September 23, 2010
Pakistan 2010 © Mai Tang / MSF
A snapshot of MSF’s Emergency Flood Response between September 10 and September 17:
MSF in Pakistan
Sukkur: A 30-bed capacity Intensive Therapeutic Feeding Center (ITFC) has been established at the Railway Hospital to treat patients suffering from severe acute malnutrition with medical complications. Staff members at the facility are preparing to treat cases of Acute Watery Diarrhea (AWD) and there are plans to support a 30-bed capacity Diarrhea Treatment Center (DTC) in the coming days working alongside the Pakistani Ministry of Health.
Jamshoro: Teams have set up a DTC ready to treat AWD, as well as Oral Rehydration Points (ORPs) to offer treatment for dehydrated patients.
Sukkur: An MSF team continues to conduct mobile clinic consultations and assessments in various camps for the displaced in and around the town of Sukkur. The MSF team in Sukkur has also set up 20 ORPs where health promoters and nurses can rehydrate patients suffering from Diarrhea, assess their condition, and refer them to the DTC if required. These teams are providing hygiene education services to community members and also distributing soap among the displaced people in camps. The team continues to screen children for malnutrition and provide ready-to-use therapeutic food (RUTF) on an outpatient basis to moderately malnourished children who present minimal or no medical complications. In Sukkur, a total of 232 severely malnourished children have been treated and 42 referred to the ITFC, while 552 consultations were conducted during mobile clinic activities.
Jamshoro: MSF teams working in the New Labour camp, Sehwan, Amri, and Manzoorabad have conducted a total of 1,754 consultations so far. This includes nutritional assessments through Mid-Upper Arm Circumference (MUAC) screenings of all children under the age of five and distributions of high-energy biscuits to pregnant and lactating women.
A total of 2,589 consultations have been conducted through MSF’s mobile clinics in Jamshoro and Sukkur (including consultations at the Sukkur ITFC).
Sukkur: 40,000 liters of clean drinking water is being provided daily through water trucks, tanks, and bladders. An MSF-run water treatment unit in the town has the capacity to produce 80,000 liters of safe water each day.
Jamshoro: Every day 10,000 people have access to 240,000 liters of chlorinated water provided by the MSF team, while the capacity will increase in the coming days in order to support more people arriving. ORPs are also being set up at the Liaquat University of Medical and Health Science.
MSF teams have distributed 1,532 relief item kits and 668 tents in Jamshoro and Sukkur since the beginning of the emergency.
Jamshoro: A total 464 families in the New Labour IDP camp received relief item kits.
Sukkur: 668 tents have been distributed to affected families who were without shelter and 1,068 families have received relief kits.
Larkana (south of Sukkur): MSF will open a 22-bed capacity DTC and 14-bed ITFC in the coming days to cater for people previously without assistance.
Sukkur: MSF is aiming to increase the amount of water distributed to at least 80,000 liters per day through the water treatment unit. Relief item distributions will also be ramped up to cover temporary settlements in schools, a vital activity because people sheltering there will soon have to move on before schools re-open later this month.
Jamshoro: While health promotion activities are set to continue the teams will distribute at least 2,000 tents and 2,000 relief item kits. As operations expand, the amount of water distributed will increase to more than 250,000 liters per day. Assessments of general hygiene, water and sanitation conditions in the north of Jamshoro will continue and the project team is considering opening a DTC, should the need arise. MSF teams will continue cleaning and disinfecting services in buildings where flood-displaced people seek shelter, while the installation of hand-washing points and soap distributions will continue.
MSF supports one hospital in the Muzaffargarh district with the following activities:
Kot Addu: MSF operates a 70-bed capacity DTC, water and sanitation services and medical teams treat, on average, more than 150 patients per day with about 40 patients hospitalized per day. Medical teams have treated a total of 2,039 patients since 21 August 2010. Patients are provided with relief item kits when they are discharged.
In the second week of September, MSF opened an outpatient department in Sheikh Mukhtar, treating on average about 50 patients per day.
In addition to setting up ORPs in Ehsan Pur and next to Deira Din Panah, MSF distributed 200 relief item kits to affected families and the team plans to further assess the needs for more ORPs.
The team plans to distribute relief item kits and tents to 5,000 families who have not received any assistance and to ensure access to safe water for people in the most affected villages in and around Kot Addu.
