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 Report - Monthly Report (UMCOR)

 Report date: 29.02.2000

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 March, with five primary health care clinics in Baku serving 3,405 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 5,768 IDPs received primary health care dispensed through eight UMCOR medical points in Sabirabad, Imishli, Saatli, Fizuli and Agjabedi.

The UMCOR-trained 51 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 4,994 beneficiaries were provided with medical services and medications during the month of March.

In March, 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 March, under the auspices of UNHCR project, UMCOR continued supporting sport, cultural and skills development activity circles for adolescent girls and boys. The distribution of family seed packs and school supplies was initiated in all three regions (Saatli-Sabirabad, Guba-Khachmaz and Shamakhi).

The implementation of the Department of State BPRM-funded project continues. Four part-time Health Educators initiated the dissemination of the fourth lesson plan on Immunization.Under the Health component of the project, UMCOR maintains nine medical dispensaries in program- targeted regions. During the month of March, SONA personnel visited the Northeast, Southeast and Shamaki regions and conducted workshops on Human Rights and Gender Issues. One more community infrastructure rehabilitation project started in Northeast region under the Community Rehabilitation sector of the BPRM project. Two training sessions were conducted on Budget construction principles, Cost and Pricing, Marketing and Sales within the Small Business component of the program.

PROJECT UPDATES

1. Department of State Emergency Medical Assistance Project

In March, UMCOR-trained 51 IDP Community Health Providers (CHPs) provided primary health care services to the target population residing in Baku and the Absheron Peninsula.

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

Districts:AzizbekovSurakhaniBinagadiSabunchiKaradagNasimiApsheronTOTAL:
# of IDPs/RPs13,88921,08537,72324,51611,25825,80811,441145,720
# of patients:6935328281,2888576131834,994

The most prevalent diseases among the ID/RP population during the months of March included the following:

  1. Vitamin Deficiency - 12.9%
  2. Malnutrition - 9.6%
  3. Common cold - 9.2%

UMCOR staff provides CHPs with Prescription Forms, Health Cards, Growth Monitoring and Morbidity Forms on a regular basis. Monthly follow-up training was conducted for the CHPs. The topic of the training was AIDS. 25 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.

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 March, the UMCOR Pediatrician served 266 institutionalized/ handicapped children in the targeted Children Institutions. Training on Diarrhea 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 March. A total of 759 patients received medicines and medical supplies from the five UMCOR medicine dispensaries during the month.

In March, monthly meeting was conducted for all UMCOR-medical dispensers focusing on discussions concerning current problems.

During the month, vulnerable patients of Kurdamir and Ali-Bayramli districts continued receiving UMCOR-donated medicines 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 March, 253 prescription forms were received from doctors of state health facilities in Ali-Bayramli and 138 prescriptions were received from doctors from state health facilities in 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 injections.

In March, 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.

During the month, UMCOR delivered a big shipment of medicines and medical supplies to Guba Central Hospital. In addition, $ 224,809.03 worth medicines and medical supplies was received from IMA. A new order for medicines and medical supplies was prepared according to IMAs Bi-Weekly inventory lists.

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

The monitoring of all 4,205 (100%) prescription forms was conducted during March, which had been filled by CHPs in February, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 4,192 (99,7%) 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 March.

Districts:

Yasamal

Narimanov

Khatai

Nizami

Sabail

TOTAL:

# of IDPs/RPs

16,070

29,097

25,351

20,258

11,547

102,323
# of Patients

492

497

997

729

690

3,405

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

  1. Vitamin Deficiency-10.5%
  2. Headache/joint pain- 8.7%
  3. Worms- 8.2%

In March, monthly meeting was carried out with the medical staff on a discussion of current problems. A training session dedicated to Breast Feeding was conducted during the monthly meeting.

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

In March, the monitoring of all 3,886 (100%) prescription forms filled out by clinic doctors during the month of February was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 3,882 (99.9%) of the prescriptions had been completed correctly.

In March, End-Use monitoring was conducted among the beneficiaries residing in Sabail, Nizami, Narimanov, Khatai and Yasamal districts. Monitoring was conducted based on the prescription forms written in December. Using selection method (prescriptions ending with 2), 319 (9%) prescription forms were selected and 237 (7%) IDPs were found and surveyed by the End-Use Monitors.

