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Northeast Nigeria Response Health Sector Bulletin #33 15th October 2017
6.9 MILLION
PEOPLE IN NEED OF HEALTH CARE IN; ADAMAWA, BORNO AND YOBE STATES
5.9 MILLION
TARGET BY THE HEALTH SECTOR; ADAMAWA, BORNO AND YOBE STATES
1,373,564* IDPS IN BORNO STATE
4.96 MILLION** 2017 HEALTH SECTOR HRP BENEFICIARIES REACHED INTERVENTIONS
HIGHLIGHTS HEALTH SECTOR
45 HEALTH SECTOR PARTNERS
HEALTH FACILITIES*** 228 FUNCTIONING (755 ASSESSED
HEALTH FACILITIES) 292
205 67
FULLY DESTROYED PARTIALLY DAMAGED REHAB/RENOVATED
IDP CAMPS CUMULATIVE CONSULTATIONS****
779, 659 MEDICAL CONSULTATIONS
EPIDEMIOLOGICAL WEEK 30: EARLY WARNING & ALERT RESPONSE
240 EWARS SENTINEL SITES 101 REPORTING SENTINEL SITES
29 TOTAL ALERTS RAISED*****
SECTOR FUNDING, HRP 2017 HRP 2017 REQUIREMENTS: 93.8M US
19.3 M US$ FUNDED (20.6%) 2016 UNMET REQUIREMENTS 11.8 MILLION USD FUNDED (22%) 53.1 MILLION USD REQUESTED
As of 15 October, the cumulative number of suspected and confirmed cholera cases is 4,936 and 61 deaths, with a Case Fatality Rate 1.2%. Out of the 144 samples taken, 119 (83%) were RDT positive and 107 (74%) were culture positive.
The first preliminary analysis of impact of the age-target emergency Seasonal Malaria Chemoprevention (SMC) in Borno state so far carried out between week 28 and 38 of 2017 confirmed malaria in U5s decrease by 6.7 % in the intervention LGAs, while a seasonal increase of 92.2% in the non-intervention LGAs.
The third round of the SMC campaign for children aged 03-59 months in Borno state has started in Jere, Maiduguri Metropolitan Council, Konduga, Monguno and Mafa LGAs from 14 to 17 October 2017.
During her visit to Borno, Dr Matshidiso Moeti, WHO Regional Director for Africa, renewed its commitment to assist Nigeria combat polio and other child killer diseases such as malaria.
HeRAMS assessment concludes that 30% lack access to even rudimentary levels of water, 60% have no access to safe water and only 10% have access to safe water.
Mental health at the workplace was the theme of World Mental Health Day 2017 observed on 10 October with the overall objective of raising mental health awareness.
BORNO STATE GOVERNMENT
* Total number of IDPs in Borno State by IOM DTM XVIII August 2017
**Number of medical consultations in Adamawa, Borno and Yobe States as September 2017 against HRP partners projects.
*** MoH/WHO HeRAMS September 2017
**** Cumulative number of medical consultations at the IDP camps from 2017 Epidemiological Week 1- 40.
***** The number of alerts change from week to week.
Children (03-59 months) waiting for the 3rd round Seasonal Malaria Chemoprevention treatment at Muna Garage Camp.
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Situation Update
The preliminary results of a joint WFP/FEWS NET (Famine Early Warning Systems Network a leading provider of early warning and analysis on food insecurity) market survey showed that market functioning in conflict-affected areas of Adamawa, Borno and Yobe States are gradually improving. However, staple food prices remain higher relative to the same time last year and well-above average price levels. Household demand remains elevated by 70, 63 and 64 percent, across Borno, Yobe and Adamawa States, respectively, relative to the same period of last year.
