Ethiopia 2016 Open data

Denan Reproductive Healthcare Project

Summary

Tackling hurdles accessing reproductive health services for pastoralists

Women in Denan Woreda in the Somali Region face various barriers to accessing maternal and reproductive health services. The project therefore, will target directly women of child bearing age and pregnant women. The program addresses knowledge and awareness at community level on SRH-issues, transport problems and availability and quality of care in the Denan health center

Goals

  • Women delivering in a health facility
  • Women going for 1 or more ANC visits
  • Health workers and HEW trained in Maternal and child health
  • Improved access to and quality of services in health facilities

Background

Ethiopia has one of the highest maternal mortality ratios in the world. It is estimated that every year, about 25,000 mothers die and 400,000 suffer long-term disabilities due to pregnancy related complications. The majority of these deaths and disabilities are preventable.
The Somali Region is one of most backward regions of Ethiopia. The causes of the problems originate from the low level of socio-economic development and political, cultural and traditional settings. Among the serious social woes which are widely characterized by the region is a maternal and reproductive health care service in remote woredas like Denan. Women in Denan face various barriers to access these services. The project therefore, will target directly women of child bearing age and pregnant women who come at Denan health center. On the other hand through the intervention the reduction of morbidity and mortality of mothers will have impact on families and communities that benefit indirectly from the project.

Initial situation

This program started October 2013.

Goals

Goal:
To strengthen maternal and reproductive healthcare services in Denan woreda.

Specific objectives:
1. Build capacity of health care providers;
2. Address community awareness of men, women, boys and girls on their reproductive rights, especially to prevent early marriage, female genital mutilation and gender-based violence;
3. Address cultural and social barriers that deter maternal health care;
4. Address transport barriers to maternal health care;
5. Improve access to maternal health and family planning services;
6. Address availability and quality of care in Denan health center.

Goals

  • Women delivering in a health facility
  • Women going for 1 or more ANC visits
  • Health workers and HEW trained in Maternal and child health
  • Improved access to and quality of services in health facilities

Target group

Direct beneficiaries:
800 women
120 health practitioners and 14 HEWs
5,000 individuals (2754 female and 2246 male)
140 men

Indirect beneficiaries:
4,000 people

Project plan

Increased capacity of health center staff to deliver equitable services:
1. Provision of different trainings to nurses, Health Extension Workers (HEW) and Health Workers from health centre and woreda health offices;
2. Provision of shelves and binders; desktop computers with printers; chairs and computer tables for the for Denan Health center.

Community knowledge and awareness of men, women, boys and girls improved to exercise their reproductive rights, especially to prevent early marriage, female genital mutilation and gender-based violence:
1. Training female community volunteers and health extension workers
2. Printing and distribution of FHC (Family Health Card) and BPP (Birth Preparedness Package) materials;
3. Support awareness of HEWs/HP with kebele’s female volunteers

Improved cultural and social barriers at individual and community level:
1. Raising community awareness;
2. Strengthening and scale up mother to mother experience sharing;
3. Creating conducive and culturally appropriate service provision.

Improved transport to ensure women access maternal health care services:
1. Fuel and maintenance costs for OWDA ambulance for referral cases.;
2. Support referral cases service for Denan HPs (perdiem for nurse and driver);
3. Support outreach programs for Denan HP (perdiem for remote services providers staff).

Access to maternal health and family planning services is increased:
1. Trainings existing 20 midwives and 20 health workers;
2. Providing in service training to Denan and Shebele zone health workers using Denan health center facility;
3. Provision of necessary equipment based on gaps ;
4. Mobilizing community health workers;
5. Strengthening strong referral linkages with Gode Hospital through workshop and meetings.

Improved Availability and Quality of Care in the health center:
1. Provision of essential drugs to HC;
2. Providing safe delivery kits for skilled birth attendants and equip the health workers with appropriate knowledge;
3. Support of woreda Health office to outreach programs.

Sustainability

Sustainability and transition strategy of the project has been imbedded in its approach. At the end of this project, due to its approach, health facility staff will be better trained to deliver clinical services within an improved facility structure and system. The project will lead to better functioning Local Government Authorities and partners, ensuring a sustainable supply of Maternal Newborn and Child Health services to communities. Capacity building at household level will lead to continued practice of good health and nutrition behaviors that will ensure good health and survival for pregnant and lactating mothers and their children. The exit plan of this project includes working with area development programs and local government decentralized authorities in all project stages so that they will incorporate project activities into their annual plans. Project assets will be handed over to the Denan project hospital which will continue working in the Denan woreda after the project is phase-out.OWDA with local government health line offices will closely work with maternal and reproductive health care services in Denan woreda. The preparation of the exit strategy will start ahead of the project closing date to ensure smooth hand over of the activities outputs. This exit strategy will cover the following key areas, such as exit workshops to inform the community and respective donor about the project phase out strategy.

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