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Puntland Minority Women Development Organization PMWDO
Tell: +252-9-7795960-7795961-7393489 Email [email protected]. [email protected],[email protected]
www.pmwdo.org Galkayo, Puntland State of Somalia
Annual Narrative
Report 2015
Implementing partner by PMWDO
PM
W
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1.1 Introduction
This document presents a report on the activities undertaken by the Puntland Minority Women Development
Organization (PMWDO) during the period between January-December 2015.
During this period, PMWDO implemented seven (7) programs; Provision of health Services to six
settlements in Galkayo (Mobile Clinics) supported by World Vision, Social Mobilization campaign on
measles supported by UNICEF, providing Gender-based Violence (GBV) Response Services and awareness
Activities by IRC and provision of primary health services run by PMWDO in one health centre, Integrated
Primary Health program supported by Save the Children/MoH/PMWDO, Strengthening Malaria Control
and Health Systems (BCC) project by UNICEF and emergency response interventions
The mobile clinic program objective is to provide primary health services to residents of six settlements in
the Mudug region. Activities of the program included provision of medical consultation and diagnosis,
provision of referral, Safe motherhood, health education, conducting 6 bimonthly advocacy forums on
FGM/GBV and distribution of nets.
The Social Mobilization on measles campaign project was aimed at promoting ownership and participation of
community stakeholders and the government in measles to contribute in the improvement of child survival in
Puntland. Activities under the project were forums, radio campaign and workshops.
The case management for GBV survivors and awareness raising activities project was aimed at enhancing
GBV survivors’ access to timely and quality services. Activities under the project were community
sensitization activities and provision of medical and psychosocial support to GBV survivors.
The Integrated Primary Health Program goal is to contribute towards the reduction of under-five and
maternal mortality and morbidity and contribute to child development. Activities under the program have
been categorized into three components: Child Immunisation, Safe Motherhood and Supplementary Feeding.
The aim of the project is to increase community awareness for malaria, prevention, diagnosis and treatment.
The project entails training of a group of community educators on malaria who will conduct community
activities in educating them on malaria, prevention and control. Apart from the community mobilization
Malaria events will also be conducted. The overall goal is by 2016 at least 70% of people living in malarias
areas (Nugal and Mudug) recognize and take proper action and informed decisions on malaria diagnosis,
treatment and prevention
1.2. PMWDO Background
Puntland Minority Women Development Organization was founded 14 years ago in Galkayo Town, Mudug
Region of Puntland State Somalia. During the 2014 implementation period PMWDO developed a five year
strategic plan which included expansion of the organisation programs to the whole of Somalia and revised
PMWDO vision and mission.
The mission of the organisation is to provide health care, education and livelihood options for women, youth
and minority persons in society. It aims to ensure peaceful co-existence, non-discrimination and human
rights for all Somali communities.
PMWDO vision is to see a society where all minority persons access basic services in health, education and
livelihoods without discrimination in a peaceful environment
The specific objectives that guide PMWDO towards realizing this mission are;
i. To avail and enhance Reproductive health and primary health care services to women and children.
ii. To raise HIV/AIDS Awareness amongst all cadres of the society in all our program areas.
iii. To provide and enhance access to education and skills training opportunities for women and
children.
iv. To promote the protection of human rights with a particular emphasis to vulnerable and minority
groups such children, women, IDPs, Refugees and other ethnic minority groups.
v. To promote peaceful co-existence and social cohesion
2. 0 Mobile Clinics in Six settlements of Mudug Region Puntland Somalia
PMWDO received funding from World Vision to implement a 12 months mobile clinics activity in six (6)
areas 3 villages and 3 IDP settlements (Halabookhad, Tawakal, Margaga, Hema, Hero Jaale and Hema) of
Mudug Region in Puntland State Somalia. Activities of the project included provision of medical
consultations, diagnosis and treatment to patients; provision of referral support to patients in critical
conditions; GBV forums, conduct health Education sessions on malaria prevention, hygiene practices,
prescription, HIV/AIDS and FGM; conduct antenatal and postnatal checks for pregnant and lactating
mothers from the six areas and distribute mosquito nets to residents of the 6 settlements. The project was
implemented from August 2014 to June 2015. In the implementation period (August 2014 to June 2015) a
total of 12,654 patients Female 8,417 Males 4,237 received medical consultations, diagnosis and treatment.
Those treated 2,791 female were under five, 5,626 over five female, and 2,220 male under five and 2,017 over
five patients treated. A total of 2,792 children received immunization.
