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 Report - Monthly Report (UMCOR)

 Report date: 31.03.2000

UMCOR  AZERBAIJAN
30 Bul-Bul Avenue, Apt. #62Telephone: (994-12) 93-01-10; 98-05-38; 98-44-08
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 April, with five primary health care clinics in Baku serving 3,828 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 6,269 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 4,711 beneficiaries were provided with medical services and medications during the month of April.

In April, 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 UNHCR project, UMCOR continued supporting sport, cultural and skills development activity circles for adolescent girls and boys. The distribution of family seed packs was concluded in all three regions (Saatli-Sabirabad, Guba-Khachmaz and Shamakhi). Due to a reduction in the projects budget, the Income Generation sector was excluded from the program and inputs for the Crop production sector were reduced.

The implementation of the Department of State BPRM-funded project continues. Four part-time Health Educators initiated the dissemination of the fifth lesson plan on Common Nutrition.Under the Health component of the project, UMCOR maintains nine medical dispensaries in program- targeted regions. SONA and AWDC personnel completed legal assistance workshops conducted in the Northeast, Southeast and Shamaki regions. One more community infrastructure rehabilitation project started in Southeast region under the Community Rehabilitation sector of the BPRM project. The implementation of the Youth Leadership development was initiated during the month.

PROJECT UPDATES

1. Department of State Emergency Medical Assistance Project

In April, 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 April are provided below:

Districts:AzizbekovSurakhaniBinagadiSabunchiKaradagNasimiApsheronTOTAL:
# of IDPs/RPs13,88921,08537,72324,51611,25825,80811,441145,720
# of patients:6146427901,261857754634,711

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

  1. Vitamin Deficiency - 13.3%
  2. Headache and Joint Paint- 10.3%
  3. Worms - 8.5%

UMCOR staff provides CHPs with Prescription Forms, Health Cards, Growth Monitoring and Morbidity Forms on a regular basis. UMCOR staff collects morbidity, consumption and request forms filled out by CHPs bi-monthly.

To provide beneficiaries with access to the medications at convenient locations, UMCOR maintains seven medicine dispensaries and five additional mini-dispensaries. In April, UMCOR staff provided CHPs (dentists or surgeons) with dental system (250 pieces) and dental K-files (800 pieces).

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 April, the UMCOR Pediatrician served 266 institutionalized/ handicapped children in the targeted Children Institutions. Videos on Diarrhea and Acute Respiratory Infections were shown to 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 April. A total of 763 patients received medicines and medical supplies from the five UMCOR medicine dispensaries during the month.

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 April, 200 prescription forms were received from doctors of state health facilities in Ali-Bayramli and 170 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 April, 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 March and April 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 3,624 (100%) prescription forms was conducted during April, which had been filled by CHPs in March, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 3,608 (99,7%) of the prescriptions had been correct.

In the beginning of April, UMCOR initiated arrangements to set up two medicine dispensaries in Ujar and Zardab. The vulnerable patients of these regions will have access to prescriptions written by state physicians, which will provide them free access to UMCOR donated medicines and medical supplies throughout these dispensaries. During the month of April, meetings were held with the Head Doctors of Ujar and Zardab and contracts for collaboration were signed with the district health departments. In addition to that, premises were identified, fixed and supplied with the necessary equipment and medicines. Candidates were interviewed for the position of dispensers and training sessions were conducted for the state physicians on WHO protocols and UMCORs guidelines.

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:YasamalNarimanovKhataiNizamiSabailTOTAL:
# of IDPs/RPs16,07029,09725,35120,25811,547102,323
# of Patients7704821,0377008393,828

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

  1. Headache/joint pain - 9.1%
  2. Worms - 8.2%
  3. Vitamin Deficiency - 8.0%

Prescription and consumption forms written by USAID/MCI clinic doctors and local state doctors in March and April 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, one discrepancy was detected between the prescription and consumption forms.

In April, the monitoring of all 2,970 (100%) prescription forms filled out by clinic doctors during the month of March was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 2,963 (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 April.

