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Titre : PASS PRIN – Project to improve primary health care and nutrition in Lai Health District, Tandjilé

Pays : Tchad
Localisation : Province of Tandjile, Health District of Lai

Dates : 24.12.2020 – 23.10.2025

Contexte
In Chad, the nutritional situation remains worrying. In August-September 2019, the national prevalence of acute malnutrition was 12.9%, above the 10% alert threshold set by the WHO. As displayed in Tandjilé, one of Tchad’s provinces, numerous cases of children and infants aged 0-59 months, were found suffering from physical and intellectual low growth development due to acute malnutrition. This is often the result, as in the case of the Lai Health District of Tandjilé, of under-equipped health clinics, insufficient numbers of locally trained and skilled staff ; low community access to drinking water ; low levels of women’s participation in weak health communities’ infrastructures ; and a lack of healthy practices from local communities.

Objectifs
Overall : To contribute to the development of the well-being of the population of Chad in the province of Tandjilé by reducing malnutrition.

Specific : Reduce maternal and child morbidity and mortality in the Lai Health District through the equitable provision of quality health services and care and the adoption of good nutritional and hygiene practices.

Activités
* Diagnosis of health structures in relation to MPA * Support to health structures in terms of essential drugs, consumables, equipment, rehabilitation, women professional service providers and women community health workers * Health care management, including in advanced strategy and support for the referral and cross-referral system for children aged 6 to 59 months and pregnant and breastfeeding women * Support for the management of cases of Gender Based Violence (GBV) and people living with HIV * Support and reinforcement of vertical programmes (vaccination), to ensure optimal coverage of the population with the MPA * Support for strengthening the surveillance of diseases, including malnutrition * Conducting a client/ staff satisfaction survey * District health centre excellence competition * Assessment of attitudes and skills of service providers in Lai Health District * Training and retraining of providers on national standards for health care delivery (Integrated Management of Acute Malnutrition, management of childhood diseases,* Performance Improvement in Healthcare, Basic Emergency * Obstetric and Neonatal Care, * Adolescent and Youth Reproductive Health, Infant and Young Child Feeding, Family Planning/After Abortion Care), and in drug management, the health information system and counselling * Support to the Lai Health District in the temporary recruitment of key staff for the implementation and/or scaling up of the MPA as required * Establishment of a system of regular clinical mentoring and formative supervision of all health facilities * Support to the implementation/revitalisation of Health Committee, Management Committee, community health workers, Community Liaison Officer

Bénéficiaires : Total population of Lai Health District : 214,329 people, including 42,716 infants aged 0-59 months.

Financement : European Union (European Development Fund)
Budget : EUR 5,500,000

Fiche projet : CARE Autriche