 Yn eich cwestiynau o'r panel, fyddwch i'n cwestiynau o'r defnyddio'n bwysig. Yn eich cwestiynau ymlaen, ychydig i'r ffaith. Yn eich cwestiynau i'r ffaith, rydych chi'n gweld. Tom Roth, gydig i mi'n gweithio'r cwestiynau, mewn menwela. I'm interested in the medical costs. Do you have a breakdown of what is the contribution of in the medical costs? So what is the drug prices, what is the medical practitioner costs etc? Do you have that breakdown in a bit more detail to understand what's, because it is a significant block there of costs? Yes, so from the survey itself, we did not break these costs down specifically. And the teams in Jordan are currently working on looking at this into more detail, especially also when we talk about prices for medication, there's some work to be done. Our next question please, if we take two at a time. Florian from the Institute for Tropical Medicine and also a question for Manuela. I understood correctly that you only included refugee population in the survey, right? Yes. Yes, and so then one practical question, how did you identify refugee households from this random GPS point? And the other question is, do you have any information about the resident population just to put your outcomes into perspective, whether this is actually like a bigger problem than the resident population or not, which would impact the, well, what you make out of your findings, thanks. So the practical aspect, so we had this random GPS coordinates over the inhabited area and then we sent the teams to those GPS coordinates and asked them to identify Syrian households, simply by asking around, asking pedestrians, shop owners where the next Syrian household is. And the community, so the Syrians and the Jordanians, they lived pretty closely together, so everyone knew where the Syrians lived and it's absolutely not a secret. And then from there on it was by referral, so from the interviewed household asking for a referral to the next household. And your second question was on the comparison with the Jordanian community. Yeah, to some extent we know that there are more females in the Syrian community compared to the Jordanian community. But we don't have a very detailed comparison because the detailed data from on the Jordanians, they were unfortunately not available to us. So the ministry was not able to share all these details with us. Okay, I think we had another question just on... This is Marit from MSF Holland. It was very similar question to the Jordanians. I could imagine that the host population has exactly the same problem. So what I get from your presentation is that we provide care only for Syrian refugees and not attending the host population with probably similar medical background and might similar have problems with the access to NCD care. No, so the MSF projects in Jordan, they also support the Jordanian community. So at the end of last year we had about 30% of the patients were actually Jordanian communities. And also so from the information we had now from the survey, the teams on the ground are also putting some more work into understanding the needs of the host population and be able to identify the most vulnerable among the Jordanians so that we can better target the support we provide there. Okay, so more questions including for Frank, if there are any, we have our translator. We have a couple of hands right in the middle towards the back. So we take two questions there and then we have a third one here. We'll just take the questions first and then respond, okay? Hi, my name is Tish, I'm MSF on Pediatric Infections Diseases. A question for Stefano and Frank. Stefano, you had nobody under the age of 12 in your hospital. Was that by design, was pediatrics being treated somewhere else or just no access in 11 months to children under 12 in your hospital? And for Frank, you demonstrated a significant drop in mortality. Could there have been other factors that influenced that seasonal? You talked about not looking at sort of people coming and leaving, but was there a change in the broader context that could have explained that or do you attribute the reduction in mortality to the MSF interventions? No, actually pediatrics is there. Can you hear? Pediatrics is there. It's just that we did not do any separate analysis for children, but if you remember the median age was 20, so that means of course pediatrics are included. I cannot provide you the exact numbers now because we did not do dedicated analysis, but if you're interested, that would be very easy to do. OK. O se qui concerne le ffe de la saisonarité, c'est évident comme la saison agit sur la prévalence des maladies, tell que la malnutrition de palidisme et la diarrhée, qui sont les maladies qui sont liées vraiment autant. La malnutrition étant essentiellement liées au baisse de disponibilité de nourriture, la diarrhée est la malnutrition liée à la préviometrie. C'est évident que la saisonarité est à contribuer à faire baisser cette mortalité. O se qui... With regard to the... Speaking to the market. With regard to the seasonality, this could obviously have had an impact due to the variety of diseases when it comes to malaria and diarrhea. We know that malnutrition is caused by the lack of availability of food, but obviously things like diarrhea are often impacted by rainfall. O se qui concerne le denominator, qui peut être influencée par le ffe de qu'on n'a pas inclus les arrivées et les départs, on n'a pas quand même banquie, comme j'ai dit, on a place where it's a closed camp. There are not enough population movements because the military thinks that the population shouldn't move to avoid contact with the people of Boko Haram. So this has been minimized by this factor. In addition, this has been minimized by the fact that the period of the recall was very short. So