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 Report - Monthly Report (UMCOR)

 Report date: 31.10.1999

30 Bul-Bul Avenue, Apt. #62Telephone: (994-12) 93-01-10; 98-05-38
Baku, Republic of AzerbaijanFax: (994-12) 98-28-70


UMCORs clinics and medical points maintained regular schedules during the month of November, with five primary health care clinics in Baku serving 3,826 IDP patients. These facilities serve IDPs residing in five districts of the city. A total of 9,424 IDPs received primary health care through eight UMCOR medical points in Sabirabad, Imishli, Saatli, Fizuli and Agjabedi.

Five clinics funded under Department of State (DoS) project was completely transferred into community-based health provider paradigm. During November, UMCOR-trained Community Health Providers (CHP) administered the health care services previously provided by the clinics doctors.

In November, the MCI clinic doctors continued to distribute health education leaflets pertaining to Acute Lower Respiratory Infections (ALRI) of Children; Immunization; and Micro-Nutrients/Vitamin Deficiency; Tuberculosis; Scabies; Worms; Poliomyelitis and Prevention of Communicable Diseases. The goal of this initiative is to raise awareness and improve the knowledge of the target population (IDP/RP mothers of reproductive age) in relation to these health concerns.

During the month, one meeting was conducted for UMCORs Baku-based MCI-funded medical staff. Work-related issues were discussed during the meetings. In November, training session was also conducted for the medical staff on the topic of Arterial Hypertension. Training materials were developed and distributed to the medical staff. Pre-test was administered to training session participants.

Under the auspices of our UNHCR project, UMCOR continued supporting sport, cultural and skills development activity circles for adolescent girls and boys. UMCOR coordinated with Relief International for the organization of a community library at Varkhankend secondary school of Saatli district. Relief International (Open Society Institute funding) provided books for school library through Akhundov national library. UMCOR initiated the distribution of textbooks, UNHCR-donated school kits and UMCOR-procured hygiene kits for the children. A total of 8,200 condoms, 803 bars of toilet soap and 803 bars oflaundry soap were distributed during the month of November to Meskhetian Turk communities under the health education component of the program. 1,654 Meskhetian Turk IDP women were examined by UMCOR Gynecologists in the month of November.

UMCOR/Azerbaijan initiated a project funded by U.S. State Departments Bureau for Population Refugees and Migration (BPRM) targeting Meskhetian Turk refugees residing in Northeast, Southeast and Shamakhi regions. All the healthinterventions were initiated during the month of November.


Department of State Emergency Medical Assistance Project

In November, parallel clinic system was completely transitioned into a community-based health provider paradigm. Schedule was developed for Transition Monitors to supervise the work performance of CHPs. UMCOR-trained 59 Community Health Providers (CHPs) provided primary health care services to the target population residing of Baku and Absheron districts.

Statistics pertaining to IDP/RP patients benefited from primary health care services during the months of October and November 1999 are provided below:

Note: Due to transition process statistical information for the month of October became available in November.

# of IDPs/RPs








# of patients:








To provide beneficiaries with access to the medications at convenient locations, UMCOR maintains seven medicine dispensaries and five additional mini-dispensaries.

Due to failure in securing a point in Khirdalan for establishing a medicine dispensary, decision was made not to initiate a medicine dispensary there, at the moment. Instead, one medicine dispensary will be opened in Hovsan district, which is largely resided by IDPs as well. This way, the total number of UMCOR dispensaries does not alter.

The most prevalent diseases among the ID/RP population during the months of October and November were the following:

1. Common cold-11.4%1. Worms-12.5%
2. Tonsilitis-8.2%2. Common cold-11.2%
3. Bronchitits/Pneumonia-7.6%3. Headache/joint pain-7.4%

UMCOR Bulletins that have been distributed to the physicians of the 42 UMCOR-supported state health facilities were revised and translated to be disseminated among CHPs for their further reference. The Bulletin included introduction to UMCOR, indication of the most common mistakes made while completing morbidity statistics forms, prescription forms and health cards.

