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 Report - Monthly Report (UMCOR)

 Report date: 30.04.2000

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

During the 1 month extension period of USAID/MCI funded project, UMCORs clinics and medical points maintained regular schedules, with five primary health care clinics in Baku serving 2,851 IDP patients residing in the Yasamal, Narimanov, Khatai, Nizami and Sabail districts of Baku. During the month, a total of 6,433 IDPs received primary health care dispensed through eight UMCOR medical points in Sabirabad, Imishli, Saatli, Fizuli and Agjabedi. At the end of the month, the primary health care program with 5 clinics in Baku and 8 medical points in seven ECHO Camps and Two IDP Settlements came to its end.

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 6,442 beneficiaries were provided with medical services and medications during the month of May.

In May, 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. UMCORs RHC Program Manager met with the Head Doctors of Guba and Ali-Bayramli to discuss the establishment of family planning centers in the respective districts. In collaboration with UMCOR, ten communities organized daycare centers in Northeast and Southeast centers. The savings from CFTC seed container project were allocated to support this community initiative.

The implementation of the Department of State BPRM-funded project continues. Four part-time Health Educators initiated the dissemination of the sixth lesson plan on Infant Nutrition.Under the Health component of the project, UMCOR maintains nine medical dispensaries in program- targeted regions. One more community infrastructure rehabilitation project was completed in Northeast region under the Community Rehabilitation sector of the BPRM project.

PROJECT UPDATES

1. Department of State Emergency Medical Assistance Project

In May, 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 May are provided below:

Districts:AzizbekovSurakhaniBinagadiSabunchiKaradagNasimiApsheronTOTAL:
# of IDPs/RPs

13,889

21,085

37,723

24,516

11,258

25,808

11,441

145,720

# of patients:

614

642

790

1,261

857

754

63

6,442

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

  1. Headache & Joint Pain-9.5%
  2. Vitamin Deficiency-9.3%
  3. Worms-8.8%

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 May, UMCOR staff provided CHPs with Eskulap, magazine on AIDS, medical bags and some emergency medicine.

Monthly follow-up training was conducted for the CHPs on the topic of Infants Nutrition. A total of 34 CHPs participated in the training. UMCOR staff distributed the lesson plans to those who were not able to attend the training sessions.

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 May, the UMCOR Pediatrician served 249 institutionalized/ handicapped children in the targeted Children Institutions.

40 entities including state health facilities and local NGOs continued receiving medicines and medical supplies available from five UMCOR medicine dispensaries in May. A total of 695 patients received medicines and medical supplies from the five UMCOR medicine dispensaries during the month.

This month medical monitors visited the local state health facilities of Baku and state health facilities of Kurdamir, Ali-Bayramli, Guba, Ujar and Zardab districts. 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, vulnerable patients of Kurdamir, Ali-Bayramli, Udjar and Zardab districts continued receiving UMCOR-donated medicines distributed by the four 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.

The folowing table presents the quantity of prescription forms received from the doctors of state health facilities in targeted villages:

Medicine Dispensaries

Prescription forms

Ali -Bayramli

158

Kurdamir

159

Udjar

263

Zardab

109

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.

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.

In May, UMCOR initiated primary health care project targeting patients of four Elderly Institutions and two Correction Facilities in Baku. These institutions include:

  • Boarding House for War and Labor Veterans in Bilgah settlement
  • Orphanage # 9 for the elderly and mentally sick people in Buzovna settlement
  • Sanitarium for disabled youths in Ramana settlement
  • Sanitarium in Mardakan settlement
  • Womens Correction Facility #4
  • Childrens Correction Facility

In May, a mobile team consisting of a General Practitioner and a driver visited the Elderly Institutions to support the patients of these facilities with primary health care, medicines and medical supplies. The team will visit these institutions as per set schedule. This month UMCORs mobile team served a total of 168 patients.

Prescription and consumption forms written by CHPs and local state doctors in April and May 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. Four discrepancies were detected between the prescription and consumption forms this month.

The monitoring of all 3,718 (100%) prescription forms was conducted during May, which had been filled by CHPs in April, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 3,706 (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 May.

