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 Report - Monthly Report (UMCOR)

 Report date: 30.11.1999

UMCOR  AZERBAIJAN
30 Bul-Bul Avenue, Apt. #62Telephone: (994-12) 93-01-10; 98-05-38
Baku, Republic of AzerbaijanFax: (994-12) 98-28-70
E-Mail: mhuet@amadou.baku.az

EXECUTIVE SUMMARY

UMCORs clinics and medical points maintained regular schedules during the month of December, with five primary health care clinics in Baku serving 4,076 IDP patients. These facilities serve IDPs residing in five districts of the city. A total of 10,060 IDPs received primary health care through eight UMCOR medical points in Sabirabad, Imishli, Saatli, Fizuli and Agjabedi.

UMCOR-trained 59 Community Health Providers (CHP) continue to administer the health care services previously provided by the clinics doctors. A total of 4,670 beneficiaries were assisted with medicinal services during December.

In December, the MCI clinic doctors continued to distribute health education leaflets pertaining to Acute Lower Respiratory Infections (ALRI) of Children; Immunization; and Micro-Nutrients/Vitamin Deficiency; Tuberculosis; Scabies; Worms; Poliomyelitis and Prevention of Communicable Diseases. The goal of this initiative is to raise awareness and improve the knowledge of the target population (IDP/RP mothers of reproductive age) in relation to these health concerns.

Under the auspices of our UNHCR project, UMCOR continued supporting sport, cultural and skills development activity circles for adolescent girls and boys. UMCOR initiated the distribution of textbooks, UNHCR-donated school kits and UMCOR-procured hygiene kits for the children. A total of 16,767 condoms, 1,000 bars of toilet soap and 1,000 bars oflaundry soap were distributed during the month of December to Meskhetian Turk communities under the health education component of the program. 874 Meskhetian Turk IDP women were examined by UMCOR Gynecologists in the month of December. UMCOR completed a two-month health education program for men. The 1999 UNHCR-funded project for Meskhetian Turks came to the end. However, the wrap up activities for the project will go through the end of January 2000

The implementation of the Department of States BPRM-funded project is well under way. Four part-time Health Educators initiated the dissemination of the first lesson plan on Family Planning. Under of Health component of the project UMCOR established three medical dispensaries in Shamakhi region. During December, Sona and AWDC personnel visited Southeast and Shamakhi regions and held meetings with the communities. First rehabilitation project was initiated in Guba within Community Rehabilitation sector of BPRM project.

PROJECT UPDATES

1. Department of State Emergency Medical Assistance Project

In December, UMCOR-trained 59 Community Health Providers (CHPs) provided primary health care services to the target population residing of Baku and Absheron districts.

Statistics pertaining to IDP/RP patients benefited from primary health care services during the months of December are provided below:

Districts:AzizbekovSurakhaniBinagadiSabunchiKaradagNasimiApsheronTOTAL:
# of IDPs/RPs

13,000

12,590

22,080

16,030

8,886

11,4306,980

90,996

# of patients:

725

615

857

1,009

688

634142

4,670

To provide beneficiaries with access to the medications at convenient locations, UMCOR maintains seven medicine dispensaries and five additional mini-dispensaries.

The most prevalent diseases among the ID/RP population during the months of December were the following:

  1. Worms - 13.9%
  2. Headache & Joint Pain -10.9%
  3. Common cold - 10.3%
  4. Vitamin Deficiency - 6.7%
  5. Otitis/Sinusitis - 5.0%

Follow-up training was conducted for Community Health Providers on Worms.

During the month, 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 residing in 33 Children Institutions in Baku and the Absheron area. In December, the UMCOR Pediatrician served 217 institutionalized/ handicapped children in the targeted Children Institutions.

The training session on Acute Respiratory Infection was conducted for doctors and nurses of UMCOR-targeted Children Institutions. Medical personnel of the twenty children institutions attended the training.

39 state health facilities continued receiving medicines and medical supplies available from five UMCOR medicine dispensaries in December. A total of 591 patients received medicines and medical supplies in the five UMCOR medicine dispensaries during the month.

In December, monthly meeting was conducted for all UMCOR-medical dispensers with the discussion of current problems.

