BSF-IAe01 ADRA

1. Provision of Primary Health Care Services in Budi County Eastern Equatoria State and Nasir County Upper Nile State.
ADRA South Sudan will support one PHCC and nine PHCUs in Budi County and one PHCC and five PHCUs in Nasir County to provide basic primary health care services to the populations in the catchment area. The services will include curative health care, immunizations and Maternal & Child Health Care. The health facilities will be supported with drugs and medical materials and equipments. ADRA will ensure that the health facilities benefit from the current Central Medical Drug Supply which will end in June 2012. The funding from BSF will be used to purchase drugs during the gap period. Two wards will be maintained at Nagishot PHCC (thatching of the roof) and Kiechkuon PHCC (repair of cracks on the wall). Bed sheets, blankets and benches will be provided for the two PHCCs.

2. Improved access to WatSan and Hygiene
a) Safe Water
ADRA South Sudan intends to provide safe water through drilling of 10 boreholes in health facilities in Nasir County Upper Nile State. This will be advertised and the best bidder selected to do the drilling. Biological and Chemical Water Quality Analysis will be done and the results shared with the DWSS and the donor. See details on maintenance and management of the water sources in the training section below.

Sanitation
ADRA will construct four pit latrine blocks during the project year. Two blocks will be constructed in Kikilai and Faraksika PHCUs in Budi County and two blocks will be constructed in Dinkar and Homkor PHCUs in Nasir County. Hand washing facilities will also be constructed next to the latrines. The care and maintenance of the latrines will be done by the health facility staff.

Hygiene
Hygiene and Sanitation awareness campaigns will be conducted in the communities selected for safe water provision in order to increase the impact of the services provided. Information Education & Communication (IEC) materials will be produced and distributed to Hygiene Promoters who will then use them for the Hygiene and Sanitation awareness campaigns.
ADRA will also form and train school clubs who will pass hygiene and sanitation messages to their schoolmates.

3. Training / Capacity Building
ADRA South Sudan will conduct a number of training and capacity building activities during the project year. These activities include:

Boma Health Committee Training
During the 2011 BSF funding, ADRA South Sudan trained a total of 76 people from 16 Boma Health Committees representing the 16 health facilities. In 2012, ADRA South Sudan will conduct refresher training to the Boma Committees from all the health facilities targeting two people from each committee up to 48 people.

Formal Training
ADRA South Sudan enrolled four Community Midwives in Leer Community Midwives Training School in 2011. The course is for a total of 18 months. The same participants will continue their formal education during this funding year where they are expected to graduate in December 2012. ADRA will also utilize some of the funds to provide formal training to two Primary Health Care Coordinators from Budi and Nasir Counties in Health Services Management.

In-service Training
ADRA South Sudan will conduct refresher courses after a Training Needs Assessment (TNA). The training will target all the 16 health facilities in Budi and Nasir Counties. The cadres that will be refreshed include TBAs, CHWs and EPI Facilitators.

CHD training
ADRA will conduct two different trainings for the County Health Departments in Budi and Nasir County. The training will include the DHIS refresher and M&E training. These training will be conducted on consultancy basis

Hygiene and Sanitation Promotion Trainings
ADRA will train volunteers who will participate in hygiene and sanitation promotion. The volunteers will be selected to support each health facility area making a total of 16 volunteers. ADRA will also train two school clubs, one in Budi and the other in Nasir County. Each club will have a total of eight participants.

Water Management and Care Training
ADRA will train 10 Water User Management Committees and 20 Water Care Takers in Nasir County. The training will be conducted by ADRA’s Water Team. The Nasir County DWSS will also be trained on how to manage their water sources and how they can sustain the sources.