Emergency Health and Nutrition Training Key Messages

Public Health Priorities in the Emergency Phase: (adapted from 10 priorities of MSF refugee health book 1997) 1. Initial Rapid Assessment 2. Measles Immunization 3. Water, Sanitation & Hygiene Promotion 4. Food & Nutrition including Infant Feeding in Emergencies 5. Shelter, Site Planning & Energy 6. Minimum Initial Service Package (MISP) for Reproductive Health in Crisis situations 7. Health Care Service in Emergency Phase 8. Control of Communicable Disease & disease outbreaks 9. Public Health Surveillance 10. Human Resources & Training 11. Coordination/Camp Management The priorities in Bold are Save the Children priorities

Mortality Thresholds Crude mortality rate (CMR) > 1 death/ 10,000 people/day Or doubling of baseline CMR < 5 mortality rate (<5 MR) > 2 deaths/ 10,000 children/day Or doubling of baseline U5 MR The emergency response should aim to reduce the mortality rate to below the threshold level

Rapid Health Assessment – Data Needs in the Emergency Phase 1.Background; social, political, economic data 2.Background health data 3.Affected population size and demographics 4.Vital health information –Mortality rates –Top 5 causes of Morbidity –Risks for disease outbreaks –Measles vaccination coverage (>95% or <95%) –Acute malnutrition level –Access to health services (primary, referral, and secondary) – human resources, medical supplies –Health practices (BF habit, delivery practice) 5.Environmental conditions – water, shelter, sanitation