To reduce child mortality from vaccine preventable diseases ,all the four sites were stocked with adequate vaccines as per Somalia EPI guidelines and offered routine immunization for children under five.

Defaulters were recorded and traced by CHWs and by calling their caregivers to attain up to 90% coverage among the catchment population total of 1,332(666 boys and 666 girls) received 3rd dose of Pentavalent vaccine.

The team carried out campaign which was successful in raising awareness and encouraging pregnant women to attend antenatal care (ANC) visits, as evidenced by the 1130 ANC visits that were recorded over a six-month period.The campaign itself likely involved multiple stages, from educating the community about the benefits of antenatal care and the importance of ANC visits to providing incentives for those who attended ANC visits and addressing any concerns or worries pregnant women had about attending a health facility. The success of the campaign is further demonstrated by the impressive number of ANC visits – 1130 – that were recorded over the six-month period. This statistic likely reflects the success of all the hard work and dedication put into the campaign and indicates that the community is now better informed and more conscious of the importance of ANC visits.

Our team also made a total of 111 emergency referrals for gynecology, obstetrics, medical, surgical, and nutritional cases. This is a significant achievement, as it reflects the commitment and expertise of our team in providing timely and high-quality care. The referrals were made in a timely manner, demonstrating the ability of our staff to respond quickly and effectively to medical emergencies. This effort has helped to ensure that those in need are able to receive the care they need in a timely and effective manner.

 The figures were made possible by the hard work of our community health workers. These workers conducted health promotion activities, mobilized the community, controlled disease, and provided health and nutrition advice to local people. Through their efforts, our community was able to make great strides in improving the health of our population. The success of this effort is a testament to the dedication and commitment of our community health workers.

Our skilled team was able to make 103 deliveries, including 49 primigravida and 54 multiparas. This is a remarkable achievement, as these deliveries were carried out safely and with a high degree of expertise. Our team was able to provide the necessary care and support to ensure that each delivery went as smoothly as possible. This achievement is a testament to the skill, dedication, and commitment of our team in providing excellent health care to those in need.

The staff of our organization received training in Integrated Management of Childhood Illnesses, and the pre and post-test results showed a significant increase in their technical knowledge. This is a testament to the dedication and commitment of our staff in providing high-quality health care to those in need. The increase in technical knowledge has allowed our staff to better diagnose and treat childhood illnesses, which has helped to improve the health of the community. This achievement is a result of the hard work and dedication of our staff, and is a testament to their commitment to providing excellent health care

MCH Centre in Sayid One has constructed an incinerator and a placenta pit to properly manage medical waste. The incinerator is used to safely and efficiently burn the medical waste, while the placenta pit is designed to store and decompose the placenta waste. The construction of these two facilities ensures that the Centre is meeting the standards set out for the proper management of medical waste.

SOLO, an organization working in the HUB of vaccines in Ceel Barde, has made progress in providing vaccines to children in Bakool, Somalia. Through its work at the Sayid One site, SOLO has been able to reach more children with Vitamin A and measles vaccinations, improving the health of children in the region. SOLO’s efforts have also helped to increase access to healthcare in the region, providing more children with the necessary vaccines and treatments to keep them healthy. The organization’s work in Ceel Barde has helped to improve the lives of many children in the region, and has been a major contributor to the overall well-being in the area.

We provided life-saving primary care health care services, through fixed and mobile outreach services), including: • Essential PHC (EPHS) clinical care (including nutrition) • Child health care • Emergency and trauma care • Communicable disease treatment • NCD treatment • STD / HIV treatment • TB screening and treatment

The operated sites provided a comprehensive maternal and child healthcare services to pregnant women more so those from vulnerable and marginalized households. Antenatal visits was encouraged through targeted individual and group education resulting in 1,100 pregnant women accessing 4+ focused antenatal care services. This resulted increased health facility delivery and positive outcomes on pregnancies.

Partners providing secondary healthcare and other complementary services was mapped and cross referrals advocated for. A total of 132 projectmapping patients that require specialized/secondary for conditions such as complicated deliveries, severe acute malnutrition with medical complications, injuries including gunshot wounds and children with severe disease was referred for management. Dedicated ambulance was set up for this purpose.

