Thoughts from the Last Mile Welcome to the VillageReach Blog

Tag Archives: Maternal and Child Health

08.13 2015
Malawi village clinic

VillageReach HSA, Pemphero Katondo leads Jailosi Village clinic

As a Community Health Facilitator for VillageReach in Malawi, I see the impact of Community Case Management (CMM), a strategy that promotes the early care-seeking behavior, assessment, diagnosis, recognition, and appropriate treatment for childhood illnesses at the community-level.

Over the last few years, CCM has evolved into a more comprehensive strategy that addresses the three main diseases that commonly kill young children under 5

Read full story
05.18 2015

Using mobile technology is a key component in USAID’s strategy to end preventable maternal and child deaths, called Acting on the Call . According to USAID, by using mobile technology to accelerate our rate of progress, we can save the lives of 15 million children and almost 600,000 women by 2020.  For the past four days, I’ve had the opportunity to explore how other countries and organizations are approaching this goal at the Africa Regional Meeting on Digital Health for Overcoming Barriers to Ending Preventable Child and Maternal Deaths and Achieving Universal Health Coverage.

Read full story
03.26 2015

CCPF is an mHealth innovation developed and implemented by VillageReach and its partners in Malawi. CCPF was introduced to parts of Nkhotakota district in 2013 with support from Concern Worldwide Malawi. The success of CCPF in these select areas led Concern Worldwide Malawi and VillageReach to launch the services district-wide in Nkhotakota. This blog from VillageReach M&E Officer, Robert Saiti, describes the launch event that took place on March 12th. The expansion of CCPF means 65,000 more women and caregivers of young children will now have access to the service.

Read full story
02.18 2015

Have you ever forgotten about a doctor appointment? Or put off scheduling an appointment because you didn’t have the time? With all the schedules and activities we juggle today, missing or forgetting to schedule appointments is common. Often, we put off making an appointment until we feel sick or are in pain. Waiting to go to the doctor until something urgent happens becomes particularly dangerous for pregnant women when routine antenatal care (ANC) is critical for both the health of the baby and the mother. In Malawi, where maternal and child mortality rates are some of the highest in the world, increasing ANC can be integral to improving maternal, infant, and child health, yet routine ANC is not a common practice. Increasing knowledge and awareness about the importance of ANC is a key component to improving maternal and child outcomes.

Read full story
02.09 2015

VillageReach, in collaboration with D-tree, is proud to announce the implementation of a new mHealth application in Malawi. What an exciting partnership! During the first week of February 2015, 25 health surveillance assistants (HSAs), nurses and other health workers in Balaka District received intensive training on smartphone technology and the capabilities of a new maternal and neonatal health (MNH) assessment application developed by D-tree. Using smartphones to improve the assessment of pregnant women and their children will increase access to health care and improve the quality of care provided in rural villages.

Read full story
12.04 2014

The Role of Data Collection and One Community’s Path Toward Change

While working on the Kwitanda Community Health Project (KCHP), based in the Kwitanda catchment area, Balaka District, in southern Malawi, I have seen firsthand how critical the role of data collection is to improving health outcomes. In this rural and remote setting, the news of a maternal death spreads quickly, but quietly, almost like a rumor or story. “Did you hear? Another mother died in childbirth in that village. Another neonatal death occurred last week.” It is difficult to understand the causes of the death, or how often they occur because little information is collected and reported on these events.

Read full story
01.13 2014

A frontline perspective of the CCPF “Health Center by Phone” Program

When I trained as a midwife, I had no idea that I would be helping deliver babies over the phone. Technology has come a long way, especially in the district of Balaka in Malawi.

In September of this year, Mercy, a 24 year old pregnant woman from Dailesi village in Balaka, told her family that she wasn’t feeling well, and set out for Kalembo Health Center seated on the back of a bicycle driven by her neighbor.

Dailesi village is 12 km away from the nearest health center, and is located in a hilly area far from paved roads. The only transport available is by foot, by bicycle taxi, or–in case of emergency–by ox cart or bicycle ambulance.

After an hour of traveling, Mercy started feeling intense muscle contractions signaling the birth of her baby and could no longer sit on the back of the bicycle. Mercy asked the bicycle driver to stop in a nearby village so that the women living there could help her deliver her baby.

