BULLETIN YEMEN ICRC ACTIVITIES February - March 2019 The initial stages of the construction of the Yemen Red Crescent Society (YRCS)-Hajjah strategic warehouse for food and shelter assistance, funded and constructed by the International Committee of the Red Cross (ICRC). In the months of February and March, the International Committee of the Red Cross (ICRC) continued its life saving activities, relief projects and interventions on various fronts. The Water and Habitat department worked mainly on a mul- tiplicity of projects across Yemen to ensure provision of water to local popula- tions and to provide pertinent support to several hospitals, Health department continued its interventions in ICRC-supported hospitals, not only focusing on weapon wounded and trauma patients, but also leading a multidisciplinary chol- era response, while the Economic Security department sustained its relief assis- tance through distributing food and agro-inputs (among others) to vulnerable communities and internally displaced people in the north and the south. FACTS AND FIGURES 268,416 patients benefitted from the healthcare and medical facilities services provided by ICRC. 108,272 individuals received food parcels. +2.5M Yemenis provided with safe water. Saif al-Oliby/ICRC One of the physical rehabilitation experts is assessing the general condition of Shaif’s residual leg to see if it is ready for the prosthetic fitting. ICRC YEMEN DELEGATION HIGHLIGHTS An illustrated overview of some of the activities carried out by the ICRC delegation in Yemen during the months of February and March 2019. For more details, please refer to the next pages in this report. HEALTHCARE & MEDICAL FACILITIES 268,416 23,164 PATIENTS DIALYSIS SESSIONS benefitted from the healthcare and in 8 dialysis centres across the medical facilities services provided country in 7 governorates were by ICRC, of which 5968 were weapon granted thanks to ICRC support. wounded. 7,070 74 PERSONS MEDICAL FACILITIES benefitted from services receive regular ICRC support in 15 provided at ICRC-supported governorates. physical rehabilitation centers. FOOD DISTRIBUTION & PRODUCTION 108,272 8,704 PERSONS HOUSEHOLDS received food aid to help them cope benefitted from the relief assistance of with the impact of the conflict. food and essential non-food items. WATER, SANITATION & CONSTRUCTION +2.5 milion 5 PERSONS GENERATORS benefitted from ICRC water, with total power capacity of 860 KVA sanitation & construction services. donated by the ICRC during February and March 2019. BETTER ACCESS TO HEALTHCARE AND MEDICAL FACILITIES Regarding war wounded and trauma patients, the admitted weapon wounded patients (184 in al- ICRC supported the following services aimed at Talh and 162 in al-Mansoura), with a total of ensuring access to high quality surgical services 922 surgeries performed (560 in al-Talh and throughout the continuum of care: 362 in al-Mansoura). ◼ In addition to those 2 hospitals and following 20 the rehabilitation of the Emergency Room, PRE-HOSPITAL CARE FACILITIES Operating Theatre, High Dependency Unit, provided first aid and stabilization and Surgical Inpatient Ward, the ICRC services for a total of 1,666 weapon deployed a Mobile Surgical Team to Bajil wounded patients. Rural Hospital (Hodeida) and provided support in preparedness activities in case of ◼ 20 trauma stabilization/pre-hospital care mass casualties resulting from the ongoing facilities with medical supplies along the hostilities in Hodeida. frontlines in Sa’ada and Hodeida, which provided first aid and stabilization services for To respond to the health needs of the civilian a total of 1,666 weapon wounded patients. population affected by the conflict, the ICRC has supported the following essential preventive 21,550 services and life-saving curative services: PATIENTS 129,704 benefitted from emergency care out of which 877 were weapon wounded. CONSULTATIONS provided by the 23 ICRC-supported ◼ Emergency care and ad hoc support provided to health centers for patients 11 referral hospitals, among which 9 are close to the frontlines in 4 governorates (Taiz, Hodeida, ◼ Regular medical assistance provided to 23 Hadramout and Shabwa) and 2 in Amanat al- primary-health-care (PHC) centres in 9 Asima, in order to ensure stabilization of war governorates. wounded and trauma patients and the provision ◼ In the 23 ICRC-supported PHCs across the of surgical care. Through this support, 21,550 country, 118,136 consultations were carried patients received emergency care, out of which out, 42.7% (50,422) of which were for children 877 were weapon wounded. under 5 years of age, 18,654 of whom received vaccines. 