ELCT - PRIMARY HEALTH CARE
PROJECT/COMMUNITY-BASED HEALTH CARE PROJECT (PHC/CBHC)
Name of Project:
Strengthening Primary Health Care Through
Partner: Danish Mission Council
Development Department.
Goal of the Project:
Improved
Planning, implementation and management of PHC/CBHC[1]
activities in the dioceses with more integration of PHC/CBHC Plans in the
Comprehensive Council Health Plans by 2013.
Specific Objectives (Purposes):
1)
Increased capacity for planning
and implementation of PHC/CBHC activities in ELCT Dioceses.
2)
Advocacy work for better
partnership in PHC/CBHC work enhanced between ELCT Dioceses, Local Government
and Ministry of Health and Social Welfare.
Purpose of PHC/CBHC Projects in ELCT Dioceses:
ELCT - PHC project is
helping Dioceses to develop PHC plans focusing on health promotion and disease
prevention at household level. E process
is facilitated by Health Staff at neighbouring health facilities. The aim is to
provide communities with information and education that are basis for making
choice and adapt health behaviour.
Health families and individuals will be able to work for their
livelihood and stimulate economic growth and hence poverty reduction. Therefore Primary Health Care is necessary
for achievement of Millennium Development Goals (MDGs) by 2015.
Involvement of
target groups:
The writing of PHC Project
Proposals is done in respective diocese by the PHC Teams that have been trained
on PHC planning and through PRA where the community members participate in
health problem identification by PRA tools such as transect walk, resource
mapping, Focus Group Discussions and Village calendar. (See the photo bellow)
Main activities done and achievement:
Specific objectives and related activities:
v
Assisting Dioceses to forma PHC
Committees/ Task force
v
Training of PHC Committees on developing
PHC Project Proposals and PHC Management.
Committees are also trained on Participatory Rural Appraisal (PRA).
v
Assist Diocese to establishing
PHC Office.
v
Training of PHC Committees on
strategies for improving Community Participation in PHC activities.
v
Assisting dioceses in evaluating
PHC work that has been going on and writer new projects
v
Organising study tours for PHC
Committees to enable them learn from well run projects.
v
Conducting Facilitative
Supervision in dioceses/ health Facilities for advice and problem solving to
improve PHC implementation.
v
Formation of Zonal For a for PHC
Coordinators
- Advocacy
for resource mobilization:
v
Advocacy at Local Government
level in Districts Councils where ELCT operates. To raise awareness among
Council Health Management Teams and District Health Boards on ELCT PHC work in
the districts for support, capacity building training, supportive supervision.
v
Advocacy at Central Government
level – working with Christian Social Services Commission (CSSC) for increasing
resources to ELCT Health Institutions and upgrading some institutions to DDH,
- Achievement
by December 2008:
v
20 diocesan PHC Committees (about
150 diocesan staff) have been trained on basics for PHC Planning and Management,
Strategies for improving Community Participation in Primary Health Care
activities.
v
15 dioceses have been visited 2
times and 3 dioceses visited once.
v
12 dioceses have been trained on
Participatory Rural Appraisal and its implication on PHC Planning.
v
8 District Medical Officers/
Representatives have participated in Planning PHC Projects / Workshops in some
dioceses of ELCT.
v
The following dioceses have
finished developing Comprehensive PHC Project Documents: 1) Pare, 2)
North-Eastern, 3) East and Coast Diocese; 4) Central, 5) Konde, 6) Iringa, 7)
Southern Diocese 8) Morogoro, 9). South Western, 10) South Central 11) Southern
Diocese 12) East of
v
2 PHC Project Proposals have been
submitted for funding ( Iringa Diocese and East & Coastal Diocese)
v
The following dioceses are
implementing Comprehensive PHC projects which are funded: 1) Karagwe Diocese 2) North-Western
Diocese 3) Meru Diocese 4) Dodoma Diocese 5) Northern Diocese 6) Diocese in
Arusha Region esp. HIV/AIDS Programme
v
Mid-Term Review of PHC was
performed in March – April 2006 together with MHCP.
v
Findings were disseminated to
partners in June 2007 and resolved to continue with another Phase 2008-2013.
v
2 Study tours were organized in
Karagwe Diocese and Northwestern Diocese.
v
Phase III of PHC Project has been
prepared and funds will be available up to 2013.
v
Ilula Health Centre became
District Hospital 2007 for Kilolo District in Iringa Region, Izimbya Health
Centre has been upgraded to Council Hospital 2008 later on to become Designated
District Hospital for Bukoba Rural District, Simanjiro Dispensary of Diocese in
Arusha Region is in progress to be Designated District Hospital for Simanjiro
District in Manyara Region.
- Implementation
Problems/ Constraints:
v
Extensive area of work covered by
the PHC/CBHC Project. Assistant PHC
Coordinator will be recruited in Phase III.
- Future
Activities for Phase III ( 2008 – 2013):
v
Support PHC Project Evaluation in
5 Dioceses Diocese in Arusha Region, Meru diocese, Northern Diocese, Mbulu
Diocese, Ulanga- Kilombero Diocese. Support dioceses in writing PHC Projects
and Fund mobilisation for projects implementation.
v
Conduct Applied Research for
Evidence-Based Advocacy for fund mobilisation for Health Work in ELCT.
v
Improve ELCT-PHC data bank about
coverage of PHC Work.
v
Lunching of Zonal Forums for PHC Coordinators for sharing experience
and cut down travel costs.
v
Improve sharing of information on
current PHC activities Coordination Office and all dioceses.
v
Facilitate Study tours for PHC
Teams
v
Solicit Funds for training 17 PHC
Coordinators at Iringa PHC Institute – for 17 dioceses in 2 phases.
v
Advocacy at National and District
level for resources
v
Train PHC Teams on Advocacy and
Lobbying Skills.
v
Document best practices on PHC
work in the diocese
v
Updating website of ELCT on PHC work Diocese by diocese
v
Increase frequency of
Facilitative supervision in the diocese.
v
Networking with other PHC actors
with other Faith-Based Organisations-
including Anglican Church in
v
Support diocese in doing Project
Reviews and Evaluations
v
Organise Refresher Courses for
PHC Teams to respond to drop-outs
v
Training of 14 Diocesan PHC Teams
on O&OD[2]
v
Strengthen PHC work by recruiting
Assist National PHC Coordinator.
PHC PLANNING
TEAMS IN DIOCESES:
Diocese
staff need to know essential health care that can be provided under PHC
strategy. This process improves
ownership of PHC project and improves their capacity in planning and
implementing people-centred activities. ELCT – PHC Project trains the diocese
PHC Teams and communities in identification of health problems and needs and
facilitates joint planning for PHC work with the communities. Photo taken at
workshop at Bishop Kisanji Women Training Centre –ELCT Morogoro Diocese – (Photo Richard
Mwakatundu – ELCT-PHC Project March 2007)
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