Uru rupapuro ruragaragazwa mu rurimi rw'umwimerere Icyongereza. Edit translations
FCS Narrative Report
Introduction
TANZANIA USERS AND SURVIVORS OF PSYCHIATRY ORGANIZATION
TUSPO
KISARAWE MENTAL HEALTH PROMOTION PROJECT
FCS/SRG/1/11/147
| Dates: JAN-DEC 2012 | Quarter(s): 4 |
ELIEZER Mdakilwa PO BOX 14020 DSM TEL 0784865746,0713007228.
Project Description
Policy Engagement
This projects concern is to address the issue of mental health law and policy. It targets at raising awareness of the general community and policy makers at Kisarawe on the need of adjusting theirpolicies /by laws to suit the needs of persons with psychiatric problems.
Above all the project trains different groups of people on the contents of the new Mental Health Act 2008 which is the implementation document for the national mental Health policy of 2006.
By translating the document in to Swahili it easens peoples understanding of the above policy and the law which puts that policy into practice.
The outcome of the project is the increased responsiveness of policy makers to the needs of persons with mental illness through making relevant policies.
The second outcome is increased accessibility and effectiveness of Mental health Policy and Act. (outcome 1 & 2)
So the results of the project are also policy oriented and the whole project revolves around the policy are which is one of the KRA of the FCS.
Above all the project trains different groups of people on the contents of the new Mental Health Act 2008 which is the implementation document for the national mental Health policy of 2006.
By translating the document in to Swahili it easens peoples understanding of the above policy and the law which puts that policy into practice.
The outcome of the project is the increased responsiveness of policy makers to the needs of persons with mental illness through making relevant policies.
The second outcome is increased accessibility and effectiveness of Mental health Policy and Act. (outcome 1 & 2)
So the results of the project are also policy oriented and the whole project revolves around the policy are which is one of the KRA of the FCS.
| Region | District | Ward | Villages | Total Beneficiaries |
|---|---|---|---|---|
| Pwani | ||||
| Pwani | KISARAWE | Mafizi, Mzenga, Kisarawe, Masaki, Msanga | Mafizi + Bembela | 550 |
| Direct Beneficiaries | Indirect Beneficiaries | |
|---|---|---|
| Female | 69 | 307 |
| Male | 53 | 121 |
| Total | 122 | 428 |
Project Outputs and Activities
At the OUTPUT LEVEL.
a]. We have printed and disseminated 1000 copies of Swahili translated version of Mental Health Act 2008.[project output 1.1
b]. We have also succeeded to increase community/public awareness about the rights and needs of persons with Mental illness by conducting a three day seminar which was held at SBA Hall from 13th -15th March 2012 and which included 20 leaders of FBO’s, NGO’s and CBO’s. In this seminar sessions were run about the new Mental Act No. 21 of 2008. To sensitize the religious leaders and civil society leaders on the community responsibility towards the right of persons with mental illness.[project output 2.3]
c]. 2000 bronchures and 375 Tshirts which bear the messages “Ugonjwa wa Akili Hupona” and about other rights of persons with psychiatric illness were printed and distributed175 T-shirts and 400 bronchures so far. These were distributed in the sensitization campaign run by Mr. Juma Sako (our publicity secretary) and our Kisarawe branch leaders Issa Nondole and Sadik Mandondo who went around Mzenga, Mafizi, Msanga, Kisarawe and Masaki wards running sensitization campaigns with the aim of changing public perception and attitudes (output 2.3). the campaign went from 22nd – 27th February 2012
a]. We have printed and disseminated 1000 copies of Swahili translated version of Mental Health Act 2008.[project output 1.1
b]. We have also succeeded to increase community/public awareness about the rights and needs of persons with Mental illness by conducting a three day seminar which was held at SBA Hall from 13th -15th March 2012 and which included 20 leaders of FBO’s, NGO’s and CBO’s. In this seminar sessions were run about the new Mental Act No. 21 of 2008. To sensitize the religious leaders and civil society leaders on the community responsibility towards the right of persons with mental illness.[project output 2.3]
c]. 2000 bronchures and 375 Tshirts which bear the messages “Ugonjwa wa Akili Hupona” and about other rights of persons with psychiatric illness were printed and distributed175 T-shirts and 400 bronchures so far. These were distributed in the sensitization campaign run by Mr. Juma Sako (our publicity secretary) and our Kisarawe branch leaders Issa Nondole and Sadik Mandondo who went around Mzenga, Mafizi, Msanga, Kisarawe and Masaki wards running sensitization campaigns with the aim of changing public perception and attitudes (output 2.3). the campaign went from 22nd – 27th February 2012
