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Health Cluster Meeting
5th August 2014
Juba Regency Hotel
Agenda – 5th August 2014
• Welcome and Introductions - Chair
• Action Points
• IDP Surveillance Update – WHO
• Cholera Update – WHO
• Clusters Update -
• Crisis Response Update – HCC
• AoB – Mewun / Boma
Health Cluster Meeting 5th August
Action Items Person Responsible
Health Information. Maternal mortality and stillbirths. Maternal Audit
MOH, Cluster, UNFPA
Hepatitis E. Outbreak status for Mingkaman. MOH/WHO
Cholera Awareness & Response, New Locations & Military institutions.
Task Force Update
Cholera Case Control Study / Risk Assessment. Update on progress/results
Cholera Surveillance Working Group
Capacity Mapping. New form to be shared today. Cluster
Maternal Death Audit
Prevention of Postpartum Hemorrhage at Homebirth in South Sudan: Maternal Death Audit Form (community and home facility)
[CONFIDENTAL]
Date of Review:
dd mm yy Serial No.: .. .. .. ..
Registration No: .. .. .. ..
SECTION 1: DETAILS OF THE DECEASED WOMAN
101. Age at death (completed years): ………………………………………………………………………….
102. Residence (fill location): ……………………………………………………………………………………...
103. Religion (Christian = 1; Muslim = 2; Don’t know = -9; Other = 3): ………………………..
104. Education status of woman: ……………………………………………………………………………….
(No education-illiterate = 1; No education-Literate = 2; Primary = 3; Some secondary = 4; Completed 12 classes = 5; Some higher education completed = 6; Higher education completed = 7; Don’t know = -9)
SECTION 2: MATERNAL OBSTETRIC HISTORY
201. How many pregnancy has she had (including the latest)? ….......... (don’t know = -9)
202. How many children in total has she given birth to?.………..….......... (don’t know = -9)
203. How many abortions / miscarriages has she had?.………………......... (don’t know = -9)
204. How many stillbirths ha she had? ............................……………......... (don’t know = -9)
205. How many of her children died in the first month of the life? .….… (don’t know = -9)
206. How many caesarean sections has she had? ………….…………….…….. (don’t know = -9)
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Weekly Health Cluster Report
- CRP
[email protected] [email protected]
Health Cluster Reporting form- South Sudan 2014 revised May, Aug 2014
State: Location:
County: Facility Type:
Health Partner:Target population (estimated)
From start of crisis Week 29 Week 30 Week 31
until 2nd February
1 Consultations:
2 Patient referral
3 Inpatient stabilisation (few hours only, e.g. ORT)
3 Inpatient care (24/7 IPD) New Admissions in Week
4 Minor emergency surgery (e.g. stitching)
5 Major emergency surgery
6 Measles vaccination campaign - If done this week
7 Routine EPI (in emergency setting)
8
9 Nutrition referral
10 Reproductive health services
11 Condom distribution
12 SBV: Clinical management of GBV
13 Health Promotion & Community Health Education
14 Mental health
15 Others (e.g. other vaccinations or disease programme
Number of people reached with HP messages
Number of people receiving basic counselling
Number of people referred
Gunshot wounds/Conflict Trauma new this week
Number of sick people referred to health facility
<5y GIRLS - Referred for / starting TFP
No of women who received any ANC services
No of women who received IPTp 2nd dose
No of births attended by a skilled birth attendant
No of pregnant women with complications referred
<5y BOYS - Referred for/starting TFP
No of deaths in facility, MATERNAL
No of deaths in facility, STILLBIRTH
No of men received condoms
No of women received condoms
No of GBV with first visit for exam/counselling
No of GBV given Rape Kit
Number of HH visited
Number of women received TT 2
Nutrition screening
<5y children MUAC < 115 R E D
<5y children MUAC 115 - 125 Y E L L O W
<5y children MUAC > 125 G R E E N
<5y boys who received DPT 3
<5y girls who received DPT 3
<5y boys who received measles vaccination
<5y girls who received measles vaccination
< 5y boys received OPV
<5y girls received OPV
Total
<5y boys
<5y girls
5y and older male
5y and older female
Total
Number of patient referred for secondary care
<5y boys
<5y girls
5y and older male
5y and older female
<5y boys
<5y girls
5y and older male
5y and older female
IDPs
Host population (if applicable)
Total
<5y boys
<5y girls
5y and older male
5y and older female
Secondary Care Mapping
Date: End July 2014 Secondary & Specialty Care Capacity Mapping - South Sudan
Health Facility or
LocationState County
FUNCTIONING
JULY 2014?Managed by
Hospital
Type
Number of
inpatient
beds
Transport
ability for
referrals
Name Phone # E-mailOperating
theatre?
