Somalia: Health Cluster Indicators (as of 23 July 2012) - Info graphic

Analysis

Achievements
An estimated 1,353,436 children and 1,249,411 women of childbearing age were reached through the Child Health Days (CHDs) and emergency interventions in 2011. One hundred and eighty six disease outbreak rumours were investigated, 83% of which were investigated within the standard 96 hours. In 2011 alone, 711 health workers benefited from training in disease surveillance, case detection, and standard management; trauma and emergency surgery; and in effective management of essential medicine. Cluster partners ensured safe access to health with CHF funded projects in the reporting period ensuring that at least 355,000 people had access to primary health care services. CHF provided bridge funding support to six hospitals to ensure continuation of essential services for complicated cases.

Challenges
Humanitarian access to certain geographical locations, particularly in south central, where most of the population has limited access to essential health care, including life-saving emergency medical treatment was a major limiting factor. In addition, large population movements due to the crisis also led to overcrowding in settlements and contributed to increased communicable disease outbreaks and overstretched available resources and facilities. Crucial outreach services were particularly affected due to limitations in personnel movements by local authorities. Faced by delays in the implementation of some activities, no cost extensions were granted to 14 CHF funded projects.

Best practices/ Lessons learned
The use of an integrated approach with the WASH and Nutrition Cluster is important for the preparedness and management of Acute Watery Diarrhoea (AWD) and cholera outbreaks The introduction of a Basic Package of Health Services (BPHS) and Integrated Community Case Management (ICCM) helped standardize services across various levels of health care

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