Project Factsheet
Tools for » CHF Somalia HEALTH/OCHA-NGOs
Project ID:00075912Description:CHF Somalia HEALTH/OCHA-NGOs
Fund:
Somalia Humanitarian Fund
Start Date *: 29 Jul 2010
Theme:
Health
End Date*: 15 Dec 2011
Country: Somalia Project Status: On Going
  Participating Organization:   NGO/OCHA - NGO implementation/OCHA
About

CHF-DMA-0489-007 “Emergency Health Support to Baidoa Regional Hospital” – 258,000$

Baidoa Hospital was in the past the reference hospital for 4 regions: Bay, Bakol, Gedo and Middle Juba. The health status of the population in Bay region is similar than in the rest of CSZ of Somalia. The region continues to experience a chronic state of crisis, exacerbated by insecurity, civil conflict and natural calamities, which resulted in massive loss of human life. The infrastructure has been destroyed or seriuosly damaged and basic social services are severely inadequate. Availability of basic health services is minimal to cover the population needs.

The proposed 4th phase of the project seeks: To increase the availability of essential life saving health services in order to meet the current health needs of the resident population of Bay and bordering regions; To provide support to the Hospital in outbreak response; To guarantee the health services in Bay and bordering regions, especially to mother, OVCs and IDPs; To improve nutritional status and quality care for the inpatients, mainly under 5, pregnant and lactating women.

 

CHF-DMA-0489-008 "Health support for vulnerable communities in  Lower Juba Region" - $ 123,098

Access to basic health care is among the most pressing needs facing the Lower Juba riverine communities. In Kismayo in particular with a population of 166,667, less than 20% of the population has access to health care services of any form. Even the self prescribed, over the counter pain relief medication is hard to come by.  The riverine population constituting about 20% of the population face a worse situation as they have no health facilities within easy reach. Children and women are the most affected. Those who can can afford or are forced to look for better health care have to take the long journey to Kismayo town, which is up to 40km from some of the villages or cross Jamame and proceed to MSF-H hospital at Marerey in Jilib which is much further. These health facilities are largely out of reach to residents of the target villages. Access to health care is further complicated by the humanitarian situation facing the riverine communities. During the past few years, successive seasons of floods has devastated livelihoods as the lower reaches of lower Juba are highly vulnerable when good rains are experienced in the upper catchment areas including in the Ethiopian highlands. Food prices has been high at a time when purchasing power is too low for the majority to spare money for health care. Due to lack of access to income, households are highly indebted. The resulting humanitarian situation is manifested in poor indicators of all types including malnutrition and poor health. During the assessment mentioned above, the communities prioritized health care as their most pressing need. AFREC is planning to build the capacity of its health facility and scale up health care intervention. The organization has contacted community elders and the local administration in subsequent consultations.

AFREC is currently running one health facility in Kismayo and three in Afmadow district and is expecting to open a new one in Badhadhe district. The facility that is closest to the targeted riverine sites is the facility located in Kismayo town. The centre is however only equipped to serve the catchment area, mostly IDPs within its vicinity. Even then, the facility receives cases from as far as Jamame/Kismayo border area. It has no outreach component and even the OPD does not have adequate supplies to adequately offer reliable referral services to the needy populations of the riverine villages in the rural Kimayo. Through this intervention, AFREC with support from CHF will equip the facility in terms of key medical supplies and personnel for referral and outreach tailored to cater for most common needs among the riverine populations in the district. The intervention will also seek to build target community's capacity for surveilance and integrated management of common childhood diseases. Towards this, the community will identify 30 CHWs while AFREC will select two resource persons (facilitators) to train and guide them in implementing some good practices.

 

CHF-DMA-0489-009 “Ensure access to quality emergency health services in rural areas of South Mudug – 258,048$

In South Mudug  region, “simple” illness may prove fatal especially for children since no assistance is provided to the population. Very limited portions of the population has the ability to get to the closest hospitals due to unavailability of transportation and long distances; as a result, patients often reach hospitals and other health facilities in critical conditions. Epidemic profiles are not available and no preventive behaviour or activities are held by these communities; also in addition, in case of outbreaks, the slow flow of information may delay humanitarian response.

