somalia - World Health Organization

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Dec 3, 2006 - Access to, and quality of health care in Somalia remains inadequate to meet ... Increase access to essenti
RESOURCE MOBILIZATION FOR

HEALTH ACTION IN CRISES

SOMALIA SAVING LIVES AND REDUCING SUFFERING

HEALTH SITUATION South-central Somalia, affected by one of the most long lasting crises, is facing mounting political turmoil and violence, resulting in an increasing influx of refugees into northern Kenya. In addition, together with the other countries of the Horn of Africa (Djibouti, Eritrea, Ethiopia and Kenya), Somalia has been affected by a severe drought in 2006, which has further strained the already exhausted livelihood strategies of the population. Life expectancy is 48 years. One in four children dies before the age of five and 1600 women per every 100 000 live births die because of pregnancy-related causes. Diarrhoeal diseases, respiratory infections and malaria are the main causes of death among children, accounting for more than half of all deaths. The major underlying causes of diarrhoea are the lack of access to safe water, poor food and inadequate domestic hygiene. Cholera is endemic and claims hundreds of lives annually, particularly in densely populated areas. Despite the number of polio cases dropping from 185 in 2005 to 30 between Janaury and September 2006, the outbreak has spread across the country, affecting 14 out of 19 regions. Every effort is being made to ensure that immunization campaigns are synchronized with other Horn of Africa countries to halt the spread of the virus. Access to, and quality of health care in Somalia remains inadequate to meet the needs of the population. In addition, health services are unequally distributed, with vast areas completely deprived of basic health care. There are only 39 qualified doctors per one million inhabitants, mainly concentrated in urban areas and only 141 qualified midwives, There is an urgent need to gradually increase access to basic health care by expanding and scaling up primary health care, targeting the most under-served areas.

HEALTH SECTOR PRIORITIES FOR 2007 ¾ ¾

Increase access to essential health services of adequate quality by the most vulnerable population groups, especially IDP women and children Scale up reproductive health services, focusing on emergency medical obstetric care and family planning

Health Action in Crises

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Increase the coverage of the public health programme, especially of the Expanded Programme of Immunization (EPI) and vitamin A distribution Support health services providers through training and capacity building Strengthen existing surveillance systems, supporting their integration with the health information systems Strengthen coordination of health activities and stakeholders at all levels with special emphasis on emergency preparedness, response, gap filling, early recovery and capacity building Increase the availability of mental health services to communities

WHO Proposed Projects in the CAP 2007

Funds Requested *

Six national polio immunization campaigns SOM-07/H04A

5 691 336

Provision of life saving health services SOM-07/H08A

3 295 600

Implementing Partners

Local health authorities, UNICEF, NGOs

Delivery of essential health care services for children in IDP settlements SOM-07/H09

100 000

MoH, Somali Red Crescent Society, SCFUK, Women Groups

Establish voluntary counselling and testing centres and conducting HIV seroprevalence study in IDP camps in south central, north west and north east zones SOM-07/H10A

312 750

UNFPA, AIDS commissions, UNAIDS, UNICEF, NGOs

Communicable disease early warning, surveillance and outbreak response SOM-07/H11

559 778

Local health authorities, UNICEF, ACF, CSP, MSF-S, Somali Red Crescent Society

Upgrading the health information system SOM-07/H12A

317 790

UNICEF/UNFPA/FSAU/Int ernational Agencies

Delivery of life-saving medical services through mobile outreach SOM-07/H13

437 844

UNICEF, NGOs, in coordination with health authorities

Prevention and control of zoonotic diseases SOM-07/H14

154 483

Local health authorities, UNICEF, ACF, CSP, MSF, Somali Red Crescent Society

Provision of mental health services SOM-07/H15

223 630

UNDP, UNICEF, NGOs and Health Authorities

December 2006

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WHO Proposed Projects in the CAP 2007

Funds Requested *

Strengthen health education in primary school in Central/South Somalia SOM-07/H16A

120 054

Training of trainers (TOT) for health workers SOM-07/H17A

152 500

Health Laboratory services for vulnerable groups in IPD camps SOM-07/H18 Establishing three zonal basic emergency environmental/public health laboratories SOM-07/H19 Safe water through disinfection and safe storage at the point of use in urban Somalia SOM-07/WS10

95 000

875 688

59 890

Strengthening and enhancing water quality surveillance and monitoring program in central south zone of Somalia incl. SOM-07/WS11

363 705

Promote appropriate sanitation (excreta disposal) SOM-07/WS12

145 770

Emergency actions for cholera outbreaks in Somalia SOM-07/WS13

110 710

Area based early recovery in Central South Somalia, component 5: Local government primary service delivery: Health services – Bay/Bakool SOM-07/ER/I05

Implementing Partners

UNESCO, MoE, MoH, NGOs

UNESCO, MoH, Private Medical Practitioners

Local authorities, NGOs in coordination with health authorities Private sector, local authorities, CBOs

UNICEF, local authorities, NGOs, CBOs

Local authorities, CBOs, NGOs

3 625 013

TFG, MoH, local elders, hospital management team, District/Regional authorities, NGOs, CBOs

* Amounts given in US dollars.

Total Funds Requested: US$ 16 641 541

For more information: Ala'Din Alwan, Representative of the Director-General for Health Action in Crises, [email protected] Cintia Diaz-Herrera, External Relations, [email protected]

December 2006

Health Action in Crises, World Health Organization/Geneva Tel: +41 22 791 1887, Fax: +41 22 791 4844 http://www.who.int/disasters

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