Somalia: Warshiekh District, Middle Shabelle - Monthly health care report No. 04, 15 Nov 2008

Situation Report
Originally published


1. Health care section:

Warsheik District- Middle Shabelle

2. Report title:

Monthly health care report: Report number: 04

3. Project identification:

UNICEF Somalia/ csz/yh101&yn102/03/2008/1028
AWP reference: YH101/03/01, 02, 03, 05

4. Introduction/background information:

Shardo is non governmental and non profit organization operating in south central Somalia, having offices at Mogadishu, Jawhar and Warsheikh districts. Shardo's operation is made possible by the assistance of some international and UN agencies. We Have partnering relationship with many international and UN agency, among these are UNICEF assisting primary health care Warsheikh district, Somali intellectual Banadir organization (SIBO) assisting Warsheik primary education and Gothenburg initiative (GI) assisting vocational trainings in Karan ,Jowhar and Warsheik. SHARDO Organization registers Jowhar and Warsheik districts. Shardo is community owned organization having endorsement and recognition from the communities of middle shabelle and the local authorities in the most of south central Somalia.

Shardo had entered an agreement with UNICEF - Somalia on implementing primary health care project in the Warsheik district of middle shabelle, the project duration is 12 months, the aim of the project was to provide primary health services for more 22,000 people living in and around the district of which 880 are infants (u1) 4400 of the population are children under five years where as 1,100 of the population are pregnant mothers.

Similar projects have been implemented on yearly bases with the assistance of UNICEF support during the years of 2006, 2007. So this project is the continuation of the previous project activities of the primary health care in the district.

5. Objectives of the project:

1. Child immunization
2. Safe motherhood.
3. Malaria control.
4. Promotion of improved feeding practice
5. Provide to the mother & child for essential vitamins.
6. Control breast-feeding for the delivered mother to her child.
7. Educate the lactating mother for the nutrition food practice.
6. Achievements of the project between August :

A. Child immunization

- EPI vaccines are available 100% of the times in the vaccination centre

- EPI and cold chain adequately managed in the MCH offering immunization services with EPI vaccines available 100% of the time

- decreased DPT3 coverage for u1 to at least 22%

- decreased measles coverage for u1 to at least 10%

- Decreased DPT1/DPT3 drop-out rate to al most 16% & 28%.

B. safe motherhood

- MCH staffed with qualified staff and provide quality child heath care, ATE-natal care (PNC) including TT, micronutrient supplementation delivery and post natal care (PNC) services based on the safe motherhood model.

- Increased TT2 and coverage for pregnant women to at least 40% with in the catchments area.

C. Malaria control (see Annex D)

- 40 cases of severe complicated malaria have been treated in the district MCH

- Acts and RDTs available 100% time in the MCH

- Effective case management ( ACTs +RDTs) in the MCH

D. Promotion of improved feeding practice

Micronutrient deficiency disorders have been solved through women training on nutritious food making, group of women are trained on food making where the product is given to malnourished pregnant and lactating women and their children 24 malnourished children and their mothers are provided with nutritious food cooked in the demonstration of food making practice, pregnant and lactating women receive this food when they visit the MCH centre.

E. Provide mother & child for essential vitamins

After mother and child received essential vitamins the condition of health have been improved and decreased for the defiance of vitamins and accessed to have resistant for the weaknesses that always faces the vulnerable people in the district.

F. Control breast-feeding for the delivered mother to her child

The MCH supervised the child breast feeding on period of hour and advice the mother to assure breast feeding of her child and achieved to prevent many diseases that was possible to may die for the child born.

G., Educate the lactating mother for the nutrition food practice

Since that was educated of lactating women have been achieved to decrease the number of lactating women through consultation and teaching for making the nutrition food program.