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Free Health Care. The IRC Experience. Kenema District EmOC Programme. Total Number of Facility Deliveries. Percentage of Delivery. Caesarean Sections Per Annum. Caesarean Section Rate. Referrals to Hospital. Ambulance Services Since Aug 2007. Maternal Deaths at

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Free Health Care

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Free Health Care

The IRC Experience


Kenema District EmOCProgramme


Total Number of Facility Deliveries


Percentage of Delivery


Caesarean Sections Per Annum


Caesarean Section Rate


Referrals to Hospital


Ambulance Services Since Aug 2007


Maternal Deaths at

Kenema Government Hospital


Case Fatality Rate


Met Need:

Women with obstetric complications who receive Treatment


Total EmOC & DHMT Joint Supervsion 2009


Units of Blood Collected


Transfusion Utilisation per Specialty


Community Case Management

Kono District

  • Programme now by CIDA and DFID

  • Free care for under 5’s for treatment of the 3 main morbidities malaria diarrhoea and pnuemonia

  • Community volunteers are trained and equipped to follow protocols to treat children that present with the recognised symptoms

  • Those who do not or who do not respond within 24 hours of treatment are referred and escorted by the volunteer to the nearest PHU


ProgramME expansion

  • From 2008 expanded from coverage of 20 PHUs to date 56 PHUs

  • By May 2010 all 70 PHUS will be in the programme

  • Trained 1073 CHVs

  • Last quarter of 2009 treated 10,925 children under 5


number of treatments

CASES TREATED


Number of Treatments by CHVs

May 2006 – Dec 2009


Community vs. PHU Treatments

Feb 2008 – Dec 2009


Challenges

  • Vision of decentralisation is not well communicated and expectations misunderstood

  • Health Systems and Human Resources – capacity and personnel

  • Corruption and lack of commitment and accountability

  • Monitoring and supervision

  • Infrastructure and accessibility

  • Community support for volunteers


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