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Flood Response for Tokwe Mukosi

Flood Response for Tokwe Mukosi. Health Update 03 March 2014. Areas of Focus. Setting up of a health service to provide acute and on-going care Referral service Emergency surveillance and response Health education and promotion Waste management Resource mobilisation.

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Flood Response for Tokwe Mukosi

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  1. Flood Response for Tokwe Mukosi Health Update 03 March 2014

  2. Areas of Focus • Setting up of a health service to provide acute and on-going care • Referral service • Emergency surveillance and response • Health education and promotion • Waste management • Resource mobilisation

  3. Setting up of a health service to provide acute and on-going care – as at 27.02.14 • Common conditions include ARI, malaria, diarrhoea in under 5s, skin conditions and scorpion bites • 21 nurses (18 from ZPS), 3 EHTs, 1 nurse aide and 1 GH on site • Emergency kits for acute care: • Malaria kit delivered with medicines and RDTs • NHCT emergency medical supplies delivered • Malaria case management is good – 22 cases to date • On-going care: • Antenatal care services being provided – 57 pregnant women so far registered • Solar powered vaccine fridge donated by NHCT • EPI services being provided – vaccines supply is adequate • 82 patients on ART registered and receiving care • 5 TB patients registered • Registration and care of other chronic conditions on-going • 40 x 50kg of Corn soya blend donated by Econet Wireless and National Healthcare Trust Zimbabwe for supplementary feeding. Currently targeting the clinically malnourished children under five.

  4. Setting up of a health service to provide acute and on-going care – as at 27.02.14 • Gaps • No ambulance service yet to nearest district hospital (52km away) • Clinic facility inconvenient for quality care • Inadequate malaria vector control • Only 1 delivery kit was available • Sanitation coverage 25% (WASH) • 95,000L of water provided per day against a demand of 200,000L (WASH) • VHW network is weak (only 5 VHWs identified) • Community based nutrition activities weak

  5. CLINIC FACILITY AT CHINGWIZI

  6. Emergency surveillance and response • Registration of families on-going exercise (2050 families by 27.03.14) • Special population groups and indicators (e.g. under 5s, pregnant women, expected deliveries) still not fully defined for the camp • Gaps: • Need for RRT and case management training • Functional VHW network • Motorised EHTs • Communication equipment – mobile phones (one mobile network provider has set up a mobile base station)

  7. Health education and promotion • Many partners providing health promotion and education • General lack of IEC materials in all areas • Need to use appropriate methods of communication e.g. interpersonal communication • Need to focus on key areas – hygiene education, malaria control, nutrition, STIs, animal health

  8. Waste management • No system for household and clinical waste management • Waste disposal site identified by EMA • One partner to provide 3000 plastic bin liners plus 200 drums to be used as bins and a refuse dumper for collection

  9. Resource mobilisation • WHO in process of sourcing funds for: • Ambulance service • More medicines • Motorcycles for EHTs • Training of RRTs • Supporting the NHEOC. • ERF funding? • Other sources?

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