Provision of emergency primary health care services to drought affected population in Jowhar  district middle shabelle   region ltpgtltspan style="color: black font-family: Calibri, sans-serif"gtAccording to the
2023 HRP, less than one third of the people in drought-affected areas are
estimated to have access to essential health care. Reported cholera cases
continue to rise compared to recent years, while measles cases have spiked,
particularly among children. The FSNAU post Deyr assessment results shows that
global acute malnutrition has remained critical (15.4% lt/spangtltspan style="color: black font-family: Calibri, sans-serif"gt lt/spangtltspan style="color: black font-family: Calibri, sans-serif"gtin 2022 Deyr season, from 15.9% in 2022 Gu).
According to the 2023 HNO, about 1.8 million children under five are likely to
face acute malnutrition through mid-2023 including over 513,000 who are
expected to be severely malnourished. Malnutrition rates are at unacceptable
high levels particularly in Jowhar districtlt/spangtltbrgtlt/pgtltpgtltspan style="color: black font-family: Calibri, sans-serif"gtThe project aims
to provide life-saving emergency primary health care to 15,000(2,500 men, 5,500 women, 3,500 girls and 3,500 girls) drought displaced pastoral hard to
reach areas and host communities in Jowhar y district through two static and
four mobile clinics through provision of maternal and neonatal and child Health
Care as well as immunization to the target lt5 children boys, girls including
disables. The primary health care center will provide outpatient consultations
to both men, women, boys, girls including disable group, ante-natal and
post-natal care, skilled delivery birth attendants and services, immunization,
treatment of common childhood diseases, health education through social
mobilization with integration of mental health and psychosocial support
services, gender based violence’s including clinical rape management. Capacity
building of local health staffs will be strengthened in order to provide
quality health care to the community. The Maternal Child Health will be
operational for all days due to the facility delivery needs and emergency
referral. Building the capacity of health workers through training on Basic
Emergency Obstetric Care (BEmOC) will be done to equip health workers with the
required skills to deliver quality health care services to the affected
population.SRC  through this project will provide life-saving medical
consultations and medical drugs supply to the health facility, establish mental
health and GBV referral mechanisms between SRC  facilities and secondary
healthcare providers in Jowhar y district Middle shabelle region, improve the
coverage of measles vaccinations and support safe motherhood and reproductive
health while also ensuring readiness to prevent and respond to outbreaks of
AWD/Cholera and promote health update while ensuring early warning and
surveillance information sharing to the health cluster. Integration of Mental
Health/Psycho-social Support (PFA) services, community engagement, and health
education to community members to enhance identification and referral of
persons of concern in need of MHPSS while also conducting a focused MHPSS
intervention through trained social workers. Conduct psycho-education sessions
for persons in need, including raising awareness on key protection risks faced
by PSNs i.e discrimination, stigma targeting people in Jowhar district. The
MHSS team will consist of, midwife (ANC), register /auxiliary nurse) and counsellor.
We shall commit to provide regular updates and reports to the SHF on any
project developments, progress and issues and maintain the coordination with
all concerned. A Conflict-Sensitive Approach will be implemented throughout the
project cycle, guided by our Conflict-Sensitive Field Manual, tools, security,
risk and emergency procedures. Resilience operations are assured through our
risk reporting protocols and minimum operating security standards (to staff,
beneficiaries, infrastructure, and resources). Services provided by the mobile
clinics will be monitored through a file tracking system that will ensure
accurate input of data for every registered patientlt/spangtltbrgtlt/pgtltpgtltspan style="font-family: Calibri, sans-serif color: black"gt





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