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AL BAIT AL SAID CENTRE
for MOTHER’S & CHILD’S CARE
Charitable society Phone 009722150342
Western Rafah villages Fax 009722150840
South Gaza Strip Cell 0097599754066
Palestinian Territory
Website www.a-b-a-s.com
EMAIL ADRESS
albaitalsaid7@hotmail.com
Cairo Amman Bank – Rafah Branch
BANK ACCOUNT No 0250074105502
EMERGENCY PROGRAMS ASSISTANCE
PRESENTATIONS – STUDIES – REPORTS
Reported by Y. HEGAZI GM
CREATING PEACE BUILDERS
REHABILITATION RELIEF PROGRAM
FINAL REPORT 2010
All rights reserved to Al Bait al Said for Mother’s & Child’s Care
in Rafah Governorate
INSIGHT
• RATIONALE
• GAZA BLOKADE
• WAR EFFECT ON POPULATION
• PSYCHOLOGICAL DISTRESS
• BACKGROUND
• AIMS
• METHODS
• WIDE GOALS
• SPECTRUM REACTION
• ORGANIZATIONAL PERFORMANCE
• TACTICAL OBJECTIVES
• LONG RANGE OBJECTIVES
• IRD PROJECT
• BENAA PROJECT
• PROGRAMS ACHIEVED
• HEALTH EVALUATION
• DISTRIBUTING AREA
• TOTAL BENEFICIARIES
• APPRAISAL REPORT
• SPOTLIGHT
• FOCAL POINTS
• PLAYERS
RATIONALE
Al Bait Al Said org for Mother’s & Child’s Care in Rafah Governorate is based grass root association , and
located in the southern part of Gaza Strip, which is one of the poorest area in Palestinian Territory.
The biologic environmental and behavioral factors are slovenly dues to poverty and population always in
grow. Palestinian in high fragmented continue to be menaced to live a prosperous life due Ongoing violence
& barriers & closures :
• Decreasing education access
• Increasing in psychosocial distress
• Serious difficulties to health access
• Significant challenges for holding jobs
• Lack of access to justice and loss of legal custody among women
• Discriminatory reforms against women continue in inheritance, divorce, marriage age , education
• significant dominance of poverty, critical deterioration in Palestinian health status
• a rise up in unemployment
• a high incidence of cardiac diseases and chronic diseases
The last report of Palestinian health status confirm that 71 % of Palestinian in Gaza strip are reached by
anemia, especially pregnant women and children under 05.
30 % of pregnant women are suffering from vaginal bleeding during pregnancy and frequent earlier abortion
are detected in the end of 20 weeks of pregnancy , in addition that 15 % of women are suffering from single
gene disorder (thalassemia , anemia , hemophilia, genetic infections , viral infections).
The principles of AL BAIT AL SAID, is to contribute as CBOS , to improve the status of Palestinian , in
particular on :
• integrating approach to basic services in maternal health , psychosocial support and advocacy campaigns
• reorganizing community services around people’s needs & expectations in time of crisis
GAZA BLOKADE
• Statistics show, a rise in their expenditure on the basics of food and water at
the expense of perceived secondary needs such as clothing, education and
health care. The one anomaly relates to households reporting as great in
expenditure on psychosocial health as on food and water.
• The increased violence in Gaza is combined with the negative effects of
borders closures, severely limited freedom & movement & lack of
opportunities for holding jobs and accessing basic public services
• Income resources
• More than 80.2 % of Palestinian live with less than 2 $ per day, inability for
the poorest to afford healthy food and had forcing them to buy low quality
products and affecting dietary.
WAR EFFECT ON POPULATION
• The last military offensive against the Gaza Strip, had registered a
dramatic decline in the lives of the civilian population , actually in deep
deprivation since 2008, according to OCHA, the 23-day war led to the
death of :
• 1,366 people of whom 430 were children,
• 111 women, as well as the injury of over 5,380 people
• 1,870 children and 800 women
• The Israeli military offensive also led to large-scale internal
displacement of civilians, made more traumatic by the fact that
civilians could neither leave the field of war, nor find secure and safe
haven within it from aerial bombardment, even in United Nations
installations.
• About 100,000 people fled their homes in UNRWA shelters. During the
military offensive, public infrastructure and essential services either
were destroyed or partly damaged resulting in lack of shelter and fuel,
as well as further deterioration in water and sanitation services. These
have added to the effects of the lack of access to health services, food
insecurity, and general psychosocial distress suffered by the population
PSYCHOLOGICAL DISTRESS
• AMONG CHILDREN
• Crying, panic of loud noises,
• Sleep disorder, nervousness, decrease in eating and weight,
• Hopelessness nightmare
• Children on class have difficulties on concentration
• Violence and aggression surround children
• WOMEN CONCERNS
• Rise up in the discriminatory reforms that affecting women’s, inheritance, divorce,
repudiation, child custody, economic autonomy, & violence against women related to
family taboos and cultural tribes
BACKGROUND
• SOCIETAL ATTITUDES
• There is an urgent need for families of high fragmented areas in RAFAH ,
to pursue a psychosocial support relief followed by special rehabilitation
programs. Domestic violence has reached the highest level of perception
and public crime and trauma has dangerously increased among
population, especially among communities of high fragmented areas.
Political violence and lack of security problem is still facing the Gaza
population. It has registered also a critical lack of legal and public services
access.
• The rise up of public crime and violence against women and children are
the main safety problem facing community of the hardship cases. Statistics
showed that women are the first victims of domestic violence and pressures
at home.
AIMS
• Palestinian in GAZA, are facing a disastrous economic situation as the result
of political conflicts , the last Israeli Offensive and Gaza blockade.
• Women and children are the most affected and reported direct victims of
crisis, especially the hardship Cases along borders line .
• Poverty and malnutrition menace seriously the high fragmented areas, which
register a population always in grows. Households in these overcrowding
villages and camps, have difficulties to provide the basics on food, health care,
clothes and education.
• Mothers are registered overloaded and direct victims of domestic violence,
because they living pressures & family demands, and are forcing to generate
income, and to respond positively to family expenditure.
• Boys needs are reported prioritized when there is food shortage in the home.
• AL BAIT AL SAID report of recommending strategy, insist for providing a
safe space for women’s voice
• And children concerns and encouraging them to speak for themselves about
your needs and concerns that affected them directly.
TARGETING
• Mothers living in particular economic hardship
• Both gender to volunteerism actions
• PCBOS, local councils, community leaders from
high fragmented areas
INTERVENTING
HEALTH – EDUCATION- ADVOCACY SKILLS
• Communication large scale on counseling basis
• Providing adequate information & life skills
• Facilitating community access & benefit programs
MOBILIZING
• COMMUNITY LEADERS
• WOMEN GROUPS
• PCBOS
• STAGE VARY SURVEY
• INDICATORS
• CHARTS - RADARS
METHODS
MOTIVATION
COMMITMENT
KNOWLEDGE
INCREASE
WIDE GOALS
HEALTH
• Ensure health equity & social justice in time of crises & conflict situations
• Reorganizing health services around people’s needs & expectations
• access to public services & health care services
PSYCHOSOCIAL SUPPORT PROGRAM
• Offering information to people to create his appropriate remedies in difficult
• Situation
EDUCATION
• Increasing the impact of advocacy programs to prevent poverty,
and social discrimination
• Lobbying for defending basic rights of high fragmented areas
• Empowering women to participate in peace building and decision making
HEALTH
• Ensure health equity & social justice in
time of crises & conflict situations
• Reorganizing health services around
people’s needs & expectations
• Improving access to public services &
health care services
PSYCHOSOCIAL SUPPORT
PROGRAM
• Offering information to people to create
his appropriate remedies in difficult
• Situation
EDUCATION
• Increasing the impact of advocacy
programs to prevent poverty,
and social discrimination
• Lobbying for defending basic rights of
high fragmented areas
• Empowering women to participate in
peace building and decision making
WIDE GOALS
• Communication at large scale
• Health education promotion
• Practical solutions to save money &
remedy.
• Adequate information assistance to
sinister areas
• Community activity change as a behavior
change communication
• strategy.
• Safety of protective environment far
from violence and conflicts
SPECTRUM REACTION
ORGANIZATIONAL PERFORMANCE
• Ensuring health equity and social well being for the most vulnerable areas in
RAFAH Governorate
• Responding rapidly to humanitarian crisis in deprived areas
• Promoting community participation in self initiatives on the key areas of
health , education & advocacy campaigns
• Achieving expected results
• Empowering women to advocate for their rights in their homes and in their
communities
• Advocating for the equal opportunities of women in social , economical and
political development
• Maintaining a regular dialogue with communities through reviews, frequent
meetings , focus groups with stakeholders , to assess and plan suitable future
programs
MATERNAL HEALTH PROGRAM
Offering protection against dangerous diseases
Securing the health of communities through emergency
assistance programs with regarding issues
Extending access to free medication of essential drugs for
Rafah camps
Improving health education at community level and continuing
nutrition education for fighting anemia & micronutrient
deficiencies
Promoting healthy practices in breastfeeding and nutrition
PSYCHOSOCIAL SUPPORT PROGRAM
Providing counseling to conflicted families
to humanitarian crisis in conflict situations
TACTICAL OBJECTIVES
COMMUNITY EDUCATION PROGRAM
Advocating for the development humanitarian &
Governance priorities of vulnerable areas
Encouraging universal basic education
Raising mutual awareness & enhancing the capacity
of legal practice
Promoting & maximizing the health services for the
most deprived areas
Preparing cultivated & aware women leaders Capable
to carry their Future responsibilities
CORES AREAS
Infrastructure and services improvement
(health, social development program)
Database development
Community development & support
LONG RANGE OBJECTIVES
FACILITATING COMMUNITY ACCESS
• Maximizing health services and promoting health equity across densely population of high
fragmented areas
• developing strategies of comprehensive maternal health control level and modifying the
attitudes
• Reorganizing services around community needs and expectations.
• Facilitating community access for the high fragmented areas
• Ensuring a social health protection in some geographical area which are registered a high
dominance of health disorders
• exploring the health determinants in the population of afflicted areas in Rafah camps.
EDUCATION & ADVOCACY
• Teaching both gender about human rights & valuable advocates for tolerance and peace
CREATING PEACE BUILDERS
• Providing a free, a safe space for women’s voice heard by all international human women
rights issues and empowering them to speak for themselves in the development of policies and
unfair reforms that affect them directly
• IRD PROJECT
• USAID SPONSORS
• 06 MONTHS
• APRIL-SEPTEMBER 2010
• REPORTED BY YOUSSER HEGAZI
• EMPLOYMENT OF 38 FRESH
GRADUATES IN MATERNAL
HEALTH PROJECT
• REORGANIZING THE HEALTH
SERVICES AROUND COMMUNITY
NEEDS AND IT’S EXPECTATIONS
SOCIAL JUSTICE TO RAFAH
PROJECT GOAL
• The main goal of the project is to create an optimal environment to improve the
nutritional status of pregnant women, women with close pregnancies , & infant
growth
• Project strategy focused on problems affecting women during birth cycle &
infant feeding.
