KEY POINTS ON FRAMEWORK FOR POST-TRAUMATIC STRESS CARE FOR VICTIMS

OF DISASTERS IN NIGERIA

SESSION 1

AWARENESS CREATION & CAPACITY BUILDING

1. Cooperation btw collaborators on providing medical and social support– Key player – NEMA, rescuer workers, social workers,

counsellors, psychiatrists, religious groups etc– Closer collaboration recommended – under adequate

supervision2. How medical personnel can be deployed– Rapid assessment – First responders & Training religious leaders

3. Building of capacity– Seminars, targeted train g of caregivers, youth groups, PHC

workers– Task shifting

4. Capacity in terms of national framework– Subsidy/tax free laws– Incentive scheme for drug production– Engaging/encouraging growth /partnership in supporting local

productions5. Stakeholder key into the standing framework– Current layered structure provide existing structure to key in to

based on their roles– Technical assistance , financial assistance– Providing adequate support for tertiary hospitals to supervise

health centres

6. Management of framework– Lead agencies– Cluster management – Engaging tertiary institutions, Fed MoH and other

agencies for supervision7 . Avoiding wasteful duplication– Effective monitoring– Creating awareness– Key into national protocols

8. Need to develop protocol/capacity– Workshop on protocols development to be organised – Current curriculum for mental health care delivery to be

revised9. Building sustainability into framework– Training and re-training – M & E– Adequate funding

10. Leveraging on existing mechanism to dev trauma related – using existing facilities at state and local govt to leverage

PTS care– Adequate financing burrowing from support from those

enjoyed by TB, Malaria etc

11. Modalities to reduce stigmatisation– public enlightenment– Social media– Sms, human right protection and rehabilitation

12. Actors• Telecommunication service providers• NTA etc, social organisations

SESSION 2

FINANCING PTS CARE

A. Modalities for Sustainable Resources and Mobilization of Funds all tiers of government should make contributions to

the PTSD Fund. A Percent of the 1% of the amount used to fund

Primary Health Care yearly should be allocated to funding PTSD

NEMA should also bring out a little amount of their yearly budget to the Mental Health/PTSD.

• Call for public appeal for fund from Private Sectors• Corporate social responsibilities from businesses can

be used to fund PTSD.

B. Timely Deployment Of funds.• When the State Funding arrives various aspect

of the board would come up to collect their money but it depends on how active the Mental Health Board is.

• NEMA• ONSA

C. Building Local and International Partnership.

• This can be achieved by building partnership with local and International Organization with interest to Funding PTSD.

• Some of these are:• Christopher Blind Mission through the

Australian Government. If the various PHC can plan a good Proposal for the Mental Health.

• DFID• David lynch foundation for PTSD in Africa.

D. How do we provide financial support for Existing NGOs

• Baseline research and survey, producing deliverable data, Statistics

• Database of existing NGOs on the PTSD.• Training on Writing Proposal to generate fund

E. Accountability and Transparency• Yearly Auditing• Proper Documentation and Record Keeping.• Freedom of Information.

SESSION 3

STRUCTURE/FRAMEWORK FOR PTS CARE

KEY AREA; Severe persistent psychological distress

DESIGN –Basic training of all personnel on ground,

PHC, Private Medical Professional and other existing resources (Imams and Pastors in Mosques and Churches), NEMA, Family members to recognize the presence of psychological distress and Red Cross

MODULES• To incorporate the training into schools

curriculum• To enlighten the general public to be care-

giversRESOURCES MAPPING• Use of governmental and Non-governmental

Organization, Mass Media and other networks• The intention is to have a comprehensive map

of all available resources in the country and make available to the public

DEVELOPMENT OF CARE FOR SPECIAL POPULATION

• Women, Children and Adolescents• Build systems from grass-root, e.g. the use of

focal points, the PHC which is the first point of contact, serve for data collection, special population (Elderly and people with pre-existing health conditions) They should be given special consideration in a culturally sensitive way

STANDARDIZED FORMAT AND MONITORING

• Through the use of these data, we can develop a standardized format for trauma counseling

SESSION 4

ROLE OF PRIVATE SECTOR/NGO

REASONS FOR NGOS NON -INVOLEVEMENT1. Cultural sensitivity/ interstation of religion2. Lack of awareness/advocacy3. Lack of buy in from private sectors- understanding

benefits4. Misperception of activities of NGOs5. Accountability problem6. Gap in Knowledge of engagement of private sector7. Lack of coordination of the private sector aid

• RECOMENDATIONS1. To get maximal support from private sector –

EDUCATION OF PRIVATE SECTOR PLAYERS2. GENERAL ADVOCACY

1. Aggressive media campaign e.g MOBILE TELEPHONY TECHNOLOGY TO BE USED – toll free lines

2. Community education and mobilisation

3. Engagement of celebrities as ambassadors4. Monitoring & Enforcement of the above

recommendations – NEMA, NPHB5. Legislations • 0.2% of Net profit to be dedicated to funding disaster

related interventions