PREVENTION AND TREATMENT OF POST PARTUM HEMORRHAGE
In 2010, PSI developed a country-specific, branded communication strategy to introduce misoprostol targeting women of reproductive age. Messages are delivered through media and interpersonal communication sessions. PSI, in close collaboration with local institutions, facilitated training of providers on active management of the third stage of labour and safe and correct use of misoprostol. Misoprostol is provided to health facilities throughout Somaliland with delivery services and qualified personnel at subsidized prices to create universal access. Monitoring and supervision visits to health facilities are conducted quarterly in collaboration with the Ministry of Health.
INCREASING DEMAND AND ACCESS TO MODERN CONTRACEPTIVES
PSI empowers women and couples to lead healthier lives by providing access to birth spacing products and counseling services.
PSI employs innovative approaches to overcome significant consumer and provider-driven barriers to contraceptive use and adapts its program to the socio-cultural and economic environment of the target population. PSI distributes birth spacing products and conducts interpersonal communication sessions to women of reproductive age in order to create demand and increase utilization of modern methods. Birth spacing products are distributed nationally through private pharmacies and in public health facilities. PSI launched oral contraceptives in 2010 and injectables in 2011.
ACCELERATED CHILD SURVIVAL THROUGH INTEGRATED MANAGEMENT OF DIARRHEAL DISEASE
For the prevention of diarrhea, PSI socially markets Biyo-sifeeye, a simple and cost-effective water purification tablet to ensure access to safe drinking water in Somaliland. For the management of diarrhea cases, PSI promotes the use of oral rehydration salts and zinc supplementation tablets by distributing diarrhea treatment kits. PSI promotes the benefits of both products, educates caregivers and health providers on prevention and treatment of diarrhea, and ensures availability of these life-saving products through private and public sector channels.
BEHAVIOR CHANGE COMMUNICATION
Encouraging healthy behaviours and empowering people to make informed decisions regarding their health is at the center of PSI’s work. PSI’s behaviour change communication uses commercial marketing techniques to position products and services with messages that promotes knowledge and help reinforce healthy behaviors. Communication campaigns are disseminated to PSI’s target audiences through a variety of channels, such as mass media (national TV and radio channels), peer education, community-theatre, interpersonal communication, information, education and communication materials and special events.
INTERPERSONAL COMMUNICATION PROGRAM
In 2010, PSI launched a series of health education sessions reaching women of reproductive age with essential reproductive and child health information. Sessions are designed to increase women’s knowledge to make informed decisions regarding modern birth spacing methods as well as other topics such as safe delivery, infant and young child feeding practices and importance of antenatal and postnatal care. PSI has a team of nine interpersonal communication agents (qualified nurses and midwifes) reaching approximately 500 women monthly. The sessions are conducted in the four main towns of Somaliland (Hargeisa, Burao, Berbera and Boroma) inside or near a health centre. Women attend three consecutive sessions in a week and they are continuously followed up by PSI community organizers in order to track status of their pregnancy, practices, life-saving behaviors and recalling of key messages.
SOCIAL FRANCHISE NETWORK
In July 2011, PSI designed a social franchise network – Bulsho-Kaab (translated as community helper) – to harness the potential of private pharmacies in Somaliland and contribute to the provision of high-quality services and products.
Bulsho-Kaab network offers an integrated package of services that includes a range of reproductive and child health interventions of high-quality services and products at affordable prices to low-income communities.
Private providers benefit from increased revenues that are generated through an expanding clientele attracted by PSI demand generating efforts through media and community awareness, specialized training and on-job supportive supervision provided by PSI’s team of trained medical detailers. Currently Bulsho-Kaab has 151 members in five regions of Somaliland.