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
¾ ¾ ¾ ¾
¾
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
2
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
3