Improving Primary Health Care Services, Reproductive Health Services and Cholera Response through Capacity Building for Health Workers, Facilitate Referrals and Treatment of the Affected IDPs and Host Communities in BADE and JAKUSKO LGAs of Yobe state. The project is aiming at responding to the health needs (PHC services, Reproductive Health Services and Cholera response) of the conflict affected persons in Bade and Jakusko LGAs of Yobe state. In the target location, CBI shall be building the capacity of primary healthcare workers on effective delivery of sexual reproductive health services and also facilitating referrals to secondary healthcare facilities as well as follow-up on services for which referrals were made. Support the provision and making available essential drugs and medicine to ten (10) health facilities within the LGAs. CBI will train 60 primary health care workers (30 each per target location) on the services aforementioned. CBI mode of response or operation will be mobile hard-to-reach team approach with regular visit to communities within the selected LGAs to render PHC services to the affected population. CBI will also be providing capacity building on sexual reproductive health services to 40 Traditional Birth Attendants (TBAs) and 20 Community Health Extension Workers (CHEWs) on practical observational skills around health service delivery in RH as well as responding to Cholera. 

CBI shall engage the CHEWs in cholera risk mitigation awareness creation as well as house-to-house sensitization on malaria and other preventable diseases. The 20 CHEWs shall be engaged in the targeted LGAs for both communities and IDP camps within the location. 

There will be support of referral services for conflict-affected individual by monitoring the referral cases and see to them been attended to at all level of care within the primary and secondary healthcare facilities, there will be support of drugs and essential medicines and strengthen the capacity of government health workers to be responsive to referrals of the conflict affected people in target LGAs. Children and women referrals will be of highest priority. CBI will target 1,500 affected persons (35% women and men amp 65% girls and boys). 

CBI will be reaching 400 adolescent girls with an intensive awareness programme on sexual reproductive health education in the selected LGAs. The scope of the awareness programme will be on know their body, pregnancy and how to maintain a healthy and hygienic reproductive life. 

CBI, through a strategic partnership with WHO, UNICEF, UNFPA as well as Health Sector and Reproductive Health Sub-sector shall train the CHEWs on minimal initial service package on Reproductive Health (RH). Also, through zero cost strategic partnership, CBI shall work with WHO, UNFPA to support in the strengthening of the referral mechanism in the target LGAs. 

For the hard-to-reach and underserved communities within the selected LGAs, CBI shall deploy mobile health outreach teams to provide appropriate health services and support to the people of concern. Part of the services to be provided by the mobile health outreach team include training and overseeing of CHEWs on the Oral Cholera Vaccination (OCV) exercise and distribution of the Reproductive Health (RH Kit) which will be provided by UNFPA through strategic partnership, medical treatments and referral where necessary. The trained TBAs will be engaged with stipends and Delivery kits for attending to births within communities and also do referral where necessary. 

CBI will engage the community leaders, religious and traditional leaders in intensive advocacies so as to enable acceptance of the sexual reproductive health services and SRH kits.