CASP  health facility- solar installation

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SCI Office
Adado Filed Office, Galmudug, Somalia

Project
Community Health and Social Accountability Program (CHASP) project, Adado district, Galmudug

Activity
CASP  health facility- solar installation

Duration of the Activity:
From: 9/07/2018
To: 11/07/2018

Specific location of the activity:
Adado RHC, Godinlabe HC, Bahdo HC in Adado District of Galgadud Region.

Introduction
The wider region of Somalia is known to have some of the worst MDG-related health indicators in the world. The burden of disease is particularly high among children under five years of age and women of childbearing age in Galmudug. According to the recent baseline survey (WHO 2011), neonatal mortality ranges at 61 per 1000 live births, infant mortality at 119 per 1000 live births, maternal mortality ratio at 1044 per 100,000 live births.
Maternal and child under nutrition is also highly prevalent in Galmudug, resulting in substantial increases in mortality and overall disease burden. At national level, median prevalence of acute malnutrition has improved from critical (17.4% GAM) in GU 2017 to serious (13.8% GAM) in Deyr 2017. In Galgadud region in particular, the January 2018 FSNAU Somalia Post Deyr Seasonal Food Security and Nutrition Assessment survey report found that the population are suffering from serious nutritional challenges with Global Acute Malnutrition (GAM) rates of 14.8% and a SAM rate of 3.6%. Among the IDP population, a GAM rate of 14.8% and a SAM rate of 3.6% were found. As a result, rural groups regularly move in search of scarce resources such as water and grazing lands. This not only increases the strain on already overburdened resources but also negatively impacts on the existing fragile health system in the region. The FSNAU report mentions high morbidity rates as an aggravating factor to the existing acute malnutrition situation in Galmudug.
In Galmudug, one out of every 10 children does not live to the age of 5, dying from vaccine preventable diseases (VPDs) in addition to diarrhea and respiratory infections. Furthermore, only 24% of the women were attended by a Skilled Birth Attendant (SBA) according to the preliminary results of the 2011 Multiple Indicator Cluster Survey (MICS) of UNICEF. Additionally, at the community level, the need for improved preventative health behaviors was identified by several sources. Increased childhood illnesses such as measles, acute respiratory tract infections and diarrhea are examples of live threatening illnesses in Galgadud that can be addressed via appropriate heath behaviors. Special attention to infant and young children feeding (IYCF) practices needs to be expanded and strengthened in order to abate malnutrition and the correlated morbidity in children.
Only about 13% of Galmudug mothers practice exclusive breast-feeding for the first six months of life. Furthermore, only 38% of the children in Galmudug were reported to receive timely appropriate complementary feeding. In addition, around 40% of newborn babies in Galmudug receive breast milk within the first day after the birth. Prevalence of anemia amongst children under five years is 45.2%. Infant and  young child  feeding practices are  sub-optimal  while  micronutrient deficiencies  amongst  young children and women of  child  bearing age  are  widespread.
In response to the above-mentioned situation and challenges, SCI is implementing in partnership with MOH the Community health and Social Accountability program in Somalia (CHASP) project in Adado district of Galgadud Region. The overall purpose of the three-year integrated primary health care and nutrition project is to increase utilization of quality Reproductive, Maternal, Newborn, Child Health (RMNCH) services that are accessible, acceptable, affordable and equitable through provision of EPHS. The project also focuses to improve the health and nutritional status of children <5 years and women of child bearing age in Adado district by enhancing access to quality facility based and outreach/mobile health and nutrition interventions; through improvements in community and household capacities to enable promotion and support for optimal maternal and child health and nutrition care practices that impact on child survival, growth and development.
The CHASP supports one Referral health Centre, two health centers, and seven primary health units (PHU)and sites throughout Adado district of the Galgadud region.Inmost of those health facilities, there is no permanent electric power despite the extreme need of electric power for the facility to be able to run maternal and child service smoothly for 7/24 hours. Save the children will hire consultant to conduct needs assessment of all health facilities under Adado district CHASP project to determine the basic need of solar system and the sustainability of health facilities as per EPHS standard to deliver basic health and nutrition service.
The result of the assessment will be a guidance and used for the procurement of solar system to these health facilities in which health services is lacked permanent lighting and using electric provided by local private supplierson half-day basis. Using this information save the children will have discussion with MOH which requested solar installation of all health facility under CHASP, as the result save the children is planning to procure solar panels and install in all health facilities through procurement process.
Methodology:
Private consult will conduct needs assessment of solar system in three CHASP supported health facilities(Adado RHC, Bahdo HC, Godinlabe HC) in Adado district, produce assessment report, develop bill of quantity(BOQs) to every facility and will provide recommendations. In addition to that,a local supplier will be contracted to procure, transport and install solar panels at 3 health facilities situated at Adado district and SCI will supervise and monitor the activity.
Objectives:
To conduct solar system needs assessment at 3 health facilities situated in Adado town, Godinlabe, Bahdo, villages respectively by using private consultant
Expected outcome

Quality Solar system assessment report, BOQs for 3 health facilities, and recommendations;

Health facility list:

S/N
Facility name
Type
Town / village

1
Adado Referral health center
RHC
Adado town

2
Godinlabe Health center
HC
Godinlabe Village

3
Bahdo Health center
HC
Bahdo Village

 
All proposals should be sent by toCSS.LOGISTICS@savethechildren.orgindicating “Needs assessment of solar system Adado, Bahdo and Godinlabe” in the email subject
End of the opportunity:  5th July, 2018




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