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Health response to current humanitarian crisis
Mozambique Report
Harare, 26 - 28 August 2002by: Carina Ismael José Chivale
Health response to current humanitarian crisis - MozambiqueINTRODUCTION
Health response to current humanitarian crisis -Mozambique
• Major determinants:– Although total cereal production has increased
5%, but in the south and centre it is estimatedthat 60,000 hectares yielded less than 10% oftheir usual output.
– Some of the districts were affected by thefloods 2000/2001
– Difficult north - south access
Health response to current humanitarian crisis - MozambiqueHEALTH IMPACT
• Effects in terms of Morbi/Mortality:– Malaria– Diarrhoea /Cholera– measles– Meningitis– Plague– STD´s / HIV- SIDA– Tuberculosis– Malnutrition
196.533
2.336.640
3.434.334
3.937.634
2.291.1200,37
0,65
0,590,57
0,1
0
500.000
1.000.000
1.500.000
2.000.000
2.500.000
3.000.000
3.500.000
4.000.000
4.500.000
98 99 2000 2001 20020
0,1
0,2
0,3
0,4
0,5
0,6
0,7
Casos Letalidade
Malaria Distribuição dos Casos e Taxa de Letalidade/1000
4.751
5.424
2.556
2.325
2.054
2.630 2.668
2.018 1.987
620
6,5
5,6
6,5
7,2
7,8
9,3
7 7
6
4
0
1.000
2.000
3.000
4.000
5.000
6.000
93 94 95 96 97 98 99 2000 2001 20020
1
2
3
4
5
6
7
8
9
10
Casos Letalidade
Total de casos de Diarréia Hospitais Rurais, 1993 – 2002 (1 sem)
(Enf. de Pediatria e Medicina)
8501.995521 0 0 0 0 271
3.9835.936
22.698
19.221
701 0 0
9.089
48.584
44.519
26.405
9.314
41.791
10.945
7,8
7,1
4,2
2,1
0 0 0 0
1,8
5,2
4,3
2,8 2,6
4
0 0
2,83,1
2,8
0,6
1,5 1,4
0
10000
20000
30000
40000
50000
60000
81 83 85 87 89 91 93 95 97 992.0
01
0
1
2
3
4
5
6
7
8
9
Casos TL Poly. (TL) Poly. (Casos)
Cólera. Distribuição dos casos e Taxa de Letalidade 81-2002 (1 sem)
16.399
11.42611.72612.508
16.50716.109
12.74912.162
22.447
18.048
3.9423.017
5.623
8.492
10.741
8.417
15.34016.443
3.936
77136793
1312
55
45
3530
23
3236 35
4743 42
50 49
65 66 6670
8790
9794
0
5.000
10.000
15.000
20.000
25.000
81 83 85 87 89 91 93 95 97 99200
1
0
20
40
60
80
100
120
Casos T.Cob.
