IRAQ HEALTH CLUSTER BULLETIN BULLETIN NO. 2 (Feb 2019) Name of the Country: Iraq Emergency type: Conflict Reporting period: 01.02.2019 - 28.02.2019 A mission was conducted by Real Time Accountabil- ity Partnership (RTAP) to evaluate the outcomes of the pilot project in Iraq. The Health Cluster Co-Lead and WHO’s Regional GBV focal person met with the RTAP focal person on 3rd February and provided an insight on the status of RTAP in the country from the perspective of the Iraq Health Cluster. A Knowledge Sharing Session on the Sustainable Development Goals and Agenda 2030 was held in Kirkuk on 5th February by OCHA. The purpose of the session was to discuss the Sustainable Develop- ment Goals with the Cluster System. The sub-nation- al Health Cluster Co-Lead (Medair) was present in this workshop. On Friday, 8 February 2019, OCHA received notice from the Customs Authorities at the Ministry of Finance regarding an official announcement about the abolishment on 17 February 2019 of the cus- toms checkpoints between federal Iraq and KRI which were in place for the previous six months. The Health Cluster played a part in advocating with OCHA and the HCT for the partners who were facing challenges with customs and transportation of med- ication and supplies between KRI and Federal Iraq. On 11th February, the Health cluster attended an inter-cluster Lessons Learned event organized by OCHA, the aim of which was to review the main processes related to the development of the 2019 HNO and agree on the outline of a strategy for 2019, by collectively finding ways to increase system effectiveness and efficiency related to needs assessments based on the experiences of 2018. 20 Partners Reported 13 INGO 7 LNGO 206K Total Number of Consultations 36K No. of Cases Received Gynaecological Consultations 2.8K No. of Children Under 5 In Camps IDPS Children Screened For Malnutrition by Muac or Anthropometric Measures 2.9K No. of MHPSS Individual Sessions Provided 1.3K Total No. of Patients attending Secondary /tertiary Hospitals 1.9K No. of Children 9-59 Months Vaccinated Against Measles (Measles-containing Vaccine) In Crises Affected Areas Through Routine Immunization 1.7M Targeted Population 14% Reached Beneficiaries Humanitarian Response Plan 2019 SO* 1: Increase access to basic services for the most vulnerable people and ensure responsible transition for prolonged humanitarian needs through durable solutions. SO 2: Ensure centrality of protection: through reduc- ing protection violations and responding to protec- tion needs of affected people SO 3: Improve response timeliness through prepared- ness: to prevent further degradation of humanitarian needs. *SO: Strategic Objectives
Transcript
IRAQ
HEALTH CLUSTER BULLETIN BULLETIN NO. 2(Feb 2019)
Name of the Country: IraqEmergency type: ConflictReporting period: 01.02.2019 - 28.02.2019
A mission was conducted by Real Time Accountabil-ity Partnership (RTAP) to evaluate the outcomes of the pilot project in Iraq. The Health Cluster Co-Lead and WHO’s Regional GBV focal person met with the RTAP focal person on 3rd February and provided an insight on the status of RTAP in the country from the perspective of the Iraq Health Cluster.
A Knowledge Sharing Session on the Sustainable Development Goals and Agenda 2030 was held in Kirkuk on 5th February by OCHA. The purpose of the session was to discuss the Sustainable Develop-ment Goals with the Cluster System. The sub-nation-al Health Cluster Co-Lead (Medair) was present in this workshop.
On Friday, 8 February 2019, OCHA received notice from the Customs Authorities at the Ministry of Finance regarding an official announcement about the abolishment on 17 February 2019 of the cus-toms checkpoints between federal Iraq and KRI which were in place for the previous six months. The Health Cluster played a part in advocating with OCHA and the HCT for the partners who were facing challenges with customs and transportation of med-ication and supplies between KRI and Federal Iraq.
On 11th February, the Health cluster attended an inter-cluster Lessons Learned event organized by OCHA, the aim of which was to review the main processes related to the development of the 2019 HNO and agree on the outline of a strategy for 2019, by collectively finding ways to increase system effectiveness and efficiency related to needs assessments based on the experiences of 2018.