Most areas in Borno State, as well as parts of Yobe and Adamawa States that are most affected by the conflict, will remain in Emergency (IPC Phase 4) acute food insecurity. Humanitarian access has improved to many areas in Borno State over the last year, where many affected populations now reside. However, displaced households continue to be highly dependent on emergency assistance and remain in areas previously made inaccessible by the conflict. An elevated risk of Famine (IPC Phase 5) will continue in inaccessible areas. Other areas of the northeast will remain in Crisis (IPC Phase 3) as large populations continue to face significant difficulty meeting basic food needs during the lean season period. (http://www.fews.net/west-africa/nigeria/key-message-update/september-2017)
Besides the food insecurity and associated severe acute malnutrition, “In north-east Nigeria, some 8.5 million people now need humanitarian aid. We believe up to 700,000 people in parts of Borno and Yobe states are completely inaccessible and may need urgent support. Two thirds of health facilities in these states have been damaged. Those that are functioning are short of staff, and lack safe water, basic drugs and equipment. This poses very serious challenges in dealing with outbreaks of cholera, malaria and measles.” (UN Secretary-General António Guterres’ 12th October remarks to the Security Council briefing remarks about NE Nigeria)
In support to NE Nigeria response, the WHO Regional Director for Africa, Dr. Matshidiso Moeti, visited Maiduguri on Saturday 14 October 2017 and flagged off the integrated polio and third malaria (Seasonal Malaria Chemoprevention) campaign. Dr Moeti said that WHO in support to the Ministry of Health authorities and in collaboration with the health sector humanitarian partners had worked to combat the outbreak of diseases such as polio, cholera and malaria during the ongoing crises.
As of 15 October, the cumulative number of suspected and confirmed cholera cases is 4,936 and 61 deaths, with a Case Fatality Rate 1.2%. Out of the 144 samples taken, 119 (83%) were RDT positive and 107 (74%) were culture positive. To complement the ongoing efforts in the control of Cholera Outbreak 914,565 doses of Oral Cholera Vaccine (OCV) was secured from to International Coordinating Group (ICG) through the National Primary Health Care Development Agency with financial support by the Global Alliance for Vaccines and Immunization (GAVI). The OCV campaign (18-22 September) covered all people greater than one year of age in the affected communities and IDP camps in Maiduguri, Jere, Konduga, Monguno, Dikwa, and Mafa Local Government Areas (LGs). A combination of fixed and mobile campaign strategies was employed. The OCV campaign in Mafa LGA was conducted from 29 September to 4 October 2017. 896,919 people were vaccinated compared to the 855,492 target, giving the coverage rate of 105%. The coverage ranged from 100% in Maiduguri to 121% in Monguno. The independent monitors also documented equivalent coverage rates with the administrative data. In Monguno, the administrative data documented coverage rate of 121% while the independent monitors recorded 98%. The main reason for this discrepancy and greater than 100% coverage rate is vaccination of additional people beyond the target figure. The average wastage rate was
0.4% with lowest (0) in Mafa and the highest 0.9%) in Jere. No Adverse Events Following Immunization
(AEFI) were reported.
A new phase for the oral cholera vaccination campaign supported by the health partners is planned for end October, to target over 300,000 people above one year of age in Damasak, Banki, Bama, Gamboru, Ngala and Pulka camps and/or communities. The request for the importation of additional vaccines is to be submitted to the International Coordination Group on vaccine provision pending the clearance and approval of the state and health authorities.
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Surveillance and communicable disease control
Early Warning Alert and Response System (EWARS) During Epidemiological week 40 a total of 101 out of 240 reporting sites (including 20 IDP camps) and 25 of 25 LGAs submitted their weekly reports. The timeliness and completeness of reporting were 76% and 100% respectively at LGA level (target 80%). Malaria (suspected n= 5,902; confirmed n= 3,119) remained the leading cause of morbidity reported during week 40, accounting for 47%. Of the 25 deaths reported through EWARS, 6 (30%) were due to cholera. Twenty-nine (29) indicator-based alerts were generated, 83% verified.