2.1 Overall assessment
The 12 month project implementation period a number of achievements and challenges were encountered as
outlined below;
a) Achievement
A total of 12,654 patients were treated 8,417 were female and 4,237 male
2,792 children were immunized out of the immunized 1,587 were female and 2,792 male.
993 pregnant women were also vaccinated with TT vaccination
749 child bearing women also received TT vaccination.
A total of 748 women attended the first ANC visit and 943 received PNC services
In nutrition a total of 5,011 children were screened, 202 referred to SFP centre, 71 to the OTP centre and 5 referred to the TFC/SC centre
Also a total of 3,130 children were screened with MUAC or W/H who were normal, 540 moderately malnourished and 71 severely malnourished
162 health education sessions were conducted benefitting 4,097 people (2443 women and 1654 male)
30 PMWDO health workers received two trainings
60 advocacy meetings were conducted benefiting 1,410 people on GBV
21 days community sensitization campaign on hygiene and sanitation were conducted
7 monitoring sessions were conducted surpassing the 5 sessions target
200 spades and 50 rakes were distributed in the target area
550 mosquito nets were distributed during the flood emergency
2.2 Progress on output
2.2.1 Outpatient
During the implementation period PMWDO health workers managed to diagnose and treated a total of
12,654 patients, female 8,417 males 4,237. Those treated 2,791 female were under five, 5,626 over five
female, and 2,220 male under five and 2,017 over five patients treated. Cases of ARI (Excluding
pneumonia) were high in under five (1867) and over five (1,486), STI in over five (1,106) Anemia (626) in
under five and (1,326) in over five years other diseases in over five years was 3,225 and under five years is
1,697. Below is a summary of the cases diagnosed and treated in the 12 months project period.
OUTPATIENT - CURAIVE SERVICE
1.1. Number of patient UNDER 5 years
Female 2791 1.2. Number of OPD patient OVER 5 years
Female 5626
Male 2220 Male 2017
Total 5011 Total 7643
4.3. Diagnosis /symptoms
Number of Visits Diagnosis /symptoms
Number of Visits
Under 5 yrs
Over 5 yrs
Under 5 yrs
Over 5 yrs
1. Uncomplicated malaria, 0 0 11. fever of unknown origin 1112 1099
unconfirmed (clinical diagnosis)
2. Uncomplicated malaria, (confirmed by RDT or slide)
0 0 12. obstetric complication of pregnancy or delivery
0
3. Sever malaria 0 0 13. suspected TB 14 1
4. ARI (Excluding pneumonia) 1867 1486 14.STI 0 1106
5. Pneumonia 0 0 15.UTI 370 1350
6. Measles 6 0 16.Skin Disease 805 704 7. Acute water diarrhea 898 452 17.Eye Disease 533 651
8. Blood diarrhea 0 0 18.Trouma & burns 399 654
9. Anemia 626 1326 19.Bites 2 3
10. Mental illness 0 0 20.Others 1697 3225
7. ARI Diagnosis & Treatment
Children < 5 presenting with Number Treatment (Antibiotics)
a. ARI without Pneumonia 1867 cotrimazole/erythromycin
b. ARI with Pneumonia
8. Diarrhea diseases diagnosis & Treatment
Children < 5 presenting with
Number
Treatment
ORS ZINC IV fluids
a. AD without dehydration 898
b. AD with dehydration
9. Anemia diseases diagnosis & Treatment (OPD only)
Patient presenting with Under 5 yrs Over 5 yrs Treatment (Iron Folate)
a. HB < 10 636 1326
b. HB > 10 0 0
2.2.2 Immunization
During the implementation period a total of 1,742 women were vaccinated, 993 being pregnant and 749 child
bearing women. Also a total of 2,792 children were immunized against polio, whooping cough among other
diseases. Among the immunized 1,587 were female and 1,323 male. Attached is the summary of the
immunization excise
a) Children Immunization
EXPENDED PROGRAMME ON IMMUNIZATION
Children < 1 year > 1 year
a. BCG 540 0
b. Polio-0 418 0
c. OPV-1 505 0
d. OPV-2 414 76
e. OPV-3 296 150
f. DPT-1 505 0
g. DPT-2 414 76
h. DPT-3 296 150
i. Measles 437 490
b) Women immunized
3.2.2 Safe motherhood
In a move to contribute in the reduction of maternal death rates and miscarriages as well as birth defects,
low birth weight and other preventable infant problems, PMWDO provides antenatal services aimed at
detecting any potential early pregnancy problems, to prevent them if possible through recommendations
on adequate nutrition, exercise and vitamin intake. During the project period the mobile clinics managed
to provide antenatal services to 748 women and 943 women received postnatal care. Below is the detail
of the services provided
a) Antenatal care
b) Post natal Care
POSTNATAL CARE Number
a. Total no of PNC visits 943
Women PW WCBA
j. TT1 247 174
k. TT2 228 158
l. TT3 262 187
m. TT4 151 122
n. TT5 105 108
SAFE MOTHERHOOD PROGRAM
ANTENATAL CARE Number
a. ANC 1st visit 748
b. ANC 2nd visit 251
c. ANC 3rd visit 133
d. MMN 0 e. IPT 1st dose 0
f. IPT 2nd dose 0
g. Syphilis positive 0
h. Hemoglobin level < 10 604
i. Iron folate as treatment for anemia 604
b. Vit A 563
c. Hemoglobin Level < 10 718
d. Iron folate as treatment for anemia 718 2.2.4 Referrals
A total of 217 people were referred. 202 were malnourished children who were referred to the SFP, 5
TFC/SC, 71 were referred to the OTP center, 71 severe malnourished referred to MRH and 9 suspected TB
cases also referred to the MRH.