9 ◼ 5,852 antenatal care consultations provided REFERRAL HOSPITALS to pregnant women and 1,231 deliveries received regular ICRC support in 7 registered. governorates. ◼ Across the 23 supported facilities, 13,319 suspected cholera cases were received and 20 ◼ Regular support provided to 9 referral deaths due to cholera recorded (CFR 10.12%). hospitals in 7 governorates with supply of ◼ A total of 5,716 consultations were provided drugs, medical consumables and equipment to to patients with non-communicable diseases ensure treatment for war wounded and trauma (NCDs), mainly high blood pressure and patients: Amanat al-Asima (3 hospitals), diabetes. Marib, al Jawf, Dhamar, Ibb, Hodeida, and ◼ In order to ensure continuity of care for Shabwa. In these hospitals, a total of 83,522 patients with NCDs, support was provided, patients received emergency care, out of which with drugs and consumables, to 8 dialysis 2,617 were weapon wounded. centres across the country in 7 governorates (Aden (2 centres), Mahaweet, Sana’a, Dhamar, 1,730 Hajjah, Hodeida, and Shabwa). A total of 23,164 PATIENTS dialysis sessions were granted thanks to ICRC support. benefitted from surgical care and 922 operations were performed. Physical Rehabilitation Program (PRP): ◼ ICRC surgical activities were maintained in 2 A total of 7,070 persons received services from ICRC-supported hospitals: al-Talh (Sa’ada) the ICRC-supported physical rehabilitation and al-Mansoura (Aden). This ensured centers (PRCs) in Sana’a, Aden, Taiz, Mukalla emergency care for 462 weapon wounded and Sa’ada, including the delivery of 85 (230 in al-Talh and 232 in al-Mansoura). It prostheses, 2,066 orthoses and physiotherapy also allowed inpatient surgical care for 346 sessions to 3,336 persons. During these two months, ICRC’s PRP continued (6 males and 4 females) are progressing to provide staff incentives to Sa’ada and Taiz with clinical and English language studies. and fuel to Sa’ada, Taiz, Mukalla and Sana’a The Diploma of Prosthetics and Orthotics is to ensure continuity of services to people with progressing in the second semester, to be disabilities in Yemen. completed after Ramadan. 5 first trans-tibial prosthetics have been delivered and all students The Diploma in Prosthetics and Orthotics participated successfully during these months. course, delivered in collaboration with the Local materials necessary for training have High Institute of Health Sciences (HIHS), is been purchased and delivered to HIHS. continuing to run as planned. The 10 students SUPPORT TO VULNERABLE COMMUNITIES AND INTERNALLY DISPLACED PEOPLE Several relief interventions were carried out, in the north, but also in the south. In total, 13,534 internally displaced people (IDPs) and vulnerable host families (94,738 individuals) were reached with assistance in these two months. RELIEF ASSISTANCE (FOOD AND ESSENTIAL HOUSEHOLD ITEMS) ◼ In Baqim district, Sa’ada governorate, a second round of food distribution was carried out for almost 3,000 HHs (21,000 individuals) by the Hamdi al-Jaradi/ICRC end of the quarter, including 200 newly displaced ICRC staff is verifying the beneficiaries list and handing households. Similarly, 1,200 marginalized them their food distribution cards at one of the families were given food rations for a third and distribution points of the YRCS in the province of Hajjah. last round in Sa’ada city. ◼ In Hajjah, ICRC made a donation of 132 food conducted 2 training sessions of 4 days in each rations to YRCS Hajjah branch which were district. On average, 25 beneficiaries attended distributed to new IDPs from Abs in Hajjah each training. The distribution of seeds and city. In March, we also delivered food and agro-inputs is planned to be finalized during the other items, such as hygiene parcels, blankets, first week of April and will be carried out by the buckets, jerry cans, etc. to the YRCS Hajjah Ministry of Agriculture staff jointly with Lahj branch to assist 1,640 IDPs who had fled from and Abyan YRCS volunteers. the fighting in Kushar to Khayran al-Muharraq district. In addition, a field trip to assess the STRUCTURAL SUPPORT newly displaced families in Haydan district was ◼ The ICRC discussed and agreed with the Rusabha conducted farm manager that we will phase out after the ◼ In al-Dhale’ governorate 1,750 displaced last donation of fodder and drugs. Based on that, households in Qa’atabah district and Muris sub- the last shipment of extra concentrated fodder district received food and essential household (21,000 kg maize, 40 kg salt block EA, 200 kg items. In addition, 2,022 vulnerable host milk powder replacer, 300 kg phosphorus, 9000 families were given food rations in al-Azariq kg soya beans and 28,800 kg buck wheat) was district with the support of the YRCS. given in March. ◼ 4,500 sachets of plumpy sup were donated to the FOOD PRODUCTION al-Fakeeka Health Centre, an ICRC-supported ◼ A project targeting 400 female-headed- PHC in Maqbanah district, Taiz governorate. In households in Lahj and Abyan governorates addition, the al-Takaful Social Center in Aden with seeds and agro-inputs for kitchen gardens, City received a donation of 45 school bags. which was initiated during Q4 in 2018, was ◼ 100 hygienic parcels and 3,870 garbage plastic implemented by the end of Q1 in 2019. A four- bags were donated to the Central Prison in Ibb day training for the beneficiaries was carried out governorate in response to the reported cholera through the MoAI in March.