1

ADAMAWA HEALTH SECTOR WORKING GROUP BULLETIN

SEPTEMBER, 2018

NUMAN 1 IDP CAMP; WHO HARD TO REACH TEAM, NRC, JANNA HEALTH FOUNDATION, ADPHCDA OFFERING SERVICES TO THE DISPLACED INDIVIDUALS IN

NUMAN DUE TO THE FARMERS HERDERS CONFLICT

HIGHLIGHTS (SEPTEMBER 2018) OF ADAMAWA STATE HEALTH SECTOR

HUMANITARIAN RESPONSE

Updates on the ongoing Cholera outbreak response in Adamawa State

SMC 2nd Round Campaign; Over 110,000 children reached by 600 workers with malaria

chemotherapy in 3 LGAs by WHO

Huge Referral services gaps in the humanitarian response in the state

Updates on the Operational Health Sector Working Group meeting (OHSWG) and MOFCOM

Meetings in Mubi North LGA

Epidemiological updates of diseases

Health sector to 1,070 IDPs due to the farmers-herders clash in Numan LGA

FMOH/SMOH/OCHA/WHO post-flood assessment of key affected LGAs

2

Objective 1: To provide life-saving and life-sustaining humanitarian health assistance

to affected IDPs and host community population.

Objective 2: To establish, expand and strengthen the communicable disease

surveillance, outbreak prevention, control and response.

Objective 3: To strengthen health sector coordination, health information

management and health system restoration leading to improved service delivery

with focus on enhancing protection and increased access to health care.

and basic social services

FUNDING REQUIREMENT FOR NIGERIA

HUMANITARIAN RESPONSE

1.O5 Billion USD HRP 2018 (FTS/OCHA)

FUNDING PROJECTION FOR THE HEALTH

SECTOR 2018 HUMANITARIAN RESPONSE

109.6 USD is required (0 USD for now)

Available at; https://fts.unocha.org/appeals/642/summary

NIGERIA HEALTH SECTOR STRATEGIC HUMANITARIAN RESPONSE OBJECTIVES

FUNDING OVERVIEW FOR THE HUMANITARIAN RESPONSE IN NIGERIA

3

HEALTH SECTOR PARTNERS ACTIVITIES

IRC

IRC-CMAM update

In the 30 supported program OTP/SC clinics, the IRC were able carry out MUAC screening of 19,592

(9,786M, 9,806F) under 5 children, with 248 (123M, 125F) identified SAM cases and admitted into

program. 1,243 (620M and 623F) MAM whom their caregivers received nutrition education and

participated in community cooking demonstration. For the program discharges, 247(121M and 126F)

were exited as cure, 6(4M and 2F) as died and 25(11M and 14F) defaulting clients. Currently, 625 (311M,

314F) SAM children are on admission receiving treatment. For SC’s program, 20 SAM complicated

children were admitted with 5 cured, 15 transfer to OTP with no Death and defaulters .Overall program performance for the month were 88.8% cured rate, 2.1% death rate and 9.1% default rate.

IRC- IYCF Update. The activity has been carried with the support of program and community

partners. The daily activity conducted in the month are the routine breastfeeding related topic and

issues which include early initiation of breastfeeding, exclusive breastfeeding and important of good

hygiene. As part of the people reach and benefit from the activity seasons included; 1,918 Pregnant

mothers, 2,918 Lactating mothers, 807 old women, 632 young girls and 640 men beneficiaries were

reach.

IRC HEALTH

Rapid needs assessment was conducted at Fufore LGA by IRC cholera health team Drugs (ringer lactate, ORS, doxycline, etc) were distributed to Gurin CTC and Cottage Hospital

Fufore CTC as part of the emergency response. 82 litres of fuel was given to Gurin CTC and Fufore CTC to help power their generator for the

CTC

4

WASH in collaboration with the health team trained 10 chlorinators, and 50 community health

volunteers on active case search and hygiene promotion. Follow up on 365 (M 178, F 187) cholera infected patients at the CTC at Mubi General Hospital

and Cottage Hospital Maiha. Local car roving town crier continued airing of cholera/hygiene promotion message in

communities of Mubi North & Mubi South in Adamawa state.

