ASSOCIAZIONE ITALIANA AMICI DI RAOUL FOLLEREAU Organization for International Health Cooperation
1
Third Year’s Narrative Report of the Project:
“Support for the Strategic Plan for the Fight against Leprosy in the south-east of Liberia.”
Period: 1 st October 2016- 30 th September, 2017
Date Submitted: October 20, 2017
AIFO-Liberia
Project Realized with the contribution of the Italian Bishops Conference (CEI)
ACRONYMS
AIFO Associazione Italiana Amici di Raoul Follereau ALM American Leprosy Missions BU Buruli Ulcer BCCs Behavior Change Communications CHOs County Health Officers CHT County Health Team CHA Community Health Assistant 2 CBR Community Based Rehabilitation CBOs Community Based Organizations CEO County Education Office CSOs Civil Society Organization DHOs District Health Officers DA Disability Alliance DPOs Disabled People Organizations DEOs District Education Officers EPHS Essential Package of Health Services EVD Ebola Virus Disease GLRA German Leprosy Relief Association GoL Government of Liberia GCHVs General Community Health Volunteers HDR Human Development Report HI Handicap International IGAs Income Generating Activities IEC Information Education and Communication INCHR International Commission on Human Rights IDM Integrated Disease Management LFPs Leprosy Focal Persons LDHS Liberia Demographic Health Survey LMIS Liberia Malaria Indicator Survey MoH Ministry of Health MAP Medical Assistance Program MFDP Ministry of Finance and Development Planning NLTCP National Leprosy and Tuberculosis Control Programe NCD National Commission on Disabilities NTDs Neglected Tropical Diseases NUOD National Union of the Disabled NGOs Non-Governmental Organization OICs Officer in Charge PHCs Primary Health Care Staff PIH Partners in Health PWDs People with Disabilities UNDP United Nations Development Program UNMIL United Nations Mission in Liberia SHGs Self Help Groups WHO World Health Organization
Project Realized with the contribution of the Italian Bishops Conference (CEI)
1. PROJECT TITLE AND GENERAL INFOS
Project Title: “Support for the Strategic Plan for the Fight against Leprosy in South East Liberia”
Location: Liberia (West Africa). In 5 Counties: Nimba, Grand Gedeh, River Gee, Maryland and Bong County 3
Dioceses: Diocese of Gbarnga (County of Bong) and of Cape Palmas (County of Maryland).
Local partner: Congregation of the Missionary Sisters of the Consolata in Liberia.
Other partners: Ministry of Health and Social Welfare (MoHSW), and National Commission on Disabilities (NCD)
Sectors: Health, socio - economic and education.
Duration: 3 Years
Start date: 1st October, 2014
Overall objective: To contribute to strengthening the national health system in the five counties of the south-east (Grand Gedeh, River Gee, Maryland, Nimba and Bong Counties) as provided by the "Strategic Plan on Leprosy 2013-2017" of the Ministry of Health.
Specific objectives: 1) Increase the quantity, quality and access to services for the identification and treatment of leprosy provided by primary health centers in the communities involved in the project through specific training of medical and paramedical staff. 2) Develop a system of operators of RBC and health volunteers trained for the early identification of people affected by leprosy in communities, strengthening the referral system between the community and primary health centers in the area. 3) Improving education and the socioeconomic status of people affected by leprosy and persons with disabilities living in the project, with particular attention to the access of children to primary and secondary school.
