1 | Page HEALTH CLUSTER BULLETIN October 2019 FIGURE 1 HEALTH CLUSTER COORDINATION MEETING 16TH OCTOBER, 2019 YEMEN Emergency Level: Level 3 Reporting period: 01-10-2019 to 31 -10-2019 HIGHLIGHTS HEALTH SECTOR A total of 3,073 Health Facilities (17 Governorate Hospitals, 126 District Hospitals, 75 General Hospitals, 19 Specialized Hospitals, 789 Health Centers and 2,047 Health Units) are supported by Health Cluster Partners. The cumulative total number of suspected Cholera cases from the 1 st of January to the 31 st of October, 2019 is 767,459 with 997 associated deaths (CFR 0.13%). Out of the reported cases, 62,159 cases were reported in October 2019. Children under five represent 26% whilst the elderly above 60 years of age accounted for 7% of total suspected cases. The outbreak has so far affected 22 of 23 governorates and 311 of 333 districts in Yemen. As of the 31 October 2019, the Health Cluster Partners continue to support a total of 264 DTCs and 578 ORCs in the 147 Priority districts. During the month of October, the Global Health Cluster’s RH project conducted an 11-day BeMONC training for 18 community midwives 71 14 M HEALTH CLUSTER PARTNERS PEOPLE IN ACUTE NEED KITS DELIVERED TO HEALTH FACILITIES/PARTNERS 97 IEHK BASIC KITS 364 IEHK SUPPLEMENTARY KITS 1 TRAUMA KITS 1470 OTHER TYPES OF KITS SUPPORTED HEALTH FACILITIES 3,073 HEALTH FACILITIES 2,068,299 OUTPATIENT CONSULTATIONS 32,883 SURGERIES 47,333 ASSISTED DELIVERIES (NORMAL & C/S) VACCINATION 71,081 PENTA 3 EDEWS 1,982 SENTINEL SITES FUNDING US$ 627.2 M REQUESTED 243.5M (38.8%) FUNDING RECEIVED BY 31 ST OCTOBER 2019(SOURCE FTS) 19.7M PIN of Health Assistance 15.8M Targeted with Health Interventions 3.34 Million** IDPs 627M Funds required 1Million Returnees
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YEMEN · highest reporting governorates of Cholera were Al-Hudaydah 12,590; Sana’a 8,071; Amanat Al Asmah 5,433, Ibb 5,401, and Hajjah 5164. from Ottomah. Similar training for 18
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HEALTH CLUSTER BULLETIN
October 2019
FIGURE 1 HEALTH CLUSTER COORDINATION MEETING 16TH OCTOBER, 2019
YEMEN Emergency Level: Level 3
Reporting period: 01-10-2019 to 31 -10-2019
HIGHLIGHTS HEALTH SECTOR
A total of 3,073 Health Facilities (17
Governorate Hospitals, 126 District Hospitals,
75 General Hospitals, 19 Specialized Hospitals,
789 Health Centers and 2,047 Health Units) are
supported by Health Cluster Partners.
The cumulative total number of suspected
Cholera cases from the 1st of January to the 31st
of October, 2019 is 767,459 with 997
associated deaths (CFR 0.13%). Out of the
reported cases, 62,159 cases were reported in
October 2019. Children under five represent
26% whilst the elderly above 60 years of age
accounted for 7% of total suspected cases. The
outbreak has so far affected 22 of 23
governorates and 311 of 333 districts in Yemen.
As of the 31 October 2019, the Health Cluster
Partners continue to support a total of 264
DTCs and 578 ORCs in the 147 Priority districts.
During the month of October, the Global Health
Cluster’s RH project conducted an 11-day
BeMONC training for 18 community midwives
71
14 M
HEALTH CLUSTER PARTNERS
PEOPLE IN ACUTE NEED
KITS DELIVERED TO HEALTH FACILITIES/PARTNERS
97 IEHK BASIC KITS
364 IEHK SUPPLEMENTARY KITS
1 TRAUMA KITS
1470 OTHER TYPES OF KITS
SUPPORTED HEALTH FACILITIES
3,073 HEALTH FACILITIES
2,068,299 OUTPATIENT CONSULTATIONS
32,883 SURGERIES
47,333 ASSISTED DELIVERIES (NORMAL &
C/S)
VACCINATION
71,081
PENTA 3
EDEWS
1,982 SENTINEL SITES
FUNDING US$
627.2 M REQUESTED
243.5M
(38.8%)
FUNDING RECEIVED
BY 31ST OCTOBER 2019(SOURCE FTS)
19.7M PIN of Health Assistance
15.8M Targeted with Health Interventions
3.34 Million** IDPs
627M Funds required
1Million Returnees
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Public health risks, priorities, needs and gaps
The Majority of the Yemeni population have limited access to health services as a result of the harsh
economic conditions, which impacts their ability to seek health services. As a result of transport costs,
poor road infrastructure and insecurity, road blocks and advancing frontlines, access challenges
continue to further complicate the already worsened situation. In addition to the fact that there are
about 51% fully functional Health Facilities (HFs), 36% partially functional and 13% remain non-
functional (HeRAMS 2018).
The referral from PHC to the secondary care level, the availability and cost of specialized care alongside
limited resources for the care of non-communicable diseases continue to place a huge burden on the
patients who suffer from chronic illnesses such as diabetes, hypertension, renal failure and cancer.
Communicable Diseases
A continuous and steady decline of Cholera cases has been seen during the month of October 2019.
