Community mental health practice in Somaliland administration of Somalia.ppt

7/29/2019 Community mental health practice in Somaliland administration of Somalia.ppt

1/29

SSRA-AMOUD PROJECT IN PARTNERSHIP

WITH FORUM SYD IN Sh.Osman

COMMUNITY IN BORAMADr JIBRIl Handuleh,MD

PROJECT COORDINATORAMOUD UNIVERSITY COLLEGE OF

HEALTH SCIENCES

SSRA


2/29

Amoud university Higher education institution with 14 faculties.

Oldest and one of the prestigious university in

the country

PartnersA.Tropical Health and Educational Trust(THET)

B.Global Health Center, Kings College London

C.ForumSyd

D.Kijabe Teaching Hospital, Kenya


3/29

Introduction Project is a partnership implemented by

Amoud University and Somali Swedish

Research Association(SSRA) and funded by

ForumSyd.

Project was proposed in May 2012, grant got

accepted in August that year and became

operational by November 2012.


4/29

Project target population The project serves 20-30,000 people in

Sh.Osman community in Borama

10 female community health care workers

were trained for three months on common

mental health, childhood and maternal health

diseases using appropriate curriculum.

Mobilize community to enhance sanitation,

access to health information and services.


5/29

Primary target groups Primary target group

The Primary benficiaries of the project

include

Children

Reproductive health education and

information

Mentally ill patients


6/29

Goals

Raise health seeking behavior of the

community

Empower women to lead the community

health care worksers

Defend human right value of vulnerable

groups

Increase primary health care access of

community members via awareness and

referrals


7/29


8/29

Project success criteria

SSRA-Amoud members committed to assistwith the project implementation

Community base of the community

Involvement of Project coordinationcommittee

Amoud University medical , nursing and

public health faculty helping with personalindirectly

Maternal and Child Centre in close proximity

to project site


9/29

Project relevance and Feasibility

Bridging a Major Gap in Essential Life SavingServices

Creation of a Community Outreach Training

Programme for the University Linking to a Reliable Existing Capacity

community ownership of the project

implementation Recently with NAFIS FGM group extended

mental health counselling to genital

mutilation patients


10/29

3 months training of 10 FCHWs on common

maternal health , maternal and child care

disorders

lialison with MCH and district hospital

Education for community members


11/29

Project aims

To establish a community based HealthProgram in Borama providing a coverage for

20,000 to 30, 000 rural and per-urban

population implemented by FCHWs and

made operational in the later part of the year

2012 with focus on MNCH and Mental Health

To Select 10 females with 8th grade pass

education level, residing in the samecatchment areas in which they will be serving

with the support of their families and local

community leaders


12/29

To develop a three months training curriculum for

the CMHWs and organize their training program at

the Mental Health Center of Borama, run by the

School of Health Sciences of Amoud University To establish a program coordination council

comprising of Amoud University, Community

Leaders, Regional Ministry of Health and Local

Primary Health Care supporting UN and InternationalNGOs to guide and oversee the program

