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 Report - Monthly Report (UMCOR)

 Report date: 31.01.2000

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 February, with five primary health care clinics in Baku serving 4,404 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 6,040 IDPs received primary health care dispensed through eight UMCOR medical points in Sabirabad, Imishli, Saatli, Fizuli and Agjabedi.

The UMCOR-trained 56 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 5,850 beneficiaries were provided assisted with medicinal services during February.

In February, 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 February, under the auspices of UNHCR project, UMCOR continued supporting sport, cultural and skills development activity circles for adolescent girls and boys.

UMCOR Medical Coordinator and Reproductive Health Care Program Manager held meetings with the regional Head Doctors to initiate UMCORs UNHCRs-funded 2000 project activities for 2000 in the health sector.

The implementation of the Department of States BPRM-funded project continues. Four part-time Health Educators initiated the dissemination of the third lesson plan on Menopause and Menstruation.Under the Health component of the project, UMCOR maintains nine medical dispensaries in program- targeted regions. During the month of February, SONA and AWDC personnel visited Southeast and Shamaki regions and conducted workshops on Human and Womens Rights issues. The first rehabilitation initiative under the Community Rehabilitation sector of the BPRM project is continuing.

PROJECT UPDATES

1. Department of State Emergency Medical Assistance Project

In February, UMCOR-trained 56 Community Health Providers (CHPs) provided primary health care services to the target population residing ofin Baku and Absheron districts.

Statistics pertaining to IDP/RP patients benefited from primary health care services during the months of February 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:7585971,1471,2621,1318401155,850

UMCOR staff provides CHPs with Prescription Forms, Health Cards, Grosswth Monitoring and Morbidity Forms on a regular basis.

In February, 720 hygiene kits were distributed among CHPs. Contingent on the number of IDP/RP families served by CHPs, each of them receive 10-20 kits to distribute among the pregnant and postpartum women.

During the last week of February, monthly follow-up training was conducted for the CHPs. The topic of the training was Sexually Transmitted Diseases. 40 (71.,4 %) CHPs participated in this lesson plan. In addition, UMCOR staff distributed the lesson plan to those CHPs who could not attend the training sessions.

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 February included the following:

  1. Common cold - 13.5%
  2. Worms - 10.4%
  3. Headache and Joint Pain - 9.2%

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 to be delivered to institutionalized/handicapped children residing in 33 Children Institutions in Baku and the Absheron area. In February, the UMCOR Pediatrician served 309 institutionalized/ handicapped children in the targeted Children Institutions. Training on Anemia and Worms was carried out for the health personnel of these Children Institutions.

40 entities including state health facilities and local NGOs continued receiving medicines and medical supplies available from five UMCOR medicine dispensaries in February. A total of 813 patients received medicines and medical supplies infrom the five UMCOR medicine dispensaries during the month.

In February, monthly meeting was conducted for all UMCOR-medical dispensers withfocusing on the discussions ofconcerning current problems.

During the month, vulnerable patients of Kurdamir and Ali-Bayramli districts continued receiving UMCOR-donated medicines in distributed by the 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 February, 190 prescription forms were received from doctors of state health facilities in Ali-Bayramli and 230 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 iInsulin injections.

In February, UMCOR continued its direct medical support to 26 state health facilities and a few 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, Family and Society International Association, Society of Blinds and Azerbaijan-German Society.. Health workers of these organizations and facilities filled patient prescription forms using UMCOR medicines and medical supplies.

Prescription and consumption forms written by CHPs and local state doctors in January and February were analyzed in February. 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 fFew discrepancies were detected between the prescription and consumption forms this month.

The monitoring of all 3,705 (100%) prescription forms was conducted during February, which had been filled by CHPs in January, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 3,696 (99%) of the prescriptions had been correct.

In February, End -Use monitoring was conducted among the beneficiaries residing in Bakikhanov, Karadag ,Karadag, Absheron, Binagadi, Surakhani and Nasimi. Monitoring was conducted based on the prescription forms written in November. Using random selective methodion, 146 prescription146 prescription forms were selected and 101 (7%) IDPs were found and surveyed by the End-Use Monitors.

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 visitfrequent UMCOR clinics.

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

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 February.

Districts:

Yasamal

Narimanov

Khatai

Nizami

Sabail

TOTAL:

# of IDPs/RPs

14,550

11,930

14,750

12,570

6,530

60,330

# of patients:

663

765

1,275

822

879

4,404

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

  1. Common cold 10.2%
  2. Worms - 8.4%
  3. Headache/joint pain - 7.7%

In February, monthly meeting was carried out with the medical staff on a discussion of current problems. TheA training session dedicated to Chronic Abdominal Pain was conducted duringat the monthly meeting. as well.

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

In February, the monitoring of all 3,785 (100%) prescription forms filled out by clinic doctors during the month of January was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 3,782 (99.9%) 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 February.

