Florence is a year and two months old, named after her grandmother who currently is her guardian, is suffering from Marasmus. Losing her mother at at birth has developed many malnutrition problems and stress to her grandmother to provide the health she needs. They live 25 kilometers from the nearest clinic and transport is over priced to book causing more stress to her family to even obtain the proper healthcare for the newborn. Florence is just one of the many children living in the rural areas that has problems accessing quality care, particularly prenatal, natal, and postnatal care with no rural health clinics established unless people reach beyond the surrounding area.
The clinic serves a population of over 15,245 people and growing. The clinic has a pre-existing maternity ward with 2 beds that also serves as an in-patient ward. This single shared ward, housing both women in labor and other clinic patients, carries the risk of transmission of communicable diseases. The overflow of pregnant women is directed to either the screening and observation room, where other clinic patients are receiving services, or outside on the veranda floor. Community leadership has expressed strong interest in creating a space more suitable, safe, and secure for women in labor. A Local NGO is currently going to go into construction in building a RHC but is in greater need of a maternity ward as well.
Initial project activities include the formation of a committee comprised both of identified community leaders and stakeholders and NHCs known as the Maternity Ward Committee. They have gather in meetings to discuss options of grants through applying to district funds and fundraising locally. Responsibilities include community sensitization and mobilization regarding the required minimum 25% community contribution required for grants.
Long term, KMC will have the knowledge and connections to the district offices for aid and development in future projects. Post-construction activities will contribute to the goals of improved maternal and child healthcare, the prevention of mother-to-child transmission (PMTCT), and the reduction of HIV transmission. Community members, leaders, and stakeholders will form the GWC and choose leadership through an electoral process.
GWC will be trained on the grant writing process, including how to apply, complete, and submit a grant successfully. GWC will create a timeline and action plan for the procurement of community contributions, supplies and equipment, and ensuring the full construction of the new building Community contribution has reached 35%. This includes bricks, building sand, river sand, gravel, stones, building equipment, and excavation of the building's substructure.
Potential outcomes of the PMTCT Center & Maternity Ward include an increase in institutional deliveries, a decrease in at-home/in village deliveries, prevention of mother-to-child HIV transmission, reduced rates of HIV, reduced rates of women presenting to the clinic with the risk of post-partum hemorrhaging and other birthing complications, and decreased cases of tetanus of newborn babies. With a devoted structure for a separate maternity ward, the former ward will become a stand-alone in-patient ward, offering adequate accommodation for overflow, increased patient privacy, and eliminating the risk of transmission of communicable diseases to women in labor and their newborn babies.