Edite Monsoon Contigency For 2012

District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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Name of District: Name of EDO Health: Contact Details: Office Contact #:
Nowshera Dr Arshad Ahmed Khan 0923-59759 Cell No: 0300-5779597
DISTRICT PROFILE
(Please give brief description of the district, specifically mentioning the location of rivers, drains/ nullahs and other potential sources of threats during monsoon due to floods, flash flood and hill torrents). Potential Threats 1. River Kabul 2. Bara Rainy Drain Near Akbar Pura
Table 1 Basic Information Parameters Total Population Total Area in sq.kms No. of Tehsils No. of Union councils one 47 No. 1.2 Million 1,748 km
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Health facilities DHQs # THQs # CH RHCs BHUs Other Health Facilities Human Resources Medical Officers EDO =32 PPHI=30 DHQ=26 Male Paramedic EDO =99 PPHI=60 DHQ=45 SH&N Supervisor EDO= 0 PPHI= 0 DHQ= 0 Total=0 Female Paramedics EDO=24 PPHI=60 DHQ=40 Support Staff Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera Total=124 Total=204 Total=88 01 01 2 07 30 11 Total =52
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District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Male EDO=107 PPHI=60 DHQ=66 Total=233 Female Drivers EDO=11 PPHI=2 DHQ=3 Spray man LHW LHS CMW EDO=1 803 35 32 Total=16 TOTAL=1 TOTAL=803 TOTAL=35 TOTAL=32
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What Went Well?
The following activities were conducted in a timely manner which saved a lot of lives in the previous flood of 2010. The malaria team started fogging in the affected areas and in the IDPs camps of flood affected people. DTCs and CTCs were immediately established in DHQ Hospital Nowshera & MRHSM Hospital Pabbi to treat diarrheal and cholera cases, with the cooperation of Merlin
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Special vaccination campaigns were arranged in various localities of District Nowshera to cover the target population in IDP Camps.
The Flood affected population were properly segregated and isolated in safe localities like Tehsildar office Pabbi , Cenna Public School Pabbi , Government Technical College Kander near Risalpur & Benazir Complex Risalpur.
Good coordination with NGOs and INGOs, WHO Team was timely taken on board to assist the DHT in any outbreak control and technical guidance
What Went Wrong?

(Please mention briefly the week areas and deficiencies which caused hindrances in providing immediate relief to flood victims e.g. lack of clarity in supply chain management Weak Inventory control management system No reserve stock of medicine Reporting on DEWS No financial resources were available No arrangement of accommodation of staff moved from other districts POL for vehicles and foggers Lack of institutional arrangements of trained spray men
Key areas to be addressed in light of lessons learnt

(Please mention briefly what steps are proposed in current plan to avoid repetition of previous mistakes?) Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
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Financial Matters regarding the provision of POL for the ambulances and for District vehicles of supervisors & also financial support in respect of fogging, medicine etc
Provision / availability of spray men at least 10 in number. Training of the paramedical staff
AREAS LIKELY TO BE AFFECTED

Table 2 High Intensity Floods/Flash floods/Hill Torrents; Geographic Areas, Population & HF likely to be affected
The Health Facilities likely to be affected in High Intensity Flood