1.1.1 Producing and disseminating of 1000 copies of Mental health Act 2008.
1.1.2 Translation in to Swahili the English version of Mental Health Act 2008.
2.2.1 Conduct 3 day training on mental health and law to 20 NGO, CBO leaders and FBO leaders and other citizens in 5 wards in Kisarawe.
2.3.1Conduct sensitization campaign about the rights and needs of mentaly ill persons .
3.1.1 Producing advocacy materials bearing messages that promote mental health.
4.1.1Conducting monitoring and evaluation.
5.1.1Administration
1.1.2 Translation in to Swahili the English version of Mental Health Act 2008.
2.2.1 Conduct 3 day training on mental health and law to 20 NGO, CBO leaders and FBO leaders and other citizens in 5 wards in Kisarawe.
2.3.1Conduct sensitization campaign about the rights and needs of mentaly ill persons .
3.1.1 Producing advocacy materials bearing messages that promote mental health.
4.1.1Conducting monitoring and evaluation.
5.1.1Administration
a]. We have printed and disseminated 1000 copies of Swahili translated version of Mental Health Act 2008.
b]. We have also succeeded to increase community/public awareness about the rights and needs of persons with Mental illness by conducting a three day seminar which was held at SBA Hall from 13th -15th March 2012 and which included 20 leaders of FBO’s, NGO’s and CBO’s. In this seminar sessions were run about the new Mental Act No. 21 of 2008. To sensitize the religious leaders and civil society leaders on the community responsibility towards the right of persons with mental illness.
c]. 2000 bronchures and 375 Tshirts which bear the messages “Ugonjwa wa Akili Hupona” and about other rights of persons with psychiatric illness were printed and distributed175 T-shirts and 400 bronchures so far. These were distributed in the sensitization campaign run by Mr. Juma Sako (our publicity secretary) and our Kisarawe branch leaders Issa Nondole and Sadik Mandondo who went around Mzenga, Mafizi, Msanga, Kisarawe and Masaki district running a sensitization campaigns with the aim of changing public perception and attitudes (output 2.3). the campaign went from 22nd – 27th February 2012
b]. We have also succeeded to increase community/public awareness about the rights and needs of persons with Mental illness by conducting a three day seminar which was held at SBA Hall from 13th -15th March 2012 and which included 20 leaders of FBO’s, NGO’s and CBO’s. In this seminar sessions were run about the new Mental Act No. 21 of 2008. To sensitize the religious leaders and civil society leaders on the community responsibility towards the right of persons with mental illness.
c]. 2000 bronchures and 375 Tshirts which bear the messages “Ugonjwa wa Akili Hupona” and about other rights of persons with psychiatric illness were printed and distributed175 T-shirts and 400 bronchures so far. These were distributed in the sensitization campaign run by Mr. Juma Sako (our publicity secretary) and our Kisarawe branch leaders Issa Nondole and Sadik Mandondo who went around Mzenga, Mafizi, Msanga, Kisarawe and Masaki district running a sensitization campaigns with the aim of changing public perception and attitudes (output 2.3). the campaign went from 22nd – 27th February 2012
There was no change.