• The purpose of the project is to identify the problems of each area of work field and
finding the appropriate solution close to their health problems
• essential interventions had mobilized 38 fresh graduates , for providing :
• useful advices to increase healthy practices in breastfeeding strategies, healthy
nutrition & maternal health care promotion
• Health workers , social workers and psychologists, had been working closely with
needy communities and for assessing behavioral environment &providing
effective counseling & linking problems to solutions
LINE UP
• Assessing nutritional challenges and maternal concerns through
home visits program
• Assessing behavioral attitudes
• Raising awareness of community in maternal health care issues
• Assessing essential interventions to link problems to solutions in
human concerns
• Adopting breastfeeding approach across the population as a
Palestinian culture
• Strategy specifies engagement of Al BAIT AL SAID and it’s local
partners for conducting accelerated actions in areas affected by
the actual economic hardship , such as
• providing effective counseling that contribute to increase health
access ,
• maximize maternal health interventions and improving
nutritional status
• increasing breastfeeding practices and adopting it as Palestinian
tradition approach
• Home visits & women group counseling will help to assess
problems addressed by areas with families over than 6
members, such as :
• IN MATERNAL HEALTH ISSUES
• women in frequent pregnancies , low birth weight infants and
children with stunting and wasting ( reached with anemia &
VAD) & chronic asthmatic children.
• IN PSYCHO SOCIAL SUPPORT
• Helping overcharged mothers & families living conflicts
with income underline poverty
GRANT IMPLEMENTATION PLAN
• Task 01
• Ensuring adequate counseling for preventing dangerous diseases
in maternal health issues
• Contributing to introduce breastfeeding as Palestinian culture
across population
• Task 02
• meeting urgent needs of poor communities in Gaza in time of
crisis
• Task 03
• Ensuring adequate counseling for families living conflicts
ongoing disastrous economic situation
• Task 04
• Contributing to change the attitude of areas affected by the
micronutrients deficiencies and health disorders
TASKS RATIONALE
TARGETED MESSAGES
TOPIC 1 – BREASTFEEDING STRATEGIES
• Palestinian surveys , facts , charts
• Benefits of breastfeeding
• Importance of breastfeeding and it’s relation
• With anemia & VAD deficiencies
• Specific problems of breastfeeding
• Lack of breastfeeding consequences
• Healthy practices in breastfeeding
• Importance of the first breastfeeding with colostrums
• Breastfeeding positions
• Benefits of breastfeeding in the night ( prolactine benefits )
• Breastfeeding role in preventing infant diseases
• Consequences of prompt breastfeeding on infant
• Healthy nutrition for women in breastfeeding
• Impact of the exclusive breastfeeding the first six months without complementary feeding
• Avoiding excitants like café and the along the day
• Breastfeeding build up the affecting relation between mother and baby
• Breastfeeding save money and remedy
• Artificial milk inconvenient / comparison between breast milk and artificial milk
Palestinian surveys – Anemia status –
Infant feeding in Gaza Strip – Mother
Knowledge, attitudes & practice
Impact of birth cycle control on delivery &
infant weight
Breastfeeding benefits
Vitamin A in breast milk
Increasing diet diversity
Anemia consequences
Human milk advantages
Recommended breastfeeding practices
Benefits of Vitamin C
Benefits of Palestinian iron rich foods
TOPIC 2 – HEALTHY NUTRITION
Post –partum dosing
increase breast-milk & Vitamin A
The greatest impact is in mothers who had
been lactating for 5-6 months
Increasing diet diversity (balanced diet)
Interventions that increase diet diversity are
appealing because they will improve overall
food security and the intake of many , not
single micronutrients
Enriching breast-milk Vitamin A &
promoting exclusive breastfeeding for the
first 6 months are critically, important
components for any integrated intervention
to reduce mortality resulting from VAD
during the period when mortality rates are
very high
Since Vitamin A is so important to child survival,
it is surprising that children, even in rich
countries, are born with virtually no stores of the
Vitamin
An infant’s intake of Vitamin A from breast-milk
is determined by the concentration of Vitamin A in
the milk and by the volume consumed. The
concentration of Vitamin A in colostrums is
particularly high but this decreases rapidly over
the first 2 or 3 weeks of lactation
The volume of breast-milk consumed by the
infants is determined by the breastfeeding
practices of the mother
Exclusive breastfeeding for six months will result
in the greatest consumption of milk
In addition to increasing breast-milk consumption
enhances protection against illness by providing
immune factors & a hygienic source of nutrition
Reducing the incidence of infections improves
Vitamin A status
VITAMIN A IN BREASTMILK
EARLIER DETECTION OF BREAST CANCER
• Breast cancer information
• Breast anatomy
• Mammograms
• Monthly self exam
• Stages of breast cancer
• Treatments
• Radiation therapy role
• Alternative medicines
• Nutrition role
• Fatty foods effects
• Balanced diet benefits
TASKS RATIONALE
• Task 01
• Ensuring adequate counseling for preventing dangerous diseases in maternal
health issues
• Contributing to introduce breastfeeding as Palestinian culture across
population
• Task 02
• meeting urgent needs of poor communities in Gaza in time of crisis
• Task 03
• Ensuring adequate counseling for families living conflicts ongoing disastrous
economic situation
• Task 04
• Contributing to introduce breastfeeding as Palestinian culture across
population
COMMUNITY CHALLENGES
• Childbirth care for mothers and newborns continues to face problems.
• Deficit of information needed for health care management
• Community could not access health services because of high costs
• community living financial hardship
• Limited health care access
• Shortage of drugs, medical supplies, equipment
• Lack basic health commodities
• Skills of health workers poorly developed
• Persist failure of peace talks
• Continuing impoverishment in deprived areas
DUTIES
• TASK 01/MATERNAL HEALTH CARE PROGRAM
• 03 Nurses are in charge of programs
• WOMEN CARE
Examination / Ultra-Sound/Breast Examination/ Labor/Women Group Counseling / Home
Visits
• TASK 02/ PSYCHO-SOCIAL SUPPORT PROGRAM
• 02 psychologists are in charge of programs
Women Group Counseling/ Home visits / Group therapy
• TASK 03/PUBLIC HEALTH AWARENESS
• 14 Social Workers are in charge of programs
• Home visits/ workshops
• Task 04/ AREAS ASSESSMENT NEEDS
• Protecting families of high fragmented areas from
• 10 Graduates in education are in charge of program
• Home visits / surveys
• 05 Admin. Graduates are on project follow-up
• Programs are monitoring and mentoring by AL BAIT AL SAID
• 01 E./Manager
• 01 Supervisor
GRANT PROCESS
M12
M11
M10
M9
M8
M7
M6
M5
M4
M3
M2
M 1
TASK
MATERNAL HEALTH
PROGRAM
WOMEN CARE
CHILD CARE
BREAST EXAM
WOMEN GROUP
COUNSELING
HOME VISITS
EDUCATION PROGRAM
TRAININGS IN ADVOCACY
CAMPAIGNS
INTERVIEWS - PRE-
AWARENESS SURVEY
MOTHERS GROUP
COUNSELING
WORKSHOPS
PSYCHOSOCIALSUPPORT
PROGRAM
GROUP THERAPY
ASSESSMENT VISITS
TASKS OBJECTIVES
TASK O1
• Supporting programs linking to relevant National Health Plan in breastfeeding
strategies
• Increasing breastfeeding rates equity across the population
• Promoting effective & sustainable breastfeeding practices
TASK 02
• Providing assistance & adequate information to needy areas affected by economic
conflict
• providing effective counseling that contribute to increase women life skills,
TASK 03
• Enhancing the communication among community in need giving them life skills to
improve their family life
• Promoting health education for practical solutions to save money & remedy
TASKS
FORCES
SESSIONS APRIL
A
B
MAY
A
B
JUNE
A
B
JULY
A
B
AUGUST
A B
TF1/
MATERNA
L HEALTH
PROGRAM
ACTIVITY
1
WOMEN
CARE
BREAST
EXAM.
