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Emergency Assistance to Displaced and Conflict-Affected Population in South East Central African Republic. 31. May 2013 Luna Mehrain . Central African Republic . “ The Forgotten Crisis” . CAR- Background. MMR 890/ 000,000 IMR 106/ 000 TFR 4.6 ANC1 - 57% SBA at delivery 44 % C/S 2 %
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Emergency Assistance to Displaced and Conflict-Affected Population in South EastCentral African Republic 31. May 2013 Luna Mehrain
Central African Republic “The Forgotten Crisis”
CAR- Background • MMR 890/ 000,000 • IMR 106/ 000 • TFR 4.6 • ANC1 - 57% • SBA at delivery 44 % • C/S 2 % • CPR all methods 19 %/ modern methods 9 % • Population < 15 years 40 % (Source countdown 2012: report and figures from 2010 PRB 2012 World Population Data Sheet)
Merlin in CAR • Nana Mambere: • Bouar • Mbomou: • Rafai • Bangassou • Haut Mbomou: • Obo • Lobaye: • Batalimo
RH Activities Haut Mbomou: Obo district hospital Mbomou: Rafai referral centre, 4 health post/center • ANC and PNC • Deliveries with SBA • BEmONCand CEmONC • Family Planning • SGBV • PMTCT • STI management
BCC sessions during ANC at Obo Hospital and in the congolese refugees camp in Obo
ANC/ Deliveries Haut Mbomou (Obo Hospital) Mbomou (Rafi Hospital ,4 HF)
Family Planning Mbomou (Rafi Hospital ,4 HF) Haut Mbomou (Obo Hospital)
Method Mix Mbomou (Rafi Hospital ,4 HF) Haut Mbomou (Obo Hospital)
GBV Messages on Sexual Violence Training Sensitisation Medical treatment Referral for mental support
Challenges • Security • Limited Staff Capacity • Supply Chain • Destroyed Health System
Lessons learned • Endurance = Better position • Service ( re- ) Uptake ( Integrated RH activities)
Next steps • Stay • Expand services : *more areas (south east) * content (PAC) • Understand Data/ Trends ( GBV) • Broaden Partnerships (psychosocial care for survivors of SGBV)