Districts:

Yasamal

Narimanov

Khatai

Nizami

Sabail

TOTAL:

# of IDPs/RPs

16,070

29,097

25,351

20,258

11,547

102,323
# of Patients

519

258

825

583

666

2,851

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

  1. Headache/joint pain- 11.8%
  2. Trauma/Wounds/Burns-7.1%
  3. Common cold-5.9%

Prescription and consumption forms written by USAID/MCI clinic doctors and local state doctors in April and May 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 May, the monitoring of all 5,712 (100%) prescription forms filled out by clinic doctors during the month of April and May was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 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 May.

Medical Point

Region

#of IDPs/RPs

# of patients

Sabirabad 1 (Ahtachi)

Sabirabad

2,311

660

Sabirabad 2 (Shahriyar)

Sabirabad

2,069

547

Saatli (Alisoltanli)

Saatli

2,145

729

Bahramtepe

Imishli

3,900

705
Fizuli (Bahmanli)

Fizuli

2,650

890

Agjabedi (Khojavand)

Agjabedi

2,000

1,347

Boztepe

Imishli

2,790

829

Garabag

Fizuli

12,326

726

TOTAL:

 

30,191

6,433

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

  1. Headache/joint pain- 11.4%
  2. Common Cold-6.2%
  3. Trauma/Wounds/Burns-6.1%

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

Prescription and consumption forms written by medical point doctors were analyzed in May. 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, 3,535 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 May monitoring of all 3,535 (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 all the prescription forms had been correct.

3. UNHCR/Meskhetian Turk Project

Implementation of various components of the project continues.

Non-Food Distribution

No distribution was carried out in May.

Agriculture

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

Family Greenhouse: With the beginning of summer season,farmers started to remove the plastic sheeting from the greenhouses and store them up for the next crop season.

Community Seed Bank: UMCOR field staff worked with the communities to identify the secondary recipients of the wheat seed in the Northeast region. As per agreement, the communities that primarily received the wheat seed from UMCOR during 1999 UNHCR project, are responsible for the harvest and distribution of the crop to two secondary recipients. UMCOR field staff is monitoring the collection and re-distribution process.

UMCOR locally procured fertilizers and pesticides for the potato seed generation program and distributed them to 60 farmers in the Southeast region.

Agriculture Extension Project: UMCORs agriculture extension agents continued consulting farmers in Northeast and Southeast regions. The agents identify farmers problems associated with the crop production and instruct them on finding alternative solutions to their problems. UMCOR supported these agents with some basic tools, such as pH meters and moisture meters.

UMCOR contacted local agriculture scientist to conduct new training sessions for the UMCORs Extension Agents on Soil Tests. The training will consist of two parts: a) Visual tests; and b) Laboratory tests (using equipment). The first part of the training will be conducted in mid-June in UMCOR-Sabirabad.

Health and Nutrition

Reproductive Health Care (RHC) Services: The gynecologists from Guba, Siyazan, Khizi, Devechi, Khachmaz, Hajigabul and Sabirabad hospitals continued visiting their target settlements.

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 examined a total of 510 MT/IDP women and 636 diseases were detected and treated.

In collaboration with MoH regional hospitals, UMCORs RHC Program Manager organized and conducted a one-day training session for the midwives on a Pregnant Womans Balanced Diet.

Establishment of Family Planning Center in Sabirabad: UMCORs RHC Program Manager visited Head Doctors in Guba and Ali-Bayramli districts to discuss the possible ways of establishing family planning centers within the regional hospitals. In view of the availability of premises, and resources to carry out the necessary renovations, UMCOR intends to facilitate the setup of two family planning centers (one in each district) in these regional hospitals.

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.

Primary Health Care for Asylum Seekers: During the month of May UMCOR initiated a new health project funded by UNHCR targeting refugees/asylum seekers living in Azerbaijan. Until now UNHCR office has been directly handling the health needs of this population. Recently, due to a large influx, the workload became large enough to demand its own project. Thus, UMCOR was designated as the implementing partner for the project by establishing a clinic within Narimanov district polyclinic #8.

Majority of the asylum seekers is from Chechenia, Afghanistan, Iran, Iraq, etc. These people are particularly vulnerable as they do not have Azerbaijani documentation, they have language barriers, and lack of basic knowledge about Azerbaijans health care system.

The project targets the health needs of the asylum seekers at two levels:

  1. PHC: Two physicians of the UMCORs clinic provide the patients with basic PHC services and medication.
  2. Patients with more complicated health issues are referred to the health specialists of the policlinic # 8 for further services.

A total of 235 patients were examined and treated during the month.

