WORLD HEALTH ORGANIZATION

Kosovo Health Talks 41 Kosovo Health Talks 4111.04.2001NEWS UPDATENEWS UPDATE

EMERGENCY PLANNING

Refugee watch in placeWHO is the health care co-ordinator for people fleeing into Kosovo to escape fighting across the province’s boundaries and borders. At the time of publication the situation along the border with Macedonia was quiet again, following the uprising by ethnic Albanian armed groups centred in the Tetovo region.About 30,000 Macedonian nationals, many of them ethnic Albanians, were displaced at the height of the fighting two weeks ago. Up to 10,000 of these fled to Kosovo, many of them over the snow-clad mountains. The great majority was housed by host families in the Prizren region, many of which were repaying hospitality received in Macedonia during the NATO bombing of Kosovo in 1999.Overall responsibility for emergency preparedness planning is in the hands of UNHCR in Kosovo, which has chaired regular meetings of interested agencies and organisations. WHO drafted a contingency plan of action to co-ordinate health care for refugees. The Department of Health authorised free access to medical services for refugees from Macedonia, but delays in registration by UNMIK meant that some continued to be charged co-payment fees for treatment. The main health problems were hypothermia and dehydration. The ICRC, Kosovo Red Cross and Mother Theresa society were among the most actively involved in the emergency health sector.Meanwhile the KFOR-authorised entry of Yugoslav forces into several parts of the so-called Ground Safety Zone along Kosovo’s northern and eastern boundaries with Serbia has produced minimal displacement of the local population so far.

The Yugoslav army is expected to be allowed back into another sector of the GSZ in the coming days, leaving only the most contested section in the Presevo Valley officially demilitarised. NATO/KFOR is reported to believe that it is too early to alter the status of this small section because of potential instability there.

EDITOR’S NOTE

Kosovo Health Talks is nowpublished monthly

HOSPITALS

Building “B”: better days ahead

“Skeleton” to come to lifeThe eyesore building in the grounds of Pristina University Clinical Centre is to be completed at last. The European Agency for Reconstruction (EAR) has found funds to complete the famous “skeleton”, which is more usually known as “Building B”.In agreement with the Department of Education and Science, the four-storey building is to be turned into a multi-use facility. The ground floor has been designated for the University Department of Family Medicine. The Kosovo Protection Corps is also likely to get one complete floor. Another floor may be divided between pharmacology, histology and physiology, while the future of the final floor is still being discussed.

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A meeting was due to be called this week to set up a project management team.The building could be opened in early 2002 if everything goes according to plan.The EAR budget for the project is one million DEM, which should cover all infrastructural work. An additional 50,000 Euros (about 100,000 DEM) is expected to come from the budget of the EAR Consortium for capacity building for medical training and health service management. The consortium, led by the French company Bernhard Brunhes International, had originally set this money aside for the rehabilitation of other space for the family medicine programme. It could now be used for fitting out the interior of the new university department.

HEALTH AND SOCIAL WELFARE

AIs list equipment, tests for family centresThe DHSW has issued an Administrative Instruction (AI 2/2001) listing the equipment to be used in family health centres. The new AI replaces the list published last year in AI 15/2000.The document notes that all purchases of equipment must be made in compliance with UNMiK procurement rules. When appropriate, health facilities should use centralised purchasing through DHSW.Family health centres have to obtain advance approval from the department before accepting a donation which deviates from the new equipment list.A second AI (4/2001) sets out a list of the laboratory tests which are to be performed in primary health care facilities, including main family health centres, family health centres and punctas (outreach health centres).DHSW will approve and cover capital and running costs only for the tests listed in the instruction, which entered into force on 2 April.Municipalities will have to cover expenses related to any other test from sources other than funds allotted for primary health care under the Kosovo consolidated budget.DHSW can authorise a primary health care facility to perform laboratory tests not included in the AI, but only under special circumstances. In such cases the municipality will normally have to apply for permission at the time of submitting the annual budget proposal. Permission will be granted during a fiscal year only in exceptional circumstances. And the proposal will have to be justified in terms of special health or population characteristics of the municipality.