04 73 06 376 04 88 11
15
252
320
02 92
ACTIVITY
2
W.GROUP
COUNSEL
ING
05 65 24 125 16 106 32 236 16 80
ACTIVITY
3
HOME
VISITS
NA NA 68 250 76 405 101 404 120 480
TF2/
PSYCHO-
SOCIAL
SUPPORT
PROGRAM
ACTIVITY
1
W.GROUP
COUNSEL
ING
18 135 26 236 24 172 48 417 33 286
ACTIVITY
2
HOME
VISITS
26 171 82 92 77 111 120 299 87 162
TF3/
PUBLIC
HEALTH
ACTIVITY
1
14 493 23 656 07 152 26 722 15 286
0
1
2
3
4
5
MONITORING PROGRAMS
ACHIEVED RESULTS
• MATERNAL HEALTH ISSUES
• TASK 01 FORCE
• BENCHMARKS/INDICATORS TABLE
• B 1- 16 WOMEN CARE /ACCESS AVERAGE/20
• B2- 53 WOMEN GROUP COUNSELING/ACCESS AVERAGE/05
• B3- 762 HOME VISITS/ACCESS AVERAGE/05
• IT/B 1- 376 BENEFICIARIES
• IT/B2 - 352 BENEFICIARIES
• IT/B 3- 167 BENEFICIARIES-
• TASK 02 FORCE
• PSYCHOSOCIAL SUPPORT PROGRAM
• B4-82 WOMEN GROUP THERAPY /ACCESS AVERAGE / 05
• B5-227 HOME VISITS/ ACCESS AVERAGE/05
• IT/B4- 678 BENEFICIARIES
• IT/B5-438 BENEFICIARIES
• TASK 03 FORCE
• HEALTH CAMPAIGNS
• B6-60 WORKSHOPS
• B7-2660 H/VISITS
• IT/B6-1648 BENEFICIARIES
• IT/B7-532 BENEFICIARIES
WORK FORCES ACTIVITY
NUMBER
BENEFICIARIES
NUMBER
TOTALS
BENEFICIARIES
Women care
Program
Women Group
Counseling
H visits
16
53
762
376
352
167
Task 01
16 WOMEN CARE
376 BENEF.
Psycho Social
Support Program
Women Group
Therapy
H Visits
82
227
678
438
Task 02
82 G/THERAPY
678 BENEF.
Public Health
Campaigns
Workshops
H Visits
60
2660
1.648
10.560
Task 03
60 WORKSHOPS
1.648 BENEF.
TOTALS
2.702 BENEF.
158 ACTIVITIES
ACHIEVED RESULTS
Series 1
Series 2
Series 3
POST-AWARENESS MATERNAL SURVEY
300 SAMPLED YOUNG MOTHERS FROM 03 HIGH FRAGMENTED ARES
JUNE 2010
ITEM SAMPLED
MOTHERS
PERCENT. % AGE
AVERAGE
01 200 66.7 15 – 25
02 100 33.3 25 +
03 300 100 TOTAL %
2.7
3.2
0.8
0
1
2
3
4
0 1 2 3 4
SAMPLED MOTHERS GROUP
ITEM WEST RAFAH EAST RAFAH TOWN TOTAL
AREAS/
GROUP
SAMPLE
01 TEL SULTAN
WESTAREA
WEST CAMPS
SHABURA
MSABAH
VILLAGE
ORAIBA
VILLAGE
YEBNA
BRAZIL
CAMP
TOWN
VILLE
03
02 139
46.3 %
89
29.7 %
72
24 %
300
100 %
33%
67%
SPOTLIGHTS
1 06 MONTHS TIME
3 ARTIFICIAL MILK BABY FEEDING
0
50
100
150
200
250
300
15 - 25
25 - 45 TRIAL
BABY FEEDING STAGES VARY
ITEM RECORD TRIAL CONFIRMED UNAVAILABLE
01 Past family breast
cancer
300 100
%
38 12.67 % 262 87.33%
02 Congenital
Malformations
300 100
%
100 33.3 % 200 66.7%
03 Chronic diseases
Hypertension
Respiratory
infections
Cardiac
Urinary infections
Anemia & VAD
Amoeba
Diabetes
300 100
%
208 69,3% 92 30.7%
COMMON DISEASES
BEHAVIOR SCORES
0
100
200
300
ITEM
STAGES
VARY
15 - 25
25 - 45
TRIAL
BREASTFEEDING SURVEILLANCE
ITEM TASK TRIAL AVAILABLE UNAVAILABL
E
01 Knowledge
about Palestinian
iron & Vitamin
rich foods
Foods facilitating
iron absorption
Vitamins role
Diet variety
benefits
300 100
%
270 90 % 30 10%
02 Iron intake
during
pregnancy
300 100
%
200 66.7% 100 33.3
%
NUTRITION PRACTICES
KNOWLEDGE
VARY
ILLITERATE
SECONDARY
SCHOOL
Graduate
RANK
36
218
46
300
1
2
3
4
12
72.7
15.3
100
EDUCATION
• HEBA M, 23 years, Social Worker & fresh graduate is living with 10
members of her family.
• She is thalasseamic , and 02 sisters of her family are also reached by the
thalasseamie.
• After getting her job in the IRD Project , HEBA with an air of defiance ,
had proved in few weeks her skills and competencies , in the work, and
became the leader of her working group.
• During programs , HEBA is achieving successfully her duties with the
higher scope of work, and had time to help her colleagues , commenting
problems addressed by communities during home visits.
• She’s attentive to women’s problems during workshops and the know how
to link problems to easier solutions. After workshop activity , she’s also
answering to women questions with patience and a big smile is drawn on
his child face.
SUCCESS STORY
THE SO PRETTY GRADUATE !
• Back to office, this wonderful HEBA is ready to clean, wash
cups of coffee and asking us if she
• may help somebody to achieve his work, and now she get a job
for helping our family to provide all basic needs .
• FAMILY VISITING
• During visiting her family – Her mother Om HEBA said to us :
“ HEBA name means gift and curiously , she is the gift of our
family. She is so …………….. helpful , and so pretty girl !!!
• She help all of us , in caring his father , helping her sisters in
their homework, helping me in
• Cooking & washing at home.
• Om HEBA looked up to the sky and say in mumbling , her eyes
burst in to tears :
SHE MADE THE DIFFERENCE ! WE LOVED HER
HER AMBITION……
To create a space for thalasseamic children and young girls and
providing them adequate health care services , medication ,
relaxation & entertainments and happiness.
I’d like to give others children a chance to survive more than
20 years .
Thank you for all of you , I hope to be efficient in the society and
learning to defavorized communities that we have to struggle
until reaching our ambitions and improving our life.
LOVE YOU ALL
HEBA M.
• GAIN FROM PROGRAMS
• Activities achieved effectively
• coordinating basis on solid commitment
• direct participation of the targeted community
• Community leaders enthusiastic in giving their opinion and
feeling concerned to assist community in needs
• The project signify the best practice for developer policy and a
great user experience for engaging fresh graduates to work as
line initiative in their areas
• More line cooker means more meals served for increasing our
community satisfaction
TRIGGERS
• Poverty reduction
• Attitudinal change takes time
• Restrictive employment procedures
• Limited time project
• Limited budget
• Projects on sub-grants basis
• Returning to traditional values, earlier marriage,
• Challenged political & security in Gaza
LESSONS LEARNT
• Served trust & confidence
• Better understanding of community concerns
• Home visits have increased community access
• Women aware to discriminatory reforms against women
• Networks strengthened
• Women very appreciative to identify and prioritize their needs
• Fresh graduates gain news skills
• News findings approaches incorporated had motivated women leaders in the
work field
PALESTINIAN WOMEN EMPOWERMENT
BENAA PROJECT
01.01.2009 - 31.12.2010
SPONSORS / CARE /CEE / WATC
ADVOCACY & PUBLIC AWARENESS PROGRAMS
EMPOWERING PALESTINIAN WOMEN – TRANSFORMING
COMMUNITIES
MONITORING BY NAHIDA ZOOROB
BENAA COORDINATOR
GRANT PROCESS
1. Conducting a selection round of 05 advanced trainings
methods in :
 Monitoring & Evaluation
 Financial Management
 Projects sustainability
 Development funds methods through
 measurement criteria
 Analyzing findings & improving services
2. Conducting
 20 workshops in life skills
 10 Technical meetings
The continual economic blocs and the political conflicts since January 2006 have
increased gravely the humanitarian concerns and have intensified the
challenges for serving public needs.
BENAA Project is concerned to build a strong partnership with the non-profit
sector & strengthening their skills for promoting policies & reforms for
fighting poverty and defending poor & marginalized areas which are highly
fragmented and severely under resources.
This project will giving better understanding of social justice & women rights
recognition.
Programs are based on capacity building programs and new skills for enhancing
professionalism of Palestinian women in lobbying strategies& giving them
skills training for vital rehabilitation & development programs.
BACKGROUND
603 women have benefited from comprehensive instruction programs
11 community leaders have benefited from training skills in advocacy
Campaigns in favor of women reforms
Journalists, Local councils, Grassroots Associations have been
trained in capacity building programs for improving information
& transforming literacy in a better educated and empowered
local community from the high fragmented areas in RAFAH.
METHODS
GENERAL OBJECTIVES
 Contributing for fighting poverty and giving
better understanding of social justice
and women rights recognition
 Enhancing professionalism & skills of Palestinian
PCBOS in lobbying strategies
• Promoting social justice and legal reforms in favor of women-
• Promoting women rights & public policy reforms
• Enhancing skills & professionalism of PCBOS in lobbying strategies for fighting poverty
& improving information for vital rehabilitation of poor
areas
involvementofpoor
areas tothesocial
developmentprogram
Motivationof
communityleaders
Creationofwomen
groupcounseling
Mobilizationoflocal
communities&Service
providers
Activationof
bothgender from
CBOS
• communication
• commitment
• Knowledge increase
GOALS
• Changing attitudes & beliefs depends heavily on advocacy & persuasive
communication in
• Healthy practices in nutrition & breastfeeding
• Increasing the number of women in breastfeeding
• Maximizing maternal health services in Rafah Camps
• Facilitating health access in deprived areas
• Promoting maternal health practices
• Protecting women and children from dangerous diseases
TOPICS
• Breastfeeding as strategies to prevent iron deficiency &vitamin A
• Healthy nutrition & anemia risks
• Breast cancer risks & methods of prevention
• 20 workshops had been conducted in 03 geographic focus in RAFAH to
strengthen the health care system in protecting women & children in
RAFAH
• Skilled health educators had closely working in briefing the
motherhood concerns and had answered to the questions of mothers
related healthy practices in nutrition and breastfeeding during
motherhood and after delivery.
