Appendix AStaying in the know . . .Program information for Volunteers
Aghanistan is considered as one o the least developed countries in the world. According to the2005 UNPD Human Development Index Aghanistan was ranked 173rd out 178 countries. Thecountry has been the scene o decades o fghting, which has let the inrastructure in the countryin tatters. EMERGENCY has been present in Aghanistan since 1999.The EMERGENCY Medical and Surgical Centre in Anabah opened on 15th December 1999. Anabahis a village in the Panjshir valley in the northern mountainous region o the country; the entire areais riddled with landmines. Initially the Centre oered surgery to victims o war and landmines.In 2002, EMERGENCY decided to extend its admissions criteria to the Centre; it now oers generalsurgery, internal medicine and paediatrics. The Medical and Surgical Centre is a reerence point ina vast area with a population o approximately 250,000 people.The complete lack o well equipped ree medical acilities in the area prompted EMERGENCY tourther extend its services. In June 2003 a Maternity Centre was opened next to the EMERGENCYMedical and Surgical Centre. EMERGENCY now runs a Paediatric Programme providing paediatrictreatment at the Medical Centre’s OPD. The programme sees an average o 230 patients a month.The more severe cases are admitted in the medical paediatric ward at the Centre, while the childrenrequiring surgical procedures are admitted to the adult surgical ward.Following requests rom both the local community and the Aghan Ministry o Health, EMERGENCYestablished a network o Primary Health Clinics (PHC) and First Aid Posts (FAP) to oer medicalassistance to the most isolated villages in the region. These PHCs and FAPs transer severelyill patients in need o urther treatment via ambulance to the EMERGENCY Medical and SurgicalCentre, in Anabah. At present, there are 18 FAPs and PHCs in Panjshir and Salang regions.The annual operating costs or the Centre are approximately
€1,000,000
.
AFGHANISTAN PROGRAMME - Medical and Surgical Centre, Anabah
Update Sheet - March 2009
January – March 2009:Patients seen at the OPD:
6,806
- Surgical consultations:
2,522
- Medical consultations:
2,526
- Paediatric consultations:
1,758
Total number o Admissions:
504
- surgical admissions:
490
- o which:
24
were war surgeries,
167
emergency surgeries and
206
elective surgeries- admissions to the paediatric ward:
214
Surgeries:
553
Data rom June 2003 to March 2009:OPD consultations:
92,643
Admissions:
17,676
Surgeries:
12,444
In the summer of 2008, for the third year running, a team of ophtalmologists went to the Centre in Anabah in order to diagnose patients, then prescribe and provide free glasses to the local population.Tanks to the donations of sanitary materials and personal bio-medical material collected by the teamthemselves, it has been possible to completely equip an ophthalmic OPD. 900 patients have been visitedin the hospital, in the network of First Aid Posts and Primary Health Clinics in the Panshir Valley.
Via Meravigli 12/14 , 20123 MilanT +39 02 881881 - fax +39 02 86316336info@emergency.it - www.emergency.it
EMERGENCY
MILAN
Via dell’ Arco del Monte 99/a, 00186 RomeT +39 06 688151 - fax +39 06 68815230roma@emergency.it - www.emergency.it
EMERGENCY
ROME
PakistanIranTurkmenistanAnabahKabulLashkar-gah
Afganistan
Structure:emergency department; an outpatients’department (OPD), 2 operating theatres, a sterilisationroom, an intensive care unit, 4 wards, a physiotherapydepartment, an x-ray department, a laboratory andblood bank, a pharmacy, classrooms, a children’s playroom, a canteen, domestic services and a maintenancedepartment.Capacity:70 bedsInternational Sta:1 surgeon; 1 paediatrician; 2 nursesNational sta:179 doctors, nurses, clinical sta,administrative and service sta
PO Box 62437, London, E14 1GAT +44 (0) 333 340 6411info@emergencyuk.org- www.emergencyuk.org
EMERGENCY
UK
T +1 1 888 501 EUSAinfo@emergencyusa.orgwww.emergencyusa.org
EMERGENCY
USA
