La iha rezultadu
Health
- Putting health in the hands of mothers - Increase in births with skilled birth attendants - Tau saúde iha inan sira nia liman - Incrés partus ne’ebé aumenta ho parteira Liga Inan is using mobile phones to connect expectant mothers with health providers in Timor-Leste to improve the likelihood of a healthy pregnancy, birth and post natal period. Officially launched in March 2013, Liga Inan is implemented by Health Alliance International (HAI) and Catalpa International, in partnership with the Ministry of Health. The pilot of the Liga Inan program was funded by USAID’s Child Survival and Health Grants Program, with the Australian Government now funding the further development and expansion of Liga Inan across Timor-Leste. Liga Inan cuts across geographic barriers to directly connect women to better health care in a country with high maternal and neonatal mortality. Health providers use a mobile phone to register expectant mothers, track their progress, know when they go into labour and make arrangements for attending the delivery. Mothers continue to receive support through the first six weeks of the newborn's life. Liga Inan also sends automated promotional health information via SMS to all registered pregnant mothers throughout their pregnancy and for six months after delivery to help them make better decisions about their pregnancy and link them with regular pre and post-natal care. Projectu Liga Inan maka hanesan uza telefone atu Liga Inan isin rua ho Servedor saúde iha Timor Leste atu hadian saúde inan isin rua hodi partus ho seguru. Ho fundus husi USAID Child Survival and Health Grants Program, Implementa husi Health Alliance International nomos Catalpa International ho parceiro besik ho Ministerio da Saúde, Timor Leste. Liga Inan fasilita komunikasaun ne'ebé efetivu entre inan ho sira nia familia ho pesoal saúde, hodi fornese media komunikasaun maske iha area rurais ne'ebé obstaklu geografico bele halo pesoal hasoru desafio. Parteiras bele fasil hatene wainhira sira nia pasiente atu tuur ahi, no bele halo preparasaun hodi atende tuur ahi ka fornese transporte. No durante loron permeiru ne'ebé perigo husi periodu tuur ahi, feto sira bele bolu sira nia parteira sekarik sira iha duvidas konaba sira nia bebe nia saúde. Pregnant women & their midwives Inan isin rua ho sira nia parteira
Duration: 2015/07/01 - 2021/01/01 | Status: Implementa Hela Reporting: Catalpa International
Implementa helaHealth
The overarching goal of the Learning Lab program is to reduce maternal and infant mortality. The program’s key objective is that more health providers will provide quality maternal and infant health services in primary health care facilities. • Midwives at primary health care facilities • Mothers who deliver with midwives from primary health care facilities Objetivu prinsipál husi programa Learning Lab mak atu reduz númeru mortalidade inan no bebé. Objetivu xave husi programa mak pesoál saúde barak mak sei fornesia asisténsia saúde kuidadu saúde primariu iha fasilidade saúde. • Parteira iha fasilidade kuidadu saúde primariu • Inan ne’ebé partus ho parteira iha fasilidade kuidadu saúde primariu Considerable investments have been made in developing capacity of health staff through national training initiatives in Timor-Leste, but significant gaps remain. HAI and other health partners have supported the Timor-Leste National Institute for Health (INS) to conduct national in-service and refresher training across the maternal care continuum. With USAID and Australian Government funding, HAI’s staff of midwife trainers have supported national training for municipality midwives in essential newborn care, safe and clean delivery and family planning, and also supported refresher training for basic emergency obstetric care. After large national training efforts, a coordinated system of follow-up-after-training (FUAT) and supportive supervision for quality improvement is needed. To address the ‘FUAT gap,’ HAI in partnership with INS developed and implemented an innovative approach we call Learning Labs. These are a cost-effective and practical way of developing health provider core competencies, improving provider-client communication, and strengthening provider motivation. Facilitated monthly for six months in the midwives’ own health facilities, adult learning approaches are applied through use of case-studies, practice simulations, and role plays. The Learning Lab is underpinned by the principles of adult learning, engaging with the trainee through a respectful, professional, and caring attitude to enhance a supportive learning environment. Addressing issues of domestic