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MSF-Spain Final Floods Report.Pdf Response To Flood Emergency 2013 A MSF Spain Acknowledgement MSF Spain appreciates the financial support provided by ECHO in assisting the flood affected population in 1 Kenya during the long rain season in 2013. It is with their support that MSF Spain was able to assist over 25,000 people with health care services , shelter material, non food items and water and sanitation. Gabriel Sanchez, Head of Mission, MSF Spain Disclaimer: The views and opinions expressed in this report are from MSF Spain and do not reflect the position of any other actors during the floods intervention. The information given in the report is based on the experience of MSF Spain during the floods intervention in the period April to May 2013. Response To Flood Emergency 2013 B MSF Spain TABLE OF CONTENTS Summary 2 1 Background 3 2 Area of Intervention 3 2.1 Bura 3 2.2 Garsen 4 2.3 Lamu West 4 2.4 Gilgil 4 2.5 Garissa 5 2.6 Narok 5 2.7 Isiolo 5 3 Intervention Strategy 6 3.1 Tana River area: Bura, Garsen, and Lamu West 7 3.2 Garissa 7 3.3 Narok and Gilgil 7 3.4 Isiolo 7 4 Intervention results 8 4.1 Result 1 8 ¨The flood affected population has an increased access to health care while surveillance of notifiable diseases is reinforced.¨ 4.1.1 Beneficiaries of medical services 8 4.1.2 Surveillance 9 4.1.3 Consultations 10 4.1.4 Morbidity 11 4.1.5 Maternal child health services in Bura and Garsen 13 4.1.6 Referrals 14 4.2 Result 2 “The displaced population has access to shelter material and non-food items.” 14 4.2.1 NFI distribution 15 4.2.2 IEC Sessions 15 4.3 Result 3 “The displaced population has access to a minimum standard of drinking water and temporary sanitation facilities.” 16 4.3.1 Latrines 16 4.3.2 Aqua tablets 18 5 Challenges 19 6 Conclusions - Recommendations 20 Response To Flood Emergency 2013 1 MSF Spain Summary Floods in Kenya are relatively common during the short and the long rains. The long rain season that began in April 2013 was marked by heavy rains that resulted in flooding and mud slides displacing people and destroying their livelihoods. The affected population experienced an immediate food shortage as their stored food was destroyed and their farms were flooded. Access to health care services was disrupted and in some areas, an existing chronic shortage of medical supplies and staff in the health facilities worsened the situation for the affected population. The main needs of the affected populations were rescue from marooned areas, food, drinking water, shelter, non food items and access to health care services in relocation areas. The risk of water related diseases was high as water sources were contaminated and sanitation facilities were missing, stagnant water created a breeding ground for vectors thus predisposing the population to vector borne diseases. Medecins sans Frontieres (MSF Spain) in close collaboration with the Ministry of Health (MoH), Kenyan Red Cross (KRC), ECHO1 and other actors intervened in Bura, Garsen, Garissa, Isiolo, Nakuru, Gilgil and Narok with an aim of improving access to health care, water, sanitation, shelter and non food items to the affected population. The needs of the flood affected population varied because in some areas other actors were already meeting some of the immediate necessities. MSF adapted to the needs and focused its intervention on internally displaced people due to flooding, achieving the following results: Area Mobile clinics Consultations Surveillance NFI2 + Shelter Aqua tablets3 Latrines conducted done visits done donated donated constructed Bura 19 3,028 19 1,212 12,240 11 Garsen 3 1,217 23 980 5,840 31 Lamu West - - - 126 1,260 - Garissa - - - 40 - 15 Gilgil - - - 433 - 8 Narok 40 - 10 Donation - - - 255 32,438 - TOTAL 22 4,245 42 3,086 51,778 75 During the two months intervention, MSF provided assistance to over 25,000 people: 4,245 benefitted from medical services of which 1,112 were children below 5 years. A total of 42 surveillance visits were conducted across 15 sites to detect notifiable diseases. MSF supported 3,086 households with non food items, 1,168 households received 51,778 aqua tablets for water treatment and 75 latrines were constructed in the displaced persons camps. In general terms, MSF met its objective to improve access to health care, water, sanitation and shelter for the flood affected population. 1 European Commission Humanitarian Office. 