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 Report - Activity Report (UMCOR)

 Report date: 30.09.1998

EXECUTIVE SUMMARY

In October, UMCOR/Azerbaijan initiated the delivery of DOS/DOD medical consumables airlifted to Baku to the following targeted facilities: Efendiyev City Hospital # 2; Traumatological and Orthopedic Center; Baku Clinic Hospital of Emergency Care; Scientific and Research Institute of Pediatrics; Scientific and Research Center of Experimental Surgery; M. Kasimov Republican Clinic Hospital.

In October UMCOR/Azerbaijan developed and signed contracts with the administration of Children Urology Hospital, Polyclinic # 5, Polyclinic # 16, Polyclinic # 19, Polyclinic # 20 and Polyclinic # 26 which make UMCOR medicine and medical supplies available to the patients of these state facilities.

During the month of October, UMCOR primary health care clinics in Baku served 8,757 IDP patients. These facilities serve IDPs residing in 10 districts of the city. A total of 7,262 IDPs received primary health care through eight UMCOR medical points in Sabirabad, Imishli, Saatli, Fizuli and Agjabedi.

263 layette kits were distributed to pregnant Meskhetian Turk refugee women during the month and to those women with infants. 529 Meskhetian Turk IDP women were examined by UMCOR Gynecologists during the month of October.

During the course of the month, the UMCOR/Baylor health partnership program staff made preparations for the leadership workshop, which would take place in Houston, Texas in the U.S. Program participants will include the Head Doctors and Administrators from the two targeted Baku hospitals, and UMCORs Program Manager for this initiative.

In October an end-use survey was carried out among IDP population in the districts of Baku covered by DOS and MCI funded health care projects. The surveys revealed that all (100%) the surveyed population had access to free consultation and medicines. As a result of the treatment there was a considerable improvement in the health status of the patients and they would continue visiting UMCOR clinics.

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 October 1998:

Districts:AzizbekovSurakhaniBinagadiSabunchiKaradagTOTAL:
# of IDP/RP

13,447

18,223

36,268

23,621

10,971

102,530

# of patients:

803

908

617

1,184

806

4,318

In October a mobile clinic, consisting of a Pediatrician, a Nurse and a Driver, continued their outreach activities which enable medicines and medical supplies to be available to institutionalized/handicapped children in 32 Children Institutions in Baku and Absheron area. During the month, the UMCOR Pediatrician served 276 institutionalized/handicapped children of 32 Children Institutions. A list of Children Institutions, their location and number of children is included below:

#

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

33 state health facilities continue to receive medicines and medical supplies in five UMCOR medicine dispensaries. A total 763 patients received medicines and medical supplies in the five UMCOR medicine dispensaries during the month of October.

In October two meetings were held with UMCOR medical staff. Proper use of new medicines and current problems were discussed during these meetings. Simultaneously with the meetings, training sessions were also for the medical staff on the following topics: Diseases of Thyroid Gland, Poisoning in Pediatric Practice, Disorders of Lipid Metabolism, Kidney Diseases in Pediatric Practice. Associated Pre- and Post-test have been carried out as well.

In October the contract was developed and signed with an administration of the Azerbaijan Medical University on use of UMCOR medical books and journals. Medical materials were also delivered to some of the state health facilities including: Republican Urology Hospital, Children Urology Hospital, Republican Ophthalmology Center, Clinical Hospital #1, Clinical Hospital #4, Clinical Hospital #5, and Republican Children Hospital.

In October medicines and medical materials were delivered to the local NGOs working in collaboration with UMCOR: the Association of Parents of the Children with Talassemia and Hemophilic Patients Association. Health workers of Azerbaijan Charity Society HAVVA, a local NGO, were prescribing and using UMCOR medicines and medical supplies.

The monitoring of all 4,037 (100%) prescription forms, conducted during October, filled by UMCOR clinic doctors in September were in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 4,032 (99.8%) prescriptions had been correct.

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

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

Districts:

Yasamal

Narimanov

Khatai

Nizami

Sabail

TOTAL:

# of IDP/RP

12,257

25,747

21,836

18,449

10,814

89,103

# of patients:

852

831

973

909

874

4,439

During the month of October two meetings were held with the medical staff where application of new medicines and current problems were discussed. During the two meetings training sessions were carried out for the medical staff on the following topics: Diseases of Thyroid Gland, Poisoning in Pediatric Practice, Disorders of Lipid Metabolism, Kidney Diseases in Pediatric Practice. Associated Pre- and Post-tests have been carried out as well.

