MSF response by Province

Information as of May 20

MSF RESPONSE BY PROVINCE

Terms referred to below:
TFC: Therapeutic Feeding Centre
SFC: Supplementary Feeding Centre
IDP: Internally Displaced Person
CMR: Crude Mortaility Rate

BIE PROVINCE

Kamacupa Population: 50,000
IDP Population: 60,000 in 11 camps from southern Bie, inaccessible until 2001. Over the past six months, nearly 25,000 of these IDPs have arrived in terrible condition. There are an estimated 75,000 to 100,000 IDPs still inaccessible. Another 500 new IDPs arrive each week.
Malnutrition rates of new arrivals: 8.2% Global malnutrition; 2.4% Severe malnutrition
TFC: two TFCs with a total of 409 beneficiaries with 102 new admissions per week
TFC: One TFC with 300 beneficiaries
SFC: Two SFCs with 2,388 beneficiaries and 318 new admissions per week. Most new admissions have arrived from Gamba and Umpulo. The WFP has stopped family rations because of a lack of food-stocks, so MSF may have to employ mobile units.
Additional information: Umpulo (100 km from Kamacupa) is an area of major concern. Many new arrivals tell of others who are too weak to leave. For the moment, the area is only accessible by foot.

Kuito Population: 130,000
IDP Population: 135,000 in 27 camps around the city, with 1,000 more arriving each week. Staff at two MSF health-posts in the camps at Belo Horizonte and Chissindo conduct 2,000 consultations a week.
Malnutrition Rates of new arrivals: 9.5% Global malnutrition; 4.5% Severe malnutrition.
TFC: Four TFCs (plans for a fifth) with a total of 812 beneficiaries. Kuito also serves as a referral center for malnutrition in the surrounding and previously inaccessible areas. Most new admissions arrive from Chitembo and the QFA in Cambandua.
TFC: 2 TFCs, 350 beneficiaries
SFC: 2,410 beneficiaries, with 200 new admissions each week.

Chitembo
Population: 22,000
IDP Population: 7,000 inaccessible since 1998.
Malnutrition: 26% Global malnutrition and 9% Severe malnutrition.
CMR: 5 deaths/10,000 people/day
Addditional information: Since initial visits, roughly 300 severely malnourished have been transported to TFCs in Kuito. Screening and referral system set up, and health structures in Chitembo and nearby Cachuengues supplied with medicines.

CUANDO CUBANGO PROVINCE

Menongue Population: 100,000
IDP Population: 15,000; 50-100 arrive each week. 6 health posts operating in the area.
TFC: 1 TFC, 200 beneficiaries, 1 more TFC planned. Most new arrivals from Sobo Mateas QFA.

HUAMBO PROVINCE

Caala Population: 80,000
IDP Population: 18,000. Staff at four health posts conduct 6,000 consultations/week.
TFC: Two TFCs, 850 beneficiaries and 230 new admissions per week. Caala serves as a referral center for the severely malnourished in the surrounding areas, especially from Bunjei and Galangue.

Bunjei (29-31 March) IDP Population: 14,000
Malnutrition: 36% Global malnutrition; 9% Severe malnutrition.
CMR: 5.2 deaths/10,000 people/day
Additional information: Started tent-hospital that conducts almost 900 consultations a week with an average of 47 new hospitalizationss. MSF has also provided emergency water supply a support dispensary, opened a SFC with 1,000 beneficiaries as well as providing a blanket feeding programme. Staff transfer 180 severely malnourished to Caala TFCs pe week.

Chilembo IDP Population: 9,000
Malnutrition: 42% Global malnutrition; 10% Severe malnutrition
CMR: 4.5 deaths/10,000 people/day
Additional information: MSF has started a hospital that conducts 534 consultations/week, with approximately 24 hospitalizations per week; support dispensary. Opened TFC 4/02, 134 beneficiaries, 21 new admissions/week. Opened SFC with 327 beneficiaries; provide emergency water supply.

HUILA PROVINCE

Matala Population: 170,000
IDP Population: 45,000 in 11 camps.
Malnutrition Rates of new arrivals: 54.9% Global malnutrition; 22.4% Severe malnutrition
TFC: 1 TFC, 198 beneficiaries; 53 new admissions/week (most from Chipindo.
SFC: Two SFCs, 575 beneficiaries with 92 new admissions/week.
Additional information: MSF runs or supports seven health posts.

