International Medical Health Organization Baltimore, USA
Rajam Theventhiran October 03, 2009
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History of IMHO • Started in 2003 and became a 501c3 registered charity in 2004. • Both medical and nonmedical professionals • Governed and managed by a diverse group of 11 board members
Our Mission • Aims to improve health care across the globe • Identify health needs, provide resources and training • Help develop health care infrastructure in underprivileged communities • Cultivates sustainability • Main focus is Northeast Sri Lanka
IMHO is not a... • • • • • • •
Political organization Professional body Doctor’s club Cultural organization Religious group Social club Alumni
Past Projects • • • • • • • • • •
Primary Care- PHC, Mobile clinics,medications,staff allowances Tsunami relief work-Medications, volunteers Mental Health- Built in patient units, medications, rehab unit. Cancer- medications, ambulatory chemotherapy unit, nutrition for poor patients. Renal-Funded Dialysis machines, support poor patient’s expenses. Diabetes- building and running cost of Diabetic center Cardiology-High Dependency unit Nutrition-Pregnant mothers nutrition project Education training- Nurses, Doctors, other health care workers. Empowerment Projects- micro credit projects.
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International Projects • USA-Katrina Relief work –American red cross. • Pakistan-Women hospital-National Health Forum • Burma-Cyclone Nargis-OP USA • Bangladesh-Cyclone Sidr-BRAC/USA • CongoDR-MSF • India-Primary Health care Center. 6
Status of IDP in May 2009 • Vavuniya District 260,004 • Jaffna District 11,064 • Pulmoddai 5,891 • Total # of IDP’s 280000 • In Govt buildings: 37,988 • Hospitalized: 3,918 (Trinco, Vavuniya, Manna and Jaffna Hospital)
Situation Report • Total IDP centers in Vavuniya: 22 • Total IDPs at these centers: >260004 Hospitals that deal with IDPs (Midnight total) Vavuniya GH
1223
Cheddukulam BH
906
Poovarasankulam
751
CCTMS
69
Pampaimadu
69
Poovarasankulam
239
Total 3505 IDP RDHS PatientsVavuniya • As of May 6, 2009. Source
Some important information • Number of IDP: 280000 • Number of Families: 93,822 Age Group 0-5 years
57,291
6-18 years
67,829
19-59 years
141,956
>60 years
25,186
Internally Displaced Persons • • • • •
Amputees 25-30,000 (in need of prosthesis) 3000 pregnant mothers 10,000 malnourished children 1,000 orphans 8,000 widows
Life in an IDP Camp • Separation from family members • Lack of freedom of movement • Overcrowded • Insufficient access to food ,medical care, clean drinking water • Toilet to IDP ratio 1:80 • Spread of communicable diseases • Improper drainage, sanitation & hygiene
IDP Camp
Inside the camp
Outside the camp
Outside the Camp
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Flooding
16
Waiting for Water
Bathing Area
18
Nutrition
Line for food
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Sanitation
Comprehensive Health care
Referral center One centre in each Zone Now fully functioning in Zone 2 Coverage: 30 000 – 55 000 population Facilities: • Zonal Health coordinator will be the over all in charge of this centre. • He is the in charge for the Zone – No Health activities will be held within the Zone without his knowledge. • Curative facilities – MOIC for referral centre have been appointed. – Inward facilities – (10- 20 beds) – Specialized Clinics (Minimum Once a week) (Need separate consultants of IDP Care)
Referral center • Preventive Health teem – MO IC, SPHI, SPHM – Ensure all preventive activities including immunization – Water sanitation, Mosquito control, Flies control, Environmental sanitation • Weekly Meeting with all sectors will be coordinated by Zonal Health coordinator, All PHI, PHM, MOO, NGO representatives, Security In charge of Zone, community leaders will be participated
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Zone II- Referral center
Zone IV - Referral center.
Primary Health Care Centre • Coverage :10 000 - 15 000 • Curative services ( Each centres) – 2- MO – 1 Nursing staff ( IDP), – 1 pharmacist or Dispenser (IDP) – Minor staff – 10 in each centers (IDP) • Preventive services – 2 PHM and 1 RHA and ( 1/3000-4000) population (IDP) – Volunteers ( 1/500 population) (IDP) – 1 PHI (IDP)
Primary Health Care Center • Duty hours: 8 am – 4 pm • Facilities – Basic medical care ( OPD Care) – Basic procedures – Eg Suturing, Nebulisation, – Clinics – Antenatal, Postnatal, Well Baby, Well women clinics – Health education facilities – Counseling services
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PHC, Kathirkamar Village
Doctors’ Strength • 1. Permanent Medical Officers for IDP care:61 – Zone-0 :-08 – Zone-1:- 04 – Zone-2:-10 – Zone-3:-08 – Zone-4:-08 • Other welfare centres in Vavuniya: 23 • Voluntary Medical Officers: 26 • Total 87 doctors are working in the IDP settings
Curative Care GH Vavuniya
448 beds
BH Cheddikulam
131 beds
DH Poovarasankulam
10 beds (isolation)
Pampaimadu (Branch of Vavuniya GH)
100 beds
GTMS (Branch of Vavuniya GH)
100 beds
Indian Field Hospital (Cheddikulam)
50 beds
MSF Field Hospital (Cheddikulam)
100 beds
BH Chettikulam
BH Chettikulam
Temporary ward-BH Chettikulam
GH Vavuniya
Two babies on oxygen but with only one pulse oximeter
One infusion pump for 243 babies
Current Needs • Reunification of Families • Resettlement • Basic needs- housing, Water, Sanitation, Health Care • Physical Rehabilitation • Psychological rehabilitatation • Livelihood Projects 38
Special Populations • • • • •
Children Widows Elders Amputees Paraplegics
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What Have We Done So Far • • • • • • • • •
Nutrition - $205,000 Medicine - $20,000 Mobile Medical clinic - $40,000 Hygienic kits and clothes - $12500 Renovation of Hospital - $5000 Toilets - $36000 Tube wells - $13300 Physical rehabilitation - $38500 Medical students fund- $7000
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Other Projects • • • • • • • •
Kudil-Psych.Rehab-$2500 Nutrition-$53000 Staff salary $8400 Mobile clinic-$14000 Education and Training-$6500 J/TH ICU- $8000 J/TH Recovery unit-$6500 Telemedicine $3000 41
Contd… • • • •
Kallady Village project-$10,000 Up Country Project-$10,000 Kalmunai MHS-Micro credit- $10,000 Total= $131900.
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• We have to work together if we want to make a meaningful difference • Chance put them there and us here - that could have been you or me • So little is required from each of us to help them • From those to whom much is given, much is required • We have a moral obligation to help 43
“The hungry children, the homeless refugees - not to respond to their plight, not to relieve their solitude by offering them a spark of hope is to exile them from human memory. And in denying their humanity we betray our own.� - Elie Weisel
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Thank you!
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