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Presenter: Esther M.Nyambu
254h to 28th February 2015
IRC’s Experience Transitioning from the MISPto Comprehensive RH Service Delivery inSouthern Chad
Fifteenth Annual IAWG Meeting
Ishtar , Jordan
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Outline of Presentation
Contextual Background
Overview of RH Emergency response
Results & Major Achievements
Transition: Comprehensive RH
Challenges
Addressing challenges
Key ingredients for transition tocomprehensive RH
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Refugee and returnees flee to S. Chad
•190,000 Central Africanrefugees have fled toCameroon, Chad, the Congoand the Democratic Republic ofthe Congo (DRC) sinceDecember 2013.
•IRC launched a MISPresponse in April 2014 at 3transit camps in S. Chad - ~Pop 25000 people
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Presentation of KitSR to National NGO
Provide Technical support.SR clinicin Tazalit camp
RH emergency response
RH Kits
pre-packaged set of kits
Emergency RH services
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CHW raising awareness
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Prevent excess Maternal andNeonatal M& M 24/7 referralHealth Facility Deliveries 398.
Prevent excess Maternal andNeonatal M& M1075 - New acceptors of FP
Clinical services for survivors– All the 3 HealthFacilities supplied withPEP Kits
Reduce HIV Transmission
Free Condoms avaliable.Over 65000 condomsdistributed
Results in 8months ofimplementation
RESULTS
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RESULTS: Key successes
Deliverables in southernChad :
Target Pop. 25000 people
May toDecember2014
Results
May toDecember
2014
Targets
Achievement(%)
Health Facility deliveries
394
643
(4% of Total Popin 8 months)
61%
New accepters of familyplanning methods
1,075
904
(15% of WRA)
119%
303 (28%) of new acceptors chose a long-term FP method
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Clinical Care for Sexual Assault Survivors, IRC S.Chad, May – December 2014
Number of survivors ofsexual assault whoreceived clinical carewithin 72 hours ofpresenting to the facility
0
0
1
0
0
1
1
2
Number of survivors whoreceived clinical carewithin 72 hours ofpresenting to the facility
0
0
1
0
0
1
1
1
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Major achievements
Successful implementation of MISP>immediate planning for comprehensive RH
Demand for RH services created
Strengthened staff capacity—on the job
Created a positive working relationship withBeneficiaries
Direct meetings with community leaders andgroups – services well accepted
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Key ingredients for comprehensive RH
MISP integrated into the existing primaryhealth activities of IRC in Southern Chad itsprogramming
On – the - Job training for humanitarianservice providers > transfer of skills
Advocacy for MISP in cluster and coordinationforums
Established bi lateral working relationship withRH Focal points of partners
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Conclusion
Dedicated staff and pre-positioned RH suppliescan set the foundation for successful MISPimplementation > immediate planning forcomprehensive RH
Capacity-building and on-the-job trainings forhealth staff helped to build service quality andfacilitated scale-up of MISP > preparing for laterformal training
CHWs worked with the community to generateincreasing awareness of and demand for RH
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