SOMALI NUTRITION STRATEGY 2011 – 2013 - ReliefWeb

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Essential Package of Health Services
(EPHS) for Somalia 2008
WHO/UNICEF/UNFPA Reproductive
Health Strategy
Three Strategic priorities for action:
i) Making pregnancy and childbirth safer
ii) Promoting healthy families
iii) Promoting beneficial and addressing
harmful practices
EU and FAO Integrated Support to Rural
Livelihood with the aim of mitigating the
effects of soaring food prices for 78,100
households in South Central Somalia
FAO Trials of Improved Practices pilot in
Hiran and Gedo identified by KAP study as
being particularly vulnerable in IYCF
The EPHS is the prime mechanism for strategic
service provision of the public sector health service.
It helps to clarify health priorities and directs resource
allocation. It defines MoH responsibilities and
activities at central and regional levels, particularly
in coordination, management and supervision of
services. It clarifies the role communities play in
creating a sustainable and accountable health
system.
Improve access, availability and quality of Maternal
and Neonatal Health services
Improve affordable ready access to good quality
birth spacing services for men and women.
Strengthen awareness among the population of
the positive health benefits of certain traditional
practices.
Increase numbers of qualified midwives and
community midwives available for public sector in all
three zones.
Vulnerable rural smallholders to benefit from income
generating activities, increased levels of production
and increased availability of agricultural products
in the local markets. Plus the rehabilitation of
infrastructure- canals, market places and roads.
This project aims to identify and implement the most
acceptable practices in the region in improving infant
and child feeding practices. The method involves
discussion with the mothers and caregivers in
moving towards recommended IYCF over three
household visits.
4 service levels: i) primary health unit staffed by 1
trained community health worker who conducts
promotional, preventive and curative activities; ii)
health centre- first level at which obstetric services
provided; iii) referral health centres and iv) hospitals
offering 6 core programmes plus 3 additional
programmes
Promotion of ANC visits, home visits and individual
counselling by CHWs
Promotion of exclusive breastfeeding by CHW
Strengthen awareness of benefits of exclusive and
prolonged breastfeeding
Establish continuous post-basic and community
midwifery courses in all three zones.
Enhancing agricultural production through cash for
work programmes, distribution of packaged seed
kits, tools and fertilizers
Move from ideal IYCF recommendations to practical
recommendations.
CHWs can be trained in promotion of good
nutrition, feeding, hygiene and sanitation
practices, distribution of micronutrient
supplementation to women and children,
control of diarrhoeal disease including ORS &
10-14 days zinc treatment. Nutrition screening
and referral,
MCH, health centre and hospital staff trained
and supervised to provide all the above
Delivery mechanism for maternal nutrition
interventions, counselling and support for IYCF
Multiple channels multiple contacts
Inclusion
midwives
of nutrition training modules for
Improved livelihood and food security should
have positive impact on nutritional status
Pilot in Gedo and Hiran can be scaled up in
other areas