WHO

WHO Health Operations in Adamawa State September 2018

Highlights

WHO supported the implementation of the 2nd cycle of Seasonal Malaria Chemoprevention (SMC)

in 3 LGAs of Michika, Mubi North and Mubi south in Adamawa. The SMC campaign involves the

monthly administration of Sulphadoxine - Pyrimethamine and Amodiaquine (SP + AQ) to children 3

– 59 months who are most at risk of malaria during the raining season. The campaign is expected to

reach over 110,000 children during this cycle through house to house drug administration by over

600 personnel engaged for the campaign. The 1ST cycle of SMC achieved a 98% coverage. SMC is

expected to contribute to at least a 70% decline in malaria morbidity in the targeted LGAs.

WHO continues to support the suspected Cholera outbreak in Fufore LGA of Adamawa state. The

support involves training of 46 health personnel on case management and provision of technical

guidance and supplies for case management at the CTC in PHC Gurin, Cottage hospital Fufore and

PHC Daware. In addition, WHO has deployed the Hard to reach mobile team for served as first

responders for active case search and case management in the affected communities.

ICCM

In the month of August 2018, 4,615 children were treated for malaria, diarrhea and Pneumonia by 123

CoRPs in 14 LGAs of the state. 3,041 of the children were screened for malnutrition using MUAC. 232

(5.0%) of the children screened had MAM and were counseled on proper nutrition, while 13 (0.3%) of

5

them had SAM demonstrated by Red on MUAC and were referred to CMAM sites for proper

management.

HTR

In September 2018, 23,303 clients were seen by WHO supported 20 H2R teams providing services in

20 LGAs of Adamawa state. The teams treated 8,882 persons with minor ailments and dewormed a

total of 7,257 children during the month. Pregnant women were provided FANC services with 1,893 of

them receiving Iron folate to boost their hemoglobin concentration while 956 received Sulphadoxine

Pyrimethamine (SP) as IPTp for prevention of malaria in Pregnancy.

Nutrition

Screening

In September 2018, 15,541 children were screened for Malnutrition using MUAC by WHO supported

20 H2R teams. Of this number, 247 (1.4%) children had MAM and their caregivers were counseled on

proper nutrition, while 78 (0.5%) of them had SAM as demonstrated by Red on MUAC. The SAM cases

were referred to the Outpatient Therapeutic Program (OTP) centers across the state for proper

management.

Stabilization Care

WHO Supports 4 stabilization centers in the state, reports received from 3 of the centres showed that

a total of 20 children having SAM with medical complications were managed in September 2018. 15

(75%) of the patients recovered during the month and were discharged to the OTP centers for follow

up care.

WHO supported H2R team providing basic health services in Hong LGA

6

UNICEF

HEALTH UPDATE

Coordination meetings

UNICEF continued to support the monthly Humanitarian Health sector working group meeting

which discussed on submission of organization report of activities and sector subcommittee

meetings. IDP camp coordination meetings also supported by UNICEF were also held in Malkohi

and Fufore camps and discussed key issues in the camp and actions to resolve them. Notable among

the issue is creating awareness on hanging and sleeping under LLIN to reduce the burden of Malaria

in the camps.

Cross section of camp coordination meeting session in Malkohi camp

ICCM CORPS intervention

UNICEF supported activities of 2,318 ICCM CORPS in 1,785 communities in Adamawa and reached

26,504 Under 5 Children. Meeting held to review the activities of 741 in 3 clusters for the 5 LGAs in

northern zone of the State and Hong LGA in central zone.

