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 Over 200 partners in the health cluster

 131 Partners provided input for 4 Ws of 5 Health Cluster’s 4 Ws of 5 May 2015 May

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Please send information, questions, comments to:

[email protected]

[email protected]

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Tzu Chi & TIMA in EQ Response Buddhist Compassion Relief •Provided Free Clinic for over 11,000 patients Tzu Chi Foundation •Performed 10 bone surgeries •Donated over 1,500kg of medicines and supplies to Report on Medical Missions hospitals in , Bhaktapur and Kavre •Donated bone implants enough for 130 patients

Buddhist Compassion Relief Tzu Chi Foundation 2015 Buddhist Compassion Relief Tzu Chi Foundation 2015 Nepal 佛教慈濟慈善志業基金會 2015 佛教慈濟慈善志業基金會 2015

Tzu Chi & TIMA Contribution to Tzu Chi & TIMA future plan MoHP •Donated 500 eco-blankets and 800 portable •Immediate and direct medical relief: folding beds to MoHP, and 300 portable  Hold monthly free clinics and health advocacy folding beds to hospitals in Kathmandu, programs, and establish camp health post Bhaktapur, Dolakah districts •Capacity Development  Develop local health volunteers and hold regular health education programs

Buddhist Compassion Relief Tzu Chi Foundation 2015 Nepal Buddhist Compassion Relief Tzu Chi Foundation 2015 Nepal 佛教慈濟慈善志業基金會 2015 佛教慈濟慈善志業基金會 2015

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ADRA’s Contributions through RH Mobile Camp service Delivery Kind of contributions/support the agency has provided to MoHP so far (i.e. services, ADRA’s Response on Health equipment, medicines, supplies, HR etc…) RH mobile Camp Service Delivery • Medicine and medical supplies • Maternity Transition Home: 2 • Basic Lab Services in Kavre District Achievement IPs • Rural Ultrasound • Referral (Female Friendly ( 3 days mobile camp (15,124 • ANC/Delivery/PNC/Family Spaces (FFS), One stop Crisis service delivery in 18 VDCs persons served) Planning Management Center (OCMC), Referral to tertiary level of 3 districts) • Psychosocial Counseling hospitals, Police and Legal Kavre (Dhungkharka, Shikarambote, 6573 Integrated Community • ASRH corner and health services) Jyamdi, , , Development (ICD) Nepal, education • Tents for Maternity Unit Sarsyukharka) , Kavre • Hygiene kits distribution: 3150 (Birthing Center) Support – 30 Sindhupalchowk (Simple Kavre, 3151 Scheer Memorial Hospital in Dhading (17 UNFPA +13 from ADRA) Syaule,Bandegaon Thumpakahr (SMH), Banepa, Kavre • Nawalpur,Tauthali) RH Kits distribution: Rasuwa, • 36 Service providers mobilized Kavre and Sindhupalchok. ( 2 Drs, 2 S/N, 2 HA, 1 Rasuwa (Betrawati, Shantibajar, 5400 Manmohan Memorial Kalikastha, , Golgunj and Community Hospital • Dignity Kit distribution: 489 Psychosocial counselors, 5 ) – 6 camps remaining (MMCH), Pharping, (Kavre: 280, Rasuwa: 104 and Paramedical in each 3 Kathmandu Sindhupalchowk: 105) districts)

ADRA’ future plan (i.e. how long will the agency stay in Nepal, areas of Thank you work agency plan to support, type and the location of In the camps…… rehabilitation/reconstruction of health facilities, equipment to be donated, medicines etc…) • ADRA has been working since 1987 till date and will work as country need and SWC General agreement renewal. • Areas of work agency plan: Integrative Mobile health camp services in Dolakha, Ramechhap, Okhladhunga, Dhading, Nuwakot till January 2016 • Equipments support in Dhading and • Will activate its National Emergency Management Plan (NEMP) in case of any other emergencies in Nepal. • Consultation on reconstruction of health facilities is in process.

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BNMT NEPAL RESPONSE DURING EARTHQUAKE

Community Focused Relief and Response Initiatives in close POST DISASTER EMERGENCY coordination with GoN SUPPORT TO MOHP  Free Health Camps: Earthquake affected communities in Kathmandu, Nuwakot, Dhading, Sindhupalchowk with free medicine  Distribution of Relief Materials: Food materials, Blanket, Birat Nepal Medical Trust (BNMT Nepal) Tarpaulins, Sanitary pad, Mattress, Clothes  Psychosocial Counselling and Support Programme: Group/Individual Counselling, School based PSS program, Conducting Training on Mental Health and Psychosocial Support Program, Orientation on Basic Communication and Counselling Skills  Community Water, Sanitation and Hygiene (WASH): Construction of Gender Friendly Community Toilets Bhaktapur & Lalitpur

BNMT NEPAL’S SUPPORT TO MOHP FUTURE PLAN

 Essential Medicine Support to:  Long Term- Psychosocial Counselling and  LMD for Dolakha, Ramechap, Okhaldunga DHOs Support Programme in Kathmandu, Makwanpur,  Sisdole Health Post (Nuwakot), Bramchi Health Post (Sindhupalchowk) Bhaktapur  National Institute of Neurological & Allied Sciences  Continue Essential Medicine Support (Neuro Hospital Bansbari) and Tamakoshi Cooperative Hospital (Ramechhap) to conduct Health Camps in the  Continue Community Water, Sanitation and affected areas. Hygiene (WASH) programme in Bhaktapur,  Financial and Technical Support to DPHO Kathmandu Lalitpur, Nuwakot district for Psychosocial Support Programme  Public health professional will be deployed in the  Support NTC for PDNA - TB cases affected districts for prevention & protection of Districts Covered – Makawanpur, Nuwakot, Dhading, epidemic outbreak. Sindhpalchowk, Kathmandu, Bhkatapur, Lalitpur, Okhaldhunga

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• In response to requests from the MOHP, Direct • Direct Relief has already given over $276,500 in Relief purchased over $250,000 worth of specific cash grants in support of health sector partners pieces of medical equipment that were delivered including: Emergency Response – Nepal and distributed by the MOHP. These materials • $100,000 Midwifery Society of Nepal (MIDSON) included: • Airfreighted 130 tons of • $74,000 Doctors for You (DFY) • 5 - Drager Ventilators medicines and medical • $50,000 Hospital & Rehabilitation Centre for supplies to Nepal since the • 5 - Digital X-rays with Processor & printer Disabled Children earthquake valued in excess of • Various Orthopeadic implants • $50,000 Spinal Injury Rehabilitation Centre (SIRC) • 1 – ECG machine to Namche Health post in the • $2,500 Namche Bazar Clinic $28 million USD. • Supplies have been distributed • 100 – BP apparatus to 21 key health partners with • 100 – Stethoscope the main recipient being the • Safe birth kits for use by midwives caring for pregnant MOHP women • Surgical material and Generic Drugs