With no other transport available, still far from the health center, and without any skilled personnel nearby to help with Mercy’s delivery, her neighbor decided to call Chipatala cha pa Foni for assistance.

Chipatala cha pa Foni (CCPF), which translates to “health center by phone,” is a toll-free hotline that women in rural Malawi can call to speak directly with a hotline worker for information on pregnancy, newborn and child health, and reproductive health issues such as family planning. A VillageReach project, CCPF provides clients with advice they can follow at home, or refers them to a health center or hospital if they’re displaying “danger signs” which require further care. Women in the community can also sign up for CCPF’s “Tips and Reminders” mobile messaging service to receive regular text or voice messages tailored to their week of pregnancy or their child’s age.

Besides information and referrals, CCPF has also linked key services to the community, as in the case of transport. After visiting the CCPF Hotline Room, the Balaka District Transport Officer was so impressed with the potential of CCPF to save lives that he offered to assist in arranging transport logistics for callers in critical condition or in need of immediate care. He gave us his telephone number and requested that we let him know of any emergency transport needs.

Less than one week later, we took him up on his offer when Mercy called the hotline.

Rose Nkupsya, a nurse and CCPF hotline worker, answered the call from Mercy. Rose understood the urgency of the situation and informed the transport officer. He immediately responded by sending the district ambulance to pick up Mercy and bring her to the nearest health facility.

Before the ambulance could reach her, Mercy delivered a baby boy. Mercy was bleeding heavily when the ambulance arrived and needed to be helped by health workers. But she was afraid of being reprimanded by them for delivering her baby outside of a facility and was concerned that the nurses would not admit her. Over the phone, Rose reassured her, and Mercy agreed to go to the health center where the nurse on duty was able to stabilize her condition and successfully stop the bleeding. Had it not been for CCPF and the transport officer, Mercy would have suffered severe bleeding and infection. Fortunately, she and her baby boy received timely and appropriate care, and both are happy and healthy today.

Chipatala cha pa Foni provides an important service to women in four districts of Malawi, but our work is far from finished. I look forward to continuing to help women have safe pregnancies and deliveries and for children to grow up happy and healthy.

Learn More About CCPF

Read full story
11.23 2013

We are proud to be featured again this year in SIF’s annual Global Giving Guide. See our profile exerpted below, and visit the Seattle International Foundation.

Rose is a Group Village Head in central Malawi and is responsible for overseeing the well-being of a community of a 32-village community. She has long been concerned with the challenges women and children face in her community when trying to access health information and services. Women and children in Rose’s villages, and in Malawi as a whole, experience high rates of maternal and child mortality as a result of limited health care and lack of reliable information on safe motherhood and child health practices.
SIF.2013_2b

Today, women and children in Rose’s community are getting help from Chipatala cha pa Foni (health center hotline, in English), a toll-free maternal and health hotline that provides health information, advice and referrals. Service users also have the option of signing up for weekly voice or text messages to receive health tips & reminders to access preventive health care services. Village volunteers help women understand and use the service and ensure access for those without cellphones through project phones.

Chipatala cha pa Foni effectively extends the reach of the health system, allowing women and children to access health services from their home without having to travel long distances to the nearest health center. As a mother, grandmother and community leader, Rose has been a strong advocate for use of the Chipatala cha pa Foni in her community. Rose encourages those who have cell phones to lend them to those who cannot afford one, and has even contributed her own phone to those who don’t own phones. As a result, the Chipatala cha pa Foni program has had a vast reach into the community, receiving over 11,000 calls and registering nearly 6,000 women and caregivers of young children for the tips and reminders service.

Since 2000, VillageReach has worked to improve the performance of health systems, serving more than 10 million people in remote communities across sub-Saharan Africa.

Read full story

Search Blog:

Newsletter Sign Up

By providing your email address you agree to receive periodic email news from VillageReach.


By submitting this form, you are consenting to receive marketing emails from: VillageReach, 2900 Eastlake Ave E, Suite 230, Seattle, WA, 98102, http://www.villagereach.org/. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact

Support Life-Saving Innovation

Your tax-deductible contribution extends the reach of our programs and supports new innovation- from idea to impact.

Donate Today

Malawi healthcare worker