2.2.5 Health Education
PMWDO during the project implementation period conducted a total of 162 health sessions benefitting 4,097
people in the six settlements. The sessions benefitted 2,443 women and 1,654 male. The health sessions
conducted covered the topics on breast feeding, sanitation, nutrition and immunization, hygiene, diarrhoea,
FGM, Malaria among other topics.
2.2.6 Trainings
During the project period two trainings were conducted one of the training comprised of staff from the
mobile clinic and the MCH (PHU). The training brought together 15 people who were trained on Safe
Motherhood BEMOCN and GBV. The second training brought 15 CHW from the six villages. Also they
were trained on GBV, safe Mother and BeMOC
2.2.6 Community mobilization
Twenty one days community mobilization campaigns were conducted which were used to sensitize on
hygiene and sanitation. The campaign came at an opportune time since it was the rainy season. Participants
were informed on the importance of draining away stagnant water and also sleeping under mosquito nets to
prevent from getting malaria and also avoid breading place. The door to door activity was conducted in the
six target areas of the project. The excise was aimed at educating the community on importance of hygiene in
regard to prevention of diseases. During the excise it was observed that most of the people didn’t have
equipments/tools for maintaining cleanliness for their surroundings
2.2.7 Advocacy meetings
60 advocacy meetings were conducted in the six target areas. The meetings were used to discuss on FGM,
FGM in relation to reproductive health and GBV with the community and its effects. Apart from these also
issues on importance of breastfeeding were discussed. PWDO invited some religious leaders to join in the
forum. The imam/sheikh informed the participants that FGM is not an Islamic practice but an Arabic
traditional practice. He used examples from the holy Quran and Sayings of the prophet in dispelling and
discouraging participants not to practice FGM. At the sametime he emphasized encouraged participants on
importance of breastfeeding. A total of 1,410 people were reached in the forums.
2.2.8 Distribution of sanitation and hygiene materials
During the project implementation period a total of 200 spades and 50 rakes were distributed to the target
areas.
2.2.9 Mosquito nets
A total of 550 mosquito nets were distributed during the floods in Galkayo following heavy rains
2.2.10 Monitoring
World Vision conducted seven monitoring sessions during the project implementation period. The session’s
aims were to assess the implementation of the work and also any challenges from the project areas and
project staff. They also used the monitoring and supervision session to interact with the project beneficiaries
on the service delivery by the PMWDO staff.
2.3 Review
2.3.1 Emerging Issue
The following issues have come up during the implementation period
The lack of camera for data collection photo for mobile activities
Limited IEC materials
2.3.1 Recommendation
Provision of a camera for data collection
2.4 Lessons learnt
The target communities rely a lot on the mobile clinics. The communities have trusted the
mobile teams and there is good communication between the community and PMWDO health
workers
Demand for health services is high as the target areas lack health facilities and if they have they
are poorly managed and also the community members are poor
The community perspective toward immunization has greatly improved with parents following
up on the immunization dates for their children
On FGM even though the practice is still being done many of the women say they perform the
Sunnah type just because of fear for their children not to get husbands
On the same note on FGM even though the women practice the Sunnah type of FGM still there
is no defined way of performing the procedure.
3. Social Mobilization on Measles campaign
The Social Mobilization campaign on Measles project was supported by UNICEF. The six days campaign
was conducted in two districts Galdogob and Jariiban in preparation for a mass immunization campaign. The
campaign was aimed at increasing coverage of child survival by creating a demand and acceptance of measles
services in the country. The campaign was used to inform the community and educate the community on the
importance of immunization against the disease.
