Physicians for Social Justice, PSJ

 

 

 

 

ANNUAL REPORT 2016

Sustainable Primary Health Care System

Rooted in the Community

 

 

 

 

 

 

Physicians (Doctors) for Social Justice: Annual report 2016

 

 

ANNUAL REPORT EDITED BY

NAME

PHONE #

EMAILS

Team Leader:

Dr Igboekwu Chukwumuanya

 +2347087798514

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Sr Program Officer:

 Mr Adebayo Depiver

+2348065786569

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Sr Program Officer

Ms Nwachukwu Chizoba

+2347037302622

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MERL Officer(S):

 Mr Shedrack A. Muazu

 +2347063441369

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PSJ contact email

Email 1: This email address is being protected from spambots. You need JavaScript enabled to view it.;: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Report Contact Person:

 Dr. Igboekwu Chukwumuanya, MBBS, MPH

PO, Box 18

Kontagora 923101, Niger State, Nigeria

FROM THE TEAM LEADER

 

Our dear stakeholders,

I am very delighted to share with you a brief of our activities in 2016, a year that brought with it hopes and challenges, considering that our country Nigeria is in economic recession and many of our citizens faced severe socio-economic challenges. Many families could not afford cost of accessing basic healthcare, even though the right to health is a fundamental human right. The right to the highest attainable standard of health and wellbeing”, is a universal human right enshrined in the various international human right treaties and instruments including the Universal Declaration of Human Rights (UDHR, article 25), the International Covenant on Economic Social and Cultural Rights (ICESCR, article 12), the Convention on the Rights of the Child (CRC, article 24) and African Charter of Peoples and Human Rights (ACPHR, article 16).    

Our 2016 Annual Report theme of ‘Sustainable Primary Health Care System rooted in the Community”, once more directs our attention to the core of our mission as an organization which envisions a world where everyone individual in every community lives in optimal health and wellbeing. Even as we hold on to this vision, we also realize that for hundreds of thousands of individuals and families in rural Nigeria, the realization of this vision cannot materialize without a functional sustainable Primary Health Care (PHC) system rooted in the community, because Africa lives in her villages. The lack of functional primary health care system is a major contributor to the poor health indicators in our country, as thousands of people residing in rural communities lack access to health and sanitary facilities, medical supplies and community health workers.

We also realize that we cannot have a functional PHC system without the active involvement and participation of the community. That is why we devoted 2016 working with local communities and authorities to make this a reality through mobilization, engagement and transformative partnerships to generate resources, and demand health equity and accountability. We understand that mobilizing communities for building a sustainable PHC system involves taping into social networks, helping stakeholders identify common health goals, and building on the strength of long-held cultural values.

During the past year, we implemented major activities in community health, including tuberculosis & malaria prevention and control, and HIV Prevention, treatment and care, including PMTCT. We continued with implementation of STRECOMS project, a PACF/ViiV Healthcare supported PMTCT project that has had unprecedented impact in reaching thousands of rural women with HIV prevention and SRH services.  These impactful initiatives will be carried through to 2017.

We acknowledge the invaluable support of our donor partners, state and local authorities, staff, volunteers, our board and our broader community stakeholders, to the work we do. We are privileged to work alongside all of you.

 

 Igboekwu Chukwumuanya, MBBS, MPH

Team Leader

Who we are

 

Physicians (Doctors) for Social Justice (PSJ) is a non-profit community-based development organization registered with the government of Nigeria. PSJ was founded in 2004 by young physicians who witnessed firsthand, the devastating impact of poverty and disease on the rural poor in northern Nigeria. Working with meager resources, under very challenging circumstances and environment, PSJ’s activities aim to reduce the burden of diseases among the rural poor, as well as promote community health, and achieve broader social justice for marginalized rural communities in Nigeria.

 

How we Work

PSJ is working to address health, and broader social justice issues affecting poor rural communities in northern Nigeria, while also strengthening their capacities to advocate for their rights, and to keep their women, children and young people healthy.