Medical Point

Region

#of IDPs/RPs

# of patients

Sabirabad 1 (Ahtachi)

Sabirabad

2,311

640

Sabirabad 2 (Shahriyar)

Sabirabad

2,069

531

Saatli (Alisoltanli)

Saatli

2,145

714

Bahramtepe

Imishli

3,900

687

Fizuli (Bahmanli)

Fizuli

2,650

842

Agjabedi (Khojavand)

Agjabedi

2,000

1,337

Boztepe

Imishli

2,790

815

Garabag

Fizuli

12,326

703

TOTAL:

 

30,191

6,269

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

  1. Headache/joint pain - 12.2%
  2. Common Cold - 6.6%
  3. Trauma/Wounds/Burns - 6.4%

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

Prescription and consumption forms written by medical point doctors were analyzed in April. 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, 3,325 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 April monitoring of all 3,325 (100%) prescription forms, prescribed by the medical point doctors in March, was conducted in accordance with WHO protocols and MSF guidelines. The results of the monitoring indicated that 3,324 (99.9%) prescription forms had been correct.

In April, End-Use monitoring was conducted among the beneficiaries residing in nine IDP camps. Monitoring was conducted based on the prescription forms written in January-February-March by physicians of eight medical points located in Sabirabad, Saatli, Imishli, Fizuli and Agjabedi districts. 1,139 (9%) prescription forms were selected and 896 (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.

Simultaneously, a survey was carried out among the 155 project beneficiaries (IDP/RP mothers of reproductive age) to reveal their knowledge of Acute Lower Respiratory Infections of Children. The survey was conducted based on the questionnaire. The results of the survey unveiled that 65% of the surveyed population have sufficient understanding of the topic.

3. UNHCR/Meskhetian Turk Project

Implementation of various components of the project continues.

Non-Food Distribution

Based on the request of the farmers, UMCOR Sabirabad office distributed additional 566 family seed packs to project beneficiaries in Hajigabul, Saatli and Sabirabad districts.

Agriculture

California worms/Organic fertilizer: The farmer from Velvala, Guba district continues maintaining the worms despite a decrease in their numbers during the winter and early spring.

Family Greenhouse: Farmers are highly satisfied with the seedlings growing in UNHCR-donated family green houses. CFTC-donated seed distribution complemented their crop production initiatives. The germination rate of seeds received for 2000 project was recorded at 80%.

Community Seed Bank: UMCOR received request for pesticides from Meskhetian Turk farmers for their potato seed generation program. In early May, UMCOR will locally purchase the requested quantity of pesticides and distribute them to 60 farmers in the Southeast region.

Agriculture Extension Project: Diakonie- supported AIM Agro Information Center of Azerbaijan, local NGO, conducted training sessions for a new set of agriculture extension agents. A three-day training session was conducted in UMCOR Sabirabad office in April. The training topics included communication, behavior and organization of a good extension agent.

Health and Nutrition

Reproductive Health Care (RHC) Services: The gynecologists from Guba, Siyazan, Khizi and Hajigabul hospitals continued visiting their target settlements during the month of April.

UMCOR currently supports 14 medical points and five medical centers within the framework of the UNHCR-funded project. 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.

UMCOR-trained MoH gynecologists diagnosed a total of 392 MT/IDP women were examined, and 504 diseases were detected and treated.

Establishment of Family Planning Center in Sabirabad: UMCOR sent a letter to Mr. Bill Brady, UNHCR Regional Health Coordinator, requesting funding of $4,000 to carry out rehabilitation of premises in Sabirabad regional hospital that had been identified as a site to establish a Family Planning 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. The BPRM project-supported pharmacies are also being used for the distribution of UNHCR and UMCOR-provided reproductive health care pharmaceuticals.

Community Services

Sports Groups: 29 sports groups continue 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.

Recreational/Cultural Groups: Eight circles that engage in such as activities as cookery, art, drama, dancing, continue their activities. The groups plan to organize a concert in Baku to facilitate fund-raising for their future activities.

Education

Childrens Centers: UMCOR received and revised 16 community proposals to organize children centers for pre-school children in 15 villages of Southeast, Northeast and Shamakhi regions. Under the 2000 project agreement with MT communities, UMCOR will provide these centers with supplies and equipment and the communities and local authorities will contribute space and instructors. These centers will start operating from May. A total of 19 centers were successfully organized under the auspices of UNHCR 1999 funding.

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: Students are getting prepared for the final exam. The vocational school will award diplomas and issue driving license to successful finalists.

