1 Health Cluster

Situation Report No. 1 13 October 2008

HIGHLIGHTS

• No communicable disease outbreaks reported;

• Focus on infant and children feeding in emergencies; • Relocation efforts of Internally Displaced Persons (IDPs) to their home communities and to the Gori area are ongoing; • IDP hotline (090) established by the Government to assist IDPs, including health related support; • Cluster approach was activated on 18 September 2008;

• CAP/Flash Appeal revision and Joint Needs Assessment (JNA) have been finalized.

WHAT IS THE GEORGIA HEALTH CLUSTER? The Health Cluster (HC), under the leadership of the World Health Organization (WHO) and in coordination with the Ministry of Labour, Health and Social Affairs (MoLHSA), is made up of national and international health organizations that have been working together after the August crisis to build partnerships and mutual understanding for common actions. The HC in Georgia is developing common approaches to improve coordination in the health sector and to enhance the effectiveness, efficiency, and accountability of health actions. The work of the HC aims to enhance: • Greater coherence in health action among the many and varied stakeholders by building partnership and common understanding; • Well-managed health information, integrated into an overall information management system that will serve all stakeholders to ensure an evidence-based health response; • Predictability and accountability in international responses, by clarifying the division of labour among organizations, and better defining their roles and responsibilities within the different sectors of the response; • A system to rapidly deploy health experts to respond to country needs. (for more information on Georgia clusters go to: http://www.humanitarianreform.org/humanitarianreform/Default.aspx?tabid=75; http://www.humanitarianreform.org/Default.aspx?tabid=700; http://www.humanitarianreform.org/Default.aspx?tabid=695)

Health Cluster Coordination meetings were held on: o 23 September 2008, Gori tent camp, o 2 October 2008, Ministry of Labour, Health and Social Affairs, o 9 October 2008, Ministry of Labour, Health and Social Affairs. Mental Health and Psychosocial Support (MHPSS) subsectoral meeting was held on: o 30 September 2008, UN House.

The activities (to date) of the Health Cluster partners are summarized in Annex 1. Minutes of the above meetings can be obtained through the WHO Country Office in Georgia.

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GENERAL SITUATION UPDATE • Over 130 000 people have since the crisis commenced on 7 August been displaced and accommodated in IDP camps, collective centres and host families; • Currently 86 995 IDPs (see below table) are located in and 46 061 are scattered in different regions; • In Gori town there are 6 681 IDPs of which 2 250 reside in tent camps, 2 370 in host families and 2 061 in 28 collective centres (source: data received from the Ministry of Refugees and Accommodation of Georgia);

Breakdown total (compiled) displacement caused by the “Georgia Crisis” (excl. South Ossetia and ) Regions IDPs from “Georgia Crisis” [CRA; peak of 3 October 2008] 1 980 1 130 5 716 4 350 6 523 -Mtianeti 3 344 Racha-Lechkhumi and Kvemo Svaneti 182 Samegrelo-Zemo Svaneti 178 Samtskhe-Javakheti 6 297 14 601 Tbilisi 86 995 Not identified 1 760

Total 133 056 Private Collective Centers Accommodation 64 374 68 682 (Source: OCHA, 2008, Civil Registry Agency and the Ministry of Refugees and Accommodation, with estimated +/- 3000 persons margin of errors)

• The Government of Georgia has informed the international community about its plans to construct 4 496 houses in Gori, Mtskheta, and Kareli for IDPs who will not return in the medium term. The construction of these housing units will partly be funded by bilateral donations. The plan is to provide 60m2 houses, each including infrastructure and internal equipment (source: http://iys.cidi.org/disaster/co m-dsr/ixl80.html webpage accessed on 12 October 2008); • The first European Union observers entered the buffer zone and South Ossetia on 1 IDPs outside Gori tent camp (Photo: MC Profili) October 2008 to begin monitoring the ceasefire between Georgia and Russia (source: http://news.bbc.co.uk/2/hi/europe/7643612.stm, webpage accessed on 8 October 2008).