Project Realized with the contribution of the Italian Bishops Conference (CEI)
2. GENERAL OVERVIEW AND METHODOLOGY This annual narrative report captures tangible results and sustainable activities carried out in the third and final year of the project by AIFO Liberia and its partners (the Congregation of the Consolata Sisters in Liberia, MoHSW, PIH, and NCD), in collaboration with the Dioceses of Gbarnga (County of Bong) and of Cape Palmas (County of Maryland). It focuses on five counties in Liberia namely: Maryland, Rivergee, Grand Gedeh, Nimba and Bong. The project considered a strong partnership with the Ganta Rehab, Liberia’s only Leprosy and TB Rehabilitation Center located in Ganta, Nimba County for referral of leprosy and other NTDs related cases. This center is being managed by the Consolata Sisters and the Ministry of 4 Health. Four County Health centers namely; Phebe Hospital in Bong County, Martha Tubman Hospital in Grand Gedeh County, Fish Town Hospital in Rivergee County and JJ Dossen Hospital in Maryland County also coordinated with the project in areas of treatment and care for NTDs related cases. The determination of the project was to support the government of Liberia in the fight against Leprosy and other Neglected Tropical Diseases such as Buruli Ulcer, Lymphodema, Elephantiasis among others. The plan provides for the decentralization of essential services for the identification, treatment and rehabilitation of people affected by these diseases. This synergy also aims to contribute significantly to the strengthening of the “National Program for Control of Leprosy and Tuberculosis” and, in particular, contribute to the realization of the Plan for Integrated IDM NTDs Case Management for 2016-2020. To a larger extent, the project helped to achieve some of the intended results of the plan and to be specific, training of Primary Health Care Workers on Leprosy and other NTDs, Information, Education and Communication on NTDs, Vocational and Socio Economic Opportunities for People affected with Leprosy, Education Support to Children of Persons affected with Leprosy among many others .
Firstly, considering that the project placed more emphasis on the early detection and treatment of leprosy and other related NTDs, CBR workers with the support of Leprosy Focal Persons detected and referred about 228 NTDs related cases with treatment provided throughout the three year period (2014-2017). IEC awareness and messages on NTDs reached more than 100,000 residents throughout the 5 counties, thanks to local community radio stations and CBR workers who worked in isolated areas to get the various messages disseminated. Additionally, the project supported more than 300 former leprosy affected persons and people with disabilities as well as their family members in various aspects of vocational training such as soap making, animal husbandry, tie and dye among others. The trainings took into consideration Small Business Management in other to enhance their managerial skills. The trainees were subsequently formed into Self Help Groups (SHGs) totaling 19 . The SHGs is being utilized to also promote advocacy for social and economic inclusion of former leprosy affected persons and people with disabilities in general. As far as scholarship support is concerned, a total of 67 children of people affected with leprosy and children with disabilities benefitted from inclusive education. At least 14 CEI Project partner Schools, both private and public supported this process. Other Project Activities conducted includes; home visits, community level awareness to dispel myths and misconceptions, stigma reduction among others. As far as training of health care workers is concerned, the project provided an intensive training for more than 300 Primary Health Care and Community Workers (DHOs, CHSS, CHOs, LFP, NTDs-FPs, CBR Workers) in Integrated NTDs Case Management Training. The results of the training have been remarkable given the fast and active pace of various NTDs at the health centers in the concerned areas. As part of efforts to ensure an effective coordination of activities in other to avoid duplication, the MoH NTDs Department during the reporting period convened series of meetings with NTDs partners to highlight the Programme planned activities and adjustments. AIFO ably participated Project Realized with the contribution of the Italian Bishops Conference (CEI)
to these meetings and was able to highlight the program’s implementation as well as challenges and recommendations. The contribution of CEI was always reflected in these discussions. Partners in Health, an American NGO working in Maryland County is coordinating efforts with AIFO in joint outreach on leprosy and other NTDs and providing nutritional food items for clients referred at the various health centers in the county. AIFO also played key role in the Disability Alliance during the reporting period. The Disability Alliance is a conglomeration of local and international NGOs working on disability and social inclusion issues in Liberia. It was very instrumental in engaging the National Elections Commission to ensure the full and effective participation of people with disabilities including people affected with leprosy in the October, 2017 Presidential and legislative elections which is most likely going for a runoff. For the first 5 time in Liberia, persons with visual impairment utilized the tactile ballot to cast their votes. This report is focused on the third year intervention but a cumulative report of results for the three years are reflected in project results summary table as indicated in the below mentioned pages. The below mentioned pages will give you a clearer picture of the project’s final interventions, targets and results achieved as well as highlight the various challenges and recommendations.
