220 likes | 380 Views
From Relief to Self-Reliance. Emergency SRH interventions in drought affected and food-insecure areas, Ethiopia. IAWG annual meeting, Kuala Lumpur, May 31-June 01, 2013 Tenaw Bawoke – IMC Ethiopia. Presentation outline. Background Introduction Program Objective Program approaches
E N D
From Relief to Self-Reliance Emergency SRH interventions in drought affected and food-insecure areas, Ethiopia IAWG annual meeting, Kuala Lumpur, May 31-June 01, 2013 Tenaw Bawoke – IMC Ethiopia
Presentation outline • Background • Introduction • Program Objective • Program approaches • Program findings/outcomes • Limitations • Next steps
1. Background • Main RMNCH indicators of Ethiopia (2011 DHS) • MMR (per 100,000 live births) - 676 • ANC (4+) – 19 % • ANC (1+) – 43 % • TFR – 4.4 • Institutional delivery (per 1,000 live births) – 10 • CPR – 29 % • U5MR (per 1,000 live births) – 88 • IMR (per 1,000 live births) - 59 • NMR (per 1,000 live births) – 37
1. Background …. • Backgrounds of E & S Ethiopia • Pastoralist & semi-pastoralist zones which are frequently affected by: • Malnutrition and food insecurity. • In times of emergency, women and adolescent girls are exposed to: • Anemia, unsafe abortion, GBV/rape, HIV/STI infection, un-planned pregnancy and delivery complications. .
2. Introduction IMC MISP intervention portfolio in Ethiopia (rapid and slow onset emergencies) – integrated with WASH & Nutrition intervens. • Slow onset emergencies • Drought-affected pops of Somali Region, Sep2006 – Apr 2007 • AWD affected comms of E & W Harrarge, May-Oct 2008 • Drought-affected pops of Wolayita , Apr-Sept2009 • Drought-affected pops of Wolayita, Apr-Dec 2010 • Drought-affected comms of E/H & Wolayita, Sept 2011 – Apr 12 • Drought –affected comms of Wolayita, 2013 • Rapid onset emergencies • Somali refugees in Dollo Ado refugee corridor, Aug–Oct 2010 • GBV program in Dollo Ado refugee corridor, Aug 2010 - Now
3. Program Objective • Contribute to reduce excess maternal and adolescent girls mortality and morbidity in drought-affected areas and refuge settings, through emergency RH, HIV and GBV responses.
5. Program out puts/outcomes • Major outputs and outcomes achieved during 2012 & 2013: • Needs assessments conducted in 48 health facilities • 100% of health facilities supplied with SRH medicines, supplies and equipment including RH kits as per the gaps assessed • > 20 HFs got power using solar technology • 13 HFs got permanent water source • 100% of HFs supplied with Iron and Folic Acid (IFA) supplements • Adolescent friendly services provided in health facilities
5. Program out puts…. • 50% health workers, HEWs and HDAs received training on • BEmONC • Gender and HIV/AIDS in emergency context • Clinical management of rape survivors and referrals • STI case management and • ASRH in crisis settings • Target communities received RH information including HIV/AIDS and GBV through edutainment, CC and IEC materials • 11, 283 pregnant women provided with Clean delivery kits (CDKs) • 4,000 women and girls supplied with menstrual hygiene supplies/dignity kits • Organized youth got Audio-visual materials
5. Program out puts…. • 20 stretchers provided to community volunteers • MISP interventions integrated with emergency nutrition and WASH interventions. • The programs strengthened primary health care services to implement MISP and improved community health seeking behavior during emergencies • MISP institutionalized with existing primary health care services • Stakeholders accepted SRH issues as part of humanitarian responses • Reduced effects of drought on the SRH condition
6. Limitations • RH undermined during emergencies • Trained staff attrition • Sustainability – youth SRH programs
8. Next steps • Ensuring sustainability • Integrating MISP with primary health care and community based comprehensive SRH programs