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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

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
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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