Provision of Integrated Community Case Management (iCCM) of Childhood Illnesses in Gabiley, Somaliland (Phase III)
Situation:
Outcome 1: Institutionalization of iCCM, which will create an enabling social and policy environment, in order to increase access to preventive and curative child health services
Outcome 2: Transition of the iCCM program components and establish social accountability to ensure the sustainability of the activities
Outcome 3: Provision of Quality iCCM services to meet the demand for community-based services
Objectives:
Children under 5 years old living in hard-to-reach areas of Somaliland have access to high-quality and appropriate, lifesaving, preventive, and curative community-based healthcare services.
- Raising awareness on evidence for adoption and scale up of Amoxicillin DT for use by the Ministry of Health (MOH) and partners.
- Train the MOH supply chain managers on commodity management and accountability, including management of the Logistics Management Information System (LMIS).
- Support the MOH in developing a standardized protocol for dispensing the correct doses of Amoxicillin DT.
In collaboration with the MOH at state and district level, Save the Children will develop a transition plan with clear, measurable benchmarks and monitoring systems at the start of the project. The transition plan will consider the district needs and gaps and provide clear agreements on systematic planning for a gradual transfer of responsibility of the program to the MOH. The transition plan will be costed, and any additional activities not covered by this grant will be costed under other projects in the pipeline.
Through advocacy, lobbying, and sensitization efforts, Save the Children will strengthen diplomatic engagement at all levels of the Somaliland government. Close ties with policymakers will help to raise the profile of, and dialogue around, iCCM and its linkages with the broader health and delivery systems. In phase II of this project, SC Somalia had planned two advocacy workshops on iCCM sustainability and institutionalization into the government system. Due to COVID-19 restrictions across the country however, we have only been able to facilitate one advocacy workshop thus far. The new phase will complement the previously postponed advocacy workshop and bring together all the relevant government departments, including the MoHD, Ministry of Finance Somaliland Social affairs parliamentary committee, civil society, and other partners. This alliance for iCCM will be empowered to address national policy, programmatic and financial barriers to scaling up, and the sustainability of iCCM in Somaliland. The workshop will also advocate for increased government resource allocation to health, especially on FHWs, supplies, and supervision.