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HEALTH SITUATION UPDATE • A plan for rehabilitation of damaged health facilities is underway. Requests for funding will be submitted to donors; • Disease surveillance systems including water quality testing in affected areas has been set up by the National Center for Disease Control (NCDC) in Tbilisi and other regions; • As of 1 October, no outbreaks of communicable diseases among IDPs in the affected areas have been reported;

Number of registered cases of communicable diseases in Georgia including cases among IDPs in August 2007 and 2008 Disease Number of cases Number of cases August 2007 August 2008 Diphtheria - 2 Pertussis 9 14 Measles 3 - Rubella 9 4 Mumps 5 1 Viral Hepatitis A 207 27 Viral Hepatitis B 25 21 Viral Hepatitis C 16 10 Diarrheal diseases 156 86 Influenza 384 247 Respiratory infections 10 945 7 973 (Source: National Center for Diseases Control, NCDC, Tbilisi – Georgia)

• According to the table above, the number of cases of communicable diseases observed in August 2008 has not increased when compared to the previous year; • In Tbilisi, the NCDC has established active surveillance of the temporary IDP locations to timely detect and control emerging communicable diseases; • Teams of epidemiologists, including staff for prevention/promotion activities (disinfection, disinsection and deratization) and public health laboratories have been mobilized. Preventive and promotion activities have been conducted in parallel to inform IDPs of the ways communicable diseases are transmitted and of the methods used to avoid transmission. Disinfectants for toilets have been distributed; • In order to minimize the risk of outbreaks of communicable diseases the NCDC had recommended that overcrowding of temporary IDP locations be avoided. The NCDC continues to monitor the housing and sanitation conditions of temporary IDP locations; • In Tbilisi, as a result of close epidemiological and clinical investigations, the following cases of communicable diseases were registered among IDPs: scabies (9 cases), skin infections (7 cases); gastro-intestinal infections (4 cases of suspected viral origin) and 1 confirmed laboratory case of Salmonellosis (Salmonella enteritidis); • Outside Tbilisi, NCDC monitoring teams visited temporary IDP locations (74 places were visited once, 24 places twice, details are available from the NCDC, Tbilisi). Epidemiological and clinical investigations as well as preventive and promotion activities were conducted. Isolated cases of diarrhea were registered in the Tskaltubo district (8 cases), in the “Patriot” camp in the Bagdati district (2 cases), in Gori Kindergarten#8 (4 cases) and in the technical school in (3 cases).

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GOVERNMENT OF GEORGIA RESPONSE • Georgian health authorities have announced that all IDPs in Georgia have free access to local health facilities, including referral services; • In addition, primary care providers from local health facilities are visiting all collective centres on a regular basis to provide free medical consultations, treatment and basic laboratory services; • The Government has established an IDP hotline (090) to provide advice and guidance, including on health related matters.

HEALTH CLUSTER COORDINATION • WHO and MoLHSA are coordinating ongoing health activities in Georgia; • The Health Cluster matrix on Who is doing What and Where (3W) as well as a geographical mapping has been completed; • The matrix includes Nutrition and Mental Health and Psychosocial support (MHPSS) subsectors and is available through the WHO Country Office and the OCHA office in Georgia. Health Cluster partners activities (to date) are also summarized in Annex 1; • The following assessments are available and include findings on the health sector: o IMC and GCRT (Mental Health and Psychosocial Rapid Assessments of Georgian IDPs in Tbilisi August 2008) o MERLIN (Findings Gori- Tshkinvali corridor; September 2008); o European Commission (Rapid Needs Assessment related to the conflict September 2008); o UNIFEM (Rapid Needs Assessment of Internally Displaced Women, September 2008); o UNOCHA (Inter-agency Initial Rapid Assessment, Health Cluster coordination meeting (Photo: Italian Red Cross) September 2008); o UNWFP (Caucasus conflict, emergency food Security Assessment, September 2008)

