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1 PHILIPPINES HEALTH CLUSTER BULLETIN 28 March 2014 TYPHOON YOLANDA The new “Department of Health Strategic Plan to strengthen its capacity to respond to Mega Disasters (2014 to 2016)” was presented at a Health Partners Meeting on 26 March 2014. A formal turn-over ceremony of immunization equipment from UNICEF and WHO to the Philippine Government was held at the Sagkahan District Health and Birthing Center in Tacloban City on 20 March 2014. Several capacity-building activities on the Philippine Integrated Disease Surveillance and Re- sponse (PIDSR) system are currently being implemented across the affected areas. The comprehensive stock-take of the available maternal and child health services, facilities and human resource in the disaster affected areas was concluded on 28 March 2014 and has covered most of Region VIII. BOHOL EARTHQUAKE The municipality of Loon has officially declared an outbreak of Chikungunya and new suspect cases are being reported. 16 generator sets to support the cold chain have been delivered to the WHO office in Bohol and will be distributed to health care facilities in the coming weeks. Photo: WHO Philippines Inside this bulletin: Typhoon Yolanda page 2 Bohol Earthquake page 7 Health Cluster Partners page 9 HIGHLIGHTS PHILIPPINES HEALTH CLUSTER BULLETIN ISSUE #17 28 March 2014

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Page 1: PHILIPPINES HEALTH CLUSTER BULLETIN … · PHILIPPINES HEALTH CLUSTER BULLETIN ISSUE #17 28 March 2014. ... under- scoring the ... grated Disease Surveillance and Response (PIDSR)

1

PHILIPPINES HEALTH CLUSTER BULLETIN

28 March 2014

TYPHOON YOLANDA

The new “Department of Health Strategic Plan to strengthen its capacity to respond to Mega

Disasters (2014 to 2016)” was presented at a Health Partners Meeting on 26 March 2014.

A formal turn-over ceremony of immunization equipment from UNICEF and WHO to the Philippine

Government was held at the Sagkahan District Health and Birthing Center in Tacloban City on 20

March 2014.

Several capacity-building activities on the Philippine Integrated Disease Surveillance and Re-

sponse (PIDSR) system are currently being implemented across the affected areas.

The comprehensive stock-take of the available maternal and child health services, facilities and

human resource in the disaster affected areas was concluded on 28 March 2014 and has covered

most of Region VIII.

BOHOL EARTHQUAKE

The municipality of Loon has officially declared an outbreak of Chikungunya and new suspect cases are being reported.

16 generator sets to support the cold chain have been delivered to the WHO office in Bohol and will

be distributed to health care facilities in the coming weeks.

Photo

: W

HO

Phili

ppin

es

Inside this bulletin:

Typhoon Yolanda page 2

Bohol Earthquake page 7

Health Cluster Partners page 9

HIGHLIGHTS

PHILIPPINES

HEALTH

CLUSTER

BULLETIN

ISSUE #17

28 March 2014

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PHILIPPINES HEALTH CLUSTER BULLETIN

28 March 2014

The base camp located on the

grounds of the Eastern Samar

State University (ESSU) in Gui-

uan, that provided infrastructure

and facilities for work and accom-

modation to international aid

workers over the past months will

be closed on 10 April. Health

Cluster Meetings will continue to

be conducted in Borongan.

During the Yolanda Transparency

Forum held in Tacloban on 20

March 014, Department of Social

Welfare and Development

(DSWD) Secretary Corazon Juli-

ano-Soliman announced that the

DSWD has so far received PHP

1,019,316,071.21 total cash/

check donations to fund programs

and services for the recovery and

rehabilitation of Typhoon Yolanda

survivors. The forum which car-

ried the theme, “Enhancing Infor-

mation-Sharing and Transparency

in the Assistance to Yolanda Are-

as” aimed to look into the conver-

gence and financing of multi-

sectoral efforts for reconstruction.

It was undertaken in close coordi-

nation with the Department of

Budget and Management (DBM),

one of the agencies tasked to

monitor the Foreign Aid Transpar-

ency Hub (FAiTH). Over a hun-

dred participants from various

sectors attended the forum.

Secretary of Budget and Manage-

ment Florencio Abad confirmed

that PHP 26.2 billion in funds

have already been released as of

10 March 2014 for post-disaster

projects and activities in areas

affected by Typhoon Yolanda.