In December, vulnerable patients of Kurdamir and Ali-Bayramli districts had access to UMCOR-donated medicines in two pharmacies established in these regions by UMCOR. Medicines are dispensed according to the prescriptions written by state physicians of these districts, who had been trained by UMCOR staff. In December, 217 prescription forms were received from doctors of state health facilities in Ali-Bayramli and 161 prescriptions were received from Kurdamir.

During the month, UMCOR Medical Monitors implemented the monitoring of UMCOR-supported State health facilities in Baku, Kurdamir and Ali-Bayramli. The current balance of UMCOR donated medicines and medical supplies was assessed during monitoring. In addition, UMCORs internal distribution methodologies and distribution forms were also reviewed. This monitoring also assessed the needs of these health facilities for receiving further medical supplies by UMCOR.

During the month, UMCOR medicine dispensary #3 continued providing all registered Diabetic children and youths of the Republican and Baku Endocrinology Clinics with syringes for Insulin.

In November, UMCOR continued to support 64 state health facilities and NGOs including Azerbaijan Charity Society HAVVA, INSAN, The Association of Parents of the Children with Talassemia, Hemophilic Patients Association and the Jewish Womens Organization of Azerbaijan, a Jewish charity organization Hesed Gershon, working in collaboration with UMCOR. Health workers of these organizations and facilities filled patient prescription forms using UMCOR medicines and medical supplies.

In December, new contracts for collaboration were signed between UMCOR and Health Department of Sabunchi district, and Family and Society, local NGO. During the month, UMCOR donated medicines and medical supplies to these entities.

A new order for medicines and medical supplies was prepared according to IMAs Bi-Weekly inventory lists.

In December, $ 123,509.81 worth of medicines and medical supplies arrived from IMA. The shipment was delivered to UMCORs warehouse and inventory was initiated.

Prescription and consumption forms written by CHPs and local state doctors in November and December were analyzed in December. The quantity of the three medicines randomly selected from mobile pediatric team and the medicine dispensaries was compared with the quantity presented in the consumption forms. A few discrepancies were detected between the prescription and consumption forms this month.

The monitoring of all 2,069 (100%) prescription forms was conducted during December, which had been filled by CHPs in November, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 2,000 (96%) of the prescriptions had been correct.

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

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

Districts:

Yasamal

Narimanov

Khatai

Nizami

Sabail

TOTAL:

# of IDPs/RPs

14,550

11,930

14,750

12,570

6,530

60,330

# of patients:

583

696

1167

699

931

4,076

The most prevalent diseases among the ID/RP visiting MCI clinics were the following:

  1. Worms - 10%
  2. Common cold - 8.7%
  3. Headache/joint pain - 8.1%
  4. Tonsillitis - 5.9%
  5. Trauma/burns /wounds - 5.7%

Prescription and consumption forms written by USAID/MCI clinic doctors and local state doctors were analyzed in December. The quantity of five commonly used and three medicines randomly selected from each clinic, the Mobile Pediatric team and the medicine dispensaries were compared with the quantity presented in the consumption forms. This month, two discrepancies were detected between the prescription and consumption forms.

In December, the monitoring of all 3,302 (100%) prescription forms filled out by clinic doctors during the month of November was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 3,291 (99.7%) of the prescriptions had been completed correctly.

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

All 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 table below presents statistics on the number of IDP/RP patients that received primary health care at UMCORs eight medical points during the month of December.

Medical Point

Region

#of IDPs/RPs

# of patients

Sabirabad 1 (Ahtachi)

Sabirabad

2,311

891

Sabirabad 2 (Shahriyar)

Sabirabad

2,069

768

Saatli (Alisoltanli)

Saatli

2,145

1,402

Bahramtepe

Imishli

3,900

1,086

Fizuli (Bahmanli)

Fizuli

2,650

1,040

Agjabedi (Khojavand)

Agjabedi

2,000

2,072

Boztepe

Imishli

2,790

1,564

Garabag

Fizuli

12,326

1,237

TOTAL:

 

30,191

10,060

The most prevalent diseases among the ID/RP visiting MCI medical points were the following:

  1. Headache/joint pain - 7.6%
  2. Trauma/Wounds/Burns - 7.4%
  3. Tonsilitis - 6.1%
  4. Bronchitis/pneumonia - 6.0%
  5. Hypertension - 5.1%

In December, the Baku-based Medical Manager visited all the medical points and reviewed their activities. He also assisted the Imishli office staff in preparing the December monthly report.