Direct Relief’s Future Planning for Nepal • Direct Relief has supported five medical partners Nepal before the earthquake and we will continue to do so into the future based on the MoHP priorities. • Long-term ongoing support through donations of medicines and medical supplies to the MOHP and other health groups and facilities. • Cash grants to support the MOHP’s plan to rebuild and rehabilitate the Nepal health sector in Dolakha. “Post-Earthquake 2015: Health Sector Recovery and Reconstruction Support” in cooperation with MoHP and local organizations (Possible Health) • Cash grants to support various hospitals, health groups and rehabilitation centers. • Support of maternal & child health programs through in-kind and cash grants to One Heart Worldwide, a MoHP implementing partner. • Support for medical donation, especially for Hemophilia factor 8 & 9 • Support to healthcare partners like Katmandu Model Hospital conduct fistula repair surgery.

1 Anandaban Hospital, Kathmandu, Nepal Anandaban Hospital, Kathmandu, Nepal Post Disaster Emergency Support

Dr Indra B. Napit Medical Director Anandaban Hospital The Leprosy Mission Nepal

th Anandaban Hospital 17 July 2015

Anandaban Hospital, Kathmandu, Nepal Anandaban Hospital, Kathmandu, Nepal Earthquake Response Support Provided • Hospital services for the earthquake victims provided free of cost. Total Victims seen at Hospital 426 • 15 Relief Camps starting from 29th April in Lalitpur, Kavre, Makwanpur, Admissions 163 Sindhupalchok and Dolakha Major Surgeries Done 106 • 20 Injury Screening Camps in Lalitpur, Kathmandu, Bhaktapur, Ramechhap, Minor Surgeries 277 Dolakha, Nuwakot and Rasuwa (in partnership with CBM Nepal) • Major operations of fracture cases, medicines and other services- all free including Health Relief Camps Conducted 15 implants and medical supplies. Patients Treated at Relief Camps 1555 • Distribution of prosthetics and assistive devices, e.g. artificial limbs, wheelchair, Injury Screening Camps Conducted 20 crutches, canes, slings etc. • Distribution of tarpaulins, GI sheets to selective VDCs in Lalitpur, Sindhupalchok, Patients Treated at Screening Camps 2135 Rasuwa, Nuwakot and Ramechhap for safe shelter. Total patients treated by Anandaban Hospital 4116 • Distribution of cash assistance to leprosy affected and other disabled persons whose family were badly affected by earthquake. Patients Referred from 39 centres- hospitals, clinics, 76 • Distribution of water filters (with buckets) during relief camps in selected VDCs in camps partnership with Waves for Water.

3 4

1 Anandaban Hospital, Kathmandu, Nepal Anandaban Hospital, Kathmandu, Nepal Future Plans • Continuation of medical & surgical services • Follow Up to the Injury Screening Camps in Lalitpur, Kathmandu, Bhaktapur, Ramechhap, Dolakha, Nuwakot and Rasuwa districts. This will start from 25 July in Bhaktapur • Patient rehabilitation for at least six months in partnership with CBM Nepal. • Hospital building reconstruction

Crack in the doorway at surgical ward Treating earthquake victims at Anandaban Hospital 5 6

Anandaban Hospital, Kathmandu, Nepal Anandaban Hospital, Kathmandu, Nepal

Anandaban staff at camps

Relief Distribution by TLM Nepal staff and board 7 members 8

2 Anandaban Hospital, Kathmandu, Nepal

धꅍयबाद

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Health Response • Mobilized 21 community volunteers and 3 field supervisors to: Joint Meeting on Post Disaster Emergency support i) help child, pregnant mothers/new born, PLWD, disabled, and elderly people connecting to aid agencies for relief materials; ii) Health education to MoHP and awareness raising to prevent the affected communities from potential 17 July 2015 disease outbreak through home visits and demonstrations in 3 +1VDCs of FAIRMED FOUNDATION NEPAL Sindhupalchok, Gorkha, and Sankhu. • Developing and printing of IEC/BCC materials (Jana swastha sandesh) for dissemination in quake affected areas, a support to DPHO, Kathmandu • Training of Trainers to field mobilisers and training roll out in 3 VDCs of Shankarapur Municipality/Kathmandu initiated by Kathmandu DPHO

Specific Contributions Future plans • Services: Information dissemination, health education, and counselling support in • the affected 3+1 VDCs through community volunteers/mobilisers FAIRMED is exploring ways to link Relief works with development process. But not yet decided about exact interventions. Waiting for • Medicines & supplies: concrete ideas and collaboration opportunity. Our interest is on community based activities mainly community mobilization for Hospital tents (10) to MOHP, preventive health care, increasing access to health services and Tarpauline, light blankets and improving quality of care. hygiene & sanitation materials: Aqua tabs, Phynile, Limestone powder (chuna), soap

Covered 4000 households of 4 VDCs+1 of Sindhupalchok, Gorkha, Dolakha, and Kathmandu

• Human Resource: Field mobilisers (21+3) with close supervisions for 3 months

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2. Health Response during EQ District Activities Unit VDCs Good Neighbors International, Nepal • Mobile health camps with FMTs • 2 camps Aaruarbang, Thumi 1 - Sharing of Progress made on post-disaster recovery and rehabilitation and future course of 2 • 915person

action • Temporary Clinic Operation • 1 ongoing Thumi - Health Cluster Member • Health Service Center Support • 2center Aaruarbang, Lapu 1. Gorkha • ongoing 1. Contribution to Health Response: • Since 2002, 13 districts, 20 • Hygien Kit Distribution • 619hh Thumi, Aruarbang projects 1. Mobile Medical Camp with • Dignity Kit in coordination with • 249hh Thumi, Manbu, Lapu, medicine support UNFPA Aaruarbang • EQ Health Response 2. Temporary clinic operation for five • Health Facility Damage Rapid • 5 VDCs 5VDCs working 3districts and Assessment months 8VDCs: • Medical equipments • 6 sets Thumi, Lapu, Aruarubang