Partners of the Health Cluster include: ACTS, ADRA, CARITAS, CIF, CLARITAS XXI, Counterpart, GRCS, Hellenicare, IFRC, IMSS, IRD, IWA, Merlin, MdM, MSCI, MSF, OXFAM, SCF, UMCOR, WF, WVI, UNICEF, UNFPA, UNWHO, EC, EC/ECHO, USAID, WB (see Annex 2 for acronyms)

Ministry of Labour, Health and Social Affairs (MoLHSA)

Nutrition subsector: • UNICEF is chairing the subsector on nutrition; • The rate of exclusive breastfeeding among ID mothers continues to be very low (lower than the national average of 38% before the crisis); • Protecting, promoting and supporting breastfeeding, especially exclusive breastfeeding, in both normal and emergency situations is particularly important because: o The risks of illness are higher. Exclusive breastfeeding is therefore even more important as a protective measure; o Breastfeeding must be protected and encouraged in emergencies, which may temporarily disrupt breastfeeding or make it more difficult because of stress, lack of privacy and over crowding;

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o Breast-milk Substitutes (BMS) carry risks of increased illness and mortality in the best of circumstances. Where there is poor hygiene; lack of access to clean water; and uncertain supplies of substitutes, the use becomes even more dangerous. • There should be NO GENERAL DISTRIBUTION OF BMS. BMS or other powdered milks should never be part of a general distribution. They should be used only when breastfeeding is not possible. Careful assessment of the number of infants needing breast-milk substitutes should be quickly made in order to ensure adequate supplies and no over-supply. • Therefore UNICEF, in collaboration with the local NGO CLARITAS XXI, has conducted a rapid assessment among IDPs with the aim of collecting information on: o Demographic profile: infants and young children, pregnant women, women/mothers; o Age: number of infants and young children under 2 years (data stratified by age for 0-< 6 month, 6-<12 month, 12-<24 month); children aged 2-5 years: pregnant women and women/mothers; o Predominant feeding practices; o Availability of BMS; o Availability of appropriate foods for infant complementary feeding; o Any factors disrupting breastfeeding; o Nutritional adequacy of the food ration/infant and young children feeding practices including feeding techniques o Environment, including water quantity and quality, fuel, sanitation, housing; o Nutritional needs of mothers and pregnant women. • UNICEF is finalizing a report and collecting the above information in a database. Recommendations will be developed based on the findings and disseminated to the Government of Georgia and interested partners and used for targeted distribution of BMS and complementary food, in accordance with identified needs; • In order to meet children’s urgent nutritional needs, the nutrition subsector has identified UMCOR as the designated agency for the coordination of the distribution of BMS in accordance with the findings of UNICEF’s rapid assessment and subsequent recommendations and WHO guidance such as; o Nutritionally adequate BMS should be made available for as long as the infants concerned need it, o The product should conform to relevant Codex Alimentarius standards, and bear only a generic label that includes all labeling provisions of the International Code of Marketing of Breast-milk Substitutes; o Those who are responsible for feeding a BMS should be adequately informed and equipped to ensure its safe preparation and use; o Feeding a BMS to a minority of children should in no way interfere with protecting and promoting breastfeeding to the majority; o The use of infant feeding bottles and artificial teats in emergency settings should be actively discouraged. • To meet changing nutritional requirements infants should, at six months of age, start to receive complementary foods in addition to breast milk. These foods should be safely prepared from locally available foods that are rich in energy and micronutrients. In emergency or post-crisis conditions, appropriate foods and/or cooking facilities may not be readily available and supplies may be unreliable and local people will be unable to afford costly manufactured items. Therefore: o Infants older than six months need hygienically prepared foods that are easy to eat and digest and that nutritionally complement breast milk; o Caregivers need secure uninterrupted access to appropriate ingredients with which to prepare and feed nutrient-dense foods to older infants and young children; o All agencies should encourage the use of local products, suitability prepared for infants older than six months rather than creating a dependency on expensive specialized manufactured complementary feeding products.