PSJ uses innovative, practical, cost-effective solutions to reduce the burden of diseases and health challenges, while strengthening the capacities of marginalized rural communities to keep their women, children and young people healthy.

 

PSJ’s broad framework and holistic strategy addresses the full spectrum of health and social issues that limit rural people’s access to healthcare and that lead death of women, children and young people: from weak health systems and impeded transport to lacking community awareness about health and family planning. We are creating social change by promoting health-seeking behaviors in families, developing the capacity of local people as community volunteers through training, and initiating community dialogue that encourages community to place priority on women’s health. Through community outreach activities, PSJ mobilize families to access primary health services and treatment. PSJ engages in local and state level advocacy to the duty bearers to invest in human right fulfilling areas of health, sanitation, and education.

 

Who we Support

PSJ’s target groups are the most vulnerable populations in marginalized communities; women, children, young people, sex workers and people living with HIV/AIDS. PSJ currently serve a population of approximately 200,000 rural women, youths, children, and families affected by HIV/AIDS in rural northern Nigeria, through sustainable grassroots projects that help keep communities health and strengthen local capacity to deliver essential health services to their vulnerable populations.

Our Mission & Vision


Vision

We envision a society where every individual in every rural community lives in optimal health and wellbeing.

 

Mission

A community of development workers and health professionals who seek to ensure that every family in every rural community in Nigeria has optimal access to essential services including healthcare, water and sanitation, education, and sustainable livelihood through  direct healthcare services delivery, community mobilization and engagement, capacity development, and micro grant making to vulnerable households.

 

Core Beliefs

·         We believe that access to healthcare is a basic human right.

 

·         We believe that disease and poverty mainly result when people are denied their human rights, be it economic, social, cultural, civil or political rights.

 

·         We believe that better health, is crucial to better standard of living.

 

 

Our Guiding Principles

·         We uphold the highest standard of professional integrity, ethical conduct and prudent use of resources in the pursuit of our mission and vision.

 

·         We practice healing, respect for life and human dignity in the pursuit of our core mission.

 

How PSJ’s Initiatives allow local people to take leadership of their own development

 

PSJ's programmatic initiatives have responded not only to the immediate development and humanitarian needs of vulnerable local communities they serve through direct service delivery, but also seek to tackle the root causes of their exclusion and marginalization, including lack of capacity, feeling of powerlessness, and lack of voice to shape public policy especially at the local level. PSJ’s initiatives to put communities they serve in the ‘driver’s seat’ of their own development are twofold. The first involves strengthening the functional and technical capacities of citizens of local communities to deliver services to their population. The second initiative uses human rights framework to promote awareness of rights as well as empower communities to engage in advocacy to demand for social services and provision of rural infrastructure.

One of the strategic objectives of PSJ’s community health program is to empower and build the capacity of communities in Integrated Community Case Management (ICCM) to reduce deaths due to malaria, diarrhea and pneumonia. In order to achieve this, PSJ began training of local people from within communities they serve, as village health assistants and community volunteers.  In the past six years, the organization has trained over 250 village health volunteers and 228 community HIV peer educators. For each village served by PSJ, at least two health volunteers are trained. Parts of the volunteers’ responsibilities include providing treatment for common ailments such malaria and diarrhea, and training parents in their respective communities on how to recognize common illnesses in their household members. Each local health volunteer is provided diagnostic tools and treatment supplies to conduct rapid diagnostic tests (RDT) for suspected malaria cases, and initiate treatment once the cases test positive. This enabled early treatment especially for children under five who bear the greatest morbidity and mortality burden of malaria due to late initiation of treatment parents to start malaria treatment immediately, even before they reach the nearest health facility.

 

Community TB Project

 

The World Health Organisation (WHO), estimates that 1.8 million people died from TB in 2015, of whom 0.4 million were co-infected with HIV. According to the WHO in its 2016 “Global Tuberculosis Report”, Nigeria ranks fourth behind India, Indonesia and China as one of the six countries which accounted for 60 per cent of the total TB burden.

