Population Displacement In Armm Doh – Armm: Picture 3

Picture 3

Population Displacement In ARMM DOH – ARMM

A. Armed Conflict Date Started

:

August 11, 2008 (10 Months and 19 days)

Magnitude of Event Total Number of : Provinces Affected Province

4

# of Municipality

# of Barangay

17

104

Basilan

9

34

Lanao del Sur

1

12

Sulu

5

15

Total

32

165

Maguindanao

Demographic Census of IDPs • Total Number of IDPs or

:

63,278 Families

318,953 Individuals • Inside Evacuation Centers : 38,153 families • Outside Evacuation Centers: 25,125 families * * * * *

89% (56,685 families) Maguindanao 1,172 families Basilan 3,245 families Sulu 1,981 Marawi 2,508 Lanao Sur

Consequences August 11- June 30 = 320 Casualties Deaths

:

149 31 related to Encounter 223 Due to Illnesses

Injuries

:

66

• 85 reported casualties have complete supporting documents and already indorsed to NDCC through OCD ARMM for financial assistance • A continuous decreased on the number of casualties due to illness since the 3rd month of emergency to date were noted

Health Facilities • Damaged health facilities Province

No. of Damaged Health Facilities

Status

Maguindanao

3 BHS

Basilan

1 RHU

1 Totally Damaged 2 Partially Damaged Partially Damaged

Total

4

SITUATION

SITUATION • Prevalence of infectious diseases at evacuation center though it started to decreased during the 4th month of emergency onward • Inadequate drugs, medicines, medical supplies and logistics • Inadequate transportation facilities for response, delivery of services and logistics and in transporting victims and ill clients • Unstable peace and order situation

SITUATION • Inadequate human resources • Prevalence of acute and severe malnutrition among 6-59 months old children 6/10 children are severely malnourished in Guindulungan 3 identified severely malnourished in Datu Piang 9% of children 2-6 years old were identified Global Acute Malnourish (GAM) in Datu Piang

SITUATION • Inadequate potable water facilities in the areas of origin and in some evacuation centers Only 35% - 40% have access to safe water

• Inadequate excreta disposal facilities • Inadequate trained psychosocial service providers DOH-ARMM – 12 personnel for more than 1,000 service providers

SITUATION • Limited psychosocial services provided Critical Incident Stress Debriefing provided for women in 5 out of 110 evacuation centers 30 out of more than 1000 service providers provided stress management Only 50 service providers provided

SITUATION • Physically tired IDPs • Mentally disturbed (day to day coping with the situation) • Emotionally burdened for losing some members of the family and properties

DOH – ARMM Cluster Lead Agency And Interventions

Cluster Approach Promotes: •Identified and expanded members of the cluster • Established coordination and programme implementations • Started consultation and joint planning • Partnership building and MOA signing • Accountability and transparency

Cluster Members Health Cluster • WHO • UNICEF • MSF • ICRC • Act for Peace • SHIELD/ACDI VOCA

WASH Cluster • • • • • • • •

UNICEF UNFPA ACF ICRC Act for Peace OXFAM MTB IOM

Nutrition Cluster • • • • • • • • • • • •

UNICEF WHO DSWD DEPEd WFP DA ICRC SHIELD MTB CFSI ACF MSF

Cluster Members Psychosocial Cluster UNICEF •UNFPA •

• DSWD • CFSI • Act For Peace • ICRC

Interventions Heal th Se rvices • Consultation and treatment of common illnesses •Evac Center,RHUs,BHS, Mobile Team

• • •

Continuous Provision of medicines/supplies to different Emergency health Stations/Health Facilities Referral of cases (DMH,MPH, CRMC) Augment hospital medical supplies and financial expenses in partnership with MSF and ICRC to patient admitted outside ARMM hospitals

Interventions Hea lth Servi ces • Networking with other health facilities •Provided assorted medicines and trauma supplies to Camp Siongco Hosp

• Conducted Special Immunization activity •1st Round December 1-7, 2008 •2nd Round January 9-15, 2009 • Vitamin A Supplementation

Interventions Health Services •Intensified Health education activities • Continuous Disease Surveillance • Facilitated transport of cadavers of AFP casualties from Cotabato to Manila • Established isolation room in RHU Datu Piang through the assistance of MSF

Interventions WA SH • Provision of Jerry Cans and water disinfectants to ensure clean water including to AFP brigades in Datu Piang • Provision of additional sanitation and bathing facilities in the evacuation centers • Provision of hygiene kits to every household • Treatment and Rehabilitation of Water System

