• Multidrug-resistant tuberculosis (MDR TB) and other deadly infectious diseases commonly occur in states suffering from political turmoil and armed conflict.
• The same conditions that promote MDR TB and other diseases often diminish the capacity of the public health system to address these needs, leading patients to seek care in other countries.
• In East Africa, a large number of patients from Somalia with MDR TB crossed the border to Kenya seeking treatment. While the diagnostic capacity for MDR TB exists in Somalia, treatment capacity does not.
BACKGROUND: Tuberculosis elimination in countries with a low incidence of the disease necessitates multiple interventions, including innovations in migrant screening. We examined a cohort of migrants screened for tuberculosis before entry to England, Wales, and Northern Ireland and tracked the development of disease in this group after arrival.
In order to address the acute needs of displaced and vulnerable Somalis, IOM proposes a multi-sector humanitarian response in the areas of Water, Sanitation and Hygiene (WASH), Camp Coordination and Camp Management (CCCM), Displacement Tracking, Health, Nutrition, and Mental Health and Psychosocial Support (MHPSS). IOM will strengthen existing life-saving humanitarian assistance and scale up activities in Somaliland, Gedo, Bay and Lower Juba regions.
IOM proposes a coordinated multi-sector humanitarian response in the areas of Camp Coordination and Camp Management (CCCM), displacement tracking (DTM), health and WASH to strengthen existing, life-saving humanitarian assistance and scale up activities in areas where there have been a significant influx of IDPs.
One third of the Somali population are pastoralists (UNFPA 2014) and 1.6 million are internally displaced persons (IDPs) - an increase from 1.1 million before the drought in November 2016 (IOM DTM).
Building upon its groundbreaking Somali HIV hot-spot mapping research, IOM has started the first bio-behavioural HIV surveillance survey in Somaliland, in collaboration with the World Health Organization (WHO). The surveillance will explore key findings of the earlier research, with a focus on most-at-risk populations (MARPS.)
IOM is launching a new programme aimed at increasing HIV/AIDS awareness among vulnerable populations and de-stigmatizing HIV in Somalia.
A tri-partite agreement has been signed between the Government of Kenya,the Federal Government of Somalia and the United Nations High Commissioner for Refugees (UNHCR) detailing a dignified and humane repatriation process of Somali refugees in Kenya on a voluntary basis. As part of this process, UNHCR plans to provide assistance to spontaneous returnees at way stations on the Kenya-Somalia border.
This project, therefore, plans to support the FGoS first to rehabilitate the transition centre in Baidoa, secondly to assist the Ministry of Interior and National Security with providing care and basic material for the disengaged fighters housed at the centre, and third to support the coordination of the daily operation at the centre. IOM is working with government and UN counterparts to ensure that the centre will be operated in accordance with the parameters established in the Government’s National Plan, and in line with international human rights and basic principles of protection.
The proposed project aims to implement a multi-sector response to the location-specific emergency needs of displaced populations and host communities in Somalia. Through CCCM, Health and WASH responses, IOM will strengthen existing life-saving humanitarian assistance to drought affected population members and scale up its activities in Gedo, Bay, Sanaag, and Lower Juba regions of Somalia. IOM will support drought-affected communities through the following interventions: Camp Coordination and Camp Management (CCCM); Health and Nutrition; Water Sanitation and Hygiene (WASH)