FREE HEALTH CARETHE IRC EXPERIENCE

KENEMA DISTRICT EMOC PROGRAMME

TOTAL NUMBER OF FACILITY DELIVERIES

PERCENTAGE OF DELIVERY

CAESAREAN SECTIONS PER ANNUM

CAESAREAN SECTION RATE

REFERRALS TO HOSPITAL

AMBULANCE SERVICES SINCE AUG 2007

MATERNAL DEATHS AT KENEMA GOVERNMENT HOSPITAL

CASE FATALITY RATE

MET NEED:WOMEN WITH OBSTETRIC COMPLICATIONS WHO RECEIVE

TREATMENT

TOTAL EMOC & DHMT JOINT SUPERVSION 2009

UNITS OF BLOOD COLLECTED

TRANSFUSION UTILISATION PER SPECIALTY

• Programme now by CIDA and DFID• Free care for under 5’s for treatment of the 3 main

morbidities malaria diarrhoea and pnuemonia• Community volunteers are trained and equipped to follow

protocols to treat children that present with the recognised symptoms

• Those who do not or who do not respond within 24 hours of treatment are referred and escorted by the volunteer to the nearest PHU

COMMUNITY CASE MANAGEMENTKONO DISTRICT

• From 2008 expanded from coverage of 20 PHUs to date 56 PHUs

• By May 2010 all 70 PHUS will be in the programme

• Trained 1073 CHVs• Last quarter of 2009 treated 10,925 children

under 5

PROGRAMME EXPANSION

• From 2008 expanded from coverage of 20 PHUs to date 56 PHUs

• By May 2010 all 70 PHUS will be in the programme

• Trained 1073 CHVs• Last quarter of 2009 treated 10,925 children

under 5

PROGRAMME EXPANSION

CASES TREATED

2008 2009

Malaria 21,864 13,816

Diarrhoea 12,022 16,926

ARI 10,460 18,812

NUMBER OF TREATMENTS

0

500

1,000

1,500

2,000

2,500

3,000

3,500

May

-06

Jun

-06

Jul-

06

Au

g-0

6

Sep

-06

Oct

-06

No

v-06

Dec

-06

Jan

-07

Feb

-07

Mar

-07

Ap

r-07

May

-07

Jun

-07

Jul-

07

Au

g-0

7

Sep

-07

Oct

-07

No

v-07

Dec

-07

Jan

-08

Feb

-08

Mar

-08

Ap

r-08

May

-08

Jun

-08

Jul-

08

Au

g-0

8

Sep

-08

Oct

-08

No

v-08

Dec

-08

Jan

-09

Feb

-09

Mar

-09

Ap

r-09

May

-09

Jun

-09

Jul-

09

Au

g-0

9

Sep

-09

Oct

-09

No

v-09

Dec

-09

No

.of

tre

atm

en

ts

MALARIA

DIARRHEA

ARI

NUMBER OF TREATMENTS BY CHVSMAY 2006 – DEC 2009

COMMUNITY VS. PHU TREATMENTSFEB 2008 – DEC 2009

• Vision of decentralisation is not well communicated and expectations misunderstood

• Health Systems and Human Resources – capacity and personnel

• Corruption and lack of commitment and accountability• Monitoring and supervision• Infrastructure and accessibility• Community support for volunteers

CHALLENGES