• Gorkha – 5 VDCs 3. Equipment/tools support • Health Workforce supply • 5persons Phinam, Thumi, Lapu, • (HA-2&SN-3) Aruarubang • Lalitpur –8 VDCs 4. Temporary health facility support • Medicines donated • 36items DPHO • Kathmandu –4 VDCs 5. Health Workforce support • Health Facility Damage Rapid • 12 health 6. Health Facility Damage Rapid 2. Kathmandu Assessment, four in each project facilities Sangla, Lele, Badikhel 3. Lalitpur CDPs Assessment • Health workforce support • 3person • Medical equipment support in seven • ongoing Lele, Badikhel CDPs health facilities

3. Future Plan

3 S.N. Future Plan Districts Remarks

1 • Reconstruction of physical Gorkaha structure of four health facilities 2 • Reconstruction of 19 Gorkha Gorkha-Aaruarbang, Thumi, PHC/ORC Lalitpur Lapu, Phinam

3 • Reconstruction of two Gorkha Gorkha- Thumi, Lapu health service centers 4 • FCHV strengthening to Gorkha, Lalitpur, activate health mothers’ Kathmandu group

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MDM FRANCE ON THE EQ RESPONSE: + 1 month + 2 month + 3 month + 4 month + 5 month + 6 month + 7 month + 8 month + 9 month 19 tonnes of drugs and medical material sent ACUTE EMERGENCY PHASE 1.5 month 15 staff from the Emergency Department deployed and 60 national staff recruited since the earthquake EMERGENCY MEDICAL ASSISTANCE 2 months 29 need assessments conducted + continuing

RECOVERY PHASE 8 months 25th April MdM intervention figures – end of April until the end of July11 EMERGENCY PREPAREDNESS over time of response earthquake

3,941 primary health care consultation Full support to the Outbreak of Shigella Dysentery in Gumbathang; confirmed outbreak of of Typhoid Fever in Batase 4 referrals by MC Teams+4 MEDEVACs-> upper level of care Health Education Sessions: 38 Persons who attended the Health Education Sessions= 1,357 SRH: ANC done= 40; Family Planning Counseling= 41 Passive Nutri Screening: 63 ( MAM=9 and SAM=5) 33 individual mental health and psychosocial consultation 52 group mental health and psychosocial consultation 29 MHPSS Trainings

SUPPORT PROVIDED TO MOHP How MDM-F re-build future ????? MDM-FRANCE FUTURE PLANS

• LMC and AMC in the most remote areas in Area 1 and 2 of Sinhupalchpowk

• Rehabilitation and refurbishments of damaged health posts in 24 VDCs of MDM • Provide the early recovery support until January 2016, and maybe • Enhancing the Surveillance and Outbreak Response focus on developmental project to support Sinhdupalchowk

• Donations of surgical equipmenst and medical supplies to the Tertiary Hospitals • Completion of the Rehabilitation and Refurbishments of 25 in KTM ( Bir and Maternity Hosp) focused health posts and PHCCs. • Support to public health facilities (PHCCS and HPs) Provision of medical drugs, material and equipments • resumption of the mother and child health care programme, with • Emergency Case Referrals via land and via Air the reactivation of women cooperatives that MdM was supporting through local partnerships before the earthquake. We have • SRH: Re-establishing emergency birthing centres (tents…) Sunkhani, Jalbiré, Barabishé etc.; M &E recently assessed the needs of 9 women cooperatives identified by our partner CDECF. • Support to FCHVs thru reviving the monthly meeting; support • strengthening epidemiological monitoring system and the response • 29 needs assessments to outbreak through MDCS (Mobile Data Collection System) – in • Reactivate the Women’s Cooperatives established by MdM through local partnership with TSF (Télécom Sans Frontière) – and outbreak partnership with CDECF and identify another local NGO. investigation and response along with Solidarités, WHO, and the • Financial Support to revive the Daily Surveillance System through the SMS. DHO.

• Capacity building to the health workers on the Surveillance System and • Support the damaged DHO with pre-fab and refurbishments Outbreak Response • MC Counselling and capacity building of the local health workers and • Building capacity of health workers, community leaders and FCHVs community leaders ( Updates on IMCI, Training on antenatal, birth delivery and • Enhancing the Daily Surveillance Reporting within MDM-France in neonatal care; CBM-IMCI, GBV Orientation ,First aid training for Sinhdupalchowk in partnership with TSF. community leaders) • Supporting a CDCEF on the Microfinancing for women in the district, • Contingency Planning – monsoon season and risk of outbreaks-> prepositioning of supplies and kits; medical manpower How to fill the HEALTH GAP?

1 MDM SPAIN EMERGENCY PHASE MDM SPAIN RECOVERY PHASE Ensuring continuation of services SURGICAL INTERVENTION AT MHPSS intervention: NATIONAL TRAUMA CENTER- Group sessions and KATHMANDU . Surgical team individual sessions for (Orthopedic surgeon, Reconstructive 70 health staff surgeon, Anesthetist) performed 34 Construction of semi-permanent (5-10 years life duration) Surgical interventions -Ramechhap Hospital (6 modules x76 sqm + Sanitary instl) -Khimti PHCC (under assessment) -Minor repairs in Manthali PHCC SUPORT TO RESTABLISHMENT OF SERVICES IN RAMECHHAP DIRTICT: -Logistic support (14 tents, electric system, generator) -if more resources available to extend support in this area -Medical supplies (general and trauma) - Laboratory equipment and supplies - Medical equipment (SRH equipment) - Support to distributing medical supplies to all the district

COMBATIMOS TODAS LAS ENFERMEDADES, INCLUIDA LA INJUSTICIA COMBATIMOS TODAS LAS ENFERMEDADES, INCLUIDA LA INJUSTICIA

MDM SPAIN RECOVERY PHASE Ensuring continuation of services

Reinforcement of Mental Health Psychosocial Support Contributing to the provision of an improved MHPSS care, improving access availability and quality through reinforcement of capacities of caregivers in : Health professionals, Community (FCHV) and education staff. Technical support to Psychosocial subcluster in Ramechhap

Support to Reproductive Health Care Supply and distribution of equipment Human Resources capacity building धꅍयवाद

COMBATIMOS TODAS LAS ENFERMEDADES, INCLUIDA LA INJUSTICIA COMBATIMOS TODAS LAS ENFERMEDADES, INCLUIDA LA INJUSTICIA

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OHW Earthquake Response in Dhading • Immediate response in Dhading within 3 days of massive earthquake with medical team/camp, live saving medicines and supplies. • Outreach medical/camps in affected areas by doctors, paramedics, and nurses • Specialized medical services in district hospital by pediatricians and gynecologist) as camp basis and hospital based • Active coordination to deploy the health/medical teams in the district. • 15 fully equipped tents (with solar panel, solar generator and solar lights provided for immediate service resume. 10 more tents will be provided to the BCs. OHW Past and Future Support to Dhading and Sindhupalchowk Districts • Provided OT table, patient trolley, O2 Concentrator, dressing sets, BP cuff and stethoscope, CHX tubes and dolls, Oral and IV medications etc. for district hospital • Deployment of mobile phones and solar chargers to health workers for immediate communication and disease surveillance • Rollout of the emergency CB-IMNCI

