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Cholera Quality and Outcomes Monitoring Facility-Based Survey of Cholera Treatment Centres and Units 02 January 2017 - 28 August 2017

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Cholera Quality and Outcomes Monitoring Facility-Based Survey of Cholera Treatment Centres and Units 02 January 2017 - 28 August 2017 Somalia · Health and Nutrition Response Reports Somalia · Cholera Quality and Outcomes Monitoring Facility-based survey of cholera treatment centres and units 02 January 2017 - 28 August 2017 Survey Supplies Represent service availability for the week preceding time of facility survey Facilities surveyed up to 28 August 2017: 47 (41 %) Oral Rehydration Salts (ORS) available: 45 (95 %) Caseload IV and Infusion Sets available: 45 (95 %) All numbers recorded for the week preceding time of facility survey Antibiotics Available: 33 (70 %) Patients treated: 5301 Food provided at the facility: 11 (23 %) Children under five treated: 2561 Infection Prevention Control Deaths recorded: 70 Represent service availability for the week preceding time of facility survey Average case fatality rate (minimum - maximum) : 1.3 % ( 0.0% - 100.0% ) IPC protocols available: 36 (76 %) Register of patients maintained: 35 (74 %) Designated isolated area for deceased patients: 18 (38 %) Infrastructure Staff trained and equipped to prepare and disinfect dead 14 (29 %) bodies: Represent service availability for the week preceding time of facility survey Member of staff posted at the entry and exit to ensure 26 (55 %) Facilities with sufficient bed capacity: 24 (51 %) washing of hands and shoes: Beds available: 1168 Foot bath or spraying of shoes available at the point of entry 23 (48 %) using chlorine solution: Doctors working in the facilities (per facility): 65 (1.4) Hand gloves, gowns and aprons available: 36 (76 %) Nurses working in the facilities (per facility): 385 (8.2) ORS station for treatment of mild dehydrated cases: 37 (78 %) Water and Sanitation Triage area for registration, evaluation and immediate 31 (65 %) Represent service availability for the week preceding time of facility survey treatment of cases: Safe water protocols available: 26 (55 %) Case Management Latrine facilities available: 39 (82 %) Represent service availability for the week preceding time of facility survey Water points available: 40 (85 %) IEC materials on cholera prevention available: 33 (70 %) Hand soap available: 37 (78 %) Case Management protocol available: 42 (89 %) Safe water storage: 30 (63 %) Training and Case Management taken place: 33 (70 %) Solid waste management in place: 22 (46 %) Map of Cholera Cases by bed from surveyed facilties Map of Surveyed Clinics 0.4 2.9 17.2 27.8 1.5 22.2 0.8 7.6 16.6 1.3 17.6 6.3 1.1 3.4 2.0 159.3 0.4 0.8 11.8 8.4 6.2 CTC surveyed CTC not surveyed 5.5 Somalia · Health and Nutrition Response Working with our partners: The Ministry of Health, Somalia United Nations Children's Fund Department for International Development The World Health Organisation This report is up to date as of 13:54 on 28 August 2017 UTC. For more information, please e-mail: [email protected] 2 Table of contents Facilities surveyed Puntland: Galkacyo Hospital 5 Puntland: Yeyle HP CTU 6 Somaliland: Borama Hospital 7 South Central: Beletweyne 8 South Central: Jowhar hospital 9 South Central: Mahaday 10 South Central: Banadir hospital 11 South Central: Janale 12 South Central: Afgoi hospital 13 South Central: Busley 14 South Central: Waagaadi 15 South Central: Wanlaweyn 16 South Central: Baidoa hospital 17 South Central: Bayhaaw hospital 18 South Central: Aliyow Mumin village 19 South Central: Awdinle 20 South Central: Labatan Jirow 21 South Central: Kurta 22 South Central: Waney 23 South Central: Habal Barbar 24 South Central: Dinsoor District Hosipital 25 South Central: Goofgadud Burey 26 South Central: Goof gadud Shabellow 27 South Central: Kismayo hospital 28 South Central: Balet-Hawo hospital 29 South Central: Doolow 30 South Central: Luuq 31 South Central: Qoryooley health center 32 South Central: Shalaanbood 33 South Central: Adado General Hospital 34 South Central: Golweyn 35 South Central: Walaq 36 South Central: Saydhelow 37 South Central: Busul 38 South Central: Hwadaley PHC 39 South Central: Bardere town 40 South Central: Guriel 41 South Central: Abudwaq 42 South Central: Herale 43 South Central: Buula Mareer MCH 1 44 South Central: Balcad CTC 45 South Central: Balcad CTC (ARC) 46 3 South Central: Eljale 47 South Central: Jowhar hospital IMC 48 South Central: Jowhar Regional Hospital 49 South Central: Madulow CTC 50 South Central: Marka CTC Swisso Kalmo 51 4 Galkacyo Hospital Galkaacyo | Mudug Latitude: 6.7604, Longitude: 47.44172253 Surveyed on 2017-08-05 Partner: IMC Infrastructure Caseload All numbers recorded for the week preceding time of facility survey Beds available: 18 Patients treated: 34 Patients in the CTC at time of survey: 19 Children under five treated : 33 Doctors