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ERM Emergency Risk Management and
Humanitarian Response
HUMANITARIAN HEALTH
RESPONSE IN YEMEN KAREN HOBDAY, WHO
Photos: Acknowledgements to Dr Ahmed
Zouiten
ERM Emergency Risk Management and
Humanitarian Response
Demographic indicators
Total population (2014) 26,052,966
Population under the age of 15 40.2%
Gross national income per capita US$ 3,820
Life expectancy at birth m/f 63/67
Probability of dying under five 60
(per 1 000 live births, 2012)
Probability of dying btw 15 and 60 years 264/214
m/f (per 1 000 population, 2012)
Maternal mortality ratio (100 000 live births) 270
Total expenditure on health as % of GDP 5.5
ERM Emergency Risk Management and
Humanitarian Response
Conflict
19 March renewed conflict erupts between
government forces and local armed groups
26 March fighting between the Houthi’s and
President Hadi’s supporters turns into full conflict;
airstrikes by coalition forces commence
21 April Coalition seeks an end to air strikes calling
for Operation Restoring Hope; yet fighting has
continued
12-17 May Five day humanitarian pause
Peace talks commenced 15 June in Geneva
ERM Emergency Risk Management and
Humanitarian Response
19 March to 07 June, 2, 584 reported deaths and
11, 065 injured
21.1 million people affected (80% of population)
1, 019, 762 people displaced by conflict
42, 000 people have fled since March 2015
Shelling and attacks are ongoing in Aden, Hajjhe,
Al-Dhale, Sa’ada & Lahj Governorates impeding
humanitarian access
Partners working to scale-up operations; UN
agencies sending 70 international staff
Humanitarian Situation
ERM Emergency Risk Management and
Humanitarian Response
Wheat trucks hit by armed forces, killing 4 and injuring 5. This
shipment was going to Taiz, Yemen.
ERM Emergency Risk Management and
Humanitarian Response
Impact on Health
15.2 million people lack adequate access to basic
primary health care services
The routine vaccination program is disrupted
Increased risk communicable diseases including;
measles, rubella, diarrhea, dengue…
69 cases of dengue in Aden Governorate in May 2015
Currently, 16, 000 children in the South of Yemen are
suffering from severe acute malnutrition with limited or
no access to treatment
Lack of access and NCD medicines= increase risks ie.
Dialysis, heart and cancer patients; birth complications
ERM Emergency Risk Management and
Humanitarian Response
Impact of Conflict
Attacks on health workers, facilities and assets
53 health facilities are closed, 12 in Taizz, due to lack
of fuel, supplies and sustained damage
Ambulances as well as other WHO vehicles have
been carjacked in Lahj Governorate and Aden city
Medical supplies up to 10 million in value at risk due
to lack of electricity and fuel for backup generators for
cold chain
ERM Emergency Risk Management and
Humanitarian Response
HEALTH CLUSTER PARTNERS
Health Cluster meetings have been taking place
regularly in Amman and Sana’a.
A new Health Cluster Coordinator was hired for
Yemen, and will be based in Sana’a
Recently cluster partners have revised Yemen
Humanitarian Response Plan; the HRP will be
launched on 18 June
Health Cluster partners have 74 MT of medicines
and medical supplies in the country ready to be
dispached to cover more than 700 000 people
ERM Emergency Risk Management and
Humanitarian Response
Provision of primary health care services through
mobile health clinics in Aden, Sana'a and
Hodeida
Expanding vaccination activities to previously
inaccessible areas.
Provision of safe water to hospitals and locations
hosting internally displaced persons.
Actively seeking funds for non-communicable
disease medications which have almost been
depleted in Yemen
WHO Activities in Yemen
ERM Emergency Risk Management and
Humanitarian Response
58 MT of medical supplies in Yemen (majority in
Hodeida and Sana'a)
Supported hospitals with fuel, essential
medicines, equipment and staff; operations
rooms with oxygen, trauma and dressing kits,
human resources & inter-hospital patients
transfer.
Provided a shipment of anti-malaria medicines
from the Global Fund to Fight AIDS, Tuberculosis
and Malaria sufficient for 44,950 treatment
courses of malaria.
WHO Activities in Yemen
ERM Emergency Risk Management and
Humanitarian Response
Challenges of Operating in Yemen
Difficult to hire drivers and transport supplies to
areas that are highly insecure
Infrastructural damage to health facilities, schools,
electrical plants, petrol stations, water pumps,
bridges, health facilities and WHO and partner
offices, warehouses
Limited number of international operational partners
on the ground.
Local partners are working in an extremely stressful
environment
Teresa Zakaria, MD, MIPH
Migration Health Emergency Operations Offier
Remote Management of
Emergency Health Programme
the IOM Experience in Yemen
The IOM Migration Health Programme in Yemen
Health assistance for migrants and crisis affected populations
• Mobile health clinics and HR support to fixed public health facilities – PHC, EPI, CMAM, RH in Al Jawf, Abyan, Shabwah, Aden and Sana’a
• Mobile Emergency Units patrolling Yemen’s south-western shores – outreach to migrants in need to urgent assistance, notably health care in Lahj, Taiz, Hodeidah and Hajjah.
• Operation of migrant clinics and residential health care facilities in Sana’a, Bab Al Mendep, Haradh and Aden
• Preparedness for disease outbreaks targeting migrants (MERS-COV and Polio)
Operational Approach
• Identification and recruitment of national consultants through third party arrangement
• Clear hierarchy, areas of responsibilities and reporting lines: field team field team leader area team leader national health officer – programme coordinator
• Clear M&E framework and processes utilization of mobile data collection methods, integration of health and socio-demographic information
• Regular programmatic updates and field monitoring
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