Pharmaceutical management is something that Kelliter Chizinga had always wanted to study and pursue as a career. In November 2016, Chizinga’s passion for being of service to the community motivated her to enroll at the Malawi College of Health Sciences in Lilongwe in a two-year pharmacy assistant certificate program that aimed to train and deploy 650 pharmacy assistants across Malawi by 2020.
On any given day, you may find Benat Kalebe organizing his storeroom or dispensing medicines at the Ntchisi District Hospital. He may be working in the hospital’s different wards, providing support for the nurses and doctors while keeping a close eye on the stock levels of the medicines they use. But Benat is more than the hospital’s pharmacy technician. He is a conduit for life-saving medicines for 16 health facilities throughout Ntchisi District in Malawi.
Mbang’ombe 1 Health Center is in the back yard of Lilongwe International Airport. In terms of access to quality health services however, the facility might as well be far from Lilongwe. At approximately 50 km from the Lilongwe District Health Office and Central Medical Stores, the facility serves a rural community. It has one clinician, four nurses, 11 Health Surveillance Assistants (HSAs) and several support staff who serve over 5,000 households, a total population of 24,762 people. The facility has never had pharmacy personnel.
Laiford Nandolo is one of the two HSAs that help manage the drugstore in the absence of a trained Pharmacy Assistant. Although Laiford has over 10 years of experience as a health worker, most of his drugstore clerk experience has been on the job without formal training, except a one-day training he received back in 2014.
Izizi ndi Zathu Zomwe. This is ours. That’s the name my team of adolescent researchers has given a groundbreaking public health initiative—a close study of their peers’ needs, behaviors, and preferences related to contraceptives. That name signals the importance of the qualitative, context-specific information required to succeed in such an initiative—proximity is necessary to develop the new approaches that will improve healthcare access for all. The data from this study will assist product manufacturers and policy stakeholders to address the unique and specific contraceptive needs of young people.
Vaccines are extremely sensitive to temperature. They must remain between 2 and 8 degrees Celsius in order to remain viable. Outside of this temperature range, vaccines become less effective at preventing diseases. Because of this, the storage and handling of vaccines need careful attention. The equipment and devices used to ensure vaccines stay in the right temperature range are known as the “cold chain.” When vaccines are transported, stored in a refrigerator, or used in an immunization session, the cold chain keeps the temperature right. Significant investments have been made in updating cold chain equipment in many countries, but overall performance remains a significant concern.
With our new partner Bull City Learning, VillageReach is strengthening the vaccine cold chain in Malawi. Using human-centered design principles, we are creating an easy-to-use, interactive, digital manual on refrigerator maintenance and repair. By providing this tool for cold chain technicians, we hope to improve routine maintenance of essential equipment used to keep vaccines at the right temperatures.
This week, Chipatala cha pa Foni (CCPF) or “Health Center by Phone” moved its operations from Balaka, a rural community in southern Malawi, to its new facility in the capital city of Lilongwe. As we packed up the phones, headsets, and files, I was struck by how symbolic the moment was. This move is more than a change of location. It represents the progress of CCPF many years in the making: from a maternal and child health service in one district to a comprehensive health hotline accessible to more than 5 million people across the country. From this new facility, CCPF will have the proper infrastructure and operational capacity to become Malawi’s first government-run national health hotline, a goal we are on track to reach by December of this year. At that stage, the service will be accessible to over 17 million Malawians. Having supervised this program for one and a half years, I feel privileged to have had the opportunity to work with the Government of Malawi Ministry of Health, our dedicated CCPF teams, and all of the donors and partners who have made this day possible.
I am pleased to announce that the Malawi Ministry of Health has signed a Memorandum of Understanding (MOU) to scale the mobile health hotline Chipatala Cha Pa Foni (CCPF), or “Health Center by Phone,” nationally. When complete, CCPF will be the first, government-run national mobile health hotline in Africa. This MOU solidifies the Ministry’s commitment to fully adopt and integrate CCPF into the established health system. As with any innovation, and particularly within the digital health landscape, getting to this stage of scale is a major achievement.
“When complete, CCPF will be the first, government-run national mobile health hotline in Africa.”
With the New Year upon us, I wanted to take this opportunity to reflect on some of the most important milestones that you, our partners and donors, have helped us to achieve this past year. With your support, we are reaching more people, proving the potential of emerging innovation, and working with new partners to increase access to quality healthcare at the last mile.
Chipatala Cha Pa Foni (CCPF, or “Health Center by Phone”) expanded to three additional districts in Malawi, reaching an additional 400,000 people, and ensuring that mothers like Patuma have access to health information, advice and care, no matter where they live. Airtel remains central to this growth as we work with the Ministry of Health towards national scale-up. New ventures like CCPF for Adolescents and collaboration with Johnson & Johnson are helping to enhance the quality of the service and expand its
potential to reach and serve more.
I recently returned from a trip to Malawi where I had the opportunity to visit several families who have benefited from Chipatala Cha Pa Foni, or Health Center by Phone, a toll-free health hotline in Malawi that connects individuals directly with trained health workers who provide information, advice and referrals over the phone. One of those visits was with the Richards family who live in Kazondo Village in Balaka, a district in southern Malawi.
It was a bit of serendipity when the young woman’s phone started buzzing. Normally at a conference, a phone call or a text message would be an embarrassing disruption, but not this time. This interruption came as twenty young women gathered to share their personal stories. Some had children, some were sex workers, others had dropped out of school. These women were representatives of the many young women around Zomba and Machinga Districts in Malawi who face challenges in accessing quality reproductive health services, providing real faces to the broader issue at hand.
This text message was received at the DREAMS Innovation Challenge Ambassador Workshop in Blantyre, Malawi – where I represented VillageReach as one of the 56 winners chosen to find new, innovative ways to reduce the impact of HIV on women and girls. This workshop brought together Innovation Challenge winners from around Malawi, as well as this group of young women. We were all there to learn and share, creating new connections while underscoring the importance and urgency of this work.