Farmers across the affected are-

as, that were assisted by the De-

partment of Agriculture (DA) and

international organizations such

as the UN Food and Agriculture

Organization (FAO) are due to

harvest their first crop since the

typhoon hit the country, either by

late March or early April, under-

scoring the progression of current

efforts from relief to recovery.

According to the Nutrition Cluster,

the Standardized Monitoring and

Assessment of Relief and Transi-

tion (SMART) Nutrition survey

concluded on 15 March. The final

report will be presented at the

National Nutrition Cluster Meeting

on 28 March 2014.

RESPONSE

Health care Facilities

During a Health Partners Meeting

held by the Department of Health

(DOH) on 26 March 2014 at the

DOH compound in Manila, the

current status, plans and pledges

for health facility rehabilitation and

reconstruction were presented

and discussed.

51 Interagency Emergency Health

Kits are currently distributed to

affected Barangay Health Sta-

tions in Eastern Samar by WHO

and the Provincial health office.

The handover of the kits is done

in conjunction with the mapping

and validation of the functional

status of the health facilities.

The second round of the quick-fix

of the Quinapondan community

hospital in Eastern Samar is cur-

rently ongoing.

A formal hand-over ceremony of

immunization equipment from

UNICEF and WHO to the Philip-

pine Government was held at the

Sagkahan District Health and

Birthing Center in Tacloban City

on 20 March 2014.

Rebuilding the cold chain infra-

structure has been a shared prior-

ity for the Philippine Government,

UNICEF and WHO. WHO Repre-

sentative in the Philippines Dr

Julie Hall stressed the importance

of building back better when en-

suring that health infrastructure,

which includes services, facilities,

and equipment for the most vul-

nerable populations is present, as

this is an essential step in guaran-

teeing healthy and capacitated

communities. “Exploring alterna-

tive technologies such as the use

of solar energy, is a wonderful

way of promoting resilience for

these communities, considering

that calamitous events such as

Typhoon Yolanda can occur at

any time. Ascertaining that such

capability is in place is a positive

way of placing health at the heart

of healing for the communities in

the Yolanda corridor,” Dr Hall

continued.

16 078 181 AFFECTED

4 095 280 DISPLACED

28 689 INJURED

1 061 MISSING

6 268 DEATHS

Source: National Disaster Risk Reduction Management Council (NDRRMC) of the Philippines

TYPHOON YOLANDA SITUATION OVERVIEW

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PHILIPPINES HEALTH CLUSTER BULLETIN

28 March 2014

Map 1: Health Facility availability per Interlocal Health Zone in Tacloban City

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PHILIPPINES HEALTH CLUSTER BULLETIN

28 March 2014

Partners and Foreign Medical Teams

As of 25 March 2014, there are

now 8 foreign medical teams op-

erating in Regions VI, VII and

VIII. Four teams provide basic

outpatient care (type I) and three

teams (MSF Belgium in Guiuan

and MSF France in Tacloban)

provide more advanced health

services including surgeries (type

II).One team provides mobile

health clinics and mental health

and psychosocial support.

Several of the international

NGOs providing medical care in

Tacloban city are planning to

phase out operations in the com-

ing weeks, raising concerns on

the delivery of services at the

local level and the return to fee-

paying services.

The new “DOH Strategic Plan to

strengthen its capacity to re-

spond to Mega Disasters (2014

to 2016)” was presented at a

Health Partners Meeting on 26

March 2014. It was developed

based on the outcome of a stra-

tegic planning workshop held

between 19 and 21 February

2014. The following five strategic

objectives were identified:

1. Improving the responsive-

ness of policies and plans at

the national level, at regional

health offices and hospitals to

mega disasters-like scenarios.

2. Institutionalizing effective

Incident Command Systems

(ICS) at all levels supported

by functional Operations Cen-

ter (OpCen) and Information

Management Systems (IMS).

3. Enhancing the logistics and

financing capacities to support

response operations.

4. Building-up the resiliency of

hospitals against mega disas-

ters.

5. Enhancing the adequacy,

timeliness and appropriate-

ness of health services deliv-

ered in response to emergen-

cies and disasters.

