Health Cluster Coordination meeting Eastern Samar 23.04.2014
Participating partners: PHO, MSF, PLAN, UNFPA, Philippine Red Cross, Zuelig Family Foundation, MSF, OCHA, CFSI,
WHO
Content:
1.
2.
Key issues discussed and relevant updates on partner activities
Update of relevant working groups
Attachments:
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SAR week 17 2014
Meeting Minutes Nutrition Cluster meeting 22.04.2014
Draft template for Eastern Samar health partner activity log
Key concerns discussed & relevant updates on partner activities
Agenda Item
Disease Surveillance –
Please find the details of the three main diseases monitored (Measles, AWD and Dengue)
in the attached SAR report. In general all three diseases show a decreasing trend.
Rabies: the dog vaccination campaign is about to commence in a joint effort between the
PHO, DOH, PVO and WHO. PHO and WHO are currently (April 30) following up on a case
report on rabies and will share the findings asap.
PIDSR Runners still running albeit SPEED has been deactivated last March 17, 2014 but
the running will come to an end in week 19.2014. Instead the NDP nurses will deliver the
data when attending the regular Friday coaching on PIDSR which will commence from
the first week of May. There are still RHUs/ health facilities who are irregular in reporting
PIDSR.
WASH and Dengue preventive measures ongoing in the different municipalities’ province
wide. Focus on organization of Dengue brigade in the barangays : to mobilize community
based search and destroy activities and conduct larvae surveys at Barangay level.
EPI- a national measles/mumps/rubella campaign is scheduled for September 2014. In
the meantime the PHO continues with mop up activities in municipalities that have
clusters of suspected measles. 11 measles samples are still pending with the reference
laboratory in Manila. Among the last suspected cases were children who showed clinical
indication of measles although having received vaccination before. Cluster partners
discussed the possibilities that either the cold chain situation post Yolanda had had
negative impact on the effectiveness of the vaccines used - or that there are issues with
clinical diagnostics (cases not fitting case definitions).
UNICEF delivered “surechill” refrigerators to most of the 24 RHU’s in the province
(Guiuan and General Macarthur are still awaiting delivery). Each ILHZ have their own
technician trained on installation and maintenance of the new equipt. The regional cold
chain manager was supposed to come this week for coaching and assistance to the
newly trained technician but this was cancelled because of ISO activities at the CHD.
WHO supports the mobilisation of the respective electricians to travel through each ILHZ
to install the fridges in their own ILHZ. Training on the use of the new equipment
including cold chain monitoring will be conducted later in May. Further equipment (cold
dogs, ice packs and a cold room for the PHO) are expected later this year.
FYI: General HCC information in the Philippines can be found on the HCC web page:
http://www.wpro.who.int/philippines/typhoon_haiyan/en/index.html
DOH information is accessible on: http://www.doh.gov.ph/
Action Points, responsible
partner, deadline
TB: Gen. Expect Machine donated by GLOBAL FUND – Already installed at ESPH but not
yet operational.
4 Microscopes were donated by JICA to LawaaN, Mercedes, Giporlos and Balangkayan
RHU’s.
Orientation on the Simplified NTP Guidelines Post-Disaster conducted on April 3, 2014 to
MHO’s and PHN’s.
DSSM Refresher Course for medtechs conducted to 11 Yolanda affected municipalities
on March 18-20, 2014 and being conducted to Northern Municipalities from April 21-23,
2014. Sponsored by JICA through Phil. Tuberculosis Society Inc.
CAT I and CAT II TB drugs are available so with other logistics like logbooks, treatment
cards, etc.
Relevant Partner updates:
HOM will finalize all activities (nutrition/Mental health) by May 6 th – extensions are
possible but unconfirmed at the moment.
Red Cross – conduct health education using DOH IEC material, focus on sanitation,
water, hygiene. Currently present in Ateche and Jipapad with 172 community health
volunteers in response to local flooding (occurred in week 16/17 2014). Currently the RC
still provides free of charge blood donations to the hospitals in Guiuan. An admin fee is
raised for donations coming from the blood bank in Borongan.