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 supported 10 communities (7 in the NE region and 3 in the SE region) in organizing 10 (one in each settlement) pre-school childrens centers. A total of 218 children are attending these circles. These centers were arranged based on the proposals submitted by the Community Committees of those settlements. According to the agreements between UMCOR, Local Authorities and Communities, UMCOR will support the centers with classroom supplies and equipment, and Local Authorities and Communities will jointly contribute space and salary for the instructors. Additionally, UMCORs educational specialists will conduct training for the instructors if needed.

Sewing Circle: Sewing circles, organized during the 1999 UNHCR project,continue to function with 201 adolescent girls in attendance. Following the completion of a six-month training course, UMCOR closed 5 sewing circles in Rahimli (Davachi), Garachay and Valvala (Guba), Jigatay and Rahimoba (Khachmaz). UMCOR will award certificates for the successful graduates of a six-month vocational skill training. In the remaining settlements of 1999 UNHCR project, UMCOR keeps supporting the sewing circles as there are sufficient number of adolescents to be organized in new groups. UMCOR repossesses the equipment of the closed circles and delivers them to the newly organized circles. In May, Communities arranged two new circles, one in Maliklar (Devechi) and one in Mirzagishlag (Guba).

Tractor mechanic/driver course: The students successfully passed the final exams in early May. The vocational school awarded diplomas and issued driving license to all 12 adolescent boys. UMCORs Educational Program Manager, Field Officer and Educational Activities Monitor took part at the ceremony dedicated to the completion of the course.

Textbooks Fund: UMCOR Shamakhi office distributed 544 textbooks in Shamakhi district.

The distribution will continue in August for the new academic year. This was a surplus educational supply from UNHCR 1999 project.

In addition, UMCOR field offices started asses the needs for the textbooks in Russian language. UMCOR will purchase these textbooks during summer and provide the communities using BPRM youth leadership development funds. Field offices will complete all necessary preparatory work to distribute textbooks in the month of June and July. 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.

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

Community Development, Participation and Contribution

No new Community Committees (CC) were formed during the month of May. The existing 13 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 five project proposals to two donor organizations.

The establishment of Community-Based Organization in Southeast region is on-going. The initiative group in Southeast region seems to be very active and motivated. Meetings were conducted between Southeast group and UMCOR senior staff. They are looking forward to participate in the training sessions on NGO establishment, fundraising, writing project proposals, etc. The small business trainer from Northeast region expressed her interest in establishing Community-Based Organization there. She was requested to organize initiative group and to share ideas with Southeast initiative group.

Youth and Women Leadership: The Small Business trainer in Shamakhi region is involved to implement 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.

Legal Assistance: 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.

The collected legal issues will be solved under UNHCR funding and for this purpose Legal Counselor will be hired.

Community Infrastructure Rehabilitation

One more community infrastructure rehabilitation project was completed in Northeast region. The Rehabilitation Manager conducted monitoring of the completed projects. The Rehabilitation Manager visited Northeast and Southeast regions to review six new proposals for Community Infrastructure Rehabilitation. 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 May, gynecologists worked as per the set schedule. A total of 244 patients were examined and treated. The prevalent diseases were: Anemia 13.2%; Vaginitis (colpitis) 12.7% and Adnexitis/oophoritis-11.2%.

Health Education: Four part-time Health Educators initiated the dissemination of the sixth lesson plan on Infant Nutrition. A total of 590 women attended the lesson plan during the month of May. 1,992 condoms were distributed to 166 women.

Pharmaceutical support: In May, UMCOR continued supporting nine medicine dispensaries in Saatli, Sabirabad, Davachi, Khachmaz, Guba, Hajigabul, Shamakhi and Ismayilli. This month 1,110 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 May, training was focused on Time Management and SWOT analysis and Writing of Business Plan. However, in May the trainers disseminated and reviewed Time Management and SWOT analysis as this topic required more analysis. Business Plan forms were distributed among women and brief introduction was given in this regard. Details of Business Plan will be presented in June.

Given the beginning of agricultural season, decline is observed in the number of participants. However, trainees demonstrate great enthusiasm for the project. The total number of registered participants is 762, 340 (45%) of them are regular attendees. The regular participants are representatives of different social groups are as follows: 301 (88.5 %) MT refugees, 8 (2.4%) IDPs, 17 (5%) local citizens, 13 (3.8%) refugees from Armenia, 2 (0.6%) men. Men continue to express strong interest in participating in similar training programs.



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