Surveillance and communicable disease control

The transition of the Surveillance

reporting system from the added-

Surveillance in Post Extreme

Emergencies and Disasters

(SPEED) to the Philippine Inte-

grated Disease Surveillance and

Response (PIDSR) system is al-

most complete. SPEED has been

de-activated. Several capacity-

building activities on PIDSR are

currently implemented across the

affected areas. 2 batches of

PIDSR training were conducted in

Leyte on 17-22 March 2014 and 1

batch for Eastern Samar in 12-14

March 2014. More than 50 partici-

pants from different Rural Health

Units (RHUs) and District Hospi-

tals of the Provinces of Leyte and

Eastern Samar were trained. The

3 days course focussed on the

principles of surveillance and re-

sponse including case definitions,

flow of reporting and data analy-

sis. Trained staff will implement

PIDSR reporting in their respec-

tive municipalities in the coming

week.

Figure 1: Measles Cases by dates of onset, post Yolanda (n=325)

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PHILIPPINES HEALTH CLUSTER BULLETIN

28 March 2014

Dengue and vector control

In Region VIII a total of 1,163

suspect dengue cases were re-

ported from 9 November 2013 to

15 March 2014. Most of the cas-

es in Leyte are from Tacloban

City (33%) and from Ormoc City

(23%). Ages of the cases ranged

from 2 months – 85 years old

(Median: 14 years). Majority

(56%) are males. Three Hundred

Seventy (34%) were reactive to

dengue rapid test (NS1-Ag). Five

deaths were reported (4 from

Tacloban City, 1 from Sogod)

(CFR: 0.5%). Although a high

incidence of Dengue cases was

monitored, this number is still

20% lower as compared to the

same period of last year. An in-

formation and education cam-

paign is ongoing emphasizing

the importance of the elimination

of mosquito breeding sites. All

sectors in the community are en-

couraged to participate in the

prevention and control activities

for dengue.

In Region VI a total of 825 den-

gue suspects were reported from

1 January 2014 to 15 March

2015. This is 66% lower as com-

pared to same period last year.

The majority of cases were from

the province of Capiz (32%), Ak-

lan (22%) and Iloilo (16%). Ages

ranged from 3 months to 87

years old with median age of 13

years. Clustering of cases

(defined as three or more Den-

gue cases identified in a baran-

gay in the past four consecutive

weeks) were noted in 7 baran-

gays with 5 barangays coming

from the province of Capiz.

Figure 2: Dengue Cases by Morbidity Week, 2013 vs. 2014 (n=825), Western Visayas, 11th Morbidity Week,

January 1 to March 15 2014

Table 1: Dengue Clustering, Western Visayas, 11th Morbidity Week, 1 January to 15 March 2014

A total of 325 suspect measles

were reported from 5 December

2013 to 15 March 2014 in Region

VIII. Age range of the cases is

between 1 month and 66 years

(median 13 years). The majority

of the cases came from Leyte

(35%) and East Samar (28%).

185 (57%) of the cases are less

than 5 years old. Only 16% of the

cases among children <5 years

old were vaccinated. Immuniza-

tion mop up activities was done in

areas with reported cases. (See

(Figure 1)

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PHILIPPINES HEALTH CLUSTER BULLETIN

28 March 2014

Over the last 3 weeks entomolog-

ical investigations were carried

out by WHO in bunk houses in

Ormoc and Tacloban. In all sites,

that were investigated, dengue

and chikungunya vector (Ae. ae-

gypti and Ae. albopictus) breed-

ing sites were encountered. The

major breeding sites of

Ae.aegypti and Ae. albopictus

were rain water harvesting drums

in bunk houses, non-functional

ornamental fountains on school

and University campuses, empty

clay flower pots in house premis-

es, discarded plastic and metal

containers, water storage plastic

containers and bamboo stumps.

The house index and container

index for Ae. aegypti were 16.7%

and 20.6% respectively. Commu-

nity mobilization for an environ-

mental clean up campaign to re-

duce the breeding sites at house-

hold, community and institutional

level was advised and the in-

volvement and participation of

other sectors such as the Depart-

ments of education, churches,

and local government units is

sought to further improve the ac-

tivities for prevention and control

of dengue and chikungunya in the

affected areas.

Reproductive Health (RH)

Among the affected pop-

ulation, there are more than 3

million women of reproductive

age, about 1 million of whom are

displaced. In the next 3 months,

more than 70,000 births are ex-

pected, of which about 8,500

(12.1%) are from adolescent

mothers under 19 years old.

