Norvic joins hands with other social and development agencies to help fight Diarrhea in Rukum and Jajarkot

October, 08, 2009

As diarrhea and Cholera epidemic hit the mid western and far western regions of Nepal during August, September 2009 claiming more than 400 lives (132 in Jajarkot, 33 in Rukum and the rest in other districts of the region), Annapurna Post, took lead to collected contribution from the society to provided immediate relief and recovery for the victims and prevent spreading of the diseases further.

 

In compliance to that call through its social media campaign “Sahayogi Haatharu”, Norvic International Hospital pledged full support of medical and technical team and 71 varieties of useful medicines in controlling diarrhea and cholera worth few lacs of Rupees to the coordinating agency M/s DEPROSC (Development Project Service Centre) Nepal.

Other donors along with Norvic were Standard Chartered Bank, ACE Development Bank, IME, NMB Bank and the partners were NIBL, NIC, Everest Bank and the Kist Bank.

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Support to Diarrhea Epidemic in Rukum and Jajarkot

Brief Report on the Support to Diarrhea Epidemic  in Rukum and Jajarkot Districts
 

Background
Upon breaking out of diarrhea and cholera in the mid west and far west regions of Nepal claiming more than 400 lives (132 in Jajarkot, 33 in Rukum), Annapurna Post of Asia Pacific Communication Association (APCA) through its campaign “Sahayogi Haatharu” has publicly announced fund collection for immediate relief and recovery.  

Development Project Service Centre (DEPROSC Nepal), a non-government organization has been supporting deprived communities in 41 districts with main goals of empowering rural people for attaining self-sustaining socio-economic uplift through a package of policy research, action research, humanitarian assistance and training. It has been constantly working in the mid west and far west region since 2002 including Rukum and Jajarkot - the most diarrhea affected districts. Even during that outbreak it has been implementing ‘Social mobilization and Hygiene promotion campaign for diarrhea control and prevention in Rukum, Jajarkot and Humla districts’ based on which Annapurna Post assigned the responsibility of mobilizing its existing human resources and network for the diarrhea relief and recovery.

Alliance and Coordination
Annapurna post, Norvic Hospital, UNICEF and DEPROSC Nepal have joined hands together to functionalize the efforts. Annapurna post raised fund, DEPROSC Nepal procured items, facilitate for transportation, identified households and distributed the materials to diarrhea affected people. UNICEF as cluster coordinator took lead at the national level in coordinating things. District Health Office (DHO), District Water Supply and Sanitation Office (DWSSO) and District Disaster Rehabilitation Committee (DDRC) led the activities at the district level identifying partners, allocation of working areas among them and overall coordination.

Support and Supply
As an immediate support and relief, some basic diarrhea and cholera controlling medicines and precautionary items such as ORS suspension, water purifying chlorine solution (Water guard and Piyush) and hand washing soap were identified as crucial ones and supported to each and every affected household of Rukum and Jajarkot districts. Support was done with better coordination of DHO, DWSSO, Local NGOs, Nepal Army, Nepal Red Cross Society and other NGOs/INGOs.

Methodology of Distribution
DEPROSC Nepal Head office Kathmandu, its Regional Office in Nepalgunj and District Offices were involved at different points. Existing staff and additional 50 Volunteers / Supervisors were involved in distributing the materials at the household level. Materials purchased and received in Kathmandu were transported to Nepalgunj using the DEPROSC Nepal and UNICEF’s delivery means. Those later transported to the respective field using tractors, mules and porters. Each and every household of the identified 21 VDCs were provided with 5 sachets of ORS, 2 pieces of lifebuoy soap and 2 bottles of Piyush.

DEPROSC Nepal hired and trained hygiene supervisors and village facilitators - previously phased-out - for this purpose. Teams comprised of one to three members depending upon the settlement and household of VDCs (one hygiene supervisor/volunteer and village facilitator and/or social mobilizer in each VDC), other field staffs were mobilized depending upon the situation of the targeted areas.

As a part of social mobilization, the entire district team was fully mobilized at the targeted VDCs and headed forward in close coordination with SHP/HP and other stakeholders while performing the assigned tasks. Existing community networks (COs, child clubs, mother groups, formed WASH community) were also mobilized as per necessity. The team at first conducted the settlement level orientation and awareness raising activities then distributed IEC materials, display of information banners, flax, flipcharts at strategic locations within the VDCs; and also demonstrated on how to purify water using chlorine product in each and every settlement of targeted VDCs. Utilization of the materials distributed were tracked down up to the household level. The distribution records are maintained using Bharpai.
Distribution
Materials received in kind from various organizations and procured from the market with the funds received from APCA have been distributed in Rukum and Jajarkot at the household level. The table below shows details of total procured, total received in kind and distributed to the households of Rukum and Jajarkot.
Table 1: Diarrhea Relief and Recovery Materials Distribution

Item

Particulars

Total Procure

Received in Kind

Total available

Distributed in Rukum

Distributed in Jajarkot

1

Soap (Lifebuoy)

15261

15001

16761

15761

1000

2

ORS Sachet

49600

30002

52600

24340

28260

3

Water purifier (Piyush)

27616

0

27616

27616

0

4

Medicines3

The list of medicines and the hand-over letter are included in the annex.

1 Received from Norvic International Escorts hospital in kind.

2 1000 received from APCA and 2000 received from Norvic in kind.

2 57 varieties of physician’s samples and 14 varieties of other medicines received in kind from Norvic International Escorts Hospital have been handed over to Government’s Mid-western Regional Medical Store, Nepalgunj. 