Malaria: In Epi week 40, there was a decrease in the total number of confirmed malaria cases (n= 3,119) in comparison to the previous week (see figure 2). Of the reported cases, 212 were from 250 Housing Estate (Kofa) camp clinic in Konduga, 146 were from 400 Housing Estate Gubio road camp clinic A in Konduga, 125 from Magumeri MCH in Magumeri, 125 from Bakassi Monguno camp clinic in MMC, 117 were Gwange PHC, and 107 were from Dikwa MCH. Six deaths were reported from Ngetra PHC (2), Federal Training Centre Dalori camp clinic A in Jere (2), Kashim dispensary in Shani (1) and Gunda CHC in Biu (1).
Figure 2: Trend of malaria cases by week, Borno State, week 34 2016 - 40 2017
Acute respiratory infection: In Epi week 40, 2,075 cases of acute respiratory infection were reported. Of
the reported cases, 211 were from 250 Housing Estate (Kofa) Camp Clinic in Konduga, 157 were from Custom House IDP camp in Jere, and 107 were from Mogcolis Camp Clinic in MMC. No death was reported.
Measles: In Epi week 40, one (1) case of measles was reported from Damboa LGA. No death was reported. Suspected VHF: No suspected VHF was reported in Epi week 40.
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Suspected yellow fever: In Epi week 40, 7 suspected yellow fever were reported from Rann PHC clinic in Kala Balge (7) and one (1) Gubio MCH.
Acute watery diarrhea: On going surveillance beyond the cholera outbreak areas of intervention, in Epi
week 40, 1,225 cases were reported. Of the reported cases, 85 were from Dalaram PHC in Jere, 61 were from Uba Dispensary and 60 were from Federal Training Center Camp Dalori Camp Clinic B. Three (3) deaths were reported from Umaru Shehu Hospital in Jere (2) and Gajiganna MPHC in Magumeri (1).
Figure 3: Trend of acute watery diarrhoea cases by week, Borno State, week 34 2016 - 40 2017
Suspected Cholera: In Epi week 40, 36 suspected case of cholera were reported through EWARS. Thirty-
three (31) of the cases were from Madinatu Camp Clinic with two deaths.
Malnutrition: In Epi week 40, 1,919 cases were reported through EWARS. Of the reported malnutrition cases, 234 were from Maimusari PHC, 178 were from Gunda CHC in Biu, 158 were from Dikwa MCH Clinic in Dikwa. Two deaths were reported, among children below 5years, one (1) from Gunda CHC in Biu and one (1) from Lassa General Hospital.
Figure 4: Trend of malnutrition cases by week, Borno State, week 34 2016- 40 2017
Neonatal death: One neonatal death was reported in 400 Housing Estate Gubio road camp clinic A in Konduga.
Maternal death: No maternal death was reported in Epi week 40.
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Health Sector Coordination
Health Resources and Services Availability Monitoring (HeRAMS) Monitoring the availability of health services during an emergency is not easy. Uncertainties around access, security and time limitations frequently prevent systematic information gathering. Lack of information, in return, hampers effective decision-making, resource allocation, mobilization and advocacy for health in emergencies. The HeRAMS approach, a Global Health Cluster’ tool was developed to face these challenges. HeRAMS is an approach for monitoring health facilities, services and resources availability in emergencies. The preliminary findings of the September 2017 Borno State Health Sector HeRAMS review of water, sanitation and hygiene (WASH) services in health care facilities are sobering. Drawing on data from 755 Health Facilities in Borno State, the report concludes that 30% lack access to even rudimentary levels of water, 60% have no access to safe water and only 10% have access to safe water. A number of areas require urgent action by the Health and WASH sector partners, Governments and other partners to develop a state plan to address the most pressing needs and ensure that all health care facilities and patients have access to safe water and sanitation services. “Mental Health in the Workplace”
The event of World Mental Health Day (WMHD) was held on Tuesday, 10th October 2017 at the Grand Pinnacle Luxury Hotel. The event was a joint collaboration of IOM, Borno State Ministry of Health (SMOH) Federal Neuropsychiatric Hospital (FNPH) and
WHO. World Mental Health Day is observed on 10th October every year with the overall objective of raising awareness of mental health issues and mobilizing efforts in support of better mental health. "Mental Health in the Workplace" was the theme of WMHD 2017, in related to it, the programme of WMHD event was filled with extending key messages and presentation by WHO on mental health in the workplace, workshop of (1) burn out syndromes (assessment and management), and (2) vicarious trauma and self-care presented by FNPH. It was a successful event attended by 70 health sector colleagues from SMOH, doctors and psychiatric nurses from FNPH, staff from UN agencies, INGOs and NGOs. The participants highly appreciated the programme and actively engaged during the Q&A workshop sessions. Borno State Ministry of Health Public Health Emergency Operations Centre (PHEOC) Since the L3 emergency declaration and the rolled out health sector/cluster like approach in September 2016, there is a recognition that the scale and complexity of the current NE Nigeria crisis required additional operational tools and facilities to assist the SMOH in their role as strategic decision maker, lead agency and primary responder. The size of the population in need, the number of responding agencies and the fast moving situation necessitated the establishment of a coordination and command centre commensurate with the scale of the task at hand and appropriate to the realisation of the Borno State Health Sector Response Plan.