Over 600,000 new cases of tuberculosis occur annually in Nigeria (NTBLCP). A substantial number of the people infected in the country are unreported or undiagnosed, most of whom are women and children in neighborhoods where poor ventilation and squalor abet the spread of the disease. While TB is curable, its effective control is dependent on early detection, correct diagnosis and proper treatment.

In February 2016, PSJ began implementing a community-based TB project (under ARFH/ Global Fund ATM funding model) in two rural districts of Tunga Kawo- Kudu Arewa of Kontagora. The project engaged and developed the capacity of two dozen community volunteers/ Community TB workers (CTWs) to provide accurate information on tuberculosis (TB) to community members in the two districts through community-level sensitization, mobilization and identification of TB cases, thereby creating demand for TB services (diagnosis and treatment). The CTWs conduct house-to-house search for TB cases in neighbourhood slums and communities and strengthen the mechanism for community linkages and coordination by collaborating with relevant stakeholders in the two districts in order to promote ownership and long-term sustainability of the project.  All presumptive cases identified are followed up for sputum collection, and laboratory diagnosis, while contact tracing is conducted for positive clients. Clients who are confirmed TB positive are supported to initiate chemotherapy. All services are provided free of charge to clients.

Through this project PSJ TB/ACF CTW team have reached 70,000 community members with TB awareness, while the CTWs have conducted house-to-house search for TB in over 11000 households visited and screened for TB. Among those screened, 200 presumptive TB cases were identified and 18 cases of active TB disease have been enrolled in treatment and follow-up care and support services. Due to the successes being recorded, the TB project is being expanded to three additional high risk districts of Magajiya, Yamma and Gabas. Launch meetings with stakeholders from the three districts have already been held to mobilize and sensitize community members. As a result of the project, health seeking behavior of the community members have generally improved.

Community Health Program via Mobile clinics

  

WHO estimates that 1.3 billion people have no access to any form of formal health care. In Nigeria, most health facilities, professionals including doctors, nurses, laboratory workers and other paramedical professionals are concentrated in the cities; leaving people in rural areas where health services are most needed with little or no nobody to take care of their health needs. Nigeria’s health indicators are very poor; under-five mortality rate is 117 per 1,000 live births while maternal mortality ratio is 560 per 100,000 live births.

In 2016, PSJ community health program reached additional 8300 rural people mainly women and children in 6 remote districts of rural Niger State. Via the mobile clinic outreach, PSJ provided life-saving healthcare services and preventive health services to communities who would otherwise not have access to such services. Working in partnership with communities and villages to address the numerous health challenges facing people in rural communities, PSJ deploys physicians, nurses, midwives and other community health workers to provide primary health care services to communities that lack access to modern healthcare. Many remote rural villages have no functional health facilities; other barriers to accessing health services include the long distance from their village to the nearest health facility, the financial cost of obtaining services. PSJ’s mobile clinic is helping to eliminate these barriers by taking healthcare to the doorsteps of these rural people free of charge.

PSJ’s community health programs is also empowering communities through building local capacity and training local people such as village health volunteers to take care of the basic health needs of their communities. PSJ’s mobile clinic services is enabling villages of last mile access primary health care services right at their doorsteps.  

PSJ expresses continuous gratitude to MIVA/one Men       

Physicians (Doctors) for Social Justice continues to express our gratitude to MIVA/oneMen based in the Netherlands for supporting PSJ in 2009 with a donation that enabled PSJ procure a [4-wheel drive Jeep, (MIVA nr. (3184)] as means of transportation in support of our community health program. The 4-wheel drive vehicle is the cornerstone of our mobile clinic activities; enabling PSJ’s Mobile Clinic team of physicians, nurses, and midwives to reach remote villages to provide lifesaving health services to the rural poor especially women and children, covering 331200 km of rough unpaved rural roads. Since 2009 till date, the mobile clinic has reached over 120000 people in 12 sub-districts of rural Niger State.