Monitoring
District team regularly coordinated with DDRC, DHO, DWSSO, DDC, VDC, SHP/HP, WASH community and other respective stakeholders, then assisted to organize/facilitate coordination meeting. Monitoring and supervision task was smoothly carried out; it helped to identify and address gaps at the community level to meet current life saving needs. Personal hygiene message, point of water use, preparation of ORS, use of Zink tabs, Brest feeding for children and its importance; all these key and important messages were given through door to door visit. It was a successful effort in supporting diarrhea affected people during that epidemic period.

Forward
It has been obvious that such epidemics are broken out in the rural areas where awareness level is quite low, personal health and hygiene is severely poor and the community is embedded with various superstition and taboos. Therefore, we need to put focus on raising awareness on personal health and hygiene, use of safe drinking water and preparedness for such outbreak in the future which would definitely minimize the risk of claiming life. 

Annexes:
Photographs:

 

 District level Orientation to Supervisors, Rukum

 

 Distribution of support materials with orientation to the community, Rukum

 District level Orientation to Supervisors, Rukum

 

Distribution of support materials
with orientation to the community, Rukum

 

 

 

 Materials distribution with receipt, Rukum

 

 

 Materials distribution with receipt, Rukum

 

 

 

 Picture of materials distribution with orientation, Rukum
Picture of materials distribution with orientation, Rukum



Annex II: List of Medicines
57 varieties of physician’s samples and 14 varieties of other medicines received in kind from Norvic International Escorts Hospital have been handed over to Government’s Mid-western Regional Medical Store, Nepalgunj:

Physician’s Samples:
 

S.N

Name of Medicine

Unit

Total Quantity

1

Ambroxol Hydrochloride Syrup (AMIBRODIL)

Pcs

4

2

Amoxycillin & Dicloxacillin Capsule

Capsule

200

3

Amoxycillin for oral suspension IP (ARISTOMOX)

Pcs

4

4

APET

Bottle

43

5

Bismuth subalicylate Suspenoion (170) (Pepto Norm) (170ml)

Pcs

20

6

Cifran 250

Pcs

97

7

Cifran 500

Pcs

99

8

Ciproffaxcion tab (ALCIPRO 500)

Tablets

40

9

Cledomox (Amoxycilli & potassium clavulanate

Pcs

50

10

Cyclo mps

Bottle

2

11

DJ-Citral

Bottle

10

12

DROSTAT 80

Tablets

20

13

Entazyle

Bottle

1

14

Entazyle AF

Bottle

7

15

FAM-O 20

Pcs

18

16

Fenceta Ibuproten & paracetamol

Tablets

600

17

Flontin 500

Pkt

35

18

Fluconazole Tab. (Fungilasm 150)

Pcs

50

19

Foltab

Pkt

5

20

Fortiplex

Pkt

12

21

Fortiplex-m

Pkt

8

22

Fortivit Vitamin B Complex

Pkt

15

23

HISTAC 150

Tablets

1800

24

Injection of vitamin Bcomplex with vitamin B12(polybion)

Pcs

300

25

kethin

Pcs

25

26

Lysovit Drops (15ml)

Bottle

10

27

Lysovit Vitamin B

Bottle

10

28

Medicath

Pcs

18

29

Mediflon plus

Pcs

60

30

MEDIKIT

Pc

1

31

Medikit

Set

24

32

Moxyrex plus

Pkt

8

33

Neocan plus

Pcs

33

34

Nepoten-k

Pkt

10

35

Norflaxacion Suspension

Bottle

4

36

Oflontin

Bottle

10

37

Oflontin 200

Pkt

30

38

Ofloxacin suspension 50

Pcs

36

39

Ofloxacin tablets IP

Pkt

44

40

Paracetamol & Chlorzoxazone Tab

Tablets

100

41

Pepto Norm

Bottle

15

42

Peptozyme 100ml

Bottle

7

43

Peptozyme 200ml

Bottle

6

44

Peptozyme Drops

Bottle

13

45

Peptozyme fungal Diastaset pessin

Pkt

14

46

Protogyl DF

Pkt

9

47

Protozgyl

Bottle

32

48

Protozgyl DF

Bottle

22

49

Protyzyl DF

Bottle

10

50

Safecan

Pcs

25

51

Sporidex 125

Pcs

60

52

Sporidex AF-375

Pcs

5

53

Tinidazole GAT 500

Pcs

80

54

Trimethoprime salphame thoxazole tab (Tabrol- DS)

Tablets

100

55

Vitamin B- complex with c (Omniplex)

Pcs

16

56

Zinc DT -20

Tablets

200

57

Zulid 250

Capsule

144


Non-Physician’s Samples:
 

S.N

Name of Medicine

Unit

Total Quantity

1

Albendazole chewable tab

Pcs

200

2

Aqua tab (water purifier)

Pcs

38

3

Cipromax Injection

Bottle

20

4

Cirofloxacin injection IP (0.2%wv) (Nircip)

Pcs

60

5

Cirofloxacin injection IP (NIRCIP)

Pcs

60

6

Cirofloxacin injection IP (NIRCIP)

Pcs

120

7

Compound Sodium lactate INJ IP (Nirlite)

Pcs

125

8

Compound Sodium lactate Intravenous Infusion BP 1000Ml (Claris)

Pcs

60

 

Dexoride (DNS INJ 1Ltr)

Pcs

25

9

Dizithro 250

Pcs

18

10

Intravenous Infusion BP (Lactoride)

Pcs

102

11

Metriz 400 (Metronidazole tab)

Pcs

680

12

Metronidazole INJ IP ( NIRMET)

Pcs

240

13

Metronidazole INJ IP ( NIRMET)

Pcs

60

14

Oyster Infusion set-vented

Pcs

100

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