OHW Earthquake Response in Sindhupalchok Future support in Dhading and Sindupalchwok • Immediate response in Sindhupalchok within 5 days of massive earthquake with essential medicines and supplies. Tarpaulins essential goods, delivery SN Activities Amount in US$ kits etc. AT. en ts for medical use 30,00.00 • Active coordination with health/medical teams in the district. BM. e dical supplies - medicines, equipment, other logistics, lab reagents, kits, medical furniture etc. required for different health facilities. 11,344.10 • Actively involved in Health Cluster for further support in the emergency (already spent) situation CO. rg anize training for health workers, Teachers and Volunteers 20,000.00 • 5 fully equipped tents (with solar panel, generator and solar lights provided DC. re ate public awareness through media and IEC and BCC activities 15,000.00 for immediate service resume. 10 more tents will be provided to the BCs. EE. m ergency Reproductive Health Services and Geriatric Health Care 38,000.00 FR. ep air and equip 5 HPs/Birthing center in Dhading and Sindupalchwok • Active involvement of warehouse management in medicine and essential (NO NEW CONSTRUCTION) 75,000.00 supplies, provided logistic management expert and a standby team with vehicle for delivery of logistics to all health facilities. GE. st ablish electric supply using solar energy (solar suitcase) 176,000.00 HF. CH V Motivational Package in Dhading and Sindhuplachowk 60,000.00 • Provided administrative kits to all health facilities. I.A dm in Kits for all Health Facilities in Sindhupalchowk 3,122.0 • Provided funding to build a model health facilities with the locally available J.U se of mobile phone for the disease surveillance and reporting 8,000.00 materials. KE. qu ipment for health facilities and birthing centers 265,000.00 • Sindhupalchok based OHW team for various health program planning, implementation in close collaboration with DHO. Total 701,466.00

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THANK YOU !

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Contributions/Support (highlights) • Distribution of tents/NFI/hygiene kits in Medicines Sans Frontieres (MSF) Gorkha, Rasuwa, and Sindhupalchok – Doctors Without Borders • Logistic and watsan support to health facilities in Nuwakot, Rasuwa, and Kathmandu Nepal 2015 • Mobile Clinics and patient transport in Dr. Adi – Head of Mission and Dadhing, Ghorka, Rasuwa, Sindupalchok Medical Coordinator MSF-France • Hospital based care in Gorkha, Kathmandu, Dolakha

MSF-France MSF-Belgium

• Nepal Orthopedic Center – step-down unit • Charikot, Dholaka – general surgical activity, ongoing post-op and ER to start end of this week • Kathmandu IDP camp support and ongoing • Sangha, Kavrey – Spinal Injury Rehab center – assessment post-operative care to start the end of this • Emergency preparedness capability of cholera week treatment • Emergency preparedness capability of NFI • Length of stay to be determined by need distribution • To stay until end of year

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• Humanitarian Response Team arrived on • Registered with SWC and awaiting April 27 provisional status • Foreign Medical Teams deployed to • Committed for a minimum of 3 years Dhading • Year 1 – integration of EMS and DRR into • Distribution of essential medicines to 11 the recovery of the health system VDCs, 1 IEHK donated by Medair and other • Medical training teams supplies from DRI • Medical supplies and equipment if • 5500 hygiene kits, 10,000 packets of ORS requested • Funding and providing technical support to • Year 2 and beyond – Community Maternal Shanti Nepal’s “Restoration of Childhood, and Child Health Reproductive Health, Maternal and • Areas – Dhading, Chapaguan, Other Newborn Health Services” Project

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Nepal Red Cross Society Health Service Department

FA and Psychosocial support

• First Aid Service : 6,136 • Over 15,000 people have been reached with Psychosocial support from both ERU and NRCS activities combined. In the last week some activities from the field include: • Rasuwa district; 130 school students were given psycho- education on stress and coping in. • Melamchi; second stage training for PSS volunteers is being planned by NRCS - both as Debriefing sessions for volunteers, psychological first aid training for 9 teachers. • Needs assessment ongoing within districts to determine activities to be prioritised moving into early recovery.

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• Major surgeries-86, Births-58, Minor Surgeries- 501, Deaths-17, Trauma-3419 • Mobile Camps- Qatar Red Crescent, South Korean Red Cross Medical Team(Kuvinde, Deurali, Irkhu) Red Cross of China(Salyantar,Dhading) Japanese Red Cross(Melamchi), German Red Cross and Finnish Red Cross (Singati, Dolakha), Canadian Red Cross(Rasuwa) • Singapore Red Cross- Nuwakot • Italian Red Cross- Nuwakot

Nepal Red Cross Society Core areas of Intervention: Health Sector Recovery

1. Government health facilities reconstruction/rehabilitation: Melamchi-21 Health facilities Construction by Japanese Red Cross. NRCS has been coordinating with its Partner National Societies (Canadian Red Cross, Qatar Red Crescent, British Red Cross, Red Cross of China, South • HR support Korean Red Cross) and MOHP to support the gaps in reconstruction of health facilities identified by MOHP. • Medicines (IEHK-ERUs) 2. Community based health promotion and PSS: Capacity building of all 14 District chapter with trained volunteers in the following health components (District level team will be prepared for emergency health). Community level intervention will be more defined after the VDC • Equipment(Digital X-ray, Autoclave Machines..) selection/assessment is done. (American RC, German RC, Belgian RC, Australian RC, Austrian RC, Spanish RC) • Vehicles Epidemic Prevention Nutrition • Non medical Equipment(Hospital beds, Reproductive Health Hygiene Promotion Generators, water purifiers..) PSS First Aid Community Bases Disease Surveillance 3. National Medical Emergency Response unit: ERU-lite National level, light/mobile team, Basic Health Care, Discussion for Integration/coordination with MOHP medical team

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Emergency Support in Health • Maternal, New Born and Child Health (MNCH) –Two Districts-Dolakha ( 16 VDCs), Sinduplanchowk (13 VDCs) I • Nutrition for Under Five Children- One District Plan International Nepal Kavre ( I Municipality and 17 VDCs )

• Maternal, New Born and Child Health (MNCH)- Two Districts- Sindhuli ( 12 VDCs ) and Makawanpur ( 1 municipality and 9 VDCs)

