edite monsoon contigency for 2012

7/31/2019 Edite Monsoon Contigency for 2012

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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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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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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?)


5/25



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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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


7/25



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


8/25



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


9/25



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


10/25



Dr Abu Zar Taizai

Contact No: 0300-5882054

Coordinator DHIS

District Nowshera

Map of District (optional)


11/25



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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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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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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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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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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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


17/25



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


18/25



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


19/25



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


20/25



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


21/25



Dr Abu Zar Taizai

Contact No: 0300-5882054

Coordinator DHIS

District Nowshera

Executive District Officer

Health Nowshera

MAPPING OF LOCAL PARTNERS


22/25



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.


23/25



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


24/25



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

edite monsoon contigency for 2012

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