7

Cross section of ICCM CORPS and Supervisors at review meeting in Hong

Cholera outbreak response

UNICEF has continued to provide support for the cholera outbreak in the State. More cases

reported in Fufore LGA, with a total of 488 cases as at Week 38, Children Under 5 affected ( Male:

74 and Female: 52) with total of 7 deaths (CFR 1.4). Support for delivery of integrated PHC

services at the Gurin PHCC treatment centers continued. 2,500 Cholera IEC material provided and

distribution to all the 21 LGAs in the State to support awareness creation and hygiene promotion

Hard to reach medical outreach Team intervention

UNICEF through the EU MNCHN funding continued to support 12 HTR Teams who covered 87

settlements in 12 LGAs most affected by the insurgent at the peak of crisis in Adamawa State. In

these Communities 26,799 Children under 5 years and 12, 523 Women of Child bearing age were

reached with integrated PHC services including issuing of birth registration certificates.

Service delivery in IDP Camps and host communities

UNICEF has continued to support provision of integrated PHC service delivery in 4 IDP camps

through the engagement of 24 Community Health Workers, 4 Nurse Midwife, 2 Medical Doctors

and 20 other support Staff. 4 NHKs were supplied to the camps to provide services. A total

of 7,255 Persons, including women and children were reached with integrated PHC services in

UNICEF supported health facilities in the IDP camps and host communities in the State.

A total of 4,329 (Other age: 2,717 and Under 5 years: 1,612) consultations were reported

A total of 2,926 (Under 15 years: 2,238 and Women: 688) prevention services were recorded

Cross section of CFO Bauchi FO UNICEF and Team interacting with IDP Camp clinic Staff at Malkohi camp during a monitoring visits to Adamawa2.

One of 2 Male Babies delivered at the Mubi transit camp being counselled on EBF, correct positioning and attachment

Farmers and Herdsmen clash displacement response

UNICEF is supporting delivery of integrated PHC services through provision of drugs (NHKs) in

Numan LGA where a camp was established at the Numan 1 Secondary School on the 15th

September for 1,070 Persons among whom 340 are Children under 5 years. The displacement was

as a result of Farmers and Herders conflicts affecting Gon, Bolki, Yanga and Nzumosu communities.

749 Persons were reached with services (Women 257, Men 185 and Children 307)

8

UNICEF has continued to provide support in 2 remaining camps in Mayo Belwa with 459 Persons

spread across affected communities of the farmers’ and Herders’ crisis. 200 Persons were provided

with services (Pregnant women 45, Children U5 years 101 and Others 54

NUTRITION UPDATES

Scaling up of nutrition interventions

UNICEF supported Adamawa State Primary Health Care Development Agency to scale up

the IYCF to 5 additional wards each in 7 LGAs of Toungo, Jada, Ganye, Shelleng, Mayo

Belwa, Lamurde and Guyuk. 45 Community Volunteers trained in each ward to provide

information and create awareness to care givers on infants and chid feeding practices.

UNICEF also supported the State in response to the recommendation following the IRNA to scale up additional CMAM sites in 6 Health facilities in the following LGAs – Fufore,

Numan, Mayo Belwa, Jada, Guyuk and Song.

Participants during the training session in Adamawa. 1. IYCF and 2. CMAM

Routine Services

UNICEF provided nutrition service support in Malkohi camp and host community, Fufore camp,

St Theresa’s camp, Mubi transit camp, Daware host community and the transit camp in Mubi.

Routine services conducted at IDP camps and host community through Hard to reach Mobile

Medical Team services in the reporting month include MUAC screening, CMAM, IYCF and

MNP.

1. IDP Camps

MUAC Screening

9

A total of 1,698 children 6-59 months were screened across the camps of which 1,611

were green (Normal), 82 were yellow (MAM) and 5 were red (SAM). All the 29 children

identified with severe acute malnutrition were admitted into CMAM programme.

MAM Programme Of the 11 discharges across the camps within the reporting period, 11 children were

cured, 0 deaths, 0 defaulter. Therefore, cured rate was 100% defaulter’s rate was 0%,

death rate was 0% and non-recovery rate was 0%.

Infant and Young Child Feeding (IYCF)

893 pregnant and lactating women were counselled on key IYCF messages.

