Emergency Healthcare in Zangba and Minga

Summary

Post crisis restoration of healthcare to rural communities in Basse Kotto

The project will benefit an estimated 18,000 people served by 11 health centers in an area which was badly affected by the security crisis. The intervention is focused on children under 5, pregnant and lactating women. The centers will be restocked with essential medicines and vaccines and the maternity units will function again. Local health authorities and committees will be supported.

Goals

  • improve access to primary health

Background

The continued presence of armed groups has affected the area dramatically. Basic needs and social services cannot be provided. Local government is not functional. In the project we provide technical assistance to a local faith-based partner, Conasan which implements the project. Conasan will work with women’s groups to reactivate health committees. The project will pay particular attention to ensuring representation of both Muslim and Christian communities to improve social cohesion. The project will involve activating stakeholders at all levels, from the national Ministry of Health to community representatives. For the most vulnerable, health care will be free

Initial situation

Cordaid’s health programme in CAR has been active for around thirty years. In the 1980s and 1990s, Cordaid mainly gave direct support to the activities of our faith-based network such as CARITAS and ASSOMESCA. In 2009, we opened a country office in Bangui and we now have field offices in Bouar, Bangassou, Bozoum and Bossangoa. We now carry out health programmes in 5 of the 7 health regions of the country. Since 2013, Cordaid has also implemented programs for security and justice, food security and emergency aid and education.

Goals

The project aims:
– to provide good quality emergency health care to the local population and to prevent epidemics,
– to ensure active community participation and utilization of the services
– to protect children under 5 and the population at large through vaccination and epidemiological surveillance

Goals

  • improve access to primary health

Target group

The main target group comprises children under 5 and pregnant and lactating women. The overall population in the catchment areas of the health centers is almost 18,000 people.
Indirectly, the project will also benefit health personnel, health and other local authorities and those active in the local economy.

Project plan

In this six month project, the following activities are planned:
-supplying essential generic medicines to 11 health centers
-training 21 health care staff on the use of flow-charts, on treating obstetrical emergencies and other training needs identified as priorities.
-minor repairs to the 11 health centers
– providing subsidies for the running costs of the health centers
– providing 88 community health workers with bicycles
– identifying and training 88 community health workers
– organizing two cultural activities to sensitize the population on education for girls and gender and social cohesion issues,
– providing extra food for destitute families of undernourished children
– training 40 members of the health committees in the centers
– identifying and recruiting 11 community associations to survey patient satisfaction.
– providing the vaccination centers with vaccines, fuel and other requirements
– equipping 4 health centers with fridges
– carrying out health promotion activities with mobile teams
– organizing health awareness information sessions in the clinics and in the communities
– training 21 health workers on integrated epidemiological surveillance
– making data collection tools, surveillance guides and other requirements available to the clinics
– organizing quarterly coordination and epidemiological surveillance meetings at prefecture level
– purchasing 3 motor bikes for epidemiological surveillance activities and office furniture and a generator for the local partner Conasan
– subsidizing the running costs of the health authorities at District level.

The health centers in Zangba are S Kodje, Zangba, Mbelinga, Malingue, Malegbassa, Ngaza. In Mingala, the health centers are Zougingza, Mingala, Odjo, Bounga and Porongbo.

Sustainability

The project will transfer capacity from Cordaid to our local church partner Conasan and building capacities at various levels (national, district, community). Community health workers (active on a largely voluntary basis will be trained. Unlike health staff or government workers, they are unlikely to abandon their posts even in the most difficult security situations. The project is complementary to another intervention by Cordaid in Basse Kotto funded by DFID in which we support the hospital in Alindao, 2 mobile clinics and 5 other health centers. The project also complements a WHO project in the area which uses Community Health workers in malaria prevention and treatment. Cordaid has also submitted a tender to the World Bank for strengthening the health system in an adjacent area.

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