PREVENTION OF MOTHER TO CHILD TRANSMISSION OF HIV (PMTCT)

  

i.                                                                                                                                                                     ii

i. Refresher capacity building workshop on advoacy skills for ASWHAN (Association of Women Livng With HIV) at Chanchaga

ii HIV/SRH peer session targeted at pregnant and breastfeeding women at Chanchaga            

Through the STRECOMS (strengthening Capacity of Communities for Sustained Delivery of Integrated HIV and SRH Services) supported by ViiV Healthcare/ Positive Action for Children’s Fund, PSJ reached 8480 women with PMTCT services in 2016.

STRECOMS which focused on community intervention to keep HIV negative women negative and preventing unintended pregnancies especially among HIV positive women, while linking women and their families to PMTCT and ART services in collaboration with communities and the local governments, provided community-level primary HIV prevention and HTC in 65 communities across 24 wards (sub-districts) in two LGAs (Kontagora and Chanchaga) through 122 trained peer educators. Targeted HIV prevention and Sexual and Reproductive Health (SRH) education using the Minimum Prevention Package of Interventions (MPPI) strategy (that emphasizes dosage and intensity) was used to reach Women of Reproductive Age Group (WRA) including pregnant women and post-natal women (new mothers), who would otherwise not have access to such lifesaving information.

In 2016, 8140 women aged 20+years including 7727 HIV negative and 413 HIV positive women and young women were reached with HIV/SRH awareness and education. Trained mentor mothers reached the 413 positive women with SRH and Positive Health Dignity Prevention (PHDP) education using the platform of their support groups and association of women living with HIV in Niger State (ASWHAN). Out the 413 positive women reached with SRH and Positive Health Dignity Prevention education, 324 are currently using modern family planning method.

Through STRECCOMS, trained volunteers/peer educators and Traditional Birth Attendants (TBAs) continue to link women to SRH/ HIV services as well as maternal and child health services at both the community (through mobile clinics and HCT outreach services) and the health facilities (through community health workers who have been trained to serve as STRECOMS volunteers in health facilities). In 2016 alone, of the 8480 targeted WRA, 7253 including 3710 pregnant women aged 20+ years were tested and know their HIV status; thus contributing to ensuring that at least 90% of all women especially pregnant women in their communities receive HIV counselling and get tested (HTC), thus providing a unique opportunity for them to get prompt referral support and treatment if they test positive.

As the project draws to a close, engaging with community stakeholders especially men, sensitizing them about women’s health issues, importance of family planning and PMTCT, and urging them to embrace community charters to support efforts to increase community awareness about HIV and HIV related stigma, and remove barriers to the delivery of PMTCT, SRH and other MCH services is a major priority for the PSJ. In this regard, community leaders in 40 sub-district communities have made firm commitments to remove barriers to the delivery of PMTCT and other MCH services in their communities. For examples, in these communities, district and community chiefs now mandate men to allow their wives come out for HCT whenever the mobile HCT team schedules to visit these communities to conduct HTC outreach activities.

Table 1: SUMMARY OF STRECOMS QUANTITATIVE RESULTS IN 2016

S/N

STRECOMS INDICATOR

1ST HALF 2016

2ND HALF 2016

CUMULATIVE

1

Total number of people reached directly

4840

4480

9320

2

Total number of people reached indirectly

7050

7600

14650

3

Number of pregnant women aged 25+ years targeted

1700

595

2295

4

Number of non-pregnant women aged 25+ years targeted

1500

1200

2700

5

Number of pregnant young women aged 20-24 years targeted

800

695

1495

6

Number of non-pregnant young women targeted aged 20-24 years targeted

400

1590

1990

7

Number of men targeted

440

400

840

8

Number of targeted pregnant women aged 25+ years tested for HIV, who have received their results and know their status

1684

590

2274

9

Number of targeted non-pregnant women aged 25+ years tested for HIV, who have received their results and know their stus

450

1188

1638

10

Number of targeted pregnant women aged 20-24 years tested for HIV, who have received their results and know their status

