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CORE Group Polio Project

Donor: Core Group USAID.

Project Type: Development

Location: Warder, Danod, Daratole, Galadi, Bokh, Gode, Kalafo, Mustahil, and Fer-Fer.  

Project About: The current national potential health service coverage stands very low and the availability and quality of health service provision is generally poor, with significant regional disparities in access to basic health care service. The situation of Somali region is worst when it is compared to the other regions of Ethiopia due to pastoralist life style with lack of supporting policy, pastoral populations that move from place to place with their flocks, creating a challenge to provide health service for the population in general and for children and mothers to reach immunization services in particular.

The heath extension program is the flagship of the health delivery system in Ethiopia. The HEWs are the core of the HEP to work in collaboration with community health promoters. Community health promoters extend the reach of HEWs into communities, focus on improving household health practices by serving as role models, and negotiate with caretakers on doable actions.

The government recently designed a new approach to extend health promotion and disease prevention services through the Health Development Army (HDA). One individual, especially female, is responsible for taking care of five households to lead the momentum of utilizing existing services and can directly influence care-seeking practices at the household level.

Malaria, acute respiratory infections, and diarrheal disease remain the most common diseases in Ethiopia, the threat of vaccine-preventable diseases such as polio, Measles, and NNT is very significant. In August 2020, Africa declared its polio-free status, but the region is affected by repeated outbreaks of cVDPV. It needs more robust surveillance and outbreaks responses to maintain the gains achieved.

The project focuses on eradicating polio through mass vaccination campaigns (SIAs), strengthening immunization systems, and community-based surveillance.  The vast experience and geographic presence provide an excellent opportunity to synergise the detection and notification of priority zoonotic diseases.  In 2019, CGPP received additional funds to support Ethiopia’s health security program by integrating community-based surveillance for three priority zoonotic diseases – Anthrax, Rabies, and Brucellosis. In this connection, CORE Group Polio – Global Health Security (CGP-GHS) Project has been working on three VPDs and three PZDs to enhance community-based surveillance through one health and community-centered approach.

Based on the guideline provided by WHO, Ethiopia has adapted the four strategies to eradicate polio. These are achieving high routine immunization coverage, supplemental immunization activities, Acute Flaccid Paralysis (AFP) surveillance, and mop-up campaigns.

RATIONALE of the project.

Ethiopia is sustaining wild polio free status for the last more than six years. To sustain its polio-free status, communities play an important role in preventing, detecting, and responding to infectious diseases and disease threats. A community can help contain and control infectious disease threats, limiting the geographic spread, and saving lives. The CORE Group Polio Project builds upon its existing community-based polio and immunization programs to strengthen community capacities to prevent, detect, and respond to infectious disease threats.

OWDA believes in expanding and extending its vast community-level intervention to other national public health priorities. Hence, it integrates Priority Zoonotic Diseases (PZDs) into its existing Community-Based VPD Surveillance system that can contribute a lot to the national surveillance system, particularly in the hard to reach pastoralist and along the international borders of the countries. Moreover, the existing community-based intervention, such as newborn tracking for polio birth dose and immunization activities, will continue in this FY.

STRATEGIES: The community is key to outbreak and epidemic preparedness. CGP-GHS Project will build upon its existing, community-based polio and immunization programs to strengthen and expand existing community capacities to prevent, detect, and respond to infectious disease threats in Ethiopia. CGP-GHS project activities overlaid on as many of the CORE NGO programs in-country as feasible while playing a leading role in Community Based VPD Surveillance. There will be no stand-alone CGPP or GHS grants; all will be add-ons to existing NGO efforts. Recognizing that an effective ‘last-mile’ supply chain is crucial for a rapid, efficient response, the Global Health Security component under the CORE Group Polio Project and GHS programs will also collaborate with other USAID GHSA partners in Ethiopia.

BENEFICIARIES: OWDA is committed to implement the full component of polio eradication and PZD Surveillance activities in 134 Kebeles in 10 Woredas in Somali region. The project will target a total population of 1,243,909 in a duration of five year of which 658,025 are under fifteen 154,444 are under five, and 43,829 are under one; and years old.

Health

A day that may have previously included many steps, physical activities like walking from your car at your workplace parking lot twice per day, shopping for groceries, outings with the family or visiting shopping mall are absent for many. With this unprecedented lifestyle shift, there is a potential for the normalization of a more sedentary lifestyle packed with activities like watching television, sitting while reading for long periods, or sitting at your computer for longer-than-usual periods of time. We must stay proactive, and in some cases creative, to maintain an active lifestyle in the era of social-distancing. Even if you are not directly affected by COVID-19, or tested positive, it no doubt has had a drastic impact on your day-to-day routine, which could negatively affect your overall health.