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• In order to cover assessed urgent nutritional requirements, the flash appeal calls for provision of local complementary and supplementary food supplies for ID children under 2 years and for special food for lactating women. (For more information on infant and children feeding in emergencies please see: www.who.int/nutrition/topics/emergencies/en/index.html; www.unicef.org/nutrition)

Partners of the Nutrition subsector include: CLARITAS XXI, SCF, UNICEF, UNWFP, UNWHO

Ministry of Labour, Health and Social Affairs (MoLHSA), Ministry of Refugees and Accommodation (MRA)

Mental Health and Psychosocial Support (MHPSS) subsector: • On 30 September 2008 a coordination meeting on Mental Health and Psychosocial support (MHPSS) organized by the Health Cluster (WHO) and the Child Protection Cluster subsector (UNICEF) was held. Representatives of MoLHSA and the Ministry of Education attended the meeting as did representatives from 27 partners and local institutions; • The aim of the meeting was to clarify the respective roles and responsibilities of the partners working in mental health and psychosocial support, incl. Post Traumatic Stress Disorders (PTSD) and the partners working predominantly in social aspects of children (child friendly spaces/psychosocial); • Inter-Agency Standing Committee (IASC) guidelines on mental health and psychosocial support in emergency settings were used to provide specific inter- agency guidance for this purpose. Strategic directions were provided for immediate, intermediate and long-term needs; • WHO is considering dedicating a country based staff to the pursuit of the objective of the MHPSS subsector.

Partners of the MHPSS subsector include: CRS, GAMH, GAPCP, GASW, GIP, GPS, GCRT, GRCS, Hellenicare, IOCC, IOM, INCD, IPS, IRD, Merlin, MDM, MSF, NDOBA, SCF, WVI, UNICEF, UNHCR, UNWHO

Ministry of Labour, Health and Social Affairs (MoLHSA), Committee of Health Care and Social Issues (CHCSI), Parliament of Georgia, Ministry of Education and Science (MoES)

JOINT NEEDS ASSESSMENT (JNA) • Joint Needs Assessment (JNA) for Economic Recovery is a document prepared by EU/UN/WB in response to the request from the Georgian Government. The document is based on the Post Conflict Needs Assessment (PCNA) methodology endorsed by the World Bank and the UNDG Principals; • The document covers three sequential time frames for the interventions (Immediate Needs (6, 12, 18 months starting from October 2008) and includes three main priority areas of intervention: 1) Economic And Banking Priorities; 2) Social Needs; 3) Infrastructure and Environment. Priorities in the Health Sector are described under the Social Needs priority; • Joint Needs Assessment and Flash Appeal (FA) revision are timely overlapping documents for the first 6 months (October 2008 – March 2009) period. The JNA presents needs and response at the overall policy/strategy level whereas the FA is focused more on the operational level.

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CONSOLIDATED APPEALS PROCESS/FLASH APPEAL (CAP/FA) • Revised version of the CAP/FA has been finalized. Total funding requirements for the 6-months period, October 2008-March 2009, are USD 109 311 307; • Health Sector appeal is USD 3 445 000 (3 UN agencies and 7 partners), • Key objectives and related projects identified by the Health Cluster are: 1) co- ordination/monitoring of health and nutrition status of IDP population; 2) access to essential health services (in particular primary health care (PHC), mental health and psychosocial support and reproductive health); rehabilitation of health facilities.

OTHERS • 22 October 2008 – Georgia Donor Conference in Brussels; • 15 October 2008 – International conference in Geneva on the situation in Georgia; • 8 October 2008 - Representatives of the inter-agency humanitarian mission to South Ossetia (16-20 September) met with UNCT and government officials in Georgia to debrief on the findings of the mission; • 1 to 4 October 2008 - Mr Walter Kälin, Representative of the Secretary-General on the human rights of internally displaced persons, visited Georgia at the invitation of the Government and met with UNCT and government officials, to discuss the IDP situation and the human rights perspective; • 22 September 2008 - Dr Nata Menabde, Deputy Regional Director of the WHO Regional Office for Europe, met government health officials to discuss IDP health issues and WHO’s support during and following the crisis; • 17 September 2008 - Dr Eric Laroche, WHO Assistant Director General, met UNCT and health officials in Tbilisi and Gori and visited IDPs in Gori tent camps and collective centres.

