1. SSRA-AMOUD PROJECT IN PARTNERSHIP
WITH FORUM SYD IN Sh.Osman
COMMUNITY IN BORAMA
Dr JIBRIl I.M Handuleh,MD
PROJECT COORDINATOR
SSRA

2. Amoud university
• Higher education institution
• Oldest and one of the prestigious university in
the country
• Partners
A.Tropical Health and Educational Trust(THET)
B.Global Health Center, King’s College London
C.ForumSyd
D.Kijabe Teaching Hospital, Kenya

3. Introduction
• Project is a partnership implemented by
Amoud University and Somali Swedish
Research Association(SSRA) and funded by
ForumSyd.
• Project was proposed in May 2012, grant got
accepted in August that year and became
operational by November 2012.

4. Project target population
• The project serves 20-30,000 people in
Sh.Osman community in Borama
• 10 female community health care workers
were trained for three months on common
mental health, childhood and maternal health
diseases using appropriate curriculum.
• Mobilize community to enhance sanitation,
access to health information and services.

5. Primary target groups
– Primary target group
• The Primary benficiaries of the project
include
• Children
• Reproductive health education and
information
• Mentally ill patients

6. Goals
• Raise health seeking behavior of the
community
• Empower women to lead the community
health care worksers
• Defend human right value of vulnerable
groups
• Increase primary health care access of
community members via awareness and
referrals

8. Project success criteria
• SSRA-Amoud members committed to assist
with the project implementation
• Community base of the community
• Involvement of Project coordination
committee
• Amoud University medical , nursing and
public health faculty helping with personal
indirectly
• Maternal and Child Centre in close proximity
to project site

9. Project relevance and Feasibility
• Bridging a Major Gap in Essential Life Saving
Services
• Creation of a Community Outreach Training
Programme for the University
• Linking to a Reliable Existing Capacity
• community ownership of the project
implementation
• Recently with NAFIS FGM group extended
mental health counselling to genital
mutilation patients

10. • 3 months training of 10 FCHWs on common
maternal health , maternal and child care
disorders
• lialison with MCH and district hospital
• Education for community members

11. Project aims
• To establish a community based Health
Program in Borama providing a coverage for
20,000 to 30, 000 rural and per-urban
population implemented by FCHWs and
made operational in the later part of the year
2012 with focus on MNCH and Mental Health
• To Select 10 females with 8th
grade pass
education level, residing in the same
catchment areas in which they will be serving
with the support of their families and local
community leaders

12. • To develop a three months training curriculum for
the CMHWs and organize their training program at
the Mental Health Center of Borama, run by the
School of Health Sciences of Amoud University
• To establish a program coordination council
comprising of Amoud University, Community
Leaders, Regional Ministry of Health and Local
Primary Health Care supporting UN and International
NGOs to guide and oversee the program
implementation and management

13. AND WHAT HAS BEEN SO FAR!
Project indicators

14. Project indicators
Results Indicators of
expected results
Activities
i. Mothers, children and
persons with mental
disorders access
essential maternal and
child care and mental
health services through
a community based
program at their door
steps
-90% of all persons
with severe mental
health disorders in
the project area
have been registered
and linked to the
MHC for diagnosis,
treatment and
follow-up
-80% of mothers
with under-six
month old infants
were counseled
about exclusive
breast feeding
-80% of mothers
with children under
one year know how
- Selection of the catchment
areas to be covered
- Social mobilization and
interaction with relevant
authorities and community
leaders
- Selection of 10 FCHWs
according to the set criteria
- conducting the FCHWs
intensive training program for
three months followed up by a
problem based learning once
every month

16. I
Results
i. Mothers, children and
persons with severe
mental illness in the
project catchment
areas received
appropriate treatment
and personal and family
counseling support
Indicators of
results
-At least 50% of the
chained persons with
severe mental illness
became chain-free with
the help of case
management and
family counseling
-At least 80% of the
families caring for
persons with severe
mental disorders have
received education and
counseling
Activities
-Regular home visits
conducted by the
FCHWs
-Family education and
counseling carried out
by FCHWs
-Patient referral and
case management and
follow up at the MHC

19. Project objectives continued
iii. A program
coordination council
(PCC) established
comprising of Amoud
University, Community
Leaders, Regional
Ministry of Health and
Local Primary Health
Care supporting UN and
International NGOs to
guide and oversee the
program
implementation and
management
-At least three
stakeholders have
membership in the
PCC that include
community leaders,
local health
authorities and the
university
-Two consecutive
council meeting
minutes are recorded
-Community awareness building,
social mobilization and project
presentation workshop organized
by the Amoud University in
Borama with the participation of
all relevant stakeholders that
would be involved in the PCC
-Conducting a consultation
meeting to nominate the
members of the PCC and define
their terms of reference

21. December 2012- February 2013
• 10 FCHWS were recruited, trained and
became operational
• Project steering committee formed
• Field work started
• Catchment area identified
• Three project activities teached, relevant
parties engaged
• A. Mental health
• B. Maternal health

22. March-June 2013
• Home to Home visits fully started
• Patients and families received counselling and
health related teaching on sanitation,
common illnesses and early referral to
patients
• Some chained patients are chain free , work
in the community and support their families
• Community mobilized to help clean
environment

23. March-May 2013 cases seen in the
community
conditions Number of patients seen Common conditions
Maternal health 490 Anemia, vaginal bleeding ,
obstructed labor , prolonged
labor, and referral for normal
antenatal follow up
Breastfeeding 340 Educated mothers and
pregnant women about
exclusive breastfeeding to
reduce childhood illness and
suffering to empower them
meet their responsibilities
Childhood illnesses 647 Respiratory infections,
diarrhea, malnutrition and
vaccination taking the life of
children in developing
countries
Mental health 606 Psychosis, depression etc.
Total 1604

24. THANKS FOR LISTENING
Mahadsanid