1.1.1 Producing and disseminating of 1000 copies of Mental health Act 2008-TSHS 6,000,000
1.1.2 Translation in to Swahili the English version of Mental Health Act 2008-TSHS 1,500,000
2.2.1 Conduct 3 day training on mental health and law to 20 NGO, CBO and FBO and other citizens in 5 wards in Kisarawe-TSHS-5,600,000
2.3.1Conduct sensitization campaign abot the rights and needs of mentaly ill persons-TSHS-1,800,000
3.1.1 Producing advocacy materials bearing messages that promotee mental health-TSHS-4,550,000
4.1.1Conducting monitoring and evaluation-TSHS 463,000
5.1.1Administration-TSHS 7,095,000
1.1.2 Translation in to Swahili the English version of Mental Health Act 2008-TSHS 1,500,000
2.2.1 Conduct 3 day training on mental health and law to 20 NGO, CBO and FBO and other citizens in 5 wards in Kisarawe-TSHS-5,600,000
2.3.1Conduct sensitization campaign abot the rights and needs of mentaly ill persons-TSHS-1,800,000
3.1.1 Producing advocacy materials bearing messages that promotee mental health-TSHS-4,550,000
4.1.1Conducting monitoring and evaluation-TSHS 463,000
5.1.1Administration-TSHS 7,095,000
Project Outcomes and Impact
At the outcome level.
Increased accessibility effectiveness of Mental Health policy and Act of 2006 and 2008 by Nov 2012.
Indicators:
-Level of enforcement of Mental Health Law and policy rising
-1000Swahili copies of Mental Health Act available
-300 community members trained on Mental Health Act
2.Increased responsiveness of policy makers at national and Kisarawe district level of the rights and needs of persons with mental illness by Nov 2012.
Indicators:
-Level of mental health services increased
-15% increase in the District Mental health budget
Increased accessibility effectiveness of Mental Health policy and Act of 2006 and 2008 by Nov 2012.
Indicators:
-Level of enforcement of Mental Health Law and policy rising
-1000Swahili copies of Mental Health Act available
-300 community members trained on Mental Health Act
2.Increased responsiveness of policy makers at national and Kisarawe district level of the rights and needs of persons with mental illness by Nov 2012.
Indicators:
-Level of mental health services increased
-15% increase in the District Mental health budget
At the OUTCOME LEVEL
We expected 3 main things to happen at the level of outcome namely to see more inforcement of Mental health law and Policy at Kisarawe District.
After the FBO, CBO seminar and sensitization the Kisarawe Departments of social welfare and the Hospital Medical Department and the District Court are now cooperating in accessing the psychiatric patients according to the procedures stipulated by the Law.
The police department also knows its responsibility. The same applies to Ward and village executive leaders who formerly couldn’t cooperate as their duties on mental health as stipulated in section 3 subsection 9 (1) WERE NOT CLEAR TO THEM.
So there is a proof of increased law enforcement as a result of the quarterly implementation.
We also expected at the outcome level to see to it that policy makers at Kisarawe district responding more to the needs and rights of persons with Mental illness.
What we witness now is a positive response from the District Director who even provided a Land Cruiser in January to provide transport to TUSPO officials who together with the District Mental Health coordinator went to Mzenga, Homboza, Masaki and Mafizi dispensary to identify new patients. Before the project such thing would be impossible.
At the level of the Council the chairman Mr. Adam has tabled the motion for seting aside budget to build a psychiatric ward at the hospital which is now being discussed. Apart from that the District administration has taken in to consideration our plea for getting TUSPO office accomodation at Kisarawe.
But also the district Administration has increased the Mental Health budget to 2,000,000 in 2012 from the 2011 only 750,000.
Another realized outcome was the printing and translation to Swahili ,and dissemination of 1000 copies of mental health act.On number of people trained on mental health act. 25 FBO, NGO andCBO leaders were trained while 40 persons were reached by sensitization campaign.
We expected 3 main things to happen at the level of outcome namely to see more inforcement of Mental health law and Policy at Kisarawe District.
After the FBO, CBO seminar and sensitization the Kisarawe Departments of social welfare and the Hospital Medical Department and the District Court are now cooperating in accessing the psychiatric patients according to the procedures stipulated by the Law.