Medical Point

Region

#of IDPs/RPs

# of patients

Sabirabad 1 (Ahtachi)

Sabirabad

2,311

564

Sabirabad 2 (Shahriyar)

Sabirabad

2,069

459

Saatli (Alisoltanli)

Saatli

2,145

648

Bahramtepe

Imishli

3,900

701

Fizuli (Bahmanli)

Fizuli

2,650

570

Agjabedi (Khojavand)

Agjabedi

2,000

1,564

Boztepe

Imishli

2,790

725

Garabag

Fizuli

12,326

809

TOTAL:

 

30,191

6,040

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

  1. Headache/joint pain - 11.7%
  2. Common Cold - 8.3%
  3. Trauma/Wounds/Burns - 6.6%

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

Prescription and consumption forms written by medical point doctors were analyzed in February. 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, 3,139 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 February monitoring of all 3,139 (100%) prescription forms, prescribed by the medical point doctors in January, was conducted in accordance with WHO protocols and MSF guidelines. The results of the monitoring indicated that 3,137 (99.9%) prescription forms had been correct.

3. UNHCR/Meskhetian Turk Project

Implementation of various components of the project continues.

Non-Food Distribution

UMCOR continued the distribution of UNHCR donated quilts and clothes in the Shamakhi region during the month of February. A total of 3,130 quilts and 6,896 sweaters were distributed in the Northeast regions.

Agriculture

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

Family Greenhouse: UMCOR completed the distribution of eight greenhouse materials to the farmers in the Northeast region. The recipients of the greenhouses were the farmers recommended by the Community Committees in the settlements.

Community Seed Bank: UMCOR identified a dealer for the purchase of five tons of potato seeds. This commodity will be distributed to the farmers from the Southeast and Northeast regions.

Agriculture Extension Project: UMCOR contacted GTZ to carry out a five day training course for the farmers from the Southeast, Northeast and Shamakhi regions on Accounting and Planning of Agriculture Development. The training will be conducted in Sabirabad office during the month of March.

Health and Nutrition

Reproductive Health Care (RHC) Services: UMCORs Reproductive Health Care Program Manager met with the Head Doctors of Devechi, Hajigabul, Guba, Khachmaz and Sabirabad and also conducted training for the gynecologists of Southeast and Northeast regions. They were introduced to WHO protocols, usage of new UMCOR medicines and UMCOR prescription forms. The gynecologists from Devechi, Khachmaz and Sabirabad districts initiated visiting settlements from 25 February and examined 86 women. UMCOR Medical Coordinator and RHC Program Manager visited Family Planning Centers in Barda, Tartar, Yevlax, Mingechevir and Sheki.

Pharmaceutical Distribution for Primary Health Care: UMCOR continued the pharmaceutical distribution activities supporting Meskhetian Turk refugees and other vulnerable population with basic pharmaceuticals through the BPRM-funded medicine dispensaries. UMCORs gynecological teams operating within the framework of UNHCR-funded MT project were employed to conduct this activity.

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 is less activity 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. Preparation is underway for the concert dedicated to 8 March, International Womens Day.

Education

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. 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 7,337 textbooks were distributed under 1999 project. 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 February, gynecologists worked as per the set schedule. A total of 91 patients were examined and the prevalent diseases were: Vaginitis (colpitis) 28.6%; Anemia 15.5%; and Adnexitis/oophoritis - 16.7 %.

Reproductive and General Health Education training: Four part-time Health Educators initiated the dissemination of the third lesson plan on Menopause and Menstruation. A total of 634 women attended the lesson plan during the month of February. Given the importance of the topic for teenagers, they were also involved in the session thus increasing the total number of participants. 1,896 condoms were distributed to the women.

Distribution of pharmaceuticals: In February, UMCOR continued supporting 9 medicine dispensaries in Saatli, Sabirabad, Davachi, Khachmaz, Guba, Hajigabul, Shamakhi, Ismayilli and provided them with available medicines. This month 688 patients received medicines from UMCOR medicine dispensaries based on the UMCOR prescription forms filled out by the MoH doctors.

Community Development/Legal Assistance

In February, SONA and AWDC visited eight villages in Southeast and two settlements in Shamakhi and conducted several workshops on Human and Women Rights for the communities. A total of 885 people attended those workshops.

The common problems of the communities are unemployment, insufficiency of water and electricity, pension delays, unfavorable condition of roads. 90% of population of Madrasa village did not receive their privatization vouchers. Other problems in this regard among the population including registration, birth certificates, military tickets and passports are observed in some settlements.

Community Infrastructure Rehabilitation

The Rehabilitation Manager continued implementation of two selected projects in Northeast region. In February, he visited the Southeast region to review the proposals for Community Infrastructure Rehabilitation. Community engineers have been trained on sketch preparations, bill of quantities and estimations for water and gas supply. The community is also closely participating in the project, and contributing a variety of inputs.

Small Business Program

Two training sessions were conducted on Financial Management and Business Law, Marketing and Sales. The program currently includes 536 women in 33 women groups in 25 settlements. Program attracted different social groups like 499 (93%) MT refugees, 14 (2.6%) IDPs, 12 (2.2%) local citizens, 8 (1.5%) refugees from Armenia, 3 (0.6%) men.

Capacity building:

The capacity building of SONA Womens and Childrens Organization, a local NGO, continues.



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