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IRAQ
HEALTH CLUSTER BULLETIN BULLETIN NO. 1(Jan 2020)
17 Partners Reported 11INGO 6 LNGO
178K Total Number of Consultations
13K No. of Cases Received Gynaecological Consultations
1.8K No. of Children Under 5 In Camps IDPSChildren Screened For Malnutrition byMuac or Anthropometric Measures
2.4K No. of MHPSS Individual Sessions Provided
2.3K Total No. of Patients attending Secondary /tertiary Hospitals
873 No. of Children 9-59 Months Vaccinated Against Measles (Measles-containing Vaccine) In Crises Affected Areas Through Routine Immunization
1.25M TargetedPopulation 8%Reached
Humanitarian Response Plan 2020
HCO* 1:
HCO* 2:
*HCO: Health Cluster Objectives
Name of the Country: IraqEmergency type: ConflictReporting period: 01.1.2020- 31.1.2020
On 31 December 2019, WHO China Country Office was informed of cases of pneumonia of unknown cause detected in Wuhan City, Hubei Province of China. As of 31st January 2020, a total of 9,826 confirmed cases of Novel Coronavirus (2019 nCoV) were reported worldwide in 20 countries. As of now, there are no suspected or confirmed cases of 2019 nCoV in Iraq. WHO Iraq’s outbreak preparedness and response team is collaboratively working with the MoH teams, providing technical and logistical support on the screening, enhanced surveillance, detection, verifi-cation and response initiatives to prevent imported cases into the country.
For further details and updated Situation Reports, please visit the following link: https://bit.ly/2ViPvdI
Toward the end of December 2019, the process of consolidation of Laylan 2 camp into Laylan 1 in Kirkuk governorate was complete. MSF, WVI and Jiyan are the health partners providing services in Laylan 1, dividing the services among themselves to avoid overlap.
Disbursement of the fund for the 3 health consortium projects (led by Cordaid, WVI and Dary NGOs) under the Iraq Humanitari-an Fund 2nd Standard Allocation for 2019 was finalized in late December 2019. Implementation of activities started from the beginning of January 2020, covering the needs of under-served population in priority locations.
The government had initially nominated the Joint Coordination and Monitoring Center (JCMC) as focal point for issuing access letters to humanitarian partners, which was later changed to the Directorate of NGOs in the Prime Minister’s Office. However, to date, partners continue to face difficulty in obtaining these letters. The Humanitarian Coordinator (HC) and OCHA took up this issue with the government, both at local and Baghdad levels, in order to facilitate the delivery of uninterrupted services to affected population. The HC issued a pubic statement mention-ing the access constraints and their effect on humanitarian assistance in Iraq.
Avoid preventable morbidity/mortality among 284,505 IDPs out of camps, 324,512 IDPs in camps and 943,948 returnees through provision of essential primary healthcare services, referrals of complicated cases and secondary healthcare services at higher-level facilities.
Ensure continuation of provision of quality healthcare services to a�ected & vulnerable populations after handover from cluster partners to the DoH through training of 2,000 health care workers in various topics.
Due to funding constraints, Emergency NGO was scheduled to phase out of Ashty camp, Sulaymaniyah governorate, by 31st Janu-ary 2020. WHO, which was the funding agency for this activity, has identified another partner (Heevie), with lower cost to maintain services in the camp starting in early February.
The final list of indicators to monitor the activities under HRP 2020 were shared with the Cluster partners during January. The HRP 2020 reporting platform (Activity Info) is being built by all clusters/OCHA and reporting is scheduled to start after mid-February, where partners would have to retroactively report for January.
The outbreak of seasonal influenza created a panic among the public and the health care workers. A total of 1,223 Severe Acute Respiratory Illness (SARI) cases were reported by the National Surveillance system in 2019. Out of the 582 cases that were reported between 21st October and 23rd December, 250 were positive for Influenza A (H1N1). Timely alerts were issued and specimen transport media were distributed by WHO. There was adequate stock of anti-viral medication in hospitals.
