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District Nowshera Need & Gap Analysis P a g e | 1
For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Name of District: Nowshera
Name of EDO Health: Dr Arshad Ahmed Khan
Contact Details: Office Contact #: 0923-59759 Cell No: 0300-5779597
DISTRICT PROFILE
(Please give brief description of the district, specifically mentioning the location of rivers, drains/ nullahs
and other potential sources of threats during monsoon due to floods, flash flood and hill torrents).
Potential Threats
1. River Kabul2. Bara Rainy Drain Near Akbar Pura
Table 1 Basic Information
Parameters No.
Total Population 1.2 Million
Total Area in
sq.kms
1,748 km
No. of Tehsils one
No. of Union
councils
47
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Health facilities
DHQs # 01
THQs # 01
CH 2
RHCs 07
BHUs 30
Other Health
Facilities
11
Total =52
Human Resources
Medical Officers EDO =32
PPHI=30
DHQ=26 Total=88
Male Paramedic EDO =99
PPHI=60
DHQ=45 Total=204
SH&N Supervisor EDO= 0
PPHI= 0
DHQ= 0
Total=0
Female
Paramedics
EDO=24
PPHI=60
DHQ=40 Total=124
Support Staff
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Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Male EDO=107
PPHI=60
DHQ=66
Total=233
Female
Drivers EDO=11
PPHI=2
DHQ=3 Total=16
Spray man EDO=1 TOTAL=1
LHW 803 TOTAL=803
LHS 35 TOTAL=35
CMW 32 TOTAL=32
What Went Well?
The following activities were conducted in a timely manner which saved a lot of lives in the previous
flood of 2010.
The malaria team started fogging in the affected areas and in the IDPs camps of flood affectedpeople.
DTCs and CTCs were immediately established in DHQ Hospital Nowshera & MRHSM HospitalPabbi to treat diarrheal and cholera cases, with the cooperation of Merlin
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Special vaccination campaigns were arranged in various localities of District Nowshera to coverthe target population in IDP Camps.
The Flood affected population were properly segregated and isolated in safe localities likeTehsildar office Pabbi , Cenna Public School Pabbi , Government Technical College Kander near
Risalpur & Benazir Complex Risalpur.
Good coordination with NGOs and INGOs, WHO Team was timely taken on board to assist the DHT in any outbreak control and technical
guidance
What Went Wrong?
(Please mention briefly the week areas and deficiencies which caused hindrances in providing
immediate relief to flood victims e.g.
lack of clarity in supply chain management Weak Inventory control management system No reserve stock of medicine Reporting on DEWS No financial resources were available No arrangement of accommodation of staff moved from other districts POL for vehicles and foggers Lack of institutional arrangements of trained spray men
Key areas to be addressed in light of lessons learnt
(Please mention briefly what steps are proposed in current plan to avoid repetition of previous
mistakes?)
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Financial Matters regarding the provision of POL for the ambulances and for Districtvehicles of supervisors & also financial support in respect of fogging, medicine etc
Provision / availability of spray men at least 10 in number. Training of the paramedical staff
AREAS LIKELY TO BE AFFECTED
Table 2 High Intensity Floods/Flash floods/Hill Torrents; Geographic Areas, Population & HF likely to be affected
The Health Facilities likely to be affected in High Intensity Flood
1: RHC Akbar Pura 2: BHU Khushmaqam 3: CD Tarkha 4: BHU Banda Mallahan 5: BHU Taru Jabba 6:
MRHSM Hospital Pabbi 7: BHU Aman Kot 8: BHU Banda Mohib 9: BHU Dagai 10: RHC Pirpai 11: RHC
Khweshgi 12: DHQ Hospital Nowshera 13: BHU Gandheri 14: CD Misri Banda 15: BHU Rashakai 16: BHU
Zara maina17: CH Akora Khattak 18: BHU Pir Sabaq 19: RHC Khair Abad
Tehsil Union Council Village/s Population likely to be
affected
#
Nearest health
Facility/ies
Nowshera
Akbar Pura
Abar Pura
Khushmaqam
Tarkha
Zakhi Charbagh
4,000
2,000
3000
500
BHU Dagbesud
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Zakhi Miana
