Health care for refugees and displaced people/ Catherine Mears and Sue Chowdhury.

Acknovcledgements vii
Introduction 1
1 Assessment and planning 3
1.1 Introduction 3
1.2 Checklist of information required for assessment 5
1.2.1 Demography 5
1.2.2 Camp environment 5
1.2.3 Logistics 6
1.2.4 Shelter 7
1.2.5 Environmental health 7
Water
Sanitation and vector control
Hygiene promotion
1.2.6 Food and nutrition 9
Nutritional status
Food availability
General ration
Selective feeding
1.2.7 Health status and medical care 11
Mortality
Morbidity
Medical care
1.2.8 Psycho-social issues 12
1.3 Planning 13
1.3.1 Assessment as the basis for planning 13
1.3.2 Operational principles 13
Standardisation
Integration
Participation and co-ordination
Appropriate level of services
Equity and ease of access
111
Preventive and curative care
1.2.3 General issues 15
2 Implementation and monitoring 17
2.1 Health Information System 17
2.2 Food and nutrition 18
2.2.1 Nutritional status 18
2.2.2 General feeding 19
Purpose
Admission criteria
Discharge criteria
Content
Method of distribution
2.2.3 Supplementary feeding 20
Purpose
Admission criteria
Discharge criteria
Content
Method of distribution
2.2.4 Therapeutic feeding 22
Purpose
Admission criteria
Discharge criteria
Content
Method of distribution
2.2.5 Monitoring 23
Nutritional surveillance
General ration programme
Supplementary and therapeutic feeding
2.3 Preventive health care 24
2.3.1 Environmental Health 24
Water supply
Sanitation and waste disposal
Vector control
Shelter
2.3.2 Immunisation 29
2.3.3 Health promotion 31
2.4 Control of communicable diseases 31
IV
2.4.1 Summary of main methods for controlling diseases 32
2.4.2 Investigating disease outbreaks (epidemics) 32
2.4.3 Control of common diseases 33
Measles
Diarrhoeal diseases
Bacillary dysentery
Malaria
Acute respiratory infections
Hepatitis
Meningococcal meningitis
Tuberculosis
HIV/AIDS
2.5 Clinical Care 38
2.5.1 Physical facilities, structures, staffing 38
Organisation of health centre
Staffing
Monitoring
2.5.2 Health care for women and children 41
2.5.3 Laboratory facilities 42
2-5.4 Essential drugs and equipment 42
Drug procurement
2.6 Psychosocial issues 43
2.6.1 Identification of vulnerable groups 43
2.6.2 Rehabilitation: strengthening community coping mechanisms 44
2.6.3 Training in awareness of psychosocial issues 44
2.6.4 Post-traumatic stress disorder 45
2.6.5 Monitoring 45
2.7 Training 45
2.7.1 Training needs 46
2.7.2 Training issues 46
2.7.3 Training method 46
3 Issues arising from long-term displacement 48
3.1 Introduction 48
3.2 Health Information System 49
3.3 Nutrition 49
3.3.1 Food rations 50
3.3.2 Supplementary feeding programmes 50
3.4 Environmental health 50
3.5 Immunisation 51
3.6 Health promotion 51
3.7 Disease control 51
3.8 Disability 51
3.9 Clinical care 52
3.10 Psycho-social issues 52
3.11 Training 52
4 Evaluation 54
4.1 Purpose of evaluation 54
4.2 Timing and scope of evaluation 54
4.3 Information required for evaluation 54
4.4 Types of indicator 55
4.5 Data collection for evaluation 56
4.6 Participatory evaluation 56
4.7 Reporting and using the findings 57
Appendices
1 Mortality rates 59
2 Nutrition surveys 61
3 Nutritional values of food aid commodities 74
4 Vitamin and mineral deficiencies 76
5 Supplementary feeding recipes 82
6 Water quality and chlorination 87
7 Lists of essential drugs (basic and supplementary kits) 88
8 Treatment protocols for diarrhoea, fever .(and chloroquine-resistant malaria),,
acute respiratory infections 92
9 Vaccine storage, immunisation schedules, drug storage 100
10 Sample monitoring and surveillance form 102
References and further reading 104
Glossary 106
Index 109