Supporting Inclusive Access to Health Services in Yemen

Country: 
Yemen
Area of competence: 
Health Policy and Financing
Donor organization: 
EU (European Union)
Start of Project: 
11/2018
End of Project: 
11/2020
Staff-month: 
2,200
Value of service: 
€ 1,596,900
Description of Project: 

The war that started in March 2015 in Yemen has been catastrophic and has caused hardships to the lives of people. It has also severely disrupted the health system and significantly reduced the sector's capacity to provide services to people directly harmed by the conflict. The current crisis exacerbated pre-existing challenges of the Yemeni health sector, such as low budget allocations for health by the government, the non-adequate organizational structure, fragmentation of health authorities on the national, governorate and district levels, and the shortage of Human Resources for Health (HRH). The ongoing conflict has left many men, women and children traumatised and in need of mental health and psychosocial support to deal with posttraumatic stress disorders. However, access to mental health services is very limited in general, as Yemen has around 40 psychiatrists only. The overall objective of the project is to contribute to the provision of essential health and nutrition services in Yemen with a focus on equitable access for remote rural communities and vulnerable groups.

Description of Services: 

The technical assistance is organised into four intervention areas:
Develop capacities and provide technical assistance to MoPHP at the central and local levels for a sustainable development of a community-based Mental Health Care and Psychological Support Programme with a focus on inclusive access for women, children and other most vulnerable groups. Activities include:
Develop national mental health policies to guide a community-based mental health care and psychosocial support services in consultation with Government of Yemen.
Provide capacity development to MoPHP at the central level to support development of a sustainable community-based mental health and psychosocial support programme.
Develop a mental health training programme with learning institutions and set up a rollout system targeting health workers at every level.
Provide mental health training to psychiatrists, general practitioners, nurses, psychologists and health workers in selected locations.
Build capacities for continuous education prioritising MoPHP female staff and other female current and potential health workers. Activities include:
Engage learning institutions in the development of training modules on EmONC and CeMOC, sexual and reproductive health, epidemiological surveillance, medical equipment maintenance, x-ray and psychosocial support and mental health.
Assist the MoPHP in instituting a training delivery and monitoring system for the rollout of modules targeting health workers at every level.
Train and capacitate master trainers at the MoPHP.
Assist the MoPHP in developing a regulatory framework to integrate the work on community-based mental health and psychosocial support currently implemented by international and local non-governmental organisations.
Reinforce capacities of the health facilities staff in selected targeted governorates allowing to continue operations and to enhance the access to services for women and other most vulnerable groups. Activities include:
Conduct training needs assessment.
Design and pilot a career ladder education programme for community health workers together with the High Commission on Education and professional boards to integrate them to the public health service.
Provide capacity development for outpatient mental health clinics in selected locations.
Support training of community health workers on basic mental health and psychosocial support services.
Provide assistance to the EU for a policy dialogue in the health sector with a scope related to all EU ongoing interventions on health and beyond as may be required. Develop ToRs of the Steering Committee and provide administrative and coordination support to the meetings. Activities include:
Draft and agree on the EU Health Steering Committee ToR.
Prepare logistics and organise the participation of members.
Moderate and document the proceedings.

Project Volume: 
€ 1,596,900