PUNTLAND HEALTH CLUSTER COORDINATION MEETING MINUTES VENUE: MINISTRY OF HEALTH GAROWE, WEDNESDAY 23 MAY :00AM - 12:00PM

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1 PUNTLAND HEALTH CLUSTER COORDINATION MEETING MINUTES VENUE: MINISTRY OF HEALTH GAROWE, WEDNESDAY 23 MAY :00AM - 12:00PM Participants S/N Name Title Organization Telephone Attendance 1. Mohamed Hersi Health Cluster SCI Mohamed.Hersi@savethechildren.o Present Coordinator-PL rg 2. Abdihamid Ibrahim Health Cluster Cocoordinator-Somalia Health Cluster Abdihamid.ibrahim@savethechildre Present n.org 3. Abdirizak Hassan Isse Director of Planning and MOH Abdirisak20@gmail.com Present Policy Development 4. Ali Dirie Said Director of Public Health MOH alidhouh@gamil.com Present 5. Abdirisak Abshir Hrisi Director of Primary MOH Garka99@yahoo.com Present Healthcare 6. Dr Abraham Medical Officer WHO debesaym@who.int Present Mulugeta 7. Dr Jama Warsame Consultant UNFPA Jwarsame2011@gmail.com Present 8. Sirad Adam Program Coordinator SRCS siradaden@gmail.com Present

2 9. Abdullahi Rashid Health Specialist UNICEF Present 10. Hashi Hersi Muse Health Officer UNICEF Present 11. Said A. Mohamed Deputy Program MdM Present Coordinator 12. Zamzam Said Program Manager ISDP Present m 13. Dr Naima Guled Emergency Coordinator TASS drsnaciima3@gmail.com Absent without apology 14. Dr Ali Abdi Public Health Officer WHO cdcgarowe@yahoo.com Present 15. Mohamed Kulu Polio Officer WHO Awle2099@gmail.com Present Farah 16. Deeq Sudi Health Program Assistant IOM dtarabi@iom.int Absent with apology 17. Bahsan Hassan Health Coordinator WVI Bahsan_mohamed@wvi.org Present Mohamed 18. Osman Mohamed Deputy Regional Health Karkar Deputyrho@gmail.com Present Mohamud Officer Region/MOH 19. Abdinasir Sh. Ibrahim Regional Health Officer Mudug rhomudug@gmail.com Present Region/MOH Said Mohamed Planning Department MOH Said387@gmail.com Present Abdulkadir 21. Nadifo Isse Emergency Health Officer SCI Nadifo.isse@savethechildren.org Present 22. Ridwan Abdi Health Officer UNFPA/DOCC rabdi@unfpa.org Present 23. Abdinasir Hassan Health Coordinator WVI Abdinasir_yousuf@wvi.org Present 24. Omar Sh.Hamid Program Coordinator KAALO Omarshiikh001@gmail.com Present 25. Ahmed Ali Mohamed Medical Officer SRCS Adahir120@gmail.com Present 26. Hamdi Abdullahi Ali Nutrition Supervisor CARE Hamdi.abdullahi@care.org Present 27. Idil Osman Omar Project Officer WVI Idil_omar@wvi.org Present 28. Ubah Mohamed Haji Project Officer WVI Ubah_haji@wvi.org Present

3 29. Said Nuriye Abshir BCC Specialist SCI Present 30. Hodan Ahmed Mohamed Reproductive Health MOH Present Agenda Welcome note and introduction of participants- All Update on Health Cluster situation in Somalia/Puntland- Abdihamid Ibrahim Update on AWD/Cholera situation (all drought related indicators)- Ali Dirie Presentation by partners on health cluster responses- All partners Update on major responses and achievements of week 20 and plans for Weeks 20/21- All partners AOB AGENDA Opening remarks & update on health cluster in Somalia KEY HIGHLIGHTS The meeting was attended by representatives from the Ministry of Health including Abdirizak Hassa Isse, Director of Planning and Policy Development, Ali Dirie Said, Director of Public Health, Abdirisak Abshir Hirsi, Director of Primary Healthcare. The meeting was also attended by Dr Abdihamid Ibrahim, Health Cluster Co-coordinator-Somalia and various health cluster partners operating in Puntland. Dr Abdihamid had a session in which he provided an overview of the health cluster situation in Somalia. Issues he highlighted include the need to for strong collaboration centered under the leadership of the MoH and that information sharing is an important element in the cluster coordination.

4 Dr Abdihamid Ibrahim, Co-Cluster Coordinator- Somalia providing overview on the Somalia health cluster situation during weekly health cluster meeting in Garowe.

