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UPDATE OF THE POST-ELECTION EMERGENCY RESPONSE

UPDATE OF THE POST-ELECTION EMERGENCY RESPONSE. Dr James Nyikal DIRECTOR OF MEDICAL SERVICES MINISTRY OF HEALTH KENYA. BACKGROUND. 30 TH DECEMBER 2007 – VIOLENT PROTESTS BEGIN 31 st DECEMBER 2007 – SPREAD ACROSS THE COUNTRY RAPIDLY DEVELOPED INTO A HEALTH CRISIS

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UPDATE OF THE POST-ELECTION EMERGENCY RESPONSE

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  1. UPDATE OF THE POST-ELECTION EMERGENCY RESPONSE Dr James Nyikal DIRECTOR OF MEDICAL SERVICES MINISTRY OF HEALTH KENYA

  2. BACKGROUND • 30TH DECEMBER 2007 – VIOLENT PROTESTS BEGIN • 31st DECEMBER 2007 – SPREAD ACROSS THE COUNTRY • RAPIDLY DEVELOPED INTO A HEALTH CRISIS • LARGE NUMBERS OF VICTIMS TAKEN TO HEALTH FACILITIES

  3. THE INITIAL RESPONSE • CONCERNS: • Capacity of hospitals to handle victims. • Establishing location and numbers of IDPs including prioritising their needs. • Security for health workers • Shortage of fuel

  4. IMMEDIATE ACTIONS • CRISIS CENTRES AT KNH and MTRH • DISPATCH OF MEDICAL SUPPLIES INCLUDING BLOOD and OXYGEN • IDENTIFICATION OF LOCATION AND SIZE OF IDP CAMPS • COLLATION OF DATA • MOBILISING MORE HEALTH WORKERS

  5. MOST AFFECTED • RIFT VALLEY • NYANZA • NAIROBI • WESTERN • COAST • ALL ARE MONITORED AND UPDATED REGULARLY

  6. SUPPLIES MOVED • DISPATCH OF SUPPLIES SINCE 31ST DECEMBER 2007 • VALUE DISPATCHED TO-DATE OVER KShs. 10M ($167,000) • TO ABOUT 30 FACILITIES • URGENCY AS HEALTH NEEDS INCREASE IN CAMPS AND AFFECTED AREAS • NEEDS CONTINUALLY ASSESSED AND REQUIREMENTS UPDATED

  7. CURRENT NEEDS • MAJOR AREAS: • PUBLIC HEALTH IN THE CAMPS • CLINICAL SERVICES IN CAMPS • CLINICAL SERVICES IN FACILITIES • CLINICAL SERVICES IN AFFECTED AREAS • LOGISTICS (SUPPLIES AND OPERATIONS)

  8. PUBLIC HEALTH • PLAN IS OVER 2 MONTHS FOR IDPs (300,000 in 42 sites) • MAJOR AREAS: • Shelter (not in MoH budget) • Sanitation/Hygiene • Safe water • Liquid/solid waste management • Preventive services • Health promotion • Disease surveillance • Total is KShs 545,470,000 ($9,091,167)

  9. CLINICAL SERVICES - IDPs • BUDGET IS FOR 2 MONTHS (300,000 in 42 sites) • UNIT USED FOR MEDICAL SUPPLIES IS A HEALTH CENTER KIT • ACTIVITIES: • Clinical services • Immunisation • Reproductive health • Referral • 100 KITS AT KShs. 39,040,000 ($650,670)

  10. CLINICAL SERVICES – FACILITIES • FOR 2 MONTHS IN 6 PROVINCIAL AND REFERRAL FACILITIES AND 22 DISTRICT FACILITIES • ACTIVITIES: • Emergencies (in and out-patients) • Specialised treatment • Rehabilitation • TOTAL IS KShs. 451,176,393 ($7,519,600)

  11. LOGISTICS • PLAN FOR 2 MONTHS (300,000 in 42 sites) • MAIN AREAS • 5 Provinces • 100 Regular MoH staff out-of-station (24,000,000) • 200 short-term recruits (27,430,000) • Operational costs (25,000,000) • Distribution costs for supplies (20,000,000) • TOTAL KShs. 96,430,000 ($1,607,166)

  12. SUMMARY • PUBLIC HEALTH = 545,470,000 • CLINICAL SERVICES (IDPs) = 39,040,000 • CLINICAL SERVICES (Facilities) = 451,176,393 • LOGISTICS = 96,430,000 TOTAL = 1,132,116,393 = $18,868,607

  13. GAPS • TOTAL = 1,132,116,393 ($18,868,607) • GoK PLEDGE = 519,000,000 ($6,983,000) • Resource Gap = 613,116,393 ($10,218,607)

  14. THANK YOU!

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