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Somalia Health Cluster Bulletin, November 2019.Pub 1 HEALTH CLUSTER BULLETIN People are exposed to flood waters, contaminated by garbage and sewage. Health Cluster partners 1-30 November 2019 are responding to reduce harm resulting from flood waters. Cases of AWD, skin and eye infections and malaria have been reported in flood-affected areas. Photo: SOYDA/Hawo Hussein Country Name: Somalia Emergency Type: Complex Emergency—Conflict, Drought, Floods, Disease Outbreaks Reporting Period: 1-30 November 2019 A late-November tropi- cal cyclone forecast by GDACs came to reality during the first week of December 2019 with the passage of PAWAN-19 over Nugaal and Bari regions of Puntland in north eastern Somalia. The cyclone resulted in heavy rain and floods, affecting an estimated 15,000 people, and pos- ing a high risk of water- borne diseases in the most affected districts of Eyl, Bandarbayla, Ga- luula and Laasqoray. Sources: GDACS, ERCC—DG ECHO, JTWC. Floods Situation Update 3.0M 2.4M In need of life‐saving health Targeted for health assis‐ assistance, HRP 2019. tance, HRP 2019. In Beledweyne town, River levels have been gradual‐ ly dropping during the last week of November 2019, Health has received an additional US$800,000 on top of with receding waters in the flood‐affected areas. $20,436,329 received during the last reporting period. This saw the return of close to 50,000 of the dis‐ placed people in Beledweyne returning to their $21.2M $93.2M homes in the last two weeks of the month. HRP The weather forecast published by the FAO‐ managed SWALIM system highlighted moderate to Out of $2.66M total Health requirements for Flood Response, heavy rains over the following seven days, the first $2.14M has been received from the Somalia Humanitarian Fund week of December 2019. Alarming new floods were $2.14M $2.66M reported in the early days of December as moderate SHF to heavy rains increased riverine water levels. Health Cluster Bullen, November 2019 2 Floods Situational Update (cont..) Many health facilities, including Hiran General Hospital in Beledweyne are still not operational. Two health centers run by Relief International (RI) were also affected and ceased functioning. RI relocated the services provided by the two af- fected health centers by deploying mobile health teams to Eljalle where the flood-affected people relocated. Ongoing Response A number of Health Cluster partners, including SRCS, RI, SCI, Mercy USA, HIDIG and SMA es- tablished temporary health care facilities (7 in to- tal) to counter the challenge of access to health care. WARDI continues to provide services from a HCF in Eljalle that existed before the flooding. SCI, RI, WARDI, HIDIG, CESVI, Direct Aid, IIRO, MIDNIMO, and the MoH/WHO Integrated Emer- gency Response Teams continue to provide life- Some of the health care facilities still affected saving health services through a total of 19 mobile by the floods in Beled Weyne town, Hiran teams in Beledweyn and nearby villages, some Region as of 27 November 2019 located as far as 40km from the city. ZZF established a health center in Eljalle. The first phase of services ran from 4-24 November, with the second commencing on 4 December 2019. TRAINING OPPORTUNITY: Disability and Direct Aid and HIDIG (with support from the SHF) Inclusion in Humanitarian Action planned to establish new mobile teams to provide services to displaced people in and around Beledweyne. Other activities during in the last Humanity & Inclusion (formerly Handicap Interna- week of November included: tional) invites Health Cluster partners to participate in two for training sessions under the project A measles integrated polio campaign (POPV, VitA, Albendazole) from 24-28 November; “Capacity development for inclusion of persons A fogging/space spraying exercise conducted with disabilities in Humanitarian Action” financed by the National Malaria Control Program that by the German Federal Foreign Office. started from 27 November to end on 10 De- cember 2019; Deployment of twenty SRCS/ICRC health and The first training of the kind will take plain Moga- hygiene promotion volunteers, also leading a dishu, on 16 December 2019, and will include Data household chlorine tablet distribution campaign to prevent AWD in Ejale and surrounding flood- Collection and Monitoring and Evaluation. Additional affected areas. training will be conducted between 22 January and 6 February 2020 (to be confirmed), and will include Gaps and Challenges Programming. The major gaps and challenges identified include lack of referral health center/hospital in The training is suitable for project managers, officers Beledweyne, as the General Hospital was affected and others engaged in programming. It will be deliv- by the floods. ered in English (with later sessions offered in Soma- There is also a reported n increase post-flooding li) with Somali group works. For additional infor- mosquito breading sites poses a risk of outbreaks of vector-borne diseases and shortage RTDs to mation, please contact: [email protected] with a copy diagnose/detect malaria cases. to [email protected] Health Cluster