CO-ORDINATION AND PARTNERSHIP.
The project which was funded under EU/UNICEF support program aimed at improving health seeking behavior and quality access of health services among pregnant women and children under 5 with a view to reducing maternal, neo-natal and Child mortality using Community dialogue technique in seeking solutions to problems. The project rides over UNICEF intervention in the areas of MNCH interventions and ASPHCDA integrated health system development.
. Efforts were made at utilizing mass mobilization strategy at enhancing MNCH and EFP Initiatives across the state with duty bearers now embarking on at least one community dialogue in their domain every month.
.150 Community leaders, 150 religious leaders and 152 WDC Chairmen have been empowered and now taking leadership of Community sensitization towards MNCH and EFP.
.Partnership collaboration institutionalized among communities key development partners ( FOMWAN, CAN, WDCs, NGOs, CBOs and Media ) to work towards educating the populace on the importance of dialogue session in the MNCH project.
GENDER AND ENVIRONMENTAL CONSIDERATIONS.
Out of the 450 trained FOMWAN, CAN and WDC Chairmen, 226 were women, representing 50.5% of the participants. This representation helped in creating some sense of belonging among the women participants so much so that they are motivated to open up during the training sessions which is an encouragement to them to do more in attending to women during client consultations and counseling which will motivate the women to disclose more of their health issues that might require intervention.
The need to address the gap being experienced by low attendance to clinic and immunization by some sections of women especially those in Purdah was discussed and the WDC chairmen/religious representatives mapped out plans of action to integrate such issues during community dialogue sessions.
CHALLENGES, RISKS AND MITIGATION STRATEGIES.
Security challenges remain a serious concern in Adamawa State with the hope that the current effort at containing the situation by the present administration will open up chances for more community meetings and gatherings as a means of mobilizing and sensitizing the communities as enshrined in the training objective. Difficult terrains are not helping matters either. The roads are in terrible conditions, making road transportations to most local governments a great risk.
Putting a formidable term of trained personalities from the agency, the traditional institutions and the Non-Governmental organizations in the State has brought about synergy and resource leveraging, especially the coming on board of the Representative of the traditional institutions had saved cost and infused confidence of the participants in the program. Media messages, Theater for development and religions sermons are identified as essential and viable tools for behavior change communications to succeed.
. Partnership promoted through capacity building,
. New NGOs and CBOs identified and have accepted to work in harmony towards EFP and MNCH implementation,
.Local Council and Community Leadership reached out,
. Inter Program collaboration emphasized.
. State work plan towards WDCs strengthening conceived as ASPHCDA has promised to integrate them into its annual work plan.
Supported by UNICEF = N3,726,000