IMHO Semi Annual Presentation 2009

1

International Medical Health Organization

Baltimore, USA

Rajam Theventhiran October 03, 2009

History of IMHO

•  Started in 2003 and became a 501c3 registered charity in 2004.

•  Both medical and nonmedical professionals

•  Governed and managed by a diverse group of 11 board members

Our Mission

•  Aims to improve health care across the globe

•  Identify health needs, provide resources and training

•  Help develop health care infrastructure in underprivileged communities

•  Cultivates sustainability •  Main focus is Northeast Sri Lanka

IMHO is not a... •  Political organization •  Professional body •  Doctor’s club •  Cultural organization •  Religious group •  Social club •  Alumni

5

Past Projects •  Primary Care- PHC, Mobile clinics,medications,staff allowances •  Tsunami relief work-Medications, volunteers •  Mental Health- Built in patient units, medications, rehab unit. •  Cancer- medications, ambulatory chemotherapy unit, nutrition for

poor patients. •  Renal-Funded Dialysis machines, support poor patient’s expenses. •  Diabetes- building and running cost of Diabetic center •  Cardiology-High Dependency unit •  Nutrition-Pregnant mothers nutrition project •  Education training- Nurses, Doctors, other health care workers. •  Empowerment Projects- micro credit projects.

6

International Projects •  USA-Katrina Relief work –American red

cross. •  Pakistan-Women hospital-National Health

Forum •  Burma-Cyclone Nargis-OP USA •  Bangladesh-Cyclone Sidr-BRAC/USA •  CongoDR-MSF •  India-Primary Health care Center.

Status of IDP in May 2009 •  Vavuniya District 260,004

•  Jaffna District 11,064

•  Pulmoddai 5,891

•  Total # of IDP’s 280000

•  In Govt buildings: 37,988

•  Hospitalized: 3,918 (Trinco, Vavuniya, Manna and Jaffna Hospital)

Situation Report •  Total IDP centers in Vavuniya: 22 •  Total IDPs at these centers: >260004

•  As of May 6, 2009. Source RDHS Vavuniya

Hospitals that deal with IDPs (Midnight total)

Vavuniya GH 1223 Cheddukulam BH 906 Poovarasankulam 751

CCTMS 69 Pampaimadu 69

Poovarasankulam 239 Total 3505 IDP Patients

Some important information •  Number of IDP: 280000 •  Number of Families: 93,822

Age Group

0-5 years 57,291

6-18 years 67,829

19-59 years 141,956

>60 years 25,186

Internally Displaced Persons •  Amputees 25-30,000 (in need of prosthesis) •  3000 pregnant mothers •  10,000 malnourished children •  1,000 orphans •  8,000 widows

Life in an IDP Camp •  Separation from family

members •  Lack of freedom of

movement •  Overcrowded •  Insufficient access to

food ,medical care, clean drinking water

•  Toilet to IDP ratio 1:80 •  Spread of communicable

diseases •  Improper drainage,

sanitation & hygiene

IDP Camp

Inside the camp

Outside the camp

15

Outside the Camp

16

Flooding

Waiting for Water

18

Bathing Area

Nutrition

20

Line for food

Sanitation

Comprehensive Health care

Referral center One centre in each Zone Now fully functioning in Zone 2 Coverage: 30 000 – 55 000 population Facilities: •  Zonal Health coordinator will be the over all in charge of

this centre. •  He is the in charge for the Zone – No Health activities will

be held within the Zone without his knowledge. •  Curative facilities

–  MOIC for referral centre have been appointed. –  Inward facilities – (10- 20 beds) –  Specialized Clinics (Minimum Once a week) (Need

separate consultants of IDP Care)

24

Referral center •  Preventive Health teem

–  MO IC, SPHI, SPHM –  Ensure all preventive activities including immunization –  Water sanitation, Mosquito control, Flies control,

Environmental sanitation •  Weekly Meeting with all sectors will be coordinated by

Zonal Health coordinator, All PHI, PHM, MOO, NGO representatives, Security In charge of Zone, community leaders will be participated

23

Zone II- Referral center

Zone IV - Referral center.

Primary Health Care Centre •  Coverage :10 000 - 15 000 •  Curative services ( Each centres)

–  2- MO –  1 Nursing staff ( IDP), –  1 pharmacist or Dispenser (IDP) –  Minor staff – 10 in each centers (IDP)

•  Preventive services –  2 PHM and 1 RHA and ( 1/3000-4000) population

(IDP) –  Volunteers ( 1/500 population) (IDP) –  1 PHI (IDP)

28

Primary Health Care Center •  Duty hours: 8 am – 4 pm •  Facilities

–  Basic medical care ( OPD Care)

–  Basic procedures – Eg Suturing, Nebulisation,

–  Clinics – Antenatal, Postnatal, Well Baby, Well women clinics

–  Health education facilities

–  Counseling services

PHC, Kathirkamar Village

Doctors’ Strength • 1. Permanent Medical Officers for IDP care:61

– Zone-0 :-08 – Zone-1:- 04 – Zone-2:-10 – Zone-3:-08 – Zone-4:-08

•  Other welfare centres in Vavuniya: 23 •  Voluntary Medical Officers: 26 •  Total 87 doctors are working in the IDP settings

Curative Care GH Vavuniya 448 beds

BH Cheddikulam 131 beds

DH Poovarasankulam 10 beds (isolation)

Pampaimadu (Branch of Vavuniya GH)

100 beds

GTMS (Branch of Vavuniya GH)

100 beds

Indian Field Hospital (Cheddikulam)

50 beds

MSF Field Hospital (Cheddikulam)

100 beds

BH Chettikulam

BH Chettikulam

Temporary ward-BH Chettikulam

GH Vavuniya

Two babies on oxygen but with only one pulse oximeter

One infusion pump for 243 babies

38

Current Needs

•  Reunification of Families •  Resettlement •  Basic needs- housing, Water, Sanitation,

Health Care •  Physical Rehabilitation •  Psychological rehabilitatation •  Livelihood Projects

39

Special Populations

•  Children •  Widows •  Elders •  Amputees •  Paraplegics

40

What Have We Done So Far •  Nutrition - $205,000 •  Medicine - $20,000 •  Mobile Medical clinic - $40,000 •  Hygienic kits and clothes - $12500 •  Renovation of Hospital - $5000 •  Toilets - $36000 •  Tube wells - $13300 •  Physical rehabilitation - $38500 •  Medical students fund- $7000

41

Other Projects

•  Kudil-Psych.Rehab-$2500 •  Nutrition-$53000 •  Staff salary $8400 •  Mobile clinic-$14000 •  Education and Training-$6500 •  J/TH ICU- $8000 •  J/TH Recovery unit-$6500 •  Telemedicine $3000

42

Contd…

•  Kallady Village project-$10,000 •  Up Country Project-$10,000 •  Kalmunai MHS-Micro credit- $10,000 •  Total= $131900.

43

•  We have to work together if we want to make a meaningful difference

•  Chance put them there and us here - that could have been you or me

•  So little is required from each of us to help them

•  From those to whom much is given, much is required

•  We have a moral obligation to help

44

“The hungry children, the homeless refugees - not to respond to their

plight, not to relieve their solitude by

offering them a spark of hope is to exile them from human memory. And in denying their humanity we betray

our own.” - Elie Weisel

45

Thank you!

45