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ﺟﻤﮭـــــﻮرﯾـﺔ اﻟﺼـــــــﻮﻣــﺎل Jamhuuriyadda Federalka Soomaaliya اﻟﻔﯿــــــﺪراﻟﯿﺔ Dowlad GoBoleedka Galmudug ﺣﻜﻮﻣﺔ إﻗﻠﯿﻢ ﺟﻠﻤﺪج Wasaaradda Caafimaadka & Daryeelka Bulshada وزارة اﻟﺼﺤـــــــــــﺔ ورﻋـــــــــ ﺎﯾﺔ Republic Federal Somali Galmudug State of Somalia Ministry of Health & Human Services Draft meeting minute for health, nutrition and Wash sectors quarterly coordination MoH Galmudug /Held in Adaado 12-August 2017 Attended Organizations: Absence without apology: 1. MoH-GMS 1. WFP, 2. MoH FGS 2. IMC/Abudwak 3. UNICEF 3. SORDO 4. MoH and Aid Coordination-Gms Absence with apology: 5. IMC(Mudug), IRC, SK, SCI, TOUS, HDRO, SAF- UK, CPD, CISP, CESVI, ADESO, MERCY USA, 1. SRC SDRO, WCI, DEH,SORRDO 2. KAAH Background The meeting was organized by Ministry of health of Galmudug with close collaboration FMoH, and participated by Health, Nutrition WASH and Food security IPs operating in THE state as well as UNICEF, FMoH, Galmudug Ministry of Humanitarian and disaster management, then followed by introductory session leaded by Director General MoH Dr. Abdiwali Ahmed, he welcomed participants and invited them to introduce themselves, and proceeded with the next agendas. The DG emphasized the objectives of meeting, which is current drought situation and scale up response interventions, identify key Gaps for integrated Health, Nutrition/food security and Wash, necessity of Registration and Signing MOU among IPs and State MoH, reviews the new MINISTRY OF HEALTH, GALMUDUG STATE ADADO, SOMALIA draft Galmudug Health Sector Strategic plan HSSP II for the the period of 2017-2021 and preliminary joint assessment of MoH-Galmudug and UNICE. The Mister of health H.E Naima Mohamud opened the meeting and talk about the importance of such kind coordination meetings for sharing information, identify gaps, overlaps and progress existing in areas and painted deteriorate drought condition in state and its impact to health, nutrition , water and food security which needs scale up the response, also point out Galmudug MoH are responsible and accountable the health, Nutrition and WASH activities existing and upcoming in the areas and IPs are intend to implement the priority areas and locations in order to improve leadership and collaboration. Followed by head of coordination and communication unite Minister of health federal government of Somalia and emphasis the important of coordination and filling the gaps in order to improve service delivery, he also mentioned the outcome of this meeting is to improve leadership of human resource of health of MoH Galmudug. Mohmaed Amin highlighted that this time IPs are intended to implement the priority areas and activities under HSSP, any implementation and activates with consultation to states and federal MoHs are not considered. Brief update OCHA Inter-agency assessment : the assessment have been conducted in Galgadud region between 30 July and 4 August 2017, Two planning meetings were held in Cadaado and Dhusamareb towns in attendance of respective authorities in 29 and 31 July 2017 and carried out by 28 organizations with support and collaboration Local authorities of Cadaado, Dhusamareb, Cadaado, BalamBale, Abudwak, Guriel and Heraale as well as the Ministry of Health, Ministry of Education, Ministry Humanitarian Affairs, Aid Coordination Authority, and Ministry of Water Resources. The Draft report will be coming soon. The assessment objectives are: • Identify and inform partners on needs and gaps for immediate response and additional resource mobilization. • Provide recommendations for response based on the findings. MINISTRY OF HEALTH, GALMUDUG STATE ADADO, SOMALIA • Estimate the number of people affected and displaced by the drought and conflict. Preliminary finds UNICEF mission Galmudug : the assessment have been conducted by UNICEF national teams in 6-12 august 2017 with support for Galmudug state line Ministries and private sectors as well local authority in Dhusamareb, Guriel, Adaado and Galkacyo , the main gaps they observed during the mission is shortages food due to consequence of drought , limited WASH intervention offered in health facilities as well schools, increase number of IDP due to prolonged drought , deteriorating malnutrition situation existing in areas, the draft will be came up soon . Health, Nutrition, WASH and foods security programmes updates, supplies and challenges SAF-UK – Is implementing an integrated Health and Nutrition Program in Afbarwaqo, Dhinowda and FixedMCH/OPD in Buqda supported by UNICEF. SWISSO – Kalmo : has been implementing health and nutrition projects for more than 4 years in Galgadud, and funded by UNICEF and SK running 2 RHC, 6HC,10 PHU and 2 mobile clinics, as well Sub-National cold chain Hub which supplied 42 Facilities and 16 mobile teams. The main