3.1 Progress on output
3.1 Preparation and logistics
Before the commencement of the campaign PMWDO selected two teams comprising off our people per
team. The team comprised two PMWDO staff and two community representatives of Galdogob and Jariiban.
Also PMWDO designed the IEC materials to be produced and formation of the radio spots.
3.1.2 Radio Program
A six day radio program was aired in Galdogob and Galkayo through radio Galkayo. The spots were
being aired at the peak hours in the morning, afternoon and evening. The messages were to inform the
community on the planned mass immunization campaign encouraging parents to take their children for
immunization
2.1.3 Forums
Four forums were conducted each two in Jariiban and Galdogob. The forums targeted different
members in the community women, men, religious leaders, young women and men, elders, local
authorities and health workers. Some of the representatives were Galdogob district health officer Jama
Abdulle who stressed the importance of immunization as a whole. Speaking at the forum Dr Maimon
Farah Samatar pointed out that the biggest challenge is that parents do not take back their children to
complete their immunization doses. In another forum Ilhan Ainab asked participants at the forum what
they knew on immunization, and measles as a disease. Ilhan explained why children are immunization
and gave further immunization on measles. Speaking at the forums with religious leaders committed
themselves to continue promoting and emphasizing on the community on the importance of taking
their children for immunization. They pointed out that prevention is better than treatment. The forums
were conducted in six villages in Jariiban and four villages in Galdogob. Below is the break down for
participants at the forums
Advocacy meeting with Elders and Community in Jariiban
Name Town/Village F M Total
Jariiban 41 33 55
Seemade 21 17 10
Buubi 22 16 16
Balibusle 45 23 30
Elbardale 6 2 4
Godod 15 4 5
Total 120
Advocacy meeting with Elders and Community in Galdogob
Name Town/Village F M Total
Goldogob 41 32 135
Qansahle 6 5 5
Xerojale 12 4 15
Rigomane 11 5 5
Total
120
Religious leaders forum in Jariiban
Name Town/Village F M Total
Jariiban 41 33 31
Seemade 21 17 3
Buubi 22 16 2
Balibusle 45 23 11
Elbardale 6 2 2
Godod 15 4 3
Total 50
Galdogob Religious leader’s forum
Name F M Total
Goldogob 41 32 46
Qansahle 6 5 4
Xerojale 12 4 4
Rigomane 11 5 6
Total 60
Speaking at the forum Dr Maimuna Farah Samatar explained on the disease and gave a chance to the
participants to ask questions about the disease. Some of the questions asked are:
Why the emphasis on immunization?
How many times does a child need to be immunized?
Can the disease also affect grownups?
If a child gets the disease is there a cure?
3.1.3 Production of banners
PMWDO designed advocacy banners and stickers to be used during the campaign. A total of 50 banners
were printed and 50 sticker posters produced. The sticker posters were distributed in hospitals meetings
centers
3.1.4 Community outreach
Using vehicles, banners, posters and micro phones PMWDO team went round the two towns
informing the community on measles, importance of immunization and how the disease is cause. The
teams also stopped in markets and crowed places in the villages to talk more on the disease to the
community.
3.1.5 Supervision
The ministry of Health conducted supervision and also took part in the activities. Two MoH
representatives joined the two PMWDO team in Jariiban and Galdogob Abdiwali Mohammed and
Osman Abdi represented MoH
3.2 Review
3.2.1 Outcome
4 forums were conducted benefitting 350 people
One six day radio spots were aired reaching more than 5,000 people
Two community outreach were conducted benefitting more than 5,000 people
50 sticker posters and 50 banners produced and distributed
6 villages were reached in the mobilization in two districts
4.0 Providing Gender-based Violence (GBV) Response Services and awareness Activities
Women and girls mostly from minority communities in Galkayo have been subjects of rapes and other forms
of abuses mostly perpetrated by men from the majority communities. With the continued conflict in South
central Somalia the state has experience an influx of IDPs especially Galkayo who are escaping from the
conflict. The IDP settlements are characterized with chronic poverty, lack of basic domestic and hygiene
items, lack of housing, water, educational and health facilities and high levels of Gender Based Violence
incidences. Many incidences of GBV go undocumented and for those who come out and report most of
them fear reporting to the authority. And for those who do report some do not see they get the justice they
deserved the perpetrators. Another challenge is that some of the survivors do not know the perpetrators.
