Darfur The ongoing humanitarian crisis in Darfur has uprooted millions of people, disrupted fragile health care systems and prevented families from returning to their homes SUDAN and livelihoods. Since 2004, International Medical Corps has worked through challenging conditions to provide essential medical care, implement nutrition programs, restore water delivery and sanitation systems and provide support to the Ministry of Health through health system strengthening activities. By emphasizing training in health care delivery, we give communities the tools to move from relief towards self-reliance, and to rebuild their futures. International Medical Corps in Darfur: Violence in Darfur continues to exact a terrible toll on the health of families caught up in the crisis. In nine years of conflict, over two million people have been displaced. International Medical Corps has worked across challenging and uncertain environments since the beginning of the crisis, delivering emergency healthcare while building the foundation for long-term recovery. We reach, serve, and train displaced and host populations to build inclusive, stable, and successful community health services. Our programs include primary healthcare, nutritional support, the creation of water and sanitation infrastructure and health system strengthening. SUDAN DARFUR GENEINA ZALINGEI NYALA UM DUKHUN SOUTH SUDAN International Medical Corps’ clinics see an average of 35,000 patients per month. In 2012, International Medical Corps screened over 75,000 children for malnutrition. PRIMARY HEALTH CARE International Medical Corps is providing emergency medical relief to over 400,000 beneficiaries annually in Darfur. Our sixteen primary care clinics provide essential health services, including disease treatment and prevention, reproductive health care, health education, immunization, child health care and surveillance, and referrals to emergency and secondary treatment. Throughout all of our programs, we emphasize education and training, ensuring continuity of care and helping communities to build lasting medical systems. NUTRITION International Medical Corps provides nutritional support to populations most vulnerable to hunger. At our clinics and through home visits, our medical and community health workers screen and treat children under five, as well as pregnant women and new mothers, for malnutrition. International Medical Corps operates eight outpatient therapeutic feeding programs and four supplementary feeding programs in West and South Darfur. To prevent malnutrition in children under 2 and pregnant and breastfeeding women, International Medical Corps is implementing a comprehensive social behavior change approach through Care Groups. Each Care Group is composed of 10-15 mothers of children under 2 or pregnant and breastfeeding women and one lead mother. Each site also has one female community health worker who is be responsible for: 1) providing behavior change communications regarding essential nutrition actions (exclusive breast feeding, supplementary feeding and timing, micronutrients supplementation, etc.) and the prevention of malnutrition and waterborne diseases; 2) demonstrating healthy food preparation and cooking; 3) training lead mothers on essential nutrition actions and malnutrition-related diseases. Together, these programs help families avoid the lasting health and developmental impacts of hunger. MATERNAL & CHILD HEALTH CAPACITY STRENGTHENING Caretakers and children are among the most vulnerable populations in conflict-affected communities. International Medical Corps provides comprehensive medical care, as well as training and education, to support and empower this key constituency. Our reproductive healthcare services include: • Family planning, including child spacing By emphasizing education, International Medical Corps helps communities move towards sustainability and self-reliance. Since arriving in Darfur in 2004, we have trained hundreds of national medical personnel, Traditional Birth Attendants, and community leaders. These leaders go on to educate their communities on topics that include: • Antenatal care and postnatal care • Prevention and treatment of common communicable diseases • Assisted deliveries and emergency obstetric care • Reproductive health and early childhood care • Prevention and treatment of HIV/AIDS and sexually transmitted infections • Identification and management of common childhood illnesses Immunizations, nutritional screening and treatment, and assistance with newborn care also help mothers give their children a healthy start in life. • Nutritional screening, treatment, and prevention In addition, International Medical Corps has piloted a non-cash incentive approach aimed at increasing facility deliveries through traditional birth attendants (TBAs) as referral agents. These TBAs are trained on how to refer pregnant women to health facilities for antenatal and postnatal care, as well as for deliveries. Based on their performance, International Medical Corps provides noncash incentives for the TBAs, such as soap and sugar. Since International Medical Corps started this program in July 2011, over 9,000 women have been referred to International Medical Corps’ health facilities by TBAs. The expertise of these health care providers is crucial to integrating health care services into the community. Additionally, their skills provide the continuity of care needed to stabilize fragile health systems and foster long-term recovery. In Darfur, International Medical Corps operates sixteen basic health centers, eight outpatient therapeutic feeding programs, four supplementary feeding programs, and one stabilization center. International Medical Corps’ health centers are located in West, Central and South Darfur, and our nutrition programs are located in South and Central Darfur. Through these facilities, International Medical Corps sees an average of 35,000 new patients per month. Further, water and sanitation projects in Wadi Sahel, Mukjar and Um Dukhun prevent the spread of waterborne illnesses and provide communities with a healthy living environment. Additionally, International Medical Corps is supporting the Ministry of Health through national health system strengthening activities. International Medical Corps provides emergency medical relief to over 400,000 beneficiaries annually in Darfur. WATER AND SANITATION Many communities in Darfur experience shortages in water quality and quantity. Influxes in refugee populations frequently strain already fragile water collection and sanitation systems in host communities and camps. By expanding access to clean water, creating proper waste disposal systems, and providing safe sanitation facilities, International Medical Corps restores healthy living conditions. Our activities include: • Education and promotion of good hygiene practices • The creation of waste disposal facilities and practices • Chlorination, rehabilitation, and maintenance of water points • Construction of drainage canals and latrines Together, these programs help communities protect an essential resource and prevent the spread of waterborne diseases. HEALTH SYSTEMS International Medical Corps is providing support to the Ministry of Health in order to promote a self-sufficient health care delivery system. Health systems strengthening activities include: • Construction, establishment of technical assistance for a District Health Office in Um Dukhun • Enrolling health professionals for formal training, including one year Masters programs in Public Health/Health Management • Strengthening of Ministry of Health capacity in Mukjar • Conducting on-site informal training for local health staff, including on health systems information systems, surveillance, expanded programs on immunization, and drug management • Sending Ministry of Health and Humanitarian Aid Commission representatives to visit and learn from functioning district health systems throughout sub-Saharan Africa INTERNATIONAL MEDICAL CORPS ORGANIZATIONAL CAPACITY INTERNATIONAL MEDICAL CORPS IN AFRICA For 30 years, International Medical Corps has demonstrated the ability to implement major relief and development programs improving lives and strengthening local capacity through health, education, and social programming. International Medical Corps has responded to complex emergencies and implemented transitional development programs in 70 countries worldwide. For nearly three decades, International Medical Corps has worked in the most difficult and war-torn nations in Africa. International Medical Corps provides life-saving medical interventions in times of war, and remains once conflict has ended to support governments and community organizations in the transition from relief to development. COUNTRY Michael Yacob, Country Director CONTACT: PHONE: +249-6912174256 [email protected] Since its inception over 30 years ago, International Medical Corps’ mission has been consistent: relieve the suffering of those impacted by war, natural disaster and disease, by delivering vital health care services that focus on training. This approach of helping people help themselves is critical to returning devastated populations to self-reliance. HEADQUARTERS Jehangir Ali Khan, Regional Coordinator CONTACT: 1313 L. Street, NW, Suite 220, Washington, DC, 20005 PHONE: 202-828-5155 FAX: 202-828-5156 [email protected]
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