• Posters and brochures had been in support of targeted messages, and
were distributed in 03 geographic focus , through CBOS and Local
councils
• Mothers groups counseling were created for helping other young
mothers with special concerns in motherhood practices
CORES DEVELOPMENT
• Improving the nutrition of pregnant women & children
• Improving the communication & consulting birth preparedness
• Promoting the exclusive breastfeeding the first six months time
• Changing young mothers attitudes toward breastfeeding practices
• Promoting the frequent check-ups during birth cycle until delivery
• Providing counseling and guidance in support of breastfeeding as Palestinian
culture and economic strategy for saving money and remedy
• Giving knowledge to women in dangers occurring birth cycle and the benefits
of the primary health care program
• Promoting, protecting and supporting appropriate infant and young child
feeding
• Raising awareness of women about problems affecting infant and young child
feeding
MOTHERS GROUPS DISCUSSIONS
STUDY CASES
• Benefits of iron supplementation during birth cycle
• Mothers (iron drops)
• Children (iron syrup)
• Testimonials of mothers
• Mothers dialogue
• Learning experiences
• Mothers interviews
• Open discussion with experienced mothers as educators
• Breastfeeding positions
• Exercises
• anemia methods preventions (working group)
• Safe birth preparedness (working group)
BALANCED ASSESSMENT
• Analyze the problems of mothers
• Their demands
• The pressures
• Common mothers problems
• Areas of improvement
• Practices weaknesses
• Mothers expectations
• Mothers suggestions
• Recommendations for future programs
TARGETED MESSAGES
• Using breastfeeding save money & remedy
• Necessity of iron supplementation during birth cycle
• Importance of the communication between communities & health centers
• Family & father role in birth preparedness
• Risks of anemia on pregnant women & children
• Importance of the exclusive breastfeeding the first six months time
• Benefits of breastfeeding
• Risks of Vitamin A & it’s relation with anemia
• Components of healthy nutrition
ACTIVITIES ACHIEVED
 603 targeted women have benefited from
20 workshops in breastfeeding strategies ,
anemia risks & breast-cancers risks
 12 Social workers have been trained in
managing & lobbying programs in human
rights and women rights
 10 technical meetings have been
conducted to enhance skills of staff in
charge of project
HEALTHY
NUTRITI…
BREASTFE
EDING
…
EARLIER
BREAST…
DETECTIO
N
TOTAL
CUMULUS
1 2 3 4
Participants
%
WORKSHO
PS
%
ITE
M
TASK PARTICIPAN
TS
NUMBER
% WORKSHO
PS
NUMBER
EDUCATOR
01 HEALTHY
NUTRITION
196 32.5 06
N.AYACHE
02 BREASTFEE
DING
STRATEGIE
S
189 31.4 07
M.MEGHARY
03 EARLIER
BREASTCAN
CER
DETECTION
218 36.1
07 N.QDIH
04 TOTAL
CUMULUS
603 100 20 03 TRAINERS
HEALTH CARE EDUCATION
0
200
400
600
800
1 4 7 10 13 16
PROGRESS CURVE
ITEM
Partner
table
Workshops
Achieved
Item PARTNER TABLE WORKSHOP % BENEFICIARY
%
AREA
01 MAOUASY RAFAH 02 10 % 57 9.46
%
RAFAH
SEA
02
03
04
05
ATTAWITHOUT
BORDERS
TEL SULTAN LOCAL
COUNCIL
WOMEN ACTIVITY
CENTRE
SOS VILLAGE
03 15 %
03 15 %
03 15 %
03 15 %
90 14.9
%
83 13.76
%
97 16.07
%
91 15.12
%
TEL
SULTAN
y = 57.1x - 41.6
R² = 0.0618
0 1 2 3 4 5 6
DEVELOPMENT
ACTIVITIES
Axis Title
EVALUATIVE TABLE
Series1
Linear (Series1)
0
500
1000
1 4 7 10 13 16
ITEM
Partner table
SERVING WITHOUT BORDERS
AL BAIT AL SAID IS MY HOME AND COMMUNITY ARE MY FAMILY
N.ZOOROB – BENAA G/COORDINATOR -
BENAA PROJECT /12 MONTHS
• HEALTH EDUCATION
• 603 Participants
• 07 Local Partners
• 20 Workshops in creative art such as :
• 07 Workshops in Breastfeeding strategies
• 06 Workshops in Healthy nutrition
• 07 Workshops in Earlier breast cancer detection
• 03 geographic focus ( West Rafah – Rafah Camps – Rafah Sea)
• PMRS PROJECT/ 06 MONTHS
• HEALTH CARE SERVICES
• 2021 BENEFICIARIES
• 24 MEDICAL DAYS
TASK
FORCE
PROGRAM
S
PMRS PROJECT - IRD
/USAID PROJECT
IN CHARGE OF
PROGRAM
01 GYNECOLOGIST
01 NURSE
01 PEDIATRICIAN
01 LABOR
MATERNAL HEALTH
PROGRAMS –
02 DAYS/WEEK
WOMEN CARE – CHILD
CARE – FAMILY CARE
PMRS – 06 Months time
JANUARY – JUNE 2010
IRD PROJECT / USAID –
PUBLIC HEALTH
CAMPAIGNS –
BREASTFEEDING
STRATEGIES
EARLIER DETECTION
OF BREAST CANCER
ANEMIA CONTROL
PROGRAMS IN 08
DEPRIVED AREAS IN
RAFAH
PSYCHO SOCIAL
SUPPORT PROGRAM
REINFORCING WOMEN
CARE WITH HOME
VISITS AND AREAS
ASSESSMENT
APRIL – JULY 2010
PMRS – RELIEF
MEDICAL ASSISTANCE –
JULY –JANUARY 2010
06 DAYS / WEEK
WOMEN CARE – CHILD
CARE- LABOR
SERVICES-
MEDICAL ASSISTANCE
DAILY BASIS –
PHYSIOTHERAPY –
HEALTH CARE
SERVICES – FREE
PRESCRIPTION – AREAS
ASSESSMENT AND
BENAA PROJECT- CARE –
CEE -
WOMEN EMPOWERMENT
PROGRAMS IN HEALTH &
EDUCATION –
HEALTH CARE PROGRAM
REINFORCING WOMEN
CARE PROGRAM WITH
EARLIER DETECTION OF
BREAST CANCER – 255
WOMEN –
HEALTH EDUCATION
BENEFITS OF
BREASTFEEDING
IMPORTANCE OF BIRTH
PREPAREDNESS &
FREQUENT CHECK UPS
ANEMIA PREVENTION
03 MONTHS –
TECHNICAL MEETINGS
WITH WOMEN GROUPS
FOCUS FOR BETTER
MEETING HEALTH NEEDS
–
PSYCHO-SOCIAL
PROGRAM
CAPACITY BUILDING
PROGRAMS
FINANCIAL – HUMAN
WOMEN RIGHTS
PROGRAMS – DOMESTIC
VIOLENCE-
WOMEN GROUP
COALITIONS
DOCTORS OF THE WORLD
IMPLEMENTING 9
WORKSHOPS IN WATER
POLLUTION – WOMEN
CARE
FOR 180 WOMEN - 19/9 –
14/10
JANUARY – DECEMBER
2010
AL BAIT AL SAID
ADMINISTRATION
WRITING & NEGOCIATING
PROJECTS
SET UP PROJECTS
IMPLEMENTATION
& PROGRAMS TASK FORCES
FRAMEWORK PLAN AND
PLANNING SESSIONS
MONITORING & MENTORING
PROGRAMS
EVALUATING PROGRAMS
REVISE FINAL REPORT &
DISPATCHING TO REGARDING
ISSUES
PREPARING WEB-SITE
& MANAGERIAL MEETINGS
COORDINATING & ORGANIZING
MEETINGS- WORKSHOPS –
MEDIA REPORTS – ANNUAL
STRATEGIC PLANNING-
STATISTICS –
ANNUAL RESULTS REPORT TO
GENERAL ASSEMBLY
MANAGERIAL MEETINGS WITH
REGARDING ISSUES
MID TERM REVIEW –
CONDUCTING PLANNING
SESSIONS – PROGRAMS WRAP –
UP
FINAL RESULTS SUBMITTED TO
ABAS BOARD
PROGRAMS ACHIEVED
ITEM WORK FORCE ACTIVITY BENEFICIAR
Y
SPAN PLAYERS SPONSORS
01 MATERNAL
HEALTH
16 WOMEN
CARE
376 WOMEN 06 MONTHS A.ZOOROB
R.QICHTA
B.QICHTA
S.QICHTA
IRD/USAID
24 MEDICAL
DAYS
FREE
SERVICES
LABOR -
PRESCRIPTIO
N
2.021 09 MONTHS S.BUHDARY
D.M.ZOORO
B
PMRS/CEE
18 DAYS
15 DAYS
03 DAYS
BREAST
EXAMINATIO
N
320
115
435
06 REFERAL
CASES
18 DAYS R.QICHTA
B.QICHTA
S.QICHTA
IRD/USAID
CARE/CEE
02 PSYCHOSOCIAL
SUPPORT
PROGRAM
82 GROUP
THERAPY
227 HOME
VISITS
678
438
06 MONTHS M.ABED
W.A.RIACH
Y.SHAHINE
IRD/USAID
03 TRAININGS LEADERSHIP
SKILLS
01 03 DAYS Y.HEGAZI UNDP/HARPAS
POST-NATAL
CARE SKILLS
01 03 DAYS R.QICHTA UNFPA/NHC
LIFE
SUPPORT
TRAINING
01 03 DAYS Y.HEGAZI GANZO/CEE
TOT
ADV.SKILLS
IN WOMEN
REFORMS
01 03 DAYS N.ZOOROB CARE/CEE
FIRST AID
EDUC
01 03 DAYS N.ZOOROB GANZO/CEE
CATEGORY MORBIDITY
UNDER
3YEAR
FROM 3-15
YEAR
OVER 15 YEAR
TOTAL N/
MORBIDITY
INFECTIOUS
DISEASES
Respiratory
Tract Infections
RTI
50 89 213 352
Diarrhea 99 25 24 148
Amoeba 120 32 78 230
Guardia 48 45 46 139
Skin Infection 9 17 104 130
Urinary Tract
Infections UTI
9 13 69 91
Sexually
Transmitted
Diseases STDs
11 261 272
Vaginitis 52 52
Eye Infections 4 4 15 23
Ear Nose Throat
ENT
8 14 64 86
CHRONIC
DISEASES
Hypertension 175 175
Diabetes
(NIDDM)
140 140
Asthma 59 59
EMERGENCY Burns 3 4 38 45
Fracture, sprain,
dislocation
9 7 34 50
Cuts, Bites, Open
Wounds
1 7 4 12
Cardiac 1 8 9
ANEMIA Anemia 1 7 8
CATEGORY TOTAL
MORBIDITY
2.021
100%
 03
YEARS
03-15 YEARS +15 YEARS
INFECTIOUS
DISEASES
1.523
75.36%
347 250 926
CHRONIC
DISEASES
382
18.90%
NA NA 382
EMERGENCY 116
05.74%
13 19 84
0
2
4
6
MORBIDITY PROGRESS
TOTAL
BENEFICIARIES
 03 YEARS 03-15 YEARS + 15 YEARS
2021
100 %
 360
17.82%
269
13.31%
1.392
68.87%
0
1
2
3
4
5
ITEM GEOGRAPHIC
FOCUS
BENEFICIARI
ES
NUMBER
PERCENTAGE
%
01 CANADA CAMP 743 37
02 TEL SULTAN 648 32
03 WEST RAFAH 630 31
04 TOTAL CUMULUS 2021 100
BENEFICIARIES BY AREA
ASSIGNMENT 2010 %
IN $ USD
SPONSORS
WELFARE 2.260 02 % NA
SALARIES 42.780
06.600
11.460
60.840 75 %
IRD/USAID
CARE/CEE
P.A.
