MSF is currently wrapping up its emergency response in Central Sulawesi, Indonesia. On 28 September, a series of earthquakes hit Indonesia’s Central Sulawesi Province caused significant damage and loss of life. As of 30 October, 2,101 people are known to have died. A further 4,438 people have been seriously injured. Search and rescue operations were stopped on 12 October. According to figures released by Indonesia’s National Disaster Management Agency (BNPB), at least 1,373 people have been reported missing.
 
“The Government of Indonesia and its local authorities as well as the local non-governmental organisations were quick in reacting to the disaster. That is why, MSF, as an international humanitarian medical non-governmental organisation has been complementing these efforts and providing for the gaps in the response,” said Daniel von Rège, the country director of MSF in Indonesia.
 
Until mid-December, MSF will continue its Mental Health activities, prioritizing individuals in communities as well as reaching out to health staff for further trainings for them to independently continue providing much needed mental health support to the affected populations. 
 
The finalization of the construction of a temporary health centre in Baluase, south of Palu and the completion of latrines and installation of water tanks in selected IDP camps in the second week of November meant that we ended the logistical support in Palu by the 18th of November.  
 
As of 14 November, all clinical activities provided by MSF also ended. This decision was reached upon assessment of the community health centres’ (Puskesmas) capabilities of managing the health needs of the population. When the team left, the Puskesmas were already working at 80-90% capacity and had already restored the health services and programmes they have been running prior to the earthquake, tsunami and liquefaction. 
 
Here is a snapshot of the emergency response provided by MSF:
  • On 2 October, just four days after the triple disaster in Central Sulawesi, MSF deployed its first team to undertake an assessment of the situation. They worked closely with the Indonesian Ministry of Health in identifying key areas, both geographic and thematic areas of need. 
  • As a result of the assessment, MSF medical activities in Central Sulawesi focused in four areas, Baluase, south of Palu; and Batusuya, Labuan, and Malei, in Donggala district along the north coast of Palu.  Sigi was affected by liquefaction and Donggala was the area hardest hit by the tsunami and earthquake.  
  • On 8 October, the second MSF team arrived to continue the provision of medical activities. These medical activities were mostly concentrated in the community of Baluase; in South Dolo, Sigi district where a mobile clinic was set up in the first three weeks and a temporary health structure was built. This structure, which can last up to 5 years, has now been handed over to the authorities. 
  • In Labuan and Batusuya, MSF supported the health centres in restarting their health services by providing clinical support, managing patients and donating materials and supplies needed as well as referrals of more severe cases.  On the 2nd week of intervention, MSF also helped rehabilitate the Batusaya health structure, by fixing the roof and repairing the walls and windows. 
  • In Malei, which is 4 hours away from Palu City and the furthest area that MSF supported, health services were provided both in the health centre and through mobile clinics in the communities. 
  • In total, MSF undertook about 1,000 consultations, within a total of 28 consultation days and an average of 16 patients per day.  
  • MSF turned over the water and sanitation facilities it has built to the Puskesmas and camps — 17 of tanks installations in 7 camps/villages and 13 unit of latrines in two camps and a village as well as in the temporary Puskesmas in Baluase. 
  • Currently, the Mental Health team is continuing its services to the affected communities and has plans to stay until mid of December 2018.
 
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