Screening program was also conducted at the main site facility as well as three mobile outreach sites. A total of  9314 children were screened for severe and moderate acute malnutrition. The screening program was successful in identifying and providing care to children who were found to be suffering from malnutrition. A total of 3,330 PLW were screened for acute malnutrition. The screening was done at two levels, at the community level through active case finding by the 30 community health workers in 18 sites including 4 town sections and 14 villages, during routine health visits at the site and in some cases through mother MUAC. Critically malnourished PLW were referred to a designated outpatient location including TSFP and MCHN services implemented by WFP partners in the district such as ACF. In addition, family members including mothers, grand mothers, fathers were oriented on how to take MUAC of children under five and PLW to enable families detect malnutrition early enough and alert either the health facility/mobile unit staff or CHWs for confirmation and appropriate treatment, the initiative improved prognosis and chances of survival for affected children. SOLO screened and treated pregnant and lactating mothers, providing them with iron, folate, and micronutrients.SOLO was still able to provide these mothers with the necessary micronutrients, iron, and folate for optimal health.

SOLO was able to treat 1509 children suffering from severe acute malnutrition. This was made possible due to the timely delivery of Ready-to-Use Therapeutic Food (RUTF) by UNICEF, fulfilling their promise to provide the necessary resources and aid to SOLO. With the help of RUTF, the children were able to receive the necessary nutrition and treatment to help them recover from their condition.

During the reporting period, SOLO was able to treat 1509 children suffering from severe acute malnutrition. This was made possible due to the timely delivery of Ready-to-Use Therapeutic Food (RUTF) by UNICEF, fulfilling their promise to provide the necessary resources and aid to SOLO. With the help of RUTF, the children were able to receive the necessary nutrition and treatment to help them recover from their condition

SOLO identified more men than women and trained them as community health workers. This is due to insecurity in the region, which has made it difficult to recruit and train more female health workers.

40 technical staff were trained in Integrated Management of Acute Malnutrition (IMAM). This training was spearheaded by a consultant who had undergone a Trainer of Trainers (TOT) course, and was Somali speaking, making the training more applicable and relevant to the staff. This resulted in an increased level of knowledge amongst the staff, as evidenced by their increased understanding of the IMAM protocols.

Children between 6-59 months with severe acute malnutrition with medical complication were referred for inpatient management.

SAM cases were referred to the Stabilisation Centre due to complications, and the children were referred back for continuity in the OTP project. WFP, UNICEF and the cluster advocated for protection rations in order to ensure improved recovery for SAM cases

All identified under five boys and girls with MUAC less than 12.5cm with no medical complications were admitted to TSFP for management of MAM. The management of MAM  provided additional energy and nutrient density to the existing home-based diet to support catch-up growth, and it is done by encouraging increased intake of home food.

SOLO recruited health worker in close collaboration with leadership structures of the community. 4-day training for 30 community health workers was conducted in Ceelbardhe to equip them with technical skills in community mobilization, promotion, communication, data collection, and reporting. In addition, the community health workers were trained to support community-based IYCF activities. Furthermore, the CHWs led and promoted various community structures such as community health committees.

A good number of people sensitized on PSEA including available reporting mechanisms. All staff and contractors signed the PSEA policy  were sensitized on the policy. SOLO  rolled out PSEA awareness with the communities served, in order to ensure that all members of these communities are aware of the policy and its implications.

The IYCF nurses have been trained to provide the best possible care to mothers and their families, and this number increased. As the knowledge of the mothers, fathers, grandmothers, and caretakers improves, the SOLO organization is planning to conduct a Knowledge, Attitudes, and Practices (KAP) survey in the near future. This survey will provide valuable insight into the current state of nutrition and health knowledge within the community and will help the organization to better tailor its programs to the needs of the people.

Also the community has readily accepted deworming treatment and has been educated on the importance of deworming and its positive impact on health. This education has resulted in improved understanding of the importance of deworming and its benefits, leading to an increased uptake of the treatment. This has had a positive effect on the health of the individuals and their families, resulting in better health outcomes.

Also our team also made a decision to include males in their program to address infant and young child feeding issues in the community, in order to shift the mindset of men in the area and to ensure their involvement in the issues. The goal was to create a more inclusive program that allows men to be involved in the discussion and to help create healthier and more supportive environments for children and families. The inclusion of men in the program is led to greater understanding of the importance of infant and young child feeding and created more supportive and caring communities.

All the four sites now have a dedicated space set up for IYCF sessions for mothers of children 2-24 months. Dedicated IYCF counselors are stationed at the facility providing individual and group counselling sessions. 6,250 mothers were counselled each site counselled 10 mothers per day for 26 days a month and continuing.

3110 children 6-59 months were also dewormed at the mobile unit sites and the health center. The deworming was preceded by community sensitization and plans were made to carry out the deworming exercise concurrently with mass MUAC screening.