Pursuant to the decision of the Minister of Health Mr. Ali Insanov seminar session was initiated at medical point in Agjabedi for the representatives of 21 district health departments on health care system maintained by UMCOR. Deputy Minister of Health Mr. Adil Kerimov was present at the seminar.

Mr.Adil Kerimov expressed his high esteem to the work of UMCORs Agjabedi medical point. He also stated the significance of organizing such seminars for the representatives of other districts health departments of Azerbaijan.

Prescription and consumption forms written by medical point doctors were analyzed in December. The quantity of the five most commonly used medicines and two medicines randomly selected from the prescription forms were compared with the quantity presented in the consumption forms. In total, 4,214 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.

The December monitoring of all 4,214 (100%) prescription forms, prescribed by the medical point doctors in November, was conducted in accordance with WHO protocols and MSF guidelines. The results of the monitoring indicated that 4,201 (99.7%) prescription forms had been correct.

3. UNHCR/Meskhetian Turk Project

A. Non-Food Distribution

A total of 542 quilts and 1,100 sweaters were distributed in Northeast and Southeast regions during the month of December.

B. Agriculture

California worms/Organic fertilizer: The farmer from Velvala, Guba district continues maintaining the worms, despite there is no progress in its upkeep.

Family Greenhouse: UMCOR field staff started the monitoring of greenhouses distributed during 1997, 1998 and 1999 UNHCR projects. UMCOR has initiated the distribution of 120 greenhouses for the farmers. 60 greenhouses were distributed to the farmers recommended by the Community Committees in the settlements. UMCOR staff verifies the list of recipients prior to the distribution of greenhouse materials. The Farmers Groups are responsible for the construction of greenhouses.

Community Seed Bank: UMCOR distributed 6,000 kg (200 kg per ha) of fertilizer to the farmers who had received wheat seed in autumn.

Agriculture Extension Project:All 10 agriculture extension agents initiated the consulting of farmers in the settlements as assigned. These agents received the training in Agcabedi and Sabirabad on agriculture extension methodology. The third and final round of three-day training session for the agents is scheduled to January 2000 in UMCOR-Sabirabad.

C. Health and Nutrition

Health Education: The 146 leaders of the womens groups continue to assist UMCOR health educators in the dissemination of health education lesson plans for women and children.

UMCORs four part-time Health Education teams completed the dissemination of the tenth lesson plan on Breast feeding in settlements targeted in the 1999 and fifth lesson plan on Infant Nutrition in the in the settlements targeted in the 1998 project. A total of 1,866 women (1,027 from Southeast region and 839 from Northeast region) attended these lesson plans.

Health education teams distributed the following items during the month of December: 16,767 condoms (2,595 in the Northeast region and 14,172 in the Southeast region); 1,000 bars of laundry soaps and 1,000 bars of toilet soap in the Southeast region.

Mens Groups: Two full-time and two part-time male health educator teams completed the dissemination of the second lesson plan on Sexually Transmitted Diseases plan in the 1998 and 1999 project settlements. A total of 2,137 men (1,033 in the Northeast region and 1,104 in the Southeast region) attended the lesson plan.

Reproductive Health Care (RHC) Services: The UMCORs gynecologists continued to work in collaboration with local MoH employees (midwives, felchers or nurses) in the settlements where UMCOR has established its clinics.

A total of 874 MT/IDP women were examined; 4 case of which was referral to womens consultation center and 915 diseases were diagnosed by UMCOR gynecologists. UMCOR Gynecologists distributed a total of 53 contraceptives (4 per oral, 9 injection and 40 intrauterine) in the Northeast and Southeast regions.

Pharmaceutical Distribution for Primary Health Care: UMCOR continued the pharmaceutical distribution activities supporting Meskhetian Turk refugees and other vulnerable population with basic pharmaceuticals. UMCORs gynecological teams operating within the framework of UNHCR-funded MT project were employed to conduct this activity. A total of 513 beneficiaries received various medicines prescribed by UMCOR gynecologists during the month of December.

D. Community Services

Sports Groups: A total of 29 sports groups are conducting sport activities (football, volleyball, badminton, and chess) for adolescent children in both regions. Sports groups are classified according to the age groups: 12 to 14 years and 15 to 20 years old. UMCOR provided sports groups with additional equipment and supplies to conduct the proposed activities.

