emergency srh interventions in drought affected and food-insecure areas, ethiopia

©2012 International Medical Corps

Emergency SRH interventions in drought affected and food-insecure areas, Ethiopia

From Relief to Self-Reliance

IAWG annual meeting, Kuala Lumpur, May 31-June 01, 2013

Tenaw Bawoke – IMC Ethiopia

©2012 International Medical Corps 2

Presentation outline

• Background• Introduction• Program Objective• Program approaches• Program findings/outcomes• Limitations• Next steps


1. Background• Main RMNCH indicators of Ethiopia (2011 DHS)– MMR (per 100,000 live births) - 676– ANC (4+) – 19 %– ANC (1+) – 43 %– TFR – 4.4– Institutional delivery (per 1,000 live births) – 10– CPR – 29 %– U5MR (per 1,000 live births) – 88– IMR (per 1,000 live births) - 59– NMR (per 1,000 live births) – 37


1. Background ….• Backgrounds of E & S Ethiopia – Pastoralist & semi-pastoralist zones which are

frequently affected by: • Malnutrition and food insecurity. • In times of emergency, women and adolescent

girls are exposed to: –Anemia, unsafe abortion, GBV/rape, HIV/STI

infection, un-planned pregnancy and delivery complications.

.


2. IntroductionIMC MISP intervention portfolio in Ethiopia (rapid and slow onset emergencies) – integrated with WASH & Nutrition intervens. Slow onset emergencies

Drought-affected pops of Somali Region, Sep 2006 – Apr 2007 AWD affected comms of E & W Harrarge, May-Oct 2008 Drought-affected pops of Wolayita , Apr-Sept 2009 Drought-affected pops of Wolayita, Apr-Dec 2010 Drought-affected comms of E/H & Wolayita, Sept 2011 – Apr 12 Drought –affected comms of Wolayita, 2013

Rapid onset emergencies Somali refugees in Dollo Ado refugee corridor, Aug–Oct 2010 GBV program in Dollo Ado refugee corridor, Aug 2010 - Now


IMC RH intervention areas – blue highlighted


3. Program Objective• Contribute to reduce excess maternal and adolescent girls

mortality and morbidity in drought-affected areas and refuge settings, through emergency RH, HIV and GBV responses.


4. Program approaches/strategiesFacility based-

supply side

- Improve access to quality SRH services

- Enhance capacity of Health Extension Workers (HEWs),

health professionals and health managers

Commu. Based-demand side

- Enhance capacity of community volunteers/Health

Development Armies (HDAs)/CC facilitators

- Enhance utilization of SRH information and services

Reduce effect of the crisis on SRH


5. Program out puts/outcomes

• Major outputs and outcomes achieved during 2012 & 2013:– Needs assessments conducted in 48 health facilities – 100% of health facilities supplied with SRH medicines,

supplies and equipment including RH kits as per the gaps assessed

– > 20 HFs got power using solar technology– 13 HFs got permanent water source– 100% of HFs supplied with Iron and Folic Acid (IFA)

supplements – Adolescent friendly services provided in health facilities


5. Program out puts….• 50% health workers, HEWs and HDAs received training on – BEmONC – Gender and HIV/AIDS in emergency context– Clinical management of rape survivors and referrals – STI case management and – ASRH in crisis settings

• Target communities received RH information including HIV/AIDS and GBV through edutainment, CC and IEC materials

• 11, 283 pregnant women provided with Clean delivery kits (CDKs) • 4,000 women and girls supplied with menstrual hygiene

supplies/dignity kits• Organized youth got Audio-visual materials


5. Program out puts….• 20 stretchers provided to community volunteers• MISP interventions integrated with emergency nutrition and

WASH interventions. • The programs strengthened primary health care services to

implement MISP and improved community health seeking behavior during emergencies

• MISP institutionalized with existing primary health care services

• Stakeholders accepted SRH issues as part of humanitarian responses

• Reduced effects of drought on the SRH condition


• HEWs providing health education to pregnant mothers


CC in rural area


6. Limitations

• RH undermined during emergencies• Trained staff attrition• Sustainability – youth SRH programs


8. Next steps

• Ensuring sustainability• Integrating MISP with primary health care and

community based comprehensive SRH programs


Thank You

emergency srh interventions in drought affected and food-insecure areas, ethiopia

Documents

live births

emergency rh

gbv program

emergency nutrition

health facilities

comms of wolayita

program objectivecontribute

program approachesstrategies8