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Herams Preliminary Report V1.Pdf Table of Contents BACKGROUND AND OBJECTIVES .......................................................................................................... 8 OBJECTIVES ................................................................................................................................................. 9 METHOD ....................................................................................................................................................... 9 1.Survey sites .............................................................................................................................................. 9 2. Period of the survey ................................................................................................................................ 9 3. Data Collection ....................................................................................................................................... 9 4. Data analysis ......................................................................................................................................... 10 5. Coordination ......................................................................................................................................... 11 6. Repeat assessment ................................................................................................................................. 11 RESULTS ..................................................................................................................................................... 12 INFRASTRUCTURE ................................................................................................................................... 12 Type of health facility ............................................................................................................................... 12 Condition of health facilities ..................................................................................................................... 12 Functionality of health facilities ............................................................................................................... 13 HUMAN RESOURCES ............................................................................................................................... 15 PARTNERS SUPPORT ................................................................................................................................ 16 ACCESSIBILITY OF HEALTH CARE FACILITIES ................................................................................ 17 AVAILABILITY OF SERVICES ................................................................................................................ 18 General clinical services and trauma care ................................................................................................. 18 H e R A M S Child health ............................................................................................................................................... 20 Communicable diseases ............................................................................................................................ 22 STI and HIV/AIDS ................................................................................................................................... 24 Maternal and newborn health .................................................................................................................... 25 Sexual violence ......................................................................................................................................... 27 Non-communicable diseases and mental health ....................................................................................... 28 Environmental Health ............................................................................................................................... 30 MEDICAL RECORDS ................................................................................................................................. 31 Vital data collection and statistics services ............................................................................................... 31 2 ANNEX ........................................................................................................................................................ 32 APPENDIX 1: Health facilities offering general clinical and trauma care services .................................... 33 APPENDIX 2: Health facilities offering child health services ..................................................................... 40 APPENDIX 3: Health facilities offering services on communicable diseases ............................................ 47 APPENDIX 4: Health facilities offering services on STI and HIV/AIDS care ............................................... 53 APPENDIX 5: Health facilities offering services on maternal and newborn health .................................. 57 APPENDIX 6: Health facilities offering sexual violenceservices ................................................................ 63 APPENDIX 7: Health facilities offering non-communicable diseases and mental health services ........... 65 APPENDIX 8: Health facilities offering services on environmental health(safe waste disposal and management) ............................................................................................................................................ 71 APPENDIX 9: Health facilities offering vital data collection and statisticsservices ................................... 73 APPENDIX 10: List of non-functional health facilities in Borno state ....................................................... 79 H e R A M S 3 4 ABBREVIATIONS ANC - Antenatal care ARV - Antiretroviral CHEW - Community health extension worker CHO - Community health officer EHO - Environmental health officer EPI - Expanded programme on immunization EWARS - Early warning alert and response system HeRAMS - Health resources availability monitoring system HIV/AIDS - Human immunodeficiency virus/Acquired immune deficiency syndrome IDP - internally displaced person IDSR - Integrated disease surveillance and response IM - WHO Incident manager M S IMCI - Integrated management of childhood illnesses IPD - in-patient department LGA - Local Government area H e R A NHMIS - National health management information system OPD - out-patient department PEP - post-exposure prophylaxis PMTCT - Prevention of mother to child transmission of HIV SAM - severe acute malnutrition SMOH - State Ministry of Health STI - sexually transmitted infection TB - Tuberculosis WHO - World Health Organization 5 SUMMARY A Health Resources Availability Monitoring System (HeRAMS) was set by up the Borno State Ministry of Health with the support of WHO to collect information on the availability of health resources and services in Borno State. The health system of Borno State includes 27 LGAs with 311 wards. The survey was conducted in 749 health facilities, including 2 (0.3%) tertiary hospitals, 47 (6%) secondary hospitals, 30 (4%) primary health care centres, 317 (42%) primary health care clinics, 305 (40%) health posts, and 48 (6%) IDP camp clinics. The majority of the health facilities are public-owned and have permanent structures. Of these facilities, 262 (35%) were completely destroyed, 215 (29%) were partially damaged and 227 (30%) were not damaged (for the remaining 6% of health facilities the question was unanswered or not relevant). Of the 481 health facilities that were notfully destroyed, 288 (59%) were fully functional, 40 (8%) were partially functional, and153 (32%) were non-functional. About 60% of the health facilities in Borno State are currently being supported by one or more of the 18 health partners responding to the crisis.Not a single one of the non-functional sites have H e R A M S partner support. The highlights related to the availability of services in the fully/partially functional health facilitiesaredetailedas follows: - General services: out-patient and primary care services were available in more than 75% of primary health clinics, primary health centres, secondary hospitals and tertiary hospitals. - Child health: the least available service was essential newborn care (46%) while the most available service was the expanded programme on immunization (87%). - Communicable diseases: services for the diagnosis and treatment of measles were the most common (93%). In 48%of the facilities, diagnosis and treatment of Hepatitis B & C and tuberculosis were not normally provided. - STI and HIV/AIDS: services were not normally provided in almost half of health facilities. 6 - Maternal and newborn health: antenatal care services were available in at least half of the health facilities (71%). Comprehensive obstetric and abortion care were only available in 5% and 18% of IDP camp clinics, respectively. Normal delivery was at least partially available in 46% of health posts. - Sexual violence: approximately half of all the fully/partially functional health facilities in Borno State do not normally provide services on sexual violence. - Non-communicable diseases: treatment of high blood pressure and cardiovascular diseases were fully available in 37% (122) of the fully/partially functional health facilities in Borno State while mental health services were only fully available in 10% (32). - Vital data collection services were fully available in over half of the fully/partially functional health facilities in Borno State.
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