Celebrating African Motherhood - Amref

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26 Health Interventions by AMREF in Kajiado District, Kenya’; and ‘Effi cacy of Community-based Health Care in Kenya: Evaluation of AMREF’s 30 Years in Kibwezi’. Institutional Capacity Building • The Directorate continued building research capacities for AMREF staff , both in the directorate and in the diff erent AMREF Country Programmes. The main activities focused on conceptualisation of research problems, development of research questions, development of research methodology, as well as preparation of case studies and discussion papers. • The Directorate has been involved in the teaching and supervision of students in AMREF’s Diploma in Community Health and Master’s in Public Health courses. The Directorate also participated in preparation of the curriculum for the proposed BSc in Community Health course. • AMREF worked together with other civil society groups at the G8 2009 Conference to ensure that the critical issue of strengthening Human Resources for Health in Africa was discussed at the meeting. A publication in the G8 newsletter on ‘Crippling Global Health Worker Shortage’ was developed in collaboration with the Health Workforce Advocacy Initiative (HWAI). At the same time, a briefi ng note to the G8 health expert group titled ‘The role of mid-level and community health workers: A systemic approach to task shifting’ was developed in collaboration with HWAI. • The Directorate’s research initiatives have enlisted collaboration with Moi University (Kenya), Makerere University (Uganda), Kenyatta University (Kenya) and University of Nairobi (Kenya). Health Learning Materials AMREF’s Health Learning Materials unit contributes to health development, improved service provision in general and to training of health workers in particular, through production of a broad range of up-to-date learning and teaching materials, periodicals and manuals. These are targeted at clinical offi cers, medical assistants, nurses and midwives, laboratory technicians, public health offi cers and other frontline health workers in developing countries. In 2009, the unit published several publications including ‘Training Health Care Professionals’; ‘Community Health (3rd edition)’; and the second edition of the ‘Procedure Manual for Nurses and Midwives’. Community Partnering The Directorate of Community Partnering at AMREF is grounded on the premise that for health systems to meet the needs of the poor, they must be centred on people and communities. The Directorate’s objective is to harness community resources to improve health service delivery and to create grassroots movements and organisations which ensure that communities are an integral part of health systems that are responsive to their needs. It supports fi eld programmes in the various countries where AMREF works through creation of tools, skills development and provision of technical support. Gender Mainstreaming Gender is now largely mainstreamed in projects in the Country Programmes, with tools for appraisal of individual activities, data collection and analysis for reporting, and for monitoring and evaluation. Close to 400 AMREF staff have now been trained on gender, and have begun to pass on the lessons to the partners on the ground. Sexual Reproduction and Child Health The Directorate is progressively introducing a regional approach to programme development and management, which creates greater opportunities for research and cross-border learning and sharing of lessons for more eff ective solving of community health problems. The regional Nomadic Youth Reproductive Health programme that is being implemented in Kenya, Ethiopia and Tanzania is carrying out major research that will lead to greater understanding of nomadic health issues and models for service delivery in nomadic settings. Collaboration with the Royal Tropical Institute of the Netherlands is helping build the research skills of the 30 staff members involved, something that is catalysing greater interest in operations research in other projects in the country programmes.
An exciting new regional Maternal, Neonatal and Child Health Project, funded by the EU and to be implemented in Kenya, Southern Sudan and Tanzania, was approved for funding in November 2009 and launched in Dar es Salaam in January 2010. The objective of the project is to strengthen the capacity of health services to provide high quality services to mothers and children in the communities; build community knowledge and capacity to tackle maternal and child health issues; increase use of skilled delivery services at health centres; and to generate knowledge and lessons that can be disseminated to accelerate progress towards achievement of MDGs 4 and 5. An advocacy component for which funding is being sought has been developed to further support lesson learning and dissemination in this and other similar initiatives. Advocacy • AMREF was integral to the formation of the White Ribbon Alliance for Safe <strong>Motherhood</strong>, Kenya Chapter. The fi rst meeting of the alliance was supported by the Directorate of Community Partnering, with funding from AMREF in the Netherlands. The White Ribbon Alliance for Safe <strong>Motherhood</strong> is an international coalition of organisations and individuals whose goal is to help ensure that safe pregnancy and childbirth are an attainable priority for all mothers and their newborns. • Internal advocacy resulted in adoption of MNCH as a target programme for unrestricted fundraising across the organisation, and one of the key three pillars in the draft organisational advocacy strategy • A study on the need for policy review to support advocacy on female genital cutting was completed in Ethiopia through the regional Nomadic Youth Reproductive Health Programme • A baseline survey for the Makhudumanga District Child Survival Project in Limpopo Province gave a solid start to future research in this important fi eld, expected to generate important evidence for advocacy on child health issues. Coalition Building The Dutch Ministry of Foreign Aff airs, which funds the Nomadic Youth Reproductive Health Programme through AMREF in the Netherlands , requested situation context analyses in benefi ciary countries to be carried by Dutch coalitions of NGOs with their southern partners, within the new approach of the Ministry to fund coalitions rather than single NGOs. AMREF is the lead agency in the sexual reproductive health and rights (SRHR) and water, sanitation and hygiene – WASH - (new funding area) coalitions in East Africa (excluding Uganda where WFP leads). The directorate has worked with AMREF in the Netherlands to organise consultations with a wide variety of partners in both SRHR and WASH. This has presented a unique opportunity to interact with similar minded but also diff erent advocacy organisations that will create powerful networks for advocacy and greater infl uence in the region, not to mention additional resources in these programme areas in the coming programming year. 27
Page 1 and 2: Celebrating African Motherhood Annu
Page 3: Strong woman, with weathered skin S
Page 6 and 7: 6 FROM THE CHAIRMAN Dr Pascoal Mocu
Page 8: 8 VISION Better Health for Africa M
Page 11 and 12: Why Maternal, Neonatal and Child He
Page 13 and 14: 2009 OVERVIEW ... She’s grown tou
Page 15: In the female ward a woman with a d
Page 18 and 19: 18 AMREF has been supporting the Go
Page 21 and 22: AMREF IN SOUTH AFRICA AMREF started
Page 23 and 24: HEADQUARTERS Capacity Building In 2
Page 25: 2009, AVNS had enrolled 187 student
Page 31 and 32: SOUTHERN SUDAN Training of Clinical
Page 33: very few health centres and heath w
Page 36 and 37: 36 Door-to-Door Health Care Tadelec
Page 39 and 40: UGANDA Home-based Care Management o
Page 41: house in Atanga sub-county where a
Page 44 and 45: 44 A Blend of Health and Culture A
Page 47 and 48: TANZANIA ANGAZA ZAIDI - Prevention
Page 49: “To tell the truth, many mothers
Page 52 and 53: 52 Catch Me Before I Fall The delig
Page 55 and 56: NATIONAL OFFICES ...A touch from he
Page 57 and 58: In February, AMREF in Canada led a
Page 59 and 60: ITALY NETHERLANDS Many people in de
Page 61: UK AMREF in UK diversifi ed its res
Page 64 and 65: 64 Indirect Costs 14.4% Family Heal
Page 67: SENIOR MANAGEMENT TEAM Dr Michael S
Page 70 and 71: 70 AMREF in Austria Waagplatz 3 502
Page 73 and 74: DONORS ... She smiles on and holds
Page 75 and 76: AMREF in Italy Angelo Loy Arena Cat
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Federazione Motociclistica Italiana
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CREDITS Photography Boniface Mwangi
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