Aghanistan is considered as one o the least developed countries in the world. According to the 2005UNPD Human Development Index, Aghanistan was ranked 173rd out o 178 countries. For decades, thecountry has been the scene o fghting which has let the inrastructure in tatters. EMERGENCY has beenpresent in Aghanistan since 1999.In 1999, ater the successul opening o the Anabah EMERGENCY Surgical and Medical Centre in themountainous Panjshir Region, the need or a maternity hospital was immediately evident. In Aghanistan,
awoman dies every half an hour
as a result o complications related to pregnancy. This is 60 times higherthan the mortality rate o women in developed countries. Women’s access to healthcare in Aghanistan islimited due to the marginalization o women in Aghan society.EMERGENCY’s Maternity Centre began clinical activities on 3rd June 2003. It oers ree o charge obstetricand gynaecological care to the women o the Panjshir Valley as well as neonatal care or the babieswho are born at the Centre. Furthermore, mothers are oered prenatal care at the Centre’s outpatientsdepartment (OPD), in order to monitor pregnancies and prevent uture complications related to deliveriesand pregnancies.The Maternity Centre is linked to a network o 18 frst aid posts (FAPs) and primary health clinics (PHCs) located inthe most remote areas o Panjshir and Salang regions. These FAPs and PHCs oer screening and ollow-up visitsto expectant mothers. Medical assistance is also available to new mothers. Should an expectant mother needurther testing or urgent treatment, she is transported, via the EMERGENCY ambulance, to the Maternity Centrein Anabah. A team rom the Centre composed o an expatriate midwie and an Aghan midwie periodically visitsthe FAPs and PHCs or the screening o patients and to provide on-the-job training to local sta who work there.The all-emale national medical team at the Centre is supported by a team o expatriate sta, who havedeveloped the protocols and clinical procedures required to run the Maternity Centre. A training programmewas also created to ensure that the national sta acquires the necessary skills and knowledge to handlethe rigors o the Centre. Prior to EMERGENCY’s intervention, there were no qualifed personnel or maternityacilities in the entire region, which has approximately 250,000 inhabitants.The annual operating costs o the Maternity Centre are approximately
€500,000
.
AFGHANISTAN PROGRAMME -Maternity Centre, Anabah
Update Sheet - March 2009
January – March 2009:OPD consultations:
2,892
- obstetric consultations:
2,115
- gynaecology consultations:
777
Admissions:
719
Surgeries:
186
- caesarean sections:
65
Deliveries:
505
Babies born:
514
Data rom June 2003 to March 2009:OPD consultations:
38,181
Total Number o Admissions:
8,478
Surgeries:
1,691
Babies born:
5,612
In the frst three months o 2009, more than 780 women have been visited through the prenatalassistance programme provided by a team o midwives in EMERGENCY’s Primary HealthClinics (PHC) and First Aid Posts (FAP) located in the Panshir Valley.
Via Meravigli 12/14 , 20123 MilanT +39 02 881881 - fax +39 02 86316336info@emergency.it - www.emergency.it
EMERGENCY
MILAN
Via dell’ Arco del Monte 99/a, 00186 RomeT +39 06 688151 - fax +39 06 68815230roma@emergency.it - www.emergency.it
EMERGENCY
ROME
TajikistanPakistanIranTurkmenistanAnabahKabulLashkar-gah
Afghanistan
Structure:an obstetrics ward and an internal medicineward (combined 17-bed capacity), an outpatients’department (OPD), an operating theatre, a 5-bed intensivecare unit (ICU), a 3-bed isolation ward, a maternity ward,a nursery, an ultrasound room, a delivery room, anddiagnostic, technical and auxiliary services shared with theEMERGENCY Medical and Surgical Centre.Capacity:25 bedsInternational Sta:1 gynaecologist, 2 midwivesNational sta:24 nurses and midwives, 8 service sta
PO Box 62437, London, E14 1GAT +44 (0) 333 340 6411info@emergencyuk.org - www.emergencyuk.org
EMERGENCY
UK
T +1 1 888 501 EUSAinfo@emergencyusa.orgwww.emergencyusa.org
EMERGENCY
USA
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Appendix a Program Information
Appendix to the EMERGENCY USA Volunteer Handbook
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