Mozambique – Maternal and child health services

TITLE OF THE PROJECT

Saude da Criança em Mafuiane: prevention, assistance and socio-health care services in the mother and child sector

PLACE

Mozambique, Maputo Province, Namaacha District, Mafuiane LOCAL PARTNER Mission of San Frumenzio (Archdiocese of Maputo)

TERRITORIAL CONTEXT

Mozambique is one of the poorest countries in the world, 36.4% of the population lives on less than a dollar a day, and 74.1% on less than two dollars a day. About half of the population has no direct access to drinking water. Access to health services is very problematic, especially in rural areas such as Mafuiane.

Mafuiane is a village of about 5,000 inhabitants, located 40 km west of Maputo, on the road to the border with Swaziland and South Africa. The area is flat, surrounded by hills and bathed by the waters of the Umbeluzi river.

SECTORAL CONTEXT

The local economy is essentially based on agricultural production, still marked as a subsistence economy. The main local agricultural crops are millet, corn, tomato, cabbage, cucumber, green beans. The breeding is almost non-existent, the population integrates the poor diet by buying eggs and poultry, rice and beans from outside. In addition, in recent years, due to climate change, droughts are becoming more frequent, compromising agricultural activities. Consequently the malnutrition of the inhabitants of the community has assumed dimensions equal to an endemic emergency. In the area there are also problems related to water supply, which occurs through wells with some manual pumps distributed in the village for domestic use, and the irrigation system developed by the Italian Cooperation in the nineties, which is active today at 20%, for agricultural use.

The health coverage of the area is still very low, there is only 1 “posto de saude”, ie the smallest territorial unit where even the presence of a doctor is not guaranteed, whose figure is covered by a nurse. The poor hygienic-sanitary conditions favor the spread of diseases of the skin, respiratory tract, diarrhea, etc., especially among children. In addition, a high percentage of people suffer from HIV.

Since 1991, Missao Sao Frumenzio has built a collaborative relationship with the local population, carrying out projects aimed at improving the living conditions of the inhabitants.  Since 2013, the AUCI has started a collaboration with the Mission to carry out a program to support the territory and the local community 

 

TARGETS

The goal is to support 3 nursery schools, one in Mafuiane (130 children), one in Baka Baka (80 children) and one in Goba (80 children), in personnel management and in maintaining school expenses, such as purchasing books, uniforms, etc., and transport of the van. For older children, school education is supported through the granting of scholarships. In addition, we want to offer the children of kindergartens mentioned above and their families the support and health care necessary to combat pathologies due to precarious and insufficient hygienic-sanitary conditions. Finally we want to increase the development and quality of agricultural production, also improving the nutrition of around 2,000 Mafuiane families.

The direct beneficiaries over 3 years will be 300 children from 3 to 5 years students of the three kindergartens, 23 adolescents of the community and 2000 families of Mafuiane. The indirect beneficiaries will be 1000 families residing in the areas of Mafuiane for a total of 6000 people.

ACTIVITY

First year

The project intervenes in strengthening the pediatric and hygienic-sanitary prevention and assistance service for about 250 children aged 3-5 years, during the first year, plus around 500 children aged 6-8 years in the second and third year. The health service will be performed, waiting for the Place de Saude to be renovated in the first year, and the Pediatric Center, which will be built in the 2nd year, to enter into operational function directly in the existing local school facilities (escolinhas) so that they can be visited. and carefully monitor all children, and everyone has a detailed medical record. 

a. Medical examinations, diagnosis, monitoring and drug therapies (twice a month) for the 250 children aged 3-5 years directly at the Mafuiane nursery school and the Baka Baka kindergarten with medical records compilation and management

b. Nutrition support with verification and monitoring of nutritional intake for the 250 children aged 3-5 years in kindergarten;

c. Medical examinations, diagnosis and drug therapies (twice a month), with verification and monitoring of nutritional intake, for the 500 children aged 6-8 years directly at the primary school of Mafuiane, in order to complete the coverage action in support of childhood and always drawing up a medical record;

d. Organization, monitoring and management of a database on the mapping of clinical and hygiene-environmental cases of children and their families, as well as on basic, social and health needs;

