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Juba, Central Equatoria Room Minutes of Health Cluster Meeting Time Venue April 3, 2019 WHO Conference 0900=1100 Juba, Central Equatoria Room Agenda Partners Present: AAHI,CARE , CASS, CMA, ,CORAID, GOAL, HI, IMC, IRW, JDF,MEDAIR, OVCI, 1. Welcome, introduction of participants. PUI,SCI, MI, WR,CASS,CHSS,CMD,CRDA,HAA, 2. Follow up on matters arising/actions from previous meeting. ,HCO,HFO,IHO, LIVEWELL, MEDICAIRE,NILE HOPE, 3. Context update UNIDO, RHS,SMC,TADO,THSO,TOCA, TRISS,MSF- NAWG F,IOM, UNICEF, WHO,MSF-S, ACF,HPF,IMA,RRF,ONO- 4. Discussion AID, IMA, RRF, IDSR Presentation Health Cluster Team: Magda, Dayib, David, SS-MUAC screening Report-WHO NO Partners Absent: ARC,CMMB, CHWF Core Pipeline update from WHO CUAM,MAGNA, MDM,RI,TDH, WVI,CIDO,UNH, 5. Technical Update, County Cold chain update and details, Update on Emergency Responders Meeting (ERM), EVD Partners update 6. AOB: TBD Meeting outcome Action Points Welcome and introduction- Done Presentation of the meeting agenda- Presented by HC Co-lead and seconded by UNH. Follow up on matters arising/actions from previous meeting. 1. HC to share the essential clinical package with HC partners to guide them while implementing SSHF projects. The guideline has been shared and partners are encouraging to refer to the guideline and flag any issues whenever unable to implement so that the bottlenecks can be discussed and strategies can be developed jointly. 2. HC to follow up with HPF to know the health development partners for Yei and Kajo-Keji under HPF III which is due to start on April 1, 2019 so that will figure out with the incoming health partner how to address the issue of ART in Kajo-Keji. HFP to make a detail presentation HC has conducted HPF and the team in HPF are still finalizing the list and will share with HC in the coming week. indicating which partner is where and what Currently AAHI and ARC are handing over Yei and Kajo-Keji to South Sudan Health Association (SSUHA) respectively. SSHUA services and health facilities are being in final discussion with HPF to take up health implementation in greater Yei under HPF III. supported in each location. Partners in the Health cluster meeting requested HPF to do presentation to give details on the services that will be provided under HPF III since the funding has reduced and the number of health facilities to be supported have equally been reduced which will put partners in difficult situation when dealing with the local authorities and the communities. SSUHA will take up the implementation of 3. TRI-SS to follow up with ARC on the EPI handover process and provide a comprehensive report on the handover Health services from ARC in Kajo-keji process and the EPI services in entire Kajo-Keji. County under HPF III, TRI-SS has been TRI-SS team currently on the ground in Kajo-Keji as the ARC is handing over the Health section supported by HPF to SSUHA following up the issue of EPI in the county and detail of EPI handover will be provided after the return of the team to Juba this week. with ARC before the end of their term with 4. The EVD team to include all partners responding to EVD on the dashboard indicating what the partners are doing and HPF hence TRI-SS to provide update on where they are responding. the status of EPI services in entire Kajo- All partners responding to EVD are included in 3Ws not the dashboard. Keji County. 5. Health Link South Sudan (HLSS) to meet with HC to discuss how to respond to health needs of the IDPs who are in Meeting outcome Action Points Rokon following the recent conflict in Mundri East. Health Link South Sudan (HLSS) still responding through the fixed health facility at Rokon and is not able to reach to the IDPs HLSS to provide update about the who are about 10kms from the Rokon center. Had a discussion with WHO focal person at Jubek state and plan is underway to planned RRM to Rokon to response to the have Rapid Response Mission to Rokon in the coming week. Will have bilateral meeting with HC to discuss further. people displaced from Mundri East 6. IHO to share the report of the ongoing assessment in Aweil East with more focus on the health needs and general following recent armed conflicts and also situation on the ground. current health needs of the IDPs since no health response provided at the IDP Assessment completed and draft report already shared. From December 2018 to March 2019, about 977 Households have camps following the displacement almost arrived mainly from Sudan. The main health issues are malaria, diarrheal disease, pregnancy related illness. WASH is a problem a month ago. as the returnees have no access to safe drinking water. There is only 1 PHCC providing services to the returnees however the services are compromised and more support need to strengthen the PHCC in term of human resources and supplies to adequately respond to the health needs. IHO to provide the final assessment report conducted in Aweil East and HC to flag the main health issues to OCHA during 7. CMA to follow with UNICEF on provision of EPI services in Fangak and the gaps in EPI services in the entire County. Need Analysis Working Group meeting. 