Documenti di Didattica
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DISTRICT PROFILE
(Please give brief description of the district, specifically mentioning the location of rivers, drains/ nullahs and other potential sources of threats during monsoon due to floods, flash flood and hill torrents). Potential Threats 1. River Kabul 2. Bara Rainy Drain Near Akbar Pura
Table 1 Basic Information Parameters Total Population Total Area in sq.kms No. of Tehsils No. of Union councils one 47 No. 1.2 Million 1,748 km
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Health facilities DHQs # THQs # CH RHCs BHUs Other Health Facilities Human Resources Medical Officers EDO =32 PPHI=30 DHQ=26 Male Paramedic EDO =99 PPHI=60 DHQ=45 SH&N Supervisor EDO= 0 PPHI= 0 DHQ= 0 Total=0 Female Paramedics EDO=24 PPHI=60 DHQ=40 Support Staff Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera Total=124 Total=204 Total=88 01 01 2 07 30 11 Total =52
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District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Male EDO=107 PPHI=60 DHQ=66 Total=233 Female Drivers EDO=11 PPHI=2 DHQ=3 Spray man LHW LHS CMW EDO=1 803 35 32 Total=16 TOTAL=1 TOTAL=803 TOTAL=35 TOTAL=32
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The following activities were conducted in a timely manner which saved a lot of lives in the previous flood of 2010. The malaria team started fogging in the affected areas and in the IDPs camps of flood affected people. DTCs and CTCs were immediately established in DHQ Hospital Nowshera & MRHSM Hospital Pabbi to treat diarrheal and cholera cases, with the cooperation of Merlin
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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Special vaccination campaigns were arranged in various localities of District Nowshera to cover the target population in IDP Camps.
The Flood affected population were properly segregated and isolated in safe localities like Tehsildar office Pabbi , Cenna Public School Pabbi , Government Technical College Kander near Risalpur & Benazir Complex Risalpur.
Good coordination with NGOs and INGOs, WHO Team was timely taken on board to assist the DHT in any outbreak control and technical guidance
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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Financial Matters regarding the provision of POL for the ambulances and for District vehicles of supervisors & also financial support in respect of fogging, medicine etc
Provision / availability of spray men at least 10 in number. Training of the paramedical staff
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Zakhi Miana 500
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Aman Kot Amankot Banda Mohib Khan Sher Ghari Pabbi Chowki Drab Banda Dagai Chowki Mumraiz Azakhel Bala Dagai Chowki Mumraiz Azakhel Bala Dheri Zardad Banda Mohib Khudrezi
1600
BHU Dagbesud
5000 8,000
12,000
BHU Dagbesud
6000 5600
6,800
RHC Pirpai
Azakhel Payan
Azakhel Payan
7,000
RHC Pirpai
Khweshgi bala
10,000
DHQ Nowshera
Khweshgi Payan Jehangira Akora Khattak Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
9,200
DHQ Nowshera
5,400 12,000
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Village Mera Akora Shaidu Khair Abad Khit Kilay Aman Girrh Nowshera Town Nawan Kilay Pir Sabaq Nowshera CANTT Risal Pur Cantt Gandheri Nawan Killi Pir Sabaq Nowshera Cantt Risalpur Village Gandheri Zara Maina Zara 6,500 6,000 7,600 5,490 4.800 8,000 RHC Khweshgi Chashmai Village Shaidu BHU Shaidu Khit Kilay Aman Girrh RHC Khweshgi 4,600 5,900 6,900 7,600 8,780 13,000 BHU Shaidu CH Akora BHU Shaidu DHQ Nowshera DHQ Nowshera RHC Khweshgi
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BHU Zara Maina Cantt General Hospital+ CMH Nowshera BHU Gandheri RHC Khweshgi
Table 3 Moderate Intensity Floods/Flash floods/Hill Torrents; Geographic Areas, Population & HF likely to be affected
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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Health Facilities Likely to be affected in Moderate Intensity Flood 1: RHC Pirpai 2: MCH Centre Pashtoon Garhi
