UNHCR, UNFPA, UNICEF, ADLG/DHO,

Transcription

1 mvpi Rfug Sttlmnt Halth and utrition updat-wk 3 (11 th to 17 th January 218) Halth & utrition Halth Partnr: UHCR, UFPA, UCEF, ADLG/DHO, Mdical am ntrnational, Sav th Childrn ntrnational (SC), Mdi San Frontir Franc (MSF-F), Global Rfug ntrnational (GR), CARE Uganda ntrnational, CUAMM Doctor with Africa, Uganda Rd Cro Socity (URCS) otal OPD/ PD Conultation Morbidity Dia A F P Ani mal bit OPD Conultation: 3,17(2,764 rfug and 343 national) nw OPD conultation wr mad in wk 3 compard to 3,442 in wk 2. Of which 2,764 (89%) wr to rfug and 343 (11%) to national. Mntal Halth and Pychoocial Support Srvic (MHPSS): ( rfug and national) nw clint and rviit clint rcivd MHPSS in wk 3 compard to in wk 2. PD admiion: 7 ( rfug and 2 national) nw n-patint admiion wr rgitrd in wk 3 compard to 72 in wk 2. w rfrral: 4 (3 rfug and 1 national) nw rfrral wr mad in wk 3 to Arua Rgional Rfrral Hopital compard 8 in wk 2. Whil 2 nw rfrral wa mad to halth faciliti within th ttlmnt and managd within. Vaccination, dworming & vitamin A upplmntation for nw arrival in mvpi RC: Proportional Morbidity: 896 (29%) confirmd malaria ca 1,19 (33%) Acut R 2 (6%) Watry Diarrhoa 14 bloody diarrhoa ca. Chol ra Bloo dy diarr ha Watry diarrh a Vaccination; Dworming; Vitamin A G u i n Malari a a W o r m M a l 218 nw arrival childrn < yar wr vaccinatd in wk 2 compard to 243 in wk 2. (11 againt mal, 67 againt Polio, 1 mothr againt., 64 rcivd Vitamin A Supplmntation and 14 dwormd) Expandd programm on mmunization: 477 individual wr vaccinatd in wk 3 compard to 497 in wk rcivd vitamin A upplmntation in wk 3 compard to 3 in wk 2. 8 mothr rcivd in wk 3 compard to 112 in wk 2. M E G Yllo w Fvr ca Dath 1 V H F y p h o i d MD R B Human nflunza ampl 1

2 Supct cholra dntifid in th Day Supct mningiti dntifid in th day Supct mal dntifid in th day Mortality Rproductiv Halth, HV and ADS and B car Supct cholra Supctd mningiti Supctd mal Dath: ( rfug and national) dath wa rportd. dath from halth cntr and from th community. hr wa no () matrnal dath and dath among nonat. Crud mortality rat (CMR):.6 dath/1,/day in wk 3 compard.1 dath/1,/day in wk 2. Undr Fiv Mortality (UMR):.3 dath/ 1,/ day in wk 3 compard to. in wk 2 and wk 1. Halth Workr pr 1, Population otal # killd taff 3 (Mdical officr, clinical officr, ur, and midwiv). hi tranlat to 4.2/1, population. Givn th currnt population of mvpi 127,926 (2,1 childrn < yar) a at 31 t ovmbr 217. otal AC: 179 (133 rfug and 46 national) prgnant womn attndd AC in wk 3 compard to 96 in wk 2. Firt AC viit: 1 (74 rfug and 26 national) prgnant mothr attndd AC in wk 3 compard to 46 in wk 2. Fourth AC Viit: 34 (28 rfug and 6 national) prgnant womn attndd 4 th AC ion in wk 3 compard to 13 in wk 2. Labour and dlivry car: Wkly dlivri in mvpi ttlmnt (9 rfug and 6 national) dlivri wr conductd by killd halth workr in wk 3 compard to 2 in wk 2. 1 WK 1 WK 2 Wk 3 Dlivri Rfug ational Elimination of mothr to child HV tranmiion (MC): 1 (74 rfug and 26 national) prgnant mothr who attndd AC1 wr providd HV tting rvic in wk 3 and all found HV ngativ compard to 46 in wk 2. o () HV poitiv dlivry took plac, thrfor, w rgitrd 1% covrag of MC. HV and ADS rvic: 7 (6 Rfug and 1 ational) individual wr nwly ttd HV poitiv in wk 3 compard to 1 in wk (43 rfug and 239 national) individual wr offrd 2

