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 Report - Monthly Report (UMCOR)

 Report date: 31.05.2000

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

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 6,754 beneficiaries were provided with medical services and medications during the month of June.

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, four communities organized daycare centers in Northeast and Southeast regions. UMCOR and Sona hired two lawyers to initiate the social counseling activities.

The implementation of the Department of State BPRM-funded project continues. Four part-time Health Educators initiated the dissemination of the seventh lesson plan on Breast-feeding. Under the Health component of the project, UMCOR maintains nine medical dispensaries in program- targeted regions. Three new community infrastructure rehabilitation projects were initiated in Northeast region under the Community Rehabilitation sector of the BPRM project. The establishment of Community-Based Organization Sabah in Southeast region is on-going. In June, business training was focused on Trainers Tips For Checking Business Plans.

PROJECT UPDATES

1. Department of State Emergency Medical Assistance Project

In June, 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 June 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:7756431,2131,5361,3271,1401206,754

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

  1. Headache and Joint Pain-9.3%
  2. Vitamin Deficiency-8.1%
  3. Worms-7.7%

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 June, UMCOR staff provided CHPs with 780 hygiene kits (15 kits per person) to be distributed amongst pregnant and postpartum women.

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 June, the UMCOR Pediatrician served 210 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 June. A total of 644 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

361

Kurdamir

191

Udjar

255

Zardab

136

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.

UMCOR continues to support four Elderly Institutions 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

In June, 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 245 patients.

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

The monitoring of all 4,178 (100%) prescription forms was conducted during June, which had been filled by CHPs in May, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 4,163 (99,6%) of the prescriptions had been correct.

2. UNHCR/Meskhetian Turk Project

Implementation of various components of the project continues.

Non-Food Distribution

No distribution was carried out in June.

Agriculture

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

Community Seed Bank: UMCOR field staff worked with the communities to identify the secondary recipients of the potato seed in the Southeast region. As per agreement, the communities that primarily received the potato seed from UMCOR during 1999 UNHCR project, are responsible for the harvest and distribution of the crop to secondary recipients.

UMCOR field staff worked with the communities to identify the secondary recipients of the wheat seed in Northeast region. According to the CCs decision the seed will be distributed to secondary farmers, following the same procedures as for potato seed.

UMCORs Extension Agents continue providing technical assistance to the farmers in both regions to maximize the output and quality of harvest. UMCOR field staff is monitoring the process.

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. They prepared monthly reports and submitted them to the field offices. According to the monthly reports, farmers face difficulties in getting good quality seeds, chemical fertilizers and pesticides for plantings, and machinery to plant and harvest the crop. They also followed up with the skills and techniques transferred to the farmers during their last visits.

In July, Diakonie will conduct a three-day training session for new agriculture agents from Northeast, Southeast and Shamakhi regions. The training session will be hosted at UMCORs Sabirabad office.

UMCOR is planning to conduct another training session for both old and new agriculture agents on soil tests. Two local agriculture experts, working for ACDI/VOCA will conduct the training. 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-July, at UMCORs Sabirabad office.

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.

UMCORs RHC Program Manager conducted monitoring in Davachi, Guba, Khachmaz and Sabirabad districts. She held one day training session for the midwives in Hajigabul district on the topic of Nutrition of Pregnant Women and one day training session for the gynecologists of Davachi district on the topic of Treatment of Chlamydosis.

UMCOR-trained MoH gynecologists examined a total of 491 MT/IDP women and 719 diseases were detected and treated.

Establishment of Family Planning Center : Due to insufficient funds for the repair of the proposed Sabirabad Family Planning Center, UMCOR considered other options. In this regard, 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. UMCOR prepared proposals and budget for both centers. The proposals will be submitted to UNFPA in July.

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 with minimal outside support.

Education

Childrens Centers: With CFTCs funding, UMCOR supported 4 more communities (3 in the NE region and 1 in the SE region) in organizing pre-school childrens centers in three districts. Currently, 13 childrens centers are functioning with 218 children in attendance. 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 conducted training for the instructors.

Sewing Circle: 10 sewing circles continue to function with 135 adolescent girls in attendance. UMCOR continues supporting these circles with BPRM funding. The CCs are providing stipends for` the instructors.

Textbooks Fund: Community Committees started collecting the textbooks back to distribute for the secondary recipients next academic year. Upon its completion, UMCOR will carry out inventory of the textbooks. The purpose of the inventory is to ascertain the correct amount of the returned books and their physical status.

Using BPRM youth leadership development funds UMCOR will soon initiate the purchase of textbooks in Russian. Field offices, together with CCs completed the necessary preparatory work to distribute the textbooks in the regions. UMCOR will employ the same procedures as last year and provide one set of textbooks for two children. Further, the primary recipients will return the textbooks to Community Textbook Fund at the end of the academic year. The second group of recipients will receive the textbooks for the new academic year and in turn follow the same procedure to benefit the third group of recipients.

