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1
Issue No. 1
April 2015
Heal th Sector Quarter ly Bul l et in
SudanSudanSudan Health
Health Sector response to Mea-sles outbreak
1
Setting up of National Health Emergency Call Center (ECC)
2
Health with a difference : Positively impacting the envi-ronment
6
INSIDE THIS ISSUE:
As of 19 April, 3539 suspected mea-
sles cases (with 2015 confirmed) have
been reported from 32 localities in 14
states of Sudan including 25 deaths .
(CFR: 1.2%)
The High Level Committee and
Health Sector Measles Outbreak Re-
sponse and Containment Coordination
meetings are held weekly under the
leadership of MOH/WHO in Khar-
toum. The Health Sector coordination
meetings to assess the response and
address the gap are also held regular
in affected states.
The initial localized response immun-
ization campaign was conducted from
19-23 January in 11 localities of
Gedaref and Kassala with 95 % and
97% coverage respectively.
With MSF-E support localized vac-
cination campaign was conducted in
Elseref locality of North Darfur from
25 March for 10 days. The Response
vaccination campaign started on 22
April 2015 in 28 first priority high
risk localities of six states as shown in
the map.
WHO, UNICEF, NGOs and MSFs are
supporting state ministries with drugs
and medical supplies for measles case
management, surveillance including
daily reporting, active case finding
and health education campaigns.
UNICEF procured the required vac-
cine.
Health Sector envelope from CHF standard allocation stands at US$ 3,489,000
The Programmatic Review Group reviewed 22 submitted “Concept Notes” based on guidelines set out in the GMS and
recommended 13 concept notes /NGOs for full proposal development and CHF 1st Standard Allocation. Among the
agencies recommended are seven INGOs, five NNGOs and one UN agency. 09 NGOs could not get funds from CHF 1st
Standard Allocation , therefore the delivery of health humanitarian assistance by national NGOs may be disrupted.
The total Health Sector requirement for 2015 is US$ 65 million and it is only 8% funded excluding the CHF. Some na-
tional NGOs are facing huge challenge to secure resources and it will affect delivery of health services .
Health Sector response to Measles
2
Emergency and Humanitarian Ac-
tion and Epidemic Response Direc-
torate at Federal Ministry of Health
is almost in the final stages to have a
functioning Emergency Call Center
(ECC) to be coordinated by EHA
Directorate at FMOH. This facility
will be the site for the Health Sector
Emergency Operation Center too.
It has video conferencing facility
and connectivity with the States be-
side „Hot Line „ access to the popu-
lation--- (get the number ) . The
ECC will handle both acute and
large scale emergencies with the
capacity to provide risk communica-
tion messages to the public includ-
ing public health messages. ECC is
expected to handle a considerable
volume of calls at the same time, to
screen calls and forward them to
the identified qualified technical
staff where the call to be handled
and logged.
For every telephone call received,
the assigned technical team deter-
mine the nature of the emergency
and the location of the caller, and
then assists in the dispatch of appro-
priate emergency services with a
smooth coordination with the related
partners in FMOH and the health
sector.
The Health ECC also is planned to
assist the FMOH providing coordi-
nated customized timely information
to the public through voice calls,
SMSs and social media. Such con-
tinued engagement is enhance the
community‟s participation and pre-
paredness for emergencies and solic-
it their support in response.
The ECC staff have been trained to
address and resolve most frequent
public health emergency calls and
Setting up of National Health Emergency Call Center (ECC) by FMoH
are going to be monitored of quality re-
sponses including referrals.
Ebola preparedness training workshop in Khartoum
WHO Sudan in collaboration with Federal Ministry of
Health, WHO Eastern Mediterranean Region office and HQ
organized the first sub-regional Ebola outbreak prepared-
ness training between 15-to 19 March 2015 in Khartoum. A total of 42 participants from multi-disciplinary areas,
with 35 from the Sudan Federal and State Minis-
tries of Health, including epidemiologists , emergency spe-
cialists, public health, laboratory technicians and nurs-
es, and seven participants from Yemen Ministry of Health.
The training of the countries Rapid response Teams to pan-
demics and outbreaks of emerging diseases (Including Ebo-
la Virus Disease) included one and a half day of lectures,
group discussions and exercises, and two and a half days of
practical application and simulation in the field of risk as-
sessment and alert investigation, infection prevention and
control, surveillance, contact tracing, collection and
transport of samples, community engagement and risk com-
munication, and safe burial. Half day was used discussions
on learning and knowledge transfer, suggestion for the im-
provement of the training module and agreement on the
next steps.
His Excellency the Federal Minister of Health and WHO Country Repre-sentative addressing the participants
Hands on training for Rapid Response teams
3
Support for measles outbreak controlSupport for measles outbreak controlSupport for measles outbreak control
WHO jointly with MOH and health partners had conducted
48 alert verification missions in the affected states that ena-
bled the confirmation of the measles outbreak.