CUMULUS
CONTINGENCY
SUPPLIES 14.044 17 % IRD/USAID
RUNNING
COSTS
3.800 04% IRD/USAID
TOTALS 80.944 100% NA
ANNUAL EXPENDITURE
ANNUAL DISBURSEMENT
ITEM YEAR
TOTAL
BENEFICIARIES
RATE
%
TOTAL
HEALTH
SERVICES
%
COMPREHENS
IVE
INSTRUCTION
PROGRAMS
%
01 2002 808 100
%
508 62.9
%
300 37.1
%
02 2003 1.960 100
%
912 46.5
%
1048 53.5
%
03 2004 6.532 100
%
1867 28.6
%
4.668 71.4
%
04 2005 2.131 100
%
1.288 60.4
%
843 39.6
%
05 2006 4.976 100
%
4.656 93.6
%
320 6.4
%
06 2007
June 2008
7.539 100
%
7.249 95.7
%
290 4.3
%
07 2009 2.813 100
%
1.848 66
%
950 34
%
08 2010 4.980 100% 2.021 40.58
%
2.959 59.42%
ENVIRONMENTAL SCAN
• Solid and efficient coordinating between CBOS and local communities
• Findings approaches had increased equal opportunities of women in
participating to social fields and expressing their needs
• Graduates skills increased in managerial capacity and programs
implementation
• Relevant participatory needs assessment with CARE PROJECT
• Strengthened women network
• Gain of women appreciation in prioritize their needs
• Maintained relationship with families in conflict situations
• Mothers responsive to change their attitudes towards negative
traditions toward earlier marriage and girl education
SPOTLIGHTS
TEL SULTAN
BADR CAMP
CANADA CAMP
WEST RAFAH
MESABAH VILLAGE
SHOUKA VILLAGE
YEBNA CAMP
SHABURA CAMP
BRAZIL CAMP
WEST RAFAH
Tel Sultan
West Rafah
Canada Camp
West Camp
Tribes / zoorob – shaat
Badr Camp
EAST RAFAH
Shabura Camp
Nejma Round
Zouhour city
Siamat area
Shaat Area
Khirbet el Adass
Oraiba Village
Nasr City
RAFAH TOWN
Yebna Camp
Town Ville
Brazil Camps
Salama city
Maabar Rafah
Total of 19 high fragmented areas
FOCAL POINTS
PLAYERS
YOUSSER HEGAZI
P.MANAGER
NAHIDA ZOOROB
SUPERVISOR
SlLIMANE BUHDARY
F/COORDINATOR
AHMED BARAKAT
MEDIA REPORTER
AHMED EID
AHMED BUHDARY
WAEL ABO RIACH
HANA BUHDARY
FATMA HIJAZI
MOHAMED ZOOROB
KAMILIA NAHAL
KHOULOUD ALI
SOCIAL WORKERS
MANAL ABED
YASMINE SHAHINE
MERVET JAVER
WAFA ABO RIACH
PSYCHOLOGISTS
DHIA QADHI
HALA ABO KHIR
BATRA DHAHIR
SOUHIR QICHTA
FAHD LIDAOUI
ADMIN STAFF
RAWAN QICHTA
ABDALLAH ZOOROB
NURSES

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PROJECT REPORT IRD-USAID.pdf

  • 1. AL BAIT AL SAID CENTRE for MOTHER’S & CHILD’S CARE Charitable society Phone 009722150342 Western Rafah villages Fax 009722150840 South Gaza Strip Cell 0097599754066 Palestinian Territory Website www.a-b-a-s.com EMAIL ADRESS albaitalsaid7@hotmail.com Cairo Amman Bank – Rafah Branch BANK ACCOUNT No 0250074105502 EMERGENCY PROGRAMS ASSISTANCE PRESENTATIONS – STUDIES – REPORTS Reported by Y. HEGAZI GM
  • 2. CREATING PEACE BUILDERS REHABILITATION RELIEF PROGRAM FINAL REPORT 2010 All rights reserved to Al Bait al Said for Mother’s & Child’s Care in Rafah Governorate
  • 3. INSIGHT • RATIONALE • GAZA BLOKADE • WAR EFFECT ON POPULATION • PSYCHOLOGICAL DISTRESS • BACKGROUND • AIMS • METHODS • WIDE GOALS • SPECTRUM REACTION • ORGANIZATIONAL PERFORMANCE • TACTICAL OBJECTIVES • LONG RANGE OBJECTIVES • IRD PROJECT • BENAA PROJECT • PROGRAMS ACHIEVED • HEALTH EVALUATION • DISTRIBUTING AREA • TOTAL BENEFICIARIES • APPRAISAL REPORT • SPOTLIGHT • FOCAL POINTS • PLAYERS
  • 4. RATIONALE Al Bait Al Said org for Mother’s & Child’s Care in Rafah Governorate is based grass root association , and located in the southern part of Gaza Strip, which is one of the poorest area in Palestinian Territory. The biologic environmental and behavioral factors are slovenly dues to poverty and population always in grow. Palestinian in high fragmented continue to be menaced to live a prosperous life due Ongoing violence & barriers & closures : • Decreasing education access • Increasing in psychosocial distress • Serious difficulties to health access • Significant challenges for holding jobs • Lack of access to justice and loss of legal custody among women • Discriminatory reforms against women continue in inheritance, divorce, marriage age , education • significant dominance of poverty, critical deterioration in Palestinian health status • a rise up in unemployment • a high incidence of cardiac diseases and chronic diseases The last report of Palestinian health status confirm that 71 % of Palestinian in Gaza strip are reached by anemia, especially pregnant women and children under 05. 30 % of pregnant women are suffering from vaginal bleeding during pregnancy and frequent earlier abortion are detected in the end of 20 weeks of pregnancy , in addition that 15 % of women are suffering from single gene disorder (thalassemia , anemia , hemophilia, genetic infections , viral infections). The principles of AL BAIT AL SAID, is to contribute as CBOS , to improve the status of Palestinian , in particular on : • integrating approach to basic services in maternal health , psychosocial support and advocacy campaigns • reorganizing community services around people’s needs & expectations in time of crisis
  • 5. GAZA BLOKADE • Statistics show, a rise in their expenditure on the basics of food and water at the expense of perceived secondary needs such as clothing, education and health care. The one anomaly relates to households reporting as great in expenditure on psychosocial health as on food and water. • The increased violence in Gaza is combined with the negative effects of borders closures, severely limited freedom & movement & lack of opportunities for holding jobs and accessing basic public services • Income resources • More than 80.2 % of Palestinian live with less than 2 $ per day, inability for the poorest to afford healthy food and had forcing them to buy low quality products and affecting dietary.
  • 6. WAR EFFECT ON POPULATION • The last military offensive against the Gaza Strip, had registered a dramatic decline in the lives of the civilian population , actually in deep deprivation since 2008, according to OCHA, the 23-day war led to the death of : • 1,366 people of whom 430 were children, • 111 women, as well as the injury of over 5,380 people • 1,870 children and 800 women • The Israeli military offensive also led to large-scale internal displacement of civilians, made more traumatic by the fact that civilians could neither leave the field of war, nor find secure and safe haven within it from aerial bombardment, even in United Nations installations. • About 100,000 people fled their homes in UNRWA shelters. During the military offensive, public infrastructure and essential services either were destroyed or partly damaged resulting in lack of shelter and fuel, as well as further deterioration in water and sanitation services. These have added to the effects of the lack of access to health services, food insecurity, and general psychosocial distress suffered by the population
  • 7. PSYCHOLOGICAL DISTRESS • AMONG CHILDREN • Crying, panic of loud noises, • Sleep disorder, nervousness, decrease in eating and weight, • Hopelessness nightmare • Children on class have difficulties on concentration • Violence and aggression surround children • WOMEN CONCERNS • Rise up in the discriminatory reforms that affecting women’s, inheritance, divorce, repudiation, child custody, economic autonomy, & violence against women related to family taboos and cultural tribes
  • 8. BACKGROUND • SOCIETAL ATTITUDES • There is an urgent need for families of high fragmented areas in RAFAH , to pursue a psychosocial support relief followed by special rehabilitation programs. Domestic violence has reached the highest level of perception and public crime and trauma has dangerously increased among population, especially among communities of high fragmented areas. Political violence and lack of security problem is still facing the Gaza population. It has registered also a critical lack of legal and public services access. • The rise up of public crime and violence against women and children are the main safety problem facing community of the hardship cases. Statistics showed that women are the first victims of domestic violence and pressures at home.
  • 9. AIMS • Palestinian in GAZA, are facing a disastrous economic situation as the result of political conflicts , the last Israeli Offensive and Gaza blockade. • Women and children are the most affected and reported direct victims of crisis, especially the hardship Cases along borders line . • Poverty and malnutrition menace seriously the high fragmented areas, which register a population always in grows. Households in these overcrowding villages and camps, have difficulties to provide the basics on food, health care, clothes and education. • Mothers are registered overloaded and direct victims of domestic violence, because they living pressures & family demands, and are forcing to generate income, and to respond positively to family expenditure. • Boys needs are reported prioritized when there is food shortage in the home. • AL BAIT AL SAID report of recommending strategy, insist for providing a safe space for women’s voice • And children concerns and encouraging them to speak for themselves about your needs and concerns that affected them directly.
  • 10. TARGETING • Mothers living in particular economic hardship • Both gender to volunteerism actions • PCBOS, local councils, community leaders from high fragmented areas INTERVENTING HEALTH – EDUCATION- ADVOCACY SKILLS • Communication large scale on counseling basis • Providing adequate information & life skills • Facilitating community access & benefit programs MOBILIZING • COMMUNITY LEADERS • WOMEN GROUPS • PCBOS • STAGE VARY SURVEY • INDICATORS • CHARTS - RADARS METHODS MOTIVATION COMMITMENT KNOWLEDGE INCREASE
  • 11. WIDE GOALS HEALTH • Ensure health equity & social justice in time of crises & conflict situations • Reorganizing health services around people’s needs & expectations • access to public services & health care services PSYCHOSOCIAL SUPPORT PROGRAM • Offering information to people to create his appropriate remedies in difficult • Situation EDUCATION • Increasing the impact of advocacy programs to prevent poverty, and social discrimination • Lobbying for defending basic rights of high fragmented areas • Empowering women to participate in peace building and decision making
  • 12. HEALTH • Ensure health equity & social justice in time of crises & conflict situations • Reorganizing health services around people’s needs & expectations • Improving access to public services & health care services PSYCHOSOCIAL SUPPORT PROGRAM • Offering information to people to create his appropriate remedies in difficult • Situation EDUCATION • Increasing the impact of advocacy programs to prevent poverty, and social discrimination • Lobbying for defending basic rights of high fragmented areas • Empowering women to participate in peace building and decision making WIDE GOALS
  • 13. • Communication at large scale • Health education promotion • Practical solutions to save money & remedy. • Adequate information assistance to sinister areas • Community activity change as a behavior change communication • strategy. • Safety of protective environment far from violence and conflicts SPECTRUM REACTION
  • 14. ORGANIZATIONAL PERFORMANCE • Ensuring health equity and social well being for the most vulnerable areas in RAFAH Governorate • Responding rapidly to humanitarian crisis in deprived areas • Promoting community participation in self initiatives on the key areas of health , education & advocacy campaigns • Achieving expected results • Empowering women to advocate for their rights in their homes and in their communities • Advocating for the equal opportunities of women in social , economical and political development • Maintaining a regular dialogue with communities through reviews, frequent meetings , focus groups with stakeholders , to assess and plan suitable future programs
  • 15. MATERNAL HEALTH PROGRAM Offering protection against dangerous diseases Securing the health of communities through emergency assistance programs with regarding issues Extending access to free medication of essential drugs for Rafah camps Improving health education at community level and continuing nutrition education for fighting anemia & micronutrient deficiencies Promoting healthy practices in breastfeeding and nutrition PSYCHOSOCIAL SUPPORT PROGRAM Providing counseling to conflicted families to humanitarian crisis in conflict situations TACTICAL OBJECTIVES
  • 16. COMMUNITY EDUCATION PROGRAM Advocating for the development humanitarian & Governance priorities of vulnerable areas Encouraging universal basic education Raising mutual awareness & enhancing the capacity of legal practice Promoting & maximizing the health services for the most deprived areas Preparing cultivated & aware women leaders Capable to carry their Future responsibilities CORES AREAS Infrastructure and services improvement (health, social development program) Database development Community development & support