Bunjei (29-31 March) IDP Population: 14,000
Malnutrition: 36% global malnutrition; 9% severe malnutrition.
CMR: 5.2 deaths/10,000 people/day (over 1,000 graves dug in past six months)
Additional information: Started tent-hospital that performs approximately 900 consultations a week with an average of 47 new hospitalizations; provides emergency water supply; supports dispensary; opened a SFC with 1,000 beneficiaries; established a blanket feeding programme for 5,700. MSF had transfered 180 severely malnourished to Caala TFCs per week.

Chipindo (27-28 April)
IDP Population: 8,000 displaced by FAA and trapped without access to food. Surrounding areas hold many pockets of critical need. Staff at one health post perform 250 consultations per week.
Malnutrition: 37% Global malnutrition; 17% Severe malnutrition
CMR: 4.5 deaths/10,000 people/day
U5MR: 6 deaths/10,000 people/day
Additional information: One TFC with 350 beneficiaries and 30 new admissions/day. One SFC with 350 beneficiaries and 175 new admissions per week. MSF is also providing hospital and dispensary support and is running a blanket feeding programme.
Additonal information: It takes 3-4 days to travel by road to Chipindo. Also, the village was completely destroyed in the last round of fighting.

Bailundo (8-15 May) Population: 21,000 in three surrounding QFAs.
Malnutrition (average of three QFAs): 35% Global malnutrition; 8-9% Severe malnutrition.

Galangue (10-15 May) IDP Population: 12-14,000 (to confirm)
Malnutrition: 42% Global; 24% Severe
CMR: 5 deaths/10,000 people/day
U5MR: 15 deaths/10,000 people/day
Additional information: Transferred 125 severely malnourished children to Bunjei in first four days (mid-May). MSF provided support to dispensary in order to stabilize children for transfer.

LUNDA SUL PROVINCE

Saurimo Population: 70,000
IDP Population: 20,000. Four health posts in the area.
TFC: 1 TFC, 100 beneficiaries

MALANGE PROVINCE

Cangandala Population: 35,000
IDP Population: 18,000, with only a few new arrivals each week. Acute needs among Unita family members. 1 health post and 1 mobile clinic perform 600 consultations/week.
TFC: 1 TFC, 90 beneficiaries, with 25 new admissions/week - mainly from nearby QFA.
TFC (Jan. 02): 1 TFC, 25 beneficiaries
SFC: 1 SFC, 200 beneficiaries, with 25 new admissions/week

Malange Population: 200,000
IDP Population: 100,000, with =/- 100 new arrivals/week.
TFC: 4 TFCs, 400 beneficiaries, 150 new admissions/week, mainly from nearby QFA.
TFC (Jan. 02): 1 TFC, 25 beneficiaries

Damba QFA (9 May)
Population: 2,150
Malnutrition: 10%. MSF identified 121 severely malnourished children, and referred them immediately to TFC in Malange. People at this QFA were in terrible condition.
CMR: 7.3 deaths/10,000 people/day (based on a rapid survey)
Additional information: Continued referral to Malange TFC. Plans for Blanket Feeding or dry SFC.

Ngangassol QFA (10 May)
Population: 1,800
Malnutrition: 10%. 42 severely malnourished children immediately transferred to TFC in Malange, with 100 total by 17 May.
CMR: TK deaths/10,000 people/day
Additional information: Regular system of transfer to Malange TFC put in place. Blanket feeding or dry SFC planned.

MOXICO PROVINCE

Luena Population: 80,000
IDP Population: 50,000 with 500 new arrivals each week
Malnutrition rates of new arrivals: 14.2% Global malnutrition; 9.5% Severe malnutrition.
TFC (present): 2 TFCs, 267 beneficiaries. 60 new admissions/week, mainly from Chicala QFA, and new displaced sites in Muacanhica and Muatchimbo.
SFC (present): one SFC and two mobile SFCs with 900 beneficiaries and 150 new admissions/week.

UIGE PROVINCE

Uige Population: 128,230
Malnutrition Rates of new arrivals: 7.6% Global malnutrition
TFC: 1 TFC, 76 beneficiaries, 19 new admissions/week.
SFC: Three SFCs, 995 beneficiaries (520 in program, 475 follow-up), with 55 new admissions/week.

ZAIRE PROVINCE

M'Banza Congo Population: 25,000
IDP Population: 8,000 with 25 new arrivals each week. One health post and one mobile clinic conducts 800 consultations per week.