Micronutrient Powder (MNP) Healthy children 6-23 months in the camps with either a green or yellow MUAC reading

or eligible for micronutrient powder (MNP) were given MNP with accompanying

counseling on appropriate usage, benefits and optimal dietary intake. A total number of

44 children 6-23 months were new enrollees in MNP program.

2. Integrated medical Outreach services in host communities and hard to reach

settlements

UNICEF also supported the integrated package of care provided by outreach Teams from

Health facility Teams.

The package of services includes MNP, IYCF counseling and MUAC screening, with

CMAM at the Health facility post. MUAC screening total – 39,766

Health Facility CMAM, IYCF and MNP supplementation

124 Primary Health Care Centers in the State are supported to provide nutrition interventions

services.

A total of 2,971 new admissions have been reported with cure rate of 93.6%, and 11,781 were

reached with IYCF messages. Children received MNP (1st dose – 6,075, 2nd dose – 1,355 and 3rd

dose – 960)

PLAN INTERNATIONAL

Referrals: Referrals were made to other service providers according to the children’s needs in

both Adamawa and Borno. A total of 76 children were referred to other actors for Family

Tracing (M2, F0), Health (M4, F2), Education/ school programme (M7, F4), Livelihood (M6, F5),

Shelter (M0, F12), and Alternative care (M1, F3).

10

Specialized PSS Activities: The project reached out to nine (9) women who recently escaped from Boko

Haram’s bondage after more than three (3) years of abduction. The PSS services which included

counselling sessions and school materials for enrolment of twenty-nine (29) children (10B and 19G)

were facilitated by PSS Officer of Plan International Nigeria in Husare Dana community in Besto ward of

Mubi LGA. The women were also sensitized, and were also encouraged to send their children to school,

so that they can be educated to serve as good future leaders.

JANNA HEALTH FOUNDATION

JHF is implementing a Challenge Facility Civil Society Round 8 project from the STOP TB

Partnership which kicked started this in July, 2018. The evaluation population consist of 12

LGAs in the Northern and Central senatorial zones of Adamawa State. The intervention

focused on screening Nomadic school children and their host communities for TB (and HIV),

detection and linkage to treatment, care and support, with emphasis on childhood TB. The

LGAs involved include; Michika, Maiha, Mubi south, Mubi north, Hong, Gombi, Song, Girie, Yola

north, Yola south, Fufore and Madagali where skeletal services are provided due to security

challenges in that area.

All activities planned in the month under review were successfully implemented in the targeted

population. These activities include:

Active screening for HIV and TB in the nomadic schools and Host Communities

Active transportation of presumptive TB Case sputum samples and retrieval of results

to the presumptive TB cases

Transportation of children under 5years to the facilities where childhood TB cases can be diagnosed by trained medical doctors

11

Active linkage of HIV positive and diagnosed TB cases to identified HIV/TB service

delivery points for treatment, care and support

Awareness creation among target population on HIV and TB

Community outreach targeting school children and their immediate Host Communities.

Activities implemented by JHF but not planned include:

Active screening of Jimeta prison inmates for TB and HIV

Active screening for TB and HIV among newly displaced populations in Numan IDP

camp.

These activities were implemented by Community Volunteers under the supervision of JHF, the

State TB programme Team and the State Project Team headed by the Adamawa State Agency

for Control of AIDS (ADSACA).

Results:

In the 12 targeted LGAs for this intervention, 6,934 persons were verbally screened out of

which 585 presumptive TB cases were identified. Sputum samples were collected from 520

identified presumptive TB cases, out of which 27 new TB cases were detected. All 520

presumptive cases that submitted sputum had HCT out of which 9 were found to be HIV+. All TB and HIV cases detected are linked to treatment, care and support services.