Textbooks Fund: The UMCOR Shamakhi office completed all preparatory work for the distribution of textbooks in the entire region. The distribution will commence in May. UMCOR will employ the same procedures as last year and provide one set of textbooks for two children. At the end of the academic year, the primary recipients will return the textbooks to Community Textbook Fund. The second group of recipients will receive textbooks for a new academic year and in turn follow the same procedure to benefit the third group of recipients.

School supplies distribution: UMCOR continued 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. The supplies being distributed to the schools include maps, globes, blackboards, paper, notebooks, sketch books, pens and pencils.

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

Community Development, Participation and Contribution

Two Community Committees (CC) were formed during the month of April in the Southeast region. The existing 11 CCs brainstorm about community development initiatives and work on preparation of community development proposals.

Local Institution Capacity Building

Local NGO: SONA continues to expand its activities as a local NGO. The chairmen of SONAs regional branches continued electing community representatives in Southeast and Northeast regions. SONA submitted project proposals to three donor organizations.

The establishment of two Community-Based Organizations was initiated in Southeast and Northeast regions. The initial meetings were held with initiative groups. The initiative group in Southeast region seems to be very active and motivated. Selected members of this group met with two local NGOs to learn from their experience and share their own ideas. Additional two meetings were conducted between Southeast group and UMCOR senior staff. Training sessions on NGO establishment, fundraising, writing project proposals, etc. will be organized for the Southeast group in May.

Youth and Women Leadership: The implementation of the Youth Leadership development was initiated this month. The Small Business Program Assistant became partly responsible for the implementation of this component. Meetings were conducted with community representatives and community organizers in Northeast, Southeast and Shamakhi regions to identify their needs and solicit their ideas for projects targeting youth.

Sewing circle: UMCOR received three community proposals to organize sewing circles for 48 adolescent girls in Kelbend, Kirk and Dzerzhinovka villages, Ismayilli district. UMCOR will provide them with necessary supplies and sewing machines, and communities will contribute for space and instructors. These circles will start functioning in May.

Legal Assistance: In April, UMCORs partner organizations SONA and AWDC completed Legal Assistance workshops conducted for the communities in Northeast, Southeast and Shamakhi regions. Three awareness campaigns were organized with participation of 6,000 people in 23 settlements from 10 different districts. A total of 69 workshops were arranged by Legal Assistance Trainers to disseminate information on diverse topics.

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 Southeast region and one was completed in Northeast region. The Rehabilitation Manager conducted monitoring of the completed projects. In April, the Rehabilitation Manager visited the Sabirabad district to review the proposals for Community Infrastructure Rehabilitation and to conduct tender process. Community engineers have been trained on sketch preparations, bill of quantities and estimations for necessary projects. The Rehabilitation Manager continues to monitor and evaluate the implementation of all projects. The community is also closely participating in the realization of the project, and contributing a variety of inputs.

Health & Nutrition

Reproductive Health Care (RHC): In April, gynecologists worked as per the set schedule. A total of 160 patients were examined and treated. The prevalent diseases were: Vaginitis (colpitis) 8.4%; Anemia   27.9%; and Adnexitis/oophoritis - 16%.

Health Education: Four part-time Health Educators initiated the dissemination of the fifth lesson plan on Common Nutrition. A total of 519 women attended the lesson plan during the month of April. 2,040 condoms were distributed to 170 women.

Pharmaceutical support: In April, UMCOR continued supporting nine medicine dispensaries in Saatli, Sabirabad, Davachi, Khachmaz, Guba, Hajigabul, Shamakhi and Ismayilli. These dispensaries were provided with available medicines. This month 853 patients received medicines from UMCOR medicine dispensaries based on the UMCOR prescription forms filled out by the MoH doctors.

Economic Opportunities

Small Business Training: In April, training was focused on the principles of budget construction, cost and pricing and marketing and sales. The major difficulties of women were in determining components of prime cost in agricultural activities and some economic terms and conceptions. Additional materials were prepared to complement the training being provided. Given the beginning of agricultural season, decline is observed in the number of participants. However, trainees demonstrate great enthusiasm for the project. The activities of one womens group were canceled in the Northeast region due to low participation rate.

The total number of registered participants is 760, 398 (52%) of them are regular attendees. The regular participants are representatives of different social groups are as follows: 347 (87 %) MT refugees, 8 (2%) IDPs, 22 (5.5%) local citizens, 18(4.5%) refugees from Armenia, 3 (0.7%) men. Men continue to express strong interest in participating in similar training programs.



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