Temperature - European Investment Bank

WEST AFRICAN POWER POOL (WAPP) PÖYRY ENERGY LTD.
Mount Coffee HPP ESIA and RAP 2012-09-18
ESIA Report Page 127
2 Health
infrastructures
3 Main vectors
of diseases
and enhancing
factors
4 Water,
hygiene,
sanitation and
nutritional
status
17.3 Impacts
� Insufficient skilled staff (quantitatively and
qualitatively)
� Lack of equipment to provide quality health care
� Shortage in essential drugs,
� Incomplete technical platform in all facilities.
Significant imbalance between health demand and
health supply
� Colonization of houses by anopheles, bugs and
rodents
� Risk for emergence of vector-borne diseases
associated with arthropods
� Use of unsecured water from rain (due to unsafe
water collectors), springs, dwellers and creeks ;
� Poor hygiene practices at both community and
individual level
� Poor waste management and garbage disposal
� Poor food hygiene practices
� Insufficient health coverage due to
the fact that current population has
inadequate health provision.
� Predominance of self-medication,
consultation of herbalists and
traditional healers
� People (especially men) use to
spend the night out in the open
because they want to air themselves,
a behaviour that increase malaria
transmission
� High risk of food poisoning and
intoxication � high exposition to
diarrhoea and cholera
� Absence of community programs
against waterborne diseases
� Nutritional problems associated with
chronic parasitic infections in young
children
To evaluate the morbidity at the population level, several indicators are generally used:
1. The incidence that relates to the number of new cases occurred during the
observation period (last 2 weeks preceding the survey) over the total number of
people;
2. The prevalence which focuses on the number of patients observed in a
population during a period;
3. The lethality that relates to the severity of the disease and which expresses the
frequency of deaths among patients.
Data from this study have not allowed us to track these indicators as we did not undergo
a household survey. However, we perceived morbidity from data recorded at different
health facilities (this concerns people attending health facilities as their main therapeutic
resort). In many sub-Saharan African countries, the percentage of people who have
formal medical consultation as a first resort appeals to an average 40% of the total
population [WHO, 2006].
17.3.1 Impacts Identification
Health impacts were identified following the methodology and classification as
described in the inception report. Only major impacts were assessed according to their
significance, magnitude and likelihood which of course require some knowledge of the
situation that goes beyond the limits of the area under direct influence.