Kawergosk Camp Health Profile April 2014 - Stories from Syrian ...

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Polio III immunisation coverage. > 90%. Health utilisation rate. Proportion of first time antenatal visits made
Kawergosk

Public Health Profile

Erbil, Kurdistan region, Iraq

April 2014

Key facts

Refugee population

13,343

Total refugee population: Demographic breakdown:

50+

Camp opened:

*

August 2013 Planned capacity:

10,000

-7% 7%

Area:

0.42 Km sqr

-25% 22%

15 - 49

Population:

Syrian refugees, majority from Qamishli

-12% 11%

5 - 14

-9% 8% 0-4 Male

%

of population data: * Source Estimates from UNHCR registration.

Female

For multiweek reports, average population is presented.

Indicators at a glance

Indicator

Standard

1 Health utilisation rate

3.6

1-4

2 Number of consultations per clinician per day

37

< 50

N/A

≥ 90%

4 Measles immunisation coverage

107%

> 90%

5 Polio III immunisation coverage

105%

> 90%

Proportion of first time antenatal visits made < 1st

3 trimester

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

Notes HIGHLIGHTS Indicators normal. Upper respiratory tract infections remain the major cause of morbidity This public health profile for Kawergosk 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:

MSF DOH

Morbidity Acute health conditions (%)

Chronic health conditions (%)

42%

Diabetes

Lower Respiratory Tract Infection (LRTI)

36%

Hypertension

5% 10%

Upper Respiratory Tract Infection (URTI)

36%

7%

Watery diarrhoea*

Cardiovascular disease (other)

Skin infection

13%

Asthma

Ear infection

5% 5% 6%

6%

Ischaemic heart disease

Other

29% Other

Top 5 acute health conditions

Top 5 chronic health conditions % morbidity

# of cases

% morbidity

# of cases

36%

1,200

1 Hypertension

36%

64

2 Lower Respiratory Tract Infection (LRTI)

6%

216

2 Diabetes

29%

51

3 Watery diarrhoea*

6%

188

3 Cardiovascular disease (other)

12%

22

4 Skin infection

5%

181

4 Asthma

7%

13

5 Ear infection

5%

172

5 Ischaemic heart disease

5%

9

- Other

42%

1,392

- Other

10%

17

1 Upper Respiratory Tract Infection (URTI)

Breakdown of acute health conditions by age

Breakdown of chronic health conditions by gender

by age

4%

by gender

4% 0% 34%

36%

0-4

5 to 14

43%

15 to 49 ≥ 50

19%

52%

48%

30%

0-4

Male

5 to 14

Female

15 to 49

60%

≥ 50

Male Female

70%

Trends since January 2014 Number of consultations

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

1200

Health utilisation rate

Number of consultations

1400

1000

800 600

400

20

Normal range (maximum)

15

10

5

200

0

0

Epidemiological week, 2014 Epidemiological week, 2014

Bloody diarrhoea

2

Watery diarrhoea*

Incidence of bloody diarrhoea

Incidence of watery diarrhoea

Watery diarrhoea 14

12 Alert threshold

10 8

6 4 2

Bloody diarrhoea*

1.8

Alert threshold

1.6 1.4

1.2 1 0.8 0.6

0.4 0.2 0

0

10

Epidemiological week, 2014

Acute Jaundice Syndrome Number of suspected measles cases

Incidence of acute Jaundice Syndrome

Epidemiological week, 2014

Acute Jaundice Syndrome*

9

Alert threshold

8 7

6 5

4 3 2

1

Suspected measles

10

Measles (suspected)*

9

Alert threshold

8 7 6 5 4 3

2 1 0

0

10

Epidemiological week, 2014

Suspected Meningitis Meningitis (suspected)*

9

Alert threshold

8 7

Number of AFP cases

Number of suspected meningitis

Epidemiological week, 2014

6 5 4 3 2 1 0

Acute flaccid paralysis

10 9 8 7 6 5 4 3 2 1 0

Acute Flaccid Paralysis* Alert threshold

Epidemiological week, 2014

Epidemiological week, 2014

Lower respiratory tract infections

Upper respiratory tract infections

9

70

Upper Respiratory Tract Infection (URTI)

60

Alert threshold

Incidence of LRTI

Incidence of URTI

80

50 40 30 20 10

8

Lower Respiratory Tract Infection (LRTI)

7

Alert threshold

6 5 4

3 2 1

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

3,667

Standard

0 N/A

100%

BCG immunisation coverage

52%

> 90%

DPT 1 immunisation coverage

86%

> 90%

Measles immunisation coverage

107%

> 90%

Polio III immunisation coverage

105%

> 90%

Health utilisation rate

3.6

1-4

MMR immunisation coverage

129%

> 90%

No. of consultations per trained clinician per day

37

< 50

Vitamin A coverage

100%

> 90%

N/A

≥ 90%

Reproductive health

Sexual and gender-based violence

Proportion of first time antenatal visits made < 1st trimester

Incidence of reported rape

Top 3 Mental health conditions

0.0

Top 3 injuries % morbidity

# of cases

% morbidity

# of cases

1 Psychotic disorder

19%

5

1 Injury (unintentional)

59%

68

2 Severe emotional disorder

19%

5

2 Burns

11%

13

3 Epilepsy / seizures

15%

4

3 Accident

10%

12

- Other

48%

13

- Other

19%

22

Breakdown of mental health conditions By cause

By age

By gender

0% 7%

Psychotic disorder

19% Severe emotional disorder

44%

0-4

44%

5 to 14

18%

Epilepsy / seizures

15 to 49

56%

Male Female

≥ 50 Medically unexplained somatic complaint

4% 15%

93%

Other

Breakdown of injuries By cause

By age

By gender

6% 13%

3% 14%

Injury (unintentional)

25%

Burns

11%

Injury (intentional)

26%

57%

15 to 49

Female

≥ 50

75% Other

We gratefully acknowledge the support of the following agencies:

Male

5 to 14 Accident

59% 11%

0-4