- Curative and prevention services
- Weekly distribution of plumpy nuts in Jikmir PHCC to the malnourished children
- ANC and PNC activities
- EPI activities is ongoing in Jikmir PHCC
- Sanitation awareness
- HIV/AIDS awareness
- Promotion of Health education
- Promotion of sanitation and hygiene
After seeing the scarcity of health services in Nasir County at
large, UNKEA started to solicit for funds and increase the availability
of health services. A proposal to Save the Children was developed
and successfully planned for implementation. This was in October
2005 when the first Primary Health care Unit program started in
Dingkar.In the following year another program for Mandeng was stared
to add on to the Dingkar in order to ensure that many people have
access to health care.
Our thanks go to the community, our staff, the government, stakeholders,
including such pivotal development partners such as Save the Children-USA
and all persons and organizations of goodwill who are always willing
to help us move on a path toward social healing, tolerance, peace
and development. In particular, it is UNKEA’s hope that Save
the Children-USA will, as always, continue supporting this (and
other such projects) so as to help in the realization of the specified
objectives as well as help our organization meet its mandate.
This shall be in line with our stated vision, “To see a competitive
Southern Sudan, with productive and God-fearing people.” The
project will help fast track our mission and obligation to the people
of Southern Sudan, to realize, “Progress, development and
provision of better services to local people in Southern Sudan and
empowering them politically, socially and economically.” As
always, we shall undertake to realize the project mandate and inculcate
values of integrity, accountability, transparency and neutrality
- Improved health and nutrition status of women and children
in Nasir County.
- Increase availability and accessibility of primary health care
services
- Increased utilization of primary health care services and adoption
of key protective health services.
- Improve care seeking and adoption of healthy practices through
behaviors change in the community
- Improve community health worker skills in delivery of Primary
Health Care Services.
- The construction work for a PHCU in Dingkar began in February.
The community was mobilized and sensitized on the impending construction
work.
- SC-USA started by providing kits to Mandeng and Dingkar Payams.Since
the facilities had not been completed, Primary Health Care services
were provided in tukuls donated by the community.
- Save Children conducted training for Health workers in Nasir
in November. This training helped improve the quality of services
provided by the health workers. TBA kits were also provided to
the participants.
- Training on data collection, filling of consumption forms and
writing of reports was done by UNKEA Health Coordinator in July
and August. Consumption forms and reporting forms were distributed
to the health workers.
- The programs were being implemented in areas where people use
water direct from the river/swamps and do not have proper disposal.
UNKEA conducted several behavioral change meetings with the community
and the main purpose was to help instill the practice of digging
pit latrines and treating water before drinking. UNKEA dug pit
latrines in the PHCU’s to act as examples for the community
where as the community are adopted the practices by digging their
latrines.
- In Dingkar, there is one borehole that provides clean water.
But to help keep the borehole clean, UNKEA established a water
committee in July through the VHDC and the main role was to ensure
that it was clean and no stagnant water stood around.
- UNKEA is in the frontline on eradication of Kalaazar in Upper
Nile state. With help from World Health organization, we have
conducted trainings on Kalaazar prevention and diagnosis. UNKEA
has qualified staff to manage Kalaazar cases in the region.
Malaria has been a big problem with an average of 120 reported
cases each month in each payam and the most affected is Mandeng.In
October for example, 209 patients received treatment at the Mandeng
PHCU with 50 being severe cases. Men were 65,pregnant women who
received bed nets and treatment were averaged to 60 and 75 were
children and youths. IDP’s and returnees also turned up for
the services while on their move. The high number of cases in Mandeng
was attributed to the breeding places in the river and nearby swamps.
The spread was reduced after the distribution of bed nets by SC-USA.The
target population in Mandeng was 10,000 people in a population of
over 44,000.
UNKEA/SC-USA distributed 1,800 pieces of mosquito nets to both
payams. The distribution was targeted to pregnant women, women with
children under five years and the old people after they report to
the facilities for treatment.
Other cases of illnesses were waterly diarrhea (Gadiasis) and bloody
diarrhea (Dysentery) due to drinking water directly from the river.
In July to September, the cases of Malaria were reported with a
maximum of 350 patients turning up for treatment. The heavy flooding
of river Sobat was a perfect breeding place for mosquitoes. The
trend as shown in the graph explains the little number of infections
in December continued to the early months of the year. Most of the
disease infections rise from April and picks the climax in September.
The trend started going down as a result of:
- Distribution of bed nets and burning of mosquito repellants
(Cow dung and some herbs). The beneficiaries of bed nets adopted
the practice of sleeping under LLITN’s and this helped reduce
the infections.
- Falling levels and drying up of breeding places for mosquitoes.
- Burning of bushes along the river and around homesteads.
Bloody and watery diarrheas were low from January to May but started
rising in June when the flooding started. The people drank water
directly from the river and swamps, which increased the infections.
The fall of infections was attributed to:
- Our health workers advised and helped instill the practice
of treating water before drinking by either boiling or using water
guard though the fall was not sudden since not everybody adopted
the practice immediately.
- Another practice was to use the 3-pot system. This proved to
be effective since there were no tasks of boiling required.
Dingkar’s morbidity rates were not very high as compared
to Mandeng since the breeding places for mosquitos are few and there
were insufficient rains also.
The objectives were clearly identified in the program and major
developments have taken place in the program.
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