Chechnya and Ingushetia

47