Hence with the support of IRC PMWDO has been implementing an 11 months project on the provision of
response and support services to GBV survivors and awareness activities in Galkayo. The project which
begun in November 2014 to September 2015 aimed at enhancing access to and quality of services for GBV
survivors in Galkayo South and North.
4.1 Description of activities implemented
4.1.1 Preparation and logistics
4.1.1a Preparation and Logistics
Before commencing on the implementation of the project PMWDO hired two case responders, focal point
people and a supervisor. The focal point people some were community health workers and Mobilizer whom
PMWDO usually work with them in implementation of the various projects conducted. At the sametime
PMWDO informed the Ministry of Women Affairs MOWDAFA on the project as the ministry is in charge
of the GBV working group in Galkayo.
4.1.1b PMWDO Health Staff Meeting
In preparation for the project PMWDO conducted a meeting for its health workers and case managers to
inform them of the project and the services which they are to offer. Even though the organisation provided
services to survivors, the health workers were also informed to inform patients attending the health centers
of the services and to spread the information among their peers.
4.1.2 Community sensitization
4.1.2a Community Sensitization Forums
During the project implementation period a total of 3 forums were conducted in the month of November
2014, January and April 2015. The forums brought together elders, IDP representatives, women, religious
leaders and other community stakeholders discussing the various challenges in curbing GBV incidences and
seeking solutions.
In the month of November PMWDO conducted a one day forum which brought together 15 elders, women
representatives, religious leaders and other community stakeholders. The aim of the meeting was to call on
the community stakeholders to step up in the elimination of violence towards women and prevention of
GBV in the community. During the forums women called on the elders to support survivors and not to
criminalize them by victimizing them further in either marrying the perpetrator or accusing them. The
participants also called on the elders and religious leaders to advocate on the elimination of FGM in all its
forms. The religious leaders were called upon to include FGM discussions in their sermons since FGM is not
a religious art.
In another forum PMWDO held a one day forum with representatives from ten IDP settlements and other
community representatives from Galkayo and it’s surrounding. During the forum participants identified the
change of Gender roles as the biggest contributing factors to occurrence of GBV as it places women and
children to be more vulnerable. The participants portrayed this by saying : the mother who has to wake up
early to go fend for the family might leave her eldest daughter or son who might only be ten years to look
after her/his other siblings hence such scenarios makes perpetrators to pry and attack the survivors since
there are no adults around.
In the month of April PMWDO executive director Dr Maimuna Farah Samatar officiated a one day forum
where she highlighted on GBV in general and talked deeply on FGM and HIV/AIDs in Galkayo and the
Mudug Region. Dr Maimuna indicated that cases of HI/AIDS are on the rise. She added that being the head
of the VCT center in Galkayo there are more than 1,100 cases but only 345 PLHIV have registered at the
VCT center and are receiving medication/treatment. The doctor gave a case of a group rape of a girl who had
come to visit her relatives where after asking some men misled her and raped her. The case which was
brought to her, after examination it was found out that the girl was HIV positive. She called on the
community to increase awareness among their peers and groups saying the disease affects everyone.
Apart from that Dr Maimuna discussed on the issue of FGM where she said the awareness started since 1975
and that from her view less than 5% of the people have stopped practicing FGM.
During the forum also Dr Ahmed Jamaa talked on the psychological effects of GBV/Rape survivors giving
examples of patients he has attended to. Dr Jamaa gave examples of patients being hand cuffed by there
family members following the traumatic effect of the incidences. He said support from both the family
community and doctors are important to the betterment of the health and recovery of the survivor to avoid
post traumatic stress disorder. Other speakers who spoke during the forum was PMWDO case workers who
gave a general view of GBV definition, categories and there consequences. IDP representatives also spoke
who said that FGM will stop if men stop insisting and wanting women who have undergone the cut. The
representatives admitted that FGM has a very huge negative impact in their lives health wise and mentally.
They said FGM is for men not for women because women do not like Kaltun from Alaamin IDP settlement
said he is a circumcisers she practice it to earn a living but its not what she likes since she knows the
consequences and impact. They said FGM won’t end as long as men still want women who have undergone
the cut.
Also speaking officials from the police department informed and encouraged the participants to inform the
community to report incidences of GBV. They said the biggest challenge is that many of the survivors family
withdraw cases to solve them traditionally where the survivor doesn’t get the justice required and also might
end up being hurt more by being forced to marry her perpetrator. The police representatives urged the
participants to have faith in there justice system and should work with them even though still more has to be
done to improve on quality services.
