We are Elrha, a force for change in the humanitarian community. The research and innovation we support equips the humanitarian community with the knowledge of what works, so people affected by crises get the right help when they need it most.
Our purpose is clear: to empower the humanitarian community to improve humanitarian response. We make this happen by supporting and championing the outcomes of robust research and proven innovations.
We empower the humanitarian community. Find out how we can support you...

WHAT HUMANITARIAN NEED IS BEING ADDRESSED?

This project addresses the need for access to reliable information which is critical for both effective coordination among humanitarian partners, and the provision of quality health services in refugee settlements.

Currently in northern Uganda, there are an estimated 833,785 refugees in 23 long-term settlements spread over five districts. Typical health monitoring relies on routine data and periodic complex surveys (eg. cluster surveys) which cannot measure gaps in access or utilisation of services within a refugee community. Real-time information is needed at, and below, the settlement level with an understanding of the crucial barriers to access and uptake of services in this context.

What is the innovative solution and how will it improve existing humanitarian practice?

In this project, we use rapid mixed methods to provide accurate, decentralised and contextualised information for planning and monitoring purposes.

The services assessed include:

  • primary health care,
  • water/sanitation,
  • child protection and livelihood,
  • coupled with an investigation of maternal social capital.

Our innovation uses a mixed methods approach to collect, interpret, and prioritise Lot Quality Assurance Sampling (LQAS) and qualitative data for programme planning. Our approach will provide a tested process and useful information for NGOs to determine what aspects of their services are weak, and in which locations the improvements are needed. This includes understanding variation in health seeking behaviours and the influence of social capital on service uptake in refugee communities.

We expect that our approach will provide results more rapidly and at a lower cost than conventional surveys. At scale, our innovation will improve the planning and management of health services to meet diverse refugee needs.

Expected Outcomes

Previously, with HIF support, Liverpool School of Tropical Medicine (LSTM) adapted Lot Quality Assurance Sampling to rapidly assess the health status of internally displaced persons (IDPs) in South Sudan and provide real-time information needed by agencies to improve health services. You can read more about this project on the project profile here: Lot Quality Assurance Sampling Survey Techniques.

Following the achievements in the last project, LSTM were awarded a HIF diffusion grant to scale their innovation. Based in northern Uganda, the diffusion project supports rapid health monitoring at scale using the adapted IDP-LQAS in long-term refugee settlements.

We will compare LQAS indicators in both refugee and host communities coupled with the use of rapid qualitative methods to explore enablers and barriers to the uptake of health services. Expected outputs include multiple ways to share findings and build capacity among practitioners to interpret and use mixed data to strengthen programmes for refugee communities.

We plan to:

  • Host a data use workshop with NGO and government actors.
  • Hold a dissemination event to share project results among key humanitarian stakeholders.
  • Develop a packaged mixed methods toolkit including the adapted IDP-LQAS, rapid qualitative approach and prioritisation/planning techniques.
  • Conduct a webinar and produce a conference paper to diffuse the toolkit.
Field practice during LQAS training. Credit: Nancy Vollmer, LSTM.
Preparation of the community map. Credit: Nancy Vollmer, LSTM.
Segmentation sampling with community guides. Credit: Joseph Valadez, LSTM.
Household survey interview. Credit: Joseph Valadez, LSTM
Residents of Bidibidi settlement. Credit: Nancy Vollmer, LSTM.
Mother prepares oral rehydration salts. Credit: Nancy Vollmer, LSTM.
Focus group discussion. Credit: Nancy Vollmer, LSTM.
Refugees leaving a food distribution point. Credit: Nancy Vollmer, LSTM.

Subscribe to our newsletters....

Subscribe
 
Elrha © 2018 - 2019 Elrha is a registered charity in England and Wales (1177110).
Elrha Please upgrade your browser

You are seeing this because you are using a browser that is not supported. The Elrha website is built using modern technology and standards. We recommend upgrading your browser with one of the following to properly view our website:

Windows Mac

Please note that this is not an exhaustive list of browsers. We also do not intend to recommend a particular manufacturer's browser over another's; only to suggest upgrading to a browser version that is compliant with current standards to give you the best and most secure browsing experience.