Tehsil Union Council Village/s Population likely to be affected # Nowshera Akbar Pura Camp korona AkbarPura Momen Garhi Pirpai Bela Koroona Pirpai Nowshera Town Akora Khattak UC Pabbi Nowshera Town Dagoona Akora Khattak Pasktoon Garhi 2400 1500 BHU Jehangira MRHMH Pabbi 2000 DHQ Nowshera 800 560 300 RHC Piprpai BHU Taru Nearest health Facility/ies
Table 4 Mild Intensity Floods/Flash floods/Hill Torrents; Geographic Areas, Population & HF likely to be affected
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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NO HEALTH FACILITY IS LIKELY TO BE AFFECTED IN MILD INTENSITY FLOOD HOWEVER THE FOLLOWING POPULATION IS LIKELY TO BE AFFECTED
Tehsil Union Council Village/s Population likely to be affected # Nowshera Akbar Pura Momen Garhi Pir Pai Bella Koroona 240 RHC Pirpai 300 Nearest health Facility/ies RHC Akbar Puar
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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800000
Target Group Expected Pregnancies Expected Births 0-11 Months 0-23 months 0- 5 years Married CBAs (15 to 49 y)
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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Disease Breakdown
Table 6 Expected Burden of Disease
Expected Burden of Disease Based on Data from Flood 2010 S. No. 1 2 3 4 5 6 7 8 9 10 Disease Injuries Snake bite Dog bite Skin infection Eye infection Diarrhea ARI Fever Others Expected Malnourished Children % 2% 0.03% 0.08% 21% 6% 11% 18% 10% 31% 13%
80800 Average Monthly # 1,616 24 65 16,968 4,848 8,888 14,544 8,080 25,048 10,504
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Table 7 Details of Fixed Camps Planned Camp # Tehsil Union Council Potential Sites Name with Designation 1 Nowshera Choki Mumraiz Office of the Tehsildar Pabbi M O: Dr Javed + Dr Nayyar LHV: Riffat LHV : Rashida Dispenser : Ezhar+ Askar Shah Support StaffFemale : Perveen+Gul Ranga Support Staff: Male: Afsar Khan Chowkidar Pervez Behishti 2 Nowshera Pabbi-1 Pabbi-2 Cenna Public School 3 Nowshera Gandheri Technical College Kander Dr Riwayat Shah Dr Shahid MT: Ziaur DHQ Nowshera Dr Ejaz+Dr Riaz MT Arshad+ Pabbi Akbar Pura Present Posting Designated Team
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03028801443
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 Rehman+Sajjad Afridi Nurses: Shah Rukh +Musarrat 4 Nowshera Adamzai Nowshera Sheet Glass Factory Dr Jehnazeb Dr Nazir MTs: Jehanzeb+ Firasat Shah LHVs: Bushra Niaz+Azra Shaheen 5 Nowshera Khair Abad Fixed Site Near Toll Plaza Khair Abad Dr Ashfaq Jan Dr Asma Khanum MTs: Shezad+Shahid LHVs: Razia Sultana+Yasmin Willium Male Support: Driver Raja, Chowkidar Gohar Ali+ Shaid X-Ray Attendant Female Support Staff: Dai Naseem CH Akora
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03009152598
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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Mobile Teams
Table 8 Details of Mobile Teams Planned Team # Vehicle Number Name with Designation 1 MO : Dr Zeeshan Dispenser : M. Ayaz LHV : Nargus Driver 2 MO: Dr Jamal Shah MT: Insha Ur Rehman LHV: Zakia Shaheen 3 Dr Shahid Iqbal MT: Noorul Islam LHV: Shabana BHU Wazir Ghari BHU Mohib Banda BHU Dagbesud BHU Pir Sabaq BHU Pir Sabaq BHU Pir Sabaq 0300-9027931 0333-9315439 0300-9369239 0333-9027336 0345-9137275 Present Posting Banda Mallahan Banda Mallahan Cell # 0343-9768654 0300-5883466 Designated Team
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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Table 9 Preventive Health Teams to support Fixed & Mobile Teams Union Council Gandheri Name Contact # Pabbi Pabbi Adamzai Kausar Zakia Bi Bi Palwasha Wajid Wajid Wajid Dr Ejaz Ahmed Dr Ejaz Ahmed Dr Ejaz Ahmed Nusrat Wajid Dr Ejaz Ahmed SH&NS LHS SI Vaccinator CDC Supervisor
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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LOGISTICS
S. No
Name of Medicine
Required
Balance
Difference
300
100
200
Inj Ceftriaxone 1G
20000
1500
18500
20000
1500
18500
Susp: Antacid
10000
10000
10000
10000
ORS Sachet
50000
10000
40000
Paracetamol Syp
30000
5000
25000
20000
2600
17400
Cefixim Syp
10000
10000
10
Augmentin Syp
10000
10000
11
Septran Syp
20000
20000
12
Brufen Susp:
