South Sudan: RMF UNICEF Integrated MNCH and PMTCT in Ayod and Pibor Counties
8,189 Curative Consultations Provided: Q2 2017
September 28, 2017
Dr. Lohide Daniel Lopura and Dr. Taban Martin Vitale
Summary of Activities
- Pibor and Gorwai PHCCs, rehabilitated by RMF in the fourth quarter of 2016, continued to provide quality maternal, neonatal, and child health services.
- 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.
- Facilitated the transportation of pharmaceuticals and consumables to Gorwai PHCC through a chartered flight.
- Facilitated in-country transportation of health staff from Pibor and Gorwai PHCCs to Juba and back through regular UNHAS flights.
- Continued facilitation of our health team’s participation in all coordination activities/meetings at national and state levels.
- Continued to support satellite phone services through payment of monthly subscription fees, as this is the only means of communication in Gorwai.
The overall goal of this project is to reduce maternal, neonatal, and child morbidity and mortality through strengthening the healthcare system to provide quality maternal, neonatal, and child health services in the assigned counties.
Providing Quality Care
- In Pibor PHCC, a total of 2,087 curative consultations were provided (1,465 patients under five and 622 above five years of age).
- In Gorwai PHCC, a total of 6,102 curative consultations were provided (2,503 patients were under five and 3,599 above five years of age).
Visit from Dr. Martina Fuchs
The visit of RMF Founder and CEO Dr. Martina Fuchs to the country (South Sudan) was facilitated; in addition to our operations in Juba, she visited RMF field operations in Jiech and Gorwai, inspiring our teams.
Needed Training Completed
Ensuring Quality Services
- 5 healthcare workers in Gorwai PHCC were trained on FANC, PMTCT, and PNC for 5 days.
- 5 healthcare workers (midwife, nurses, and clinical officer) in Gorwai PHCC received 10-day training on BEmONC and are providing quality BEmONC services.
- 1 vaccinator in Gorwai was trained on EPI (expanded program on immunization) services, in the hope that EPI services will reach the area in the future (resources have not yet permitted the establishment of a cold chain system in Gorwai).
Essential Food Delivery
Basic Commodities Provided
An adequate amount of essential foodstuffs for RMF’s relocated staff (those recruited from Juba and deployed in Gorwai and Pibor) was procured and delivered, since basic commodities are not available in these areas.
Health Committees and Outreach
Aiding Entire Communities
- 4 community health committees were formed and trained in Pibor and Gorwai PHCCs on community mobilization and participation.
- 13 community outreach sessions were conducted in Pibor and Gorwai PHCCs.
- Basic Emergency Obstetric and Neonatal Care
- EPI Services (only in Pibor)
- Basic Diagnostic Services (through use of rapid diagnostic kits for malaria, HIV, syphilis, HCG, and more)
- General Care (both outpatient and inpatient)
- Community Mobilization and Awareness
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.
- Rehabilitate the healthcare facilities in Pibor and Gorwai to provide quality healthcare services
- Provide essential medical equipment, pharmaceuticals, and consumables
- Provide quality, integrated MNCH and PMTCT services in accordance with national MOH (Ministry of Health) and international standards
- Build the capacity of the County Health Departments (CHD) and their staff involved in provision of healthcare services