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 Report - Activity Report (UMCOR)

 Report date: 31.10.1998

EXECUTIVE SUMMARY

During the month of November, UMCOR/Azerbaijan developed and signed contracts with the administration of Medical Sanitation Hospital # 10 and Polyclinic #23 under the auspices of the U.S. Department of State project. These agreements will enable UMCOR medicine and medical supplies to be available to IDPs and the vulnerable population frequenting these facilities.

UMCORs clinics and medical points maintained regular schedules during the month. Our primary health care clinics in Baku served 8,278 IDP patients. These facilities serve IDPs residing in 10 districts of the city. A total of 6,256 IDPs received primary health care through eight UMCOR medical points in Sabirabad, Imishli, Saatli, Fizuli and Agjabedi.

Under the auspices of our UNHCR project, 140 layette kits were distributed to pregnant Meskhetian Turk refugee women during the month of November and to those women with infants. 738 Meskhetian Turk IDP women were examined by UMCOR Gynecologists during the month.

From 3 November through 23 November, Head Doctors and Administrators from the two Baku hospitals and the Program Manager of UMCOR/Baylor Health Partnership program, funded under the MCI umbrella grant, participated in a Leadership Workshop conducted in Houston, Texas. This workshop enabled participants to view the U.S. health system firsthand, and to finalize the training program schedule for the remainder of the partnership.

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 November 1998:

Districts:AzizbekovSurakhaniBinagadiSabunchiKaradagTOTAL:
# of IDP/RP

13,447

18,223

36,268

23,621

10,971

102,530

# of patients:

763

901

669

1,191

738

4,262

During the month of November, a mobile clinic consisting of a Pediatrician, a Nurse and a Driver continued their outreach activities, which enable primary health care, medicines and medical supplies be delivered to institutionalized/handicapped children in 32 Children Institutions in Baku and the Absheron area. In November, the UMCOR Pediatrician served 134 institutionalized/handicapped children in the targeted Children Institutions.

35 state health facilities continue to receive medicines and medical supplies available from five UMCOR medicine dispensaries. A total of 923 patients received medicines and medical supplies in the five UMCOR medicine dispensaries during the month of November.

During the month, two meetings were conducted with UMCOR medical staff. Work-related issues were discussed during these meetings. Training sessions were also conducted for general practitioners and pediatricians in November on the following topics: Arthritis; Coma and Heart Diseases; Diseases of Gastric-intestine system respectively. Pre- and post-test were administered in conjunction with these training sessions.

Medicines and medical materials were delivered to local NGOs working in collaboration with UMCOR. Health workers of the Azerbaijan Charity Society HAVVA, The Association of Parents of the Children with Talassemia and Hemophilic Patients Association filled patient prescription forms using UMCOR medicines and medical supplies.

In November UMCOR initiated collaboration with a local NGO Umud, which is producing journals for children. UMCOR mobile team distributed copies of this publication to handicapped/institutionalized children of the Children Institutions. In addition, UMCOR provided Fundamental Library of the Azerbaijan Medical University with medical books and magazines.

The monitoring of all 4,281 (100%) prescription forms conducted during November, filled by UMCOR clinic doctors in October, were in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 4,275 (99.9%) 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 November.

Districts:

Yasamal

Narimanov

Khatai

Nizami

Sabail

TOTAL:

# of IDP/RP

12,257

25,747

21,836

18,449

10,814

89,103

# of patients:

695

811

867

698

945

4,016

During the month, two meetings were conducted with UMCOR medical staff. Work-related issues were discussed during these meetings. Training sessions were also conducted for general practitioners and pediatricians in November on the following topics: Arthritis; Coma and Heart Diseases; Diseases of Gastric-intestine system respectively. Pre- and post-test were administered in conjunction with these training sessions.

On 11 November, MCI representatives visited two UMCOR clinics located in Yasamal and Khatai districts. MCI representatives observed the process when patients were received and consulted by UMCOR physicians, and also checked up different forms completed by them. All the materials of training session conducted for the physicians of MCI clinics were presented to the MCI representatives. On 24 November Mr. Khalid Khan, USAID/Baku, visited two UMCOR clinics located in Narimanov and Nizami districts of Baku.

