Yemen: Crisis update

In Yemen, Doctors Without Borders / Médecins Sans Frontières (MSF) works in Aden, Al-Dhale’, Taiz, Sa’ada, Amran, Hajja, Ibb and Sana’a. MSF has brought into the country 105 tons of humanitarian aid to the facilities it is running and supporting in Yemen. Below is a summary for MSF activities in Yemen.
 War wounded received by MSF:  More than 3800 injured since March 19, 2015.
Aden: MSF is running independently an Emergency Surgical Hospital- within Al-Sadaqa Hospital compound in Sheikh Othman district – and has been supporting Crater Health Center with MSF staff working 24/7 providing trauma care, medication  and fuel for the power generator. The hospital includes sections of emergency, operating theatre intensive care unit, surgical OPD follow up clinic, mental health services, inpatient department, physiotherapy, psychotherapy, x-ray, laboratory and pharmacy. MSF has started outpatient surgical mobile clinics in Enma, As-Sha’b and Crater and provides outpatient care to surgical patients who cannot access MSF hospital for outpatient medical care. Since the beginning of 2015, MSF received 2380 in the emergency room and performed 2,259 surgical interventions.  The number of war wounded MSF received since March 19th is more than 2,200 people.
Amran: Since mid-May, MSF has been providing general consultations in mobile clinics for IDPs who fled their homes from several Yemeni areas. More than 3400 general consultations were provided and the activity is still ongoing. In addition, MSF has provided support in several IDPs locations. The support included providing water tanks, non-food items and hygiene kits for more than 500 IDP families located in 12 locations in Khamer. The IDP support activities also included health promotion among IDPs and cleaning the sewage system in the Central Market of Khamer.
MSF is actively supporting lifesaving and healthcare services to the patients in 12 departments of the MoH Al-Salam Hospital in the sections of emergency room, intensive care unit, surgical operations, neonatal unit, pediatrics and in-patient therapeutic center, hospitalization, neonatal unit, delivery room, antenatal care, blood bank, laboratory, vaccination and the dressing room. MSF is also supporting Huth Health Center with medications, oxygen, logistic equipment, human resource support, and electricity and referral system.Since January 1st to June 19th, MSF received 15 900 patients in the Emergency rooms, performed 1370 surgeries, 1 300 deliveries, admitted 1 446 adult patients in IPD and 1200 children in paediatric ward and neonatal unit, provided 2534 antenatal and postnatal consultations, and 1708 gynecologic consultations in Amran governorate.
Hajja: MSF is supporting IDPs with water, non-food items distributions and general medical consultations in Bani Hassan district. MSF has provided 4742 general consultations in its mobile clinics and the health center in the district.
MSF also provided emergency and life-saving services for injured in Haradh Hospital. A total of 145 war wounded were treated jointly by the MSF team and the MOH team from Haradh hospital.
Al-Dhale’: MSF is still providing life-saving healthcare services in MoH Al-Nasser Hospital in Al-Dhale. The support includes emergency room (24/7), surgery, post-operative care, sterilization, laboratory, infection control, health care waste management and referrals.
In addition, MSF is supporting Al-Azarik Health Center in the emergency room, ante-natal care, post-natal care, family planning, normal deliveries, EPI, nutrition and referrals to Al-Nasser Hospital. In Qataba, MSF supports the emergency room (24/7), observation room, laboratory and health care waste management in MOH Al-Salam Hospital. In the last month, MSF expanded its activities by supporting the OPD, nutrition and ANC in the hospital. MSF also provides potable water to 25,000 people through the suitable bore hole of Qataba town.
In addition, MSF is also supporting several health centers and Jaffea and Al-Habilain Hospitals with medical supplies and equipment in the governorate. Since the beginning of 2015, MSF project in Al-Dhale’ has received 10,317 patients in the emergency room and 1,232 injured among which are more than 490 war-wounded. MSF also provided general to 11,206 consultations to patients. 
Sa’ada: Since mid-May, MSF is supporting the ER, OT and maternity departments of Al Jumhuri hospital in Sa’ada town with an international and national medical team. MSF has performed 87 normal deliveries, received 837 patients in the emergency room among which 410 were war wounded and has performed 102 surgeries among which 89 were related to war. MSF is also supporting Haidan Health Center with a doctor, medication and referral system to Al-Jumhori hospital and is planning further support for the facility.
Taiz: Since the beginning of May 2015, MSF started providing emergency medications and surgical supplies to Al-Jumhouri, Al-Thawra; Al-Rawdah and Military hospitals that have received people affected by violence in the recent and ongoing conflict. During the period, MSF setup and equipped 3 extra ER rooms in Al-Rawdah hospital to allow extra space for handling mass casualties while continuing supporting the hospital’s ER with supplies and staffing.  MSF has 4 medical doctors and a Nurse working in the emergency room of Al-Rawdah hospital, beside covering the salaries of 22 hospital staff members who are working in the emergency rooms to ensure 24/7 presence in the ER. From beginning of June till 17th, the hospital received a total of 617 patients and 73 died. A total of 946 wounded patients were received in May 2015 alone.  Currently, the average dressing in the ER is 60 patients per day.  MSF also supported Al-Thawra hospital with ‘Burn Kits’ when about 200 people sustained burn wounds due to explosion of a petrol-tanker truck in Taiz city.  MSF provides hospital-to-hospital referral system with 4 ambulances. 
Given the assessed needs, MSF is now setting up an office in Taiz to ensure continued support during this crisis period.  An MSF team is on the ground to support and carry out further needs assessments whenever necessary.
Ibb: MSF donated medical and surgical materials to Al-Thawra and Al-Qa’idah hospitals in Ibb Governorate. MSF is also considering one-off donations of food supply to centralized kitchens of IDPs who are based in 5 schools in Al-Qa’idah city in Ibb Governorate. On 01 June 2015, MSF helped Ministry of Health with evacuation of 509,800 vaccine doses meant for routine immunization, from the Governorate Health office, which is at the war front-line for relocated to Ibb cold-chain.
Sana’a: MSF donated 500 dialysis sessions materials to the Kidney Centre in Al-Jumhori Hospital in Sana’a which will cover the registered patients for 17 days, and MSF is preparing to support this center for with these materials for 3 months. MSF also donated 1000 liters of Diesel to the oxygen factory to produce oxygen for Al-Thawra hospital. MSF is currently trying to help in the transportation of materials ought to be for Al Thawra dialysis centre and for other centres in the country.
In addition, MSF has provided urgent support during emergencies to local hospitals through MoH following several blasts in Sana’a since the beginning of 2015.

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