3. THE CONTEXT
National level Geographic Size 111,369 km2 Founded July 26, 1847 Executive President President: Ellen Johnson-Sirleaf (2018) Per Capita Gross Domestic Product US518.4 USD (2017 estimate) IMF Gross Domestic Product Annual Growth 0.50% (2016) IMF Rate Population Living on Less than a Dollar a 83% (UNDP HDR 2016) Day Population 4.5 million (2016) World Bank Population Growth Rate 2.6%(World Bank 2015 Population Indicators) Life Expectancy 61.2/59.3 (WHO World Health Ranking) Under Five Mortality 94/1000 live births (2013 LDHS) Maternal Mortality Rate 725/100,000 live births (MOH 2015 estimate) According to the UNDP 2016 HDR report, average life expectancy has increased from 57 to 62 percent representing a steady increase of 5%. Mean years of schooling (which is the average number of years of education received in a life-time by people aged 25 years and older) increased by 4.4 years and expected years of schooling at 9.9 years. The serious economic challenges that usually accompany chronic conflict were also experienced in Liberia, where an estimated 63.8 per cent of the population now lives below the poverty line. The recent global economic downturn and the deadly Ebola epidemic have contributed to the slow economic recovery and will stunt future economic growth for some time. The GDP has resiliently grown at an estimated rate of 6%-7% from the end of the conflict and during the current global economic meltdown. Notwithstanding, a sharp decrease of 0.50% has been observed after the outbreak. The UN peacekeeping mission has significantly reduced and Liberia security authorities are managing key aspects of security operations in the country. The Government is taking responsibility for all aspects of Liberia’s security, including executive protection, unexploded ordinance disposal and marking of Government weapons, which were handed over in recent months. More information on this development can be found on this link: http://www.un.org/apps/news/story.asp?NewsId=54369#.V3Vj2VdEYZd
Project Realized with the contribution of the Italian Bishops Conference (CEI)
During the reporting period, Liberia’s Mental Health Policy was also passed into law. This was a concerted effort of Carter Center, MOH, AIFO, HI and other partners working in the disability sector in Liberia. What is now needed is a robust plan and a political will for resource mobilization and management to undertake key aspects of the plan
The country’s health indicators, though improving, remain unsatisfactory. According to the 2013 Liberian Demographic and Health Survey (LDHS), childhood mortality has decreased substantially. Infant mortality has drastically declined from 139 per 1000 live births to 54 per 1000 live births; under-five mortality has also drastically declined from 219 to 94 per 1000 live birth, representing an improved decline of the 1992-1996 infant and under-five mortality rates. 6 However, Maternal Mortality Ratio according to the UNDP 2016 HDR was 725 deaths per 100,000 live births which still represent one of the highest in the world. Malaria is the leading cause of attendance in outpatient departments and is also the number one cause of inpatient deaths. Hospital records suggest that at least 33 percent of all inpatient deaths and 41 percent of inpatient deaths among children under age 5 are attributable to malaria (NMCP, 2009). This problem was exacerbated by 15 years of civil conflict that displaced populations and damaged health systems. Although curable and preventable, malaria remains a major public health problem in Liberia, where it takes its greatest toll on young children and pregnant women. Its prevalence (outpatient visits) has reduced from 66% in 2006 to 32% in 2010. According to the Liberia Malaria Indicators Survey (2011), prevalence of malaria among under-five children has reduced to 28%. The disease Leprosy continues to be a public health problem in Liberia. WHO set an elimination target prevalence rate of less than 1 case in 10 000. Liberia had a prevalence rate of 3.61 cases per 10 000 and an incidence rate of 11.8 cases per 100 000 in 2009. The trend of cases is steadily increasing with 410, 414 and 415 cases in 2007, 2008 and 2009 (National Leprosy and Tuberculosis Control Program, 2009). The response to the leprosy situation has previously been provision of care in the leprosarium. However, the provision of care is now through integrated IDM NTDs Master Plan at all facilities in all counties. Activation of mechanisms for early detection, treatment and referrals is being addressed in the Essential Package of Health Services through increased training of health workers and improved capacity to manage complications. Increased sensitization and awareness about leprosy, through community education by community health volunteers, will reduce