In October MCI representatives visited two UMCOR clinics located in Narimanov and Nizami districts. MCI representatives were instructed about the clinics activities, and carried out conversations with the medical staff as well as IDP patients.

In October, monitoring of all 4,477 (100%) prescription forms filled out by clinic doctors was conducted in accordance with WHO protocols and MSF guidelines. 4,429 (99,6%) prescription 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 October:

Medical Point

Region

#of IDPs/RPs

# of patients

Sabirabad 1 (Ahtachi)

Sabirabad

2,311

795

Sabirabad 2 (Shahriyar)

Sabirabad

2,069

571

Saatli (Alisoltanli)

Saatli

2,145

702

Bahramtepe

Imishli

3,900

1,056

Fizuli (Bahmanli)

Fizuli

2,650

706

Agjabedi (Khojavand)

Agjabedi

2,000

1,671

Boztepe

Imishli

2,790

748

Garabag

Fizuli

12,326

1,013

TOTAL:

 

30,191

7,262

In October medicines and medical materials were transported to Imishli warehouse, and consequently all medical points were supplied with medical consumables.

Also an MCI monitor visited Imishli Office and medical points in Boztape and Garabag settlements.

In the middle of October a training course on Hypertension 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 Medical Program Manager 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 52% and 71% respectively.

The October monitoring of all 4,948 (100%) prescription forms, prescribed by the medical point doctors in September was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 99.8% of prescription forms had been correct. No divergence was detected between the prescription and consumption forms prescribed by the medical point doctors.

3. USAID/MCI 1 Health Partnership Program

During the month of October, preparations continued for the leadership workshop that would be held in Houston, Texas over a three-week period in November. Suitable candidates were selected and passports and visas were secured. A preliminary work plan for the project was developed and discussed with UMCOR headquarters and the University of Baylor College of Medicine.

The delivery of Department of Defense medical equipment and supplies continued to seven Baku hospitals, including the two institutions (The Republican Scientific Center of Surgery; Mir Kasimov Republican Hospital) targeted by the health partnership. The Program Manager oversaw the installation teams activities. Preparations were made to install computers in the two targeted facilities to facilitate the telemedicine component of the program.

4. UNHCR/Meskhetian Turk Project

In October, UMCOR submitted revised budget with narrative to UNHCR for the 1999 Meskhetian Turk program on Health, Education and Rural Development for Meskhetian Turk Refugees in the Republic of Azerbaijan. UMCORs efforts to identify other funding for the Meskhetian Turk refugee community continued during the month of October.

UMCOR/Vatan is conducting a preliminary survey to determine the situation of the vaccination of children in the target districts. The information collected will assist UMCOR in designing a potential vaccination program in the future. Earliest results of the survey as well as the results of the meeting with Head Doctors in the districts, revealed that vaccination coverage of the target districts is very poor and immediate measures need to be taken to avoid serious health hazards for children in the future.

Distribution

UMCOR/Vatan initiated the distribution of UMCOR in-kind clothing in both the Southeast and Northeast regions.

In October UMCOR/Vatan completed 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 distribution report for October is as follows:

RegionDistrict# of families# of people# of family Seed packets# of items of Clothing
SESaatli6113079838-
SESabirabad531 2579747-
SEHajigabul2481207185981
NEDevechi  N/AN/A
NEGuba  N/AN/A

N/A - Not Available

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. The Health Education Team distributed 263 layette kits (191 in SE region and 72 in NE region) during the month of October. Each pregnant women (of minimum 3 months of pregnancy) and mothers with newborn babies received 2 layette kits. During the month of October a total of 8,400 condoms as contraceptives were distributed to Meskhetian Turk women by Health Education and Maternal Care teams.

The target community throughout program implementation has maintained great enthusiasm and support for project activities. Presently, the reproductive health education program is being conducted in 38 settlements and the reproductive health care program is ongoing through 22 medical points in both the Southeast and Northeast regions.