MENTAL HEALTH

Dr Mahmut Lila, director of the Gjakovë/ Djakovica community mental centre, answers questions from Nedime Belegu of UNMiK’s Blue Skies radio in the run up to World Health Day celebrations last Saturday. The focus this year was on mental health and developments in MH in Kosovo received wide coverage in the local media.(See the Focus section on World Health Day)

MOTHER AND CHILD HEALTH

Year 2000 perinatal data now availableWHO’s Mother and Child Health (MCH) unit last Friday presented tabulated perinatal data for last year to specialist health care workers. The data reflect births that occurred in regional hospitals, including Pristina University maternity clinic, and health houses.In year 2000, 38,969 patients delivered 38,785 live births and 572 stillbirths. There were 20,199 males and 18,586 females; the sex ratio was 1.09. There were 2260 low birth weight infants and 577 early neonatal deaths. The perinatal mortality rate was 29.2. The cesarean section rate was 7.5%. Data were tabulated by the MCH unit, after being collected by hospital and health house personnel assisted by the WHO Regional Health Advisors and MCH staff. A discussion was held after the presentation. These data will be useful in further developing the reproductive and perinatal health strategies for Kosovo and demonstrate the need for evolution of the health information system.(see pages 9, 10 for tables)

ENVIRONMENTAL HEALTH

New survey of infectious diseases publishedWHO Kosovo, working with the Institute of Public Health in Pristina, has produced a first annual report on the surveillance of infectious

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diseases compiled from data obtained through the Kosovo Surveillance (Kosurv) system. The report, which covers the year 2000, gives a statistical analysis of 20 identified syndromes, including the most common communicable diseases prevalent in Kosovo, and identifies ways to improve the surveillance system. The new surveillance and response system was established with the support of WHO and IRC with funds donated by DFID. Kosurv is based on modern epidemiological software (Epi-info 6). The incidence of many infectious diseases is still high in Kosovo and needs a well functioning surveillance system to identify priority areas for effective control strategies. Several potential outbreaks have been identified by the system, although the data quality and the timeliness of reporting need a lot of improvement. Some areas (Obiliq/Obilic) seem to be at higher risk for several infectious diseases (such as diarrhoeal diseases, lower respiratory tract infections, and scabies) that cannot be explained by differences in data quality. It is likely that environmental factors (crowded living conditions, low quality of drinking water and sanitation, pollution) are among the main reasons for these sometimes striking differences.The surveillance system currently only covers the Albanian part of the population. Ambulantas for Serbian inhabitants or minorities do not report to the IPH. It should become a priority to include all ethnic groups in the surveillance of infectious diseases in Kosovo. Before the crisis a mandatory reporting system targeting 67 health conditions based on ICD codes was in place in Kosovo. Timely analysis and actions related to the results were not among the priorities of this reporting system.

Mines hazard returns with springThe change of season has brought grim reminders that mines and other unexploded ordnance still pose a serious threat to life in Kosovo.In the week before publication of this edition of Health Talks it was learnt that these relics of war had claimed one dead and five injured in four different incidents. Last Friday the demining NGO Halo Trust lost one dead and a second injured during demining operations. And over the weekend a seven-year-old boy and a 70-year-old man each lost a leg in separate incidents. Two others were injured this week.KFOR, whose Info-Ops unit is running a mine awareness campaign, reminds people in

Kosovo that the threat of mines and other UXOs must remain a major concern for all. It reminds people not to drive off the road onto roadside verges, and advises newcomers to Kosovo to attend a mine awareness safety briefing. People whose work is likely to take them off tarmac roads should contact the relevant brigade CIMIC (Civilian-Military Co-operation) centres, where maps of known minefields are available to civilian organisations.There are still frequent reports of civilians walking into police stations and KFOR bases to hand over grenades and mines found in fields and gardens. HT readers working in rural areas can help to spread the word that anyone who finds a mine, grenade, rocket, cluster bomb or penetrator should leave them alone and report immediately to the nearest police or KFOR. Descriptions and posters of these weapons are available from KFOR, UNMACC and several NGOs working in the health or education sectors.The UN Mine Action Co-ordination Centre (UNMACC) runs safety briefings at its Pristina headquarters at 2.0pm on Mondays.

