Catalogue of Surge services - Health

ERU Cholera Treatment Center


Capacity

24 hour outpatient observation and inpatient services with supplies for a minimum of 1 month before replenishment needed; operational for up to 4 months. Up to 90 inpatient beds, scalable in units of 30.

Emergency Services

Inpatient and outpatient emergency health services to provide clinical treatment for cholera patients. Services include: triage, assessment, medical treatment of cholera (oral and IV as clinically indicated). Non-cholera patients who present to the clinic will be referred to the most appropriate local medical provider.

Designed for

Unit can be deployed within 48 hours upon receiving a deployment request, can be setup within hours once on site, is self-sufficient for 1 month and can operate for up to 4 months. Designed for the provision of fixed cholera clinical treatment services in communities with limited access to health care as a result of:

  • Population movement to areas where there are no pre-existing health facilities and cholera outbreak has been confirmed.
  • Health infrastructure damages following natural disaster(s) where a cholera outbreak has been declared.
  • Existing health facilities are overwhelmed by influx of patients and/or cholera-related health needs following a crisis.

Personnel

Total: Typically 26-30 people + 72-76 contacted locally.

Composition: Doctors and nurses skilled in cholera treatment (including a comprehensive understanding of pediatric and maternal health considerations related to cholera), and experience with training other health professionals. Non-medical staff includes logisticians, administrators and site technicians. In addition to the deployed team, local health care professionals are integrated into unit as soon as possible with the aim of reaching or exceeding a nursing ratio of at least 1 nurse: 8 ward beds (24 hour services). Public health and WASH profiles can be added depending on the stated need and other resources available in the response.

Standard components

Specific Module names and components may vary but generally include the following:

  • Pharmaceutical and Medical Consumables Module(s): Contains a minimum one-month supply of the medications and medical consumables needed to provide services according to the MSF Clinical Guidelines; quantities also largely based on WHO DD and Cholera Kits. Scalable depending on need.
  • CTC-Specific Ward/Inpatient Module: Contains cholera beds, IV stands, etc; all the medical equipment required to set up an inpatient and an observation cholera treatment ward. Also includes IPC materials specifically required in the CTC environment, chlorination sprayers etc, extra cups for administering ORS, etc.
  • Medical stores/warehousing Module: Contains the equipment and materials needed to set up a warehouse space to store and manage drugs and medical consumables.
  • Waste Management Module: Contains the equipment and materials needed for the safe management of medical waste in a low-resource setting; includes a portable incinerator.
  • Water Treatment Module: Contains the equipment and materials needed to maintain a safe water supply for patients and staff within the ERU facility; generally includes a water filtration unit able to produce a volume of water that is aligned with Sphere standards for health facilities as a minimum, along with chlorine-based agents to treat water as per international norms.
  • Sanitation Module: Contains the essential equipment and materials needed to set up temporary latrines for patient and staff use in a ratio that is aligned with Sphere standards for health facilities as a minimum.
  • Infrastructure: temporary tented, water repellent infrastructure of varying sizes (3x3m to XXX); tents can be metal-framed or inflatable depending on context and needs.
  • Power/lighting Module: Equipment/materials needed to provide self-sufficient power and light generation throughout the temporary health facility; typically petrol/gas run generators ranging from XXX to XXX with associated cabling and energy-efficient lighting.
  • Administration Module: Equipment/materials to set up a field office.
  • IT/Telecommunications Module: Contains portable laptops, satellite communications equipment, mobile telephones and VHF handsets for two-way field communications, as well as essential equipment to set-up a local wireless network within the health facility and field office.
  • Vehicles: 4x4 Toyota Land Cruisers as per IFRC specifications for team field movements, and possibly patient transportation (where context dictates); right hand and left hand drive options available; quantity deployed varies according to size of team and context.
  • Basecamp/accommodation Module: Equipment/materials needed to set-up temporary living accommodations for ERU team in contexts where commercial accommodations are not available.

Specifications

Weight: TBD

Volume: TBD

Cost (indicative): TBD

National societies providing this service: Canadian