During the month, a mobile clinic consisting of a Pediatrician, a Nurse and a Driver continued their outreach activities, which enable primary health care, medicines and medical supplies be delivered to institutionalized/handicapped children residing in 33 Children Institutions in Baku and the Absheron area. In November, the UMCOR Pediatrician served 211 institutionalized/ handicapped children in the targeted Children Institutions.

42 state health facilities continued receiving medicines and medical supplies available from five UMCOR medicine dispensaries in November. A total of 741 patients received medicines and medical supplies in the five UMCOR medicine dispensaries during the month. All UMCOR medicine dispensaries were provided with the list of CHPs working in their community.

In November, vulnerable patients of Kurdamir and Ali-Bayramli districts had access to UMCOR-donated medicines in two pharmacies established in these regions by UMCOR. Medicines are dispensed according to the prescriptions written by state physicians of these districts, who had been trained by UMCOR staff. In November, 296 prescription forms were received from doctors of state health facilities in Ali-Bayramli and 119 prescriptions were received from Kurdamir.

During the month of November UMCOR Medical Monitors implemented the monitoring of UMCOR-supported state health facilities in Baku, Siyazan, Davechi and Khachmaz. The current balance of UMCOR donated medicines and medical supplies was assessed during monitoring. In addition, UMCORs internal distribution methodologies and distribution forms were also reviewed. This monitoring also assessed the needs of these health facilities for receiving further medical supplies by UMCOR.

During the month, UMCOR medicine dispensary #3 continued providing all registered Diabetic children and youths of the Republican and Baku Endocrinology Clinics with syringes for Insulin.

In November, UMCOR continued to support 62 state health facilities and NGOs including Azerbaijan Charity Society HAVVA, INSAN, The Association of Parents of the Children with Talassemia, Hemophilic Patients Association and the Jewish Womens Organization of Azerbaijan, a Jewish charity organization Hesed Gershon, working in collaboration with UMCOR. Health workers of these organizations and facilities filled patient prescription forms using UMCOR medicines and medical supplies.

A new contract for collaboration was signed with Health Department of Tovuz district . According to the terms of the signed contract, the vulnerable patients of this health facility will be provided with UMCOR-donated medicines and medical supplies.

A new order for medicines and medical supplies was prepared according to IMAs Bi-Weekly inventory lists.

In November, $ 849,523.03 worth of medicines and medical supplies arrived from Citi Hope International. The shipment was delivered to UMCORs warehouse and inventory was initiated.

Prescription and consumption forms written by CHPs and local state doctors were analyzed in November. The quantity of the three medicines randomly selected from mobile pediatric team and the medicine dispensaries was compared with the quantity presented in the consumption forms. A few discrepancies were detected between the prescription and consumption forms this month.

The monitoring of all 800 (100%) prescription forms was conducted during November, which had been filled by CHPs in October, in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 785 (98%) of the prescriptions had been correct.

2. USAID/MCI 1 Primary Health Care Support/Five Clinics in Baku/Absheron Region

The table below presents statistics of IDP/RP patients who received primary health care from the five clinics supported by the project during the month of November.








# of IDPs/RPs







# of patients:







The most prevalent diseases among the ID/RP visiting MCI clinics were the following:

  1. Common cold - 9.4%
  2. Worms - 8.7%
  3. Trauma/burns/wounds - 6.7%
  4. Tonsillitis - 6.6%
  5. Headache/joint pain - 6.3%

Prescription and consumption forms written by USAID/MCI clinic doctors and local state doctors were analyzed in November. The quantity of five commonly used and three medicines randomly selected from each clinic, the Mobile Pediatric team and the medicine dispensaries were compared with the quantity presented in the consumption forms. Almost no divergence was detected between the prescription and consumption forms.

In November, the monitoring of all 3,431 (100%) prescription forms filled out by clinic doctors during the month of October was conducted in accordance with WHO protocols and MSF guidelines. Results of the monitoring indicated that 99.6% of the prescriptions had been completed correctly.