Humanitarian aid in the WASH sector for communities affected by the flood, drought and COVID-19 pandemic in Kelafo, Gode and Denan Woredas in the Somali region, Ethiopia .

The project targets a total of 19,767 direct beneficiaries and approximately 109,100 indirect beneficiaries.9,246 people from 4 villages in Kelafo will benefit from the construction of the river water intake systems with subsequent filtration and 8,184 people from the construction of the Birkas.

A total of 2,337 inpatients and outpatients and the staff of the health centre of the city of Kelafo will benefit from the planned water supply system (river water extraction, filtration, distribution) and the rehabilitation of three toilet blocks every month. The health centre is located in the centre of the city of Kelafo and has 33 rooms for various purposes, while the staff consists of 23 men and women. It is responsible for the 109,100 inhabitants of the Kelafo District, in particular for the 25,330 inhabitants of the City of Kelafo.

The construction of 16 institutional latrines will benefit both the students in the schools of the target Kebeles and the patients and in-patients in the health facilities of the target Kebeles.

The entire population of the target kebles will benefit from the sanitation and hygiene promotion measures, the distribution of water disinfectants and WASH NFI as well as the clean-up campaigns.

A total of 54 CV (community volunteers) and CM (community mobilizer) from the 9 Kebeles will benefit directly from the hygiene training, who will then pass on their knowledge to the entire population.

Emergency Health and Nutrition Response Project

Donor: Ethiopia Humanitarian Fund (EHF) Through OCHA

Project Type: Emergency

Location: Shilabo, Dobawayn, Denan and Gursum.

Project About: The main objective of the project is to improve health and nutrition status and reduce morbidity and mortality of all age groups particularly the vulnerable groups like infants, children under the age of five and pregnant and lactating women in drought and conflict-affected target woreda of Somali Region, Ethiopia. Likewise, the project will give particular emphasis on the current COVID-19 pandemic prevention measure to contain the spread of the virus. The project beneficiaries are 61,928 beneficiaries (including 22 IDPs sites with 3,855 H.Hs)

The project will prevent, detect and treat vulnerable communities though MHNT services provision, Facility and community-based surveillance, health worker /health extension workers capacity building, case management, outbreak support, mass vaccination of illegible children and reproductive age group and acute malnutrition through Community Management of Acute Malnutrition (CMAM) including Therapeutic Feeding Program (TFP) and Targeted Supplementary Feeding (TSFP) for moderately malnourished children of 6 to 59 months old and malnourished PLW.

The project will support the nutrition screening of all children 6-59 months, Provision of CMAM training in a short session using prevention and control measures of COVID19 for service providers for the new guideline, Support the treatment of SAM with/ without medical complications in children between 6-59 months in the OTP and SC sites, Support OTP and SC sites for referral cases, support TSFP and OTP commodities to end-users, provision of food for mothers/caretakers of children in stabilization centers (SCs), provision of TSFP service for children 6-59 and PLW with moderate acute malnutrition, support the optimal Infant and Young Child Feeding in Emergency (IYCF-E) practices for infants and young children under 24 months and support the nutritional needs of pregnant and lactating women (PLW) and continuum of care. Mainstreaming of Gender and Protection activities will be also included. In line with the 2020 Ethiopian Humanitarian Response Plan (HRP), the proposed project will deliver a full-spectrum of emergency health and nutrition intervention including prevention, treatment, management, community mobilization and case identification to achieve and sustain the project impact. Exceptionally vulnerable women and children in drought-affected and conflict-induced communities.

Safe, Protective and Quality primary education for emergency affected children in Somali regions

This project aims to ensure that children in Liben and Siti zones of Somali region whose schooling were interrupted by emergencies are provided with the opportunity to continue with their education. In Somali region, NRC will implement in Siti zones while Organization for Welfare and Development in Action (OWDA), NRCs downstream partner will implement in Liben zone. Besides  The activities are designed to address the needs of learners, teachers and parents during and after the emergency as detailed below.

If the schools remain closed, the project will;
• Procure and distribute solar radios in areas where households do not have radios
• In collaboration with the Somali REB, rent local radio channels and broadcast primary education programs

When the schools reopen, the project will;
• Equip schools with the necessary supplies to meet the school reopening procedures (handwashing, cleaning supplies etc.) and issue guidance for school directors and teachers on the implementation of the safe school operations
• Commence a back to school campaign to maximize retention after the school closures.
• Establish School and Woradas level Rapid Response Teams and make continuous follow up on school community situations and take relevant measures considering COVID19 health procedures & standards.
• Liaise with health extension workers to train teachers on a simplified case definition and alert notification procedures including registration and reporting about the symptoms of COVID 19.
• Train teachers on Psychosocial Support Skills (PSS) psychosocial support in the geographic areas affected by the virus.
• Translate, print and distribute key information on COVID19, e.g. posters for schools and the COVID 19 school guideline.