3 Achivmnt and mpact Pot atal Car: 49 (3 rfug and 19 national) lactating mothr attndd PC in wk 3 compard to 19 in wk 2. Clinical Managmnt of rap: rportd SGBV ca. HV tting rvic in wk 3 compard to 374 in wk 2. All th 7 nwly idntifid HV poitiv rfug wr initiatd on HV car and upport. 6,79 pic of condom wr ditributd for HV prvntion in th community in wk 3 compard to 7,223 in wk 2. B tratmnt and car: 2 (1 rfug and 1 national) individual wr nwly diagnod with activ B and tartd on tratmnt in wk 3 compard to 1 in wk 2. OPD Conultation: 3,17(2,764 rfug and 343 national) nw OPD conultation wr mad in wk 3 compard to 3,442 in wk 2. Of which 89% of th nw conultation wr to rfug and 11% to national. h wkly proportional morbidity how that th lading cau of morbidity in th wk i malaria with 29%, Acut Rpiratory ract nfction accountd for 33% and Watry Diarrhoa/WD rmaind at 6%. hrfor malaria, UR and watry diarrhoa account for 69%. h incidnc of malaria, acut R and watry diarrhoa i timatd at 8 ca/1 pron/wk, 9 ca/ 1, pron and 2 ca/1 pron /wk rpctivly. During th wk prvntiv maur through 8 activ VH including mobil clinic and outrach for tratmnt of malaria and othr condition wr conductd. Mortality and Morbidity: Wkly OPD Conultation and Morbidity trnd in mvpi ttlmnt WK 1 WK 2 WK 3 OPD Malaria UR AWD Wkly Mortality trnd in mvpi ttlmnt WK 1 WK 2 Wk 3 Crud Dath > yr dath < yr dath ( rfug and national) dath wr rportd from mvpi ttlmnt. wr among individual abov yar and among individual l than yar. dath wr rportd from halth cntr and from th community. Howvr, thr wa nonatal dath/< 28 day old dath, and matrnal dath. hrfor, Crud Mortality Rat (CMR) wa.6 dath/1,/day and undr- yar mortality ratio (UMR) wa at.3 dath/1,/day blow th mrgncy thrhold of 1 and 2 dath/1,/day rpctivly. h cau/ probabl cau of mortality bing 1 diarrhoa and vomiting, 1 pnumonia, 1 chronic hart dia, 1 odma/wolln body and 1 prmatur dlivry. 3

4 Community bad Control of Dia Outbrak: o () rportd upctd dia of outbrak potntial rportd. Survillanc through 127 traind villag halth tam (VH ) prad out in th ttlmnt and wkly analyi of Halth nformation ytm rporting continud in th wk( priority dia urvillanc). Howvr, du to rumour of viral hamorrhagic dia outbrak in nighbouring South Sudan w continud to conduct CME for halth workr and VH and ditributd ca dfinition to all halth faciliti. Mdical crning of nw arrival: 228 individual in mvpi rcption clinic wr mdically crnd in wk 3 compard to 246 in wk 2. B crning at mvpi rcption: Routinly all coughing nw arrival ar takn putum ampl for gnxprt through hub laboratory in Arua rgional rfrral hopital and Yumb hopital. Othr updat and activiti of th wk: Halth mag for nw arrival rgarding morbidity, halthcar in th ttlmnt pad to nw arrival whil in tranit to th ttlmnt. MSF-F continud to conduct mobil clinic in zon 3 point A tank 19 and point F and rachd 289 individual with mdical conultation mad in th community in wk 3 compard to 329 in wk 2. Global Rfug ntrnational (GR) continud to conduct routin OPD rvic at point zon 2 and upportd 1 individual in wk 3 compard to 62 in wk 2. During th wk UHCR togthr with th halth partnr conductd halth information ytm balancd cor card amnt of Yinga HC, mvpi HC and Zon 3 tank 12 halth pot. dntifid d and Rmaining Gap: During th wk, halth faciliti xprincd tock out of malaria rapid diagnotic kit. hi ha bn communicatd for th uppli to b rplnihd. utrition Partnr: World Food Programm (WFP), UHCR, ADLG/DHO, Mdical tam intrnational, CUAMM Doctor with Africa, Action Againt Hungr (ACF), Mdi San Frontir Franc (MSF-F), Global Rfug ntrnational (GR), and Sav th Childrn intrnational (SC). mvpi Rcption Cntr Wkly Proxy Global Acut Malnutrition among childrn 6-9 month, MUAC (< 12 mm and/or odma mvpi rcption cntr crnd 42 nw arrival and (1 MAM and SAM) prgnant and lactating mothr ( < 23 cm and > 23 cm) Gnral Food Ditribution mvpi (kilocalori/pron/day) 2.4% Food Aitanc /A Community ovrall wkly Proxy Global Acut Malnutrition among childrn 6-9 month, MUAC (< 12mm and/or odma) Ovrall ttlmnt 2,346 (2,133 rfug and 213 national) crnd of which (39 MAM and 4 SAM) w arrival ration (kilocal /pron/day) arrativ Achivmnt and mpact 42 childrn l than yar and prgnant womn in wk 3 compard to 72 in wk 2 rpctivly at mvpi rcption cntr. 1 modratly malnourihd and vrly malnourihd (SAM) and mothr prgnant and lactating had MUAC < 23 cm. Similarly, in th ntir mvpi ttlmnt, 2,346 childrn undr wr malnourihd in wk 3 compard to 1,36 in wk 2. hr wr (39) MAM and 4 SAM ca idntifid. Ovrall wkly proxy Global acut malnutrition among childrn 6-9 month crnd in mvpi ttlmnt in wk 3 wa 1.8% compard to 2.2% in wk % /A 4

5 39 and 4 nw malnourihd childrn wr nrolld in SFP and OP rpctivly. All th idntifid malnourihd wr initiatd on thraputic fd and hav bn linkd to Omugo xtnion ttlmnt. 41 individual wr xitd from targtd SFP and all wr curd and 4 dfaultr rgitrd. hrfor rcovry rat wa 37(9.2%) and 4(9.8%) dfaultr rat, (%) dath rat and (%) non-rpon rat in wk 3. 1 (1 rfug and national) individual wr xitd from th FP and 1 rfug curd and national curd. Rcovry rat of 1(1%), dfaultr rat of (%) and () non-rpon rat. Community nutrition activiti YCF through mothr baby ara: During th wk SC continud to run 2 MBA in mvpi ttlmnt rving prgnant and lactating mothr with optimal brat fding promotion mag. Ditribution of hygin (MAM) kit: Action Againt Hungr (ACF) continud to ditribut hygin kit for MAM bnficiari compriing of Containr for watr collction and torag, chlorin tablt and bathing oap. dntifid d and Rmaining Gap o major challng rportd in wk 3.