Contacts:

Ministry of Labour, Health and Social Affairs (MoLHSA) in Georgia Ms Nino Mirzikashvili, Head of the International Relation Department Ministry of Labour, Health and Social Affairs of Georgia Tel: +995 77 222 887 E-mail: [email protected]

WHO Georgia Country Office in Georgia Dr Rusudan Klimiashvili Dr Maria Cristina Profili Head of WHO Country Office Health Cluster Coordinator [email protected] E-mail: [email protected] Tel: +995 32 998073

Ms Maya Mateshvili Dr David Katcharava Information/Communication Officer Public Health Assessment, Coordination Officer E-mail: [email protected] E-mail: [email protected] Mobile: +995 (8) 77 487877 Mobile: +995 (8) 91 607208

WHO Regional Office for Europe WHO Headquarters Dr Gerald Rockenschaub, Regional Adviser Dr Alessandro Loretti Disaster Preparedness and Response Director a.i. Emergency Response and Operations Tel: +45 39 171551 (ERO) HAC Tel: +41 22 79 12750 Mobile: +45 21 794207 Mobile:+41 79 218 9800 E-mail: [email protected] E-mail: [email protected] http://www.euro.who.int/emergencies http://www.who.int/disasters

Ms Liuba Negru Mr Paul Garwood, Communications Officer Press and Media Relations Officer Health Action in Crises Cluster Tel: +45 39 17 13 44 Tel: +41 22 79 13462 Mobile: +45 20 459274 Mobile: +41 79 4755546 E-mail: [email protected] E-mail: [email protected] http://www.euro.who.int/mediacentre http://www.who.int/disasters

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ANNEX 1 – WHO is doing WHAT and WHERE Summary of activities (to date) of Health Cluster partners

# WHO WHAT WHERE (agency) (activities) (regions and/or towns) 1. CARITAS, Georgia • Provides home-based care to elderly and disabled persons; Tbilisi • Plans to provide emergency health assistance to IDPs in accordance with identified needs. 2. Georgia Association for • Provides PTSD counseling and stress management psychotherapy to IDPs; Tbilisi Mental Health (GAMH) • Supports Gori psycho-neurological dispensary; • Represents six mental health NGOs; • Provides consultancy to the Government on new legislation; • Conducts trainings for the PHC sectors: trains staff of mental health institutions in psycho-social rehabilitation and treatment of mental disorders; • Establishes guidelines for treatment of post traumatic stress disorders. 3. Georgia Association for • Operates a team of four psychologists working in the Mukhiani Khevi IDP centre. The team which Tbilisi Psychotherapy and Clinical provides psychosocial assistance to the 321 IDPs, primarily young children and their parents, in the Psychologists (GAPCP) centre. 4. Georgia Association of Social • October: launch of new project in Gori with focus on training of local social workers and development of Gori Workers (GASW) a case management system. 5. Georgian Center for • Possesses extensive experience related to severely traumatized patients; , , psychosocial and medical • Provides psychological, psychotherapeutic, medical, social and legal assistance to IDPs, vulnerable Gori, , Rehabilitation of Tortured groups and persons with violent pre-trauma history; Kutaisi, Tbilisi and victims (GCRT) • Operates mobile teams (40 people in total) in and Gori to provide assistance to conflict-affected Rustavi population in Tbilisi, Akhmeta, Kutaisi and, Batumi. 6. Global Initiative of • Provides PTSD counseling and psychosocial support; Gori , Tbilisi Psychiatry (GIP) • Operates five mobile teams in Tbilisi and Gori, providing basic psycho-social services to IDPs; • Trains primary healthcare workers and psychologists; supports community mobilization; provides legal services; • Plans to organize international conference on PTSD on 18-19 October on PTSD; • Plans to conduct trainings for psychologists and social workers; • Plans to create modules using evidence based interventions. With the support of the European Society for Traumatic Stress Studies European Society on Traumatic Studies (ESTSS, www.estss.org) local capacity to provide mental health and psycho-social support will be strengthened. 7. Georgia Red Cross Society • Provides mental health and psychosocial support to children and women in Gori and Rustavi; Gori, (GRCS) • Organizes community mobilization for measles, mumps and rubella vaccination through home-to-home visits and distributes leaflets on promotional health activities, plans to promote social mobilization Kvemo Kartli region activities in seven districts; • Operates mobile teams which provide primary and secondary health care (incl. ultrasound investigations) to IDPs and provides essential drugs; • GRCS volunteers are working in the Gori Tent Village and provide assistance in the Italian Red Cross kitchen. They also help 200 children in the Ureki day camp.

