LESOTHO RED CROSS SOCIETY ANNUAL REPORT JANUARY – DECEMBER 2017 Compiled by M.L. Moletsane Programmes Director 1 Table of Contents 1. INTRODUCTION: ............................................................................................................................... 3 2.1. HEALTH AND SOCIAL SERVICES PROGRAM. ............................................................. 4 2.1.2 Orphans and Vulnerable Children (OVC) ..................................................................................... 6 2.1.3 HIV and AIDS ................................................................................................................................ 8 2.1.4. First Aid ...................................................................................................................................... 8 2.1.5 Water, Sanitation and Hygiene (WASH): ................................................................................... 10 2.2. DISASTER MANAGEMENT ...........................................................................................16 2.2.1 Preparedness ............................................................................................................................. 16 2.2.2 Response, Relief and Recovery .................................................................................................. 18 2.2.3 Food Security ............................................................................................................................. 22 2.2.4 Restoring family Links (FRL) ....................................................................................................... 24 2.3. ORGANIZATIONAL DEVELOPMENT ............................................................................25 2.3.1 Audits ......................................................................................................................................... 25 2.3.2 Statutory meetings..................................................................................................................... 25 2.3.3 Partners’ meeting....................................................................................................................... 26 2.3.4 Change Management Plan ......................................................................................................... 26 2.3.5 Resource Mobilization ............................................................................................................... 31 2.3.6 Branch Development ................................................................................................................ 34 2.3.8 Other Humanitarian Interventions by the Divisions .................................................................. 39 2.3.9 Support visits to the Branches ................................................................................................... 40 2.3.10 HQ support and supervision to the Divisions .......................................................................... 41 2.3.11 Conferences, workshops, trainings and meetings ................................................................... 42 2.3.12 RED CROSS SPECIAL DAYS ................................................................................................... 43 3. PMER ISSUES .................................................................................................................47 4. PROPOSALS DEVELOPED ............................................................................................48 5. PARTNERSHIPS ESTABLISHED ...................................................................................49 6. MISSIONS ......................................................................................................................49 7. OTHER DEVELOPMENTS ..............................................................................................50 8. HR STATS ....................................................................................................................52 9. FLEET REPORT FOR THIS YEAR 2017 .........................................................................55 10. future Plans: ..................................................................................................................57 FINANCIAL STATUS – refer to financial reports ............................................................................. 57 2 1. INTRODUCTION: To Lesotho Red Cross Society, 2017 was a very turbulent year during which the NS struggled to survive and maintain humanitarian services since it lost its long-term partners; British and Norwegian Red Cross Societies end of 2016 when the projects phased out. Nonetheless, humanitarian interventions continued according to the humanitarian landscape of Lesotho. Projects specific activities implemented at the Divisions, Divisional reports as well as youth and volunteer activities will be reported under relevant programs; Health and Social Services, Disaster Management and Organizational Development. Table 1. Summary of LRCS projects Disaster Management status project Donor Project area new Emergency Appeal WFP Butha-Buthe, Berea and Thaba- operation Tseka German RC Qacha’Neck continuing Restoring Family Links ICRC All Divisions Health and social services new Cancer screening Bristol Meyers All LRCS HCs – Mapholaneng, project Squib Kolojane, Kena and Thaba-Bosiu Foundation(BMSF) continuing WASH BRCS Mokhotlong & Mohale’s Hoek Water Aid Thaba-Tseka continuing OVC care and support Lars Amundson Kena Foundation through IFRC continuing First Aid Belgium Red HQ and all 10 Divisions Institutionalization Cross Organizational Development new Change Management NorCross through HQ and all 10 Divisions Plan IFRC 3 2. PROGRESS REPORT 2.1. HEALTH AND SOCIAL SERVICES PROGRAM. The report follows the three components of the HSS program; Primary Health Care, OVC, First Aid and Water, Sanitation and Hygiene (WASH) 2.1.1. Primary Health Care Services. The table below illustrates LRCS HCs and the population in their catchment area, as well as the community support structures available to provide assistance to the communities. Table 1: Health centres population and Community Health workers Health Target Under 1 No of Village Care Centre population Villages Health Facilitators Workers Mapholaneng 21,806 626 72 41 40 Thaba Bosiu 12,913 336 25 43 21 Kena 6,292 170 43 42 46 Kolojane 6,192 55 23 47 - a) LRCS Health Centres Facilities Maintenance Since LRCS HCs were rehabilitated by the Ministry of Health through the Millennium Challenge Account (MCA) they were still under the maintenance plan. Hence, HRAM is the Focal person responsible for maintenance of LRCS properties, accordingly, he participated in meetings at Lesotho Millennium Development agency (LMDA). LMDA was mandated to oversee Health Facilities Maintenance Program (HFMP). The focus is on facilities’ buildings (inclusive plumbing), water supply and electricity. Local contractors were sourced and engaged to facilitate in the implementation of this mandate, they inspect the facilities and produce reports that will inform processing of task orders. b) Services provided LRCS HCs provide all essential health services as stated by the Ministry of Health in the Essential Service Package, they include curative services, maternal and child health services, HIV and AIDS services which encompass counselling, testing, treatment and follow-up. Cancer screening outreach services have been added to strengthen screening services conducted at the facilities. The analysis of the services provided by the HCs reflect that Mapholaneng HC is seeing more people compared to other HCs because it has a higher population and it is strategically positioned to maximize utilization from its wide catchment area. it is followed by Thaba-Bosiu, the third one is Kena then Kolojane. 4 Table 2: Health centres’ performance per services provided services Mapholaneng Thaba- Kena Kolojane Total Bosiu population served Outpatient - - - - 37,398 services (F: 24,927 M: 12,471) Antenatal 1,044 510 236 407 2,197 care(ANC) Maternity 83 2 2 21 108 services Postnatal care 386 206 47 268 907 (PNC) Family Planning - - - 6,139 Condom - - - - MC:130,272 distribution Under 5 3,968 1,312 734 1,692 7,706 - immunized: 3,550 1148 586 1,491 6775 - growth monitoring: 418 164 148 201 931 HIV Testing - - - - 13,873 Services Tot +ve: 488 DNA PCR - - - - 258 performed Received 158 Received Clients initiated 218 233 93 143 687 on ART Total/ HC c) Cancer Screening Outreach Project PHC activities include cancer screening through a specific project implemented in partnership with Senkana Centre of Excellence, CHAL Health facilities ( St Leo and Lorreto HCs) and Maseru City Council – Thamae HC. The project is supported by BMSF. - The Project Launch The cervical cancer screening project was officially launched by Her Majesty the Queen ‘Masenate Mohato Seeiso on the 22nd February and she gave a keynote address. She encouraged both men and women to screen for cancer since it is increasing in Lesotho, and if it is diagnosed early it is easy to curb, also considering that there is no treatment Centre in the country. other Dignitaries present were the Minister of Health, the Principal Chief of Thaba Bosiu, Member of Parliament for Thaba-Bosiu, the Country Representative WHO, Executives 5 from BMSF and representatives of other organizations involved in health service delivery such as Partners In Health (PIH), Christian Health Association of Lesotho (CHAL). Educational but entertaining activities were presented at the event, song by