Training for community health promotersWHO and IPH recently collaborated in ToT of Community Health Promoters, as part of the Healthy Village Project (HVP) funded by the US State Department. All of the participants were patronage nurses, nurses, or technical staff working in Main Family Health Centres (MFHC) in 24 municipalities. They were selected on the basis of a questionnaire, and the recommendation of the MFHC director as well as regional and IPH Social Medicine staff. The trainers are employees from regional and central Institute of Public Health Department of Social Medicine.The purpose of the training was to introduce participants to the concepts of participatory learning, programme planning, implementation, and evaluation. Additionally, participants were encouraged to see themselves as community resources, and not just as clinical providers. Whereas the theme of the training was personal and environmental hygiene and diarrhoea diseases, in keeping with the HVP goals, the methodology can be applied to any health topic.The training programme covered the following topics: How adults learn Participatory learning using pictures using stories using serialized pictures of disease

transmission role plays

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Prioritising health information Planning health messages step by step Assessment of target groups Planning Communication Goals and objectives Programme implementation Monitoring and evaluation Where to direct communities for technical

information within IPHAccording to their evaluations, the workshop was helpful, and enthusiastically received by the Community Health Promoters. They suggested ongoing training and requested the opportunity to meet at least on a monthly basis to share experiences and ideas. An unexpected outcome was the revelation of their professional isolation in the MFHC due to their field-based work. They further requested support in the field from both IPH and WHO. Additionally, the Community Health Promoters also welcome collaboration with other GO and NGO agencies engaged in health promotion. WHO very much encourages this partnership. Therefore, interested agencies can obtain a list of CHPs from WHO. For further information, please contact Susan Ashmore via email ashmoresusan@hotmail.com or Gerry McWeeney on email:geraldinemcweeney@hotmail.com

CORRECTIONKosovo Health Talks 40The lead story, on staff reductions at WHO Kosovo, contained an error in the third paragraph. The Healthy Village project is funded by BPRM, not by USAID as was reported.

List of sanitary inspectors lengthensIPH has completed another training course for sanitary inspectors involved in water inspection, bringing to 36 the number of inspectors working in 23 municipalities.The three-day course in Istoq was facilitated by Dr Selvete Krasniqi, head of Water and Sanitation at the Institute of Public Health, and her colleague Buqe Nushi.The municipalities of Obiliq/Obilic, Novo Berda/Novo Brdo and Malishevë/Malishevo still have to appoint sanitary inspectors.Cars have now been presented by WHO to Fushë Kosovo/Kosovo Polje, Shtime/Stimlje, Skenderaj/Srbica, Kacanik, Viti, Vitina and Decan for the exclusive use of sanitary inspectors. Other municipalities with trained sanitary inspectors have already been given cars.

Piped water quality up in most areasThe bacteriological analysis of piped water from January to March 2001 shows a general

improvement over the results from the period September to December last year. However five municipalities still show high failure rates (see table on page 8)In all cases this is due to inadequate chlorination, but for different reasons. Novo Berda/Novo Brdo has no chlorination system, Suhareke/Suva Reka has high wastage in the system, Klina suffers from high turbulence, in Decan the chlorination system is imperfect and Skenderaj/Srbica loses chlorination as the water is piped from Mitrovica.