violence and the needs of women with disability have been incorporated into the Learning Lab model. An evaluation of the Essential Newborn Care Learning Lab indicated that all the providers who participated in Learning Labs achieved competency or proficiency after six months, compared to none in the control site. Following this successful evaluation, a Learning Lab was developed for Safe and Clean Delivery, where the evaluation similarly showed that midwives who participated in Learning Labs achieved competency or proficiency of skills as compared to sub-optimal competency levels pre-intervention. A Learning Lab on Antenatal Care (ANC) has recently been added. Maske iha investimentu ne’ebé boot hodi hasa’e kapasidade pesoál saúde sira nian liu husi inisiativu treinamentu nasionál maibé problema barak nafatin iha. HAI ho parseiru saúde suporta ona Instituto Naçional da Saúde (INS) hodi hala’o treinamentu nasionál iha servisu fatin no revizaun nia ba kuidadu kontinua saúde inan nian. Ho suporta fundus husi USAID no Governu Australia, staff HAI ne’ebé mak sai hanesan treinadór ba parteira suporta treinamentu nasionál ba parteira sira iha munisipiu kona-ba kuidadu saúde esensiál ba bebé foin moris, partus mos no seguru no planeamentu familiar, no suporta treinamentu revizaun ba kuidadu emerjénsia báziku obstetriku. Depois de esforsu treinamentu nasionál boot, presiza koordena ho sistema follow up depois de treinamentu (FUATL) no suporta supervizaun hodi hasa’e kualidade. Atu rezolve ‘problema FUAT’, HAI parseria ho INS dezolve no implementa ona aprosimasaun inovativu ida ne’ebé ami bolu Learning Lab. Programa ne’e nia kustu efetivu no dalan prátika liu oinsá atu dezenvolve kompetensia importante pesoál saúde sira nian, hasa’e komunikasaun entre pesoál saúde no kliente no hasa’e motivasaun pesoál saúde nian. Fasilita treinamentu kada fulan durante fulan neen iha parteira sira nia fasilidade rasik, metodu apredizazen adultu nian implementa liu husi uza kazu estudmu, prátika simulasaun no drama. Learning Lab suporta prinsipiu apredizazen adultu, involve ho partisipante sira ho respeitu, profesionál no attitude di’ak hodi hasa’e ambiente aprende suportivu. Modelu Learning Lab nian mos integra ho problema violensia domestika no nesesidade inan ho defisiensia. Evaluasaun Learning Lab kona-ba Kuidadu Esensiál ba Bebé Foin Moris indika katak pesoál saúde hoti ne’ebé partisipa iha Learning Lab atinji kompetensia ka profiensia depois de fulan neen, kompara ho sira ne’ebé la tuir iha fatin kontrolu. Depois de evalusaun ho susesu, Learning Lab dezenvolve ba Partus Mos no Seguru, no evaluasaun hatudu kuaze hanesan katak parteira ne’ebé partisipa iha Learning Lab atinji kompetensia no profisiensia abilidade kompara ho nivél pre intervensaun kompetensia sub-optimal.
Duration: 2015/07/01 - 2020/06/30 | Status: Implementa Hela Reporting: Health Alliance International
Implementa helaHealth
The goal of the MSGs is to promote key home practices focused on nutrition with the aim to improve maternal and child health outcomes. • doutor suku • inan no aman husi labarik tinan lima ba kraik • labarik tinan lima ba kraik Objetivu husi program ne atu promove pratika sira xave uma nian nebe foka ba nutrisaun ho intensaun atu hasae rezultadu saude inan no oan. • Village based doctors • Mothers and fathers of children under five • Children under five Timor-Leste hetan taxa aas liu kona ba labarik malnutrisaun iha Asia ho labarik tinan lima ba kraik liu sorin balu nebe kiik (todan menus ba tinan). Peskiza hatudu katak taxa husi fo susuben exklusivu diferente iha rai laran (28%-75%) no mos menus iha diversidadi aihan ho 18% deit husi labarik tinan rua mai kraik nebe konsumu aihan aseitavel. HAI hetan fundus husi UNICEF atu estabelese no mentor Grupu Suporta Inan (GSI) iha municipio rua iha Timor-Leste. Objetivo husi GSI maka atu promove pratika sira xavi uma nian nebe mak foka iha nutrisaun ho intensaun atu hasae rezultadu saude maternal no labarik kiik nian. Grupu hirak ne kompostu husi voluntariu sira husi komunidade, mane no feto, no implementa iha suku hotu iha municipiu ne. HAI serbisu hamutuk ho Ministerio de Saude no ekipa saude municipio atu estavelese no halao grupu nee. Iha intensaun atu lori GSI ne tama ba iha serbisu doutor suku nian no bele haforsa tan ligasaun entre provedor saude sira ho komunidade sira nebe sira serbi. Timor-Leste has the highest rate of child malnutrition in Asia with over half of children under five stunted (low height for age). Research shows that rates of exclusive breastfeeding vary widely across the country (28-75%) and there is a lack of dietary diversity with only 18% of