Key

challenges encountered include:

Increasing number of IDPs in the newly opened camp at Numan LGA

Difficulties in managing childhood presumptive TB cases

Inadequate numbers of CVs

The following are recommendations proposed to meet the stated challenges:

Stationed a team to offer services in the camp

Adamawa STBLCP/SACA to build the capacity of CVs on TB/HCT in collaboration with

NEPWHA

JHF to liaise with medical officers in the diagnosis of childhood TB/HIV

JHF to advocate for increase in the number of CVs

12

GOGGOJI ZUMUNCHI DEVELOPMENT INITIATIVE (GZDI)

Home visits were conducted to eleven (11) presumptive cases households in Girei, Song and

Gombi Local Government Areas.

Contact tracing was done to family members of five (5) presumptive cases.

Support group meeting conducted on 22 September 2018 at PHCC Girei B, in Girei LGA

of Adamawa State. In attendance were the 11 presumptive and their Treatment Supporters

(TS), a representative of the State Ministry of Health, 1 Dot Officer from Girei, 1 from Song

and 1 from Gombi LGAs; 3 Local Government Supervisors (LGTBLS) Girei, Song and Gombi

the CBO- GZDI BOT member and GZDI staff. Issues discussed were adherence counseling,

advises from four (three male: one female) presumptive who completed their treatment and

certified healed; Matters arising on the treatment of patients; difficulties in adhering and side

effects to mention a few.

DURING QUARTERLY SUPPORT GROUP MEETING IN CLINIC B GIREI, GIREI LGA ADAMAWA STATE

DISEASE SURVEILLANCE AND NOTIFICATION

SUMMARY

Performance indicators (Epi Week 35):

In Epidemiological Week 35 2018, a total of 21 out of 21 LGAs (including 06 IDP camps) submitted their

weekly reports as timeliness and completeness of reporting were 100% and 100% respectively at LGA

level (target 80% timeliness, 90% completeness).

Measles: 0 case of suspected measles reported with cumulative case count of 402 and 06 deaths. CFR is

1.5%

13

AFP: 01 case of AFP reported with cumulative case count of 184.

YELLOW FEVER: No case of suspected YF reported and cumulative case count is 11

CSM: No case of suspected CSM reported and cumulative case count is 31 with 10 deaths. CFR stands

at 32%

Cholera 82 cases of suspected Cholera reported and cumulative case count is 1947 with 32 deaths.

CFR stands at 1.6%

LASSA FEVER: No case of suspected Lassa Fever reported, cumulative case count is 16 and 05

deaths. CFR stands at 31.3%

MONKEY POX: No case of suspected monkey pox reported and cumulative case count is 06 with 01

death. CFR is 16.7%

NNT: No case of suspected neonatal tetanus reported and cumulative case count is 06.

Activities Done

Detection and surveillance on IDSR diseases in 21 LGAs of the State through DSNOs and

network of surveillance focal sites.

Monitoring of cholera situation in the State. 82 cases were reported with no death from Fufore

LGA. Total case count now stands at 1947 with 32 deaths. CFR = 1.6%

ACS was conducted in 3678 households by 15 and 95 cases were identified and referred to the

treatment centres.

1 alert of cutaneous Leishmaniasis was reported and investigated in Jada LGA.

Supported the Ministry of Health to train RRT members from another 6 LGAs (Toungo, Ganye,

Jada, Girei, Mubi North and Mubi South)

WHO is supporting the response of suspected Cholera cases in Gurin and Fufore wards of

Fufore LGA in the state. We have provided Cholera treatment supplies and IPC materials to the

2 CTC in PHC Gurin and Cottage Hospital Fufore to support case management. Provide case

management support at the treatment centers and the H2R teams are also involved in active

case search in the community.

WEEKLY TREND ANALYSIS, WK 35 2018

Trend of weekly number of Suspected Measles cases, Week 01 – 35, 2018.

Trend of Epidemic prone diseases |Suspected Measles

14

Trend of weekly number of Suspected Lassa Fever cases, Week 01 – 35, 2018.