Medical teams will start nutritional assessment in and around Kot Addu to better understand the current malnutrition situation and to launch an immediate intervention, if needed.
MSF is conducting emergency activities for the affected population in and around Dera Murad Jamali.
Hospital Support & Mobile Clinics
MSF supports one hospital and runs mobile clinics and activities in several areas:
Teams working in Dera Allah Aye, Qabular, Jafarabad, Nasirabad, Patfeeder Canal, the Dera Murad Jamali town area, and Mir Hassan are treating people suffering from malnutrition and severe malnutrition. The teams also operate a DTC and mother and child healthcare services.
MSF has thus far treated 1,219 patients through its DTC, averaging 58 patients per day. The majority of patients are children under five, many of whom suffer from severe dehydration. MSF has set up 4 ORS corners and has recruited 30 health educators.
MSF has set up a 16-bed capacity IPD to manage severe and acute patients. So far the team has treated 31 patients including severe acute malnutrition patients who required stabilization.
MSF is providing obstetric emergency care for IDPs and the general population of Dera Murad Jamali. Since the start of the floods MSF has done 97 baby deliveries with complications, of which 16 required surgical interventions (Caesarean sections).
MSF has enrolled 1,000 children who are severely malnourished, in therapeutic feeding treatment.
MSF has halted medical mobile clinic activities as other organizations have started to take on this task as well. MSF teams are now focusing on running a nutrition program. This has included a recent rapid nutritional assessment (through MUAC screening) in five camps, the results of which indicated high levels of malnutrition (Severe Acute Malnutrition at 10 percent and Global Acute Malnutrition at 34.3 percent). The malnutrition situation is expected to worsen since IDPs are now starting to move back to where their homes once were, where they are likely to face dire conditions as the services that were provided in the camps may no longer be readily available to them.
On the whole MSF teams have provided more than 8,000 consultations through MSF mobile clinics focusing on nutrition, DTC, MCH and IPD/ITFC.
MSF conducted relief item kits and tent distributions in the following places:
Dera Murad Jamali Town, Quetta Road, Bakhtribad, Patfeeder Canal, Qabula, Manjoshori, Tambu, Sohbatpur road, and Mir Hassan.
So far, MSF has distributed 6,022 relief item kits and 342 tents to flood-affected displaced people.
MSF provides access to safe water in Nasirabad:
MSF has started to distribute 74,000 liters of safe water per day and a total of 450,000 liters of water is chlorinated daily.
MSF water and sanitation teams are cleaning some 700,000 liters of water through flocculation and they are planning to expand capacity to reach 2 million liters.
MSF is setting up 150 hand-washing points and has so far completed 30 points.
MSF has built 330 latrines in 3 camps and plans to build at least 650 latrines in total. These latrines will be maintained by MSF to ensure proper use and sanitation.
MSF water and sanitation teams have constructed 70 showers and are planning another 300 showers in other IDP camps in order to improve hygiene conditions and reduce skin diseases. This will benefit approximately 10,000 people living in camps.
MSF plans to provide access to high quality health care:
MSF will continue running the DTC, while planning to increase ORS points for displaced people.
MCH teams will continue managing complicated deliveries and postal care.
MSF will continue managing severe acute medical conditions in the IPD, while there are also plans to continue with therapeutic nutrition programs.
Teams working in Dera Murad Jamali and surrounding areas will increase access to health care services while the water distribution will increase in scale. There are also plans to increase the number of tents distributed while more latrines are being constructed.
MSF teams working in Peshawar, Nowshera, Charsadda, Swat, Malakand, Lower Dir, and Hangu districts are winding down activities directly related to the emergency, although they remain vigilant and prepared in case of epidemic outbreaks. Affected communities are slowly starting to rebuild their lives.
MSF supports 4 hospitals with the following activities:
MSF teams still conduct 7 mobile clinic activities in order to reach people in the following locations:
MSF also provides safe water distributions in the following places:
MSF has distributed a total of 25,163 relief item kits and 9,534 tents to flood-affected people in the following areas:
With the number of patients who need Diarrhea treatment decreasing significantly in recent weeks, MSF teams in Khyber Pakhtunkhwa will gradually reduce the number of DTCs and mobile clinic activities.
© 2013 Doctors Without Borders/Médecins Sans Frontières (MSF)