2 Arteks have been approved by UNICEF and were supposed to be lifted to Fangak on 2nd April however the flight was cancelled. This will be sent with two trained personnel on this Friday (April 5th) and EPI services will start in the coming week. The WASH cluster is working with WASH partners to also respond to WASH needs in Fangak and encourage collaboration to ensure synergies and any logistical challenges hindering the response should be flagged to HC that will take it update and discuss at ICWG level. 9. WHO, MOH (EPI), UNICEF and HC to constitute an independent body task with responsibility of conducting post reactive campaign to avoid biases, this has to be included in the micro-plan. WHO and MOH will lead the post campaign analysis in the country and representatives from WHO and MOH should always be involved during reactive campaigns and partners are encourage to work with them so that post campaign analysis will be done immediately after completing the campaign. 10. HLSS to have a bilateral meeting with IMC to figure out how IMC can access the 5 health facilities they have failed to access due to insecurity since HLSS is on the ground. IMC then to update the HC on the outcome of their meeting. IMC has revisit its internal security arrangement and with support of national public health officers has managed to access all the 5 health facilities. 11. UNICEF to provide the contact details of the focal point persons to be contacted for further inquiry concerning the Expression of Interest release by UNICEF for Upper Nile and Jonglei States. Information has already been shared. 2 Meeting outcome Action Points 12. HC to liaise with MOH to find more information on the harmonized health care worker salary whether it is standard salary scale to be considered for all health care workers employed independently by partners (those not on government payroll) or is an incentive to be paid to MOH health care workers working in the health facilities supported by the partners. Official letter from National MOH concerning standardized health workers’ incentive has been shared. This applies to MOH staffs working in any health facility being supported by a donor/partner, those staffs recruited by the MOH at various levels will be supported by providing incentives at the rate clearly spelled in the shared document. Any health care workers recruited by a partner- 100% time charged to the partner will be paid according to the partners’ salary scale. 13. IHO to share with HC the patient’s charter they are developing with MOH for further circulation and comments from the HC partners. This has been shared and only one partner provided feedback, the document is now undergoing finalization by MOH. Context update- NAWG. This is a combination of (HCT, ICWG, NAWG and partners’ update). Following the last countrywide need analysis, areas The assessment team including a categorized for Response scale and close monitoring have not changed, areas for response scale up: Kajo-keji, Pibor, Canal representation from HC to finalize and Pigi, Cueibet, Yirol West and Yirol East. share the assessment report for Maiwut. Three assessment conducted in the past weeks and the final report will be shared in the coming week for decision making. Maiwut The key finding from the Maiwut assessing are: There are 5 health partners providing primary health care services- Nile Hope the development partner running 6 health facilities-all PHCUs, Relief International running 1 health facility in Juku and nutrition services , NIDO providing primary health care services in 2 PHCUs, UNKEA implementing Polio surveillance and ICRC. There 10 functional health facilities and 6 non functional EPI services only in Maiwut centre run by ICRC Common health issues are Acute Watery Diarrhoea (AWD), Malaria, Eye infection, skin disease and SGBV No functional County hospital hence all referral to Ethiopia Inadequate human resources in terms of numbers and capacity No TB, HIV/AIDS, BEmONC, CEmONC, CMR and RH services since 2017 Significant gap in mental health services Supplies shipped from MOH to Maiwut CHD however not able to transport to other areas due to logistical challenges Recommendation TADO to finalize and share the report for 3 Meeting outcome Action Points MOH to upgrade the status of Maiwut facility to county hospital the assessment conducted in Mading with Need for Immediate scale up of the primary health care services more focus on health needs.
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