The cholera outbreak escalated the operationalization of the EOC, been mainly used as the Health Sector/Cluster Coordination platform forum. The State EOC is been an essential tool with which to coordinate and lead activities, analyse and disseminate vital health information and provide a working space for the health partners and varied organisations key to an effective response. The Health Sector, as well as other sector groups, such as WASH have integrated with the SMOH EOC. On 14th October during the visit of WHO Regional Director for Africa and the Federal Ministry of Health (FMOH) representatives’ the facility was officially dedicated.
WHO/MOH Borno HeRAMS September 2017
Dr Matshidiso Moeti WHO RD Africa & Dr Ngozi Azodoh FMOH Director Special Projects addressing the press & health partners at the Borno PHEOC. (JM HSC)
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Health Sector Action
International Rescue Committee (IRC) – Through its mobile health and nutrition services across five LGAs within Borno State, the IRC attended to 4,494 patients (35% children under 5) during the first 2 weeks of October. As the number of new cholera cases have been reducing since end of September, the IRC scaled down its activities at the ORP sites in Muna Garage Camp and Monguno GSSSS, while community sensitization and active case finding continue through the community volunteers at all sites. The mobile health & nutrition clinics all maintain their ORS corners to enable quick access to oral rehydration solution. Malaria appears also to be reducing, from 1,030 cases in the last two weeks of September to 705 cases reported in the previous two weeks at the IRC mobile clinic sites. The IRC observed the International Contraceptives Day in Gwoza, Monguno, Konduga and MMC/Jere LGAs of Borno State on 26 September. A variety of activities were planned during the day, such as public lectures, group discussion, questions and answers sessions, role play and so on. The aim of the celebration was to create more awareness on contraception and its importance to individuals, families and the community as a whole, and there was good participation from all the communities, reaching approximately 2,800 people. During this reporting week, the IRC opened its second Comprehensive Women Centre in Konduga at Yadandari, offering comprehensive reproductive health care as well as psychosocial support and case management for sexual assault survivors. Medicines du Monde (MDM) - Doctors of the World continued to provide integrated Primary Health Care services in four locations (Kawarmela, Garba Buzu and EL Miskin within Maiduguri and Damboa LGAs) with a focus on sexual and reproductive health with maternal and child care, immunization and nutritional components, mental health and psychological support. MDM is offering medical consultation and MHPSS with a gender approach (i.e. women can request medical assistance from a female medical doctor or female counsellor). Whit this strategy MDM has found that the quality of the medical intervention improves as the female patients feels more free and confident to talk about medical issues. 64 individual received counselling and 1,404 persons participated in-group counselling. In addition, MDM provided 2,719 medical consultations, 469 ANC, 77 PNC and 27 Family Planning consultation. 544 immunization doses provided. The community mobilization is ongoing, this period 6,256 people from the community, including community leaders who receive a health education session. The groups are mainly targeted by gender to provide the space to the community to address questions freely. Some of the topics addressed: Malaria prevention, personal and community hygiene, importance of ANC, cholera awareness, etc. Premiere Urgence Internationale (PUI) supports primary health care services at Herwa Peace PHC. During the
reporting period, 4,241(3968) patients were attended at OPD, an increase of 273 (1%) as compared to previous
reporting period. In addition, 527 Ante Natal consultations took place.
