SSRA-AMOUD PROJECT IN PARTNERSHIP WITH FORUM SYD IN Sh.Osman

COMMUNITY IN BORAMA

Dr JIBRIl I.M Handuleh,MDPROJECT COORDINATOR

SSRA

Amoud university

• Higher education institution• Oldest and one of the prestigious university in the

country

• PartnersA.Tropical Health and Educational Trust(THET)B.Global Health Center, King’s College LondonC.ForumSydD.Kijabe Teaching Hospital, Kenya

Introduction

• Project is a partnership implemented by Amoud University and Somali Swedish Research Association(SSRA) and funded by ForumSyd.

• Project was proposed in May 2012, grant got accepted in August that year and became operational by November 2012.

Project target population

• The project serves 20-30,000 people in Sh.Osman community in Borama

• 10 female community health care workers were trained for three months on common mental health, childhood and maternal health diseases using appropriate curriculum.

• Mobilize community to enhance sanitation, access to health information and services.

Primary target groups– Primary target group

• The Primary benficiaries of the project include

• Children • Reproductive health education and

information• Mentally ill patients

Goals

• Raise health seeking behavior of the community

• Empower women to lead the community health care worksers

• Defend human right value of vulnerable groups • Increase primary health care access of

community members via awareness and referrals

Project success criteria• SSRA-Amoud members committed to assist

with the project implementation• Community base of the community • Involvement of Project coordination committee• Amoud University medical , nursing and public

health faculty helping with personal indirectly • Maternal and Child Centre in close proximity to

project site

Project relevance and Feasibility

• Bridging a Major Gap in Essential Life Saving Services

• Creation of a Community Outreach Training Programme for the University

• Linking to a Reliable Existing Capacity• community ownership of the project

implementation • Recently with NAFIS FGM group extended mental

health counselling to genital mutilation patients

• 3 months training of 10 FCHWs on common maternal health , maternal and child care disorders

• lialison with MCH and district hospital• Education for community members

Project aims• To establish a community based Health

Program in Borama providing a coverage for 20,000 to 30, 000 rural and per-urban population implemented by FCHWs and made operational in the later part of the year 2012 with focus on MNCH and Mental Health

• To Select 10 females with 8th grade pass education level, residing in the same catchment areas in which they will be serving with the support of their families and local community leaders

• To develop a three months training curriculum for the CMHWs and organize their training program at the Mental Health Center of Borama, run by the School of Health Sciences of Amoud University

• To establish a program coordination council comprising of Amoud University, Community Leaders, Regional Ministry of Health and Local Primary Health Care supporting UN and International NGOs to guide and oversee the program implementation and management

AND WHAT HAS BEEN SO FAR!Project indicators

Project indicators Results Indicators of

expected resultsActivities

i. Mothers, children and persons with mental disorders access essential maternal and child care and mental health services through a community based program at their door steps

-90% of all persons with severe mental health disorders in the project area have been registered and linked to the MHC for diagnosis, treatment and follow-up-80% of mothers with under-six month old infants were counseled about exclusive breast feeding-80% of mothers with children under one year know how to manage diarrhea with ORT

- Selection of the catchment areas to be covered - Social mobilization and interaction with relevant authorities and community leaders - Selection of 10 FCHWs according to the set criteria - conducting the FCHWs intensive training program for three months followed up by a problem based learning once every month

I

Results i. Mothers, children and persons with severe mental illness in the project catchment areas received appropriate treatment and personal and family counseling support

Indicators of results-At least 50% of the chained persons with severe mental illness became chain-free with the help of case management and family counseling-At least 80% of the families caring for persons with severe mental disorders have received education and counseling

Activities

-Regular home visits conducted by the FCHWs -Family education and counseling carried out by FCHWs-Patient referral and case management and follow up at the MHC

Project objectives continuediii. A program coordination council (PCC) established comprising of Amoud University, Community Leaders, Regional Ministry of Health and Local Primary Health Care supporting UN and International NGOs to guide and oversee the program implementation and management

-At least three stakeholders have membership in the PCC that include community leaders, local health authorities and the university -Two consecutive council meeting minutes are recorded

-Community awareness building, social mobilization and project presentation workshop organized by the Amoud University in Borama with the participation of all relevant stakeholders that would be involved in the PCC -Conducting a consultation meeting to nominate the members of the PCC and define their terms of reference

December 2012- February 2013• 10 FCHWS were recruited, trained and became

operational • Project steering committee formed• Field work started • Catchment area identified • Three project activities teached, relevant parties engaged• A. Mental health • B. Maternal health • Child health

March-June 2013

• Home to Home visits fully started • Patients and families received counselling and

health related teaching on sanitation, common illnesses and early referral to patients

• Some chained patients are chain free , work in the community and support their families

• Community mobilized to help clean environment

March-May 2013 cases seen in the community

conditions Number of patients seen Common conditions

Maternal health 490 Anemia, vaginal bleeding , obstructed labor , prolonged labor, and referral for normal antenatal follow up

Breastfeeding 340 Educated mothers and pregnant women about exclusive breastfeeding to reduce childhood illness and suffering to empower them meet their responsibilities

Childhood illnesses 647 Respiratory infections, diarrhea, malnutrition and vaccination taking the life of children in developing countries

Mental health 606 Psychosis, depression etc.Total 1604

THANKS FOR LISTENING Mahadsanid