working in the CTC at time of survey: 1 Deaths recorded: 0 Nurses working in the CTC at time of survey: 6 ORS station for treatment of mild dehydrated cases: Yes Facility Photo Triage area for registration, evaluation and immediate treatment of Yes cases: Case Management Register of patients maintained: Yes IEC materials on cholera prevention available: Yes Case Management protocol available: No Training and Case Management taken place: Yes Supplies Oral Rehydration Salts (ORS) available: Yes IV and Infusion Sets available: Yes Antibiotics Available: Yes Food provided at the facility: Yes Infection Prevention Control IPC protocols available: Yes Facility Location Designated isolated area for deceased patients: Yes Staff trained and equipped to prepare and disinfect dead bodies: No Member of staff posted at the entry and exit to ensure washing of Yes hands and shoes: Foot bath or spraying of shoes available at the point of entry using No chlorine solution: Hand gloves, gowns and aprons available: Yes Water and Sanitation Safe water protocols available: No Latrine facilities available: Yes Latrine type: Pit Latrine with slab Water points available: Yes Hand soap available: Yes Safe water storage: Yes Recommendations Solid waste management in place: Yes 1. Not sufficent beds 2. No Case Management Protocol 3. No WASH Protocol 5 Yeyle HP CTU Laas Caanood | Sool Latitude: 8.69873, Longitude: 46.616293 Surveyed on 2017-06-01 Partner: Hdc Infrastructure Caseload All numbers recorded for the week preceding time of facility survey Beds available: 5 Patients treated: 2 Patients in the CTC at time of survey: 2 Children under five treated : 2 Doctors working in the CTC at time of survey: 5 Deaths recorded: 2 Nurses working in the CTC at time of survey: 8 ORS station for treatment of mild dehydrated cases: Yes Facility Photo Triage area for registration, evaluation and immediate treatment Don't of cases: Know Facility Location Case Management Register of patients maintained: No IEC materials on cholera prevention available: No Case Management protocol available: No Training and Case Management taken place: Yes Supplies Oral Rehydration Salts (ORS) available: Yes IV and Infusion Sets available: No Antibiotics Available: Don't Know Food provided at the facility: Yes Infection Prevention Control Recommendations IPC protocols available: No 1. High CFR ratio of 100.0 % 2. No Case Management Protocol Designated isolated area for deceased patients: No 3. No IV Available Staff trained and equipped to prepare and disinfect dead bodies: Don't Know 4. No Infection Prevention Protocol 5. No WASH Protocol Member of staff posted at the entry and exit to ensure washing of No hands and shoes: Foot bath or spraying of shoes available at the point of entry using No chlorine solution: Hand gloves, gowns and aprons available: Yes Water and Sanitation Safe water protocols available: No Latrine facilities available: No Latrine type: Water points available: Yes Hand soap available: Yes Safe water storage: No Solid waste management in place: No 6 Borama Hospital Borama | Awdal Latitude: 9.93674, Longitude: 43.1803 Surveyed on 2015-01-04 Partner: Unicef Infrastructure Caseload All numbers recorded for the week preceding time of facility survey Beds available: 50 Patients treated: 100 Patients in the CTC at time of survey: 20 Children under five treated : 30 Doctors working in the CTC at time of survey: 5 Deaths recorded: 6 Nurses working in the CTC at time of survey: 20 ORS station for treatment of mild dehydrated cases: Yes Facility Photo Triage area for registration, evaluation and immediate treatment of Yes cases: Facility Location Case Management Register of patients maintained: Yes IEC materials on cholera prevention available: Yes Case Management protocol available: Yes Training and Case Management taken place: No Supplies Oral Rehydration Salts (ORS) available: Yes IV and Infusion Sets available: Yes Antibiotics Available: No Food provided at the facility: No Infection Prevention Control Recommendations IPC protocols available: Yes 1. High CFR ratio of 6.0 % 2. No Case Management Training Designated isolated area for deceased patients: No 3. No Antibiotics Available Staff trained and equipped to prepare and disinfect dead bodies: Don't Know Member of staff posted at the entry and exit to ensure washing of No hands and shoes: Foot bath or spraying of shoes available at the point of entry using No chlorine solution: Hand gloves, gowns and aprons available: Yes Water and Sanitation Safe water protocols available: Yes Latrine facilities available: Yes Latrine type: Ventilation Improved Pit (VIP) Latrine Water points available: No Hand soap available: Yes Safe water storage: Yes Solid waste management in place: No 7 Beletweyne Belet Weyne | Hiraan Latitude: 4.66382, Longitude: 45.19267656 Surveyed on 2017-06-07 Partner: RI Infrastructure Caseload All numbers recorded for the week preceding time of facility
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