Agriculture

California worms: The California Worm farmer from Velvala, Guba district, continues maintaining worms. The farmer has produced organic fertilizer amounting to approximately 100 kilos. He is planning to use the fertilizer for the family greenhouse provided by UMCOR and in his kitchen garden. UMCOR provided him with a 200-liter barrel for water storage, a wheelbarrow for transporting compost, a spade and a rake. During the month of October, the farmer continued the organic fertilizer activities without any assistance from VOCAs local specialist.

Family Greenhouse: UMCOR/Vatan identified the recipients for the family greenhouses and the roll cover. The distribution was initiated in the beginning of October. A total of 57 family greenhouses (18 in Devechi district and 39 in Guba district) were distributed in NE region. The Field Officer will monitor the greenhouses during the month of November.

Each greenhouse recipient received approximately 8.70 sq. meters of roll cover. By covering half of the planted bed with roll cover, the farmers will be able to notice the difference in crop production using this new agricultural commodity.

Community Services (Childrens Activities)

At the end of October the remaining seven Childrens Centers were closed due to the completion of Community Development Program for Meskhetian Turk refugee children, both in NE and SE regions.

Upon completion of the childrens activities, UMCOR donated five seesaws and five swings to the government kindergartens and primary school in NE region. Likewise, two swings and one seesaw were donated to the state kindergarten in the SE region. These equipment were locally manufactured to carry out the childrens activities for UMCOR/Vatan-organized pre-school centers.

UMCOR discontinued monitoring the sport activities of 18 groups in the targeted areas. It is expected that most groups will continue functioning without UMCORs direct support.

Parents and teachers in each targeted community/settlement initiated this component of the project. Many occasional volunteers assisted UMCOR/Vatan in organizing the sports tournaments for Mesketian Turk children.

Health and Nutrition

Reproductive Health Education: On 12 October Health Education teams initiated their 6th lesson plan on Abnormal Pregnancy. A total of 1,299 women (704 in the Southeast region and 595 in the Northeast region) attended the lesson plan. This lesson plan is ongoing and will be completed on 5 November. Health Educators simultaneously distributed condoms as contraceptives, Layette kits and Sanitary Napkins to the Meskhetian Turk women. A total of 7,470 condoms (4,320 in SE region and 3,150 in NE region) and 8,016 sanitary napkins (3,240 in SE region and 4,776 in NE region) were distributed during the month of October.

Maternal and Child Care Services: A total of 529 women were consulted, 514 of which were diagnosed UMCOR gynecologists for various diseases. A total of 79 women received contraceptives (36 per oral, 2 injections and 41 intrauterine) from UMCOR gynecologists in Northeast and Southeast regions. The Gynecologists team also distributed 1,017 condoms in Northeast and Southeast regions; 930 condoms of which were distributed as contraceptives in Siyazan and the rest 87 condoms were distributed for curative purpose to the MT/IDP women in various settlements.

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 D and E list. UMCOR staff continued monitoring and mobilizing the Meskhetian Turk community in order to carry out the self-help shelter program. Five shelter owners from the A list, two families from the B list and one family from the C list have completed the shelter upgrading work up today and have moved into their houses permanently. UNHCR assisted 24 houses (20 in Ahmadabad and 4 in Khalfali) with additional construction materials to build up the ceiling in order to avoid any kind of structural failure in the future, since the house owners were putting straw and mud as insulating materials between the ceiling and the roof.

Vatan Society Capacity Building

  1. Vatan Society submitted a proposal to Oxfam for the continuation of its Advice Center on the farm section, registration and development program being conducted under supervision of Oxfam in 1998 in the Southeast region.
  2. A computer training program for the Vatan Society was conducted during the month of October. Three key staff in administration/finance received computer training on Microsoft Office.
  3. Vatan Society was working on updating its Personnel Policies.
  4. Vatan Society is making preparations to commemorate the 54th anniversary of the deportation of Meskhetian Turks. Meskhetian Turks were deported from Georgia to Uzbekistan and the Central Asia on 14 November 1944.

Miscellaneous

  1. UNHCR/UMCOR provided a MT family in Ahemedabad settlement with floor and ceiling construction materials. Currently, the family is building a mud brick shelter with their own resources.
  2. UMCOR procured 15 greenhouse materials in Guba.
  3. UMCOR assisted in distribution of timber, detergent, shops, childrens boots to eight IDP families in Mugan Genjali of Sabirabad district.
  4. With the funding from its HQ, UMCOR procured two water hand pumps for Mugan Genjali IDP families.

 



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