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 Report - Monthly Report (UMCOR)

 Report date: 31.12.1999

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 January, with five primary health care clinics in Baku serving 4,241 IDP patients residing in the Yasamal, Narimanov, Khatai, Nizami and Sabail districts. These facilities serve IDPs residing in five districts of the city. During the month, a total of 9,519 IDPs received primary health care dispensed through eight UMCOR medical points in Sabirabad, Imishli, Saatli, Fizuli and Agjabedi.

The UMCOR-trained 55 Community Health Providers (CHP) continue to administer the health care services previously provided by the clinics doctors in the Azizbekov, Surakhani, Binagadi, Sabunchi, Karadag, Nasimi and Apsheron districts of Baku. A total of 4,797 beneficiaries were assisted with medicinal services during January.

In January, 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.

During January, under the auspices of UNHCR project, UMCOR continued supporting sport, cultural and skills development activity circles for adolescent girls and boys. UMCOR received a seed container from the Feed the Children, Canada. In addition UMCOR signed a sub-project agreement with UNHCR for continuing the MT project in 2000. Sectors of intervention for this project include Health, Agriculture, Income Generation, and Social Counseling. The preparatory work for all sectoral interventions is underway.

The implementation of the Department of States BPRM-funded project continues. Four part-time Health Educators initiated the dissemination of the second lesson plan on STDs. . Under the Health component of the project, UMCOR established six more medical dispensaries in program- targeted regions. During the month of January, SONA and AWDC personnel visited Southeast and Northeast regions and conducted workshops on Human Rights issues. The first rehabilitation initiative under the Community Rehabilitation sector of BPRM project is continuing.

PROJECT UPDATES

1. Department of State Emergency Medical Assistance Project

In January, UMCOR-trained 55 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 January 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:

890

525

916

1173

791

60497

4,996

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 January included the following:

  1. Common cold -15.3%
  2. Worms -11.5%
  3. Headache and Joint Pain-8.6%

Follow-up training was conducted for Community Health Providers on Treatment of Chronic Heart Failure.

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 January, the UMCOR Pediatrician served 232 institutionalized/ handicapped children in the targeted Children Institutions.

40 state health facilities continued receiving medicines and medical supplies available from five UMCOR medicine dispensaries in January. A total of 649 patients received medicines and medical supplies in the five UMCOR medicine dispensaries during the month.

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

During the month, vulnerable patients of Kurdamir and Ali-Bayramli districts continued receiving 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 January, 133 prescription forms were received from doctors of state health facilities in Ali-Bayramli and 201 prescriptions were received from Kurdamir.

UMCOR Medical Monitors implemented the monitoring of UMCOR-supported State health facilities in 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 January, UMCOR continued support to 68 state health facilities and local 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. UMCOR also closely collaborates with , Hesed Gershon, a Jewish charity organization and Family and Society International Association. Health workers of these organizations and facilities filled patient prescription forms using UMCOR medicines and medical supplies. In January, new contracts for collaboration were signed between UMCOR and Central Hospital of Guba district, Society of Blinds and Azerbaijan-German Society.

Prescription and consumption forms written by CHPs and local state doctors in December and January were analyzed in January. 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 3,884 (100%) prescription forms was conducted during January, which had been filled by CHPs in December, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 3,847 (99%) 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 January.

Districts:

Yasamal

Narimanov

Khatai

Nizami

Sabail

TOTAL:

# of IDPs/RPs

14,550

11,930

14,750

12,570

6,530

60,330

# of patients:

712

553

1281

829

866

4,241

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

  1. Common cold -14.4%
  2. Tonsillitis - 8.8%
  3. Headache/joint pain - 5.8%

In January, monthly meeting was carried out with the medical staff on a discussion of current problems. The training session dedicated to Liver Diseases was conducted at the meeting as well.

Prescription and consumption forms written by USAID/MCI clinic doctors and local state doctors were analyzed in January. 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, four discrepancies were detected between the prescription and consumption forms.

In January, the monitoring of all 3,686 (100%) prescription forms filled out by clinic doctors during the month of December was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 3,680 (99.8%) 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 January.

Medical Point

Region

#of IDPs/RPs

# of patients

Sabirabad 1 (Ahtachi)

Sabirabad

2,311

840

Sabirabad 2 (Shahriyar)

Sabirabad

2,069

732

Saatli (Alisoltanli)

Saatli

2,145

1,066

Bahramtepe

Imishli

3,900

1,152

Fizuli (Bahmanli)

Fizuli

2,650

995

Agjabedi (Khojavand)

Agjabedi

2,000

1,912

Boztepe

Imishli

2,790

1,456

Garabag

Fizuli

12,326

1,366

TOTAL:

 

30,191

9,519

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

  1. Headache/joint pain - 8.5%
  2. Bronchitis/pneumonia - 8.2%
  3. Trauma/Wounds/Burns -7.1%

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

Prescription and consumption forms written by medical point doctors were analyzed in January. 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, 3,815 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 January monitoring of all 3,815 (100%) prescription forms, prescribed by the medical point doctors in December, was conducted in accordance with WHO protocols and MSF guidelines. The results of the monitoring indicated that 3,812 (99.2%) prescription forms had been correct.

During the month, End -Use monitoring was conducted among the beneficiaries residing in 9 IDP camps. Monitoring was carried out based on the prescription forms written in October-November-December. Using selective method (forms ending with 1) 1,139 (9%) prescription forms were selected by the Distribution Monitor and 896 (7%) IDPs were found and surveyed.

The survey revealed the following information: 1) all (100%) of the surveyed population had access to free medical consultations and medicines; 2) as a result of the treatment, there was a considerable improvement in the health status of the beneficiaries; 3) the surveyed population stated that they would continue to visit UMCOR clinics.

