Health care for refugees and displaced people/
Catherine Mears and Sue Chowdhury.
- Oxford: Oxfam, 1994.
- 112 p.
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