CESVI is supporting three health facilities of Docol, Galinsor and Bandiradley in South Mudug since Nov 2009. The rest of the area has no running health facilities, lacks quality medicines and skilled medical staff except in the three facilities under CESVI support. CESVI has actively been working with local population and has established 3 community health committees (CHC) to oversee running of health facilities and form the linkage between the organization, health facilities and the local community. Patients rely only on private chemists who may provide unspecific or poor quality drugs when available. Traditional Birth Assistants are not able to assist or refer complicated deliveries to main hospital in Galkayo, this presents a high maternal mortality rate. Antenatal care is not provided.

CESVI has trained 7 Health workers who are nurses and 12 TBAs in April 2010 in Galkayo. The nurses were assigned to run the 3 health facilities, they are offering OPD, antenatal services and referral services. TBAs have been trained to identify high risk pregnancies and support community referral system to the main hospital in Galkayo.  The area lacks support of community health workers trained to offer community health awareness creation services such as health education, community sensitizations and support in health campaigns. Women of child bearing age do not get any vaccinations. Mothers with obstetrical emergencies require transport services to the main hospital. Health facilities require regular supply of medicines and equipment, payment of salaries and running costs. Refresher trainings for nurses have been factored since their capacity to offer quality health care services is limited. 1 midwife is attached to each health facility to offer delivery services, they are supported by 9 TBAs from the community. Each facility has a functional community health committee that oversees running of the facility, they were trained by CESVI. Communities will need to be sensitized in order to understand community referral system as a new concept. Community health workers once indentified will be trained in their new responsibilities.

 

CHF-DMA-0489-011 “Emergency Primary Health Care Provision in Mudug region in Puntland” – 250,000$

The wider region of Somalia is known to have some of the worst MDG-related health indicators in the world, and while data on the health status of the population in Puntland is largely inadequate, what exists illustrates a very serious situation in terms of health and vulnerability.

The needs assessment and external data available show clearly that the population of Mudug faces acute health threats while having little access to the services and care needed to prevent or address them. Most at risk to the combination of food insecurity, poor water and sanitation facilities and inadequate health care are women and children, and those people displaced by civil insecurity, ethnic tension or drought.

This project seeks to address these health and nutrition needs by providing outpatient consultation, integrated management of childhood illnesses, immunization, maternal health services, health education and nutrition programmes. This project works through the MoH to rehabilitate and support existing health facilities and their staff. All of the locations chosen are in a critical nutrition situation with little or no access to health facilities. The proposed project locations are as follows:

  • Galdogob: The Galdogob MCH has been supported by Merlin for just over one year. It is staffed by 3 health professionals and provides health/nutrition services.
  • Halabogad: 850 IDP families have recently been relocated to the town. There are currently no health and nutrition facilities. The MoH has recently requested Merlin to establish a health post and nutritional program.
  • Bursalah: This project proposes to rehabilitate the Bursalah MCH. This is a government run facility and has staff in place however, it lacks medical supplies and the staff requires training. Nutritional and health outreach will be run from this facility as there are a number of large satellite towns.
  • Agaran: The Agaran Health Post is on the main road between Galkacyo and Burtinle. The building exists but there are few services offered. The location has been chosen because while the permanent population is low, the catchment area is estimated at 3,000 with a large transient population.
  • Beyra and Salax: Beyra and Salax have health posts that have been supported by Merlin for over one year. Both facilities have two health professionals who have benefited from a series of trainings. Salax is a remote location which attracts nomadic populations at certain times of the year.

Merlin has been implementing a Primary Health Care programme in the Mudug and Nugal regions of Puntland since February 2009 at two Maternal Child Health centers (health centers) – Burtinle and Galdogob and four health posts (primary health units) – Awrulus, Usgure, Beyra and Salax. Services provided at health centers, which are in accordance to the Essential Package of Health Services for Somalia , include outpatient consultation, integrated management of childhood illnesses, immunization, maternal health services, health education and a nutrition programme. Monthly outreach services are conducted to take basic primary health care to communities in remote and under-served areas.                      