There are 220,000 pregnant and

147,000 lactating women among

the affected population and 122

obstetric complications are ex-

pected daily (13,500 in the next 3

months).

The four provincial level RH

Working Groups and 1 National

Reproductive Health and Mater-

nal and Child Health Working

Group continue to coordinate the

implementation of RH initiatives

for the Haiyan Response.

The two Emergency Maternity

Units (EMU) set-up at Palo, Leyte

and Balangiga, Eastern Samar,

have so far accommodated a total

of 102 clients, services provided

include 49 Caesarean Sections,

29 Normal Spontaneous Deliver-

ies, 15 Bilateral Tubal Ligations

and 9 Completion Curettage.

While the EMU in Balangiga is

currently only accommodating

normal deliveries, the unit is now

being set up to provide services

for caesarian section.

UNFPA reports, that six Youth

Friendly Spaces were operation-

alized and 161 youth volunteer

and peer educators mobilized,

reaching 2,819 young people with

Adolescent Sexual and Repro-

ductive Health information.

Over the coming weeks, an addi-

tional 8 ambulances and 20 mo-

torcycle ambulances will be dis-

tributed by UNFPA to target

health facilities to provide

transport support for emergency

obstetric cases.

Plan International and Save the

Children have completed 7RH

medical missions covering 23 ba-

rangays in Leyte and Eastern Sa-

mar over the last 4 weeks.

The comprehensive stock-take of

the available maternal and child

health services, facilities and hu-

man resource in the disaster af-

fected areas was concluded on

28 March 2014 and has covered

most of Region VIII. Health Care

Facilities in Tacloban city and Or-

moc city were visited last week

and facilities in Eastern Samar at

the end of this week. Consultative

meetings with partners were con-

ducted over the course of this

week and a meeting with the De-

partment of Health is scheduled

for 31 March 2014. Discussions

have centred on current and fu-

ture plans.

Donors

Major WHO donors:

Australia,

Canada,

Norway,

Japan,

the United Kingdom and the UN Central Emergency Response Fund (CERF),

Russian Federation,

Sweden,

the United States of America,

the European Commission Humanitarian Aid and Civil Protection (ECHO).

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PHILIPPINES HEALTH CLUSTER BULLETIN

28 March 2014

FUNDING STATUS OF ACTION PLAN As of 26 March 2014, OCHA has updated the action plan, which is now 60% funded for the health sector (table 2).

Table 2: FUNDING STATUS OF ACTION PLAN FOR HEALTH (US$)

Project Appealing

Agency

Amount

Required

Funding % Covered

Merlin & Save the Children Essential Health Services for Pre-

venting Excess Mortality and Morbidity in

Typhoon Haiyan affected Population

Save the

Children

4707706 800000 17%

Ensuring Access to Reproductive Health Services in the After-

math of Typhoon Haiyan UNFPA 10000000 2434773 24%

Provision of emergency health services to typhoon affected pop-

ulations WHO 15000000 14737034 98%

Immediate assistance to injured and vulnerable

persons affected by Haiyan typhoon in Philippines HI 240000 237417 99%

Emergency Health care, public health and referral

initiatives for displaced and affected persons ‘on the move and

their vulnerable host communities’

IOM 1810511 431232 24%

Provision of life-saving interventions for health to

children 0-59 months affected by Typhoon Haiyan emergency UNICEF 19000569 21479078 113%

Provision of quality medicines and developing resilience in the

supply chain to avoid gaps by strengthening the department of

health medicines stock management systems

IHP 806000 488599 61%

Prevent increase in maternal, neonatal and child mortality post

disaster through ensuring continuity of services for these more

vulnerable groups

Plan 3960422 0 0%

Promoting mental health and psychosocial wellbeing of

populations affected by Typhoon Haiyan IMC 727961 0 0%

Ensuring the health needs of older people in Typhoon Haiyan HelpAge

Int’l 465000 465000 100%

Health care support for Typhoon Haiyan affected populations IMC 3865225 270000 7%

Enhancing coordination within and outside the health sector WHO 1816100 0 0%

Surveillance, outbreak prevention and vaccination WHO 3929850 5438135 138%

Local health system recovery for social and economic protection WHO 4061800 300000 7%