HIV/AIDS Committee moves to DHSWResponsibility for the Kosovo HIV/AIDS Committee has been taken over by the Department of Health and Social Welfare. The Committee, re-established by WHO on World Aids Day last year, was at first based at the Institute of Public Health because of the increasing risk that AIDS may become a similar threat to public health here as it is currently elsewhere in eastern and south-eastern Europe. After negotiations between WHO and DHSW, DHSW co-director Dr. Pleurat Sejdiu has agreed to be committee chairman, with responsibilty for the HIV/AIDS action plan 2001. Factors contributing to the increased threat of an AIDS epidemic in Kosovo are the very young population, the mobilization of the large parts of society during and after the war, the break down of traditional values, the strong international presence and the increasing use of drugs among youth in Kosovo. During the past five months, the HIV/AIDS Committee has developed a programme aimed at educating the population, providing volontary testing to people concerned, and monitoring the HIV/AIDS situation in Kosovo. The programme was approved by the newly established UNAIDS Theme Group and endorsed by the Department of Health and Social Welfare The committee is to be managed by Dr. Xhevat Jakupi, who will be seconded to the Department and responsible for the day-to-day management of the committee’s work. Dr Jakupi was previously a member of WHO staff. DHSW has not allocated a budget to the AIDS programme, so one of Dr. Jakupi’s first tasks will be to seek funding. WHO and UNICEF have indicated willingness to support some components of the programme.

PRIMARY HEALTH

Nursing training starts for minoritiesThe catch up phase for four Kosovo Serbian training of trainer (ToT) course participants started on 3 April with the inauguration of the programme. The plan is to provide the four

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nurses with the same knowledge and skills as the 40 Kosovo Albanian ToT course participants have gained during the past three months, but at a faster pace. As soon as possible, some joint training sessions will be conducted.Meanwhile the Kosovo Albanian nurses began the fourth module of the programme, on reproductive health, on 5.April. The previous module on child health included WHO’s integrated management of childhood illnesses (IMCI). Feedback from the students on the IMCI component was very positive.Planning has also started for the upgrading training phase. Health house head nurses and the ToT course participants will be involved in the preparatory work. A workshop will be conducted on 23 April to support the planning process.As part of its lead agency role in nursing, the project ‘Finnish Support to the Development of Nursing in Kosovo’ has been conducting monthly nursing co-ordination meetings for all interested parties. The last meeting held on 4.April proposed that the new nursing unit of the Department of Health and Social Welfare should be the driving force of any such meeting in the future. Among other developments in nursing in Kosovo, the Department of Health and Social Welfare now has a senior nurse. Fetie Huruglica started her new job in the Eximkos building in Pristina at the end of last month.And the Canadian Nursing Association and the Canadian Public Health Association are currently running a three-month maternity nursing/midwifery training programme at the gynaecology clinic of Pristina University Hospital.

FM doctors start new moduleThe first group of doctors on the family medicine specialisation programme has progressed to the fifth module, on common illnesses and common emergencies. The programme, delivered at the family medicine training centres in Pristina, Gjakovë/Djakovica and Gjilan/Gnjilane as well as in PUH medical faculty, includes CPR, poisoning, minor surgery, common problems with the elderly, screening, hypertention and diabetes mellitus, common GI problems and emergencies, common joint presentations and emergencies. This module is being conducted jointly by international clinical supervisors, participants and local experts. Among the international supervisors is Dr Karen Worth, who has joined the Family Medicine programme in Pristina for one month to teach the module on common illness and emergencies.

Dr Karen, who comes here from a busy inner city practice in Nottingham, also teaches future Family doctors at Nottingham University in the UK. In 1998 she received the UK’s Doctor of the Year award.Talks begin on regional training plansWHO is continuing discussions with NGOs that expect to remain in Kosovo for a longer period, with the aim of gaining support for the 50 ToT teachers in family medicine. With the transfer of new knowledge and skills in place for the first 100 doctors on the first year programme, which should be completed by July, continued local support will be important. Contacts have been established with Healthnet, Cordaid, the Swiss Red Cross and AMDA.Support sought for new family doctorsWHO primary care coordinator Sue Woodward handed over the reigns of the primary care co-ordination group to Dr Arban Cami in March. The group will now transfer to the districts to enable the municipality capacity-building agenda to flourish. WHO will continue to attend and support the meetings.