Ministry of women and family affairs development (MOWDAFA) Ms Deqo said its time that every individual
and stakeholder to take up their responsibilities in stopping and preventing GBV. She said the efforts starts
with them from the families and to the community. Speaking while closing the forum Mudug deputy mayor
said GBV is a crime and not an acceptable act which is very unfortunate to happen to anyone. He said that
the government cannot work alone in stopping and preventing GBV incidences. He called for collective
efforts from the community to address GBV. He said that no one is above the law and the government can
only bring justice if the community inform them and work with the relevant offices and officials. The deputy
mayor gave a stern warning to perpetrators pointing out that families should stop protecting them since this
increases GBV cause others they see that its not a crime. He said people should act the talk and not just talk
without actions. The forum brought together 50 people. In total 75 people benefitted in the three forums
held during the project implementation period.
4.1.2b Door to Door outreach
During the project implementation period a total of 66 days door to door outreach activities were conducted.
The door to door activities were conducted for six and twelve days monthly for 8 months. During the
sensitization activities PMWDO used it to inform the community on the services being provided at the
PMWDO Health Centers, finding out which organisation the community knows who offer GBV survivor’s
services and educating them on GBV and the importance of seeking medical services.
The outreach was conducted to mobilize and sensitize them to be reporting cases of GBV.
ADULTS CHILDREN
Days No of
HH
FEMALE MALE TOTAL BOYS GIRLS TOTAL
66 1,195 4,430 3,499 7,929 389 472 861
Also two months were used to gather information on the impact of the other sessions and also to inform the
community on the services being provided by PMWDO, finding out which organisation the community knew
who offered GBV survivors services and educating them on GBV and the importance of seeking medical
services. During the sensitization activities it was found that most of the community members knew of GBV
even though many of them associate it with Rape. Other forms of GBV the community didn’t see the need to
inform the authority following cultural or religious views. The some community members also do not report
some of the incidences following discrimination and isolation among other reason.
4.1.2c School outreach
During the implementation period two teams including GBV case workers conducted school outreach
sensitization sessions visiting three schools in Galkayo. The teams went to Hormud primary school, Ummada
and Harare primary schools reaching more than 2000 students. The sessions were conducted both school
sessions morning and afternoon. The teams talked on GBV, types, consequences and also gave a chance the
students to explain and ask questions on GBV. The children were between the ages of 7 years to 16 years
4.1.3 Case Management
4.1.3a Case Management
During the project implementation period a total of 56 cases of GBV were provided with medical and
psychosocial services. Of the treated cases 23 domestic violence cases were treated some of these cases also
the survivors were physically assaulted by their spouses. The treated survivors were between the ages of 21
years old and 39 years old. Twelve attempted rape cases were treated where the survivors were between the
ages of 18 years to 31 years old. Most of the survivors did not know their perpetrators and were saved by
either passerby or neighbours. Eleven rape cases were provided with medical services at the three
PMWDO run Health centers and some were also referred. The youngest survivor was a 2 year old girl and
the oldest 35 years old. In addition seven cases of FGM survivors were also referred to medical services
most of the survivors had severe bleeding and some pain following their menstrual periods. Three cases of
forced marriage were also provided with services where the survivors were also treated of physical assault
due to being attacked by their family members. The cases were treated in PMWDO run health centers in
Garsoor, Israac and Hormar (Suuq Barwaqo) health centers. Some of the incidences were referred to
Mudug Region Hospital, GMC and South Galkayo Hospital for further treatment.
4.1.3b Weekly staff meeting
A total of 27 weekly meetings were conducted during the project implementation period. During the
meetings PMWDO case workers used the session in updating on the activities conducted cases provided with
services and also any upcoming issues from other GBV workers. Also in the meetings IRC WPE Officer
Fartun Hassan attended some of the meetings where she checked on the filling system and the case
management procedure. During the meetings participants discussed on the GBV forms to edit into context,
work progress and challenges. PMWDO case workers agreed to edit the forms to contextualize them for use.
In addition during the meeting participants identified the issuance of incentive to survivors is the biggest
challenge since many prefer to go to seek services to service providers who give out incentives. Members
agreed more awareness will be conducted to educate the community on GBV and also to inform them on the
services provided by PMWDO. In addition members at the meeting also agreed on linking PMWDO health
centers (2 health Centers, 1 BeMOC center, 3 Mobile Clinics) with the office case workers. Even though
under the project only two health staff are being supported PMWDO linked the five health centers in
providing services and referrals. Each case worker has been linked to a health center and one Case worker
works with both the health center and the mobile team. All the health workers have been trained on CS and
each member of the center has also received training on CCM conducted by IRC.