stigma associated with the disease. The Ministry of health and partners has also prioritized the involvement of other neglected tropical diseases (NTDs) in the ongoing leprosy program. NTDs affect mostly the poor of society and the disease burden remains underestimated due to their ‘neglected’ nature. Most of these diseases take many years to show symptoms and therefore often go undiagnosed or misdiagnosed until it is too late to reverse the damage. Around the world, one billion people are infected or at risk of infection with an NTD and 500 million of these people are in Africa, living mostly in rural areas. The Ministry of Health in collaboration with partners has launched a five-year research programme funded by the UK’s Department for International Development (DFID). This research focuses on the control and elimination of key NTDs in Liberia and is firmly set within a health systems perspective. The research work seeks to understand better implementation strategies for current NTD programmes as well as reflecting on how the programme can be better owned by communities and integrated within the health system at district, county and national levels. As the health workforce is critical in NTD programme delivery, the research has therefore identified the need to appreciate and respect the experiences and training needs of health workers to ensure that the programme remains sustainable throughout the research and beyond. AIFO is fully participatory to the process.
Liberia has also established a national vision of becoming a middle-income country by 2030 after successful implementation of the Poverty Reduction Strategy (PRS 1). Therefore, improving the health and social welfare status of the population are among the cardinal contributing factors of human development that will help the country to reach that vision. In that Project Realized with the contribution of the Italian Bishops Conference (CEI)
context, the Ministry of health led a participatory process of developing a holistic and comprehensive policy framework and plan to guide the sector over the next ten years. The process included analyzing the health and social welfare situation and lessons learned from implementing the 2007 National Health Plan, revising the National Health and Social Welfare Policy and thereby developing the 2011-2021 National Health and Social Welfare Plan, and Essential Packages of Health Services (NPHS) and (EPHS) respectively.
As far as political stability is concerned, General elections were held in Liberia on 10 October 2017, electing the President and Members of the House of Representatives. No candidate won a majority in the first round of the presidential vote so a run-off will be held on 7 November 7 2017. The elections will be a defining moment for Liberia’s decade long peace which according to observers still remains fragile. It will be the first time in more than 40 years to have a democratically elected president turning over power to the next democratically elected leader or government.
Local level The project area is located in the central and northern and south-eastern Liberia on the border with the Ivory Coast, Guinea and is composed of the counties of Grand Gedeh (125,258 inhabitants), River Gee (66,789 inhabitants), Maryland (135,938 inhabitants), Bong (328,919 inhabitants) and Nimba (462,026) for a total of about a million people (1,118,930 inhabitants to be precise) according to the latest census (LISGIS, 2008). This part of the nation especially in the South East is historically the most neglected, ignored and excluded from government policies. The lack of adequate road networks making it almost impassable during the rainy season. It’s an area devoid of almost all basic services, other than water that is hardly lacking.
They lack electricity, schools and hospitals that offer levels of accessibility and adequacy. With the progressive abandonment of the area by the international NGOs, as a consequence of the end of the emergency post-conflict, the social and health conditions are likely to return to alarming levels. There are no data on the leprosy patients and people with disabilities; the only findings were the result of interviews conducted with the community during a visit in December 2012 by AIFO Liberia and the National Commission on Disability, which was precisely the aim of monitoring the situation of disability in the southeast of the country. The medical staff is not able to provide adequate services to the population affected by the situation because of the general lack of education and training. In the communities of southeast, leprosy is not only a health problem, but also social, because it is still associated with strong beliefs in witchcraft popular uprisings. People with the disease are therefore discriminated against and stigmatized.
