IRD BSF-IA Proposal - Basic Services Fund SOUTH SUDAN

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7. Description of activities per result and sector: Maximum 5 pts Maximum 3 pages 7.1 Include detailed description of each project output and the corresponding activities Under the proposed project IRD will focus on the health and water and sanitation sectors. Results in primary health care will include structural, equipment and material outputs. IRD will emphasize bringing health facilities up to the BPHS standard with close involvement of the CHD. IRD will work with JDF to bring the DLBC in Duk Payuel up to the BEmONCPHCC level through rehabilitation, construction, staffing and equipment needs. As the DLBC has undergone several improvements under CHESS, IRD will only need to provide an inpatient/observation area with 10 beds, separate maternity ward, minor surgical theatre area, climate controlled pharmacy area, improved 24 hr electrical supply and expanded staff housing. IRD will provide water harvesting and storage for the 3 PHCUs constructed under CHESS and construct one PHCU in Pagaak including an institutional latrine block. Equipment for the 4 PHCUs will be provided by the project and in collaboration with UNICEF. As part of this, IRD will work with JDF to expand and improve the cold chain to increase vaccination and Vitamin A coverage to 40 percent. The JDF has procured the necessary equipment including solar panels, medicine and lab test refrigeration equipment at the DLBC. The project will assist in maintaining the cold chain though training of staff and local authorities, while collaborating with UNICEF and GoSS for a sustained supply of medicines. The strengthened relationship between the local CHD, State and Juba level MoH, and UNICEF will work to avoid stock outages and generally increase the availability of MMR, BCG, DPT, Tetanus, OPV (polio) and other vaccines. To improve transportation, the project will also provide JDF with more cold boxes and motor bikes. Essential pharmaceuticals and IEC materials will be provided for the CHD, DLBC and 4 PHCUs. JDF will receive monthly funding to cover the cost of additional required pharmaceuticals not provided by the MoH. Results in primary health care training will include outputs involving the healthcare staff at the DLBC, CHWs, VCWs, AES instructors, the CHD and local authorities, as well as local communities. Training for health care service providers will include refresher/on-the-job training for the 9 staff at the DLBC covering topic areas for a BEmONCPHCC level facility. The project will support the DLBC with provision of salaries for all staff. As part of the EPI services mentioned above, IRD will support the DLBC in expanding the three person inoculators’ team and emphasize the use of child health cards. IRD will support the CHD in providing MoH CHW certification training for 40 percent (approx 27) of untrained CHWs and TBAs. The training will take place in Duk and participants will be provided with a stipend, living arrangements and food. Through an arrangement with the MoH in Bor instructors will be seconded for the 9-month training in Duk. The CHWs trained under the project will return to their PHCU post and receive top up of salary if not receiving this through the MoH. Selection criteria for training will be based on a community assessment, and take into account the amount of training to date, the recommendation of community members, and the motivation to work. IRD will also emphasize training of BHCs and continue to work with the four BHCs formed under CHESS in Payuel, Mareng, Pajut and Pakam. IRD will re-establish and train an additional 13 BHCs linked to other county PHCUs. Member selection will be conducted in coordination with the CHD, local authorities and community leaders and seek to be a representative of the community and maintain a gender balance. Initial trainings will focus on basic health topics (per MoH curriculum) and relationship to project and PHCU activities. Members will be motivated to have ownership and involvement in community health activities. Their key functions will include health promotion, community mobilization for health education campaign activities, and active case finding and referral, as well as morbidity and mortality surveillance. BHCs will also be closely linked to the health and education campaigns conducted in each payam. IRD and the CHD will work to improve awareness of common health issues and increase demand for services through 16 health and hygiene campaigns (2 per payam conducted) and the training of 16 Adult Education System (AES) instructors on health and International Relief and Development US Basic Services Fund and Mott MacDonald 5
