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 Report - Activity Report (UMCOR)

 Report date: 31.08.1998

EXECUTIVE SUMMARY

In September, UMCOR/Azerbaijan initiated the delivery of DOS/DOD medical consumables airlifted to Baku to the following targeted facilities: Clinic of Maternal and Child Care; Institute of Tuberculoses and Pulmanology; Republic Center of Surgery; and Mir - Kasimov Republic Hospital.

During the month UMCOR/Azerbaijan medical staff visited the Lerik and Yardimli districts of Azerbaijan affected by earthquake, after UN OCHA made a specific request to implement a survey of the state medical facilities that serve the affected population. This needs assessment was included in the list of priorities identified by representatives of several NGOs and the Republican Commission on Emergency Response of the Cabinet of Ministers after a visit to the affected area in late July. At the same time the needs assessment of local health facilities was being conducted, the delivery of medicines and medical supplies was carried out.

UMCOR/Azerbaijan received new medicines, which were delivered to the UMCOR clinics in Baku. All UMCOR doctors were provided with booklets annotating the proper usage of medicines. The prescription methodology of the newly-donated medicines was discussed with the doctors as well.

During the month of September, UMCOR primary health care clinics in Baku served 8,242 IDP patients. These facilities serve IDPs residing in 10 districts of the city. A total of 7,698 IDPs received primary health care through eight UMCOR medical points in Sabirabad, Imishli, Saatli, Fizuli and Agjabedi.

306 layette kits were distributed to pregnant Meskhetian Turk refugee women during the month, and to those women with infants. Five pre-school Children Centers were closed (one in the Southeast and four in the Northeast) due to the start of the new school year. 4 31 Meskhetian Turk women were examined by UMCOR Gynecologists during the month.

PROJECT UPDATES

1. Department of State Emergency Medical Assistance Project

Five Department of State-funded clinics continued providing primary health care services to the target population.

The following are statistics pertaining to IDP/RP patient visits to the DoS clinics in September 1998:

Districts:AzizbekovSurakhaniBinagadiSabunchiKaradagTOTAL:
# of IDP/RP

13,447

18,223

36,268

23,621

10,971

102,530

# of patients:

753

987

662

1,079

905

4,386

In September a mobile clinic, consisting of a Pediatrician and a Driver, continued their outreach activities which enable medicines and medical supplies to be available to institutionalized/handicapped children in 30 Children Institutions in Baku and Absheron area. Two additional Children Institutions were supported by UMCOR, thus raising the total to 32. During the month, 230 institutionalized/handicapped children of 32 Children Institutions were served by the UMCOR Pediatrician.

#

Children Institution

District

# of children

1School # 2 for Orphans

Azizbekov

325

2Tuberculosis Children Sanitarium # 3

Azizbekov

50

3Children Home

Nasimi

70

4Republic School for Blind Children

Narimanov

158

5Tuberculosis Children Sanitarium #13

Azizbekov

251

6Osteotuberculosis Children Sanitarium

Azizbekov

85

7Sanitarium # 36

Azizbekov

50

8Republic School for Deaf Children

Azizbekov

175

9Children Sanitarium (General Therapy)

Azizbekov

70

10School # 3 for Deaf Children

Nizami

191

11School # 1 for Deaf Children

Nizami

285

12School # 1 for Orphans

Nizami

106

13School # 3 for Rheumatoid Diseases Children

Sabunchi

340

14School # 3 for Orphans

Khatai

100

15Tuberculosis Children Sanitarium # 4

Khatai

38

16Boarding House # 7 for Mentally Handicapped Children

Absheron

405

17Sanitarium # 37

Sabunchi

40

18Children Sanitarium # 22

Sabunchi

30

19Republic School # 7 for Mentally Diseased Children

Surakhani

154

20School for Children with Speech Defects

Azizbekov

120

21Boarding House # 3 for Mentally Handicapped Children

Azizbekov

200

22School # 16 for Children with Polyomyelit Disease

Azizbekov

126

23Tuberculosis Children Sanitarium # 5

Azizbekov

80

24Republic School # 1 for Mentally Diseased Children

Azizbekov

105

25Republic School # 11 for Mentally Diseased Children

Sabunchi

171

26Sanitarium # 21

Sabunchi

100

27School for Orphans

Sabunchi

299

28School # 14 for Children with Speech Defects

Karadag

215

29Children Sanitarium # 39 (Cardiology)