Contribution / Support Future Plan

• 250,000Euros donors DFAT Australia, SHO Netherland, ECHO, • Target pop 55000 people including 34000 Children u EU,UNICEF 5.Estimated budget 900,000 Euros. • Equipment- Medical and Nutritional equipment • Repair and Maintenance, construction of HFs in • Tents for Health Workers & FCHV Sinduplanchok, Dolakha, Sindhuli, Makawanpur and • Clean Delivery Kits & New Born Baby Kit (Sinduplanchowk ,Dolakha, Kavre- subject to fund availability Sindhuli and Makawanpur) • Capacity Development- local partners and community • Warm Clothes for Postnatal Mothers ( Sinduplanchowk & Dolakha) for health • Capacity Development of local partners and community • Integrated Approach at community- WASH, Child Protection, Edu, Cash for food with Health • Health Promotion- community action for Health • Health Promotion- involvement and participation of community in planning, monitoring and management of health

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Earthquake 2015

• Total affected districts: 31 Post Disaster Recovery and • Highly affected Rehabilitation districts: 14

• Health sector Sagar Dahal affected districts: Senior Public Health Administrator Chief, Health Sector Reform Unit 61 Ministry of Health and Population

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Highlights of needs assessment and Pre earthquake presence of public facilities (in %) recovery & rehabilitation plan

• Overall assessment process led by NPC Others (44) Moderately affected (17) Highly affected (14) 100 • Jointly carried out by MOHP and EDPs 90 • Guided by Recovery and Reconstruction Plan 80 70 56 58 58 58 Development Committee 60 50 • Carried out in May- June 2015 40 19 21 • Development of recovery and rehabilitation plan 30 23 23 20 10 25 21 19 19 0 Hospitals PHCCs HPs Total 7/17/2015 3 7/17/2015 4

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Composition of damaged health facilities Damage status of facilities by district 100 Partially damaged (765) Completely damaged (474) 90 Completely Damaged Partially damaged Hospita 80 Hospital, l, 39 PHCC, 70 Others, 17 PHCC, 54 28 12 Others, 60 74 50 40 30 20 10 HP, 417 HP, 598 0

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Damage status by district and facility type Completely Damaged Partially damaged Estimation of damages and losses PHC Hospita (NPR in million) District Hospital C HP Others Total l PHCC HP Others Total Public Private Total Total (%) Bhaktapur 0 1 6 0 7 1 1 9 6 17 Estimation of damages Dhading 0 1 33 4 38 1 1 12 6 20 Facilities completely destroyed 4,144 760 4,904 65.0 Dolakha 1 0 33 4 38 1 1 16 2 20 Gorkha 0 1 35 9 45 1 2 24 9 36 Facilities partially destroyed 703 456 1,159 15.4 Kathmandu 0 1 7 0 8 0 7 33 24 64 Equipment and logistics 360 0 360 4.8 Kavre 0 1 32 0 33 1 2 50 3 56 Total damages 5,206 1,216 6,422 85.1 Lalitpur 0 0 9 1 10 0 2 20 12 34 Estimation of losses Makwanpur 0 1 14 3 18 0 2 13 6 21 Demolition and removal of debris 63 16 79 1.0 Nuwakot 1 1 43 1 46 0 1 19 1 21 Treatment services for injured 509 162 671 8.9 Okhaldhunga 0 0 17 0 17 0 0 17 0 17 Other service provision for affected Ramechhap 1 1 20 0 22 0 1 28 1 30 297 0 297 3.9 Rasuwa 1 0 14 2 17 0 1 3 2 6 population Sindhuli 0 1 23 1 25 1 3 7 2 13 Governance and risk management 74 0 74 1.0 Sindhupalchok 1 1 62 3 67 0 2 17 0 19 Other districts 0 2 69 0 71 13 28 330 0 371 Total losses 944 178 1,122 14.9 Central/ Regional 12 0 0 0 12 20 0 0 0 20 Grand total (effects of earthquake) 7/17/2015 7 7/17/2015 6,150 1,394 7,544 100.08 Total 17 12 417 28 474 39 54 598 74 765

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District Level Recovery and Reconstruction Need Damage and Losses by District (in %) Immediate needs Intermediate/medium term needs 35.0 32.8 Construction of health facilities 30.0 Demolition of damaged buildings (temporary) Temporary arrangement of 25.0 building Repair and maintenance of facilities 20.0 Resumption of utility services Supply of equipment and drugs

15.0 11.0 Supply of basic equipment and Health services through usual 10.0 7.4 drugs outreach clinics/camps 5.7 6.2 6.7 4.2 4.4 Health services through camps Reproductive health and geriatric care 5.0 2.9 2.9 3.0 3.6 3.9 1.4 1.5 2.3 Reproductive health and geriatric 0.0 Care Psychosocial counseling Rehabilitation services and long term Psychosocial counseling trauma care Outbreak prevention and response Purchase of land for health facilities

7/17/2015 9 7/17/2015 Construction of health facilities 10 Pre-positioning of medicines (permanent)

Central Level Recovery and Reconstruction Need Priorities of the MoHP (....Call for Proposal) Immediate needs Intermediate/medium term needs Payment to hospitals Retrofitting and reconstruction of • Resuming healthcare service delivery in affected central/regional hospitals districts Additional human resources Meeting the long term care need and • Responding to the additional healthcare needs maintain minimum level of drugs and needed: logistics – Psychosocial Counselling Continuation of Strengthen central surveillance system – Rehabilitation of the disabled surveillance – Long-term trauma care management Public awareness through Strengthen information management • Replenishing damaged equipment and supplies system (e.g. electronic reporting) IEC and BCC • Restoring damaged health facilities damaged Water and sanitation Establish geriatric ward in highly affected hospitals • Preparedness for RR and strengthen monitoring Outbreak investigation and Strengthen preparedness, RRT and health response7/17/2015 preparedness emergency management capacity 11 7/17/2015 12

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Basis for implementing recovery and Current status on recovery and rehabilitation rehabilitation • Needs identified in PDNA report and the priorities • Disbursement of fund to affected districts • Deputation of medical officer and other • Directives received from MoF paramedics • Psychosocial counseling and rehabilitation • Standard guidelines for Post Disaster Reconstruction services of health buildings of MoHP (June 2015). • Payment to hospitals for treatment services • Identification of hospitals for follow up • Seismic Vulnerability Assessment Guidelines for treatment • Reconstruction and rebuilding process Private and Public Buildings – DUDBC initiated

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Identified Follow Up Hospitals Earthquake Funds Statement (in million NPR) Hub Central Natural All affected District BP Koirala Institute of Hospitals 28.5

