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 Report - Monthly Report (UMCOR)

 Report date: 30.06.2000

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 49 Community Health Providers (CHP) continue to administer the health care services previously provided by UMCOR clinic doctors in the Azizbekov, Surakhani, Binagadi, Sabunchi, Karadag, Nasimi and Apsheron districts of Baku. A total of 5,595 beneficiaries were provided with medical services and medications during the month of July.

Under the auspices of UNHCR project, UMCOR continued supporting sport, cultural and skills development activity circles for adolescent girls and boys. Social counseling activities was initiated this month. Diakonie, a German NGO and two local agriculture specialists conducted two separate training sessions for the Agriculture Extension Agents from Southeast, Northeast and Shamakhi regions.

The implementation of the Department of State BPRM-funded project continues. Four part-time Health Educators initiated the dissemination of the eighth lesson plan on Normal Pregnancy. Under the Health component of the project, UMCOR maintains nine medical dispensaries in program- targeted regions. Two new community infrastructure rehabilitation projects were initiated in Southeast and Shamakhi regions under the Community Rehabilitation sector of the BPRM project.New Community-Based initiative group was established in Northeast region.In July, business training was focused on Establishment of Credit Associations.

PROJECT UPDATES

1. Department of State Emergency Medical Assistance Project

In July, UMCOR-trained 49 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 July 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:6345978351,4731,130860665,595

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

  1. Headache and Joint Pain-10.2%
  2. Vitamin Deficiency-8.6%
  3. Worms-5.9%

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 July, UMCOR staff provided CHPs with 7,050 condoms (144 per person) to be distributed to IDPs (10 pieces per each). In addition to condoms, Family Planning leaflets were distributed as well.

During the last week of July, follow-up training on Dental Care was conducted for the CHPs by Operation Mercy (OM). In total, 34 (66,7 %) CHPs participated in the training.

The monitoring of all 3,765 (100%) prescription forms was conducted during July, which had been filled by CHPs in June, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 3,761 (99,9%) of the prescriptions had been correct.

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 July, the UMCOR Pediatrician served 96 institutionalized/ handicapped children in the targeted Children Institutions.

Monitoring of all 192 prescription forms prescribed by UMCORs Mobile Pediatrician serving Children Institution in June were conducted on correct completion following WHO and MSF guidelines. All the prescription forms were correct.

40 entities, including state health facilities and local NGOs, continued receiving medicines and medical supplies available from five UMCOR medicine dispensaries in July. A total of 531 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

112

Kurdamir

98

Udjar

195

Zardab

78

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 with primary health care support and medicines four Elderly Institutions in Baku and two correction institutions. 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
  • Childrens Correction facility
  • Womens Correction facilty

A mobile team consisting of a General Practitioner and a driver visited these Elderly Institutions and Correction Facilities to support the patients of these facilities with primary health care, medicines and medical supplies. UMCORs mobile team served a total of 191 patients during the month of July.

Monitoring of all prescription forms prescribed by the mobile team physician serving the Elderly Institutions and Correction Institutions in June was conducted.199 prescription forms were checked for correct completion following WHO and MSF guidelines. All the prescription forms were correct.

In addition prescription and consumption forms written by CHPs and local state doctors in June and July 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.

In July, medicines and medical supplies with the value of $1,049,893.63 were received from IMA. A new order for medicines and medical supplies was developed according to IMAs Bi-Weekly inventory list.

2. UNHCR/Meskhetian Turk Project

Implementation of various components of the project continues.

Non-Food Distribution

No distribution was carried out in July.

Agriculture

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

Community Seed Bank:Potato Seed Bank- All farmers who received potato seeds in March harvested the crop. The yield was satisfactory (in average 7 times of planted seed) and the farmers returned the doubled amount of seeds to the Community Bank as per the agreement signed between UMCOR and Community Committees (CC). According to the agreement, these communities are responsible for the harvest and redistribution of the generated seed. Sabah, a local community-based organization, in corporation with the respective CCs will organize the seed generation activity. The CCs identified the secondary recipients of the harvested seed.

Wheat Seed Bank - CCs in Northeast region collected back the wheat seed from the farmers and are going to distribute to the secondary set of farmers. The communities identified recipients and UMCOR staff verified the list.

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 this 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.

According to the monthly reports, farmers face difficulties in getting good quality seeds, irrigation water, 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.

Diakonie conducted a three-day training session for 12 new agriculture agents from Northeast, Southeast and Shamakhi regions on Communication, Organization and Behavioral skills of a good agriculture extension agent. The training session was hosted at UMCORs Sabirabad office. Similarly, two local agriculture specialists conducted a five-day training session on Soil Tests for 18 agriculture agents from Northeast, Southeast and Shamakhi regions. Both training sessions were held in the UMCOR 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 Reproductive Health Care Program Manager conducted monitoring in the Devechi, Guba, Khachmaz and Sabirabad districts.

UMCOR-trained MoH gynecologists examined a total of 508 MT/IDP women and 617 diseases were detected and treated.

Establishment of Family Planning Center: UMCOR prepared proposals and budget for establishing family planning centers in Guba and Ali-Bayramli districts. The proposals will be submitted to UNFPA.

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

Social Counseling: SONA in collaboration with UMCOR, initiated social counseling activity in July. SONA recruited two part-time lawyers, one for each UMCOR regional office. These lawyers will guide MT individuals seeking assistance on birth, marriage and land registration and citizenship issues. In addition, they will update beneficiary groups on new and amended legislation passed by the government of Azerbaijan.