Delivery of essential health services to meet the immediate

health needs of the affected population WHO 3524500 0 0%

Typhoon Haiyan emergency health response WV

Philippines 400000 400000 100%

Health assistance for disaster affected communities of inland

Leyte and coastal Barangays of Tacloban municipalities of

Tacloban City, Jaro, San Miguel and Carigara

RI 955500 0 0%

Provision of emergency medical assistance to affected popula-

tion of the Typhoon Haiyan MDM

France 2700000 0 0%

Saving Women’s lives in Typhoon affected provinces through

reproduction health Saude em

Protugues 1150800 0 0%

Restoration of basic health package within Concepcion Municipal

Health Office area AAI 310000 0 0%

Sub total for health 79431944 47579996 60%

Source: http://fts.unocha.org/reports/daily/ocha_R32_A1043___26_March_2014_(05_13).pdf

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PHILIPPINES HEALTH CLUSTER BULLETIN

28 March 2014

Health care

facilities

The rehabilitation and reconstruction

of damaged health care facilities is

ongoing.

The provision of medical dispensary

tents to Barangay Health Stations and

Rural Health Units in coordination

with local partners is almost complet-

ed. Permanent rehabilitation of these

health facilities is being undertaken.

16 generator sets to support the cold

chain have been delivered to the

WHO office in Bohol and will be dis-

tributed to health care facilities in the

coming weeks.

The revised Bohol Earthquake Action

Plan (BEAP) was issued by the

Philippine Humanitarian Country

Team in collaboration with partners

on 6 February 2014.

Although Typhoon Yolanda did not

cause significant damage on Bohol, it

had a strong impact on the response,

as many government and internation-

al humanitarian resources were

moved from Bohol to address needs

caused by Haiyan. Power was also

lost in all of Bohol for three weeks.

BOHOL EARTHQUAKE SITUATION OVERVIEW

1.25 Million AFFECTED

364 193 DISPLACED

223 DEATHS

430 FAMILIES IN EVACUATION CENTERS

Map 2: Bohol location

RESPONSE

Surveillance and

communicable

disease control

This week (9-19 March), 34

health facilities in the earthquake

affected areas of Region VII re-

ported 4140 total consultations

through SPEED. Of these, 34%

were among children aged under

five years. The municipality of

Carmen remains with the highest

number of consultations among

the reporting facilities for this

week. The top five leading con-

sultations reported from 18 priori-

ty municipalities were:

Acute respiratory infections

(ARI).

Hypertension

Open wound and bruises

Skin diseases

Acute watery diarrhea (AWD)

Cases of suspect measles, acute

bloody diarrhea and acute jaun-

dice syndrome were reported.

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Background Information on the Bohol earthquake

On October 15, 2013, a powerful earthquake struck central

Philippines. Measuring 7.2 on the Richter scale with a depth of

33km, PHILVOLCS reported the quake’s epicentre in the mu-

nicipality of Sagbayan in Bohol province. The tremor was felt in

Cebu, Bohol, Negros Occidental, Negros Oriental, Iloilo, Siqui-

jor, Leyte, where houses, public buildings, roads, bridges,

churches, seaports, schools, health facilities, were damaged

and thousands of people dis- placed. The earthquake killed

222 people (209 in Bohol) and injured 976 (877 in Bohol). As

of 3 November, 2013, PHILVOLCS recorded a total of 3,198

aftershocks, with 94 strong enough to cause alarm to the pop-

ulation. Aftershocks continue to be felt beyond this period.

On November 8, 2013, super typhoon Yolanda (international

name Haiyan) made landfall in Guiuan, Eastern Samar. Elec-

tric power cables supplying electricity to Bohol were damaged,

causing power outage in the whole island and affecting the

delivery of disaster relief including cold chain integrity and im-

munization services

Acute respiratory infection re-

mains the leading causes of con-

sultations in eighteen priority mu-

nicipalities. This week 59% of all

reported consultations were acute

respiratory infection (ARI). 41% of

the reported ARI consultations

were among children aged below

five years old.

Acute watery diarrhea was the

5th leading causes of consultation

under SPEED this week. A total

of 70 AWD consultations reported

this week, 52% lower compared

to last week. 60% of these con-

sultations were among children

below five years of age, although

it remains significant in number in

the municipality of Carmen, this is

36% lower compared to the con-

sultations reported last week.