The police department also knows its responsibility. The same applies to Ward and village executive leaders who formerly couldn’t cooperate as their duties on mental health as stipulated in section 3 subsection 9 (1) WERE NOT CLEAR TO THEM.
So there is a proof of increased law enforcement as a result of the quarterly implementation.
We also expected at the outcome level to see to it that policy makers at Kisarawe district responding more to the needs and rights of persons with Mental illness.
What we witness now is a positive response from the District Director who even provided a Land Cruiser in January to provide transport to TUSPO officials who together with the District Mental Health coordinator went to Mzenga, Homboza, Masaki and Mafizi dispensary to identify new patients. Before the project such thing would be impossible.
At the level of the Council the chairman Mr. Adam has tabled the motion for seting aside budget to build a psychiatric ward at the hospital which is now being discussed. Apart from that the District administration has taken in to consideration our plea for getting TUSPO office accomodation at Kisarawe.
But also the district Administration has increased the Mental Health budget to 2,000,000 in 2012 from the 2011 only 750,000.
Another realized outcome was the printing and translation to Swahili ,and dissemination of 1000 copies of mental health act.On number of people trained on mental health act. 25 FBO, NGO andCBO leaders were trained while 40 persons were reached by sensitization campaign.
The other change was positive one where the District mental health budget increased by far more beyond 15% target by the project end .
The budget rose unexpectedly from 750,000 to 2,000,000 after the director who on attending the seminar listened to the situational analysis of mental health in his district. He stood aS guest of honor in the NGO seminar.This rise is 150% ie 10 times the 15%target.
The budget rose unexpectedly from 750,000 to 2,000,000 after the director who on attending the seminar listened to the situational analysis of mental health in his district. He stood aS guest of honor in the NGO seminar.This rise is 150% ie 10 times the 15%target.
The reason for such difference is the way the project articulated the poor situation of mental health in Kisarawe especially the lack of drugs and patient ward compared to big number of patients supposed to receive services.This presentation made the leaders more responsive than was the case before.
Lessons Learned
| Explanation |
|---|
| .The new experience we got from implementing the project is that the economic empowerment or poverty reduction approach to mental illness which Tuspo has been advocating for the past 6 years has no impact if it is not supplemented by rights approach we have experienced how persons with mental illness miss their rights simply because they themselves ,their care givers and policy makers do not know the law or regulations that govern the area of mental health.The District social welfare office was practically doing nothing about persons with mental illness simply because they didn’t know what obligation the law gives them.After its officers Mr. and mr. attended the March fBo/Ngo seminar and learnt the role of district welfare office in filling reception order and finally accessing the patient to hosp the office is now cooperating with the hospital mental health unit to identify and admitting patients to Kisarawe hosp.The same applies to community members .when Mrs.Zainab nondole mother of two children with mental illness learnt about legal procedures she finaly succeeded to use the court procedures and the social welfare office to access her son Juma to hospital which has for long time become difficult for her given the high costs and the nature of the disease.so if people know their rights they can have solution to their problems.this is our big experience. |
| The second experience is the poor state of lives among persons with mental disability in Kisarawe and their families which make the relatives lack means to access their brethrens to hospital.Upon seeing our transport means in Mzenga for example many families would take that advantage to reach Kisarawe hospital. |
| Another experience is the spirit of commitment and readiness to seerve among the policy makers and mental health workers at the dispensaries in the ward to work with TUspo after the training. |
