CONCEPT NOTE
Providing Emergency Life Changing Support:
Clinical and Non-Clinical Health Services to 4 Rural communities ( Masita, Foya, Gbonkoyeleh & MacKoi-Bondu Communities) who have been suffering from a lack of health care services for children and their families with the nearest health center located 5 miles away at 4 Mile Junction
Theme ‘Let Love Lead and Save Lives’.
Project Background
The rationale behind this project is to provide emergency lifesaving support to children and their families in 4 deprived communities in Freetown, 4 Miles after Waterloo who have no access to a medical facility and have to travel 5 miles to the nearest Health post and a very bad road which only motorbikes ply the roots on a commercial basis.
Conforti Community Aid Children Organisation (CCACO) or for short Conforti is a highly respected National Organization that contributes to the realization of the rights of children through the capacity strengthening of government and communities, direct service provision, and advocacy at grassroots, national, and international levels. Because of its innovation, diligence, and accountability, Conforti Community Aid Children Organisation won an award ‘Pan African Award for Entrepreneurship in Education 2008.
Conforti has a strong relationship with government ministries especially the MEST, MHS, MSWGCA, MODEP, and Ministry of Justice, and has worked closely and collaboratively with such government ministries to improve the situation of children and women in Sierra Leone
CONFORTI will improve mental health services for vulnerable and disadvantaged people in Sierra Leone (SL) by developing and supporting existing community structures. Through training, raising awareness, and advocacy we will also reduce stigma, increase understanding of mental illness, and empower sufferers so they can take control of their lives.
Vision
Mission
Children in Sierra Leone receive quality education, are empowered for their protection, and develop to their fullest potential
To advocate for and provide access to quality education, mental health, and protection services, and economic empowerment/livelihood for children and families through partnership with communities, government, and organizations that share similar views
CCACO is a results-oriented organization that is respected for the achievement of its goals for children. Over the past five years, CCACO has been active in the sectors of education and child protection and has supported the completion of schooling and vocational training for poor and marginalized children as well as successfully supporting the reintegration of children in difficult circumstances. CCACO has been very active in the protection of children affected by Ebola in the Western Area and in Port Loko District and has been one of the focal child protection agencies in these locations:
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- Over 150 teachers capacities built and now use restorative justice as an alternative to corporal punishment in schools in Sierra Leone
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- Over 200 teachers from different schools in the Northern, Southern, Eastern, and Western Regions have been trained on equity, sustainable living, and social justice
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- Over 100 out-of-school children in East Freetown and Port Loko District have been enrolled in primary schools.
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- 40 out-of-school teenage girls provided with skills and vocational training are now gainfully employed in their communities in East Freetown
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- Supplied over 400 Veronica buckets to various Primary and Secondary Schools during the EBOLA.
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- Supplied about 400 waste bins to 40 Primary and Secondary Schools in Freetown
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- Facilitated curricula exchange of 53 teachers in Sierra Leone with teachers in the UK. Teachers from Sierra Leone learned new teaching techniques which are now applied in their schools
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- Supports Conforti Community Primary Schools which are rated among the best primary schools with the best NPSE aggregates
In the area of child protection:
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- 1068 children (477 and 591 girls) affected by EVD (including survivors and orphans and children with psychosocial issues identified and registered
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- A functional Family Tracing and Reunification network put in place in Eastern Freetown and Port Loko
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- 46 (25 boys and 21 girls) separated and unaccompanied children (including street children and children affected by Ebola) reunified with parents and extended family members
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- Case management operationalized in Eastern Freetown and Port Loko
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- 1924 (817 boys and 858 girls) children provided with psychosocial support services are now reintegrated into families and communities
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- Community mechanisms (CWC, volunteers) established and trained are functional in Port Loko District and Eastern Freetown
A Foster care network established in Eastern Freetown and in Port Loko care for 45 orphans and separated/unaccompanied children for whom tracing was unsuccessful
Presently, CCACO is partnering with Network For Africa UK in the implementation of the project ‘Providing Life Changing Support To People With Mental Health Issues in Sierra Leone’.
Problem statement
The challenges. ‘The maternal mortality rate in Sierra Leone is the highest in the world with 1,360 mothers dying in every 100,000 live births. The mortality rates of neonates, infants, and children under five are also amongst the highest globally at 34, 82, and 111 deaths per 1,000 live births, respectively as reported by UNICEF.
This problem was made real when CCACO started working in the community of Masita and witnessed children being placed on wheelbarrows at night to travel 5 miles to access medical facility and in the process, 2 children died before reaching the health post at 4 Mile Junction at Waterloo Rural District in Freetown.
CCACO and the 4 communities are working to raise funds for the construction of a peripheral health clinic to address this pressing issue and save the lives of children. In the plot of land allocated, land clearing has been done by volunteers of the four counties with the support of the Headmen and community stakeholders.
CCACO is now fundraising to construct a five-room healthcare facility with an Office for the Chief Health Officer, a store, a waiting room, an observation room, and a maternal room. A toilet facility will be built for good sanitation and hygiene.
The project will work with two line Ministries (Ministry Of Social Welfare and The Ministry Of Health and Sanitation). CCACO will provide psychosocial and counseling support services to victims, and non-clinical mental health services and awareness-raising activities to build resilience and strengthen community cohesion for supporting COVID-19 victims and their families. CCACO will partner with the Western Area Rural District Council and the District Health Medical Health Team through the Ministry Of Health and Sanitation to provide clinical health services for children and families in the 4 identified communities.
Conforti Community Aid Children Organisation will collaborate with other actors INGO and NGOs working to address the medical needs of children in post-COVID-19 to create opportunities for learning and avoid duplications.
Outcomes
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- Set up a health management team comprised of CCACO and stakeholders from the 4 affected communities and a representative from the health sector.
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- Construction of a five-room clinic in Masita village to cover Foya, Gbonkoyeleh, and MacKoi-Bondu; to include toilet and water facilities.
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- Opening of the health facility
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- Reduction in child and infant mortality in Sierra Leone
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- Provide mental health and psychosocial support to children and their families in the 4 identified communities
Budget Summary
Items | Quantity | Unit costLe | Total costLe |
Foundation work Block laying Tiling roofing | 5 rooms building | Lump Sum | 800,000,000 |
Toilet Construction/Water well | 4 toilets ( 2 men /2 female) | Lump Sum | 120,000,000 |
Electricity | Electrify the structure | Lump Sum | 60,000,000 |
Community Contribution | In kind Unskilled Labor | Lump Sum | 20,000,000 |
Total = |
1,000,000,000 |
The equivalent of 1,000,000,000 (one billion old Leones) is equal to 35,714 Pounds Sterling
The equivalent of 1,000,000,000 (one billion Leones) is equivalent to 41,667 Dollars
CCACO meeting with community chiefs and community elders on their need for a heal care unit.