HIDIG Relief and development organization

XUDUR DISTRICT

Project Code: SOM-22/3485/RA3/H-Nut/NGO/22692

Q1 program immunization reports

1. Project Background

HIDIG have been implementing health and nutrition integrated program in Rabdhure district through three static health and nutrition facility and 7 IERT teams/outreach teams, the project aims in providing integrated immunization services to the vulnerable under five children and pregnant women through improved uptake of disease preventable vaccination throughout the 6 months, most notable activities target population were the vulnerable rural and hard to reach areas in Xudur district IDPs locations where majority residing population were either vulnerable women and children from pastoral and minority who have no access to any health services

In response to the above need HIDIG organization have been partner with Somalia Humanitarian funds (SHF) and have been actively undertaking the vaccination/immunization services to these vulnerable population across the eight target health and nutrition services while also ensuring the same population have access to free outpatient consultations and outpatient therapeutic treatment hence the beneficiaries were reach with multi sectoral services

In view of the above project target population HIDIG have in this final quarter ensured that the under five children and poor pregnant women have increased access to improved targeted immunization services as per the project initial plan

2. Activity Achievement in reporting Quarter

HIDIG has conducted routine and supplementary immunization to 3,150 children under the age of five years (1548 boys and 1602 girls) against measles and other communicable disease and 1040 Women of child bearing age with protective dose of tetanus (TT) including the disable population through outreach Integrated emergency response service delivery sites at IDPs in Xudur district. This has been achieved through immunization campaigns as well as regular day to day immunization schedule.

S/no	District	Location	Status	# of <5 children boys, girls & Pregnant women vaccinated per sites
				Women Boys Girls			total
1	Xudur	Ceelgadow IDP	Mobile/outreach	91	189	122	402
2	Xudur	Wardhujiley IDP	Mobile/outreach	81	156	134	371
3	Xudur	Yowkoyow IDP	Mobile/outreach	101	143	143	387
4	Xudur	Dhursheen Shibele IDP	Mobile/outreach	89	121	146	356
5	Xudur	Tiyeeglow IDP,	Mobile/outreach	112 112 145			369
6	Xudur	Abal IDP	Mobile/outreach	87	111	187	385
7	Xudur	Doon dardiir IDP	Mobile/outreach	67	167	177	411
8	Xudur	Horseed village	fixed health&Nutrition site	134	188	176	498
9	Xudur	Mooragaabey village	fixed health&Nutrition site	143	176	181	500
10	Xudur	Buulow	fixed health&Nutrition sites	135	185	191	511
Total vaccination for Q1							4190

The table is apointer of achievement against the target population for targeted immunization

The program has achieved considerably 80% against the target <5 children boys girls and pregnant women in all target sites in Xudur district

3. Challenges

There were few challenges noted in this reporting period this were:

• Severe drought coupled with poor livelihood in the area compromise poor health status with limited access to assistant
• Poor community perception on immunization specially these newly drought displaced population from areas where previously were control of AS hence taking time to convince the parent to vaccinate their children
• Restricted movement in far rural areas due to conflicts between somalia national army against AS who are trying to cross the neighboring Ethiopia country hence affecting poor people in the rural area
• Limited funding and existing gaps and needs for health services in the area, this coupled with drought displaced population with large number of children from AS restricted locations who have not had immunization and hence the limited funding might affects

4. Lessons learn

Community health education integrated with nutrition services have provided a platform for identification of children <5 boys, girls with needs for vaccination hence provided adequate preventive immunization services

5. Way forward

The project has come to an end when the needs in the area is way above the threshold in humanitarian setting and thus HRDO have the following as a way forward.

• Intensify the resources mobilization for the activity continuation to enable ensure live of vulnerable children and mothers is saved
• Coordinates with the local administration in Xudur district Bakool region to note the gap in the locations
• Utilize the fixed health sites and the available supplies for effective treatment of the vulnerable drought affected children boys, girls and pregnant and lactating women

6. Implementation photos