Weekly trend of suspected cases of CSM, Week 01 – 35, 2018

10

17

25

13 10

20

28 27

34 31

29

44

26

17 15

19 15

2 0 0 0 0 0 0

3 1 1 0 1 0 1

5 6 2

0

0

10

20

30

40

50

0 0

1

0

1 1

0 0

1

0 0 0 0

1 1

0

2

1 1

2

1

0 0

1

0 0 0

2

0 0 0 0 0 0 0

Trend of Epidemic prone diseases | Suspected Cerebrospinal Meningitis (CSM)

Trend of Epidemic prone diseases |Suspected Lassa Fever

15

Weekly trend of suspected cases of Yellow Fever, Week 01 – 35, 2018

Weekly trend of suspected cases of Cholera, Week 01 – 35, 2018

1

0

1 1

0

3

0

2

10

4

5

2

0

1 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1

0 0

2

0

2

0

1

0

1

0 0 0 0 0 0 0 0 0 0 0

1

0 0 0 0 0 0

2

0 0 0 0 0 0

WK

1

WK

2

WK

3

WK

4

WK

5

WK

6

WK

7

WK

8

WK

9

WK

10

WK

11

WK

12

WK

13

WK

14

WK

15

WK

16

WK

17

WK

18

WK

19

WK

20

WK

21

WK

22

WK

23

WK

24

WK

25

WK

26

WK

27

WK

28

WK

29

WK

30

WK

31

WK

32

WK

33

WK

34

WK

35

Trend of Epidemic prone diseases | Suspected Yellow Fever (YF)

Trend of Epidemic prone diseases | Suspected Cholera

16

Weekly trend of AFP Cases, Week 01 – 35, 2018

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17

131

476 432

183

92 109 130

79 50

23 7 11 12 36

77 82

WK

1

WK

2

WK

3

WK

4

WK

5

WK

6

WK

7

WK

8

WK

9

WK

10

WK

11

WK

12

WK

13

WK

14

WK

15

WK

16

WK

17

WK

18

WK

19

WK

20

WK

21

WK

22

WK

23

WK

24

WK

25

WK

26

WK

27

WK

28

WK

29

WK

30

WK

31

WK

32

WK

33

WK

34

WK

35

5

11

14

10 10

1

10

8

14

6

5

8

10

7

3

5 5

3

5

2

1

0

2

5

4

2

4

3 3

7

3 3

1

3

1

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

Trend of Diseases Targeted for Elimination| AFP Cases

Weekly and Cumulative Disease Graph | IDSR 002 WK 01 – 35 2018

17

HEALTH SECTOR COORDINATION

The Adamawa State HSWG has 30 non-government partner organizations (United Nations,

International NGOs and national NGOs) and 12 Government partners. The HSWG operates cordially

under the able leadership of the Honorable Commissioner of Health and the co-leadership of W.H.O.

The Health Sector Working Group meetings hold every fortnight.

31

1947

16

402

10 0 0 184

0

82

0 0 0 0 0 1 0

10

20

30

40

50

60

70

80

90

0

500

1000

1500

2000

2500

CSM Cholera VHF Measles YF GW Others AFP

WK1 to WK35, 2018 WK35, 2018

18

HSWG ONGOING AT CONFERENCE HALL OF THE SMOH

Updates on the Ongoing Cholera outbreak response in Adamawa State

The total number of cases reported as at 30 th, 2018 stands at 2332 cases with 36 deaths (CFR=1.5%).

Yola North has 9 cases with 2 deaths (CFR=22.2%); Fufore has 587 cases with 7 deaths (CFR = 1.2%)

Hong has 9 cases with no death (CFR = 0%); Maiha has 170 cases with 1 death (CFR = 0.6%); Mubi

North has 639 cases and 14 deaths (CFR=2.2%); while Mubi South has 918 cases with 12 deaths (CFR =

1.3%). 35 out of 48 culture samples taken yielded positive growth.

Currently outbreak is ongoing in Fufore LGA. WHO supported Active case search teams visited 3,662

households in 8 settlements in Gurin and Fufore wards of Fufore LGA. 22 suspected cases were seen

and referred to the treatment center.

