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IOM - SUMATRA BARAT FACT SHEET
UPDATE AND PROGRAM SUMMARY
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6 Humanitarian Aid and Civil Protection
PREPAREDNESS AND CONTROL OF COMMUNICABLE DISEASES WITH EPIDEMIC AND LIFE THREATENING POTENTIAL IDP SETTING
INTRODUCTION IOM through Indonesia geological disasters emergency response has contributed to the recovery process of tsunami-affected population in Mentawai Islands by providing immediate emergency relief to affected populations/IDPs, including logistic support, medical assistance and psychosocial support as well as basic hygiene/ disease prevention training. Following three months after the emergency response, IOM continues to provide assistance to the tsunami affected population as through a project called “Preparedness and Control of Communicable Diseases with Epidemic and Life Threatening Potential IDP Setting, West Sumatra”. The project funded by European Commission Humanitarian Aid and Civil Protection (ECHO). The eight months project aims to contribute in reducing morbidity among IDP and surrounding communities by early detection of communicable diseases events of epidemic or life threatening potential IDP setting
TARGETED COMMUNITY: Locations Sipora sub-district North Pagai sub-district South Pagai sub-district Sikakap sub-district
ACTIVITIES Result 1: A robust early warning system that involves primarily health care workers and communities is established
Result 2: Coordinate with village governments and community
Conduct coordination meetings § Conduct an initial technical §
Conduct a community health needs assessment § Provide technical assistance local health authorities §
evaluation of the existing
surveillance system Establish Community Health Volunteer Team (CHVT) in 18 sub§ villages Conduct training of 180 volunteers in EWARN principles to § enable basis case detection, reporting and referral IOM - West Sumatra fact sheet I Update and ProgramSummary
to
develop/update guidelines on how to record population medical data Conduct §
training of 20 medical staff on clinical
management Conduct health promotion activities § Page 1
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MAIN CONTRIBUTIONS OF THE PROJECT An initial technical evaluation of the existing surveillance system The initial technical evaluation of the existing surveillance system is conducted to identify system points for system to be strengthened in order promotes the best use of effective and efficient surveillance systems. IOM used a combination of key informant interviews and a desk review of existing literature. The elements considered during the evaluation of surveillance system included the importance of public health, objectives and usefulness of surveillance system, operation of system, qualitative and quantitative attributes, and cost.
Community Health Volunteer Team (CHVT ) established in 19 sub-villages Community Health Volunteer Team (CHVT) are established in 18 sub-villages. The community health volunteers consisted of ten to eleven community members in which the head of subvillages act as board of trustee. In addition, most of CHVT’s structure included mid-wives and/or traditional birth attendants (TBA) as these individuals have been playing a significant role in providing maternal and child care in the absence of medical doctor and/or paramedics in the village.
(EWARN); overview of communicable disease occurrences and endemic disease conditions; description, of symptoms, signs, transmission of communicable diseases; diarrhoea contamination patterns; and personal hygiene.
Community Health Needs Assessment The information on health needs was collected across South Pagai, North Pagai, Sikakap, Sipora sub-districts to attain information from the community on the health status, availability of health facility and access, health Knowledge, and community needs. The recommendations drawn from the health needs assessment is shared to other aid agencies working in Mentawai Islands for allowing for crossdissemination and filling the gaps on health needs of the community.
Cross dissemination of Information and Lessons Learned to Enhance Synergies and Complementarities Cross-dissemination of information will be held on regular basis not only during the health cluster meeting but also healthrelated stakeholders for enhancing synergies and complementarities.
Community Health Volunteers (CHVs) trained on basic case detection, reporting and referral
Training on clinical management of communicable diseases
The training on basic case detection, reporting, and referral will allow the health volunteers established in each sub-village to detect basis case, reporting communicable diseases, and refer to the existing referral system. One full day training included topics: basic principles of early warning response system
Clinical management training for primary health care staff, health offices staff (both district and provincial) is provided to improve professional health workers’ capacity and quality on clinical management of communicable diseases as well as to train professional health workers in planning, executing and
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evaluating of communicable diseases outbreak. The three-day training was conducted in partnership with SEAMEO Regional Center for Food and Nutrition/SEAMEO RECFON in Padang, West Sumatra for three days.
potential to stop significant morbidity and mortality. The activities were designed by IOM in partnership with the health practitioners who have been trained in clinical management of communicable diseases and also in
Health Promotion activities across North Pagai, South Pagai, and Sikakap sub-district
collaboration withy the newly established Community Health Volunteer Teams (CHVT). The health promotion activities will target all community members residing in relocation sites or surrounding communities and elementary school children.
