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Bahr el Gazel Education Center

Certificate ceremony in Moussoro

Twelve people finished a level one computer class in Moussoro.

Over a period of 20 hours of instruction, students learned the basics of computing:

  • The physical components of the computer
  • The difference between the Operating System and software
  • How to use the keyboard, particularly the accents
  • How to open Microsoft Word and type up a document
  • Formatting a document with tab stops

The training finished with a ceremony at our training center.

Categories
Bahr el Gazel Health

Training in neonatal resuscitation and prevention and treatment of postpartum hemorrhage

Introduction

Service au Sahel (SAS) organized training in Moussoro in coordination with the Representative of the Ministry of Health, Dr. Amboulmato Hormo. The training was led by two volunteer doctors who came to Moussoro from N’Djamena.

SAS previously organized neonatal resuscitation training at the hospital in Moussoro in November 2021 and dental extraction in October 2019.

Neonatal resuscitation at the Urban Health Center

According to the World Health Organization, “Sub-Saharan Africa had the highest neonatal mortality rate in 2020 at 27 (25–­­32) deaths per 1000 live births.” Chad’s neonatal mortality rate is 32.81 deaths per 1000 live births, which is the 10th highest in the world according to the World Health Organization’s Global Health Observatory.

The first part of the training was done on 15 June 2022 at the Urban Health Center in Moussoro. 

The morning began with a visit of the Health Center, including the admitting room, the labor room, the delivery room, as well as the laboratory. Then training on neonatal resuscitation was given to six nurses and midwives.

The goal of this part of the training was to prepare the nurses and midwives to better respond to a newborn who was having trouble breathing.

Instruction was given and then the participants were able to practice resuscitation using an inflatable simulator called NeoNatalie that resembles a newborn baby. 

Training at the Moussoro Provincial Hospital

Two days of training, 16-17 June 2022, were given at the Provincial Hospital in Moussoro. Sixteen participants, a combination of doctors, nurses, midwives, and health aides were trained on three subjects: prevention and treatment of postpartum hemorrhage, neonatal resuscitation, and improved charting using the partograph.

Module 1: Prevention and treatment of postpartum hemorrhage

The WHO says that “Most maternal deaths are preventable, as the health-care solutions to prevent or manage complications are well known.” The leading cause of maternal death is “Severe bleeding after birth also called postpartum haemorrhage”, which “can kill a healthy woman within hours if she is unattended.” 

Chad has a maternal mortality rate of 1140 deaths per 100,000 live births, which is the 2nd highest in the world. The World Health Organization has a Sustainable Development Goal to reduce the global maternal mortality rate to less than 70 deaths per 100,000 live births. 

The “Bleeding After Birth Complete 2.0” program from Helping Mothers Survive, a program of Jhpiego, was used for the training. 

The training showed healthcare providers how to identify the causes of heavy bleeding and manage each one correctly. Charts were used which helped identify the steps to take for routine care and advanced care. Focus was given to rapid response in emergencies, requiring the assistance of other staff members.

Module 2: Refresher course on neonatal resuscitation

A refresher module was given on neonatal resuscitation. Like the training at the Urban Health Center, the training helped the healthcare providers know how to respond to a newborn who was having trouble breathing.

Module 3: Improved charting using the partograph

Médecins sans Frontières defines the partograph as “a tool for monitoring maternal and foetal wellbeing during the active phase of labour, and a decision-making aid when abnormalities are detected. It is designed to be used at any level of care.”

The provincial hospital wanted to improve their use of the partograph in the maternity. Trainees were shown how to chart labor and delivery. They were taught how to recognize the signs for alert and the signs for action. Using a hypothetical scenario, they practiced using the partograph for charting.

Conclusion

With an estimated population of 349,000 people in the Bahr el Gazel, the Provincial Hospital and Urban Health Center are two of the most used healthcare structures in the province.

The 16 healthcare providers who completed the training at the hospital received certificates at the end of the training. In addition, the two doctors who gave the training each received a certificate from the Health Representative recognizing their contribution.

The association Service au Sahel is proud to have helped organize this training to reduce neonatal and maternal mortality in Moussoro and the Bahr el Gazel. Additional training in Moussoro in 2022 will be discussed in collaboration with our local partners.

Categories
Bahr el Gazel Development

Pump repair in Lugudinga

On May 12, 2022, the association Service au Sahel received a visit from a delegation from the village of Lugudinga, situated 20km southeast of Moussoro.