Zakhi Qabristan
500
500
Amankot
Aman Kot
Dheri Zardad
1600 BHU Dagbesud
Banda Mohib Banda Mohib 5000 BHU Dagbesud
Khan Sher
Ghari
Khudrezi 8,000 BHU Dagbesud
Pabbi Chowki Drab
Banda
12,000 BHU Dagbesud
Dagai Dagai 6000 BHU Dagbesud
Chowki
Mumraiz
Chowki
Mumraiz
5600 BHU Dagbesud
Azakhel Bala Azakhel Bala 6,800 RHC Pirpai
Azakhel Payan Azakhel Payan 7,000 RHC Pirpai
Khweshgi bala Kheshgi Bala
Village
10,000 DHQ Nowshera
Khweshgi
Payan
Kheshgi Bala
Village
9,200 DHQ Nowshera
Jehangira Jehangira 5,400 CH Akora
Akora Khattak Akora Khattak 12,000 BHU Shaidu
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Village
Mera Akora Chashmai 4,600 BHU Shaidu
Shaidu Village Shaidu 5,900 CH Akora
Khair Abad BHU Shaidu 6,900 BHU Shaidu
Khit Kilay Khit Kilay 7,600 DHQ Nowshera
Aman Girrh Aman Girrh 8,780 DHQ Nowshera
Nowshera
Town
RHC Khweshgi 13,000 RHC Khweshgi
Nawan Kilay Nawan Killi 5,490 RHC Khweshgi
Pir Sabaq Pir Sabaq 4.800 BHU Zara Maina
Nowshera
CANTT
Nowshera
Cantt
8,000 Cantt General Hospital+
CMH Nowshera
Risal Pur Cantt Risalpur 6,000 BHU Gandheri
Gandheri Village
Gandheri
7,600 RHC Khweshgi
Zara Maina Zara 6,500 BHU Marati Banada
Table 3 Moderate Intensity Floods/Flash floods/Hill Torrents; Geographic Areas, Population & HF likely to be
affected
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Health Facilities Likely to be affected in Moderate Intensity Flood
1: RHC Pirpai 2: MCH Centre Pashtoon Garhi
Tehsil Union Council Village/s Population likely to be
affected
#
Nearest health
Facility/ies
Nowshera Akbar Pura Camp korona
AkbarPura
Momen Garhi
800
560
BHU Taru
Pirpai Bela Koroona
Pirpai
300 RHC Piprpai
Nowshera
Town
Nowshera Town
Dagoona
2000 DHQ Nowshera
Akora Khattak Akora Khattak 2400 BHU Jehangira
UC Pabbi Pasktoon Garhi 1500 MRHMH Pabbi
Table 4 Mild Intensity Floods/Flash floods/Hill Torrents; Geographic Areas, Population & HF likely to be affected
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
NO HEALTH FACILITY IS LIKELY TO BE AFFECTED IN MILD INTENSITY FLOOD
HOWEVER THE FOLLOWING POPULATION IS LIKELY TO BE AFFECTED
Tehsil Union Council Village/s Population likely to be affected
#
Nearest health
Facility/ies
Nowshera Akbar Pura Momen
Garhi
300 RHC Akbar Puar
Pir Pai Bella
Koroona
240 RHC Pirpai
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District Nowshera Need & Gap Analysis P a g e | 10
For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Map of District (optional)
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Disaggregation of Population at Risk
Table 5 Vulnerable groups of target population
Target Group % Annual Monthly
Expected Pregnancies 3.40% 27,200 2267
Expected Births 2.90% 23,200 1933
0-11 Months 2.70% 21,600 1800
0-23 months 5.20% 41,600 3467
0- 5 years 13.40% 107,200 8933
Married CBAs (15 to
49 y)16% 128,000 10667
Total Population Likely to be Affected 800000
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Disease Breakdown
Table 6 Expected Burden of Disease
80800
S. No. Disease %
Average
Monthly
#
1 Injuries 2% 1,616
2 Snake bite 0.03% 24
3 Dog bite 0.08% 65
4 Skin infection 21% 16,968
5 Eye infection 6% 4,848
6 Diarrhea 11% 8,888
7 ARI 18% 14,5448 Fever 10% 8,080
9 Others 31% 25,048
10 Expected Malnourished Children 13% 10,504
Expected Burden of Disease Based on Data from Flood 2010
FIXED CENTERS & MOBILE TEAMS PLANNED
(For filling up of tables # 7 and 8, yard stick for HR is given below)
Fixed Camps
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Table 7 Details of Fixed Camps Planned
Camp
#
Tehsil Union
Council
Potential
Sites
Designated Team
Name with
Designation
Present
Posting
Cell
#
1 Nowshera Choki
Mumraiz
Office of the
Tehsildar
Pabbi
M O: Dr Javed +
Dr Nayyar
LHV: Riffat
LHV : Rashida
Dispenser : Ezhar+
Askar Shah
Support StaffFemale :
Perveen+Gul Ranga
Support Staff: Male:
Afsar Khan Chowkidar
Pervez Behishti
Akbar Pura
03018971117
03159106664
03028801443
2 Nowshera Pabbi-1
Pabbi-2
Cenna
Public
School
Dr Ejaz+Dr Riaz
MT Arshad+
Pabbi
3 Nowshera Gandheri Technical