End -use monitoring was conducted among the beneficiaries residing in Katai, Narimanov and Sabail districts of Baku. Monitoring was carried out based on the prescription forms written in September. Using selective method (forms ending with 2) 215 (8%) prescription forms were selected but 157 (5%) IDPs were found and surveyed by the Distribution Monitor. The survey revealed the following information: 1) all (100%) of the surveyed population had access to free medical consultations and medicines; 2) as a result of the treatment, there was a considerable improvement in the health status of 98% of beneficiaries; 3) the surveyed population stated that they would continue to visit UMCOR clinics.

USAID/MCI Primary Health Care Support/Seven ECHO Camps and Two IDP Settlements

All eight medical points continued to serve IDP/RP patients, residing in the seven former ECHO camps and the two collective centers in Imishli, Saatli, Sabirabad, Fizuli and Agjabedi regions of Azerbaijan.

The table below presents statistics on the number of IDP/RP patients that received primary health care at UMCORs eight medical points during the month of November.

Medical Point


#of IDPs/RPs

# of patients

Sabirabad 1 (Ahtachi)




Sabirabad 2 (Shahriyar)




Saatli (Alisoltanli)








Fizuli (Bahmanli)




Agjabedi (Khojavand)
















The most prevalent diseases among the ID/RP visiting MCI medical points were the following:

  1. Headache/joint pain - 11.1%
  2. Trauma - 7.2%;
  3. Bronchitis/pneumonia -6.1%
  4. Tonsillitis - 5.6%;
  5. Hypertension - 5.0%

In November, the Baku-based Medical Manager visited all the medical points and reviewed their activities. He also assisted the Imishli office staff in preparing the November monthly report.

On 27 November, Minister of Health Mr. Ali Insanov visited UMCORs medical point in Agjabedi. The physician of this medical point Dr. Arzu Aliyeva familiarized Mr. Hasanov with the activities of UMCORs medical point in Agjabedi IDP camp. He became acquainted with the activities of the medical points including registration of patients (health cards), growth monitoring (growth cards), referral system (referral form), immunization (immunization passport), health education (leaflet distribution) and also medicine tracking system. The visit was recorded and broadcasted on State TV channel along with the interview of the Minister of Health . Mr. Ali Hasanov expressed his high regard to UMCOR for the noteworthy work organized in the medical point.

Pursuant to the decision of the Minister of Health, UMCORs health care system will be studied by Districts Health Departments of Azerbaijan. Toward this end, monthly seminars will be organized for the representatives of each Districts Health Departments in Agjabedi medical point.

Prescription and consumption forms written by medical point doctors were analyzed in November. The quantity of the five most commonly used medicines and two medicines randomly selected from the prescription forms were compared with the quantity presented in the consumption forms. In total, 4,271 prescription forms were checked and 56 denominations of medicines were selected. The monitoring indicated that there was no divergence between the prescription and consumption forms of the medical points.

The November monitoring of all 3,894 (100%) prescription forms, prescribed by the medical point doctors in October, was conducted in accordance with WHO protocols and MSF guidelines. The results of the monitoring indicated that 3,890 (98.8%) prescription forms had been correct.

3. USAID/MCI 1 Health Partnership Program

In November, Mr. Larne K. Garrettson, M.D., FAAP, Associate Professor, Department of Pediatrics from Emory University visited Baku to evaluate the Health Partnership Program activities following its completion.

He visited program-targeted hospitals (Republican Center of Surgery and Republican Hospital) to estimatethe program outcomes, and follow the progress of the implemented Partnership between targeted hospitals and Baylor College of Medicines, US.

4. UNHCR/Meskhetian Turk Project

A. Non-Food Distribution

A total of 6,344 quilts and 13,071 sweaters were distributed in Northeast and Southeast regions during the month of November.

B. Agriculture

California worms/Organic fertilizer: The farmer from Velvala, Guba district continues maintaining the worms, despite there is no progress in its upkeep.