MSF – continue supporting the temporary hospital in FAMH until patients can be
transferred into the new transitional hospital. Construction of the prefab transitional
hospital is ongoing and hampered by import tax regulations, however still within
schedule to finalize at the end of June. MSF continues with HHP and WASH activities in
the Guiuan ILHZ until the end of May.
Zuelig Family Foundation: Conduct pre and post natal care activities. Distribute various
MNCH related care packages to PLW. A pregnancy tracking training was rolled out in all
affected municipalities. RHU’s received the computers for this to ensure reporting of
tracking. Continue with local health board meetings at barangay and municipal level.
CFSI – active in MNCH
Plan Philippines continue with a multitude of health and nutrition related activities as
previously shared with HCC partners. Mentionable: Plan will rehabilitate 10 BHS in the
most affected areas, letters of intent are currently being finalized.
OCHA now has a permanent representative in Borongan to support relevant government
authorities in the coordination of partners.
UNFPA has finalized the distribution of the maternity tents. Further E-Rangers are being
distributed in the coming weeks, most likely to those facilities that UNFPA has
committed to rehabilitate, a distribution plan will be developed and shared.
WHO supports the DOH/PHO in rehabilitating the dengue brigades in the province as
one component in a range of support provided to prevent and mitigate potential dengue
outbreaks. Priorities for WHO in Eastern Samar are and will be the continued support to
PHO and DOH on MHPSS, HHP, MNCH and WQM. The technical support to disease
surveillance is phasing out at the end of May.
Nutrition Cluster update: please find the meeting minutes attached to these minutes
WASH Cluster update: activities as reported in previous meeting minutes, the last WASH
cluster meeting was cancelled
MHPSS working group update: the TOR for the MHPSS working group have been
endorsed after final minor changes to the document. Unless required earlier they will
FYI: General HCC information in the Philippines can be found on the HCC web page:
http://www.wpro.who.int/philippines/typhoon_haiyan/en/index.html
DOH information is accessible on: http://www.doh.gov.ph/
Partners to provide
updates on activities
conducted/items
distributed in the
future using the
proposed format once
reviewed/endorsed in
the next HCC meeting.
next be reviewed at the end of July (quarterly).
The draft cross sectoral pathway for MHPSS was extensively discussed in the working
group; a workshop is proposed to discuss the draft as well as general information
management among all relevant stakeholders in the province. Issues raised around
confidential case management highlighted the importance of such workshop.
The MHPSS working group is still struggling under irregular participation of key
stakeholders as well as constant changes in focal points for MHPSS in DEPED, PSWD and
various NGO partners. All partners are encouraged to reach out to pot. further
stakeholders in e.g faith based or other community groups.
HHP working group update: PHO has now trained all BHWs as planned on the 5 key
messages selected as priority for the most affected areas. Respective IEC material was
made available. The key messages are on: Dengue, AWD, food safety, hand washing,
sanitation.
A second training of health care waste management is scheduled for May 5-7. 2014
aiming at training key hospital and RHU on the management of waste in general and that
of medical waste in particular. With the conclusion of this second training each
municipality has a number of health staff trained on best practices in HCWM.
WHO supports the DOH and PHO in re-establishing Dengue Brigades as community
based social mobilisation against Dengue. The peak season for Dengue is usually from
July to September and with the proliferation of breeding sites due to debris the
likelihood of an outbreak must be considered high. Preventive action must be taken now
to avoid an epidemic.
Reports on mortal traffic accidents are increasing at the moment. The HHP working
group should look into none Yolanda specific causes of high morbidity and mortality and
identify whether priorities have shifted and programming should respectively adapt?