1: RHC Akbar Pura 2: BHU Khushmaqam 3: CD Tarkha 4: BHU Banda Mallahan 5: BHU Taru Jabba 6: MRHSM Hospital Pabbi 7: BHU Aman Kot 8: BHU Banda Mohib 9: BHU Dagai 10: RHC Pirpai 11: RHC Khweshgi 12: DHQ Hospital Nowshera 13: BHU Gandheri 14: CD Misri Banda 15: BHU Rashakai 16: BHU Zara maina17: CH Akora Khattak 18: BHU Pir Sabaq 19: RHC Khair Abad Tehsil Union Council Village/s Population likely to be affected # Nowshera Abar Pura Khushmaqam Akbar Pura Tarkha Zakhi Charbagh 4,000 2,000 3000 500 BHU Dagbesud Nearest health Facility/ies
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Zakhi Miana 500
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Zakhi Qabristan 500
Aman Kot Amankot Banda Mohib Khan Sher Ghari Pabbi Chowki Drab Banda Dagai Chowki Mumraiz Azakhel Bala Dagai Chowki Mumraiz Azakhel Bala Dheri Zardad Banda Mohib Khudrezi
1600
BHU Dagbesud
5000 8,000
BHU Dagbesud BHU Dagbesud
12,000
BHU Dagbesud
6000 5600
BHU Dagbesud BHU Dagbesud
6,800
RHC Pirpai
Azakhel Payan
Azakhel Payan
7,000
RHC Pirpai
Khweshgi bala
Kheshgi Bala Village
10,000
DHQ Nowshera
Khweshgi Payan Jehangira Akora Khattak Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
Kheshgi Bala Village Jehangira Akora Khattak
9,200
DHQ Nowshera
5,400 12,000
CH Akora BHU Shaidu
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Village Mera Akora Shaidu Khair Abad Khit Kilay Aman Girrh Nowshera Town Nawan Kilay Pir Sabaq Nowshera CANTT Risal Pur Cantt Gandheri Nawan Killi Pir Sabaq Nowshera Cantt Risalpur Village Gandheri Zara Maina Zara 6,500 6,000 7,600 5,490 4.800 8,000 RHC Khweshgi Chashmai Village Shaidu BHU Shaidu Khit Kilay Aman Girrh RHC Khweshgi 4,600 5,900 6,900 7,600 8,780 13,000 BHU Shaidu CH Akora BHU Shaidu DHQ Nowshera DHQ Nowshera RHC Khweshgi
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BHU Zara Maina Cantt General Hospital+ CMH Nowshera BHU Gandheri RHC Khweshgi
BHU Marati Banada
Table 3 Moderate Intensity Floods/Flash floods/Hill Torrents; Geographic Areas, Population & HF likely to be affected
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Health Facilities Likely to be affected in Moderate Intensity Flood 1: RHC Pirpai 2: MCH Centre Pashtoon Garhi
Tehsil Union Council Village/s Population likely to be affected # Nowshera Akbar Pura Camp korona AkbarPura Momen Garhi Pirpai Bela Koroona Pirpai Nowshera Town Akora Khattak UC Pabbi Nowshera Town Dagoona Akora Khattak Pasktoon Garhi 2400 1500 BHU Jehangira MRHMH Pabbi 2000 DHQ Nowshera 800 560 300 RHC Piprpai BHU Taru Nearest health Facility/ies
Table 4 Mild Intensity Floods/Flash floods/Hill Torrents; Geographic Areas, Population & HF likely to be affected
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NO HEALTH FACILITY IS LIKELY TO BE AFFECTED IN MILD INTENSITY FLOOD HOWEVER THE FOLLOWING POPULATION IS LIKELY TO BE AFFECTED
Tehsil Union Council Village/s Population likely to be affected # Nowshera Akbar Pura Momen Garhi Pir Pai Bella Koroona 240 RHC Pirpai 300 Nearest health Facility/ies RHC Akbar Puar
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Map of District (optional)
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Disaggregation of Population at Risk
Table 5 Vulnerable groups of target population
Total Population Likely to be Affected
800000
Target Group Expected Pregnancies Expected Births 0-11 Months 0-23 months 0- 5 years Married CBAs (15 to 49 y)
% 3.40% 2.90% 2.70% 5.20% 13.40% 16%
Annual 27,200 23,200 21,600 41,600 107,200 128,000
Monthly 2267 1933 1800 3467 8933 10667
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Disease Breakdown
Table 6 Expected Burden of Disease
Expected Burden of Disease Based on Data from Flood 2010 S. No. 1 2 3 4 5 6 7 8 9 10 Disease Injuries Snake bite Dog bite Skin infection Eye infection Diarrhea ARI Fever Others Expected Malnourished Children % 2% 0.03% 0.08% 21% 6% 11% 18% 10% 31% 13%
80800 Average Monthly # 1,616 24 65 16,968 4,848 8,888 14,544 8,080 25,048 10,504
FIXED CENTERS & MOBILE TEAMS PLANNED