The conclusion of the high-level consultation meeting in September 2019 was that Iraq is one of the regional priority countries to implement the Polio Transition plan, the objectives of which are:
- Sustaining a polio-free world after eradication of polio virus- Strengthening immunization systems, including surveillance for vaccine-preventable diseases, in order to achieve the goals of WHO’s Global Vaccine Action Plan- Strengthening emergency preparedness, detection and response capacity in countries in order to fully implement the Internation al Health Regulations (2005)
In this regard, WHO organized a high consultative meeting in Erbil between 15 – 19 December 2019, with active participation of MoH and UNICEF on Polio Transition and development of the Transition plan. As per the timeline, the first draft of the document is to be ready by the end of the first quarter of 2020.
The Global Health Cluster shared the final report of the internal health cluster/sector monitoring report for the last quarter of 2019 with the country clusters, which is a tool used by cluster coordinators, co-coordinators and other cluster secretariat for self-moni-toring of the cluster outputs and to improve coordination of health responses for better outcomes.
In light of the protection concerns in Al-Karama camp, the level of humanitarian engagement was discussed at the HCT meeting on 16 December 2019. A document outlining the Common Framework of engagement by all clusters (in transit/screening sites, out of camp locations and in camps) was drafted and shared with the ICCG. This level of service-delivery is to be maintained in all locations faced with similar situations.
In addition, OCHA facilitated a Humanitarian Program Cycle (HPC) Lessons Learned Workshop on 28th January to jointly reflect on the common work during the development of the 2020 HNO and HRP, to identify strengths, weaknesses, and areas for improvement related to the Enhanced HPC Approach and the way it was rolled out in Iraq. The outcome of the workshop is to feed into the global multi-partner review of the Enhanced HPC Approach, which will inform any modifications that might be made ahead of the 2021 cycle.
The Joint IMWG-AWG Meeting/Technical Evaluation of 2020 HNO took place on 19th January 2020, facilitated by OCHA and attended by Cluster Coordinators, Co-Leads and IM officers. A review of the timeline and process (conducting the MCNA, calcula-tion of PiN, development of indicators, etc.) using the new HNO template was done and experiences of clusters were documented.
The mission to Al-Karama camp, aiming to assess conditions in relation to the sponsorship system, freedom of movement and civil documentation, that had been postponed several times during December due to lack of access letters, materialized on 26 January 2020. The national inter-cluster team consisted of CCCM, Child Protection, Food Security, Health, Protection, and Shelter/NFI cluster representatives along with OCHA. The draft report and recommendations of this mission is to be shared with the ICCG for endorsement by the first week of February.
Early Warning Alert and Response Network (EWARN)
Alerts / Outbreaks - 2020
Disease trend during Jan-Dec 2019
Disease No. of alerts No. of cases inves�gated No. of clinical outbreaks No. of cases treated No. of lab confirmed outbreaks No. of cases treated
Suspected Cholera 0 0 0 0 0 0Acute Flaccid Paralysis (AFP) 0 0 0 0 0 0 Suspected Measles 0 0 0 0 0 0Suspected Meningi�s 1 1 0 0 0 0Suspected Diphtheria 0 0 0 0 0 0Suspected Neonatal Tetanus 0 0 0 0 0 0Suspected Acute Haemorrhagic fever 0 0 0 0 0 0Food poisoning 0 0 0 0 0 0Suspected visceral leishmaniosis 0 0 0 0 0 0Avian Influenza A 0 0 0 0 0 0Suspected Anthrax 1 1 0 0 0 0Total 2 2 0 0 0 0
The Ninewah Governor’s office issued a letter to the Direc-torate of Health (DoH) asking humanitarian partners not to recruit regular DoH staff in agencies. The full contact details of those staff already working with health partners was also required by the Governor’s office.
The Cluster Team attended a briefing and working session on 3 September on the Humanitarian Needs Overview (HNO) 2020, People in Need (PiN) and severity. The aim of the meeting was to finalize the 2020 HNO inter-sectoral model.
