Djibouti is located in the Horn of Africa bordering Eritrea in the north, Ethiopia in the west and south, Somalia in the southeast, the Red Sea and Gulf of Aden to the east. The country is host to refugees and asylum-seekers from Eritrea, Ethiopia, Somalia and Yemen.

In 2017 the Djibouti programme of Action Africa Help International (AAH-I) provided essential health care to refugees and asylum seekers living in Ali Addeh, Holl Holl and Markazi (Obock) refugee camps, and in Djibouti City. The assistance improved access to the national health care system, strengthening primary health care, reproductive, maternal and child health, family planning, HIV and AIDS, and nutrition services to the refugees and asylum seekers in the camps and city.  AAH Djibouti collaborated with l’Office National d’Assistance aux Réfugiés et Sinistrés (ONARS), UNHCR, World Food Programme (WFP), United Nations Children’s Fund (UNICEF), United Nations Population Fund (UNFPA), partner referral hospitals and administrators of the refugee camps.

Projects

Programming Pillars

PROTECTION AND ASSISTANCE TO REFUGEES IN DJIBOUTI
Ali Sabieh, Obock and Djibouti RegionsAli Adde, Holl-Holl, Markazi refugee camps, and Djibouti city
SDG GOAL 3Goal 3: Ensure healthy lives and promote well-being for all at all ages
The project contributed to the progress towards achieving Targets 3.1, 3.2, 3.3, 3.4, 3.7 and 3.C of Sustainable Development Goal 3 by preventing maternal, neonatal and child mortality; containing occurrence of HIV/AIDS, measles and tetanus; administering treatment for mental illness; facilitating access to sexual and reproductive health-care services, and; capacity building of community health workers.
The project assisted the Republic of Djibouti with provision of comprehensive essential health care to about 26,915 refugees and asylum seekers. Patient visits to the health facilities in the refugee camps averaged the World Health Organization (WHO) acceptable standard of 2.5 per person per year. Significant coverage was achieved in measles vaccination, tetanus toxoids administration, mental illness treatment, HIV/AIDS testing and counselling propelled by awareness campaigns on communicable diseases. Around 60% of the number of pregnant women anticipated for the first half of the project received education on mother-to-child transmission. Broad antenatal care was provided for about 61% of pregnancies including, deworming and prescription of Vitamin A, ferrous folic and food supplements for anemia mitigation. Several thousand undernourished children, lactating and pregnant mothers also received supplementary feeding. A substantial number of beneficiaries obtained reproductive health and sexual health services including family planning. Computerized systems for tracking inventory, dispatch and use of medicine across the health facilities were deployed, and facility staff trained on health information systems, integrated management of childhood illness, drugs utilization management, nutrition and reproductive health. A network of Community Health Workers and Local Health Committees was established at the camps and linked with elaborate referral arrangements at regional and national health institutions.
The project supported the Government of the Republic of Djibouti adoption of the Comprehensive Refugee Response Framework (CRRF) by addressing gaps in utilisation of health facilities; improvement of health service deliver; provision of essential drugs and medical supplies; capacity building of health staff; use of Health Information (HIS) tools; strengthening of community structures; harmonising of medical referral mechanisms; promoting safe motherhood, PMTCT and family planning; raising HIV awareness and promoting behavior change, and improving nutrition among high risk groups. The overall objectives were to improve general health status, access to reproductive health and HIV services, and nutritional well-being of the targeted population.
In January 2018, the Ministry of Health and UNHCR signed a cooperation agreement for the inclusion of refugees in national health systems. The objective is to give refugees the same healthcare and access to the same health services as Djiboutian nationals. Henceforth, the Ministry of Health is in charge of the healthcare for refugees.
Start Date: April 1, 2017End Date: March 31, 2018
Donor and/or Lead Agency: UNHCR

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