(For filling up of tables # 7 and 8, yard stick for HR is given below) Fixed Camps
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Table 7 Details of Fixed Camps Planned Camp # Tehsil Union Council Potential Sites Name with Designation 1 Nowshera Choki Mumraiz Office of the Tehsildar Pabbi M O: Dr Javed + Dr Nayyar LHV: Riffat LHV : Rashida Dispenser : Ezhar+ Askar Shah Support StaffFemale : Perveen+Gul Ranga Support Staff: Male: Afsar Khan Chowkidar Pervez Behishti 2 Nowshera Pabbi-1 Pabbi-2 Cenna Public School 3 Nowshera Gandheri Technical College Kander Dr Riwayat Shah Dr Shahid MT: Ziaur DHQ Nowshera Dr Ejaz+Dr Riaz MT Arshad+ Pabbi Akbar Pura Present Posting Designated Team
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Cell # 03018971117 03159106664
03028801443
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Rehman+Sajjad Afridi Nurses: Shah Rukh +Musarrat 4 Nowshera Adamzai Nowshera Sheet Glass Factory Dr Jehnazeb Dr Nazir MTs: Jehanzeb+ Firasat Shah LHVs: Bushra Niaz+Azra Shaheen 5 Nowshera Khair Abad Fixed Site Near Toll Plaza Khair Abad Dr Ashfaq Jan Dr Asma Khanum MTs: Shezad+Shahid LHVs: Razia Sultana+Yasmin Willium Male Support: Driver Raja, Chowkidar Gohar Ali+ Shaid X-Ray Attendant Female Support Staff: Dai Naseem CH Akora
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03009152598
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Mobile Teams
Table 8 Details of Mobile Teams Planned Team # Vehicle Number Name with Designation 1 MO : Dr Zeeshan Dispenser : M. Ayaz LHV : Nargus Driver 2 MO: Dr Jamal Shah MT: Insha Ur Rehman LHV: Zakia Shaheen 3 Dr Shahid Iqbal MT: Noorul Islam LHV: Shabana BHU Wazir Ghari BHU Mohib Banda BHU Dagbesud BHU Pir Sabaq BHU Pir Sabaq BHU Pir Sabaq 0300-9027931 0333-9315439 0300-9369239 0333-9027336 0345-9137275 Present Posting Banda Mallahan Banda Mallahan Cell # 0343-9768654 0300-5883466 Designated Team
Preventive Health Teams