The Cluster along with Camp Management coordinated the provision of services in Basateen IDP camp, Salah Al-Din, for the population that had arrived from Ninewa, as this popula-tion group were restricted from movement out of the camp to access healthcare through clinics in the host community. IOM was able to dispatch a mobile team at short notice, as soon as security approvals were obtained.
Upon partners having completed uploading projects to the Grant Management System for the 2nd Standard Allocation 2019 of the Iraq Humanitarian Fund, the Cluster held a Strategic Review Team (SRT) meeting on 2nd September and a Technical Review Team meeting on 5th September to vet the projects strategically and on a technical basis respectively.
The Health Cluster met with the UNICEF regional child protection specialist responsible for GBV and PSEA on 9 September to explore GBV mainstreaming in the humanitari-an response and opportunities for the future, between the UNICEF team and cluster coordinators.
- The “Availability, Accessibility, Acceptability, Quality (AAAQ)” framework was discussed as well as the download-able Clinical Management of Rape (CMR) mobile application to provide guidance on the key steps of CMR treatment in a user-friendly manner, which UNICEF had piloted in Lebanon.
DAMA NGO developed and shared with the Cluster a Quality Control Assessment tool, using the iAuditor online platform,
Health Cluster
Links for cluster dashboards and infographics on www.humanitarianresponse.info1. Iraq: Health Cluster Monitoring Online Dashboard 2019:http://bit.ly/2HHWxTO2. Health Cluster meeting minutes: http://bit.ly/2Kc3IFq3. Health Cluster infographics: http://bit.ly/2I9SZZp
CONTACTSDr. Kamal S. Olleri World Health OrganizationHealth Cluster [email protected]+964 (0) 7740892955
Abdulrahman RaheemWorld Health OrganizationNational Health Coordinator [email protected]+946 (0) 7740892896
Amar SabahWorld Health Organization (WHO)Health Cluster [email protected]+964 (0)7740892895
1. Some partners have been stating that their humanitarian funding is to potentially drop in 2020. Advocacy efforts are ongoing with donors to continue, or even upscale, funding for humanitarian activities simultaneously with stabili-zation activities, since Iraq is a protracted crisis (continued population displacement), with the imminence of Iraqi refugees from Al Hol camp (North East Syria) crossing into the country, while the uprisings in the South have the potential to escalate and bring the country into an acute crisis phase.
2. The Health Cluster plans to conduct a meeting with national organizations in the second week of February 2020 to discuss the results of the National Partners’ Capacity Survey conducted in June 2019 and share the feedback received during this meeting with the Global Health Cluster.
3. Partners were requested to to report any challenges related to humanitarian access and the impact on project implementation to the Access Working Group.
4.The results of the survey conducted in October 2019 targeting Cluster partners to collect information on their technical capacity and training needs on addressing GBV were presented. Partners were requested to provide any feedback on the “proposed actions” by COB 5th February 2020
During December 2019, 12,934 U5 children were screened for growth; 64 were identified with SAM and referred to management, and 3,933 women consulted for IYCF practice.- The new Syrian refugees who arrived in Duhok were directed to Bardarash camp (over 17,000 individuals). UNICEF supported DoH Duhok to conduct growth screening, opening nutrition units and distributing High Energy Biscuit.
Nutrition
1. UNFPA is in process of launching a new CPD and endorsing a 5-year program in collaboration with the Government.2. The Maternity Department of Hammam Al Alil field hospital to be relocated to East Mosul’s Al Khansa Hospital.3. RH working group meeting will not be conducted until UNFPA 2020 work plan is approved and signed.
Reproductive health (RH)
The MHPSS Online 4Ws Dashboard 2019-2020 is now operational on the Iraq Health Cluster website. As of Janu-ary, only 11 MHPSS partners updated their activities – remaining partners were requested to update as soon as possible
MHPSS
