1. Year in review: 2010 Public Health Department August 2011

2. Basic health care: OPD 2.2 million outpatient consultations – 31% children < 5 years 2007 2008 2009 2010

3. Morbidities OPD

4. 2007 2008 2009 2010 58,000 inpatient - 54% children < 5 years Basic health care: IPD

5. Morbitidies IPD

6. Basic health care: Surgery 5,700 major surgeries in 17 projects - 10% violence-related - 1.3% mortality 2007 2008 2009 2010

7. Mental health care Psychiatric care within 8/27 relevant projects 2007 2008 2009 2010

8. Emergencies & Outbreaks Major emergencies: Earthquake in Haiti Floods in Pakistan Lead poisoning in Nigeria Nutritional crisis in Chad Other emergency interventions: Sange burn DRC Leh Ladakh flood India Outbreaks: Cholera in Haiti Cholera in Chad Measles in sub-Saharan Africa Meningitis in Nigeria KA in South Sudan

9. Outbreak response 2010 where? Measles: Ethiopia, Nigeria, DRC, Zimbabwe, Chad & CAR Meningitis: Nigeria Cholera: Chad, DRC, Haiti, Nigeria & PNG

10. Outbreak response

11. Vaccination Progress on roll out of pentavalent vaccines and Hepatitis B birth dose administration.

12. Nutrition Admission to TFP per country

13. Reproductive health 25,000 new family planning safe abortion care offered in 6 projects and available by referral in 13 projects 48,000 cases of sexually transmitted infection – 23% men 180 fistula repairs

14. Sexual violence response 28 projects provided post-rape care

15. HIV/TB 44,300 active cases in Dec 2010; 70% on ART 8.7% of those started on ART in 2010 <15yrs 80% of TB patients have known HIV status; 3,975 (68%) of these were found positive.

16. TB

17. Malaria 345,500 treated Successful roll out of new RDTs to all missions

18. Neglected Tropical Diseases Kala azar – 8,000 screened & 42% positive – 3,492 treated – New project in Bangladesh Cutaneous leishmaniasis – 570 treated Human African Trypanosomiasis (Sleeping Sickness) – 6,365 screened & 0.8% positive – 49 treated

19. Watsan Minimum standards data reported in 71% of relevant projects Average score is 74.4% (range 25-95%) Emergency activities Chad, Colombia, Haiti (EQ & cholera), Nigeria (cholera & flooding), Pakistan & PNG: CountrySafe drinking water provided (litres per day) For population of Over period of Pakistan698,00046,5004 months Haiti EQ187,00012,40010 months Nigeria flooding100,0006,6002 months Haiti cholera45,0003,0002 months

20. Operational research 14 studies initiated dissemination – 16 articles published – 5 submitted/in press – 15 in process – 13 presentations/posters