NGO ACTIVITIES

Local radios run weekly health programmeA network of 21 local radio stations throughout Kosovo is now running a weekly 30-minute health programme produced by Media Action International with funding by the Canadian International Development Agency (CIDA). The programme, which was launched at the beginning of last month, is currently broadcast in Albanian, but there are advanced plans to air a Serbian edition over 11 additional stations.The Albanian name for the programme is “Shendeti Juaj, Ambienti Juaj” (Your Health, Your Environment). Each programme covers a range of topics as well as a health news section. For example, the broadcast at the end of March discussed pregnancy and maternity, prevention and recognition of childhood diseases, a doctor’s advice section on head lice, smoking alcohol and drugs. The news-in-brief section reported on AIDS, human cloning and polio eradication.Future topics are likely to include WHO’s Healthy Village Project, road safety, personal hygiene, safe water and sanitation, AIDS and drug use, immunisation and reproductive health.The main target audience is women and mothers.An editorial board meets monthly at MAI to discuss future programming. Board members include representatives from WHO, UNICEF, UNMIK Department of the Environment and several NGOs such as Children’s Aid Direct and Balkan Sunflowers.

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MSF-B packs its bagsMedecins-sans-Frontières – Belgium is closing down this week after eight years in Kosovo. All its projects have been completed or handed over to relevant authorities.The official winding up date was 31 March but Joelle Goire, the final head of mission, has stayed on to wind up the operation. MSF-B arrived in Kosovo in 1993 to support primary health care under the parallel system, often working beside the Mother Teresa organisation. During the NATO bombing in 1999 it switched to emergency operations while continuing to support PHC, water and sanitation, mental health and mine awareness.Following the withdrawal from Kosovo, the only MSF-B team in the Balkans will work out of Belgrade.MSF-France still has a team operating from Pejë/Pec.

Gracanica health facility re-opens The MDM-Greece health facility in the Serbian enclave of Gracanica re-opened at the weekend, one week after the almost 40 members of health staff were told to re-apply

for their jobs following a dispute. The core staff have now been re-hired and interviews are continuing to fill the remaining vacant posts.

MINORITIES

New UNHCR/OSCE assessment outUNHCR and OSCE have published their latest report on the “Assessment of the Situation of Ethnic Minorities in Kosovo” The document covers developments in the situation between October 2000 and February 2001. The section on health services notes that access to health care remains a persistant problem for minority populations. WHO is currently preparing a detailed assessment of the situation in individual vulnerable communities. This will be presented as a “living” document that can be updated as the situation changes in any one community.The UNHCR/OSCE assessment also covers the issues of security, returns, property, access to political structures, and employment.Electronic and hard copies are available from the UNHCR and OSCE or by email request to ohara@unhcr.ch

FOCUS: WORLD HEALTH DAY: MENTAL HEALTH

“Stop Exclusion - Dare to Care” was the global slogan for World Health Day last Saturday. This year the focus was on mental health, and the slogan in Pristina’s National Theatre could just as easily have been “Dare to Share” as passers-by came in from the streets to join users of mental health services and other invited guests for a great day of comedy, drama, exhibitions and other entertainment.

The theatre was booked for the whole day, allowing everyone to walk in and out at will.IOM, IFRC, the Red Cross of Kosovo and the local NGO Menkos provided significant organisational and logistic support to the WHO day, which brought together users, mental health professionals and the general public. IOM and Menkos supplied transport for 30 residents from the psychiatric clinic of Pristina hospital, who were among the audience for the first two stage performances, while IFRC bused in some beneficiaries of their services in Pristina, Podujevë/Podujevo and Pejë/Pec to see the final performance of the day. The Shtime/Stimlje institution sent a delegation of 28 to the events in the morning.The activities were all of high quality. Podujevë/Podujevo psycho-social centre children’s acting group performed a short play “Can we do more” (A mund te bejme me shume) on the theme of exclusion. It was great experience for the children and for the audience. Next on stage, courtesy of the Red Cross of Kosovo, was the comedian Cima

whose popular performance generated a lively audience participation. The energetic “Teatri Alternativ” from Kacanik performed in the afternoon.The climax of the day was a performance of “One Flew Over the Cuckoo’s Nest”, specially adapted for Kosovo and enthusiastically interpreted by the company of the National Theatre in Pristina, directed by Ilir Boshi.The IFRC beneficiaries in the audience all went through some tragic experience during the 1999 conflict and all of them appeared to appreciate the performance.Throughout the day visitors were able to see two exhibitions set out in the theatre lobby and the rehearsal room. IOM, which also supported the participation of Teatri Alternativ, made available the photographic exhibition “Exodus” by Sebastiao Salgado, with 50 images focussing on migration and life in different parts of the world. The lobby exhibition included handicrafts and children’s drawing, provided with help from IFRC and the local Red Cross.