Number of
Theatres
Able to
operate at
night
Surgeon
present?
Able to
perform
minor
surgery?
Able to
perform
major
surgery?
Blood
transfusions
capacity
Adequate
supplies
Adequate
AnaesthesiaGaps in usrgical capacity
1 Juba Teaching
Hospital
CEQ Juba MoH Civil yes Dr Mabior, Snr
Medical Officer
0925 249 873 Yes yes 3 Yes Yes Yes Yes Yes
2 El Sabbah Children's
Hospital
CEQ Juba MoH
3 Juba Military Hospital CEQ Juba SPLA Military Yes 2 Yes Yes yes No no
4 Tongping PoC CEQ Juba IMC
5 Tongping PoC CEQ Juba MSF-B
6 UNHOUSE CEQ Juba IMC
7 UNHOUSE CEQ Juba MSF-B
8 Kajo-Keji Hospital CEQ Kajo-Keji Civil 145 yes 0 Yes no No No
9 Liwolo Hospital CEQ Kajo-Keji
10 Yei Hospital CEQ Yei MoH/NPA Civil Yes 0 Yes No Yes No No
11 Malteser Hospital CEQ Yei Malteser
Health Facility Contact Person for Med/Surg TransferHospital Information Theatres and Surgical Information
Secondary Care
Mapping
DATA COLLECTION FOR SECONDARY & SPECIALTY CARE MAPPING
Name of Person Completing Form:
Phone and E-mail:
Date Completed:
FACILITY # 1 FACILITY #2
FACILITY & LOCATION
Name of Health Facility
Town/Village Location
State
County
Functioning Status 1 August 2014
Managed by
Hospital Type
# of Inpatient Beds
Transport for referrals available?
CONTACTS FOR REFERRAL / INFO
Contact Name for Patient Referals
Contact Phone Numbers
Contact e-mail
SURGERY QUESTIONS:
Operating theatre available?
# of Theatres
Able to operate at night?
Surgeon present?
Able to perform MINOR surgery
Able to perform MAJOR surgery
Blood transfusion possible?
Blood bank available?
Anaesthesia types:
Assessment of current supplies
Gaps in Surgical Capacity Now:
STAFFING AND SPECIALTIES - How Many?