20000
20000
13
Flagyl Susp:
20000
5000
15000
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
14 Negram Syp 10000 10000
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15
Chlorphenramine Syp
20000
20000
16
B-Complex Syp
20000
20000
17
Vermox Syp
10000
10000
18
Dimenhydrinate Syp
10000
10000
19
10000
2500
7500
20
Cough Syp
5000
5000
21
Nivaquine P Syp
10000
10000
22
5400
23
3000
3000
24
5000
2000
3000
25
5000
2000
3000
26
5000
5000
27
Inf: Metronidazole
10000
28
500
100
400
29
IV Infusion Set
20000
30
Inf: Ciprofloxacine
5000
2000
3000
31
10000
10000
32
Inj: Avil
5000
5000
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
33 Inj: Solucortef 250mg 400 -
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34
10000
10000
35
Inj: Gravinate
5000
1200
3800
36
Inj: Zentac
3000
3000
37
Inj: Nospa
3000
3000
38
1000
1000
39
IV Cannula 20,22 G
5000
500
4500
40
40000
15000
25000
41
10000
10000
42
Roll Bandage
1000 Dozen
1000
43
500
500
44
Pyodine Solution
200
200
45
Sticking Plaster
100 Dozen
100
46
5000
5000
47
7000
3000
4000
48
7000
3000
4000
49
5000
5000
50
100000
43000
57000
51
100000
100000
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
52 Augmentin Tab 625mg 50000 50000
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53
Septran Tab
100000
100000
54
200000
200000
55
100000
100000
56
100000
100000
57
50000
50000
58
200000
200000
59
200000
50000
150000
60
100000
10000
90000
61
Chlorphenramine Tab
200000
200000
62
200000
50000
150000
63
50000
50000
64
100000
100000
65
10000
10000
66
10000
10000
67
Vitamin C Tab
50000
50000
68
100000
100000
69
5000
3000
2000
70
Ear Drops
5000
5000
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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(Please identify local NGOs and other local partners e.g. local industry or trade union etc, and areas in which they can provide support. The committed support might be in the form of Human Resource, ambulance for relief activities only, medicines etc.)
Table 10 Details of Local Partners & their support
S. No. 1
Areas of Support HR+ Medicines, Preventive & Curative service + Ambulance and other logistics
2 3 4
Department will keep close liaison with DDMA for overall guidance and mobilization of additional resources.
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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The District Control Room (DCR) will start functioning w.e.f 15/06 2012 under the supervision of DCO Nowshera contact No. --------, which will function round the clock till directions from the DGHS office. At least one official will be available in this cell with telephone facility 24/7. The duty roster of the DCR is given below:
Landline # of DCR
Name/Designation of official on Morning: duty (shift wise): Evening: Night: Declaration of emergency by DDMA will act as trigger to mobilize all mobile and static teams to already designated stations. The supply chain will be maintained to replenish the medicines and consumables on regular basis. District Team will coordinate with Provincial Team in case additional help or resources are required.
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012
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Table 11 District Emergency Response Team (ERT) Designation DOH District Pathologist District Medical Specialist District Pediatrician Name Dr Arshad Ahmed Khan Dr Ejaz Ahmed Dr Mushtaq Dr Samiullah Contact # 0300-5779597 0336-9188792 0300-5978100
S. No. 1 2 3
Activity Notification of District Coordination Team Arrangement of Deficient Stocks of logistics/Supplies Pre-positioning of Reserve Stocks at Designated Points/Health Facilities
4 5
Activation of District Control Room Initiation of regular meetings of District Coordination Teams
CDCO EDOH
6 7
DOH
Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera
District Nowshera Need & Gap Analysis For Monsoon Contingency 2012 8 9 DEWS Reporting on Weekly Basis Switching over to Daily Reporting Mode for DEWS Immediate On declaration of flood emergency 10 ----------Review of Preparations CDCO CDCO
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Dr Abu Zar Taizai Contact No: 0300-5882054 Coordinator DHIS District Nowshera