Karadag

50

30Children House # 27 for Mentally Handicapped Orphans

Narimanov

50

31Special School for Boys

Azizbekov

125

32Children Cardiology Sanitarium # 31

Azizbekov

250

Total 4,814

On 1 September, UMCOR medicine dispensary # 3 was reopened in a new location, in state childrens policlinic #15. Upon signing the contract with the Head of the Health Department of Sabail district on the usage of UMCOR medicines and medical supplies by the patients of state facilities, necessary training on correct completion of UMCOR prescription forms was conducted for medical staff of the state facilities in Sabail district. Information relevant to the new location of UMCOR medicine dispensary #3 and lists of medicines and medical supplies available, were also disseminated to new state health facilities.

In September, a contract was developed and signed with the administration of Children Infection Hospital #1 on use of UMCOR medicines and medical supplies by the hospital patients.

In September totally 494 patients of state health facilities received medicines and medical supplies in the 5 UMCOR medicine dispensaries.

The monitoring of all 5,107 (100%) prescription forms, conducted during September, filled by UMCOR clinic doctors in August were in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 99.6% of the prescriptions had been correct.

2. USAID/MCI 1 Primary Health Care Support/Five Clinics in Baku/Absheron Region

The table presented on the next page shows statistics of IDP/RP patients who received primary health care from the five clinics supported by the project during the month of September.

Districts:YasamalNarimanovKhataiNizamiSabailTOTAL:
# of IDP/RP

12,257

25,747

21,836

18,449

10,814

89,103

# of patients:

707

828

814

716

791

3,856

During the month of September, two seminar lessons on four topics were conducted for medical staff: Diagnosis and Treatment of Liver Diseases; Infectious Diseases of Central Nervous System; Emergency Surgical Situations in Pediatrics; and Urgent Neurological Care for Children.

In September, monitoring of all 3,802 (100%) prescription forms filled out by clinic doctors was conducted in accordance with WHO protocols and MSF guidelines. 99% of the prescriptions forms were completed correctly.

USAID/MCI Primary Health Care Support/Seven ECHO Camps and Two IDP Settlements

All the eight medical points continued to serve IDP/RP patients, residing in the seven former ECHO camps and the two collective centers in Imishli, Saatli, Sabirabad, Fizuli and Agjabedi regions of Azerbaijan.

The following table presents statistics on the number of IDP/RP patients that received primary health care at UMCORs eight medical points during the month of AugustSeptember:

Medical Point

Region

#of IDP/RP

# of patients

Sabirabad 1 (Ahtachi)

Sabirabad

2,311

780

Sabirabad 2 (Shahriyar)

Sabirabad

2,069

571

Saatli (Alisoltanli)

Saatli

2,145

683

Bahramtepe

Imishli

3,900

1,162

Fizuli (Bahmanli)

Fizuli

2,650

753

Agjabedi (Khojavand)

Agjabedi

2,000

1,756

Boztepe

Imishli

2,790

991

Garabag

Fizuli

12,326

1,002

TOTAL:

 

30,191

7,698

In the middle of September a training course on Expanded Program of Immunization was conducted for the doctors in UMCOR Imishli Office. Eight doctors of the medical points, two camp project doctors and the medical program officer participated in the training . The training was conducted by the former UMCOR EPI Program Officer (under the Save the Children-funded 1997/8 Integrated Health Project) with the assistance of the medical program officer from Baku Office. Pre- and post-tests have been carried out, and the average results of the tests were 70% and 91% respectively.

The September monitoring of all 5,107 (100%) prescription forms, prescribed by the medical point doctors in August was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 99.6% of prescription forms had been correct.

3. UNHCR/Meskhetian Turk Project

During the month of September, UMCOR prepared two proposals to be submitted to UNHCR: 1)Health, Education and Rural Development for Meskhetian Turk Refugees-Part I 2) Health, Education and Rural Development- Part II.