Doctors/Surgeons
Clinical Officers
Nurses
Midwives
Theatre Nurses/Assistants
Anesthetic Officers
Other, specify:
Health Situation and Crisis Response Plan Update
15 July 2014
Cri
sis
Re
spo
nse
Pla
n
KEY FIGURES PAST WEEK CUMULATIVE
Number of people reached (whole country) 111,500 1,956,485
Number of people in need (whole country) 4,200,000
Number of people targeted (whole country) 3,100,000
Outpatient Consultations conducted 82,563 875,535
Cholera Cases, Juba County 29 2,125
Cholera Cases, Other Counties 160 3,240
Cholera Deaths, Cumulative 6 115
Hepatitis E Cases, Minkoman - 63
National Public Health Laboratory, tests completed 328
Vaccinations, children protected against measles 14,121 382,737
Vaccinations, children protected against polio 12,083 283,191
Vaccinations, 2 doses cholera OCV, for IDPs - 120,176
Vaccinations, Meningitis, Mingkaman - 32,681
Vitamin A supplementation to Under 5s 69,734
De-worming to Under 5s 36,268
Rep Health - Women provided ANC services 2,425 48,057
Rep Health - Women with assisted deliveries 268 8,440
Rep Health - Women with caesarean sections 40 831
People reached with GBV prevention messages 2,895 43,076 REP
RO
DU
CTI
VE
HEA
LTH
TAR
GET
SO
UTB
REA
K/L
AB
VA
CC
INES
, V
itA
5.8 M IN NEED OF HEALTH ASSISTANCE
> 1.5 MILLION DISPLACED INTERNALLY & EXTERNALLY
241,675 REFUGEES
7,018 INJURED
Update on Displaced Population
Source: OCHA South Sudan – Situation Report No. 47 (as of 31 July 2014)
Geographical distribution -12 July 2014
Funding Status - CRP
• Health:
–Total requirements – $77, 000, 000
–Funding – $53,509,287 (69.5%)
• Gap – $23,490,713
• Uncommitted pledges – 0
LOGS – SRF Service Request Form
v 4.4
Logistics Cluster Pipeline Report
Cluster Organization Origin Destination mt m3
0 0
Cluster Organization ETA mt m3
Cluster Organization ETA mt m3
Total
Logistics Cluster
Pipeline Report May 2014
Total
Transport Needs for Cargo Already in Country
Total
Cargo physically en-route to South Sudan (requiring Logs Cluster transport/storage)
Cargo under procurement (requiring Logs Cluster transport/storage)
1)
Only new requests are to be inserted in the report;
do not include cargo which has already been
submitted to the Logistics Cluster via SRF (Service
Request Form).
2)
The report is to be updated every two weeks (COB
Thursdays) - Logistics Cluster will circulate
reminders
3)
This is a fluid document and will be revised as
necessary (all suggestions for improvement are
welcomed)
4)This report is only tracking cargo that needs to be
stored/transported by Logistics Cluster assets
Guidance
Location Lots 1-5, 9 and 14 Delivery of ACTs / RDTs
CES Hospitals and Counties 5 to 9 August 23 – 27 July
WES Hospitals & Counties 23-25 July
WBeG Hospitals & Counties Completed
NBeG Hospitals & Counties 24 – 26 July
Warrap 21 - 23 July
Lakes 1 to 5 August
EES 10 – 13 August 1 to 31 August
Jonglei
Unity
Upper Nile
Drug Situation – EMF & ACTs
Medical Information Update
Weekly IDSR
Republic of South Sudan Ministry of health Weekly Reporting Form
Health facility:__ __ State ___County__ Payam Epidemiological Week Number: _______ Note: Epidemiological week begins on a Monday and ends on a Sunday Starting Date: __ Ending Date: Date form completed: _ Date that the data reached the county: _____/___/______ Date that the data reached the state: _____/___/______ Month of most recent supervision: ________________
Curative consultations Number under 5 Number 5 or above
Cases Deaths Cases Deaths
Total curative consultations