on a very short period of the recall, on a beaucoup plus de chance que les gens n'a pas bougé du fait de cette limitation de mouvement dans le camp. Donc, à banquie tu ne peux pas voyager parce qu'il faut avoir l'autorisation des militaires avant de voyager. Tu dois rester dans le camp et tu ne dois pas aller voir quelqu'un de l'autre côté parce que tu vas voir quelqu'un de l'autre côté probablement tu vas aller prendre quelque chose chez Boko Haram pour venir lui faire dans le village. Don c'est barricager. So with regard to the other factor including arrivals and departures within the camp you need to remember that banquie is a closed camp. There is no possibility of movement. The military doesn't authorise people to move because they want to avoid people having contact with Boko Haram. And also the fact that we did the studies in quick succession means that we reduced the risk that people might have moved on. And again I would remind you that in order to move from the camp to the military authorisation. Evidently the impact of this stuff cannot be only linked to the intervention of MSF it is combined factors that have led to the decline of mortality and malintuition. Thank you. Obviously the decrease in the mortality rate isn't solely due to the MSF intervention there are other factors too. I'm just going to cut in there because we're running out of time and I know we've got someone up there with a mic and we have a question if you could keep it brief and we also have a question from our online audience so if you could start at the back please, yeah. Hi, Shantad from MSF. I have a question for Manuela. So from our experience in Lebanon we know that Syrians living by the borders can go into Syria and get their medication and then come back to Lebanon. Is that a case in Jordan too? Do they go back for meds or doctors appointments? So to my knowledge the border is closed completely and I'll believe that's either directions so I don't think this is possible at the moment but if someone has some more updated information. Sorry I had a question. Sorry we're going to come to a question from the online audience here. So just one question from online it's a question from Manuela about the access so NCD prevalence in children and potential barriers to access in that patient group and whether you think families prioritise children when seeking health care? Yeah so the prevalence among children was 3.5, 3.2% something like this and then the most prominent were the chronic respiratory conditions. So generally speaking when we look at access to general child health care and general adult health care we do see that their parents tend to seek health care for their children more than they would do for adults so those who do not access care among adults was higher than compared to children. We have indeed done very detailed analysis and we'll have that complete report out very soon publicly available. Thank you. I think there's someone who has a hand on a microphone. Yeah I had a question for Frank. Please go ahead. Claire Mills from OCP. I just had a question given the very high severe acute malnutrition rate of the rapid assessment and the full by the end when you did the malnutrition formal survey do you think it's realistic that initial assessment was accurate or do you think it more shows the need for more comprehensive surveys in these situations? Nw penswng cwyl e valiant cwyl e ffordd o'r debyd o'r debyd cwyl e rapid assessment nw penswng cwyl e rapid assessment e'n fferd dans un situation sy'n cael debydd o fasynasio ac mae gen i'n trefnol o'r hunain sy'n cael debydd a tu'r un ddebydd o'r bwysig ac mae'n debydd pwysig o'r ddiffeniad yr al-alimau i bwysig gallai bod ein jaesfyn eich bod y wybod sy'n fawr o'r ffawr allaf oherwydd rhaid o'r bwysig ac eich fawr o'r ddebydd o'r hyn sy'n mynd. Mae'n sgwch ofer angen amddangach a gwella un mhwyld ond your children are the first to be vaccinated, when we want to do vaccination for the first second after ageing, they have to have a second last one for the age of the age of more than five years. But most of the parents will have the children of less than five years and when we try to explain it, they just tell us simply as we don't know what children are using here, and those who are in health care, we must bring the children home because there are too many deaths. So, the fact is that it is bad because we cut people back up and that we are making the home o angrifennulad, a oedd eich uchydigur i isgwyddiant i'r ddwybod i'r ddweudio'r beth sydd wedi'i'n gwneud y cyfrifysgol o'r email ar gyfer eu hwn, i'n dweud i fynd i gydwyddiant y tala o digwydd, sy'n gweithio am ddoedd yma i ddiwyddiant yw'r amgylch i gyddiant. Ym ni'n ddiwyddiant o'r amgylch i ddam am eu ddoddiad o'i cyfrifysgol, y gallwn yn eich ddweud yna ddwybod i ddoddiad, the food they obviously bring the sick children with them but you need to bear in mind the fact that in Bankie even if you're just distributing water everybody comes and we have one particular example where we had one round of vaccination for Under Fives and then the second round of vaccination for Over Fives and all of the Under Fives children were brought again for the second round of vaccination because people's response when we tried to explain was simply a world ond ni'n gofyn nhw i'r gweithio, felly byddwn ni'n gweithio i'r wneud i'r llwyddiadau ond yna, rwy'n gweithio. Nid ydych chi'n gwneud ar y ddweud, fel mae'n ffordd, rwy'n gweithio i'r mollwn. Felly ydych argymau i gael i gael eu panelistau yn y ddweud, a'u ziw'r ddwy'n cymryd. Ond yna, dyna ar y ddweud o'r ddweud, rydyn ni'n gofyn i'r half anhygoel. Mae'n gweithio y taek, mae'n gweithio gynnyddio'r ddau'r ddau'r ddau'r ddau'r ddau'r ddau'r ddau. Felly, rydyn ni'n gweithio'n gweithio'r panellus hynny'n gweithio.