756

680

1436

11

Number of targeted non-pregnant women aged 20-24 years tested for HIV, who have received their results and know their status

320

1585

1905

12

Number of targeted men tested for HIV, who have received their results and know their status

280

156

436

13

Number of targeted pregnant women aged 25+ years on treatment

30

14

44

14

Number of targeted non-pregnant women aged 25+ years on treatment

11

9

20

15

Number of targeted pregnant young women aged 20-24 years on treatment

16

17

33

16

Number of targeted non-pregnant young women aged 20-24 years on treatment

8

10

18

17

Number of targeted women and young women aged 20+ aware of HIV/SRH and/or receiving HIV/SRH education

4078

4062

8140

18

Number of targeted HIV positive postnatal women, adolescents and girls using modern family planning methods

430

324

754

19

Number of targeted HIV negative postnatal women, adolescents and girls using modern family planning methods

75

158

233

 

 

 

 

 

Integrated Vitamin A supplementation and deworming program

 

Vitamin A plays a crucial role in the health and development of children, and is critical in vision and bone growth, as well as protecting the body from infections such as measles. Without it, children can develop xerophthalmia, a medical condition in which the eye fails to produce tears. When a vitamin A deficiency causes xerophthalmia, it begins with night blindness and conjunctival xerosis (dryness of the eye membranes), progresses to corneal xerosis (dryness of the cornea), and in its late stages develops into keratomalacia (softening of the cornea).Without treatment, children run the risk of blindness.

 

It is estimated that 250,000 to 500,000 malnourished children worldwide become blind each year due to vitamin A deficiency. Children residing in remote rural communities are even at greater risk of Vitamin A deficiency due to poor nutrition.

With support from Vitamin Angels based in the USA, PSJ implemented a community and school-based integrated Vitamin A supplementation and deworming program in 20 rural primary schools and communities in Rafi, Mashegu, and Kontagora in rural Niger State, in 2016. Under the partnership, Vitamin Angels donated Vitamin A that will cover 30000 infants and children under-5, Chewable Albendazole enough to deworm 30,000 children U-5 and multivitamins enough to cater for 7020 pregnant lactating mothers.

The overall goal of the Integrated Vitamin A Supplementation and Deworming Program is to provide vital micro-nutrition nutrition to infants, children, pregnant and lactating women in remote rural hard to reach communities so that infants can stay healthy while school children can obtain the full benefit from their education. PSJ's approach is to utilize, the strategic role of school as the centre of community life for these children, using it as an important entry point to specifically address their essential nutritional and health needs.

To date, the Vitamin A and Deworming program has reached 23000 infants and children U5, dewormed 19,000 children U5 and reached 6500 pregnant lactating mothers with multivitamins essential for the healthy growth and development of their babies.

 

ProACT Positive Health Dignity and Prevention Project (PHDP)

PSJ implemented the ProACT comprehensive Positive Health Dignity and Prevention, PHDP, project, in four comprehensive HIV treatment sites including General Hospital New Bussa, General Hospital Mokwa, Shehu Shagari Hospital Nasko and General Hospital Tungan-Magajiya, with support from Management Sciences for Health (MSH) ProACT project funded by USAID.

The ProACT project volunteers reached 3405 HIV positive clients with PHDP services using home visits and support group meetings. Community volunteers also conducted 1661 defaulter tracking visits to clients who missed their ART clinic appointments or were lost to follow-up. The project successfully tracked 461 HIV positive clients (171 males, 290 females) and supported them with adherence counselling to return to ART clinic to resume their ARVs. Project increased ART uptake among positive clients has increased from 47% to 79%.

 

Table 2: ProACT Project Achievements

INDICATOR

TARGET

ACHIEVEMENTS (%)

CUMMULATIVE TARGET ACHIEVED

Number of NEW PLHIV reached with minimum PHDP services.

 

1624

108%

1758

Number of OLD PLHIV reached with minimum PHDP services.