The survey revealed the following information: 1) 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 frequent UMCOR clinics.

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 March.

Medical Point

Region

#of IDPs/RPs

# of patients

Sabirabad 1 (Ahtachi)

Sabirabad

2,311

562

Sabirabad 2 (Shahriyar)

Sabirabad

2,069

523

Saatli (Alisoltanli)

Saatli

2,145

636

Bahramtepe

Imishli

3,900

599

Fizuli (Bahmanli)

Fizuli

2,650

778

Agjabedi (Khojavand)

Agjabedi

2,000

1,182

Boztepe

Imishli

2,790

771

Garabag

Fizuli

12,326

717

TOTAL:

 

30,191

5,768

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

  1. Headache/joint pain - 13.4%
  2. Common Cold - 6.8%
  3. Trauma/Wounds/Burns - 6.3%

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

Training session was conducted for physicians of eight medical points on the topic of General Nutrition.

Prescription and consumption forms written by medical point doctors were analyzed in March. 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 March monitoring of all 3,360 (100%) prescription forms, prescribed by the medical point doctors in February, was conducted in accordance with WHO protocols and MSF guidelines. The results of the monitoring indicated that 3,351 (99.9%) prescription forms had been correct.

3. UNHCR/Meskhetian Turk Project

Implementation of various components of the project continues.

Non-Food Distribution

During the month of March UMCOR distributed a total of 41 quilts and 1,380 sweaters in the Shamakhi and Ismayilli regions.

In addition, UMCOR initiated the distribution of family seed packages, donated by the Canadian Feed the Children (CFTC), in the Southeast, Northeast and Shamakhi regions.

Agriculture

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

Family Greenhouse: Farmers initiated using the greenhouses distributed during the past three grants (1997 through 1999) in the Northeast and Southeast regions. UMCOR distributed a total of 504 family greenhouses to Meskhetian Turk farmers. Farmers primarily use the greenhouses for generating seedlings to transplant in the fields during springtime. This process facilitates the early harvest of the crop bringing more income for the farmers. Other farmers, particularly those in the Southeast region, use the greenhouses to cultivate vegetables and greens during winter months. Thus, farmers from the Southeast region harvested greens and vegetables for their family consumption, which they had planted in the in February 2000.

Community Seed Bank: UMCOR procured 5 metric tons of potato seeds and distributed them to the farmers from the Southeast region. A total of 51 farmers received potato seeds for UNHCRs 2000 project. Farmers contributed for the expenses associated with the transportation of seeds from UMCORs regional warehouse to their villages, by pooling their resources. UMCOR plans to support these farmers with fertilizers and pesticides. According to the agreement signed between the farmer and UMCOR, the recipient will deliver harvested potato seeds to two farmers. The idea is that same quantity of seeds that UMCOR provided for the first farmers should be passed over to the second recipients.

Agriculture Extension Project: GTZ-supported Private Agriculture Information-Extension Center Zakatala conducted a five-day training for 11 new, potential agriculture agents from the Southeast, Northeast and Shamakhi regions. The topic of training was Accounting and Planning of the Agriculture Development.

UMCOR contacted Diakonie, a German NGO, to conduct training for the above-mentioned new group of agriculture extension agents. A three-day training session will to be conducted in UMCOR Sabirabad office in April. The training topics will include communication, behavior and organization of a good extension agent. Diakonie carried out similar training for the first group of 10 agriculture extension agents during the 1999 UNHCR project.

Health and Nutrition

Reproductive Health Care (RHC) Services: The gynecologists from Guba, Siyazan, Khizi and Hajigabul hospitals started visiting their target settlements during the month of March. UMCOR currently supports 14 medical points and five medical centers within the framework of the UNHCR-funded project. UMCOR provided all these medical points with some equipment and medical supplies. UMCOR does not support the health personnel with salaries. However, UMCOR provides fuel expenses for gynecologists to travel to the respective villages assigned by their chief regional doctors. The gynecologists examine patients (women from the villages regardless of their status) in the health points and prescribe medicines only for refugees and socially vulnerable patients. These patients receive free medicines from UMCOR medicine dispensaries. The operational cost of these dispensaries is covered by the BPRM funding for 1999/2000.

A total of 202 MT/IDP women were examined and 239 diseases were diagnosed by UMCOR trained MoH gynecologists.

