Programme achievements on access and utilization of EPHS services include:
• Improved access to essential health care services and increased health-seeking behaviors demonstrated by
out-patient department (OPD) consultations compared with targets: Jubbaland (215%), Galmudug (137%) and
Puntland (115%). In total, 2,476,718 beneficiaries (952,183 <5s, 1,524,535 >5s) reached with lifesaving EPHS
and a significant increase in utilization of services. 99% of sick people in the catchment areas sought health
care at the health facilities according to the household survey findings.
• Strengthened health systems building blocks and quality of health care through investments in human resources
for health (staff incentives, training), medical supplies and equipment, health infrastructure and running costs,
referral systems and improved governance.
• Strengthened access to life saving services through procurement of ambulances and emergency attention of
obstetric and other emergencies that previously were not possible in hard-to-reach program areas.
• Improved nutrition outcomes evidenced by an average of 97% cure rate for SAM services and 99% for MAM.
• Improved utilization of maternal health services evidenced by an increase in antenatal care service uptake from
65% to 83% at phase I endline evaluation, reflecting an increase in access through the establishment of maternal
newborn health (MNH) and comprehensive emergency obstetric and newborn care (CEMONC) centers.
• 163% of set target of pregnant women completed the minimum four antenatal care visits, leading to improved
maternal/neonatal health outcomes post-delivery. 83,769 women underwent skilled delivery in CHASP supported facilities. 2,480 babies delivered through caesarean section. In total, as per mid-term evaluation, 68%
of women delivered at the facilities with regional variations: Lower Juba 82%, Galmudug 77% and Puntland 59%.
• Increased access to family planning and SRHR services; 817 women accepted modern contraception methods in
the program areas.
• Stronger GBV and child protection mechanisms including safe spaces for mothers at clinics, case management
and referrals to relevant actors within the cluster/ area of responsibility.
• Increased immunization coverage for children aged 12-23 months in the program locations: improvement in Penta 3 and measles coverage from 47% and 28% to 82% and 46% respectively reducing vaccine preventable diseases and better survival of children reaching their fifth birthdays.
In terms of increased capacity, functionality and resilience of community-based structures, investments in community health strategies and resource mobilization through community health committees (CHCs) amounted to a value of $1,492,572 (year 1 and 2) and demonstrates increased ownership and accountability for improved maternal and child health outcomes.
