ICRC Health Response in Somalia

An extreme drought caused by several failed rainy seasons and an increase in armed violence and conflict this year have further exacerbated the already fragile situation, particularly in hard-to-reach areas where essential services are even scarcer. Deaths and injuries caused by the conflict are spiraling up whereas illnesses related to food insecurity – such as malnutrition, measles and acute watery diarrhea (AWD) – are also steadily increasing.

It took Maryan and her daughters two days to reach reach Kismayo Hospital. Ikraan Abdiaziz (right), almost two years old, was severely malnourished. Two weeks into the treatment program, Ikraan has regained her liveliness. In fact, she is leaving the ICU for the the next phase of the treatment where she will be under a lighter care regimen. 

The ICRC’s health work is aimed at ensuring that people affected by conflict can can access basic health care. In Somalia, the ICRC has worked for decades with the Somali Red Crescent Society (SRCS) to support existing health care services in providing emergency care. Today, the ICRC supports regularly four hospitals as well as 27 primary health care centres, three physical rehabilitation facilities and three ambulance centres run by the SRCS by providing material and financial assistance and building the capacity of the staff. It also rehabilitates existent and builds new infrastructure and ensures that health structures have access to clean water. In two hospitals, the ICRC further supports the stabilization centres treating acute malnutrition. Most of the primary health care units also provide treatment for malnutrition.

In addition to its regular support, the ICRC is able to deliver rapid assistance in emergency situations, for example by providing hospitals with essential material to treat weapon wounded patients.

The SRCS mobile-health-team van heads to the outskirts of Mogadishu city. Five days a week the team goes to a specific rural area to deliver health services. Inside the van are a health team of six: the head nurse, an out-patient clinic officer, a midwife, a nurse who attends to children under age five, and auxiliary nurses who help with dispensing drugs and other services. 

In addition to providing medical assistance, the ICRC in Somalia is committed to an open dialogue with all parties to the conflict to ensure the protection of civilians and medical personnel, including their safety in areas of ongoing fighting. We also try to ensure the protection of patients and medical personnel, including in situations of ongoing fighting. The ICRC also visits persons deprived of freedom in relation to the conflict and strives to ensure that they are treated humanely and with dignity and can access adequate healthcare.

In emergency situations, caused for example by a large-scale armed attack involving use of explosives, the planning and delivery of medical care has several stages that need to be carefully managed. At the first stage, when needs may not yet be clearly assessed, the objective is to provide “massive” support and help the ambulance and hospital teams that receive the wounded and the dead. At the second stage, there is time for fine-tuning, to work with medical personnel and institutions to understand the needs, whereas at the third stages, these needs can be covered comprehensively. In Somalia, the ICRC provides assistance in all these stages.

Emergency support – treating victims of armed conflict

The Somalia first aid pre-hospital emergency care (FAPHEC) Program’s activities consist of supporting holistic pre-hospital care by providing salaries or incentives to staff and volunteers as well as providing transport and drugs to enable delivery of aid. The ICRC also delivers basic and advanced first aid and mass-casualty training SRCS Action teams, armed actors and other pre-hospital care providers. it also trains vulnerable communities on basic first aid.

Salah Mohamed, a mechanic in Mogadishu, was the victim of a car bomb that exploded at the El Ghab junction in the city.”There was smoke. I was confused and went into the fire, but then turned away. I got out and the smoke hit my face. I fled to the Garden of Peace.” recalls the 29-year-old man. His face, arms and legs are covered in burns. 

The practical cooperation with professional networks and first aid responders is of critical importance in ensuring efficient emergency health support.

 Dr. Abdikadir Haji Maalim, a surgeon at Madina hospital in the operating theatre attending to a weapon-wounded patient. Madina hospital sees most of the casualties of car bombs, shoot-outs and grenade attacks that happen in Somalia’s  capital.

Since the beginning of the year, the ICRC has responded to the urgent needs of emergency health providers and hospitals in Somalia to help them treat conflict-related mass and individual casualties. Significant assistance in the form of medical kits, infusions, anesthesia, surgical and supplementary supplies such as plasters and casting materials, sterilization kits and medicines were provided to 12 hospitals in the central, southern, southwestern states, as well as in Somaliland and Puntland.

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In 2018 and in 2021, the ICRC organized trainings on dead body management in Mogadishu and Hargeisa respectively for first aid teams. Our teams are planning a similar training in Mogadishu later this year.
   

First responders present at the workshop were told to consider the bereaved at all times when handling the bodies and respecting them throughout the process

Help keep key hospitals running: Madina, Keysaney, Baidoa and Kismayo

The health care program is a core part ICRC’s work in Somalia. The goal of supporting four hospitals in Somalia – Madina, Keysaney, Baidoa and Kismayo – is to improve:

  • Access to hospital care
  • Pre and post-operative care for patients
  • Hospital management activities aimed at empowering hospitals and strengthening operational relationships with local authorities

The ICRC provides hospitals with regular medical and non-medical supplies, training, emergency support, water and infrastructure interventions and monthly incentives.

Madina Hospital pharmacy.

The drought response

With the onset of the drought, the ICRC intensified its efforts to provide people with access to drinking water, address the problems associated with AWD (acute watery diarrhea), the cholera outbreak and malnutrition. The ICRC stepped up its’ efforts to ensure provision of safe drinking water to communities and to treat malnutrition, acute water diarrhea, cholera and other illnesses related to food and water insecurity.

Since the beginning of the year, over 1,5 million people have gained access to clean water from more than 30 rehabilitated water sources, and more than 150,000 people in Bardere, Belet Hawa, Kismayo, Baidoa and Jowhar have participated in community hygiene promotion. These activities included household water treatment and distribution of soaps, as well as hygiene awareness sessions in riverine areas prone to AWD and cholera outbreaks.

In addition to 27 Somali Red Crescent run Primary Health Care centers already operating in different parts of Somalia, the ICRC is supporting the SRCS in opening seven emergency mobile health clinics to provide integrated health and nutrition services to populations with no access to health care in conflict and drought affected areas.

Leerto Hassan Ibrey, 21, with her one-year-old son in the intensive care unit of a stabilization center that treats severely malnourished children. The facility, located at the Bay Regional Hospital in Baidoa, central Somalia, has seen a surge in cases due to the ongoing drought in the country.

Services provided by the temporary emergency mobile health clinics include outpatient services and outpatient therapeutic program (OTP) for the treatment of severe malnutrition without complication. To reach to malnourished people, particularly in the most affected areas, the ICRC and the SRSC are engaged in a joint response with active mid-upper arm circumference (MUAC) screening in six hot spots areas.

Teams from the ICRC and the Somali Red Crescent Society (SRCS) support and maintain primary health care clinics, hospitals and stabilization centers that treat malnourished children and pregnant and lactating women.

For more information, view our Januray – June 2022 facts and figures.

Source : Icrc