2 Non food items kit is composed of : 1 60 liter container, 2 mosquito nets, 1 turplin (4x6 m), 2 blankets, 1 rope of 25 meters, 1 collapsible jerry can of 20 liters, 5 plates, 5 mugs, 5 spoons, 2 cooking pots, 1 knife, 1 wooden cooking stick, 1 serving spoon, match box and bar soap. 3 Aqua tablets are made from chlorine; they are used to purify drinking water Response To Flood Emergency 2013 2 3 MSF Spain 1 BACKGROUND MSF has been present in the country since 1982 with regular projects in HIV, tuberculosis (TB), kala azar (visceral leishmaniasis), nutrition, primary health care, refugees and IDP interventions. MSF has been at the forefront in responding to humanitarian needs during emergencies in the country. MSF in the country is represented by four sections, each section has an assigned area of monitoring and response in the country, that is based on a mutual agreement and sometimes the sections complement each other when need arises. In the past, MSF has responded to floods in Budalangi, in the western part of Kenya, Tana Delta in the coastal area and in urban slums. The last major flood intervention by MSF Spain was 2007 in Tana Delta. Thereafter the effect of the floods haveKenya: not had a majorFloods impact Update until the recent (as long at 9 rainsMay in2013) April 2013, where over 100,000 people were affected and 93 deaths were reported in the country4. The effect of the wet season was widespread in the country, with the most affected Cumulatively, an estimated 100,980 people have been affected and 93 deaths recorded since the onset of areathe rains being in alongMarch, the according course ofto themajor Kenya rivers Red like Cross Tana River,Society Ewaso (KRCS). Nyiro Of and these, River over Nzoia. 87,000 people have been displaced. 2 AREA OF INTERVENTION ETHIOPIA Moyale ! Turkana UGANDA NORTH Turkwell Marsabit EASTERN ! El Wak 17,080 RIFT ! Marsabit VALLEY Wajir UPPER 8,935 EASTERN ! Wajir 52 8,775 9 WEST KENYA ! Habaswein Isiolo SOMALIA 24,325 Baringo 9 ! Isiolo Hamisi Laikipia Nzoia Vihiga Dadaab Kisumu Nyando !Nakuru Nakuru !Garissa Homabay Murang’a Kirinyaga R. Tana Garissa KujaKisii Kiambu Migori Tana-river ! Bura Kitui Narok Nairobi Machakos !Hola CENTRAL R. Athi 925 COAST Lamu ! 2 Kajiado 22,805 9 LOWER TANZANIA EASTERN 4,235 & Kilifi NAIROBI 12 Major river Sabaki Taita-taveta ! Flood prone area Taveta Malindi ! !Voi Flood affected area 87,080 People displaced ! Mwatate 93 Deaths Affected County Displacement 19 Injured !Mombasa XXX No. of People 694 Houses destroyed displaced XX No. of deaths TheSource: boundaries UNOCHA and names shown Kenya and the Floods designations snapshot used on this 8th map doMay not imply 2013 official - endorsementFlood Affected or acceptance area. by the United Nations. Creation date: 9 May 2013 Source: Kenya Red Cross (data), IEBC, UNCS Feedback: [email protected] www.unocha.org www.reliefweb.int MSF Spain responded to the flood affected areas in Garissa, Narok, Gilgil, Bura, Garsen, Lamu West and Isiolo districts. The intervention took a period of two months, starting from the first day of April 2013 and ending in the last week of May 2013. The situation in the flood affected areas that MSF intervened was as follows: 4 UNOCHA Kenya floods snapshot 8th May 2013 Response To Flood Emergency 2013 3 MSF Spain 2.1 Bura Tana River flows through the district and there are seasonal rivers along its course. Following the heavy long rains the river burst its banks, resulting in the displacement of over 2,000 households. The villages along the river course were submerged or marooned by the rising water levels. The main challenges that were faced by the flood affected population were temporary impossibility to live in their own houses as their houses were destroyed or isolated; no access to safe drinking water in almost all areas; absence of sanitation structures; no access to health care, due to a chronic shortage of drugs and medical staff in the health facilities; food access problems and loss of livelihoods. Main stakeholders in the area were local authorities that assisted with food. KRC assisted in the evacuation of isolated people, distribution of NFI and water and sanitation activities. MSF was assigned to intervene in the area close to the river and KRC intervened in the highland area. As in the rest of the areas of intervention, both organisations complemented their activities in order to prevent gaps in humanitarian assistance. The main activities implemented by MSF Spain were mobile clinics, disease surveillance, NFI kits distribution, aqua tablets distribution, construction of latrines and health education sessions. 2.2 Garsen This area is in the delta region of Tana River. It has a flat topography and is the point where Tana River flows into the Indian Ocean. The area normally experiences seasonal flooding during the long and short rains. The community has a seasonal pattern of movement depending on the rains. During the wet season the people move to higher ground and after the rains they return back to the river banks for farming.
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