There is steady decreases in RDT positive malaria cases compared to the previous two weeks. There is an average
of 300 RDT positive weekly during this period. Malaria morbidity ratio is at 11%) while URTI is 21% and
Diarrhoea (both bloody and non-bloody) is 15%. The common endemic morbidities reported at the facility were
diarrhoea, skin infections, malaria and URTI.
The Mobile Health Teams (Bayan Texaco, Jajeri Kantudua and Fillin Bayan Makaranta) attended 2,514
consultations, with 43 Referrals and 303 reproductive health consultations.
Men Family planning group session. (IRC)
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Terre des hommes (Tdh) during this reporting period, a total number of 25 community mobilizers were recruited and trained to conduct community mobilization, education and sensitization on sanitation and hygiene practices, community education and rising awareness on waterborne diseases, community surveillance and referrals. The Tdh 25 community mobilizers conducted house-to-house active case search, and visited 6,250 households (during reporting week). A set target of 50HH/day and per person, It was reported that, Fever/ Malaria remain the commonest complain across IDP camps. The community health team referred 96 people to MAFA PHC who complained of fever and 30 cases of Acute Watery Diarrhoea. Eight suspected cases of cholera were recorded and referred to the health facility for case management. The Dala PHC for the last two weeks recorded 326 new OPD consultation in patient’s U5, of which 27.6% of acute respiratory infection, confirmed Malaria was the second highest morbidity in Dala accounting for 16.5%. An increase of new cases in the coming weeks is expected with the addition of community mobilizers. At Tdh supported Mafa IDP Camp, 500 people participated in sanitation activities and environmental clean-up of the camp, 30 hand washing points close to the public toilets were installed and distribution of IEC materials on hand washing practices took place. In addition, disinfection and cleaning of 80 pit latrines and 60 bath shelters, and the rehabilitation of 30 showers and 10 latrines to ensure safety and privacy. UNFPA supported 12 outreach teams conducting mobile clinics in Adamawa, Borno and Yobe. The following
communities in Ngomari, Maimusari Clinic, Wuro Jabbe community, Demsawo community, Fulameri, Daneri,
Yawule, Karyari, Baya-Malam, Baya-Bade and Usmandi and Bakassi IDP Camps served. About 13,770
beneficiaries (1,738 male and 12,032 female) got integrated reproductive health services (ANC, PNC, Post-
Abortal Care and treatment of STIs). Up to 611 got Long Acting Reversible contraceptives (LARC), 7107 got other
methods of contraceptives, and one client received post-abortal care service.
UNFPA outreach teams dispatched to Ngala, Kala Balge, Dikwa, Gwoza, and Konduga in partnership with CARE
International and in partnership with the State Ministry of Health (SMOH) teams have been dispatch to Konduga,
Kaga, Jere and Mafa LGAs. The Integrated RH Clinic at Muna Garage Camp has been fully equipped and now
conducting deliveries alongside Antenatal care, Family Planning and Postnatal care activities
UNICEF in Adamawa, Borno and Yobe States, a total of 169,584 women and children and their families were reached with integrated PHC in all UNICEF supported health facilities in the IDP camps and host communities. Of the 67,537 consultations, malaria (24,938) was the major cause of consultation followed by ARI (11,332), AWD (7,510), Measles (106) and other medical conditions (23,651). For prevention services: 73,132 children and pregnant women were reached with various antigens, Vitamin A supplementation (10,366), Albendazole for deworming (14,098), ANC visits (11,153); delivery (1,248); Post Natal Care (1,112). In Borno State, UNICEF supports the on-going activities in the Rehabilitation Centre where 752 detainees released from Giwa Barracks have been housed. Health section in collaboration with Child Protection is providing emergency PHC services to the released IDPs on arrival: 841 consultations and 24 referrals took place and 428 children were reached with measles vaccines. UNICEF donated 154 Nigeria Health Kits (NHKs) to the SMOH in Borno (114) and in Yobe (43) to support integrated emergency PHC services in the health facilities in the IDP camps and host communities and outreach activities to reach both IDPs and vulnerable host community members accessing health services in UNICEF supported health service delivery points. UNICEF donated 03 NHKs, NYSC (National Youth Service Corps) to conduct medical outreach activities in MMC/Jere LGAs of Borno.