children under two consuming a minimum acceptable diet. HAI was awarded a grant by UNICEF to establish and mentor Mother Support Groups (MSGs) in two municipalities in Timor-Leste. The goal of the MSGs is to promote key home practices focused on nutrition with the aim to improve maternal and child health outcomes. The groups are composed of community volunteers, both men and women, and are implemented in every village in the municipality. HAI works closely with the Ministry of Health and the municipality health team to establish and run the groups. It is intended that MSGs will be mainstreamed into the duties of village-based doctors and will strengthen the link between health providers and the communities they serve. • Village based doctors • Mothers and fathers of children under five • Children under five
Duration: 2017/03/01 - 2017/12/31 | Status: Implementa Hela Reporting: Health Alliance International
Implementa helaAgriculture and Fisheries
The 3 pilot community sites are: Adarai, Viqueque; Vemasse, Baucau and Adara, Atauro. Develop improved systems and capacity for fisheries management and stock assessment; test simple fisheries technology to enhance small-scale fish catch and efficiency; Scope and develop participatory, pro-poor market chains; Dezenvolve kapasidade no sistema hirak ne'ebé di'ak ba jestaun peskas no avaliasaun inventóriu; koko teknolojia peska simplés hodi hasa'e efisiénsia no kaer ikan eskala ki'ik; Ámbitu no dezenvolve korrente merkadu hirak ne'ebé partisipatóriu no pró-kiak; The development objective of this project is ‘improved food and nutrition security of rural households in Timor-Leste’. This is a long-term goal that contributes directly to the overall strategic and development goals of Timor-Leste as expressed in the Timor-Leste Strategic Development Plan (2011-13) and the clear intent of the ‘Zero Hunger Challenge’. Success of project development objective is dependent on the success of other food security related projects, and impacts from this project should be measured beyond the timeline of project activities (2025). Indicators of success are: • Increased fish consumption by children and pregnant women • Reduced incidence of stunted growth (malnutrition) in children under five The immediate objective is to ‘increase the consumption of marine fish products among rural households in Timor-Leste’. This is in-line with Government priorities to improve the food and nutrition security of the people of Timor-Leste. Indicators by 2020: • Increased availability of affordable marine products in rural areas • Increased marine fish portion in average food basket and daily household diet Affordability of products can be assessed through the combined use of market and household surveys. Consumption, with an emphasis on pregnant women and children under 5, will be measured through household surveys. Develop improved systems and capacity for fisheries management and stock assessment; test simple fisheries technology to enhance small-scale fish catch and efficiency; Scope and develop participatory, pro-poor market chains; Pilot community sites are Adarai (Viqueque), Vemasse (Baucau) and Adara (Atauro). Área komunidade pilotu 3 mak: Adaria, Vikeke, Vemasi, Baukau no Adara, Atauru. Objetivu dezenvolvimentu hosi projetu ida-ne'e mak 'seguransa ai-han no nutrisaun di'ak ba umakain rurál sira iha Timor-Leste'. Ida-ne'e mak meta tempu naruk ne'ebé kontribui diretamente ba Timor-Leste nia metas dezenvolvimentu estratéjiku hanesan hatuur iha Timor-Leste nia Planu Estratéjiku ba Dezenvolvimentu (2011-13) no intensaun klara hosi 'Dezafiu Hamlaha Zero'. Susesu hosi projetu nia objetivu dezenvolvimentu dependente ba susesu hosi projetu seguransa ai-han relasionadu sira seluk, no impaktus hosi projetu ida-ne'e tenke sukat liu periódu atividades projetu nian (2025). Indikadór sira ba susesu mak: • Aumenta ona konsumu ikan hosi labarik no feto isin-rua sira • Redús ona insidénsia kresimentu isin-ki'ik (malnutrisaun) iha labarik sira ho tinan lima ba kraik Objetivu imediatu mak atu 'hasa'e konsumu produtu ikan tasi nian entre umakain rurál sira iha Timor-Leste'. Ida-ne'e tuir Governu nia prioridade sira atu hadi'ak seguransa ai-han no nutrisaun ba povu Timor-Leste. Indikadór sira to'o iha tinan 2020: • Aumenta ona disponibilidade produtu tasi nian ne'ebé ema bele sosa iha áreas rurais • Aumenta ona porsaun ikan tasi iha bote ai-han médiu no ai-han umakain loroloron nian Kbiit sosa produtu sira bele avalia liuhosi uza kombinasaun peskiza merkadu no umakain. Konsumu, ho énfaze kona-ba feto isin-rua no labarik sira ho tinan 5 ba kraik, sei sukat liuhosi peskiza umakain nian.