Suspected cases of epidemic-prone disease
Cholera
Acute Watery Diarrhea (AWD)
Diarrhea with Blood (ABD)
Measles
Meningitis
Viral Hemorrhagic Fever (VHF)
Yellow Fever
Relapsing Fever
Acute Jaundice Syndrome (AJS)
Severe Acute Respiratory Syndrome (SARS)
Malaria
Neonatal Tetanus (NT)
Guinea-worm disease (suspected)
Number under 5 Number 5 or above
Cases Deaths Cases Deaths
Acute Flaccid Paralysis (AFP)
1. Have you observed an unusual number of cases and deaths this week? Yes / NO (circle one)
If yes, which disease/syndrome _________________________________ 2. Have you observed an unusual disease/syndrome in the area this week? Yes / NO (circle
one)
If yes, which disease/syndrome _______________________________________
3. Is there any rumor of suspected outbreak (cases or deaths) in the community? If yes give details Yes / NO
If yes, describe actions taken to verify, investigate, contain/control the observed situation Reporting Person: _____________ Sign: _________ Date: ____
In case of a suspected disease outbreak or unusual disease condition, report immediately to:
MoH, RSS, Juba, E-mail: [email protected] or Your State Surveillance Office
Measles
Monthly DHIS
Routine Monthly Report Health Facility
Payam County
Report Month Year
PART 1 / DATA ELEMENTS NUMBER COMMENTS
1 Curative consultation Under 5 MALE
2 Curative consultation Under 5 FEMALE
3 Curative consultation 5 years and older MALE
4 Curative consultation 5 years and older FEMALE
5 Antenatal client 1st visit
6 Antenatal client 4th or more visit
7 Antenatal client IPT - 2nd dose
8 Family Planning new user
9 Delivery in facility by Skilled Birth Attendant
10 Delivery in facility by TBA,MCHW, CHW, Community or Village Midwife
11 Delivery in the community
12 Delivery referred
13 Live birth in facility
14 Post-natal client 1st visit
15 Malaria uncomplicated, clinically diagnosed under 5 years Under 5s
16 Malaria uncomplicated, confirmed under 5 years Under 5s
17 Malaria severe under 5 years Under 5s
18 Malaria uncomplicated, 5 years and older 5 +
19 Malaria severe 5 years and older 5 +
20 Pneumonia presumed under 5 years Under 5s
21 Diarrhea treated with ORS under 5 years Under 5s
22 Diarrhea all under 5 years Under 5s
23 Vitamin A supplement 6-59 months (dose) Under 5s
24 Vitamin A supplementation new mother Mother
25 Insecticide treated net to under 5 years Under 5s
26 Insecticide treated net to antenatal client ANC
27 MUAC < 115 mm Under 5 years
28 MUAC < 125 mm Under 5 years
29 Death in facility, all Al l
30 Death in facility, Under 5 years Under 5s
31 Death in facility, Maternal Maternal
32 TB Patient suspected
33 TB patient referred to the TB Management Unit
34 Payam outbreaks detected by the Health Facility
35 Payam outbreaks investigated by the Health Facility, 48h after detection
36 Condoms distributed by the facility
37 VCT client seen
38 VCT client tested for HIV - new
39 VCT client tested HIV positive - new
40 VCT client who collects test result
41 Antenatal client tested for HIV
42 Antenatal client who collects test result
43 Antenatal client tested HIV positive - new
44 Antenatal client HIV positive given PMTCT - new
45 HIV positive patient eligible for ART registered - new
46 HIV positive patient who receives ART - new
AN
C, F
P, D
eliv
ery
, Po
stn
atal
Pat
ien
ts S
ee
nM
alar
iaIM
CI
De
ath
sT
BO
ut-
bre
aks
HIV
/AID
S: V
CT,
PM
TCT,
Co
nd
om
s, A
RT
MU
AC
Vit
ALL
TNC
S 47 Caesarian section done
MONTHLY IDSR: Please Indicate all suspected cases of any of the diseases quoted below.
