Projects

Mamilian Primary Healthcare Center

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In 2019, responding to a lack of healthcare providers within the Duhok Governate of the Kurdish Region of Iraq (KRI), SEMA US has agreed to undertake the implementation and operation of a primary healthcare center (PHC) in Mamilian Camp, Duhok Governate in the KRI.

The Duhok Governate in Iraq hosts nearly 400,000 internally displaced persons and refugees. There are significant barriers to accessing primary healthcare in Duhok, particularly among vulnerable populations in camps. Access to health services was cited among top concerns in locations where over 70% of returnees and 46% of IDPS were living as of June 2018. 112 of 115 informal IDP sites reported that households encountered problems accessing healthcare.

Mamilian PHC provides beneficiaries and IDPs access to high quality primary healthcare services and further develop and stabilize health sector resources through the implementation of a community-based health program with access to a referral system, providing medical consultations and raising awareness with the local population about community public health issues. Also, the PHC will enhance the integration between healthcare and community health through outreach activities provided by community health workers outreach programs. The center serves displaced persons and people in need who otherwise would not have access to healthcare.

The clinic provides general medical consultations and reproductive health consultations focused on family planning, antenatal care, and postnatal care. The clinic provides necessary medication to patients as per of their needs and availability. Furthermore, the clinic will refer cases to higher level of medical care centers in Duhok Governorate. Referral services will be closely coordinated with the Directorate of Health, Health Cluster and WHO in Duhok. The PHC services will be offered year-round and began in October 2019.

Goal:  Improve access to healthcare for vulnerable IDPs in Mamilian Camp.  

Outcomes:

  • Vulnerable IDPs living in informal settlements have access to free medical consultations and medication through PHC services.
  • Provide quality primary healthcare services to vulnerable IDPs living in informal settlements and with Mamilian Camp in Duhok.
  • Enhance community participation in health activities

Needs Assessment:

According to Risk Assessment Site Priority assessment conducted by REACH Initiative[1], the majority of families in informal settlements reported encountering problems accessing healthcare services as are no health centers available in their areas of displacement. Families reported lack of access to medications, funds and medical technical personnel. Moreover, women and girls living in informal settlements and substandard living conditions face limited privacy and personal safety measures, and a result are, at a greater risk of experiencing GBV.

Around 40% of returnees live in locations where the supply of health services is either “insufficient”. In Duhok, 100% reported insufficient access to health services. All populations report lack of availability of medication, lack of qualified professionals, and insufficient funds as barriers to accessing care. In general, IDPS seem less concerned than returnees about health: high costs were reported in KRI whereas other issues were more prevalent in north-central and southern governorates).

Both IDPs and local community members face significant difficulty accessing healthcare facilities. This is especially true families living in remote communities that are far away from the general hospitals in Duhok. These communities report difficulty in securing access to primary health care services, including medications shortages, and cost prohibitive access to family planning methods.

Activities:

  • Implementation and operation of a primary healthcare center to provide quality health consultation.
  • Implementation of a comprehensive community health program raising public awareness of public health issues. The program consists of five modules: Reproductive health; communicable and non-communicable diseases; nutrition and MUAC screening for malnutrition; referral system; and infection prevention control. Outreach will include household visits from trained community health workers and public sessions at PHC site.
  • Offering reproductive healthcare including: antenatal care (ANC), post-natal care (PNC), and family planning (FP) through one female GP trained on consultations.
  • Health referrals where needed to governmental and non-governmental health centers through establishing Memorandums of Understanding with nearby centers and the Ministry of Health-Duhok Governorate.
  • The project supports free distribution of PHC and FP medication under the regulations of Ministry of Health in Kurdistan Region-Iraq and the Directorate General of Health-Duhok.

This project is linked to the strategies and objectives of Humanitarian Response Plan 2019; the primary project objective is to provide life-saving and life-sustaining humanitarian health assistance through supporting the areas of need in Northwestern Iraq, in particular, focusing on the most vulnerable populations. This project is in line with the health sectoral priorities and objectives; it will strengthen and improve access to primary healthcare in the region. Further this project aligns with Iraqi Ministry of Health target of establishing a robust Primary Health Care system centered on strengthening General Practice. Access to primary healthcare is crucial to stabilizing sustainable livelihoods for vulnerable populations.

Expenses:

The clinic’s operation costs roughly $16,000.00 per month, which supports staff and operational costs.

Help us:

Your generous donation will help us to continue achieving our goal and outcomes for this project. You could help fund a salary for a doctor ($600 per month), or a nurse ($350 per month), or offset our medication expenses for the PHC ($5000 per month). Your donation to the Mamilian Primary Healthcare Center of whatever amount you feel called to give will support livelihoods and healthcare for under-served communities and allow us to continue helping those in need for months to come.

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