Family Greenhouse: UMCOR field staff started the monitoring of greenhouses distributed during 1997, 1998 and 1999 UNHCR projects. Materials for additional 120 family greenhouses were procured and transported to the field warehouses. UMCOR will distribute the greenhouses to the farmers recommended by the Community Committees in the settlements. UMCOR staff will verify the list of recipients prior to the distribution of greenhouse materials. The Farmers Groups will be responsible for the construction of greenhouses.

Community Seed Bank: UMCOR and Vatan are currently conducting a market search for fertilizer and pesticides required for the wheat seed generation program.

Agriculture Extension Project: Nine (seven from the Southeast and two from the Northeast regions) MT agronomists, who attended the first level of training also participated in the second level of agriculture extension training. The second level of training for the agronomists took place in UMCOR-Sabirabad. The agriculture extension agents have delivered their consultations to the farmers in the settlements.

C. Health and Nutrition

Health Education: The 146 leaders of the womens groups continue to assist UMCOR health educators in the dissemination of health education lesson plans for women and children.

UMCORs four part-time Health Education teams completed the dissemination of the lesson plan on Infant Nutrition in settlements targeted in the 1999 and is ongoing in the settlements targeted in the 1998 project. A total of 1,761 women (923 from Southeast region and 838 from Northeast region) attended these lesson plans. The preparation for the dissemination of lesson plan on Breast Feeding in the 1999 project settlements is underway.

Health education teams distributed the following items during the month of November: 8,200 condoms (6,760 in the Northeast region and 1,440 in the Southeast region); 803 bars of laundry soaps and 803 bars of toilet soap in the Northeast region.

Mens Groups: Two full-time and two part-time male health educator teams completed the dissemination of the first lesson plan on Family Planning in the 1998 and 1999 project settlements. A total of 1,737 men (757 in the Northeast region and 980 in the Southeast region) attended the lesson plan. A total of 4,731 condoms were distributed during the lesson plan in the Northeast region.

Reproductive Health Care (RHC) Services: The UMCORs gynecologists continued to work in collaboration with local MoH employees (midwives, felchers or nurses) in the settlements where UMCOR has established its clinics.

A total of 724 MT/IDP women were examined; 1 case of which was referral to womens consultation center and 1,654 diseases were diagnosed by UMCOR gynecologists. UMCOR Gynecologists distributed a total of 73 contraceptives (49 condoms and 24 intrauterine) in the Northeast and Southeast regions.

Pharmaceutical Distribution for Primary Health Care: UMCOR continued the pharmaceutical distribution activities supporting Meskhetian Turk refugees and other vulnerable population with basic pharmaceuticals. UMCORs gynecological teams operating within the framework of UNHCR-funded MT project were employed to conduct this activity. A total of 652 beneficiaries received various medicines prescribed by UMCOR gynecologists during the month of November.

D. Community Services

Sports Groups: Two more sport groups have been organized in the Southeast region during the month. A total of 29 sports groups are conducting sport activities (football, volleyball, badminton, and chess) for adolescent children in both regions. Sports groups are classified according to the age groups: 12 to 14 years and 15 to 20 years old. UMCOR provided sports groups with additional equipment and supplies to conduct the proposed activities.

Recreational/Cultural Groups: A total of eight circles including cookery, art, drama, dancing were organized in Southeast region. UMCOR provided the circles with equipment and supplies to conduct the proposed activities.

E. Education

Pre-school Childrens Centers: All pre-school childrens centers discontinued their activities due to inadequate number of children attending the centers. The drop in the number of children was associated with the beginning of school year.

UMCOR completed the distribution of school and hygiene kits to the primary school children in Southeast. However, the distribution is ongoing in the Northeast region.

Vocational Training: Three more sewing circles were organized during November in Northeast region.Currently, a total of twelve sewing circles are operating with 159 adolescent girls in attendance. UMCOR provided these circles with necessary equipment and adequate materials/supplies to function according to their proposed plan. Twelve community instructors are employed for conducting the training sessions.