New CTC set up in Specialist Hospital Yola, bringing number of CTCs to 3. WHO supported

volunteers visited 3,059 households and sensitized 27,827 persons, distributed 66,223 sachets of water

purifier and identified 17 suspected cases of cholera that were investigated by the surveillance team. IRC

supplied 420 pieces of IEC materials to Gurin and Yola CTCs. WHO supplied medical supplies like

gloves, ORS face mask, Cannula, IV giving sets and IVFs to Yola CTC and continued to support the

supply to Gurin and Fufore CTCs. WASH activities continue to improve but much has to done to

address identified gaps. Currently only UNICEF and IRC are involved in WASH interventions with huge

capital deficit.

Huge medical referral service gaps in the humanitarian response in the state

Referral services continue to be a problem in almost all camps, camp like settlements and host

communities. With the current suspension of services by ICRC, few locations they are supporting have

been deserted. In camps UNICEF supports the transportation of referred cases to secondary and

tertiary health facilities, but no one bores the expenses. This has resulted in preventable deaths of IDPs

19

who are ravaged by near none livelihood means. This issue has been escalated to the OISWG and

beyond and responses are being awaited. On the increase on daily basis are negative coping mechanisms

which in the long run pose another huge burden to deal with.

This still informs the need for prioritization of Cash interventions in health sector response, which will

address both communicable and non-communicable disease treatments as they affect IDPs. Currently

out of pocket spending continues to dominate as the means of procuring health services by the displaced

population.

Updates on the Operational Health Sector Working Group meeting (OHSWG) and MOFCOM

Meetings in Mubi North LGA

Both OHSWG meetings were held at the secretariat of Mubi North secretariat and the following key

points were considered;

1. Updates on the ongoing cholera outbreak response in Fufore LGA

Mubi North, South and Maiha have stopped reporting cases for more than 3

months

WASH activities on going in these areas

As of the 22nd of September, 2018 Total deaths reported were 5 from 314

cases, with a case fatality rate of 1.5% among the suspected cases

Gurin and Fufore ward affected.

ACS; WHO has trained 15 personnel

WHO has commenced risk communication intervention

2. Briefing on the HNO and Joint HNO for the 3 states

Adamawa has a PIN of 1,396,783 against the 2019 HRP

3. Updates on the IRNA for floods in 7 LGAs of Adamawa State

4. Updates on reactivation of sub-committees

5. Epidemiological updates of diseases

6. Joint supervision and monitoring based on 5Ws

7. Seasonal malaria chemotherapy in 3 LGAs

Other activities embarked upon were bilateral interphase

ICRC was going to support and if possible shoulder activities in the Mubi Transit camps. ICRC

wants to support supply of commodities but will deliberate with principals for Fufore cholera

outbreak. Also they intend to support risk communication in Fufore.

IRC constraints are that they have no grants for Adamawa State health sector response since

last two years, except currently for cholera outbreak in the State. Madagali and Michika LGAs

have a lot of needs but report from government is not encouraging. IRC is awaiting an

assessment report to supply commodities to Fufore, so as to support the cholera response.

20

CPPLI will be rounding up their SGBV and protection activities in 8 supported LGAs in

Adamawa. WHO has requested CPPLI to interphase with IRC so as to link up as an exit

strategy to continue SGBV management in locations they have carried out interventions.

FMOH/SMOH/OCHA/WHO post-flood assessment of key affected LGAs

The FMOH as a matter of importance following the NISHA and NEMA categorization of the flood

situation have embarked on assessment of flood affected LGAs in States including Adamawa State.

Although the visit was a little belated, it offered an opportunity to see the attendant health and health

related conditions following the floods. 3 LGAs were visited (Numan, Guyuk and Song LGAs) and

questionnaires applied. A report of the post flood assessment is still being awaited. SMOH, OCHA and

WHO supported the process that was led by the FMOH. The country office of WHO is also supporting

transport logistics of drugs, RDTs and LLINs from the FMOH store to the 12 states affected by the

floods in the country; which will be handed to SEMA, SMOH in the respective affected state

The map below is a graphical presentation of the presence of partners by LGA and the frequency of reporting the 5Ws

for the month of September, 2018.

