Save the Children UK North Darfur CTC Programme 20012004 - PowerPoint PPT Presentation

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Save the Children UK North Darfur CTC Programme 20012004

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Experience of SC in integration and sustainability in CTC programmes in Darfur. ... Darfur health facilities v poorly resourced inadequate to deliver essential ... – PowerPoint PPT presentation

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Title: Save the Children UK North Darfur CTC Programme 20012004


1
Save the Children UKNorth DarfurCTC Programme
2001-2004
2
Objectives
  • To present
  • Experience of SC in integration and
    sustainability in CTC programmes in Darfur.
  • Constraints to Integration
  • Aims for improved sustainability

3
Programme description
4
Integration
  • With the MoH
  • Good relations with MoH systems - allowing local
    health staff to be seconded to CTC programme -
    for service delivery and training of CNWs.
  • MoH nutrition Department provides equipment
  • Facilities for OTP were Governments buildings

5
Integration
  • Multi-sectoral Approach
  • EWS - triggers early response which reduces need
    for large scale CTC.
  • General food distribution
  • Provision of access to clean water
  • Health programmes
  • In times of complex emergency child protection
  • Model allows for provision of basic medical
    services to wider pop than possible in TFC
    programmes

6
Constraints to Integration
  • Darfur health facilities v poorly resourced
    inadequate to deliver essential services at good
    coverage.
  • Few staff difficulty in moving staff between
    locations.
  • Insecurity affecting GFD
  • High defaulter rate due to movement
  • Logistics
  • Government troops occupied clinics rented a
    house for CTC inpatients
  • Two sites were closed 3-4 times for insecurity
  • Finally whole programme was closed down as 4 of
    SC UK staff were killed in a period of 2 months

7
Sustainability
  • Issues - potentials
  • ? EWS - if staff were maintained, they could be
    part of EWS and Early Response System.
  • ? some staff were rehired from prog to prog (eg
    CNW). An attempt to rehire MoH staff - but MoH
    insisted other staff to be given opportunity.
  • ? possible to maintain skills for running progs

8
Sustainability
  • Issues - weaknesses
  • But without sufficient Gov logistics / food
    inputs -
  • difficult to maintain programmes through
    non-emergency times
  • difficult to spontaneously re-start CTC without
    external support.

9
Aims for improved Sustainability
  • Discuss MoH secondments well in advance.
  • Provide refresher training to MoH during
    programme phase out.
  • Integration of case finding, referral follow up
    integrated into community-based systems - without
    additional resources.
  • Set up of locally made RUTF?
  • A startin Osher, a health volunteer informed
    women of CTC during daily visits to water point.

10
Conclusions
  • Evaluations undertaken in 2001 2002 highlighted
    need for improved sustainability. Other
    recommendations were fulfilled, but little
    attention was given to sustainability.
  • Greater emphasis on sustainability could have led
    to
  • ? resource input each time a new programme was
    set up.
  • ? impact with a wider coverage.
  • ? Look at sustainability issues from the
    beginning
  • Sensitise on support not replacement role of
    NGOs.
  • Community mobilisation to be done by well trained
    members from the same community
  • Ensure flow of supplies
  • Close supervision, proper training, guidance and
    leadership
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