WHO has supported training of more than 200 health pro-
fessional on case management in Kassala, Red Sea, West
and North Darfur, ensured minor rehabilitation and provision
of equipment for the establishment of isolation centre in
West Darfur and donated medical supplies for measles case
management (2 DDK, 10 IEHK, 20 RRK, iv fluids, and
antibiotics) in West, North, and Central Darfur, Kassala and
Gedaref. In addition medical supplies necessary for case-
management in all affected Darfur states, South Kordofan,
White Nile, Kassala and Red Sea sufficient for one addi-
tional month have been prepositioned. Health awareness
campaign supported in Kalma and Kass camps covering
more than 4000 people.
WHO and health partners continues support to save lives in Sudan
Blue Nile: The gap of medicines availa-
bility identified during the inter-sector
assessment of the new displacement in
Buleng, Azaza, and Al Gari, Gamberda
and Diglog, has been addressed by do-
nating 5 RRK kits to Pancare to cover
10,000 population for 3 month, and IV
fluids and medical supplies for the re-
ferral hospital.
Eastern states: WHO has completed
the rehabilitation of 7 Therapeutic Feed-
ing Centers in Red Sea State and pro-
vide operational support to Talaweet ,
national NGO for the functioning of 14
health facilities rural Kassala; 21000
consultations conducted during report-
ing period.
South Darfur: . WHO directly support-
ed with operational cost and medicines
the delivery of PHCC services for more
than 339,000 IDPs and host communi-
ties in Kalma, Ottash, Dereige, Al
Salam through ARC, SRCS, NIDO and
Mubadiroon.
60 RRK, and 38 IEHK distributed, and
120 (68 female) health staff trained.
East Darfur: WHO had supported the
PHC services in Labado and Mujaheria
and the repair of the Addilla and Eddain
hospital is in the stage of detailed plan-
ning.
North Darfur: WHO provided urgent
support to Seeker, ANHAR, HAD and
ministry of health for the health cover-
age of the newly displaced in Tawilla,
Zamzam, Mallet, and El Sayahn. WHO
supported 2 mobile clinics in Tawilla,
operation of 5 PHC clinics in Shagra,
Golo, Korma, Zamzam, and Mallet,
with more than 86,941 consultation re-
ported (45.7% children less than 5, and
51 % female). A total of 6,839 (7.9% of
total consultations) critically ill cases
were referred. WHO has donated medi-
cines & supplies to cover the needs of
160,000 beneficiaries.. Together with
MOH, WHO distributed 40,000 posters
around Tawilla locality, and 100 com-
munity health promoters have been
trained on hygiene/sanitation and health
promotion.
White Nile: WHO provided medicines
and operational support to 3 partners
and 6 clinics with around 50,000 con-
sultations conducted; main morbidities,
ARI, Malaria and Diarrhea.
Provision of emergency health care for people in need Provision of emergency health care for people in need Provision of emergency health care for people in need
4
UNFPA Support Fistula Centre and Midwifery School in West Darfur
UNFPA has supported the rehabilitation
of the Fistula Center in ElGeneina teach-
ing hospital by adding a fistula ward, ren-
ovating the operation room-latrines and
replacing some windows. The organiza-
tion has supported the midwifery school
with ten training models and participated
in the graduation ceremony of batch 15 of
village midwives to raise the midwife cov-
erage in the state to 42%. UNFPA has
sponsored 30 of the graduated midwives.
Musa Khater Mohamed is a 12 month old baby and his
mother is Manahel Adam. They live in Krenik IDP camp.
During a routine home visit from one of Save the Children
(SC) Community Health Workers (CHW), he found that
Musa was suffering from a wound in his abdomen and left
thigh. This had been left untreated for 3 months and no
medical advice had been sought. The wounds had been di-
agnosed by the parent as spider bites and had been treated
through tradition methods with tree roots. However, there
was no response to this treatment and the wound became
more inflamed and Musa started to suffer from a fever. The
SC community health promoter advised Manahel to take her
baby to the hospital and gave her a referral to be seen by
medical staff. Manahel went to the hospital with Musa and
was seen by a SC Medical Doctor. The Doctor performed a
clinical examination and laboratory investigation and diag-
nosed Musa with a chronic infected wound, cutaneous lesh-
maniasis Musa was admitted to the pediatric ward and re-
ceived dressing for the wound and was provided with anti-
biotics and analgesic. The wound became clean and Musa
was discharged in good condition with an oral antibiotic for
follow up. Musa‟s mother continued to follow up and care
for Musa until he was fully recovered
Cutaneous leishmaniasis is treatable
UNICEF support training of Skilled Birth Attendants (SBA)
UNICEF in partnership with the Federal Ministry of Health continues to support the
pre-service training of Skilled Birth Attendants. 233 Midwifery Students from South
and East Darfur States have completed the second term of the curriculum in Omdur-
man and Khartoum North Midwifery Schools. This group will be graduated as Com-
munity Midwives in July 2015, and expected to contribute to the improvement of
Maternal and Child health in Darfur.
