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Emergency Health and Nutrition Training
Key Messages
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Public Health Priorities in the Emergency Phase: (adapted from 10 priorities of MSF refugee health book 1997)
1. Initial Rapid Assessment
2. Measles Immunization
3. Water, Sanitation & Hygiene Promotion
4. Food & Nutrition including Infant Feeding in Emergencies
5. Shelter, Site Planning & Energy
6. Minimum Initial Service
Package (MISP) for Reproductive Health in Crisis situations
7. Health Care Service in Emergency Phase
8. Control of Communicable Disease & disease outbreaks
9. Public Health Surveillance10. Human Resources & Training11. Coordination/Camp
Management
The priorities in Bold are Save the Children priorities
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Mortality Thresholds• Crude mortality rate (CMR)
• > 1 death/ 10,000 people/day
Or doubling of baseline CMR
• < 5 mortality rate (<5 MR)• > 2 deaths/ 10,000 children/day
Or doubling of baseline U5 MR The emergency response should aim to reduce the mortality rate
to below the threshold level
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Rapid Health Assessment – Data Needs in the Emergency Phase
1. Background; social, political, economic data2. Background health data3. Affected population size and demographics 4. Vital health information
– Mortality rates– Top 5 causes of Morbidity – Risks for disease outbreaks – Measles vaccination coverage (>95% or
<95%)– Acute malnutrition level– Access to health services (primary, referral,
and secondary) – human resources, medical supplies
– Health practices (BF habit, delivery practice)5. Environmental conditions – water, shelter,
sanitation