Disaster Relief

Hospitals Health Sciences Committee 55.0 DoHS & D(P)HOs 22.3 Bir Hospital, NAMS Patan Hospital TU Teaching Hospital Bhaktapur Hospital World Health Other GoN Organization 17.5 Hospital 6.7 Civil Service Hospital Birendra Army Hospital Private Hospitals 8.1 Hospital APF Hospital Nick Simon Logistics, Institute 101.6

Nepal Police Hospital Bharatpur Hospital Received Funds

Supplies & Released Funds Nepal Orthopedic Hospital Western Regional Hospital Misc 8.2 National Trauma Center 173.1 73.8 Source: Account Section, MoHP

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Identified Referral Centers Referral Centers Contd….. Rehabilitation – Kathmandu Valley - 3 • Mental Health/Psychosocial Counseling • National Ayurved Research & Training Center, Kirtipur (Cuban Med.Team) – TU Teaching Hospital • Nepal Youth Foundation, Lalitpur – Patan Hospital • Anandaban Hospital , Lalitpur – Outside Valley – 3 – Mental Hospital • Sindhupalchowk (Ramechhap, Dolakha, Sindhupalchowk) – Dhulikhel Hospital • Nuwakot (Dhading, Rasuwa, Nuwakot) – Western Regional Hospital • Gorkha (Gorkha, Lamjung, Tanahu) – Bharatpur Hospital – Spinal Injury Rehabilitation Center, Kavre – Green Pasture, Pokhara – Medical Colleges – Mental Health Expert Teams in the affected districts

Prefab plan for fully damaged facilities Key activities in 2015/16 AWPB for R & R 25 • Reconstruction and strengthening in earthquake PHCC Need PHCC MoU affected districts 20 HP Need HP MoU • Strengthening hub hospitals 15 • Preparedness for rapid response: – Pre-positioning of medicines 10 – Strengthening of HEOC 5 • Structural, non-structural assessment and retrofitting of hospitals 0 • Establishment of national health portal • Establishing a toll free number

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Repair and maintenance of partially damaged facilities MoU with Supporting Organizations 25 District Supporting Organisations

20 Bhaktapur GIZ, IMC, Dhading GIZ Dolakha 15 MSF Belgium, Nyaya Health Gorkha IMC 10 Kathmandu IMC, Neuro Foundation Nepal

5 Kavrepalanchok TDH Lalitpur 0 Makwanpur 0 0 Nuwakot GIZ Okhaldhunga 0 Ramechhap MdM Spian Rasuwa GIZ, Karuna Foundation Repair Work Need Repair Work MoU Sindhuli 0 Sindhupalchok 7/17/2015 21 7/17/2015 America Nepal Medical Foundation-Nepal22

MoU in pipeline Monitoring and supervision 1. Save the children – 2. UNICEF • Expedite the detailed assessment of fully and 3. KOICA 4. Canadian Red Cross partially damaged HFs 5. Japanese Red cross- 6. NLR • Formation of quality control and monitoring teams 7. One heart world wide 8. MDM France 9. Impact Nepal • Monitor and supervise schedule for 14 districts 10. Doctor for you

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Thank You

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PHASE support to MOHP health services in Gorkha, Sindhupalchowk and Kabhrepalanchowk Health Response after Earthquake • At the time of the earthquake, PHASE Nepal had ongoing health projects in 6 VDCs in Northern Gorkha (Manbu, Kashigaun, Keraunja, Sirdibas, Chumchet, Chhekampar), 2 in Sindhupalchowk (Hagam, Fulpingkot) and one in Kabhre (Rayale) • Following the earthquake, PHASE health workers provided first aid, helped with evacuations, conducted a rapid damage assessment and facilitated relief Dr Gerda Pohl, PHASE Nepal distributions. • About a week after the earthquake, PHASE arranged several evacuations by ambulance from Sindhupalchowk for injured patients who had no accessed care.

Types of Support Future commitments

• Ongoing staff support to 12 GoN health posts / sub 1. Continue ongoing health service support in health posts (ANMs) • Distribution of WASH kits in 11 VDCs core project VDCs • Replacement of equipment and drugs lost or 2. Assist GON / WHO surveillance programme destroyed in 12 damaged health facilities (including WHO health kits and laboratory equipment for PHCs in 3. WASH provision as far as funding permits Jalbire and ) (funding applications in progress) • Additional emergency drugs and water purification tablets for health facilities in target VDCs 4. Reconstruction of about 4 facilities (funds • Provision of tents and solar lights for temporary HFs 90% secure) • Provision of solar lights to all FCHVs in 12 VDCs and FCHV emergency bags with equipment in 6 VDCs in 5. Continue to respond to changing situation Gorkha

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Thank you!

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PHASE support to MOHP health services in Gorkha, Sindhupalchowk and Kabhrepalanchowk Health Response after Earthquake • At the time of the earthquake, PHASE Nepal had ongoing health projects in 6 VDCs in Northern Gorkha (Manbu, Kashigaun, Keraunja, Sirdibas, Chumchet, Chhekampar), 2 in Sindhupalchowk (Hagam, Fulpingkot) and one in Kabhre (Rayale) • Following the earthquake, PHASE health workers provided first aid, helped with evacuations, conducted a rapid damage assessment and facilitated relief Dr Gerda Pohl, PHASE Nepal distributions. • About a week after the earthquake, PHASE arranged several evacuations by ambulance from Sindhupalchowk for injured patients who had no accessed care.

Types of Support Future commitments

• Ongoing staff support to 12 GoN health posts / sub 1. Continue ongoing health service support in health posts (ANMs) • Distribution of WASH kits in 11 VDCs core project VDCs • Replacement of equipment and drugs lost or 2. Assist GON / WHO surveillance programme destroyed in 12 damaged health facilities (including WHO health kits and laboratory equipment for PHCs in 3. WASH provision as far as funding permits Jalbire and Bahrabise) (funding applications in progress) • Additional emergency drugs and water purification tablets for health facilities in target VDCs 4. Reconstruction of about 4 facilities (funds • Provision of tents and solar lights for temporary HFs 90% secure) • Provision of solar lights to all FCHVs in 12 VDCs and FCHV emergency bags with equipment in 6 VDCs in 5. Continue to respond to changing situation Gorkha

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Thank you!

