In September 2016, RMF entered into a partnership agreement with UNICEF to rejuvenate the primary healthcare centers in Gorwai (Ayod County) and Pibor (Pibor County) in order to provide quality MNCH (maternal, neonatal, and child health) and PMTCT (prevention of mother to child transmission) services for communities in need. Both health centers were rejuvenated and began providing these services in December 2016.
However, when UNICEF funding ended in July 2017, RMF was forced to limit our MNCH/PMTCT services to Pibor, and in February 2018, MNCH and PMTCT project operations ceased. RMF continues to provide nutrition services in both counties, and we are pursuing funding from IMA World Health and donors in hopes of restoring much-needed MNCH and PMTCT services in Ayod and Pibor.
In spite of limited funding and operations, the integrated MNCH/PMTCT program in Pibor was able to achieve the following milestones during this reporting quarter:
Pibor PHCC (primary healthcare center), rehabilitated by RMF in the fourth quarter of 2016, was maintained and continued to provide quality maternal, neonatal, and child health services through February 7, 2018.
RMF’s trained healthcare workers continued to be mentored throughout the quarter and to provide quality healthcare services based on South Sudan’s Ministry of Health (MOH) policies and international best practices.
11 community outreach sessions were conducted in Pibor during the reporting quarter.
A total of 511 curative consultations were provided (319 patients under five and 192 above five years of age).
Pibor PHCC continued to receive pharmaceuticals and consumables from the Boma State Ministry of Health, due to the good working relationship between RMF and the SMOH.
The EPI cold chain system, established by RMF in Pibor PHCC, continued to function and provide safe storage of vaccines to promote effective immunization services for children under five and women of childbearing age.
This resulted in more children being reached during the national immunization campaign, which targeted polio and measles.
Real Medicine Foundation has been working in South Sudan since 2009, when we initiated and cofounded Juba College of Nursing and Midwifery (JCONAM), the first accredited college of its kind in South Sudan. Through our implementation and support of JCONAM, Juba Teaching Hospital, and a UNICEF (and WFP) malnutrition treatment and prevention program in Jonglei State, RMF has worked to preserve the health and dignity of South Sudanese, especially mothers and children, as the country struggles to rebuild after decades of civil war and the last conflict of mid-December 2013. In early July 2016, fighting broke out again in the capital city of Juba, and millions of South Sudanese became refugees or internally displaced persons, fleeing their homes in search of safety and food security.
In spite of the increasing violence, scarcity of food, and financial instability (as of August 2016, inflation reached 900%), RMF has maintained a strong presence in South Sudan, fighting as best we can to lower the maternal mortality rate (the highest in the world) and infant mortality rate. In September 2016, RMF began a new program, entering into a partnership agreement with UNICEF to rejuvenate the primary healthcare centers in Gorwai and Pibor in order to provide quality MNCH (maternal, neonatal, and child health) and PMTCT (prevention of mother to child transmission) services for the communities in need.
The MNCH and PMTCT program directly targets the estimated population of Pibor, 60,400, projected from the 2008 South Sudan Population and Housing Census.