101%

1647

Number of PLHIV trained as volunteers to provide PHDP services.

40

100%

40

Number of PHDP home visits conducted using PHDP home visit job aids.

180

923%

1661

Number of people completing an intervention pertaining to gender norms.

1613

135%

2175

**Number of PLHIV provided with PHDP home visit services who returned to support group.

400

144%

576

**Number of PLHIV provided with PHDP home visit services who returned to the health facility for ART services.

400

115%

461

 

Table 3: Disaggregated distribution of ART defaulters reached via home visit by Pro ACT Project

Project site

Male

Female

Total

New Bussa

171

280

451

Mokwa

186

437

623

Nasko

115

171

286

TunganMagajiya

112               

189

301

Total

584

1077

1661

Malaria Prevention and Control Program

   

While malaria is a highly preventable and treatable disease, many children continue to lose their lives endlessly to malaria in rural Nigeria. The children most at risk are those who live in isolated remote rural villages because they are shut out or excluded from accessing essential healthcare services. For most children, malaria is the most important single cause of anemia, poor growth and delay in achieving developmental milestones. For these vulnerable children, their continous battle with malaria not only has wider implications for their longterm development, it is a matter of life or death!

Climate change, resulting in global warming is gradually creating more favorable environmental conditions for malaria vector breeding sites, parasite multiplication and its transmission. About 60 percent of outpatient visits for children-U5 and 40 percent of hospital admissions in children are due to malaria in this region.

With support from Global Giving Foundation, Wellspring Advisors, and the Global Fund ATM through sub-granting from Civil Society in Malaria control, Immunization and Nutrition (ACOMIN), under the Contributing to the Rapid and Sustained Scale-up of Malaria Control Interventions for Impact in Nigeria, our Malaria Prevention Project reached 24450 individuals including children U5 and pregnant mothers in households and families in 14 rural communities with malaria prevention education, life-saving medicines and scientifically proven cost-effective malaria vector control technologies such as insecticide treated nets (ITNs). In 2016 alone, PSJ distributed 1400 insecticide treated net to pregnant women and children under-5 in rural Niger State. To procure ITNs and distribute them free-of-charge to poor community members, PSJ depends entirely on donations by philantropic individuals mostly through the GlobalGiving Foundation donation platform at www.globalgiving.com.

A major component goal of the malaria prevention project strategy is social mobilization aimed at building and sustaining community support for appropriate malaria prevention, diagnosis and treatment behaviors. We understand that mobilizing communities for healthy change involves taping into social networks, and building on the strength of long-held cultural values. Our social mobilization involves enlisting community leaders to advance the program’s cause through dialogue, sensitization and advocacy to community stakeholders at multiple levels, with the aim of creating demand for available malaria services, educating community members and promoting health seeking behavior of every individual in the community through interpersonal communication. One of the visible results of social mobilization activities implanted in the communities as a result of the project is a 60percent increase in the number of persons accessing malaria treatment services in health facilities as well as a three-fold increase in utilization of ITNs by families.  

 

Human Rights Program: ‘Right to Health’ Awareness and Health Accountability Program

 

PSJ continued its work to promote awareness of Economic Social and Cultural rights (ESCR) especially the right to health care in communities we serve. The community-wide human rights program on ‘right to health’ uses simple versions of international human rights instruments (article 25 of the Universal Declaration of Human Rights, article 12 of the International Covenant on Economic Social and Cultural Rights and the article 16 of the African Charter on Human and Peoples Rights), to educate and sensitize local people and communities on their entitlements to the highest attainable standard of health. Local communities are being supported to form village and community mutual health associations to demand the fulfillment of the right to health from their local governments whose are the primary duty bearers in this regard.

PSJ’s human right desk office is working with local communities; offering mentoring support and capacity building to equip local people with the advocacy skills to effectively communicate their concerns to the local government authorities. This is having an empowering effect on communities who are becoming better informed on their entitlements as right holders, and the governments’ responsibilities as primary duty bearers.