The schooling of children for families is very expensive and often not available in rural communities. There are only the fees to be paid, but also all the school supplies and uniforms are mandatory. Being the very large families is quite hard for them to meet the expenses for all the children and why the school dropout is high. Often children are forced to work for their livelihood and that of the family. The situation of children with disabilities is often dramatic. The popular belief that they see in the sign of guilt disabilities make them subject to stigma and marginalization; schools are not equipped to receive them and the teaching staff has no training. The situation of adults with disabilities is even better because of illiteracy, with the ensuing consequences. Not knowing how to read or write is a source of frustration and discrimination. Despite the new change in government, inhabitants in these counties are still almost deprived of basic services (such as water, light, hospitals, motorways).
Most people find it better to leave for the Monrovia area where the services are concentrated. Sporadic cases of leprosy are pervasive and no effective system is in place to help address this Project Realized with the contribution of the Italian Bishops Conference (CEI)
situation. Those affected by the disease are marked by continuous social, psychological and economic problems. There is evidence of hidden cases of leprosy and other NTDs, especially in the five counties covered by this project: Bong, Nimba, River Gee, Grand Gedeh, and Maryland; There is one Government hospital in each county, which, however, have to face serious management and logistical problems, and are too far away for most people. The only referral hospital in the whole country is the Ganta Leprosy and TB Center which is miles away from the South Eastern Region. Government brags on resources as the main constraints to adequately address the situation of leprosy and other NTDs in the country even though partners like AIFO, GLRA, Ganta Rehab, MAP, PIH, ALM and the Consolata Sisters are doing their very best to help in the situation. 8
4. ACTIVITIES AND RESULTS
In the following paragraphs a chronogram, narrative description of the activities has undergone, a table of the project implementation development and theirs indicators.
Chronogram of the activities for 3rd year - 2016 in months (Gantt Chart)
Activities 2016 1 2 3 4 5 6 7 8 9 10 11 12 A) Training of health workers B) Purchase and activation of a mobile health unit C) Facilitating the patients referral to the X X X Ganta Rehab D) Ensuring adequate standards of drug X treatment, care and rehabilitation E) Supply of mobility aids and rehabilitation tools F) Establish a system for monitoring and X follow-up for patients who were treated at Ganta Rehab and reintegrated into the community . G) Training of CBR workers and community health volunteers. H) Vocational training for former leprosy patients I) Reintegration of former patients in the SHGs and promotion of income- generating activities. J) Scholarship support & Material X X X
Project Realized with the contribution of the Italian Bishops Conference (CEI)
Chronogram of the activities for 3rd year – 2017 in months (Gantt Chart)
Activities 2017 1 2 3 4 5 6 7 8 9 10 11 12 A) Training of health workers X B) Purchase and activation of a mobile X health unit 9 C) Facilitating the patients referral to the X X X X X X X Ganta Rehab D) Ensuring adequate standards of drug X X X X X X X treatment, care and rehabilitation E) Supply of mobility aids and X rehabilitation tools F) Establish a system for monitoring and X X X X X X follow-up for patients who were treated at Ganta Rehab and reintegrated into the community . G) Training of CBR workers and X community health volunteers. H) Vocational training for former leprosy X X X X patients I) Reintegration of former patients in the X X X X X SHGs and promotion of income- generating activities. J) Scholarship support & Material X X X X X
Project Realized with the contribution of the Italian Bishops Conference (CEI)