5 Group photo of Puntland health cluster partners after their weekly meeting at the Ministry of Health, Garowe. Upcoming Regional Health Cluster Meeting in Bosaso, Bari Region Yesterday, the regional health cluster focal point in Bari region, Mr Habib Shire of Save the Children has circulated the agenda for the upcoming regional health cluster meeting which will be held in Bosaso on 28 th May Updates on AWD situation As of 22 May, 2017, a total of 7,431 AWD Cases incl. 151 (CFR: 2.0%) have been reported from 14 Districts in 7 regions of Puntland.

6 A total of 782 AWD/Cholera cases including 10 deaths (CFR 1.3%) were reported during week 20 (15 21 May 2017) in all districts in all affected regions. There is slight an increase in the number of new AWD/cholera cases and deaths reported 782 cases with 10 deaths were recorded in week 20 compared to 724 with 6 deaths were recorded in previous week 19. The highest numbers of the new cases were reported from the following districts: Dhahar, Qardho, Taleh and Buhodle. Completed, Ongoing, Planned Activities S/N ACTIVITIES LOCATION COMPLETED 1 AWD case management training, water chlorination, Dhahar district social mobilization, fuel support for MoH ambulance, MoH field assessment, medical and WASH supplies, 3 mobile teams, medical personnel 2 Mass awareness campaigns (media and household), Burtinle and Dangorayo Distribution of hygiene kits, Garbage collection, Training CWHs on hygiene promotion 3 Phase 1 measles campaign targeting 177,286 children Qandala, Iskushuban, Ufayn Galkacyo and Galdogob districts 4 Polio campaign targeting 352,724 people Bari, Karkar, Nugal, Mudug, Sanag, Sool and Ayn regions 5 As a pilot, 100 Berkads were fixed with tabs to prevent Bosaso town frequent opening which allows mosquito larvae to bread 6 Bosaso Rapid Epidemiological Malaria Assessment conducted and report widely circulated Bosaso town ONGOING 1 Provision of lifesaving integrated health and nutrition Puntland services to drought affected populations though fixed health facilities, mobile teams and campaign modes 2 Surveillance of diseases of interest and weekly data Puntland collection and reporting from 60 sentinel sites 3 Social mobilization including production and Puntland distribution of IEC materials 4 Chlorination of all water sources All major towns in Puntland

7 Challenges 5 60,000 LLIN distribution Bosaso town 6 Active case detection of 10 mobile teams at Bosaso town household level 7 Joint supervision of ongoing interventions Puntland PLANNED 1 Continuation of ongoing lifesaving health services Puntland 2 Phase 2 measles campaign Garowe, Bossaso, Qardho, Bendarbayla, Hafun and Rako districts 3 Deploy 10 new and 2 replacement mobile teams Mudug (Galkayo, Jariban), Karkar (Qardho), Sanag (Dhahar, Lasqoay), Sool (Taleh, Hudun), Ayn (Buhodle, Horufadhi) Nugal (Dagorayo, Eyl) 4 Training of Trainers (ToT) for 40 MoH persons Puntland 5 Water chlorination in major towns Puntland Lack of funding for health cluster coordination (central and regional) Some partners delays in information sharing Some partners poor adherence to revised reporting format Shortage and delays in funding Shortage of medical supplies Increased population movements Highly scattered villages Short term projects (e.g. 3 months) Frequent disease outbreaks (AWD/Malaria/Measles) Poor integration in most interventions Geographical distance Accessibility for mobile teams in some locations Recommendations Support health partners on funding gaps and to allow responding timely Funding support for health coordination (at least 2 dedicated persons (coordinator and assistant), capacity building, office space, equipment, attend regional health cluster meetings, conduct monitoring missions) Strengthen health and nutrition education Intensify AWD prevention measures

8 Enhance malaria control measures Enhance integration of interventions (e.g. WASH interventions in health facilities) WASH supplies need to be with the MoH Action Points Develop and share attendance and reporting trackers for health cluster coordination meetings- M. Hersi, 29 May Submit weekly report on time using the final version of the adopted weekly reporting template- health cluster implementing partners, every Tuesday Presentations during health cluster coordination meetings using the standardized presentation template, all health cluster partners, every Thursday Update the Master Facility List (MFL) and circulate widely- M. Hersi, 31 May Share updated 4W matrix and identify further gaps while avoid duplications, M. Hersi, 28 May Share names of all CTCs and CTUs in Puntland, Ali Dirie, 26 May Finalize (including lay out) Puntland Emergency Response Plan, Ali Dirie,M. Hersi, Dr Abraham, 4 June Print AWD treatment guidelines + posters, Dr Abraham, as soon as possible CSR presentations to cover more indicators (as minimum, it needs to include all indicators in the health cluster weekly reporting tool), Ali Dirie, next presentation -END-

Puntland Nutrition Working Group

Puntland Nutrition Working Group N U T RITIO N CL U S T E R M E ET I N G M I N U T ES 29 TH DECEMBER 2013, MOH-HQ CONFERENCE HALL, GAROWE PUNTLAND, SOMALIA Overall Objectives The overall objective of the Nutrition Cluster meeting is to