In November leaflets associated with Acute Low Respiratory Infections (ALRI) in children were developed and distributed to IDP mothers in order to improve their knowledge of ALRI. A survey was conducted among IDP mothers to review their retention levels in relation to this new information, and the results of the survey are presently being analyzed

In November, monitoring of all 4,237 (100%) prescription forms filled out by clinic doctors in October was conducted in accordance with WHO protocols and MSF guidelines. 4,225 (99,7%) 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. In November some repairs were carried out at the medical points in Agjabedi and Fizuli. All the medical points were provided with washstands, sinks, pails and other supplies.

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 November:

Medical Point

Region

#of IDPs/RPs

# of patients

Sabirabad 1 (Ahtachi)

Sabirabad

2,311

688

Sabirabad 2 (Shahriyar)

Sabirabad

2,069

475

Saatli (Alisoltanli)

Saatli

2,145

517

Bahramtepe

Imishli

3,900

885

Fizuli (Bahmanli)

Fizuli

2,650

624

Agjabedi (Khojavand)

Agjabedi

2,000

1,331

Boztepe

Imishli

2,790

728

Garabag

Fizuli

12,326

1,008

TOTAL:

 

30,191

6,256

During the field monthly staff meeting, work-related issues were discussed. A seminar lesson was conducted on Acute Respiratory Infections. An associated pre- and post-test was administered. In November, UMCORs Field Medical Program Officer participated in a coordination meeting organized by IRC in Agjabedi. The primary topic of the meeting was the coordination of reproductive health activities by the two implementing partners.

Medical staff organized a reception of patients for Dr. Caroline Kennedy from the Leonard Cheshire Department of Conflict Recovery (London) in the Saatli, Bahramtape and Boztape medical points. The patients were examined and forwarded to Baku for the surgical procedures. On 18 November Mr. Khalid Khan, USAID/Baku, visited UMCORs Imishli Office and four medical points in Sabirabad, Saatli and Imishli regions.

Prescription and consumption forms written by medical point doctors were analyzed in November. The quantity of 5 most commonly used medicines and 2 medicines randomly selected from the prescription forms was compared with their quantity presented in the consumption forms. Altogether 4,306 prescription forms were checked and 56 denominations of medicines were selected. The monitoring indicated that there was no divergence between the prescription and consumption forms of the medical points.

In November leaflets associated with Acute Low Respiratory Infections (ALRI) in children were developed and distributed to IDP mothers in order to improve their knowledge of ALRI. A survey was conducted among IDP mothers to review their retention levels in relation to this new information, and the results of the survey are presently being analyzed

The November monitoring of all 4,306 (100%) prescription forms, prescribed by the medical point doctors in October was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 99.9% 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

In accordance with a working plan of the program, an administrative team of two Baku hospitals visited University of Baylor College of Medicine in Houston, Texas from 3 November through 23 November.

The Leadership Team from the two targeted hospitals included the following doctors:

  1. Dr. Farman Jeyranov, Director of Republican Center of Surgery
  2. Dr. Eldar Aliyev, Chief of Cardiac Surgery Department, Republican Center of Surgery
  3. Dr. Vagif Jafarov, Chief Physician of Mir-Kasimov Republican Clinic Hospital
  4. Dr. Telman Rzayev, Chief of Emergency Surgery Department, Republican Clinic Hospital

Dr. Jamil Karakashli, UMCOR Medical Program Officer, participated in the trip to Houston, representing UMCOR/Azerbaijan.

The leadership team met with the representatives of US medical facilities, including the following health care professionals: Randall P. Wright, Senior Vice President of the Methodist Hospital; Nicholas K. Iamarino, Department of Human Performance and Health Science; Kenneth L. Mattox, Ben Taub Hospital; Doris A. Mokry, Manager from Texas Medical Center; Susan Miller, Medical Director of Womens Health Initiatives; Paul M. Allison, Medical Director of Blood Center; Patricia A. Hercules, Director of Nursing Support and Patients Education; William W. Word, President of Houston-Baku Sister Cities Association; John M. Evans, Hospital Licensing Director of Health Facility Licensing Division; John C. Hilsabeck, Senior Vice President and Ricard Bettis, Executive Vice President of the Associations of Texas Hospitals and Health Care Organizations; William R. Archer, Commissioner of Health; Patricia Brock, President of Medical Bridges and Hayne Balakey, Director of Medical Bridges.

