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SUMMARY
 WHO operations in Nias, Indonesia,
will be closed down as district health offices are now operational there.
In Aceh, the mapping
of health facilities has been completed.
In the Maldives,
WHO has provided two speedboats to transport patients, supplies and equipment
to the most remote islands.
A survey on rainwater harvesting is being
carried out in the Maldives.
OVERVIEW
Immunization
Indonesia: WHO has provided support
for the second round of immunization on National Immunization Day (27 september 2005). The outcomes of
the first round of National Immunization Day (NID) are currently being
evaluated.
Health Systems Update
Indonesia: Five months after the
earthquake in Nias and Aceh,
the WHO operations in Nias will be closed down as
the district health offices are operational again, and are being supported by
the Provincial Health Office and WHO in Medan.
In Aceh, the mapping of health
facilities has been completed. A hospital equipment inventory project has
been started.
WHO is working with the Provincial Health Office in Aceh, Zainoel
Abidin Provincial
Hospital, Psychiatric
Provincial Hospital,
AUSAID, UNICEF, and the BRR, to develop a matrix of health indicators which
will form the basis for data collection. A matrix showing health status, health
service and health resources from data collected in 21 districts have been
finalized. The mapping of human resources in health facilities at Aceh has also begun.
A workshop on ‘EWORS-Early Warning Outbreak Response
System’ for health centers and district hospitals was organized by Epi-TREAT in Medan.
Maldives: A strategy paper for the
Medical Supply System has been completed.
Two speed boats have been handed over to the Ministry of
Health on 14 September 2005.
They will be used for transport of patients, supplies and equipments badly
needed in remote islands, as well as monitoring and supervision activities.
India: A meeting and planning workshop of the core group for nursing
concluded in Chennai, India.
The draft module for capacity building of faculty was reviewed, and tools for
rapid assessment of health were revised.
More than 45 schools of nursing in Tamil Nadu agreed to adopt villages and/or shelters near their
schools for providing a first-hand experience of managing health conditions
in emergency situations to their students.
Surveillance Systems
Indonesia: Ongoing preparation for
upcoming surveillance training for public health workers in Aceh.
The Maldives:
The SEARO SIDAS data management system is being implemented.
India: The data management capacity at the State level is being
enhanced by strengthening reporting and data analyses
from the Comprehensive Emergency Obstetric and Neonatal (CEmONC)
centers, and by establishing a Data
Resource Center,
including a data warehouse, at the Directorate of Public Health in Tamil Nadu.
In the Andaman and Nicobar
Islands, training workshops in Post Disaster Disease
Surveillance for were started in August 2005 and are expected to be completed
by October 2005.
Water and Sanitation
Maldives: The first training
session on testing water quality in the Maldives
has been completed. In collaboration
with the Public Health Laboratories and the Ministry of Health, MWSA had organized training sessions on
water quality surveillance and testing for 28 staff based in Laam Atoll from 13th - 16th September 2005. Participants
included Community Health Workers and Family Health Workers from each
hospital, health centre and health post.
The objectives of the training were to train at least one
health worker from each island, in water quality testing, monitoring and
reporting and in the design and implementation of Water Safety Plans. Other objectives were to set up a water
quality surveillance programme for the islands and to assist island
communities in carrying out a survey of rain water harvested
A survey on rain
water harvesting was carried out. This covered both community and domestic
household harvesting systems. 20 samples have been collected for this survey.
Health Care Waste Management
Indonesia:
Draft guidelines and standard operating procedures have been developed for
pharmaceutical waste management. WHO is working closely with the Ministry of
Health, and the Provincial Health Office, North Sumatra,
to manage pharmaceutical waste management in Nias
and Medan.
Work on inventory, sorting, segregation, and storage and
management of pharmaceuticals is being carried out in a Banda Aceh warehouse.
Maldives:
The third and final batch of health personnel have received training In the
area of hospital clinical waste management in Bangalore , India,
and have returned to the Maldives.
The Ministry of Health has decided to install two
incinerators and sixteen autoclaves with shredders to improve the safety and
handling of healthcare waste. This is part of a solid waste plan developed
with the Ministry
of Environment, Energy and Water.
Child and Adolescent Health
Indonesia: For the child school health program, ‘small doctor material’
has arrived in Banda Aceh and will be distributed
to the districts.
Four training sessions on Integrated Management of
Childhood Illnesses (IMCI) for health center staff were completed this week
(three batches were supported by WHO and 1 batch by UNICEF).
Maldives: Family Planning
guidelines have been developed. Four Regional Meetings have been scheduled
from 22 September 2005 to
disseminate the guidelines among health workers.
Nutrition
Indonesia: Seven batches of health
workers have completed training on the management of severe malnutrition
(four batches were supported by WHO and 3 by Care International).
Mental Health
Indonesia: Clinical mental health
nurse (CMHN) Basic Module Training is being conducted in Lhoksemawe,
Aceh Utara, Banda Aceh and Pidie districts in Indonesia.
Maldives: Five training sessions
on Mental Health, covering all atolls, have been completed. With facilitation
from SEARO a national workshop on the current status and future preparedness
in psychosocial and mental health aspects in disasters was conducted 14-15
September. The main objective of the workshop was to gather information on
the progress following the tsunami disaster.
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