  • 17. LONG RANGE OBJECTIVES FACILITATING COMMUNITY ACCESS • Maximizing health services and promoting health equity across densely population of high fragmented areas • developing strategies of comprehensive maternal health control level and modifying the attitudes • Reorganizing services around community needs and expectations. • Facilitating community access for the high fragmented areas • Ensuring a social health protection in some geographical area which are registered a high dominance of health disorders • exploring the health determinants in the population of afflicted areas in Rafah camps. EDUCATION & ADVOCACY • Teaching both gender about human rights & valuable advocates for tolerance and peace CREATING PEACE BUILDERS • Providing a free, a safe space for women’s voice heard by all international human women rights issues and empowering them to speak for themselves in the development of policies and unfair reforms that affect them directly
  • 18. • IRD PROJECT • USAID SPONSORS • 06 MONTHS • APRIL-SEPTEMBER 2010 • REPORTED BY YOUSSER HEGAZI • EMPLOYMENT OF 38 FRESH GRADUATES IN MATERNAL HEALTH PROJECT • REORGANIZING THE HEALTH SERVICES AROUND COMMUNITY NEEDS AND IT’S EXPECTATIONS SOCIAL JUSTICE TO RAFAH
  • 19. PROJECT GOAL • The main goal of the project is to create an optimal environment to improve the nutritional status of pregnant women, women with close pregnancies , & infant growth • Project strategy focused on problems affecting women during birth cycle & infant feeding. • The purpose of the project is to identify the problems of each area of work field and finding the appropriate solution close to their health problems • essential interventions had mobilized 38 fresh graduates , for providing : • useful advices to increase healthy practices in breastfeeding strategies, healthy nutrition & maternal health care promotion • Health workers , social workers and psychologists, had been working closely with needy communities and for assessing behavioral environment &providing effective counseling & linking problems to solutions
  • 20. LINE UP • Assessing nutritional challenges and maternal concerns through home visits program • Assessing behavioral attitudes • Raising awareness of community in maternal health care issues • Assessing essential interventions to link problems to solutions in human concerns • Adopting breastfeeding approach across the population as a Palestinian culture
  • 21. • Strategy specifies engagement of Al BAIT AL SAID and it’s local partners for conducting accelerated actions in areas affected by the actual economic hardship , such as • providing effective counseling that contribute to increase health access , • maximize maternal health interventions and improving nutritional status • increasing breastfeeding practices and adopting it as Palestinian tradition approach • Home visits & women group counseling will help to assess problems addressed by areas with families over than 6 members, such as : • IN MATERNAL HEALTH ISSUES • women in frequent pregnancies , low birth weight infants and children with stunting and wasting ( reached with anemia & VAD) & chronic asthmatic children. • IN PSYCHO SOCIAL SUPPORT • Helping overcharged mothers & families living conflicts with income underline poverty GRANT IMPLEMENTATION PLAN
  • 22. • Task 01 • Ensuring adequate counseling for preventing dangerous diseases in maternal health issues • Contributing to introduce breastfeeding as Palestinian culture across population • Task 02 • meeting urgent needs of poor communities in Gaza in time of crisis • Task 03 • Ensuring adequate counseling for families living conflicts ongoing disastrous economic situation • Task 04 • Contributing to change the attitude of areas affected by the micronutrients deficiencies and health disorders TASKS RATIONALE
  • 23. TARGETED MESSAGES TOPIC 1 – BREASTFEEDING STRATEGIES • Palestinian surveys , facts , charts • Benefits of breastfeeding • Importance of breastfeeding and it’s relation • With anemia & VAD deficiencies • Specific problems of breastfeeding • Lack of breastfeeding consequences • Healthy practices in breastfeeding • Importance of the first breastfeeding with colostrums • Breastfeeding positions • Benefits of breastfeeding in the night ( prolactine benefits ) • Breastfeeding role in preventing infant diseases • Consequences of prompt breastfeeding on infant • Healthy nutrition for women in breastfeeding • Impact of the exclusive breastfeeding the first six months without complementary feeding • Avoiding excitants like café and the along the day • Breastfeeding build up the affecting relation between mother and baby • Breastfeeding save money and remedy • Artificial milk inconvenient / comparison between breast milk and artificial milk
  • 24. Palestinian surveys – Anemia status – Infant feeding in Gaza Strip – Mother Knowledge, attitudes & practice Impact of birth cycle control on delivery & infant weight Breastfeeding benefits Vitamin A in breast milk Increasing diet diversity Anemia consequences Human milk advantages Recommended breastfeeding practices Benefits of Vitamin C Benefits of Palestinian iron rich foods TOPIC 2 – HEALTHY NUTRITION
  • 25. Post –partum dosing increase breast-milk & Vitamin A The greatest impact is in mothers who had been lactating for 5-6 months Increasing diet diversity (balanced diet) Interventions that increase diet diversity are appealing because they will improve overall food security and the intake of many , not single micronutrients Enriching breast-milk Vitamin A & promoting exclusive breastfeeding for the first 6 months are critically, important components for any integrated intervention to reduce mortality resulting from VAD during the period when mortality rates are very high
  • 26. Since Vitamin A is so important to child survival, it is surprising that children, even in rich countries, are born with virtually no stores of the Vitamin An infant’s intake of Vitamin A from breast-milk is determined by the concentration of Vitamin A in the milk and by the volume consumed. The concentration of Vitamin A in colostrums is particularly high but this decreases rapidly over the first 2 or 3 weeks of lactation The volume of breast-milk consumed by the infants is determined by the breastfeeding practices of the mother Exclusive breastfeeding for six months will result in the greatest consumption of milk In addition to increasing breast-milk consumption enhances protection against illness by providing immune factors & a hygienic source of nutrition Reducing the incidence of infections improves Vitamin A status VITAMIN A IN BREASTMILK
  • 27. EARLIER DETECTION OF BREAST CANCER • Breast cancer information • Breast anatomy • Mammograms • Monthly self exam • Stages of breast cancer • Treatments • Radiation therapy role • Alternative medicines • Nutrition role • Fatty foods effects • Balanced diet benefits
  • 28. TASKS RATIONALE • Task 01 • Ensuring adequate counseling for preventing dangerous diseases in maternal health issues • Contributing to introduce breastfeeding as Palestinian culture across population • Task 02 • meeting urgent needs of poor communities in Gaza in time of crisis • Task 03 • Ensuring adequate counseling for families living conflicts ongoing disastrous economic situation • Task 04 • Contributing to introduce breastfeeding as Palestinian culture across population
  • 29. COMMUNITY CHALLENGES • Childbirth care for mothers and newborns continues to face problems. • Deficit of information needed for health care management • Community could not access health services because of high costs • community living financial hardship • Limited health care access • Shortage of drugs, medical supplies, equipment • Lack basic health commodities • Skills of health workers poorly developed • Persist failure of peace talks • Continuing impoverishment in deprived areas
  • 30. DUTIES • TASK 01/MATERNAL HEALTH CARE PROGRAM • 03 Nurses are in charge of programs • WOMEN CARE Examination / Ultra-Sound/Breast Examination/ Labor/Women Group Counseling / Home Visits • TASK 02/ PSYCHO-SOCIAL SUPPORT PROGRAM • 02 psychologists are in charge of programs Women Group Counseling/ Home visits / Group therapy • TASK 03/PUBLIC HEALTH AWARENESS • 14 Social Workers are in charge of programs • Home visits/ workshops • Task 04/ AREAS ASSESSMENT NEEDS • Protecting families of high fragmented areas from • 10 Graduates in education are in charge of program • Home visits / surveys • 05 Admin. Graduates are on project follow-up • Programs are monitoring and mentoring by AL BAIT AL SAID • 01 E./Manager • 01 Supervisor
  • 31. GRANT PROCESS M12 M11 M10 M9 M8 M7 M6 M5 M4 M3 M2 M 1 TASK MATERNAL HEALTH PROGRAM WOMEN CARE CHILD CARE BREAST EXAM WOMEN GROUP COUNSELING HOME VISITS EDUCATION PROGRAM TRAININGS IN ADVOCACY CAMPAIGNS INTERVIEWS - PRE- AWARENESS SURVEY MOTHERS GROUP COUNSELING WORKSHOPS PSYCHOSOCIALSUPPORT PROGRAM GROUP THERAPY ASSESSMENT VISITS
  • 32. TASKS OBJECTIVES TASK O1 • Supporting programs linking to relevant National Health Plan in breastfeeding strategies • Increasing breastfeeding rates equity across the population • Promoting effective & sustainable breastfeeding practices TASK 02 • Providing assistance & adequate information to needy areas affected by economic conflict • providing effective counseling that contribute to increase women life skills, TASK 03 • Enhancing the communication among community in need giving them life skills to improve their family life • Promoting health education for practical solutions to save money & remedy
  • 33. TASKS FORCES SESSIONS APRIL A B MAY A B JUNE A B JULY A B AUGUST A B TF1/ MATERNA L HEALTH PROGRAM ACTIVITY 1 WOMEN CARE BREAST EXAM. 04 73 06 376 04 88 11 15 252 320 02 92 ACTIVITY 2 W.GROUP COUNSEL ING 05 65 24 125 16 106 32 236 16 80 ACTIVITY 3 HOME VISITS NA NA 68 250 76 405 101 404 120 480 TF2/ PSYCHO- SOCIAL SUPPORT PROGRAM ACTIVITY 1 W.GROUP COUNSEL ING 18 135 26 236 24 172 48 417 33 286 ACTIVITY 2 HOME VISITS 26 171 82 92 77 111 120 299 87 162 TF3/ PUBLIC HEALTH ACTIVITY 1 14 493 23 656 07 152 26 722 15 286
  • 35. ACHIEVED RESULTS • MATERNAL HEALTH ISSUES • TASK 01 FORCE • BENCHMARKS/INDICATORS TABLE • B 1- 16 WOMEN CARE /ACCESS AVERAGE/20 • B2- 53 WOMEN GROUP COUNSELING/ACCESS AVERAGE/05 • B3- 762 HOME VISITS/ACCESS AVERAGE/05 • IT/B 1- 376 BENEFICIARIES • IT/B2 - 352 BENEFICIARIES • IT/B 3- 167 BENEFICIARIES- • TASK 02 FORCE • PSYCHOSOCIAL SUPPORT PROGRAM • B4-82 WOMEN GROUP THERAPY /ACCESS AVERAGE / 05 • B5-227 HOME VISITS/ ACCESS AVERAGE/05 • IT/B4- 678 BENEFICIARIES • IT/B5-438 BENEFICIARIES • TASK 03 FORCE • HEALTH CAMPAIGNS • B6-60 WORKSHOPS • B7-2660 H/VISITS • IT/B6-1648 BENEFICIARIES • IT/B7-532 BENEFICIARIES
  • 36. WORK FORCES ACTIVITY NUMBER BENEFICIARIES NUMBER TOTALS BENEFICIARIES Women care Program Women Group Counseling H visits 16 53 762 376 352 167 Task 01 16 WOMEN CARE 376 BENEF. Psycho Social Support Program Women Group Therapy H Visits 82 227 678 438 Task 02 82 G/THERAPY 678 BENEF. Public Health Campaigns Workshops H Visits 60 2660 1.648 10.560 Task 03 60 WORKSHOPS 1.648 BENEF. TOTALS 2.702 BENEF. 158 ACTIVITIES
  • 38. POST-AWARENESS MATERNAL SURVEY 300 SAMPLED YOUNG MOTHERS FROM 03 HIGH FRAGMENTED ARES JUNE 2010
  • 39. ITEM SAMPLED MOTHERS PERCENT. % AGE AVERAGE 01 200 66.7 15 – 25 02 100 33.3 25 + 03 300 100 TOTAL % 2.7 3.2 0.8 0 1 2 3 4 0 1 2 3 4 SAMPLED MOTHERS GROUP
  • 40. ITEM WEST RAFAH EAST RAFAH TOWN TOTAL AREAS/ GROUP SAMPLE 01 TEL SULTAN WESTAREA WEST CAMPS SHABURA MSABAH VILLAGE ORAIBA VILLAGE YEBNA BRAZIL CAMP TOWN VILLE 03 02 139 46.3 % 89 29.7 % 72 24 % 300 100 % 33% 67% SPOTLIGHTS
  • 41. 1 06 MONTHS TIME 3 ARTIFICIAL MILK BABY FEEDING 0 50 100 150 200 250 300 15 - 25 25 - 45 TRIAL BABY FEEDING STAGES VARY
  • 42. ITEM RECORD TRIAL CONFIRMED UNAVAILABLE 01 Past family breast cancer 300 100 % 38 12.67 % 262 87.33% 02 Congenital Malformations 300 100 % 100 33.3 % 200 66.7% 03 Chronic diseases Hypertension Respiratory infections Cardiac Urinary infections Anemia & VAD Amoeba Diabetes 300 100 % 208 69,3% 92 30.7% COMMON DISEASES
  • 44. 0 100 200 300 ITEM STAGES VARY 15 - 25 25 - 45 TRIAL BREASTFEEDING SURVEILLANCE
  • 45. ITEM TASK TRIAL AVAILABLE UNAVAILABL E 01 Knowledge about Palestinian iron & Vitamin rich foods Foods facilitating iron absorption Vitamins role Diet variety benefits 300 100 % 270 90 % 30 10% 02 Iron intake during pregnancy 300 100 % 200 66.7% 100 33.3 % NUTRITION PRACTICES KNOWLEDGE VARY
  • 47. • HEBA M, 23 years, Social Worker & fresh graduate is living with 10 members of her family. • She is thalasseamic , and 02 sisters of her family are also reached by the thalasseamie. • After getting her job in the IRD Project , HEBA with an air of defiance , had proved in few weeks her skills and competencies , in the work, and became the leader of her working group. • During programs , HEBA is achieving successfully her duties with the higher scope of work, and had time to help her colleagues , commenting problems addressed by communities during home visits. • She’s attentive to women’s problems during workshops and the know how to link problems to easier solutions. After workshop activity , she’s also answering to women questions with patience and a big smile is drawn on his child face. SUCCESS STORY THE SO PRETTY GRADUATE !