UNICEF supports SPHCDA to provide integrated emergency PHC services in Adamawa, Borno and Yobe States. (Photo: UNICEF Monguno Bakassi PHC)
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Nutrition updates
Premiere Urgence Internationale (PUI)) OTP nutritional program had 72 new admissions in the last two weeks for a cumulative total of 337 children serviced in the program. Eight children with SAM with complications were transferred to other facilities for stabilization. This number has doubled compared to the previous two weeks. 3,397 children were screened at the PHCC. The PUI mobile health teams at Bayan Texaco, Jajeri Kantudua and Fillin Bayan Makaranta screened 1,363 children of which 151 MAM and 16 SAM cases with no complications. 14 children were referred for admission to CMAM OTP site at Herwa Peace PHC. MSF-Belgium handed over the Dala PHC to Terre des hommes. The PHC facility is now under full Tdh management from 1st October 2017. Tdh is supporting the OPD services and CMAM (SAM 6-59months). MDM staff conducted 2,375 MUAC screenings and 947 nutritional follow up at their locations. UNICEF supported the SPHCDA to implement nutrition activities in Borno and Yobe Sates. During the reporting period, 13,729 children with severe acute malnutrition (SAM) were admitted for treatment in 359 of the 360 UNICEF-supported treatment facilities with reporting rate of 99.7%. Of total 8,494 exits from the outpatient therapeutic program (OTP), 7,574 were cured (89.2%), 693 defaulted (8.2%), 171 failed to responds to the treatment (2%) and 56 died (0.7%). Seven UNICEF-supported in-patient facilities admitted 167 SAM cases with medical complications of which 88 were stabilized and transferred to OTPs. For malnutrition prevention, 14,569 children received micronutrient powder (MNP) and 183,188 mothers/caretakers were reached with counseling on infant and young child feeding (IYCF). These achievements were the result of screening of 1,356,952 children 6-59 months of which 16,860 were SAM and 128,598 were found MAM in 27 LGAs (19 in Borno and 8 in Yobe); provision of 6,059 boxes of RUTF and 44,850 sachets of MNP; and supportive supervision to 207 OTP sites, 3 stabilization centres, 193 Mother support group (MSG), 104 IYCF corners and 976 CNMs. WHO Assessment visit made to the ALIMA supported ITFC Monguno during the reporting weeks. Key findings includes: the staff capacity as well as staff patient ratio is satisfactory. All the necessary supplies and equipment are in place due to a robust stock management system. Treatment protocols as well as feeding protocols are followed properly. Health promotion and hygiene practices are reinforced by the staff members on regular intervals. Key indicators on performance indicators are analysed on weekly basis and key data is shared with the concerned staff. In terms of coverage and accessibility, ALIMA is doing an excellent job due to its huge community mobilization program and a strong referral mechanism in Monguno LGA. Photo insert to the right: a child treated at the ALIMA ICU/stabilization phase at the ITFC. An assessment visit to the stabilization centre in Damaturu managed by MSF-Spain was also made during the reporting period. All the necessary supplies and equipment were in place. The staff are adequately trained and skilled. The treatment and feeding protocols are properly followed. The Stabilization Centre is a referral point for most of the LGAs in Yobe state due to its quality services. The WHO Hard to Reach teams screened 9,016 children 0-59 months in Borno state. 40 (0.4%) were identified as SAM and 287 (3.1%) were identified as MAM. The GAM rate was recorded as 3.6%. (acceptable level). About 4,900 mothers and caregivers were reached with key messages on IYCF and 1,110 children 6-23 months received micronutrient supplements.
