Afar Pastoralist Development Association (ADPA)

Mobile Primary Health

Coverage in figures

The region claims the following coverage:

  • Overall health coverage: 52%
  • EPI coverage: DPT 42%
  • Potable water coverage: 32%
  • Sanitation coverage: 2%

Structural institutions

The regional health structure consists of hospital → health center → clinic → health post. The government does not as yet have health agents in the community that are not attached to a structural building. A health center has around 10 inpatient beds, delivery room and a laboratory service. A clinic may or may not have a simple microscope, but does not normally have inpatient service. A health post offers basic treatment and disease surveillance.

In the region, there are

  • 2 medium – sized ‘zonal’ hospitals: one in Dubte, central Zone 1 in the east and one in Ami Bara, Zone 3 close to the southern tip of the region.
  • 19 health centers mostly in woreda administration centers
  • 40 clinics
  • 129 health posts.

APDA has not got any health structures.

Professional staff

  • Within the government

Aside from the staff of the 2 region’s hospitals, there are a total of 3 doctors, 18 health officers, 128 senior nurses, 82 junior nurses, 27 pharmacists, 17 senior laboratory workers, 7 junior laboratory workers, 13 sanitarians, 337 frontline health workers and 32 health extension workers. Many of the government health staff are not Afar and they mostly do not come from the community they serve.

Within n Dubte Hospital, the largest of the 2 there are currently 6 doctors and over 40 nurses. The hospital is rated a ‘zonal’ hospital, one rating below a ‘referral’ hospital.

Within APDA

APDA currently has 202 mobile primary health workers working in 10 woredas. These health workers are managed in teams under 14 health field administrators. The overall primary health program is managed by 3 nurses one of whom is also a midwife. Health workers perform health education mobilization, nutrition monitoring, undertake basic treatment, perform vaccination, work with traditional birth attendants (TBAs). APDA has trained and continues to link up with 450 TBAs. Finally, women extension workers, literate women from the community who are trained to mobilize the community in hygiene, sanitation, nutrition, mother/ child care, safe motherhood, HIV prevention, stopping harmful practices deliberately place pastoralist women as implementers of primary health in the community. The organization has 139 such women. These women have supervisors. All these staff are Afar and from the community they serve.

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