State- and Peace-Building Grant Database
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Grant Profile:
Project Title: Rehabilitation of the Health Sector in Somalia - Second Phase
PCF/LICUS/SPF: PCF Status: Closed
File Number: 37-B Region: AFR
Sector: Health and other social services Country: Somalia
FY approved: 2002 Grant Theme : Public sector governance
Keyword(s): HIV/AIDS;Healthcare; Health service delivery; Health trainings; Clinic management trainings Approved Amount: $545,367.00
Related Documents   37 - Somalia Rehabilitation of the Health Sector - Final Evaluation.pdf
Grant Recipient:

International Federation of Red Cross and Red Crescent Societies (IFRC)
Grant Purpose:

The grant funded Phase II of a project implemented by the International Federation of Red Cross and Red Crescent Societies (IFRC) and the Somali Red Crescent Society (SRCS), aiming to support the improvement of community health services in the Puntland and Somaliland regions in Somalia. The general objectives of the project were to:

(1) To improve community health services in Somalia by providing critically needed community health services through 12 Mother and Child Health (MCH) clinics in Puntland (northeast Somalia), while promoting increasing community and regional health authority involvement in managing these clinics;

(2) Improve the effectiveness of international organizations' support to local actors engaged in health service provision in post-conflict settings
Grant Activities:

The grant included the following components and activities:

Component 1: Improved community health service delivery

(1) Improved health conditions for most vulnerable groups of the population in targeted communities in north east Somalia

Activities included:

(i) SRCS Mother and Child Health clinics providing essential primary health care services in 12 communities in Puntland
(ii) Regular outreach consultations in villages within clinic catchment areas
(iii) Provision of cold chain equipment and vaccines for all 12 clinics
(iv) Training of 30 new Traditional Birth Attendants

(2) Expanded range of services provided by Qarhis clinic

This sub-component included the introduction of laboratory testing for malaria, pregnancy and parasites in Qarhis clinic.

(3) Increased health workers' knowledge of HIV/AIDS prevalence and increased knowledge of HIV risks and means of prevention in the target population

Activities under this sub-component included:

(i) Establishment of a Voluntary Counselling and Testing Center in Garowe hospital for STI patients
(ii) Training for SRCS staff at 12 MCH (feeder) clinics on HIV/AIDS prevention
(iii) Training for key community members on raising awareness on risk of HIV/AIDS

(4) Increased community health awareness and promotive action

The activity under this sub-component included recruitment and training of volunteers from within the targeted communities to conduct IEC campaigns (information/education/communication) and sanitation campaigns using ARCHI strategy for community health education.


Component 2: Improving the effectiveness of international organizations' support to local actors engaged in health service provision

(1) Increased level of community participation in the management and financing of Qarhis clinic through successful application of a 'cost-sharing' model

Activities under this sub-component included:

(i) Community service management skills workshops for 36 Community Health Committee members and 24 clinic staff
(ii) Transfer of partial responsibility for the running and resourcing of Qarhis clinic to the
Community Health Committee

(2) Increased responsibility of the Puntland Directorate of Health for the monitoring and regulation of community health services.

Activities included:

(i) Development of a Memorandum of Understanding with Directorate of Health on role of SRCS
clinics in Puntland health system in order to align MCH services with the emerging policy of the
Puntland DoH
(ii) A joint training for DoH and SRCS staff on guidelines for MCH clinics and DOH policies

(3) Increased Effectiveness of cost recovery system in Garowe Community Hospital

Activities included:

(i) Analysis of 1,000 cost recovery patient impact questionnaires from the survey in Phase 1
(ii) Two cost recovery system training missions at Garowe Hospital

(4) Completed Household Survey of the six Somaliland clinic communities, to establish willingness and ability to participate in the running and resourcing of their MCH clinics

Activities under this sub-component included:

(i) Training for Somaliland SRCS and MCH clinic staff on data gathering and surveying techniques
(ii) Development of a household survey questionnaire on Somaliland clinic communities' profiles,
health practices, traditions of participation, and socio-economic status
(iii) A household survey in 360 households in six communities in Somaliland
(iv) Analysis of the responses from questionnaires
(v) Validation of data and selection of appropriate information to develop a Somaliland 'cost-sharing' model