20 Partners Reported 13 INGO 7LNGO
206K Total Number of Consultations
36K No. of Cases Received Gynaecological Consultations
2.8K No. of Children Under 5 In Camps IDPSChildren Screened For Malnutrition by Muac or Anthropometric Measures
2.9K No. of MHPSS Individual Sessions Provided
1.3K Total No. of Patients attending Secondary /tertiary Hospitals
1.9K No. of Children 9-59 Months Vaccinated Against Measles (Measles-containing Vaccine) In Crises Affected Areas Through Routine Immunization
1.7M TargetedPopulation 14% Reached
Beneficiaries
Humanitarian Response Plan 2019
SO* 1: Increase access to basic services for the most vulnerable people and ensure responsible transition for prolonged humanitarian needs through durable solutions.
SO 2: Ensure centrality of protection: through reduc-ing protection violations and responding to protec-tion needs of affected people
SO 3: Improve response timeliness through prepared-ness: to prevent further degradation of humanitarian needs.
*SO: Strategic Objectives
As agreed during the cluster coordination meeting that took place in Cairo (Nov 2018), one of the urgent tasks is to monitor the response of activated health clusters in EMR through a regional dataset and a dashboard. To initiate this task, WHE’s Health Emergency Information and Risk Assessment (HIM) team were provided with a log frame, HRP 2019 indicators and 4WS tools to ensure that a consolidated list of indicators was available to be monitored at the regional level.
The final product for the Quality of Care survey in IDP camps supported by health cluster partners, i.e., the comparative results of Phase 1 & 2” was published in February. The first phase was conducted in June 2018 (55 camps) while the second in December 2018 (46 camps) through an independent monitor-ing partner-Iraqi Red Crescent Society (IRCS), which was selected as they did not have any PHC services in the camps, thus omitting the chances of bias. The number of camps reduced between the phases due to consolidation/closure or reduction of IDP population, resulting in providing mobile health services. - Summary: 47% of the camps PHCs improved their service provision, 34% of the camps PHCs have shown no change and 19% (#9) of these PHCs in camps have shown a decline in service provision.
The Health Cluster Annual Report for 2018, summarizing what partners have achieved against the HRP 2018 with WHO as the lead agency, was finalized and published online during February 2019. It can be found at the below link: http://bit.ly/2XnpnhA
WHO/Health Cluster commissioned KIT Royal Tropical Institute to write a paper on the Quality of Care survey. In order to do this, data was sent to them in February. KIT took the lead in writing the manuscript, which was reviewed by WHO and finalized. KIT agreed with WHO regarding selection of journals and con-tacted them for the publication of the manuscript. Copyright remains with WHO for the data and the manuscript.
As step 3 of the overall training and capacity building package, a four-day Training of Trainers (TOT) Workshop on GBV Guidelines Implementation Support was conducted between 24- 27 February in Bagh-dad and in the 11- 14 March of March in Erbil. A total of 25 participants from Protection, Health, CCCM, WASH, Shelter/ NFI, Food Security and Agriculture clusters attended this workshop.
The Health Cluster conducted a training on Activity Info reporting under HRP 2019 for 36 partners on 26th February, which consisted of the following topics:- First session: Introduction to the cloud database.- Second session: How to report activities by using ActivityInfo platform.- Third session: Introduction to the health cluster interactive dashboard and how it could be used to inform better decision-making and response.
A mission was conducted by Real Time Accountabil-ity Partnership (RTAP) to evaluate the outcomes of the pilot project in Iraq. The Health Cluster Co-Lead and WHO’s Regional GBV focal person met with the RTAP focal person on 3rd February and provided an insight on the status of RTAP in the country from the perspective of the Iraq Health Cluster.
A Knowledge Sharing Session on the Sustainable Development Goals and Agenda 2030 was held in Kirkuk on 5th February by OCHA. The purpose of the session was to discuss the Sustainable Develop-ment Goals with the Cluster System. The sub-nation-al Health Cluster Co-Lead (Medair) was present in this workshop.
