The coordination of the country health response is coordinated by the Federal Ministry of Health (FMoH) Flood Response task force, co-chaired with the World Health Organization (WHO). The FMoH, with WHO support, has activated the daily Early Warning Alert and Response System (EWARS) in all health facilities in areas affected by floods.
WHO supported activation of epidemic-prone diseases alert investigation and response in all affected states.
Community mobilization and an integrated vector control campaign were launched, with WHO providing operational costs, equipment, personal protection, 24 trucks, and training. The FMoH and SMoH provided chemicals and follow up. The campaign will benefit about 600,000 people.
Sexual and Reproductive Health assistance is required in all affected states. Out of the total population affected by floods it is estimated that 83,112 are women of reproductive age, of whom 8,276 are currently pregnant. Emergency reproductive health kits, including clean delivery kits, are needed across all affected states to ensure safe deliveries, the provision of emergency obstetric care services, as well as other live-saving sexual reproductive health services.
Throughout Sudan, WHO distributed 16 Rapid Response Kits - enough to cover the needs of 2 million people.
In Khartoum State, WHO provided medicine and medical supplies to health facilities in areas affected to cover the health needs of 32,000 people for one month. WHO pre-positioned five surgical and trauma kits in five hospitals in Khartoum. WHO also supported 11 mobile clinics in Khartoum and six in White Nile.
The State Ministry of Health (SMoH) established six temporary clinics and the Doctors Committee established an additional six clinics with WHO providing all clinics with medicines and orientation on EWARS and reporting of imminent health threats. WHO provided surgical supplies for 200 major interventions (including cesarean sections) to Al Bashair hospital to ensure affordable referral treatment for people affected by floods. WHO provided 10 Inter-agency Emergency Health Kits (IEHK), five Rapid Response Kits (RRK), and miscellaneous supplies enough for more than 70,000 people.
Vector control campaigns are ongoing in Suba and Elhela areas(Khartoum State) and will last until 3 December 2019. Six days of medical and solid waste cleaning campaign were initiated by WHO, in collaboration with the national NGO NAFEER and Resistance Committee, in major hospitals in Khartoum State including, Ibrahim Malik, Bashair, Bahri, Omdurman Pediatric, Alban Jadeed, and Al Turki. UNICEF dispatched medical and emergency supplies that will cover the health needs of between 35,000 and 40,000 people affected by floods in the Jebel Awliya area. UNFPA conducted a joint visit with Sudanese Red Crescent Society (SRCS) to Wad Ramli, El Jaili and Abu Tilaiha in Khartoum State where 1,350 dignity kits were distributed. The visit revealed a lack of sexual reproductive health services in temporary clinics in the affected areas. Midwives reported losing their midwifery kits while fleeing the flooded areas.
UNFPA transported volunteer doctors and medicines to emergency clinics located in floods-affected areas in the state. These doctors will also provide Sexual and Reproductive Health (SRH) and other health services to pregnant women in these areas.
In Kassala State, SMoH distributed 730 long-lasting insecticide nets (LLIN), insecticides and 25 toilet slabs. WHO donated 5 Fogging machines, 10 water testing kits, 2 Hudson Pumps and 3 larva collection kits along with operational costs to initiate vector control and water quality testing in areas where the flood water was drained. WHO provided medical supplies to cover the health needs of 20,000 people for one month, and provided operational support for one temporary health clinic.
In South Darfur State, WHO provided one IEHK, which can serve up to 3,000 for 3 months. In addition, WHO provided health supplies to health facilities in the state and supported the operation costs for water quality monitoring. WHO/SMoH jointly provided health education for 600 people affected by floods in Nyala South.
In North Kordofan State, UNFPA supported SMoH to distribute 225 dignity kits in Gabrat Elshiekh, El Rehad, and Um Rawaba localities. Another 1,775 dignity kits will be distributed soon. In addition, UNFPA supported SMoH to distribute Emergency RH kit 12 (Blood transfusion kit) to El Obeid Hospital. This will allow the health staff to perform safe blood transfusion after testing for HIV, syphilis , hepatitis B and C.
In South Kordofan, the health situation in areas affected by floods is stable with no reports of any related disease outbreaks. WHO and health partners have sufficient relief supplies available and have the capacity to support operational costs. In Talodi locality, three rapid response kits (RRK) have been pre-positioned—each kit has essential drugs and medical supplies to cover 10,000 people for one month. Al Abassiya, Rashad and Abu Kershola localities have all received one RRK each. UNICEF is partnering with SMoH to provided one integrated management of childhood illness (IMCI) kits—each kit can cover 3,000 children under five years—in the four affected localities.
In North Darfur, UNFPA supported the distribution of 45 dignity kits in Abu Shouk IDP camp, 40 dignity kits in Gary village in El Fasher, and 131 dignity kits in El Salam IDP camp. UNFPA also supported the distribution of 80 clean delivery kits to Saudi Hospital in El Fasher and 37 clean delivery kits to El Salam and Abu Shouk IDP camps.
In West Darfur State, SMoH, WHO, UNICEF, UNHCR, IOM, TGH provided vector control interventions.
In East Darfur State, WHO provided medicine and medical supplies, enough for 3,000 people for one month, for refugee response.
In Sennar State, WHO committed to provide medical supplies, enough to support 12,000 people for one month. WHO will send additional staff to support flood response.
In Gedaref State, WHO supported the operational costs for community mobilization and integrated vector control and provided with 10 water testing kits, 5 fogging machines, 2 hudson pumps, and 10 larvae collection kits.
In White Nile, SMoH, with the support of UNFPA, distributed clean delivery kits to pregnant women and distributed emergency reproductive health kits to health facilities in Um Ramata, Alsalam and Aljabalain localities. These kits contain surgical supplies which provide basic emergency obstetric care for pregnant mothers. Clean delivery kits were also given to 10 midwives in Um Ramata and Alsalam localities and in Alshegaig Hospital. UNFPA supported the national NGO CAFA to provided SRH and Gender-based-violence services in mobile clinics in Alsalam and Aljabalain localities.
In Blue Nile State, health partners are carrying out vector control campaigns in El Roseires locality and the routine health activities are ongoing.
UNICEF prepositioned one AWD, Periphery kit, Renewable and one AWD Periphery Drug kit at the SMoH in Blue Nile. This week UNICEF in coordination with WHO and MoH released following items for Blue Nile SMoH: 15 IMCI kit,
10 pack of Zinc 20mg tablets/PAC-100, and 10 cartons of ORS low osm. 20.5g/1L CAR/10x100.
In Red Sea State, WHO, FMoH and SMoH trained 40 doctors and nurses on medical case management.
In Khartoum State, more medicine and medical supplies are needed. Support for affordable life-saving referral services for emergency cases in affected areas is also required.
In North Kordofan State, health facilities need emergency supplies.
Stocks of clean delivery kits are available but more are needed.
In Blue Nile State, more support for vector control and water safety campaigns; water chlorination and community awareness is needed.
UNFPA reports a gap in the supply of dignity kits as there has been no pre-positioning of supplies due to lack of funding.