Information and mentorship received through this initiative has enabled communities to begin demanding for budget accountability in human rights fulfilling areas such as Primary health care, water & sanitation. As resources become available, we hope to offer formal training on budget monitoring to more community advocacy groups to make them more effective in budget monitoring and demanding accountability from their local governments and health service providers, with the overall goal of reducing corruption in allocation and spending of local health budget.

 

Gender Justice, Women’s Health and Empowerment

 

In Nigeria, women continue to face life-threatening risks related to their reproductive role. Women also continue to live in poverty due to lack of sufficient investment in addressing their economic, social and cultural rights. While Nigeria has ratified most international human right instruments, women’s human rights have not been treated as a priority development issue. The situation is further made worse by certain negative traditional practices which continue to undermine the full application of the rights principles articulated in the Convention on Elimination of all forms of Discrimination Against Women (CEDAW). Many women are illiterate, have no sources of sustainable livelihood. For women in northern Nigeria, especially those residing in rural areas, access to reproductive health information and services remain poor. With a maternal mortality ratio of about 560 per 100,000 live births, the risk of a Nigerian woman dying in her lifetime due to pregnancy related causes is high. Women, especially those residing within rural communities do not have access to economic resources or micro-credit grants to engage in sustainable livelihood activities..

Through the Gender Justice, Women’s Health & Empowerment program, PSJ is expanding rural women’s access to health especially reproductive health, promoting girls’ education and expanding economic opportunities for women to access micro-credits through micro-grants and Community Saving & Loans Associations (CSLAs) to enable them engage in income generating activities. We are pushing for institutional, policy and legislative reforms that will guarantee women’s human rights.

Recognizing that to be a meaningful collaborative force at the community level where most of the women’s right violations and injustices occur, we must understand local perspectives on sexuality, reproduction, cultural norms and genders roles, expectations and responsibilities. That is why we are actively engaging in grassroots advocacy and dialogues with traditional and religious leaders, as well as cultural custodians. Through the Gender Program, we are working to transform institutional, traditional and social attitudes towards women’s rights through facilitating active community involvement in dismantling ingrained harmful genders norms and practices that violate women’s rights. We are promoting girls’ school enrolment and retention through renovation of local schools and donation of school seats to three primary schools in rural Mashegu.

Physicians (Doctors) for Social Justice – Request for 2017

Support PSJ to Reach Remote Rural Villages with Primary Health Care Services

 Health indicators in rural Nigeria are among the poorest in the world. Northern Nigeria has one of the lowest health indices in the world. With a maternal mortality ratio of 560 per 100,000 live births and infant mortality rate that is worse the national average of 191 per 1000, women and children are the most vulnerable groups in this region. In many rural districts, Primary Health Care (PHC) service delivery is mostly dysfunctional with chronic shortage of qualified health personnel including doctors, nurses and midwives, dilapidated health infrastructure and shortage of essential medicines and medical supplies. We at Physicians for Social Justice are working to change that through our innovative community health (mobile-health clinic) program that provides PHC services to remote communities and villages.

 Learn more about how you can support this transformational work by visiting www.psjworld.org

 

The challenge

Many remote rural communities in rural Mashegu depend on Physicians (Doctors) for Social Justice (PSJ) for primary health care services. Hundreds of maternal and child deaths have been averted in these remote villages that lack access to any modern healthcare infrastructure, due to PSJ’s mobile clinic services. Unfortunately, PSJ is currently experiencing difficulties in continuing to offer these essential lifesaving services due to non-availability of a functional 4-wheel drive vehicle. The 4-wheel drive donated to PSJ by MIVA/one Men    has been the cornerstone of her mobile clinic services since 2009. However, due to wear and tear, and having covered 331200 km of rough unpaved rural roads since its procurement more than seven years ago, the 4-wheel drive vehicle is now barely serviceable with attendant high maintenance cost.