PROJECT RESULTS SUMMARY TABLE
Activities Results Achieved Previous % Development Total Cumulative Comments: periods – (3 rd & Final Year) % of Cumulative % Development rd of Development (1, 2 & 3 Year) 10 1 & 2 nd Year A) Training A total of 136 426.66% 151.11% 426.66% The project surpassed the target of primary PHC staff to of this particular activity. This is health care include CHSS, Target: 4 training Target: 4 training Target: 4 training because training and capacity facilities OICs, DHOs, Courses for 90 Courses for 90 Courses for 90 building of health workers was staff. CHO, LFPs, persons. persons. persons. considered as one of the major Screeners, etc gaps observed in the fight undertook an Results Results achieved: Results achieved: against leprosy and other NTDs. intensive achieved: 2 refresher 12 training courses training in 10 training training courses for 384 primary More to that, the involvement of Integrated courses for 384 for 136 primary health care other NTDs such as Hydrocele, NTDs Case primary health health care facilities staff. Elephantiasis, BU, Lymphodema Management in care workers facilities staff. among others in the ongoing Bong & Grand IDM-NTDs program triggered Gedeh Counties the need for additional training to health workers. The project Disaggregated consolidated on the results of figures: Bong: the training to have multiplying 86; Grand effects in the communities. This Gedeh:50 was evident by the fast pace of detection of early cases of The Trainings leprosy and other NTDs were ably observed in the concerned coordinated by communities. AIFO. Training facilitations were done by MOH, GLRA, MAP and CHTs.
Project Realized with the contribution of the Italian Bishops Conference (CEI)
B) Purchase 6 new TVS and 14.25% 14.25.% 50.66% During the 1 st and 2 nd year, 19 and ISUZUKI rural communities were activation of motorbikes Target: 75 Rural Target: 75 Rural Target: 75 Rural assessed for cases of leprosy a mobile were purchased communities of communities of communities of the and other NTDs. During the final health unit. for CBR the Counties of the Counties of Counties of Grand year, 19 new rural and isolated 11 workers in Grand Gedeh, Grand Gedeh, Gedeh, Rivergee, communities showing signs of Bong, Nimba, Rivergee, Rivergee, Maryland, Nimba NTDs related cases were also Grand Gedeh, Maryland, Nimba Maryland, Nimba and Bong reached assessed thus totaling 38. CBR Rivergee and and Bong and Bong reached regularly by mobile Workers, LFPs and other PHC Maryland reached regularly by clinic unit duly staff and the Field coordinator counties. The regularly by mobile clinic unit equipped for effectively worked together in bikes were used mobile clinic unit duly equipped for detection and identifying, referring and treating to aid in the duly equipped detection and home based care more NTDs related cases. mobility of CBR for detection and home based care of leprosy workers as far home based of leprosy depending on the The project could not exhaust all as case care of leprosy depending on the budget its targeted communities due detection and depending on budget bad road conditions which general project the budget Results achieved: caused serious damages on the activities are Results achieved: (38) rural project’s vehicles and to Ebola concerned at Results (19) rural communities of the emergency, that shifted the county level. achieved: communities of 5 counties have health priorities. CBR workers (19) rural the 5 counties been regularly Notwithstanding, a significant coordinated communities of have been accessed by CBR number of leprosy and other their monthly the 5 counties regularly workers and MOH NTDs related cases were movements have been accessed by CBR Health personnel discovered. along with the regularly workers and MOH at county level for county health accessed by Health personnel detection and teams across CBR workers at county level for home based care the five and MOH Health detection and of leprosy counties. personnel at home based care county level for of leprosy detection and home based care of leprosy.