21

22

IMPORTANT HUMANITARIAN RESPONSE LINKS SITES

PRIME WHO; https://primewho.org/marketplace/map

Adamawa State Ministry of Health; http://adsmoh.org.ng/

Relief Web; https://reliefweb.int/country/nga

Relief Web; https://reliefweb.int/report/nigeria/nigeria-humanitarian-response-plan-

january-december-2018

Development Initiative; http://devinit.org/themes/humanitarian/#

WHO| Nigeria crisis; http://www.who.int/emergencies/nigeria/en/

Nigeria |Health Sector Response Strategy -

2017/2018;https://www.humanitarianresponse.info/ru/operations/nigeria/document/n

igeria-health-sector-response-strategy-20172018

Humanitarian Response; https://www.humanitarianresponse.info/

NHF CONTACTS (OCHA); http://www.unocha.org/country/nigeria/nigeria-

humanitarian-fund/contacts

Nigeria/Humanitarian Response ;http://reliefweb.int/country/nga

Health Sector response to the north east Nigeria

emergency;http://www.who.int/health-cluster/news-and-events/news/north-east-

nigeria/en/

NIGERIA| FUNDING OVERVIEW;http://reliefweb.int/report/nigeria/nigeria-

humanitarian-funding-overview-03-july-2017

PCNI; https://pcni.gov.ng/

NEMA; http://nema.gov.ng/

23

HEALTH SECTOR PARTNERS

GOVERNMENT; ADSMOH, FMOH, ADPHCDA, PCNI, NEMA, ADSEMA, SMS, ADSPC,

MOENV, ADEDP, SSH, FMCY, ADHIS, LMCU

LOCAL NGOs; Nigeria Red Cross (NRCS), Centre For Women and Adolescents

Empowerment (CWAE), Global Palliative Care, Education,& Development Initiative (GPCEDI),

Action Health Incorporated (AHI), First Step Action For Children Initiative, Life Saving

Grassroots Outreach (LESGO), Agaji Global Unity Foundation (AGUF), Women Orphans and

Vulnerable International (WON), Centre for Health & Development In Africa (CHEDA),

Vatidava Foundation (VAF), Centre For Islamic Thought (CIT), Against All Odds Foundation

(AGAOF), Destitute Children In Education and Health Initiative (DCEHI), Hope and Rural Aid

Foundation (HARAF), Child Protection and Peer Learning Initiative (CPPLI), Janna Health

Foundation (JHF), Grace and Hope Youth Emancipation (GHYF), DOBIYAN, Binta Mercy

Foundation (BMF), KAPDA, PARE, NEPWAN, ROHI, CFI, WHEAHI, Bege House Foundation

(BHF),Spring of Hope, Goggoji Initiative, Zireenza Support Initiatives,

UN/INGO; WHO, UNICEF, UNFPA, IOM, PLAN, IRC, ICRC, IFRC, FHI360, SFH, DRC,

ADRA, MSF-Spain

CONTACT PERSONS

DR. FATIMA ABUBAKAR

HON. COMISSIONER OF HEALTH ADAMAWA STATE

Email; fatimaatiku@yahoo.co.uk

Mobile; +23408178663638

PHARMACIST IGBINOVIA F. IYOBOSA

ADAMAWA STATE COORDINATOR

WORLD HEALTH ORGANIZATION

Email; igbinoviaf@who.int

MOBILE; +23408035976029

DR. ADIEL ADAMU APAGU

PUBLIC HEALTH OFFICER (HEALTH SECTOR-

SUBNATIONAL COORDINATOR)

WORLD HEALTH ORGANIZATION

Email; adamua@who.int

MOBILE; +23408066828347

MR. KENEDY BARTIMAUS

PERMANENT SECRETARY

ADAMAWA STATE MINISTRY OF HEALTH

Email; dbartimaus@gmail.com

MOBILE; +23408034481176