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. UMCOR provided these sport groups with volleyballs and nets donated by UNHCR. UMCOR, with BPRM funding, has also purchased additional sports equipment to be provided to these groups.

Recreational/Cultural Groups: Eight circles that engage in such as activities as cookery, art, drama, dancing, continue their activities with minimal external support.

Education

Childrens Centers: Currently, 12 childrens centers are functioning with 267 children in attendance. Due to the lack of interest exhibited by parents towards maintaining the center, one Childrens Center in Gandab (Devechi) was closed in July. The remaining 11 centers are functioning well.

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: Using BPRM youth leadership development funds UMCOR initiated the purchase of textbooks in Russian. Field offices, in collaboration with CCs completed the necessary preparatory work to distribute the textbooks in the regions. The sources to purchase the textbooks were identified and the tender process will be announced soon. UMCOR will follow the same procedures of purchasing textbooks as with UNHCR 1999 funding.

3. UNHCR/ Primary Health Care for Asylum Seekers

UMCOR continues to implement health project funded by UNHCR targeting refugees/asylum seekers living in Azerbaijan. The UNHCR office had been directly handling the health needs of this population. Due to an influx of asylum seekers, the workload became substantial enough to necessitate the involvement of an implementing partner. As a result, UMCOR was designated as the implementing partner for the project by establishing a clinic within Narimanov district Polyclinic #8.

Most of the asylum seekers are from Chechnya, Afghanistan, Iran and Iraq. These people are particularly vulnerable as they do not have Azerbaijani documentation, 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. Primary Health Care: 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 308 patients were examined and treated during the month.

The most spread diseases among these population include the following:

  1. Vitamin Deficiency-6.4%
  2. Worms-5.7%
  3. Headache and Joint Pain-5.9%

The monitoring of all 257 (100%) prescription forms was conducted during July, which had been filled by UMCORs physicians in June, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 255 (99%) 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, Devechi, 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 five community representatives, and in the Southeast region this process is on going.

Two chairmen were elected for new regional branches of SONA in Shamkir and Ganja area. SONA continues supporting vulnerable people through various outreach activities. The organization assisted a patient from Devechi (Rahimli village) in obtaining necessary documents to receive her invalid grade pension. 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. SONA assisted an elderly lady to settle in a boarding house for elderly people.

SONA has submitted 8 project proposals to different donor agencies. Presently, one agricultural development project received approval by the NGO Resource Center. In addition, SONA is working on project proposals to submit to 20 additional international donor organizations.

SONA continues to develop its own organizational capacities. Six new employees were hired by SONA and they were seconded to UMCORs BPRM Small Business Training Program and Legal Assistance Project. SONAs employee for health program was requested to work as an UMCOR Medical Monitor for the Primary Health project during July during which she gained advantageous experience.

The establishment of Community-Based Organization, Sabah, in Southeast region is on-going. The initiative exhibited by the group in Southeast region is noteworthy, as they are very active and motivated to create a thriving CBO. A CB initiative group consisting of 10 people was created in Northeast region. Both groups are looking forward to participating in ISARs training sessions on NGO establishment, fundraising, writing project proposals, etc. ISAR training for SABAH and the northeast initiative group will be conducted in August in Sabiribad.

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

Two UNHCR-funded 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 continued through the end of the month. Students continued to meet five days a week, three hours per day for their preparatory classes on literature, history, physics and chemistry.

Seven sewing courses are currently operating in 6 villages of the Shamakhi region, with a total of 86 participants. Six English courses were initiated this month in one settlement of Shamakhi and five villages of Northeast region, with 64 participants. Each group was provided with all necessary supplies, including English textbooks, audiocassettes and tape recorders. Preparation for opening a Nurse Assistant course in the Northeast region is on going.

Community Infrastructure Rehabilitation

One more project was completed in July. Two new community infrastructure rehabilitation projects were initiated in Southeast and Shamakhi region. The Rehabilitation Manager prepared documents for tender process in Shamakhi 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 have become an integral part of the implemented projects by contributing a variety of inputs. During the project cycle, a total of 38 Community Infrastructure Rehabilitation projects have been identified. Presently, five have been completed and 14 are under detailed assessment.

Health & Nutrition

Reproductive Health Care (RHC): In July, gynecologists worked as per the set schedule. A total of 194 patients were examined and treated. The prevalent diseases were: Anemia 18.8%; Adnexitis/oophoritis-15.6%; Cervicitis 8.3 %

Health Education: Four part-time Health Educators initiated the dissemination of the eighth lesson plan on Normal Pregnancy. A total of 560 women attended the lesson plan during the month of July. 2,568 condoms were distributed to 175 women.

Pharmaceutical support: In July, UMCOR continued supporting nine medicine dispensaries in Saatli, Sabirabad, Devechi, Khachmaz, Guba, Hajigabul, Shamakhi and Ismayilli. This month 344 patients received medicines from UMCOR medicine dispensaries based on the UMCOR prescription forms filled out by MoH doctors.

Economic Opportunities

Small Business Training: Given the termination of the cooperation agreement with AWDC, all three AWDC trainers signed contracts with SONA to become full time SONA employees seconded to UMCOR. In July, training was focused on Establishment of Credit Associations. The trainees worked writing bylaws and electing leaders for their credit associations.

Given the beginning of agricultural season, a 7% decline has been 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; with 41% of them being regular attendees.

The regular participants are representatives of different social groups are as follows: 286 (90.8 %) MT refugees, 6 (1.9%) IDPs, 14 (4.4%) local citizens, 8 (2.5%) refugees from Armenia, 1 (0.3%) men. Men continue to express a strong interest in participating in similar training programs.



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