Tractor mechanic/driver course: A group of 12 adolescent boys began attending the Tractor mechanic/driver course. As per agreement with the vocational school the practical classes will be conducted in the settlement and theory classes will be conducted both in the settlement and at the school. UMCOR will cover the expenses of the training course. At the end of the training course, the vocational school will award diplomas and issue driving license to all children who will pass final examination.

Textbooks Fund:Textbooks for Secondary Education -UMCOR continued the distribution of textbooks for the adolescent children, and also to invalid/disabled children who do not attend school but can read and write. Community Groups in various settlements carried out the distribution. UMCOR initiated monitoring to ensure the proper use of resources. A total of 7,215 textbooks were distributed. The distribution is on going. The initial report revealed that school attendance rate of the children increased. Textbooks for Primary Education - UMCOR initiated the distribution of primary education textbooks for MT/vulnerable local children. A total of 609 mathematics books (540 in Southeast and 69 in Northeast) were printed out.

5. Bureau for Population Refugees and Migration (BPRM) / Rural Development of Meskhetian Turk Refugees

Health & Nutrition:

Reproductive Health Care (RHC) & Family planning services

UMCOR negotiated with Head Doctors of Shamakhi, Ismayilli and Gobustan district hospitals to revive the existing schedule of gynecologists visits to the settlements. The idea was highly appreciated by the Head Doctors and they agreed to use all the available resources. The gynecologists will examine patients and prescribe medicines that will be available in UMCOR medicine dispensaries. The gynecologists will not receive incentives from UMCOR, and transportation to the villages will be provided by the hospitals. UMCORs RHC program will collaborate with a total of five gynecologists. Three of them have already participated in the training course organized by Pathfinder International. UMCOR facilitated the training for two gynecologists in collaboration with Pathfinder International. UMCORs RHC Program Manager conducted a one-day training for the gynecologists on annotation of UMCOR medicines.

Training of village midwives/nurses

UMCORs RHC Program Manager conducted a two-day training session for the village midwives/nurses from six settlements of Shamakhi, Ismayilli and Gobustan districts. The training topics included Aseptic and Antiseptic, and First Aid In Blood Loss During Pregnancy.

Reproductive and General Health Education training

UMCORs Reproductive Health Education (RHE) Program Manager conducted a two-day training session for two part-time HE teams, comprised of four educators, on Family Planning. The dissemination of the lesson will start in December.

Distribution of pharmaceuticals

In November, UMCOR organized six medicine dispensaries (three in Southeast and three in Northeast regions) and provided them with medicines. These medicine dispensaries were renovated before being supplied with medicines. UMCORs health specialists conducted a three-day training session in each region on common diseases, medicines and completion of UMCOR prescription form. UMCOR medicine dispensaries will release medicines based on the UMCOR prescription forms filled out by the MoH doctors who participated in the training.

Community Development/Legal Assistance:

In November, SONA and AWDC visited Southeast and Northeast regions and conducted several meetings with the communities. They developed work plan and training topics and presented them to UMCOR. They gathered all the necessary training materials concerning human rights, gender awareness, womens health and family planning. The internal training sessions have been conducted for Sona and AWDC staff, UMCORs local NGO partners for BPRM-funded project.

Community Infrastructure Rehabilitation:

Two projects in the Northeast regions were selected for the rehabilitation. Rehabilitation Manager initiated the detailed assessment work on these two projects. The community engineers were identified for the assessment and implementation of the projects. The contractors were identified for the rehabilitation program.

Small Business Program:

UMCOR started the implementation of its Small Business project. Recruitment is underway for a Program Assistant in addition to three SONA and three AWDC trainers. Training of the trainers is scheduled to begin the first week of January and the womens groups will receive their first business training in late January or early February. UMCOR field officers are currently informing the womens groups about the program and of the basic concepts of the project.

Capacity building:

The capacity building of SONA Womens and Childrens Organization is well under way. UMCOR was able to successfully link SONA with UNDP-funded NGOs Resource Training Center (NRTC) in Baku.

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