Other municipalities that reported

significant number of AWD were

Buenavista, Calape, Danao, Mari-

bojoc and Sierra Bullones.

The significant decrease in the

number of consultation compared

to the previous week was due to

the deactivation of SPEED Re-

porting sites in the six municipali-

ties. The municipality of Carmen

remains with the most number of

consultations.

Eighteen RHUs from the priority

municipalities were able to report

their weekly notifiable disease

report. Seven out of eighteen mu-

nicipalities have reported the fol-

lowing notifiable diseases: Sus-

pected measles, acute bloody

diarrhea, influenza like illness and

suspected chikungunya.

Mental health and psy-chosocial support (MHPSS)

Monthly coordination meetings of the

Mental Health and Psychosocial Support

Working Group continue to be conducted.

Reproductive Health

An estimated 7,894 pregnant and 5,262

lactating women are in need of special-

ized services for prenatal, postnatal, child

health, health promotion and family plan-

ning services.

Temporary birthing facilities were set up

and reproductive health (RH) kits distrib-

uted to ensure access of pregnant and

lactating women (PLW) to quality repro-

ductive health services.

A basic Essential Intra-partum and New-

born care (EINC) training for rural health

midwives and hospital staff in the six in-

terlocal health zones of Bohol was con-

ducted in the second week of March.

Water, Sanitation and Hygiene (WASH) and Environmental Health

A rapid Environmental Health Impact As-

sessment is currently being conducted in

Bohol as well as several sites in the

Yolanda affected areas.

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PHILIPPINES HEALTH CLUSTER BULLETIN

28 March 2014

Health Cluster Contacts

National- Manila: [email protected]

Sub-national- Tacloban: [email protected]; [email protected]

Sub-national- Cebu: [email protected]

Health Cluster Website:http://www.wpro.who.int/philippines/typhoon_haiyan/en/

AECID,

Americares,

Australian Aid,

CDN- DART,

CFSI,

ChildFund,

DFID,

DOH,

FPOP,

Handicap Int’l,

HuMa,

IFRC,

IHP-UK,

ILO,

IMC,

IOM,

IRC,

ISAR-Germany,

JICA,

MERLIN,

MDM,

MSF,

Nat’l Bureau of

Investigation,

PHE,

Plan Int’l,

Philippines Red

Cross Society,

Relief Int’l,

Project Hope,

PU-AMI,

SCI,

UNFPA,

UNICEF,

USAid,

US Forces,

WHO,

World Vision.

National - Manila:

