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Mayo-Sava, Mayo-Tsanaga Et Logone Et Chari

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Mayo-Sava, Mayo-Tsanaga Et Logone Et Chari RAPPORT DE LA MISSION DE SUPERVISION CONJOINTE AHA-DS MOKOLO, DS KOZA, DS MORA, DS KOLOFATA ET DS Makary- OMS- DRSP/EN DANS LE CADRE Du 1 PROGRAMME D’APPUI D’URGENCE eN SANTE DANS LES DEPARTEMENTS DU MAYO-SAVA, MAYO-TSANAGA ET LOGONE ET CHARI Photo AHA : Photo de famille après la supervision des activités Au CMA de Fotokol Du 29 Octobre 2018 au 09 Novembre 2018 Représentation nationale : Bastos-Yaoundé à coté du Palais des Congrès, BP : 1428 - Yaoundé Tel: (+237) 243 57 28 15 / 678 78 39 96 / 693 99 74 09/(00236) 75 05 14 66 E-mail: [email protected] / [email protected]/ [email protected] Website: www.aha-afric.org Sommaire Sommaire ----------------------------------------------------------------- 2 2 1. Résume . -------------------------------------------------------------- 3 2. Introduction ---------------------------------------------------------- 4 3. OBJECTIFS ------------------------------------------------------------ 5 3.1. Objectif Principal : ---------------------------------------------------- 5 3.2. Objectifs spécifiques ------------------------------------------------- 5 4.1 Description de la méthodologie -------------------------------------- 5 4.7 Defis et contraintes -------------------------------------------------- 5 5 Résultats -------------------------------------------------------------- 5 6. Principales recommandations ----------------------------------------- 9 7 Annexes. ------------------------------------------------------------- 10 Représentation nationale : Bastos-Yaoundé à coté du Palais des Congrès, BP : 1428 - Yaoundé Tel: (+237) 243 57 28 15 / 678 78 39 96 / 693 99 74 09/(00236) 75 05 14 66 E-mail: [email protected] / [email protected]/ [email protected] Website: www.aha-afric.org Les Départements du Mayo-sava, Mayo-tsanaga et Logone et Chari situés à la frontière avec le Tchad et le Nigéria sont les départements les plus affectés par la crise 3 humanitaire que connait la partie septentrionale du Cameroun du fait des exactions du groupe terroriste Boko Haram et d’autres aléas naturels propres à ces zones. Ces départements restent des zones d’urgences d’un point de vue surveillance épidémiologique, en considérant les actuelles recrudescences des cas de choléra déclarés dans l’état de Borno au Nigéria. Après plusieurs missions 1.Résumé d’évaluation des besoins réalisées au cours de l’année 2017, AHA ayant eu à mener ses activités dans le Département du Logone et Chari en particulier dans le domaine de la santé, elle a sollicité et obtenu de l’OMS, un troisième financement sur fonds CERF cette année non seulement pour renfoncer la réponse d’urgence aux besoins sanitaires des populations vulnérables mais également pour couvrir deux autres départements prioritaires. Etant arrivé au troisième mois du projet (Août 2018-Octobre 2018), il a été trouvé nécessaire d’évaluer les réalisations, bref l’impact du projet à mi- parcours pour les communautés bénéficiaires et par ricochet les besoins non couverts. C’est dans cet optique qu’une mission de supervision conjointe (DS Mokolo, DS de Koza, DS de Mora, DS de Kolofata, DS Makary-OMS et AHA) a été organisée à l’issue de laquelle on note que l’ONG a satisfait un certain nombre de besoins sanitaires dans les 20 aires de santé des DS de Koza, Mokolo, Kolofata, Mora et Makary qu’elle appuie sans pour autant éluder l’existence d’autres besoins importants non encore couverts. Représentation nationale : Bastos-Yaoundé à coté du Palais des Congrès, BP : 1428 - Yaoundé Tel: (+237) 243 57 28 15 / 678 78 39 96 / 693 99 74 09/(00236) 75 05 14 66 E-mail: [email protected] / [email protected]/ [email protected] Website: www.aha-afric.org 2.Introduction Depuis le début de l’année 2013, le Nord Est du Nigéria a été victime d’une augmentation de la violence et des attaques commises par le groupe islamiste Boko Haram (BH), ce qui est à 4 l’origine des déplacements des populations dans le pays avec un effet de contagion sur les pays voisins dont le Niger, le Tchad et le Cameroun. La région de l’Extrême-Nord du Cameroun, frontalière du Nigéria et du Tchad, est devenue une terre d’accueil pour nombre de ces populations fuyant les attaques de Boko Haram et compte désormais 227 581 personnes déplacées internes, plus de 92 000 retournés, et plus de 39 000 réfugiés Nigérians hors camp (DTM Round 14). Cette situation vient s’ajouter à des niveaux de pauvreté et de sous- développement particulièrement élevés dans cette région. Les départements du Mayo-sava, Mayo-Tsanaga et Logone et Chari qui partagent une large bande frontalière avec le Nigéria et le Tchad constituent les départements qui subissent le plus des effets de la crise provoquée par les exactions la secte Islamiste Boko Haram dans le Nord Est du Nigéria et les pays voisins. Ces départements qui sont restés longtemps en