The delegation explained that their hand pump wasn’t working any more. The village had been able to repair the pump several times, particularly closing the holes caused by rust in the pipes. They asked the association de help them repair the pump.

On May 17 the association, along with a team of repairmen based in Moussoro, were able to go visit the village. The removal of the pipes by the repair team showed clearly that all eight pipes were too rusted to be able to be used again. The association was able to offer eight new galvanized pipes.

Once the installation was done, the pump was quickly put into service by the children who live in the village. The residents of the village expressed their thanks for the repair.

The village has around 100 households according to its residents.

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Bahr el Gazel Board of Directors Development Education Center Hadjer Hadid Health Markas al Nour N'Djamena Ouaddai

2021 Year-End Report

Introduction

This year-end report is a combination of updates from each of our projects. Together, they show the diversity of our activities as well as our desire to achieve our common vision:

“Reaching and transforming communities using education and development.”

The slogan of our association

We would like to thank all those who contributed during the past year to our common objectives.

Map of the primary locations where we work

Map showing the primary locations of the year-end report
The places where we worked in 2021

Report sections

The different sections of the year-end report can be downloaded below.




Conclusion

“There is a time for everything and a season for every activity under the heavens.” Ecclesiastes 3:1

2021 saw a new start for Markas al Nour in N’Djamena with the appointment of a new director in August. Classes and other activities were less in the Bahr el Gazel in 2021 compared to 2020. Water and community-led total sanitation continued in the Ouaddai with the same rhythm as before.

The transformation we would like to see in coming, but has not yet been achieved, so we will continue to work hard in the coming years. In the meantime, we hope that you appreciate reading the report about what we’ve accomplished in 2021.


N’Djamena, the 27th of March 2022

The Secretary General of SAS

Categories
Bahr el Gazel Health

Training in neonatal resuscitation

Service au Sahel held a two-day training in neonatal resuscitation at the Provincial Hospital in Moussoro. The course was held on November 12 and 13 and 16 medical staff from the hospital were trained.

The program teaches skills in caring for neonates with a focus on those babies who have difficulties in breathing after birth. The participants improved their practical skills in basic life support, working on clinical scenarios in small groups. Implementation of a set of simple measures like bag and mask ventilation has been shown to reduce early neonatal mortality up to 50% in the low resource setting.

The entrance to the hospital in Moussoro

Of the 16 medical staff trained, five were from the Maternity department of the hospital.

The training on neonatal resuscitation is the second collaboration Service au Sahel has had at the hospital in Moussoro. The first was a dental training in November 2019.

Categories
Markas al Nour

English Club at Markas al Nour

The English Club at Markas al Nour education center has been re-started!

English Club
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Board of Directors Markas al Nour N'Djamena

The History of Markas al Nour

Beginnings (2002-2006)

This is the history of Markas al Nour, an education center in N’Djamena whose name means the “Center of Light.”

The entry to Markas al Nour, circa 2005
The entry to Markas al Nour, circa 2005

The association Service au Sahel was started in 2002 by a group of volunteers. The association is non-profit and non-political, working primarily in education and development. The association received its Autorisation de Fonctionner from the Chadian government in 2003. The board of directors is composed of three to seven people and is led by a Coordinator.

The association’s first venture was the education center named “Markas al Nour” on the 30m road in N’Djamena. Markas al Nour opened its doors in January 2003.

Initially the center was equipped with donated books and computers and had two classrooms. Two Chadians were hired full-time: a secretary and a librarian.

The Markas al Nour library

In 2005 the French embassy gave a grant to help equip the center with more than 600 books, a third classroom, a new generator, and updated computers. The updates were finished in 2006, and a ceremony was held with representatives from the French embassy and from the neighborhood. A 50% increase in students was seen in 2006 because of these upgrades.

Graduates of one of the first computer classes

Growth and Challenges (2007-2011)

Upgrading the building to include a new computer classroom

Significant upgrades were made to the center starting in 2007. Computer teachers gained such good instruction at Markas al Nour that they went on to find good positions working in IT. It became necessary to recruit more teachers for computer classes.

A volunteer teaches a networking class

In 2010, the center had major problems with the electrical generator resulting in costly repairs. In 2011 a new 22 kVA electrical generator was donated to the center.

