RÄDDA BARNEN SOMALIA (CHASP) 2021-2024

Overall, the program demonstrated significant achievements in the provision of quality reproductive, maternal, neonatal, and child health (RMNCH) services. During the life of the project, 1,908,964 people (boys 331,731, girls 340,216, men 408,756, women 828,261) utilised the maternal and child health services which the project supported across the three member states. This represented a 59% increase from Phase I. The surpassed targets were attributable to different factors. One key factor has been that the project has continuously built community-level demand for and access to health services. Primarily this has been led by established and trained community structures such as community health committees and community health workers, and has resulted in an increased positive health seeking behaviour. Additionally, the program was scaled up to include two new districts in Galmudug State. Moreover, the displacements caused by droughts, floods, and security-related incidents in the operational areas of the project led to a considerable population increase in the program catchment areas. There were several lessons learned from Phase I of the project, and several innovative approached were introduced or expended on. To note a couple; - Through the new approach of the integrated community case management, the partner treated 22,514 children for common under five morbidities such as pneumonia, malaria, and acute watery diarrhea at community level. - The family MUAC model, which proved effective in Phase I, was scaled up across all programme sites in Phase II. 16,008 caregivers were trained across the three states, and they screened 47,285 individuals. 7,681 beneficiaries (3,029 boys, 3,591 girls, and 1,061 pregnant and lactating women) were admitted to various nutrition programs. This fostered early detection of malnourished children, prompt admission and better treatment outcomes. The program's investment in strengthening health systems created a strong community and government ownership of the program. As a result, the program witnessed substantial investments and support through community and government resource mobilisation efforts across the three states. In total during the second phase, a value of USD 2,207,272 was raised through different resource mobilisation efforts, including government contributions. Additionally, the program piloted a cost recovery model where a user fee was charged on selected secondary care services in Adado hospital. USD 334,674 was generated through this model. This helped to complement other facility needs such as supplies for critical departments like operational theatre and laboratory, incentives for extra staff and expanded the hospital's capacity to provide secondary services beyond the scope of CHASP support. The cost recovery model informed the programme transition and sustainability strategy that has been included in the CHASP III design.

In its application to Swedish Embassy, Save the Children (SC) stipulates that the purpose of its proposed continued intervention, Community Health and Accountability Program (CHASP), phase II 2021-2023, is to:  -Strengthen existing decentralized health governance and leadership including empowerment of community structures to drive coordination, ownership and sustainability of health facilities. -Sustain delivery of essential life-saving health and nutrition services. -Ensure gender mainstreaming throughout the program. -Handle sexual and gender-based violence case management and establish linkages with protection services. -Continue capacity building of the different stakeholders including the health workforce, community members, and the Ministry of Health district and regional teams. -Shape a context-specific social behavior change framework to address critical health behaviors and practices including entertainment-education approaches. -Use data for action. -Establish a humanitarian crisis modifier/contingency fund to respond to climatic shocks and other humanitarian crises.