Basirma Camp Health Profile April 2014 - Stories from Syrian Refugees

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Polio III immunisation coverage. > 90%. Health utilisation rate. Proportion of first time antenatal visits ... data o
Basirma

Public Health Profile

Erbil, Kurdistan region, Iraq

April 2014 Key facts

Refugee population

Demographic breakdown:

50+

Camp opened:

*

3,184

Total refugee population:

August 2013 Planned capacity:

4,580

-6% 6%

Area:

0.15 Km sqr

-22% 21%

15 - 49

Population:

Syrian refugees, majority from Qamishli and Hasak

-14% 12%

5 - 14

-10% 9% 0-4 Male

%

of population data: * Source Estimates from UNHCR registration.

Female

For multiweek reports, average population is presented

Indicators at a glance

Indicator

Notes

Standard

11.0

1-4

48

< 50

3 trimester

N/A

≥ 90%

4 Measles immunisation coverage

26%

> 90%

5 Polio III immunisation coverage

71%

> 90%

1 Health utilisation rate 2 Number of consultations per clinician per day Proportion of first time antenatal visits made < 1st

6 Crude Mortality Rate (CMR) (/1000/month)

0.0

< 1.5

7 Under-five Mortality Rate (U5MR) (/1000/month)

0.0

< 3.0

8 Neonatal Mortality Rate (NNMR) (/1000 livebirths)

0.0

< 40

HIGHLIGHTS Health utilisation rate and consultations per clinician per day elevated. Upper respiratory tract infections remains the major cause of morbidity. This public health profile for the refugee camp is compiled from health data obtained from reporting agencies. Data is collected using standardised Health Information System (HIS) data collection and reporting tools and aims to be as accurate as possible. Agencies reporting:

DOH Erbil

Morbidity Acute health conditions (%)

Chronic health conditions (%) 4% 3% 4%

Upper Respiratory Tract Infection (URTI)

41%

Diabetes

12%

Dental Conditions

37%

Hypertension

43%

Urinary tract infection (UTI)

Ischaemic heart disease

Skin infection Asthma Watery diarrhoea*

4%

34%

Other

5% 6% 7%

Cardiovascular disease (other)

Other

Top 5 acute health conditions

Top 5 chronic health conditions % morbidity

# of cases

% morbidity

# of cases

41%

1,045

1 Hypertension

43%

32

2 Dental Conditions

7%

176

2 Diabetes

34%

25

3 Urinary tract infection (UTI)

6%

153

3 Ischaemic heart disease

12%

9

4 Skin infection

5%

133

4 Asthma

4%

3

5 Watery diarrhoea*

4%

112

5 Cardiovascular disease (other)

4%

- Other

37%

947

1 Upper Respiratory Tract Infection (URTI)

-

Breakdown of acute health conditions by age

Other

by age

5%

15 to 49

17%

by gender

1% 3% 0-4 5 to 14

54%

2

Breakdown of chronic health conditions by gender

24%

3

0.027027

≥ 50

28%

50%

50%

Male

Female

28%

0-4 5 to 14

Male

15 to 49

68%

≥ 50

72%

Female

Trends since January 2014 Number of consultations

Weekly health utilsation rates 25 Health utilisation rate Normal range (minimum)

1000

Health utilisation rate

Number of consultations

1200

800

600 400

20

Normal range (maximum)

