MdM in Yemen

Context

The population of Yemen is 26,7 million according to 2015 estimates, with 41% of the population being under 15 years old and 2.7% above 65 years. Yemen is a largely tribal society.

Yemen has become increasingly fractured since President Hadi was ousted from the capital and went into exile. The country is torn between ascendant Houthis, remnants of the former regime, AQAP, and a secession movement in the south, and none are capable of controlling the entire country.

 The Yemeni conflict has escalated significantly from March 25th, 2015 and the taking of Aden airport by the Houthis, affecting 20 of the 22 governorates of Yemen in November, 2015. On November 24th 2015, the WHO reported that the health facilities in Yemen had confirmed 5,798 deaths and 27,478 wounded since March 19th. These figures are, broadly underestimated given the fact that they only reflect the victims identified in the health structures. In terms of healthcare, the situation is more than alarming.

History of MdM intervention

PRIMARY HEALTH CARE FOR POPULATIONS AFFECTED BY THE INTERNAL CONFLICT OF 2009

Yemen - February 2008 © Jean-Baptiste Lopez

Yemen – February 2008 © Jean-Baptiste Lopez

The armed conflict that took place in 2009 between the Houthi rebels and the Yemeni government in the North-West of the country has resulted in more than 250,000 displaced people. Gathered in camps, these refugees remain far away from health care facilities. They are bearing the consequences of the war daily: destroyed infrastructures, lack of medical staff that fled the region, difficulties in obtaining medicines. MdM, present in the Saada governorate since 2007, supports health facilities, enabling continuous access to health care for the communities.

From 2009 until July 2012, MdM supported eight health care centres— providing medicine, some light renovations, surveillance for epidemics— and set up four mobile clinics that provided direct health care (primary health care consultations and antenatal checkups). Children under five years old benefitted from malnutrition screening, those suffering from acute malnutrition problems were treated through the distribution of nutrition rations.

Due to the instability in the country and the significant obstacles to the implementation of activities in the region, MdM is currently working on the design of a new project in Yemen.

Current Programme

The proposed MdM strategy is based on 3 axis:

Axis 1: Provide health care services through:

  • The revitalization of four (4) health facilities in Sana’a governorate and to one (1) in Ibb governorate: MdM will support HF in providing the full package of services: OPD, child immunization, family planning, reproductive health, nutrition, lab services, outreach services and health education. For provision of Sexual and Reproductive Health services, MdM will make sure that the Minimim Initial Service Package (MISP) will be implemented. A specific emphasis is done on Integrated Management of Childhood Illness (IMCI) as children under 5 are part of the most vulnerable patients.
  • The provision of PHC services in main IDPs spots and in remote areas of Jehana, Sanhan and Yareem districts through three (3) mobile clinics: Mobile clinics will be time-limited and when the non-functional HF will be revitalized, support could move to the HF. In the same way, according to population movements and security conditions, mobile clinic locations could be adapted.

Provision of GBV services will be included in the delivered health package. This will include clinical and psychosocial management, referral of GBV survivors for legal assistance and prevention activities by raising community awareness on GBV.

Axis 2: Provide mental healthcare and psychosocial support in targeted health facilities, mobile clinics and through a network of trained Community Health Volunteers for the detection and community awareness

  • Provision of psychosocial support to the population through the development of counseling and listening points
  • Training of health facilities, mobile clinics staff and CHV in order to detect, receive, listen and orientate when necessary MH patients
  • Establishment of referral mechanisms to provide MHPSS services for MH patients
  • Supervision and monitoring of MH program

Axis 3: Reinforcement of emergency response capacity through emergency team ready to be deployed in case of large influx of injured people, new displacement of population or onset of any outbreak in the targeted areas

  • MdM plans to have an efficient medical supply stock in order to response to any health emergency.
  • MdM will be able to support mass casualty management and outbreak control through trained emergency mobile team.
  • A support will also be provided to local health authorities in eDEWS surveillance mechanisms to ensure in time detection of outbreaks.

Our partners

Potential partnership opportunities will be explored with national NGOs to ensure cooperation and sustainability.

Our Financial Partner – in 2016

European Commission’s Humanitarian Aid and Civil Protection department (ECHO)

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