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World Health Day was celebrated also in several other parts of Kosovo. Gjakovë/Djakovica, site of the province’s first working community-health centre, organised several activities including poetry readings and dancing. The new centre, which opened last month, was built with funds from the Japanese government and ECHO. People from different ethnic communities are among its users. In Gjilan/Gnjilane region WHO organised a competition to name the two mental health community centres soon to open there. WHO’s collaborating centre in Birmingham, UK, supported a poster and sticker campaign in the region, based on the global slogan of “Stop Exclusion”. And Prizren had its own dedicated disco party. All the events provided pegs for local media campaigns and there was wide radio and television coverage.WHO Kosovo would like to thank all those who took part in the day’s events. Without exclusion these include the audiences, the actors, the users and service providers, and the support staff and partner organisations and

agencies that helped to make it such a success.

Stars of the show: the cast of the Red Cross of Kosovo’s children’s theatre group from Podujevë/Podujevo pose for a picture call after their applauded performance at Pristina’s National Theatre on World Health Day.

A message from the UN Secretary-General:Mental illness ravages the hidden landscape of the human mind, often with no outward physical signs to betray its debilitating effects. In turn, many who suffer from such disorders suffer in silence, trapped by the shame or stigma of their often very treatable diseases.To draw global attention to this problem, the World Health Organisation has dedicated this year’s World Health Day to addressing the medical research, care policies, and ethical issues related to mental health. The day’s slogan, “Stop exclusion, Dare to care,” captures the need for the world community to address mental health concerns openly and honestly. And let there be no doubt, these concerns are urgent. Today some 400 million people suffer from mental and brain disorders. Schizophrenia, alcohol use, bipolar and obsessive compulsive disorders are among the diseases responsible for the highest disability ratings in the world. Moreover, these numbers are expected to rise sharply over the next few decades, particularly among people in the developing world. Yet, despite the enormous social and economic burdens posed by mental health problems, more than 40 per cent of the world’s countries have no articulated mental health policy, and over 30 per cent have no mental health programmes. A global strategy to address the mental health crisis is needed, one which will incorporate both prevention and care. This issue will be taken up by the WHO’s 191 Member States at the annual gathering of the World Health Assembly in May, and assessed in the World Health report to be released in October. But there is still more that can be done.It is time for governments to allocate resources and establish public policy to meet mental health needs. It is time for us individually to face our fears and overcome our misconceptions about mental disorders. Through honesty and understanding, we can break down the walls of social stigma that surround mental illness. On this, World Health Day, let us commit ourselves to these tasks, to ensure that those who suffer from mental illness no longer suffer in silence.

Health Talks is a forum for health information from all sources, agencies and organisations. If you wish to disseminate or request information on any health-related subject, please contact:

Edward Poultney, WHO Information Officer, WHO office, PristinaOffice phones: + 381 38 549 216/218, Mob. 044.120.362, email: poultney@who-kosovo.org

The contents of Kosovo Health Talks do not necessarily reflect official WHO policy or views

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Comment: the results for the first quarter of 2001 showed a marked improvement over the final four months of last year, except in five municipalities. The table shows bacteriological analysis. High per centage of failure results is due to inadequate chlorination, although the cause of this varies among the most affected municipalities.

