SUB NATIONAL HEALTH CLUSTER ONLINE MEETING MINUTES Yemen, Al Hudaydah Hub 31March, 2021 Venue: Virtual Online Sub National Health Cluster Meetings, Using Zoom application. Date: 31, March 2021. Facilitator: Dr. Abdullah Zohairy; The Sub-National Health Cluster Coordinator of Al Hudaydah Hub, (SNHCC). MEETING AGENDA: 1. Welcome & Introduction & Review and Follow Up the Previous Action Points. 2. Updates from other Fora. 3. Outbreaks Updates & GHOs Updates. 4. Updates on Hajjah Situation. 5. Partner’s Updates & Challenges. Previous Meeting Action Points Meeting Minutes: Agenda Topic Discussion Action Points Introduction of • Sub-National Health Cluster Coordinator (SNHCC), Dr. Abdullah Zohairy welcomed all partners Partners & Review of the previous to the virtual online meeting using teleconference technology (Zoom). action Points: • An introduction was done with partners introducing themselves as well as their position within their organization. • The action points of the last SNHC meeting were discussed, and the meeting minutes were endorsed. GHO Updates: The SNHCC took the permission to give the floor to the GHOs and then we could • SNHCC to share all GHOs tackle the next item on the agenda and opened the floor for the discussion on this documents which has topic: been presented during the Dr Ali Hezam PHC DG Al Hudaydah GHO Comment: meeting with the meeting • Dr Ali started by expression his deepest thanks and appreciation to the SNHCC for giving the minutes. floor. • SNHCC to share GHOs • He conveyed the regrets of Dr /Khalid Al Madaney Al Hudaydah GHO DG for not to be needs/gaps with the present in the meeting. National Health Cluster, • He started his presentation by underscoring the negative impact of fuel shortage on the CLA aiming to advocate for For more information, please visit the Health Cluster Website: http://yemenhc.org/ provision of the Health care services and continued discussion the current health situation more additional resources in Al Hudaydah Governorate and highlighting the health needs/gaps in Al Hudaydah to meet those health Governorate using the following schedules: needs where there are funding gaps according to • He presented a table showing a map of health facilities in Al Hudaydah Governorate that agreed priorities. are currently receiving support from Health Cluster Partners, as well as health facilities in which there is no intervention and do not receive any support from Health Cluster Partners. • The need to support Mazhar district in Raymah A schedule shows the number of centers and health facilities which provide Governorate with TFC to and do not provide health services in Hodeida be addressed and shared Services Number of HFs that Percentage of Percentage of with Nutrition Health Provide Do Not Health the gap Cluster. Services Provide Services Provision in • SNHCC to contact with Al Hudaydah Consultations 403 18 95.72% 4.28% GHOs/SCMCHA regarding First Aid 378 43 89.79% 10.21% access constraints and Health 362 59 85.99% 14.01% accelerate permits Education procedures. Immunization 414 7 98.34% 1.66% Positive 361 60 85.75% 14.25% Health • SNHCC to re-share the (General) Health Cluster Incentives Positive 209 212 49.64% 50.36% Scale with the meeting Health (Birth) minutes. Nutrition 401 20 95.25% 4.75% (SAM) Nutrition 398 23 94.54% 5.46% (NAM) Integrated 384 37 91.21% 8.79% care for children's health Epidemics 262 159 62.23% 37.77% control unit Early Alarming 246 111 68.91% 31.09% Program Chronic 19 45 29.69% 70.31% diseases X-rays 8 56 12.50% 87.50% Ultrasonic 17 47 26.56% 73.44% Pharmacy 50 14 78.13% 21.88% Laps 52 12 81.25% 18.75% Dentistry 5 59 7.81% 92.19% Psychosocial 111 310 26.37% 73.63% Support Percentage of overall rating: 65.54% 34.46% A Schedule shows number of Health Facilities which are in need for cadre, trainings, records, medications, and addition rooms for servicing Services Cadre Trainings Records Medications Rooms Consultations 28 27 32 67 40 First Aid 40 45 39 90 63 Health 53 67 70 57 58 Education Immunization 13 30 12 21 24 Positive Health 78 80 59 97 77 (General) Positive Health 167 171 127 178 212 (Birth) Nutrition 15 35 16 55 23 (SAM) Nutrition 17 38 18 41 27 (NAM) Integrated care 34 52 37 77 41 for children's health For more information, please visit the Health Cluster Website: http://yemenhc.org/ Epidemics 122 169 145 147 124 control unit Early Alarming 140 197 164 160 0 Program Phones internet Chronic 37 30 30 35 34 diseases X-rays 47 37 33 30 39 Ultrasonic 44 33 28 28 35 Pharmacy 15 12 10 15 12 Labs 11 13 10 10 12 Dentistry 50 39 36 33 48 Psychosocial 254 278 213 220 212 Support Total 1165 1353 915 1201 1081 A schedule shows number of needed working stuff in Health Facilities Position Number of… Percentage Percentage Standard Available Stuff of available of in need stuff stuff needed stuff stuff Negative Values Indicate an Excess Number General Dr. 64 22 42 34.38% 65.63% Dentist 64 10 54 