On Friday, 8 February 2019, OCHA received notice from the Customs Authorities at the Ministry of Finance regarding an official announcement about the abolishment on 17 February 2019 of the cus-toms checkpoints between federal Iraq and KRI which were in place for the previous six months. The Health Cluster played a part in advocating with OCHA and the HCT for the partners who were facing challenges with customs and transportation of med-ication and supplies between KRI and Federal Iraq.
On 11th February, the Health cluster attended an inter-cluster Lessons Learned event organized by OCHA, the aim of which was to review the main processes related to the development of the 2019 HNO and agree on the outline of a strategy for 2019, by collectively finding ways to increase system effectiveness and efficiency related to needs assessments based on the experiences of 2018.
As agreed during the cluster coordination meeting that took place in Cairo (Nov 2018), one of the urgent tasks is to monitor the response of activated health clusters in EMR through a regional dataset and a dashboard. To initiate this task, WHE’s Health Emergency Information and Risk Assessment (HIM) team were provided with a log frame, HRP 2019 indicators and 4WS tools to ensure that a consolidated list of indicators was available to be monitored at the regional level.
The final product for the Quality of Care survey in IDP camps supported by health cluster partners, i.e., the comparative results of Phase 1 & 2” was published in February. The first phase was conducted in June 2018 (55 camps) while the second in December 2018 (46 camps) through an independent monitor-ing partner-Iraqi Red Crescent Society (IRCS), which was selected as they did not have any PHC services in the camps, thus omitting the chances of bias. The number of camps reduced between the phases due to consolidation/closure or reduction of IDP population, resulting in providing mobile health services. - Summary: 47% of the camps PHCs improved their service provision, 34% of the camps PHCs have shown no change and 19% (#9) of these PHCs in camps have shown a decline in service provision.
The Health Cluster Annual Report for 2018, summarizing what partners have achieved against the HRP 2018 with WHO as the lead agency, was finalized and published online during February 2019. It can be found at the below link: http://bit.ly/2XnpnhA
WHO/Health Cluster commissioned KIT Royal Tropical Institute to write a paper on the Quality of Care survey. In order to do this, data was sent to them in February. KIT took the lead in writing the manuscript, which was reviewed by WHO and finalized. KIT agreed with WHO regarding selection of journals and con-tacted them for the publication of the manuscript. Copyright remains with WHO for the data and the manuscript.
As step 3 of the overall training and capacity building package, a four-day Training of Trainers (TOT) Workshop on GBV Guidelines Implementation Support was conducted between 24- 27 February in Bagh-dad and in the 11- 14 March of March in Erbil. A total of 25 participants from Protection, Health, CCCM, WASH, Shelter/ NFI, Food Security and Agriculture clusters attended this workshop.
The Health Cluster conducted a training on Activity Info reporting under HRP 2019 for 36 partners on 26th February, which consisted of the following topics:- First session: Introduction to the cloud database.- Second session: How to report activities by using ActivityInfo platform.- Third session: Introduction to the health cluster interactive dashboard and how it could be used to inform better decision-making and response.