proie aux problèmes tels que les inondations, l’enclavement, la sècheresse, sont aujourd’hui au cœur de l’intervention humanitaire malgré l’insécurité grandissante, et ils comptent 211 901IDPs soit 93 % de tous les IDPs de la Région et ils sont dans un besoin pressant d’une assistance d’urgence pour leurs besoins vitaux comme la santé, l’eau, l’alimentation et l’éducation. AHA qui a lancé sa réponse à cette crise dans le Région de l’Extrême-nord depuis le mois de juin 2015, a élargie ses interventions dans la Région afin de toucher plus de bénéficiaires en particulier dans ces trois Départements suscités. Suite au lancement initial de ses activités dans le Département du Logone-et-chari au mois de septembre 2016, et les renouvellements du financement CERF via l’OMS, elle a engagé une série d’activités en appui aux districts de santé dans le Mayo-sava, Mayo-tsanaga et Logone et Chari qu’il convient aujourd’hui de superviser. A cet effet, elle organise la présente mission conjointement avec les autorités sanitaires des Districts de Santé concernés, les autorités de la Délégation Régionale de la Santé de l’Extrême- Nord et le partenaire OMS (du 29 Octobre au 10 Novembre 2018) afin de connaitre quels sont les indicateurs majeurs atteints et ce qui reste à faire pour le programme dans les 20 aires sous son appui lors de ces derniers mois de mise en œuvre. Représentation nationale : Bastos-Yaoundé à coté du Palais des Congrès, BP : 1428 - Yaoundé Tel: (+237) 243 57 28 15 / 678 78 39 96 / 693 99 74 09/(00236) 75 05 14 66 E-mail: [email protected] / [email protected]/ [email protected] Website: www.aha-afric.org 3.Objectifs 3.1 Objectif Principal 5 L’objectif de la mission était d'évaluer le niveau de mise en œuvre du programme d’appui d’urgence en santé dans le Mayo-sava, le Mayo-tsanaga, et Logone et Chari (Districts de santé de Mokolo, Koza, Kolofata, Mora et Makary) afin de savoir ce qui a été réalisé et ce qui reste à faire dans le cadre de l’amélioration de la qualité et de l’accès aux soins de santé dans les aires de santé concernées. 3.2 Objectifs spécifiques Spécifiquement il a été question de : Evaluer les réalisations du programme. Définir les actions à entreprendre pour rattraper les gaps s’il y en a; Evaluer les besoins non encore couverts pouvant être pris en compte pour les futurs programmes; Requérir l’appréciation de l’impact du projet par les bénéficiaires. 4.Description de la méthodologie La stratégie de la supervision a été celle de la concertation, les entretiens et visite des sites dans le cadre de l’évaluation de la mise en œuvre conjointe des activités sanitaires. L’équipe de AHA a travaillé en étroite collaboration avec celles des Districts de Santé, de la DRSP-EN, et de l’OMS. Elles ont procédés ensemble à l’évaluation des progrès réalisés par le projet et à l’identification des besoins des FOSA concernées au moyen des entretiens avec les chefs FOSA, des équipes cadres de districts ainsi que certains bénéficiaires. 5.Défis et contraintes Le principal challenge dans la réalisation de l’ensemble des activités planifiées lors de cette mission a été celui de l’accessibilité. L’état d’enclavement des certaines localités liées aux récentes pluies et l’insécurité étant les deux principales causes. Pour des raisons d’insécurité, l’accès à certaines localités situées sur la bande frontalière avec le Nigéria, était hypothétique, et fonction des informations sécuritaires reçues des autorités compétentes. 6.Résultats de la mission L’exploration des différents axes stratégiques de la mission a permis d’obtenir les résultats suivants : Représentation nationale : Bastos-Yaoundé à coté du Palais des Congrès, BP : 1428 - Yaoundé Tel: (+237) 243 57 28 15 / 678 78 39 96 / 693 99 74 09/(00236) 75 05 14 66 E-mail: [email protected] / [email protected]/ [email protected] Website: www.aha-afric.org a. REALISATIONS DU PROJET Les réalisations de l’ONG dans le cadre du présent projet sont appréciables selon les indicateurs suivants : 1) Le personnel 6 L’ONG Agence Humanitaire Africaine (AHA), dans le cadre de ce projet a recruté et déployé 5 Médecins généralistes, 21 Infirmiers Diplômés d’Etats (IDE) ; et 17 hygiénistes dans les 20 FOSA recevant son appui. L’ONG a également réalisée une session de renforcement des capacités sur la prise en charge des maladies courantes, le PEV de routine et le surveillance épidémiologique destinée aux personnels de santé (41 participants dont 38 du MINSANTE et 3 de AHA). 2) Dotation en intrants VIH (Détermine ½ et test de confirmation ORAQUICK) AHA a acquis et mis à disposition des 20 aires de santé qu’elle appuie 3400 tests Determines ½ et 100 Tests de confirmation (voir la répartition en annexe) en coordination avec le FRPS-EN et le GTR CNLS-EN (Groupe Technique Régional du Comité National de Lutte contre le VIH dans l’Extrême-Nord). Au terme de ce premier trimestre, 1402 personnes ont été testées (en majorité les femmes enceintes).
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