Background
Since 2017 FHI 360’s Integrated Humanitarian Assistance to Northeast Nigeria project (IHANN) now IHANN II project continues the work of the previous IHANN project in providing a multisector humanitarian response in Borno state. The project, which is funded by the U.S. Agency for International Development (USAID) Office of U.S. Foreign Disaster Assistance now Bureau for Humanitarian Assistance (BHA), works to reach 150,000 internally displaced persons (IDPs) and host communities with access to essential lifesaving services through the delivery of primary and reproductive healthcare; gender-based violence and child protection; nutrition; and water, sanitation, and hygiene (WASH) interventions to meet the most immediate needs of this population.
IHANN II’s goal is to contribute to reduced morbidity and mortality and improved the well-being of conflict-affected and displaced Nigerians in Borno state.
Map of Borno State
Objectives
The project has four thematic areas with the following objectives:
- Improve access to critical primary health care, reproductive health, and health outreach services in conflict-affected and displaced communities;
- Improve the wellbeing of vulnerable individuals through increased access to psychosocial support services and integrated gender-based violence (GBV) and child protection support;
- Ensure the wellbeing of IDPs and host communities through access to clean and safe water, improved sanitation facilities, and improved hygiene practices; and
- Improve the nutritional status of the most vulnerable groups, including pregnant and lactating women (PLW) and children under five through the management of acute malnutrition and infant and young child feeding in emergencies in both the IDP and the host community populations.
A pharmacy at the FHI 360 primary healthcare drug dispensary in Banki
Project activity
Provide support to five clinics in the form of medical commodities and staff training to facilitate primary health care (PHC) and sexual and reproductive health (SRH) services, among others;
Conduct training, provision of outreach materials/supplies, and supportive supervision to Community Health Workers (CHEWs) to enable them to resume community outreach;
Establishment of health outposts in each location to reduce the caseload on static health facilities;
Provide support to safe spaces with case management and psychosocial support (PSS) services for survivors of gender-based violence;
Provide support to safe healing and learning spaces with case management and PSS services for children aged 3-17 and child protection community-based mechanisms to identify and respond to child protection concerns;
Rehabilitation/installation of essential WASH infrastructure, including latrines/bathing facilities, and solar-powered boreholes;
Distribution of hygiene kits coupled with hygiene promotion;
Sanitation interventions, such as installation of waste points, drainage interventions in flood-prone areas and cleanup campaigns, to reduce the environmental health risks;
Provide support for optimal infant and young child feeding (IYCF) with integrated multi-sectoral interventions; and
Conduct training of CHEWs and health workers and support for them to provide appropriate services for the management of SAM.
Community member during camp Saturday cleanup campaign in Dikwa.
Performance on each indicator
Health
- Number of outpatient consultations by sex and age
- Male under 5years: 47,346
- Male above 5years: 53,788
- Female under 5years: 45,823
- Female above 5years: 85,735
- Developing and strengthening educational systems in Northern Nigeria
- Number of pregnant women who have attended at least two comprehensive antenatal clinics - 18,517
- Number of women and newborns that receive postnatal care within three days of delivery – 6,756
- Number of pregnant women who deliver assisted by a skilled attendant at birth (e.g. facility or home)
- Facility based deliveries: 5,964
- Home based deliveries: 58
Protection
- Percentage of targeted children reporting an improvement in their sense of safety and well-being at the close of the program - 100%
- Number of individuals accessing GBV response services, disaggregated by sex and age - 6,113 females
- Number of individuals benefiting from GBV outreach activities, by sex and age
- Male under 18 years: 17,565
- Male above 18 years: 26,320
- Female below 18 years: 24,494
- Female above 18 years: 36,581
WASH
- Number of people receiving improved service quality from solid waste management, drainage, or vector control activities - 59,548
- Number of people receiving direct hygiene promotion – 146,169
- Percent of households targeted by the hygiene promotion program who store their drinking water safely in clean containers – 47.5%
- Number of water points developed, repaired, or rehabilitated that are clean and protected from contamination – Percentage: 100%
Nutrition
- Number of people receiving behavior change interventions to improve infant and young child feeding practices, by sex and age – 45,373
- Number of people receiving micronutrient supplement (type specified), Vitamin A, Folic Acid, Iron tablet, micronutrient powder
- Vitamin A: 22,99
- Folic Acid: 34,214
- Iron tablet: 31,243
- Micronutrient Powder: 31,315
1. A caregiver receiving one-on-one counseling on breastfeeding at the IYCF corner at the Banki health facility | 2. FHI 360’s IHANN staff prepping Community Health Workers on key health messages for community awareness in Banki | 3. Patients at the waiting bay at the primary healthcare clinic in ISS IDP camp, Ngala pre-COVID-19 | 4. FHI 360’s IHANN staff prepping Community Health Workers on key health messages for community awareness in Banki | 5. An FHI 360 Midwife examining a pregnant woman during ANC visits at the Primary healthcare center in Banki
Social Impact
- Reduce human suffering directly caused by crisis and conflict
- Developing and strengthening systems
- Improving individual health
Success Story
Click on the link below for IHAN II Success Story