HEALTH CLUSTER EMERGENCY RESPONSEMonthly Dashboard (Feb 2019)IRAQ
Al-Rutba
Al-Najaf
Al-Salman
Ana
Heet
Baiji
Al-HatraAl-Ba'aj
Al-Zubair
Al-Ka'im
Al-Ramadi
Al-Kut
Afaq
Baladruz
Balad
Akre
Samarra
Erbil
Tal Afar
Badra
TuzKifri
Sinjar
Tikrit
Al-Rifai
Kirkuk
Al-Kahla
DaquqKalar
Al-Suwaira
Al-Daur
Dibis
Al-Mosul
Al-Falluja
Nassriya
Haditha
Al-Amara
Rawanduz
Khanaqin
Kerbala
Al-Khalis
Al-Hai
Al-Amedi
Chamchamal
Ali Al-Gharbi
Al-Hawiga
Rania
Makhmour
Al-Hamza
Al-Qurna
Zakho
Ba'quba
Sumel
Al-Fao
Koysinjaq
Pshdar
Al-Maimouna
Sharbazher
Halabja
Al-Shatra
Tilkaef
Al-Namaniya
Shaqlawa
Al-Rumaitha
Dokan
Al-Chibayish
Al-Khidhir
Dahuk
Al-Sulaymaniya
Al-Hashimiya
Al-Shirqat
Shatt Al-Arab
Sheikhan
Ain Al-Tamur
Penjwin
Al-Hilla
Al-Zibar
Al-Basrah
Al-Mejar Al-Kabir
Al-Mada'enAl-Kadhmiyah
Al-Diwaniya
Al-Mahaweel
Al-Hamdaniya
Al-Mahmoudiya
Al-Samawa
Suq Al-Shoyokh
Al-Musayab
Al-Shamiya
Al-Muqdadiya
Al-Kufa
Abu Al-Khaseeb
Al-Hindiya
Al-Manathera
Darbandihkan
Qalat Saleh
Al-Adhamiya
Number of Partners
1 - 3
3 - 6
6 - 12
$60.9M
FUNDING INFORMATION1
6.1M1
2019 Funded 20Partners ReportedFeb 2019
13 International NGO
7 Local NGO
Required
TREATMENT OF COMMON DISEASES
HEALTHPARTNERS
REPRODUCTIVE HEALTH
IMMUNIZATION
REACHED TARGET
SUPPORT TO HEALTH FACILITIES
NUTRITION
93K
26K
22.7K
67.5K
23K
Women
Girls
Men
Boys
206KConsultations
Laboratory investigations conducted
29%% of water samples from health facilities that failed chemical and biological test
Postnatal care consultations.
250Cesarean Sections conducted
170Normal Vaginal Deliveries
1,927Postnatal care consultations
5,362Antenatal care consultations
No. of children 9 – 59 months received Vitamin A supplements No. of newborn babies of in camps families benefitted from newborn home services.No. of children Under 5 identified and treated for uncomplicated and complicated severe acute malnutrition (SAM).a
608No. of children 9 – 59 months
received Vitamin A supplements
954No. of children 9-59 months
vaccinated against Measles(measlescontaining vaccine) In crises affected areas
through routine immunization
2,368No. of children 9 - 59 months
vaccinated against Polioin crises affected areas through
routine immunization
PHYSICAL REHAB OF PATIENTS
CAPACITY BUILDINGMENTAL HEALTH & PSYCHOSOCIAL SUPPORT SERVICES
No. of prosthetic devices provided for amputeesNo. of patients supported with assistive devices
52Prosthetic devices
provided for amputees
115Patients supported with
assistive devices
1,571Physical and functional rehabilitation
sessions provided.
58No. of newborn babies of in camps families
benefitted from newborn home services.
176No. of children Under 5 identified and treated for uncomplicated and
complicated severe acute malnutrition (SAM).
640No. of pregnant & lactating women (PLW)/ caregivers of children 0-23 months in
crisis affected areas receivedinfant & young child feeding
(IYCF) counseling for optimal feeding.
1,564No. of children under 5
in camps (IDPs children) screened for malnutrition by MUAC or
anthropometric measures.
0 300 600 900 1200 1500
Total No. of patients attending secondary / tertiary hospitals.
No. of cold cases reffered to secondary health facilities
No. of patients referred to secondary or tertiary care.
0 300 600 900 1200 1500
No. of MHPSS group sessions provided
No. of MHPSS individual sessions provided
17No. of Health Facilities supported to provide primary health
32No. of hospitals supported to provide secondary health care services.
1,351
1,180
674
1,487
724
EWARN
152Health facilitates (PHCCs/MMCs) reporting to EWARN system.
33Camps covered by EWARN services.
1ِlerts that were investigated and responded to within 72 hours.