Interventions WASH • Intensified health education campaign on water and food borne diseases • Distributed hygiene kits to 2,615 pregnant women from UNFPA • Localized and distributed IEC Materials on WASH supported by UNICEF • Improved environmental and sanitation management • Conducted water testing in the different water source

WASH Status Municipaliti es

H2O Poin t

DOS Kabuntalan

3

H2O Syst em

H2 O Ta nk

Gaps

Excre ta Disp osal facilit ies

Gaps

6

1

5

10

20

6

3

6 4

DAM Talitay

1

Talayan

1

6

1

10

4

Guindulung an Datu Saudi Ampatuan

3

Datu Piang

3

Mamasapan o Marawi

3 4 2

Bathing Cubicle

Jerry Cans

Waterin e

Househol d Hygiene Kits

Hygiene Kit for Pregnant Women

874

1,648

924

198

0

460

460

4

1,173

1,230

915

30

1,308

1,478

960 430

370

5

100

0

1,616

1,400

3

12

0

689

1,378

13

32

18

10

2,164

988

2009

150

35

26

TBD

20

6,362

8,300

1,180

200

26

TBD

7,673

5,600

2,710

153

50

50

170

300

300

570

2

Lanao Sur

162 23

Basilan Total

163

150 10

20

10

83

216

72

30

22669

22,832

Assessment on WASH status is currently ongoing

9,128

2,093

Interventions Nu trition • Expansion of HEB to 10 municipalities (1,434 children enrolled) • Joint Nutrition and Food Security Assessment ( has already conducted in Talayan, Datu Saudi and Mamasapano) •

Randomly selected with 20 respondents per evacuation center and home-based IDPs

•

30 clusters were included from ARMM

•

Result of these survey is on its final draft

Nutr it io n

• Nutrition Screening Among Under-5 years old children in Datu Piang • Enrolled severe malnourished children in Datu Piang for therapeutic feeding in partnership with MSF

Interventions Psychosocial • Play therapy for children • Alternative Learning • Conducted CISD among women in 5 out 0f 110 evacuation centers • Conducted CISD for 50 service providers • Continuous medical and relief services • Stress Management and Team Building for 27 Service Providers with funding support from Act for Peace

On-going Activities •Continuous Medical consultation and treatment at the RHU and mobile clinic • RHU of Datu Piang returned to its 24/7 operation •Continuous allocation of medicines and supplies • Minor repair of health facilities

On-going Activities • Therapeutic feeding to identified severe malnourished children • Treatment of IDPs with severe mental disorder • WASH Cluster workshop • discuss assessment tool • terms of reference for the WASH Assessment scheduled July 1 and 2 • Installation of additional WASH Facilities

Total Cost of Assistance Organization DOH - ARMM WHO UNICEF DOH Central/HEMS CHD III CHD XI CHD XII UNFPA ICRC OXFAM ACT FOR PEACE World Food IOM MSF ACF USAID Total CHD X

Items

Cost

Medicines and Operation expenses Medicines, Equipments Medicines, WASH Supplies, Tech Assistance Medicines, WASH Supplies,BP5 Medicines Medicines Medicines RH medicines Hygiene Kits for Pregnant mothers Medicines & trauma supplies WASH Facilities, Manpower WASH facilities and supplies Medicines and Tent Hosp High Energy Biscuit

9,806,000.00 881,820.78 10,197,912 2,412,012.83 200,100.00 120,010.97 381,796.20 605,000.00 -------------

WASH Facilities Medicines, manpower, technical assistance WASH Supplies, facilities and IEC Materials WASH Facilities

3,525.000 ---------------------P33,463,088 --------

TB Drugs

4,032,778 173,978 1,126,680

Needs Assessment for Internally Displaced Population and Conflict Affected Areas in ARMM

NEEDS

HEALTH

• Need for continuous provision of basic health services: Drugs and medicines, medical supplies and logistics • Immediate repair and reconstruction of damaged health facilities • Capacity building for health worker related to emergency management and response

HEALTH • Continuous disease surveillance • Provision of transportation facilities • Additional human resources

NUTRITION

• Need for immediate short and long term nutritional interventions Supplemental feeding Therapeutic feeding Health education activities Establish and organize Nutrition Council for ARMM

WASH

• Adequate potable water facilities and access to safe water • Adequate excreta disposal facilities • Availability of water tanks in every evacuation center for easy treatment and management • Promotion and implementation of solid waste management.

PSYCHOSOCIAL

SERVICE PROVIDERS: • Capacity building for health workers to provide psychosocial services: Critical Incident Stress Debriefing Stress Management and Team Building