implementation and management


13/29

AND WHAT HAS BEEN SO FAR!Project indicators

R lt I di t f A ti iti


14/29

Project indicators

Results Indicators ofexpected results Activities

i. Mothers, children and

persons with mental

disorders access

essential maternal and

child care and mental

health services througha community based

program at their door

steps

-90% of all persons

with severe mentalhealth disorders in

the project area have

been registered and

linked to the MHC

for diagnosis,treatment and

follow-up

-80% of mothers

with under-six

month old infantswere counseled

about exclusive

breast feeding

-80% of mothers

with children under

one year know how

- Selection of the catchment

areas to be covered

- Social mobilization and

interaction with relevant

authorities and community

leaders- Selection of 10 FCHWs

according to the set criteria

- conducting the FCHWs

intensive training program for

three months followed up by a

problem based learning once

every month


15/29


16/29

I

Results

i. Mothers, children and

persons with severe

mental illness in theproject catchment areas

received appropriate

treatment and personal

and family counseling

support

Indicators of

results

-At least 50% of thechained persons with

severe mental illness

became chain-free with

the help of case

management and

family counseling-At least 80% of the

families caring for

persons with severe

mental disorders have

received education and

counseling

Activities

-Regular home visits

conducted by theFCHWs

-Family education and

counseling carried out

by FCHWs-Patient referral and

case management and

follow up at the MHC


17/29


18/29


19/29

Project objectives continuediii. A programcoordination council

(PCC) established

comprising of Amoud

University, Community

Leaders, Regional

Ministry of Health and

Local Primary Health

Care supporting UN and

International NGOs to

guide and oversee the

program

implementation and

management

-At least threestakeholders have

membership in the

PCC that include

community leaders,

local health

authorities and the

university-Two consecutive

council meeting

minutes are recorded

-Community awareness building,social mobilization and project

presentation workshop organized

by the Amoud University in

Borama with the participation of

all relevant stakeholders that

would be involved in the PCC

-Conducting a consultation

meeting to nominate the

members of the PCC and definetheir terms of reference


20/29


21/29

December 2012- February 2013 10 FCHWS were recruited, trained and became

operational

Project steering committee formed

Field work started

Catchment area identified

Three project activities teached, relevant parties

engaged A. Mental health

B. Maternal health

C. Child health


22/29

March-June 2013 Home to Home visits fully started

Patients and families received counselling and

health related teaching on sanitation,

common illnesses and early referral to

patients

Some chained patients are chain free , work

in the community and support their families

Community mobilized to help clean

environment


23/29

March-May 2013 cases seen in the

communityCommon conditionsNumber of patients seenconditions

Anemia, vaginal bleeding ,

obstructed labor , prolongedlabor, and referral for normal

antenatal follow up

490Maternal health

Educated mothers and

pregnant women about

exclusive breastfeeding toreduce childhood illness and

suffering to empower them

meet their responsibilities

340Breastfeeding

Respiratory infections,

diarrhea, malnutrition and

vaccination taking the life ofchildren in developing

countries

647Childhood illnesses

Psychosis, depression etc.606Mental health

1604Total

ormer pro ect


24/29

ormer pro ectTHET and Amoud University Partnership 2011-

2013

Introduced mental health service in Borama

both in the community and in patient unit in

Borama hospital.

Started mental health courses for pharmacy

students in addition to the KTSP PROGRAM

covering med students and nurses

Assisted training 2 nurses and 2 doctors

working in mental health


25/29

Academic and research collaboration with

Kings College london and Maudsley NHS

psychiatrists.

worked with one Elaj center in Borama

Established student counseling center at

Amoud medical school campus.

Amoud University worked with local and

diaspora NGO to empower mental health care

in Awdal region.


26/29

Publications

Handuleh, J: Establishment of community

mental health services in Borama, Somaliland,

Somaliland medical association journal,

Version 1, Issue 1, 21-22, 2012

Handuleh, J : Experience of establishing

mental health services in Somaliland,

Intervention, 2012,volume 3, number 3, page

274-278


27/29

Handuleh, J, Whitwell S, Fekadu, D, School Mental health

project in Somalia, The Arab Journal of Psychiatry (2013) Vol.

24 No. 1 Page (46 - 51) (doi: 10.12816/0000098)

Roxanne Keynejad, M.B.B.S., Faisal R. Ali, M.R.C.P.Alexander E.

T. Finlayson, M.R.C.P., Jibriil Handuleh,

M.D.GudonAdam,M.D.,JordanS.T.Bowen,M.R.C.P., Andrew

Leather, F.R.C.S.Simon J. Little, M.R.C.P., Susannah Whitwell,

M.R.C.Psych. Telemedicine for Peer-to-Peer

PsychiatryLearning Between U.K. and SomalilandMedicalStudents, Academic Psychiatry 2013; 37:182186


28/29

Handuleh , J. Transforming a hospital dumping

site into psychiatric inpatient unit in Somalia,

American Journal of Psychiatry(in press).


29/29

THANKS FOR LISTENING

Mahadsanid

Community mental health practice in Somaliland administration of Somalia.ppt

Documents