Sarampo. Distribuição dos casos e Cobertura Vacinal , 1981 - 2002 (1 sem
257164112 64 0 0 0 0 0 0 0 0 0299
2464
5291
894
274436442
885
268
10,1
20,1
28,6
21,9
0 0 0 0 0 0 0 0 0
17
8,1 7,810
23
32,331,2
21,7
54
0
1000
2000
3000
4000
5000
6000
81 83 85 87 89 91 93 95 97 992.0
01
0
10
20
30
40
50
60
Casos Letalidade
Meningite - Distribuição dos casos e Taxa de Letalidade, 1981 - 2002 (1sem)
253
0 0
825
454
306
450
8845
1,2
0 0
2,2
0,7
0 0 0 00
100
200
300
400
500
600
700
800
900
94 95 96 97 98 99 2000 2.001 2.0020
0,5
1
1,5
2
2,5
Casos Letalidade
Peste. Distribuição dos casos e Taxa de Letalidade 94-2002(1 sem)
050000
100000150000200000250000300000350000400000
1992 1993 1994 1995 1996 1997 1998 1999 2000 2001Anos
Cas
os d
e D
TS
0
5
10
15
20
25
30
Per
cen
tag
ens
de
par
ceir
os
sexu
ais
Casos DTS Parceiros Sexuais
Casos notificados de DTS e Cobertura dosparceiros sexuais,Moçambique, 1992 - 2001
16,20%13,80%
0%
5%
10%
15%
20%
1998 2001 2004 2007 2010
Sero
prev
alên
cia
%
Prevalencia nacional estimada de HIV emadultos (15-49 anos), Moçambique, 1998 - 2010
864
1019 1028
1506
16241563
1333
2051
2.14217,6 17,6
16,3
14,615,2
15,5
13,1
10,7
9,2
0
500
1000
1500
2000
2500
93 94 95 96 97 98 99 2000 20010
2
4
6
8
10
12
14
16
18
20
Casos Letalidade Poly. (Casos)
Casos e letalidade por Tuberculose na enfermaria de Medicina dosHospitais Rurais, 1993 - 2002(1 sem.)
3.624
2.606
2.860
2.597
2.449 2.491
1.967
2.919
502
9,7
14,7
11,912,5
13,7 13,3 13,2
16,8
29,8
0
500
1.000
1.500
2.000
2.500
3.000
3.500
4.000
93 94 95 96 97 98 99 2000 20020
5
10
15
20
25
30
35
Casos Letalidade Poly. (Letalidade) Poly. (Casos)
Gráfico: Casos e letalidade de Malnutrição nos HR, 1993 - 2002(1 semestre)
Health response to current humanitarian crisis -Mozambique
Nutrition VA results: Children with MUAC <125mm– Gaza Province
• Massangena - 5.6%• Mabalane – 7.7%
– Tete Province• Magoe – 8.6%• Changara – 6.5%
– Inhambane Province• Funhalouro – 17.8%• Mabote – 2%
Sofala Province• Chibabava - 5.3%• Machanga - 6.0%
Health response to current humanitarian crisis -Mozambique
COUNTRY RESPONSEFood Aid Required• 70,505 tn of food aid needed
between now (June, 2002) andApril 2003– 355,000 identified as highly
vulnerable require immediatefood aid of 53,250 tn throughMarch 2003
– 160,000 people consideredmoderate affected require 16,800tonnes from September 2002until March, 2003
Health response to current humanitarian crisis - MozambiqueINTERVENTIONS
• Food distribution (foodfor work)
• Distribution of seeds andother inputs
• CSB distribution (< 5years + pregnant/lactatewomen) + Nutritioneducation
• Preventive actions forplague
• A National ContingencyPlan is developed;Health Sector also havea Contingency Plan.
• Exist a strongcollaboration and co-ordination with allpartners, by INGC.
Health response to current humanitarian crisis - MozambiquePROPOSED ACTIONS
• Alert populations about the risk of toxic productse.g. bitter cassava as they search for alternativefoods in light of the food shortage
• Water quality survey to be carried out• Monitoring of the water quality by periodic analysis• Estimate no. of families in need of water supply• Investigate possible means of meeting the
water needs of the families / population inneed of water
Health response to current humanitarian crisis - MozambiquePROPOSED ACTIONS
• For the prevention of epidemics– Dissemination of the disease information to all
provinces affected and orientations on response– Dissemination of prevention norms– Reinforce surveillance system (data collected and
analysed on a weekly basis)– Promote immunisation against “risk” diseases– Mobilise resources to respond to outbreaks of
epidemics– Need for inter-country meeting with Malawi
regarding actions for Plague control
Health response to current humanitarian crisis - MozambiquePROPOSED ACTIONS
• Medical Assistance– Disseminate norms for diagnosis and clinical
treatment– Reinforce the laboratory capacity for diagnosis– Estimate the necessity of medical supply
including drugs and guarantee their acquisition– Control and register consumption of supplies