  • 48. • Back to office, this wonderful HEBA is ready to clean, wash cups of coffee and asking us if she • may help somebody to achieve his work, and now she get a job for helping our family to provide all basic needs . • FAMILY VISITING • During visiting her family – Her mother Om HEBA said to us : “ HEBA name means gift and curiously , she is the gift of our family. She is so …………….. helpful , and so pretty girl !!! • She help all of us , in caring his father , helping her sisters in their homework, helping me in • Cooking & washing at home. • Om HEBA looked up to the sky and say in mumbling , her eyes burst in to tears :
  • 49. SHE MADE THE DIFFERENCE ! WE LOVED HER HER AMBITION…… To create a space for thalasseamic children and young girls and providing them adequate health care services , medication , relaxation & entertainments and happiness. I’d like to give others children a chance to survive more than 20 years . Thank you for all of you , I hope to be efficient in the society and learning to defavorized communities that we have to struggle until reaching our ambitions and improving our life. LOVE YOU ALL HEBA M.
  • 50. • GAIN FROM PROGRAMS • Activities achieved effectively • coordinating basis on solid commitment • direct participation of the targeted community • Community leaders enthusiastic in giving their opinion and feeling concerned to assist community in needs • The project signify the best practice for developer policy and a great user experience for engaging fresh graduates to work as line initiative in their areas • More line cooker means more meals served for increasing our community satisfaction
  • 51. TRIGGERS • Poverty reduction • Attitudinal change takes time • Restrictive employment procedures • Limited time project • Limited budget • Projects on sub-grants basis • Returning to traditional values, earlier marriage, • Challenged political & security in Gaza
  • 52. LESSONS LEARNT • Served trust & confidence • Better understanding of community concerns • Home visits have increased community access • Women aware to discriminatory reforms against women • Networks strengthened • Women very appreciative to identify and prioritize their needs • Fresh graduates gain news skills • News findings approaches incorporated had motivated women leaders in the work field
  • 53. PALESTINIAN WOMEN EMPOWERMENT BENAA PROJECT 01.01.2009 - 31.12.2010 SPONSORS / CARE /CEE / WATC ADVOCACY & PUBLIC AWARENESS PROGRAMS EMPOWERING PALESTINIAN WOMEN – TRANSFORMING COMMUNITIES MONITORING BY NAHIDA ZOOROB BENAA COORDINATOR
  • 54. GRANT PROCESS 1. Conducting a selection round of 05 advanced trainings methods in :  Monitoring & Evaluation  Financial Management  Projects sustainability  Development funds methods through  measurement criteria  Analyzing findings & improving services 2. Conducting  20 workshops in life skills  10 Technical meetings
  • 55. The continual economic blocs and the political conflicts since January 2006 have increased gravely the humanitarian concerns and have intensified the challenges for serving public needs. BENAA Project is concerned to build a strong partnership with the non-profit sector & strengthening their skills for promoting policies & reforms for fighting poverty and defending poor & marginalized areas which are highly fragmented and severely under resources. This project will giving better understanding of social justice & women rights recognition. Programs are based on capacity building programs and new skills for enhancing professionalism of Palestinian women in lobbying strategies& giving them skills training for vital rehabilitation & development programs. BACKGROUND
  • 56. 603 women have benefited from comprehensive instruction programs 11 community leaders have benefited from training skills in advocacy Campaigns in favor of women reforms Journalists, Local councils, Grassroots Associations have been trained in capacity building programs for improving information & transforming literacy in a better educated and empowered local community from the high fragmented areas in RAFAH. METHODS
  • 57. GENERAL OBJECTIVES  Contributing for fighting poverty and giving better understanding of social justice and women rights recognition  Enhancing professionalism & skills of Palestinian PCBOS in lobbying strategies • Promoting social justice and legal reforms in favor of women- • Promoting women rights & public policy reforms • Enhancing skills & professionalism of PCBOS in lobbying strategies for fighting poverty & improving information for vital rehabilitation of poor areas
  • 59. GOALS • Changing attitudes & beliefs depends heavily on advocacy & persuasive communication in • Healthy practices in nutrition & breastfeeding • Increasing the number of women in breastfeeding • Maximizing maternal health services in Rafah Camps • Facilitating health access in deprived areas • Promoting maternal health practices • Protecting women and children from dangerous diseases
  • 60. TOPICS • Breastfeeding as strategies to prevent iron deficiency &vitamin A • Healthy nutrition & anemia risks • Breast cancer risks & methods of prevention • 20 workshops had been conducted in 03 geographic focus in RAFAH to strengthen the health care system in protecting women & children in RAFAH • Skilled health educators had closely working in briefing the motherhood concerns and had answered to the questions of mothers related healthy practices in nutrition and breastfeeding during motherhood and after delivery. • Posters and brochures had been in support of targeted messages, and were distributed in 03 geographic focus , through CBOS and Local councils • Mothers groups counseling were created for helping other young mothers with special concerns in motherhood practices
  • 61. CORES DEVELOPMENT • Improving the nutrition of pregnant women & children • Improving the communication & consulting birth preparedness • Promoting the exclusive breastfeeding the first six months time • Changing young mothers attitudes toward breastfeeding practices • Promoting the frequent check-ups during birth cycle until delivery • Providing counseling and guidance in support of breastfeeding as Palestinian culture and economic strategy for saving money and remedy • Giving knowledge to women in dangers occurring birth cycle and the benefits of the primary health care program • Promoting, protecting and supporting appropriate infant and young child feeding • Raising awareness of women about problems affecting infant and young child feeding
  • 62. MOTHERS GROUPS DISCUSSIONS STUDY CASES • Benefits of iron supplementation during birth cycle • Mothers (iron drops) • Children (iron syrup) • Testimonials of mothers • Mothers dialogue • Learning experiences • Mothers interviews • Open discussion with experienced mothers as educators • Breastfeeding positions • Exercises • anemia methods preventions (working group) • Safe birth preparedness (working group)
  • 63. BALANCED ASSESSMENT • Analyze the problems of mothers • Their demands • The pressures • Common mothers problems • Areas of improvement • Practices weaknesses • Mothers expectations • Mothers suggestions • Recommendations for future programs
  • 64. TARGETED MESSAGES • Using breastfeeding save money & remedy • Necessity of iron supplementation during birth cycle • Importance of the communication between communities & health centers • Family & father role in birth preparedness • Risks of anemia on pregnant women & children • Importance of the exclusive breastfeeding the first six months time • Benefits of breastfeeding • Risks of Vitamin A & it’s relation with anemia • Components of healthy nutrition
