Uganda: Healthcare Implementing Partner for UNHCR at Kiryandongo Refugee Settlement

Kiryandongo Health Sector Report: September 28, 2016

October 27, 2016

Uganda Initiative Reports

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Achievements

Improved Service Delivery

Recruitmentof additional staff has improved service delivery, whichis evident in the) deaths registered so far this monthcompared to 13 last month.
The performance review also showed that Panyadoli HCII was ranked second in thedistrict.

Continuous Mentorship and Medical Education Ongoing

Both medical and non-medical staff has benefited from 1-week mentorship on HIV and TB, whichis ongoing.
2 sessions of Mentorship of Health Workerson REproductive Health was done for 2 days by theDHTs,whereby 8 midwives were mentore.
CMEs arealso ongoing everyTuesday.

Communication

IRC has provided airtime worth 200,000 UGXto Panyadoli HCIII, 100,000 UGXto Nyakadot HCII, and 100,000 UGXto Panyadoli Hills HCII.

Training

Staff has also benefite from a 2-day training conducted by InterAidUganda on SGBVat Max Hotel,Kiryandongo.
59 nationals and 1 refugee mother received Depo-Provera injections as their family planning method.
10 national mothers received Microgynon.
117 boys and 621 girls received vitamin A. 117 boys and 554 girls received polio vaccines.
The Emergency Health Officer has supported outreaches organized by RMF in the settlement. Concern through UNICEF will support the ICHDs in the settlement in October with logistics and payment of SDAs to health workers and VHTs involved in the activities once the budget and meeting is called.

Reception Centre

Daily outreaches are carried out at the Reception Centre Monday through Friday, providing ANC services, nutrition services, screening of new arrivals, health education, counseling, and referral of mothers with complications.

28 refugee mothers attended ANC. All these mothers were referred for EMTCT services at Panyadoli HC III, since the Reception Centre space is too small to integrate all the services there.
IRC is providing 1 midwife and 1 translator to facilitate the Reception Centre RH activities.
1,152 male condoms distributed for both family planning and STI prevention.
2 nationals 1 refugee benefitted from PAC.

Nutrition

6-59 months: 143 boys screened; 6 MAM and 1 SAM, 131 girls screened; 4 MAM and 2 SAM
5-18 years: 468 boys screened; 76 MAM and 4 SAM; 463 girls screened; 31 MAM and 2 SAM
82 caregivers received counseling on key nutrition activities, 49 caregivers received MIYCF counseling, and 42 pregnant women received folic acid.
Baseline data on the state of hygiene in the settlement was sought: 1,270 questionnaires collected so far. FGD among 4 groups done from September 19^th, 2016 to September 23^rd, 2016. Preliminary findings show low hand washing practices among people due to lack of soap and water.
A mass screening started yesterday with the training. The exercise will take about 5 days and be conducted in Ranch 37. Results will be shared with settlement partners after 1 week of the exercise.

Challenges

Shortage of Ambulances

Only one ambulance operational.

Watery Diarrhea

Diarrhea continues to be a challenge. So far, 203 cases have been registered this month. Though there is a reduction from last months’ 332, this figure is still unacceptable.

Theft of Solar Batteries

The theft of seven solar batteries has caused challenges in terms of storing vaccines.
VHT reports are still a challenge. Reports from the VHTs have not been submitted to the health facilities as expected.
The number of malnourished adolescents still remains.

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Background

The project has been implemented in Kiryandongo Refugee Settlement as part of the emergency response to the South Sudanese refugee influx. Health services are provided through the established health centers: Panyadoli Hills Health Centre II, Panyadoli Health Centre III, Nyakadot Health Centre II, and the Reception Centre Clinic with community-based care supporting both the refugee and host community.
Funding is provided by UNHCR to aid the influx of refugees and asylum seekers into Kiryandongo Refugee Settlement. The number of refugees is projected to increase. This is due to the political instability in South Sudan, as the cease-fire agreement signed in Ethiopia has not yielded peace as anticipated.
Real Medicine Foundation (RMF) has hired a manager who is responsible for the overall implementation and coordination of planned interventions, whereas OPM and UNHCR do oversight functions. Activities are planned, coordinated, and reviewed on a weekly, monthly and quarterly basis through coordination meetings chaired by OPM at the settlement level.

Objectives

Emergency operations
Care and maintenance of refugees and asylum seekers in Kiryandongo Refugee Settlement through the delivery of quality health care services
Ensure optimal access to reproductive health and HIV/AIDS services