the sanru program of ecc & ima world health. sanru is currently assisting 115 health zones in...
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The SANRU Program of ECC & IMA World Health
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SANRU is currently assisting115 health zones in DRC with support from various agencies and partners.
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Origins of the SANRU Program were the well known
USAID funded SANRU Projects
SANRU I 1980-86 50 health zones 10 MillionSANRU II 1986-1991 100 health zones 40 MillionSANRU III 2000-2006 56 health zones 28 Million
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SANRU III Project was built on partnerships with U.S. faith-based partners (Catholic and Protestant) during a time of conflict and division in the DRC
SANRU III Assistance to 56 HZs (2000-
2006)
5 year28 Million USD56 Health Zones
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In 2006 following the release of the ‘Fragile States Policy’ Project AXxes replaced the SANRU III project
5 year28 Million USD56 Health Zones
3 year42 Million USD57 Health zones
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Three Components of Project AXxes for HZ Development:
A: Increase access to… integrated PHC
B: Increase capacity of Health Zones & referral system
C: Reinforce national programs & provincial/district offices
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AXxes Progress for Key IndicatorsIndicators Year 2
TargetYear 2
Achieved %
Rate of use of health services 2,550,144 2,235,492 88%Couple years of protection (CYP) 40,000 48,461 121%Births attended by skilled personnel 174,868 204,216 117%Antenatal care (ANC) visits 233,156 273,826 117%VAT2 (or 5 doses VAT) 186,524 203,219 87%Children with measles vaccination 228,856 216,673 95%DPT3 Coverage 228,856 241,671 106%Pregnant women received IPT 186,524 149,554 80%TB Detection Rate 8,744 11,099 127%Child with ARI/pneumonia treated correctly 291,448 283,046 97%Children with diarrhea treated correctly 291,448 147,187 51%
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Family Planning
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Reproductive Health & Newborn
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Immunizations
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Malaria & TB
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Challenges forProject AXxes
andthe SANRU Program
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1. Povertyand
(in)access to care
Photo: Lodja.June 2008/Mulongo
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2. Infrastructure (or lack of)
Photo: ECC/AXxes 2008
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Photo: Equateur Province.Mar 08/ Mulongo
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Photo: National Highway #1 BDD/Mar 07/Clemmer
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3. Decreasing means of
commercial transport
Photo Goma Apr 08/cnn.com
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4. Constraints of importing goods
Photo: Route de Matadi Apr.08/Clemmer
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5. Weak Government Support to Health Zones
Photo: General Hospital, South Kivu 2004/Clemmer
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Photo: Yakusu Health Zone. February 2002/ Clemmer
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6. Chronic Insecurity
Photo Mission Hospital Occupied by armed elements:. South Kivu. Apr 02/Cemmer
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7. Uncoordinated donor coordination
Photo: Moanza Health Zone: Apr 06/Clemmer
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8. Resurging Epidemics
Photo: Ebola.Outbreak.Ground Zero. Mweka.Oct 07/Clemmer
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9. Retention of trained personnel
Photo: ITM Sona Bata. 2004/Clemmer
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Vision for Future
Health Zone Development
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Trends Observed
1) Geographic shift of USAID assistance (from 8 provinces to 4 with focus on south + eastern DRC)
2) Decrease in support to co-managed HZ partnerships (33% in AXxes vs. 70% for SANRU II)
3) Decreased leveraging with US-based partners historically linked to some health zones.
4) Possible fragmentation of Appui Global with vertical projects and multiple funding streams.
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Suggested Strategies
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1) Continue Appui Global to 57 AXxes-assisted Health Zones
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2) Re-establish assistance to 30 former SANRU III HZs currently without a development partner
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3) Expand to 20 (or more) additional HZs with US-based partners to leverage and coordinate additional aid.
4) Support Geographic Equity in Appui Global & Integrated Projects