KOSOVO MATERNITY REPORT, JANUARY - DECEMBER 2000

LOCATIONS Vaginal Deliveries

Caesarean Sections

Instrumental Deliveries

Multiple Deliveries,

Twins

Total # Delivering Patients

Total # Live Births

Males Females Sex Ratio Newborns Referred

Deçan – Dečane 151 0 0 0 151 151 80 71 1.13 2

Dragash 393 0 0 0 393 393 193 200 0.97 12

Ferizaj – Uroševac 2694 12 1 4 2723 2715 1331 1384 0.96 30

Gjakovë – Djakovica 2633 261 34 26 2989 2980 1575 1405 1.12 19

Gjilan – Gnjilane 3425 246 42 35 3809 3783 1952 1831 1.07 89

Gllogoc – Glogovac 1324 0 3 0 1333 1327 675 652 1.04 25

Istog – Istok 311 0 0 2 313 315 161 154 1.05 3

Kamenicë – Kamenica 247 0 6 0 254 253 119 134 0.89 2

Mitrovicë/a Moroccan H 361 50 11 0 427 422 227 195 1.16 6

Mitrovicë/a Health House 29 0 0 0 29 29 7 22 0.32 1

Pejë – Peć 2807 291 40 28 3226 3194 1627 1567 1.04 56

Podujevë – Podujevo 753 0 0 0 759 753 367 386 0.95 10

Pristina 9939 1702 427 229 12615 12526 6726 5800 1.16 0

Prizren 4602 369 119 61 5200 5212 2747 2465 1.11 29

Rahovec – Orahovac 1004 0 0 1 1006 1006 513 493 1.04 13

Skënderaj – Srbica 718 0 0 0 722 718 345 373 0.92 26

Suvrekë – Suhareka 976 0 5 0 983 981 523 458 1.14 6

Viti – Vitina 369 0 15 0 388 384 179 205 0.87 0

Vushtrri – Vučitrn 1485 0 4 2 1496 1493 785 708 1.11 10

Gushtericë e P – D Gušt 144 0 6 0 153 150 67 83 0.81 1

TOTAL 34365 2931 713 388 38969 38785 20199 18586 1.09 340

KOSOVO FINAL MATERNITY REPORT, JANUARY – DECEMBER 2000

LOCATIONS Mothers Referred

# < 2.5 kg % # < 2.5 kg Stillbirths Early Neonatal Deaths

Perinatal Mortality Rate

(per 1000)

% Caesarean Section

Abandoned Newborns

Average # Deliveries per

Day

Deçan – Dečane 0 0 0.0 0 2 13.2 0.0 0 0.4

Dragash 0 5 1.3 0 1 2.5 0.0 0 1.1

Ferizaj – Uroševac 0 80 2.9 12 20 11.7 0.4 0 7.4

Gjakovë – Djakovica 5 143 4.8 35 32 22.2 8.7 5 8.2

Gjilan – Gnjilane 0 185 4.9 61 64 32.5 6.5 1 10.4

Gllogoc – Glogovac 64 41 3.1 6 15 15.8 0.0 0 3.6

Istog – Istok 0 1 0.3 0 3 9.5 0.0 0 0.9

Kamenicë – Kamenica 0 8 3.1 1 3 15.7 0.0 0 0.7

Mitrovicë/a Moroccan H 0 19 4.4 5 5 23.4 11.7 1 1.2

Mitrovicë/a Health House 168 0 0.0 0 1 34.5 0.0 0 0.1

Pejë – Peć 0 118 3.7 60 43 31.7 9.0 0 8.8

Podujevë – Podujevo 89 13 1.7 6 6 15.8 0.0 0 2.1

Pristina 0 1294 10.3 318 288 47.2 13.5 53 34.5

Prizren 0 262 5.0 49 64 21.5 7.1 3 14.2

Rahovec – Orahovac 0 23 2.3 1 8 8.9 0.0 0 2.7

Skënderaj – Srbica 3 37 5.1 4 13 23.5 0.0 0 2.0

Suvrekë – Suhareka 0 7 0.7 2 3 5.1 0.0 0 2.7

Viti – Vitina 0 10 2.6 4 1 12.9 0.0 1 1.1

Vushtrri – Vučitrn 39 11 0.7 5 5 6.7 0.0 0 4.1

Gushtericë e P – D Gušt 0 3 2.0 3 0 19.6 0.0 0 0.4

TOTAL 368 2260 5.8 572 577 29.2 7.5 64 106.5