challenges is due to Long drought which affects the well-being of the entire population especially the vulnerable women and men, Lack of WASH components in the health programs, Ever increasing number of new patients admitted at the OTP/SCs sites, Urgent need of BSFP and water trucking to the community, Disproportionate distribution of SHF funds to the state of Galmudug. IRC: support Galkacyo South, Dhusamareb, and Guriel hospitals and partners with MDO and Swiss kalmo. In Galkacyo south IRC provide referral services for identified severe morbidities, high risk and complicated pregnancy cases, provide medical supplies and pharmaceuticals for general morbidities targeting all diseases received within the supported service departments. Provide outpatient consultations targeting immunization of children below the age of five years. Conduct formal and informal training, targeting health care providers and beneficiaries at the facility and community level. MINISTRY OF HEALTH, GALMUDUG STATE ADADO, SOMALIA Implement GBV screening services, Through DFID funding as well responding to drought emergency in Galkacyo south, Through ECHO funding IRC is supporting health including RH services in GSH and partner with MDO at GSH and other partners. IRC support Hanaan Hospital and Guriel Hospital partnership with Swiss-kalmo and supports the cost of health care, including staff salaries, essential equipment, clinical supplies and consumables, laboratory supplies and medical pharmaceuticals, including drugs, trainings to staff of HH/GH, through DFID funding supports nutrition activities in Guriel and Hannan hospitals as well OFDA funding which is supporting health activities in Hanaan hospital. TUOS: implementing Nutrition project in Dhusamareb and Guriel district and partner with UNICEF with PCA star 13 March 2017and 29 February 2019 and running 3 Mobile OTP and 1 Fixed OTP centre, however the main is challenges is delay for Supply of EPI as well NHHP supply delivery and lack of integration Health Mobile team with nutrition OTP. SCI: are implementing emergency and developmental projects, in emergency SCI implementing Emergency AWD/CHOLERA response (Integrated Wash/Health), Project Target locations is 4 ORPs rural village,1 (CTC), 4 IDP settlements and 15 rural villages, with 2,700 of beneficiaries for average of 30 cases per day over a 90-day period. On developmental projects SCI provide Durable solution for IDPs and returnees in Somalia (DRIS)the projects targeting five integration and social cohesion sectors which is Health, WASH, Education, Child Protection, GBV and Livelihood, the target beneficiaries is 90,000 persons (12,000 households - HHs) -72,000 from IDP settlements. The Target locations is 2 IDP settlements as well 4Host communities. SCI also hopes the upcoming SOM-SIDA local health project which is Not fully approved and covers 1RHC Partially functional ,2 HC Partially functional and planed7 PHU as well 2 mobile /outreach unite, the project internal kick of meeting will be held when it is fully approved and implemented through MOH-Galmudug. IMC: IMC currently running Galkacyo hospital through ECHO Supports for Health and Nutrition, the projects cover Medical and Surgical curative and treatment for adults, Medical and Surgical curative and treatment for paediatrics supported by ICU unit, Stabilization center for under five malnourished children with medical complications.the project duration is from 1st Feb 2017 to 31st November 2017. SAM children aged 6-59 months without medical complications MINISTRY OF HEALTH, GALMUDUG STATE ADADO, SOMALIA through weekly distribution of RUTF and routine medications, Inpatient and outpatient diagnostics and treatment of TB cases. OFDA: support Provision of one full health Center supported with 24 hrs. BEmNOC services and 10 subsidiary primary health units. Two mobile health clinics integrated with OTPs services that support the 10 PHUs. The projects during is from 1st July 2017 to 30th June 2018. Complementary support from World Vision/Global Fund TB Program and UNICEF in-kind Support of Nutrition supplies for SC & OTP. IFRP: Prevention of acute malnutrition among children aged 6-36 months and follow-up of children aged 6-59 months who recovered from SAM in Galkacyo South, Somalia through distribution of a Medium Quantity Lipid-based Nutrition Supplement (MQ-LNS) through a blanket supplementary feeding program (BSFP) for a period of six months in 2017 to specifically cover the most critical lean period. The project will run from 1st April 2017 to 31st November 2017. The main challenges are Geographical border lines for districts is not clear and existences of different many conflicting information available in the internet, Lack of realistic population estimates in most of the towns
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