College
Kander
Dr Riwayat Shah
Dr Shahid
MT: Ziaur
DHQ
Nowshera
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Rehman+Sajjad Afridi
Nurses: Shah Rukh
+Musarrat
4 Nowshera
Adamzai Nowshera
Sheet Glass
Factory
Dr Jehnazeb
Dr Nazir
MTs: Jehanzeb+ Firasat
Shah
LHVs: Bushra Niaz+Azra
Shaheen
CH Akora
5 Nowshera
Khair Abad
Fixed Site
Near Toll
Plaza
Khair Abad
Dr Ashfaq Jan
Dr Asma Khanum
MTs: Shezad+Shahid
LHVs: Razia
Sultana+Yasmin
Willium
Male Support: Driver
Raja, Chowkidar Gohar
Ali+ Shaid X-Ray
Attendant
Female Support Staff:
Dai Naseem
03009152598
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Mobile Teams
Table 8 Details of Mobile Teams Planned
Team
#
Vehicle
Number
Designated Team
Name with Designation Present Posting Cell #
1 MO : Dr Zeeshan
Dispenser : M. Ayaz
LHV : Nargus
Driver
Banda Mallahan
Banda Mallahan
0343-9768654
0300-5883466
2 MO: Dr Jamal Shah
MT: Insha Ur Rehman
LHV: Zakia Shaheen
BHU Wazir Ghari
BHU Mohib Banda
BHU Dagbesud
0300-9027931
0333-9315439
0300-9369239
3 Dr Shahid Iqbal
MT: Noorul Islam
LHV: Shabana
BHU Pir Sabaq
BHU Pir Sabaq
BHU Pir Sabaq
0333-9027336
0345-9137275
Preventive Health Teams
One Preventive Health Team will be allocated for each affected Union Council. They will perform their
prescribed functions with-in allocated Union Council
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Table 9 Preventive Health Teams to support Fixed & Mobile Teams
Union
Council
SH&NS LHS SI Vaccinator CDC Supervisor
Gandheri Name
Contact #
Nusrat Wajid Dr Ejaz Ahmed
Pabbi Kausar Wajid Dr Ejaz Ahmed
Pabbi Zakia Bi Bi Wajid Dr Ejaz Ahmed
Adamzai Palwasha Wajid Dr Ejaz Ahmed
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
LOGISTICS
LIST OF MEDICINES REQUIRED FOR MONSOON 2012 DISTRICT NOWSHERA.
S. No Name of Medicine Required Balance Difference
1 Anti Snake Sera 300 100 200
2 Inj Ceftriaxone 1G 20000 1500 18500
3 Inj Ceftriaxone 500mg 20000 1500 18500
4 Susp: Antacid 10000 0 10000
5 Permethrine Skin cream 10000 0 10000
6 ORS Sachet 50000 10000 40000
7 Paracetamol Syp 30000 5000 25000
8 Amoxil Syp 250 mg 20000 2600 17400
9 Cefixim Syp 10000 - 10000
10 Augmentin Syp 10000 - 10000
11 Septran Syp 20000 - 20000
12 Brufen Susp: 20000 - 20000
13 Flagyl Susp: 20000 5000 15000
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Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
14 Negram Syp 10000 - 10000
15 Chlorphenramine Syp 20000 - 20000
16 B-Complex Syp 20000 - 20000
17 Vermox Syp 10000 - 10000
18 Dimenhydrinate Syp 10000 - 10000
19 Mefenamic Acid Syp 10000 2500 7500
20 Cough Syp 5000 - 5000
21 Nivaquine P Syp 10000 - 10000
22 Dextrose Saline 1000ml - 5400 -
23 Normal Saline 1000cc 3000 - 3000
24 Dextrose Water 1000ml 5000 2000 3000
25 Ringer Lactate 1000ml 5000 2000 3000
26 Ringer Lactate 500ml 5000 - 5000
27 Inf: Metronidazole - 10000 -
28 Inf: Haemaccel 500ml 500 100 400
29 IV Infusion Set - 20000 -
30 Inf: Ciprofloxacine 5000 2000 3000
31 Inj: Decadron 1cc 10000 - 10000
32 Inj: Avil 5000 - 5000
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Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
33 Inj: Solucortef 250mg - 400 -
34 Inj: Diclofenac Sodium 10000 - 10000
35 Inj: Gravinate 5000 1200 3800
36 Inj: Zentac 3000 - 3000
37 Inj: Nospa 3000 - 3000
38 Inj: Transamine 250mg 1000 - 1000
39 IV Cannula 20,22 G 5000 500 4500
40 Disposable Syringe 5cc 40000 15000 25000
41 Disposable Syringe 3cc 10000 - 10000
42 Roll Bandage 1000 Dozen - 1000
43 Cotton Wool 100 G 500 - 500
44 Pyodine Solution 200 - 200
45 Sticking Plaster 100 Dozen - 100
46 Clotrimazole Skin Ointment 5000 - 5000
47 Polyfax Skin Cream 7000 3000 4000
48 Polyfax Eye Ointment 7000 3000 4000
49 Nystatin oral drops 5000 - 5000
50 Ciprofloxacin Tab 500mg 100000 43000 57000
51 Ciprofloxacin Tab 250 mg 100000 - 100000
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
52 Augmentin Tab 625mg 50000 - 50000
53 Septran Tab 100000 - 100000
54 Doxycycline 100mg Cap 200000 - 200000
55 Amoxil 500mg Cap 100000 - 100000
56 Amoxil 250mg Cap 100000 - 100000
57 Cefixim 400mg Cap 50000 - 50000
