NYANZA MISSION IDP REPORT FROM Nº 3, 7-13th March 2008 POST-ELECTION EMERGENCY RESPONSE

1. Conducting assessment of IDP camps Following briefing by PHMT, the following districts were identified to have IDP camps. • , Nyando, Nyamira,Masaba,Kisii,Migori,Rongo After the TOTs workshop, a plan was made to carry assessment in the camps. WHO mission participated with the PHMTs and DHMT members to assess the IDP camps.

1. St Lwanga catholic Mission in Kisii central. This camp is managed by the catholic missing within Kisii town. It’s a transit camp where IDPs are received before dispatch to the community. At the time of the visit there were 195 IDPs. However we were informed that the camp has received a total of 19,500 IDPs who have been integrated into the community. Many are renting houses using their savings while other are hosted by relatives and friends. It was reported that many of these IDPs still come back for weekly food rations from RED cross. There has been good will form the community, churches, banks, businessmen/women and I indivuduals to support the IDPs with food, clothes, firewood, and many non-food, and cash donation to about 500,000 from CAFOD. There is an outreach clinic form Kisii hospital that serves the IDPs with basic curative and preventive cars like immunization and couselling. All other cases are referred to Kisii district hospital where user fee has been waved. IDPs in host community are using the existing health services. MOH informed the mission that there has been overstretch of health services due to increased numbers, resulting more clints, strain on health workers, decrease in cost sharing revenue from 4.5 million per month to < 2milliom in Feb 2008 alone and high demand in hospital supplies. The camp has adequate safe water and sanitation. There is centralized cooking for all IDPs and specific needs of vulnerable groups addressed. For example porridge and rice was prepared for the children. There were 3 orphans in the camp still waiting to be placed, and 2 cases of rape reported before arrival.

ASK grounds in Migori Red Cross manages this camp, it’s a transit camp receiving returnees. At the time of the visit there were only 6 IDPs, however 3,048 IDPs have passed through and integrated into community. There however come for food rations from the Red cross. There has been good will from the community to facilitate food, clothes and other supplies. The IDPs is located next to the district hospitals and Ombo mission hospital which have been the major health facilities serving the IDP population. The MOH was IDP and both the district hospitals and sub-disritct were only operational bellow 30% of capacity. This explains the lack of control measures against the ongoing cholera outbreak. However at the time of the visit up to 90% of services has resumed. There were 3 IDP camps in Kuria and 3 other in Rongo under the care of Redcross , however they have since been closed.

Ekerenyo Camp This camp came into existence in early January and had 1329 IDPs at the time of our visit, out of which 530 were males, 799 females, 246 under five years and 1153 above five years. In general the IDPs appeared quite healthy physically although most adults were uncertain about their future. Basic curative and preventive services was available through Ikerenyo Sub-district hospital and those needing more specialized services were referred to Nyamira district hospital. We were informed that over 88,000 IDPs had passed through this camp and have integrated into the host community. This population of IDPs have placed enormous strain on the existing health services. The partners supporting this IDPs are Kenya Red cross, local church organization, ADRA, World Vision, Members from host community amongst others. Sanitation in this camp was generally assessed to be adequate although the camp was facing problems water for domestic and household use. The main source of water was from a local spring and households were being given aquatabs. 1

Keroka Camp This camp was established on 7th Januay and has received 11,341 IDPs. At the time of visit there were 342 IDPs in the camp out of which 47 were children below five years and 295 were above five years. In general the camp had adequate water and good sanitation. Health services for the IDPs both in camp and host community was available through Keroka District Hospital. Those in the IDP complained shortage of drugs at the hospital and were often given prescriptions to buy. Theyt had requested the ministry to make a provision for the IDPs to access drugs at no cost. The IDPs were supported by a host of partners and local I nitaitives e.g Kenya Red Cross, World Vision, Merlin, ADRA, Maendeleo Ya Wanawake, KCB Kisii Branch and individuals 2.Security and Access • In general security situation Nyanza has remained calm. There was a UN security briefing from UN field security officer Mr Lars. The UN security advised that, they have identified Hotels outside Kisumu where UN sfaff may reside, in Kisii, Homabay, , and Migori. There is ongoing work to establish UN radio room at Imperial hotel to facilitate use of radios. There are 18 staff who attended. Currently the following UN agencies have ongoing field mission in Nyanza, ie UNICEF, WFP, UNHCR, Habitat, and WHO.

3. CHOLERA SITUATION IN NYANZA, 13.March 2008 The mission worked with the PHMT to update cholera outbreak surveillance data as follows.

District 13th .3.2008 Cumulative

C D Actions taken

Migori 145 8 Decontamination of shallow wells initiated, barazas carried out to discourage food handling/serving at funerals. Surveillance tools circulated District disaster committee mobilized to address water H/hold treatment safety, and avoiding contamination of lake

Siaya 16 5 Orientation on reporting carried out, and investigation strengthened

Suba 123 6 PDCS and national DDSR team visited the district and out on the job orientation of IDSR. Public barazas started to address public hygiene the fishing beaches Additional medicines received form KEMSA&MSF

Rongo 117 2 Inter-district collaboration strengthened Community hygiene Districts disaster committee activated Orientation of IDSR tools and reporting

Homabay 6 1 House hold water treatment

Kisumu 28 1 Public awareness on water safety and food hygiene East

TOTAL 435 23

CFR 23/435 5.2%

2 4.Coordination There are district disaster committees meeting regularly to address and respond to the IDP crisis. This committee has participation of many patners including different government departments, NGOs, FBOs, Civil societies, health Partners, local government and community members

Members of the WHO mission Team Dr Joyce Onsongo, DPC/WHO Kenya Office Dr. Mohammed Duale, Team Leader EPI. WHO Kenya Mr. Jimmy Nyadaro. Driver/WHO Mr. Jefferson Mungasi , Driver/WHO

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