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AmeriCares Health Response AmeriCares Contributions to MOHP

. Medical Camps & Direct Health Service Provision . Donations of Medicines & Supplies – 9 medical camps in the Bagmati and Gandaki zones, treating over 1,428 – AmeriCares has donated critical medicines and supplies, relief items, patients; a team of surgeons supporting the Cleft & Burn Center at water purification supplies, equipment and medical tents and a forklift to Kirtipur Hospital, completing 44 orthopedic surgeries. MOHP/ LMD

– AmeriCares has also contributed to increase medical outreach assistance . Support of Foreign Medical Teams during the acute phase of response – Financing and logistical support covering 1-month deployment of NYC Medics, a foreign medical teams stationed in in May 2015

– 12 shipments of medicines and supplies to Medical Outreach teams . Step-down facility in Chautara

– A project in partnership with IOM to set up and operationalize a step . Shipments of Critical Medicines, Supplies & Relief Items down facility in Chautara, Sindhupalchowk is now under evaluation at HQ – 24 shipments of medicines and medical supplies, including 4 IEHKs, 25 medical tents, 6,000 tarps, and IV fluids. Total value of shipments to medical teams, local partners (LMD, SC, Magna, HHC, OHW, NCF, RI) and health facilities is $21.5 million USD.

. Mental Health and Psychosocial Support (MHPSS) – MHPSS training and capacity building of local partners and counselors

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AmeriCares Post-Disaster and Recovery Plans

$4 million in privately raised funds directed towards:

. Health Facility Restoration and Reconstruction Rebuild or rehabilitate ~25 health posts in affected districts

. Mental Health and Psychosocial Support (MHPSS) Build MHPSS capacity in affected districts through community and facility level training and technical assistance; Additionally, MHPSS care for health care workers

. Disaster Risk Reduction (DRR) Conduct DRR training for health facilities and hospitals and incorporate emergency preparedness and DRR principles into health programming

. Long Term Health Programming As determined by evolving needs; AmeriCares is committed to implementing programs in Nepal through 2018.

Target districts: Dhading and Sindhupalchowk, with an interest in working in additional districts

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Every day. In times of crisis. For our future. Save The Children Objective

Phase 1 (April-June) & 2 (July-October) : Reduce excess direct and indirect morbidity and mortality due to the earthquake through targeted public health support interventions with a focus on vulnerable children and their families. av

Nepal Earthquake 2015 Phase 3 (3 years strategy) : Reduce excess direct and indirect morbidity and mortality due to the earthquake through health system strengthening and “built back better” Emergency Response approach with a focus on vulnerable children and their families. Health Sector

Save the Children Nepal

July 2015

Earthquake Response: Phase I Health Facilities Strengthening Earthquake Response: Phase II & Phase III Dolakha, Gorkha, Nuwakot, Rasuwa, Nutrition Program Sindhupalchowk Dolakha, Gorkha, Nuwakot, HEALTH NUTRITION VDC covered: 32 Rasuwa, Sindhupalchowk Target Population: 113, 407 MOBILE CLINICS HEALTH SYSTEM STRENGTHENING Strengthening of OTP - In coordination with DHO, Dolakha, Gorkha, Nuwakot, Rasuwa, Sindhupalchowk Mobile Clinics IEHK Basic Kits Strengthening of OTP only if need be VDC covered: 32 Districts: Sindhupalchowk- 3 VDC- 30 Target Population: 113, 407 Gorkha- 8 Sindhupalchowk & Rasuwa- 3 Support provision of Safe Quality Services Capacity building of staff, relevant Rasuwa Screening and referring of SAM children & 1. Technical training & Supportive supervision government officials, and other stakeholders those with medical complications 2. Provision of supplies on IYCF-E programming VDC covered: 24 RH Kits av av Gorkha- 8 3. Emergency preparedness & Disaster Risk Reduction Total patients: 2,066 VDC- 36 Dolakha- 1 MHPSS Behavior Change Communication (BCC) 1. Capacity Building at facility & community level activities Infection Prevention & Establishment of Mother and Baby Areas Control Kit 2. Individual & Group Counselling (MBAs) 3. Referral All supported VDC- 32 Support reconstruction & “Build back better” health facilities Procurement and distribution of IYCF-E kits: Distribution of micronutrient Medical Equipment & Supplies supplements and deworming tablets 1. Semi-permanent structure- 30 Health Posts 1. Baby kits, Tertiary Hospitals- 5 2. FCHVs return to work package Dolakha- 3 3. safe BMS kits Behaviour Change Communication (BCC) activities 4. MBA kits Tents Distribution of micronutrient supplements Sindhupalchowk- 7 and deworming tablets to all children of 6-59 Rasuwa- 3 months Gorkha-5 Nuwakot- 4

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Terre des hommes, Foundation, Health response (Since May) Lausanne • Mobile Clinics: • trauma care and follow-up, general medical care, MCHN, psychological counseling • Kavre and Sindhupalchowk • 40 Camps, 18’494 consultations

• Referrals of patients Struzik

• Surgery and rehabilitation in HRDC and B&B

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TdH

© hospital: 88 Adults/91 Children

Kathmandu, 17/07/2015 – Joint Planning meeting Meeting, MoHP 2

Contribution to MoHP Future plan

• Signed an MoU with MoHP for the construction of 5 • Long term commitment to Nepal (active since 1985), Focus on prefabricated health posts in Kavre Health, Child protection, WASH

Baluwapati Intended future Areas of interest in cooperation working area with MoHP: • construction of permanent health facilities • repair of damaged health facilities • provision of equipment • health system strengthening (e.g. RH, MCHN, HR Kavre District Kavre District capacity)

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Health Cluster Activities Summary Update

17 July 2015 Findings from 4W DATA 

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Findings from DISTRICT SITUATION UPDATE 

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Key Challenges

District Situation • Logistics supply - road blockage, landslide, inadequate buffer stock, replacement of damaged or lost equipment • 99.8% HFs resumed services – However, immunization and delivery services are • Infrastructure- temporary infrastructure, shelter for staffs, interrupted in some health facilities (logistic space for establishing HF/MCK, personal safety and security of supply, equipments and infrastructure) HW

• • Districts having higher reporting coverage Surveillance - establishment of disease surveillance system show that utilization of services (tracer items • Sanitation, personal hygiene and disease outbreak: high risk – SBA delivery and BCG vaccination) remains of outbreak far below the national target • Coordination and support: few partners in some of the highly affected district

• Financial resources: disease surveillance, response, monitoring etc.