Project Realized with the contribution of the Italian Bishops Conference (CEI)
C) 208 % 145. 71% 390% The referral of patients Facilitating As far as affected with leprosy and the patients referral of Target : at least Target: at least 70 Target: at least 70 other related NTDs scored referral to patients is 70 related related leprosy related leprosy high marks in the concerned the Ganta concerned, the leprosy cases for cases for referral cases for referral CBR project areas. This was 12 Rehab. reporting period referral at the at the Ganta at the Ganta as a result of the much witnessed a Ganta Rehab Rehab and other Rehab and other training provided to health total of 102 and other health health facilities health facilities workers and CBR workers related NTDs facilities depending on depending on during the three year period. cases at Ganta depending on available available Rehab and available resources resources CBR workers and the focal other major resources persons at county level health facilities Results Achieved: executed an early NTDs at county level. Results Results Achieved: 273 NTDs related case detection and referral Achieved: 102 NTDs related cases referred. at community level. Of the 102 171 NTDs cases referred. cases referred, related cases 20 cases were referred. related to MB, 28 cases PB, 19 cases of wound care, 10 TB cases, 12 BU case and 13 Hydrocele cases respectively. All the cases were confirmed and referred. A significant amount of these cases have undergone treatment.
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D) Ensuring Of the 102 84% 81% 165% CBR workers, LFPs, and adequate cases referred, Coordinators constantly standards of a total of 81 Target: at least Target: at least Target: at least provided home based drug clients have 100 100 leprosy and 100 leprosy and service to patients and also treatment, been Leprosy and other NTDs other NTDs related trained parents in doing the 13 care and discharged from other NTDs related cases cases referred same. rehabilitation the various related cases referred have have accessed health centers referred have accessed treatment, care & and taken back accessed treatment, care & rehabilitation CBR workers, LFPs, and to their treatment, care rehabilitation yearly. Coordinators and partners respective & rehabilitation yearly. constantly visited homes of communities. yearly. patients in assessing the Social Results Achieved: improvement during the reintegration Results Results Achieved: rehabilitation process of programs such Achieved: At 165 clients have patients. as awareness least 84 leprosy At least 81 clients obtained adequate sensitization and other NTDs referred for standard of drug, Two referral health centers and stigma related cases treatment at the treatment care and (Ganta United Methodist reduction were as well as care various health rehabilitation in the Hospital & Phebe Eye Unit) conducted for for eye centers across the respective both reached an agreement these clients. complications counties have communities. with AIFO during the project have all been discharged period to support treatment undergone some abd sent to their for eye complications for level of respective people affected with leprosy treatment or communities. and people with disabilities. have been treated and rehabilitated in their respective communities.
Project Realized with the contribution of the Italian Bishops Conference (CEI)
E) Supply of During the period, 88% 0.12% 33.33% mobility aids there were three (3) There is serious shortage of and clients referred at Target: At least Target: At least 25 Target: At least 75 mobility aids in the country. All rehabilitation Ganta Rehab for 25 assistive assistive devices assistive devices efforts with the Monrovia tools. mobility, two of the devices /mobility /mobility aids of /mobility aids of Rehabilitation center proved 14 clients were able to aids of Different Different futile. Due to limited funding, the receive wheel chair different categories categories project could not set up mobility each to make their categories distributed yearly distributed aids workshop. It is movement smooth distributed yearly to former leprosy throughout the recommended that Ganta Rehab while the other to persons in the three years to technical workshop is fully equip received a pair of former leprosy concerned project former leprosy to address mobility aids crushes due to his persons in the areas depending persons in the problems at community level as ailing condition. The concerned on budget concerned project there is only one Rehabilitation activities took place project areas availability as well areas depending Center in the country which is on the 6 th and 8 th of depending on as conditions at on budget situated in Monrovia. In fact, April 2017 budget Ganta Rehab. availability as well MRC itself lack the funding and availability as as conditions at technical support to ensure its well as Ganta Rehab. smooth functioning. conditions at Ganta Rehab. Results Achieved: Results Achieved: 3 mobility aids 25 mobility aids Results were distributed were distributed Achieved: during the during the 22 mobility aids reporting period. reporting period. were distributed during the reporting period.
