Provide emergency health assistance and strengthen the capacity of local service providers including management reproductive health and cases of violence refereed to health centers at Gamboula and Amadagaza. VCW International is an NGO with the experience of providing assistance to Internally Displaced Populations and Refugees. In December 2017 VCW International conducted a multi-sector evaluation in Mambere-Kade and Nana-Mambere to understand the humanitarian situation and needs in both provinces. Through the proposed project for CHF 2018 first standard allocation VCW aims to support the Emergency Health needs/services including management of reproductive health and cases of violence in Gamboula and Amadagaza. 

Propose response focus on providing health assistance to emergency health needs through strengthening the existing health facilities and providing access to health care for anyone who is in need. Mobile health units (04) will be deployed to Amada gaza - Gbaouma,axes Berberati - Babaza, Dongo,and axes Gamboula - Dilapoko areas. 

VCW will also support the Health Centers (FOSA) at Bombo, Banga Boumbe, Dongo, Dilapoko and Gambola. The nonfunctional equipment at health centers will be repaired and new equipment will be purchased to address the needs. Dilapoko Health Center at Gamboula and Bombo health center at Amadagaza  will be rehabilitated to be more accessible to users. New staff will be recruited to support the human resource gaps and priority will be given to volunteers who are already serving at the facilities or qualified personals from local community. Maintaining gender balance among service providers will be taken into consideration during recruitment.

Emergency child birth kits and necessary training will be provided to health care workers to expand their skills and knowledge on managing emergency child births. Reproductive kits will be provided to pregnant women through mobile health facilities and local health centers. Necessary awareness and advises on breast feeding and child nutrition will be shared among pregnant women and mothers.

Measures will be taken to prevent gender based violence (GBV) in health sector. Internal, external partners, government workers and volunteers will be educated on protection needs to promote positive change. Protection code of conduct will be signed by all staff. Health, advises and awareness material which will be distributed or showcased at health centers, distribution centers and service centers will include protection guidelines, reporting mechanisms and will be created in local languages to provide better understanding to the community. Staff at mobile health units and health centers will serve as protection monitors. 

Awareness on proper hygiene mechanisms and sanitation practices will be increased with the support WASH partners. Youth in the local community will be trained on basic first aid skills, managing emergency situations and to transport patients to health facilities minimizing the secondary injuries.

While motivating local staff through bonuses, recognition and appreciation, stress debriefing sessions and psychological counselling support will be provided for the well-being.

The proposed project focus on providing support for emergency health needs of the communities in Gamboula and Amadagaza and also to expand the capacities, knowledge and skills for provide a better service.