Distribution

UMCOR/Vatan initiated the distribution of vegetable seeds, donated by UNHCR, to Meskhetian Turk refugees and IDPs residing in UMCORs target areas in the Northeast and Southeast regions.

The distributionof UMCOR in-kind toys to children centers was initiated during the month of September. In this regard, a total of 275 toys were distributed in the Southeast region of the country.

The distribution of Layette kits was implemented in the Northeast and Southeast regions by the reproductive health education teams, and the maternal and child care teams. A totall of 306 Layette kits (122 kits in the Southeast region, 184 kits in the Northeast region) were distributed by the Health Education Team during the month of September. Each pregnant women (of minimum 3 months of pregnancy) and mothers with new born babies received 2 layette kits.

A total of 3,235 condoms (2,490 condoms in the Southeast and 735 in the Northeast region) were distributed during the month.

Agriculture

California worms: The California Worm farmer from Velvala, Guba district, continues maintaining worms. UMCOR provided him with the material inputs to build a plastic sheeting covered room for the worms. The situation of worms is expected to improve. During the month of September, the farmer continued the Organic fertilizer activities without any assistance from VOCAs local specialist.

Family Greenhouse: The greenhouse activities were initiated in the middle of September. UMCOR/Vatan initiated the activities to identify the recipients for the family green houses and the roll covers under the Crop Production Sector.

Community Services (Childrens Activities)

Currently, six pre-school age children centers, one school age children center, and 18 sports groups (6 in the Southeast region and 12 in the Northeast region) are functioning in five districts (Saatli, Sabirabad and Devechi). Community volunteers organized a sports tournament among the school children in the Devechi district in September. UMCOR appreciates the voluntary efforts made by the community in organizing this tournament. The mobile music group in the Southeast region continued supporting teachers for the childrens recreational activities, particularly in conducting dance and music lessons.

Reproductive Health/Health Education (Maternal and Child Services)

Reproductive Health Education: Health education teams initiated their review lesson plan on 7 September. A total 1,258 women (806 in the Southeast region and 452 in the Northeast region) attended the lesson plan. This lesson plan is ongoing and will be completed on 9 October. The purpose of the review lesson plan is to ascertain the acquired knowledge from the previously-delivered four lesson plans, and to respond to any additional questions the beneficiaries may have. Health Educators simultaneously distributed condoms as contraceptives and Layette kits to the Meskhetian Turk women.

Maternal and Child Care Services: A total of 431 women were consulted, 374 of which were diagnosed by UMCOR gynecologists. A total of 73 women received contraceptives from UMCOR gynecologists in Northeast and Southeast regions.

Community-based shelter program (Long Stayers Lime Stone Shelter)

UMCOR continued community-based self-help shelter program in Ahemedabad and Khalfali, Sabirabad district. The material inputs were delivered to the site by UNHCR for 20 shelters. Eight families have completed the shelter upgrading work and have moved into their houses permanently. UMCOR will request UNHCR for a fourth delivery of material inputs for the next 10 shelters. UMCOR anticipates that a total of 40 to 50 shelters will be upgraded by the end of the three months through its self-help community development program.

Vatan Society Capacity Building

1) Vatan Society submitted a proposal (independently from UMCOR) to UNHCR for livestock distribution.

2) A Vatan society representative participated in the International Conference held in the Hague/Netherlands in September. UMCOR views this as great opportunity for the Vatan Society and Meskhetian Turk community to present their situation in Azerbaijan to a larger audience.

3) Khalid Tashtanov, Director of the Vatan Society, met with Peter Dahl, UNHCR Consultant. Mr. Dahl visited program activities and met with the community representatives in Northeast and Southeast regions of the country.

4) Vatans Director and Deputy Director participated in the Strategic Planning Session organized on September 14 at the UMCOR administrative office in, Baku. In addition to the program strategy details, the topics such as Time Management and SWOT Analysis were also introduced to the Vatan Society personnel by UMCOR senior staff.

Miscellaneous

Addressing the emergency needs of a family in Devechi whose house was burned down in June, UMCOR provided them with blankets.



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