This first tri-annual morbidity report covers a four-month period: December 16th, 2015 to April 16th, 2016. The daily clinic operating hours were observed: 8:00 AM to 5:00 PM, Monday to Saturday. Sunday is a day off and Friday is a half-day, in line with religious demand for Friday afternoon prayers, which are considered sacred.
Over the period of four months, with an average daily OPD of 30–35 patients, a total of 3,425 men, women, and children from UC Matta and its surrounding areas were provided with primary health care (PHC) and maternal and child health care (MCH) services.
Our initial proposal had envisioned a large tent to house the clinic. However, the reality on the ground was quite different, and the option to take up a permanent structure was possible. We rented a local house centrally located in the mohalla for the clinic site. Technically this is not a complete house, but part of a larger house that was being used for storage purposes. This portion has a separate entrance from the back and is composed of two rooms and a shared compound. Intensive cleaning over two days made the space fit for a clinic setting. The compound is divided by a curtain into gender segregated waiting areas. One room is for the female patients, and the other room is the male doctor, as well as the pharmacy stand.
As per RMF’s hiring policy, we employ staff from the local areas. A call for interviews was made at the very beginning of the project in early December, and interviews were conducted on a first come, first served basis. A selection criterion was based first on qualifications, but with a strong emphasis on a compassionate and empathetic nature. We selected a husband and wife doctor team, since the couple not only belonged to Tehsil Matta, but had decided to give up lucrative careers in the main cities to come back to their hometown to serve their people. So instead of a Lady Health Visitor (LHV), we have a fully qualified female doctor in her place. Since the clinic site was now not a tent service, we hired a cleaning lady for the sanitation of the building and a security guard for the night.
The bare minimum clinic furnishings were procured from Mingora, the nearest large town, and transported to the clinic. The doctors set up the clinic as per their requirements. At this stage, we limited the purchased procurement of furnishing to a bare minimum and took up several unused items from our existing inventory at the Nowshera Health Clinic. The same approach was applied for medical equipment; medical supplies were procured from our Peshawar based vendor, who has been supplying us with medicine for the Nowshera Health Clinic for the last two years. He happily agreed to transport the monthly medical supplies directly the clinic.
The clinic entertained a somewhat equal number of adults and children, whereby the distribution was:
The most commonly presented illnesses overall during this 4-month period:
A total of 1,212 women and children sought MCH services at the clinic:
On October 26, 2015, at 14.09 hrs, an earthquake of magnitude 7.7 hit the Hindu Kush region of Afghanistan. The epicenter was centered in Badakhsan Province of Afghanistan, 76 Km north of the Chitral border of Pakistan.
The earthquake luckily spared extreme damage to infrastructure of the affected areas, hence the low rate of mortality and morbidity but remote villages tucked deep in the folds of the mountains composed of mud and wood have succumbed to the quake tremors rendering whole villages shelter less. Also the event triggered off a series of landslides in the mountainous regions that, in the face of the impending winter where it has been raining and snowing in some regions, led to power outages in many places and road blocks, isolating large tracts of areas where people are in need.
1. To provide immediate relief shelter
2. To provide immediate relief food
3. To provide immediate health care
4. To assist in rebuilding of destroyed homes
A total of 2,231 men, women, and children sought primary healthcare services.