Primary Health Care Project for Bhutanese Refugees

Overview

Basic humanitarian assistance and international protection to refugees from Bhutan in Jhapa and Morang districts of eastern Nepal continued since the arrival of refugees in early 1990s. AMDA Nepal engaged since 1995 in the relief assitance to the Bhutanese refugees in Nepal. Since 2001, AMDA Nepal is managaing primary health care and nutrition project in partnership with UNHCR.

Large-scale resettlement of refugees from Bhutan has began in October 2007 within the framework of comprehensive durable solutions, with the crucial support and assistance of the Core Group of countries (Australia, Canada, Denmark, Netherlands, New Zealand, Norway, the United Kingdom and the United States). The start of the resettlement departures in March 2008 in Nepal marked a breakthrough in the identification of solutions for the protracted situation faced by the refugees from Bhutan. Some 100,000 individuals have been departed Nepal for resettlement to a third country.The resettlement operation of refugees from Bhutan is now the largest UNHCR resettlement operation in the world. 

AMDA Nepal has been providing primary healthcare and nutrition services to the refugees from Bhutan in the refugee camps as per updated national and international standards and protocols. In addition, the project has been distributing the parabolic solar cookers to refugees and host community residents.  The majorj activities carried out under this project are :

  • Routine medical check-up (Out patient) service including consultation by medical doctors and paramedical staff in Primary Health Centers.
  • 24 hours emergency services.
  • Maternal and child health services at primary health care level
  • Integrated Management of Childhood illnesses services
  • Vaccination services (EPI) as per Nepal government protocol
  • Health  and Nutrition education: community outreach to provide health and Nutrition education (IEC)
  • Growth monitoring promotion for under‑fives
  • Supplementary  and therapeutic feeding for Acute Malnourished children under-fives
  • Supplementary feeding for other vulnerable groups ; pregnant and lactating mothers, TB and other chronic  patients and elderly people
  • Provision of Micronutrient Powder for all 6 to 59 months children to reduce micronutrient deficiencies and especially targeting iron deficiency anaemia
  • Reproductive health services, including reproductive health counselling and emergency obstetric care
  • Emergency care and counselling for survivors of SGBV
  • STI and HIV/AIDS prevention and care
  • Malaria diagnosis and treatment supported by UNHCR and national programme
  • Management of laboratory services in PHC
  • Essential, chronic and consultant prescribed drugs supply
  • Tuberculosis control and treatment supported by the national programme
  • Primary, Secondary and tertiary  referrals for better comprehensive of the patients
  • Emergency ambulance services
  • Infection Prevention and control measures
  • Redistribution of solar cookers recovered from the refugees leaving on resettlement to the new users within the camp and/or suitable recipients in the immediate host community
  • Community awareness on sexual and reproductive health through implementation of community SRH project in coordination with UNHCR, Caritas and YFC.
  • Management and effective maintenance of the Health information System (HIS)
  • Capacity building of health workers to ensure provision of standard health and nutrition care for the refugee

  Progress Report/Features

 

S.N. Perfromance Indicator 2012 2013 2014 2015 
1 Crude Mortality Rate (/1000/month)  0.3 0.3 0.3 0.4
2 Crude Birth Rate (/1000/month)  1.6 1.5 1.4 1.1
3 Crude Mortality Rate Under 5 yrs

0.4 0.2 0.3 0.2
4 Infant Mortality Rate  (/1000 Livebirths/month) 

19.8 13.5 16.1 9.2
5 Neonatal Mortality Rate (/1000 Livebirths/month)  9.9 9.0 6.9 6.1
6 Vaccination Coverage Rate  100% 100% 100% 100%
7 Coverage of postnatal Vitamin A Distribution  100% 100% 100% 100%
8 Coverage of Complete Antenatal Care  99% 99% 99% 100%
9 Contraceptive Prevalence Rate (%)  51% 60% 79% 92.2%
10 Delivery Conducted by Trained Other than TBA  100% 100% 100% 100%
11 Proportion of Deliveries at Health Facility 100% 100% 100% 100%
12 Incidence of STI (/1000 per month)  1.1 1.0 1.0 1.2
13 Ratio of Contact Treated Syndromic STI

95% 97% 96% 96%
14 Incidence of TB (/1000 per month)  0.9% 0.4 0.5 0.4
15 Malnutrition Rate  5% 4.7% 4.7% 4.7%

 

 

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