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8. Hellenicare • Operates three mobile teams which provide primary and secondary health care to IDPs (incl. ultrasound Tbilisi investigations, laboratory services and in-patient surgical assistance); • Addresses medical and psychological trauma needs of IDPs at the collective centres and visits host Kvemo Kartli and families; Shida Kartli regions • Distributes hygienic and newborn kits and medical drugs; • Has to date served 60 IDP collective centres and 738 people in over 80 villages. 9. International Network for • Provides emergency and elective surgeries of IDPs in collaboration with UMCOR; Tbilisi Civil Development (INCD) • Distributes food and hygiene supplies to 68 ID children and six pregnant women in Tbilisi. 10. International Orthodox • Provides psychosocial support to children and parents of children with post-crisis problems; Gori, Tbilisi Christian Charities (IOCC) • Plans to train volunteers in collaboration with the Patriarch of Georgia; • Mobilizes self-assistance, self-help groups, identifies leaders and social workers. (Pending funding) 11. International Organization • Plans to provide mental health and psychosocial support to conflict-affected populations; capacity , Gori, for Migration (IOM) building/training sessions for PHC doctors and nurses, mental health awareness-raising sessions to social Tbilisi workers, community leaders, faith-based organizations and religious leaders. (Pending funding) 12. International Relief and • Distributes medical supplies; expects new shipment of medical supplies in November in collaboration , Development (IRD) with the MoLHSA.

13. Medical Emergency Relief • Plans to provide PHC and psychosocial services in conflict-affected areas and to improve the referral Shida Kartli region International (Merlin) mechanism and train PHC workers in mental health and psychosocial services. (Pending funding) 14. Medicine Sans Frontiers, • Operates three mobile units in Gori, which assist IDP centres and host families; Gori France (MSF-F) • Provides medication, cooperates with six polyclinics; • Provides PHC services to IDPs in all collective centres and in 35 IDP centres; • Provides medical and psychological care through psychological teams in Tbilisi and Gori. 15. OXFAM • Plans to restore primary health care services to displaced population IDPs living in conflict affected Gori areas. (Pending funding) Shida Kartli region 16. Georgian Association of • Provides multidisciplinary psychosocial aid, crisis intervention and trauma counseling to conflict-affected Tbilisi Psychosocial Aid (NDOBA) population. 17. Save the Children Fund • Provides emergency supplementary food assistance to ID children. , Gori, (SCF) Rustavi, Tbilisi, Tskaltubo, Zugdidi 18. Welfare Foundation (WF) • Improves access to and utilization of primary healthcare services to IDPs in accordance with identified Gori, Tbilisi needs. 19. World Vision International • Provides psychosocial support through establishment of help desks for IDPs in 20 collective centres, Tbilisi (WVI) conducting, on average, 300 consultations per week; • Capacity building/training of PHC providers and other community members on how to identify and address post-conflict crisis issues. (Pending funding - to extend activities)

