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 Program Resume - Overview of AHAP Health Sector (MC)

 Duration: 31.08.1999 - 29.11.2002
 Location: Agcabedi
Agdam
Barda
Fizuli
Imishli
 Sectors: Education
Food aid
Health
Health care services
Health education

Updated September 1, 1999

PVO

ADRA

IRC

RI

Save the Children*

UMCOR

WV

Location Nakhichevan Autonomous Republic
  1. Shakbuz
  2. Babek
  3. Ordubad
  4. Julfa
  5. Sadarak
  6. Sharur
  1. Agcabedi
  2. Agdam
  3. Barda
  4. Beylagan
  5. Fizuli
  6. Imishli
  7. Saatli
  8. Sabirabad
  9. Ter Ter
  1. Agcabedi
  2. Agdash
  3. Barde
  4. Beylagan
  5. Gabala
  6. Goranboy
  7. Ismaili
  8. Mingechevir
  9. Oguz
  10. Qax
  11. Saatli
  12. Sheki
  13. Terter
  14. Yevlakh
Goranboy Liberated Area Agjakend.

Three villages: Shafag, Todan, Tap-Garagoyunlu + seven satellite villages

Echo Camps
  1. Imishli (2 camps ) 1 clinic
  2. Saatli (2 camps) ** 2 clinics
  3. Sabirabad
  4. Agcabedi
  5. Fizuli

New Medical Points

  1. Karabagh in Fizuli District
  2. Boztepe in Imishli District

Districts in Baku

  1. Narimanov
  2. Khatali
  3. Nisami
  4. Yasamal
  5. Sabayl

** Only Saatli camp has 2 clinics. All other regions have 1 clinic only

Agdam,
Agjebedi
Agstafa
Agsu
Ali-Bairamle
Agdash
Belekan
Beylagan
Barda,
Dashkesen
Fizuli
Goychay
Gedebey
Gax
Gebele
Ismailly
Imishli Kurdamir
Mingechevir
Oquz
Qazax
Saalti
Sabirabad
Sheki Shamakhi
Shemkir
Terter
Ujar
Yevlax
Zardab
Zakatala
Target Population 120,000 IDPs and Vulnerables 29,125 IDPs 220,00 IDPs 7,664 residents and returnees 108,678 IDPs 169,721 IDPs
Purpose (a) To protect the general health of vulnerable individuals in NAR through:
  • Improved quality & quantity of services available to clients,
  • Improved KAP of program clients in preventive health care,
  • Shift from simple HA to more sustainable community based development
  • Increased Health care access
Women and Family Health Education and
Childrens Health Education Programs will foster improved health and nutrition through :
  • Education,
  • Increased access to health facilities
  • Community participation for 5,825 families living in 9 regions.
Improved health and nutrition status through:
  • Education of Community Health Promoters
  • Primary Health care
  • Training of health workers in FAPs and PolyClinics
  • Training and support of 8 DACs
Improved health and nutrition for individuals residing within access to Tap, Shafag and Todan Provide access to Primary Health Care services through:
  • Umcor medical points and clinics
To assure adequate caloric intake of internally displaced and refugees in Azerbaijan

Main Activities and End of Project Outputs

Primary Health Care
  • Direct provision of PHC and referral services through ADRA-managed one Stationary Clinic and 3 mobile health units (MHUs). The PHC services will include: provision of essential drugs, treatment of common diseases, immunization, education and maternal & child health.

Health Education

  • baseline survey to ascertain knowledge, attitude and practices of IDPs and vulnerables
  • Training:
  1. VHW trained on basic health care
  1. State employed physicians trained on basic preventive health care
  • Health Education of target communities through seminars:
  • 15,840 individuals participate in 3,168 seminars covered by nutrition awareness campaign
  • 10,560 women participated in breastfeeding awareness campaign
  • 10,125 men and 13,500 women participated in STD/HIV/AIDS awareness campaign
  • Seminars and individual instructions on diarrhea, ARI, immunization .
  • Creation of Health Care Management System (HCMS) which will include introduction of cost recovery elements through the formation of a local NGO similar to a health maintenance organization.