15

10

5

200

0

0

2014.01

2014.01 2014.03 2014.05 2014.07 2014.09 2014.11 2014.13 2014.15 2014.17

2014.03

2014.05

Watery diarrhoea*

Incidence of bloody diarrhoea

Incidence of watery diarrhoea

Watery diarrhoea

20 18

Alert threshold

16 14 12 10 8 6 4 2 0 2014.01

2014.03

2014.05

2014.07

2014.09

2014.11

2014.13

2014.15

2014.17

Number of suspected measles cases

Incidence of acute Jaundice Syndrome

Alert threshold

8

7 6 5 4 3 2 1 0 2014.07

2014.09

2014.11

2014.03

2014.05

2014.07

2014.13

2014.15

2014.11

2014.13

2014.15

2014.17

Measles (suspected)*

9 8

Alert threshold

7 6 5 4 3 2 1 0

2014.17

2014.01

Suspected Meningitis

2014.03

2014.05

2014.07

2014.09

2014.11

2014.13

2014.15

2014.17

Acute flaccid paralysis

10 Meningitis (suspected)*

Acute Flaccid Paralysis*

9 8

8 Alert threshold

7 6 5 4 3 2

Number of AFP cases

Number of suspected meningitis

2014.09

Epidemiological week, 2014

9

Alert threshold

7 6 5 4 3 2 1

1

0

0 2014.01

2014.03

2014.05

2014.07

2014.09

2014.11

2014.13

2014.15

2014.01

2014.17

2014.03

2014.05

Upper respiratory tract infections

250

2014.07

2014.09

2014.11

2014.13

2014.15

2014.17

Epidemiological week, 2014

Epidemiological week, 2014

Lower respiratory tract infections

70

Upper Respiratory Tract Infection (URTI)

200

2014.17

Suspected measles

10

Epidemiological week, 2014

10

2014.15

Epidemiological week, 2014

9

2014.05

2014.13

Alert threshold

2014.01

Acute Jaundice Syndrome*

2014.03

2014.11

Bloody diarrhoea*

Acute Jaundice Syndrome

2014.01

2014.09

Bloody diarrhoea

2 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0

Epidemiological week, 2014

10

2014.07

Epidemiological week, 2014

Epidemiological week, 2014

60

Lower Respiratory Tract Infection (LRTI) Alert threshold

Alert threshold

Incidence of LRTI

Incidence of URTI

50

150 100 50

40 30 20

10 0

0 2014.01

2014.03

2014.05

2014.07

2014.09

2014.11

2014.13

2014.15

2014.17

2014.01

Epidemiological week, 2014

2014.03

2014.05

2014.07

2014.09

2014.11

2014.13

2014.15

Epidemiological week, 2014

Calculation of disease alert thresholds: Watery diarrhoea = 1.5 x baseline, Bloody diarrhoea = 1.5 x baseline, Acute Jaundice Syndrome = 1.5 x baseline, Meningitis = 5 cases, Acute Flaccid Paralysis = 1 case, Measles = 1 case, baseline = average incidence or number of cases over the previous 3 weeks

Upper respitaroty tract infections = 1.5 x baseline,

2014.17

Public Health Indicator Indicator

Health Impact

Standard

Crude Mortality Rate (CMR) (/1000/month)

0.0

< 1.5

Number of outbreaks reported

Under-five Mortality Rate (U5MR) (/1000/month)

0.0

< 3.0

% of outbreaks investigated within 48 hours

Neonatal Mortality Rate (NNMR) (/1000 livebirths)

0.0

< 40

Routine immunization

Access and utilization No. of health facilities

1.0

Total number of consultations

1 : < 10,000

2,687

Health utilisation rate

Indicator Indicator

Outbreak Alert and Response

Standard

0 N/A

100%

BCG immunisation coverage

52%

> 90%

DPT 1 immunisation coverage

41%

> 90%

Measles immunisation coverage

26%

> 90%

Polio III immunisation coverage

71%

> 90%

11.0

1-4

MMR immunisation coverage

78%

> 90%

48

< 50

Vitamin A coverage

58%

> 90%

No. of consultations per trained clinician per day

Reproductive health

Sexual and gender-based violence

Proportion of first time antenatal visits made < 1st trimester

N/A

≥ 90%

Incidence of reported rape

Top 3 Mental health conditions

0.0

Top 3 injuries % morbidity

# of cases

% morbidity

# of cases

1 Epilepsy / seizures

0%

0

1 Injury (unintentional)

70%

33

2 Alcohol and other substance abuse disorder

0%

0

2 Burns

26%

12

3 Psychotic disorder

0%

0

3 Accident

4%

2

- Other

0%

0

- Other

0%

0

Breakdown of mental health conditions By cause

By age

9%

0% 0%

Epilepsy / seizures

11% 40%

By gender

0%

Alcohol and other substance abuse disorder

0-4 5 to 14

NO MENTAL HEALTH CONDITIONS REPORTED Psychotic disorder

15%

Male

Female

15 to 49 ≥ 50

Mental retardation / intellectual disability

25%

Other

Breakdown of injuries By cause

By age

0% 4% 0%

2%

Injury (unintentional)

26%

By gender

24%

Burns

0-4

32%

5 to 14 Accident

70%

Injury (intentional)

Other

We gratefully acknowledge the support of the following agencies:

51%

Male

15 to 49 ≥ 50

23%

68%

Female

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