Humanitarian Health Action

Pakistan/North Western Frontier Province - Situation report no. 2

Highlights

Health services in Sheikh Shahzad IDP camp, Mardan
  • As of 15 May, the Provincial Relief Commissionerate reported 1 716 026 IDPs being registered in 11 NWFP districts (234 589 in 25 IDP camps and 1 481 437 outside). 75 registration points have been established in the Mardan, Swabi, Charsadda, Nowshera, Kohat and Peshawar districts.
  • The general health situation in all IDP hosting districts (camps and host communities) remains stable. But rising trends in diarrhoea cases are being reported from the Jalozai and Jalala IDP camps. Disease surveillance teams are closely monitoring the situation.
  • Health services coverage is being enhanced and extended.
  • As the security situation improves in Lower Dir, the Executive District Officer (EDO) Health has requested the partners to resume health services at district level. MSF-Belgium has resumed its health service in Lower Dir.
  • WHO, UNICEF and partners in collaboration with department of health are carrying out measles vaccination campaign in new IDP camps. As of 15 May, 8949 children have been immunized against measles in the Sheikh Shahzad, Sheikh Yaseen, Jalala and Yar Hussain IDP camps.
  • WHO disease surveillance team has investigated a dengue fever alert reported from Khyber Teaching Hospital, Peshawar, and found negative.
  • 3 deaths were reported from Jalala Camp in Mardan district. A 60-year-old female died due to myocardial infarction; an 11-year-old girl died due to road traffic accident and a 10-year-old girl died due to snake bite.
  • MSF-B has set up their health centre in Mazdoorabad IDP Camp, Mardan.

Health impact

  • During epidemiological week 19, 46 603 consultations reported from 174 sites from the IDP hosting district. Acute diarrhoea cases constituted 12% (5571) and acute respiratory infection (ARI) 23% (10 769) of all reported consultations.
  • Two alerts for increased number of acute diarrhoea cases from IDP camps Jalozai 1 and Kacha Gari 1 were identified and responded to by WHO and partners.

Health sector coordination

  • All Health Cluster response activities are being coordinated through regular cluster meetings (co-chaired by MoH/DoH and WHO) at federal, provincial and district level.
  • The Health Emergency Preparedness and Response (HEPR) centre of the Federal Ministry of Health is establishing its secretariat at the Pakistan Institute of Medical Sciences (PIMS), Islamabad. The centre has been delegated the roles of coordination, information management, monitoring and resource mobilization for health sector activities. (HEPR Centre Telephone: 0092 51 926 1188)
  • The Federal Secretary Health, HEPR focal point Dr Jehanzeb Aurakzai and the WHO team visited the Jalozai IDP camp and Pabbi Satellite Hospital Nowshera and Yar Hussain IDP camp in Swabi to monitor the health services being delivered to IDPs.
  • The HEPR centre is facilitating PIMS to enable the Pabbi Satellite Hospital, Nowshera, to work as a referral hospital for IDPs living in Jalozai and Benazir camps as well as with the host communities.
  • Next federal level health cluster meeting is scheduled on 19 May at 1500 hrs at WHO Office, Islamabad.

WHO response

  • WHO Senior Advisor to Regional Director, Dr A. O. Gebreel, visited IDP camps in different districts and met with the provincial director-general and secretary for health, as well as the Federal Secretary Health, and recommended to enhance the health sector response for IDPs.
  • WHO is expanding the disease early warning system to the new IDP hosting districts and camps. WHO is closely monitoring the disease situation in different IDP camps and hosting areas.
  • WHO and partners in collaboration with department of health are filling the gaps in service delivery and provision of essential drugs to the IDPs.

Urgent needs

  • Water and sanitation conditions in IDP camps need urgent attention to prevent spread of water-borne diseases.
  • Working conditions for health care providers in terms of tents and shelters in IDP camps need improvement.
  • Better infrastructure for health clinics in camps to provide conducive environment for patients.
  • Additional female health care providers to cater to the health needs of female IDPs.
  • Surgical supplies for hospitals in conflict zones.

Appeals and funding

  • No appeal or proposal has been released at this stage in relation to the current situation.
  • The Health Cluster is revising the Pakistan Humanitarian Response Plan in light of the new humanitarian crisis. The proposed plan includes 28 health projects from 22 partners (three UN agencies and 19 international and national NGOs).
  • Security authorities have declared an indefinite curfew in Malakand, preventing WHO surgical supplies from reaching the District Headquarters Hospital.
  • The DoH is providing health services at the Palai and Batkhela IDP camps.
For further information please contact:

WHO Pakistan Country Office
Dr Khalif Bile Mohamud
WHO Country Representative to Pakistan
e-mail: wr@pak.emro.who.int

WHO Regional Office for the Eastern Mediterranean
Mr Altaf Musani
e-mail: musania@emro.who.int tel.: + (202) 26 76 50 25 mobile: + (201) 02 58 58 22 http://www.emro.who.int/eha/

WHO headquarters
Mr Paul Garwood, Communications Officer
Health Action in Crises
e-mail: garwoodp@who.int tel. +41 22 791 3462
mobile: +41 79 475 5546
http://www.who.int/disasters

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