Duration: 2016/04/10 - 2018/03/31 | Status: Implementa Hela Reporting: World Fish
FinalizasaunAgriculture and Fisheries
MAF suco extension officers in Manufahi and Ainaro and vulnerable households (4,500) across 11 sucos The overall objective of the programme was ‘to increase food security and incomes for vulnerable communities in Ainaro and Manufahi Districts of Timor-Leste.’ The specific objective was ‘to improve agricultural production and storage and develop market linkages for food insecure communities while increasing household resource management skills for more stability against shocks.’ Programa SECURE mak inisiativa fulan 45, ne'ebé hahú iha fulan Dezembru 2009, finansiadu hosi Komisaun Europeia, no implementa ona hosi Mercy Corps ho parseiru ONG lokál rua, Ida Mos Manufahi (IMM) no Hametin Ita Rai (HIR). Halo ona atividade sira inklui: (i) atu haforsa Ministériu Agrikultura no Peskas nia ofisiál estensionista suku sira (OESs) hodi fó apoiu tékniku espesializadu ba agrikultór sira iha sira-nia área jeográfika alvu sira; (ii) atu aumenta agrikultór 4,500 nia kapasidade iha téknika agríkola no armajenamentu ba produsaun melloradu no diversifikadu; (iii) atu fasilita ligasaun merkadu nian ba umakain alvu sira hodi aumenta rendimentu hosi fa'an kolleita sira; no (iv) atu hadi'ak umakain 4,500 nia kapasidade ho abilidades jestaun rekursu umakain nian. Avaliasaun finál hosi programa ne'e halo ona iha fulan Agostu 2013, no ninia rezultadus inkorpora ona ba iha relatóriu ida-ne'e. Avaliasaun finál hatudu katak projetu ne'e susesu ona prienxe maioria ninia alvus, no barak mak projetu ne'e prienxe liutiha. Avaliasaun ne'e hatudu katak umakain 73% iha área alvu sira relata ona redusaun iha ai-han menus ho redús ona númeru umakain hirak ne'ebé labele kumpre nesesidades ai-han hosi 80% tuun ba 15% no redús ona númeru médiu ba fulan hirak ne'ebé ai-han susar hosi fulan 3.9 ba 1.2 iha tinan ida ikus ne'e. Umakain 88% relata ona aumentu iha rendimentu. Liután, iha mós melloramentu iha Pontuasaun ba Diversifikasaun Ai-han Umakain (PDAU) hosi 6.3 ba 7.9 (hosi grupu ai-han 12). Objetivu jerál hosi programa ne'e mak 'atu aumenta seguransa ai-han no rendimentu ba komunidade vulneravel sira iha Distritu Ainaru no Manufahi iha Timor-Leste.' Objetivu espesífiku mak 'atu hadi'ak produsaun no armajenamentu agríkola no dezenvolve ligasaun merkadu sira ba komunidade sira ho ai-han la seguru enkuantu hasa'e abilidades jestaun rekursu umakain nian ba estabilidade hasoru xokes.' MAP nia ofisiál estensionista suku sira iha Manufahi no Ainaru no umakain vulneravel sira (4,500) atravesa suku 11 The SECURE programme was a 45-month initiative, which began in December 2009, funded by the European Commission, and implemented by Mercy Corps with two local NGO partners, Ida Mos Manufahi (IMM) and Hametin Ita Rai (HIR). Carried out activities including: (i) to strengthen capacity of the Ministry of Agriculture and Fisheries (MAF) suco extension officers (SOEs) to provide specialized technical support to farmers in their geographic target areas; (ii) to increase capacity of 4,500 farmers in farming and storage techniques for improved and diversified production; (iii) to facilitate market linkages for target households to increase income from sales from crops; and (iv) to improve capacity of 4,500 households with household resource management skills. The final evaluation of the programme was carried out in August 2013, and the findings have been incorporated into this report. The final evaluation found that the project has been successful in meeting most of its targets, and for many, exceeded them. It found that 73% of households in target areas reported a reduction in food shortage with the number of households not able to meet food needs reduced significantly from 80% to 15% and the average number of food scarce months reduced from 3.9 to 1.2 in the last year. 88% of households reported increased income. In addition there was also improvement in the Household Dietary Diversification Score (HDDS) from 6.3 to 7.9 (of 12 food groups).