In particular, the project then intervenes in the improvement of the maternal and child health service offered by the Health District of Namaacha, with the technical-functional Restructuring of the public health post “Health Place” of Mafuiane. The “renovation” project involves the renovation of the roof, the plaster of the external and internal walls, painting and laying of the tiles, electrical system, plumbing of the clear waters and dark waters, of the place de saude and of the external bathrooms, with sanitary purification up to the septic tank:

a. 1 Outdoor waiting room, with canopy and porch and toilet facilities, to allow the user community to find shelter from the sun and rain while waiting for medical examinations;

b. 1 Saladi Primo Soccorso sanitario;

c. 1 Delivery Room;

d. 1 Saladi mother-child shelter with 3 beds;

Once the renovation works are completed, the Health Care Center will return to offering its basic health services thanks to the involvement of the Provincial Health Directorate of the Province of Maputo, which will guarantee the management and operational presence of the necessary medical and paramedical staff.

Second year

The project will extend the prevention and hygienic-sanitary and pediatric assistance service directly to schools for the 500 children aged 6-8 years, in order to complete the coverage action in support of childhood and always drawing up a detailed medical record. During the year, construction of the Mafuiane Pediatric Hospital will start. In agreement with the Provincial Health Directorate of the Province of Maputo, and in collaboration with the Archdiocese of Maputo (on whose land the structure will be built), the pediatric complex (according to the technical documentation attached: planimetry and metric calculation), by a local construction company, on a technical project, metric calculation and cost specifications defined by AUCI, Archdiocese of Maputo – Mission of Mafuiane and Provincial Health Directorate of Maputo Province. The Pediatric Center of 300 square meters covered, of which 120 square meters closed, will be made of masonry and reinforced concrete, with the installation of a hydraulic system for clear and waste water, installation of water purification, electrical system, it is as follows:

a. 1 administrative register room;

b. 1 medical examination room;

c. 1 shelter room with 4 beds, with internal toilets, dedicated to children with respiratory diseases;

d. 1 shelter room with 4 beds, with internal toilets, dedicated to children with dermatological diseases;

e. 1 shelter room with 4 beds, with internal toilets, dedicated to children with gastrointestinal diseases;

f. 1 analysis laboratory room;

g. 1 retail store / archive / pharmacy;

Third year

During the year, the prevention and health assistance service to 750 children aged 3-8 years continues its activity directly extending also in an action of education, support, and accompaniment to the families that live on the whole territory of Mafuiane. The objective is to make sure that the program of hygiene and health prevention to protect and promote children has become a common heritage of the local community and of the social actors involved, local health and education facilities. An extensive and deep hygienic-sanitary program on a community and rural basis, with specific actions of prevention and care in the pediatric and maternal-infant environment, and direct and integrated involvement of the various local actors (local community, schools, health center and hospital) , therefore, that finds its last “public” fulfillment with a wide action of education and awareness of the local community on the knowledge of health and communicable diseases. In fact, this year, thanks to the active involvement of the Faculty of Pedagogy of the Maputo University, a team of 5 educators will animate a community information and education service by organizing and preparing 3 theatrical representations and information materials. The theatrical form was chosen because the involvement of local rural communities on educational issues is now positively observed. When local communities see represented in realistic form with characters that represent, according to the local cultural uses and customs, the everyday situations of contagion of diseases (AIDS / SIDA) or of behaviors / habits that endanger health then they better perceive what comes asked them and therefore what is best to do to feel good.

DURATION OF THE PROJECT

36 months (2017-2018-2019)

CO-FINANCIAL ENTITY OF THE PROJECT

8 × 1000 Catholic Church, private donations.

PROJECT SAUDE DE CRIANCA EN MAFUIANE PDF

 

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