3. UNHCR/ Primary Health Care for Asylum Seekers

UMCOR continues to implement health project funded by UNHCR targeting refugees/asylum seekers living in Azerbaijan. UNHCR office has been directly handling the health needs of this population. Recently, due to a large influx, the workload became big 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 268 patients were examined and treated during the month.

The most spread diseases among these population include the following:

  1. Vitamin Deficiency-12.7%
  2. Gastritis-5.7%
  3. Headache and Joint Pain-4.8%

The monitoring of all 131 (100%) prescription forms was conducted during June, which had been filled by UMCORs physicians in May, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 129 (98.5%) of the prescriptions had been correct.

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

Meskhetian Turk Refugees

The BPRM-funded project targets Meskhetian Turk refugees and vulnerable population residing in Northeast (Guba, Gusar, Khachmaz, Davachi, Siyazan and Khizi districts), Southeast (Saatli, Sabirabad and Hajigabul districts) and Shamakhi regions. Sectoral interventions include the following:

Community Development, Participation and Contribution

No new Community Committees (CC) were formed during the month of June. 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 Northeast regional branch elected 5 community representatives and in Southeast region this process is on-going.

SONA continues supporting vulnerable people through various outreach activities. The organization assisted 2 patients from Saatli (Fatalikend village) and Davachi (Agbash village) in receiving free medical treatment. 160 orphans from different regions of Azerbaijan were enrolled for assistance. SONA also recommended 15 vulnerable families to an Arabic organization to solicit support for them. Furthermore, SONA submitted 6 project proposals to different donor agencies. SONA also continues to develop its own organizational capacities. SONAs employee for health program was requested to supervise and distribute condoms (UNHCR-funded) in the Northeast and Southeast regions. 59 villages were targeted and advantageous experience was gained through this project implementation.

The establishment of Community-Based Organization Sabah in Southeast region is on-going. The initiative group in Southeast region seems to be very active and motivated to create thriving CBO. Meetings were conducted between Sabah and UMCOR senior staff. They are looking forward to participate in ISARs training sessions on NGO establishment, fundraising, writing project proposals, etc. Plans are under way to establish a CBO in the Northeast region. The UMCOR Small Business Trainer requested to conduct an introductory meeting with community leaders. She also met with the representatives of Sabah.

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. Two Social Counselors were hired to follow up the problems collected under BPRM Legal Assistance campaign.

Youth and Women Leadership

Youth/Educational Activity: A pre-university tutoring course started in Nasimikand village, Southeast region from the 1 June. A total of 23 students receive schooling on History, Literature, Chemistry and Physics. The classes will continue until students State Entrance Exams in late summer. Sewing, English, medical courses are another feasible project proposals submitted by the communities.

Community Infrastructure Rehabilitation

No projects have been completed in June. However, three new community infrastructure rehabilitation projects were initiated in Northeast region. The Rehabilitation Manager prepared documents for tender process in Northeast region. He also continues to prepare sketches, bills of quantities and engineers estimations for necessary projects. In addition, he monitors and evaluates the implementation of all infrastructure programs. The communities became an integral part of the implemented projects by contributing a variety of inputs. A total of 38 Community Infrastructure Rehabilitation projects were identified so far.

Health & Nutrition

Reproductive Health Care (RHC): In June, gynecologists worked as per the set schedule. A total of 190 patients were examined and treated. The prevalent diseases were: Anemia 21.8%; Adnexitis/oophoritis-12.4%; Vaginitis (colpitis) 8.8%

Health Education: Four part-time Health Educators initiated the dissemination of the seventh lesson plan on Breast-feeding. A total of 565 women attended the lesson plan during the month of June. 1,962 condoms were distributed to 166 women.

Pharmaceutical support: In June, UMCOR continued supporting nine medicine dispensaries in Saatli, Sabirabad, Davachi, Khachmaz, Guba, Hajigabul, Shamakhi and Ismayilli. This month 682 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 June, training was focused on Trainers Tips For Checking Business Plans. The trainees worked on writing and presenting Business Plans.

Given the beginning of agricultural season, 5% decline is observed in the number of participants since May. However, trainees still demonstrate great enthusiasm for the project. The total number of registered participants is 763, 42% of them being regular attendees.

The regular participants are representatives of different social groups are as follows: 288 (88.8 %) MT refugees, 6 (1.8%) IDPs, 16 (4.9%) local citizens, 12 (3.7%) refugees from Armenia, 2 (0.6%) men. Men continue to express strong interest in participating in similar training programs.



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