One Preventive Health Team will be allocated for each affected Union Council. They will perform their prescribed functions with-in allocated Union Council
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Table 9 Preventive Health Teams to support Fixed & Mobile Teams Union Council Gandheri Name Contact # Pabbi Pabbi Adamzai Kausar Zakia Bi Bi Palwasha Wajid Wajid Wajid Dr Ejaz Ahmed Dr Ejaz Ahmed Dr Ejaz Ahmed Nusrat Wajid Dr Ejaz Ahmed SH&NS LHS SI Vaccinator CDC Supervisor
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LOGISTICS
LIST OF MEDICINES REQUIRED FOR MONSOON 2012 DISTRICT NOWSHERA.
S. No
Name of Medicine
Required
Balance
Difference
Anti Snake Sera
300
100
200
Inj Ceftriaxone 1G
20000
1500
18500
Inj Ceftriaxone 500mg
20000
1500
18500
Susp: Antacid
10000
10000
Permethrine Skin cream
10000
10000
ORS Sachet
50000
10000
40000
Paracetamol Syp
30000
5000
25000
Amoxil Syp 250 mg
20000
2600
17400
Cefixim Syp
10000
10000
10
Augmentin Syp
10000
10000
11
Septran Syp
20000
20000
12
Brufen Susp:
20000
20000
13
Flagyl Susp:
20000
5000
15000
14 Negram Syp 10000 10000
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15
Chlorphenramine Syp
20000
20000
16
B-Complex Syp
20000
20000
17
Vermox Syp
10000
10000
18
Dimenhydrinate Syp
10000
10000
19
Mefenamic Acid Syp
10000
2500
7500
20
Cough Syp
5000
5000
21
Nivaquine P Syp
10000
10000
22
Dextrose Saline 1000ml
5400
23
Normal Saline 1000cc
3000
3000
24
Dextrose Water 1000ml
5000
2000
3000
25
Ringer Lactate 1000ml
5000
2000
3000
26
Ringer Lactate 500ml
5000
5000
27
Inf: Metronidazole
10000
28
Inf: Haemaccel 500ml
500
100
400
29
IV Infusion Set
20000
30
Inf: Ciprofloxacine
5000
2000
3000
31
Inj: Decadron 1cc
10000
10000
32
Inj: Avil
5000
5000
33 Inj: Solucortef 250mg 400 -
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34
Inj: Diclofenac Sodium
10000
10000
35
Inj: Gravinate
5000
1200
3800
36
Inj: Zentac
3000
3000
37
Inj: Nospa
3000
3000
38
Inj: Transamine 250mg
1000
1000
39
IV Cannula 20,22 G
5000
500
4500
40
Disposable Syringe 5cc
40000
15000
25000
41
Disposable Syringe 3cc
10000
10000
42
Roll Bandage
1000 Dozen
1000
43
Cotton Wool 100 G
500
500
44
Pyodine Solution
200
200
45
Sticking Plaster
100 Dozen
100
46
Clotrimazole Skin Ointment
5000
5000
47
Polyfax Skin Cream
7000
3000
4000
48
Polyfax Eye Ointment
7000
3000
4000
49
Nystatin oral drops
5000
5000
50
Ciprofloxacin Tab 500mg
100000
43000
57000
51
Ciprofloxacin Tab 250 mg
100000
100000
52 Augmentin Tab 625mg 50000 50000
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53
Septran Tab
100000
100000
54
Doxycycline 100mg Cap
200000
200000
55
Amoxil 500mg Cap
100000
100000
56
Amoxil 250mg Cap
100000
100000
57
Cefixim 400mg Cap
50000
50000
58
Brufen 400mg Tab
200000
200000
59
Paracetamol 500mg Tab
200000
50000
150000
60
Mefenamic Forte Tab
100000
10000
90000
61
Chlorphenramine Tab
200000
200000
62
Metronidazole Tab 400mg
200000
50000
150000
63
Bromazepam Tab 3mg
50000
50000
64
Famotidine Tab 40mg
100000
100000
65
Fluconazole 150mg Cap
10000
10000
66
Transamine 250mg Cap
10000
10000
67
Vitamin C Tab
50000
50000
68
Iron + B-Complex Tab
100000
100000
69
Chloramphenicol Eye Drops
5000
3000
2000
70
Ear Drops
5000
5000
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Executive District Officer Health Nowshera
MAPPING OF LOCAL PARTNERS

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(Please identify local NGOs and other local partners e.g. local industry or trade union etc, and areas in which they can provide support. The committed support might be in the form of Human Resource, ambulance for relief activities only, medicines etc.)
Table 10 Details of Local Partners & their support
S. No. 1
Name of NGO/Partner Merlin
Contact Details & Address
Areas of Support HR+ Medicines, Preventive & Curative service + Ambulance and other logistics
2 3 4
Islamic Relief CESSD CAMP
Dr Fawad : 03008637963 MANTAINANCE & REPAIR MANTAINANCE & REPAIR AND
PHC Services Throughout the District CAPACITY BUILDING
MANAGEMENT AND COORDINATION

