Darashakran Camp Health Profile March 2014 - Stories from Syrian ...

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4 Dental Conditions. 4%. 4 Thyroid problems. 3%. 5 Urinary tract infection (UTI). 3%. 5 Ischaemic heart disease. 3%. - O
Darashakran

Public Health Profile

Erbil, Kurdistan region, Iraq

March 2014 Key facts

Refugee population

7,504

Total refugee population: Demographic breakdown:

50+

Camp opened:

*

September 2013 Planned capacity:

20,000

-6% 7%

Area:

1.15 Km sqr

-21% 22%

15 - 49

Population:

Syrian refugees, majority from Allepo & Qamishli

-13% 13%

5 - 14

-9% 10% 0-4 Male

%

of population data: * Source Estimates from UNHCR registration. For

Female

multi week reports, average population is presented

Indicators at a glance

Indicator

Notes

Standard

1 Health utilisation rate

7.6

1-4

2 Number of consultations per clinician per day

59

< 50

N/A

≥ 90%

4 Measles immunisation coverage

170%

> 90%

5 Polio III immunisation coverage

89%

> 90%

Proportion of first time antenatal visits made < 1st

3 trimester

HIGHLIGHTS Health utilsation rate (HUR) and consultations per clinicians (CPC) elevated. A thorough investigation of possible explanations for elevated HUR and CPC needed. This public health profile for Darashakran 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.

0.0

< 1.5

Agencies reporting:

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

0.0

< 3.0

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

0.0

< 40

DOH - Erbil MSF

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

Morbidity Acute health conditions (%)

Chronic health conditions (%) Hypertension Upper Respiratory Tract Infection (URTI) Diabetes

32%

38%

Lower Respiratory Tract Infection (LRTI)

39%

42%

Skin infection

Asthma

Dental Conditions Thyroid problems Urinary tract infection (UTI)

3% 4%5%

18%

3% 3%3% 10%

Other

Ischaemic heart disease

Other

Top 5 acute health conditions

Top 5 chronic health conditions % morbidity

# of cases

% morbidity

# of cases

32%

1,457

1 Hypertension

42%

307

2 Lower Respiratory Tract Infection (LRTI)

18%

816

2 Diabetes

10%

69

3 Skin infection

5%

230

3 Asthma

3%

25

4 Dental Conditions

4%

160

4 Thyroid problems

3%

24

5 Urinary tract infection (UTI)

3%

158

5 Ischaemic heart disease

3%

20

- Other

38%

1,750

- Other

39%

279

1 Upper Respiratory Tract Infection (URTI)

Breakdown of acute health conditions by age

Breakdown of chronic health conditions by gender

by age

5% 28%

0% 4% 0-4

15 to 49

≥ 50

20%

30%

0-4

43%

5 to 14

47%

by gender

57%

Male

Female

46%

5 to 14

50%

Male

15 to 49

≥ 50

70%

Female

Trends since January 2014 Number of consultations

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

1400

Health utilisation rate

Number of consultations

1600

1200 1000 800 600

20

Normal range (maximum)

15

10

400

5

200 0

0

2014.01 2014.02 2014.03 2014.04 2014.05 2014.06 2014.07 2014.08 2014.09 2014.10 2014.11 2014.12 2014.13 2014.14

Epidemiological week, 2014

Epidemiological week, 2014

Watery diarrhoea Watery diarrhoea* Alert threshold

13

Incidence of bloody diarrhoea

Incidence of watery diarrhoea

15

11 9 7 5 3

1 -1

Bloody diarrhoea

2 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0

Bloody diarrhoea* Alert threshold

10 9 8

Epidemiological week, 2014

Acute Jaundice Syndrome Acute Jaundice Syndrome* Alert threshold

7 6 5 4 3 2 1 0

Suspected measles

10 9 8

Number of suspected measles cases

Incidence of acute Jaundice Syndrome

Epidemiological week, 2014

Measles (suspected)* Alert threshold

7 6 5 4 3 2 1 0

10

Epidemiological week, 2014

Suspected Meningitis

8

Alert threshold

7 6 5 4 3 2 1

Acute flaccid paralysis

10

Meningitis (suspected)*

9

Acute Flaccid Paralysis*

9 8

Alert threshold

7

Number of AFP cases

Number of suspected meningitis

Epidemiological week, 2014

6 5 4 3 2 1

0

0

Epidemiological week, 2014

Epidemiological week, 2014

160

Upper respiratory tract infections

140

100

Incidence of LRTI

Incidence of URTI

120 100

80 60

40

Lower respiratory tract infections

120

Upper Respiratory Tract Infection (URTI) Alert threshold

Lower Respiratory Tract Infection (LRTI) Alert threshold

80

60 40 20

20 0

0

Epidemiological week, 2014

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,

Public Health Indicator Indicator

Health Impact

Standard

Indicator Indicator

Outbreak Alert and Response

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

5,456

Standard

0 100%

BCG immunisation coverage

56%

> 90%

DPT 1 immunisation coverage

64%

> 90%

Measles immunisation coverage

170%

> 90%

Polio III immunisation coverage

89%

> 90%

Health utilisation rate

7.6

1-4

MMR immunisation coverage

112%

> 90%

No. of consultations per trained clinician per day

59

< 50

Vitamin A coverage

124%

> 90%

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

13%

12

1 Injury (unintentional)

33%

23

2 Mental retardation / intellectual disability

1%

1

2 Burns

22%

15

3 Severe emotional disorder

1%

1

3 Accident

6%

4

- Other

85%

78

- Other

39%

27

Breakdown of mental health conditions By cause

By age

13% 1% 1% 1%

By gender

9%0% 4%

Epilepsy / seizures

23%

Mental retardation / intellectual disability

0-4 5 to 14

Male

Severe emotional disorder

Female

15 to 49 ≥ 50

Medically unexplained somatic complaint

84%

77%

87%

Other

Breakdown of injuries By cause

By age

6%

Injury (unintentional)

33%

35% 4%

By gender

29%

Burns

0-4 5 to 14

Accident

15 to 49

46%

≥ 50

Injury (intentional)

6%

We gratefully acknowledge the support of the following agencies:

22%

Other

19%

45% 55%

Male

Female