4.1.3c Case Management Training
During the implementation period PMWDO attended a TOT training on case Management
conducted by IRC. The four days trainings composed of both theoretical and practical excises of
managing a case, types of GBV incidences and forms for GBV case management.
4.1.3d PMWDO and IRC Case Management Training
After the TOT training in Hargeisa by IRC, PMWDO planned training for its staff on Case
Management. The GBV Case Management training was conducted by PMWDO and IRC to build
the capacity of the staff in implementation of case management activities for GBV survivors and
awareness raising activities in the community aimed at enhancing GBV survivors’ access to timely
and quality services. The training took place at PMWDO training hall from 18th December to 25th
December 2014. The participants were PMWDO staff drawn from the health department and
project implementation/coordination. A total of 8 participants completed the training which started
with 14 staff. IRC WPE officer Fartuun Hassan Mahmud and PMWDO Program Manager Salma
Abdallah conducted the training.
4.1.3e GBV working group meetings
During the project implementation period PMWDO GBV case management staff attended to 9 GBV
meetings in Galkayo and one GBVIMS Task Force meeting and training in Garowe. The meetings were
mostly used by the service providers to provide update on the services and activities being conducted in
curbing incidences of GBV in the community. The meetings are usually led by the Ministry of Women and
Family Affairs. The meetings are being conducted three times in a month on Thursdays. The first Thursday
of every month the meeting is for GBV partners and supporters (international bodies UNOCHA etc) and
the other two meetings in the week is for GBV case managers or responders from the various GBV service
providers.
4.1.3f Mentoring
A one day mentoring forum was conducted by IRC benefitting 20 PMWDO staff including case workers and
health workers attended the forum. The one day forum went through the GBV case management and
provision of services. IRC also conducted several mentoring sessions at the health posts
4.1.3g Supplies and monitoring
PMWDO received drugs from IRC which have been supplied to PMWDO health centers. Also IRC WPE
officer send revised GBV forms for documentation and data collection. Apart from the supplies IRC senior
GBV officer and GBV officer Abdirahman Nunow and Fartuun Hassan conducted a visit to PMWDO
offices where the meeting discussed on the progress and challenges encountered during the implementation
period. Some of the challenges sited was lack of PEP kits, the financial report to be submitted, progress of
the work and ways of working i.e. community door to door excise. In addition more than five monitoring
sessions were conducted by IRC at PMWDO health center and case workers delivery of services.
4.2 Challenges encountered and measures put in place
The budget line item and outcome on the coordination and sensitization meetings for target groups in the
community was huge where the funds allocated for the budget line item was limited hence more funds
allocation for community sensitization needed
Survivors prefer going to other GBV service providers who issue out money or NFIs to survivors IRC to
initiate a support mechanism apart from medical to the survivors
Financial constrains due to delay of information on the budget items required for the different categories on
the budget. IRC needs to communicate timely
No PEP kit and pregnancy test kits on the drugs supplied
4.3 Indicators and Targets
4.3.1 Outcome 1
N INDICATOR IRC
TARGET
Achieved target by
PMWDO
1.1. Number of male/female survivors who receive medical assistance, including post rape
treatment within 72 hours, in line with set standards
100 56
1.2 % of selected facilities with trained staff and available treatments and equipment 100 100%
1.3 % of timely referrals based on GBV survivors’ needs 80 63%
4.3.2 Outcome 2
N INDICATOR IRC
TARGET
Achieved target
by PMWDO
2.1. % of female/male survivors reporting to PMWDO who receive comprehensive case
management services
100 100%
2.2 Number of monthly reports shared with GBVIMS consolidating Agency 18 11
4.3.3 Outcome 3
N INDICATOR IRC
TARGET
Achieved target
by PMWDO
3.1. Number of people reached by campaigns conducted to inform communities on
available services
1200 9,000
3.2 Number of community sensitizations plans developed and monitored 12 69
3.3 % of community members who after 6 months can remember 70% of the messages
delivered during campaigns
60 85%
5.0 Primary health and Program
PMWDO has three health facilities which are based in Galkayo. During the reported period two of the
facilities are being runned by Save the Children and one by PMWDO with the Ministry of Health. PMWDO
pays the incentives of the staff and the ministry of health provides medical supplies to the health facilities.
The facilities report directly to the Ministry and Save the Children
6.0 Emergency Response
In December armed clashes in Galkayo and Belet Weyn town displaced more than 80,000 people in
Galkayo. Most of them were forced to move to overcrowded IDPs and villages. PMWDO evacuated
more than 10 poor families from the green lie zone where the fighting was intense most of the families
were taken to either the IDP camps and near villages like Beyra, Herojaale and Galdogob. PMWDO also
conducted tow mobile clinics in Herojaale and Beyra. PMWOD also worked with the Mudug Regional
Hospital in the transportation of the injured to the hospital by providing ambulance services.
