ALIMA in the month of September provided a total of 15,084 outpatient consultations with Acute diarrhea, Malaria, ARI and skin infection being the leading cause of morbidity. 561 patients managed in the Inpatient Department with 637 deliveries assisted by a skilled attendant and 1125 PNCs and 3899 ANCs consultations were conducted. A total of 11 C-sections were performed at Monguno General Hospital.
At Muna and Teachers Village Clinics, 2,155 persons were provided with OPD consultations for children under 5 in Muna clinic with 27 referrals and 3,672 consultation for all ages in TVC Clinic with 40 referrals.
A total of 1,509 OPD consultations for all ages at Waterboard Reception Clinic in Monguno were provided and also 3,701 OPD consultations for children under 5 were conducted in Askira and Hawul LGAs in southern Borno.
For SRH activities in MMC/Jere LGAs, 1119 ANC and 182 PNC consultations were provided in which 421 ANC are first visit and PNC within 72 hours of delivery 182 at Muna Clinic with 3 referrals. At the Teachers Village Clinic, 1,055 pregnant women in total came for ANC (ANC 1,438) while the toal PNC consultations were around 228 (PNC within 72 hours 179).
BEmOC activities were conducted at CBDA clinic where 169 deliveries were recorded which is higher compared to the preceding month’s delivery, a total of 8 referrals was made to secondary/tertiary care and 163 deliveries were conducted at TVC Clinic, the total number of deliveries is higher compared to last month deliveries. Traditional Birth Attendants (10) in Muna and TVC (8) were engaged to refer patients from the community for delivery at CBDA and TVC Clinic. In Askira and Hawul LGAs, 196 deliveries were recorded and 1,057 ANC consultations were conducted.
WHO continue to provide support to States Ministries of Health in Borno, Adamawa and Yobe. With regards to GBV intervention, 3,485 individuals were sensitized on GBV in the HTR areas in Borno, Adamawa and Yobe States. Training of 46 PHC workers from 29 health facilities across 14 LGAs in Borno State on mhGAP with GBV integrated was also conducted.
In Borno State, pregnant women provided ANC services in remote and security compromised areas by HTR teams were 5,209, where Intermittent Prophylactic Therapy (IPT) for malaria and Iron/folate to prevent malaria in pregnancy were given. 786 pregnant women were provided IPT for malaria using SP, and others were provided with Iron/folate supplement to prevent anaemia in pregnancy. HTR teams provided life-saving health services to women and under-5 children in security- compromised communities.
In Yobe State, WHO and SPHCMB are working to scale-up mental health, psychosocial support and GBV services in remote and security-compromised LGAs. In week 39, WHO and SPHCMB conducted 5-day training for 34 PHC workers selected from 11 PHC Centres in high-risk LGAs- including Gujba, Gulani, Geidam, Machina, Yusufari and Yunusari, where insecurity and AOG activities impeding access to essential health services.
The Hard-to-Reach (HTR) teams provided HIV Testing Services (HTS) to pregnant women in remote and security-compromised communities in Yobe state. 6 pregnant women were Counselled, Tested, and Issued Results (CTRR). The 6 pregnant women tested negative and none is positive. The negative pregnant women were provided with post-test counselling to prevent HIV infection. HTR teams have also intensified efforts to identify cases of GBV and provide first-line services to the survivors of Gender-Based Violence (GBV) in remote and security- compromised LGAs of the state. No GBV cases was reported in areas covered by the HTR teams. HTR teams have also intensified sensitization of community members on the prevention of GBV in conflict-affected communities of Yobe state and 2,110 women have been sensitized on GBV in remote and security compromised LGAs. The HTR teams also provided ANC services to 485 pregnant women in remote and security compromised areas, where intermittent Prophylactic Therapy (IPT) for malaria and Iron/folate to prevent malaria in pregnancy were given. 209 pregnant women were provided IPT for malaria using SP, and 288 others were provided with Iron/folate supplement to prevent anaemia in pregnancy.
In Adamawa State, 1,642 children were treated for malaria, diarrhoea and Pneumonia by 52/63 CoRPs in 8 LGAs of the state. 1,292 of the children were screened for malnutrition using MUAC. 83(6.4%) of the children screened had MAM and were counselled on proper nutrition, while 1(0.07%) of them had SAM demonstrated by Red on MUAC and were referred to CMAM sites for proper management.
WHO with support from SMOH trained CORPS and supervisors on malaria management. A total of 74 individuals were trained.
16,034 clients were seen by WHO supported 8 H2R teams providing services in 8 LGAs of Adamawa state. The teams treated 15438 persons with minor ailments and dewormed a total of 1202 children during the month. Pregnant women were provided FANC services with 879 of them receiving Iron folate to boost their haemoglobin concentration while 545 received Sulphadoxine Pyrimethamine (SP) as IPTP for prevention of malaria in Pregnancy. WHO is supporting regular State COVID-19 response coordination meetings include HTR teams in collaboration with partners, on coordination and monitoring of response activities at LGA level as well as community engagement and risk communication messages
WHO – Mental Health: 96 MH sessions were conducted in 13 LGAs (Bama, Damboa, Dikwa, Gubio, Gwoza, Jere, Kaga, Kalabalge, Konduga, Mafa, MMC, Monguno, and Nganzai LGA) across 43 health facilities. A total of 3,161 patients were treated (made up of 789 new patients and 2,372 follow ups), with 9 referrals to Federal Neuro Psychiatric Hospital (FNPH) Maiduguri for further management. 3 patients were provided with transport to FNPH, and 13 admitted for inpatient treatment.
COVID-19 MHPSS Response:
Integrated COVID-19 MHPSS response into routine mental health care outreaches has continued. Response centers on providing group psychoeducation to foster acceptance of the reality of COVID-19, and adhere to standard precautions as stipulated by NCDC and WHO; Screening for COVID-19 symptoms, and history of contact with patients suspected or confirmed for COVID-19 or travel to high risk areas are also conducted, with counselling on steps to take should findings be positive.
Integrating Basic Mental Health Care Services into PHC Levels in Borno, Adamawa and Yobe States:
WHO, in its effort to support BAY states integrate mental health care services into PHC levels, trained 125 PHC workers on mhGAP with GBV integrated in October 2020. 68 selected HFs across the BAY states (Borno: 29, Adamawa: 26 Yobe: 13) will be supported with psychotropic drug supplies by October 2020 for MH care.