The health promotion activities are provided to strengthening of preventive measures and education of the IDPs as it had the
ACHIEVEMENTS TO DATE Component 1: A robust early warning system that involves primarily health care workers and communities is established
6 meetings
Coordination meetings with Mercy Corps, Provincial and District Health Offices to aimed at socializing the new project, seeking for input from Provincial and District Health Office, and discussing the areas of intervention and possible for collaboration and synergies are conducted.
21 FGDs
Focus group discussion with community at sub-village levels for establishment of Community Health Volunteer Team (CHVTs) was undertaken.
21 teams
Community Health Volunteer Teams (CHVT) were established in 21 sub-villages. The community health volunteers consisted of ten to eleven representatives of community members including religious leaders, community leaders, youth and women association, midwives, and/or traditional birth attendants (TBA), and the existing health volunteers.
6 meetings
Health Cluster coordination meetings in Sikakap on monthly basis led by Surf Aid
1 package
Conduct an initial technical evaluation of the existing surveillance system. This activity will be completed in August 2011. The dissemination of the results through mini-workshop with the relevant stakeholders (surveillance officers from various health offices) will take place in September 2011.
180 Community Health Volunteers
IOM has provided Early Warning and Response (EWARN) principles for 180 Community Health Volunteer Teams (CHVT) at 21 sub-villages. One-day full training provided by IOM public health specialist and nurses and in collaboration with health practitioners of the local health offices (Puskesmas) included topic such as: basic principles of early warning response system (EWARN); basic concept of communicable diseases occurred; symptom, sign, and transmission of communicable diseases; diarrhoea contamination patterns; and personal hygiene. An additional training targeted for community health volunteers on strengthening diseases surveillance will take place November 2011 in collaboration in specialized training agency of Bandung (Rumah Solusi Consulting).
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Component 2: The primary health care and referral mechanism is strengthened
7 villages
Coordination meetings with sub-districts, villages and sub-village leaders across Pagai Utara, South Pagai, and Sikakap sub-districts. The villages are: Bulasat, Malakopa of South Pagai; Betumonga, Silabu, Somanganya of North Pagai; Taikako of Sikakap; and Bosua of Sipora.
21 sub-villages
Community health needs assessment conducted in 21 sub-villages across three sub-districts, with a total 520 community members interviewed. The results will be shared with other aid agencies, particularly with Mercy Corps as IOM counterpart for Mentawai response.
19 participants
A three-day clinical management training has been conducted on 21-23 July in collaboration with SEAMEO Center for Food and Nutrition (formerly known as SEAMEO Tropical Medicine and Public Health/TROPMED Regional Center in Community Nutrition/RCCN). The participants were representatives from District Health Office and Primary Health Care/puskesmas’s staff coming across Mentawai Islands. A total 19 out 20 participants invited attending three-day training. Among them, 15 (79%) were female and 4 (21%) were male.
12 events/schools
IOM team has organized “a happy day: brushing teeth and washing hands event” as part of health promotion activities. The events took place at the 12 elementary schools in Sikakap, South Pagai, and North Pagai. To date, close to 1,400 school children (age 10 to 12 years) participated in events.
9 sub-village clean-ups/ environmental clean ups
Socialization on ‘open defecation free’ at four subvillages
IOM continues to facilitate the community to conduct village clean-ups at the various relocation sites. The field team continues to insert ‘health messages’ on how to manage solid waste and the importance of clean the surroundings areas on regular basis. IOM has provided cleaning tools (e.g., broom sticks, shovels) and gloves for this activity. IOM has facilitated a series of community meetings for the community at three sub-villages in order to promote ‘open defecation free’. The meetings aim at encouraging the villagers to use the existing of public toilets and start building a simple and affordable toilet (e.g. closed pit toilet). The rates of community members to use the public toilets are very low due to unavailability of water and/or limited access to water at the public toilets.
GOVERNMENT INSTITUTIONS AND AGENCIES INVOLVED: BPBD §
Kepulauan Mentawai – District Disaster
Management Agency Sekretaris Daerah – SEKDA Mentawai Islands District § Provincial Health Office (PHO) §
District Health Office (DHO) § SEAMEO Regional Center for §
Food and Nutrition
(SEAMEO RECFON), Jakarta Rumah Solusi Consulting, Bandung §
DOCUMENTATIONS
For further information, please contact :
Ni Komang Widiani National Project Manager IOM - Sumatra Barat, Indonesia IOM - West Sumatra fact sheet I Update and Program Summary
Jl Gunung Semeru 1No 5, Gunung Pangilun, Padang Ph : +62 751 419 01 m : +62 811 286 106 e : nkwidiani@iom.int www.iom.or.id Page 4