4,794Health awareness sessions conducted
19,148Number of individuals who attendedhealth awareness sessions or werevisited by mobile teams
238,405
1 Data source: FTS.UNOCHA.ORG
Production Date: 14 May 2019 Data source: Health cluster partners through Activity InfoEmail: [email protected] Name: IRQ_HEALTH_CLUSTER_DASH_FEB_2019_14052019
0 500000 1000000 1500000 2000000
1.7M14%
Health Cluster meeting action points
1- Partners to share their activities (who/what/where) plus contact information with the RH Working Group to commit to attend RH WG meetings.
2- Based on the Quality of Care survey results, WHO has been requested to build the capacity of the DoH before handing over services in order to avoid decline in quality of service-provision.
3- The Ministry of Health letter stating that IDPs with valid ID cards are to be treated in PHCCs and hospitals free of charge is linked here: http://bit.ly/2ZdRvVH
4- Directorate of Health to inform the cluster if there are any partners who bypass them and insist on providing services in a facility that the DoH does not consider as in need
Working group action points
Nutrition:
- UNICEF and partners (DOH Ninawa and Erbil, DAMA, DARY, UIMS and ACF are discussing the action plan for 2019 to contin-ue providing nutrition services in different camps and to replace the partners who are to phase out from camps of Hamam Alil, Salamiya, Khazer and Hasansham.
- DOH Ninawa is preparing a proposal to support camps of Salamiya 3 and Jada’a 4&5 in addition to the camps they are currently supporting (Jada’a 1, 2, 3 and Haj Ali) with UNICEF support.
- The stocks of Plumpy Supp and High Energy Biscuit is zero and partners have begun using Plumpy Nut for management of both MAM and SAM.
- UNICEF has Plumpy Supp, Plumpy Nut and High Energy Biscuit in pipeline.
- UNICEF with DOH Ninawa plan to conduct training on Infant and Young Child Feeding (IYCF) for DOH staff in PHCCs espe-cially those around camps, to fill the gap of services.
MHPSS
- Ministry of Health is trying to conduct meetings in Baghdad with only a selected list of participants, which is not suitable. Therefore, this is being looked into by the Cluster in order to ensure that all MHPSS actors are involved and that the meet-ings are streamlined.
- There is work on harmonizing the training materials, to avoid haphazard training of service providers by partners.
- The focus is to strengthen this working group, since it is a
Dr. Kamal S. Olleri International Medical CorpsHealth Cluster [email protected]+964 (0) 7736951014
Abdulrahman RaheemWorld Health OrganizationNational Health Coordinator [email protected]+946 (0) 07740892896
Amar SabahWorld Health Organization (WHO)Health Cluster [email protected]+964 (0)7740892895
cross-cutting issue that has been emphasized upon in the HRP 2019.
Physical Rehabilitation
- HI to co-lead the Working Group in the coming few months; ToRs have been drafted as of now. This will be announced in due course.
- Inter-ministerial meeting to be held in DOMMA’s Prosthetic Center at Old Al Muthana Airport Base in Baghdad on 28th February 2019.
RH Working Group
- Dohuk – UNFPA has stopped supporting RH clinics in Kabar-to camp.
- Erbil – 5 camps are being supported with RH services.
- Ninewah – 2 referral hospitals (Telafer hospital and HAA field hospital). All IDP camps will continue to have support through April 2019.
- Salah al-Din – constructed delivery room in Yathrib. Service providers will be fully covered by government.
- Anbar – Al Qaim hospital supported. 2 delivery rooms are supported (Rutba and Qaim). RH clinics are being supported in AAF and HTC; complicated cases are being referred.
- Funding for IDP camps is covered till end of March; more funding from ECHO is expected.
- UNFPA is moving into development and phasing out from the facilities, where only technical support will be provided hence-forth. This will include training on SGBV and PSEA trainings.
- The Health Cluster has a few PEP kits for distribution to partners; if any partner is in need, they are to reach out to Dr. Fawad Khan.
Links for cluster dashboards and infographics on www.hu-manitarianresponse.info1. Iraq: Health Cluster Monitoring Online Dashboard 2019: http://bit.ly/2HHWxTO2. Health Cluster meeting minutes: http://bit.ly/2Kc3IFq3. Health Cluster infographics: http://bit.ly/2I9SZZp