During these meetings the team got acquainted with work of the US Department of Health and how hospitals receive licenses, the US medical insurance system, clinical labs and Blood Center, clinical activities; and participated in the surgical operations. The team also participated in a meeting with Dr. DeBakey where the creation of a Cardiosurgery Center in Azerbaijan was discussed.

Memorandum of Agreement in Programmatic Direction for Baku-Houston Healthcare Partnership was signed on 20 November. The representatives of the following facilities participated in the Agreement signing ceremony:

Samuel Dixon, Assistant General Secretary of UMCOR/NGO,
Robert Jonhson, Vice-President and CAO Baylor College of Medicine,
Bishop Woodrow Hearn, the United Methodist Church,
Randolph Nugent, General Board of Global Ministries, the United Methodist Church,
Danielle Rizk, Assistant Vice President International Services, the Methodist Hospital,
Armin Weinberg, Partnership Program Director, Baylor College of Medicine
Vagif Jafarov, Chief Physician, Republican Clinical Hospital, Baku,
Farman Jeyranov, Director, Republican Center of Surgery, Baku

4. UNHCR/Meskhetian Turk Project

During the month of November, UMCOR/Vatan conducted a preliminary survey in the three hospitals (Davechi, Guba and Khachmaz) to determine the situation of vaccination coverage of children in the target districts. The information collected revealed that the majority of the district hospitals have the facilities and staff to carry out vaccine program for the children, but the refrigerating system for the storage of vaccines is unreliable. However, UMCOR and Vatan are planning to conduct a detailed vaccine situation survey among 100 mothers/children in both the southeast and northeast regions. This survey will summarize the need for the vaccine program among the Meskhetian Turk community, and also reveal the level of the vaccination knowledge of the Meskhetian Turk mothers. During the month, UMCOR developed the survey form and distributed them among the field staff to implement the survey.

The UMCOR Head of Mission and the Community Development Program Officer attended a coordination meeting hosted by the Vatan Society on 6 November 1998. The agenda of the meeting was primarily the coordination of the activities with the Vatan Society. Jean-Marc Plantiveau, Assistant Field Officer for UNHCR, Gladys Agar, Oxfams Country Representative, and other staff personnel attended the meeting. Oxfam is currently reviewing the Vatans proposal Advice Centers on the farm creation, registration and development to be continued for another six months in the Southeast region. The Vatan Society successfully implemented the first phase of the Oxfam-funded program. Vatan Society, UNHCR, Oxfam and UMCOR will organize these coordination meetings on quarterly basis. The next meeting will be held in February 1999.

Oleg Amrahov, UMCORs Field Officer in Northeast region, and Shahzada Shasaddimov, Meskhetian Turk refugee teacher from Ahamdabad settlement of Sabirabad district participated in a Three-Week Training Program on Community Development in Washington and West Virginia, USA. The training program was organized and sponsored by the Academy of Educational Development (AED).

Distribution

UMCOR/Vatan initiated the distribution of UMCOR in-kind clothing in Northeast region.

The distribution report for November is as follows:

Region

District

# of families

# of people

Sweaters

Sport
Trousers

Shorts

Trousers

NE

Devechi

129

356

112

20

53

42

NE

Guba

144

340

116

33

42

52

NE

Gusar

10

32

10

-

7

9

NE

Khacmaz

172

484

190

-

65

60

NE

Khizi

40

112

43

-

8

10

 

Total:

495

1324

471

53

175

173

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 140 layette kits (44 in SE region and 96 in NE region) during the month of November. Each pregnant women (of minimum 3 months of pregnancy) and mothers with newborn babies received 2 layette kits. During the month, a total of 5,070 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. UMCOR/Vatan are planning to expand this program, as there is substantial number of offspring to be transferred to new beds. The Field Officers started identifying new farmers to receive the worms.

