Update from the RH Sub-cluster
11th May, 2015
MoHP
Estimates of affected population(14 districts)
Affected Population
HMIS (1 year) 2071/72
Total population
5,623,800
WRA
1,584,100
MWRA
1,200,800
Adolescents girls
637,000
Estimated number of pregnant women
138400
Estimated number of delivery
10, 000 (1month)
Women with complications & C-sectionneed (MISP calculator)
8, 400 (3 months)
Women likely to experience sexualviolence (MISP calculator)
2,800 (3 months)
Situation update
•C-section service is available in all DHs exceptRamechap (in Nuwakot, Rasuwa & Sindhupalchowkthrough FMTs.
•In the 305 severely damaged HFs it is expected that allSRH and MNCH service delivery has been disrupted(although FMTs and local teams are providing theseservices in a few VDCs).
•Out of 360 HFs with established BEONC/BC in 14districts, 112 are severely damaged and 144 arepartially damaged.
Immediate RH Response
•RH sub-cluster formed to facilitate coordination &implementation of RH & MNCH services.
•RH situation assessment conducted using a formatdeveloped by the RH sub-cluster, including HF’sstatus, and functionality.
•A system has been established for co-ordinationthrough the RH sub-cluster. Partners mapping &identification of focal partner completed.
•Currently there are 13 developmental & 6humanitarian partners working on RH & MNH.
Immediate RH Response
•Equipment, medicines & supplies has been sent toselected districts to initiate MNH, RH & Child healthservices: RH kits adequate for providing SRH services(FP, EmONC , sexual violence, STI, and miscarriage) forup to 90,000 over 3 months have been dispatched [needis for 1.5 million].
•45 tents have been sent 10 most affected districts[need is for much more].
•Clean delivery kits (+ miso + CHX) have been reported tohave reached 1100 pregnant women inSindhupalchowk, Gorkha, Rasuwa, Dhading and Lalitpur(Thulodurlung VDC) [Need: 20,000]
Immediate RH Response
•Mobile RH & integrated camps are beingconducted. UNFPA through FPAN have reached2215 affected women and girls with RH servicesin Kathmandu, Lalitpur, Bhaktapur and Kavre.
•Simplified guidelines and protocols have beendeveloped (based on the national standards) &distributed to service providing agencies andother sub/clusters.
•Advocacy on inclusion of SRH & MNCH services inall immediate lifesaving response ongoing.
Challenges & Gaps
•Availability of accurate information on HFs & HWs fromseriously affected sites.
•Addressing health workers’ & FCHVs’ emerging need-shelter, food, psychosocial stress, etc.
•Availability of logistics and their transportation, particularlyto remote places.
• Availability of resources : given that existing resources aredepleted & emergency funds are limited.
•Shelter needs in preparation for the approaching monsoonrains and bad weather.
Interim Response & Plan (within thenext 3 months)
•Establish RH sub-cluster in the 2 humanitarianhubs within 2 weeks.
•Distribute appropriate RH kits targetingdifferent vulnerable groups (WRA includingpregnant women, newborn babies andadolescents).
•Re-establishment of RH & MNCH services inselected sites using existing infrastructures ortemporary structure.
Interim Response & Plan (within thenext 3 months)
•Establish transition homes (for pregnant,recently delivered women & her baby, injuredunder 5 children): 2 per district in the 14 mostaffected districts.
•Strengthen inter-sectoral coordination forSGBV prevention and management, as well asto ensure WASH & Sanitation facilities andnutrition .
Interim Response & Plan (within thenext 3 months)
•Prevent & manage risk of sexual violencethrough distribution of post-rape kits,establishing referral mechanism to appropriateservices- psychosocial, legal and shelter,linking them with OSCMC where feasible.
•Develop and implement a package for healthworkers including psychosocial counseling &special allowance for facilitating rehabilitationof health workers.
RH response between 3 -6 months
•Rehabilitation of health facilities (includinginfrastructures, equipment, supplies anddrugs): prioritization of HFs to be done basedon population settlement, levels & functions ofHFs.
•Strengthen health service delivery (includingHR & their rehabilitation and capacitybuilding)