MDM MUAC screening activities.
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WHO in Yobe State Strengthens Treatment of Children with SAM with Medical Complications: To address the alarming nutritional emergency and mitigate the impact of malnutrition on vulnerable people especially children, WHO has deployed 35 mobile health teams to remote and security-compromised communities in 16 LGAs to screen children for malnutrition and refer acutely malnourished cases to receive medical care in Stabilization Centres (SCs) across the state. WHO has also developed a network of 110 trained community resources persons in remote areas that conduct nutritional screening and link malnourished children to appropriate care to prevent further morbidity and mortality. In addition to the community level interventions, WHO is also working to improve the capacity of SMOH and partners for service delivery in SCs in Yobe state: WHO has conducted training for doctors, nurses and nutrition officers working in SCs on impatient management of SAM and provided them with guidelines and other job aids. WHO nutrition technical officers have intensified supervisory supports in SCs in General Hospitals Nangere, Damaturu and Damagum where SAM kits and other commodities have recently been supplied. WHO is also advocating and working with donors, state government and partners to establish additional SCs in view of high level of malnutrition in the state. In the first two weeks of October 2017 alone, up to 18,985 children have been screened for malnutrition by HTR teams in Yobe and 160 severe cases have been referred to hospitals and clinics within state where they are currently receiving care.
Public Health Risks and Gaps
There have been tangible improvements in food security and nutrition in some areas, thanks to the efforts of the Government and humanitarian organizations; but the health workers and affected continue face obstacles and insecurity because of ongoing attacks by Boko Haram.
The current picture is of protracted crisis and a disruptive health system. Health service delivery continues to be hamper by the breakdown of health facilities infrastructure. In Borno State alone, health facilities are partially damaged (29%) or fully destroyed (35%)
Access to secondary health care and referral services in remote areas is significantly limited. Drugs importation continue to hampers their programme implementation and timely health service
delivery.
Resource mobilization
The latest funding overview of the 2017 HRP reports shows that Health Sector is currently 19.3 M US$ (20.6%) funded of the required appeal of 93.8 M US$ (https://fts.unocha.org/appeals/536/summary)
Health Sector Partners
Federal Ministry of Health and Adamawa, Borno and Yobe State Ministries of Health/ UN Agencies: IOM, OCHA, UNFPA, UNICEF, UNDP, WHO, OCHA/ National and International Partners: ALIMA, Action Against Hunger, AHI, MSF (France, Belgium, Spain and Switzerland), ICRC, INTERSOS, Medicines du Monde, Premiere Urgence Internationale, International Rescue Committee, FHI-360, International Medical Corps, Catholic Caritas Foundation of Nigeria, Victims of violence, Terre des hommes, SIPD, Nigeria Centre for Disease Control, RUWASA, BOSEPA, BOSACAM, WASH & Nutrition Sectors, Nigerian Armed Forces and Nigerian Air Force, and others.
-Health sector bulletins, updates and reports are now available at http://health-sector.org
For more information, please contact: Dr. Haruna Mshelia Mr. Mustapha Bukar Allau Commissionner for Borno State Ministry of Health Permanent Secretary, BSMOH Email: [email protected] Email: [email protected] Mobile: +23408036140021 Mobile +2348061301165 Dr. Jorge Martinez Mr. Muhammad Shafiq Health Sector Coordinator-NE Nigeria Technical Officer- Health Sector Email: [email protected] Email: [email protected] Mobile +23408131736262 Mobile: +23407031781777
A severely malnourished child referred by HTR teams and recently admitted in GH Damagum SC. Photo credit: I. A. Salisu/WHO