Recreational/Cultural Groups: A total of eight circles including cookery, art, drama, dancing were organized in Southeast region. UMCOR provided the circles with equipment and supplies to conduct the proposed activities. In December, groups organized a millennium concert in Nesimikend-Saatli. All the circles demonstrated their skills during the festivity. Community supported this holiday by providing space, loud speakers and power generator.

E. Education

Pre-school Childrens Centers: UMCOR completed the distribution of school and hygiene kits to the primary school children in Southeast. A total of 956 school and hygiene kits have been distributed as of 31 December 1999.

Vocational Training: Two more sewing circles were organized during December in Northeast region.Currently, a total of fourteen sewing circles are operating with 249 adolescent girls in attendance. UMCOR provided these circles with necessary equipment and adequate materials/supplies to function according to their proposed plan. Fourteen community instructors are employed for conducting the training sessions.

Tractor mechanic/driver course: A group of 12 adolescent boys continued attending the Tractor mechanic/driver course. As per agreement with the vocational school the practical classes will be conducted in the settlement and theory classes will be conducted both in the settlement and at the school. UMCOR transferred the expenses for the first half of the training course to the account of the vocational school. The second installment will be disbursed during the month of January 2000. At the end of the training course, the vocational school will award diplomas and issue driving license to all children who will pass final examination.

Textbooks Fund:Textbooks for Secondary Education - UMCOR continued the distribution of textbooks for the adolescent children, and also to invalid/disabled children who do not attend school but can read and write. Community Groups in various settlements carry out the distribution. UMCOR initiated monitoring to ensure the proper use of resources. A total of 7,317 textbooks were distributed. The distribution is on going. The initial report revealed that school attendance rate of the children increased. Textbooks for Primary Education - UMCOR initiated the distribution of primary education textbooks for MT/vulnerable local children. A total of 966 mathematics books (600 in Southeast and 366 in Northeast) were distributed.

5. Bureau for Population Refugees and Migration (BPRM) / Rural Development of Meskhetian Turk Refugees

Health & Nutrition

Reproductive Health Care (RHC) & Family planning services: RHC Program Manager conducted training for the gynecologists on UMCORs newly donated medicines, UMCOR prescription forms and directions for their usage. UMCOR provided the health points with set of necessary items including speculum, IUD insertion device, containers for garbage and utilized materials, wash stand, sterilizes, heaters, etc.

As per the set schedule, the gynecologists visited the settlements and prescribed medicines that patients could receive in UMCOR medicine dispensaries. A total of 19 patients were examined during the month of December.

Training of village midwives/nurses: UMCORs RHC Program Manager conducted training session for the village midwives/nurses and nurses in Shamakhi districts. The training topics included Aseptic and Antiseptic, First Aid during Pregnancy, and Bleeding during Pregnancy.

Reproductive and General Health Education training: Four part-time Health Educators initiated the dissemination of the first lesson plan on Family Planning. A total of 530 women attended the lesson plan during the month of December. The preparation for the second lesson plan on Sexually Transmitted Diseases is under way.

Distribution of pharmaceuticals: In December, UMCOR organized three aditional medicine dispensaries (two in Shamakhi and one in Ismayilli) and provided them with available medicines. These medicine dispensaries were renovated before being supplied with medicines. In December, 398 patients received medicines from UMCOR medicine dispensaries based on the UMCOR prescription forms filled out by the MoH doctors. UMCOR conducted the monitoring of the medicine dispensaries during the month of December.

Community Development/Legal Assistance

In December, SONA and AWDC visited Southeast and Northeast regions and conducted several meetings with the communities. A total of 161 people attended those meetings in the following settlements: Chukhuryurd (Shamakhi) 61 people, Navahi (Hajigabul) 75 people and Fetelikend (Saatli) 25 people.

Community Infrastructure Rehabilitation

First rehabilitation project was initiated in Amsarpolosa settlement, district Guba during the month of December. The project includes rehabilitation of the community water system. Through tender offer process, a contractor was selected for the implementation of the project. The community is also closely participating in the project, contributing all the possible inputs.

Small Business Program

Six local Small Business Trainers were hired from within SONA and AWDC staff (two for each region). In addition, a Program Assistant was hired through the interview of potential candidates. She will primarily assist in developing of the Small Business Program but will also contribute to the overall MT project. The Small Business Training sessions envisioned for MT women were planned to start the second week of January in all target regions and to continue for the next five months.

Capacity building:

The capacity building of SONA Womens and Childrens Organization is well under way.



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