15.63% 84.38% Medical 421 88 333 20.90% 79.10% Assistant Community 549 194 335 35.34% 64.66% midwife Nurse 906 195 711 21.52% 78.48% General 64 12 52 18.75% 81.25% Health Technician X-rays 64 7 57 10.94% 89.06% Technician Pharmacist 64 60 4 93.75% 6.25% Medical Tests 64 112 -48 75.00% -75.00% Technician Dentistry 64 3 61 4.69% 95.31% Technician Administrative 128 51 77 39.84% 60.16% Employee Dustman 64 64 0 100.00% 0.00% Guardsman 64 54 10 84.38% 15.63% Total need in 2580 872 1708 33.80% 49.61% all positions • He added that the previous schedules clarify the kinds of needs/gaps and continued by defining the names of these health facilities HFs which are in need for support at the level of each district in Hodeidah governorate. • He introduced Dr. Abdullah Own, Director of Al-Garrahi Health District (DHO) to the participants and he started by give a brief overview about the New Rural Hospital of Al Garrahi District. Dr Abdullah Own Al Garrahi DHO DG Comment: • Al Garrahi Rural hospital was recently opened (3 months ago) by Local authorities and the directions from the minister of health who called all hospital in the country to provide an immediate assistance to Al Garrahi hospital through the following: • Provision of medical equipment, Medical Supplies, Medications. • Deploying Medical & Surgical Teams from each Hospital. • Al Garrahi Rural Hospital is currently functioning, but it lacks the basic needs such as: Monthly Fuel, operational cost, incentives for HWs. • He added the deterioration of the general health situation in the district and the burden of the daily caseload on the hospital. • Dr. Abdullah Own explained the needs of Al-Garrahi region indicating that before 3 months For more information, please visit the Health Cluster Website: http://yemenhc.org/ this district had no health centers or any kind of health services. Therefore, it is so essential and urgent for this hospital to continue working. • He added the enormous needs in the hospital for a surgeon, anesthesiologist, in addition to supporting the obstetric emergency department, general emergency department, with its necessitate needs. NFDHR Representative Dr Mahmoud comment: • NFDHR, through a project funded by OCHA (the United Nations Office for the Coordination of Humanitarian Affairs), will support a number of health facilities in the governorates of Al Hudaydah and Hajjah, and through this project we will support Al Garrahi Rural Hospital by the beginning of April where we are still awaiting permits from SCMCHA to conduct field visits and initiate our interventions. • NFDHR have coordinated in this regard with Dr. Khaled Al-Madani Al Hudaydah GHO DG, as well as coordination also done with QRCY Representative Dr. Wafa Al-Shaibani, through the Health Cluster, to coordinate our intervention and avoid any duplication, as of April 2021; - Support 30 medical workers, one of these specialists in internal medicine and children, and three doctors in the emergency department. - Conduct tenders to purchase medicines and some medical devices. - rehabilitate the mini surgical hospital. - Support the payment of incentives for health workers. - Looking for more further support from SCMSHA to speed up obtaining the necessary permits to start work. • Dr/ Abdullah Salem (WHO Emergency Officer), commented on this regard that WHO has support Al Garrahi Rural Hospital with 6 Cholera Kits, and 1 Trauma Kits A & B which are sufficient for 100 major surgical cases. • Dr / Mojeeb, ICRC Representative, stated that ICRC has supported Al Garrahi Rural Hospital with 1 War Wounded Kit and some medical equipment; Monitors, Suction Machines. • Dr / Mojeeb also added that they are looking for more cooperation from SCMCHA to facilitate and speed up the prolonged process to get the permits for the field visits required to implement and monitor the health implementing activities that could led to restrictions on the movement of partners which limited projects monitoring and the quality of projects. Dr Ibrahim Al-Ashwal, Al Jomhorri Referral Hospital DG, Hajjah Comment: • Dr Ibrahim Al-Ashwal expressed his thanks and appreciation to SNHCC for his efforts and to all participants from all sectors. • He commented that 31 March 2021 is the last day that MSF Spain will provide support to the Emergency Department, ICU and OT. As a result, it will be difficult to keep working with no support specifically to the HWs. • He called Heath Cluster Partners to strengthen their response by coordinating the deployment of quality assured Emergency Medical Teams in the Emergency Departments (ER) in the hospital and reconsider the extreme negative impact of the salary cuts and the Non-Payment / Delay in the Payment of incentives to health workers which led to; - Health Professionals leaving rural Hospital to find employment elsewhere, - The lack of surgical specialties in the ER departments, meant that operating rooms are often understaffed.