Integrated Sexual And Reproductive Health And Service Delivery
Refurbishing and Reviving Facilities
In 2006 AHIP had set out to partner with NGOs to introduce RH and youth friendly service in their program but found out that none of the potential partner NGOs were running clinics for young people. It was therefore decided to focus on refurbishing government clinics instead, introduce RH services and at the same time enhancing sustainability. In consultation with local authorities, 20 health facilities were selected in peri-urban areas across the 12 project states. These are either Mother and Child Health (MCH) clinics or Primary Health Care centres. A Memorandum of Understanding was signed with the Ministry for Local Government or in the case of state health facilities, the State Ministry of Health. The agreements included a division of tasks. The locations were jointly selected with the emphasis of locating it within the reach of the economically poor populations. The refurbishing was done in close consultation with the responsible technical and local health committees, ensuring that the local and/or state governments performed their part. Where necessary, the health committees were revived. AHIP built the capacity of their staff, integrated SRH and HCT in the facilities and encouraging and strengthening facility health committees to take a lead in the planning, raising counterpart resources, supervision/maintenance of infrastructure, and discipline.
This project was concluded in 2009
Creating Demand for services
Creating Demand for health Services was intensified as a strategy to increase patronage of the various health facilities. The service centres renewed the approach to health education to include non-health topic, such as negotiation skills and communication skills in the different communities. House-to-house visits and referral of clients to the clinic for appropriate actions were also intensified in the older sites and started in the newer sites. These visits are done in the community where the clinics are situated and at least 10 communities around each facility area were reached. The health education/home visit unit of the clinics visited houses in this period and detected pregnant women, who have not been attending ante-natal care (ANC) at the clinic. They were registered and encouraged to attend ANC sessions in the clinics. Women with post partum complications were referred to the clinic for management and counselling. Information on various health topics was given to the household members during the house to house visits. The topics also change depending on issues dictated or current developments in the communities. For instance when there was an outbreak of measles, the health personnel went all out for educating the community on signs, symptoms and what to do if children get infected.
Community Health Services
AHIP is running community health services in one community each in Garko and one in Cediyan Ingawa in Dawakin Tofa LGA.
The strengthening of health providers and running of two community health centres in Garko and Dawakin Tofa is ongoing