 

CHF-DMA-0489-012 "Provision of emergency health asistance to IDPs in Afgooye Corridor" - $ 480,886

The continuing and recently escalating conflict in Mogadishu is raising concern in the wider humanitarian community. Resulting risk for the health of the conflict-affected and displaced population in and around Mogadishu. The main area of displacement of the people is along the Afgooye Corridor (366,000 of 1.4 million IDPs). Since the beginning of the year, 200,000 people have been forced into displacement. On 03.01.2010 WFP was forced to suspend activities in Southern Somalia. This lead to suspension of planned food distribution activities by IR too due to very much limited resource for a huge need and possible risk of conflict and threat to the safety of employees. The overall global acute malnutrition rate is 16%, one in five children in south-central Somalia is malnourished, the nutrition situation in the central regions is deteriorating and there is an anticipation of a possible overall deterioration of the nutrition situation later in the year. The overall mortality rate of children under five has dramatically increased from 142 out of 1,000 in 2009 to 200/1,000 in 2010, according to WHO. Similarly, the adult mortality rate has increased from 381/1,000 to 416/1,000. From the presence in the field in the Afgooye Corridor region over the past 03 Years, Islamic Relief has decided to improve nutritional status through implementing PHC, basic secondary health care (early identification, management and referral of malnutrition and other illnesses), communicable disease prevention, water, sanitation and hygiene promotion (especially to control AWD)  through its Health and WASH interventions in the Afgooye Corridor. It is believed Health and WASH activities in the region together will complement nutrition improvement.

Islamic Relief (IR) Somalia is currently implementing emergency medical services in Giumale (in the former faculty of Agriculture area), Sabir (in Hawa Abdhi area) and Saccid (in Ceelasha) along the Afgooye Corridor in Afgooye District through funding from ECHO (Giumale and Arbis; fundng received annually continuously for last 3 years) and Saccid (HRF- until the end of August 2010; Last year funded by Norwegian government and this year Norwegian government has contributed to CHF pool). The main activities implemented in the form of a mobile clinics sessions to the IDP sites and providing PHC services and Basic secondary health care services in addition to providing health education  on prevention of communicable diseases, importance of exclusive breast feeding. In the clinics, the pregnant mothers and children with nutritional disorders and complicating illnesses are initially managed through qualified clinicians or refer to referral centres according to the need. Implementing WASH activities also in the region providing improved access to water and provision of child and adult sanitation practices trainings complemented health activities and prevented any outbreaks of AWD in these areas and the CFR for AWD was maintained <1% despite being IDP areas.

 

CHF-DMA-0489-013 "Provision of strengthened primary health care services to the IDPs and host communities in Mudug Region" - $ 333,680

The Galckayo town houses half a million population and because it is at the southern border of Puntland and neighbouring central regions of Somalia, it is the gateway of displaced people from south-central Somalia to Puntland and it has one of the largest IDP concentrations(IDPs 69,560; HE 100,000). Apart from displaced people from south-central Somalia, there are so many other IDP from within Puntland and majority of them are destitute nomads who lost their livelihoods to the droughts. Galkacyo town has many health infrastructures, though in bad conditions like regional hospital, MCHs, TB centre, VCT centre. Despite presence of these health facilities, the vital health indicators are at very low and in unacceptable status. The overall global acute malnutrition rate is 16% (down from 19% in mid-2009) with 23.7% among Galkaiyo IDPs. The overall mortality rate of children under five has dramatically increased from 142 out of 1,000 in 2009 to 200/1,000 in 2010, according to WHO. Similarly, the adult mortality rate has increased from 381/1,000 to 416/1,000. Women in Somalia have a 1 in 15 life-time risk of dying of pregnancy and childbirth-related causes. According to FSAU/FAO2, one in 5 Somali children under the age of five years is acutely malnourished. Therefore, Islamic Relief decided to implement Health service provision along with WASH activities to address the serious issue of malnutrition through controlling and preventing communicable diseases and responding by way of primary health care services. 