Establishment of Family Planning Center in Sabirabad: During the month of February, UMCOR staff had carried out preliminary assessment on the existing regional family planning centers in Saatli, Barda and Mingechevir. Based on this observation trip, UMCOR initiated negotiation with the regional chief doctor of Sabirabad for the establishment of a family planning center in Sabirabad hospital. Three rooms were identified for this purpose by conjoint action of UMCORs employees and the chief doctor. Nevertheless, the hospital authority accentuated the lack of funding to carry out the repair work in the center.

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. Due to spring this activity is becoming integral part of childrens everyday life. UMCOR plans to expand this activity to the Shamakhi region.

Recreational/Cultural Groups: A total of eight circles including cookery, art, drama, dancing were organized in Southeast region in 1999 UNHCR project. March was the busiest month for these circles. They performed three concerts on the occasion of the International Womens Day, Ramadan and Novruz.

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. Currently the trainees are engaged in improving their driving skills at the vocational school. The school agreed to provide tractors and fuel for the driving classes. 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: During the month of March, UMCOR distributed 330 textbooks to children in the village of Mollakend located in the Kurdamir region. Under UMCORs oversight, Community Committee of the settlement carried out the distribution.

School supplies distribution: UMCOR initiated the distribution of school supplies to the children as well as to schools upon finalizing the results of the needs assessment carried out by UMCORs field staff. These are very basic supplies such as map, globe, blackboard and paper for the school, and note books, sketch books, pens and pencils for children. Based on the requests of the communities, UMCOR also procured and distributed some shoes mainly for children attending primary schools. A total of 200 pairs of shoes were distributed to the most vulnerable families in the Southeast region. The distribution is ongoing.

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

Health & Nutrition

Reproductive Health Care (RHC): In March, gynecologists worked as per the set schedule. A total of 82 patients were examined and the prevalent diseases were: Vaginitis (colpitis) 25.6%; Anemia 11%; and Mastopathy-11%.

Health Education: Four part-time Health Educators initiated the dissemination of the fourth lesson plan on Immunization. A total of 576 women attended the lesson plan during the month of March. 2,376 condoms were distributed to the women.

Distribution of pharmaceuticals: In March, UMCOR continued supporting 9 medicine dispensaries in Saatli, Sabirabad, Davachi, Khachmaz, Guba, Hajigabul, Shamakhi, Ismayilli and provided them with available medicines. This month 731 patients received medicines from UMCOR medicine dispensaries based on the UMCOR prescription forms filled out by the MoH doctors.

Community Development/Legal Assistance

In March, SONA and conducted 17 workshops on Human Rights and Gender issues for the communities in Northeast, Southeast and Shamakhi regions. A total of 1,334 people attended those workshops.

The common problems of the communities are unemployment, insufficiency of water and electricity, pension delays, unfavorable condition of roads. Other problems in this regard among the population including registration, birth certificates, military tickets and passports are observed in some settlements.

Community Infrastructure Rehabilitation

One more community infrastructure rehabilitation project started in Northeast region. In March, Rehabilitation Manager visited the Shamakhi region to review the proposals for Community Infrastructure Rehabilitation. Community engineers have been trained on sketch preparations, bill of quantities and estimations for necessary projects. The Rehabilitation Manager conducted surveys for three projects on water supply and one for school repair.

He also prepared sketches, bill of quantities and engineers estimations for 12 projects that will be submitted for the selection process. The Rehabilitation Manager continues to monitor and evaluate the implementation of all projects. The community is also closely participating in the project, and contributing a variety of inputs.

Small Business Program

Two training sessions were conducted on Budget Construction Principles, Cost and Pricing and Marketing and Sales. Given the beginning of agricultural season, decline is observed in the number of participants. However, trainees demonstrate great enthusiasm for the project. The program currently includes 415 women in 33 women groups in 25 settlements. Program attracted different social groups like 384 MT refugees, nine IDPs, twelve local citizens, seven refugees from Armenia and three men.

Capacity building:

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

During the Novruz holiday SONA distributed food ratios for 50 to 60 highly vulnerable families. This initiative was financed by SONAs membership fee. They also opened branches in Northeast and Southeast regions. The chairmen were selected for each branch and they are in the process of electing committees. SONA has also submitted project proposals to three donor organizations.



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