Logistics support provided

Unit MCK Tent Surgical set Medicine Health Kit Other Grand Total

Bhaktapur Items 507 507 Dhading Items 5 23 16 11384 50 5364 16842 Dolakha Items 42 36 20 176 840 1114 Gorkha Items 5 32 17 325 328 174 881 Kathmandu Items 61 27 113 98 796 1095 Kavrepalanchok Items 41 15 67 36 1710 1869 Lalitpur Items 57 30 155 376 830 1448 Makwanpur Items 8 8 Nuwakot Items 1 17 15 876 502 243 1654 Okhaldhunga Items 8 8 Ramechhap Items 1 16 15 30 191 210 463 Findings from Rasuwa Items 2 4 12955 292 2062 15315 Sindhuli Items 2 11 13 Sindhupalchok Items 53 20 429 733 1773 3008 LOGISTICS REPORT  Kavrepalanchowk Items 1 1 Sindhupalchowk Items 2 2 Dolkha Items 4 4 MoHP/DoHS Tons 50 50 District Camps Items 9 1300 40 1349

Grand Total 23 355 191 27704 3356 14002 45631

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Logistics support provided by Health logistics transported by WFP supporting organization (Weight in Metric Ton) Organization Organization Unit MCK Tent Surgical set Medicine Health Kit Other Grand Total Delivered In Progress Grand Total AmeriCares 3.3 3.3 Direct Relief Tons 50 50 Catholic Relief Services 1.4 1.4 FAIRMED Items 10 10 Direct Relief International 18.6 2.0 20.6 FHD/UNFPA Items 600 600 Government of France 1.3 1.3 GIZ Items 21 2 2350 64 2437 Humedica International Aid 0.5 0.5 GNI Items 5 5 International Federation of Red Cross 5.0 0.1 5.1 JHU.CCP-HC3 Items 13113 5264 18377 International Medical Corps 12.6 12.6 INTERSOS 2.1 2.1 JSI/UNFPA Items 3 2900 2903 Italy - Civil Protection Department 5.0 5.0 MDM-F Items 1 4 5 Medair 2.0 0.1 2.1 PSI/N Items 10 78 1 89 Medecins du Monde 0.1 0.1 SCI Items 17 29 4 50 Medecins Sans Frontieres 6.5 6.5 UNFPA Items 13 450 146 609 MSF Belgium 5.2 5.2 UNICEF Items 190 165 560 744 7914 9573 MSF France 22.1 0.6 22.6 WHO Items 23 77 16 10025 9 755 10905 MSF Spain 0.4 0.4 Government of Nepal 0.3 0.3

World Vision Norwegian Church Aid 2.6 2.6 International Nepal Items 18 18 The Church of the Nazarene 2.5 2.5 United Nations Children's Fund 0.1 0.1 Grand Total 23 355 191 27704 3356 14002 45631 United Nations Population Fund 18.3 14.5 32.8 World Health Organization 73.9 13.6 87.5 Grand Total 179.8 35.0 214.8

 Situation update, bulletin and information products are available at: https://www.humanitarianresponse.info/en/operations/nepal/health

Thank You

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What the agency has done in terms of health response during EQ response Type of supplies Estimated cost (US $) OK Network providers from 12 clinics provided PSI/Nepal different types of FP method services to 260 clients (102 $5,200 LTM) in Bhaktapur and Kavre from 30 May to 30 June 2015 Provided support to CHD in adapting IMNCI training protocols and materials for emergency response of $9,000 pneumonia and diarrhoea to under 5 years of children Supported CHD for pretesting of material in three Joint Meeting on Post-Disaster Emergency Earthquake affected district ( Sindhupalchok, Gorkha $ 5,400 and Kavre) Support to MoHP Relief Package distributed to 90 FCHVs of three Earthquake affected district ( Sindhupalchok, Gorkha $3,316 and Kavre) during pretesting of IMNCI materials 17 July (10 AM to 1 PM) Planning meeting conducted in 13 out of 14 EQ affected district for emergency response to IMNCI $ 60,410

MoHP Meeting Hall Orientation provided to 100 private sector providers on emergency response to IMNCI $ 15, 560

Kind of contributions/support the agency has provided to MoHP so far (i.e. Agency future plan: services, equipment, medicines, supplies, HR etc…) • Continue development work with focus on earthquake affected districts. Type of supplies Estimated cost (US $) Supported one rented car and driver for 7 days for Type of supplies Estimated cost (US $) the transportation of essential drugs and medicines Support in orientation/training, and monitoring of $560 to different sites in the district public health service providers in Kavre district $ 106,290 (29th August) IUD Insertion/Delivery Bed for birthing center- Dhusha Health Post $510 Medical detailing/monitoring of private sector service providers in 14 districts (IMNCI) (29th $ 44,860 Coordinated with LMD and supported August) transportation of Contraceptives (Implant and IUCD) $20 for the district Adapting and produce BCC tools and messages for caregivers, and conduct community-level $ 27,959 200 Litres of diesel provided to support the DHO BCC/IEC events (29th August) for emergency transportation of commodities at $180 different sites Support will be provided in distribution of 351,219 plus 5 million sachets (tentative) P&G purifier of $ 66,717 Supported in distribution of 309,981 sachets P&G water ( Dec 2015) purifier of water in 8 EQ affected districts $29,758 OK Network providers continue in providing $ 350,000 different types of FP method services(Dec 2015)

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Since April: • Assisted discharge, referral and return of severely injured and disabled – including transport • 690 severely injured and disabled patients assisted in discharge, referral and return • 70 severely injured and disabled patients provided PSS • Assisting over 15 partner facilities in Kathmandu, Bhaktapur, Lalitpur, Kavrepalchok, Sinduplanchok, Gorkha, Nuwakot, Rasuwa • Displacement monitoring: 294 sites, 3 survey rounds, 14 districts (incl. Health, International Organisation for Migration (IOM) WASH) • Rapid Health Assessments and monitoring Emergency Response | Health at IDP sites in coordination with DHOs Kit Leung (including cholera risk assessment) Health Team Leader – Emergency Response [email protected]

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Emergency response/early recovery (currently until May 2016): • 7 severely damaged district health facilities demolished 1. Assisted discharge, referral and return service for severely injured & disabled • Support to NTC for assessment of treatment centres and patient tracing 2. Temporary step-down-care facility in Sindhupalchowk (8 months) - proposed • 300 Shelter Kits: WHO/MOPHs for MCKs 3. Displacement monitoring – IDP sites (including Health, WASH) 4. Support to NTC in recovery for key earthquake affected districts 5. Demolition of damaged Health Facilities - 3 worse affected districts (DDRCs) 6. Rehabilitation of health facilities – identifying gaps

Pre-earthquake migration health programmes (on-going): • TB Support NTC (enhanced case detection: GeneXpert MTB-RIF) • Psychosocial support to survivors of SGBV and trafficking (10 districts - Ministry of Peace & Reconstruction) District Health Office, Nurses Quarters, Sindhupalchowk • Damak Refugee Resettlement - Migration Health Assessment Services

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Thank you.

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