A new group of 200 selected midwives from North, West and Central Darfur States
are expected to start basic midwifery training in April 2015.
5
It was a big surprise for her! Fatima Mohamemd (24), a
mother 4 kids and resident at Hay Kass in South Darfur
was visited at her house by the health education campaign-
ers last week. The busy housewife expressed her excitement
that she is so happy now to know many useful tips that can
save lives of her kids. As she mentioned it was the very first
time to be visited by a health educator. The message deliv-
ered printed such an impression in her mind that she said: “I
never got the chance to hear such valuable health message
relating to the health and well- being of my kids; I will not
forget the message and I promise to follow the guidance to
protect health of my kids”. The mother also assured the
campaigners that she will disseminate the health message
to her community.
This happened in the context of Measles Outbreak response,
when health education campaign at Kass locality in South
Darfur was conducted from 24th to 26th March 2015 in col-
laboration with WHO and Health Promotion Department
of State Ministry of Health.
Health Education has an impact on families
Islamic Relief Worldwide (IRW) is implementing a health project funded by SDC which was designed to improve basic
primary health care and WASH services for 42,875 conflict affected populations and build the capacity of health team to
deliver quality services in Nertiti area of Central Darfur State. Hawa Arbab used to live in a village located around Kabka-
byah area before Darfur conflict broke in 2003; and that area has no education and health services like what they have in
the camp now. IRW monitoring team met Hawa Arbab on Sunday 29th of March 2015 while visiting the PHC clinic to
medicate her 9 months old child “Omran” who was seriously having fever for six days period. Hawa‟s son got treated and
she was also met with the midwife in the clinic who provided her with ANC services free of charge.
Hawa is very pleased with the PHC services provided to them by IRW and the donors” SDC” and she is sending the fol-
lowing messages to them.
“I want to send a lot of thanks to IRW and donors who provided us with integrated health, WASH and education facilities
and we wish they will continue providing us these services till peace prevails in our areas and we go back home to our
normal live. So thanks and thanks again and again for all who assisted and provided all these services to us”
6
HEALTH WITH A
DIFFERENCE:
POSITIVELY IMPACTING
OUR ENVIRONMENT
A team of World Vision Sudan
health staff under the auspices of
Club- Tameen Al mostagbal تأمين(
has gone an extra mile toالمستقبل(
invest time and resources to plant
trees at the Primary Health Care
centers where they work. The staff
has committed to go beyond the call
of duty and plant a total of 200 trees
within a period of two years. By this
quarter, the club had managed to
reach 50% of the target they set
when the club was launched in May
2014.
In Blue Nile state, World Vision
staff in partnership with the Ministry
of Agriculture and Pan Health Care
a national health NGO have planted
70 trees at six Primary Health Care
centers. In South Darfur state, the
club members have planted 27 trees
bringing the total in both states to 97
trees planted in 10 primary health
care centers in one year. The species
that have been planted include fruit
and shade trees such as mango, gua-
va, brazilia, lime, neem, willows
(dignabasha), fiscus (figis) and ma-
hogany.
“I believe planting trees is an act of
worship and charity,” says Nour
Eldin a medical assistant at Mana-
washi Primary Health Care clinic in
Mershing locality of South Darfur
state. Manawashi clinic is under
World Vision management funded
by USAID and World Vision US to
provide lifesaving essential health
care to communities.
“Ordinarily, this would be be-
yond my job description, howev-
er, working with World Vision,
has encouraged me to plant trees at my work station. As Dr. Ibra-
him Mohammed, World Vision
health Supervisor in Blue Nile
Program says the planting of
trees will contribute significantly
to securing the health of Suda-
nese children in the future. This
is in addition to appropriate
awareness raising, medical waste
management, solid waste man-
agement, use of fuel efficient
cooking techniques and use of
Stabilized Soil Bricks for clinic
construction.
World Vision Sudan remains
committed to step up the
„environmental marker‟ by inte-
grating environment into human-
itarian programming; working
with communities to improve
outcomes, create multiple bene-
fits but more so to save the fu-
ture for generations to come.
In 2015, World Vision health
staff pledge to plant 103 trees at
the various Primary Health Care
centres. We shall also encourage
communities that we work with
including children to plant trees
at the household level.
Sudan Health Sector
Somia I. Okued EHA Director –FMOH somiaokoued@gmail.com Dr. Jamshed Tanoli Health Sector Coordinator tanolij@who.int
Secretariat sudanhealth@sud.emro.who.int
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