IR with cordial relationship with the Minister of Health,other health ministry staff of MOH, Puntland and the MCH Coordinator of the Mudug region will share information about the project right from the beginning. The health facilities that require improvement will be identified in coordination with all stakeholders and renovated and supported with necessary human resources and equipments. The PHC services and MCH services will be carried out in these facilities. Immunization activities will be facilitated with the Vaccines support from UNICEF. 35 TBA and CHWs from the health facilities areas will be provided with one month comprehensive training with the technical support from UNFPA and WHO. Local Health committees will be established and trained in management of health posts and health centres as per roles in the EPHS services. 50 members of health facility management commttees will also be trained in community based disease prevention and IMCI. Early warning alert and response mechanism will be in operation in the health facilities through OPD treatment and regular weekly surveillance reporting to WHO and sharing inofrmation with local and central cluster coordination.

 

CHF-DMA-0489-014 “Strengthening the health services in Dhusamareeb Hospital” – 250,000$

Galgadud Region, with a population of 400,000, is one of the most underserved regions in South/Central Somalia.

Among the most alarming but least addressed healthcare need is the right of women to access safe motherhood services. The available statistics on Somalia indicate maternal and infant mortality rates of 1,100 per 100,000 and 132 per 1000 live births respectively (UNICEF 2001). In Galgadud region, where CISP is currently implementing PHC activities, a large number of women continue to die in the process of fulfilling their motherhood roles.

CISP identified the following as priority needs that contribute to high maternal and infant morbidity and mortality: inadequate access to maternal health care services, owing to inadequate number of health facilities, poor physical and technical capacity of the  existing ones and lack of maternal referral system, a majority of women in Galgadud have no effective and efficiency primary maternal health care services including  Emergencies obstetric , antenatal care (ANC), micronutrient supplementation and clean and safe delivery services. 

Since 2006 CISP has successfully implemented “Integrated Prevention Treatment Care and Support Project” funded by the Global fund through UNICEF to establish and strengthen quality of service provision, to the populations of Harardere and Edhere districts in south and Central Somalia regions. CISP is  currently implementing an “Integrated Health and Nutrition Program” in Eldere, Galad and Harardere (Galgadud and Mudug regions) funded by UNICEF to reach children and women with an integrated package of key child survival  interventions (health, nutrition, water and sanitation) as an approach to contribute to the improvement of health and nutritional status hence reducing morbidity and mortality. CISP is also implementing a Maternal and Child Health Care Program in Dhusareeb and Guriceel districts, Galgaduud region.

An "Emergency intervention for the improvement of primary health care services and for nutritional support in Galgaduud region"(Dhusamareeb, Herale, Guricell, Ceeldheere and Xananburo) supported by HRF has been carried out from Sep 09 to Feb 10 supporting some construction and rehabilitation, providing some equipment, furniture and drugs and training of health staff. The proposed project will allow continuation and improvement of the health activities previously started and improvement of Dhusamareeb hospital facility.

 

CHF-DMA-0489-015 "Health Response for IDPs and Hosting communities" - $ 250,000

The continuing and recently escalating conflict in Mogadishu is raising concerns in the wider humanitarian community. Resulting risks for the health of the conflict-affected and displaced population in and around Mogadishu have been outlined in the contingency plan and are summarized in the overarching background and needs analysis for this consolidated response in the related proposal by WHO. In line with the overall coordinated response, Muslim Aid, in particular, will provide health services to conflict-affected population through 12 health facilities in Afgooye and Baclad corridors and within Mogadishu. Muslim aid has been an active partner working in the mitigation of such kind of emergencies since it first arrived in Somalia in the year 1993, over the years MASFO has learnt to articulately respond to emergencies in Somalia context. Currently implementing various programs aimed at alleviating the prevailing situation in the country.

 

CHF-DMA-0489-016 "Integrated Health Program: Reducing morbidity and mortality of women of childbearing age and children under five in Mudug Region (IHP)" - $ 243,853