  • 65. ACTIVITIES ACHIEVED  603 targeted women have benefited from 20 workshops in breastfeeding strategies , anemia risks & breast-cancers risks  12 Social workers have been trained in managing & lobbying programs in human rights and women rights  10 technical meetings have been conducted to enhance skills of staff in charge of project
  • 66. HEALTHY NUTRITI… BREASTFE EDING … EARLIER BREAST… DETECTIO N TOTAL CUMULUS 1 2 3 4 Participants % WORKSHO PS % ITE M TASK PARTICIPAN TS NUMBER % WORKSHO PS NUMBER EDUCATOR 01 HEALTHY NUTRITION 196 32.5 06 N.AYACHE 02 BREASTFEE DING STRATEGIE S 189 31.4 07 M.MEGHARY 03 EARLIER BREASTCAN CER DETECTION 218 36.1 07 N.QDIH 04 TOTAL CUMULUS 603 100 20 03 TRAINERS HEALTH CARE EDUCATION
  • 67. 0 200 400 600 800 1 4 7 10 13 16 PROGRESS CURVE ITEM Partner table Workshops Achieved
  • 68. Item PARTNER TABLE WORKSHOP % BENEFICIARY % AREA 01 MAOUASY RAFAH 02 10 % 57 9.46 % RAFAH SEA 02 03 04 05 ATTAWITHOUT BORDERS TEL SULTAN LOCAL COUNCIL WOMEN ACTIVITY CENTRE SOS VILLAGE 03 15 % 03 15 % 03 15 % 03 15 % 90 14.9 % 83 13.76 % 97 16.07 % 91 15.12 % TEL SULTAN y = 57.1x - 41.6 R² = 0.0618 0 1 2 3 4 5 6 DEVELOPMENT ACTIVITIES Axis Title EVALUATIVE TABLE Series1 Linear (Series1)
  • 69. 0 500 1000 1 4 7 10 13 16 ITEM Partner table
  • 70. SERVING WITHOUT BORDERS AL BAIT AL SAID IS MY HOME AND COMMUNITY ARE MY FAMILY N.ZOOROB – BENAA G/COORDINATOR -
  • 71. BENAA PROJECT /12 MONTHS • HEALTH EDUCATION • 603 Participants • 07 Local Partners • 20 Workshops in creative art such as : • 07 Workshops in Breastfeeding strategies • 06 Workshops in Healthy nutrition • 07 Workshops in Earlier breast cancer detection • 03 geographic focus ( West Rafah – Rafah Camps – Rafah Sea) • PMRS PROJECT/ 06 MONTHS • HEALTH CARE SERVICES • 2021 BENEFICIARIES • 24 MEDICAL DAYS
  • 72. TASK FORCE PROGRAM S PMRS PROJECT - IRD /USAID PROJECT IN CHARGE OF PROGRAM 01 GYNECOLOGIST 01 NURSE 01 PEDIATRICIAN 01 LABOR MATERNAL HEALTH PROGRAMS – 02 DAYS/WEEK WOMEN CARE – CHILD CARE – FAMILY CARE PMRS – 06 Months time JANUARY – JUNE 2010 IRD PROJECT / USAID – PUBLIC HEALTH CAMPAIGNS – BREASTFEEDING STRATEGIES EARLIER DETECTION OF BREAST CANCER ANEMIA CONTROL PROGRAMS IN 08 DEPRIVED AREAS IN RAFAH PSYCHO SOCIAL SUPPORT PROGRAM REINFORCING WOMEN CARE WITH HOME VISITS AND AREAS ASSESSMENT APRIL – JULY 2010 PMRS – RELIEF MEDICAL ASSISTANCE – JULY –JANUARY 2010 06 DAYS / WEEK WOMEN CARE – CHILD CARE- LABOR SERVICES- MEDICAL ASSISTANCE DAILY BASIS – PHYSIOTHERAPY – HEALTH CARE SERVICES – FREE PRESCRIPTION – AREAS ASSESSMENT AND BENAA PROJECT- CARE – CEE - WOMEN EMPOWERMENT PROGRAMS IN HEALTH & EDUCATION – HEALTH CARE PROGRAM REINFORCING WOMEN CARE PROGRAM WITH EARLIER DETECTION OF BREAST CANCER – 255 WOMEN – HEALTH EDUCATION BENEFITS OF BREASTFEEDING IMPORTANCE OF BIRTH PREPAREDNESS & FREQUENT CHECK UPS ANEMIA PREVENTION 03 MONTHS – TECHNICAL MEETINGS WITH WOMEN GROUPS FOCUS FOR BETTER MEETING HEALTH NEEDS – PSYCHO-SOCIAL PROGRAM CAPACITY BUILDING PROGRAMS FINANCIAL – HUMAN WOMEN RIGHTS PROGRAMS – DOMESTIC VIOLENCE- WOMEN GROUP COALITIONS DOCTORS OF THE WORLD IMPLEMENTING 9 WORKSHOPS IN WATER POLLUTION – WOMEN CARE FOR 180 WOMEN - 19/9 – 14/10 JANUARY – DECEMBER 2010 AL BAIT AL SAID ADMINISTRATION WRITING & NEGOCIATING PROJECTS SET UP PROJECTS IMPLEMENTATION & PROGRAMS TASK FORCES FRAMEWORK PLAN AND PLANNING SESSIONS MONITORING & MENTORING PROGRAMS EVALUATING PROGRAMS REVISE FINAL REPORT & DISPATCHING TO REGARDING ISSUES PREPARING WEB-SITE & MANAGERIAL MEETINGS COORDINATING & ORGANIZING MEETINGS- WORKSHOPS – MEDIA REPORTS – ANNUAL STRATEGIC PLANNING- STATISTICS – ANNUAL RESULTS REPORT TO GENERAL ASSEMBLY MANAGERIAL MEETINGS WITH REGARDING ISSUES MID TERM REVIEW – CONDUCTING PLANNING SESSIONS – PROGRAMS WRAP – UP FINAL RESULTS SUBMITTED TO ABAS BOARD
  • 73. PROGRAMS ACHIEVED ITEM WORK FORCE ACTIVITY BENEFICIAR Y SPAN PLAYERS SPONSORS 01 MATERNAL HEALTH 16 WOMEN CARE 376 WOMEN 06 MONTHS A.ZOOROB R.QICHTA B.QICHTA S.QICHTA IRD/USAID 24 MEDICAL DAYS FREE SERVICES LABOR - PRESCRIPTIO N 2.021 09 MONTHS S.BUHDARY D.M.ZOORO B PMRS/CEE 18 DAYS 15 DAYS 03 DAYS BREAST EXAMINATIO N 320 115 435 06 REFERAL CASES 18 DAYS R.QICHTA B.QICHTA S.QICHTA IRD/USAID CARE/CEE 02 PSYCHOSOCIAL SUPPORT PROGRAM 82 GROUP THERAPY 227 HOME VISITS 678 438 06 MONTHS M.ABED W.A.RIACH Y.SHAHINE IRD/USAID 03 TRAININGS LEADERSHIP SKILLS 01 03 DAYS Y.HEGAZI UNDP/HARPAS POST-NATAL CARE SKILLS 01 03 DAYS R.QICHTA UNFPA/NHC LIFE SUPPORT TRAINING 01 03 DAYS Y.HEGAZI GANZO/CEE TOT ADV.SKILLS IN WOMEN REFORMS 01 03 DAYS N.ZOOROB CARE/CEE FIRST AID EDUC 01 03 DAYS N.ZOOROB GANZO/CEE
  • 74. CATEGORY MORBIDITY UNDER 3YEAR FROM 3-15 YEAR OVER 15 YEAR TOTAL N/ MORBIDITY INFECTIOUS DISEASES Respiratory Tract Infections RTI 50 89 213 352 Diarrhea 99 25 24 148 Amoeba 120 32 78 230 Guardia 48 45 46 139 Skin Infection 9 17 104 130 Urinary Tract Infections UTI 9 13 69 91 Sexually Transmitted Diseases STDs 11 261 272 Vaginitis 52 52 Eye Infections 4 4 15 23 Ear Nose Throat ENT 8 14 64 86 CHRONIC DISEASES Hypertension 175 175 Diabetes (NIDDM) 140 140 Asthma 59 59 EMERGENCY Burns 3 4 38 45 Fracture, sprain, dislocation 9 7 34 50 Cuts, Bites, Open Wounds 1 7 4 12 Cardiac 1 8 9 ANEMIA Anemia 1 7 8
  • 75. CATEGORY TOTAL MORBIDITY 2.021 100%  03 YEARS 03-15 YEARS +15 YEARS INFECTIOUS DISEASES 1.523 75.36% 347 250 926 CHRONIC DISEASES 382 18.90% NA NA 382 EMERGENCY 116 05.74% 13 19 84 0 2 4 6 MORBIDITY PROGRESS
  • 76. TOTAL BENEFICIARIES  03 YEARS 03-15 YEARS + 15 YEARS 2021 100 %  360 17.82% 269 13.31% 1.392 68.87% 0 1 2 3 4 5
  • 77. ITEM GEOGRAPHIC FOCUS BENEFICIARI ES NUMBER PERCENTAGE % 01 CANADA CAMP 743 37 02 TEL SULTAN 648 32 03 WEST RAFAH 630 31 04 TOTAL CUMULUS 2021 100 BENEFICIARIES BY AREA
  • 78. ASSIGNMENT 2010 % IN $ USD SPONSORS WELFARE 2.260 02 % NA SALARIES 42.780 06.600 11.460 60.840 75 % IRD/USAID CARE/CEE P.A. CUMULUS CONTINGENCY SUPPLIES 14.044 17 % IRD/USAID RUNNING COSTS 3.800 04% IRD/USAID TOTALS 80.944 100% NA ANNUAL EXPENDITURE ANNUAL DISBURSEMENT
  • 79. ITEM YEAR TOTAL BENEFICIARIES RATE % TOTAL HEALTH SERVICES % COMPREHENS IVE INSTRUCTION PROGRAMS % 01 2002 808 100 % 508 62.9 % 300 37.1 % 02 2003 1.960 100 % 912 46.5 % 1048 53.5 % 03 2004 6.532 100 % 1867 28.6 % 4.668 71.4 % 04 2005 2.131 100 % 1.288 60.4 % 843 39.6 % 05 2006 4.976 100 % 4.656 93.6 % 320 6.4 % 06 2007 June 2008 7.539 100 % 7.249 95.7 % 290 4.3 % 07 2009 2.813 100 % 1.848 66 % 950 34 % 08 2010 4.980 100% 2.021 40.58 % 2.959 59.42%
  • 80. ENVIRONMENTAL SCAN • Solid and efficient coordinating between CBOS and local communities • Findings approaches had increased equal opportunities of women in participating to social fields and expressing their needs • Graduates skills increased in managerial capacity and programs implementation • Relevant participatory needs assessment with CARE PROJECT • Strengthened women network • Gain of women appreciation in prioritize their needs • Maintained relationship with families in conflict situations • Mothers responsive to change their attitudes towards negative traditions toward earlier marriage and girl education
  • 81. SPOTLIGHTS TEL SULTAN BADR CAMP CANADA CAMP WEST RAFAH MESABAH VILLAGE SHOUKA VILLAGE YEBNA CAMP SHABURA CAMP BRAZIL CAMP
  • 82. WEST RAFAH Tel Sultan West Rafah Canada Camp West Camp Tribes / zoorob – shaat Badr Camp EAST RAFAH Shabura Camp Nejma Round Zouhour city Siamat area Shaat Area Khirbet el Adass Oraiba Village Nasr City RAFAH TOWN Yebna Camp Town Ville Brazil Camps Salama city Maabar Rafah Total of 19 high fragmented areas FOCAL POINTS
  • 83. PLAYERS YOUSSER HEGAZI P.MANAGER NAHIDA ZOOROB SUPERVISOR SlLIMANE BUHDARY F/COORDINATOR AHMED BARAKAT MEDIA REPORTER AHMED EID AHMED BUHDARY WAEL ABO RIACH HANA BUHDARY FATMA HIJAZI MOHAMED ZOOROB KAMILIA NAHAL KHOULOUD ALI SOCIAL WORKERS MANAL ABED YASMINE SHAHINE MERVET JAVER WAFA ABO RIACH PSYCHOLOGISTS DHIA QADHI HALA ABO KHIR BATRA DHAHIR SOUHIR QICHTA FAHD LIDAOUI ADMIN STAFF RAWAN QICHTA ABDALLAH ZOOROB NURSES