58 Brufen 400mg Tab 200000 - 200000
59 Paracetamol 500mg Tab 200000 50000 150000
60 Mefenamic Forte Tab 100000 10000 90000
61 Chlorphenramine Tab 200000 - 200000
62 Metronidazole Tab 400mg 200000 50000 150000
63 Bromazepam Tab 3mg 50000 - 50000
64 Famotidine Tab 40mg 100000 - 100000
65 Fluconazole 150mg Cap 10000 - 10000
66 Transamine 250mg Cap 10000 - 10000
67 Vitamin C Tab 50000 - 50000
68 Iron + B-Complex Tab 100000 - 100000
69 Chloramphenicol Eye Drops 5000 3000 2000
70 Ear Drops 5000 - 5000
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Executive District Officer
Health Nowshera
MAPPING OF LOCAL PARTNERS
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Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
(Please identify local NGOs and other local partners e.g. local industry or trade union etc, and areas in
which they can provide support. The committed support might be in the form of Human Resource,
ambulance for relief activities only, medicines etc.)
Table 10 Details of Local Partners & their support
S. No. Name of NGO/Partner Contact Details & Address Areas of Support
1 Merlin HR+ Medicines, Preventive
& Curative service +
Ambulance and other
logistics
2 Islamic Relief Dr Fawad : 03008637963 PHC Services
3 CESSD MANTAINANCE & REPAIR Throughout the District
4 CAMP MANTAINANCE & REPAIR AND CAPACITY BUILDING
MANAGEMENT AND COORDINATION
Suggested:
The overall responsibility of management and coordination would lie with Health & Nutrition
Coordination Committee under overall supervision of EDO-Health. The Coordination Committee will
comprise of District Officer Health, Deputy District Officers Health, PHS, DCNP, CDCO, DSV, DSI and
representatives from UN Development partners with EDO-Health as Chairperson. District Health
Department will keep close liaison with DDMA for overall guidance and mobilization of additional
resources.
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For Monsoon Contingency 2012
Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
The District Control Room (DCR) will start functioning w.e.f 15/06 2012 under the supervision of DCO
Nowshera contact No. --------, which will function round the clock till directions from the DGHS office. At
least one official will be available in this cell with telephone facility 24/7. The duty roster of the DCR is
given below:
Landline # of DCR
Name/Designation of official on
duty (shift wise):
Morning:
Evening:
Night:
Declaration of emergency by DDMA will act as trigger to mobilize all mobile and static teams to already
designated stations. The supply chain will be maintained to replenish the medicines and consumables on
regular basis. District Team will coordinate with Provincial Team in case additional help or resources are
required.
Logistic Management
Disease Surveillance and Epidemic Response
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Dr Abu Zar Taizai
Contact No: 0300-5882054
Coordinator DHIS
District Nowshera
Table 11 District Emergency Response Team (ERT)
Designation Name Contact #
DOH Dr Arshad Ahmed Khan 0300-5779597
District Pathologist Dr Ejaz Ahmed 0336-9188792
District Medical Specialist Dr Mushtaq 0300-5978100
District Pediatrician Dr Samiullah
Logistics/Supplies Support from Partners
Work Plan
S. No. Activity Time Line Responsibility
1 Notification of District Coordination Team 1st June EDOH
2 Arrangement of Deficient Stocks of logistics/Supplies 15th June EDOH
3 Pre-positioning of Reserve Stocks at Designated
Points/Health Facilities
20th June DOH/DDOH
4 Activation of District Control Room 1st July CDCO
5 Initiation of regular meetings of District Coordination
Teams
First week of
June
EDOH
6 Activation of District ERT 1st July DOH
7 Training of Staff on DEWS 3rd week June DHDC
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Dr Abu Zar Taizai
Contact No: 0300-5882054
C di DHIS
8 DEWS Reporting on Weekly Basis Immediate CDCO
9 Switching over to Daily Reporting Mode for DEWS On
declaration
of flood
emergency
CDCO
10 ------
------
Review of Preparations