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GAVI HSS PROJECT IN KWAHU AFRAM PLAINS SOUTH DISTRICT

Introduction
This a project to improve immunization coverage in the district in 5 selected satellite zones.
Door to door campaigns, community sensitization, quarterly outreach services, quarterly durbar, and other immunization campaigns will be done to support and improve immunization coverage
The project will ensure that all children under 5 years in the satellite zone will be fully immunized.

The selected satellite zones are hard to reach islands in the district.
These communities are
1. Bumpata
2. Ahiatroga
3. Hlihadzi
4.Tsutsukope
5.Torgome

Executive Summary
The benefits of vaccination are clearly demonstrated by the eradication or enormous decline in the incidence of many vaccine-preventable diseases, but the coverage of many highly recommended vaccines in the Kwahu Afram Plains South is still frequently inadequate.
Recognizing barriers to the vaccination of children confronting national health systems, providers and parents, and the ways in which they can be overcome. Most of the problems underlying limited vaccination coverage among children are due to a lack of transport means for health officials to reach out to the target group-pregnant women and children under age five, misunderstanding on the part of some parents, which underlines the need for support programs specifically to for these groups.
It is also essential that all of the nurses’ providing immunization develop approaches that acknowledge parents’ concerns and respectfully try to correct any misinformation. Other means of extending vaccine coverage include the implementation of adequate provision of immunization services in at the community level or by integrating healthcare sites, improve on limited access to vaccination services.
However, it will take the combined efforts of healthcare providers and other stakeholders to pull down all of the barriers. Intervention

The DMAC Foundation has been serving community members in Togome, Tsutukope, Bumpata, Hlihadzi and Ahiatroga all Island Communities for the GAVI HSS flagship, which supports activities in immunization, and encourages opportunities for integration of activities and services when feasible.

The GAVI HSS project addresses the barriers to accessing and using key evidence-based interventions across the life stages (1,000 days) from pre-pregnancy to 24 months and to age 5 when an opportunity is missed—by linking communities, and primary health facilities-through outreaches, home visits, meetings, and durbars among others.

By helping facilities and community members to identify and focus on innovations that will save lives, the GAVI HSS project supports delivery of evidence-based interventions through strengthening of primary health system. Community sensitization programs, durbars, outreach services, home visits by volunteers, and stakeholders meetings were implemented fully.

Impact
Nationally, immunization coverages are significantly increasing. The GAVI HSS project has contributed to these national increases in immunization, and improved the health of the local communities in the Kwahu Afram Plains South.
At the household, community and facility level, the DMAC Foundation implemented and worked in collaboration with the Heath Services providers to scale up high-impact interventions to bridge the gabs in immunization coverage in the area of intervention by Reaching Out to All Children (ROAC).
Community solutions support initiatives to improve vaccination and infant health that will reduce our community's rates of infant morbidity.
All the satellite sites has been visited and children especially defaulters have been immunized. Such defaulters would have been susceptible to such vaccine preventable infections leading to outbreaks.
Background of the Project

Supporting civil society participation in Health System Funding Platform (HSFP) falls under Global Alliance for Vaccines and Immunization (GAVI) strategic goal of contributing to strengthening the capacity of Integrated Health Systems (IHS) to deliver immunization by resolving health systems constraints, increase the level of equity in access to services and strengthening Civil Society Engagements in the health sector.

Project Goal
The GAVI-HSS flagship project initiated by the GCNH through its selected registered member organizations is to generally increase immunization coverage of 89% in 2013 to at least 90% by end of 2018.

Project Objective
Obj. 4: To empower civil society for increased demand for health services at the community:
This will enhance collaboration among various partners for effective service delivery at the community level.

Brief Profile of CSO/LIST OF PROJECT COMMUNITIES
Divine Mother and Child Foundation is a not for profit Non-Governmental Organization (NGO) to identify, address and prevent complications that arise during pregnancy, labor and postpartum periods and ultimately decrease maternal and infant mortality rates in Ghana

Project Area
The Kwahu Afram Plains South District is one of the 26 administrative districts in the Eastern Region.
The Kwahu Afram Plains South was carved out of the Kwahu Afram Plains North District and established by the legislative instruments LI 2045, with its capital at Tease in the year 2012.

Location and Size
Kwahu Afram Plains South District is located at the North-Western corner of the Eastern region. It covers an area of 2,520 sq. km in terms of landmass.
The District shares boundaries to the North by Kwahu Afram Plains North, South by Kwahu South District, to the East with Volta Lake and to the West with two districts in the Ashanti region precisely the Ashanti Akyem and Sekyere East Districts.

There are three main entrances into the Kwahu Afram Plains South District by road. Namely through the Nkawkaw – Mpraeso – Bepong – Kwahu Tafo and Adawso from where the Three-Kilometer-wide Afram River is crossed to Ekye – Amanfrom by Ferry operated by the Volta Lake Transport Company (VLTC). The second entrance is through Agogo – Dome – Maame Krobo then to Tease, the district capital. The third rout is through Donkorkrom to Tease.

The district has total communities 253 in which Togome, Tsutukope, Bumpata, Hlihadzi and Ahiatroga are part.

All these five communities are island communities

Occupation
The predominant occupation in the communities is fishing which employs about 77.2% of the total labour force

Religion
The religious denomination of the people in the communities’ ranges from predominantly Christian, Islamic and Traditional religion. Examples of the churches found in the area are: Catholic, Presbyterian, E. P, C.A.C among others.

Ethnicity
Ethnically, the predominant ethnic group is Ewes followed by Akan, the Kwahus, as well as tribes from the Northern extraction of the country with many other smaller ethnic groups represented and also very noteworthy is the increasing number of the Nomadic Fulani’s. However, the widely spoken language is Ewe. Climate

The communities fall within the savannah vegetation zone comprising the savannah transitional zone and savannah woodland which is characterized by short deciduous fire resistant trees often widely spaced and a ground flora composed of grass of varying heights which is associated by two main rainfall seasons occurring in June and October; the first rainy season starts from May to June and the second from September to October. The mean annual rainfall is between 1150mm and 1650m. The dry seasons are distinct starting between February and March (36.80c and 36.60c on the average respectively), whiles the coldest ones are December and January (19.90c and 20.10c on the average respectively). Relative humidity is generally high throughout the year, ranging between 68.2% and 71.6% in the dry season and 81.6% and 71.6% in wet seasons.

Transport and Communication
The road networks are very bad in the communities most of them travel by water. Most of the roads in the communities are rugged, rocky and un-tarred making it difficult to transverse in the rainy season. Telephone communication is available in all the communities.

Electricity
In terms of electricity, all the communities are not connected to electricity.