Joint Health and Nutrition Programme (JHNP)

The fragility of the situation in Somalia over the past two decades has resulted in the collapse of the public health system. A number of parallel and fragmented systems and structures for health care exist, however significant barriers to accessing care remain. The state has a limited capacity to deliver services to the population and still largely relies on the UN and NGOs (mainly humanitarian). In Somalia 4,200 pregnant women and 70,000 children under five years of age die every year; these are amongst the highest maternal and child mortality rates in the world, mostly due to preventable and curable diseases (diarrhea, pneumonia, malaria, malnutrition) and to low access to maternal services (only 9% of births being adequately assisted) and to basic health services.

Improved health and nutrition status of Somali contributing to reduce maternal and child mortality.

While all Somalis may benefit from strengthened health systems, the target population for service delivery is estimated to be around 3.4 million people, of which 700,000 are children under five years old, almost 200,000 women are pregnant and 135,000 women are breastfeeding

Increased use of Reproductive, Maternal, New-born and Child Health (RMNCH) and Nutrition services that are available, accessible, affordable, of acceptable quality and are adaptable.

Erwartete Resultate:  

WHO Building Block 1: Governance and Leadership:

• Improved governance and leadership at all levels in the health sector

WHO Building Block 2: Health Workforce:

• Skilled and trained public health workforce produced and distributed equitably to deliver Reproductive, Maternal, New-born and Child Health (RMNCH) and Nutrition services through a continuum of care, within the EPHS framework (Roll out of Essential Package of Health Services)

WHO Building Block 3: Health Care Delivery

• RMNCH nutrition services available and utilized

WHO Building Block 6:  Health Financing:

• Equitable and efficient health financing system in place

WHO Building Block 4: Medicines, Vaccines and Technology:

• Improved availability and quality of essential medicines, vaccines, nutrition commodities, medical equipment and physical structures

WHO Building Block 5: Health Information:

• Improved availability, quality and use of health information that covers disease surveillance as well as management information system

Resultate von früheren Phasen:  

• Health Sector Strategic Plans for Somaliland, Puntland and South Central.
• Roll out of Essential Package of Health Services (EPHS), assessment and micro-planning completed for 3 regions (Gedo, Galgadud and Benadir) of South Central and two regions (Bari and Mudug) in Puntland.
• Co-financing for the procurement of Pentavalent vaccine ensured in 2013, using JHNP pooled funds.  
• Support provided to 6 community midwifery schools and training of 140 Community Midwifes completed in all three zones
• 2 facilities in Bosaso, 2 in Garowe, 2 in Galkayo, 7 in Boroma and 1 in Burtinle supported for Basic emergency obstetric and newborn care services.

Phase 1 01.06.2014 - 30.04.2017   (Completed)