 

The solution

Without any modern health infrastructure and trained health personnel residing in remote communities in rural Mashegu, these communities require medical outreach services to reach vulnerable groups including women and children with essential clinical and preventive health care. Without the mobile clinic program people in these remote rural communities would be without any form of healthcare.

The Request

PSJ is making a fervent appeal of $46000 to procure a Toyota HiLux (as replacement means of transport, 4-wheel drive vehicle) to enable PSJ expand the reach of its community-based primary healtth care program (via mobile health clinic) in rural Niger State in northern Nigeria. The mobile clinic enables PSJ provide life-saving  clinical care and preventive health services, including maternal and child care, medical consultations, immunizations, vitamin A supplementation, HIV counseling and testing, treatment of diseases such as malaria, pneumonia, diarrhea and other community-based health promotional activities.

 

What direct results are expected from these activities?

At least a 100,000 people in hard-to-reach poor rural communities will regularly receive high quality primary health care services over the next three years. This will result in a 25% increase of number of women and children that receive essential health care services and a 50% improvement in children’s health indicators in five remote districts of rural Niger State.

 

How is it transformational?

Since inception, the mobile clinic has reached 80000 women and children over the past 5years, and in the process saved hundreds of lives. “The mobile clinic is a lifeline for children and women in our community. Once they arrive our village, the doctor, the nurses, the midwives, the community health extension workers and the pharmacist all work tirelessly to attend to all our sick women and children. The midwives conduct antenatal care for pregnant women; the nurses provide immunization, vitamin A supplementation and deworming medicines to our children.

PSJ's work respond not only to the immediate development and humanitarian needs of communities, but also seek to tackle the root causes of their exclusion and marginalization, including lack of capacity, feeling of powerlessness, and lack of voice to shape public health policy, especially at the local level. PSJ’s initiatives put communities they serve in the ‘driver’s seat’ of their own development by strengthening the technical capacities of local communities to deliver health services to their women and children.

HUMAN RESOURCES

Board of Trustees

Dr. Idris Ibrahim – Chair & President

 

Emmanuel Ugbede

Rev. Dan McCauley, SMA

Dr. Chukwumuanya Igboekwu – Secretary of Board

Sylvia Musa (Ms)

Emmanuel Jatau

Halima Bawa (Ms)

 

Patron

Col. Sani Bello Rtd

 

Governing Directors

Dr. Ibrahim Idris, MBBS IB., MPH Lag.    

President

 

Dr. Chukwumuanya Igboekwu MBBS IB., MPH Lag.,

Executive Director

 

Dr. Dabibi Ordoli, MBBS IB.

Policy Advisor

 

 

Senior Management Staff

Dr.Chukwumuanya Igboekwu

Team Leader

 

Chizoba Nwachukwu

Programs Manager

 

Kenneth Nnaji

Program Officer Community Health

 

Adebayo Depiver

Finance & Admin Officer

 

Sylvia Musa

Program Officer-Gender

 

Uche Eloike

Program Associate

 

Shedrack Muazu

Monitoring, Evaluation, Reporting and Learning (MERL) Officer

 

 

SUMMARY OF FINANCIALS

 

 

GRANTS AND REVENUE*

FISCAL YEAR

FY 2013

FY 2014

FY 2015

FY 2016

GRANTS & REVENUE (USD)

$203611

$407908

$331524

$307889

 

EXPENDITURE FY 2016

STATEMENT OF REVENUES AND PROGRAM EXPENSES *

REVENUES

GRANTS

$282096

PRIVATE DONATIONS

$25793

TOTAL

$307889

EXPENSES

PROGRAM EXPENSES

$257890

ADMIN EXPENSES

$30734

TOTAL

$288624

Balance at beginning of FY2016

$17772

BALANCE AT END OF FY 2016

$19265

*Drawn from PSJ’s audited financial statements

DONORS & PARTNERS

 

Individual Benefactors

1. Bess Rothenberg, PhD – Ford Foundation NewYork

2. Col. Sani Bello (rtd.) – Sanbell Nigeria Ltd

 

Foundation and Corporate Donors