7.0 Strengthening Malaria Control and Health Systems project
7.1 Introduction
PMWDO has received funding from UNICEF/GF to conduct an 18 months Behavioural Change and
Communication Strengthening Malaria Control and Health Systems project in Mudug (Beyra, Harfo,
Herojaale, Salah, Bursalah, Jariiban, Galdogob, and Balibusle) and Nugaal Region (Burtinnel). The aim of the
project is to increase community awareness for malaria, prevention, diagnosis and treatment. The project
entails training of a group of community educators on malaria who will conduct community activities in
educating them on malaria, prevention and control. Apart from the community mobilization Malaria events
will also be conducted. The overall goal is by 2016 at least 70% of people living in malarias areas(Nugal and
Mudug) recognize and take proper action and informed decisions on malaria diagnosis, treatment and
prevention
Project Activities:- Training, Community Dialogues, World Malaria Day celebration, Malaria Filed Day,
Malaria community educators activities, learning institution outreach sessions, meeting with other
stakeholders on Malaria
7.2 Output
Following the delay in the release of funds and the conflict in Galkayo the activities were conducted in the
months of October to December
7.2.1 Preparation and logistics
Before the commencement of the campaign PMWDO working with the regional health officer selected the
community health workers to participate in the project. Also PMWDO met with the local authorities in
Galdogob to inform them on the planned project and the upcoming training to be conducted. PMWDO
executive director Dr Maimon with other officials met with Galdogob Mayor and governor and talked deeply
on the project and its importance and also support from the authorizes. Following the conflict in Galkayo
the training could not be held in one place for all the community educators. 38 participants were selected
from the 5 districts, Galdogob, Harfo, Galkacyo Jariiban and Burtinle.
7.2.2 Community educators training
Following the conflict in Galkayo 2 trainings were conducted in Galdogob and Galkayo for the malaria
community educators. The training in Galdogob brought together 19 people from Bursallah, Beyra,
Galdogob, Galkayo and Herojaale. The second training was conducted in Galkayo bringing together 19
participants from Harfo, Baadweyn, Galkayo, Jariiban, Salah and BaliBusle. The two trainings were conducted
for three days each. The participants of the training were health workers from the different districts.
The objective of the training was to enhance and equip the participants with knowledge and skills to educated
the community on Malaria, how its spread, action to take prevention and control of the disease. Also the
training aimed at enhancing their communication and presentation skills. The participants were taught on
how to use
The Malaria Control Program Chart Set
What is Malaria
What are the symptoms of malaria
How do you treat Malaria
How do you prevent Malaria
How do you use and Maintain an LLIN
Community education, advocacy and social mobilization
Communication and presentation skills
Reporting how to fill the monthly summary report
How to write the report
Presentation skills
Communication skills
Two facilitators conducted the training which mostly was participatory and also they used discussion and role
play methods in the training. PMWDO used the UNICEF Malaria training manual for community volunteers
to conduct the training.
7.2.3 Community outreach
After the training the 38 malaria community educators from the two regions conducted door to door. They
visited 629 households reaching 1,931 people. Also the Malaria community educators conducted 79
community dialogues/meetings in the four districts reaching 952 people.
7.2.4 Supervision and Monitoring
During the reported period UNICEF representative conducted a monitoring session with some of the
community educators in Galkayo. UNICEF conducted one monitoring/supervision in Galkayo. PMWDO
conducted two supervisions on 2-9th December 2015 and 22nd -28th December in the 4 districts. During the
supervision PMWDO did an on job training on the filling of the monthly report.
7.3 Review
7.3.1 Outcome
2 trainings were conducted for 38 Malaria community educators
2 monitoring and supervision excise was conducted
629 household were reached in the door to door mobilization reaching 1,931 people.
79 community dialogues/meetings were conducted reaching 952 people
7.3.2 Challenges
Due to the conflict in Galkayo the training had to be postponed and later conducted
in two venues in Galdogob and Galkayo.
It has been noted some of the reports from the community educators were copied
hence double data entry
Some of the community educators visited some of the households in pairs and at
the same time filling the reports with the same data
Some of the community educators had difficulties in filling the monthly summary
report
Supervision line item budget is not enough to conduct the activities of the project
during the supervision and monitoring excise.
Delay in the release of funds