Family Greenhouse: The distribution of family greenhouses was completed in the Northeast region. UMCOR locally procured and distributed 131 family greenhouse inputs (116 from Baku and 15 from Guba). Each greenhouse consisted of 54m of steel bar (6m x 9 pcs.), 60m2 of plastic sheet (6m x 10m), 8,70 m2 of roll cover and 50 m of rope. The remaining six pieces of steel bars with plastic sheeting and rope were given to a farmer who agreed to purchase the rest three steel bars required to erect a greenhouse. The recipients of the greenhouse kits in Zizik settlement of Guba district, decided to withhold one steel bar from each greenhouse kit and donate to their neighbors. With this farmer-to-farmer help approach, the two farmers who received the steel bars purchased plastic sheeting and ropes, and constructed two greenhouses in Zizik. Presently, 134 UNHCR-funded greenhouses are in operation.

The Field Officer started monitoring of the greenhouses in November. The first greenhouse monitoring will be completed by the mid-December.

With funding from UNHCR, UMCOR made the decision to procure irrigation (PVC) cans. To this end, a market search was initiated during the month of November. The irrigation cans will facilitate smooth irrigation of seedlings covered by the roll covers.

Community Services (Childrens Activities)

All of UMCOR supported childrens centers are no longer receiving project assistance. The pilot activities for children were designed at the beginning of April 1998, and scheduled to continue for approximately six months. After closing the childrens centers, UMCOR donated the childrens equipment (locally procured) to various kindergartens in the Northeast and Southeast regions.

During the month of November, the field staff monitored the activities of the children who participated in UMCOR/Vatan childrens centers and presently are in the school. According to teachers, most of the children who had attended the childrens centers are ahead of other children in the learning process and doing well in extra-curriculum activities.

Health and Nutrition

Reproductive Health Education: In November Health Education teams continued disseminating information on Abnormal Pregnancy. A total of 1,794 women (1,037 in the Southeast region and 757 in the Northeast region) attended the lesson plan. This lesson plan will be completed on 4 December. Health Educators simultaneously distributed condoms as contraceptives and Layette to the Meskhetian Turk women. A total of 4,830 condoms (3,060 in SE region and 1,770 in NE region) and 140 layette kits (44 in SE region and 96 in NE region) were distributed during the month of November.

Maternal and Child Care Services: A total of 738 women were consulted, 688 of which were diagnosed by UMCOR gynecologists for various diseases. A total of 95 women received contraceptives (31 per oral, 8 injections and 56 intrauterine) from UMCOR gynecologists in Northeast and Southeast regions. The Gynecologists team also distributed 240 condoms as contraceptives in Siyazan, Northeast region.

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

UMCOR continued community-based self-help shelter program in Ahemedabad and Khalfali, Sabirabad district. UMCOR staff continued monitoring and mobilizing the Meskhetian Turk community in order to complete the self-help shelter program. Up to the present, 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 and have permanently moved into their shelters. The beneficiaries as specified in the drawings provided by UNHCR wisely used the additional material assistance received from UNHCR to strengthen the ceilings of 24 houses (20 in Ahmadabad and 4 in Khalfali). UMCOR initiated the shelter activity on 13 August 1998 and the Meskhetian Turk refugees upgraded a total of 41 limestone shelters. With the assistance from UNHCR, UMCOR assisted a family with floor and ceiling package who was building a mud-brick shelter in Ahamdabad settlement. Furthermore, through its in-kind contribution UMCOR provided roofing material to a mud brick shelter owner.

Vatan Society Capacity Building

  1. Vatan Society commemorated the 54th anniversary of the deportation of Meskhetian Turks on 24 November. Meskhetian Turks were deported from Georgia to Uzbekistan and the Central Asia on 14 November 1944. Many distinguished guests from the Azerbaijani government and the regions were participating in the conference. 250 Vatan Society representatives from various regions of Azerbaijan participated in commemoration day activities.
  2. Final draft of the Vatan Societys personal policies was submitted to UMCOR for the final review.
  3. The computer training program was completed during the first week of November. The four trainees, including the Vatans finance manager/administrator, participated in the training program.

Miscellaneous

  1. With the in-kind contribution, UMCOR provided one MT family in Ahemedabad settlement with roofing materials. The family is presently building a mud brick shelter with their own labor and resources.
  2. With the Headquarters funding, UMCOR procured and installed six shallow water hand pumps for Meskhetian Turk refugee families in Ahmadabad and one pump for IDP families in Mugan Genjali, Sabirabad district.
  3. UMCOR initiated the computer training program in its Saatli office. The two UMCOR staff and the two community workers are presently participating in the computer training program.


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