November 21st, 2013

Minutes of Health Cluster Coordination Meeting

Venue: IOM Office, Sana’a

November 21^st, 2013

Attendances: WHO, IOM UNICEF, OCHA, Immap, ADRA, MSF Spain, MDM France, MMF, YMCS, IMC

.

Name	Title	Organization	Email
Dr Dauod Altaf	Health Cluster Coordinator	WHO	[e-mail]
Dr Amal Alsuqaf	Health cluster coordinator assistant	WHO	[e-mail]
Dr Osan Ismail	EHA operating officer	WHO	[e-mail]
Dr. Augstino Munyiri	Head of Health & Nutrition	UNICEF	[e-mail]
Abdon Trowonou	Country director	Immap	[e-mail]
Bashar Bahran	IMO	Immap	[e-mail]
Andrey Velazquez C	Medical Coordinator	MSF Spain	[e-mail]
Dr. Hisham Abdulaziz	MEDCO assistant	MSF Spain	[e-mail]
Miriam Watt	Program Director	ADRA	[e-mail]
Erica Garland	Program assistant	ADRA	[e-mail]
Tamara Fareed	Program assistant	ADRA	[e-mail]
Wafa’a Alsaidy	Health officer	MDM-France	[e-mail]
Tereza Zakaria	Migration Health Programme Coordinator	IOM	[e-mail]
Dr Adnan Fadhel	Mmonitoring & reporting assistant	IOM	Adnan [e-mail]
Khulood sharyn	Migration health assist	IOM	[e-mail]
Dr Ali Al Rassas	Chairman of MMF	Mercy Medical Foundation	[e-mail]
Ahmed Aldohma	Relief director	YMCS	[e-mail]
Mohammed Qahtan	Medical coordinator	YMCS	[e-mail]
Ghassan Nasser	Program officer	OCHA	[e-mail]
Hesham Naeem	Program manager	IMC	[e-mail]

Agenda:

• 
  Introduction
  
• 
  Partners update
  
• 
  Strategic response plan/cluster
  

• 
  Briefing on National SRP Workshop
  
• 
  Cluster Strategic Objectives Vs. General Objectives
  
• 
  Geographical Prioritization:
  
• 
  Budgetization
  

• 
  Dammaj issue
  
• 
  AoB
  

Introduction and Opening:

The Health Cluster meeting was held on 21^st of November at IOM office in Sana’a. The meeting was opened by Dr. Dauod Altaf, the Health Cluster Coordinator. It was started with opening remarks regarding the Importance of this meeting & discussions for the Strategic planning & the Cluster response plan for 2014 then participants introduced themselves.

Action Points:

• 
  To share health cluster strategic plan, objectives, annotate cluster plan template & priority district documents for their comments before 24^th November (Health Cluster)
  
• 
  To share YMCS report on medical supplies delivered to Dammaj with partners (Health Cluster).
  

Discussion notes/updates:

• 
  Introduction and opening remarks
  

• 
  The meeting began with opening remarks by the Dr Dauod Altaf, the Health Cluster Coordinator
  
• 
  Partners then introduced themselves.
  

• 
  Partners update
  

• 
  MMF:
  

By the end of September, started a mobile clinic activity in Al Ashah district in Amran governorate, they have received 254 patients, of which most were children & women, they also provided Malaria rapid check & have identified many positive cases especially among pregnant women whom were treated accordingly.

• 
  YMCS:
  

ON 13^th November, medical supplies were send to Dammaj through local tribal leaders using alternative roads as the main roads were blocked. The YMCS managed to deliver humble aid of some necessary medical supplies on Nov. 13th through some individuals and tribal leaders who delivered those humble supplies through alternative ways and sacrificed a lot to reach the people in need in Dammaj. The accessibility to Dammaj was very difficult and it seemed like an adventure. We hope that the NGOs manage to deliver other aids of medical supplies & medications soon.