AECID,

ACF,

ACTED,

Action Pompiers

Urgence Inlana

Vionus,

Americares,

ARC,

ASEAN,

ASYA SAR/KYM,

B-FAST,

AUs,

Bethany Hospital,

Bomberos Unidos

SP,

Buddhist Compas-

sion Relief zu Chi

Foundation Philip-

pines,

Care,

Canadian Red

Cross,

CDRRMO,

Child Fund Int’l,

Christian Aid,

City Veterinary

Office,

Compassionate

Reach Int’l,

DFID,

Doctors Worldwide

Turkey,

DOH,

DSWD,

ECHO,

Emergency.LU,

Engnderhealth-

Visayas Health

Project,

Helpage Int’l,

Ericsson Response,

EUCPT,

First Relief Fund,

First Response

Radio,

Fortune Blessings

Foundation,

F POP,

Friends of Waldorf

Education,

Fuel Relief Fund,

Family Care,

Family Planning

Connection,

German

Embassy,

German Red Cross,

Globalmedic,

GOAL,

Good Neighbours

Int’l.,

Good People Int’l.,

Handicap Int’l,

Heart to Heart Int’l,

Help-e.V.,

HUMEDICA,

IEDA Relief,

IFRC,

Int’l Disaster Relief,

Int’l Medical Corps,

Internews, INTER-

SOS,

IOM,

IsraAid,

Israel Relief Coali-

tion,

JICA,

JICA LEPCON,

JICA SMACHS EV

Proj.,

Jordan International

Relief,

KIHI,

KOICA,

KUSOG

TACLOBAN,

Leger Foundation,

Magna,

Med Central ,

Medical Team Int’l,

MDM France,

Medicos del Mundo

Spain,

Mercy in Action,

Mercy Malaysia,

Miral Welfare Foun-

dation,

Mission Tacloban/

RTR Foundation,

MSF France,

MSF Holland,

MSF Spain,

MTI,

Navis,

NNC 8,

OCHA,

Norwegian Red

Cross,

Operational Bless-

ings Mission,

Oxfam,

Phil Health,

Philippines Red

Cross Society,

Plan Int’l,

Pompiers Humani-

taires France,

Post Crisis Counsel-

ing Network (HK),

PUI France,

Regional Office

DOH,

Relief Int’l,

RTR hospital,

RTR Mission

Tacloban,

Samaritan 119

Korea,

Samaritan Purse

US,

Saude EM Portu-

gues,

Save the Children,

SC,

SCDN,

Solidarities Int’l,

Spanish Red Cross

Society,

Swedish Red Cross,

Tacloban City Gov-

ernment,

Tacloban City Nutri-

tion Office,

TOMECO,

TGCFI,

The Salvation Army,

UNDAC,

UNDP,

UNFPA,

UNICEF,

USAID,

US OFDA,

Vodafone founda-

tion,

Volunteer for the

Visayans,

WFP,

WHO,

WISAR,

World Vision

Sub-national - Cebu:

AmeriCares,

ASB

Austria,

Canadian Emergen-

cy Response Unit,

Canadian Medical

Assistance Teams,

CFSI,

ChildFund,

DOH,

Embassy of Israel,

Eversly Child Sani-

tarium,

GOAL,

Glory Reborn,

ICRC,

IFRC,

IEAD relief,

Health Organization

of Mindanao w/

Helping Hand relief

and Development,

International Medi-

cal Corps,

JICA,

Japan Red Cross,

LandsAid,

Magna Children at

risk,

Med Japan,

The Mentor Initia-

tive,

Merlin,

MSF,

NYC Medics,

PNA,

Project hope,

React Philippines,

Samaritan Purse,

Samu Sevilla Int’l,

SC,

SCI,

Spanish Red Cross

Society,

Saint Anthony

Mother and Child

Hospital,

Talisay District

Hospital,

UNICEF,

Vicente Sotto Me-

morial Medical

Centre,

WHO,

World Vision.

Sub-national - Iloilo:

Access Aid Inter-

national,

ACF,

Action Aid Interna-

tional,

ADRA,

AMERICARES,

ANGKLA

PORTYLIST,

Capiz Medical

Society,

Child Fund,

CRWRC,

DOH,

Friend of Mar

Roxas,

ICRC,

IFRC,

IOM,

Lung Centre of

Philippines,

Metropolitan

Hospital,

Operation Bless-

ing,

Philippine Rural

Reconstruction

Movement,

Professional

Regulatory Board

of Psychology,

Project Hope Int’l

Health,

NETHOPE,

Red Cross Capiz,

Regional Health

Office Mental

Health Team,

RN Response

Network,

Rotary Club,

Save the Children,

UNDAC,

UNFPA,

UNICEF,

WFP,

WHO,

World Vision Int’l,

Zuellig Founda-

tion.

Sub-national-Tacloban:

Sub-national - Guiuan/

Borangan:

DOH,

Family Organisation

of the Philippines,

Health in Portugese,

ICRC,

IOM,

Medical Team

International,

Norwegian Church

aid,

PHTO,

Plan International,

Radio Bakdaw.

UNFPA,

UNICEF.

Sub-national - Ormoc:

AusAID,

Australian Army,

CMAT,

ChildFund,

Clarion Global

Response IMAT,

COSE,

CFSI,

COPAP,

DOH,

HelpAge Int’l,

HuMA,

IFRC,

IsraAID,

IRC,

Johanniter Int’l

Assistance,

KMA,

Magna Children at

Risk,

MDM France,

MDM Spain,

Mercy Malaysia,

MSF,

OCA,

Ormoc City Health

Office,

Ormoc District

Hospital,

Philippine Army,

Philippines Red

Cross,

PAC,

Pureworks Founda-

tion,

Merlin-Save the

Children Int’l,

SADC-Swiss Hu-

manitarian Aid,

Singapore Red

Cross,

UNICEF,

Vestergaard,

WHO,

World Vision. UNFPA,

Philippines Red

Cross Society,

UNICEF,

MERLIN,

IOM,

DOH.

Sub-national – Bohol:

Health Cluster Partners