Emergency Health and Nutrition Response Project

Donor: Ethiopia Humanitarian Fund (EHF) Through OCHA

Project Type: Emergency

Location: Shilabo, Dobawayn, Denan and Gursum.

Project About: The main objective of the project is to improve health and nutrition status and reduce morbidity and mortality of all age groups particularly the vulnerable groups like infants, children under the age of five and pregnant and lactating women in drought and conflict-affected target woreda of Somali Region, Ethiopia. Likewise, the project will give particular emphasis on the current COVID-19 pandemic prevention measure to contain the spread of the virus. The project beneficiaries are 61,928 beneficiaries (including 22 IDPs sites with 3,855 H.Hs)

The project will prevent, detect and treat vulnerable communities though MHNT services provision, Facility and community-based surveillance, health worker /health extension workers capacity building, case management, outbreak support, mass vaccination of illegible children and reproductive age group and acute malnutrition through Community Management of Acute Malnutrition (CMAM) including Therapeutic Feeding Program (TFP) and Targeted Supplementary Feeding (TSFP) for moderately malnourished children of 6 to 59 months old and malnourished PLW.

The project will support the nutrition screening of all children 6-59 months, Provision of CMAM training in a short session using prevention and control measures of COVID19 for service providers for the new guideline, Support the treatment of SAM with/ without medical complications in children between 6-59 months in the OTP and SC sites, Support OTP and SC sites for referral cases, support TSFP and OTP commodities to end-users, provision of food for mothers/caretakers of children in stabilization centers (SCs), provision of TSFP service for children 6-59 and PLW with moderate acute malnutrition, support the optimal Infant and Young Child Feeding in Emergency (IYCF-E) practices for infants and young children under 24 months and support the nutritional needs of pregnant and lactating women (PLW) and continuum of care. Mainstreaming of Gender and Protection activities will be also included. In line with the 2020 Ethiopian Humanitarian Response Plan (HRP), the proposed project will deliver a full-spectrum of emergency health and nutrition intervention including prevention, treatment, management, community mobilization and case identification to achieve and sustain the project impact. Exceptionally vulnerable women and children in drought-affected and conflict-induced communities.

Emergency WASH Response project for the Conflict induced IDPs and Disaster affected host communities in Babile and Tuliguled woredas of Fafan zone Somali Regional State, Ethiopia(EHF Project)

This emergency WASH response project is intended to address the desperate WASH needs that people living defectively in the two woredas are facing. The project is inline with both the strategic and sector specific (WASH) objective of EHF funding. EHF 2020 first Round Allocation will be used for direct implementation of WASH activities as per Regional and national WASH Cluster priorities as prioritization on ETF 8th of April 2020 to address lifesaving needs including access to adequate and clean potable water, meaningful access to sanitation and creating awareness to adapt good hygiene practices and integrate covid-19 preparedness.

This project will intervene and address the immediate needs women, girls, elderly and vulnerable target groups. The identified gaps include shortage of water due to the high non-functional water schemes, poor sanitation coverage, low hygienic practices./absence of WASH NFIs for IDPs and the host community, inadequate technical capacity of the government staff to manage water schemes, prevalence of GBV cases in IDP sites and absence of dignity kits for adolescent girls in the IDP camps. The project is designed to address those gaps through rehabilitation and construction of water schemes, construction of communal emergency latrines, provision of WASH NFIs, provision of technical and logistic support to WASHCOs and local government staff. All the two targeted woredas are hot spot priority sites as per the information from WASH cluster prioritization matrix. The project in general aimed to contribute to the reduction of morbidity and mortality related to WASH related diseases through implementation of water, sanitation and hygiene projects in the target woredas. To address the most affected group of communities particularly women, girls and children in the IDPs by mainstreaming gender in all WASH activities.

Providing IDPs and host communities with essential WASH services, encompasses the priority activities set by the WASH cluster, which includes the expansion of access to safe water through on spot construction of new water sources, rehabilitation of nonfunctional water sources, the operation and maintenance of water supply network and distribution areas as well construction of sanitation facilities.