The 147 cholera priority districts are currently under review by the MoPHP and the Cholera Taskforce.
In the Yemen HIS, there were 408,085 patients treated for various communicable diseases across the
various health facilities supported by health partners in Yemen during the month of October 2019.
During the reporting period, there were 62,159 cholera suspected cases reported, 55 associated
deaths and the outbreak has affected 22 of 23 governorates and 311 of 333 districts in Yemen. The
districts reporting the highest number of suspected cases of cholera during month of October 2019
were, Al Hali 1,776; Hamdan 1,293; Bani Al Harith-1,164; Jihanah 1,043 and Az Zaydiyah-1,020. The
highest reporting governorates of Cholera were Al-Hudaydah 12,590; Sana’a 8,071; Amanat Al Asmah
5,433, Ibb 5,401, and Hajjah 5164.
from Ottomah. Similar training for 18 midw2ives
in Al-Sheikh Othamn started on October 26th.
Situation update
Yemen is in the midst of the worst manmade humanitarian crisis in the world. The people in need has
increased reaching a whopping 24.1 million people out of 29 million people. Out of the 24.1 million
people in need, 19.7 million person require some sort of health assistance and 14 million out of that are
in dire need of health assistance. In October 2019, 47 active Health Cluster partners with ongoing active
projects are currently supporting and responding to the health needs of the Yemeni people through
supporting 3073 health facilities all over Yemen. Providing continuous support and health services
requires the sustainability of funding for the health operations in Yemen which supports the most
vulnerable groups in the country.
The Health Cluster is currently working on preparing the portfolio for the second standard allocation.
This allocation will focus on IDP sites and the defense is scheduled for the 7th of November, 2019.
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FIGURE 2 EPI CURVE: NUMBER OF SUSPECTED CASES AND THE CFR FROM 1 JANUARY TO 31 OCTOBER 2019: SOURCE – EOC
Non-communicable diseases and Mental Health
There were 24,611 new hypertensive and 1,565 individuals with mental health illness who
received medical attention and psychosocial support by health partners during the month of October
2019.
Health Facility Support
In October 2019, 46 Health Cluster Partners have sustained their support to the 3,073 health facilities
including operational support, incentives for the health workers, training of health workers and provision
of medicines and medical supplies.
Availability of essential services
The Health Cluster Partners are continuing to support primary and secondary health care services across
the country. These services are offered free of charge across all health centers and units, with secondary
health care provided in the governorate and district hospitals, as a result of the support of partners with
incentives and operational costs. Some of the main challenges that are hindering the delivery of quality
health services are insecurity, access impediments and inadequate health workers (capacity and
numbers). The economic situation is becoming worst on a daily basis as the Yemeni Rial continues to
depreciate and the majority of the population are not able to afford transport to and from the health
facilities. In addition, the roads are in poor state and can some of them are no longer usable. In an effort
to counter these challenges, Health Partners are supporting and facilitating patients’ transportation and
referral through the voucher system in order to improve acceptance, access and utilization of health
services by the patients.
Availability of Health Staff
The health workers available in the health facilities are not enough, as the majority have migrated from
their locations due to insecurity, access challenges or lack of salaries. Those still in the health facilities
are largely dependent on incentives offered by the humanitarian actors to sustain the remaining services
offered in these facilities.
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Availability of Essential Drugs, Vaccines and Supplies
Health Cluster partners supported the health facilities’ operations with medicines and medical supplies
as well as payment of incentives to health staff. 347,485 Liters of fuel and 28.9 million liters of water
were supplied to the health facilities in addition to 97 IEHK basic Kits, 364 IEHK Supplementary kits,
1470 other types of kits and 1 Trauma kit to support various health facilities across the country.
Health Cluster Action
Health Cluster Partners include 4 UN agencies, 19 INGOs, 23 NNGOs in 22 Governorates in Yemen.
In October 2019, 46 Partners reported through the Yemen health information system.
Partners Implementation Status can be accessed at http://yemenhc.org
Health Cluster Partners Updates – September 2019
Health Cluster Partners continued supporting health service delivery across the country. Below are a
few examples of different Health Cluster Partners operating in different governorates inside Yemen.
World Health Organization (WHO)
The World Health Organization in Yemen continued providing necessary lifesaving health services in Yemen.
Some of WHO’s services included but were not limited to:
Cholera:
- Water Provision and Monitoring: Continued provision of approximately 18,339 m3 of safe water
to 72 health facilities and 4,017m3 to DTCs. Monitoring visits have been conducted by WHO
field WASH supervisors in 12 Governorates. Reconstruction and rehabilitation of WASH services
in 35 HFs is under process.
- Training: Training session for 222 healthcare workers in 111 DTCs on IPC. Training session for
370 participants from different HFs was conducted on waste management. 5 day training session
for 129 healthcare staff from CPHL, Blood banks and TFCs on waste management.
Diphtheria:
- Diphtheria Antitoxin: 621 vials of DAT arrived at Sana’a Airport as part of urgent support to
MoPHP.
- Integrated Training is planned to start in November 2019 and will cover all districts in the
Northern areas to sensitize the health workers on all five diseases.
Dengue Fever:
- 100,000 NS1 RDTs have been distributed to the Rapid Response Teams in all governorates in
the southern part of Yemen. 60,000 RDTs have also been distributed to the Northern
governorates.
Nutrition:
Establishment of a Surveillance system which supported the targeted detection in 52% of
children 6-59 months. 63 thousand children under five were screened for all forms of