RÄDDA BARNEN SOMALIA (CHASP) 2017-2020
Contribution ID : SE-0-SE-6-51270022This website displays open data about Swedish aid, which shows when, to whom and for what purpose Swedish aid is paid out, as well as what results it has produced. This page contains information about one of the contributions financed with Swedish aid.
Save the Children has submitted an application for program support for the years 2017-2019, with a total of 90,000,000 kronor. The contribution aims to help strengthen the Somali health sector by supporting primary health care at local level. By strengthening the capacity of local authorities in governance and decision making regarding health issues, increasin...
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Save the Children has submitted an application for program support for the years 2017-2019, with a total of 90,000,000 kronor. The contribution aims to help strengthen the Somali health sector by supporting primary health care at local level. By strengthening the capacity of local authorities in governance and decision making regarding health issues, increasing access and quality of services, and strengthening the empowerment and resilience of the population, this effort is considered to contribute to improving community health. In addition, the main focus of this contribution lies on maternity, neonatal and child health in order to help strengthen the health of women and children and their potential for survival. Since 2012, Sida has supported the Somali health sector through a comprehensive UN Joint Program (WHO, UNICEF and UNFPA), entitled Joint Health and Nutrition Program (JHNP). UN organizations in Somalia are mainly non-implementing partners and therefore subcontract local organizations, such as Save the Children to perform and deliver services. Save the Children was the largest implementing partner organization within JHNP, which laid the foundation for the design of this new program after the JHNP ended. Sida, together with the Swiss Development Cooperation in Somalia (SDC), chose to proceed with Save the Children as an individual and direct partner, given the work previously implemented by the organization were successful. Save the Children also has access to many regions around Somalia, including hard-to-reach areas, which this contribution aims to focus on. The choice to prepare a new support to Save the Children to strengthen the local health sector with particular attention to three regions - Galmudug, Jubbaland and Bari. The selection of regions for project implementation was guided by Save the Children, who concludes that these regions lag behind other regions in terms of access to essential health services. It is worth to remember that these regions are all previous JHNP regions and so continuation of services remains essential. Decision on contribution will be taken by the Head of Afica Department at Sida Stockholm.
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Result
During the third year of program implementation, CHASP continued the delivery of quality healthcare servicers combined with diverse capacity building interventions in 10 districts across Jubaland, Galmudug and Puntland. This has contributed significantly to increased access and availability of healthcare in targeted regions especially hard-to-reach areas. In the reporting period, the intervention reached 429,124 beneficiaries (178,565 males and 250,559 females), accounting for more than half of the overall health facility utilisation rate of 782,087 with quality health interventions, establishing resilient health systems and robust community structures thus laying a strong foundation for sustainability. Antenatal care results carried out during a client satisfaction interviews shows that, majority of pregnant women attended the health facilities were provided folic acid, iron tablets, tetanus toxoid injection and counseled on the importance of antenatal care and recommended diertary intake. In order to maintain adaptive programming, the intervention continued to conduct a series of research studies and client satisfaction surveys in some of the supported facilities In addition, a study to understand progress in knowledge of care givers on infant and young breast-feeding, children dietary diversity and community health status was also conducted in two districts with findings helping to modify the breast-feeding practices and nutrition programming approach. Following the dissemination of above mentioned research findings conducted, the Ministry of Health and other key health actors in the proogramme-supported regions have adapted these key findings and recommendations with the aim of improving quality health service delivery. Other results achieved in year three include: - Cost per beneficiary ratio for year 3 was maintained at 114 SEK as compared to 250 SEK in year 2;- Flexibility of the programme design maintained to adapt to changing context and learning experiences, COVID 19 and emergency funding utilized;- 77% increase in health facility utilization as compared to year 2 and more effective and efficient health leadership and coordination both at district and state level; - Rehabilitated three health facilities in Bari region. In Horseed health centre, the programme renovated the perimeter fence while in Dharjaale, the community constructed three extension rooms for delivery services; - An elevated water tank constructed for Kobdhexaad health centre improving general sanitation of the health facility, and an underground water reservoir constructed for Baargaal Referral Health centre, ensuring consistent supply of clean water at the health facility; - Stronger community involvement and ownership laying foundation for sustainability. In Galmudug, there is a slight decrease in children under five utilization for year 3 as compared to year 2. This is due to accessibility issues and migration of the population.
Community Health and Social Accountability Programme (CHASP) aims at increasing the utilisation of quality Reproductive, Maternal, New-born, Child Health (RMNCH) services that are accessible, acceptable, affordable and equitable through provision of essential package for health services. The programme is implemented in three different regions and a total of 10 districts of Somalia and has dual objectives: 1) to increase the utilisation of quality Reproductive, Maternal, New-born, Child Health (RMNCH) services; and 2) to develop a strong community, district and regional level referral health system. The programme primarily targets women of reproductive age and children under five years of age for health services. Besides contributing to strengthened health systems, the intervention will increase the health seeking behaviour for women and make reproductive health services accessible and affordable for the target beneficiaries. The programme will further contribute to bridging the gap between health facilities and communities.
Swedish aid in numbers and reports
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Reports from the Expert Group for Aid Studies and Sida's strategy and corruption reports Sida's annual report (Swedish only)