3. UNHCR/Meskhetian Turk Project

A. Non-Food Distribution

UMCOR completed the distribution of UNHCR donated quilts and blankets in the Southeast and Northeast regions and initiated the distribution in Northwest regions. A total of 620 quilts and 1,369 sweaters were distributed in Shamakhi, Ismayilli, Agsu and Gobustan.

B. Agriculture

California worms/Organic fertilizer: The farmer from Velvala, Guba district continues maintaining the worms.

Family Greenhouse: UMCOR completed the distribution of 112 greenhouses (60 in the Southeast and 52 in the Northeast region) to the farmers. The recipients of the greenhouses were the farmers recommended by the Community Committees in the settlements.

Community Seed Bank: UMCOR initiated market search for the purchase of potato seeds. This commodity will be distributed to the farmers from the Southeast and Northeast regions.

Agriculture Extension Project: All 10 agriculture extension agents continued the consulting of farmers in the settlements as assigned. The third round of three-day training session for the agents was carried out in UMCOR-Sabirabad.

C. Health and Nutrition

Reproductive Health Care (RHC) Services: UMCORs Medical Coordinator and Reproductive Health Care Program Manager met with the Head Doctors of Devechi, Guba, Khachmaz, Siyazan and Sabirabad districts to initiate UNHCRs 2000 RHC program. The issues of implementation methodology were discussed during this meeting. UMCOR proposed to support MoH regional institutions for reviving the existing schedule of gynecologists visits to the settlements.

UMCOR employed the same methodology for the BPRM-funded project in Shamakhi . The idea was highly appreciated by the Head Doctors and they agreed to make use of all the resources available towards materializing the envisioned collaboration. According to the new collaboration with regional hospitals, the gynecologists will visit the settlements as per their monthly schedule, examine patients and prescribe medicines. The patients will receive free medicines from UMCOR medicine dispensaries established under the auspices of BPRM-funded project. The Head Doctors will monitor the gynecologists schedules and UMCOR will provide transportation incentives for their travels to the villages.

All women from the villages, regardless of their status, will receive reproductive health care examinations and family planning consultations. RHC Program Manager will conduct training for the gynecologists on the use of UMCOR medicines, which they will prescribe during the project. UMCOR will also facilitate the necessary training for MoH gynecologists and midwives in the regions.

Pharmaceutical Distribution for Primary Health Care: UMCOR is planning to continue the pharmaceutical distribution activities supporting Meskhetian Turk refugees and other vulnerable population with basic pharmaceuticals once UNHCRs 2000 project will get approval.

D. Community Services

Sports Groups: A total of 29 sports groups were conducting sport activities (football, volleyball, badminton, and chess) for adolescent children in both regions during 1999 project. Sports groups were classified according to the age groups: 12 to 14 years and 15 to 20 years old. However, there are less activities occurring as the result of the winter season.

Recreational/Cultural Groups: A total of eight circles including cookery, art, drama, dancing were organized in Southeast region in 1999 UNHCR project.

E. Education

Vocational Training

Sewing Circle: A total of fourteen sewing circles, organized during the 1999 UNHCR project, continue to function with 249 adolescent girls in attendance.

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 second half of the training course to the account of the vocational school. At the end of the training course, the vocational school will award diplomas and issue driving license to all children who pass the final exam.

Textbooks Fund:Textbooks for Secondary Education - UMCOR completed 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 carried out the distribution. A total of 7,317 textbooks were distributed under 1999 project. Soon UMCOR will initiate the distribution of textbooks in Kurdamir, Shamakhi, Ismayilli and Gobustan. Textbooks for Primary Education - UMCOR completed 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 during 1999 UNHCR program.

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

Health & Nutrition

Reproductive Health Care (RHC) & Family planning services: In January, gynecologists worked as per the set schedule. They visited the settlements of Shamakhi, Ismayilli and Gobustan districts and prescribed medicines that patients could receive in UMCOR medicine dispensaries. A total of 19 patients were examined and the prevalent diseases were Vaginitis (colpitis) 37 % and Anemia 12.3 %.

Reproductive and General Health Education training: Four part-time Health Educators initiated the dissemination of the second lesson plan on Sexually Transmitted Diseases. A total of 558 women attended the lesson plan during the month of January. 1,836 condoms were distributed among the women. The preparation for the third lesson plan on Menopause and Menstruation is under way.

Distribution of pharmaceuticals: In January, UMCOR continued supporting 9 medicine dispensaries in Saatli, Sabirabad, Davachi, Khachmaz, Guba, Hajigabul, Shamakhi, Ismayilli and provided them with available medicines. This month 418 patients received medicines from UMCOR medicine dispensaries based on the UMCOR prescription forms filled out by the MoH doctors.

Community Development/Legal Assistance

In January, SONA and AWDC visited Southeast and Northeast regions and conducted several workshops on Human Rights for the communities. A total of 325 people attended those workshops.

Community Infrastructure Rehabilitation

The Rehabilitation Manager continued implementation of two selected projects in Northeast region. He trained the community engineers on sketch preparations, bill of quantities and estimations for water supply. The community is also closely participating in the project, and contributing a variety of inputs.

Small Business Program

Training of the SONA and AWDC trainers started in January. Two training sessions were conducted on Orientation and Information Gathering. The program caused great interest among the women almost in all targeted villages. They are willing to learn the basic elements of business management and organization. The program currently includes 482 women in 28 women groups in 22 settlements.

Capacity building:

The capacity building of SONA Womens and Childrens Organization continues.



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