Project Realized with the contribution of the Italian Bishops Conference (CEI)
F) Establish A total of 50 68.60% 56.66% 125.26% CBR Workers, LFPs, PIH a system for have been Community Workers, & MOH monitoring discharged Target: At least Target: At least Target: At least on a quarterly basis carried and follow- from the 1500 patients 1500 patients who 1500 patients who out joint monitoring visits in up for various health who were were treated were treated the concerned project 15 patients who centers and treated including including (leprosy including (leprosy communities. were treated taken back to (leprosy and ex and ex leprosy and ex leprosy at Ganta their respective leprosy persons persons and persons and Weekly monitoring and Rehab and communities. and other persons with other persons with follow-ups of patients by reintegrated Social other persons disabilities) disabilities) CBR workers was into the reintegration with regularly reached regularly reached continuously carried out community. programs such disabilities) through through monitoring during the period. as awareness regularly monitoring & & follow-ups and sensitization reached through follow-ups and rehabilitation and stigma monitoring & rehabilitation reduction were follow-ups and Results Achieved: conducted for rehabilitation Results Achieved: A total of 1879 these clients At least 850 PwDs PwDs including Results including leprosy leprosy and ex- A total of 800 Achieved: At and ex-lepers and lepers and other persons with least 1029 PwDs other NTDs were NTDs patients disabilities including leprosy regularly were regularly including ex and ex-lepers monitored during monitored during lepers, visually and other NTDs the reporting the reporting impaired were regularly period. period. persons, monitored during physically the reporting challenged period. among others have been regularly reached throughout the reporting period
Project Realized with the contribution of the Italian Bishops Conference (CEI)
G) Training A total of nine 19% 0.12% 19% Considering the budget of CBR (9) AIFO constraints, AIFO decided to workers and LIBERIA CBR Target: 85 CBR Target: 85 CBR Target: 85 CBR recruit only 16 CBR workers, in community Workers along Workers and Workers and Workers and order to guarantee their proper health with one (1) health health volunteers health volunteers management, training and follow 16 volunteers. AIFO Regional volunteers trained and trained and up. However, AIFO CBR Coordinator at trained and updated for early updated for early Workers received support by the Women updated for early detection of detection of PIH Community Workers. Center in detection of leprosy cases and leprosy cases and Ganta, Nimba leprosy cases for the social for the social County during and for the rehabilitation of rehabilitation of the period May social former patients. former patients. 22-26, 2017. rehabilitation of The main former patients. purpose of the Results Achieved: Results Achieved: training was to Results train CBR Achieved: 16 10 CBR workers 16 CBR Workers workers in CBR workers were trained in and Community NTDs and community NTDs IEC during volunteers trained. Information, health the period. Education, and volunteers Communication trained. and Social Mobilization.
H) Vocational 149 % 24% 172. 4% Regular training on Small Vocational training was Business Management training for held for a total Target: 250 Target: 250 Target: 250 former scale was continuously former of 60 persons former former leprosy patients carried out to help enhance leprosy including former leprosy patients leprosy patients supported in the managerial skills of the patients leprosy affected supported in supported in accessing trainees.. persons, family accessing accessing vocational training members of vocational vocational training and provided with former leprosy training and and provided with small funds to start The trainings were affected provided with small funds to Income Generating recommended by the SHGs persons and small funds to start Income Activities (IGAs) members themselves.
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people with start Income Generating disabilities Generating Activities (IGAs) Results Achieved: during the Activities (IGAs) reporting period. Results Achieved: A total of 431 Results persons affected 17 An additional 4 Achieved: 60 persons with leprosy newly formed 371 affected with and/or family SHGs (Pleebo Persons affected leprosy members SHG, Rock with leprosy and/or family have benefitted Crusher 3 SHG, and/or family members from varieties of Todeyville SHG members have benefitted vocational and Krahville have benefitted from training. SHG partook in from training. the training training. which is expected to last for a period of . two months.