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20. United Methodist Committee • UMCOR has been identified by the nutrition subsector as a designated agency for targeted BMS Tbilisi on Relief (UMCOR) distribution working in accordance with UNICEF and WHO recommendations and guidance; • Distributes medical supplies, pharmaceuticals, water and hygiene kits. Imereti, Kvemo Kartli, Racha- Lechkhumi and Samegrelo regions 21. United Nations Population • Operates four reproductive health mobile teams; involving social workers for post-conflict sexual gender- Gori, Kobuleti, Fund (UNFPA) based violence issues; Kutaisi Rustavi, • Provides training in reproductive health; Tbilisi • Distributes hygiene (family and youth) kits to over 4 000 beneficiaries in 17 locations; • Has so far assisted over 2 118 women at over 36 locations across Georgia with reproductive health issues. 22. United Nations High • Provides psychosocial support to IDPs; Countrywide Commissioner for Refugees • Plans to support sexual and gender- based violence response activities; (UNHCR) • Plans to implement psychosocial assistance based on a model which has already been used in Abkhazia. 23. United Nations Children's • UNICEF coordinates the nutrition subsector of the Health Cluster: The subsector promotes breastfeeding Countrywide Fund (UNICEF) practice, coordinates and ensures targeted and continued Infant Feeding & Micronutrient Supplementation for ID children; provides counseling to pregnant and lactating women on adequate infant and young children feeding; implements nutritional surveys; and provides micronutrient/vitamin supplementation for ID children and, pregnant and lactating mothers; • UNICEF furthermore coordinates child protection education and psycho-social activities in Gori; Guria, Imereti, • Provides operational support to the Public Health Department in West Georgia for monitoring of Racha-Lechkhumi, communicable diseases, incl. prevention activities (disinfection, disinsection and deratization). Samegrelo regions 24. United Nations World Health • As lead agency for the Health Cluster coordination, WHO has developed the “3W matrix” compiling Countrywide Organization (UNWHO) partner information on who is doing what and where in health, nutrition, mental health and psychosocial activities; collaborates with the NCDC to monitor the health status of IDPs; participates in the Humanitarian Coordination meetings organized by Kvemo Kartli Regional Office of the Governor and conducts regular visits to IDP centres in Gori and Rustavi for Health Cluster coordination in the field; • WHO furthermore coordinates the activities of the MHPSS subsector; • Plans to support the MoLHSA with reintegration of displaced medical staff into the national health system with provision of basic medical equipment and to support training activities.

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ANNEX 2 – Health Cluster partners

Acronyms Organization ACTS ACTS ADRA Adventist Development and Relief Agency CARITAS CARITAS, Georgia CIF Curatio International Foundation CLARITAS XXI, Georgia CLARITAS (Mother-Child Nutrition and Wellness Association) CHCSI Committee of Health Care and Social Issues, Parliament of Georgia Counterpart Counterpart CRS Catholic Relief Services EC Delegation of the European Commission to Georgia EC/ECHO European Commission's Humanitarian Aid Office GAMH Georgia Association for Mental Health GAPCP Georgia Association for Psychotherapy and Clinical Psychologists GASW Georgia Association of Social Workers Georgian Center for psychosocial and medical Rehabilitation of Tortured GCRT victims GIP Global Initiative of Psychiatry GPS Georgian Society of Psychotrauma GRCS Georgia Red Cross Society Hellenicare Hellenicare IFRC International Federation of Red Cross and Red Crescent Societies IMC International Medical Corps IMSS International Medical Support Services, Georgia INCD International Network for Civil Development IOCC International Orthodox Christian Charities IOM International Organization for Migration IPS Institute of Policy Studies IRD International Relief and Development IWA International Women’s Association MdM Medicine du Monde MERLIN Medical Emergency Relief International MoES Ministry of Education and Science MoHLSA Ministry of Labour, Health and Social Affairs MRA Ministry of Refugees and Accommodation MSCI Medicine Service Corporation International MSF Medicine Sans Frontiers NDOBA Georgian Association of Psychosocial Aid OXFAM OXFAM SCF Save the Children Fund UMCOR United Methodist Committee on Relief WB World Bank WF Welfare Foundation WVI World Vision International UNFPA United Nations Population Fund UNHCR United Nations High Commissioner for Refugees UNICEF United Nations Children's Fund UNWFP United Nations World Food Programme UNWHO United Nations World Health Organization USAID United States Agency for International Development

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