Health Sectro Coordination Meeting

HEALTH SECTOR COORDINATION MEETING
August 22, 2001

WHO Humanitarian Assistance Office Skopje


Participants:

  • WHO HAO
    Boris Rebac
    Vasilka Dimoska
    Marija Gulija

  • UNHCR
    Dusko Kunovski

  • IRC
    Daniela Ralis
    Nermin Zitkovic

  • American Red Cross
    Judi Harris

  • CARE
    Turgaj Mazllami

  • ICRC
    John Ctelissen

  • Save the Children UK
    Maja Suslevska

  • ART International
    Lee R. Briggs
    Robin Matjanoski

  • AAR Japan
    Seiyu Fujisaki
    Dimitrov Saso

  • UNICEF
    Vasiliki Delimitsou

  • ICRC
    Mirjana Ipsa

  • Project HOPE
    Verica Ivanovska

  • OCHA
    Vladanka Andreeva

Dr. Rebac - WHO HAO opened the meeting, giving brief information about past week activities.

The working group on emergency in Ministry of Health and Director of Health Home Skopje will provide all necessary support to mobile teams that will provide medical help to returnees to Aracinovo and IDPs in Gazi Baba region. WHO and UNICEF will provide drugs and equipment for this service.

In Kumanovo, revision of drugs should be done, donated to the Medical Center and PHC services for IDPs. Number of patients is 60-70/day.

In Skopje, 3 pharmacies opened in existing outpatient clinics that provide drugs free of charge for IDPs are operational. WHO is expecting more kits with drugs to arrive in 2 weeks time.
It is still difficult to go to Tetovo to assess the situation, due to security reasons.

UNHCR have activities in the health sector through its main 3 implementing partners - WHO, IRC and Handicap International for disabled IDPs.

The project with WHO will be most probably extended for one month.

UNICEF is running regular activities. Stress-coping summer centers are now underway in the major IDP areas of Skopje and Tetovo. 3 summer centers work in Kumanovo; 4 such centers work in Skopje. They offer sports, recreation, psychosocial counseling, health education, early childhood care and development, mine awareness activities.

UNICEF is ready to support medical services in Aracinovo. They have very close collaboration with the Ministry of Education and because of the high number of IDPs the beginning of the school year could be postponed. UNICEF started to make assessment of IDPs in host families and vulnerable groups.

American Red Cross has regular activities for IDPs in Kumanovo and Skopje.

IRC is running regular programs for refugees and IDPs. In Suto Orizari IRC teams that are working with refugees have been providing medical help to 46 IDPs today. In the regular (state) outpatient clinic, IDPs could not receive medical help or treatment, therefore they have been referred to IRC clinic.

UNHCR representative emphasised the fact that refugees should not be mixed with IDPs.

Dr Rebac noted that this is the first time that is reported that IDPs were refused to receive medical help in some state outpatient clinic. Therefore, he will check with the Director of the Health Center Skopje.

In the next three days IRC will perform immunisation in the outpatient clinic Cento.

Dr Rebac informed that at the Meeting in the Ministry of Health it has been decided that until the end of this month, assessment and report about the immunisation status of the IDP children will be issued.

Outpatient clinic for PHC services for IDPs in Medical center Kumanovo is functioning well. Last week IRC donated certain quantity of drugs to the Medical Center. IRC representative has a meeting with the leader of IDPs in Kumanovo, Serbian nationality, who expressed disappointment with IRC doctor, and stressed that Macedonian nationality doctor, should replace IRC doctor.

Dr Rebac stressed out that the only criteria for work should be professionalty, not the ethnic background of the doctor.

Other IRC representative briefly informed about the visit to Aracinovo and the meeting with the mayor. She had the possibility to visit the ambulanta and it seams that two rooms on the first floor are in good condition, and they only need to be adjusted for the needs of the team. The only concern she has is the roof that is covering the terrace, which is actual access to these rooms. She recommended an engineer to make assessment of the roof in order to make the
necessary repairs. Regarding the authorization to go to Aracinovo, she was advised by the major and police on the check point that the best way is to sent an official letter to the president of Government Crisis Management Group, Mr. Filipovski for permission. Also, Aracinovo is facing problems with water in the past two days. At the beginning, 6 tanks arrived every day, afterwards they were reduced to three and last two days Aracinovo was out of water as no water tanks arrive from Skopje. There is no information about repair of the electricity system.

CARE Int is running regular activities. CARE has a project for assessment of psychological needs of IDPs in cooperation with UNICEF.

ICRC has a new person appointed to follow up health issues.

Dr. Rebac is very glad that ICRC representative is again present at this meeting, and he emphasised the need to have feedback from ICRC about their activities and the situation on the field, as they are mobile and can enter the conflict regions.

Save the Children, UK is planning some activities in two schools (ethnically mixed) in conflict areas. They are also making psychosocial assessment of IDPs jointly with UNICEF.

OCHA representative and coordinator for UNHCR and Ministry of Labor and Social Policy will attend this meeting in the future, in order to be informed about the situation.

AAR Japan is running their usual project in Kumanovo and Skopje (Gorce Petrov and Suto Orizari), giving PHC services for refugees and IDPs. Beneficiaries are Roma population, refugees and IDPs in Kumanovo. Their teams consisted of 6 doctors and 3 drivers. Last week they have 363 patients in Kumanovo, 96 of them were IDPs.

WHO HAO representative for monitoring of the pharmacies informed that every Friday she will make collection of weekly reports and make final report on drug consumption. WHO/UNICEF are doing supply on the central level with essential drugs kits.

ART International representatives informed that they may have donors in the pharmaceutical companies and will support the health sector. They are planning to conduct training for health professionals as well.

Project HOPE has no activities concerning emergency situation.

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