| Grant Profile: |
| Project Title: |
Rehabilitation of the Health Sector in Somalia - Third Phase |
| PCF/LICUS/SPF: |
PCF |
Status: |
Closed |
| File Number: |
37-C
| Region: |
AFR |
| Sector: |
Health and other social services |
Country: |
Somalia |
| FY approved: |
2003 |
Grant Theme : |
Human development |
| Keyword(s): |
HIV/AIDS;Watching brief;Health; Healthcare; Health trainings; Clinic management trainings |
Approved Amount: |
$477,270.00 |
| Related Documents |
 37 - Somalia Rehabilitation of the Health Sector - Final Evaluation.pdf
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Grant Recipient:
International Federation of Red Cross and Red Crescent Societies (IFRC) |
Grant Purpose:
The purpose of the grant was to conduct the third and final phase of an International Federation of Red Cross and Red Crescent Societies (IFRC) / Somali Red Crescent Society (SRCS) - implemented project to support the recovery of community health services in the Puntland and Somaliland regions in Somalia.
More specifically, the project aimed to:
(1) Provide 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 in assisting local NGOs health service
recovery efforts through the development of a methodology and tools for setting-up sustainable
community health service programs. The main goal was to apply this methodology to identify effective models to support sustainable recovery in other post-conflict situations in Sub-Saharan
Africa and elsewhere.
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Grant Activities:
Component 1: Improved community health services in northeast and northwest Somalia ('Puntland' and 'Somaliland')
The component included the following goals:
(1) Improved health condition of most vulnerable groups, especially women and children, in
clinic catchment areas in northeast Somalia through basic curative, preventive and
promotive health service provision.
Activities under this goal included:
(i) Provision of basic curative care using essential drugs and appropriate referral of patients
(ii) Provision of ante- and post natal care with correct identification of high risk cases and
appropriate treatment and referral
(iii) Provision of immunization services with functional cold chain and regular, adequate vaccine
supply
(iv) Growth monitoring activities supported by appropriate intervention where
required, and accurate record keeping
(v) Provision of health education on basic personal and environmental hygiene as well as nutrition
(2) Improved clinic staff performance and accountability for quality of services provided at
clinics through appraisal, training, supervision and reporting.
Activities under this goal included:
(i) Establishment of an appropriate program staff (branch and clinic) appraisal system to include job
descriptions, annual performance appraisal and identification of training needs.
(ii) A dissemination workshops for all health program staff (branch and clinic) and
Community Health Committee representatives, on staff appraisal and quality assurance
system, community management and accountability.
(iii) Provision of regular, structured training and retraining of clinic staff on health care provision and management in accordance with identified needs.
(iv) Identification and implementation of appropriate measures to improve staff performance.
(v) Ensuring monitoring of clinic staff through regular Health Officer site-visits and periodic
Health Co-ordinator visits.
(3) Increased level of community and local authority participation in the management and
financing of the Puntland and Somaliland clinics through the replication of the 'community
management' model in six clinics.
Activities under this goal included:
(i) Community Action Planning (CAP) training for the Somali Red Crescent Society in collaboration with the Federation delegation.
(ii) CAP events in six clinic communities (three in Puntland and three in Somaliland) to engage as wide a range as possible of community members, their health representatives, representatives of district and regional health authorities, the Somali Red Crescent Society, UNICEF and WHO, in the establishment of a community health management plan specifying the type of community health services required and the roles and responsibilities of each partner for their running and resourcing.
(iii) Community management skills training workshops to provide community committee members with skills required to perform effectively in the roles assigned in the community management plan.
(iv) Monthly meetings of Health Officers, clinic staff and Community Health Committees to report on clinic service provision and review community satisfaction.
(4) Expanded range of services provided at six clinics in Puntland and Somaliland
Activities included:
(i) Construction and equipment of PHC laboratory facilities at six clinics (three in Puntland and three in Somaliland).
(ii) Training of two clinic staff per facility in laboratory testing.
(iii) Provision of primary health care laboratory testing (malaria, parasites, pregnancy etc.) in six
clinics.
(iv) Provision of quarterly quality control of laboratory services.
(5) Increased community health awareness and promotive action among the targeted population in
12 communities
Activities included:
(i) Reproductive health training for eight Traditional Birth Attendants (TBAs) from each of
the 12 clinic communities
(ii) Recruitment and training of Community's Own Resource Persons (CORPS) and Red Crescent
volunteers from within the targeted communities in basic health messages, early recognition
of home-based or community level, preventable health conditions, referrals to clinics,
community entry and basic survey methods
(iii) Community health awareness meetings to provide basic health education for key
groups
(6) Improved health workers' knowledge of HIVIAIDS prevalence and - in the target
population - increased knowledge of HIV transmission and means of prevention
Activities under this goal included:
(i) Establishment of a Voluntary Counselling and Testing Centre in Garowe hospital to which all STI patients are referred
(ii) Training of SRCS branch and clinic staff as trainers and develop a comprehensive plan of action
for HIVIAIDS awareness campaigns in communities including to develop culturally acceptable IEC materials on STD/HIV/AIDS, and training of key community members with influence in high risk groups among the population in the 12 target communities
(iii) HIVIAIDS awareness campaigns in the target communities through community
disseminators, theatre and local media.
Component 2: Improved eflectiveness of Internationa1 Organizations' support to local actors engaged in health service provision in post-conflict settings
This component included the following goals and activities:
(1) Increased availability of programming tools to support international organisations working with local actors to achieve sustainable community health service recovery in countriesaffected by long term instability and conflict, based on the experience of the HSR project
Activities under this objective included:
(i) Production of a set of programming guidelines for community health service recovery
interventions in countries affected by conflict and long term instability.
(ii) Production of a manual for training local NGOs to prepare and conduct small scale surveys to
provide essential baseline data for sustainable recovery programs.
(iii) Production of a manual for training local NGOs on conducting Community Action Planning, and
setting up and training effective community service management committees.
(iv) Creation of a post-conflict recovery training package supported by a multi-media CD-Rom, for
staff of international organisations (a series of training modules for formal workshop and
informal office or home-based learning, to provide staff with an understanding of postconflict
situations and the challenges of planning and managing programmes in this context)
(2) International organisations' supporting local actors engaged in health service provision in post-conflict settings:
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