National Organization for Development and Reconstruction

Project Proposal for Submission to Sudan New Gen

North Darfur – Kutum Locality

January 2020

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 Project Title: Establishment of Primary Health Facility

Location: Kutum town, eastern block,

Implementing Agency: National Organization for Development and Reconstruction

Background:
Reconstruction of health centers in war-affected areas of Darfur is a pre-requisite for successful IDPs
return and sustainable peace. The psychosocial and psychological services for traumatized war-affected
people will be part of the health center.

North Darfur has remained volatile since the outbreak of conflict in 2003. Recurrent clashes have been
reported almost each year, resulting in population displacements to the main towns in North Darfur and
other states.

Huge number of people has displaced from rural areas to urban centers. Some of them were reportedly
displaced and returned to their homes during 2016.

For the past seven years, a number of areas around Kutum remained inaccessible to humanitarian partners
due to insecurity and restrictions by authorities. However, during the past year, access to several areas has
gradually opened, and many partners have since visited different areas in North Darfur to conduct
assessments and have begun efforts to scale up humanitarian assistance.

Poor access to water, high morbidity among children and low level of access to preventive and curative
health services are the main factors identified as contributing to high levels of acute malnutrition and
emergency level child mortality. A timely comprehensive and multi-sectoral response at scale is required
to contain the situation.

This situation necessitated a need for innovative project to address primary health problems. Needs
assessment conducted by health actors including the ministry of health indicate substantial gap in
provision of primary healthcare. The rates of communicable diseases and non-communicable diseases are
alarmingly high.

A well-coordinated approach and further resources are required to cover up the unmet needs. NODR is
planning to establish a proper PHC in Kutum to be accessible for large number of people.

This health intervention is designed to strengthen the nutrition situation as well through establihing clear
linkages at each level of care. The health status of children is particularly worrying with above 50% of
children surveyed found to be sick. Respiratory infections, malaria, and diarrhea are the most common
illnesses affecting children. There is also need to increase access to vaccination services, and to improve
primary health service coverage in Kutum and to strengthen the referral system

Objectives of the health component:

1. To increase access to health services and life-saving medicines.

2. To reduce the mortality rates caused by diseases and lack of health care.

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3. Treatment of mental and psychological disturbances.

This project targets those who have been injured or traumatized by the war in different ways. They are
estimated to be 17% (DRRC Survey) of the total number of the victimized persons.

Expected Outputs:

1.1 One primary health center constructed.

1.2 Medical cadres appropriately trained and equipped.

2.1 A sustainable flow of medical supplies maintained.

2.2 Provision of healthcare to targeted community improved.
2.3 Preventive measures against outbreak of malaria taken.

3.1 Adequate number of psychiatrics, psychologists and social workers qualified.

3.2 Representative case studies conducted in IDP camps and war-affected communities.
3.3 Behavioral therapy and cognitive therapy provided to patients and their families respectively.

Project Activities:

The main project activities include the following:

1.1.1 Obtaining necessary approvals from the local authorities.

1.1.2 Preparing architectural plans for the primary health center.
1.1.3 Contracting a construction company.

1.2.1 Deployment or recruitment of adequate number of health cadres.

1.2.2 Identifying 8 potential health cadres for training.
1.2.3 Supporting capacities and training of 8 medical cadres in each health center.

2.1.1 Provision of startup medical supplies.

2.1.2 Establishment of constant medical supply chain.
2.1.3 Establishment of improved quality control and supervision system.

2.2.1 Training the healthcare providers on proper health provision.

2.2.2 Monitoring of healthcare provision.

2.3.1 Distribution of mosquito nets to 1000 households.

2.3.2 Mobilization of household heads on importance of mosquito nets.
2.3.3 Provision of malaria medicines.

3.1.1 Recruitment of adequate number of psychiatrics, psychologists and social workers.

3.1.2 Training of recruited psychiatrics, psychologists and social workers.

3.2.1 Treatment and rehabilitation of patients.

3.3.1 Reintegration of patients into their communities.