KEY POINTS ON FRAMEWORK FOR POST-TRAUMATIC STRESS CARE FOR VICTIMS OF DISASTERS IN NIGERIA. AWARENESS CREATION & CAPACITY BUILDING Aisha Muhammed-Oyebode

1. KEY POINTS ON FRAMEWORK FOR POST-
TRAUMATIC STRESS CARE FOR VICTIMS
OF DISASTERS IN NIGERIA

2. SESSION 1
AWARENESS CREATION & CAPACITY
BUILDING

3. 1. Cooperation btw collaborators on providing
medical and social support
– Key player – NEMA, rescuer workers, social workers,
counsellors, psychiatrists, religious groups etc
– Closer collaboration recommended – under
adequate supervision
2. How medical personnel can be deployed
– Rapid assessment
– First responders & Training religious leaders

4. 3. Building of capacity
– Seminars, targeted train g of caregivers, youth groups,
PHC workers
– Task shifting
4. Capacity in terms of national framework
– Subsidy/tax free laws
– Incentive scheme for drug production
– Engaging/encouraging growth /partnership in
supporting local productions
5. Stakeholder key into the standing framework
– Current layered structure provide existing structure to
key in to based on their roles
– Technical assistance , financial assistance
– Providing adequate support for tertiary hospitals to
supervise health centres

5. 6. Management of framework
– Lead agencies
– Cluster management
– Engaging tertiary institutions, Fed MoH and other
agencies for supervision
7 . Avoiding wasteful duplication
– Effective monitoring
– Creating awareness
– Key into national protocols

6. 8. Need to develop protocol/capacity
– Workshop on protocols development to be organised
– Current curriculum for mental health care delivery to
be revised
9. Building sustainability into framework
– Training and re-training
– M & E
– Adequate funding
10. Leveraging on existing mechanism to dev
trauma related
– using existing facilities at state and local govt to
leverage PTS care
– Adequate financing burrowing from support from
those enjoyed by TB, Malaria etc

7. 11. Modalities to reduce stigmatisation
– public enlightenment
– Social media
– Sms, human right protection and rehabilitation
12. Actors
• Telecommunication service providers
• NTA etc, social organisations

8. SESSION 2
FINANCING PTS CARE

9. A. Modalities for Sustainable Resources and
Mobilization of Funds
 all tiers of government should make contributions
to the PTSD Fund.
 A Percent of the 1% of the amount used to fund
Primary Health Care yearly should be allocated to
funding PTSD
 NEMA should also bring out a little amount of
their yearly budget to the Mental Health/PTSD.
• Call for public appeal for fund from Private
Sectors
• Corporate social responsibilities from businesses
can be used to fund PTSD.

10. B. Timely Deployment Of funds.
• When the State Funding arrives various aspect
of the board would come up to collect their
money but it depends on how active the
Mental Health Board is.
• NEMA
• ONSA

11. C. Building Local and International
Partnership.
• This can be achieved by building partnership
with local and International Organization with
interest to Funding PTSD.
• Some of these are:
• Christopher Blind Mission through the
Australian Government. If the various PHC can
plan a good Proposal for the Mental Health.
• DFID
• David lynch foundation for PTSD in Africa.

12. D. How do we provide financial support for
Existing NGOs
• Baseline research and survey, producing
deliverable data, Statistics
• Database of existing NGOs on the PTSD.
• Training on Writing Proposal to generate fund

13. E. Accountability and Transparency
• Yearly Auditing
• Proper Documentation and Record Keeping.
• Freedom of Information.

14. SESSION 3
STRUCTURE/FRAMEWORK FOR PTS
CARE

15. KEY AREA; Severe persistent psychological
distress
DESIGN
–Basic training of all personnel on ground,
PHC, Private Medical Professional and
other existing resources (Imams and
Pastors in Mosques and Churches), NEMA,
Family members to recognize the presence
of psychological distress and Red Cross

16. MODULES
• To incorporate the training into schools
curriculum
• To enlighten the general public to be care-
givers
RESOURCES MAPPING
• Use of governmental and Non-governmental
Organization, Mass Media and other networks
• The intention is to have a comprehensive map
of all available resources in the country and
make available to the public

17. DEVELOPMENT OF CARE FOR SPECIAL
POPULATION
• Women, Children and Adolescents
• Build systems from grass-root, e.g. the use of
focal points, the PHC which is the first point of
contact, serve for data collection, special
population (Elderly and people with pre-
existing health conditions) They should be
given special consideration in a culturally
sensitive way

18. STANDARDIZED FORMAT AND
MONITORING
• Through the use of these data, we can
develop a standardized format for trauma
counseling

19. SESSION 4
ROLE OF PRIVATE
SECTOR/NGO

20. REASONS FOR NGOS NON -INVOLEVEMENT
1. Cultural sensitivity/ interstation of religion
2. Lack of awareness/advocacy
3. Lack of buy in from private sectors- understanding
benefits
4. Misperception of activities of NGOs
5. Accountability problem
6. Gap in Knowledge of engagement of private
sector
7. Lack of coordination of the private sector aid

21. • RECOMENDATIONS
1. To get maximal support from private sector –
EDUCATION OF PRIVATE SECTOR PLAYERS
2. GENERAL ADVOCACY
1. Aggressive media campaign e.g MOBILE TELEPHONY
TECHNOLOGY TO BE USED – toll free lines
2. Community education and mobilisation
3. Engagement of celebrities as ambassadors
4. Monitoring & Enforcement of the above
recommendations – NEMA, NPHB
5. Legislations
• 0.2% of Net profit to be dedicated to funding disaster
related interventions