PHO specific HHP update:
 HHP Kit and laminated IEC materials were developed and reproduced by WHO
with 5 key messages and has been allocated to affected municipalities
 Orientation of health service providers to include the midwife and the NDPs
have been started and finished in most of the municipalities
 Requested WHO to reproduce booklets (WASH, Communicable disease
information compilation) to distribute to RHUs
 TOT on HHP is set to be conducted on May (supported by WHO)
Reproductive Health working group update: UNFPA shares the raw data of their birthing
facility assessment conducted throughout March/April. The raw data indicates that the
vast majority of birthing facilities have very limited availability of even the most basic
equipment for clinical services (e.g. 17 out of 18 facilities have no Fetal Doppler, 16 out
of 18 have no delivery sets). The summary report of the assessment will provide details
on the assessment and will be shared as soon as available.
Various RH partners are already or planning to conduct projects on Adolescent Sexual
and Reproductive Health – it is vital that a ASRH framework for the province is being
discussed to ensure activities are taking place within a commonly agreed framework and
following best practice.
Further reproductive health missions are going to be conducted in May and June.
A number of key MHO, PHN and midwifes from 10 most affected municipalities in
Eastern Samar are currently trained (TOT) by UNICEF on Essential Intra-partum and
FYI: General HCC information in the Philippines can be found on the HCC web page:
http://www.wpro.who.int/philippines/typhoon_haiyan/en/index.html
DOH information is accessible on: http://www.doh.gov.ph/
PHO to draft a
proposed agenda for
an referral pathway+
IM workshop deadline:
05.05.2014
UNFPA to share the
electronic summary of
the birthing facility
assessment with all
health partners
PHO to set date for a
meeting on ASRH,
WHO to provide
technical assistance
through the ASRH
focal point in Manila
Newborn Care (flowing the new DOH standard of 3 days training including a full day on
none-breathing babies.
AOB:
The health cluster coordination meeting has become very presentation heavy with
partners sharing the number of kits distributed or sessions conducted/planned which is
consuming time and takes away the focus from discussing challenges and concerns
related to health in the province. In order to continue with the HCC meeting with focus
on challenges and action it was decided to collect data and facts of each agency in a
template that requires monthly updating. The draft of such template is attached to these
meeting minutes and shall be filled and shared with the PHO/WHO
(sky_5302001@yahoo.com , bluemeli@wpro.who.int) by partners one day prior to the
HCC meetings.
MSF observed continued drug donations to the various RHU’s and Barangay Health
station from a multitude of different donors. Many of them are either close to expiry or
not within the essential drug list of the Philippines. This observation was shared before
and so far no action was taken up to prevent RHU’s from becoming overburdened by the
issue. The health cluster partners present encourage the PHO/DOH to take a proactive
approach in stopping the donations e.g. through empowering the MHO’s to say “no” to
unsolicited drugs. Apparently there are regional guidelines being developed on the
WHO to develop draft
template for frequent
activity/data sharing.
PHO/WHO to follow
up on regional
guidelines on
unsolicited drug
donation
management: deadline
05.05.2014
management of unsolicited drugs.
The PHO, DOH with support from WHO and Plan Philippines are planning a
provincial health summit for Eastern Samar to take place in Tacloban city in May
2014. The focus of this year’s health summit is on the road to recovery for health
in the province. All partners are encouraged to participate proactively in the
summit. An outline with details including the confirmation of dates and location
will follow before the end of week 18. 2014.
Relevant upcoming meetings:
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Reproductive Health Working Group meeting: 14.05.2014 Provincial Health Office Borongan @ 10:00 a.m.
Mental Health and Psychosocial Support Working Group: 14.05.2014 Provincial Health Office Borongan @
11:00 a.m.
Health Cluster Coordination: 14.05.2014 Provincial Health Office Borongan @ 12:30 p.m.
WASH Cluster meeting: to be confirmed
HHP working group meeting: to be confirmed
Nutrition Cluster meeting: 06.05.2014 Provincial Health Office Borongan @ 13:00 p.m.
FYI: General HCC information in the Philippines can be found on the HCC web page:
http://www.wpro.who.int/philippines/typhoon_haiyan/en/index.html
DOH information is accessible on: http://www.doh.gov.ph/