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Emergency Assistance to Displaced and Conflict- Affected Population in South East Central African Republic 31. May 2013 Luna Mehrain
Emergency Assistance to Displaced and Conflict-Affected Population in South EastCentral African Republic31. May 2013
Luna Mehrain
Central African Republic
“The Forgotten Crisis”
CAR- Background
MMR 890/ 000,000 IMR 106/ 000TFR 4.6ANC1 - 57%SBA at delivery 44 %C/S 2 %CPR all methods 19 %/ modern methods 9 %Population < 15 years 40 %
(Source countdown 2012: report and figures from 2010 PRB 2012 World Population Data Sheet)
Lobaye:• Batalimo
Nana Mambere:• Bouar
Merlin in CAR
Mbomou:• Rafai• Bangassou
Haut Mbomou:• Obo
RH Activities
Haut Mbomou : Obo district hospital Mbomou : Rafai referral centre, 4 health post/center
ANC and PNCDeliveries with SBABEmONC and CEmONCFamily PlanningSGBV PMTCT STI management
BCC sessions during ANC at Obo Hospital and in the congolese refugees camp in Obo
ANC/ Deliveries Mbomou
(Rafi Hospital ,4 HF)
Q1 Q2 Q3 Q4 Total0
50
100
150
200
250
300
350
70 5982 77
288
3765 78 76
256
2 4 7 4 17
ANC4 VisitsBirths attended by a skilled birth attendantLive Births by C-section
Q1 Q2 Q3 Q4 Total0
50
100
150
200
250
300
350
51
117
51
109
328
4561 48
80
234
2 2 4 2 10
Number of ANC4 visitsNumber of births attended by a Skilled Birth Attendant (SBA)Live Births by C-section
Family Planning Mbomou
(Rafi Hospital ,4 HF)Haut Mbomou (Obo Hospital)
Q1 Q2 Q3 Q4 total0
50
100
150
200
250
54
32
88
49
223
Total number starting any FP method
Q1 Q2 Q3 Q4 Total0
20
40
60
80
100
120
140
17
4034 34
125
Total number starting any FP method
Method Mix Mbomou
(Rafi Hospital ,4 HF)Haut Mbomou (Obo Hospital)
21%
16%
11%
51%
%
% FP Method Mix (starters)
OCP INJECTABLESIUCDS IMPLANTSTUBAL LIGATION VASECTOMY
66%
30%
1% 2%2%
% FP Method Mix (starters)
OCP INJECTABLESIUCDS IMPLANTSTUBAL LIGATION VASECTOMY
Merlin CAR- GBV
GBV
Messages on Sexual Violence
Training Sensitisation Medical treatment Referral for mental support
Challenges
Security
Limited Staff Capacity
Supply Chain
Destroyed Health System
Lessons learned
Endurance = Better position
Service ( re- ) Uptake ( Integrated RH activities)
Next steps
Stay
Expand services : *more areas (south east) * content (PAC)
Understand Data/ Trends ( GBV)
Broaden Partnerships (psychosocial care for survivors of SGBV)
Thank you for your support