hygiene issues for classroom discussion. AES instructors who were trained and currently working under CHESS will continue to receive stipends under the proposed project and receive trainings on health and hygiene similar to the training of the BHCs. AES instructors will be motivated to include these topics in classroom lessons and discussions. Throughout all of the above activities, IRD will strengthen capacity of the CHD and local authorities in health service delivery by involving personnel at every step. This will be accomplished by improving the capacity of the CHD through close supervision and training to assess, monitor and plan for health service delivery; and linking the CHD to local authorities and communities through quarterly and activity driven payam based meetings. IRD will more activiely involve the CHD in meetings with chiefs and community leaders as supported under CHESS, to ensure project ownership and sustainability. These meetings also serve as forums to discuss equitable distribution of basic services across the county particularly in the more marginalized communities. Results in drinking water and sanitation will include the outputs of borehole rehabilitation and water quality testing. Under the current CHESS project in Duk, IRD has worked closely with the local authorities to identify and prioritize boreholes which need general maintenance and rehabilitation. IRD has identified 15 additional boreholes which are linked to or adjacent to the 11 PHCUs and the PHCC which have not been part of CHESS rehabilitation. IRD will work with a local contracting group to assess the required needs at each site and produce a report for the MWRI. Water quality testing will be performed at each site and findings will be shared with the MWRI at state and Juba levels. Similarly, results in training water point committees will coincide with the above outputs and include training of VWCs, pump mechanics and local authorities. IRD will continue to work with the 15 VWCs formed under CHESS and form and train an additional 15 which will be linked to the 15 boreholes rehabilitated near PHCUs and PHCCs. VCWs will be trained in rural hygiene and sanitation issues, water management and community participation and ownership concepts. VWCs will nominate one member to be trained in basic maintenance and handling of the boreholes, for a total of 30. These mechanics will work in tandem with IRD capacity building at the PHCUs/PHCCs and they are the custodians of spare parts and equipment for borehole maintenance. IRD has a container which held medical supplies and shoes which can now be handed over to the county and for use as a warehouse for spare parts for quick response on boreholes to reduce community migration to other villages and stress on singular boreholes that leads to failure. IRD will work with County, payam and the WPC to ensure that refresher training and M&E is carried out regularly. IRD will also work closely with the state level water authorities, parts distributors, and UNICEF to establish a supply chain and stock of spare parts. Further, results in training in sanitation and provision of institutional latrines will be IRD outputs for the project. IRD will construct one institutional latrine in Pagaak when constructing the PHCU. The latrine block will have one male and one female latrine, one patient washing area and one staff latrine. IRD will provide training in rural health and hygiene to the VWS, VWCs, and AES instructors. The health and hygiene campaigns in each payam will also involve these groups in disseminating messages. For more information please see Annex 4 for the Training Table. 7.2 Specify the role of each partner per output, if applicable, and describe the added value of each member of the proposed consortium. IRD’s role is to lead and ensure the successful implementation of project activities. IRD will work closely with the CHD, local authorities and community groups to achieve all project outputs. IRD has been operating in Duk County since 2009 and in South Sudan since 2004. IRD has projects in Upper Nile, Warrap and states with funding from UNCHR, NDI, BPRM and SRF. IRD will provide a sub-grant to JDF to ensure continuation of health services at the DLBC and the improvement of EPI services as in January 2010, DLBC was designated as County focal point for EPI by the MoH. JDF is committed to supporting the DLBC until it can International Relief and Development US Basic Services Fund and Mott MacDonald 6
Page 2 and 3: Format BSF-IA Project Proposal - Ca
Page 4 and 5: 6. Justification: Maximum 40 pts Ma
Page 8 and 9: e 100 percent supported by the MoH.
Page 10 and 11: with the CHD staff to improve Disea
Page 12 and 13: Per Boma Health Committee Member tr
Page 14 and 15: 1 Project Budget International Reli
Page 16 and 17: International Relief and Developmen
Page 22 and 23: Strengthened health systems at loca
Page 24 and 25: RESEARCH EXPERIENCE 2006 Participat
Page 26 and 27: 5 Project Team Registration 5.1 IRD
Page 34 and 35: 8 Statement of BSF Grant Consortium

IRD BSF-IA Proposal - Basic Services Fund SOUTH SUDAN

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