Suggested: The overall responsibility of management and coordination would lie with Health & Nutrition Coordination Committee under overall supervision of EDO-Health. The Coordination Committee will comprise of District Officer Health, Deputy District Officers Health, PHS, DCNP, CDCO, DSV, DSI and representatives from UN Development partners with EDO-Health as Chairperson. District Health
Department will keep close liaison with DDMA for overall guidance and mobilization of additional resources.
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The District Control Room (DCR) will start functioning w.e.f 15/06 2012 under the supervision of DCO Nowshera contact No. --------, which will function round the clock till directions from the DGHS office. At least one official will be available in this cell with telephone facility 24/7. The duty roster of the DCR is given below:
Landline # of DCR
Name/Designation of official on Morning: duty (shift wise): Evening: Night: Declaration of emergency by DDMA will act as trigger to mobilize all mobile and static teams to already designated stations. The supply chain will be maintained to replenish the medicines and consumables on regular basis. District Team will coordinate with Provincial Team in case additional help or resources are required.
Logistic Management Disease Surveillance and Epidemic Response
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Table 11 District Emergency Response Team (ERT) Designation DOH District Pathologist District Medical Specialist District Pediatrician Name Dr Arshad Ahmed Khan Dr Ejaz Ahmed Dr Mushtaq Dr Samiullah Contact # 0300-5779597 0336-9188792 0300-5978100
Logistics/Supplies Support from Partners Work Plan
S. No. 1 2 3
Activity Notification of District Coordination Team Arrangement of Deficient Stocks of logistics/Supplies Pre-positioning of Reserve Stocks at Designated Points/Health Facilities
Time Line 1st June 15th June 20th June
Responsibility EDOH EDOH DOH/DDOH
4 5
Activation of District Control Room Initiation of regular meetings of District Coordination Teams
1st July First week of June 1st July
CDCO EDOH
6 7
Activation of District ERT Training of Staff on DEWS
DOH
3rd week June DHDC
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 8 9 DEWS Reporting on Weekly Basis Switching over to Daily Reporting Mode for DEWS Immediate On declaration of flood emergency 10 ----------Review of Preparations CDCO CDCO
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District Nowshera Need & Gap Analysis For Monsoon Contingency 2012

Name of District: Name of EDO Health: Contact Details: Office Contact #:

Nowshera Dr Arshad Ahmed Khan 0923-59759 Cell No: 0300-5779597

What Went Well?

What Went Wrong?

Key areas to be addressed in light of lessons learnt

AREAS LIKELY TO BE AFFECTED

The Health Facilities likely to be affected in High Intensity Flood

Zakhi Qabristan 500

BHU Dagbesud BHU Dagbesud

BHU Dagbesud BHU Dagbesud

Kheshgi Bala Village

Kheshgi Bala Village Jehangira Akora Khattak

CH Akora BHU Shaidu

BHU Marati Banada

Map of District (optional)

Disaggregation of Population at Risk

Table 5 Vulnerable groups of target population

Total Population Likely to be Affected

% 3.40% 2.90% 2.70% 5.20% 13.40% 16%

Annual 27,200 23,200 21,600 41,600 107,200 128,000

Monthly 2267 1933 1800 3467 8933 10667

FIXED CENTERS & MOBILE TEAMS PLANNED

Cell # 03018971117 03159106664

Preventive Health Teams

LIST OF MEDICINES REQUIRED FOR MONSOON 2012 DISTRICT NOWSHERA.

Anti Snake Sera

Inj Ceftriaxone 500mg

Permethrine Skin cream

Amoxil Syp 250 mg

Mefenamic Acid Syp

Dextrose Saline 1000ml

Normal Saline 1000cc

Dextrose Water 1000ml

Ringer Lactate 1000ml

Ringer Lactate 500ml

Inf: Haemaccel 500ml

Inj: Decadron 1cc

Inj: Diclofenac Sodium

Inj: Transamine 250mg

Disposable Syringe 5cc

Disposable Syringe 3cc

Cotton Wool 100 G

Clotrimazole Skin Ointment

Polyfax Skin Cream

Polyfax Eye Ointment

Nystatin oral drops

Ciprofloxacin Tab 500mg

Ciprofloxacin Tab 250 mg

Doxycycline 100mg Cap

Amoxil 500mg Cap

Amoxil 250mg Cap

Cefixim 400mg Cap

Brufen 400mg Tab

Paracetamol 500mg Tab

Mefenamic Forte Tab

Metronidazole Tab 400mg

Bromazepam Tab 3mg

Famotidine Tab 40mg

Fluconazole 150mg Cap

Transamine 250mg Cap

Iron + B-Complex Tab