WHO Malawi leads the health Sector’s response to the people severely affected cyclone Idai

The emergency response continues in Malawi, a month after Cyclone Idai.

WHO is coordinating 12 partner agencies including UNICEF, MSF, the Society of Medical Doctors, UNFPA and numerous non-governmental organizations to ensure that communities are provided with services they need, quickly and efficiently.  

Brian Asiimwe, WHO’s sub-national health cluster coordinator says, “The World Health Organization brings together numerous healthcare partners and coordination is improving. Furthermore, disease surveillance has been heightened in camps, communities and health facilities. Primary healthcare at outreach clinics is ongoing and a measles vaccination campaign is underway.”

The WHO is facilitating outreach clinics, providing medicines and cholera kits. At the Maluwa camp outreach health clinic, mothers with infants and the elderly surge towards doctors, jostling to get treatment and medicine.

Malaria is a concern here with approximately 50% of those presenting themselves to outreach clinics being diagnosed with this parasitic infection. This is not unusual for this region where malaria is endemic but notably, it is the severity of malaria that stands out. Epidemiologist Rawi Ibrahim says that, “Malaria will affect the people here worse because their health has become more vulnerable.” The lack of food, homelessness and anxieties about the future all contribute weakened physical and mental wellbeing.

The rise in malaria is also attributed to malarial mosquitos breeding in stagnant floodwaters.

Agnes Kunthani a Nursing Officer working at the Maluwa camp health outreach clinic, “We are here to provide health care services to the people living in the camps. When we arrive at the camp, the procedure is, we made an assessment of the living conditions. We also assessed the health status of the people to find out those that are very sick and need immediate attention. In the team, we are comprised of nurses, doctors, data clerks and laboratory personnel who are able to diagnose malaria and HIV, as well as pharmacy staff who dispense medicines. The most common conditions are diarrhoea, scabies and malaria. Because of the flood there is an increase in workload and depletion of the district drug budget,” Agnes said.
 
Ketwinn Kondowe the Phalombe District Health Officer states, “Since it was an emergency we needed drugs and transport to reach these camps but the situation was that malaria, diarrhoea, skin conditions, respiratory infections were all increasing. The World Health Organization came to our rescue. They provided logistics to enable us to establish outreach clinics; additionally, the WHO had previously supported us in disaster preparedness.”

From now onwards, some people will return home, others will stay in camps. For the foreseeable future the outreach healthcare services will stay.

On the banks of the Phalombe River lies Bona village in the Chitekse area. Here, the South African army landed its helicopter delivering health services to this village and other flood affected communities. The SA army medical and the Malawi Defence Force medics are prescribing much needed medicines like antibiotics, analgesics and anti-malaria drugs. The cyclone’s torrential rains saw rivers rising above embankments and washing away homes, crops and lives.

According to USAID, 80% of the population are small holder farmers. The cyclone’s timing was further devastating – hitting Malawi during harvest. Annual maize crops provide a sizable portion of the population’s diet and normally lasts until the following year’s harvest. The World Food Programme is distributing rice, cooking oil and maize to communities. Some areas have been entirely cut off with bridges washed away to exacerbate the difficulties of food distribution which will need to continue over the dry season into October.

WHO continues to work closely with the Ministry of Health and other partners to improve data compilation and sharing so that healthcare services, disease surveillance and other resources or services can be provided to the hundreds of thousands of people impacted by Cyclone Idai.