ERM HUMANITARIAN HEALTH RESPONSE IN YEMEN KAREN HOBDAY, WHO. Photos: Acknowledgements to Dr Ahmed Zouiten

Transcription

1 HUMANITARIAN HEALTH RESPONSE IN YEMEN KAREN HOBDAY, WHO Photos: Acknowledgements to Dr Ahmed Zouiten ERM

2 Demographic indicators Total population (2014) 26,052,966 Population under the age of % Gross national income per capita US$ 3,820 Life expectancy at birth m/f 63/67 Probability of dying under five 60 (per live births, 2012) Probability of dying btw 15 and 60 years 264/214 m/f (per population, 2012) Maternal mortality ratio ( live births) 270 Total expenditure on health as % of GDP 5.5 ERM

3 ERM Conflict 19 March renewed conflict erupts between government forces and local armed groups 26 March fighting between the Houthi s and President Hadi s supporters turns into full conflict; airstrikes by coalition forces commence 21 April Coalition seeks an end to air strikes calling for Operation Restoring Hope; yet fighting has continued May Five day humanitarian pause Peace talks commenced 15 June in Geneva

4 Humanitarian Situation 19 March to 07 June, 2, 584 reported deaths and 11, 065 injured 21.1 million people affected (80% of population) 1, 019, 762 people displaced by conflict 42, 000 people have fled since March 2015 Shelling and attacks are ongoing in Aden, Hajjhe, Al-Dhale, Sa ada & Lahj Governorates impeding humanitarian access Partners working to scale-up operations; UN agencies sending 70 international staff ERM

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6 Wheat trucks hit by armed forces, killing 4 and injuring 5. This shipment was going to Taiz, Yemen. ERM

7 Impact on Health 15.2 million people lack adequate access to basic primary health care services The routine vaccination program is disrupted Increased risk communicable diseases including; measles, rubella, diarrhea, dengue 69 cases of dengue in Aden Governorate in May 2015 Currently, 16, 000 children in the South of Yemen are suffering from severe acute malnutrition with limited or no access to treatment Lack of access and NCD medicines= increase risks ie. Dialysis, heart and cancer patients; birth complications ERM

8 Impact of Conflict Attacks on health workers, facilities and assets 53 health facilities are closed, 12 in Taizz, due to lack of fuel, supplies and sustained damage Ambulances as well as other WHO vehicles have been carjacked in Lahj Governorate and Aden city Medical supplies up to 10 million in value at risk due to lack of electricity and fuel for backup generators for cold chain ERM

9 HEALTH CLUSTER PARTNERS Health Cluster meetings have been taking place regularly in Amman and Sana a. A new Health Cluster Coordinator was hired for Yemen, and will be based in Sana a Recently cluster partners have revised Yemen Plan; the HRP will be launched on 18 June Health Cluster partners have 74 MT of medicines and medical supplies in the country ready to be dispached to cover more than people ERM

10 WHO Activities in Yemen Provision of primary health care services through mobile health clinics in Aden, Sana'a and Hodeida Expanding vaccination activities to previously inaccessible areas. Provision of safe water to hospitals and locations hosting internally displaced persons. Actively seeking funds for non-communicable disease medications which have almost been depleted in Yemen ERM

11 WHO Activities in Yemen 58 MT of medical supplies in Yemen (majority in Hodeida and Sana'a) Supported hospitals with fuel, essential medicines, equipment and staff; operations rooms with oxygen, trauma and dressing kits, human resources & inter-hospital patients transfer. Provided a shipment of anti-malaria medicines from the Global Fund to Fight AIDS, Tuberculosis and Malaria sufficient for 44,950 treatment courses of malaria. ERM

12 Challenges of Operating in Yemen Difficult to hire drivers and transport supplies to areas that are highly insecure Infrastructural damage to health facilities, schools, electrical plants, petrol stations, water pumps, bridges, health facilities and WHO and partner offices, warehouses Limited number of international operational partners on the ground. Local partners are working in an extremely stressful environment ERM

13 Remote Management of Emergency Health Programme the IOM Experience in Yemen Teresa Zakaria, MD, MIPH Migration Health Emergency Operations Offier

14 Yemen s Migration Challenges

15 The IOM Migration Health Programme in Yemen Health assistance for migrants and crisis affected populations Mobile health clinics and HR support to fixed public health facilities PHC, EPI, CMAM, RH in Al Jawf, Abyan, Shabwah, Aden and Sana a Mobile Emergency Units patrolling Yemen s south-western shores outreach to migrants in need to urgent assistance, notably health care in Lahj, Taiz, Hodeidah and Hajjah. Operation of migrant clinics and residential health care facilities in Sana a, Bab Al Mendep, Haradh and Aden Preparedness for disease outbreaks targeting migrants (MERS-COV and Polio) Operational Approach Identification and recruitment of national consultants through third party arrangement Clear hierarchy, areas of responsibilities and reporting lines: field team field team leader area team leader national health officer programme coordinator Clear M&E framework and processes utilization of mobile data collection methods, integration of health and socio-demographic information Regular programmatic updates and field monitoring

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