 

 

 

Clinic Rehabilitation

 

Pharmaceutical / Medical Supplies

  • Distribution of medical supplies to a network of existing 44 village health posts (VHPs) staffed with trained VHWs,

 

Nutrition

  • 15,840 individuals participate in 3,168 seminars covered by nutrition awareness campaign
Primary Health Care
  • Facilitation of referrals to PHC services of RI, UMCOR & MOH facilities

 

 

Health Education

Child Health Education

  • 40 schools to participate in Child Health Education Program for IDP children
  • 500 IDP teachers trained in 10 (? day) teacher training sessions on child health/safety
  • continuing education monthly for teachers
  • Distribution of educational materials to
  • 6000 children receive health education at school
  • Childrens theater troupes to perform in summer
  • 500 parents participate in Parent Teacher Groups(PTCG)
  • 6000 children receive dental hygiene kits

Women/Family Health Education

  • 20 IDP women trained as community health educators
  • 20 women groups to be formed to promote women/family reproductive health
  • weekly womens group sessions conducted by health educators
  • 124 health educators to receive continuing education monthly
  • 1700 women to attend family planning sessions
  • 1700 women to participate in hygiene/sanitation awareness campaigns
  • 1700 women to participate in breast feeding campaigns
  • 1700 women to participate in STD awareness campaigns
  • trained male feldshars in 2 regions on STD/HIV awareness and prevention
  • 100 self initiatives (i.e.community waste disposal, health theme days) as result of formation of PTCG

Clinic Rehabilitation

NA

Pharmaceutical / Medical Supplies

  • Distribution of modern contraceptives including condoms, Birth Control Pills and IUDs

Nutrition

  • 100 school gardens planted
  • 5000 Kitchen gardens to be established
  • 1700 women to participate in campaigns for food hygiene awareness
Primary Health Care
  • 4 polyclinics to receive PHC training, pharmaceutical supplies, and UNICEF vaccination supplies & equipment
  • 135 CHPs will be trained
  • 8 Mobile Health Units ( 3 Discontinued: Barda-Oct 98; Ismailli Jan 99; Yevleh- after training
  • Each month
    8 MHUs see 16000 patients
    20 FAPs see 2000 patients
    4 polyclinics see 1200 patients
    8 DACs see 2000 patients

Health Education

  • 20 GoA FAP personnel trained in basic PHC and health education
  • 8 DACs trained in 4 districts (Barda, Ismailli, Ajebedi and Gabala)
  • 4 GoA Polyclinic personnel trained in PHC and health education
  • 135 Community Health Promoters trained (IDPs) working in 14 districts
  • Health education of women & their families in reproductive health, improved nutrition, MCH, nutrition, breast feeding
  • Training for SES in Bar, Yev Ism and Gab
  • Training of GoA health workers in the FAPs / policlinics in the targeted districts.
  • 5000inhabitants attend health education sessions
  • Technical and organizational strengthening of local NGO partners and community-based groups to sustain the interventions beyond the Life of Project
  • Maintenance and utilization of a community based HIS by RI, local NGO partners and local public health authorities.

 

 

 

 

 

Clinic Rehabilitation

  • 4 polyclinics will be rehabilitated
  • 20 GoA FAPs will be rehabilitated

Pharmaceutical / Medical Supplies

  • Provision of phamaceutical supplies to FAPs, DACs and Polyclinics

Nutrition

  • 3000 participating in food hygiene awareness campaigns
  • Provision of multi vitamins, ferrous sulphate, Vitamin C, Vitamin A
Primary Health Care
  • VHCs will be formed in each of the villages and be trained
  • MoH staff of one health facility in each of the three villages will receive PHC training and pharmaceutical supplies

 

 

Health Education

Community based health education through the VHC, MoH employees and volunteers.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinic Rehabilitation

The appropriate clinic will be constructed in each of the three villages

Pharmaceutical / Medical Supplies

  • Essential drugs and basic supplies procured by SC for the three villages are sufficient for the 12 months.
  • Drug revolving fund will be established in each of the communities and local providers will be identified to replenish the stocks

Nutrition

Women participating on breastfeeding and nutritional campaigns

Primary Health Care

Providing PHC through UMCOR staff and pharmaceutical supplies to:

  • 13 medical points
  • 19, 575 ECHO camp/ IDP settlement resident s will have access to medical care
  • 89,000 IDPs in Baku will have access to medical care
  • Compilation of monthly morbidity statistics

 

Health Education

  • 10 doctors and 5 pharmacists based in the Baku Clinics to receive continuing education on Health Topics every week
  • monthly discussions on medical topics to field doctors
  • Health Education to patients on a one-to-one basis at each clinic visit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinic Rehabilitation

NA

 

Pharmaceutical / Medical Supplies

  • Provision of pharmaceutical supplies to the medical points where UMCOR is operating

Nutrition

  • Distribution of micronutrients i.e. Ferrous Sulphate, Vit C, Folic Acid
Primary Health Care

NA

 

 

 

 

 

 

 

Health Education

  • Nutrition education leaflets to be enclosed with each food distribution. Topics to include info on nutritional value of commodities, recipes and suggestions for improved storage
  • Monitor the same selected sample of beneficiaries every 2 months

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinic Rehabilitation

NA

 

Pharmaceutical / Medical Supplies

N/A

 

Nutrition

Distribution of supplementary

food rations provided by WFP (9,486 MT) over an 8-month period

  • 60 day per person ration:

- wheat flour 10 kg
- oil 1.5 kg
- pulses 1.8 kg
- sugar 0.9 kg

  • Monitoring of food security of clients
Implementation Model VWH will utilize the VHPs as a base for curative and preventive care as well as health education seminars. Communities will also be visited by MHUs biweekly. Three MHUs will cover all 6 regions of NAR. VHWs will visit MHUs regional base every other week for training on health education and health care. Stationary Clinic will be utilized for delivery of PHC services for Nakhichevan city population and as state doctors training center

Mixture of (a) direct implementation and operation by ADRA of stationary and mobile delivery services inter-linked (b) a network of 44 community based VHPs and local GoA PHC facilities.

a) Mobilized Parent-Teacher/ Womens Groups to provide and sustain the delivery of community outreach services,

b) Formation of Parent/ Teacher councils

c) Outreach volunteers

d) Referrals to IRC, GoA, RI and UMCOR mobile & stationary PHC units.

Community Health Promoters will be selected and trained in the IDP communities on PHC education /prevention.

Staff of state Polyclinics and FAPs will be trained on PHC services delivery aspects

3 MHUs will gradually cease their activities and hand them over to Polyclinics and FAPs.

8 MHUs will stay with project to serve IDPs living in remote areas.

Trained CHPs supported by Community Health Councils, local NGOs, Outreach volunteers & referrals to GoA FAPs & policlinics, RI/UNHCR RH and OXFAM centers.

VHC will be formed and trained on PHC education/prevention, basic practices and referrals. Staff of the health clinics will be trained on the PHC services delivery aspects. Directly by UMCOR-hired staff including General Practitioners, Pediatricians, and Medicine Dispensers Continue to utilize the methodology developed over the previous 3 years. WV will operate food distribution from 2 locations:
  1. Mingechivir- 6 teams
  2. Imishli- 7 teams

Food will be transported to pre-arranged distribution points each day with the beneficiaries being reached on a rotational basis once every 2 months

Internal & External Linkages ADRAs food security projects funded by USDA, local health authorities. ADRA is also linking its donation from UNICEF to this project. Only ADRA operates in NAR IRC internal RH and food projects, with RI, UMCOR, & GoA PHC facilities, and ACDI/ VOCA, other NGOs in target area RIs UNHCR funded RH project , 3 local NGOs on Community Health Education, GoA Health facilities, UNICEF in EPI, MDM-Greece train and supply with pharmaceuticals two policlinics in Oguz and Sheki, Linkages with IRDs Program (IRD provides medical supplies to the central Goranboy clinic), regional MoH activities, UNICEF EPI program, SCF ECHO funded health Program To IRCs health education project in Agcabedi, Beylagan, Fizuli, Imishli, Saatli, Sabirabad, Barda; & previous MCI repaired PBR buildings in Baku Provides supplementary food ration to the beneficiaries of RIs, UMCORs and IRCs program.

*Includes SCF information sector activities



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