Aligning with the strategies of the global COVID-19 Strategic Preparedness and Response Plan, and the national COVID-19 preparedness and response plan to rapidly detect, diagnose and prevent the further spread of the virus, OWDA will implement activities aligning with the preparedness measures in the project site and in collaboration with its key stakeholders. Through scale up hygiene promotion activities that will actively promote hand washing at critical times and delivering covid-19 messages, sanitation, promote safe water chain and support safe solid waste disposal. This will be done through production of IEC material with hygiene and covid-19 messages written in local language. Likewise, the project will consider gender and protection mainstreaming approaches.

Community led maternal and newborn health in Dollo Zone Somali Region

OWDA in partnership with Women’s Hope International (WHI) has been implementing community led maternal and newborn health Danod and Daratole districts of Dollo zone Somali region Ethiopia. Since 2004, OWDA is implementing maternal and newborn in Somali region with its Longstanding experience in reproductive and maternal health, Staff with long-standing field experience, Long-term commitment that goes beyond a project, commitment to a community empowerment based approach in development and willingness to learn and adapt working with pastoralists in a highly vulnerable, crisis-prone context.

The proposed project aims to decrease the maternal and newborn mortality rate significantly in two Districts (Woradas) of the Dollo Zone in the Somali Region. Towards this goal, the project will facilitate improved access, demand and use of good quality MNH services supported and governed by the community.  In order to achieve the above, the project aims for the following results: 

  1. Communities are mobilized and take the lead in governing MNH facilities and projects. Access is improved.
  2. Pregnant women have increased demand and higher use of MNH services.
  3. The government health services are providing good quality MNH services.

Partnerships

Partnerships

UN AGENCIES

  1. UNICEF
  2. UNOCHA
  3. WHO
  4. FAO
  5. WFP

INTERNATIONAL CSOs

  1. Arche-noVa
  2. NRC
  3. NCA
  4. Norway Development Fund (DF)
  5. SCI
  6. IRC
  7. WHI
  8. GOAL
  9. Islamic Relief
  10. Cordaid
  11. SOS
  12. MDM
  13. MA/WB
  14. CORE-GROUP
  15. CCRDA
  16. TDP
  17. Creative Initiative

Ethiopian Social Accountability Program 3

The Ethiopia Social Accountability Program Phase 3 (ESAP-3), being part of the Enhancing Shared Prosperity through Equitable Services (ESPES) program, seeks to improve basic public service delivery of local governments in assisting to make services better attuned to the needs and priorities of citizens.

The development objective of ESAP-3 is to support strengthening the Social Accountability (SA) system and mechanisms for enhanced service delivery in Ethiopia. Thus, the ultimate target is service improvement in any of the five identified basic sectors where SA is considered a critical means to intervene. The more specific objective of ESAP-3 is to enhance the dialogue and feedback loop between basic service users and service providers on the quality and accessibility of services.

Strengthening Data Quality and Demand Generation in Afar and Somali Regions, Ethiopia.

Donor: The Gavi Alliance for Vaccine and Immunization (GAVI)

Project Type: Emergency

Location: Gode and Adadle.

Project About: Immunization is one of the most powerful and cost-effective public health interventions.  Each year, it prevents debilitating illness and disability and saves two to three millions of lives. The Gavi Alliance is a unique organization that aligns public and private resources in a global effort to create greater access to the benefits of immunization. It does this with precision and in creative, innovative ways to ensure that, donor contributions efficiently save lives and help build self-sufficiency in the world’s poorest communities and regions.  It brings together all the main actors in immunization including developing country and donor governments, the World Health Organization, UNICEF, the World Bank, the vaccine industry in both industrial and developing countries, research and technical agencies, civil society organizations, the Bill & Melinda Gates Foundation and other private philanthropists.

The Gavi story begins towards the end of the 20th century, when global immunization efforts were beginning to plateau. Despite the promising progress of the previous two decades, by the Expanded Programme on Immunization (EPI), there were still 30 million children living in poor countries who were not fully immunized. Coverage was stagnating and in-some places even declining. And even though new life-saving vaccines were becoming available, beyond the original six EPI vaccines, virtually none were reaching children in developing countries, those who needed them most, because they were too expensive.

Objectives: The overall objective of the project is to contribute for improvement of immunization coverage and equity in Afar and Somali Region of Ethiopia through strengthening data quality and community demand generation.

Outcomes: The proposed outcome indicators of the project are taken from the two RHBs routine immunization improvement plan (2019/2020 – 2021/22). The main outcome indicators of this project are:

  • Improved completeness and timeliness of routine immunization data at HF and woreda level
  • Improved data management and utilization for decision making at health facility and woreda health office
  • Increased level of knowledge of mothers/care takers on immunization service
  • Increased routine immunization (Pentavalent 3) coverage in target woredas
  • Reduced vaccination dropout rate in targeted woredas.