Duration: 2009/12/01 - 2013/08/31 | Status: Finalizasaun Reporting: Mercy Corps
Implementa helaAgriculture and Fisheries, Public Works, Health
Grupo Feto ho idade reprodutiva (WRA) no labarik idade tinan 2 mai kraik. KAP was designed to gain a broader understanding of the knowledge, attitudes and practices associated with nutrition related practices among the households in the TOMAK target implementation areas This assessment was largely built upon existing secondary data. The assessment comprised of combinations of focus group discussions (FGDs), key informant interviews (KIIs) and surveys aimed at gaining an overall understanding of target households and their members’ nutrition promoting behaviours. The findings will be used by TOMAK to develop a theory of change to trigger household demand for year-round production and utilization of diverse and sufficient foods. Koñesimentu, Atitude no Pratika (KAP) dezeña atu hetan komprensaun ne’ebé luan husi koñesimentu ne’e rasik, Atitude no pratika asosiadu ho Nutrisaun relasiona ho pratika entre uma kain ne’ebé hanesan iha área targetu implementasaun TOMAK nian. Asesmentu ida ne’e maioria hetan husi informasaun adisionál. Assesmentu ne’e kompara informasaun entre Diskusaun Grupu Foku (FGD’s), Entervista Informasaun Xave (KII) no Intervista uma kain atu hatene enjeralmente uma kain tarjetu no sira nia membru hahalok promosaun Nutrisaun nian. Ninia resultadu sei uza husi TOMAK atu desenvolve mudansa teoria atu motiva uma kain nia demanda ba kada produsaun fiskal no utilijasaun ba diversifikasaun no hahan ne’ebé sufisiente. The Objective of this survey was to gather up-to-date and gender-specific information about the knowledge, attitudes and practices (KAPs) related to nutrition of a cross section of the proposed TOMAK’s target population. Establishing a foundation of food security and good nutrition requires stimulating household demand for year-round production and utilisation of nutritionally diverse and sufficient foods. To effectively stimulate this demand, TOMAK needs to understand the demographic profile and context in which choices are made around nutrition of its target beneficiaries. With this information, TOMAK will be able to design and invest in both nutrition-sensitive agriculture (NSA) and social behaviour change communication (SBCC) interventions. Such an understanding requires data on the target beneficiaries: (1) present food consumption patterns; (2) knowledge, attitudes and practices (KAP) related to food consumption; and (3) how these households commonly access and use information. The specific areas of enquiry were related to the following behaviours: Infant and Young Child Feeding (IYCF) practices; Feeding practices during pregnancy and lactation; Critical handwashing practices; Income allocation for household nutrition; and Relevant roles around decision-making within the household. WRA and child under 2 years Objetivu husi peskiza ne’e atu tau hamutuk informasaun sira konabá informasaun spesifiku Jeneru liu-liu konabá Koñesimentu, Atitude no Pratika (KAP) relasiona ho Nutrisaun husi sesaun ne’ebé mak tama iha targetu populasaun ba TOMAK. Estabelese baze ba seguransa aihan ho nutrisaun diak nesesita uma kain produs kada tinan no uja diversifika nutrisaun no hahan ne’ebé sufisiente. Atu stimula produsaun ne’ebé efetivu ba demanda ida ne’e, TOMAK tenki kompriende profile demografika no kontextu ne’ebé sira hili tenki relevante ho nutrisaun ba iha targetu benefisiariu. Ho informasaun ida ne’e, TOMAK bele desena no investe iha parte rua hanesan Agrikultura Sensitivu Nutrisaun (NSA) no intervensaun komunikasaun muda hahalok Komunidade (SBCC). Hanesan mos husi dadus ne’ebé mak tenki kompriende iha targetu benefisiairu: (I) hahan ne’ebe mak agora sira konsumu; (2) Konnesimentu, Aitude no Pratika (KAP) relasiona ho konsumu hahan; no (3) oinsa uma kain bai-bain asesu no uja informasaun. Area spesifiku ne’ebé mak tenki enkaixa relasiona ho hahalok sira tuir mai ne’e: Pratika fo han bebe no labarik (IYCF); Pratika fo han durante isin rua no fo susu; Pratika fase liman kritiku; Alokasaun rendimentu ba nutrisaun uma kain; Papel relevantes kona ba foti desizaun iha uma kain.
Duration: 2017/01/15 - 2017/03/15 | Status: Implementa Hela Reporting: TOMAK