1 -Onchocerciasis
2 - STI
3- Bilharzia
PART 2: EXPANDED PROGRAM OF IMMUNIZATION and PHARMACEUTICALS
Children Under 1
Vaccination Report
1 BCG 0
2 OPV 0 0
3 OPV 1 0 TETANUS TOXOID VACCINATION
4 OPV 2 0 Pregnant Women
5 OPV 3 0 Women 15 to 45
6 DPT 1 0 TT 1
7 DPT 2 0 TT 2
8 DPT 3 0 TT 3+
9 Measles 0
10 Yellow Fever 0
VACCINES / PHARMACEUTICALSOpening Balance
A
Issued C /
discarded/ sent
to other centres
Balance (=left)
A + B - C
BCG 0
OPV 0
DPT 0
Tetanus Toxoid (TT) 0
Measles 0
Albendazole , 200 mg tabs 0
Amoxicillin 250mg caps/tabs 0
Artesunate + Amodiaquine (Adult: 6 tabs) 0
Artesunate + Amodiaquine (Child: 3 tabs) 0
Artesunate + Amodiaquine (Infant: 3 tabs) 0
Artesunate + Amodiaquine (Toddler: 3 tabs) 0
Ciprofloxacin, 500mg tabs 0
Cotrimoxazole 480mg tabs 0
Ferrous Sulphate Folic Acid 200mg/0.25mg tabs 0
Metronidazole 200mg tabs 0
ORS 0
Paracetamol, 500mg 0
NOTE: Please write 0 (ZERO) if the health facility provides services but nobody came for this particular service during
this month period; if the health facility does not provide services please leave the space blank.
Please note the EPI report refers to children
less than one year of age.
Received
B
Number Comments
Fixed Outreach TOTAL
Data Element
4 - Kala-Azar
5 - Lymphatic Filariasis
6 - Trypanosomiasis
7 - Rabies
8 - Plague
9 - Leprosy
10 - Brucellosis
11 - Typhoid Fever
DHIS Information 2014 - Jonglei Deaths < 5
JAN FEB MAR APRIL MAY JUNE TOTAL per 10,000 TOTAL % of consults
Akobo County Consultation curative under 5 years male 1,239 732 1,971 4,199 35.72 449 10.7% SAM GAM
Akobo County Consultation curative under 5 years female 1,403 825 2,228 5-10% >30%
Akobo County Death in facility all 7 9 16 2-5% 20-30%
Akobo County Death in facility maternal 0 0 0 Akobo East
Akobo County Death in facility under 5 years 6 9 15 Akobo West
Akobo County MUAC less than 115 mm under 5 years 86 59 145
Akobo County MUAC less than 125 mm under 5 years 241 63 304
Ayod County SAM GAM
Ayod County 2-5% 10-20%
Ayod County
Bor County Consultation curative under 5 years male 67 285 305 888 641 2,186 4,263 2.35 300 7.0% SAM GAM
Bor County Consultation curative under 5 years female 89 311 181 639 857 2,077 10-20%
Bor County Death in facility all 0 0 0 1 1 2
Bor County Death in facility maternal 0 0 0 0 0 0
Bor County Death in facility under 5 years 0 0 0 1 0 1
Bor County MUAC less than 115 mm under 5 years 0 18 22 30 107 177
Bor County MUAC less than 125 mm under 5 years 0 16 23 34 50 123
Duk County Consultation curative under 5 years male 456 234 690 1,464 6.83 376 25.7% SAM GAM
Duk County Consultation curative under 5 years female 596 178 774 15-30%
Duk County Death in facility all 2 1 3
Duk County Death in facility maternal 0 0 0
Duk County Death in facility under 5 years 1 0 1
Duk County MUAC less than 115 mm under 5 years 230 2 232
Duk County MUAC less than 125 mm under 5 years 143 1 144
Fangak County SAM GAM
Fangok County 2-5% 10-20%
Fangok County
Muac < 125mm
CDR 1 - 2
CDR
DHIS Information 2014 JONGLEI:
• None: Ayod, Fangok, Nyirol, Pigi, Uror
• Jan/Feb: Akobo, Duk, Pibor, Pochalla, Twic East
UNITY:
• None: Koch
• Rest: 1, 2 or 3 months only; April – only Panyijar
UPPER NILE:
• Akoka, Baliet, Nasser, Panyikang, Ulang
• 2 or 3 Months: Malakal, Renk, Longechuk
OTHER: Gogrial East,
Thank You!