Challenges
| Challenge | How it was overcome |
|---|---|
| Our main challenge was on the budget .The costs of implementing activity 2.2.1-Holding 3 day seminar with the leaders of CBOs ,FBOs,-rose by 800,000TSHS due to mistake done in calculating the costs for transport during identification of seminar participants and hiring of a seminar hall . | This challenge was encountered by discussing with the FCS supervisor on how to cut down other expenses to top up the difference. |
| .Another challenge was transport during senstization.Kisarawe wards are much scattered .To be able to reach Mafizi ward{ 84km} for example someone has to rely on a bus that arrives late evening and it needs one to spend two nights which would be very expensive for 4 persons who went for sensitization.This also applies to other wards of Mzenga,Msanga,Masaki . | To overcome the problem a car was obtained from the office of the district Director which enabled the project officers to be in the relevant places in time. |
Linkages
| Stakeholder | How you worked with them |
|---|---|
| MEDIA | they did cover the trainning event.mwananchi newspaper narrated the story while Mlimani TVand Radio prepared a TV Program on the event. |
| KISARAWE hospital | Agreed to allow the mental health trainer sister Bahati Kugulu to faciliate the course . |
| KISARAWE RC,,GOSPEL AND LUTHERAN CHURCHES AND BARAZA LA MISIKITI | For participating in the training |
| SBA HAlL MANAGEMENT | Hired to us the trainning hall. |
| MAFIZI,MZENGA,MSANA,MASAKI AND KISARAWE WARD EXECUTIVE OFFICES GOVERNMENT OFFICE | For agreeing the Ward Executive Office to officiate the program and participating in senzitization camaign. |
| NGOs AHEAD,APICAN,PLAN INTERNATIONAL,IGN | For participating in the training. |
| KAPERE PRINTERS | For translation andprintig of advocacy materials ann the Swahili version of the m ental health act 2008. |
| Mama Baraka cafe | For providing catering services |
| THE OFFICE OF KISARAWE DIRECTOR | For providing a car during implementation |
Future Plans
| Activities Planned | 1st Month | 2nd Month | 3rd Month |
|---|---|---|---|
| 2.1.1 Lobbying parliamentary Committee………………………………… 2nd | 2nd | ||
| 1.3.1 Conducting 3 day training for Media personnel….. 1st | 1st | ||
1.1.2 Conducting training for patients and care givers. | 2nd | ||
| 5.1.0 Administration. | 1t | 2nd | 3rd |
| 4.1.1 Monitoring and evaluation | 1st | 2nd | 3rd |
Beneficiaries Reached
| Direct Beneficiaries | Indirect Beneficiaries | ||
|---|---|---|---|
| Widows | Female | (No Response) | (No Response) |
| Male | (No Response) | (No Response) | |
| Total | (No Response) | (No Response) | |
| People living with HIV/AIDS | Female | (No Response) | (No Response) |
| Male | (No Response) | (No Response) | |
| Total | (No Response) | (No Response) | |
| Elderly | Female | (No Response) | (No Response) |
| Male | (No Response) | (No Response) | |
| Total | (No Response) | (No Response) | |
| Orphans | Female | (No Response) | (No Response) |
| Male | (No Response) | (No Response) | |
| Total | (No Response) | (No Response) | |
| Children | Female | (No Response) | (No Response) |
| Male | (No Response) | (No Response) | |
| Total | (No Response) | (No Response) | |
| Disabled | Female | 33 | 143 |
| Male | 13 | 59 | |
| Total | 46 | 202 | |
| Youth | Female | (No Response) | (No Response) |
| Male | (No Response) | (No Response) | |
| Total | (No Response) | (No Response) | |
| Other | Female | 24 | 164 |
| Male | 52 | 62 | |
| Total | 76 | 226 |
media personnel,leaders of ngos and religious organizations and community members
Events Attended
| Type of Event | When | Lessons | Actions Taken |
|---|---|---|---|
| MANAGE YOUR GRANT TRANING | March 2009&March2010 | M&E,Work plan,Project management | Preparation of project through LFA,we know how to prepare work plans,budgeting,we do monitoring and evaluation |
| TAYLOR MADE TRAINING | 1-5May2010 | Good governance,Organization,Relationship and Communication,organization development(OD) | clear separation of responsibilities in place.financial poliy in place,frequent report writting effective. |
| MANAGE YOUR GRANT TRAINING | NOVEMBER 2011 | M&E,Work plan,Project management | Preparation of project through LFA,we know how to prepare work plans,budgeting,we do monitoring and evaluation |
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