Autonomy and financial pressure (2012-2019)

Students at the end of class

During this period, French classes grew from on average 130 students per year to almost 500 students per year. Night classes (7-9pm) were added in 2015 and that brought in more students who didn’t have time to study in the afternoons. Morning classes also became more regular at the center with a peak of 25 morning classes during 2017.

However, the increase in French language classes was offset by the decrease in computer classes: computer classes dropped below 100 students per year in 2016 for the first time and have remained low, although MaN received a gift of updated computers in 2016.

In 2018, the center opened a Maternelle, but failed to attract enough children to pay for the teacher. The nursery school was not continued in 2019.

Financial pressure increased as Chad’s economy contracted in 2017 and 2018 due to plunging oil prices. Increased competition from other education centers put pressure on MaN to reduce the price of French classes.

Reorganisation (2020-2021)

Markas al Nour officially closed in July 2020 due to this financial pressure along with the added strain of covid restrictions. However, by November 2020 the center reopened, and classes restarted.

The history of Markas al Nour has been full of growth and change. The years to come will bring more change with one constant: high quality education classes for the northern neighborhoods of N’Djamena.

Markas al Nour Statistics (2004-2020)

statistics from the history of Markas al Nour (2004 to 2020)

English was the most popular class from 2005 to 2008 powered in part by an active English club.

Computer classes were the most popular from 2009 to 2012, including classes on maintenance, networking, and website creation.

French classes have been the most popular from 2013 until today.

2016 was the biggest year when more than 1000 students attended classes. 2020 was the smallest year due to the center closing and reorganizing.

Categories
Markas al Nour N'Djamena

Certificate Ceremony

On August 4th, the education center Markas al Nour had a ceremony to give certificates to those who had recently finished a class.

Spectators and students listening to the speeches.

Students and guests attended the ceremony.

The first person in each class will be allowed to continue to study French at Markas al Nour for free, up to level six.

The secretary speaks during the ceremony.

The ceremony was covered by local radio and Al Nassr TV.

The administration of Markas al Nour would like to wish all students success in their future studies. All new learners are also welcome to come study in the center.

Categories
Bahr el Gazel Board of Directors Development Education Center Hadjer Hadid Markas al Nour N'Djamena Ouaddai

2020 Annual Report

This report gives details about the work our association did in 2020. All the reports are in French.

Table of Contents

Conclusion

2020 had plenty of success and challenges. The biggest challenge was the financial crisis which forced the closure of our Markas al Nour education center. Nonetheless, the center reopened its doors in order to keep offering high quality instruction. Our activities in Moussoro and Hadjer Hadid were slowed down by covid-19, but were still able to adapt and continue. We will continue working together on our common objectives in education and development in 2021.

Here are the number of beneficiaries from our activities in 2020:

ProjectBeneficiaries
Markas al Nour – N’Djamena288
Education classes – Moussoro203
Animal health videos – Moussoro120
Water, health, and mapping – Hadjer Hadid3800
Sewing and distributing masks – Hadjer Hadid800
Health and cultural videos – Hadjer Hadid100
Total5311

We would like to thank all those who helped us continue advancing our goals.

The Secretary General for Service au Sahel

N’Djamena

22 April 2021

Categories
Hadjer Hadid Ouaddai

End of Project Report for Tawisa 3

Executive Summary

Tawisa 3 was a project that ran from July 2019 – July 2020. The project has completed mapping and survey for the Chokoyan Canton of the Ouaddai State of Eastern Chad. This included mapping and surveying over 184 villages and their improved and unimproved water sources. Printed maps are being shared with all stakeholders in the region and detailed data has been provided to the government to use in its geospatial database.

Additionally, a pump repair program was initiated in three villages within the Chokoyan Canton. These villages had existing broken pumps. Service au Sahel ran a two-day water committee training, introducing cost replacement schedules, record keeping, management of a cash box and savings goals for maintenance and repair, in each of these villages. After the training the pump was repaired. Monitoring visits have been conducted each month post the repair, tracking and working with the village to implement the training received. These monitoring visits are continuing into the next Tawisa project until the full year of monitoring is completed.

Additionally, water committees and villages who received new wells during the previous Tawisa 2 project were monitored on a quarterly basis, encouraging them to save for future repairs that will be needed for their new well. The Tawisa 3 project finished within budget, having spent 92% of total funds.

The project report is attached.