Goals and framework for implementation- Human Health

Key Focus Areas:
1. Strengthen Maternal and Child Healthcare Services:
– Deploy mobile health units to provide prenatal, antenatal, and postnatal care.
– Train and deploy skilled birth attendants.
– Establish emergency transport systems for complicated births.
2. Increase Access to Vaccinations and Preventive Care:
– Implement tailored vaccination campaigns to reach nomadic populations.
– Provide fortified foods and supplements to combat malnutrition.
– Distribute insecticide-treated bed nets and malaria prophylaxis.
3. Community Health Education:
– Use culturally relevant messaging to educate communities on maternal and child health.
– Promote hygiene and sanitation practices to prevent disease.
– Introduce family planning methods that align with cultural norms.
4. Improve Data Collection and Monitoring:
– Develop health registers to monitor pregnancies and health outcomes.
– Train community health workers to collect and analyze health data.
5. Strengthen Healthcare Infrastructure:
– Build maternity waiting homes near health centers for pregnant women.
– Utilize telemedicine services for consultations in remote areas.
Indicators for Monitoring Progress:
– Maternal mortality ratio (MMR).
– Neonatal mortality rate (NMR).
– Under-5 mortality rate (U5MR).
– Immunization coverage rates.
– Percentage of births attended by skilled health personnel.

Key Focus Areas:
1. Enhance Access to Preventive Healthcare Services:
– Conduct regular community-based screenings for hypertension, diabetes, and other NCDs.
– Provide vaccination for preventable diseases linked to NCDs.
– Distribute health education materials on lifestyle changes like healthy diets and reducing tobacco use.
2. Strengthen Treatment and Management of NCDs:
– Train community health workers to identify and manage NCDs at the community level.
– Set up mobile clinics for chronic disease management.
– Establish referral pathways for severe cases.
3. Promote Mental Health and Psychosocial Support:
– Raise awareness about mental health issues through culturally appropriate education campaigns.
– Train CHWs and leaders to provide basic psychosocial support.
– Establish helplines or telehealth services for mental health counseling.
4. Strengthen Community Engagement and Policy Advocacy:
– Engage local leaders to champion NCD prevention and mental health initiatives.
– Advocate for national policies supporting affordable medicines.
– Mobilize resources to subsidize treatments for pastoralists.
5. Improve Data Collection and Monitoring:
– Conduct baseline and periodic surveys on NCD prevalence and mental health outcomes.
– Develop a community health database.
– Use mobile tools to collect real-time data on treatment adherence.

  1. Combat Antimicrobial Resistance through a One Health Approach
  • Establish a functional community-based AMR monitoring system in at least five target districts to improve AMR surveillance.
  • Promote Responsible Antibiotic Use through education of health, veterinary, and agricultural professionals on antimicrobial stewardship and rational drug use.
  • Enhance Public Awareness through culturally and gender-sensitive campaigns on AMR risks and prevention.
  • Strengthen Policy and Regulation by advocating for and support the enforcement of antibiotic use policies in livestock, agricultural and human health sectors.
  • Foster Multi-Sectoral Collaboration: Create a One Health Taskforce to coordinate AMR initiatives across human, animal, and environmental health sectors in pastoral settings

Indicators for Monitoring Progress:
– Reduction in premature mortality from NCDs.
– Increase in screenings for hypertension and diabetes.
– Percentage of individuals receiving timely treatment.
– Reduction in mental health stigma and increased service utilization.

-Reduction in irrational antibiotic use in humans

Key Focus Areas:
1. Strengthen Disease Prevention Measures:
– Distribute insecticide-treated bed nets and promote their proper use.
– Implement community-wide TB screening campaigns.
– Conduct regular vaccination campaigns for livestock to prevent zoonotic diseases.
2. Enhance Access to Early Diagnosis and Treatment:
– Establish mobile diagnostic units for on-site testing.
– Train community health workers in diagnosing and treating diseases.
– Increase availability of affordable, quality medicines.
3. Raise Community Awareness and Education:
– Develop health education programs on malaria, TB, and zoonotic diseases.
– Train local leaders to advocate for prevention practices.
– Promote proper handling and consumption of animal products.
4. Strengthen Surveillance and Monitoring Systems:
– Implement community-based disease surveillance systems.
– Integrate human and animal health surveillance under the One Health approach.
– Use digital tools for real-time data collection and reporting.
5. Improve Healthcare Infrastructure and Resources:
– Develop health posts equipped with diagnostic capabilities.
– Collaborate with veterinary services for joint human-animal health clinics.
– Secure funding for health infrastructure in remote settings.
Indicators for Monitoring Progress:
– Reduction in malaria and TB incidence and mortality rates.
– Increase in livestock vaccination coverage.
– Percentage of pastoralists accessing diagnostic and treatment services.
– Number of zoonotic outbreaks detected and contained.