Flood response for tokwe mukosi
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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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Flood response for tokwe mukosi

Flood Response for Tokwe Mukosi

Health Update

03 March 2014


Areas of focus

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


Setting up of a health service to provide acute and on going care as at 27 02 14

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.


Setting up of a health service to provide acute and on going care as at 27 02 141

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


Flood response for tokwe mukosi

CLINIC FACILITY AT CHINGWIZI


Emergency surveillance and response

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)


Health education and promotion

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


Waste management

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


Resource mobilisation

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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