The needs in Mudug region are critical in health as a result of constant displacement and insufficient services that are greatly impacting vulnerable populations (children under five and pregnant and lactating women). Approximately 64 percent of the population is classified as in need of urgent humanitarian assistance. Maternal Mortality Rate (MMR) is estimated at 1,000 deaths per 100,000 live births. In late 2009 and early 2010 there was a spike in displacement throughout the region, largely due to the intensification of conflict between Ahlu Sunna wal Jama’a (ASWJ) and Al Shabab. Mudug region is home to upward of 65,000 IDPs, including recent and ongoing displacement due to drought and routine clashes between the two groups. The resultant impact on the health of the population from displacement is significant. WHO reported that the current Acute Watery Diarrhoea (AWD) trends significantly increased in the region, compared to the seasonal trends in AWD outbreaks in previous years. Given heightened insecurity and limited access in Mudug, IDP communities are vulnerable to communicable disease from poor water and sanitation systems in displacement areas and disrupted case managment by health providers. This includes breaks in case management reporting due to poor health information systems. Therefore, sporadic outbreaks affecting larger geographical areas may soon be experienced if basic constant services and information systems are not upgraded to counteract trends. The following organizations are currently working in North Mudug on health: Merlin, SRCS/IFRC, Islamic Relief, Care, and PMWDO. The Government Capacity is limited on health, with the MOH running Mudug Regional Hosptical and a an additional MHC in Galkayo. RI consulted the MOH and international NGOs MERLIN and SRCS/IFRC to confirm need and coordinate interventions proposed via CHF to ensure complimentarity and avoid duplication. Based on the assessed unmet need and coordination with other agencies and local MOH, RI proposes to focus on closing the health services and information gap in North Galkayo, Galgadob, and Hobyo districts to improve access to services and reduce morbidity and mortality trends for upward of 60,000 conflict and drought affected populations.

CHF-DMA-0489-017 “Emergency health care provision in Elbur district, Galgaduud region” – 330,284$

The nutrition situation in Galgadud region is critical. According to the results of a country-wide comprehensive inter-agency assessment, led by the Food Security and Nutrition Analysis Unit for Somalia (FAO/FSNAU) with FEWSNET, released on 1st February 2010, the epicenter of the humanitarian crisis continues to be in Mudug, Galgadud and Hiran regions of south and central Somalia, due to the ongoing drought and civil unrest which has left 70% of the population in those regions in Crisis. 1 in every 5 children is acutely malnourished of which 1 in 20 is severely malnourished. In Galgadud Region, recent fighting between Ahlu Sunnah Waljamaa and Alshabab created a huge exodus of fresh IDPs which has exacerbated an already acute humanitarian crisis by putting more pressure on the already weak coping mechanisms of the population and on the scarce resources available.

Merlin has been implementing an integrated health and nutrition programme in Elbur district of Galgadud region since October 2009, under HRF funding which is coming to an end in February 2010. Under this fund the project has achieved a number of milestones; procurement and supply of drugs, recruitment and training of health staff, provision of preventive and curative health care services in a timely manner to the population in Elbur district, screening of malnourished children and enrolling the eligible ones in OTP/SC and health education among others. During this period Merlin also continued to rehabilitate health facilities by way of minor repairs of facility rooms and water systems.

Due to the critical humanitarian situation in Galgadud region, Merlin proposes to continue implementing its integrated health and nutrition in Elbur District to prevent further deterioration of health and nutrition status and subsequently the loss of life.

Merlin proposes to implement an integrated primary health care and nutrition programme to address the rising malnutrition and continue to provide life saving primary health care in Elbur District. Merlin proposes to implement Community Management of acute malnutrition (CMAM) supporting 6 OTPs and one Stabilization centre.  Merlin will implement this intervention directly, while working closely with the District Health Management Board (DHMB) and Village Health Committees (VHCs). Merlin also is planning to increase the awareness of local community on health emergencies as well as hygiene and sanitation. The local community will also be engaged in the program implementation to enlist their participation on key health issues with the community.

UNICEF will be a key partner in this project through their support to Merlin with training of staff and provision of EPI and nutrition supplies.

Recent Documents
Key Figures
Report by
Financials
Participating Organizations are required to submit final year-end expenditures by April 30 in the following year; Interim expenditure figures are submitted on a voluntary basis and therefore current year figures are not final until the year-end expenditures have been submitted.
Report by
All amounts in US$
View as Excel Print friendly format
Latest Vouchers
This screen shows payment vouchers for transfers made to Participating Organizations. Only payment vouchers from 1 January 2009 and onwards are shown.
All amounts in US$ View as Excel Print friendly format
Contacts

If you have questions about this programme you may wish to contact the RC office in Somalia or the lead agency for the programme.

Contact Us | Glossary | Scam alert | Information Disclosure Policy | Feedback