The YMCS mobilized a medical team to Altewal land port in Haradh in order to help in treatment of medical cases of returnees from Saudi Arabia. The YMCS team consisted of 3 medical doctors who offered medical services and medications distribution to 305 patients of returnees. The cases of returnees included respiratory infections, gastroenteritis, chronic diseases like D.M & hypertension and starvation due to prolonged detention of some returnees in deportation shelters & prisons in Saudi Arabia.

(Report is attached)

• 
  WHO:
  

• 
  Electronic Disease Early Warning System (eDEWS) has been expanded beginning of November to 6 more governorates: Ibb, Al Hodayda, Sa’ada, Hajjah, Amanat Al Asemah & Hadramout in addition to the four previous governorates : Taiz, Aden, Abyan and Lahj.
  
• 
  Equipments were purchased to Al Jamhuri/Al Talh hospitals in Sa’ada (to be sent).
  
• 
  1 Trauma kit was sent to Harad, 2 IEHK kits & 2 Trauma kits were sent to Dammaj
  
• 
  Harad hospital is in the process of being rehabilitated & equipped
  
• 
  ICU
  
• 
  Morgue
  
• 
  Emergency department
  
• 
  In response to the crisis of returning Yemenis from KSA, WHO in Harad sent a mobile team to Al Towal port.
  

(updates attached:)

• 
  IOM:
  

IOM established a small health clinic at Al Towal port that focuses on emergency stabilization & in case of need for further treatment, patients are sent to IOM clinic in Haradh from which they are referred if needed to Haradh hospital or to Sana’a.
5% of the returnees needed emergency medical assistance, mainly stabilization.
IOM also provided also water & food package for returnees, & insisted on the need of ambulances (Referral care) for referrals of emergency cases with the fact that they have received a body as well. They Also insisted on the need of Mental health services for the returnees.

MoH office in Haradh are supporting the medical services provided

• 
  Dammaj Issue:
  

Trauma kits were provided by ICRC & WHO are available in Sa’ada in case of needs.

Also Hygiene kits & IEHK kits were also provided by WHO to be available in Sa’ada, also good amount of emergency medical supplies were sent to Kitaf district.

The health cluster is closely following the situation in Sa’ada as well as Haradh district.

• 
  Briefing on National SRP Workshop held on 18^th November: main focus was on strategic objectives, number of population in need, plenary discussion on Gender as it’s not a cross-cutting issue but one of the 5 strategic objectives, group work to identify 3 main indicators for each cluster objective.
  
• 
  Cluster Strategic Objectives Vs. General Objectives: in view of Health Cluster objectives of 2013 were pretty much resembling the strategic objectives for 2013 except for 2 areas were not much emphasized on as main objectives of last year which are Capacity building & Resilience Promotion as well as that the Gender issue was a cross cutting issue included to other objectives but this year it is one of the Strategic objectives for 2014. So this year Cluster Strategic Objectives were set in a way that they contribute to the one or more of 5 Strategic objectives (to be sent for Comments & feedback by partners/Done).
  
• 
  Geographical Prioritization: We came up with a tool to select the priority districts, with some criteria like: Conflict, Immunization coverage for Pentavalent vaccine & measles vaccine first dose, % of disease burden, access to health (To be sent for comments & feedback from Partners/Done)
  

• 
  Budgetization: after identifying population in need & target population per cluster, priority areas & identifying the major response activities for each strategic objectives, detailed analysis of activities under each major activity with the cost for each activity per person was made. Then amount per activity per person was multiplied by the total of targeted population to estimate the overall budget for the cluster strategic plan, with flexibility according to each priority area that may need extra cost. (Core working group will discuss & agree on the budget on 25^th November/Done)
  

• 
  A.O.B
  

Cluster Plan Template will be shared with the partners to provide their feedback on main activities under each cluster objectives & other activities to up with a consensus on Cluster plan for 2014. All comments should be shared by 24^th November.

Dr Dauod thanked all the participants for their attendance & valuable feedbacks & comments .

Minutes of Health Cluster Coordination Meeting

^{November 21st, 2013}