Bullen, November 2019 3 National: Mogadishu, 5 November 2019 National/Sub-national Updates Main Highlights: The Naonal Health Partner experiences to be shared with OCHA with Cluster meeng of 5 respect to preparaon and technical difficules in November was an uploading projects on to the Projects Module in HPC opportunity to enable tools partners share experi‐ Need for the Cluster to share regular situaon re‐ ences, challenges and ports (weekly or bi‐weekly) on the flood situaon, lessons learnt from share the update presentaons made by the part‐ the HRP 2020, update partners on emergency preparedness ners, the HeRAMS introductory presentaon and the planning on the recent floods and discuss the planned WHO report on rapid needs assessment in flood‐ affected areas. health informaon management acvies, including Need for the Cluster to come up with a mechanism HeRAMS and PHSA, a new Cluster Informaon Manage‐ to monitor and track partner aendance of meengs ment Officer, Richard Sennoga and introducon of Ahmed at the naonal and sub‐naonal level. Osman from the WHO Eastern Mediterranean Regional Office on mission to support roll out of the HeRAMS. Puntland: Meeting in Garowe, 30 October 2019 Mercy USA Somaliland planned on supporng 4 Health facilies, The Director of Public Health, Ministry of Health highlighted (Withwidth HC, Balicad HP, Xa‐ the importance preparedness (by all Cluster partner organi‐ ranran HC and Dhilaalo HP zaons) to respond to possible disease outbreaks during the through the Shine Program). rainy season. MOH CSR Data presented updates during epi‐ KAALO local NGO stated that they demiological week 41 and 42. At least 23 suspected diphthe‐ are facing shortage of supplies ria cases reported, with 2 deaths in Yube town of Sanaag and will meet supplies gaps in region. Of the these, 9% were among under 5‐year‐olds December since they don’t have while 91% were among above 5‐year‐olds since EPI 41. funds to procure supplies. there are also immunizaon service WHO Somaliland conducted a verificaon and invesgaon gaps the health facilies support‐ of the suspected diphtheria outbreak in Yube Health facility ed by KAALO in Cirroley and Awrbogays. managed by Care Internaonal‐Somaliland. The meeng EPI Partners and MOH EPI established an Inter‐agency agreed on having the response to the outbreak be overseen Coordinaon Commiee to coordinate the Expanded by the Somaliland Health Cluster, considering that Yube was Program on Immunizaon (EPI) in Puntland. under Somaliland administraon. Follow‐up/Acon Points Key partner updates included the following: MoH Immunizaon Unit to send immunizaon and other WVI, implemenng EPHS in Burtline district and sup‐ medical supplies to some health facilies in Sool region porng five health facilies reported service gaps in vil‐ by 8 November 2019 lages in Burtline district. Details were to be shared by 3 Convening of a side meeng on 6 November between November, including BEmOc Assessment results upon MOH, KAALO and UNICEF to discuss how UNICEF could compleon of the then on‐going assessment. support medical supplies to KAALO for acvies in Sool CARE highlighted challenges with delivery kits and sup‐ region. plies for immunizaon acvies for the integrated Health and Nutrion Project in Sanaag and Sool regions. Integrated Health & Nutrion project by NODO ended All agencies working EPI to nominate their respecve repre‐ September 2019, extended for 3 months, supporng 15 sentaves to the Inter‐agency Coordinaon Commiee by 10 HCFs and one Stabilizaon Center in Ayn region. November 2019. Health Cluster Bullen, November 2019 4 Hirshabelle: Beledweyne, 28 November 2019 National/Sub-national Updates Convened at Beledweyne Genenral Hospital and aended by representaves from 13 partner organizaons, the Health cluster to reflect all ac‐ Health Cluster meeng of 28 November 2019 at Hiran ve partners in all cluster infor‐ focused on the health impact of the floods in maon products; Beledweyne, acknowledging the ongoing response in Establish a database for the providing life‐saving health assistance to flood affected funconing health facilies; people, the gaps and challenges as annotated in the Partners to respond to the Beletweyne Flood Response Update online flood response monitor‐ ing tool as soon as possible; The meeng highlighted the following: To field test the form in some Partners to regularly provide updates on the flood health facilies in Beledweyne; response acvies and gaps through the online re‐ To revise the form and share the sponse tracking matrix at hps:// final dra with partners for their input. ee.humanitarianresponse.info/single/::ns4042in; Cluster to share idenfied gaps with the concerned The meeng also highlighted the obligaon of the partners agencies (the referral hospital, the issue of chikungu‐ in availing mely, accurate, and complete data on their re‐ nya, shortage of RTDs and other malaria supplies); sponse acvies to effecvely monitor progress in re‐ Partners to update the list of funconing health facili‐ sponse, avoid duplicaon and/or concentraon of acvies es regularly; in specific locaons and idenfy the gaps.
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